This paper considers some uses of Free Indirect Discourse within non-fictional discourse. It is shown that these differ from ordinary in they do not attribute actual thoughts or utterances. I argue the explanation for this are assertoric. Instead, it argued here fictional uses, is, used with force like utterances to tell a story. Rather than making assertions about world, occurrences introduce ...

BACKGROUND It is recommended that not only door-to-balloon time but also prehospital delay for primary percutaneous coronary intervention (PCI) should be improved. We investigated the effect of prehospital transfer pathway on onset-to-balloon time and prognosis in patients with ST-segment elevation myocardial infarction (STEMI) in Japan. METHODSANDRESULTS We analyzed data from 540 consecutive...

drug abuse in pregnancy is not uncommon, and the use of illicit opioids during pregnancy is associated with an increased risk of adverse outcomes. the aim of the study was to assess neonatal outcome of pregnancy with maternal addiction. materials and methods:   in this cohort study we assessed 100 pregnant women 15 -49 years old. to identify drug exposure was used self- questionnaire (self-repo...

Background: When the best treatment option is uncertain, a patient’s preference based on personal values should bethe source of most variation in diagnostic and therapeutic interventions. Unexplained surgeon-to-surgeon variation intreatment for hand and upper extremity conditions suggests that surgeon preferences have more influence than patientpreferences.Methods: A total of 184 surgeons revie...

background opium addiction is a major issue amongst burn-patients in iran. a few studies have addressed interactions between burn and addiction. objectives the aim of the present study was to compare mortality and morbidity between addicted and non-addicted patients with burn injuries. patients and methods this research was a prospective paired matched-cohort study that was conducted from octob...

Background: The emotional changes of patients undergoing cochlear implantation (CI) has been addressed in a few studies. To date, no special test has been developed to measure these changes. Objective: To measure the emotional status of children undergoing CI by interpreting their drawings. Methods: A prospective longitudinal study on prelingually deafened children from 4-14 years of age underg...

Hedgehog (Hh) proteins signal by inhibiting the proteolytic processing of Ci/Gli family transcription factors and by increasing Ci/Gli-specific activity. When Hh is absent, phosphorylation of Ci/Gli triggers binding to SCF ubiquitin ligase complexes and consequent proteolysis. Here we show that multiple successively phosphorylated CK1 sites on Ci create an atypical extended binding site for the...

In this paper, a comparison is made between direct and indirect perturbation approaches to solve the non-linear vibration equations of a piezoelectrically actuated cantilever microbeam. In this comparison, the equation of motion is considered according to Euler-Bernoulli theory with considering the non-linear geometric and inertia terms resulted from shortening effect. In the direct perturbatio...