Carefully monitored

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  • Hemodynamic monitoring is one of the major diagnostic tools available in the acute care setting to diagnose cardiovascular insufficiency and monitor changes over time in response to interventions. However, in recent years, the rationale and efficacy of hemodynamic monitoring to affect outcome has come into question. We now have increasing evidence that outcome from critical illness can be improved by focused resuscitation based on existing hemodynamic monitoring, whereas non-specific aggressive resuscitation impairs survival.

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  • Official statistics must be interpreted with care, as changes at the margins of firm size categories may strongly affect size distribution and with that the picture of the role of SMEs in an economy. Wherever possible, data should be collected on a (sub-national) regional basis as the differences in birth rates and growth within an economy, and indeed within a locality or region, may be as substantial as between countries.

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  • Table 125-3 Controlling Antibiotic Resistance: Approaches to Consider Conduct surveillance for antibiotic resistance. Perform molecular typing (e.g., pulsed-field gel electrophoresis) when rates increase. For clonal expansion (e.g., single-strain outbreaks): Stress hand hygiene (alcohol hand rub and universal gloving); monitor adherence and give feedback. For polyclonal expansion (e.g., multistrain outbreaks): Stress antibiotic prudence (consider antibiotic rotation for ICUs); monitor adherence and give feedback.

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  • Numerous studies have also documented racial and ethnic disparities in health.[29] White children are half as likely as Black and Latino children not to be in excellent or very good health.[30] Some disparities are starkest between White and Black children. For example, Black children are 20% more likely to have a limitation of activity and more than twice as likely to have elevated blood lead levels. Disparities are also apparent in access to health care.

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  • Starting contraception immediately, rather than waiting for the next menses, may theoretically reduce the time a woman is at risk of pregnancy; prevent her forgetting information on correct use of the method; prevent waning enthusiasm for the method and use of a less reliable alternative method; avoid patient costs and barriers to returning for contraception (e.g. transport, time, childcare) and reduce health care costs by reducing the number of appointments. Women who have taken EC or who have irregular cycles may have an even longer wait for their next menses.

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  • Today, tens of millions of Americans – including those with and without health insurance – struggle to pay their health care bills. A study released last year by CredAbility, a nonprofit credit counseling agency, estimated that 20% of their clients listed medical debt as the primary reason for seeking bankruptcy protection. The burden of being unable to afford care often has a greater impact on women than men. In one study, more than 50% of women delayed seeking medical care because they couldn't afford it, compared to 39% of men. Women are also less likely to...

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  • The care of the critically ill has changed radically during the past 10 years. Technological advances have improved monitoring, organ support, and data collection, while small steps have been made in the development of drug therapies. Conversely, new challenges (e.g. severe acute respiratory syndrome [SARS], multiple antimicrobial resistance, bioterrorism) continue to arise and public expectations are elevated, sometimes to an unreasonable level.

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  • One of the main goals of the raion TB Coordinator is to ensure that health care workers within the raion are facilitating adherence to TB treatment among TB patients. This section of the module discusses adherence and nonadherence issues and provides measures health care workers can implement in an effort to decrease barriers to adherence among TB patients. By understanding reasons for non- adherence, health care workers may be able to tailor patient education activities to each patient.

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  • Monitors originate in Asia, Africa, Australia, and Indonesia, and come in many varieties, including the world's largest and some of its smallest lizards. Here is advice on caging and care of its various kinds, including the Savanna Monitor, the White-Throated Monitor, Blue-Tailed, Ridge-Tailed, and many others. Also featured is a general introduction to this reptilian family, a checklist of monitors found around the world, a glossary, and a bibliography.

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  • Combining innovative thinking, fast response, and careful monitoring Abt Associates provides unequalled expertise and decades of experience in all aspects of conducting surveys – including collecting and analyzing key immunization data. A critical surveillance project for the Department of Defense serves as a good example of Abt Associates’ innovative surveillance solutions – and our ability to leverage technology and partnerships to deliver complete, accurate data quickly and securely.

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  • The importance of basic hemodynamic monitoring of neurocritical patients comes from the goal of maintaining brain autoregulation. Brain autoregulation and other biological signals are the variables to be monitored by using biomedical sensors.

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  • The coating process Graham C.Cole SUMMARY In recent years tablet coating has undergone several fundamental changes. The original sugar-coating technique has been largely replaced by film-coating processes using organic solvents. The organic solvents are now being replaced by water because of the development of suitable polymers, improvements in the coating process, and legislation regulating the discharge of pollutants into the environment.

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  • Traffic moves slowly in Kathmandu’s ancient and narrow city streets and distances travelled are relatively short. Currently, there are 3,500 three-wheeled vehicles, tempos, clogging Kathmandu’s streets. These three-wheelers are the most common form of public transportation in the Kathmandu Valley. They account for 25 percent of all vehicular traffic in the city and contribute over 60 percent of vehicular emissions.

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  • We appear to be on the threshold of witnessing a substantial reduction in the longterm complications of diabetes. Modern treatment regimens, better monitoring of control and the huge impact of improved education all combine to offer the prospect of real progress towards prevention of complications and lessening of progression in those in whom complications may be present. The Diabetes Control and Complications Trial (DCCT) has provided eveidence that such can be achieved, while the St Vincent Declaration initiative has set the standards to enable these benefits to become reality....

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  • This study compares the depicted reality the films present to audiences with previous addiction cinema and with real-world economic and cultural conditions. Since films privilege certain viewpoints through representational strategies and by leaving out alternatives, I also examine the ideologies of the films and issues of textual silence. The study offers a critique of these issues in the spirit of other well-known ideological film studies, such as Ryan and Kellner's (1988) Camera Politica....

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  • Most important acknowledgements go to all the contributing authors for their assistance, eagerness, support, and their expert scientific reviews. I thank my colleagues, Lipa Cicin-Sain, Maja Matulic and Mladen Paradzik for the motivating and inspiring discussions. Thanks to my husband Darko for taking care of our children during the long days and weekends while I worked on this project, and for his understanding and encouragement.

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  • Management is responsible for the identification, assessment, management and monitoring of risk, for developing, operating and monitoring the system of internal control and for providing assurance to the board that it has done so. Except where the board or a risk committee is expressly responsible for reviewing the effectiveness of the internal control and risk management systems, the audit committee should receive reports from management on the effectiveness of the systems they have established and the results of any testing carried out by internal and external auditors.

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  • “The second growing category of work in America involves personal services. Computers and robots can’t do these jobs because they require care or attentiveness. Workers in other nations can’t do them because they must be done in person. Some personal-service workers need education beyond high school – nurses, physical ther- apists and medical technicians, for example. But most don’t, such as restaurant workers, cabbies, retail workers, security guards and hospital attendants. In contrast to that of symbolic analysts, the pay of most personal-service workers in the U.S.

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  • This Part addresses traditional clinical research, beginning with the history of the development of clinical research, to traditional clinical research designs, with a focus on clinical trials. It includes a discussion of the role of the USFDA in clinical trials and the placebo response, data safety and monitoring boards, and meta-analysis.

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  • In community-dwelling elders, the relation between dietary quality, social support and living arrangements is controversial. Some studies have found positive relations,21,65,68,70,78-80 whereas others have found diet quality to be unaffected by a poor social network.81 It has been suggested that geographical isolation has an adverse effect on nutritional status among the elderly.

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