This document discusses manner clauses, which are used to describe how something is done or how someone does something. It provides examples of using "as" and "as if/as though" in manner clauses, including emphasizing that the information in a manner clause with "as if/as though" may not be true. It also discusses using "like", "the way", and "how" to talk about manner. Manner clauses add detail about the way an action is performed or a state exists.
In this slide, you can learn how to use passive voice in appropriate situation; the structure of passive voice; passive verbs in tenses Good luck!! ^_^
In this slide, you can learn how to use passive voice in appropriate situation; the structure of passive voice; passive verbs in tenses Good luck!! ^_^
A short video about how to use verbs and pronouns in combination with collective nouns.
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https://www.thelecturette.com
English quantifiers will help us to indicate the number of objects, names, or things, so always use them to express the idea of quantity or number. Many of these quantifiers are used only for plural nouns and in other cases by singular, as such show a short summary on how and when to use these quantifiers.
English quantifiers will help us to indicate the number of objects, names, or things, so always use them to express the idea of quantity or number. Many of these quantifiers are used only for plural nouns and in other cases by singular, as such show a short summary on how and when to use these quantifiers
English quantifiers help us to indicate the number of objects, names, or things, so always use them to express the idea of quantity or number. Many of these quantifiers are used only for plural nouns and in other cases by singular, as such show a short summary on how and when to use these quantifiers.
Body paragraphs (claim, evidence, analysis)theLecturette
How to build a strong argumentative paragraph using the 'claim', 'evidence', 'analysis' structure.
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A tutorial on how to use parallelism effectively and how to revise faulty parallelism
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How to 'signpost' your presentation effectively to give structure to your presentation.
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https://www.thelecturette.com
How to effectively open your presentation and 'hook' your audience to grab their attention.
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A tutorial on how to present graphs, tables, and charts in an effective and engaging way.
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Writing concisely by eliminating wordiness is important to make your writing better, more engaging and effective. This slide presentation helps you to recognise the different types of wordiness and discusses ways in which wordy passages can be revised.
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How to correct fragmented sentences that were created because the sentence lacks a subject, a verb, or both, or because the sentence does not express a complete thought.
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https://www.thelecturette.com
A tutorial on how to revise unwarranted shifts in writing to avoid awkward or confusing sentences.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. Manner Clauses
When you want to say how someone does
something, or how something is done, you
use ‘as’.
He behaves as he does, because his father
was really cruel to him.
The bricks are still made as they were in
Roman times.
3. Manner Clauses
You often use ‘just’, ‘exactly’, or ‘precisely’ in
front of ‘as’ for emphasis.
It swims on the sea floor just as it’s ancestors
did.
I like the freedom to plan my day exactly as I
want.
4. Manner Clauses
When you want to indicate that the
information in the manner clause might not be
true, or is definitely not true, you use ‘as if’ or
‘as though’.
She reacted as if she didn’t know about the
race.
She acts as though she owns the place.
5. Manner Clauses
After ‘as if’ or ‘as though’, you often use a
past tense even when you are talking about
the present, to emphasize that the information
in the manner clause is not true. In formal
English you use ‘were’ instead of ‘was’.
6. Manner Clauses
Presidents can’t dispose of companies as if
people didn’t exist.
She treats him as though he was her own
son.
He looked at me as though I were mad.
7. Manner Clauses
You can also use ‘as if’ or ‘as though’ so say
how someone or something feels, looks, or
sounds.
She felt as if she had a fever.
He looked as if he hadn’t slept very much.
Mary sounded as though she had just run all
the way.
8. Manner Clauses
You can also use ‘it looks’ and ‘it sounds’ with
‘as if’ and ‘as though’.
It looks to me as if he wrote down some
notes.
It sounds to me as though he’s just being
awkward.
9. Manner Clauses
When the subject of the manner clause and
the main clause are the same, you can often
use a participle in the manner clause and omit
the subject and the verb ‘be’
He ran off to the house as if escaping.
He shook is head as though dazzled by his
own vision.
10. Manner Clauses
You can also use ‘as if’ or ‘as though’ with a
‘to’-infinitive clause.
As if to remind him, the church clock struck
eleven.
11. Manner Clauses
In informal speech, people often use ‘like’
instead of ‘as if’ or ‘as’ to say how a person
feels, looks, or sounds. Some speakers of
English think that this use of ‘like’ is incorrect.
He felt like he’d won the pools.
You look like you’ve seen a ghost.
You talk just like your father does.
12. Manner Clauses
You can also use ‘like’ in a prepositional
phrase to say how someone does something.
He was sleeping like a baby.
I behaved like an idiot, and I’m sorry.
13. Manner Clauses
You also use ‘the way (that)’, ‘in a way (that)’,
or ‘in the way (that)’ to talk about how
someone does something, or how something
is done.
14. Manner Clauses
I was never allowed to sing the way I wanted
to.
They did it in a way that I had never seen
before.
We make it move in the way that we want it
to.
15. Manner Clauses
You can use ‘how’ in questions and reported
questions to talk about the message used to
do something, and sometimes to indicate your
surprise that it was possible to do it.
‘How did he get in?’ - ‘He broke a window.’
I wondered how he could afford a new car.
16. Manner Clauses
Sometimes you can use ‘how’ to talk about
the manner in which someone does
something.
I watched how he did it, then tried to copy
him.
Tell me how he reacted when he saw you.