I like the definition for Résumé: begin to do or pursue (something) again after a pause or interruption.
That has been the definition of my life thus far. A series of interruptions. Some I would not trade for the world. But I have a reputation for not letting interruptions stand in my way of coming back and reinventing myself and starting something new and exciting.
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
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
My Résumé
1. ALISSA PEEK
277 Locust St., McEwen, TN 37101
(615) 636-8709
damepeek@bellsouth.net
https://www.linkedin.com/profile/view?id=56003337&trk=nav_responsive_tab_profile
SUMMARY
Management experience with over twenty years of customer service and the ability to communicate effectively on all social levels,
learns and adapts quickly, constant optimist always looking for the silver lining in any situation.
EDUCATION
Austin Peay State University
Bachelor of Science Mass Communication Public Relations May, 2013
GPA 3.42 Dean's List 2013 PRSSA member 2010-2013 ISO member
Nashville State
Associate of Arts Spanish December, 2009
Cum Laude GPA 3.59 Dean's List ISO member
International Barber and Style College
Barbering Master Barber March, 1990
Waverly Central High School
High School Diploma May, 1989
SKILLS
Well-rounded Self Starter Honest, Hard Working, Tenacious, Dependable, Flexible, Able to Adapt quickly, Optimistic,
Motivational, Leader, Office Manager, Confidentiality, Entrepreneurial, Government compliance, Marketing, Sales, Critical
thinker, Effective listener, Articulate Communicator, Ability to learn on the go, Strong desire to succeed, Professionalism and
Diplomacy,Organizational and planning skills, Successfully completes projects and goals on or ahead of schedule, Consulting,
Counseling, Microsoft Office Suite, Adobe InDesign, PowerPoint, Adobe Photoshop, Word, Excel, Desktop Publishing, Research
and Investigation, Internet, Social Media, Networking, Writing, Editing, Reporting, Press Releases, Radio Spot, Writing
Commercials, Writing Press Kits, Event Planning, Bilingual - Sign Language(fluent) and Spanish(basic), Creative Problem Solver,
Conflict Resolution, Public Relations, Customer Service
TESTIMONIAL
"...I developed a very high regard for Alissa based on the outstanding contributions she made throughout the summer." "Alissa's up
beat demeanor and can do attitude make her a low maintenance employee and a pleasure to work with."
Karin Davis, C.T.T.P., T.M.P., Humphreys County Tourism Director, Humphreys County Tourism
"As a non-traditional student, Alissa faced many challenges and handled them with hard-work and grace." "She has a very well
defined sense of responsibility and works diligently to get the job done."
Dr. Pamela Gray, Professor, Austin Peay State University
"Alissa's abilities, professionalism, and creativity make her a very capable lady. She is also a team player who works well in a
communal situation to produce an outstanding product." "Alissa has the qualities I associate with a communications profession al: a
sense of responsibility, an awareness of deadlines, and applied discipline for every task."
Dr. Christina Hicks-Goldston, Assistant Professor of Communication, Austin Peay State University
2. EXPERIENCE
Humphreys County Tourism
Internship • Waverly, TN 05/2012 – 08/2012
Completed a 4 month internship with the Humphreys County TourismDirector that increased work experience, public relations, and
social media skillsUtilized organizational and multi-taskingskills, used written and verbal communication to promote area activities
for tourist attractions such as Loretta Lynn’s Ranch, entertainment venues, and places of local historical significance Compiled a
media contact spreadsheet in two weeks for the Humphreys County Tourism Director of every county in Tennessee that consisted of
media contact personnel, prices for services, deadlines dates, emails, and phone numbers to increase their efficiency in contacting
area media with ease
APSU Service Learning Student • Clarksville, TN 08/2012 – 12/2012
Service Learning, Austin Peay State University,Media Relations Integral part of a 5 month practical learningin a college
course that consisted of students developing a media relations plan for The Fisher House at Fort Campbell, KY. To assist them in
raisingawareness in their need for donations, volunteers, and their mission to help soldiers and their families during their medical
care while at the Army base hospital.
Peek's Barber & Style Shop
Owner & Master Barber • McEwen, TN 01/2000 – 12/2010
Complied with State regulations for Ownership/Operation for 10 years and led the daily activities of a small business to ensure
proper function and stability Consulted clients about their needs and strategies to achieve desired results Proficient in pur chasing,
business promotingand sales Scheduled appointments and provided services of Master Barber Maintained excellent communication
with clientele; provided outstanding customer service and satisfaction
Humphreys County Board of Education
Sign Language Interpreter • Waverly, TN 08/1997 – 05/2000
Maintained strict confidentiality for the child and parents Facilitated communication for children with oral and auditory iss ues
Completed goals in set time frame Participated in regular M-team meetings regarding progress and needs Attended yearly training
sessions to stay compliant with strict regulations
The Running Rabbit Antique Auction
Office Manager • Waverly, TN 08/1997 – 07/2000
Learned Quark Express in 2 weeks for catalog print Shipped and received rare, high value antique mar bles Maintained Accounts
receivable,credit card processingProvided supportservices for owner and full customer serviceto local and international c lients via
telephone, mail,email,and fax Utilized Photoshop in catalogs and printed marketing material Led eBay auctions of antique marbles
Descriptive writer of each marble for the print catalogs Organized the distribution of catalogs in U.S. and Internationally
Jim Thomlinson Barber Shop
Master Barber • Dickson, TN 03/1990 – 08/1997
Established as a Master Barber and developed a successful businesswith a history of satisfied clientele Learned day to day business
operation Handled accounts receivable Opening and closing procedures Achieved Key holder status in 1 week
ACTIVITIES, AFFILIATIONS, AWARDS & CERTIFICATIONS
State of Tennessee Department of Commerce and Insurance: Barber Board Certified Master Barber 04/30/2016
PERSONAL INTERESTS
Screenwriting
Journalism
Acting - Stage and Screen
Theater
Zumba
Organic Gardening
Essential Oils
Holistic Healing
Healthy Cooking
Foraging Tennessee Forests
Ethnobotany