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The Use of Proton Pump Inhibitors

- Research is showing that the numbers of proton pump inhibitors (PPIs) are being over prescribed during hospital stays and subsequently on discharge. There are studies published that show there are opportunities for substantial cost savings in relation to PPI prescription if there were some clinical guidelines used across the board nationwide. In addition to the costs, there are also risks for devastating side effects of continued use. There is a need to have a more defined reason for the administration and continuation of PPI’s....   [tags: step therapy, prescription, hospitals]

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The Human Heart Acts A Pump

- The human heart acts a pump and it contains four chambers: two atria, which receive venous blood, and two ventricles, which pump blood into the arterial system. Arteries carry blood away from the heart and veins carry blood to the heart. Atria are the upper chambers and ventricles are the lower chambers of the heart. The flow of blood is as follows. Blood, with low oxygen and high carbon dioxide content, returns to the right atrium of the heart from the body via the inferior and superior vena cava, which are the largest veins in the body....   [tags: Heart, Blood pressure, Blood, Artery]

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1047 words | (3 pages) | Preview

Oil Speculation: The Enemy of the Pump

- Over the last five to seven years, the American people have had to pay outrageous prices at the gas pumps, wildly fluctuating from under $2.00 a gallon or less to paying $4.00 a gallon or even higher for gasoline. This issue of paying unreasonable and unpredictable prices at the pump comes from the higher prices of oil. Most will say that oil prices fluctuate so because of conflicts in the Middle East or due to shortages of oil, but the simple reason of the oil prices go up so high is because of oil speculation....   [tags: Price of Oil, Oil Supply, Gasoline]

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Proton Pump Inhibitors To Protect the Stomach

- Proton pump inhibitors (PPI) are the drugs that reduce the secretion of gastric (stomach) acid. These drugs were introduced in the United States in the late 1980s. They have emerged as the standard of treatment for most acid-related disorders which causes dyspepsia. These disorders include gastroesophageal reflux disease (GERD), peptic ulcer disease, and Zollinger-Ellison syndrome, which is marked by excessive amounts of gastric acid. “Proton pump inhibitors are also successfully used for the treatment of Helicobacter pylori infection and upper gastrointestinal bleeding” (Der, 2003, p....   [tags: gastric acid, dyspepsia, lansoprazole]

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The Fundamental Phase Of The Generic Pump Approach

- PART 1 The fundamental phase of the generic PUMP approach is Define Phase as known as ‘define the project’. This phase defines and develops dependable source for essential issues in the project which would support subsequent phases in the project life cycle. It is like a foundation of a house, if it is defective, there would be a problem of the house in the future. This part should be appropriate for the other part of uncertainty management at a strategic level. And to keep the deliverables updated as iterations progress is very important....   [tags: Project management, Risk management, Management]

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2914 words | (8.3 pages) | Preview

Allan Moyle's Pump Up the Volume

- In Allan Moyle’s movie Pump Up the Volume (1990), the protagonist of the movie, Mark Hunter, hosts an anonymous radio talk show that addresses the various flaws within the educational system. Though, Mark had not understood how large of an impact his talk show had upon the student body at Hubert Humphrey High School, student’s respond to the suggestions of action that Mark imposes, leading to a social movement against the school. In the beginning of the movie viewers witness the first followers of Mark’s talk show, as a few students’ from Hubert Humphrey High School gather in a baseball field to listen to the show on the radio (Pump Up the Volume)....   [tags: film analysis]

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Friction Factor Determination and Pump Characteristics

- The purpose of this experiment is to determine the friction factors of three different types of piping: 1/8” Schedule 40 galvanized steel pipe, 3/8” Schedule 40 galvanized steel pipe, and 1/2” Type L copper pipe. Also, a characteristic curve of the MTH Model T31H Turbine Pump will be created and compared to the manufacturer’s data. In this experiment, we will learn how to manipulate the whole system including different types of fittings such as pressure gauges, rotameters, and electrical power meter....   [tags: friction, piping system, hydraulics]

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Over Perscription of Proton Pump Inhibitoras

- Research is showing that the number of prescription proton pump inhibitors (PPIs) are being over prescribed and growing during hospital stays. There are studies published that show opportunities for substantial cost savings in relation to PPI presription if there were some clinical guidelines used across the board nationwide. In addition to the hospital costs, discharged patients that continue this course of therapy may end up spending upwards of $100 monthly. In turn, the patients are spending multitudes of money on medications that may be more expensive than the alternative that is not being provided to the patient....   [tags: cost, stomach acid, hospital]

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An Experiment with an Air Pump

- An Experiment with an Air Pump Is it ethical or even helpful to try to impose order on a haphazard existence. Is it right to play God, to steal the limelight from the cosmos. Man used to ponder existence, but with the increasing possibilities of science, we now ponder our power over existence. In “An Experiment with an Air Pump,” Shelagh Stephenson uses symbolism associated with Isobel as a voice of foreboding in a society “enraptured by the possibilities of science” (3). Stephenson associates Isobel with a bird, a pile of bones, and a sheep to reveal the dark side of the “light,” the scientific revolution....   [tags: Shelagh Stephenson Science Technology Essays]

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Design of a Railway Coach Solar Heater and Pump System

- ... Water inside the panels can freeze in colder weather conditions which may result in damaging the system (Choosing a solar geyser, 2010). Figure 1-Direct System Advantages of a Direct System  Service water used directly from collector loop  No heat exchanger – more efficient heat transfer to storage  Circulation pump needs only to overcome frictional losses. Disadvantages of a Direct System  It is only convenient to use them in areas where it rarely freezes and the quality of water must be really good....   [tags: alternative sources of energy applied]

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The Power of the Pump; a Life Changing Advancement in Diabetic Technology

- “Nearly 26 million children and adults in the United States have diabetes”. That is roughly eight percent of the population. However, there is a statistic that is even scarier. Of the 26 million people in the U.S. who suffer from diabetes, only about 19 million people have diagnosed diabetes (“Fast Facts”). This means that there are about 7 million people living in the U.S. who are diabetic, but do not know it. Unfortunately, there is not much that can be done for those who have not been diagnosed yet....   [tags: Chronic Disease, Liver Failure, Heart Failure]

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Pump Characteristics

- Pump Characteristics INTRODUCTION In industry, the performance specifications for a particular pump may be known, but the tests are usually based on water as the pumping medium. For liquids of significantly higher viscosity than water, these performance curves may only be accurate at certain flow rates, or they might not be valid at all, and it might be necessary to recalibrate the specifications for higher viscosity liquids. The purpose of this experiment is to examine the performance and characteristics of a centrifugal pump, its motor, and the corresponding piping system, used to pump an ethylene glycol solution....   [tags: essays papers]

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The Effect Of Geometry And Frequency On The Performance Of Magneto Mercury Reciprocating Micro Pump

- ... Micropumps that benefit from thermal5 and thermal-Pneumatic6 stimulation have also been developed. Diaphragm micropumps, however, have some limitations among which pulsed flow and air bubbles formation are the most important ones. Moreover, piezoelectric and electrostatic actuation require high voltages and thermal stimulation may cause chemical and biological decomposition of the pumped fluid by changing the chemical structure of active species such as enzymes. In addition, in the diaphragm micropumps, valves are necessary elements in order to control the direction of the flow....   [tags: Magnetic field, Electromagnetism, Electric charge]

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Market Size Assessment For Wireless Insulin Delivery Pump

- Market Size Assessment For Wireless Insulin Delivery Pump Define a relevant market and determine the market size serve as the foundation to most companies when introducing new products or services. This paper presents some simple techniques and describes the process of determining the potential market size in Canada for a new medical device, called Bolus Wizard- a wireless insulin delivery pump. The product: Bolus Wizard-Wireless Insulin Delivery Pump An insulin dosage calculator, known as the Bolus Wizard, performs the "diabetes math" for patients....   [tags: Market Analysis Business Product]

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America's Productivity Pump is Primed

- Recently, my other business had occasion to hire a new part-time person. This is usually a difficult experience given that the labor pool in our resort town is (a) limited and (b) largely populated by people who'll abandon their duties for a good powder day on the ski hill. (Note, I'm not that much of a curmudgeon, but things DO have to get done!) Anyway, it was with a sense of trepidation that I posted the position on a local online classified ad web site. The results were unexpected, exhilarating and heart-breaking all at once....   [tags: Personal Experience]

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Cardiovascular Disease and Aging

- The function of the heart is to pump blood, rich in oxygen, throughout the entire body. Deoxygenated blood enters the right atrium through two veins called the superior and inferior vena cava. As the right atrium contracts, blood is pumped through the tricuspid valve to the right ventricle. When the right ventricle becomes full the tricuspid valve will close and deoxygenated blood will be pumped from the right ventricle through the pulmonary valve to the pulmonary artery, then to the lungs to become oxygenated....   [tags: heart, oxygen, blood, pump, value, vessels]

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Distillation Column Controllability Analysis through Heat Pump Integration

- From the aforesaid variables, the system approximated linearity and process gain matrices in each case are shown in Table 3. When temperatures were used as manipulated variables instead of heat variables, temperatures were already controlled by pre-existing control loops and then either used to control manually or sent as a set-points for automatic control, which changed the system from what it used to be when provisions were only made for control by heat inputs. Hence, it can be observed in Table 3 that the corresponding open-loop gains of two systems differed even when analyzing loops those other inputs variables....   [tags: Chemical and Mechanical engineering analysis]

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Heart Rate: How can it Affect You?

- The heart is one of the most important organs in your body. Although it is small, it pumps about five quarts of blood, carrying oxygen, to each of your muscles in your body about one thousand times per day. The heart is a muscle controlled by electrical signals produced by the sinoatrial node which is part of the cardiac conduction system. Like all things, malfunctions happen through accidents, defects, and just plain neglect. When things go wrong with the heart, it can very easily become fatal, so it is very important to keep your heart healthy and know your heart rate, along with the factors that go with it....   [tags: pump, blood, health]

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Plan For An Emergency Fund

- 2 - Is Your Debt Manageable. Paying off your debt, be it consumer debt, or a mortgage or larger business debt, may not be as quick and easy as you would like. Plus, investing is something you should start as soon as possible so that you have more time to grow your wealth. If you cannot get out of debt, then ensure your debt is manageable. As mentioned earlier in the XXXXX, you cannot afford to quickly dissolve your investments because you need cash for something unexpected. Make your debt more manageable so that you may plan your investments without fear of having to sell them before their time....   [tags: Stock market, Stock, Pump and dump, Penny stock]

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The Breastfeeding Of A Public

- Breastfeeding in public. Zhoutian Zhao Argumentative final Draft Breastfeeding in public has become a very contentious subject in the modern society. Mothers and others who accept public breastfeeding believe women have the right to breastfeed at any place as they are taking care of their children and it is also healthy to breastfeed as compared to other forms of milk such as formula milk. Those who are against the issue think women should not expose too much nudity to the public who is not accepted in the society....   [tags: Breastfeeding, Breast milk, Breast pump, Lactation]

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Delivering Good News for 24 Hours

- ... One major advantage of using an insulin pump is increased control of the medicine delivered. When injecting insulin manually, there are strict guidelines to the time that a patient needs to eat a meal, and how many carbohydrate grams are allowed. The insulin pump allows for skipping a meal if one would rather not eat, the ability to choose to eat a heavier carbohydrate meal and eat more or fewer snacks throughout the day. When patients inject insulin manually, it dictates what they can eat, and how much they can eat....   [tags: silent killer disease, diabetes]

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Fuel Pumps for Diesel Applications

- This research paper will cover fuel pumps for diesel applications. fuel pumps are a very important part of the diesel field. fuel pumps build pressure to inject the fuel into the cylinder. it feeds the need the pressure for the injectors to atomize the fuel into the cylinder so the compression can ignite it How it works, there is a wheel inside the fuel pump that spins like a rotary motor. it compresses the fuel into a smaller hole which pressurizes it. the pressurized fuel fills the lines going to the injectors.the fuel pump....   [tags: mechanical engineering]

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The Benefits of Hot Water Heaters

- The water heater is very important because it supplies heat to the whole house. The benefits between hybrid water heaters and solar water heaters are they both have cash incentives which help homeowners save money and they both save resources. There are many benefits of using solar water heaters. Sunlight is free and environmentally friendly and this planet has so much to use(“Getting better acquainted”). The sun’s energy is renewable, suns energy is all over the world (“Getting better acquainted”)....   [tags: solar vs hybrid]

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An Optimal Solar Power Management System with Maximum Output Control

- [3] INTRODUCTION Micro system designs [1]-[3] that feature sensing technology, miniature radio transceivers, low power consumption and tiny volumes are now gaining more attentions in both commercial and research communities. By utilizing the energy harvested from the environment, the device lifetime can be extended to virtual infinity as long as the energy source exists. Harvested energy is either stored in energy buffer for later use or directly used to power computation circuit. Here, the environmental energy can be from solar, vibration, heat or radioactive decay of matters, while solar energy is most popular because of its ubiquitous spreading, high power density, etc....   [tags: microsystem designs]

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The Efficacy of Patient-Controlled Analgesia

- The practice of patient-controlled analgesia (PCA) has been around for approximately four decades now. During this time there have been improvements to the technology and the understanding of how to use this form of patient pain control; however, there continues to be concern related to the safety and efficacy of PCA. As this analysis proceeds it will briefly explain what PCA is and how it is used, then delve into the benefits and the safety issues surrounding PCA use as it pertains to the patient and the nurse....   [tags: Medical Research]

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Flooding in Sanitary Pumping Stations

- INTRODUCTION Pumping stations are facilities including pumps and equipment for pumping fluids from one place to another. They are used for a variety of infrastructure systems, such as the supply of water to canals, the drainage of low-lying land, and the removal of sewage to processing sites. There are three types of Systems which are related to Sanitary Pumping Stations 1) Municipal - These systems are designed to serve a given natural drainage area and are part of the public sanitary sewer system....   [tags: flow rate, industrial, residential, municpal]

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Resource dependence – internal environment

- The main issue here is that all the parties involved have “heterogeneous goals” and there is “competitive interdependence” between all of them (Pfeffer 68-69). There is a relatively limited amount of resources (money) and yet all members need a balloon pump that does a different function. If one group gets the pump it wants it means that the other groups will not get what they want. Therefore, “power is virtually the only way to resolve the decision” as there is no one, “agreed upon goal” (Pfeffer 70 & 77)....   [tags: Health Care]

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Pros and Cons of Natural Refrigerants in Light Commercial and Residential Applications

-   In this paper over natural refrigerant I will be covering the pros and cons of natural refrigerant in light commercial and residential applications. There are many natural substances in this world that can be used to help or decrease the efficiency of a heating ventilation air conditioning system. Some of these substances are water, air, ammonia, and hydrocarbons. All these substances are natural that come from the earth we live on. Over the course of this paper I will be covering the pros and cons of swamp coolers, geo thermal heating and cooling units and how these natural substances can help and or decrease how your heating and cooling unit performs....   [tags: heat exchangers, air conditioning, mechanics]

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British Leaders: John Snow, Edwin Chadwick and William Henry Beveridge

- ... Following the deactivation of the well pump on Broad Street Snow then continued his study into the causes of the cholera outbreak. Presenting the information snow had collected he published an illustration of a dot map showing the clusters of cholera surrounding the pump; he also presented statistics showing the connection between the quality of the water source and the cholera cases. John Snow proved that the Southwark and Vauxhall waterworks company were siphoning water from the sewage invested Thames River and passing it off as drinkable water to homes around London....   [tags: short biographies, sanity movement]

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Disaster on the North Sea from Piper Alpha Company

- The oil and gas industry has seen its share of disasters through the years, but on July 6, 1988, disaster struck the North Sea in a fashion that had never been witnessed at any other time during the history of the industry. The legacy of the Occidental Piper Alpha, which sat 474 feet above the sea floor and was operated by Occidental Petroleum, had come to a tragic end taking 167 souls with it. The oil and gas platform was the most productive in the North Sea at the time it was destroyed by fire....   [tags: oil, gas, diaster, platform, safe]

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1457 words | (4.2 pages) | Preview

The Hardships and Rewards of Orthopedic Nursing

- Orthopedic Nursing Rawsi Williams once said, “To do what nobody else will do, a way that nobody else can do in spite of all we go through; is to be a nurse.” Being a nurse is not an easy job. First, one must complete on average, four to six years of schooling. After schooling, most beginner nurses are often given night shift jobs, which run from 7:00 p.m.-7:00 a.m. This means that the nurse is up all night, on his or her feet, tending to patients. Once they have put in their time with the night shifts, most nurses have the opportunity to switch to a daytime shift....   [tags: school, patients, bones]

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Nurse Edward Sales Provided Input Into Proficiency

- • Nurse Edward Sales provided input into this proficiency. He is respected as a subject matter expert in the application of AORN standards and practice. Because of his leadership abilities, he is often sought out to evaluate program and service activities. For example, Mr Sales upon assuming the role of the Urology Lead RN created a standardized preference cards, an effective instrumentation handling process and evaluated the level of familiarity and competency of surgical team in the usage of urology equipment....   [tags: Nurse, Nursing, Patient, Florence Nightingale]

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Geothermal Energy, Heating, and Cooling

- Geothermal Energy, Heating, and Cooling In order to full under stand geothermal heating and cooling you first need to understand what geothermal energy is. Geothermal energy is a form of energy conversion that is provided by nature and that can be used by humans to cook, bath, heating and generate electric power. The energy is created by capturing and harnessing the heat energy. This heat is formed underground and is created by the radioactive decay of certain elements such as potassium, thorium, and uranium in Earth....   [tags: energy consumption, generator]

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The Heart Of Heart Failure

- The purpose of the heart is to pump blood to all the body parts to nourish it. Heart failure does not mean that the heart has stopped working, but it means that the heart us not able to pump effectively to meet the needs of the body. When there is a defect in the heart or if it gets weaker than normal the heart is not able to pump blood into the circulation. Our body depends on the pumping action of the heart for the delivery of oxygen an nutrients to body parts in order to function properly. There are many causes of congestive heart failure....   [tags: Heart, Myocardial infarction, Blood]

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How Trains Impacted America

- America is known as a country of freedom; the freedom to choose between Italian or Mexican for dinner, the freedom to be a lawyer or a teacher, to choose to live in an apartment in New York or a cottage in Washington. Americans have the freedom to speak their minds and the freedom to listen to whomever they choose. Within these freedoms is the freedom to embark on a dream that seems impossible. Most would call the unknown crazy, Americans would call it revolutionary. While America was not the home of the first railway system, Americans used railroads to advance the country in a whole new way....   [tags: Transportation]

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Congestive Heart Failure Of The United States For Both Men And Women

- Congestive heart failure is the leading cause of death in the United States for both men and women. The fatality rate within the first 5 years of diagnosis is about 50%, and these rates are increasing. To date, doctors have diagnosed 5.1 million people with this fatal disease (Centers for Disease Control and Prevention n.pag.). Many different symptoms/warning signs leave a trail that leads to the diagnosis of heart failure; rapid weight gain, shortness of breath, and having to sit up in an inclined position to sleep reign as the most common symptoms....   [tags: Heart, Blood, Artery, Circulatory system]

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Applications of Physics in Daily Life

- In real life situations, there are many applications of physics. Physics is applied in almost everything we do and everything around us from household chores, in school and in professional practices like engineering. It ranges from simple applications like boiling water to complex professional ones like road and rail construction. Some of the most common applications are as discussed below. Water and well pumps Water and well pumps are utilized to draw water from a profundity where the water table is a few feet underneath the range of provision....   [tags: water pumps, motor coolant, auto breaking]

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Was James Watt ( 1777 )?

- ... In 1777, Boulton and Watt built a second engine to supplement the Kinneil engine. The new engine was to be a water returning engine. Construction of the Old Bess began in 1777 with ordering of a 33 inch cylinder. Storer (1969) records that the engine initially contained two cast iron cylinders, each at opposite ends of the beam for the working cylinder and the pump. The pump cylinder was thinner and was of 24 inches diameter and 8 feet 3 inches tall. However, only 6 feet and1 inch was used practically....   [tags: Industrial Revolution, Steam engine]

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The Cold Hospital Doors

- ... The nurse read the number, gasped and scurried to go get Doctor Senate. My blood sugar that night was over 1000 (a normal person’s blood sugar ranges from 80-100). The Doctor told us it was a miracle I was even alive. Most people with a blood sugar over 300 are either in a coma or dead. Just like that, diabetes became a new norm in my family. I went from being a normal kid playing outside without a worry in the world, to a child who had to go to the nurse every day before lunch, check her blood sugar, count how many carbs she ate, and then stab a shot into countless areas of her body....   [tags: Blood sugar, Diabetes mellitus, Insulin, Sugar]

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Insulin Pumo- Diabetes

- ... This route is so promising because the lungs have a larger surface area, which is good for absorption of insulin. A study has been conducted for inhaled insulin. The results from the study show that inhaled insulin produces the same results as insulin delivery via multiple daily injections and insulin pumps. The biggest improvement was patient satisfaction. Patients with type 1 and type 2 diabetes said they would prefer to use inhaled insulin when compared to multiple daily injections (Owens, 2003)....   [tags: disease, high blood sugar, insulin, blood]

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Types Of Multiphase Pumps And Factors Affecting The Reliability Of These Pumps

- ... This can cause overheating of the seals and result in failure. Therefore liquid cooling is introduced and heat resistant materials are used in pump construction. (vi) Additionally, Instrumentation facilities provided along with the pump helps in monitoring operating conditions and thus making adjustments, even if the pump is located locally or remote. (vii) It is also a basic practice to have provision of a spare pump so that continuous operation can be guaranteed even with the failure of a primary pump....   [tags: Petroleum, Natural gas, Oil well, Failure rate]

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Antimicrobial and Other Therapeutic Properties of Spices

- Spices are natural compounds derived from different parts of a plant which are commonly used as flavoring, aroma and preservatives. The essential oil content and oleoresins present in the spices have given them the flavoring and aroma. In addition, the essential oil can also act as a natural preservative in foods (Ceylan and Fung, 2004). Other than flavoring, aroma and preservatives, spices have many therapeutic properties such as antimicrobial, antioxidant, chemopreventive and antifungal. The antimicrobial properties of spices have led to the development of plant-origin antibiotics so as to overcome the antibiotic resistant problems....   [tags: plants, antibiotic resistants]

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NASA's Contribution to Technological Advances on Earth

- NASA's Contribution to Technological Advances on Earth Abstract      NASA is more than just a space administration; it shows itself everyday in the world although at first it might not be apparent. There are not many people that know the variety of what it has brought to everyday life. NASA is not limited to just aerospace technology. The three main fields of development have been medical, environmental and consumer products. Each field is equally important to technological development. NASA’s space exploration is essential for the advancement of technology on Earth....   [tags: Expository Essays Research Papers]

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Is Geothermal Worth the Price?

- The rising cost of energy gives homeowners an opportunity to explore alternative heating and cooling systems. Geothermal heat pumps are one available option. Even though geothermal heat pumps are expensive, their efficiency and reliability will provide a value capable of recovering the high installation cost. The tremendous benefits this system provides will overcome the additional cost. Geothermal heat pumps are different from other heat pumps in that they use ground heat instead of extracting heat out of the air....   [tags: Energy ]

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946 words | (2.7 pages) | Preview

Laser Doppler Anemometry

- The purposes of this experiment are: 1. To determine the shape of the wake behind the cylinder. 2. To determine the water tunnel calibration. Both of these objectives were accomplished by using LDA (Laser Doppler Anemometry). LDA is one of the main velocity measurement methods used in professional experimentation. Light beams are shot from a laser onto flowing water. In objective one, a cylinder was submersed in the water flow to determine how the velocity aft of the cylinder was disturbed. While the second objective used the LDA on flowing water with no disturbances....   [tags: Physics Essays]

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Classification Essay - Types of Gas Pumpers

- Types of Gas Pumpers There are many types of people who purchase gasoline, but three types are easy to spot. All three have an obvious physical appearance which sets them apart from other gas purchasers. Each also has a distinctive pumping technique and freely vocalizes his opinion. Finally, each type has a particular way of annoying every other patron at the same location. The first type of gas purchaser is Leisure Lou. He can be identified immediately by his appearance. He drives a station wagon with wooden side panels and a bumper sticker that tells the world that he is retired....   [tags: Classification Essays]

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Dublin and its People in Araby

- What impression of Dublin and its people does James Joyce give in his story Araby ‘Dubliners’ is a book written by controversial Irish writer James Joyce, Dubliners was published in 1914 although the various stories in it were actually written between 1904 and 1907. James Joyce despised his homeland and every thing about it; he rejected Christianity, his family and Ireland, his country. In 1904, James left Ireland to live in Switzerland where he began to write Dubliners. James also rejected Irish literature and subsequently his favourite writers were Chekov, a Russian writer, Ibsen, a Norwegian writer and Zola, a French writer....   [tags: Araby Essays]

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Pain Management Is Recognized As An Essential Aspect Of Patient Care

- ... A standard IV PRN order for patients admitted to the hospital is Morphine 2-4 mg IVP q 4hrs. PRN pain, or Dilaudid 0.5-1 mg IVP q 4hrs PRN pain. The standard practice is to start with the lowest dose which may be repeated in 30 minutes if the patient continues to have a pain scale of 6-10. If the max. dose is reached, nurses are to report this to the doctor. The doctor will either increase the dose or increase the frequency, occasionally they will do both. With staffing at a minimum and increased amounts of charting required by nurses, patients are often left waiting for call lights to be answered or, once the light has been answered, for them to actually receive the medication requested...   [tags: Pain, Suffering, Nursing, Pain management]

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Things Don 't Always Go The Way You Want It

- In life things don’t always go the way you want it to be. There are going to be many unfair things or disadvantages happen to you sometime in your life. You can either turn that situation into a positive and move on, or just drag about it, and let it hold you back. It can be something simple as someone beating you to the gas pump you were waiting for to get and the other person didn’t see you, your younger sister beats you to the last slice of pizza, or even going to the store to buy the pair of shoes you’ve been saving up for and they don’t have your size....   [tags: Debut albums, American films]

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Environmental Policy in Russia from 1870 to 1917

- Water supply and sanitation The primary sources of city water supply had been surface waters - the Volkhov River and Fedorovskiy creek, in which water constantly was being polluted during all the city and its upstream. In particular, the high chloride content in river water, besides location salt formations near the city and the presence of the salt ponds, could be due to wastewaters of Staraya Russa salt plant, which flowed into the Volkhov River across the Polist River and Ilmen Lake. In general, it is estimated by MD Kurkutov, in addition to the surface effluents from city territory, a significant contribution to water pollution have made household water, discharges of brewery, laundry,...   [tags: sanitation, pipes, construction]

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The Conversion Efficiency Of Second Harmonic Gen-

- This study computationally models the conversion efficiency of second harmonic gen- eration (SHG) within a periodically polled ridge type waveguide proposed by Covesion Ltd. The company wished to have an understanding of the modes and efficiency of set waveguide before fabrication commences. Wavelength conversion has numerous application in many fields emanating from the ability to convert light to wavelengths that it is otherwise difficult to produce. Spe- cific applications of the waveguide could be its utilization in wave division multiplexed systems [1] and ultraviolet generation[2]....   [tags: Optical fiber, Refractive index, Length]

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The Most Common Mode Of Gaining Knowledge

- From infancy to adulthood, organisms are always learning. The conscious and the subconscious are taking in information and sorting it, discarding irrelevant information and storing the relevant. The most common mode of gaining knowledge is through repetitions and memorization. These methods are effective for knowing exact definitions but do not develop understanding. In O Americano Outra Vez, Richard Feynman describes his teaching experiences while at the Brazilian Center for Physical Research. There he discovers the flaw in the modern education system, students are memorizing material but are unable to apply it to a real life scenarios, demonstrating they are gaining knowledge but not under...   [tags: Knowledge, Understanding, Scientific method]

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A Business Worker Is Local Coffee Shops

- ... “The house could have good pressure in the hot-water lines, but still have unseen galvanized-pipe problems” (mallery). The pipes run through a pump which then is produced by electricity. The pump is part of an old system used to transfer fluids into the sewer from the building. When there is a shortage in the pump, the pump then stops, causing the water to backup and flood the working area. Another problem caused by this system is toilet backups and leakage from those pipes. When customers come into a store, they can have the best experience coming in like friendly workers, great coffee, and fresh pastries....   [tags: Coffee, Espresso, Business, Coffeehouse]

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Is Geothermal Energy Worth the Price?

- The rising cost of energy gives homeowners an opportunity to explore alternative heating and cooling systems. Geothermal heat pumps are one available option. Even though geothermal heat pumps are expensive, their efficiency and reliability will provide a value capable of recovering the high installation cost. The tremendous benefits this system provides will overcome the additional cost. Geothermal heat pumps are different from other heat pumps in that they use ground heat instead of extracting heat out of the air....   [tags: Alternative Energy]

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Airframe and Cabin Safety Equipment Systems

- ... There are times or incident that a passenger may require a separate source of oxygen or in case of sudden breathing problems while on board the aircraft during flight. Also, therapeutic oxygen is also used for sick passenger on board the aircraft and may require that particular oxygen source separately as maybe necessary in any cabin seat location. The bottle can be used by putting the mask on to the passengers and opening the shut off valve from the bottle itself to become available for passenger use....   [tags: cabin harness, seat belts]

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Is Geothermal Worth the Price?

- Is Geothermal Worth the Price. The rising cost of energy has given homeowners the opportunity to explore alternatives. Geothermal heat pumps are one available option. Even though geothermal heat pumps are expensive, their efficiency and reliability will provide a value capable of overcoming the high installation cost. The tremendous benefits this system provides will allow the recovery of the lofty cost. Geothermal heat pumps differ from other heat pumps in that they use ground heat instead of extracting heat out of the air....   [tags: Energy ]

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Symptoms And Outcomes Of Cardiomyopathy

- WHAT IS A CARDIOMYOPATHY. Cardiomyopathy is a disease of the heart muscle, causing the heart muscle to become enlarged, thick or rigid. In rare cases, the muscle tissue in the heart is replaced with scar tissue. As cardiomyopathy worsens, the heart becomes weaker. It 's less able to pump blood through the body and maintain a normal electrical rhythm. This can lead to heart failure and rhythm problems. In turn, heart failure can cause fluid to build up in the lungs, ankles, feet, legs or abdomen....   [tags: Cardiomyopathy, Heart, Hypertrophic cardiomyopathy]

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Introduction of Petroleum

- Introduction of petroleum: Petroleum is otherwise known as crude oil. It occurs naturally beneath the earth. Petroleum is also meaning of rock oil. The term petroleum is a generic name applied to the deposits of oil materials. Petroleum occurs beneath the earth. It is a flammable liquid and mainly composed of various hydrocarbons and its average composition is c 80-87%, H 11-15%, S 0.1-4%, N and O 0.1-0.55. Formation of petroleum Petroleum is evident from chromatographic, spectroscopic and analytical studies that a wide variety of organic and inorganic compounds is present in petroleum....   [tags: Oil]

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Innovation of the Submarine

- The submarine has seen many incarnations in the last few centuries. Its technology has seen enormous innovation and been hugely groundbreaking since its conception in the Renaissance era. While first developed as a simple method of underwater exploration it was transformed over time into one of the most powerful warfare weapons ever. The concept of submarine technology had humble beginnings with simple diving bells being used but in the coming centuries we would see the development of an array of different submarines from basic wood crafts to today’s nuclear fleets....   [tags: technology, warfare, history]

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Solar Energy is Superior

- ... Here in lies a paradox, in the current process, these chemicals have a chance of tainting the drinking water that is being produced. The reason that could happen is because the chemicals are being churned so rapidly which creates a rise in fluid levels. With high fluid levels, these toxic chemicals can easily seep out of the pump and spill out into the surrounding area. No one would want their family or friends’ drinking water that contains high amounts of traces of lethal chemicals that can kill if enough is consumed....   [tags: hydraulic pumps, solar power]

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The Underground Water System in Western Australia

- 1.0 Introduction The purpose of this report is to study the underground water system in Western Australia and make recommendation to the Minister of the Environment and Water Resource. This report include the source and storage, extraction and the effect of underground water to the environment, types of common contamination in underground water and method to prevent the contamination. Groundwater is the one of the fundamental source of water in Western Australian environment which fresh water collected at various depth below the ground surface....   [tags: environment, water resource]

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Crash Course In Density

- Crash Course in Density As flight 143, a twin engine 767, was passing over Red Lake on its was to Edmonton, Canada, the left front fuel pump warning light went on. There were a few possibilities for this to happen, such as the fuel pump failing, a fuel line clogging, or a empty fuel tank. The former two were easily dealt with, since the plane could fly without one fuel pump. However, the last possibility was horrifying. After a few minutes, the second fuel pump in the left wing began to blare....   [tags: essays research papers]

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Mass Transport Systems in the Human Body

- Mass Transport Systems in the Human Body Living cells require regular supplies of oxygen and nutrients for metabolic reactions such as respiration. These important materials such as glucose need to get to living cells and the waste products such as ammonia and urea need to be removed. This diffusion of materials into cells and waste products out of cells (which may need to happen via active transport if it is against the concentration gradient) can easily happen in small, single cellular organisms as they have a large surface area : volume ratio and also have a short diffusion path to all cells so enough material can get to cells sufficiently quickly....   [tags: Papers]

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Graduation Speech

- Years ago there was a traveler who came upon an old-fashioned pump from which he would have to pump the handle in order to retrieve the water. Beside the pump there was a pitcher full of water, and on the pump there was a sign. The sign instructions were to prime the pump with the water in the pitcher, pump the water for use, and then refill the pitcher. The thirsty man looked at the pitcher, the pump and the sign. He thought to himself, "If I pour this water down the pump, and it doesn't work, I will have no water to drink and it will be wasted....   [tags: Graduation Speech, Commencement Address]

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A Brief History of the Evolution and Early Implementation of the Watt and Steam Engine

- FROM TRIVIAL CURIO TO THE POWERHOUSE OF A REVOLUTION: A BRIEF ACCOUNT OF THE HISTORY, EVOLUTION AND EARLY IMPLEMENTATION OF THE WATT & BOULTON STEAM ENGINE As European society entered the 18th century, the importance and potential value in applied sciences became clearer than it had ever been before. A number of technical advances were made, chief among them the Newcomen Atmospheric Engine. This engine, one of the earliest examples of the steam engine being put to practical use, was widely used in mines as a means to pump out unwanted water....   [tags: newcomen engine, power, steamship industry]

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The Ketogenic Diet and How It Helps with Epilepsy

- “Let thy food by thy medicine, and let thy medicine be thy food.” In a time when medical treatment is heavily dominated by prescription drugs that kill over 100,000 people each year, perhaps it is time that we take some advice from Hippocrates, who understood the medicinal power of food. One of the most well-known dietary treatment plans is the Ketogenic diet, which has been implemented to treat children and adolescents with intractable Epilepsy for nearly a century. Epilepsy is a neurological disorder characterized by recurring, unprovoked seizures....   [tags: brain, medicinal, food, diet]

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Wind Turbines : The Best Source Of Energy

- ... How you get this energy into electricity is by wind turbines. There are two types of wind turbines the horizontal axis variety and vertical axis design. The horizontal axis variety has normally 2 to 3 blades and it more common than the vertical axis design. The vertical axis design looks like an eggbeater, it is more difficult to design but does the same thing when producing energy. “The blades are made out of sheets of aluminum, carbon fiber, and glass fiber.” (The Structure of a Modern Turbine) “They can take from 2 months all the way up to a year to build one....   [tags: Wind power, Wind turbine, Fossil fuel]

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14 years Old Patient With Primary Lymphodema

- A 14 year old girl attends your clinic with primary lymphoedema in her right leg and foot. She has chronic swelling of her lower legs and feet. Outline your treatment of this patient using therapeutic massage techniques, supporting your treatment rationale/management with evidence from the literature. The patient in question is 14 years old with primary lymphodema of her right leg. She presents in the clinic with chronic swelling of her lower legs and feet. Judging from this it is most likely that the patient is suffering from Meige Disease....   [tags: Primary Lymphodema]

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The Effects Of Exercise On Blood Pressure

- Our experiment tested the effects of exercise on blood pressure. My partners and I would measure a test subject’s blood pressure after they had completed three exercises, walking, jumping, and performing jumping jacks until their blood pressure gauge reached 50 mmHg. We recorded jogging with the greatest change in both systolic (change in 26) and diastolic rate (change in 8). Our hypothesis was wrong as we thought jumping jacks would cause the great change as it requires the exercise of the entire body including all four limbs....   [tags: Blood pressure, Hypertension, Artery]

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The Importance Of A Gym 's Culture

- ... I can vouch for that. The first week, I was very insecure. I could not lift that much weight and I looked awkward as hell. I did not like the feeling when or after I lifted. I was so sore, it felt like I was beat up. I would wake up in the morning and look at my body, checking to see if I had a monster bruise or a broken bone, but it was just sore muscle. Then, it’s like something magical happens at the end of those two weeks: I lost some weight, but I was eating more than ever before, I was always craving a sip of water (sounds weird but appetite and thirst just increases a lot), and I started to feel something different when I would lift....   [tags: Nutrition, Health, Health care, Muscle]

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Historical Perspectives Of Public Health Systems

- Historical perspectives of public health systems. 19th Century Work of john snow: John snow was born in labours family on 15 March 1813. At the age of 14 he was apprenticed ass a surgeon, as in 1836 he moved to London to start his education. John snow was linked in with the Broadway Street who had investigated the diseased which was the main cause of many deaths within the short term period of term. John snow had followed up his observations with a properly documented study, including a inspection of water from the pump....   [tags: Health care, Health, Health economics, Poverty]

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Pulmonary Valve : The Aortic Valve

- Unit 1 Task sheet 4 Heart Atria: the atrium is one of the two blood collection chambers of the heart. It has a thin-walled structure that allows blood to return to the heart. Ventricles: a ventricle is one of two large chambers that collect and expel blood from an atrium. Bicuspid Valve: bicuspid valves play a crucial role in ensuring the unidirectional flow of blood from the atrium to the ventricles. Tricuspid Valve: The tricuspid valve is on the right dorsal side of the mammalian heart....   [tags: Blood, Heart, Blood vessel, Vein]

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Dilated Cardiomyopathy : Symptoms And Treatment

- Dilated Cardiomyopathy What is dilated cardiomyopathy. Dilated cardiomyopathy is a form of heart disease in which the heart’s main pumping chamber, the left ventricle, stretches and thins (dilates) and can’t pump blood as well as a healthy heart. Dilated, meaning enlarged, cardio, meaning heart, myo, meaning muscle, and pathy, meaning disease. So, this directly means that it’s a disease of the heart muscle. There are multiple types of cardiomyopathy, such as idiopathic, hypertrophic, restrictive, arrhythmogenic right ventricular dysplasia....   [tags: Heart, Blood, Hypertension, Ventricle]

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The Ghost Map By Steven Johnson

- “The Ghost Map,” written by Steven Johnson, told a narrative story of the cholera outbreak in London. In the summer of 1854, the patient zero, an infant child of Sarah Lewis, became sick with cholera. In the midst of the panic that Sarah Lewis felt losing her child, she threw the infected waste into a cesspool nearby her home. This is how the cholera outbreak began. Soon there were reports of cholera all over London, and multiple theories of how cholera was contracted were published in newspapers and journals....   [tags: Epidemiology, John Snow, Cholera, William Farr]

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Effects Of Running On The Brain

- Shaheen Ebrahimi Liam Grunfeld Mrs. Jobsz Honors Biology 14 May 2016 Effects of Running Studies have shown that running as little as 5 minutes a day decreases the risk of cardiovascular disease by 45% and increases life expectancy by 3 years. The benefits of running are innumerable, however by many people, running is an overlooked form of exercise. In reality, running is a vastly superior form of exercise. Running’s numerous benefits includes improvement of brain function, strengthening of the heart, building of muscles, increasing density of bones, stimulates lymphatic system, and strengthens the immune system....   [tags: Heart, Blood, Immune system, Muscle]

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Evaluation Of The For A Nurse

- ... Thus, it is important for both nurses to address any issues and plan for pain management because their priority during their shift is to keep their patient comfortable and safe. The seventh strategy is to discuss the overall course of the stay of their patient. During this time, it is relevant for the oncoming nurse to note for any pending diagnostic tests that the patient had and if the results are in then what are those results. At the same time, the oncoming nurse should question the coming off nurse regarding the planned diagnostic procedures....   [tags: Patient, Nurse, Nursing, Physician]

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The Heart Of Broken Heart Syndrome

- ... With these emotions, it causes insufficient blood flow in the blood vessels that are going to and supplying the heart with blood to function normally (Can You Die 2). Just being depressed and/or having depression can cause levels of stress hormones in the body to sky rocket. There are many different ways that people deal with sorrow and depression. Some people find it easier to have the solitude to be able to mend their “broken heart.” There are some people who find it easier to talk their feelings out and having someone to be able to talk to in order to help with their sorrow and depression....   [tags: Heart, Cardiac muscle, Hypertension]

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Solid State Lasers

- Solid state lasers, although a 50 year old technology, have remained relevant. However, because of the crystal laser medium there are many considerations specifically inherent to solid state lasers in contrast with gas lasers. In this paper I will discuss the theory of lasers, the basic structure of a solid state laser and contrast some of the solid state components. The theory of lasers The quantum theory of radiation (Einstein, 1917) established conditions in which we could predict the number of excited states of electrons in an atom that could spontaneously emit a photon versus the number of states expected to emit a photon by stimulation....   [tags: Technology, Physics]

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Firefighters are Brothers

- Firefighters are more than friends. You can't fight fires with friends. To fight fires you need a brotherhood. The men and women of the fire service across the globe consider each other family, this is one of the grand traditions of the fire department. Firefighters are constantly looking out for one another, thinking about the things they do and how it may affect the other’s lives and safety. Life safety is of the highest priority in the business of fire rescue. To achieve a safety standard there are many tasks that fire personnel are expected to carry out, for both a personal and a team related purpose....   [tags: informative essay]

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Wolff-Parkinson White Syndrome

- ... Wolff-Parkinson White pattern is when a person has no symptoms. “A person may have an extra electrical pathway in the heart but experience no fast heartbeat and no symptoms.”(Mayo Clinic Staff). This is discovered when a person has a heart exam for other reasons. Wolff-Parkinson White pattern is basically harmless. There are many reasons why a person has Wolff-Parkinson White syndrome. The extra electrical pattern is shown at birth but it comes from an abnormal gene. “Wolf-Parkinson-White syndrome is associated with some forms of congenital heart disease, such as Ebstein's anomaly.” (Mayo Clinic Staff)....   [tags: symptoms, treatment, circuit]

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