According to the epidemiological transition model, when do vaccines and improved sanitation cause the death rate to decrease?.

What three factors shape our personality

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy

It is the third week of the semester. dolly has registered for five courses because she is in a hurry to finish fire protection technology aas program. dolly is in aca 122, pol 120, eng 111, developmental math, and cis 110. she has realized that she cannot be successful in all of the classes at the same time because she also works 30 hours per week and has two small children. she wants to withdraw from one or more of her classes, but she doesn’t know which ones to drop. what college policies and procedures does dolly need to understand to her make this decision? what advice would you give her?