and whether heart failure patents would benefit from using this drug. Corlanor use is indicated to reduce the risk of hospitalization for worsening heart failure in patients with stable, symptomatic chronic heart failure with left ventricular ejection fraction ≤ 35%, who are in sinus rhythm with resting heart rate ≥ 70 beats per minute and either are on maximally tolerated doses of betablockers or have a contraindication to beta-blocker use. The recommended starting dose of Corlanor is 5 mg twice
Heart failure (HF) is a complex clinical pathological syndrome characterised by symptom of shortness of breath , fatigue and the sign of rales on chest ascultation and peripheral pitting oedema also termed as sign of congestion. It is caused by the structural and functional diffect of the heart(1) . It is initally characterised by the dysfunction of the levt ventricle which lead to impairing the filling functin of the ventricles or unable to produce enough contractility of the left ventricle
which is described by the Frank-Starling mechanism. However, as the disease progresses, the heart loses that compensatory mechanism leading to a decrease in the strength of the contraction of the heart, hence, a decrease in left ventricular ejection fraction. There are two types of DCM, primary and secondary. Primary dilated cardiomyopathy are usually idiopathic in nature, however, “approximately 30% of cases” have a “familial transmission pattern.”3(138) Secondary dilated cardiomyopathy, on the
1. How do you multiply proper fractions? How do you multiply mixed numbers? 2. How do you divide proper fractions? How do you divide improper fractions? 3. Give an example of how/when you use fractions (including addition, subtraction, multiplication, division, and or ordering of) in your day to day activities outside of math class. Multiplying proper fractions requires a few steps. The first step will be to multiply the top two numbers also known as the numerators. Second you will multiply the
In everyday life, we interact with fractions multiple times throughout the day. Whether it is the amount of gas left in a tank, how much flour we need to measure out in a recipe or even how much money we have used up. There is a major importance for students to have the ability to understand and compare fractions. The lesson I have developed will help students be able to convert and compare fractions that have different denominators. I included three separate methods that will help students do so:
Fraction Differences First Sequence To begin with I looked at the first sequence of fractions to discover the formula that explained it. As all the numerators were 1 I looked at the denominators. As these all increased by 1 every time, I figured that the formula was simply [IMAGE] as the denominators corresponded to the implied first line as shown in this table below: nth number 1 2 3 4 5 6 7 8 Denominators 1 2 3 4 5 6 7 8 I shall
dividing units of time such as sixty like we still use today for hours and minutes. They used “formal” math as far back as 3000 B.C., but basic math can be dated as far back as 2690 C.A. They are also believed to be the first to use fractions, although they wrote their fractions differently than we do today. Their mathematics had an emphasis on measurement and calculations. With their vast knowledge in geometry they were able to calculate the areas of triangles, bricks, trapezoids and pyramids. The Egyptians
To become a firefighter is not an easy job. To become an aircraft rescue and firefighter (ARFF) takes a special individual because of the unique level of duties it requires. There is a great deal of preparation and skills that ARFF personnel must have to respond effectively to any aircraft accident or incident. “Because of the extensive nature of emergencies” that ARFF personnel may come across, they must be well trained to handle any of these circumstances (Jenkins, 2008). ARFF personnel are
The first part of this review does not contain spoilers. Ken MacLeod's The Star Fraction is a fantasic science fiction novel about love, loss, socialism, anarcho-capitalism, "American-style ‘black helicopter’ libertarianism", and the looming threat of a fascistic world order. The Star Fraction's setting is post World War III UK, where the republican government has been overthrown by the monarchy, and a new kingdom has been established. After many failed violent revolutions to over throw the monarch
of math. The Reason for Math The Egyptians used math very heavily in their daily life. Since the Egyptians at that time had no money, participating in trade and market required knowledge of fractions. Since the Egyptians need the most precise calculations, they only used unit fractions, aside from the fraction 2/3. Because they didn’t round off their numbers, the closest possible answer was produced. Another peril of life in Egypt that was solved by math was the need for a calendar. Since the Nile
9. In what sense did the Mesopotamian authors “do algebra”? Did they have the concept of an equation or a classification of types of equations? The Mesopotamian authors didn’t “do algebra,” they solved problems by following a set of steps which allowed them to get a numerical answer. Today, if we tried to solve those problems, we would use algebra, but they did not (Cooke, 2005, p. 40). They had no concept of an equation, or of a set of rules that would allow them to solve a variety of problems
I’d like to talk about the “Golden Ratio” and “The rule of Third”, They are very famous in the world and always use in the building , art and photograph,etc.They have lots of value in the world, although someone has a different opinion. Because of people have different arguments, the “Golden ratio” and “the rule of thirds” can become more complete . The “Golden Ratio” can be described as a complex mathematical formula.The Golden Ratio is a special number which be found from division line into
Solar Storm – a Potential Threat to Humanity A solar storm refers to space weather involving solar activities like solar flares and coronal mass ejection. Although most solar storms may only have minor effect on the Earth, a particularly strong one like the 1859 Carrington Event is likely to cause damage of spacecraft and satellites, as well as radio and electricity blackout of large regions on the Earth. In the age that people’s lives are greatly dependent on electronic and telecommunication technologies
the Hospital of the University Of Pennsylvania, for HF, arrhythmias, and myocardial infarction between January 2012 and March 2013 with an observed sleep disordered breathing pattern. 106 patients met inclusion criteria. The left ventricular ejection fraction of these patients was 32.7% ± 19.8. A type III sleep study was completed on that admission. 81 patients were found to have a SBD defined here as an apnea-hypopnea index (AHI) of ≥ 5 events/h. The low AHI was used for the potential over-estimation
The relative numbers of excited atoms that fluoresce are described by the fluorescence yield, which increases with increasing atomic number for all three series (Jenkins 1988: 6). High energy electrons are not the only particles which can cause ejection of photoelectrons and subsequent fluorescent emission of characteristic radiation. High-energy X-ray photons can create the same effect, allowing us to excite a sample with the output of an X-ray tube or any source of photons of the proper energy
Our heart is like a double pump mechanism where the right side pumps deoxygenated blood to our lungs and the left side pumps oxygen rich blood to circulate back through our bodies. This process provides a continuous supply of oxygen and eliminates carbon dioxide waste from our body. When there is a disturbance to this process, it causes our heart the inability to pump sufficiently to meet our body’s demands. This causes the body to accumulate blood and fluid in the organs and tissues and will lead
upon the data you have? Yes, she has cold sweats and hypotension 3. What was the purpose of the stent? The purpose for the stent was to hold the coronary artery open to allow the blood to flow more freely. 4. What is the significance of the ejection fraction? What is normal? It determines how well your heart pumps with each beat by measuring the percentage of blood leaving your heart
Analysis of the Stress Cone The stress cone is shown in Figure 3-6 Stress cone, which has a shape of a cone, is the traditional technique to control the stress at the electrical termination of cables. It brings the stress to a subtle stop. To eliminate fires or electric surges by the high concentration of flux between the conductor cable and shield termination, stress cone must be install properly on middle to high voltage (46kV or up) systems. For this particular experiment stress cone is being
Congestive Heart Failure is when the heart's pumping power is weaker than normal. It does not mean the heart has stopped working. The blood moves through the heart and body at a slower rate, and pressure in the heart increases. This means; the heart cannot pump enough oxygen and nutrients to meet the body's needs. The chambers of the heart respond by stretching to hold more blood to pump through the body or by becoming more stiff and thickened. This only keeps the blood moving for a short while
During my cardiology fellowship, I found myself deeply involved in the care of a 58 year old gentleman who was admitted with a very late presentation of a STEMI. The patient was found to have an ejection fraction of 20 % and he developed multiple episodes of ventricular tachycardia and fibrillation for which he was defibrillated and started on amiodarone and lidocaine. Confident of what current medicine had to offer, we tried everything but the patient became progressively worse. His condition however