perioperative fluid management in enhanced recovery

... aggravated by administration of colloid-free intravenous fluid and would enforce the formation of interstitial edema Thus, fluids that mainly remain within the vasculature and maintain oncotic pressure ... protein permeability excessively [26] Interstitial fluid raised approximately 10% during realization of an enteral anastomosis in a rabbit without any fluids being infused [27] Concomitant administration ... retaining proteins and increasing the oncotic pressure within the endothelial surface layer A small space between the anatomical vessel wall and the ESL remains nearly protein-free [2] Thus, fluid...

Ngày tải lên: 21/06/2014, 05:20

... trial investigating the influence of intravenous fluid titration using oesophageal Doppler monitoring during bowel surgery Anaesthesia 2002, 57:845-849 Carrasco G: Instruments for monitoring intensive ... optimization of fluid management in multiple-trauma patients in the immediate postoperative period The aim of this study was to examine the effect of esophageal Doppler-guided fluid management during the ... an indication of possible hypovolemia Patients were given an initial bolus of colloid (250 ml) in a five minute period If the stroke volume (SV) was either maintained or increased after the fluid...

Ngày tải lên: 13/08/2014, 03:20

... [57] Furthermore, when stoke volume was increased comparably, dobutamine increased heart rate more than epinephrine Epinephrine, dobutamine and dopamine all increase myocardial oxygen consumption ... Precardiotomy deteriorating fast Deteriorating haemodynamic instability: increasing doses of intravenous inotropes and/or IABP necessary to maintain SBP > 80mmHg and/or CI >1.8 L/minute/m2 Progressive ... intravenous inotropes and/or IABP are necessary to maintain SBP >80 mmHg and/or CI >1.8 L/minute/m2 without clinical improvement Failure to wean from inotropes (decreasing inotropes results in...

Ngày tải lên: 13/08/2014, 19:20

... above investigation, integration is tentatively interpreted as an act or a process of joining or combining something with something else The integrated approach is a way of perceiving and solving ... problems by integrating information, scientific disciplines, tools, interests and other aspects in a systemic way in order to increases the efficiency of our actions 1.2.3 Integrated management ... play in the different phases of the systems evaluation framework These phases include the following activities: defining public concern, determining multiple issues, defining measurable indicators,...

Ngày tải lên: 06/11/2012, 10:35

... authenticates the user in this certificate authority using the PC obtained previously The paper [10] aims to introduce new concepts in cloud computing and security, focusing on heterogeneous and ... Data segregation; 5) Recovery; 6) Investigative support; 7) Long-term viability In [3], the paper describes the security of cloud computing in a layered framework, including: 1) Secure Hypervisors; ... Secure Cloud Storage Management; 3) Secure Cloud Data Management; 4) Secure Cloud Network Management; 5) Security Policy Management for Cloud Computing; 6) Cloud Monitoring In this paper, we adopt...

Ngày tải lên: 31/07/2013, 09:43

... approach include the following: 1) Independent and trustworthy since the interaction is only between the SP and the user, 2) Gives minimum information to the SP SP receives only necessary inforormation ... IdP providing that certificate to the RP, thus the user needs to trust the IdP Another drawback is that, in a case where a single IdP and multiple RPs are involved in a single working session, ... Application: It includes ABC, which hosts Container ABC accepts from a user input including sensitive data, metadata, and the new destination for the AB Then, it creates an AB and gives it the input of...

Ngày tải lên: 31/07/2013, 09:43

... Computing: InterCloud Identity Management Infrastructure";Workshops on Enabling Technologies: Infrastructure for Collaborative Enterprises;2010 [19] He Yuan Huang, Bin Wang, Xiao Xi Liu, Jing Min ... IdP providing that certificate to the RP, thus the user needs to trust the IdP Another drawback is that, in a case where a single IdP and multiple RPs are involved in a single working session, ... engineering A malicious attack can be easily set up to lure users into entering their authentication information at a website that poses as an OpenID provider website [14, 15] 3.4 Higgins Higgins...

Ngày tải lên: 31/07/2013, 09:44

... the informal sector for solid waste management in developing countries in general and in HCMC in particular and to find out whether an integration of the informal sector in the formal waste management ... 9840238 THE INFORMAL SECTOR IN SOLID WASTE MANAGEMENT IN DEVELOPING COUNTRIES The motivation for recycling in developing and industrialised countries is rather different In the latter recycling is ... developing countries is the increased integration of the informal sector into the formal waste management system instead of investing the scarce financial resources in inappropriate high tech solutions...

Ngày tải lên: 24/08/2013, 18:48

... automatic washing machines; wastewater recycling (WWR); rainwater harvesting (RWH); and reduction in industrial sector ΔQ3 = SWT-flushing toilet + SWT washing machine+ WWR + RWH + reduction in industrial ... the following items are defined: ① Number of washing machines in 2007 = 6.03 mil units (housing units in 2007) ② Washing machines usage = (1 unit per household) x (usage of time washing/day) (Japan ... water consumed during the operation of washing machines by comparing several options on washing methods As a result, dewatering before rinsing was the most appropriate as the remaining detergent...

Ngày tải lên: 05/09/2013, 10:17

... water management decision makers in evaluating water policies and developing sustainable water resource management plans WEAP operates following the basic principles of water balance accounting ... planning and management AQUATOOLDMA is used to control the following modules/models: • SIMGES Model for basin simulation and management including conjunctive use; • OPTIGES Module for optimizing ... as alarm indicators and sharing of water deficit Water resources management is carried out by operating rules, which tend to maintain similar water levels in reservoirs, based on the initial reservoir...

Ngày tải lên: 05/09/2013, 14:58

... reasonable accuracy In a recent study, Cho et al [12] investigated the effect of a gap in the inclined rib on heat transfer in a square duct and reported that a gap in the inclined rib accelerates ... the continuous rib The present investigation was therefore, taken up to determine the optimum width of a gap in the inclined rib to form discrete rib This study will help in determining the gap ... working in the area of experimental and computational fluid mechanics and his special interest is in the field of turbomachines especially hydro-dynamic pumps and turbines He is also working...

Ngày tải lên: 05/09/2013, 16:10

... application In order to better see what is going on, turn on the display of grid lines by setting the ShowGridLines property to true The following code shows these additions Keep in mind that since ...

Ngày tải lên: 05/10/2013, 04:20

... • Mapping resources to specific lines of business or application • Documenting utilization, both at specific points in time and over a time period (for trending and modeling) • Establishing actual ... determining baseline storage capacity and performance baselines, establishing target utilization rates, and rebalancing assets Capacity management should be approached in phases, starting by setting ... (i.e., lines of business or application level), providing the metrics for beginning a rebalancing of your asset portfolio Best results will be obtained through the use of storage resource management...

Ngày tải lên: 26/10/2013, 22:15

... Develop recovery procedures You should take into consideration the following aspects: Procedures for ensuring and maintaining physical security Coordination of restoration for the original site ... of any recovery plan At minimum, it should include the following: A listing of all equipment by type and model number The list should include equipment such as mission-critical servers, mainframe ... support recovery efforts Whenever possible, illustrate the plan with diagrams A comprehensive recovery plan generally includes the following information: Emergency call lists for management and recovery...

Ngày tải lên: 28/10/2013, 14:15

... VPBank is opposing increasing competition of Joint Stock competitors in order to exist and development Moreover, I have been working in VPBank, one of the first Joint Stock banks in Vietnam, as ... is now seeing a decline in number but an increase in scale for each member Joint-Venture Bank, foreign bank branches: Joint-Venture Banks and 27 foreign bank branches are in operation in Vietnam ... system of branches that can join Inter-bank independently or dependently owing to its policy and management capacity or they can choose not to join Inter-bank market Joint-Stock Commercial Bank system...

Ngày tải lên: 26/11/2013, 20:57

... require the information and resource maintainers who would maintain the information and deliver to them There could be an either option of also being the information maintainer and also the information ... conditions are unpredictable Making the services offered more flexible and creative by maintaining the standards Broadening the services offered with maintaining internal organizational behaviour ... say “Masters in technology” or “masters in Engineering” They have to gather, organize, maintain, implement and deliver the information to every student and administration dept regarding the course...

Ngày tải lên: 20/12/2013, 19:15

... ADVANCED TOPICS IN SCIENCE AND TECHNOLOGY IN CHINA ADVANCED TOPICS IN SCIENCE AND TECHNOLOGY IN CHINA Zhejiang University is one of the leading universities in China In Advanced Topics in Science ... performance In particular, for computing systems operating in dynamic open enviroimients, using feedback control in resource management could improve the system flexibility in the face of uncertainty in ... Scheduling Optimal Feedback Scheduling Open-Loop Scheduling optimal pure Dynamic Voltage Scaling Open System Interconnection Prop ortional-Integral-Derivative Deadline miss ratio Setpoint for deadline...

Ngày tải lên: 01/01/2014, 18:47

... organizational learning: Representing and maintaining knowledge in an experience base, in Proc Tenth Int Conf on Software Engineering and Knowledge Engineering, SEKE98, 1998 44 T Dingsứyr, A lifecycle ... Engineering, SEKE98, 1998 41 R Bergmann and M Găker, Developing industrial case-based reasoning applications o using the INRECA methodology, in Proc Workshop at the Int Joint Conf on Articial Intelligence, ... Systems in the UK has developed an Engineering Process Improvement Framework, which includes a repository for knowledge sharing [62] The engineering knowledge base contains information divided into...

Ngày tải lên: 16/01/2014, 16:33

... a systematic process of creating, maintaining, employing, sharing and renewing knowledge Knowledge Management Framework in Systems Point of View Viewing knowledge management as a manmade system, ... 23,177^190 (2006) Jiayin Qi et al Syst Res RESEARCH PAPER Data Data Processing: Organizing, storing, calculating, Retrieving, Reporting Information Information Processing: Reforming, Quantification, ... Knowledge-Based Systems, Computers in Industry, Expert Systems, Data & Knowledge Engineering, Advanced Engineering Informatics, Logistic Information Management, Information & Management, Telecommunications...

Ngày tải lên: 24/01/2014, 00:20

... knowledge in business and the basic principles of a knowledge system This is in contrast to initiatives in larger firms which may be part of a tradition to make substantial investments in information ... dangers of a ‘blinkered’ knowledge management system have been highlighted (e.g Malhotra, 2000) and the need for maintaining an uncertainty capability in business seems clear In other contexts, ... (eds) Macmillan: Basingstoke; 32–67 Chattell A 1998 Creating Value in the Digital Era: Achieving Success through Insight, Imagination and Innovation Macmillan Business: Basingstoke Cole-Golomski...

Ngày tải lên: 24/01/2014, 00:20