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Emergency Department Visits for Chest Pain and Abdominal Pain: United States, 1999–2008 Farida A. Bhuiya, M.P.H.; Stephen R. Pitts, M.D., M.P.H., F.A.C.E.P.; and Linda F. McCaig, M.P.H., Division of Health Care Statistics Key findings Data from the National Hospital Ambulatory Medical Care Survey: 1999–2008 • The number of noninjury emergency department (ED) visits in which abdominal pain was the primary reason for the visit increased 31.8%. • The percentage of ED visits for which chest pain was the primary reason decreased 10.0%. • Use of advanced medical imaging increased strongly for ED visits related to abdominal pain (122.6%) and chest pain (367.6%). Chest and abdominal pain are the most common reasons that persons aged 15 years and over visit the emergency department (ED) (1). Because EDs provide both emergency and nonemergency care (2,3), visits for these symptoms may vary in their acuity. Advanced medical imaging is often ordered to assist in both diagnosing and ruling out serious illness associated with these symptoms (4,5). This report describes trends in visits for chest and abdominal pain in adults and the seriousness of illness and use of imaging in these visits. All data shown are for persons aged 18 and over whose visit was not injury related. Keywords: National Hospital Ambulatory Medical Care Survey • advanced medical imaging • reason for visit Are ED visits for chest or abdominal pain increasing?
Starting mid-2008, Roche introduces a new global packaging design for prescription medicines. This will meet requirements and expectations of health authorities, medical professionals and patients worldwide. The new packaging allows quick and easy identification of the medicine and dosage strength. one product colour specific dosage colour icon of pharmaceutical form dosage colour is repeated How was the design selected? Roche sought feedback from medical professionals and health authorities and reviewed possible design options with more than 700 doctors, pharmacists, nurses and patients worldwide. There was clear support for the selected new design and respondents particularly highlighted that it was easy to recognise. What are the new features? The new packaging design includes d • istinct product and dosage colours for quick identification c • olour banding visible from three sides p • lunger rods and flip-off caps in dosage colours The design is in line with recent regulatory labelling guidelines and industry best practices. There will be no changes in pack dimensions and text. How will the design be implemented? The new packs will be phased in for Roche prescription medicines between mid-2008 and 2010 (approx.). C • ellCept, Copegus, Pegasys and Xeloda will be the first medicines to feature the new packaging design (some country-specific exceptions) T • he remaining medicines will change over the coming months Packs in the old design will not be replaced and can be used until expiry. Please contact your local Roche Office for country-specific details. F. Hoffmann-La Roche Ltd 4070 Basel Switzerland www.roche.com © 2008
http://www.papillon.com/grand-canyon-national-park | Over five million people visit the Grand Canyon every year. We highlight some of the amazing things you can see and do while visiting this natural wonder.
Rugged or refined: whatever you need Whether it’s cruising on paved surfaces or heading off-road, the Amarok is equipped to deliver the performance for all environments and terrains D riv ing te ch ex pla ine d Permanent 4MOTION® Permanent is great for convenient oﬀ-roading. It keeps the four-wheel-drive system engaged whether you’re on- or oﬀ-road, so that power is always sent to the wheels with the most oned on South America’s rough mountain Sure-footed on any terrain grip. It’s available on the terrain, it’s no surprise that the Amarok is Designed to tackle the toughest off-road terrains, Amarok Highline – the such a formidable off-roader. With its powerful the Amarok has an Electronic Stabilisation Programme manual model comes with 2.0-litre TDI engines and the dynamic all-terrain benefits (ESP) fitted as standard – part of an impressive range the standard leaf-spring of the intelligent 4MOTION four-wheel-drive, it will take of safety features, which include on- and off-road suspension. The automatic you anywhere you need to go. On-road performance is anti-lock braking systems, an Electronic Differential has the heavy-duty leaf just as composed, thanks to the Amarok’s refined ride. Lock, and Trailer Stability Control. suspension system. Dependable four-wheel drive steep inclines when pulling away, while Hill Descent Selectable At the heart of the Amarok’s off-road performance is Control regulates engine speed and applies the brakes 4MOTION® Selectable Volkswagen’s advanced 4MOTION system, which if necessary, so that you can drive down slopes in a safe is ideal for rugged helps maintain optimum traction on all road surfaces.
To suit: Voklswagen Amarok 2010-on Since 1950 Pedders has been designing and manufacturing suspension products specifically for Australian conditions to ensure your vehicle is always performing at its best. That’s why at Pedders Suspension we’re proud of our range of totally integrated 4WD suspension systems – TrakRyder. Pedders’ TrakRyder suspension range includes thousands of quality components that have all been designed to improve the ride and handling characteristics of specific vehicles. The range includes coil and leaf springs, torsion bars, shock absorbers, suspension bushes, brakes, alignment kits, u-bolts, shackles, airbags and more. Following is our range of tailor made kits to suit the aforementioned vehicle. TrakRyder Touring Kits: The spring and shock absorber rates were developed to provide an improved ride quality, a reduction in body roll and improved stability. This kit is primarily designed to return the vehicle’s ride height to it’s original specification ( up to 0.5”/13mm lift ) and to reenergise the suspension capabilities through the addition of new shock absorbers.
- RENAULT Please read the complete document before starting the installation Brand assignment SEAS add-on module is delivered NOT PROGRAMMED, therefore a brand (Renault in this case) must be set with computer and specific program SETUP TRUCK This procedure can be achieved both before and after the installation on the vehicle (if after the installation, the vehicle power batteries must be disconnected during the operations). • Connect the programming cable to the USB port of your PC • Connect the programming cable to the SEAS module by using the white 4 pins connector; during this operation the LED (Light Emission Diode) of the SEAS module will be off. • Run the program SimulaCan (select it from the list of programs installed on your pc). • Proceed as follow: Select “Start” Wait for next screen displayed (the time required can vary according to the quantity of virtual COM installed) Renault_eng.doc Pagina 1 di 5 Ver. 0.1 If the connection is successfully achieved (serial communication recognized and accepted) the program will display this page: you can now select RENAULT brand Select “Send PROG” When the programming operation is completed, the yellow LED on your SEAS module will turn on. Select “Quit” to close the program SimulaCan • Disconnect the programming cable of your SEAS module and place the specific cover on top of the white 4 pins connector. IMPORTANT: the following instructions indicate how to connect and install your SEAS module on the original AdBlue system of the truck. The number displayed and the colour of the conductors of the AdBlue system are referred to Renault Premium 450 year 2008, these details may vary according to different production lots or vehicle equipment. Please refer to the schemes/layouts supplied with the Renault technical manual to identify the CAN-Bus line of the AdBlue system, its protection fuse and the power feeding. The main working procedure of SEAS modules does not vary.
展示名:欧州航空大混乱！ －アイスランド火山噴火－ アイスランドのエイヤフィヤットラヨークトル氷河で4月14日から続いている火山噴火によって、大量の火山灰 が欧州上空を覆った。飛行機は火山灰によってエンジン停止の可能性があるため飛べず、航空網が寸断さ れ、経済活動・政治活動など様々な部分に影響が及んでいる。 展示期間 平成22年4月20日～ 5月6日 展示本リスト 平成22年4月20日現在 【高知県立図書館所蔵】 書 名 著 者 出版社 出版年 請求記号 配架場所 1 局地風のいろいろ 改訂版 荒川 正一 成山堂書店 2001 451.4 一般 2 世界の風・日本の風 吉野 正敏 成山堂書店 2008 451.4 一般 3 風の気象学 竹内 清秀 東京大学出版 会 1997 451.4 一般 4 偏西風の気象学 田中 博 成山堂書店 2007 451.4 一般 5 再生 吉田 正夫 古今書院 2002 453.8 一般 6 火山のはなし 災害軽減に向けて 下鶴 大輔 朝倉書店 2000 453.8 一般 7 火山大災害 金子 史朗 古今書院 2000 453.8 一般 ディック・トンプソン ／著 地人書館 山越 幸江／訳 2003 453.8 一般 白尾 元理 地人書館 2002 453.8 一般 サイモン・ウィン チェスター／著 柴田 裕之／訳 早川書房 2004 453.8 一般 11 史上最強カラー図解 鈴木真二／監修 ナツメ社 2009 538 ジョブ 12 わかりやすい航空工学入門 橋本 孝明 晃洋書房 2004 538.1 ジョブ 新星出版社 2006 538.6 ジョブ 自然力を知る ピナツボ火山災害地域の環境 8 火山に魅せられた男たち 噴火予知に命がけで挑む科学者の物語 火山とクレーターを旅する 地球ウォッチング 9 紀行 クラカトアの大噴火 世界の歴史を動かした火 10 山 プロが教える飛行機のすべてがわかる本 飛行機のしくみ 最新の機体の構造から操縦 新星出版社編集 部／編 13 システムのしくみまで 14 大空への挑戦 ジェット機編 鳥養 鶴雄 グランプリ出版 2002 538.6 ジョブ 15 飛行機の百科事典
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