![]() ![]() Native Area: Eastern USA, excluding Texas and Florida, plus southeastern Canada from Ontario east to New BrunswickĪverage Size at Maturity: 50 – 80 (to 100) ft tall, 35 – 50 ft spreadĪvailable at: Nature Hills & Fast-Growing-Trees Its smooth gray bark becomes irregularly grooved and shaggy as it matures. It is sometimes mistaken for Red Maple when it has 5-lobed leaves, but the Silver Maple has very deeply cut leaf lobes that are very sharply acuminate compared to the very shallow acuminate lobes of the Red Maple. Identifying Features: Silver Maple has a unique silver color on the underside of its leaves that makes it easy to distinguish it from all other maples. Other Common Names: Creek Maple, Silverleaf Maple, Soft Maple, Water Maple, Swamp Maple, White Maple It should not be planted too close to a sidewalk, road, foundation, etc. It used to frequently be used as a street tree because of its tolerance, but it has shallow roots that can be aggressive. It does not grow in full shade, preferring full sun or part shade. It is a fast-growing and highly adaptable tree that tolerates various soils, climates, water, and urban conditions. Image by Renee Mcgurk – Silver Maple, CC BY 2.0 However, it becomes very rare a little north of Vancouver, British Columbia.Īverage Size at Maturity: 40 – 75 (to 158) ft tall, 30 – 50(to 104) ft spread Native Area: The Pacific Northwest from the southeastern tip of Alaska south to San Diego, California. It has a very thick trunk with furrowed gray bark that is usually heavily covered with moss and other epiphytes. ![]() Identifying Features: The Bigleaf Maple’s 6 – 12 (up to 24)” deeply 5-lobed palmate leaves make it very easy to identify as no other maple trees have such large leaves. Other Common Names: Oregon Maple, Broadleaf Maple They turn beautiful shades of gold and yellow in the fall, creating a spectacular sight in the forest. Its huge leaves are 6 – 12” (up to 24”) across and have five deeply cut palmate lobes that typically each have 1-2 lobes or lobules of their own. ![]() Usually, however, they only reach about 75 ft tall. It grows well in full sun or partial shade.īigleaf Maple is our largest maple, with the largest specimens reaching 158 ft tall and a trunk diameter of 12 ft. It is native to the Pacific Northwest, where it grows at low to middle elevations in riparian areas and open mixed or coniferous forests within 190 miles of the coastline. It is a large, beautiful tree with huge leaves, and it is always covered with an array of epiphytic mosses, clubmoss, lichens, and ferns. To say that Bigleaf Mapleis an impressive tree would be putting it mildly. Occasionally maple leaf margins are entire, without any teeth at all. If the tooth cuts less than ¼ of the distance to the midvein, it is a large tooth. If the distance it cuts is more than ¼ of the distance to the midvein, it is a lobule. The distinction between a large tooth and a lobule is a bit more subjective but follows a 25% rule. Another way to look at it is that in palmate leaves, a lobe typically has a main vein running to it, while a lobule typically does not. A lobule is different from a lobe because a lobule is a projection of a lobe rather than a stand-alone feature. In many maples, the teeth become so large they are often referred to as lobules meaning small lobes. Sometimes the teeth are almost crenate (rounded-toothed, smooth, not jagged or sharp) or crenate-serrate, where they are somewhere in between. Sometimes they are double-serrated, where the teeth have teeth of their own. The teeth can be very small or fine, or often they are widely spaced and large. Maple leaves are often serrated with sharp, jagged saw-like teeth. Identifying Maple Trees by Their Leaf Margins ![]()
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I sat at the table when we were first talking about doing the deals with Netflix and when Hulu was being created, as a joint venture. I was able to kind of keep worming my way through, always focused on. And so I was able to worm myself through the entire organization on the film side, on the TV side, digital, you know, I, I worked in our mobile company. So I was really interested in how technology was going to potentially change. ,so I got in through the business development group at 20th century Fox, Like, I didn't know how to get myself in there. So, um, that definitely dates me to back in the early days of the internet, but it ties into this story because I went to 20th century Fox, not thinking that I was going to be an entertainment executive, because I think if I had wanted to work at a film studio, when I was in business school, I would not have been able to do it. ![]() ![]() ![]() If you want to tell your children the story of ladybug and cat noir characters, you can do it more fun-lovingly and creatively by asking them to color in this free sheet. No doubt, it is the best warrior cat character, and almost all kids know about it. Free Ladybug and Cat Noir Coloring Pagesĭo you know about cat Noir? If not, your baby will surely know about this character. Ideally, you can choose from different images and sheets according to your kid’s interests. Moreover, it will also help improve your child’s motor and motion skills without investing a lot of time and effort. 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This is unusual because in typical flutter the flutter waves are seen well in inferior leads (compare the image below). In inferior leads the flutter waves appear more like usual P waves. doi: 10.3122/jabfm.Atypical atrial flutter Atypical atrial flutter with 2:1 conductionįlutter waves are seen well in leads I,aVL, aVR and V1. ![]() J Am Board Fam Med January-February 2011 vol. Safety and Efficacy of Ibutilide in Cardioversion of Atrial Flutter and Fibrillation. Clinical Approach to Atrial Tachycardia and Atrial Flutter From an Understanding of the Mechanisms. Task Force on Practice Guidelines and the Heart Rhythm Society. 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. In our website we have a CHA 2DS 2-VASc score calculator available to help you assess the need for Anticoagulant treatment in patients with atrial flutter or atrial fibrillation.Īfter catheter ablation, anticoagulation treatment can be suspended after 4-6 weeks if the patient continues in sinus rhythm. However, chronic anticoagulation treatment is recommended following the same guidelines as with atrial fibrillation patients 1 2. Stroke risk associated to atrial flutter is slightly lower than that of atrial fibrillation. This is a procedure that causes the interruption of the macro-reentry cycle, and has high success rates and few medical complications. The definitive typical flutter treatment is the cavotricuspid isthmus catheter ablation. Options for acute, stable patients include heart rate control treatment with beta-blockers or verapamil. The most effective flutter treatment is electrical cardioversion, although it is usually used during acute episodes in patients with hemodynamic instability. Ibutilide is the most efficient antiarrhythmic drug for the cardioversion of atrial flutter in 80% of cases, but there is up to a 4% risk of torsades de pointes and a 4.9% risk of monomorphic ventricular tachycardia, so it is necessary to monitor the patient during administration 4. Pharmacotherapy to revert flutter back to sinus rhythm is not very effective.įurthermore, antiarrhythmic treatments class I can slow down atrial rates and therefore prompt 1:1 atrioventricular conduction, causing very high ventricular rates (200 bpm or higher) and clinical manifestations similar to those of ventricular tachycardia. It is less common than typical atrial flutter and even though it is also caused by a macro-reentry mechanism, this is produced in different structures as those described in the typical atrial flutter.Ītypical atrial flutter have less clear causes, sometimes secondary to previous heart surgery or atrial ablation procedures.Įlectrocardiographically it is more difficult to classify since heart rate is more variable and “saw-tooth” waves are not clearly shown. Positive flutter waves in lead II Atypical Atrial Flutter Also, it usually causes undulations of the isoelectrical segments, acting as a diagnostic aid in high heart rates. It is usually visualised between the T wave and the following QRS complex. Its main feature is a slow descending start, followed by a fast descending phase turning into a fast rise, finishing above the isoelectric line while connecting with the beginning of the following wave (creating thus the “saw-teeth” shape) 3. ![]() It owns its name to its morphology in the EKG leads where it is predominantly negative. ![]() This wave is characteristic of the atrial flutter, especially recognisable in the typical atrial flutter (see below). As such, it can be mistaken for atrial fibrillation, but it is differentiated by the “saw-tooth” waves. In certain cases, it is arrhythmic and the conduction may be variable. The QRS complex is narrow, except with previous bundle branch blocks or aberrant conduction ( Ashman phenomenon). There are no existing P waves, although atrial waves with “saw-tooth” pattern are spotted with rates around 300 bpm. Atrial flutter is distinguishable on the electrocardiogram because it is a rhythmic tachycardia with heart rates that are divisors of 300 bpm, 150 bpm being the most frequent in untreated patients (AV conduction ratio 2:1). ![]() 8/4/2023 0 Comments Origami risk tv![]() ![]() Manu Prakash: Our vision is that every kid in the world should grow up with a microscope in his pocket and the entire world of micro-cosmos to explore. How important is it to Foldscope to give children the scientific tools from an early age and how do you think you can contribute to the teaching of science in schools and at home? This led me into the back garden with jam jars and a magnifying glass in hand to see what other wonders I could find. I remember getting a microscope one Christmas with preloaded slides of insect legs and being blown away with the intrinsic detail at such a microscopic level. Me: From a very young age I had a great interest in all things scientific. I asked Professor Prakash his thoughts on a few aspects of the project: The possibility of a universal “microscope for every child” programme which could foster a deep interest in science from an early age and the global benefits of disease-specific Foldscopes to diagnose the billion people in risk of malaria and other deadly diseases two very good reasons why this project should be big news in the coming years. Disease-specific Foldscopes can increase the availability and amount of microscopy diagnosis carried-out in field testing. A 2012 report in the American Journal of Tropical Medicine and Hygiene, entitled How do we best diagnose Malaria in Africa?, notes “The gold standard test for the diagnosis of malaria is microscopy… microscopy is often unavailable, especially in rural settings”. There are about 10,000 malaria cases per year in Western Europe, and 1300–1500 in the United States. ![]() About 125 million pregnant women are at risk of infection each year in Sub-Saharan Africa, maternal malaria is associated with up to 200,000 estimated infant deaths yearly. Malaria alone causes over one million deaths a year and affects over one billion people, mostly in the developing countries around the tropical belt. What if every child had access to low-cost, durable microscopes from an early age, how many more young people would we have with an interest in science? The more scientists, the better I say. and Ireland) will go through their entire school experience without using a microscope. 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Manu Prakash, Jim Cybulski and their team have created something I think can really change the world for the better. I came across the video below as I delved into a TED Talks binge (which I highly recommend when seeking daily inspiration) and I was immediately blown away by the concept and plan Professor Manu Prakash and his team presented.īy combining principles of optical design with origami Prof. The idea of an origami microscope may seem completely bonkers but the inspired research team in Prakash Lab in Stanford University, California have made this insane concept a reality. ![]() 8/4/2023 0 Comments Tomtom home download free![]() ![]() Supported OS: Windows 11, Windows 10, Windows 8. 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