The document discusses factors that contribute to hoarding disorder beyond just obsessive compulsive disorder. It states that anxiety and depression are also medical and clinical factors involved in hoarding. It defines OCD and notes that depressed hoarders may feel a sense of loss or grief when discarding items. The document also provides descriptions of the differences between hoarding and collecting behaviors.
Grenville Castings Limited is an aluminum foundry that specializes in low pressure and permanent mold casting processes. They use various techniques like shell coring and computerized machining to produce complex internal passages and meet tight tolerances. Grenville is committed to quality and continuous improvement, with certifications like ISO9001 and a focus on techniques like cellular production. They work closely with customers on design and problem solving to deliver precision castings on time.
Today’s highly competitive and customer-centric market conditions have pushed software and
solution delivery organizations beyond the traditionally accepted limits of software
development and delivery capabilities. Lean methodologies such as Lean Six Sigma and DevOps
can help improve operational solution delivery capacities through
Streamlining of solution delivery process
Improved software quality
Automation of system operations
Self-administration of system operations by development teams
Agile methodologies augment such operational improvements with their own enablement of
faster time to market (TTM) by transforming the Lean concept of value-added activities into
value-added product features. Agile software architecture augments solution delivery
organizations’ Agile software development life cycle (SDLC) capabilities with flexible
architectures that facilitate future product development.
This document discusses traditional Romanian cuisine and recipes involving mushrooms. It provides background on mushrooms in Romanian culture and cuisine, noting they are highly appreciated and used in many dishes. It then presents the recipe for a savory mushroom borsch soup and instructions for making rustic polenta. It closes by describing how shepherds in mountainous areas of Romania simply prepare mushrooms with cheese when foraging.
This document outlines the topics that will be covered in a history course. It introduces the syllabus and how students should approach reading the textbook. It then discusses the concepts of collective memory, how it differs from individual and academic history, and how collective memories are disseminated through schools and films. Collective memories are expressed as timeless but actually have histories of their own.
The document discusses factors that contribute to hoarding disorder beyond just obsessive compulsive disorder. It states that anxiety and depression are also medical and clinical factors involved in hoarding. It defines OCD and notes that depressed hoarders may feel a sense of loss or grief when discarding items. The document also provides descriptions of the differences between hoarding and collecting behaviors.
Grenville Castings Limited is an aluminum foundry that specializes in low pressure and permanent mold casting processes. They use various techniques like shell coring and computerized machining to produce complex internal passages and meet tight tolerances. Grenville is committed to quality and continuous improvement, with certifications like ISO9001 and a focus on techniques like cellular production. They work closely with customers on design and problem solving to deliver precision castings on time.
Today’s highly competitive and customer-centric market conditions have pushed software and
solution delivery organizations beyond the traditionally accepted limits of software
development and delivery capabilities. Lean methodologies such as Lean Six Sigma and DevOps
can help improve operational solution delivery capacities through
Streamlining of solution delivery process
Improved software quality
Automation of system operations
Self-administration of system operations by development teams
Agile methodologies augment such operational improvements with their own enablement of
faster time to market (TTM) by transforming the Lean concept of value-added activities into
value-added product features. Agile software architecture augments solution delivery
organizations’ Agile software development life cycle (SDLC) capabilities with flexible
architectures that facilitate future product development.
This document discusses traditional Romanian cuisine and recipes involving mushrooms. It provides background on mushrooms in Romanian culture and cuisine, noting they are highly appreciated and used in many dishes. It then presents the recipe for a savory mushroom borsch soup and instructions for making rustic polenta. It closes by describing how shepherds in mountainous areas of Romania simply prepare mushrooms with cheese when foraging.
This document outlines the topics that will be covered in a history course. It introduces the syllabus and how students should approach reading the textbook. It then discusses the concepts of collective memory, how it differs from individual and academic history, and how collective memories are disseminated through schools and films. Collective memories are expressed as timeless but actually have histories of their own.
This document provides an overview and instructions for Inquiry 2, which asks students to explore how cultural and historical contexts affect understanding of texts using Persepolis as a starting point. It discusses developing an inquiry question and conducting research in blogs for Part 1 and a paper for Part 2. Students are placed into groups to analyze and discuss sections of Persepolis, focusing on themes, ideas, and cultural/historical contexts. The document concludes with assigning further readings and outlining the full Inquiry 2 prompt.
We are one of the most prominent wholesalers, suppliers and traders of an exclusive range of Measuring Instruments, NDT Instrument and Testing Instruments. Our range is reckoned for its quality features.
The document provides an overview of the City of Los Angeles' fiscal year 2012-13 budget presented by Miguel A. Santa Ana. It discusses that the general fund supports most municipal services while special funds are generated for specific purposes. It also notes that public safety accounts for over a third of general fund appropriations while pensions account for nearly a fifth. Additionally, it outlines challenges like the economy, federal actions, and pensions as well as potential solutions to address budget deficits.
This document outlines a story told over 14 chapters that takes place in various locations across India. The chapters cover topics like fireworks in Kolkata, the journey to Delhi, stories of farmers and astronauts, life at a school in Coonor, boxers in West Bengal, girls in Jharkhand, child journalists in Bihar, rice farming in Patna, cities in Bangalore, honey bees in Ahmedabad, a boy with a telescope, and cliffs in Goa.
The filmmakers targeted an audience aged over 20 who enjoy problem solving. To attract this audience, they used both old media (posters) and new media (social media posts). Feedback on the initial logline and opening title sequence led to revisions to create more mystery. Social media was effective at spreading the film as people shared the video. Audience feedback helped the filmmakers identify what worked well in the opening titles and aspects to improve for the future.
This document provides an overview and instructions for Inquiry 2, which asks students to explore how cultural and historical contexts affect understanding of texts using Persepolis as a starting point. It discusses developing an inquiry question and conducting research in blogs for Part 1 and a paper for Part 2. Students are placed into groups to analyze and discuss sections of Persepolis, focusing on themes, ideas, and cultural/historical contexts. The document concludes with assigning further readings and outlining the full Inquiry 2 prompt.
We are one of the most prominent wholesalers, suppliers and traders of an exclusive range of Measuring Instruments, NDT Instrument and Testing Instruments. Our range is reckoned for its quality features.
The document provides an overview of the City of Los Angeles' fiscal year 2012-13 budget presented by Miguel A. Santa Ana. It discusses that the general fund supports most municipal services while special funds are generated for specific purposes. It also notes that public safety accounts for over a third of general fund appropriations while pensions account for nearly a fifth. Additionally, it outlines challenges like the economy, federal actions, and pensions as well as potential solutions to address budget deficits.
This document outlines a story told over 14 chapters that takes place in various locations across India. The chapters cover topics like fireworks in Kolkata, the journey to Delhi, stories of farmers and astronauts, life at a school in Coonor, boxers in West Bengal, girls in Jharkhand, child journalists in Bihar, rice farming in Patna, cities in Bangalore, honey bees in Ahmedabad, a boy with a telescope, and cliffs in Goa.
The filmmakers targeted an audience aged over 20 who enjoy problem solving. To attract this audience, they used both old media (posters) and new media (social media posts). Feedback on the initial logline and opening title sequence led to revisions to create more mystery. Social media was effective at spreading the film as people shared the video. Audience feedback helped the filmmakers identify what worked well in the opening titles and aspects to improve for the future.
Slide per la gestione del sondino nasogastrico ed orogastrico. Slide approntate da Stefano Bambi per lezioni universitarie nei corsi di laurea triennale in infermieristica e medicina
Studio Italiano sulla depressione in medicina generale (Loretta Castellani)csermeg
XXI Congresso CSeRMEG 23-24 ottobre 2009 PRESA IN CARICO DEI PAZIENTI o LINEE GUIDA SULLE PATOLOGIE? Per una pratica guidata non solo dalla nosografia - www.csermeg.it
Follow-up a 11 anni delle lesione post-traumatiche dell'aorta toracica: effic...Benedetto Gesmundo
Tesi di laurea in medicina e chirurgia:
"Follow-up a 11 anni delle lesione post-traumatiche dell'aorta toracica: efficacy and effectiveness del trattamento a lungo termine"
This document summarizes an Italian multicenter study on the use of intrathecal baclofen (ITB) in patients with severe brain injury. The study included 184 patients from 21 Italian centers treated between 1994 and 2007. It found that ITB resulted in a significant decrease in spasticity and spasms, with most patients achieving the goals of treatment. Caregivers and patients reported high satisfaction rates, and adverse events were low. However, the retrospective study design and heterogeneous follow-up times limited the conclusions that could be drawn.
15. Trattamenti pregressi II Il 47.3% (35pts) dei pazienti ha subito trattamenti focali (BTX e fenolo) Il 6.8% (5 pts) dei pazienti ha subito trattamenti chirurgici a carico dell’apparato muscolo scheletrico
16. Indici di limitazione attività e restrizione della partecipazione GOS LCF media = 3.5 (minimo 1, massimo 8) DRS media = 19.8 cioè disabilità estremamente severa (minimo 2, massimo 29)
17. Valutazione dolore Il paziente presenta dolore? VAS media: 60.3 ± 36.3 (minimo 0, massimo 100)
26. Test in bolo Durata della risposta Test in continua La durata media del test in continua è 9.75 con ds 9.14 giorni (min2, max23) Il dosaggio finale medio è stato di 205 µg con ds 78.58 µg (min120, max275)
27. Metodica del test Eventi avversi Nella fase di test il 12.7% (8 pts) dei pazienti ha sperimentato un evento avverso
33. Concentrazione baclofene Informazioni infusionali Il 94.1% dei pazienti impiantati utilizza una infusione continua semplice 1 paz usa la programmazione complessa Dose media 150.78 ± 62 microg/die (range 30 – 330 microg/die) Per il 72% (36pts) dei pazienti l’impianto è stato effettuato durante l’iter di trattamento.
Scheda adesione al protocollo Gruppo Italiano per lo Studio Epidemiologico Gravi Cerebrolesioni Acquisite e Riabilitazione Scheda di disponibilità ad aderire allo studio OPSCABI – R sull’applicazione del baclofen intratecale per le gravi spasticità Denominazione Struttura ________________________________________ Denominazione Unità Operativa ____________________________________________ Tipologia del centro Degenza ordinaria non riabilitativa per acuti; Degenza con posti letto dedicati a ciclo continuo; Day Hospital o ambulatorio; Indirizzo ______________________________________________ CAP ________ Prov. ______ Telefono ____/________ Fax _____/__________ E-Mail _______________________________ Indirizzo internet www._________________________________________________________ Dirigente II Livello __________________________________ e- mail______________________ Referente locale dello studio ________________________ e- mail______________________ Collaboratori (è importante che vengano considerati tutti i collaboratori che realmente partecipano alla raccolta dati) _____________________________________________ e- mail______________________ _____________________________________________ e- mail______________________ _____________________________________________ e- mail______________________ _____________________________________________ e- mail______________________ _____________________________________________ e- mail______________________ Data ____/ ______/__________ Firma __________________________ Inviare la scheda a mezzo posta, fax, e-mail a: Unità Organica di Riabilitazione Intensiva Neuromotoria di Trevi, Piazza Garibaldi 5 – 06039 TREVI (PG) - Tel. +39-742-339810 - Fax. +39-742-339816, e-mail: mauro.zampolini@tin.it – Per rimanere aggiornati sullo studio collegarsi con il sito sulle Gravi Cerebrolesioni Acquisite www.gcla.it.