976 resultados para 63-470


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A snapshot of water resource trends prepared by the Iowa DNR in collaboration with the Iowa Department of Agriculture and Land Stewardship, the U.S. Geological Survey, and The Iowa Homeland Security and Emergency Management Department.

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This report describes the U.S. 63 Corridor in terms of its economic and demographic features, the physical characteristics of the existing facility and the traffic it serves. Also, the various improvement alternatives are described and evaluated. These evaluations consider the traffic needs in the time period up to the year 2010, the travel benefits that would derive from alternative improvements to U.S. 63 and the economic development benefits that would be stimulated by such improvements. These benefits are related to the costs of the improvements and various indicators of economic feasibility are provided.

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Background: Home parenteral nutrition (HPN) was introduced in Spain in the late 1980s. Our hospital was a pioneering medical centre in this field. Aim: Analyze outcomes of our HPN program. Methods: Retrospective study of patients receiving HPN between 1986-2012. Study variables are expressed as frequency, mean ± SD (range), median [interquartile range]. Parametrics, non-parametrics test and survival analysis (p < 0.05) were applied. Results: 91 patients (55 females and 36 males, mean age: 50.6 ± 5 yrs.) who received HPN for an accrual period of 55,470 days (median: 211 days [range: 63-573]) were included. The most prevalent underlying condition was cancer (49.5%), with the commonest HPN indication being short bowel syndrome (41.1%). The most frequently used catheter type was the tunneled catheter (70.7%). The complication rate was 3.58/1,000 HPN days (2.68, infection; 0.07, occlusion; 0.07 thrombosis; and 0.59, metabolic complications). Complications were consistently associated with both the underlying condition and HPN length. Infections were most frequent within the first 1,000 days of HPN. Liver disease incidence was related to HPN duration. HPN could be discontinued in 42.3% of patients. Ten-year survival rate was 42%, and varied across the underlying conditions. Conclusions: In the present series, the commonest reason for HPN was cancer. Our complication rate is in keeping with that reported in the literature. The overall survival rate was 42%, and varied across the underlying conditions.

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The authors describe the unusual case of a 63-year-old patient who was referred with fever and lethargy, and was found to be hyponatraemic. The patient subsequently developed hemiparesis, and neuroradiology showed several space-occupying brain lesions. The cause was later identified as cerebral toxoplasmosis in undiagnosed Acquired Immunodeficiency Syndrome (AIDS).

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¿Es la ingeniería del software una ingeniería madura?, Londoño Acosta, Guillermo -- Comunicaciones y sociedad : el ingeniero de sistemas frente al siglo XXI, Ardila, Carlos H. ; Madrid Molina, Juan Manuel -- Telecommuting : ¿Una realidad en Colombia?, Ritter Meza, Grace Alexandra -- Una aplicación del método de análisis orientado a objetos, de Ivar Jacobson, Londoño Acosta, Guillermo ; Villegas, Pablo Andrés ; Castañeda Sánchez, Jairo ; Obonaga Palau, Alexander -- Internet, hipertexto y educación, Machado Zamorano, Juan Carlos -- Java y la programación orientada a objetos, Gamess, Eric -- Nuevas tecnologías en redes WAN y LAN, Osorio, Gustavo Adolfo ; Gil, Pedro Enrique ; Nader Rizo, Alberto Enrique ; Sandoval, Juan Carlos

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Practice Links is a free e-publication for practitioners working in Irish social services, voluntary and nongovernmental sectors. Practice Links was created to enable practitioners to keep up-to-date with new publications, electronic resources and conference opportunities.

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Apicación del método estadístico para analizar las tasas de crecimiento demográfico de la población de 74 centros urbanos cantonales de Costa Rica