Sunday, February 27, 2011
Churh Anniverday Progrms
Friday, February 25, 2011
Renewing Your Mechanic Licensing In Ontario
not warned in time, but last night
February 24 at 22:00
in Continental Coffee Alcala de Henares
could enjoy an excellent company
the jazz jam session the band Blue
Smell and other cronies.
photographic projection of the series "The Street"
de Alba Garcia promised a lot,
but imposed some technical glitches. That
yesterday. Tomorrow ...
... this I can say is tomorrow.
make the same mistake for the fourth time.
And it's about pleasure inertia. Annual Meeting
foreros
Poet's Corner of the Bukowski extremoduro.com club.
"A year
drinking at all over what we have for anyone"
And now I have only this, that is not small:
Sunday, February 20, 2011
Red Flower Pin Lost Soldiers
Then in dreams bromide,
all the lifts
is
des-hangs-
gan.
Languages \u200b\u200band browse
like
always say the last word,
governors,
without language, only wet
fence
meat
red.
I go home with tear
broken and the broken panes all jewelry.
pearl necklace.
As if I had been forced
me grief.
landing.
(poems from poems double bitch liar / Hardcore Marta Sanz, editorial Bartleby, best gift of Angel and Elena. Thanks to all three.)
Saturday, February 19, 2011
Color Tie Goes Grey Shirt
Which of the following parameters NO is an indicator of severity in acute hepatitis?:
1. total bilirubin greater than 15 mg / dL.
2. prothrombin time more than 4 seconds the normal limit.
3. hepatic encephalopathy.
4. hypoglycemia.
5. transaminase, alanine aminotransferase (ALT)
This question is important to note asking us indicators of severity in acute hepatitis. The Child-Pugh criteria included serum bilirubin, prothrombin time, presence of encephalopathy of hepatic origin, serum albumin levels, degree of ascites, and NOT include hypoglycemia or transaminase levels among their criteria, but CARE : ChildPugh NO is a classification of severity of acute hepatitis, but chronic liver diseases. It is unclear what type of acute hepatitis are speaking: viral, alcoholic, toxic ... In acute alcoholic hepatitis using the Maddrey index to discriminate patients who benefit from treatment with corticosteroids. Including prothrombin time and bilirubin levels. Hepatic encephalopathy revealed severe acute hepatitis, and gravity data. Hypoglycaemia in acute hepatitis liver failure data, and often appears in acute fulminant hepatitis, then if that criterion is likely to be considered seriously. Transaminase levels do not reveal more severe acute hepatitis. (Option 5 FALSE) .
Sick of 48 years diagnosed with alcoholic liver cirrhosis we have been monitoring for years. Has failed stop drinking alcohol. 2 years ago ascites, worsening responds to diuretics. At the present time takes 120 mg / day of furosemide, 300 mg / day of spironolactone and has tense ascites. Stresses analytically Na 121 mEq / l, K 4.7 mEq / L and creatinine 1.6 mg / dl. What is the most correct therapeutic approach at the present time?:
1. propose dispatching priority liver transplant program.
2. Establish a system of regular evacuatory paracentesis with colloid replacement.
3. insert a TIPS.
4. To further doses of diuretics.
5. Manage overload to force hypertonic saline diuresis.
Question challenged. In a patient who drinks alcohol can certainly make periodic paracentesis but increase more TIPS survival much more effectively and try ascites. There bibilografía that supports the superiority of TIPS over the serial paracentesis. RIGHT at the end were for option 2. Option 1 is FALSE because transplantation is contraindicated if you are still drinking the shortage of organs and the possibility of improvement of portal hypertension with abstinence from alcohol. The withdrawal does not, however, no contraindication to the performance of a TIPS.
(questions 40 and 41 of simulation 4. Amir.)
Friday, February 18, 2011
Niko Robine Et Nami X
Partial Sea
sea could not speak
friend if I tell you that small I dreamed of having
X-ray eyes to see them
girls panties.
could not write the poem you asked
without adding that I was born far from the sea
next to an ocean of wheat
and now swim as I can
for discolored roofs.
Or an afternoon on a beach in Africa
sea
told me that if I stayed
still at work partner and the destination
happiness reach as never
requested.
could not name the sea without being cold or
confess that of all natural giant
is the only one who never sang a
nana suicide.
do not know what I can tell the sea
friend as not every night I swim in it naked
I recall that the important thing is not
dead or alive
but to learn the pulse
outside the course of rivers
and for a moment at least
feel part of the blood of the planet.
(poem by Carlos Salem, extracted from If God asks me for a bloody mary publisher Casimiro already said Parker )
Tuesday, February 15, 2011
What Happens If You Forget To Claim
delayed one year date for the core subjects shuffled
While still pondering the call 2011-2012 for implementing the core curriculum, the latest version of the future royal decree that the ministry has sent counselors one year delay that timeframe. Furthermore, only four specialties would be out of the trunks.
The latest version of the draft royal decree trunk José Martínez Olmos, general secretary of Health, has provided the communities delayed one year the date that the own ministry initially managed to launch the new graduate. The document, Health advisers are on the table since early February, specifies that "the core training model established in this Royal Decree is implemented in the annual call for examinations for access to specialized medical training places by 2012 - 2013 ", ie, exactly one year after the ministry had forecast, and that those responsible for Professional held so far in his appearances. The new date confirms the doubts of the National Council of Specialties, scientific societies and the communities on the horizon shuffled implantation Health, according to the delay in passing the royal decree and the many steps that had to take before offering places for future specialists stem.The document itself makes a record of those steps in the schedule. According to the text, within two months after the entry into force of the decree (which would be effective the day following its publication in the BOE ), it would constitute the core faculty committees, within four months approve educational programs, and over a period of six months should be ready with the requirements for accreditation of teaching units. From that date, regions would have another six months (ie, one year since the adoption of the royal decree) to determine the core teaching units in their respective territories and process applications for accreditation.
The map of the logs
addition to the implementation date, the most significant development is the configuration of the four trunks (medical, surgical, laboratory and imaging). According to the report of Health, only four specialties would be finally out of the trees, precisely those recommended at the time regions: Pathology, Pediatrics, Ophthalmology and Psychiatry. The three National Specialty Council had suggested that they formed their own body (Gynecology, Otolaryngology and Dermatology), would, according to the text, set in one of the groups prefigured (the first two in the trunk of surgery and the third in the doctor) . Preventive Medicine, which provided health become a "multi-specialty, would also be fitted in the trunk doctor. Obviate the ministry and the Council's recommendation, although, according to its president, Alfonso Moreno, "we are still talking about a text that needs a lot of tweaking to be truly operational."
All terms contained in the document begin to compute once the decree was published in the BOE , and although the intention of the ministry, confirmed by Leire Pajin is to adopt this standard "within a reasonable time," in fact is still needed approval from the regions and the mandatory hearing process. Hence, Martínez Olmos asked the Minister of Health to send him "your opinion and any suggestions for improvement as soon as possible, in order to immediately begin the formal hearing process the text." Set
medical deficit
As pointeddrafts previous text that will underpin the core curriculum royal decree provides for the re-specialization as a mechanism for regions to meet their medical staff and to offset possible shortfalls. In addition, the staffing needs of the regions precedence over the interests in CME who wants to pursue a new field. In fact, the document makes clear that the autonomies "identify those specialties that are considered deficient in their respective fields," and under it "may offer places on training physicians in specialties such active with at least 5 years of practice in other specialties of the trunk and community. " It also leaves open the possibility that the doctor undertakes to appear for 4 years to the selection processes where their community bid places the degree obtained with respec.
(News gloriously taken a copy of diariomedico by my friend and colleague Reuben at 8:25 am on this great day, made us see how much effort last year invested in this struggle for MIR quality of training has finally taken its minimal reward)
Monday, February 14, 2011
Descarag Peliculas Incesto 3gp
Sunday, February 6, 2011
How Much To Charge For Designing A Press Kit
Christ gave His apostles and their successors them the key to managing the cosmic forces as a healing agent. Catholic priests lost it by departing from the Gnosis but possess the Rosa Cruces and why we are called to transform medicine therapy materialistic spirituality, psychotherapy saving.
Prayer is one of the most powerful means of attracting vibration and sublime forces. Regurgitate Prayer is not prayer and that's why Rosa Cruces recommend the following to be spread among the sick and afflicted, but always based pronounce it with all fervor, intensity and concentration, raising his arms.
We recommend that you do today just as sinking into it the inside look to boot from as depths of our being, the miracle that there exists sap. Do not forget that, in the words of a famous occultist, please God himself ...
With arms raised as if he expects to receive by that means a holy influence, it must be said:
Every reader will make a good spreading their prayer similar to the patients we consult and reach them the benefit of our vibrations and medicine.
We have a large variety of plants with which we experience, but relatively few with their keys, as evidence that these plants were always considered as sacred.
not claim that the cures are made only with our prayers, no, the fervent Catholic, the Protestant conviction, the Muslim, Buddhist, all have their sentences and may use them with equal success. What we want is to return humanity to be religious and pious, not recurrence of such horrific events cruel persecution of human beings, only for his ideas.
Art. Daniel Diaz M artin
Booster Seat Reqyuirements
On Thursday February 10 at the bookstore
Diogenes of Alcalá de Henares
at 20:30 Gsus
Bonilla will be presenting his
shorn sheep trembling with cold.
And I fucked up by the coincidence
but elated at the same time, I'll
about 1800 km away,
closing stage of my life
and making the most of it
surrounded by good friends.
the end always get the things you fight. Gsus
knows.