Thursday, October 5, 2023

ABC就改为了CAB

 首先,我们来介绍一下什么是ABC:

A:开放气道。

B:人工呼吸。

C:心脏按压。

2010年以前,心肺复苏的抢救步骤是ABC。那2010 年的心肺复苏指南为什么改为CAB呢?这是因为大量的循证医学事实证实:大多数心跳骤停的原因是心血管疾病引起的猝死,而非呼吸道窒息或梗阻。因此,心跳骤停后,最重要的就是争分夺秒的重建人工循环,促使血液流动,以满足各重要脏器如脑、心、肺等对氧供的需求。无疑,此时心脏按压(C)是最重要的步骤,毫秒之间,决定生死。因此,ABC就改为了CAB。

需要特别说明的是,淹溺或窒息的患者还是应该选择 ABC的复苏顺序。



作者:吕青
链接:https://zhuanlan.zhihu.com/p/417032032
来源:知乎
著作权归作者所有。商业转载请联系作者获得授权,非商业转载请注明出处。

心肺复苏

 心肺复苏是每个人都必须学会的一课。因为很多时候,有人突然出现了心跳呼吸停止,救护人员往往需要一些时间才能赶到,这时能救他们的就只有身边的人了。

在美国,这是公民教育的一部分。可惜在我们的学校里,如此重要的内容终究没能在语数英的包围中觅得一隅之地。


或许你会说,现在社会环境这么恶劣,让我去救人,说不定还会惹上麻烦。

这个问题我确实不能站在道德的制高点去命令别人。但如果倒下的是你的亲人好友呢?你还能袖手旁观干等吗?

因此,本文希望为大家补上这一课。不过,文字只能提供一个了解,而急救的目标是熟练掌握,闭着眼睛都能按照标准完成下来。所以关键还要靠反复练习。因为,抢救过程耽误多一秒,可能就是天堂和地狱的区别。


首先,明确最重要的一个概念:时间就是生命!必须要快!

抢救里面常说的“黄金六分钟”,就是说大脑缺氧4-6分钟就会出现不可逆的损害,即便救回来也可能成了植物人。

我们看一下《2010心肺复苏与心血管急救指南》的大致流程:

确认现场环境安全。迅速判断患者意识、脉搏、呼吸。开始胸外按压。开放气道,人工通气。重复循环,直到医护人员和除颤仪到达。总结成英文,就是:compression(按压)、airway(气道)、breath(呼吸),CAB原则。

跑步时突然晕倒,心脏骤停

 近日,李先生在中山大学南校园内跑步时突然晕倒,心脏骤停。经过多人合力抢救,李先生恢复自主呼吸,随后被转送至我院急诊科进一步抢救,几天后情况好转,顺利出院。近年来,运动过程中突发心脏骤停的事件频频见诸报端,原本是有益健康的事为何会触发心脏骤停呢?


南方医科大学珠江医院心血管内科副主任医师张培东对李先生的病情展开分析后发现,其病因是长期过量无氧运动,导致心脏超负荷运转,处于无症状性心肌缺血状态,进而诱发心律失常和心室颤动,最后出现心脏骤停。据了解,李先生有多年高血压病史,但一直在吃药,血压控制得不错。热衷运动的他,平均每天跑步5~10公里,运动时最高心率常常高达140~150次/分钟。张培东表示,每个人的体质不同,运动时心脏有氧和无氧的心率靶点也不同。一旦超过靶点,就从有氧运动转变为无氧运动,长期过量无氧运动会对心血管造成损害,甚至诱发心肌缺血。

不过,并非所有心肌缺血都会出现胸闷、心痛等症状,所以很容易被忽视。而一旦出现症状,情况可能已经很严重了。就像李先生,经检测,有氧运动心率靶点仅为110次/分钟,平时跑步心率达140~150次/分钟也没什么太大感觉,这种长时间高强度无氧运动便给他的心脏造成巨大负担。

如何知道自己有氧运动心率靶点究竟是多少呢?张培东推荐做一下心肺运动试验,这是一项结合心电图、心脏彩超、动脉硬化检测等手段,可精准评估心功能、肺功能、心脏缺血风险的检查。有以下情况者,都可以到医院做一下这项试验:长期熬夜、过度疲劳、焦虑、失眠、心慌、心悸、肥胖、乏力、头昏、气短、爱运动、极限运动员等。

DJI Pocket 2 Creator Combo

 

DJI Pocket 2 Creator Combo - 3 Axis Gimbal Stabilizer with 4K Camera, 1/1.7” CMOS, 64MP Photo, Pocket-Sized, ActiveTrack 3.0, Glamour Effects, YouTube TikTok Video Vlog, for Android and iPhone, Black


Here is the link. 

Wednesday, October 4, 2023

SABRE | Debt repurchase extension to 2027

 On the Settlement Date, Sabre GLBL issued approximately $853 million in New Notes and paid approximately $115 million in cash to Eligible Holders (as defined below) whose Existing Notes were accepted for exchange in the Exchange Offers. Holders whose Existing Notes were accepted for exchange also received a cash payment representing interest that has accrued from the most recent interest payment date in respect of the relevant series of Existing Notes up to, but not including, the Settlement Date.

The transaction strengthens Sabre's balance sheet by refinancing more than 89% of its consolidated 2025 debt maturities (excluding its account receivables facility and outstanding senior exchangeable notes).

"We are extremely pleased that this transaction, along with the recently completed cash tender offer, have successfully reduced our 2025 maturities by over $1.5 billion. We believe this will provide us meaningful flexibility as we continue to focus on executing our growth strategies and delivering on our priorities," said Mike Randolfi, Executive Vice President and CFO of Sabre.

The New Notes will mature on June 1, 2027 and will bear interest at a rate per annum equal to 8.625%. The New Notes will first be redeemable, at Sabre GLBL's option, starting on March 1, 2025, at 104.313% of their outstanding principal amount, plus accrued interest, and under certain other circumstances.

Grouse mountain | Ski Clinic

 


Tuesday, October 3, 2023

斯瑞佩鲁姆布杜尔(Sriperumbudur) | Indian | Apple factory - 富士康

 这座工厂位于印度泰米尔纳德邦工业城镇斯瑞佩鲁姆布杜尔(Sriperumbudur),是苹果在中国之外重要的iPhone组装中心之一,由总部设在中国台湾的电子制造公司富士康运营。这家工厂的大门每天三次向成千上万的工人敞开,其中大约四分之三是女性。这些工人一周工作六天,每天工作八小时,在繁忙的装配线上焊接配件、拧螺丝或操作机器。该工厂也是印度最大的iPhone工厂之一,拥有约1.7万名员工,每年生产600万部iPhone。而且,这家工厂还在快速扩产。

Enuka Vanessa Okuma

 Enuka Vanessa Okuma (/ɛˈnuːkə oʊˈkuːmə/ ⓘ) is a Canadian actress, best known for her role as detective Traci Nash in the Global/ABC police drama series, Rookie Blue (2010–2015). Okuma is also known for her work on the Canadian television series Madison (1994–1998) and Sue Thomas: F.B.Eye (2002–2005). She appeared in the first season of TV soap opera Hillside as the scheming and conspiring Kelly.[1]

Joe Gasparik

 Joe Gasparik Net Worth Since he works in the music business, Joe Gasparik’s total assets is accepted to be more than $500,000.

Then again, his significant other, entertainer Enuka Okuma, has a total assets of $1 million. She has worked in the entertainment world for a long time, featuring in a few fruitful movies and TV programs. Acting is her essential type of revenue. Promoting and supports additionally contribute altogether to her profit.

Rookie Blue Cast Enuka Okuma Has a Million Dollars Bank Balance; Here’s How!

 If you have seen Rookie Blue then you definitely know Traci Nash. Traci Nash was nothing but a character until Enuka Okuma came along. She gave life to the character making it what it was supposed to be. Rookie Blue was definitely her biggest break.

But is that the only role she is known for? Definitely not! Okuma is active in the industry for years or let’s say decades. Throughout the years, she won the hearts of many and at the same time, garnered a net worth that will definitely surprise you. So without wasting any more time, let’s see her net worth and who this beautiful woman is married to.

Decent Bank Balance

Most of the TV actors make an average salary, just enough to lead a normal life; however, Okuma makes way more than an average salary. Over the years, she garnered an estimated net worth of $1 million; but, that is not the total amount of money she earned.

Considering the fact that she made her debut in 1990 and is also a director and a writer, her earning is just a little shy of about $3 million. But, due to her expenses, she is just left with a million dollars in her bank account but, who cares, she is still at the top of her game and surely she will earn much more than that in the coming days.

Appearing in Rookie Blue

The Canadian actress appeared in the first season of Rookie Blue until the final season of the show making her one of the key characters of the show. She got the opportunity to appear alongside some of the renowned faces on television including Missy Peregrym, Ben Bass, and Devon Bostick.

When asked in an interview if she would like to direct an episode of Rookie Blue, she said that she is not ready as the show is big and the cast is famous. She also added that she is writing and would like to direct her own movie.

Movie Themed Wedding

Enuka Okuma is married to her husband Joe Gasparik. They met for the first time in Toronto and became really close friends. At the time they were working together in a crime show. Eventually, they became more than friends and love blossomed between them.

After more than three years of dating, Joe proposed Enuka during a walk on the beach. Okuma was more than happy as tears of joy started pouring out of her heavenly eyes and she agreed.

The duo got engaged and after some years, they exchanged their vows on a magnificent wedding which definitely took after a long time on July 2, 2011. Many of their friends advised them to hire a professional wedding planner but they rather did it themselves. Joe’s parents who are florists assisted them at the wedding and so did Enuka’s sister who is a professional graphic designer.

Their nephews were the ones who carried the rings in a bird’s nest and a ceramic bowl. The wedding reception took place in a theater where many were invited.

One of the things that made the ceremony so movie-themed was the movie posters that hung all over the wall and even at the entrance. The three-course food at the wedding was also delicious followed by the beautiful four-leveled chocolate cake made especially for the wedding. The cake featured subtle change in color from white to sage and the icing all over made it more delicious.

After the wedding, Enuka said that you should enjoy each and every moment of your biggest day. They are still married and have no signs of separation.

Surprising Facts About Enuka Okuma

  • Enuka Okuma voiced Lady Une in Mobile Suit Gundam Wing.
  • Her name in Nigerian gives a beautiful meaning as ‘gift from Heaven’.
  • She is nominated for three Gemini Awards which is the Canadian equivalent of Emmy Award.

Rookie Blue

 Rookie Blue is a Canadian police drama television series starring Missy Peregrym and Gregory Smith. It was created by Morwyn Brebner, Tassie Cameron, and Ellen Vanstone.[1] The series premiered on June 24, 2010, at 9:00 p.m. Eastern/8:00 p.m. Central,[2] and aired on Global in Canada and ABC in the United States.[3]

On July 17, 2013, Global and ABC jointly announced that Rookie Blue was renewed for a fifth season.[4] Originally intended to be a single season consisting of 22 episodes (up from the usual 13),[5] the season was split in two. Season 5 premiered on May 19, 2014, on Global,[6] on June 19 on ABC,[7] and on July 20 on Universal Channel in the UK.[8] The second 11 episodes aired in 2015 and were later re-branded as season 6.[9][10][11] The final episode of Season 6 aired that July.

On October 16, 2015, it was announced that Rookie Blue had completed its run after six seasons and would not be returning.[12]

Monday, October 2, 2023

恒大与官方剪不断理还乱 百万家庭血汗钱会化为乌有?

 中国房地产巨头恒大集团掌门人许家印父子被捕,留下两万四千多亿元债务,牵扯到数百万个家庭购房款可能血本无归。网民热议许家印依靠复杂的政商关系设立了超级骗局。当局正式接管恒大,担心的是数百万业主集体维权。


9月28日,在香港上市的中国恒大集团发布公告称,公司董事局主席许家印因涉嫌违法犯罪,已被依法采取强制措施。与许家印一同被调查的还包括恒大的多名高管。上述消息除了受到海外媒体关注,也引发中国境内对恒大关注。本周日,恒大集团广州总部已被官方接收,在恒大门口有警察驻守。

恒大集团负债两万四千多亿元早已存在,直到最近,集团董事长许家印才被警方“采取强制措施”。关注恒大事件的澳大利亚悉尼科技大学教授冯崇义接受本台采访时说,第一,大量国有资产和高官的资本仍留在恒大集团,这些机构希望从恒大集团抽回属于自己的资本,其次是大量投资恒大的散户和购房者,其资金无法偿还。

他说:“如果恒大破产,这些人将血本无归,政府担心造成社会动荡,所以一直拖着逼许家印和管理层把钱吐出来,包括他个人的资产。这也是为什么许家印要和妻子离婚的理由。”

许家印的“前妻”丁玉梅在香港协助有关部门对恒大集团进行债务重组。但8月前她已经离开香港,飞往加拿大。

《每日经济》记者查询香港公司注册处信息发现,丁玉梅持有加拿大护照。9月29日晚,每经记者以公民身份咨询国家移民局服务热线了解到,如果是持有加拿大护照,肯定是先入籍。

丁玉梅持有中国护照的资讯显示,她没有注销中国国籍和户口。根据中国《国籍法》的有关规定,移民海外须向有关部门申请注销中国国籍。

恒大集团逾千个党支部管不了腐败

许多人认为,对于资产规模庞大的恒大集团,政府不可能没有监管。据恒大数据,该集团拥有38个党委、1133个党支部,管理12075名党员,实现基层党组织覆盖率100%。许家印担任集团党委书记。

金融学者学者司令对本台说,许家印被捕应该是当局和恒大两年多的谈判达不成预订目标的结果:“恒大现在已进入清算程序,接下来很多会被法院分拆为多个部分,变卖资产。恒大债务能够部分的化解,中国政府恼怒的是许家印资产转移的行为浮出水面。这也是中国政府想让许家印把境外资产回流的不得已措施。”

据多家媒体估算,恒大留下的“烂尾楼”达到162万套,涉及600万名业主。

评论人士李先生说,许家印能够负债两万多亿元,背后没有政府官员支持,很难做到:“1997年成立的恒大集团,26年负债两万亿,人家算过,他每天亏国家的钱是2.19亿元,他为什么有这么大的能量,还不是买通政府官员,许家印倒霉你就跟着倒霉。”


Friday, September 29, 2023

现在的诈骗,连饼都不用画了

 以前的诈骗术,要不就是用利诱的方式许诺赚大钱,把人骗来之后,再用暴力进行人身控制,洗脑、榨干钱财。要不就是短期的杀猪盘,说自己有门路能够发大财,诱使受骗者把钱都交出来,钱能生钱。

而现在的这种方式,更进化了,他们连饼都不用画了。直接就说:

你花钱吧,给我钱吧。你给的钱越多,能量流动越好。

至于钱从哪里来,不重要,只要能量流动起来,自然就一切就好起来了,不愁没钱。


学霸猫·霍格沃茨凡学贵妇分校

2021年7月,“学霸猫”把社群改名为“学霸猫·霍格沃茨凡学贵妇分校”。她的教学理念就是:清理对金钱的恐惧,大笔金钱流动才能打开自己的能量。

最近“学霸猫”的社群,就已有数千人了,如果算上往期人数,那就更多了。七成以上都是女性。这些人,不工作,只进行高消费。没钱就开信用卡、各个平台借贷。她们怎么还债呢?除了不断拆西墙补东墙,最后靠父母、丈夫、男友,再还不了呢?不敢想象了。

“学霸猫”毕业于浙江一所985大学,微博置顶“贵妇分校”的更名启示,每天显示自己的吃吃喝喝,倒也看不出来“贵妇”的样子。

Drive and Hike Mt. Baker Scenic Byway

Here is the link.

From Bellingham to the majestic peak of Mt. Baker, Mt. Baker Scenic Byway (SR 542) offers visitors a step back in time. The highway winds through farmlands, rolling wooded hills, and small communities including Nugents Corner, Deming, Kendall, Maple Falls and Glacier. This byway provides access to stunning hiking, photo opportunities, and snow sports in the winter.

Chain Lakes Loop

 Here is the article. 

Route Description for Chain Lakes Loop

Chain Lakes Loop can be accessed via three parking areas, the two most popular being Heather Meadows Visitor Center and Artist Point. Because the trail can be hiked in either direction, hikers are presented with plenty of options before setting out. We suggest starting at Heather Meadows Visitor Center and hiking the trail clockwise.

From Heather Meadows Visitor Center, walk 0.2 km east along the road to the signed Wild Goose Trail. Head south along the trail, climbing the steep steps. As you ascend you can admire the views of Mount Baker Highway, Bagley Lakes, and Mount Shuksan.

At 1.3 km the trail crosses the highway before entering the Artist Point parking lot. Cross the parking area, picking up the trail again at the northwest corner of the parking lot.

The Chain Lakes Loop trail takes off west for a leisurely 1.6 km from Artist Point. Cutting across a talus slope, the trail is rocky and completely exposed to the elements. Turn around for unobstructed views of Mount Shuksan. As you continue along, Mount Baker gets closer and closer.

At 3.4 km, turn right at the signed intersection with the Ptarmigan Ridge trail. The Chain Lakes Loop trail climbs over the shoulder of Table Mountain. Excellent views of Mount Baker appear to the southwest. Reach the first of the Chain Lakes, Mazama Lake, at 4.5 km. Then continue along to Iceberg Lake (named for the chunks of ice sometimes found floating in its waters). This is followed by Hayes Lake at 5.5 km. Several side trails lead down to the lake’s shores, and backcountry camping is allowed in designated areas.

From Hayes Lake, begin climbing toward Herman’s Saddle. The trail gains about 183 m of elevation here before topping out at 1,646 m. From the top of the saddle, look southwest to see Mount Baker over Iceberg Lake. To the east, Mount Shuksan rises high with Bagley Lakes shimmering far below.

Descend 335 m to Bagley Lakes before crossing an old stone bridge and climbing the steps back to Heather Meadows Visitor Center.

Hiking Trail Highlights

Chain Lakes

Located in some of Washington State’s most beautiful scenery, the Chain Lakes are the ideal destination for a stunning day hike. This series of lakes are connected by small creeks, creating a beautiful aquatic network through the mountains. The first of the Chain Lakes are the Mazama Lakes, two small lakes set against a lush forest background.

A short distance away, and linked by a small creek, Iceberg Lake is probably the prettiest of the Chain Lakes, with large chunks of ice dotting its beautiful turquoise waters. On the other side of the Iceberg Lake, you’ll catch a glimpse of Hayes Lake and Arbuthnot Lake, before looping back to Bagley Lakes, all connected via Bagley Creek. This waterway provides some fabulous views on the Chain Lakes Loop hike, as the lakes perfectly reflect the gorgeous peaks and forests in their still waters.

Mount Shuksan

The name of Mount Shuksan derives from the Lummi word meaning ‘high peak’, and this magnificent mountain towers over the North Cascades National Park, standing in the tall shadow of Mount Baker. With its glaciated peak and distinctive three-sided peak known as Summit Pyramid, Mount Shuksan is one of the most popular (and frequently photographed) peaks in the Cascades Range.

One of the most popular views of Mount Shuksan is from Picture Lake, in the Mount Baker Ski Area. Here you’ll have a fantastic vista of the iconic mountain, perfectly reflected in the shimmering waters of the lake. The glaciers that crown its peak also feed a number of tall cascades, including the 665 m Sulphide Creek Falls, making this one of the most picturesque mountains in the Mount Baker and North Cascades region.

Would you like to see more hikes in Mount Baker? Check out the Yellow Aster Butte, Heliotrope Ridge or Skyline Divide trail.

Insider Hints for Chain Lakes Loop

  • For an easier out-and-back hike, begin at Artist Point and follow the trail 3.9 km to Hayes Lake. Turn around here for a 7.7 km roundtrip hike with 229 m of elevation gain (avoiding the climb up Wild Goose Trail and Herman’s Saddle).
  • Stop at North Fork Brewery on the way back to Bellingham for fresh pints and exceptional pizza.
  • You can also continue to the end of the road to begin your hike from Artist Point.

Getting to the Chain Lakes Loop Trailhead

To get to the Chain Lakes Loop trailhead from Glacier, drive 35.4 km east on Mount Baker Highway to the parking lot signed for Austin Pass Picnic Area (Heather Meadows Visitor Center) between mileposts 55 and 56. A Northwest Forest Pass is required for this hike.

The cloud girl | The battle of relational and non-relational databases | SQL vs NoSQL Explained

Here is the link. 


 

Thursday, September 28, 2023

Costco | 美各大零售商闭店潮 Costco毫发无损

 美国零售联合会(National Retail Federation)最近的一项调查显示,库存缩减或未计入的库存损失,在2022年给美国零售商造成的损失估计为1,120亿美元,约占其总销售额的1.6%。由于高达70%的损失是由盗窃造成的,这意味着零售商去年因商店扒手损失了大约784亿美元。该行业正面临着“前所未有”的犯罪威胁,店主们担心他们的生计和安全。


加兰蒂告诉《每日邮报》,Costco最新的库存缩减率“处于较低的两位数基点”,介于“0.1%到0.2%”之间,比行业平均水平低约10倍。我们的收缩率一直处于历史低位。随着时间的推移,我们会变得越来越好。

加兰蒂将这种成功归因于多方面因素,但强调了只有付费会员才能进入Costco的仓储式零售店。他说,“当你进入我们的门店时,你必须出示带照片的证件,只有会员才能进入我们的门店,这是一个积极的因素。”

另一方面,大多数Costco门店的统一布局也在小偷和贵重库存之间设置了物理屏障。加兰蒂说,我们一直只有一条进出通道,还会在门口检查收据。在一份总结其2022财年的报告中,Costco指出,通过严格控制出入口和采用会员制,它能够将库存损失维持在远低于典型零售业务的水平。

此外,Costco还出售批量商品,这使得小件的商品很难“被偷偷带出去”。加兰蒂说,“很多物品都是体积较大的,而对于那些体积较小、价值较大的物品,其包装会大得多。比如吉列剃须刀片等产品,它们会采用超大的扁平包装。”

据了解,Costco的会员每年必须支付60美元到120美元的会员费。自2017年以来,这些费用一直保持不变,这笔钱占其收益的大部分,使得Costco能够以极具竞争力的价格和相对较低的利润率销售产品,从而保持较高的客户满意度。




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中国巨大的房地产泡沫

 部分原因在于中国许多城市在过去两年里对住房价格实施了严格的管控,以保持房价稳定。可现在,中国开始放松这些限制规定,而后果难以预料。


根据之前在数十个城市实施的规定,地方政府通常禁止新房开发商对未售出房源提供10%至15%甚至更多的折扣。

在一些城市,官员们还规定了二手房售价的下限。

最近几周在官媒上出现了一些文章,认为现在可能是放弃此类政策的时候了,一些城市的确开始放松相关政策。

Tuesday, September 26, 2023

South Bend

 South Bend is a city on the St. Joseph River in Indiana. It’s known for the adjacent University of Notre Dame, with its gold-domed main building. In the city center, the Studebaker National Museum displays classic cars made by the now-defunct local company. The nearby History Museum has exhibits spotlighting aspects of regional life. The museum also owns 3 historic homes, including the 19th-century Oliver Mansion. ― Google

Weather: 21°C, Wind E at 8 km/h, 77% Humidity More on weather.com
Population: 103,353 (2021)

Monday, September 25, 2023

C# Best Practices for Developers | Linkedin learning

改变现状

 有位B站博主说过:“一个落魄的人要改变现状,最缺的是赚取金钱的方法和心态,而不是金钱。只要方法和心态有了,金钱自然有。”


最理智的做法,就是退掉所有微信群,拒绝所有无效社交,也不要去做杂工,更不要进厂。

你可以先找一个陌生而简单的地方住下来。但最好不要跟亲人和朋友住在一起,因为不管多亲近都好,很少有人愿意跟落魄的人走得太近,这是人性的客观规律。

然后你先啥都不要做,心态放轻松,就思考一个问题:如何让自己变得更值钱?

第一方向就是“打破认知”。如果要摆脱困境,我们就要清醒地知道,我们有必要做什么,和没有必要做什么,这就是认知。一个非常通透的洞察,和一个清晰的思路,这是高效成事的基础,我们从阅读入手,去突破认知。

第二个方向就是“培养习惯”。细心地建设好一个“培育好习惯的系统”,因为好习惯,是我们以后打翻身仗的关键,好习惯能够让我们的行为更加地有效,而不是做出一大堆无效的多余的动作。

第三个方向就是“训练本领”。你要去问自己有没有一种能够解决他人问题的能力。找到这种能力,结合你的兴趣爱好,把它像宝剑一样磨出来。你可以通过网络学习或者书籍,来筛选出一个适合你的好方法,一边试错,一边操作。