...Heart Blocks 7/ 2005 Hi all. Yet another one, which occurred to me that I should do about two weeks ago, when a patient was doing some pretty strange things on the monitor. As usual, please remember that this is not meant to be an official reference, but is supposed to represent the information that a preceptor would pass on to a new orientee in the unit. Please get back to me if things aren’t clear, have been left out, or are just plain wrong, and I’ll fix them up right away. Thanks! 1- What is a heart block? 2- What exactly is being “blocked” in heart block? 2-1- The key idea: all of the time, some of the time, none of the time… 2-2- It can not be that simple… 3- Why do heart blocks happen? 4- What are the three types, or degrees of heart block? What is a “dropped beat”? 4-1- A normal rhythm for reference. 4-2- First degree heart block. 4-3- Second degree heart block. 4-3-1- Second degree, type 1: Wenckebach/ Mobitz 1 4-3-2- Second degree, type 2: Mobitz 2 4-4- How I tell them apart? 4-5- Third degree (complete) heart block. 5- A puzzler… 6- What is the treatment for heart block? 7- Where can I learn more about pacemakers? 1- What is a heart block? Heart block is a kind of arrhythmia, usually caused by ischemia or an MI. There are three kinds, or degrees of heart block, and although sometimes people get confused about them, actually they’re pretty simple to...
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...seemed, as my mother would say “peaches and cream.” After a few hours of conversing with my present family, my grandparents departed to their house. I cannot accurately recall detail by detail what happened that night. And the thought of the night brings unquenchable tremors to my body. At best what my mind failed to block for my sanity were the shout, the crying, the muffled words. My parents were having a discussion. Then I heard my mom's call to the room where she was in, talking to my dad. I reiterate by saying that for the sake of my sanity I subconsciously blocked parts of my memory that would have either scarred me or would have changed who I am now. All I truly remember are a few blurred seconds of my parents tribbing over something. I also remember the 7 words that changed me, the words that marked my transition from what I was to what I am now. My father said “I'm leaving, but I promise I'll return.” At the time I was a very emotional guy. I was socially active, always happy; in other words a people person. But at that moment I broke. I stopped functioning, feelings I had never felt began to brew. It was as if my thoughts and emotions were nuclear plant mid...
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...-changes in family lives reflect material change (ex, the mode of production, industrialization) macro-micro focus -power differences characterize society at all levels (ex, capitalism creates: exploitation of men in the workforce; oppression of women b) Political Economy -assumes the power of the one class over another (social control), capitalist relations of production -a more concentrated focus on how economic and political processes shape society and history and therefore family, families c) Structural Functionalism Parsons & Bales -the social institution of the family - family is seen as a function, and different parts of society helps it move along -the nuclear family performs functions -they saw the families as a main faction, economic support, these functions that happen in nuclear families include economic support -equilibrium, all parts help it work as a whole -hierarchical generations and role specialization within families produces harmony -the different roles that men and women take on, allows the family be a harmony -parsons and bales, gendered perspective on families, families having instrumental roles such as achieving income, feed the family, cloth the family, this would be men 2. Symbolic Interactionism Mead & Cooley - individuals create their own family realities through micro level interactions -from this perspective families are created and understood and practiced through symbolic communication by meanings that are shared - the...
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...“HOW TOPROMOTE PEACE” |Peace Education | http://missmakanani.blogspot.com/2007/07/50-ways-to-promote-peace.html 1. Make friends with someone of another race, ethnicity, age, ability, or sexual orientation. Appreciating and embracing diversity helps to promote peace. 2. Get to know your neighbors. It’s hard to reclaim peace without a sense of community. 3. Take an adventure to neighborhoods of your town or country that are ethnically focused to appreciate diverse cultures. Cross-cultural understanding is key to building peace. 4. Travel to learn. Get first-hand experience in how things happen in other places and bring home questions about how you do things at home. 5. Drive with patience and tolerance. Keep the peace on our streets and highways. 6. Listen more. Really listen, without giving unsolicited advice. The validation of being heard is often more important than solving the problem. 7. Spend time with a youngster. This can often remind us of the meaning of a peaceful world. 8. Practice the art of patience. Be careful not to rush to judgment or action. 9. Start peace...
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...INTERVIEW AND UNDERSTANDING OF ISLAMIC RELIGION April 20, 2013 HUMN130 Religions of the World Interview and Understanding of the Islamic Religion First I wanted to get a general understanding of the exact religion and people who practice Islamic Faith. I learned that a Muslim is a person who practices Islam. Islam is the name of the religion. Muslims sometimes claim that there is no Muslim culture, only a Muslim religion. However, people in today's society do not acknowledge this distinction since we view religion as one aspect of one's culture. Muslim culture generally includes all the practices which have developed around the religion of Islam. Muslims are obligated to follow the practices of Islam in every detail in daily life. These practices are dictated by the Qur'an of Koran. The Muslim's sacred book, which is considered to be the final word of God. These practices are reported to be the practices and sayings of the prophet Muhammad. There are several cultural aspects of the Islam religion that Muslims practice. For example, there are five major tenets (pillars) in the Islam religion a Muslim is expected to follow. The first is "There is only on God (Allah) and Muhammad is the Messenger of God". The other four are the practical obligations of daily prayer, fasting, paying annual money to be distributed among the poor, and making the pilgrimage to Mecca. Islam is considered the fastest growing religion in the world. There are approximately 1.3 billion...
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...The earth feels smaller whenever a new telecommunication device is introduced to the market, or anytime footage of a unique event or an action in the world is shared in cyberspace for everyone to see; these are small affects of globalization in life. Globalization integrates economy and cultures of different regions of the world through trading, telecommunication, technology, human migration, and capital flows. Incentive of the integration may be economic, political, cultural, technological or humanitarian. George Ritzer’s invented term, McDonaldization, is a subset of the globalization phenomenon. Ritzer compares globalization with characteristic of a fast-food restaurant. The characteristic includes measuring efficiency by pace of serving customers, which means the fastest worker is the efficient one; getting a large amount of food in a very low price; receiving constant and predictable service from distinctively similar workers. Ritzer believes the fast-food characteristic is dominating different sectors of American society and the entire world. In fact, this is the irresistible effect of globalization. The phenomenon, which Ritzer calls McDonaldization, is neither new nor destructive; it is just how firms coexist in free comparative market. Accepting globalization instead of resisting it, would help to promote global prosperity. Educating different aspects and strength points of globalization and its impacts on economy, culture and politic would ease the acceptance. Globalization...
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...Executive Summary: Our group decided to work with Walt Disney Company for operating a theme park in Taiwan. After doing some research on Taiwan local culture and environment it really helps us to know more about this “Treasure Island” which is the place that we decided to operate business. At first of course we were doing some research about our partner Walt Disney Company. As we know this huge company does have an intention to consider Taiwan as viable location to import their company product for long time ago. Taiwan’s island population concentration of 641.24 km2, which is only second to Bangladesh’s 1,101.2 km2, would cause great desire to have the Disneyland and Resorts, especially in the southern part of Taiwan which is where all the good beaches reside. For the Geographical setting of Taiwan, we found that it have both advantage and drawback for us when operating a theme park business here. Advantage is Taiwan is a small island which means the entire Taiwanese or tourist that came to Taiwan may easily come to visit our theme park, unlike Japan or United States; tourist might not easily or have no time to visit every single place in those big countries. But on the other hands, we also might not able to find an suitable huge place to held theme park in such a small island, especially these place already have plenty of theme park as well. For aware this challenge, we have a good strategy to resolve it, that is take over or work with one of the local theme park, the...
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...hand, such that some of the DPRK’s citizens have resorted to cannibalism. The majority of North Korea’s population relies solely on food rations, like pennies on a dollar; the amount of people relying on rations far outweighs the total amount of food being distributed. The World Food Program (WFP) indicates that food rations in 2005 were at approximately 200-250 grams per person per day, approximately 50 percent of the internationally-recommended minimum calorie intake (“Mass-Starvations in North Korea”). Mrs. Ju, a citizen of North Korea, states “Every day you wake up in the morning and you wonder what you are going to eat, and you worry all the time” (Lim). Although North Korea is showing a very slight increase in food abundance; i.e. new meat shops, restaurants, markets, etc., the...
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...this from happening but companies still practice it. Groups like the EEOC (equal employment opportunity commission) were created to enforce laws against discrimination in the work place. Some things we can do to change this is to look at person for their work ethic and quality and ignore the color of their skin or whether they are male or female. Through history we have tried to make everyone have the same standing in society which is called pluralism. We would take groups and “Americanize” them; you can see this in what we did to the Native Americans. Also we have segregated groups some by force, like the Jim Crow laws in the south, but others are by choice like the groups of the Amish. Reaction: In my life I have seen this happen on the news and in newspapers multiple times. That is why I have known about this social problem since I was younger. I think it’s shocking that companies can’t discriminate when it comes to hiring employees and yet they still do it. I hope that when I get out of college and looking for a job that I won’t be involved in some time of discrimination. I believe I won’t do this personally because I grew up in a town with a diverse...
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...Milken Institute Forum on Sept. 21 on “How the Internet Is Changing Our Social, Political, and Economic Lives.” The following is an edited transcript of his remarks. “How the Internet Is Changing Our Social, Political, and Economic Lives” Thank you. I am overwhelmed at this turnout. I don’t think it’s for me. You must be interested in this Internet thing we’re all talking about. But before we talk about all this, I’m going to tell you a little bit about how I got interested in the Internet, and how this ties into some of the work I’m doing. About three years ago, I discovered something that was really compelling to me. I discovered that television viewing among kids under the age of 14 was down for the first time in the history of television. For the first time in the 51 years of television, since 1948, kids had found something they liked as much or more than television — computers and the Internet. And this made me, as a social scientist, begin to realize that this technology phenomenon, which is not a fad, really will affect everything, and will transform much. It will have an influence like the printing press did, I believe, on just about everything. And I want to demonstrate some of that today. We can already see some of that beginning to happen. Alan Greenspan, a few months ago, called the Internet “the engine of the economic expansion.” It’s been linked as the single biggest cause of the increase in productivity. As we do some historical comparisons to television...
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...South of Dorchester Park, parents didn’t walk their bright-eyed Johnnies alongside a well-groomed Akita. Instead, Little John cruised with the family Rottweiler to coax milk money and “ciggies” from unfortunates. The songs of children’s laughter often resounded from the local playgrounds whenever someone took a beating. The numb-eyed Johnnies didn’t attend play dates with other disturbed kids; they collaborated when the punk became Big John and formed a crew. Public safety initiatives followed distinctive protocols depending on the neighborhood. The rules favored a different god on Beacon...
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...Countdown The central Sun is dying. Our Galaxy was falling apart. My grandmother has told me long ago that when she was young she had seen it in full brightness and the transparent artificial heat amplifier sky under the clouds was not required. All the girls born from my mother worked in the underground rock mine used for power generation. My mother was classified class II and sent to care for the kids of working mothers. We all had the same routine, wake up on the central alarm, auto clean mode, take daily medicines for radiation, eat breakfast pills and get to the mine in underground personal or group bots. I would have never found this any different had I not discovered my grandmother’s diary. We were not allowed to have any stuff other than standard issue body cover. The living hives were swept every sunrise, but I had long memorized the meaningless sentences. It spoke about men living with women – a vague term starting with F, if I’m not wrong family then manufacturing breakfast pills called food, again F. There are many confusing things like Fun, happy, Love and that consummate, I think that would be the word to make babies. We had many planets like us in the Milky Way Galaxy. Each planet is explained vividly in her book. One made of only rocks, one without the power to hold us and we float all the time (giggle, in lower volume. Volume is monitored). Then my Grandma’s favorite, the blue one with lots of people with different body covers, languages and she says she’s...
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...Journal of Economic Development, Management, IT, Finance and Marketing, 6(1), 61-76, March 2014 61 Effectiveness of Cartoon Character’s in Creating Brand Preferences Among kids Ajay Jose Bharathiyar University, Coimbatore, India joseajay@gmail.com Dr. K. P. Saraswathiamma K P FISAT Business School, Angamaly, India mcpanicker@gmail.com Abstract Kids mean business to marketers. Around 40 crore kids below the age of 15 are India’s most conspicuous consumers, lapping up not just toys, eatables, gadgets, phones and clothes but also counseling their parents on big-ticket purchases. Intense competition to tap this young aspiring segment has seen big players relying on high spends advertisements, cross-selling, licensed merchandising, program length commercials, product placement and promotions involving free gifts. The researcher has tried to analyse the association of cartoon characters with brands in inducing Brand Preference among kids. Key Words: Branding, Cartoon characters, Kids, Endorsements, Consumer buying behavior, Advertising Effectiveness Introduction Children have a big say in family decision to purchase many products. Marketers are trying to cash on the children’s ability to nag their parents to induce purchase. Pester power is a child’s ability to affect their parents purchase decision, often through the use of nagging or pestering. Seth Gaurav et al. (2008) defines pester power as “the nagging ability of children to purchase the Journal...
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...1. Introduction The Wesfarmers Coal division, with mining interests throughout Australia, is part of Wesfarmers Limited, a major diversified Australian public company. They only produce thermal (steam) coal and metallurgical (coking) coal, with the latter being exported (Figure A). As shown in Figure B coking coal is priced much higher than thermal coal. The firm’s coal interests include the Curragh mine in Queensland’s Bowen Basin, the Premier Coal mine at Collie in Western Australia’s south west, and a 40 per cent interest in the Bengalla mine in the Hunter Valley of New South Wales. Before analysing the challenges, it is beneficial to examine the market Wesfarmers operates in. The marketplace for coal is domestic, with the majority exported on the global market. The coal industry can be described by the classic perfect competition model via the following characteristics (Earl & Wakeley, 2005: 226-227): • Large number of potential buyers (global market) • Large number of potential competitors. World Coal Institute estimates that recoverable coal reserves are in more than 70 countries and supply will last approximately 155 years (World Coal Institute: 2007). • Large number of current competitors. Each competitor sells a perfect substitute for Wesfarmers coal. • There is no price regulation in the coal industry. According to Earl and Wakeley (2005: 227), these characteristics would make Wesfarmers a price-taking firm which has no control of the price it charges...
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...ccesses | | Document access, page accesss, site access, file access | ADSL | Asymmetric Digital Subscriber Line | A DSL line where the upload speed is different from the download speed. usually the download speed is much greater. | Adware | | Adware, or advertising-supported software, is any software application in which advertisements are displayed while the program is running. These applications include additional code that displays the ads in pop-up windows or through a bar that appears on a computer screen. | All the Web | | FAST, One of the fastest and most comprehensive of the search engines, but sadly used by only a very small fraction of searchers. This excellent resource is now bought out and used by Lycos a an internet resource | alt tags | | Image tags | Alta Vista | | A search engine which has declined in terms of percentage of the total search market over the past decade, but now seems to have stabilised and perhaps increased its share in certain regions of the world. It incorporates a paid express submission program called InfoSpider | Applet | | A small Java program that can be embedded in an HTML page. It differs from full-fledged Java applications in that cannot access certain resources on the local computer; and is prohibited from communicating with most other computers across a network. The common rule is that an applet can only make an internet connection to the computer from which the applet was sent. | ASCII | American Standard...
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