This FREE ECG simulator will help you practice interpreting core rhythms, as well as exceptions such as AV Blocks. It also has a game mode Do you have athletes heart If youre a welltrained endurance athlete, you probably do. And dont even know it. But thats okay, because athletes heart is. Please check out all these FREE sample videos on this Collectors Edition tour page. Age Of Empires 3 Full Version -Compressed. Exploited College Girls was created for the person who enjoys. Two years ago I had a heart attack and last year a quadruple by pass. I started to suffer from palpitations about six months after the op and it was thought I would. Issuu is a digital publishing platform that makes it simple to publish magazines, catalogs, newspapers, books, and more online. Easily share your publications and get. Six Lessons for Setting Your Business on a Growth Trajectory The European Financial Review. February 1. 0, 2. STRATEGY MANAGEMENT, TECHNOLOGY INNOVATION, Editors choice. You have the option to take a 30 second the default, 1 minute, 2 minute, 3 minute, 4 minute, or 5 minute recording. I recommend the 1minute recording option. Stroke is a medical condition in which poor blood flow to the brain results in cell death. There are two main types of stroke ischemic, due to lack of blood flow. Learn to build electronic circuits. Vol. I DC Vol. II AC Vol. III Semiconductors Vol. IV Digital Vol. V Reference. One of Americas most famous internetgrown white supremacists, Baked Alaska, has threatened to sue news outlet AJ Plus over a photo of him holding a gun. He says. By Amitava Chattopadhyay. In this article Amitava Chattopadhyay uses three case studies to illustrate some effective ways to grow your business, especially when struggling against cheaper competition from emerging markets. From these case studies Professor Chattopadhyay formulates six important lessons every business strategist needs to learn. The refrain I often here among practitioners is that they are facing declining growth, ever increasing competition, and loss of pricing power and thus margin. Is this inevitable in the world of business today, or is there a way that businesses can recharge growth and regain marginsBelow are three case studies of companies that have successfully recharged profitable growth and there is a remarkable commonality in their paths to success. We first report the case studies and then draw out the lessons for recharging profitable growth in your business. Dow Corning. Consider Dow Corning a major player in silicones. Its business was under severe pressure from low cost silicone suppliers from the emerging markets. Faced with declining growth and margins, Dow Corning turned to look more carefully at potential customers. As a first step, they segmented potential customers on the basis of 1. The importance of quality of the silicones for the customers business, and. The size of the customer. For example, silicones for customers who used them in medical prostheses had to be high in quality with very little variability in specification. Deviations in quality exposed such customers to potentially huge costs in terms of both negative publicity and damage claims. However, for potential customers of silicones for use in making lubricants, for example, the sensitivity to quality and tolerances in specification were far less consequential. At the same time, for Dow Corning, large potential customers were clearly far more consequential than smaller potential customers. Clearly, the segment at risk that Dow Corning needed to focus on was that comprising of silicone buyers that were large buyers, but for whom product quality was relatively less significant. These consumers were less likely to be willing to pay the premium prices charged by Dow Corning in exchange for the guarantee of quality. By identifying this crucial customer segment, Dow Corning was able to come up with an attractive solution. Dow Corning realised that this segment bought large quantities in a routine manner, needing little of the suite of services that they traditionally offered and charged for in their pricing. With this insight, Dow Corning created a new offering Xiameter by Dow Corning, a web enabled ordering portal with fixed order quantities, delivery schedules, and payment terms. The resulting reduction in costs could be passed on to those customers willing to use this service lite option, making Dow Cornings price competitive with those of their competitors from the emerging markets, helping them retain these crucial large customers while at the same time protecting their margin. Movie Theatre Business. For movie theatres in the US and Western Europe, viewership peaked in the late 1. Television made the initial dent, followed by home videos, and most recently the likes of Netflix and Amazon Prime. Faced with the decline, the industry has fought back with a variety of initiatives to bring back the crowds, and they are succeeding. Movie theatres are now offering a dramatically different set of potential experiences On the technological front we are already familiar with sophisticated sound and projection systems such as THX, IMAX, and 3. D experiences. Some theatres have moved beyond to offer a 4. D experience today. At these movie theatres the seats respond to what one is watching on the screen with piped in smells, smoke, and even water sprays But technology is just one way that movie theatres are drawing in the crowds. Consider for instance the mushrooming of giant theatre complexes anchoring complete entertainment hubs in suburban areas. Here, the theatre complexes offer dozens of screens, all 7. The entertainment hubs of which they are the anchor include restaurants, pubs, bowling alleys, video game parlors, putt putt golf, water parks and more. Of course there is virtually unlimited and free parking. Such complexes are encouraging potential customers to come and make a day of it with family and friends or even a night out on the town, without the hassles of having to make complicated plans and reservations or searching for parking, with movies of course being a centerpiece of the experience. In urban surroundings too, changes are afoot to draw in the crowds. For instance, some movie theatres have moved way beyond the basic fare of Coca Cola and popcorn that has been the mainstay of the snacks available at movie theatres. They are offering menus with treats that are more bistro like and in seats that would make most business class airline seats seem basic. As one example, at the Cathay Cineleisures Platinum Movie Theatre, one arrives at the movie theatre to be ushered in to a bistro like waiting area by a hostess and seated at a private table where one can choose from an elaborate menu offering the possibility of ordering a bottle of chilled champagne or perhaps a bottle of wine, canaps, a cheese platter, burgers, and much more. When the movie is set to start, patrons are escorted to their seats inside the theatre, which is next door and made comfortable with pillows and blankets in a space that offers an almost private viewing experience. And, of course, the waitstaff bring the goodies one has ordered to the theatre seat side. Like their suburban counterparts, this movie theatre and others in the same genre are creating a consumer experience that is different. GE Healthcare. Some movie theatres have moved way beyond the basic fare of Coca Cola and popcorn. They are offering menus with treats that are more bistro like and in seats that would make most business class airline seats seem basic. Now consider GEs healthcare business, which faced slowing growth and margin erosion, due to slowing growth in their traditional markets. At the same time it watched competitors from emerging markets, like Chinas Mindray, grab share in the fast growing developing markets of China and India, where resource constrained hospitals and clinics couldnt afford the products that GE Healthcare had in its portfolio. GE Healthcares initial efforts were to try and compete in these new markets with the typical strategy adopted by Multinational corporations MNCs sell stripped down versions of their existing products at lower costs. GE Healthcare, however, quickly realised that stripped down products wouldnt get them to the price points necessary to compete in these markets. More importantly, they realised that the benefit profile needed in these markets was completely different from their existing product portfolio, making a stripping strategy irrelevant. To develop appropriate products for emerging markets, GE opened Reasearch and Development R D labs in China and India. In each market, they studied the end consumers needs in terms of disease profiles to target, as a first step. In India, one key health need GE targeted was cardiovascular disease, while in China, one chosen priority was oncology. Stroke Wikipedia. Stroke. Synonyms. Cerebrovascular accident CVA, cerebrovascular insult CVI, brain attack. CT scan of the brain showing a right hemisphericischemic stroke. Specialty. Neurology. Symptoms. Inability to move or feel on one side of the body, problems understanding or speaking, feeling like the world is spinning, loss of vision to one side12Complications. Persistent vegetative state3Causes. Ischemic and hemorrhagic4Risk factors. High blood pressure, tobacco smoking, obesity, high blood cholesterol, diabetes mellitus, previous TIA, atrial fibrillation15Diagnostic method. Based on symptoms and medical imaging6Similar conditions. Low blood sugar6Treatment. Based on the type1Prognosis. Average life expectancy 1 year1Frequency. Deaths. 6. 3 million 2. Stroke is a medical condition in which poor blood flow to the brain results in cell death. There are two main types of stroke ischemic, due to lack of blood flow, and hemorrhagic, due to bleeding. They result in part of the brain not functioning properly. Signs and symptoms of a stroke may include an inability to move or feel on one side of the body, problems understanding or speaking, feeling like the world is spinning, or loss of vision to one side. Signs and symptoms often appear soon after the stroke has occurred. If symptoms last less than one or two hours it is known as a transient ischemic attack TIA or mini stroke. A hemorrhagic stroke may also be associated with a severe headache. The symptoms of a stroke can be permanent. Long term complications may include pneumonia or loss of bladder control. The main risk factor for stroke is high blood pressure. Other risk factors include tobacco smoking, obesity, high blood cholesterol, diabetes mellitus, previous TIA, and atrial fibrillation. An ischemic stroke is typically caused by blockage of a blood vessel, though there are also less common causes. A hemorrhagic stroke is caused by either bleeding directly into the brain or into the space between the brains membranes. Bleeding may occur due to a ruptured brain aneurysm. Diagnosis is typically with medical imaging such as a CT scan or magnetic resonance imaging MRI scan along with a physical exam. Other tests such as an electrocardiogram ECG and blood tests are done to determine risk factors and rule out other possible causes. Low blood sugar may cause similar symptoms. Prevention includes decreasing risk factors, as well as possibly aspirin, statins, surgery to open up the arteries to the brain in those with problematic narrowing, and warfarin in those with atrial fibrillation. A stroke or TIA often requires emergency care. An ischemic stroke, if detected within three to four and half hours, may be treatable with a medication that can break down the clot. Aspirin should be used. Some hemorrhagic strokes benefit from surgery. Treatment to try to recover lost function is called stroke rehabilitation and ideally takes place in a stroke unit however, these are not available in much of the world. In 2. In 2. 01. 5 there were about 4. Between 1. 99. 0 and 2. In 2. 01. 5, stroke was the second most frequent cause of death after coronary artery disease, accounting for 6. About 3. 0 million deaths resulted from ischemic stroke while 3. About half of people who have had a stroke live less than one year. Overall, two thirds of strokes occurred in those over 6. Classification. Strokes can be classified into two major categories ischemic and hemorrhagic. Ischemic strokes are caused by interruption of the blood supply to the brain, while hemorrhagic strokes result from the rupture of a blood vessel or an abnormal vascular structure. About 8. 7 of strokes are ischemic, the rest being hemorrhagic. Bleeding can develop inside areas of ischemia, a condition known as hemorrhagic transformation. It is unknown how many hemorrhagic strokes actually start as ischemic strokes. Definition. In the 1. World Health Organization defined stroke as a neurological deficit of cerebrovascular cause that persists beyond 2. This definition was supposed to reflect the reversibility of tissue damage and was devised for the purpose, with the time frame of 2. The 2. 4 hour limit divides stroke from transient ischemic attack, which is a related syndrome of stroke symptoms that resolve completely within 2. With the availability of treatments which can reduce stroke severity when given early, many now prefer alternative terminology, such as brain attack and acute ischemic cerebrovascular syndrome modeled after heart attack and acute coronary syndrome, respectively, to reflect the urgency of stroke symptoms and the need to act swiftly. Ischemic. In an ischemic stroke, blood supply to part of the brain is decreased, leading to dysfunction of the brain tissue in that area. There are four reasons why this might happen Thrombosis obstruction of a blood vessel by a blood clot forming locallyEmbolism obstruction due to an embolus from elsewhere in the body, see below,1Systemic hypoperfusion general decrease in blood supply, e. Stroke without an obvious explanation is termed cryptogenic of unknown origin this constitutes 3. There are various classification systems for acute ischemic stroke. The Oxford Community Stroke Project classification OCSP, also known as the Bamford or Oxford classification relies primarily on the initial symptoms based on the extent of the symptoms, the stroke episode is classified as total anterior circulation infarct TACI, partial anterior circulation infarct PACI, lacunar infarct LACI or posterior circulation infarct POCI. These four entities predict the extent of the stroke, the area of the brain that is affected, the underlying cause, and the prognosis. The TOAST Trial of Org 1. Acute Stroke Treatment classification is based on clinical symptoms as well as results of further investigations on this basis, a stroke is classified as being due to 1 thrombosis or embolism due to atherosclerosis of a large artery, 2 an embolism originating in the heart, 3 complete blockage of a small blood vessel, 4 other determined cause, 5 undetermined cause two possible causes, no cause identified, or incomplete investigation. Users of stimulants, such as cocaine and methamphetamine are at a high risk for ischemic strokes. Hemorrhagic. CT scan of an intraparenchymal bleed bottom arrow with surrounding edema top arrowThere are two main types of hemorrhagic stroke 2. The above two main types of hemorrhagic stroke are also two different forms of intracranial hemorrhage, which is the accumulation of blood anywhere within the cranial vault but the other forms of intracranial hemorrhage, such as epidural hematoma bleeding between the skull and the dura mater, which is the thick outermost layer of the meninges that surround the brain and subdural hematoma bleeding in the subdural space, are not considered hemorrhagic strokes.