![]() ![]() Our cardiologists have extensive experience in the use of drug therapy in the treatment of abnormal heart rhythms and can prescribe an appropriate medication. There are a wide variety of medications available for treatment. MedicationsĪntiarrhythmic drugs can help correct an irregular or abnormal heartbeat. We offer classes and support groups that focus on the how to care for your heart and vascular system. Premature Ventricular Contractions (PVCs) – Occurs in the lower chambers of the heart (ventricles).Ībnormal heart rhythms can cause a wide-range of symptoms.Premature Atrial Contractions (PACs) – Occurs in the upper chambers of the heart (atria).Premature Contraction – early heart beat. Ventricular Fibrillation – A life-threatening condition.Atrial Fibrillation – A manageable condition, a common abnormal heart rhythm.Ventricular Tachycardias – Occurs in the lower chambers of the heart (ventricles), can be life-threatening.Sinus Tachycardia – A correctly functioning heart with a faster heart rate. ![]() Atrial or Supraventricular Tachycardias – Occurs either in the upper chambers (atria) or the middle region.Damage from a heart attack or heart disease, congenital heart disease, high blood pressure, smoking and other factors can contribute the disruption of impulses. Tachycardia is caused by a disruption of the electrical impulses conducted by the heart. Tachycardia – The heart beats too fast, above 100 bpm. Aging, hypothermia, damage from a heart attack or heart disease, and other factors can contribute to the disruption of impulses. Bradycardia is caused by a disruption of the electrical impulses conducted by the heart. For athletic individuals, a normal resting heart rate can be below 60 bpm, and not cause problems. ![]() Typesīradycardia – The heart beats too slow, below 60 bpm. If some types of abnormal heart rhythms are left untreated, they may even cause sudden cardiac death. In most cases, abnormal heart rhythms are harmless, however, some cases may cause uncomfortable symptoms like dizziness, palpitations, pounding in the chest, fainting, shortness of breath, weakness, or fatigue. As a result, less oxygen reaches other parts of the body and can cause organ damage. When electrical impulses in the heart become too fast, too slow, or irregular they cause the heart to beat irregularly.Ībnormal heart rhythms may cause the heart to pump blood inefficiently causing poor blood circulation in the body. Abnormal heart rhythms can be described as a heart beating too fast (above 100 bpm) or slow (below 60 bpm), a fluttering sensation in the chest area or the skipping of a heart beat. For athletic individuals, a normal resting heart rate may be as low as 40 to 60 bpm. For most, a normal resting heart rate is 60 to 100 beats per minute (bpm). Each year millions of people experience abnormal heart rhythms (arrhythmias), which are common as we age. ![]()
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![]() ![]() ![]() Published by Oxford University Press on behalf of the Sleep Research Society. Symptoms of Narcolepsy can include excessive daytime sleepiness (EDS), sleep disruption, cataplexy, sleep paralysis and hypnagogic/hypnopompic hallucinations. H1N1 Pandemrix narcolepsy type 1 narcolepsy with cataplexy psychiatric symptoms. Fragmented sleep was significantly associated with psychiatric symptoms. We found a high prevalence of psychiatric symptoms in NC1 patients. Hypocretin-1 levels showed no association with psychiatric symptoms. In adults, awakening index, but not sleep-stage shift index, was positively associated with internalizing score (p = 0.015). Narcolepsy affects an equal number of boys and girls. However, in children fragmented sleep, measured by sleep-stage shift index was significantly negatively associated with all the psychiatric summary scores (all p ≤ 0.020), and awakening index was negatively associated with externalizing (p = 0.042) and total summary scores (p = 0.042). There are 2 types: Type 1: Narcolepsy due to hypocretin deficiency and accompanied by cataplexy (momentary muscular weakness or paralysis evoked by sudden emotional reactions) Type 2: Narcolepsy with normal hypocretin levels and without cataplexy The Kleine-Levin syndrome, a very rare disorder in adolescent boys, resembles narcolepsy. Psychiatric symptoms and excessive daytime sleepiness were not associated. However, 27.5% of children and 22.2% of adults still remained within the total psychiatric symptoms clinical range. Narcolepsy type 1, previously called narcolepsy with. T-scores were lower when the questionnaire's sleep-related items were excluded. Narcolepsy has two forms in both children and adults, depending on whether cataplexy is present 1. Internalizing symptom T-scores showed that 37.5% of the children and 33.3% of the adults were in the clinical range of concern. ![]() The mean (SD) total T-scores were 58.6 (9.2) for children and 57.0 (9.8) for adults, these being mainly driven by internalizing problems. Psychiatric symptoms were assessed by the Achenbach System of Empirically Based Assessment (ASEBA) Child Behavior Check List (CBCL) in children and by Adult Self Report (ASR) in adults. We also wanted to explore possible causes of the psychiatric symptoms seen in NC1.Ĭross-sectional study. The primary aim of this study was to explore the extent of psychiatric symptoms in a cohort of Norwegian NC1 patients, most of whom were H1N1-vaccinated. Several studies have reported psychiatric comorbidity in patients with narcolepsy type 1 (NC1). ![]() ![]() ![]() This is partly due to chromium aiding insulin’s action on fats and glucose metabolism.įor optimal weight, chromium in an absorbable nicotinate or picolinate form is especially effective when enhanced by vanadium, a trace mineral that helps with blood sugar control, and the classic blood sugar-balancing botanical Gymnema sylvestre.Ĭhromium forms part of glucose tolerance factor (GTF), a foundational molecule which also includes niacin. It stimulates a correct balance of fatty acid and cholesterol synthesis, so that just the important fats needed for brain function, hormone balance, and cell membrane development are present in the right amounts. Chromium is important in the metabolism of fats and carbohydrates, another important role for achieving an ideal weight. Natural food sources include whole grains, brewer’s yeast, oysters, green beans, broccoli, prunes, nuts, peanut butter, and potatoes. ![]() To maintain ideal weight, our bodies need trace amounts of chromium on a daily basis, as it is rapidly cleared from the body.Ĭhromium is an essential trace mineral that is not made by the body, and so it must be obtained from the diet. ![]() Chromium is also crucial for insulin to regulate blood sugar by transporting glucose into cells. For IDEAL WEIGHT, chromium reduces sugar cravings, helps to balance appetite and boost our desire for healthy whole foods, and it is essential for our bodies to utilize correct amounts of carbohydrates and fats, and eliminate any excess. ![]() ![]() ![]() ![]() Open the picture you want to edit in Snapseed.snapseed ka qr code mean Žiniatinklis2020 m. See more ideas about snapseed, snapseed tutorial, qr code. 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We requested to pay for the bread and she quite blankly said no efpos under $20, we had no cash at all on us. We didn't finish the tasting as her hospitality was just awful. ![]() Between our tasting she would sit down and it appeared to be such as effort for her to serve us. We received no information about the wine and honestly I just felt like a pain in her butt. I was quite shocked as we were not in anyone's way and we were probably making her life easier by being out of the way of the bar. Upon requesting the next wine the lady proceed to tell me I should be paying for the bottle of wine and not receiving a free tasting as tasting are only done at the bar and not at the tables, but because she is busy she will let us off. ![]() ![]() As the bar was full with the visitors we sat on the couch and walked over the bar to receive our next tasting (we were 100% NOT receiving table service). We proceeded to order and commenced the wine tasting. We handed over our voucher and also order bread and cheese, the staff member responded by saying in quite an abrupt tone - you'll be waiting a while I'm very busy and it's only me working. We waiting about 4-5 minutes to be served (staff had not even acknowledged our presence before that even though we were standing at the counter). It was Friday 30th mid afternoon, there was another couple present, and a family with approx 7 people. We received a voucher for two adult wine tasting experience. We understand that we should not have been standing so close to the vines and we understand the reason in hindsight, but there are better ways to educate people of this and better signage would have helped. Despite the loveliness of the wine, we will unfortunately never visit again because of the rudeness we experienced from the owners and the way in which we were spoken to- nor will we recommend to anyone-in fact we’d discourage friends from going because of this. Very disappointing end to what could have been a lovely visit. We stayed another ten mins and watched as the female owner approached another group, who subsequently left, post haste, obviously having been told off too! My friend and I took a photo by the vines and signage that this wasn’t allowed was minimal and the owners arrived making a point of making us feel completely stupid, instead of politely pointing out that this was not allowed. We were greeted by RUDE, gruff and ARROGANT owners who made a point of circling the groups of patrons trying to enjoy their afternoon by telling them off for this or that. For those who want to rest their feet, Dundee’s The Trolley offers free rides between locations.The wine and staff were beautiful until. All participating establishments display a small banner, making it easy to find the next ARTwalk destination. Free and open to the public, Newberg’s shopkeepers stay open late for complimentary wine tastings, hors d’oeuvres and live music. Original works from artist Kathy Johnson, a painter who works in oil, watercolor and pastels, will be on display.ĪRTwalk is held on the first Friday evening of the month (except January)-rain or shine. and includes 26 different Downtown Newberg locations.īells Up will be the featured winery at location 13, Cusick Picture Frame, 608 East First Street in Downtown Newberg (between the Coldwell Banker Professional Group and the Fox Farm Vineyards / Purple Cow Vineyards winebar). The family-friendly evening runs from 5-9 p.m. Winemaker and owner Dave Specter will pour two of our inaugural vintages-2013 Titan Willamette Valley Pinot Noir and 2014 Rhapsody Willamette Valley Pinot Blanc-on Friday, March 4. Bells Up will be returning to Newberg’s First Friday ARTwalk event. ![]() ![]() ![]() Some designs use a long tube called a foil or torque tube that rotates around the forestay, other designs do not. ![]() The biggest differences between the designs is how they twist the luff of the sail. Think of a roll-up window shade and you’ll get the idea. Pulling the headsail sheets unrolls the sail and wraps the line back onto the spool. ![]() Pulling the line off the spool twists the luff of the headsail, causing it to roll up onto itself. To do this, a furler uses a swivel at the tack of the headsail that is built into a small spool of line. The basic purpose of a headsail furler is to roll up the headsail while it’s still hoisted. In order to understand the differences and to select the one that’s right for you, let’s briefly review how a headsail furler works. There are several different headsail furler designs to choose from. Otherwise, I wouldn’t be the $tingy Sailor. And I saved hundreds of dollars doing it. But I installed a system that gives me the best of both worlds: furling convenience while keeping the ability to easily change headsails and step the mast for trailering.
![]() ![]() At some point, I got a computer and started creating digital art instead of just drawing on a paper. Well, I’ve always been interested in and have created “art” since I was a child. First of all, can you tell us how you got into the games industry? What is your journey like? Hi Lukasz! Thank you for taking out the time to talk with us. ![]() We caught up with the lead artist of Jupiter Hell Lukasz Śliwiński to talk about how he got into games development, his influences, Jupiter Hell and its key art and gameplay inspirations, as well as what’s next for Lukasz and the team at ChaosForge. The game has garnered quite the following, recently reaching the Steam New and Trending chart. Musk appeared uninterested - and unaware of Bankman-Fried's wealth, asking, "Does he have huge amounts of money?"Įventually he warmed to the idea, "so long as I don't have to have a laborious blockchain debate.Ever wonder what would the love-child of Doom and XCOM be? The answer is Jupiter Hell – a turn-based top-down strategy game developed by ChaosForge, an indie developer based in Poland. In March, Sam Bankman-Fried, the crypto billionaire, tried to get in touch with Musk through an associate to discuss joining in a deal for Twitter. It "makes it seem like I'm desperate," he said.Ĭalacanis said he only wanted to be supportive: "You know I'm ride or die brother."ġ0. Musk warned Calacanis against offering investment in the deal to "randos." "Twitter edit button is coming," Musk responded.ĩ. King said she'd like a Twitter edit button. Gayle King of CBS asked Musk in April for an interview, saying buying Twitter was what the kids call a "gangsta move" and suggesting that Oprah Winfrey might want to join the board. "I don't have a LinkedIn account," Musk responded.Ĩ. Steve Jurvetson suggested Musk hire Emil Michael, the former chief business officer of Uber Technologies Inc, and texted Michael's LinkedIn account over. "If you do, we should throw a hell of a party."ħ. ![]() "I REALLY hope you get Twitter," the outsize podcaster texted. Jason Calacanis noted that "Twitter CEO is my dream job."Ħ. Investor Bill Lee suggested Bill Gurley of Benchmark Capital. Several of Musk's friends had ideas on whom Musk should hire. On April 24, Ellison said, "Since you think I should come in for at least $2B. or whatever you recommend," Ellison replied. "Any interest in participating in the Twitter deal?" he asked. On April 20, Musk texted Oracle Corp.'s Larry Ellison. "This is hard to do as a public company, as purging fake users will make the numbers look terrible, so restructuring should be done as a private company," Musk wrote. The texts suggest he already knew about Twitter's bot problem, which he would later cite as a reason to abandon the deal. ![]() A few minutes later, Musk texted with Chair Bret Taylor about fixing Twitter. "Will make an offer to take Twitter private," he texted 15 seconds after that.ģ. This is a waste of time," he texted 40 seconds later. "What did you get done this week?" Musk snapped back. I'd like to provide your perspective on the level of internal distraction right now and how it hurting our ability to do work." "You are free to tweet 'is Twitter dying' or anything else about Twitter - but it's my responsibility to tell you that it's not helping me make Twitter better in the current context. Mr Agrawal upbraided Musk over his tweets disparaging the company. On April 5, Mr Agrawal tweeted that Musk was being appointed to Twitter's board - and got Musk's approval for the language of the tweet.īut by April 9, the tone had shifted dramatically. Musk's relations with Twitter CEO Parag Agrawal went from friendly to frosty within a week. "That's about the time I decided I need to work to leave, as hard as it was for me."Ģ. "I tried my hardest to get you on our board, and the board said no," Dorsey wrote. Jack Dorsey, Twitter's former chief executive officer, worked to get Musk to join the board shortly after activist investors starting agitating for change at the company in 2020. Among the many texts, Musk discloses that he "has a minor case of Covid" in late March, is usually "up until 3 am" and no longer has a personal assistant.ġ. ![]() ![]() Are the responses for one question are correlated (potentially implies causes / is caused by) another question?.Are responses for different questions correlated?.Are you getting better or worse in any way?.Are the responses for one question changing over time?.Are the responses for this customer segment significantly different from the responses for that customer segment?.Are the responses for this question significantly different from the responses for that question?.Are responses different for different questions or segments?.You will generally only want to know three types of things about your data: When analysing survey data there are surprisingly few different types of questions you need to answer. Step 6: Test for Potential Cause and Effect using Correlation.Step 5: Test for Significant Differences with Student’s t-Test.Step 4: Plot Averages Over Time, with Error Bars.Step 3: Add Histograms of Each Question.Step 2: Graph Each Question and Add Error Bars. ![]() ![]() Step 1: Calculate simple statistics (mean, max, etc.) for all questions.With a little bit of insight, you can do almost everything the statistical packages can do in Excel. In this post, I’ll take you through how to analyse your survey data using the built in features of Excel.Įxcel is a very good tool to use for your analysis and has the benefit of being on almost everyone’s desktop. You can use the same techniques and approaches using the standard Excel package While there are many advanced statistical packages, you don’t need them to perform a detailed and comprehensive analysis of your survey data. ![]() ![]() As part of the all-inclusive resort, the minibar is replenished daily with free water, soft drinks, snacks and other beverages. Skip Ocean Front Superior Deluxe Rooms, Concierge Level Rooms and Junior Suites, which only accommodate two adults per room.Įach room is equipped with a patio or balcony, four-person Jacuzzi tub, LCD satellite TV, iPod docking station and free WiFi. (Additional hours are available for a fee.) The Family Connections Luxury Suite with Nanny Service is available in 20 family suites and includes special amenities, including a welcome treat for the kids, a kids' concierge, priority access to the kid's club, and three hours of free private nanny service each day for children 2 to 17. ![]() Located in Sunrise, family suites feature Xbox players and games, DVDs on request, special room service menu for kids, kid-sized bathrobes and slippers, and a Fun in the Sun Bucket amenity. These suites accommodate up to six with connecting rooms with a king bed for parents and two double beds in the second connecting room. Standard two-bedroom suites feature golf course views and provide a golf cart for personal use to get around the resort. The suite space includes a living and dining room, half kitchen and half bathroom on top of the two private bathrooms and two Jacuzzis. Its balcony includes a hammock.įeaturing ocean views in Nizuc and oceanfront views in Sunrise and Grand Moon, these two-bedroom suites provide one king bed and one bedroom with two double beds to accommodate up to six. Ocean View Superior Deluxe can accommodate four guests in a king or two double beds. In Moon Grand, Garden View rooms feature one king or two double beds, accommodating up to four. Resort-view rooms with one king or two double beds, accommodating up to four. The most secluded and luxurious area of the resort is Moon Grand, which is open to both couples and families. Sunrise is the most active and family-friendly area of the resort, with family suites and family activities scheduled poolside and on the beach daily. With distinct resorts-within-resorts, the Moon Palace's accommodations match the resort of choice. Nizuc and Sunrise have so many activities, pools, shows, & restaurants available that we see no need to book the Grand.Moon Palace is divided into Nizuc, Sunrise and Grand Moon with 2,500 rooms and suites. The sunrise pools were much larger, but were quite busy so unless you get your chairs early you may end up in the back. The Nizuc pool was laid back and had plenty of chairs available throughout the day. The pools are wonderful with plenty of drinks and food options available. The bellboys are extremely organized and efficient and even called us to confirm the timing of the luggage pickup on our checkout day. ![]() ![]() ![]() Every staff member we encountered was cheerful, friendly, professional, and a pleasure to interact with. Take plenty of small bills for tipping the wonderful staff. Also due to the size of the properties, expect a delay in room service requests. If you're tired you can always hop onto one of the golf cart shuttles. The properties are enormous, so there will be a bit of walking involved. We'd recommend the ocean front rooms, but all the rooms have a good view the plentiful gardens, pools, or ocean. The resort checkin process was a breeze, the bellboys transported our luggage swiftly, and we thoroughly enjoyed the pools, restaurants, buffets, shows, and many activities (especially mini golf, wired lounge). We stayed at Moon Palace Nizuc for the first night then moved over to the Sunrise for the remaining 4 nights of our trip and we couldn't have been any happier with our experience. We had a wonderful experience at the Moon Palace Resorts in Cancun (June 2023). This restaurant provides both buffet and à la carte dining ![]() ![]() ![]() In fact, the general consensus among fans is that Kenzari will make an excellent addition to the cast, which already includes Will Smith as the Genie, Mena Massoud as Aladdin, and Naomi Scott as Jasmine. ![]() According to The Wrap, Marwan Kenzari is in talks to play Jafar in the live action Aladdin, and the internet is pretty sure he's too hot to be a villain. That's pretty impressive for a guy who didn't even have a talking parrot to help him out.Being evil has never looked so good. The ideas and methods they helped import from India and elsewhere made the Middle East a center of scholarship throughout the Middle Ages, and those ideas eventually spread to Europe and helped spark the Renaissance. Some historians say it's much more likely that the Barmakids, with their enormous wealth and large private army, gradually became a threat to the caliph's power - one he eventually dealt with in the most final manner available.īut their contributions to the spread of scientific knowledge, especially those of Ja'far ibn Yahya, had already been set in motion. But rumor is all we really have to go on the historical records aren't very clear, and Haroun el-Rashid had the entire Barmakid family executed in 803 CE, which is an extreme response to one man's affair, even with a princess. We can't be sure whether the real Ja'far was as - so to speak - audience-friendly as the version in the new live-action Aladdin movie, but at least Princess Abbasa, the caliph's sister, seems to have thought so rumor has it that an affair with the princess led to Ja'far's execution in 803 CE. And in many of those later stories, Ja'far also has a habit of trying to seduce or marry the princess - a plot point modern audiences probably recognize. He didn't become a sorceror and a villain until centuries later, as the stories gradually evolved. He solved murder mysteries (under the threat of execution if he missed the deadline), went on adventures, and provided valuable knowledge and advice. But unlike the version modern audiences know today, the earlist fictional versions of Ja'far were protagonists, not villains. The vizier Ja'far's influence was so great that both he and his caliph, Haroun el-Rashid, appeared, mentioned by name, in several of the stories in the Arabian Nights. That sounds like a minor thing today, but at the time, it was a major boost to communication, information, and scholarship - something like the effect the printing press would have centuries later. ![]() Ja'far convinced the caliph to build a paper mill in Baghdad, which gave the caliphate a ready source of paper. The conflict culminated in the Battle of Talas in modern-day Kazakhstan, where the Abbasids and their allies from the Tibetan Empire emerged victories - and with several Chinese prisoners of war, who eventually spilled the secret of papermaking. But in 751, the Abbasid Caliphate and the Chinese Tang Dynasty found themselves at odds over control of territory in Central Asia, along a key trade corridor known as the Silk Road. Chinese merchants sold small quantities, which turn up in archives across central Asia and the Middle East, but they refused to share the secret of its manufacture. ![]() Jafar as played by Naveen Andrews in 'Once Upon A Time' (Jack Rowand/ABC via Getty Images) Gettyīefore 751 CE, papermaking was a closely-guarded state secret of the Chinese Empire. Ja'far actively continued that family tradition, but today he is best known for his role in introducing the art and science of papermaking to Baghdad. Because the family still maintained close connections with Buddhist communities in Iran and India (after all, their conversion was very recent, and some members of the Abbasid court occasionally questioned its sincerity), they frequently invited scholars from those places to the Abbasid court in Baghdad, spreading knowledge and innovations in medicine, astronomy, and other sciences further north and west. Well-educated and influential, the Barmakids found themselves near the center of power under the Abbasid caliphate Ja'far's father before him had served as vizier, and two of his brothers governed Egypt and Damascus.Īnd several members of the family became well known patrons of scientists and scholars. The Barmakids had once been the leaders and administrators of two large monasteries in Balk, just north of Mazar-e Sharif, but various members of the family converted to Islam, at least officially, when Arab armies occupied the region starting around 651 CE. He had been born into a powerful family, the Barmakids, with deep roots in a region of Afghanistan once known for its Buddhist monasteries. Ja'far didn't rise to power out of nowhere. ![]() |
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