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A team or a single player who gains the biggest average score for the pictures becomes a winner.

The game became widely known because of Alexey Tkachev who has carried out PhotoHunt games on regular basis since 2004 (the 1st one in Moscow, spring 2004). [44]

The game is quite similar to Geocaching but has time limitations and hints in it. The players receive coordinates of hidden treasures, which are hidden or buried around the city area. Each treasure is a plastic container with a code written on the bottom. Gifts from the organizers or souvenirs from teams that previously found the container may be found inside. Players search for the treasures with the help of maps and GPS navigators. When a code is found, team enters the code on the website of the game which means they found the treasure. Players may choose to take souvenirs from the container and/or place items into the container for other teams. Containers must then be put back where they were found without any clues as to their location. This means they may stay there for a long period of time. Neous Orchis 55 mid heel pumps clearance cost 100% guaranteed cheap price 100% original under sale online sale buy hKdyB

The games can be run at any time. If the game is available after it has been completed, players are free to search for treasures out of the competition.

In order to participate, teams should have an internet access to obtain coordinates and a shovel to dig out the treasures.

There are no limitations to transport used in the game. If a game requires GPS navigation, it has to be mentioned in the rules description.

A team or a single player first to find all the treasures becomes a winner. Some additional bonus tasks may be given during the game. If completed, the team gets hints to the treasures or some additional time that may affect the results of the game.

Every participant of the game is both a hunter and a target. Participants receive their target's profiles and have to find their targets, while someone is seeking for them. As a hunter one's mission is to hunt down and make the target wet using a water-gun. As a target one has to avoid getting hunted down and wet. If a participant shot his target, he receives a "life-code" from his wet target. After entering the code on the site of the game, participant receives the profile of his victim's target. This becomes his new target. Thus the number of yet dry players declines until there are two participants hunting each other down.

The main goal is to soak as many of your targets as you can and remain dry.

Participants have to use clean water and water-guns only.

In order to participate, one has to have a virtual ID – so-called certificate.

The games usually run 24/7 for several days or weeks.

A participant has to have an internet access for obtaining his target's profile and a water-gun.

The player who soaked most of the targets in time given becomes a winner. If the number of victims hit by several hunters is even, then the time it took each player to hunt down the last victim is taken into account.

Those without ST elevations are diagnosed either with unstable angina or NSTEMI―differentiated by the presence of cardiac enzymes. Both these conditions may or may not have changes on the surface ECG, including ST-segment depressions or T-wave morphological changes.

MI may lead to impairment of systolic or diastolic function and to increased predisposition to arrhythmias and other long-term complications.

Coronary thrombolysis and mechanical revascularization have revolutionized the primary treatment of acute MI, largely because they allow salvage of the myocardium when implemented early after the onset of ischemia. (See Treatment .)

The modest prognostic benefit of an opened infarct-related artery may be realized even when recanalization is induced only 6 hours or more after the onset of symptoms; that is, when the salvage of substantial amounts of jeopardized ischemic myocardium is no longer likely. The opening of an infarct-related artery may improve ventricular function and collateral blood flow; prevent ventricular remodeling, as well as decrease infarct expansion, ventricular aneurysm formation, and left ventricular dilatation; and reduce late arrhythmia associated with ventricular aneurysms, and mortality. [, , ]

Evidence suggests a benefit from the use of beta-blockers, angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers, and statins.

The American College of Cardiology (ACC)/American Heart Association (AHA)/European Society of Cardiology/World Heart Federation released the Observations From the TRITON-TIMI 38 Trial (Trial to Assess Improvement in Therapeutic Outcomes by Optimizing Platelet Inhibition With Prasugrel–Thrombolysis in Myocardial Infarction 38), which better outlines a universal definition of MI, along with a classification system and risk factors for cardiovascular death. []

(See Treatment for more details.)


Myocardial infarction (MI), commonly known as a heart attack, is defined pathologically as the irreversible death of myocardial cells caused by ischemia. Clinically, MI is a syndrome that can be recognized by a set of symptoms, chest pain being the hallmark of these symptoms in most cases, supported by biochemical laboratory changes, electrocardiographic (ECG) changes, or findings on imaging modalities able to detect myocardial injury and necrosis.

According to the third universal definition of MI, implemented by a joint task force from the European Society of Cardiology (ESC), American College of Cardiology (ACC) Foundation, American Heart Association (AHA), and the World Heart Federation (WHF), MI is diagnosed when either of the following two criteria are met. []

1. Detection of an increase or decrease in cardiac biomarker values (preferably using cardiac troponin [cTn]) with at least one value above the 99 th percentile of the upper reference limit (URL) and with at least one of the following findings:

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