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First-degree atrioventricular block

First-degree atrioventricular block is a disease of the electrical conduction system of the heart in which electrical impulses conduct from the cardiac atria to the ventricles through the atrioventricular node more than normal. First degree AV block not cause any symptoms, but may progress to more severe forms of heart block such as second- and third-degree atrioventricular block, it is diagnosed using an electrocardiogram, is defined as a PR interval greater than 200 milliseconds. First degree AV block affects 0.65-1.1% of the population with 0.13 new cases per 1000 persons each year. The most common causes of first-degree heart block are an AV nodal disease, enhanced vagal tone, acute myocardial infarction, electrolyte disturbances and medication; the medications that most cause first-degree heart block are those that increase the refractory time of the AV node, thereby slowing AV conduction. These include calcium channel blockers, beta-blockers, cardiac glycosides, anything that increases cholinergic activity such as cholinesterase inhibitors.

In normal individuals, the AV node slows the conduction of electrical impulse through the heart. This is manifest on a surface electrocardiogram as the PR interval; the normal PR interval is from 120 ms to 200 ms in length. This is measured from the initial deflection of the P wave to the beginning of the QRS complex. In first-degree heart block, the diseased AV node conducts the electrical activity more slowly; this is seen as a PR interval greater than 200 ms in length on the surface ECG. It is an incidental finding on a routine ECG. First-degree heart block does not require any particular investigations except for electrolyte and drug screens if an overdose is suspected; the management includes identifying and correcting electrolyte imbalances and withholding any offending medications. This condition does not require admission. Though it does not progress to higher forms of heart block, it may require outpatient follow-up and monitoring of the ECG if there is a comorbid bundle branch block. If there is a need for treatment of an unrelated condition, care should be taken not to introduce any medication that may slow AV conduction.

If this is not feasible, clinicians should be cautious when introducing any drug that may slow conduction. Isolated first-degree heart block has no direct clinical consequences. There are no signs associated with it, it was thought of as having a benign prognosis. In the Framingham Heart Study, the presence of a prolonged PR interval or first degree AV block doubled the risk of developing atrial fibrillation, tripled the risk of requiring an artificial pacemaker, was associated with a small increase in mortality; this risk was proportional to the degree of PR prolongation. A subset of individuals with the triad of first-degree heart block, right bundle branch block, either left anterior fascicular block or left posterior fascicular block may be at an increased risk of progression to complete heart block. Atrioventricular block Second-degree atrioventricular block Third-degree atrioventricular block

2011 Erie Explosion season

The 2011 Erie Explosion season was the 5th season for the Southern Indoor Football League franchise. On December 3, 2010, the team announced its new identity as the Erie Explosion, including a new logo, but retaining the same color scheme as the Storm had. After dealing with the legalities of the previous name, the ownership of the Explosion have secured the legal trademark of the new name, ensuring that this will be the last re-brand in the foreseeable future; the Erie Explosion was one of 6 AIFA teams which were merged with the Southern Indoor Football League prior to the 2011 season. The Explosion announced the signing of Quarterback, Adam DiMichele, along with former local Erie Strong Vincent star, Maurice Williams, college star receiver David Ball. On May 21, 2011, the Explosion set a single-game franchise record, including an unofficial indoor football record, for the most points scored in a 138-0 blowout win over the Fayetteville Force after the Force was forced to restock its team with scrubs in an ownership change.

The margin of victory is the third-highest in all of professional football, the highest in over 100 years: only the 1903 Massillon Tigers and 1904 Watertown Red & Black have had wider margins of victory. The Explosion finished the season with a 9–4 record, winning the Northeast Division, but were defeated 68–43 by the Albany Panthers in the first round of the playoffs. Despite the playoff loss, DiMichele was named SIFL MVP, finishing the season with 91 touchdown passes. Green indicates clinched playoff berth Purple indicates division champion Grey indicates best league record * = Failed to make the playoffs despite winning division ** = Folded five games into their season. *** = Suspended operations prior to the season due to lack of Worker's Compensation Insurance

Felicity (TV series)

Felicity is an American drama television series created by J. J. Abrams and Matt Reeves and produced by Touchstone Television and Imagine Television for The WB. Brian Grazer and Ron Howard were executive producers through Imagine Entertainment; the series revolves around the fictional college experiences of the title character, Felicity Porter, as she attends the "University of New York", which lies across the country from her home in Palo Alto, California. The show ran for four seasons from September 29, 1998, to May 22, 2002, with each season corresponding to the traditional American university divisions of freshman, sophomore and senior years. In 2007, Felicity was one of Time magazine's "All-Time 100 Best TV Shows." AOL TV named Felicity one of the "Best School Shows of All Time." In June 2010, Entertainment Weekly named Felicity Porter one of the "100 Greatest Characters of the Last 20 Years". The series opens at Felicity's high school graduation, where she asks Ben Covington, a classmate on whom she has a crush, to sign her yearbook.

Moved by his comment that he wished they had gotten to know each other further, she changes her education plans deciding to follow Ben to New York rather than attend Stanford University as a pre-med student. Felicity's overbearing parents, concerned about Felicity's rash decision, come to New York to try to persuade her to return home and "get back on track". Felicity has second thoughts about her decision, but soon realizes that she came not only to follow Ben, but to discover her true inner self. While Felicity works to sort out her emotions, she continues the basic motions of student life and moves into her dorm. There, she meets the resident advisor Noel Crane; the two develop a romantic relationship, the love triangle among Felicity and Noel forms the basic dramatic conflicts in the show throughout the series. A number of other characters play large roles in Felicity's life, her roommate for the first two years is Meghan Rotundi, a goth Wiccan who casts spells on Felicity and others. Julie Emrick is one of Felicity's best friends, as is Elena Tyler, who takes classes with Felicity.

Felicity has male friends, including Sean Blumberg, always trying to produce new off-kilter inventions, Javier Clemente Quintata, who manages the Dean & DeLuca where Felicity works for most of her college career. A recurring episode opener of the show is a stark camera shot of Felicity sitting in a dormitory room or apartment holding a tape recorder, recalling events in order to make a cassette tape to send to an old friend named Sally Reardon; this provides a method for Felicity to narrate an entire episode. At the end of episodes like this, Felicity is shown to be listening to a tape that Sally has sent in reply. Characters are listed by appearance on the show. Felicity was filmed in part in New York City, is set at the fictional University of New York, based on New York University. Like NYU, UNY is located in Greenwich Village near Washington Square Park, the school is an important part of the show. Although like other universities, NYU welcomes being mentioned in film or on television as free product placement, the university refused permission for the show to use its name, stating that "he negatives kind of outweighed the positives."

In 1999, a publicly hyped young writer for the show, Riley Weston, was disclosed as a fraud for claiming to be much younger than she was. At the age of 32, she began marketing herself to television studios as a recent high school graduate, passing off her husband as her older brother, she was soon hired by the WB Network as a writer for Felicity. Hailed as a child prodigy and "wunderkind", she was featured on Entertainment Weekly's October 1998 list of the "100 Most Creative People in Entertainment", which described her as an up-and-coming 19-year-old. Shortly thereafter, she was offered a six-figure screenwriting deal with Disney, her real identity and age were exposed. Soon afterward, her contract with WB expired and was not renewed, her deal with Disney fell through. In the summer of 1999, after filming the first season, Felicity star Russell—known for what The New York Times described as "hat glorious head of voluminous golden backlit hair"—sent the show's producers a photo wearing a short-haired wig.

They panicked before learning that it was a joke but suggested to the actress that a new hairstyle would be appropriate. After being shifted from Tuesday nights at 9:00 PM Eastern to Sunday nights at 8:00 PM Eastern for the 1999–2000 season, the ratings for Felicity declined immediately; this decline occurred before the hair-style change, but the hair-style change became conflated by some of the public and by some of the popular press and network executives with this earlier event and thus incorrectly blamed the earlier ratings drop on the new hairstyle. After the negative reaction Russell rejected wearing a wig while her hair grew back. Although storytelling and time-slot changes had created a ratings decline, a network executive said WB actors' future hair changes would "be given more thought at the network than it would have". In 2010, TV Guide Network listed the hairstyle change at No. 19 on their list of "25 Biggest TV Blunders," with several commentators arguing that it was the reason that the ratings of the show dropped.

The haircut incident went on to become a popular culture reference within other television shows, both comedic and dramatic. Despite the controversy, Felicity survived for two more seasons. Walt Disney

Stanley Lake

Stanley Lake is an alpine lake in Custer County, United States, located at the base of the Sawtooth Mountains in the Sawtooth National Recreation Area. The lake is 7 miles west of Stanley accessed via a 3 miles spur road from State Highway 21; the surface elevation of the lake is 6,513 feet above sea level. Stanley Lake is northeast of the base of the 9,860 feet McGown Peak, just south of the smaller Elk Peak; the lake is 2 miles downstream of Lady Face Falls on Stanley Lake Creek. Recreational facilities at the lake include three campgrounds with nightly fees, a day use area, a boat launch, hiking trails. List of lakes of the Sawtooth Mountains Sawtooth National Forest Sawtooth National Recreation Area Sawtooth Range Public - Stanley Lake Fishing - Stanley Lake U. S. Forest Service - Sawtooth National Recreation Area

Sowmya Narayana Perumal temple

Sowmyanarayana Perumal Temple in Thirukoshtiyur, a village in the South Indian state of Tamil Nadu, is dedicated to the Hindu god Vishnu. Constructed in the Dravidian style of architecture, the temple is glorified in the Divya Prabandha, the early medieval Tamil canon of the Azhwar saints from the 6th–9th centuries AD, it is one of the 108 Divyadesam dedicated to Vishnu, worshipped as Sowmyanarayana Perumal and his consort Lakshmi as Thirumamagal. The temple is known as the place where Ramanuja, the expounder of Vaishnavadatta philosophy preached the holy ashtakshra "Ohm Namo Narayana" to all people irrespective of their caste. A granite wall surrounds the temple; the temple has a five-tiered rajagopuram, the gateway tower and the Ashtanga Vimana, taller than the gopuram. The temple tank is located opposite outside the main entrance. Sowmyanarayana Perumal is believed to have appeared as Narasimha avatar to the Devas, the celestial deities; the temple follows Thenkalai tradition of worship. Six daily rituals and many yearly festivals are held at the temple, of which the float festival during the Tamil month of Masi, Navrathri during September–October and Vaikunta Ekadasi during Margazhi being the most prominent.

The temple is administered by Sivaganga Devasthanam. Hiranyakshipu, the demon king, got arrogant after he got boons from Brahma, which nearly made him invincible, he troubled the Devas and they prayed to Vishnu for rescue. Vishnu was ready to take the Narasimha avatar to slay the demon king; the Devas pleaded with Vishnu to show the form. Vishnu showed them the avatar, but not pleased with the vision, the Devas and sages pleaded him to show it again. Vishnu appeared in three forms of standing and resting posture at Thirukoshtiur. Since Vishnu showed his form after hardship of Devas, the place came to be known as Thirukoshtiur. Sowmyanarayana Perumal temple has a five-tiered gopuram; the temple in enclosed in a rectangular enclosure with huge granite walls. The central shrine houses the image of the presiding deity, Uragamellayan Perumal in reclining posture on a snake bed similar to that of Srirangam Ranganathaswamy temple; the images of Sridevi and Bhudevi are housed in the sanctum. There the avatar of Vishnu.

One of them is shown holding other slaying him. Though it is a Vishnu temple, the temple has image of Shiva in the form of Lingam and Subramanya; the festival deity is named Sowmya Narayana Perumal made of panchaloha. The vimana, the shrine over the sanctum is Ashtanga in architecture, which has eight parts, Adhistana, three Padas, Griva and Stupi; the outer parts of the vimana has various stucco images of Narasimha, sages and other mythical stories. The Ashtanga Vimana is found in only three places, the Uthiramerur, Koodal Azhagar Temple and Cheranmadevi temples; the ashtanga vimana raising to a height of 25 m, is taller than the gopuram of the temple, not a common feature in Dravidian temples. The shrine of the consort of Sowmyanarayana Perumal, Thirumamagal, is located to the south of the main shrine. There are smaller shrines of Lakshmi Narasimha, Lakshmi Narayana and Krishna located close to the sanctum; the shrines of Andal and Manavala Mamunigal are found in separate shrines around the first precinct.

The shrines of Garuda, Ramanuja, Vedanta Desika and Azhwars are found in the second precinct. According to historian K. V. Soundararajan, the Rangantha temples in South India built during the 9th and 10th centuries have a systematic arrangement of subsidiary deities as seen in this temple along with the Appakkudathaan Perumal Temple at Koviladi, Veeraraghava Perumal temple at Thiruvallur, Rajagopalaswamy temple at Mannargudi and Rangantha temple at Srirangapatna. Sowmyanarayana Perumal temple is revered in Nalayira Divya Prabhandam, the 7th–9th century Vaishnava canon, by Periazhwar, Thirumalisai Alvar Bhoothathazhwar and Peyazhwar; the temple is classified as a Divyadesam, one of the 108 Vishnu temples that are mentioned in the book. During the 18th and 19th centuries, the temple finds mention in several works like 108 Tirupathi Anthathi by Divya Kavi Pillai Perumal Aiyangar; the temple is known as the place where Ramanuja, the expounder of Vaishnavadatta philosophy preached the holy ashtakshra "Ohm Namo Narayana" to all people irrespective of their caste.

The place was the birthplace of Thirukoshtiyur Nambigal, the teacher of Ramanuja and who taught him the gospel and instructed him not to reveal it to anyone. Taking the risk of his life, Ramanjua climbed up the temple and revealed the verse to the whole world. Nambigal was named him Emperumanar. Following the event, a life size image of Ramanuja was housed in the Ashtanga Mandap of the temple; the temple follows the traditions of the Thenkalai sect of Vaishnavite tradition and follows Vaikasana aagama. In modern times, the temple priests perform the pooja on a daily basis; as at other Vishnu temples of Tamil Nadu, the priests belong to the Vaishnavaite community, a Brahmin sub-caste. Six daily rituals are held at various times of the day and many yearly festivals are held at the temple, of which the float festival during the Tamil month of Masi, Navrathri during September–October and Vaikunta Ekadasi during Margazhi being the most prominent. There are weekly and fortnightly rituals performed

Coptic Orthodox Church in Asia

The Coptic Orthodox Church of Alexandria has many churches and congregations in the continent of Asia. All of the Coptic Orthodox Eparchies in the peninsula of Sinai are in Asia. Two Eparchies, each led by a Bishop: Kosman, Bishop of the Holy Diocese of El Arish, El Qantarah and all North Sinai. Apollo, Bishop of the Holy Diocese of El-Tor, Sharm El Sheikh and all South Sinai. Coptic Orthodox churches in South Sinai Moses St Mark; this Archdiocese has many churches in the Palestinian Authority, Syria, Iran, the United Arab Emirates, Bahrain, Oman and Israel. This great archdiocesan Metropolis is technically outside the Egyptian Province and was not counted within the jurisdiction of the Pope of Alexandria and it was created by Pope Cyril III in the Thirteenth Century, which, at that time, had caused a dispute between the Coptic Orthodox Church of Alexandria and the Syriac Orthodox Church of Antioch; this was a rare incident between the two sister churches as in general their relationship is one of the strongest between any two sister churches.

The Coptic Orthodox Metropolitan of Jerusalem is the only Coptic Orthodox Metropolitan, consecrated as a Metropolitan Archbishop without being consecrated a bishop first and elevated to the Metropolitan rank as is the norm in all episcopal consecration according to the tradition of the Church of Alexandria. This has been the case since Cyril III consecrated Metropolitan Basilius as the first Coptic Orthodox Metropolitan of Jerusalem and All the Near East; the Coptic Orthodox Church is one of the 18 religious sects recognized by the Lebanese Constitution. This wide area comes under the Diocese of Sydney, New South Wales, Northern Territory and All East Asia whose Hierarch is Daniel, Bishop of the Holy Diocese of Sydney, New South Wales, Northern Territory, Thailand and All East Asia; the following is a list of churches in East Asia under the jurisdiction of the Diocese, the priests that serve in each church: St. Mary & Archangel Michael. Bishop Daniel is the Coptic Orthodox bishop of the Diocese of Sydney and Affiliated Regions, including Asia.

He appointed the first serving Coptic priest in Japan in 2004 who served St. George Coptic Orthodox church in Japan, although a church building was not established yet; the first Coptic Orthodox holy liturgy was held in Japan in May 2004 by Bishop Daniel. Other areas were Coptic Orthodox holy liturgies were held were in Osaka, Kagoshima and Tottori. On July 18th, 2016, the first Coptic Orthodox church building in Japan was established by the Diocese of Sydney and affiliated region, in Kizugawa city, in Kyoto prefecture, it was named St. Mark Coptic Orthodox church; the Coptic Orthodox church in Japan is an official member of JCCC. The official website of the church is St. Mary; the responsible priest is Fr. Philopateer Wadie; the church address in Seoul, Mapo-gu, Donggyo-dong, 170-33. Https:// There are small communities in Pohang and Gyeongju. St. George & St. Mina. John Edward, Mission Start In 2014 In Jakarta. St. Mary, Jakarta St. Mark & Virgin Mary, Surabaya Archiangel Michael & St.

Moussa the Black, Malang The Coptic Orthodox Church in Malaysia has only one organised community in Malacca known as the St. Mary & St. Mark Church served by Fr. Joseph Sim, ordained on 15 March 2008; the Coptic Orthodox Church in Malaysia is an affiliate member of the Council of Churches of Malaysia. St. Mary & St. Mark; as of July 2014, the churches are under the direct governance of Pope Tawadros II with Fr. Daoud Lamei as the liaison. St. Mary's Church has grown to around 200 families with St Marks as a growing expansion; the following is a list of churches in Pakistan which are under the Diocese, the priests that serve in each church: St. Mark Coptic Orthodox Church.