what treatment should be initiated in the ed while awaiting confirmatory studies
Báo cáo y học: " The International Sepsis Forum’s frontiers in sepsis: high cardiac output should be maintained in severe sepsis" ppt
Ngày tải lên :
12/08/2014, 19:22
... and improved target organ perfusion, then these interventions may be continued Each patient must be assessed according to their clinical (urine output, skin perfusion, mental status), hemodynamic ... showed improved outcome in surgical patients, optimization was commenced before the surgical procedure Rivers and coworkers [14] recently showed the beneficial effects of early goal-directed therapy, ... output; in fact, it may be interesting to combine SvO2 and cardiac output (Fig 2) Indeed, this is one of the problems with the less invasive methods of measuring cardiac output; we are all agreed...
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Tài liệu www.it-ebooks.info.www.it-ebooks.info.www.it-ebooks.infoOffice 2010THE MISSING MANUALThe book that should have been in the box®ˇDownload from Wow! eBook .www.it-ebooks.infoDownload from Wow! eBook .www.i docx
Ngày tải lên :
17/02/2014, 15:20
... Creating Lists Linking Text to a Web Page Checking Your Spelling Turning Text into WordArt Embedding Other Files in Slides Embedding an Existing File in a ... www.it-ebooks.info Keeping Track of Who’s Attending Canceling a Meeting Editing Events Turning an Appointment into a Meeting Making an Event Recur Getting Reminders ... Updating Links Creating a New Embedded File Adding Tables to Slides Inserting a Table Adding Information to a Table Editing a Table Adding...
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Báo cáo khoa học: Cell death-inducing DFF45-like effector, a lipid droplet-associated protein, might be involved in the differentiation of human adipocytes pdf
Ngày tải lên :
23/03/2014, 03:20
... also likely to be involved in a feedback-sensing pathway The results obtained using the Fsp27-knockout mice also revealed that the expression of PPARc was significantly increased [13], as was ... analyses of the relative levels of the indicated proteins after western blotting (as in D) were carried out Similar experiments were performed five times and the intensity of the individual bands in each ... adipophilin [22] We found that the mRNA level of adipophilin remained unchanged, while that of perilipin was decreased in CIDEC-silenced adipocytes It can be concluded that knockdown of CIDEC in preadipocytes...
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![[TO BE PUBLISHED IN THE GAZETTE OF INDIA, EXTRAORDINARY PART-II, SECTION-3, SUB-SECTION (i)] - MINISTRY OF CORPORATE AFFAIRS potx](https://media.store123doc.com/images/document/14/rc/th/medium_X6qKb5VYeN.jpg)
[TO BE PUBLISHED IN THE GAZETTE OF INDIA, EXTRAORDINARY PART-II, SECTION-3, SUB-SECTION (i)] - MINISTRY OF CORPORATE AFFAIRS potx
Ngày tải lên :
29/03/2014, 14:20
... making, altering, repairing, fabricating, generating, composing, ornamenting, furnishing, finishing, packing, re-packing, oiling, washing, cleaning, breaking-up, demolishing, or otherwise treating ... knowledge through any mode or medium; or (xii) obtaining, compiling, recording, maintaining, transmitting, holding or using the information or data or knowledge; or (xiii) executing instructions in ... issued by the Institute; to the extent these are found to be relevant and applicable The variations, if any, shall be clearly indicated and explained (4) The cost records shall be maintained in...
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the earth after us what legacy will humans leave in the rocks jan 2009
Ngày tải lên :
11/06/2014, 09:43
... imprinted upon strata what then? Well, they, and the strata, need putting into order The principles of this ordering are not difficult and can be repeated on any rocky planet The fruits of the ... and looking almost like a living creature as it travels The whole thing is powered by gravity, just like the water in a flowing river, the sediment being kept suspended in the liquid by the turbulent ... coarse sediment so far? There was evidence that currents had been involved: the sandstones commonly include trains of preserved sand ripples, as might be found migrating on the bed of a flowing river,...
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báo cáo sinh học:" What can health care professionals in the United Kingdom learn from Malawi?" pdf
Ngày tải lên :
18/06/2014, 17:20
... by the appearance of poor-quality counterfeit products [7] The emergence of the Internet as the dominant source of educational support in both the developed and the developing world has fostered ... Fundamentally, taking steps to further involve patients in the management of their own health care records will increase the perception of transparency in the clinician/patient relationship and maintain trust ... that included singing and dancing with their doctor or nurse While not advocating that the NHS provide dancing sessions en masse, the message is clear Engaging with local communities requires the...
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General Standards – Should be covered in Appendix B Staffing – Experienced financial statement auditors pptx
Ngày tải lên :
20/06/2014, 06:20
... www.adultpdf.com Policies and Procedures Noncompliance with or inadequacies would ordinarily be reported as findings in the Letter of Comment and not impact the peer review rating This is trial version ... Fieldwork, Reporting ED – Drafts, discussions, agreement This is trial version www.adultpdf.com General General Standards – Should be covered in Appendix B Staffing – Experienced financial statement ... evaluated in Appendix A If reviewer concludes that the financial audit met professional standards, but… inadequate policies and procedures noncompliance with policies and procedures… what to...
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Báo cáo y học: "More intrinsic parameters should be used in assessing degeneration of articular cartilage with quantitative ultrasound" doc
Ngày tải lên :
09/08/2014, 01:22
... and investigative approaches would become more feasible and meaningful The making of assumptions, which are used as the basis for obtaining the intrinsic physical properties, is inevitable Knowing ... effect of swelling on the speed of sound, they neglected to address the fact that thickness could also be affected during swelling If these intrinsic physical properties are reported, comparison of ... making the result difficult to interpret because the speed of sound and the thickness both can contribute to the change of the interval Although the authors did discuss the effect of swelling...
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Báo cáo y học: "Inhibition of antithrombin by hyaluronic acid may be involved in the pathogenesis of rheumatoid arthritis" potx
Ngày tải lên :
09/08/2014, 06:22
... concentration of hyaluronan was not increased in the rheumatoid synovium Their histochemical staining also showed that hyaluronan was concentrated in the lining layer of noninflamed synovial membrane but ... designed and executed the study and prepared the manuscript RY and KY supervised the project, evaluated data, and assisted in preparing the manuscript Acknowledgements We thank every member of the ... to the heparin-binding region of antithrombin However, such binding did not stimulate the activity of antithrombin as did heparin and heparan; in fact, it blocked the ability of antithrombin...
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Báo cáo y học: "More intrinsic parameters should be used in assessing degeneration of articular cartilage with quantitative ultrasound" ppt
Ngày tải lên :
09/08/2014, 13:22
... and investigative approaches would become more feasible and meaningful The making of assumptions, which are used as the basis for obtaining the intrinsic physical properties, is inevitable Knowing ... effect of swelling on the speed of sound, they neglected to address the fact that thickness could also be affected during swelling If these intrinsic physical properties are reported, comparison of ... making the result difficult to interpret because the speed of sound and the thickness both can contribute to the change of the interval Although the authors did discuss the effect of swelling...
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Treatment of Osteoarthritic Change in the Hip - part 1 pps
Ngày tải lên :
11/08/2014, 17:20
... covers the main themes of the congress The starting point for the treatment of hip disease depends on how we can preserve the natural hip joint and on steps leading to regeneration of the diseased, ... resulting in a yearly decrease in the number of cases receiving joint-preserving treatment This move away from traditional methods denies the surgeon the experience and knowledge of the benefits ... Of the surgically treated cases, pinning (cannulated screw fixation) was performed on 11 hips, osteotomy on hips, and in situ pinning on hips According to the classification of severity, pinning...
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Treatment of Osteoarthritic Change in the Hip - part 2 ppt
Ngày tải lên :
11/08/2014, 17:20
... surgical intervention might be required to prevent further joint destruction The in situ pinning method is expected to prevent further slipping and restore the spherical shape of the femoral head in ... of the hip joint Fig Development of posterior tilting angle (PTA) joint pain developed in patient in whom there was narrowing of the joint space There was a difference in leg length, ranging ... joint congruity by aiming for anatomical reduction, whereupon the slippage region becomes stabilized The in situ pinning method has been described to be safest and noticeably effective even in...
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Treatment of Osteoarthritic Change in the Hip - part 3 potx
Ngày tải lên :
11/08/2014, 17:20
... approached 55° to 60°, and they advocated that if two or three pins could be inserted into the femoral epiphysis from the lateral aspect of the femoral shaft, then in situ pinning would be indicated ... posterior tilting angle Results The chief complaint was hip joint pain in 11 patients, pain from the hip joint to the knee in 3, pain from the hip joint to the thigh in 1, femoral pain in 1, and ... It is necessary to evaluate what factors would in uence the remodeling after in situ pinning In situ pinning is considered to be a less-invasive procedure On the other hand, careful postoperative...
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Treatment of Osteoarthritic Change in the Hip - part 4 docx
Ngày tải lên :
11/08/2014, 17:20
... hips The shape of the acetabular roof was improved and reformed by years after the procedure The joint space was increased when comparing it to before the surgery and was maintained at final follow-up ... According to the preoperative planning, ARO with 20° varus position was expected to result in more than 34% of the ratio of the intact articular in both the joints The osteotomy was carried out in ... placed below the loaded portion of the acetabulum Remodeling of the collapsed lesion and the degenerative acetabular subchondral roof might be one of the important factors for preserving the joints...
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Treatment of Osteoarthritic Change in the Hip - part 7 ppsx
Ngày tải lên :
11/08/2014, 17:20
... budding of reparative tissues in this environment (see Fig 2) In the marginal non-weight-bearing area, bony and cartilaginous tissues are regenerated and proliferated in the posteromedial-inferior ... for the femur will then be brought into adduction position With adequate adduction, the lateral joint space is opened The head will be fixed before the osteotomy If the distal fragment is adapted ... harvested, through the blade channel, from the area where there was no joint cartilage before the index surgery [15,16] The arthrogram showed some radiolucent lines, above and below the contrast medium,...
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Treatment of Osteoarthritic Change in the Hip - part 8 pps
Ngày tải lên :
11/08/2014, 17:21
... on single mini-incision hip replacement recommends that “there may be benefits to this procedure but it should only be used in appropriately selected patients by clinicians with adequate training ... Hip replacement in Europe was mainly in uenced by the initial cemented hip design developments in England in the 1960s by Charnley [1], the beginning of cementless hip replacement in France by Judet ... designs referred to as “double cups” in which the joint bearing was replaced by two adjacent congruent surfaces sliding against each other The popularity of the concept led to the development...
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Treatment of Osteoarthritic Change in the Hip - part 9 pot
Ngày tải lên :
11/08/2014, 17:21
... reduction of the hip is performed with the limb in adduction, the hip slightly flexed, and the knee flexed by 90° This position should be maintained for 5–8 days postoperatively Bringing down the ... part of the elongated capsule led to the true acetabulum, which was exposed properly by a hooked retractor inserted beneath the inferior margin The acetabulum then was prepared to obtain a hemispherical ... has been recommended that limb lengthening be limited to cm or even cm We believe that limb lengthening greater than cm can be safe, provided that tension in the sciatic nerve is assessed intraoperatively...
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Treatment of Osteoarthritic Change in the Hip - part 10 ppt
Ngày tải lên :
11/08/2014, 17:21
... external fixator After the femur is pulled down to the level of the original acetabulum, the femoral prosthesis is implanted in the second stage and the joint is reduced To avoid intraoperative nerve ... anesthesia, monitoring of the spinal cord potential (SCP) is recommended At each step of the operative procedure, the shape and the height of the SCP waves are checked If there is no change in the ... when the volume of the surrounding bone stock remaining after reaming is judged to be insufficient, this technique is utilized Furthermore, if a conventional procedure can effectively be applied...
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Báo cáo y học: "Pro/con clinical debate: Hydroxyethylstarches should be avoided in septic patient" pptx
Ngày tải lên :
12/08/2014, 19:22
... experimental studies suggesting that HES could improve microcirculation [4] Clinical studies were again disappointing Boldt and colleagues found a better intramucosal pH in patients receiving HES in comparison ... system When these forces are in balance, homeostasis between the intravascular and extravascular fluid compartments is maintained The difference in hydrostatic pressure (Pcapillaries – Pinterstitium) ... should not be avoided in septic patients Ellen Burnham and Greg S Martin Fluid exchange across the capillary endothelium obeys Starling’s Law {V = Kf[(PC – PI ) – σ(πC – πI )]}, which describes...
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