Annual leave is accrued increments of 4 to 8 hours per pay period. A pay period is every two weeks and typically 80 hours. If you work more or less than 80 hours in a pay period you will not accrue any annual. Employees new to the government earn 4 hours of annual leave per 80 hours worked. If you are a full time employee, that equates to 13 days of paid personal leave per year. After 3 years to federal service employees earn 6 hours per pay period or 19.5 days per year. After 15 years of full time federal service employees earn 8 hours of paid personal leave per pay period which is equal to 26 days off per year.
The remote myocardial infarction is evidenced by a collagenous scar with some residual red surviving myocardial fibers. This stage is reached about 2 months following the initial ischemic event. This scar tissue is nonfunctional, and the reduction in ejection fraction is related to the extent of scarring.
Myocardial infarction was then classified by the clinical scenario into various subtypes. Type 1 is a spontaneous MI related to ischemia from a primary coronary event (e.g., plaque rupture, thrombotic occlusion). Type 2 is secondary to ischemia from a supply-and-demand mismatch. Type 3 is an MI resulting in sudden cardiac death.