Xem 1-20 trên 36 kết quả Contemporary obstetric
  • In conclusion, although many women may prefer a female physician, it has been demonstrated that physician gender is often not the most important attribute under consideration when patients select an OB/GYN. Clearly, good bedside manner and communication skills are essential in establishing an effective doctor/patient rapport. This is often followed by technical expertise and a good medical reputation.

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  • The first symptoms of this disease are usually a low back pain with its peak at night and in the morning and morning stiffness, which can last for hours. Both symptoms get better with exercise, back pain can worsen with inactivity. Some patients show only a partial involvement of the spine, in others the whole spine is involved. The physician always should examine the patient´s back by patting it gently with one fist, starting at the cervical spine all the way down to the sacrum, asking the patient, if and which part of the spine is painful during this...

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  • Peaks in the financial cycle are closely associated with systemic banking crises (henceforth “financial crises” for short). In the sample of seven industrialised countries noted above, all the financial crises with domestic origin (ie, those that do not stem from losses on cross- border exposures) occur at, or close to, the peak of the financial cycle. And the financial crises that occur away from peaks in domestic financial cycles reflect losses on exposures to foreign such cycles. Typical examples are the banking strains in Germany and Switzerland recently.

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  • The management of patients with acute coronary syndromes (ACS) has evolved dramatically over the past decade and, in many respects, represents a rapidly moving target for the cardiologist, internist, emergency medicine specialist, intensivist, and clinical pathologist—all of whom seek to integrate these recent advances into contemporary clinical practice.

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  • When retrograde dissociative amnesia is accompanied by suddenly leaving the customary environment and compromised knowledge about personal identity – the condition is named dissociative fugue. Fugues have been reported for over a century, though they were frequently erroneously associated with epilepsy (e.g., Burgl, 1900; Donath, 1899). A century ago, these conditions were named Wanderlust in Germany (cf e.g. Burgl, 1900). Fugue states were described to be preponderant in children and young adults (Dana, 1894; Donath, 1908).

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  • Women’s nutritional conditions differ widely among and within countries. Such conditions are worst in the less-developed regions and countries of the world, where poverty, social disparities, discrimination, and different kinds of malnutrition affect large populations.

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  • Bonfand’s style takes full advantage of the freedom allowed by the essay form. In the first place, Bonfand’s use of bibliographical materials follows a strict parti-pris. While he gives great importance to the filmmakers, or painters, own words, often quoting interviews or autobiographies and excavates and values non-produced film scenarios (in the two chapters on Antonioni), he does not waste time nor room by quoting existing books on the subjects he approaches. This orientation is sometimes embarrassing and weakens the intellectual honesty of the book as a whole. ...

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  • The choices we make in our everyday lives about our homes, transport, food and the goods we buy have impacts right across the world – from Indonesian rainforests to the Antarctic. The amount we consume has a direct effect on climate change and species loss. For example, the products we consume in the UK could be flown in from half way around the world and be made...

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  • The medical model emphasises health care and remedial treatment. Greater importance needs now to be attached to primary prevention and health promotion and with which there is a heightened need for people to accept their personal responsibility and individual accountability. Traditional approaches to health have not encompassed sufficiently primary prevention. New models are needed for positive health. These models require a reassessment of value systems in society that enables improved understanding of the WHO slogan: ‘health is our real wealth’. ...

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  • Histones are proteins that protect DNA from restriction enzymes and also act as bolsters in chromosome condensation, (Ito, 2007). A “Histone Core”, made of nine types of histone proteins, is attached to DNA molecules whose length varies from 146bp to 148bp. In the histone core, a combination of modifications, within specific amino acids in each histone subtype leads to gene expression or inactivation, (Kouzarides, 2007).

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  • As shown above, the modern industrial system is a concatenation of processes which has much of the character of a single, comprehensive, balanced mechanical process. A disturbance of the balance at any point means a differential advantage (or disadvantage) to one or more of the owners of the sub−processes between which the disturbance falls; and it may also frequently mean gain or loss to many remoter members in the concatenation of processes, for the balance throughout the sequence is a delicate one, and the transmission of a disturbance often goes far. It may even take...

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  • The federal government enacted the Federal Alcohol Administration Act (FAAA) shortly after the repeal of Prohibition, and this legislation has served as the primary vehicle for regulating alcohol advertising in the United States. The Alcohol and Tobacco Tax and Trade Bureau (TTB) has primary responsibility for enforcing the FAAA. Consumer protection and advertising regulation are not, however, areas of expertise for the TTB, which is located within the Department of the Treasury, and the FAAA provides only limited authority and guidance.

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  • If your project is large or if you have no experience in selecting conservators, consider contracting with a conservator to prepare the RFP and help evaluate the responses. The time and money you invest in developing complete, accurate specifications will pay off in the form of thorough proposals. Often, a government agency will permit a sole-source contract for this purpose. Remember that a conservator invests considerable time and resources in putting together an effective proposal. Some qualified professionals will not submit proposals without com- pensation.

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  • This report discusses the nature of investment in public transportation capital investments and operations in the United States, the ways in which that investment affects the economy, and the additional impacts of public transportation investments and services on economic growth in the United States.

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  • For comparing Aussiedler incidence and mortality with the German/Saarland population, indirect standardization was used. Compared to the method of direct standardization, the indirect method is advantageous when the stratum-specific rates of one of the populations to be compared are based on small numbers. In this case one can use the more stable rates of the larger population for the indirect standardization, thus gaining robustness with regard to sampling variation (Breslow and Day, 1987).

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  • Currently, cryopreservation is the only available strategy for the storage of tissueengineered products. However, tissue-engineered products usually consist of multiple layers of cells and, in most cases, the cells are seeded on scaffold made of biomaterials, which complicates the development of efficient freezing storage protocols (Pancrazio et al., 2007). Furthermore, the scale-up of cryopreservation procedures from the cellular level to a macroscopic tissue scale introduces new problems related to heat and mass transfer phenomena in larger systems (Karlsson and Toner, 1996)....

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  • Tham khảo sách 'another puzzle: the growth in actively managed mutual funds', tài chính - ngân hàng, quỹ đầu tư phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả

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  • Around 70% of all agricultural land is used to grow crops for livestock, a result of an increase in meat consumption (the average person in the UK now eats 79kg of meat per year). Agriculture on this scale requires massive amounts of water, and accounts for 8% of the global water supply. If current agricultural trends continue, the impacts will become more severe and increasingly unsustainable. This will be exacerbated by population growth and demand for biofuels.

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  • A quarter of a century ago, the proportion of older people living in institutions in developed countries had reached an estimated 9% (22). Since that time, there has been a shift in emphasis towards care in the community and the use of less restrictive residential settings. Current rates of use of nursing homes are in the range of 4–7% in countries such as Canada (6.8%), Israel (4.4%), South Africa (4.5%) and the United States (4%).

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  • The Driving Mechanism works the same as the Steering Mechanism. When a command is received to go forwards the SCRX2BC creates a voltage at pin 11 which turns on Q2. This then turns on Q5 and Q8 and current flows from the batteries through Q5, then through the driving motor, and then through Q8 to ground. Similarly to go backwards the voltage is created at pin 10, and Q3, Q6, and Q7 are turned on. The small gear on the Motor drives the Middle Gear, which drives the gear on the rear wheels axle, making the wheels move. Note that the gears on the Motor...

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