...recurrences and chronicity in adulthood. Spinal pain Spinal pain appears due to variety of symptoms, which are experienced at least once in a lifetime by approximately 80% of a general population [1]. Classification of spinal pain concerns affected region (cervical, thoracic, lumbar, or irradiation in the limbs), duration (acute, sub-acute, chronic), or level of functional disability [1]. Lumbar pain is determined as a pain, muscle tension or stiffness that occurs between the last thoracic vertebra and the lower gluteal folds, with or without leg pain [1–3]. Chronic low back pain appears more often by working population in adulthood [1] and fluctuates during time, appears at different occurrences with different intensities and disability [4]. The complexity of symptoms could be associated with physical, psychical and recently genetic factors, as well most efficiently managed using multidisciplinary approach [5]. Spinal pain is common problem also among children and adolescents [3,6]. A cross-sectional study of 806 pupils in Denmark shows that children between 8-10 years suffer more from thoracic pain and 14 to 16 old adolescents equally from thoracic and low back pain, all together with a monthly prevalence of 39%...
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...12/18/2014 Abdul Salam Khan - 10657 Sara Salim - Amber – Hina – Faiza Naeem - Daniyal Hassan - Course Fascilitator: Dr. Naveed R. Khan Introduction: By Amber Problem Statement: The intention of this report is to focus on the comparative analysis of Human Resources for Small and Medium Enterprises (SME) in Pakistan. Past researches have primarily focused on the relationship between individual human resource (HR) practices and firm performance, but the recent research studies are based on different factors of Human Resource practices and their impact on performance outcomes. In Pakistan, Human Resource Management is in developing stage & most of the companies are trying to adopt the best practices of it. Research Objective: The objective of this report is to highlight the comparative research of Human Reources factors in Small and Medium Enterprises (SMEs) in Pakistan. Research Question: In view of the above discussion the following research question have been constructed: Q1. To what extend do the firm’s apply Human Resource Practices in SMEs. This research question examines the comparative analysis of adoption of HR practices in SMEs. Conclusion: SMEs played a vital and significant role in the development of the country’s economy. Most developed countries provide facilities to develop the SMEs, which assist the country’s economy. Whereas, Pakistan’s economy...
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...resulting in loss of consciousness) in athletics is currently one of the most compelling challenges in sports medicine. Despite the high prevalence1 and potentially serious outcomes2,3 associated with concussion, systematic research on this topic is lacking. Many sports medicine practitioners are not satisfied with current return-to-play and treatment options, which do not appear to be evidence based.4-6 There is also little research examining whether long-term cognitive See also pp 954, 958, 971, 974, and 989. 964 JAMA, September 8, 1999—Vol 282, No. 10 Context Despite the high prevalence and potentially serious outcomes associated with concussion in athletes, there is little systematic research examining risk factors and short- and long-term outcomes. Objectives To assess the relationship between concussion history and learning disability (LD) and the association of these variables with neuropsychological performance and to evaluate postconcussion recovery in a sample of college football players. Design, Setting, and Participants A total of 393 athletes from 4 university football programs across the United States received preseason baseline evaluations between May 1997 and February 1999. Subjects who had subsequent football-related acute concussions (n =...
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...IMPLANT DENTISTRY / VOLUME 20, NUMBER 5 2011 331 Identification and Treatment of Bisphosphonate-Associated Actinomycotic Osteonecrosis of the Jaws Cameron Y. S. Lee, DMD, MD, PHD,* Francis D. Pien, MD, MPH,† and Jon B. Suzuki, DDS, PHD, MBA‡ isphosphonates (BPs) are a pharmacologic class of synthetic analogs of inorganic pyrophosphate that has an affinity for calcium.1 They are used in the treatment of various malignant and benign metabolic conditions, such as hypercalcemia of malignancy; Paget’s disease of bone; multiple myeloma; and metastases from distant sites such as breast, thyroid, prostate glands, and lung. The oral form of BPs is indicated in the management of osteoporosis, fibrous dysplasia, and most recently, osteogenesis imperfecta in the pediatric population.2,3 Currently, there are 5 bisphosphonates in clinical use: alendronate (Fosamax; Merck, Whitehouse Station, NJ), risedronate (Actonel; Proctor & Gamble Pharmaceuticals, Cincinnati, OH), ibandronate (Boniva; Roche Pharmaceuticals, Nutley, NY), zoledronate (Zometa; Novartis Pharmaceuticals, East Hanover, NJ), and pamidronate (Aredia; Novartis Pharmaceuticals). All 5 medications differ in their binding affinity to bone, potency, and duration.2–5 B Osteonecrosis of the jaws (ONJ) is a condition characterized by necrotic exposed bone in the jaws of patients receiving intravenous or oral bisphosphonate therapy. A review of the medical and dental literature reveals that the pathoetiology of ONJ remains...
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...ORIGINAL INVESTIGATION Benefits of Influenza Vaccination for Low-, Intermediate-, and High-Risk Senior Citizens Kristin L. Nichol, MD, MPH; J. Wuorenma, RN, BSN; T. von Sternberg, MD Background: Vaccination rates for healthy senior citizens are lower than those for senior citizens with underlying medical conditions such as chronic heart or lung disease. Uncertainty about the benefits of influenza vaccination for healthy senior citizens may contribute to lower rates of utilization in this group. Objective: To clarify the benefits of influenza vaccina- tion among low-risk senior citizens while concurrently assessing the benefits for intermediate- and high-risk senior citizens. Methods: All elderly members of a large health maintenance organization were included in each of 6 consecutive study cohorts. Subjects were grouped according to risk status: high risk (having heart or lung disease), intermediate risk (having diabetes, renal disease, stroke and/or dementia, or rheumatologic disease), and low risk. Outcomes were compared between vaccinated and unvaccinated subjects after controlling for baseline demographic and health characteristics. Results: There were more than 20 000 subjects in each pitalizations (P .001), a 32% decrease in hospitalizations for all respiratory conditions (P .001), and a 27% decrease in hospitalizations for congestive heart failure (P .001). Immunization was also associated with a 50% reduction in all-cause mortality (P .001). Within the risk...
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...Dissertations from the International Graduate School of Management and Industrial Engineering, IMIE No.93, Licentiate Thesis Linköping Studies in Science and Technology Thesis No. 1180, LiU-TEK-LIC 2005:35 Logistics Collaboration in Supply Chains – A Survey of Swedish Manufacturing Companies Erik Sandberg Logistics Management Department of Management and Economics Linköpings universitet, SE-581 83 Linköping © Erik Sandberg, 2005 LiU-Tek-Lic-2005:35, Thesis No. 1180 ISBN: 91-85299-80-4 ISSN: 0280-7971 ISSN: 1402-0793 Printed by: UniTryck, Linköping Distributed by: Linköpings universitet Department of Management and Economics SE-581 83 Linköping, Sweden Tel: +46 13 281000, fax: +46 13 281873 Abstract The purpose of this thesis is to describe logistics collaboration in supply chains. During the past two decades, a new trend towards integration and collaboration in supply chains has been recognised among researchers as well as among business practitioners. This philosophy is called supply chain management and has received enormous attention in logistics research. Collaboration based on supply chain management is expected to reduce total cost and improve service towards the supply chain’s end customers at the same time. The argumentation in existing literature is however seldom underpinned by more rigorous empirical material and becomes therefore conceptual and superficial. Furthermore, it is incongruous about what actually is done when companies collaborate and...
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...Chapter I The Problem and its Background Introduction Diabetes is a chronic disease that can cause heart disease and stroke. It can also lead to defects like blindness. Because of its horrifying effects on human health, the researchers planned to conduct a study using makopa, a native Philippine fruit, to be a component of a natural medicine for diabetes. Makopa (Syzygium samarangense) leaves have been found to have antihyperglycemic properties. The researchers thought of another way to produce the same result by using the fruit instead of the leaves. The fruit was put into a food processor, to separate the liquid extract and from the pulp. The retrieved extract was filtered using cheesecloth to remove impurities. The pure extract was put into a vial. The pulp of the fruit was sun dried, powdered using a blender. The resulting powder was combined with the pure extract. The extract from the pulp was the tea that can be orally taken by the mice through regulated feeding. Having produced two products, the researchers were able to come up with a pure makopa extract, and be able to apply current discoveries and studies to produce a medicinal product from makopa. Background of the Study The study was conducted to prevent and cure diabetes through makopa. Also, the study was driven by the medical history of diabetes in the families of two out of three researchers. Because of diabetes’ horrifying effects on human health and it is continuous effect on a larger population...
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...Knowledge Area Module VI Contemporary Issues and the Ethical Delivery of Health Services Student: Harold Taitt, harold.taitt@waldenu.edu Student ID # A00293212 Program: Ph.D. Health Services Specialization: Health Management and Policy Faculty Mentor: Dr. Robert Hoye, robert.hoye@waldenu.edu Faculty Assessor: Dr. Jim Goes, jim.goes@waldenu.edu Walden University May 10, 2013 Abstract Breadth Component In this age of rapidly evolving technological advances, many of the legal and ethical issues that are challenging the delivery of health care and the health care profession are new. As we confront the legal, moral, and ethical aspects of health care, we are seldom faced with decisions that require or are resolved by simple right or wrong answers (Edge & Kreiger, 1998). In the Breadth component of KAM VI, I focus on several ethical theories and how those theories influence the way ethical issues and concerns are addressed and managed in the allocation and delivery of health care services. I critically assess and evaluate those theories, concepts, and derivative principles as they impact important decisions and the implications of those decisions within the context of social change and with special emphasis on health care management and policy. In addition, I discuss the key assumptions on which the selected theories are constructed, compare and contrast the writers’ interpretations across theories, and conclude by providing a critical commentary on the merits of the selected...
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...PENNSYLVANIA MEAM Master of Science in Engineering Program GUIDELINES FOR GRADUATE STUDY September 2014 Mechanical Engineering and Applied Mechanics School of Engineering and Applied Science University of Pennsylvania 229 Towne Bldg., 220 S. 33rd Street Philadelphia, PA 19104-6315 meam@seas.upenn.edu www.me.upenn.edu Tel. 215-898-2826 Fax 215-573-6334 TABLE OF CONTENTS 1. Introduction .........................................................................................................................3 2. Administrative Structure .....................................................................................................3 3. Advisor(s) ............................................................................................................................3 4. Degree Requirements ..........................................................................................................4 5. General Information ............................................................................................................4 Registration ..................................................................................................................4 Leaves of Absence .......................................................................................................5 Obsoleteness ................................................................................................................5 Changes in Course Program...
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...Study Unit Computer-Assisted Legal Research By Melynda Hill-Teter Reviewed By Brian Bastyr, Esq. About the Author Melynda Hill-Teter is a 1991 graduate of the Legal Assistantship Program at the University of California at Santa Barbara, an American Bar Association approved school. She has more than 20 years of experience in the legal field, and specializes in legal computer applications. Ms. Hill-Teter has received a Paralegal Certificate of Mastery in LexisNexis online research. She has published articles in Legal Assistant Today and Law Office Computing. Ms. Hill-Teter is employed as a litigation paralegal in Scottsdale, Arizona. About the Reviewer Brian Bastyr is a senior attorney editor for West Group, a legal publishing company. He earned a bachelor’s degree at the University of Illinois, and a juris doctor from the University of Illinois College of Law. He is currently a member of the Illinois bar, and has published a number of articles in legal journals. Screen shots in this study unit are reprinted with the permission of LEXISNEXIS, a division of Reed Elsevier Inc. Paralegals spend a good deal of their work lives conducting legal and factual research. Good research skills are very important for a successful paralegal career. Legal databases constantly change their legal content, as well as the way to search for that content. Paralegals therefore must keep their research skills up-to-date and stay on top of changes in the law as well as the newest ways...
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...Business Plans Handbook Business Plans A COMPILATION OF BUSINESS PLANS DEVELOPED BY INDIVIDUALS NORTH THROUGHOUT AMERICA Handbook VOLUME 16 Lynn M. Pearce, Project Editor Business Plans Handbook, Volume 16 Project Editor: Lynn M. Pearce Product Manager: Jenai Drouillard Product Design: Jennifer Wahi Composition and Electronic Prepress: Evi Seoud Manufacturing: Rita Wimberley Editorial: Erin Braun ª 2010 Gale, Cengage Learning ALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced, transmitted, stored, or used in any form or by any means graphic, electronic, or mechanical, including but not limited to photocopying, recording, scanning, digitizing, taping, Web distribution, information networks, or information storage and retrieval systems, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without the prior written permission of the publisher. This publication is a creative work fully protected by all applicable copyright laws, as well as by misappropriation, trade secret, unfair competition, and other applicable laws. The authors and editors of this work have added value to the underlying factual material herein through one or more of the following: unique and original selection, coordination, expression, arrangement, and classification of the information. For product information and technology assistance, contact us at Gale Customer Support, 1-800-877-4253. For permission to use material...
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...Montefiore Medical Center, Bronx, NY, United States e Lexington Medical Center, West Columbia, SC, United States f Indiana University School of Medicine, Indianapolis, IN, United States g Johns Hopkins University, Baltimore, MD, United States h American College of Surgeons, Fox Chase Cancer Center, Philadelphia, PA, United States i American Society of Clinical Oncology, Emory University, Atlanta, GA, United States j American College of Surgeons, Montefiore Medical Center, Bronx, NY, United States k American Society of Clinical Oncology, University of Michigan, Ann Arbor, Michigan, United States l University of Florida, Gainesville, FL, United States m Emory University School of Medicine, Atlanta, GA, United States b c a r t i c l e i n f o s u m m a r y The ACR Head and Neck Cancer Appropriateness Criteria Committee reviewed relevant medical literature to provide guidance for those managing patients with thyroid carcinoma. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals...
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...Review The Controversy about a Possible Relationship between Mobile Phone Use and Cancer Michael Kundi Institute of Environmental Health, Medical University of Vienna, Vienna, Austria oBjective: During the last decade, mobile phone use increased to almost 100% prevalence in many countries of the world. Evidence for potential health hazards accumulated in parallel by epidemiologic investigations has raised controversies about the appropriate interpretation and the degree of bias and confounding responsible for reduced or increased risk estimates. data sources: Overall, I identified 33 epidemiologic studies in the peer-reviewed literature, most of which (25) were about brain tumors. Two groups have collected data for ≥ 10 years of mobile phone use: Hardell and colleagues from Sweden and the Interphone group, an international consortium from 13 countries coordinated by the International Agency for Research on Cancer. data synthesis: Combined odds ratios (95% confidence intervals) from these studies for glioma, acoustic neuroma, and meningioma were 1.5 (1.2–1.8); 1.3 (0.95–1.9); and 1.1 (0.8–1.4), respectively. conclusions: Methodologic considerations revealed that three important conditions for epidemiologic studies to detect an increased risk are not met: a) no evidence-based exposure metric is available; b) the observed duration of mobile phone use is generally still too low; c) no evidence-based selection of end points among the grossly different types of neoplasias is possible...
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...rights will be detailed by the custody officer, these are the right to inform someone of her detention, the right to free legal aid before answering any questions, and the right to consult the code of practice. Julie would then be asked to sign a form confirming she has been read these rights. After the above steps have taken place, Julie would be searched to ensure that she is not carrying or concealing weaponry. This search would be carried out by an officer of the same sex, and would consist of a simple pat down; it is unlikely that Julie would be searched more thoroughly given the situation. The police could potentially ask to retain some clothes if it is felt that by retaining said clothes, it would provide evidence to the case, if this were the case, Julie must be provided alternate clothing. This incident is an example of an either way offence, as it could be trailed in the magistrate’s court, or the crown court, as a result of this, the police would have authority to conduct a search of Julie’s address or workplace without a search warrant. The custody officer will then remove all of Julie’s property that she is carrying on her person at the time of the arrest if it is deemed that said objects were vital in the committal of the offence, or if they could be used to harm others. Upon Julie’s release all her property should be returned to her, she also does not have to sign for her property at the...
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...KAPIL SHARMA AND ASHUTOSH MUTSADDI Configuring SAP ERP Sales and Distribution ® SERIOUS SKILLS. Configuring SAP ERP Sales and Distribution ® Kapil Sharma Ashutosh Mutsaddi Acquisitions Editor: Agatha Kim Development Editor: Laurene Sorensen Technical Editor: Dheeraj Oswal Production Editor: Liz Britten Copy Editor: Kim Wimpsett Editorial Manager: Pete Gaughan Production Manager: Tim Tate Vice President and Executive Group Publisher: Richard Swadley Vice President and Publisher: Neil Edde Book Designer: Franz Baumhackl Compositor: Craig Johnson, Happenstance Type-O-Rama Proofreader: Word One, New York Indexer: Ted Laux Project Coordinator, Cover: Lynsey Stanford Cover Designer: Ryan Sneed Copyright © 2010 by Wiley Publishing, Inc., Indianapolis, Indiana Published simultaneously in Canada ISBN: 978-0-470-40473-7 No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 646-8600. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken,...
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