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Purpose: To evaluate the use and efficacy of Stroke Thrombolysis as a treatment in a blocked artery that has caused ischemic stroke. Description of Pathology: Ischemic strokes account for 87% of all stroke incidents, making this type of stroke the most common. Ischemic strokes occur as a result of a blood clot plugging or obstructing an artery carrying blood to the brain. This keeps oxygen and nutrient rich blood from flowing into the brain. If this blockage persists for more than a few minutes…

Melisa Redmond of Pioneer State Mutual Insurance Company referred this file for medical case management. Instructions were given to meet with Whitney Kononchuk and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 9/20/16 I met Ms. Kononchuk and her mother at Royal Oak Beaumont hospital. Ms. Kononchuk was in a hospital bed. Ms. Konochuk was alert and oriented. I provided her mother my consent to read and she…

staghorn calculus. On day 7 sputum culture was positive for burkholderia pseudomallei and ct scan revealed right sided consolidation with cavity formation with pseudoaneurysm formation which is very rare signifying meliodosis can also cause arteritis . So patient was started on ceftazidie 2g iv eight hourly along with cotrimoxazole . After two weeks hemoptysis stopped and patient condition improved .repeat ct scan revealed no contrast opacification of pseudoaneurysm and decrease in…

1 Chronic cough 2 Current smoker - 15-20 pack-year history 3 Gastro-oesophageal reflux disease/hiatus hernia 4 Diverticular disease 5 Osteoporosis Thank you for referring Jillian Whiffen, a 72-year-old lady who has previously owned a news agency and worked for a family business. Jillian currently smokes six cigarettes per day and keeps no pets. Regular medications are Nexium, Ostelin, Cardia, Crestor, Prolia infections and she was using Pulmicort a couple of months ago. Around three…

which are just different variations of 3D reconstruction . 3D reconstruction is most commonly used by the medical field to examine the interior of the human body through a variety of different medical imaging technologies, such as MRIs, CT scans, ultrasounds, PET scans, and x-rays. In…

Literature Review Ⅰ. HOTSPOT MAPPING Hotspot can be defined as aggregations of raw crime data that identify geographic locations of highest incident concentration (Ratcliffe and McCullagh, 1999; Chainey and Ratcliffe, 2005). Hotspots have been formally recognized in the literature as early as 1751 when Henry Fielding suggested focusing on areas of high crime to deter offenders. A notable example of policing with hotspot is the study by Sherman et al., (1989), which found that over 50.4% of all…

We will get you all hydrated up and you should be good to go. Just to be on the safe side, we will perform another CT scan on your brain to make sure it was not affected. “Sounds good Doc.” I type. “We don’t need to inform Riley of this right?” “Well, I did ask nurse Daisy to contact Riley just to let her know what happened and that everything should be okay with you.…

Utilizing the Library in Your Classroom for Instructional Purposes From Advancing Differentiation: Thinking and Learning for the 21st Century by Richard M. Cash, Ed.D., copyright 2011 Reading critically is different from reading for pleasure. Students read critically to discover information. Often classroom libraries are set-up by teachers in a corner of the classroom and filled with a variety of books for students to choose from. It has been my experience that these libraries are not…

Preservation of Physical and Digital Materials Preservation must be given proper consideration when planning increases in access, especially when working with items from the 1920s and 1930s. When it comes to digitizing to preserve and the challenges of preserving both files and documents, there is disagreement among archivist about best practices. While some archivists see as much value in a digital file as they do in a document, others dismiss digitization completely. Access to digital files…

specimens belonging to each group. For each group, ten specimens belonging to a specific sub-group (and a specific stratigraphic range when possible) were selected from the GB3D Type Fossils Database and examined in photograph or three-dimensional scan. For each group, unique and recurring characteristics among specimens were identified. When coherent, the respective stratigraphic context of the selected specimens was also considered. Phylum Arthropoda Arthropods are bilateral animals with…