The Gulf War I began in August 1990 when Iraq declared war on Kuwait due to decreasing oil prices and Iraq's financial crisis. In January 1991, a U.N.-authorized coalition force led by the United States defeated Iraq in Kuwait within 100 hours, resulting in up to 100,000 Iraqi soldier deaths. The Gulf War I officially ended on February 28, 1991 and marked the beginning of long-term U.S. military involvement in the Middle East.
John marquart enterprise project managerJohn Marquart
John B. Marquart is an innovative business technology leader with over 20 years of experience as an enterprise architect, project manager, and IT director. He has a proven track record of strategically aligning technology with business objectives. Currently he is an Enterprise Architect and Project Manager at Keystone Foods, where he leads the Enterprise Architecture program and various projects.
This document describes a company called PRO TO GO that customizes USB flash drives for businesses by imprinting logos, designs, and preloading files. They can design anything imaginable and offer various customization options like screen printing and engraving. The USB drives are marketed as a green promotional product that can be used for events, giveaways, and more. PRO TO GO prides itself on high quality and ensuring customer satisfaction.
This document provides information about Mercuri Caribbean Ltd, including its portfolio of divisions such as Mercuri Holdings Caribbean and USB Models. It lists the company's contact information with email and phone numbers for Shinelle and Sheldon.
There are many companies and professionals that seem to make Enterprise Architecture some sort unnecessarily complicated black art, but in reality it's actually quite simple at its core. Here's a methodology I developed that approaches EA with a simpler approach.
Este documento resume las características y usos de diferentes tipos de adaptadores de red. Define qué es una tarjeta NIC y sus funciones. Explica que Ethernet usa conectores RJ-45 y BNC y que la tarjeta madre incluye un puerto de red. También define WiFi como tarjetas inalámbricas y compara las ventajas y desventajas de Ethernet y WiFi. Finalmente, explica los usos de Bluetooth e IrDA para comunicación inalámbrica entre dispositivos.
El documento resume las características clave de los procesadores AMD e Intel. Explica que AMD se divide en tres características principales: Hypertransport, que es un enlace de alta velocidad y alto rendimiento; AMD EasyTune, que simplifica conectores y elimina software extraño; y AMD PowerNow, que ayuda a ahorrar batería permitiendo que el procesador genere menos calor y consuma menos energía. No menciona características específicas de Intel.
The Gulf War I began in August 1990 when Iraq declared war on Kuwait due to decreasing oil prices and Iraq's financial crisis. In January 1991, a U.N.-authorized coalition force led by the United States defeated Iraq in Kuwait within 100 hours, resulting in up to 100,000 Iraqi soldier deaths. The Gulf War I officially ended on February 28, 1991 and marked the beginning of long-term U.S. military involvement in the Middle East.
John marquart enterprise project managerJohn Marquart
John B. Marquart is an innovative business technology leader with over 20 years of experience as an enterprise architect, project manager, and IT director. He has a proven track record of strategically aligning technology with business objectives. Currently he is an Enterprise Architect and Project Manager at Keystone Foods, where he leads the Enterprise Architecture program and various projects.
This document describes a company called PRO TO GO that customizes USB flash drives for businesses by imprinting logos, designs, and preloading files. They can design anything imaginable and offer various customization options like screen printing and engraving. The USB drives are marketed as a green promotional product that can be used for events, giveaways, and more. PRO TO GO prides itself on high quality and ensuring customer satisfaction.
This document provides information about Mercuri Caribbean Ltd, including its portfolio of divisions such as Mercuri Holdings Caribbean and USB Models. It lists the company's contact information with email and phone numbers for Shinelle and Sheldon.
There are many companies and professionals that seem to make Enterprise Architecture some sort unnecessarily complicated black art, but in reality it's actually quite simple at its core. Here's a methodology I developed that approaches EA with a simpler approach.
Este documento resume las características y usos de diferentes tipos de adaptadores de red. Define qué es una tarjeta NIC y sus funciones. Explica que Ethernet usa conectores RJ-45 y BNC y que la tarjeta madre incluye un puerto de red. También define WiFi como tarjetas inalámbricas y compara las ventajas y desventajas de Ethernet y WiFi. Finalmente, explica los usos de Bluetooth e IrDA para comunicación inalámbrica entre dispositivos.
El documento resume las características clave de los procesadores AMD e Intel. Explica que AMD se divide en tres características principales: Hypertransport, que es un enlace de alta velocidad y alto rendimiento; AMD EasyTune, que simplifica conectores y elimina software extraño; y AMD PowerNow, que ayuda a ahorrar batería permitiendo que el procesador genere menos calor y consuma menos energía. No menciona características específicas de Intel.
Australia is a country known for its natural beauty, friendly people, and ease of travel by car where tourists can explore major cities like Sydney and see iconic landmarks, enjoy activities like scuba diving on the Great Barrier Reef, and view native wildlife such as kangaroos and koalas in their natural habitat. The document provides tips for planning a trip to Australia such as making a budget, applying for any necessary visas, checking the weather, and remembering to pack proper clothing, a camera, and sunscreen for the varying climates and strong sun.
This document provides an overview of marketing research, including its definition, history, suppliers, activities, process, methods, and use of computer technology. Key points include:
- Marketing research is the process of collecting and using information for marketing decision making. It helps decision makers by presenting pertinent data and suggesting possible actions.
- The first organized marketing research project was in 1879 by N.W. Ayer, and the first commercial research was in 1911 at Curtis Publishing Company.
- Marketing research methods include secondary data collection from internal/external sources, as well as primary methods like surveys, observation, and experiments. Interpreting and presenting findings in a clear, concise format allows for effective marketing decisions.
Presentació sobre alguns aspectes concrets de la novel·la catalana modernista en el context dels canvis que la novel·la experimenta en el pas del segle XIX al XX.
El documento habla sobre temas de redes como tipos de cables, topologías de red, equipos de conectividad como bridges, switches, routers y gateways. Explica que un router es un dispositivo que permite la interconexión de redes a nivel de protocolos de red mejorando el rendimiento de transmisión entre redes. También describe qué es la fibra óptica y las categorías de cable de par trenzado. Finalmente, menciona que un switch conecta dos o más segmentos de red funcionando como un puente para enviar datos de un segmento a otro de acuerdo
Este documento proporciona información sobre diferentes tipos de redes, incluyendo sus características y clasificaciones. Se clasifican las redes según su tecnología de transmisión y escala. Se describen redes como LAN, MAN, WAN, redes inalámbricas e Internet, y se proporcionan ejemplos de sus características como su alcance, cableado, velocidad de transferencia y desarrollo. Finalmente, se destaca la importancia de Internet como una interconexión descentralizada a nivel mundial.
El documento describe diferentes tipos de memorias utilizadas en computadoras. Explica que la memoria volátil, como la RAM, pierde su contenido al desconectar la energía eléctrica y se usa para almacenar resultados intermedios de manera temporal. También menciona que la memoria no volátil, como la ROM, mantiene su contenido aun sin energía. Finalmente, señala que cada tipo de memoria tiene mayor velocidad que la anterior y que los fabricantes planean agregar soporte para memoria DDR2 en futuros procesadores.
This presentation gives information on the pharmacology of Prostaglandins, Thromboxanes and Leukotrienes i.e. Eicosanoids. Eicosanoids are signaling molecules derived from polyunsaturated fatty acids like arachidonic acid. They are involved in complex control over inflammation, immunity, and the central nervous system. Eicosanoids are synthesized through the enzymatic oxidation of fatty acids by cyclooxygenase and lipoxygenase enzymes. They have short half-lives and act locally through autocrine and paracrine signaling.
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Congestive Heart failure is caused by low cardiac output and high sympathetic discharge. Diuretics reduce preload, ACE inhibitors lower afterload, beta blockers reduce sympathetic activity, and digitalis has inotropic effects. Newer medications target vasodilation and myosin activation to improve heart efficiency while lowering energy requirements. Combination therapy, following an assessment of cardiac function and volume status, is the most effective strategy to heart failure care.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
Australia is a country known for its natural beauty, friendly people, and ease of travel by car where tourists can explore major cities like Sydney and see iconic landmarks, enjoy activities like scuba diving on the Great Barrier Reef, and view native wildlife such as kangaroos and koalas in their natural habitat. The document provides tips for planning a trip to Australia such as making a budget, applying for any necessary visas, checking the weather, and remembering to pack proper clothing, a camera, and sunscreen for the varying climates and strong sun.
This document provides an overview of marketing research, including its definition, history, suppliers, activities, process, methods, and use of computer technology. Key points include:
- Marketing research is the process of collecting and using information for marketing decision making. It helps decision makers by presenting pertinent data and suggesting possible actions.
- The first organized marketing research project was in 1879 by N.W. Ayer, and the first commercial research was in 1911 at Curtis Publishing Company.
- Marketing research methods include secondary data collection from internal/external sources, as well as primary methods like surveys, observation, and experiments. Interpreting and presenting findings in a clear, concise format allows for effective marketing decisions.
Presentació sobre alguns aspectes concrets de la novel·la catalana modernista en el context dels canvis que la novel·la experimenta en el pas del segle XIX al XX.
El documento habla sobre temas de redes como tipos de cables, topologías de red, equipos de conectividad como bridges, switches, routers y gateways. Explica que un router es un dispositivo que permite la interconexión de redes a nivel de protocolos de red mejorando el rendimiento de transmisión entre redes. También describe qué es la fibra óptica y las categorías de cable de par trenzado. Finalmente, menciona que un switch conecta dos o más segmentos de red funcionando como un puente para enviar datos de un segmento a otro de acuerdo
Este documento proporciona información sobre diferentes tipos de redes, incluyendo sus características y clasificaciones. Se clasifican las redes según su tecnología de transmisión y escala. Se describen redes como LAN, MAN, WAN, redes inalámbricas e Internet, y se proporcionan ejemplos de sus características como su alcance, cableado, velocidad de transferencia y desarrollo. Finalmente, se destaca la importancia de Internet como una interconexión descentralizada a nivel mundial.
El documento describe diferentes tipos de memorias utilizadas en computadoras. Explica que la memoria volátil, como la RAM, pierde su contenido al desconectar la energía eléctrica y se usa para almacenar resultados intermedios de manera temporal. También menciona que la memoria no volátil, como la ROM, mantiene su contenido aun sin energía. Finalmente, señala que cada tipo de memoria tiene mayor velocidad que la anterior y que los fabricantes planean agregar soporte para memoria DDR2 en futuros procesadores.
This presentation gives information on the pharmacology of Prostaglandins, Thromboxanes and Leukotrienes i.e. Eicosanoids. Eicosanoids are signaling molecules derived from polyunsaturated fatty acids like arachidonic acid. They are involved in complex control over inflammation, immunity, and the central nervous system. Eicosanoids are synthesized through the enzymatic oxidation of fatty acids by cyclooxygenase and lipoxygenase enzymes. They have short half-lives and act locally through autocrine and paracrine signaling.
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Congestive Heart failure is caused by low cardiac output and high sympathetic discharge. Diuretics reduce preload, ACE inhibitors lower afterload, beta blockers reduce sympathetic activity, and digitalis has inotropic effects. Newer medications target vasodilation and myosin activation to improve heart efficiency while lowering energy requirements. Combination therapy, following an assessment of cardiac function and volume status, is the most effective strategy to heart failure care.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
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
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.