We’re here to help you delay dialysis.
Worsening kidneys are scary. But the good news is that
when changes are made early, CKD progression
can be slowed and even halted.
It’s all about changing your
diet.
KFT are used for evaluating kidney functions. there are several routine tests such as urea, creatinine and uric acid. Calculation of eGFR is recommended by national kidney organization whenever creatinine serum is measured.
Evaluación de los diferentes métodos vigentes de función renal y una introducción a los marcadores de injuria renal con mayor evidencia en la actualidad.
We’re here to help you delay dialysis.
Worsening kidneys are scary. But the good news is that
when changes are made early, CKD progression
can be slowed and even halted.
It’s all about changing your
diet.
KFT are used for evaluating kidney functions. there are several routine tests such as urea, creatinine and uric acid. Calculation of eGFR is recommended by national kidney organization whenever creatinine serum is measured.
Evaluación de los diferentes métodos vigentes de función renal y una introducción a los marcadores de injuria renal con mayor evidencia en la actualidad.
Medical Education Curriculum :
1- General Need Assessment
2- Target Need Assessment
3- Goals and Objectives
4- Content and Educational Strategy
5- Implementation
6- Assessment and Evaluation
7- Maintainance, Enhancement, and Dissemination
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
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2. And ThulNun (Prophet Jonah), he
went away in anger thinking We had
no power over him. But in the
darkness he cried: 'There is no god
except You. Exaltations to You! I was
among the harmdoers. '”
ALLAH SAID IN QURAN SURA 21: AL-ANBIYA AYA 87- JUZ' 17
5. على ملفي في هنا أرفعها التي شرائحي ومذاكرة بالتعلم وأسعد وأرحب أسمح
Slide share website
وال
مانع
أيضا
من
نسخ
شريحة
او
اثنين
عند
الضرورة
،
وال
مانع
من
شرح
البوربو
ينت
الخاصة
بي
للغير
بشرط
عدم
إزالة
اسمي
من
البوربوينت
،
فال
أسمح
أبدا
بإزالة
اسمي
من
على
الباوربوينت
ووضع
اسمك
بدال
منه
لتصبح
وكأنك
من
صممتها
فهذه
سرقة
ال
أسمح
بها
وتضييع
لحق
من
تعب
في
عملها
.
وفقكم
هللا
وإياي
للتعلم
ونفع
اآلخرين
I allow, welcome, and be happy to learn and study my slides that I
upload here in my profile on Slide share website
There is also no objection to copying one or two slides when
necessary, and there is no objection to explaining my PowerPoint to
others on the condition that my name is not removed from the
PowerPoint. I never allow my name to be removed from PowerPoint
and to replace it with yours, Make it look like you designed it. This is
theft that I do not allow and a waste of the right of those who are
tired in this work. May God bless you and me for learning and
benefiting others
5
31. 01
Definition of creatinine
clearance
02
Steps of he test
03 Calculation of creatinine
clearance
04 Disadvantages of creatinine
clearance
Table of Content
Alternative to creatinine
analysis
05
33. Welcome Message From dr Mohammed Bahgat
Welcome To Todays Session. How are you
I wish this will be a good session
God willing, it will be a very easy lesson
Also, Great Welcome To Our Viewers.
34. A D K A R
Creatinine is being
produced
constantly from
creatine in muscle.
Not reabsorbed
by tubules
24-hour urine
sample is preferred
to overcome
however, a
small amount is
secreted by
tubules.
It is
completely
filtered by
glomeruli
35. After getting up in the
morning, the first
voided urine is
discarded.
After getting up in the
next morning, the first
voided urine is also
collected, and the
container is sent to the
laboratory.
البو جميع وأخرج الحمام ادخل النوم من تصحي لما
ل
الب جمع ذلك بعد ثم ،المرحاض في المثانه وفرغ
ول
التالي اليوم إلي كبيرة زجاجة في اليوم باقي
عندما
ز في اإلستيقاظ بعد عينة آخر اجمع تستيقظ
جاجة
للمعمل أرسلها ثم ، التجميع
.
Subsequently, all the
urine passed is collected
in the container
A blood sample for
estimation of plasma
creatinine is obtained at
midpoint of urine
collection.
Steps of the test
36. concentration of creatinine
in urine in mg/dl (U)
volume of urine excreted in
ml/min (V) (this is calculated
by the formula: volume of
urine collected/collection time
in minutes e.g. volume of urine
collected in 24 hours ÷ 1440)
concentration of creatinine
in plasma in mg/dl (P).
Creatinine clearance in
ml/min per 1.73 m2 is
then derived from the
formula UV/P
37.
38.
39. small amount of creatinine is
secreted by renal tubules that
increase even further in
advanced renal failure.
certain drugs like
cimetidine, probenecid,
and trimethoprim
(which block tubular
secretion of creatinine).
Creatinine level is
affected by intake of
meat and high muscle
mass
Collection of urine is
often incomplete.
عيوب
هذا
التحليل
مشاك
ل
في
تجميع
البول
،
أيض
ا
الكرياتينين
يفرز
ف
ي
الكلي
،
أيضا
الكرياتي
نين
يتأثر
بأشياء
أخري
غي
ر
مشاكل
الكلي
مثل
Sex, muscle,..
وكذلك
يتأثر
ببعض
األدوية
.
40. It's is recommended by National
Kidney Foundation (USA) to
calculate creatinine clearance by
Cockcroft and Gault or other
equation from serum creatinine
value rather than estimating
creatinine clearance from a 24-
hour urine sample.
This is because the latter test is
inconvenient, time-consuming,
and often inaccurate.
Alternative to creatinine analysis