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Although the standard medical history and physical examination will pick up many clinical problems that are common to all age groups, most medical specialities have developed a modified set of questions that are specific to the needs and problems of their patients. The Geriatric Review of Systems (GeriROS) presented in this chapter is a modification of the standard review of systems. It is designed to screen elderly patients for problems that might interfere with their ability to function independently. Its purpose is to identify problems that might benefit from rehabilitative interventions appropriate to the patient's age, or from services that might better support the patient and/or family in coping with disabilities common to the elderly population. It focuses on the following spheres of function:
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This chapter expounds the main principles behind blockchain technology and some of its cutting-edge applications. We first present the core concepts of the blockchain. Secondly, we discuss a definition put forward by Vitalik Buterin, we sketch out the shift toward hybrid solutions, and we sum up the main features of decentralized crypto-ledger platforms. Thirdly, we show why the blockchain is a disruptive and foundational technology, but we expose the potential risks and drawbacks of public distributed ledgers that account for the shift toward hybrid solutions. Finally, we present a non-exhaustive list of important applications, bearing in mind the most recent developments.
The subjects included cover almost all of the typical public works projects and are applicable to private, as well as public projects. The initial chapter provides general information about project design, including typical types of information to include. Guidance is provided about bid item descriptions, items that need to be specified because of the nature of the menu specifications, and proprietary products that meet the standard specifications. The remaining chapters address specific types of projects. Each chapter starts with a general description of the elements dealing with the project type, followed by detailed information about that design. Examples are often included as a means of further clarification of the design concepts. 59ce067264
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