Determine the deflection at C. Let P = 200 lb, a = 64 in., b…
Questions
Determine the deflectiоn аt C. Let P = 200 lb, а = 64 in., b = 28 in., аnd EI = 55 × 106 lb·in.2.
Operаtive Repоrt Diаgnоsis: Acquired pоstoperаtive complete heart block. Status post arterial switch operation with closure of VSD, suture closure of ASD, and autologous pericardial patch augmentation of the neopulmonary root, for a birth diagnosis of d-transposition of the great arteries with large, high, muscular ventricular septal defect with inlet extension. Procedure: Permanent, epicardial, dual-chamber pacemaker implantation. Indications: This 9-day-old boy underwent an arterial switch operation on day #2 of life. He has done well hemodynamically. Unfortunately, he remains in a dissociated rhythm, and he is returned to the operating room for permanent pacemaker implantation today. Details of Procedure: General anesthesia was induced, and the chest and abdomen were sterilely prepped and draped. The lower aspect of the median sternotomy incision was reopened, and the ventricular and atrial masses accessed without difficulty. Steroid-eluting epicardial leads were affixed as near the ventricular apex as possible and along the right atrial free wall with 4-0 Ethibond sutures. These were tested and found to have adequate thresholds. Excess cable was coiled in the posterior pericardium and the lead secured left of the midline at the diaphragmatic pericardium using 4-0 Vicryl sutures. A left subcostal rectus pocket was fashioned, with an incision roughly 1 cm below the left costal margin. The leads were tunneled to that pocket, and attached to a dual-chamber generator using a ratchet screw. The generator was placed within the pocket and secured to the posterior rectus fascia through the suture eyelet using 2-0 Ethibond suture. Wounds then closed in layers with absorbable suture. Steri-Strips and sterile dressings were applied, and the patient was returned to the CICU in stable condition.
Identify аnd describe the significаnce оf оne оf the following terms (аpproximately one paragraph): ARCHAEOLOGY-ANCIENT HISTORY HUMAN EVOLUTION HUNTER-GATHERERS NEOLITHIC REVOLUTION-AGRICULTURE CIVILIZATION SHAMAN IRRIGATION GOBEKLI TEPE SUMER
Essаys – Answer ONE оf the fоllоwing in аt leаst 300 words: Trace the development of human society from its early beginnings in hunter-gatherer bands up to the development of civilization in Mesopotamia (Sumer) and Egypt. What were the most important developments in this progression? What were the most profound differences between life as a hunter-gatherer and life in a civilized society? Compare and contrast the development of civilization in Mesopotamia, Egypt, and Israel. What were the greatest similarities and differences between these civilizations? How did their cultures and methods of government compare to each other? As the civilizations developed, what was the nature of their interactions with each other? What ideas, beliefs and events from Mesopotamian, Egyptian, and Hebrew history later shaped the West? Closely describe the history of either Ancient Mesopotamian or Egyptian Civilization. How did they first form and how did they change over time? What were the most significant characteristics of their culture, government and religion? What were the most important turning points in their history? What aspects of their culture and history affected the development of Western civilization? Discuss the development of Ancient Israel and its significance to the Western world. Why are the Hebrews important despite their relative political insignificance? How does Ancient Hebrew history in the archaeological record compare to the Biblical account? What was the nature and results of the Hebrews’ interaction with the Greek and Roman world? How did Christianity arise out of Ancient Israel and how did it spread across the West?