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Post-reduction assessment of neurovascular status should be repeated, and any deterioration is indication for immediate onward referral Post-reduction plain lms are indicated for all rst dislocations to detect associated fractures In the lower limb, hip dislocations usually require heavy sedation or general anesthetic for reduction Patellar dislocations can be reduced by gentle passive knee extension A true knee dislocation is a major injury and may be reduced by gentle traction and extension of the knee Because of the risk of intimal damage to the popliteal artery these should always be referred on for full assessment Ankle and foot dislocations do best if reduced as early as possible The patient is usually much more comfortable if splinted in the reduced position This type of injury should always be assessed by a specialist in case internal xation is required Fractures should be splinted, elevated, and transported to an appropriate facility.

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In particular, the life sciences have proven eager to adopt the emerging sweb ontology technologies in order to in some way automate the management of the enormous amounts of research data being produced Any ontology model represents only a consensual agreement on the concepts and relations that characterize the way knowledge in that domain is expressed, albeit that the notion of domain is relative to the adopted application point of view and is often fuzzy Different models are possible, perhaps applicable to different contexts and points of view A higherlevel (or top) ontology may just model common knowledge or semantic basics, not speci c data Ideally, the domain representation is expressed in an open language that enables broad access and operability for example, as Web-published RDF.

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when the time is right. The basics to developing the alliance are to listen, learn, respect, and affirm. Later, if you have done these things well, the time to teach will present itself. Professionals also must learn their own personal limits, and share those limits with clients before those clients have done something that crosses those limits. Each of us has different limitations that we place on relationships, including professional relationships. When a professional finds him- or herself angry with a client, it often is related to limits being crossed. The key for a professional is to be aware of his or her limits in therapeutic situations in order to minimize the risk of having those limits crossed. The crossing of limits is really the professional s problem rather than the client s problem. It is, after all, the professional s limits that are being crossed, and because of this, it is the professional who responds, often with anger or discomfort toward the client. What a professional should realize is that the client likely has no idea that he or she has crossed limits in the relationship. How could a client know a limit has been crossed if she or he has not been told about that particular limit Limit violation by a client usually is out of ignorance rather than out of spite. However, the professional often responds quite humanly to such a violation as if it were a threat and becomes upset at the client. Here is an example: You as a professional may value punctuality, and in fact, may have firm limits against tardiness. The client shows up late, and you make some judgments (because your limits were crossed) about the client s level of

In cases where there is neurovascular compromise, or there will be a delay in transportation, reduction may be attempted Compound fractures should be dressed with a moist, sterile gauze dressing and the extremity splinted with no attempts made to push the extruding bone or soft tissue back into the wound or reduce the fracture, unless neurovascular compromise is present..

WORKSHEET 2.1 (Continued)

This speci cation can then be the rst step in building semantically-aware information systems on the public Web to support services and activities at all levels: personal, commerce, enterprise, and government This broad context motivates a deeper examination of ontologies in general, and implemented Web-based ontologies in particular, because these are the mechanisms that promise to deliver all manner of stored knowledge in a consistent way Bit 62 Open knowledge presupposes well-de ned dissemination methods.

Consider the following example of how a host uses a subnet mask with the AND operation: A host that is assigned the IP address 10.6.15.3 and a subnet mask of 255.255.0.0 wishes to send a frame to 10.7.9.2. If 10.7.9.2 is on the same network as 10.6.15.3, then the host will broadcast an ARP frame to determine the data link layer address of the destination. The host will then send the frame directly to the destination. If 10.7.9.2 is on a different network, then the host must send the frame to a router for forwarding to the destination network. The dotted-decimal notation must be converted to the underlying 32-bit binary numbers to understand what is taking place, as shown in Table 7.10.

Source: Adapted from data from NHANES III (1988 1994).

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