...Heart Blocks 7/ 2005 Hi all. Yet another one, which occurred to me that I should do about two weeks ago, when a patient was doing some pretty strange things on the monitor. As usual, please remember that this is not meant to be an official reference, but is supposed to represent the information that a preceptor would pass on to a new orientee in the unit. Please get back to me if things aren’t clear, have been left out, or are just plain wrong, and I’ll fix them up right away. Thanks! 1- What is a heart block? 2- What exactly is being “blocked” in heart block? 2-1- The key idea: all of the time, some of the time, none of the time… 2-2- It can not be that simple… 3- Why do heart blocks happen? 4- What are the three types, or degrees of heart block? What is a “dropped beat”? 4-1- A normal rhythm for reference. 4-2- First degree heart block. 4-3- Second degree heart block. 4-3-1- Second degree, type 1: Wenckebach/ Mobitz 1 4-3-2- Second degree, type 2: Mobitz 2 4-4- How I tell them apart? 4-5- Third degree (complete) heart block. 5- A puzzler… 6- What is the treatment for heart block? 7- Where can I learn more about pacemakers? 1- What is a heart block? Heart block is a kind of arrhythmia, usually caused by ischemia or an MI. There are three kinds, or degrees of heart block, and although sometimes people get confused about them, actually they’re pretty simple to...
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...construct in the listener’s brain. One of the main questions that the experimenters had was how people perceive a meter when they are listening to a song for the first time and how people perceive meter in the course of development. The main goal of the experiment was to relate the perceptions that the listeners had on metrical structure to different accent types that come from melodic and temporal patterns in brief melodies. The authors explained the different types of accents in great detail so that their experiments could be fully understood. According to the article, an accent is an increase in the perceptual importance of a musical event that happens when the event differs in some way from other events that are going on at the same time. There are different types of accents in music. Two important kinds of accents that act as cues to meter are dynamic accents, which are a result of a change in intensity, and temporal accents, which are emphasized changes in duration and grouping position. While these accents are important, pitch accents are also important because they create points that draw attention. There are two different kinds of pitch accents – interval accent and contour accent. An interval accent occurs when a pitch is considerably higher or lower than the pitches before and after it. A contour accent occurs...
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...TMAENG17R1(E) 2015-2016 Contents 1 Introduction - 3 - 2 Programme - 4 - Programme Block 1 - 4 - Programme Block 2 - 5 - 3. Attendance ……………………………………………………………… ……………...6- 4. Literature ………………………………………………………………………………- 6- 5 Assignments Blocks 1 & 2 - 7 - Block 1: Oral Group Assignment - 7 - Block 2: Oral assignment - 9 - 6. Written Test - 10 - 7. Assessment Blocks 1 & 2 - 11 - 1 Introduction Welcome to the first English courses at TMA. In the next four years you will acquire a lot of knowledge and many skills for your future career. You will learn how to write a marketing plan and how to implement it, how to import and export products from and to Asia and how to do business with people from another culture. In this way you will lay the foundation for a career in international business. One skill you will certainly need in Asia is a good command of business English. These courses will help you acquire the specialised vocabulary that you will need. The words and expressions that you are going to learn are different from the words used in everyday English, so most of them will be new to you. Furthermore, you will develop your reading skills through reading texts in business English. In order to be able to express yourself in proper English you will also spend some time refreshing your knowledge of the English grammar. You will do all kinds of exercises, both in class and at home. Both Part I and Part II of this course are the equivalent...
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...European School of Economics Economics of Business and Finance Lecturer: Rexford Sam Student: Alessandro J. Nigra Date: May 29, 2016 Executive Summary The paper should present and discuss the most relevant old and new trade theories and all its components. Once they are presented, Integration may arise not only as a key concept but as one of the ultimate goals of international trade. Integration should be described and analysed not only theoretically but with the European case as framework. Finally, the conclusion may be presented showing all the benefits and drawbacks of integration. Table of contents Introduction 1 Analysis 2 Conclusion 9 Bibliography 11 Appendix 13 Introduction The aim of this project is to present, characterize, examine and analyse the nature and sense of the European integration. In order to achieve it some of the most important trade theories will be presented. Not only the classic ones but also some of the more recent ones, which will allow the analysis to fundament and give an accurate background to the idea of integration and all its components. The study should be focalized into the old classical trade theories of Absolute and Comparative Advantages, the Heckscher-Ohlin model and its Samuelson variation. Then, some of the newest classical trade theories such as the New Trade theory and the International Product Life Cycle theory will be discussed. Finally, it will be mentioned one new contemporary...
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...IOSR Journal Of Humanities And Social Science (IOSR-JHSS) Volume 12, Issue 1 (May. - Jun. 2013), PP 41-47 e-ISSN: 2279-0837, p-ISSN: 2279-0845. www.Iosrjournals.Org Awareness and Willingness to Pay for Health Insurance: A Study of Darjeeling District Maumita Ghosh1 1 Department of Economics, Southfield College (formerly Loreto College), Darjeeling, India Abstract: The present study is an effort to find out the response of the people of Darjeeling in the area of health insurance. As firstly, this study examines the respondents who are aware or not aware about health insurance as well as various sources of awareness; secondly, those who are aware have subscribed for it or not; thirdly, those who have not subscribed what are the reasons behind the same; and lastly are they willing to join and pay for it? If yes then what would be the possible amount? The study was conducted in some selected villages in Darjeeling district and 200 questionnaires were got filled from randomly selected general people. The results shown low level of awareness and willingness to join and pay for health insurance scheme. Key words: health insurance, willingness to pay, bidding, canonical correlation, regression analysis. I. Introduction Of all the risks faced by the households, health risks pose the greatest threat to lives and livelihoods. The uncertainty of the timings of illness, its huge treatment costs make financial provision difficult for households (Tenkorang, 2001). Rapid...
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...worldwide knowledge and censorship is the policy to censor some of the information which can cause any type of disruption. In Pakistan, the use of this new technology is under practice with the control of censorship on some content. This research paper looks at the measurements taken by Pakistan Telecommunication Authority to control the censored information and block the sites which holds the improper and immoral information. The paper tends to find the historical background of the internet censorship in Pakistan holding the precautionary measures taken by PTA and how the religious values are protected by blocking various anti-Islamic sites. The guidelines are being followed by the Government of Pakistan in order to supervise the censored material on the internet. Introduction Censorship is the act or policy of omitting the obscene, corrupt and politically dangerous content form the books, movies/ films etc. (Wikipedia) Internet censorship is to restrict every type of content that includes immoral and offensive approach. (Wikipedia) Till 2010 in Pakistan, people had the open and unrestricted access to every kind of religious, political, social and sexual escalating content on the internet. The websites offering the critical content against Pakistani government and military are also banned. Pakistan government has not really an effective blocking system but though it has restricted some sites to protect the security of internet. (Sohail, 2007) PTCL (Pakistan Telecommunication...
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...As a saying, Business makes the world go round. Money is a very essential material in our daily lives. Practically speaking, all of us can’t live without having money in life. Money is business. It is important for us to know much about the business world, its structures and its essential parts. Companies usually communicate through business letter. It is needed that each member of a certain company should know how to understand at least one business letter, most importantly those inter-office memo, which is also a kind of business letter. Also those people in the company that belongs to HR and executive level are required to know how to prepare or put their ideas as well as their concerns to the company using business letter. It is important to know the parts of the business letter. Basically, the business letter contains heading which includes company or organization letterhead, it identifies the company’s image; it also includes its name, address, landline, and e-mail address, at times, there are also some additional data such as names of the top executives, and slogans. Next is the dateline, it is important to know when a letter was written to both the writer and the reader, it is unwise to assume that you and your reader will remember the exact order of events related to a particular matter, includes the date, month and year. There is some business letter that indicates notation, if the letter is personal or confidential, it may be type in all-capital letters or this...
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...Bitcoin is a virtual currency. It doesn't exist in the kind of physical form that the currency & coin we're used to exist in. It doesn't even exist in a form as physical as Monopoly money. It's electrons - not molecules. But consider how much cash you personally handle. You get a paycheck that you take to the bank - or it's autodeposited without you even seeing the paper that it's not printed on. You then use a debit card (or a checkbook, if you're old school) to access those funds. At best, you see 10% of it in a cash form in your pocket or in your pocketbook. So, it turns out that 90% of the funds that you manage are virtual - electrons in a spreadsheet or database. But wait - those are U.S. funds (or those of whatever country you hail from), safe in the bank and guaranteed by the full faith of the FDIC up to about $250K per account, right? Well, not exactly. Your financial institution may only required to keep 10% of its deposits on deposit. In some cases, it's less. It lends the rest of your money out to other people for up to 30 years. It charges them for the loan, and charges you for the privilege of letting them lend it out. How does money get created? Your bank gets to create money by lending it out....
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...Assignment Topic: Which do you think offers more useful lessons to today’s architecture students, Archigram magazine or High-rise social housing? 1. Introduction Modernism in architecture realm, itself is full of controversies and evolution. The definition of modernism, modern or modernity in architecture area has been highly discussed through the development of architecture by plenty of scholars and architects. In general, “Modern” means something pure, logical, universal, rational or at least international (Glendinning and Muthesius, 1956). Both Archigram magazine and High-rise social housing have strongly influenced British Modernism. Archigram proposed fantastic designs with lots of imagination, which brought a brainstorm and a visual shock against classical architecture. However, the development of high-rise social housing tends to be more conventional and realistic than Archigram. Indeed high-rise social housing is fragile owing to the changes in policies and people’s preference. The purpose of this assignment is to discuss, compare and contrast Archigram magazine and high-rise social housing in British Modernism area. A brief introduction of both Archigram magazine and high-rise social housing is provided. Finally, a conclusion about which one is more useful to today’s architecture students will be derived. 2. Main body 2.1 Archigram Magazine A prestigious architecture magazine named Archigram was first published in 1961 by Peter Cook and David Greene with...
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...boys and the one could not and would not separate himself from the T.V. or the electronics. That was not the case with the youngest one he loved to build things, with blocks, books, and blankets. He would stack things on top of each other to see how high they would go before they would start to lean or fall. He loved playing with other kids, but one of the things that he loved to do by himself was play with the blocks. One of the many times that he was playing and I was observing him, he was using the new bock set that he had gotten for Christmas. They were very similar to jenga blocks in their shape and size but they were all different colors. I watched him separate all the colors from each other and he built different towers out of each color. Then after he had done that he took all the colors and started stacking them up as high as he could the first few times he didn’t get very far because he would hit it on accident and the whole stack would tumble over, but he never gave up. Just like the kid in the video he kept trying and had the determination and the drive to get every...
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...using 8 common verb forms • Learn 400+ essential vocabulary words • 100% photocopiable • • • • englishbanana.com’s Talk a Lot Spoken English Course Elementary Book 1 This book is dedicated to Anna and Julia, with love and thanks xx and also: ………………………………………………………………. (Insert the name of the teacher who has most inspired you to learn.) English Banana.com info@englishbanana.com ISBN-13: 978-0955701511 English Banana.com Copying Licence: You may freely print, copy and distribute this book, subject to our Copying Licence (visit our website at www.englishbanana.com for full details) First published in the UK by English Banana.com 2008 © Copyright Matt Purland 2008 Talk a Lot Introduction Welcome to a new kind of English course! Talk a Lot is a great new way to learn spoken English, and quite a departure from the standard ELT course book. Instead of spending hours reading and writing, students have the opportunity to engage in challenging and fun speaking and listening activities with their friends. On this course students learn how to think in English as well as Talk a Lot! The Talk a Lot course objectives are very simple: • • • • Every student talking in English Every student listening to and understanding English Every student thinking in English, and Every student taking part in class Talk a Lot is structured so that every student can practise and improve English grammar, vocabulary, pronunciation, intonation, word and sentence stress, and...
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...till now, an overview is given about this worm infects the system and the exten to which these worms have cause damage. After that we discuss various prevention tools which are design to detect and eliminate such worms. In the end we discuss about the future potential worms and predicted what kind code will be written and how much damage it can cause to system or network. INTRODUCTION Everyone, almost everyone and every big organization like bank, pharmaceutical companies, and retail chain companies uses computer these days to do most of the important work so it is understood that their computer will contain certain sensitive information which they do not want to disclose, and as result such kind of information need security, and the term information security was introduced. In this minor research paper we discuss about one malicious code which is a serious threat to such information called WORM. A computer worm is a kind of malicious program which has the capability of reproducing itself and uses computer network to distribute throughout the network, this malicious code unlike virus is independent of other program for the purpose of propagation and infecting the system. It is a kind of malware that most of the time enters the system through the medium of infected e-mail, worms usually hunt for the system with vulnerabilities which they can easily exploit and cause substantial damage to the entire system, once the worms enter...
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...development of economy, the problem of lack of resources came to sharper. Thus the issue of how to protect environment and save resources has gained much emphasis recently. Therefore, some enterprises have become more heating due to their outstanding business on environmental-friendly aspect. Vivendi is a company whose business involves water supply and water management, waste management, energy and transport services. Veolia Water is a subsidiary of Vivendi, it is committed to providing clean drinking water, and collecting and treating waste water or sewerage water. Because of its advanced technology and strong brand image, nowadays it has come to a great success. This case study choose Veolia Water as a main study object to research what kind of business model does this enterprise use and how it makes profit from its business. 1. Introduction Veolia Water, is the water division of the French company Veolia Environnement and the world's largest supplier of water services. Veolia Water is a world leader in water...
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...In this ECG, the P waves and QRS complexes appear at normal intervals, but are not attached to one another. This is a complete heart block and the ECG indicates that the electrical impulse generated by the SA node is completely blocked before it reaches the ventricles. As a result, the AV node takes over as its own pacemaker, but it has a slower rate and as a result, the waves operate independently of one another. This can be the result of scarring due to a heart attack. This kind of ECG indicates that a pacemaker needs to be implanted. b 5. The damage to the heart muscle is so severe that electrical forces in this ECG cannot cross the scarred tissue at all and so must follow an alternate pathway. This causes the heart to change electrical potential in a different direction and thus results in an inverted Q wave. This kind of damage results from a heart attack. e 6. The wide QRS in beat three of this ECG is the result of an electrical impulse arising at random in the ventricles. No P wave is present. The QRS is slightly longer because the electrical pattern is not following the usual pathways. This is a benign condition called premature ventricular contraction and may be the result of caffeine use....
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...#8, Cabugao Dayanara Rose Ticlao ARC2 9:00 am – 11:00 am CTHM 2H3 Asst. Prof. Robinson V. Laxa What is Arnis? Arnis is also known as kali, escrima, baston. It is the best known and the most systematic fighting art in the Philippines. The origin of the term ‘Kali’ is uncertain, the word ‘Eskrima’ and ‘Arnis’ are of Spanish origin “ Esgrima” which means fencing, and Arnis meaning “armour”.Consequently, practitioners of this style are referred to as Arnisadores, Eskrimadores or Kalistas. Before I took up arnis, I asked my self about the reason of taking it. Initially it was for self defense, but now it was more a philosophical reason. Arnis is really focused on techniques. So while it can benefit me physically, it’s really about self defense. At this age, 18, I really expect to have many encounters where I need to defend myself. Also the fact that I am studying in Manila, I know I really need to know some techniques for me to protect myself. It is nice to know that I would be able to protect myself and my family if needed with this simple knowledge about arnis. But I guess really the philosophical part comes not directly from knowing how to disarm and subdue an opponent, but from more of the indirect aspects. Arnis forces you to focus so course it will help you to improve...
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