Denisse Santiago Burgos is an 18-year-old student from Cayey, Puerto Rico who studies mathematics at the University of Puerto Rico in Cayey with the goal of becoming a pharmacist.
Barack Obama has a diverse family tree, including distant relatives who were politicians and slave owners in the early 1800s. His maternal grandparents, Stanley and Madelyn Dunham, raised Obama in Hawaii after his parents divorced when he was young. His father, Barack Obama Sr., was from Kenya and met his mother, Ann Dunham, while they were both students at the University of Hawaii. Obama has stayed connected with his extended family members in Kenya.
The document provides a photographic tour of various landmarks in Jerusalem, including the Tower of David citadel and museum, the Holy Sepulchre, Jaffa Gate, Mishkenot Sheananim neighborhood, Basilica of Agony, Temple Mount, Al-Aqsa Mosque, Dome of the Rock, Zion Gate, Armenian Quarter, Western Wall, and King David Hotel. It also notes some historical facts about these sites, such as archaeological discoveries at the Tower of David and the origins and structures of the Dome of the Rock.
El joven rey Arturo fue capturado por el rey de un reino vecino mientras cazaba. Para ganar su libertad, se le dio un a単o para responder a la pregunta "多Qu辿 quiere realmente la mujer?". Arturo no pudo encontrar la respuesta y consult坦 a una vieja bruja fea a cambio de que su amigo Gawain se casara con ella. En la boda, la bruja se comport坦 mal, pero se transform坦 en una hermosa doncella para Gawain que la dej坦 elegir c坦mo quer鱈a ser vista.
This document discusses the history and development of anesthesia from ancient times to the present. It covers early non-chemical methods, the discovery of nitrous oxide and ether in the 18th century, advances in the 19th century including the development of chloroform and new surgical techniques. It also summarizes modern anesthesia techniques including general anesthesia using volatile gases and muscle relaxants, as well as local and regional anesthesia methods.
2024 Trend Updates: What Really Works In SEO & Content MarketingSearch Engine Journal
油
The document outlines key SEO and content marketing trends for 2024, emphasizing the impact of AI, the importance of E-E-A-T (Experience, Expertise, Authoritativeness, Trustworthiness), and a shift towards user-centric content strategies. It advises against focusing on outdated trends like voice search and stresses the need for creating value-driven, authoritative content. Additionally, it highlights the need to leverage AI as a supportive tool rather than relying solely on it for content creation.
Storytelling For The Web: Integrate Storytelling in your Design ProcessChiara Aliotta
油
The document outlines a livestream presentation by Chiara Aliotta on integrating storytelling into web design to enhance user experiences. It covers the storytelling process for designers, emphasizing aspects such as understanding the audience, structuring narratives, and creating emotional connections. The presentation also includes case studies and practical examples to demonstrate effective storytelling in UX/UI design.
This presentation by Thibault Schrepel, Associate Professor of Law at Vrije Universiteit Amsterdam University, was made during the discussion Artificial Intelligence, Data and Competition held at the 143rd meeting of the OECD Competition Committee on 12 June 2024. More papers and presentations on the topic can be found at oe.cd/aicomp.
This presentation was uploaded with the authors consent.
Dr. Seth A. Eidemiller is a board-certified emergency physician whose professional journey began on a fourth-generation dairy farm in Idaho. Early on, he gained experience through farming, wildfire suppression, and construction work, which gave him a strong foundation in practical skills and resilience. After completing degrees in International Studies and Spanish, he returned to Boise to fulfill the prerequisites for medical school and study laboratory sciences. He then attended the University of Nevada, Reno School of Medicine, and continued his training with a residency in emergency medicine in Fresno. Today, he serves as Vice Chair of the Chico Emergency Medicine Physician Group.
Chair, Michael E. Manning, MD, FAAAAI, FACAAI, discusses chronic spontaneous urticaria in this CME activity titled From Wheals to Wellness: Transforming Chronic Spontaneous Urticaria Care With Emerging Solutions. For the full presentation, downloadable Practice Aids, and complete CME information, and to apply for credit, please visit us at . CME credit will be available until June 11, 2026.
Chair, Allison Agwu, MD, ScM, FAAP, FIDSA, discusses HIV in this CME/MOC/NCPD/CPE/AAPA/IPCE activity titled Unlocking the Potential of Long-Acting PrEP to Halt HIV Transmissions. For the full presentation, downloadable Practice Aids, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/40Mr2AC. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until June 12, 2026.
How to be and stay healthy: Live Wire Not a Couch PotatoBiljanaPipovic
油
Live Wire, Not a Couch Potato was an engaging international eTwinning project aimed at promoting physical activity among youth by blending creativity, tradition, and competition. Founded by teachers from Serbia and Portugal, with partners from Turkey and Greece, the project encouraged students to explore the importance of staying active through fun and meaningful challenges. Working within their local contexts, students from all four countries participated in physical activities at school and in their communities. They documented their experiences through photos, videos, and written reflections, which they shared on TwinSpace. The project helped transform exercise from a routine task into an enjoyable, culturally rich experience, while fostering teamwork, creativity, and international exchange.
Nanoparticles and liposomes are advanced carriers used for targeted drug delivery.
Nanoparticles enhance drug effectiveness by directing treatment to specific sites.
Liposomes are biocompatible vesicles that enable controlled and sustained drug release.
Open PPT for detail description: Peptic Ulcer Disease (PUD)
Peptic ulcer disease refers to mucosal erosions equal to or greater than 5 mm in the stomach or proximal duodenum, caused primarily by an imbalance between gastric acid/pepsin secretion and mucosal defense mechanisms. The most common etiologies include Helicobacter pylori infection, chronic use of NSAIDs, and physiological stress.
Classification of Peptic Ulcers
Based on Location
Gastric Ulcers Occur in the stomach lining.
Duodenal Ulcers Occur in the first part of the small intestine (duodenum).
Based on Etiology
H. pyloriAssociated Ulcers
NSAID-Induced Ulcers
Stress-Related Mucosal Disease (SRMD)
ZollingerEllison Syndrome (gastrinoma-related)
Cushings Ulcer (due to intracranial injury)
Curlings Ulcer (seen in burn patients)
Pharmacological Management
1. Acid Suppression Therapy
Class Examples Mechanism
Proton Pump Inhibitors (PPIs) Omeprazole, Pantoprazole Irreversibly inhibit H+/K+ ATPase pump
H2-Receptor Antagonists Ranitidine, Famotidine Block histamine-mediated gastric acid secretion
2. Mucosal Protective Agents
Class Examples Mechanism
Prostaglandin Analogues Misoprostol Increases mucus & bicarbonate; decreases acid; protects mucosa
Mucosal Coating Agents Sucralfate Forms protective barrier over ulcer site
Bismuth Compounds Bismuth subsalicylate Antimicrobial, mucosal protective, and anti-inflammatory
3. Eradication Therapy (for H. pylori)
Combination of:
PPI + Two Antibiotics (e.g., amoxicillin + clarithromycin OR metronidazole + tetracycline)
Duration: 714 days depending on local guidelines
See BNF regimens above for detailed protocols
4. Cytoprotective/Adjunctive Agents
Class Examples Role in PUD
Somatostatin Analogues Octreotide Used in bleeding ulcers; reduces splanchnic blood flow and gastric secretions
Antacids Magnesium hydroxide, Aluminium hydroxide Neutralize gastric acid; provide symptomatic relief
Non-Pharmacologic Measures
Avoid NSAIDs, smoking, alcohol, and spicy foods
Small, frequent meals in symptomatic patients
Stress reduction
Endoscopic therapy in case of bleeding or perforation
Surgical Indications (rarely needed)
Perforated ulcer
Gastric outlet obstruction
Refractory ulcers not responding to medical therapy
Severe bleeding unresponsive to endoscopic management
Summary
Peptic ulcer disease is primarily driven by H. pylori infection and NSAID use, with duodenal ulcers more common than gastric. Treatment is tailored based on etiology and includes acid suppression, H. pylori eradication, and mucosal protection. Advanced cases may require somatostatin analogues for hemorrhage control or surgery for complications. Prostaglandin analogues like misoprostol are especially valuable in preventing NSAID-induced ulcers.
This presentation provides a concise yet comprehensive review of common clinical signs and their diagnostic significance, summarized under the acronym PICCKLE Pallor, Icterus, Clubbing, Cyanosis, Koilonychia, Lymphadenopathy, and Edema. Each condition is defined, followed by key causes, pathophysiology, diagnostic techniques, and clinical relevance. The content is tailored for undergraduate and postgraduate students in medicine and pharmacy, as well as early-career clinicians seeking to reinforce their clinical examination skills
How to Leverage AI to Boost Employee Wellness - Lydia Di Francesco - SocialHR...SocialHRCamp
油
The document discusses leveraging AI to enhance employee wellness through data analytics, automating tasks, and personalized wellness apps, emphasizing the shared responsibility of employee well-being between leaders and organizations. It outlines best practices for using AI in wellness strategies, including ensuring data privacy and security, understanding employee needs, and promoting inclusivity. Lydia Di Francesco, a wellness specialist, shares insights to optimize workplace wellness strategy using AI-driven data analytics and encourages collaboration and transparency.
2024 State of Marketing Report by HubspotMarius Sescu
油
The State of Marketing 2024 report highlights the transformative impact of AI and automation, emphasizing the importance of personalization and engagement to drive growth in a competitive landscape. Marketers are focusing on optimizing budgets, leveraging social media for brand awareness, and utilizing AI tools to enhance efficiency across tasks. Key trends for 2024 include the rise of experiential marketing, content creation that meets user needs, and strengthened connections through personalized customer experiences.
Dr. Seth A. Eidemiller is a board-certified emergency physician whose professional journey began on a fourth-generation dairy farm in Idaho. Early on, he gained experience through farming, wildfire suppression, and construction work, which gave him a strong foundation in practical skills and resilience. After completing degrees in International Studies and Spanish, he returned to Boise to fulfill the prerequisites for medical school and study laboratory sciences. He then attended the University of Nevada, Reno School of Medicine, and continued his training with a residency in emergency medicine in Fresno. Today, he serves as Vice Chair of the Chico Emergency Medicine Physician Group.
Chair, Michael E. Manning, MD, FAAAAI, FACAAI, discusses chronic spontaneous urticaria in this CME activity titled From Wheals to Wellness: Transforming Chronic Spontaneous Urticaria Care With Emerging Solutions. For the full presentation, downloadable Practice Aids, and complete CME information, and to apply for credit, please visit us at . CME credit will be available until June 11, 2026.
Chair, Allison Agwu, MD, ScM, FAAP, FIDSA, discusses HIV in this CME/MOC/NCPD/CPE/AAPA/IPCE activity titled Unlocking the Potential of Long-Acting PrEP to Halt HIV Transmissions. For the full presentation, downloadable Practice Aids, and complete CME/MOC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at https://bit.ly/40Mr2AC. CME/MOC/NCPD/CPE/AAPA/IPCE credit will be available until June 12, 2026.
How to be and stay healthy: Live Wire Not a Couch PotatoBiljanaPipovic
油
Live Wire, Not a Couch Potato was an engaging international eTwinning project aimed at promoting physical activity among youth by blending creativity, tradition, and competition. Founded by teachers from Serbia and Portugal, with partners from Turkey and Greece, the project encouraged students to explore the importance of staying active through fun and meaningful challenges. Working within their local contexts, students from all four countries participated in physical activities at school and in their communities. They documented their experiences through photos, videos, and written reflections, which they shared on TwinSpace. The project helped transform exercise from a routine task into an enjoyable, culturally rich experience, while fostering teamwork, creativity, and international exchange.
Nanoparticles and liposomes are advanced carriers used for targeted drug delivery.
Nanoparticles enhance drug effectiveness by directing treatment to specific sites.
Liposomes are biocompatible vesicles that enable controlled and sustained drug release.
Open PPT for detail description: Peptic Ulcer Disease (PUD)
Peptic ulcer disease refers to mucosal erosions equal to or greater than 5 mm in the stomach or proximal duodenum, caused primarily by an imbalance between gastric acid/pepsin secretion and mucosal defense mechanisms. The most common etiologies include Helicobacter pylori infection, chronic use of NSAIDs, and physiological stress.
Classification of Peptic Ulcers
Based on Location
Gastric Ulcers Occur in the stomach lining.
Duodenal Ulcers Occur in the first part of the small intestine (duodenum).
Based on Etiology
H. pyloriAssociated Ulcers
NSAID-Induced Ulcers
Stress-Related Mucosal Disease (SRMD)
ZollingerEllison Syndrome (gastrinoma-related)
Cushings Ulcer (due to intracranial injury)
Curlings Ulcer (seen in burn patients)
Pharmacological Management
1. Acid Suppression Therapy
Class Examples Mechanism
Proton Pump Inhibitors (PPIs) Omeprazole, Pantoprazole Irreversibly inhibit H+/K+ ATPase pump
H2-Receptor Antagonists Ranitidine, Famotidine Block histamine-mediated gastric acid secretion
2. Mucosal Protective Agents
Class Examples Mechanism
Prostaglandin Analogues Misoprostol Increases mucus & bicarbonate; decreases acid; protects mucosa
Mucosal Coating Agents Sucralfate Forms protective barrier over ulcer site
Bismuth Compounds Bismuth subsalicylate Antimicrobial, mucosal protective, and anti-inflammatory
3. Eradication Therapy (for H. pylori)
Combination of:
PPI + Two Antibiotics (e.g., amoxicillin + clarithromycin OR metronidazole + tetracycline)
Duration: 714 days depending on local guidelines
See BNF regimens above for detailed protocols
4. Cytoprotective/Adjunctive Agents
Class Examples Role in PUD
Somatostatin Analogues Octreotide Used in bleeding ulcers; reduces splanchnic blood flow and gastric secretions
Antacids Magnesium hydroxide, Aluminium hydroxide Neutralize gastric acid; provide symptomatic relief
Non-Pharmacologic Measures
Avoid NSAIDs, smoking, alcohol, and spicy foods
Small, frequent meals in symptomatic patients
Stress reduction
Endoscopic therapy in case of bleeding or perforation
Surgical Indications (rarely needed)
Perforated ulcer
Gastric outlet obstruction
Refractory ulcers not responding to medical therapy
Severe bleeding unresponsive to endoscopic management
Summary
Peptic ulcer disease is primarily driven by H. pylori infection and NSAID use, with duodenal ulcers more common than gastric. Treatment is tailored based on etiology and includes acid suppression, H. pylori eradication, and mucosal protection. Advanced cases may require somatostatin analogues for hemorrhage control or surgery for complications. Prostaglandin analogues like misoprostol are especially valuable in preventing NSAID-induced ulcers.
This presentation provides a concise yet comprehensive review of common clinical signs and their diagnostic significance, summarized under the acronym PICCKLE Pallor, Icterus, Clubbing, Cyanosis, Koilonychia, Lymphadenopathy, and Edema. Each condition is defined, followed by key causes, pathophysiology, diagnostic techniques, and clinical relevance. The content is tailored for undergraduate and postgraduate students in medicine and pharmacy, as well as early-career clinicians seeking to reinforce their clinical examination skills
How to Leverage AI to Boost Employee Wellness - Lydia Di Francesco - SocialHR...SocialHRCamp
油
The document discusses leveraging AI to enhance employee wellness through data analytics, automating tasks, and personalized wellness apps, emphasizing the shared responsibility of employee well-being between leaders and organizations. It outlines best practices for using AI in wellness strategies, including ensuring data privacy and security, understanding employee needs, and promoting inclusivity. Lydia Di Francesco, a wellness specialist, shares insights to optimize workplace wellness strategy using AI-driven data analytics and encourages collaboration and transparency.
2024 State of Marketing Report by HubspotMarius Sescu
油
The State of Marketing 2024 report highlights the transformative impact of AI and automation, emphasizing the importance of personalization and engagement to drive growth in a competitive landscape. Marketers are focusing on optimizing budgets, leveraging social media for brand awareness, and utilizing AI tools to enhance efficiency across tasks. Key trends for 2024 include the rise of experiential marketing, content creation that meets user needs, and strengthened connections through personalized customer experiences.
ChatGPT is an AI chatbot developed by OpenAI, built on advanced language models to facilitate human-like conversational interactions. Launched in November 2022, it utilizes a transformer architecture to understand and generate text, with applications ranging from content creation to customer service. Despite its capabilities, there are concerns about potential misuse and biases in its responses, which OpenAI aims to mitigate through moderation and user feedback.
Product Design Trends in 2024 | Teenage EngineeringsPixeldarts
油
The realm of product design is a constantly changing environment where technology and style intersect. Every year introduces fresh challenges and exciting trends that mold the future of this captivating art form. In this piece, we delve into the significant trends set to influence the look and functionality of product design in the year 2024.
How Race, Age and Gender Shape Attitudes Towards Mental HealthThinkNow
油
The November 2023 mental health report indicates that 70% of respondents rate their mental health as 'good' or 'excellent,' with higher diagnoses reported among African Americans and non-Hispanic whites compared to Hispanics and Asians. Younger generations, particularly Gen Z and millennials, are more likely to experience mental health challenges, seek information online, and report that their mental health impacts their work and relationships. Half of the respondents feel comfortable discussing their mental health with professionals, although Gen Z shows the least comfort in this area.
AI Trends in Creative Operations 2024 by Artwork Flow.pdfmarketingartwork
油
Creative operations teams expect increased AI use in 2024. Currently, over half of tasks are not AI-enabled, but this is expected to decrease in the coming year. ChatGPT is the most popular AI tool currently. Business leaders are more actively exploring AI benefits than individual contributors. Most respondents do not believe AI will impact workforce size in 2024. However, some inhibitions still exist around AI accuracy and lack of understanding. Creatives primarily want to use AI to save time on mundane tasks and boost productivity.
Organizational culture includes values, norms, systems, symbols, language, assumptions, beliefs, and habits that influence employee behaviors and how people interpret those behaviors. It is important because culture can help or hinder a company's success. Some key aspects of Netflix's culture that help it achieve results include hiring smartly so every position has stars, focusing on attitude over just aptitude, and having a strict policy against peacocks, whiners, and jerks.
PEPSICO Presentation to CAGNY Conference Feb 2024Neil Kimberley
油
PepsiCo provided a safe harbor statement noting that any forward-looking statements are based on currently available information and are subject to risks and uncertainties. It also provided information on non-GAAP measures and directing readers to its website for disclosure and reconciliation. The document then discussed PepsiCo's business overview, including that it is a global beverage and convenient food company with iconic brands, $91 billion in net revenue in 2023, and nearly $14 billion in core operating profit. It operates through a divisional structure with a focus on local consumers.
Content Methodology: A Best Practices Report (Webinar)contently
油
This document provides an overview of content methodology best practices. It defines content methodology as establishing objectives, KPIs, and a culture of continuous learning and iteration. An effective methodology focuses on connecting with audiences, creating optimal content, and optimizing processes. It also discusses why a methodology is needed due to the competitive landscape, proliferation of channels, and opportunities for improvement. Components of an effective methodology include defining objectives and KPIs, audience analysis, identifying opportunities, and evaluating resources. The document concludes with recommendations around creating a content plan, testing and optimizing content over 90 days.
How to Prepare For a Successful Job Search for 2024Albert Qian
油
The document provides guidance on preparing a job search for 2024. It discusses the state of the job market, focusing on growth in AI and healthcare but also continued layoffs. It recommends figuring out what you want to do by researching interests and skills, then conducting informational interviews. The job search should involve building a personal brand on LinkedIn, actively applying to jobs, tailoring resumes and interviews, maintaining job hunting as a habit, and continuing self-improvement. Once hired, the document advises setting new goals and keeping skills and networking active in case of future opportunities.
The 2024 social media marketing trends report highlights significant shifts influenced by generative AI, including the emergence of personalized content, the rise of virtual influencers, and a stronger focus on user-generated content. Insights were gathered from 33 experts across 23 leading independent agencies, providing a perspective that emphasizes creativity and authenticity in marketing strategies. Key trends also include the blending of B2B and B2C approaches, reflecting changes in consumer behavior and the evolving landscape of social media engagement.
Trends In Paid Search: Navigating The Digital Landscape In 2024Search Engine Journal
油
The document discusses trends in paid search for 2024, highlighting changes in user behavior, the implications for financial services, and privacy challenges. It emphasizes the importance of adapting search strategies, utilizing AI-driven tools like performance max and smart bidding, and leveraging first-party data for better marketing efficacy. Key takeaways include holistic SEO and SEM approaches, monitoring shifting user intents, and the need for continuous performance evaluation.
5 Public speaking tips from TED - Visualized summarySpeakerHub
油
The document outlines five public speaking tips from Chris Anderson, TED Talks curator, emphasizing the importance of eye contact, vulnerability, humor, humility, and storytelling. These skills are presented as essential for engaging audiences effectively and are increasingly valuable in today's economy. The article posits that mastering these techniques can enhance speakers' ability to communicate ideas powerfully.
ChatGPT and the Future of Work - Clark Boyd Clark Boyd
油
The document provides an overview of generative AI, particularly focusing on ChatGPT and its implications for business and the job market. It discusses the rapid growth of generative AI, its applications in marketing, and the skills needed for the AI era while addressing potential job displacement and the need for adaptation. The agenda includes a Q&A session and emphasizes rethinking work in collaboration with AI technology.
The document provides career advice for getting into the tech field, including:
- Doing projects and internships in college to build a portfolio.
- Learning about different roles and technologies through industry research.
- Contributing to open source projects to build experience and network.
- Developing a personal brand through a website and social media presence.
- Networking through events, communities, and finding a mentor.
- Practicing interviews through mock interviews and whiteboarding coding questions.
Google's Just Not That Into You: Understanding Core Updates & Search IntentLily Ray
油
1. Core updates from Google periodically change how its algorithms assess and rank websites and pages. This can impact rankings through shifts in user intent, site quality issues being caught up to, world events influencing queries, and overhauls to search like the E-A-T framework.
2. There are many possible user intents beyond just transactional, navigational and informational. Identifying intent shifts is important during core updates. Sites may need to optimize for new intents through different content types and sections.
3. Responding effectively to core updates requires analyzing "before and after" data to understand changes, identifying new intents or page types, and ensuring content matches appropriate intents across video, images, knowledge graphs and more.
The document provides essential tips on how to handle difficult conversations in a workplace setting, emphasizing the importance of preparation, environment, and timing. It highlights that many employees dread such conversations, often leading to avoidance and worsening situations. Ultimately, the guide aims to promote positive outcomes while maintaining professional relationships.
The document discusses the rise and importance of data science and machine learning, highlighting the growing demand for data scientists and the challenges they face. It explains machine learning concepts such as supervised and unsupervised learning, along with various real-world applications and the necessary steps involved in a machine learning workflow. Additionally, the document emphasizes the iterative process of model improvement and feature engineering used to enhance machine learning outcomes.
Time Management & Productivity - Best PracticesVit Horky
油
The document outlines best practices for time management and productivity, focusing on effective meeting habits, structured work blocks, and the importance of reflection and goal setting. It emphasizes the need for proper planning, the use of appropriate tools, and prioritizing tasks to enhance both personal and team efficiency. Additionally, personal anecdotes and strategies are shared to encourage a positive mindset and enjoyment in achieving work-related goals.
The six step guide to practical project managementMindGenius
油
The document outlines a simplified six-step guide to project management designed for individuals lacking formal training. It emphasizes the importance of understanding project objectives, gathering stakeholder requirements, defining project scope, scheduling tasks, monitoring progress, and conducting a retrospective meeting. Additionally, it promotes the use of the MindGenius tool for effective project planning and execution.
2. I am Denisse Santiago Burgos. I live in Cayey, Puerto Rico. I am 18 years ago. I study at the University of Puerto Rico in Cayey. I study in the Department of Mathemathic. I plan to have my pharmacy.