... During the dry season, the quantity of transported sediment was lower and the major input of sediment into the system came from the coastal area The estuarine domain was silting up whatever the ... to the UNESCO 1983 polynomial formula, h is the water depth, g is the acceleration of gravity and < > stands for averaging over the water column As the water density is mostly related to the ... (white) season Since the celerity ofthe tidal wave propagates faster with increasing water depth, the shape ofthe tidal wave gets distorted for shallow estuary, where the difference in water...
... anesthesia was performed under supervision of an attending anesthesiologist Fentanyl was the only analgesic to be used during surgery, with the final dose being given ≥30 before the end ofthe ... used to deliver another ml of solution between the internal oblique and transversus abdominis muscles The second component ofthe IINB was administered by injecting ml ofthe same solution after ... interval, the two study groups showed a consistent pattern of morphine SO4 consumption Specifically, comparisons of PCA use in the first h after surgery, the interval 8–16 h after surgery, and the...
... reflected upon the sides ofthe bodies ofthe vertebræ From thevertebralcolumnthe pleura passes to the side ofthe pericardium; it then covers the back part ofthe root ofthe lung, from the lower ... part ofthe diaphragm and continues on from it to the upper surface ofthe right lobe ofthe liver as the superior layer ofthe coronary ligament and on to the upper surface ofthe left lobe as the ... the right triangular ligament ofthe liver The apex ofthe triangular bare area corresponds with the point of meeting ofthe two layers ofthe coronary ligament, its base with the fossa for the...
... respect to the tsunami's psychoemotional aftermath, the full impact ofthe wave on the mental health ofthe survivors is still unknown [2] In February 2005 the World Health Organization, among others, ... suffered at least loss of one relative, for example, a partner or child, and two mothers of our cohort lost both of their children The majority of patients complained of nightmares, emotional ... the magnitude ofthe disaster, imposing limitations on the type and quality of services that could be provided Thus, victims were additionally exposed to nosocomial pathogens The disruption of...
... or re-use it under the terms ofthe Project Gutenberg License included with this eBook or online at www.gutenberg.org Title: A Manual ofthe Operations ofSurgery For the Use of Senior Students, ... TO THE UNIVERSITY LONDON: SIMPKIN, MARSHALL, & CO 1883 TO THE MEMORY OF JAMES SYME, ESQ., F.R.C.S AND F.R.S.E SURGEON TO THE QUEEN IN SCOTLAND PROFESSOR OF CLINICAL SURGERY IN THE UNIVERSITY OF ... mistakes have been left in the text to match the original, except for obvious typographical errors, marked like this A MANUAL OFTHE OPERATIONS OFSURGERY FOR THE USE OF SENIOR STUDENTS, HOUSE...
... aponeurosis ofthe external oblique muscle One extremity ofthe incision will be situated near the spine ofthe ilium; the other will terminate a little above the inner margin ofthe abdominal ring The ... former muscle is the best guide; in a fat one, the incision may be made in a line extending from the centre ofthe bend ofthe arm to the inner edge ofthe styloid process ofthe radius The deep fascia ... summit the middle ofthe dorsal surface ofthe first metacarpal, and terminating in front just below the palmar surface ofthe joint, again at the junction ofthe outer and middle thirds of the...
... is of note that the structure ofthe LPS O-antigen of F columnare differs structurally from the LPS O-antigen ofthe fish pathogen Flavobacterium psychrophilium [21], which is a linear polymer of ... component ofthe O-PS ofthe fish pathogen Vibrio ordalii serotype O:2 [15], which is the cause of vibriosis among feral and farmed fish and shellfish The only other reported bacterial source of this ... were identical with those of authentic reference glycoses, and further confirms their characterization The combined MS data and the isolation ofthe two aminoglycoses with the respective D-galacto...
... behaviour of packed columns for the development of a new method for the standard presentation ofthe fluid dynamics of columns with any type of packing design The basic principles ofthe method ... load uL The higher the loading capacity ofthecolumn in the case of countercurrent flow ofthe phases, i.e the higher the gas velocity at the flooding point uV , the smaller the required cross-section ... the bottom tW and at the top tD ofthe column, and on the price ofthe heating steam CH , the optimum operating temperature tD,opt of a condenser operated with cooling water is in the range of...
... assessment ofthe content ofthe items on the scales, we hypothesized that (1) the Bodily Page of pain (BP) scale ofthe SF-36 and the Pain scale ofthe WOMAC would represent similar constructs as the ... high proportion ofthe respondents grade themselves at the minimum score and a ceiling effect when a high proportion ofthe respondents score at the maximum ofthe instrument Because the patients’ ... correlations ofthe BPI function interference index with BP and PF scales, as hypothesized, but low correlation with the RP scale Further, the correlations ofthe BPI function interference index with the...
... resection is challenging The goals of surgical management of these tumors include the achievement of local tumor control, maintenance of caval flow, and the prevention of recurrence The surgical strategy, ... infiltrating the blood vessel wall with primarily extraluminal growth In the lower part ofthe picture, part ofthe intimal layer ofthe blood vessel can be recognized (arrow) sertion ofthe left ... the right upper abdomen as well as within the omental bursa were detected, exploration ofthe entire abdomen could not reveal an origin ofthe bleeding In particular, the exposure ofthe prothesis,...
... Table There was a statistically significant difference in the overall survival between these four treatment groups (surgery and radiotherapy, surgery only, radiotherapy only, and neither surgery ... for surgery and radiotherapy, 68% for surgery only, 35% for radiotherapy only, and 26% for neither surgery nor radiotherapy There was a significant difference in overall survival between the ... lesion of accessory sinuses) and C31.9 (accessory sinus, NOS) Information for the following treatment groups was queried: both surgery and radiotherapy, surgery only, radiotherapy only, neither surgery...
... R: The treatment of soft-tissue sarcomas ofthe extremities: prospective randomized evaluations of (1) limb-sparing surgery plus radiation therapy compared with amputation and (2) the role of ... Merino MJ, Rosenberg SA: Randomized prospective study ofthe benefit of adjuvant radiation therapy in the treatment of soft tissue sarcomas ofthe extremity J Clin Oncol 1998, 16:197-203 O’Sullivan ... B: Phase II study of neoadjuvant chemotherapy and radiation therapy in the management of high-risk, high-grade, soft tissue sarcomas ofthe extremities and body wall: Radiation Therapy Oncology...
... conductance due to the freezing ofthe myocardium in the preoperative period for myocardial preservation [17,22], reduced perfusion ofthe phrenic nerve due to injury ofthe branches ofthe internal ... evaluation the pulmonary function ofthe pre and postoperative periods in the coronary artery bypass graft surgeryof patients treated with a physiotherapy protocol Journal of Cardiothoracic Surgery ... [12] and the position ofthe drains [13] Pain due to thoracotomy is a limiting factor for mobility and breathing A high level of postoperative pain is common because ofthe cutting ofthe skin,...
... reintervention The SOFA score evaluates organ function over time [16] and we assessed the CV component ofthe score considering this most relevant for our study goal The CV component ofthe SOFA score ... with help of a catheter in the radial artery and either a central venous catheter and/or a pulmonary artery catheter (n = 14) The latter allowed to measure the PAOP after proper wedging, the cardiac ... of pressures, for instance may relate to the predominance of regional versus circumferential tamponade in our patients Fluid therapy is the primary therapeutic step in the medical treatment of...
... femorofemoral bypass and deep hypothermic circulatory arrest have high variability for the circulatory arrest time depending on the severity of adhesion, the size ofthe pseudoaneurysm and the ... TJ wrote the draft ofthe manuscript and obtained the written consent DL performed the literature review and participated in the manuscript writing and helped to the final writing ofthe paper ... eroded into the outer sternum, then there is a very high risk of massive hemorrhage during thesurgery [6] The ascending aortic pseudoaneurysm mainly bulges anteriorly while eroding the boney structures...
... Sobin L: The IASLC Lung Cancer Staging Project:Proposals for the Revision ofthe TNM Stage Groupings in the Forthcoming(Seventh) Edition ofthe TNM Classification of Malignant Tumours Journal of Thoracic ... across the anastomosis The front wall is then done over the long ET tube; care must be taken to avoid "incorporating the ET tube" on the suture line Flexible Bronchoscopic inspection ofthe suture ... 53% for N0 The role of neoadjuvant Chemo-Radiation therapy is debatable: According to some reports [9] it downstages 40% of N2 nodes therefore increases the pool of patients that they would benefit...
... replacement ofthe tricuspid valve with a prosthetic valve In one of these patients a central atrial septal defect was closed, that had been left open at primary surgery In another one of these patients ... (seven in the non-Rastelli group, seven in the Rastelli group) ofthe 20 patients were suffering from right-ventricular dysfunction, in 12 of them (six in the non-Rastelli group, six in the Rastelli ... in the later Rastelli group) In the early part ofthe series, surgery related atrioventricular block, necessitating implantation of a permanent pacemaker occurred in seven patients (six in the...
... pulmonary hypertension The mainstay of management of DD starts with the prompt recognition and diagnosis of this entity and relies on the aggressive management ofthe underlie aetiology of this insidious ... (PCWP) [44,45] Therefore, additional measurement of PCWP by using a Swan-Ganz catheter may be in this phase useful in estimating the time course of diastolic dysfunction and the effect of therapeutic ... diastolic function allows the study of isovolumic relaxation (time constant of LV relaxation is longer > 50-55 msec) and evaluation ofthe passive elastic properties ofthe myocardium (LV passive-stiffness...
... fibrofibrinous vegetations seen in LS endocarditis ofthe mitral valve may vary in size and typically have a wart-like morphology They can be found near the edge ofthe leaflets along the line of ... closure; both on the atrial and ventricular sides ofthe leaflets They can even be found on the chordae and the endocardium In this case several microthrombi are present on the free edge ofthe leaflet ... large verrucous tumor on the atrial side ofthe P2 section ofthe posterior mitral valve leaflet (Fig 4D) A quadrangular resection ofthe P2 section ofthe posterior mitral valve leaflet was performed...
... over the assessment period To determine the number of procedures relative to the number of people enrolled, the number of eligible people for the last quarter of each year was extracted from the ... 47678); The aim of this study was to investigate patterns of foot and ankle surgery provision in Australia, with particular reference to: (i) the influence of age and sex on the type ofsurgery ... the authors' knowledge, there are only two similar analyses that have been reported in the literature The first was a clinical audit of 785 cases of foot surgery conducted by ten fellows of the...