evaluating school amalgamation options in barbados

... Acquisitions: Gina Almond Development: Beckie Brand Set in 10/13 Palatino by Newgen Imaging Systems (P) Ltd., Chennai, India Printed and bound in Singapore by COS Printers Pte Ltd. For further information ... Publishing Blackwell Futura is an imprint of Blackwell Publishing Blackwell Publishing, Inc., 350 Main Street, Malden, Massachusetts 02148-5020, USA Blackwell Publishing Ltd, 9600 Garsington ... utilizing their individual expertise This book outlines the principles of deal-ing with such patients includdeal-ing the preferences of techniques and the hardware available The text is divided into

Ngày tải lên: 14/08/2014, 07:20

... leads, even in a small vein In order to achieve this, many implanting physiciansnow use introducersin order to passthe leadsinto the proximal veins [4] These introducers are best inserted using a very ... cephalic vein may break during lead insertion If the two leadscause a very tight fit in the vein, it may, asa consequence, invaginate the vein into the subclavian vein The torn cephalic vein then ... vein retained guide wire technique Left: Two leads are passed along an intact cephalic vein Right: The cephalic vein is torn with pushing of the second lead into the subclavian vein The vein

Ngày tải lên: 14/08/2014, 07:20

... arm in the axillary vein or up into the neck in the internal jugular vein (Figure 7.4) Although this can usually be prevented by not peeling the introduceruntil the curved orJ stylet has been inserted, ... curved stylet is useful in negotiating large chambers In Figure 7.3, the Locator® lies in the body of a huge left atrium and was of little value in negotiating the lead into the right ventricle, ... VS VS Figure 8.2 Guidant (Guidant Inc Minneapolis MN, USA) dual chamber electrograms demonstrating intermittent T wave sensing in a patient with dual site pacing From above, ECG lead II, atrial

Ngày tải lên: 14/08/2014, 07:20

... coronary sinus Coronary sinus drains into left subclavian vein Univentricular heart Stenosis of the coronary sinus ostium Unroofed coronary sinus Wolff-Parkinson-White Coronary sinus diverticulum Interrupted ... superior vena cava will result in marked difficulties in trying to achieve left ventricu-lar pacing The incidence of this abnormality draining into the coronary sinus is about 3–5% of patients ... abnormal hearts [74] In turn depending on the presence or absence of a bridging brachiocephalic or innominate vein, and certain repaired congenitalheart defects, the coron-ary sinus may be absent

Ngày tải lên: 14/08/2014, 07:20

... should be a routine procedure. A number of principles apply: • The routine use of epicardial leads requiring a thoracotomy is not indicated. • In the adult, provided the patient is in sinus rhythm, ... years [122]. In certain clinical situations, it remains prudent to recommend implant- ation of a permanent pacemaker even in the “asymptomatic” patient. For instance, there may be sporting or occupational ... the implantation... to explain the success of pacing for the congenital long QT interval This includes: • Decreasing the dispersion of refractoriness preventing critically timed premature

Ngày tải lên: 14/08/2014, 07:20

... vena cava draining into the coronarysinus Failure of left superior cardinal vein regression, typically associated with absence of innominate vein development, allows for venous drainage into the ... normalfetalcirculation persisting post natal An incidence of 27% in otherwise normal hearts has been reported with the incidence falling with advancing age, but still as high as 20% in the elderly [148] ... Twelve lead ECG from the same patient as in Figure 14.1 showing dual chamber pacing with a right bundle branch block appearance indicating left ventricular pacing. Figure 16.4 Patent foramen ovale

Ngày tải lên: 14/08/2014, 07:20

... 19.6 Ebstein’s anomaly (cardiac vein) Resting 12-lead ECG demonstrating dual chamber pacing The ventricular lead lies in the middle or a low lateral cardiac vein There is atrial sensing and ventricular ... 19.7 Ebstein’s anomaly (cardiac vein) Chest radiographs, postero-anterior (PA) and left lateral (L Lat), showing dual chamber pacing in a patient with Ebstein’s anomaly (same patient as in Figure ... (RAO) showing dual chamber pacing in a patient with Ebstein’s anomaly The passive-fixation atrial lead lies in the atrial appendage The passive-fixation right ventricular lead lies in the atrialized

Ngày tải lên: 14/08/2014, 07:20

... due to continued lead-stent neo-intimal interactions follow-ing implant, vessel restenosis may reoccur necessitatfollow-ing continued close follow-up care [64] In a patient with sick sinus syndrome ... Below: Resting 12-lead ECG from the same patient demonstrating dual chamber pacing with a right bundle branch block indicating left ventricular pacing There is a right axis deviation suggesting that ... high in the right ventricular outflow tract Below: Resting 6-lead ECG, demonstrating the typical appearance of ventricular pacing from that site (see Figure 5.2). Trang 8Septal defects including

Ngày tải lên: 14/08/2014, 07:20

... (univentricular heart). Resting 12-lead ECG from the same patient in Figure 23.4, demonstrating dual chamber pacing. There is both sensing and pacing in the atrium. Ventricular pacing demonstrates a right ... anterior abdominal wall using a connector (white oval) buried behind the breast. For ventricular pacing, two screw-in epimyocardial leads are attached to the lowermost portion of the single ventricle. ... visible. With an incidence of approximately 1% of live births and ever-improving surgical and device technologies, congenital heart patients will continue to survive to adulthood in increasing numbers.

Ngày tải lên: 14/08/2014, 07:20

... 103 innominate vein, 3 internal jugular approach, limitation, 9 interrupted inferior vena cava, 41 intra-atrial baffle, 40, 89, 91 repair, 41 introducers, 6 funnel introducer, 6, 8 second introducer, ... al Transvenous ventricular pacing options in Ebstein’s anomaly Indian Heart J 1998; 50: 565–568. 201 Andersen C, Oxhøj H, Justensen P Pacing in a patient with Ebstein’s anomaly PACE 1989; 12: 1586–1588. ... Permanent pacemaker positioning via the inferior vena cava in a case of single ventricle with loss of right atrial-vena cava continuity PACE 1993; 16: 1753–1755. 255 Webb C, Jenkins K, Karpawich P, et

Ngày tải lên: 14/08/2014, 07:20

... areindispensable for language learning and oral testing plays an important part inincreasing students’ motivation in learning speaking English and their speaking Trang 17for testing speaking ... motivation in learning speaking English and their speaking ability 62 4.3.2 Findings from the interview on the correlation between students’ motivation in learning speaking English and their speaking ... applied in every speaking class Therefore, in the presentstudy, instead of implementing oral tests, oral quizzes (informal oral testsadministered in speaking classes during less than fifteen minutes)

Ngày tải lên: 24/10/2014, 17:36

... diversity of these findings points to the need for a more fine-grained investigation of the real options perspective in relation to foreign direct investments In uncovering the reason ... creating and managing real options. The purpose of this dissertation is to address these problems in the multinational flexibility literature. In the main essay, ‘Growth and Switching Options in ... Weitzman, 1981) In making the point that real options logic does not hold for endogenous uncertainty, Cuypers and Martin (2006) noted since only investing will reveal the relevant information

Ngày tải lên: 02/11/2014, 00:48

... learners in „gaining knowledge and understanding through active engagement and reasoning, developing talk, kindling intrinsic motivation to learn, raising self-esteem and confidence, developing social ... begin and end, what has been included and omitted in information writing); • Using their knowledge of other texts they have read; • Scanning texts to find information; Obtaining specific information ... reading; • Drawing on different features of texts (including print, sound and image) to obtain meaning; • Using organizational features and systems to find texts and information; • Distinguishing

Ngày tải lên: 22/12/2014, 21:50

... Educational managing staff is a managing staff working in an educational management institution or in a educational institution 1.2.2 Upper secondary school principal; upper secondary school principal ... Nomination and use of upper secondary school principals; including selection, displacement, dismissal; - Strengthening capacity for upper secondary school principals, including self-learning; ... secondary school principal forces in mountainous provinces Understanding about characteristics of ethnic minorities, the upper secondary school principals are ethnic minority people, having typical

Ngày tải lên: 24/06/2015, 08:26

... are increasingly recognizing the central role that principals play in supporting and ensuring high-quality teaching in schools This realization has piqued interest in efforts to improve the principalship ... principals from different training programs When evaluating a principal training program, these difficulties make it challenging to determine which aspects of principal training programs are the most ... time-varying factors not included in the model will continue to influence estimates of principal effectiveness Differencing/gain scores: Other options to mitigate this problem include differencing...

Ngày tải lên: 06/03/2014, 20:21

... gain these aims, some main objectives were defined as followings: - To find out students’ attitude towards learning English in general and learning English pronunciation in particular - To investigate ... questions and interviews are designed into investigate these main following categories: - General attitude to learning English as well as speaking skill - Students’ main difficulties in learning English ... the interviewees were asked nine same questions in the structured interview: Do you find that your students have difficulties in learning English pronunciation? In your opinion, what are the main...

Ngày tải lên: 07/11/2012, 15:04

... The Barbados study is part of a cross-sectional survey evaluating determinants of health and well-being in Latin America and the Caribbean (Salud, Bienestar y Envejecimiento en América Latina ... as key indicators Education is generally experienced first in the life course, and it influences income through its direct effect on occupation In our Barbados sample all three of those indicators ... decisively informed by past events In this study we investigated selected social and clinical determinants of self-reported health status among elderly persons in the Caribbean nation of Barbados...

Ngày tải lên: 14/03/2014, 20:20

... in the approach adopted in evaluating health promoting school initiatives In Finland, a clear commitment was adopted to a collaborative model both in developing and evaluating the impact of innovation ... promoting school into two large districts in Russia, through a sponsored programme of teacher training and in -school consultation and support The chapter provides a fascinating insight into the ... Matter in the End: An Experience of Empowering Children in Macedonian Schools Kristina Egumenovska 367 19 Upbringing as a way of Supporting Adolescents’ Health Learning – Views of Parents in the Finnish...

Ngày tải lên: 22/03/2014, 15:20

... Manchester Business School in the United Kingdom Dean introduced me to the field of real options during my MBA studies in Manchester Without his infectious enthusiasm and never-ending willingness to ... volatility increases linearly with the time interval A look into a historic stock chart, in our example in Figure 1.6 the Nasdaq Industrial Index and the Nasdaq Insurance Index, both initiated ... is value in waiting and deferring the investment decision until further information arrives to solve external market uncertainties, as shown in Figure 2.3 Investing today in an uncertain future,...

Ngày tải lên: 23/04/2014, 22:28

... decreasing voluntary attrition to 0%, doubling training enrolment, and tripling training enrolment (Table 3) By itself, with no changes in attrition and hiring rates from current trends, increasing ... (task-shifting), according to a recent review, can maintain quality while increasing efficiency and improving access and affordability [32] In a pilot in Rwanda, the demand for physician time in providing ... accompanying increase in training enrolment by 2010 (figure 1) Doctor targets could be reached by 2018 with smaller increases in training enrolment by reducing attrition and increasing the graduation...

Ngày tải lên: 18/06/2014, 17:20