Şunu aradınız:: agent selection based on product rules (İngilizce - Somalice)

this is based on coding described in table 4.
tani waxay ku salaysan tahay kaydinta lagu qeexay jadwalka 4.

enrolment figures based on latest unesco institute of statistics data.
xidhitaanka dugsiyada ee uu keenay safmarka covid-19 waxa ay iftiimiyeen arrimo badan oo waxbarashada sidii loo heli lahaa ah, iyo sidoo kale arrimo balaadhan oo dhaqan dhaqaal ah.

successful uncle to live a happy life based on something you do not show dhibsatana alle
guulayso abti ku noolow nolol farxad ku dhisan wax aad dhibsatana alle kuma tuso

many residents of wuhan and hubei have reported discrimination based on their regional origin.
waxaa jira taageero loo muujiyay jayniiska, onlineahaan iyo offlineahaan, iyo meelaha uu ku habsaday fayrusku.

among the people of moses are some whose guidance and judgment are based on the truth.
waxaa ka mida qoomkii nabi muuse umad ku hanuimsanayd xaqa kiina caddaalad falayaay.

data security and anonymity would have to be protected and shown to be protected based on evidence;
kormeerka dhijitaalka ah ayaa lagaga hortagi karaa takoorka iyo muquuninta;

choose the appropriate learning methodologies based on the status of school closures and home-based quarantines.
waxa aad iska ilaalisaa qaabka u baanan xidhiidhka foolka-foolka ah.

as of 5 march 2020 labcorp announced nationwide availability of covid-19 testing based on rt-pcr.
rabitaanka shaybaadh lamid ah oo dalka oo dhan ah oo covid-19 ah ayaa la bilaabay 9 maarso 2020.

somalia is a state based on state government each have their own head of state all over the somali capital mogadishu looga and its insistence of mohamed abdullahi hashi
dowlada somalia waa hal dowlad oo ku dhisan dowlad gobaleed dowlad kasta waxay leeyihiin madax u gaar ah dowlad gobaleedka oo dhan waxaa looga taliyaa caasimada somalia ee mogadishu waxaana madax wayne ka ah mohamed abdullahi farmajo

however, promising signs have occurred in china based on the declining number of new cases, indicating the current strategies might have been working.
si kastaba ha ahaatee, calaamadaha ballanta leh ayaa ka dhacay shinaha iyadoo laga tixraacayo hoos u dhaca tirada kiisaska cusub, taas oo mtusaysa istaraatiijiyadaha hadda in laga yaabo inay shaqaynayeen.

however, its effects largely rely on a combination of multiple components in a formula that varies depending on the diagnosis of a disease based on the theories of tcm.
si kasta ha ahaatee, saamaynteeda wax si aad ah ugu tiirsantahay isku dhafnaanta qaabka kasoo isbadalla asagoo ku tiirsan baadhitaanka cudurka oo ku salaysan fikradaha tcm.

based on 2018 information from the international air transport association, bangkok, hong kong, tokyo, and taipei had the largest volume of travellers from wuhan.
dubai, sydney, iyo melbourne ayaa sidoo kale lagu soo waramay in ay yihiin goobaha aadka socoto ka imaanaysa wuhan ugu safrayso.

for we had certainly sent unto them a book, based on knowledge, which we explained in detail,- a guide and a mercy to all who believe.
dhab ahaan baannu ugula nimid kitaab aannu caddaynay annagoo ku cilmi leh, isagoo hanuun iyo naxariis u ah ciddi rumayn.

immunity is seen as likely, based on the behaviour of other coronaviruses, but cases in which recovery from covid-19 have been followed by positive tests for coronavirus at a later date have been reported.
kiisaskan waxaa loo arkayaa inay kasii daraan caabuqa kalka ay dib caabuq kale u noqon lahaayeen.

based on the experience from italy, countries, hospitals and intensive care units should increase their preparedness for a surge of patients with covid-19 who will require healthcare, and in particular intensive care.
ayadoo la tixraacayo khibrada laga helay talyaaniga , wadanada, isbitaalada iyo qeybaha daryeelka dagdagga ah waa in ay kordhiyaan diyaar garawgooda ah in ay daba galaan bukaanada qaba covid-19 kuwaas oo u baahaan daryeel caafimaad, gaar ahaan daryeelka dagdagga ah.

based on clinical studies reported thus far, the following factors may affect or be associated with the prognosis of covid-19 patients (table ​(table33):
iyadoo lagu salaynayo daraasaadka caafimaadka ee lasoo sheegay ilaa hadda, qodobada soo socda waxay saamayn karaan ama lala xiriirin karaan fikrad daryeelka caafimaad ee bukaanada xanuunka covid-19 (jadwalka 33):

note however that covid-19 is a new disease, our awareness and knowledge is gradually increasing based on the ongoing research findings and clinical practice experience; hence, the strategies of diagnosis and treatment are also continually updated.
ogsoonaw si kasta oo covid-19 u yahay cudur cusub, wacyigalinteena iyo aqoonteena sida tartiibta ah u kordhaysa ee kusalaysan natiijooyinka cilmi baadhista iyo khibrada baaritaanada caafimaad; sidaas awgeed, istaatiijiyadaha baadhitaan iyo kuwa daaweyneed ayaa sidoo kale si joogta ah loo cusboonaysiiyaa.

although sars-cov-2 came as a new virus to the human world, its high homology to sars-cov as reported on 7 january 2020 should have caused high alert to china based on her deep memory of the sars outbreak in 2003.
inkastoo sars-cov-2 uu u imaaday sidii fayras ku cusub dunida aadamaha, wuxuu aad ugu eegyahay sars-cov sida lagu soo waramay 7 dii janaayo 2020 wuxuuna sababay feejignaan sareysa shiinaha ayadoo ku salaysan xasuusta qotoda dheer ee dilaaca sars 2003.

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
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