Answer:
b. Start at the inferior region of the heart and remove the parietal pericardium until you reach the atria, then carefully cut the inferior portion of the parietal pericardium off. After you have done this you can slowly expose the major vessels by removing the rest of the parietal pericardium.
Explanation:
The pericardium is a fluid-containing membrane that surrounds the heart and protects it from infections while also lubricating it during movement. Pericarditis is a condition in which the pericardium becomes stiff and holds the heart in such a way that it prevents normal pumping movement, filling the heart inconsistently with blood and causing heart failure. To solve this, pericardiectomy is performed which is the surgical removal of the pericardium. This is done through median sternotomy, this approach cuts through the breastbone to reach the inferior part of the heart and then the parietal pericardium which is the outer pericardium.
A tariff is a form of taxation on foreign products, while a quota is a limit on imports from foreign countries, which can often have similar economic affects without the same foreign policy implications.
The answer is an obsessive-compulsive disorder. This disorder is characterized by obsessive thoughts and impulses, uncontrollable urges and compulsions which are visible through overt and mental rituals. These rituals are very difficult to suppress and usually consumes time and energy of an individual which hinders the person to function normally for his/her daily life.
