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A HTML5 client-side solution for generating PDFs. Perfect for event tickets, reports, certificates, you name it! propranolol is used in the interim unless there is an associated cardiomyopathy b Atrial fibrillation Electrical cardioversion is unlikely to convert atrial fibrillation to normal sinus rhythm while the patient is thyrotoxic Spontaneous conversion to normal sinus rhythm tends to occur in about 56% of patients with achievement of euthyroidism, but that likelihood decreases with age Elective cardioversion may be used for those patients in whom atrial fibrillation persists for 4 months after resolution of hyperthyroidism Hyperthyroidism must be treated immediately (see above) Other drugs, including digoxin, blockers, anticoagulants, may be required (1) Digoxin Digoxin is used to slow a fast ventricular response to thyrotoxic atrial fibrillation; it must be used in larger than normal doses because of increased clearance and an increased number of cardiac cellular sodium pumps requiring inhibition Digoxin doses are reduced as hyperthyroidism is corrected (2) -Blockers -Blockers may also reduce the ventricular rate, but they must be used with caution particularly in patients with cardiomegaly or signs of heart failure since their negative inotropic effect may precipitate congestive heart failure Therefore, an initial trial of a short-duration -blocker should be considered, such as esmolol intravenously If a blocker is used, doses of digoxin must be reduced (3) Anticoagulants Anticoagulation is indicated in the following situations: left atrial enlargement on echocardiogram, global left ventricular dysfunction, recent congestive heart failure, hypertension, recurrent atrial fibrillation, or a history of previous thromboembolism The doses of warfarin required in thyrotoxicosis are smaller than normal because of an accelerated plasma clearance of vitamin K dependent clotting factors Higher warfarin doses are usually required as hyperthyroidism subsides c Heart failure Heart failure due to thyrotoxicosis may be caused by extreme tachycardia, cardiomyopathy, or both Very aggressive treatment of the hyperthyroidism is required in either case (see Thyroid Crisis, below) The tachycardia from atrial fibrillation is treated with digoxin as above Intravenous furosemide is typically required If tachycardia appears to be the main cause of the failure, blockers are administered cautiously as described above Congestive heart failure may occur as a result of lowoutput dilated cardiomyopathy in the setting of hyperthyroidism It is uncommon and may be caused by an idiosyncratic severe toxic effect of hyperthyroidism upon certain hearts Cardiomyopathy may occur at any age and without preexisting cardiac disease -Blockers and calcium channel blockers are avoided Emergency treatment may include afterload reduction, diuretics, digoxin, and other inotropic agents while the patient is being rendered euthyroid Heart failure usually persists despite correction of hyperthyroidism d Apathetic hyperthyroidism Apathetic hyperthyroidism may present with angina pectoris Treatment is directed at reversing the hyperthyroidism as well as providing standard antianginal therapy Coronary angioplasty or bypass grafting can often be avoided by prompt diagnosis and treatment. javascript create pdf library: HTML to PDF JavaScript: Use PDFreactor & JavaScript to create PDF jquery mobile pdf generator PDFKit
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24 Oct 2017 ... In some applications, there can be a scenario to generate pdf from current page. It is possible using JQuery and jsPDF. Lets check sample code ... 3 Thyroid crisis or storm This disorder, rarely seen today, is an extreme form of thyrotoxicosis that may occur with stressful illness, thyroid surgery, or RAI administration and is manifested by marked delirium, severe tachycardia, vomiting, diarrhea, dehydration and, in many cases, very high fever The mortality rate is high A thiourea drug is given (eg, methimazole, 15 25 mg orally every 6 hours or propylthiouracil, 150 250 mg orally every 6 hours) Ipodate sodium (500 mg/d orally) can be helpful if begun 1 hour after the first dose of thiourea Iodide is given 1 hour later as Lugol s solution (10 drops three times daily orally) or as sodium iodide (1 g intravenously slowly) Propranolol is given (cautiously in the presence of heart failure; see above) in a dosage of 05 2 mg intravenously every 4 hours or 20 120 mg orally every 6 hours Hydrocortisone is usually given in doses of 50 mg orally every 6 hours, with rapid dosage reduction as the clinical situation improves Aspirin is avoided since it displaces T4 from TBG, raising FT4 serum levels Definitive treatment with 131I or surgery is delayed until the patient is euthyroid 4 Hyperthyroidism from postpartum thyroiditis Propranolol is given during the hyperthyroid phase followed by levothyroxine during the hypothyroidism phase (see Thyroiditis, below) 5 Graves dermopathy Treatment involves application of a topical corticosteroid (eg, fluocinolone) with nocturnal plastic occlusive dressings 6 Thyrotoxic hypokalemic periodic paralysis Sudden symmetric flaccid paralysis, along with hypokalemia and hypophosphatemia and few signs of thyrotoxicosis, may develop in Asian and Native American men with hyperthyroidism Therapy with oral propranolol, 3 mg/kg, normalizes the serum potassium and phosphate levels and reverses the paralysis within 2 3 hours No intravenous potassium or phosphate is ordinarily required Intravenous dextrose and oral carbohydrate aggravate the condition and are to be avoided Therapy is continued with propranolol, 60 80 mg every 8 hours (or sustained-action propranolol daily at equivalent daily dosage), along with a thiourea drug such as methimazole to treat the hyperthyroidism. generate pdf from json data in java PDFKit
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Generate PDFs in JavaScript using html2pdf and Puppeteer. ... we'll take a look at two solutions for easily converting HTML to PDF : html2pdf and Puppeteer. Graves disease may rarely subside spontaneously and may even result in spontaneous hypothyroidism However, it usually persists The ocular, cardiac, and psychological complications can become very serious and persistent even after treatment Permanent hypoparathyroidism and vocal cord palsy are risks of surgical thyroidectomy Recurrences are common following thiourea therapy but also occur after lowdose 131I therapy or subtotal thyroidectomy With adequate treatment and long-term follow-up, the results are usually good However, despite treatment for their hyperthyroidism, women experience an increased long-term risk of death from thyroid disease, cardiovascular disease, stroke, and fracture of the femur Posttreatment hypothyroidism is common It may occur within a few months or up to several years after RAI therapy or subtotal thyroidectomy Malignant exophthalmos has a poor prognosis unless treated aggressively A 100,000-kVA 230/115-kV - three-phase power transformer has a per-unit resistance of 002 pu and a per-unit reactance of 0055 pu The excitation branch elements are RC = 110 pu and X M = 20 pu (a) If this transformer supplies a load of 80 MVA at 085 PF lagging, draw the phasor diagram of one phase of the transformer (b) What is the voltage regulation of the transformer bank under these conditions (c) Sketch the equivalent circuit referred to the low-voltage side of one phase of this transformer Calculate all the transformer impedances referred to the low-voltage side SOLUTION (a) The transformer supplies a load of 80 MVA at 085 PF lagging Therefore, the secondary line current of the transformer is generate pdf using jquery PDFMake
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