Contraindications

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Russian gynecologist do Ott in 1901. first performed inspection of the abdominal cavity through kolpotomnoe hole. For this he used headlamp reflector and the lamp, placing the patient in deep Trendelenburg position. Laparoscopy in terms of pneumoperitoneum using cystoscope was first implemented G. Kelling in 1901 in an experiment on dogs. Since 1911.

there are publications on new methods of laparoscopic surgery, creating a pneumoperitoneum needle, development of new optical devices. Contribute to the development of laparoscopy have Yakobeus, Birmingham, Rosenthal. Enormous contribution to the development of laparoscopy has made X. Calculator. Tracing a modified laparoscope is used in the present time.

Places of trocar become classics – the point of tracing paper. Widespread use of diagnostic laparoscopy was through the work of R. Palmer in France (4050 years) and D. Frangeymera in the U.S. (60 years). In 1962. R. Palmer completed coagulation of the fallopian tubes – the first laparoscopic sterilization operations. Revolutionary changes in operative laparoscopy in gynecology carried the head of gynecological clinic in the city of Kiel, Professor Kurt Zemm. In 1975. He has published a guide which outlined a number of laparoscopic surgery for uterine appendages. Virtually all known laparoscopic instruments designed K. Zemmom. He also developed techniques endoshva. Many apparatus for Endosurgery also developed and implemented in practice Zemmom K. (termokoagulyator, mechanical and manual lithotriptors, , etc.). In 1983, K. Zemm first laparoscopic appendectomy. With the introduction of the practice of endoscopic cameras, laparoscopy has become an indispensable diagnostic and therapeutic operative method. More than 90% of operations in gynecology performed laparoscopic access. Currently, worldwide accumulated vast experience in performing laparoscopic surgery, which showed that laparoscopic surgery is low-impact, safe and economically beneficial. The indications for emergency laparoscopy 1. Impossibility exclude acute surgical diseases (acute appendicitis, necrosis of fat suspension, Crohn's disease). 2. Suspected purulent salpingitis, perforation piosalpinksa, tubovarialnogo education inflammatory etiology. 3. Suspicion of ovarian apoplexy. 4. Suspicion of perforation of the ovarian cyst. 5. Suspicion of torsion legs cyst or tumor of the ovary. 6. Acute trophic disorders in myoma nodes (swelling, necrosis of myoma node, torsion legs myomatous node). 7. Suspected tubal pregnancy, especially advanced or impaired by type of tubal abortion. 8. Suspicion of perforation of the uterus. 9. Suspicion of nonpenetrating uterine rupture after childbirth. 10. Lack of the effect of conservative treatment of complex patients with acute inflammation of the uterus within 12-48 hours, or growth of local and general symptoms of inflammation. Contraindications Contraindications to emergency laparoscopy are always relative. laparoscopy is not indicated in cases where the diagnosis can not change the tactics of the patient, and treatment remains conservative. Absolute contraindications 1. Hemorrhagic shock 2. Acute Myocardial infarction 3. Acute cerebrovascular accident. 4. Significant dimensions of the pathological formation of internal genital organs (more than 15 cm in diameter). 5. Cardiovascular disease in the stage of decompensation. 6. Acute hepatic and renal failure. 7. Diabetes in decompensation stage. 8. Diaphragmatic hernia. Relative contraindications 1. obesity, grade 3-4. 2. Pronounced adhesions after previous operations on abdominal organs. 3. A significant amount of blood in the abdominal cavity (more than 1 liter).

Professional Students

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Ramon Gallegos tells us that currently a change of era, live so it is necessary to be aware of the contexts that are defining, the professionals who graduate from the IES to find a world characterized by new financial scenarios, new models of industry, and greater flexibility and globalization of markets. The social environment generates the emergence of new actors in the promotion and dissemination of ideas, the rallying with inclusive social policies, globalization of culture, religious diversification and attention to sustainable development. This necessarily promotes the evolution in knowledge that impacts to the IES, forcing them to generate effective strategies, that allow more flexible structures and conceive the rapidity of the changes. It is therefore not ventured to predict that in the next five hundred weeks some of these changes will be in the following sense: Harvard will have branches on all continents, the technologies of distance learning will make disappear the % 40 universities, MIT will have 60% of its students in virtual environments. This situation requires to travel to the IES towards an academic reform with vision renewed in their scientific and research work and the generation of new forms of learning.

Professional and human formation currently requires curricula with a comprehensive and flexible methodological theoretical framework, to provide students with a capacity of reflection on professional practice. Currently the educational function demand lead students to think creatively and open, questioning his ability to work interdisciplinary and transdiciplinariamente, to critically use approaches according to their theoretical frameworks and use their intelligence to discover the limits or infinity of science. A line of thinking with global vision is the holistic education, whose content is organized around human beings. Since this action approach to which are invited, is to consolidate the academic work of everyday and responsible manner; tools with which you can start this work are cooperation and dialogue.

Professional Procedures

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Partial consolidation quote first in trade law that is the branch which is more commonly known feature. Also in the Peruvian law the civil procedural law is civil law in part because there are other rules of civil procedure are not met in the Civil Code of 1993 as the consolidated text of the Organic Law of Judicial Power. Law in the professional procedure law is civil law in part because there are other rules of professional procedure that can be found in the Professional Procedure Code and the Code of Professional Procedure all Peruvians. 8. LAW AND LAW NO CODED CODED The right is divided into several branches, however, the codes do not exist in all branches of law, in this sense the law is classified into two groups which are: civil law and the right not encrypted.

It is called civil law to the rules are grouped in a code as the Civil Code, Penal Code, Civil Procedural Code, Code of Professional Procedure, Constitutional Procedural Code, among others. It is called law is not codified the rules are not grouped in a code. But given that the encoding may be partial, in the same branch of law can be codified law and the right not encrypted, for example in professional law exists Peruvian Penal Code is civil law but there are also special professional laws that are right not encrypted, so it is in Peruvian commercial law (in which there Commercial Code is codified law and special laws such as the General Corporation Law, Securities Law, the General Law of the Bankruptcy System and Securities Market Act and other rules that are right not encrypted), and other branches of law in which there is partial codification.

Springboard Profession

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Special trainee programmes are fundamental part of talent management at REAL. In them the new real-world get to know from the ground up the company in all its facets. Ku? lsheim, in August 2013: the REAL INNENAUSBAU AG plant general contracting & shopfitting, directs and realized as a general contractor integrated projects in the fields of banking and insurance, Shopfitting, hotel and restaurant. As an international service organization with headquarters in Ku? lsheim and branches in you? sseldorf, Frankfurt am Main, Hanover and Saarbru? press and u? about 300 employees, it is fu with its comprehensive project management across Europe? r big-name brands active. Started 30 years ago as a small Carpenter’s workshop, the REAL Interior AG is today not only to the big players in their industry, but, as ju? longest awards such as top job award 2013 “and eco-profit operation 2013” confirm, sometimes one of the most innovative medium-sized companies nationwide and to be top employers nationwide.

This year for the first time to the top job Award” nominated, u? berzeugte REAL right off the bat with a motivating work environment and diverse continuing education and career opportunities. We support purposefully and actively motivated and committed employees and their careers.”stresses REAL human resources manager Maria Arnold: the rapid growth of in recent years, as well as the great international demand, we have a steadily increasing demand for new, qualified employees and future? future Fu? hrungskraften. “In particular focus are fu? r us graduates of industrial engineering, civil engineering, architecture, wood engineering and graduates to a wood technical school.” Special trainee programmes are fundamental part of talent management at REAL. In them, the new real learning”from the ground up know the company in all its facets. From the outset, responsible tasks u are them? trunsmeetted, so qualified on their later function as to prepare project manager or Assistant of the project manager. The individual development plans are complex and challenging.

Period of 6 months, the trainees go through several divisions (4-6 fu? r each 2-6 weeks, such as purchasing, production, project groups,) and most of the time you get to know a remote site? sseldorf to capture the REAL network. In workshops and seminars, personal and technical competence are specifically supported to new employees on later Fu? hrungsaufgaben to prepare. Already during the trainee program you can valuable contacts with internal and external institutions knu? pfen and build to their own network. Regular feedback meetings guide the trainees in your still young career with personal mentors, as well as managers and human resources.

Gotz Services

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Euro-clean cleaning founded in October Cologne, the 31.07.2013 quick, cheap, clean and reliable can’t? There we go, say the founders of Gotz and Walker. The euro-clean building-cleaning services was founded in October 2012 and is joined with the mission to conquer the industrial cleaning market. With a simple as obvious approach: Professional cleaning services at very reasonable prices! Just how is that possible? “We have kept small at first our own cost structure and for each power unit established efficient processes and can these savings in our hourly billing rates to our customers pass on”, says the owner of Gotz. The concept seems to be working. The Foundation is now a few months and the euro-clean cleaning won already plenty tenders and customers. Gotz and Walker are very satisfied with the development and plan the further expansion of the company now.

This was the first step the original services building and office cleaning to additional services such as window cleaning, floor cleaning and winter service and hired staff trained in the newly established cleaning procedures. In the medium term the building cleaners in catchment area the area Cologne / Bonn would extend on throughout North Rhine-Westphalia and win more tenders in the field of maintenance cleaning. On the question about the secret of success, Gotz provides the grounds smiling: “customers appreciate it, if they have found a reliable, fast and punctual service providers which do this are the prices. And if then still the used cleaning products are biodegradable, the total package is easy. About the euro-clean cleaning the euro-clean cleaning specializes on professional cleaning services at very reasonable prices. Maintenance cleaning, Office cleaning, commercial cleaning, belong to the range of services Floor cleaning, carpet cleaning, sanitary cleaning, window cleaning, dumpster service and winter service and other services in the field of cleaning. The company is located in Bornheim in the Rhineland and the cleaning market in the area Cologne / Bonn. Press contact euroclean – Roman Gotz Gotz & Walker GbR Rathausstrasse 10 53332 Bornheim euro clean.eu

Green Room

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This is the first deployment phase of a multiphase multimedia communications. He is working on additional digital improvements that will make his presentation at the end of the year. For more information about this partnership and get sample MNRs, visit the stand that Marketwire and Green Room PR share at the meeting of ExL Pharma. Marketwire is the Agency’s official news broadcast of this meeting of professionals in communications in the sectors of pharmaceutical, biotechnology and medical devices. About Green Room Public Relations Green Room Public Relations is a virtual network of experts specialized in public relations and media strategies, where the imagination and the expert technical match. Thanks to an extensive network of strategic partners, Green Room brings together the best experts to create the ideal team for every project. In addition, Green Room specializes in whole process of video production and media relations. With a strategic thinking and innovative approaches, the goal is the carry out integrated campaigns to achieve desired results and measurable economic results.

For more information, visit. greenroompr. com About Marketwire, Marketwire, Inc., the only global agency of fully integrated North America-based dissemination of news, is partner of integral service for professionals (IR) Investor relations, relationships public (PR) and marketing communications (MarCom) in search of solutions of higher level for distribution of press releases, media management, multimedia and monitoring. Marketwire’s customer-centric corporate philosophy is defined as being the best at enhancing every aspect of your business with the following essential attributes: precision, adaptability, innovation and simplicity. Marketwire takes the news of its clients financial communities and media from around the world, complying with disclosure requirements in North America in accordance with the Commission of stock exchange and securities (SEC) and the Bolsa of Valores de Toronto (TSX), and serving as primary information provider (PIP) with the authority in services financial (FSA) of the United Kingdom.

With a reputation for technology leadership, Marketwire offers innovative products and services, including social media, optimization for search engines, panel of mobile financial control, control panel reports of news coverage, exclusive access to networks such as the Canadian Press Wire Network, solutions flow Easy IR and Easy PR, and much more, all for help communication professionals maximize their effectiveness and ensure the accuracy and best practices. With the merger of companies Market Wire and CCNMatthews in April 2006 and enjoying a career combined 25 years of service, Marketwire is currently a company majority owned by OMERS Capital Partners, the arm of private capital from one of the largest pension funds of Canada. Marketwire distributes the majority of press releases issued by companies quoted on the stock exchange in Canada and provides service to more than 8. 000 customers around the world from its 20 offices on four continents. For more information, visit. Marketwire. com For more FloydGreen Room Public Relations973-263-8585 informacion:heidi ext. 25heidi@greenroompr. com Lisa DavisMarketwire (416) 941-6393 ldavis@marketwire. com Blogs related Several Types of Call Centre Software Systems! Your FREE Portal 1954 KGNC Radio TV Station Armstrong Asbestos Tile Print Ad Auto The Future Of Public Relations Is Bright The View From Above journalists, but clerks ‘rubendariobuitron tourism professionals face with some optimism this TV, Radio and Newspaper Advertising Analysed CPAPortal.com Project Nemesis Zapata. Jardines.wmvby Pavon. New York. Zoe Valdes Pfizer faces hefty price to secure Stada USA News Liquidation World Announces the Closing of $2000000 Private Share to Multimedia Services Directory with quality online

River Thames

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Thousands of citizens are being mobilized to participate in the reconstruction of the damaged neighborhoods and help the hardest hit by the wave of violence. Twitter is the social network more actively in this task. There are veteran traders who have lost practically everything. Buy a teapot, help collect donations with the car or cleaning a garden serve Londoners these days to help his city recover normalcy after serious riots in the last week. Thousands of citizens are being mobilized to participate in the reconstruction of the damaged neighborhoods and help the hardest hit by the wave of violence in London, among which there are veteran traders who have lost practically everything. The same social networks that the cause of the damage were organized, and who then served many citizens to mount the first citizen of cleaning brigades, now are platforms that coordinate a network of neighbourhood associations, social centres or volunteer individuals.

Through Internet are organized not only for clean, it also gets in touch to volunteers, search specialists in construction and reforms or donations are requested. From paint and tools for the reconstruction of the damaged buildings up to food in Tin, shoes or diapers: it takes everything in neighborhoods like Tottenham, Croydon, Clampham or Einfeld, areas suffered more damage from which Saturday began riots in London. On Twitter and blogs Twitter social network is the most active in this task, and she volunteers seek personally what to do or are advertised and reported through web pages and blogs created to the CTO. Leading communications Riotcleanup (cleaning of the riots), a blog that connects them and updated data on sites where need help or appointments for future cleanups. Thousands are citizens who wonder how to collaborate and Riotcleanup on Twitter profile derives them to emails or offers them activities listings. As an example, this Friday sought volunteers with car to pick up the donations directed to the neighborhood of Croydon, where above all clothing for men and shoes were asked. In Tottenham, where the riots, the social Center of the neighborhood has a more varied requests list: food and milk for babies, diapers, pots, pans and cutlery, mobile chargers or non-perishable food, among many other things.

Also the help of electricians and carpenters for any of the damaged areas, claimed in other forums while two young architects have opened a page asking for the help of specialized professionals to organize reconstruction work. And for the less skilled who asked how to help, this weekend have been called cleaning of gardens in the area of Battersea, next to the River Thames. Although aid is directed to all those affected, some of them have become famous reluctantly and have provoked a wave of solidarity that also spans social networks. It is the case of Aaron Biber, a Barber in 89 years whose business was destroyed during the riots in Tottenham. Keep Aaron cutting (allows Aaron continue cutting hair) is the name of the blog that have opened up three fellows of an advertising agency to ask for donations to keep this old man in the business and who had already raised nearly 28,000 pounds (32,000 euros).

Earpieces Bluetooth Samsung

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The dual microphone of these earpieces Bluetooth Samsung HM3600 offers a good mixture of style, comfort and quality of sound to a reasonable price. He is quite comfortable, and it lasts of the battery sufficient to take them all the day. A price of only $ 59,99, these earpieces Bluetooth HM3600 represent a tempting purchase, and one of the best Bluetooth earpieces. Design, fits and synchronization The main body of the earpieces Bluetooth Samsung HM3600 (without counting the hook for the ear) has measures of 1.9 by 0.7 by 0.4 inches (AAP) and weighs little less than mediates ounce. Auricular Samsung HM3600 BLuetooth is done of plastic, and are an elegant mixture of mate and shining black surfaces, blue and gray. The part superior contains a switch of hardware and a small LED. The later end has a micro port USB covered shipper, whereas the edge inferior counts with a pair of bellboys of volume of great dimensions.

The frontal panel has the button of transmission of multiple functions. Earpieces Bluetooth HM3600 they are designs to put itself on the ear, which means that the end of the rubber ear is not inserted in the auditory channel of form in which took control of other Bluetooth earpieces. There are no alternatives ends of the ears or the hooks of different sizes in the package. The plastic hook is not detachable, but its cleared design, flexible causes that auricular Samsung HM3600 Bluetooth is comfortable to take. Also it can fit the ear hook to take earpieces HM3600 in the left or right ear. The first time that ignites the HM3600, automatically they catch up with the nearest telephone. Earpieces Bluetooth Samsung HM3600 are a device of multiple points, which means that they are possible to be associated at the same time with two devices. The interface of Samsung HM3600 based on the voice provides updates of the state of the connection, but not of the state of the battery.

Earpieces Bluetooth Samsung HM3600 The quality of voice, suppression of noise, and Conclusions The quality of voice of these Bluetooth earpieces generamente was good during the tests, with a round sound clearly and much gain. Through microphone, voice sounds completes, but computerized. It was not as natural as through Bluetooth earpieces of high range like Era Aliph Jawbone. Nevertheless, the quality of the voice of the earpieces Bluetooth HM3600 is perfectly acceptable for the daily conversations. For the suppression of the noise, auricular Samung HM3600 Bluetooth separately counts on two microphones and an algorithm DSP of echo cancellation. Actually, this configuration worked well. In a series of voice tests that took control of a ventilator in the office, HM3600 began to change voice considerably when people approached about four feet of distance of the ventilator. Another disadvantage: Auricular Samsung HM3600 Bluetooth is not compatible with A2DP. This means that they are not possible to be used to listen to audiolibros, the music or the instructions of an application of GPS on his cellular telephone. On the other hand, the life of the battery is absolutely excellent.

Internet Country

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“Radio land expanded with” Christmas radio country “his program of Hamburg, the November 26, 2009 what – just in time heralds to the contemplative advent digital radio radio country -‘s your mood today” the Christmas time. “Especially for the contemplative time was with Christmas radio country” developed a special radio channel. “With Christmas radio country” the Hamburger media company radio Park GmbH & co. KG offers its listeners a free 24-hour Christmas full program on. “Whether the cookies bake, wrap gifts, or while sitting cozy by the domestic fire, the radio country listeners have with Christmas radio country” the appropriate background music. Radio country of what’s your mood today”is the digital radio project radio Park and includes a variety of different music channels of soul rock up to classic, is the best radio program for all music tastes. Listen, there are the various channels on and more recently also mobile on the new Google phone, the HTC Magic. The Users of the pay radio can download the application in the Android market and subscribe to their three favorite channels.

With its patented technology, radio Park is operating systems and large enough memory card on the new generation of smartphones, such as Android, Symbian, Apple, or Windows Mobile devices. The contents are transmitted through short updates and cached on the devices so that no permanent Internet connection is required. The radio country project behind the independent radio Park group, of sale, of interest, realized successful professional and music psychologists developed audio programs for use at point point in addition to the new mobile radio on radio and on the Internet. Global customers include cruise ships such as the AIDA fleet and many premium hotels such as the luxury Jumeirah Beach in Dubai. Also the Office market chain STAPLES and the Balzac’s coffee shop chain use the audio branding created by radio Park. Also personalized radio formats are being developed in the studios of radio Park group, to the example the ElitePartner dating portal. Your contact: Daniela Douwes marketing radio Park GmbH & Co.KG Jaguar Stieg 14a 22527 Hamburg phone: 040 / 43 09 37 55 fax: 040 / 43 09 37 77 email:

Incompetence

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E THE WIND LED ' ' How many roads must man walks down before you call him the Man? (Bob Dylan, singer) the first article of the Law of the Incompetence, of Murphy, says: ' ' Everybody is imcompetent person, also voc' '. It scares idea to see to admit us to it such fact, but we cannot leave to ahead recognize our impotence of the cruel and overwhelming demoralization of the society, said civilized, where we live. We are, at the same time, victims and carrascos of we ourselves. We add 190 million Brazilians with a jail population that if approaches to 500 a thousand prisoners. This means the average of a prisoner for group of 380 people, of where if it concludes: if 379 citizens are not capable to recoup and to promote one prisoner alone, the imcompetent people we are all. We can achincalhar the politicians and escorraar the governing that if occur, but they are elect for us, products of the way where we live, that is, they are you create conscientious give birth for this hypocritical and perverse society that in the devora while she dissimulates to enaltecer our fragile existence.

This society with which we delight in them and we daily help to construct, from the molds dictated for the collective conscience. ' ' Mesmo&#039 knows you it you; ' , here it is the key of the supreme wisdom, that was recorded in the entrance of the Temple of Apolo, in Delfos. But the ingenuous and presumptuous humanity ignored per centuries this wise orientation and preferred to tatear in the dark one, searching to develop a civilization supported only in the material comfort; developing intelligence and disdaining summarily the divine essence that livens up our existence. Now we try to find palliative to fight the crime and the violence, without worrying in them about the causes that had given origin and loan to form and content to them for its dissemination.