Behind the Scenes of the Nutcracker Ballet: The Transformation -
Clara is too excited to sleep as she recalls the evening’s party and her Nutcracker left under the Christmas tree. She sneaks back to the living room to find him and falls asleep on the sofa. With the house quiet, the mice begin to appear. The clock strikes midnight and the mice have their own party. Clara awakens to find her living room filled with mice! Drosselmeier appears to rescue Clara and he magically makes the house and the Christmas tree grow. He then grants Clara’s wish for a life-size Nutcracker, and her Nutcracker Prince appears. Pictured here is NEAD student, Elizabeth Cheng as Little Clara in NEAD’s production of the Nutcracker. #balletdreams #littleballerina #nutcracker #nutcrackerballet #mouseking #littleclara #clara #pa
##battlescene #scary #midnight @ballet_by_sarah
Interpreting an ECG strip can be one of the most intimidating activities that any professional dealing with telemetry patients has to perform.
Being able to first recognize normal sinus rhythm (NSR) and the underlying normal cardiac activity is essential to being able to further interpret the abnormals. I think of it like this, if you understand the normals, then anything abnormal will smack you in the face right away when you see it.
In the picture above, you’ll see a print out of an ECG that I performed on myself in standard monitoring lead II. Let’s break it down...
The 𝐏-𝐰𝐚𝐯𝐞 is the first wave seen on an ECG strip. It represents depolarization of the sinoatrial (SA) node. It is often upright in lead II and less than 2.5mm in amplitude (2-1/2 small boxes in height).
The 𝐏𝐑 𝐢𝐧𝐭𝐞𝐫𝐯𝐚𝐥 is a time measurement from the beginning of the P-wave to the beginning of the QRS complex. It is normally flat and between 0.12 and 0.20 seconds (3-5 small boxes). It represents the impulse delay at the AV node before transmission to the ventricles. It should be consistent in length with each consecutive heart beat.
The 𝐐𝐑𝐒 𝐜𝐨𝐦𝐩𝐥𝐞𝐱 consists of three reflections from the baseline. The first is the Q-wave, which is negative (not always seen). The second is the R-wave, the tall positive deflection; and the third is the S-wave, the negative deflection. The QRS represents ventricular depolarization. The QRS complex should be less than 0.10 seconds in length (2.5 small boxes).
The 𝐑-𝐑 𝐢𝐧𝐭𝐞𝐫𝐯𝐚𝐥 is the measurement of one R-wave to the next R-wave. This will give you the heart rate.
The 𝐒𝐓 𝐬𝐞𝐠𝐦𝐞𝐧𝐭 is the flat line following the S-wave. This should be isoelectric (flat).
The 𝐓-𝐰𝐚𝐯𝐞 represents repolarization of the ventricles and should be upright in lead II.
Learn more at 𝙍𝙮𝙖𝙣𝙎𝙞𝙡𝙫𝙚𝙧𝙩𝙝𝙤𝙧𝙣.𝙘𝙤𝙢
#ecg #ekg #nurse #nurses #rn #nursingstudents #nursingstudent #nursing #nursingschool #nursesofinstagram #criticalcare #studentnurse #doctor #pa #medicalstudent #medicine
“If you look at all the living beings in this world, the most loving and compassionate animal is the cow. They give and give and give.”
To Sankar Sastri, to give back to the world by saving such animals from slaughter was the plausible step in his life following a comfortable 28-year stint as a New York City professor.
To do that, the 78-year-old devout Hindu traded his city life for the farm by forming a 90-acre sanctuary north of Allentown. His hope is to continue to provide a safe space for these giving animals.
Cows are also sacred in the Hindu religion and for Sastri helping these animals gave him a new purpose in life and a way to increase his karma..
“The Hindu philosophy says whatever karma you have done in the past, in this life, follows you.”
Head to philly.com to learn how Sastri runs his sanctuary and how he hopes his ongoing efforts will raise money to improve the quality of life for his beloved animals.
Photo by Rich Shultz / Staff #cows #cow #animal #farm #farmlife #pa #sanctuary #indian #hindu #religion
Have you been in to get your taste of Hairy Johns IPA yet?
Yes, he's back and our bold, aggressively hopped big American IPA is only available at Elk Creek.
What like it’s hard? Jk. The PANCE was no joke. NOW LIVE on the BLOG: How I passed, study resources, test day tips. ▶️LinkinBio. Let me know if it helps!
🔸Look up the testing center yelp reviews before booking the exam. I read reviews for one testing center that had power surge problems on multiple occasions. This meant rescheduling the test day. Uhh, no thanks to that headache!
🔹...I attempted to recreate the exam as much as possible...this meant..NO access to phone, music/headphones, snacks, coffee/water during a 60 min practice block
🔸 DO NOT RELY ON WORD ASSOCIATION for studying. A patient will not come in and say...I have “a strawberry tongue.” Lol. But seriously, memorizing word associations for diseases in clinical practice is not realistic. It isn’t realistic for any exams either!
🔹Breaks are just as important as studying. Don't burn yourself out in the first couple of weeks 😊
#PA #medicine #pance #boardexams #PAstudent #PPP #whitecoat #PAschoollife #prePA #physicianassociate #PAlife #womeninmedicine #medblog #jaanuu #whitecoatdreams #prePAclub
A Car Pricho oferece ao beneficiário MasterClin desconto de 10%. 📍Unidade: Avenida Dionisio Bentes, s/n, Quatro Bocas, Tomé-Açu - PA.
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Starting a new journey today as a consultant for @beautycounter.
Promoting better beauty as a makeup artist is amazing as skin is very important and to be able to promote and apply products that are safer for you and still look amazing is a dream!
Check out my bio for the link to my website where you can find all my info as well as a link to beautycounter products! .
#makeup #makeupartist #betterbeauty
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