Introduction Central venous cannulation is a routine procedure‚ which is safe in experienced hands‚ especially under ultrasound guidance. Central venous cannulation is associated with various complications‚ some being potentially dangerous like inadvertent arterial puncture. We hereby report a case of inadvertent cannulation of left subclavian artery during ultrasound guided placement of central venous catheter in left internal jugular vein(IJV). Case Report A 46-year-old female with no co-morbidities
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Living conditions in the Central African Republic are not the best. High chronic malnutrition rates remain a concern‚ with more than 1.5 million people suffering from food insecurity‚ one-third of the country’s population. A typical meal consists of a dough like mixture of processed and dried detoxified cassava (gozo) or sorghum‚ accompanied by a sauce made of vegetables‚ poultry‚ meat‚ or fish. Wild game‚ killed in the dry-season grass-burning hunts‚ supplements the rural diet. At roadside stands
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(Shamdasani and Balakrishnan 2000‚ Hamburg and Giering 2001‚ Gorst‚ Wallance and Kanji 1998‚ Oliver 1999‚ Fornell et al. 1996‚ Huber and Herman 2001). 7. More recently‚ the international service studylooked at‚ among other things the link between business practices and customer satisfaction (Roth et al.‚ 2000). 8. Customer satisfaction was measured by a nine item adapted from Walfried et al. (2000)‚ 9. Customer satisfaction is influenced by customers’ perceptions of quality (Zeithaml and Bitner
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LAGANGILANG WATER DISTRICT AUTOMATED BILLING SYSTEM A Capstone Project Study Presented to the Faculty of the Department of Information and Communications Technology ASIST Main Campus‚ Lagangilang‚ Abra In partial fulfillment of the requirements for the degree of Bachelor of Science in Information Technology By NARCISO A. AYUP ERNEL GAY L. TORDIL GRAZEL B. GERSALIA LERMA M. JIMENEZ JULIENNE JOY J. NARAG March 2011 ABRA STATE INSTITUTE OF SCIENCES AND TECHNOLOGY Main Campus‚ Lagangilang
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life is somewhat similar to that of Spanish Americans in other Central American countries. Most people belong to the Roman Catholic Church and speak Spanish. Most of Nicaragua’s people are poor farmers. Many of those in the Pacific Region are peasants who work on their own farms‚ cooperatives‚ state farms‚ or large private farms. In warmer areas‚ agriculture workers live in metal roofed houses. In the colder areas of the Central Highlands‚ they live in adobe houses with tile roofs.
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Gangs Gangs in South Central Los Angeles Gangs run the streets in South Central Los Angeles. They are respected‚ dangerous‚ and feared by all who are not involved in gang activity. Two major Los Angeles gangs are the “Bloodz” and the “Crips”. These two gangs are professionals at what they do such as murder‚ drug trafficking‚ and avoiding law enforcement. Protecting their territory and fellow gang members resulted in one hundred twenty eight homicides in South Central Los Angeles (Tamara). Gangs
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SWOT analysis of Higher Education systems in Central Asia countries to develop distant learning 1. 1. Availability of Normative base for Distant Learning Organizations. In Higher Education system of Independent State countries tuition by correspondence exists for students who work and are not able to attend the classes regularly. It was a traditional way of teaching during the soviet period. This form of teaching let the students learn the pedagogical materials‚ to perform the written works on each
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By chiefly drawing on legal precedence in four court cases—Brown‚ Governor of California‚ et al. v. Entertainment Merchants Association‚ et al. (Brown v. EMA)‚ Ginsberg v. New York‚ Case v. Unified School District‚ and Campbell v. St-Tammany Parish School Board—‚ this paper endorses the claim that all books which present controversial subject matter should have an informative label on them. Controversial subject matter is stipulated as any content that may cause emotional or mental harm on well-being
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Romeo & Juliet - Act Three Notes Scene one Central Developments: 1. This is a pivotal scene in the play. From this point forward the action accelerates toward the catastrophe surrounding the tragedy of Romeo & Juliet’s death. 2. The scene opens with the fateful meeting in the street of Tybalt and Mercutio. Each of these characters are hot-headed and ready for a fight. 3. Benvolio again attempts to be a peace maker but is ineffective. 4. Romeo does not want to become
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Central Institute of Classical Tamil ANNUAL MAINTENANCE CONTRACT TERMS & CONDITIONS Sub: Annual Maintenance Contract of Servers‚ PCs‚ Laptop‚ Printers‚ Scanner‚ DVD Combo Drives Sealed quotations are invited from firms (on official letterheads) duly filled in Annexure- I & II for award of Annual Maintenance Contract (AMC) of Servers‚ Desktop-PCs‚ Printers‚ Scanner‚ DVD Combs etc.‚ listed in Annexure- III. The firms who fulfill the following eligibility conditions should only apply. 1. The firm should
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