The signs of prophet Isa (Jesus's) (pbuh) second coming. englishHarunyahyaEnglish
The document provides biographical information about Harun Yahya, the author of the book. It states that Harun Yahya was born in Ankara in 1956 and studied arts and philosophy in Istanbul universities. Since the 1980s, he has published many books refuting Darwinism and materialism. His books aim to encourage critical thinking about God and dismantle godless ideologies. Harun Yahya's books have been translated into many languages and have helped many people strengthen or recover their faith.
The document discusses the top four advantages of a Roth IRA: 1) Tax-free retirement income since contributions are taxed upfront, 2) Freedom to continue making contributions and avoid required minimum distributions past age 70 1/2, 3) Ability to pass the Roth IRA to heirs tax-free, and 4) Flexibility to withdraw contributions penalty-free for certain qualified expenses prior to retirement. A Roth IRA can be a valuable retirement savings tool if used correctly as part of an overall retirement plan.
This document discusses common mistakes that Spanish students make when learning English, the causes of these mistakes, and exercises to help correct them. It identifies mistakes in areas like grammar, pronunciation, and spelling that are influenced by the structures of the Spanish language. The document analyzes mistakes with verbs, word order, question formation, sounds, and spelling. It provides exercises for students to practice and overcome mistakes in areas like verb agreement, adjective placement, auxiliary use, pronunciation of specific sounds, and reading words as written. The overall goal is to help students recognize mistakes as a natural part of learning, and find ways to avoid them in the future.
Este documento resume los orígenes y desarrollo de la Primera Guerra Mundial. Comenzó en 1914 debido a una serie de alianzas militares entre las potencias europeas y el asesinato del archiduque Francisco Fernando de Austria. Se extendió para involucrar a más países y terminó en 1918 luego de que Estados Unidos se uniera a la guerra a favor de la Triple Entente. El Tratado de Versalles impuso duras condiciones a Alemania y reorganizó el mapa político de Europa.
Kalamullah.Com is an Islamic website that provides resources to learn about Islam including books, audio lectures, and video lectures from prominent scholars. The site aims to convey Islamic knowledge and teachings based on evidence and reasoning found in the Quran and authentic Hadith. It seeks to present Islam as a rational and moderate religion that appeals to the intellect.
This webinar presentation discusses technology trends in the fitness industry. The presentation is given by Bryan O'Rourke, president of the Fitness Industry Technology Council, and moderated by Greg Skloot. Key topics that will be covered include an overview of the technology revolution in fitness, five upcoming tech trends to know about, and how to stay ahead during changing times. The presentation suggests that the fitness industry is undergoing changes driven by increasing smartphone and wearable device usage among members. Specific trends that will be discussed are changes in business models, personalization of fitness through data and devices, the wearable revolution, the internet of things, and smart optimization of facilities and operations.
The signs of prophet Isa (Jesus's) (pbuh) second coming. englishHarunyahyaEnglish
The document provides biographical information about Harun Yahya, the author of the book. It states that Harun Yahya was born in Ankara in 1956 and studied arts and philosophy in Istanbul universities. Since the 1980s, he has published many books refuting Darwinism and materialism. His books aim to encourage critical thinking about God and dismantle godless ideologies. Harun Yahya's books have been translated into many languages and have helped many people strengthen or recover their faith.
The document discusses the top four advantages of a Roth IRA: 1) Tax-free retirement income since contributions are taxed upfront, 2) Freedom to continue making contributions and avoid required minimum distributions past age 70 1/2, 3) Ability to pass the Roth IRA to heirs tax-free, and 4) Flexibility to withdraw contributions penalty-free for certain qualified expenses prior to retirement. A Roth IRA can be a valuable retirement savings tool if used correctly as part of an overall retirement plan.
This document discusses common mistakes that Spanish students make when learning English, the causes of these mistakes, and exercises to help correct them. It identifies mistakes in areas like grammar, pronunciation, and spelling that are influenced by the structures of the Spanish language. The document analyzes mistakes with verbs, word order, question formation, sounds, and spelling. It provides exercises for students to practice and overcome mistakes in areas like verb agreement, adjective placement, auxiliary use, pronunciation of specific sounds, and reading words as written. The overall goal is to help students recognize mistakes as a natural part of learning, and find ways to avoid them in the future.
Este documento resume los orígenes y desarrollo de la Primera Guerra Mundial. Comenzó en 1914 debido a una serie de alianzas militares entre las potencias europeas y el asesinato del archiduque Francisco Fernando de Austria. Se extendió para involucrar a más países y terminó en 1918 luego de que Estados Unidos se uniera a la guerra a favor de la Triple Entente. El Tratado de Versalles impuso duras condiciones a Alemania y reorganizó el mapa político de Europa.
Kalamullah.Com is an Islamic website that provides resources to learn about Islam including books, audio lectures, and video lectures from prominent scholars. The site aims to convey Islamic knowledge and teachings based on evidence and reasoning found in the Quran and authentic Hadith. It seeks to present Islam as a rational and moderate religion that appeals to the intellect.
This webinar presentation discusses technology trends in the fitness industry. The presentation is given by Bryan O'Rourke, president of the Fitness Industry Technology Council, and moderated by Greg Skloot. Key topics that will be covered include an overview of the technology revolution in fitness, five upcoming tech trends to know about, and how to stay ahead during changing times. The presentation suggests that the fitness industry is undergoing changes driven by increasing smartphone and wearable device usage among members. Specific trends that will be discussed are changes in business models, personalization of fitness through data and devices, the wearable revolution, the internet of things, and smart optimization of facilities and operations.
This document summarizes a literature review on the causes of high prevalence of Type 2 Diabetes in Turkish and Moroccan immigrants in the Netherlands. The review finds several reasons for the high prevalence, including genetic factors, obesity, lower socioeconomic status, hypertension, and lifestyle factors like diet and physical inactivity. Migration is also found to influence prevalence, as immigrants often adopt a more western diet and lifestyle, which can increase obesity and diabetes risk. Overall, the review concludes that both immigration factors like changes to lifestyle and diet, as well as ethnic factors, contribute to the high rates of Type 2 Diabetes in Turkish and Moroccan immigrants in the Netherlands.
This document discusses the importance of culturally-responsive healthcare, especially for immigrant populations dealing with diabetes. It outlines two approaches - the cultural competence model and cultural safety model. The cultural safety model is preferred as it considers how social, economic, and political factors influence health and recognizes diversity within cultural groups. The document also examines culturally-responsive diabetes care, including different conceptions of health, treatment approaches, expectations of professionals, and the influence of social determinants. It provides examples of best practices for developing culturally-appropriate services and resources.
Providers who have typically heard, “If you build it they will come,” and have seen this hold true in several instances often find this is not readily the case with African immigrant survivors of domestic violence. There is not much improvement in the response to assessing services by providing “language translation” only. The practices, perception and priorities of the African immigrant survivor are crucial factors in seeking and receiving services. This workshop will provide information on how beyond language translation, cultural and societal issues can manifest as barriers and obstacles to African immigrant survivors assessing services.
La sociedad colonial chilena estaba dividida en estamentos basados en la raza y posición económica. La elite aristocrática estaba compuesta por españoles nacidos en la península que ocupaban los cargos públicos más altos, y criollos hijos de españoles que no podían acceder a esos cargos. Debajo de ellos estaban los sectores intermedios y el bajo pueblo, formado por artesanos, campesinos, indígenas y esclavos africanos.
Methodology of thesis 'research barriers in the implementation of reverse log...Irfan iftekhar
These are the barriers in the implementation of reverse logistics due to lack of interest and knowledge of top decision makers of the organizations. Besides when an entity's organizational capabilities are strong, it can progress smoothly, but when they are weak it can find it difficult to get the job done, making errors due to underestimating the problems. An organization's capability is its ability which can win over the barriers in the implementation of RL practices. This consists of the strategy of a company, its strategic plans, its commitment, employees' hiring and skills development, a working system of performance appraisal and supporting programs.
Este documento describe la coordinación entre un centro de educación de adultos y los programas subvencionados de aprendizaje a lo largo de la vida (PALV). Explica la historia y creación del centro, así como la evolución normativa de los PALV. También detalla la organización actual de los PALV en el centro, incluyendo la estructura, objetivos, programas ofrecidos, y mecanismos de coordinación con ayuntamientos y formadores.
Este documento describe los requisitos para tener derecho a los exámenes ordinario y extraordinario. Para tener derecho al examen ordinario, un estudiante debe haber presentado al menos 2 o 3 tareas ordinarias. Para tener derecho al examen extraordinario, un estudiante debe haber presentado tareas extraordinarias si no pudo presentarse al examen ordinario, o haber presentado al menos un bloque de tareas ordinarias.
El documento discute la novela "El señor de las moscas" de William Golding y su visión pesimista de la naturaleza humana. Golding cree que la capacidad para el mal no es exclusiva de una generación sino de la humanidad en general. Sus novelas exploran este tema a través de símbolos y la regresión al pensamiento salvaje para retratar de forma pesimista a los seres humanos.
Today, innovation in razors and blades is thwarted by a lack of new technology and increasing consumer reluctance to pay for the ‘‘latest and greatest’’ in shaving technology. Gillette relied on extensive research and development to create a single product for global distribution. The product was supported by a marketing premise that it would be equally valuable to customers globally.
El documento describe las motivaciones y el proceso del imperialismo colonial europeo entre 1871 y 1914. Las principales motivaciones fueron factores demográficos, económicos, políticos, científicos y sociales. Las potencias europeas establecieron diferentes tipos de colonias y expandieron sus imperios, particularmente el Imperio Británico, el Imperio Francés y el Imperio Alemán. El imperialismo tuvo consecuencias tanto para las metrópolis europeas como para las colonias.
This document summarizes a literature review on the causes of high prevalence of Type 2 Diabetes in Turkish and Moroccan immigrants in the Netherlands. The review finds several reasons for the high prevalence, including genetic factors, obesity, lower socioeconomic status, hypertension, and lifestyle factors like diet and physical inactivity. Migration is also found to influence prevalence, as immigrants often adopt a more western diet and lifestyle, which can increase obesity and diabetes risk. Overall, the review concludes that both immigration factors like changes to lifestyle and diet, as well as ethnic factors, contribute to the high rates of Type 2 Diabetes in Turkish and Moroccan immigrants in the Netherlands.
This document discusses the importance of culturally-responsive healthcare, especially for immigrant populations dealing with diabetes. It outlines two approaches - the cultural competence model and cultural safety model. The cultural safety model is preferred as it considers how social, economic, and political factors influence health and recognizes diversity within cultural groups. The document also examines culturally-responsive diabetes care, including different conceptions of health, treatment approaches, expectations of professionals, and the influence of social determinants. It provides examples of best practices for developing culturally-appropriate services and resources.
Providers who have typically heard, “If you build it they will come,” and have seen this hold true in several instances often find this is not readily the case with African immigrant survivors of domestic violence. There is not much improvement in the response to assessing services by providing “language translation” only. The practices, perception and priorities of the African immigrant survivor are crucial factors in seeking and receiving services. This workshop will provide information on how beyond language translation, cultural and societal issues can manifest as barriers and obstacles to African immigrant survivors assessing services.
La sociedad colonial chilena estaba dividida en estamentos basados en la raza y posición económica. La elite aristocrática estaba compuesta por españoles nacidos en la península que ocupaban los cargos públicos más altos, y criollos hijos de españoles que no podían acceder a esos cargos. Debajo de ellos estaban los sectores intermedios y el bajo pueblo, formado por artesanos, campesinos, indígenas y esclavos africanos.
Methodology of thesis 'research barriers in the implementation of reverse log...Irfan iftekhar
These are the barriers in the implementation of reverse logistics due to lack of interest and knowledge of top decision makers of the organizations. Besides when an entity's organizational capabilities are strong, it can progress smoothly, but when they are weak it can find it difficult to get the job done, making errors due to underestimating the problems. An organization's capability is its ability which can win over the barriers in the implementation of RL practices. This consists of the strategy of a company, its strategic plans, its commitment, employees' hiring and skills development, a working system of performance appraisal and supporting programs.
Este documento describe la coordinación entre un centro de educación de adultos y los programas subvencionados de aprendizaje a lo largo de la vida (PALV). Explica la historia y creación del centro, así como la evolución normativa de los PALV. También detalla la organización actual de los PALV en el centro, incluyendo la estructura, objetivos, programas ofrecidos, y mecanismos de coordinación con ayuntamientos y formadores.
Este documento describe los requisitos para tener derecho a los exámenes ordinario y extraordinario. Para tener derecho al examen ordinario, un estudiante debe haber presentado al menos 2 o 3 tareas ordinarias. Para tener derecho al examen extraordinario, un estudiante debe haber presentado tareas extraordinarias si no pudo presentarse al examen ordinario, o haber presentado al menos un bloque de tareas ordinarias.
El documento discute la novela "El señor de las moscas" de William Golding y su visión pesimista de la naturaleza humana. Golding cree que la capacidad para el mal no es exclusiva de una generación sino de la humanidad en general. Sus novelas exploran este tema a través de símbolos y la regresión al pensamiento salvaje para retratar de forma pesimista a los seres humanos.
Today, innovation in razors and blades is thwarted by a lack of new technology and increasing consumer reluctance to pay for the ‘‘latest and greatest’’ in shaving technology. Gillette relied on extensive research and development to create a single product for global distribution. The product was supported by a marketing premise that it would be equally valuable to customers globally.
El documento describe las motivaciones y el proceso del imperialismo colonial europeo entre 1871 y 1914. Las principales motivaciones fueron factores demográficos, económicos, políticos, científicos y sociales. Las potencias europeas establecieron diferentes tipos de colonias y expandieron sus imperios, particularmente el Imperio Británico, el Imperio Francés y el Imperio Alemán. El imperialismo tuvo consecuencias tanto para las metrópolis europeas como para las colonias.
1. H O G YA N K É S Z Ü L J Ü N K
F E L A M A G A S S Á G R A ?
A K K L I M A T I Z Á C I Ó
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2. M I T Ö R T É N I K M A G A S A N
• a levegő összetétele nem változik
• de a levegő nyomása csökken
• csökken az oxigén parciális nyomása
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3. M I T Ö R T É N I K M A G A S A N
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Élettanilag kritikus zónák
• 2000 méter: AMS megjelenik
• 3000 méterig: biztonságos
még a gyors feljutás
• 5500 méterig: az emberi
inhabitáció felső határa
• 6500 méter felett: potenciális
életveszély
4. M I T Ö R T É N I K M A G A S A N
sialpin.hu
ALTITUDE(
LEVEL(
INSPIRED(
AIR((PO2(
Hb2
SATURATION(
((((((((((((((((((((((EFFECTS(
In#feet#(metre)# #In#mm#of#Hg# ######in#%# ######################Stages#(if#any)#
0#(i.e.sea6level)# ######160# #####~#97#%# #####################NIL#
#
#Upto#10,000#
(3,000)#
######110# ####~#90#%# Usually#none,#+/6##some#nocturnal#visual#
reducIon#######################(#of#indifference)#
10,000#–#15,000#
(3,000#–#4,500)#
#######98# ###~#80#%# Mod.#Hypoxic#symptoms!#Drowsiness,#
headaches#,Mental#and#muscle#faIgue##
15,000#–#20,000#
(4,500#–#6,000)#
#######70# ####<#70#%# Severe#hypoxic#symp#!#aggravated#CNS#
involvement##Seizures#and#muscle#
twitching######################
Above#20,000#&##
onwards#
##Further#falls# ###below#60#%## Unconsciousness#&#alarming#
deterioraIon!#survival#impossible#
without##supplemental#O2###########(criIcal#
survival#alItude)#
#
5. M I T Ö R T É N I K M A G A S A N
sialpin.hu
Mount Everest
• 29,028 ft (8848m)
• P atmoszférikus =255 Hgmm
• P O2= 53 Hgmm
Egy nem akklimatizálódott személy
• eszméletlen 45 másodpercen belül
• meghal a következő 6 percen belül
6. M I T Ö R T É N I K M A G A S A N
sialpin.hu
Az emberi szervezet arra van tervezve, hogy tengerszint
közelében szállítson elegendő mennyiségű oxigént a
szövetekhez (760 Hgmm atmoszférikus nyomás, 159
Hgmm oxigén parciális nyomáson)
Azaz alacsonyabb nyomáson hipoxiás hipoxia lép fel a
szervezetben
“”connecting a 24 volt motor to a 6 volt battery” J.S.Milledge
7. M I T Ö R T É N I K M A G A S A N
5000 méter felett elkezdődik a leépülés
• mentálisan
• fizikailag
• érzelmileg
sialpin.hu
8. M I A Z A M A G A S H E G Y I B E T E G S É G ( A M S )
Akkomodáció: órákon belül történő változások a szervezetben
• csökken a verőerek O2 koncentrációja, aktiválja a
kemoreceptorokat,
• nő a légzésfrekvencia és mélység (Reinhold Messneré
nem)
• nő a pulzus
• a vér pH eltolódik, a hemoglobin kevesbé köti az
oxigént, többet ad le a szövetek felé
sialpin.hu
9. M I A Z A M A G A S H E G Y I B E T E G S É G ( A M S )
Akklimatizáció: napok, hetek alatt kialakuló válaszreakció
• a hosszútávú hiperventilláció mellett beáll egy új
egyensúlyi állapot, a nyugalmi légzés akár 5x megnő
• a szervezet hosszászokik a nagyobb légzési munkához
• több kapilláris nyílik meg a szövetekben
• általános értágulat miatt több vér jut a szövetekbe
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10. M I A Z A M A G A S H E G Y I B E T E G S É G ( A M S )
Akklimatizáció: napok, hetek alatt kialakuló válaszreakció
• nő a sejtekben a mitochondriumok száma
• nő az oxidatív enzimek mennyisége
Azaz nő az oxigénfelhasználó képesség
sialpin.hu
11. M I A Z A M A G A S H E G Y I B E T E G S É G ( A M S )
Akklimatizáció: napok, hetek alatt kialakuló válaszreakció
• az oxigénhiány hatására nő a vörösvértest termelés és
mobilizáció (EPO)
• lassan helyreáll az akkomodáció alatt felfokozott
keringés, nő a teljesítmény, csökken a diszkomfort
sialpin.hu
12. M I A Z A M A G A S H E G Y I B E T E G S É G ( A M S )
sialpin.hu
• fejfájás, dezorientáció
• általános diszkomfort
• hányinger
• hasmenés
• étvágyzavar
• szédülés
• mozgáskoordináció zavara (state trooper test)
• erőteljes légszomj a kisebb terhelésekre is
• periódikus légzés alvás közben
• alvászavar
• memóriazavar
13. M I A Z A M A G A S H E G Y I B E T E G S É G ( A M S )
sialpin.hu
Nagyobb kockázat
• gyors felmenetel, különösen ha nem saját erőből
• korábbi AMS
• ha nem nő a vizelet mennyisége
• felső légúti fertőzés
• nagy fizikai megterhelés az első napokban
• akik pulzoximetriás értékei a társakénál 5-10%-al
kisebb
• túl magas nyugalmi pulzus
14. M I A Z A M A G A S H E G Y I B E T E G S É G ( A M S )
sialpin.hu
15. H A P E H I G H A LT I T U D E P U L M O N A RY E D E M A
• pár nap alatt alakul ki
• folyadék halmozódik fel a tüdő léghólyagocskáiban
• fulladásra ébredés, ami nem javul az ébrenléttel
• csökkent terlhetőség az egyik legelső jele
• légszomj, gyorsult légzés, nem tud végigmondani egy
mondatot nyugalomban
• szörtyzörejek a tüdő felett, legelőször a jobb mellbimbó
magasságában a hónalj alatt hallható
sialpin.hu
16. H A P E H I G H A LT I T U D E P U L M O N A RY E D E M A
• pár nap múlva indokolatlanul magasabb lesz a nyugalmi
pulzus
• száraz vagy produktív köhögés
• láz
• mellkasi nyomásérzés
• cianózis
• szörtyzörejek fokozódnak, véres köpet, fulladás
sialpin.hu
17. H A P E H I G H A LT I T U D E P U L M O N A RY E D E M A
sialpin.hu
18. H A C E H I G H A LT I T U D E C E R E B R A L E D E M A
• folyadék halmozódik fel az agyszövetben
• nem múló fejfájás
• hányinger, hányás
• járászavar, mozgáskoordináció zavara
• beszédzavar
sialpin.hu
19. H A C E H I G H A LT I T U D E C E R E B R A L E D E M A
• hallucináció
• látászavar
• megváltozott mentális státusz
• eszméletvesztés
• kóma
sialpin.hu
20. H A C E H I G H A LT I T U D E C E R E B R A L E D E M A
sialpin.hu
21. H I G H A LT I T U D E E D E M A
sialpin.hu
• arc, kezek, boka megdagadása
• figyelmeztető jel
H I G H A LT I T U D E R E T I N O PA T H Y
• a szem ideghártyája bevérzik
• látászavart, foltlátást okoz
H I G H A LT I T U D E F L A T U S E X P U L S I O N
• magashegyi böfögés és fingás
• feltételezhetően a levegő lenyelése miatt
22. A Z A M S M E G E L Ő Z É S E
• legalább egy éjszaka eltöltése 3000 méter alatt
• az első napokban csak mérsékelt terhelés, alacsony
pulzustartomány
• az alvási magasság max 300 méter per nappal növekedjen
• minden 3. nap az előző napi magasságon alvás
• climb high, sleep low, napközben magasra mászni, majd
visszatérni
• ha nem érzed jól magad, ne növeld az alvási magasságot
sialpin.hu
23. A Z A M S M E G E L Ő Z É S E
• ha nem leszel jobban az adott magasságon, menj
lejjebb
• ne vidd magaddal a fejfájást
• vedd komolyan ha a fejfájás a napközbeni emelkedés
során jelentkezik és rosszabbodik
• fogyassz elég folyadékot (napi 5-7 liter)
sialpin.hu
24. A Z A M S M E G E L Ő Z É S E
• visszaereszkedés: a magasság alá, ahol először
megjelentek a tünetek (de legalább 300-900 métert)
• Huma-Zolamide: 2x125-3x250 mg, a megérkezés előtt
egy nappal elkezdve, majd 1-2 napig folytatva
sialpin.hu
25. A Z A M S K E Z E L É S E
• pihenés
• ereszkedés
• Oxigén
• Gramov zsák
• Huma-Zolamide: 3x250 mg
• Nifedipine: kevés adat
• Dexamethasone: 8-10 mg, majd 6 óránként 4 mg
sialpin.hu
27. F E L K É S Z Ü L É S
• fizikai: minél többet minél magasabbra
• mentális: ismerjük hogy mi vár ránk
• csoportdinamika: figyeljünk a másikra, ne hallgassuk
el, ha bajunk van.
sialpin.hu
28. sialpin.hu
S O K S I K E R T A N A G Y H E G Y E I T E K H E Z !