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It take 12 hours to fill a swimming pool using two pipes. If the pipe of larger diameter is used for 4 hours and the pipe of smaller diameter for 9 hours only half the pool can be filled .How long would it take for each pipe to fill the pool separately.

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To fill a swimming pool two pipes are used. If the pipe of larger diameter used for 4 hours and the pipe of smaller diameter for 9 hours, only half of the pool can be filled. Find, how long it would take for each pipe to fill the pool separately, if the pipe of smaller diameter takes 10 hours more than the pipe of larger diameter to fill the pool? Please give me the complete step to do this question....

It can take 12 hours to fill a swimming pool using two pipes. If the pipe of larger diameter is used for four hours and the pipe of smaller diameter for 9 hours, only half of the pool can be filled. How long would it take for each pipe to fill the pool separately?

Taraka Ratna plays a short-tempered cop who is in the vicinity of one of the banks and wants to save the hostages. His estranged wife (Madhu Shalini) is a reporter. The bank manager (Suresh Kumar) who is serving his last day at work before retirement, is contrasted by a recruit (Preethi Asrani). Romance brews between her and Nandu (Ankith Koyya) in the bank. The others include a middle-aged assistant manager, a woman who faces sexual harassment from a pervert colleague (Venkata Giridhar), and so on.

The attack happened in the final hours of Tribe of Nova, a marathon trance music festival. At around 6:00 a.m. local time, Hamas militants paraglided into the crowd. As attendees attempted to flee the festival, other militants arrived on foot, shooting at cars and taking many festival-goers hostage.

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These changes were instituted following the introduction of increasingly sensitive and precise troponin assays. Up to 80% of patients with acute MI will have an elevated troponin level within 2-3 hours of emergency department (ED) arrival, versus 6-9 hours or more with CK-MB and other cardiac markers. [6]

Note that cardiac markers are not necessary for the diagnosis of patients who present with ischemic chest pain and diagnostic ECGs with ST-segment elevation. These patients may be candidates for thrombolytic therapy or primary angioplasty. Treatment should not be delayed to wait for cardiac marker results, especially because the sensitivity is low in the first 6 hours after symptom onset. ACC/American Heart Association (AHA) guidelines recommend immediate reperfusion therapy for qualifying patients with ST-segment elevation MI (STEMI), without waiting for cardiac marker results. [14, 15]

The AACC recommendations specify that cardiac markers be available in hospitals on an immediate basis 24 hours per day, 7 days per week, with a turnaround time of 1 hour or less. [23, 29] Point-of-care (POC) devices that provide rapid results should be considered in hospitals whose laboratories cannot meet these guidelines.

CK-MB first appears 4-6 hours after symptom onset, peaks at 24 hours, and returns to normal in 48-72 hours. Its value in the early and late (>72 h) diagnosis of acute MI is limited. However, its release kinetics can assist in diagnosing reinfarction if levels rise after initially declining following acute MI.

CK-MB2 can be detected in serum within 2-4 hours after infarction onset and peaks at 6-9 hours, making it an early marker for acute MI. Two large studies evaluating its use revealed a sensitivity of 92% at 6 hours after symptom onset, compared with 66% for CK-MB and 79% for myoglobin. [49, 50] The major disadvantage of this assay is that it is relatively labor intensive for the laboratory.

Myoglobin is a heme protein found in skeletal and cardiac muscle that has attracted considerable interest as an early marker of MI. Its low molecular weight accounts for its early release profile: Myoglobin typically rises 2-4 hours after onset of infarction, peaks at 6-12 hours, and returns to normal within 24-36 hours.

Rapid myoglobin assays are available, but overall, they have a lack of cardiospecificity. Serial sampling every 1-2 hours can increase the sensitivity and specificity; a rise of 25-40% over 1-2 hours is strongly suggestive of acute MI. However, in most studies, myoglobin only achieved 90% sensitivity for acute MI, so the negative predictive value of myoglobin is not high enough to exclude the diagnosis of acute MI.

Based on investigations of myocardial ischemia induced by balloon inflation during percutaneous coronary intervention, IMA levels rise within minutes of transient ischemia, peak within 6 hours, and can remain elevated for as long as 12 hours.

The American Heart Association and American College of Cardiology (AHA/ACC) 2014 guideline for the management of ACS/NSTEMI recommends that cardiac troponin (I or T) be measured at presentation and 3-6 hours after symptom onset in all patients in which there is clinical suspicion. [4] Additional troponin measurements are indicated beyond 6 hours in patients with an initial normal serial troponin value and ischemic ECG findings and/or intermediate/high-risk clinical features. Timing of presentation and time of onset of symptoms should be considered when interpreting the troponin values. Finally, the guidelines state that creatine kinase (CK)-MB and myoglobin are not useful for the diagnosis of ACS. All of the above recommendations are cited with level A evidence. [4]

In the Platelet Glycoprotein IIb/IIIa in Unstable Angina: Receptor Suppression Using Integrilin Therapy (PURSUIT) trial, patients who were treated with the GP IIb/IIIa inhibitor eptifibatide (Integrilin) within 6 hours of symptom onset obtained the greatest benefit, and subgroup analysis showed that patients with an elevated troponin level also had better responses to therapy than did those whose troponin result was negative. [60]

Ascertaining whether an elevated troponin in patients with CRF represents true acute MI or a false-positive result can be difficult. In patients with cardiac risk factors who are deemed clinically to be at moderate-high risk for ACS, the prudent approach would be to observe and perform serial cardiac markers over 6-9 hours. In low-risk asymptomatic patients and in the absence of any other findings indicative of ACS, the elevated troponin result is more likely to be false positive for acute MI.

In 604 sequential patients presenting to an ED with chest pain, elevated MPO levels independently predicted an increased risk for major adverse cardiac events, including myocardial infarction (MI), reinfarction, need for revascularization, or death at 30 days and at 6 months. [79] Among the patients who presented to the ED with chest pain but who were ultimately ruled out for MI, an elevated MPO level at presentation predicted subsequent major adverse cardiovascular outcomes. In a subgroup of patients with negative baseline troponin T (TnT), MPO levels were significantly elevated at baseline, even within 2 hours after symptom onset. [79]

GV Prakash Kumar did a decent job with the songs and background score. A few songs were passable, but a few were not good. The cinematography by Madhie was exquisite. VFX works are a big letdown. The action blocks that portray how Tiger Nageswara Rao committed crimes are well crafted, but the poor visual effects limit the impact. The editing was fine in the first hour. However, a few redundant scenes could have been trimmed down in the last hour.

At the surface of Exegol, the icy ground cracks and yields as innumerable Xyston-class Star Destroyers emerge from the frozen sea into the tempestuous sky. As the fleet rises, Palpatine offers to give Ren command of what he calls the Final Order in return for killing Rey, the last Jedi, and thus ending the Jedi Order and becoming what his grandfather, Vader, could not. He tells Ren that he will rule all the galaxy as the new Emperor, but he also issues a warning that Rey is not who he thinks she is. Ren asks the Dark Lord who Rey is as thunder crackles.

At the Resistance briefing room, Poe confirms the authenticity of the message sent across the galaxy: that Palpatine has returned. Rose Tico is dubious that the Sith Lord has truly risen again; Beaumont Kin raises the possibility of secrets only the Sith knew, like dark science, and mentioned cloning to explain his return, later remarking that there were always whispers of Palpatine's desire to cheat death. Poe explains that Palpatine has been planning his revenge for years and that the Sith Eternal cultists have built a massive fleet known as the Final Order. In sixteen hours, the Sith fleet will embark from Exegol to attack the free worlds.

Meanwhile, Finn manages to tie a rope around the treadspeeder's engine. Poe then brings their skiff speeder to a halt, causing the pursuing speeder to crash against a rock. Chewbacca also shoots down a Jet trooper just as Poe's speeder catches up with Rey's speeder. However, the last remaining jet trooper shoots at their two skiffs, causing them to crash onto the rocks and throwing the Resistance team into the Sinking Fields. Rey and her comrades manage to shoot the jet trooper, causing the soldier to crash against the rocks. But then, the Resistance team are sucked by quicksand. Rey tells everyone to grab hold of something, but it doesn't work. As Rey and Finn are sucked into the sand, Finn yells "I never told you!..." to Rey before they both sink. e24fc04721