Podcasts about 0C

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Best podcasts about 0C

Latest podcast episodes about 0C

Acilci.Net Podcast
Pediatrik MIS-C ve COVİD-19

Acilci.Net Podcast

Play Episode Listen Later May 12, 2021 7:26


Nisan 2020’nin sonlarına doğru pek çok ülkede çocuklarda COVID19 ilişkili bir multisistem inflamatuar sendrom (MIS-C) geliştiği bildirilmiştir. COVID- 19’a bağlı olarak çocuklarda gelişen MIS-C COVID-19 ile ilişkili nadir ancak ciddi bir durumdur. MIS-C’nin kazanılmış bağışıklığın anormal gelişimi ile enfeksiyöz bir bağışıklık reaksiyonu mu yoksa yeni bir hastalık mı olduğu bilinmemektedir.​1​ MIS-C’nin klinik özellikleri toksik şok sendromuna benzer olabilir. Bunlar arasında sürekli ateş, hipotansiyon, gastrointestinal semptomlar, döküntü, miyokardit ve artmış inflamasyonla ilişkili laboratuvar bulguları bulunur; solunum semptomları her olguda olmayabilir. Centers for Disease Control and Prevention (CDC)’ nin çocuklarda MIS-C tanımlama kriterleri Tablo 1’de görülmektedir. Spesifik MIS-C tedavisi pediatrik enfeksiyon, kardiyoloji, romatolog, yoğun bakım uzmanlarının bulunduğu multidisipliner bir ekip tarafından yürütülmelidir.​2–5​ Tablo 1 MIS-C tanımlama kriterleri Tüm 4 kriter karşılanmalıdır1.Yaş 24 saat boyunca 38,0 0C olması veya ≥24 saat süren sübjektif ateş olması b. Enflamasyonun laboratuvar kanıtıAşağıdakilerden herhangi birini içeren, ancak bunlarla sınırlı olmayan:Yüksek CRPYüksek ESRYüksek fibrinojenYüksek prokalsitoninYüksek D-dimerYüksek ferritinYüksek LDHYüksek IL-6 seviyesiNötrofiliLenfositopeniHipoalbüminemi c. Hastanede yatış gerektiren ciddi hastalık d. Çoklu sistemli tutulumu2 veya daha fazla organ sistem tutulumu:Kardiyovasküler (örn. şok, yüksek troponin, yüksek BNP, anormal ekokardiyogram, aritmi)Solunum (örn. pnömoni, ARDS, pulmoner emboli)Böbrek (örn. Akut böbrek hasarı, böbrek yetmezliği)Nörolojik (örn. nöbet, aseptik menenjit)Hematolojik (örn. koagülopati)Gastrointestinal (örn., karaciğer enzimlerinde yükselme, ishal, ileus, gastrointestinal kanama)Dermatolojik (örn. eritrodermi, mukozit, diğer döküntüler)3. Klinik tabloyu izah edebilir tanı olmaması4. Yakın zamanda veya güncel SARS-CoV-2 enfeksiyonu veya temas öyküsü varlığıAşağıdakilerden herhangi biri:Pozitif SARS-CoV2 RT-PCRPozitif serolojiPozitif antijen testiSemptomların başlamasından önceki 4 hafta içinde COVID-19 teması Tedavi Yaklaşımları Hastanın son üç ay içerisinde antibiyotik kullanım hikayesi ve altta yatan  bir başka hastalığının varlığına göre değişebilmekle birlikte, seftriakson, vankomisin başlanılmalıdır. Vankomisin yerine klindamisin de bölgenin özelliklerine göre tercih edilebilir. MIS-C olgularında miyokard tutulumu yüksek oranda bildirildiğinden kardiyak enzimler, EKG ve ekokardiyografik inceleme ile birlikte kardiyak monitörizasyon tedavinin kilit noktasını oluşturur. Sıvı ve elektrolit desteği yapılırken eşlik edebilecek miyokardit tablosu göz önüne alınarak sıvı resüsitasyonunda dikkatli olunmalıdır. Literatürde yine adolesan yaş grubunda solunum dışı semptomlar ile başvurup hızlıca MIS-C klinik ve laboratuvar bulguları geliştiren olguda IL-1 reseptör antagonisti (anakinra) tedavisi ile başarılı sonuç bildirilmiştir . COVID-19 sitokin fırtınasında klinik çalışmaların çoğu IL-6 blokajını araştırmasına rağmen, nötropeni, karaciğer enzimi yükselmesi ve hipertrigliseridemi gibi yan etkilerin daha az görüldüğü anakinra tedavisinin tercih edildiği belirtilmiştir.​6​ Hemodinamik olarak stabil olmayan MIS-C’li hastalarda sistemik antiinflamatuvar tedaviyi (örn. yüksek doz steroidler) düşünün. İmmünomodülasyon (örn., Tocilizumab veya IL-1 reseptör antagonisti [Anakinra] gibi hedeflenmiş IL-6 antagonistleri) hiperferritinemi ve trombositopeni ve IL-6 ve IL-1β dahil olmak üzere birçok sitokinin hiperekspresyonu olan hastalarda ile sınırlı kalmalıdır. Literatürde tocilizumab ile invaziv mekanik ventilasyon ve ölüm oranlarının azaldığını bildiren erişkin vaka serileri mevcuttur. ​7,8​ Konvelasan plazma Ağır hastalarda konvelasan plazma transfüzyonunun yararlı olabileceği düşünülmektedir.

Düş Ayracı
Koca Bebek Jüpiter!

Düş Ayracı

Play Episode Listen Later Dec 30, 2019 4:42


Güneşe uzaklığı bakımından 5. gezegeni sizlerle tanıştıralım. onun tam tamına 67 uydusu var. Ve adını Roma Mitolojisine göre tanrıların tanrısı olarak bilinen Jupiterden alıyor… Yoğunluk bakımından daha düşük kategoride bulanan gezegen Hidrojen ve Helyumdan oluşuyor. gezegenin atmosferi çok değişken bir yapıya sahiptir. Akışkan bir yapıya sahip olduğu için; jüpiter kendi etrafında çok yüksek hızda dönmektedir.gezegenin yüksek hızda kendi etrafında dönmesi onun görünümünün net olmasına engel olmakla birlikte güneşten aldığı enerjinin yaklaşık 3 katını da yansıtmasına sebep olmaktadır.Gezegenin yoğunluğu su ile karşılaştırıldığında; suyun yaklaşık 1,33 katı olarak tanımlanabilir. güneş sisteminin en büyük gezegenlerinden birisi olarak bilinen bu gezegnin çekirdeğinin ise buz ve kaya kütlelerinden oluştuğu düşünülmektedir. Bu gizemli gezegenin Dünya ya olan uzaklığı 628.742.559 km (4,20 AU). Güneş’e olan uzaklığı (yörünge uzaklığı) ise 778.340.821 kilometredir (5,20 AU). bilinen tahmini Yüzey sıcaklığı ise -108 0C’dir. Koca bebek jüpiterin en dış tabakasında yaklaşık 20.000 km kalınlığında hidrojen tabakasının olduğu biliniyor. Ekvatoral çevresi 439.264 kilometredir, ekvator çapı ise 142.984 kilometre olarak hesaplanıyor. Bu koca gezegenin hacminin dünyanın 1323 katı olduğu yönünde hesaplamalar mevcuttur. Kütlesinin ise 1.898.130.000.000.000.000 milyar kg ; yani dünyanın 318 katı olduğu düşünülüyor!  Bilinen 67 uydunun en büyüklerinin isimleri ise şöyle; Ganymede, Callistos, Io ve Europa.. Gezegenin bu dört büyük uydusu 1610 yılında Galileo Galilei tarafından keşfedilmiştir. jüpiterde zaman nasıl akıyor sorusuna gelirsek; 1 gün yaklaşık 9 saat 55 dakika sürerken, 1 yıl 4333 güne yani 11,8 Dünya yılına eşittir. Gezegen yüzeyinde BÜYÜK KIRMIZI LEKE Fırtınası olarak da bilinen hızı nerdeyse 800 km/h hızına ulaşan fırtınalar görülüyor bu ‘leke’yi ise ilk olarak 1664 yılında İngiliz bilim adamı Robert Hooke keşfetmiştir. İnsanoğlu ona olan merakı sebebiyle gezegene bugüne kadar 9 görev düzenlenmiştir. Bunlar sıra ile şöyle ; Pioneer 10 ile 1973 yılında, Pioneer 11 ile 1974 yılında, Voyager 1 ile 1979 yılında, Voyager 2 ile 1979 yılında, Ulysses ile 1992 yılında, Galileo ile 1995 yılında, Cassini ile 2000 yılında, New Horizons ile 2007 yılındadır. Juno isimli uzay aracı, 2016 yılının yazında gezegene ulaşmış ve başarılı sonuçlar elde etmiştir..Güneş ışığı bildiğimiz gibi dünyaya 8 dakika 20 saniyede ulaşırken jupitere ise 43 dakika da erişebilmektedir. Peki ya yerçekimi ne alemde diye soracak olursak; Çok güçlü bir yerçekimi kuvvetine sahip olduğu için. Dünyada 10 kilogram olan herhangi bir cisim, gezegende 23,64 kilogram olarak ölçülür. yani bizimkine nazaran yaklaşık 3 kat daha güçlüdür. peki ya gezenin hidrojen ve helyumdan oluştuğunu nasıl ölçtüler sorusuna gelirsek, Hidrojenin ölçümü 1960 yılında kızılötesi teknikler kullanılarak gerçekleşti. Helyum’un varlığı ise 1970 yılında uzay sondaj cihazlarının atomlar arası bağı incelemesi sonucu keşfedilebilmiştir. yazar: Muhammed Kösek

WoodSolutions Timber Talks
Life Cycle of a Timber Product

WoodSolutions Timber Talks

Play Episode Listen Later Jun 21, 2019 27:54


Sustainability is currently a trend around the globe, and Australia has signed to the Paris Climate Change agreement, committing to keep global warming to below 1.5C to 2.0C. The buildings industry has made a lot of progress in understanding the solutions for operational energy, and inevitably the proportion of impacts that come from structural materials is increasing. Timber construction has a big role to play in reducing the  impacts of materials, and therefore understanding the life cycle is essential. Today we speak with Ulrich Dangel, the program director for Architecture at the University of Texas and the author of 'A Turning Point in Timber Construction', all about the different stages of the journey for a timber product. Check out the WoodSolutions website, the world's biggest website on wood: www.woodsolutions.com.au   The WS Technical Design Guide can be found here: https://www.woodsolutions.com.au/articles/mid-rise-timber-buildings-design-guides   If you have any suggestions for guests or feedback on the show, connect with me on Linkedin and let me know: https://www.linkedin.com/in/adamjoneswoodsolutions/

Broken Area
Episode 261 - The Asteroid Field of Potholes

Broken Area

Play Episode Listen Later Mar 30, 2019 47:49


The melt is real, real ugly that is.Still, the idea that spring is coming and the winter is over is attractive. It was about 0C when we shopped.Look, I know we talk a lot about the potholes, but fuck, I mean, there are potholes that you’d have to get Evel Knievel to build you a ramp to negotiate. That, as an aside, is likely the most poorly constructed sentence I’ve ever written.The term is almost over, thank whatever deity or non deity you wish.In a couple of weeks I’m off to Florida and just before that Isa will be on her way to Halifax.

Broca's Area
Broken Area - Episode 261 - The Asteroid Field of Potholes

Broca's Area

Play Episode Listen Later Mar 30, 2019 47:22


The melt is real, real ugly that is. Still, the idea that spring is coming and the winter is over is attractive. It was about 0C when we shopped. Look, I know we talk a lot about the potholes, but fuck, I mean, there are potholes that you’d have to get Evel Knievel to build you a ramp to negotiate. That, as an aside, is likely the most poorly constructed sentence I’ve ever written. The term is almost over, thank whatever deity or non deity you wish. In a couple of weeks I’m off to Florida and just before that Isa will be on her way to Halifax.

Crimson Nib
e27 The Pool of Blood

Crimson Nib

Play Episode Listen Later Sep 1, 2018 37:09


Join Mick and I as we chat about entering a village for the first time and meeting the locals. What should a person say when the mayor ponders the banner of the sandship you arrived on? Is it wise to share a room in the local Inn, or get your own? What’s the right amount of Dwarven Stiffmace whiskey to drink? When your comrade asks a question about your history, should you tell them, or remain tight-lipped and hold those precious memories close? That first night out in the desert with just a backpack, the temperature drops to 0C, your freezing cold, what’s the correct course of action? Buckle down, continue on and complete the mission! Or call it and return to civilization to resupply? A strange buzzing noise on the other side of the ridge, your destination is so very close, but that sound, you know it. It has kept you awake for so many nights ... the Tosculi! Do you wanna know more?This podcast is powered by Pinecast.

<野球トーク> ミドル巨人くん
2018年5月23日 C vs G @ひたちなか市民球場② from Radiotalk

<野球トーク> ミドル巨人くん

Play Episode Listen Later May 23, 2018 12:00


4回表 #広島 #プロ野球 #巨人 #6-0Cリード #ゲーム不成立願う

Pimped: Ob/Gyn
Peripartum Fevers

Pimped: Ob/Gyn

Play Episode Listen Later Jan 7, 2018 21:25


Intrapartum Differential diagnosis for Temp >38.0C Epidural fever (transient), DVT/PE (if prolonged IOL or limited mobility), UTI, Intraamniotic infection (with or without ROM), etc   Chorioamnionitis aka IAI aka Triple-I (intrapartum intraamniotic Infection) One temp >39.0C One temp 38.0C-39.0C AND one or more risk factors Two temps >38.0C 30+ mins apart Tx: the standard is […]

Cisco學習資訊分享
從交換器上,如何用命令找到虛擬機器接在哪裡?

Cisco學習資訊分享

Play Episode Listen Later May 4, 2017


當我們觀察到,一個網路交換器的物理埠上面,學習到多重的MAC地址的時候,這個物理埠,有可能是連接到了另一套網路交換器,或者是,連接到了一個包含多重虛擬機器(Virtual Machine)的物理伺服器(Hypervisor)。如果我們能夠直接透過簡單的命令,找到哪些物理埠,跟虛擬機器有關,尤其是連接PC或是伺服器的埠,我們可以馬上指出來,哪些PC、伺服器上面,的確有虛擬機器的存在。這對我們數據中心的管理,將會是很有幫助的。我之前找到了一個Microsoft TechNet網站上面的資訊,內容是將常用的、預設分配給虛擬機器的MAC地址範圍的組織識別碼(Organizationally Unique Identifier, OUI)號碼,整理成一個對應表。其中,包含VMware、Xen、還有Microsoft。Microsoft Technet: How to Set the Static MAC Address Range for Virtual Network Devices Reserved For Prefixes VMware 00:05:6900:0C:2900:1C:1400:50:56 Microsoft 00:03:FF00:0D:3A00:12:5A00:15:5D00:17:FA00:1D:D800:50:F2 XenSource 00:16:3E 有了這個對照表之後,我們很容易就可以用命令,找出包含虛擬機器的物理埠。使用的命令很簡單,其實就是 “show mac-address-table interface”。我們看第一個例子。Switch# show mac-address-table interface f0/1Vlan Mac Address Type Ports---- ----------- -------- -----100 0015.5dXX.YYYY DYNAMIC Fa0/1100 0015.5dXX.ZZZZ DYNAMIC Fa0/1Total Mac Addresses for this criterion: 2Switch#根據以上的截圖,我們幾乎可以確定,FastEthernet0/1其實所連結的,是一套Microsoft Hyper-V的伺服器。我們還可以將命令做一點點的修改。例如,”show mac-address-table | include 0015.5d”。我們現在可以列出這個交換器,上面所有的Hyper-V伺服器裡面,虛擬機器的清單。例如下面第二個例子。Switch# show mac-address-table interface | include 0015.5d100 0015.5dXX.YYYY DYNAMIC Fa0/1100 0015.5dXX.ZZZZ DYNAMIC Fa0/1200 0015.5dWW.YYYY DYNAMIC Fa0/3200 0015.5dWW.ZZZZ DYNAMIC Fa0/4Switch#One more thing…我另外找到,一般在KVM上面,預設的MAC地址範圍是:QEMU's registered OUI (52:54:00)合併到前面的表格。新的表格如下: Reserved For Prefixes VMware 00:05:6900:0C:2900:1C:1400:50:56 Microsoft 00:03:FF00:0D:3A00:12:5A00:15:5D00:17:FA00:1D:D800:50:F2 XenSource 00:16:3E KVM (QEMU) 52:54:00 前面這些列表,所假設的,都是虛擬機器只使用各廠牌方案預設的、保留的MAC地址範圍。事實上,虛擬機器的管理者,很容易就可以透過各種設定,將MAC地址改換到其他的OUI範圍內。因此,這個方法,只能算是一個簡單的輔助的工具。使用時,需要注意它的限制。Welcome to virtualized world!吉野櫻下,仰望著天空玉淵潭公園,中國北京市

Our Country Cottage a Narrative
Episode #3 Heat and a Bit of Cool

Our Country Cottage a Narrative

Play Episode Listen Later Oct 29, 2016 14:51


Firstly, I would like to point out that we are in a northern clime where heating a place takes way more energy and thought than it does to cool a place. As I mentioned in my last podcast, #2 Power, the best way to keep costs down is not to use it, not to use it as much, that is. The same is true for heat. 1-What we did to minimize heat loss. - All exterior walls along with the roof and the floors are spray foamed. - We like to keep our bedroom cool so the  interior wall separating the bedroom from the living room is spray foamed. - The basement walls are spray foamed. - Minimal windows on the north side of the cottage. - All windows are triple glazed. (3 layers of glass filled with inert gas) - Window frames are vinyl to minimize heat transfer. - Entrances (the sunroom and the mudroom) are designed as airlocks. (you have to open a second door to entre the living area) - First floor bedrooms (they are on north side) act as buffer zones. 2-What we did for heat. - Passive solar heating. (Large windows facing south) - Masonry heater (Most efficient way to burn wood) for when we are there. - In floor radiant heating (Heated by electric boiler) for when we are not there. - Ceiling fans. - 2 solar collectors on then roof that heat a small radiator in back hall. 3-What we did for cool. - The south roof overhang was extended to limit the sun in summer. - Lots windows that open. - Ceiling fans. - And all the stuff we did to keep the heat in also keeps the heat out. 4-What we had to do. - Fresh air exchange unit. (the cottage does not have a traditional furnace) - Fresh air intake for masonry heater. - Kitchen and bathroom vents. 5-How it works. The in floor radiant heater keeps a minimum temperature of+10C when we are not there. In the dead of winter when one first arrives it can be quit chilly esp if the sun is not out. The masonry heater takes a bit of time to come up to temp from cold. Some heat is given off from the doors right away but that only lasts for an hour or two. The heat starts to radiate from the masonry after 12 to 24 hours. But then it just keeps coming. A burn can take from one and a half to two and a half hours depending on the type and size of wood used. After the burn and all the embers have died down the air inlet and flu are closed to keep the heat in. There was one time I had to leave and the fire wasn’t done  yet so I left the flu and air intake open. When I got back the next day it was like there hadn’t been a fire at all. All the heat energy had been wasted by letting it go up the chimney. On really cold days -20C to -30C ( -4F to -22F) or so a fire in the morning and a fire at night is enough. 0C to -10C (32F to 14F) days can be handles with one fire, usually in the evening. If the sun is out, the living room can get quite warm and sometimes even hot. I have been caught several time when I though there wasn’t going to be much sun so I built a fire in the morning, and then the sun comes out. I have had the kitchen at +30C (86F)  inside while outside is -30C (-22F), and have been reduced to t shirts in the evening after the sun goes down. When that happens I try to bank the heat by opening up the inside doors to the back bedrooms, the main bedroom and sometimes the sun room and mudroom. I have been known to open the shower doors to get that extra bit more. The more excess heat I can trap in these areas the warmer the cottage stays. It is rare windows get opened in winter. The air exchange unit provides fresh air while retaining most of the heat. There are little radiators that transfers the heat from the stale air going out to the fresh air coming in. In the summer windows are opened and if there isn’t any wind the ceiling fans certainly make the cottage seem cooler. The fans I have for the living room and the master bedroom have a varying speed mode that does a good job of simulating a natural breeze. There is a hidden feature in the south facing windows. The bottom row has a coating on them that rejects heat energy from the sun. This minimizes heat gain in the summer when the sun is high and they are the only windows the sun hits as the rest are blocked by the roof overhang. The upper two rows of windows have a coating that accepts the heat energy from the sun. In the winter the sun does not get very high at all and at times can penetrate to the very back wall of the cottage. This strategy works great for the winter and the summer. The shoulder seasons can be challenging. Build a fire or not build a fire is the big question. A 12 hour plus lead time really gets you guessing. Yes it can be a bit of a dance sometimes. I pay way more attention to weather forecasts and what’s going out outside the window these days. Follow up to episode #2s cautionary tale. I was up at the cottage for one day this week. Fortunately the replacement grates were delivered the day before I went. I removed the old grate and saw that under the back of the grate, the part that had deformed, appeared to be flat masonry work ie it had been built incorrectly. So I tapped at it to see what size hammer and chisel I would need to open it up. First tap and it all just fell away revealing a sloped surface . I should have know it was done correctly cause the mason that did it was old school, perfectionist, calibre. Talking to the designer he mentioned that ash pack on the sloped brick was common and some have removed the slope and filled it in with a fire brick and cut the grate to fit. For the time being I am just going to keep an eye on it and keep it cleaned out. To that end I have acquired an ash vac in hopes it will make clear out easier. You can visit our website at “ourcountrycottageanarrative.com” for pictures and more info. If you have any comments, questions or if you would like to be added to the “Friends of OCCaN” mailing list, you can email me at John@ourcountrycottageanarrative.com. Members on the mailing list will get website and podcast updates as soon as I do :). The Our Country Cottage a Narrative podcast is now on iTunes , Stitcher and  Google Play so you can subscribe there and get the podcast downloaded automatically when they get released. Our next podcast will look at our water system along with some of the chores that have to be tended to. Till next time, have a good one.

Happy English Podcast
393 – If vs. When

Happy English Podcast

Play Episode Listen Later Jan 27, 2016 4:24


Sometimes it’s possible to substitute if and when in a conditional sentence, and sometimes it’s not. For today’s English lesson, let’s check out this point. Here are the example sentences. To get the details of this English lesson, you need to listen to the podcast or check the transcript for the details: If the temperature reaches 0C, water freezes. When ... Read More

Happy English Podcast
393 – If vs. When

Happy English Podcast

Play Episode Listen Later Jan 26, 2016 4:24


Sometimes it’s possible to substitute if and when in a conditional sentence, and sometimes it’s not. For today’s English lesson, let’s check out this point. Here are the example sentences. To get the details of this English lesson, you need to listen to the podcast or check the transcript for the details: If the temperature reaches 0C, water freezes. When ... Read More