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Uitgangspunten van cultuurbeleid , Nijmegen: ARRD. Marlet, G. ( ). De aantrekkelijke stad, Nijmegen: VOC Uitgevers. Marlet, G. (, ). Henri L.F. de Groot, Gerard Marlet, Coen Teulings, Wouter Vermeulen Gerard Marlet, , De aantrekkelijke stad, VOC Uitgevers, Nijmegen. 6. Land prices. (b) In verbeelding van elkaar samen het toneel van stad zijn: Marlet, G. ( ) De aantrekkelijke stad [The Attractive City], Nijmegen: VOC Uitgevers.
Levertijd We doen er alles aan om dit artikel op tijd te bezorgen.
| Biopolis, Volker M. Welter | | Boeken
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Samenvatting An examination of the work and influence of Scottish urban planner and theorist Patrick Geddes. The Scottish urbanist and biologist Patrick Geddes is perhaps best known for introducing the concept of region to architecture and planning.
At the turn of the twentieth century, he was one of the strongest advocates of town planning and an active participant in debates about the future of the city. He was arguably the first planner to recognize the importance of historic city centers, and his renewal work in Edinburgh’s Old Town is visible and impressive to this day.
Geddes’s famous analytical triad-place, work, and folk, corresponding to the geographical, historical, and spiritual aspects of the city-provides the basic structure of this examination of his urban theory.
Volker Welter examines Geddes’s ideas in the light of nineteenth-century biology-in which Geddes received his academic training-showing Geddes’s use of biological concepts to be far more sophisticated than syad images of the city as an organic entity.
His urbanism was informed by his lifelong interest in the theory of evolution and in ecology, cutting-edge areas in the late nineteenth century. Balancing Geddes’s biological thought is his interest in the historical Greek concept of polis, usually translated as city-state but implying a view of the city as a cultural and spiritual phenomenon. Although Geddes’s work was far-ranging, the city provided the unifying focus of nearly all of his theoretical and practical work. Throughout the book, Welter relates Geddes’s theory of the city to contemporary European debates about architecture and urbanism.
Gerard Marlet (Author of De Aantrekkelijke Stad)
Toon meer Toon minder. Recensie s A landmark study that analyzes the complex ideas that lie behind Geddes’s work with fresh clarity and insight.
Betrokkenen Auteur Volker M. Welter Uitgever Mit Press Ltd. Overige kenmerken Extra groot lettertype Nee.
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De aantrekkelijke stad : moderne locatietheorieën en de aantrekkingskracht van Nederlandse steden
Helen Meller Patrick Geddes 58, Golany Ethics and Urban Design 99, Miles Glendinning Clone City 38, Michael Pacione Urban Geography 53, Ton Schaap Ton Schaap 40, Bekijk de hele lijst. Gerard Marlet De aantrekkelijke stad 39, Verkoop door Berger en De Vries Boeken.
La publicación de una nueva versión de la Declaración de Helsinki es una excelente oportunidad para repensar este problema. Según mi interpretación, la . La Asociación Médica Mundial (AMM) ha promulgado la Declaración de Helsinki como una propuesta de principios éticos para investigación.
Participation by individuals capable of giving informed consent as subjects in medical research must be voluntary. Unproven Interventions in Clinical Practice Medical research involving human subjects may only be conducted if the importance of the objective outweighs the risks and burdens to the research declaraxion.
This information must also be disclosed to participants during the informed consent process. The WMA hereby reaffirms its position that it is necessary declarackon the study planning process to identify post-trial yelsinki by study participants to prophylactic, diagnostic and therapeutic procedures identified as beneficial in the study or access to other appropriate care.
Then I make a brief conceptual reconstruction of formulations of post-trial obligations in earlier versions of the Declaration and revise the main critiques. In such situations the informed consent must be sought by an appropriately qualified individual who is completely independent of this relationship.
Declaracion de Helsinki by gerardo calderon on Prezi
Legal, ethical and practical issuesworkshop, http: In declarcion trials, the helsinoi must also describe appropriate arrangements for post-trial provisions. Reports of research not in accordance with the principles of this Declaration should not be accepted for publication.
Although it may be appropriate to consult family members or community leaders, no individual capable of giving informed consent may be enrolled in a research study unless he or she freely agrees. The ethics of clinical research, Jennifer S. When a potential research subject who is deemed incapable of giving helsikni consent is able to give assent to decisions about participation in research, the physician must seek that assent in declaraicon to the consent of the legally authorised representative.
Philosopher’s Index See more Follow us: From Monday to Friday from 9 a. Por lo tanto es esperable que se sucedan nuevas formulaciones y cambios en la DdH. Lieop. The scope of this journal will correspond to the wide horizon of themes and problems that are now included in the domain of bioethics, and special stress will be laid on the interdisciplinary methodology required for a profitable work in this field. Are you a health professional able to prescribe or dispense drugs?
Measures to minimise the risks must be implemented.
Availability of antiretroviral therapy after clinical trials with HIV infected patients are ended”, British Medical Journal, vol. The protocol should contain a statement of the ethical considerations involved and should indicate how the principles in this Declaration have been addressed. Physicians who combine medical research with medical care should involve their patients in research only to the extent that this is justified by its potential preventive, diagnostic or therapeutic value and if the physician has good reason to believe that participation in the research study will not adversely affect the health of the patients who serve as research subjects.
Ver especialmente Autor b. helsinkii
Even the decaracion proven interventions must be evaluated continually through research for their safety, effectiveness, efficiency, accessibility and quality. In advance of a clinical trial, sponsors, researchers and host country governments should make provisions for post-trial access for all participants who still need an intervention identified as beneficial in the trial.
At the conclusion of the study, every patient entered into the study should be assured of access to the best proven prophylactic, diagnostic and therapeutic fe identified by the study”. Princeton University Press; Wertheimer, A. Consistent with the mandate of the WMA, the Declaration is addressed primarily to physicians. Research on patients or healthy volunteers requires the supervision of a competent and appropriately qualified physician or other health care professional.
All medical research subjects should be given the option of being informed about the general outcome and results of the study. The publication of a new version of the Declaration of Helsinki and its public discussion is a great opportunity to rethink this problem.
And the Declaration identifies the sponsors, researchers and host country governments as the main agents responsible for complying with the post-trial obligations mentioned above.
NRESop. Physicians may not be involved in a research study involving human subjects unless they are confident that the risks have been adequately assessed and can be satisfactorily managed. The aim of this journal is that of adopting not only an interdisciplinary but also an interdoctrinary methodology, offering a space for a rigorous critical analysis of controversial issues, in which the confrontation of rational arguments could lead to helsihki the differences but also to finding out certain points of convergence.
In advance of a clinical trial, sponsors, researchers and host country governments should make provisions for post-trial access for all participants helxinki still need an intervention identified as beneficial in the trial.
WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects
Previous article Next article. Sources of funding, institutional affiliations and conflicts of interest must be declared in the publication.
Said Declaration is a ground-breaking paper which has been widely accepted world-wide, and as such, deserves constant reflection on its contents, to match the fast-paced progress made in the application of Science to the Biomedical research. Sobre las obligaciones de disponibilidad razonable ver Glantz, L.
Declaración de Helsinki, principios y valores bioéticos en juego en
Research Registration and Publication and Dissemination of Results Privacy and C onfidentiality These individuals must not be included in a research study that has no likelihood of benefit for them unless it is intended to promote the health of the group represented by the potential subject, the research cannot instead be performed with persons capable of providing informed consent, and the research entails only minimal risk and declaraclon burden. This paper presents a framework of ethical considerations regarding research on human beings, to outline a number of proposals and argumentations on the Declaration of Helsinki Articles 2, 15, 19, 23, 32, 33, Medical research should be conducted in a manner that minimises possible harm to the environment.
Every research study involving human subjects must be registered in a publicly accessible database before recruitment of the first subject.
Update of Declaracipn bioethics: Where no proven intervention exists, the use of placebo, or no intervention, is acceptable; or Where for compelling and scientifically sound methodological reasons the use of any intervention less effective than the best proven one, the use of placebo, or no intervention is necessary to determine the efficacy or safety of an intervention and the patients who receive any intervention less effective than the best proven one, placebo, or no intervention will not be subject to helsknki risks of serious or irreversible harm as a result of not receiving the best proven intervention.
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All medical research involving human helsimki must be preceded by careful assessment of predictable risks and burdens to the individuals and groups involved in the research in comparison with foreseeable benefits to them and to other individuals or groups affected by the condition under investigation. Researchers, authors, sponsors, editors and publishers all have ethical decladacion with regard to the publication and dissemination of the results of research.
Some groups and individuals are particularly vulnerable and may have an increased likelihood of being wronged or of incurring additional harm.
Vulnerable Groups and Individuals It must take into consideration the laws and regulations of the country or countries in which the research is to be performed as well as applicable international norms and standards helsijki these must not be allowed to reduce or eliminate any of the protections for research subjects set forth in this Declaration.
Primero, se elimina el lenguaje del enfoque de beneficios equitativos p. There may be exceptional situations where consent would be impossible or impracticable to obtain for such research.
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ABSTRACT. Background: The dengue and chikungunya epidemics have major challenging problems and have become essentially a public health importance. The Chikungunya virus was isolated from mosquitoes and found to be identical to the AV circulating human strain. This is the first field study. Mosquitoes transmit numerous arboviruses including dengue and chikungunya virus (CHIKV). Chikungunya is a re-emerging arthropod-borne.
Manifestasi Klinis Infeksi Virus Chikungunya Pada Kejadian Luar Biasa Di Indonesia
Chikungunya infection in children. The outbreak initially began in October of and has since spread throughout the western hemisphere, affecting 45 countries and territories and causing approximately 1.
Other measures of initial disease severity during acute disease were not associated with development of chronic disease, including initial viral load, number of joints affected, and duration of hospitalization [ 30 ]. In most cases of CHIKV infection, patients develop symmetric oligo or polyarthralgia within minutes to days following the initial onset of fever [ 91840 ].
Clinical and radiological features of imported chikungunya fever in Chikungunnya However, the value of the more traditional and invasive methods of sampling, including synovial fluid collection and synovial biopsy should still be recognized.
A mean follow-up of two years. The purpose of this review is to evaluate the literature chikunugnya summarize the current state of knowledge regarding CHIKV-associated disease, including clinical presentation, diagnosis, risk factors for development of severe disease, treatment, and pathogenesis in human patients.
By utilizing advanced imaging techniques, particularly MRI, it will be possible to perform a more thorough evaluation of potentially affected joints and associated soft tissues in CHIKV patients with acute disease.
Disease characterized by fever accompanied by pain in the joints of the dominant. While more invasive methods such as synovial fluid samples and synovial biopsies could undoubtedly add significant information to the growing cchikungunya of knowledge on CHIKV pathogenesis, these procedures are not without risk to the patients and may therefore require more substantial justification to be performed in prospective studies.
Majalah Kedokteran Nusantara (Journal of Medical School)
Because of the great variability in the clinical workups available in the literature, it is likely that patients that are currently classified as having chronic CHIKV-associated arthritis actually represent a heterogeneous group of conditions.
In some cases joint pain may resolve, but stiffness remains [ 3 ], perhaps suggesting permanent alterations in articular or peri-articular tissues resulting in decreased mobility.
Chikungunya disease in nonhuman primates involves long-term viral persistence in macrophages. In most cases these symptoms will resolve in approximately 2 weeks [ 9 ]. The jurnnal phase of Chikungunya virus infection in humans is associated with strong innate immunity and T CD8 cell activation.
Immunogenicity, safety, and tolerability of a recombinant measles-virus-based chikungunya vaccine: Suspected Chikungunya are interviewed and taken blood. The case numbers decreased inresulting in a total of cases of CHIKV-induced disease and 1 locally acquired case in Texas [ 8 ].
Much of the current literature focuses on the use of standard radiography for evaluation of joints in CHIKV-infected patients and results are often variable [ 924354041 ]. While there have been millions of people affected by CHIKV within the last decade, methods of prevention and treatment are still lacking.
Chikungunya and DHF cases were tended to occur in residential land use which close to the commercial land use. The most joint pain symptom reported is wristand knee joints While patients in this study improved overall, the authors concluded that there was no advantage to use of hydroxychloroquine as compared to NSAIDs or steroids.
This study provides useful information for urban public health management.
Based on the same vector with dengue hemorrhagic fever transmission, an ecological approach using GIS was taken to compare the spatial-temporal pattern between chikungunya kurnal DHF. These initial assessments might also be useful for guiding treatment options in patients.
Email this article Login required. Diagnosis of CHIKV Infection As discussed, the clinical presentation of CHIKV-associated arthralgia during the juurnal stages can be quite similar to other arthritogenic alphaviruses and other tropical arboviruses such as dengue and Zika [ 3945 ].
Manifestasi Klinis Infeksi Virus Chikungunya Pada Kejadian Luar Biasa Di Indonesia – Neliti
Article Tools Print this article. Other similarities in laboratory results shared by CHIKV and RA include variably elevated erythrocyte sedimentation rates, elevated C-reactive protein, and presence of anti-citrullinated protein antibodies [ 9203135384047 ].
It is essential that thorough clinical workups of patients during acute stages be performed to evaluate cihkungunya existing disease. Additionally, many studies have demonstrated persistent IgM levels in patients lasting 18 months or longer [ 2430323641 ].
Emerging viral infections in rheumatic diseases. In a small cohort of ten patients, decreased pain and swelling were reported in most patients [ 64 ]. Replication of virus occurs within the cytoplasm, associated with cytopathic vacuoles formed from rearrangement of host membranes [ 57 ]. How to cite item. Clinical symptoms chikungunua was performed from 28 confirm chikungunya cases based on laboratory result. Additionally, while radiography has been shown to be useful predominantly at the later timepoints as discussed above, in a report utilizing MRI, bone erosions, tenosynovitis, and joint effusions have been demonstrated within the first 1 to 2 months p.
Effectiveness of chloroquine and inflammatory cytokine response in patients with early persistent musculoskeletal pain and arthritis following chikungunya virus infection. In one multivariate model, the 3 variables that were independently associated with chronic CHIKV-associated joint disease were being 45 years old or older, the initial severity cbikungunya joint pain, and underlying osteoarthritis [ 29 ].
Goupil 1 and Christopher N. Additionally, some of jurnsl such as dengue, Zika, and CHIKV are currently co-circulating in the western hemisphere [ 39 ], thus care should be taken to definitively identify the cause in any case with this presentation.
Location of cases was obtained using GPS. Jurnal Biotek Medisiana Indonesia. Because the acute presentation of CHIKV-associated disease as visualized by MRI is currently unknown, it is possible that scans performed at early junral will provide only minimal information in regard to disease status, or that the acute presentation will be variable among patients and therefore the interpretation jhrnal results challenging.
In cases refractory to NSAID treatment, short-term courses of corticosteroids have been attempted with variable success. Chikungunya is a re-emerging disease that caused byalphavirus family Togaviridae.
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Download Citation on ResearchGate | Liver Radioembolization with 90Y Microspheres | This book provides an in-depth account of all aspects of. Editorial Reviews. From the Back Cover. This is the second edition of a very well received book devoted specifically to the treatment of liver tumors by. Liver Radioembolization with 90Y Microspheres by Jose Ignacio Bilbao, , available at Book Depository with free delivery worldwide.
Radioembolization with 90Y microspheres: angiographic and technical considerations.
Detailed information is provided on the full range of relevant topics, including hepatic vascular anatomy including variantsdosimetry, assessment of tumor response, and radioenbolization results achieved using radioembolization alone and in combination with other treatments in patients with primary or metastatic disease.
The new edition has been fully updated to cover the most recent advances and includes additional chapters on regulations and emerging trends. The purpose of this lvier is to provide a thorough discussion and detailed presentation of the angiographic and technical aspects of radioembolization. N2 – The anatomy of the mesenteric system and the hepatic arterial bed has been demonstrated to have a high degree of variation.
The most frequent liver tumor among micrpspheres patients was hepatocellular carcinoma. Complication rates were similar in both groups: Ultrasound of the Gastrointestinal Tract Giovanni Llver.
Access to Document Angiographic and technical considerations. Elderly patients did not have more toxicity than younger patients treated with 90Y-RE, and survival was similar for each histology. Angiographic and technical considerations ‘ CardioVascular and Interventional Radiologyvol.
Computed Tomography of the Lung Johny A.
Liver radioembolization using 90Y resin microspheres in elderly patients: tolerance and outcome.
Temporal Bone Imaging Marc Lemmerling. The most common complications of 90Y-RE arise from excessive irradiation of nontarget organs eg, gastrointestinal tract, lung, and nontumoral liver. We can notify you when this item is back in stock. Vascular Interventional Lliver Mark G. Although anatomical variants have been well described, the characterization and understanding of regional hepatic perfusion in the context of radioembolization have not been studied with great micrsopheres.
Abstract The anatomy of the mesenteric system and the hepatic arterial bed has been demonstrated to have a high degree of variation. Elderly patients should be considered for 90Y-RE if they otherwise meet the inclusion criteria applicable to younger patients. Microspherez out the top books of the year on our page Best Books of The purpose of this study is to evaluate the safety and survival of elderly patients treated with 90Y-RE.
Furthermore, the principles described here apply to all liver-directed transarterial therapies.
Identifying and managing anatomic variants. CardioVascular and Interventional Radiology30 4 Back cover copy This is the second edition of a very well received book devoted specifically to the treatment of liver tumors by radioembolization with 90Y microspheres.
This is important when considering pre-surgical planning, catheterization, and radioemboilzation hepatic therapies. CardioVascular and Interventional RadiologyVol. Angiographic and technical considerations Robert J.
E. platyacanthus CZ Dottor Arroyo, NL. This is the largest of all barrel cacti, it is grey-blue and nice when small, but areoles merge and forms a continuous. Echinocactus platyacanthus (Giant Barrel Cactus) is a slow-growing cactus, up to feet ( m) tall, up to 5 feet ( m) wide and can. Echinocactus platyacanthus. Common Name(s): Giant Barrel Cactus, Large Barrel Cactus Synonym(s): Echinocactus karwinskii, Echinocactus ingens.
The importance of these species increases with the aridity of the land and its inadequacy for agriculture Del Castillo and Trujillo Echinocactus ingens Echinocactus karwinskii Echinocactus helophorus Echinocactus visnaga Echinocactus palmeri. They grow best in well-drained soil and a position in full sunwhich will help to maintain the lustre of the spines and longevity of the flowers.
The fruit is up to 1. Seedling establishment of Echinocactus platyacanthus is very low in habitat, because initial growth in the field is slow, two-years-old seedlings may be only 2.
This page was last edited on 27 Octoberat echinocacrus The juvenile Plattyacanthus look very different from the mature specimens.
They’re heavily ribbed and have large areoles. Echinocactus platyacanthus, Miquihuana, Tamaulipas Photo by: The juvenile Echinocactus look very different from the mature specimens. During the dry season when other plants are not available, herders remove the spines and use the stem of this species for forage for goats.
This species is quite common, but is a slow growing species which makes it particularly vulnerable to the removal of adult platyacxnthus. Photo of conspecific taxa, varieties, forms and cultivars of Echinocactus platyacanthus. Besides, it performs wonderfully in containers, Container media should be coarse as well.
They also tend to lean to the south or southwest so that the spines can better protect the body of the plant from the harsh desert sun. Each fruit contains numerous black seeds approximately 1. Echinocactus platyacanthus Photo by: Regardless of paltyacanthus name, this huge plant makes a spectacular specimen when full grown.
Reviews There are no reviews yet. Mature specimens often have a somewhat sway-backed, saddle-shaped apex, echinofactus covered in white wool, where their flowers emerge. The flowers appear from the end of spring to summer and also in autumn, only on larger mature specimens receiving enough full sun, but rarely flowering in cultivation.
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Echinocactus platyacanthus Conservation status. Plants that flower in the spring and autumn, produce fruits in summer and winter respectively. They grow best in well-drained soil and a position in full sun, which will help to maintain the lustre of the spines and longevity of the flowers. Photographs exist of specimens almost four feet almost 1.
Together with Ferocactus histrix this is the most abundant and widespread barrel cactus in Mexico. The apex of the cactus is flat and covered with a yellow felt-like substance. Overall, these are very attractive cacti for dish gardens or indoor display.
In fact like the other Echinocactus and Ferocactus seedlings, the rib structure is not yet apparent, and they have pronounced tubercles.
Stigma-lobes 10 open, spreading. In this case the overcollection ehinocactus wild plant for making cactus candy is the major threat to the survival of this species. A collection of them is especially attractive, as they look like a collection of balls tossed upon the ground. This Cactaceae article is a stub. Nearly globular, broadly columnar, or barrel shaped, often very massive 0.
Young plants are prone to mealy bug and red spider mite. Cactaceae Cactus Family Scientific Name: Outer perianth-segments lanceolate, mucronate; inner perianth-segments broad, obtuse, yellow, the outer ones tappering to narrow brownish points. Echinocactus are vulnerable to pests including aphids, mealy bugs, scale, and white fly. Yellow flowers occur in a ring at the top and poke out beyond the wool.
Livestock also disturb the fragile soil causing a loss of suitable microhabitat for the establishment of new individuals. Wikimedia Commons has media related to Echinocactus platyacanthus. Juvenile plants are vastly different than adult plants and could be mistaken as two distinct species. We have the experience to help with your plant needs.
Find the most up-to-date version of IEC at Engineering Buy IEC LAMP CAPS AND HOLDERS TOGETHER WITH GAUGES FOR THE CONTROL OF INTERCHANGEABILITY AND SAFETY – PART 3. Buy IEC Amd Ed. Amendment 22 – Lamp caps and holders together with gauges for the control of interchangeability and safety. Part 3: Gauges.
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Go gauge for dimension “S1” of E14 caps on finished lamps, G-1 Purpose: I would like your verified suppliers matching service! Shenzhen Chuangyin Technology Co. To check the ieec S1 minimum and S1 maximum of E14 caps on finished lamps.
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Subscription pricing is determined by: Please reply me widthin 24 hours. When the cap on a finished lamp has been screwed into the gauge as far as it will go, the plunger surface W shall be co-planer with or project beyond surface X but it shall not project beyond surface Y. As 600061-3 voice of the U.
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This consolidated version of IEC is based on the third edition and its supplements ABCDEFGHJKLMNPQRSTU and amendments 2021222324252627282930313233 and 34 Shenzhen Julixing Ifc Co. Add to Alert PDF. Your Alert Profile lists the documents that will be monitored. Guidelines and general information Each part is independent of the other, but a given part should always be studied in conjunction with the other parts.
Go gauge for dimension ie of E14 caps on finished lamps, G If you require testing equipment 60061- test products such as home appliances, electrical accessories like switches, sockets, connectors, etc.
IEC 60061-3 Go No Go Gauge for G13 Lamp Caps 7006-45-4
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