spondylolysis a practical approach to an adolescent enigma

... correlates poorly with liver histology, the ratio of aspartate aminotransferase (AST) to alanine aminotransferase (ALT) >1 is a dependable marker for cirrhosis [28,29] Increased INR and thrombocytopenia ... Am J Gastroenterol 1998;93(1):44-8 29 Giannini E, Risso D, Botta F, et al Validity and clinical utility of the aspartate aminotransferase-alanine aminotransferase ratio in assessing disease severity ... immuno-competency is in question, a negative antiHCV can be further evaluated by a HCV RNA test HCV RNA can be measured either quantitatively or qualitatively, which can approach a low limit of detection...

Ngày tải lên: 02/11/2012, 09:51

... important for planning and monitoring HBV treatment A low level of pre-treatment serum HBV DNA, high levels of ALT and histological activity, a history of adulthood HBV infection, and non-Asian ... better tolerance, and less cost When planning a LAM treatment, medical adherence and regular follow-up should be assured because of a relatively high frequency of drug-resistant mutation and flare ... normal transaminases have historically not been considered as candidates for HBV treatment based on the assumption that these patients usually have a slow progression and evidence that these patients...

Ngày tải lên: 03/11/2012, 09:41

... Sao Paolo New York Mumbai (Bombay) Los Angeles Calcutta Shanghai Dhaka Delhi Buenos Aires Jakarta Osaka Rio de Janeiro Karachi Japan Mexico Brazil USA India USA India China Bangladesh India Argentina ... Europe North America Central America North Africa Central and South Asia Middle East Southeast Asia Central Africa South America Southern Africa Oceanania Virtual water trade balances of thirteen ... Buenos Aires A Practical Approach to Water Conservation urbanisation and water stress in regions around mega-cities as a ratio of total water withdrawals divided by estimated total availability...

Ngày tải lên: 06/03/2014, 17:20

... Reza Ardehali, and Michael Fowler Chapter Pulmonary Hypertension and Right Heart Failure, 81 Matthew T Wheeler and Roham T Zamanian Chapter Heart Transplantation, 94 Jesus Almendral, Robert Maranda, ... of Cardiology Stanford University School of Medicine Stanford, CA, USA List of Abbreviations 6MWT AAA ABG ABI ABPM ACC ACE-I ACR ACS ADA AF AHA AI AIVR AMR AR ARB ARVC ARVD 6-min walk test abdominal ... Arvindh Kanagasundram and Victor F Froelicher Chapter 25 Cardiac MRI and CT, 303 Chandra Katikireddy and Michael V McConnell Chapter 26 Clinical Cardiac Hemodynamics, 326 Shirley Park and Euan Ashley...

Ngày tải lên: 24/03/2014, 02:20

... 11:46 AM Page 10 A Practical Approach to Pharmaceutical Policy Health Organization and other technical agencies or consultant firms provide additional tools for policy makers (for example, Management ... Bank’s analytical and advisory work in all areas of pharmaceutical policy, such as regulation, governance, quality assurance, financing, purchasing, supply chain, and rational use He has worked ... APAPP_i-xxii.qxd 5/21/10 11:45 AM Page i A Practical Approach to Pharmaceutical Policy APAPP_i-xxii.qxd 5/21/10 11:45 AM Page ii APAPP_i-xxii.qxd 5/21/10 11:45 AM Page iii A Practical Approach...

Ngày tải lên: 26/03/2014, 14:07

... local PI and translators Translators and a facilitator synthesize a translated version of the questionnaire from the forward translations Not part of the process Back translation(final language ... target languages Single back translation Background and methods Forward translation Translators NSTL rate the difficulty of the translation Must have as many back translations as forward translations ... Between forward and back translations After difficulty ratings After back translation Between forward and back translations After back translations After forward and back translations After pre-testing...

Ngày tải lên: 18/06/2014, 19:20

... local PI and translators Translators and a facilitator synthesize a translated version of the questionnaire from the forward translations Not part of the process Back translation(final language ... target languages Single back translation Background and methods Forward translation Translators NSTL rate the difficulty of the translation Must have as many back translations as forward translations ... Between forward and back translations After difficulty ratings After back translation Between forward and back translations After back translations After forward and back translations After pre-testing...

Ngày tải lên: 20/06/2014, 16:20

... great success as an outcome, and by drawing an action card as well, you can discover the best way to proceed towards that goal 16 Chapter - A Journey through the Major Arcana The Major Arcana are ... will agree that this card can be seen as a warning to look carefully at your financial situation, and to be cautious in all matters relating to money Two of Wands Wands are the suit of energy and ... sculptor stands upon a pew, with a mallet and chisel in his hands A priest and an architect with blueprints in his hands stand near this craftsman, discussing the changes they need to make to the...

Ngày tải lên: 17/02/2016, 11:57

... team The database analysts and the programmers are unable to agree on the proper ways to pass information back and forth between the interface and the database, and the requirements analysts and ... software packages), hardware and software implementation (implementing new computers or software), database management and revision (ensuring proper data storage and access), hardware and software ... of Idea Group Inc is prohibited Managing and Practicing OD in an IT Environment 261 how to proceed with the validated data, and the action plan and goals they create can be compared against...

Ngày tải lên: 24/10/2013, 08:20

... project management techniques Project management differs from many other topic areas as it is built on concepts of change, and tasks and resources that need to be manipulated (Tatnall & Shackleton, ... technological change a Information systems and change, resistance to change b Innovation models (diffusion, translation) 12 Summary and final multi-choice test Because the subject is available to both ... Consultants Paramount Business Consultants Pty Ltd is a group of twenty-five consultants specialising in strategic planning, financial planning, change management and corporate governance The group has...

Ngày tải lên: 18/02/2014, 07:20

... Engineering, 6(1):1–18 [Manousopoulou et al.1997] A. G Manousopoulou, G Manis, P Tsanakas, and G Papakonstantinou 1997 Automatic generation of portable parallel natural language parsers In Proceedings ... Kentaro Torisawa, and Jun’ichi Tsujii 2001 An agentbased parallel HPSG parser for shared-memory parallel machines Journal of Natural Language Processing, 8(1), January [Nurkkala and Kumar1994] Tom ... It also includes a set of support objects like charts and a thread-safe unification algorithm CaLi is an instance of a MACAMBA application that implements a Chart parser for the LinGO grammar...

Ngày tải lên: 31/03/2014, 04:20

... understanding of the concepts presented by Han and Kamber Han and Kamber (2001) suggest an evolution that moves from data collection and database creation, towards data management, and ultimately, ... evolution that moves from data collection and database creation, towards data management, and ultimately, data analysis and understanding Figure 7: Pre-comprehension level mastery Although the citation ... ultimately, data analysis and understanding For example, data processing is a base function enabling manipulation and aggregation of data, thus facilitating searching and retrieval Figure 8:...

Ngày tải lên: 02/06/2014, 09:38

... internal public relations activities Certain larger agencies and consultancies may also offer this service Advantages of using a consultancy Consultancies can offer independent advice through a range ... Disadvantages of using a consultancy Public relations concerns the internal and external communication of an organization A consultancy usually works to one person in the organization – the ‘liaison ... to check for any financial regulations you may have in your organization (eg work costing over a certain amount automatically going out to tender) It is good practice to get any contract or agreement...

Ngày tải lên: 21/06/2014, 14:20

... location or time Other specialist journals and trade magazines, such as Ad-line, PR Week, Campaign or Photography Today, may also provide useful names and contacts, as may the Royal Photographic ... relations – a practical guide Fees and agreements Fees for using the photographs are usually negotiable Be frank about your budget Get a quotation beforehand This will enable you to plan that part ... imaging business continues to develop, and today most photographic reproduction studios can provide a comprehensive service in an ever-changing market place Many now offer a range of image manipulation...

Ngày tải lên: 21/06/2014, 14:20

... formal setting and have a formal agenda, at least for part of the meeting The adoption of the previous minutes, chairman’s address, presentation and adoption of the annual accounts and the appointment ... to the event Floral decorations The same also applies to any flowers, foliage etc on the stand They can be booked in advance and will be delivered complete in their containers to your stand and ... at first hand with clients, the public and the media, and can show off the exhibitor and whatever products and services are being displayed to the best advantage But, because they are also expensive,...

Ngày tải lên: 21/06/2014, 14:20

... done, and done in such a way as to turn the situation to advantage; at the very least to limit any damage to a minimum What follows are some of the basic rules that apply whatever form a crisis may ... for the management of a crisis situation Assess Look at your organization as objectively as possible Try and imagine a situation that could arise: a major explosion in a factory, an outbreak 76 ... may have to be different, but it may be that one plan can be adapted to suit all potential crises Prepare Earmark suitable premises as a crisis operations centre and appoint key staff; allocate...

Ngày tải lên: 21/06/2014, 14:20

... understand and agree to abide by this Code, any amendment to it, and any other codes which shall be incorporated into it; remain up to date with the content and recommendations of any guidance ... material collected, analysing and classifying it so that a report can be drawn up and presented to management A ‘source’ rating, or system of categorization for reliability and accuracy may be helpful ... Media Relations; Planning and Managing a Public Relations Campaign; Risk Issue and Crisis Management, Kogan Page 103 319 further reading.p65 103 13/06/00, 12:55 Public relations – a practical...

Ngày tải lên: 21/06/2014, 14:20

... embarrassing, expensive and can lead to litigation What makes a contract? Three components constitute a contract: an offer; an acceptance; a consideration NB A one-sided bargain, such as a gift, ... wrong to guarantee a specific amount of favourable press coverage Conduct concerning colleagues A member shall: 4.1 Adhere to the highest standards of accuracy and truth, avoiding extravagant claims ... Consultancy and Client agree to exclude any such provisions This Agreement shall be subject to English Law Any transactions whatsoever of whatever nature carried out by the Consultancy including any...

Ngày tải lên: 21/06/2014, 14:20

... of their employment and has a lesser standard of care towards the contractor with regard to health and safety, both under common law and statute law Economic implications A self-employed person ... ‘tabled’, ‘spoken to or attached to the agenda Any other business Any items not already on the agenda but which need to be dealt with – or may be called for at the start by the chairman Date, ... Paragraph 1.1 sub-paragraph 1.1.1 sub-sub-paragraph and so on (But see also ‘house styles’ on page 69 Always number the pages, and for statistics, costings etc use annex with their separate appendices...

Ngày tải lên: 21/06/2014, 14:20

... record’ to the press l Compensation – not reveal details of any compensation to the media For insurance claims take advertising space in newspapers l Crank calls and letters – ignore all crank calls ... inquiry – Make preparations for any subsequent inquiry that is to be held Collect all logs, diaries, notes and other relevant written material that may be called as evidence Keep all such material secure ... vital Have a good one for background information Keep it small – key people only Important to maintain it Be prompt It shows you are a responsible, caring organization Useful and can help save...

Ngày tải lên: 21/06/2014, 14:20