The document summarizes budgets and expenditures for the Prevention Services Division (PSD) of the Colorado Department of Public Health and Environment for fiscal years 2010-11 and 2011-12. It shows that in 2010-11, PSD expenditures were $197 million with 169 FTEs, while total CDPHE expenditures were $409 million with 1,149 FTEs. For 2011-12, the PSD budget totals $210.8 million, including $16.5 million for personal services, $185.5 million for grants and contracts, and $5.2 million for other operating costs. The division budget will be used for operating within constraints, modeling potential cuts, tracking FTEs and vacancies, and
The document shares information about a person's family members including their mother, father, brother, grandmother, aunt, and cousins. It also lists their favorite color as red, favorite football team as Real Madrid, favorite actor as Miley Cyrus, favorite food as something tasty, and favorite number as seven. Their two favorite TV programs are listed as iCarly and Fisica o Quimica.
The document describes the design and construction of a tracking solar oven. It has a fixed pedestal base that allows it to rotate on an axis to track the sun throughout the day, either manually or automatically. It uses both mirrors and a flat plate collector to concentrate sunlight and increase heat inside an insulated cooking chamber. The tracking mechanism uses a small amount of electricity to power rotation. Total materials cost to build the oven is approximately $300.
This document provides dendrochronological dating results for wood samples from an archaeological site in Odense, Denmark. Seventeen samples from a 3-tier well and eleven samples from medieval latrines were dated to the mid-14th century AD. Sample identifiers and precise felling date ranges from 1338-1363 AD are listed. Comparison t-values between samples indicate they likely come from the same tree in several cases. The results help date construction phases and use of the features at the Thomas B Thriges Gade site in Odense.
This document discusses various cardiovascular conditions including:
- Valvular heart diseases such as aortic stenosis, mitral stenosis, tricuspid incompetence, mitral incompetence, and pulmonary hypertension.
- Congenital heart diseases including atrial septal defect, patent ductus arteriosus, tetralogy of Fallot, and coarctation of the aorta.
- Arrhythmias like atrial fibrillation including its causes, complications, management, and use of anticoagulants. Other arrhythmias discussed are causes of syncope.
- Coronary artery diseases such as manifestations, diagnosis, and management of myocardial infarction, complications of MI, risk factors for coronary atherosclerosis
This document discusses why every girl is a princess through her relationship with Jesus Christ. It provides six reasons:
1. As daughters of the King (Jesus), girls have inherent worth and should behave as princesses.
2. As ambassadors of Jesus, girls represent him through their conduct and behavior.
3. As servants of Jesus, girls should seek to help others in need on his behalf.
4. Jesus dwells within girls, so they can communicate with him intimately through prayer.
5. Jesus accepts friendship with people and is described as a friend in the Bible.
6. Girls are precious copies of Jesus, with people seeing him through their faces, speech and
This document summarizes recent advances in electrophysiology technologies:
1. New devices include dual chamber leadless pacemakers and a multi-electrode balloon catheter for radiofrequency ablation.
2. Subcutaneous ICDs eliminate transvenous leads, and a leadless CRT system is in development.
3. Improved ablation technologies include laser and radiofrequency balloon catheters.
4. Wearable and implantable devices are replacing Holter monitors for arrhythmia detection.
5. New electroanatomical mapping systems provide higher resolution maps.
6. MRI and ultrasound guidance are being used to visualize ablation effects.
7. Smartwatches can detect atrial fibrillation with E
The document summarizes budgets and expenditures for the Prevention Services Division (PSD) of the Colorado Department of Public Health and Environment for fiscal years 2010-11 and 2011-12. It shows that in 2010-11, PSD expenditures were $197 million with 169 FTEs, while total CDPHE expenditures were $409 million with 1,149 FTEs. For 2011-12, the PSD budget totals $210.8 million, including $16.5 million for personal services, $185.5 million for grants and contracts, and $5.2 million for other operating costs. The division budget will be used for operating within constraints, modeling potential cuts, tracking FTEs and vacancies, and
The document shares information about a person's family members including their mother, father, brother, grandmother, aunt, and cousins. It also lists their favorite color as red, favorite football team as Real Madrid, favorite actor as Miley Cyrus, favorite food as something tasty, and favorite number as seven. Their two favorite TV programs are listed as iCarly and Fisica o Quimica.
The document describes the design and construction of a tracking solar oven. It has a fixed pedestal base that allows it to rotate on an axis to track the sun throughout the day, either manually or automatically. It uses both mirrors and a flat plate collector to concentrate sunlight and increase heat inside an insulated cooking chamber. The tracking mechanism uses a small amount of electricity to power rotation. Total materials cost to build the oven is approximately $300.
This document provides dendrochronological dating results for wood samples from an archaeological site in Odense, Denmark. Seventeen samples from a 3-tier well and eleven samples from medieval latrines were dated to the mid-14th century AD. Sample identifiers and precise felling date ranges from 1338-1363 AD are listed. Comparison t-values between samples indicate they likely come from the same tree in several cases. The results help date construction phases and use of the features at the Thomas B Thriges Gade site in Odense.
This document discusses various cardiovascular conditions including:
- Valvular heart diseases such as aortic stenosis, mitral stenosis, tricuspid incompetence, mitral incompetence, and pulmonary hypertension.
- Congenital heart diseases including atrial septal defect, patent ductus arteriosus, tetralogy of Fallot, and coarctation of the aorta.
- Arrhythmias like atrial fibrillation including its causes, complications, management, and use of anticoagulants. Other arrhythmias discussed are causes of syncope.
- Coronary artery diseases such as manifestations, diagnosis, and management of myocardial infarction, complications of MI, risk factors for coronary atherosclerosis
This document discusses why every girl is a princess through her relationship with Jesus Christ. It provides six reasons:
1. As daughters of the King (Jesus), girls have inherent worth and should behave as princesses.
2. As ambassadors of Jesus, girls represent him through their conduct and behavior.
3. As servants of Jesus, girls should seek to help others in need on his behalf.
4. Jesus dwells within girls, so they can communicate with him intimately through prayer.
5. Jesus accepts friendship with people and is described as a friend in the Bible.
6. Girls are precious copies of Jesus, with people seeing him through their faces, speech and
This document summarizes recent advances in electrophysiology technologies:
1. New devices include dual chamber leadless pacemakers and a multi-electrode balloon catheter for radiofrequency ablation.
2. Subcutaneous ICDs eliminate transvenous leads, and a leadless CRT system is in development.
3. Improved ablation technologies include laser and radiofrequency balloon catheters.
4. Wearable and implantable devices are replacing Holter monitors for arrhythmia detection.
5. New electroanatomical mapping systems provide higher resolution maps.
6. MRI and ultrasound guidance are being used to visualize ablation effects.
7. Smartwatches can detect atrial fibrillation with E
1) Sudden cardiac death is a major public health problem, causing hundreds of thousands of deaths in the US each year. The most common causes are coronary artery disease and structural heart diseases.
2) Early recognition of SCD and initiation of cardiopulmonary resuscitation significantly improves chances of survival. Defibrillation within 5 minutes of cardiac arrest from ventricular fibrillation is critical.
3) New guidelines emphasize the importance of continuous chest compressions, use of automated external defibrillators, capnography to monitor CPR quality, and therapeutic hypothermia after resuscitation from cardiac arrest.
The document discusses junctional rhythms and disturbances. It describes how junctional rhythms can occur when retrograde conduction is impaired, resulting in AV dissociation with the ventricular rate usually faster than the atrial rate. An accelerated junctional rhythm is seen in patients with heart disease and is commonly caused by digitalis intoxication, acute myocardial infarction, surgery, or myocarditis. Occasionally, there can be exit block of the junctional impulse, slowing the ventricular rate. Junctional rhythms are evaluated based on the relationship between P waves and QRS complexes.
A beautiful paper published by Eugene Braunwald
European Heart Journal, Volume 42, Issue 24, 21 June 2021, Pages 2327–2328, https://doi.org/10.1093/eurheartj/ehab264
The document provides the 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation (AF) developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). It was created by the AF Task Force of the ESC with contributions from the EHRA. The Task Force included experts from various European countries who provided recommendations for the definition of AF, screening, diagnosis, assessment, and integrated management of AF patients. The guidelines represent an update based on recent clinical evidence and aim to improve diagnosis and optimize treatment strategies for AF.
The document is titled "Cardio Alex 2021 Electrophysiology Program" and was uploaded by Samir Rafla. It appears to be information about an electrophysiology program for the year 2021, though no other details are provided in the short title and uploader information given.
The document provides an agenda for the Rare Cardiomyopathies session taking place from 11:00-12:00 in Delegate Hall. It lists the chairpersons and presentations in order, including topics like Arrhythmogenic right ventricular dysplasia, Left ventricular non-compaction cardiomyopathies, Pacing-induced cardiomyopathy, and Peripartum cardiomyopathy. Each presentation is scheduled for 15 minutes including discussion.
God created the heavens and the earth. Initially, the earth was formless and empty with darkness covering the deep. However, the Spirit of God was hovering over the waters. God then spoke light into existence and separated it from the darkness. He called the light "day" and the darkness "night," marking the first day. On the second day, God created an expanse to separate the waters above from the waters below, calling it the "sky."
This document contains the text of the Gospel of John from the Holy Bible. It recounts the works and teachings of Jesus Christ according to the Apostle John. Over 21 chapters, it describes Jesus turning water into wine at a wedding in Cana, cleansing the temple in Jerusalem, conversing with Nicodemus about being born again, speaking with a Samaritan woman at a well, performing miracles such as healing a royal official's son, teaching crowds about being the bread of life, and appearing after his resurrection to his disciples. The Gospel emphasizes Jesus' divine nature and mission to bring salvation and eternal life.
This document is the Gospel of Luke chapters 1-2 from the Holy Bible. It describes the birth and early life of Jesus Christ. In chapter 1, it describes Jesus' conception and the births of John the Baptist and Jesus. Zacharias and Elizabeth conceive John the Baptist, while Mary conceives Jesus after being visited by the angel Gabriel. In chapter 2, it describes Jesus' birth in Bethlehem and presentation at the Temple, as well as his childhood years growing up in Nazareth.
This summary provides the key details from the document in 3 sentences:
The document describes Jesus beginning his ministry by being baptized by John the Baptist. Jesus calls his first disciples and teaches with authority in the synagogues. Jesus heals many who are sick or possessed by demons, and teaches the crowds using parables about the kingdom of God.
The document provides background on the four Gospels of the New Testament - Matthew, Mark, Luke, and John. Though each Gospel was written separately, they all aim to convey God's favor toward humanity through Jesus Christ. The document then focuses on an overview of the Gospel of Matthew, summarizing each chapter in a few sentences to preview the key events and teachings contained therein, such as Jesus' birth, baptism, temptation, and beginning of his ministry.
This document provides information on valvular heart disease, focusing on mitral stenosis and mitral regurgitation. It discusses the etiology, pathophysiology, symptoms, physical exam findings, diagnostic testing, and treatment recommendations for each condition. Mitral stenosis is typically caused by rheumatic fever and leads to pulmonary hypertension from elevated left atrial pressures. Mitral regurgitation can result from several causes including rheumatic heart disease, papillary muscle dysfunction, and mitral valve prolapse. Physical exam findings help distinguish the murmurs associated with each condition. Echocardiography is important for diagnosis and determining treatment approach.
The document discusses approaches to treating different types of ventricular arrhythmias that can occur after a myocardial infarction, including conservative management of premature ventricular contractions, use of antiarrhythmic drugs like lidocaine and amiodarone for ventricular fibrillation and tachycardia, and recognizing reperfusion arrhythmias that may not require treatment. It also provides recommendations for evaluating patients at higher risk of arrhythmias and managing electrical storm through correcting underlying issues, antiarrhythmic drugs, and device programming.
This document summarizes the diagnosis, management, and treatment of COVID-19 infection. It describes the clinical symptoms and stages of the disease from mild to severe. Laboratory findings associated with different stages are provided. The principles of treatment include antiviral drugs, immunomodulators, corticosteroids, and other supportive care. Cardiovascular complications are common and include myocarditis, acute myocardial infarction, and heart failure. One case study describes a patient presenting with fulminant myocarditis and cardiogenic shock due to coronavirus infection who was successfully treated with medications to suppress inflammation, regulate the immune system, and support heart function.
1. Atrial fibrillation (AF) is classified based on duration and presence of symptoms, including first diagnosed, paroxysmal (<7 days), persistent (≥7 days), long-standing persistent (≥12 months), and permanent.
2. Risk factors for incident AF include structural heart disease, hypertension, obesity, smoking, diabetes, and age.
3. Treatment recommendations include long-term antiarrhythmic drugs like amiodarone, dronedarone, and flecainide/propafenone based on patient characteristics, as well as cardioversion and catheter ablation.
This document provides an overview of pacemakers and implantable cardioverter defibrillators (ICDs). It discusses the different types of pacemakers including single-chamber pacemakers (VVI), dual-chamber pacemakers (DDD), and biventricular pacemakers (CRT). It outlines the indications for pacemaker and ICD implantation and reviews potential complications of the procedures such as infection, lead issues, and pacemaker syndrome. Guidelines for device implantation and management are summarized including recommendations on timing after heart events, upgrades, and device selection. Risks associated with dual chamber devices are also mentioned.
This document provides guidelines for the diagnosis and treatment of heart failure, including recommendations on tests such as transthoracic echocardiography, brain natriuretic peptide levels, and cardiac imaging. It discusses the types of heart failure with preserved or reduced ejection fraction. The guidelines also cover medical therapies like angiotensin converting enzyme inhibitors, mineralocorticoid antagonists, angiotensin receptor neprilysin inhibitors, and devices for cardiac resynchronization or left ventricular assistance. Optimum medical therapy is emphasized.