La Refinería Estatal de Esmeraldas produce 114 mil toneladas diarias de productos derivados del petróleo como gasolina, diesel y gas licuado de petróleo. La refinería usa un sistema automatizado para controlar los procesos de refinación que incluyen la destilación atmosférica, cracking catalítico, y la hidrodesulfuración. Los técnicos recomiendan construir una planta de alta conversión y una isomerizadora para procesar más residuos, aumentar la producción de derivados y reducir la importación
El documento describe varias prácticas de acceso remoto y administración de escritorios remotos, incluyendo la instalación de VNC, Terminal Services, Freenx, TeamViewer, LogMeIn, Xnest y LTSP. Estas herramientas permiten acceder al escritorio de un equipo de manera remota desde otro equipo u otros usuarios de la red.
O documento descreve um projeto escolar sobre a Segunda Guerra Mundial realizado por um professor e seus alunos do 8o ano e 3a série do ensino médio utilizando computador, internet, televisão e DVD para ensinar sobre a violência nazista.
El documento describe varias formas de aumentar la potencia de un motor a gasolina, incluyendo aumentar el tamaño o número de cilindros, incrementar la compresión, mejorar el sistema de admisión y escape, reducir el peso del motor, y usar sistemas turbo.
Este documento resume diferentes tipos de redes de computadoras, incluyendo redes LAN, MAN, WAN y describe los diferentes tipos de cables utilizados como par trenzado, coaxial y fibra óptica. Explica que una red LAN conecta computadoras dentro de un edificio o área de 200 metros, una MAN proporciona servicios en un área metropolitana más grande, y una WAN puede cubrir un país o continente. También describe brevemente cómo funcionan los cables par trenzado, coaxial y de fibra óptica para transmitir datos.
La Refinería Estatal de Esmeraldas produce 114 mil toneladas diarias de productos derivados del petróleo como gasolina, diesel y gas licuado de petróleo. La refinería usa un sistema automatizado para controlar los procesos de refinación que incluyen la destilación atmosférica, cracking catalítico, y la hidrodesulfuración. Los técnicos recomiendan construir una planta de alta conversión y una isomerizadora para procesar más residuos, aumentar la producción de derivados y reducir la importación
El documento describe varias prácticas de acceso remoto y administración de escritorios remotos, incluyendo la instalación de VNC, Terminal Services, Freenx, TeamViewer, LogMeIn, Xnest y LTSP. Estas herramientas permiten acceder al escritorio de un equipo de manera remota desde otro equipo u otros usuarios de la red.
O documento descreve um projeto escolar sobre a Segunda Guerra Mundial realizado por um professor e seus alunos do 8o ano e 3a série do ensino médio utilizando computador, internet, televisão e DVD para ensinar sobre a violência nazista.
El documento describe varias formas de aumentar la potencia de un motor a gasolina, incluyendo aumentar el tamaño o número de cilindros, incrementar la compresión, mejorar el sistema de admisión y escape, reducir el peso del motor, y usar sistemas turbo.
Este documento resume diferentes tipos de redes de computadoras, incluyendo redes LAN, MAN, WAN y describe los diferentes tipos de cables utilizados como par trenzado, coaxial y fibra óptica. Explica que una red LAN conecta computadoras dentro de un edificio o área de 200 metros, una MAN proporciona servicios en un área metropolitana más grande, y una WAN puede cubrir un país o continente. También describe brevemente cómo funcionan los cables par trenzado, coaxial y de fibra óptica para transmitir datos.
El Banco Interamericano de Desarrollo desembolsó $395 millones de dólares en créditos y desembolsos en 2011, superando los $239 millones del año anterior. Los desembolsos netos fueron negativos en $135 millones en 2011, aunque se espera que superen los $400 millones en 2012.
Andreia Valença Pires é uma arquiteta portuguesa com mais de 10 anos de experiência. Ela trabalhou em escritórios de arquitetura em Odivelas, Évora e Lisboa, onde se especializou em projetos de reabilitação e conservação do patrimônio construído. Ela também estagiou na prefeitura de Fronteira e atualmente cursa um mestrado em reabilitação e conservação.
Este documento presenta varios problemas relacionados con conjuntos numéricos y operaciones con números racionales. Resume los conceptos clave de sistemas numéricos, conjuntos, operaciones con fracciones y problemas de porcentajes. Proporciona ejemplos para ilustrar estas ideas matemáticas fundamentales.
El documento discute la fijación del precio del gas natural licuado para la generación eléctrica de Machala Power y la industria cerámica de Cuenca. Actualmente, la producción de gas natural en el campo Amistad equivale a USD 50'187.500. Se propone establecer el precio del gas natural licuado en $2.75 por millón de BTU's para Machala Power y entre $5.31 y $6.38 para la industria cerámica de Cuenca, lo que ahorraría al estado $120 millones por año al dejar de
As principais alterações trazidas pela Lei 12.683/2012 foram: 1) supressão do rol taxativo de crimes antecedentes; 2) alteração da definição de lavagem de capitais para incluir contravenções penais; 3) fortalecimento do controle administrativo sobre setores sensíveis à lavagem de capitais.
Pedro Vicente Maldonado fue un científico ecuatoriano nacido en 1704 en Riobamba. Estudió en el Real Colegio y Seminario Mayor de San Luis en Quito, donde obtuvo el título de Maestro. Trabajó con la misión geodésica francesa liderada por La Condamine, aportando información cartográfica que sirvió para obras de La Condamine. Maldonado también trabajó en la creación de su propia Carta de la Provincia de Quito y en abrir un camino entre Quito y Es
Las distintas visiones de Freud sobre la muerte: desde la pulsión/instinto de muerte ("tánatos") a nuestra actitud ante la finitud de nuestra existencia.
1. O documento descreve um estudo de caso sobre dengue de um paciente de 35 anos. Apresenta informações sobre o histórico do paciente, diagnóstico, exames realizados e medicações.
2. Detalha os sintomas da dengue clássica e da febre hemorrágica da dengue, assim como os achados nos exames físicos e laboratoriais característicos de cada forma.
3. Discorre sobre a evolução do paciente internado, os exames realizados durante a internação e as medicações administ
Este documento presenta una introducción al desarrollo de aplicaciones distribuidas. Explica conceptos clave como componentes, capas, servicios web y arquitectura de aplicaciones. También recomienda conocimientos previos de ingeniería de software y programación orientada a objetos antes de desarrollar aplicaciones distribuidas.
El documento presenta varios ejemplos de operaciones con conjuntos, incluyendo uniones, intersecciones y diferencias entre conjuntos de números y letras. También incluye ejemplos de estadísticas sobre medios de comunicación y preferencias de bebidas entre grupos de personas encuestadas.
A 67-year-old woman presented with palpitations. An ECG showed a narrow-QRS tachycardia at a rate of 160 beats per minute, with visible P waves preceding each QRS complex. The P waves were negative in leads II, III, aVF and V3-V6, with a PR interval of 140 msec. Based on these characteristics, the patient was diagnosed with atrial tachycardia originating from the atria.
This ECG shows an ectopic atrial rhythm originating from a low atrial region at a rate of 70 beats per minute, as well as an incomplete right bundle branch block. P waves are clearly seen and negative in several leads, with a PR interval of 180ms indicating the rhythm is not junctional. The QRS axis is normal and duration is 100ms with an rSR' pattern consistent with incomplete right bundle branch block. The final diagnosis is an ectopic atrial rhythm at 70bpm with incomplete right bundle branch block.
This document discusses the stepwise interpretation of an ECG for a patient. It identifies that the patient, a 56-year-old man who had an episode of syncope, has sinus rhythm with complete heart block. The atrial rate is 80/min while the ventricular rate is 43/min, showing dissociation between the two rhythms. The QRS complexes originate from the AV junction at a rate of 43/min, indicating an escape junctional rhythm. The final diagnosis is sinus rhythm with complete heart block and an escape junctional rhythm supplying the ventricles.
This document summarizes the ECG findings for a 58-year-old man presenting to the emergency department with 2nd degree AV block, Mobitz type 1. The ECG shows regular sinus rhythm at a rate of 88 beats per minute with intermittent conduction block such that every third P-wave is not followed by a QRS complex, resulting in a ventricular rate of 59 beats per minute. Further analysis of the ECG found normal QRS axis, duration and morphology with no signs of infarction, hypertrophy, or other abnormalities. The final diagnosis was sinus rhythm with Mobitz type 1 2nd degree AV block and a ventricular rate of 58 beats per minute.
This document describes the stepwise interpretation of ECG ID 122, which shows atrial flutter with variable atrioventricular block and a ventricular rate of 107 beats per minute in a 50-year-old man complaining of palpitations. The interpretation examines the P waves, QRS complex, QRS duration, signs of ventricular hypertrophy or myocardial infarction, and T waves. The final diagnosis is atrial flutter with variable AV block and a ventricular rate of 107 beats per minute.
This ECG shows signs of an acute antero-septal myocardial infarction in a 49-year old man presenting with chest pain, requiring urgent therapy. The ECG reveals normal sinus rhythm, a normal QRS axis and duration, and marked ST elevation in leads V1-V4, consistent with an antero-septal injury pattern diagnostic of an acute antero-septal infarction.
The document discusses an ECG reading of a 58-year-old man with dilated cardiomyopathy. It finds evidence of biatrial enlargement from enlarged P waves and left ventricular hypertrophy shown by a widened QRS complex and ST abnormality, with a heart rate of 97 beats per minute and no signs of myocardial infarction.
This ECG belongs to a 57-year-old woman with a history of rheumatic fever and recent symptoms of severe dyspnea and fatigue. The ECG shows normal sinus rhythm, left atrial enlargement, right axis deviation, and right ventricular hypertrophy. There are also ST depressions and negative T waves that may indicate ischemia from heart failure.
The document summarizes the stepwise interpretation of an ECG for a 78-year-old woman with a heart murmur. It finds sinus rhythm at 77 beats per minute with sinus arrhythmia and first-degree AV block. There is also evidence of left ventricular hypertrophy with ST-T abnormalities and no signs of myocardial infarction.
ECG #2 - ID 352 - Premature Atrial Complexes Anas Nader
A 62-year-old man presented with palpitations. An analysis of his ECG found sinus rhythm at 83 bpm with premature atrial complexes, where every third P wave was premature in a pattern of trigeminy. The QRS complexes, ST segments, and T waves were normal with no signs of right or left atrial enlargement, bundle branch blocks, ventricular hypertrophy, or myocardial infarction. The final diagnosis was sinus rhythm with atrial premature complexes in a pattern of trigeminy, but an otherwise normal ECG.
The ECG is for a 53-year-old man undergoing pre-anesthesia evaluation. The interpreter found normal sinus rhythm at a rate of 60 bpm, normal P waves and PR interval, normal QRS axis and duration with no evidence of conduction blocks, no signs of chamber enlargement or hypertrophy, and normal ST segments and T waves. The final diagnosis was a normal ECG.
El Banco Interamericano de Desarrollo desembolsó $395 millones de dólares en créditos y desembolsos en 2011, superando los $239 millones del año anterior. Los desembolsos netos fueron negativos en $135 millones en 2011, aunque se espera que superen los $400 millones en 2012.
Andreia Valença Pires é uma arquiteta portuguesa com mais de 10 anos de experiência. Ela trabalhou em escritórios de arquitetura em Odivelas, Évora e Lisboa, onde se especializou em projetos de reabilitação e conservação do patrimônio construído. Ela também estagiou na prefeitura de Fronteira e atualmente cursa um mestrado em reabilitação e conservação.
Este documento presenta varios problemas relacionados con conjuntos numéricos y operaciones con números racionales. Resume los conceptos clave de sistemas numéricos, conjuntos, operaciones con fracciones y problemas de porcentajes. Proporciona ejemplos para ilustrar estas ideas matemáticas fundamentales.
El documento discute la fijación del precio del gas natural licuado para la generación eléctrica de Machala Power y la industria cerámica de Cuenca. Actualmente, la producción de gas natural en el campo Amistad equivale a USD 50'187.500. Se propone establecer el precio del gas natural licuado en $2.75 por millón de BTU's para Machala Power y entre $5.31 y $6.38 para la industria cerámica de Cuenca, lo que ahorraría al estado $120 millones por año al dejar de
As principais alterações trazidas pela Lei 12.683/2012 foram: 1) supressão do rol taxativo de crimes antecedentes; 2) alteração da definição de lavagem de capitais para incluir contravenções penais; 3) fortalecimento do controle administrativo sobre setores sensíveis à lavagem de capitais.
Pedro Vicente Maldonado fue un científico ecuatoriano nacido en 1704 en Riobamba. Estudió en el Real Colegio y Seminario Mayor de San Luis en Quito, donde obtuvo el título de Maestro. Trabajó con la misión geodésica francesa liderada por La Condamine, aportando información cartográfica que sirvió para obras de La Condamine. Maldonado también trabajó en la creación de su propia Carta de la Provincia de Quito y en abrir un camino entre Quito y Es
Las distintas visiones de Freud sobre la muerte: desde la pulsión/instinto de muerte ("tánatos") a nuestra actitud ante la finitud de nuestra existencia.
1. O documento descreve um estudo de caso sobre dengue de um paciente de 35 anos. Apresenta informações sobre o histórico do paciente, diagnóstico, exames realizados e medicações.
2. Detalha os sintomas da dengue clássica e da febre hemorrágica da dengue, assim como os achados nos exames físicos e laboratoriais característicos de cada forma.
3. Discorre sobre a evolução do paciente internado, os exames realizados durante a internação e as medicações administ
Este documento presenta una introducción al desarrollo de aplicaciones distribuidas. Explica conceptos clave como componentes, capas, servicios web y arquitectura de aplicaciones. También recomienda conocimientos previos de ingeniería de software y programación orientada a objetos antes de desarrollar aplicaciones distribuidas.
El documento presenta varios ejemplos de operaciones con conjuntos, incluyendo uniones, intersecciones y diferencias entre conjuntos de números y letras. También incluye ejemplos de estadísticas sobre medios de comunicación y preferencias de bebidas entre grupos de personas encuestadas.
A 67-year-old woman presented with palpitations. An ECG showed a narrow-QRS tachycardia at a rate of 160 beats per minute, with visible P waves preceding each QRS complex. The P waves were negative in leads II, III, aVF and V3-V6, with a PR interval of 140 msec. Based on these characteristics, the patient was diagnosed with atrial tachycardia originating from the atria.
This ECG shows an ectopic atrial rhythm originating from a low atrial region at a rate of 70 beats per minute, as well as an incomplete right bundle branch block. P waves are clearly seen and negative in several leads, with a PR interval of 180ms indicating the rhythm is not junctional. The QRS axis is normal and duration is 100ms with an rSR' pattern consistent with incomplete right bundle branch block. The final diagnosis is an ectopic atrial rhythm at 70bpm with incomplete right bundle branch block.
This document discusses the stepwise interpretation of an ECG for a patient. It identifies that the patient, a 56-year-old man who had an episode of syncope, has sinus rhythm with complete heart block. The atrial rate is 80/min while the ventricular rate is 43/min, showing dissociation between the two rhythms. The QRS complexes originate from the AV junction at a rate of 43/min, indicating an escape junctional rhythm. The final diagnosis is sinus rhythm with complete heart block and an escape junctional rhythm supplying the ventricles.
This document summarizes the ECG findings for a 58-year-old man presenting to the emergency department with 2nd degree AV block, Mobitz type 1. The ECG shows regular sinus rhythm at a rate of 88 beats per minute with intermittent conduction block such that every third P-wave is not followed by a QRS complex, resulting in a ventricular rate of 59 beats per minute. Further analysis of the ECG found normal QRS axis, duration and morphology with no signs of infarction, hypertrophy, or other abnormalities. The final diagnosis was sinus rhythm with Mobitz type 1 2nd degree AV block and a ventricular rate of 58 beats per minute.
This document describes the stepwise interpretation of ECG ID 122, which shows atrial flutter with variable atrioventricular block and a ventricular rate of 107 beats per minute in a 50-year-old man complaining of palpitations. The interpretation examines the P waves, QRS complex, QRS duration, signs of ventricular hypertrophy or myocardial infarction, and T waves. The final diagnosis is atrial flutter with variable AV block and a ventricular rate of 107 beats per minute.
This ECG shows signs of an acute antero-septal myocardial infarction in a 49-year old man presenting with chest pain, requiring urgent therapy. The ECG reveals normal sinus rhythm, a normal QRS axis and duration, and marked ST elevation in leads V1-V4, consistent with an antero-septal injury pattern diagnostic of an acute antero-septal infarction.
The document discusses an ECG reading of a 58-year-old man with dilated cardiomyopathy. It finds evidence of biatrial enlargement from enlarged P waves and left ventricular hypertrophy shown by a widened QRS complex and ST abnormality, with a heart rate of 97 beats per minute and no signs of myocardial infarction.
This ECG belongs to a 57-year-old woman with a history of rheumatic fever and recent symptoms of severe dyspnea and fatigue. The ECG shows normal sinus rhythm, left atrial enlargement, right axis deviation, and right ventricular hypertrophy. There are also ST depressions and negative T waves that may indicate ischemia from heart failure.
The document summarizes the stepwise interpretation of an ECG for a 78-year-old woman with a heart murmur. It finds sinus rhythm at 77 beats per minute with sinus arrhythmia and first-degree AV block. There is also evidence of left ventricular hypertrophy with ST-T abnormalities and no signs of myocardial infarction.
ECG #2 - ID 352 - Premature Atrial Complexes Anas Nader
A 62-year-old man presented with palpitations. An analysis of his ECG found sinus rhythm at 83 bpm with premature atrial complexes, where every third P wave was premature in a pattern of trigeminy. The QRS complexes, ST segments, and T waves were normal with no signs of right or left atrial enlargement, bundle branch blocks, ventricular hypertrophy, or myocardial infarction. The final diagnosis was sinus rhythm with atrial premature complexes in a pattern of trigeminy, but an otherwise normal ECG.
The ECG is for a 53-year-old man undergoing pre-anesthesia evaluation. The interpreter found normal sinus rhythm at a rate of 60 bpm, normal P waves and PR interval, normal QRS axis and duration with no evidence of conduction blocks, no signs of chamber enlargement or hypertrophy, and normal ST segments and T waves. The final diagnosis was a normal ECG.
ECG #5 - ID 168 - Left bundle branch block Anas Nader
A 58-year-old man followed for coronary artery disease presented with an ECG showing sinus rhythm at 88 beats per minute, a prolonged QRS duration of 145 milliseconds consistent with left bundle branch block, and no evidence of right or left ventricular hypertrophy or atrial enlargement. The left bundle branch block precludes diagnosing left ventricular hypertrophy and can mask underlying myocardial infarction.
A 76-year-old woman underwent an ECG examination in her family doctor's office which showed atrial fibrillation with an irregularly irregular ventricular rhythm of 66 beats per minute and no P waves. The QRS complexes were normal with no signs of conduction abnormalities, ventricular hypertrophy, or prior myocardial infarction. The final diagnosis was atrial fibrillation with a controlled ventricular rate of 66 bpm and no other abnormalities.
ID 352 –Sinus rhythm With premature atrial complexAnas Nader
A 62-year-old man presented with palpitations. An analysis of his ECG found sinus rhythm at 83 bpm with premature atrial complexes, where every third P wave was premature in a pattern of trigeminy. The ECG further showed normal P waves, QRS axis, duration and complexes, as well as normal ST segments and T waves. The final diagnosis was sinus rhythm with atrial premature complexes in a pattern of trigeminy, but an otherwise normal ECG.
Atrio-ventricular dissociation occurs when the atrial and ventricular rhythms are independent of each other. It can happen when the atrial rate slows below the intrinsic ventricular rate, or due to inappropriate acceleration of the ventricular rate. Typically in AV dissociation the distal pacemaker, such as the ventricles, beats faster than the proximal pacemaker like the atria. In complete heart block the proximal pacemaker usually beats faster than the distal one. However, there are exceptions to using pacemaker rates to distinguish the two.
This document discusses common errors involving limb leads in electrocardiograms (ECGs), including:
1) Lead reversal is a common error, such as switching the right and left arm leads. This can cause leads like aVR and aVL to be reversed.
2) Misplacing the ground cable, such as attaching it to the right arm instead of the right leg, is another error.
3) Complex misplacements of the limb leads are less common. Examples provided demonstrate how specific lead errors can cause abnormalities to appear or disappear on ECG tracings.
Stepwise interpretation of ECG - #9 no Dx ID 594Anas Nader
This ECG shows a 49-year-old man experiencing severe chest pain for 1 hour who is presenting with an antero-septal injury pattern consistent with an acute myocardial infarction requiring urgent therapy. The ECG shows normal sinus rhythm at 84 beats per minute, a normal PR interval and QRS axis, and no signs of ventricular hypertrophy. It does reveal marked ST elevation in leads V1-V4, confirming the diagnosis of an acute antero-septal infarction.
Stepwise interpretation of ECG - #13 no Dx ID 419Anas Nader
This ECG shows an ectopic atrial rhythm originating outside the sinoatrial node at a rate of 75 beats per minute. The P waves precede each QRS complex but have an abnormal axis. There is also evidence of incomplete right bundle branch block seen by a widened QRS complex with a duration of 100 milliseconds and rSR' pattern. The final diagnosis is an ectopic atrial rhythm at 75 bpm with incomplete right bundle branch block and no signs of ventricular hypertrophy, myocardial infarction, or abnormal ST segments or T waves.
Stepwise interpretation of ECG - #13 no Dx ID 419Anas Nader
This ECG shows an ectopic atrial rhythm originating outside the sinoatrial node at a rate of 75 beats per minute. The P waves have an abnormal axis and precede each QRS complex, indicating the atrial origin. There is also an incomplete right bundle branch block seen by the prolonged QRS duration of 100 milliseconds and rSR' pattern. The final diagnosis is an ectopic atrial rhythm at a rate of 75 bpm with an incomplete right bundle branch block.
Stepwise interpretation of ECG - #13 no Dx ID 419Anas Nader
This ECG shows an ectopic atrial rhythm at a rate of 70 beats per minute with an incomplete right bundle branch block pattern. The QRS axis is normal and the duration is 100 msec. with an rSR' configuration. There are no signs of ventricular hypertrophy, myocardial infarction, or abnormal ST segments or T waves. The final diagnosis is an ectopic atrial rhythm at 75 beats per minute with an incomplete right bundle branch block.