practical advice and pitfalls with vascular injuries

... demonstrated normal (2+) and symmetric radial pulses with 5/5 motor function and fully intact light touch sensation and 2-point discrimination in the distribution of the radial, median, and ulnar nerves ... normal perfusion in her left hand (Fig 3B) Her neurologic evaluation revealed an intact 5/5 motor function of the left hand and intact sensation to light touch and 2point discrimination The radial ... 1970's and 80's, arteriography became the "gold standard", and was abandoned more recently, due to invasive risks of iatrogenic complications and the observation that the angiographic screening...

Ngày tải lên: 13/08/2014, 23:20

... stored and used later in another operation Figure 2.4 AND, OR, XOR and NOT gates 2.3.1 AND gates – physical and virtual The AND gate is a device with two or more inputs, where the result is an AND ... within a loop 2.4.4 AND, OR and test bits If the programmer wants to AND or OR bits in a particular memory address, the instructions ANDA or ORA could be used This is a logical AND and is the same ... for Instrumentation and Control (Dave Macdonald) Practical Modern SCADA Protocols: DNP3, 60870.5 and Related Systems (Gordon Clarke, Deon Reynders) Practical Radio Engineering and Telemetry for...

Ngày tải lên: 12/12/2013, 21:28

... markets and fairs Buy some of the cards, take them home, and compare the quality of the card and the envelope with the price Identify what type of card they are – for example handmade, handassembled ... correct and the bone folder will give a good finish to the fold Sewing tools Stitching produces beautiful results on handmade cards, and it can be done either by hand or machine If stitching by hand ... the excess and return to the jar Then use the heat gun to melt the powder and create a raised deign HANDMADE CARDS / 19 Greetings If you are not good at lettering and don’t want to hand write...

Ngày tải lên: 10/03/2014, 20:37

... noise and packet loss was investigated and compared with the RD bound However, it was assumed that each description is compressed and decompressed independently using an ideal SW encoder and decoder, ... of independent and identically-distributed (i.i.d.) jointly Gaussian random variables Let Z(k) model the correlation via a virtual AWGN channel between the random variables Y (k) and X(k) Then, ... X Yang and K Ramchandran, “Optimal subband filter banks for multiple description coding,” IEEE Transactions on Information Theory, vol 46, no 7, pp 2477–2490, 2000 Y Wang, M T Orchard, and A R...

Ngày tải lên: 21/06/2014, 20:20

... displacing the portal vein and inferior vena cava Ingrowth into these vascular structures could not be identified The right kidney and right hemidiaphragm revealed caudal and cranial displacement, ... Formalin-fixed and paraffin-embedded pancreatic tissue was used as a positive control for synaptophysin, chromogranin, and neuron-specific enolase (NSE); hepatic tissue for alphafetoprotein (AFP) and Hep-Par1; ... trabecular, and microacinar arrangements [3], as the latter two patterns predominated in this case The cells themselves are usually small and uniform with round, centrally placed nuclei and granular...

Ngày tải lên: 11/08/2014, 10:22

... and sedation beyond day 3, propofol was discontinued and replaced with midazolam in accordance with local transitioning protocols The infusion rates of fentanyl and morphine and bolus doses and ... analgesia and sedation, which were administered simultaneously and then titrated to response For all three treatment groups, on days 1–3 the hypnotic agent was propofol, and on days and propofol ... of 60 µg kg-1 h-1 and/ or additional boluses and/ or increases in the infusion rate of propofol up to a maximum dose of mg kg-1 h-1 to attain and then maintain optimum analgesia and sedation The...

Ngày tải lên: 12/08/2014, 20:20

... interplay between inflammation and hypercoagulation [20] and the literature supporting old RBCs are hyper-inflammatory, immunomodulatory, and impair microvascular perfusion and vasoregulation [2-6] ... design, data analysis, and manuscript preparation and obtained funding CC contributed to study design and manuscript preparation IS contributed to study design, data analysis and manuscript preparation ... [19] The primary outcomes were DVT, and in-hospital mortality Non-parametric and parametric data are presented as median (interquartile range) or mean (standard error of mean), respectively The...

Ngày tải lên: 13/08/2014, 19:20

... Petrone P, Roldan Gl: Pancreatic and duodenal injuries Complex and lethal Scand J Surg 2002, 91:81-86 18 Degiannis E, Saadia R: Controversies in management of penetrating injuries of the pancreas S ... isolation and with no better results in our hands or as well as in the international literature The Duodenum Mobilization of the whole duodenum is mandatory for the identification of duodenal injuries ... the aorta posterior to the pancreas and fully visualize the anterior and posterior aspects of the second and third part of the duodenum, as well as the head and uncinate process of the pancreas...

Ngày tải lên: 13/08/2014, 23:20

... innominate artery and veins, subclavian artery and veins, left common carotid artery, pulmonary artery and veins, azygous vein, intra-thoracic vena cavae, and combined airway and vascular trauma ... in 1993 and has expanded to other cavitary injuries[ 43,44] If shock, coag- ulapathy, and hypothermia are not arrested, death will ensue These same principles can be applied to vascular and thoracic ... Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2009, 17:42 http://www.sjtrem.com/content/17/1/42 focus on diagnosis and management of blunt injuries of both...

Ngày tải lên: 13/08/2014, 23:20

... levels of IL-1β, IL-6, IL-8, IL-10 and TNF-α as well as traditional parameters such as lactate, platelets and base excess with MODS and mortality Methods Inclusion and exclusion criteria Polytraumatized ... patients received an arterial and a central venous line A standardized clinical examination, a focused assessment with sonography for trauma (FAST) and at least chest and pelvic x-rays were performed ... males and 37 females) were included in this study Age and ISS were comparable in all analyzed subgroups Additional characteristics are shown in Table Pattern and severity of injury Pattern and...

Ngày tải lên: 13/08/2014, 23:20

... class to engage students and help them understand and remember concepts Effective teaching and support of students from low socioeconomic status backgrounds: Practical advice for teaching staff ... incongruity’ Effective teaching and support of students from low socioeconomic status backgrounds: Practical advice for teaching staff Key advice for teachers The key advice to staff teaching students ... teaching practice and your students’ learning Effective teaching and support of students from low socioeconomic status backgrounds: Practical advice for teaching staff Know and respect your students...

Ngày tải lên: 17/08/2016, 08:18

... OPEN DISTRIBUTED AUTOMATION AND CONTROL WITH IEC 61499 Open Distributed Automation and Control Open Distributed Automation and Control with IEC 61499 with IEC 61499 • • • ... DISTRIBUTED AUTOMATION AND CONTROL WITH IEC 61499 IEC 61131-3: Modern (1993) Software IEC 61131-3: Modern (1993) Software Engineering for Automation and Control Engineering for Automation and Control • ... AUTOMATION AND CONTROL WITH IEC 61499 Basic Concepts of IEC 61499 Basic Concepts of IEC 61499 • Distributed applications • Object-oriented software encapsulation and reuse • Event and data interfaces...

Ngày tải lên: 20/08/2012, 11:15

Ngày tải lên: 11/09/2012, 15:49

... Frey, M.R Popoff, and J.F van den Bosch (1999) Detection of the β2 toxin gene of Clostridium perfringens in diarrhoeic piglets in The Netherlands and Switzerland FEMS Immunology and Medical Microbiology ... cattle and pigs with diarrhea in Hanoi and surrounding areas, Vietnam 3.2 Genotyping of C perfringens the toxicity of C perfringens isolates and the correlation between diarrhea in animals and the ... template for PCR 2.4 Primer and multiplex PCR Specific primers design were based upon the sequence of each target genes as published by Songer and Bueschel (1999) and were synthesized commercially...

Ngày tải lên: 29/08/2013, 08:14

... parameters, voltage (∆V) and current (∆I), estimated by the Gaussian method, are ± V and ± 0.14 A respectively For fuel time (∆tr) and fuel volume (∆t), the uncertainties are ± 0.2 sec and ± 0.1 sec respectively ... in port injected hydrogen and manifold injected hydrogen and diesel at 75 % load The peak pressure in diesel is 78.5 bar and 70.08 bar with 20 % EGR in port injection and 73.5 bar in manifold ... energy board, Ministry of new and renewable energy and Government of India, pp.1-70 [8] XIth plan proposals for new and renewable energy (2006), Ministry of new and renewable energy, Government...

Ngày tải lên: 05/09/2013, 15:28

... experience and performance, organizational tenure and performance, and age and performance The expected non-linear relationships suggest that observed correlations in studies are not random samplings ... Page 42 Time and Performance CAHRS WP01-05 Weiss, H M 1990 Learning theory and industrial and organizational psychology In M D Dunnette & L M Hough (Eds.), Handbook of industrial and organizational ... significant and negative The negative non-linear terms means that the positive relationship of age and experience with performance diminishes at higher levels, and may even become negative and form...

Ngày tải lên: 11/09/2013, 11:44

... 112 Backing up and restoring with CD-R/RW and DVD-R/RW Image files and CD/DVD writers Image files and CD/DVD writers Norton Ghost support of SCSI and IDE CD and DVD writers allows the ... and confirms that your CD/DVD drive is compatible with Norton Ghost Table 8-1 lists the media that you should use with CD and DVD writers and the action that Norton Ghost takes Table 8-1 CD and ... available on the Symantec Service and Support Web site: http://service1.symantec.com/SUPPORT/ghost.nsf/docid/2002030414141625 Backing up and restoring with CD-R/RW and DVD-R/RW Saving an image file...

Ngày tải lên: 06/10/2013, 10:20

... Running, Waiting, and Timed Out Target Messages (CETerm) Stopped, Running, and Waiting Debugger Stopped, Running, Waiting, and Breaking Download Waiting to Download, Downloading, and Not Downloading ... applications such as drivers and OAL It also provides sample code for platformindependent applications such as graphic user interface, shell components, and various communications and networking configurations ... can create a project using a project wizard, and the project is given has an associated pbp file The pbp file contains source file names and locations, and builds settings Build the Platform Image...

Ngày tải lên: 22/10/2013, 15:15

Ngày tải lên: 25/10/2013, 06:20

... Cdc28 and classes of vertebrate cyclins (D- and E-type cyclins in G1 and A -and B-type cyclins in G2/M) that control a family of Cdks (cyclindependent kinases) greatly enhanced our understanding ... emerged from distinct studies in yeast, flies, clams, and frogs, and eventually the conclusions drawn were tested and found to be operative also in mice and humans The power of the cell cycle theory ... 1997; Zachariae and Nasmyth 1999) These studies and others demonstrated the universality of the cell Modeling Cell Cycle Control and Cancer with pRB Tumor Suppressor 231 cycle, and strongly suggested...

Ngày tải lên: 25/10/2013, 21:20