A 29-year old man presented to the emergency room with crushing headaches and palpitations. Pheochromocytoma is a rare neuroendocrine tumor that secretes catecholamines and can cause hypertension. It arises from chromaffin cells of the adrenal medulla. Diagnosis involves urine or plasma tests to detect elevated catecholamines and imaging studies like MRI or MIBG scan to locate the tumor. Surgical removal is the primary treatment, along with pre-operative medication to control blood pressure. Lifelong monitoring is needed due to risk of recurrence.
AEC #4 : Les leviers webmarketing à la performanceAtlantic 2.0
Nous avons eu le plaisir de recevoir Cédric Rouaud, consultant web chez Digital & Co à Saint-Nazaire. Ce mercredi, il exposait à la Cantine les bonnes pratiques à mettre en place autour des leviers webmarketing lors du développement d'un projet e-commerce.
In our original webinar ‘An Introduction to Project Management’ we looked at the four key stages of a project: Define, Plan, Manage & Review. In this follow-on webinar we will be focussing in on the third stage of ‘Managing a Project’.
In this recorded webinar Jayne McPhillimy will include practical ideas and information about:
Monitoring the Plan
Managing Work Streams
Running Project Meetings
Managing Stakeholders
Project Reporting
This event promises to be an engaging and interactive session where you will learn some valuable tips to help you improve your project management skills.
This webinar is aimed at HR Managers, Senior Business Leaders and Managers.
Dokumen ini berisi ringkasan tentang presentasi PowerPoint interaktif yang dibuat oleh Shinta Dwi Wardani untuk memenuhi tugas akhir semester mengenai sistem imunitas. Presentasi ini bertujuan untuk memudahkan pembelajaran sistem imunitas serta membuat siswa lebih tertarik.
A 29-year old man presented to the emergency room with crushing headaches and palpitations. Pheochromocytoma is a rare neuroendocrine tumor that secretes catecholamines and can cause hypertension. It arises from chromaffin cells of the adrenal medulla. Diagnosis involves urine or plasma tests to detect elevated catecholamines and imaging studies like MRI or MIBG scan to locate the tumor. Surgical removal is the primary treatment, along with pre-operative medication to control blood pressure. Lifelong monitoring is needed due to risk of recurrence.
AEC #4 : Les leviers webmarketing à la performanceAtlantic 2.0
Nous avons eu le plaisir de recevoir Cédric Rouaud, consultant web chez Digital & Co à Saint-Nazaire. Ce mercredi, il exposait à la Cantine les bonnes pratiques à mettre en place autour des leviers webmarketing lors du développement d'un projet e-commerce.
In our original webinar ‘An Introduction to Project Management’ we looked at the four key stages of a project: Define, Plan, Manage & Review. In this follow-on webinar we will be focussing in on the third stage of ‘Managing a Project’.
In this recorded webinar Jayne McPhillimy will include practical ideas and information about:
Monitoring the Plan
Managing Work Streams
Running Project Meetings
Managing Stakeholders
Project Reporting
This event promises to be an engaging and interactive session where you will learn some valuable tips to help you improve your project management skills.
This webinar is aimed at HR Managers, Senior Business Leaders and Managers.
Dokumen ini berisi ringkasan tentang presentasi PowerPoint interaktif yang dibuat oleh Shinta Dwi Wardani untuk memenuhi tugas akhir semester mengenai sistem imunitas. Presentasi ini bertujuan untuk memudahkan pembelajaran sistem imunitas serta membuat siswa lebih tertarik.
BW Industries manufacture a range of Roof Purlins that can be supplied as Sleeved, Butted, Lapped or Heavy End Bay systems. The most popular system we supply is the sleeved system but each application as its benefits.
This document discusses acute pancreatitis, defining it as a reversible inflammation of the pancreas that ranges from mild to severe. It can be caused by gallstones, alcohol use, metabolic issues, infections, drugs, trauma, and other factors. Symptoms include severe abdominal pain that may radiate to the back. Investigations include blood tests of amylase, lipase, and other enzymes. Treatment focuses on supportive care, pain management, and identifying/treating any complications like infections. The mortality rate ranges from 1% for mild cases to 15-20% overall.
Respiratory Distress & Status asthmaticus in Paediatricsmeducationdotnet
1. Respiratory distress is a clinical condition of increased respiratory rate and accessory muscle use that can progress to respiratory failure. Common causes include central or peripheral airway obstruction, diffuse lung damage, or issues with the respiratory pump.
2. Management involves ABCDE emergency care and non-invasive respiratory support with oxygen, nasal CPAP, or BiPAP if not in impending respiratory failure. The goal is restoring gas exchange with minimal complications by addressing underlying causes.
3. Mechanical ventilation may be needed for severe hypoxemia or hypercarbia from pneumonia, or when other systemic dysfunction jeopardizes gas exchange. Hypoxemia is prioritized over hypercarbia.
The document discusses various principles of design used by artists in creating works of art, including:
- Rhythm, which creates a visual tempo through careful placement of repeated elements.
- Balance, including symmetrical and asymmetrical balance, arranging elements evenly or unevenly but with a sense of equilibrium.
- Emphasis, drawing attention to a focal point.
- Proportion, concerning size relationships.
- Gradation, using gradual changes in elements.
- Harmony, accentuating similarities between elements.
- Variety, using diversity or contrast through different shapes, sizes and colors.
- Movement, creating a look and feeling of action to guide the viewer's eye.
Regional anesthesia is a technique that induces loss of sensation in part of the body using local anesthetics. It has benefits like lower costs, high patient satisfaction, and decreased risks of DVT and PE compared to general anesthesia. However, it requires skills and may cause issues like hypotension. The main types are topical, intravenous, peripheral nerve blocks, plexus blocks, and neuro-axial blocks. Regional anesthesia can provide anesthesia for surgery, post-op analgesia, or chronic pain treatment. Factors like the anesthetic used, patient position, and injection speed affect its spread. Spinal and epidural blocks involve injecting anesthetic into the subarachnoid or epidural space and have risks like anaphyl
1) O documento descreve um incidente em que um cliente enfurecido reclama na loja Nordstrom sobre pneus defeituosos que foram vendidos.
2) Um funcionário da Nordstrom rapidamente devolve o dinheiro ao cliente, apesar da loja não vender pneus.
3) Isso ilustra os valores da Nordstrom de priorizar a satisfação do cliente acima de tudo.
BW Industries manufacture a range of Roof Purlins that can be supplied as Sleeved, Butted, Lapped or Heavy End Bay systems. The most popular system we supply is the sleeved system but each application as its benefits.
This document discusses acute pancreatitis, defining it as a reversible inflammation of the pancreas that ranges from mild to severe. It can be caused by gallstones, alcohol use, metabolic issues, infections, drugs, trauma, and other factors. Symptoms include severe abdominal pain that may radiate to the back. Investigations include blood tests of amylase, lipase, and other enzymes. Treatment focuses on supportive care, pain management, and identifying/treating any complications like infections. The mortality rate ranges from 1% for mild cases to 15-20% overall.
Respiratory Distress & Status asthmaticus in Paediatricsmeducationdotnet
1. Respiratory distress is a clinical condition of increased respiratory rate and accessory muscle use that can progress to respiratory failure. Common causes include central or peripheral airway obstruction, diffuse lung damage, or issues with the respiratory pump.
2. Management involves ABCDE emergency care and non-invasive respiratory support with oxygen, nasal CPAP, or BiPAP if not in impending respiratory failure. The goal is restoring gas exchange with minimal complications by addressing underlying causes.
3. Mechanical ventilation may be needed for severe hypoxemia or hypercarbia from pneumonia, or when other systemic dysfunction jeopardizes gas exchange. Hypoxemia is prioritized over hypercarbia.
The document discusses various principles of design used by artists in creating works of art, including:
- Rhythm, which creates a visual tempo through careful placement of repeated elements.
- Balance, including symmetrical and asymmetrical balance, arranging elements evenly or unevenly but with a sense of equilibrium.
- Emphasis, drawing attention to a focal point.
- Proportion, concerning size relationships.
- Gradation, using gradual changes in elements.
- Harmony, accentuating similarities between elements.
- Variety, using diversity or contrast through different shapes, sizes and colors.
- Movement, creating a look and feeling of action to guide the viewer's eye.
Regional anesthesia is a technique that induces loss of sensation in part of the body using local anesthetics. It has benefits like lower costs, high patient satisfaction, and decreased risks of DVT and PE compared to general anesthesia. However, it requires skills and may cause issues like hypotension. The main types are topical, intravenous, peripheral nerve blocks, plexus blocks, and neuro-axial blocks. Regional anesthesia can provide anesthesia for surgery, post-op analgesia, or chronic pain treatment. Factors like the anesthetic used, patient position, and injection speed affect its spread. Spinal and epidural blocks involve injecting anesthetic into the subarachnoid or epidural space and have risks like anaphyl
1) O documento descreve um incidente em que um cliente enfurecido reclama na loja Nordstrom sobre pneus defeituosos que foram vendidos.
2) Um funcionário da Nordstrom rapidamente devolve o dinheiro ao cliente, apesar da loja não vender pneus.
3) Isso ilustra os valores da Nordstrom de priorizar a satisfação do cliente acima de tudo.