Sarath Dev M has over 5 years of experience in IT systems administration and support. He has expertise maintaining Windows server environments, including Active Directory, DNS, DHCP, Group Policy, SCCM, and Exchange Server. Currently he works as a System Administrator for Choice Solution at International Aerospace Manufacturing Pvt Ltd, where his responsibilities include server administration, software deployment using SCCM, OS patching, and resolving issues with Exchange Server and Endpoint Protection.
1) A 65-year-old man presented with spontaneous hemoperitoneum and required multiple surgeries including small bowel resection.
2) He developed complications including an ileus, myocardial infarction, and anastomotic leak, preventing enteral nutrition.
3) After 11 days without adequate nutrition, the patient was started on total parenteral nutrition (TPN) which was advanced cautiously due to his risk for refeeding syndrome.
4) TPN met his nutritional needs and supported wound healing and recovery.
The document appears to be a scanned copy of a legal contract for the sale of a residential property located at [ADDRESS]. The contract details the agreed upon purchase price, down payment, financing terms and closing date for the transaction between the buyer and seller. The signatures of both parties at the end of the contract indicate their agreement to the terms outlined.
The document is a scanned receipt from a grocery store listing items purchased including milk, eggs, bread, bananas, and orange juice for a total of $21.35. It provides details of the date, time, payment method, and store number for the transaction.
Interact16 is a one-day digital marketing event to be held on April 7, 2016 in Columbus, Ohio with over 300 attendees. The event will feature industry leading speakers such as keynote speaker Andy Crestodina, co-founder of Orbit Media Studios, sharing insights on content marketing, search, and interactive marketing. It will be held at the Arena Grand Theatre, a state-of-the-art venue in Columbus' Arena District. Past Interact events have seen steady growth in attendance year-over-year. Topics at Interact16 will include content marketing, mobile strategies, UX fundamentals, and more.
Oral communication refers to expressing information or ideas through spoken words. It has several advantages, such as allowing for high understanding, flexibility, quick decision-making, and problem resolution. However, it also has disadvantages like being less formal than written communication and risking misunderstandings. Effective oral communication requires clear pronunciation, brevity, precision, and logical sequencing. Common types of oral communication include face-to-face interactions, video conferencing, telephone calls, interviews, group discussions, presentations, and grapevine gossip.
The document provides an overview of pancreatic cancer including:
- It predominantly affects those over age 45 and is more common in men and African Americans.
- Symptoms are often vague and non-specific, leading to late stage diagnosis in over 50% of cases.
- Treatment options include surgery, chemotherapy, and radiation, though pancreatic cancer has a very low 5-year survival rate.
- Nutrition therapy aims to manage symptoms, support nutritional status, and address deficiencies from the cancer and its treatment.
Sarath Dev M has over 5 years of experience in IT systems administration and support. He has expertise maintaining Windows server environments, including Active Directory, DNS, DHCP, Group Policy, SCCM, and Exchange Server. Currently he works as a System Administrator for Choice Solution at International Aerospace Manufacturing Pvt Ltd, where his responsibilities include server administration, software deployment using SCCM, OS patching, and resolving issues with Exchange Server and Endpoint Protection.
1) A 65-year-old man presented with spontaneous hemoperitoneum and required multiple surgeries including small bowel resection.
2) He developed complications including an ileus, myocardial infarction, and anastomotic leak, preventing enteral nutrition.
3) After 11 days without adequate nutrition, the patient was started on total parenteral nutrition (TPN) which was advanced cautiously due to his risk for refeeding syndrome.
4) TPN met his nutritional needs and supported wound healing and recovery.
The document appears to be a scanned copy of a legal contract for the sale of a residential property located at [ADDRESS]. The contract details the agreed upon purchase price, down payment, financing terms and closing date for the transaction between the buyer and seller. The signatures of both parties at the end of the contract indicate their agreement to the terms outlined.
The document is a scanned receipt from a grocery store listing items purchased including milk, eggs, bread, bananas, and orange juice for a total of $21.35. It provides details of the date, time, payment method, and store number for the transaction.
Interact16 is a one-day digital marketing event to be held on April 7, 2016 in Columbus, Ohio with over 300 attendees. The event will feature industry leading speakers such as keynote speaker Andy Crestodina, co-founder of Orbit Media Studios, sharing insights on content marketing, search, and interactive marketing. It will be held at the Arena Grand Theatre, a state-of-the-art venue in Columbus' Arena District. Past Interact events have seen steady growth in attendance year-over-year. Topics at Interact16 will include content marketing, mobile strategies, UX fundamentals, and more.
Oral communication refers to expressing information or ideas through spoken words. It has several advantages, such as allowing for high understanding, flexibility, quick decision-making, and problem resolution. However, it also has disadvantages like being less formal than written communication and risking misunderstandings. Effective oral communication requires clear pronunciation, brevity, precision, and logical sequencing. Common types of oral communication include face-to-face interactions, video conferencing, telephone calls, interviews, group discussions, presentations, and grapevine gossip.
The document provides an overview of pancreatic cancer including:
- It predominantly affects those over age 45 and is more common in men and African Americans.
- Symptoms are often vague and non-specific, leading to late stage diagnosis in over 50% of cases.
- Treatment options include surgery, chemotherapy, and radiation, though pancreatic cancer has a very low 5-year survival rate.
- Nutrition therapy aims to manage symptoms, support nutritional status, and address deficiencies from the cancer and its treatment.
In placental mammals, the umbilical cord (also called the navel string, birth cord or funiculus umbilicalis) is a conduit between the developing embryo or fetus and the placenta. During prenatal development, the umbilical cord is physiologically and genetically part of the fetus and, (in humans), normally contains two arteries (the umbilical arteries) and one vein (the umbilical vein), buried within Wharton's jelly. The umbilical vein supplies the fetus with oxygenated, nutrient-rich blood from the placenta. Conversely, the fetal heart pumps deoxygenated, nutrient-depleted blood through the umbilical arteries back to the placenta.
The blood within the umbilical cord, known as cord blood, is a rich and readily available source of primitive, undifferentiated stem cells (of type CD34-positive and CD38-negative). These cord blood cells can be used for bone marrow transplant.
Some parents choose to have this blood diverted from the baby's umbilical blood transfer through early cord clamping and cutting, to freeze for long-term storage at a cord blood bank should the child ever require the cord blood stem cells (for example, to replace bone marrow destroyed when treating leukemia).
In the future, cord blood-derived embryonic-like stem cells (CBEs) may be banked and matched with other patients, much like blood and transplanted tissues. The use of CBEs could potentially eliminate the ethical difficulties associated with embryonic stem cells (ESCs).
This document discusses the importance of focusing extension services on smallholder farmers in the Philippines. It notes that smallholder farmers own 7.9 million hectares of prime agricultural land and can provide quality produce for the market. Investing in smallholder agriculture yields double the returns compared to other sectors. The Farm Business School (FBS) is an extension program designed to help farmers improve their farm profitability through business skills training. FBS has been successfully implemented in pilot areas, with farmers selling over 125 tons of vegetables worth 3.17 million pesos. Local leaders have embraced FBS as an innovative way to improve smallholder livelihoods. Farmer participants feel empowered and see themselves as farmer entrepreneurs rather than just farmers.
Business Strategy: Exporting rice to Singapore sovanna suos
This document outlines a business plan to export Cambodian jasmine rice to Singapore. It includes a PESTEL analysis of Singapore, identifying low political risk and a corruption-free business environment. A SWOT analysis notes the small domestic market as a weakness. The plan proposes importing rice from Cambodia and distributing to wholesalers and retailers in Singapore, targeting the Chinese population. It discusses licensing requirements, locating near a warehouse, differentiating the premium quality rice, and managing risks such as exchange rates to evaluate performance against objectives.
This document summarizes a market analysis report on the Canadian mustard seed industry presented to the Saskatchewan Mustard Development Commission. The report included a benchmarking study comparing Canadian mustard seed to competitors on key attributes, an assessment of market potential in key markets, and a value chain profile. It found that while Canadian seed is highest quality, price and concerns about GMOs are challenges. It recommends the industry improve communication with buyers, marketing, traceability, and address concerns about future Canadian production to maintain market share.
La hemocromatosis es un trastorno del metabolismo del hierro que se divide en primaria (genética) y secundaria (otras patologías). Se caracteriza por un aumento en la acumulación de hierro en órganos como el hígado, páncreas y corazón, lo que puede causar insuficiencia hepática, cardiaca o pancreática. Los síntomas incluyen artritis, hepatomegalia y pigmentación cutánea grisácea. El tratamiento consiste en flebotomías semanales para eliminar exceso de hierro
Sala Design Group is an international design firm with over 40 years of combined experience in luxury resort, hotel, golf, residential, and landscape design. The firm provides experienced design personnel to deliver high quality design packages for prestigious projects globally. Sala Design Group has offices in Singapore, Hong Kong, China, and the UAE, and works on projects throughout Asia and other regions. Some of its past master planning and landscape design projects include Vanke East Coast in Shenzhen, China.
1 & 3 tg5 - fetivals and special ocassionsDavid Lobato
The document discusses various festivals and special occasions celebrated in Spain and by the author's family, including Las Fallas in Valencia, San Fermín in Pamplona, San Isidro in Madrid, New Year's Eve, Christmas, and Three Kings Day. It also mentions occasions celebrated in school like Halloween, Peace Day, and Carnival.
The document discusses several synthetic drugs including bath salts, Molly, Flakka, and the condition of excited delirium they can cause. It describes how each drug is typically abused, their chemical reactions in the brain involving neurotransmitters, and potential physical effects and risks to the body. Signs of excited delirium are outlined. Treatment for excited delirium patients focuses on safely restraining, monitoring, and sedation with medications like Haldol, Versed, and Benadryl to reduce agitation and hyperthermia risks.
Graduate Electrical Engineer With 8 years Experience in Solar Thermal Power Sector/ Utility ( Operation Maintenance & Projects ) looking for an opportunity
The document is a letter from Alfa Infraprop Pvt. Ltd. to Mr. Suman Sukhen Chatterjee confirming his employment as Assistant Manager Electrical following a successful probation period. It informs him that his annual compensation has been increased from Rs. 907738.8 to Rs. 959988 effective April 1, 2015. An annexure provides the breakdown of his revised monthly compensation package of Rs. 79999 which includes various allowances, contributions, and deductions. The letter expresses appreciation for his contribution and hopes he will continue striving for excellence with the company.
The document provides status updates from August 9, 2015 on various systems in a power plant. It notes that on August 9, 2015:
1. The boiler feed pump and condensate extraction pump were operating normally.
2. The induced draft fans and dampers were operating properly with no issues reported.
3. The boiler tripped due to high metal temperatures in superheaters 1 and 2, low-low drum level, and both induced draft fans tripping.
4. The turbine tripped due to low steam temperatures, high bearing and oil temperatures, low lube oil pressure, high vibrations, and overspeed.
In placental mammals, the umbilical cord (also called the navel string, birth cord or funiculus umbilicalis) is a conduit between the developing embryo or fetus and the placenta. During prenatal development, the umbilical cord is physiologically and genetically part of the fetus and, (in humans), normally contains two arteries (the umbilical arteries) and one vein (the umbilical vein), buried within Wharton's jelly. The umbilical vein supplies the fetus with oxygenated, nutrient-rich blood from the placenta. Conversely, the fetal heart pumps deoxygenated, nutrient-depleted blood through the umbilical arteries back to the placenta.
The blood within the umbilical cord, known as cord blood, is a rich and readily available source of primitive, undifferentiated stem cells (of type CD34-positive and CD38-negative). These cord blood cells can be used for bone marrow transplant.
Some parents choose to have this blood diverted from the baby's umbilical blood transfer through early cord clamping and cutting, to freeze for long-term storage at a cord blood bank should the child ever require the cord blood stem cells (for example, to replace bone marrow destroyed when treating leukemia).
In the future, cord blood-derived embryonic-like stem cells (CBEs) may be banked and matched with other patients, much like blood and transplanted tissues. The use of CBEs could potentially eliminate the ethical difficulties associated with embryonic stem cells (ESCs).
This document discusses the importance of focusing extension services on smallholder farmers in the Philippines. It notes that smallholder farmers own 7.9 million hectares of prime agricultural land and can provide quality produce for the market. Investing in smallholder agriculture yields double the returns compared to other sectors. The Farm Business School (FBS) is an extension program designed to help farmers improve their farm profitability through business skills training. FBS has been successfully implemented in pilot areas, with farmers selling over 125 tons of vegetables worth 3.17 million pesos. Local leaders have embraced FBS as an innovative way to improve smallholder livelihoods. Farmer participants feel empowered and see themselves as farmer entrepreneurs rather than just farmers.
Business Strategy: Exporting rice to Singapore sovanna suos
This document outlines a business plan to export Cambodian jasmine rice to Singapore. It includes a PESTEL analysis of Singapore, identifying low political risk and a corruption-free business environment. A SWOT analysis notes the small domestic market as a weakness. The plan proposes importing rice from Cambodia and distributing to wholesalers and retailers in Singapore, targeting the Chinese population. It discusses licensing requirements, locating near a warehouse, differentiating the premium quality rice, and managing risks such as exchange rates to evaluate performance against objectives.
This document summarizes a market analysis report on the Canadian mustard seed industry presented to the Saskatchewan Mustard Development Commission. The report included a benchmarking study comparing Canadian mustard seed to competitors on key attributes, an assessment of market potential in key markets, and a value chain profile. It found that while Canadian seed is highest quality, price and concerns about GMOs are challenges. It recommends the industry improve communication with buyers, marketing, traceability, and address concerns about future Canadian production to maintain market share.
La hemocromatosis es un trastorno del metabolismo del hierro que se divide en primaria (genética) y secundaria (otras patologías). Se caracteriza por un aumento en la acumulación de hierro en órganos como el hígado, páncreas y corazón, lo que puede causar insuficiencia hepática, cardiaca o pancreática. Los síntomas incluyen artritis, hepatomegalia y pigmentación cutánea grisácea. El tratamiento consiste en flebotomías semanales para eliminar exceso de hierro
Sala Design Group is an international design firm with over 40 years of combined experience in luxury resort, hotel, golf, residential, and landscape design. The firm provides experienced design personnel to deliver high quality design packages for prestigious projects globally. Sala Design Group has offices in Singapore, Hong Kong, China, and the UAE, and works on projects throughout Asia and other regions. Some of its past master planning and landscape design projects include Vanke East Coast in Shenzhen, China.
1 & 3 tg5 - fetivals and special ocassionsDavid Lobato
The document discusses various festivals and special occasions celebrated in Spain and by the author's family, including Las Fallas in Valencia, San Fermín in Pamplona, San Isidro in Madrid, New Year's Eve, Christmas, and Three Kings Day. It also mentions occasions celebrated in school like Halloween, Peace Day, and Carnival.
The document discusses several synthetic drugs including bath salts, Molly, Flakka, and the condition of excited delirium they can cause. It describes how each drug is typically abused, their chemical reactions in the brain involving neurotransmitters, and potential physical effects and risks to the body. Signs of excited delirium are outlined. Treatment for excited delirium patients focuses on safely restraining, monitoring, and sedation with medications like Haldol, Versed, and Benadryl to reduce agitation and hyperthermia risks.
Graduate Electrical Engineer With 8 years Experience in Solar Thermal Power Sector/ Utility ( Operation Maintenance & Projects ) looking for an opportunity
The document is a letter from Alfa Infraprop Pvt. Ltd. to Mr. Suman Sukhen Chatterjee confirming his employment as Assistant Manager Electrical following a successful probation period. It informs him that his annual compensation has been increased from Rs. 907738.8 to Rs. 959988 effective April 1, 2015. An annexure provides the breakdown of his revised monthly compensation package of Rs. 79999 which includes various allowances, contributions, and deductions. The letter expresses appreciation for his contribution and hopes he will continue striving for excellence with the company.
The document provides status updates from August 9, 2015 on various systems in a power plant. It notes that on August 9, 2015:
1. The boiler feed pump and condensate extraction pump were operating normally.
2. The induced draft fans and dampers were operating properly with no issues reported.
3. The boiler tripped due to high metal temperatures in superheaters 1 and 2, low-low drum level, and both induced draft fans tripping.
4. The turbine tripped due to low steam temperatures, high bearing and oil temperatures, low lube oil pressure, high vibrations, and overspeed.