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關於 identify instrument ，我們在網路上蒐集到這些相關的討論、資訊與評價

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在identify instrument這個產品中，有5篇Facebook貼文，粉絲數超過8萬的網紅Daniel Tan，也在其Facebook貼文中提到， #Aligned practices the #Gonstead System of Chiropractic, which is a very specific and thorough technique for assessing and correcting the spine. It w...
　同時也有1部Youtube影片，追蹤數超過2,250的網紅Benjamin Man — iBenTV，也在其Youtube影片中提到，[3/3] This piece took around 10-11 months to compose, thANKFULLY I GOT FULL MARKS SO HARD WORK PAID OFF!!! I was lucky enough to be able to work with ...

identify instrument 在 Daniel Tan Facebook 的精選貼文

Daniel Tan By Daniel Tan

2017-11-29 20:31:15 有 29 人按讚
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#Aligned practices the #Gonstead System of Chiropractic, which is a very specific and thorough technique for assessing and correcting the spine. It was created by Dr. Clarence Selmer Gonstead, whose revolutionary system turned chiropractic practice from crude bone setting in back alleys to the bio-mechanical science it is today. Its philosophy may be roughly summed by this: less is more. The goal is to identify the safest and most effective way to correct spinal dysfunction, achieving the greatest results with the least number of corrections, all the while respecting the unique needs of each patient. It acknowledges that every patient is different, and thus must not be treated with the same course of manipulation - providing a sense of sensitivity and flexibility no mechanical instrument can ever hope to replicate.

#chiropractic #malaysia

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Daniel Tan

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Member of Gonstead Chiropractic Society Australia
83917 followers 79033 likes "http://www.aligned.com.my/"
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identify instrument 在 臨床筆記 Facebook 的最佳貼文

臨床筆記 By 臨床筆記

2016-11-29 19:17:15 有 57 人按讚
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Delirium in ICU

Does this patient have delirium? Diagnosis, epidemiology, risk factors.

The most widely used instruments to detect ICU delirium are the Confusion Assessment Method for the ICU (CAM-ICU) [12] and the Intensive Care Delirium Screening Checklist (ICDSC) [13]. Studies demonstrate that both tools can be implemented at the bedside by ICU staff after adequate training. ICU delirium can present as a hypoactive (quiet) type, which is not often recognized in the ICU setting unless actively sought [1]. Bedside clinical evaluation without a specified instrument for detecting ICU delirium often fails to provide an accurate diagnosis. Perhaps this occurs as a consequence of looking strictly for hyperactive signs and symptoms such as agitation and hallucinations as prompts for the presence of delirium or due to confounding effects of sedation or concurrent neurologic conditions. Although these signs and symptoms are associated with delirium, they are not specific or essential criteria for its diagnosis [14]. In fact, a significant fraction of ICU delirium cases present in a hypoactive form; sometimes hallucinations are present, but they are not needed for diagnosis. Although a number of tools are available to diagnose delirium in ICU patients, as noted above, the CAM-ICU and the ICDSC are the most valid and reliable instruments. Both can be implemented reliably in the ICU setting by the healthcare team without the need for specialists (e.g., psychiatrists, neurologists, or geriatricians). Given the importance of delirium as a predictor of worse outcomes in ICU patients and a cause of distress for patients/relatives, routine ICU delirium screening is strongly recommended [3]. Once a diagnosis of ICU delirium is established, one must consider the implications of such a diagnosis. A checklist that can aid clinicians at the bedside is provided (Fig. 1). Certainly, as in any organ failure, not all ICU delirium is the same [2, 15]. Recently, studies have demonstrated that a short duration of delirium or its reversal upon the interruption of sedation is associated with relatively good outcomes [2]. Using scores to accurately measure level of sedation can help to reduce the frequency of oversedation and its accompanying propensity toward delirium [3]. It is important to state that sedation is a major problem when a patient with suspected delirium is evaluated. On the one hand sedatives can preclude the use of validated scales; on the other hand, sedatives are both risk factors for delirium and confounders of its diagnosis as deep sedation, especially with benzodiazepines, is a well-recognized inducer of coma. Though diagnosing delirium is important, efforts should be made to prevent it, shorten its duration, and/or identify early those patients who have the potential for a higher burden of acute brain dysfunction [3].

http://rdcu.be/m2E7

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臨床筆記

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這裡是心臟內科及重症專科醫師 林世崇的醫療筆記部落格，提供實用的臨床醫療資訊，歡迎分享！
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identify instrument 在 Alena Murang Facebook 的最佳解答

Alena Murang By Alena Murang

2016-11-05 09:37:03 有 112 人按讚
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Filming Tepu Do'o Ayu playing the Kelabit pagang. Not many play this instrument anymore, and I'm finding it impossible to identify a pagang maker 🍃#Kelabit #bario #music #ethnic #art4

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Alena Murang

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Artwork & Music by Alena Murang
37474 followers 30853 likes "http://www.alenamurang.com/"
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identify instrument 在 Benjamin Man — iBenTV Youtube 的最佳貼文

Benjamin Man — iBenTV By Benjamin Man — iBenTV

2017-03-30 19:21:29 有 12,673 人看過 有 165 人喜歡
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[3/3] This piece took around 10-11 months to compose, thANKFULLY I GOT FULL MARKS SO HARD WORK PAID OFF!!! I was lucky enough to be able to work with an actual orchestra on this piece, and even got feedback from composer Dani Howard as well as conductor Pablo Urbina!

Themes:
A: "Awakening in The Unknown" - 0:01
B: "Survival" - 0:58
C: "Defeat" - 1:21
D: "Mischief" - 1:54
E: "Confliction" - 2:17
F: "Reconciliation" - 3:37
G: "Finalé" - 4:14

(btw, my second composition was 'Ascending Heaven' so I'm not going to upload that lmao)

Reflective Statement:

My intention for this piece was to compose a programmatic orchestral work inspired by the anime “灰と幻想のグリムガル”. Each section corresponds to a key theme presented in the anime. A performers note was included in the score so that performers will have a better understanding of the context of each theme.

Composing this piece took 10 months from start to finish. I started this composition as a piano quartet with the cello carrying the main melody. Each section was composed individually to match a particular theme, and was then pieced together by composing a transition section between them. With my teachers guidance, I was advised to expand the piece into a full orchestral composition, which was an immense difficulty for me as I’ve never composed one before. I overcame this difficulty by studying each instrument; how it’s played (or can be played), what techniques can be performed, and listening to other orchestral pieces to identify its role in the orchestra. I further developed the piece by experimenting with contrasting dynamics to add excitement in certain sections of the piece. Lastly, I leant and applied engraving rules to my score to appear professional.

This piece allowed me to grow as a composer in different ways. For example, because I had the opportunity to work with an actual orchestra, I became aware of how certain notes and phrases are played (e.g. bowing for strings at fortissimo), and how each instrument compliments another. I also learnt to avoid composing melodic “fluff”, to make sure that every note has its own purpose and contribution to the aim of the piece.

Overall, I am extremely proud of this piece and am very excited to hear it performed at my school’s spring concert in March!

(298 Words)

(IF ANYONE WANTS TO PERFORM THIS (IDK WHY BUT IF LMAO) AND WANT THE SCORE, MESSAGE ME!)

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Benjamin Man — iBenTV

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Ben | 18 | HK First Cover: Feb 9, 2013
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