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.
A myocardial infarction is defined as:[ 2 1  ]. Elevated blood levels of cardiac enzymes (CKMB or Troponin T) AND. 2  One of the following criteria are met: 3  The patient has typical complaints, 4  The ECG shows ST elevation or depression.