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Rubber rollers and your money!
Used rubber rollers can cause decreased product quality, increased machine downtime, decreased production rates, and increased scrap ratios for companies. ALROL uses years of expertise to create innovative rubber roller solutions tailored to customers' specific needs and applications. They carry a wide range of natural and composite rubber materials to meet the diverse needs of multiple industries.
Approach to new anticoagulants
The document discusses two newer anticoagulants, Pradaxa (dabigatran) and Xarelto (rivaroxaban). It summarizes their mechanisms of action, indications, dosing, and monitoring. It notes that neither drug has a proven reversal agent. The summary emphasizes that these drugs are useful for certain patients but have no simple test to measure their effect. It advises that management of bleeding involves resuscitation, treating the source, stopping the drug, and contacting a hematologist, as the drugs cannot be readily reversed due to their short half-lives.
World famous information pack
The document describes the World Famous in 2011 program, which aims to help 12 individuals become world famous over the course of a year. The program includes intensive branding and strategy workshops, group mentoring days, consulting sessions, and unlimited access to program director Brooke Alexander. It outlines the program structure and architecture, shares testimonials from past clients, provides details on the investment and selection process, and answers frequently asked questions. The goal of the program is to help experts, entrepreneurs and thought leaders unlock their potential and deliver their ideas to a global audience through strategic messaging, influence, and tactical execution.
ACEM Fellowship
The document provides advice to trainees on preparing for the Fellowship Examination of the Australasian College for Emergency Medicine (FACEM). It outlines the six parts of the exam and strategies for preparation. In the early years of training, it recommends becoming proficient in skills like ECG interpretation and using proper terminology. In the final year, it suggests choosing an exam date and preparing consistently with a structured approach covering the whole curriculum while practicing each exam component. Regular practice of questions, cases, and self-testing is emphasized to develop skills and identify weaknesses prior to summiting "Mt FACEM" by passing the Fellowship Exam.
3 proyecto sentido
Este documento trata sobre el concepto de proyecto-sentido y cómo puede afectar el desarrollo psicológico de una persona. Explica que el proyecto-sentido se transmite de manera inconsciente de generación en generación y puede expresarse a través de síntomas o comportamientos. También analiza cómo eventos durante la concepción, el embarazo y el parto pueden dar forma al proyecto-sentido de un individuo y potencialmente conducir a problemas de salud o trastornos psicológicos más adelante en la
Code pink
1) Newborns requiring resuscitation should be kept warm through drying, warming blankets/towels, and a pre-warmed heat source like an open bed warmer. Continuous temperature monitoring is important, especially for preterm infants who may need plastic wrap.
2) Bradycardia below 100bpm requires positive pressure ventilation and pulse oximetry. Chest compressions should be initiated if the heart rate remains below 60bpm after 30 seconds of effective PPV.
3) Intubation may be needed if the heart rate remains low despite ventilation and chest compressions. Umbilical vein catheterization can provide vascular access for medications like adrenaline.
Emergency medicine research
This document summarizes several landmark clinical trials that have impacted emergency medicine practice. It discusses trials regarding the use of tPA for acute ischemic stroke (NINDS, ECASS III), early goal-directed therapy for sepsis (Rivers, Surviving Sepsis), clinical decision rules for cervical spine imaging (NEXUS, Canadian C-Spine Rule), fluid resuscitation (SAFE Trial), use of steroids for Bell's Palsy (Sullivan et al, Berg et al), and CT sensitivity within 6 hours of headache onset for subarachnoid hemorrhage (Perry/Steill et al). Assessment scales for functional outcomes in various conditions are also outlined.
Vertigo
This document presents a clinical approach to diagnosing vertigo based on identifying key syndromes. It discusses 4 main syndromes: 1) acute vestibulopathy which includes vestibular neuritis likely caused by reactivation of herpes simplex virus, 2) recurrent vestibulopathy including migraine and Meniere's disease, 3) motion-induced vertigo including benign positional vertigo treated with maneuvers like Epley and Brandt-Daroff exercises, and 4) disequilibrium from central or peripheral causes. Differentiating central from peripheral causes is important, and a HINTS exam can help identify stroke.
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Rubber rollers and your money!
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Approach to new anticoagulants
The document discusses two newer anticoagulants, Pradaxa (dabigatran) and Xarelto (rivaroxaban). It summarizes their mechanisms of action, indications, dosing, and monitoring. It notes that neither drug has a proven reversal agent. The summary emphasizes that these drugs are useful for certain patients but have no simple test to measure their effect. It advises that management of bleeding involves resuscitation, treating the source, stopping the drug, and contacting a hematologist, as the drugs cannot be readily reversed due to their short half-lives.
World famous information pack
The document describes the World Famous in 2011 program, which aims to help 12 individuals become world famous over the course of a year. The program includes intensive branding and strategy workshops, group mentoring days, consulting sessions, and unlimited access to program director Brooke Alexander. It outlines the program structure and architecture, shares testimonials from past clients, provides details on the investment and selection process, and answers frequently asked questions. The goal of the program is to help experts, entrepreneurs and thought leaders unlock their potential and deliver their ideas to a global audience through strategic messaging, influence, and tactical execution.
ACEM Fellowship
The document provides advice to trainees on preparing for the Fellowship Examination of the Australasian College for Emergency Medicine (FACEM). It outlines the six parts of the exam and strategies for preparation. In the early years of training, it recommends becoming proficient in skills like ECG interpretation and using proper terminology. In the final year, it suggests choosing an exam date and preparing consistently with a structured approach covering the whole curriculum while practicing each exam component. Regular practice of questions, cases, and self-testing is emphasized to develop skills and identify weaknesses prior to summiting "Mt FACEM" by passing the Fellowship Exam.
3 proyecto sentido
Este documento trata sobre el concepto de proyecto-sentido y cómo puede afectar el desarrollo psicológico de una persona. Explica que el proyecto-sentido se transmite de manera inconsciente de generación en generación y puede expresarse a través de síntomas o comportamientos. También analiza cómo eventos durante la concepción, el embarazo y el parto pueden dar forma al proyecto-sentido de un individuo y potencialmente conducir a problemas de salud o trastornos psicológicos más adelante en la
Code pink
1) Newborns requiring resuscitation should be kept warm through drying, warming blankets/towels, and a pre-warmed heat source like an open bed warmer. Continuous temperature monitoring is important, especially for preterm infants who may need plastic wrap.
2) Bradycardia below 100bpm requires positive pressure ventilation and pulse oximetry. Chest compressions should be initiated if the heart rate remains below 60bpm after 30 seconds of effective PPV.
3) Intubation may be needed if the heart rate remains low despite ventilation and chest compressions. Umbilical vein catheterization can provide vascular access for medications like adrenaline.
Emergency medicine research
This document summarizes several landmark clinical trials that have impacted emergency medicine practice. It discusses trials regarding the use of tPA for acute ischemic stroke (NINDS, ECASS III), early goal-directed therapy for sepsis (Rivers, Surviving Sepsis), clinical decision rules for cervical spine imaging (NEXUS, Canadian C-Spine Rule), fluid resuscitation (SAFE Trial), use of steroids for Bell's Palsy (Sullivan et al, Berg et al), and CT sensitivity within 6 hours of headache onset for subarachnoid hemorrhage (Perry/Steill et al). Assessment scales for functional outcomes in various conditions are also outlined.
Vertigo
This document presents a clinical approach to diagnosing vertigo based on identifying key syndromes. It discusses 4 main syndromes: 1) acute vestibulopathy which includes vestibular neuritis likely caused by reactivation of herpes simplex virus, 2) recurrent vestibulopathy including migraine and Meniere's disease, 3) motion-induced vertigo including benign positional vertigo treated with maneuvers like Epley and Brandt-Daroff exercises, and 4) disequilibrium from central or peripheral causes. Differentiating central from peripheral causes is important, and a HINTS exam can help identify stroke.
ST elevation
The document discusses differentiating ST elevation myocardial infarction (STEMI) from other causes of ST elevation on an electrocardiogram (ECG). It provides examples of three sample ECGs, describing ECG 1 as showing typical inferior STEMI patterns, ECG 2 as most consistent with pericarditis given its global and concave ST elevation, and ECG 3 showing minimal changes consistent with benign early repolarization. Key factors for differentiation include the magnitude, morphology, distribution of ST elevation, and comparison to previous ECGs. The document emphasizes analyzing ST elevation in the full clinical context and pursuing safe care when in doubt.
Sore feet
This document discusses common foot fractures including Lisfranc injuries, calcaneal fractures, and fractures of the 5th metatarsal. It describes a case of a 19-year old male who suffered a Lisfranc injury after a waterskiing accident. It provides details on the patient's diagnosis, treatment involving a backslab, orthopedic referral, and eventual open reduction internal fixation surgery. The document also outlines ways to differentiate between Jones fractures and pseudo-Jones fractures of the 5th metatarsal.
Common hand injuries
This document provides information on various hand conditions including trigger finger/thumb, De Quervain's tenosynovitis, mallet finger, PIP joint dislocations, and Dupuytren's disease. It describes the presentation, typical mechanisms of injury, conservative and surgical treatment approaches for each condition. The key points are that splinting and injections are usually first-line treatments while surgery is reserved for cases that fail conservative care or have more significant injuries/deformities.
Aortic dissection
A 50-year-old man presented with 3 hours of central chest pain. Initial investigations revealed a blood pressure of 90/60 and a normal ECG. A CT angiogram showed an intimal tear and dissection in the aortic arch. The patient was transferred urgently for surgical repair of a type A aortic dissection. Aortic dissection is a tear in the aortic wall that can propagate and cause complications if not treated. Diagnosis is made through imaging like CT scans. Emergent management involves stabilizing the patient's blood pressure and transferring patients with type A dissections for surgical intervention.
Understanding the slit lamp
This document provides guidance on examining the eye using a slit lamp and diagnosing common eye conditions:
1. It outlines the basic components and use of a slit lamp, including adjusting the illumination, magnification, and focusing the microscope.
2. Examination techniques are described, such as assessing the depth of corneal lesions using a thin beam of light and grading anterior chamber cells.
3. Common troubleshooting issues for the slit lamp are addressed, such as inability to turn it on or difficulty focusing. Guidance is provided on systematic examination of the eye and techniques like staining the cornea with fluorescein.
Medical education 2013
- Medical education has changed dramatically from 1976 to 2013, driven by accelerating digital technology.
- Old tools like textbooks, lectures, and notes are being replaced or supplemented by blogs, podcasts, videos, social media, online courses, and more that are mobile, flexible and push content to learners.
- Connectivism has become an important learning theory that emphasizes sharing, collaboration and connections between learners and teachers.
- Future education will continue to change, potentially incorporating wearable technology in schools with new expectations for always-on, sensor-enabled learning and more connected, collaborative approaches.
Emergency Dermatology
This document defines common skin conditions and provides guidance on evaluating dermatology presentations in the emergency department. It reviews terminology, discusses common non-serious conditions like urticaria and eczema, and outlines serious but rare disorders involving blistering or skin loss such as erythema multiforme major, pemphigus, pemphigoid, and toxic epidermal necrolysis. Red flags are identified that warrant discussion with a senior colleague or dermatologist.
Non invasive ventilation
Non-invasive ventilation (NIV) delivers mechanical ventilation without intubation by using techniques like CPAP and bi-level positive airway pressure. It can treat acute respiratory failure by improving ventilation and oxygenation. The main advantages are avoiding intubation complications while allowing speech and swallowing. Indications include pulmonary edema, pneumonia, and COPD/asthma exacerbations. Settings are tailored to the condition. NIV is contraindicated in altered mental states or inability to protect airways. Close monitoring is needed and treatment may need to be switched to intubation if not improving the patient.
Anaphylaxis
Anaphylaxis is a severe, potentially life-threatening allergic reaction affecting multiple organs. It is considered present when there is acute onset of symptoms involving the skin and mucosa along with respiratory or cardiovascular symptoms, or just two or more symptoms rapidly after exposure to a trigger. Adrenaline is the first line treatment and should be administered immediately to prevent progression of symptoms. Antihistamines and steroids are adjunctive but do not treat the underlying cause. Patients require monitoring for biphasic reactions and should receive training and a prescription for epinephrine auto-injectors for future reactions.
Eye emergencies
The document provides an overview of common eye emergencies including red eye, acute visual loss, and eye trauma. It describes the anatomy and examination of the eye, key symptoms and signs of conditions like acute angle closure glaucoma, iritis, retinal artery occlusion, and various types of eye injuries. Treatment recommendations are provided for many of these acute eye conditions.
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ST elevation
The document discusses differentiating ST elevation myocardial infarction (STEMI) from other causes of ST elevation on an electrocardiogram (ECG). It provides examples of three sample ECGs, describing ECG 1 as showing typical inferior STEMI patterns, ECG 2 as most consistent with pericarditis given its global and concave ST elevation, and ECG 3 showing minimal changes consistent with benign early repolarization. Key factors for differentiation include the magnitude, morphology, distribution of ST elevation, and comparison to previous ECGs. The document emphasizes analyzing ST elevation in the full clinical context and pursuing safe care when in doubt.
Sore feet
This document discusses common foot fractures including Lisfranc injuries, calcaneal fractures, and fractures of the 5th metatarsal. It describes a case of a 19-year old male who suffered a Lisfranc injury after a waterskiing accident. It provides details on the patient's diagnosis, treatment involving a backslab, orthopedic referral, and eventual open reduction internal fixation surgery. The document also outlines ways to differentiate between Jones fractures and pseudo-Jones fractures of the 5th metatarsal.
Common hand injuries
This document provides information on various hand conditions including trigger finger/thumb, De Quervain's tenosynovitis, mallet finger, PIP joint dislocations, and Dupuytren's disease. It describes the presentation, typical mechanisms of injury, conservative and surgical treatment approaches for each condition. The key points are that splinting and injections are usually first-line treatments while surgery is reserved for cases that fail conservative care or have more significant injuries/deformities.
Aortic dissection
A 50-year-old man presented with 3 hours of central chest pain. Initial investigations revealed a blood pressure of 90/60 and a normal ECG. A CT angiogram showed an intimal tear and dissection in the aortic arch. The patient was transferred urgently for surgical repair of a type A aortic dissection. Aortic dissection is a tear in the aortic wall that can propagate and cause complications if not treated. Diagnosis is made through imaging like CT scans. Emergent management involves stabilizing the patient's blood pressure and transferring patients with type A dissections for surgical intervention.
Understanding the slit lamp
This document provides guidance on examining the eye using a slit lamp and diagnosing common eye conditions:
1. It outlines the basic components and use of a slit lamp, including adjusting the illumination, magnification, and focusing the microscope.
2. Examination techniques are described, such as assessing the depth of corneal lesions using a thin beam of light and grading anterior chamber cells.
3. Common troubleshooting issues for the slit lamp are addressed, such as inability to turn it on or difficulty focusing. Guidance is provided on systematic examination of the eye and techniques like staining the cornea with fluorescein.
Medical education 2013
- Medical education has changed dramatically from 1976 to 2013, driven by accelerating digital technology.
- Old tools like textbooks, lectures, and notes are being replaced or supplemented by blogs, podcasts, videos, social media, online courses, and more that are mobile, flexible and push content to learners.
- Connectivism has become an important learning theory that emphasizes sharing, collaboration and connections between learners and teachers.
- Future education will continue to change, potentially incorporating wearable technology in schools with new expectations for always-on, sensor-enabled learning and more connected, collaborative approaches.
Emergency Dermatology
This document defines common skin conditions and provides guidance on evaluating dermatology presentations in the emergency department. It reviews terminology, discusses common non-serious conditions like urticaria and eczema, and outlines serious but rare disorders involving blistering or skin loss such as erythema multiforme major, pemphigus, pemphigoid, and toxic epidermal necrolysis. Red flags are identified that warrant discussion with a senior colleague or dermatologist.
Non invasive ventilation
Non-invasive ventilation (NIV) delivers mechanical ventilation without intubation by using techniques like CPAP and bi-level positive airway pressure. It can treat acute respiratory failure by improving ventilation and oxygenation. The main advantages are avoiding intubation complications while allowing speech and swallowing. Indications include pulmonary edema, pneumonia, and COPD/asthma exacerbations. Settings are tailored to the condition. NIV is contraindicated in altered mental states or inability to protect airways. Close monitoring is needed and treatment may need to be switched to intubation if not improving the patient.
Anaphylaxis
Anaphylaxis is a severe, potentially life-threatening allergic reaction affecting multiple organs. It is considered present when there is acute onset of symptoms involving the skin and mucosa along with respiratory or cardiovascular symptoms, or just two or more symptoms rapidly after exposure to a trigger. Adrenaline is the first line treatment and should be administered immediately to prevent progression of symptoms. Antihistamines and steroids are adjunctive but do not treat the underlying cause. Patients require monitoring for biphasic reactions and should receive training and a prescription for epinephrine auto-injectors for future reactions.
Eye emergencies
The document provides an overview of common eye emergencies including red eye, acute visual loss, and eye trauma. It describes the anatomy and examination of the eye, key symptoms and signs of conditions like acute angle closure glaucoma, iritis, retinal artery occlusion, and various types of eye injuries. Treatment recommendations are provided for many of these acute eye conditions.
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Local Blog
- 1. www.bitness.it Local blog italiani
- 2. Per Virgilio stiamo censendo i local blog attivi in Italia. Superati i 5.000 blog, abbiamo estrapolato alcuni dati che, senza alcun pretesa di scientificità, dovrebbero però dare un quadro piuttosto significativo del fenomeno local blog in Italia.
- 3. Situazione a fine gennaio 2009 5.112 blog in archivio 933 non più attivi (eliminati o non aggiornati da più di 3 mesi)
- 4. La maggioranza dei local blog si riferisce a un singolo comune. Seguono quelli che trattano di una regione, poi quelli relativi a una provincia e infine i blog che si riferiscono a un’area geografica non coincidente con una suddivisione amministrativa. Livello geografico
- 5. Nella tabella, la percentuale di blog per ogni regione. Distribuzione geografica
- 6. Nella voce “altro” troviamo nell’ordine: informazioni turistiche, tematiche ambientali, religione, tematiche culturali in genere. Tematiche
- 7. Tra i local blog che trattano temi politici , molti sono i blog di sedi locali di partiti o i blog personali di esponenti politici locali , associabili quindi con certezza a un partito o a uno schieramento politico. Il grafico rappresenta la ripartizione tra i circa 700 blog di questo tipo presenti nel database. Politica
- 8. Tra i molti diversi sport raggruppati nella categoria “altro” troviamo rugby, podismo, trekking, pallamano, pallanuoto, baseball, canoa, arti marziali, tennis, tennistavolo, subbuteo, triathlon… fino a hockey subacqueo, beach tennis, orienteering. Sport
- 9. Contatti: Tiziana Ferrando [email_address] http://www.bitness.it