How to tackle CIP
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The document provides eligibility criteria and marking scheme for the Punjab Residency Program (PRP). Applicants must have cleared FCPS Part 1 or JCAT within the last 3 years, completed a 12 month house job, and have PMDC registration. Marks are awarded for FCPS/JCAT scores, degree, attempts, institution, house job location, distinctions, publications, and clinical experience. The highest marks are given to clinical experience gained at primary healthcare facilities.
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Thyroid disorders 4
This document discusses a case of hypothyroidism in a female patient. Key details include:
- The patient presented with depressed mood, lethargy, lack of initiative, heavy menstrual bleeding, and low hemoglobin.
- Examination found cold skin, mild goiter, slowed pulse, high blood pressure, and signs of hypothyroidism like delayed ankle jerk.
- Laboratory tests found elevated TSH, anemia, and other signs consistent with hypothyroidism.
- The patient was diagnosed with hypothyroidism, likely autoimmune/Hashimoto's thyroiditis based on her symptoms and laboratory results. She was started on levothyroxine treatment.
Thyroid disorders 2
A 45-year-old male presented with weight loss, tremors, sweating, anxiety, insomnia, and increased appetite and bowel movements. Examination found tachycardia, proptosis, lid retraction, and a nodule in the right thyroid lobe. Investigations of thyroid function tests, ultrasound, scan, and uptake were recommended. A diagnosis of toxic adenoma (Plummer's disease) was made, where a single autonomous nodule in the thyroid causes hyperthyroidism. Treatment options included antithyroid drugs, radioactive iodine, or surgery. Complications discussed were hypothyroidism, thyroiditis, and rarely thyroid storm.
Thyroid disorders 1
A 28-year-old female presents with a one-week history of low-grade fever, throat pain, and muscle aches. On examination, she has swelling on both sides of her neck that is tender to touch and worsens with swallowing or coughing. Tests show an enlarged, inflamed thyroid. The diagnosis is acute thyroiditis, which is usually self-limiting inflammation of the thyroid that can cause temporary thyroid dysfunction but resolves with treatment of the underlying infection or inflammation.
Prolactinoma & men syndromes
This document describes four case scenarios involving patients presenting with various endocrine-related symptoms. The first case involves a 17-year-old boy with gynecomastia and absence of secondary sex characteristics. The second case involves a 16-year-old girl with delayed menarche and short stature. The third case involves a 30-year-old woman with spontaneous milk discharge and infertility. The fourth case involves a 32-year-old man with headaches, vision issues, fatigue, and erectile dysfunction. The document then provides background information on conditions like hyperprolactinemia, prolactinomas, Cushing's syndrome, MEN type 1 and 2 syndromes, and their typical clinical presentations, evaluations
Pituitary disorders 3
A 22-year-old university student presents with symptoms of excessive thirst, drinking 20-25 glasses of water per day and waking up 5-6 times per night to pass urine. She is constipated but has a normal appetite and weight. The differential diagnoses are psychogenic polydipsia, diabetes mellitus, and diabetes insipidus. Diabetes insipidus is defined as the excretion of large volumes of dilute urine and can be central or nephrogenic in origin. Central diabetes insipidus results from a decreased secretion of antidiuretic hormone due to conditions affecting the hypothalamus or pituitary gland.
Pituitary disorders 1 growth hormone
This case describes a 15-year-old boy who presents with short stature and social/behavioral issues. The main potential causes of his short stature are growth hormone (GH) deficiency, constitutional delay of growth, or familial short stature. Key tests to diagnose GH deficiency include low levels of insulin-like growth factor 1 (IGF-1) and GH stimulation tests such as the insulin tolerance test or GHRH+arginine stimulation test. Further investigations to confirm the diagnosis would include assessing his family history, measuring sex hormone levels, and checking for signs of other hormonal deficiencies or genetic disorders like Laron syndrome.
Parathyroid & calcium disorders
This document discusses parathyroid disorders and their effects on bone health. It begins with an overview of osteomalacia and osteoporosis, then covers several case scenarios involving patients presenting with conditions related to calcium regulation and bone mineralization. These include hypoparathyroidism, hyperparathyroidism, osteomalacia, and osteoporosis. For each condition, the document discusses causes, signs and symptoms, diagnostic testing, treatment options, and complications. It provides detailed information on parathyroid hormone function and the roles of calcium, vitamin D, and phosphate in bone health.
Adrenal disorders 2
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Thyroid disorders 4
This document discusses a case of hypothyroidism in a female patient. Key details include:
- The patient presented with depressed mood, lethargy, lack of initiative, heavy menstrual bleeding, and low hemoglobin.
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- Laboratory tests found elevated TSH, anemia, and other signs consistent with hypothyroidism.
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Thyroid disorders 2
A 45-year-old male presented with weight loss, tremors, sweating, anxiety, insomnia, and increased appetite and bowel movements. Examination found tachycardia, proptosis, lid retraction, and a nodule in the right thyroid lobe. Investigations of thyroid function tests, ultrasound, scan, and uptake were recommended. A diagnosis of toxic adenoma (Plummer's disease) was made, where a single autonomous nodule in the thyroid causes hyperthyroidism. Treatment options included antithyroid drugs, radioactive iodine, or surgery. Complications discussed were hypothyroidism, thyroiditis, and rarely thyroid storm.
Thyroid disorders 1
A 28-year-old female presents with a one-week history of low-grade fever, throat pain, and muscle aches. On examination, she has swelling on both sides of her neck that is tender to touch and worsens with swallowing or coughing. Tests show an enlarged, inflamed thyroid. The diagnosis is acute thyroiditis, which is usually self-limiting inflammation of the thyroid that can cause temporary thyroid dysfunction but resolves with treatment of the underlying infection or inflammation.
Prolactinoma & men syndromes
This document describes four case scenarios involving patients presenting with various endocrine-related symptoms. The first case involves a 17-year-old boy with gynecomastia and absence of secondary sex characteristics. The second case involves a 16-year-old girl with delayed menarche and short stature. The third case involves a 30-year-old woman with spontaneous milk discharge and infertility. The fourth case involves a 32-year-old man with headaches, vision issues, fatigue, and erectile dysfunction. The document then provides background information on conditions like hyperprolactinemia, prolactinomas, Cushing's syndrome, MEN type 1 and 2 syndromes, and their typical clinical presentations, evaluations
Pituitary disorders 3
A 22-year-old university student presents with symptoms of excessive thirst, drinking 20-25 glasses of water per day and waking up 5-6 times per night to pass urine. She is constipated but has a normal appetite and weight. The differential diagnoses are psychogenic polydipsia, diabetes mellitus, and diabetes insipidus. Diabetes insipidus is defined as the excretion of large volumes of dilute urine and can be central or nephrogenic in origin. Central diabetes insipidus results from a decreased secretion of antidiuretic hormone due to conditions affecting the hypothalamus or pituitary gland.
Pituitary disorders 1 growth hormone
This case describes a 15-year-old boy who presents with short stature and social/behavioral issues. The main potential causes of his short stature are growth hormone (GH) deficiency, constitutional delay of growth, or familial short stature. Key tests to diagnose GH deficiency include low levels of insulin-like growth factor 1 (IGF-1) and GH stimulation tests such as the insulin tolerance test or GHRH+arginine stimulation test. Further investigations to confirm the diagnosis would include assessing his family history, measuring sex hormone levels, and checking for signs of other hormonal deficiencies or genetic disorders like Laron syndrome.
Parathyroid & calcium disorders
This document discusses parathyroid disorders and their effects on bone health. It begins with an overview of osteomalacia and osteoporosis, then covers several case scenarios involving patients presenting with conditions related to calcium regulation and bone mineralization. These include hypoparathyroidism, hyperparathyroidism, osteomalacia, and osteoporosis. For each condition, the document discusses causes, signs and symptoms, diagnostic testing, treatment options, and complications. It provides detailed information on parathyroid hormone function and the roles of calcium, vitamin D, and phosphate in bone health.
Adrenal disorders 2
A 52-year-old man presented with recent onset obesity, polydipsia, and polyuria. On examination, he had high blood pressure and purple stretch marks on his trunk. He was diagnosed with Cushing's syndrome, which is caused by excessive cortisol levels and results in various clinical signs and symptoms. The document discusses the definition, clinical features, causes, diagnostic tests, imaging, differential diagnosis, and treatment options for Cushing's syndrome in detail over several pages.
Adrenal disorders 1
This document contains a presentation by Prof. Tariq Waseem on adrenal insufficiency and Addison's disease. It discusses the anatomy and functions of the adrenal cortex and medulla. It then describes a case of a 40-year-old man presenting with fatigue, lightheadedness, and muscle weakness who is diagnosed with Addison's disease based on laboratory results and physical exam findings. The presentation provides details on the causes, symptoms, diagnostic tests, treatment, and management of primary and secondary adrenal insufficiency. It highlights the importance of recognizing and promptly treating an adrenal crisis.
Adrenal disorders 3
A 34-year-old male presented with body aches, muscle weakness, numbness, and tingling in the limbs for 5 days. He also had polyuria, polydipsia, headaches and palpitations. He was found to have hypokalemia (potassium 2.1) and hypernatremia (sodium 156). He was diagnosed with primary hyperaldosteronism or Conn's syndrome, which causes hypokalemia and hypertension due to excessive aldosterone secretion. Treatment depends on the cause, including surgery for unilateral adenomas or medication with aldosterone antagonists for bilateral adrenal hyperplasia.
Thyroid Fna,bethesda system
The document discusses the thyroid FNA procedure and diagnostic categories. It provides details on:
- Performing thyroid FNA under ultrasound guidance using a 25 gauge needle with 3-4 passes.
- Preparing direct smears, cytospins, cell blocks and liquid-based preparations from the aspirated material.
- The Bethesda system for reporting thyroid cytopathology which includes 6 diagnostic categories and their associated cancer risks to guide clinical management.
- Key cytologic features that help diagnose common thyroid lesions and cancers.
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Rheumatoid arthritis is a chronic systemic inflammatory disorder that principally attacks the joints, causing inflammation and destruction of cartilage and bone over time. It affects around 5% of the population and is more common in women. The cause is unknown but is believed to involve an autoimmune process triggered by an unknown antigen in genetically susceptible individuals. Pathologically, it is characterized by synovial inflammation, pannus formation which erodes cartilage, and eventual bony ankylosis of joints. Diagnosis is based on clinical features and serological markers like rheumatoid factor. Complications can include systemic effects like vasculitis. Treatment involves suppressing inflammation and preventing joint damage progression.
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Rheumatic fever is an inflammatory disease that occurs as a result of a prior streptococcal infection. It commonly affects children between 5-15 years old. The major systems involved are the heart, joints, skin, and brain. In the heart, it can cause inflammation of the tissues and valves, leading to scarring and deformities over time. On pathology, it is characterized by lesions called Aschoff bodies in the heart muscle. Long term, it can progress to chronic rheumatic heart disease with permanent valve damage and heart failure. Prompt treatment of streptococcal infections can help prevent recurrent cases of rheumatic fever.
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This document summarizes diseases of joints, including normal joint structure and function. It describes osteoarthritis and rheumatoid arthritis in detail. Osteoarthritis is characterized by erosion of articular cartilage in weight-bearing joints. Risk factors include age, mechanical stress, genetics, and bone density. Rheumatoid arthritis is a systemic inflammatory disease that principally attacks synovial joints, causing synovial inflammation and destruction of cartilage and bone. It is mediated by autoimmune reactions involving T cells, B cells, and cytokines like TNF and IL-1.
Cartilage forming tumors
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1. Chondrosarcoma, which is the third most common malignant bone tumor arising in adults. The main subtypes are conventional, dedifferentiated, clear cell, and mesenchymal chondrosarcoma.
2. Osteochondroma, which is a benign cartilage-capped outgrowth most commonly affecting adolescents and young adults.
3. Chondroma, which is a benign tumor composed of hyaline cartilage that can occur intraosseously as enchondromas or juxtacortically.
4. Other rare tumors discussed include chondroblastoma and chondromyxoid fibroma.
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This document provides a classification and overview of bone tumors. It divides bone tumors into 10 main categories including hematopoietic, chondrogenic, osteogenic, fibrogenic, and fibrohistiocytic tumors. Osteosarcoma is discussed in detail, being the most common primary malignant bone tumor. It typically presents in long bones of adolescents and is further classified based on location, grade, and histological subtype. Key diagnostic features on imaging, grossly, and microscopy are also outlined.
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This document provides an overview of general histology. It discusses the basic tissues including epithelium, connective tissue, muscular tissue, and nervous tissue. It then describes the different types of epithelia such as squamous, cuboidal, columnar epithelia. It also describes the different types of connective tissues, cartilage, bone and muscle tissues. Finally, it discusses the structure and layers of nervous tissue, the cerebral cortex and cerebellum.
Histology of skin
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise stimulates the production of endorphins in the brain which elevate mood and reduce stress levels.
Joints articulations
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Ch14 nervous tissue
The document describes the structure and function of the nervous system. It discusses how the nervous system can be divided structurally into the central nervous system (CNS) and peripheral nervous system (PNS), and functionally into the sensory and motor divisions. Neurons are the basic functional units that initiate and transmit nerve impulses, while glial cells provide support and protection. The document provides details on the anatomy and classifications of neurons, glial cells, nerves, and synapses.
Appendicular muscles
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按照学校原版(ArtEZ文凭证书)ArtEZ艺术学院毕业证快速办理
官方原版办理【(ArtEZ毕业证书)ArtEZ艺术学院毕业证】【176555708微信号】海外认证成绩单、外壳、offer、留信学历认证（永久存档真实可查）采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【我们承诺采用的是学校原版纸张（纸质、底色、纹路），我们拥有全套进口原装设备，特殊工艺都是采用不同机器制作，仿真度基本可以达到100%，所有工艺效果都可提前给客户展示，不满意可以根据客户要求进行调整，直到满意为止！】
【业务选择办理准则】
一、工作未确定，回国需先给父母、亲戚朋友看下文凭的情况，办理一份就读学校的毕业证【微信176555708】文凭即可
二、回国进私企、外企、自己做生意的情况，这些单位是不查询毕业证真伪的，而且国内没有渠道去查询国外文凭的真假，也不需要提供真实教育部认证。鉴于此，办理一份毕业证【微信176555708】即可
三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
留信网服务项目：
1、留学生专业人才库服务（留信分析）
2、国（境）学习人员提供就业推荐信服务
3、留学人员区块链存储服务
→ 【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
选择实体注册公司办理，更放心，更安全！我们的承诺：客户在留信官方认证查询网站查询到认证通过结果后付款，不成功不收费！
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Adrenal disorders 1
This document contains a presentation by Prof. Tariq Waseem on adrenal insufficiency and Addison's disease. It discusses the anatomy and functions of the adrenal cortex and medulla. It then describes a case of a 40-year-old man presenting with fatigue, lightheadedness, and muscle weakness who is diagnosed with Addison's disease based on laboratory results and physical exam findings. The presentation provides details on the causes, symptoms, diagnostic tests, treatment, and management of primary and secondary adrenal insufficiency. It highlights the importance of recognizing and promptly treating an adrenal crisis.
Adrenal disorders 3
A 34-year-old male presented with body aches, muscle weakness, numbness, and tingling in the limbs for 5 days. He also had polyuria, polydipsia, headaches and palpitations. He was found to have hypokalemia (potassium 2.1) and hypernatremia (sodium 156). He was diagnosed with primary hyperaldosteronism or Conn's syndrome, which causes hypokalemia and hypertension due to excessive aldosterone secretion. Treatment depends on the cause, including surgery for unilateral adenomas or medication with aldosterone antagonists for bilateral adrenal hyperplasia.
Thyroid Fna,bethesda system
The document discusses the thyroid FNA procedure and diagnostic categories. It provides details on:
- Performing thyroid FNA under ultrasound guidance using a 25 gauge needle with 3-4 passes.
- Preparing direct smears, cytospins, cell blocks and liquid-based preparations from the aspirated material.
- The Bethesda system for reporting thyroid cytopathology which includes 6 diagnostic categories and their associated cancer risks to guide clinical management.
- Key cytologic features that help diagnose common thyroid lesions and cancers.
Rheumatoid arthritis
Rheumatoid arthritis is a chronic systemic inflammatory disorder that principally attacks the joints, causing inflammation and destruction of cartilage and bone over time. It affects around 5% of the population and is more common in women. The cause is unknown but is believed to involve an autoimmune process triggered by an unknown antigen in genetically susceptible individuals. Pathologically, it is characterized by synovial inflammation, pannus formation which erodes cartilage, and eventual bony ankylosis of joints. Diagnosis is based on clinical features and serological markers like rheumatoid factor. Complications can include systemic effects like vasculitis. Treatment involves suppressing inflammation and preventing joint damage progression.
Rheumatic fever
Rheumatic fever is an inflammatory disease that occurs as a result of a prior streptococcal infection. It commonly affects children between 5-15 years old. The major systems involved are the heart, joints, skin, and brain. In the heart, it can cause inflammation of the tissues and valves, leading to scarring and deformities over time. On pathology, it is characterized by lesions called Aschoff bodies in the heart muscle. Long term, it can progress to chronic rheumatic heart disease with permanent valve damage and heart failure. Prompt treatment of streptococcal infections can help prevent recurrent cases of rheumatic fever.
Osteoarth & Rheumatoid arthritis
This document summarizes diseases of joints, including normal joint structure and function. It describes osteoarthritis and rheumatoid arthritis in detail. Osteoarthritis is characterized by erosion of articular cartilage in weight-bearing joints. Risk factors include age, mechanical stress, genetics, and bone density. Rheumatoid arthritis is a systemic inflammatory disease that principally attacks synovial joints, causing synovial inflammation and destruction of cartilage and bone. It is mediated by autoimmune reactions involving T cells, B cells, and cytokines like TNF and IL-1.
Cartilage forming tumors
This document summarizes various cartilage forming tumors including:
1. Chondrosarcoma, which is the third most common malignant bone tumor arising in adults. The main subtypes are conventional, dedifferentiated, clear cell, and mesenchymal chondrosarcoma.
2. Osteochondroma, which is a benign cartilage-capped outgrowth most commonly affecting adolescents and young adults.
3. Chondroma, which is a benign tumor composed of hyaline cartilage that can occur intraosseously as enchondromas or juxtacortically.
4. Other rare tumors discussed include chondroblastoma and chondromyxoid fibroma.
Bone forming tumors
This document provides a classification and overview of bone tumors. It divides bone tumors into 10 main categories including hematopoietic, chondrogenic, osteogenic, fibrogenic, and fibrohistiocytic tumors. Osteosarcoma is discussed in detail, being the most common primary malignant bone tumor. It typically presents in long bones of adolescents and is further classified based on location, grade, and histological subtype. Key diagnostic features on imaging, grossly, and microscopy are also outlined.
General histology
This document provides an overview of general histology. It discusses the basic tissues including epithelium, connective tissue, muscular tissue, and nervous tissue. It then describes the different types of epithelia such as squamous, cuboidal, columnar epithelia. It also describes the different types of connective tissues, cartilage, bone and muscle tissues. Finally, it discusses the structure and layers of nervous tissue, the cerebral cortex and cerebellum.
Histology of skin
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise stimulates the production of endorphins in the brain which elevate mood and reduce stress levels.
Joints articulations
This document provides an overview of human joint anatomy and classification. It discusses the different types of joints including fibrous joints, cartilaginous joints, and synovial joints. For synovial joints, it describes the general anatomy including the articular capsule, joint cavity, synovial fluid, articular cartilage, and ligaments. It also classifies and describes the movements permitted at different joints, such as gliding, angular, rotational, and circumduction. Finally, it discusses the specific structures that comprise a synovial joint, including articular bony surfaces, articular cartilage, the joint cavity, and articular capsule.
Joints
Cartilage is a flexible connective tissue found in joints between bones. There are three main types of cartilage - hyaline, fibrocartilage, and elastic cartilage. Cartilage provides support, acts as a gliding surface in joints, and serves as a template for bone formation. Joints, also called articulations, are places where bones connect. The three major types of joints are fibrous, cartilaginous, and synovial joints. Synovial joints are the most common and include structures like bones, cartilage, synovial fluid, ligaments, and a joint capsule. There are different types of synovial joints based on their shape and movement capabilities, including hinge, ball-and-socket
Lower Limb
The document discusses the anatomy of the lower limb, including its skeleton, muscles, nerves, joints, movements, blood supply, and surface anatomy. Key points include that the lower limb skeleton is homologous to the upper limb, it has anterior and posterior muscle compartments, and its main nerves are the sciatic and femoral nerves. The lower limb contains the hip, knee, ankle, and toe joints, and its movements include flexion, extension, abduction, adduction, and rotation. The document also outlines the anterior and posterior muscles of the thigh and leg.
Lymphoid organs
The immune system has the ability to distinguish self from non-antigens and neutralize or inactivate foreign substances like viruses, bacteria, and parasites. The cells of the immune system are distributed throughout the body and organized in lymphoid organs like the lymph nodes, spleen, thymus, and bone marrow. Antigens are recognized by the body as foreign and elicit an immune response through antibodies produced by B lymphocytes. The immune system mounts both innate responses and adaptive responses involving lymphocytes.
Connective tissue presentation2
This document discusses the different types of fibers and cells found in connective tissue. It describes 5 types of collagen fibers, the main protein component, which differ in composition and location in the body. It also outlines reticular, elastic and ground substance fibers. Finally, it names the main cell types derived from mesenchymal stem cells that are present in connective tissues, including fibroblasts, plasma cells, and mast cells.
Muscle tissue 2
Skeletal muscle tissue is organized into bundles of fibers called fascicles. Cardiac muscle is found only in the heart and forms an interconnected network. Smooth muscle is found in organs and blood vessels and its cells are elongated and branching unlike striated skeletal and cardiac muscle.
Circulatory system
The document discusses the structure and function of lymphatic vessels and the heart. Lymphatic vessels drain excess fluid from tissues and have thin endothelial walls lacking basement membrane and pericytes. The heart has three layers - endocardium, myocardium, and epicardium. The myocardium is the thickest layer and contains specialized conduction system nodes that coordinate heart contractions.
Circulation
The document discusses the anatomy and physiology of blood vessels and circulation. It describes the three main classes of blood vessels - arteries, capillaries and veins. Arteries carry oxygenated blood away from the heart, branching into smaller vessels called arterioles which feed into capillaries. Capillaries allow for gas and nutrient exchange. Veins then return blood from the capillaries to the heart. The document outlines the layers of blood vessels called tunics and discusses specifics of arteries, capillaries and veins. It also mentions blood pressure and the circle of Willis cerebral artery anastomosis.
Ch14 nervous tissue
The document describes the structure and function of the nervous system. It discusses how the nervous system can be divided structurally into the central nervous system (CNS) and peripheral nervous system (PNS), and functionally into the sensory and motor divisions. Neurons are the basic functional units that initiate and transmit nerve impulses, while glial cells provide support and protection. The document provides details on the anatomy and classifications of neurons, glial cells, nerves, and synapses.
Appendicular muscles
This document provides an overview of the appendicular muscles, which control movements of the limbs. It describes the major muscle groups, including those that move the pectoral girdle, arm, forearm, hand, pelvic girdle, thigh, leg, foot, and toes. For each group, the document lists the muscles and their primary actions, such as flexion, extension, abduction, and rotation. It focuses on the origins, insertions and functions of key muscles throughout the upper and lower limbs.
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LinkedIn Strategic Guidelines for June 2024
LinkedIn is a powerful tool for networking, researching, and marketing yourself to clients and employers. This session teaches strategic practices for building your LinkedIn internet presence and marketing yourself. The use of # and @ symbols is covered as well as going mobile with the LinkedIn app.
按照学校原版(ArtEZ文凭证书)ArtEZ艺术学院毕业证快速办理
官方原版办理【(ArtEZ毕业证书)ArtEZ艺术学院毕业证】【176555708微信号】海外认证成绩单、外壳、offer、留信学历认证（永久存档真实可查）采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【我们承诺采用的是学校原版纸张（纸质、底色、纹路），我们拥有全套进口原装设备，特殊工艺都是采用不同机器制作，仿真度基本可以达到100%，所有工艺效果都可提前给客户展示，不满意可以根据客户要求进行调整，直到满意为止！】
【业务选择办理准则】
一、工作未确定，回国需先给父母、亲戚朋友看下文凭的情况，办理一份就读学校的毕业证【微信176555708】文凭即可
二、回国进私企、外企、自己做生意的情况，这些单位是不查询毕业证真伪的，而且国内没有渠道去查询国外文凭的真假，也不需要提供真实教育部认证。鉴于此，办理一份毕业证【微信176555708】即可
三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
留信网服务项目：
1、留学生专业人才库服务（留信分析）
2、国（境）学习人员提供就业推荐信服务
3、留学人员区块链存储服务
→ 【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
选择实体注册公司办理，更放心，更安全！我们的承诺：客户在留信官方认证查询网站查询到认证通过结果后付款，不成功不收费！
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LinkedIn for Your Job Search June 17, 2024
This webinar helps you understand and navigate your way through LinkedIn. Topics covered include learning the many elements of your profile, populating your work experience history, and understanding why a profile is more than just a resume. You will be able to identify the different features available on LinkedIn and where to focus your attention. We will teach how to create a job search agent on LinkedIn and explore job applications on LinkedIn.
在线办理(UOIT毕业证书)安大略省理工大学毕业证在读证明一模一样
原件一模一样【微信：bwp0011】《(UOIT毕业证书)安大略省理工大学毕业证》【微信：bwp0011】学位证，留信认证（真实可查，永久存档）原件一模一样纸张工艺/offer、雅思、外壳等材料/诚信可靠,可直接看成品样本，帮您解决无法毕业带来的各种难题！外壳，原版制作，诚信可靠，可直接看成品样本。行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备。十五年致力于帮助留学生解决难题，包您满意。
本公司拥有海外各大学样板无数，能完美还原。
1:1完美还原海外各大学毕业材料上的工艺：水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠。文字图案浮雕、激光镭射、紫外荧光、温感、复印防伪等防伪工艺。材料咨询办理、认证咨询办理请加学历顾问微bwp0011
【主营项目】
一.毕业证【微bwp0011】成绩单、使馆认证、教育部认证、雅思托福成绩单、学生卡等！
二.真实使馆公证(即留学回国人员证明,不成功不收费)
三.真实教育部学历学位认证（教育部存档！教育部留服网站永久可查）
四.办理各国各大学文凭(一对一专业服务,可全程监控跟踪进度)
如果您处于以下几种情况：
◇在校期间，因各种原因未能顺利毕业……拿不到官方毕业证【微bwp0011】
◇面对父母的压力，希望尽快拿到；
◇不清楚认证流程以及材料该如何准备；
◇回国时间很长，忘记办理；
◇回国马上就要找工作，办给用人单位看；
◇企事业单位必须要求办理的
◇需要报考公务员、购买免税车、落转户口
◇申请留学生创业基金
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理
原件一模一样【微信：95270640】【鹿特丹伊拉斯姆斯大学毕业证EUR学位证成绩单】【微信：95270640】（留信学历认证永久存档查询）采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【业务选择办理准则】
一、工作未确定，回国需先给父母、亲戚朋友看下文凭的情况，办理一份就读学校的毕业证【微信：95270640】文凭即可
二、回国进私企、外企、自己做生意的情况，这些单位是不查询毕业证真伪的，而且国内没有渠道去查询国外文凭的真假，也不需要提供真实教育部认证。鉴于此，办理一份毕业证【微信：95270640】即可
三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份【微信：95270640】
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
→ 【关于价格问题（保证一手价格）
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
选择实体注册公司办理，更放心，更安全！我们的承诺：可来公司面谈，可签订合同，会陪同客户一起到教育部认证窗口递交认证材料，客户在教育部官方认证查询网站查询到认证通过结果后付款，不成功不收费！
办理鹿特丹伊拉斯姆斯大学毕业证毕业证offerEUR学位证【微信：95270640 】外观非常精致，由特殊纸质材料制成，上面印有校徽、校名、毕业生姓名、专业等信息。
办理鹿特丹伊拉斯姆斯大学毕业证EUR学位证毕业证offer【微信：95270640 】格式相对统一，各专业都有相应的模板。通常包括以下部分：
校徽：象征着学校的荣誉和传承。
校名:学校英文全称
授予学位：本部分将注明获得的具体学位名称。
毕业生姓名：这是最重要的信息之一，标志着该证书是由特定人员获得的。
颁发日期：这是毕业正式生效的时间，也代表着毕业生学业的结束。
其他信息：根据不同的专业和学位，可能会有一些特定的信息或章节。
办理鹿特丹伊拉斯姆斯大学毕业证毕业证offerEUR学位证【微信：95270640 】价值很高，需要妥善保管。一般来说，应放置在安全、干燥、防潮的地方，避免长时间暴露在阳光下。如需使用，最好使用复印件而不是原件，以免丢失。
综上所述，办理鹿特丹伊拉斯姆斯大学毕业证毕业证offerEUR学位证【微信：95270640 】是证明身份和学历的高价值文件。外观简单庄重，格式统一，包括重要的个人信息和发布日期。对持有人来说，妥善保管是非常重要的。
Khushi Saini, An Intern from The Sparks Foundation
This is my first task as an Talent Acquisition(Human resources) Intern in The Sparks Foundation on Recruitment, article and posts.
I invitr everyone to look into my work and provide me a quick feedback.
一比一原版(surrey毕业证书)英国萨里大学毕业证成绩单修改如何办理
原版定制【微信:741003700】《(surrey毕业证书)英国萨里大学毕业证学位证成绩单》【微信:741003700】成绩单 、雅思、外壳、留信学历认证永久存档查询，采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【业务选择办理准则】
一、工作未确定，回国需先给父母、亲戚朋友看下文凭的情况，办理一份毕业证【Q微信741003700】文凭即可
二、回国进私企、外企、自己做生意的情况，这些单位是不查询毕业证真伪的，而且国内没有渠道去查询国外文凭的真假，也不需要提供真实教育部认证。鉴于此，办理一份毕业证【Q微信741003700】即可
三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
美洲杯买球-美洲杯买球下注平台-美洲杯买球投注平台|【网址🎉ac55.net🎉】
【网址🎉ac55.net🎉】美洲杯买球是爱尔兰的博彩公司，成立于1988年，位于爱尔兰的都柏林。美洲杯买球通过在爱尔兰和英国的一系列持牌博彩商店以及经营爱尔兰最大的电话博彩服务来开展业务。在互联网上，美洲杯买球提供体育博彩，在线扑克，在线宾果游戏，在线赌场和在线游戏。
世预赛买球-世预赛买球下注平台-世预赛买球投注平台|【网址🎉ac10.net🎉】
【网址🎉ac10.net🎉】世预赛买球是体育博彩和在线赌场之一，得益于UKGC的三项许可。 成立之初是三名博彩公司将40家博彩商店的合并的结果，共同创建一家名为世预赛买球的公司。 世预赛买球在线赌场为游戏爱好者提供了300多种游戏，其中200多种老虎机，其他游戏包括二十一点，轮盘，真人荷官和真人赌场等。
办理阿卡迪亚大学毕业证（uvic毕业证）本科文凭证书原版一模一样
原版一模一样【微信：741003700 】【阿卡迪亚大学毕业证（uvic毕业证）本科文凭证书】【微信：741003700 】学位证，留信认证（真实可查，永久存档）offer、雅思、外壳等材料/诚信可靠,可直接看成品样本，帮您解决无法毕业带来的各种难题！外壳，原版制作，诚信可靠，可直接看成品样本。行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备。十五年致力于帮助留学生解决难题，包您满意。
本公司拥有海外各大学样板无数，能完美还原海外各大学 Bachelor Diploma degree, Master Degree Diploma
1:1完美还原海外各大学毕业材料上的工艺：水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠。文字图案浮雕、激光镭射、紫外荧光、温感、复印防伪等防伪工艺。材料咨询办理、认证咨询办理请加学历顾问Q/微741003700
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
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Community Skills Building Workshop | PMI Silver Spring Chapter | June 12, 2024
Community Skills Building Workshop | PMI Silver Spring Chapter | June 12, 2024Hector Del Castillo, CPM, CPMM
We recently hosted the much-anticipated Community Skill Builders Workshop during our June online meeting. This event was a culmination of six months of listening to your feedback and crafting solutions to better support your PMI journey. Here’s a look back at what happened and the exciting developments that emerged from our collaborative efforts.
A Gathering of Minds
We were thrilled to see a diverse group of attendees, including local certified PMI trainers and both new and experienced members eager to contribute their perspectives. The workshop was structured into three dynamic discussion sessions, each led by our dedicated membership advocates.
Key Takeaways and Future Directions
The insights and feedback gathered from these discussions were invaluable. Here are some of the key takeaways and the steps we are taking to address them:
• Enhanced Resource Accessibility: We are working on a new, user-friendly resource page that will make it easier for members to access training materials and real-world application guides.
• Structured Mentorship Program: Plans are underway to launch a mentorship program that will connect members with experienced professionals for guidance and support.
• Increased Networking Opportunities: Expect to see more frequent and varied networking events, both virtual and in-person, to help you build connections and foster a sense of community.
Moving Forward
We are committed to turning your feedback into actionable solutions that enhance your PMI journey. This workshop was just the beginning. By actively participating and sharing your experiences, you have helped shape the future of our Chapter’s offerings.
Thank you to everyone who attended and contributed to the success of the Community Skill Builders Workshop. Your engagement and enthusiasm are what make our Chapter strong and vibrant. Stay tuned for updates on the new initiatives and opportunities to get involved. Together, we are building a community that supports and empowers each other on our PMI journeys.
Stay connected, stay engaged, and let’s continue to grow together!
About PMI Silver Spring Chapter
We are a branch of the Project Management Institute. We offer a platform for project management professionals in Silver Spring, MD, and the DC/Baltimore metro area. Monthly meetings facilitate networking, knowledge sharing, and professional development. For more, visit pmissc.org.体育博彩论坛-十大体育博彩论坛-体育博彩论坛|【网址🎉ac55.net🎉】
在体育博彩论坛，你会发现数之不尽的在线博彩机会，包括世界各地的精彩体育赛事以及绝佳的赔率。此外，体育博彩论坛还会为你提供诸如赌场、宾果和扑克等在线游戏以及各种各样的奖金优惠，包括体育博彩论坛的免费投注。无论你是忠实的足球迷，或者是二十一点的专业玩家，在这里都可以找到你最感兴趣的投注市场或游戏。
5 key differences between Hard skill and Soft skills
𝐓𝐡𝐞 𝐏𝐞𝐫𝐟𝐞𝐜𝐭 𝐁𝐥𝐞𝐧𝐝:
𝐖𝐡𝐲 𝐘𝐨𝐮 𝐍𝐞𝐞𝐝 𝐁𝐨𝐭𝐡 𝐇𝐚𝐫𝐝 & 𝐒𝐨𝐟𝐭 𝐒𝐤𝐢𝐥𝐥𝐬 𝐭𝐨 𝐓𝐡𝐫𝐢𝐯𝐞 💯
In today's dynamic and competitive market, a well-rounded skillset is no longer a luxury - it's a necessity.
While technical expertise (hard skills) is crucial for getting your foot in the door, it's the combination of hard and soft skills that propels you towards long-term success and career advancement. ✨
Think of it like this: Imagine a highly skilled carpenter with a masterful understanding of woodworking (hard skills). But if they struggle to communicate effectively with clients, collaborate with builders, or adapt to project changes (soft skills), their true potential remains untapped. 😐
The synergy between hard and soft skills is what creates true value in the workplace. Strong communication allows you to clearly articulate your technical expertise, while problem-solving skills help you navigate complex challenges alongside your team. 💫
By actively developing both sets of skills, you position yourself as a well-rounded professional who can not only perform tasks efficiently but also contribute meaningfully to a collaborative and dynamic work environment.
Go through the carousel and let me know your views 🤩
一比一原版坎特伯雷大学毕业证(UC毕业证书)学历如何办理
制做办理【微信号:176555708】【制做办理(UC毕业证书)】【微信号:176555708】《成绩单、外壳、offer、真实留信官方学历认证（永久存档/真实可查）》采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
【我们承诺采用的是学校原版纸张（纸质、底色、纹路）我们拥有全套进口原装设备，特殊工艺都是采用不同机器制作，仿真度基本可以达到100%，所有工艺效果都可提前给客户展示，不满意可以根据客户要求进行调整，直到满意为止！】
【业务选择办理准则】
一、工作未确定，回国需先给父母、亲戚朋友看下文凭的情况，办理一份就读学校的毕业证【微信号:176555708】文凭即可
二、回国进私企、外企、自己做生意的情况，这些单位是不查询毕业证真伪的，而且国内没有渠道去查询国外文凭的真假，也不需要提供真实教育部认证。鉴于此，办理一份毕业证【微信号:176555708】即可
三、进国企，银行，事业单位，考公务员等等，这些单位是必需要提供真实教育部认证的，办理教育部认证所需资料众多且烦琐，所有材料您都必须提供原件，我们凭借丰富的经验，快捷的绿色通道帮您快速整合材料，让您少走弯路。
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
留信网服务项目：
1、留学生专业人才库服务（留信分析）
2、国（境）学习人员提供就业推荐信服务
3、留学人员区块链存储服务
【关于价格问题（保证一手价格）】
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
选择实体注册公司办理，更放心，更安全！我们的承诺：客户在留信官方认证查询网站查询到认证通过结果后付款，不成功不收费！
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Community Skills Building Workshop | PMI Silver Spring Chapter | June 12, 2024
Community Skills Building Workshop | PMI Silver Spring Chapter | June 12, 2024
5 key differences between Hard skill and Soft skills
5 key differences between Hard skill and Soft skills
How to tackle CIP
- 1. HOW TO TACKLE CIP Dr Aneeza Jamshed KemUnited
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- 5. OMBBS degree = 20 marks OAttempts = 5 marks OGraduation from a public institute= 5 marks KemUnited
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