...better. Training at high altitude has been used by competitive athletes as a means of improving their potential. During workouts at high altitude, athletes feel like putting more effort to perform compared to working out at sea level. The increased rate of perceived exertion is caused by altitude-induced hypoxia, which is a decrease of oxygen being delivered to the muscles to create energy. As elite athletes acclimate to high altitude, they acquire more red blood cells which allows their blood to carry more oxygen. When they compete at lower altitudes, they compete better due to their muscles having additional oxygen available. Not all athletes are able to train in the high altitude and a tried to find way that is similar. One common technology that is being used is the elevation training masks. Elevation masks are claimed to create resistance that helps condition the lungs by creating pulmonary resistance and strengthening the diaphragm. The Elevation Training Mask (ETM) purportedly simulates altitude training and has been suggested to increase aerobic capacity (VO2max), endurance performance, and lung function. Does elevation...
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...david Ethics in Sport Part 1: Altitude Training Altitude training, also known as hypoxic training, involves exercising in, living in or otherwise breathing oxygen reduced air for the purpose of improved athletic performance, pre-acclimatization to altitude and/or physical wellness. Traditionally, individuals had to travel to or live at high elevations to obtain the benefits of this phenomenon. I already use something similar to that, the Elevation mask when I run and workout. That is the main thing you use for altitude training to improve your breathing. http://www.hypoxico.com/ Part 2: Altitude Tents By sleeping in a tent at a simulated high altitude, you reduce the amount of oxygen you are able to breathe in, which forces the body to increase its red blood cell count. Then, when you train back at sea level, you are able to compete more effectively because a greater amount of oxygen is now being delivered to your muscles than before. They can be pretty expensive, ranging from $450 to $500 a month or you can buy for $4,000. I sure wouldn’t pay that much for that, I’ll just continue to use the Elevation Mask. http://www.cyclingweekly.co.uk/reviews/performance-products-and-services/altitude-tent-everest-summit-hypoxic-generator Part 3: Erythropoietin Erythropoietin-Red blood cells are produced in the bone marrow (the spongy tissue inside the bone). In order to make red blood cells, the body maintains an adequate supply of erythropoietin (EPO), a hormone that is...
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...the top, but little did he know would it be one of the most catastrophic trips in the history of Mount Everest. The environmental changes from being at such high altitude, such as hypoxia, dehydration, and frostbite, took affect on Krakauer and his teammates. It impacted their breathing, bodily functions, appetite, stability, and health. He did not contemplate the death of 12 people when he decided the climb the mountain. He started with a hubris attitude, happy to be climbing the mountain. Krakauer had a mountain climbing history and he was well experienced. The journey to the top was successful and exhilarating, but the overwhelming thought of going back down the mountain immediately overtook his emotions. On May 10th, after weeks of training at base camp and climbing from camp to camp and back to base, Rob Hall gathered his expedition to attempt to reach the summit. Unfortunately, a storm would occur in the middle of their scale back down the mountain. Climbers fell, broke bones, got frostbite and hypothermia, lost limbs, and even died. Some fell into crevasses and were hit by falling boulders. Krakauer was fortunate enough to make it out alive. He was forever damaged from this life-changing journey. The article published in Outside Magazine in 1996 got a quote from Krakauer: “"I can't explain what happened. All I know is I've never climbed a mountain with such a high ratio of misery to pleasure." Although his purpose was to learn about the commercialism of the mountain and...
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...Subject: International Marketing Topic: - Launching a local product in International Market Company: - MM Mithaiwala ACKNOWLEDGEMENT Why Fast Food Industry??? Fast food industry is the most happening industry around the world. Tasty food is something which cannot be resisted. And in today’s fast moving world, people don’t have enough time to sit had have food for a long time. A fast food firm takes into consideration TIME factor and provides food in quick time. Why MM Mithaiwala as a Fast Food firm??? MM Mithaiwala is one of the oldest fast food firm operating in Mumbai which has all the ingredients of becoming an international brand. MM Mithaiwala works on the principle of developing profit centers whereby all the work is handled by professionally qualified people responsible for their respective departments. There Philosophy has always been customer satisfaction and they believe that a satisfied customer is a customer for life. [pic][pic] .....At Mumbai About MM Mithaiwala… at Mumbai (Malad) M.M.Mithaiwala is a producer of Indian sweets, snacks and is also into retailing outlets, restaurant business, and fast food and lassi centers. M.M.Mithaiwala supplies to Industrial Canteens, Hospitals, Flight Kitchens, and Hotels. They also supply to caterers organizing marriages and other social functions in the city. They have established high quality performance standards like Punctuality, Great Service, Good Quality Food, Hygiene and Commitment...
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...WWTC Comprehensive AAP Executive Summary The comprehensive visions for the World-Wide Trading Company (WWTC), an aggressively growing online broker firm, is to increase revenue from 10 billion to 40 billion and reduce operating costs from 30 to 15 percent by the year 2018. The key to gains in exponential growth and revenue was addressed by the leased office location in the notoriously known broker/financial capital of the United States, Wall Street, New York City, New York. WWTC encompasses a staff of 9,000 trained employees scattered across the globe. The World-Wide Trading Company’s corporate headquarters will remain in Hong Kong, while The New York office will be used as an international extension. This office will house approximately 200 staff members. The newly hired IT team will provide the New York office with a state of the art network design. The initiative will focus on the reinforcement of reported security vulnerabilities at other WWTC locations. This design will exceed all other previous standards and set the mold for other businesses to emulate. Project Goal The goal of this project is to increase WWTC revenue from 10 billion to 40 billion dollars by the within the next three to four years. The focus lies within reducing operating costs from 30 to 15 percent by using an automated system for the buying and selling of goods, or, e-commerce. With the implementation of a new, highly scalable, fast and efficient Local/Wide Area Network (LAN/WAN), WWTC will...
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...CHAPTER 40 Cardiopulmonary physiology delivery of deoxygenated blood to right side of the heart and to the pulmonary circulation and oxygenated blood rom the lung to the left side of the heart and tissues pumping of the heart is essential for oxygen delivery Heart chambers filled with blood during diastole Heart chambers empty the blood during systole Cardiomyopathy enlarged heart- due to decreased pumping action and volume of blood ejected from ventricles Stroke volume volume of blood ejected from ventricle w/ each contraction Blood flow through the heart is in one direction Left side of the myocardium does most of the work Cardiac output (CO) amount of blood ejected from the left ventricle each minute *normal: 4-6 L/min (CO)= Stroke Volume (SV) x Heart rate (HR) Cardiac output increases during exercise, pregnancy, fever Cardiac output decreases during sleep Cardiac index (CI) more precis measure and takes into consideration tissue perfusion and body surface area (BSA) CI= CO/ BSA Preload end-diastolic volume Starlings law the more stretch on the ventricular muscle (blood fills ventricles) the greater the contraction and the greater the stroke volume Afterload resistance to left ventricular ejection Diastolic aortic pressure isa good clinal measures of after load Afterload increases in hypertension Cardiac...
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...EO - Equal Opportunity ................................ 44 AFAP - Army Family Action Plan .......................... 48 ARC - Army Red Cross ................................. 50 Army Reenlistment / Retention Program ...................... 51 Army Safety Program .................................. 53 Army Sponsorship Program .............................. 55 QOLP - Army Quality of Life Program ....................... 56 BOSS - Better Opportunities for Single Soldiers ................. 57 CHAMPUS / TRICARE ................................ 58 DEERS - Defense Enrollment Eligibility Reporting System .......... 59 NCODP - Noncommissioned Officer Development Program ......... 60 Weight Control ....................................... 62 Physical Training ...................................... 66 Weapons ............................................ 70 M136 AT4 - Rocket Launcher ............................ 120 M16/A2 - 5.56 mm Semiautomatic Rifle ..................... 123 M4 - 5.56 mm Semiautomatic Rifle ........................ 130 M18A1 - Antipersonnel (Claymore) Mine .................... 137 M2 - .50 Caliber Machine Gun ........................... 140 M203 - 40 mm Grenade Launcher ......................... 144 M240B - Machine Gun ................................ 147 M249 - Machine Gun ................................. 150 M60 - Machine Gun .................................. 154 Page 1 / 389 © Copyright 1999-2012 ArmyStudyGuide.com Version 5.3 M72 - Light Anti-Tank Weapon...
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...USAIC Pamphlet 350-6 Training the Expert Infantryman Badge (EIB) Test 31 MARCH 2009 DEPARTMENT OF THE ARMY Headquarters, United States Army Infantry Center Fort Benning, Georgia 31905-5593 USAIC Pamphlet 350-6 TRAINING The Expert Infantryman Badge (EIB) Test TABLE OF CONTENTS PREFACE ............................................................................................................................. iii CHAPTER 1 – INTRODUCTION 1-1. 1-2. 1-3. 1-4. 1-5. 1-6. 1-7. PURPOSE .................................................................................................................................. 1-1 AUTHORITY............................................................................................................................... 1-1 FREQUENCY ............................................................................................................................. 1-1 EXCEPTIONS ............................................................................................................................ 1-2 PROCEDURES .......................................................................................................................... 1-2 SCORECARDS .......................................................................................................................... 1-3 RISK ASSESSMENT ................................................................................................................. 1-3 CHAPTER 2 – ADMINISTRATION AND...
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...Mental health advocates are concerned that promises to support their sector might not materialise. They say more lives will be lost unless billions of dollars in extra funding goes to mental health. Michelle Ainsworth reports from Canberra. DR ELIZABETH SCOTT, CLINICAL PSYCHIATRIST: I think the mental health system in Australia at the moment is really at a crisis point. PAULA KNOWLES, MOTHER: It is a parent's worst nightmare. PROF. IAN HICKIE, BRAIN & MIND RESEARCH INSTITUTE: We know what to do, largely when to do it, but our shambolic system fails to deliver that for people in the greatest need. BRONTE O'BRIEN: Life was incredibly confusing and incredibly overwhelming and I found myself trying to mask my feelings through using drugs. KEVIN RUDD, FORMER PRIME MINISTER: We need as a nation to live our game. JULIA GILLARD, PRIME MINISTER: I want to be absolutely clear about this. Mental health will be a second term priority for the Government. MICHELLE AINSWORTH: So if the professionals, the patients, the parents and past and present Prime Ministers agree that mental health is chronically underfunded, what's the problem? PROF. IAN HICKIE: We are extremely concern bid the gap in rhetoric from the Prime Minister in particular that...
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...EA TOOLS & MATERIALS END USER LICENSE Electronic Arts Inc, and its subsidiaries, affiliates and licensors (collectively, “EA”) grants you a non- transferable non-exclusive license to download and/or install and use one copy of the software tool (“Tool”) and/or materials (“Materials”) (collectively the “Tools & Materials”) solely for your personal noncommercial use in connection with EA’s products, in accordance with the terms below. EA owns all of the rights, title and interest in the Tools & Materials. You may not alter any of EA’s trademarks or logos, or alter or remove any of EA’s trademark or copyright notices included in or with the Tools & Materials or EA’s products. Your right to use Tools & Materials is limited to the license grant above, and you may not otherwise copy, display, distribute, perform, publish, modify, create works from, or use any of the Tools & Materials. Without limiting the preceding sentence, you may not modify, reverse engineer, disassemble, license, transfer, distribute, create works from, or sell the Tool, or use the Tools & Materials to further any commercial purpose. Without limiting the foregoing, you may not use the Tools & Materials to promote another product or business, or on any site that operates or promotes a server emulator. You may include materials created with the Tools & Materials on your personal noncommercial website for the noncommercial benefit of the fan community for EA’s products and provided that if you do so, you must also...
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...Chronic Obstructive Pulmonary Disease | INTRODUCTION We are doing a case study on medical, nursing, pharmacological management of COPD (Chronic Obstructive Pulmonary Disease). We took a COPD patient and assessed the patient for clinical manifestation, the medical, nursing, pharmacological care given to the patient. In our case study we will include the care Hawwa is receiving now and the care we can add to daily routine to help her recover faster. Hawwa Ismail is admitted to Medical ward with diagnosis of COPD. She is 145cm tall, slim, with dark complexion. She is 79 years old. She said that she has difficulty in breathing, she cannot sleep in night time ,she do not feel like eating food and she was having cough. Physical assessment revealed BP 138/47mmHg right arm in lying position, pulse 84 regular and strong, and breathing pattern was irregular labored, tachypnic at 40 breathes per minute,SpO2 99% in room air and temperature 360C (96.80F).Her facial color and lips are ruddy, but nails are clean ,pale and clubbed. She has a little barrel chest, uses accessory muscle to breathe. She has prolonged expiration. While auscultating lungs, diminished breath sound in most of the lower lobes and a small wheezing sound in right lower lobe was noted. PERSONAL DETAILS PATIENT NAME: Hawwa Ismail ADDRESS:Iruvaige/R.Inguraidhoo GUARDIAN: NAME: Abdul HameedHussain CONTACT NO: 7772099 AGE: 79yrs SEX: female NATIONALITY: Maldivian LANGUAGE: Dhivehi RACE: Asian ...
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...Applied Physiology in the first 5 months of 2006. This data suggests that there is still a short fall in the proportions of female studies when compared to those on male. Of those articles specifically referring to exercise in humans (n=36), 61 % were on males only, 5 % were on females only, 8 % were on males and females with the genders being studied separately and 26 % were on males and females, with no acknowledgment of the mixed gender. Collating these facts, together with the observation that many of the early findings on females and exercise have been found to be invalid because of poorly-controlled studies, it is clear that there is still much to be done. The aim should be to ensure that training sessions are optimised for performance enhancement in the female population and that training and performance are not detrimental to the longterm health of female participants. There are a number of different models of investigation. Studies which try to directly compare genders have difficulties in matching...
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...bout [pic] [pic] Welcome to Bhutan – the Land of the Thunder Dragon one of the most sought after travel destinations today. The land of the thunder dragon kingdom is a trekker’s paradise and an environmentalist’s dream. With 72 percent of the country under forest cover, Bhutan’s pristine ecology is home to rare and endangered flora and fauna. This spiritual land is the last bastion of the Vajrayana school of Mahayana Buddhism which provides the essence of a unique identity for the 750,000 people. Bhutan is a unique blend of the old and new. Here is a country that is slowly opening up to the modern world in a fine balance with its ancient traditions. Those fortunate enough to visit Bhutan describe it as a unique, deeply spiritual and mystical experience. This kingdom is an adventure like no other. Facts and Figures Land area: 38,394 square kilometres Forest area: 72.5 % Altitude: between 240metres and 7541metres above sea level Inhabitants: 634,982 Language: official language “Dzongkha”, English widely spoken Religion: Vajrayana stream of Mahayana Buddhism (Also known as Tantric Buddhism) Currency: Ngultrum (equal to Indian Rupee) Capital: Thimphu National Tree: Cypress (Cupressus torolusa) Its capacity to survive on rugged harsh terrain is compared to bravery and simplicity. National Bird: Raven: It ornaments the royal crown. Raven represents the deity Gonpo Jarodongchen (raven headed Mahakala), one of...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...November 14, 2014 The Pike Company One Circle Street Rochester, New York 14607 RE: Newark-Wayne Community Hospital Major Modernization Dear Mr. Dan Decarlo, In response to your Request for Proposal for the Newark-Wayne Community Hospital, dated November 14, 2014, we are pleased to present our Proposal and Statement of Qualification for your review. Enclosed you will find our qualifications and information regarding our services and expectations of this project. Buck Island Construction offers our understanding of the proposed project, key personnel information, and our safety plans specific to this project. Buck Island Construction is an award winning Construction Management firm with extensive experience in Hospital Renovations and Medical Office Buildings. We will be a resource for both the Pike Company and the Newark-Wayne Hospital Representatives, and offer advice on costs, schedules, and means and methods. Our goal is to provide a quality project, on time and within budget, to the highest expectations in order to allow the Newark-Wayne Community Hospital to reach their full potential. We believe in open and honest communication and transparency regarding cost, schedule, and coordination. We look forward to the opportunity to work with The Pike Company team in order to complete a successful and rewarding project that will benefit the Newark-Wayne Hospital and the community. Thank you for the opportunity to respond to your Request for Proposal. ...
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