dnp approach and clinical case narratives in adult care
Báo cáo khoa hoc:" Combined use of maxillomandibular swing approach and neurosurgical ultrasonic aspirator in the management of extensive clival chordoma: A case report" pptx
... 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...
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Báo cáo khoa học: Cold exposure and associated metabolic changes in adult tropical beetles exposed to fluctuating thermal regimes ppt
... hormone, dopamine (DA), octopamine (OA) and ecdysteroids [20,36] Tyr plays an important role in that process, as a precursor of several stress hormones in insects (including DA, OA and tyramine [15,20]) ... myo-inositol in the overwintering ladybird beetle Ceratomegilla undecimnotata Cryo-Letters 17, 267–272 39 Watanabe M (2002) Cold tolerance and myo-inositol accumulation in overwintering adults ... Secreted fluid pH and Na+ concentration increase and K+ concentration decreases in response to Gln These findings are interesting, as Gln levels were significantly lower in °CF20° beetles, and we previously...
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Báo cáo y học: " Partial anomalous pulmonary venous return and atrial septal defect in adult patients detected with 128-slice multidetector computed tomography." doc
... The left upper lobe vein drains into the brachiocephalic vein (a-b) The right upper lobe vein drains into the superior vena cava (c) Veins of both lower lobes drain normally into the left atrium ... Helsinki and HUS Radiology (Medical Imaging Center), Haartmaninkatu 4, Helsinki, 00029 HUS, Finland Department of Cardiology, Helsinki University Central Hospital, Page of Haartmaninkatu 4, Helsinki, ... group of adults with left-to-right shunts including PAPVR and/ or ASD evaluated with ECG-gated 128-slice MDCT Case presentations All patients were examined with TTE and/ or TEE as a part of clinical...
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báo cáo khoa học: "HLA-matched sibling transplantation with G-CSF mobilized PBSCs and BM decreases GVHD in adult patients with severe aplastic anemia" pdf
... and design; LHL, GLQ and WXB participated in the acquisition of data; WZY and ZWB participated in analysis and interpretation of data; YW and TJ drafted the manuscript; HYS, YHZ and LX revising ... important intellectual content; DKY and TBL performed the statistical analysis All authors have read and approved the final manuscript Competing interests The authors declare that they have no competing ... HLA-matched sibling transplantation with BM and CD34(+)-purified PBSCs in adult patients with high-risk severe aplastic anemia to overcome graft rejection without an increase in GVHD Bone Marrow...
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Tài liệu Cardiothoracic Surgical Nursing: Current Trends in Adult Care ppt
... expect and deserve the best care, and nursing actions should be evaluated and developed So nurses must incorporate nursing research into their practice, appraising research, implementing findings and ... also gaining popularity It is increasingly important that nursing interventions are derived from a research base and able to withstand strict scrutiny Purchasers of health care, patients and their ... science and art of nursing may be taught and preserved Utilising examples of clinical nursing and acting as role models may be an effective way to achieve this, and the pre-admission clinic provides...
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Recognizing and Preventing Infectious Disease in Child Care Settings ppt
... 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...
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Báo cáo y học: "Collaboration between general hospitals and community health services in the care of suicide attempters in Norway: a longitudinal study" ppt
... 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 ... 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 ... factors in maintaining a chain of care model More thorough studies addressing programme content, structural elements, theoretical underpinnings and the effects of different chain of care programmes...
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báo cáo khoa học: "Patient Care Teams in treatment of diabetes and chronic heart failure in primary care: an observational networks study" pptx
... 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 care in primary care settings, so the results cannot be generalized to other settings...
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Báo cáo y học: " Clinical review: Fever in intensive care unit patients" potx
... 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 and clinical ... 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 ... for evaluating new fever in critically ill adult patients Task Force of the American College of Critical Care Medicine of the Society of Critical Care Medicine in collaboration with the Infectious...
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Báo cáo khoa học: "Offset of pharmacodynamic effects and safety of remifentanil in intensive care unit patients with various degrees of renal impairment" ppt
... 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...
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Báo cáo y học: "Comparison of cooling methods to induce and maintain normoand hypothermia in intensive care unit patients: a prospective intervention study" ppsx
... 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 in case 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...
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Báo cáo y học: " Fat tissue and adiponectin: new players in critical care" docx
... 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:...
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Báo cáo y học: "Novel mutation in YMDD motif and direct neighbourhood in a child with chronic HBV-infection and clinical lamivudine and adefovir resistance - a scholarly case" docx
... isoleucine or valine in the YMDD motif results in a sterical hindrance, preventing lamivudine from appropriately configuring into the nucleotide binding site of the reverse transcriptase [12], and ... performed parts of the cloning and analyzed the sequencing data SZ established and performed PCRs and was involved in sequencing RLT was involved in cloning and sequencing OS supervised the study, ... both termini and in silico translated into their amino acid sequences (figure 3) The patient had virus variants containing a mutation resulting in a substitution of leucine to methionine at position...
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Báo cáo y học: " Novel autoantibodies and clinical phenotypes in adult and juvenile myositis" pptx
... to an increasing demand for the development of commercial assays in order to allow the screening of patients in the routine clinical setting The recent development and validation of a line blot ... identified these proteins as small ubiquitin-like modifier activating enzyme and (SAE) that are involved in the post-translational modification of numerous targets, including protein kinases and transcription ... provide insight into the pathogenesis of CADM and ILD and into the reported association between viral infections and myositis The clinical utility and identity of this autoantigen have since been...
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The role of language in adult education and poverty reduction in Botswan
... exist in the country, the adult language program in Botswana maintains the hegemony and the gap between the poor and the rich, the major and minority groups In order to redress poverty the adult ... Planning language, planning inequality: language policy in the community, London, Longman Rachal J R (1989), ‘The social context of adult and continuing education,’ in Merriam S B and Cunningham ... vital in fighting poverty The adult education program can thus harness the local languages and indigenous knowledge of the minority and poor people and use them to mobilize the poor and minorities...
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Status and changes of mangrove forest in Mekong Delta: Case study in Tra Vinh, Vietnam
... mangrove distribution in Tra Vinh indicate significant changes in mangrove forest coverage in Tra Vinh (Fig and Tables and 3) In 1965 rice paddy was the most use of land in Tra Vinh The mangrove forests ... tropical coastal fisheries Case study in the Philippines In: Proceedings of the International Workshop on Remote Sensing and Insular Environments in the Pacific: Integrated Approaches, ORSTOM/IFREMER, ... changes in Tra Vinh To identify mangrove changes in Tra Vinh, mangrove forests in 1995 and 2001 were assumed to have similar density Using GIS method, mangrove changes were indicated in Tables and and...
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Approach to Zero Emission Processes in Food Industry - Case Study for Soy-Sauce Production Process -
... Wheat,91 Rinsing Fig.2 Bulk materials flow analysis Roasting Soybean,34 Wheat,35 Water,127 Water,0 Rinsing Roasting Cooling Cooling Koji Salt water,349 Koji,73 Salt water,0 Mixing,795 Mixing,81 ... necessary in establishing the zero-emission system The detailed data of input and output in each unit process may clarify which technologies and operations should be improved and developed to find ... livestock, fertilizer after composting, and the source of heat by burning These reuse ways are, however, now facing to difficult problems and further increase of accepting amount is hard to expect...
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A case-study in IVF - paternalism and autonomy in a ‘high-risk’ pregnancy
... right deep vein thrombosis, affecting the femoral and external iliac veins, and anti-coagulation with heparin and warfarin was required Spontaneous rupture of the membranes, leading to premature ... twins were delivered vaginally and in good condition three hours later The twin girls were small for dates (at 1.48 and 1.19 kg) but were otherwise well, requiring only minimal resuscitation and ... no case reports of successful IVF in women with renal transplants, but specialists were becoming increasingly reluctant to advise women with transplants against trying for a baby, as medical care...
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Tài liệu XML, XSLT, Java, and JSP: A Case Study in Developing a Web Application- P1 doc
... exchanging information in their domain (music, chemistry, electronics, hill-walking, finance, surfing, petroleum geology, linguistics, cooking, knitting, stellar cartography, history, engineering, ... book’s printing; the rightmost single-digit number is the number of the book’s printing For example, the printing code 01-1 shows that the first printing of the book occurred in 2001 Composed in Bembo ... 103 6.1 Building the bonForum Web Chat 103 6.2 Displaying and Selecting Chat Subjects 138 6.3 Displaying Chat Messages 140 6.4 Finding the Chat Element 146 6.5 Displaying and Selecting Chats 148...
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