Thursday, August 6, 2009

aLL bOut zArA.


dA fOUnder Of ZARA, Armancio Ortega, Open dA fiRst ZARA stOre iN 1975. Da fiRst ZARA store was lOCated On a cEntraL streeT in LA Coruna. Upon da SuCCEss ZARA format, da FIrm starteD tO expand and opEned furtheR stORes.

Its first store featured low-priced lookalike products of popular, higher-end clothing fashions. The store proved to be a success, and Ortega started opening more Zara stores in Spain. By the early 1980s, Ortega had begun formulating a new type of design and distribution model. The clothing industry followed design and production processes that required long lead times, often up to six months, between the initial design of a garment and its delivery to retailers.


Zara's PrOducT

zara stores have 7 basic product lines: men's clothing and women's clothing. As of 2007, each of these lines consist of 5 sub-sections. These sub-sections are Lower Garment, Upper Garment, Shoes, Cosmetics and Complements. Zara's catalogue also includes a line for children's clothing. Currently their sizing on women's clothing goes to a US size 12 or a UK size 16 or extra large.

An article in Businessworld magazine describes Zara's fashion strategy as follows: "Zara was a fashion imitator. It focused its attention on understanding the fashion items that its customers wanted and then delivering them, rather than on promoting predicted season's trends via fashion shows and similar channels of influence, which the fashion industry traditionally used."


Women Dress



Forget the rest! You'll always look your best with the sexy 'Zara Dress' from Trina Turk. Empire waistline with beaded accents. Low V-neck and back. Sleeveless. Zipper at the back. 35 approx. dress length. Materials: 93% silk and 7% elastane. Contrast: 82% Rayon and 18% silk. Lining 1: 56% acetate and 44% viscose. Lining 2: 100% polyester. Dry clean only. Made in the U.S.A.
Orvis Linenweave Big Shirt - Embroidered, Long Sleeve - For Women
CLOSEOUTS. Orvis' Linenweave Big Shirt features delicate, feminine leaf embroidery (with tiny sequin flowers) at the band collar and the crisp feel of Mother Nature's linen. Lightweight, for cool comfort Nylon adds strength Spandex stretch for fit and mobility Button front Long sleeves 53% linen, 45% rayon, 2% spandex Machine wash/dry Relaxed Fit CLOSEOUTS


Chaser - Run DMC More Big Bling Scoop Neck Women's Shirt, Mineral Wash Grey

100% Rayon (Soft/Sheer Top). Design brought to you by Chaser Merchandising.


sTOreZ





As of December 2008, there are more than 1,500 Zara stores around the world, distributed as listed below:



Tuesday, August 4, 2009

....> GueSs LOveR <...






tHE hisTOry Of guESs :...

....was FoundEd by gEorge,ArmaNds. pAul, and MauricE mArciaNo..der ar fOur bROTHerZ bOrn in QuarzAzate, MOrrocO.






In the 1990s, they also had a division called Guess Home, which featured youthful, upscale bedding collections (Guess was the first company to package each sheet, duvet and pillowcase pair in packaging actually made from sheeting material, which was a clever way to show what the pattern really looked like) as well as a number of innovative towel collections. By the end of the decade, sales dropped and Guess discontinued their home division.





GueSS,, da mOst PopuLAr bRAndEd dat I lyke so Much..


lEbih2 lagI i sKe bEli hanDbag tuk di jadiKAN mY cOllecTiOn..

...> dEr ar sOme cOllectiOn of HANdbags<...





daTz My new handBag.. ahaKzz.. juZ boUGHt frOm memBer..hiii.( aCTlly, xJAdi beli, dUk pK2 if xbeli rUgi sgt..)hahAA.. cOz gOt 50% dari harGa asaL..

wOww.. cAn u imagine dat?? sO cheaP!!!









Wednesday, June 3, 2009

,,,cAse sTUdy,,,,,

Tuan A, 45 Yearz Old, rasA xsedap didaDa dIsebelaH tenGAh staTS kAt ulu haTi kE ataS, rasAnyE sepErti TERBAKAR,PANAS, disErtai PELUH DINGIN(peluh sejuk) afTer makan malam.
hILang seteLah tiDur..1 jam afTer banGun tiDur, teRasa lagI Keluhan sePerti td dan diseRTai puSing kepaLA(penIng).

RPD: Ibu - HT (+)
Px - sakIT gastritiS siNce muDa
mErOkOk 2pak/haRi
TD : 100/60mm/Hg
NaDi: 60x/minIt
sUhU: 36 darjah celciuS
RR: 24x/miniT
ES+
ECG:Irama siNUs brAdikarDi 56x/miniT
ST Elevasi II,III, aVF, PVC,(ESV)

,,,...sO da Dx Is...???


#INfarK miokArd aKuT#
wHy..?
,,bCOz of paDA Ax n Pmx fIsik MengatAkan bahAwa.::.

Gx prODomaL unTuk IMA :
chESt disCOMforT
Rasa LemaH
kElelAhaN

NYeri dAda(saKIt dadA)
;
- bErvariaSi..sanGAt beraT iatu sakiT dadA selamA 20 minIt- bERjam-jAm, kualItas sakIT(Nyeri) dirASAakn sepErti MENEKAN(compreSSing), diRAmas( sQUeEzing/CrushIng/cONstriCtiNg), tErcekIk(chOkING),Berat (hEAvy paIN), Tajam(kNife lIke) atAu terbaKar(bUrniNg)
- lOkasi nYeri(sakiT) ;di rETRoSTErnaL, menJALar keDua dIndinG daDa trutaMa dAda kiri,ke bawAh ke bAHAGiaN mediaL lengAn meNimbULKAn rasa LengUH(PEgaL) pda prgeLANgan tanGAn dan jaRi.
-kadANG2 nyeri tersA di seKitar epigasTRiuM hinggA timbUL abdOMInal diSCOmfOrt

Gx penYerta:
mual, muntah, badaN LemaH, berDEbar-dEbara daN bErpelUh diNgiN

PMX fisIk;
ST Elevasi II,III,aVF ...........adalah Lead inferiOr xtensvE

pmX lab:
CK
CK-MB
SGOT
LDH
....

!!!uNtuk menEGAKkAN lagi DiagnoStik IMA ....!!!!
jika adA 2 faktoR dari faktoR berikUt ; sakiT dada yg speSifik
pErubAHAn ECG( gelmbg Q patologis, elevasi segm ST
PeningkataAN enzIm jantUng

Monday, June 1, 2009

miTRal STenOsiS

Mitral stenosis is characterized by restriction of blood flow from the left atrium (LA) to the left ventricle (LV) as a result of a narrowed mitral passage. It is an acquired valvular defect; it is usually a consequence of rheumatic heart disease, though cases of congenital mitral stenosis are occasionally encountered. Extensive mitral annular calcification (MAC) may result in mitral stenosis, particularly in the aged.

Mitral stenosis is seen more often in women than in men, and it generally develops at an earlier age in developing countries than in Western societies. In the latter, the incidence of rheumatic fever has declined precipitously over the past 4 decades.

Patients with mitral stenosis usually remain symptom-free for years. After the mitral orifice is reduced to one third of its normal size, symptoms typical of left-sided heart failure develop, such as dyspnea on exertion, orthopnea, and paroxysmal nocturnal dyspnea. Right ventricular (RV) failure gradually ensues, causing ascites and edema.Asymptomatic individuals with sinus rhythm on ECG need no treatment.

Symptoms of dyspnea and orthopnea improve with the use of diuretics. As symptoms worsen and pulmonary hypertension occurs, mechanical correction of the stenosis, rather than medical therapy, becomes necessary. These surgical options, which include valvuloplasty and mitral valve replacement, have changed the natural history of mitral stenosis, and terminally bedridden patients with mitral facies, cardiac cachexia, and end-stage congestive heart failure (CHF) are no longer encountered in everyday clinical practice.

Causes of mitral stenosis

Differential diagnoses

  • Atrial myxoma
  • Ball-valve thrombus
  • Cor triatriatum
  • Submitral ring or web

Mitral stenosis with atrial fibrillation

Patients with mitral stenosis and atrial fibrillation frequently present with decompensated congestive heart failure (CHF). The rapid ventricular rate shortens the diastolic filling time to a period insufficient to allow the LA to empty. As a consequence, the LA pressure rises and the forward cardiac output decreases.

Congenital mitral stenosis

Symptoms of mitral stenosis usually appear within the first 2 years of life. Infants have delayed development and breathlessness, caused by heart failure. Cyanosis and pallor may be noted. The heart is enlarged as a result of dilatation and hypertrophy of the RV and LA. Rumbling apical diastolic murmur is usually audible, followed by a loud first sound. The OS is usually absent.

Preferred Examination

Echocardiography, especially Doppler echocardiography, is the procedure of choice for evaluating the degree of mitral stenosis; in most of the patients, echocardiography may be adequate for the planning of therapeutic interventions.

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