A medical certificate, sometimes called a doctor's certificate, is a statement from a healthcare provider that describes the results of a medical examination of a patient. It can serve as a sick note or evidence of a health condition. Medical certificates are used for various purposes, such as indicating eligibility for activities or benefits, making insurance claims, describing a medical condition, obtaining jobs or services, certifying freedom from contagious diseases, and issuing death certificates. They provide legally valid documentation of a person's health status or cause of death.
This document is a Certificate issued by the Ministry of Maritime Affairs, Transport and Infrastructure of the Republic of Croatia. It certifies that Arsen Tomić has been deemed qualified as an Electro-Technical Officer in accordance with international conventions. Some key details include:
- The Certificate is valid until 18 November 2025.
- Arsen Tomić, born on 15 August 1965 in Croatia, is authorized to serve as an Electro-Technical Officer aboard vessels.
- The original Certificate must be kept available aboard any ship Arsen Tomić serves on.
The Chief Electrical Engineer is responsible for the maintenance and repair of the electrical plant and associated systems on the ship. They supervise the electrical staff and ensure the electrical systems are properly operated and maintained according to regulations. Additional duties include communicating with other departments, approving purchases, assisting with budgeting, and conducting performance evaluations of the electrical staff. The position requires 5-6 years of relevant experience, various certifications, a Bachelor's degree or technical diploma, and the ability to perform physical duties as required in emergencies.
A medical certificate, sometimes called a doctor's certificate, is a statement from a healthcare provider that describes the results of a medical examination of a patient. It can serve as a sick note or evidence of a health condition. Medical certificates are used for various purposes, such as indicating eligibility for activities or benefits, making insurance claims, describing a medical condition, obtaining jobs or services, certifying freedom from contagious diseases, and issuing death certificates. They provide legally valid documentation of a person's health status or cause of death.
This document is a Certificate issued by the Ministry of Maritime Affairs, Transport and Infrastructure of the Republic of Croatia. It certifies that Arsen Tomić has been deemed qualified as an Electro-Technical Officer in accordance with international conventions. Some key details include:
- The Certificate is valid until 18 November 2025.
- Arsen Tomić, born on 15 August 1965 in Croatia, is authorized to serve as an Electro-Technical Officer aboard vessels.
- The original Certificate must be kept available aboard any ship Arsen Tomić serves on.
The Chief Electrical Engineer is responsible for the maintenance and repair of the electrical plant and associated systems on the ship. They supervise the electrical staff and ensure the electrical systems are properly operated and maintained according to regulations. Additional duties include communicating with other departments, approving purchases, assisting with budgeting, and conducting performance evaluations of the electrical staff. The position requires 5-6 years of relevant experience, various certifications, a Bachelor's degree or technical diploma, and the ability to perform physical duties as required in emergencies.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
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8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
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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.
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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