... cytokeratin, vimentin and S100) destroying the bone trabeculae (Fig 2) Tumour excision was via left maxillary swing, left mandibular swing and midline tongue split followed by reassembly and filling ... arteries and cranial nerves made this surgical approach difficult and very challenging However we succeeded in approaching the tumour via a maxillomandibular swing with a tongue split procedure This ... rarely possible due to intracranial extension There have been reports of using an endoscopic approach but in cases with extensive dural invasion, inferior clivus-centred tumours and large tumours...
... require multidisciplinary knowledge andapproach for a correct case planning and prognosis However, our intention in this case was to perform a conservative and minimally invasive therapy, given ... 337-71 Andreasen, F M & Andreasen, J O Luxation injuries of permanent teeth; General Findings In: Andreasen, J O.; Andreasen, F M & Andersson, L (editors) Textbook and Color Atlas of Traumatic Injuries ... healing during 1-2 years after the injury According to Andreasen et al., during the initial stages of pulp healing, hard dental and pulp tissues of traumatized permanent teeth can stimulate an inflammatory...
... 10 [3] K Hamlen, and Peng Liu and M Kantarcioglu, and B Thuraisingham, and Ting Yu, “IDENTITY MANAGEMENT FOR CLOUD COMPUTING:DEVELOPMENTS AND DIRECTIONS,” in CSIIRW '11 Proceedings of the Seventh ... approach with the data mining technique and the machine learning technique Figure decentralized IdM in cloud computing C Problem area As demonstrated in [5], current approaches to IdM are often ... taking the grouping algorithm And when all of the processes finish, IdM will be deployed The vertexes in graph represent services in cloud when executing the grouping algorithm first time And...
... each demand site and flow requirement Runoff and infiltration from catchments, assuming no irrigation inflow Inflows and outflows of water for every node and link in the system This includes ... water management decision makers in evaluating water policies and developing sustainable water resource management plans WEAP operates following the basic principles of water balance accounting and ... operations and scheduling, mid-term (weekly) operations and planning, and long-term (monthly) policy and planning Operating policies are created using a constraint editor or a rule-based editor depending...
... supplies and other attributes; and (5) health worker interviews to obtain information on demographics, training, supervision and other characteristics Given that IMCI training happened slowly and ... residing in control areas where usual supports were provided; and non-IMCI-trained residing in either study area Definitions The definition of clinical pneumonia (Figure 1) was based on Benin's ... incomplete assessment (which always led to a missed diagnosis), and two thirds could be attributed to health workers' misinterpreting clinical signs and symptoms or incorrectly processing clinical...
... personnel on the clinical team specifically trained in swallowing screening as well as professional expertise in therapy andmanagement [14] Optimal management of these three clinical issues, namely ... Thus, it can be seen that our intervention is both organisational, inter-professional (involving all team professionals), and patient-based (offering and refining clinical treatment protocols) ... performance in 10 activities of daily life The items are divided into groups that relate to self -care (feeding, grooming, bathing, dressing, bowel and bladder care, and toilet use) and a group...
... restrictive multidisciplinary transfusion guidelines and implementing them in daily clinical practice [11], using recombinant human erythropoietin [12] and developing artificial oxygen carriers [13] On ... managementin intensive care medicine is mandatory Such options include decreasing blood loss for diagnostic purposes using pediatric sampling tubes [2], establishing restrictive multidisciplinary transfusion ... you introduced it in your ICU? Establishing restrictive multidisciplinary transfusion guidelines may also appear trivial In the real world, however, it is not — and strictly implementing them in...
... “Operational Risk managementin Financial Institutions: Process Assessment in Concordance with Basel II”, International Conference SPiCE 2005 [5] Girish, G.V., Banking Business Unit – Challenges and Achievements, ... Challenges and Achievements, Infosys, (www.infy.com/investor_usgaap/ppt/am2001_girish_final.ppt) [6] Grigori, D., et al., (2004) “Business Process Intelligence”, Computers in Industry 53, 321-343, 2003Elsevier ... (2006) „Business process mining: An industrial application“, Information Systems, 2006 Elsevier B.V (www.sciencedirect.com), article in press [2] Chiang, D-A, Wang, Y-F, Lee, S-L, Lin, C-J, (2003)...
... Setting and Sensitivity Analysis 1) Intrinsic Dimension: Intrinsic dimension d is an important parameter of manifold learning Levian and Bickel 2005 and Verveer and Duin 1995 provide several approaches ... approaches of estimating the intrinsic dimension In Levian and Bickel 2005, the maximum likelihood estimator of the intrinsic dimension is established In Verveer and Duin 1995, the intrinsic dimension ... Information Administration web sites Demand and spot price are 9.474 × 10 MWh and $99.47/MWh Finally, we assume that the variances of demand and spot price of buyers are and 2; and 2; and 2 ;and and Table...
... hands together at least 10 seconds rubbing areas between fingers, around nail beds, fingernails, jewelry and back of hands (sing hand washing song) Rinse hands leaving water running while drying ... Recognizing & Preventing Infectious Diseases pg of 16 Sample Activity Hand Washing Activity Materials: Sink with soap and paper towels Cornstarch, glitter, cinnamon, and hand lotion, and check list Instructions: ... with parents about maintaining accurate immunization records C Module Overview Recognizing and Preventing Infectious Diseases in Child Care Settings: Time Objectives Training Techniques Equipment...
... (O), and Italy and Spain none TRAINING IN INTENSIVE CARE MEDICINE IN THE UK An increasing number of appointments in ICM are now available to trainees in general internal medicine at senior house ... subspecialty interest in this clinical arena T EVOLUTION OF INTENSIVE CARE MEDICINE AS A SPECIALTY In Europe intensive care medicine (ICM) has been one of the most recent clinical disciplines to emerge ... rehabilitation.9 TRAINING IN INTENSIVE CARE MEDICINE Improved training of medical and nursing staff and organisational changes have undoubtedly played their part in improving the outcome of critical...
... The results indicate that maintaining high-quality clinical services to suicide attempt patients seems dependent on clearly defined standards and routines described in written guidelines, a system ... that the guidelines are followed and training of staff with respect to clinicalmanagementandcare of patients These and other previous studies have been limited to the standards and services ... contribute to a chain of care structure in the CHS in the hospital's catchment area Maintaining a structured collaboration with aftercare providers and having a team or a coordinator in the hospital...
... is worth mentioning that the variation in our outcome ‘disease monitoring’ was mainly related to varying levels of creatinine testing, i.e., monitoring of kidney functioning Clinical research ... this in both diabetes patients and CHF patients In diabetes, testing for creatinine is important in identifying affected kidney functioning due to damaged blood vessels and nerves, resulting in ... healthcare system includes a well-developed primary care system with financial incentives to provide chronic carein primary care settings, so the results cannot be generalized to other settings...
... acetaminophen, but this effect was only found in neural COX2 enzymes; thus explaining why acetaminophen is a strong anti-pyretic but devoid of anti-inflammatory effects [26] Fever andclinical ... controlled studies evaluating the benefits of fever not exist Most of the studies in humans evaluating clinical outcomes, fever and infection have been case control series For example, in the pre-antibiotic ... synthesizes prostaglandin, especially prostaglandin E2, in response to endogenous pyrogens Prostaglandin E2 acts directly on the cells of the pre-optic nucleus to reduce the rate of firing of warm sensitive...
... dosing algorithm for maintaining adequate sedation and comfort The time elapsed between initiating the SDT and stopping the down-titration (i.e switching back on/increasing the remifentanil infusion ... had finally been discontinued, the patient was switched to standard therapy at the investigator’s discretion Sample acquisition, handling and processing Extensive blood sampling was included in ... adjusted in order to maintain an SAS score of 2–4 (as considered clinically appropriate) with no or mild pain (PI scale score ≤ 2) The remifentanil infusion was titrated and propofol administered in...
... different cooling methods in inducing and maintaining hypo- and normothermia in ICU patients Cooling using watercirculating blankets, gel-coated water circulating pads and intravascular cooling was ... water-circulating blankets, gel-coated water circulating pads and intravascular cooling are equally efficient in inducing hypothermia and normothermia For maintaining the target temperature, intravascular ... drugs were administered only incase of shivering and distress, and their prescription was left to the discretion of the attending medical staff not involved in this clinical trial In humans, core...
... hormone-producing and cytokine-producing machinery, adipose tissue cannot stand passively by in the face of severe threat to life, and is involved in numerous inflammatory responses including production ... Pratley RE, Tataranni PA: Hypoadiponectinemia in obesity and type diabetes: close association with insulin resistance and hyperinsulinemia J Clin Endocrinol Metab 2001, 86:1930-1935 13 Kern PA, ... explain the mechanisms beyond clinical observations Competing interests The author declares that they have no competing interests References Venkatesh B, Hickman I, Nisbett J, Cohen J, Prins J:...
... Services: They include three agents: SSA, TEA, and ASA The first agent, SSA, maintains a database of information about ABs This information is used for encrypting and decrypting sensitive data and metadata ... IdP providing that certificate to the RP, thus the user needs to trust the IdP Another drawback is that, in a case where a single IdP and multiple RPs are involved in a single working session, ... proposed approach for protecting PII in cloud computing Section presents a sample scenario for the use of our approach Section concludes the paper C Identity Managementin Cloud Computing In the...
... plays a leading role in the delivery of high-quality patient care by setting standards of medical practice and promoting clinical excellence We provide physicians in the United Kingdom and overseas ... agents and exenatide; 120 from evidence to recommendations 11 11.1 11.2 11.3 11.4 Glucose control: insulin therapy Oral agent combination therapy with insulin Insulin therapy Insulin detemir Insulin ... reading For each section the layout is similar and contains the following parts q Clinical introduction sets a succinct background and describes the current clinical context q Methodological introduction...