P pulmonale), but have a low predictive value (~20%). A P wave with increased amplitude can indicate hypokalemia. It can also indicate right atrial enlargement. A P wave with decreased amplitude can indicate hyperkalemia. Bifid P waves (known as P mitrale) indicate left-atrial abnormality-e.g. dilatation or hypertrophy.
SYSTEM is a schema..... Technically -- A schema is the set of metadata (data dictionary) used by the database, typically generated using DDL. A schema defines attributes of the database, such as tables, columns, and properties. A database schema is a description of the data in a database.
Automatic schema management is a convenience provided by the Entity Framework. In the context of applications using elastic database tools, we want to retain this capability to automatically provision the schema to newly created shards when databases are added to the sharded application.