Understanding Asthma and Pneumonia: Symptoms and Treatments

Azma Etio:

Def:
(Airway Infl(+)<—Trigger)—-> Partial /Complete Obstruction
TH2
Etiology
xFactorial : EF + SG
-SG
Th1-Th2-Ig2-Cytokines(IL3-4-5-9), GM-CSF, TNF-alpha-ADAM33

-SG =-EF: ^Triggers:^Px:

1-Infl/Edema/Ovst/remodel
2-SG / TH2/ (+)allergen
3-Sensitization/TH2/Cytokine
4-Short Term: BC/Mucous/VD
5-Long: MAST/chemokine/
6-Repeated: Remodel
Stages:
I: (intermittent)
-ASx
[N] PEF
Night Sx (2x/Month)
FEV1PEF 80% Prediction
II: (mild persist)
-1+Week
less 1 day
-Nocturnal 2+Month
III: Mod Persist
-Daily Sx
-1+
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Comprehensive Overview of Pregnancy and Delivery Complications

I: Start of Contraction to Full DilationII: Full Dilation to Delivery– Null 2 Hours!– x 1 Hour!– Using Analgesics extend it to 1 hour more!III: Delivery to Placenta Release 30 min
Latent:
  • Contractions more synchronized
  • Minimal discomfort
  • Cervix effaces + Dilation 4cm
  • 1. Strong Irregular Contraction
  • 2. Mucous Plug
  • 3. Water Breaking!
  • 4. Effacement (2cm 0–>100%)
Active: 3-4cm —> 9cm 1:5-6H 2-4-5HDeceleration: 9cm-10cm– DO NOT STIMULATE PUSHING (Cervix Not fully dilated)^^Med Care:
  • 1. Vaginal examination
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English Verb Tenses and Vocabulary for Daily Life

English Verb Tenses

Present Simple vs. Past Simple

  • Present Simple:
    • + He/She/It: chats online
    • + I/You/We/They: chat online
    • – I/You/We/They: don’t chat online
    • – He/She/It: doesn’t chat online
    • ? Do I/You/We/They chat online?
    • ? Does he chat online?
  • Past Simple:
    • + I/You/He/She/It/We/They arrived.
    • – I/You/He/She/It/We/They didn’t arrive.
    • ? Did I/You/He/She/It/We/They arrive?

Was/Were

  • + I/He/She/It: was
  • + You/We/They: were
  • – I/He/She/It: wasn’t
  • – You/We/They: weren’t
  • ? Was he happy?
  • ? Were you happy?

Present Continuous

  • + I’
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Impacts of Climate Change, Technology, and Social Issues

Migrant Crisis

1. A) Russia does not… both sides. B) New arrivals… Arctic climate.

2. A) False. Although Russia… both sides. B) False. With most of… beds. C) True. The number… in 2015.

3. A) Quarters: barracks B) Aspirants: seekers C) Preceding: former D) Refuge: shelter.

4. 1:b / 2:a / 3:b

Writing: The main difficulties an immigrant faces are:

  • Getting a job. This is the biggest difficulty because the reason to emigrate is to obtain a better life than you had.
  • Earning little because you are an
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Analysis of Sci-Fi Stories: Meteor, Dumb Martian, Survival, and Body and Soul

Page 107

Exercise 1

1c, 2a, 3c, 4d

Exercise 2

1. Fortans, 2. Humans, 3. Fortans, 4. Fortans, 5. Humans, 6. Humans, 7. Fortans

Exercise 3

  1. Duncan Weaver to the Company Agent: He was very surprised when he was told that he would have to marry the Martian girl.
  2. The Company Agent to Duncan: He doesn’t understand what Martians are like and how they live.
  3. A man to Duncan: About bringing a Martian wife with him, as Duncan was doing.
  4. Duncan to Lellie: About Lellie’s attempts.
  5. Lellie to Duncan: Trying to explain why
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Understanding Atrial Septal Defects and Related Cardiac Conditions

Atrial Septal Defect (ASD)

Definition: An opening in the interatrial septum causing a left-to-right shunt and overload of the right atrium (RA) and right ventricle (RV).

Classification and Prognosis

Classification: Prognosis:
  • Ostium primum: 20%
  • Ostium secundum: 70%
  • Sinus venosus
  • Coronary sinus
  • Patent Foramen Ovale
  • Right heart dilatation and failure
  • Atrial arrhythmias
  • Pulmonary hypertension Dyspnea
  • Stroke
  • Recurrent respiratory infection

Diagnosis

I-Symptoms:

< 5 mm asymptomatic

> 5 mm:

  • Palpitations
  • Exertional
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