998 resultados para postprandial period
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This paper gives new evidence on the relationship between integration and industrial agglomeration in the presence of scale economies, by testing directly one of the predictions that can be derived from Krugman (1991), that is, the existence of regional nominal wage gradients and its transformation following changes in trade regimes. Our case study analyzes the effects of the substitution of an open economy by a closed economy regime, exactly the opposite process studied by Hanson (1996, 1997). In Spain, during the interwar period, protectionist policies would have favored the loss of centrality of the coastal location (Barcelona) and the relative rise of central locations (such as Madrid). Our results indicate the existence of a wage gradient centered in Barcelona during the interwar period (1914-1930) and its weakening after 1925.
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Special investigation of the Iowa Department of Transportation for the period January 29, 1994 through July 7, 2011
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Special investigation of the University of Northern Iowa Events Complex Concessions for the period October 1, 2006 through March 31, 2012
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Report on a special investigation of the City of Indianola for the period June 1, 2006 through August 31, 2012
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Report on a special investigation of the Lyon County Engineer’s Office for the period August 1, 2006 through May 31, 2012
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Report on a special investigation of the Creston Water Works for the period July 1, 2005 through November 16, 2012
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Objectives: The study aims to assess the feasibility and midterm outcome of trans-peritoneal laparoscopy for coeliac artery compression syndrome (CACS).Design: Retrospective chart review involving four European vascular surgery departments and two surgical teams.Materials and methods: charts for patients who underwent laparoscopy for symptomatic CACS between December 2003 and November 2009 were reviewed. Preoperative computed tomography (CT) angiography and postoperative duplex scan and/or CT angiography were performed.Results: Eleven consecutive patients (nine women) with a median age of 52 years (interquartile range: 42.5-59 years) underwent trans-peritoneal laparoscopy for CACS. All patients had a history of postprandial abdominal pain; weight loss exceeded 10% of the body mass in eight cases. Preoperative CT angiography revealed coeliac trunk stenosis >70% in all cases. One patient had additional aortitis and inferior mesenteric artery occlusion, while another patient presented with an occluded superior mesenteric artery. Two conversions occurred (one difficult dissection and one aorto-hepatic bypass needed for incomplete release of CACS). The median blood loss was 195 ml (range: 50-900 ml) and median operative time was 80 min (interquartile range: 65-162.5 years). Symptoms improved immediately in 10/11 patients (no residual stenosis) while one remained unchanged despite a residual stenosis treated by a percutaneous angioplasty. Symptoms reappeared in one patient due to coeliac axis occlusion. The mean follow-up period was 35 +/- 23 months (range: 12-78 months).Conclusion: Our study demonstrates that trans-peritoneal laparoscopy for treating median arcuate ligament syndrome is safe and feasible. Additional patients and a longer follow-up are needed for long-term assessment of this laparoscopic technique. (C) 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
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Report on a special investigation of the State Public Defender’s Office for the period August 31, 2007 through March 31, 2011
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Agreed upon procedures report on the Iowa Turkey Marketing Council for the period January 1, 2011 through December 31, 2012
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Special investigation of the City of Farmington for the period July 1, 2009 through November 30, 2012
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Examination report on the City of Gilbert, Iowa for the period May 1, 2012 through April 30, 2013
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Report on a special investigation of the City of Grand River for the period July 1, 2004 through March 7, 2012
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Report on a review of selected general and application controls over the Iowa Department of Administrative Service’s Human Resource Information System (HRIS), Payroll System and Integrated Information for Iowa System (I/3) for the period March 26, 2012 through April 27, 2012
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Report on a review of selected general and application controls over the Iowa Department of Workforce Development (IWD) MyIowaUI and Unemployment Insurance Benefit systems for the period April 16, 2012 through May 4, 2012
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Report on a review of selected general and application controls over the University of Northern Iowa Student Information System for the period June 12, 2012 through July 16, 2012