4 managing the burn victim

... placed in the barrel, the cannon ball rolled in, and then the gunpowder was ignited The hot gases produced by the burning gunpowder pushed the cannon ball up and out of the barrel The nineteenth ... in a car, all of their clothes soaked with blood The passengers were screaming for someone to help the young man in the front seat, who was unresponsive The team threw the limp victim onto a gurney, ... performed under the scrutiny of the media The latter is not the same as war.” The events of the following decade have called these beliefs into question None could have foreseen the world shaking...

Ngày tải lên: 29/06/2014, 09:20

... (anaesthetist, surgeon, and operating department practitioner) to each of the patients to follow them from admission to the hospital through to the operating theatre and ultimately delivery into the ... presence in the resuscitation room On the day of the bombings, there were three ICU physicians present in the emergency department who were directly involved in the resuscitation phase of the most ... incorporated into the incident plan (The seven patients admitted to the ICU arrived hours after the hospital major incident had been stood down.) The haematology department at the RLH was one of the last...

Ngày tải lên: 13/08/2014, 10:20

... within the accumulation areas of avalanches and fine material was sampled for the quantification of the inorganic mass (burning of the material over 12h in 550ºC in the laboratory) The mapping of the ... both the metropolitan area and adjacent inner bay Figure 12b shows that the spatial distribution of Cd in the southeast part of the Honshu Island where the Tokyo metropolitan area exists The high ... in the Japan Sea The results suggest that muddy sediments deposit under 200 m, where the boundary of water mass is located between the surface water (the Tsushima Current) and deep water (the...

Ngày tải lên: 19/06/2014, 23:20

... explosive device and exacerbation of chronic diseases resulting from the blast These injuries include burns caused by the thermal effect of the explosion or consequent fires, crush injuries caused by ... crisis compels the meta-leader to respond • Leading the Silo: The meta-leader triggers and models confidence, inspiring others to excellence • Leading Up: The meta-leader leads up the chain of ... influence over the expectations, understanding, and responses of both individuals and communities to an MCE The management of the acute situation sets the tone for the community’s response The accurate...

Ngày tải lên: 19/02/2014, 03:20

... accelerated the formation of the LDs, but the toxic effects of fatty acids on the cells became evident Therefore, the cells cultured under normal conditions were transiently transfected with the 17b-HSD11-GFP ... 17b-HSD11 on the ER stays there or moves out to the LDs upon their formation, we pulse-labeled 17b-HSD11 on the ER using a Halo-tag system [14], and detected the changes in distribution of the labeled ... the dual association of 17b-HSD11 with the ER and with the LDs in the tissues and to determine the distribution ratio between the two compartments, we performed subcellular fractionation of the...

Ngày tải lên: 07/03/2014, 05:20

... (AATAAA), two of them present just 14 and 23 bp, respectively, upstream of the poly(A) tail in the cDNA sequence, which should be the poly(A) signal giving rise to the 3.2 kb transcript The other two ... from each other by alternate highlighting in bold and italics The ATTTA motifs in the 5¢- and 3¢-UTRs, the start and stop codons, the signal peptide predicted by SIGNALP 3.0 [23] and the potential ... that of mammalian IL-11 The sequences between the trout cDNA and genomic DNA in the coding region are identical, although there were differences in both the 5¢- and 3¢-UTR The major differences...

Ngày tải lên: 07/03/2014, 16:20

... a branch The liquids were taken out from the end of the branch The side where the feed solution flowed is called the feed-side, and the other side where the deionized water flowed is the recovery-side ... normal to the flow axis, the mass-transfer across the interface could be influenced In addition to the flow in the bulk region, there can be some wall effects on the flow such as the slip of the liquid ... of the knife-edge angle on the mass-transfer In contrast with the simulation, the experimental result suggested that the mass-transfer was affected by the angle The sucrose concentration at the...

Ngày tải lên: 19/06/2014, 23:20

... thickness ratio The larger this ratio, the bigger the volume displaced by the comb, and the more energy is introduced in the system – The Schmidt number Sc = ν/D In these experiments, the diffusion ... width of the comb (h), the shape of the teeth section, and the dimensions of the cell (L and H) Prior unpublished studies also showed that the mesh of the comb (M) could have an influence on the hydrodynamical ... deviation Therefore, the effect of the variation of geometrical parameters on the limiting current and the homogeneity of the electrodeposited layer was studied From these results the two control...

Ngày tải lên: 19/06/2014, 23:20

... the time, and m is the dimension of the system The diffusion coefficient can be also obtained from the analysis of a thermal transfer of the grains through the unit area of the medium: D = lim ... 92 The disagreement between the results of these calculations was within the limits of the numerical error and didn’t exceed ± (1-3)% In the quasi-2d- case, the simulation was carried out for the ... of them it is the neglecting of the dust screening, with a presence of which the obtained value of Zmin can be much lower than the real grain charge The second reason is the neglecting of the...

Ngày tải lên: 19/06/2014, 23:20

... induction, T is the thermal temperature inside the thermal boundary layer and C is the corresponding concentration, σ is the electric conductivity, α is the thermal diffusivity, c p is the specific ... for the wide range of Reynolds number are correlated by the suitable equations With the respect to the other very useful mass-transfer relationships given in the pertinent literature, the theoretical ... fluid The properties of the final product depend to a great extent on the rate of cooling The rate of cooling and therefore, the desired properties of the end product can be controlled by the use...

Ngày tải lên: 19/06/2014, 23:20

... on the electrode and the forces which tend to release it is broken These various forces include the weight of the bubble, the buoyancy, the superficial tension, the pressure, the inertia and the ... hand, the orbital separation of the binary can change so that the Roche lobe can shrink to within the surface of one of the stars On the other hand, stellar evolution may eventually cause one of the ... companion star, then the particles either may collide with the parties which were guided by the companion star along the field lines in similar fashion to the primary star, or may fall in to the atmosphere...

Ngày tải lên: 19/06/2014, 23:20

... 1.6 mm The gap between the nozzle top and the specimen was 0.4 mm As the solution was injected from the nozzle mouth into the slit, the solution filled the slit and flowed radially over the specimen ... apparatus In this apparatus, the test solution was allowed to flow from the nozzle into the slit between the specimen and the nozzle The diameter of the specimen was 16 mm The nozzle was made of a ... (Matsumura et al., 1985) The ratio of the damage in the central region A to that in region B was approximately two-thirds for the Cu specimen On the other hand, the ratio for the BeCu specimen was...

Ngày tải lên: 19/06/2014, 23:20

... decrease in the high frequency area The slope in this last part of the spectra differs according to the position of the probe in the network The value of the slope depends on the nature of the flow ... macrodevices In the mixing research area, the characterization of the mixing scales is nevertheless fundamental for the design and the optimization of the microscale devices The fluid flow at the microscale ... distribution of the fluid until the outlet The decrease of the flow section at the middle of the network reduces the distance between the streamlines and the path leading to the mixing process Moreover,...

Ngày tải lên: 19/06/2014, 23:20

... is the total number of fluid phase chemical species present in the system Since the mass fraction of the species must sum to unity, the Nth mass fraction is determined as one minus the sum of the ... fact, as soon as the liquid enters the tray, the flow passage suddenly expands This leads to separation of the boundary layer In turbulent flow, the fluids mix with each other, and the slower flow ... plotted versus the corresponding equilibrium relative humidity (ERH) to obtain the moisture isotherm This ERH is also equal to the water activity (aw) of the rice sample There were many theoretical...

Ngày tải lên: 19/06/2014, 23:20

... (Burioni & Cassi, 2005) The sites represents the elementary building blocks of the structure, and the links the connections between them, making it possible the passage of the diffusing particle ... are the Darcy velocity (the average of the fluid velocity over a cross section), fluid pressure, dynamic viscosity of the fluid and the permeability of the porous medium, respectively In the ... promotes the dehydration rather than the impregnation; on the other hand, sugars with low molecular weights are used from candy industries (Rastogi et al., 2002) However, in the last years the use...

Ngày tải lên: 19/06/2014, 23:20

... in the western and northern part of the Japan Sea The Tsushima Current, the branch current of the Kuroshio Current, flows from SW to NE The current conveys a warm water mass to the surface of the ... understand the spatial distribution of the elements in the earth’s surface, a geochemical map is used The purpose of the map is to obtain natural geochemical baselines on the earth’s surface because the ... transformations are mathematically modeled by the so named equations of change, in which the quantity or volume of the dairy product will affect the rate of transport, whereas the geometry of the changing...

Ngày tải lên: 19/06/2014, 23:20

... ,α , D, represent the mass density, the thermal conductivity, the thermal the subscripts diffusivity, the mass diffusion and the latent heat of fusion, being S and that denote the solid and liquid ... represents the heat equation for the solid phase, k is the thermal conductivity, ρ is the mass density, c is the heat capacity, is the latent heat of fusion by unit of mass, T0 is the imposed ... in the temperature and the concentration distributions in the boundary layer and as a result both the thermal and solutal boundary layers become thicker The effect of the Lewis number Le on the...

Ngày tải lên: 19/06/2014, 23:20

... parts of the boundary As in the first example the heat flux on the cylinder surface and on the nearest parts of the channel walls is used to avoid the flow separation past the body Additionally the Dirichlet ... c=c(x,t) denotes the concentration profile of the hydrocarbon in the swollen area, s(t) gives the position at time t of the free interface and separates the two regions in the membrane, the saturated ... This theory was further developed in (Andreev et al., 2008) It is shown there that the non-solenoidal effect results in a minor correction to the velocity field in the case of steady flows At the...

Ngày tải lên: 19/06/2014, 23:20

... height Then the bubble began to stir actively the surrounding fluid, reducing the concentration difference between the bubble poles and the mean concentration of the solution under the bubble At the ... Representation of the equilibrium curves between the desiccant and the moist air The ideal outlet state of the process air ( 1out,id ′ ) is defined by the interception of the curve c′1out with the line ... representation of the channel wall element For the assessment of the internal resistances of the porous medium in the cross direction, there is no interest to consider the streamwise variation of the flow...

Ngày tải lên: 19/06/2014, 23:20