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Download Cumitech 18A: Laboratory Diagnosis of Hepatitis Viruses by Max A. Chernesky, David Gretch, Isa K. Mushahwar, Paul D. PDF

By Max A. Chernesky, David Gretch, Isa K. Mushahwar, Paul D. Swenson, Patrice O. Yarbough, Stephen Young

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For example, ‘technical practice development’ has been associated with the uptake of scientific knowledge, and reflects a traditional evidence implementation model with close links between knowledge and practice; ‘emancipatory practice development’, on the other hand, is particularly interested in the transformation of organisational culture and context to sustain practice development, and to encourage innovation (Manley & McCormack 2003). The two approaches are underpinned by different values, assumptions and theories, and consequently, approaches to working.

Within the lateral, third and fourth ventricles, tufts of pia mater form a portion of the choroid plexus, responsible for CSF production (Standring 2004; Waxman 2000). 1). At the uppermost part of the system, two lateral ven- What is a Stroke? 1 The ventricular system. Reproduced with permission of Stephen DiBiase Designs. tricles extend from the frontal to the occipital lobes (Standring 2004; Waxman 2000). The right lateral ventricle is commonly the site for cannulation when CSF drainage by ventriculostomy or shunt, and/or intracranial pressure monitoring is required.

With considerable political investment, the most recent audit of stroke services in England, Wales and Northern Ireland indicated modest improvement in the delivery of evidence-based stroke care (Intercollegiate Stroke Working Party 2008b, 2008c). For example, in 2006 62% of stroke patients were admitted to a stroke unit at some point in their stay in hospital, with only 54% spending more than half of their time in hospital in a stroke unit (Intercollegiate Stroke Working Party 2007). By 2008, on the day of audit with 6452 patients with either stroke or transient ischaemic attack (TIA) in hospitals, 1502 (23%) were not in a stroke unit bed (Intercollegiate Stroke Working Party 2008b).

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