El documento parece ser una partitura musical o arreglo para la canción "Adela en el carrousel" de Charly García. Contiene varias secciones con notas musicales y símbolos, así como indicaciones para los instrumentos.
Um clássico que ficará na história, "baby can I hold you" é o terceiro single da cantora e compositora Tracy Chapman lançado em 1988 e regravado num dueto com Luciano Pavarotti para o CD "Pavarotti and Friends for Cambodia and Tibet".
O tema é simples tanto ao nível melódico como harmónico. As figuras rítmicas limitam-se à mínima, semínima e colcheia e respetivas pausas.
O compasso é binário e a tonalidade é Fá maior.
Горить його свіча : цікаві та маловідомі сторінки життя Миколи Руденка до 10...library_darnitsa
Товариство «Знання» оголосило 2020-й – роком дисидента Миколи Руденка з нагоди 100-річчя видатного письменника, філософа, правозахисника, Героя України Миколи Руденка.
Мета видання – ознайомити читачів з життєвим та творчим шляхом письменника, його політичними та філософськими поглядами на життя як правозахисника та засновника Української Ґельсинської Групи.
Bladder injuries are rare. But when present in cases of polytrauma they pose both a diagnostic as well as surgical challenge to the attending surgeon. Understanding the mechanisms underlying bladder injuries is pivotal in developing a diagnostic algorithm in order to avoid missing of any urologic injury. Once the extent and site of damage is diagnosed then prompt surgical intervention is the mainstay of treatment. The pathophysiology and management of bladder injuries is discussed in this paper.
This document provides an overview of acute scrotal pain, including potential causes, signs, symptoms, diagnostic tests and treatments. It discusses several conditions that can cause acute scrotal pain like torsion of the testis, epididymitis, orchitis and torsion of a testicular appendage. For each condition, it describes the pathophysiology, typical presentation with history, physical exam findings, investigations and treatment approach. The goal is to quickly diagnose or rule out torsion of the testis given its surgical emergency nature compared to other differential diagnoses that can often be initially managed medically.
This document provides an overview of spinal disorders, including:
1. Traumatic spinal disorders like fractures of the cervical spine (C1-C2), thoracolumbar fractures from compression or flexion, and cervical disc herniations.
2. Treatment approaches depending on the stability and neurological involvement, ranging from immobilization to surgical fixation or decompression.
3. A classification system for cervical fractures like Anderson and D'Alonzo for odontoid fractures.
4. Details on mechanisms, clinical features, investigations, and management of specific fractures.
This document provides information about benign prostatic hyperplasia (BPH) from the Department of Urology at Government Royapettah Hospital and Kilpauk Medical College in Chennai, India. It discusses the pathology, pathophysiology, symptoms, examinations, investigations, symptom scores, and treatment options for BPH, including watchful waiting, medical therapy using various drugs, and surgical procedures like transurethral resection of the prostate. It provides details on specific drugs, procedures, risks, and indications for different treatment approaches. The moderators and their specialties are listed at the beginning.
1. Acute pancreatitis is inflammation of the pancreas that presents with abdominal pain and elevated pancreatic enzymes. Gallstones and alcohol are the most common causes.
2. The pathogenesis involves premature activation of digestive enzymes within the pancreas due to obstruction of pancreatic ducts or direct injury to acinar cells. This leads to autodigestion of the pancreas.
3. Management involves hydration, pain control, treating complications, and considering surgery for gallstone pancreatitis to prevent recurrence.
Um clássico que ficará na história, "baby can I hold you" é o terceiro single da cantora e compositora Tracy Chapman lançado em 1988 e regravado num dueto com Luciano Pavarotti para o CD "Pavarotti and Friends for Cambodia and Tibet".
O tema é simples tanto ao nível melódico como harmónico. As figuras rítmicas limitam-se à mínima, semínima e colcheia e respetivas pausas.
O compasso é binário e a tonalidade é Fá maior.
Горить його свіча : цікаві та маловідомі сторінки життя Миколи Руденка до 10...library_darnitsa
Товариство «Знання» оголосило 2020-й – роком дисидента Миколи Руденка з нагоди 100-річчя видатного письменника, філософа, правозахисника, Героя України Миколи Руденка.
Мета видання – ознайомити читачів з життєвим та творчим шляхом письменника, його політичними та філософськими поглядами на життя як правозахисника та засновника Української Ґельсинської Групи.
Bladder injuries are rare. But when present in cases of polytrauma they pose both a diagnostic as well as surgical challenge to the attending surgeon. Understanding the mechanisms underlying bladder injuries is pivotal in developing a diagnostic algorithm in order to avoid missing of any urologic injury. Once the extent and site of damage is diagnosed then prompt surgical intervention is the mainstay of treatment. The pathophysiology and management of bladder injuries is discussed in this paper.
This document provides an overview of acute scrotal pain, including potential causes, signs, symptoms, diagnostic tests and treatments. It discusses several conditions that can cause acute scrotal pain like torsion of the testis, epididymitis, orchitis and torsion of a testicular appendage. For each condition, it describes the pathophysiology, typical presentation with history, physical exam findings, investigations and treatment approach. The goal is to quickly diagnose or rule out torsion of the testis given its surgical emergency nature compared to other differential diagnoses that can often be initially managed medically.
This document provides an overview of spinal disorders, including:
1. Traumatic spinal disorders like fractures of the cervical spine (C1-C2), thoracolumbar fractures from compression or flexion, and cervical disc herniations.
2. Treatment approaches depending on the stability and neurological involvement, ranging from immobilization to surgical fixation or decompression.
3. A classification system for cervical fractures like Anderson and D'Alonzo for odontoid fractures.
4. Details on mechanisms, clinical features, investigations, and management of specific fractures.
This document provides information about benign prostatic hyperplasia (BPH) from the Department of Urology at Government Royapettah Hospital and Kilpauk Medical College in Chennai, India. It discusses the pathology, pathophysiology, symptoms, examinations, investigations, symptom scores, and treatment options for BPH, including watchful waiting, medical therapy using various drugs, and surgical procedures like transurethral resection of the prostate. It provides details on specific drugs, procedures, risks, and indications for different treatment approaches. The moderators and their specialties are listed at the beginning.
1. Acute pancreatitis is inflammation of the pancreas that presents with abdominal pain and elevated pancreatic enzymes. Gallstones and alcohol are the most common causes.
2. The pathogenesis involves premature activation of digestive enzymes within the pancreas due to obstruction of pancreatic ducts or direct injury to acinar cells. This leads to autodigestion of the pancreas.
3. Management involves hydration, pain control, treating complications, and considering surgery for gallstone pancreatitis to prevent recurrence.
This document provides tips and instructions for using PowerPoint presentations on bladder calculi (stones). It recommends showing blank slides to students and asking them to provide information before presenting content. Reviewing content again at the end is also suggested. The document then provides an outline of learning objectives and topics to cover, including introduction, anatomy, etiology, pathophysiology, pathology, classification, clinical features, investigations, management, prevention, and guidelines. Sample content is provided for some slides. Overall, the document outlines a strategy for an active learning session on bladder calculi using PowerPoint presentations.
Cardiology 1.4. Palpitations - by Dr. Farjad IkramFarjad Ikram
Introduction to one of the more common symptoms of cardiac, psychiatric and metabolic disease. Palpitation is the uncomfortable awareness of heart beat and can often be the only symptom of underlying fatal arrhythmias.
Template design credits - http://www.slidescarnival.com
This document discusses different types of intestinal stomas. It begins by defining a stoma as an opening of the intestinal tract onto the abdominal wall, which can be temporary or permanent. It describes factors to consider when selecting a stoma site, such as avoiding deep folds of fat or scars. The document then covers various types of stomas including colostomies and ileostomies. It provides details on their construction and functions, whether they serve to decompress or divert intestinal contents. Complications that can arise are also mentioned.
BPH, or benign prostatic hyperplasia, is an enlargement of the prostate gland caused by increased cell size and number that leads to narrowing of the urethra. Common causes include aging over 50, increased testosterone levels, alcohol consumption, smoking, and an unhealthy lifestyle. Symptoms include difficulty starting urination, weak stream, frequent urination, urgency, and back pain from hydronephrosis. Diagnostic tests include PSA levels, imaging like ultrasound and CT/MRI. Treatment options are medication to reduce symptoms, surgery like TURP or prostate removal through the abdomen, perineum, or suprapubically. Nursing care involves monitoring hormone therapy side effects, intake/output, and
Traction is used to overcome deforming forces on limbs affected by inflammation or fractures. There are two main types - skin traction and skeletal traction. Skin traction uses adhesive or non-adhesive strapping over a large area, while skeletal traction involves inserting pins or wires through bones. Traction must be counteracted to be effective, which can be done through fixed or sliding methods using appliances, body weight, or additional limbs. Common complications include injury, stiffness, infection, and pressure sores.
Congenital heart disease (CHD) refers to problems in heart structure present at birth. It affects 3-5% of births and causes up to 33% of neonatal deaths. Symptoms depend on the specific defect but may include cyanosis, difficulty breathing, and failure to thrive. Diagnosis involves a physical exam, ECG, echocardiogram, and other tests. Treatment ranges from surgery to correct defects like ventricular septal defects, patent ductus arteriosus, and tetralogy of Fallot to multi-stage procedures for single ventricle conditions like hypoplastic left heart syndrome. Nursing care focuses on nutritional support, infection prevention, reducing heart workload, monitoring for heart failure, and educating families
This document summarizes ascending cholangitis, which is an infection and inflammation of the bile ducts that can cause jaundice, abdominal pain, and fever. It outlines key points about the causes, symptoms, microorganisms involved, treatments, and prognosis. Treatment involves following ABCs (airway, breathing, circulation), giving IV antibiotics within 1 hour, fluid resuscitation, and drainage of the bile ducts often through ERCP within 24-48 hours. Mortality rates are high around 20-30% but outcomes improve with quick treatment.
portal hypertension and upper G I bleedingMahtab Alam
This document discusses portal hypertension (PHT), including its definition, classification, etiology, pathophysiology, clinical features, diagnosis and management. PHT is defined as a pathological increase in portal pressure above 5 mmHg. It can be classified based on the location of obstruction as pre-sinusoidal, sinusoidal, or post-sinusoidal. The etiology includes pre-hepatic causes such as portal vein thrombosis, intra-hepatic causes like cirrhosis, and post-hepatic causes like Budd-Chiari syndrome. Clinical features include upper GI bleeding, splenomegaly, ascites, and varices. Diagnosis involves clinical evaluation, endoscopy, imaging like ultrasound, and treatment depends
This document summarizes various causes of pediatric high and low intestinal obstruction. For low intestinal obstruction, common causes presented include meconium ileus, ileal atresia, Hirschsprung's disease, functional immaturity of the colon, and rarely colonic atresia. Radiographic findings and treatments for each condition are described. For high intestinal obstruction, causes discussed are atresia or stenosis of the jejunum or proximal ileum, duodenal atresia/stenosis, inguinal hernia, necrotizing enterocolitis, and duplication cysts. Radiological features and management are outlined for each condition.
This document discusses atrial septal defects (ASDs), which are openings in the septum separating the left and right atria of the heart. It describes the different types of ASDs based on their location, including secundum, primum, sinus venosus, and coronary sinus defects. It discusses the embryology, pathophysiology, natural history, diagnosis and ECG findings of each type. Secundum ASDs are the most common and may close spontaneously in childhood, while primum and sinus venosus defects do not close on their own. Left-to-right shunting can cause right heart volume overload and pulmonary hypertension if not repaired. Echocardiography and ECG
Ventricular septal defect (VSD) is a congenital heart defect where there is an abnormal opening in the wall separating the two lower chambers of the heart, the left and right ventricles. Henri Roger first described VSD in 1879. VSDs occur in 2-3 per 1000 live births and account for 20% of congenital heart defects. The size of the defect and pulmonary vascular resistance determine the amount of blood shunting between the ventricles and the resulting pathophysiology. Large VSDs can lead to heart failure in infants, while small VSDs often close spontaneously. If left untreated, some large VSDs can progress to pulmonary hypertension and Eisenmenger's complex.
Obstructive jaundice in neonates can be caused by several conditions including biliary atresia, choledochal cysts, and inspissated bile. Biliary atresia, the most common cause, involves obstruction of the bile ducts inside or outside the liver. It is typically treated with the Kasai procedure to reconnect bile flow to the intestine or liver transplantation. Choledochal cysts are rare congenital cysts of the bile ducts that may cause pain, jaundice, and abdominal mass. Surgical excision and reconstruction is the primary treatment. Inspissated bile syndrome can also cause obstructive jaundice in newborns due to thickened bile but sometimes resolves spontaneously
This document provides tips and instructions for using PowerPoint presentations on bladder calculi (stones). It recommends showing blank slides to students and asking them to provide information before presenting content. Reviewing content again at the end is also suggested. The document then provides an outline of learning objectives and topics to cover, including introduction, anatomy, etiology, pathophysiology, pathology, classification, clinical features, investigations, management, prevention, and guidelines. Sample content is provided for some slides. Overall, the document outlines a strategy for an active learning session on bladder calculi using PowerPoint presentations.
Cardiology 1.4. Palpitations - by Dr. Farjad IkramFarjad Ikram
Introduction to one of the more common symptoms of cardiac, psychiatric and metabolic disease. Palpitation is the uncomfortable awareness of heart beat and can often be the only symptom of underlying fatal arrhythmias.
Template design credits - http://www.slidescarnival.com
This document discusses different types of intestinal stomas. It begins by defining a stoma as an opening of the intestinal tract onto the abdominal wall, which can be temporary or permanent. It describes factors to consider when selecting a stoma site, such as avoiding deep folds of fat or scars. The document then covers various types of stomas including colostomies and ileostomies. It provides details on their construction and functions, whether they serve to decompress or divert intestinal contents. Complications that can arise are also mentioned.
BPH, or benign prostatic hyperplasia, is an enlargement of the prostate gland caused by increased cell size and number that leads to narrowing of the urethra. Common causes include aging over 50, increased testosterone levels, alcohol consumption, smoking, and an unhealthy lifestyle. Symptoms include difficulty starting urination, weak stream, frequent urination, urgency, and back pain from hydronephrosis. Diagnostic tests include PSA levels, imaging like ultrasound and CT/MRI. Treatment options are medication to reduce symptoms, surgery like TURP or prostate removal through the abdomen, perineum, or suprapubically. Nursing care involves monitoring hormone therapy side effects, intake/output, and
Traction is used to overcome deforming forces on limbs affected by inflammation or fractures. There are two main types - skin traction and skeletal traction. Skin traction uses adhesive or non-adhesive strapping over a large area, while skeletal traction involves inserting pins or wires through bones. Traction must be counteracted to be effective, which can be done through fixed or sliding methods using appliances, body weight, or additional limbs. Common complications include injury, stiffness, infection, and pressure sores.
Congenital heart disease (CHD) refers to problems in heart structure present at birth. It affects 3-5% of births and causes up to 33% of neonatal deaths. Symptoms depend on the specific defect but may include cyanosis, difficulty breathing, and failure to thrive. Diagnosis involves a physical exam, ECG, echocardiogram, and other tests. Treatment ranges from surgery to correct defects like ventricular septal defects, patent ductus arteriosus, and tetralogy of Fallot to multi-stage procedures for single ventricle conditions like hypoplastic left heart syndrome. Nursing care focuses on nutritional support, infection prevention, reducing heart workload, monitoring for heart failure, and educating families
This document summarizes ascending cholangitis, which is an infection and inflammation of the bile ducts that can cause jaundice, abdominal pain, and fever. It outlines key points about the causes, symptoms, microorganisms involved, treatments, and prognosis. Treatment involves following ABCs (airway, breathing, circulation), giving IV antibiotics within 1 hour, fluid resuscitation, and drainage of the bile ducts often through ERCP within 24-48 hours. Mortality rates are high around 20-30% but outcomes improve with quick treatment.
portal hypertension and upper G I bleedingMahtab Alam
This document discusses portal hypertension (PHT), including its definition, classification, etiology, pathophysiology, clinical features, diagnosis and management. PHT is defined as a pathological increase in portal pressure above 5 mmHg. It can be classified based on the location of obstruction as pre-sinusoidal, sinusoidal, or post-sinusoidal. The etiology includes pre-hepatic causes such as portal vein thrombosis, intra-hepatic causes like cirrhosis, and post-hepatic causes like Budd-Chiari syndrome. Clinical features include upper GI bleeding, splenomegaly, ascites, and varices. Diagnosis involves clinical evaluation, endoscopy, imaging like ultrasound, and treatment depends
This document summarizes various causes of pediatric high and low intestinal obstruction. For low intestinal obstruction, common causes presented include meconium ileus, ileal atresia, Hirschsprung's disease, functional immaturity of the colon, and rarely colonic atresia. Radiographic findings and treatments for each condition are described. For high intestinal obstruction, causes discussed are atresia or stenosis of the jejunum or proximal ileum, duodenal atresia/stenosis, inguinal hernia, necrotizing enterocolitis, and duplication cysts. Radiological features and management are outlined for each condition.
This document discusses atrial septal defects (ASDs), which are openings in the septum separating the left and right atria of the heart. It describes the different types of ASDs based on their location, including secundum, primum, sinus venosus, and coronary sinus defects. It discusses the embryology, pathophysiology, natural history, diagnosis and ECG findings of each type. Secundum ASDs are the most common and may close spontaneously in childhood, while primum and sinus venosus defects do not close on their own. Left-to-right shunting can cause right heart volume overload and pulmonary hypertension if not repaired. Echocardiography and ECG
Ventricular septal defect (VSD) is a congenital heart defect where there is an abnormal opening in the wall separating the two lower chambers of the heart, the left and right ventricles. Henri Roger first described VSD in 1879. VSDs occur in 2-3 per 1000 live births and account for 20% of congenital heart defects. The size of the defect and pulmonary vascular resistance determine the amount of blood shunting between the ventricles and the resulting pathophysiology. Large VSDs can lead to heart failure in infants, while small VSDs often close spontaneously. If left untreated, some large VSDs can progress to pulmonary hypertension and Eisenmenger's complex.
Obstructive jaundice in neonates can be caused by several conditions including biliary atresia, choledochal cysts, and inspissated bile. Biliary atresia, the most common cause, involves obstruction of the bile ducts inside or outside the liver. It is typically treated with the Kasai procedure to reconnect bile flow to the intestine or liver transplantation. Choledochal cysts are rare congenital cysts of the bile ducts that may cause pain, jaundice, and abdominal mass. Surgical excision and reconstruction is the primary treatment. Inspissated bile syndrome can also cause obstructive jaundice in newborns due to thickened bile but sometimes resolves spontaneously
This document contains musical notation for the song "Mariposa Technicolor" by Fito Páez. It includes the key, tempo, and musical staff with notes spanning pages 1 through 3. Repeating patterns and progressions of notes are notated using symbols like equals signs and letters to concisely represent the song's melody, rhythm, and other musical elements.
Este documento presenta la partitura musical de la canción "Ojos de video tape" del álbum "Clics modernos" de Charly García. La partitura incluye indicaciones para diferentes instrumentos musicales como las letras para la voz, las notas para la guitarra y el bajo, así como símbolos que indican el tempo y la duración de las notas.
La Unión Europea ha acordado un paquete de sanciones contra Rusia por su invasión de Ucrania. Las sanciones incluyen restricciones a las transacciones con bancos rusos clave y la prohibición de la venta de aviones y equipos a Rusia. Los líderes de la UE esperan que las sanciones aumenten la presión económica sobre Rusia y la disuadan de continuar su agresión contra Ucrania.
La Unión Europea ha acordado un paquete de sanciones contra Rusia por su invasión de Ucrania. Las sanciones incluyen restricciones a las transacciones con bancos rusos clave y la prohibición de la venta de aviones y equipos a Rusia. Los líderes de la UE esperan que las sanciones aumenten la presión económica sobre Rusia y la disuadan de continuar su agresión contra Ucrania.
Este documento presenta una introducción a los conceptos básicos de teoría musical como intervalos, tipos de intervalos, formas musicales y más. Explica que un intervalo es la distancia entre dos sonidos y puede ser ascendente o descendente. Luego describe formas musicales como la binaria, ternaria y rondó, las cuales se basan en la repetición y variación de temas musicales. Finalmente, introduce formas como la variación, imitación, fuga y sonata que usan técnicas como el desarrollo y elaboración de temas.
El documento habla sobre conceptos fundamentales de la teoría musical como las claves, las escalas mayores y menores, los grados de las escalas, las tonalidades, los semitonos y los tonos. Explica las diferentes escalas diatónicas como las mayores, menores armónicas y melódicas, así como las escalas cromáticas y relativas. También cubre temas como los tetracordios, las escalas de quintas y las escalas homónimas y enarmónicas.
Este documento presenta la información de Natalia Evelyn Sheske, profesora superior de música con especialidad en piano. Incluye su registro en el S.P.E.P.M., su número de matrícula, y la dirección del Instituto de Música - Arte y Video donde enseña. Además, contiene el programa del segundo año de teoría musical que incluye temas como alteraciones, ritmo, compases, y más.
El documento proporciona información sobre clases de teoría musical, solfeo y práctica musical que se ofrecen en la Galería Maylen en San Javier, Misiones, Argentina, incluyendo la dirección, correo electrónico y números de teléfono del establecimiento.
El documento presenta un programa de guitarra preparatorio que incluye secciones sobre la mano izquierda, la mano derecha y las partes de la guitarra, con el objetivo de enseñar los fundamentos básicos para aprender a tocar el instrumento.
El documento presenta el programa de estudios de primer año de piano de Natalia Evelyn Sheske. Incluye contenidos técnicos y musicales como arpegios, acordes, escalas y traslados. También contiene información de contacto de la profesora como su nombre, dirección, correo electrónico y teléfono.
Examen de Selectividad. Geografía junio 2024 (Convocatoria Ordinaria). UCLMJuan Martín Martín
Examen de Selectividad de la EvAU de Geografía de junio de 2023 en Castilla La Mancha. UCLM . (Convocatoria ordinaria)
Más información en el Blog de Geografía de Juan Martín Martín
http://blogdegeografiadejuan.blogspot.com/
Este documento presenta un examen de geografía para el Acceso a la universidad (EVAU). Consta de cuatro secciones. La primera sección ofrece tres ejercicios prácticos sobre paisajes, mapas o hábitats. La segunda sección contiene preguntas teóricas sobre unidades de relieve, transporte o demografía. La tercera sección pide definir conceptos geográficos. La cuarta sección implica identificar elementos geográficos en un mapa. El examen evalúa conocimientos fundamentales de geografía.
José Luis Jiménez Rodríguez
Junio 2024.
“La pedagogía es la metodología de la educación. Constituye una problemática de medios y fines, y en esa problemática estudia las situaciones educativas, las selecciona y luego organiza y asegura su explotación situacional”. Louis Not. 1993.
SEMIOLOGIA DE HEMORRAGIAS DIGESTIVAS.pptxOsiris Urbano
Evaluación de principales hallazgos de la Historia Clínica utiles en la orientación diagnóstica de Hemorragia Digestiva en el abordaje inicial del paciente.
Business Plan -rAIces - Agro Business Techjohnyamg20
Innovación y transparencia se unen en un nuevo modelo de negocio para transformar la economia popular agraria en una agroindustria. Facilitamos el acceso a recursos crediticios, mejoramos la calidad de los productos y cultivamos un futuro agrícola eficiente y sostenible con tecnología inteligente.