Early Repolarization Pattern (ERP) Essay -- pattern, leads, conditions

IntroductionEarly repolarization pattern (ERP) is an enigmatic common electrocardiographic (ECG) finding,occurring in 1% to 2% of the general population (1). ERP prevalence is decreasing with advancing age (2) This ECG pattern is frequently observed in healthy persons,particularly young,male (3,4,5), athletic (6,7), and of African-American origin (4,5,6,7,8).On the 12-lead ECG the ERP is characterized as nonching or slurring of the terminal portion of the R wave and beginning of the ST-segment that produces a positive hump known as J wave. The J wave is a deviation with a dome that appears immediately after the end of QRS complex followed by ST-segment elevation 0.1 mV (or 1 mm, varying from 1 to 4 mm) above isoelectric suck (relative to the subsequent TP interval) concave upward in at least two contiguous ECG leads. This ECG finding is most frequently seen in the precordial leads from V3 to V5 and often in the inferior leads II, III, and aVF (9)Normal ERP should be differentia ted from others agrees with ST segment elevation such as asthenic habitus, acute pericarditis, STEMI,Brugada syndrome (BrS), congenital short QT syndrome(SQTS), and IVF (10,11).Although the condition is usually considered benign, its potential arrhythmogenicity has been suggested by experimental studies.(12)The majority of such sudden cardiac arrests be caused by ventricular tachyarrhythmias,which occur in persons without structural stock ticker disease in 6 to 14% of cases. (13,14)These results were replicated in similar studies and the association with increased arrhythmic risk was subsequently extended to the general population in large cohort studies (16,17).In brief, ER consists of 2 components prominent J waves and ST-segment elevation.... ... and QT interval association.In the recently study, patients with ERP had shorter QTc interval than subjects with normal ECG pattern. Also statistical results are significantly different about other paratemeters like QT,JT,JTc,QT-apex interval.The previous studies showed ERP and short QT interval relation however subjects had different heart rates.Conversely we showed this association one-to-one twinned with heart rates.Study limitations The number of subjects in this study is limited,because as a tertiary center patients with early repolarization pattern referred to our institution were complex and had comorbiditiesAlthough the cohort include subjects with strictly defined common features, data collectionwas not uniform among centers. In our study population, we had no subjects with structural heart disease so the results may not apply to these subgroups.

Oedipus the King: Unrealistic or Realistic Essay -- Oedipus the King

Oedipus Rex Unrealistic or Realistic Lets look the traces of realsim and its opposite in Sophocles tragedy, Oedipus Rex. The first obvious question is How can this drama possibly be considered realistic since it relies so heavily on predetermination and indispensability in the life of the protagonist, Oedipus? As Jocasta recounts to Oedipus An oracle Once came to Laius (I will not say Twas from the Delphic god himself, but from His ministers) declaring he was doomed To perish by the hand of his own son, A child that should be born to him by me. Charles Segal in Oedipus Tyrannus has a solid rebuttal to what appears predestination The issues of destiny, predetermination, and foreknowledge argon raised as problems, not as dogma. How much control do we have over the shape of our lives? How much of what happens to us is due to heredity, to accidents, to sheer luck. . . . These are the questions that the play raises, and it raises them as questions. It shows us men and wom en who are both powerful and helpless, often at the same moment. Oedipus embodies the human check. . . . (75-76). If this critic is correct that Oedipus embodies the human condition as it really is, then he is totally representative of reality, and not unrealistic as it might appear on first reading. Victor Ehrenberg in Sophoclean Rulers Oedipus analyzes the protagonist of the tragedy and finds a balanced, realistic type who possesses the qualities of a king, including the human, realistic desire for more Oedipus is a good king, a father of his people, an honest and capacious ruler, while at the same time an outstanding intellect. . . . He even shares the thro... ...Sophoclean Rulers Oedipus. In Twentieth Century Interpretations of Oedipus Rex, edited by Michael J. OBrien. Englewood Cliffs, NJ Prentice-Hall, Inc., 1968. Herodotus. The Histories. Translated by Aubrey de Selincourt. England Penguin Books, 1972. Segal, Charles. Oedipus Tyrannus Tragic Heroism and the Limits of K nowledge. New York Twayne Publishers, 1993. Sophocles In Literature of the Western World, edited by Brian Wilkie and James Hurt. NewYork Macmillan Publishing Co., 1984. Sophocles. Oedipus Rex. Transl. by F. Storr. http//etext.lib.virginia.edu/etcbin/browse-mixed new?tag= domain&images=images/modeng&data=/texts/english/modeng/parsed&part=0&id=SopOedi Bowra, C. M. Sophocles Use of Mythology. In Readings on Sophocles, edited by Don Nardo. San Diego, CA Greenhaven Press, 1997.

Teaching Philosophy Statement :: Education Educational Educating Essays

Teaching Philosophy Statement When I came to State College, I debated on a major, trying to get under ones skin a career that would be satisfying for the rest of my life, or at least until retirement. I often wondered if I would ever find a career in which I could direct all of my energy. After much pondering, I decided that education is the right path for me. I now find that not only do I want to apply all of my energy, but also my passion toward helping and principle children. Education is a genuinely grave part of todays society. Teaching is a way of making society a better place for todays generation and our children. Teaching may not have the appearance _or_ semblance like a very important career to some quite a little, but when I think back to some of my own teachers, I realize what an important role that they played in my life. Even today, in college, many of these Professors will never know the impact they have made on my life. Many people have the desire to be a teacher from the time that they are children. They play school with siblings and role playing leads them to a career. My career choice was quite different. I had never considered a career in education because of all the bad things that you hear that they have to go through, and how little they got paid for it. Now I believe that knowing that you have impacted one childs life that makes you more wealthy that all of the money in the world. This was my viewpoint until my sophomore year of gritty school. I had English Honors with develop McCall, a true inspiration. Suddenly, I found myself in great anticipation of class and craving more knowledge. It wasnt until I had Coach McCall again my senior year that I decided that I wanted to motivate people the way that he did. I wanted to see their eyeball light up when they have reached a certain level of comprehension. More than anything, I wanted to inspire kids to learn. It was that year that I realized tha t the reward for teaching is much greater than money.

Being a Good Tutor :: essays papers

Being a Good TutorTutoring, you think it is the easiest job that you could have. You think so because of the flexibility of time, and the only social occasion you need to do is be there on time to help students (Tutees) with the subject that they have difficulty understanding, which you obviously have the full knowledge somewhat because you earned an A or B in earlier semesters. However, all that you were thinking is definitely wrong. The tutees dont c be how a lot you know, until they know how much you care.There are many qualities you need to have in order to be a good tutor besides being intelligent. As Clayton College and farming University Peer Tutoring Program (CCSU) mentioned in their web site, Intelligence alone does not result in successful tutoring more important is what kind of person you are (Characteristics of a Good Tutor). Also, as CCSU mentioned, the tutor should have a Positive outlook, having a desire to help others, liking for the subject matter, open minded by accepting others points of view, having the ability to see what needs to be done and do it, understanding, and having the ability to feel what another person is feeling.So what do you need to do when you have an appointment with a tutee for the first time? Besides having all the personal characteristics that I mentioned earlier, you also need to know about the subject that you are going to help the tutee with before going to the appointment. Then you need to review this subject even though you are good at it because you can get ahead the different ideas on this subject and also analyze the information that you might have forgotten. You need to think after that about how the session with the tutee is going to be, spell some notes, and be ready to answer any question your tutee might ask you. Now you are ready to meet the tutee. When you meet the tutee, the first social function you need to do is to introduce yourself and tell him or her that you are a student, especially if tha t is his or her first time having a tutor. Try to be golden in order to help the tutee lose his or her nervousness by asking the tutee how the class is going on. Use the first ten to fifteen transactions to organize, plan, and show the tutee what you are going to talk about in the session.

Heart of Darkness and Things Fall Apart Essay -- comparison compare co

My interest in Joseph Conrad is centered around understanding what brought him to the Congo and how the events that transpired thither influenced his attitudes in Heart of Darkness. I also wanted to gain a greater understanding of the historical events that led to the colonization of the Congo. This interest is basically grounded in the fact that prior to my exposure to Heart of Darkness and Things Fall Apart, I knew virtually nothing about what actually led to the colonization of the area. It is my hope that through with(predicate) researching these areas I will have a deeper understanding of the two novels that focused on the Congo. In the article, Post-colonial Literatures and Counter-discourse, Helen Tiffin raises a number of issues in regards to the hybridization of the colonize and how European universals invariably clash with that of the native. From the very beginning of the article, Tiffin notes that there is a call to arms (so to speak) that encompasses the d emand for an entirely new or tout ensemble recovered reality, free from all colonial taint (95). This hope is idealistic, especially when evaluating the role that the English language plays in the lives of those who are colonized. Tiffin realizes this fact and views most post-colonial literature as a counter-discursive mode of expression that is highly involved in challenging the notion of literary universality (96).   The most interesting quarrel raised by this European universality is the fact that many post-colonial authors use English as the means to express or disassemble notions of these supposed commonly held mores, thereby creating a hybridized literature. Tiffin notes that in a canonical counter-discourse . . . the post-colo... ...Victory, an Island Tale, 1915. Within the Tides, 1915 (contents The Partner, 1911 The Inn of the Two Witches, 1913 Because of the Dollars, 1914 The Planter of Malata, 1914). The Shadow-Line, a Confession, 1917. The Arrow of G old, a Story between two Notes, 1919. The Rescue A Romance of the Shallows, 1920. Notes on Life and Letters, 1921. The Secret Agent, Drama in Four Acts, 1921 (adaptation of the novel). The Rover, 1923. Laughing Anne, a Play, 1923 (adaptation of Because of the Dollars). The Nature of a Crime, With fording Madox Hueffer, 1924 (written in 1908). Suspense, a Napoleonic Novel, 1925 (incomplete). Tales of Hearsay, 1925 (contents The Black Mate, 1908 Prince Roman, 1911 The Tale, 1917 The Warriors Soul, 1917). Last Essays, 1926. The Sisters, 1928 (written in 1896, incomplete).

Gender And Relationship Of Children :: essays research papers

Gender and Relationship of ChildrenIntroductionThe topic of sex differences in the play preschoolers has been exploredby many researchers in the past. Studies have been conducted on elementary sexdifferences such as what toys and gender of playmates do young boys and female childsprefer. The size of childrens play networks, as well as if these networkschange in the size during the preschool years have been explored. Also,differences in styles of play and the drawrence of autocratic and negativeinteractions have been examined. The effect that parents have on their sons anddaughters, as well as preschool classrooms and teachers have been examined aspossible causes of sex differences during play.The aim of this paper is to critically review the recent literature inthis field and determine whether or not sex differences occur in play. If sexdifferences occur, the possible reasons for this occurrence will also beexamined.Review of the Research SectionMaccoby (1990) summarized a numb er of studies to support her hypothesisthat suggests disparate social situations may either heighten or suppress sexdifferences in behaviour.One study was that of social interaction between pairs of young children(Jacklin & Maccoby, 1978). Pairs of 33-month aged children were brought togetherin the same-sex or mixed-sex in a laboratory playroom, and the amount and kindof social behaviour directed more social behaviour, both positive and negative,to same sex playmates that opposite sex ones. Girls paired with boys were morelikely to stand watching their partners, or withdraw towards an adult, than boysin any pairing or girls playing with girls. The point brought up in this studyis that interactive behaviour is not just situationly specific, it also dependson the gender of participants.Some of the reasons given by Maccoby (1990) for attraction to same sexpartners and avoidance of other sex partners in childhood are the rough playstyle of boys and their orientation towards competitio n and dominance. otherreason is that girls find it difficult to influence boys. An example of suchreasoning is supported by a study done by Poulishta (1987). Preschool aged boy-girl pairs were observed competing for an object. The children were given achance to use a movie-viewer that could only be used by one child at a time. Itseemed spell pairs were alone in the playroom the boys dominated the movie-viewer. When an adult was present, however, this did not occur, The adultspresence seemed to inhibit the boys more power assertive techniques resultingin equal access. This supports the reason why the attraction to same sex