Tracheostomy tubes may be inserted early during treatment in patients with pre-existing severe respiratory disease, or in any patient who is expected to be difficult to wean from mechanical ventilation, i. e., patients who have little muscular reserve.

* Tracheostomy Products and Support ( Online resource for tracheostomy products, supplies and support ) at trachs. com

Tracheostomy tubes are well tolerated and often do not necessitate any use of sedative drugs.

When Austria became a member of the European Union, the Austrian variety of the German language — limited to 23 agricultural terms — was " protected " in Protocol No 10, regarding the use of specific Austrian terms of the German language in the framework of the European Union, which forms part of the Austrian EU accession treaty.

When a character in Aristophanes ' Knights says, " I dreamed the goddess poured ambrosia over your head — out of a ladle ," the homely and realistic ladle brings the ineffable moment to ground with a thump.

When she persuades him to blurt out the whole story, a twist is revealed — Charlotte's little sister is a school friend of Anne's.

" When the candy-chocked shmoos were dropped, a near-riot resulted ," ( reported in Newsweek — October 11, 1948 ).

When the audience applauded — testimonies differ over whether at the end of the scherzo or the whole symphony — Beethoven was several measures off and still conducting.

* SVO — Save opportunity: When a pitcher 1 ) enters the game with a lead of three or fewer runs and pitches at least one inning, 2 ) enters the game with the potential tying run on base, at bat, or on deck, or 3 ) pitches three or more innings with a lead and is credited with a save by the official scorer

When the crowd — eventually reinforced by mutinous gardes françaises — proved a fair match for the fort's defenders, Governor de Launay, the commander of the Bastille, capitulated and opened the gates to avoid a mutual massacre.

* When Katniss Everdeen and Peeta Mellark arrive at the Capitol in the 2012 film The Hunger Games, a pair of pink borzoi are shown on screen — an illustration of the Capitol residents ' gaudy lifestyle.

When Macbeth kills the king and takes the throne, Banquo — the only one aware of this encounter with the witches — reserves judgment for God.

When Haydn and Mozart began composing, symphonies were played as single movements — before, between, or as interludes within other works — and many of them lasted only ten or twelve minutes ; instrumental groups had varying standards of playing, and the continuo was a central part of music-making.

When evaluating a coin, the following — often subjective — factors may be considered: 1 ) " eye appeal " or the aesthetic interest of the coin ; 2 ) dents on the rim ; 3 ) unsightly scratches or other blemishes on the surface of the coin ; 4 ) luster ; 5 ) toning ; 6 ) level of detail retained, where a coin with full details obviously is valued higher than one with worn details.

When the Confucian advisers pressed their point, Li Ssu had many Confucian scholars killed and their books burned — considered a huge blow to the philosophy and Chinese scholarship.

When Azali took power he also pledged to step down in April 2000 and relinquish control to a democratically elected president — a pledge with mixed results.

When sufficient information has been gathered, the investigation of the candidate, who is called " Servant of God ", is presented by the local bishop to the Roman Curia — in particular, the Congregation for the Causes of the Saints — where it is assigned a postulator, whose task is to gather further information about the life of the Servant of God.

When the Arch of Pavia was erected to honor the Imperial clan in 8, Claudius ' name ( now Tiberius Claudius Nero Germanicus after his elevation to paterfamilias of Claudii Nerones on the adoption of his brother ) was inscribed on the edge — past the deceased princes, Gaius and Lucius, and Germanicus ' children.

When Augustus died in 14, Claudius — then 23 — appealed to his uncle Tiberius to allow him to begin the cursus honorum.

When in choir dress, a Latin-rite cardinal wears scarlet garments — the blood-like red symbolizes a cardinal's willingness to die for his faith.

Training likely needs to be intense and focused — as indicated by one study performed with stroke patients experiencing limb ataxia who underwent intensive upper limb retraining.

Additionally, the younger the age of onset — bipolar disorder starts in childhood or early adulthood in most patients — the more likely the first few episodes are to be depression.

Even in such cases, over-learned and rote-learned speech patterns may be retained — for instance, some patients can count from one to ten, but cannot produce the same numbers in ordinary conversation.

At the present time, doctors, pharmacists, and codeine-sensitive or allergic patients or sensitive to the amounts of histamine released by its metabolites must choose among rapidly dwindling supplies of the Hycodan-Codiclear-Hydromet type syrups, Tussionex — an extended-release suspension similar to the European products Codipertussin ( codeine hydrochloride ), Paracodin suspension ( dihydrocodeine hydroiodide ), Tusscodin ( nicocodeine hydrochloride ) and others — and a handful of weak dihydrocodeine syrups.

His Surgical Observations on the Constitutional Origin and Treatment of Local Diseases ( 1809 ) — known as " My Book ", from the great frequency with which he referred his patients to it, and to page 72 of it in particular, under that name — was one of the earliest popular works on medical science.

This brings some risks, however, as antidepressants can induce mania, psychosis, and other disturbing problems in bipolar patients — in particular, when taken alone, but sometimes even when used with a mood stabilizer.

Some patients with this form of the disorder also have hydrocephalus, in which cerebrospinal fluid accumulates in the skull, or a condition called arachnoiditis, in which a covering of the spinal cord — the arachnoid membrane — is inflamed.

" It may be used to procure diagnostically — or therapeutically — vital information, and to provide patients with a functional respite from catatonia or mania.

Responses to the various and many treatments being tried are highly variable, with many patients often trying several treatments over the course of their diagnosis depending upon their levels of relief, the preferred method ( s ) of their doctor ( s ), and the affordability of these treatments ; many treatments are still experimental and often not covered by health insurance — or the particular doctor using them does not take insurance.

Then, in December 1965 and March 1966, Nature and The Lancet published the first preliminary reports by British cytogeneticist Patricia Jacobs and colleagues at the MRC Human Genetics Unit at Western General Hospital in Edinburgh of a chromosome survey of 315 male patients at The State Hospital outside Carstairs, Lanarkshire — Scotland ’ s only special security hospital for the developmentally disabled — that found nine patients, ages 17 to 36, averaging almost 6 ft. in height ( avg.

In addition, presentations can vary across cultures, such as Indian patients who only switch alters after a period of sleep — which is commonly how DID is presented by the media within that country.

While some patients may initially present with a large number of alters, this number may reduce during treatment — though it is considered important for the therapist to become familiar with at least the more prominent personality states as the " host " personality may not be the " true " identity of the patient.

A 2004 large multicentre clinical follow-up study of ECT patients in New York — describing itself as the first systematic documentation of the effectiveness of ECT in community practice in the 65 years of its use — found remission rates of only 30 to 47 percent, with 64 percent of those relapsing within six months.

on suicide rates in Toronto and Ontario and psychiatric patients from San Diego reached the conclusion that increased gun restrictions, while reducing suicide-by-gun, resulted in no net decline in suicides, because of substitution of another method — namely leaping.

( 1986 study of 156 female patients with Turner syndrome ) showed a significantly greater number of deaths from diseases of the circulatory system than expected, half of them due to congenital heart defects — mostly postductal coarctation of the aorta.

Because of the high incidence of VTEs — as high as 26 %— a black box warning was added in the United States in 2006 to the package insert for thalidomide, indicating that patients with multiple myeloma who receive thalidomide-dexamethasone may benefit from concurrent thromboembolism prophylaxis or aspirin.

For Lamprias had said that the first articulate sound made is " alpha ", because it is very plain and simple — the air coming off the mouth does not require any motion of the tongue — and therefore this is the first sound that children make.

This presents few problems for English-speaking users, but other languages regularly — in some cases, always — require characters outside that range.

" For classical liberalism, rights are of a negative nature — rights that require that other individuals ( and governments ) refrain from interfering with individual liberty, whereas social liberalism ( also called modern liberalism or welfare liberalism ) holds that individuals have a right to be provided with certain benefits or services by others.

However, public opposition to increases in defence spending — during a period when economic constraints require reduced spending for social welfare — has created differences among the political parties regarding a broadly acceptable level of new defence expenditure.

For instance, volume and Riemannian curvature are invariants that can distinguish different geometric structures on the same smooth manifold — that is, one can smoothly " flatten out " certain manifolds, but it might require distorting the space and affecting the curvature or volume.

For instance, you might wish to add spell checking to all s, which in most languages would require access to the source code of the string class — and such basic classes are rarely given out in source form.

Thus, while a permit to fill non-federal wetlands might require a permit from a single state agency, larger and more complex endeavors — for example, the construction of a coal-fired power plant — might require approvals from numerous federal and state agencies.

It is also a justification for free trade policies, since some economies of scale may require a larger market than is possible within a particular country — for example, it would not be efficient for Liechtenstein to have its own car maker, if they would only sell to their local market.

Generally, a layer of plaster will require ten to twelve hours to dry ; ideally, an artist would begin to paint after one hour and continue until two hours before the drying time — giving seven to nine hours working time.

Another polynomial viewpoint is exploited by the Winograd algorithm, which factorizes into cyclotomic polynomials — these often have coefficients of 1, 0, or − 1, and therefore require few ( if any ) multiplications, so Winograd can be used to obtain minimal-multiplication FFTs and is often used to find efficient algorithms for small factors.

Hengist asks Vortigern to give him only enough land that Hengist can encircle with a leather thong, so that Hengist may build a fortress upon it — in case a future retreat may require it.

Some activities — reading the Torah and haftarah ( a supplementary portion from the Prophets or Writings ), the prayer for mourners, the blessings for bridegroom and bride, the complete grace after meals — require a minyan, the presence of ten Jews.

Public and institutional collections and services may be intended for use by people who choose not to — or cannot afford to — purchase an extensive collection themselves, who need material no individual can reasonably be expected to have, or who require professional assistance with their research.

Mu-metal objects require heat treatment after they are in final form — annealing in a magnetic field in hydrogen atmosphere, which reportedly increases the magnetic permeability about 40 times.

Note that the non-inverting input of the operational amplifier will need a path for DC to ground ; if the signal source might not give this, or if that source requires a given load impedance, the circuit will require another resistor — from input to ground.

Some nations, with either exclusively proportional representation or — as is the case with Germany — additional member systems, require a party list to achieve an election threshold — a set minimum percentage of votes to receive any seats.