... Inspection Group in the Government Inspectorate Establishing Inspection Group in the Ministries and sectors Government Inspectorate group conducts inspection Conducting inspection in the Ministries ... large-scaled inspection, the Inspectorate of the Ministry of Health pointed out main mistakes such as trading in prohibited medicine, non-trade medicine or expired medicine; storing medicine incorrectly; ... Realizing renovation in the following direction: Enhancing activeness; coordinating in inspection; renovating the method of inspection; establishing and accomplishing the large-scaled inspection...
Ngày tải lên: 19/07/2014, 08:52
... utilizing their individual expertise This book outlines the principles of dealing with such patients including the preferences of techniques and the hardware available The text is divided into ... Acquisitions: Gina Almond Development: Beckie Brand Set in 10/13 Palatino by Newgen Imaging Systems (P) Ltd., Chennai, India Printed and bound in Singapore by COS Printers Pte Ltd For further information ... trunk into the superior vena cava Right: A left azygous (hemiazygous) vein drains blood from the lower trunk into a left superior vena cava and from there into the right atrium via the coronary sinus...
Ngày tải lên: 14/08/2014, 07:20
Pacing Options in the Adult Patient with Congenital Heart Disease - part 2 potx
... occasion, the cephalic vein may break during lead insertion If the two leads cause a very tight fit in the vein, it may, as a consequence, invaginate the vein into the subclavian vein The torn ... sewing in the valve, the lead can be positioned on the endocardial surface of the ventricle, using the approach just described via the atrium The sewing ring of the valve will then cover the ... vein retained guide wire technique Left: Two leads are passed along an intact cephalic vein Right: The cephalic vein is torn with pushing of the second lead into the subclavian vein The vein...
Ngày tải lên: 14/08/2014, 07:20
Pacing Options in the Adult Patient with Congenital Heart Disease - part 3 docx
... retrograde towards the arm in the axillary vein or up into the neck in the internal jugular vein (Figure 7.4) Although this can usually be prevented by not peeling the introducer until the curved or ... advancement through the annuloplasty ring The broad stylet curve shown in Figure 7.2 was required There is a ball and cage mitral valve prosthesis (MVP) innominate vein toward the heart, but rather proceed ... lead in certain circumstances, but unsuitable in large chambers The advantage to the Locator® is that the curve can be created from the straight position without removing the stylet In the center,...
Ngày tải lên: 14/08/2014, 07:20
Pacing Options in the Adult Patient with Congenital Heart Disease - part 4 pdf
... outside the vein in the pacemaker pocket has also been suggested The lead is secured to the tissues via the lead collar, using slowly absorbable suture material The lead can then be drawn into the intravascular ... Coronary sinus drains into left subclavian vein Univentricular heart Stenosis of the coronary sinus ostium Unroofed coronary sinus Wolff-Parkinson-White Coronary sinus diverticulum Interrupted inferior ... superior vena cava will result in marked difficulties in trying to achieve left ventricular pacing The incidence of this abnormality draining into the coronary sinus is about 3–5% of patients...
Ngày tải lên: 14/08/2014, 07:20
Pacing Options in the Adult Patient with Congenital Heart Disease - part 5 doc
... ventricular lead passing inferior without a bend as if into the floor of the right atrium and fits nicely with the accompanying schematic Depending on its position in the ventricle, the lead tip may ... L-transposition of the great vessels Resting 12-lead ECG of the dual chamber pacing system shown in Figure 14.3 programmed VVI to demonstrate ventricular pacing The axis is inferior and there are dominant ... mechanisms have been postulated to explain the success of pacing for the congenital long QT interval This includes: • Decreasing the dispersion of refractoriness preventing critically timed premature...
Ngày tải lên: 14/08/2014, 07:20
Pacing Options in the Adult Patient with Congenital Heart Disease - part 6 pot
... show the ventricular lead emerging from the coronary sinus looping in the right atrium and then passing to the floor of the right ventricle The atrial lead (At) lies against the lateral wall of the ... to show the ventricular lead emerging from the coronary sinus, looping in the large right atrium and passing through the tricuspid valve to the floor of the right ventricle (white arrow) The atrial ... paradoxical embolism The decision would depend on the size of the shunt, age of the patient, previous emboli and the experience of the institution in closing such shunts The advent of transvenous...
Ngày tải lên: 14/08/2014, 07:20
Pacing Options in the Adult Patient with Congenital Heart Disease - part 7 potx
... the right subclavicular region to the superior vena cava and the stub of the right atrium It then proceeds behind the baffle into the anatomical left atrium, where it is attached to the roof In ... pacing with a right bundle branch block appearance and the axis will depend on where the lead lies For instance, if the lead lies low in the heart such as in the middle or lateral cardiac vein, ... vein, then there will be a leftward axis similar to pacing from the cardiac apex (Figure 19.6) In this position, the lateral chest x-ray helps confirm the cardiac venous pacing by demonstrating the...
Ngày tải lên: 14/08/2014, 07:20
Pacing Options in the Adult Patient with Congenital Heart Disease - part 8 pps
... operatively the coronary sinus may not drain directly into the right atrium The surgeon, in order to protect the conducting system may position the prosthetic tricuspid valve, so that the coronary sinus ... of the great vessels Two resting 12-lead ECGs of the single chamber pacing system shown in Figure 20.12 demonstrating left ventricular (LV) pacing The upper ECG shows unipolar pacing from the ... if there is evidence of sick sinus syndrome or atrioventricular block which may progress in the future Another situation in Ebstein’s anomaly that may require cardiac pacing in the future is the...
Ngày tải lên: 14/08/2014, 07:20
Pacing Options in the Adult Patient with Congenital Heart Disease - part 9 doc
... portion of the single ventricle The two epimyocardial leads are on top of each other in the PA view which has been highlighted with a box In the L Lat view, a black arrow points to the two epimyocardial ... pacing There is both sensing and pacing in the atrium Ventricular pacing demonstrates a right bundle branch block configuration and a left axis deviation suggesting left ventricular pacing from the ... to occur following the Fontan procedure in older children or young adults undergoing the surgery [63, 250] Because, there is no connection to the single ventricle, ventricular pacing cannot be...
Ngày tải lên: 14/08/2014, 07:20
Pacing Options in the Adult Patient with Congenital Heart Disease - part 10 pptx
... tract, 103 innominate vein, internal jugular approach, limitation, interrupted inferior vena cava, 41 intra-atrial baffle, 40, 89, 91 repair, 41 introducers, funnel introducer, 6, second introducer, ... al Transvenous ventricular pacing options in Ebstein’s anomaly Indian Heart J 1998; 50: 565–568 201 Andersen C, Oxhøj H, Justensen P Pacing in a patient with Ebstein’s anomaly PACE 1989; 12: 1586–1588 ... Permanent pacemaker positioning via the inferior vena cava in a case of single ventricle with loss of right atrial-vena cava continuity PACE 1993; 16: 1753–1755 255 Webb C, Jenkins K, Karpawich P, et...
Ngày tải lên: 14/08/2014, 07:20
the value of switching and growth options in foreign direct investmentl
... reduction The diversity of these findings points to the need for a more fine-grained investigation of the real options perspective in relation to foreign direct investments In uncovering the reason ... exercise the uncertainty-reducing learning options? When considering the optimal timing for learning, the firm faces a trade-off situation By postponing the learning activity, the firm postpones the ... seeing until information associated with initial investment and exogenous uncertainty becomes evident or is it the active gathering of information starting from the initial investment? What kinds...
Ngày tải lên: 02/11/2014, 00:48
The information content of the deflation put options in TIPs
... expressed in the closedform, while the modeling flexiblity to capture the interaction between the instantenous real interest rate 𝑤𝑡 and instantenous inflation rate 𝑖𝑡 is retained The original dynamics ... calculate the yield, one needs to both adjust the price of the bond, all remaining coupons and the final principal by the same Inflation Index To follow the market convention, all the prices and principals ... see the pricing relation when the inflation 𝑡 adjusted term is included: ($𝐹 ∙ 𝑒 ∫𝑢 𝑖𝑠 𝑑𝑠 ) is the inflation-adjusted final 𝑡 principal in nominal term and ($𝑃𝑂𝐹𝑅𝐵,𝑡 ∙ 𝑒 ∫𝑢 𝑖𝑠 𝑑𝑠 ) is the inflation-adjusted...
Ngày tải lên: 01/10/2015, 17:28
The Intellectual Property Debate Perspectives from Law Economics And Political Economy New Horizons in Intellectual Property
... during which the technological skills which underpin indigenous industrial innovation are developed Certainly the strengthening of intellectual property rights has been associated with the decline ... secret; and in the absence of a patent system can offer their version for sale, limiting or eliminating the means by which the original inventor can profit from the invention Hence, in the absence ... foreign investment is inconclusive Certainly the significant investment in East Asia and Latin America occurred prior to the introduction of the TRIPS regime.25 The UK Commission on Intellectual Property...
Ngày tải lên: 13/10/2016, 11:18
The International Political Economy Of Intellectual Property Rights New Horizons in Intellectual Property Series
... regarded as the ʻmental findingʼ of something existing only in oneʼs mind.11 Discovery, on the other hand, is the act of finding something unknown but which nonetheless exists Associating these concepts ... to the extent to which the international IP agenda is influenced by the interests of key industries in developed countries, most notably the US and the EC As explained in Chapter 6, the growing ... which the original inventor does not use his invention in the most efficient way If the original inventor could sell his invention to more efficient firms then the community would gain from the...
Ngày tải lên: 13/10/2016, 11:52
Tài liệu Understanding the Property Restrictions pptx
... let me know.) When you're programming, try not to lose the expression of the problem in a mass of low-level syntax; try to express the problem you are solving in the solution: class BankAccount ... design It fails to represent the functionality required when withdrawing money from and depositing money into an account (If you know of a bank that allows you to set the balance directly, please...
Ngày tải lên: 15/12/2013, 00:15
Tài liệu Protest Fee Schedule for Thunder Cars: Protestor must verify with the INEX inspector that the proper tools are available to check protested items ppt
... shipping charges and inspection fee and the engine must be sent to INEX within seven (7) days of the claim by the INEX representative If the engine is not at the INEX inspection site within seven ... INEX, Corp.) If the claimed engine is found legal, the owner of the engine being claimed receives the $5,670 and the engine -65- LEGENDS CARS E) CHOICE OF THE CLAIMED ENGINE: At the time of the ... aluminum behind the seat (don’t just use bolts in tubing) The use of wood as supports or mounting brackets is not permitted The presiding tech inspector shall have final approval of the mounting...
Ngày tải lên: 19/02/2014, 04:20
Office of the Deputy Inspector General for Auditing FY 2013 Audit Plan ppt
... Office of the Deputy Inspector General for Auditing is one of six components within the Office of the Inspector General that performs oversight of the Department The Office of the Deputy Inspector ... challenges include obtaining adequate competition in contracts, defining contract requirements, overseeing contract performance, obtaining fair and reasonable prices, and maintaining contract ... and contingency planning, information technology acquisitions, vulnerability management and emerging capabilities, such as cloud computing Joint Warfighting and Readiness Maintaining readiness...
Ngày tải lên: 15/03/2014, 23:20
belief about the self a defense of the property theory of content jul 2008
... properties Given the property theory, this means that, for every property, Lingens self-ascribes it if and only if Twin Lingens does So, either they both self-ascribe the property being in Main Library, ... properties of this sort (These are the properties that either are, or contain in some way, individual essences or haecceities.) The guiding insight behind the property theory is that some cognitive ... certain content According to internalism, such properties are intrinsic to the individuals who have them, and so, as the saying goes, belief is in the head What you believe is fully determined...
Ngày tải lên: 11/06/2014, 00:53
STATUS BAR PROPERTY INSPECTOR PANEL
... INSPECTOR sử dụng N ụ vừa xem , vừa chỉnh sửa (H5 m 5) • Nhấp Tam giác nầ để thu hẹ hay mở rộng Inspe T ầy ẹp ector (H6) III.PANE : Bên Phả Hình Panel EL ải Các Panel có k bị , chọn Menu Window ... Application – Tag Ins mặc ện n spector – CS – File ( SS (H7) 2 Khô xuất hiệ Panel : Frames – History – Results – Code Insp ông ện s pector - Tim me Line Chỉ xuấ bạn mở ( Me Window > Nhấp panel ... H11 ) st Nút Pan Options xuất hiệ Menu dự vào Pane Tab m bạn đan làm nel ện ựa el mà ng việc.(H12) 5 Ví D : Sử dụn Panel CS : Dụ ng SS • Mở Panel CSS : Nhấp Thẻ CSS – Menu Window > CSS Styles...
Ngày tải lên: 06/11/2013, 07:15