IF Function Excel With Multiple Conditions | Nested IF, IFS Function| IF with 2 or More Conditions from nested if function in excel 2016 Watch Video

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Supermarket staff have put up barriers and cordoned off eight parking spaces - to protect a seagull.<br/><br/>The gull is sitting on eggs in a nest it built at the base of a tree in the Morrisons car park in Liskeard, Cornwall. <br/><br/>The gull is now surrounded by barriers and staff have cordoned off eight car parking spaces to protect it.<br/><br/>The supermarket staff contacted the RSPCA for advice and were told to seal off space for the bird so they would not be disturbed.<br/><br/>All wild birds, their eggs and nests are protected by law.<br/><br/>It is an offence to damage or destroy a wild bird’s nest while it is being used or built.<br/><br/>The RSPCA added the gull could scare or hurt customers if distressed.<br/><br/>A spokesperson for Morrisons said staff contacted the RSPCA for advice and were told to cordon off space so the bird would not be disturbed.
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MEDICAL ANIMATION TRANSCRIPT: Drug metabolism is the chemical conversion of drugs into water soluble compounds that can be excreted by the body. Drug metabolism mainly takes place in the liver, while excretion mainly takes place in the kidneys. Following drug administration, drugs must pass through tightly packed cells, crossing cell membranes to reach their sites of action. Usually drugs are lipophilic or fat soluble compounds, and cell membranes are composed of phospholipids, so drugs are able to cross them. However, for excretion by the kidneys, it's necessary to convert drugs to water soluble or hydrophilic compounds. Drugs are usually administered orally or parenterally. Parenteral drugs bypass the digestive tract. Parental routes include injection, transdermal patches, lotions, inhalants, and suppositories. If injected, the drugs reach general circulation quickly and have an immediate effect. If taken orally, drugs must pass through the cells of the gastrointestinal tract. Drugs cross through cells of the GI tract and travel to the liver via the hepatic portal vein. The liver has a chance to metabolize some of the drug before it goes into general circulation, this is called the first pass effect. In the liver, drugs enter hepatic cells where a series of enzymes in smooth endoplasmic reticulum metabolize them. Drugs move through the phospholipid membrane of endoplasmic reticulum. Hepatic microsomal enzymes such as p450 convert drugs from lipophilic to hydrophilic compounds. Repeated use of certain drugs increases the amount of metabolic enzymes and increases drug metabolism. This is called enzyme induction. Conversely, certain drugs compete to bind to metabolic enzymes thereby decreasing drug metabolism. This is called enzyme inhibition. Once metabolized, these hydrophilic metabolites leave the cell ready for excretion by the kidney. A drug's duration and intensity of effect are largely determined by metabolic rate. Increased metabolic rate will decrease drug duration and intensity by facilitating excretion. Decreased metabolic rate increases drug duration and intensity. A few of the factors affecting metabolic rate are the first pass effect, liver disease such as cirrhosis, neonates in the elderly have decreased liver function, compromised blood flow to the liver will lower metabolic rate, variation in amount and type of hepatic enzymes, poor diet and nutrition can affect normal liver function, and higher circulating drug levels due to dosage or patient's weight take longer to metabolize. ♪ [music] ♪<br/>
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