The Warhorse Pride is a bi-monthly newsletter produced by the 2nd Armored Brigade Combat Team Public Affairs Office, 4th Infantry Division, for the Soldiers, Families and friends of the "Warhorse" Brigade.
The Warhorse Pride is a bi-monthly newsletter produced by the 2nd Armored Brigade Combat Team Public Affairs Office, 4th Infantry Division, for the Soldiers, Families and friends of the "Warhorse" Brigade.
Case history che mette in evidenza una relazione diretta e marcata tra la configurazione della sitemap XML ed il posizionamentosu Google. Da un intervento di Maurizio Petrone al Convegno GT 2010.
La presentazione tratta il fenomeno dell'acquisizione di visibilità per finalità SEO, dall'acquisto di siti già avviati alla riattivazione di domini scaduti. Da un intervento di Enrico Altavilla al Convegno GT 2010.
SEO e motori di ricerca uno sguardo nel tempoSearchBrain
La presentazione sulla SEO e sull'evoluzione dei motori di ricerca che Piersante Paneghel ha portato all'edizione 2009 del Rimini Web Marketing Event (RWME).
La presentazione usata da Enrico Altavilla al Convegno GT 2009 a supporto della sessione "Google News e pubblicazioni
online - Uno studio approfondito sulla visibilità".
Velocità dei siti ed esperienza utente, le ottimizzazioni che non ti aspettiSearchBrain
Oltre alle ottimizzazioni di performance tipicamente applicate ai siti web e dal taglio molto tecnico, la velocità e reattività di un sito può essere migliorata con soluzioni inaspettate, valutando come gli utenti interagiscono col sito da ottimizzare.
L'escola Doctor Ferran realitza cada dia desprès del pati el 30 minuts de lectura d'una manera autònoma, lliure i amb companyia de tots els xiquets i xiquetes de l'escola
Google Search e la (scarsa) intelligenza artificialeSearchBrain
Dopo il "dictat" del CEO di Google di adottare tecniche di intelligenza artificiale per tutti i prodotti e servizi, che cosa è realmente cambiato per la search e la SEO? E che cosa ci aspetta nel prossimo futuro? Questa sessione fornirà le basi di come l'IA sta modificando i risultati di ricerca di Google e di che effetti una sua inevitabile estensione avrà sul modo di fare SEO.
As we approach the end of 2013, I encourage you to think possibilities and not impossibilities. In 2014, be prepared to turn the impossible into possible. Look at what you accomplished in 2013 especially what you once thought could never be done. Are you amazed you once thought it was impossible? In 2014, take some risks and be fearless, control the things you can control and think outside the box. Think possibilities and not impossibilities.
Case history che mette in evidenza una relazione diretta e marcata tra la configurazione della sitemap XML ed il posizionamentosu Google. Da un intervento di Maurizio Petrone al Convegno GT 2010.
La presentazione tratta il fenomeno dell'acquisizione di visibilità per finalità SEO, dall'acquisto di siti già avviati alla riattivazione di domini scaduti. Da un intervento di Enrico Altavilla al Convegno GT 2010.
SEO e motori di ricerca uno sguardo nel tempoSearchBrain
La presentazione sulla SEO e sull'evoluzione dei motori di ricerca che Piersante Paneghel ha portato all'edizione 2009 del Rimini Web Marketing Event (RWME).
La presentazione usata da Enrico Altavilla al Convegno GT 2009 a supporto della sessione "Google News e pubblicazioni
online - Uno studio approfondito sulla visibilità".
Velocità dei siti ed esperienza utente, le ottimizzazioni che non ti aspettiSearchBrain
Oltre alle ottimizzazioni di performance tipicamente applicate ai siti web e dal taglio molto tecnico, la velocità e reattività di un sito può essere migliorata con soluzioni inaspettate, valutando come gli utenti interagiscono col sito da ottimizzare.
L'escola Doctor Ferran realitza cada dia desprès del pati el 30 minuts de lectura d'una manera autònoma, lliure i amb companyia de tots els xiquets i xiquetes de l'escola
Google Search e la (scarsa) intelligenza artificialeSearchBrain
Dopo il "dictat" del CEO di Google di adottare tecniche di intelligenza artificiale per tutti i prodotti e servizi, che cosa è realmente cambiato per la search e la SEO? E che cosa ci aspetta nel prossimo futuro? Questa sessione fornirà le basi di come l'IA sta modificando i risultati di ricerca di Google e di che effetti una sua inevitabile estensione avrà sul modo di fare SEO.
As we approach the end of 2013, I encourage you to think possibilities and not impossibilities. In 2014, be prepared to turn the impossible into possible. Look at what you accomplished in 2013 especially what you once thought could never be done. Are you amazed you once thought it was impossible? In 2014, take some risks and be fearless, control the things you can control and think outside the box. Think possibilities and not impossibilities.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
DISSERTATION on NEW DRUG DISCOVERY AND DEVELOPMENT STAGES OF DRUG DISCOVERYNEHA GUPTA
The process of drug discovery and development is a complex and multi-step endeavor aimed at bringing new pharmaceutical drugs to market. It begins with identifying and validating a biological target, such as a protein, gene, or RNA, that is associated with a disease. This step involves understanding the target's role in the disease and confirming that modulating it can have therapeutic effects. The next stage, hit identification, employs high-throughput screening (HTS) and other methods to find compounds that interact with the target. Computational techniques may also be used to identify potential hits from large compound libraries.
Following hit identification, the hits are optimized to improve their efficacy, selectivity, and pharmacokinetic properties, resulting in lead compounds. These leads undergo further refinement to enhance their potency, reduce toxicity, and improve drug-like characteristics, creating drug candidates suitable for preclinical testing. In the preclinical development phase, drug candidates are tested in vitro (in cell cultures) and in vivo (in animal models) to evaluate their safety, efficacy, pharmacokinetics, and pharmacodynamics. Toxicology studies are conducted to assess potential risks.
Before clinical trials can begin, an Investigational New Drug (IND) application must be submitted to regulatory authorities. This application includes data from preclinical studies and plans for clinical trials. Clinical development involves human trials in three phases: Phase I tests the drug's safety and dosage in a small group of healthy volunteers, Phase II assesses the drug's efficacy and side effects in a larger group of patients with the target disease, and Phase III confirms the drug's efficacy and monitors adverse reactions in a large population, often compared to existing treatments.
After successful clinical trials, a New Drug Application (NDA) is submitted to regulatory authorities for approval, including all data from preclinical and clinical studies, as well as proposed labeling and manufacturing information. Regulatory authorities then review the NDA to ensure the drug is safe, effective, and of high quality, potentially requiring additional studies. Finally, after a drug is approved and marketed, it undergoes post-marketing surveillance, which includes continuous monitoring for long-term safety and effectiveness, pharmacovigilance, and reporting of any adverse effects.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Antimicrobial stewardship to prevent antimicrobial resistanceGovindRankawat1
India is among the nations with the highest burden of bacterial infections.
India is one of the largest consumers of antibiotics worldwide.
India carries one of the largest burdens of drug‑resistant pathogens worldwide.
Highest burden of multidrug‑resistant tuberculosis,
Alarmingly high resistance among Gram‑negative and Gram‑positive bacteria even to newer antimicrobials such as carbapenems.
NDM‑1 ( New Delhi Metallo Beta lactamase 1, an enzyme which inactivates majority of Beta lactam antibiotics including carbapenems) was reported in 2008
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
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Baltimore Friends of Navy Medicine, Aug 2013
1. Navy Medical Officer Recruiting 7522 Connelley Dr. Suite A Hanover, MD, 21076
BA L T I M O R E AR E A
FRIENDS OF NAVY MEDICINE
Local Reserve Physician Completes First Exercise
August, 2013 Volume 2, Issue 2
It's been a little over a year since Baltimore
Psychiatrist, Dr. Bernard Fischer, was officially
sworn in as a Lieutenant Commander in the Navy
Reserve, Medical Corps. In that time he's gotten
his uniform and ID card, attended drill weekends,
and even completed his two week Officer
Development Course in Newport, RI. Recently he
was able to add another important milestone to
his list of accomplishments; he completed his first
field exercise in May of 2013.
Although LCDR Fischer drills out of the
Navy Reserve Center in Baltimore, his official unit
is Expeditionary Medical Facility One (EMF 1)
which is headquartered on Great Lakes, IL. The
purpose of the EMF system is to be able to set up
field hospitals in remote areas in the event of
conflict or humanitarian crisis operations.
EMF 1 was one of many medical and
Construction Battalion (Sea Bees) units that
arrived to Cheatham Annex, in Williamsburg, VA
to test a new Chemically Hardened Expeditionary
Medical Facility. The facility is designed to allow
forces to provide medical care in an environment
containing chemical or biological agents.
As LCDR Fischer described it, " We put up
a "small" EMF (we had about 170 staff inside) and
then tested the collective protection liner. The test
was a 72 hr lock-down where we treated simulated
casualties coming in through an airlock while Sea
Bees and contractors tested our air exchange and
pressure."
The unit was split up into two teams, one
that was assigned for the construction and another
assigned for the recovery of the facility. "Things
went really well. Both the set-up and take down
took significantly less time than was expected and
the tests were all passed." he added.
LCDR Bernard Fischer (center), a Baltimore
area Psychiatrist, stands with other members of
the EMF-1 health care team during a recent
training exercise in Virginia.
While field exercises are always great
experiences, LCDR Fischer is also looking forward
to his next adventure, a voluntary deployment to
the NATO Hospital in Khandahar, Afghanistan. He
expects to leave in early 2014, but has already
begun to prepare as much as possible.
"I spoke to the reserve specialty leader for
psychiatry- he just got back from Role 3 last year-
and he answered a lot of my questions. I'll be doing
brief therapy, med management, and triaging for
evacuation to Germany. According to what I've
heard, about 2/3 of the cases will come from the
field and about 1/3 will be care for the care-giver
(making sure all the trauma and surgical teams are
okay considering what they see and have to deal
with.) It will be hard to be away from the family,
but I think it will be really rewarding for us all." he
said.
2. Page 2 Friends of Navy Medicine
Officer Development School Info
Maryland School of Medicine Student, Ensign Nicole Bouchard, Reports on Her Training
Ensign Nicole Bouchard is currently
attending The University of Maryland School of
Medicine under the Navy Health Professions
Scholarship Program. She recently completed Officer
Development School in Newport, Rhode Island and
was kind enough to provide feedback on her
experiences.
1- What did you do to prepare for ODS? Was
there anything that you over/under prepared
for?
Aside from packing (which took way longer than it
should have), I studied a lot of gouge before going -
Sailor's Creed, Rank Insignia, Code of Conduct, etc.
Although we had time to study there during free
time and at night, I felt much better already
knowing all that information, especially the ranks! I
didn't get any knowledge questions wrong during
my inspections and I owe that to the fact that I
started memorizing early in a less stressful
environment (i.e. on my couch).
I also got myself physically ready by running 3
miles in the morning 3 days a week and doing
strength and conditioning on the off days. This
really paid off, even though PT wasn't at all
rigorous. Some people struggled with our sustained
run days.
2- What was your biggest challenge during
the course?
The biggest challenge for me was not falling asleep
in class, really. I spent most of my time standing in
the back. I would recommend to future students
that if they are big coffee drinkers that they ween
themselves off of it before getting there. I ended up
with caffeine withdrawal headaches my first 2 days
(the longest 2 days) which made everything
unnecessarily harder.
Another challenge for me was, surprisingly,
becoming accustomed to the "team" attitude. My
whole life I have been used to being responsible for
my own actions and my own actions alone. All of a
sudden, I (and everyone else) was being held
accountable for others' mistakes. It was hard at
first not to get frustrated by this, and I know I
wasn't the only one. The faster everyone learns to
ask for help when they need it and offer help when
they see others needing it, the better it will be...for
everyone.
My company was a little slow on this learning
curve. With most of us being medical students, we
were all kind of used to competing against our
peers. I spent a lot of nights earlier on becoming
frustrated with people, and it wasn't until I was the
one who screwed up when it finally clicked. Once
we really started working together, everything ran
so much more smoothly.
3- What was/were your best experiences?
I met some great people that I know I will end up
working with throughout my Navy career, and
being able to make those connections, with people
that I had so much in common with on so many
levels, was amazing. You get really close with your
peers in just 5 weeks, especially because there is no
privacy, alone time, etc. I really did make some
great friends. I'm still texting my roommate every
day.
4- Now that you are through with ODS do you
feel any different?
I feel completely different, actually! I feel like I
accomplished something really big. I feel proud to
be in the Navy and don't feel as weird telling people
about it, mostly because I really understands what
that means now.
5- Are you still happy with your decision to
join the Navy?
I am, in fact, even more happy with my decision
now than I ever was before! Even though there was
a lot of nonsense we had to deal with while at
training, I loved feeling like a real part of the
military for the first time. I really think I'm going to
have an amazing career and I don't know how any
civilian doctor's experience will ever come close to
mine.
Ensign Nicole Bouchard
and her mother following
her graduation from
Officer Development
School this summer. ODS
is a five week course in
Newport, Rhode Island.
http://www.ocs.navy.mil/ods.asp
3. Page 3Friends of Navy Medicine
Navy Medicine News from Around the Fleet
Navy Medicine Lends a Hand With Pacific Partnership 2013
Navy at Navy Medical Center San Diego
bxcb
The following article was written by Commander Carolyn Currie,
a Woman’s Health Nurse Practioner and Director of Theater
Engagement for Disaster and Humanitarian Relief at the Navy
Bureau of Medicine and Surgery. This is her report on a recent
visit to Kiribati.
Another Saturday night at sea. We left Kiribati
yesterday afternoon and are enroute to our next
stop.
We departed the island hot, dusty and tired, but
tremendously satisfied that we achieved our
objectives and left the place better than we found
it. There were cheers and waves at the pier as the
last landing craft utility bound for the USS Pearl
Harbor pulled away.
The ship is once again bursting at the seams, as
we embarked over 100 of our Kiwi counterparts
onto the ship yesterday. Their presence has
reminded us how far we’ve come on our journey.
As they wander the ship looking very lost and
very wobbly on their new found sea legs, we
chuckle to ourselves that it was only nine weeks
ago that we had the same bewildered looks on our
faces as we bounced off the bulkheads with every
rock and roll of the ship at sea. An overhead
announcement this morning that the water was
being turned off due to an unbalanced
consumption to production ratio, also brought
back memories of our earlier days of a full ship!
Solomon Island citizens and children tour a landing craft medium (LCM)
assigned to the Royal New Zealand ship HMNZS Canterbury (LSL-421)
after landing ashore to drop off personnel and supplies during Pacific
Partnership 2013. (U.S. Navy photo by Mass Communication Specialist
2nd Class Carlos M. Vazquez II/Released)
The New Zealand Defense Forces took over the
lead for the mission in Kiribati and will continue
to do so in the Solomon Islands (or Solies as they
call them). Integrating our forces has been a
challenge, but not without great reward. We have
learned to pool our talents to plan engagements,
work side by side to solve problems and are
making new friends along the way. We still have
Aussie, Canadian, Malaysian and Korean partners
aboard as well. We no longer notice the different
uniforms, the accents are now commonplace and
everyone joins in when the deck of cards breaks
out in the office or we have a spontaneous movie
night in the wardroom.
My mood has changed to melancholy as we get
ready to say goodbye to many of our embarked
crew. A number of Americans will leave the USS
Pearl Harbor along with the embarked Kiwis and
crossdeck to the NZ ship Canterbury. The
Solomon Islands will be our last mission stop
before we head back to Hawaii. It’s hard to
believe the deployment is almost over. What an
amazing experience it’s been!
The next few days will be filled with planning
meetings, briefs and manifests as we plan for our
engagements in the Solomon Islands. As with our
previous mission stops we will be putting on
health fairs, nursing symposiums, working side-
by-side with host nation counterparts in clinics
and hospitals and collaborating with host nation
officials to support their health system
strengthening initiatives. The most rewarding
moments will come on the ground when we make
new friends, break bread together, share stories
and celebrate our similarities as well as our
diversity!
I hope all is well at home. Although I am sad to
see the end of this adventure coming fast, I am
anxious to get back to my normal routine. I miss
my friends and family!
Learn more about Pacific Partnership here:
http://www.navy.mil/submit/display.asp?story_id=75963
4. Page 4 Friends of Navy Medicine
News and Notes
Navy Medicine and Dentistry Around Town
Ramon DeJesus, MD
recently affiliated with the Navy Reserves. LCDR
DeJesus is a plastic and reconstructive surgeon
from Bel Air, MD.
Caitlin Choi was recently
selected for the Health Professions Scholarship
Program. Originally from Baltimore, MD she
graduated from Johns Hopkins University in 2011
and has been accepted to Des Moines University
of Osteopathic Medicine.
Dr. Ramon DeJesus and Chief Wheeler following his
commissioning ceremony in May.
Lindsey Deacon was
recently selected for the Health Services
Collegiate Program. She is originally from York,
PA and is a graduate of the University of
Richmond. She has been accepted to New York
University School of Dentistry.
Caitlin Choi (Center) stands with her recruiter Chief Wheeler
(Left) and her commissioning officer Ensign Brock (Right)
Ensign Alex
Blau of Ijaimsville,
MD completed Officer
Development School in
June. He will be
beginning his studies at
Philadelphia College of
Osteopathic Medicine
this fall. Lindsey Deacon enlists in the Health Services Collegiate
Program (Dental) at the Navy Officer Recruiting Station
in Baltimore on July 1, 2013.
5. Page 5Friends of Navy Medicine
WHAT DID YOU DO ON YOUR SUMMER VACATION?
Baltimore area Nurse Allison Katter Was in Afghanistan
She Sent The Following Email Update
I am so sorry for the late update! I was up at Tarin Kowt (TK) for about 2
months starting in May and got really busy doing patient transfers (En Route
Care). I got back from Tarin Kowt right after the holiday in July and then we
got pretty busy at the Role 3. We have been pretty busy seeing a lot of
Neurosurgery patients and patients with eye and maxillofacial injuries, as that
is what our medical rules of engagement allows us to see for the Afghan
population due to the draw down.
I do have to say, the difference between what we were seeing two years ago and
now is interesting. Since we are leaving next year, the goal was to obviously
make it so that the Afghan folks will be able to stand more on their feet
medically...and they are taking this over well! Seeing where they were two
years ago and where they are now is really a testament to their drive to see
their country in a better place. I am so proud to have been a part of this
process along the way!
Attached are a couple of pictures, both from TK from when I was flying. One is
just me, the other is with my Dustoff Army Medic, Specialist Machado, while we
are taking care of two patients on a transfer to Kandahar Regional Military
Hospital from TK.
As always, I love having the opportunity to work not only with other branches
in the military, but also with other nations. At Kandahar Airfield, we have
some Australian docs and nurses, as well as some Belgium nurses. I hope this
email finds you well!
- Allison Katter, LT, NC, USNR
-
6. Page 6 Friends of Navy Medicine
for more information About
Baltimore Area Friends of Navy Medicine
Contact Chief Bob wheeler
410-761-7419 bob.wheeler@navy.mil
7. Navy Medical Officer Programs
7522 Connelley Dr, Suite A
Hanover, MD 21076
410-761-7419