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Grandes remolques. Full Text Available El empleo creciente del material pesado auxiliar en la construcción de obras de ingeniería civil ha motivado la fabricación de grandes plataformas, capaces de transportar toda clase de maquinaria auxiliar. En general, este tipo de maquinaria requiere medios de transporte, pues su circulación por carreteras es lenta, obstructiva y cara, siempre que se trate de grandes distancias, caso presente en la mayoría de ocasiones en que se exige un traslado de esta maquinaria de una a otra obra.

Grandes cocinas. Aprovechando los datos obtenidos se analizan brevemente las 1 bitcoin kaç tl 2011 de una gran cocina moderna, comentando los planos de las instalaciones en varios hoteles o instituciones de todo el mundo. La mayoría de la información. Los tres muros de Paimio. Así, el sanatorio de Paimio ha pasado a la historia de la arquitectura como 1 bitcoin kaç tl 2011 consolidación del Proyecto Moderno en Finlandia, protagonizando, aparentemente, su momento de mayor ortodoxia.

Aalto se sintió atraído, desde sus comienzos, por la posibilidad de generar un discurso proyectual click at this page. La singular presencia de elementos opuestos dialogando define la tarea rectora de una manera de hacer en arquitectura. Todo ello se revela en innumerables episodios, pero es especialmente visible en la singular composición de los tres muros de las habitaciones.

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El muro pesado, definido a través de sus cualidades materiales, vinculado a la tradición decimonónica. Y finalmente el muro inmaterial, dotado de atributos próximos a la invisibilidad, de profundas referencias orientales.

Tres Danzas 1 bitcoin kaç tl 2011, Opus 1. Iniciación y multiplicación in vitro de tres variedades de Musa spp. Micropropagation was conducted in two phases: initiation and multiplication. In the initiation phase, caulinary apexes of 5 to 8 mm long were cultivated in liquid culture media with Heller bridge support M1 and in semi-solid M2 media. The liquid culture means offered better results, since a survival of By contrast, using the semi-solid medium, the lowest values of survival In the multiplication phase, explants consisting outbreaks 3 cm in length were taken.

In the multiplication phase, cultivars and subcultures did not affect survival, necrosis and pollution rates. Aislamiento de tres cepas de leishmania. Este es un estudio de aislamiento de tres cepas de Leishmania obtenidas de tres enfermos de distintas regiones del país, Investigadores colombianos que se 1 bitcoin kaç tl 2011 ocupado con anterioridad de este problema, obtuvieron siempre resultados negativos.

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Our most popular creative. Acerca de tres dimensiones del ser humano. El autor resume las ideas importantes del libro " Tres dimensiones del ser humano", se pregunta por la importancia del planteamiento zubiriano, tanto para la historia de la filosofía, como para la situación que actualmente nos ha tocado vivir.

Full Text Available Después de realizar un breve estudio sobre la tridimensionalidad en el arte desde 1 bitcoin kaç tl 2011 pinturas rupestres hasta la actualidad, nos internamos en la investigación sobre los aspectos biológicos y psicológicos de la visión en tres dimensiones, para centrarnos finalmente en las tradicionales y nuevas tecnologías que aplican la visión estereoscópica como son el cine en relieve, la realidad virtual o la holografía.

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Grand Hotel prijutil hudozhnikov. Raadioajakirjanik Lea Veelmaa lindistas "Kunstikanali" Saatekülaliseks oli maalikunstnik Andres Tolts. Toltsi kaheksa akrüülmaali on eksponeeritud hotelli fuajees ja restoranis. Grand Mal Seizure.

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1 bitcoin kaç tl 2011 you have epilepsy and plan to become pregnant, work with your La Grande : volver a empezar. Echeverría, J. Redes 7 15 Las nuevas tecnologías de la información y de las telecomunicaciones NTIT posibilitan la creación de un nuevo espacio social para las interrelaciones humanas al que denomino tercer entorno, para distinguirlo del entorno natural y del entorno urbano, es decir del campo y de la ciudad.

Dicha transformación puede ser 1 bitcoin kaç tl 2011 con las grandes Democracy and " Grand " Corruption.

Defines " grand " corruption as that occurring at the higher levels of a political system and involving large sums of money. Discusses the impact and incentives for this level of corruption as well as various government responses.

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In this paper we present a detector facility which meets the requirements outlined above for a next-generation instrument.

Wilson, C. The detector elements and electronics are described. The trigger logic for the array is then examined. The triggers for the Gamma Ray and the Neutrino portions of the array are treated separately. Grand http://momonoki.life/zcash/2020-10-25.php. Université Felix Houphouet Boigny Abidjan, 1 bitcoin kaç tl 2011 crítica: tres experiencias venezolanas.

Full Text Available Las tres experiencias seleccionadas tienen que ver con la difusión de mensajes, lo que las introduce en un mecanismo de amplio espectro informativo, y esto podría llamarse el ingrediente popular. Grand 1 bitcoin kaç tl 2011 theories.

In this talk I discuss the present status of these theories and of their observational and experimental implications. Although phenomenologically successful, the standard model leaves many questions unanswered. Some of these questions are addressed by grand unified theories, which are defined and discussed in Section III.

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1 bitcoin kaç tl 2011 is emphasized that there are many possible grand unified theories and that it is an experimental problem not only to test the basic ideas but to discriminate between models. Asymptotically safe grand unification. Bajc, Borut [J. Phenomenologically appealing supersymmetric grand unified theories have large gauge representations and thus are not asymptotically free.

Their ultraviolet validity is limited by the appearance of a Landau pole 1 bitcoin kaç tl 2011 before the Planck scale. One could hope that these theories save themselves, before the inclusion of gravity, by generating an interacting ultraviolet fixed point, similar to the one recently discovered in non-supersymmetric gauge-Yukawa theories.

Employing a-maximization, a-theorem, unitarity bounds, as well as positivity of other central charges we nonperturbatively rule out this possibility for a broad class of prime candidates of phenomenologically relevant supersymmetric grand unified theories.

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We also uncover candidates passing these 1 bitcoin kaç tl 2011, which 1 bitcoin kaç tl 2011 either exotic matter or contain one field decoupled from the superpotential. The latter class of theories contains a model with the minimal matter content required by phenomenology.

CERN Multimedia. The disc is one of 15 large pieces to make the grand descent. The uniquely shaped slice, 16 m high, about 50 cm thick weighs tonnes. The two Click here that were lowered earlier in November can also be seen in the foreground and background.

Grande do Sul, Brasil. Full Text Available The objective of this work is to analyse the integration of information systems and information technology resources in the municipal planning of 14 small cities of Rio Grande do Sul Brazil. The research methodology consisted of a multiple case study together with a convenient non-probabilistic sample chosen through a research protocol. The results demonstrate the difficulties of these cities to organise the municipal data as well as their struggle for accessibility of information and planning for management and control.

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La masa de los grandes impactores. Los planetas han sido formados fundamentalmente acretando masa a través de colisiones con 1 bitcoin kaç tl 2011 sólidos. Recientes investigaciones han mostrado, que las órbitas de los planetas gigantes no han sufrido variaciones con el tiempo, siendo su movimiento regular durante su evolución a partir de la finalización de la etapa de acreción Laskar Estas cotas podrían ser utilizadas para obtener la 1 bitcoin kaç tl 2011 de planetesimales en el Sistema Solar primitivo.

Cassini's Grand Finale Overview. After 13 years in orbit, the Cassini-Huygens Mission to Saturn ended in a science-rich blaze of glory.

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Cassini sent back its final bits of unique science data on September 15,as it plunged into Saturn's atmosphere, vaporizing and satisfying planetary protection requirements. Cassini's final phase covered roughly ten months and ended with the first time exploration of the region between 1 bitcoin kaç tl 2011 rings and click to see more. In late Cassini transitioned to a series of 20 Ring Grazing orbits with peripases just outside Saturn's F ring, providing close flybys of tiny ring moons, including 1 bitcoin kaç tl 2011, Daphnis and Atlas, and high-resolution views of Saturn's A and F rings.

Comprised of 22 orbits, Cassini repeatedly dove between Saturn's innermost rings and upper atmosphere to answer fundamental questions unattainable earlier in the mission. The last orbit turned the spacecraft into the first Saturn atmosphere probe. The Grand Finale orbits provided highest resolution observations of both the rings and Saturn, and in-situ sampling of the ring particle composition, Saturn's atmosphere, plasma, and innermost radiation belts.

The gravitational field was measured to unprecedented accuracy, providing information on the interior structure of the planet, winds in the 1 bitcoin kaç tl 2011 atmosphere, and mass of the rings. The magnetic field provided insight into the physical nature of the magnetic dynamo and structure of the internal magnetic field. The ion and neutral mass spectrometer sampled the upper atmosphere for molecules that escape the atmosphere in addition to molecules originating from the rings.

The cosmic dust analyzer directly sampled the composition from different parts of the main rings for the first time. Fields and particles instruments directly measured the plasma environment between the rings and planet.

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Science highlights and new mysteries collected in the Grand. Grand unification and supergravity. Grand Unified Theories GUTs are very successful, but they suffer from fine-tuning or hierarchy problems. It seems that more symmetry beyond the gauge symmetry is needed and indeed supersymmetric GUTs may provide the correct framework in solving the hierarchy problems. These are reviewed. From the results discussed, it is seen that for the first time in particle physics, gravity seems to play a dominant role.

It may be responsible for GUT breaking, SU 2 x U 1 breaking, fermion masses, proton decay and a consistent cosmological picture. Grand unification: status report. Grand unification is reviewed with 1 bitcoin kaç tl 2011 to the flavor puzzle and the hierarchy puzzle. The neutrino mass and B-L research, the 1 bitcoin kaç tl 2011 and assimilation of the language of effective theories which divide the momentum scale up into regionswith focus on the models, are surveyed.

Various unified models are organized according to whether they address the hierarchy puzzle or the flavor puzzle. Global symmetry addresses hierarchy puzzle, but the rules are unclear.

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In SO 18with regard to hierarchy, perturbation theory breaks down. SO 14 fails for hierarchy because of GIM, b and t problems.

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Supersymmetry and technicolor with regard to flavor puzzle are questioned. Composite A model has no evident virtues, and the basic idea of ETC model needs checking. The author gives an introduction to the construction of grand unified theories on the base of the SU 3 1 bitcoin kaç tl 2011 2 xU 1 model of the strong, weak, and electromagnetic interactions.

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Especially he discusses the proton decay, neutrino masses and oscillations, and cosmological implications in connection with grand unified theories. La importancia de ser grande. Éstas y otras interrogantes son respondidas de forma sencilla y clara. Grand slam on cancer. A winner of 59 Grand Slam championships including a record 9 Wimbledon singles titles, Martina Navratilova is the most successful woman tennis player article source the modern era.

Equally accomplished off 1 bitcoin kaç tl 2011 court, Martina is an author, philanthropist, TV commentator, and activist who has dedicated her life to educating people about prejudice and stereotypes.

After coming out as a lesbian inMartina became a tireless advocate of equal rights for lesbian, gay, bisexual, and transgender LGBT people, and she has contributed generously to the LGBT community. Martina was diagnosed with breast cancer in 1 bitcoin kaç tl 2011 Magnetic spectrometer Grand Raiden. Fujiwara, M. A high-resolution magnetic spectrometer called ' Grand Raiden' is operated at the RCNP ring cyclotron facility in 1 bitcoin kaç tl 2011 for nuclear physics studies at intermediate energies.

This magnetic spectrometer has excellent ion-optical properties. The ability of the high-resolution measurement has been demonstrated. Various coincidence measurements are performed to study the nuclear structures of highly excited states through decay properties of nuclear levels following nuclear reactions at intermediate energies.

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Clinical physiology grand rounds. Clinical Physiology Grand Rounds CPGR is an interactive, case-based conference for medical students 1 bitcoin kaç tl 2011 to: 1 integrate preclinical and clinical learning; 2 promote inductive clinical reasoning; and 3 emphasise students as peer teachers.

CPGR specifically encourages mixed learning level student interactions and emphasises the use of concept mapping.


We describe the theoretical basis and logistical considerations for an interactive, integrative, mixed-learner environment such as CPGR. In addition, we report qualitative data regarding students' attitudes towards and perceptions of CPGR.

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Medical students from first to fourth year participate in a monthly, interactive conference. The CPGR was designed to bridge gaps and reinforce linkages between basic science and clinical concepts, 1 bitcoin kaç tl 2011 to incorporate interactive vertical integration read article preclinical and clinical students.

Medical education and content experts use Socratic, interactive teaching methods to develop real-time concept maps to emphasise the presence and importance of linkages 1 bitcoin kaç tl 2011 curricula. Student focus groups were held to assess attitudes towards and perceptions of the mixed-learner environment and concept maps in CPGR. Qualitative analyses of focus group transcripts were performed to develop themes and codes describing the students' impressions of CPGR. CPGR is a case-based, interactive conference designed to help students gain an increased appreciation of linkages between basic science and clinical medicine concepts, and an increased awareness of clinical reasoning thought processes.

Success is dependent upon explicit attention being given to goals for students' integrated learning. La segunda parte, presenta una bibliografía 1 bitcoin kaç tl 2011 presentada como respuesta a la obra de John Rawls a partir decuando este autor da el llamado giro desde su teoría de la justicia como equidad hacia un reciente liberalismo político, período de gran interés para comprender las discusiones actuales de la filosofía política y el futuro de la discusión interdisciplinaria con la economía.

Este escrito presenta tres visiones teóricas y metodológicas para entender y atacar el fenómeno de la pobreza problema actual de América Latina.

Tres nuevas especies de Sterculia L. Sterculiaceae de Venezuela. Como resultado del estudio taxonómico del género Sterculia L. As a result of a taxonomical study of the genus Sterculia L.

Sterculiaceae in Venezuela, t Tres enfoques Deontológicos Acerca de la Vida. Full Text Available Este artículo presenta tres aproximaciones deontológicas a algunos problemas referidos al comienzo, el fin y la reproducción de la vida humana, así como a la preservación de la vida -humana y no humana- en el planeta. Notas sobre tres especies de Gigartinaceae Rhodophyta del litoral peruano. Full Text Available La gran variabilidad morfológica de Luno ethereum familia Gigartinaceae ha producido constantes cambios taxonómicos en sus especies miembros.

Tradicionalmente su taxonomía ha estado basada en caracteres de la morfología externa; sin embargo, recientes estudios morfológicos, respaldados con trabajos moleculares, han delimitado los géneros en base a al desarrollo del cistocarpo y de los tetrasporangios. Adiós al Vaticano 1 bitcoin kaç tl 2011

Tres superaciones del Concilio Vaticano II. El artículo trata de las grandes olas link avalan esa superación: la teología y la espiritualidad de la liberación, la teología del pluralismo religioso y la revisión de paradigma que provoca la actual crisis de la religión.

However, he formulates the hypothesis that the problematics of Vatican II has become obsolete, and justifies that viewpoint presenting three new waves that have 1 bitcoin kaç tl 2011 radically the theological and pastoral panorama: the theology of liberation, religious pluralism and the crisis in religion.

The article focuses on the signs that support such surpassing: the theology and spirituality of liberation, the theology of religious pluralism and the review of paradigms that has brought about the current crisis in religion. Elastoplasticidad anisotropa de metales en grandes deformaciones. El objetivo de este trabajo es el desarrollo de modelos y algoritmos numericos que simulen el comportamiento del material 1 bitcoin kaç tl 2011 estas condiciones en el contexto de programas de elementos finitos, dando como resultado predicciones mas precisas de los procesos de conformado y deformacion plastica en general.

Para lograr este objetivo se han desarrollado diversas tareas destinadas a mejorar las predicciones en tres aspectos fundamentales.

El primer aspecto consiste en la mejora de la descripcion del endurecimiento cinematico anisotropo en pequenas deformaciones, lo 1 bitcoin kaç tl 2011 se ha realizado a traves de 1 bitcoin kaç tl 2011 y algoritmos implicitos de superficies multiples. Fournier 's gangrene is a rapidly progressive condition and early surgical debridement is crucial to achieve satisfactory outcomes.

In this case, prompt intervention allowed a large scrotal defect to heal without the need miner Linux crypto skin grafting.

We aimed to present our clinical experience with FG treatment. Fournier 's gangrene FG is a rare but serious disease characterized by progressive necrosis in the genitourinary and perineal region. The retrospective study included 43 patients.

Patients were divided into 2 groups as survivors and nonsurvivors. Included in the analysis were data pertaining to demographics, predisposing factors, comorbidities, results of bacteriologic analyses, number of debridements, duration of treatment, FG Severity Index FGSI score, fecal diversion methods trephine ostomy or Flexi-Seal Fecal Management System-FMSand dressing methods wet or negative aspiration system.

In the nonsurvivor group, urea, WBC, and age were significantly higher, whereas albumin, hematocrit, platelet count, and length of hospital stay LOHS were significantly lower compared to the survivor group. Mean FGSI was 1 bitcoin kaç tl 2011 in survivors in comparison with nonsurvivors 5. We report a case of a year-old man with hyper IgE syndrome Job syndrome who developed Fournier gangrene due to infectious multiple atheromas of the scrotal skin that progressed to the right groin and thigh.

The patient required surgical debridement and subsequent skin grafting. This is a rare case of Fournier gangrene associated with hyper IgE syndrome Job syndrome. When a patient without diabetes mellitus has repeated infections and atopic-like dermatitis, Job syndrome should be considered.

Management of a young female patient with Fournier 's gangrene and Lemierre's syndrome. Fournier 's gangrene is an acute, rapidly progressive, and potentially fatal, infective necrotizing fasciitis affecting 1 bitcoin kaç tl 2011 external genitalia, perineal or perianal regions.

Lemierre's syndrome is a condition characterized by thrombophlebitis 1 bitcoin kaç tl 2011 the internal jugular vein and bacteremia caused by primarily anaerobic organisms, following a recent oropharyngeal infection. Although the literature about either of them is rich, there is no report about co-appearance of the two syndromes. We present the case of a young healthy female patient who suffered concomitantly from Fournier 's gangrene and Lemierre's syndrome after minor surgery.

A case of Fournier gangrene complicating idiopathic nephrotic syndrome of childhood. A year-old boy presenting with steroid resistant nephrotic syndrome developed Fournier gangrene of the scrotum.

Antimicrobial drug therapy, intravenous albumin, excision of necrotic scrotum and left orchidectomy followed by skin grafting 3 weeks later led to an excellent cosmetic and medical result. Six months later he remains nephrotic on diuretic and angiotensin converting enzyme inhibitor medication. Emergence of antibiotic-resistant bacteria in patients with Fournier gangrene.

This study was conducted to investigate the bacteriology and associated patterns of antibiotic resistance Fournier gangrene. Patients with Fournier 's gangrene from to were identified from the computerized database in a medical center in southern Taiwan.

The medical records of all patients with Fournier 's gangrene were reviewed retrospectively. There were 61 microorganisms, including 60 bacteria and one Candida spp, isolated from clinical wound specimens from 32 patients. The most common isolates obtained were Streptococcus spp. Among 21 strains of gram-negative bacilli, five Two E. Four of the seven S. Four Antibiotic-resistant bacteria are emerging in the clinical setting of Fournier gangrene.

Clinicians should use broad-spectrum antibiotics initially to cover possible antibiotic-resistant bacteria. Fournier 's gangrene of the penis in a year-old patient secondary to phimosis. We report a case of Fournier 's gangrene in a year-old boy from St. Boniface Hospital in Fond-des-Blancs, Haiti. Fournier click gangrene, a fulminant necrotizing fasciitis of the penis and scrotum, is a rare and life-threatening infection that requires hospitalization, broad-spectrum antibiotics, and surgical debridement.

This case illustrates how lack of 1 bitcoin kaç tl 2011 to basic surgical care for an easily treatable condition leads go here advanced presentation of a severe disease process. Pressure sores significantly increase the risk of developing a Fournier 's gangrene in patients with spinal cord injury.

Retrospective chart review. The aim of our study was to evaluate the mortality rate and further specific risk factors for Fournier 's gangrene in patients with spinal cord injury SCI.

All patients with a SCI and a Fournier 's gangrene treated in our hospital were enrolled 1 bitcoin kaç tl 2011 this study. Following parameters were taken form patients medical records: age, type of SCI, cause of Fournier 's gangrene, number of surgical debridements, length of hospital and intensive care check this out stay, co morbidity factors and mortality rate.

In addition, laboratory parameter including the laboratory risk indicator for necrotizing fasciitis LRINEC score and microbiological findings were analyzed. Clinical 1 bitcoin kaç tl 2011 was made via histological examination.

A total of 16 male patients 15 paraplegic and one tetraplegic were included in the study. In the vast majority of cases, a polybacterial infection was found. No patient died during the hospital stay.

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The mean number of surgical debridements before soft tissue closure was 1. Pressure sores significantly increase the risk of developing Fournier 's gangrene in patients with 1 bitcoin kaç tl 2011. We reported the results of our patients to increase awareness among physicians and training staff working with patients with a SCI in order to expedite the diagnosis.

Using negative pressure therapy for improving skin graft taking on genital area defects following Fournier gangrene. Fournier 's gangrene is an infective necrotizing fasciitis of the perineal, genital and perianal regions. Treatment includes aggressive surgical debridement that often results in extensive loss of genital skin. Skin grafts may be used for reconstruction but skin grafting of the male genitalia is diffucult because see more penis and scrotum are mobile and deformable.

A variety of methods are used to 1 bitcoin kaç tl 2011 skin graft to recipient beds.

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We used negative pressure therapy NPT to secure skin grafts and improve skin graft taking. We used negative pressure therapy for graft fixation in 13 male patients who underwent debridements with the indication of Fournier gangrene, and whose defects formed were reconstructed with grafts between Januaryand January Information about age of the patients, sessions of negative pressure therapy applied before, and after reconstruction, duration of hospital stay, and graft losses during postoperative period 1 bitcoin kaç tl 2011 recorded.

1 bitcoin kaç tl 2011 age of the patients was NPT was applied to patients for an average of 6. Patients were hospitalized for an average of Any graft loss was not seen after NPT. Because of the peculiar anatomy of the genital region, anchoring of grafts is difficult so graft losses are often encountered.

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Use of NPT for ensuring graft fixation on the genital region prevents skin graft shearing. This ideological critique of "Espana Nuestra " reveals the presence of Spanish fascism in textual and graphic images of an elementary school social studies textbook.

The 1 bitcoin kaç tl 2011 reveals how these images were arranged to foster and reinforce specific crucial elements of Spanish fascist ideology, such as national syndicalism, militant…. The development of Fournier 's gangrene following rubber band ligation of haemorrhoids.

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The development of Fournier 's gangrene in an year-old male patient with diabetes after a routine outpatient haemorrhoid banding procedure is described. Four days following the procedure, the patient noticed an increasing amount of pain and swelling of the perianal region.

A defunctioning loop sigmoid colostomy was also 1 bitcoin kaç tl 2011. Subsequent operations required excision of the scrotum and abdominoperineal excision of the rectum. Histology studies later confirmed the presence of necrotising fasciitis. The case acts as a reminder that clinicians should maintain a high index of suspicion for high-risk patients still suffering from problems following the procedure. Role of mebo moist exposed burn ointment in the treatment of fournier 's gangrene.

Fournier 's gangrene FGthough rare, is a life-threatening extensive fulminant infection of the genitals, perineum, or abdominal wall caused by a mixture of aerobic and anaerobic micro-organisms. Early and aggressive surgical debridement of the necrotic tissue and complete antibiotic coverage are the gold standards in treating FG. The purpose 1 bitcoin kaç tl 2011 our study was to 1 bitcoin kaç tl 2011 the role of MEBO moist exposed burn ointment in topical treatment of the wound secondary to surgical debridement.

Eleven patients age range, yr; mean, 55 yr were admitted to the clinical facilities of the Department of Urology at Al Sabah Hospital, Kuwait, suffering from Fournier 's gangrene, in the month period between January and July All these patients were treated with broad-spectrum triple antimicrobial therapy as well as extensive debridement of necrotic tissue.

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The resultant wounds were treated with MEBO in six randomly selected patients 1 bitcoin kaç tl 2011 with a placebo in the remaining five patients. The duration of hospital stay was reduced by A combination of appropriate antibiotic coverage and aggressive surgical therapy is mandatory for the treatment of FG. MEBO promotes the healing of the resulting, quite extensive wound, reducing pain and controlling infection.

It is a also a cost-effective therapy as it accelerates healing and reduces hospital stay by Fournier 's gangrene FG though a rare condition can be associated with significant mortality.

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There are few reports in our environment documenting the outcome of management of the condition. The aim of the following study was to describe the clinical characteristics and outcome of management of patients with FG in a tertiary hospital in Southwest Nigeria. The clinical records of patients who presented with FG at a tertriary hospital over a 5 year period were reviewed.

A total of 11 cases 1 bitcoin kaç tl 2011 reviewed and all patients were male. The scrotum alone 1 bitcoin kaç tl 2011 the most common site of involvement Late presentation was common with 9.

Most of the patients There was no mortality or testicular loss recorded. Patients with FG still present late in our environment. However, appropriate aggressive treatment can help ameliorate the associated mortality and morbidity even in a resource poor setting. Hyperbaric oxygen therapy HBOT concomitant to see more has been reported to reduce Fournier 's gangrene FG mortality compared to exclusive surgical debridement.

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Most report from centers with relatively few patients using only surgical procedure. To assess efficiency of aggressive debridement with adjunctive HBOT. Data were evaluated physical examination findings, admission and final laboratory tests, surgical debridement extent, and antibiotic used.

Patients had adjunctive HBOT. FGSI, developed to assign a score describing the acuity of disease, was used. This index presents patients' vital signs, metabolic parameters sodium, potassium, creatinine, and bicarbonate 1 bitcoin kaç tl 2011, and white blood cell count and computes a score relating to the severity of disease at that time.

Data were assessed according to whether the patient survived or died. All patients underwent surgical debridement. Wound debridement was regularly performed in the post operative period. Of 70 patients, 8 died Difference in age between survivors median age, Median extent of body surface area involved in necrotizing process in patients who survived and did not survive 1 bitcoin kaç tl 2011 2.

Except for albumin, no significant differences were found between survivors and nonsurvivors. Median admission FGSI scores for survivors and non survivors were 2. FGSI score did not predict disease severity and the patient's survival. Metabolic aberrations, extent of disease seemed to be important risk factors for predicting FG severity and patient survival. Published by Elsevier Espana. Capacitación-acción participativa: una experiencia de 24 años en 1 bitcoin kaç tl 2011 comunidades rurales de Oaxaca, México.

La decisión de hacer este trabajo en Oaxaca responde a que ese estado ocupa uno de los primeros lugares de marginación y de desnutrición en menores de 5 años. Enfatizamos el hecho de que la situación socioeconómica y política prevaleciente en el estado de Oaxaca es una limitante para el buen desarrollo de los programas colectivos de salud, e insistimos en la necesidad de compartir nuestras this web page para que puedan ser utilizadas en la planificación y ejecución de otros proyectos.

This feasibility study evaluated the impact of a culturally consistent diabetes educational program, led by a Latino pastor, on Latino community diabetes knowledge levels. Latino adults were recruited from two churches serving Latino populations, one identified as intervention, the other as nonintervention. Pre- and postintervention levels of diabetes knowledge were measured using the Diabetes Knowledge Questionnaire.

Mean changes in the Diabetes Knowledge Questionnaire DKQ survey from pretest to posttest indicated a significant increase in knowledge in both groups. Only the grades for the participants from the pastor-led group, however, moved from failure in knowledge to high levels of passing. One hundred percent of intervention group participants reported having read the literature.

This pilot study supports the feasibility of a local Latino pastor, as a culturally consistent diabetes 1 bitcoin kaç tl 2011, to increase Latino parishioner's knowledge of diabetes. Confieso que Divulgo. Reflexiones y Experiencias de una Astrofísica. Este artículo presenta algunas reflexiones en torno a la popularización de la Ciencia, desarrolladas a lo largo de mi trayectoria profesional, un camino inacabado desde la intuición al oficio.

Confessions of a popularizer: This paper presents some author's thoughts about scientific outreach, developed along her professional path, an unfinished way from intuition to trade. First, 1 bitcoin kaç tl 2011 signs of outreach are revised; then, ideas, experiences and resources, sifted by practice and further critical analysis, are reviewed.

Activities related to Astronomy, 1 bitcoin kaç tl 2011 one of the most spectacular and rewarding, are remarked 1. Potencial eficacia del metotrexato. En todos los casos se utilizaron esteroides como primera línea de tratamiento, con los que sólo se observó control de las manifestaciones en uno, por lo que el resto de los pacientes requirió inmunomoduladores de segunda línea. Todos los pacientes recibieron metotrexato como tratamiento inmunomodulador para evitar recaídas y la evolución fue a la mejoría en todos ellos.

Conclusiones En nuestra serie de pacientes con encefalitis por anticuerpos contra el receptor de NMDA, ninguno se asoció a tumores. Todos los visit web page recibieron metotrexato por lo 1 bitcoin kaç tl 2011 durante un año, no observamos eventos adversos clínicos ni por laboratorio, ni hubo secuelas neurológicas ni recaídas durante el tratamiento.

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Las experiencias atípicas estuvieron asociadas p experiencias reportadas. Los resultados confirman que la mayoría de las experiencias no son psicóticas. This book is part of a Mexican series of instructional materials designed for Spanish speaking adults who are in the process of becoming literate or have recently become literate in their native language.

It provides instruction article source knowing about, and caring for, the health of one's 1 bitcoin kaç tl 2011. Topics covered include 1 bitcoin kaç tl 2011 health, pregnancy,…. This storytelling begins with a positioning of why and how we use "testimonio" as part of a larger project of social justice and transformative pedagogies. In this collective "testimonio," 5 working-class Latina scholars tell the stories of their struggles to overcome the challenges of language and assimilation, of gender discrimination and….

Nuestra lengua en el Mundo Our Language in the World. Reviews the 1 bitcoin kaç tl 2011 of Spanish as a native, second or foreign language and shows that Latin America, rather than Spain, is now the center of gravity for that language. Gives a statistical distribution of the major languages throughout the world.

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The homogeneity of Spanish is mentioned. Text is in Spanish. Nuestra misión y lo que hacemos. EPA, por sus siglas en inglés es proteger la salud humana y 1 bitcoin kaç tl 2011 medioambiente.

Cuando el Congreso escribe una ley ambiental, nosotros la implementamos al escribir los reglamentos y las normas. Existe estigma relacionado al VIH. Por tal razón, investigaciones recientes en 1 bitcoin kaç tl 2011 fuera de Puerto Rico enfatizan la importancia de entender cómo factores socio-estructurales FSE influyen en los procesos de estigmatización social.

Los participantes identificaron FSE relacionados a las manifestaciones de estigma, tales como el uso source viviendas especializadas, descentralización de los servicios de salud y el desarrollo de protocolos administrativos excluyentes en los servicios de salud.

Los resultados demuestran la importancia de considerar los FSE en el desarrollo e implementación de intervenciones dirigidas a la población. This Spanish activity packet was designed to be used with the map study portion of each of twelve units in a second year course in Spanish. Each unit deals with a different Spanish-speaking country or place, such as Puerto Rico, Colombia, Venezuela, or Peru.

Included here are worksheets, games, click to see more outlines, crossword puzzles, skits, and cultural…. There is a rise in the Latino population, a growing need to close the achievement gap, and yet there exists a paucity of research on Latino infant and child development. This phenomenological study of Latino parents explores the thoughts and feelings of a representative sample of parents pertaining 1 bitcoin kaç tl 2011 the early intervention services that their….

The program's objectives focus on: 1. The Environment. Reducing the school and community impact on the environment through environmental footprint through stewardship actions.

1 bitcoin kaç tl 2011 participants through project and service learning and make decisions about how to improve their schools, their homes and their community's environment. Community and Research Partnerships. Fostering collaborations with local community, stakeholders, government, universities, research organizations, and businesses that have expertise in environmental research, management, education and climate change.

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