The old South cook book : the best recipes of the best cooks in Montgomery.

Includes English and Italian recipes; some recipes include wine or liquor as an ingredient. Sample recipes: Stuffed oysters, Almond drop cakes, Ravioli.

Imaging ability of collimators in nuclear medicine /

Mode of access: Internet.

The Report of the Cancer Commission of Harvard University

No.1-2 title reads: Annual Report of the Cancer Committe to the Surgical Department of the Harvard Medical School

Laboratory and Clinical Studies

Title Varies: V.18-27 (1937-46) Laboratory and Clinical Studies

Understanding the dynamics of information technology implementation: The case of clinical information systems

The ultimate intent of this dissertation was to broaden and strengthen our understanding of IT implementation by emphasizing research efforts on the dynamic nature of the implementation process. More specifically, efforts were directed toward opening the "black box" and providing the story that explains how and why contextual conditions and implementation tactics interact to produce project outcomes. In pursuit of this objective, the dissertation was aimed at theory building and adopted a case study methodology combining qualitative and quantitative evidence. Precisely, it examined the implementation process, use and consequences of three clinical information systems at Jackson Memorial Hospital, a large tertiary care teaching hospital.^ As a preliminary step toward the development of a more realistic model of system implementation, the study proposes a new set of research propositions reflecting the dynamic nature of the implementation process.^ Findings clearly reveal that successful implementation projects are likely to be those where key actors envision end goals, anticipate challenges ahead, and recognize the presence of and seize opportunities. It was also found that IT implementation is characterized by the systems theory of equifinality, that is, there are likely several equally effective ways to achieve a given end goal. The selection of a particular implementation strategy appears to be a rational process where actions and decisions are largely influenced by the degree to which key actors recognize the mediating role of each tactic and are motivated to action. The nature of the implementation process is also characterized by the concept of "duality of structure," that is, context and actions mutually influence each other. Another key finding suggests that there is no underlying program that regulates the process of change and moves it form one given point toward a subsequent and already prefigured end. For this reason, the implementation process cannot be thought of as a series of activities performed in a sequential manner such as conceived in stage models. Finally, it was found that IT implementation is punctuated by a certain indeterminacy. Results suggest that only when substantial efforts are focused on what to look for and think about, it is less likely that unfavorable and undesirable consequences will occur. ^

Métabolomique et spectrométrie de masse : de nouvelles perspectives en analyse biomédicale

International audience

Serum Aminotransferases in Thai Children With Dengue Infection

Background: Hepatic manifestations are one of the unusual manifestations of dengue infection. Objectives: We conducted this study in order to study the pattern of serum aminotransferases and sequential changes before and after shock in Thai children with dengue infection. Patients and Methods: Children who were clinically and serologically diagnosed as dengue infection and were admitted to King Chulalongkorn Memorial Hospital during a peroid of one year were enrolled. They were clinically classified into a non-shock group and a shock group. The majority of serum aminotransferases including aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were obtained within a week after the onset of fever and until 3 days after shock in the shock group. Student t-test and median in boxplot form were used for statistical analysis. Results: We enrolled 127 children with a mean age of 7.6 ± 3.6 years. The incidence of abnormal AST and ALT levels was 97.4% and 50.0% in the shock group, and 91.8% and 44.9% in the non-shock group respectively. 29% and 15.4% of the patients in shock group and only 10.2% and 4.1% in non-shock group had the respective AST and ALT levels > 200 U/L. Serum aminotransferase levels were significantly higher in the shock group when compared to the non-shock group. AST tended to increase starting from one day before shock and continued to increase within a few days whereas ALT was less likely to be affected. Conclusions: Elevated serum aminotransferases are a common finding in children with dengue infection and the levels of AST are higher than those of ALT. Patients with shock have significantly higher aminotransferase levels that increase up to 3 days after shock.

Senators from Pennsylvania. Memorial addresses delivered in the Senate and House of Representatives of the United States in memory of Philander C. Knox, Boies Penrose, William E. Crow, late senators from Pennsylvania. Sixty-seventh Congress. Proceedings in the Senate, January 28, 1923. Proceedings in the House, February 18, 1923.

Running title: Memorial addresses.

Westborough state hospital papers; a testimonial to George Smith Adams, M.D.

"Reprinted from New England medical gazette. vol. XLVII, pp.467-686.".

Memorial soliciting an appropriation for the state hospital for the insane, at Lexington : and also urging the necessity for establishing a new hospital in the Green River country /

Submitted to the General Assembly of Kentucky.

George W. Smith (late a representative from Illinois) Memorial addresses, Sixtieth Congress, First and Second sessions, House of Representatives, April 19, 1908. Senate of the United States, December 15, 1908.

"Proceedings in the Senate": p. 50-59.

University Hospital and S. Mem. [South Memorial]

Albert Kahn, architect. University Hospital, also called Old Main Hospital; had many additions; demolished 1989. Viewed from the southwest. Floors 7 and 8 have been added to main hospital. Simpson Memorial Institute on left. On verso: Editorial office #86.

Smoking rates among hospital nurses in Longkou city, China

This study was undertaken as one of the first investigations of nurses' smoking habits in Longkou city, Shandong Province, China. An anonymous cross-sectional survey was administered as part of a larger investigation of healthcare professionals at a university teaching hospital during 2008. A total of 88 nurses responded to the survey, from whom tobacco-related data were provided by 83 of them (94%). Their overall smoking rate was very low (1%), with no male nurses reporting themselves to be current tobacco users. Overall, the current study suggests that smoking rates are very low among Chinese nurses in Longkou city, Shandong Province. These results are also consistent with studies of nurses' tobacco use conducted in other regions of China.