![]() Shelly Powers, PA-C, MC, Howard University Owen Johnson, DrPH, Tennessee State Universityįrancis Abuga Ndemo, PhD, United States International University – AfricaĮlijah Onsomu, PhD, MPH, MS, Winston-Salem State University Lee Caplan, PhD, Morehouse School of MedicineĬhristopher Edwards, PhD, BCIAC, IABMCP, Duke University Medical CenterĬynthia Hughes Harris, PhD, Florida A&M University ![]() JoAnne Banks, PhD, RN, Winston-Salem State UniversityĮlizabeth Brown, PhD, Tennessee State University Stephen Aragon, PhD, Winston-Salem State University Leslie Allison, PT, PhD, Winston-Salem State University Julie Edelson, PhD, Wake Forest University Editorial Board Foy, PhD, MS, Wake Forest University Managing Editor & Art/Layout EditorĮlijah Onsomu, PhD, MPH, MS, Winston-Salem State University Copy Editor Leslee Battle, EdD, Winston-Salem State University Associate EditorĬapri G. Peggy Valentine, EdD, FASAHP, Winston-Salem State University Guest Editor The journal is sponsored by the National Association of Medical Minority Educators. ![]() The journal is also available digitally in JSTOR’s Public Health Collection (see link in menu bar). For more information visit WSSU’s web page for the journal.Īlthough we are not currently taking print subscriptions, individuals can purchase print copies of the journal by searching in the main search tab. It is a bi-annual published source of information on maximizing recruitment and retention of culturally diverse health professions and students in the healthcare professional areas. The journal is directed toward educators, policy makers and the health community. Its mission is to provide a forum for the discussion of factors that promote or constrain the development and sustainability of a diverse health professions workforce. The Journal of Best Practices in Health Professions Diversity is a publication from the School of Health Sciences at Winston-Salem State University. National Association of Medical Minority Educators
0 Comments
![]() Potential causes include early presentation, recent prior antimicrobial therapy, and neutropenia. Why some patients have milder CSF abnormalities cannot usually be identified. For example, in a prospective study of 1412 adults with bacterial meningitis, a CSF WBC >1000/microL was seen in only 66 percent of patients. The spectrum of CSF values in bacterial meningitis is so wide, however, that the absence of one or more of the typical findings is of little value. The most common clinical features include a severe headache (84 percent), fever greater than 38☌ (74 percent), stiff neck (74 percent), a Glasgow Coma scale 200 mg/dL (>2000 mg/L), and a WBC count above 1000/microL, with a percentage of neutrophils usually greater than 80 percent. Older patients (age >60 years) more commonly present with the triad than younger patients (58 versus 36 percent). Presenting manifestations - The classic triad of acute bacterial meningitis, which occurs in 41 percent of patients, consists of fever, nuchal rigidity, and a change in mental status, usually of sudden onset. ![]() (See "Initial therapy and prognosis of bacterial meningitis in adults", section on 'Avoidance of delay'.) Any form of bacterial meningitis that is untreated or treated very late in its course is almost uniformly fatal. ĭeterminants of the pace of bacterial meningitis are related to both host and microbial virulence factors. In the largest prospective study of 1412 episodes of bacterial meningitis, for example, approximately half of the patients presented less than 24 hours after onset of illness. (See "Epidemiology of bacterial meningitis in adults".)ĬLINICAL FEATURES - Patients with bacterial meningitis are usually quite ill and often present soon after symptom onset. Ī more detailed discussion of the epidemiology of and risk factors for bacterial meningitis is presented elsewhere. The major causes of health care-associated ventriculitis and meningitis are different (usually staphylococci and aerobic gram-negative bacilli) and occur more commonly after neurosurgical procedures (eg, post-craniotomy, ventriculoperitoneal shunts, lumbar shunts, external ventricular drains or following head trauma such as basilar skull fracture with or without clinical evidence of leak of cerebrospinal fluid).The major causes of community-acquired bacterial meningitis in adults in developed countries are Streptococcus pneumoniae, Neisseria meningitidis, and, primarily in patients over 50 years of age or those who have deficiencies in cell-mediated immunity, Listeria monocytogenes ( table 1).(See "Pathogenesis and pathophysiology of bacterial meningitis" and "Epidemiology of bacterial meningitis in adults" and "Initial therapy and prognosis of bacterial meningitis in adults" and "Treatment of bacterial meningitis caused by specific pathogens in adults" and "Bacterial meningitis in children older than one month: Clinical features and diagnosis" and "Bacterial meningitis in children older than one month: Treatment and prognosis" and "Approach to the patient with chronic meningitis" and "Approach to the adult with recurrent infections", section on 'Meningitis' and "Aseptic meningitis in adults".)ĮPIDEMIOLOGY - Bacterial meningitis can be community acquired or health care associated. The pathogenesis, epidemiology, treatment, prognosis, and prevention of acute bacterial meningitis in adults and issues related to acute bacterial meningitis in children and to chronic, recurrent, and aseptic meningitis are discussed separately. The clinical and laboratory features of acute bacterial meningitis in adults will be reviewed here. Bacterial meningitis reflects infection of the arachnoid mater and the CSF in both the subarachnoid space and the cerebral ventricles. ![]() The meninges consist of three parts: the pia, arachnoid, and dura maters ( figure 1). INTRODUCTION - Meningitis is an inflammatory disease of the leptomeninges, the tissues surrounding the brain and spinal cord, and is characterized by an abnormal number of white blood cells (WBCs) in the cerebrospinal fluid (CSF) in the majority of patients. ![]() IMVU is a 3D Avatar Social App that allows users to explore thousands of Virtual Worlds or Metaverse, create … Section 2 - Community Rules. The IMVU Web App is an HTML5 version of IMVU that will run in your web browser. *Must be 18+ years old to be eligible for this offer. There are also new options for map customization.Imvu ap pass free hack. They’ve released previously paid options and made them free for all players. There’s a new set of clothing options as well as unique accessories. In the latest update, the developers added a few new features. The IMVU site has all the details you need to get started, and the download is fast and simple. Overall, only a few issues are worth critiquing in a sea of many positive highlights. If there ever was an application with a smooth interface, easy-to-use set of features, and great customization, this is it. It runs well on an average piece of hardware, and the browser version is pretty limited. You don’t have to worry about losing any progress because it saves in the cloud and links to your account automatically. You can play IMVU on PC, Mac, and many browsers. ![]() You can unlock many different pieces of attire through free actions and over various periods. This is far from a pay-to-win title, however. It’s important to note, though, that there are quite a few options blocked behind a paywall. Different colors are available for fingernails, eyes, makeup, and lip gloss. It boasts an extensive set of skin colors, tattoos, earrings, glasses, hats, watches, wristbands, and more. This game has everything you need to stand out among other players. However, character customization doesn’t end there. For this, you can enter the marketplace and browse many different styles of attire.Ĭlothing is a hallmark of this title. The average person, however, will mostly set out to buy products. If you sign up for creators, you can design and sell your merchandise to other players for in-game currency. There’s an economy in this game for creators and interested buyers. This is a negative aspect of this title and definitely needs improvement. In fact, you have to click to specific locations and cannot roam freely. Where games like Roblox, a multiplayer game where you can socialize, have a common control scheme by keyboard, IMVU is limited to movement with a mouse. If you need to find someone, you can use the name checker. Your added contacts can join your private locations to avoid interruption from other players. These involve private and public locations. When you meet people that you enjoy conversing with, you can add them to your friend list. You zoom and pan around each area with your mouse and use configured or default hotkeys to quickly access different actions. You can move your character when you select these yellow dots. These are the focal point for player interaction. This title offers more freedom than most other games with its map creation and the ability to link emotes to them.Įvery room you can join has different locations that you can click on. This skips the paywall for free players, so they can join in on the fun. These emotes, dances, and chat options are available to all players. Rooms and interactionsĭifferent chat rooms contain unique player interactions. The possibilities are endless because players create many of these maps. ![]() You can fly through space, dance on the beaches of Ibiza, or share a special moment in a glamorous city while you spark friendly conversation with others. The variety is astounding, and they’re out of this world, both literally and figuratively. Your primary method of interaction is via chat rooms. Others appear in different areas you enter. The first two you can unlock are the high-five and handshake. However, you can sift through quirky emotes and poses for free. Many of these are locked behind microtransactions. Just like in Second Life, the gameplay revolves mostly around social interactions. ![]() Taking more of my orange and yellow I tried to blend my sky a bit more into the area closer to the area where the sun was going to be. I still had a number of patches on the canvas that I hadn’t totally covered that I needed to focus on first. In step 2, we want to refine our first layer a bit. Add Your Sun and Begin Refining Your Gradients So if at this stage of the painting it looks sloppy or you make a mistake that is something we can make better with each successive layer we add. Keep in mind with every successive layer and step we do the picture will become more refined and more into focus. I brought my water gradient up from the bottom of the painting making the area where the clouds meet the sun much darker. Next I mixed my Light Blue Permanent with a tad bit of Prism Violet to get the slight blue-purple color of the water. ![]() ![]() I started at the top with an orange-yellow mixture and brought the blend down into dark orange as it transitions over to the magenta area. Creating the bright orange sky reflecting the beautiful luminescence of the sunset. ![]() I decided to lay my painting out vertically and aimed for the top half of the painting to take up roughly 2/3’s of my surface. The basic layout and composition is the objective of this step. It doesn’t need to be perfect we just need to get a basic representation of our colors, shapes, and gradients. We are laying down the foundation of our painting. Start With Your Background Colorsįor the first step, we are just going to try and get the gradient and major areas of colors down on the canvas. It also may not be needed on other types of canvases that don’t quite have the depth of texture this one does. If you like the textures you get from the canvas for your painting or it’s just not something that bothers you at all then this step isn’t really needed. I likely would have been better off with 4 to 6 layers to get the smoother surface I wanted. I only did two layers of gesso but still had some difficulty getting the paint to flow across the canvas smoothly. Gesso is a primer one can use to add texture or in this case smooth it out. So I decided to use Liquitex Gesso to try and fill in some of that texture and smooth out the surface. It is far more coarse than most of the canvases that I have experienced painting on so far. Optional First Step: Apply Gessoįor the first step, I took on this painting I decided to prep my canvas with a few layers of gesso.Įven though the Blick canvas comes primed it has a very coarse texture to it. I also had to experiment with several additional reds later in Step 7 too. It wasn’t in the above picture because I didn’t realize I would want or need it. One thing I had to add to my palette once I got going was Primary Red. I don’t always use everything I think I am going to and sometimes I have to get other tools I didn’t know I would need. The gallery profile canvas has a thickness of 1.5 inches.Īs for my paint brushes I’m using different sized square headed brushes.Įvery time I start a new painting like this, especially when it is something I have never done before, I just gather up an approximation of what I think I might need or use to complete this image. That’s the beautiful thing about art! You as the creator have the choice of how you want to represent what you’re seeing.įor me, I want to get close to what we see in the picture in this one.įor my canvas, I’m using a 5″ x 7″ gallery profile canvas from Blick Art Supplies. It’s totally fine if it isn’t perfectly accurate. If you are going to use the same one as in this example just try to select a palette of colors as close to what you see here as you can.įor our paints we have today, from left to right we have all Liquitex Basics paints of: The colors you will need for your painting depend on the reference you are using. How To Paint a Campfire With a Soft Glow.How To Paint Water (A Step by Step Guide).How To Paint a City Skyline (Textured and Abstract Style!).How To Paint A Galaxy (Easy Step by Step Guide).I wasn’t able to figure out who the photographer was but the image is used on full wall sticker murals which is what the company Stickerbrand sells.īefore we dive into the steps I took to create my painting lets look at the colors and tools used first. For this example, I will be using this photo here.Īfter finding it on Pinterest I tried to figure out its source to make sure I was giving credit where it is due but it originally comes from a company called Stickerbrand. I generally go to Pinterest when looking for a reference to use. Look for a simple photo or image of a sun setting on a watery foreground. We can do a mountain sunset, a beach sunset, or even a desert sunset!įor this painting lets do an ocean sunset. ![]()
![]() They were not only investigating sexual harassment claims, but also his handling of COVID-19 in nursing homes, allegations related to the use of state resources in connection with Cuomo's memoir and other issues. The Judiciary Committee had announced Monday that their impeachment inquiry would be wrapping up soon. The three-term Democratic governor's decision, which will take effect in two weeks, was announced Tuesday as momentum built in the Legislature to remove him by impeachment.Ī majority of the New York Assembly, once filled with Cuomo's allies, supported impeaching the governor, according to a count by the Associated Press. Cuomo says he will resign over a barrage of sexual harassment allegations. Andrew Cuomo prepares to board a helicopter after announcing his resignation, Tuesday, Aug. Cuomo's top adviser, Melissa DeRosa, who was mentioned more than 180 times in the report, resigned Sunday night. Lieutenant Governor Kathy Hochul will take over.Ĭuomo's announcement came one week after state Attorney General Letitia James announced the findings of her investigation into claims of sexual harassment and a toxic work environment against him. "I think that given the circumstances, the best way I can help now is if I step aside and let government get back to governing," Cuomo said in a speech. Cuomo, who gained national prominence during the COVID-19 pandemic, had been accused in a report by the state attorney general of sexually harassing 11 women, including staffers as well as people who did not work for his administration. New York Governor Andrew Cuomo announced his resignation Tuesday after more than a decade in office as the state legislature pursued an impeachment inquiry and amid sexual harassment allegations. ![]() ![]() Simply set up each controller and battery bank as an independent system. You will have the added expense of the extra controller(s) and you still cannot combine the output of the batteries to power the same load. Each controller can be set up for a particular type of battery. Unfortunately, one of the outputs is only a 1 amp float charge.įor all practical purposes, the only way to have a system where different battery banks are always connected to a controller is to have more than one controller. I did find one controller with dual output, designed for marine applications. I looked all over the internet and could not find any controller that fit this “unicorn” criteria. Wouldn’t it be great if there was a charge controller with two separate outputs? Preferably, these outputs could be user-configured to different battery types. Only one battery bank can be charged at a time.Cannot mix different types of batteries without reconfiguring charge controller every time the load is transferred.No automatic switching between battery sets load must be transferred manually.Requires no extra electronics or hardware other than the physical switches.Battery Isolators, Separators, and Combiners. Furthermore, only one bank can be charged at a time. Unless your controller has an easy way to change the battery type (and you always remember to change the setting when you switch banks), you can’t mix different battery chemistries using this method. Because each battery type has different charge voltages, the controller must be set internally for the battery type you plan to use. It only works if the batteries in each bank are the same type (AGM, lithium, flooded, etc.). This method allows the user to select which battery will charge and which battery will power the load. After that, you can manually select which set of batteries you want to use. The cheapest and easiest method of incorporating various batteries is to simply place a single pole, double throw (SPDT) switch between the batteries and the load, and another SPDT switch between the controller and the batteries. None of them are perfect, but one of these should get you close. But how can you do that without altering or messing up the battery system you already have? Battery isolators, separators, and combiners are a few options. That’s what happened to me.Īt some point in your obsession, you’ll likely want to expand battery capacity. Next thing you know, you’re adding more and more until you have what looks like the progeny of a NASA satellite and doomsday prepper outpost. I’m not too serious about this,” thinking that’s as far as you’ll ever go. You tell yourself, “I’ll get a modest battery and solar panel and just fool around a little bit. Off grid ham radio has an addictive quality about it. When you want to expand your battery capacity. ![]() This 4ft Christmas Gnome Inflatable is a great way to add some holiday cheer to your home or yard. It is also easy to set up, as it comes with everything you need to get it up and running. It is child safe, as it is made of non-toxic materials and meet US safety standards. This Joiedomi Christmas Inflatable is a great decoration for your yard this holiday season. It’s also a great party favor or prop for a classroom holiday decoration. This inflatable decoration is perfect for Christmas! It’s a 5 ft dinosaur that self-inflates and has LED lights, making it a giant and impressive decoration for your yard, garden, or Christmas event. ![]() It is made of superior quality materials and comes with a deluxe set of accessories. Joiedomi Christmas Inflatable Decoration 5 ft Dinosaur Self Inflatable LED Light Up Giant Christmas Blow Up Yard D cor for Xmas Holiday Indoor Outdoor Garden Party Favor Supplies is a very easy to use decoration that pops up in a minute. They light up in the evening, making it the perfect addition to your Christmas decor. The LED swirling lights built inside this inflatable decoration are sure to be a hit with your neighbors and guests. Plus, the LED lights will make it really stand out at night. It also has two fasten ropes and four ground stakes for stability. This inflatable dinosaur decoration is perfect for adding some holiday cheer to your yard! The giant dino is 5 feet tall and is adorned with a Christmas hat and gift. Joiedomi Christmas Inflatable Decoration 5 ft Dinosaur Self Inflatable LED Light Up Giant Christmas Blow Up Yard Décor for Xmas Holiday Indoor/Outdoor Garden Party Favor Supplies The BESTOYARD Christmas Gnome is a Swedish Scandinavian Santa Tomte Nisse, and is a perfect addition to any table, desk, bookshelf, sofa, or dining table.Ģ. This unique decoration is perfect for adding a touch of Christmas cheer to any home. His cute little face and plump body are sure to bring a smile to everyone who sees him. His red suit and white beard are traditional Swedish Scandinavian Santa Tomte Nisse. He is also the perfect holiday gift to family or friends. This Gnome is the perfect addition to any festive table or shop window decoration in Christmas. Additionally, its great craftsmanship makes it a perfect decoration for your home this holiday season. This Christmas gnome is made of top-class and safe materials, making it ultra soft and fluffy. Place him on your mantel, shelf, or table and enjoy his holiday cheer all season long. ![]() His red hat and coat are festive and cheerful, and his white beard is soft and fuzzy. Traditionalist and perfect for spreading holiday spirit, this little gnome is sure to bring a smile to everyone who sees him. This holiday season, add a little extra cheer to your home with this adorable plush gnome. He is made of plush red fabric and is about 9″ tall. This Gnome is perfect for Christmas decoration! He is a Scandinavian Santa Tomte or Nisse, and is very well made. ![]() Some of his most striking word choices are simply crackpot-science technical terms, the precise meaning of which has been forgotten, e.g., the word “electric” in I Sing the Body Electric refers to Mesmeric animal magnetism. Walt Whitman, who was (and meant to be) the archetypal American, embraced every kook ideology available, from Phrenology to Spiritism. To be frank, Americans find spiritual and philosophical fads irresistible, always have. Suzuki, became the foremost popularizer of Zen in America.Īmerica has always been a welcoming refuge and tolerant home for new and peculiar religions. Most momentously present was Soyen Shoku, a Japanese Zen master, whose disciple, D. This idealistic prototype of all succeeding global interfaith dialogues included luminaries on the order of Swami Vivekananda (for Hinduism) and Mary Baker Eddy the founder of Christian Science. Brown, an Illinois judge and ardent Swedenborgian. In 1893, Chicago held the first World’s Fair, which included a World Parliament of Religions, the brainchild of Charles C. How it was that Allen ended up buying into, then pushing, with a proselyte’s zeal, a sanitized, simplified and considerably less than candid version of Buddhism, is worth a short excursus. Even in its most austere Theravada form, Buddhism is still a Hindu heresy with a metaphysical back-story which is richly mythological. These highly practiced exporters of their faith easily arrived at the best way to present their creed to secularized westerners. Buddhism has been a proselytizing religion for a millennium and a half. Allen’s Buddhism didn’t register with me as religious, since he himself presented it as a non-theistic philosophy. The heart rate increases when the body needs more blood, such as during intense exercise. Electrical impulses within the heart help ensure that it beats with a consistent rhythm and proper rate. The heart also has an electrical system within. It works with the lungs to add oxygen to blood and pump this freshly oxygenated blood through the blood vessels and around the body. The heart is the most important organ of the circulatory system, which helps deliver blood to the body. The corpus callosum connects these two hemispheres. The brain’s two halves are called the right and left hemispheres. ![]() The temporal lobes: Located on either side of the brain, the temporal lobes play a role in numerous functions, including speech, scent recognition, and short-term memory.The occipital lobes: Positioned near the back of the brain, the occipital lobe primarily interprets vision signals.It also helps the brain interpret smells. It plays a role in many conscious functions, including personality and movement. The frontal lobe: The frontal lobe, which is located in the front of the head, is the largest section of the brain.It also plays a role in interpreting pain and touch signals. The parietal lobe: Situated in the middle of the brain, the parietal lobe supports the identification of objects and spatial reasoning.It also sends messages to and from the brain. ![]() The spinal cord: Extended from the base of the brain and down the center of the back, the spinal cord helps with many automatic functions, such as reflexes.The pons: Located above the medulla in the brainstem, this area helps control eye and facial movement.It helps control heart and lung function. The medulla: This is the lowest part of the brainstem.The major areas of the central nervous system include: Within these areas, there are several key components of the brain that, together with the spinal cord, comprise the central nervous system. The brain is made up of three main subparts: the cerebrum, the cerebellum, and the brainstem. Over time, they have identified numerous parts of the brain, including systems within the brain that function similarly to independent organs. Neurologists are doctors who study the nervous system. The skull encloses the brain, protecting it from injury. It forms the core of the central nervous system by creating, sending, and processing nerve impulses, thoughts, emotions, physical sensations, and more. The sections below will look at the five vital organs in more detail. ![]() That said, in the case of the paired kidneys and lungs, a person can live without one of the pair. It is not possible to live without these organs. A problem with any of these organs can quickly become life threatening. The vital organs are those that a person needs to survive. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |