Once upon a time, the mighty Enron fell due to fraud. The people were sad until the king passed a law to regulate businesses and prevent fraud. However, this law became too restrictive, trying to regulate human greed and corruption which cannot be controlled. The Sarbanes-Oxley Act was passed in 2002 in response to new corporate scandals, but it has resulted in unintended consequences by discouraging risk-taking and creating legal challenges for businesses due to its extensive regulations and penalties.
Este documento presenta una lista cronológica de las fechas de lanzamiento y breves descripciones de algunas de las principales redes sociales desde 2002 hasta 2014, incluyendo LinkedIn, MySpace, Hi5, Facebook, Twitter, Instagram y Google+.
Este documento presenta 4 textos breves sobre diferentes temas: 1) la migraña y sus síntomas, 2) una conversación entre dos mujeres que transportan yucas, 3) las vitaminas y su clasificación, 4) la pobreza mundial y las posibilidades de erradicarla a través de la cooperación internacional y los esfuerzos individuales.
Once upon a time, the mighty Enron fell due to fraud. The people were sad until the king passed a law to regulate businesses and prevent fraud. However, this law became too restrictive, trying to regulate human greed and corruption which cannot be controlled. The Sarbanes-Oxley Act was passed in 2002 in response to new corporate scandals, but it has resulted in unintended consequences by discouraging risk-taking and creating legal challenges for businesses due to its extensive regulations and penalties.
Este documento presenta una lista cronológica de las fechas de lanzamiento y breves descripciones de algunas de las principales redes sociales desde 2002 hasta 2014, incluyendo LinkedIn, MySpace, Hi5, Facebook, Twitter, Instagram y Google+.
Este documento presenta 4 textos breves sobre diferentes temas: 1) la migraña y sus síntomas, 2) una conversación entre dos mujeres que transportan yucas, 3) las vitaminas y su clasificación, 4) la pobreza mundial y las posibilidades de erradicarla a través de la cooperación internacional y los esfuerzos individuales.
This document describes a woman's love for her pet named Buddha, who was born on March 27, 2014. She refers to him as her "main man" and says he has flipped her world upside down and stolen her heart, though at times he misbehaves or causes her surprise. Overall, she expresses that Buddha means everything to her and she does not care about his antics because of her great affection for him.
Perfeição - Capítulo 35 - Fim da linha para você,, Ester! GRANDES SURPRESAS!lucas_vinicius2012
Ester recebe uma ligação de Raquel, que ameaça se vingar por Ester ter desfeito o acordo entre elas. Ester fica preocupada. Ela também recebe uma ligação de uma mulher chamada Cassandra, interessada em uma vaga de empregada na mansão. Ao procurar por uma roupa em um quarto, Ester encontra uma foto antiga de sua mãe biológica, o que a faz lembrar do passado.
This document discusses photosynthesis in plants. It describes that photosynthesis occurs in chloroplasts in plant leaves. The chloroplast contains thylakoids that are stacked to form grana. Photosynthesis has two parts - the light reaction which occurs in the grana and converts light energy to chemical energy in ATP, and the dark reaction which occurs in the chloroplast stroma and uses the energy from the light reaction to combine carbon from CO2 with hydrogen from water to form glucose. The overall equation for photosynthesis is provided.
The document discusses the key design elements of magazine covers, including the masthead, slogans, and house style of the magazines Q and Rock Sound. The masthead of Q is consistently placed in the corner, while Rock Sound's masthead varies in color. Q has a consistent slogan of "UK's Biggest Music Magazine," while Rock Sound does not. Q has a consistent house style using red, white, black and grey with a dark background. Rock Sound's house style has varied more over time but maintains consistency in layout and placement of information.
Este documento describe la importancia y ventajas de crear presentaciones interactivas y multimediales en PowerPoint. PowerPoint permite guardar datos con imágenes, videos y fotos para captar mejor la atención de los oyentes y dar una mejor explicación de los temas de una manera más creativa. También permite trabajar en equipo simultáneamente y publicar las presentaciones en línea para acceder a ellas desde cualquier lugar.
This document provides important guidelines for caring for bonsai plants, including avoiding choosing plants with large leaves, flowers, or fruits; using styles unsuitable for the species; using blunt cutting tools; unnatural decorations; being impatient for flowers or fruits before shaping; mixing chemicals and fertilizers; keeping bonsai on the ground; tying wire too tightly; retaining wires too long; hard pruning of conifers; heavy fertilization; and unnatural appearances.
Choose plants suitable for the local climate and position them correctly in containers with adequate drainage. Care for bonsai by pruning regularly, providing balanced nutrition with fertilizer, plenty of sunshine, and thorough watering until it drains. Inspect frequently for pests and diseases, and develop a natural-looking design that is well-balanced through constant care and affection.
Planting times for certain crops are February through March and July through August. Seeds can be sown in early spring from February to March or during the summer months from July to August.
The document discusses a demonstration on Juniper bonsai trees that will take place in Columbia. Juniper bonsai are a popular type of bonsai tree that can be styled and shaped through careful pruning and training. The demonstration will cover basic bonsai techniques for caring for and maintaining Juniper bonsai trees.
This document lists the essential equipments and tools needed for bonsai, which includes a plant, pots of various shapes with drainage holes, a potting mixture of soil, sand and leaf mould, potting sticks, sieves, copper wire of varying thickness, wire cutters, pruning knives and secateurs, and watering equipment like a can and tub.
This document lists important plant species for growing bonsai in hilly areas, including Araucaria, Aucuba, Azalea, Camellia, Chinese hat, Coral tree, Cryptomeria, Cypress, Flame of the forest, Ginkgo, Juniper, Koelreuteria, Maple, Magnolia, Plane tree, Peach, Pines, Podocarpus, Sal, Silver fir, Spruce, Taxus, Thuja, Willows, and Zanthoxylum.
This document lists important plant species that are suitable for bonsai, including trees, shrubs, and bamboo. Some recommended species are amaltas, araucaria, babul, bamboo, banyan, ber, bottle brush, bougainvillea, casuarina, cherry, Chinese orange, coranda, cryptomeria, deodar, duranta, excoecaria, gulmohar, hibiscus, ixora, jacaranda, Java fig-tree, murraya, malpighia, oleander, peach, pines, pilkhan, pipal, plum, prosopis, silver oak, tamarind.
Propagation of plants can be done through seeds, cuttings, layering, grafting, or buying seedlings from a nursery. Some plants can also be propagated through collection from seeds or cuttings found in forests or fields.
Selection of plants for bonsai requires choosing species that can thrive in confined spaces with minimal resources. Good options are plants with small flowers and fruits that allow foliage to reduce to a quarter of its normal size, or those bearing flowers on leafless branches. The selected plant must be able to withstand stress from a small pot and low nutrients.
Pruning and trimming helps develop trees into attractive shapes by restricting growth and maintaining a proper balance between roots and shoots. It involves regularly cutting no more than 1/3 of roots or shoots to reduce growth in a controlled manner. Proper pruning techniques help develop good structure and form for trees.
Ideal nutrition for bonsai includes sludge or well rotten cow dung slurry mixed with groundnut, cotton, or neem cake allowed to ferment for a month before diluting. This mixture is given twice a month along with bone meal and single super phosphate, which are also very beneficial.
Growing media for bonsai should be coarse and well-drained to provide water, oxygen, and nutrients. An ideal medium consists of equal parts soil, leaf mold, and crushed brick or sand. The top layer needs sufficient humus, while conifer plants do better in drier soil and fruit trees prefer more humus-rich soil.
This document describes a woman's love for her pet named Buddha, who was born on March 27, 2014. She refers to him as her "main man" and says he has flipped her world upside down and stolen her heart, though at times he misbehaves or causes her surprise. Overall, she expresses that Buddha means everything to her and she does not care about his antics because of her great affection for him.
Perfeição - Capítulo 35 - Fim da linha para você,, Ester! GRANDES SURPRESAS!lucas_vinicius2012
Ester recebe uma ligação de Raquel, que ameaça se vingar por Ester ter desfeito o acordo entre elas. Ester fica preocupada. Ela também recebe uma ligação de uma mulher chamada Cassandra, interessada em uma vaga de empregada na mansão. Ao procurar por uma roupa em um quarto, Ester encontra uma foto antiga de sua mãe biológica, o que a faz lembrar do passado.
This document discusses photosynthesis in plants. It describes that photosynthesis occurs in chloroplasts in plant leaves. The chloroplast contains thylakoids that are stacked to form grana. Photosynthesis has two parts - the light reaction which occurs in the grana and converts light energy to chemical energy in ATP, and the dark reaction which occurs in the chloroplast stroma and uses the energy from the light reaction to combine carbon from CO2 with hydrogen from water to form glucose. The overall equation for photosynthesis is provided.
The document discusses the key design elements of magazine covers, including the masthead, slogans, and house style of the magazines Q and Rock Sound. The masthead of Q is consistently placed in the corner, while Rock Sound's masthead varies in color. Q has a consistent slogan of "UK's Biggest Music Magazine," while Rock Sound does not. Q has a consistent house style using red, white, black and grey with a dark background. Rock Sound's house style has varied more over time but maintains consistency in layout and placement of information.
Este documento describe la importancia y ventajas de crear presentaciones interactivas y multimediales en PowerPoint. PowerPoint permite guardar datos con imágenes, videos y fotos para captar mejor la atención de los oyentes y dar una mejor explicación de los temas de una manera más creativa. También permite trabajar en equipo simultáneamente y publicar las presentaciones en línea para acceder a ellas desde cualquier lugar.
This document provides important guidelines for caring for bonsai plants, including avoiding choosing plants with large leaves, flowers, or fruits; using styles unsuitable for the species; using blunt cutting tools; unnatural decorations; being impatient for flowers or fruits before shaping; mixing chemicals and fertilizers; keeping bonsai on the ground; tying wire too tightly; retaining wires too long; hard pruning of conifers; heavy fertilization; and unnatural appearances.
Choose plants suitable for the local climate and position them correctly in containers with adequate drainage. Care for bonsai by pruning regularly, providing balanced nutrition with fertilizer, plenty of sunshine, and thorough watering until it drains. Inspect frequently for pests and diseases, and develop a natural-looking design that is well-balanced through constant care and affection.
Planting times for certain crops are February through March and July through August. Seeds can be sown in early spring from February to March or during the summer months from July to August.
The document discusses a demonstration on Juniper bonsai trees that will take place in Columbia. Juniper bonsai are a popular type of bonsai tree that can be styled and shaped through careful pruning and training. The demonstration will cover basic bonsai techniques for caring for and maintaining Juniper bonsai trees.
This document lists the essential equipments and tools needed for bonsai, which includes a plant, pots of various shapes with drainage holes, a potting mixture of soil, sand and leaf mould, potting sticks, sieves, copper wire of varying thickness, wire cutters, pruning knives and secateurs, and watering equipment like a can and tub.
This document lists important plant species for growing bonsai in hilly areas, including Araucaria, Aucuba, Azalea, Camellia, Chinese hat, Coral tree, Cryptomeria, Cypress, Flame of the forest, Ginkgo, Juniper, Koelreuteria, Maple, Magnolia, Plane tree, Peach, Pines, Podocarpus, Sal, Silver fir, Spruce, Taxus, Thuja, Willows, and Zanthoxylum.
This document lists important plant species that are suitable for bonsai, including trees, shrubs, and bamboo. Some recommended species are amaltas, araucaria, babul, bamboo, banyan, ber, bottle brush, bougainvillea, casuarina, cherry, Chinese orange, coranda, cryptomeria, deodar, duranta, excoecaria, gulmohar, hibiscus, ixora, jacaranda, Java fig-tree, murraya, malpighia, oleander, peach, pines, pilkhan, pipal, plum, prosopis, silver oak, tamarind.
Propagation of plants can be done through seeds, cuttings, layering, grafting, or buying seedlings from a nursery. Some plants can also be propagated through collection from seeds or cuttings found in forests or fields.
Selection of plants for bonsai requires choosing species that can thrive in confined spaces with minimal resources. Good options are plants with small flowers and fruits that allow foliage to reduce to a quarter of its normal size, or those bearing flowers on leafless branches. The selected plant must be able to withstand stress from a small pot and low nutrients.
Pruning and trimming helps develop trees into attractive shapes by restricting growth and maintaining a proper balance between roots and shoots. It involves regularly cutting no more than 1/3 of roots or shoots to reduce growth in a controlled manner. Proper pruning techniques help develop good structure and form for trees.
Ideal nutrition for bonsai includes sludge or well rotten cow dung slurry mixed with groundnut, cotton, or neem cake allowed to ferment for a month before diluting. This mixture is given twice a month along with bone meal and single super phosphate, which are also very beneficial.
Growing media for bonsai should be coarse and well-drained to provide water, oxygen, and nutrients. An ideal medium consists of equal parts soil, leaf mold, and crushed brick or sand. The top layer needs sufficient humus, while conifer plants do better in drier soil and fruit trees prefer more humus-rich soil.
This document discusses a landscaping style using cascading plants with variegated star jasmine. Cascade style landscaping features plants hanging over walls or spilling out of containers to create a sense of movement. Variegated star jasmine is recommended as it has green and white variegated leaves and fragrant white flowers that bloom throughout the summer. This combination provides visual interest and fragrance.
- Video recording of this lecture in English language: https://youtu.be/RvdYsTzgQq8
- Video recording of this lecture in Arabic language: https://youtu.be/ECILGWtgZko
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Allopurinol, a uric acid synthesis inhibitor acts by inhibiting Xanthine oxidase competitively as well as non- competitively, Whereas Oxypurinol is a non-competitive inhibitor of xanthine oxidase.
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...Jim Jacob Roy
In this presentation , SBP ( spontaneous bacterial peritonitis ) , which is a common complication in patients with cirrhosis and ascites is described in detail.
The reference for this presentation is Sleisenger and Fordtran's Gastrointestinal and Liver Disease Textbook ( 11th edition ).
Nutritional deficiency Disorder are problems in india.
It is very important to learn about Indian child's nutritional parameters as well the Disease related to alteration in their Nutrition.
Storyboard on Acne-Innovative Learning-M. pharm. (2nd sem.) CosmeticsMuskanShingari
Acne is a common skin condition that occurs when hair follicles become clogged with oil and dead skin cells. It typically manifests as pimples, blackheads, or whiteheads, often on the face, chest, shoulders, or back. Acne can range from mild to severe and may cause emotional distress and scarring in some cases.
**Causes:**
1. **Excess Oil Production:** Hormonal changes during adolescence or certain times in adulthood can increase sebum (oil) production, leading to clogged pores.
2. **Clogged Pores:** When dead skin cells and oil block hair follicles, bacteria (usually Propionibacterium acnes) can thrive, causing inflammation and acne lesions.
3. **Hormonal Factors:** Fluctuations in hormone levels, such as during puberty, menstrual cycles, pregnancy, or certain medical conditions, can contribute to acne.
4. **Genetics:** A family history of acne can increase the likelihood of developing the condition.
**Types of Acne:**
- **Whiteheads:** Closed plugged pores.
- **Blackheads:** Open plugged pores with a dark surface.
- **Papules:** Small red, tender bumps.
- **Pustules:** Pimples with pus at their tips.
- **Nodules:** Large, solid, painful lumps beneath the surface.
- **Cysts:** Painful, pus-filled lumps beneath the surface that can cause scarring.
**Treatment:**
Treatment depends on the severity and type of acne but may include:
- **Topical Treatments:** Such as benzoyl peroxide, salicylic acid, or retinoids to reduce bacteria and unclog pores.
- **Oral Medications:** Antibiotics or oral contraceptives for hormonal acne.
- **Procedures:** Such as chemical peels, extraction of comedones, or light therapy for more severe cases.
**Prevention and Management:**
- **Cleanse:** Regularly wash skin with a gentle cleanser.
- **Moisturize:** Use non-comedogenic moisturizers to keep skin hydrated without clogging pores.
- **Avoid Irritants:** Such as harsh cosmetics or excessive scrubbing.
- **Sun Protection:** Use sunscreen to prevent exacerbation of acne scars and inflammation.
Acne treatment can take time, and consistency in skincare routines and treatments is crucial. Consulting a dermatologist can help tailor a treatment plan that suits individual needs and reduces the risk of scarring or long-term skin damage.
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort.
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...Donc Test
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
Can Traditional Chinese Medicine Treat Blocked Fallopian Tubes.pptxFFragrant
There are many traditional Chinese medicine therapies to treat blocked fallopian tubes. And herbal medicine Fuyan Pill is one of the more effective choices.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/