... potential This is in line with Malhotra’s31 argument that “most ofthe technological innovations are far from reaching the forecast productivity target, as people are not taking advantage ofallthe ... § increased transparency inthe implementation of decisions and their accessibility to the public; § enabling transformation ofthe internal data sources into information available forthe citizens; ... effective in promoting democracy e-Parliament enables automation of parliamentary information and the tracking of decisions and documents, for example the stages ofthe development of legislation, and...
... key A: The car has broken down again B: That car is useless! It Is always breaking down A: Look! You've made the same mistake again B: Oh no, not again! I Am always making the same mistake A: ... July The weather is awful _It's raining_ again The weather is awful _It's raining_ all day I like your house How long _are you living_ there? Graham _is working_ ina shop forthe last few months ... You say: I'm afraid - (go out) You are eating ina restaurant The waiter thinks you have finished and starts to take your plate away You say: Wait a minute! - (not/finish) You are going to a...
... in managed forests, snags were also seen as a threat to public safety [37] Starting a decade ago, the amount of dead wood, particularly SDT, has attracted attention of forest managers as a way ... described in Table II Both in managed and unmanaged forests, the early aggradation phase corresponded to a intensively self- thinning aggradation phase, the aggradation phase itself, corresponded to a ... the stems Other broadleaves represented 20% ofthe SDT stems, especially inthe early aggradation and the aggradation phases ofthe unmanaged forest Silver fir was the dominant species of snags...
... a statim dose of gram tranexamic acid and anaestethseia was induced with a combination of propofol (120mg), fentanyl (100mcg) and vecuronium (8mg) Anaesthesia was maintained using a remifentanil ... surgery in JW have used aprotinin, a bovine derived inhibitor of trypsin and plasmin However, this was withdrawn in May 2008 due an increased risk of death in cardiac surgical patients[13] Therefore ... Cochrane Database Syst Rev, 2001(1): p CD001886 FDA Drug Information Information for Healthcare Professionals: Aprotinin (marketed as Trasylol) 2007; Available from: http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformatio...
... stress-activated protein kinases, also called cJun NH2-terminal kinases (JNKs); and the p38 MAPKs [13] The JNK pathway is of interest because of its capacity to phosphorylate the amino acids serine-63 ... as the percentage [3H]-7α-OH-DHEA ofthe total amount of [3H]-label measured Results are expressed as the mean ± standard error ofthe mean of triplicate samples The data are representative of ... studies, carried out most ofthe assays and wrote the manuscript AK (Allard Kaptein) helped in conceiving the study and helped to draft the manuscript AK (Annemieke Kavelaars) and CH were involved in...
... practices in everyday life These include the formal and informal, visible and invisible work that is involved inthe engagement, sense-making, and appraisal of illnessrelated practices; they are ... implemented and evaluated in National Health Services (NHS) contexts via a dedicated programme of research [18,19] The main emphasis to date ofthe WISE approach has been on changes within the healthcare ... University of Manchester and is part ofthe National Institute forHealth Research The authors are members ofthe Patient Theme of CLAHRC for Greater Manchester Author details Health Sciences Research...
... exudation that can influence skin graft success Local anesthesia was induced with 1% lidocaine A horizontal incision was made to mm above and parallel to the palpebral margin The two sides ofthe incision ... functionally and cosmetically [6] We collected these eight cases into one case series because the surgical managementofthe eyelid injuries was the same, although the systemic managements of these ... thermal eye burns Acta Ophthalmol Scand 2002, 80:4-10 Burd A, Ahmed K: The acute managementof acid assault burns: a pragmatic approach Indian J Plast Surg 2010, 43:29-33 Apostolos D, Mandrekas AD,...
... daily intractable headaches since age 18 years She also had chronic bilateral occipital neuralgia on the basis ofthe diagnostic criteria outlined inthe second edition ofThe International Classification ... region and radiating upward to the top ofthe head When the occipital neuralgia occurred, her occipital area became very tender to palpation Complete alleviation of her pain had been achieved fora ... her family medical history, her mother had died at 68 years of age as a result of heart disease, and her father was alive at 72 years of age with Page ofa history of cancer An older sister has...
... MA, Butzlaff M: [Multimodal training of general practitioners–evaluation and knowledge increase within the framework ofthe dementia management initiative in general medicine (IDA)] Z Arztl Fortbild ... gained for attendance ofthe QC meetings and in case of blended learning forthe online modules Intervention All GPs in one QC were randomised as a cluster to study arm A (blended learning–online ... management, and therapy of dementia either by blended learning or by face-to-face teaching In both teaching forms, a structured case discussion was one ofthe teaching elements used during face-to-face...
... standardisation of an index forthe assessment of restorative care Thesis University of Amsterdam: The Netherlands; 1997 National Institute ofHealth 2001: Diagnosis and managementof dental caries throughout ... design All authors have read and approved the final manuscript Source of funding This study is funded by a research grant from TheHealth Care Insurance Board (CVZ) in Amsterdam The Netherlands ... assigning individualised recall intervals for regular attendees instead of systematic decision-making of fixed intervals InThe Netherlands, about 80% ofthe population regularly visits the dentist for...
... without injury ofthe structures within the dural space i.e brainstem, basilar Figure Sagittal and axial views of brain MRI scan Sagittal and axial views of brain MRI scan Image shows tumour inthe ... themanagement SJWD: Drafted the clinical presentation and acquired references ZI: Help in drafting the overall manuscript and performed final review All authors have read and approved the final ... utilizing rectus abdominus muscle First a left maxillary swing approach via a WeberFergusson-Longmire incision was performed The maxilla was swung laterally based on a cheek flap As the access to the...
... This force will act against the tethering effect ofthe medially coursing internal iliac and inferior epigastric vessels [7] The net forces may favour intimal lesions and plaque rupture, and may ... very nature, give rise to arterial thrombosis, there not appear to be any real alternatives inthemanagementof fractures involving the anterior column ofthe acetabulum The ilio-inguinal route ... performed the coordination and helped to draft the manuscript All authors read and approved the final manuscript Consent A written informed patient consent was obtained for publication of the...
... Physiology and local anesthesia action in Neural Blockade in Clinical Anaesthesia and managementof pain In Neural Blockade in Clinical Anesthesia and Managementof Pain 3rd edition Edited by: Cousins ... irritation such as pain, oedema and erythema warrants immediate discontinuation ofthe infusion and removal ofthe intravenous catheter [1] The diagnosis of PGS is based on the characteristic clinical ... physician under whom the patient was admitted, supervised the hand therapy and further managementofthe patient and reviewed the manuscript All authors read and approved the final manuscript Author...
... (warm touch) General anaesthesia with endotracheal intubation was performed as total intravenous anaesthesia using Propofol and Fentanyl Cisatracurium was used as a muscle relaxant Surgery was ... by the hospital’s Pediatric Intermediate Care Unit Pain was managed using Paracetamol and Piritramid intravenously as needed After the surgery, the boy complained ofa relapsing upper abdominal ... consensus that imbalances in homoeostasis can cause critical exacerbation of SCD For that reason, it is essential to maintain normovolemia, normothermia and normoxemia during anaesthesia and the perioperative...
... in order to attempt ablation ofthe fluid-producing epithelial cyst lining To avoid bile leakage and haemorrhage, fibrin glue was spread over the raw surface ofthe liver Cysts inthe pancreas ... cysts with remaining large areas of non-cystic parenchyma [3] Therefore, the combination of hepatic resection with fenestration appeared to be a valuable option, allowing forthe removal of multiple ... access for vascular clamping and identification of major vascular Figure Intra-operative view of multiple small cysts all over the left hepatic lobe and one ofthe three large dominant cysts located...
... MA, Butzlaff M: [Multimodal training of general practitioners–evaluation and knowledge increase within the framework ofthe dementia management initiative in general medicine (IDA)] Z Arztl Fortbild ... gained for attendance ofthe QC meetings and in case of blended learning forthe online modules Intervention All GPs in one QC were randomised as a cluster to study arm A (blended learning–online ... management, and therapy of dementia either by blended learning or by face-to-face teaching In both teaching forms, a structured case discussion was one ofthe teaching elements used during face-to-face...
... control ofthe subclavian artery above the clavicle (Fig 3A) Simultaneous exposure ofthe brachial artery inthe antecubital fossa was performed and a size Fogarty embolectomy catheter passed distally ... limb ischaemia [4,5,9] Pseudoaneurysm formation ofthe axillary artery is rare following blunt and penetrating trauma to the shoulder, often presenting late as a pulsatile mass rather than acute ... a Javid™ shunt, which allowed safe internal fixation ofthe fracture before bypass grafting The insertion ofthe Javid™ shunt served to confirm the viability ofthe limb and adequacy of distal...
... Critical Care Vol 10 No Garnacho-Montero and Amaya-Villar Van de Woude et al [1] propose a clinical algorithm based on the criteria defined by an international conference on the diagnosis of aspergillosis ... Efficacy and safety of caspofungin for treatment of invasive aspergillosis in patients refractory to or intolerant of conventional antifungal therapy Clin Infect Dis 2004, 39: 1563-1571 Ascioglu ... initiated early, given the high mortality of this infection but the availability of new and active agents Obviously, this and other strategies need to be validated in large cohorts of critically...
... Development of guidelines/recommendations: All authors Drafting paper: AM All authors read and approved the final manuscript Competing interests The authors declare that they have no competing interests ... studies investigating the effects of brachytherapy and nine trials assessed the effectiveness ofa number of drugs (Table 1) All brachytherapy trials were of very low quality (Jadad score of ‘0’) and ... research forums has also highlighted themanagementof cough as an unmet need in lung cancer For these reasons, the development of clinical guidelines forthemanagementof cough in lung cancer...