The document is about the experience of being the youngest child in a family from the perspective of an 18-year-old named Hannah. Hannah feels that, as the youngest, her opinions are not taken seriously, she cannot do anything original because her siblings have already done it, and she receives less attention than her siblings, especially around important events like university acceptances. She also feels constantly compared to and unable to match the achievements of her high-achieving older brother. While she acknowledges her family loves her, Hannah wants them to pay more attention to the important parts of her life and get off her back about small issues. The document includes additional perspectives from other children on both positives and challenges of being the youngest sibling.
Postcards of Awesome Set 3 #JusticeforLBJusticeforLB
Postcards of Awesome are a collection of postcards that share what is awesome about a person with a disability. The postcards were collected as part of the #107days #JusticeforLB campaign; LB was one awesome dude and we knew that there were other awesome dudes and dudettes out there, that we wanted to share with the world.
Set 1 is available here http://www.slideshare.net/JusticeforLB/postcards-of-awesome-justiceforlb and Set 2 is here http://www.slideshare.net/JusticeforLB/postcards-of-awesome-set-2
Postcards of Awesome Set 3 #JusticeforLBJusticeforLB
Postcards of Awesome are a collection of postcards that share what is awesome about a person with a disability. The postcards were collected as part of the #107days #JusticeforLB campaign; LB was one awesome dude and we knew that there were other awesome dudes and dudettes out there, that we wanted to share with the world.
Set 1 is available here http://www.slideshare.net/JusticeforLB/postcards-of-awesome-justiceforlb and Set 2 is here http://www.slideshare.net/JusticeforLB/postcards-of-awesome-set-2
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
1. ENGLISH 4 LISTENING
BEING THE YOUNGEST
BEING THE YOUNGEST
FROM : EVERYONE'S GOT ONE, BBC2, WEDNESDAY 12 MARCH 1997.
1 Now, a lot has been written and said already this year how our place in the family
2 dictates certain characteristics and the youngest child is traditionally seen as spoilt, the
3 apple of everyone's eye, but is it true. Well, Hannah thinks that she's been given a pretty
4 raw deal as the youngest child and she wants us all to think again about being the
5 youngest. She says : 'See it from my side'.
6 I'm Hannah and I'm 18 years old. I'm the youngest of two children. Being the youngest is
7 the biggest nightmare ever. It's not half what it's cracked up to be. I mean, all that stuff
8 about being spoilt and getting all the attention is complete rubbish. Because I'm the
9 youngest nothing I ever say is relevant because you, my family think I'm too young to
10 know. I could be 35 and obviously I wouldn't know what I was talking about because I'm
11 the baby and babies never know anything. Pathetic. You hear me but you never listen.
12 What's worse is I can't do anything original. It's all been done before. So no-one gets
13 excited or involved. When my brother was taking his A-levels I had to tread on egg
14 shells for 3 months and when he had university interviews I didn't even exist as far as
15 you are concerned and now it's my turn nobody seems to care. Maybe that's something to
16 do with the fact that he goes to Cambridge and then I don't think it looks like I'll be
17 joining him. And then that's another thing. Whenever I do do anything, my older brother
18 who has already set a really high standard and it's impossible for me to reach that
19 because he's so clever and I'm the artistic younger one. What really gets me though is
20 that when I'm not being ignored he gives me hell over the most annoying things like
21 when my room needs tidying or something equally trivial and completely pointless. I's
22 only going to get messy again. And of course, you're driving me mad about where I'm
23 going, who with and where. So long as I come home in one piece, does it really matter.
24 I'm not a baby anymore and you're smothering me. I know you love me and I love you
25 too but please, get off my back about the little things and give some attention to the more
26 important things in my life.
1
2. ENGLISH 4 LISTENING
BEING THE YOUNGEST
BROTHERS AND SISTERS - BEING THE YOUNGEST
While you are growing you are always going to be the younger and the smaller than your older brother
or sister. You will not be 'big enough' or 'old enough' yet to do all the exciting things that your older
sibling can do.
BEING THE YOUNGEST
What it's like to be 'the baby' of the family.
These are some things that the younger 'sibs' have said.
She's always telling me what to do.
I never get the new stuff.
I always have to watch her play sport and it's boring.
He gets to stay up later.
She gets to sleep over at friends' places and I don't.
FEELINGS
You may feel that your older brother or sister gets more things, gets more privileges… and shouldn't
be 'the boss of you'.
What to do
Talk to your parents and your older sib. Let them know how you feel and see if you can work things out
together.
What's good about being younger
Of course there are advantages in being the youngest.
You always have someone's attention.
There are lots of toys around for you to
play with.
You have more experienced parents.
You have someone to help you.
2
3. ENGLISH 4 LISTENING
BEING THE YOUNGEST
WHAT SOME CHILDREN SAID ABOUT BEING THE YOUNGEST
I get to play her CD's.
My brother is much older than me so I get things from him as well
as from my parents. I sometimes talk to him but he is normally
sleeping or out somewhere.
Sometimes I get more attention and help from the others.
Adam helps me on the computer.
I couldn't have bubblegum until I was
11 because my brother had choked on
it when he was 3 [he didn't die
though].
I hate it when my brother play fights
with me because I get hurt.
My sister helps me to plait my hair,
When she gets sick of clothes and toys I get them.
My big brother can drive me places.
I'll be the last person to leave school and drive a car.
I have lots of people to care for me.
My older brother talks to me in a rude fashion sometimes.
I get to borrow money off my sister if I'm 'broke'.
TEXT FROM : http://www.cyh.com/cyh/kids
3