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61.
Resisting care is defined as any patient behavior which prevents or interferes with the care provider performing or assisting with ADLs for the patient, including bathing, eating, toileting, dressing and grooming. Significant consequences of resisting care include malnutrition, skin breakdown, dehydration, constipation and weight loss. Creativity, flexibility and patience are key components of any intervention. Due to the lability of the person with cognitive impairment, a plan that works perfectly one day may never work again.  相似文献   
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We present a case where a Wiktor intracoronary stent was inserted for 'poor angiographic result' following balloon angioplasty. Despite appropriate positioning and repeated dilation of the stent a suboptimal result was achieved because of plaque herniation through the stent. The case emphasizes that the choice of stent used is important and will become more so as the number of choices available increases.  相似文献   
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Pulmonary surfactant is a complex mixture of lipids and proteins that functions to keep alveoli from collapsing at the end of expiration. Dipalmitoylphosphatidylcholine has been identified as the most important component for lowering surface tension at the air-liquid interface. Hydrophobic surfactant apoproteins, SP-B and SP-C, play essential roles in the biophysical functions of the surfactant phospholipids. Hydrophilic surfactant apoproteins (SP-A and SP-D) that are members of C-type lectin superfamily, interact with phospholipids and glycolipids and modulate host defense functions in the lung. SP-A also plays an important role in regulating phospholipid homeostasis in the alveolar spaces. Recent advances in genetics and molecular biology have clarified the structure-function relationship of surfactant apoproteins.  相似文献   
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In even-aged, single species conifer plantations LiDAR height data can be modelled to provide accurate estimates of tree height and volume. However, it is apparent that growth models developed for single species stands are not directly transferable to a more general situation of mixed species plantations. This paper evaluates the ability of small footprint, dual-return, pulsed airborne LiDAR data to estimate the proportion of the productive species when mixed with a nurse crop in closed canopy plantations. A study area located in Galloway Forest District in Scotland is used as an example of Lodgepole pine and Sitka spruce mixed plantation; this area contains good examples of a wide range of pure and mixed species plantation types. Three species groups are studied: areas of pure Sitka spruce, areas of pure Lodgepole pine and areas where the two species have been planted together. Two approaches are assessed for detection of plantation mixtures: the first uses LiDAR intensity data to separate spruce and pine species and the second uses LiDAR-derived canopy density measures, coefficient of variation, skewness, percent of ground returns (which provides a measure of canopy openness) and the mean canopy height, which enables areas with height variations to be identified. From analysis of LiDAR data extracted from 54 study plots using logistic regression, the coefficient of variation and LiDAR intensity data provide the most useful predictors of the proportion of spruce in a pine/spruce mixture with coefficients of determination (R2) of 0.914 and 0.930 respectively. The method could be developed as a mapping tool, which in combination with existing inventory data should help to improve timber volume forecasting for mixed species even-aged plantations.  相似文献   
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We outline some of the possible applications of nanotechnology to modern molecular biology and discuss several technologies that can be used to make nanoscale confining environments (channels or post arrays) for long polymers such as DNA. A particular emphasis is placed on making large arrays using non-electron beam lithography methods. We then discuss how focused ion beam (FIB) milling can be used to construct nearfield slits for examining molecules  相似文献   
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与以太网相比,RapidIO技术在干线网络应用领域具有更加优异的性能。由于可提供更高的带宽性能、集成功能、基于硬件的协议处理和更加有效的系统成本,RapidIO成为了更加可靠的互联技术,从而使得工程师在未来的设计中拥有更多的选择。  相似文献   
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The sex ratio produced by an individual may be a consequence of relative frequencies of genotypes amongst offspring, or may result directly from parental (maternal) control. We analyse the evolutionarily stable sex ratio for a hypothetical organism in which both forms of sex ratio expression can occur. We prove that the point of expression of sex ratio does not affect the evolutionarily stable sex ratio for diploid hosts in populations infected with cytoplasmically inherited sex ratio distorters.  相似文献   
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