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o Ascending aortic aneurysm. o Incomplete closure of the aortic valve cusps on the parasternal short axis view of the aortic valve. o High frequency diastolic fluttering of the anterior leafleft of the mitral valve during diastole. o Reverse doming of the anterior mitral valve leafleft. o LV volume overload pattern. o Measurements of LV end diastolic and end systolic dimensions and volumes. Shortening fractions and EFs Criticall in determining the optimal time for valve replacement. o Measurement of aortic regurgitant fraction, reguirgitant orifice size, and regurgitant volumes Now available with Doppler echocardiography. Article Source: Dr. D. S.



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By making concentrated efforts, weakness can be identified and rectified sooner rather than later when the damage is already done. Bottom LineUnderstanding the differences between being effective vs efficient is key when it comes to maximizing productivity. Its simply working smart so that the intended results are achieved in the best way possible. Finding the optimal balance should be the ultimate goal for employees and businesses:Take the steps that result in meeting the solution. Review the process and figure out how to do it better. Repeat the process with what has been learned in a more efficient manner. And just like that, effective and efficient productivity is maximized. More on How to Improve Productivity50 Ways to Increase Productivity and Achieve More in Less TimeProductivity vs Efficiency: Which One Matters More and Why?How to Complete Any Task in the Most Time Efficient MannerFeatured photo credit: Tim van der Kuip via unsplash. comEvery business should look for new ways to improve employee effectiveness and efficiency to save time and energy in the long term. Just because a company or employee has one, however, doesnt necessarily mean that the other is equally present. Utilizing both an effective and efficient methodology in nearly any capacity of work and life will yield high levels of productivity, while a lack of it will lead to a lack of positive results.



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The final Employment Law Compliance Bill 2008, which was published on March 18, 2008, provides for the establishment of the National Employment Rights Authority NERA on a statutory footing with greater enforcement powers than its predecessor, the Labour Inspectorate. However, to date while undocumented employees have been deported, employers found to be exploiting these workers have not been subject to prosecution. Most recently the ICI launched a series of workshops aimed at educating migrant leaders on communication, fundraising, and social entrepreneurial skills. Framing refers to the ideological pronouncements of NGOs with which they assign meaning to and interpret relevant events and conditions to garner bystander support and demobilize antagonists. Frames also refer to the actions of NGOs, as encoded in the actions and strategies of groups are messages which can influence supporters McAdam et al. 1996, p.

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