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İngilizce

Official publications from the WHO reported the earliest onset of symptoms as 8 December 2019.

Somalice

Dhawr cabiraad ayaa lagu sameeyay oo caan ah oo u qalanka dhimashada ah.

Son Güncelleme: 2020-08-25
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İngilizce

On 8 February 2020, the laboratory OncoGen in Romania published a paper on the design of a vaccine with similar technology to the one used for cancer neoantigen vaccination therapy.

Somalice

Maarso 25 madaxa cilmi baadhista ee hay'ada ayaa ku dhawaaqay in ay soo gunaanadeen samaynta talaalka oo ay markaa bilaabayaan tijaabada.

Son Güncelleme: 2020-08-25
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İngilizce

The younger patients, in many practices younger than 14 years, and in nearly all for children younger than 8 years will require pediatric serology surveillance.

Somalice

Bukaanada yaryar, ee habab badan ee ka yar 14 sano, iyo ku dhawaad dhamaan caruurta ka yar 8 sano ayaa u baahan doona ilaalin dheecaan dhiig ee daryeelka ilmaha.

Son Güncelleme: 2020-08-25
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İngilizce

As of 8 April 2020, approximately 1.716 billion learners have been affected due to school closures in response to COVID-19.

Somalice

Sida lagu sheegey la socodka UNESCO, 188 dal ayaa dhaqan geliyay amarka joogitaanka guriga iyo 5 ayaa dhaqan geliyay xidhitaanka deegaanka, taas oo saamaysay 99.4% ardayda caalamka.

Son Güncelleme: 2020-08-25
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İngilizce

The first recorded incidents of COVID-19 infection in Bangladesh were on March 8, in two people who returned from Italy and also the wife of one of them.

Somalice

Dhacdadii la diwaan geliyay ee ugu horaysay ee caabuqa COVID-19 Bangladesh wuxuu ahaa Maarso 8, laba qof oo kasoo laabtay Talyaaniga iyo sidoo kale xaaska mid iyaga kamid ah.

Son Güncelleme: 2020-08-25
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İngilizce

A demographic study in late December of 2019 showed that the percentages of the symptoms were 98% for fever, 76% for dry cough, 55% for dyspnea, and 3% for diarrhea; 8% of the patients required ventilation support.

Somalice

Daraasad tirakoob ah oo la sameeyay dhamaadkii Diseembar 2019 ayaa tusisay in calaamadaha boqoleyda ahaayeen 98% oo qandha ah,78% oo ah qufac qalan, 55% neefsasho la'aan ah, iyo 3% shuban ah; 8% ka mid ah bukaanada waxay u baahnaanyeen tageerid neef-siineed.

Son Güncelleme: 2020-08-25
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İngilizce

Another independent study described the isolation of the same virus from a nasal specimen from an 8-month-old boy suffering from pneumonia in the Netherlands.

Somalice

Daraasad kale oo madax banaan ayaa lagu qeexay karantiilida isla cudurkan oo baritaano sanka laga qaaday wiil 8-bilood jira oo la xanuunsan burukiito gudaha Netherlands.

Son Güncelleme: 2020-08-25
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İngilizce

As of 28 March, there were 32,308 confirmed cases in New York City, and 672 people had died from the virus.On 26 March, the United States was reported to have more confirmed coronavirus infection cases than any other country in the world, including China and Italy.As of 8 April, 400,335 cases have been confirmed in the United States, and 12,841 people have died.

Somalice

Sida warbaahintu soo tabinayso 30ka Maarso, Madexwaynaha Maraykanka Trump ayaa go'aansaday inuu sii dheereeyo talooyinka kala fogaanshaha bulshada ilaa iyo 30ka Abriil.

Son Güncelleme: 2020-08-25
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İngilizce

At the European Centre for Disease Prevention and Control (ECDC), the notified COVID-19 case counts in each country worldwide, obtained from only official sources such as the countries’ Ministry of Health, national and regional health authorities and the WHO, are updated each day at 8:00 a.m.

Somalice

Xarunta ka Hortaga iyo Xakamaynta Cuduradda ee Yurub (ECDC), tirada kiisaska COVID-19 ee la shaaciyayee wadan kasta oo aduunka ah, oo laga helay illo rasmi ah oo kali ah sida wasaaradaha caafimaadka ee wadaanka, madaxda caafimaad ee heer qaran iyo heer gobol ba iyo Hay'ada Caafimaadka aduunka WHO, ayaa maalin kasta la shaaciyaa abaarihii 8:00 am

Son Güncelleme: 2020-08-25
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İngilizce

Coles, in its March 8 media release, reported that with the four-pack restriction in place, "many stores are still selling out within an hour of delivery", and called the demand "unprecedented", while ALDI, in a Facebook post on Tuesday, called it "unexpected".

Somalice

,Coles, war shaacinteeda Maarso, ayaa ku warantay in xayiraadaha afar xidhmo oo meel ah "bakhaaro badan ayaa gadaya saacadii gaynta", baahidana ugu yeedhay "mid aan waligeed horay loo samaynin", halka ALDI, qoraal uu Facebook soo dhigay, ugu yeeray mid lama filaan ah.

Son Güncelleme: 2020-08-25
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İngilizce

Colorado has encouraged the development of "tool kits" for parents to use at home to emulate the lessons children would have received in their early learning programmes.In Japan, Prime Minister Shinzo Abe closed all schools throughout the country until April 8, however, children's daycare facilities were excluded.

Somalice

Horaantii Maarso, shan urur oo dadka waawayn ah oo leh xarumo xanaano oo caruurta aan gaadhin ah waxbarashada oo ku yaal Kobe ayaa laga heley coronavirus.

Son Güncelleme: 2020-08-25
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İngilizce

In addition, practices are now able to code any foreign travel undertaken, including the ability to record visits to multiple countries (implemented February 8, 2020).

Somalice

Intaas waxaa dheer, dhaqan gelinta ayaa hada awooda inay kaydiyaan socdaal shisheeye oo kasta oo la qaado, oo ay ku jiraan in la diwaan geliyo booqashooyinka lagu tagay dalal dhawr ah (oo la fuliyay Febraayo 8, 2020).

Son Güncelleme: 2020-08-25
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İngilizce

It highlights that, as at 15 March 8:00 a.m., 15 other EU/EEA countries and the UK had already reported a total number of cases comparable to that of Italy just 3 weeks prior or less.

Somalice

Waxay tusinaysaa in, 15kii Maarso 8:00 a.m., in 15 wadan oo kale oo ka mid EU/EEA iyo UK ay horaan shaaciyeen tirada guud ee kiisaska oo la barbar-dhigi karo mida Talyaaniga 2 isbuuc ka hor ama ka yar uun.

Son Güncelleme: 2020-08-25
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İngilizce

Note: Figures correspond to total number of learners enrolled at pre-primary, primary, lower-secondary, and upper-secondary levels of education [ISCED levels 0 to 3], as well as at tertiary education levels [ISCED levels 5 to 8] who could be affected should localised closures become countrywide.

Somalice

Tirada is qoraysa oo ku salaysan macluumaadka Tirakoobka Hay'ada UNESCO.

Son Güncelleme: 2020-08-25
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İngilizce

The UNESCO Institute for Statistics provides figures on students impacted by COVID-19 corresponding to the number of learners enrolled at pre-primary, primary, lower-secondary, and upper-secondary levels of education [ISCED levels 0 to 3], as well as at tertiary education levels [ISCED levels 5 to 8].

Somalice

Barnaamijyada waxbarashada caruurnimada hore ah caadiyan waxaa loogu talo geley caruurta ka yar 3 jirka ah waxaana loo yaqaan waxbarashada dugsiga kahor, xanaanada caruurta, kindergaardhenka, iyo barnaamijyada qaar maalintii caruurta lagu hayo.

Son Güncelleme: 2020-08-25
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İngilizce

The pathogenic detection of blood sample was added to the fourth (27 January 2020) and fifth (8 February 2020) editions; and then the serological evidence was added to the seventh edition.

Somalice

Ogaanshaha jeermiska ee sambalka dhiiga aya lagu daray daabacaadaha afaraad (27 Janaayo 2020) iyo midka shanaad ( 8 Febraayo 2020), iyo kadib cadaynta dheecaanka dhiiga ayaa lagu daray daabacaada toddobaad.

Son Güncelleme: 2020-08-25
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İngilizce

We also presented the cumulative number of notified cases of each country as at 15 March 2020 8:00 a.m. compared with that of Italy for the 31 January–15 March 2020 period.

Somalice

Waxaan soo bandhignay tirada guud ee kiisaska la ogaaday ee wadanka kasta 15kii Maarso 2020 8:00 a.m. marka la barbar dhigay mida Talyaaniga mudadda 31 Janaayo-15 Maarso 2020.

Son Güncelleme: 2020-08-25
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İngilizce

Acknowledgment ................................................................................................................... i Table of Contents .................................................................................................................. ii Chapter One: Shock ............................................................................................................. 1 Introduction ................................................................................................. 1 Classification .............................................................................................. 1 Patho Physiology of Shock ......................................................................... 2 Management of Shock ................................................................................ 3 Complications of Shock .............................................................................. 4 Chapter Two: Fluid and Electolytes ..................................................................................... 5 Introduction ................................................................................................. 5 Normal Distribution of Body Fluids .............................................................. 5 Disturbances of Fluid and Electrolytes ........................................................ 7 Acid – Base Balance ................................................................................... 12 Review Questions ....................................................................................... 15 References .................................................................................................. 16 Chapter Three: Blood Transfusion ....................................................................................... 17 Indications for Blood Transfusion ............................................................... 17 Compatibility Tests ...................................................................................... 17 Component Therapy ................................................................................... 18 Review Questions ....................................................................................... 21 References .................................................................................................. 22 Chapter Four: Pre-Operative and Post-Operative Care ...................................................... 23 Introduction ................................................................................................. 23 General Consideration ............................................................................... 23 Assessment and Minimization of Surgical Risks ........................................ 24 Post-Operative Care, Complications and Their Treatment ......................... 26 Post Operative Intestinal Obstruction ......................................................... 31 Hematoma, Abscess and Seromas ............................................................ 33 Review Questions ....................................................................................... 34 References .................................................................................................. 35 Chapter Five: Aseptic and Antisepic Techniques ................................................................ 36 Introduction ................................................................................................. 36 Choice of Antiseptic ................................................................................... 37 Review Questions ....................................................................................... 41 References .................................................................................................. 42 Chapter Six: Suture Materials and Suturing ......................................................................... 43 Types of Suture Materials ........................................................................... 43 Suturing Techniques ................................................................................... 44 iii Chapter Seven: Wounds- Wound Healing and Care ........................................................... 47 Introduction ................................................................................................. 47 Wound Healing ............................................................................................ 47 Wound Assessment and Classification ....................................................... 49 Wound Management ................................................................................... 50 Crush and Avulsion Wounds ....................................................................... 53 Wound Complications ................................................................................. 55 Review Questions ....................................................................................... 57 Key To the Review Questions ..................................................................... 59 References .................................................................................................. 60 Chapter Eight: Surgical Infections ........................................................................................ 61 Introduction ................................................................................................. 61 Classification .............................................................................................. 62 Pathogenesis .............................................................................................. 62 Specific Types of Infections ........................................................................ 64 Review Questions ....................................................................................... 73 Key To the Review Questions ..................................................................... 75 References .................................................................................................. 76 Chapter Nine: Trauma .......................................................................................................... 77 Introduction ................................................................................................. 77 Treatment Priorities ..................................................................................... 78 Road Traffic Accidents ................................................................................ 79 Firearm Injuries ........................................................................................... 80 BURN INJURIES ......................................................................................... 81 Review Questions ....................................................................................... 84 References .................................................................................................. 85 Head and Spinal Injuries ............................................................................ 86 Head Injury .................................................................................................. 86 Brain Injuries ............................................................................................... 87 Spinal Cord Injuries ..................................................................................... 90 Review Questions ....................................................................................... 92 References .................................................................................................. 93 Chapter Ten: Orthopedic Surgery ........................................................................................ 94 Introduction ................................................................................................. 94 Infections of Bones and Joints .................................................................... 94 Fractures ..................................................................................................... 97 Dislocations ................................................................................................. 102 Amputations ................................................................................................ 103 Review Questions ....................................................................................... 105 References .................................................................................................. 106 Chapter Eleven: Anesthesia................................................................................................. 107 Pre-Anesthetic Patient Evaluation and Preparation .................................... 107 iv Cardiopulmonary Resuscitation .................................................................. 111 Systemic (General) Anesthesia .................................................................. 115 Regional Anesthesia ................................................................................... 118 Review Questions ....................................................................................... 124 References .................................................................................................. 125 SYSTEMIC SURGERY Chapter One: The Thyroid Gland ......................................................................................... 126 Thyroid Enlargement: Goiter ....................................................................... 126 Neoplasms of the Thyroid ........................................................................... 130 Review Questions ....................................................................................... 132 References .................................................................................................. 133 Chapter Two: The Breast ..................................................................................................... 134 Introduction ................................................................................................. 134 Anatomy ..................................................................................................... 134 Breast Lumps .............................................................................................. 135 Carcinoma of the Breast ............................................................................. 137 Review Questions ....................................................................................... 140 References .................................................................................................. 141 Chapter Three: The Chest ................................................................................................... 142 Introduction ................................................................................................. 142 Upper Airway Obstruction ........................................................................... 142 Tracheostomy ............................................................................................. 143 Chest Injuries .............................................................................................. 146 Pneumothorax ............................................................................................. 149 Hemothorax ................................................................................................. 149 Tube Thoracostomy (Chest Tube) .............................................................. 150 Empyema and Lung Abscess ..................................................................... 152 Lung Abscess .............................................................................................. 154 Review Questions ....................................................................................... 156 References .................................................................................................. 157 Chapter Four: Gastrointestinal Tract .................................................................................... 158 Introduction ................................................................................................. 158 Upper Gastrointestinal Bleeding ................................................................. 159 Colorectal Tumors ....................................................................................... 164 Common Perianal Conditions ..................................................................... 166 Anal Fissure (Fissure in ANO) .................................................................... 170 Hemorrhoids (Piles) .................................................................................... 171 References .................................................................................................. 175 Acute Abdomen ........................................................................................... 176 Intestinal Obstruction .................................................................................. 177 Sigmoid Volvulus ......................................................................................... 179 v Appendicitis ................................................................................................. 180 Peritonitis .................................................................................................... 183 Hepato Biliary Diseases .............................................................................. 185 Hydatid Cyst of the Liver ............................................................................. 187 Diseases of Gall Bladder and Biliary Tree .................................................. 189 Obstructive Jaundice................................................................................... 193 Review Questions ....................................................................................... 197 Abdominal Wall Hernias ............................................................................. 198 Introduction ................................................................................................. 198 Risk Factors for Abdominal Wall Hernia Development ............................... 199 Specific Types of Hernia ............................................................................. 200 Review Questions ....................................................................................... 204 References .................................................................................................. 205 Stomach and Duodenum ............................................................................ 206 Introduction ................................................................................................. 206 Peptic Ulcer Disease ................................................................................... 206 Gastric Cancer ............................................................................................ 211 Review Questions ....................................................................................... 213 DYSPHAGIA ............................................................................................. 214 Introduction ................................................................................................. 214 Dysphagia ................................................................................................... 214 Carcinoma of the Esophagus...................................................................... 215 Review Questions ....................................................................................... 218 References .................................................................................................. 219 Chapter Five: Urology .......................................................................................................... 220 Introduction ................................................................................................. 220 Urinary Symptoms and Investigations of Urinary Tract Problems .............. 220 Acute Renal Failure (Anuria/Oliguria) ......................................................... 222 Disorder of the Kidneys and Ureters ........................................................... 223 Urinary Tract Infection ................................................................................. 224 Renal Tuberculosis ..................................................................................... 226 Urinary Bladder ........................................................................................... 230 Bladder Cancer ........................................................................................... 231 Benign Prostatic Hyperplasia ...................................................................... 231 The Urethra and Penis ................................................................................ 233 Urethral Stricture ......................................................................................... 234 Review Questions ....................................................................................... 238 References .................................................................................................. 239 1 CHAPTER ONE SHOCK Learning Objectives At the end of this chapter, each student should be able to: • State the clinical definition of shock • List the chief characteristics and causes of all types of shock • Describe the clinical symptoms and signs that are indicative of shock • List the immediate treatment measures to prevent complications Introduction Shock is a life-threatening condition which occurs when the circulatory system fails to deliver oxygen and nutrients to the body tissues and becomes unable to remove waste products from the body. It is a descriptive term based on the symptoms and signs secondary to one or more of a wide range of problems. If not recognized and corrected as early as possible, shock may rapidly progress to an irreversible state with subsequent multi-organ failure and death. DEFINITION Shock is defined as a pathological state causing inadequate oxygen delivery to the peripheral tissues and resulting in lactic acidosis, cellular hypoxia and disruption of normal metabolic condition. CLASSIFICATION Shock is generally classified into three major categories: 1. Hypovolemic shock 2. Cardiogenic shock 3. Distributive shock Distributive shock is further subdivided into three subgroups: a. Septic shock b. Neurogenic shock c. Anaphylactic shock Hypovolemic shock is present when marked reduction in oxygen delivery results from diminished cardiac output secondary to inadequate vascular volume. In general, it results from loss of fluid from circulation, either directly or indirectly. 2 e.g. ▪ Hemorrhage 􀂃 Loss of plasma due to burns 􀂃 Loss of water and electrolytes in diarrhea 􀂃 Third space loss (Internal fluid shift into inflammatory exudates in the peritoneum, such as in pancreatitis.) Cardiogenic shock is present when there is severe reduction in oxygen delivery secondary to impaired cardiac function. Usually it is due to myocardial infarction or pericardial tamponade. Septic Shock (vasogenic shock) develops as a result of the systemic effect of infection. It is the result of a septicemia with endotoxin and exotoxin release by gram-negative and gram-positive bacteria. Despite normal or increased cardiac output and oxygen delivery, cellular oxygen consumption is less than normal due to impaired extraction as a result of impaired metabolism. Neurogenic shock results primarily from the disruption of the sympathetic nervous system which may be due to pain or loss of sympathetic tone, as in spinal cord injuries. PATHO PHYSIOLOGY OF SHOCK Shock stimulates a physiologic response. This circulatory response to hypotension is to cons

Somalice

download mymemory free Ingiriisi in somali

Son Güncelleme: 2016-01-17
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Referans: Anonim

İngilizce

University of Minnesota Medical Center, Fairview Same-Day Surgery Adult Discharge Orders & Instructions For 24 hours after surgery Get plenty of rest. A responsible adult must stay with you for at least 24 hours after you leave the hospital. Do not drive or use heavy equipment. If you have weakness or tingling, don't drive or use heavy equipment until this feeling goes away. Do not drink alcohol. Avoid strenuous or risky activities. Ask for help when climbing stairs. You may feel lightheaded. IF so, sit for a few minutes before standing. Have someone help you get up. If you have nausea (feel sick to your stomach): Drink only clear liquids such as apple juice, ginger ale, broth or 7-Up. Rest may also help. Be sure to drink enough fluids. Move to a regular diet as you feel able. You may have a slight fever. Call the doctor if your fever is over 100°F (37.7°C) (taken under the tongue) or lasts longer than 24 hours. You may have a dry mouth, a sore throat, muscle aches or trouble sleeping. These should go away after 24 hours. Do not make important or legal decisions. Call your doctor for any of the following: 1. Signs of infection (fever, growing tenderness at the surgery site, a large amount of drainage or bleeding, severe pain, foul-smelling drainage, redness, swelling). 2. It has been over 8 to 10 hours since surgery and you are still not able to urinate (pass water). 3. Headache for over 24 hours. 4. Numbness, tingling or weakness the day after surgery (if you had spinal anesthesia). To contact a doctor, call __Dr. Boyer @_612-626-5900 _____________________________________ or: ‘ 612-273-3000 and ask for the resident on call for ______________________________________________ (answered 24 hours a day) ‘ Emergency Department: University Campus: 612-273-2700 (TTY for hearing impaired: 612-273-2702) Tips for taking pain medications To get the best pain relief possible , remember these points: Take pain medications as directed, before pain becomes severe Pain medication can upset your stomach: taking it with food may help Constipation is a common side effect of pain medication. Drink plenty of Fluids Eat foods high in fiber. Take a stool softener if recommended by your doctor or Pharmacist. Do not drink alcohol, drive or operate machinery while taking pain medications. Ask about other ways to control pain, such as with heat, ice or relaxation.

Somalice

nagta-type buong pangungusap sa iyong langage

Son Güncelleme: 2014-08-25
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İngilizce

And they say: "What is in the bellies of such and such cattle (milk or foetus) is for our males alone, and forbidden to our females (girls and women), but if it is born dead, then all have shares therein." He will punish them for their attribution (of such false orders to Allah). Verily, He is All-Wise, All-Knower. (Tafsir At-Tabari, Vol. 8, Page 49).

Somalice

Waxay Dheheen Gaaladii waxa ku Jira Uurka Niemoolaydan waxay Gaar u tahay Raggannaga waxayna ka Reebantahay Haweenkannaga hadday Bakhti tahayna way wadaagi wuxuu ka Abaal marin Eebe Tilmaantooda, Illeen waa Falsame Oge.

Son Güncelleme: 2014-07-03
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