Xem 1-20 trên 43 kết quả Role of pde5
  • It is difficult to overstress the importance of a good history and thorough clinical examination for every patient. On this the diagnosis is made and the treatment plan based. A full, clearly written record of the original consultation is essential to assess progress following treatment. Particularly is this true if a colleague should be called to see the patient in the practitioner's tioner's absenceT. he medicolegali mportanceo f accurater ecords cannot be overemphasised.

    pdf285p xunu1311 02-11-2012 24 6   Download

  • Michael Kleinman reported having received remuneration from a commercial entity or other organization with an interest related to air pollution and having provided an expert opinion or testimony as part of a regulatory, legislative or ju- dicial process related to air pollution. Gunnar Nielsen reported having provided an expert opinion or testimony as part of a regulatory, legislative or judicial process related to the subject of air pollution for a commercial entity or other organization. David G. Penney has given numerous testimonies on safe levels of carbon mon- oxide.

    pdf0p saimatkhauroi 01-02-2013 18 4   Download

  • In planning and performing our audit, we considered the State’s internal control over financial reporting in order to determine our auditing procedures for the purpose of expressing our opinion on the basic financial statements and not to provide assurance on internal control over financial reporting. However, we noted one matter involving internal control over financial reporting and its operation that we consider to be a reportable condition.

    pdf0p tay_thi_le 19-02-2013 26 4   Download

  • The challenge of the American automobile has had citizens, planners, and environmentalists stumped for decades. How will it ever be possible to get Americans to give up their love affair with cars? One of the most effective solutions to date is a project known as car-sharing: a network of cars and trucks for people to use on a pay-per-use basis. Rather than simply pointing out the negative conse- quences of automobile dependency and associated sprawl, car-sharing offers a practical, tangible way to improve the environment, promote social equity and build local capacity.

    pdf0p nhacchovina 23-03-2013 18 4   Download

  • Cross-cutting or inter-cutting is a primary narrative device of the continuity style. This technique pieces together sequences that occur at the same time but in different places in order to increase narrative tension. The literary equivalent of this device is simple narrative transition such as “meanwhile” or “in another part of town”. Some films borrow these verbal clues by using inter-titles or voice-over narration. Clips mentioned in this section are not available to view on the website but are readily available to buy or rent from the usual outlets. ...

    pdf0p khanhchilam 01-04-2013 24 4   Download

  • It is not impossible that in the minds of some persons the idea of employing gentle measures in the management and training of children may seem to imply the abandonment of the principle of authority, as the basis of the parental government, and the substitution of some weak and inefficient system of artifice and manoeuvring in its place. To suppose that the object of this work is to aid in effecting such a substitution as that, is entirely to mistake its nature and design.

    pdf139p hotmoingay9 02-02-2013 15 3   Download

  • Tham khảo sách 'taxation of open-end real estate investment structures for german institutional investors into canada', tài chính - ngân hàng, đầu tư bất động sản phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả

    pdf23p quaivattim 01-12-2012 17 2   Download

  • A basic premise of the Dietary Guidelines is that food guidance should recommend diets that will provide all  the nutrients needed for growth and health. To this end, food guidance should encourage individuals to achieve  the most recent nutrient intake recommendations of the Institute of Medicine, referred to collectively as the Dietary Reference Intakes (DRIs). Tables of the DRIs are provided at http://www.iom.edu/Object.File/Master/21/372/0.pdf.

    pdf284p ut_hai_can 26-12-2012 22 2   Download

  • Klemola and Norros (1997, 2001) observed and interviewed anesthetists (n = 16, 8 respectively) to explore the role of the patient monitor in their operating room practice and to understand how they thought about their anesthetized patients and responded to infor- mation they received while caring for them. Their findings suggested two distinct approaches to practice, or ‘‘habits of action’’: the ‘‘interpretive orientation’’ guided by a belief in an unpredictable world, and the ‘‘reactive orientation,’’ guided by a belief in a predictable world.

    pdf14p thangbienthai 17-11-2012 17 1   Download

  • Fostering Immunization Uptake in Argentina The pneumococcal vaccine was incorporated into the Argentinian national immunization scheme in April 2011, providing a way for infants to receive the vaccine for free beginning in 2012.

    pdf156p nhamnhiqa 01-03-2013 17 1   Download

  • In anaerobic lagoons, the bacterial activity reduces solids but often results in the production of odourous gases which makes a lagoon unsuitable except in isolated areas . Anaerobic 1 lagoons liquefy and break down manure solids, but not all wastes are totally degraded. The unprocessed solids settle at the bottom of the lagoon and accumulate as sludge. A lagoon has low initial cost and is easy to operate. Further labour can be saved by using irrigation to dispose of liquids .

    pdf73p loginnhanh 22-04-2013 15 1   Download

  • There are 2.2 million children (age 0-17) in North Carolina, more than ever before. Approximately 20 percent continue to live in poverty. This represents a growing challenge to adults — in the home, in the community, and collectively through government — who are responsible for protecting children from harm and providing opportunities for healthy growth. The data in this Report Card serve as indicators of how North Carolina is collectively discharging these responsibilities. The data provide reason for celebration, tempered by both caution and concern.

    pdf4p connhobinh 10-12-2012 13 0   Download

  • From clinical studies sepsis can be seen as a continuum of severity that begins with an infection, followed in some cases by sepsis, severe sepsis – with organ dysfunction – and septic shock. There has been a substantial increase in the incidence of sepsis during the last decades, and it appears to be rising over time, with an increasing number of deaths occurring despite a decline in overall in-hospital mortality (Bone, 1992).

    pdf442p wawawawawa 26-07-2012 28 14   Download

  • Calling the family members, the relexing exercises, musical therapy, masaj and sitting exercises are important in control of anxiety and ajitation of patients. Safe and effective management of the pain and anxiety needs a delicate balance for analgesia and sedation protocols while managing delirium status. The weaning of patients from mechanical ventilation is often hampered by the sedation that they receive.

    pdf168p wqwqwqwqwq 21-07-2012 36 8   Download

  • Rate review grants and standards: In August 2010, 45 States and the District of Columbia each received $1 million grants to develop or make improvements to their existing rate review and approval practices, strengthening their processes and oversight capacities. States have already used these funds to hire staff, increase data reporting, and enhance their information technology. On December 21, 2010, HHS posted a proposed regulation regarding standards for rate review.

    pdf12p thangbienthai 27-11-2012 26 5   Download

  • As an important priority at the national and state levels, AMCHP has worked to address and reduce tobacco use among women of reproductive age, focusing specifically on pregnant and postpartum women. This first article in the 2008 Women’s Health Watch will highlight innovative strategies to reducing tobacco use among women. It will demonstrate the need, use, and success of smoking cessation counseling in helping pregnant and postpartum women quit smoking.

    pdf15p connicquy 20-12-2012 20 5   Download

  • Recent disasters in the United States, especially Hurricane Katrina, have proven the inadequacy of planning for the protection and safety of our vulnerable populations. The vulnerable, or special, populations can be categorized in many ways, including those with physical disabilities, who have cognitive impairment or mental illness, who are incarcerated, who speak English as a second language or not at all, and who are elderly.

    pdf19p thankinhphanliet 01-01-2013 20 5   Download

  • A continuity plan should be an essential element of any business’ strategy or operating procedures. In recent years, the impacts that Y2K, 9/11, SARS and the power outage in Ontario, the ice storm in central Canada and other natural disasters have had on Canadian businesses only reinforces the need for continuity plans. Current concern about the risk of an avian flu pandemic further emphasizes the point that continuity planning must take the specific case of highly infectious diseases into account. Canada’s business community is at risk.

    pdf48p bi_ve_sau 05-02-2013 27 5   Download

  • The five major NCDs are heart disease, stroke, cancer, chronic respiratory diseases and diabetes. There is strong scientific evidence that healthy diet and adequate physical activity (i.e. ≥30 minutes of moderate intensity physical activity, ≥5 days per week) play an important role in the prevention of these diseases. Furthermore, it is estimated that approximately 80% of heart disease, stroke, type 2 diabetes and 40% of cancers can be prevented through inexpensive and cost-effective interventions that address the primary risk factors. ...

    pdf54p nhacchovina 22-03-2013 21 5   Download

  • Among the swallowing disorders, dysphagia is the most prevalent and dangerous due to the fact it can lead to tumor formation. The classification of swallowing disorders into obstructive and non-obstructive including e.g. lower motor neuron dysfunction, autoimmune disease and achalasia were discussed in this chapter. The authors also referred to motility disorders in diabetic neuropathy, alcoholism, psychiatric illness and scleroderma – an autoimmune disease that causes weakening of the tissues of the esophagus....

    pdf94p wqwqwqwqwq 20-07-2012 44 4   Download

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