MRI IN THE SCREENING OF HIGH RISK PATIENTS AND IN THE DETECTION AND DIAGNOSIS OF EARLY BREAST CANCER

Tìm thấy 10,000 tài liệu liên quan tới từ khóa "MRI IN THE SCREENING OF HIGH RISK PATIENTS AND IN THE DETECTION AND DIAGNOSIS OF EARLY BREAST CANCER":

ANTI CANCER EFFECTS OF THYMOQUINONE IN BREAST CANCER CELLS INVOLVEMENT OF NON HOMOLOGOUS END JOINING AND TELOMERE TELOMERASE HOMEOSTASIS

ANTI CANCER EFFECTS OF THYMOQUINONE IN BREAST CANCER CELLS INVOLVEMENT OF NON HOMOLOGOUS END JOINING AND TELOMERE TELOMERASE HOMEOSTASIS

... damaging and telomeretelomerase effects and hence the mechanism of action of TQ in breast cancer cells In addition, it is of interest to investigate the effects of TQ in normal breast epithelial cells. .. Black cumin seeds (left) and chemical structure of thymoquinone (right) 23 Figure 10 Growth inhibitory effects of TQ on breast cancer cells 39, 40 Figure 11 Growth inhibition of breast cancer cells. .. deficiencies in cell cycle checkpoint function in breast cancer cells 41 3.1.3 Changes in cell cycle protein expressions in TQ-treated breast cancer cells 44 3.2 DNA damaging effects of TQ in normal and
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CORPORATE FINANCE FINAL ASSIGNMENT

CORPORATE FINANCE FINAL ASSIGNMENT

100 days, a desirable figure in Vietnam.Inventory Turnover also fell by nearly half in 2012, corresponding to 52% compared to 2011,which suggests that consumer demand from the U.S. and several countries around the world isstill very slow, the cause may be due to economic the world has yet to recover significantly.However, the average number of days inventory is about 2.5 months # 78.49 days. This is not the-disappointing numbers, and those in Vietnam (approximately 100-180 days), it remains a dream.Payables Turnover in 2012 fell sharply compared to 2011, 48%. As such, the company, thanks tothe advantage of his size has raised occupancy time from suppliers to offset receivables and-inventory. Time payables 50.87 per day, an increase of 209% compared to 2011.Total Asset Turnover increased by 105% in 2012 compared to 2011, ie the profitability of 1copper assets in 2012 is higher than 2011.c) Group index of leverage and asset structure and capitalRatios20122011Change 2012/2011Measure of long-term credit risk
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MEDICAL ASSISTING ADMINISTRATIVE AND CLINICAL PROCEDURES (5E) CHAPTER 41 ASSISTING IN GERIATRICS

MEDICAL ASSISTING ADMINISTRATIVE AND CLINICAL PROCEDURES (5E) CHAPTER 41 ASSISTING IN GERIATRICS

After completing this chapter, students will be able to: Relate developmental changes in geriatric patients to medical assisting practice; describe common geriatric diseases and disorders and their treatment; identify variations of care for geriatric patients during examinations, screening procedures, diagnostic tests, and treatments; explain special health concerns of geriatric patients.

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MBA STRATEGIC MANAGEMENT WHEENLEN P2

MBA STRATEGIC MANAGEMENT WHEENLEN P2

indicates that managers who own a significant amount of stock in their firms are more likelyto engage in risk-taking actions than are managers with no stock.'A high level of risk was why Intel's board of directors found it difficult to vote for a proposal in the early 1990s to commit $5 billion to making the Pentium microprocessor chip—five times the amount of money needed for its previous chip. In looking back on that boardmeeting, then-CEO Andy Grove remarked, "I remember people's eyes looking at that chartand getting big. I wasn't even sure I believed those numbers at the time." The proposal committed the company to building new factories—something Intel had been reluctant to do. Awrong decision would mean that the company would end up with a killing amount of overcapacity. Based on Grove's presentation, the board decided to take the gamble. Intel's resultingmanufacturing expansion eventually cost $10 billion but resulted in Intel's obtaining 75% ofthe microprocessor business and huge cash profits.'CHAPTER EIGHT Strategy Formulation: Functional Strategy and Strategic ChoiceRisk might be one reason that significant innovations occur more often in small firmsthan in large, established corporations. A small firm managed by an entrepreneur is often willing to accept greater risk than is a large firm of diversified ownership run by professionalmanagers.' It is one thing to take a chance if you are the primary shareholder and are not concerned with periodic changes in the value of the company's common stock. It is somethingelse if the corporation's stock is widely held and acquisition-hungry competitors or takeoverartists surround the company like sharks every time the company's stock price falls belowsome external assessment of the firm's value.A new approach to evaluating alternatives under conditions of high environmental uncertainty is to use real-options theory. According to the real-options approach, when the futureis highly uncertain, it pays to have a broad
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Evaluation of loop mediated isothermal DNA aplification (LAMP) detection of salmonella spp in foods and listeria monocytogenes on environmental surfaces

EVALUATION OF LOOP MEDIATED ISOTHERMAL DNA APLIFICATION (LAMP) DETECTION OF SALMONELLA SPP IN FOODS AND LISTERIA MONOCYTOGENES ON ENVIRONMENTAL SURFACES

... vehicle of transmission for pathogens to grow and make consumers sick Hence, monitoring of contamination in the food is crucial Advances in detection methods of pathogens in foods and environmental. .. Table Comparison of 3M™ MDA Listeria monocytogenes and ISO methods on detection of inoculated Listeria monocytogenes at inoculum levels of 100, 101 and 102 CFU/100 cm2 on stainless steel and polyethylene... g Table Comparison of 3M™ MDA Salmonella and ISO methods on the detection of healthy and sub-lethally injured Salmonella spp inoculated on raw duck wings, raw mung bean sprouts and processed fishballs
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ENVIRONMENTAL PLANNING IN RWANDA ENVIRONMENTAL IMPACT ASSESSMENT (EIA) AS a PLANNING TOOL AND ITS EFFECTIVENESS

ENVIRONMENTAL PLANNING IN RWANDA ENVIRONMENTAL IMPACT ASSESSMENT (EIA) AS A PLANNING TOOL AND ITS EFFECTIVENESS

ENVIRONMENTAL PLANNING IN RWANDA: ENVIRONMENTAL IMPACT ASSESSMENT (EIA) AS A PLANNING TOOL AND ITS EFFECTIVENESS
Presentation Outline
Definition of EIA;
Historical Background and Context of EIA in Rwanda;
Policy and Legal Framework on EIA;
International Context of EIA;
EIA Practice in Rwanda:
EIA Process and Procedures in Rwanda
The EIA Process in Practice;
Challenges to operationalise EIA:
Screening;Scoping and Terms of Reference; Quality of the EIAs ;
Decisionmaking and appeals against decisions; Inadequate expertise

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PROJECT MANAGEMENT CHAPTER 3

PROJECT MANAGEMENT CHAPTER 3

ensure that the model was capable of picking potential "winners" from the large setof possible project choices? After much consideration, you decide to narrow the focus for your screeningmodel and create one that will allow you to select only projects that have high potential payoffs. All otherissues are ignored in favor of the sole criterion of commercial profitability. The question is: Would such ascreening model be useful? Souder3 identifies five important issues that managers should consider when evaluating screening models:1. Realism: An effective model must reflect organizational objectives, including a firm's strategic goals andmission. Criteria must also be reasonable in light of such constraints on resources as money and personnel.Finally, the model must take into account both commercial risks and technical risks, including performance, cost, and time. That is: Will the project work as intended? Can we keep to the original budget or isthere a high potential for escalating costs? Is there a strong risk of significant schedule slippage?2. Capability: A model should be flexible enough to respond to changes in the conditions under whichprojects are carried out. For example, the model should allow the company to compare different types ofprojects (long-term versus short-term projects, projects of different technologies or capabilities, projects
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Current Diagnosis And Treatment SexuallyTransmitted Diseases

CURRENT DIAGNOSIS AND TREATMENT SEXUALLYTRANSMITTED DISEASES

Preface
Sexually transmitted diseases (STDs) are common problems that have an impact on patients seen by many, if not
all, clinicians, irrespective of their chosen practice. Family practitioners, internists, pediatricians, obstetriciangynecologists,
urologists, and dermatologists all regularly care for patients at risk for STDs. They are also
common: the Centers for Disease Control and Prevention (CDC) estimates that nearly 20 million new STD
cases occur each year, with about half among people less than 25 years of age. In addition, STD diagnosis
and management is a dynamic area in medicine with significant recent advances in prevention, diagnosis,
treatment, and clinical care. The advent of a vaccine for human papillomavirus, which is recommended for
females aged 9–26, provides an important opportunity for clinicians to assess and discuss sexual activity with
adolescents and their parents while offering a highly effective preventive intervention. Similarly, for the most
common bacterial STDs, nucleic acid-based assays enable rapid and accurate identification of infections by
clinicians, using noninvasively collected specimens (urine) and eliminating barriers to screening. Finally, multiple
clinical trials have
demonstrated the safety and efficacy of single-dose therapy for a number of common
STDs
and the widespread
recognition
that reinfection
is common has led to important
changes in partner
management
and recommendations
for retesting.
Each of these new
elements for managing the infections
caused
by
the nearly 30 organisms that are
principally transmitted sexually provides
clinicians with new
tools
for
efficient, effective
STD management.
We hope that the busy clinician, whether the experienced subspecialist, recently trained graduate, or hardworking
mid-level
practitioner,
will find the up-to-date, practical, and evidence-based chapters in Current
Diagnosis
Management of Sexually Transmitted Diseases a useful and easy reference guiding the day-to-day clinical
care of the patients they surely see who are at risk for STDs. Students of medicine and physicians in training
will note the informative discussions of epidemiology and pathogenesis in certain chapters and tables summarizing
the differential
diagnosis of syndromes,
lists of etiologic organisms, and clinical practice points.
Leading experts in medicine, surgery, obstetrics and gynecology, and pediatrics have joined together to create
this first edition to further
the appropriate
and timely diagnosis and treatment
of sexually transmitted diseases.
Highlights
of this edition include current
U.S. STD and HIV screening
guidelines, syndromic-based
evaluations
and rapid point-of-care
tests, new
evidence of the role
of certain
infections like Mycoplasma
genitalium,
and the renewed
recognition
of old diseases like lymphogranuloma venereum.
Attention
should be
paid
to chapters that focus on prevention—risk-reduction
counseling and partner
notification—which can
enable
the clinician to serve
in his or her larger role
as a potential agent of individual change and public health
advocate.
Lastly,
recognizing
the unique role
of behavior and development
in the risk and management of
STDs,
we
have
included specific chapters dedicated to special populations.
With the carefully composed chapters in this book, we hope that clinicians will be better able to manage
sexually transmitted infections and, even more importantly, ally with their patients to prevent further infections
and the continued spread
of those diseases. As this is the first edition, we
aim to continue to improve
this
text to increase
its usefulness and welcome
recommendations,
comments, and criticism from
our readers.
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An enhance framework on hair modeling and real time animation

AN ENHANCE FRAMEWORK ON HAIR MODELING AND REAL TIME ANIMATION

... and between scalp and hair strips to provide a realistic animation A model of collision detection, response and avoidance is also specified Collision of hair strips against scalp and collision... the framework so that real- time animation of hairstyle with proper collision detection, respond and avoidance is enabled In order to produce a realistic hair animation, the movement of the animated... produce realistic animated synthetic actors with hair: hair modeling and creation, hair motion, hair rendering, and collision detection and response [Dald93] The modeling of hair specifies the

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household debt in korea causes and policy responses

HOUSEHOLD DEBT IN KOREA CAUSES AND POLICY RESPONSES

Household debt is regarded as one of the most serious risk
factors that can threaten the stability of financial system.
started to increase from early 2000’s after the foreign exchange
crisis in 1997.
showed explosive growth between 2000 and 2002 with average
annual growth rate of 25%.
stabilized after “credit card crisis” in 200203 with average annual
growth rate of 7.8%, still higher than growth rate of income.
 The concern on household debt emerged as the primary
policy concern after the global financial crisis in 200708.
Korean household sector was able to avert a serious turbulence
through the crisis.
became the center of attention as prolonged recession and
stagnant real estate market after the crisis
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UPDATED IN DIAGNOSIS OF ACUTE ISCHEMIC STROKECTMRI AND ADVANCES

UPDATED IN DIAGNOSIS OF ACUTE ISCHEMIC STROKECTMRI AND ADVANCES

VIETNAM NATIONAL CONGRESS OF CARDIOLOGY15th Meeting, Ninh BinhUpdated in Diagnosis of Acute Ischemic Stroke:CT/MRI and advancesNguyen Quang Anh, MDIntroduction• Ischemic: 80% of stroke• 3rd leading cause of dead in United States• 2025: prediction of 1.2 millions patients/year• In Viet Nam, stroke is top cause of Death (accountfor 18% - 2008)• Cardiovascular disease, diabetes…Diagnostic Tools• Multi-choices in diagnosis• CT Scanner -> MRI (3 steps)• Perfusion -> MultiphaseCT Scanner protocol• CT non-contrast: rule out hemorrhage + identify ischemicstroke area• CT Angiography: arterial occlusion• PW: if possible (double dose of contrast)
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DENGUE GUIDELINES FOR DIAGNOSIS, TREATMENT, PREVENTION AND CONTROL, 2009

DENGUE GUIDELINES FOR DIAGNOSIS, TREATMENT, PREVENTION AND CONTROL, 2009

DENGUEGUIDELINES FOR DIAGNOSIS, TREATMENT, PREVENTION AND CONTROL, 2009Since the second edition of Dengue haemorrhagic fever: diagnosis, treatment, prevention and control was published by the World Health Organization (WHO) in 1997, the magnitude of the dengue problem has increased dramatically and has extended geographically to many previously unaffected areas. It was then, and remains today, the most important arthropodborne viral disease of humans.Activities undertaken by WHO regarding dengue are most recently guided at the global policy level by World Health Assembly resolution WHA55.17 (adopted by the Fiftyfifth World Health Assembly in 2002) and at the regional level by resolution CE140.R17 of the Pan American Sanitary Conference (2007), resolution WPRRC59.R6 of the WHO Regional Committee for the Western Pacific (2008) and resolution SEARC61R5 of the WHO Regional Committee for SouthEast Asia (2008).
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Abnormal returns in emerging equity markets

ABNORMAL RETURNS IN EMERGING EQUITY MARKETS

... Understanding the risk and reward from investing in emerging equity markets is neces­ sary for rational flows of equity financing to developing countries Early research claimed that investing in emerging. .. the switching process is largely explained by liberalization periods in many of the emerging markets C hapter 4: I model the volatility of returns in emerging markets using a time-varying probability... whether investing in emerging equity markets was beneficial in a standard portfolio framework that implicitly assumed that emerging markets could be compared directly to the existing markets
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Sowing seeds: Unexpected journeys through the digital divide

SOWING SEEDS: UNEXPECTED JOURNEYS THROUGH THE DIGITAL DIVIDE

The digital divide refers to the gap between people with effective access to digital and information technology, and those with very limited or no access at all. increasing access to mobile technologies is one thing...but ensuring this technology is useful depends on many factors. Major challenges to the development of services include poor infrastructure, high device and airtime costs, and lack of ecosystem maturity (e.g. number portability, taxation, standards, policy.) In this region, the heavy colonial influence has resulted in good infrastructure, early ICT usage,
and a strong level of brand and marketing awareness.
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Chlorine case study FOR STUDENTS BKK dec 2011

CHLORINE CASE STUDY FOR STUDENTS BKK DEC 2011

Exercise on
WHO Human Health Risk Assessment Toolkit (HHRA Toolkit)
Working Group: Case study on Accidental release of Chlorine Gas
Objective
The objective of this case study is to demonstrate how the principles and roadmaps that
comprise the Toolkit can be used by a public health or related professional in the
immediate response to an acute chemical incident that involves the general public.
Numerous accidents of this type have occurred around the world, some of which are
profiled in the WHO Manual for the Public Health Management of Chemical Incidents.
Such incidents are typically accidental and although infrequent may result in substantial
chemical exposures that pose significant risks to large groups of people. An important
function immediately after the incident is to identify those actions that achieve the best
outcome for the health of the public and the status of the environment. The scenario
described in this case study reflects the early stages of the response phase of a chemical
incident when officials strive to achieve the best outcome. The incident is the accidental
release of chlorine.
Statement of the Problem
During the early hours of July 15 in a large city in northern Africa (in this fictional case
study we use Algiers, Algeria as an example) employees at a refrigerant coolant
processing facility noted chlorine gas leaking into the refrigerant coolant system. After 20
minutes of investigating the leak, plant officials alerted the public health authorities to the
accident and noted concerns about communities surrounding the plant. Plant officials
estimated that workers would need up to 1 hour to seal the leak and that up to 1,800
kilograms of chlorine gas were likely to be released to the air from ground level. At the
time of the release, winds were from the north at approximately 5 meters per second, the
sky was clear, and the temperature was 22 C.
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LUẬN ÁN TS Y HỌC: PATIENT SATISFACTION WITH HEALTH SERVICES AT THE OUTPATIENT DEPARTMENT OF INDIRA GANDHI MEMORIAL HOSPITAL, MALE’ MALDIVES.

LUẬN ÁN TS Y HỌC: PATIENT SATISFACTION WITH HEALTH SERVICES AT THE OUTPATIENT DEPARTMENT OF INDIRA GANDHI MEMORIAL HOSPITAL, MALE’ MALDIVES.

CHAPTER 1INTRODUCTION1.1 Rationale and justificationFor every hospital, patients are the main users. The primary function of the hospital is patient care. It is one of the yardsticks to measure the success of services that it produces. Effectiveness of the hospital relates to provision of good patient care as intended. According to Swamy (1975) patient satisfaction is the real testimony to the efficiency of hospital administration. As the hospital serves all the members of the society, the expectations of the users differ from one individual to another individual because everyone carries a particular set of thoughts, feelings and needs. Hence determination of patient’s real feelings is very difficult. It is the responsibility of the administrator team. "Put yourself in your patient''''s shoes," was a proverb that explains how to proceed with a patient (1).Consumer satisfaction is generally defined as the consumer’s view of services received and the results of the treatment. It has been used by program evaluators to enhance health care providers’ ability to render services that meet consumers need (2). Society now acknowledges the importance of the views of users in developing services, and the healthcare sector has used a range of methods to identify the views of patients and the public (3). Dansky and Miles (1997) state that from a management perspective, client satisfaction with health care is important for various reasons. First, satisfied patients are more likely to maintain a consistent relationship with a specific provider. Second, by identifying sources of patient satisfaction, an organization can address system weakness, thus improving its risk management. Third, satisfied patients are more likely to follow specific medical regimens and treatment plans. Finally, patient satisfaction measurement adds important information on system performance, thus contributing to the organization’s total quality management (4). Research on patient satisfaction with medical care can be traced back to the late 1960s. Over 40 years, an overwhelming number of publications on the topic have appeared. At first, research focused on patient satisfaction as a condition to be satisfied in order to reach desirable clinical outcomes, such as appointment keeping or compliance with recommended treatment. Gradually, interest shifted to patient satisfaction as a dependent variable. Nowadays, hardly any hospital will fail to incorporate in-patient satisfaction rating into their evaluation of care (5).According to the South African Black Population study 76% rely on public hospitals and the facilities are overcrowded, understaffed and under resourced, contributing to waiting time of more than 1 hour to see a health provider (6). Thomas et al investigated patient satisfaction in a oncology outpatient clinic in Middlesex University in Enfield UK and reported that out of 252 patients 92% were "always" or "usually" reassured as a consequence of their visit. This study also confirmed the fact that clinical staffs are one of the most important sources of satisfaction. Similar Italian and British studies also reported strong and weak points of their services that were brought out by patient satisfaction surveys and took measures to rectify the problem areas. The health care system is basically a service based industry and customer satisfaction is of utmost importance just as in other service-oriented sectors (7).Maldives is a developing country and most efforts in health services seek to provide basic health care needs to all citizens adequately and equally. There was a paucity of reliable and valid satisfaction measures. In addition, no studies have investigated the relationship between the component of patient satisfaction and health status. The Indira Gandhi Memorial Hospital serves as the major tertiary referral hospital. It also serves as the focal point for entry to health service for the people of the whole country. This hospital is situated in Male, the capital of Maldives. The hospital, with its wide ranging departments and modern diagnostic facilities, are manned by qualified and experienced medical personnel. The IGMH policy is to deliver an affordable and wide-ranging health care service to Maldivians. To achieve this IGMH has been conducting several methods to enhance their services; however they need to go through a long path to reach the goal. The customer image of the
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Risk Management Syllabus

RISK MANAGEMENT SYLLABUS

Risk management course is of importance to business students expecting to deal with business and professional lives in the future. This course is designed to introduce and discuss various risk management concepts, tools, and techniques in global context. Using integrated approaches, the course will emphasize discussion on the design and implementation of risk management practices. Basically, it purport to help students realize, understand, and master various stateofthe art risk management theories and practices (such as loss control, loss financing and internal risk reduction mechanisms) as well as advancement in the future
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Clinical routine rehabilitation of patients with chronic obstructive pulmonary disease at regional hospital

CLINICAL ROUTINE REHABILITATION OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AT REGIONAL HOSPITAL

Chapter 1: Introduction
Since 2003, Horsens Regional Hospital in Denmark has been offering a rehabilitation program
to patients suffering from the consequences of chronic obstructive pulmonary disease (COPD).
The present study evaluate this clinical routine rehabilitation program, by characterizing a
cohort of COPD patients treated at the hospital in order to identify predictors of rehabilitation
completion. Furthermore outcomes and patients’ subjective experience in relation to clinical
routine rehabilitation are investigated in a follow-up study.

In Denmark, approximately 25% of 65-79-year-old citizens are diagnosed with COPD (1).
With an increasing life expectancy, the number of people who will need treatment and
rehabilitation is hence a serious challenge for the health care system now and in the future.

As a consequence, Danish COPD Disease Management Programs including rehabilitation have
been developed following the guidelines of Global Initiative for Chronic Obstructive Lung
Disease (GOLD) (2). As a multidisciplinary and comprehensive intervention, the effects of
rehabilitation have been documented in a large number of randomized controlled trials (RCTs).
A Cochrane review and international guidelines recommend rehabilitation as an important part
of the care for COPD patients in order to improve their functional capacity, health related
quality of life (QoL), and symptoms (3-5).

Horsens Regional Hospital has implemented a Disease Management Program in which the
health care professionals emphasize a change of current practice and pioneer program
development and implementation to ensure that treatment and rehabilitation of COPD patients
be evidence-based (6).

Hospital management has requested an evaluation of the rehabilitation program to monitor its
effect and evaluate its feasibility in clinical routine. This request initiated the present project,
which has the overall purpose to form the basis for an optimal inclusion, completion and effect
of clinical routine rehabilitation.
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THE MEDICAL LETTER ON DRUGS AND THERAPEUTICS AUGUST 3 2015

THE MEDICAL LETTER ON DRUGS AND THERAPEUTICS AUGUST 3 2015

Sacubitril/Valsartan (Entresto) for Heart Failure
The FDA has approved Entresto (Novartis), an oral fixed-dose combination of the neprilysin inhibitor sacubitril and the angiotensin receptor blocker (ARB) valsartan, to reduce the risk of...
Rifaximin (Xifaxan) for Irritable Bowel Syndrome with Diarrhea
Rifaximin (Xifaxan – Salix), a minimally absorbed oral antibiotic approved previously to treat travelers'' diarrhea and to reduce the risk of recurrent hepatic encephalopathy, has now...
Polidocanol (Varithena) for Varicose Veins
An injectable foam formulation of the sclerosing agent polidocanol (Varithena – Provensis/BTG) has been approved by the FDA for treatment of incompetent veins and visible varicosities of...
In Brief: Duopa - A Carbidopa/Levodopa Enteral Suspension for Parkinson''s Disease
The FDA has approved Duopa (Abbvie), a carbidopa/levodopa enteral suspension, for treatment of motor fluctuations in patients with advanced Parkinson''s disease (PD). It has been available...
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ADDRESS SPACES INTRO

ADDRESS SPACES INTRO

In the early days, building computer systems was easy. Why, you ask? Because users didn’t expect much. It is those darned users with their expectations of “ease of use”, “high performance”, “reliability”, etc., that really have led to all these headaches. Next time you meet one of those computer users, thank them for all the problems they have caused.
13.1 Early Systems From the perspective of memory, early machines didn’t provide much of an abstraction to users. Basically, the physical memory of the machine looked something like what you see in Figure 13.1. TheOSwasasetofroutines(alibrary, really)thatsatinmemory(starting at physical address 0 in this example), and there would be one running program (a process) that currently sat in physical memory (starting at physical address 64k in this example) and used the rest of memory. There were few illusions here, and the user didn’t expect much from the OS. Life was sure easy for OS developers in those days, wasn’t it?
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