- Mrs. Nelwati, a 67-year-old female, presented to the emergency department with palpitations and shortness of breath.
- Her past medical history included atrial fibrillation, congestive heart failure, and a recent stroke.
- On examination, she was tachycardic with irregular rhythm and signs of congestive heart failure.
- Laboratory and imaging findings were consistent with atrial fibrillation and heart failure. She was admitted to the CVCU ward for management of her conditions.
A 67 year old male patient was admitted to the male medicine ward with complaints of abdominal distension, bilateral lower limb oedema, pitting pedal oedema, distended and swelled scrotum and breathlessness since 15 days.
A 67 year old male patient was admitted to the male medicine ward with complaints of abdominal distension, bilateral lower limb oedema, pitting pedal oedema, distended and swelled scrotum and breathlessness since 15 days.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
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.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
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.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
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.
1. Consultant in charge : Dr. dr. Masrul Syafri, Sp.PD, Sp.JP(K)
Resident in charge : dr. Hamzah/dr.Emelda/dr.Wenny/dr.Zakiy/dr.Fahrizal/dr.Alfi/dr.Shindu
EMERGENCY DUTY REPORT
Wednesday, April 14th 2021
2. Old Patients Patient New Patient Troubled Patient Died
CVCU Ward CVCU Ward Red Zone CVCU Ward CVCU Ward
- - - - - -
4. New patients
1. Mrs. Nelwati/ 67 y.o.
/00.69.75.10
D /:
- Stable AF RVR
- CHF NYHA fc.III ec. CAD
- Sequele of ischemic stroke
5. Mrs. Nelwati/ 67 y.o./00.69.75.10
Chief complaint:
Palpitation since 2 hours before admission
Present illness:
• Palpitation (+) since 2 hours before admission , dizziness (-), syncope (-).
• Shortness of breath (+) since 1 weeks before admission, increased especially during
activities. History of DOE (-), PND (-), OP (-), ankle swelling (-), History of shortness of
breath (+) since 1 year ago. Patient was routinely controlled to Cardiologist and got
therapies furosemide, spironolactone, bisoprolol, ranitidine, atorvastatin.
• Chest pain (-), diaphoresis (-), nausea (-) and vomiting (-). History of chest pain (-).
• Patient got stroke since 3 weeks before admission, hemiparesis (+), slurred speech(+)
Fever (-), Cough(-), diarrhea (-)
6. Patient was referred from Cardiologist with diagnosed AF RVR
At the ER: Palpitation (+), Shortness of breath (+)
Risk Factors:
• Menopause (+)
• HT(-)
• DM (-)
• Dyslipidemia(?)
• Family history (-)
Past ilness:
History of gastritis (+), Asthma (-), stroke (-),
8. Physical Examination
Pulmo:
insp : Symetric right = left
palp : Fremitus right = left
perc : Sonor right = left
ausc : Bronchovesicular, fine rales +/+ wet and soft in basal, wheezing -/-,
Cor :
insp : Ictus cordis not visible
palp : Ictus palpable at 1 finger lateral LMCS VIth ICS
perc : Upper : 2nd ICS
Right: LSD
Left : LMCS VIth ICS
ausc : S1N-S2N irregular, murmur (-), gallop (-)
9. Physical Examination
Abdomen
insp : Supel
palp : Hepar and lien was not palpable
perc : Tympani
ausc : Peristaltic sound (+) N
Extremities :
edema -/-, warm
10. ECG at Cardiologist (26/04/2021 at 05.06 pm)
AF SVR, QRS rate 110-120x/’, irregular, axis LAD, Pwave and PR int difficult to assessed, QRS dur 0,06s,
Tinverted at V5-V6, LVH(-), RVH(-), QTc 403msec
11. ECG at ER M.Djamil Hospital (26/04/2021 at 08.56 pm)
AF RVR, QRS rate 110-120x/’, irregular, axis LAD, Pwave and PR int difficult to assessed, QRS dur 0,06s,
Tinverted at V5-V6, LVH(-), RVH(-), QTc 403
