Tram

issue raised by several reports is that TRAM causes “serotonin toxicity”. A review of one such U.S. based primary study18 that reported a single case of serotonin toxicity after TRAM was used revealed that, TRAM was co-administered with other drugs (i.e., venlafaxine and mirtazapine)18. The study performed a causality assessment and reported that, serotonin syndrome was observed after adding Tramadol to the existing medication regime (of venlafaxine and mirtazapine). Based on the analysis of results, a combination of multiple drugs caused the serotonin syndrome and serotonin release by Tramadol (which certainly contributed) cannot be solely attributable to the adverse drug event. In addition, the case study only included one patient (a 47 year white male with a history of antidepressant medications) which limits the generalizability of the results. A more recent primary study17 also evaluated whether serotonin toxicity is associated with Tramadol use? This study analyzed a single case of a 45-year old woman who consumed a large amount of TRAM dose (1000 mg) along with other acetaminophen (hydrocodone) in a short span of time (2 days). The patient had a history of migraine but had altered mental state (that led to hallucinations) when admitted to the hospital’s ER. Upon…

However, there was little evidence of development and potential industrial sites back then. Melbourne’s new suburbs are serviced by trams which are among the largest and most modern in the world. At its peak the cable system was 75 kilometres of double track, with 1200 grips and trailers and 17 routes. Our cable tram system was started by Francis Boardman Clapp in 1877. After some initial resistance, he successfully lobbied the government to pass the Melbourne Tramway & Omnibus Company Act…

everything needed for a happy one. We have innovative ideas that will change everything. Tagangeles has a unique tram system and districts that are placed to assist all of our citizens. One of our favorite districts is the parks and recreation district. It features a small mountain and a huge civic center that will meet any and every need of our citizens. A major problem that we were faced with was the large amounts of trash associated with large cities. There are many types of waste problems…

building material, science and more meant planners could extent the limits of their design and scale of their plans. Therefore planning is heavily influenced by technology and urbanisation and within my academic essay I will outline the pressures and opportunities technology created during the 19th century. By comparing two similar cities, their developments in that time period and discussing what it meant for that cities future. The city I have chosen to compare to Auckland is London because…

In the article “Who Gets to Attend College” by Tram Nguyen. Expresses how only currant kids are allowed to go to college or a university because of education and how it affects the community and the next generation. There has been some success in the “A-G System” helped the student succeed in school. We should fix currant things in public schools to help the students succeed. I’ve struggled in school as well and I understand the struggles of school and education but I have overcome some but…

There is a gorgeous 4 bedroom two-story home located at 8500 S. Claiborne Ave., New Orleans, Louisiana. Every inch of this 1,919 squared foot home is outfitted with an impressive blend of styles, comfort, and quality. As you enter you will be greeted by a nicely remodeled interior with an open floor plan and stairs leading upstairs to 4 inviting spacious bedrooms. Some features of this home includes: ceramic tile, hardwood floors that are in the bedrooms, vaulted ceilings on the lower level of…

Light Rail Transit is the most recent innovation in public transport technology and is regarded by many major municipalities across Canada as the next step in the evolution of their public transit systems. Many municipalities have begun plans to implement LRT within the near future, and Hamilton is one of them (“Ten Year Local Transit Strategy”). Light Rail Transit has many benefits: it is relatively inexpensive to produce, and the cars themselves are high capacity (about 280 people in a…

In Anton Chekhov's 1904 play The Cherry Orchard, a Russian family who is used to a life of riches begin to experience the hardships of poverty. Due to an extreme amount of carelessness and selfishness, the mother of the estate Lyubov Andreevna Ranvskaya loses the funds that have been allowing her to keep her family in a comfortable position financially. Throughout the play, Chekhov uses many items to represent symbolism, such as the cherry orchard itself to represent the golden age of…

transportation structure, and more importantly the tram system plays a crucial role in the lives of many Melbournians providing them with a mode of transport, whether that be travelling to work, education or leisure activities. Obtaining a greater understanding of customer’s satisfaction towards Yarra Trams’ service will assist in determining the strengths of the service, but also areas for improvement. Google Trends data (Appendix A) reveals that there has been a decrease in interest the tram…

People were asked a direct safety question “Do you feel safe when travelling by public transport?” in various contexts of public transport usage. The highest percentage was 73 percentage of passengers who felt safe when using public transport. The rest of respondents (27%) did not feel safe while boarding. Public transport in Melbourne including trains, buses and trams. Public transportation in Melbourne is often seen as having the lowest threat and crime, it is normally safe and secure.…