The document discusses the history and criteria for determining brain death. It outlines the 1959 definition of brain death and subsequent guidelines from 1968, 1981, 1994, and 2005. Brain death is defined as the absence of cerebral and brainstem function, and apnea. The document describes tests to assess brainstem reflexes and the requirement of confirming irreversible brain injury before declaring brain death.
Malignant hyperthermia (MH) is a disease that causes a fast rise in body temperature and severe muscle contractions when someone with the MH gets general anesthesia. MH is passed down through families. Hyperthermia means high body temperature.
Malignant hyperthermia (MH) is a disease that causes a fast rise in body temperature and severe muscle contractions when someone with the MH gets general anesthesia. MH is passed down through families. Hyperthermia means high body temperature.
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How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
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A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
2. Prior to the advent of mechanical respiration, death
was defined as the cessation of circulation and
breathing
By Kamalakar Ambati 2
3. 1959 Coma de’passe’ Mollaret and Goulon
1968 Irreversible Coma/Brain Death Harvard Medical
School Ad Hoc Committee
1981 Uniform Determination of Death Act - President’s
Commission for the Study of Ethical Problems in
Medicine
1994 American Academy of Neurology Guidelines for the
determination of Brain Death
2005 NYS Guidelines for Determining Brain Death
By Kamalakar Ambati 3
4. Absent Cerebral Function
Absent Brainstem Function
Apnea
By Kamalakar Ambati 4
18. g
ellin
l Sw
rona
Neu ICP>MAP is
incompatible with
life
ury
l Inj
Flow ranial
Increased Intracranial
rona
Pressure
c
Intra
Neu
By Kamalakar Ambati 18
19. Persistent Vegetative State
Locked-in Syndrome
Minimally Responsive State
By Kamalakar Ambati 19
20. Normal Sleep-Wake Cycles
No Response to Environmental Stimuli
Diffuse Brain Injury with Preservation of Brain
Stem Function
By Kamalakar Ambati 20
21. Ventral Pontine
Infarct
Complete Paralysis
Preserved Consciousness
Preserved Eye Movement
By Kamalakar Ambati 21
22. Static Encephalopathy
Diffuse or Multi-Focal Brain Injury
Preserved Brain Stem Function
Variable Interaction with Environmental
Stimuli
By Kamalakar Ambati 22
23. Clinical Prerequisites:
Known Irreversible Cause
Exclusion of Potentially Reversible Conditions
Drug Intoxication or Poisoning
Electrolyte or Acid-Base Imbalance
Endocrine Disturbances
Core Body temperature > 32° C
By Kamalakar Ambati 23
24. Coma
Absent Brain Stem Reflexes
Apnea
By Kamalakar Ambati 24
25. No Response to Noxious Stimuli
Nail Bed Pressure
Sternal Rub
Supra-Orbital Ridge Pressure
By Kamalakar Ambati 25
26. Pupillary Reflex
Eye Movements
Facial Sensation and Motor Response
Pharyngeal (Gag) Reflex
Tracheal (Cough) Reflex
By Kamalakar Ambati 26
30. Corneal Reflex
Jaw Reflex
Grimace to Supraorbital or
Temporo-Mandibular Pressure
By Kamalakar Ambati 30
31. Prerequisites
Core Body Temperature > 32° C
Systolic Blood Pressure ≥ 90 mm Hg
Normal Electrolytes
Normal PCO2
By Kamalakar Ambati 31
32. 1. Pre-Oxygenation
100% Oxygen via Tracheal Cannula
PO2 = 200 mm Hg
2. Monitor PCO2 and PO2 with pulse oximetry
3. Disconnect Ventilator
4. Observe for Respiratory Movement until PCO2 =
60 mm Hg
5. Discontinue Testing if BP < 90, PO2 saturation
decreases, or cardiac dysrhythmia observed
By Kamalakar Ambati 32
35. Recommended when the proximate cause of
coma is not known or when confounding
clinical conditions limit the clinical
examination
By Kamalakar Ambati 35
36. EE
G
Normal Electrocerebral Silence
By Kamalakar Ambati 36
42. Concern for man and his fate must always form
the chief interest of all technical endeavors.
Never forget this in the midst of your diagrams
and equations.
Albert Einstein
By Kamalakar Ambati 42