Interstitial fluid vs extracellular fluid10/23/2023 Thus, ECFV and ECBV parallel one another normally, but diverge in many pathologic states for example, edematous states such as congestive heart failure or cirrhosis, often exhibit diminished ECBV with expanded ECFV ( 15). Plasma volume, as a component of blood volume, represents the common link between ECFV and ECBV. Neurohormonal homeostatic mechanisms sense and defend effective circulating blood volume (ECBV), a poorly measurable quality of arterial filling determined primarily by blood volume, cardiac output, and vascular tone ( 15). At the bedside, the measured serum Na + is corrected for its decline related to hyperglycemia so that it largely reflects TBNa + and TBK + relative to TBH 2O: Serum Na + G = Measured serum Na + + (1.7 × ΔGlucose/100 in mg/dL). The clinically relevant range of V D (0.3-0.5) translates into a 1.5-1.9 mEq/L (mean 1.7 mEq/L) fall in serum Na + for every 100 mg/dL rise in serum glucose ( 11- 14). V D is a complex function of insulin activity, glucose distribution time, ECFV, and glucose concentration itself, but under normal steady-state conditions encompasses the mannitol-penetrable ECF plus about 10% of ICF (V D ≅ 0.4) ( 3, 9, 10). A dilutional fall in serum Na + ensues proportional to the change in glucose concentration and V D: ΔSerum Na + G = ΔGlucose × (1-V D) ÷ 2. As glucose accumulates in the extracellular space, effective osmolality rises leading to a shift of body water from ICF to ECF to re-establish equilibrium at a new level of tonicity. Based on this framework, a modified relationship for serum Na + correcting for hyperglycemia may be derived as follows: Serum Na + G = (TBNa + + TBK + ÷ TBH 2O) − Glucose × (1 - V D) ÷ 2. In the setting of hyperglycemia, the relationship between TBGlucose and serum glucose can be mathematically expressed using a framework in which glucose is added to plasma and allowed to diffuse into a volume of distribution (V D) expressed as a fraction of total body water: Serum glucose = TBGlucose ÷ (V D × TBH 2O). When the content of body solute, levels of anti-diuretic hormone, and extracellular volume are steady-state normal, urine Na + and K + excretion and the electrolyte-free water clearance primarily reflect dietary intake ( 6- 8). TBNa +, TBK +, and TBH 2O are governed by diet and renal excretion, and to a lesser extent by losses from the gut, lungs, and skin. Lest we forget, intracellular K + is an important determinant of steady state serum Na + ( 6, 7), as osmotically active TBK + is 20% more abundant than TBNa +, which explains why the ICF is slightly larger than the ECF ( 4). These bulk solutes obligate water to hydrate one compartment or the other in proportion to available effective osmoles and, at equilibrium, serum Na + roughly reflects net tonicity imposed by effective osmoles across all compartments. In this thought equation, osmotically-active TBNa + and its anions (not shown) plus glucose bathe the outside of cells and osmotically-active TBK + and its anions are inside cells. If the cell volume effects of tonicity cannot be quantitated directly and serum osmolality is an unreliable indicator ( 7), then serum Na + becomes a useful surrogate marker of tonicity, and we can construct a thought equation to understand this surrogacy: Serum Na + = Tonicity = Effective Osmols ÷ TBH 2O = (TBNa + + TBGlucose + TBK +) ÷ TBH 2O. Ineffective osmoles, such as urea and alcohol, cross cell membranes and do not influence transmembrane water flow or change cell volume ( 5, 6). Only effective osmoles trapped on either side of the cell membrane change cell volume they obligate the hydration of their respective body space through transmembrane water flow until effective osmolality equalizes across all fluid compartments to establish tonicity. Tonicity is different than serum osmolality because measurement of the latter reflects the totality of effective and ineffective osmoles in a liter of body fluid. Tonicity is a descriptive physiologic term that refers to the volume behavior of cells in a solution cell volume tends to expand as body fluids become hypotonic or shrink as surrounding fluids become hypertonic. Why do we ever measure a serum Na + clinically? Its usefulness lies only as a surrogate marker of tonicity.
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Ipulse medical10/23/2023 The price to sell in India is USD 149 or Rs.9,995.00 inclusive of all taxes. The product carries a warranty of 2 years. Wearable Technology Valley has been appointed as their exclusive Indian distribution partner. Several international articles are available on same. Research output: Contribution to journal Book/Film/Article review. The product will substantially reduce the intake of pain killers which are known to cause damage to kidneys, interferes with ovulation and causes reproductive fertility problems. Review of PULSE: Voices From the Heart of Medicine, edited by Paul Gross. nerve impulse: noun the progressive physicochemical change in the membrane of a nerve fiber that follows stimulation and serves to transmit a record of sensation from a receptor or an instruction to act to an effector - called alsoRN nervous impulse. The product developed by iPulse Medical Ltd, Israel is a revolutionary product to reduce menstrual pain in girls and women & is 1st of its kind developed in the world which has been tested and is CE approved. Livia is FDA, CE and Health Canada approved, and recently won the Gold for the 'Women's Wellbeing' category by the prestigious Edison Awards. Livia is a wearable device that neutralizes menstrual cramps by tuning into the wavelength frequency of menstrual pain and blocking it from registering in. is the manufacturer of Livia, the drug-free off switch for menstrual pain. If, as many believe, Adam and Eve were deposited in the Land of Israel when they got booted out of the Garden of Eden - and Eve was cursed with the pain of childbearing - then it would appropriate if the Land of Israel were the place where that pain was finally conquered. View iPulse Medical, Ltd.'s business profile on PRLog, with profiles from 370,000 organizations. Mirror crosswords online10/23/2023 All Printable Crosswords & Solutions for December 2014.All Printable Crosswords & Solutions for January 2015.All Printable Crosswords & Solutions for February 2015.All Printable Crosswords & Solutions for March 2015.All Printable Crosswords & Solutions for April 2015.All Printable Crosswords & Solutions for May 2015.All Printable Crosswords & Solutions for June 2015.All Printable Crosswords & Solutions for July 2015.All Printable Crosswords & Solutions for August 2015.All Printable Crosswords & Solutions for September 2015.All Printable Crosswords & Solutions for November 2015.All Printable Crosswords & Solutions for December 2015.All Printable Crosswords & Solutions for January 2016.All Printable Crosswords & Solutions for February 2016.All Printable Crosswords & Solutions for March 2016.All Printable Crosswords & Solutions for April, May, June & July 2016.All Printable Crosswords & Solutions for October, November & December 2016.All Printable Crosswords & Solutions for January 2017.All Printable Crosswords for February 2017.All Printable Crosswords for April 2017.All Printable Crosswords for August 2017.All Printable Crosswords for September 2017.All Printable Crosswords for December 2017.All Printable Crosswords for January 2018.All Printable Crosswords for February 2018.All Printable Crosswords for March 2018.All Printable Crosswords for April/May/June 2018.All Printable Crosswords for July / August / September 2018.All Printable Crosswords for October 2018.All Printable Crosswords for for November / December / January 2018-19.Printable Crossword Solutions for April 2019.All Printable Crosswords September 2019.All Printable TV-Guide Crosswords April 2020.All Printable Crosswords October/November 2020.All Printable Crosswords September 2021.All Printable Crosswords September 2022.Universities have been provided with the document to aid in its effective adoption.Printable crosswords for the following months: The SoP has also set out a comprehensive strategy for the smooth implementation of NEP 2020 and the common credit framework. This pattern has many drawbacks resulting in stress and anxiety for students, increase in manual workload, single nature of assessment, compromise in quality of question paper, inaccuracy in marking questions and so on,” the SoP notes as a reason to bring in the change. “The current examination system is usually based on the question paper which tests only memory recall as a skill. The 50% marks assigned to the CCE is distributed between the continuous classroom evaluation and mid-term evaluation,” the SoP noted. “In each course, every credit carries 25 marks, of which 50% marks are assigned for CCE and the rest 50% marks for SEE. Similarly, in 2-credit subjects, both the CCE and SEE will have 25 marks each in the total 50-mark assessment. Officials said for 4-credit subjects, classroom, and mid-term evaluations under CCE, along with the SEE, will each constitute 50% of the 100-mark evaluation. Semester End Evaluation (SEE)- Summative CCE carries 50% of the total marks allotted to a subject and the other 50% being assigned to the SEE,” the SoP stated. Continuous and Comprehensive Evaluation (CCE)- Formative 2. The evaluation consists of the following two components: 1. These attributes have clear linkages to Programme Education Objectives and Outcomes. “The evaluation must be designed with learner attributes in mind. It further stated that the new evaluation process should be formulated to make a systematic evaluation of students’ progress based on “It leads to the overall development of students in terms of critical thinking, problem-solving ability, right application of knowledge, and maintaining ethics,” it continues. There is a need to have more horizontal assessment modes in all forms of education (Regular, Online and ODL) rather than one single vertical mode that decides the fate of students,” the SoP states. “To overcome the limitations of an old evaluation system, there is a need for reforms that ensure credibility and the outcome of the assessment system. This shift forms part of a broader effort to improve the credibility of the education system and its assessment outcomes. Officials said the department’s plan promises a significant shift from the prevailing 70-30 ratio of exam evaluation to an equal 50-50 structure from this academic year. This aligns with the recently declared common curriculum and credit structure. The state education department is going for a new examination and evaluation framework as part of its Standard Operating Procedure (SoP) to implement the National Education Policy (NEP) 2020. 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Johnson Mc Johnson here - just a quick release to address some other niggly issues we found. All other company or product names mentioned herein are trademarks or registered trademarks of their respective companies. OWLR and the OWLR logo are trademarks or registered trademarks of OWLR Technologies Ltd or its subsidiaries in the United Kingdom or other countries. These settings can be turned managed at any time from your iTunes Account Settings interface. Your subscription will automatically renew unless canceled at least 24 hours before the end of the current period. Subscriptions will be charged to your credit card through your iTunes account. Subscribe to Motion Alerts in order to receive emails and push notifications for all your cameras. When the app goes into the background, the video feed stops All camera feeds are only available to you and yours that you share with All camera passwords stay on your phone, not in our servers Mirror and Flip video views (in Video Settings) Easy to use PTZ, IR and other control features Push-to-Talk support for almost all Foscam IP Cameras Selected Audio Listen support for Foscam cameras Sort camera thumbnails with long-press and drag External camera access - UPnP needed () Camera Autodiscovery (no IP address necessary) and manual install We are furiously adding new features based on user feedback - find us at or email us IP CAMERA VIEWER APP BY OWLR: Speak to your pet or the front door or listen to the sound of your baby - all from your phone. OWLR is great for the home security camera enthusiast with our iPad wide-screen matrix of your networked cameras. OWLR checks and confirms with you whether or not your external cameras have secure passwords! Our smart auto-discovery feature detects your camera and completes setup in less than 30 seconds - on your home network! Some of our user's favorite features include: We are focusing on creating the best app we can and constantly work with our users to make it the best we can. Our app supports other brands (e.g., TrendNet, Wanscam) but supported officially. This ensures that when you connect your camera to the OWLR app, we work to make your camera safe and secure - whether used as a baby monitor, front and back door monitor, home security and store or for small business surveillance. Unlike other apps, OWLR DOES NOT keep personal data on the OWLR servers. The OWLR IP Camera Viewer is made as a universal IP Camera app for Foscam, Axis, Dlink and many other manufacturers. Want a better mobile IP cam app that works with Foscam, DLink, Axis and others that's easy to use, consistantly stable and designed to respect and maintain your privacy? Looking for a better IP camera app that's easy to use, works all the time and respects your privacy? Check out OWLR's IP Camera Viewer - and it's FREE! Duplicate photo fixer pro10/23/2023 Use the Auto-Mark feature to mark all duplicate photos in every group except one, depending upon the preferences. Without re-comparing photos, you can re-group the comparison results by changing the matching level on the slider in real-time. This is due to the powerful algorithms injected during the development of this tool that make the search of duplicate photos extremely fast, giving excellent comparison results. You can fully customize your comparison settings out of the available methods by adjusting the settings according to your requirement, regardless of the image size or format.ĭuplicate Photos Fixer Pro by Systweak Software is extremely fast when it comes to scanning and comparing a large number of photos within seconds. You can add images from your Photos and other folders as well. Simply drag and drop folders to easily scan for photos inside them. You clutter the system by creating backups of pictures and now want to remove the junk.Your photos are scattered all over the internal or external storage.You click photos of the same scene in quick succession to capture the perfect shot.Free up ample disk space by deleting a large number of similar and duplicate photos in just a click!ĭuplicate Photos Fixer Pro by Systweak Software works like a charm and has the ability to detect duplicate and similar photos wherein: This captivating tool works with Photos on Mac along with photos on external storage drives connected to Mac. It is an ultimate photos fixing tool that smoothly scans and deletes duplicate or similar photos depending on the matching level you choose. Duplicate Photos Fixer Pro is developed by Systweak Software to remove the unwanted duplicate photos from Mac. Anaconda install pygame10/22/2023 Press "New" and create a new python 3 notebook. Navigate to where you want to save your project. Open Anaconda Navigator and choose to launch (or install) a jupyter Notebook.Once downloaded MediaLib.py and installed Anaconda, open Anaconda Prompt on Windows or Terminal on macOS and use of the following commands to install pygame:. Complete the questionnaire below to download MediaLib.py.Detailed instructions of how to install each version can also be found here for Windows and here for macOS. Go to and choose the correct version of Anaconda for your operating system.Select one of the installation methods below to get started: To use Medialib, make sure the MediaLib.py file is copied into the same folder as the python (.py) or Jupyter notebook (.ipynb) file you are trying to run and add from medialib import * or import medialib at the top of the program as in the examples which can be found in the gallery. For intermediate users, you can choose to use Pycharm or installing python 3 + pygame individually.Īfter installing python 3 and pygame, Medialib can be downloaded by completing the questionnaire below.For beginner users, we recommend using either MU Editor or Jupyter Notebooks with Anaconda.There are multiple installations methods to do this: To use Medialib, first you need to install python 3 and then pygame. Alternatively follow the instructions and complete the questionnaire below. This installation will also include pygame. One of the following commands should install MediaLib and its dependencies successfully: In the options dialog, open the "Intepreter" tab, click "Select executable" and show the location of Anaconda's Python executable.Īfter you have done this, the next time you run your program, it will be run through Anaconda's Python and all the libraries installed there will be available.New MediaLib can now be installed using pip. In Thonny, open the "Tools" menu and select "Options.". For example in Windows the full path is by default c:\anaconda\python.exe. Install it and find out where it puts the Python executable ( python.exe in Windows and python3 or python in Linux and Mac). Note that Thonny supports only Python 3, so make sure you choose a Python 3 version of Anaconda. Most likely you want the graphical installer and the 64-bit version (you may need a 32-bit version if you have a very old system). Go to and download a suitable binary distribution for your platform. numpy, pandas and matplotlib) have wheels available for popular platforms so you can most likely install them with pip but in case you have trouble, you could try using Thonny with a separate Python distribution meant for scientific computing (eg. Recent versions of most popular scientific Python packages (eg. The Python distribution that comes with Thonny doesn't contain scientific programming libraries (e.g.
New york times recipe10/22/2023 And so, we started looking at: What did we have in the way of vaccine? We went to the place, 8 miles off of a road, and it was immediately clear that the first person I saw had smallpox. 4, 1966, I got a message saying, “I think we have smallpox. To coordinate the work and respond quickly to each new outbreak, they had two-way radios. They traveled from one remote location to the next on electric bikes. Their mission was to vaccinate as many people as possible to stop smallpox. The young physician and epidemiologist from Iowa was a long way from home - but in good company as part of a team of health workers sent to the region by the CDC. It was 1966 - and Bill Foege found himself in Nigeria. And to understand the breakout public health strategy that ultimately made eradication possible, we’re taking a quick detour … to West Africa. This season, the “Epidemic” podcast is about the eradication of smallpox in South Asia. Please use the transcript as a tool but check the corresponding audio before quoting the podcast. This transcript, generated using transcription software, has been edited for style and clarity. To conclude the episode, host Céline Gounder and epidemiologist Madhukar Pai discuss “decolonizing public health,” a movement to put leaders from the most affected communities in the driver’s seat to make decisions about global health.Įditor’s note: If you are able, we encourage you to listen to the audio of “Epidemic,” which includes emotion and emphasis not found in the transcript. Dutta’s contributions were vital to the eradication campaign, but his story has rarely been told outside India. Implementing it on the ground took the leadership of someone who knew the ins and outs of public health in India.Įpisode 2 of “Eradicating Smallpox” tells the story of Mahendra Dutta, an Indian physician and public health worker who used his political savvy and local knowledge to pave the way to eradication. Search and containment looked great on paper. Whenever they found a case, health workers would isolate the infected person then vaccinate anyone that individual might have come in contact with. This strategy was called “search and containment.” Teams of eradication workers visited communities across India to track down active cases of smallpox. In this image, people line up outside a vaccination station in a village near Madras, now Chennai, waiting to get their dose. To bring the virus under control, in 1962 India created the National Smallpox Eradication Program with the goal of vaccinating its entire population. In the early 1960s, nearly 60% of all reported smallpox cases in the world were in India. It was time to take a new, more targeted approach. But the virus was still spreading beyond control. Read Moreīy the mid-1970s, India’s smallpox eradication campaign had been grinding for over a decade. Season 2 is a co-production of KFF Health News and Just Human Productions. The new eight-episode docuseries “Eradicating Smallpox” explores this remarkable triumph and uncovers striking parallels and contrasts to recent history in the shadows of the covid-19 pandemic. It happened because public health heroes conquered social stigma, local politics, and much more with an unwavering determination to achieve what many scientists thought was impossible. One of humanity’s greatest triumphs is the eradication of smallpox. Maple candy packaging10/22/2023 Many coastal areas have local maple syrup producers, and you can even create custom maple candy in fun shapes like seashells or starfish. If you're having a beach-themed wedding, maple candy is a great way to incorporate a taste of the region. You can package your maple candy in burlap bags, wooden boxes, or mason jars to match the rustic aesthetic. The natural sweetness of maple candy pairs perfectly with the warm, cozy feel of a rustic wedding. Rustic or Vintage Themeįor couples who are planning a rustic or vintage-themed wedding, maple candy is an excellent choice. Whether you're having a rustic barn wedding or a chic modern wedding, maple candy can be the perfect sweet touch to your celebration. Maple candy is a versatile wedding favor that can be customized to fit any wedding theme or aesthetic. How to Use Maple Candy Wedding Favors for Different Wedding Themes: Incorporating maple candy into your wedding favors can be a meaningful way to have something unique and brought forth directly from Mother Nature. Maple candy is a perfect addition to a natural or fall-themed wedding because it is made directly from the sap of the maple tree and it represents it coming straight from the earth, not to mention maple syrup is good for you. Plus, with so many customization options available, you can create a truly unique favor that represents you and your partner. It's not something that your guests are likely to receive at any other wedding, making it a special way to thank them for attending your special day. While there are many different types of wedding favors to choose from, maple candy is a unique and thoughtful choice. You can choose soft maple sugar candy or maple hard candy, in unique shapes, colors, and packaging to make your favors stand out. Plus, there are many ways to customize maple candy to fit your wedding theme. The texture is smooth and silky, melting in your mouth as you savor the flavor. Maple candy has a rich, sweet flavor with a subtle hint of maple. 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