O documento fornece dicas e estratégias para estimativas de projetos de software, reconhecendo que estimativas são difíceis devido à natureza intangível e imprevisível do software. É sugerido começar com estimativas gerais e ir refinando conforme se avança no projeto, envolver o cliente, dividir tarefas em blocos curtos, aceitar mudanças e não se apegar rigidamente aos planos inicias.
A Mozaik atua desde 2003 desenvolvendo produtos inovadores de aço inox para arquitetura, design e artes. Oferecem insertos táteis de inox e poliuretano para adaptação de espaços à legislação de acessibilidade, com boa durabilidade, design e instalação flexível. Também produzem pisos e ralos para cozinhas industriais, edifícios comerciais e áreas úmidas, com foco em design, funcionalidade e fácil manutenção.
São Gonçalo terá um novo shopping e mais 3 mil empregos, com a inauguração do Novo Shopping São Gonçalo Alcantara.
No coração comercial e administrativo de São Gonçalo, na região metropolitana do Rio, o shopping terá três lojas âncora, mega-lojas, 243 lojas satélites, além de operações de alimentação, entretenimento, cinema, boliche, uma universidade e torre de escritórios com salas comerciais, distribuídos em 240 mil metros quadrados de área construída.
O documento apresenta uma atividade sobre as civilizações da América antiga dividida em duas tarefas principais: 1) produção de um texto coletivo sobre as civilizações Olmeca, Asteca, Inca e Maia; 2) confecção de um blog comparando essas civilizações com as do Oriente, Grécia e Roma. A turma será dividida em equipes para realizar pesquisas e elaborar as tarefas dentro dos prazos estabelecidos, sendo avaliados individualmente e coletivamente.
Apresentação "Cocriação e Design de Inovação" realizada pela equipe de Inovação da Symnetics durante a Conferência Estratégica da Inovação, do IQPC, nos dias 23, 24 e 25 de Novembro.
1. The document discusses geometry concepts including angles, lines, and polygons. It provides examples to illustrate properties such as angle-angle-side congruence, triangle sum theorem, and exterior angle theorem. Diagrams are included.
2. Algebraic expressions and equations involving variables are presented. Examples demonstrate solving linear equations, factoring polynomials, and properties of exponents.
3. Multiple proofs are given using logic and reasoning about the relationships between angles and sides of figures. Diagrams clearly label angles and sides to support the proofs.
O documento fornece dicas e estratégias para estimativas de projetos de software, reconhecendo que estimativas são difíceis devido à natureza intangível e imprevisível do software. É sugerido começar com estimativas gerais e ir refinando conforme se avança no projeto, envolver o cliente, dividir tarefas em blocos curtos, aceitar mudanças e não se apegar rigidamente aos planos inicias.
A Mozaik atua desde 2003 desenvolvendo produtos inovadores de aço inox para arquitetura, design e artes. Oferecem insertos táteis de inox e poliuretano para adaptação de espaços à legislação de acessibilidade, com boa durabilidade, design e instalação flexível. Também produzem pisos e ralos para cozinhas industriais, edifícios comerciais e áreas úmidas, com foco em design, funcionalidade e fácil manutenção.
São Gonçalo terá um novo shopping e mais 3 mil empregos, com a inauguração do Novo Shopping São Gonçalo Alcantara.
No coração comercial e administrativo de São Gonçalo, na região metropolitana do Rio, o shopping terá três lojas âncora, mega-lojas, 243 lojas satélites, além de operações de alimentação, entretenimento, cinema, boliche, uma universidade e torre de escritórios com salas comerciais, distribuídos em 240 mil metros quadrados de área construída.
O documento apresenta uma atividade sobre as civilizações da América antiga dividida em duas tarefas principais: 1) produção de um texto coletivo sobre as civilizações Olmeca, Asteca, Inca e Maia; 2) confecção de um blog comparando essas civilizações com as do Oriente, Grécia e Roma. A turma será dividida em equipes para realizar pesquisas e elaborar as tarefas dentro dos prazos estabelecidos, sendo avaliados individualmente e coletivamente.
Apresentação "Cocriação e Design de Inovação" realizada pela equipe de Inovação da Symnetics durante a Conferência Estratégica da Inovação, do IQPC, nos dias 23, 24 e 25 de Novembro.
1. The document discusses geometry concepts including angles, lines, and polygons. It provides examples to illustrate properties such as angle-angle-side congruence, triangle sum theorem, and exterior angle theorem. Diagrams are included.
2. Algebraic expressions and equations involving variables are presented. Examples demonstrate solving linear equations, factoring polynomials, and properties of exponents.
3. Multiple proofs are given using logic and reasoning about the relationships between angles and sides of figures. Diagrams clearly label angles and sides to support the proofs.
The Office of the Deputy Mayor for Planning & Economic Development (DMPED) presented at the WDCEP's Entrepreneur Road Map Financial Incentives seminar held at Venable (8/13/14). DMPED offers several incentives such as the DC Tech Incentives, Great Streets Small Business Capital Improvement Grants, Digital DC Technology Fund and Supermarket Tax Incentives.
1. Gaal Dornick chega a Trantor pela primeira vez após concluir seu doutorado em matemática. Ele é convidado por Hari Seldon a se juntar ao Projeto Seldon.
2. Ao desembarcar em Trantor, Gaal fica impressionado com o tamanho dos prédios e quantidade de pessoas. Ele toma um táxi para o hotel Luxor, sendo seguido por um homem misterioso.
Este documento descreve o que é uma WebQuest, uma estratégia educacional que usa recursos online para guiar estudantes em uma tarefa ou projeto. Uma WebQuest tipicamente contém uma introdução, tarefa, processo, recursos, avaliação e conclusão. O objetivo é motivar estudantes a desenvolver habilidades de pesquisa e pensamento crítico ao resolver problemas ou completar projetos usando informações encontradas online.
Este documento describe varias condiciones importantes para crear un ambiente de aprendizaje efectivo para los estudiantes, incluyendo una cultura escolar democrática, un clima de aula positivo basado en el respeto y la confianza, interacciones de calidad entre estudiantes y maestros, y un espacio físico bien iluminado, ventilado y seguro.
A Argentina possui uma população de 36,26 milhões de pessoas e 10,08 milhões de domicílios. A televisão aberta é o meio mais consumido (94% da população) e a internet vem crescendo em penetração (51% da população). A Grande Buenos Aires concentra quase 10 milhões de habitantes e a maioria da população se declara de classe média baixa.
O documento discute a importância do lúdico para a criatividade. Apontando que o lúdico permite afastar-se de problemas reais e enxergar de novas perspectivas, associando ideias de maneiras originais. Defende que resgatar a espontaneidade e capacidade de se entregar ao lúdico pode ajudar a acessar a criatividade presente em cada um.
This document appears to list the names of various artists from the 19th century, including Eugene De Blaas, Vittorio Reggianni, Fritz Zuber Buhler, John Calcott Horsley, and John Everett Millais. It also lists some 20th century artists like Nikolaos Gyzis and mentions a song by Laura Pausini.
Memperkenalkan Sama Sama Sejahtera( S3 ) komunitas solid untuk pasar Indonesia, Program dimulai dari 13 Juli 2014 Hasil karya anak bangsa!!
www.kliks3.com
Dokumen tersebut memberikan informasi mengenai konsep penduduk, data demografi, dan metode pengumpulan data penduduk di Indonesia. Beberapa metode yang disebutkan adalah sensus penduduk, survei penduduk antar sensus, registrasi penduduk, serta survei spesifik seperti survei prevalensi kontrasepsi dan survei demografi dan kesehatan. Informasi demografi yang dikumpulkan meliputi jumlah, distribusi, karakteristik, dan pergerakan pendudu
Buletin Isma Pondok Pesantren Al-Basyariyah Bandung (Mei 2008)Fajar
Pemerintah Indonesia berencana mengembangkan industri pariwisata dengan membangun objek-objek wisata baru dan memperbaiki infrastruktur transportasi. Hal ini bertujuan untuk meningkatkan jumlah wisatawan mancanegara dan devisa negara. Pemerintah berharap strategi ini dapat mendongkrak perekonomian dan menciptakan lapangan kerja baru.
Este documento explica qué son los mapas conceptuales y cómo se pueden usar en el aula. Los mapas conceptuales son modelos gráficos para representar conocimiento de manera visual. Pueden usarse para organizar información, planificar lecciones y evaluar el aprendizaje de los estudiantes. El proceso de crear un mapa conceptual implica identificar conceptos clave, organizarlos jerárquicamente y conectarlos con palabras de enlace para formar proposiciones significativas.
El documento describe el origen y la historia de la Copa Mundial de Fútbol. Comenzó en 1930 como un torneo entre 13 equipos organizado por la FIFA en Uruguay. Uruguay ganó la primera final contra Argentina. Desde entonces, la Copa Mundial se ha celebrado cada cuatro años y ha crecido para incluir una fase de clasificación y más de 30 equipos en la fase final. A lo largo de la historia, Brasil, Italia, Alemania, Argentina y Uruguay han ganado múltiples títulos.
New Study Of Bhagavad Gita Dr. Shriniwas J. Kashalikarmarathiasmita
This document summarizes Dr. Shriniwas Kashalikar's experiences studying the Bhagavad Gita over many years. Some key points:
- He was initially drawn to study the Gita due to contradictions he found, and a sensing that there was something deeper he was not perceiving. Despite difficulties, he felt compelled to continue studying.
- Through repeated study and contemplation, he aimed to resolve contradictions by correlating verses across chapters. He began memorizing the entire text to facilitate this.
- Over time, as his understanding evolved, initially frightening perceptions of dying gave way to an appreciation of Gita's message of immortality.
- Dr. Kashal
Y O G A, M A N A G E M E N T A N D N A M A S M A R A N D Rmarathiasmita
Yoga is discussed by many scholars but often drifts from common people's lives, either becoming an ascetic practice or just physical exercises. Yoga is actually an art of managing one's life like riding a horse. Indian society was damaged by past forces like regimentation and individualism, so it's important to re-explore scriptural wisdom through the simultaneous practice of yoga, which involves reorienting oneself for individual and universal blossoming through purification. The simplest way to revitalize mainstream lifestyles is through NAMASMARAN.
The Office of the Deputy Mayor for Planning & Economic Development (DMPED) presented at the WDCEP's Entrepreneur Road Map Financial Incentives seminar held at Venable (8/13/14). DMPED offers several incentives such as the DC Tech Incentives, Great Streets Small Business Capital Improvement Grants, Digital DC Technology Fund and Supermarket Tax Incentives.
1. Gaal Dornick chega a Trantor pela primeira vez após concluir seu doutorado em matemática. Ele é convidado por Hari Seldon a se juntar ao Projeto Seldon.
2. Ao desembarcar em Trantor, Gaal fica impressionado com o tamanho dos prédios e quantidade de pessoas. Ele toma um táxi para o hotel Luxor, sendo seguido por um homem misterioso.
Este documento descreve o que é uma WebQuest, uma estratégia educacional que usa recursos online para guiar estudantes em uma tarefa ou projeto. Uma WebQuest tipicamente contém uma introdução, tarefa, processo, recursos, avaliação e conclusão. O objetivo é motivar estudantes a desenvolver habilidades de pesquisa e pensamento crítico ao resolver problemas ou completar projetos usando informações encontradas online.
Este documento describe varias condiciones importantes para crear un ambiente de aprendizaje efectivo para los estudiantes, incluyendo una cultura escolar democrática, un clima de aula positivo basado en el respeto y la confianza, interacciones de calidad entre estudiantes y maestros, y un espacio físico bien iluminado, ventilado y seguro.
A Argentina possui uma população de 36,26 milhões de pessoas e 10,08 milhões de domicílios. A televisão aberta é o meio mais consumido (94% da população) e a internet vem crescendo em penetração (51% da população). A Grande Buenos Aires concentra quase 10 milhões de habitantes e a maioria da população se declara de classe média baixa.
O documento discute a importância do lúdico para a criatividade. Apontando que o lúdico permite afastar-se de problemas reais e enxergar de novas perspectivas, associando ideias de maneiras originais. Defende que resgatar a espontaneidade e capacidade de se entregar ao lúdico pode ajudar a acessar a criatividade presente em cada um.
This document appears to list the names of various artists from the 19th century, including Eugene De Blaas, Vittorio Reggianni, Fritz Zuber Buhler, John Calcott Horsley, and John Everett Millais. It also lists some 20th century artists like Nikolaos Gyzis and mentions a song by Laura Pausini.
Memperkenalkan Sama Sama Sejahtera( S3 ) komunitas solid untuk pasar Indonesia, Program dimulai dari 13 Juli 2014 Hasil karya anak bangsa!!
www.kliks3.com
Dokumen tersebut memberikan informasi mengenai konsep penduduk, data demografi, dan metode pengumpulan data penduduk di Indonesia. Beberapa metode yang disebutkan adalah sensus penduduk, survei penduduk antar sensus, registrasi penduduk, serta survei spesifik seperti survei prevalensi kontrasepsi dan survei demografi dan kesehatan. Informasi demografi yang dikumpulkan meliputi jumlah, distribusi, karakteristik, dan pergerakan pendudu
Buletin Isma Pondok Pesantren Al-Basyariyah Bandung (Mei 2008)Fajar
Pemerintah Indonesia berencana mengembangkan industri pariwisata dengan membangun objek-objek wisata baru dan memperbaiki infrastruktur transportasi. Hal ini bertujuan untuk meningkatkan jumlah wisatawan mancanegara dan devisa negara. Pemerintah berharap strategi ini dapat mendongkrak perekonomian dan menciptakan lapangan kerja baru.
Este documento explica qué son los mapas conceptuales y cómo se pueden usar en el aula. Los mapas conceptuales son modelos gráficos para representar conocimiento de manera visual. Pueden usarse para organizar información, planificar lecciones y evaluar el aprendizaje de los estudiantes. El proceso de crear un mapa conceptual implica identificar conceptos clave, organizarlos jerárquicamente y conectarlos con palabras de enlace para formar proposiciones significativas.
El documento describe el origen y la historia de la Copa Mundial de Fútbol. Comenzó en 1930 como un torneo entre 13 equipos organizado por la FIFA en Uruguay. Uruguay ganó la primera final contra Argentina. Desde entonces, la Copa Mundial se ha celebrado cada cuatro años y ha crecido para incluir una fase de clasificación y más de 30 equipos en la fase final. A lo largo de la historia, Brasil, Italia, Alemania, Argentina y Uruguay han ganado múltiples títulos.
New Study Of Bhagavad Gita Dr. Shriniwas J. Kashalikarmarathiasmita
This document summarizes Dr. Shriniwas Kashalikar's experiences studying the Bhagavad Gita over many years. Some key points:
- He was initially drawn to study the Gita due to contradictions he found, and a sensing that there was something deeper he was not perceiving. Despite difficulties, he felt compelled to continue studying.
- Through repeated study and contemplation, he aimed to resolve contradictions by correlating verses across chapters. He began memorizing the entire text to facilitate this.
- Over time, as his understanding evolved, initially frightening perceptions of dying gave way to an appreciation of Gita's message of immortality.
- Dr. Kashal
Y O G A, M A N A G E M E N T A N D N A M A S M A R A N D Rmarathiasmita
Yoga is discussed by many scholars but often drifts from common people's lives, either becoming an ascetic practice or just physical exercises. Yoga is actually an art of managing one's life like riding a horse. Indian society was damaged by past forces like regimentation and individualism, so it's important to re-explore scriptural wisdom through the simultaneous practice of yoga, which involves reorienting oneself for individual and universal blossoming through purification. The simplest way to revitalize mainstream lifestyles is through NAMASMARAN.
Yoga is conceived in many ways and is a connection between one's global perspective, thoughts, emotions, and actions in every sphere of life. It also connects metabolic, endocrine, autonomic, and central nervous system activities as well as the right and left cerebral cortex. This yoga can be achieved through NAMASMARAN, as one can verify.
Y O G A A N D S U P E R L I V I N G D Rmarathiasmita
The document discusses the principles of yoga. It states that there are three components to human response - cognition, affect, and conation. The final stage of yoga is the union of these three components, where one senses beyond normal capacity, feels on a deep emotional level, and responds in a way that transcends typical action. This culmination represents the accurate perception, personal satisfaction, and benevolence towards others that marks both individual and universal progress. Remembering God's name, as inspired by a guru, can help achieve this stage of yoga.
World Famous Prayer Interpretation By Drmarathiasmita
[1] This prayer seeks happiness, health, and well-being for all, with no grief.
[2] While some object to prayer seeing it as weakness, the author explains prayers help connect to infinite cosmic powers and remove "blocks" like ego that develop in humans.
[3] Prayers and chanting help reconnect us to the empowering source of consciousness and remove feelings of isolation, reestablishing our link to the greater whole of which we are a part.
1) Prayer is meant to catalyze the culmination of any work in complete satisfaction and global welfare.
2) The essence of worshipping Lord Ganesha is that he represents the experience of enlightenment and cosmic oneness with one's inner and outer environment.
3) It is customary to pray to Lord Ganesha before starting any work because realizing truth is necessary for accurate vision, decision making, and successful action. These prayers provide holistic health or self-realization.
T H E F E T T E R S A N D T H E F R E E D O M Drmarathiasmita
It explains that Namasmaran helps to reconnect one's true self by focusing individual consciousness on a symbol of the cosmic consciousness. This practice can help overcome mediocrity in society and rise above worldly concerns. Namasmaran is described as the ultimate form of meditation and yoga, as it unifies all other practices. While difficult to describe fully in words, regular practice of Namasmaran can provide profound spiritual experiences and benefits.
T H E C O R E O F S E X D R S H R I N I W A S K A S H A L I K A Rmarathiasmita
The document discusses the core of sex and attraction between males and females. It notes that sexual attraction is universal and aims for reproduction and child rearing in animals. In humans, sexual attraction evolves to involve romance, commitment, and appreciation for responsible sexual activities between partners. At the core of sex is finding the core of one's partner, which is a difficult but worthwhile goal that can transcend physical considerations through spiritual practices and ultimately benefit global welfare.
T H E C O M M O N R O O T O F S C I E N C E, P H I L O S O P H Y A N D ...marathiasmita
Superliving is the common root and culmination of science, philosophy and behavior. While science, philosophy and behavior appear different, they are all flowers from the same tree of reality within us. Reaching the common root of these through practices like NAMASMARAN allows one to experience their oneness and enjoy life more fully, which is the essence of superliving.
1. The document provides protective measures to prevent the spread of H1N1 flu, including daily practices like chanting names of God, drinking water, consuming herbs, yoga, and maintaining cleanliness.
2. It recommends consuming herbs like neem, tulsi, bel leaves, as well as drinks with turmeric, ginger and honey.
3. Additional tips include taking vitamins, washing hands frequently, avoiding crowds, and consuming aloe vera and guduchi juice.
Insurance companies, medical businesses, and other industries generate and spread unfounded fear to promote their products and services. This fear-mongering has led people to avoid naturally occurring products like ghee, coconut oil, and salt in favor of alternative products, fueling business growth. However, exploiting public fear for financial gain undermines well-being and can have widespread health impacts. Spiritual practices like remembrance of God's name may help implement wiser policies focused on individual and global welfare rather than profit.
T E N S T E P S D R S H R I N I W A S K A S H A L I K A Rmarathiasmita
1. The document outlines 10 steps for becoming a successful doctor. It provides examples of doctors demonstrating unconditional acceptance, love and respect for their patients, which promotes healing. It emphasizes treating the whole person, not just the physical body.
2. The second step is to recognize that patients already have a healer within them and it is important for doctors to invoke that inner healing ability. An example is given of a doctor reassuring a patient and avoiding unnecessary medical interventions or tests.
3. The document continues with examples that illustrate the importance of considering the whole person, including their mental and emotional well-being, social factors, and lifestyle, when providing medical treatment and advice. This holistic approach leads to better health outcomes
The document discusses issues with modern temples, including traffic, dirtiness, beggars, corruption, and interference from politics and criminal elements. As a result, temples have become centers of escapism cut off from society rather than excellence. Most temples are now economically dependent on others and celebrations have become means for extortion and politics. However, the document argues that regular practice of chanting names of God (Namasmarn) can help rectify issues by rejuvenating temples' original functions and establishing agricultural, educational, health and other beneficial activities.
Beliefs of some kind are a natural human frailty that help provide emotional solace and determine behavior. While scientific theories are also a type of belief, they are based on observations and cannot be fully verified. All humans, including scientists and philosophers, rely on some beliefs or convictions to cope with uncertainty and live sanely. The only way to overcome prejudices from superstitions is to live beyond the realm of the senses through self-realization, which is said to be possible through meditation practices like NAMASMARAN.
W H Y H O L I S T I C M E D I C I N E D R S H R I N I W A S K A S H A L ...marathiasmita
The document discusses why holistic medicine is important. It notes that people have experienced the benefits of treatments like yoga, Ayurveda, and allopathy. More importantly, it is realized that different modalities of treatment, even those not considered formal treatments like music and clothing, work together in complementary and synergistic ways. Since the overall purpose of medicine is to promote holistic health, eradicate disease, and reduce misery, all skills and knowledge from various fields must be combined to achieve this goal.
Namasmran, or remembering God, is a simple practice that can have benevolent and emancipating effects on both individuals and the environment. While some theories blame issues like poverty, oppression, or biological drives for individual and social problems, these explanations are only partially accurate and can breed hatred. Alternatively, theories that blame individual frailty are also imperfect and can lead to self-abnegation. Namasmran is a process billions already engage in, without using this name, to blossom as individuals. If more undertook this practice of remembering their true self, positive change for all would be inevitable, though currently unproven.
Zero is an important mathematical concept that gives meaning and structure but its existence is complex. Zero represents nothingness or absence, but nothingness cannot truly exist on its own - zero only has meaning in relation to other entities like time, space, and an observer. The concept of zero has paradoxically led to ideas of endings and death, though its origins and nature remain uncertain and indeterminate. This document raises philosophical questions about the nature and existence of zero.
1) Accidents and other problems are caused by policies that prioritize production of private vehicles like cars and motorcycles over public transportation like buses and trains.
2) This leads to issues like increased fuel consumption, road wear and maintenance costs, pollution, traffic jams, accidents, overcrowding of public transportation and stress/tension for travelers.
3) The root cause is policies driven by private interests rather than public health; changing policies to prioritize and improve bus services would help reduce accidents and other issues in a holistic manner.
Tejaswi Drushti Bestseller For Super Eyesight Dr. Shriniwas Kashalikarmarathiasmita
This document provides a 15-step routine for eye exercises and relaxation techniques. Each step provides instructions for specific eye movements or visualizations exercises to be repeated 10 times. The routines include instructions to shift gaze between close and distant focal points, rotate the eyes in clockwise and counterclockwise patterns, and move the eyes between different positions on an imaginary clock face. The overall document promotes the 15-step routine as a method for eye health and relaxation.
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
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- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
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Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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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
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