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http://ccsa.edu.sv/study.php?online=most-dangerous-game-thesis-topics most dangerous game thesis topics Subdural hematomas result from bleeding under the dura that covers the brain and most often occur as a result of head trauma. Risk factors assessment of risk factors for ischemic stroke and hemorrhagic stroke is an important component of stroke prevention, diagnosis, and treatment. A major goal in the long-term management of ischemic stroke involves primary prevention (prevention of first stroke) and prevention of a recurrent stroke through reduction and modification of risk factors. Risk factors for ischemic stroke are divided into modifiable and nonmodifiable (table 11–1). Every patient should have risk factors assessed and treated, if possible, because management can decrease the occurrence and/ or recurrence of stroke. 3,4 classification cerebral ischemic events there are two main classifications of cerebral ischemic events. Transient ischemic attack (tia) and ischemic stroke (cerebral infarction). A tia is a transient episode of neurological 193 194  section 1  |  cardiovascular disorders table 11–1  nonmodifiable and modifiable risk factors for ischemic stroke nonmodifiable risk factors •• age (> 55 years) •• gender (males more than females) •• race and ethnicity (american indian/alaska natives, african american, asian/pacific islander, hispanic) •• genetic predisposition •• low birth weight well documented and modifiable risk factors •• hypertension (most important risk factor) •• atrial fibrillation (most important and treatable cardiac cause of stroke) •• cardiac disease •• mitral stenosis •• mitral annular calcification •• left atrial enlargement •• structural abnormalities such as atrial-septal aneurysm •• acute mi •• transient ischemic attacks or prior stroke (major independent risk factor) •• diabetes (independent risk factor) •• dyslipidemia •• asymptomatic carotid stenosis •• oral contraceptive use (with estrogen content greater than 50 mcg) •• postmenopausal hormone therapy •• sickle cell disease •• lifestyle factors •• cigarette smoking •• excessive alcohol use •• physical inactivity •• obesity •• diet •• cocaine and intravenous drug use •• low socioeconomic status less well documented or potentially modifiable risk factors •• increased hematocrit •• metabolic syndrome •• hyperhomocysteinemia (less well documented) •• migraine (risk not clear) •• sleep disordered breathing ischemic stroke is similar to tia. However, tissue injury and infarction are present, and in many patients, residual deficits remain after the event. A standardized tissue-based definition of cerebral infarction has been established defining cerebral infarction as brain, spinal cord, or retinal cell death attributable to ischemia, based on neuropathological, neuroimaging, and/or clinical evidence of permanent injury.

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cultural awareness essay 2012;23:317-324. 48. Stone nj, robinson jg, lichtenstein ah, et al. American college o cardiology/american heart association ask force on practice guidelines. 2013 acc/aha guideline on the treatment o blood cholesterol to reduce atherosclerotic cardiovascular risk in adults. A report o the american college o cardiology/american heart association ask force on practice guidelines. J am coll cardiol. 2014;63:2889-2934. 49. Bland cm, bookstaver b, lu k, et al. He southeastern research group endeavor (serge-45). Musculoskeletal sa ety outcomes o patients receiving daptomycin with hmg-coa reductase inhibitors. Antimicrob.

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why should you be awarded this scholarship essay •• newer agents such as tigecycline and ertapenem may offer some theoretical advantages in the treatment of iais, but have some limitations. Tigecycline has a broad spectrum of activity against both aerobic and anaerobic gram negative rods, but lacks sufficient anti-pseudomonal activity. Ertapenem is an example of a carbapenem that has a favorable pharmacokinetic profile (once daily dosing) and, like the other agents, lacks mrsa activity. •• clindamycin and metronidazole appear to be equivalent in efficacy when combined with agents effective against aerobic gram-negative bacilli (eg, gentamicin or aztreonam). Table 77–1  likely intraabdominal pathogens type of infection aerobes primary (spontaneous) bacterial peritonitis children group a streptococcus, e. Coli, pneumococci cirrhosis e. Coli, klebsiella, pneumococci (many others) peritoneal dialysis staphylococcus, streptococcus, e. Coli, klebsiella, pseudomonas secondary bacterial peritonitis gastroduodenal streptococcus, e. Coli biliary tract e. Coli, klebsiella, enterococci small or large bowel e. Coli, klebsiella, proteus appendicitis abscesses e. Coli, pseudomonas e.

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http://www.cs.odu.edu/~iat/papers/?autumn=help-with-homework-projects help with homework projects Pmid. 15078671. 8. Congdon n, o’colmain b, klaver cc, et al. Causes and prevalence of visual impairment among adults in the united states. Arch ophthalmol. 2004;122(4):477–485. Epub 2004/04/14. Doi. 10. 1001/archopht. 122. 4.

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