... [51] These data are consistent with observed incidents during transportof patients within the hospital (intrafacility transport) , where the incidence of adverse events during transport outside the ... related to the transportation of patients to high-volume specialty centres [27] Admittedly, the attributable risk of interfacility transportof critically ill patients is not well defined: the majority ... regionalization on the function and staffing of lower-volume centres Risks associated with patient transport Identification ofthe critically ill patient and secondary transportThe appropriate...
... referral) may depend on the nature ofthe condition, whether the referral is for reasons of diagnosis and/or treatment, the preference ofthe provider, and the relationship between the providers Medical ... came together to collapse their lists of themes into one set of themes as reached via consensus This process involved examining themes for commonality, classifying them for uniformity, and then reaching ... evidence of efficacy/effectiveness for a given condition such as musculoskeletal chest pain, that the path of referral for chest pain will depend on the nature ofthe condition and the urgency of the...
... whom the mass was located in the portion of body or tail ofthe pancreas For tumors of SPT located in the neck and body ofthe pancreas, resection ofthe midportion ofthe pancreas and the mass ... and the level of detections were all within normal limits The median diameter ofthe lesions was 8.0 cm (range 4-20) Nine patients had their tumors within the head, in the body and in the tail of ... 311 Fig The CT scan indicated the typical internal or capsular calcification in the SPT Once the diagnosis of SPT is made, surgery is the first choice of treatment, since other adjuvant therapies,...
... stress (67) Interruption ofthe overproduction of superoxide by the mitochondrial electron transport chain would normalize the pathways involved in the development ofthe oxidative stress (68) ... 11.5 minutes, which then switched to the opposite polarity for another 11.5 minutes The device was designed to switch the direction of current flow halfway through the cycle The resulting cycle ... endothelial dysfunction associated with these diseases (1-6) Further, oxidative stress plays a major role in the pathogenesis of both types of diabetes mellitus High levels of free radicals and the...
... out the unique advantages of each proposal that will be lost if it is not accepted (e.g., the party would not get the prompt payment of some ofthe money owed or would not have the benefit of ... they work only in the short run Their longterm effects are malignant — undermining trust and damaging the reputation ofthe practitioner who employs them Thus, the deceptive or coercive use of ... similarities are authentic, the windows of opportunity truly closing, the authority legitimate, the commitments freely made, the obligations genuine, and the social proof real, the resultant choices...
... in the resort city of Da Lat § Construction ofthe map for good managementof environmental quality in tourist areas including the city of Da Lat: § Distribution map ofthe tourist areas city of ... Assessing the current state of environmental quality of surface water in the resort city of Dalat in general are now seriously polluted If in the future there is no solution, the risk of tourist ... landscape, regulatory climate, the ecology ofthe central city of Da Lat On the other hand, this is water under the stream Cam Ly - Da Dang River watershed and the monitoring of national water quality...
... and role-based management, the following Cloud Computing Identity Management Maturity Model has been designed (Table-1) The top layer ofthe structure of Cloud Computing is the Software-as-a-Service ... Madans, 147) The assumption of scalability from the infrastructure through application to presentation layer ofthe Cloud Computing model is made in this definition ofthe concept The use of XML as ... mention as the core ofthe SaaS architecture yet as with many areas of Cloud Computing, definitions vary by who is giving them Unifying all of these definitions is the common thread of Cloud Computing...
... from point of support on the tractive unit in the case of semi-trailers, or the centre line ofthe front axle in the case of other trailers, to the centre line ofthe rear axle or the centre ... guise as the Institute of Logistics and Transport (ILT), he is currently Champion ofthe Institute’s Freight Transport Special Interest Group, a member ofthe Logistics Safety Forum and ofthe Institute’s ... developed by the Group Jon Harris, the ILT Director of Policy, very kindly contributed a number oftransport planning entries The new (2000) edition ofThe Handbook of Logistics and Distribution Management...
... Organization ofthe study The study includes three parts: - Part 1, INTRODUCTION, introduces the rationale for the research, the aims ofthe study, the scope, the methods and the organization ofthe study ... teaching in the context, specifying the shortcomings and then making suggestions to improve the teaching of pronunciation Aims ofthe study The aim ofthe study was to investigate how the teachers ... Structure of test A1 The structure ofthe test showed that there was no direct assessment for the students’ pronunciation There was an argument that the testing of listening included the area of pronunciation...
... spasticity The following chapters in the book outline the detail ofthe different approaches to the management, but this section attempts to provide an overview ofthe process (Fig 1.1) Aims of treatment ... bedclothes A detailed appraisal ofthe pattern of spasticity may enable the individual to relieve many ofthe functional problems Both the clinician and the individual should be aware of potential ... that the situation is usually more complex In the above example, relief ofthe spasticity in the biceps may not lead to Restriction ofthe range of movement is not always simply due to increase of...
... injection, the treatment effect is often enhanced by the additional infiltration ofthe proximal third ofthe muscle The superficial placement ofthe injection may result in the denervation ofthe gracilis ... The terminal branches innervate the toe flexors and the small muscles ofthe foot The medial popliteal nerve may be blocked at the apex ofthe popliteal fossa or to cm lower, at the level ofthe ... position, the inferior pole ofthe kidney and the psoas muscle are identified from Chemical neurolysis in themanagementof muscle spasticity the back with the ultrasound probe at the level of L1– L4 The...
... a lot of data and information For the live ofthe company, they're critical If in the network, the security is bad, the information can be divulged and the system's properties Question : The persons ... attacks The security architecture An example Introduction for the security Networks and exchanges of data Computer security Therisks Networks and exchanges of data For the exchange ofthe ... changed the technology The Intranets, the private networks inside the companies appear all over the world and grow The benefits are important : The paper before and now the electronic...
... investment safe • Costly to owners of a bank because the higher the bank capital, the lower the return on equity • Choice depends on the state ofthe economy and levels of confidence • Bank capital ... Capital $1M • The cost of selling securities is the brokerage and other transaction costs $90M $10M Liquidity Management: Bank of Canada Advances Borrow $9 million from the Bank of Canada Assets ... Adequacy Management • Bank capital helps prevent bank failure • The amount of capital affects return for the owners (equity holders) ofthe bank • Regulatory requirement Capital Adequacy Management: ...
... controversy, the evidence based evaluation by the authors ofthe BSG guidelines for adults with IBD has been used together with the ECCO consensus document [4] Guidelines for theManagementof Inflammatory ... differentiation between CD and UC [1] 1.1 Development of guidelines [2-4] These guidelines are the work ofthe IBD working group ofthe British Society of Paediatric Gastroenterology Hepatology and Nutrition ... practice for the investigation and treatment of IBD in children which will promote consistency ofthemanagementof such conditions Individual cases must be managed on the basis of all clinical...
... measures which protect the survival ofthe mother can cause the death ofthe fetus On the other hand, therapies to protect the child may lead to a suboptimal outcome for the mother Because prospective ... use of OACs is the most effective regimen to prevent valve thrombosis, and therefore is the safest regimen for her, and risks for the mother also jeopardize the baby On the other hand the risk of ... College of Cardiology (AHA/ACC),2 the ESC in 2003,3 the Working Group Valvular Heart Disease ofthe ESC,4 the guidelines ofthe German Society of Cardiology (German Society of Cardiology),5,6 and the...
... the MOH and other government officers within their supervision area The total number of staff, therefore, varies with the coverage ofthe project, but the ideal ratio of staff to volunteers is fairly ... shopkeepers Together, their practices often surpass the formal health system in terms of patient volume because they may be the most accessible sources of care at the community level These workers ... comprised of all the social, economic and environmental factors that facilitate or hinder the full health of children The adoption of key family practices does not assure the health of children...
... interval is such that the probability (Bayesian) ofthe true value being outside the interval is percent The width ofthe confidence interval indicates the degree of uncertainty about the estimated probability, ... histologic layers: 1) the urothelium; 2) the suburothelial layer of loose connective tissue called the lamina propria; and 3) the detrusor muscle (muscularis propria) The urothelium in the normal bladder ... timing of instillations or the influence of long-term maintenance therapy Randomized studies supporting the use of maintenance BCG therapy have been conducted, but the panel excluded them because their...
... Rifampicin The respective proportion ofthe sub-populations varies according to the chemotherapy applied in the community during the past years It varies also with the number of courses of chemotherapy ... acquired during the course of duties carrying a risk of contracting these infections Compensation under the Act is payable whether or not there was negligence on the part ofthe employer The right ... free of charge 5.5 SUPERVISION OF THERAPY Directly observed therapy is considered the optimal form of drug administration for the majority of patients, especially during the intensive phase of...