804 research outputs found

    Whales, dolphins, and porpoises of the western North Atlantic: a guide to their identification

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    This is an identification guide for cetaceans (whales, dolphins, and porpoises). It was designed to assist laypersons in identifying cetaceans encountered in the western North Atlantic Ocean and was intended for use by ongoing cetacean observer programs. This publication includes sections on identifying cetaceans at sea as well as stranded animals on shore. Species accounts are divided by body size and presence or lack of a dorsal fin. Appendices cover tags used on cetacean species; how to record and report cetacean observations at see and for stranded cetaceans; and a list of contacts for reporting cetacean strandings. (Document pdf contains 183 pages - file takes considerable time to open

    Haemostatic alterations and management of haemostasis in patients with cirrhosis

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    Patients with cirrhosis frequently acquire complex changes in their haemostatic system including a decreased platelet count and decreased levels of various haemostatic proteins. Although historically patients with cirrhosis were thought to have a haemostasis-related bleeding tendency, it is now widely accepted that the haemostatic system of patients with cirrhosis remains in balance as a result of simultaneous changes in pro- and anti-haemostatic systems. The concept of rebalanced haemostasis has led to changes in clinical management, although firm evidence from well-designed clinical studies is largely lacking. For example, many invasive procedures in patients with cirrhosis and a prolonged prothrombin time are now performed without prophylaxis with fresh frozen plasma. Conversely, clinicians have become more aware of the need for anti-thrombotic therapy, even in those patients with abnormal routine coagulation tests. This paper will outline recent advances in pathogenesis, prevention and treatment of both bleeding and thrombotic complications in patients with cirrhosis. Among other topics, we will discuss the haemostatic status of acutely ill patients with cirrhosis, the various causes of bleeding in patients with cirrhosis, and how best to prevent or treat bleeding. In addition, we will discuss the hypercoagulable features of patients with cirrhosis, new insights into the pathogenesis of portal vein thrombosis, and how best to prevent or treat thromboses

    Effects of restoring portal flow with anticoagulation and partial splenorenal shunt embolization

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/110757/1/hep27241.pd

    Historic Scour Data Collected at Selected Bridges in South Carolina

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    2008 S.C. Water Resources Conference - Addressing Water Challenges Facing the State and Regio

    Concert recording 2015-02-19

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    [Track 01]. Praise the Lord / Florence Price ; Hallelujah / Ludwig van Beethoven -- [Track 02]. Gloria à 12 / Giovanni Gabrieli ; O vos omnes / Tomás Luis de Victoria -- [Track 03]. Miserere mei, Deus / Gregorio Allegri -- [Track 04]. Trois chansons / Claude Debussy -- [Track 05]. There is no rose / Kevin Memley -- [Track 06]. You have ravished my heart / Stephen Chatman -- [Track 07]. Since we loved / Stephen Caldwell -- [Track 08]. A boy and a girl / Eric Whitacre -- [Track 09]. Steal away / arr. Roland Carter -- [Track 10]. The battle of Jericho / arr. Moses Hogan -- [Track 11]. Ezekiel saw de wheel / arr. William Dawson

    The Characteristics of Northern Black Churches with Community Health Outreach Programs

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    OBJECTIVES. The Black church has a long history of addressing unmet health and human service needs, yet few studies have examined characteristics of churches involved in health promotion. METHODS. Data obtained from a survey of 635 Black churches in the northern United States were examined. Univariate and multivariate statistical procedures identified eight characteristics associated with community health outreach programs: congregation size, denomination, church age, economic class of membership, ownership of church, number of paid clergy, presence of other paid staff, and education level of the minister. RESULTS. A logistic regression model identified church size and educational level of the minister as the strongest predictors of church-sponsored community health outreach. The model correctly classified 88% of churches that conduct outreach programs. Overall, the model correctly classified 76% of churches in the sample. CONCLUSIONS. Results may be used by public health professionals and policy makers to enlist Black churches as an integral component for delivery of health promotion and disease prevention services needed to achieve the Year 2000 health objectives for all Americans
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