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Metabolic acidosis associated with an elevated anion gap is usually due to an accumulation of lactic acid or other acids (see 21) Common causes of elevated anion gap in poisoning include carbon monoxide, cyanide, ethylene glycol, medicinal iron, INH, methanol, metformin, ibuprofen and salicylates The osmolar gap should also be checked; combined elevated anion and osmolar gap suggests poisoning by methanol or ethylene glycol, though this may also occur in patients with diabetic ketoacidosis and alcoholic ketoacidosis

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A comprehensive toxicology screen is of little value in the initial care of the poisoned patient on the contrary, it is time-consuming and expensive Specific quantitative levels of certain drugs may be extremely helpful (Table 38 6), however, especially if specific antidotes or interventions (eg, dialysis) would be indicated based on the results If a toxicology screen is required, urine is the best specimen Many hospitals can perform a quick but limited screen for drugs of abuse (typically these screens include only opiates, amphetamines, and cocaine, and some add benzodiazepines, barbiturates, and tetrahydrocannabinol [marijuana]) There are numerous false-positive and falsenegative results For example, opioids, such as fentanyl, oxycodone, and methadone are usually not detected by routine opiate screening

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A plain film of the abdomen may reveal radiopaque iron tablets, drug-filled condoms, or other toxic material Studies suggest that few tablets are predictably visible (eg, ferrous sulfate, sodium chloride, calcium carbonate, and potassium chloride) Thus, the x-ray is useful only if positive

using using using using System; System.Collections.Generic; System.Linq; System.Text;

Goldfrank LR (editor): Goldfrank s Toxicologic Emergencies, 9th ed McGraw-Hill, 2006 Hovda KE et al Anion and osmolal gaps in the diagnosis of methanol poisoning: clinical study in 28 patients Intensive Care Med 2004 Sep;30(9):1842 6 [PMID: 15241587] Khajuria A et al Osmolality revisited deriving and validating the best formula for calculated osmolality Clin Biochem 2005 Jun;38(6):514 9 [PMID: 15885229] Olson KR (editor): Poisoning and Drug Overdose, 5th ed McGraw-Hill, 2006

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Read or load a PDF file and extract its text content in C# and VB. NET application with GemBox.Document library.

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Read and Extract PDF Text from C# / VB. NET applications - GemBox
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Files view Accessible by clicking on the Files tab. Lists all files and components that make up the project. These include source and header files, libraries, frameworks for the application environment (Carbon, Cocoa, Java), resource files, and the project product, or executable application. Where applicable, clicking or double-clicking on a file will open it for editing or viewing. For example, clicking on a source file or a header file will display it in the Editor pane. Double-clicking on a .nib file will open the file in Interface Builder. Classes view Enables easy access and browsing of application and framework class files (see figure 3.11). The Class pane (upper pane) displays a filtered

Some drugs or toxins may have profound and irreversible toxicity unless rapid and specific management is provided outside of routine supportive care For these agents, laboratory testing may provide the serum level or other evidence required for administering a specific antidote or arranging for hemodialysis

Secondary hyperglycemia has been associated with various disorders of insulin target tissues (liver, muscle, and adipose tissue) (Table 27 6) Other secondary causes of carbohydrate intolerance include endocrine disorders often specific endocrine tumors associated with excess production of growth hormone, glucocorticoids, catecholamines, glucagon, or somatostatin In the first four situations, peripheral responsiveness to insulin is impaired With excess of glucocorticoids, catecholamines, or glucagon, increased hepatic output of glucose is a contributory factor; in the case of catecholamines,

namespace Exercise_9_2 { class Tester { public void Run( ) { int myInt = 42; float myFloat = 9.685f; Console.WriteLine("Before starting: \n value of myInt: {0} \n value of myFloat: {1}", myInt, myFloat); // pass the variables by reference Multiply( ref myInt, ref myFloat ); Console.WriteLine("After finishing: \n value of myInt: {0} \n value of myFloat: {1}", myInt, myFloat); } private static void Multiply (ref int theInt, ref float theFloat) { theInt = theInt * 2; theFloat = theFloat *2; Divide( ref theInt, ref theFloat); } private static void Divide (ref int theInt, ref float theFloat)

Hyperglycemia due to tissue insensitivity to insulin Hormonal tumors (acromegaly, Cushing s syndrome, glucagonoma, pheochromocytoma) Pharmacologic agents (corticosteroids, sympathomimetic drugs, niacin) Liver disease (cirrhosis, hemochromatosis) Muscle disorders (myotonic dystrophy) Adipose tissue disorders (lipodystrophy, truncal obesity) Insulin receptor disorders (acanthosis nigricans syndromes, leprechaunism) Hyperglycemia due to reduced insulin secretion Hormonal tumors (somatostatinoma, pheochromocytoma) Pancreatic disorders (pancreatitis, hemosiderosis, hemochromatosis) Pharmacologic agents (thiazide diuretics, phenytoin, pentamidine)

how to read pdf file in asp.net using c#

how to read pdf file in asp . net using c# .net - C# Corner
hi friends.... i want to read . pdf file using c# . net code and have to save that file ... Below is my code ... But it reads only one page of a file .

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