The document discusses ventricular activation and broad complex tachycardia. It contains slides created by Dr. Mark Hall, a cardiac electrophysiologist at Liverpool Heart and Chest Hospital, on the topics of ventricular activation and broad complex tachycardia.
- The document provides reference values and guidelines for interpreting various measurements obtained from transthoracic echocardiography (TTE) exams. It includes sections on the left ventricle, right ventricle, atria, valves, and other cardiac structures.
- Threshold values are given to define the severity of abnormalities as mild, moderate, or severe for conditions like left ventricular dysfunction, valvular diseases, and cardiac chamber enlargement.
- Recommendations from clinical guidelines are referenced to establish standard criteria for evaluating features on TTE like aortic stenosis severity based on velocities, gradients, and valve areas.
Mistakes to avoid while starting a new businesskashif Anwer
油
The document discusses common mistakes entrepreneurs make when starting a new business and provides advice to avoid them. It identifies mistakes like not properly evaluating ideas, inadequate planning, using the wrong business structure, frivolous spending, hiring unqualified people, poor marketing, relying on pretense, and ignoring legal/financial issues. The author advises entrepreneurs to thoroughly research and plan their business, hire the right people, focus spending on essentials, develop a strong marketing strategy, be transparent, and address any legal/financial problems promptly.
Stay calm, keep a steady tone of voice, and avoid insults when arguing. Listen respectfully to the other perspective without taking small comments personally. Aim to find reasonable solutions, not get everything you want. Keep arguments brief and allow each side to speak before setting healthy boundaries if needed.
The Uyuni salt lake in Bolivia is the largest salt flat in the world, covering 12,000 square kilometers at an elevation of 3,650 meters. When filled with water after rain, it becomes the world's largest mirror. Comprised of 11 layers of salt up to 10 meters deep, with a maximum depth of 120 meters, it contains an estimated 10 billion tons of salt, of which 25,000 tons are extracted each year through evaporation.
This short document promotes the value of knowledge and learning throughout one's life. It states that "Nothing but KNOWLEDGE has The Value" and encourages us to "Keep Learning, until Our Last Breath," suggesting we should continuously seek knowledge even at the end of our lives. The overall message is that knowledge is extremely valuable.
This document lists career limiting moves that should be avoided, including loose talk, indiscipline, insincerity, being money-minded, dishonesty, arrogance, engaging in office politics, emotional outbursts, and inappropriate appearance. It provides a brief list of behaviors that could negatively impact one's career if not managed properly.
White tea may help prevent wrinkles and treat arthritis according to a new study. Researchers found that white tea can prevent chemicals that breakdown collagen and elastin, which can lead to wrinkles and inflammatory diseases like arthritis. Further research is still needed to understand the practical health benefits for humans, but the study suggests white tea may reduce inflammation related to arthritis and some cancers as well as wrinkles. White tea is tea that has not been processed and contains young tea buds and leaves, unlike black tea which is processed and can be stored for over a year.
This document discusses measuring talent in organizations. It recommends using three metrics: return on investment (ROI) on manpower to evaluate costs versus profits from employees; revenue per employee to assess productivity; and workforce innovation index to gauge revenue from employee-suggested innovations. Tracking these metrics over time can help ensure a skilled workforce and identify areas needing improvement.
This document outlines 9 steps to achieve your goals: 1) Define your specific, achievable goal; 2) Set a deadline; 3) Identify your underlying purpose; 4) Recognize the benefits; 5) Instill self-belief through affirmations and visualization; 6) Identify potential obstacles; 7) Seek solutions to overcome obstacles; 8) Practice visualizing achieving your goal; 9) Create a step-by-step action plan with milestones and tasks. Taking these steps will help you stay focused and motivated to turn your dreams into a reality.
Udhayakumar P provides his contact information and objective of seeking a growth-oriented position allowing him to contribute to an organization's success. He has extensive experience in software testing including various types of testing like smoke testing, functional testing, integration testing, and regression testing. He is proficient in the software development and testing life cycles. Udhayakumar has qualifications including a bachelor's degree in computer science, diploma in computer engineering, and testing training certificates. He provides details on his technical skills, projects, and extracurricular activities.
This document discusses the differences between nonrenewable and renewable resources. Nonrenewable resources such as coal, petroleum, natural gas and uranium cannot be replaced at the same rate at which they are being used. Coal, petroleum and natural gas were formed from ancient organisms over millions of years. Uranium is used for nuclear energy but is limited. Renewable resources like solar, wind, water and biomass can be replenished naturally in a short period of time through natural processes.
Ayman Mohamed Mansour Elkot received a Bachelor of Engineering in Mechanical Power from Tanta University in Egypt in 2009. He has over 10 years of experience working as an HVAC site engineer, technical engineer, and designing engineer in Egypt and Saudi Arabia. He is proficient in AutoCAD, Microsoft Office, and has experience designing HVAC systems, mechanical works, and reviewing mechanical designs for various projects including hotels, stores, universities, and social centers.
This document summarizes public procurement implementation in France as of late September 2015. Key points include:
- 3,454 public procurement headings were registered totaling 2,361 billion, a 3.8% drop in numbers but 30.9% increase in value from 2014.
- 1933 tender dossiers were reviewed by the procurement authority, a 26.8% increase from the same period in 2014.
- Awarded tenders totaled 679.7 billion, a 40% increase from 2014, with competitive tenders making up 59.1% of value and 64.7% of numbers.
- Emergency programs like the Presidential Emergency Program awarded 130 contracts totaling 59.8 billion,
The latest edition of the ERIKS Know+How magazine delves deep into a market sector often touted as one of the toughest to work in: Mining and Quarrying.
With a vast array of challenges facing those working in the extraction industry from extreme health and safety risks to meeting the high impact demands placed on mechanical equipment, it is an industry that has both a rich heritage in the UK, yet is also at the forefront of innovation.
This issue will play host to some intriguing developments and product launches affecting the wider industrial services sphere and the mining and quarrying markets; and well also give you a sneak preview as to what to expect from us on our stand at this years Hillhead exhibition which is set to be another fantastic show.
Based on the information provided:
1. The appropriate ICD-10-PCS code for mechanical ventilation would be 5A1935Z Continuous mechanical ventilation for less than 24 hours.
2. An additional ICD-10-PCS code for the endotracheal intubation would be 0BH17EZ Insertion of endotracheal airway into trachea via natural or artificial opening.
3. The principal diagnosis would be J21.0 Acute bronchiolitis due to respiratory syncytial virus.
4. A secondary diagnosis for the ventricular septal defect would be Q21.0 Ventricular septal defect.
5. Other significant conditions treated such as the antibiotics
M-mode echocardiography uses rapid sampling of a region to create sequential parallel data lines, producing continuous horizontal lines representing points of brightness. This allows visualization of motion patterns over distance and time. Measurements of structures like the mitral valve can assess morphology, movement, velocity, and timing of cardiac events. Findings include increased wall thickness, reduced valve excursion, and fluttering indicating conditions like hypertrophy, stenosis, and regurgitation.
Pr辿sentation d'Inter-Ligere ICC 2009, sur le th竪me des plateformes de veille. Pr辿sentation des r辿sultats d'un benchmarking des plateformes d'intelligence 辿conomique.
The document provides 12 steps for top executives to become social leaders on LinkedIn. It recommends executives create an effective LinkedIn profile, control privacy settings, and efficiently connect with important contacts. It also suggests using LinkedIn to demonstrate leadership, accelerate sales by connecting with customers, and gain industry insights by staying informed and scouting talent and competitors. The overall goal is to empower executives to leverage LinkedIn for business benefits while maintaining their privacy and priorities.
M-Mode echocardiography uses rapid sampling of a narrow field to provide high temporal resolution images of heart structures over time. It works best in combination with 2D echocardiography. To improve temporal resolution, techniques are used like minimizing depth of view, using a single focus, narrowing the sector, and minimizing line density, though this can degrade image quality. M-Mode echocardiography can be used to identify and characterize various cardiac valve diseases and structural abnormalities of the heart.
El documento presenta los calendarios de partidos de varias ligas hasta Semana Santa, incluyendo la Liga de Campeones de 1o y 2o, la Superliga de 3o y 4o, y la Tabladilla League de 5o y 6o, con los equipos y fechas de los encuentros programados.
Blood vessels the aorta and its branches,kashif Anwer
油
This document provides an overview and step-by-step instructions for performing an abdominal ultrasound to visualize the aorta and vena cava. It describes how to obtain transverse and longitudinal views of the vessels, identify their pulsations and relationship to nearby organs like the liver and diaphragm. The document also discusses evaluating the vessel walls, identifying branches, and measuring aneurysms for progression. Its goal is to guide ultrasonographers in thoroughly scanning the abdominal blood vessels.
The document summarizes that the difference between poor and rich nations is not due to factors like the age of the nation, availability of natural resources, or intellectual abilities of people. Rather, the key difference lies in the attitudes and principles followed by most citizens of each country. Rich countries became prosperous because their people generally abide by principles like ethics, integrity, responsibility, respect for laws, work ethic, savings, productivity, and punctuality. In poor countries, only a small minority follow these basic principles in their daily lives. The document argues that countries will remain poor if their people lack the will to adopt and teach the attitudes of successful societies.
Building trust is essential to furthering one's career. Trust is gained by being open and sharing information frankly, being receptive to others' ideas, keeping commitments, having solid work to back up statements, avoiding gossip, admitting mistakes, asking for and acting on feedback, and keeping information confidential when requested. Losing trust is easy but regaining it is difficult, so following these tips can help one build and maintain trust at work.
Handle criticism by acknowledging any mistakes, taking corrective action, and acknowledging the other person's motives. If the criticism is valid, take full responsibility without making excuses. After listening fully, express eagerness to improve and describe actions to address the issue. Thank the person for the feedback and acknowledge their input is valuable for helping you improve, while also stating you are open to future feedback.
Kidney stones form when crystals separate from urine and stick together inside the kidney or urinary tract. They can cause severe pain and blood in the urine. Risk factors include dehydration, family history, and medical conditions. Symptoms include intense pain in the back or side and blood in the urine. Diagnosis is usually done with a CT scan. Small stones often pass on their own but larger ones may require lithotripsy or surgery to break up the stones. Drinking plenty of water can help prevent kidney stones from forming.
White tea may help prevent wrinkles and treat arthritis according to a new study. Researchers found that white tea can prevent chemicals that breakdown collagen and elastin, which can lead to wrinkles and inflammatory diseases like arthritis. Further research is still needed to understand the practical health benefits for humans, but the study suggests white tea may reduce inflammation related to arthritis and some cancers as well as wrinkles. White tea is tea that has not been processed and contains young tea buds and leaves, unlike black tea which is processed and can be stored for over a year.
This document discusses measuring talent in organizations. It recommends using three metrics: return on investment (ROI) on manpower to evaluate costs versus profits from employees; revenue per employee to assess productivity; and workforce innovation index to gauge revenue from employee-suggested innovations. Tracking these metrics over time can help ensure a skilled workforce and identify areas needing improvement.
This document outlines 9 steps to achieve your goals: 1) Define your specific, achievable goal; 2) Set a deadline; 3) Identify your underlying purpose; 4) Recognize the benefits; 5) Instill self-belief through affirmations and visualization; 6) Identify potential obstacles; 7) Seek solutions to overcome obstacles; 8) Practice visualizing achieving your goal; 9) Create a step-by-step action plan with milestones and tasks. Taking these steps will help you stay focused and motivated to turn your dreams into a reality.
Udhayakumar P provides his contact information and objective of seeking a growth-oriented position allowing him to contribute to an organization's success. He has extensive experience in software testing including various types of testing like smoke testing, functional testing, integration testing, and regression testing. He is proficient in the software development and testing life cycles. Udhayakumar has qualifications including a bachelor's degree in computer science, diploma in computer engineering, and testing training certificates. He provides details on his technical skills, projects, and extracurricular activities.
This document discusses the differences between nonrenewable and renewable resources. Nonrenewable resources such as coal, petroleum, natural gas and uranium cannot be replaced at the same rate at which they are being used. Coal, petroleum and natural gas were formed from ancient organisms over millions of years. Uranium is used for nuclear energy but is limited. Renewable resources like solar, wind, water and biomass can be replenished naturally in a short period of time through natural processes.
Ayman Mohamed Mansour Elkot received a Bachelor of Engineering in Mechanical Power from Tanta University in Egypt in 2009. He has over 10 years of experience working as an HVAC site engineer, technical engineer, and designing engineer in Egypt and Saudi Arabia. He is proficient in AutoCAD, Microsoft Office, and has experience designing HVAC systems, mechanical works, and reviewing mechanical designs for various projects including hotels, stores, universities, and social centers.
This document summarizes public procurement implementation in France as of late September 2015. Key points include:
- 3,454 public procurement headings were registered totaling 2,361 billion, a 3.8% drop in numbers but 30.9% increase in value from 2014.
- 1933 tender dossiers were reviewed by the procurement authority, a 26.8% increase from the same period in 2014.
- Awarded tenders totaled 679.7 billion, a 40% increase from 2014, with competitive tenders making up 59.1% of value and 64.7% of numbers.
- Emergency programs like the Presidential Emergency Program awarded 130 contracts totaling 59.8 billion,
The latest edition of the ERIKS Know+How magazine delves deep into a market sector often touted as one of the toughest to work in: Mining and Quarrying.
With a vast array of challenges facing those working in the extraction industry from extreme health and safety risks to meeting the high impact demands placed on mechanical equipment, it is an industry that has both a rich heritage in the UK, yet is also at the forefront of innovation.
This issue will play host to some intriguing developments and product launches affecting the wider industrial services sphere and the mining and quarrying markets; and well also give you a sneak preview as to what to expect from us on our stand at this years Hillhead exhibition which is set to be another fantastic show.
Based on the information provided:
1. The appropriate ICD-10-PCS code for mechanical ventilation would be 5A1935Z Continuous mechanical ventilation for less than 24 hours.
2. An additional ICD-10-PCS code for the endotracheal intubation would be 0BH17EZ Insertion of endotracheal airway into trachea via natural or artificial opening.
3. The principal diagnosis would be J21.0 Acute bronchiolitis due to respiratory syncytial virus.
4. A secondary diagnosis for the ventricular septal defect would be Q21.0 Ventricular septal defect.
5. Other significant conditions treated such as the antibiotics
M-mode echocardiography uses rapid sampling of a region to create sequential parallel data lines, producing continuous horizontal lines representing points of brightness. This allows visualization of motion patterns over distance and time. Measurements of structures like the mitral valve can assess morphology, movement, velocity, and timing of cardiac events. Findings include increased wall thickness, reduced valve excursion, and fluttering indicating conditions like hypertrophy, stenosis, and regurgitation.
Pr辿sentation d'Inter-Ligere ICC 2009, sur le th竪me des plateformes de veille. Pr辿sentation des r辿sultats d'un benchmarking des plateformes d'intelligence 辿conomique.
The document provides 12 steps for top executives to become social leaders on LinkedIn. It recommends executives create an effective LinkedIn profile, control privacy settings, and efficiently connect with important contacts. It also suggests using LinkedIn to demonstrate leadership, accelerate sales by connecting with customers, and gain industry insights by staying informed and scouting talent and competitors. The overall goal is to empower executives to leverage LinkedIn for business benefits while maintaining their privacy and priorities.
M-Mode echocardiography uses rapid sampling of a narrow field to provide high temporal resolution images of heart structures over time. It works best in combination with 2D echocardiography. To improve temporal resolution, techniques are used like minimizing depth of view, using a single focus, narrowing the sector, and minimizing line density, though this can degrade image quality. M-Mode echocardiography can be used to identify and characterize various cardiac valve diseases and structural abnormalities of the heart.
El documento presenta los calendarios de partidos de varias ligas hasta Semana Santa, incluyendo la Liga de Campeones de 1o y 2o, la Superliga de 3o y 4o, y la Tabladilla League de 5o y 6o, con los equipos y fechas de los encuentros programados.
Blood vessels the aorta and its branches,kashif Anwer
油
This document provides an overview and step-by-step instructions for performing an abdominal ultrasound to visualize the aorta and vena cava. It describes how to obtain transverse and longitudinal views of the vessels, identify their pulsations and relationship to nearby organs like the liver and diaphragm. The document also discusses evaluating the vessel walls, identifying branches, and measuring aneurysms for progression. Its goal is to guide ultrasonographers in thoroughly scanning the abdominal blood vessels.
The document summarizes that the difference between poor and rich nations is not due to factors like the age of the nation, availability of natural resources, or intellectual abilities of people. Rather, the key difference lies in the attitudes and principles followed by most citizens of each country. Rich countries became prosperous because their people generally abide by principles like ethics, integrity, responsibility, respect for laws, work ethic, savings, productivity, and punctuality. In poor countries, only a small minority follow these basic principles in their daily lives. The document argues that countries will remain poor if their people lack the will to adopt and teach the attitudes of successful societies.
Building trust is essential to furthering one's career. Trust is gained by being open and sharing information frankly, being receptive to others' ideas, keeping commitments, having solid work to back up statements, avoiding gossip, admitting mistakes, asking for and acting on feedback, and keeping information confidential when requested. Losing trust is easy but regaining it is difficult, so following these tips can help one build and maintain trust at work.
Handle criticism by acknowledging any mistakes, taking corrective action, and acknowledging the other person's motives. If the criticism is valid, take full responsibility without making excuses. After listening fully, express eagerness to improve and describe actions to address the issue. Thank the person for the feedback and acknowledge their input is valuable for helping you improve, while also stating you are open to future feedback.
Kidney stones form when crystals separate from urine and stick together inside the kidney or urinary tract. They can cause severe pain and blood in the urine. Risk factors include dehydration, family history, and medical conditions. Symptoms include intense pain in the back or side and blood in the urine. Diagnosis is usually done with a CT scan. Small stones often pass on their own but larger ones may require lithotripsy or surgery to break up the stones. Drinking plenty of water can help prevent kidney stones from forming.
Kidney stones form when crystals separate from urine and stick together inside the kidney or urinary tract. They can cause severe pain and blood in the urine. Risk factors include dehydration, family history, and medical conditions. Symptoms include intense pain in the back or side and blood in the urine. Diagnosis is usually done with a CT scan. Small stones often pass on their own but larger ones may require lithotripsy or surgery to break up the stones. Drinking plenty of water can help prevent kidney stones from forming.
This document contains 40 multiple choice questions about various topics in the Holy Quran such as the number of surahs and juzz, how many times Bismillah is repeated, the longest and shortest surahs, animals mentioned, Makki and Madani surahs, and other details. The respondent is asked to provide short answers of one word or a number to each question.
The human brain has an amazing ability to understand written language even when letters are scrambled within words, as long as the first and last letters are in the right place. This is because the brain does not read each letter individually but recognizes words as a whole. Some optical illusions can confuse the eyes and brain by making images appear to move or change when they are actually static. Young children may interpret ambiguous images differently than adults due to lack of life experiences to provide context.
Optimization in Pharmaceutical Formulations: Concepts, Methods & ApplicationsKHUSHAL CHAVAN
油
This presentation provides a comprehensive overview of optimization in pharmaceutical formulations. It explains the concept of optimization, different types of optimization problems (constrained and unconstrained), and the mathematical principles behind formulation development. Key topics include:
Methods for optimization (Sequential Simplex Method, Classical Mathematical Methods)
Statistical analysis in optimization (Mean, Standard Deviation, Regression, Hypothesis Testing)
Factorial Design & Quality by Design (QbD) for process improvement
Applications of optimization in drug formulation
This resource is beneficial for pharmaceutical scientists, R&D professionals, regulatory experts, and students looking to understand pharmaceutical process optimization and quality by design approaches.
Creatines Untold Story and How 30-Year-Old Lessons Can Shape the FutureSteve Jennings
油
Creatine burst into the public consciousness in 1992 when an investigative reporter inside the Olympic Village in Barcelona caught wind of British athletes using a product called Ergomax C150. This led to an explosion of interest in and questions about the ingredient after high-profile British athletes won multiple gold medals.
I developed Ergomax C150, working closely with the late and great Dr. Roger Harris (1944 2024), and Prof. Erik Hultman (1925 2011), the pioneering scientists behind the landmark studies of creatine and athletic performance in the early 1990s.
Thirty years on, these are the slides I used at the Sports & Active Nutrition Summit 2025 to share the story, the lessons from that time, and how and why creatine will play a pivotal role in tomorrows high-growth active nutrition and healthspan categories.
Unit 1: Introduction to Histological and Cytological techniques
Differentiate histology and cytology
Overview on tissue types
Function and components of the compound light microscope
Overview on common Histological Techniques:
o Fixation
o Grossing
o Tissue processing
o Microtomy
o Staining
o Mounting
Application of histology and cytology
legal Rights of individual, children and women.pptxRishika Rawat
油
A legal right is a claim or entitlement that is recognized and protected by the law. It can also refer to the power or privilege that the law grants to a person. Human rights include the right to life and liberty, freedom from slavery and torture, freedom of opinion and expression, the right to work and education
Non-Invasive ICP Monitoring for NeurosurgeonsDhaval Shukla
油
This presentation delves into the latest advancements in non-invasive intracranial pressure (ICP) monitoring techniques, specifically tailored for neurosurgeons. It covers the importance of ICP monitoring in clinical practice, explores various non-invasive methods, and discusses their accuracy, reliability, and clinical applications. Attendees will gain insights into the benefits of non-invasive approaches over traditional invasive methods, including reduced risk of complications and improved patient outcomes. This comprehensive overview is designed to enhance the knowledge and skills of neurosurgeons in managing patients with neurological conditions.
Invasive systems are commonly used for monitoring intracranial pressure (ICP) in traumatic brain injury (TBI) and are considered the gold standard. The availability of invasive ICP monitoring is heterogeneous, and in low- and middle-income settings, these systems are not routinely employed due to high cost or limited accessibility. The aim of this presentation is to develop recommendations to guide monitoring and ICP-driven therapies in TBI using non-invasive ICP (nICP) systems.
Stability of Dosage Forms as per ICH GuidelinesKHUSHAL CHAVAN
油
This presentation covers the stability testing of pharmaceutical dosage forms according to ICH guidelines (Q1A-Q1F). It explains the definition of stability, various testing protocols, storage conditions, and evaluation criteria required for regulatory submissions. Key topics include stress testing, container closure systems, stability commitment, and photostability testing. The guidelines ensure that pharmaceutical products maintain their identity, purity, strength, and efficacy throughout their shelf life. This resource is valuable for pharmaceutical professionals, researchers, and regulatory experts.
FAO's Support Rabies Control in Bali_Jul22.pptxWahid Husein
油
What is FAO doing to support rabies control programmes in Bali, Indonesia, using One Health approach with mass dog vaccination and integrated bite case management as main strategies
PERSONALITY DEVELOPMENT & DEFENSE MECHANISMS.pptxPersonality and environment:...ABHAY INSTITUTION
油
Personality theory is a collection of ideas that explain how a person's personality develops and how it affects their behavior. It also seeks to understand how people react to situations, and how their personality impacts their relationships.
Key aspects of personality theory
Personality traits: The characteristics that make up a person's personality.
Personality development: How a person's personality develops over time.
Personality disorders: How personality theories can be used to study personality disorders.
Personality and environment: How a person's personality is influenced by their environment.