1,325 research outputs found

    The role of local administration in development

    Get PDF

    UMP Campus, 09/24/1965

    Get PDF
    Dr.H.Edwin Young Appointed President of UM -- September 12 - Up North -- A Message From Mayor Griffin -- Test Dates Announced -- Pleasant Mt. - Location - Mt. Day -- Blood, Sweat and Toilhttps://digitalcommons.usm.maine.edu/umpcampus/1021/thumbnail.jp

    UMP Campus, 09/09/1965

    Get PDF
    UMP Welcomes Dean Fink -- Campus Guide For The New And Old -- Welcome From The Senate -- Initiation -- $ -- A Statement of Policy -- Orientation 1965https://digitalcommons.usm.maine.edu/umpcampus/1022/thumbnail.jp

    A systematic study of the avian family Fringillidae, based on the structure of the skull

    Full text link
    http://deepblue.lib.umich.edu/bitstream/2027.42/56326/1/MP081.pd

    Community-acquired pneumonia in adults: Diagnostic reliability of physical examination techniques and their teaching in academia

    Get PDF
    Background: Chest physical examination techniques are taught in academia, but their usefulness in the evaluation and diagnosis of patients in the clinical setting is controversial. Objective: To investigate the accuracy of physical examination techniques and their reliability in diagnosing community acquired pneumonia (CAP) and suggest a modified teaching approach to be used in academia. Design: Systematic Literature Review. Methods: Database search of PubMed and Google Scholar using the search terms “prediction of pneumonia in adults” and “prediction rule for pulmonary infiltrates.” Filters were implemented to include articles that only dealt with human subjects and were full text. Articles were excluded if the patient population was not desired, if the article focused on symptoms instead of clinical findings, or if the article was a meta-analysis. Results: Gennis et al. found that decreased breath sounds, rales, and rhonchi are significantly associated with pneumonia. Heckerling et al. found that dullness to percussion, bronchial breath sounds, decreased breath sounds, egophony, rales, and rhonchi were all significantly associated with pneumonia. Diehr et al. found that increased fremitus, dullness to percussion, egophony, pleural friction rub, and rales were significantly associated with pneumonia. Conclusion: The most valuable examination technique in detecting pneumonia was rales. Wheezes were relatively not useful. Overall, performing a meticulous lung and thorax examination contributes to identifying a diagnostic hypothesis; however, the physical examination is not sufficiently accurate to rule in or rule out pneumonia on its own. If diagnostic certainty is required for the management of a patient with suspected pneumonia, chest radiographs should be obtained. In academia, teaching examination techniques with the highest diagnostic yield should be the cornerstone of a teacher’s instruction

    General practitioners' views of pharmacists' current and potential contributions to medication review and prescribing in New Zealand

    Get PDF
    INTRODUCTION: Internationally, non-medical practitioners are increasingly involved in tasks traditionally undertaken by general practitioners (GPs), such as medication review and prescribing. This study aims to evaluate GPs' perceptions of pharmacists' contributions to those services. METHODS: Semi-structured interviews were carried out in two localities with GPs whose patients had and had not undergone a pharmacist-led adherence support Medication Use Review (MUR). GPs were asked their opinions of pharmacists' provision of MUR, clinical medication review and prescribing. Data were analysed thematically using NVivo 8 and grouped by strengths, weaknesses, opportunities and threats (SWOT) category. FINDINGS: Eighteen GPs were interviewed. GPs mentioned their own skills, training and knowledge of clinical conditions. These were considered GPs' major strengths. GPs' perceived weaknesses were their time constraints and heavy workloads. GPs thought pharmacists' strengths were their knowledge of pharmacology and having more time for in-depth medication review than GPs. Nevertheless, GPs felt pharmacist-led medication reviews might confuse patients, and increase GP workloads. GPs were concerned that pharmacist prescribing might include pharmacists making a diagnosis. This is not the proposed model for New Zealand. In general, GPs were more accepting of pharmacists providing medication reviews than of pharmacist prescribing, unless appropriate controls, close collaboration and co-location of services took place. CONCLUSION: GPs perceived their own skills were well suited to reviewing medication and prescribing, but thought pharmacists might also have strengths and skills in these areas. In future, GPs thought that working together with pharmacists in these services might be possible in a collaborative setting

    Off-line studies of the laser ionization of yttrium at the IGISOL facility

    Full text link
    A laser ion source is under development at the IGISOL facility, Jyvaskyla, in order to address deficiencies in the ion guide technique. The key elements of interest are those of a refractory nature, whose isotopes and isomers are widely studied using both laser spectroscopic and high precision mass measurement techniques. Yttrium has been the first element of choice for the new laser ion source. In this work we present a new coupled dye-Ti:Sapphire laser scheme and give a detailed discussion of the results obtained from laser ionization of yttrium atoms produced in an ion guide via joule heating of a filament. The importance of not only gas purity, but indeed the baseline vacuum pressure in the environment outside the ion guide is discussed in light of the fast gas phase chemistry seen in the yttrium system. A single laser shot model is introduced and is compared to the experimental data in order to extract the level of impurities within the gas cell.Comment: 18 pages submitted to NIM

    In situ deformation observation via EBSD and EDS during high temperature tensile testing

    Get PDF
    Tensile testing is the backbone of mechanical characterization for materials science. The possibility to combine mechanical testing with advanced imaging and characterization methods and the option to operate at high temperatures up to 800°C opens a large variety of possibilities for materials research. In this work in situ annealing experiments are shown, where the grain growth is observed via EBSD over the course of the experiment. Different annealing states are achieved and tested after cooling to room temperature. Using the EBSD information, high Schmid factor grains can easily be identified and monitored during the in situ tensile experiment and therefore even the first yielding grains are captured. Further in situ high temperature tensile tests on steel samples up to a temperature of 800 °C are presented. An example of a tested steel specimen is shown in Figure 1. Here, slip band formation is easily observable in BSD contrast. By enabling feature tracking, the chosen region of interest remains in the field of view and is imaged correctly. Please click Download on the upper right corner to see the full abstract
    • …
    corecore