Wo r k - R e l a t e d A s t h m a : A C a s e - B a s e d A p p ro a c h to Management Karin A. Pacheco‚ KEYWORDS Occupational asthma Work-exacerbated asthma Work-aggravated asthma Work-related asthma Management MD‚ MSPH a ‚ Susan M. Tarlo‚ MB BS‚ FRCP(C) b‚ * The pharmacologic treatment of work-related asthma is the same as for nonoccupational asthma‚ following the National Heart‚ Lung‚ and Blood Institute (NHLBI)1 or Global Initiative on Asthma (GINA) guidelines.2
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Background of the study Tuberculosis has reemerged as the leading cause of morbidity and mortality in Kenya Infection rate is highest between 15-44 years with a nine fold increase since early 90’s due to the HIV/AIDS pandemic. The HIV infected have an increased incidence with a majority presenting with smear negative PTB Hypothesis Chest x-ray in itself is not an effective method of diagnosing smear negative pulmonary tuberculosis in H.I.V positive patients Broad Objective To assess the
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jacob stevens P R I S O N S O F T H E S TAT E L E S S The Derelictions of UNHCR T here are currently over 20 million people ‘of concern’ to the office of the United Nations High Commissioner for Refugees. Just over half of those are internally displaced or stateless‚ with 8 million having fled across an international border. Established in 1950‚ unhcr was charged by the 1951 Convention relating to the Status of Refugees with the protection of their interests: full political and economic rights in
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When people think about fashion‚ many people think of different things‚ such as designer clothes and fashion houses. Fashion has been around since the beginning of time and is constantly changing. Women’s fashion has changed a lot from the 1950s to the present because of many factors in society. The Era of the 1960s can be described in one sentence. Corselets‚ circle skirts‚ slim dresses and miniskirts were popular (“1950 to 1960”). Shift dresses and bold colors were popular also as well as chunky
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Case Study-Harry Tonka (Chest Pain) Case Scenario Harry Tonka entered the emergency department with midsternal chest pain‚ which started while he was playing basketball at the gym. Harry Tonka is 42 years old and 5’10” tall‚ and weighs 205 pounds. He smokes one pack of cigarettes per day and works in a office. On admission‚ he complains of nausea but no vomiting and no diaphoresis. His blood pressure is 175/92 mm Hg; his temperature is 99ºF‚ pulse is 127 beats per minute‚ and respiration rate is
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THE CHEST EXAMINATION Physical examination of the chest The chest indicates the region that lies under the neck and above the abdomen. Chest wall is composed of sternum‚ ribs‚ and vertebras. The anterior part is a little shorter than the posterior part. Chest examination includes many components: chest shape‚ chest wall‚ breasts‚ vessels‚ mediastinum‚ bronchus‚ lung‚ pleura‚ heart‚ and lymph nodes‚ etc. In addition to general physical examination‚ the following check methods have been
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countries‚ unemployment becomes increasingly crucial. In Vietnam‚ our government are trying to solve unemployment which has increased in recent years. The solution for unemployment is‚ obviously‚ to create new jobs.That’s when the government is expected to step in and provide solutions. Monetary Policy: The solution used first to address sustained high unemployment is monetary stimulus from the Government. Expansive monetary policy is powerful‚ quick and usually effective. Lower interest rates allow families
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“No American artist of his era has composed better pieces‚ and not very many can break even with him in the number‚ verse‚ rondeau nor pantoum the about six new structures he has imagined” (Gioia). R.S. Gwynn is that rarest of contemporary writers; he has a comical inclination. He additionally has a feeling of what’s really going on‚ a helpful point of view when going about as a pundit‚ as Gwynn frequently does. R.S. Gwynn was born on May 13‚ 1948 in Eden‚ North Carolina. His dad ran a chain of drive-in
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General George S. Patton was often mentioned by many historians as the “Forgotten General” he really didn’t get to see much action in virtually the entirety of his military career. It wasn’t until World War II was he got to show what he knew about warfare. General George S. Patton finally got to show the world his genius in tactical warfare and believe it or not people even compared him to Aloft Hitler. Patton’s passionate love for war Patton’s love of war; conjoin with his superficially unemotional
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[Accessed 30 December 2014]. Available at: <https://www.acowtancy.com/textbook/acca-p3/what-choices-does-the-company-have/strategic-clock/notes>. Boo‚ H Bowman‚ C. (2008) Generic strategies: a substitute for thinking? The Ashridge Journal. Chaudhary‚ R. & Yadav‚ L. (2012) Impact of Quality Circle towards Employees & Organization. Journal of Engineering‚ 2(10)‚ pp. 23-29. Copyright PR Loyalty Solutions (2011) What Is Customer Loyalty? [Online]. [Accessed 30 December 2014]. Available at: <http://prloyaltymarketing
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