... training in Emergency Medicineinthe US requires a minimum of 36 months of training in an accredited residency Training must include the performance of 35 adult trauma resuscitations but there ... must be present within minutes ofthe arrival ofthe trauma patient The degree to which surgeons and EMP's interact inthe care of trauma patients and the specific clinical roles of each provider ... Thus the overall impact of caring for trauma patients on work flow considerations in US ED's may vary considerably depending on theroleofthe EMP relative to the trauma team Current models of...
... secure the services of eminent members of appropriate professions inthe examination of policy matters pertaining to the health ofthe public The Institute acts under the responsibility given to the ... purposes of furthering knowledge and advising the federal government Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of ... recognizes the superior achievements of engineers Dr Charles M Vest is president ofthe National Academy of Engineering The Institute ofMedicine was established in 1970 by the National Academy of Sciences...
... secure the services of eminent members of appropriate professions inthe examination of policy matters pertaining to the health ofthe public The Institute acts under the responsibility given to the ... purposes of furthering knowledge and advising the federal government Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of ... recognizes the superior achievements of engineers Dr Charles M Vest is president ofthe National Academy of Engineering The Institute ofMedicine was established in 1970 by the National Academy of Sciences...
... certainty from the findings of clinical examination and imaging procedures, particularly the extent ofthe fatty degeneration and the presence or absence ofthe many possible accompanying liver ... certainty; therefore, they are unsuitable for 18 LiverBiopsyin Modern Medicine staging Elastography is a method for determining the stiffness ofthe liver, which correlates with extent of fibrosis, ... estimation ofthe extent of fibrosis (staging) Harvesting and processing ofthebiopsy cylinder should observe the standard recommendations for liverbiopsyThe cylinder should contain representative...
... mechanisms Caroline Wright (PHG Foundation, Cambridge, UK) said that “despite the increasingly crucial roleof genetic tests in clinical medicine, and their growing availability directly to the public, ... adoption of genomic medicine These challenges are: the current lack of skilled human resources; ensuring sustainable funding and political will; sourcing alternative funding; improving collaboration ... infrastructure in both the public and private sector; developing and improving the existing regulatory infrastructure; developing a health care infrastructure that can address access and delivery...
... the extent ofthe disease Diagnostic laparoscopy demonstrated a cm exofitic dark brown splenunculus attached to the diaphragm and indenting the surface of segment oftheliver Multiple other typical ... and interventional tool even in laparoscopically challenging scenarios involving the pancreas [18,19] To the best of our knowledge, this is the first case where laparoscopy has been the main tool ... tool in difining the correct diagnosis in a case of splenosis, suspected to be an HCC on radiological investingations and strong clinical bases 10 We therefore propose that laparoscopic investigation...
... 343:1405-1410 17 Thomas PR, Lindblad AS: Adjuvant postoperative radiotherapy and chemotherapy in rectal carcinoma: a review ofthe Gastrointestinal Tumor Study Group experience Radiotherapy and Oncology ... system and the incidence of isolated liver metastasis in rectal cancer is seven times higher than isolated liver metastasis in other cancers [2] The larger volume of blood supply to theliverin comparison ... bypass surgery inthe past, an increasing number of these patients undergo resection ofthe primary rectal cancer as well as local treatment for liver metastasis The survival rate of these patients...
... evidenced by the high levels of HBV DNA recorded in such Table 3: The correlation of mutations in Immunodominant epitopes and C-terminal domain of HBV core protein with clinical finding of 29 chronic ... HBV has To explain the effect of mutations of core protein inthe biological process ofthe cell, we predicted the major functions ofthe core protein of hepatitis B virus Protein prediction function ... persist in up to 15% of cases, leading to the development of cirrhosis [22] Mutations inthe functional C-terminal domain ofthe core protein might impact on other biochemical properties of this...
... relating the readings to the wet weight ofthe liver, determined at the end of each experiment The "buffering capacity" ofthe HA was expressed in % as: [Increase in HA flow / Decrease in PV ... Diagram 1of silastic H-shaped prosthesis inserted into the portal vein and the inferior vena cava ofthein vivo rabbit model Figure Diagram of silastic H-shaped prosthesis inserted into the portal ... occlusion ofthe portal vein for the insertion ofthe mesocaval shunt and data from these preparations have therefore not been included Group The effect of intra-portal ATP Livers from another group of...
... clear interpretation ofthe arrangement ofthe rat liver, yet this is controversial because there are conflicting definitions ofthe structural/functional liver unit These include theliver lobule ... Page of extending between portal triads The sparsity of these septal branches inthe rat makes the concept ofthe acinus unlikely in this species Although the vasculature necessary to define the ... studies support these findings [18,19] Whilst the acinus is a widely used description inliver histology, the central axis ofthe blood supply is the terminal afferent portal venules inthe vascular...
... Analysis The committee determined that a trough in business activity occurred inthe U.S economy in June 2009 The trough marks the end ofthe recession that began in December 2007 and the beginning of ... reflected inthe patterns of change in net worth across demographic groups to varying degrees, depending on the rate of homeownership and the proportion of assets invested in housing The decline in ... Perspective In our view, the prominent roleof balance sheets is the missing link in answering these questions and accounting for the abrupt turns and reversals as economic thinking and policy...
... present in a gene-ofinterest Progeny identified to carry the desired mutations are then propagated to maintain the line to study the function ofthe gene -of- interest Furthermore, fluorescent proteins ... separated using a divider in a tank the night before Spawning was induced by the removal ofthe divider and allowing the fish to mate on the following morning Following that, the breeding pair was ... transgenic line Establishing theroleof autophagy inliver cancer 4.1 Preliminary data implicating autophagy inhibition inliver cancer 4.2 Establishing double transgenic lines with liver- specific...
... profitability is declining The internalization of information within the same institution may thus enhance intra-circuit and inter-circuit stability by reducing the incentive to overfinancing The ... Creating a stronger investor base amounts to strengthening the circuit by completing the financial market structure ofthe economy, thus eliminating discontinuities inthe transmission of information ... placing money with investment financial institutions inthe capital market, and hold the remaining share in noninterest bearing, short-term bank deposits (eq 7) The share of savings going to the...
... advantageous in serving transport inthe Mekong Delta linking to Cambodia The total length ofthe inland waterway (IW) system is about 40,998 km, mainly inthe Red River Delta and the Mekong Delta Inthe ... concentrate on co-operating, co-associating and helping members in developing professional skills, improving business efficiency and protecting the legal interest ofthe members inthe import-export ... forwarding activities ofthe S.R of Vietnam, and on this basis to integrate with such professional colleagues on the world The Association has theroleof coordinating the activities ofthe members...
... English at the expense ofthe other languages that exist inthe country, the adult language program in Botswana maintains the hegemony and the gap between the poor and the rich, the major and minority ... illiterates should make their first steps in literacy through their mother tongue, passing on to a second language if they desire and are able The practice in Botswana is that illiterates inthe ... persisted and the status of vulnerable groups remains precarious (Fong 1995) The major problem is that the recipients ofthe extension services remain uninvolved and passive in a one way flow of information...
... categories of business-to-business advertising are industrial and professional advertising b.1 Industrial advertising Advertising targeted at individuals who buy or influence the purchase of industrial ... development ofthe industry also fosters the other industries in society, which contributes to the development ofthe economy as a whole In Vietnam, spending for advertising is rather lower than that in ... advertising industry Since the opening policy and law of foreign investment, advertising industry has seen remarkable changes The growth rate of advertising service is the highest in economy, in which...
... raising the profile of women in management However, during this period of research, there was an emerging recognition ofthe importance of a concern for people inthe behavioural theories as being ... typical of male behaviours Of interest is the inclusion of ‘‘control’’ as a significant feature ofthe transactional style, common in definition of leadership inthe 1990s In contrast, women generally ... enabling of others to help achieve the goals ofthe organisation Furthermore, the ability to control others is given no prominence in this recent definition of leadership A brief review of early...
... relies on the securities booking system ofthe CGSDTC and the bond trading system ofthe inter-bank lending centre The trading system ofthe national inter-bank lending centre provides pricing information, ... source of financing for enterprises, if their own capital is excluded In summary, the deepening process ofthe financial markets has rendered the dominance ofthe banking sector inthe financial ... efforts inthe application of information technology, in exploring on-line banking business as well as in promoting non-bank financial institutions Efforts should be made in upgrading financial operations...