1000 resultados para manual medicine
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Morphological descriptors are practical and essential biomarkers for diagnosis andtreatment selection for intracranial aneurysm management according to the current guidelinesin use. Nevertheless, relatively little work has been dedicated to improve the three-dimensionalquanti cation of aneurysmal morphology, automate the analysis, and hence reduce the inherentintra- and inter-observer variability of manual analysis. In this paper we propose a methodologyfor the automated isolation and morphological quanti cation of saccular intracranial aneurysmsbased on a 3D representation of the vascular anatomy.
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Support manual for preventing bullying and harassment in school.
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Although Iowa has some of the most productive agricultural land in the nation, it also maintains a very extensive road network.Consequently, landowners and roadway officials often must deal with drainage issues affecting private lands and public highways. However, many individuals are unfamiliar with legal drainage requirements, practices, and procedures, which can result in misunderstandings concerning maintenance responsibilities for drainage facilities, sometimes leading to litigation. To assist propertyowners, public agencies, and others with interest in better understanding drainage maintenance responsibilities, a reference manual was developed to describe Iowa’s drainage laws and offer interpretations in a clear and concise manner. To develop a comprehensive drainage manual, researchers identified and reviewed current available literature. These resources described pertinent drainage issues and presented explanations of legal responsibilities. The literature review included manuals and guides from Iowa, surrounding states, and federal agencies. Researchers developed a survey to assess the needs and interestsof potential users of an Iowa drainage law manual. Survey responses were used to identify common problems and concerns among individuals who encounter drainage issues on a regular basis. Issues mentioned in the survey responses included interpretation of drainage laws and commonly encountered questions relating to public improvements and private interests. Many individuals, including county engineers, stated interest in specific topics such as maintenance and/or diversion of drainage, landowner issues, and upstream and downstream impacts. Overall, the survey provided researchers with valuable information regarding drainage issues, problems, current policies, and concerns. A comprehensive manual of Iowa drainage law will assist agencies and individuals in interpreting current code requirements and in implementing effective and beneficial solutions when dealing with drainage issues.
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This booklet has been prepared by the Division of Workers’ Compensation to provide information and guidelines in handling Iowa workers’ compensation claims. For more detailed information, reference should be made to Iowa Code chapters 85 through 87, 17A and chapter 876 of the Iowa Administrative Code.
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The aim of this article is to propose an anthropological point of view about informed consent in medicine. This quest for legitimacy should be read as a relational and social construction. In the heart of clinical complexity we find on one side various techniques employed by the medical community to validate research and to obtain the consent of patients. On the other side patients offer plural and subjective answers due to the doctor patient hierarchical and long relationship. Between constraints and freedoms, informed consent brings to light social relation.
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Quan es va plantejar aquest treball, a l’Observatori de Neologia s’havia substituït el buidatge manual de textos per un de semiautomàtic. No s’havia realitzat cap estudi contrastiu entre ambdues metodologies, i els resultats presentats en aquest projecte donen resposta a les limitacions de cada mètode i llur aportacions.
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Considerable interest for cell-derived microparticles has emerged, pointing out their essential role in haemostatic response and their potential as disease markers, but also their implication in a wide range of physiological and pathological processes. They derive from different cell types including platelets - the main source of microparticles - but also from red blood cells, leukocytes and endothelial cells, and they circulate in blood. Despite difficulties encountered in analyzing them and disparities of results obtained with a wide range of methods, microparticle generation processes are now better understood. However, a generally admitted definition of microparticles is currently lacking. For all these reasons we decided to review the literature regarding microparticles in their widest definition, including ectosomes and exosomes, and to focus mainly on their role in haemostasis and vascular medicine.
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The purpose of this chapter is to implement Iowa Code chapter 316 and sections 6B.42, 6B.45, 6B.54 and 6B.55, as required by the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, Pub. L. 91-646, as amended by the Uniform Relocation Act Amendments of 1987, Title IV, Pub. L. No. 100-17 , Sec. 104, Pub. L. 105-117, and federal regulations adopted pursuant thereto.
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This manual describes best roadway maintenance practices for Iowa's local roads and streets, from the center line to shoulders, ditches, and drainage, with chapters on public relations, bridge maintenance, and snow and ice control. Each chapter contains safety tips, information(as appropriate) on managing quality control, and a list of references for further information.
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Blockade of the renin-angiotensin-aldosterone cascade is now recognised as a very effective approach to treat hypertensive, heart failure and high cardiovascular risk patients and to retard the development of renal failure. The purpose of this review is to discuss the state of development of currently available drugs blocking the renin-angiotensin system, such as angiotensin converting enzyme (ACE) inhibitors, renin inhibitors and angiotensin II receptor antagonists, with a special emphasis on the results of the most recent trials conducted with AT(2) receptor antagonists in heart failure and Type 2 diabetes. In addition, the future perspectives of drugs with dual mechanisms of action, such as NEP/ACE inhibitors, also named vasopeptidase inhibitors, are presented.
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A actual tendência de crescimento da epidemia da SIDA e os riscos derivados da presença das IST, atingindo amplos sectores populacionais, a um alto custo emocional, social e económico, ressaltam a importância do aconselhamento entre as acções de saúde pública. Esta epidemia evidencia questões fundamentais para o sistema de saúde em geral. Entre estas, aquelas que dizem respeito à qualidade da relação construída entre profissional de saúde e Utente. Esta relação estabelece um encontro íntimo e privilegiado para a acção preventiva, na medida em que as mensagens são individualizadas e ajustadas às necessidades e possibilidades do Utente. A prática do aconselhamento nas Unidades de Saúde é um instrumento importante para romper a cadeia de transmissão das IST e da SIDA. Apesar de ser uma actividade muitas vezes já desenvolvida pelos profissionais de saúde que actuam nessa área, requer atenções especiais por implicar questões subjectivas, como atitudes e valores do aconselhador, e por envolver temáticas com desdobramentos emocionais e socioculturais. Portanto, a formação de aconselhadores em IST e SIDA deve levar em conta essas questões ao propor a padronização das linhas de acção a serem desenvolvidas pelas Unidades de Saúde, utilizando um adequado referencial teórico e metodológico. O presente Manual tem por finalidade sistematizar uma proposta de implantação da prática do aconselhamento nas Unidades de Saúde e subsidiar as actividades de formação de aconselhamento em IST e SIDA, oferecendo aos instrutores recursos conceituais e metodológicos. A descrição do processo de aconselhamento está apresentada em documento específico1 e contempla os conceitos utilizados neste plano de curso, que está constituído por sete unidades, as quais guardam entre si uma sequência lógica. A Unidade I, Construindo o Conceito de Aconselhamento, tem por finalidade refletir sobre a prática profissional e sua relação com a Actividade de aconselhamento. A Unidade II, Conhecimentos Básicos de Epidemiologia das IST e da SIDA, propicia a aquisição de conhecimentos sobre esse tema, associando-o com o aconselhamento.
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Ministérios de Saúde
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Les menaces pour la santé des voyageurs proviennent souvent de l'émergence ou de la réémergence d'anciennes et de nouvelles maladies infectieuses. En Amérique du Sud c'est une augmentation des cas de fièvre jaune qui a fait du bruit. A Bornéo, une nouvelle espèce de Plasmodium pathogène pour l'humain a été mise en évidence. Après l'épidémie sur les îles de l'océan Indien, le virus du Chikungunya a causé de nouveaux foyers et ceci même en Europe. La première journée mondiale de la rage a rappelé que cette maladie continue à tuer un nombre important de personnes dans les pays aux ressources limitées. La rage affecte également des personnes de nos pays comme l'illustre deux situations récentes. Finalement, le nouveau Règlement sanitaire international permettra à l'OMS de mieux répondre aux urgences de santé publique de portée internationale. The threats for the health of travellers come often from the emergence or the re-emergence of old and new infectious diseases. In South America an important increase of the number of cases of yellow fever was reported. On the island of Borneo a new species of Plasmodium pathogenic for humans has been identified. After the Chikungunya epidemic that affected the islands of the Indian Ocean, the virus has caused new epidemic foci and this even in Europe. The first World Rabies Day reminded us that this disease still kills a large number of persons in countries with limited resources. Rabies can also affect persons from our countries, as it was illustrated by two recent situations. Finally the new International Health Regulation will allow the WHO to better respond to public health emergencies of international concern
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Ministério de Saúde