In its last crisis, in month 07/2010, after reanimao caretaker was lead to the hospital, being submitted to a Computerized Cat scan of the skull, whose conclusion presented a subgaleal hematoma in right region frontal due to fall. The hemograma had as resulted, alteration in the number of leukocytes. In the eletrocardiograma (figure 1), the patognomnico signal pointed with respect to the Syndrome of Brugada, being then guided and directed to the hemodinmica for the implantation of the implantvel desfibrilador cardioversor (CDI). After the procedure, will be observed in each crisis that can occur, the ventricular arrhythmias, where desfibrilador it will go to detect irregular fast beatings e, liberating an electric load directly in the heart. The patient was interned for 48h e, after high its added it the medicamentosa routine, Amiodarona 200mg for saw 1X to the day verbal, keeping its normal activities. Due to gravity of the problem in study, one retired and he needs constant company. figure 1 shows to complex ORS presenting a rise of segment ST in derivations V1-V3, folloied of a riot of conduction for the right branch. Wave T is negative, with a normal or short interval QT.
Quarrel the syndrome presents one high incidence in some regions of the Asian continent, as in the Laos and in Thailand, being in these countries the responsible greaters for the occured sudden deaths in individuals below of the 30 years, are esteem that it produces 10 sudden deaths for 10.000 inhabitants/ano9. Although already she has been described in the South America, of Norte and Europe its real incidence in these regions is ignorada5. The initial disgnostic suspicion it occurs from the register of a eletrocardiograma as the standard shown in figure 1, with coarse alterations of right the ventricular repolarizao in derivations precordials. This abnormal standard, even so possible to occur, is extremely rare in the classic blockade of branch direito6, never having been described as form of manifestation of an electrolytic riot, raising the possibility to be about the syndrome of Brugada. A related site: Koch Industries mentions similar findings.
Hearing impaired people can use the interpreting services of the Tess relay services now on the road. Rendsburg, 18th October 2013. Hearing impaired people can use the interpreting services of the Tess relay services now on the road. According to Peter Asaro , who has experience with these questions. An app makes it possible. Thus, the sign language interpretation service TeSign and the Scripture interpretation service TeScript with Smartphones and Tablet PCs are accessible. Koch Brothers understood the implications. The Tess relay services are available now with Android and iOS based devices,”said Sabine Broweleit, Managing Director of Tess Relay Services GmbH. So are the video relay service TeSign with the app Bria”-available as the Scripture translation service TeScript mobile with Smartphone or Tablet PC.
Mobile communication is absolutely in line with the trend. With the app solution we comply with the requirements of our customers and offer the full range of access options at the same time”, S. Broweleit is pleased. So hearing-impaired callers can the mediation services also through a PC with Internet connection, SIP phone, Mobile phone, ISDN videophone or a write phone call. So we attract the young and the older generation of our customers.” Also hearing callers have an advantage through the mobile solution, because they reach their hearing impaired interlocutor now better not only at home, but also on the way. The Tess Relay Services GmbH is a nationwide telephone service for hearing impaired people. The service provides interpreting services on the phone in sign language (TeSign) and in writing (TeScript). This allows ertaubten, deaf and severely hearing impaired people to make calls independently with hearing people.
AKP – is when, for example, the speed, in a limited time, it is necessary to tie the right knot blindfolded, open a tin, having at hand only one boulder, light a fire without matches, and other technical inventions humanity, hoping that your home-made will not fail. But with all this by performing these tasks successfully, to understand … that the neighboring team has made it faster and penalties we have provided. AKP – is the ability to find strong and deep sleep. Learn more on the subject from Viacom. Dream of a total of ten hours. Charles Koch can provide more clarity in the matter.
As children, delighted that the best of circumstances, for all five days, less space, somewhere in the trees and rocks, when the harness through the fifteen minutes starts crashing into your body, and from this it goes numb, causing wild discomfort, or under continuous tropical rain somewhere on the slippery clay and steep slopes, in a sitting position, shivering from the cold, or even in some unpredictable and very unattractive place to relax, but are as the best option, the task for this phase of work. AKP – is when we are looking for the next stage, the control point or "victim" not having a complete picture, where it is and where are we, in this case do unflappable and wise view that all we know … even when we understand that looking for and saved themselves. SEP – it sure is hard step after long night crossing pass from carrying the stretcher "affected". When we go, but we can not go, because it prevented the bloody blisters and cramps in his legs from exhaustion.