Hw 11
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The document appears to be a student assignment for a journalism class. It contains the student's name, Jonathan Bym, the assignment number, HW 11, the course number, JRN 3200, and the instructor's name, Dr. Hutchens. In 3 sentences or less, this provides the essential identifying information about the document in a concise summary.
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Hw 12
Sports are often viewed through the lens of competition on the field or court, however there is much that happens outside of the lines of play. This article explores some of the business, cultural, and social impacts of sports beyond what athletes do in games and events. It aims to provide a more well-rounded perspective on the influence and role of sports in our lives.
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Inotropes increase mortality in advanced heart failure
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3) While inotropes were a mainstay of heart failure therapy in the 1970s, more recent guidelines now favor mechanical circulatory support over inotropic therapy given the risks of increased mortality.
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1. Despite improvements in reperfusion therapy for STEMI, heart failure rates remain high, partly due to reperfusion injury which accounts for 50% of final infarct size.
2. Ischemic conditioning techniques like ischemic preconditioning and postconditioning have been shown to reduce infarct size in animal models by preparing the heart to be resistant to damage from reperfusion, but have limitations for clinical use.
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Hw 12
Sports are often viewed through the lens of competition on the field or court, however there is much that happens outside of the lines of play. This article explores some of the business, cultural, and social impacts of sports beyond what athletes do in games and events. It aims to provide a more well-rounded perspective on the influence and role of sports in our lives.
Inotropes do not increase mortality in advanced heart failure
This document discusses evidence regarding the use of inotropes for advanced heart failure. It summarizes that previous randomized controlled trials of inotropes were conducted when implantable cardioverter defibrillators were not commonly used and included patients without clear indications for inotropes like low cardiac output. The ADHERE registry also found no increase in mortality with short-term inotrope use in patients with low output syndrome. However, guidelines still recommend against long-term use, as inotropes have not proven to improve outcomes compared to standard therapy alone in heart failure patients. Dependence on continuous inotropes to prevent imminent clinical deterioration also remains a concern.
Inotropes increase mortality in advanced heart failure
1) Inotropes are overutilized in advanced heart failure and evidence links their use to increased mortality.
2) Mechanical circulatory support provides superior outcomes to inotropic therapy, with studies showing reduced one-year mortality rates compared to pulsatile left ventricular devices.
3) While inotropes were a mainstay of heart failure therapy in the 1970s, more recent guidelines now favor mechanical circulatory support over inotropic therapy given the risks of increased mortality.
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Mannitol has traditionally been used as the first-line osmotic agent for decreasing intracranial pressure in various conditions such as traumatic brain injury, hemorrhage, and cerebral infarction. However, mannitol can cause renal failure and hypovolemia as adverse effects. Hypertonic saline formulations may reduce ICP without volume contraction and less nephrotoxicity risk. A recent meta-analysis found that hypertonic saline is more effective than mannitol for treating elevated ICP.
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This document discusses risk factors, stages, management, and treatment of sudden cardiac death (SCD). It identifies key risk factors for SCD including older age, male sex, coronary artery disease history, high cholesterol, hypertension, smoking, and abnormal heart rhythms. The stages of SCD are described as prodromal, acute symptoms, and circulatory disturbances leading to biological death. Management involves evaluating the patient, performing CPR, using defibrillation and other advanced life support measures, post-resuscitation treatment, and long-term management. Specific protocols are provided for basic life support including CPR, advanced life support, and treating ventricular tachycardia or fibrillation.
myocardial Reperfusion injury
1. Despite improvements in reperfusion therapy for STEMI, heart failure rates remain high, partly due to reperfusion injury which accounts for 50% of final infarct size.
2. Ischemic conditioning techniques like ischemic preconditioning and postconditioning have been shown to reduce infarct size in animal models by preparing the heart to be resistant to damage from reperfusion, but have limitations for clinical use.
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El documento lista los nombres de varios autores que han reservado los derechos de autor para tres trabajos diferentes. Cada entrada enumera los nombres de los autores y afirma que los derechos están reservados. El documento también incluye repetidas instrucciones para "SALIR".
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El documento presenta un informe anual de las actividades de gestión administrativa realizadas durante el año 2012 por el Gobierno Autónomo Descentralizado Parroquial Rural de Chicaña. Se detallan varios proyectos de construcción ejecutados en enero a diciembre de 2012, incluyendo una glorieta en el parque central, cabañas en las playas, bóvedas en el cementerio, obras educativas y de salud, entre otros. También se mencionan convenios con diferentes gobiernos para fortalecer viveros, pro
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Hw 11
- 1. Jonathan Bym HW 11 JRN 3200 Dr. Hutchens