zilongwang/ReadingBank huggingface dataset:
Northwest Middle School 8th ELL Levels 1-6 Instructor: Krista Cardenas Room: #206 Phone Number: 865-594-1345 x 41661 Email: COURSE OUTCOME: Course Description: The ELL Curriculum Framework for middle school students emphasizes the development of literacy in English through instruction in the skill areas of Listening, Speaking, Reading and Writing. The links to the Levels 1-6 ELL Curriculum and the link to the WIDA standards, recently adopted by the State of Tennessee, may be found on the Knox County Schools website at . INSTRUCTION: Topics and General Pacing: We will be following The Curriculum Framework and WIDA standards for English Language Learners can be found on the following link: In addition to the curriculum listed above, we will be reinforcing classroom content areas by visiting main ideas and vocabulary through the areas of Listening, Speaking, Reading and Writing with an emphasis on comprehension, vocabulary, reading, grammar and writing skills. Also, this period will be attending a co-taught Social Studies class. That means that two teachers will be combining two subjects such as ESL and Social Studies. The same grade scale and expectations will be used, and as always expect greatness out of each of you. ASSIGNMENTS: An Interactive Notebook will be a large part of the student’s grade. It is expected that the student keep their notebook current (up to date) on a consistent basis. There will be vocabulary, writing, foldables, interactive activities, cooperative learning activities, teacher notes as well as “POP” quizzes and assessments from the materials in your Interactive Notebook. If you are absent from class you are still responsible for the pages missed in your notebook. From time to time you will be given the opportunity to use your notebook on a test, if you have kept up with it, then you should be able to be successful on your test. It is a tool, “What you put into it is what you get out Materials Needed: For this course you will need the following materials: (1) School Agenda (First one will be provided by NWMS) (1) Composition Notebook (2) Sharpened pencils & eraser (1) Colored pencils (2) Elmer’s glue sticks (1) Expo Marker (1) Clorox or Lysol Wipe **Homework if
FOR IMMEDIATE RELEASE SEPTEMBER 26, 2017 CARDI B AND “BODAK YELLOW (MONEY MOVES)” RISE TO #1 ON BILLBOARD’S “HOT 100” RIAA PLATINUM CERTIFIED RAP ANTHEM MAKES BILLBOARD HISTORY AS HIGHEST CHARTING TRACK BY A FEMALE RAPPER THIS YEAR “BODAK YELLOW (FEAT. KODAK BLACK) [REMIX]” RELEASED TO CRITICAL ACCLAIM NYC-BASED RAPPER CURRENTLY TIED WITH KENDRICK LAMAR AS TOP NOMINEE FOR UPCOMING BET HIP HOP AWARDS “” AVAILABLE NOW AT ALL DSPS AND STREAMING SERVICES KSR/Atlantic recording artist Cardi B has made history as her breakthrough hit single, “Bodak Yellow (Money Moves),” ascends to #1 on Billboard’s “Hot 100.” Recently certified RIAA platinum for sales equivalents in excess of 1 million, “Bodak Yellow” is the highest charting single by any female rapper this year. Along with its current status as the #1 single in the country, “Bodak Yellow” is standing tall at #1 on Billboard’s “Hot R&B/Hip-Hop Songs” and “Hot Rap Songs” charts, the latter for six consecutive weeks and counting, as well as #1 at Rhythm radio. “Bodak Yellow” is available now at all digital music retailers and streaming services. With more than 188 million total streams thus far, “Bodak Yellow (Money Moves)” is also proving a historic streaming sensation, pulling an impressive 40 million streams in just one week alone, to reach #1 on Billboard’s “Streaming Songs” tally. The “Bodak Yellow” companion visual is equally popular, now with over 170 million videos via YouTube alone. Directed by Picture Perfect, the video “perfectly captures Cardi's status as she reels in the success that accompanies her moves as of late,” wrote , “cementing her ascent as a formidable force in hip-hop's current landscape.”
Contents Page Introduction 4 Anatomy and Physiology – Blood flow 5 Anatomy and Physiology – Electrical conduction system 6 Electrocardiography 7 Pacemakers 12 Haemodynamic Monitoring 13 Management of arterial lines 17 Management of central venous pressure 18 Intra-aortic balloon pumps 20 Medications 23 Crossword 24 26
23 Collagen that are attached to the AV valves (7, 8) 26 Where is the air reference point in regards to the transducer (12, 4) Down 1 Largest chamber of the (4, 9) 2 What does Stroke Volume and Heart Rate determine (7, 6) 3 A potentially reversible cause of a cardiac arrest (13) 4 Doubled walled sac that surrounds the heart (11) 5 Right AV Valve (9) 6 Artery that supplies the lateral myocardium (10) 7 What sensors measure pressure in the Aortic body (4, 9) 8 The QRS complex represents (11, 14) 13 A small depression on the medial wall (5, 6) 21 ST elevation in leads II, III, aVF indicates (8, 1, 1) 24 Largest vein in the body (4, 4) 25 On the arterial waveform what signifies the close of the Aortic valve (8, 5) 27 Composed of cardiac muscle (5) 28 Non-shockable rhythm (8) 29 Extensions of the atria (8) 30 A hole in the wall that divides the heart (6, 6)
b), c) Custom Selection I ONLY require the genes ticked below I require the ”Cardiac sub-panel” I selected, PLUS the genes ticked below I do not require any additional genes ABCC9¹ ACTC1¹ ACTN2¹ AKAP9 ANK2 ANKRD1¹ BAG3¹ CACNA1C CACNA2D1 CACNB2 CALM1 CALM2 CALM3 CASQ2 CAV3 CHRM2 CSRP3¹ CTNNA3 DES¹ DLG1 DMD¹ DOLK DSC2¹ DSG2¹ DSP¹ DTNA EMD EYA4¹ FHL1¹ FHL2¹ FLNC¹ GATAD1¹ GLA¹ GPD1L HCN4 ILK JPH2 JUP¹ KCND3 KCNE1 KCNE2 KCNE3 KCNE5 KCNH2 KCNJ2 KCNJ5 KCNQ1 LAMA4¹ LAMP2¹ LDB3¹ LMNA¹ MIB1 MURC MYBPC3¹ MYH6¹ MYH7¹ MYL2¹ MYL3¹ MYLK2 MYOM1 MYOZ2 MYPN¹ NEBL NEXN¹ PDLIM3 PKP2¹ PLN¹ PRDM16¹ PRKAG2¹ RBM20¹ RYR2 SCN1B SCN2B SCN3B SCN4B SCN5A¹ SGCD¹ SLC25A4 SLMAP SNTA1 TAZ¹ TCAP TMEM43¹ TMPO¹ TNNC1¹ TNNI3¹ TNNT2¹ TPM1¹ TRDN TRPM4 TTN¹ TTR¹ VCL¹ Genes included in “DCM - extended panel (46-gene)”. SCN10A available as part of this panel on Clinical Exome; note that coverage is guaranteed >99% at 15X only for SCN5A and SCN10A on this reagent; these genes are reported to be the most common single-gene causes. Please send this menu, with our referral form () and sample to: Yorkshire Regional Laboratory, Ashley Wing, St University Hospital, Leeds LS9 7TF, UK If the laboratory already has a sample banked, this form alone is sufficient to activate analysis.
2. Hormonal Control Mechanism Adrenalin and noradrenalin are stress hormones that are released by the adrenal glands. Exercise causes a stress induced adrenalin response results in the following: Stimulation of the SA node (pacemaker) which results in an increase in both the speed and force of contraction. An increase in blood pressure due to the constricting of blood vessels. An increase in blood glucose levels which is used by the muscles for energy. What is Cardiovascular Drift? We used to think that while exercising at a steady level, the body reached a steady state where the heart rate remained the same. However, new research has shown that if you monitor heart rate more closely it does not remain the same but instead slowly climbs. This is cardiovascular drift. In more detail cardiovascular drift is characterised by a progressive decrease in stroke volume and arterial blood pressure, together with a progressive rise in heart rate. It occurs during prolonged exercise in a warm environment despite the intensity of the exercise remaining the same. Suggestions as to why this occurs are that when we sweat a portion of this lost fluid volume comes from the plasma volume. This decrease in plasma volume will reduce venous return and stroke volume. Heart rate again increases to compensate and maintain constant cardiac output. To minimise this cardiovascular drift it is important to maintain high fluid consumption before and during exercise. . Effects of Training on the Heart If you perform continuous, fartlek or aerobic interval training over a period of time, physiological adaptations take place that would make the initial training sessions appear very easy. This is because your VO2(max) has improved due to the changes your body has made. Some of these changes or adaptations effect the heart. It becomes much more efficient. The table below identifies the changes that have taken place in the heart. Key term: VO2(max) is the maximum amount of oxygen that can be taken in and used by the body in one minute
When the animals are mustered the affected animals are lagging behind the rest of the herd or flock. More severely affected animals may even be disinclined to move. Cattle that are still ambulatory exhibit typical posterior paresis (weakness of the hind quarters) (Fig. 13), which invariably progress to paralysis and the animal lies in ventral recumbency. Whole body tremors are also present. Occasionally some animals may be restless, appear nervous, hypersensitive and incoordinated. Torticollis is reported in stock that have been poisoned with “plakkies” (“krimpsiekte” – see below) and “slangkop”. Fig. 13: A young heifer exhibiting weakness of the hind quarters (posterior paresis) typical for yellow “tulp” poisoning. Respiratory system Initially an expiratory can be audible and later dyspnoea or even periods of apnoea will indicate severe pulmonary dysfunction. Macroscopic and histopathology At necropsy no specific gross lesions are noticed and the post mortem may be regarded as rather negative. Non-specific changes such as generalized congestion, subepi- and endocardial and subcutaneous haemorrhages, lung oedema and emphysema, ruminal atony and hyperaemia of the mucosa are reported. If the animal has died peracutely leaf remnants may still be present in the rumen. “Tulp” leaves (tough, fibrous and strongly ribbed leaf) as well as oleander (hard leathery leaves) may be discerned in the rumen contents. On microscopical examination myocardial degeneration or even necrosis and pulmonary oedema are present. In more chronic cases foci of myocardial fibrosis are seen. Diagnosis are various criteria that are important to reach a diagnosis. A history of young naive animals or livestock newly introduced to the area should raise suspicion. The clinical signs, necropsy findings and histopathology report could all aid in a diagnosis. Check for the presence of the plants in the camps and whether it has been eaten. Treatment
Athlete/Parent/Guardian Sudden Cardiac Arrest Symptoms and Warning Signs Information Sheet and Acknowledgement of Receipt and Review Form What is sudden cardiac arrest? Sudden cardiac arrest (SCA) is when the heart stops beating, suddenly and unexpectedly. When this happens, blood stops flowing to the brain and other vital organs. SCA doesn’t just happen to adults; it takes the lives of students, too. However, the causes of sudden cardiac arrest in students and adults can be different. A youth athlete’s SCA will likely result from an inherited condition, while an adult’s SCA may be caused by either inherited or lifestyle issues. SCA is NOT a heart attack. A heart attack may cause SCA, but they are not the same. A heart attack is caused by a blockage that stops the flow of blood to the heart. SCA is a malfunction in the heart’s electrical system, causing the heart to suddenly stop beating. How common is sudden cardiac arrest in the United States? SCA is the #1 cause of death for adults in this country. There are about 300,000 cardiac arrests outside hospitals each year. About 2,000 patients under 25 die of SCA each year. It is the #1 cause of death for student athletes. Are there warning signs? Although SCA happens unexpectedly, some people may have signs or symptoms, such as: fainting or seizures during exercise; unexplained shortness of breath; dizziness; extreme fatigue; chest pains; or racing These symptoms can be unclear in athletes, since people often confuse these warning signs with physical exhaustion. SCA can be prevented if the underlying causes can be diagnosed and treated. What are the of practicing or playing after experiencing these symptoms? There are risks associated with continuing to practice or play after experiencing these symptoms. When the heart stops, so does the blood that flows to the brain and other vital organs. Death or permanent brain damage can occur in just a few minutes. Most people who experience SCA die from it. Public Chapter 325 – the Sudden Cardiac Arrest Prevention Act The act is intended to keep youth athletes safe while practicing or playing. The requirements of the act are: All athletes and their parents or guardians must read and sign this form. It must be returned to the school before participation in any athletic activity. A new form must be signed and returned each school year. Adapted from PA Department of Health: Sudden Cardiac Arrest Symptoms and Warning Signs Information Sheet and Acknowledgement of Receipt and Review Form. 7/2013
Week 1 PowerPoint Clinical Operating Room Readings Day 1 – Mon Coronary Artery Disease Cardiac Surgery H&P Observation Bojar : 3-14 Day 2 – Tues Valvular Disease Documentation Cardiac Anesthesia Bojar : 14-30 Day 3 – Wed Arrhythmias Cardiopulmonary Bypass Cardiac Perfusion : 418-451 Day 4 – Thurs Diagnostics Chest Tubes 2nd Assist : 61-86 Day 5 - Fri Cardiac Medications Suture Material 2nd Assist : 93-120 Week 2 PowerPoint Clinical Sheet Operating Room Readings Day 6 – Mon Hemodynamics Arterial Blood Gas 2nd Assist Bojar : 341-358 Day 7 – Tues EVH Bypass Conduits 2nd Assist Bojar : 267-285 Day 8 – Wed ICU Medications Hyperglycemia Management 2nd Assist Bojar : 358-372 Day 9 – Thurs Respiratory Lab Values 2nd Assist Bojar : 295-330 Day 10 - Fri Complications BLS / ACLS 2nd Assist Bojar : 511-559 Week 3 PowerPoint Clinical Sheet Operating Room Readings Day 11 – Mon Procedures Procedure / ICU Note Vein Harvest Bojar : 601-606 Day 12 – Tues Cardiomyopathies Anticoagulation Vein Harvest Current : 370-374 Day 13 – Wed Congestive Heart Failure TMLR Vein Harvest Current : 358-368 Day 14 – Thurs IABP Wound Care Vein Harvest Bojar : 372-377 Day 15 - Fri VAD / Transplant Discharge Summary Vein Harvest : 377-389 Week 4 PowerPoint Clinical Sheet Operating Room Readings Day 16 – Mon Aortic Dissections Lead EKG 1st Assist Bojar : 33-40 Day 17 – Tues Endocarditis Cardiac Pacing 1st Assist Current : 1303-07 Day 18 – Wed Pericardial Disease Sedation/Anesthesia 1st Assist Current : 376-380 Day 19 – Thurs Congenital Disease Rheumatic Heart Disease 1st Assist Current : 294-302
Table 1: Food Methods Test Method Number Reference Method it is based on Food Campylobacter Detection F080 ISO 10272-1:2006 Food Listeria spp. and Listeria monocytogenes Detection F060 BS EN ISO Food Salmonella spp. Detection F031 BS EN ISO 6579:2002+A1:2007 Food Aerobic Colony Count enumeration F011 In method – spiral plate surface spread on plate count agar incubated at 30oC for 48hrs Food Bacillus cereus and Bacillus spp. enumeration F050 BS EN ISO 7932:2004 Food Clostridium perfringens enumeration F070 BS EN ISO 7937:2004 Food Enterobacteriaceae enumeration F111 BS EN ISO Food E.coli enumeration F020 BS ISO 16649-2:2001 Food Coagulase positive F041 BS EN ISO Food Listeria spp. and Listeria monocytogenes enumeration F060 BS EN ISO
CARDIFF METROPOLITAN UNIVERSITY Terms and Conditions of Supply and / or Installation of Equipment 1. definitions and interpretations 1.1 In this Contract, the following words shall have the following meanings: “Contract” shall mean the Cardiff Metropolitan University Purchase Order (as and when issued), these terms and conditions and any and all Schedules, Annexes and Appendices hereto. “Commissioning” shall mean testing of the installed Equipment and demonstration to Cardiff Metropolitan University’s reasonable satisfaction that the Equipment is functioning in a proper and acceptable manner. “Completion Date” shall be the date that the Contractor commits to have completed all tasks required for the satisfactory completion of the requirements of this Contract. “Contractor” mean the person, firm or company to whom any relevant Cardiff Metropolitan University’s Purchase Order, contract or letter of appointment is issued and / or attached to these terms and conditions. “Delivery Address” shall be the point/s of delivery and / or installation as specified in this Contract. “Equipment” shall mean all equipment, goods, product and / or materials in any form whatsoever supplied by the Contractor in connection with this Contract. “Installation” shall mean the installation of any and all Equipment either supplied by the Contractor, Cardiff Metropolitan University or any third party, such installation including necessary all works, connections and / or testing as required for the full and proper performance of the Equipment unless otherwise agreed elsewhere in this Contract. “Performance” shall mean the act of performing or carrying out of activities required under the provisions of this Contract. “Purchase Orders” mean any and all Purchase Orders issued to the Contractor by Cardiff Metropolitan University in relation to this Contract. For the purpose of clarification, the terms and conditions of this Contract shall prevail over any conflicting terms contained in any Cardiff Metropolitan University Purchase Order. “Schedules” shall mean any and all Schedules attached and referred to in the Contract. “Supply” shall mean the act of delivery of Equipment in accordance with the requirements herein. “Term” shall mean the date from which this Contract commences until the date of expiry, termination or completion of Installation as defined herein. “Terms and Conditions” shall mean these terms and conditions and any and all Appendices and / or Schedules as defined herein.
Level 4 Certificate in Counselling Skills for Working with Children Cardiff, 2017 (Saturdays) All workshops take at: TBC WORKSHOP DATE TIME VIW To be arranged by volunteer counsellor 9.30-4.30 Level 4 Induction 4 March 1.30-4.30 Working with Metaphor 25 March 9.30-4.30 Attachment Theory & Self-Awareness in the Counsellor 29 April 9.30-4.30 Working with Difference & Diversity 20 May 9.30-4.30 MID-COURSE TUTORIAL 17 June Making Endings with Children 15 July 9.30-4.30
Planning and Environment Act 1987 CARDINIA PLANNING SCHEME AMENDMENT C232 INSTRUCTION SHEET The planning authority for this amendment is the Victorian Planning Authority. The Cardinia Planning Scheme is amended as follows: Planning Scheme Maps The Planning Scheme Maps are amended by a total of 3 attached map sheets. Zoning Maps Planning Scheme Map No. 13 in the manner shown on the 1 attached map marked “Cardinia Planning Scheme, Amendment C232”. Overlay Maps Insert new Planning Scheme Map No.13PO in the manner shown on the 1 attached map marked “Cardinia Planning Scheme, Amendment C232”. Amend Planning Scheme Map Nos. 11LSIO and 13LSIO in the manner shown on the 1 attached map marked “Cardinia Planning Scheme, Amendment C232”. Planning Scheme Ordinance The Planning Scheme Ordinance is amended as follows: In Zones – insert Clause 32.07 in the form of the attached document. In Zones – Clause 37.07, replace Schedule 3 with a new Schedule 3 in the form of the attached document. In Zones – Clause 37.07, replace Schedule 4 with a new Schedule 4 in the form of the attached document. In Overlays – Clause 45.06, replace Schedule 4 with a new Schedule 4 in the form of the attached document. In Overlays – insert Clause 45.09 in the form of the attached document. In Overlays – Clause 45.09, insert a new Schedule 1 in the form of the attached document. In General Provisions – Clause 61.03, replace the Schedule with a new Schedule in the form of the attached document. In General Provisions – Clause 66.04, replace the Schedule with a new Schedule in the form of the attached document. In Incorporated Documents – Clause 81.01, replace the Schedule with a new Schedule in the form of the attached document. End of document
SCHEDULE TO CLAUSE 66.04 Referral of permit applications local provisions Clause Kind of application Referral authority Type of referral authority Clause 3.0 of Schedule 3 to Clause 42.01 (ESO) All Applications Secretary to the Department of Environment, Land, Water and Planning Determining referral authority Clause 4.0 of Schedule 6 to Clause 37.01 (SUZ) Any application within 200 metres of an existing gas pipeline. Secretary to the Department of Economic Development, Jobs, Transport and Resources Determining referral authority
SCHEDULE TO CLAUSE 81.01 OF DOCUMENTS INCORPORATED IN THIS SCHEME 1.0 Incorporated documents Name of document Introduced by: Beaconsfield Structure Plan (December 2013 expires 31 March 2019) C198 Bunyip Strategy (September 2009) C124 Cardinia Local Heritage Study Review, Volume 3: Heritage Places and Precinct citations (November 2013) (Sept 2015) C161 Cardinia Road Employment Precinct Structure Plan (including the Cardinia Road Employment Precinct Native Vegetation Precinct Plan) September 2010 C130 Cardinia Road Precinct Development Contributions Plan (September 2008) C92 Cardinia Road Precinct Structure Plan (September 2008) C92 Cardinia Shire Council - Subdivision Restructure Plans, January 2002 C29 Cardinia Council Significant Tree Study – Volume 2 (May 2009) C162 Cardinia Shire Council Subdivision Restructure Plan, 36-38 Beaconsfield – Emerald Road, Upper Beaconsfield February 2016 C188 Cardinia Shire Council, Subdivision Restructure Plan - 440, 445, 447, 460, 462-464 and 466 Bayles-Cora Lynn Road, 455 and 465 Bunyip River Road and 710 Nine Mile Road, Cora Lynn (October 2011) C146 Caulfield Dandenong Rail Upgrade Project, Incorporated Document, April 2016 GC37 Cockatoo Strategy (March 2008) C124 Emerald District Strategy (June 2009) C124 Former Pakenham Racecourse Comprehensive Development Plan, February 2010 C141 Gembrook Township Strategy (June 2011) C167 Healesville – Koo Wee Rup Road – Stage 1A (Koo Wee Rup Bypass) – Incorporated Document (September 2012) C150 Koo Wee Rup Township Strategy (October 2015) C189 Lang Lang Township Strategy (July 2009) C124 Monash Freeway Upgrade Project Incorporated Document, March 2016 GC47 Officer Development Contributions Plan, September 2011 C149 Officer Native Vegetation Precinct Plan, September 2011 C149 Officer Precinct Structure Plan, September 2011 C149 Officer Town Centre Office Development Incorporated Document, June 2011 C158 Pakenham Activity Centre Incorporated Provisions, 20 March 2017 (revised May 2017) (expires 31 December 2019) C211 Pakenham East Train Maintenance Depot Incorporated Document, March 2016 C210
Restock heat health information in public places All Council facilities that have flyer/brochure display capability are restocked with heat information provided by DHHS 500 pieces of written information distributed Annually – November Monitor and report Heat health alerts issued by DHHS Heat health alerts reported to service providers and community through email, Facebook and website As required CREM Communications Inform sporting bodies and summer event organisers of safe heat thresholds All Council supported sporting clubs receive written information on heat health thresholds and strategies to mitigate the effects of heat Organisers of events which are to be held on Council land during summer complete risk assessments taking into consideration heat Annually – November Annually – November - February Sustainable Communities CREM Deliver annual media briefing on summer preparedness 1 media briefing conducted Results in one story published Annually - November CREM Communications Reduction in indoor/outdoor heat exposure Check drinking water fountains At least 50% of all drinking fountains in the Shire are checked and repairs carried out as required Annually – November Open Space Establish a cancellation policy for outdoor sport and recreation events during heatwaves All Council sporting are provided with a standard cancellation policy which they are encouraged to adopt At least 50% of sporting clubs incorporate a heat health policy November 2016 Open Space Reschedule outdoor events Events are rescheduled as required November 2016 Sustainable communities Promote the use of safe, public places during heatwaves that are air conditioned, such as libraries or movie theatres Example venues communicated to public through website, social media channels and email to key service providers Annually – November CREM Communications Particular care for vulnerable population groups Strategy Planned indicators Timelines and responsibilities Contact residents in Council housing on days where a heat health warning has been issued to conduct a welfare check All residents in Council housing (10) are contacted via phone As required Community Services Ensure the Vulnerable Person’s Register is up to date Contact made with the referring agency of each client Annually – November CREM Preparedness of the health and social care system Strategy Planned indicators Timelines and responsibilities
Deliver an annual summer awareness forum for community service organisations and media with updated heat health information DHHS engaged to co-deliver forum 1 summer awareness forum conducted 50–70 people attend the forum Participant satisfaction survey completed Annually – October CREM Long term urban planning Strategy Planned indicators Timelines and responsibilities Encourage through Urban Planning and Urban Design policy, strategy and the planning application process buildings and environments designed to minimize the negative effects of heat (e.g., urban heat island). Provision of input and advice into planning, policy’s and processes As required: Strategic Planning
The Heart Muscular Size of a closed fist Weighs 12-13 oz Location – thoracic cavity APEX – conical tip, lies on diaphragm, points left Stethoscope – instrument used to hear the heartbeat Structure Hollow, muscular, double pump that circulates blood At rest = 2 oz blood with each beat, 5 qts./min., 75 gallons per hour Ave = 72 beats per minute 100,000 beats per day PERICARDIUM – double layer of fibrous tissue that surrounds the heart MYOCARDIUM – cardiac muscle tissue ENDOCARDIUM – smooth inner lining of heart
CARDIOPULMONARY CIRCULATION – heart and lungs SYSTEMIC CIRCULATION – from the to the tissues and cells, then back to the heart Cardiopulmonary Circulation “As the Blood Flows” Appendix MD08.03A ARTERIOLES – arteries VENULES – small veins Systemic Circulation AORTA – largest artery in the body First branch is coronary artery Aortic arch Many arteries branch off the descending aorta Blood Vessels
PULSE – alternating expansion and contraction of an artery as blood flows through it. Pulse sites: BRACHIAL CAROTID RADIAL POPLITEAL Diseases of the Heart ARRHYTHMIA (or dysrrhythmia) – any change from normal heart rate or rhythm BRADYCARDIA – slow heart rate (<60 bpm) TACHYCARDIA – rapid heart rate (>100 bpm) Coronary Artery Disease ANGINA PECTORIS – chest pain, caused by lack of oxygen to heart muscle, treat with nitroglycerin to dilate coronary arteries
PACEMAKERS Demand pacemaker – fires only when heart rate drops below programmed minimum CPR – cardiopulmonary resuscitation, used in the presence of cardiac arrest DEFIBRILLATION – electrical shock to bring the heart back to a normal rhythm. AED – automated external defibrillator Disorders of the Blood Vessels ANEURYSM – ballooning of an artery, thinning and weakening ARTERIOSCLEROSIS – arterial walls thicken, lose elasticity ATHEROSCLEROSIS – deposits form on walls of arteries EMBOLISM – traveling blood clot
Dual chamber pacemaker evident. Ventricular lead has displaced – tip lying near tip of atrial lead c) Complete the following table identifying causes of pacemaker/defibrillator malfunction. Provide two examples/causes for each category (9 marks) Catergory of PPM Malfunction ECG Findings Example/Cause Failure to Sense Failure to Pace Oversensing Catergory of PPM Malfunction ECG Findings Failure to Sense Pacing (or at least pacing spike) occurring in middle of normal P waves or QRS complexes Voltage of intrinsic cardiac activity too low to detect Battery failure Mechanical problem with lead (fracture/displacement) Failure to Pace No pacing spikes for atria/ventricles or both seen Mechanical problem with lead(s) Battery failure Fibrosis at electrode/tissue interface Oversensing Oversensing Pacing spikes not appearing (inhibited) where they should occur – abnormal pauses – or appearing when they shouldn’t (inappropriate triggering) External electromagnetic field interference Detection of intrinsic electrical activity not assoc with atrial or ventricular contraction (e.g. muscle potentials, T wave) Inappropriate interaction between elements of pacing system Circular magnets can be used to alter the function of implanted devices. d) What is the usual effect of placing a magnet over a pacemaker? (1 mark) Initiates “magnet mode” – effect can vary b/w devices but most commonly puts in asynchronous pacing mode e) What is the usual effect of placing a magnet over a defib? (1 mark) defibrillator from firing Question 7 A 56 year old presents with a SOB and chest pain. He has recently been diagnosed with hypertension and started on perindopril and amlodipine. He presents to ED because he has measured a BP of 210/110 at home. He is convinced that he is going to have a stroke. You are concerned that he is having an aortic dissection. BP 230/120 P 130 Sats 99% RA RR 26
Multiprofessional learners accessing the environment Registrar Cardiologists, Echo Training Students, Medical students, 6th Form work experience Professionals working in the environment Cardiac Physiologists, Heart failure nurse, Consultant Cardiologists, HCSW Opportunities to meet EU directives (Nursing)
CARDIOMYOPATHY EXOME PANEL Gene Inheritance OMIM Cardiomyopathy Associated Phenotypes Other Phenotypes HCM DCM ARVC LVNC RCM CPVT ABCC9 AD X Atrial fibrillation, familial, 12 (AD); Hypertrichotic osteochondrodysplasia (AD); Cantu syndrome (AD) ACTC1 AD X X X X Atrial septal defect 5 ACTN2 AD X X X ANKRD1 UNKN X X BAG3 AD X X X Myopathy, myofibrillar, 6 (AD) AD/AR X X CAV3 AD X X Long QT syndrome 9 (AD) Myopathy, distal, Tateyama type (AD) CHRM2 AD X CRYAB UNKN X Myopathy, myofibrillar (AD/AR) CSRP3 AD X X Myopathy with HCM (AD) DES AD X X X Muscular dystrophy, limb-girdle, type 2R (AD); Myopathy, myofibrillar, 1C (AR) DMD XL X Becker muscular dystrophy; Duchenne muscular dystrophy; Female carriers may develop isolated DCM
SITUATION NEEDS The dire situation is further compounded by the affected people with vulnerabilities. More specifically for women and girls. There is a pressing necessity to provide immediate assistance to minimize loss of life and to ensure that the needs of the most vulnerable are covered first. STAKEHOLDERS The following national and international entities are present and doing their best to respond to the crisis: The emergency response is currently being coordinated by . To ensure that the humanitarian response is well coordinated and complementary, the ACT forum will take part in meetings with all relevant
Food Item Potassium (minimum 4,700 mg/ 120 mEq) Sodium (maximum 2,400 mg/ 100 mEq) Magnesium (500 mg) Calcium (minimum 1,240 mg) Total Fat (g) Saturated Fat (g) Cholesterol (mg) Fiber (g) Oatmeal with margarine and sugar 184.8 mg 286.3 mg 59.6 mg 163.6 mg 2.8 g 0.5 g 0 4.3 g Coffee 252.5 mg 11.4 mg 17.5 mg 12.1 mg .086 g .01 g 0 0 Glazed donut 45.9 mg 180.9 mg 7.7 mg 27.0 mg 10.3 g 2.7 g 14.4 mg 0.67 g Tomato Bisque soup 1467.7 mg 2691.8 mg 60.9 mg 450.7 mg 16.0 g 7.6 g 54.8 mg 1.2 g Saltine crackers 46.2 mg 321.6 mg 0.2 mg 20.4 mg 3.4 g 0.5 g 0 0.9 g Baked Chicken 413.4 mg 668.9 mg 45.6 mg 24.0 mg 13.1 g 3.7 g 141.7 mg 0 Potato 610 mg 376 mg 39.0 mg 7.8 mg 0.16 g 0.4 g 0 2.3 g 272.4 mg 466.3 mg 0.4 mg 57.1 mg 23.58 g 3.63 g 12.2 mg 1.13 g Butter Pecan Ice Cream 0 446.1 mg 0 353.6 mg 28.0 g 11.4 g 49.0 mg 2.4 g Regular Beer 118.0 mg 10.7 mg 25.0 mg 14.3 mg 0 0 0 0 What nutrients in Mrs. Anderson’s diet are of major concern to you? Potassium, vitamin C, vitamin D, and vitamin E are all concerning as well as sodium. The first four nutrients should all be increased while sodium intake needs to be decreased. Water should also start being added into the diet more to aid in satiety and help in viscosity of the blood.
Diuretics Decrease blood volume by increasing urinary output, inhibit renal sodium and water reabsorption Increase in potassium supplements, dry mouth pg 291 Beta-blockers Blocks B-receptors in heart to decrease heart rate and cardiac output These lead to nausea, diarrhea, calcium may interfere with absorption, upset stomach, dry mouth, stomach pain, gas or bloating, and heartburn Calcium-channel blockers Affect the movement in calcium, cause blood vessels to relax, therefore reduce vasoconstriction to edema, nausea, heartburn, heart failure or greater than first degree heart block, avoid natural licorice, limit caffeine, and avoid or limit alcohol ACE inhibitors Vasodilators that reduce BP by decreasing peripheral vascular resistance by interfering with the production of angiotensin II from angiotensin I and inhibiting degradation of bradykinin Hypotension especially in elderly patients, can worsen renal function, hyperkalemia, dysgeusia, causes dry, nonproductive cough, and salt substitutions should be avoided Angiotensin II receptor blockers Interferes with system without inhibiting May increase serum potassium, increase nausea, dysgeuisa, and salt
Endothelial control of vasculature; R Siow; P Fraser Endothelial Derived Hyperpolarization; P Fraser; Capillary permeability; P Fraser; Leukocyte Transmigration; A Ivetic; P Fraser Platelet signalling & Thrombogenesis; G Passacquale; P Fraser Angiogenesis & Vascular Development; A Smith; P Fraser Control of Heart Rate & Rhythm; M Shattock; P Fraser Control of cardiac contraction; I Smyrnias; P Fraser Redox Signalling; A Brewer; P Fraser Assessment (30cc): Presentation and discussions (30%; mandatory qualifying mark 50%), 1h timed essay (15%; mandatory qualifying mark 40%) and a 3 question, 3 hour examination (55%; mandatory qualifying mark 40%) taken in May. Applied Cardiovascular Research Staff Myocardial signalling and hypertrophy; R Heads; P Fraser Hypertension; A P Fraser Atherogenesis; C Shanahan; P Fraser Acute coronary syndromes/MI; D Perera; P Fraser Heart Failure & Cardiac Remodelling; I Smyrnias; P Fraser Cardiac Regeneration – Stem Cells; L Zeng; P Fraser Diabetes and Cardiovascular Disease; L Gnudi; P Fraser Stroke; P Fraser; Aneurysms; A Smith; P Fraser Assessment (30cc): Presentation and discussions (30% core; mandatory qualifying mark 50%), 1 x 3,000 word essay after the Christmas vacation (15%; mandatory qualifying mark 40%) and on a 3 question, 3 hour examination (55%; mandatory qualifying mark 40%) taken in May. Photo taken during the student-led seminar on aortic aneurysms in December 2016 Notes on Seminar Presentation The seminars are aimed to help you learn the subject matter by having a good discussion on and around the topic outlined by the reading list. It is important that certain ground rules are observed so that your presentations are understood and enjoyed by your audience. Each paper should be presented in terms of:-
Exercise: Do you do any form of exercise/activity? If yes, what do you do? How often do you do this? Do you have a sedentary job/lifestyle? Smoking Status: Do you If yes, put X in box of what you smoke Cigarettes Cigars Pipe Other How many a day? If you do not smoke, have you ever smoked? When did you stop? Alcohol Status: (one unit = ½ pt beer, small glass of wine, pub measure of spirits) What is your average weekly consumption of alcohol in units? If less than 1 unit, how many in a month? Did you regularly drink more in the past? If so, how many units a week? Family History: Have close family members suffered from any of the following? Please put M for Mother, F for Father, S for Sister or B for Brother Stroke Heart Attack High Blood Pressure High Cholesterol Diabetes Type 1 Diabetes Type 2 Office Use only B/P: 2nd reading: Pulse Pressure: Hips: Waist:Hip: Heart Rate: PPT: SI Range : SI: Vascular Age: Recommendations:
Thoroughly discuss the parts of the Vascular (Blood) System: Arteries, Veins, and Capillaries. Include the definition of pulse and the pulse sites. What are reasons the heart would stop beating? Normal and Abnormal Heartbeats – Rates Fully discuss Pulse Rate Rhythm Pulse Volume Arrhythmia Bradycardia Tachycardia Atrium Arrhythmia Premature (Extra) Beats Atrial Fibrillation Supraventricular Arrhythmia Ventricular Arrhythmia Ventricular Fibrillation Ventricular Tachycardia Discuss normal pulse rates. Conduction System, Echocardiogram, EKG, and ECG What is the conduction system? Discuss SA node, AV node, Bundle of His, Purkinje Fibers, Systole, Diastole, and conduction pathway. What is an Electrocardiogram (EKG)? Thoroughly describe how an EKG works (cardiac cycle, intervals, phases, peaks, P wave, T wave, QRS Complex, R wave, Q wave, S wave, baseline, PR Interval, , ST segment, QT Interval, limb leads).
Atrial Systole Phase Ventricular Systole Phase Phases Explanation 1 Atrial diastole 0.5sec 2 Ventricular diastole (PASSIVE FILLING) 3 Atrial systole (0.3sec) 4 Ventricular systole (0.3sec)
BUSTER QUESTION SHEET HEARTS CLUBS About Japan What is the capital of Japan? How many main islands are there? Describe Japan’s flag. What is the name of the biggest island of Japan? What is the population of Japan? What is the highest mountain in Japan? In which season can you climb Mt. Fuji? When is spring in Japan? Name 2 countries close to Japan. What percentage of Japan is mountainous? 70% B. 80% C. 90% Japanese Culture 1. When does the school year start? 2. Are soba noodles thin and brown OR thick and white? 3. What is a “hanami” party? 4. Which season has a lot of fireworks? 5. What is the most popular sport in Japan? 6. What is the name of the light summer kimono? 7. True or False? Slurping your noodles is rude in Japan. 8. Name 3 traditional Japanese sports. 9. What are Japanese comic books called? 10. What is ikebana? SPADES Japanese script 1. What are the three scripts in Japanese? 2. How many hiragana characters are there? (Not including ten-ten and maru) 3. Where did kanji come from? 4. What is katakana used for? 5. Write your teacher’s name in Japanese. 6. the numbers 1 – 10 in kanji. 7. Write Japan in kanji. 8. Write the kanji for Monday 9. Write the kanji for Thursday 10. What is English? DIAMONDS Japanese language TRANSLATE THESE SENTENCES 2. 3. 4. 5. 6. Japanese is interesting 7. I drink coffee 8. I ate an apple yesterday 9. I don’t play tennis on the weekend 10. I go to school by bus BUSTER
HEARTS CLUBS About Japan Tokyo 4 A white rectangle with a red circle in the middle Honshu Approximately 128 million Mt. Fuji Summer March, April and May China, Russia, North & South Korea, Taiwan A. 70% Japanese culture 1. April 2. Thin and brown 3. When people sit under the cherry blossom trees and eat/drink with friends and family 4. Summer 5. Baseball 6. Yukata 7. 8. Sumo, Kendo, Aikido, Judo, Karate, Kyudo 9. Manga 10. Flower arranging SPADES Japanese script 1. Hiragana, Katakana and Kanji 2. 46 3. China 4. Foreign words (Also onomatopoeia, Some animals and plant names) 5. 6. 7. 9. 10. PC (Computer) DIAMONDS Japanese language I watch TV I don’t buy shoes I did my homework On Saturday I’ll go to a party with my friend The test is difficult ANSWER SHEET SCORE TALLY
Bolton Advocacy Service Care Act Referral This section to be completed by Rethink Mental Illness personnel Client code Date Received Allocated to RIS Code Referral Method Previous cases Yes / No Client Details Title Full name Home address including post code Contact telephone number Date of Birth Age: Ethnicity (if chooses to state) Religion (if chooses to state) Any Dependant Children? YES/NO Current Location If different from above: Address: Town Postcode Contact Telephone
PLEASE NOTE THAT INCLUSION ON THIS LIST DOES NOT CONSTITUTE A RECOMMENDATION FROM AGE UK SOLIHULL. NAME ADDRESS CONTACT DETAILS ABLE COMMUNITY CARE THE OLD PARISH ROOMS WHITLINGHAM LANE TROWSE, NORWICH NR14 8TZ TEL: 01603 764 567 WEB: EMAIL: HELPING HANDS HOME CARE ARROW HOUSE 8 CHURCH STREET ALCESTER WARWICKSHIRE B49 5AJ TEL: 01789 762 121 WEB:
PLEASE NOTE THAT INCLUSION ON THIS LIST DOES NOT CONSTITUTE A RECOMMENDATION FROM AGE UK SOLIHULL. NAME AND ADDRESS CONTACT DETAILS SERVICES AGE UK SOLIHULL 58A WARWICK ROAD OLTON SOLIHULL B92 7JJ HOME SUPPORT SERVICE TEL: 0121 707 0934 GENERAL HOUSEWORK, LAUNDRY & IRONING, SHOPPING, COMPANY ODD JOBS, TRANSPORT, SITTING SERVICE, MEAL PREPARATION DUST BUSTERS TEL: 0121 749 1000 HOUSEWORK AND
PERSON SPECIFICATION POST: Sparkle Care Co-ordination Development Officer ATTRIBUTES ESSENTIAL DESIRABLE INDICATED BY QUALIFICATIONS Educated to degree level or equivalent level of experience Ability to use all Microsoft packages Project Management qualification such as Prince II or equivalent Application form EXPERIENCE Experience/understanding of working with children with disabilities and their families Experience in working within a multi agency setting Experience with developing fully costed business plans and service models Experience of working in a development officer role or with developing new services Experience of running focus groups Experience of service evaluation Working knowledge of person centred planning Application form Interview TRAINING/PROFESSIONAL DEVELOPMENT A willingness to undertake and continue training within this post. Application form Interview PROFESSIONAL SKILLS Excellent communication skills – written and verbal The ability to establish good working relationships with parents in challenging circumstances. Application form Interview Reference
ME ensures that the Network Service Provider has established conditions and infrastructure for quality referrals and transitions. 0 1 2 3 4 ME ensures that the Network Service Provider is capable of shared Electronic Health Records, e-referrals or has another standardized process in place for the flow of information. 0 1 2 3 4 EFFECTIVE TRANSITIONS AND WARM HAND-OFFS ME ensures Network Service Provider has established protocols for effective transitions and warm hand-offs. 0 1 2 3 4 ME ensures Network Service Provider adheres to established protocols for effective transitions and warm hand-offs. 0 1 2 3 4 ME ensures Network Service Provider effectively utilizes Peer Specialists in the workplace to promote engagement, warm hand-offs and assist with daily contact in the community. 0 1 2 3 4 CULTURALLY AND LINGUISTICALLY COMPETENT ME ensures the Network Service Provider considers the values, preferences, beliefs, culture, and identity of the individual served, and community when providing care coordination. 0 1 2 3 4 ME ensures that the Network Service Provider has protocols for meeting the linguistic needs of the individuals served. 0 1 2 3 4 ME ensures that quality improvement efforts include reviewing cultural and linguistic competence. 0 1 2 3 4 OUTCOME BASED ME assesses and addresses quality of care issues. 0 1 2 3 4
preferences, beliefs, culture, and identity of the individual served, and their community. ME ensures that the Network Service Provider has protocols for meeting the linguistic needs of the individuals served. ME ensures that quality improvement efforts include reviewing cultural and linguistic competence. Outcome based – Care Coordination ensures goals and strategies of the care plan are tied to observable or measurable indicators of success, monitors progress in terms of these indicators, and revises the plan accordingly. ME assesses and addresses quality of care issues. ME implements a quality improvement process to establish a root analysis when Care Coordination fails. ME ensures that the Network Service Provider reviews Care Plans regularly. The ME tracks individuals served through Care Coordination in order to monitor the following outcomes: readmission rates for individuals in acute care settings; length of time between acute care admissions; length of time an individual waits for admission to a SMHTF; length of time an individual waits for discharge from a SMHTF and length of time acute care setting and SMHTF discharge to linkage to services in the community.
Care England 2018 seminar programme 14.00 – 14.45 Seminar session 1 Brunswicks: ‘Opportunities to challenge local government without costing ‘an arm or a leg.’ Abbey Room Carterwood: ‘The top ten locations in England to build a care home’ Herbert Baker Room Castleoak: Council Room RadcliffesLeBrasseur: ‘Legal Update: CQC Best Practice Guidance, The Increase in Fire Safety Issues, and the Proposed ‘Son of DOLs ‘ Legislation’. Westminster Room HUR UK: ‘Making Strength Pay…an international insight. How ‘doing the right thing’ brings health, happiness, and cost-savings.’ Charter Room Altura: ‘Be Inspection Ready – Every Day’. Jubilee Room 15.15– 16.00 Seminar session 2 Motitech: Abbey Room Alzheimer’s Society: Are you just trying to be difficult? Council Room iCareHealth: ‘How technology is going beyond evidencing care to genuinely improve your residents lives.’ Charter Room Person Centred Software: ‘How to Ensure a Successful Move from Paper to Electronic Care Records.’ Herbert Baker Room Skills for Care: ‘Embracing the opportunities; digital ways of working to improve quality, efficiency and outcomes for people who need care and support.’ Jubilee Room Savron: ‘How ‘Savvi’ profiling can be used to increase your CQC rating and profitability’ Westminster Room
1 The learner will know how to care for animals they have worked The learner must know: Assessment Requirements Evidence Location 1.a How to assess the health and condition of animals following work activity Learners should describe methods of assessing the health and condition of animals following work activity. The following assessment methods can be used in the assessment of this standard: tasks/questions and answers questions and answers discussion log/reflective journal of practical ability witness evidence discussion This list is not exhaustive and other appropriate assessment methods may be used. 1.b The particular health and welfare requirements of animals following work activity Learners should describe the particular health and welfare requirements of animals following work activity, covering: (i) diet (ii) exercise (iii) appearance (iv) rest (v) health 1.c The living conditions which will promote the health and safety of the animal and any particular Learners should describe the living conditions which will promote the health and safety of the animal and any
If the young person becomes a “Relevant” child there needs to a risk assessment completed by the Social Worker signed off by their manager and then senior managers as per TRIX guidance for young people’s discharge from care. If there are ongoing complex needs social worker involvement may continue either in the CLA team or with co allocation between a PA and the ATM of IYSS After Care. CARE LEAVERS TRANSITION POINTS & KEY TASKS FOR INVOLVED TEAMS - TRANSFER PROTOCOL 15 years 16 years 17 18 years Social Worker in CLA Team SW checking in depth skills development. Staying Put discussion with Carer @ 16 years Review of Birth family contact/risks Adult Service referral. Needs Assessment by 16yrs.3mnths. Include Family contact/Staying Put. Referral to Adults. Permanence Panel @ 16.4 year with Post 18 Plan. Post 18 Plan. PEP/PHP/PP SOCIAL WORKER RESPONSIBLE FOR PLANNING CASE. TM Pre-Transfer Referral completed for co worker Plan Post 18 Transition. Chase Adult Referral. Pathway Plan/PEP/PHP to be completed. Ensure PP/write up completed. 17 yrs. PA/SW/PA Manager to confirm Plan Final TPM Joint meeting 17.11 Personal Advisor /Team Manager and Social Worker/Team Manger. Transfer Summary completed. CLA Manager: Full Transfer Request at 18 for IYSS to change to key worker. Personal Advisor in 18+ Team IYSS After Care PM And ATM available for consultation PM And ATM available for consultation PA SUPPORT SOCIAL WORKER PLAN At 17yrs joint meeting PA/SW and Managers. To plan specifics’ of PA to attend Permanence Panel at 17.02yrs. PA to attend CLA Reviews What is the Transition Plan Post 18 years – Staying Put -Home-Semi Independent – etc. PERSONAL ADVISOR RESPONSIBLE FOR ALL PLANNING. .