THE ANATOMY OF THE LYMPHATIC SYSTEM & LYMPHATIC DRAINAGE
|
|
- Rosamond Smith
- 7 years ago
- Views:
Transcription
1 THE ANATOMY OF THE LYMPHATIC SYSTEM & LYMPHATIC DRAINAGE One f the primary functins f the lymphatic system is t cllect and filter tissue fluid, and return it t the circulatin. During this prcess the lymphatic system plays an imprtant rle in bdy defense it detects and traps freign particles and prevents them frm entering the circulatin. In grss anatmy we will fcus n tw cmpnents f the lymphatic system: lymphatic vessels and lymph ndes. Lymph & Lymphatic Vessels Lymph fluid cnsists f excess extracellular fluid and plasma prteins leaked frm capillaries in cnnective tissues. In cases f infectin lymph fluid als cntains pathgens and dendritic cells carrying pathgens frm infected tissues. Lymph draining the small intestine (chyle) als includes emulsified fats. Lymph frm cnnective tissues is cllected and circulated in lymphatic vessels fr eventual return t the bld thrugh the venus system. During its circulatin lymph passes thrugh a series f lymph ndes where it is screened fr freign antigens and pathgens. Lymphatic vessels transprt lymph and chyle. With a few exceptins (e.g., bne, cartilage, the eye) these vessels ccur almst everywhere bld vessels are fund. Lymphatic vessels begin as blind capillaries in the extracellular spaces. These capillaries unite t frm larger lymphatic vessels and eventually even larger lymphatic trunks. Mst lymphatic vessels have valves that allw lymph t flw in nly ne directin. All f the lymph transmitted thrugh lymph vessels is returned t the circulatin at the junctin f the internal jugular vein with the subclavian vein in the rt f the neck (junctin f neck with shulders). These veins are bilateral (they ccur n bth sides f the bdy) and lymph is returned t the circulatin n bth sides. Majr lymphatic vessels Jugular trunks (right and left): lcated in the rt f the neck; each jugular trunk drains lymph frm ne full side f the head and neck (sme midline structures drain their lymph t bth sides). Subclavian trunks (right and left): lcated in the rt f the neck and shulder; each subclavian trunk drains lymph riginating frm the fllwing surces: Upper extremity Superficial fascia and skin f the upper back Superficial fascia and skin f the anterir thracic wall (including the breast) and anterir abdminal wall abve the level f the umbilicus Lymphatic Drainage Page 1
2 Brnchmediastinal trunks (right and left): lcated deep in the thrax; each brnchmediastinal trunk drains lymph riginating frm the lung, anterir thracic viscera and the musculature f the anterlateral bdy wall abve the level f the umbilicus. Lumbar trunks (right and left): lcated deep in the abdminal cavity; each lumbar trunk drains lymph frm the fllwing surces: Lwer extremity Abdminal wall musculature belw the umbilicus Retrperitneal rgans (e.g., kidney, adrenal gland, ureter) f the abdminal cavity Pelvic rgans External genitalia Intestinal trunks (numerus unpaired): lcated deep in the abdminal cavity; these trunks drain lymph (& chyle) frm the gastrintestinal tract and its accessry rgans. Chyle cistern & thracic duct The chyle cistern is a large cistern f lymph fund in the abdminal cavity, immediately inferir t the thracic diaphragm. It is frmed by the unin f the lumbar and intestinal trunks, and therefre cllects lymph frm all tissues and rgans lcated inferir t the thracic diaphragm. (It als cllects sme lymph frm the deep tissues f the inferir thracic bdy wall.) The thracic duct is a large, unpaired lymphatic vessel that emerges frm the superir aspect f the chyle cistern. The thracic duct ascends deep in the thrax, adjacent t the esphagus, t reach the rt f the neck n the left side. Lymphatic vessels in the rt f the neck As nted abve, all lymph drained frm the bdy s tissues is returned t the venus system in the rt f the neck. On bth the right and left sides f the bdy lymphatic vessels jin the internal jugular vein r subclavian vein where these large vessels unite t frm the brachicephalic vein (the venus angle). MDA7, F6.42B Lymphatic Drainage Page 2
3 On the right, the right jugular, right subclavian and right brnchmediastinal trunks drain t the right venus angle. On the left, the left jugular, left subclavian, left brnmediastinal trunks, and the thracic duct drain t the left venus angle. By virtue f this pattern f drainage, lymph frm the bdy s right upper quadrant (right side f head & neck, right side f thrax and back, right lung and right upper extremity) flws t the right venus angle; lymph frm the remainder f the bdy, including all abdminal and pelvic viscera, and bth lwer extremities drains t the left venus angle. Nte that the left jugular, subclavian and brnchmediastinal trunks ften empty directly int the thracic duct, rather than the venus angle prper. Similarly, the jugular, subclavian and brnchmediastinal trunks n the right may ccasinally jin t frm a shrt right lymphatic duct at the right venus angle. Gray s Atlas2, p12 Lymph Ndes Lymph ndes are vid r kidney-shaped ndules that vary in length frm a few millimeters t as much as 2 cm. Lymph ndes serve as filters fr the lymph. Any freign particles in the lymph, whether bacterial r inert material, are trapped in the ndes as the lymph passes thrugh the meshwrk f reticular fibers. Clinicians are extremely cnscius f the imprtance f lymph ndes. Lymphatic vessels frequently serve as pathways fr the spread f infectins and cancer and lymph ndes lcated n these paths tend t catch and hld fr a time such bacteria r cancer cells that may reach them. Hard, swllen lymph ndes can therefre be a sign f infectin r an indicatin f metastasis. Fr this reasn it is especially imprtant t learn 1) the lcatins f the reginal lymph ndes that drain the different areas f the bdy, and 2) the rutes f lymphatic drainage frm particular rgans. The terms lymphangitis and lymphadenitis refer t the secndary inflammatin f lymphatic vessels and lymph ndes, respectively ( angi = vessel; aden = gland). Lymphedema is an accumulatin f interstitial fluid that ccurs when lymph is nt drained frm an area f the bdy. Fr instance, if cancerus lymph ndes are remved frm the axilla as part f breast cancer treatment, lymphedema f the upper limb may result. Palpable Lymph Ndes In general, large lymph ndes are lcated deep within the bdy cavities r in ther, nn-palpable lcatins. Superficially-lcated lymph ndes tend t be small and even the larger f these are palpable nly when enlarged due t infectin r metastasis. The mre imprtant f these ptentially palpable lymph ndes are as fllws: Lymphatic Drainage Page 3
4 Axillary lymph ndes: lcated in the axilla (anatmical term fr armpit ), these lymph ndes receive three streams f lymph, ne frm the upper extremity, ne frm the superficial fascia f the adjacent thracic and upper abdminal wall and breast, and ne frm the superficial fascia f the upper back. The three currents meet and merge deep within the axilla. Lymph frm the axillary ndes drains t a subclavian trunk. Inguinal lymph ndes: lcated immediately inferir t the inguinal ligament in the grin area, inguinal ndes are divided int superficial and deep grups. They receive lymph primarily frm the lwer extremity and superficial fascia f the trunk inferir t the umbilicus including the external genitalia. After passing thrugh inguinal ndes, lymph drains t the lumbar lymphatic trunks and chyle cistern. Sbtta Atlas V.1, Fig 1.37 Deep cervical chain: lcated alng the curse f the internal jugular vein in the neck, this cllectin f lymph ndes receive lymph frm the head & neck. One f the ndes within this grup, the tnsillar nde (juguldigastric nde) receives lymph frm the palatine tnsils in the back f the thrat. Lymph frm the deep cervical chain drains t the jugular trunk. MDA7, F7.26B Sme f the inferir ndes in the deep cervical chain receive lymph frm the upper limb and anterir thracic wall as well as the head & neck. On the left these supraclavicular ndes als take part in filtering the lymph passing thrugh the thracic duct. The supraclavicular ndes are smetimes clinically imprtant as their enlargement can be the first sign f cancer f rgans and tissues lcated deep within the thrax, abdmen r pelvis. Lymphatic Drainage Page 4
5 Guide t figure surce abbreviatins: MDA7: Mre, Dalley & Agur, Clinically Oriented Anatmy, 7e, 2014: Wlters Klewer Lippinctt, Williams & Wilkins Gray s Anatmy3: Drake, Gray s Anatmy fr Students, 3e, 2015: Churchill Livingstne Elsevier Gray s Atlas2: Drake, Gray s Atlas f Anatmy, 2e, 2015: Churchill Livingstne Elsevier Sbtta s Atlas: Paulsen & Waschke, Sbtta Atlas f Human Anatmy, Vl. 1, Fifteenth Editin, 2016: Elsevier Lymphatic Drainage Page 5
The Lymphatic System
The Lymphatic System network of tissues, organs and vessels that help to maintain the body s fluid balance & protect it from pathogens lymphatic vessels, lymph nodes, spleen, thymus, tonsils, etc without
More informationThe Lymphatic System. Dr. Naim Kittana, PhD
The Lymphatic System Dr. Naim Kittana, PhD 1 Disclosure The material and the illustrations are adopted from the textbook Human Anatomy and Physiology / Ninth edition/ Eliane N. Marieb 2013 Dr. Naim Kittana,
More informationGENERAL / VASCULAR SONOGRAPHY OPTION COURSE OUTLINE AURORA ST. LUKE S MEDICAL CENTER SCHOOL OF DIAGNOSTIC MEDICAL SONOGRAPHY COURSE OVERVIEW
AURORA ST. LUKE S MEDICAL CENTER SCHOOL OF DIAGNOSTIC MEDICAL SONOGRAPHY COURSE OVERVIEW The cre curriculum defines several majr mdules f ultrasund educatin. All lectures are crrelated with scan lab demnstratin
More information1.3. The Mean Temperature Difference
1.3. The Mean Temperature Difference 1.3.1. The Lgarithmic Mean Temperature Difference 1. Basic Assumptins. In the previus sectin, we bserved that the design equatin culd be slved much easier if we culd
More informationUnit 9: The Lymphatic and Immune Systems NURSING PHYSIOLOGY (NRSG237)
Unit 9: The Lymphatic and Immune Systems Dr. Moattar Raza Rizvi NURSING PHYSIOLOGY (NRSG237) Functions: Transports Excess Interstitial Fluid Back to Bloodstream Lymphatic vessels collect lymph from loose
More informationHOW TO CHECK YOUR LYMPH NODES
HOW TO CHECK YOUR LYMPH NODES What are the aims of this leaflet? This leaflet has been written to help you to understand more about how to check your lymph nodes yourself. It tells you why you should be
More informationHUMAN NUTRITION DIGESTION DISSECTION 28 MAY 2014
HUMAN NUTRITION DIGESTION DISSECTION 28 MAY 2014 In this lessn, we: Lessn Descriptin Study the structure f the digestive system f animal by ding a dissectin Summary Structure f the Digestive System The
More informationMEDICATION GUIDE Prolia (PRÓ-lee-a) (denosumab) Injection, for subcutaneous use
MEDICATION GUIDE Prlia (PRÓ-lee-a) (densumab) Injectin, fr subcutaneus use Read the Medicatin Guide that cmes with Prlia befre yu start taking it and each time yu get a refill. There may be new infrmatin.
More informationMy Academic Requirements and Degree Audit Report (pdf) Field Descriptions
My Academic s and Degree Audit Reprt Field Descriptins My Academic s and Degree Audit Reprt (pdf) Field Descriptins Imprtant Infrmatin Field descriptins f bth the nline My Academic s reprt and the Degree
More informationDiagram showing Systemic and Portal Circulation
Diagram showing Systemic and Portal Circulation The Lymphatic System The Lymphatic System comprises of lymphatic capillaries, lymphatic vessels, nodes and ducts. Lymph fluid is not blood plasma, it contains
More informationThe Structure and Function of the Lymphatic System
The Structure and Function of the Lymphatic System The lymphatic system runs though the body and is made up of organs and lymphatic tissue, this includes organs like the spleen and thymus and also lymphatic
More informationSystem Business Continuity Classification
System Business Cntinuity Classificatin Business Cntinuity Prcedures Infrmatin System Cntingency Plan (ISCP) Business Impact Analysis (BIA) System Recvery Prcedures (SRP) Cre Infrastructure Criticality
More informationedoc Lite Recruitment Guidelines
edc Lite Recruitment Guidelines Intrductin OneStart & the Academic Psitin Search Channel edc Lite Ruting and Wrkgrups Ruting Actin List Ruting Cntrls Wrkgrups Dcument Search edc Lite Dcuments Vacancy Ntice
More informationThe Circulatory System. Chapter 17 Lesson 1
The Circulatory System Chapter 17 Lesson 1 Functions of the Circulatory System Your circulatory system maintains an internal environment in which all the cells in your body are nourished. As your heart
More informationLOWER CROSSED SYNDROME
LOWER CROSSED SYNDROME Lwer-Crssed Syndrme (LCS) is als referred t as distal r pelvic crssed syndrme. In LCS, tightness f the thraclumbar extensrs n the drsal side crsses with tightness f the ilipsas and
More informationBreast Cancer. Patient Resources. Classification of Breast Cancer YOUR GUIDE TO
YOUR GUIDE TO Breast Cancer Classificatin f Breast Cancer Treatment Optins Fllw-up Patient Resurces Patient Resurces Natinal Cancer Centre Cancer Helpline Tel: 6225 5565 www.nccs.cm.sg Breast Cancer Fundatin
More informationUNIT 4 - CHAPTER 16: LYMPHATIC SYSTEM AND IMMUNITY LEARNING OUTCOMES: 1. Describe the general functions of the lymphatic system.
LEARNING OUTCOMES: 16.1 Intrductin 1. Describe the general functins f the lymphatic system. 16.2 Lymphatic Pathways 2. Identify and describe the parts f the majr lymphatic pathways. 16.3 Tissue Fluid and
More informationResource 2.3.1 Installing Videoconference Systems
ICT Vlume 2.3.1 Installing Videcnference Systems Page 1 Deakin eslutins (Infrmatin Technlgy Services Divisin) Audi Visual and Netwrks Unit ICT Vlume 2.3 Videcnferencing Standards Resurce 2.3.1 Installing
More informationLOSS CONTROL GUIDE DUST CONTROL
LOSS CONTROL GUIDE DUST CONTROL OSHA has cmmenced rulemaking t develp a cmbustible dust standard fr general industry. Cmbustible dust can cause catastrphic explsins like the 2008 disaster at a sugar refinery
More informationHow to Avoid Moisture Damage to Walls from Condensation
Hw t Avid Misture Damage t Walls frm Cndensatin Backgrund Infrmatin Exterir building walls are barriers between the atmspheric cnditins n the utside and the atmspheric cnditins n the inside. Certainly
More informationLucy presented to a referring DVM on 03/23/10 with history of weight loss, anorexia and lethargy.
What s yur diagnsis? Jessa Francisc Lucy the 2 year ld Bxer Histry Lucy presented t a referring DVM n 03/23/10 with histry f weight lss, anrexia and lethargy. CBC/Chemistry, 4Dx SNAP test, thracic radigraphs,
More informationDIRECT DATA EXPORT (DDE) USER GUIDE
2 ND ANNUAL PSUG-NJ CONFERNCE PSUG-NJ STUDENT MANAGEMENT SYSTEM DIRECT DATA EXPORT (DDE) USER GUIDE VERSION 7.6+ APRIL, 2013 FOR USE WITH POWERSCHOOL PREMIER VERSION 7.6+ Prepared by: 2 TABLE OF CONTENTS
More informationSoftware and Hardware Change Management Policy for CDes Computer Labs
Sftware and Hardware Change Management Plicy fr CDes Cmputer Labs Overview The cmputer labs in the Cllege f Design are clsely integrated with the academic needs f faculty and students. Cmputer lab resurces
More informationRequest for Proposals
Request fr Prpsals GIS Prject Water & Sewer Systems Issued by: NEOnet Inc. 4715 Highway 101 East Suth Prcupine, ON P0N1H0 Phne: 705.360.1353 Web: www.nenet.n.ca Deadline fr Submissin: 5:00 p.m. March 11,
More informationThe local school Technology Specialist will provide support for laptop and printer configurations.
Chapter 34 Easy IEP fr Special Educatin Easy IEP, a cmpnent f Fultn Cnnect, is the infrmatin management system fr dcumentatin f events fr special educatin students. The student infrmatin system fr Fultn
More informationMcAfee Enterprise Security Manager. Data Source Configuration Guide. Infoblox NIOS. Data Source: September 2, 2014. Infoblox NIOS Page 1 of 8
McAfee Enterprise Security Manager Data Surce Cnfiguratin Guide Data Surce: Infblx NIOS September 2, 2014 Infblx NIOS Page 1 f 8 Imprtant Nte: The infrmatin cntained in this dcument is cnfidential and
More informationChronic Pelvic Pain. Despite all the pain CPP causes, doctors are often not able to find a reason or cure to help these women.
What is Chrnic Pelvic Pain (CPP)? Chrnic Pelvic Pain Chrnic pelvic pain is ne f the mst cmmn medical prblems amng wmen. Twentyfive percent f wmen with CPP may spend 2-3 days in bed each mnth. Mre than
More informationtime needed to collect and analyse data.
Feasibility and Pilt studies This is a definitin that has been agreed by the Efficacy and Mechanism Evaluatin (EME), Public Health Research (PHR), Health Technlgy Assessment (HTA) and Research fr Patient
More informationThe aim of the procedure is to insert a central venous catheter to safely administer drugs, liquid food or take blood samples over a period of time.
Departments f Anaesthesia, Haematlgy, Medicine and Surgery Prcedure infrmatin leaflet Name f prcedure: Percutaneus insertin f a central venus catheter [ PICC] It has been recmmended fr yu t have a PICC
More informationCoordinates. Definition of terms
Crdinates Definitin f terms C Lcal crdinates C Gegraphical C Latitude - angular measurement f a lcatin n Earth frm the equatr C Lngitude - angular measurement f a lcatin n Earth frm the Prime Meridian
More informationWatlington and Chalgrove GP Practice - Patient Satisfaction Survey 2011
Watlingtn and Chalgrve GP - Patient Satisfactin Survey 2011 Backgrund During ne week in Nvember last year patients attending either the Chalgrve r the Watlingtn surgeries were asked t cmplete a survey
More informationMarch 2016 Group A Payment Issues: Missing Information-Loss Calculation letters ( MILC ) - deficiency resolutions: Outstanding appeals:
The fllwing tpics were discussed in the March 24, 2016 meeting with law firms representing VCF claimants. Grup A Payment Issues: We cntinue t fcus n paying Grup A claims in full and are meeting the schedule
More informationChapter 26: Radiology Services
Payment P licies fr Healthcare S ervices P rvided t Injured Wrkers and C rime Victims Chapter 26: Radilgy Services E ffective J uly 1, 2012 Link: Lk fr pssible updates and crrectins t these payment plicies
More informationTaskCentre v4.5 File Transfer (FTP) Tool White Paper
TaskCentre v4.5 File Transfer (FTP) Tl White Paper Dcument Number: PD500-03-22-1_0-WP Orbis Sftware Limited 2010 Table f Cntents COPYRIGHT 1 TRADEMARKS 1 INTRODUCTION 2 Overview 2 FEATURES 2 GLOBAL CONFIGURATION
More informationSystem Business Continuity Classification
Business Cntinuity Prcedures Business Impact Analysis (BIA) System Recvery Prcedures (SRP) System Business Cntinuity Classificatin Cre Infrastructure Criticality Levels Critical High Medium Lw Required
More informationHSBC Online Home Loan Application Process
HSBC Online Hme Lan Applicatin Prcess Versin 1.0 Nvember 2005 Cpyright. HSBC Bank Australia Limited 2005 ALL RIGHTS RESERVED N part f this publicatin may be reprduced, stred in a retrieval system, r transmitted,
More informationAnatomy 2221/9501/9524: Functional Human Anatomy for Kin, PT, OT
2015-16 1 Anatmy 2221/9501/9524: Functinal Human Anatmy fr Kin, PT, OT Anat 2221, Kinesilgy: Full year 2015-2016 Anat 9501, Schl f Physical Therapy: Tw terms Sept -Feb, 2015-2016 Anat 9524, Schl f Occupatinal
More informationCombination of beams. Chapter 12 Treatment Planning Combination of Beams. Opposing pairs of beams. Opposing pairs of beams. Opposing pairs of beams
Chapter 12 Treatment Planning Cmbinatin f Beams Radiatin Dsimetry I Text: H.E Jhns and J.R. Cunningham, The physics f radilgy, 4 th ed. http://www.utled.edu/med/depts/radther Cmbinatin f beams Achieve
More informationMedication Guide ANDROGEL (AN DROW JEL) CIII (testosterone gel) 1.62%
Medicatin Guide ANDROGEL (AN DROW JEL) CIII (teststerne gel) 1.62% Read this Medicatin Guide befre yu start using ANDROGEL 1.62% and each time yu get a refill. There may be new infrmatin. This infrmatin
More informationSTAIRWAY Building code information for one- or twofamily dwellings and townhomes.
STAIRWAY Building cde infrmatin fr ne- r twfamily dwellings and twnhmes. Building Safety Department 400 2 nd Street Suth St. Clud, MN 56301 Phne 320-255-7239 Fax: 320-650-3397 www.ci.stclud.mn.us Stairway
More informationVacuum Pumps Common Problems and Troubleshooting
Vacuum Pumps Cmmn Prblems and Trubleshting Vacuum pumps and systems are ne f the widely used equipment in prcess plants. It is very imprtant t crrectly size and select the vacuum pump as it is t lay dwn
More informationPMR: FINANCIAL INSTRUMENTS IFRS: IAS 39 (measurement), IAS 32 (presentation) N.B. Text in purple are not converged between ASPE and IFRS
PMR: FINANCIAL INSTRUMENTS IFRS: IAS 39 (measurement), IAS 32 (presentatin) N.B. Text in purple are nt cnverged between ASPE and IFRS DEFINITIONS Financial Instrument is a cntract that creates a financial
More informationFINRA Regulation Filing Application Batch Submissions
FINRA Regulatin Filing Applicatin Batch Submissins Cntents Descriptin... 2 Steps fr firms new t batch submissin... 2 Acquiring necessary FINRA accunts... 2 FTP Access t FINRA... 2 FTP Accunt n FINRA s
More informationDavid Drivers Revit One-sheets: Linked Project Positioning and shared coordinates
This paper discusses the fllwing features f Revit Building Shared Crdinates Named lcatins Publish and acquire Vs Saving lcatins Shared Crdinates and wrkset enabled files Revisin 1 (Versin 9.0) David Driver.
More informationThe lymphatic system and the immune system
Freephone helpline 0808 808 5555 information@lymphomas.org.uk www.lymphomas.org.uk The lymphatic system and the immune system Lymphoma is a cancer that usually grows in the body s lymphatic system. The
More informationPerl for OpenVMS Alpha
Perl fr OpenVMS Alpha Installatin Guide and Release Ntes January 25, 2002 Perl fr OpenVMS Versin 5.6.1 CPQ-AXPVMS-PERL-V0506-1-1.PCSI-DCX-AXPEXE On this page yu'll find infrmatin abut: Sftware prerequisites
More informationIntroduction... 2. 1. Identify Projects for Inclusion in HMIS... 3. 2. Identify Funding Components for each Project... 3
Table f Cntents Intrductin... 2 HMIS Prject Setup Steps... 3 1. Identify Prjects fr Inclusin in HMIS... 3 2. Identify Funding Cmpnents fr each Prject... 3 3. Set Up Prjects in HMIS... 4 Data Cllectin Requirements...
More informationVolume THURSTON COUNTY CLERK S OFFICE. e-file SECURE FTP Site (January 2011) User Guide
Vlume 1 THURSTON COUNTY CLERK S OFFICE e-file SECURE FTP Site (January 2011) User Guide Table f Cntents C H A P T E R 1 FTP e-filing SERVICE 1 Dcument Requirements 1 Scanners 2 File naming cnventin 2 e-file
More informationHow much life insurance do I need? Wrong question!
Hw much life insurance d I need? Wrng questin! We are ften asked this questin r sme variatin f it. We believe it is NOT the right questin t ask. What yu REALLY need is mney, cash. S the questin shuld be
More informationWinFlex Web Single Sign-On (EbixLife XML Format) Version: 1.5
WinFlex Web Single Sign-On (EbixLife XML Frmat) Versin: 1.5 The gal f this dcument is t specify and explre the basic peratins that are required t facilitate a vendr applicatin requesting access t the WinFlex
More informationChapter 15. Sympathetic Nervous System
Chapter 15 Sympathetic Nervous System Somatic versus Autonomic Pathways Somatic efferent innervation ACh Myelinated fiber Somatic effectors (skeletal muscles) Autonomic efferent innervation ACh ACh or
More informationVALLEYVIEW AUTOMATED PAYROLL SYSTEM
VALLEYVIEW AUTOMATED PAYROLL SYSTEM ValleyView has purchased and custmised an autmated system t manage their payrll. This system is knwn as ValleyView Autmated Payrll System (VAPS). VAPS is used t recrd
More informationmanual Page 1 / 5 effects in an easy good LED strips can be Selection guide applications. 1) Selection (indoors, outdoors) desired number of LEDs
Technical instructin Intrductin LED strips are a new generatin f innvative lighting prducts that allw creating spectacular effects in an easy way. LED strips have ther advantages like small dimensins,
More informationWHAT YOU NEED TO KNOW ABOUT. Protecting your Privacy
WHAT YOU NEED TO KNOW ABOUT Prtecting yur Privacy YOUR PRIVACY IS OUR PRIORITY Credit unins have a histry f respecting the privacy f ur members and custmers. Yur Bard f Directrs has adpted the Credit Unin
More informationResearch Findings from the West Virginia Virtual School Spanish Program
Research Findings frm the West Virginia Virtual Schl Spanish Prgram Funded by the U.S. Department f Educatin Cnducted by R0cKMAN ETAL San Francisc, CA, Chicag, IL, and Blmingtn, IN Octber 4, 2006 R0cKMAN
More informationCREDIT REPORTING USER GUIDE
Suthwest Business Credit Services, User Guide CREDIT REPORTING USER GUIDE Last Mdified: 5/6/14 Last Mdified: 5/6/14 1 Suthwest Business Credit Services, User Guide Table f Cntents Intrductin... 3 Hw T
More informationTEAS Information Packet Northampton Community College Department of Nursing RN and Advanced Placement RN Programs
1 TEAS Infrmatin Packet Nrthamptn Cmmunity Cllege Department f Nursing RN and Advanced Placement RN Prgrams This bklet cntains essential infrmatin regarding TEAS testing required f all applicants requesting
More informationB Bard Video Games - Cnflict F interest
St Andrews Christian Cllege BOARD CONFLICT OF INTEREST POLICY April 2011 St Andrews Christian Cllege 2 Bard Cnflict f Interest Plicy Plicy Dcument Infrmatin Plicy Name Bard Cnflict f Interest Plicy Authr/Supervisr
More informationEqual Pay Audit 2014 Summary
Equal Pay Audit 2014 Summary Abut the dcument The fllwing summary is an abridged versin f Ofcm s equal pay audit 2014. In the full versin f the reprt we set ut ur key findings, cmment n any issues arising
More information4370.4 REV-1. cash flows from operating activities, cash flows from investing activities, and cash flows from financing activities.
CHAPTER 5 STATEMENT OF CASH FLOWS IN DETAIL 5-1 Cash is the lifebld f any nging cncern. Cash is INTRODUCTION the fuel that keeps the business aflat. As was stated in Chapter 2, the Balance Sheet and the
More informationTABLE OF CONTENTS MEDICARE DOCUMENTATION AND CODING REQUIREMENTS
TABLE OF CONTENTS MEDICARE DOCUMENTATION AND CODING REQUIREMENTS MEDICARE DOCUMENTATION AND CODING REQUIREMENTS... 9-1 IMPORTANT REMINDER... 9-1 MEDICAL RECORD DOCUMENTATION AND EVALUATION REQUIREMENTS...
More informationPEARL LINGUISTICS YOUR NEW LANGUAGE SERVICE PROVIDER FREQUENTLY ASKED QUESTIONS
PEARL LINGUISTICS YOUR NEW LANGUAGE SERVICE PROVIDER FREQUENTLY ASKED QUESTIONS 1) Hw d I determine which service I need? 2) Hw d I bk face t face interpreters? 3) Hw d I bk telephne interpreters? 4) Hw
More informationFixed vs. Variable Interest Rates
Fixed vs. Variable Interest Rates Understanding the Advantages and Disadvantages f Each Rate Type When shpping fr financial prducts, there are a lt f factrs t cnsider. Much has changed in the financial
More informationBurner Troubleshooting Guide
IMMEDIATE RESPONSE TECHNOLOGIES, INC. Burner Trubleshting Guide Flash Water Heater (all standard types) Created By: Stefan Swan Infrmatin in this guide was deemed technically accurate at the time f printing.
More informationWhat are the qualifications for teachers and paraprofessionals who are hired to work in a preschool program?
FAQ n Indiana Title I Preschls Qualificatins What are the qualificatins fr teachers and paraprfessinals wh are hired t wrk in a preschl prgram? Preschl teachers and assistants are expected t meet the highest
More informationIndicator Details Page
Indicatr Details Page Interactin Dcument Versin Date Owner Changes/Updates 0.1. 8/17/11 Nick Quintanilla - Initial dcument draft 0.1.1 9/1/11 Ian Oliver - Updated with feedback frm 8/30/11 Related Dcuments:
More informationMobile Device Manager Admin Guide. Reports and Alerts
Mbile Device Manager Admin Guide Reprts and Alerts September, 2013 MDM Admin Guide Reprts and Alerts i Cntents Reprts and Alerts... 1 Reprts... 1 Alerts... 3 Viewing Alerts... 5 Keep in Mind...... 5 Overview
More informationA Walk on the Human Performance Side Part I
A Walk n the Human Perfrmance Side Part I Perfrmance Architects have a license t snp. We are in the business f supprting ur client rganizatins in their quest fr results that meet r exceed gals. We accmplish
More informationN Retail Australia - Factors Affecting Fuel Prices & Costs
FACTS ABOUT THE AUSTRALIAN RETAIL FUELS MARKET & PRICES RETAIL PRICES & INFLUENCES The mst imprtant influences n retail fuel prices in Australia are: the internatinal price f refined fuel the exchange
More informationTips for Using PCB Artist Getting Started
Tips fr Using PCB Artist Getting Started Revisin 1 Mre help is available Frm the PCB Artist Tips & Tls Page and via email at layuthelp@4pcb.cm This page is nt intended t replace the Tutrial in PCB Artist,
More informationSearch Engine Optimisation and Web Analytics
E-Cmmerce Applicatins Prmting yur Site: Search Engine Optimisatin and Web Analytics Sessin 6 1 Next steps Prmting yur Business Having develped website/e-shp shp next step is t prmte the business Marketing
More informationFact Sheet for Subscription Agents. JSTOR Current Scholarship Program
Fact Sheet fr Subscriptin Agents JSTOR Current Schlarship Prgram Purpse T enable subscriptin agents t place timely and accurate rders and payments fr titles in the JSTOR Current Schlarship Prgram (CSP)
More informationHow to deploy IVE Active-Active and Active-Passive clusters
Hw t deply IVE Active-Active and Active-Passive clusters Overview Juniper Netscreen SA and SM series appliances supprt Active/Passive r Active/Active cnfiguratins acrss a LAN r a WAN t prvide high availability,
More informationBaker Street Two Way Post-implementation monitoring strategy
Baker Tw Way Pst-implementatin mnitring strategy During the last cnsultatin in July 2015, varius issues and cncerns were raised. Respnse t the general traffic and envirnmental issues raised were prvided
More informationUrinary System Lab Guide
Urinary System Lab Guide I. Prelab Questions Name 1. Describe the location of the kidneys. 2. Describe the following structures: a. renal cortex b. renal pyramid c. renal column d. minor calyx e. renal
More informationCareLink Connectivity Options Introduction and Comparison Updated June 2013
CareLink Cnnectivity Optins Intrductin and Cmparisn Updated June 2013 There are fur cnnectivity ptins available fr CareLink, each f which has certain advantages and disadvantages. It is imprtant t think
More information1.0 Special Education and Conversion in MyEducation BC
1.0 Special Educatin and Cnversin in MyEducatin BC Special Educatin student eligibilities have been cnverted int MyEducatin BC frm BCeSIS. In rder t d s, special educatin wrkflw shells cntaining the designatin
More informationExchanging Files Securely with Gerstco Using gpg4win Public Key Encryption
Exchanging Files Securely with Gerstc Using gpg4win Public Key Encryptin Overview Visit the fllwing page n Gerstc s website t watch a vide verview f Public Key Encryptin: www.gerstc.cm/???? Initial Setup
More informationLISTSERV ADMINISTRATION Department of Client Services Information Technology Systems Division
LISTSERV ADMINISTRATION Department f Client Services Infrmatin Technlgy Systems Divisin E-MAIL LIST INSTRUCTIONS Yur List s Admin Webpage...2 Fr assistance cntact the Technlgy Assistance Center: 962-4357
More informationThe NBEO National Center of Clinical Testing in Optometry (NCCTO) How to Access the NCCTO in the BB&T Building
The NBEO Natinal Center f Clinical Testing in Optmetry (NCCTO) Sectins Hw t Access the NCCTO in the BB&T Building 200 Suth Cllege Street, Suite 2020 Charltte, Nrth Carlina 28202 1.800.969.3926, Extensin
More informationDreamweaver MX 2004. Templates
Dreamweaver MX 2004 Templates Table f Cntents Dreamweaver Templates... 3 Creating a Dreamweaver template... 3 Types f template regins... 4 Inserting an editable regin... 4 Selecting editable regins...
More informationExercise 6: Gene Ontology Analysis
Overview: Intrductin t Systems Bilgy Exercise 6: Gene Ontlgy Analysis Gene Ontlgy (GO) is a useful resurce in biinfrmatics and systems bilgy. GO defines a cntrlled vcabulary f terms in bilgical prcess,
More informationThe ad hoc reporting feature provides a user the ability to generate reports on many of the data items contained in the categories.
11 This chapter includes infrmatin regarding custmized reprts that users can create using data entered int the CA prgram, including: Explanatin f Accessing List Screen Creating a New Ad Hc Reprt Running
More informationThe Importance of Market Research
The Imprtance f Market Research 1. What is market research? Successful businesses have extensive knwledge f their custmers and their cmpetitrs. Market research is the prcess f gathering infrmatin which
More informationReference ID: 3658409
MEDICATION GUIDE LEMTRADA (lem-tra-da) (alemtuzumab) Injectin fr intravenus infusin Read this Medicatin Guide befre yu start receiving LEMTRADA and befre yu begin each treatment curse. There may be new
More informationChapter 3 The Study of Hair
Chapter 3 The Study f Hair Vcabulary: Class evidence: Cmparisn micrscpe: a cmpund micrscpe that allws the side-by-side cmparisn f samples, such as f hair r fibers Crtex: Cuticle: Hair fllicle: the actively
More informationPolaris HP. High power and biostimulation laser therapy. Polaris HP S18W. Polaris HP M8W
Plaris HP High pwer and bistimulatin laser therapy High pwer laser therapy is the latest specialty area in the field f physical therapy. It allws fr deep tissue penetratin with the use f high pwer laser
More informationTRAINING GUIDE. Crystal Reports for Work
TRAINING GUIDE Crystal Reprts fr Wrk Crystal Reprts fr Wrk Orders This guide ges ver particular steps and challenges in created reprts fr wrk rders. Mst f the fllwing items can be issues fund in creating
More information37 2 Blood and the Lymphatic System Slide 1 of 34
1 of 34 Blood is a connective tissue that contains both dissolved substances and specialized cells. 2 of 34 The functions of blood include: collecting oxygen from the lungs, nutrients from the digestive
More informationEssentials of Anatomy and Physiology, 5e (Martini/Nath) Chapter 14 The Lymphoid System and Immunity. Multiple-Choice Questions
Essentials of Anatomy and Physiology, 5e (Martini/Nath) Chapter 14 The Lymphoid System and Immunity Multiple-Choice Questions 1) The lymphoid system is composed of A) lymphatic vessels. B) lymph nodes.
More informationHow To Install Fcus Service Management Software On A Pc Or Macbook
FOCUS Service Management Sftware Versin 8.4 fr Passprt Business Slutins Installatin Instructins Thank yu fr purchasing Fcus Service Management Sftware frm RTM Cmputer Slutins. This bklet f installatin
More informationHarePoint HelpDesk for SharePoint. For SharePoint Server 2010, SharePoint Foundation 2010. User Guide
HarePint HelpDesk fr SharePint Fr SharePint Server 2010, SharePint Fundatin 2010 User Guide Prduct versin: 14.1.0 04/10/2013 2 Intrductin HarePint.Cm (This Page Intentinally Left Blank ) Table f Cntents
More informationAd Hoc Reporting: Query Building Tyler SIS Version 10.5
Mdule: Tpic: Ad Hc Reprting Ad Hc Reprting Basics Ad Hc Reprting: Query Building Tyler SIS Versin 10.5 Cntents OBJECTIVE... 1 OVERVIEW... 2 PREREQUISITES... 2 PROCEDURES... 3 THE COLUMN LISTING LANDSCAPE...
More informationCancer Treatments. Cancer Education Project. Overview:
Cancer Educatin Prject Cancer Treatments Overview: This series f activities is designed t increase students understanding f the variety f cancer treatments. Students als explre hw the txicity f a chemtherapy
More informationFACTS ABOUT THE SAFESCAN TARGET SCANNER
FACTS ABOUT THE SAFESCAN TARGET SCANNER 1. THE TARGET SCANNER SENSITIVITY ADVANTAGE - The Target Scanner has a passive nn-radiating DC magnetic field which greatly increases sensitivity-detectability.
More informationDr. Tozzi s and Dr. Roehrig s Patient Guide to Total Knee Replacement
Dr. Tzzi s and Dr. Rehrig s Patient Guide t Ttal Knee Replacement This guide is meant t help yu better understand yur upcming knee surgery. It is generalized infrmatin, and individual patients have unique,
More informationRetirement Planning Options Annuities
Retirement Planning Optins Annuities Everyne wants a glden retirement. But saving fr retirement is n easy task. The baby bmer generatin is graying. Mre and mre peple are appraching retirement age. With
More informationApplies to: All employees located in Hamilton Health Sciences facilities.
Hamiltn Health Sciences Clinical Manual Psting Date:2009-09-04 Psting Histry Dates: Title: CSS - General Waste Dispsal Prtcl Applies t: All emplyees lcated in Hamiltn Health Sciences facilities. 1.0 Purpse
More informationCar Seats and Car Beds for Preemies and Small Newborns As of 10/11
Car Seats and Car Beds fr Preemies and Small Newbrns As f 10/11 Small babies and thse with special needs due t prematurity r ther medical cnditins will nt fit well in all car seats sld fr newbrns. Selectin
More informationChapter 19 Ci C r i cula l t a i t o i n
Chapter 19 Circulation A closed system Circulatory System Consisting of Heart, Arteries, Veins, Capillaries, Blood & the Lymphatic system Blood Make up The blood is made up of Plasma and three main types
More information