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Instagram / DeviantArt / Telegram / Patreon The last third manul in my collection!)
#art#illustration#artwork#cva#cva_artist#drawing#painting#traditional art#traditional drawing#watercolor#manul#cat#manulcat
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Shooter's Bible 104th Edition
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July 29:
And,
on this date in 2003, Paint It Black released their album, Cva.
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Paint It Black: “Less Deicide, More Minor Threat” CVA (2003)
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Cardiology review
21 days of DAPT, and then clopidogrel alone is ok if mild stroke. Alteplase if 5.5 hours after symptoms. Thrombectomy within 6 hours; but some pts can benefit from thrombectomy within 24 hours of symptoms onset.
Jardiance prevents hospitalization in pts with HFpEF.
Lower to BP no more than 25% in the first hour for pt's with hypertensive emergency.
From Up To Date:
Acute management – Optimal therapy, including the choice of agent and the blood pressure goal, varies according to the specific hypertensive emergency. It is generally unwise to lower the blood pressure too quickly or too much, as ischemic damage can occur in vascular beds that have reset their autoregulatory threshold to the higher level of blood pressure. For most hypertensive emergencies, mean arterial pressure should be reduced by approximately 10 to 20 percent in the first hour and then gradually during the next 23 hours so that the final pressure is reduced by approximately 25 percent compared with baseline. [So it is 25% in 24 hours].
[According to the rationale for the question, it said to lower the BP 25% in 1 hour, then to 160/100 mmHg.}
The major exceptions to modest and gradual blood pressure lowering over the first 24 hours are:
•Acute phase of an ischemic stroke – The blood pressure is usually not lowered unless it is ≥185/110 mmHg in patients who are candidates for reperfusion therapy (table 2) or ≥220/120 mmHg in patients who are not candidates for reperfusion therapy.
•Acute aortic dissection – The systolic blood pressure is rapidly lowered to a target of 100 to 120 mmHg (to be attained in 20 minutes).
•Spontaneous hemorrhagic stroke – The systolic blood pressure can be rapidly reduced if no contraindications exist.
Stop the ACEI 36 hours before starting Entresto in pts you are switching from ACEI to Entresto for HFrEF.
Non-DHP CCBs (verapamil and diltiazem) are not good for pts with HFrEF. The pt already has a poor EF and these meds slow the HR.
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Cows vs Aliens... but Puppies vs Squeaks too??
I was recently made aware of a specific excerpt in the February 2023 edition of the Big Toy Book which I have highlighted below: And while I had been already aware of Cows vs Aliens and had been waiting for the first reveal of them (as I know they were shown to investors already at this point), I don’t think anyone was aware of the reveal of Puppies vs Squeaks as well. I still don’t entirely…
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#Cats vs Pickles#Cepia#Cows vs Aliens#CvA#CvP#Dogs vs Squirls#DvS#Elephants#Kittens vs Gherkins#KvG#PAS#Pop Art Soft#Puppies vs Squeaks#PvS#Soft Toys#The Versus World#Toys#Turtles
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#itsallabouttags #graffiti #hanstyles #graffitidortmund #futo #fog #gms #cva (hier: Dortmund, Nordrhein-Westfalen, Germany) https://www.instagram.com/p/CnrPwXkoEM-/?igshid=NGJjMDIxMWI=
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CVA to host reception for new exhibits
The reception is tomorrow, Sept. 27.
WAUSAU – The Center for the Visual Arts will celebrate this week two of its newest exhibits. A public reception and poetry reading from 5 p.m. to 7 p.m. Sept. 27 is an official event during the Central Wisconsin Book Festival, and is free and open to the public. The CVA is at 427 N. Fourth St. “Gathering” is featured in the Caroline S. Mark Gallery, and highlights poetry that was specifically…
#Caroline S. Mark Gallery#Center for the Visual Arts#CVA#Duachaka Her#Gathering#The Bookshop Coop#Then and Now#Vault Gallery
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After 12 years of blight, Westfield offers groups £1,000 grants
Crumbs from the table. Begging bowl: how Croydon Voluntary Action and Westfield chose to illustrate their very small grants programme After more than 12 years of development blight in Croydon town centre, at unmeasurable cost to residents, local business owners and even the local authority, Westfield have coughed up a grand total of £100,000 for a “Community Grants Fund”. It’s called “a small…
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#charity#Croydon#Croydon Voluntary Action#CVA#Hammersfield#Third sector#Unibail Rodamco Westfield#URW#Westfield#Whitgift Centre
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Finally got my vest from my trip to Australia in a frame, very happy about that! #cva #conservationvolunteersAustralia #ccc #californiaconservationcorps
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Featherstone Rovers RLFC face Investec Winding-Up Petition
Featherstone Rovers, a historic rugby league club nestled in the heart of West Yorkshire, finds itself in a difficult financial position. The recent winding-up petition filed by Investec Asset Finance Plc on 30th May 2024 (Case Number CR-2024-003208) threatens the club’s future. This legal action, if successful, could force Featherstone Rovers into compulsory liquidation, effectively shutting…
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#Companies Court#Company Advice#Company insolvency#Company Voluntary Arrangement#corporate insolvency#Costs#CVA#High Profile Winding-up Petition#HMRC#Insolvency#Insolvency Act#Insolvency Advice#Insolvency Law#Insolvency news#Insolvency practitioner#Insolvency Rules#insolvency solicitors#Legal Costs#Rugby Clubs#Winding Up List#Winding-Up
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Instagram / DeviantArt / Telegram / Patreon Kitty's ready 🧡
#art#illustration#artwork#cva_artist#drawing#cva#painting#traditional art#traditional drawing#watercolor#artists on tumblr#small artist#traditional illustration#kitty#kitten#cat#cute cats#ginger cat#orange cat#cats of tumblr#pwgood#mineshield
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Jay Mascolo, Partner at RAM Law, understands the difficulty a sexual abuse victim may have in addressing and disclosing sensitive details of abuse and assault. At RAM, we are here to listen and to provide the support and guidance you need.Learn more about our practice at
#sexualabusesurvivors#childvictimsact#cva#empowersurvivors#attorney#law#RAM Law#NJ#personal injury attorney
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4:57 PM EDT September 7, 2024:
Paint It Black - "Less Deicide, More Minor Threat" From the album CVA (July 29, 2003)
Last song scrobbled from iTunes at Last.fm
This appears to be a song that provoked an answer in A Wilhelm Screams "Less Bright Eyes, More Deicide," but beyond the obvious, that one guy wants to hear more Straight Edge and less Death Metal, while the other guy wants to hear *more* Death Metal, and less Emo, gotta say I'm unsure what philosophical points are being made. Or if there were more songs that chimed in with an opinion. If'n you know, comment me up
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Common Cardiovascular Diseases
Elderly adults are more likely to develop cardiovascular diseases than younger people. These diseases may narrow your blood vessels, heart valves may not work right, and you might experience irregular heart rhythms.
Learn More: https://www.americanqualitycare.com/common-cardiovascular-diseases
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Stroke Alert ED Order Set
CT stroke head w/o contrast
CT head perfusion
CT stroke angio head+neck with AI stat
Elevate HOB 30 degrees
CBC
CMP
PT
PTT
Troponin
POC blood glucose stat
Consult to neurology stat
Bedside swallow
Neuro checks
NPO
EKG
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