Medical uses. Both positive and negative inotropes are used in the management of various cardiovascular conditions. The choice of agent depends largely on specific pharmacological effects of individual agents with respect to the condition. One of the most important factors affecting inotropic state is the level of calcium in the cytoplasm of the muscle cell.
There were many variations of the flag flown as the country was formed, but finally on June 14 th, 1777 (Flag Day or the Flagâ s Birthday), the final design was established. The American Flag began with 13 stripes of alternating red and white, and 13 white stars in a blue field.This represented the âNew Constellationâ that was the 13 colonies.lag Day originated when a schoolteacher arranged for his pupils to celebrate the âFlagâs Birthdayâ on the anniversary of the â Stars and Stripes ,â on June 14 th. In 1894 the governor of New York directed that on this day the Flag be displayed on all public buildings.
The American Flag and Its Protocol. The Flag of the United States of America is a symbol of freedom and liberty to which Americans pledge their allegiance by standing at attention, facing the flag with the right hand over the heart, and reciting: