651 resultados para Alte Pinakothek.
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Errata: p. vii.
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Mode of access: Internet.
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Each vol. has also special t.-p.
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Mode of access: Internet.
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in Verbindung mit Prof. Dr. H. Zimmern bearbeitet von Dr. Frants Buhl, Professor an der Universität Koppenhagen
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This thesis presents a program of work designed to explore and describe what the experience of caring for a child who has an Acute Life Threatening Event (ALTE) is like for the nurses. An ALTE may include a cardiac arrest, respiratory arrest or unplanned admission for a ward to the Paediatric Intensive Care unit. Using the MRC framework for the development of complex interventions, this information was then coupled with theory to develop the PREPARE and SUPPORT interventions. Given the wide-ranging and exploratory nature of this research, a pragmatic, mixed design approach was used to address the aims and objectives of the thesis. The mixed design approach included: a systematic literature review; international survey of practice; interviews with nurses and doctors using Interpretative Phenomenological Analysis; development, refinement and evaluation of interventions during a feasibility study. Two studies were identified through the systematic review which aimed to evaluate the effectiveness of debriefing. The studies did not provide evidence to support the use of these interventions within healthcare. The international survey of practice demonstrated hospitals were using interventions to both prepare and support nurses for these events. The preparatory interventions were clinically focused and the majority of the supportive interventions included a debrief. The interventions were not being evaluated for effectiveness. The interviews conducted with nurses and doctors provided insight into what that experience was like for the participants. Using the MRC framework, this evidence was coupled with theory to develop the PREPARE and SUPPORT interventions. A multidisciplinary working party used an iterative process to refine and evaluate the interventions and study procedures were explored through a feasibility study. The pragmatic, mixed design approach demonstrated how the empirical evidence was coupled with theory and clinical expertise to develop interventions for use within the healthcare environment.
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von Lic. Fritz Wilke, Privatdozent an der Universität Greifswald
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von Lic.Dr. Freiherr von Gall, Lehrer am Realgymnasium und an der Realschule zu Mainz
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Zusamen gesuchet und ... übergeben von Inbenanten [Johan Meyer ...]
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Le alte pressioni di omogeneizzazione sono considerate una tecnologia non termica basata sull’applicazione di pressioni comprese tra 60 e 400 MPa ad alimenti fluidi o fluidificabili, con un tempo di trattamento di pochi millisecondi. Questa tecnologia permette di ottenere una serie di effetti sull’alimento che variano in rapporto all’entità del trattamento applicato e alla matrice fluida considerata. Pertanto, le alte pressioni di omogeneizzazione rappresentano una delle tecnologie maggiormente studiate in ragione delle loro buone opportunità applicative a livello industriale. Tale tecnologia viene comunemente applicata per modificare le proprietà funzionali di alcune macromolecole caratteristiche degli alimenti ed ha permesso l’ottenimento di prodotti di origine lattiero-casearia ed anche succhi di frutta caratterizzati da migliore texture, gusto, flavour e aumentata shelf-life. L’omogeneizzazione ad alta pressione, considerata come trattamento di sanitizzazione a freddo, è in grado di disattivare sia microrganismi patogeni che degradativi presenti in un determinato sistema, contribuendo a ridurre o contenere quindi lo sviluppo microbico nei prodotti alimentari. L’effetto di tale tecnologia, quando applicata a livelli compresi tra 60-200 MPa bar è stato valutato nei confronti di diversi patogeni quali Escherichia coli, Listeria monocytogenes, Yersinia enterocolitica, Staphylococcus aureus, Salmonella typhimurium microrganismi degradativi, come Bacillus subtilis e lieviti, deliberatamente inoculati in prodotti diversi.
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Mode of access: Internet.
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Mode of access: Internet.