453 research outputs found

    CPA\u27s guide to today\u27s hottest device in estate planning : the family limited partnership;

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    https://egrove.olemiss.edu/aicpa_guides/1127/thumbnail.jp

    R\uf6tliche L\ue4sion am Stamm

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    Anamnese 1 Ein 65-j\ue4hriger Patient, der im Gesichtsbereich bereits chronische Lichtsch\ue4den aufwies, wurde im Rahmen des Nierentransplantationsscreenings wegen einer neu aufgetretenen r\uf6tlichen L\ue4sion in unserer Ambulanz vorstellig. Der Patient selbst bemerkte die L\ue4sion nicht. Anamnese 2 Eine 59-j\ue4hrige Patientin kam wegen multipler N\ue4vi zur allj\ue4hrlichen Routinekontrolle. Die neu aufgetretene r\uf6tliche Papel am R\ufccken rechts war ihr nicht aufgefallen

    The Money To Get Started - What Do Farm Boys Expect?

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    It takes a lot of capital to acquire and to operate an Iowa farm. The study of occupational plans and preferences of Iowa farm boys helps to indicate just how much influence capital needs have on their plans

    Occupational plans of Iowa farm boys

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    This bulletin reports the findings of an exploratory study of the long-range occupational plans of Iowa farm boys in their senior year of high school. The primary objectives of the study were: (1) to relate the theory of choice to occupational planning, (2) to describe the occupational plans of the boys, (3) to determine the characteristics which differentiate boys who plan to farm from boys who plan nonfarm careers and (4) to appraise the relative importance of factors influencing farm-nonfarm occupational plans. Application of the theory of choice to occupational planning resulted in three general hypotheses to explain why some farm boys plan to farm while others plan nonfarm occupations. These hypotheses involved individual differences in (1) occupational satisfaction functions (preference systems), (2) available resources and (3) the results expected from using given resources in farm and nonfarm employments. Various operational hypotheses derived from the general hypotheses were evaluated on the basis of evidence obtained from a state-wide sample of senior farm boys attending Iowa high schools in rural areas and cities under 25,000 population in the spring of 1959

    Seasonal and Temperature-Associated Increases in Gram-Negative Bacterial Bloodstream Infections among Hospitalized Patients

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    BACKGROUND: Knowledge of seasonal trends in hospital-associated infection incidence may improve surveillance and help guide the design and evaluation of infection prevention interventions. We estimated seasonal variation in the frequencies of inpatient bloodstream infections (BSIs) caused by common bacterial pathogens and examined associations of monthly BSI frequencies with ambient outdoor temperature, precipitation, and humidity levels. METHODS: A database containing blood cultures from 132 U.S. hospitals collected between January 1999 and September 2006 was assembled. The database included monthly counts of inpatient blood cultures positive for several clinically important Gram-negative bacteria (Acinetobacter spp, Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa) and Gram-positive bacteria (Enterococcus spp and Staphylococcus aureus). Monthly mean temperature, total precipitation, and mean relative humidity in the postal ZIP codes of participating hospitals were obtained from national meteorological databases. RESULTS: A total of 211,697 inpatient BSIs were reported during 9,423 hospital-months. Adjusting for long-term trends, BSIs caused by each gram-negative organism examined were more frequent in summer months compared with winter months, with increases ranging from 12.2% for E. coli (95% CI 9.2-15.4) to 51.8% for Acinetobacter (95% CI 41.1-63.2). Summer season was associated with 8.7% fewer Enterococcus BSIs (95% CI 11.0-5.8) and no significant change in S. aureus BSI frequency relative to winter. Independent of season, monthly humidity, monthly precipitation, and long-term trends, each 5.6°C (10°F) rise in mean monthly temperature corresponded to increases in gram-negative bacterial BSI frequencies ranging between 3.5% for E. coli (95% CI 2.1-4.9) to 10.8% for Acinetobacter (95% CI 6.9-14.7). The same rise in mean monthly temperature corresponded to an increase of 2.2% in S. aureus BSI frequency (95% CI 1.3-3.2) but no significant change in Enterococcus BSI frequency. CONCLUSIONS: Summer season and higher mean monthly outdoor temperature are associated with substantially increased frequency of BSIs, particularly among clinically important gram-negative bacteria
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