salman khan and rizwan lahu anasgiriya anilika anandhal hai...
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Impact of chest compression on central venous pressure determination using a rapid-infusion technique.
The impact of chest compression during a rapid infusion technique on central venous pressure (CVP) measurements is a controversial subject. To assess whether chest compressions have an influence on the central venous pressure values, we performed a prospective study in a surgical intensive care unit. From March to December 2000, we enrolled 24 patients in the first part of the study. Three separate 5-mL bolus injections of saline solution were performed in each patient. The first injection was performed after a 2-min period of relaxation, the second after 1 min of chest compressions, and the last after 2 min of relaxation. The mean CVP was significantly higher during chest compressions than during relaxation (10.5 +/- 2.6 mmHg vs 9.3 +/- 3.3 mmHg, P = 0.02). In a second part of the study, 40 patients were enrolled. The last 4 injections were performed under chest compressions. The mean CVP was significantly higher during chest compressions than during relaxation (10.1 +/- 2.8 mmHg vs 9.0 +/- 2.8 mmHg, P = 0.004). Chest compressions have an influence on the determination of CVP during a rapid infusion technique.Madhyamika Buddhism
The Madhyamika school of Buddhism was a school of Mahayana Buddhism which developed in the first millennium CE. Its main philosophical work was by Nāgārjuna, who was its first great exponent.
Definition
The Madhyamika School emphasizes the middle way or Madhyamaka, the unsurpassed insight into the non-existence of inherent existence.
History
The history of the Madhyamika School is very obscure. The earliest evidence for it is a sutra, the Platform Sutra of the Fifth Patriarch. According to Kyabje Dudjom Rinpoche the school's founder Nāgārjuna was said to have been among the last three Chinese Chan monks to escape the persecution 01e38acffe
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