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... patients, ongoing diaphragmatic activity could attenuate pressure transmission from the abdomen to the thorax Careful attention to these physiological issues is required when examining the clinical ... important clinical impact For the scientist, careful studies on diaphragm remodeling in the setting of obesity and critical illness would be of interest In addition, regional variations in pleural ... same impact on intrathoracic pressures as would chronic elevations (due to obesity or cirrhosis with ascites, for example), since diaphragm remodeling may occur over time [14] Moreover, in nonparalyzed...

Ngày tải lên: 13/08/2014, 19:20

... dilatation or with minimal dilatation In two patients the canal is extremely tortuous and fibrotic and it is not possible to negotiate with the delicate Versascope Cervical dilatation is achieved ... for endometriosis prior to IVF (ESHRE Recommendations, 2005) (17)     confirms the diagnosis histologically reduces the risk of infection improvesaccess to follicles Improves ovarian response ... new ostium either with monopolar spray coagulation just distal to the incised parts to evert them or with the aid of fine sutures Salpingectomy: This procedure is indicated if a pathologic unilateral...

Ngày tải lên: 19/02/2014, 22:20

... double-blind randomised placebo-controlled trial of infliximab in addition to methotrexate with the aim of inducing remission in patients with RA exhibiting magnetic resonance imaging (MRI)-proven ... increased risk of serious infection during randomised trials in patients with RA have been inconsistent: some trials have shown significant association [14,30] and others no significant association [31-34] ... a role in the choice of anti-TNF agent Concurrent administration of methotrexate is required for infliximab and is advised for use with the other two agents to provide the best outcomes Studies...

Ngày tải lên: 09/08/2014, 10:20

... N-acetylcysteine delays liver recovery from acetaminophen hepatotoxicity Crit Care 2009, 13:R55 Chun LJ, Tong MJ, Busuttil RW, Hiatt JR: Acetaminophen hepatotoxicity and acute liver failure J Clin Gastroenterol ... M, Richardson WM, Betten DP, Favata M, Riffenburgh RH, Clark RF, Tanen DA: Comparative treatment of α-amanitin poisoning with acetylcysteine, benzylpenicillin, cimetidine, thioctic acid and silybin ... Keays R, Harrison PM, Wendon JA, Forbes A, Gove C, Alexander GJ, Williams R: Intravenous acetylcysteine in paracetamol induced fulminant hepatic failure: a prospective controlled trial Br Med J...

Ngày tải lên: 13/08/2014, 16:21

... question of the possibility of sacrifice, at the beginning of ‘Substitution’ the dominant philosophical problem is that of identity The theory that the identity of the I is reducible to a ‘turning ... chosen or acted, indeed prior to my taking up a subject position in relation to an other In Otherwise than Being the responsibility inherent in subjectivity is prior to my encounter with an other, ... subject is a hostage (ob 112) ‘Responsibility in obsession is a responsibility of the ego for what the ego had not wished for, that is, for the other’ (ob 114) This structure of responsibility, which...

Ngày tải lên: 01/11/2013, 10:20

... understand the information they receive well enough to apply it • The Food and Drug Administration, Joint Commission on Accreditation of Healthcare Organizations and the National Committee for Quality ... addressing communication problems • The U.S Office of Minority Health offers the following definition of cultural and linguistic competence in the provision of health care:3 Cultural and linguistic ... Administration classifies as “low-lit.” www.fda.gov Other Resources • Health Literacy Introductory Kit American Medical Association Chicago AMA Foundation, 2001 This kit includes the video “You...

Ngày tải lên: 22/03/2014, 15:21

... aej doth touch the periphery ouy Therefore Touching is but in one point onely è 13 p This Consectary is immediatly conceived out of the definition; for otherwise it were a cutting, not touching ... of the bounded magnitude: For the thing bounding is one thing, and the thing bounded is another: For the Bound is one distance, dimension, or degree, inferiour to the thing bounded: A Point is ... unto the whole line The Diameter in a circle is rationall: [11]But it is irrationall unto the side of an inscribed quinquangle: The Diagony of an Icosahedron and Dodecahedron is irrationall unto...

Ngày tải lên: 29/03/2014, 00:20

... will give it you in short for a if word to Richard ring the wise says him is enough , They to speak his gathering round him ed as follows Friends indeed laid , , poor as joined in desi- , mind ... moreo- feasts, and wise eat them Here you are all this sale of fineries got together to and nick-nacks You call them goods; but, if you not take care , they will prove evils to some of you You ... does us want of knowledge and again : not to oversee workmen , is : to leave them your purse open Trusting too much many to others care faith for : world , , the ruin of in the affairs of this...

Ngày tải lên: 02/04/2014, 13:40

Ngày tải lên: 17/04/2014, 14:53

... probably not going to die from any of this It might help to say it over and over again whenever you feel the anxiety begin to come on: I am not going to die from this I am not going to die from ... faced the adversity at all Now it’s your turn to see if you’re one of them, if you’ll join their company This book will show you the way INTRODUCTION This thing in front of you This issue This obstacle—this ... keeping the stampede on the more cautious British forces to devastating effect His string of offensives at Cyrenaica, Tobruk, and Tunisia led to some of the most astonishing victories in the history...

Ngày tải lên: 08/06/2014, 09:04

... coefficient of the field is too big, then the speed of convergence is too fast, it will easily give the local optimization If the coefficient is too small, then the speed is too slow, and the efficiency ... in gene positions 16 Supply Chain, The Way to Flat Organisation These mutation operators are lack of direction and the mutation is not even Therefore the ability for searching optimization is ... this model supposes that the particle is inspirited to reduce deviation “Social” part is explained by vicarious fortified of Bandura[23] According to the anticipation of this theory, when the observer...

Ngày tải lên: 21/06/2014, 20:20

... Flat Organisation to analyse the problem according to different perspectives and point of views The power of the described methodology is strictly related to the possibility to investigate the impact ... competitiveness In fact, globalization is changing the way in which companies organise their production and distribution activities, considerably increasing the spatial complexity of supply chains ... areas The paper is structured as follows In the following section, a brief review of EIO models is presented Then, in Section some possible application fields of EIO models are identified Sections...

Ngày tải lên: 21/06/2014, 20:20

... Chain, The Way to Flat Organisation Cs Cost vector in scenario s Notation X A solution vector to the bid evaluation problem Xs Optimal solution vector to bid evaluation in scenario s XR Robust ... Multi-criteria optimization for bid evaluation In multiple criteria decision making situations with large or infinite number of decision alternatives, where the practical possibility of obtaining ... scenario With no probability information required for robust information, discrete scenario modelling is more appropriate for sourcing In the following, we abstract the bid evaluation problem to...

Ngày tải lên: 21/06/2014, 20:20

... Supply Chain, The Way to Flat Organisation Our effort to minimize errors is to make the requirements elicitation through features The feature definition used in this chapter is in concordance with ... the traditional distributorwholesaler-retailer chain Their motivation for this is to reduce the distribution cost and be more responsive to customers’ requirements Customers also view Internet ... activity, the goal is to create an initial set of interfaces and component specifications This activity is composed of two steps: Identify Interfaces, and Component Specification Firstly, is important...

Ngày tải lên: 21/06/2014, 20:20

... Way to Flat Organisation the firms in the study use the IT to coordinate their JIT programs with vendors In addition, some of the firms are beginning to use the IT to coordinate their production ... customers to vendors, or the notification of stock outs by companies to their customers The IT has enabled companies to more quickly institute EDI information programs with their customers The IT ... Evolution of the Tiancalli Project 195 The agent starts without money in its bank account The common competition is to go from negative amount to positive during the whole game Then, it is important...

Ngày tải lên: 21/06/2014, 20:20

... inducted to the most skillful distributor Otra is a good example of this skills integration and collaboration There are two issues which need to be paid much attention in distributor integration First, ... value of distributors and provide necessary support to the distributors to win the competition in marketplace In fact, the distributors always possess lots of information about the customer requirements, ... some distributors are more powerful and holding more inventory Second, some distributors have to rely on other distributors to help them improve the customer service However, sometimes the distributors...

Ngày tải lên: 21/06/2014, 20:20

... efforts for analyzing the supply chain On the other hand, it is also possible to execute too simplistic analysis and miss critical issues, particularly using tools that not take into account agility, ... introduction Rapid partnership Customer-driven innovations formation Customer satisfaction Strategic relationships with customers Close relationship with suppliers Welfare Employee satisfaction Quality ... activities, which are carried out by coordinators to solve routine problems and find the opportunities to improve Although they are informal, they have a detailed mechanism to solve problems In...

Ngày tải lên: 21/06/2014, 20:20

... return to step i) Otherwise go to step iii) Step iii) Find a time period t in forward in which (6) or (7) is violated For a plan in time period t, the violated delivery/receiving quantity is modified ... Multiple Companies with Limited Local Information 295 4.2 Comparison with other distributed optimization methods To investigate the performance of the proposed method, the performance of the proposed ... the proposed method can obtain a feasible solution without using a heuristic procedure This is also a predominant characteristic of the proposed algorithm and the improvement of the conventional...

Ngày tải lên: 21/06/2014, 20:20

... configuration management process, serve two purposes • To provide authorization to work • To provide a historical record plus proof of conformance Also configuration management is a theory proposed for ... and historical locations, the time spent for to transport it from one place to another, as well as the environmental storage conditions from its production to its usage Perhaps the most significant ... collaborative environment A change control workflow is a logistic procedure to control and coordinate changes among configuration items for ensuring the consistency of a configuration The Institute of...

Ngày tải lên: 21/06/2014, 20:20

... advantages of various types of automatic identification technology (AIT), is the perfect solution to the many issues of enterprises in the past RFID technology permits the unique identification of each ... Combined with GPS, it is possible to perform aroundthe-clock surveillance of individual animals and fish in the wild • RFID book tracking is a hot topic in the library community for use in managing ... encrypting the communication between tag and reader Another approach is to only write the tag with enough information to identify the object The identity is used to look up relevant information about...

Ngày tải lên: 21/06/2014, 20:20