Despite the clinical benefits and safety profile of primary percutaneous coronary intervention (PCI), the health care system in the UK has been slow to adopt this strategy as first line management for ST segment elevation myocardial infarction. The cost implications of a 24 hour a day, seven days per week primary PCI service and the absence of an existing efficient working model within the Nati...

in this case study, we describe a 25 year-old male who showed the symptoms of diabetes after a period of heavy drinking. (hba1c=13%). treatment was started with 120 units of insulin. after stopping alcohol consumption and taking an appropriate diet, insulin was tapered down. five months after the start of treatment, insulin was stopped (hba1c=5%). the results showed that he was in a good metabo...

the reaction of tertiary, secondary and benzylic alcohols with different nitriles in the presence of alumina-methanesulfonic acid (ama) as a new reagent affords the corresponding amides in good yields (table 1, 2). conversion of 2,6-bis(hydroxymethyl)-4-halo anisoles into corresponding diamides in the range of 68-76% yields (table 3) are also included in this paper.

To better understand the problems and benefits of using biodiesel, E85, propane, natural gas, and hybrid vehicles in smaller communities, a survey of 115 small urban and rural transit agencies was conducted. This study describes the use of alternative fuels and hybrids by these transit providers; identifies motivating factors and deterrents for adoption; describes the experience of transit agen...

Background: This review was performed to evaluate the trend of alcohol use, characteristics of consumers, alcohol use disorders and toxic alcohol intoxications in Bangladesh. In addition, sources and sales figures of alcoholic beverages, and number of legal permits issued for alcohol consumption are reported and analyzed. Methods: A narrative search was performed on available medical literature...

This paper is research in progress on an extension of the Unified Theory of Acceptance and Use of Technology (UTAUT) to web systems usage for e-procurement. Focusing on business-to-business transactions, this research explores an extended version of the UTAUT that integrates core drivers and deterrents of web systems usage and investigates the consequence of such usage on corporate buyers. Data...