Palliative therapy

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  • Currently, where business and management topics are included in the veterinary curriculum, they tend to be incorporated under the banner of ‘Professional Studies’, a strand of education running though most veterinary degrees, which, as its label suggests, covers the professional behaviour aspects of veterinary medicine.

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  • It is my privilege to introduce this Handbook on Advanced Cancer Care, which belongs to a series of publications initiated by the European Society for Medical Oncology (ESMO). There is a great need, especially for medical oncologists, to have a comprehensive overview of the essential elements needed for the care of patients with advanced cancer. This handbook fulfills these requirements. The Handbook on Advanced Cancer Care provides useful definitions and surveys of treatment principles.

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  • From non-profit performance space to galleries, to businesses that offer classes, to specialty supply shops, to the individual artist entrepreneur and contractor, neighborhood arts activity is an identifiable business sector. In some communities, artist entrepreneurs play a similar early entrant role for commercial strips as they do for artist housing development. As economists who study business clusters recognize, geographical proximity and the interactions that emerge from related activities within a local area are important even in the age of electronic connectivity.

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  • We know the interventions that can save most women’s lives. If every woman had access to essential maternal care, 74% of maternal deaths could be prevented4. If all women had access to self–controlled means of HIV/ AIDS protection and were in a position within society to use these methods, millions of HIV/AIDS deaths could be prevented. Thus, we do not so much need new technology, as we need to ensure universal access, utilization and equity. But ensuring universal access, utilization and equity means that our health services cannot continue to function as “business as usual.

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  • When in the closed position, the orifice is obscured by the anterior and posterior leaflets. The anterior comprises about one half to two thirds of this area, the posterior comprises about one third to one half of this area. The point of attachment of the anterior leaflet comprises one third of the circumference of the annulus (the fibrous area) and the posterior leaflets comprises two thirds of the circumference of the annulus (the muscular area). The fibrous support of the anterior leaflet is fixed, the muscular support of the posterior leaflet can enlarge and does so when...

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  • I was sixteen. I didn't have the words to explain why I'd downloaded and kept downloading. Why making the film that was in my head was such an all-consuming obsession. I'd read stories of the great directors -- Hitchcock, Lucas, Smith -- and how they worked their arses off, ruined their health, ruined their family lives, just to get that film out of their head and onto the screen. In my mind, I was one of them, someone who had to get this sodding film out of my skull, like, I was filled with holy fire and it would burn me up if I didn't...

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  • Cause-specific survival is commonly estimated in cancer clinical trials and only those deaths which can be attributed to the cancer in question are considered to be events, while all other deaths are considered censorings. Using cause-specific survival to estimate net survival requires that reliably coded information on cause of death is available. The distinguishing feature of survival analysis is that at the end of the follow-up period the event (such as death due to cancer) will probably not have occurred for all patients.

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  • Semi-intact cells are cells whose plasma membrane has been permeabilized with detergent or toxins, and can be referred to as “cell-type test tubes” (Fig. 1). We use a bacterial poreforming toxin, streptolysin O (SLO), to permeabilize the cells. At 4℃, SLO binds to cholesterol in plasma membranes. At warmer temperatures, SLO assembles to form amphiphilic oligomers, which results in the generation of small, stable transmembrane pores (Bhakdi et al., 1985).

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  • A manager may be able to generate higher returns than an OE benchmark before costs, yet after costs investors’ returns may be below the benchmark. If a fund can beat the OE benchmark on an after cost basis, we say that the fund adds value for investors, to distinguish this situation from one where the manager has investment ability, but either extracts the rents from this ability in the form of fees and expenses, or dissipates it through trading costs. We will say that a manager has investment ability if the managed portfolio outperforms the OE portfolio on a before-cost basis.

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  • In commemoration of Mother’s Day, Save the Children is publishing its twelfth annual State of the World’s Mothers report. We have assembled our Champions for Children – leading voices from academia, politics, religion, business and the arts – to celebrate the great progress the world has made in recent decades to reduce deaths among children under age 5. These distinguished essayists explore the many reasons why the united States, as a nation, must continue to invest in lifesaving maternal and child health programs. u.S.

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  • Given the virtual absence of formal channels for care and support of the older population, older Cambodians are dependent largely on their families, and particularly their adult children, for any assistance needed. Table 7 indicates the number of living children of the current generation of elderly Cambodians. Although many elderly Cambodians lost children during the tumultuous history of the last several decades, sustained high fertility has resulted in substantial numbers of children who still survive.

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  • It is scarcely to be expected that banks operating in dif- ferent regions, serving different classes of customers and fol- lowing different policies, would have uniform experience. Therefore, for each of the factors to be analyzed, we have supplemented the composite analysis for all banks by an in- dividual analysis for each bank that submitted a sufficiently large sample. These individual analyses, which are presented in Appendix B, indicate the degree of variation among banks and the extent to which the average experience of all banks typifies theexperience of any one bank.

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  • This book provides detailed descriptions of the various money market instruments and the markets in which they are used. Where possible, the book tries to explain the historical forces that led to the development of an instrument, influenced its pattern of growth, and led to new forms of the instrument. A major focus in the book is the Federal Reserve, which, in addition to its monetary policy role, plays an important role as a regulator in a number of the markets. Much of the discussion in the book deals with the period...

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  • To be effective in a national setting, international standards require the force of law or other regulatory backing. If not, compliance becomes a matter of non-transparent discretion on the part of preparers and auditors of financial statements, outside the constraints of any regulatory framework. In such cases, the standards should more properly be considered “offshore” rather than “international.

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  • Tham khảo sách 'land-based pollution sources: a global synopsis of land-based pollui on sources science and transboundary management', khoa học tự nhiên, công nghệ môi trường phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả

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  • DMOs tend to be part of the local, regional or national government and have political and legislative power as well as the financial means to manage resources rationally and to ensure that all stakeholders can benefit in the long term. Destination management and marketing should act as tools and facilitators to achieve a complex range of strategic objectives, which will ultimately need to satisfy the needs and wants of stakeholders. Four key generic strategic objectives should be addressed by DMOs, as illustrated in Table 2.

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  • The National Highway Traffic Safety Administration (NHTSA) is an integral part of the United States Department of Transportation (DOT) and its mission is to save lives, prevent injuries, and reduce traffic-related health care and other economic costs associated with motor vehicle use and highway travel. To accomplish this, NHTSA collects and analyzes motor vehicle crash data, and develops, promotes, and implements educational programs, vehicle safety standards, research, and enforcement programs.

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  • Like every artistic process, virtual sculpture (see figure 1 for example), requires a strong interaction between the artist and his artwork. Feeling the material being modeled enforces the metaphor of sculpting and the immersion of the user, making the creative activity easier. The need for haptic feedback is even stronger when the user visualizes his 3D sculpture on a standard screen: without force feedback, correctly positioning an editing tool with respect to the sculpture is difficult, since it may require changing the viewpoint several times to check the tool’s position....

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  • There have been some attempts to explain theoretically the behavior of the stock return volatility. Veronesi (1999) constructs a model with regime shifts in the endowments in which investors will- ingness to hedge against their own uncertainty on the true regime generates overreaction to good news in bad times and volatility clustering. In contrast to that paper, I assume that the exogenous state variables are not subject to regimes, neither do they exhibit mean-reversion.

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  • Some studies have shown that two-slide cervical smears detect more abnormalities than a one-slide smear. Two smears do increase screening costs over a single-slide smear, but those costs are not double that of a single-slide examination. A two-instrument collection on a single slide increases screening time only minimally over a single instrument. Vaginal smear: Introduce an unlubricated speculum, scrape the lateral vaginal wall at the level of cervix with a spatula. The broad and flat end of Ayre’s spatula is used for this purpose.

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