approach to the patient with dyspnea ppt

... Trang 1Tiếp cận bệnh nhân bệnh van tim (Approach to the Patient with Valvular Heart Disease) PGS TS Phạm Nguyễn Vinh Đại học Y khoa Phạm Ngọc Thạch ... dãn ĐMC - Thời điểm lý tưởng phẫu thuật hoặc can thiệp để chữa van TL: Otto CM, Bonow RO Braunwald’s Heart Disease, 2018, 11thed, Elsevier, p1383-1388 Trang 3Bệnh sử lâm s- Yếu tố nguy cơ: di truyền, ... điện toán (CT) - Trắc nghiệm gắng sức +Thảm lăn +Siêu âm tim gắng sức, Dobutamine - Thông tim Trang 12Tần suất làm SA tim ở b/n bệnh van tim không TC/CN và chức năng thất trái bình thường TL: Otto

Ngày tải lên: 28/08/2020, 22:56

... readiness to hear the bad news The second goal is to provide intelligible information in accordance with the patient’s needs and desires The third goal is to support the patient by employing skills to ... case the patient becomes upset • Involve significant others Most patients want to have someone else with them but this should be the patient’s choice When there are many family members, ask the patient ... prac-tical, the protocol meets the requirements defined by published research on this topic The protocol (SPIKES) consists of six steps The goal is to enable the clinician to fulfill the four most

Ngày tải lên: 30/10/2022, 17:06

... satellites has the position number 3097 in the 47th block on the 2nd tape To α we attach the tag t and intersort the result with the other contents of the sorting file The entry in the internal ... in the genitive case If the SC is the subject, we examine whether the predicate has been found previously; if not, we add to the FP of the predicate the in- formation that it must agree with the ... corresponding to the y z ∆ of the occurrence t The correspondence flag c is set to 1 or 0 in GS, according to whether the search has been successful or not In the latter case, the pertinent

Ngày tải lên: 16/03/2014, 19:20

... bound to the enzyme, thereby increasing the effectiveness of 2-APB as an inhibitor of ATPase activity Toyoshima et al have identified the amino acids that contribute towards the formation of the ... 2-APB inhibits store-operated Ca2+ entry into hepatocytes by direct interaction with the store-operated Ca2+ influx channel, rather than by indirect effects on the InsP3 receptor [11] Missiaen ... was noted that there was no obvious pathway through which Ca2+can to pass, in order to gain access to the Ca2+-binding sites embedded within the transmembrane region of the protein Toyoshima et

Ngày tải lên: 31/03/2014, 23:20

... Trang 1Chapter 115 Approach to the Acutely Ill Infected Febrile Patient (Part 2) The Acutely Ill Patient: Treatment In the acutely ill patient, empirical antibiotic therapy is critical and ... addition to the rapid initiation of antibiotic therapy, several of these infections require urgent surgical attention Neurosurgical evaluation for subdural empyema or spinal epidural abscess, otolaryngologic ... ill patients with acute endocarditis are as important as antibiotic therapy For infections such as necrotizing fasciitis and clostridial myonecrosis, rapid surgical intervention supersedes other

Ngày tải lên: 07/07/2014, 04:20

... features with an eye on those features that are the most important to Upgrading to Oracle10g Course Objectives The students will learn the most important 10g new features and when to use them, ... understand how to leverage the automatic DBA features, and see how the Automated Workload Repository (AWR) places important tuning information at your fingertips Goals also include using the Automated ... Automated Session History (ASH) tables to quickly find performance bottlenecks, understand how to use the Automatic Database Diagnostic Monitor (ADDM) and learning how to implement the SQLTuning and

Ngày tải lên: 08/08/2014, 20:21

... reassessment • Allows the clinician to gather more information and determine: – If there truly is a nutritional problem – The name of the nutritional problem – The severity of the nutritional problem ... false positive Many patients WITH hypertension test positive Many Patients WITHOUT hypertension test positive Many patients WITH hypertension test positive Few Patients WITHOUT hypertension ... information about the test – The probability of screening negative if the disease is absent • As the specificity of a test increases, the screening test is more likely to correctly identify patients

Ngày tải lên: 15/10/2017, 20:42

... from the suprachiasmatic nucleus is sent to other areas of the brain and peripheral organs to synchronize the function of the peripheral oscillators located in these tissues In addition to the ... of the shift • Avoid bright light at the end of the shift and during the commute home • Melatonin in the morning and/or hypnotics prior to sleep time in the mid to late morning; oral melatonin ... and Restless Patient Fouad Reda In addition to a thorough history and physical, there are a variety of tools available for the clinician to evaluate a patient who comes in with complaints

Ngày tải lên: 20/01/2020, 17:40

... coworkers may be the fi rst to recognize the severity of the problem and may sometimes be better resources to the clinician than the patient For example, a patient may only begin to recognize the problem ... essential to ask about use of caffeine, as many patients with sleepiness will try and mask their symptoms with the alerting properties of caffeine In addition to whether or not they use caffeine, the ... necessary for the clinician to rec-ommend time away from their work until an evaluation is complete if there is risk of injury to the patient or the public due to their sleepiness Family History

Ngày tải lên: 23/01/2020, 01:38

... sent to the patients, asking them to pass the questionnaires on to one to three adult caregivers involved in their disease course Patients reporting that no caregivers had been involved in their ... information in the ques-tionnaire Among the latter, we hypothesized that spouses/ partners and (for young patients) the patient’s parents would have the closest relationships to the patients The following ... non-primary caregiver to the patient based on the mark on the ques-tionnaire and 2)‘the caregiver’s relationship to the patient’, classified as spouse/partner, child, parent, sibling, or other (e.g., friend,

Ngày tải lên: 14/10/2020, 13:38

... INTEGRATED APPROACH TO THE ASSESSMENT OF POST TSUNAMI STATUS OF THE FISHERIES WITH FURTHER REFERENCE TO CLIMATE CHANGE: THE CASE OF THE SMALL- SCALE FISHERIES SECTOR OF SOUTHERN SRI LANKA MASTER THESIS ... INTEGRATED APPROACH TO THE ASSESSMENT OF POST TSUNAMI STATUS OF THE FISHERIES WITH FURTHER REFERENCE TO CLIMATE CHANGE: THE CASE OF THE SMALL- SCALE FISHERIES SECTOR OF SOUTHERN SRI LANKA MASTER THESIS ... that the thesis entitled: “An integrated approach to the assessment of post tsunami status of the fisheries with further reference to climate change: the case of the small- scale fisheries sector

Ngày tải lên: 26/01/2021, 11:30

... INTEGRATED APPROACH TO THE ASSESSMENT OF POST TSUNAMI STATUS OF THE FISHERIES WITH FURTHER REFERENCE TO CLIMATE CHANGE: THE CASE OF THE SMALL- SCALE FISHERIES SECTOR OF SOUTHERN SRI LANKA MASTER THESIS ... INTEGRATED APPROACH TO THE ASSESSMENT OF POST TSUNAMI STATUS OF THE FISHERIES WITH FURTHER REFERENCE TO CLIMATE CHANGE: THE CASE OF THE SMALL- SCALE FISHERIES SECTOR OF SOUTHERN SRI LANKA MASTER THESIS ... that the thesis entitled: “An integrated approach to the assessment of post tsunami status of the fisheries with further reference to climate change: the case of the small- scale fisheries sector

Ngày tải lên: 18/02/2021, 12:19

... consistent with the results from the CPE assay Hybridized peptides show lower cellular toxicity and higher therapeutic index than their pro-totypes To assess the cellular toxicities of these peptides, ... in the modifica-tion of lead peptides These data prompted us to further evaluate the toxicities by using other mammalian cells As listed in Table 2, with the same procedure of MTT assay, the ... activity than their congeners without the linker To confirm the antiviral effects of these peptides, by using the same screening method of CPE assay, several potent peptides were then selected to test

Ngày tải lên: 08/11/2022, 15:00

... in the mobile phase in the first col- umn to the second column to prevent the loss of the sample To satisfy the constraint that non-stop loading should be kept while the other column is at non-loading ... majority of the time is used for the loading to the tandem column The loading to the sin- gle column is carried out only during the PLW step Since the du- ration of PLW is short compared to the overall ... becomes the only factor that needs to be obtained The processes shown in Fig 1(B)-(C) can be broken down to the starting step, the PLW step, and the non-loading step For the starting step Mtotis

Ngày tải lên: 25/12/2022, 02:48

... all folks on crackmes.de, thank to all members of unpack.cn (especially fly and linhanshi) Great thanks to lena151(I like your tutorials) And finally, thanks to RICARDO NARVAJA and all members ... Trang 1INTRODUCTION TO THE CRACKING WITH OLLYDBG FROM CRACKLATINOS (_kienmanowar_) I Lời nói đầu Hà Nội trời lạnh nhưng cũng ... và chọn New origin here, ngay lập tức giá trị của EIP sẽ thay đổi theo : IV Các cờ (Flags) hay được sử dụng Trong phần tiếp theo của bài viết này, chúng ta sẽ làm quen với các cờ Trong cửa sổ

Ngày tải lên: 19/10/2013, 14:15

... Enter the total amount of employee and agency contributions to the F Fund. Block 18, Total C Fund. Enter the total amount of employee and agency contributions to the C Fund. Block 19, Total Late ... Enter the total amount of Agency Matching Contri-butions to all three funds. Block 16, Total G Fund. Enter the total amount of employee and agency contributions to the G Fund. Block 17, Total ... are not subject to this limit; these contributions are subject to the elective deferral limit for the year in which they should have been made Consequently, the year to which these makeup contributions

Ngày tải lên: 10/12/2013, 04:15

... storage activity [11,12] AtRMR1 was subsequently determined to be responsible for sorting the bean stor-age protein phaseolin to the protein storstor-age vacuole [13] and was shown to bind to ... recognized with anti-HA serum, suggesting that the N-terminal portion of the protein containing the HA epitope was lost from these proteins by pro-teolysis To determine which of the RNF13 bands is the ... releases both the protein-associated domain and the RING domain from the mem-brane By analyzing microsomes, we showed that the ectodomain is shed into the lumen of vesicles, whereas the C-terminal

Ngày tải lên: 18/02/2014, 08:20

... candidate spots to wrong spots in the reference gel leads to misinterpretation of the data set and protein spots unique to only one specific condition are then not properly displayed in the corresponding ... 1) The four level 1 match-sets are the reference gels of the respective quadrants from the 2D gel sections of each condition and the four higher-level match-sets are the reference gels of the ... matching of protein spots first to reference gels of the same condition and thereafter to reference gels common to both conditions The step-wise annotation of protein spots to two independent levels

Ngày tải lên: 07/03/2014, 06:20

... acceptor These results therefore provide evidence that there are differences between the electron transfer pathways towards chelated Fe(III) on the one hand and either U(VI) or Se(VI) on the other ... of these cytochromes have been proposed to be ter-minal Fe(III) and Mn(IV) reductases, although their role in the reduction of other metals is less well understood To obtain more insight into ... specificity To determine whether the lack of phenotype of omcA–omcB– strains observed during anaerobic growth on either of the electron acceptors U(VI) and Se(VI) is due to the decaheme cytochromes

Ngày tải lên: 07/03/2014, 09:20

... Googleheads play You know they’re there by the clothes they wear And their Googlehead faces and their Googlehead hair ‘Cause they’re the Googleheads They shake their doodleheads They’re the goo-ga-goo-ga-goo-gah ... search The goal is to create the longest phrase that Google can find by alternately adding one word to the end of the other player’s search phrase Say, the first person starts with “Feelings” Now the ... fable of his grandfather’s village in Ukraine Joseph is the Special Assistant to the President and Senior Director Joshua is home now Juan is similar to the one at the top of this page Justin

Ngày tải lên: 14/03/2014, 15:20