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Hip Arthroscopy in Children under the Age of Ten  [PDF]
Oliver Eberhardt, Thomas Wirth, Francisco Fernandez Fernandez
Open Journal of Orthopedics (OJO) , 2013, DOI: 10.4236/ojo.2013.31009
Abstract: Arthroscopic hip surgery has become an established diagnostic and therapeutic method for addressing different hip pathologies. This paper focuses on hip arthroscopy for treating hip disorders in children under the age of 10. Arthroscopic hip surgery was performed 30 times on 24 children to address various hip pathologies. Indications were septic arthritis, benign soft tissue tumors, traumatic and congenital hip dislocation, juvenile idiopathic arthritis and osteochondroma of the acetabulum. Diagnostic arthroscopy was technically feasible in all cases. All cases of septic arthritis were successful treated using arthroscopic lavage and antibiotics. In the miscellaneous cases (benign fibrous tumor, juvenile idiopathic arthritis, osteochondroma congenital hip dislocations and traumatic hip dislocation) 4 hips had additional open surgery including surgical dislocation with synovectomy, open reduction and stabilization of the fractured posterior rim of the acetabulum, acetabulopasty and open resection of an osteochondroma with acetabuloplasty. In conclusion arthroscopic hip surgery is an additional diagnostic and therapeutic method that is suitable for treating different hip pathologies in children under the age of 10. Primary treatment of septic arthritis can be done easy by hip arthroscopy. Using cannulated mini arthroscopic hip instruments (2.7 mm), the range of application can be expanded to include treatment of very young infants. Hip arthroscopy can reduce the need of open surgery but cannot replace bony procedures in hip surgery.
ICU cornerstone: 'triggering effort'
Rafael Fernandez
Critical Care , 2002, DOI: 10.1186/cc1875
Abstract: The most frequent reason for admission to an intensive care unit is need for ventilatory assistance. At least, this is my experience over the past 20 years from working in university and county hospitals. Regardless of the illness that provokes respiratory insufficiency, the majority of patients with respiratory failure eventually require mechanical ventilation. If there is an improvement in oxygenation after a few days, then we are forced to consider reducing the intensity of ventilatory support. In the early years of my critical care training, when we checked ventilated patients under the effects of low-level sedation and were attempting to wean them off ventilation, such patients normally had to make an effort to trigger the ventilator. At that time, our teachers told us that this was normal; 'it is a kind of exercise training' said one, and 'it is our way of finding out which patients can work harder' said another. It was not clear why the 'trigger knob' had always to be in the standard position (not too difficult or too easy). One of my mentors told me to take advantage of the triggering effort because he thought that this effort could be related to a sophisticated parameter used in respiratory physiology, namely the occlusion pressure, or P0.1. After that, I started conducting research by obtaining many recordings of airflow and airway pressure in intubated, ventilated patients while they attempted to breathe. My mentor was right, and we published some stimulating papers about the 'triggering effort' [1].Nevertheless, patients continued having to work to breathe while they were on the ventilator. When I reviewed our experimental tracings, I realized that patient response was not so predictable. Each patient had his or her own pattern of response, and most of them started inspiration before finishing expiration. At that time, not much was known about this type of patient response. We looked at these results again and made new tracings in different patients. Amo
METODOLOGíA PARA LA CONSTRUCCIóN DE UN SISTEMA DE FLUJOS DE TRABAJO AUTOMATIZADO (WORKFLOW) PARA EMPRESAS DE BIENES Y SERVICIOS
FERNANDEZ,JAVIER;
DYNA , 2009,
Abstract: the purpose of this document is to familiarize the reader about the usage of object oriented analysis, design and programming during the development of an automated workflow system for consumer goods and services companies; it provides an insight into the utilized methodology to incite discussions about the future state of workflow systems.
Species and biotype distribution of thermotolerant Campylobacters in animal reservoirs in Southern Chile
Fernandez, Heriberto;
Revista do Instituto de Medicina Tropical de S?o Paulo , 1988, DOI: 10.1590/S0036-46651988000500005
Abstract: the prevalence of thermotolerant campylobacters in mammals and birds from southern chile was determined. campylobacters were isolated from 46.3% of the animals studied being c. jejuni biotipe 1 the most frequent (25.7%) followed by c. coli (17.4%) and c. jejuni biotipe 2 (3.2%).
Film Review: Walton, Ellie and Sam Wild (2007) ‘Chocolate City’. Documentary film.
Melissa Fernandez
Graduate Journal of Social Science , 2008,
Abstract:
Open Access Initiatives in India - an Evaluation
Leila Fernandez
Partnership : the Canadian Journal of Library and Information Practice and Research , 2006,
Abstract: Developing countries have embraced open access with a view to promoting visibility of research done in these regions. Open access initiatives described in this paper are based on interviews with information professionals responsible for creation and maintenance of online research repositories in India. Open access journals, e-print archives and e-theses repositories are covered with an emphasis on the sciences including the physical sciences, mathematics and the biomedical sciences. Existing repositories were identified from the Registry of Open Access Repositories located at http://archives.eprints.org. Key contacts were facilitated by well-known local open access advocates. Participants were contacted by e-mail and sites visited wherever possible. Many universities in India are at present lacking in infrastructure for establishing institutional repositories, so most of the institutions visited were research institutes and informatics centres. Semi-structured interviews were conducted to ascertain the background of participants, institutional culture, software selection, nature of funding, submission policies and future plans of these repositories. Also covered were promotion methods, user feedback and institutional support. Barriers to setting up institutional repositories are identified in this paper. Special features are described. Based on participant feedback a list of best practices is presented. The study has definite implications for the role of Canadian librarians in the promotion of Canadian research.
Open Access Initiatives in India - an Evaluation
Leila Fernandez
Partnership : the Canadian Journal of Library and Information Practice and Research , 2006,
Abstract: Developing countries have embraced open access with a view to promoting visibility of research done in these regions. Open access initiatives described in this paper are based on interviews with information professionals responsible for creation and maintenance of online research repositories in India. Open access journals, e-print archives and e-theses repositories are covered with an emphasis on the sciences including the physical sciences, mathematics and the biomedical sciences. Existing repositories were identified from the Registry of Open Access Repositories located at http://archives.eprints.org. Key contacts were facilitated by well-known local open access advocates. Participants were contacted by e-mail and sites visited wherever possible. Many universities in India are at present lacking in infrastructure for establishing institutional repositories, so most of the institutions visited were research institutes and informatics centres. Semi-structured interviews were conducted to ascertain the background of participants, institutional culture, software selection, nature of funding, submission policies and future plans of these repositories. Also covered were promotion methods, user feedback and institutional support. Barriers to setting up institutional repositories are identified in this paper. Special features are described. Based on participant feedback a list of best practices is presented. The study has definite implications for the role of Canadian librarians in the promotion of Canadian research.
An assessment of fish communities along a piedmont river receiving organic pollution (Aconquija Mountains, Argentina)
fernandez luis
Acta Biológica Colombiana , 2010,
Abstract: The relationships between fish assemblage structure and environmental variables along a pollution gradient in the Medina River were analyzed over a year in four sampling sites (S1-S4). The river flows in a mountain-plain transition and is affected by several small town wastewater and sugar cane industries effluents. Environmental variables were divided in two sets, hereafter named a€ pollutiona€ and a€ naturala€ . The first set included water quality variables modified by anthropic activities such as D.O., C.O.D, and dissolved ion concentrations. Natural variables included altitude, position, and time of the year. The upstream site (S1) had the lowest species richness and CPUE; but the number of species and density increased downriver (S2-S3). S1 was inhabited by invertivore species (Trichomycterus corduvensis), having low tolerance to environmental conditions and high D.O. requirements. S4 sustained the most tolerant and abundant species (Otocinclus vittatus, Corydoras paleatus), enduring the lowest D.O. and the highest C.O.D. A significant Canonical Correspondence Analysis for natural variables showed a gradient of species composition related to altitude and discharge. Water quality degradation by sugar cane factories and urban development, coupled with natural climatic, topographic and hydrological factors explained a significant amount of spatial and temporal variation in fish community structure (@48%). Natural and pollution variables shared about 15% of total variance. However, pollution variables were not significant after partialling- out the effects of natural variables, but natural variability remained significant after removal of pollution effects. The results suggest that effects of pollution may be just the result of ordination of fish communities along natural spatial and temporal gradients that are positively correlated to pollution gradients.
Ano ang Pormang Pinoy? (What is Filipino Style)
Honrado Fernandez
Kasarinlan : Philippine Journal of Third World Studies , 1989,
Abstract: That, speaking of pormang Pinoy (Filipino style), whether we like it or not, form and context in our culture need not match, need not be harmonious and need not be one; at least, not in the western concept of harmony and oneness. Maybe our culture just has so much diversity that we have learned to live with the presence of so many forms that need not come in "sets" as in a western style dinner set where each piece must match the other pieces. The gap between form and context or content is more prevalent for the well-off and the schooled than those who are not; and this is because the former can afford to indulge in their whims. They are also better exposed to what the powerful and the mighty (the "class") indulge in. Ans since "mass follows class" the syndrome filters down to the masses in diminishing degree as one moves down the economic ladder or as one physically moves away from the growth center which serve as the bastions of the political, social, and economic elites. These growth centers and the elites are the most effective conduits of imported goods and imported ideas--unadulterated, in their original forms, initially, but adapted by necessity and more and more within local contexts as they filter down the masses.
EL NUEVO BORROR
Fernando Fernandez
Revista Colombiana de Entomología , 2005,
Abstract:
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