...Case Study 2: Hyperlipidemia Scenario R.M. is an active 61-year-old man who works full time for the postal service. He walks 3 miles every other day and admits he doesn’t eat a “perfect diet.” He enjoys 2 or 3 beers q HS (every night), he uses stick margarine, eats red meat 2 or 3 times per week, and is a self-professed “sweet eater.” His cardiac history includes a recent inferior myocardial infarction (MI) and a heart catheterization revealing 3-vessel disease: in the left anterior descending (LAD) coronary artery, a proximal 60% lesion; in the right coronary artery (RCA), proximal 100% occlusion with thrombus; and a circumflex with 40% to 60% diffuse ectatic lesions. A stent was deployed to the RCA and reduced the lesion to 0% residual stenosis. He has had no need for nitroglycerin (NTG). Six weeks after his MI and stent deployment, he had a fasting advanced lipid profile. The results were total cholesterol 188 mg/dl, HDL 34 mg/dl, triglycerides 176 mg/dl, LDL 98 mg/dl, pattern B LDL typing at 19 nm, homocysteine 18 mg/dl, high-sensitivity C-reactive protein (HS CRP) 12 mg/dl, fasting blood glucose (FBG) 101 mg/dl, thyroid-stimulating hormone (TSH) 1.04 mg/dl. Total Cholesterol 60 34 Triglycerides 45-155 176 LDL 5% and greater than placebo) of niacin are flushing, diarrhea, nausea, vomiting, increased cough, and pruritus. Flushing (warmth, redness, itching, and/or tingling of the skin) may vary in severity and is more likely to occur with initiation of therapy...
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...Make sure to use literary devices we have learned the past semester. This, along with the presentation, will be what I use to tally up the grade for your final. Alright, class dismissed. Have a great night." OoOoOoO That night, as he sat at his desk in his apartment, Ponyboy began writing, pouring out every ounce of frustration onto that page, like a cleanse after everything he had been through. "I kicked a rock with my one good leg, listening to the clicks it made as it made its journey into the highway. After three light clicks the sound was overpowered by a rumbling engine, a sound not made by any of the barely-running cars that belonged to the people on my side of town...." A/N: I appreciate everyone who has reviewed, favorited/followed, or even just read this story. You guys are so awesome and your support means so much. Below is a list of all the wonderful people who have reviewed, and I just want to thank them a billions because they absolutely...
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...For once that was the truth, he was simply tired from running and being sick. Darry shrugged, dropping the issue as he heard Ponyboy's door shut. Deciding he could catch up on some much-needed sleep, Darry decided to turn in early as well. OoOoOoO All of Darry's hopes of catching up on sleep where shattered when a heart-wrenching scream rang out from Ponyboy's bedroom. The sound never failed to turn Darry's stomach straight to ice. He found Ponyboy sitting up in bed, sobbing messily into his hands and shaking like a leaf. He felt his heart break as he assumed his position next to Ponyboy, rubbing his back, trying to comfort him from the demons that plagued his brother's dreams. "Soda!" Ponyboy sobbed brokenly. "He was dead, Darry. He was dead." "Shhh," Darry comforted. "Sodapop is alive and he's coming home in four months." "That's a long time. Too long," Ponyboy pointed out through his tears. "I wish he was here...
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...Ok before you read this i did ask my homeboy if i could post this. SOOOO my friend is that mutha fucka thats on the freeway that likes to try and talk to girls you know. Never really met anyone or knew anyone that actually did this like this but umm yea its like stupid crazy to me. He's telling me how he does this. How he scopes the car out, how he checks for kids in the back seat, checks for the carseats, looking for who else is in the car and looking to see if there is a ring on the finger. Yea he got this shit down to science, no ifs ands or buts about it. He told me he got the idea from sitting in traffic and trying to cut in front of people to get to this one female. Like who does that, like im not in my damn car in traffic thinking damn maybe i can get some booty on the freeway we stopped anyway. Pull up to the window like Burger king asking your vehicle or mine.What the fuck hell nah. But at this point i'm like you whatever you cant be serious with this. He's like "im as serious as beating some one elses bad ass kids in the movies" . So yea um i was like well then i have to see this for my self. He goes on to tell me he get some girls numbers others flip him off all times of things. He get flashed and all this other shit that is like beyond belief on a damn freeway. Ok so now i got to see this for my self i want to get flash too, (dont judge me *sniffle sniffle* i want to see something tooooo lol). Now its the day of and im thinking to my damn self what do i wear do i just...
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...Big pluskkkk kkkkkkkkkkkkk kkkkkk kkkk kkkkk kkkkkk kkkkkkkk k kkk kkk kkkkk kkkkkk kkkkkk kkkkkkk kkkkkkk kk kkk kkkk kkkkkkk kkkkkkkk kkkkkkkkk kkk kkkk kkkkk kkkkkkk kkkkkkk k kk kk kk kkk kkkk kkkkk kkk kkk kkkk kkkkk kkkkkk kkkkkk ;asadlj’AEDa’f’;KF Rpktorkgfgl’k;rgs ‘;gka S’dg lfskjfgi rtsiepsoooo ooooooooo owjeawoooooo ooooooooooooo oooooooooooooo ooooooooooooooo ooooooo ooooooooo oooooooooo oooooooooooo mmfmfmfmfmfmf mfmfskskskdkkfmmmm mmmm mmmmmmmm mmmmmmmmmm mmmmmmm mmmmm mmm mm m mmm mmm mmmmm mmmmmm mmmmmmmm mmmmmmmmmm f ss w w w w w s SaA s A aA fSchool Grants For Women Improve Your Life, You May Qualify For Grants To Start School Online! online-school.classesandcareers.com Promote your website Reach more customers with AdWords Start advertising with Google today www.Google.com/AdWords let·ter (ltr) n. 1. a. A written symbol or character representing a speech sound and being a component of an alphabet.b. A written symbol or character used in the graphemic representation of a word, such as the h in Thames. See Note at Thames.2. A written or printed communication directed to a person or organization.3. A certified document granting rights to its bearer. Often used in the plural.4. Literal meaning: had to adhere to the letter of the law.5. letters (used with a sing. verb) a. Literary culture; belles-lettres.b. Learning or knowledge, especially of literature.c. Literature or writing as a profession.6. Printing a. A piece of type that prints a single character...
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...Soda's in bitterness. Soda nodded excitedly. Darry furrowed his eyebrows. "I don't know what your getting excited about, little buddy, even if we do decide to call a rumble you sure ain't goin'." "You think your gonna win a rumble with just the three of you? Have you lost your mind?" Soda gaped. "I think I'm going to get every other greaser we know and keep you out of it, Soda. If there even is a rumble. Let it go," Darry's tone left no room for argument. Ticked off, Sodapop got up wordlessly and escaped to our room. I wanted to go after Soda, but I figured he needed his space. Suddenly exhausted, I stood up and stretched. "I'm taking a shower and going to bed," I announced. "G'Night, Pone," Darry answered. "Night, Dar." OoOoOoO "I want to go too, Soda," was the first thing I said when I opened Soda and I's shared bedroom door. "Me too. I say we sneak out after they leave," Soda suggested, his voice low so Darry wouldn't overhear, but he sounded less angry than early. "Would it work?" "I think so, Pone. Just take a different route than they do, and jump out and start fightin' right when it starts. Darry wouldn't have any time to see us until it was over. We'll get caught, Pony, but it wouldn't be till after. We'll get to fight," Soda's voice held so much longing that I couldn't argue with him. "Aren't you sick of being left out?" I nodded. "Let's do it." It was time to stop being scared and careful and start taking action. It wasn't going to be Darry and...
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...------------------------------------------------- The Animals On The Farm Lyrics and Actions ♫ The ducks on the farm say, "Quack, quack, quack." [Duck gesture.] The mice on the farm say, "Squeak, squeak, squeak." [Mouse gesture.] The chickens on the farm say, "Cluck, cluck, cluck." [Chicken gesture.] "Quack. Squeak. Cluck." [Duck gesture. Mouse gesture. Chicken gesture.] The pigs on the farm say, "Oink, oink, oink." [Pig gesture.] The goats on the farm say "Meh, meh, meh." [Goat gesture.] The sheep on the farm say "Baa, baa, baa." [Sheep gesture.] "Oink. Meh. Baa." [Pig gesture. Goat gesture. Sheep gesture.] The horses on the farm say, "Neigh, neigh, neigh." [Horse gesture.] The cows on the farm say, "Moo, moo, moo." [Cow gesture.] The roosters on the farm say, "Cock-a-doodle-doo" [Rooster gesture.] "Neigh. Moo. Cock-a-doodle-doo." [Horse gesture. Cow gesture. Rooster gesture.] "Neigh. Moo. Cock-a-doodle-doo." Let's try it a little faster. The ducks on the farm say, "Quack, quack, quack." The mice on the farm say, "Squeak, squeak, squeak." The chickens on the farm say, "Cluck, cluck, cluck." "Quack. Squeak. Cluck." Okay, a little faster. The pigs on the farm say, "Oink, oink, oink." The goats on the farm say "Meh, meh, meh." The sheep on the farm say "Baa, baa, baa." "Oink. Meh. Baa." Okay, super fast! The horses on the farm say, "Neigh, neigh, neigh." The cows on the farm say, "Moo, moo, moo." The roosters on the farm say, "Cock-a-doodle-doo" ...
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..."Go to sleep. We'll be here when you wake up." That was all the justification I needed. I couldn't fight off the tiredness anymore, and the fuzzy, comforting darkness took over my body. OoOoOoO The next time I woke up it was nighttime and I was much, much clearer. Darry was asleep in a chair next to the bed, but Soda was awake, stroking my hand. "Soda?" I croaked quietly so I wouldn't wake Darry. "What time is it? Golly, how long have I been out?" "You've been out for two days. It's 1:36 a.m. Christmas morning. Merry Christmas, Pony." It was Christmas? "Oh, Soda," I apologized, guilt flowing through my entire body, "I'm so sorry. You guys have to spend Christmas in the hospital." Darry surprised me by speaking, "it ain't your fault, Ponyboy, don't apologize. I'm just glad your okay." "Me too," Sodapop agreed whole-heartedly. I remained silent for a minute before Darry spoke up. "Do you want to go back to sleep, Ponyboy...
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...Student Name: VR Assignment for IBA Business Statistics IBA134 All numerical calculations and graphs/plots should be done using EXCEL. Student Name: Question 1 What type of survey method the researcher could use and why? What sampling method could the researcher use to select his/her sample and why? What are the variables the researcher would consider collecting data for the purpose of the analysis and why? Identify the data types for the variables. a) The survey method recommended would the personal interview. This would be more labour intensive but has a better opportunity to get the desired information. Whereas other methods such as telephone where a lot of people refuse or self-administered questionaries where the response rate is low. b) The researcher could use the “simple random sample” method. This method would be a better approach to selecting members of the population that would fit the survey criteria. c) Although the question sounds simple ie hours to dollars debt there may be other factors such as does TV hours watched influence the debt owed by mortgages etc. or whether food consumables are increased by hours watched. What type of debt? Variables: Hours spent watching TV – Numerical Dollars total in debt – Numerical Mortgage y/n - Nominal Members included in household that watch TV? - Numerical Members in household that incur the debt – Numerical d) The storage of the data could be of concern so the survey would...
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...224 G. M. WARNOCK AND J. DUCKWVORH 1944 are not used as a source of minerals to sustain the mammary supply during lactation. In other words, an osteoporotic skeleton is not an obligatory consequence of lactation in this species at least. Considerable difficulties exist in the determination of these requirements by the metabolic balance technique, since this method does not indicate when mobilization of minerals from the spongiosa is accompanied by mobilization from the shaft. Further, the balance over a whole lactation is often small in relation to the total quantities of materials analyzed and may be close to the analytical errors of the methods when the diet given is rich in minerals. The present observations may find some application in the determination of certain mineral requirements of lactation. Because the losses of Ca and P are unavoidable, involving the gradual liberation of reserves laid down at an earlier peripd, it has been difficult to estimate the requirements for lactation on the bafsis ofthe negative values obtained by the balance technique. Since the present study shows that, in the rat, it is possible to restrict the withdrawal of bone salt to the spongiosa, leaving the shaft unaffected, it seems reasonable to suggest that lactation requirements could be defined as those intakes which, for a given output of minerals in milk, will restrict the withdrawals to the spongiosa. Thus, using a similar technique, the problem ofthe mineral requirements for lactation...
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...Letter of transmittal December 09, 2009. Suntu kumar Ghosh Course Instructor MKT 301 (Marketing Management) BRAC Business School BRAC University, Bangladesh Subject: Submission of the Project Work on the Marketing Plan of McDonalds Dear Sir, With due respect, we want to state that, it was a great pleasure and honor for us to submit our project report of MKT 301 in the context of Marketing Plan of McDonalds in Bangladesh. Basically in this report we have tried to develop different Marketing strategies, like- product strategy, pricing strategy, distribution strategy and promotional strategy. We are very much glad that you have given us the opportunity to prepare this assignment and hope that this project work will meet the standards of judgment. But there may be some mistakes due to various limitations. Therefore, we beg your kind consideration in this regard. Any kind of suggestion and clarification will be accepted cordially. Your kind advice will encourage us to perform better Project work in future. Yours sincerely, Sifat Afrin (07204009) Tamanna Lutfa (07204012) Sadia Afrose (07204033) Md. Khaleduzzaman Sowrav (07204005) EXECUTIVE SUMMERY To make the customers satisfied and maintain the long lasting relationship with the customers are the main things to exist in the business world successfully but to make customers satisfied is the most difficult thing for a company because almost everyday people...
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...Lovers Or Friends “Wake up Eric time to go to school its your first day, don't want you to be late on your first day of school” Eric mom yelled. “Coming mom” said Eric, “Wait one second and let me put on my shirt” Eric added. The bus pulled up in front of the white picket fence house and Eric is still not ready so he grabs his comb, brush, and his book bag and rush onto the bus. Everyone on the bus starred at Eric as he walked up the three black and dirty stairs. “C'mon boy sit down so we can leave to head to school” the rude bus driver said. Eric didn't know who to sit by because he was new to the school and obviously he thinks no one is going to talk to the new kid. He walked down the hallway as these two light skin boys both wearing fitted jeans and an Hollister shirt one was wearing green and the other wearing a bright yellow color and both wearing all white jordans looking like a pack of sour skittles. As he passed them 1 they started laughing hysterically, as Eric looked at them with a little smirk on his face, one of the boys says to Eric “what are you wearing,them bad ahh reebok and them bad ahh cargos, school Boy”! Eric sat down by himself in the seat behind the two boys. They reached atthe huge, white school building. He got of the bus quickly as possible until then the two boys pushed him out of his way so they could walk he walked through. He had a mean mug on his face like he wanted to punch them in their faces but it’s the first...
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...intro: G C D G C D G C D Am D G D C (CHORUS) There she goes G D C There she goes again G D C Racing through my brain Am And I just can't contain D This feeling that remains G D C There she goes G D C There she goes again G D C Pulsing through my veins Am And I just can't contain D This feeling that remains Chorus G D C There she goes G D C There she goes again G D D She calls my name G D D She pulls my train G D C No one else could heal my pain Am And I just can't contain D This feeling that remains ...
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...Madhi westgodavari lo endapalli ane oka chinna palletooru.....Madhi middle class vyvasaya kutumbam..... nenu puttina daggara nunchi ma nannaku shocklu icche vadini anta......for example.....oka sari... tractor drive chesthu nannu kurchopettukunnadanta.....manam steering medha cheyyi vesi....kurchunna anta ma nanna...sarele anukunnadu anta kani sudden ga....steering gattiga pakkaki lagesanu anta....so tractor... side kunna chettuki .....guudukuni naku and ma ayyaku,....debbalu tractor ki oka laxa bokka....... ila oka sari ma thatha naku 5 years unappudu school..ki vellanani edusthunte.....mana bajaja chethak medha balavantham ga mundhu kurchopettukuni.....teesukuvelthunte...nenu oka turning lo...sudden ga kinda break medha unna ma thata kaluni gattiga tokka anta....so....bandi malli dash e sari koncham serious iddaram hospital anta manam malli legataniki 6 months anta.... ila cheppukupothunte enno...kobbara thota ammina dabbulu bag lo petti bag pattukuni kurchomani naku venakki icchadanta when I am 5 years old...leche sariki bag edhi ani aduguthunnadu...appudu ardham ayyindhi nidra vacchi dabbulu bag tho saha oka 40 velu dengapetta ani...... ila oka roju oka musalayana intikocchi(ma thata valla tammudu)....10 rupees icchadanta edanna konukorra ani intha chinna note ni nenem chesukonu ani chimpesananta...... ponile ani 500 icchadanta intha pedda note nenem cheyyanu ani chinchesananta....... ila na dabbulu tattukoleka chivaraku ma nanna....nannu hostel ki pampudam...
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