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Recognize and confirm the finding of hematuria.

Identify common etiologies.

Select patients who have significant urinary system disease that might require further expertise in either diagnosis or management and referral.

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The etiology and pathophysiology of hematuria vary. For instance, hematuria of glomerular origin may be the result of a structural disruption in the integrity of glomerular basement membrane caused by inflammatory or immunologic processes. Chemicals may cause toxic disruptions of the renal tubules, whereas calculi may cause mechanical erosion of mucosal surfaces in the genitourinary tract, resulting in hematuria.

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United States

The prevalence of gross hematuria in children is estimated to be 0.13%. In more than half of the cases (56%) this is due to an easily identifiable cause. The most common cause appears to be cystitis (20-25%). Asymptomatic microscopic hematuria is, on the average, 10-fold as prevalent as gross hematuria (1.5%, range 0.4-4.1%, depending on the criteria used to define hematuria). With repeated evaluations, the prevalence of asymptomatic microscopic hematuria decreases to less than 0.5%, supporting the notion that most cases of hematuria in children are transient. The incidence of simultaneous hematuria and proteinuria is estimated to be only 0.06%, but their coexistence signals significant renal disease.

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In general, children with isolated asymptomatic microscopic hematuria tend to do well, whereas those with associated findings (eg, hypertension , proteinuria, abnormal serum creatinine levels) are more likely to have serious problems. Because hematuria is the end result of various processes, the morbidity and mortality rates of the condition depend on the primary process that initiated it.

Race

The incidence of hematuria in specific racial groups is determined by the primary cause. For example, idiopathic hypercalciuria is infrequent in black and Asian children, but relatively common in whites. Conversely, hematuria caused by sickle cell disease is more common in blacks than in whites.

Sex

Sex may predispose a child to specific diseases that manifest as hematuria. For example, the sex-linked form of Autumn style leisure allmatch sport sneaker shoes women lady Sale Cheap Prices vo1VZU
has a male preponderance, whereas lupus nephritis is more common in adolescent girls.

A 2017 American College of Obstetricians and Gynecologists Committee Opinion on Asymptomatic Microscopic Hematuria in Women concluded that the patient’s sex should influence the differential diagnosis as asymptomatic microscopic hematuria in women is less likely to be associated with urinary tract malignancy than in men. The risk of urinary tract malignancy is ≤ 0.5% in low-risk, never-smoking women younger than 50 years of age without gross hematuria and with fewer than 25 red blood cells per high-power field.

Age

Prevalence of certain conditions varies with age.For instance, Wide Range Of For Sale Amazing Price kilobili Summer 2018 Leather Flats Sandals Women shoes Silver Ankle Strap Bling Black Gold Platform Sandals Female Footwear Clearance Deals CB3Z6
are more frequent in children of preschool age, whereas acute postinfectious glomerulonephritis is more frequent in the school-aged population. In adults, hematuria is often a sign of malignancy of the genitourinary tract (eg, renal cell carcinoma, bladder tumors, prostatic tumors). These conditions are rare in children.

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References

Nielsen M, Qaseem A, High Value Care Task Force of the American College of Physicians. Hematuria as a Marker of Occult Urinary Tract Cancer: Advice for High-Value Care From the American College of Physicians. . 2016 Jan 26. .

Parliamentary systems have the right to dismiss a Prime Minister at any point in time that they feel he or she is not doing their job to the expectations of the legislature. This is done through a Vote of No Confidence where the legislature decides whether or not to remove the Prime Minister from office by a majority support for his or her dismissal. [121] In some countries, the Prime Minister can also call an election whenever he or she so chooses, and typically the Prime Minister will hold an election when he or she knows that they are in good favour with the public as to get re-elected. In other parliamentary democracies extra elections are virtually never held, a minority government being preferred until the next ordinary elections. An important feature of the parliamentary democracy is the concept of the "loyal opposition". The essence of the concept is that the second largest political party (or coalition) opposes the governing party (or coalition), while still remaining loyal to the state and its democratic principles.

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Presidential Democracy is a system where the public elects the president through free and fair elections. The president serves as both the head of state and head of government controlling most of the executive powers. The president serves for a specific term and cannot exceed that amount of time. Elections typically have a fixed date and aren't easily changed. The president has direct control over the cabinet, specifically appointing the cabinet members. [121]

The president cannot be easily removed from office by the legislature, but he or she cannot remove members of the legislative branch any more easily. This provides some measure of separation of powers . In consequence however, the president and the legislature may end up in the control of separate parties, allowing one to block the other and thereby interfere with the orderly operation of the state. This may be the reason why presidential democracy is not very common outside the Americas, Africa, and Central and Southeast Asia. [121]

A semi-presidential system is a system of democracy in which the government includes both a prime minister and a president. The particular powers held by the prime minister and president vary by country. [121]

See also: Politics of Switzerland and Voting in Switzerland

Some modern democracies that are predominantly representative in nature also heavily rely upon forms of political action that are directly democratic. These democracies, which combine elements of representative democracy and direct democracy, are termed hybrid democracies , [122] semi-direct democracies or participatory democracies . Examples include Switzerland and some U.S. states , where frequent use is made of referendums and initiatives .

Check hooks can be used for automated data gathering for incident triage, for example, a check hook could be used to capture the process tree when a process has been determined to be not running etc.

Check hooks can also be used to add context to a check result, for example, outputting the last 100 lines of an error log.

The following is an example Sensu check definition, a JSON configuration file located at /etc/sensu/conf.d/check-sensu-website.json . This check definition uses a Sensu plugin named check-http.rb to ensure that the Sensu website is still available. The check is named sensu-website and it runs on Sensu clients with the production Guangzhou woman apparel factories women dresses long sleeve midi knitting bodycon dress Cheap Browse Discount jptOa1iYRH
, at an interval of 60 seconds.

Each check definition has a unique check name, used for the definition key. Every check definition is within the "checks": {} configuration scope .

The following attributes are configured within the {"checks": { "CHECK": {} } } configuration scope (where CHECK is a valid Krazing pot 2018 silk flat with women bling crystal model Sale Perfect Deals Sale Online Supply Cheap Price Stockist Online mk5N7S4HRw
).

The following attributes are configured within the {"checks": { "CHECK": { "subdue": {} } } } configuration scope (where CHECK is a valid check name ).

The following attributes are configured within the {"checks": { "CHECK": { "hooks": {} } } } configuration scope (where CHECK is a valid check name ).

Each check hook has a unique hook name. Valid hook names include (in order of precedence): “1”-“255”, “ok”, “warning”, “critical”, “unknown”, and “non-zero”. The check hook name is used to determine the appropriate hook command to execute, depending on the check execution status (e.g. 1).

The following attributes are configured within the {“checks”: { “CHECK”: { “hooks”: { “HOOK”: {}} } } } configuration scope (where CHECK is a valid check name and HOOK is a valid hook name ).

The following attributes are configured within the {"checks": { "CHECK": { "proxy_requests": {} } } } configuration scope (where CHECK is a valid check name ).

Publish a check request to the configured subscribers (e.g. ["roundrobin:snmp_pollers"] ) for every Sensu client in the registry that matches the configured client attributes in client_attributes on the configured interval (e.g. 60 ). Client tokens in the check definition (e.g. "check-snmp-if.rb -h :::address::: -i eth0" ) are substituted prior to publishing the check request. The check request check source is set to the client name .

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