...Occlusion; Thrombosed Popliteal Aneurysm (acute obstruction) Presenting Symptom(s): The patient’s chief complaint was left leg pain from the left knee down to the left foot. When asked the patient he was unable to appropriately respond to the question due to confusion. History of present illness: The patient is a male in his mid 70s. The patient presented with new onset left lower extremity ischemia. He was started on an IV heparin drip and transported to ED. He was found to have am occluded left popliteal aneurysm with occlusion of all tibial vessels. The patient was taken to the OR with vascular service for initiation of thrombolysis therapy. He is currently hospitalized for left lower extremity ischemia, angiogram, thrombolysis, bypass femoral popliteal thrombectomy, irrigation and debridement of wound, and a fasciotomy. Then, he was taken back to the OR for debridement of left anterolateral muscular compartment necrosis. This morning, he was noted to be “confused”. The patient was stable and oriented until at least yesterday evening. Per the primary team, he did not appear confused when seen at 6am. He was also noted to have a temperature of 37.4. He did not have any labs checked for 2 days, but this morning his labs were notable for leukocytosis of 13 from 9, hemoglobin on 6.2 from 7.6, and Na of 131 from 136. The patient denies any specific complaints, but does not appear to focus on questions. Pathophysiology: Popliteal aneurysms are defined as localized dilatations...
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...A Study in Scarlet and Pink A successful adaption of a text does not have to follow the text exactly as written. There is an importance to maintaining the main concepts and characters in the story, such as in the mystery, A Study in Scarlet by Conan Doyle. The main characters, Dr. John Watson and Sherlock Holmes should be portrayed correctly; the type of crime, and the search for the criminal should remain the same. There is a higher importance for an adaption to have more excitement and interesting twist, makes a more successful mystery than the original text. Any movie or show should have the effect of people having a connection. The effects have being so embedded to the film that the audience feels a part of the mystery. In movies and shows, there are basic needs for a good director, good actors or actresses, and a good setting like any other normal movie to make a successful adaption. In the short story, A Study in Scarlet by Sir Conan Doyle, the mystery has almost linear storyline with an episode of flashback. The story is in first narrative person, through the eyes of Dr. Watson. It first talks about Dr. John Watson in Afghanistan war as an army doctor. He gets shot in the shoulder. He is discharged from the war efforts, returning to London. In London, he meets his friend Stamford who shows him to his acquaintance, Sherlock Holmes. They then become roommates and solve mysteries together. For the first mystery, they receive details of an unsolved murder of Mr. Enoch...
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...Mariana Berisha Text and Context 2 Dr. Bowen February 19, 2013 Love and War between Mothers and Daughters A mother and daughter relationship can be either good or bad, but it’s definitely interesting. People say this kind of bond is unbreakable because of what they shared during pregnancy and birth, but others say this bond doesn’t last for long or maybe never really grew. In this short story “A Pair of Tickets” and poem “Hanging Fire” show a difference in each relationship. In “A pair of Tickets” the character Jing-mei, is an American Woman on a pilgrimage to China to meet her half-sisters, who were also abandoned by her mother in China during World War II. Jing-mei’s mother hoped to reunite with her daughters, but she had died from a severe heart condition called aneurysm. In the beginning of this short story Jing-mei and her mother have a conversation about how she denies at all being Chinese. Her mother responds with, “Someday you will see”, “It is in your blood, waiting to be let go.”(263) Her mother’s friend saw her twin half-sisters in China and with encouragement from her aunt’s, and carrying out her mother’s dream she decided to make the trip with her father and go back home to China. But Jing-mei is dreading to go back and is afraid that her half-sisters will blame her for their mother’s death. For example, when she was speaking to her aunt about how she couldn’t tell them that her mother was dead through a letter. She explained how she felt as though she is...
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... Shortly after marrying her husband, Randy, they were informed they would never be able to have children, due to Wendy having ovarian cysts and endometriosis. She was put on hormones to help regulate her bleeding and help with the pain. As a result of the medication, she suffered from hundreds of pulmonary embolisms: blood clots that worked their way from her legs and settled in her lungs. Any one of these tiny clots could have killed her. A couple of years later, Randy suffered a subarachnoid hemorrhage. He spent several days in ICU. Miraculously he survived but he would never fully recover. Before this incident, he was a brilliant school teacher with a long career still ahead. Because of the cognitive deficits caused by the aneurysm, he had to give up his teaching career. Her husband’s disability forced Wendy to become the sole provider for their small...
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...helps the brain function. It contains billions of nerve cells, but it is made up of neurons and glial cells. If anyone should smoke, drink, hit their head, hold their breath or go unconscious , that could affect the glial cells and they never will grow back. Within those cells there are other cell the helps the brain function. In addition to the glial cells you have the neurons, olig oligodendrocytes, microglia and astrocytes. Each of theses cell have their own function and part into the brain. The neuron cells are in the nervous system. They help transmit information to nerve cells muscles or glands cells. The brain contains 100 billion neurons depending on the species. Neurons consist of cell body dendrites and axon. Dendrites are a short branched extension of a nerve cell, along which impulses received from other cells at synapses are transmitted to the cell body. They bring information to the cell body ,has a rough surface , can have many dendrites per cell ,and has ribosomes. The axon takes information away from the body, has a smooth surface, one axon per cell and has no ribosomes. Dendrites extend from the neuron cell body and receive messages from other neurons. The oli oligodendrocytes wrap tightly around the axons, and speed up electricity signals. An action potential would move or travel 30 times slower without it( oli oligodendrocytes). This is one of the types of cells that makes up the supportive or glial tissue of the brain. As far as the Microglia, that helps...
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...LATERAL METHODS OF LOCALIZATION - assign specific functions to particular places in the cerebral cortex - LESION STUDIES: any pathologic or traumatic discontinuity of brain tissue - SURGERY: Wada Test (anesthetize one hem), Tumor Removal, Split Brain - INFERENCE STUDIES (talk while balancing broom) - FUNCTIONAL IMAGING - PET (positron emission tomography): track blood flow associated w/ brain activity; used to assess physiology, including glucose & oxygen metabolism, and presence of specific neurotransmitters - SPECT (single photon emission computed tomography): measure blood; takes 2 days to eliminate radioactive tracer - MRI: visual imaging; most detailed brain structures; good spatial resolution & images in short time periods - MEG: 3D magnetic field can be calculated; expensive, not readily available for clinical applications DOUBLE DISSOCIATION - if you damage A, you lose X but not Y - if you damage B, you...
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...Company Case/Pepsi : Can a soda really make a world good place? 1. Consider PepsiCo’s advertising throughout its history.( For a List of Pepsi slogans over he years, visit http://en.wikipedia.org/wiki/Pepsi#Slogans.) Identify as many commonalities as possible across its various ad campaigns. How is this campaign consistent with PepsiCo’s brand image? According to our case study campaign advertisement strategy very good in the social media and in the social network ,because at the advertisement PepsiCo use spokesperson which people have popularity. Campaign slogans for the every years explain brand well and attract people. And also campaign projects for ex: “Pepsi Refresh “ make opinion in the people mind that what we drink and spend, in the same time it return to us with other way. And even some of the earlier slogans have the commonality that you get more bangs for your buck that when you buy Pepsi you get more of flavor, amount and whatever than the competition offers. Pepsi is for everyone and that Pepsi alone can refresh or change the world. Many slogans have to deal with being young as well as being in the future. Most of Slogans indicate that if you want to be part of the future or new generation then you have to drink Pepsi. It is consistent with the PepsiCo brand image because they target the younger nation and making it a better place for many generations to come. They started to advertise by reinvesting into actual community to actual make the future better...
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...Jack Dougherty, a newly minted MBA from the College of William and Mary, dressed in a dark blue suit and bursting with resolve, reported for his first day at W. L. Gore & Associates. He presented himself to Bill Gore, shook hands firmly, looked him in the eye, and said he was ready for anything. What happened next was one thing for which Jack was not ready. Gore replied, “That’s fine, Jack, fine. Why don’t you look around and find something you’d like to do.” Three frustrating weeks later he found that something, dressed in jeans, loading fabric into the mouth of a machine that laminated the company’s patented Gore-Tex membrane to fabric. By 1982, Jack had become responsible for all advertising and marketing in the fabrics group. This story was part of the folklore that was heard over and over about W. L. Gore. By 1991, the process was slightly more structured. New associates took a journey through the business before settling into their own positions, regardless of the position for which they were hired. A new sales associate in the Fabric Division might spend six weeks rotating through different areas before concentrating on sales and marketing. Among other things, he or she might learn how Gore-Tex fabric was made, what it could and could not do, how Gore handled customer complaints, and how it made investment decisions. Anita McBride related her early experience at W. L. Gore & Associates this way: Before I cam to Gore, I had worked for a structured organization...
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...Chapter I I. INTRODUCTION Many people nowadays smoke cigarette even teenagers smoke. Some people have no idea about the chemical of a tobacco and what it can cause to a human body. This paper is intended to give the readers an idea of the factors that trigger cigarette smoking amongst young generation of today, effects of cigarette, like cancer, heart disease, emphysema, and chronic bronchitis. By reading this paper, a person can gain knowledge about the effects of smoking cigarette. So when a person reads this especially those who smoke, he or she may quit or lessen smoking because he or she will know the bad effects of cigarette smoking. It is considered that cigarette smoking is the leading cause of preventable death, leading to an annual five million deaths around the globe. It is estimated that if current smoking patterns carry on, the annual death toll could rise to more than eight million by 2030. Cigarette smoking is a risk factor for many cancers and respiratory diseases. The heavier the usage of an individual and the longer he smokes, the higher the risks for smoking-related illnesses. Cigarette smoking involves inhaling smoke into the lungs. A cigarette contains more than 4000 poisonous chemicals such as nicotine, arsenic, methane, ammonia, cadmium, carbon monoxide, formaldehyde, butane, and hydrogen cyanide. Inhaled cigarette smoke can damage the lungs' cilia, tiny hair-like structures that sweep away debris from the lungs. With the cilia paralyzed...
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...[pic] Chinese Traditional Woman Image --- the Chinese Mother in Joy Luck Club by 陆婉霖 A thesis presented to the School of English Studies of Xi’an International Studies University in partial fulfillment of the requirements for the degree of Bachelor of Arts May 18, 2011 Class: 2007-19 Advisor: 常莉 西安外国语大学 毕 业 论 文 开 题 报 告 |姓名 |陆婉霖 |性别 |女 |班级 |2007-19 |学号 |0701011921 | |论文题目： | |Chinese Traditional Woman Image --- the Chinese Mother in Joy Luck Club | |《喜福会》中中国式母亲体现出的中国传统女性形象 | |任务起止日期: 2010 年9 月1 日 至 2011 年 5 月27日 | |论文主要内容及参考文献： | |本文从跨文化交际和文学的角度对谭恩美的小说《喜福会》进行了分析。通过认知解读传统文化中的女性角色以及书中主人公的遭遇，使读者理解| |书中上一代母亲们的自我认知历程以及在此过程中所形成的价值观。文中展现了四个母亲和四个女儿的成长背景及人物性格，概述了每个人物所| |经历的不同境遇，分析了单独事件的文化原因及影响，从而呈现出典型的中国传统女性形象。文章从不同角度举出例子概括这一普遍的社会现象| |并且分析了母女冲突的原因并且从积极的角度对其结果给予了分析与展望。 | |参考文献： ...
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...www.hbr.org Leaders are made, not born, and how they develop is critical for organizational change. Seven Transformations of Leadership by David Rooke and William R. Torbert Reprint R0504D Leaders are made, not born, and how they develop is critical for organizational change. Seven Transformations of Leadership by David Rooke and William R. Torbert COPYRIGHT © 2005 HARVARD BUSINESS SCHOOL PUBLISHING CORPORATION. ALL RIGHTS RESERVED. Most developmental psychologists agree that what differentiates leaders is not so much their philosophy of leadership, their personality, or their style of management. Rather, it’s their internal “action logic”—how they interpret their surroundings and react when their power or safety is challenged. Relatively few leaders, however, try to understand their own action logic, and fewer still have explored the possibility of changing it. They should, because we’ve found that leaders who do undertake a voyage of personal understanding and development can transform not only their own capabilities but also those of their companies. In our close collaboration with psychologist Susanne CookGreuter—and our 25 years of extensive survey-based consulting at companies such as Deutsche Bank, Harvard Pilgrim Health Care, Hewlett-Packard, NSA, Trillium Asset Management, Aviva, and Volvo—we’ve worked with thousands of executives as they’ve tried to develop their leadership skills. The good news is that leaders who make an effort to un- derstand their own action...
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...NAVOTAS ADVENTIST ELEMENTARY SCHOOL, INC. 516 Gov. Pascual St., Daanghari, Navotas City First Periodical Test SCIENCE IV Name: _______________________ Date: ______________ Score: _________ Rating: _______ Choose the letter of the best answer and write them on the space before the blanks: ____ 1. The living framework of our body is called ______. a. Circulatory System c. Skeletal System b. Digestive System d. Urinary System ____ 2. How many bones are there in the human adult? a. 270 b. 206 c. 270 d. 275 ____ 3. The smallest bone in the body is called ___. a. femur b. anvil c. stirrup d. hammer ____ 4. A rounded box that encloses the brain is called ___. a. cranium b. skull c. facial bone d. crane ____ 5. The bony part of the head is called ____. a. cranium b. skull c. facial bone d. crane ____ 6. The place where the bones meet together are called ___. a. ligament b. joint c. tendon d. cartilage ____ 7. A white, stingy, tough tissue at the end of each muscle is called ____. a. cranium b. tendons c. facial bone d. crane ____ 8. Which of the following bones protect the heart and lungs? a. ribs b. pelvic bone c. cranium d. mandible ____ 9. What is the shape of the scapula? a. triangular b. circular c. rectangular d. rounded ____ 10. How many bones are there in the axial skeleton? a. 80 b. 70 c. 60 d. 50 ____ 11. How many pairs of ribs do NOT attached to the breastbone? a. 1 b. 2...
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...00_078973706x_fm.qxd 1/14/08 2:42 PM Page i NCLEX-PN ® SECOND EDITION Wilda Rinehart Diann Sloan Clara Hurd 00_078973706x_fm.qxd 1/14/08 2:42 PM Page ii NCLEX-PN® Exam Cram, Second Edition Copyright © 2008 by Pearson Education All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately...
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...Praise for Jesus Is _____. “Judah Smith is a unique gift to my generation. In Jesus Is _____ , he will motivate you to let go of your preconceived, limited view of Jesus so you can embrace who He really is in our lives—more real and relevant than we have ever imagined.” —S te v en F u rtick , le a d pa Stor , e le vation c h u rch a n d author oF th e Ne w Yor k T im es beStSeller G r e aTer “Perhaps the most daunting and humbling task we have as Christians is to finish the sentence ‘Jesus is . . . .’ As many of us saved by His grace are aware, He is King. He is Lord. He is salvation. But to many in our world, He is most prominently . . . misunderstood. There is not another human being on earth whom I know personally, who could tackle a book subject like this as well as Judah Smith. To Judah, Jesus is everything. And from that platform he writes this book. I eagerly await its impact in my city, New York City, and beyond . . . it’s overdue.” —c a r l l entz , le a d pa Stor , h illSong c h u rch , n e w Yor k c it Y “Every once in a while a book is written that does not only contain a powerful message but the author is a living embodiment of the message thus making the book all the more life changing! The book you are holding in your hands is one of those. As you read through this book you will discover that Jesus is not at all like you thought and so much more than you imagined.” —c h r iStin e c a in e , Fou n der oF th e a21 c a mpa ign 00-01_Jesus Is.indd...
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...SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene. 1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is A. Stay with the person, Encourage her to remain still and Immobilize the leg while While waiting for the ambulance. B. Leave the person for a few moments to call for help. C. Reduce the fracture manually. D. Move the person to a safer place. 2. Arthur suspects a hip fracture when he noticed that the old woman’s leg is A. Lengthened, Abducted and Internally Rotated. B. Shortened, Abducted and Externally Rotated. C. Shortened, Adducted and Internally Rotated. D. Shortened, Adducted and Externally Rotated. 3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch and swollen. John interprets that this signs and symptoms are likely related to A. Infection B. Thrombophlebitis C. Inflammation D. Degenerative disease 4. The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin. 5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following...
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