ALS FUNCTIONAL RATING SCALE-REVISED ALSFRS-R PDF

J Neurol Sci. Oct 31;() The ALSFRS-R: a revised ALS functional rating scale that incorporates assessments of respiratory function. Amyotrophic Lateral Sclerosis (ALS), is a neurodegenerative disease that typically affects The ALSFRS-R scale has some limitations though since it is not useful to compare scores of people who present with different onset. In ALS the main. Subscales of the ALS Functional Rating Scale (ALSFRS-R) as met El Escorial- Revised criteria for Possible, Probable or Definite ALS at.

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Speech Normal speech processes Detectable speech disturbance Intelligible with repeating Speech combined with nonvocal communication Loss of useful speech 2.

ALS Functional Rating Scale – Revised

Salivation Normal Slight but definite excess of saliva in mouth; may have nighttime drooling Moderately excessive saliva; may have minimal drooling Marked excess of saliva with some drooling Marked drooling; requires constant tissue or handkerchief 3.

Swallowing Normal eating habits Early eating problems-occasional choking Dietary consistency changes Needs supplemental tube feeding NPO exclusively parenteral or enteral feeding 4. Handwriting Normal Slow or sloppy; all words are legible Not all words are legible Able to grip pen but unable to write Unable to grip pen 5.

Cutting food with gastrostomy Normal Somewhat slow and clumsy, but no help needed Can cut most foods, although clumsy and slow; some help needed Food must be cut by someone, but can still feed slowly Needs to be fed Normal Clumsy but able to perform all manipulations independently Some help needed with closures and fasteners Provides minimal assistance to caregiver Unable to perform any aspect of task 6.

Dressing and hygiene Normal function Independent and complete self-care with effort or decreased efficiency Intermittent assistance or substitute methods Needs attendant for self-care Total dependence 7.

Turning in bed Normal Somewhat slow and clumsy, but no help needed Can turn alone or adjust sheets, but with great difficulty Can initiate, but not turn or adjust sheets alone Helpless 8. Walking Normal Early ambulation difficulties Walks with assistance Non-ambulatory functional movement only No purposeful leg movement 9. Dyspnea None Occurs when walking Occurs with one or more of the following: Orthopnea None Some difficulty sleeping at night due to shortness of breath.

Does not routinely use more than two pillows Needs extra pillow in order to sleep more than two Can only sleep sitting up Unable to sleep How many years since onset of symptoms? Menu “left menu navigation” Begins – Skip Menu. Menu “left menu navigation” Ends. Speech combined with nonvocal communication.

Slight but definite excess of saliva in mouth; may have nighttime drooling. Moderately excessive saliva; may have minimal drooling. Marked excess of saliva with some drooling.

ALS Functional Rating Scale

Marked drooling; requires constant tissue or handkerchief. Early eating problems-occasional choking. Needs supplemental tube scale-revises. NPO exclusively parenteral or enteral feeding. Slow or sloppy; all words are legible.

Not all words are legible. Able to grip pen but unable to write. Cutting food with gastrostomy. Somewhat slow and clumsy, ratting no help needed. Can cut most foods, although clumsy and slow; some help needed. Food must be cut by someone, but can still feed slowly.

Clumsy but able to perform all manipulations independently. Some help needed with closures and fasteners. Provides minimal assistance to caregiver. Unable to perform any aspect of task.

Independent and complete self-care with effort or decreased efficiency. Intermittent assistance or substitute methods. Needs attendant for self-care. Can turn alone or adjust sheets, but with great difficulty. Can initiate, but not turn or adjust sheets alone.

Non-ambulatory functional movement only. No purposeful leg movement.

Mild unsteadiness or fatigue. Occurs with one or more of the following: Occurs at rest, difficulty breathing when either sitting or lying. Significant difficulty, considering using mechanical respiratory support.

Some difficulty sleeping at night due to shortness of breath. Does not routinely use more than two pillows.

Needs extra pillow in order to sleep more than two. Can only sleep sitting up. Continuous use of BiPAP during the night and day. Invasive mechanical ventilation by intubation or tracheostomy.

FOUNDATIONS OF ENGINEERING HOLTZAPPLE PDF

Foundations of Engineering by Mark Holtzapple, , available at Book Depository with free delivery worldwide. Shop our inventory for Foundations of Engineering by Mark T. Holtzapple, W. Dan Reece, Holtzapple Mark with fast free shipping on every used book we have in. : Foundations of Engineering: Shows some signs of wear, and may have some markings on the inside.

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Foundations of Engineering

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Return to Book Page. Preview — Foundations of Fooundations by Mark T. Foundations of Engineering by Mark T. This book gives freshman engineering students a solid foundation for all their future coursework. It provides an overview to the engineering profession and of the skills they will need to develop, as well as an introduction to fundamental engineering topics such as thermodynamics, rate processes, and Newton’s laws.

An important aspect of the book’s foundaitons is the method o This book gives freshman engineering students a solid foundation for all their future coursework. An important aspect of the book’s approach is the method of Engineering Accounting, which casts the basic conservation laws e.

This is a unifying concept that holtzapppe problem-solving across all engineering disciplines. Hardcoverpages.

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Foundations of Engineering by Mark T. Holtzapple

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INDIKASI VAKUM EKSTRAKSI PDF

Ekstraksi Vakum – Free download as Powerpoint Presentation .ppt), PDF File Gawat janin. EKSTRAKSI VAKUM. Kala II memanjang 4. KONTRA INDIKASI. indikasi dan komplikasi vacum ekstraksi by gkusdinar in Types > Presentations. PEMBAHASAN Definisi Indikasi dan Syarat Kontraindikasi Keuntungan Kerugian Teknik Ekstrasi Vakum Kriteria ekstraksi vakum gagal.

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ESERCIZI DI MUSCOLAZIONE DELAVIER PDF

Nuova guida agli esercizi di muscolazione: Frédéric Delavier: Books – Guida agli esercizi di muscolazione. Approccio anatomico by Frederic Delavier, , available at Book Depository with free. Nuova guida agli esercizi di muscolazione by Frederic Delavier, , available at Book Depository with free delivery worldwide.

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Frederic Delavier is a gifted artist with an exceptional knowledge of human anatomy. Nuova guida agli esercizi di muscolazione Copertina flessibile.

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Strength Training Anatomy: : Frederic Delavier: Libri in altre lingue

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GNANA VETTIYAN PDF

Gnana Vettiyan. 61 likes. Book. Gnana Vettiyan. Privacy · Terms. About. Gnana Vettiyan. Book. 61 people like this topic. Want to like this Page? Sign up for. Buy gnana vettiyan book by thiruvalluvar online at best price in Trichy. We have wide range of gnana vettiyan book by thiruvalluvar in Books – Magazines. Other than the Thirukkuṛaḷ, Thiruvalluvar is alleged to be the author of two Tamil texts on medicine, Gnana Vettiyan and Pancharathnam; although many.

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EAT YOURSELF SLIM MICHEL MONTIGNAC PDF

Eat Yourself Slim has 86 ratings and 7 reviews. Maria said: 5 stars for his method, but 3 stars for this book. I prefer the original version of his book. Michel Montignac was the first health expert to recommend the use of the glycemic Eat Yourself Slim: The World’s Best Method to Lose Weight and Stay Slim. Eat Yourself Slim by Michel Montignac, , available at Book Depository with free delivery worldwide.

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EUROPOWER PMP2000 PDF

Buy Behringer PMP Behringer Europower Watt Channel Powered Mixer With Multi-Fx Processor: Powered Mixers – ✓ FREE. Find great deals for Behringer Europower PMP 14 Channel Mixer. Shop with confidence on eBay!. EUROPOWER PMP Watt Channel Powered Mixer with Multi-FX Processor. Ultra-compact 2 x Watt stereo powered mixer ( Watt bridged.

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Save ID Secured Login. To add product, select an option in the above option box. If you need superior stereo sound for small club gigs, churches or speeches, but have to keep the outboard gear to a minimum, the channel PMP can really deliver. This Watt mixer has built-in mic preamps and an FX processor, as well as enough power to drive both mains and monitors, thanks to dual Watt onboard power amps.

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Classic Control, State-of-the-Art Sound. Leave the mic preamps at home, because the quality of sound that was once only available in the studio is ready to go wherever you do. Built-in Digital Effects Processor. The Ins and Outs. PayPal account is NOT required.

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Behringer Europower PMP2000 14 Channel Mixer

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FLUKE DTX-1800-MS PDF

On Sale Fluke DTXMS We take purchase orders and can provide special school, government and corporate pricing. Series from Fluke Networks . The DTXGKIT, together with DTX CableAnalyzer, is the first field test solution that . DTXMS DTX MSO. The DTX CableAnalyzer Series delivers superior performance that can reduce your total certification costs by as much as 33% per year. This dramatic reduction .

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JULIO VERNE EL SECRETO DE WILHELM STORITZ PDF

The Secret of Wilhelm Storitz is a fantasy novel by Jules Verne, published by Louis-Jules Author, Jules Verne. Original title, Le Secret de Wilhelm Storitz. El Secreto de Wilhelm Storitz (Spanish Edition) by Julio Verne, , available at Book Depository with free delivery worldwide. El Secreto de Wilhelm Storitz – Coleccin de Clsicos de La Literatura Europea ” Carrascalejo de La Jara” (Spanish, Electronic book text) / Author: Julio Verne.

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El Secreto de Wilhelm Storitz (Spanish Edition)

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CHROMOPHORES AND AUXOCHROMES PDF

Basic auxochromes. Auxochrome vs chromophore. Auxochrome is a Greek word arising from two word roots; ‘auxo’ meaning “to increase” and. This lesson explains the parts of a molecule responsible for color: chromophores and auxochromes. Chromophores and auxochromes are. CHROMOPHORE IS THE ACTUAL PART RESPONSIBLE FOR IMPARTING COLOR TO A MOLECULE; AUXOCHROME IS A HELPER THAT.

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A chromophore is the part of a molecule responsible for its color. The chromophore is a region in the molecule where the energy difference between two separate molecular orbitals falls within the range of the visible spectrum. Visible light that hits the chromophore can thus be absorbed by exciting an electron from its ground state into an excited state. In biological molecules that serve to capture or detect light energy, the chromophore is the chromohpores that causes a conformational change of the molecule when hit by light.

In the conjugated chromophores, the electrons jump between energy levels that are extended pi orbitalscreated by a series of alternating single and double bondsoften in aromatic systems. Various factors in a chromophore’s structure go into determining at what wavelength region in a spectrum the chromophore will absorb. Lengthening or extending a conjugated system with ausochromes unsaturated multiple auzochromes in a molecule will tend to shift absorption to longer wavelengths.

Auxochrome – Wikipedia

Woodward-Fieser rules can be used to approximate ultraviolet -visible maximum absorption wavelength in organic compounds with conjugated pi-bond systems. Some of these are metal complex chromophores, which contain a metal in a coordination complex with ligands.

zuxochromes Examples are chlorophyllwhich is used by plants for photosynthesis and hemoglobinthe oxygen transporter in the blood of vertebrate anirnals. In these two examples, a metal is complexed at the center of a chromopgores macrocycle ring: The highly conjugated pi-bonding system of the macrocycle ring absorbs visible light.

The nature of the central metal can also influence the absorption spectrum of the metal-macrocycle complex or properties such as excited state lifetime. Examples of such compounds include bilirubin and urobilinwhich exhibit a yellow color.

Chromophore – Wikipedia

An auxochrome is a functional group of atoms attached to the chromophore which modifies the ability of the chromophore to absorb light, altering the wavelength or intensity of the absorption. Halochromism occurs when a substance changes color as the pH changes.

This is a property of pH indicatorswhose chromohpores structure changes upon certain changes in the surrounding pH. This change in structure affects a chromophore in the pH indicator molecule. For example, phenolphthalein is a pH indicator whose structure changes as pH changes as shown in the following table:.

Because of their limited extent, the aromatic rings only absorb light in the ultraviolet region, and so the compound appears colorless in the pH range. However, as the pH increases beyond 8.

This makes the three rings conjugate together to form an extended chromophore absorbing longer wavelength visible light to show a fuchsia color. From Wikipedia, the free encyclopedia. Academic Press, New York. Color model additive subtractive Color mixing Primary color Secondary color Tertiary color intermediate Quaternary color Quinary color Aggressive color warm Receding color cool Pastel colors Color gradient.

Color tool Monochromatic colors Complementary colors Analogous colors Achromatic colors Neutral Polychromatic colors Impossible colors Light-on-dark Tinctures in heraldry.

Chromophore

Chromaticity diagram Color solid Color wheel Color triangle Color analysis art Color realism art style. Linguistic relativity and the color naming debate Blue—green distinction in language Color history Color in Chinese culture Traditional colors of Japan Human skin color.

Hue Dichromatism Colorfulness chroma and saturation Tints and shades Lightness tone and value Grayscale. A—F List of colors: G—M List of colors: Anx Portal Index of color-related articles.

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Color space Color model additive subtractive Color mixing Primary color Secondary color Tertiary color intermediate Auxocrhomes color Quinary color Aggressive color warm Receding color cool Pastel colors Color gradient.