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Unlike verbal communication, nonverbal communication doesn’t have explicit rules of grammar that bring structure, order, and agreed upon patterns of usage.

It is our collective agreement that gives power to the rules that govern language.

Colonies.png Identify the corresponding colonies labeled 4 & 9 on this map and select the correct option below. 

A 30-year-old male presents to the ED with complaints of shortness of breath and chest pain that began after taking a  minor fall off of his bike. The symptoms have been persistent for the past 3 hours. Pain is increased with inspiration. He denies any constitutional symptoms of fever, cough, chills, or sick contacts. He is an avid biker and rides on a daily basis and did not consider this fall as significant. Additionally he does smoke ½ -pack of cigarettes per day.On physical exam he is tachypneic, with respiratory rate of 30, 94% saturation on room air. Ecchymosis present on left lateral ribs. Breath sounds are decreased in the left lung fields, and there is hyperresonance to percussion. The AG-ACNP obtains a chest x-ray (see the following x-ray): What is the diagnosis?

The patient with the above rhythm suddenly collapsed and is responding poorly.  The patient has a weak carotid pulse. A cardiac monitor, oxygen and an intravenous line have been initiated. The code cart with all drugs and transcutaneous pacer is immediately available. Which one of the following treatments would NOT be appropriate? 

In 1542, __________________, in his book The Destruction of the Indies, chronicled the awful fate of the Native Americans and protested the Spanish policies in the New World.“And once they begin to hear the tidings of the Faith, they are so insistent on knowing more and on taking the sacraments of the Church and on observing the divine cult that, truly, the missionaries who are here need to be endowed by God with great patience in order to cope with such eagerness…Yet into this sheepfold, into this land of meek outcasts there came some Spaniards who immediately behaved like ravening wild beasts, wolves, tigers, or lions that had been starved for many days…”

Treatment goals for all patients with orthostatic hypotension include all of the following EXCEPT:

A patient has sinus bradycardia with at heart rate of 36/min. Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which therapy is now indicated?

“After God had carried us safe to New England, and wee had builded our houses, provided necessaries for our livelihood, rear’d convenient places for Gods worship, and settled the Civil Government: One of the next things we longed for, and looked after was to advance Learning, and perpetuate it to Posterity; dreading to leave an illiterate Ministery to the Churches, when our present Ministers shall lie in the Dust. And wee were thinking and consulting how to effect this great Work; it pleased God to stir up the heart of one Mr. Harvard…”Based on the excerpt above, which is the best conclusion regarding education in New England, 1643.

The financial means for England’s first permanent colony in America were provided by