Assessing impairment

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  • Nutritional History A nutritional history is directed toward identifying underlying mechanisms that put patients at risk for nutritional depletion or excess. These mechanisms include inadequate intake, impaired absorption, decreased utilization, increased losses, and increased requirements of nutrients. Individuals with the characteristics listed in Table 72-3 are at particular risk for nutritional deficiencies.

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  • IAS 36 Impairment of Assets was issued by the International Accounting Standards Committee in June 1998. It replaced requirements for assessing the recoverability of an asset and recognising impairment losses that were included in IAS 16 Property, Plant and Equipment, IAS 22 Business Combinations, IAS 28 Accounting for Investments in Associates and IAS 31 Financial Reporting of Interests in Joint Ventures. Limited amendments were made in 1999, 2000 and January 2001.

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  • Comparison of discount rates disclosure analysis in goodwill impairment testing among singapore listed firms. This study presents some evidence of discount rate selection on goodwill imp air- ment testing under the new requirements of FRS 36. The selection of discount rates is believed to be an important key factor that affects the outcome of impairment assessment, esp ecially when using the method of value in use.

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  • Because there is no clear definition of the asthma phenotype, researchers studying the development of this complex disease turn to characteristics that can be measured objectively, such as atopy (manifested as the presence of positive skin-prick tests or the clinical response to common environmental allergens), airway hyperresponsiveness (the tendency of airways to narrow excessively in response to triggers that have little or no effect in normal individuals), and other measures of allergic sensitization.

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  • Someone with a physical illness or disability often needs hands-on or stand-by assistance with activities of daily living (see page 19). People with cognitive impairments usually need supervision, protection or verbal reminders to do everyday activities. The way long-term care services are provided is changing. Skilled care and personal care are still the terms used most often to describe long-term care and the type or level of care you may need.

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  • Mounting evidence suggests that antecedents of adult mental disorders can be detected in children and adolescents. The development of policies and programmes for child and adolescent mental health have lagged those for adult mental disorders. The reasons for the lag are many, including widespread lack of knowledge about child development and childhood mental disorders, relatively weak advocacy, lack of training and in many parts of the world, absent fi nancial and professional resources for programme development and implementation.

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  • Impaired mitochondrial function contributes to copper- and cadmium-induced cellular dysfunction. In this study, we used modular kinetic analy-sis and metabolic control analysis to assess how Cd 2+ and Cu 2+ ions affect the kinetics and control of oxidative phosphorylation in isolated rat liver mitochondria.

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  • The Missouri Securities Division has also identified investor diminished capacity and senior investor education as crucial issues in the fight against senior investor fraud. Persons with mild diminished capacity can perform most daily functions, but may become confused when managing their finances. This, in turn, makes those individuals more susceptible to fraud. According to a 2008 Duke University study, about 35 percent of the 25 million people in the United States who are 71 or older either have mild cognitive impairment or dementia.

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  • Studies assessing the role of ICTP levels in GCF or peri-implant crevicular fluid as a diagnostic marker of periodontal disease activity have reported promising results so far (Oringer et al. 1998, 2002). ICTP was suggested to predict future bone loss, to correlate with clinical parameters and putative periodontal pathogens and also to reduce following periodontal therapy (Giannobile 1999).

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  • This version includes amendments resulting from IFRSs issued up to 17 January 2008. IAS 36 Impairment of Assets was issued by the International Accounting Standards Committee in June 1998. It replaced requirements for assessing the recoverability of an asset and recognising impairment losses that were included in IAS 16 Property, Plant and Equipment, IAS 22 Business Combinations, IAS 28 Accounting for Investments in Associates and IAS 31 Financial Reporting of Interests in Joint Ventures. Limited amendments were made in 1999, 2000 and January 2001.

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  • that can occur during the various phases of oil and gas recovery from subsurface reservoirs including production, drilling, hydraulic fracturing, and workover operations. Formation damage assessment, control, and remediation are among the most important issues to be resolved for efficient exploitation of hydrocarbon reservoirs. Such damage is caused by various adverse processes, including chemical, physical, biological, and thermal interactions of formation and fluids, and deformation of formation under stress and fluid shear.

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  • The advantages and limitations of conventional structural MRI for the diagnosis and monitoring of MS are discussed by Andreadou (Chapter 15). There is often a disparity between the level of structural abnormality seen on MRI and level of cognitive difficulties expressed by the patient with MS. Clinical interview and neuropsychological assessment are vitally impairment, not only from an initial diagnostic perspective but also in terms of longer term planning and care.

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  • This collection of papers reflects the diversity of concepts, methods, and case studies that address the challenge of Managing for Healthy Ecosystems as holistic environmental management in the context of health, integrity, and sustainability. Ecosystem health embodies the capacity of ecosystems to function without impairment, while management concerns the assessment of ecosystem conditions relative to social goals and adoption of interventions to achieve designated goals.

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  • Intangible assets include goodwill arising from acquisitions made after January 1, 1992. Goodwill is amortized using the straight-line method over its estimated economic life, not to exceed forty years. Certain acquired intangible assets other than goodwill (‘in-process R&D') are expensed in the period of acquisition. Patents and trademarks acquired from third parties are capitalized and amortized over their remaining lifetime.

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  • Psychiatric Disease CLBP may be encountered in patients who seek financial compensation; in malingerers; or in those with concurrent substance abuse, chronic anxiety states, or depression. Many patients with CLBP have a history of psychiatric illness (depression, anxiety, substance abuse) or childhood trauma (physical or sexual abuse) that antedates the onset of back pain. Preoperative psychological assessment has been used to exclude patients with marked psychological impairments that predict a poor surgical outcome. Unidentified The cause of low back pain occasionally remains unclear.

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  • Underlying Systemic Diseases that Cause or Exacerbate a Bleeding Tendency Acquired bleeding disorders are commonly secondary to, or associated with, systemic disease. The clinical evaluation of a patient with a bleeding tendency must therefore include a thorough assessment for evidence of underlying disease. Bruising or mucosal bleeding may be the presenting complaint in liver disease, severe renal impairment, hypothyroidism, paraproteinemias or amyloidosis, and conditions causing bone marrow failure.

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  • Algorithm depicting clinical approach to hyperkalemia. NSAID, nonsteroidal anti-inflammatory drug; ACE, angiotensin-converting enzyme; RTA, renal tubular acidosis; TTKG, transtubular K+ concentration gradient. The appropriate renal response to hyperkalemia is to excrete at least 200 mmol of K+ daily. In most cases, diminished renal K+ loss is due to impaired K+ secretion, which can be assessed by measuring the transtubular K + concentration gradient (TTKG).

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  • Health and Quality of Life Outcomes BioMed Central Research Open Access Validation of a patient-administered questionnaire to measure the activity impairment experienced by women with uncomplicated urinary tract infection: the Activity Impairment Assessment (AIA) Diane J Wild*1, Darren J Clayson1, Karen Keating2 and Kathleen Gondek2 Address: 1Oxford Outcomes Ltd, Old Barn, Jericho Farm, Cassington, Oxford, OX29 4SZ, UK and 2Bayer Healthcare Pharmaceuticals, 400 Morgan Lane, West Haven, CT 06515-4175, USA Email: Diane J Wild* -; Darren J Clayson - darren.

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  • The Board’s Patient Care Assessment (PCA) program, receives three kinds of reports from hospitals: Major Incident Reports (MIR), detailing events resulting in death or serious impairment of a patient; and Annual and Semi-Annual Reports which detail a facility’s progress with respect to its patient safety program. Having eliminated a years long backlog of report review, the PCA Committee turned its focus to encouraging greater reporting compliance by hospitals, faster and more detailed review and more comprehensive data analysis.

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