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Diamond pendants can make meaningful valentine's gifts
This document promotes Valentine's Day gift ideas from mybridalring.com, including diamond pendants in heart shapes and love knot styles. It provides links to their pendant collection and encourages following their social media pages on Facebook, Twitter, Google+, and Pinterest to see more jewelry options for Valentine's Day 2016 gifts.
SIX2015-12
This document provides an overview of Six Flags Entertainment Corporation presented by four investment managers. It includes an agenda, screening process, company overview, SWOT analysis, financial analysis, comparable company analysis, financial projections, and discounted cash flow valuation. The valuation estimates the company's fair value at $40.35 per share based on comparable company multiples and a discounted cash flow model valuing future free cash flows at $1.4 billion.
Suresh rajalingam resume
Suresh Rajalingam has over 10 years of experience in extra low voltage systems like structured cabling, security, CCTV, IPTV, and PBX. He has a diploma in electronics and communication engineering and certifications in structured cabling installation. Currently he works as a project field engineer in Qatar designing and implementing various ELV systems according to industry standards. Previously he has worked on projects in India and the UAE.
Gazeta "JEMI EDHE NE" NR.52 Muaji MARS 2015
Gazeta "JEMI EDHE NE" - Mujore për fëmijë, botim i ALB-AID.
Donator: Norwegian Embassy, Prishtina, Kosove
Aktivizohuni në veprimtaritë e shkollës në se doni që zëri juaj të dëgjohet dhe vota juaj të numërohet.
.......
3.1. Altruizmi
Sic e theksuam edhe më sipër vullnetarizmi lidhet me altruizmin. Por çfarë kuptojmë me altruizëm? Altruizmi, është gatishmëria për të flijuar të mirën vetjake për të mirën e të tjerëve, dëshira e synimi për t'i bërë mirë tjetrit. Shikuar në kuptimin terminologjik,altruizmi përkthehet në një fjali që mund të shpjerë lehtë në përfundim pak sa të gabuar kur të kihet parapashë kompleksiteti shkencor në suaza filozofike, psikologjike dhe sociologjike. Nëpër fjalorë terminologjik, ku bëhet fjalë për një zbërthim gjuhësorë, mjaftohemi me spjegimin se altruizëm është ndjenja për vendosmëri dhe prirje bujare e zemërgjërë për përkushtim dhe për të dashur të tjerët. Në një përgjithësim më të gjërë, por gjithmonë i pamjaftuar mbi altruizmin është kualifikimi se vetia morale
e shmangjes nga çdo lloj ngurimi për të privilegjuar tjetrin dhe manifestimi i jashtëzakonshëm që çfaqet për dashuri apo sakrificë për tjetrin, përbëjnë altruizmin (vetëmohimin). Në të vërtetë, ky spjegim edhe mund të merret i saktë nëse bazohemi dhe marim në konsideratë spjegimin etologjik por asesi sjelljet e qenies me aftësi të rafinuara të evoluimit të situatave të prodhuara, pra qenia njeri. Me këtë largohemi nga kufijtë e të përjashtuarës, mos të them të paqenurës kur njeriu është për tjetrin dhe kur ngritet mbi vetvehten për tjetrin.
Është tejet e qëlluar doktrina pozitiviste e Emile Maximilien Paul Littré* ku thotë se altruizmi është "...domosdoshmëria për dashuri, që është e imponuar rrënjësisht nga bashkimi mes gjinive që të mund të mbijetoj lloji."
Në kuptim më të gjërë, sjelljet me qëllime të mira proshoqërore të ndërmara me dëshirë dhe që prodhojnë përfitime për të tjerët; format e ndihmës vetëmohuese pa qenë i detyrar me dhunë, si dhe vet dëshira dhe dashuria për tjetrin; si dhe për të konsideruar një sjellje, altruizëm, duhet marë parasyshë edhe cytjet për të bërë mirë. Me një fjalë, për tu plotësuar kushti që një sjellje të quhet altruizëm, duhet që akcioni të jetë i nisur me dëshirë e me qëllim të ruajtjes apo ngritjes së mirëqenies së tjetrit dhe mosshpresimi e
mospritja e dhuratave të ndryshme si shpagim.
GRUPO DE FORMACIÓN EN ACOMPAÑAMIENTO PEDAGÓGICO: UN DISPOSITIVO EN CONSTRUCCI...
GRUPO DE FORMACIÓN EN ACOMPAÑAMIENTO PEDAGÓGICO: UN DISPOSITIVO EN CONSTRUCCI...ProfessorPrincipiante
Presentamos un dispositivo en construcción, para poner en circulación la
enriquecedora experiencia en una carrera de educadores de nivel superior, por su valor
transformador de prácticas docentes, por su potencial progrediente al interior de la
institución y de resignificación continua del trayecto de formación.
Referencialmente el aporte de Marta Souto desde la perspectiva de la complejidad
y la multirreferencialidad teórica constituyéndose en un valioso material que permite
entender las potencialidades de la grupalidad en educación.
Comenzamos hace tres años, con lo que llamamos “Experiencia piloto de tutorías”
como una estrategia implementada en una cátedra en Primer año de la Carrera de
Ciencias de la Educación consistente en la convocatoria a alumnos de años superiores a
conformar Grupos de Aprendizaje en calidad de tutores, ofreciendo a la par un Grupo
de Formación para dicha labor, coordinado por los docentes de la cátedra Psicología de
los Grupos e Instituciones.Help us help you
Users report issues through Yammer and LiveTiles Mosaic support portals where the support team can help troubleshoot in real-time. The portals allow users to see previous solved issues, have private message conversations, and send private screenshots while keeping specific information private. LiveTiles creates a customizable dashboard that eliminates frustrating issues and makes design easy to understand and fun.
PDLM presentation
This document outlines a professional development plan to teach teachers how to use a school employee website to better engage stakeholders. It begins with an introduction to the presenter and learner analysis showing the teacher group is 33% female, 77% male, 100% white, and 100% college graduates. A pre-test asks teachers about advantages of employee websites and leveraging them to engage stakeholders. The objectives are to teach uploading/organizing content, identifying site strengths/weaknesses, and communicating with students/parents. The presentation shows the login process and navigation tabs to manage individual teacher content and extracurricular activities.
Recommended
Diamond pendants can make meaningful valentine's gifts
This document promotes Valentine's Day gift ideas from mybridalring.com, including diamond pendants in heart shapes and love knot styles. It provides links to their pendant collection and encourages following their social media pages on Facebook, Twitter, Google+, and Pinterest to see more jewelry options for Valentine's Day 2016 gifts.
SIX2015-12
This document provides an overview of Six Flags Entertainment Corporation presented by four investment managers. It includes an agenda, screening process, company overview, SWOT analysis, financial analysis, comparable company analysis, financial projections, and discounted cash flow valuation. The valuation estimates the company's fair value at $40.35 per share based on comparable company multiples and a discounted cash flow model valuing future free cash flows at $1.4 billion.
Suresh rajalingam resume
Suresh Rajalingam has over 10 years of experience in extra low voltage systems like structured cabling, security, CCTV, IPTV, and PBX. He has a diploma in electronics and communication engineering and certifications in structured cabling installation. Currently he works as a project field engineer in Qatar designing and implementing various ELV systems according to industry standards. Previously he has worked on projects in India and the UAE.
Gazeta "JEMI EDHE NE" NR.52 Muaji MARS 2015
Gazeta "JEMI EDHE NE" - Mujore për fëmijë, botim i ALB-AID.
Donator: Norwegian Embassy, Prishtina, Kosove
Aktivizohuni në veprimtaritë e shkollës në se doni që zëri juaj të dëgjohet dhe vota juaj të numërohet.
.......
3.1. Altruizmi
Sic e theksuam edhe më sipër vullnetarizmi lidhet me altruizmin. Por çfarë kuptojmë me altruizëm? Altruizmi, është gatishmëria për të flijuar të mirën vetjake për të mirën e të tjerëve, dëshira e synimi për t'i bërë mirë tjetrit. Shikuar në kuptimin terminologjik,altruizmi përkthehet në një fjali që mund të shpjerë lehtë në përfundim pak sa të gabuar kur të kihet parapashë kompleksiteti shkencor në suaza filozofike, psikologjike dhe sociologjike. Nëpër fjalorë terminologjik, ku bëhet fjalë për një zbërthim gjuhësorë, mjaftohemi me spjegimin se altruizëm është ndjenja për vendosmëri dhe prirje bujare e zemërgjërë për përkushtim dhe për të dashur të tjerët. Në një përgjithësim më të gjërë, por gjithmonë i pamjaftuar mbi altruizmin është kualifikimi se vetia morale
e shmangjes nga çdo lloj ngurimi për të privilegjuar tjetrin dhe manifestimi i jashtëzakonshëm që çfaqet për dashuri apo sakrificë për tjetrin, përbëjnë altruizmin (vetëmohimin). Në të vërtetë, ky spjegim edhe mund të merret i saktë nëse bazohemi dhe marim në konsideratë spjegimin etologjik por asesi sjelljet e qenies me aftësi të rafinuara të evoluimit të situatave të prodhuara, pra qenia njeri. Me këtë largohemi nga kufijtë e të përjashtuarës, mos të them të paqenurës kur njeriu është për tjetrin dhe kur ngritet mbi vetvehten për tjetrin.
Është tejet e qëlluar doktrina pozitiviste e Emile Maximilien Paul Littré* ku thotë se altruizmi është "...domosdoshmëria për dashuri, që është e imponuar rrënjësisht nga bashkimi mes gjinive që të mund të mbijetoj lloji."
Në kuptim më të gjërë, sjelljet me qëllime të mira proshoqërore të ndërmara me dëshirë dhe që prodhojnë përfitime për të tjerët; format e ndihmës vetëmohuese pa qenë i detyrar me dhunë, si dhe vet dëshira dhe dashuria për tjetrin; si dhe për të konsideruar një sjellje, altruizëm, duhet marë parasyshë edhe cytjet për të bërë mirë. Me një fjalë, për tu plotësuar kushti që një sjellje të quhet altruizëm, duhet që akcioni të jetë i nisur me dëshirë e me qëllim të ruajtjes apo ngritjes së mirëqenies së tjetrit dhe mosshpresimi e
mospritja e dhuratave të ndryshme si shpagim.
GRUPO DE FORMACIÓN EN ACOMPAÑAMIENTO PEDAGÓGICO: UN DISPOSITIVO EN CONSTRUCCI...
GRUPO DE FORMACIÓN EN ACOMPAÑAMIENTO PEDAGÓGICO: UN DISPOSITIVO EN CONSTRUCCI...ProfessorPrincipiante
Presentamos un dispositivo en construcción, para poner en circulación la
enriquecedora experiencia en una carrera de educadores de nivel superior, por su valor
transformador de prácticas docentes, por su potencial progrediente al interior de la
institución y de resignificación continua del trayecto de formación.
Referencialmente el aporte de Marta Souto desde la perspectiva de la complejidad
y la multirreferencialidad teórica constituyéndose en un valioso material que permite
entender las potencialidades de la grupalidad en educación.
Comenzamos hace tres años, con lo que llamamos “Experiencia piloto de tutorías”
como una estrategia implementada en una cátedra en Primer año de la Carrera de
Ciencias de la Educación consistente en la convocatoria a alumnos de años superiores a
conformar Grupos de Aprendizaje en calidad de tutores, ofreciendo a la par un Grupo
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los Grupos e Instituciones.Help us help you
Users report issues through Yammer and LiveTiles Mosaic support portals where the support team can help troubleshoot in real-time. The portals allow users to see previous solved issues, have private message conversations, and send private screenshots while keeping specific information private. LiveTiles creates a customizable dashboard that eliminates frustrating issues and makes design easy to understand and fun.
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This document outlines a professional development plan to teach teachers how to use a school employee website to better engage stakeholders. It begins with an introduction to the presenter and learner analysis showing the teacher group is 33% female, 77% male, 100% white, and 100% college graduates. A pre-test asks teachers about advantages of employee websites and leveraging them to engage stakeholders. The objectives are to teach uploading/organizing content, identifying site strengths/weaknesses, and communicating with students/parents. The presentation shows the login process and navigation tabs to manage individual teacher content and extracurricular activities.
70 Franklin Street
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Luxury Massage Experience at Affordable Rate - Malayali Kerala Spa Ajman
At Malayali Kerala Spa Ajman we providing the top quality massage services for our customers.
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Test bank advanced health assessment and differential diagnosis essentials for clinical practice 1st edition myrick.一比一原版布里斯托大学毕业证(Bristol毕业证书)学历如何办理
补办文凭【微信号:176555708】【(Bristol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。
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【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
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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！
DAHL APPROACH a novel technique to raise bite
dahl approach is alternative techniue to raise bite with direct restorations
Top 5 Benefits of Cancer Registry Services
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一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
UoA毕业证学历书【微信95270640】办文凭{昆士兰科技大学毕业证}Q微Q微信95270640UoA毕业证书成绩单/学历认证UoA Diploma未毕业、挂科怎么办？+QQ微信：Q微信95270640-大学Offer（申请大学）、成绩单（申请考研）、语言证书、在读证明、使馆公证、办真实留信网认证、真实大使馆认证、学历认证
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留信网认证国家专业人才认证中心颁发入库证书留信网永久存档可查.
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国外毕业证学位证成绩单办理流程：
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6快递给客户（国内顺丰国外DHLUPS等快递邮寄昆士兰科技大学昆士兰科技大学毕业证文凭证书）。闷不乐的样子父亲特意带山娃去找三楼房东家的儿子小伍玩小伍比山娃小一岁虎头虎脑的很霸气父亲让山娃跟小伍去夏令营听课山娃很高兴夏令营就设在附近一所小学山娃发现那所小学比自己的学校更大更美操场上还铺有塑胶跑道呢里面很多小朋友一班一班的快快乐乐原来城里娃都藏这儿来了怪不得平时见不到他们山娃恍然大悟起来吹拉弹唱琴棋书画山娃都不懂却什么都想学山娃怨自己太笨什么都不会斟酌再三山娃终于选定了学美术当听说每月要交感
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Faridkot ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 7742996321 ℂ𝕒𝕝𝕝 𝔾𝕚𝕣𝕝𝕤 Faridkot
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...
Digital India will need a big trained army of Health Informatics educated & trained manpower in India.
Presently, generalist IT manpower does most of the work in the healthcare industry in India. Academic Health Informatics education is not readily available at school & health university level or IT education institutions in India.
We look into the evolution of health informatics and its applications in the healthcare industry.
HIMMS TIGER resources are available to assist Health Informatics education.
Indian Health universities, IT Education institutions, and the healthcare industry must proactively collaborate to start health informatics courses on a big scale. An advocacy push from various stakeholders is also needed for this goal.
Health informatics has huge employment potential and provides a big business opportunity for the healthcare industry. A big pool of trained health informatics manpower can lead to product & service innovations on a global scale in India.
Data-Driven Dispensing- Rise of AI in Pharmacies.pdf
Imagine AI making your pharmacy experience smoother, safer, and more personalized.
English Drug and Alcohol Commissioners June 2024.pptx
Presentation made by Mat Southwell to the Harm Reduction Working Group of the English Drug and Alcohol Commissioners. Discuss stimulants, OAMT, NSP coverage and community-led approach to DCRs. Focussing on active drug user perspectives and interests
Electrocardiogram_20240614_173859_0000.pdf
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
The Importance of Black Women Understanding the Chemicals in Their Personal C...
Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.
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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
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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。
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国外毕业证学位证成绩单办理流程：
1客户提供办理昆士兰科技大学昆士兰科技大学毕业证文凭证书信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
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5昆士兰科技大学成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快递邮寄昆士兰科技大学昆士兰科技大学毕业证文凭证书）。闷不乐的样子父亲特意带山娃去找三楼房东家的儿子小伍玩小伍比山娃小一岁虎头虎脑的很霸气父亲让山娃跟小伍去夏令营听课山娃很高兴夏令营就设在附近一所小学山娃发现那所小学比自己的学校更大更美操场上还铺有塑胶跑道呢里面很多小朋友一班一班的快快乐乐原来城里娃都藏这儿来了怪不得平时见不到他们山娃恍然大悟起来吹拉弹唱琴棋书画山娃都不懂却什么都想学山娃怨自己太笨什么都不会斟酌再三山娃终于选定了学美术当听说每月要交感
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Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...
Digital India will need a big trained army of Health Informatics educated & trained manpower in India.
Presently, generalist IT manpower does most of the work in the healthcare industry in India. Academic Health Informatics education is not readily available at school & health university level or IT education institutions in India.
We look into the evolution of health informatics and its applications in the healthcare industry.
HIMMS TIGER resources are available to assist Health Informatics education.
Indian Health universities, IT Education institutions, and the healthcare industry must proactively collaborate to start health informatics courses on a big scale. An advocacy push from various stakeholders is also needed for this goal.
Health informatics has huge employment potential and provides a big business opportunity for the healthcare industry. A big pool of trained health informatics manpower can lead to product & service innovations on a global scale in India.
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Electrocardiogram_20240614_173859_0000.pdf
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
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VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdf
Air Ambulance Services In Rewa works in close coordination with ground-based emergency services, including local Emergency Medical Services, fire departments, and law enforcement agencies.
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nursing management of patient with Empyema ppt
prepared by Prof. BLESSY THOMAS, SPN
Empyema is a disease of respiratory system It is defines as the accumulation of thick, purulent fluid within the pleural space, often with fibrin development.
Empyema is also called pyothorax or purulent pleuritis.
It’s a condition in which pus gathers in the area between the lungs and the inner surface of the chest wall. This area is known as the pleural space.
Pus is a fluid that’s filled with immune cells, dead cells, and bacteria.
Pus in the pleural space can’t be coughed out. Instead, it needs to be drained by a needle or surgery.
Empyema usually develops after pneumonia, which is an infection of the lung tissue. it is mainly caused due in infectious micro-organisms. It can be treated with medications and other measures.
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