Azoospermia is defined as the complete absence of spermatozoa upon examination of the
semen [including capillary tube centrifugation (CTC), strictly confirmed by the absence of
spermatozoa issued in urine after ejaculation]. The presence of rare spermatozoa
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).
In its Ninth Programme, the English Law Commission said it would set up this
joint project to examine at least two key areas of insurance contract
law: non-disclosure (which will necessarily include misrepresentation) and breach
of warranty. It said we would consult on whether there is a need to review other
areas such as the law on insurable interest and on joint policies. No decision has
yet been made as to whether other areas should be reviewed.
The marketing mix concept is one of the core concepts of
marketing theory. However, in recent years, the popular
version of this concept McCarthy’s (1964) 4Ps (product,
price, promotion and place) has increasingly come under
attack with the result that different marketing mixes
have been put forward for different marketing contexts.
While numerous modifications to the 4Ps framework
have been proposed (see for example Kotler, 1986;
Mindak and Fine, 1981; Nickels and Jolson, 1976;
Waterschoot and Bulte. 1992) the most concerted
criticism has come from the services marketing area.
We conducted our audit of compliance in accordance with U.S. generally accepted auditing standards;
the standards applicable to financial audits contained in Government Auditing Standards, issued by the
Comptroller General of the United States; and OMB Circular A-133, Audits of States, Local Governments,
and Non-Profit Organizations.
Many beverage and fast-food marketers also engage in “community marketing,” in an effort to
build relationships within the communities where they do business by giving something back to
the community. McDonald’s, for example, has worked with A Better Chance Foundation to
offer college preparatory school scholarships to black students in underprivileged areas. It has
also developed the Black History Makers of the Future program, which highlights
30African-American children whom McDonald's feels will be among the leaders of tomorrow....
Multiple pregnancy involves more than one embryo (fetus) in any one gestation. Two independent mechanisms may lead to multiple gestation: segmentation of a single fertile ovum (identical, monovular, or monozygotic) or fertilization of separate ova by different spermatozoa (fraternal or dizygotic) multiple pregnancy. In the development of twins (the most frequent higher-order gestation), monozygotism is constant ( 2.3–4/1000 deliveries), whereas dizygotism has certain predispositions. Dizygotic twinning is inherited as a recessive autosomal trait via the female descendants.
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
Almost 75 percent of the elderly (age 65 and over) have at
least one chronic illness.3 About 50 percent have at least
two chronic illnesses.3 Chronic conditions can lead to
severe and immediate disabilities, such as hip fractures and
stroke, as well as progressive disability that slowly erodes
the ability of elderly people to care for themselves.4
According to AHRQ’s 1996 Medical Expenditure Panel
Survey (MEPS),a about 14.3 percent of people age 65 and
over—4.5 million elderly Americans—require assistance
with bathing, dressing, preparing meals, or shopping.
Marketers have identified urban, low-income African-American and Latino youth as
“superconsumers” of soda, candy, and snack products. Many young people report frequent
snacking, unstructured meals, and eating “junk food,” such as candy, chips, and soda, for their
primary meal. Recent research studying the amount and type of advertising on prime-time
television programs oriented to African-American audiences compared to those for general
audiences found that far more food commercials appear on shows with large...
It also reviews different valuation methods and estimated values for non-market forest
goods and services in Europe. Chapter 5 gives an overview of the financing mechanisms used in the
Member States and their applicability for different goods and services. It includes a theoretical
review of alternative financing mechanisms for non-market forest goods and services (FG&S) as well
as an empirical assessment of their use in Europe and EU Member States (EU MS).
The capital of the Fund is represented by issued and
redeemable shares with no par value. The shares are
entitled to distributions, if any, and to payment of a
proportionate share based on the Fund’s NAV per
share upon redemption. The Fund has no restrictions
or specific capital requirements on the subscriptions
and redemptions of shares except as disclosed in
Note 8(a), if any. The relevant movements in capital
are shown on the Statement of Changes in Net Assets.
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
The main objective of the Citizen's
Charter is to improve the quality of
This is done by letting people know the
mandate of the Corporation, how one
can get in touch with its officials, what
to expect by way of services and how to
seek a remedy if something goes wrong.
The Citizen’s Charter does not by itself
create new legal rights, but it surely
helps in enforcing existing rights.
The information compiled in this report reflects evidence collected from
WHP policies in high-income countries, primarily within the European
and North American regions. The scarcity of information and case
studies from low- and middle-income countries was highlighted as an
important gap in the current knowledge that needs to be addressed.
Despite the limits of the available evidence, all stakeholders are
encouraged to develop and implement WHP policies and programmes
tackling unhealthy diets and physical inactivity....
The area extending between Danube Canal, Danube,
New and Old Danube embodies the most dynamic por-
tion of Vienna’s stretch of the river. Always considered
highly attractive for construction projects, the situation
by the water’s edge is strongly enhanced by the inter-
sections with the identity-creating urbanistic axis of
Wagramer Strasse and the U1 Underground line. Thus
the riverside zones are both provided with, and bordered
by, signifi cant spatial fi gures and types with high recogni-
Human spermatozoa at ejaculation are incapable of in vivo fertilization and must undergo maturational change during which they acquire the ability to fertilize oocytes. This process, known as capacitation, was described more than 50 year ago by both Austin (1) and Chang (2). Capacitation is prevented in ejaculated spermatozoa by at least one factor in seminal plasma (3). Additionally, prolonged exposure to seminal plasma can inhibit the ability of spermatozoa to undergo the acrosome reaction in vitro (4) and diminish their capacity to fertilize (5).