El documento presenta los gastos e ingresos de "La Emilia" durante septiembre de 2011. Los principales gastos fueron $500 en pintura, $500 en limpieza, $70 en administración, $150 en parquero, $70 en luz y $70 en gas, para un total de gastos de $1852. Los ingresos provinieron de 3 familias que se hospedaron generando un total de $2280. El resumen final muestra un saldo positivo de $428.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help boost feelings of calmness, happiness and focus.
La Unión Europea ha acordado un paquete de sanciones contra Rusia por su invasión de Ucrania. Las sanciones incluyen restricciones a las importaciones de productos rusos clave como el acero y la madera, así como medidas contra bancos y funcionarios rusos. Los líderes de la UE esperan que las sanciones aumenten la presión económica sobre Rusia y la disuadan de continuar su agresión contra Ucrania.
Este documento promociona el alquiler de una propiedad rural llamada "La Emilia" que ofrece espacios verdes y buenos precios. Incluye fotos de la entrada, un asador, una hacienda, un molino y visitantes disfrutando del lugar. También proporciona instrucciones de cómo llegar desde Buenos Aires siguiendo diferentes rutas.
INTERNAL MEDICINE - Vascular Diseases of the ExtremitiesNian Baring
This document discusses peripheral arterial disease and other vascular diseases of the extremities that affect arteries. It covers the definition, risk factors, symptoms, diagnostic testing, and treatment options for conditions such as peripheral arterial disease, fibromuscular dysplasia, Buerger's disease, acute arterial occlusion, and atheroembolism.
The document is a research paper that compares multiplexes and single screen movie theaters. It analyzes data collected through a survey of 50 respondents between ages 20-30. The data shows that most respondents spend between Rs. 500-1000 monthly on movies. Half watch movies once a week, preferring multiplexes over single screens or other viewing methods. Multiplexes are growing in popularity compared to traditional single screen theaters.
This document defines terms related to preterm birth such as gestational age, birth weight, and viability thresholds. It discusses the morbidity of preterm birth and contributing factors such as prior preterm birth, infection, lifestyle factors, and cervical changes. Diagnosis involves assessing cervical length, funneling, and fetal fibronectin levels. Management of preterm rupture of membranes and preterm labor is also outlined, including expectant management, risks, and use of tocolytics and antimicrobial therapy.
Streptokinase and tissue plasminogen activator (t-PA) are fibrinolytic drugs that activate plasminogen to induce fibrinolysis. Streptokinase forms a complex with plasminogen to activate it, while t-PA activates plasminogen bound to fibrin hundreds of times more than free plasminogen. The major toxicity of these drugs is hemorrhage from lysis of physiological thrombi and a systemic lytic state. Contraindications include recent surgery, bleeding disorders, and hypertension. Aminocaproic acid inhibits fibrinolysis by competing for lysine binding sites on plasminogen and plasmin.
El documento presenta los gastos e ingresos de "La Emilia" durante septiembre de 2011. Los principales gastos fueron $500 en pintura, $500 en limpieza, $70 en administración, $150 en parquero, $70 en luz y $70 en gas, para un total de gastos de $1852. Los ingresos provinieron de 3 familias que se hospedaron generando un total de $2280. El resumen final muestra un saldo positivo de $428.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help boost feelings of calmness, happiness and focus.
La Unión Europea ha acordado un paquete de sanciones contra Rusia por su invasión de Ucrania. Las sanciones incluyen restricciones a las importaciones de productos rusos clave como el acero y la madera, así como medidas contra bancos y funcionarios rusos. Los líderes de la UE esperan que las sanciones aumenten la presión económica sobre Rusia y la disuadan de continuar su agresión contra Ucrania.
Este documento promociona el alquiler de una propiedad rural llamada "La Emilia" que ofrece espacios verdes y buenos precios. Incluye fotos de la entrada, un asador, una hacienda, un molino y visitantes disfrutando del lugar. También proporciona instrucciones de cómo llegar desde Buenos Aires siguiendo diferentes rutas.
INTERNAL MEDICINE - Vascular Diseases of the ExtremitiesNian Baring
This document discusses peripheral arterial disease and other vascular diseases of the extremities that affect arteries. It covers the definition, risk factors, symptoms, diagnostic testing, and treatment options for conditions such as peripheral arterial disease, fibromuscular dysplasia, Buerger's disease, acute arterial occlusion, and atheroembolism.
The document is a research paper that compares multiplexes and single screen movie theaters. It analyzes data collected through a survey of 50 respondents between ages 20-30. The data shows that most respondents spend between Rs. 500-1000 monthly on movies. Half watch movies once a week, preferring multiplexes over single screens or other viewing methods. Multiplexes are growing in popularity compared to traditional single screen theaters.
This document defines terms related to preterm birth such as gestational age, birth weight, and viability thresholds. It discusses the morbidity of preterm birth and contributing factors such as prior preterm birth, infection, lifestyle factors, and cervical changes. Diagnosis involves assessing cervical length, funneling, and fetal fibronectin levels. Management of preterm rupture of membranes and preterm labor is also outlined, including expectant management, risks, and use of tocolytics and antimicrobial therapy.
Streptokinase and tissue plasminogen activator (t-PA) are fibrinolytic drugs that activate plasminogen to induce fibrinolysis. Streptokinase forms a complex with plasminogen to activate it, while t-PA activates plasminogen bound to fibrin hundreds of times more than free plasminogen. The major toxicity of these drugs is hemorrhage from lysis of physiological thrombi and a systemic lytic state. Contraindications include recent surgery, bleeding disorders, and hypertension. Aminocaproic acid inhibits fibrinolysis by competing for lysine binding sites on plasminogen and plasmin.
This document discusses various parenteral anticoagulants including heparin, low molecular weight heparins, fondaparinux, lepirudin, bivalirudin, argatroban, danaparoid, and drotrecogin alfa. It provides details on the mechanisms of action, pharmacokinetics, clinical uses, administration, and toxicities of these anticoagulation agents.
INTERNAL MEDICINE - Secondary HypertensionNian Baring
The document discusses secondary hypertension, defining it as elevated blood pressure due to an underlying disorder. The most common causes of secondary hypertension include renal parenchymal diseases, primary aldosteronism, Cushing's syndrome, pheochromocytoma, and renovascular hypertension. It provides details on the definition, causes, signs and symptoms, diagnostic tests, treatment options, and prognosis for each of these common causes of secondary hypertension.
Vaginal Delivery - Chapter 27 of Williams Obstetrics 24th EditionNian Baring
Vaginal delivery is the preferred route of delivery for most fetuses. It involves controlled descent and delivery of the fetal head, shoulders, and body through the birth canal with minimal trauma. The third stage of labor begins immediately after birth of the baby and ends with delivery of the intact placenta, avoiding postpartum hemorrhage. Key steps include positioning the mother, slowing delivering the head with perineal support, managing the umbilical cord, and watching for signs of placental separation before the controlled delivery of the placenta.
Internal Medicine - Cerebrovascular DiseasesNian Baring
The document discusses cerebrovascular diseases, focusing on ischemic and hemorrhagic stroke. It defines stroke, outlines the pathophysiology of ischemic stroke including necrotic and apoptotic pathways, and describes approaches to diagnosis and treatment. Treatment options for ischemic stroke include medical support to optimize cerebral perfusion, IV thrombolysis with rtPA within 3-4.5 hours, and endovascular techniques to restore blood flow and save ischemic penumbra.
This document summarizes information about the oral anticoagulant warfarin. It discusses warfarin's mechanism of action as an antagonist of vitamin K, resulting in decreased levels of coagulation factors II, VII, IX and X. It also describes warfarin's dosage, absorption, distribution, metabolism and elimination, as well as drug interactions that can increase or decrease its effects. Major toxicities include bleeding risks. Clinical uses include preventing progression of DVTs and pulmonary embolism. The document also briefly summarizes the oral anticoagulants phenprocoumon, acenocoumarol and ximelagatran.
Arteriosclerosis is the hardening and narrowing of arteries due to plaque buildup. The three main types are arteriolosclerosis (small arteries), Monckeberg medial sclerosis (calcification of muscular arteries), and atherosclerosis (most common). Atherosclerosis features atheromas that protrude into the vessel lumen. Risk factors like age, gender, genetics, hyperlipidemia, hypertension, smoking, and diabetes accelerate atherosclerosis. Inflammation and infection also contribute to plaque formation and rupture, which can cause acute issues like heart attack or stroke.
This document discusses various parenteral anticoagulants including heparin, low molecular weight heparins, fondaparinux, lepirudin, bivalirudin, argatroban, danaparoid, and drotrecogin alfa. It provides details on the mechanisms of action, pharmacokinetics, clinical uses, administration, and toxicities of these anticoagulation agents.
INTERNAL MEDICINE - Secondary HypertensionNian Baring
The document discusses secondary hypertension, defining it as elevated blood pressure due to an underlying disorder. The most common causes of secondary hypertension include renal parenchymal diseases, primary aldosteronism, Cushing's syndrome, pheochromocytoma, and renovascular hypertension. It provides details on the definition, causes, signs and symptoms, diagnostic tests, treatment options, and prognosis for each of these common causes of secondary hypertension.
Vaginal Delivery - Chapter 27 of Williams Obstetrics 24th EditionNian Baring
Vaginal delivery is the preferred route of delivery for most fetuses. It involves controlled descent and delivery of the fetal head, shoulders, and body through the birth canal with minimal trauma. The third stage of labor begins immediately after birth of the baby and ends with delivery of the intact placenta, avoiding postpartum hemorrhage. Key steps include positioning the mother, slowing delivering the head with perineal support, managing the umbilical cord, and watching for signs of placental separation before the controlled delivery of the placenta.
Internal Medicine - Cerebrovascular DiseasesNian Baring
The document discusses cerebrovascular diseases, focusing on ischemic and hemorrhagic stroke. It defines stroke, outlines the pathophysiology of ischemic stroke including necrotic and apoptotic pathways, and describes approaches to diagnosis and treatment. Treatment options for ischemic stroke include medical support to optimize cerebral perfusion, IV thrombolysis with rtPA within 3-4.5 hours, and endovascular techniques to restore blood flow and save ischemic penumbra.
This document summarizes information about the oral anticoagulant warfarin. It discusses warfarin's mechanism of action as an antagonist of vitamin K, resulting in decreased levels of coagulation factors II, VII, IX and X. It also describes warfarin's dosage, absorption, distribution, metabolism and elimination, as well as drug interactions that can increase or decrease its effects. Major toxicities include bleeding risks. Clinical uses include preventing progression of DVTs and pulmonary embolism. The document also briefly summarizes the oral anticoagulants phenprocoumon, acenocoumarol and ximelagatran.
Arteriosclerosis is the hardening and narrowing of arteries due to plaque buildup. The three main types are arteriolosclerosis (small arteries), Monckeberg medial sclerosis (calcification of muscular arteries), and atherosclerosis (most common). Atherosclerosis features atheromas that protrude into the vessel lumen. Risk factors like age, gender, genetics, hyperlipidemia, hypertension, smoking, and diabetes accelerate atherosclerosis. Inflammation and infection also contribute to plaque formation and rupture, which can cause acute issues like heart attack or stroke.