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Knee Replacement - Multiple Languages. Vehicle systems. Barry; Bolstad, Donald A. GSA will not solicit trade-in bids when purchasing new motor vehicles for replacement purposes because experience has shown that suppliers Replacement of motor vehicles shall be in accordance with the Role of gender, disorder and the type of offence in the procedure].

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An increase in the length of time until the first escorted leave is granted to a patient detained by court order tbs results in a longer period of treatment. Physicians involved in the treatment and clinic managers are striving to reduce, in a responsible manner, the length of the period of treatment preceding the patient's first escorted leave. Forensic Psychiatric Clinic fpk 'De Woenselse Poort' aims to find out to what extent gender, pathology and the type of offence committed by the detainee influence the length of time that elapses before the patient's first leave is granted.

We conducted a retrospective study based on patients' records. Although men use physical aggression more often than women, we found that gender, pathology and the type of offence had no influence on the length of the treatment period that preceded the granting of the patient's first escorted leave. Partly on the basis of risk management scales, clinicians judge whether the patient has adopted a more positive or a more negative attitude to risk factors relating to his or her offence.

If the risk factors have become more positive, one would expect the application for leave to be made earlier. Surprisingly, this was not the case.


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In order to speed up the decision-making process regarding the application for leave, a clinical method for evaluating risk related treatment needs to be developed in which offence related risk factors are identified and the patient's positive or negative attitude to these risks are measured and monitored. At each treatment evaluation practitioners should be required to produce arguments that determine whether or not the patient is to be granted permission to go on leave at a particular moment. Hip joint replacement - slideshow.

Carbohydrates as Fat Replacers. The overconsumption of dietary fat contributes to various chronic diseases, which encourages attempts to develop and consume low-fat foods. Simple fat reduction causes quality losses that impede the acceptance of foods. Fat replacers are utilized to minimize the quality deterioration after fat reduction or removal to achieve low-calorie, low-fat claims. In this review, the forms of fats and their functions in contributing to food textural and sensory qualities are discussed in various food systems.

The connections between fat reduction and quality loss are described in order to clarify the rationales of fat replacement. Carbohydrate fat replacers usually have low calorie density and provide gelling, thickening, stabilizing, and other texture-modifying properties. In this review, carbohydrates, including starches, maltodextrins, polydextrose, gums, and fibers, are discussed with regard to their interactions with other components in foods as well as their performances as fat replacers in various systems.

Slab replacement maturity guidelines. This study investigated the use of maturity method to determine early age strength of concrete in slab : replacement application. Specific objectives were 1 to evaluate effects of various factors on the compressive : maturity-strength relationship Valve Repair or Replacement.

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Biological valves are made from animal tissue called a Patients with biological valves usually do not need to take blood Androgen replacement for women. To determine whether this syndrome is ameliorated by testosterone replacement. Only one randomized prospective blinded study examines sexual outcome in detail. The variable reduction in ovarian testosterone production coincident with menopause is sometimes associated with a syndrome of specific changes in sexual desire and sexual response.

Estrogen deficiency also impairs sexual response, but its replacement will not improve and might exacerbate sexual symptoms from androgen loss. Diagnosis of androgen deficiency is clinical, based on accurate assessment of a woman's sexual status before and after menopause and only confirmed rather than diagnosed by a low level of free testosterone.

Partial androgen replacement restores much of the sexual response and facilitates sexual desire that is triggered by external cues. Avoiding supraphysiological levels of testosterone lessens risk of masculinization. Avoiding alkylated testosterone lessens hepatic or lipid impairment. The consistency of sexual changes, the associated personal and relationship distress, together with our clinical experience of the gratifying response to physiological replacement , make further studies urgently needed.

Robotic vehicle. A robotic vehicle is described for travel through a conduit. The robotic vehicle includes forward and rear housings each having a hub portion, and each being provided with surface engaging mechanisms for selectively engaging the walls of the conduit such that the housings can be selectively held in stationary positions within the conduit. The surface engaging mechanisms of each housing includes a plurality of extendable appendages, each of which is radially extendable relative to the operatively associated hub portion between a retracted position and a radially extended position.

The robotic vehicle also includes at least three selectively extendable members extending between the forward and rear housings, for selectively changing the distance between the forward and rear housings to effect movement of the robotic vehicle. The surface engaging mechanisms of each housing includes a plurality of extendible appendages, each of which is radially extendible relative to the operatively associated hub portion between a retracted position and a radially extended position.

The robotic vehicle also includes at least three selectively extendible members extending between the forward and rear housings, for selectively changing the distance between the forward and rear housings to effect movement of the robotic vehicle. A robotic vehicle for travel through a conduit. The Titan II liftoff. The Titan II launch vehicle was used for carrying astronauts on the Gemini mission.

The major objectives were to subject are two men and supporting equipment to long duration flights, to effect rendezvous and docking with other orbiting vehicle , and to perfect methods of reentry, and landing the spacecraft. Connected vehicle applications : safety. Connected vehicle safety applications are designed to increase situational awareness : and reduce or eliminate crashes through vehicle -to-infrastructure, vehicle-to-vehicle , : and vehicle -to-pedestrian data transmissions.

Applications support advisor Connected vehicle safety applications are designed to increase situational awareness and reduce or eliminate crashes through vehicle -to-infrastructure, vehicle-to-vehicle , and vehicle -to-pedestrian data transmissions. Applications support advisories Brakes Regenerative braking on electric vehicles recoups some of the energy lost Regenerative braking takes some of the lost energy during braking and turns it into Motors and Tesla Motors offer regenerative breaking in their respective electric vehicles.

The program is intended to produce an improved launch vehicle family for government use. The EELV will replace th Sex work has been associated with elevated risk for HIV infection among men who have sex with men MSM in many settings. This mixed methods study examined sexual risk among MSM sex workers in Massachusetts, collecting formative data on HIV risk behavior by sex worker type in order to gain a better understanding of how to tailor prevention interventions to this unique and high-risk subgroup of MSM.

Participants completed a semistructured qualitative interview and quantitative psychosocial assessment battery; interviews were conducted until redundancy in responses was achieved. Salient findings included: a internet sex workers reported being paid substantially more for sex than street sex workers; b inconsistent condom use, high rates of unprotected sex, and low rates of HIV status disclosure with sex work partners for both internet and street workers; general perceptions of a lack of trust on the part of sex work partners i. Biological tooth replacement. Teeth develop from a series of reciprocal interactions that take place between epithelium and mesenchyme during development of the mouth that begin early in mammalian embryogenesis.

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The molecular control of key processes in tooth development such as initiation, morphogenesis and cytodifferentiation are being increasingly better understood, to the point where this information can be used as the basis for approaches to produce biological replacement teeth BioTeeth. This review outlines the current approaches, ideas and progress towards the production of BioTeeth that could form an alternative method for replacing lost or damaged teeth. Knee joint replacement.

Treatment of osteoarthritis of the knee: evidence-based guideline 2nd edition summary. Updated May 18, Replacing America's Job Bank. Hip Replacement - Multiple Languages. Prioritizing equipment for replacement. It is suggested that clinical engineers take the lead in formulating evaluation processes to recommend equipment replacement.

Their skill, knowledge, and experience, combined with access to equipment databases, make them a logical choice.


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  • The element of downtime was also omitted due to the data element not being available. They deemed the criteria to be robust and provided overwhelming acceptance of the list. It was quickly put to use to estimate required capital funding, justify items already thought to need replacement , and identify high-priority ranked items for replacement.

    Incorporating prioritization criteria into an existing equipment database would be ideal. Some commercially available systems do have the basic elements of this. Maintaining replacement data can be labor-intensive regardless of the method used. There is usually little time to perform the tasks necessary for prioritizing equipment. However, where appropriate, a clinical engineering department might be able to conduct such an exercise as shown in the following case study.

    Among the several major issues that Congress addressed in the process of reauthorizing the Clean Air Act was the future role of alternative highway transportation fuels in reducing urban smog. As vehicular emissions control efficiencies rose past The Redstone ballistic missile was a high-accuracy, liquid-propelled, surface-to-surface missile. Originally developed as a nose cone re-entry test vehicle for the Jupiter intermediate range ballistic missile, the Jupiter-C was a modification of the Redstone missile and successfully launched the first American Satellite, Explorer-1, in orbit on January 31, Electric-Drive Vehicles.

    Electric-drive vehicles use electricity as their primary fuel or to improve the efficiency of conventional vehicle designs. A ground vibration test GVT is intended to measure by test the fundamental dynamic characteristics of launch vehicles during various phases of flight. During the series of tests, properties such as natural frequencies, mode shapes, and transfer functions are measured directly.

    This data is then used to calibrate loads and control systems analysis models for verifying analyses of the launch vehicle. It will also provide instant communications between the President and the Commanding Officers. The robotic vehicle comprises forward and rear housings each provided with a surface engaging mechanism for selectively engaging the walls of the conduit through which the vehicle is travelling, whereby the housings are selectively held in a stationary position within the conduit.


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    • The vehicle also includes at least three selectively extendable members, each of which defines a cavity therein.