...This interruption results in the narrowing of the arteries and heart tissue ischemia, producing symptoms of pain in the chest (angina pectoris) and in serious cases a heart attack and heart failure, even sudden death. Coronary artery bypass graft (CABG) is a surgery that is provided as a common treatment for this condition. The surgery provides a bypass to the blockage in the artery and commonly using patient’s veins (usually from the leg). As a result of the operation patient’s chest pain substantially reduced and patient’s life elongated as a result of restoration of blood flow to the affected heart tissue. However, sometimes patient’s don’t have vessels with a sufficient quality standard. This could be as a result of another disease or previous operations. In this case artificial blood vessels may be used for the vessel replacement. The demand on the small-caliber grafts produced artificially is enormous and drives scientists to carryout research in this...
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...ESSAY - (lateral-) meniscus - posterior horn rupture In sports and orthopedics, a tear of a meniscus is a rupture of one or more fibrocartilage strips in the knee called menisci. Anatomy There are two menisci in the knee. The menisci are C-shaped wedges of fibrocartilage located between the tibial plateau and femoral condyles. While the ends of the thigh bone and the shin bone have a thin covering of soft hyaline cartilage, the menisci are made of tough fibrocartilage and contain 70% type I collagen. They conform to the surfaces of the bones they rest on. One meniscus rests on the medial tibial plateau; this is the medial meniscus. The other meniscus rests on the lateral tibial plateau; this is the lateral meniscus. The larger semilunar medial meniscus is attached more firmly than the loosely fixed, more circular lateral meniscus. The anterior and posterior horns of both menisci are secured to the tibial plateaus. Anteriorly, the transverse ligament connects the 2 menisci; posteriorly, the meniscofemoral ligament helps stabilize the posterior horn of the lateral meniscus to the femoral condyle. The coronary ligaments connect the peripheral meniscal rim loosely to the tibia. Although the lateral collateral ligament (LCL) passes in close proximity, the lateral meniscus has no attachment to this structure.[4] The joint capsule attaches to the entire periphery of each meniscus but adheres more firmly to the medial meniscus. An interruption in the attachment of the joint...
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...and erysipelas are often used interchangeably and current usage tends to regard erysipelas as a form of cellulitis rather than a separate entity, making clear distinction difficult (Hay 2004, Kilburn et al 2010). Erysipelas affects the upper dermis and superficial lymphatics, with distinctly raised lesions and clear lines of demarcation between involved and uninvolved tissue. Cellulitis extends more deeply, involving the deeper dermis and subcutaneous fat and lacks the distinctive anatomical features of erysipelas. For the purpose of this essay I will be using the term ‘cellulitis’ to refer to both conditions. This essay will endeavor to discuss the incidence, its clinical presentation, risk factors, differential diagnosis, pathophysiology and classification according to severity of cellulitis with reference to current and relevant literature. The management of cellulitis will not be discussed as it goes beyond the capacity of this essay to accommodate this highly researched area (See appendix IV for empirical antibiotics used to treat common SSTIs). Incidence Skin and soft tissue infections (SSTI) are relatively common, however there seems to be a...
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...This essay will be a reflective account of an incident from practice based on Gibbs’ Reflective cycle; I will critically analyse the nature of the incident based on the best available evidence. This reflection will help to identify new skills and knowledge learnt as a result of the incident and the implications for my future nursing practice. Although I am aware many reflective models exist, I have chosen to use Gibbs’s reflective framework as it is a cycle and encourages me to think about what I would do differently next time. This clearly shows Gibbs’ awareness that a nurse will have a similar experience again. This reflection method supports Schon’s (1991 cited Issitt 2003) opinion that reflecting on practice after the event is the most effective way to maintain an improvement as a development can be made. As part of the UKCC Project 2000 pre registration nurses are expected to be able to reflect on practice experiences and reflection can help create holistic and flexible practitioners (Andrews et al 1998). For the purpose of the assignment I will use a pseudonym to protect the client’s identity in accordance with the law as stated by the Department of Health (2003), there is also an obligation stated by the Nursing and Midwifery Council (NMC 2008) to protect client confidentiality. This pseudonym is Sue. The first stage of Gibbs’ model is a description of what happened; whilst on a surgical ward I was caring for a lady post operatively who had a bilateral total mastectomy...
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...Adjustment to Health Change or Crisis This essay will discuss a patient that I worked with during year two of my course, who has experienced a health change. I will also explore the psychological, social and physical changes to the patient and how adjustment was used on her lifestyle. Corsini (2002,p 20) defines Adjustment as “ Modifications of attitudes and behaviour to meet the demands of life effectively, such as carrying on constructive interprofessional relations, dealing with stressful problematic situations”. In accordance with the Nursing and Midwifery Councils Code of Conduct (NMC, 2009) to protect my patient’s confidentiality, I will refer to the patient as Margret and her husband as Charles. Margret is a 62-year-old lady who is a recently retired shop owner. She has been married for 40 years to Charles. Margret lives with her husband in a 2- bed bungalow. Margret and Charles have three sons. The sons live abroad but Margret has regular contact with them via the Internet and telephone. Margret has no other close family around her. Margret is an active lady and enjoys walking, swimming and other light exercise. Margret had attended a Doctor’s appointment at her local General Practice (G.P.) as she had not attended a check up for well over 30 years. Margret has no other medical problems and has reported to feel fit and well, with no concerns. The Doctor decided to perform a full health check and take a urine sample. The urine sample had detected glucose. Following...
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...Definitions: Abductor canal: is conduit located in middle third of anterior medial side of the thigh through which blood vessels from triangle pass to enter the posterior aspect of the leg and it’s bounded by Upper opening: it’s formed by the apex of femoral triangle Lower opening: it’s formed by adductor tendinous oppeing Anterior wall: it’s formed by sartorius and Adductor lamina Lateral Wall: it’s formed by vastus medialis Posterior Wall: It’s formed by adductor longus and adductor magmus Content6s: 1. medial muscular branch of femoral nerve 2. Saphanous nerve and its anterior to the femoral 2. Femoral vein which is posterior to the femoral artery Femoral triangle: Is a triangular are located the upper one third of anteromedial region of thigh and bounded by the following borders Superior border: formed by inguinal ligament lateral boder: formed by medial border of the sartorius Medial border: formed by medial border of adductor longus. Anterior border(the roof) formed by Skin, Superficial fascia and fascia lata Poserior border( the floor): formed by adductor longus , pectinus and iliopsoas from medial to lateral Contents: 5Fs: 1-femoral Nerve, femoral artery(lateral) 3- femoral vein( intermediate) 4- femoral canal (medial). 5- femoral lymph nodes and fatty tissue. Femoral sheath: Formation: formed by the continuous part of transverse fascia and iliac fascia which enclose the upper part of the femoral vessels It’s divided into three...
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...which can mimic symptoms (See appendix one). I therefore wanted to analyse the available literature in order to be able to competently and safely recognise the condition in the urgent unscheduled care environment. Background Petruzelli (1991) states that Bell’s palsy is an acute paralysis of the facial nerve first described by the Scottish surgeon and anatomist, Sir Charles Bell . Niparko (1993) elaborates that it is a generally unilateral paralysis or weakness of facial musculature consistent with facial nerve damage and dysfunction. The anatomy of the facial nerve can be found in appendix two. Pietersen (2002) states that the cause is unknown, however, whilst the exact aetiology of Bell’s palsy is still debated, viral infections, vascular ischaemia, autoimmune inflammatory disorders and heredity have been postulated as causative. (Adour 1982, Burgess 1984, Lorber 1996). Murakami et al (1996) proposed that reactivation of herpes simplex virus in the geniculate ganglia was causative. A herpes simplex cause is corroborated by Stjernquist-Desatnik, Skoog, and Aurelius (2006). Whilst the exact aetiology is disputed, a greater consensus is reached when considering the pathophysiology. Tiemstra and Khatkhate (2007) state that Bell’s palsy is thought to be caused by inflammation at the geniculate ganglion. This appears corroborated by Fisch and Esslen (1972) who noted oedematous swelling proximal to the...
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...CONTENTS Click on the up arrow to return here 1) INTRODUCTION 2) DEFINITIONS 3) ETHICAL THEORY 4) ETHICAL DECISION MAKING 5) NEGLIGENCE 6) CONSENT IN COMPETENT ADULTS 7) CONSENT IN CHILDREN 8) CONSENT IN INCOMPETENT ADULTS 9) CONSENT CONCERNING UNUSUAL IDEAS 10) ADVANCE DIRECTIVES 11) CONFIDENTIALITY 12) CONFIDENTIALITY AUDIT 13) EUTHANASIA 14) ABORTION 15) BIOTECHNOLOGY 16) SUGGESTED READING ONE – INTRODUCTION (Registrar) The importance of Ethical thinking in General Practice is becoming more and more apparent. It should not be thought that Ethics merely relates to the “Life and Death” issues in our Professional life – Abortion, Contraception, Euthanasia and the like. Ethical issues affect some part of almost every consultation, even if the ethical issue is something more mundane like obtaining adequate consent for an examination or respecting a patient’s dignity. Indeed, it could be argued that the Consultation skills that we foster so assiduously are actually Ethical skills – and that we need to know the patient’s “Ideas, Concerns and Expectations” in order to respect his Autonomy as well as in order to improve the outcome of the Consultation. In the 1998/99 academic year, I was appointed the deanery’s Medical Ethics fellow with a bursary from the MDU. I developed an approach to the teaching of GP ethics based on two half day sessions, which...
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...000 – Computer science, information, and general works • 000 Generalities • 001 Knowledge • 002 The book • 003 Systems • 004 Data processing and Computer science • 005 Computer programming, programs, data • 006 Special computer methods • 007 Not assigned or no longer used • 008 Not assigned or no longer used • 009 Not assigned or no longer used • 010 Bibliography • 011 Bibliographies • 012 Bibliographies of individuals • 013 Bibliographies of works by specific classes of authors • 014 Bibliographies of anonymous and pseudonymous works • 015 Bibliographies of works from specific places • 016 Bibliographies of works from specific subjects • 017 General subject catalogs • 018 Catalogs arranged by author & date • 019 Dictionary catalogs • 020 Library & information sciences • 021 Library relationships • 022 Administration of the physical plant • 023 Personnel administration • 024 Not assigned or no longer used • 025 Library operations • 026 Libraries for specific subjects • 027 General libraries • 028 Reading, use of other information media • 029 Not assigned or no longer used • 030 General encyclopedic works • 031 General encyclopedic works -- American • 032 General encyclopedic works in English • 033 General encyclopedic works in other Germanic languages • 034 General encyclopedic works in French, Provencal...
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...ISI, IBSS & SA DHET - FOR 2012 SUBMISSION TITLE LIST COUNTRY ISSN E-ISSN PUBLISHER'S DETAILS Subject classifaction International Accreditation - SA JOURNALS 4Or-A Quarterly Journal Of Operations Research ISI SCIENCE A + U-Architecture And Urbanism ISI ARTS & HUMANITIES A Contrario IBSS Aaa-Arbeiten Aus Anglistik Und Amerikanistik ISI ARTS & HUMANITIES Aaohn Journal ISI SCIENCE Aaohn Journal ISI SOC SCIENCE Aapg Bulletin ISI SCIENCE Aaps Journal ISI SCIENCE Aaps Pharmscitech ISI SCIENCE Aatcc Review ISI SCIENCE Abacus: Journal Of Accounting, Finance And Business Studies IBSS Abacus-A Journal Of Accounting Finance And Business StudiesISI SOC SCIENCE Abdominal Imaging ISI SCIENCE Abhandlungen Aus Dem Mathematischen Seminar Der UniversISI SCIENCE Abstract And Applied Analysis ISI SCIENCE Abstracts Of Papers Of The American Chemical Society ISI SCIENCE Academia-Revista Latinoamericana De Administracion ISI SOC SCIENCE Academic Emergency Medicine ISI SCIENCE Academic Medicine ISI SCIENCE Academic Pediatrics ISI SCIENCE Academic Psychiatry ISI SOC SCIENCE Academic Radiology ISI SCIENCE Academy Of Management Annals ISI SOC SCIENCE Academy Of Management Journal ISI SOC SCIENCE Academy Of Management Journal IBSS Academy Of Management Learning & Education ISI SOC SCIENCE Academy Of Management Perspectives ISI SOC SCIENCE Academy Of Management Perspectives IBSS Academy Of Management Review ISI SOC SCIENCE Academy Of Management Review IBSS Academy Of Marketing Science Review IBSS Acadiensis...
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...The DO s Dr. Andrew Taylor Still, 1828 –1917 THE DOS OSTEOPATHIC MEDICINE IN AMERICA Second Edition NORMAN GEVITZ The Johns Hopkins University Press Baltimore & London © 1982, 2004 The Johns Hopkins University Press All rights reserved. Published 2004 Printed in the United States of America on acid-free paper 246897531 The Johns Hopkins University Press 2715 North Charles Street Baltimore, Maryland 21218-4363 www.press.jhu.edu Library of Congress Cataloging-in-Publication Data Gevitz, Norman. The DOs : osteopathic medicine in America / Norman Gevitz.–2nd ed. p. ; cm. Rev ed. of: The D.O.’s. c1982 Includes bibliographical references and index. ISBN 0-8018-7833-0 (alk. paper) — ISBN 0-8018-7834-9 (pbk. : alk. paper) 1. Osteopathic medicine—United States—History. [DNLM: 1. Osteopathic Medicine—history—United States. WB 940 G396d 2004] I. Gevitz, Norman. D.O.’s. II. Title. RZ325.U6G48 2004 615.5′33′0973—dc21 2003012874 A catalog record for this book is available from the British Library. Frontispiece courtesy of the Still National Osteopathic Museum, Kirksville, Missouri. For Kathryn Gevitz This page intentionally left blank CONTENTS Preface & Acknowledgments ix Chapter 1 Andrew Taylor Still THE MISSOURI MECCA IN THE FIELD 39 1 22 Chapter 2 Chapter 3 Chapter 4 STRUCTURE & FUNCTION EXPANDING THE SCOPE 54 69 85 Chapter 5 Chapter 6 THE PUSH FOR HIGHER STANDARDS A QUESTION OF IDENTITY The California Merger 101 115...
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...National Curriculum Statement (NCS) Curriculum and Assessment Policy Statement LIFE SCIENCES Further Education and Training Phase Grades 10-12 basic education Department: Basic Education REPUBLIC OF SOUTH AFRICA CurriCulum and assessment PoliCy statement Grades 10-12 life sCienCes CAPS LIFE SCIENCES GRADES 10-12 department of Basic education 222 Struben Street Private Bag X895 Pretoria 0001 South Africa Tel: +27 12 357 3000 Fax: +27 12 323 0601 120 Plein Street Private Bag X9023 Cape Town 8000 South Africa Tel: +27 21 465 1701 Fax: +27 21 461 8110 Website: http://www.education.gov.za © 2011 department of Basic education isBn: 978-1-4315-0578-4 Design and Layout by: Ndabase Printing Solution Printed by: Government Printing Works CURRICULUM AND ASSESSMENT POLICY STATEMENT (CAPS) LIFE SCIENCES GRADES 10-12 FOREWORD by thE ministER Our national curriculum is the culmination of our efforts over a period of seventeen years to transform the curriculum bequeathed to us by apartheid. From the start of democracy we have built our curriculum on the values that inspired our Constitution (Act 108 of 1996). the Preamble to the Constitution states that the aims of the Constitution are to: • heal the divisions of the past and establish a society based on democratic values, social justice and fundamental human rights; improve the quality of life of all citizens and free the potential of each person; lay the foundations for a democratic and open society in which...
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...Employment News 11 - 17 February 2012 www.employmentnews.gov.in 21 Union Public Service Commission EXAMINATION NOTICE NO. 04/2012-CSP DATED 11.02.2012 (LAST DATE FOR RECEIPT OF APPLICATIONS : 05.03.2012) CIVIL SERVICES EXAMINATION, 2012 (Commission's website - http://www.upsc.gov.in) F. No. 1/4/2011-E.I(B) : Preliminary Examination of the Civil Services Examination for recruitment to the Services and Posts mentioned below will be held by the Union Public Service Commission on 20th May, 2012 in accordance with the Rules published by the Department of Personnel & Training in the Gazette of India Extraordinary dated 4th February, 2012. (i) Indian Administrative Service. (ii) Indian Foreign Service. (iii) Indian Police Service. (iv) Indian P & T Accounts & Finance Service, Group ‘A’. (v) Indian Audit and Accounts Service, Group ‘A’. (vi) Indian Revenue Service (Customs and Central Excise), Group ‘A’. (vii) Indian Defence Accounts Service, Group ‘A’. (viii) Indian Revenue Service (I.T.), Group ‘A’. (ix) Indian Ordnance Factories Service, Group ‘A’ (Assistant Works Manager, Administration). (x) Indian Postal Service, Group ‘A’. (xi) Indian Civil Accounts Service, Group ‘A’. (xii) Indian Railway Traffic Service, Group ‘A’. (xiii) Indian Railway Accounts Service, Group 'A'. (xiv) Indian Railway Personnel Service, Group ‘A’. (xv) Post of Assistant Security Commissioner in Railway Protection Force, Group ‘A’ (xvi) Indian Defence Estates Service, Group ‘A’. (xvii) Indian Information...
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...Employment News 31 May - 6 June 2014 www.employmentnews.gov.in 21 UNION PUBLIC SERVICE COMMISSION EXAMINATION NOTICE NO. 09/2014-CSP (LAST DATE FOR RECEIPT OF APPLICATIONS : 30/06/2014) DATE :31.05.2014 CIVIL SERVICES EXAMINATION, 2014 (Commission’s website-http://upsc.gov.in) F. No. 1/5/2013-E.I(B) : Preliminary Examination of the Civil Services Examination for recruitment to the Services and Posts mentioned below will be held by the Union Public Service Commission on 24th Aug., 2014 in accordance with the Rules published by the Department of Personnel & Training in the Gazette of India Extraordinary dated 31st May, 2014. (i) Indian Administrative Service. (ii) Indian Foreign Service. (iii) Indian Police Service. (iv) Indian P & T Accounts & Finance Service, Group ‘A’. (v) Indian Audit and Accounts Service, Group ‘A’. (vi) Indian Revenue Service (Customs and Central Excise), Group ‘A’. (vii) Indian Defence Accounts Service, Group ‘A’. (viii) Indian Revenue Service (I.T.), Group ‘A’. (ix) Indian Ordnance Factories Service, Group ‘A’ (Assistant Works Manager, Administration). (x) Indian Postal Service, Group ‘A’. (xi) Indian Civil Accounts Service, Group ‘A’. (xii) Indian Railway Traffic Service, Group ‘A’. (xiii) Indian Railway Accounts Service, Group 'A'. (xiv) Indian Railway Personnel Service, Group ‘A’. (xv) Post of Assistant Security Commissioner in Railway Protection Force, Group ‘A’ (xvi) Indian Defence Estates Service, Group...
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...McKinsey Global Institute May 2013 Disruptive technologies: Advances that will transform life, business, and the global economy The McKinsey Global Institute The McKinsey Global Institute (MGI), the business and economics research arm of McKinsey & Company, was established in 1990 to develop a deeper understanding of the evolving global economy. Our goal is to provide leaders in the commercial, public, and social sectors with the facts and insights on which to base management and policy decisions. MGI research combines the disciplines of economics and management, employing the analytical tools of economics with the insights of business leaders. Our “micro-to-macro” methodology examines microeconomic industry trends to better understand the broad macroeconomic forces affecting business strategy and public policy. MGI’s in-depth reports have covered more than 20 countries and 30 industries. Current research focuses on four themes: productivity and growth, the evolution of global financial markets, the economic impact of technology and innovation, and urbanization. Recent reports have assessed job creation, resource productivity, cities of the future, and the impact of the Internet. MGI is led by McKinsey & Company directors Richard Dobbs and James Manyika. Yougang Chen, Michael Chui, Susan Lund, and Jaana Remes serve as MGI principals. Project teams are led by a group of senior fellows and include consultants from McKinsey’s offices around the world. These teams draw...
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