case 47 an airway problem during monitored anesthesia care

... Diagnosis and management of an immature teratoma during ovarian stimulation: a case report Nathalie Douay-Hauser1, Martin Koskas1, Francine Walker2, Dominique Luton1 and Chadi Yazbeck1,3* ... evaluated Case Presentation: We describe the case of a 31-year-old Caucasian woman with primary infertility, who developed an immature teratoma during an in vitro fertilization ovarian stimulation ... Ultrasound signs of an atypical cyst during ovarian stimulation allowed us to adopt a careful medical attitude and to adapt the required surgical oncological treatment Introduction Ovarian teratomas...

Ngày tải lên: 10/08/2014, 22:20

... This case reports hypotension in a patient on tamsulosin under general anesthesia with N2O/O2, atracurium and isoflurane anesthesia Other factors may have contributed to the decreased BP, and ... 33:481-488 doi:10.1186/1752-1 947- 4-365 Cite this article as: Kumar and Khan: Tamsulosin-induced severe hypotension during general anesthesia: a case report Journal of Medical Case Reports 2010 4:365 ... extubated, and he was shifted to the postanesthesia care unit He remained in the recovery room for two hours and remained hemodynamically stable with BP in the range of 120/75 to 140/80 mm Hg and heart...

Ngày tải lên: 11/08/2014, 02:22

... channel and (b) Gaussian white noise the key to the problem is to find feature sets that are invariant1 to the changes of transmission channel and environmental noise Liftered cepstrum [9] and ... operator, and V AR[] and COV [] represent the variance and covariance operators, respectively As can be seen from Eq (27.60), the diagonal entries αjj are the weighted covariance of the model and the ... has minimum Euclidean distance AT to the affine-transformed vector cj C References [1] Flanagan, J.L., Speech Analysis, Synthesis, and Perception, Springer-Verlag, 1983 [2] Fant, G., Acoustic...

Ngày tải lên: 25/12/2013, 06:16

... her hands folded and her arms leaning on the table Some natures seem made to receive, like the earth which opens itself silently to every seed Many seeds fall and remain dormant; none can tell ... therefore Peace is an enemy, and enemies are all those who desire it Clerambault and Camus exchanged ideas, and to such an extent that finally Clerambault could not tell which were his own, and as he ... ruminate upon during the conversation, and looked narrowly at his friend, who bent his head, and began his story in an indistinct voice, sad and charged with feeling Like a Christian of the early...

Ngày tải lên: 18/02/2014, 08:20

... quantization (13) A new view on an old problem in quantum chromodynamics The possibilities of such a stochastization and its physical meaning can be seen on the simplest example of the Abelian ... Nguyen Suan Han and gluons in the mass shell regime and simultaneously one proposes that quarks and gluons not contribute to the observable physical states of the left-hand side of Eq.(1) ... renormalization group equations turn into identities and have no any physical information including the asymptotic freedom A new view on an old problem in quantum chromodynamics The asymptotic freedom...

Ngày tải lên: 05/03/2014, 14:20

... AMERICAN MEAT London and New York, 1910 AN ETHICAL PROBLEM OR SIDELIGHTS UPON SCIENTIFIC EXPERIMENTATION ON MAN AND ANIMALS BY ALBERT LEFFINGWELL, M.D LATE PRESIDENT OF THE AMERICAN HUMANE ASSOCIATION ... pain and thereby deranged the tissues during a delicate dissection, instead of being soothed, it would receive a slap and an angry order to be quiet and behave itself At other times, when an animal ... ascertained by anatomical investigation or induction, VIVISECTION IS WHOLLY INDEFENSIBLE, and IS ALIKE ALIEN TO THE FEELINGS AND HUMANITY OF THE CHRISTIAN, THE GENTLEMAN, AND THE PHYSICIAN." It is...

Ngày tải lên: 16/03/2014, 04:20

... l (an 4) + l (an 3 ) = a = l(a1 ) l (an 3) + l (an 2 ) = −b = l (an) 288 Shuchao Li, Huiling Zhou, and Yanqin Feng l (an 2) + l (an 1) = −b − l (an 3) + a + b = a − l (an 3 ) = l (an 4 ) l (an 1) + l (an ... l (an 3) + l (an ) = a − l (an 4 ) − b = |l (an 4)| − (b − a) < |l (an 4)| On the other hand, by (2.1) and properties (1) and (2) we have l (an 3) + l (an ) − |l (an 5)| = −l (an 4 ) − (b − a) − l (an 5) ... l (an 3) + l (an 1 ), by (2.1) we have l (an 3) + l (an 1) = a + b + l (an 3) > b + l (an 3 ) = |l (an 2)| So l (an 3) + l (an 1) is not a label by property (2) (ii) For l (an 3) + l (an ), by (2.1) and...

Ngày tải lên: 06/08/2014, 05:20

... about 800 mm and annual mean temperature 7.5 °C The spruce stand was 95 years old at the beginning of the study in 1986, and had been planted in a former beech stand The soil was an acidic brown ... [9] Hildebrand E.E., Zustand und Entwicklung der Austauscheigenschaften von Mineralböden an Standorten mit erkrankten Waldbestand, FowCbl 105 (1986) 60–76 [10] Hovman M.F., Bille-Hansen J., Sheppard ... concentration, Pb and Cr concentrations decreased significantly in OL, that of Pb decreased significantly in OF (the block test was significant and the difference was only slightly lower than the standard...

Ngày tải lên: 08/08/2014, 00:21

... encouraged and they include: the avoidance of inappropriate use of antibiotics, the avoidance of prolonged implementation of foreign devices, the reinforcement of hand hygiene practices and the ... local antibiogram data and the performance of synergistic studies which may help to guide therapy selection Page of (page number not for citation purposes) Annals of Clinical Microbiology and Antimicrobials ... Laboratory Standards Performance standards for antimicrobial susceptibility testing 15th informational supplement (M 100 – S15) National Committee for Clinical Laboratory Standards Wayne Pa 2005 Pankuch...

Ngày tải lên: 08/08/2014, 19:20

... Cancer and Cardiovascular Diseases, Osaka 537-8511, Japan 2Department of Radiology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka 5378511, Japan 3Department of Pathology and ... with an air bronchogram, predominantly in the right upper and left lower lung fields Figure Chest CT scan (a) Preoperative CT scan showing no pulmonary metastasis (b) Postoperative CT scan showing ... American Thoracic Society (ATS), the European Respiratory Society (ERS) and the World Association of Sarcoidosis and Other Granulomatous Disorders (WASOG) adopted by the ATS Board of Directors and...

Ngày tải lên: 09/08/2014, 01:24

... male cases, the patients had experienced favorable courses of their disease and were alive when papers were published An ovarian-type stroma was seen in cases, and cases did not mention it Our case ... that MCN may lose its ovarian-type stroma with malignant transformation [17,18] Our case did not display an ovarian-type stroma, and demonstrated gastric invasion and lymph nodes metastasis consisted ... Pan ZG, Wang B: Anaplastic carcinoma of the pancreas associated with a mucinous cystic adenocarcinoma A case report and review of the literature JOP 2007, 8:775-782 Hirano H, Morita K, Tachibana...

Ngày tải lên: 09/08/2014, 02:21

... J: Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): an update on 93 randomised trials and 17,346 patients Radiother Oncol 2009, 92:4-14 43 Foote: The Importance of Planned Dose ... 2005, 27:36-43 36 Chopra T, Alangaden GJ, Chandrasekar P: Clostridium difficile infection in cancer patients and hematopoietic stem cell transplant recipients Expert Rev Anti Infect Ther 2010, 8:1113-1119 ... Strahlenther Onkol 2009, 185:682-688 Manikantan K, Khode S, Sayed SI, Roe J, Nutting CM, Rhys-Evans P, Harrington KJ, Kazi R: Dysphagia in head and neck cancer Cancer Treat Rev 2009, 35:724-732 Wurstbauer...

Ngày tải lên: 09/08/2014, 09:20

... that the upper airways have a smaller lumen during wakefulness [8,13,14] and sleep [3] in OSAH patients, who show an increase in the upper airway resistance [15-18], often assuming an anterior-posterior ... several, concurrent, inter-related mechanisms (increased compliance, decreased transmural pressure, smaller size and greater length of the upper airways) might enhance the pharyngeal collapsibility ... different groups during NEP)flow-volume curves (control and during NEP of -5 cmH2O) and corresponding expiratory flow-time curves (only Supine Supine tidal flow-volume curves (control and during NEP...

Ngày tải lên: 12/08/2014, 16:20

... β, ν and γ, and corresponding R0, TE and TI values, are shown in Table The R0 values ranged between 1.3, and 3.1, and corresponding average latent period and infectious period estimates ranged ... between 0.7 and 1.3 days, and 0.2 and 0.3 days, respectively The gamma distribution of incidence-mortality lag time obtained by convolution is shown in Figure The mean, median, mode and variance of ... respond and they have insufficient access to antivirals and pandemic strain vaccines The latent and infectious periods The average latent and infectious periods were estimated to be in the range...

Ngày tải lên: 13/08/2014, 16:21

... in many fields of fracture mechanics as it calculates stresses and displacement at crack tips An important advantage of BEM determines discontinuous geometry in mechanical, medical or soil problems ... e and u e are x M row vectors and Φ is an M x column vector The simplest shape functions are constant and linear shape functions In constant shape function, only one node exists per element and ... of the Euclidean distance x − ξ = ( xi − ξ i ) The functions u ∗ and q∗ are presented as single layer and double layer potentials, respectively After selecting w = u ∗ , Eq (2) and ∇ u = associated...

Ngày tải lên: 13/08/2014, 22:21

... company’s current strength and weakness, and identifying an action plan for production expansion -1- Methodology This thesis applies the case study to build competitive strategy for An Dinh Company ... through interviews with An Dinh Company’s managers and key employees Significance By reviewing the theory of competitive strategy and strategic management and understanding the impacts of business ... success Last but not less, the case study of An Dinh Company is analyzed inclusive of interview with the managers of company who are responsible for strategic management planning This is to contribute...

Ngày tải lên: 09/01/2015, 09:40

... In view of (12), (14), and (15) KB = L1 A2 + A4 + = DL + 8: and hence (30) and hence (28) reduces to (20) Conversely, assume (20) and (21) Then we have (28) directly, and hence (19) holds Now ... (X exists in this case. ) 4) Calculate = X DL Then, the desired gain K is given by (12) and (15) V AN EXAMPLE To illustrate our design method, we adopt the same flight control problem for the F-4 ... [5] and [8], we have L1 = :59 :38 = X DL = 17 0:38 17:59 : Then we can readily obtain the gain K by (12), and our gain in the original coordinates is K0 : = KV 01 This gain satisfies (19) and...

Ngày tải lên: 26/11/2015, 09:21

... in labor management, inventory control, accounting, and other managerial tasks within enterprises In other East Asian countries such as Japan, Taiwan, and China, the entrepreneurs’ management ... encompassing an improvement in the quality of products, marketing, and management, are critically important for the performance of enterprises (Sonobe and Otsuka, 2006) Specifically, during the transformation ... improvements and performance of the enterprise The paper is organized as follows After briefly describing the tradition of iron and steel production and the marketing and production organization...

Ngày tải lên: 04/09/2016, 23:23

... for careers in finance should get into the industry as early as they can and should consider hedging their financial assets while in school because they can The Making of an Investment Banker ... example, Hochberg, Ljungqvist, and Lu (2007) show the importance of networks in venture capital and Kaplan and Schoar (2005), Brown, Harlow, and Starks (1996), and Chevalier and Ellison (1997) find ... between $150K and $200K, between $200K and $300K, between $300K and $400K, between $400K and $500K, between $500K and $750K, between $750K and $1 million, between $1 million and $2 million, and over...

Ngày tải lên: 17/03/2014, 03:20

... informed, given lectures and it is only then that they (HCPs) may try and promote it' One manager mentioned specific problems at his health care centre: 'We not have an antenatal or post natal ... writing, data analysis, provided training and managed the team JEM worked on the study grant and protocol, as well as provided reviews and input into the paper JM assisted with the review and writing ... to PUs Data analysis Quantitative data from the SSIs were entered into an EpiInfo™ Version 6.4D database and checked twice prior to analysis with SPSS™ version 11.5 Data frequencies and tables...

Ngày tải lên: 10/08/2014, 05:20