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Sample records for cecostomy tube placement

  1. Best evidence: nasogastric tube placement verification.

    Science.gov (United States)

    Longo, M Anne

    2011-08-01

    Further research on cost-effective techniques to verify enteral tube placement is warranted using a variety of pediatric populations with differing conditions that may impact gastric pH. It is imperative that clinical facilities review current policies and procedures to ensure that evidence-based findings are guiding nursing practice. Many nurses continue to rely on auscultation to verify NGT placement. Education and competency validation can assist with current practices for NGT placement being consistently incorporated by all personnel in the health care setting. Continuing to search for evidence related to nursing care will guide the direct care RN in providing best practice.

  2. Cecostomy

    Science.gov (United States)

    ... the globe, we make it easy to access world-class care at Johns Hopkins. Outside of Maryland (toll free) 410-464-6713 Request an Appointment Medical Concierge Services International Patients +1-410-502- ...

  3. Suppurative otitis media after tympanostomy tube placement

    Directory of Open Access Journals (Sweden)

    Baljošević Ivan

    2003-01-01

    Full Text Available Suppurative otitis media after tympanostomy tube placement is the most frequent complication of this surgical intervention. Otorrhea that occurs in the first two weeks following tube placement is called early, late otorrhea occurs at least two weeks following placement. Early otorrhea is usually a result of either an infection that already existed when the tube was placed, or contamination of the external auditory canal during operation. Late otorrhea is mostly a result of upper respiratory tract infection. Material and methods Our investigation was performed at the ENT Department, Mother and Child Health Care Institute in Belgrade. The research included children treated for secretory or recurrent otitis media. Results and discussion We have examined 411 children implanted with 796 tympanostomy tubes in the last three years. We investigated changes within two weeks after operation. Suppuration was recorded with 81 children (19.7%. Staphylococcus aureus was established in 33 (40.7% Pseudomonas aeruginosa in 26 (32%, Haemophilus influenzae in 12 (15% and Streptococcus pneumoniae in 10 (12.3% cases. All children were treated with antibiotic ear drops according to the antibiogram for a period of 7 days. Full recovery was achieved after treatment with Ciprofloxacin drops in 67%, Neomycin in 18% and Gentamycin in 9% of cases. In other cases a combination of drops and oral antibiotics was used. Conclusion In cases of suppurative otitis media after implantation of tympanostomy tubes, the secret should be treated with suction and after that antibiotic drops should be applied during 5 to 7 days. If suppuration is persistent, drops should be used with oral antibiotics.

  4. Assessing and predicting successful tube placement outcomes in ALS patients.

    Science.gov (United States)

    Beggs, Kathleen; Choi, Marcia; Travlos, Andrew

    2010-01-01

    This study reviews feeding tube placement outcomes in 69 ALS outpatients seen at an outpatient interdisciplinary ALS clinic in British Columbia, Canada. The objective was to determine at which point the risks outweigh the benefits of tube placement by reviewing outcomes against parameters of respiratory function, nutritional status and speech and swallowing deterioration. The study was a retrospective review of tube placements between January 2000 and 2005, analysing data on respiratory function (forced vital capacity and respiratory status), weight change from usual body weight (UBW) and speech/swallowing deterioration using ALS Severity Score ratings (Hillel et al., 1989) at time of tube placement. Results show a statistically significant association between nutritional status and successful tube placement outcomes (p=0.003), and none between respiratory status, speech/swallowing variables, or number of deteriorated variables in each patient. Study findings were impacted by lack of available respiratory data. The only study variable that predicted successful tube placement outcome was a body weight greater than or equal to 74% UBW at time of tube placement. In the absence of access to respiratory testing, the relatively simple assessment of weight may assist patients and caregivers in appropriate decisions around tube placement.

  5. Nasogastric Tube Placement in Newborns Before Discharge.

    Science.gov (United States)

    Alnemri, Abdulrahman M; Saeed, Anjum; Assiri, Asaad M

    2016-04-01

    The aim of this study was to assess the knowledge of medical staff (physicians) at different levels about insertion or placement of nasogastric tube (NGT) in a normal newborn before discharge. It was a survey-based, observational study conducted at King Khalid University Hospital. Atotal of 103 doctors were sent text message; among those 81 (78.6%) responded. Among the respondents, 27, 16, 11 and 27 were neonatologists, general physicians, obstetricians/ ENT/pediatric surgeons, and senior registrars neonatology (SRN), respectively. Majority of physicians, 57 (70.3%) rejected the idea of insertion of NGTin a normal newborn but in 24 (29.6%), answer was to insert NGTin all the newborns before discharge to check the patency of nasal cavities. Regarding the position, region of doctors and their response, majority from Center said ‘No’(not in favour of insertion) but from South, 17/18 (94.4%) said ‘Yes’(in favour of insertion). Regarding other specialties, majority of them showed rejection of this idea. In conclusion, most of the healthcare professionals, directly involved with neonatal care, rejected the idea of routine insertion of NGTin normal newborn examination before discharge; rather, some non-invasive technique could be opted.

  6. Complications of nasogastric tube placement--don't blow it.

    LENUS (Irish Health Repository)

    Leonard, S

    2012-04-01

    Preventable complications maybe associated with the placement of nasogastric tubes. Our report raises awareness of the potentially fatal complications that can occur. We also recommend an approach for clinicians which maybe used to avoid significant patient morbidity.

  7. A virtual reality based simulator for learning nasogastric tube placement.

    Science.gov (United States)

    Choi, Kup-Sze; He, Xuejian; Chiang, Vico Chung-Lim; Deng, Zhaohong

    2015-02-01

    Nasogastric tube (NGT) placement is a common clinical procedure where a plastic tube is inserted into the stomach through the nostril for feeding or drainage. However, the placement is a blind process in which the tube may be mistakenly inserted into other locations, leading to unexpected complications or fatal incidents. The placement techniques are conventionally acquired by practising on unrealistic rubber mannequins or on humans. In this paper, a virtual reality based training simulation system is proposed to facilitate the training of NGT placement. It focuses on the simulation of tube insertion and the rendering of the feedback forces with a haptic device. A hybrid force model is developed to compute the forces analytically or numerically under different conditions, including the situations when the patient is swallowing or when the tube is buckled at the nostril. To ensure real-time interactive simulations, an offline simulation approach is adopted to obtain the relationship between the insertion depth and insertion force using a non-linear finite element method. The offline dataset is then used to generate real-time feedback forces by interpolation. The virtual training process is logged quantitatively with metrics that can be used for assessing objective performance and tracking progress. The system has been evaluated by nursing professionals. They found that the haptic feeling produced by the simulated forces is similar to their experience during real NGT insertion. The proposed system provides a new educational tool to enhance conventional training in NGT placement.

  8. Fibreoptic Bronchoscope for Nasogastric Tube Placement

    Directory of Open Access Journals (Sweden)

    Bhandari Dhiraj

    2015-09-01

    Full Text Available A patient of stage III squamous cell carcinoma of mandible with hemi-mandibulectomy, modified radical neck dissection and radiotherapy required Ryle’s Tube (RT insertion for feeding. This case report describes use of fibreoptic bronchoscope to place an endotracheal tube in oesophagus through nasal route which was then used as a conduit to pass a RT into stomach.

  9. Endoscopic placement of enteral feeding tubes

    OpenAIRE

    2010-01-01

    Malnutrition is common in patients with acute and chronic illness. Nutritional management of these malnourished patients is an essential part of healthcare. Enteral feeding is one component of nutritional support. It is the preferred method of nutritional support in patients that are not receiving adequate oral nutrition and have a functioning gastrointestinal tract (GIT). This method of nutritional support has undergone progression over recent times. The method of placement of enteral feedin...

  10. Prehospital determination of tracheal tube placement in severe head injury

    OpenAIRE

    Grmec, S; Mally, S

    2004-01-01

    Methods: All adult patients (>18 years) with severe head injury, maxillofacial injury with need of protection of airway, or polytrauma were intubated by an emergency physician in the field. Tube position was initially evaluated by auscultation. Then, capnometry and capnography was performed (infrared method). Emergency physicians evaluated capnogram and partial pressure of end tidal carbon dioxide (EtCO2) in millimetres of mercury. Determination of final tube placement was performed by a seco...

  11. Gastrostomy Tube Placement Without Nasogastric Tube: A Retrospective Evaluation in 85 Patients

    Energy Technology Data Exchange (ETDEWEB)

    Heberlein, Wolf E., E-mail: weheberlein@uams.edu; Goodwin, Whitney J.; Wood, Clint E.; Yousaf, Muhammad; Culp, William C. [University of Arkansas for Medical Sciences, Department of Radiology (United States)

    2012-12-15

    Purpose: Our study evaluated techniques for percutaneous gastrostomy (G)-tube placement without the use of a nasogastric (NG) tube. Instead, direct puncture of a physiologic air bubble or effervescent-enhanced gastric bubble distention was performed in patients with upper digestive tract obstruction (UDTO) or psychological objections to NG tubes. Materials and Methods: A total of 886 patients underwent G-tube placement in our department during a period of 7 years. We present our series of 85 (9.6%) consecutive patients who underwent percutaneous G-tube placement without use of an NG tube. Results: Of these 85 patients, fluoroscopic guided access was attempted by direct puncture of a physiologically present gastric air bubble in 24 (28%) cases. Puncture of an effervescent-induced large gastric air bubble was performed in 61 (72%) patients. Altogether, 82 (97%) of 85 G tubes were successfully placed in this fashion. The three failures comprised refusal of effervescent, vomiting of effervescent, and one initial tube misplacement when a deviation from our standard technique occurred. Conclusion: The described techniques compare favorably with published large series on G-tube placement with an NG tube in place. The techniques are especially suited for patients with UDTO due to head, neck, or esophageal malignancies, but they should be considered as an alternative in all patients. Direct puncture of effervescent-enhanced gastric bubble distention is a safe, patient-friendly and effective technique.

  12. Percutaneous gastrostomy tube placement in patients with ventriculoperitoneal shunts

    Energy Technology Data Exchange (ETDEWEB)

    Sane, S.S.; Towbin, A.; Bergey, E.A.; Kaye, R.D.; Fitz, C.R.; Albright, L.; Towbin, R.B. [Department of Radiology, Children`s Hospital of Pittsburgh, 3705 Fifth Avenue, Pittsburgh, PA 15213 (United States)

    1998-07-01

    Objective. The purpose of this study is to determine the risk of CNS and/or peritoneal infection in children with ventriculoperitoneal shunts in whom a percutaneous gastrostomy tube is placed. Materials and methods. We placed 205 gastrostomy or gastrojejunostomy tubes from January of 1991 to December 1996. Twenty-three patients (10 boys, 13 girls) had ventriculoperitoneal shunts at the time of placement. All shunts were placed at least 1 month prior to placement of the gastrostomy tube. The patients ranged in age from 8 months to 16 years with a mean age of 6 years, 9 months. Patient weight ranged from 2 kg to 60 kg. All 23 children required long-term nutritional support due to severe neurologic impairment. No prophylactic antibiotics were given prior to the procedure. Of the patients, 21/23 had a 14-F Sacks-Vine gastrostomy tube with a fixed terminal retention device inserted, using percutaneous fluoroscopic antegrade technique. Two of the 23 patients had a Ross 14-F Flexi-flo gastrostomy tube which required a retrograde technique due to a small caliber esophagus in these children. Results. All 23 children had technically successful placements of percutaneous gastrostomy (7) or gastrojejunostomy (16) tubes. Of the children, 21/23 (91 %) had no complications from the procedure. Two of 23 (9 %) patients demonstrated signs of peritonitis after placement of their gastrostomy tubes and subsequently had shunt infections. In both, children CSF culture grew gram-positive cocci. The antegrade technique was used in both children who developed peritonitis. Conclusion. Our study indicates children with ventriculoperitoneal shunts who undergo percutaneous gastrostomy are at greater risk for infection and subsequent shunt malfunction. Therefore, we recommend prophylactic antibiotic therapy to cover for skin and oral flora. (orig.) With 1 fig., 7 refs.

  13. Placement of large suprapubic tube using peel-away introducer.

    Science.gov (United States)

    Chiou, R K; Morton, J J; Engelsgjerd, J S; Mays, S

    1995-04-01

    We describe a new method for placing a large suprapubic tube and report our experience with 56 patients. This method uses a specially designed fascial dilator and peel-away introducer to place an 18F Foley catheter suprapubically. In our experience the method is simple and effective for the exchange of a small suprapubic tube to an 18F Foley catheter, and for primary placement of a large suprapubic tube. It is easily performed at the bedside or during a minor procedure with the patient under local anesthesia. PMID:7869492

  14. A Novel Endoscopic Technique for Failed Nasogastric Tube Placement.

    Science.gov (United States)

    Boston, Andrew G

    2015-10-01

    Direct visualization of the nasopharynx gives the otolaryngologist a unique advantage for addressing difficult nasopharyngeal anatomy. One common situation is being consulted to assist when the blind placement of a nasogastric tube has failed. A novel technique for managing a patient with a nasogastric tube embedded in the adenoid remnant is described with illustrations. The atraumatic method is easily employed by a resident armed with a portable nasolaryngoscope and plain suture. By using a repeated pull-through technique, the nasogastric tube can be guided past difficult nasopharyngeal anatomy and into a position from where it can be advanced into the patient's esophagus.

  15. Safe and adequate placement of nasogastric tubes in the presence of a cuffed tracheostomy tube.

    Science.gov (United States)

    Parmar, A; Macleod, I; McDonald, S; Tierney, P

    2011-09-01

    This case report and review of the literature aims to highlight the importance of the use of a chest radiograph to check the placement of nasogastric tubes after insertion in an awake patient with an inflated cuffed tracheostomy tube regardless of an acidic pH test.

  16. Esophagojejunostomy Feeding Tube Placement in 5 Dogs with Pancreatitis and Anorexia

    Directory of Open Access Journals (Sweden)

    Forrest Cummings

    2014-01-01

    Full Text Available Enteral feeding tube placement has been described in veterinary medicine for several years. Indications include oral, esophageal, gastrointestinal, pancreatic, hepatic, and neurologic diseases. In this paper, endoscopically assisted placement of an esophagojejunostomy (EJ feeding tube in dogs with pancreatitis and prolonged anorexia is described. To the author’s knowledge there are no published reports of this procedure. Esophagojejunostomy feeding tubes provide an alternative to other forms of postgastric feeding tube placement (e.g., nasojejunal, gastrojejunostomy, and jejunostomy tubes without the associated complications of patient discomfort, sneezing, epistaxis, and peritonitis. Tube occlusion, transient vomiting and loose stool were the most commonly reported complications.

  17. Laryngo-tracheal ultrasonography to confirm correct endotracheal tube and laryngeal mask airway placement

    OpenAIRE

    Wojtczak, Jacek A.; Cattano, Davide

    2014-01-01

    Waveform capnography was recommended as the most reliable method to confirm correct endotracheal tube or laryngeal mask airway placements. However, capnography may be unreliable during cardiopulmonary resuscitation and during low flow states. It may lead to an unnecessary removal of a well-placed endotracheal tube, re-intubation and interruption of chest compressions. Real-time upper airway (laryngo-tracheal) ultrasonography to confirm correct endotracheal tube placement was shown to be very ...

  18. Limited approach to the right flank for placement of a duodenostomy tube.

    Science.gov (United States)

    Novo, R E; Churchill, J; Faudskar, L; Lipowitz, A J

    2001-01-01

    A new enterostomy tube placement technique is described for provision of nutrients into the duodenum. Placement of the duodenostomy tube (d-tube) is performed through a limited right flank approach under sedation and local anesthesia. Seven client-owned animals (three dogs and four cats) requiring enteral nutritional support were selected for d-tube placement. Patients were fed via the d-tube for two to 28 days. Complications included discomfort when manipulating and exteriorizing the duodenum, discomfort with bolus feedings, local cellulitis, and tube site infection. All complications resolved without further incident. This technique should be considered in patients that are not good candidates for prolonged general anesthesia or esophageal or gastric feeding, or patients being mechanically ventilated. PMID:11300529

  19. [NASO-OROGASTRIC TUBE IN PAEDIATRIC PATIENTS. REVIEW OF METHODS OF CONFIRMATION OF PLACEMENT].

    Science.gov (United States)

    Guerrero-Márquez, Gloria; Martínez-Serrano, Ana; Míguez-Navarro, Concepción

    2014-09-01

    Nasogastric tube (NGT) placement is a frequent procedure in the paediatric population. Nasogastric and orogastric tubes are commonly used in hospitalized children, in the paediatric emergency departments and in critical care departments. They have diagnostic, therapeutic, descompression or evacuation of gastric aspirates objectives. Making a blind placement of nasogastric tubes, involve that nasogastric tube could be misplaced in 4.7 % to 69 % of cases. An accurate method for confirmation of nasogastric tube positioning is therefore needed. Chest X-ray remains the only hundred per cent reliable method (gold standard), but it only confirms tube positioning at the exact time of the X-ray. Non-radiologic verification methods provide an accurate alternative and contribute to decrease radiation exposure for pediatric patients. Non-radiologic methods to verify appropiate placement of tubes are many and are supported by different degrees of evidence in the literature: measurement of tube length from point of entry; auscultation; placing the tube in water to assess bubbling; aspiration of stomach or intestinal contents for visual inspection; pH testing; use of CO2 monitoring devices, or combinations of these methods. In this article we thoroughly review the reliability and safety of these non radiologic methods for the verification of nasogastric tube placement.

  20. Pneumothorax Following Feeding Tube Placement: Precaution and Treatment

    Directory of Open Access Journals (Sweden)

    Morteza Zahmatkesh

    2012-05-01

    Full Text Available Nasojejunal feeding tubes are being used at an increased frequency, but it is not without complications that could be life-threatening. We report two cases of pneumothorax following small-bore feeding tube insertion into the pleural cavity, resulting in pneumothorax. We further discuss the potential measures that can be taken to prevent and treat this serious complication.

  1. A new method of placement of naso-jejunum feeding tube guided by electromagnetic positioning navigator

    Directory of Open Access Journals (Sweden)

    Jian-guo XIAO

    2015-11-01

    Full Text Available Objective To study the clinical application of electromagnetic positioning navigator assisted placement of nasojejunal feeding tube in early enteral nutrition for patients with critical illness. Methods Critically ill patients, who showed very high risks and could not withstand transferring for tube placement were selected as study subjects. The feeding tube with affiliated wire was inserted to jejunum guided by electromagnetic positioning navigator, and the site was confirmed by abdominal X-ray film or bedside ultrasound. The patients' vital signs, side effects and complications during and after the procedure were observed. Results Fifteen critically ill patients, aged 21-72 (mean 50.9±15.8 and with APACHEⅡ scores of 6-35 (mean 18.6±7.8, underwent this procedure. Of them 10 were undergoing mechanical ventilation, and 5 were given drugs to raise blood pressure. All the placement of feeding tubes were successfully. The intubation time was 5-42 minutes (mean 20.2min. Vital signs of all the patients were stable during the procedure, except for nausea 3 patients. No severe complications occurred. Conclusion The placement of naso-jejunal feeding tube guided by electromagnetic positioning navigator is easy to operate, safe and with high success rate, so it offers an effective route for early enteral nutrition for patients with critical illnesses. DOI: 10.11855/j.issn.0577-7402.2015.10.12

  2. Percutaneous placement of a suprapubic tube with peel away sheath introducer.

    Science.gov (United States)

    O'Brien, W M

    1991-05-01

    A new technique for percutaneous placement of a suprapubic tube has been developed, which allows controlled entry into the bladder over a guide wire to avoid the potential hazards of blind trocar cystotomy. A Foley style catheter can be placed, which is less likely to become dislodged than other types of percutaneous suprapubic catheters currently available. PMID:2016781

  3. Acceptability and outcomes of the Percutaneous Endoscopic Gastrostomy (PEG tube placement- patients' and care givers' perspectives

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    Shah Hasnain A

    2006-11-01

    Full Text Available Abstract Background Percutaneous endoscopic gastrostomy tube has now become a preferred option for the long-term nutritional support device for patients with dysphagia. There is a considerable debate about the health issues related to the quality of life of these patients. Our aim of the study was to assess the outcome and perspectives of patients/care givers, about the acceptability of percutaneous endoscopic gastrostomy tube placement. Methods This descriptive analytic study conducted in patients, who have undergone percutaneous endoscopic gastrostomy tube placement during January 1998 till December 2004. Medical records of these patients were evaluated for their demographic characteristics, underlying diagnosis, indications and complications. Telephonic interviews were conducted till March 2005, on a pre-tested questionnaire to address psychological, social and physical performance status, of the health related quality of life issues. Results A total of 191 patients' medical records were reviewed, 120 (63% were males, and mean age was 63 years. Early complication was infection at PEG tube site in 6 (3% patients. In follow up over 365 ± 149 days, late complications (occurring 72 hours later were infection at PEG tube site in 29 (15 % patient and dislodgment/blockage of the tube in 26 (13.6%. Interviews were possible with 126 patients/caretakers. Karnofsky Performance Score of 0, 1, 2, 3 and 4 was found in 13(10%, 18(14%, 21(17%, 29(23% and 45(36% with p-value Conclusion PEG-tube placement was found to be relatively free from serious immediate and long- term complications. Majority of caregivers and patient felt that PEG-tube helped in feeding and prolonging the survival. Studies are needed to assess the real benefit in terms of actual nutritional gain and quality of life in such patients.

  4. Appropriate depth of placement of oral endotracheal tube and its possible determinants in Indian adult patients

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    Manu Varshney

    2011-01-01

    Full Text Available Background: Optimal depth of endotracheal tube (ET placement has been a serious concern because of the complications associated with its malposition. Aims: To find the optimal depth of placement of oral ET in Indian adult patients and its possible determinants viz. height, weight, arm span and vertebral column length. Settings and Design: This study was conducted in 200 ASA I and II patients requiring general anaesthesia and orotracheal intubation. Methods: After placing the ET with the designated black mark at vocal cords, various airway distances were measured from the right angle of mouth using a fibre optic bronchoscope. Statistical Analysis: The power of the study is 0.9. Mean (SD and median (range of various parameters and Pearson correlation coefficient was calculated. Results: The mean (SD lip-carina distance, i.e., total airway length was 24.32 (1.81 cm and 21.62 (1.34 cm in males and females, respectively. With black mark of ET between vocal cords, the mean (SD ET tip-carina distance of 3.69 (1.65 cm in males and 2.28 (1.55 cm females was found to be considerably less than the recommended safe distance. Conclusions: Fixing the tube at recommended 23 cm in males and 21 cm in females will lead to carinal stimulation or endobronchial placement in many Indian patients. The lip to carina distance best correlates with patient′s height. Positioning the ET tip 4 cm above carina as recommended will result in placement of tube cuff inside cricoid ring with currently available tubes. Optimal depth of ET placement can be estimated by the formula "(Height in cm/7-2.5."

  5. Repair of diaphragmatic injury and placement of tube thoracostomy during right upper quadrant peritonectomy

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    Ozgul, Nejat; Basaran, Derman; Salman, M. Coskun

    2016-01-01

    Objective Patients with advanced or recurrent ovarian cancer often have metastatic disease in the upper abdominal region, especially to the right hemidiaphragm, which requires diaphragmatic resection in order to achieve optimal cytoreduction. The aim of this surgical video is to demonstrate repair of a diaphragmatic injury and placement of tube thoracostomy during right upper quadrant peritonectomy in a patient with recurrent ovarian cancer. Methods This is the case of a 45-year-old woman presented with platinum sensitive recurrent ovarian cancer. Abdomen computed tomography also confirmed peritoneal carcinomatosis and pelvic recurrent mass. HIPEC was administered after complete cytoreduction including bilateral upper quadrant peritonectomy, during which diaphragmatic injury occurred near the central tendon and pleural cavity was entered. We inserted a chest tube through the 6th intercostal space in the anterior axillary line in order to prevent postoperative massive pleural effusion. Diaphragmatic defect was closed primarily after the tube placement. The chest tube was withdrawn on the third postoperative day and the patient was discharged on postoperative day 25 without any complications. Results The central tendon of diaphragm is the most vulnerable part for lacerations. Diaphragmatic repairs could be performed by various techniques; interrupted or continuous, locking or non-locking sutures, with either permanent or absorbable materials. In our view, all of the techniques provide similar results and surgeons can choose any of them as long as they are comfortable with the procedure. Conclusion In most cases, these lacerations can be repaired primarily without necessitating tube thoracostomy. However, performance of HIPEC can cause massive pleural effusions which can lead to significant pulmonary morbidity. Therefore, retrograde placement of the chest tube under direct vision is quite straightforward when the diaphragm is opened. PMID:26463433

  6. The role of gastrostomy tube placement in advanced dementia with dysphagia: a critical review

    Directory of Open Access Journals (Sweden)

    Goldberg LS

    2014-10-01

    Full Text Available Leanne S Goldberg,1 Kenneth W Altman2 1Department of Otolaryngology, Mount Sinai School of Medicine, New York, NY, USA; 2Baylor College of Medicine, Houston, TX, USAPurpose: Over 4.5 million people in North America had a diagnosis of dementia in the year 2000, and more than half had advanced disease with potential aspiration risk. There is much controversy regarding the use and timing of enteral feeding support in these patients with dysphagia. The management of dysphagia is far more complex when considering quality of life, “comfort care” hand feeding, the use of percutaneous endoscopic gastrostomy tube (PEG, and associated mortality rates. This study seeks to critically review the literature that evaluates PEG placement in this population. Methods: A systematic literature review of PubMed, from 1995–2012, was conducted to identify studies relating to PEG placement in dementia patients with dysphagia. The principal outcomes and related survival rates for this population were compared. Results: In total, 100 articles were identified in the search. Of these, ten met the search criteria and were analyzed. There was one study with a 2b level of evidence, one with 3b, and the remainder had level 4. All studies discussed long-term survival in the PEG versus non-PEG populations. No studies showed definitive evidence to suggest long-term survival rates improved in patients who underwent PEG placement as compared to those who did not. Two studies documented median survival worse in patients over age 80 with dementia and PEG placement.Conclusion: There is presently no evidence to suggest long-term survival rates improved in patients with advanced dementia who underwent PEG placement for dysphagia. Relevance to quality of life, need for nutrition and hydration, and ethical considerations in the decision process are discussed.Keywords: PEG, aspiration, elderly, feeding tube, swallow

  7. Comparison between Two Cecostomy Techniques for Treatment of Atresia Coli in Cattle and Buffalo Calves

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    Mohamad Abdelfattah Abdelrhman, Aiman Mahmoud Seddek*1 and Hossam Ahmad Bakr2

    2013-07-01

    Full Text Available The study aimed at determination of the cecostomy technique that will preserve the long-term maximal diameter of the created fistula. The subjects of the study were 79 newly born cattle and buffalo calves suffered from atresia coli, recti and ani. The calves were grouped into four groups for evaluation of incisional and herniation cecostomy techniques either on the right or left flank. With each technique, 4 cm diameter permanent fistula was created and evaluated at the 1stweek, and 1st, 4th and 8th months post-surgery. Both of the short and long-term complications were recorded and managed conservatively. Follow up could be achieved for 45 calves only and all of them showed stunted growth. The results revealed wider stoma in the calves operated by herniation technique, and in those operated on the right flank, moreover the operated cattle calves had wider stoma than buffalo calves. It is concluded that the right flank herniation technique has a beneficial effect on long-term preserving of a wider diameter of the created fistula.

  8. Haemodynamic response at double lumen bronchial tube placement - Airtraq vs. MacIntosh laryngoscope, a randomised controlled trial

    OpenAIRE

    Hamp, Thomas; Stumpner, Thomas; Grubhofer, Georg; Ruetzler, Kurt; Thell, Rainer; Hager, Helmut

    2015-01-01

    Introduction Tracheal intubation causes a haemodynamic response that might be harmful for patients. The Airtraq® laryngoscope has been shown to decrease the haemodynamic response to single-lumen tube intubation. We hypothesised that double-lumen bronchial tube placement with the Double-lumen Airtraq® laryngoscope would cause a reduced haemodynamic response and decreased catecholamine release compared with the MacIntosh laryngoscope. Methods Forty adult patients were randomly assigned to the A...

  9. One third of middle ear effusions from children undergoing tympanostomy tube placement had multiple bacterial pathogens

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    Holder Robert C

    2012-06-01

    Full Text Available Abstract Background Because previous studies have indicated that otitis media may be a polymicrobial disease, we prospectively analyzed middle ear effusions of children undergoing tympanostomy tube placement with multiplex polymerase chain reaction for four otopathogens. Methods Middle ear effusions from 207 children undergoing routine tympanostomy tube placement were collected and were classified by the surgeon as acute otitis media (AOM for purulent effusions and as otitis media with effusion (OME for non-purulent effusions. DNA was isolated from these samples and analyzed with multiplex polymerase chain reaction for Haemophilus influenzae, Streptococcus pneumoniae, Alloiococcus otitidis, and Moraxella catarrhalis. Results 119 (57% of 207 patients were PCR positive for at least one of these four organisms. 36 (30% of the positive samples indicated the presence of more than one bacterial species. Patient samples were further separated into 2 groups based on clinical presentation at the time of surgery. Samples were categorized as acute otitis media (AOM if pus was observed behind the tympanic membrane. If no pus was present, samples were categorized as otitis media with effusion (OME. Bacteria were identified in most of the children with AOM (87% and half the children with OME (51%, p Haemophilus influenzae was the predominant single organism and caused 58% of all AOM in this study. Alloiococcus otitidis and Moraxella catarrhalis were more frequently identified in middle ear effusions than Streptococcus pneumoniae. Conclusions Haemophilus influenzae, Streptococcus pneumoniae, Alloiococcus otitidis, and Moraxella catarrhalis were identified in the middle ear effusions of some patients with otitis media. Overall, we found AOM is predominantly a single organism infection and most commonly from Haemophilus influenzae. In contrast, OME infections had a more equal distribution of single organisms, polymicrobial entities, and non-bacterial agents.

  10. Combined Scleral Flap with Donor Scleral Patch Graft for Anterior Tube Placement in Glaucoma Drainage Device Surgery

    Science.gov (United States)

    Yu, Jea H.; Nguyen, Chuck; Gallemore, Esmeralda

    2016-01-01

    Purpose. To report a new technique for anterior placement of tubes for glaucoma drainage devices to reduce the risk of tube erosions. Methods. Retrospective review of select cases of Ahmed Valve surgery combined with the novel method of a limbal-based scleral flap covered by a scleral patch graft to cover the tube at the entrance through the limbus. Intraoperative and postoperative illustrations are shown to highlight the method of tube placement. Results. In this retrospective case series, 3 patients are presented illustrating the technique. Two had neovascular glaucoma and one had primary open-angle glaucoma (POAG). On average, intraocular pressure was reduced from 39 ± 14 mmHg to 15 ± 2 mmHg and the number of glaucoma medications was reduced from 4 ± 1 to 0. Preoperative and most recent visual acuities were hand-motion (HM) and HM, 20/60 and 20/50, and 20/70 and 20/30, respectively. Conclusion. The combination of a limbal-based scleral flap with scleral patch graft to cover the tube with glaucoma drainage devices may be an effective means to reduce erosion and protect against endophthalmitis. PMID:27747118

  11. Combined Scleral Flap with Donor Scleral Patch Graft for Anterior Tube Placement in Glaucoma Drainage Device Surgery

    Directory of Open Access Journals (Sweden)

    Jea H. Yu

    2016-01-01

    Full Text Available Purpose. To report a new technique for anterior placement of tubes for glaucoma drainage devices to reduce the risk of tube erosions. Methods. Retrospective review of select cases of Ahmed Valve surgery combined with the novel method of a limbal-based scleral flap covered by a scleral patch graft to cover the tube at the entrance through the limbus. Intraoperative and postoperative illustrations are shown to highlight the method of tube placement. Results. In this retrospective case series, 3 patients are presented illustrating the technique. Two had neovascular glaucoma and one had primary open-angle glaucoma (POAG. On average, intraocular pressure was reduced from 39±14 mmHg to 15±2 mmHg and the number of glaucoma medications was reduced from 4±1 to 0. Preoperative and most recent visual acuities were hand-motion (HM and HM, 20/60 and 20/50, and 20/70 and 20/30, respectively. Conclusion. The combination of a limbal-based scleral flap with scleral patch graft to cover the tube with glaucoma drainage devices may be an effective means to reduce erosion and protect against endophthalmitis.

  12. Modified method of T-tube placement in cases of ruptured choledochal cyst having complete loss of anterior wall

    Directory of Open Access Journals (Sweden)

    Ahmed Intezar

    2011-01-01

    Full Text Available Survival rates for infants and children who have choledochal cyst with or without spontaneous rupture have improved dramatically in the past decades. Despite excellent long-term survival for patients with choledochal cyst who undergo elective surgery, many significant complications can occur in the patients being operated in emergency for rupture of the cyst. Spontaneous rupture of the cyst is one such problem resulting in considerable morbidity and mortality in these patients. Majority of surgeons manage these cases with T-tube external drainage. The conventional methods of T-tube placement for long period has remained simple as described in choledochotomies where there is no deficit of the walls of common bile duct (CBD. The present technique has been designed specially for the cases of ruptured choledochal cyst, where the wall of the CBD gets necrosed leaving behind a long gap between the two ends. In these cases, placement of T-tube with conventional method is not possible because there is no wall to suture together, and make the CBD water tight again to prevent leakage of bile. We found only two patients of spontaneous rupture of choledochal cyst with a long gap between two ends of CBD because of necrosed anterior wall. In both of these patients, it was not possible to put T-tube with traditional method and one would have to opt for primary definitive repair despite poor general condition of patients.

  13. Nasoenteral feeding tube placement by nurses using an electromagnetic guidance system (with video)

    NARCIS (Netherlands)

    E.M.H. Mathus-Vliegen; A. Duflou; M.B.W. Spanier; P. Fockens

    2010-01-01

    BACKGROUND: The early institution of feeding in patients who need postpyloric feeding tubes is often hampered by a limited availability of endoscopists experienced in safe tube positioning. OBJECTIVE: To test the feasibility of having nurses place postpyloric feeding tubes by using a universal path

  14. [Usefulness of endoscopically guided nasogastric-jejunal feeding tube placement in a case of aspiration pneumonia due to postgastrectomy].

    Science.gov (United States)

    Tamura, Kosei; Totsuka, Osamu; Tamura, Jun'ichi

    2015-01-01

    A 79-year-old man with a history of gastrectomy with Billroth II reconstruction 27 years previously was admitted to our hospital due to recurrent pneumonia. Because he had dysphagia and had frequently developed pneumonia over the course of a year, enteral nutrition via nasogastric tube was initiated approximately six months before admission. The clinical and computed tomography findings showed that the cause of pneumonia was aspiration of tube feeding nutrients due to gastroesophageal reflux. To prevent gastroesophageal reflux, he was continuously kept in a 30-degree or greater reclining position. However, gastroesophageal reflux was seen at an injection rate of 50 ml/h or greater. After we inserted a nasogastric-jejunal feeding tube guided by endoscopy, gastroesophageal reflux, dumping syndrome and diarrhea were not seen up to an injection rate of 300 ml/h. Endoscopically guided nasogastric-jejunal feeding tube placement is a simple method and may be useful for patients with aspiration pneumonia due to postgastrectomy. Moreover, long-term postgastrectomy patients appear to tolerate the postopyloric injection of enteral nutrition. Because the number of elderly patients who have dysphagia with postgastrectomy is increasing, these findings provide a basis for treatment in elderly medical settings.

  15. Prophylactic PEG placement in head and neck cancer:How many feeding tubes are unused (and unnecessary)?

    Institute of Scientific and Technical Information of China (English)

    Mohammad F Madhoun; Matt M Blankenship; Derek M Blankenship; Greg A Krempl; William M Tierney

    2011-01-01

    AIM:To determine the rate of use and non-use of prophylactic percutaneous endoscopic gastrostomy (PEG) tubes among patients with head and neck cancer (HNC) patients.METHODS:All patients with HNC undergoing PEG between January 01,2004 and June 30,2006 were identified. Patients (or their next-of-kin) were surveyed by phone and all available medical records and cancer registry data were reviewed.Prophylactic PEG was defined as placement in the absence of dysphagia and prior to radiation or chemoradiation.Each patient with a prophylactic PEG was assessed for cancer diagnosis,type of therapy,PEG use,and complications related to PEG. RESULTS:One hundred and three patients had PEG tubes placed for HNC.Thirty four patients (33%) could not be contacted for follow-up.Of the 23 (22.3%) patients with prophylactic PEG tubes,11/23 (47.8%) either never used the PEG or used it for less than 2 wk. No association with PEG use vs non-use was observed for cancer diagnosis,stage,or specific cancer treatment. Non-use or limited use was observed in 3/6 (50%) treated with radiation alone vs 8/17 (47.1%) treated with chemoradiation (P = 1.0),and 3 of 10 (30%) treated with surgery vs 8 of 13 (62%) not treated with surgery (P = 0.21).Minor complications were reported in 5/23 (21.7%).One (4.3%) major complication was reported.CONCLUSION:There is a high rate of unnecessary PEG placement when done prophylactically in patients with head and neck cancer.

  16. Technique for Percutaneous Fluoroscopically Guided G-Tube Placement in a High-BMI Patient

    Directory of Open Access Journals (Sweden)

    Irwin M. Best

    2012-01-01

    Full Text Available Enteral feeding is still the preferred method of nutritional support even in patients with excessive body mass index. Often, this mass poses a hindrance in performing routine procedures. We present a case describing the technique used to safely place a fluoroscopically guided G-tube in a patient with a significant nutritional deficit after repair of a ruptured thoracic aneurysm. Her admission weight was in excess of 180 Kg. However, protracted respiratory insufficiency and mechanical ventilation prolonged her hospital course. The G-tube was successfully placed using a fluoroscopically guided technique. The advantages of such an approach are discussed.

  17. Mistaken Endobronchial Placement of a Nasogastric Tube During Mandibular Fracture Surgery

    OpenAIRE

    Kalava, Arun; Clark, Kirpal; McIntyre, John; Yarmush, Joel M.; Lizardo, Teresita

    2015-01-01

    A 64-year-old male had an awake right nasal fiber-optic intubation with an endotracheal tube for open reduction and internal fixation of bilateral displaced mandibular fractures. After induction of anesthesia, an 18 Fr nasogastric tube (NGT) was inserted through the left nostril and was secured. The patient required high flow rates to deliver adequate tidal volumes with the ventilator. A chest x-ray done in the postanesthesia care unit revealed a malpositioned NGT in the left lower lobe bronc...

  18. Placement of the AbbVie PEG-J tube for the treatment of Parkinson's disease in the interventional radiology suite

    Science.gov (United States)

    Montgomery, Mark L.; Miner, Noel K.; Soileau, Michael J.

    2016-01-01

    The primary treatment for Parkinson's disease is dopaminergic stimulation. Although levodopa has historically been administered orally, maintaining a predictable plasma concentration of the drug is challenging. As a result, enteral administration of carbidopa/levodopa (Duopa) has emerged as a promising tool in the treatment of the disease. This requires placement of an enteric catheter, two of which have been approved by the Food and Drug Administration for delivery of Duopa. The approved tubes are placed using the “peroral” or “pull” technique, a method traditionally requiring endoscopy. This technical note describes placement of the AbbVie PEG-J tube by means of the peroral route while utilizing only sonographic and fluoroscopic guidance. After placing an orogastric tube and achieving percutaneous access to the stomach under fluoroscopic visualization, a snare catheter is advanced through the percutaneous access into the stomach. The orogastric tube is engaged with the snare and retracted, bringing the attached snare with it to the mouth. The AbbVie PEG tube is attached to the snare, pulled back down the esophagus and into the stomach before being retracted through the percutaneous access to the skin. Finally, the AbbVie J tube is advanced through the gastrostomy tube into the proximal jejunum and attached with the provided connectors. As demonstrated, the AbbVie PEG-J tube can be placed safely and effectively using a percutaneous image-guided technique without the use of an endoscope.

  19. Mistaken Endobronchial Placement of a Nasogastric Tube During Mandibular Fracture Surgery.

    Science.gov (United States)

    Kalava, Arun; Clark, Kirpal; McIntyre, John; Yarmush, Joel M; Lizardo, Teresita

    2015-01-01

    A 64-year-old male had an awake right nasal fiber-optic intubation with an endotracheal tube for open reduction and internal fixation of bilateral displaced mandibular fractures. After induction of anesthesia, an 18 Fr nasogastric tube (NGT) was inserted through the left nostril and was secured. The patient required high flow rates to deliver adequate tidal volumes with the ventilator. A chest x-ray done in the postanesthesia care unit revealed a malpositioned NGT in the left lower lobe bronchus, which was immediately removed. The patient was extubated on postoperative day 2. Various traditional methods, such as aspiration of gastric contents, auscultation of gastric insufflations, and chest x-ray are in use to detect or prevent the misplacement of an NGT. These methods can be unreliable or impractical. Use of capnography to detect an improperly placed NGT should be considered in the operating room as a simple, cost-effective method with high sensitivity to prevent possibly serious sequelae of an NGT placed within the bronchial tree. PMID:26398128

  20. Mistaken Endobronchial Placement of a Nasogastric Tube During Mandibular Fracture Surgery.

    Science.gov (United States)

    Kalava, Arun; Clark, Kirpal; McIntyre, John; Yarmush, Joel M; Lizardo, Teresita

    2015-01-01

    A 64-year-old male had an awake right nasal fiber-optic intubation with an endotracheal tube for open reduction and internal fixation of bilateral displaced mandibular fractures. After induction of anesthesia, an 18 Fr nasogastric tube (NGT) was inserted through the left nostril and was secured. The patient required high flow rates to deliver adequate tidal volumes with the ventilator. A chest x-ray done in the postanesthesia care unit revealed a malpositioned NGT in the left lower lobe bronchus, which was immediately removed. The patient was extubated on postoperative day 2. Various traditional methods, such as aspiration of gastric contents, auscultation of gastric insufflations, and chest x-ray are in use to detect or prevent the misplacement of an NGT. These methods can be unreliable or impractical. Use of capnography to detect an improperly placed NGT should be considered in the operating room as a simple, cost-effective method with high sensitivity to prevent possibly serious sequelae of an NGT placed within the bronchial tree.

  1. The study on different methods of abdominal cavity drainage tube,s placement in laparoscopic operation%腹腔镜手术腹腔引流管不同放置方法的研究

    Institute of Scientific and Technical Information of China (English)

    陈飞云; 舒思远; 张正伟; 杨佳全

    2014-01-01

    Objective:Discuss the placement techniques of abdominal cavity drainage tube in laparoscopic operation. Methods: Select the cases of abdominal cavity drainage tube,s placement and use three placement methords of abdominal cavity drainage tube in laparoscopic operation.The three methords :1.The drainage tube can be placed from trocars; 2.Removal of trocars, place abdominal cavity drainage tube from the stamp hole with ordinary curved forceps; 3. Under the guidance of B trocars,the laparoscopic forceps is placed into from A trocars and out of from B trocars. Exit the B trocars and place the drainage tube from outsid to inside with the laparoscopic forceps(NOTE:The trocars, location in the first two methods and the B trocars in the third method are the abdominal cavity drainage tube,s position). Compare the time of three methods with SNK-q test. Results:The time of a third method is the least. There is statistical significance with the first two methods. Conclusion: The third is a new method for the most convenient, can be popularized in the actual operation process.%目的:探讨腹腔镜手术中腹腔引流管放置技巧。方法:选取需要放置腹腔引流管的病例,采用三种不同腹腔引流管放置方法,即:1、引流管直接从戳卡中置入法;2、拔除戳卡,直接以普通弯钳钳夹从戳孔中置入;3、腔镜手术钳从A戳卡置入,在B戳卡的引导下,由腹内向腹外从B戳卡穿出,退出B戳卡,用腔镜手术钳钳夹引流管由外向内拖至腹腔内置入(附注:1、2方法的戳卡位置及3方法的B戳卡位置均为腹腔引流管位置)。采用SNK-q检验比较不同放置方法所费的时间。结果:第三种方法所费时间最少,优于前两种方法。结论:第三种方法是一种简便的新方法,在临床中可以大力推广。

  2. Coordinated Hospital-Home Fecal Microbiota Transplantation via Percutaneous Endoscopic Cecostomy for Recurrent Steroid-Dependent Ulcerative Colitis

    Science.gov (United States)

    Ni, Xiaodong; Fan, Shengxian; Zhang, Yongliang; Wang, Zhiming; Ding, Lan; Li, Yousheng; Li, Jieshou

    2016-01-01

    Since its introduction as an alternative intestinal microbiota alteration approach, fecal microbiota transplantation (FMT) has been increasingly used as a treatment of choice for patients with ulcerative colitis (UC), but no reports exist regarding FMT via percutaneous endoscopic cecostomy (PEC). This report describes the case of a 24-year-old man with a 7-year history of recurrent, steroid-dependent UC. He received FMT via PEC once per day for 1 month in the hospital. After the remission of gastrointestinal symptoms, he was discharged from the hospital and continued FMT via PEC twice per week for 3 months at home. The frequency of stools decreased, and the characteristics of stools improved soon thereafter. Enteral nutrition was regained after 1 week, and an oral diet was begun 1 month later. Two months after the FMT end point, the patient resumed a normal diet, with formed soft stools once per day. The follow-up colonoscopy showed normal mucus membranes; then, the PEC set was removed. On the subsequent 12 months follow-up, the patient resumed orthobiosis without any gastrointestinal discomfort and returned to work. This case emphasizes that FMT via PEC can not only induce remission but also shorten the duration of hospitalization and reduce the medical costs; therefore, this approach should be considered an alternative option for patients with UC. PMID:27282271

  3. 食管电极联合食管电图用于鼻胃管置入%Esophageal electrode assisted nasogastric tube placement

    Institute of Scientific and Technical Information of China (English)

    柏露; 王能; 柏凤云; 任春霖

    2011-01-01

    Objective To observe the effectiveness and safety of nasogastric tube placement assisted by esophageal electrode. Methods A total of 94 patients receiving nasogastric tube insertion were randomly divided into an observation group (n = 49) and a control group (n = 45). For the control group, nurses employed traditional methods to insert the nasogastric tube and judge the position of tube tip. For the observation group, nurses placed the nasogastric tube with the assistance of the esophageal electrode, and judged the position of tube tip by esophageal electrocardiogram. Results The average operating length, number of intubation attempts, rate of successful first-time intubation had significant differences between the two groups (P0. 05). In the observation group, the positions of the tube tip in four cases who failed to trace the esophageal electrocardiogram were certified incorrect. Conclusion Nasogastric tube placement assisted by esophageal electrode is simple, feasible, and more efficient than traditional method. Meanwhile, esophageal electrocardiogram can accurately determine tube position.%目的 观察食管电极引导鼻胃管置入的有效性及安全性。方法将94例接受鼻胃管置入患者按随机数字表法分为观察组(49例)及对照组(45例)。对照组采用传统方法置管和判断胃管置入位置;观察组在食管电极引导下进行鼻胃管置入,并以食管电图判断胃管置入位置。结果观察组操作时间、操作次数、一次置管成功率与对照组比较,差异有统计学意义(P<0. 05,P<0. 01);两组并发症发生率比较,差异无统计学意义(P>0.05)。4例未描记出食管电图的患者胃管置入位置有误。结论食管电极引导鼻胃管置入简便、易行,描记食管电图能准确反映胃管置入位置是否正确。

  4. Tubeless percutaneous nephrolithotomy with non-absorbable hemostatic sealant (Quikclot®) versus nephrostomy tube placement: a propensity score-matched analysis.

    Science.gov (United States)

    Koo, Kyo Chul; Park, Sang Un; Jang, Ho Sung; Hong, Chang-Hee

    2015-11-01

    The purpose of this study was to determine the efficacy and safety of tubeless percutaneous nephrolithotomy (PNL) using a non-absorbable hemostatic sealant (Quikclot(®)) as an adjunct compared to nephrostomy tube placement in patients exhibiting significant parenchymal bleeding following PNL. We identified 113 PNL cases performed between May 2011 and October 2014. For patients with insignificant parenchymal bleeding following stone removal, defined as a clear visualization of the surgical field at full irrigation of the nephroscope, tubeless PNL was performed. For patients with significant parenchymal bleeding, we introduced the tubeless Quikclot(®) technique as of September 2013 and have performed it ever since. Formerly, nephrostomy placement PNL was performed. In this study, 40 Quikclot(®) applied PNL cases were matched with an equal number of nephrostomy placement cases by propensity scoring based on body mass index, stone size, and Guy's stone score. The mean postoperative drop in hematocrit was comparative between the Quikclot(®) group and the nephrostomy group on both postoperative days 1 (p = 0.459) and 2 (p = 0.325). Quikclot(®) application was associated with lower VAS scores throughout the postoperative period, lower cumulative analgesic requirement (p = 0.025), and with shorter hospitalization (p = 0.002). Complication rates were comparable with no need for blood transfusions in any patients. Tubeless Quikclot(®) PNL was safe and provided effective hemostasis of significant parenchymal bleeding. By avoiding nephrostomy placement, we were able to reduce postoperative pain, analgesic requirements, and hospitalization. Application of Quikclot(®) may be considered prior to nephrostomy placement in patients with significant parenchymal bleeding.

  5. Tubeless percutaneous nephrolithotomy with non-absorbable hemostatic sealant (Quikclot®) versus nephrostomy tube placement: a propensity score-matched analysis.

    Science.gov (United States)

    Koo, Kyo Chul; Park, Sang Un; Jang, Ho Sung; Hong, Chang-Hee

    2015-11-01

    The purpose of this study was to determine the efficacy and safety of tubeless percutaneous nephrolithotomy (PNL) using a non-absorbable hemostatic sealant (Quikclot(®)) as an adjunct compared to nephrostomy tube placement in patients exhibiting significant parenchymal bleeding following PNL. We identified 113 PNL cases performed between May 2011 and October 2014. For patients with insignificant parenchymal bleeding following stone removal, defined as a clear visualization of the surgical field at full irrigation of the nephroscope, tubeless PNL was performed. For patients with significant parenchymal bleeding, we introduced the tubeless Quikclot(®) technique as of September 2013 and have performed it ever since. Formerly, nephrostomy placement PNL was performed. In this study, 40 Quikclot(®) applied PNL cases were matched with an equal number of nephrostomy placement cases by propensity scoring based on body mass index, stone size, and Guy's stone score. The mean postoperative drop in hematocrit was comparative between the Quikclot(®) group and the nephrostomy group on both postoperative days 1 (p = 0.459) and 2 (p = 0.325). Quikclot(®) application was associated with lower VAS scores throughout the postoperative period, lower cumulative analgesic requirement (p = 0.025), and with shorter hospitalization (p = 0.002). Complication rates were comparable with no need for blood transfusions in any patients. Tubeless Quikclot(®) PNL was safe and provided effective hemostasis of significant parenchymal bleeding. By avoiding nephrostomy placement, we were able to reduce postoperative pain, analgesic requirements, and hospitalization. Application of Quikclot(®) may be considered prior to nephrostomy placement in patients with significant parenchymal bleeding. PMID:26123752

  6. Is It Time to Review Guidelines for ETT Positioning in the NICU? SCEPTIC—Survey of Challenges Encountered in Placement of Endotracheal Tubes in Canadian NICUs

    Directory of Open Access Journals (Sweden)

    Pankaj Sakhuja

    2016-01-01

    Full Text Available Objectives. To examine current opinions and practices regarding endotracheal tube placement across several Canadian Neonatal Intensive Care Units. Design. Clinical directors from Canadian Neonatal Network affiliated NICUs and Neonatal-Perinatal Programs across Canada were invited via email to participate in and disseminate the online survey to staff neonatologists, neonatal fellows, respiratory therapists, and nurse practitioners. Result. There is wide variability in the beliefs and practices related to ETT placement. The majority use “weight +6” formula and “aim to black line” on ETT at vocal cords to estimate the depth of an oral ETT and reported estimation as challenging in ELBW infants. The majority agreed that mid-trachea is an ideal ETT tip position; however their preferred position on chest X-ray varied. Many believe that ETT positioning could be improved with more precise ETT markings. Conclusion. Further research should focus on developing more effective guidelines for ETT tip placement in the ELBW infants.

  7. Ultrasonography for Proper Endotracheal Tube Placement Confirmation in Out-of-hospital Cardiac Arrest Patients: Two-center Experience

    Directory of Open Access Journals (Sweden)

    Jen-Tang Sun

    2014-06-01

    Conclusion: Real-time tracheal ultrasonography is an accurate method for identifying endotracheal tube position during cardiopulmonary resuscitation without the need for interruption of chest compression.

  8. Nutritional status and feeding-tube placement in patients with locally advanced hypopharyngeal cancer included in an induction chemotherapy-based larynx preservation program.

    Science.gov (United States)

    Bozec, Alexandre; Benezery, Karen; Chamorey, Emmanuel; Ettaiche, Marc; Vandersteen, Clair; Dassonville, Olivier; Poissonnet, Gilles; Riss, Jean-Christophe; Hannoun-Lévi, Jean-Michel; Chand, Marie-Eve; Leysalle, Axel; Saada, Esma; Sudaka, Anne; Haudebourg, Juliette; Hebert, Christophe; Falewee, Marie-Noelle; Demard, François; Santini, José; Peyrade, Frédéric

    2016-09-01

    The objective of the study is to evaluate the nutritional status and determine its impact on clinical outcomes in patients with locally advanced hypopharyngeal cancer included in an induction chemotherapy (ICT)-based larynx preservation program without prophylactic feeding-tube placement. All patients with locally advanced (T3/4, N0-3, M0) hypopharyngeal squamous cell carcinoma, technically suitable for total pharyngolaryngectomy, treated by docetaxel, cisplatin and 5-fluorouracil (TPF)-ICT for larynx preservation at our institution between 2004 and 2013, were included in this retrospective study. Patients' nutritional status was closely monitored. Enteral nutrition was used if and when a patient was unable to sustain per-oral nutrition and hydration. The impact of nutritional status on clinical outcomes was investigated in univariate and multivariate analysis. A total of 53 patients (42 men and 11 women, mean age = 58.6 ± 8.2 years) were included in this study. Six (11.3 %) patients had lost more than 10 % of their usual body weight before therapy. Compared with patients' usual weight, the mean maximum patient weight loss during therapeutic management was 8.7 ± 4.5 kg. Enteral nutrition was required in 17 patients (32 %). We found no influence of the tested nutritional status-related factors on response to ICT, toxicity of ICT, overall, cause-specific and recurrence-free survival, and on post-therapeutic swallowing outcome. Maximum weight loss was significantly associated with a higher risk of enteral tube feeding during therapy (p = 0.03) and of complications (grade ≥3, p = 0.006) during RT. Without prophylactic feeding-tube placement, approximately one-third of the patients required enteral nutrition. There was no significant impact of nutritional status on oncologic or functional outcomes. PMID:26395117

  9. Nutritional status and feeding-tube placement in patients with locally advanced hypopharyngeal cancer included in an induction chemotherapy-based larynx preservation program.

    Science.gov (United States)

    Bozec, Alexandre; Benezery, Karen; Chamorey, Emmanuel; Ettaiche, Marc; Vandersteen, Clair; Dassonville, Olivier; Poissonnet, Gilles; Riss, Jean-Christophe; Hannoun-Lévi, Jean-Michel; Chand, Marie-Eve; Leysalle, Axel; Saada, Esma; Sudaka, Anne; Haudebourg, Juliette; Hebert, Christophe; Falewee, Marie-Noelle; Demard, François; Santini, José; Peyrade, Frédéric

    2016-09-01

    The objective of the study is to evaluate the nutritional status and determine its impact on clinical outcomes in patients with locally advanced hypopharyngeal cancer included in an induction chemotherapy (ICT)-based larynx preservation program without prophylactic feeding-tube placement. All patients with locally advanced (T3/4, N0-3, M0) hypopharyngeal squamous cell carcinoma, technically suitable for total pharyngolaryngectomy, treated by docetaxel, cisplatin and 5-fluorouracil (TPF)-ICT for larynx preservation at our institution between 2004 and 2013, were included in this retrospective study. Patients' nutritional status was closely monitored. Enteral nutrition was used if and when a patient was unable to sustain per-oral nutrition and hydration. The impact of nutritional status on clinical outcomes was investigated in univariate and multivariate analysis. A total of 53 patients (42 men and 11 women, mean age = 58.6 ± 8.2 years) were included in this study. Six (11.3 %) patients had lost more than 10 % of their usual body weight before therapy. Compared with patients' usual weight, the mean maximum patient weight loss during therapeutic management was 8.7 ± 4.5 kg. Enteral nutrition was required in 17 patients (32 %). We found no influence of the tested nutritional status-related factors on response to ICT, toxicity of ICT, overall, cause-specific and recurrence-free survival, and on post-therapeutic swallowing outcome. Maximum weight loss was significantly associated with a higher risk of enteral tube feeding during therapy (p = 0.03) and of complications (grade ≥3, p = 0.006) during RT. Without prophylactic feeding-tube placement, approximately one-third of the patients required enteral nutrition. There was no significant impact of nutritional status on oncologic or functional outcomes.

  10. Nasogastric tube placement into the hepaticojejunostomy anastomosis in pancreaticoduodenectomy: a simple surgical technique for prevention of bile leak.

    Science.gov (United States)

    Kaya, Bulent; Ozcabi, Yetkin; Tasdelen, Iksan; Onur, Ender; Memisoglu, Kemal

    2016-05-01

    Hepaticojejunostomy is an important part of many surgical procedures including pancreaticoduodenectomy. Biliary leakage from hepaticojejunostomy may be associated with intraabdominal abscess formation, biliary peritonitis, and even mortality. A 72-year-old female patient was admitted to our hospital with obstructive jaundice. After initial evaluation, she was diagnosed with distal common bile duct obstruction without accurate diagnosis. Before planned pancreaticoduodenectomy, biliary drainage with a T-tube was performed due to the presence of cholangitis. After the first operation, pancreaticoduodenectomy was performed. Postinflammatory changes around the hilar region made the hepaticojejunostomy risky. A bilio-digestive anastomosis was performed using a new technique. A nasogastric tube was placed into the common bile duct proximal to the anastomosis. The postoperative course of the patient was uneventful. The use of a nasogastric tube as a stent in risky hepaticojejunostomies is a simple technique that can be beneficial.

  11. Nasogastric tube placement into the hepaticojejunostomy anastomosis in pancreaticoduodenectomy: a simple surgical technique for prevention of bile leak.

    Science.gov (United States)

    Kaya, Bulent; Ozcabi, Yetkin; Tasdelen, Iksan; Onur, Ender; Memisoglu, Kemal

    2016-05-01

    Hepaticojejunostomy is an important part of many surgical procedures including pancreaticoduodenectomy. Biliary leakage from hepaticojejunostomy may be associated with intraabdominal abscess formation, biliary peritonitis, and even mortality. A 72-year-old female patient was admitted to our hospital with obstructive jaundice. After initial evaluation, she was diagnosed with distal common bile duct obstruction without accurate diagnosis. Before planned pancreaticoduodenectomy, biliary drainage with a T-tube was performed due to the presence of cholangitis. After the first operation, pancreaticoduodenectomy was performed. Postinflammatory changes around the hilar region made the hepaticojejunostomy risky. A bilio-digestive anastomosis was performed using a new technique. A nasogastric tube was placed into the common bile duct proximal to the anastomosis. The postoperative course of the patient was uneventful. The use of a nasogastric tube as a stent in risky hepaticojejunostomies is a simple technique that can be beneficial. PMID:27212998

  12. The effectiveness of ultrasonography in verifying the placement of a nasogastric tube in patients with low consciousness at an emergency center

    Directory of Open Access Journals (Sweden)

    Kim Hyung

    2012-06-01

    Full Text Available Abstract Background This study was designed to compare the effectiveness of using auscultation, pH measurements of gastric aspirates, and ultrasonography as physical examination methods to verify nasogastric tube(NGT placement in emergency room patients with low consciousness who require NGT insertion. Methods The study included 47 patients who were all over 18 years of age. In all patients, tube placement was verified by chest X-rays. Auscultation, pH analysis of gastric aspirates, and ultrasonography were conducted on each patient in random order. The mean patient age was 57.62 ± 17.24 years, and 28 males (59.6% and 19 females (40.4% were included. The NGT was inserted by an emergency room resident. For pH testing, gastric aspirates were dropped onto litmus paper, and the resulting color of the paper was compared with a reference table. Ultrasonography was performed by an emergency medicine specialist, and the chest X-ray examination was interpreted by a different emergency medicine specialist who did not conduct the ultrasonography test. The results of the auscultation, gastric aspirate pH, and ultrasonography examinations were compared with the results of the chest x-ray examination. Results The sensitivity and specificity were 100% and 33.3%, respectively, for auscultation and 86.4% and 66.7%, respectively, for ultrasonography. Kappa values were the highest for auscultation at 0.484 compared to chest x-rays, followed by 0.299 for ultrasonography and 0.444 for pH analysis of the gastric aspirate. The ultrasonography has a positive predictive value of 97.4% and a negative predictive value of 25%. Conclusions Ultrasonography is useful for confirming the results of auscultation after NGT insertion among patients with low consciousness at an emergency center. When ultrasound findings suggest that the NGT placement is not gastric, additional chest X-ray should be performed.

  13. Advances in Pediatric Gastrostomy Placement.

    Science.gov (United States)

    McSweeney, Maireade E; Smithers, C Jason

    2016-01-01

    Placement of gastrostomy tubes in infants and children has become increasingly commonplace. A historical emphasis on use of open gastrostomy has been replaced by less invasive methods of placement, including percutaneous endoscopic gastrostomy and laparoscopically assisted gastrostomy procedures. Various complications, ranging from minor to the more severe, have been reported with all methods of placement. Many pediatric patients who undergo gastrostomy tube placement will require long-term enteral therapy. Given the prolonged time pediatric patients may remain enterally dependent, further quality improvement and education initiatives are needed to improve long-term care and outcomes of these patients.

  14. Application of Bedside Placement of Nasoenteric Tube in Critically Ill Patients%重症患者床旁放置鼻肠营养管的应用分析

    Institute of Scientific and Technical Information of China (English)

    赵晓静; 高彦霞; 丁新艾; 李璐; 吴瑶

    2014-01-01

    Objective To investigate the safety and feasibility of bedside placement of nasoenteric tube in critically ill patients. Methods Nineteen critically ill patients received the placement of nasoenteric tubes through intermittent straight line insertion after treatment with 10 mg metoclopramide for 10 minutes. The passive waiting method was used if nasoenteric tubes were not passed through the pylorus for 30 minutes. Abdominal X-ray examination was performed immediately after insertion in patients undergoing intermittent straight line insertion and 24 hours after insertion in patients undergoing passive waiting insertion to confirm the successful placement of nasoenteric tubes. 19 cases of catheterization time, catheterization method,successful rate and complications were recorded. Results Among the 19 patients,17 (84%) underwent successful placement of nasoenteric tubes through intermittent straight line insertion with an average catheterization time of ( 22 . 4 ± 3 . 9 ) minutes . X-ray examination showed that the tip of nasoenteric tube was located at descending duodenum in 1 patient,horizontal duodenum in 4 patients,ascending duodenum in 10 patients and upper jejunum in 2 patients. Intermittent straight line insertion was failed but the placement of nasoenteric tubes by using passive waiting method was successfully performed in 2 patients. X-ray examination showed that the tip of nasoenteric tube was located at ascending duodenum in these two patients. The average duration of catheterization was (38 ±42) days and no serious complications occurred in all patients. Conclusion Bedside placement of nasoenteric tubes through intermittent straight line insertion is a safe and feasible method for critically ill patients. The passive waiting method may be used as a remedial measure.%目的:探讨重症患者床旁放置鼻肠营养管(简称鼻肠管)的安全性和可行性。方法对19例重症患者常规给予甲氧氯普胺10 mg,10 min后采用床旁间

  15. Feeding tube placement and postoperative nutritional support for esophageal carcinoma patients%食管癌术中营养管的放置及围术期营养支持

    Institute of Scientific and Technical Information of China (English)

    王俊; 李芝; 甄福喜; 张憬; 骆金华

    2014-01-01

    Objective:This study aims to investigate the method and clinical outcomes of feeding tube placement and periopera-tive nutritional support for esophageal carcinoma patients. Methods:A total of 513 esophageal carcinoma patients who have undergone radical resection and reconstruction by a single operating group between January 2012 and December 2013 participated this study. Feed-ing tubes were inserted via the nasal path of 497 cases and by jejunostomy in 16 cases. Early enteral nutrition (EN) was administered through the feeding tubes 24 h postoperatively with a stepwise increase, whereas supplementation of parenteral nutrition (PN) was ter-minated until total EN. Results:Feeding tubes were successfully inserted in all patients during operation. No death or nutritional and metabolic disorders were documented during the observation period. No differences in anastomotic fistula, pulmonary complication, and incision infection were identified between the nasointestinal and jejunostomy groups (P>0.05). A higher incidence of intestinal ob-struction was observed in the jejunostomy group than in the nasointestinal group (P0.05);空肠造瘘组肠梗阻发生率高于鼻肠管组患者(P<0.05)。结论:食管癌患者术中有效放置鼻肠管及早期应用EN为食管癌术后安全有效的营养补给方法。

  16. 盐酸利多卡因凝胶在老年患者置胃管中的应用研究%Research on Placement of Nasogastric Tube in Senile Patients with Lidocaine Hydrochloride Jelly

    Institute of Scientific and Technical Information of China (English)

    卢晓兰

    2011-01-01

    Objective To investigate the effect of the placement of nasogastric tube in senile patients with lidocaine hydrochloride jelly. Methods Eighty-five patients who underwent the placement of nasogastric tube were randomly divided into two groups: treatment group (n = 45 ) provided with lidocaine hydrochloride jelly and control group (n=40) were provided with liquid paraffin. The sense of pain and the discomfort symptoms of nausea and vomit were compared between the two groups. Results There were significant differences in the sense of pain, nausea and vomit between the two groups( P<0. 01). Conclusion Using lidocaine hydrochloride jelly in the placement of nasogastric tube of senile patients can be put into wide use because it can effectively alleviate their pains and discomforts with high success rate.%目的探讨盐酸利多卡因凝胶在老年患者置胃管中应用的效果.方法按随机数字表法将2008年10月至2010年9月老年消化内科85例留置胃管患者分为试验组(使用盐酸利多卡因凝胶)45例和对照组(使用液体石蜡油)40例,比较两组患者在胃管留置过程中的自觉疼痛程度、恶心及呕吐的情况.结果两组患者在胃管留置过程中的自觉疼痛程度、恶心及呕吐情况经比较,差异均有统计学意义(均P<0.01).结论老年患者留置置胃管过程中,应用盐酸利多卡因凝胶可有效减轻患者的痛苦及不适,置管成功率高,值得在老年患者置胃管中推广.

  17. Comparing insertion characteristics on nasogastric tube placement by using GlideScopeTM visualization vs. MacIntosh laryngoscope assistance in anaesthetized and intubated patients

    Directory of Open Access Journals (Sweden)

    Wan Hafsah Wan Ibadullah

    2016-08-01

    Full Text Available Abstract Background and objective: This was a prospective, randomized clinical study to compare the success rate of nasogastric tube insertion by using GlideScopeTM visualization versus direct MacIntosh laryngoscope assistance in anesthetized and intubated patients. Methods: Ninety-six ASA I or II patients, aged 18-70 years were recruited and randomized into two groups using either technique. The time taken from insertion of the nasogastric tube from the nostril until the calculated length of tube had been inserted was recorded. The success rate of nasogastric tube insertion was evaluated in terms of successful insertion in the first attempt. Complications associated with the insertion techniques were recorded. Results: The results showed success rates of 74.5% in the GlideScopeTM Group as compared to 58.3% in the MacIntosh Group (p = 0.10. For the failed attempts, the nasogastric tube was successfully inserted in all cases using rescue techniques. The duration taken in the first attempt for both techniques was not statistically significant; Group A was 17.2 ± 9.3 s as compared to Group B, with a duration of 18.9 ± 13.0 s (p = 0.57. A total of 33 patients developed complications during insertion of the nasogastric tube, 39.4% in Group A and 60.6% in Group B (p = 0.15. The most common complications, which occurred, were coiling, followed by bleeding and kinking. Conclusion: This study showed that using the GlideScopeTM to facilitate nasogastric tube insertion was comparable to the use of the MacIntosh laryngoscope in terms of successful rate of insertion and complications.

  18. Product placement

    OpenAIRE

    Šafaříková, Kateřina

    2012-01-01

    This work focuses on the impact of product placement on children and comparison of attitudes towards its use in audiovisual works intended for children. The theoretical part describes the basic advertising and influencing what resources used, then it is defined by the influence of advertising on children. This issue is examined from the perspective of marketers and general ethical aspects. Product placement is a separate chapter in the theoretical part, starting with its definition, the d...

  19. Fluoroscopy-guided percutaneous gastrostomy and nasogastric feeding tube placement: comparison of the clinical effect%X线引导下经皮胃造瘘术和鼻-胃营养管置入术的疗效比较

    Institute of Scientific and Technical Information of China (English)

    姚全军; 胡鸿涛; 黎海亮; 郭晨阳; 孟艳莉; 骆俊朋; 李亚楠

    2012-01-01

    目的 探讨X线引导下经皮胃造瘘术和鼻-胃营养管置入术的临床疗效和安全性.方法 回顾性分析67例吞咽困难患者,其中喉癌14例,食管-纵隔瘘18例,颈段食管癌35例.22例行X线引导下经皮胃造瘘术,45例行X线引导下鼻-胃营养管置入术.结果 所有患者均成功实施介入治疗,技术成功率为100%.术后8d、1个月两组患者的血清白蛋白、前白蛋白和淋巴细胞计数较术前明显升高(P<0.05).术后1、3个月两组患者的体重及生活质量较术前明显提升(P<0.05).术后1个月胃造瘘组的血清白蛋白和生活质量明显高于鼻-胃营养管置入组(P<0.05).术后两组的总并发症发生率差异无统计学意义(P>0.05).胃造瘘组的治疗费用为鼻-胃营养管置入组的2.6倍.结论 X线引导下经皮胃造瘘术和营养管置入术均可改善患者的营养状况,且安全、有效,胃造瘘术的临床疗效优于营养管置入术,但费用较昂贵.%Objective To investigate the clinical effect and safety of fluoroscopy - guided percutaneous gastrostomy and nasogastric feeding tube placement. Methods The clinical data of sixty-seven patients with dysphagia were retrospectively analyzed. The primary diseases included laryngocarcinoma (n = 14), esophagomediastinal fistul a (n = 18) and cervical esophageal carcinoma (n = 35). Twenty-two patients underwent fluoroscopy - guided percutaneous gastrostomy (group G) and forty - five patients received fluoroscopy-guided nasogastric feeding tube placement (group N). The results were analyzed and compared between the two methods. Results The interventional therapy was successfully accomplished in all patients with a technical success rate of 100%. In both groups, the levels of the serum albumin (ALB), prealbumin (PA) and total lymphocyte count (TLC) determined at 8 days and one month after the procedure were significantly higher than those determined before the therapy (P < 0.05). One and three

  20. Effect of the gastric cancer patients without traditional nasogastric tube placement in the elective surgery%择期胃癌手术取消常规留置胃管的效果

    Institute of Scientific and Technical Information of China (English)

    任晖; 季加孚; 杨新颖

    2011-01-01

    目的 探讨择期胃癌手术患者选择性留置胃管的安全性和可行性.方法 对2006年1月至2009年5月期间267例择期胃癌手术患者进行回顾性分析,其中置管组137例,未置管组130例,比较两组患者术后胃肠功能恢复时间、并发症、不适症状、再置胃管率等.结果 两组患者术后胃肠功能恢复的时间、并发症、再置管率,差异无统计学意义(P>0.05);置管组咽部疼痛的发生率和总并发症发生率明显高于未置管组,差异有统计学意义(P<0.01).结论 择期胃癌手术患者取消常规放置胃管在一定程度上促进了患者的康复,并缩短了住院时间,故择期胃癌手术不必要常规留置胃管.%Objective To investigate the safety and validity of the selective nasogastric tube placement in the gastric cancer patients undergoing elective operation by retrospective analysis. Methods A retrospective chart review of 267 patients operated electively for gastric cancer between 2006.1 and 2009.5 was performed at a single institution, tube group (n = 137 ), no tube group (n = 130). The time to recovering gastrointestinal function, nasogastric tube replacement, complications and discomfort were compared between the two groups.Results No significant differences in postoperative gastrointestinal function recovering time, nasogastric tube replacement rates and complications rates were observed between the two groups ( P > 0.05 ), except that throat sere rates were significantly higher in the tube group( P < 0. 01 ). Conclusions Routine prophylactic nasogastric decompression is unnecessary after elective gastrectomy for gastric cancer patients.

  1. Percutaneous gastrostomy performed by radiologists using balloon replacement tubes. A simple interventional technique for the placement of nutritional catheters without endoscopy or surgery

    International Nuclear Information System (INIS)

    Patients afflicted with stenotic head and neck or esophageal tumors often require artificial enteral feeding. Frequently passage of an endoscope through the esophagus is impossible in these patients. Interventional, fluoroscopically assisted, percutaneous gastrostomy (PG) by balloon replacement tubes is a feasible and successful alternative to percutaneous endoscopic gastrostomy (PEG) and the method of choice in patients where the esophagus cannot be passed with an endoscope anymore. Technical success rate is very high and serious complications are rare. Radiological PG is a feasible, equivalent alternative to PEG also in all other patients. We recommend PG with balloon gastrostomy tubes in conjunction with gastropexy performed with three to four T-fasteners, which are left in place for seven days in order to prevent dislocation and leakage. (orig.)

  2. Improving time to continence after robot-assisted laparoscopic prostatectomy: augmentation of the total anatomic reconstruction technique by adding dynamic detrusor cuff trigonoplasty and suprapubic tube placement.

    Science.gov (United States)

    Tewari, Ashutosh K; Ali, Adnan; Ghareeb, George; Ludwig, Wesley; Metgud, Sheela; Theckumparampil, Nithin; Takenaka, Atsushi; Chugtai, Bilal; Shrivastava, Abhishek; Kaplan, Steve A; Leung, Robert; Paryani, Rahul; Grushow, Siobhan; Durand, Matthieu; Peyser, Alexandra; Chopra, Sameer; Harneja, Niyati; Lee, Richard K; Herman, Michael; Robinson, Brian; Shevchuck, Maria M

    2012-12-01

    After robot-assisted laparoscopic prostatectomy, total anatomic reconstruction (TR) with the additions of a circumapical urethral dissection, a dynamic detrusor cuff trigonoplasty, and placement of a suprapubic catheter was performed in 49 patients from June to July 2012. Continence at 6 weeks after catheter removal was assessed for an initial group of 23 patients, and also at 2 weeks in an additional 26 patients who most recently had undergone surgery. Follow-up appointments and telephone interviews were used to assess pad use and continence. Of the initial 23 patients receiving the modified TR, 60.9% had 0 pad use at 6 weeks. By 2 weeks, 65.4% of the most recent 26 patients operated on achieved continence with 0-1 pad use. Preservation and reconstruction of the pelvic floor and supporting bladder structures leads to an earlier return of continence. These key steps need to be validated and confirmed in larger and randomized trials. PMID:23230868

  3. Multi-Mode Vibration Suppression in MIMO Systems by Extending the Zero Placement Input Shaping Technique: Applications to a 3-DOF Piezoelectric Tube Actuator

    Directory of Open Access Journals (Sweden)

    Yasser Al Hamidi

    2016-04-01

    Full Text Available Piezoelectric tube actuators are extensively used in scanning probe microscopes to provide dynamic scanning motions in open-loop operations. Furthermore, they are employed as micropositioners due to their high bandwidth, high resolution and ease of excitation. However, these piezoelectric micropositioners exhibit badly damped vibrations that occur when the input excites the dynamic response, which tends to degrade positioning accuracy and performance. This paper deals with vibrations’ feedforward control of a multi-degrees of freedom (DOF piezoelectric micropositioner in order to damp the vibrations in the direct axes and to reduce the cross-couplings. The novelty in this paper relative to the existing vibrations feedforward controls is the simplicity in design approach, the minimal number of shaper impulses for each input required to damp all modes of vibration at each output, and the account for the strong cross-couplings which only occur in multi-DOF cases. A generalization to a multiple degrees of freedom actuator is first proposed. Then simulation runs on a 3-DOF piezoelectric tube micropositioner have been effectuated to demonstrate the efficiency of the proposed method. Finally, experimental tests were carried out to validate and to confirm the predicted simulation.

  4. Small bowel perforation during suprapubic tube exchange.

    Science.gov (United States)

    Mongiu, Anne K; Helfand, Brain T; Kielb, Stephanie J

    2009-02-01

    Suprapubic tube placement is a common urological procedure with a low incidence of complications, including hematuria, catheter blockage, recurrent urinary tract infections, and rarely, injury to adjacent organs. Fortunately, most serious complications are discovered shortly after initial suprapubic tube placement and are readily corrected. Very few cases of delayed complications or injuries have been reported. We report a case of Foley perforation into the ileum during suprapubic tube exchange discovered more than 8 months after initial placement, and preceding numerous monthly changes that occurred without incident. While a rare complication, physicians should be conscious of the potential for delayed injury in patients managed with long term suprapubic tube placement. PMID:19222896

  5. Eustachian tube function in children after insertion of ventilation tubes.

    NARCIS (Netherlands)

    Heerbeek, N. van; Ingels, K.J.A.O.; Snik, A.F.M.; Zielhuis, G.A.

    2001-01-01

    This study was performed to assess the effect of the insertion of ventilation tubes and the subsequent aeration of the middle ear on eustachian tube (ET) function in children. Manometric ET function tests were performed repeatedly for 3 months after the placement of ventilation tubes in 83 children

  6. Sediment Placement Areas 2012

    Data.gov (United States)

    California Department of Resources — Dredge material placement sites (DMPS), including active, inactive, proposed and historical placement sites. Dataset covers US Army Corps of Engineers San Francisco...

  7. Comparison the Airtraq and Macintosh laryngoscopes for placement of double-lumen endobranchial tube%Airtraq可视喉镜与Macintosh喉镜用于双腔支气管插管的临床研究

    Institute of Scientific and Technical Information of China (English)

    蒋琦亮; 张晓峰; 徐关英

    2011-01-01

    目的 比较Airtraq可视喉镜和Macintosh喉镜用于双腔支气管插管的临床效果.方法 选择需行单肺通气的胸外科手术患者60例,随机均分为两组.A组使用Airtraq可视喉镜而M组使用Macintosh直接喉镜行双腔支气管插管.比较两组插管时间、Cormack/Lehane分级、插管难易度评分(IDS评分)、进入目标支气管的成功率、口腔损伤出血情况(唇、齿、舌及口腔黏膜).结果 A组MallampatiⅢ级患者的插管时间明显短于M组(P<0.05);Cormack/Lehane分级及IDS评分明显优于M组(P<0.05);IDS评分≥1分患者A组明显少于M组(P<0.05).结论 与Macintosh喉镜相比,MallampatiⅢ级患者使用Airtraq可视喉镜插管速度更快,Airtraq可视喉镜下声门显露更佳,且插管难度更低.%Objective To compare the clinical application of the Airtraq and Macintosh laryngoscopes for placement of double-lumen endobranchial tube (DLT). Methods Sixty patients scheduled for thoracic surgery requiring one-lung ventilation were randomly allocated to two groups. The patients in group A were intubated with the Airtraq laryngoscope while the patients in group M were intubated with the traditional Macintosh laryngoscope. The intubation time, "Cormack and Lehane glottic view, intubation difficulty scale (IDS), the number of DLT malposition after intubation and the injuries of lip, dentition or tongue were documented and compared between the two groups. Results The intubation time was shorter in group A than in group M in the patients with Mallampati classification Ⅲ (P<0. 05). Cormack and I ehane glottic view was better in group A than in group M (P<0. 05). Conclusion The Airtraq laryngoscope can reduce the intubation time in patients with Mallampati classification Ⅲ , and provide better glottic view and lower intubation difficulty comparing to Macintosh laryngoscope.

  8. [A tube retractor for cardiac surgery].

    Science.gov (United States)

    Ohkado, A; Shiikawa, A; Ishitoya, H; Murata, A

    2001-03-01

    A retractor exclusively used to retract the tubes in cardiac surgery which needs cardiopulmonary bypass was developed. The half-cylinder-shaped end, the lightly curved handle and the flat and triangular grip enable easy and effective grasp of the tubes. This new instrument facilitates operative procedures by effectively retracting the tubes which persistently obstruct the operative field, in such a case of placement of a retrograde cardioplegia tube via the right atrium.

  9. Math Sense: Placement Test.

    Science.gov (United States)

    2003

    Math Sense consists of five books that develop from basic to more advanced math skills. This document contains a placement test used with Math Sense to help students and their teachers decide into which Math Sense book to begin working. The placement test is divided into six parts, each consisting of 10 to 22 problems, and is based on exit skill…

  10. Whither Advanced Placement?

    Directory of Open Access Journals (Sweden)

    William Lichten

    2000-06-01

    Full Text Available This is a review of the Advanced Placement (AP Program. In disagreement with claims of the College Board, there is firm evidence that the average test performance level has dropped. The College Board's scale and claims for AP qualification disagree seriously with college standards. A majority of tests taken do not qualify. It appears that "advanced placement" is coming closer to "placement." This article recommends that the College Board's policy of concentrating on numbers of participants should be changed to an emphasis on student performance and program quality.

  11. Tension Pneumothorax and Subcutaneous Emphysema Complicating Insertion of Nasogastric Tube.

    Science.gov (United States)

    Al Saif, Narjis; Hammodi, Adel; Al-Azem, M Ali; Al-Hubail, Rasheed

    2015-01-01

    Nasogastric tube has a key role in the management of substantial number of hospitalized patients particularly the critically ill. In spite of the apparent simple insertion technique, nasogastric tube placement has its serious perhaps fatal complications which need to be carefully assessed. Pulmonary misplacement and associated complications are commonplace during nasogastric tube procedure. We present a case of tension pneumothorax and massive surgical emphysema in critically ill ventilated patient due to inadvertent nasogastric tube insertion and also discussed the risk factors, complication list, and arrays of techniques for safer tube placement.

  12. Tension Pneumothorax and Subcutaneous Emphysema Complicating Insertion of Nasogastric Tube

    Directory of Open Access Journals (Sweden)

    Narjis AL Saif

    2015-01-01

    Full Text Available Nasogastric tube has a key role in the management of substantial number of hospitalized patients particularly the critically ill. In spite of the apparent simple insertion technique, nasogastric tube placement has its serious perhaps fatal complications which need to be carefully assessed. Pulmonary misplacement and associated complications are commonplace during nasogastric tube procedure. We present a case of tension pneumothorax and massive surgical emphysema in critically ill ventilated patient due to inadvertent nasogastric tube insertion and also discussed the risk factors, complication list, and arrays of techniques for safer tube placement.

  13. Coronary Angioplasty Stent Placement

    Medline Plus

    Full Text Available Coronary Angioplasty Stent Placement Shawnee Mission Heart & Vascular Center, Shawnee Mission, Kansas February 19, 2009 Welcome to this OR-Live westbound cast presentation, live from Shawnee Mission Medical Center ...

  14. Mediastinum of Pleural Invasion of Esophageal Carcinoma Postoperative Discussion on the Bilateral Closed Thoracic Drainage Tube Placement%纵膈胸膜侵犯的食管癌术后双侧胸腔闭式引流管放置探讨

    Institute of Scientific and Technical Information of China (English)

    臧国辉; 陈斌; 姚杰; 章文光; 王海兵; 余留; 何平海

    2013-01-01

    目的:探讨纵膈胸膜侵犯的食管癌术后双侧胸腔置放胸腔闭式引流管的临床意义。方法收集2007年9月~2011年9月60例中段食管癌、术中均行纵膈胸膜切除的患者资料,患者分两组,对照组(A组)和观察组(B组),各30例患者,分别行单侧和双侧胸腔闭式引流,观察两组住院期间胸腔引流量、拔管时间、术后右侧再次放置引流管例数、住院天数、术后并发症发生情况(肺不张、右侧胸腔积液)。结果对照组术后平均胸腔引流量940ml、拔管时间5.5d、术后右侧再次放置引流管8例,住院16.4d、术后并发症发生情况(肺不张6例、右侧胸腔积液9例),而观察组术后平均胸腔引流量1300ml、拔管时间3.25d、住院12d、发生肺不张3例,无再置管。结论对于食管癌侵犯纵膈胸膜,纵膈胸膜切除者,双侧胸腔置放引流管,能达到充分引流,缩短住院时间,减少肺不张、包裹性胸腔积液并发症目的。%Objective to study the clinical significance on the bilateral closed thoracic drainage tube placement of esophageal carcinoma postoperation of mediastinal pleura invasion Methods Col ection 60 cases Middle esophageal cancer patients information,whose mediastinal pleura were resected during the operation course between September 2007to September 2011.patients were assigned into 2 groups,control group(groupA)and observation group ( groupB),30 cases per group,respectively one side and double side closed thoracic drainage,observing two Groups thoracic drainage volume、the time of pul ing tube、the number of placing drainage tube in the right side postoperation、hospitalization days and postoperation complications (pulmonary atelectasi and righthydrothorax). Results Control group had average hydrothorax volume of 940ml postoperation,tracheal extubation time 5.5days,8 cases were placed drainage tube postoperation again,hospitalization 16.4 days,and postoperation

  15. Product placement in the czech film Revival

    OpenAIRE

    Lísková, Gabriela

    2013-01-01

    Marketing and commertial communication and position of product placement within it, legislature governing product placement and its aplication, history of product placement, forms of product placement, aplication of product placement in the czech film Revival

  16. Product Placement in Cartoons

    Directory of Open Access Journals (Sweden)

    Irena Oroz Štancl

    2014-06-01

    Full Text Available Product placement is a marketing approach for integrating products or services into selected media content. Studies have shown that the impact of advertising on children and youth are large, and that it can affect their preferences and attitudes. The aim of this article is to determine the existing level of product placement in cartoons that are broadcast on Croatian television stations. Content analysis of cartoons in a period of one month gave the following results: in 30% of cartoons product placement was found; most product placement were visual ads, in 89%, however, auditory product placement and plot connection was also found. Most ads were related to toys and it is significant that even 65% of cartoons are accompanied by a large amount of products available on the Croatian market. This is the result of two sales strategies: brand licensing (selling popular cartoon characters to toys, food or clothing companies and cartoon production based on existing line of toys with the sole aim of making their sales more effective.

  17. Aerator Placement Strategies

    Science.gov (United States)

    The purpose of this study was to determine the effects on fish production, water quality and economics of concentrating paddlewheel aeration in large commercial ponds, compared to the current method of aerator placement. Ten 17-acre ponds (approximately 600 X 1300 ft) were brought into the study in ...

  18. Course Placement Study.

    Science.gov (United States)

    Fredericksen, Marlene; Slark, Julie

    Following the implementation of a matriculation plan at Rancho Santiago College (RSC), a study was conducted to examine the appropriateness of student course placement as assessed by faculty and students and to investigate faculty's perceptions of changes in students' skill level preparation over the past few years. Questionnaires were completed…

  19. Product placement werkt, ook onbewust

    NARCIS (Netherlands)

    Roelofs, G.H.M.; Ketelaar, P.E.; Gisbergen, M.S. van

    2008-01-01

    Product placement is een goed alternatief voor televisiecommercials. Consumenten waarderen product placement beter en ze vertonen nauwelijks reclamevermijdend gedrag. En: consumenten blijken geadverteerde merken goed te onthouden, zo blijkt uit onderzoek van de Radboud Universiteit Nijmegen in samen

  20. Tympanostomy tubes: patient selection and special considerations

    Directory of Open Access Journals (Sweden)

    Whittemore Jr KR

    2015-05-01

    Full Text Available Kenneth R Whittemore Jr Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA Abstract: Indications for tympanostomy tube (TT placement in children with chronic serous effusions and hearing loss are fairly well established. The use of TTs for children with recurrent acute otitis media (rAOM has not been studied as extensively as for those with hearing loss from middle-ear effusions. There is a subset of children who fall outside established guidelines for either of the preceding categories who may benefit from TT placement. The indications for TT placement in children with middle-ear disease are discussed. Keywords: tympanostomy tubes, pediatrics, otitis media with effusion, acute otitis media, hearing loss

  1. An improved automatic computer aided tube detection and labeling system on chest radiographs

    Science.gov (United States)

    Ramakrishna, Bharath; Brown, Matthew; Goldin, Jonathan; Cagnon, Christopher; Enzmann, Dieter

    2012-03-01

    Tubes like Endotracheal (ET) tube used to maintain patient's airway and the Nasogastric (NG) tube used to feed the patient and drain contents of the stomach are very commonly used in Intensive Care Units (ICU). The placement of these tubes is critical for their proper functioning and improper tube placement can even be fatal. Bedside chest radiographs are considered the quickest and safest method to check the placement of these tubes. Tertiary ICU's typically generate over 250 chest radiographs per day to confirm tube placement. This paper develops a new fully automatic prototype computer-aided detection (CAD) system for tube detection on bedside chest radiographs. The core of the CAD system is the randomized algorithm which selects tubes based on their average repeatability from seed points. The CAD algorithm is designed as a 5 stage process: Preprocessing (removing borders, histogram equalization, anisotropic filtering), Anatomy Segmentation (to identify neck, esophagus, abdomen ROI's), Seed Generation, Region Growing and Tube Selection. The preliminary evaluation was carried out on 64 cases. The prototype CAD system was able to detect ET tubes with a True Positive Rate of 0.93 and False Positive Rate of 0.02/image and NG tubes with a True Positive Rate of 0.84 and False Positive Rate of 0.02/image respectively. The results from the prototype system show that it is feasible to automatically detect both tubes on chest radiographs, with the potential to significantly speed the delivery of imaging services while maintaining high accuracy.

  2. Endoscopically nasojejunal feeding tube placement for enteral nutrition in gastric cancer patients with antrum or pyloric obstruction%胃窦癌伴胃窦腔或幽门梗阻经胃镜放置鼻空肠营养管的临床应用

    Institute of Scientific and Technical Information of China (English)

    曹燕飞; 周辛欣; 季峰

    2012-01-01

    目的 比较胃窦癌伴胃窦腔或幽门梗阻患者经胃镜放置鼻空肠营养管(endoscopically nasojejunal feeding tube placement,ENFTP)行肠内营养(enteral nutrition,EN)与全胃肠外营养(total parenteral nutrition,TPN)的临床疗效.方法 选择胃窦癌伴胃窦腔或幽门梗阻患者行ENFTP的患者共100例,选取同期行TPN治疗的患者50例,分别观察两组在营养支持后1、2周的血红蛋白、血清白蛋白、血脂、体重等营养指标,平均住院天数,营养支持平均每日费用,并发症的发生率及营养支持后能耐受化疗或手术的例数.结果 营养支持后1周,ENFTP组的营养指标无明显变化(均P >0.05).TPN组的血红蛋白、肌酐及体重较治疗前有进一步下降(均P<0.05).营养支持后2周,ENFTP组血清总蛋白及白蛋白较治疗前升高明显(P<0.05),而TPN组在血红蛋白、血肌酐、血清白蛋白较治疗前下降明显,与ENFTP组比差异有统计学意义(P<0.05).两组其他营养指标在营养支持后2周差异无统计学意义(P >0.05).ENFTP组在平均住院日、营养支持平均每日费用、并发症的发生率方面均低于TPN组(P<0.05).ENFTP组与TPN组在营养支持后耐受手术或化疗的例数无明显差异(P >0.05).结论 胃窦癌伴胃窦腔或幽门梗阻患者ENFTP较TPN更能有效的维持或改善其营养状况,并缩短患者的住院天数,减少住院费用,提高患者的生存质量.经胃镜放置空肠营养管在胃窦癌伴胃窦腔或幽门梗阻患者中的使用是简便快捷、安全有效的,值得临床推广.%Objective To evaluate the application of endoscopically nasojejunal feeding tube placement (ENFTP) for enteral nutrition (EN) in gastric cancer patients with antrum or pyloric obstruction. Methods One hundred and fifty gastric cancer patients with antrum or pyloric obstruction received ENFTP EN (n=100) or total parenteral nutrition (TPN, n=50). Hemoglobin, serum albumin, blood lipids, weight and

  3. Imaging and intervention in the gastrointestinal tract in children.

    Science.gov (United States)

    Kaye, Robin D; Towbin, R B

    2002-09-01

    Vascular and interventional techniques have become an integral component of modern pediatric healthcare. Minimally invasive procedures of the gastrointestinal tract now comprise a large part of any active pediatric interventional practice. Magnetic resonance cholangiopancreatography offers a reliable, non-invasive means to evaluate patients with possible pancreatic or biliary pathology. This article reviews treatment of esophageal strictures and placement of gastronomy and gastrojejunostomy tubes and discusses new developments. Placement of percutaneous cecostomy tubes is a relatively new procedure that creatively uses the techniques developed for placement of percutaneous gastronomy tubes. This procedure offers significant benefits and lasting positive lifestyle changes for patients suffering from fecal incontinence. Liver biopsy in high-risk patients can be performed safely using measures designed to significantly decrease the risk of post-biopsy hemorrhage, such as track embolization or the transjugular approach.

  4. Placement of an implantable port catheter in the biliary stent: an experimental study in dogs

    Energy Technology Data Exchange (ETDEWEB)

    Ko, Gi Young; Lee, Im Sick; Choi, Won Chan [Asan Medical Center, Seoul (Korea, Republic of)

    2004-04-01

    To investigate the feasibility of port catheter placement following a biliary stent placement. We employed 14 mongrel dogs as test subject and after the puncture of their gaIl bladders using sonographic guidance, a 10-mm in diameter metallic stent was placed at the common duct. In 12 dogs, a 6.3 F port catheter was placed into the duodenum through the common duct and a port was secured at the subcutaneous space following stent placement. As a control group, an 8.5 F drain tube was placed into the gallbladder without port catheter placement in the remaining two dogs. Irrigation of the bile duct was performed every week by injection of saline into the port, and the port catheter was replaced three weeks later in two dogs. Information relating to the success of the procedure, complications and the five-week follow-up cholangiographic findings were obtained. Placement of a biliary stent and a port catheter was technically successful in 13 (93%) dogs, while stent migration (n=3), gallbladder rupture (n=1) and death (n=5) due to subcutaneous abscess and peritonitis also occurred. The follow-up was achieved in eight dogs (seven dogs with a port catheter placement and one dog with a drain tube placement). Irrigation of the bile duct and port catheter replacement were successfully achieved without any complications. Cholangiograms obtained five weeks after stent placement showed diffuse biliary dilation with granulation tissue formation. However, focal biliary stricture was seen in one dog with stent placement alone. Placement of a port catheter following biliary stent placement seems to be feasible. However, further investigation is necessary to reduce the current complications.

  5. Placement of an implantable port catheter in the biliary stent: an experimental study in dogs

    International Nuclear Information System (INIS)

    To investigate the feasibility of port catheter placement following a biliary stent placement. We employed 14 mongrel dogs as test subject and after the puncture of their gaIl bladders using sonographic guidance, a 10-mm in diameter metallic stent was placed at the common duct. In 12 dogs, a 6.3 F port catheter was placed into the duodenum through the common duct and a port was secured at the subcutaneous space following stent placement. As a control group, an 8.5 F drain tube was placed into the gallbladder without port catheter placement in the remaining two dogs. Irrigation of the bile duct was performed every week by injection of saline into the port, and the port catheter was replaced three weeks later in two dogs. Information relating to the success of the procedure, complications and the five-week follow-up cholangiographic findings were obtained. Placement of a biliary stent and a port catheter was technically successful in 13 (93%) dogs, while stent migration (n=3), gallbladder rupture (n=1) and death (n=5) due to subcutaneous abscess and peritonitis also occurred. The follow-up was achieved in eight dogs (seven dogs with a port catheter placement and one dog with a drain tube placement). Irrigation of the bile duct and port catheter replacement were successfully achieved without any complications. Cholangiograms obtained five weeks after stent placement showed diffuse biliary dilation with granulation tissue formation. However, focal biliary stricture was seen in one dog with stent placement alone. Placement of a port catheter following biliary stent placement seems to be feasible. However, further investigation is necessary to reduce the current complications

  6. False-positive pH aspirates after nasogastric tube insertion in head and neck tumour.

    Science.gov (United States)

    Sellers, Claudia Kate

    2012-08-27

    Nasogastric (NG) feeding tubes are commonly inserted to supplement enteral nutrition in certain patient groups, including those with head and neck cancers where swallowing may be compromised. An NHS National Patient Safety Alert was released in 2011 detailing ongoing cases of significant morbidity and mortality attached to the incorrect placement of NG feeding tubes in hospital inpatients. Since 2005, there were 21 deaths and 79 cases of harm nationally due to feeding into the lung through misplaced tubes. pH testing remains the first-line method of placement confirmation, with chest x-ray used when no aspirate is gained or where pH testing fails to confirm suitable acidity. We present a case report describing false-positive NG tube placement confirmation tests in a patient with head and neck cancer, who was administered feed into lung parenchyma with significant morbidity. We discuss the case for specific NG tube placement protocols in head and neck cancer patients.

  7. Influence of Suction Tube Noise on Hearing in Pediatric Patients Who Received Ventilation Tube Insertion.

    OpenAIRE

    Chul Ho Jang; Chang-Hun Song; Seong-Hwan Kim; Pa-Chun Wang

    2004-01-01

    Background: Myringotomy with ventilation tube insertion is the most frequently used surgicalprocedure performed on children to treat otitis media with effusion. Therisk of acoustic trauma caused by the suctioning noise during the procedurehas not been clearly understood. The objective of this study was to investigatewhether the suctioning noise during ventilation tube placement proceduredamaged children's hearing.Methods: The study was conducted in a prospective manner. The ventilation tubepl...

  8. Esophageal rupture due to Sengstaken-Blakemore tube misplacement

    Institute of Scientific and Technical Information of China (English)

    Chee-Fah Chong

    2005-01-01

    The author presents three cases of esophageal rupture during the treatment of massive esophageal variceal bleeding with Sengstaken-Blakemore (SB) tube. In each case, simple auscultation was used to guide SB tube insertion, with chest radiograph obtained only after complete inflation of the gastric balloon. Two patients died of hemorrhagic shock and one died of mediastinitis.The author suggests that confirmation of SB tube placement by auscultation alone may not be adequate.Routine chest radiographs should be obtained before and after full inflation of the gastric balloon to confirm tube position and to detect tube dislocation.

  9. [Developmental Placement.] Collected Research References.

    Science.gov (United States)

    Bjorklund, Gail

    Drawing on information and references in the ERIC system, this literature review describes research related to a child's developmental placement. The issues examined include school entrance age; predictive validity, reliability, and features of Gesell School Readiness Assessment; retention; and the effectiveness of developmental placement. A…

  10. Product Placement and Brand Equity

    OpenAIRE

    Margherita Corniani

    2001-01-01

    Product placement is the planned insertion of a brand within a movie, a fiction, etc. It can be used with other communication tools (i.e. advertising, sales promotions, etc.) in order to disseminate brand awareness and characterize brand image, developing brand equity. In global markets, product placement is particularly useful for improving brand equity of brands with a well established brand awareness.

  11. Percutaneous Endoscopic Gastrostomy (pull method and Jejunal Extension Tube Placement

    Directory of Open Access Journals (Sweden)

    Shou-jiang Tang

    2014-04-01

    Conclusions: PEG-pull method is the most widely used PEG technique. Appropriate patient selection, timing of the procedure, informed consent, antibiotic prophylaxis, adequate endoscopic air insufflation during PEG site selection, and optimal PEG site localization are the keys in this procedure.

  12. Urologist Directed Percutaneous Nephrostomy Tube Placement: 6 Years Experience

    Directory of Open Access Journals (Sweden)

    Tarik Yonguc

    2014-12-01

    Full Text Available Aim: To report our results on percutaneous nephrostomy (PCN and classify our complications with the modified Clavien Classification System (CCS in 6 years. Material and Method: Eight hundred fourteen PCN insertions were performed in 722 patients (538 men and 184 women at our institution. PCN insertion was performed under ultrasound for dilated pelvicalyceal system and ultrasound/fluoroscopy for nondilated system. PCN was considered successful if the catheter was drained urine spontaneously. Number of complications was registered. Results: Primary successful PCN insertion was achieved in 770 of the 814 procedures (94.5%. The success rates for nondilated and dilated systems were 71.1% and 97.7%, respectively. Our overall complication rate was 17.3%. According to the modified CCS grades I, II, III, IV, and V were 9%, 1.2%, 6.2%, 0.3%, 0.3%, 0.4% and 0.1%, respectively. Age, grade of the hydronephrosis, serum creatinine levels, and mean hemoglobin levels were statistically significant parameters for the occurrence of complications. The nondilated system has statistically significant parameter affecting the complication rates. Discussion: Percutaneous nephrostomy is a well-known procedure in the treatment of temporary or permanent drainage of an obstructed system. It is very important to define the complications related to interventions for interpretation of clinical comparisons more accurately. Modified CCS is a reproducible system to evaluate the complications of PCN.

  13. Gastrostomy Tube (G-Tube)

    Science.gov (United States)

    ... endoscope (a thin, flexible tube with a tiny camera and light at the tip) inserted through the ... Nemours Foundation, iStock, Getty Images, Corbis, Veer, Science Photo Library, Science Source Images, Shutterstock, and Clipart.com

  14. Laser initiated endotracheal tube explosion.

    Science.gov (United States)

    De Vane, G G

    1990-06-01

    A 62-year-old male with a diagnosis of subglottic and tracheal stenosis resulting from a prolonged intubation was scheduled for a laser bronchoscopy and placement of a silicon T-shaped tube. His history was significant for two myocardial infarctions, an episode of congestive heart failure and exertional angina. A 6 mm polyvinyl chloride endotracheal tube, wrapped with aluminum tape, was placed in an existing tracheostomy stoma. During the course of the procedure, a sudden bright flash occurred followed by an explosive noise and black smoke rising in the anesthesia circuit and from the patient's mouth. The endotracheal tube was removed and the patient was treated for first and second degree burns in the supraglottic area and base of the tongue. In laser surgery of the airway, special care should be given to reducing the flammability of the inspired gases which can be best accomplished by the mixture of helium with oxygen. Helium acts to retard ignition of polyvinyl chloride tubes in concentrations of 60% or greater. The external surface of the tube can also be protected with the application of a metallic tape affixed in a spiral fashion. Finally, a protocol for the management and treatment of this emergency should be adopted and rehearsed. PMID:2378234

  15. Ear tube insertion

    Science.gov (United States)

    Myringotomy; Tympanostomy; Ear tube surgery; Pressure equalization tubes; Ventilating tubes; Ear infection - tubes; Otitis - tubes ... trapped fluid can flow out of the middle ear. This prevents hearing loss and reduces the risk ...

  16. Decreasing suprapubic tube-related injuries: results of case series and comprehensive literature review.

    Science.gov (United States)

    Tompkins, Andrew J; Travis, Michelle; Watne, Reed E; Lasser, Michael; Ellsworth, Pamela

    2014-01-01

    Bowel-related injuries are known complications of suprapubic tube (SPT) catheterization placement. A literature review was conducted to determine identifiable risk factors for bowel injury. Results on the analysis of 25 cases are presented along with a proposed algorithm to aid in choosing between open, percutaneous, and image-guided methods of placement. PMID:24716375

  17. Ear Tubes

    Science.gov (United States)

    ... of the ear drum or eustachian tube, Down Syndrome, cleft palate, and barotrauma (injury to the middle ear caused by a reduction of air pressure, ... specialist) may be warranted if you or your child has experienced repeated ... fluid in the middle ear, barotrauma, or have an anatomic abnormality that ...

  18. 重症急性胰腺炎经胃镜放置空肠营养管营养支持的价值%Clinical value of endoscopic placement of nasojejunal feeding tube for nutritional support in patients with severe acute pancreatitis

    Institute of Scientific and Technical Information of China (English)

    季峰; 焦春花; 胡裕耀; 徐勤伟; 赵瑾; 陈卫星

    2009-01-01

    目的 探讨经胃镜放置空肠营养管行肠内营养支持(ENFTP)对重症急性胰腺炎患者的临床价值.方法 回顾性分析经ENFTP及同期行完全胃肠外营养(TPN)支持的重症急性胰腺炎患者47例及50例,比较两组患者营养支持前及支持后1、2、4周血常规、血糖、肝肾功能、血脂、血钙水平变化、各种并发症发生率、死亡率、营养支持时间、营养支持平均每日费用、机械通气时间、重症监护病房(ICU)监护时间及平均住院时间.结果 营养支持4周后,ENFTP组血红蛋白、白蛋白及空腹高血糖较TPN组恢复显著(P值均<0.05);ENFTP组胰周、胆道感染率、导管感染败血症、营养支持时间、营养支持平均每日费用及住院时间均显著低于TPN组(P值均<0.05),此外ENFTP组能更有效改善APACHEⅡ评分(P<0.05).结论 ENFTP在重症急性胰腺炎患者中应用安全经济.%Objective To evaluate the clinical value of endoscopically nasojejunal feeding tube placement (ENFTP) for nutritional support in patients with severe acute pancreatitis (SAP). Methods Those SAP patients who treated with ENFTP (n= 47) or with total parenteral nutrition (TPN) (n=50) were retrospectively analyzed for laboratory parameters before and 1,2 and 4 weeks after nutrition support. Outcomes in the two groups were compared with respect to complications,mortality, duration of feeding, feeding costs,mechanical ventilation time and length of ICU or hospital stay. Results Four weeks after nutrition sypport, the hemoglobin and albumin were increased in ENFTP group as compared to TPN groups (P < 0. 05), while the blood sugar was decreased significant in ENFTP group than in TPN group (P<0.05). The incidence of peripancreatic or biliary infection and catheter-related infection were lower in ENFTP group than in TPN group. Duration of feeding and hospital stay were shorter, and nutrition cost was lower in ENFTP group (P<0.05). In addition, the APACHE Ⅱ score was

  19. Neutron tubes

    Science.gov (United States)

    Leung, Ka-Ngo; Lou, Tak Pui; Reijonen, Jani

    2008-03-11

    A neutron tube or generator is based on a RF driven plasma ion source having a quartz or other chamber surrounded by an external RF antenna. A deuterium or mixed deuterium/tritium (or even just a tritium) plasma is generated in the chamber and D or D/T (or T) ions are extracted from the plasma. A neutron generating target is positioned so that the ion beam is incident thereon and loads the target. Incident ions cause D-D or D-T (or T-T) reactions which generate neutrons. Various embodiments differ primarily in size of the chamber and position and shape of the neutron generating target. Some neutron generators are small enough for implantation in the body. The target may be at the end of a catheter-like drift tube. The target may have a tapered or conical surface to increase target surface area.

  20. Straightening tubes

    International Nuclear Information System (INIS)

    Hexagonal wrapper tubes, especially for nuclear reactor core sub-assemblies, may suffer from unacceptable bow as a result of welding wear pads to the wrapper and heat treatment. Straightening of the bow is effected by a method wherein at each of a series of axially spaced locations the faces or vertices of the tube are measured relative to a reference to determine the direction of bow at the locations. From these measurements, the appropriate axial locations for the application of corrective loading can be determined, whereby by application of the loading at a selected face or vertex for such measurements the bow is reduced. Such loading, by an actuator, can be repeated at the locations until the bow is reduced to within tolerances. (author)

  1. Extension for prevention: margin placement.

    Science.gov (United States)

    Larson, Thomas D

    2012-01-01

    This article will review the concept of extension for prevention popularized by G.V. Black around the early 1900s. Concepts of extension and prevention have changed over the years with a more informed knowledge of the caries process, improved materials, cutting instruments, and techniques. The reasons for placement of the outline form relative to the tooth morphology, gingival tissue, relationship to adjacent teeth, and the choice of material will be described for all of the materials used in restorative dentistry. Research will be cited to support the scientific basis for outline form placement. PMID:22662468

  2. Optimal obstacle placement with disambiguations

    OpenAIRE

    Ceyhan, Elvan; Aksakalli, Vural

    2012-01-01

    arXiv:1201.5076v3 [stat.AP] 14 Jan 2013 The Annals of Applied Statistics 2012, Vol. 6, No. 4, 1730–1774 DOI: 10.1214/12-AOAS556 c Institute of Mathematical Statistics, 2012 OPTIMAL OBSTACLE PLACEMENT WITH DISAMBIGUATIONS By Vural Aksakalli and Elvan Ceyhan Istanbul S¸ehir University and Ko¸c University We introduce the optimal obstacle placement with disambigua-tions problem wherein the goal is to place true obstacles in an en-vironment cluttered with false obst...

  3. Blind bedside insertion of small bowel feeding tubes.

    LENUS (Irish Health Repository)

    Duggan, SN

    2009-12-01

    The use of Naso-Jejunal (NJ) feeding is limited by difficulty in feeding tube placement. Patients have traditionally required transfer to Endoscopy or Radiology for insertion of small bowel feeding tubes, with clear resource implications. We hypothesised that the adoption of a simple bedside procedure would be effective and reduce cost. Clinical nutrition and nurse specialist personnel were trained in the 10\\/10\\/10 method of blind bedside NJ insertion.

  4. photomultiplier tubes

    CERN Multimedia

    photomultiplier tubes. A device to convert light into an electric signal (the name is often abbreviated to PM). Photomultipliers are used in all detectors based on scintillating material (i.e. based on large numbers of fibres which produce scintillation light at the passage of a charged particle). A photomultiplier consists of 3 main parts: firstly, a photocathode where photons are converted into electrons by the photoelectric effect; secondly, a multiplier chain consisting of a serie of dynodes which multiply the number of electron; finally, an anode, which collects the resulting current.

  5. photomultiplier tube

    CERN Multimedia

    photomultiplier tubes. A device to convert light into an electric signal (the name is often abbreviated to PM). Photomultipliers are used in all detectors based on scintillating material (i.e. based on large numbers of fibres which produce scintillation light at the passage of a charged particle). A photomultiplier consists of 3 main parts: firstly, a photocathode where photons are converted into electrons by the photoelectric effect; secondly, a multiplier chain consisting of a serie of dynodes which multiply the number of electron; finally, an anode, which collects the resulting current.

  6. Tube furnace

    Science.gov (United States)

    Foster, Kenneth G.; Frohwein, Eugene J.; Taylor, Robert W.; Bowen, David W.

    1991-01-01

    A vermiculite insulated tube furnace is heated by a helically-wound resistance wire positioned within a helical groove on the surface of a ceramic cylinder, that in turn is surroundingly disposed about a doubly slotted stainless steel cylindrical liner. For uniform heating, the pitch of the helix is of shorter length over the two end portions of the ceramic cylinder. The furnace is of large volume, provides uniform temperature, offers an extremely precise programmed heating capability, features very rapid cool-down, and has a modest electrical power requirement.

  7. Familial placement of Wightia (Lamiales)

    DEFF Research Database (Denmark)

    Zhou, Qing-Mei; Jensen, Søren Rosendal; Liu, Guo-Li;

    2014-01-01

    The familial placement of Wightia has long been a problem. Here, we present a comprehensive phylogenetic inspection of Wightia based on noncoding chloroplast loci (the rps16 intron and the trnL–F region) and nuclear ribosomal internal transcribed spacer, and on chemical analysis. A total of 70...

  8. When Placement People Are Displaced.

    Science.gov (United States)

    Ehrlich, Marianne

    1991-01-01

    Describes the experiences and insights of five laid-off placement people who discover the trauma of job loss. Discusses grieving a job loss, the emotions involved, the challenge of finding a new job, guilt faced by survivors, and advice to colleagues. (NB)

  9. The Placement Professional as Marketeer.

    Science.gov (United States)

    Walz, Garry R.

    1988-01-01

    Discusses resistance of helping professions to marketing. Defines human services marketing. Describes forces that are placing human services in an increasingly competitive position. Makes recommendations to enhance the image of career planning and placement services and increase their usage. Concludes that by adopting a marketeer orientation,…

  10. PRODUCT PLACEMENT IN BRAND PROMOTION

    Directory of Open Access Journals (Sweden)

    Alicja Mikołajczyk

    2015-06-01

    Full Text Available Product placement can have a significant impact on brand awareness and customer purchasing decisions. The article discusses techniques applied in the mass media against the EU legal background and the opportunities it offers in reaching the target audience.

  11. Advanced Placement: More than a Test.

    Science.gov (United States)

    Colwell, Richard

    1990-01-01

    Encourages music teachers to work with students interested in advanced placement (AP) music courses. Discusses the logistics and advantages of placing students in these courses. Describes the Advanced Placement Listening and Literature and the Advanced Placement Theory courses and examinations. Outlines the examination scoring method and looks at…

  12. Mathematics Placement at the University of Illinois

    Science.gov (United States)

    Ahlgren Reddy, Alison; Harper, Marc

    2013-01-01

    Data from the ALEKS-based placement program at the University of Illinois is presented visually in several ways. The placement exam (an ALEKS assessment) contains precise item-specific information and the data show many interesting properties of the student populations of the placement courses, which include Precalculus, Calculus, and Business…

  13. Transanal drainage tube reduces rate and severity of anastomotic leakage in patients with colorectal anastomosis: A case controlled study

    Directory of Open Access Journals (Sweden)

    A. Brandl

    2016-03-01

    Conclusions: Placement of a transanal drainage tube in patients with colorectal anastomoses is a safe and simple technique to perform and reduces anastomotic leakage, the severity of the complication and hospital stay.

  14. A tube-in-tube thermophotovoltaic generator

    Energy Technology Data Exchange (ETDEWEB)

    Ashcroft, J.; Campbell, B.; Depoy, D.

    1996-12-31

    A thermophotovoltaic device includes at least one thermal radiator tube, a cooling tube concentrically disposed within each thermal radiator tube and an array of thermophotovoltaic cells disposed on the exterior surface of the cooling tube. A shell having a first end and a second end surrounds the thermal radiator tube. Inner and outer tubesheets, each having an aperture corresponding to each cooling tube, are located at each end of the shell. The thermal radiator tube extends within the shell between the inner tubesheets. The cooling tube extends within the shell through the corresponding apertures of the two inner tubesheets to the corresponding apertures of the two outer tubesheets. A plurality of the thermal radiator tubes can be arranged in a staggered or an in-line configuration within the shell.

  15. Usefulness of multifunctional gastrointestinal coil catheter for colorectal stent placement

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Tae-Hyung; Shin, Ji Hoon; Kim, Jin Hyoung; Lim, Jin-Oh; Kim, Kyung Rae [Asan Medical Center, Radiology and Research Institute of Radiology, Seoul (Korea); Song, Ho-Young [Asan Medical Center - Radiology, Songpa-gu, Seoul (Korea); Park, In Kook [Dongguk University, Life Science, Seoul (Korea); Choi, Eugene K. [Weill Medical College of Cornell University, New York, NY (United States)

    2008-11-15

    The purpose of this study was to evaluate the usefulness of a multifunctional gastrointestinal coil catheter for stent placement in 98 patients with colorectal strictures. The catheter was used in 98 consecutive patients for stent placement in the rectum (n = 24), recto-sigmoid (n = 13), sigmoid (n = 38), descending (n = 6), transverse (n = 11), splenic flexure (n = 3), hepatic flexure (n = 2), and ascending (n = 1) colon. The catheter was made of a stainless steel coil (1.3 mm in inner diameter), a 0.4-mm nitinol wire, a polyolefin tube, and a hemostasis valve. Usefulness of the catheter was evaluated depending on whether the catheter could pass a stricture over a guide wire and whether measurement of the stricture length was possible. The passage of the catheter over a guide wire beyond the stricture was technically successful and well tolerated in 93 (94.9%) of 98 patients. In the failed five patients, it was not possible to negotiate the guide wire due to presence of nearly complete small bowel obstruction. The average length of stricture was 6.15 cm (range, 3 cm to 20 cm) in patients with the colorectal stricture. There were no procedure-related complications. In conclusion, the multifunctional coil catheter seems to be useful in colorectal stent placement. (orig.)

  16. Product placement and its aplication in foreign film

    OpenAIRE

    Vaněk, Tomáš

    2010-01-01

    Marketing and commertial communication and position of product placement within it, legislature governing product placement and its aplication, history of product placement, forms of product placement, use of product placement within marketing campaign, aplication of product placement in movie Casino Royale.

  17. Parent-reported otorrhea in children with tympanostomy tubes: incidence and predictors.

    Directory of Open Access Journals (Sweden)

    Thijs M A van Dongen

    Full Text Available PURPOSE: Although common in children with tympanostomy tubes, the current incidence of tympanostomy tube otorrhea (TTO is uncertain. TTO is generally a sign of otitis media, when middle ear fluid drains through the tube. Predictors for otitis media are therefore suggested to have predictive value for the occurrence of TTO. OBJECTIVE: To determine the incidence of TTO and its predictors. METHODS: We performed a cohort study, using a parental web-based questionnaire to retrospectively collect data on TTO episodes and its potential predictors from children younger than 10 years of age with tympanostomy tubes. RESULTS: Of the 1,184 children included in analyses (total duration of time since tube placement was 768 person years with a mean of 7.8 months per child, 616 children (52% experienced one or more episodes of TTO. 137 children (12% had TTO within the calendar month of tube placement. 597 (50% children had one or more acute TTO episodes (duration <4 weeks and 46 children (4% one or more chronic TTO episodes (duration ≥4 weeks. 146 children (12% experienced recurrent TTO episodes. Accounting for time since tube placement, 67% of children developed one or more TTO episodes in the year following tube placement. Young age, recurrent acute otitis media being the indication for tube placement, a recent history of recurrent upper respiratory tract infections and the presence of older siblings were independently associated with the future occurrence of TTO, and can therefore be seen as predictors for TTO. CONCLUSIONS: Our survey confirms that otorrhea is a common sequela in children with tympanostomy tubes, which occurrence can be predicted by age, medical history and presence of older siblings.

  18. Percutaneous transcholecystic approach for an experiment of biliary stent placement: an experimental study in dogs

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Tae Seok [Medical School of Gachon, Inchon (Korea, Republic of); Song, Ho Young; Lim, Jin Oh; Ko, Gi Young; Sung, Kyu Bo; Kim, Tae Hyung; Lee, Ho Jung [College of Medicine, Ulsan Univ., Seoul (Korea, Republic of)

    2002-06-01

    To determine, in an experimental study of biliary stent placement, the usefulness and safety of the percutaneous transcholecystic approach and the patency of a newly designed biliary stent. A stent made of 0.15-mm-thick nitinol wire, and 10 mm in diameter and 2 cm in length, was loaded in an introducer with an 8-F outer diameter. The gallbladders of seven mongrel dogs were punctured with a 16-G angiocath needle under sonographic guidance, and cholangiography was performed. After anchoring the anterior wall of the gallbladder to the abdominal wall using a T-fastener, the gallbladder body was punctured again under fluoroscopic guidance. The cystic and common bile ducts were selected using a 0.035-inch guide wire and a cobra catheter, and the stent was placed in the common bile duct. Post-stenting cholangiography was undertaken, and an 8.5-F drainage tube was inserted in the gallbladder. Two dogs were followed-up and sacrificed at 2,4 and 8 weeks after stent placement, respectively, and the other expired 2 days after stent placement. Follow-up cholangiograms were obtained before aninmal was sacrified, and a pathologic examination was performed. Stent placement was technically successful in all cases. One dog expired 2 days after placement because of bile peritonitis due to migration of the drainage tube into the peritoneal cavity, but the other six remained healthy during the follow-up period. Cholangiography performed before the sacrifice of each dog showed that the stents were patent. Pathologic examination revealed the proliferation of granulation tissue at 2 weeks, and complete endothelialization over the stents by granulation tissue at 8 weeks. Percutaneous transcholecystic biliary stent placement appears to be safe, easy and useful. After placement, the stent was patent during the follow-period.

  19. Termination Issues in Residential Placement

    OpenAIRE

    Mann-Feder, Varda

    2003-01-01

    The termination phase of residential child care placement has a powerful effect on postplacement adjustment. This article reviews relevant literature from a range of helping/caring professions and outlines implications for managing termination with children and youth in care. Major themes are: termination elicits ambivalence and can manifest as behavioural regression; intervention during the termination phase can have significant impact; and the capacity of child and youth care workers to ...

  20. Titanium condenser tubes

    International Nuclear Information System (INIS)

    The corrosion resistance of titanium in sea water is extremely excellent, but titanium tubes are expensive, and the copper alloy tubes resistant in polluted sea water were developed, therefore they were not used practically. In 1970, ammonia attack was found on the copper alloy tubes in the air-cooled portion of condensers, and titanium tubes have been used as the countermeasure. As the result of the use, the galvanic attack an copper alloy tube plates with titanium tubes as cathode and the hydrogen absorption at titanium tube ends owing to excess electrolytic protection were observed, but the corrosion resistance of titanium tubes was perfect. These problems can be controlled by the application of proper electrolytic protection. The condensers with all titanium tubes adopted recently in USA are intended to realize perfectly no-leak condensers as the countermeasure to the corrosion in steam generators of PWR plants. Regarding large condensers of nowadays, three problems are pointed out, namely the vibration of condenser tubes, the method of joining tubes and tube plates, and the tubes of no coolant leak. These three problems in case of titanium tubes were studied, and the problem of the fouling of tubes was also examined. The intervals of supporting plates for titanium tubes should be narrowed. The joining of titanium tubes and titanium tube plates by welding is feasible and promising. The cleaning with sponge balls is effective to control fouling. (Kako, I.)

  1. A prospective randomized trial of transnasal ileus tube vs nasogastric tube for adhesive small bowel obstruction

    Institute of Scientific and Technical Information of China (English)

    Xiao-Li Chen; Fena Ji; Qi Lin; Yi-Peng Chen; Jian-Jiang Lin; Feng Ye; Ji-Ren Yu; Yi-Jun Wu

    2012-01-01

    AIM:To study the therapeutic efficacy of a new transnasal ileus tube advanced endoscopically for adhesive small bowel obstruction.METHODS:A total of 186 patients with adhesive small bowel obstruction treated from September 2007 to February 2011 were enrolled into this prospective randomized controlled study.The endoscopically advanced new ileus tube was used for gastrointestinal decompression in 96 patients and ordinary nasogastric tube (NGT) was used in 90 patients.The therapeutic efficacy was compared between the two groups.RESULTS:Compared with the NGT group,the ileus tube group experienced significantly shorter time for relief of clinical symptoms and improvement in the findings of abdominal radiograph (4.1 ± 2.3 d vs 8.5 ± 5.0 d) and laboratory tests (P < 0.01).The overall effectiveness rate was up to 89.6% in the ileus tube group and 46.7% in the NGT group (P < 0.01).And 10.4% of the patients in the ileus tube group and 53.3% of the NGT group underwent surgery.For recurrent adhesive bowel obstruction,ileus tube was also significantly more effective than NGT (95.8% vs 31.6%).In the ileus tube group,the drainage output on the first day and the length of hospital stay were significantly different depending on the treatment success or failure (P < 0.05).The abdominal radiographic improvement was correlated with whether or not the patient underwent surgery.CONCLUSION:Ileus tube can be used for adhesive small bowel obstruction.Endoscopic placement of the ileus tube is convenient and worthy to be promoted despite the potential risks.

  2. The Forms and Analysis of Product Placement

    OpenAIRE

    Hlaváček, Josef

    2014-01-01

    The aim of this thesis is to describe marketing communication and product placement in the theoretical part, consequently analyze examples of product placement from the practice and last but not least also analyze the perception and examples of product placement based on the survey research. Therefore the thesis is divided into three main parts. The first, theoretical part, describes the marketing mix, concept of communication, communication mix, new forms of communication, integrated marketi...

  3. Service placement in ad hoc networks

    CERN Document Server

    Wittenburg, Georg

    2012-01-01

    Service provisioning in ad hoc networks is challenging given the difficulties of communicating over a wireless channel and the potential heterogeneity and mobility of the devices that form the network. Service placement is the process of selecting an optimal set of nodes to host the implementation of a service in light of a given service demand and network topology. The key advantage of active service placement in ad hoc networks is that it allows for the service configuration to be adapted continuously at run time. ""Service Placement in Ad Hoc Networks"" proposes the SPi service placement fr

  4. Product placement of computer games in cyberspace.

    Science.gov (United States)

    Yang, Heng-Li; Wang, Cheng-Shu

    2008-08-01

    Computer games are considered an emerging media and are even regarded as an advertising channel. By a three-phase experiment, this study investigated the advertising effectiveness of computer games for different product placement forms, product types, and their combinations. As the statistical results revealed, computer games are appropriate for placement advertising. Additionally, different product types and placement forms produced different advertising effectiveness. Optimum combinations of product types and placement forms existed. An advertisement design model is proposed for use in game design environments. Some suggestions are given for advertisers and game companies respectively. PMID:18721087

  5. Product placement of computer games in cyberspace.

    Science.gov (United States)

    Yang, Heng-Li; Wang, Cheng-Shu

    2008-08-01

    Computer games are considered an emerging media and are even regarded as an advertising channel. By a three-phase experiment, this study investigated the advertising effectiveness of computer games for different product placement forms, product types, and their combinations. As the statistical results revealed, computer games are appropriate for placement advertising. Additionally, different product types and placement forms produced different advertising effectiveness. Optimum combinations of product types and placement forms existed. An advertisement design model is proposed for use in game design environments. Some suggestions are given for advertisers and game companies respectively.

  6. [Nasogastric tubes: a lot of bother].

    Science.gov (United States)

    Tagliabue, Fabio; D'Angelo, Carlo; Zuccon, William; Giorgetta, Casimiro; Balduzzi, Valerio; Gambarini, Fabrizio; Bonandrini, Luigi

    2008-01-01

    The insertion of the nasogastric tube is one of the procedure that produces the most discomfort for the patients and practitioners. The AA, with the make use of their clinical experience and the data of the literature, report some personal reflections about the management of the nasogastric tube. The AA also analyse some variables (choice of the tube, approach to the patient, insertion of the tube, examination of the position, fixation and removal) that can influence on discomfort of the patient. The choice of the most right SNG is an important moment for the correct insertion; an effect we need to adjust the material and diameter of the tube to the prearranged use. The common practice demonstrates that the collaboration with the patient, obtained by "direct" and "indirect" strategies, gives more possibilities to immediately success of this procedure. The literature explains that it is possible to decrease the discomfort with topical anesthesia; still there are some points of view to clarify. From analyse of the different methods to check the position of SNG, the pH test of the aspirating fluid is the best solution. Once examination of right placement, we need to fix in different points (at least two). From personal experience the removal of SNG is better tolerate that the insertion because the patient is more conscious to be on the mend. The principal recommendation is to abstain from insertion of SNG if it is not closely necessary!

  7. Pleural controversy: optimal chest tube size for drainage.

    Science.gov (United States)

    Light, Richard W

    2011-02-01

    In recent years, a higher and higher percentage of patients with pleural effusions or pneumothorax are being treated with small-bore (10-14 F) chest tubes rather than large-bore (>20 F). However, there are very few randomized controlled studies comparing the efficacy and complication rates with the small- and large-bore catheters. Moreover, the randomized trials that are available have flaws in their design. The advantages of the small-bore catheters are that they are easier to insert and there is less pain with their insertion while they are in place. The placement of the small-bore catheters is probably more optimal when placement is done with ultrasound guidance. Small-bore chest tubes are recommended when pleurodesis is performed. The success of the small-bore indwelling tunnelled catheters that are left in place for weeks documents that the small-bore tubes do not commonly become obstructed with fibrin. Patients with complicated parapneumonic effusions are probably best managed with small-bore catheters even when the pleural fluid is purulent. Patients with haemothorax are best managed with large-bore catheters because of blood clots and the high volume of pleural fluid. Most patients with pneumothorax can be managed with aspiration or small-bore chest tubes. If these fail, a large-bore chest tube may be necessary. Patients on mechanical ventilation with barotrauma induced pneumothoraces are best managed with large-bore chest tubes.

  8. Management of urinary retention in an austere environment: suprapubic catheter placement.

    Science.gov (United States)

    Smith, Christopher P; Sorrells, Andrew; Coburn, Michael

    2010-01-01

    Urinary retention is a true urologic emergency. First-line treatment with a transurethral catheter can and will fail. SOF medics need a reliable and durable method to resolve this problem using a minimal amount of resources and time. Current SOF Medical Handbook guidance for the management of unsuccessful urethral catheterization is inadequate. This article and accompanying video link, functions as a starting point for incorporating suprapubic tube placement in the training regimen and therapeutic armamentarium of SOF medical personnel. PMID:21049433

  9. Randomized prospective evaluation of nephrostomy tube configuration: impact on postoperative pain

    OpenAIRE

    Derek Weiland; Pedro, Renato N.; Kyle Anderson, J.; Best, Sara L.; Lee Courtney; Kari Hendlin; Johnstone Kim; Manoj Monga

    2007-01-01

    OBJECTIVE: Conduct a prospective randomized single-blind comparison of two nephrostomy catheter designs, evaluating specifically intraoperative placement and postoperative comfort. MATERIALS AND METHODS: The single-blind, prospective randomized trial was conducted with institutional review board approval. All patients undergoing percutaneous nephrolithotomy who gave informed consent were randomized to placement of either a Boston Scientific Flexima 8.3F pigtail nephrostomy tube #27-180 (PIG) ...

  10. Temporary mushroom like covered stent placement with transnasal esophageal fistula abscess drainage for gastroesophageal anastomotic fistula

    International Nuclear Information System (INIS)

    Objective: To investigate the therapeutic effects on gastroesophageal anastomotic fistula with temporary placing covered stent of mushroom shape and transnasal drainage of gastroesophageal anastomotic abscess. Methods: For 8 patients with gastroesophageal anastomotic fistula, under fluoroscopic guidance, the drainage tube was put into the abscess cavity through nasal cavity and esophageal fistula, then stent was implanted within the esophagus. The abscess cavity was aspirated and esophagogram was taken in suitable time. Retaining the drainage tube about one month and then the stent was withdrawn after one week of the taken out of the former. Results: The drainage of abscess and stent placement was successful. The drainage tube was pulled out during 14-21 days after placement. The stent should be removed within one month. All fistulas were closed up and the abscesses disappeared. Conclusions: It is a safe, efficient, complicationless, non-invasive method to treat gastroesophageal anastomotic fistula with temporary placing covered stent with mushroom shape and drainage of abscess through nasal cavity and esophagus. Temporary mushroom-like covered stent placement with transnasal gastroesophageal anastomotic abscess drainage is a safe efficient, complication-less non-invasive method used interventionally. (authors)

  11. Private Placement Debt Financing for Public Entities

    Science.gov (United States)

    Holman, Lance S.

    2010-01-01

    Private placement financing is a debt or capital lease obligation arranged between a municipality or a 501(c) (3) not-for-profit organization and a single sophisticated institutional investor. The investor can be a bank, insurance company, finance company, hedge fund, or high-net worth individual. Private placement financing is similar to…

  12. Internship guide : Work placements step by step

    NARCIS (Netherlands)

    Haag, Esther

    2013-01-01

    Internship Guide: Work Placements Step by Step has been written from the practical perspective of a placement coordinator. This book addresses the following questions : what problems do students encounter when they start thinking about the jobs their degree programme prepares them for? How do you fi

  13. 20 CFR 801.103 - Organizational placement.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Organizational placement. 801.103 Section 801... BOARD Establishment and Authority of the Board § 801.103 Organizational placement. As prescribed by the... Administration in the Department of Labor. It is accordingly found appropriate for organizational purposes...

  14. 新生儿高位肠梗阻术中经鼻置小肠管术后喂养五例报告%Intraoperative placement of transnasal small intestinal feeding tube during the surgery in 5 cases with high position intestinal obstruction and postoperative feeding

    Institute of Scientific and Technical Information of China (English)

    段光琦; 张敏; 管肖浩; 尹治青

    2012-01-01

    目的 探讨小肠营养管在新生儿高位肠梗阻治疗中的价值.方法 5例新生儿(其中男3例,女2例;早产儿1例,足月儿4例;十二指肠膜状闭锁2例,环状胰腺1例,近段小肠闭锁2例;合并旋转不良1例),行十二指肠隔膜切除、小肠盲端切除及肠吻合手术,合并旋转不良一并解决.术中在吻合完成前,由麻醉师经鼻置入日本CREATE MEDIC CO.,LTD生产的6Fr小肠ED导管[注册号:国食药监械(进)字2007第2661620号],术后24 h拍腹平片,喂糖水;48 h用静脉推注泵从营养管泵入配方奶,奶量据病情渐加至正常.初始3~4 d使用静脉营养,术后1周不拔管经口喂养,辅以管内泵奶,停止补液.10~22 d拔营养管出院.结果 5例全部达到经管喂养目的,减少静脉营养的使用时间和避免造瘘手术.无1例脱管,无黄疸加重,肝肾功能正常.刚开始1例有奶瓣堵管,0.9%氯化钠液冲洗后恢复通畅,之后每次注奶后温开水冲洗管道1次.1例经口足量喂奶出现呕吐,上消化道造影未见吻合口狭窄和瘘,无肠梗阻,拔管喂养症状消失出院.1例腹泻,改无乳糖营养液同时给予复合乳酸菌制剂口服,症状消失.5例最短住院10 d,最长住院22 d,平均住院16 d.术后3~5d体重恢复到出生体重,出院时体重均有增加,平均增长5.5g/(kg·d).结论 小肠营养管对新生儿高位肠梗阻术后营养的维持有重要价值.%Objective To explore the value of employing the small intestinal feeding tube in treating high position intestinal obstruction of newborn infant. Method Five newborn infants (3 males and 2 females; 1 premature infant and 4 fully-mature infants; 2 had membranous atresia of duodenum,1 had annular pancreas,and 2 had proximal small intestine atresia; 1 infant had malrotation ). The duodenal membrane-like atresia and the blind-end of small intestine were removed and intestinal anastomosis was performed,which was combined with intestinal malrotation

  15. Genetic Algorithm Approaches for Actuator Placement

    Science.gov (United States)

    Crossley, William A.

    2000-01-01

    This research investigated genetic algorithm approaches for smart actuator placement to provide aircraft maneuverability without requiring hinged flaps or other control surfaces. The effort supported goals of the Multidisciplinary Design Optimization focus efforts in NASA's Aircraft au program. This work helped to properly identify various aspects of the genetic algorithm operators and parameters that allow for placement of discrete control actuators/effectors. An improved problem definition, including better definition of the objective function and constraints, resulted from this research effort. The work conducted for this research used a geometrically simple wing model; however, an increasing number of potential actuator placement locations were incorporated to illustrate the ability of the GA to determine promising actuator placement arrangements. This effort's major result is a useful genetic algorithm-based approach to assist in the discrete actuator/effector placement problem.

  16. A method to locate electrode placement.

    Science.gov (United States)

    Brodnick, D

    2000-01-01

    A new method uses redundancy in the 12-lead electrocardiogram (ECG) to determine the angles to all of the electrodes used to record the ECG. No other transducers or signals are needed. The method, a matrix manipulation of the standard 12-lead, would be applicable to all existing ECGs already stored on hospital systems. The invention of this method was originally motivated by the slight differences seen between ECGs acquired by the standard resting electrode placement versus those acquired in a monitoring or exercise placement. An ECG signal is acquired in multiple channels. A covariance matrix is formed. From the eigenvector solution of the matrix, the angles between the eigenvectors and the original signal vectors are determined. The angles calculated for any ECG test are compared to reference angles to determine whether the electrodes are placed in the standard ECG electrode placement, an alternative electrode placement, or an incorrect electrode placement.

  17. Artificial Intelligence based technique for BTS placement

    Science.gov (United States)

    Alenoghena, C. O.; Emagbetere, J. O.; Aibinu, A. M.

    2013-12-01

    The increase of the base transceiver station (BTS) in most urban areas can be traced to the drive by network providers to meet demand for coverage and capacity. In traditional network planning, the final decision of BTS placement is taken by a team of radio planners, this decision is not fool proof against regulatory requirements. In this paper, an intelligent based algorithm for optimal BTS site placement has been proposed. The proposed technique takes into consideration neighbour and regulation considerations objectively while determining cell site. The application will lead to a quantitatively unbiased evaluated decision making process in BTS placement. An experimental data of a 2km by 3km territory was simulated for testing the new algorithm, results obtained show a 100% performance of the neighbour constrained algorithm in BTS placement optimization. Results on the application of GA with neighbourhood constraint indicate that the choices of location can be unbiased and optimization of facility placement for network design can be carried out.

  18. Artificial Intelligence based technique for BTS placement

    International Nuclear Information System (INIS)

    The increase of the base transceiver station (BTS) in most urban areas can be traced to the drive by network providers to meet demand for coverage and capacity. In traditional network planning, the final decision of BTS placement is taken by a team of radio planners, this decision is not fool proof against regulatory requirements. In this paper, an intelligent based algorithm for optimal BTS site placement has been proposed. The proposed technique takes into consideration neighbour and regulation considerations objectively while determining cell site. The application will lead to a quantitatively unbiased evaluated decision making process in BTS placement. An experimental data of a 2km by 3km territory was simulated for testing the new algorithm, results obtained show a 100% performance of the neighbour constrained algorithm in BTS placement optimization. Results on the application of GA with neighbourhood constraint indicate that the choices of location can be unbiased and optimization of facility placement for network design can be carried out

  19. Tracheostomy tube - speaking

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000465.htm Tracheostomy tube - speaking To use the sharing features on ... are even speaking devices that can help you. Tracheostomy Tubes and Speaking Air passing through vocal cords ( ...

  20. Neural Tube Defects

    Science.gov (United States)

    Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the ... that she is pregnant. The two most common neural tube defects are spina bifida and anencephaly. In ...

  1. Esophageal Perforation with Unilateral Fluidothorax Caused by Nasogastric Tube

    Directory of Open Access Journals (Sweden)

    Lukas P. Mileder

    2016-01-01

    Full Text Available Preterm infants are highly susceptible to injuries following necessary and often life-saving medical interventions. Esophageal perforation is a rare, yet serious complication that can be caused by aerodigestive tract suction, endotracheal intubation, or nasogastric tube placement. We present the case of a neonate born at 23 weeks plus three days of gestation with chest radiography showing malposition of the nasogastric feeding tube and massive right-sided effusion of Iopamidol in the pleural cavity due to esophageal perforation. In addition, the article summarizes common signs and symptoms associated with esophageal perforation in infants and discusses diagnostic approaches.

  2. Percutaneous gastrostomy performed by radiologists using balloon replacement tubes. A simple interventional technique for the placement of nutritional catheters without endoscopy or surgery; Perkutane Gastrostomie mit Ballon-PEG-Ersatzsonden durch den Radiologen. Eine interventionelle Technik zur einfachen Einlage von Ernaehrungskathetern ohne chirurgischen oder endoskopischen Eingriff

    Energy Technology Data Exchange (ETDEWEB)

    Dinkel, H.P.; Triller, J. [Bern Univ. (Switzerland). Inst. fuer Diagnostische Radiologie

    2001-06-01

    Patients afflicted with stenotic head and neck or esophageal tumors often require artificial enteral feeding. Frequently passage of an endoscope through the esophagus is impossible in these patients. Interventional, fluoroscopically assisted, percutaneous gastrostomy (PG) by balloon replacement tubes is a feasible and successful alternative to percutaneous endoscopic gastrostomy (PEG) and the method of choice in patients where the esophagus cannot be passed with an endoscope anymore. Technical success rate is very high and serious complications are rare. Radiological PG is a feasible, equivalent alternative to PEG also in all other patients. We recommend PG with balloon gastrostomy tubes in conjunction with gastropexy performed with three to four T-fasteners, which are left in place for seven days in order to prevent dislocation and leakage. (orig.) [German] Patienten mit HNO-Tumoren oder malignen Oesophagusstenosen muessen oft mit einem gastroenteralen Stoma versorgt werden. Haeufig sind die Tumoren so stenosierend, dass eine perkutane endoskopische Gastrostomie (PEG) nicht mehr moeglich ist und eine chirurgische Gastrostomie durchgefuehrt wird. Wir berichten ueber die radiologisch-perkutane Gastrostomie (PG). Die perkutane Gastrostomie ist Methode der Wahl bei stark stenosierenden oesophagealen Prozessen. Auch bei anderen Patienten (ohne Passagehindernis) stellt die PG eine gleichwertige Alternative zur PEG dar. Die Erfolgsrate der PG liegt nahe 100%, Komplikationen sind selten. Wir empfehlen Ballon-arretierte Sonden (sog. Ballonersatzsonden) in Verbindung mit der perkutanen Gastropexie mit 3-4 Fadenzugankern, die fuer etwa 7 Tage belassen werden. (orig.)

  3. Placement of percutaneous transhepatic biliary stent using a silicone drain with channels

    Institute of Scientific and Technical Information of China (English)

    Hiroshi Yoshida; Yasuhiro Mamada; Nobuhiko Taniai; Sho Mineta; Yoshiaki Mizuguchi; Yoichi Kawano; Junpei Sasaki; Yoshiharu Nakamura; Takayuki Aimoto; Takashi Tajiri

    2009-01-01

    This report describes a method for percutaneous transhepatic biliary stenting with a BLAKE Silicone Drain, and discusses the usefulness of placement of the drain connected to a J-VAC Suction Reservoir for the treatment of stenotic hepaticojejunostomy.Percutaneous transhepatic biliary drainage was performed under ultrasonographic guidance in a patient with stenotic hepaticojejunostomy after hepatectomy for hepatic hilum malignancy. The technique used was as follows. After dilatation of the drainage root, an 11-Fr tube with several side holes was passed through the stenosis of the hepaticojejunostomy. A 10-Fr BLAKE Silicone Drain is flexible, which precludes onestep insertion. One week after insertion of the 11-Fr tube, a 0.035-inch guidewire was inserted into the tube. After removal of the 11-Fr tube, the guidewire was put into the channel of a 10-Fr BLAKE Silicone Drain. The drain was inserted into the jejunal limb through the intrahepatic bile duct and was connected to a J-VAC Suction Reservoir. Low-pressure continued suction was applied. Patients can be discharged after insertion of the 10-Fr BLAKE Silicone Drain connected to the J-VAC Suction Reservoir. Placement of a percutaneous transhepatic biliary stent using a 10-Fr BLAKE Silicone Drain connected to a J-VAC Suction Reservoir is useful for the treatment of stenotic hepaticojejunostomy.

  4. 21 CFR 868.5800 - Tracheostomy tube and tube cuff.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Tracheostomy tube and tube cuff. 868.5800 Section... (CONTINUED) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Therapeutic Devices § 868.5800 Tracheostomy tube and tube cuff. (a) Identification. A tracheostomy tube and tube cuff is a device intended to be placed into...

  5. Selective Placement Program Coordinator (SPPC) Directory

    Data.gov (United States)

    Office of Personnel Management — List of the Selective Placement Program Coordinators (SPPC) in Federal agencies, updated as needed. Users can filter the list by choosing a state and/or agency name.

  6. Educational Placement of Children with Spina Bifida.

    Science.gov (United States)

    Lauder, Calvin E.; And Others

    1979-01-01

    Procedures of school placement for 38 children (ages 5 to 18 years) with spina bifida in 23 school districts in western New York State were studied 5 years after a mandated process was enacted. (Author)

  7. Standard—Cell Placement from Functional Descriptions

    Institute of Scientific and Technical Information of China (English)

    KlausBuchenrieder

    1991-01-01

    This paper presents a functional language for the unambiguous description of digital circuits,a method and algorithms to obtain a standard-cell layout,and a comparative evaluation of the developed functional standard-cell placement technique.The presented placement scheme is different from traditional methods because the complete layout grometry is specified and constructed automatically from a functional description.The construction relies on a translation that combines the simplicity of standard-cells with the elegance of functional programming.An evaluation of the method introduced shows that the quality of the resulting placement is close to the results achieved with simulated annealing while the computation time is significantly less.Furthermore,the evaluation suggests to employ the functional placement method in conjunction with low-temperature simulated annealing for running-time reduction and improvedresults.

  8. Student life - Tips for placement success.

    Science.gov (United States)

    2016-03-01

    Placements are an inevitable part of a nursing degree which provide a platform for on-the-job learning and development, greatly enhancing a student nurse's understanding of their career choice. PMID:26932655

  9. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... YouTube Videos > NEI YouTube Videos: Amblyopia NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration Amblyopia ... of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI on Twitter NEI on YouTube NEI ...

  10. NEI You Tube Videos: Amblyopia

    Science.gov (United States)

    ... NEI YouTube Videos > NEI YouTube Videos: Amblyopia NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration ... Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI on Twitter NEI on YouTube ...

  11. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... NEI YouTube Videos > NEI YouTube Videos: Amblyopia NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration ... Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI on Twitter NEI on YouTube ...

  12. Experiences of Supervision at Practice Placement Sites

    OpenAIRE

    Lesley Diack; Kathrine Gibson; Kim Munro; Alison Strath

    2014-01-01

    Background. Whilst placement supervision and clinical education programmes are of significant value in shaping the behaviours of undergraduate healthcare students, appropriate provisions which are efficacious to the learner are somewhat lacking, particularly for students studying on UK MPharm programmes. Objectives. To explore and explain the value of placement supervision to the personal development and employability of undergraduate pharmacy students. Methods. Students participated in a wee...

  13. Beacon Node Placement for Minimal Localization Error

    OpenAIRE

    Yuan, Zimu; Li, Wei; Xu, Zhiwei; Zhao, Wei

    2015-01-01

    Beacon node placement, node-to-node measurement, and target node positioning are the three key steps for a localization process. However, compared with the other two steps, beacon node placement still lacks a comprehensive, systematic study in research literatures. To fill this gap, we address the Beacon Node Placment (BNP) problem that deploys beacon nodes for minimal localization error in this paper. BNP is difficult in that the localization error is determined by a complicated combination ...

  14. Tow placement studies for liquid composite moulding

    OpenAIRE

    Turner, Matthew Richard

    1998-01-01

    This thesis describes the work undertaken developing techniques for the design and manufacture of continuous fibre preforms for liquid composite moulding. A prototype tow placement facility based on the roller placement of up to 5 tows onto a flat bed was developed. This was used to prepare preforms for 4 industrially based demonstrator components which were subsequently successfully moulded. In tests vibrational performance of parts so manufactured showed slight improvements in mechanical pe...

  15. Exploring continuous clinical placement for undergraduate students.

    Science.gov (United States)

    McKenna, Lisa G; Wray, Natalie; McCall, Louise

    2009-08-01

    Clinical placements are integral to health professional preparatory courses. These placements allow for the application of classroom-based learning into real patient care situations. In doing so, they provide opportunities for applying theoretical knowledge into practice contexts, skills development and socialisation into the chosen profession. However, despite its recognised importance across health professions, little has been written about optimal structures for supporting clinical learning. This paper presents one group of findings from a larger qualitative study aimed at exploring health professional student's clinical experiences and their impact on career intentions. Findings reported here present a group of undergraduate midwifery student's perspectives on a "home" hospital clinical placement model where continuous clinical placements were taken in the same agency (or hospital group) for 2 days per week over the final 2 years of their course. Two main themes emerged from the data analysis, these being, 'familiarity' and 'continuity'. It is concluded that continuous placements in the same clinical setting have the potential to offer greater opportunities for learning and early professional socialisation than traditional block (Monday to Friday) placements. They can offer a more integrated approach to classroom theory and its application into practice. PMID:18427942

  16. Optimal DG placement in deregulated electricity market

    Energy Technology Data Exchange (ETDEWEB)

    Gautam, Durga; Mithulananthan, Nadarajah [Electric Power System Management, Energy Field of Study, Asian Institute of Technology, P.O. Box 4, Klong Luang, Pathumthani 12120 (Thailand)

    2007-10-15

    This paper presents two new methodologies for optimal placement of distributed generation (DG) in an optimal power flow (OPF) based wholesale electricity market. DG is assumed to participate in real time wholesale electricity market. The problem of optimal placement, including size, is formulated for two different objectives, namely, social welfare maximization and profit maximization. The candidate locations for DG placement are identified on the basis of locational marginal price (LMP). Obtained as lagrangian multiplier associated with active power flow equation for each node, LMP gives the short run marginal cost (SRMC) of electricity. Consumer payment, evaluated as a product of LMP and load at each load bus, is proposed as another ranking to identify candidate nodes for DG placement. The proposed rankings bridges engineering aspects of system operation and economic aspects of market operation and act as good indicators for the placement of DG, especially in a market environment. In order to provide a scenario of variety of DGs available in the market, several cost characteristics are assumed. For each DG cost characteristic, an optimal placement and size is identified for each of the objectives. The proposed methodology is tested in a modified IEEE 14 bus test system. (author)

  17. Building lab-scale x-ray tube based irradiators

    Science.gov (United States)

    Haff, Ron; Jackson, Eric; Gomez, Joseph; Light, Doug; Follett, Peter; Simmons, Greg; Higbee, Brad

    2016-04-01

    Here we report the use of x-ray tube based irradiators as alternatives to gamma sources for laboratory scale irradiation. Irradiators were designed with sample placement in closest possible proximity to the source, allowing high dose rates for small samples. Designs using 1000 W x-ray tubes in single tube, double tube, and four tube configurations are described, as well as various cabinet construction techniques. Relatively high dose rates were achieved for small samples, demonstrating feasibility for laboratory based irradiators for research purposes. Dose rates of 9.76, 5.45, and 1.7 Gy/min/tube were measured at the center of a 12.7 cm container of instant rice at 100 keV, 70 keV, and 40 keV, respectively. Dose uniformity varies dramatically as the distance from source to container. For 2.54 cm diameter sample containers containing adult Navel Orangeworm, dose rates of 50-60 Gy/min were measured in the four tube system.

  18. Lunar Lava Tube Sensing

    Science.gov (United States)

    York, Cheryl Lynn; Walden, Bryce; Billings, Thomas L.; Reeder, P. Douglas

    1992-01-01

    Large (greater than 300 m diameter) lava tube caverns appear to exist on the Moon and could provide substantial safety and cost benefits for lunar bases. Over 40 m of basalt and regolith constitute the lava tube roof and would protect both construction and operations. Constant temperatures of -20 C reduce thermal stress on structures and machines. Base designs need not incorporate heavy shielding, so lightweight materials can be used and construction can be expedited. Identification and characterization of lava tube caverns can be incorporated into current precursor lunar mission plans. Some searches can even be done from Earth. Specific recommendations for lunar lava tube search and exploration are (1) an Earth-based radar interferometer, (2) an Earth-penetrating radar (EPR) orbiter, (3) kinetic penetrators for lunar lava tube confirmation, (4) a 'Moon Bat' hovering rocket vehicle, and (5) the use of other proposed landers and orbiters to help find lunar lava tubes.

  19. Tubing weld cracking test

    International Nuclear Information System (INIS)

    A tubing weld cracking (TWC) test was developed for applications involving advanced austenitic alloys (such as modified 800H and 310HCbN). Compared to the Finger hot cracking test, the TWC test shows an enhanced ability to evaluate the crack sensitivity of tubing materials. The TWC test can evaluate the cracking tendency of base as well as filter materials. Thus, it is a useful tool for tubing suppliers, filler metal producers and fabricators

  20. Endoscopically placed nasogastrojejunal feeding tubes: a safe route for enteral nutrition in patients with hepatic encephalopathy.

    Science.gov (United States)

    Lee, Steven S; Mathiasen, Ronald A; Lipkin, Craig A; Colquhoun, Steven D; Margulies, Daniel R

    2002-02-01

    Patients with hepatic encephalopathy are at particular risk for aspiration when given oral or gastric feedings. An ideal strategy might combine distal enteral feeding with proximal gastric decompression, which is offered by a nasogastrojejunal (NGJ) feeding tube. One objective was to determine the efficacy and safety of endoscopically placed NGJ feeding tubes in patients with hepatic encephalopathy. Charts of patients who underwent NGJ tube placements between April 1997 and January 2000 were retrospectively reviewed. Two endoscopic techniques ("push" and "pull") were used. Eighteen patients (nine male and nine female) underwent 32 procedures. Twelve patients had undergone liver transplantation, four had decompensated cirrhosis, and two had fulminant hepatic failure. Twenty procedures used the push technique and 12 required the pull technique. The insertion time was shorter for the push technique compared with the pull technique (21.8 vs 39.6 min, P < 0.05). Enteral feedings were begun at an average of 5.2 hours after tube placement. The tubes remained in place for an average of 13.9 days. Complications related to the NGJ tubes included self-removal in eight, tube clogging in five, proximal migration in four, and intraduodenal migration of the gastric port in one. No aspiration episodes occurred. We conclude that NGJ feeding tubes may be placed endoscopically as a bedside procedure for patients with hepatic encephalopathy and provide a safe, efficacious, and rapid route for enteral nutrition in these patients.

  1. Categorising YouTube

    OpenAIRE

    Thomas Mosebo Simonsen

    2011-01-01

    This article provides a genre analytical approach to creating a typology of the User Generated Content (UGC) of YouTube. The article investigates the construction of navigation processes on the YouTube website. It suggests a pragmatic genre approach that is expanded through a focus on YouTube’s technological affordances. Through an analysis of the different pragmatic contexts of YouTube, it is argued that a taxonomic understanding of YouTube must be analysed in regards to the vacillation of a...

  2. Steam generator tube performance

    International Nuclear Information System (INIS)

    A survey of steam generator operating experience for 1986 has been carried out for 184 pressurized water and pressurized heavy-water reactors, and 1 water-cooled, graphite-moderated reactor. Tubes were plugged at 75 of the reactors (40.5%). In 1986, 3737 tubes were plugged (0.14% of those in service) and 3148 tubes were repaired by sleeving. A small number of reactors accounted for the bulk of the plugged tubes, a phenomenon consistent with previous years. For 1986, the available tubesheet sludge data for 38 reactors has been compiled into tabular form, and sludge/deposit data will be incorporated into all future surveys

  3. Advanced tow placement of composite fuselage structure

    Science.gov (United States)

    Anderson, Robert L.; Grant, Carroll G.

    1992-01-01

    The Hercules NASA ACT program was established to demonstrate and validate the low cost potential of the automated tow placement process for fabrication of aircraft primary structures. The program is currently being conducted as a cooperative program in collaboration with the Boeing ATCAS Program. The Hercules advanced tow placement process has been in development since 1982 and was developed specifically for composite aircraft structures. The second generation machine, now in operation at Hercules, is a production-ready machine that uses a low cost prepreg tow material form to produce structures with laminate properties equivalent to prepreg tape layup. Current program activities are focused on demonstration of the automated tow placement process for fabrication of subsonic transport aircraft fuselage crown quadrants. We are working with Boeing Commercial Aircraft and Douglas Aircraft during this phase of the program. The Douglas demonstration panels has co-cured skin/stringers, and the Boeing demonstration panel is an intricately bonded part with co-cured skin/stringers and co-bonded frames. Other aircraft structures that were evaluated for the automated tow placement process include engine nacelle components, fuselage pressure bulkheads, and fuselage tail cones. Because of the cylindrical shape of these structures, multiple parts can be fabricated on one two placement tool, thus reducing the cost per pound of the finished part.

  4. Disc-retained tubes for radiologically inserted gastrostomy (RIG): Not up to the job?

    International Nuclear Information System (INIS)

    Aim: To assess the insertion procedure and performance of disc-retained gastrostomy tubes, recording complications and accidental displacements by prospective audit, and to determine whether primary placement of the tube off-licence was feasible. Materials and methods: Disc-retained 12 F single-lumen Monarch gastrostomy tubes (Enteral UK, Selby, UK) were inserted by three gastrointestinal interventional radiologists in a supra-regional cancer centre. The 12 F tubes required a 20 F peel-away sheath with four-point gastropexy fixation and were placed under conscious sedation, using electrocardiogram (EEG) bispectral index monitoring. Follow-up was performed in an in-house gastrostomy drop-in clinic at 1 week and 1 month, supplemented with weekly telephone follow-up. Patients also had open access to the gastrostomy drop-in clinic for immediate advice and complication management. Results: Eighteen patients underwent primary insertion of a Monarch gastrostomy tube over 5 months. A total of 6/18 (33%) tubes displaced; 4/18 (22%) completely, 2/18 (11%) occult into the peritoneum. Four of 18 (22%) patients developed infection at the stoma site. Due to the unexpectedly poor performance of the tube, the study was terminated early. Conclusion: Initial experience with the Monarch disc-retained gastrostomy tube demonstrates it unsuitable for primary placement with current protocols. In view of the potentially serious complications, the Medicines and Healthcare Products Regulatory Agency (MHRA) has been informed. A request has been made to the distributer to reassess the tube design and/or review the procedure promoted for primary placement

  5. Steam generator tube failures

    International Nuclear Information System (INIS)

    A review and summary of the available information on steam generator tubing failures and the impact of these failures on plant safety is presented. The following topics are covered: pressurized water reactor (PWR), Canadian deuterium uranium (CANDU) reactor, and Russian water moderated, water cooled energy reactor (VVER) steam generator degradation, PWR steam generator tube ruptures, the thermal-hydraulic response of a PWR plant with a faulted steam generator, the risk significance of steam generator tube rupture accidents, tubing inspection requirements and fitness-for-service criteria in various countries, and defect detection reliability and sizing accuracy. A significant number of steam generator tubes are defective and are removed from service or repaired each year. This wide spread damage has been caused by many diverse degradation mechanisms, some of which are difficult to detect and predict. In addition, spontaneous tube ruptures have occurred at the rate of about one every 2 years over the last 20 years, and incipient tube ruptures (tube failures usually identified with leak detection monitors just before rupture) have been occurring at the rate of about one per year. These ruptures have caused complex plant transients which have not always been easy for the reactor operators to control. Our analysis shows that if more than 15 tubes rupture during a main steam line break, the system response could lead to core melting. Although spontaneous and induced steam generator tube ruptures are small contributors to the total core damage frequency calculated in probabilistic risk assessments, they are risk significant because the radionuclides are likely to bypass the reactor containment building. The frequency of steam generator tube ruptures can be significantly reduced through appropriate and timely inspections and repairs or removal from service

  6. Steam generator tube failures

    Energy Technology Data Exchange (ETDEWEB)

    MacDonald, P.E.; Shah, V.N.; Ward, L.W.; Ellison, P.G.

    1996-04-01

    A review and summary of the available information on steam generator tubing failures and the impact of these failures on plant safety is presented. The following topics are covered: pressurized water reactor (PWR), Canadian deuterium uranium (CANDU) reactor, and Russian water moderated, water cooled energy reactor (VVER) steam generator degradation, PWR steam generator tube ruptures, the thermal-hydraulic response of a PWR plant with a faulted steam generator, the risk significance of steam generator tube rupture accidents, tubing inspection requirements and fitness-for-service criteria in various countries, and defect detection reliability and sizing accuracy. A significant number of steam generator tubes are defective and are removed from service or repaired each year. This wide spread damage has been caused by many diverse degradation mechanisms, some of which are difficult to detect and predict. In addition, spontaneous tube ruptures have occurred at the rate of about one every 2 years over the last 20 years, and incipient tube ruptures (tube failures usually identified with leak detection monitors just before rupture) have been occurring at the rate of about one per year. These ruptures have caused complex plant transients which have not always been easy for the reactor operators to control. Our analysis shows that if more than 15 tubes rupture during a main steam line break, the system response could lead to core melting. Although spontaneous and induced steam generator tube ruptures are small contributors to the total core damage frequency calculated in probabilistic risk assessments, they are risk significant because the radionuclides are likely to bypass the reactor containment building. The frequency of steam generator tube ruptures can be significantly reduced through appropriate and timely inspections and repairs or removal from service.

  7. Knot formation in the feeding jejunostomy tube: A case report and review of the literature

    Institute of Scientific and Technical Information of China (English)

    Guo-Shiou Liao; Huan-Fa Hsieh; Meng-Hang Wu; Teng-Wei Chen; Jyh-Cherng Yu; Yao-Chi Liu

    2007-01-01

    Jejunostomy feeding tubes provide surgeons with an excellent method for providing nutritional support, but there are several complications associated with a tube jejunostomy, including complications resulting from placement of the tube, mechanical problems related to the location or function and development of focally thickened small-bowel folds. A 76-year old man who presented with multiple medical diseases was admitted to our hospital due to aspiration pneumonia with acute respiratory failure and septic shock. He underwent exploratory laparotomy with feeding jejunostomy using a 14-French nasogastric tube for nutritional support. However, occlusion of the feeding tube was found 30- d after operation, and a rare complication of knot formation in the tube occurred after a new tube was replaced. On the following day, the tube was removed and replaced with a similar tube, which was placed into the jejunum for only 15 cm. The patient's feedings were maintained smoothly for two months. Knot formation in the feeding tube seems to be very rare. To our knowledge, this is the third case in the literature review. Its incidence is probably related to the length of the tube inserted into the lumen.

  8. Hologram recording tubes

    Science.gov (United States)

    Rajchman, J. H.

    1973-01-01

    Optical memories allow extremely large numbers of bits to be stored and recalled in a matter of microseconds. Two recording tubes, similar to conventional image-converting tubes, but having a soft-glass surface on which hologram is recorded, do not degrade under repeated hologram read/write cycles.

  9. Welding Tubes In Place

    Science.gov (United States)

    Meredith, R.

    1984-01-01

    Special welding equipment joins metal tubes that carry pressurized cyrogenic fluids. Equipment small enough to be used in confined spaces in which such tubes often mounted. Welded joints lighter in weight and more leak-proof than joints made with mechanical fittings.

  10. Where Should We Go With Advanced Placement?

    Science.gov (United States)

    Lichten, William

    2001-04-01

    This is a review of the Advanced Placement (AP)Program. In disagreement with claims of the College Board, there is firm evidence that the average test performance level has dropped. The College Board's scale and claims for AP qualification disagree seriously with college standards. A majority of tests taken do not qualify. It appears that "advanced placement" is coming closer to "placement." This paper recommends that the College Board's policy, which previously has concentrated on the numbers of participants, should include an emphasis on student performance and program quality. AP could accomplish its goal of reaching a wider range of students by changing along the lines followed in college introductory physics courses: multiple tracks.

  11. Analog Module Placement Design Using Genetic Algorithm

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    This paper presents a novel genetic algorithm for analog module placement based on ageneralization of the two-dimensional bin packing problem. The genetic encoding and operators assure that allproblem constraints are always satisfied. Thus the potential problems of adding penalty terms to the costfunction are eliminated so that the search configuration space is drastically decreased. The dedicated costfunction is based on the special requirements of analog integrated circuits. A fractional factorial experimentwas conducted using an orthogonal array to study the algorithm parameters. A meta GA was applied todetermine the optimal parameter values. The algorithm was tested with several local benchmark circuits. Theexperimental results show that the algorithm has better performance than the simulated annealing approachwith satisfactory results comparable to manual placement. This study demonstrates the effectiveness of thegenetic algorithm in the analog module placement problem. The algorithm has been successfully used in alayout synthesis tool.

  12. Categorising YouTube

    DEFF Research Database (Denmark)

    Simonsen, Thomas Mosebo

    2011-01-01

    This article provides a genre analytical approach to creating a typology of the User Generated Content (UGC) of YouTube. The article investigates the construction of navigation processes on the YouTube website. It suggests a pragmatic genre approach that is expanded through a focus on YouTube’s...... technological affordances. Through an analysis of the different pragmatic contexts of YouTube, it is argued that a taxonomic understanding of YouTube must be analysed in regards to the vacillation of a user-driven bottom-up folksonomy and a hierarchical browsing system that emphasises a culture of competition...... and which favours the already popular content of YouTube. With this taxonomic approach, the UGC videos are registered and analysed in terms of empirically based observations. The article identifies various UGC categories and their principal characteristics. Furthermore, general tendencies of the UGC within...

  13. Risks of Using Bedside Tests to Verify Nasogastric Tube Position in Adult Patients

    Directory of Open Access Journals (Sweden)

    Melody Ni

    2014-12-01

    Full Text Available Nasogastric (NG tubes are commonly used for enteral feeding. Complications of feeding tube misplacement include malnutrition, pulmonary aspiration, and even death. We built a Bayesian network (BN to analyse the risks associated with available bedside tests to verify tube position. Evidence on test validity (sensitivity and specificity was retrieved from a systematic review. Likelihood ratios were used to select the best tests for detecting tubes misplaced in the lung or oesophagus. Five bedside tests were analysed including magnetic guidance, aspirate pH, auscultation, aspirate appearance, and capnography/colourimetry. Among these, auscultation and appearance are non-diagnostic towards lung or oesophagus placements. Capnography/ colourimetry can confirm but cannot rule out lung placement. Magnetic guidance can rule out both lung and oesophageal placement. However, as a relatively new technology, further validation studies are needed. The pH test with a cut-off at 5.5 or lower can rule out lung intubation. Lowering the cut-off to 4 not only minimises oesophageal intubation but also provides extra safety as the sensitivity of pH measurement is reduced by feeding, antacid medication, or the use of less accurate pH paper. BN is an effective tool for representing and analysing multi-layered uncertainties in test validity and reliability for the verification of NG tube position. Aspirate pH with a cut-off of 4 is the safest bedside method to minimise lung and oesophageal misplacement.

  14. Robotic Tube-Gap Inspector

    Science.gov (United States)

    Gilbert, Jeffrey L.; Gutow, David A.; Maslakowski, John E.

    1993-01-01

    Robotic vision system measures small gaps between nearly parallel tubes. Robot-held video camera examines closely spaced tubes while computer determines gaps between tubes. Video monitor simultaneously displays data on gaps.

  15. Pressure tube type reactor

    International Nuclear Information System (INIS)

    Heretofore, a pressure tube type reactor has a problem in that the evaluation for the reactor core performance is complicate and no sufficient consideration is made for the economical property, to increase the size of a calandria tank and make the cost expensive. Then, in the present invention, the inner diameter of a pressure tube is set to greater than 50% of the lattice gap in a square lattice like arrangement, and the difference between the inner and the outer diameters of the calandria tube is set smaller than 20% of the lattice gap. Further, the inner diameter of the pressure tube is set to greater than 40% and the difference between the inner and the outer diameters of the calandria tube is set smaller than 30% of the lattice gap in a triangle lattice arrangement. Then, heavy water-to-fuel volume ratio can be determined appropriately and the value for the coolant void coefficient is made more negative side, to improve the self controllability inherent to the reactor. In particular, when 72 to 90 fuel rods are arranged per one pressure tube, the power density per one fuel rod is can be increased by about twice. Accordingly, the number of the pressure tubes can be reduced about to one-half, thereby enabling to remarkably decrease the diameter of the reactor core and to reduce the size of the calandria, which is economical. (N.H.)

  16. Isolated Fallopian Tube Torsion

    Directory of Open Access Journals (Sweden)

    S. Kardakis

    2013-01-01

    Full Text Available Isolated torsion of the Fallopian tube is a rare gynecological cause of acute lower abdominal pain, and diagnosis is difficult. There are no pathognomonic symptoms; clinical, imaging, or laboratory findings. A preoperative ultrasound showing tubular adnexal masses of heterogeneous echogenicity with cystic component is often present. Diagnosis can rarely be made before operation, and laparoscopy is necessary to establish the diagnosis. Unfortunately, surgery often is performed too late for tube conservation. Isolated Fallopian tube torsion should be suspected in case of acute pelvic pain, and prompt intervention is necessary.

  17. Suboccipital neuropathy after bone conduction device placement

    NARCIS (Netherlands)

    Faber, H.T.; Ru, J.A. de

    2013-01-01

    OBJECTIVE: To describe the clinical characteristics of a 70-year-old female with occipital neuropathy following bone conduction device surgery. DESCRIPTION: A 65-year-old woman underwent bone conduction device placement surgery on the left temporal bone. Postoperatively she progressively developed c

  18. Source placement for equalization in small enclosures

    DEFF Research Database (Denmark)

    Stefanakis, Nick; Sarris, J.; Cambourakis, G.

    2008-01-01

    ) but not with those that will deteriorate it (the "undesired" modes). Simulation results in rectangular rooms and in a car cavity show the benefits of source placement in terms of reduced overall error and increased spatial robustness in the equalization process. Additional benefits, which can be derived by proper...

  19. Photoelectron Spectroscopy in Advanced Placement Chemistry

    Science.gov (United States)

    Benigna, James

    2014-01-01

    Photoelectron spectroscopy (PES) is a new addition to the Advanced Placement (AP) Chemistry curriculum. This article explains the rationale for its inclusion, an overview of how the PES instrument records data, how the data can be analyzed, and how to include PES data in the course. Sample assessment items and analysis are included, as well as…

  20. Delayed bracket placement in orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Chandra Wigati

    2008-12-01

    Full Text Available Background: Beside bracket position, the timing of bracket placement is one of the most essential in orthodontic treatment with fixed appliances. Even it seems simple the timing of bracket placement can be crucial and significantly influence the result of orthodontic treatment. However it is often found brackets are placed without complete understanding of its purpose and effects, which could be useless and even detrimental for the case. Purpose: The aim of this case report is to show that the timing of bracket placement could be different depending on the cases. Case: Five different cases are presented here with different timing of bracket placement. Case management: On these cases, brackets were placed on the upper arch first, on the lower arch first, or even only on some teeth first. Good and efficient orthodontic treatment results were achieved. Conclusion: For every orthodontic case, from the very beginning of treatment, bracket should be placed with the end result in mind. If brackets are correctly placed at a correct time, better treatment result could be achieved without unnecessary round tripping tooth movement.

  1. Situated learning in the practice placement.

    Science.gov (United States)

    Cope, P; Cuthbertson, P; Stoddart, B

    2000-04-01

    Nurses who had just completed their training in Scotland were interviewed with regard to their experiences on placements. The nurses had either completed a traditional training course or came from the first cohort of the Project 2000 diploma level course. The interviews focused on the way in which the student nurses had learned in their practice placements. The results suggest that the placement is a complex social and cognitive experience in which there are elements of situated learning. Acceptance into the community of practice is important but this can be separated, conceptually at least, into a social acceptance which might be extended to any student and a professional acceptance which relies on the display of appropriate competence. The nurses described the way in which their mentors had interacted with them in terms which suggested that cognitive apprenticeship strategies had been used to further their learning in practice. It is concluded that, in view of the central importance of the placement for training nurses, explicit use of mentoring techniques derived from situated learning and cognitive apprenticeship might be beneficial.

  2. 5 CFR 359.702 - Placement rights.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Placement rights. 359.702 Section 359.702 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS REMOVAL FROM THE SENIOR... rights. (a) An appointee covered by this subpart is entitled to be placed in a vacant civil...

  3. Laparotomy enables retrograde dilatation and stent placement for malignant esophago-respiratory fistula

    Directory of Open Access Journals (Sweden)

    Iskender Özcan

    2008-01-01

    Full Text Available Abstract Background Malignant esophageal stenosis with complete obstruction and esophagorespiratory fistula (ERF is difficult to treat with standard endoscopic techniques. Case presentation We report a patient in whom with local recurrence of esophageal carcinoma an esophagotracheal fistula occurred. Initially the patient had undergone esophageal resection with interposition of a gastric tube. Due to complete obstruction of the lumen by recurrent tumor conventional transoral stent placement failed. For retrograde dilatation a laparotomy was performed. Via a duodenal incision endoscopic access to the gastric tube was achieved. Using a guidewire the esophageal obstruction was traversed and dilated. Then it was possible to place an esophageal stent via an antegrade approach. Conclusion Open surgery enables a safe access for retrograde endoscopic therapy in patients who had undergone esophageal resection with gastric interposition.

  4. Kinking of medical tubes.

    Science.gov (United States)

    Ingles, David

    2004-05-01

    The phenomenon of kinking in medical tubing remains a problem for some applications, particularly critical ones such as transporting gasses or fluids. Design features are described to prevent its occurrence.

  5. A Heuristic Force Model for Haptic Simulation of Nasogastric Tube Insertion Using Fuzzy Logic.

    Science.gov (United States)

    Choi, Kup-Sze; He, Xue-Jian; Chiang, Vico C L; Deng, Zhaohong; Qin, Jing

    2016-01-01

    Nasogastric tube (NGT) placement is an essential clinical skill. The training is conventionally performed on rubber mannequins albeit practical limitations. Computer simulation with haptic feedback can potentially offer a more realistic and accessible training method. However, the complex interactions between the tube and the nasogastric passage make it difficult to model the haptic feedback during NGT placement. In this paper, a fuzzy-logic-based approach is proposed to directly transfer the experience of clinicians in NGT placement into the simulation system. Based on their perception of the varying tactile sensation and the conditions during NGT placement, the membership functions and fuzzy rules are defined to develop the force model. Forces created using the model are then combined with friction forces to drive the haptic device and render the insertion forces in real time. A prototype simulator is developed based on the proposed force model and the implementation details are presented. The usability of the prototype is also evaluated by clinical teachers. The proposed methodology has the potential for developing computerized NGT placement training methods for clinical education. It is also applicable for simulation systems involving complicated force interactions or computation-expensive models.

  6. Power vacuum tubes handbook

    CERN Document Server

    Whitaker, Jerry

    2012-01-01

    Providing examples of applications, Power Vacuum Tubes Handbook, Third Edition examines the underlying technology of each type of power vacuum tube device in common use today. The author presents basic principles, reports on new development efforts, and discusses implementation and maintenance considerations. Supporting mathematical equations and extensive technical illustrations and schematic diagrams help readers understand the material. Translate Principles into Specific Applications This one-stop reference is a hands-on guide for engineering personnel involved in the design, specification,

  7. How media factors affect audience responses to brand placement

    NARCIS (Netherlands)

    E. van Reijmersdal; E. Smit; P. Neijens

    2010-01-01

    This study investigates the influence of media factors on brand placement effects in a real-life setting. Although many studies on brand placement have been conducted, insights into context effects on brand placement reactions are scarce. The impact of objective and subjective media context factors

  8. Brand placement prominence: good for memory! Bad for attitudes?

    NARCIS (Netherlands)

    E. van Reijmersdal

    2009-01-01

    This paper presents two laws about the effects of brand placement on audience reactions. This article presents two laws about the effects of brand placement on audience reactions. Brand placement is the compensated inclusion of brands or brand identifiers within media programming. The first law stat

  9. BRAND PLACEMENT AND CONSUMER CHOICE: AN IN-STORE EXPERIMENT

    OpenAIRE

    Sigurdsson, Valdimar; Saevarsson, Hugi; Foxall, Gordon

    2009-01-01

    An in-store experiment was performed to investigate the effects of shelf placement (high, middle, low) on consumers' purchases of potato chips. Placement of potato chips on the middle shelf was associated with the highest percentage of purchases. The results confirm the importance of item placement as a factor in consumers' buying behavior.

  10. Determining the brand awareness of product placement in video games

    OpenAIRE

    Král, Marek

    2015-01-01

    This bachelor thesis focusses on the determination of the brand awareness of product placement in video games. The theoretical part includes information about marketing, product placement and video games. The practical part consists of evaluation of the market research about product placements in video games. Conclusion suggests the most important factors influencing the level brand awareness.

  11. Dit programma bevat product placement: Effecten van sponsorvermeldingen in televisieprogramma's

    NARCIS (Netherlands)

    S.C. Boerman; E.A. van Reijmersdal; P.C. Neijens

    2015-01-01

    Europese richtlijnen vereisen dat brand placement in televisieprogramma’s wordt kenbaar gemaakt door een tekst zoals "Dit programma bevat product placement" of door een PP (product placement) logo. Deze sponsorvermeldingen hebben als doel de televisiekijker te informeren over merken of producten die

  12. Aeronautical tubes and pipes

    Science.gov (United States)

    Beauclair, N.

    1984-12-01

    The main and subcomponent French suppliers of aircraft tubes and pipes are discussed, and the state of the industry is analyzed. Quality control is essential for tubes with regard to their i.d. and metallurgical compositions. French regulations do not allow welded seam tubes in hydraulic circuits unless no other form is available, and then rustproofed steel must be installed. The actual low level of orders for any run of tubes dictates that the product is only one of several among the manufacturers' line. Automation, both in NDT and quality control, assures that the tubes meet specifications. A total of 10 French companies participate in the industry, serving both civil and military needs, with some companies specializing only in titanium, steel, or aluminum materials. Concerns wishing to enter the market must upgrade their equipment to meet the higher aeronautical specifications and be prepared to furnish tubes and pipes that serve both functional and structural purposes simultaneously. Additionally, pipe-bending machines must also perform to tight specifications. Pipes can range from 0.2 mm exterior diameter to 40 mm, with wall thicknesses from 0.02 mm to 3 mm. A chart containing a list of manufacturers and their respective specifications and characteristics is presented, and a downtrend in production with reduction of personnel is noted.

  13. Clearing obstructed feeding tubes.

    Science.gov (United States)

    Marcuard, S P; Stegall, K L; Trogdon, S

    1989-01-01

    This is a report of an in vitro study evaluating the ability of six solutions to dissolve clotted enteral feeding, which can cause feeding tube occlusion. The following clotted enteral feeding products were tested: Ensure Plus, Ensure Plus with added protein (Promod 20 g/liter), Osmolite, Enrich, and Pulmocare. Clot dissolution was then tested by adding Adolf's Meat Tenderizer, Viokase, Sprite, Pepsi, Coke, or Mountain Dew. Distilled water served as control. Dissolution score for each mixture was assessed blindly. Best dissolution was observed with Viokase in pH 7.9 solution (p less than 0.01). Similar results were obtained when feeding tube patency was restored in eight in vitro occluded feeding tubes (Dobbhoff, French size 8) by using first Pepsi (two/eight successful) and then Viokase in pH 7.9 (six/six successful). We also report our experience in the first 10 patients with occluded feeding tubes using this Viokase solution injected through a Drum catheter into the feeding tube. In seven patients, this method proved to be successful, and the reasons for failure in three patients include a knotted tube, impacted tablet powder, and a formula clot fo 24 hr duration and 45 cm in length. PMID:2494372

  14. A gas laser tube

    Energy Technology Data Exchange (ETDEWEB)

    Tetsuo, F.; Tokhikhide, N.

    1984-04-19

    A gas laser tube is described in which contamination of the laser gas mixture by the coolant is avoided, resulting in a longer service life of the mirrors. The holder contains two tubes, one inside the other. The laser gas mixture flows through the internal tube. An electrode is fastened to the holder. The coolant is pumped through the slot between the two tubes, for which a hole is cut into the holder. The external tube has a ring which serves to seal the cavity containing the coolant from the atmosphere. The internal tube has two rings, one to seal the laser gas mixture and the other to seal the coolant. A slot is located between these two rings, which leads to the atmosphere (the atmosphere layer). With this configuration, the degradation of the sealing properties of the internal ring caused by interaction with the atmospheric layer is not reflected in the purity of the laser gas mixture. Moreover, pollution of the mirrors caused by the penetration of the coolant into the cavity is eliminated.

  15. A QA/QC system to monitor the planarity of the tube layers in MDT chambers construction

    CERN Document Server

    Ciapetti, G; Giacalone, R; Montani, L; Pinci, D

    1998-01-01

    In this note a commercial laser system for the monitoring of the correct placement of the MDT drift tube end-plugs on the assembly combs is described. The results of various tests are presented; the sensitivity of the system is well matched to the required mechanical accuracy in the MDT chambers construction. We propose this method for QA/QC during tube layers assembly.

  16. Dynamic tube/support interaction in heat exchanger tubes

    Energy Technology Data Exchange (ETDEWEB)

    Chen, S.S.

    1991-01-01

    The supports for heat exchanger tubes are usually plates with drilled holes; other types of supports also have been used. To facilitate manufacture and to allow for thermal expansion of the tubes, small clearances are used between tubes and tube supports. The dynamics of tube/support interaction in heat exchangers is fairly complicated. Understanding tube dynamics and its effects is important for heat exchangers. This paper summarizes the current state of the art on this subject and to identify future research needs. Specifically, the following topics are discussed: dynamics of loosely supported tubes, tube/support gap dynamics, tube response in flow, tube damage and wear, design considerations, and future research needs. 55 refs., 1 fig.

  17. Payment of Advanced Placement Exam Fees by Virginia Public School Divisions and Its Impact on Advanced Placement Enrollment and Scores

    Science.gov (United States)

    Cirillo, Mary Grupe

    2010-01-01

    The purpose of this study was to determine the impact of Virginia school divisions' policy of paying the fee for students to take Advanced Placement exams on Advanced Placement course enrollment, the number of Advanced Placement exams taken by students, the average scores earned and the percent of students earning qualifying scores of 3, 4, or 5…

  18. Optimal sensor placement using machine learning

    CERN Document Server

    Semaan, Richard

    2016-01-01

    A new method for optimal sensor placement based on variable importance of machine learned models is proposed. With its simplicity, adaptivity, and low computational cost, the method offers many advantages over existing approaches. The new method is implemented on an airfoil equipped with a Coanda actuator. The analysis is based on flow field data obtained from 2D unsteady Reynolds averaged Navier-Stokes (URANS) simulations with different actuation conditions. The optimal sensor locations is compared against the current de-facto standard of maximum POD modal amplitude location, and against a brute force approach that scans all possible sensor combinations. The results show that both the flow conditions and the type of sensor have an effect on the optimal sensor placement, whereas the choice of the response function appears to have limited influence.

  19. Stent graft placement for dysfunctional arteriovenous grafts

    Energy Technology Data Exchange (ETDEWEB)

    Jeon, Gyeong Sik [Dept. of Radiology, CHA Bundang Medical Center, College of Medicine, CHA University, Seongnam (Korea, Republic of); Shin, Byung Seok; Ohm, Joon Young; Ahn, Moon Sang [Chungnam National University Hospital, Daejeon (Korea, Republic of)

    2015-07-15

    This study aimed to evaluate the usefulness and outcomes of stent graft use in dysfunctional arteriovenous grafts. Eleven patients who underwent stent graft placement for a dysfunctional hemodialysis graft were included in this retrospective study. Expanded polytetrafluoroethylene covered stent grafts were placed at the venous anastomosis site in case of pseudoaneurysm, venous laceration, elastic recoil or residual restenosis despite the repeated angioplasty. The patency of the arteriovenous graft was evaluated using Kaplan-Meier analysis. Primary and secondary mean patency was 363 days and 741 days. Primary patency at 3, 6, and 12 months was 82%, 73%, and 32%, respectively. Secondary patency at the 3, 6, 12, 24, and 36 months was improved to 91%, 82%, 82%, 50%, and 25%, respectively. Fractures of the stent graft were observed in 2 patients, but had no effect on the patency. Stent graft placement in dysfunctional arteriovenous graft is useful and effective in prolonging graft patency.

  20. Customized ATP towpreg. [Automated Tow Placement

    Science.gov (United States)

    Sandusky, Donald A.; Marchello, Joseph M.; Baucom, Robert M.; Johnston, Norman J.

    1992-01-01

    Automated tow placement (ATP) utilizes robotic technology to lay down adjacent polymer-matrix-impregnated carbon fiber tows on a tool surface. Consolidation and cure during ATP requires that void elimination and polymer matrix adhesion be accomplished in the short period of heating and pressure rolling that follows towpreg ribbon placement from the robot head to the tool. This study examined the key towpreg ribbon properties and dimensions which play a significant role in ATP. Analysis of the heat transfer process window indicates that adequate heating can be achieved at lay down rates as high as 1 m/sec. While heat transfer did not appear to be the limiting factor, resin flow and fiber movement into tow lap gaps could be. Accordingly, consideration was given to towpreg ribbon having uniform yet non-rectangular cross sections. Dimensional integrity of the towpreg ribbon combined with customized ribbon architecture offer great promise for processing advances in ATP of high performance composites.

  1. Efficient iterative adaptive pole placement algorithm

    Institute of Scientific and Technical Information of China (English)

    李俊民; 李靖; 杨磊

    2004-01-01

    An iterative adaptive pole placement algorithm is presented. The stability and the convergence of the algorithm are respectively established. Since one-step iterative formulation in computing controller's parameters is used, the on-line computation cost is greatly reduced with respected to the traditional algorithm. The algorithm with the feed-forward can follow arbitrarily bounded output. The algorithm is also extended to multivariate case. Simulation examples show the efficiency and robustness of the algorithm.

  2. Product Placement: Systematisierung, Potenziale und Ausblick

    OpenAIRE

    Morlock, Felix; Schäffler, Robert; Schaffer, Philipp; Rennhak, Carsten

    2006-01-01

    Um zu gewährleisten, dass Zielgruppen weiterhin effektiv und effizient mit Werbung angesprochen werden können, muss ein Weg gefunden werden, der über die traditionellen Werbemethoden hinausgeht: die Werbeindustrie muss ihre Produkte in anderer Form unaufdringlich, aber dennoch effizient bewerben. Als neue Kommunikationsform wird deshalb neben dem Sponsoring verstärkt Product Placement eingesetzt. Die geringe Zahl an wissenschaftlichen Studien zur internationalen Verbreitung des Product Placem...

  3. Categorising YouTube

    Directory of Open Access Journals (Sweden)

    Thomas Mosebo Simonsen

    2011-09-01

    Full Text Available This article provides a genre analytical approach to creating a typology of the User Generated Content (UGC of YouTube. The article investigates the construction of navigationprocesses on the YouTube website. It suggests a pragmatic genre approach that is expanded through a focus on YouTube’s technological affordances. Through an analysis of the different pragmatic contexts of YouTube, it is argued that a taxonomic understanding of YouTube must be analysed in regards to the vacillation of a user-driven bottom-up folksonomy and a hierarchical browsing system that emphasises a culture of competition and which favours the already popular content of YouTube. With this taxonomic approach, the UGC videos are registered and analysed in terms of empirically based observations. The article identifies various UGC categories and their principal characteristics. Furthermore, general tendencies of the UGC within the interacting relationship of new and old genres are discussed. It is argued that the utility of a conventional categorical system is primarily of analytical and theoretical interest rather than as a practical instrument.

  4. Effect of tube size on electromagnetic tube bulging

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The commercial finite code ANSYS was employed for the simulation of the electromagnetic tube bulging process. The finite element model and boundary conditions were thoroughly discussed. ANSYS/EMAG was used to model the time varying electromagnetic field in order to obtain the radial and axial magnetic pressure acting on the tube. The magnetic pressure was then used as boundary conditions to model the high velocity deformation of various length tube with ANSYS/LSDYNA. The time space distribution of magnetic pressure on various length tubes was presented. Effect of tube size on the distribution of radial magnetic pressure and axial magnetic pressure and high velocity deformation were discussed. According to the radial magnetic pressure ratio of tube end to tube center and corresponding dimensionless length ratio of tube to coil, the free electromagnetic tube bulging was studied in classification. The calculated results show good agreements with practice.

  5. Can donated media placements reach intended audiences?

    Science.gov (United States)

    Cooper, Crystale Purvis; Gelb, Cynthia A; Chu, Jennifer; Polonec, Lindsey

    2013-09-01

    Donated media placements for public service announcements (PSAs) can be difficult to secure, and may not always reach intended audiences. Strategies used by the Centers for Disease Control and Prevention's (CDC) Screen for Life: National Colorectal Cancer Action Campaign (SFL) to obtain donated media placements include producing a diverse mix of high-quality PSAs, co-branding with state and tribal health agencies, securing celebrity involvement, monitoring media trends to identify new distribution opportunities, and strategically timing the release of PSAs. To investigate open-ended recall of PSAs promoting colorectal cancer screening, CDC conducted 12 focus groups in three U.S. cities with men and women either nearing age 50 years, when screening is recommended to begin, or aged 50-75 years who were not in compliance with screening guidelines. In most focus groups, multiple participants recalled exposure to PSAs promoting colorectal cancer screening, and most of these individuals reported having seen SFL PSAs on television, in transit stations, or on the sides of public buses. Some participants reported exposure to SFL PSAs without prompting from the moderator, as they explained how they learned about the disease. Several participants reported learning key campaign messages from PSAs, including that colorectal cancer screening should begin at age 50 years and screening can find polyps so they can be removed before becoming cancerous. Donated media placements can reach and educate mass audiences, including millions of U.S. adults who have not been screened appropriately for colorectal cancer. PMID:23720533

  6. FPGA Congestion-Driven Placement Refinement

    Energy Technology Data Exchange (ETDEWEB)

    Vicente de, J.

    2005-07-01

    The routing congestion usually limits the complete proficiency of the FPGA logic resources. A key question can be formulated regarding the benefits of estimating the congestion at placement stage. In the last years, it is gaining acceptance the idea of a detailed placement taking into account congestion. In this paper, we resort to the Thermodynamic Simulated Annealing (TSA) algorithm to perform a congestion-driven placement refinement on the top of the common Bounding-Box pre optimized solution. The adaptive properties of TSA allow the search to preserve the solution quality of the pre optimized solution while improving other fine-grain objectives. Regarding the cost function two approaches have been considered. In the first one Expected Occupation (EO), a detailed probabilistic model to account for channel congestion is evaluated. We show that in spite of the minute detail of EO, the inherent uncertainty of this probabilistic model impedes to relieve congestion beyond the sole application of the Bounding-Box cost function. In the second approach we resort to the fast Rectilinear Steiner Regions algorithm to perform not an estimation but a measurement of the global routing congestion. This second strategy allows us to successfully reduce the requested channel width for a set of benchmark circuits with respect to the widespread Versatile Place and Route (VPR) tool. (Author) 31 refs.

  7. Experiences of Supervision at Practice Placement Sites

    Directory of Open Access Journals (Sweden)

    Lesley Diack

    2014-01-01

    Full Text Available Background. Whilst placement supervision and clinical education programmes are of significant value in shaping the behaviours of undergraduate healthcare students, appropriate provisions which are efficacious to the learner are somewhat lacking, particularly for students studying on UK MPharm programmes. Objectives. To explore and explain the value of placement supervision to the personal development and employability of undergraduate pharmacy students. Methods. Students participated in a week long community pharmacy pilot programme, a result of a collaborative effort between the School of Pharmacy and Life Sciences and a small consortium of community pharmacies. Students and stakeholders were asked to evaluate their experiences via separate questionnaires which had been developed to elicit views and attitudes. Key Findings. Feedback from students and stakeholders towards the experience was overwhelmingly positive with multiple benefits being reported. Of particular prominence was the emphasis in student feedback on the value of placement supervision to their professional and personal development. Findings were indicative of a development in clinical practice proficiencies, core skills, and improvement in decision-making practice. Conclusions. The benefits of clinical supervision to the professional and personal development of MPharm students are well documented, although attracting professional pharmacy supervisors is proving a problematic task for educational providers in the UK.

  8. Kajian Efektifitas Sistem Struktur Tube Dengan Sistem Struktur Tube In Tube Di Bawah Beban Gempa

    OpenAIRE

    Sihotang, Dian Frisca

    2010-01-01

    Berkembangnya teknologi telah melahirkan berbagai sistem struktur bangunan tahan gempa, seperti penggunaan sistem tube.Tube adalah merupakan frame penahan gaya yang menahan gaya gaya lateral dengan struktur kantilever kotak yang memiliki jarak kolom yang berdekatan yang dipasang pada sekeliling gedung, sehingga penampilan wajah depan gedung seperti lubang jendela jendela yang terbuka. Rancangan tube ini kemudian dimodifikasi lagi dengan menambah pengaku pada bagian dalam ( konsep tube in tube...

  9. Pre- and Postoperative Vomiting in Children Undergoing Video-Assisted Gastrostomy Tube Placement

    Directory of Open Access Journals (Sweden)

    Torbjörn Backman

    2014-01-01

    Full Text Available Background. The aim of this study was to determine the incidence of pre- and postoperative vomiting in children undergoing a Video-Assisted Gastrostomy (VAG operation. Patients and Methods. 180 children underwent a VAG operation and were subdivided into groups based on their underlying diagnosis. An anamnesis with respect to vomiting was taken from each of the children’s parents before the operation. After the VAG operation, all patients were followed prospectively at one and six months after surgery. All complications including vomiting were documented according to a standardized protocol. Results. Vomiting occurred preoperatively in 51 children (28%. One month after surgery the incidence was 43 (24% in the same group of children and six months after it was found in 40 (22%. There was a difference in vomiting frequency both pre- and postoperatively between the children in the groups with different diagnoses included in the study. No difference was noted in pre- and postoperative vomiting frequency within each specific diagnosis group. Conclusion. The preoperative vomiting symptoms persisted after the VAG operation. Neurologically impaired children had a higher incidence of vomiting than patients with other diagnoses, a well-known fact, probably due to their underlying diagnosis and not the VAG operation. This information is useful in preoperative counselling.

  10. Temporal comparison of ultrasound vs. auscultation and capnography in verification of endotracheal tube placement

    DEFF Research Database (Denmark)

    Pfeiffer, P; Rudolph, S S; Neimann, Jens Dupont Børglum;

    2011-01-01

    This study compared the time consumption of bilateral lung ultrasound with auscultation and capnography for verifying endotracheal intubation.......This study compared the time consumption of bilateral lung ultrasound with auscultation and capnography for verifying endotracheal intubation....

  11. FROM BRAND PLACEMENT TO TOURISM PRODUCT PLACEMENT. FICTION SERIES AS PROMOTIONAL SUPPORT OF SPANISH TOURISM DESTINATIONS

    Directory of Open Access Journals (Sweden)

    Noelia Araújo-Vila

    2011-12-01

    Full Text Available Every day more consumers spend much of their free time to the consumption of audiovisual series, which is reflected in the notable increase in downloads and audiences. Therefore, many sectors have decided to use audiovisual series as advertising (brand placement, being one of them the tourism sector (tourism product placement. There are many worldwide destinations that have decided to set in a fiction series, thus being viewed by thousands of spectators, which has resulted in increases in visitors. In the Spanish case is not so clear the use of this strategy, as it is analysed in this article.

  12. Downhole pulse tube refrigerators

    Energy Technology Data Exchange (ETDEWEB)

    Swift, G.; Gardner, D. [Los Alamos National Lab., NM (United States). Condensed Matter and Thermal Physics Group

    1997-12-01

    This report summarizes a preliminary design study to explore the plausibility of using pulse tube refrigeration to cool instruments in a hot down-hole environment. The original motivation was to maintain Dave Reagor`s high-temperature superconducting electronics at 75 K, but the study has evolved to include three target design criteria: cooling at 30 C in a 300 C environment, cooling at 75 K in a 50 C environment, cooling at both 75 K and 30 C in a 250 C environment. These specific temperatures were chosen arbitrarily, as representative of what is possible. The primary goals are low cost, reliability, and small package diameter. Pulse-tube refrigeration is a rapidly growing sub-field of cryogenic refrigeration. The pulse tube refrigerator has recently become the simplest, cheapest, most rugged and reliable low-power cryocooler. The authors expect this technology will be applicable downhole because of the ratio of hot to cold temperatures (in absolute units, such as Kelvin) of interest in deep drilling is comparable to the ratios routinely achieved with cryogenic pulse-tube refrigerators.

  13. Prawns in Bamboo Tube

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    Ingredients: 400 grams Jiwei prawns, 25 grams pork shreds, 5 grams sliced garlic. Condiments: 5 grams cooking oil, minced ginger root and scallions, cooking wine, salt, pepper and MSG (optional) Method: 1. Place the Shelled prawns into a bowl and mix with all the condiments. 2. Stuff the prawns into a fresh bamboo tube,

  14. Airway management using laryngeal mask airway in insertion of the Montgomery tracheal tube for subglottic stenosis -A case report-.

    Science.gov (United States)

    Park, Jung Sun; Kwon, Young-Suk; Lee, Sangseock; Yon, Jun Heum; Kim, Dong Won

    2010-12-01

    The Montgomery tracheal tube (T-tube) is a device used as a combined tracheal stent and airway after laryngotracheoplasty for patients with tracheal stenosis. This device can present various challenges to anesthesiologists during its placement, including the potential for acute loss of the airway, inadequate administration of inhalation agents, and inadequacy of controlled mechanical ventilation. The present case of successful airway management used a laryngeal mask airway under total intravenous anesthesia with propofol and remifentanil in the insertion of a Montgomery T-tube in a tracheal resection and thyrotracheal anastomosis because of severe subglottic stenosis.

  15. Restore condition of Incore thimble tubes in guide tubes

    Energy Technology Data Exchange (ETDEWEB)

    Solanas, A.; Izquierdo, J.

    2014-07-01

    Aging of Nuclear Power Plant and succession of outages lead to wear and twist of the thimbles tubes but also to the fooling of Incore guide tubes. These can create friction and a high strength must be used for thimble tubes withdrawal. (Author)

  16. Changes in the distance between carina and orotracheal tube during open or videolaparoscopic bariatric surgery

    Directory of Open Access Journals (Sweden)

    Giovani de Figueiredo Locks

    2015-10-01

    Full Text Available ABSTRACTOBJECTIVE: To examine whether there are changes in the distance between the orotracheal tube and carina induced by orthostatic retractor placement or by pneumoperitoneum insufflation in obese patients undergoing gastroplasty.METHODS: 60 patients undergoing bariatric surgery by two techniques: open (G1 or videolaparoscopic (G2 gastroplasty were studied. After tracheal intubation, adequate ventilation of both hemitoraxes was confirmed by lung auscultation. The distance orotracheal tube-carina was estimated with the use of a fiber bronchoscope before and after installation of orthostatic retractors in G1 or before and after insufflation of pneumoperitoneum in patients in G2.RESULTS: G1 was composed of 22 and G2 of 38 patients. No cases of endobronchial intubation were detected in either group. The mean orotracheal tube-carina distance variation was estimated in -0.03 cm (95% CI 0.06 to -0.13 in the group of patients undergoing open gastroplasty and in -0.42 cm (95% CI -0.56 to -1.4 in the group of patients undergoing videolaparoscopic gastroplasty. The extremes of variation in each group were: 0.5 cm to -1.6 cm in patients undergoing open surgery and 0.1 cm to -2.2 cm in patients undergoing videolaparoscopic surgery.CONCLUSIONS: There was no significant change in orotracheal tube-CA distance after placement of orthostatic retractors in patients undergoing open gastroplasty. There was a reduction in orotracheal tube-CA distance after insufflation of pneumoperitoneum in patients undergoing videolaparoscopic gastroplasty. We recommend attention to lung auscultation and to signals of ventilation monitoring and reevaluation of orotracheal tube placement after peritoneal insufflation.

  17. Nasogastric tube depth: the 'NEX' guideline is incorrect.

    Science.gov (United States)

    Taylor, Stephen J; Allan, Kaylee; McWilliam, Helen; Toher, Deirdre

    Misplacing 17-23% of nasogastric (NG) tubes above the stomach ( Rollins et al, 2012 ; Rayner, 2013 ) represents a serious risk in terms of aspiration, further invasive (tube) procedures, irradiation from failed X-ray confirmation, delay to feed and medication. One causal factor is that in the National Patient Safety Agency (NPSA) guidance to place a tube, length is measured from nose to ear to xiphisternum (NEX) ( NSPA, 2011 ); NEX is incorrect because it only approximates the nose to gastro-oesophageal junction (GOJ) distance and is therefore too short. To overcome this and because the xiphisternum is more difficult to locate, local policy is to measure in the opposite direction; xiphisternum to ear to nose (XEN), then add 10 cm. The authors determined whether external body measurements can be used to estimate the NG tube length to safely reach the gastric body. This involved testing the statistical association of body length, age, sex and XEN in consecutive critically ill patients against internal anatomical landmarks determined from an electromagnetic (EM) trace of the tube path. XEN averaged 50 cm in 71 critically ill patients aged 53±20 years. Tube marking and the EM trace were used to determine mean insertion distances at pre-gastro-oesophageal junction (GOJ) (48 cm), where the tube first turns left towards the stomach and becomes shallow on the trace; gastric body (62 cm), where the tube reaches the left-most part of the stomach; and gastric antrum (73 cm) at the midline on the EM trace. Using body length, age, sex and XEN in a linear regression model, only 25% of variability was predicted, showing that external measurements cannot reliably predict the length of tube required to reach the stomach. A tube length of XEN (or NEX) is too short to guarantee gastric placement and is unsafe. XEN+10 cm or more complex measurements will reach the gastric body (mid-stomach) in most patients, but because of wide variation, external measurements often fail to predict a

  18. Immediate placement of endosseous implants into the extraction sockets

    Directory of Open Access Journals (Sweden)

    Vijay Ebenezer

    2015-01-01

    Full Text Available Implant by definition "means any object or material, such as an alloplastic substance or other tissue, which is partial or completely inserted into the body for therapeutic, diagnostic, prosthetic, or experimental purpose." The placement of a dental implant in an extraction socket at the time of extraction or explantation is known as immediate implant placement whereas delayed placement of implant signifies the implant placement in edentulous areas where healing has completed with new bone formation after the loss of tooth/teeth. Recent idea goes by "why late when it can be done immediately." There are several advantages of immediate placement of implants, and lots of studies have been done. In this article, the advantages and disadvantages of immediate versus delayed placement of implants have been reviewed.

  19. Laser welding of a tube

    International Nuclear Information System (INIS)

    For sleeving PWR steam generator tubes, the welding laser work is made under protection of a primary gas going out by the crossing window of the laser and under a secondary gas flowing axially through the head and the tube

  20. Quarter-wave pulse tube

    Science.gov (United States)

    Swift, G. W.; Gardner, D. L.; Backhaus, S. N.

    2011-10-01

    In high-power pulse-tube refrigerators, the pulse tube itself can be very long without too much dissipation of acoustic power on its walls. The pressure amplitude, the volume-flow-rate amplitude, and the time phase between them evolve significantly along a pulse tube that is about a quarter-wavelength long. Proper choice of length and area makes the oscillations at the ambient end of the long pulse tube optimal for driving a second, smaller pulse-tube refrigerator, thereby utilizing the acoustic power that would typically have been dissipated in the first pulse-tube refrigerator's orifice. Experiments show that little heat is carried from the ambient heat exchanger to the cold heat exchanger in such a long pulse tube, even though the oscillations are turbulent and even when the tube is compactly coiled.

  1. Tubing For Sampling Hydrazine Vapor

    Science.gov (United States)

    Travis, Josh; Taffe, Patricia S.; Rose-Pehrsson, Susan L.; Wyatt, Jeffrey R.

    1993-01-01

    Report evaluates flexible tubing used for transporting such hypergolic vapors as those of hydrazines for quantitative analysis. Describes experiments in which variety of tubing materials, chosen for their known compatibility with hydrazine, flexibility, and resistance to heat.

  2. Product placement as a form of advertainment

    Directory of Open Access Journals (Sweden)

    Chiţu, I. B.

    2010-12-01

    Full Text Available Nowadays, one of the big issues advertisers on television face is the consumer’s (viewer’s ability to “zap” advertisements, as the public is increasingly tired of commercials. Advertainment is a form of communication that combines the elements of advertising and entertainment and is designed to overcome the tendency, especially among television viewers, to change channels or mute the audio during standard advertising commercials. This paper tries to give a brief overview of a method that belongs to advertainment, product placement, and how it is used by companies.

  3. Modifying Orthogonal Drawings for Label Placement

    Directory of Open Access Journals (Sweden)

    Konstantinos G. Kakoulis

    2016-03-01

    Full Text Available In this paper, we investigate how one can modify an orthogonal graph drawing to accommodate the placement of overlap-free labels with the minimum cost (i.e., minimum increase of the area and preservation of the quality of the drawing. We investigate computational complexity issues of variations of that problem, and we present polynomial time algorithms that find the minimum increase of space in one direction, needed to resolve overlaps, while preserving the orthogonal representation of the orthogonal drawing when objects have a predefined partial order.

  4. Wind Farm Turbine Type and Placement Optimization

    Energy Technology Data Exchange (ETDEWEB)

    Graf, Peter; Dykes, Katherine; Scott, George; Fields, Jason; Lunacek, Monte; Quick, Julian; Rethore, Pierre-Elouan

    2016-10-03

    The layout of turbines in a wind farm is already a challenging nonlinear, nonconvex, nonlinearly constrained continuous global optimization problem. Here we begin to address the next generation of wind farm optimization problems by adding the complexity that there is more than one turbine type to choose from. The optimization becomes a nonlinear constrained mixed integer problem, which is a very difficult class of problems to solve. This document briefly summarizes the algorithm and code we have developed, the code validation steps we have performed, and the initial results for multi-turbine type and placement optimization (TTP_OPT) we have run.

  5. Post-placement temperature reduction techniques

    DEFF Research Database (Denmark)

    Liu, Wei; Nannarelli, Alberto

    2010-01-01

    With technology scaled to deep submicron era, temperature and temperature gradient have emerged as important design criteria. We propose two post-placement techniques to reduce peak temperature by intelligently allocating whitespace in the hotspots. Both methods are fully compliant with commercia...... technologies, and can be easily integrated with state-of-the-art thermal-aware design flow. Experiments in a set of tests on circuits implemented in STM 65nm technologies show that our methods achieve better peak temperature reduction than directly increasing circuit's area....

  6. Robust sensor placement for leak location: analysis and design

    OpenAIRE

    Blesa, Joaquim; Nejjari, Fatiha; Sarrate, Ramon

    2016-01-01

    In this paper, a nominal sensor placement methodology for leak location in water distribution networks is presented. To reduce the size and the complexity of the optimization problem a clustering technique is combined with the nominal sensor placement methodology. Some of the pressure sensor placement methods for leak detection and location in water distribution networks are based on the pressure sensitivity matrix analysis. This matrix depends on the network demands, which are nondeterminist...

  7. The interventional treatment for biliary recurrent obstruction after palliative T tube drainage in patients with obstruction due to cholangiocarcinoma

    International Nuclear Information System (INIS)

    Objective: To explore the interventional method to treat biliary recurrent jaundice after T tube drainage in patients with malignant obstructive jaundice due to cholangiocarcinoma. Methods: 7 biliary metallic stents were placed in 7 patients with recurrent jaundice after T-tube drainage in cholangiocarcinoma cases. Results: Stent placement was once successful in all 7 cases with successful rate of 100%. For all cases, TBIL, ALT, GTP and AKP values 7 days postoperatively were significantly lower than that of preoperation together with subsidence of jaundice satisfactorily for 100% after the treatment. Conclusions: Percutaneous placement of biliary metallic stents was effective economic, minimal invasive and safe for palliation of biliary recurrent jaundice after T tube drainage in cholangiocarcinoma-induced obstructive jaundice

  8. Ultrasonic nondestructive tubing inspection system

    International Nuclear Information System (INIS)

    A system for measuring the extent of tube wall erosion in an inspection region of a heat exchanger tube of a nuclear steam generator, uses an ultrasonic means driven helically inside the eroded tube which may be filled with a fluid (e.g., water) to minimize ultrasonic wave attenuation. A control means cooperates with the ultrasonic means to produce a map of the tube wall thickness in an inspection region

  9. Placement suitability criteria of composite tape for mould surface in automated tape placement

    Directory of Open Access Journals (Sweden)

    Zhang Peng

    2015-10-01

    Full Text Available Automated tape placement is an important automated process used for fabrication of large composite structures in aeronautical industry. The carbon fiber composite parts realized with this process tend to replace the aluminum parts produced by high-speed machining. It is difficult to determine the appropriate width of the composite tape in automated tape placement. Wrinkling will appear in the tape if it does not suit for the mould surface. Thus, this paper deals with establishing placement suitability criteria of the composite tape for the mould surface. With the assumptions for ideal mapping and by applying some principles and theorems of differential geometry, the centerline trajectory of the composite tape is identified to follow the geodesic. The placement suitability of the composite tape is examined on three different types of non-developable mould surfaces and four criteria are derived. The developed criteria have been used to test the deposition process over several mould surfaces and the appropriate width for each mould surface is obtained by referring to these criteria.

  10. Placement suitability criteria of composite tape for mould surface in automated tape placement

    Institute of Scientific and Technical Information of China (English)

    Zhang Peng; Sun Ronglei; Zhao Xueying; Hu Lingjin

    2015-01-01

    Automated tape placement is an important automated process used for fabrication of large composite structures in aeronautical industry. The carbon fiber composite parts realized with this process tend to replace the aluminum parts produced by high-speed machining. It is difficult to determine the appropriate width of the composite tape in automated tape placement. Wrinkling will appear in the tape if it does not suit for the mould surface. Thus, this paper deals with establishing placement suitability criteria of the composite tape for the mould surface. With the assumptions for ideal mapping and by applying some principles and theorems of differential geometry, the centerline trajectory of the composite tape is identified to follow the geodesic. The placement suitability of the composite tape is examined on three different types of non-developable mould surfaces and four criteria are derived. The developed criteria have been used to test the deposition process over several mould surfaces and the appropriate width for each mould surface is obtained by referring to these criteria.

  11. Identity and Placement Learning: Student Accounts of the Transition Back to University Following a Placement Year

    Science.gov (United States)

    Auburn, Timothy

    2007-01-01

    There has been an increasing emphasis on employability within the higher education curriculum. Supervised work experience, particularly in the form of a placement year, has been an established means of providing experiences which are intended to enhance employability. This study examines a relatively neglected but important aspect of supervised…

  12. The Re-Placement Test: Using TOEFL for Purposes of Placement

    Science.gov (United States)

    Moglen, Daniel

    2015-01-01

    This article will consider using TOEFL scores for purposes of placement and advising for international graduate students at a northern California research university. As the number of international students is on the rise and the funds for the graduate ESL program are diminishing, the way in which the university is handling the influx of…

  13. Sleeve puller salvages welded tubes

    Science.gov (United States)

    Weaver, J. F.

    1980-01-01

    Tool removes sleeve remnants without distorting or damaging tubes, unlike pliers and other conventional handtools. Tubes can be reused, saving time, labor, and material in many applications. Sleeve-removal fixture consists of pressure screw, swing arm, locking screws, and base. It removes sleeve remnant from tubing after welded joint has been sawed through.

  14. Enteral Tube Feeding and Pneumonia

    Science.gov (United States)

    Gray, David Sheridan; Kimmel, David

    2006-01-01

    To determine the effects of enteral tube feeding on the incidence of pneumonia, we performed a retrospective review of all clients at our institution who had gastrostomy or jejunostomy tubes placed over a 10-year period. Ninety-three subjects had a history of pneumonia before feeding tube insertion. Eighty had gastrostomy and 13, jejunostomy…

  15. Retained Urethral Catheter Secondary to Placement in Proximal Ureter

    Directory of Open Access Journals (Sweden)

    Thomas B. McGregor

    2016-01-01

    Full Text Available We present an unusual complication secondary to indwelling urethral catheter placement. Routine catheter placement by the obstetrics team in a postpartum female leads to retention of the catheter and inability of its removal by both the obstetrics and urology teams. Although a retained urinary catheter is relatively common, inability to remove a catheter secondary to placement inadvertently into a ureter is extremely rare. In this paper we will discuss the options in removing a retained catheter and present our case of a retained catheter secondary to placement within the right proximal ureter.

  16. Retained Urethral Catheter Secondary to Placement in Proximal Ureter.

    Science.gov (United States)

    McGregor, Thomas B; Sharda, Rajan

    2016-01-01

    We present an unusual complication secondary to indwelling urethral catheter placement. Routine catheter placement by the obstetrics team in a postpartum female leads to retention of the catheter and inability of its removal by both the obstetrics and urology teams. Although a retained urinary catheter is relatively common, inability to remove a catheter secondary to placement inadvertently into a ureter is extremely rare. In this paper we will discuss the options in removing a retained catheter and present our case of a retained catheter secondary to placement within the right proximal ureter.

  17. Stent placement for esophageal strictures : an update

    NARCIS (Netherlands)

    Hirdes, Meike Madeleine Catharine; Vleggaar, Frank Paul; Siersema, Peter Derk

    2011-01-01

    The use of stents for esophageal strictures has evolved rapidly over the past 10 years, from rigid plastic tubes to flexible self-expanding metal (SEMS), plastic (SEPS) and biodegradable stents. For the palliative treatment of malignant dysphagia both SEMS and SEPS effectively provide a rapid relief

  18. Safety of pull-type and introducer percutaneous endoscopic gastrostomy tubes in oncology patients: a retrospective analysis

    Directory of Open Access Journals (Sweden)

    Pelckmans Paul A

    2011-03-01

    Full Text Available Abstract Background Percutaneous endoscopic gastrostomy (PEG allows long-term tube feeding. Safety of pull-type and introducer PEG placement in oncology patients with head/neck or oesophageal malignancies is unknown. Methods Retrospective analysis of 299 patients undergoing PEG tube placement between January 2006 and December 2008 revealed 57 oncology patients. All patients with head/neck or oesophageal malignancy were treated with chemo- and radiotherapy. In case of high-grade stenosis introducer Freka® Pexact PEG tube was placed (n = 24 and in all other patients (n = 33 conventional pull-type PEG tube. Short-term complications and mortality rates were compared. Results Patients' characteristics and clinical status were comparable in both groups. Short-term complications were encountered in 11/24 (48% introducer PEG patients as compared to only 4/33 (12% pull-type PEG patients (P vs. 0/33 (0%, P vs. 3/33 (9%, NS. Finally, 3/24 gastrointestinal perforations (12% resulted from a difficult placement procedure vs. 1/33 (3%, leading to urgent surgical intervention and admission to ICU. Two introducer PEG patients died at ICU, resulting in an overall mortality rate of 8% vs. 0% (P = 0.091. Conclusion The introducer Freka® Pexact PEG procedure for long-term tube feeding may lead to significantly higher complication and mortality rates in patients with head/neck or oesophageal malignancies treated with chemo- and radiotherapy. It is suggested to use the conventional pull-type PEG tube placement in this group of patients, if possible.

  19. Neural tube defects

    Directory of Open Access Journals (Sweden)

    M.E. Marshall

    1981-09-01

    Full Text Available Neural tube defects refer to any defect in the morphogenesis of the neural tube, the most common types being spina bifida and anencephaly. Spina bifida has been recognised in skeletons found in north-eastern Morocco and estimated to have an age of almost 12 000 years. It was also known to the ancient Greek and Arabian physicians who thought that the bony defect was due to the tumour. The term spina bifida was first used by Professor Nicolai Tulp of Amsterdam in 1652. Many other terms have been used to describe this defect, but spina bifida remains the most useful general term, as it describes the separation of the vertebral elements in the midline.

  20. Fabrication of seamless calandria tubes

    International Nuclear Information System (INIS)

    Full text: Calandria tube is a large diameter, thin walled zircaloy-4 tube and is an important structural component of PHWR type of reactors. These tubes are lifetime components and remain during the full life of the reactor. Calandria tubes are classified as extremely thin walled tubes with a diameter to wall thickness ratio of around 96. Such thin walled tubes are conventionally produced by seam welded route comprising of extrusion of slabs followed by a series of hot and rolling passes, shaping into O-shape and eventual welding. An alternative and superior method of fabricating the calandria tubes, the seamless route, has been developed, which involves hot extrusion of mother blanks followed by three successive cold pilger reductions. Eccentricity correction of the extruded blanks is carried out on a special purpose grinding equipment to bring the wall thickness variation within permissible limits. Predominant wall thickness reductions are given during cold pilgering to ensure high Q-factor values. The texture in the finished tubes could be closely, controlled with an average fr value of 0.65. Pilgering parameters and tube guiding system have been specially designed to facilities rolling of thin walled tubes. Seamless calandria tubes have distinct advantages over welded tubes. In addition to the absence of weld, they are dimensionally more stable, lighter in weight and possess uniform grains with superior grain size. The cycle time from billet to finished product is substantially reduced and the product is amenable to high level of quality assurance. The most significant feature of the seamless route is its material recovery over welded route. Residual stresses measured in the tubes indicate that these are negligible and uniform along the length of the tube. In view of their superior quality, the first charge of seamless calandria tubes will be rolled into the first 500 MWe Pressurised Heavy Water Reactor at Tarapur

  1. Primary fallopian tube carcinoma

    Directory of Open Access Journals (Sweden)

    Mladenović-Segedi Ljiljana

    2009-01-01

    Full Text Available Introduction. Primary fallopian tube carcinoma is extremely rare, making 0.3-1.6% of all female genital tract malignancies. Although the etymology of this tumor is unknown, it is suggested to be associated with chronic tubal inflammation, infertility, tuberculous salpingitis and tubal endometriosis. High parity is considered to be protective. Cytogenetic studies show the disease to be associated with over expression of p53, HER2/neu and c-myb. There is also some evidence that BRCA1 and BRCA2 mutations have a role in umorogeneis. Clinical features. The most prevailing symptoms with fallopian tube carcinoma are abdominal pain, abnormal vaginal discharge/bleeding and the most common finding is an adnexal mass. In many patients, fallopian tube carcinoma is asymptomatic. Diagnosis. Due to its rarity, preoperative diagnosis of primary fallopian tube carcinoma is rarely made. It is usually misdiagnosed as ovarian carcinoma, tuboovarian abscess or ectopic pregnancy. Sonographic features of the tumor are non-specific and include the presence of a fluid-filled adnexal structure with a significant solid component, a sausage-shaped mass, a cystic mass with papillary projections within, a cystic mass with cog wheel appearance and an ovoid-shaped structure containing an incomplete separation and a highly vascular solid nodule. More than 80% of patients have elevated pretreatment serum CA-125 levels, which is useful in follow-up after the definite treatment. Treatment. The treatment approach is similar to that of ovarian carcinoma, and includes total abdominal hysterectomy and bilateral salpingo-oophorectomy. Staging is followed with chemotherapy.

  2. Clogging of feeding tubes.

    Science.gov (United States)

    Marcuard, S P; Perkins, A M

    1988-01-01

    This is a report of an in vitro study evaluating clotting ability of some formulas with intact protein and hydrolyzed protein sources in a series of buffers ranging from a pH of 1 thru 10. The following 10 products were tested: Ensure Plus, Ensure, Enrich, Osmolite, Pulmocare, Citrotein, Resource, Vivonex TEN, Vital, and Hepatic Acid II. Protein (10 and 20 g/liter) was added to Citrotein and Ensure Plus. All formulas were tested at full and some at half strength. Clotting occurred only in premixed intact protein formulas (Pulmocare, Ensure Plus, Osmolite, Enrich, Ensure) and in Resource. No clotting was observed for Citrotein (intact protein formula in powder form), Vital, Vivonex TEN, and Hepatic Aid II. Adding protein did not cause or increase clotting. In summary, clotting of some liquid formula diet appears to be an important factor causing possible gastric feeding tube occlusion. The following measures may help in preventing this problem: flushing before and after aspirating for gastric residuals to eliminate acid precipitation of formula in the feeding tube, advance the nasogastric feeding tube into the duodenum if possible, and avoid mixing these products with liquid medications having a pH value of 5.0 or less. PMID:3138452

  3. Traveling-Wave Tubes

    Science.gov (United States)

    Kory, Carol L.

    1998-01-01

    The traveling-wave tube (TWT) is a vacuum device invented in the early 1940's used for amplification at microwave frequencies. Amplification is attained by surrendering kinetic energy from an electron beam to a radio frequency (RF) electromagnetic wave. The demand for vacuum devices has been decreased largely by the advent of solid-state devices. However, although solid state devices have replaced vacuum devices in many areas, there are still many applications such as radar, electronic countermeasures and satellite communications, that require operating characteristics such as high power (Watts to Megawatts), high frequency (below 1 GHz to over 100 GHz) and large bandwidth that only vacuum devices can provide. Vacuum devices are also deemed irreplaceable in the music industry where musicians treasure their tube-based amplifiers claiming that the solid-state and digital counterparts could never provide the same "warmth" (3). The term traveling-wave tube includes both fast-wave and slow-wave devices. This article will concentrate on slow-wave devices as the vast majority of TWTs in operation fall into this category.

  4. CRL X-RAY TUBE

    OpenAIRE

    Kolchevsky, N. N.; Petrov, P. V.

    2015-01-01

    A novel types of X-ray tubes with refractive lenses are proposed. CRL-R X-ray tube consists of Compound Refractive Lens- CRL and Reflection X-ray tube. CRL acts as X-ray window. CRL-T X-ray consists of CRL and Transmission X-ray tube. CRL acts as target for electron beam. CRL refractive lens acts as filter, collimator, waveguide and focusing lens. Properties and construction of the CRL X-ray tube are discussed.

  5. Reliability of steam generator tubing

    Energy Technology Data Exchange (ETDEWEB)

    Kadokami, E. [Mitsubishi Heavy Industries Ltd., Hyogo-ku (Japan)

    1997-02-01

    The author presents results on studies made of the reliability of steam generator (SG) tubing. The basis for this work is that in Japan the issue of defects in SG tubing is addressed by the approach that any detected defect should be repaired, either by plugging the tube or sleeving it. However, this leaves open the issue that there is a detection limit in practice, and what is the effect of nondetectable cracks on the performance of tubing. These studies were commissioned to look at the safety issues involved in degraded SG tubing. The program has looked at a number of different issues. First was an assessment of the penetration and opening behavior of tube flaws due to internal pressure in the tubing. They have studied: penetration behavior of the tube flaws; primary water leakage from through-wall flaws; opening behavior of through-wall flaws. In addition they have looked at the question of the reliability of tubing with flaws during normal plant operation. Also there have been studies done on the consequences of tube rupture accidents on the integrity of neighboring tubes.

  6. Microdischarges in DC accelerator tubes

    International Nuclear Information System (INIS)

    Voltage tests on the Daresbury ceramic/titanium accelerator tube have shown that microdischarges play an important role in the conditioning process. It has been found that the voltage onset for microdischarges in a tube is dependent on the surface contamination of the electrodes and the tube geometry (in particular the tube length). This geometrical effect can be related to the trajectories of secondary ions emitted from the electrode surfaces. Sensitive diagnostic techniques have been developed to study the mass and energy distribution of ions emitted along the axis of the tube during these predischarges. The energy distribution of protons (and H- ions) can be related to the origins of the discharges in the tube. Detailed results are presented for a particular tube geometry. (author)

  7. Ultrasonic inspection of tube to tube plate welds

    International Nuclear Information System (INIS)

    To monitor the deterioration of a weld between a tube and tube plate which has been repaired by a repair sleeve inside the tube and brazed at one end to the tube, ultrasound from a crystal at the end of a rod is launched, in the form of Lamb-type waves, into the tube through the braze and allowed to travel along the tube to the weld and be reflected back along the tube. The technique may also be used for the type of heat exchanger in which, during construction, the tubes are welded to the tube plate via external sleeves in which case the ultrasound is used in a similar manner to inspect the sleeve/tube plate weld. an electromagnetic transducer may be used to generate the ultrasound. The ultrasonic head comprising the crystal and an acoustic baffle is mounted on a Perspex (RTM) rod which may be rotated by a stepping motor. Echo signals from the region of deterioration may be isolated by use of a time gate in the receiver. The device primarily detects circumferentially orientated cracks, and may be used in heat exchangers in nuclear power plants. (author)

  8. 34 CFR 104.35 - Evaluation and placement.

    Science.gov (United States)

    2010-07-01

    ... ASSISTANCE Preschool, Elementary, and Secondary Education § 104.35 Evaluation and placement. (a) Preplacement... 34 Education 1 2010-07-01 2010-07-01 false Evaluation and placement. 104.35 Section 104.35 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT...

  9. Advancing Prediction of Foster Placement Disruption Using Brief Behavioral Screening

    Science.gov (United States)

    Hurlburt, Michael S.; Chamberlain, Patricia; DeGarmo, David; Zhang, Jinjin; Price, Joe M.

    2010-01-01

    Objective: Behavioral difficulties increase the risk that children will experience negative placement disruptions while in foster care. Chamberlain et al. (2006) found that the Parent Daily Report (PDR), a brief measure of parent-reported child behaviors, was a strong predictor of negative placement changes over 1 year among children receiving…

  10. Is a Writing Sample Necessary for "Accurate Placement"?

    Science.gov (United States)

    Sullivan, Patrick; Nielsen, David

    2009-01-01

    The scholarship about assessment for placement is extensive and notoriously ambiguous. Foremost among the questions that continue to be unresolved in this scholarship is this one: Is a writing sample necessary for "accurate placement"? Using a robust data sample of student assessment essays and ACCUPLACER test scores, we put this question to the…

  11. Memoirs of a Trip into the Placement Culture of Japan.

    Science.gov (United States)

    Weatherall, Robert K.

    1991-01-01

    Presents observations of a U.S. college placement officer who participated in a careers conference in Japan. Describes changing desires of Japanese college students; hospitable treatment U.S. students received; their sightseeing experiences; the placement office at Waseda University; and the conference experience. (ABL)

  12. Small Bowel Obstruction Due to Suprapubic Catheter Placement

    OpenAIRE

    Bonasso, Patrick C.; Brandon Lucke-Wold; Uzer Khan

    2016-01-01

    Suprapubic catheter placement has associated complications such as bowel injury, bladder injury, or bleeding. This case describes the management of an elderly patient who had suprapubic catheter placement complicated by small bowel obstruction. The catheter had continued production of urine. Further patient treatment required abdominal exploration and bowel resection.

  13. Small Bowel Obstruction Due to Suprapubic Catheter Placement

    Directory of Open Access Journals (Sweden)

    Patrick C. Bonasso

    2016-07-01

    Full Text Available Suprapubic catheter placement has associated complications such as bowel injury, bladder injury, or bleeding. This case describes the management of an elderly patient who had suprapubic catheter placement complicated by small bowel obstruction. The catheter had continued production of urine. Further patient treatment required abdominal exploration and bowel resection.

  14. Small Bowel Obstruction Due to Suprapubic Catheter Placement.

    Science.gov (United States)

    Bonasso, Patrick C; Lucke-Wold, Brandon; Khan, Uzer

    2016-07-01

    Suprapubic catheter placement has associated complications such as bowel injury, bladder injury, or bleeding. This case describes the management of an elderly patient who had suprapubic catheter placement complicated by small bowel obstruction. The catheter had continued production of urine. Further patient treatment required abdominal exploration and bowel resection. PMID:27335801

  15. Infant Placement in Canadian Child Maltreatment-Related Investigations

    Science.gov (United States)

    Tonmyr, Lil; Williams, Gabriela; Jack, Susan M.; MacMillan, Harriet L.

    2011-01-01

    This study examined factors associated with decisions in favour of out-of-home placement following investigations involving infants at risk of maltreatment. We used data from a sample of children less than 1 year of age (n = 763) investigated by child welfare services across Canada in 2003. We tested unadjusted relationships with placement using…

  16. 41 CFR 60-2.16 - Placement goals.

    Science.gov (United States)

    2010-07-01

    ... publicly announced preference for American Indians as is authorized in 41 CFR 60-1.5(a)(6) may reflect in... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Placement goals. 60-2.16...-AFFIRMATIVE ACTION PROGRAMS Purpose and Contents of Affirmative Action Programs § 60-2.16 Placement goals....

  17. Placements: An Underused Vehicle for Quality Enhancement in Higher Education?

    Science.gov (United States)

    Kettis, Asa; Ring, Lena; Gustavsson, Maria; Wallman, Andy

    2013-01-01

    Placements have the potential to contribute more effectively to the quality of higher education. The aim of this article is to discuss how placements can be made more worthwhile for individual students, while also contributing to the overall quality of teaching and learning at HEIs as well as to the development of workplace cultures that are…

  18. Consumers with Major Depressive Disorder: Factors Influencing Job Placement

    Science.gov (United States)

    Hergenrather, Kenneth C.; Haase, Eileen; Zeglin, Robert J.; Rhodes, Scott D.

    2013-01-01

    The theory of planned behavior (TPB) was applied to study the factors that influence the intention of public rehabilitation placement professionals to place consumers with major depressive disorder (MDD) in jobs. A sample of 108 public rehabilitation placement professionals in the Mid-Atlantic region of the United States completed the MDD…

  19. Machine learning techniques for fault isolation and sensor placement

    Science.gov (United States)

    Carnes, James R.; Fisher, Douglas H.

    1993-01-01

    Fault isolation and sensor placement are vital for monitoring and diagnosis. A sensor conveys information about a system's state that guides troubleshooting if problems arise. We are using machine learning methods to uncover behavioral patterns over snapshots of system simulations that will aid fault isolation and sensor placement, with an eye towards minimality, fault coverage, and noise tolerance.

  20. The Placement Survey: Final Report, 1990-1991.

    Science.gov (United States)

    Von Wald, Stephen C.

    The Arrowhead Community College Region (ACCR), in Minnesota, conducted a follow-up study of its 1991 graduates designed to collect information on whether the graduates had found employment, were continuing their education, or had another placement status. Each college in the ACCR contacted its graduates to determine placement status, resulting in…

  1. Academic Freedom and Grading: The Role of Placement Providers

    Science.gov (United States)

    Martin, Ian

    2011-01-01

    Placement providers can be successfully involved in assessing students. This is demonstrated in the Monash University Faculty of Information Technology Cooperative Education Program. Students are thoroughly prepared for their placements and industry supervisors receive written assessment guidelines. Not one student has been awarded a pass grade by…

  2. Distinguishing implicit from explicit brand attitudes in brand placement research

    NARCIS (Netherlands)

    A.M. Wennekers; L. Vandeberg; K. Zoon; E.A. van Reijmersdal

    2016-01-01

    Brand placement is a popular topic, both in business and academia. Brands are placed in a wide-ranging array of media, including television programs, movies, radio shows, magazines, games, music videos, and websites. Expenditures on brand placement are still growing (PQ Media, 2013), as well as the

  3. 46 CFR 130.460 - Placement of machinery alarms.

    Science.gov (United States)

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Placement of machinery alarms. 130.460 Section 130.460..., AND MISCELLANEOUS EQUIPMENT AND SYSTEMS Automation of Unattended Machinery Spaces § 130.460 Placement of machinery alarms. (a) Visible and audible alarms must be installed at the pilothouse to...

  4. Optimal Placement Algorithms for Virtual Machines

    CERN Document Server

    Bellur, Umesh; SD, Madhu Kumar

    2010-01-01

    Cloud computing provides a computing platform for the users to meet their demands in an efficient, cost-effective way. Virtualization technologies are used in the clouds to aid the efficient usage of hardware. Virtual machines (VMs) are utilized to satisfy the user needs and are placed on physical machines (PMs) of the cloud for effective usage of hardware resources and electricity in the cloud. Optimizing the number of PMs used helps in cutting down the power consumption by a substantial amount. In this paper, we present an optimal technique to map virtual machines to physical machines (nodes) such that the number of required nodes is minimized. We provide two approaches based on linear programming and quadratic programming techniques that significantly improve over the existing theoretical bounds and efficiently solve the problem of virtual machine (VM) placement in data centers.

  5. Camera placement in integer lattices (extended abstract)

    Science.gov (United States)

    Pocchiola, Michel; Kranakis, Evangelos

    1990-09-01

    Techniques for studying an art gallery problem (the camera placement problem) in the infinite lattice (L sup d) of d tuples of integers are considered. A lattice point A is visible from a camera C positioned at a vertex of (L sup d) if A does not equal C and if the line segment joining A and C crosses no other lattice vertex. By using a combination of probabilistic, combinatorial optimization and algorithmic techniques the position they must occupy in the lattice (L sup d) in the order to maximize their visibility can be determined in polynomial time, for any given number s less than or equal to (5 sup d) of cameras. This improves previous results for s less than or equal to (3 sup d).

  6. Energy Efficient Military Mobile Base Station Placement

    Directory of Open Access Journals (Sweden)

    Saikat Ray

    2010-11-01

    Full Text Available This research deals with an energy efficient network for military mobile base station placement. Theproposed method is based on minimizing the energy loss of military communication networks where thebase station is moving along a preset path and the users are constantly moving in an independent speedand direction. It takes into account the free space loss and the knife edge effect for the energy loss toestablish a path weight for the shortest path model. Then, it evaluates the neighboring points to the basestation for the energy loss of the network in order to find the position at which the minimum energy lossoccurs. The results show a clear energy saving advantage when compared to Lloyd-Max’s method

  7. Sensor Placement for Modal Parameter Subset Estimation

    DEFF Research Database (Denmark)

    Ulriksen, Martin Dalgaard; Bernal, Dionisio; Damkilde, Lars

    2016-01-01

    The present paper proposes an approach for deciding on sensor placements in the context of modal parameter estimation from vibration measurements. The approach is based on placing sensors, of which the amount is determined a priori, such that the minimum Fisher information that the frequency...... responses carry on the selected modal parameter subset is, in some sense, maximized. The approach is validated in the context of a simple 10-DOF mass-spring-damper system by computing the variance of a set of identified modal parameters in a Monte Carlo setting for a set of sensor configurations, whose......). It is shown that the widely used Effective Independence (EI) method, which uses the modal amplitudes as surrogates for the parameters of interest, provides sensor configurations yielding theoretical lower bound variances whose maxima are up to 30 % larger than those obtained by use of the max-min approach....

  8. Brocade: Optimal flow placement in SDN networks

    CERN Document Server

    CERN. Geneva

    2015-01-01

    Today' network poses several challanges to network providers. These challanges fall in to a variety of areas ranging from determining efficient utilization of network bandwidth to finding out which user applications consume majority of network resources. Also, how to protect a given network from volumetric and botnet attacks. Optimal placement of flows deal with identifying network issues and addressing them in a real-time. The overall solution helps in building new services where a network is more secure and more efficient. Benefits derived as a result are increased network efficiency due to better capacity and resource planning, better security with real-time threat mitigation, and improved user experience as a result of increased service velocity.

  9. Cumulative Risks of Foster Care Placement for Danish Children

    DEFF Research Database (Denmark)

    Fallesen, Peter; Emanuel, Natalia; Wildeman, Christopher

    2014-01-01

    Although recent research suggests that the cumulative risk of foster care placement is far higher for American children than originally suspected, little is known about the cumulative risk of foster care placement in other countries, which makes it difficult to gauge the degree to which factor...... foster care placement is salient in other contexts. In this article, we provide companion estimates to those provided in recent work on the US by using Danish registry data and synthetic cohort life tables to show how high and unequally distributed the cumulative risk of foster care placement...... is for Danish children. Results suggest that at the beginning of the study period (in 1998) the cumulative risk of foster care placement for Danish children was roughly in line with the risk for American children. Yet, by the end of the study period (2010), the risk had declined to half the risk for American...

  10. Strategies for Controlled Placement of Nanoscale Building Blocks

    Directory of Open Access Journals (Sweden)

    Koh SeongJin

    2007-01-01

    Full Text Available AbstractThe capability of placing individual nanoscale building blocks on exact substrate locations in a controlled manner is one of the key requirements to realize future electronic, optical, and magnetic devices and sensors that are composed of such blocks. This article reviews some important advances in the strategies for controlled placement of nanoscale building blocks. In particular, we will overview template assisted placement that utilizes physical, molecular, or electrostatic templates, DNA-programmed assembly, placement using dielectrophoresis, approaches for non-close-packed assembly of spherical particles, and recent development of focused placement schemes including electrostatic funneling, focused placement via molecular gradient patterns, electrodynamic focusing of charged aerosols, and others.

  11. Placement History of Foster Children: A Study of Placement History and Outcomes in Long-Term Family Foster Care

    Science.gov (United States)

    Strijker, Johan; Knorth, Erik J.; Knot-Dickscheit, Jana

    2008-01-01

    The files of 419 children in family foster care and kinship foster care were used in a retrospective longitudinal design study that examined their placement histories in child welfare. Significant associations were found between the number of placements on one hand, and the prevalence of attachment disorders, severity of behavioral problems, and…

  12. External ear canal cholesteatoma after ventilation tube insertion and mastoidectomy

    Directory of Open Access Journals (Sweden)

    Đerić Dragoslava

    2012-01-01

    Full Text Available Introduction. Etiopathogenetically, there are two types of chollesteatomas: congenital, and acquired. Numerous theories in the literature try to explain the nature of the disease, however, the question about cholesteatomas remain still unanswered. The aim of the study was to present a case of external ear canal cholesteatoma (EEC developed following microsurgery (ventilation tube insertion and mastoidectomy, as well as to point ant possible mechanisms if its development. Case report. A 16-yearold boy presented a 4-month sense of fullness in the ear and otalgia on the left side. A year before, mastoidectomy and posterior atticotomy were performed with ventilation tube placement due to acute purulent mastoiditis. Diagnosis was based on otoscopy examination, audiology and computed tomography (CT findings. CT showed an obliterative soft-tissue mass completely filled the external ear canal with associated erosion of subjacent the bone. There were squamous epithelial links between the canal cholesteatoma and lateral tympanic membrane surface. They originated from the margins of tympanic membrane incision made for a ventilation tube (VT insertion. The position of VT was good as well as the aeration of the middle ear cavity. The tympanic membrane was intact and of normal appearance without middle ear extension or mastoid involvement of cholesteatoma. Cholesteatoma and ventilation tube were both removed. The patient recovered without complications and shortly audiology revealed hearing improving. Follow-up 2 years later, however, showed no signs of the disease. Conclusion. There could be more than one potential delicate mechanism of developing EEC in the ear with VT insertion and mastoidectomy. It is necessary to perform routine otologic surveillance in all patients with tubes. Affected ear CT scan is very helpful in showing the extent of cholesteatoma and bony defects, which could not be assessed by otoscopic examination alone.

  13. Sealed ion accelerator tubes (survey)

    International Nuclear Information System (INIS)

    The first publications on developing commercial models of small-scale sealed accelerator tubes in which neutrons are generated appeared in the foreign press in 1954 to 1957; they were very brief and were advertising-oriented. The tubes were designed for neutron logging of oil wells instead of ampule neutron sources (Po + Be, Ra + Be). Later, instruments of this type began to be called neutron tubes from the resulting neutron radiation that they gave off. In Soviet Union a neutron tube was developed in 1958 in connection with the development of the pulsed neutron-neutron method of studying the geological profile of oil wells. At that time the tube developed was intended, in the view of its inventors, to replace standard isotope sources with constant neutron yield. A fairly detailed survey of neutron tubes was made in the studies. 8 refs., 8 figs

  14. Steam generator tube integrity program

    Energy Technology Data Exchange (ETDEWEB)

    Dierks, D.R.; Shack, W.J. [Argonne National Laboratory, IL (United States); Muscara, J.

    1996-03-01

    A new research program on steam generator tubing degradation is being sponsored by the U.S. Nuclear Regulatory Commission (NRC) at Argonne National Laboratory. This program is intended to support a performance-based steam generator tube integrity rule. Critical areas addressed by the program include evaluation of the processes used for the in-service inspection of steam generator tubes and recommendations for improving the reliability and accuracy of inspections; validation and improvement of correlations for evaluating integrity and leakage of degraded steam generator tubes, and validation and improvement of correlations and models for predicting degradation in steam generator tubes as aging occurs. The studies will focus on mill-annealed Alloy 600 tubing, however, tests will also be performed on replacement materials such as thermally-treated Alloy 600 or 690. An overview of the technical work planned for the program is given.

  15. Alternate tube plugging criteria for steam generator tubes

    Energy Technology Data Exchange (ETDEWEB)

    Cueto-Felgueroso, C.; Aparicio, C.B. [Tecnatom, S.A., Madrid (Spain)

    1997-02-01

    The tubing of the Steam Generators constitutes more than half of the reactor coolant pressure boundary. Specific requirements governing the maintenance of steam generator tubes integrity are set in Plant Technical Specifications and in Section XI of the ASME Boiler and Pressure Vessel Code. The operating experience of Steam Generator tubes of PWR plants has shown the existence of some types of degradatory processes. Every one of these has an specific cause and affects one or more zones of the tubes. In the case of Spanish Power Plants, and depending on the particular Plant considered, they should be mentioned the Primary Water Stress Corrosion Cracking (PWSCC) at the roll transition zone (RTZ), the Outside Diameter Stress Corrosion Cracking (ODSCC) at the Tube Support Plate (TSP) intersections and the fretting with the Anti-Vibration Bars (AVBs) or with the Support Plates in the preheater zone. The In-Service Inspections by Eddy Currents constitutes the standard method for assuring the SG tubes integrity and they permit the monitoring of the defects during the service life of the plant. When the degradation reaches a determined limit, called the plugging limit, the SG tube must be either repaired or retired from service by plugging. Customarily, the plugging limit is related to the depth of the defect. Such depth is typically 40% of the wall thickness of the tube and is applicable to any type of defect in the tube. In its origin, that limit was established for tubes thinned by wastage, which was the predominant degradation in the seventies. The application of this criterion for axial crack-like defects, as, for instance, those due to PWSCC in the roll transition zone, has lead to an excessive and unnecessary number of tubes being plugged. This has lead to the development of defect specific plugging criteria. Examples of the application of such criteria are discussed in the article.

  16. Dermatology on YouTube

    OpenAIRE

    Boyers, Lindsay N.; Quest, Tyler; Karimkhani, Chante; Connett, Jessica; Dellavalle, Robert P.

    2014-01-01

    YouTube, reaches upwards of six billion users on a monthly basis and is a unique source of information distribution and communication. Although the influence of YouTube on personal health decision-making is well established, this study assessed the type of content and viewership on a broad scope of dermatology related content on YouTube. Select terms (i.e. dermatology, sun protection, skin cancer, skin cancer awareness, and skin conditions) were searched on YouTube. Overall, the results inclu...

  17. YouTube and 'psychiatry'.

    Science.gov (United States)

    Gordon, Robert; Miller, John; Collins, Noel

    2015-12-01

    YouTube is a video-sharing website that is increasingly used to share and disseminate health-related information, particularly among younger people. There are reports that social media sites, such as YouTube, are being used to communicate an anti-psychiatry message but this has never been confirmed in any published analysis of YouTube clip content. This descriptive study revealed that the representation of 'psychiatry' during summer 2012 was predominantly negative. A subsequent smaller re-analysis suggests that the negative portrayal of 'psychiatry' on YouTube is a stable phenomenon. The significance of this and how it could be addressed are discussed.

  18. YouTube and 'psychiatry'.

    Science.gov (United States)

    Gordon, Robert; Miller, John; Collins, Noel

    2015-12-01

    YouTube is a video-sharing website that is increasingly used to share and disseminate health-related information, particularly among younger people. There are reports that social media sites, such as YouTube, are being used to communicate an anti-psychiatry message but this has never been confirmed in any published analysis of YouTube clip content. This descriptive study revealed that the representation of 'psychiatry' during summer 2012 was predominantly negative. A subsequent smaller re-analysis suggests that the negative portrayal of 'psychiatry' on YouTube is a stable phenomenon. The significance of this and how it could be addressed are discussed. PMID:26755987

  19. Learning from YouTube [Video Book

    Science.gov (United States)

    Juhasz, Alexandra

    2011-01-01

    YouTube is a mess. YouTube is for amateurs. YouTube dissolves the real. YouTube is host to inconceivable combos. YouTube is best for corporate-made community. YouTube is badly baked. These are a few of the things Media Studies professor Alexandra Juhasz (and her class) learned about YouTube when she set out to investigate what actually happens…

  20. Endoscopic management of complete colonic obstruction

    Science.gov (United States)

    Schattner, Mark A; DiMaio, Christopher J; Gerdes, Hans; Wong, Douglas W; Markowitz, Arnold J

    2011-01-01

    A patient with metastatic rectal cancer underwent a diverting transverse loop colostomy due to rectal obstruction. 16 months later, he underwent a low anterior resection to resect his rectal cancer along with reversal of his transverse colostomy, and creation of a temporary loop ileostomy. Six months later, he was brought to the operating room for closure of his ileostomy. Post-operatively, the patient developed nausea, vomiting, and abdominal distention and imaging revealed a large bowel obstruction, confirmed by colonoscopy. The patient refused surgical diversion and a cecostomy tube was placed for decompression. After maturation of the cecostomy fistula, a rendezvous colonoscopy was performed, retrograde through the rectum and antegrade through the cecostomy fistula. The obstructing mucosa was traversed and the site of obstruction was balloon dilated, relieving the obstruction endoscopically. PMID:22586533

  1. Infrared imaging of LED lighting tubes and fluorescent tubes

    Science.gov (United States)

    Siikanen, Sami; Kivi, Sini; Kauppinen, Timo; Juuti, Mikko

    2011-05-01

    The low energy efficiency of conventional light sources is mainly caused by generation of waste heat. We used infrared (IR) imaging in order to monitor the heating of both LED tube luminaires and ordinary T8 fluorescent tubes. The IR images showed clearly how the surface temperatures of the fluorescent tube ends quickly rose up to about +50...+70°C, whereas the highest surface temperatures seen on the LED tubes were only about +30...+40°C. The IR images demonstrated how the heat produced by the individual LED chips can be efficiently guided to the supporting structure in order to keep the LED emitters cool and hence maintain efficient operation. The consumed electrical power and produced illuminance were also recorded during 24 hour measurements. In order to assess the total luminous efficacy of the luminaires, separate luminous flux measurements were made in a large integrating sphere. The currently available LED tubes showed efficacies of up to 88 lm/W, whereas a standard "cool white" T8 fluorescent tube produced ca. 75 lm/W. Both lamp types gave ca. 110 - 130 lx right below the ceiling-mounted luminaire, but the LED tubes consume only 40 - 55% of the electric power compared to fluorescent tubes.

  2. Nasogastric tube syndrome induced by an indwelling long intestinal tube.

    Science.gov (United States)

    Sano, Naoki; Yamamoto, Masayoshi; Nagai, Kentaro; Yamada, Keiichi; Ohkohchi, Nobuhiro

    2016-04-21

    The nasogastric tube (NGT) has become a frequently used device to alleviate gastrointestinal symptoms. Nasogastric tube syndrome (NTS) is an uncommon but potentially life-threatening complication of an indwelling NGT. NTS is characterized by acute upper airway obstruction due to bilateral vocal cord paralysis. We report a case of a 76-year-old man with NTS, induced by an indwelling long intestinal tube. He was admitted to our hospital for treatment of sigmoid colon cancer. He underwent sigmoidectomy to release a bowel obstruction, and had a long intestinal tube inserted to decompress the intestinal tract. He presented acute dyspnea following prolonged intestinal intubation, and bronchoscopy showed bilateral vocal cord paralysis. The NGT was removed immediately, and tracheotomy was performed. The patient was finally discharged in a fully recovered state. NTS be considered in patients complaining of acute upper airway obstruction, not only with a NGT inserted but also with a long intestinal tube. PMID:27099450

  3. Nasogastric tube syndrome induced by an indwelling long intestinal tube.

    Science.gov (United States)

    Sano, Naoki; Yamamoto, Masayoshi; Nagai, Kentaro; Yamada, Keiichi; Ohkohchi, Nobuhiro

    2016-04-21

    The nasogastric tube (NGT) has become a frequently used device to alleviate gastrointestinal symptoms. Nasogastric tube syndrome (NTS) is an uncommon but potentially life-threatening complication of an indwelling NGT. NTS is characterized by acute upper airway obstruction due to bilateral vocal cord paralysis. We report a case of a 76-year-old man with NTS, induced by an indwelling long intestinal tube. He was admitted to our hospital for treatment of sigmoid colon cancer. He underwent sigmoidectomy to release a bowel obstruction, and had a long intestinal tube inserted to decompress the intestinal tract. He presented acute dyspnea following prolonged intestinal intubation, and bronchoscopy showed bilateral vocal cord paralysis. The NGT was removed immediately, and tracheotomy was performed. The patient was finally discharged in a fully recovered state. NTS be considered in patients complaining of acute upper airway obstruction, not only with a NGT inserted but also with a long intestinal tube.

  4. A New Method for Optimal Harmonic Meter Placement

    Directory of Open Access Journals (Sweden)

    A. Ketabi

    2008-01-01

    Full Text Available In this research, a new method based on Singular Value Decomposition (SVD is proposed to solve the problem of optimal placement of meters for static estimation of harmonic sources in a power system. Also, the Binary Genetic Algorithm (BGA is used to solve the problem of optimization. IEEE 14-bus test system is provided to validate the measurement placement algorithm. It has been observed that the quality of estimation is improved and the Number of Observable Variable (NOV is increased. Moreover, the BGA-based meter placement strategy yields the same solution as obtained from the complete enumeration technique but in shorter time.

  5. Complications after placement of peritoneal catheter

    Directory of Open Access Journals (Sweden)

    Đurđević-Mirković Tatjana

    2011-01-01

    Full Text Available Introduction. Peritoneal dialysis is one of the modalities used for treatment of end-stage chronic kidney failure. Nowadays, this method is complementary to haemodialysis and renal transplantation. Owing to the rich vascularization of the peritoneum, it is used in the processes of osmosis and diffusion, enabling the removal of uremic material from the body. The procedure includes introduction of peritoneal fluid via the peritoneal catheter. Complications. The catheter is placed through the anterior abdominal wall with its tip positioned in the small pelvis. There are several techniques for catheter placement considered minimally invasive, which, however, may be associated with various complications. These complications can be divided into mechanical (catheter dysfunction, cuff protrusion, hernia, dialysate leaks, visceral perforation and infectious (early peritonitis, exit site or tunnel infection, surgical wounds. In most cases, such complications are rare and can be successfully managed using conservative therapy; however, in some situations severe complications can endanger the life of the patient. On-time recognition of complications, particularly in patients at risk, is of paramount importance for an effective treatment. The development of complications can increase the morbidity and the chance of treatment failure, and therefore transfer to haemodialysis. Conclusion. The preoperative evaluation and determination of the risk factors as well as the early recognition and adequate management of complications are essential in their prevention.

  6. Forming tool improves quality of tubing flares

    Science.gov (United States)

    1966-01-01

    Punch and die set improves the quality of tubing flares for use with standard flared-tube fittings in high-pressure systems. It forges a dimensionally accurate flare in the tubing and forces more tubing material into the high-stress areas to improve the strength and tightness of the tubing connection.

  7. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Vision Research & Ophthalmology (DIVRO) Student Training Programs NEI Home About NEI Health Information News and Events Grants ... Research at NEI Education Programs Training and Jobs Home > NEI YouTube Videos > NEI YouTube Videos: Amblyopia NEI ...

  8. Flaming on YouTube

    NARCIS (Netherlands)

    Moor, Peter J.; Heuvelman, Ard; Verleur, Ria

    2010-01-01

    In this explorative study, flaming on YouTube was studied using surveys of YouTube users. Flaming is defined as displaying hostility by insulting, swearing or using otherwise offensive language. Three general conclusions were drawn. First, although many users said that they themselves do not flame,

  9. Consideration of alternative designs for a Percutaneous Endoscopic Gastrostomy feeding tube

    Science.gov (United States)

    Yerrabolu, Santosh Rohit

    and/or 3-D printing are proposed for manufacturing of the product. Radio Frequency Glow Discharge Treatment is proposed as a sterilizing technique. Further investigations suggested are pilot Finite Element Analysis of the biomechanics involved and the subsequent validation and optimization of the conceptual designs apart from pursuing materials performance evaluation with stomach tissue-skin composites and long-term placement of tubes/ catheters at variable surface roughness profiles, filler materials, modulus of rigidities, tube-pull-through speeds and tissue stretch ratios.

  10. Advanced in In Situ Inspection of Automated Fiber Placement Systems

    Science.gov (United States)

    Juarez, Peter D.; Cramer, K. Elliott; Seebo, Jeffrey P.

    2016-01-01

    Automated Fiber Placement (AFP) systems have been developed to help take advantage of the tailorability of composite structures in aerospace applications. AFP systems allow the repeatable placement of uncured, spool fed, preimpregnated carbon fiber tape (tows) onto substrates in desired thicknesses and orientations. This automated process can incur defects, such as overlapping tow lines, which can severely undermine the structural integrity of the part. Current defect detection and abatement methods are very labor intensive, and still mostly rely on human manual inspection. Proposed is a thermographic in situ inspection technique which monitors tow placement with an on board thermal camera using the preheated substrate as a through transmission heat source. An investigation of the concept is conducted, and preliminary laboratory results are presented. Also included will be a brief overview of other emerging technologies that tackle the same issue. Keywords: Automated Fiber Placement, Manufacturing defects, Thermography

  11. Are we preparing student nurses for final practice placement?

    Science.gov (United States)

    Morrell, Nicola; Ridgway, Victoria

    The aims of this research were to illuminate student nurses' perceptions of preparedness for final practice placement, and to ascertain factors that supported and hindered preparation for final placement practice. This phenomenological qualitative research was carried out in a UK higher education institution (HEI) with eight adult branch student nurses maintaining written diaries for the first 4 weeks of their final 10-week practice placement. Data were then analysed by means of an interpretive phenomenological approach (IPA). Results showed that students felt ill-prepared for placement. Eight clear themes emerged, including: being used as 'an extra pair of hands'; mentors appearing to treat student practice documentation as unimportant; and high staff expectations. Other themes were: mentor importance; students feeling that they lacked knowledge; and students feeling unsupported and stressed. In conclusion, although students felt that they lacked knowledge and were used as an extra pair of hands, they did show clinical competence. PMID:24851915

  12. A Closer Look at an Advanced Placement Calculus Problem.

    Science.gov (United States)

    Rudd, David

    1985-01-01

    Answers and justifications for an interesting problem on the Advanced Placement Calculus AB Examination are discussed. The problem provides diverse ways in which students can gain appreciation and understanding for the subject. (MNS)

  13. Lumbar pedicle screw placement: Using only AP plane imaging

    Directory of Open Access Journals (Sweden)

    Anil Sethi

    2012-01-01

    Conclusion: Placement of pedicle screws under fluoroscopic guidance using AP plane imaging alone with tactile guidance is safe, fast, and reliable. However, a good understanding of the radiographic landmarks is a prerequisite.

  14. Critical Path-Based Thread Placement for NUMA Systems

    Energy Technology Data Exchange (ETDEWEB)

    Su, C Y; Li, D; Nikolopoulos, D S; Grove, M; Cameron, K; de Supinski, B R

    2011-11-01

    Multicore multiprocessors use a Non Uniform Memory Architecture (NUMA) to improve their scalability. However, NUMA introduces performance penalties due to remote memory accesses. Without efficiently managing data layout and thread mapping to cores, scientific applications, even if they are optimized for NUMA, may suffer performance loss. In this paper, we present algorithms and a runtime system that optimize the execution of OpenMP applications on NUMA architectures. By collecting information from hardware counters, the runtime system directs thread placement and reduces performance penalties by minimizing the critical path of OpenMP parallel regions. The runtime system uses a scalable algorithm that derives placement decisions with negligible overhead. We evaluate our algorithms and runtime system with four NPB applications implemented in OpenMP. On average the algorithms achieve between 8.13% and 25.68% performance improvement compared to the default Linux thread placement scheme. The algorithms miss the optimal thread placement in only 8.9% of the cases.

  15. Community placements need to be spread more evenly across country.

    Science.gov (United States)

    2014-07-01

    Greater investment is needed to provide a more consistent spread of student practice placements in community children's nursing across the UK, children's nursing lecturers and nurses have warned. PMID:25004028

  16. Heterocyst placement strategies to maximize growth of cyanobacterial filaments

    CERN Document Server

    Brown, Aidan I

    2012-01-01

    Under conditions of limited fixed-nitrogen, some filamentous cyanobacteria develop a regular pattern of heterocyst cells that fix nitrogen for the remaining vegetative cells. We examine three different heterocyst placement strategies by quantitatively modelling filament growth while varying both external fixed-nitrogen and leakage from the filament. We find that there is an optimum heterocyst frequency which maximizes the growth rate of the filament; the optimum frequency decreases as the external fixed-nitrogen concentration increases but increases as the leakage increases. In the presence of leakage, filaments implementing a local heterocyst placement strategy grow significantly faster than filaments implementing random heterocyst placement strategies. With no extracellular fixed-nitrogen, consistent with recent experimental studies of Anabaena sp. PCC 7120, the modelled heterocyst spacing distribution using our local heterocyst placement strategy is qualitatively similar to experimentally observed patterns...

  17. HF electronic tubes. Technologies, grid tubes and klystrons

    International Nuclear Information System (INIS)

    This article gives an overview of the basic technologies of electronic tubes: cathodes, electronic optics, vacuum and high voltage. Then the grid tubes, klystrons and inductive output tubes (IOT) are introduced. Content: 1 - context and classification; 2 - electronic tube technologies: cathodes, electronic optics, magnetic confinement (linear tubes), periodic permanent magnet (PPM) focussing, collectors, depressed collectors; 3 - vacuum technologies: vacuum quality, surface effects and interaction with electrostatic and RF fields, secondary emission, multipactor effect, thermo-electronic emission; 4 - grid tubes: operation of a triode, tetrodes, dynamic operation and classes of use, 'common grid' and 'common cathode' operation, ranges of utilisation and limitations, operation of a tetrode on unadjusted load, lifetime of a tetrode, uses of grid tubes; 5 - klystrons: operation, impact of space charge, multi-cavity klystrons, interaction efficiency, extended interaction klystrons, relation between interaction efficiency, perveance and efficiency, ranges of utilization and power limitations, multi-beam klystrons and sheet beam klystrons, operation on unadjusted load, klystron band pass and lifetime, uses; 6 - IOT: principle of operation, ranges of utilisation and limitations, interaction efficiency and depressed collector IOT, IOT lifetime and uses. (J.S.)

  18. Ozone production of hollow-needle-to-mesh negative corona discharge enhanced by dielectric tube on the needle electrode

    International Nuclear Information System (INIS)

    For the hollow-needle-to-mesh negative corona discharge in air, we studied the effect of placing the dielectric tube on the needle electrode and the effect of various positions of the end of this tube with respect to the tip of the needle electrode on the concentration of ozone produced by the discharge, the ozone production yield and the discharge V–A characteristics. We found that the placement of the dielectric tube on the needle electrode with a suitable position of this tube end with respect to the tip of the needle electrode for a particular discharge power led to a more than fourfold increase in the concentration of ozone produced by the discharge and also, for a constant airflow, the ozone production yield. (fast track communication)

  19. Product placement jako marketingový nástroj

    OpenAIRE

    Kincl, Albert

    2015-01-01

    The aim of this thesis is to describe thoroughly the execution of a product placement process in TV broadcasting with focus on the Czech Republic. So as to analyse product placement as a marketing tool and to introduce its possible forms and current trends. Moreover, to explain the development of this marketing communication and last but not least, discuss the strengths and weaknesses of this specific form of advertisement. Furthermore, questionnaire analysis is used to research the reception...

  20. Endoscopic Stent Placement in the Palliation of Malignant Biliary Obstruction

    OpenAIRE

    Kim, Jin Hong

    2011-01-01

    Biliary drainage with biliary stent placement is the treatment of choice for palliation in patients with malignant biliary obstruction caused by unresectable neoplasms. In such patients, the endoscopic approach can be initially used with percutaneous radiological intervention. In patients with unresectable malignant distal bile duct obstructions, endoscopic biliary drainage with biliary stent placement has now become the main and least invasive palliative modality, which has been proven to be...

  1. Effects of Advertising and Product Placement on Television Audiences

    OpenAIRE

    Wilbur, Kenneth C; Michelle S. Goeree; Ridder, Geert

    2009-01-01

    Digital video recorder proliferation and new commercial audience metrics are making television networks’ revenues more sensitive to audience losses from advertising. There is currently limited understanding of how traditional advertising and product placement affectntelevision audiences. We estimate a random coefficients logit model of viewing demand for television programs, wherein time given to advertising and product placement plays a role akinnto the “price” of consuming a program. Our da...

  2. Isotropic Optical Mouse Placement for Mobile Robot Velocity Estimation

    OpenAIRE

    Sungbok Kim

    2014-01-01

    This paper presents the isotropic placement of multiple optical mice for the velocity estimation of a mobile robot. It is assumed that there can be positional restriction on the installation of optical mice at the bottom of a mobile robot. First, the velocity kinematics of a mobile robot with an array of optical mice is obtained and the resulting Jacobian matrix is analysed symbolically. Second, the isotropic, anisotropic and singular optical mouse placements are identified, along with the co...

  3. Speeding Up FPGA Placement via Partitioning and Multithreading

    Directory of Open Access Journals (Sweden)

    Cristinel Ababei

    2009-01-01

    placement subproblems are created by partitioning and then processed concurrently by multiple worker threads that are run on multiple cores of the same processor. Our main goal is to investigate the speedup that can be achieved with this simple approach compared to previous approaches that were based on distributed computing. The new hybrid parallel placement algorithm achieves an average speedup of 2.5× using four worker threads, while the total wire length and circuit delay after routing are minimally degraded.

  4. Common ECG Lead Placement Errors. Part II: Precordial Misplacements

    OpenAIRE

    Allison V. Rosen; Sahil Koppikar; Catherine Shaw; Adrian Baranchuk

    2014-01-01

    Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs were recorded in a single male healthy subject in his mid 20s. Various precordial lead misplacements were compared to ECG recordings from correct lead placement. Results: Precordial mispla...

  5. Factors influencing radiation therapy student clinical placement satisfaction

    OpenAIRE

    Bridge, Pete; Carmichael, Mary-Ann

    2014-01-01

    Introduction: Radiation therapy students at Queensland University of Technology (QUT) attend clinical placements at five different clinical departments with varying resources and support strategies. This study aimed to determine the relative availability and perceived importance of different factors affecting student support while on clinical placement. The purpose of the research was to inform development of future support mechanisms to enhance radiation therapy students’ experience on clini...

  6. Factors influencing radiation therapy student clinical placement satisfaction

    International Nuclear Information System (INIS)

    Introduction: Radiation therapy students at Queensland University of Technology (QUT) attend clinical placements at five different clinical departments with varying resources and support strategies. This study aimed to determine the relative availability and perceived importance of different factors affecting student support while on clinical placement. The purpose of the research was to inform development of future support mechanisms to enhance radiation therapy students’ experience on clinical placement. Methods: This study used anonymous Likert-style surveys to gather data from years 1 and 2 radiation therapy students from QUT and clinical educators from Queensland relating to availability and importance of support mechanisms during clinical placements in a semester. Results: The study findings demonstrated student satisfaction with clinical support and suggested that level of support on placement influenced student employment choices. Staff support was perceived as more important than physical resources; particularly access to a named mentor, a clinical educator and weekly formative feedback. Both students and educators highlighted the impact of time pressures. Conclusions: The support offered to radiation therapy students by clinical staff is more highly valued than physical resources or models of placement support. Protected time and acknowledgement of the importance of clinical education roles are both invaluable. Joint investment in mentor support by both universities and clinical departments is crucial for facilitation of effective clinical learning

  7. Hybrid IR-Gas Heater for Automated Tow Placement

    Science.gov (United States)

    Grenoble, Ray W.; Johnston, Norman J.; Tiwari, S. N.; Marchello, Joseph M.

    1998-01-01

    A hybrid infrared-hot gas heat source has been developed and tested for the NASA Langley Tow Placement Facility. The IR heat source provides supplemental heat to the nip region. The additional heat is intended to reduce the need for conduction heating by the compaction roller, which causes (he roller to stick to the panel surface. Initial bench scale testing was performed to identify the most effective means of focusing IR energy into the nip region. A compact lamp and reflector that placed the lamp as close to the nip point as possible was found to deliver the highest heat flux in the nip region. A prototype heater was installed on the NASA Langley tow placement robot. Panels placed with a 400 C (sticking) compaction roller gave DCB initiation toughness numbers comparable to those reported for autoclave processed panels but were found to have unexpectedly high void contents. Placement with compaction roller temperatures that prevented roller sticking resulted in mode I fracture toughness approximately 70% that reported for autoclave processed panels. The variability in strength among specimens placed with reduced roller temperature was found to be greatly reduced, which implies that use of supplemental nip point heat may improve the robustness of the tow placement process. Use of the IR heat source permitted placement with a compaction roller temperature that would have resulted in negligible interfacial strength with the hot gas torch alone. The roller temperature reductions eliminated the need for the robot operator to attend placement operations.

  8. A Sea-of-Gates Style FPGA Placement Algorithm

    Directory of Open Access Journals (Sweden)

    Kalapi Roy

    1996-01-01

    Full Text Available Field Programmable Gate Arrays (FPGAs have a pre-defined chip boundary with fixed cell locations and routing resources. Placement objectives for flexible architectures (e.g., the standard cell design style such as minimization of chip area do not reflect the primary placement goals for FPGAs. For FPGAs, the layout tools must seek 100% routability within the architectural constraints. Routability and congestion estimates must be made directly based on the demand and availability of routing resources for detailed routing of the particular FPGA. We. present a hierarchical placement approach consisting of two phases: a global placement phase followed by a detailed placement phase. The global placement phase minimizes congestion estimates of the global routing regions and satisfies all constraints at a coarser level. The detailed placer seeks to maximize the routability of the FPGA by considering factors which cause congestion at the detailed routing level and to precisely satisfy all of the constraints. Despite having limited knowledge about the gate level architectural details, we have achieved a 90%reduction in the number of unrouted nets in comparison to an industrial tool (the only other tool developed specifically for this architecture.

  9. Conditioning and breakdown phenomena in accelerator tubes

    International Nuclear Information System (INIS)

    Important breakdown mechanisms in accelerator tubes are reviewed, and discharge phenomena in NEC tubes are deduced from the surface appearance of the electrodes and insulators of a used tube. Microphotos of these surfaces are shown

  10. Vidicon storage tube electrical input/output

    Science.gov (United States)

    Lipoma, P.

    1972-01-01

    Electrical data storage tube is assembled from standard vidicon tube using conventional amplification and control circuits. Vidicon storage tube is simple, inexpensive and has an erase and preparation time of less than 5 microseconds.

  11. Mixing advertising and editorial content in radio programmes: appreciation and recall of brand placements versus commercials

    NARCIS (Netherlands)

    E.A. van Reijmersdal

    2011-01-01

    Although the literature on brand placement is rapidly evolving, no studies thus far have focused on radio brand placement or on the effects of the combination of brand placement and commercials. Therefore, the present experiment (N = 153) focused on the effects of radio brand placement on liking, cr

  12. The Placement Handbook. A Guide for the Competitive Employment of the Handicapped.

    Science.gov (United States)

    Horn, Adelaide; Drury, Stephen

    This handbook stresses those components that are considered peripheral to the placement process but that must precede the actual placement. The philosophy of placement upon which this guide is based appears first. Discussions follow of the basic components of the process of training and placement of handicapped individuals, including a varied…

  13. PERFORMANCE EVALUATION OF AODV AND DSR IN FEASIBLE AND RANDOM PLACEMENT MODELS

    OpenAIRE

    K. Narasimha Raju; Dr. S.P.Setty

    2014-01-01

    Routing is a challenging issue in Mobile Ad hoc Network to pass the data packets through intermediate hops in an efficient manner. In this paper, Reactive routing protocols namely AODV and DSR are evaluated under the feasible placement and random placement models. Simulation results shows that AODV and DSR are performing better in feasible placement approach comparative to the existing random placement approach.

  14. Placement of students to high schools in Turkey: Factors affecting student achievement in placement tests

    Directory of Open Access Journals (Sweden)

    Hasan Basri Gündüz

    2010-04-01

    Full Text Available The objective of the research is to identify factors that affect the degree the most successful and the most unsuccessful ten students get at their class levels and in their dwelling units in "Level Determination Examination" which is a form of placement test held at provincial levels in allocation of students from elementary to secondary education.   The research was conducted in Sakarya Province.  The sample of the research comprised of 420 6th, 7th and 8th grade students in total who ranked among the first and the last 10 groups in dwelling units in the examination held at provincial level.  It was ascertained that 82% (Nagelkerke R2 = 0.82 of student's ranking among the first most successful or the last most unsuccessful group of ten people in their own dwelling unit and at their own class level in the Placement Test could be predicted by TE, PA, BÇG, BY, SİD and Ç factors according to Stepwise logistic regression analysis.  AKD, AİFK and AO are the variables which were not found to be meaningful in the last regression equation. 

  15. Electronic components, tubes and transistors

    CERN Document Server

    Dummer, G W A

    1965-01-01

    Electronic Components, Tubes and Transistors aims to bridge the gap between the basic measurement theory of resistance, capacitance, and inductance and the practical application of electronic components in equipments. The more practical or usage aspect of electron tubes and semiconductors is given emphasis over theory. The essential characteristics of each main type of component, tube, and transistor are summarized. This book is comprised of six chapters and begins with a discussion on the essential characteristics in terms of the parameters usually required in choosing a resistor, including s

  16. PEG tubes: dealing with complications.

    Science.gov (United States)

    Malhi, Hardip; Thompson, Rosie

    A percutaneous endoscopic gastronomy tube can be used to deliver nutrition, hydration and medicines directly into the patient's stomach. Patients will require a tube if they are unable to swallow safely, putting them at risk of aspiration of food, drink and medicines into their lungs. It is vital that nurses are aware of the complications that may arise when caring for a patient with a PEG tube. It is equally important that nurses know how to deal with these complications or from where tc seek advice. This article provides a quick troubleshooting guide to help nurses deal with complications that can arise with PEG feeding.

  17. PEG tubes: dealing with complications.

    Science.gov (United States)

    Malhi, Hardip; Thompson, Rosie

    A percutaneous endoscopic gastronomy tube can be used to deliver nutrition, hydration and medicines directly into the patient's stomach. Patients will require a tube if they are unable to swallow safely, putting them at risk of aspiration of food, drink and medicines into their lungs. It is vital that nurses are aware of the complications that may arise when caring for a patient with a PEG tube. It is equally important that nurses know how to deal with these complications or from where tc seek advice. This article provides a quick troubleshooting guide to help nurses deal with complications that can arise with PEG feeding. PMID:26016095

  18. Effects of a Foster Parent Training Intervention on Placement Changes of Children in Foster Care

    OpenAIRE

    Price, Joseph M.; Chamberlain, Patricia; LANDSVERK, JOHN; Reid, John; Leve, Leslie; Laurent, Heidemarie

    2008-01-01

    Placement disruptions undermine efforts of child welfare agencies to promote safety, permanency, and child well-being. Child behavior problems significantly contribute to placement changes. The aims of this investigation were to examine the impact of a foster parent training and support intervention (KEEP) on placement changes and to determine whether the intervention mitigates placement disruption risks associated with children's placement histories. The sample consisted of 700 families with...

  19. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Funding Division of Extramural Activities Division of Extramural Science Programs Funding Opportunity Announcements Funding Mechanisms Supported by ... Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI ...

  20. Lunar Core Drive Tubes Summary

    Data.gov (United States)

    National Aeronautics and Space Administration — Contains a brief summary and high resolution imagery from various lunar rock and core drive tubes collected from the Apollo and Luna missions to the moon.

  1. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Eye Disease Dilated Eye Exam Dry Eye For Kids Glaucoma Healthy Vision Tips Leber Congenital Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI ...

  2. drift tube for linear accelerator

    CERN Multimedia

    A drift tube from the Linac 1. This was the first tank of the linear accelerator Linac1, the injection system for the Proton Synchrotron, It ran for 34 years (1958 - 1992). Protons entered at the far end and were accelerated between the copper drift tubes by an oscillating electromagnetic field. The field flipped 200 million times a second (200 MHz) so the protons spent 5 nanoseconds crossing a drift tube and a gap. Moving down the tank, the tubes and gaps had to get longer as the protons gained speed. The tank accelerated protons from 500 KeV to 10 MeV. Linac1 was also used to accelerate deutrons and alpha particles for the Intersecting Storage Rings and oxygen and sulpher ions for the Super Proton Synchrotron heavy ion programme.

  3. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Funding Division of Extramural Affairs Division of Extramural Science Programs Funding Opportunity Announcements Funding Mechanisms Supported by ... Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI ...

  4. The YouTube reader

    OpenAIRE

    2009-01-01

    YouTube has come to epitomize the possibilities of digital culture. With more than seventy million unique users a month and approximately eighty million videos online, this brand-name video distribution platform holds the richest repository of popular culture on the Internet. As the fastest growing site in the history of the Web, YouTube promises endless new opportunities for amateur video, political campaigning, entertainment formats, and viral marketing—a clip culture that has seemed to out...

  5. Duplication of the fallopian tube

    Directory of Open Access Journals (Sweden)

    R Narayanan

    2008-01-01

    Full Text Available Hysterosalpingography accurately delineates the uterine and tubal lumen, and hence is routinely performed for the evaluation of infertility.We observed a case of infertility where uterine cavity was normal but fallopian tubes were bifurcated at the ampullary region. Mullerian duct anomalies are reported in literature, but maldevelopment of fallopian tube in isolation is rare. This abnormality can present as infertility, ectopic pregnancy, in association with urinary tract anomalies or as failure of sterilisation method.

  6. Eddy current tube testing unit

    International Nuclear Information System (INIS)

    The unit described can check a wide variety of tubes in quick succession and its modular design gives it a high degree of versability. Suitably defined working conditions and specific fittings enable most of the faults encountered in the manufacture of a tube to be detected. By appropriate means of selection based on signal amplitude, phase and frequency analyses it is possible to adapt selection criteria to the seriousness of the different categories of defect

  7. Test-tube Baby Option

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    As China’s first test tube baby celebrates her 20th birthday,the country is moving to improve IVF procedures I feel just like a normal person,despite being a little bit hi-tech,"said China’s first test-tube baby Zheng Mengzhu at her birthday party in Beijing. Zheng,born on March 10,1988 in the No.3 Hospital affiliated to the Peking University of Medical Sciences,made a trip

  8. Dermatology on YouTube.

    Science.gov (United States)

    Boyers, Lindsay N; Quest, Tyler; Karimkhani, Chante; Connett, Jessica; Dellavalle, Robert P

    2014-06-15

    YouTube, reaches upwards of six billion users on a monthly basis and is a unique source of information distribution and communication. Although the influence of YouTube on personal health decision-making is well established, this study assessed the type of content and viewership on a broad scope of dermatology related content on YouTube. Select terms (i.e. dermatology, sun protection, skin cancer, skin cancer awareness, and skin conditions) were searched on YouTube. Overall, the results included 100 videos with over 47 million viewers. Advocacy was the most prevalent content type at 24% of the total search results. These 100 videos were "shared" a total of 101,173 times and have driven 6,325 subscriptions to distinct YouTube user pages. Of the total videos, 35% were uploaded by or featured an MD/DO/PhD in dermatology or other specialty/field, 2% FNP/PA, 1% RN, and 62% other. As one of the most trafficked global sites on the Internet, YouTube is a valuable resource for dermatologists, physicians in other specialties, and the general public to share their dermatology-related content and gain subscribers. However, challenges of accessing and determining evidence-based data remain an issue.

  9. A laser tube position regulator

    Energy Technology Data Exchange (ETDEWEB)

    Sinyitiro, A.; Norio, K.

    1984-03-26

    An improved design is patented for a mechanism and method of regulating, with a high degree of accuracy, the position of a laser tube in a gas laser inside the optical resonator formed by external mirrors. The laser tube is held in two holders. Each holder contains an L shaped bracket which supports a semitransparent plate. The plate is positioned so that its center is over the center of the end of the tube which is in the form of a Brewster window. A narrow parallel beam is directed along the tube axis from an external auxiliary laser. The beam passes through the semitransparent mirror of the optical resonator in the adjusted laser, through the first Brewster window, the tube itself, and the second Brewster window and is reflected back in the reverse direction from a fully reflecting mirror in the optical resonator. This provides partial reflection of the beam from the external Brewster mirror surface. The tube position in the holders is regulated continuously so that the luminous spots from the beams reflected off the Brewster windows fall on the semitransparent plates in the center of the latter which is designated as the point of intersection.

  10. Nursing administration of medication via enteral tubes in adults: a systematic review.

    Science.gov (United States)

    Phillips, Nicole M; Nay, Rhonda

    2007-09-01

    Background  Enteral tubes are frequently inserted as part of medical treatment in a wide range of patient situations. Patients with an enteral tube are cared for by nurses in a variety of settings, including general and specialised acute care areas, aged care facilities and at home. Regardless of the setting, nurses have the primary responsibility for administering medication through enteral tubes. Medication administration via an enteral tube is a reasonably common nursing intervention that entails a number of skills, including preparing the medication, verifying the tube position, flushing the tube and assessing for potential complications. If medications are not given effectively through an enteral tube, harmful consequences may result leading to increased morbidity, for example, tube occlusion, diarrhoea and aspiration pneumonia. There are resultant costs for the health-care system related to possible increased length of stay and increased use of equipment. Presently what is considered to be best practice to give medications through enteral tubes is unknown. Objectives  The objective of this systematic review was to determine the best available evidence on which nursing interventions are effective in minimising the complications associated with the administration of medications via enteral tubes in adults. Nursing interventions and considerations related to medication administration included form of medication, verifying tube placement before administration, methods used to give medication, methods used to flush tubes, maintenance of tube patency and specific practices to prevent possible complications related to the administration of enteral medications. Search strategy  The following databases were searched for literature reported in English only: CINAHL, MEDLINE, The Cochrane Library, Current Contents/All Editions, EMBASE, Australasian Medical Index and PsychINFO. There was no date restriction applied. In addition, the reference lists of all included

  11. Nursing administration of medication via enteral tubes in adults: a systematic review.

    Science.gov (United States)

    Phillips, Nicole M; Nay, Rhonda

    2007-09-01

    Background  Enteral tubes are frequently inserted as part of medical treatment in a wide range of patient situations. Patients with an enteral tube are cared for by nurses in a variety of settings, including general and specialised acute care areas, aged care facilities and at home. Regardless of the setting, nurses have the primary responsibility for administering medication through enteral tubes. Medication administration via an enteral tube is a reasonably common nursing intervention that entails a number of skills, including preparing the medication, verifying the tube position, flushing the tube and assessing for potential complications. If medications are not given effectively through an enteral tube, harmful consequences may result leading to increased morbidity, for example, tube occlusion, diarrhoea and aspiration pneumonia. There are resultant costs for the health-care system related to possible increased length of stay and increased use of equipment. Presently what is considered to be best practice to give medications through enteral tubes is unknown. Objectives  The objective of this systematic review was to determine the best available evidence on which nursing interventions are effective in minimising the complications associated with the administration of medications via enteral tubes in adults. Nursing interventions and considerations related to medication administration included form of medication, verifying tube placement before administration, methods used to give medication, methods used to flush tubes, maintenance of tube patency and specific practices to prevent possible complications related to the administration of enteral medications. Search strategy  The following databases were searched for literature reported in English only: CINAHL, MEDLINE, The Cochrane Library, Current Contents/All Editions, EMBASE, Australasian Medical Index and PsychINFO. There was no date restriction applied. In addition, the reference lists of all included

  12. The changes in caregiver burden following nursing home placement.

    Science.gov (United States)

    Yeh, Shu-hui; Johnson, Mary Ann; Wang, Shan-Tair

    2002-08-01

    This longitudinal study explored changes in perceived burden among Taiwanese family caregivers (n=77) from nursing home placement of an elder to four months postadmission. Higher burden at placement was related to the level of dependence of the care recipients (p=0.004), or caregiver's poor health (p<0.01). After nursing home placement for four months, global burden decreased (p<0.01) contributed primarily by lessened burden in three sub-scales: lack of family support, impact of schedule and impact of health. Burden scores on caregiver esteem and impact of finances were not decreased after placement. Duration of caregiving was the only demographic factor predicting change in global burden (p<0.001). Changes in impact on finances, and impact on health were, respectively, predicted by the perceived health (p=0.005), and religious preference (p=0.01). These results provide valuable information to healthcare providers for an understanding of the changes of caregiving burden after nursing home placement and the correlates of these changes, which may help devise an appropriate policy for alleviating the caregiver's burden. PMID:12100870

  13. Cumulative risks of foster care placement for Danish children.

    Directory of Open Access Journals (Sweden)

    Peter Fallesen

    Full Text Available Although recent research suggests that the cumulative risk of foster care placement is far higher for American children than originally suspected, little is known about the cumulative risk of foster care placement in other countries, which makes it difficult to gauge the degree to which factor foster care placement is salient in other contexts. In this article, we provide companion estimates to those provided in recent work on the US by using Danish registry data and synthetic cohort life tables to show how high and unequally distributed the cumulative risk of foster care placement is for Danish children. Results suggest that at the beginning of the study period (in 1998 the cumulative risk of foster care placement for Danish children was roughly in line with the risk for American children. Yet, by the end of the study period (2010, the risk had declined to half the risk for American children. Our results also show some variations by parental ethnicity and sex, but these differences are small. Indeed, they appear quite muted relative to racial/ethnic differences in these risks in the United States. Last, though cumulative risks are similar between Danish and American children (especially at the beginning of the study period, the age-specific risk profiles are markedly different, with higher risks for older Danish children than for older American children.

  14. Osmotic regulation of seamless tube growth.

    Science.gov (United States)

    Schottenfeld-Roames, Jodi; Ghabrial, Amin S

    2013-02-01

    Most organs are composed of tubes of differing cellular architectures, including intracellular 'seamless' tubes. Two studies examining the morphogenesis of the seamless tubes formed by the excretory canal cell in Caenorhabditis elegans reveal a previously unappreciated role for osmoregulation of tubulogenesis: hyperosmotic shock recruits canalicular vesicles to the lumenal membrane to promote seamless tube growth. PMID:23377027

  15. Osmotic regulation of seamless tube growth

    OpenAIRE

    Schottenfeld-Roames, Jodi; Ghabrial, Amin S.

    2013-01-01

    Most organs are composed of tubes of differing cellular architectures, including intracellular, “seamless” tubes. Two studies examining the morphogenesis of the C. elegans excretory canal cell seamless tubes reveal a previously unappreciated role for osmoregulation of tubulogenesis: hyperosmotic shock recruits canalicular vesicles to the lumenal membrane to promote seamless tube growth.

  16. Laparoscopic common bile duct exploration and antegrade biliary stenting: Leaving behind the Kehr tube

    Directory of Open Access Journals (Sweden)

    Darío Martínez-Baena

    2013-03-01

    Full Text Available Introduction: single-stage laparoscopic surgery of cholelithiasis and associated common bile duct stones (CL-CBDS has shown similar results when compared to laparoscopic cholecystectomy combined with ERCP. Classically, choledochorrhaphy has been protected by a T-tube drain to allow external bypass of bile flow. However, its removal is associated with a significant complication rate. Use of antegrade biliary stents avoids T-tube removal associated morbidity. The aim of this study is to compare the results of choledochorrhaphy plus T-tube drainage versus antegrade biliary stenting in our series of laparoscopic common bile duct explorations (LCBDE. Material and methods: between 2004 and 2011, 75 patients underwent a LCBDE. Choledochorrhaphy was performed following Kehr tube placements in 47 cases and transpapillary biliary stenting was conducted in the remaining 28 patients. Results: postoperative hospital stay was shorter in the stent group (5 ± 10.26 days than in the Kehr group (12 ± 10.6 days, with a statistically significant difference. There was a greater trend to grade B complications in the stent group (10.7 vs. 4.3 % and to grade C complications in the Kehr group (6.4 vs. 3.6 %. There were 3 cases of residual common bile duct stones in the Kehr group (6.4 % and none in the stent group. Conclusions: antegrade biliary stenting following laparoscopic common bile duct exploration for CL-CBDS is an effective and safe technique that prevents T-tube related morbidity.

  17. Pump element for a tube pump

    DEFF Research Database (Denmark)

    2011-01-01

    relative to the rod element so as to allow for a fluid flow in the tube through the first valve member, along the rod element, and through the second valve member. The tube comprises an at least partly flexible tube portion between the valve members such that a repeated deformation of the flexible tube...... pump as mentioned above, thereby acting to generate a fluid flow through the tube upon repeated deformation of the tube between the two valve members. The pump element may comprise a connecting part for coupling to another tube and may comprise a sealing part establishing a fluid tight connection...

  18. Pre-radiotherapy feeding tube identifies a poor prognostic subset of postoperative p16 positive oropharyngeal carcinoma patients

    International Nuclear Information System (INIS)

    This study explores variables associated with poor prognosis in postoperative p16 positive oropharyngeal squamous cell carcinoma (OPSCC) patients undergoing adjuvant radiotherapy or chemoradiotherapy. Specifically, analysis was done related to timing of feeding tube insertion relative to radiotherapy. From 1997–2009, of 376 consecutive patients with OPSCC, 220 received adjuvant IMRT, and 97 were p16 positive and eligible. Of these, 23 had feeding tube placement before IMRT (B-FT), 32 during/after IMRT (DA-FT), and 42 had no feeding tube (NO-FT). Feeding tubes were not placed prophylactically. These three groups were analyzed for differential tumor, patient, treatment, and feeding tube characteristics, as well as differences in overall survival (OS), disease free survival (DFS), and distant metastasis free survival (DMFS). Pre-RT FT insertion was associated with higher tumor size and depth, T (but not N) and overall stage, comorbidities, presence of chemotherapy, and less use of transoral laser microsurgery/transoral bovie. Additionally, time from surgery to IMRT completion was also statistically longer in the B-FT group. The feeding tube was permanent in 52% of patients in the B-FT group versus 16% in the DA-FT group (p = 0.0075). The 5-year OS for the NO-FT, DA-FT, and B-FT groups was 90%, 86%, and 50%, respectively. The 5-year DFS for the NO-FT, DA-FT, and B-FT groups was 87.6%, 83.6%, and 42.7%, respectively. Multivariate analysis showed that for OS and DFS, feeding tube placement timing and smoking history were statistically significant. Due to the poor prognosis of early FT insertion, the presence of FTs at time of radiotherapy consultation can be used as an alternate marker to identify a subset of p16 positive OPSCC patients that have a poor prognosis

  19. Current practices for ultrasonic and radiographic examination of tubes, tube plates and tube-plate welds of tube bundles in heat exchangers. Chapter 3

    International Nuclear Information System (INIS)

    The chapter describes the ultrasonic and radiographic inspection procedures that are applied to heat exchanger tube bundles. The inspection process starts with the ultrasonic examination of the tubes and tube plates during manufacture, followed by radiography of the tube-to-tube-plate welds during fabrication of the tube bundle. Ultrasonic methods are explained for welds which are amenable to this type of inspection. For the in-service inspection of tube bundles the chapter relates the authors' experiences on the ultrasonic inspection of tubes and tube plates in the Prototype Fast Breeder Reactor at Dounreay. At the end of the chapter some comments are made about future ultrasonic and radiographic developments for tube bundles. (author)

  20. Comparison of the accuracy and proximal shunt failure rate of freehand placement versus intraoperative guidance in parietooccipital ventricular catheter placement.

    Science.gov (United States)

    Wilson, Thomas J; McCoy, Kathleen E; Al-Holou, Wajd N; Molina, Sergio L; Smyth, Matthew D; Sullivan, Stephen E

    2016-09-01

    OBJECTIVE The aim of this paper is to compare the accuracy of the freehand technique versus the use of intraoperative guidance (either ultrasound guidance or frameless stereotaxy) for placement of parietooccipital ventricular catheters and to determine factors associated with reduced proximal shunt failure. METHODS This retrospective cohort study included all patients from 2 institutions who underwent a ventricular cerebrospinal fluid (CSF) shunting procedure in which a new parietooccipital ventricular catheter was placed between January 2005 and December 2013. Data abstracted for each patient included age, sex, method of ventricular catheter placement, side of ventricular catheter placement, Evans ratio, and bifrontal ventricular span. Postoperative radiographic studies were reviewed for accuracy of ventricular catheter placement. Medical records were also reviewed for evidence of shunt failure requiring revision. Standard statistical methods were used for analysis. RESULTS A total of 257 patients were included in the study: 134 from the University of Michigan and 123 from Washington University in St. Louis. Accurate ventricular catheter placement was achieved in 81.2% of cases in which intraoperative guidance was used versus 67.3% when the freehand technique was used. Increasing age reduced the likelihood of accurate catheter placement (OR 0.983, 95% CI 0.971-0.995; p = 0.005), while the use of intraoperative guidance significantly increased the likelihood (OR 2.809, 95% CI 1.406-5.618; p = 0.016). During the study period, 108 patients (42.0%) experienced shunt failure, 79 patients (30.7%) had failure involving the proximal catheter, and 53 patients (20.6%) had distal failure (valve or distal catheter). Increasing age reduced the likelihood of being free from proximal shunt failure (OR 0.983, 95% CI 0.970-0.995; p = 0.008), while both the use of intraoperative guidance (OR 2.385, 95% CI 1.227-5.032; p = 0.011), and accurate ventricular catheter placement (OR 3

  1. Optimal placement of excitations and sensors by simulated annealing

    Science.gov (United States)

    Salama, Moktar; Bruno, R.; Chen, G.-S.; Garba, J.

    1989-01-01

    The optimal placement of discrete actuators and sensors is posed as a combinatorial optimization problem. Two examples for truss structures were used for illustration; the first dealt with the optimal placement of passive dampers along existing truss members, and the second dealt with the optimal placement of a combination of a set of actuators and a set of sensors. Except for the simplest problems, an exact solution by enumeration involves a very large number of function evaluations, and is therefore computationally intractable. By contrast, the simulated annealing heuristic involves far fewer evaluations and is best suited for the class of problems considered. As an optimization tool, the effectiveness of the algorithm is enhanced by introducing a number of rules that incorporate knowledge about the physical behavior of the problem. Some of the suggested rules are necessarily problem dependent.

  2. Hierarchical planning for a surface mounting machine placement

    Institute of Scientific and Technical Information of China (English)

    曾又姣; 马登哲; 金烨; 严隽琪

    2004-01-01

    For a surface mounting machine (SMM) in printed circuit board (PCB) assembly line, there are four problems, e.g. CAD data conversion, nozzle selection, feeder assignment and placement sequence determination. A hierarchical planning for them to maximize the throughput rate of an SMM is presented here. To minimize set-up time, a CAD data conversion system was first applied that could automatically generate the data for machine placement from CAD design data files. Then an effective nozzle selection approach was implemented to minimize the time of nozzle changing. And then, to minimize picking time, an algorithm for feeder assignment was used to make picking multiple components simultaneously as much as possible. Finally, in order to shorten pick-and-place time, a heuristic algorithm was used to determine optimal component placement sequence according to the decided feeder positions. Experiments were conducted on a four head SMM. The experimental results were used to analyse the assembly line performance.

  3. Advances in in situ inspection of automated fiber placement systems

    Science.gov (United States)

    Juarez, Peter D.; Cramer, K. Elliott; Seebo, Jeffrey P.

    2016-05-01

    Automated Fiber Placement (AFP) systems have been developed to help take advantage of the tailorability of composite structures in aerospace applications. AFP systems allow the repeatable placement of uncured, spool fed, preimpregnated carbon fiber tape (tows) onto substrates in desired thicknesses and orientations. This automated process can incur defects, such as overlapping tow lines, which can severely undermine the structural integrity of the part. Current defect detection and abatement methods are very labor intensive, and still mostly rely on human manual inspection. Proposed is a thermographic in situ inspection technique which monitors tow placement with an on board thermal camera using the preheated substrate as a through transmission heat source. An investigation of the concept is conducted, and preliminary laboratory results are presented. Also included will be a brief overview of other emerging technologies that tackle the same issue.

  4. Common ECG Lead Placement Errors. Part II: Precordial Misplacements

    Directory of Open Access Journals (Sweden)

    Allison V. Rosen

    2014-10-01

    Full Text Available Background: Electrocardiography is a very useful diagnostic tool. However, errors in placement of ECG leads can create artifacts, mimic pathologies, and hinder proper ECG interpretation. This is the second of a two-part series discussing how to recognize and avoid these errors. Methods: 12-lead ECGs were recorded in a single male healthy subject in his mid 20s. Various precordial lead misplacements were compared to ECG recordings from correct lead placement. Results: Precordial misplacements caused classical changes in ECG patterns. Techniques of differentiating these ECG patterns from true pathological findings were described. Conclusion: As in Part I of this series, recognition and interpretation of common ECG placement errors is critical in providing optimal patient care.

  5. Commercial breaks vs. product placement: what works for young consumers?

    Directory of Open Access Journals (Sweden)

    Ovidiu Mircea ŢIEREAN

    2015-06-01

    Full Text Available The article presents the results of a quantitative marketing research conducted on young consumers from Braşov County regarding their perceptions about commercial breaks and product placement during the most important reality shows. The purpose of this research is to determine to what extent young consumers watch the evening shows and to what extent they remember the brands advertised during commercial breaks and product placement within the shows. For young consumers, the evening shows are time spent with family and friends. A large majority do not watch the commercial breaks and they mostly remember brands that also practice product placement during the shows. There is a direct corelation between numbers of shows watched and the percentage of consumers who remember the main sponsors for evening shows.

  6. At the Roots of Product Placement: The Mere Exposure Effect

    Directory of Open Access Journals (Sweden)

    Stefano Ruggieri

    2013-05-01

    Full Text Available The present study aims to analyze the effect of product placement on attitude change and takes into consideration psychological models of the mere exposure effect. A sample of high school students watched an excerpt from two widely-distributed movies in which several products were shown by using the technique known as product placement. The results indicate that students who saw the commercial brand liked the products more than those who didn’t see it. This effect, in line with the literature on the product placement effect, seems to be independent from the recognition of the brand in the movie excerpt. This study also shows that, in the high involvement condition, one exposure is enough to produce a positive attitude toward the brand.

  7. Deterministic VLSI Block Placement Algorithm Using Less Flexibility First Principle

    Institute of Scientific and Technical Information of China (English)

    DONG SheQin (董社勤); HONG XianLong (洪先龙); WU YuLiang (吴有亮); GU Jun (顾钧)

    2003-01-01

    In this paper, a simple while effective deterministic algorithm for solving the VLSI block placement problem is proposed considering the packing area and interconnect wiring simultaneously. The algorithm is based on a principle inspired by observations of ancient professionals in solving their similar problems. Using the so-called Less Flexibility First principle, it is tried to pack blocks with the least packing flexibility on its shape and interconnect requirement to the empty space with the least packing flexibility in a greedy manner. Experimental results demonstrate that the algorithm, though simple, is quite effective in solving the problem. The same philosophy could also be used in designing efficient heuristics for other hard problems, such as placement with preplaced modules, placement with L/T shape modules, etc.

  8. 49 CFR 230.61 - Arch tubes, water bar tubes, circulators and thermic siphons.

    Science.gov (United States)

    2010-10-01

    ... MAINTENANCE STANDARDS Boilers and Appurtenances Washing Boilers § 230.61 Arch tubes, water bar tubes, circulators and thermic siphons. (a) Frequency of cleaning. Each time the boiler is washed, arch tubes and... 49 Transportation 4 2010-10-01 2010-10-01 false Arch tubes, water bar tubes, circulators...

  9. Life cycle assessment for dredged sediment placement strategies.

    Science.gov (United States)

    Bates, Matthew E; Fox-Lent, Cate; Seymour, Linda; Wender, Ben A; Linkov, Igor

    2015-04-01

    Dredging to maintain navigable waterways is important for supporting trade and economic sustainability. Dredged sediments are removed from the waterways and then must be managed in a way that meets regulatory standards and properly balances management costs and risks. Selection of a best management alternative often results in stakeholder conflict regarding tradeoffs between local environmental impacts associated with less expensive alternatives (e.g., open water placement), more expensive measures that require sediment disposal in constructed facilities far away (e.g., landfills), or beneficial uses that may be perceived as risky (e.g., beach nourishment or island creation). Current sediment-placement decisions often focus on local and immediate environmental effects from the sediment itself, ignoring a variety of distributed and long-term effects from transportation and placement activities. These extended effects have implications for climate change, resource consumption, and environmental and human health, which may be meaningful topics for many stakeholders not currently considered. Life-Cycle Assessment (LCA) provides a systematic and quantitative method for accounting for this wider range of impacts and benefits across all sediment management project stages and time horizons. This paper applies a cradle-to-use LCA to dredged-sediment placement through a comparative analysis of potential upland, open water, and containment-island placement alternatives in the Long Island Sound region of NY/CT. Results suggest that, in cases dealing with uncontaminated sediments, upland placement may be the most environmentally burdensome alternative, per ton-kilometer of placed material, due to the emissions associated with diesel fuel combustion and electricity production and consumption required for the extra handling and transportation. These results can be traded-off with the ecosystem impacts of the sediments themselves in a decision-making framework. PMID:25553545

  10. Computational issues in optimal tuning and placement of passive dampers

    Science.gov (United States)

    Chu, C. C.; Milman, M. H.

    1993-01-01

    The effectiveness of viscous elements in introducing damping in a structure is a function of several variables including their number, their location in the structure, and their physical properties. In this paper, the optimal damper placement and tuning problem is posed to optimize these variables. Both discrete and continuous optimization problems are formulated and solved corresponding, respectively, to the problems of placement of passive elements and to the tuning of their parameters. The paper particularly emphasizes the critical computational issues resulting from the optimization formulations. Numerical results involving a lightly damped testbed structure are presented.

  11. Esophageal lung resection and prosthesis placement in a preterm neonate

    Directory of Open Access Journals (Sweden)

    Lalit Parida

    2015-01-01

    Full Text Available This report describes a successful outcome in a preterm baby with an esophageal atresia and tracheo-esophageal fistula, who initially underwent a primary esophageal repair; but a persistent nonexpanding lung on the side of surgery led to further investigations. A further diagnosis of an esophageal lung resulted in pneumonectomy and prophylactic placement of an intra-thoracic prosthesis to prevent post-pneumonectomy syndrome. To the best of our knowledge, this is the first report of a prophylactic placement of an intra-thoracic prosthesis in a neonate with the condition of esophageal atresia and tracheo-esophageal fistula and associated esophageal lung.

  12. Automated Tow Placement Processing and Characterization of Composites

    Science.gov (United States)

    Prabhakaran, R.

    2004-01-01

    The project had one of the initial objectives as automated tow placement (ATP), in which a robot was used to place a collimated band of pre-impregnated ribbons or a wide preconsolidated tape onto a tool surface. It was proposed to utilize the Automated Tow Placement machine that was already available and to fabricate carbon fiber reinforced PEEK (polyether-ether-ketone) matrix composites. After initial experiments with the fabrication of flat plates, composite cylinders were to be fabricated. Specimens from the fabricated parts were to be tested for mechanical characterization. A second objective was to conduct various types of tests for characterizing composite specimens cured by different fabrication processes.

  13. Experimental evidence from active placement efforts among unemployed in Sweden.

    Science.gov (United States)

    Hägglund, Pathric

    2014-06-01

    This article uses data from a field experiment in Sweden to analyze the effects of active placement efforts. In particular, the relative efficiency between combining job-search monitoring and job-search assistance, and monitoring alone, is analyzed. Although the impact estimates are generally imprecisely estimated, a general conclusion is that placement programs are effective policies in increasing the job exit rate for various groups of unemployed. I find that monitoring of job search is an efficient method to increase off-unemployment exit rate both alone and combined with job-search assistance services. The results, however, indicate that the combined services generate more permanent job exits. PMID:25201049

  14. Physics of magnetic flux tubes

    CERN Document Server

    Ryutova, Margarita

    2015-01-01

    This book is the first account of the physics of magnetic flux tubes from their fundamental properties to collective phenomena in an ensembles of flux tubes. The physics of magnetic flux tubes is absolutely vital for understanding fundamental physical processes in the solar atmosphere shaped and governed by magnetic fields. High-resolution and high cadence observations from recent space and  ground-based instruments taken simultaneously at different heights and temperatures not only show the ubiquity of filamentary structure formation but also allow to study how various events are interconnected by system of magnetic flux tubes. The book covers both theory and observations. Theoretical models presented in analytical and phenomenological forms are tailored for practical applications. These are welded with state-of-the-art observations from early decisive ones to the most recent data that open a new phase-space for exploring the Sun and sun-like stars. Concept of magnetic flux tubes is central to various magn...

  15. Analysis of autofrettaged metal tubes

    International Nuclear Information System (INIS)

    Thick-walled cylinders are widely used as compressor cylinders, pump cylinders, high pressure tubing, process reactors and vessels, nuclear reactors, isostatic vessels and gun barrels. In practice, cylinders are generally subjected to sudden and frequently drastic pressure fluctuations, such as the pressure generated in a gun barrel upon the firing of the weapon, pressure reversals in pump cylinders or in process reactors employing high-pressure piping, necessitating enhanced strength of such cylinders. A process for enhancing the strength of thick-walled cylinders has been in service, and is referred to as 'autofrettage'. It extends the service life of the cylinder. The autofrettage is achieved by increasing elastic strength of a cylinder with various methods such as hydraulic pressurization, mechanical swaging, or by utilizing the pressure of a powder gas. This research work deals with the hydraulic and mechanical autofrettage of metal tubes with the objective to attain enhanced strength. Five metal tubes are taken randomly for analysis purpose. The experimental data for five metal tubes is obtained to analyze the behavior of different parameters used during, before, and after autofrettage process. For this research, two-stage autofrettage is taken into consideration. The modeling of the metal tube is carried out in WildFire-ProEngineering, and for analysis purpose, finite element software ANSYS7 and COSMOS are used. The graphical analysis of swage autofrettage is carried out using MATLAB7. The results are validated using available experimental and numerical data. (author)

  16. Energy dissipation in circular tube

    Directory of Open Access Journals (Sweden)

    A.D. Girgidov

    2012-01-01

    Full Text Available Energy dissipation distribution along the circular tube radius is important in solving such problems as calculation of heat transfer by the air flow through building envelope; calculation of pressure loss in spiral flows; calculation of cyclones with axial and tangential supply of dust-containing gas.Two types of one-dimensional radially axisymmetric flows in circular tube were considered: axial flow and rotation about the axis (Rankine vortex. Relying on two- and four-layer description of axial turbulent flow energy dissipation was calculated in each layer.Similar calculation for Rankine vortex with viscous sublayer at the tube surface was provided. By employing the dissipation minimum principle the boundary radius between rigid rotation and free vortex is calculated. Approximation of the velocity distribution in Rankine vortex is proposed.

  17. Failure analysis of brass tubes

    Energy Technology Data Exchange (ETDEWEB)

    Lawrence, S.J.; Bodnar, R.L. [Bethlehem Steel Corp., PA (United States)

    1997-02-01

    The 1996 Jacquet Lucas Award for Excellence in Metallography was won by Samuel J. Lawrence and Richard L. Bodnar for their analysis of cracks in Admiralty brass cooling tubes, which are part of a heat exchanger in a turbogenerator that provides electricity to a manufacturing plant. A mixture of non-recirculating city and spring pit water flows through bundles of tubes to cool the oil in which they are immersed. However, a problem developed when several of the brass tubes cracked transversely, allowing cooling water to mix with the oil. This award-winning entry in the ASM/IMS competition shows how the metallographers analyzed the cracks, and what the results were.

  18. Drift tubes of Linac 2

    CERN Multimedia

    1977-01-01

    With the advent of the 800 MeV PS Booster in 1972, the original injector of the PS, a 50 MeV Alvarez-type proton linac, had reached its limits, in terms of intensity and stability. In 1973 one therefore decided to build a new linac (Linac 2), also with a drift-tube Alvarez structure and an energy of 50 MeV. It had a new Cockcroft-Walton preinjector with 750 keV, instead of the previous one with 500 keV. Linac 2 was put into service in 1980. The old Linac 1 was then used for the study of, and later operation with, various types of ions. This picture shows Linac 2 drift-tubes, suspended on stems coming from the top, in contrast to Linac 1, where the drift-tubes stood on stems coming from the bottom.

  19. Transvaginal closure of the bladder neck and placement of a suprapubic catheter for destroyed urethra after long-term indwelling catheterization.

    Science.gov (United States)

    Zimmern, P E; Hadley, H R; Leach, G E; Raz, S

    1985-09-01

    We report on 6 women with continuous urinary incontinence as a late complication of an indwelling urethral catheter for neurogenic bladder. Pressure necrosis by the balloon resulted in progressive destruction of the entire urethra, with subsequent incontinence despite the catheter. Surgical attempts at bladder neck closure to correct the incontinence generally have been unsuccessful. Instead of supravesical urinary diversion, we performed transvaginal closure of the bladder neck and percutaneous placement of a permanent suprapubic tube cystostomy. All 6 patients remained dry after closure and none has shown upper urinary tract deterioration at followup for as long as 5 years. PMID:4040980

  20. Predictors of professional placement outcome: cultural background, English speaking and international student status.

    Science.gov (United States)

    Attrill, Stacie; McAllister, Sue; Lincoln, Michelle

    2016-08-01

    Placements provide opportunities for students to develop practice skills in professional settings. Learning in placements may be challenging for culturally and linguistically diverse (CALD) students, international students, or those without sufficient English proficiency for professional practice. This study investigated whether these factors, which are hypothesized to influence acculturation, predict poor placement outcome. Placement outcome data were collected for 854 students who completed 2747 placements. Placement outcome was categorized into 'Pass' or 'At risk' categories. Multilevel binomial regression analysis was used to determine whether being CALD, an international student, speaking 'English as an additional language', or a 'Language other than English at home' predicted placement outcome. In multiple multilevel analysis speaking English as an additional language and being an international student were significant predictors of 'at risk' placements, but other variables tested were not. Effect sizes were small indicating untested factors also influenced placement outcome. These results suggest that students' English as an additional language or international student status influences success in placements. The extent of acculturation may explain the differences in placement outcome for the groups tested. This suggests that learning needs for placement may differ for students undertaking more acculturative adjustments. Further research is needed to understand this and to identify placement support strategies.

  1. Improving the documentation of nasogastric tube insertion and adherence to local enteral nutrition guidelines.

    Science.gov (United States)

    Cole, Esther

    2015-01-01

    Fine bore nasogastric (NG) tubes are often required for patients who have insufficient nutrition to meet their daily requirements, as well as for feeding or medications when there are difficulties with swallowing. "Death or severe harm as a result of a naso […] gastric tubes being misplaced in the respiratory tract" is one of the Department of Health's list of "never events". Noble's Hospital, Isle of Man, has local guidelines based on the National Patient Safety Agency's 2005 guidelines and 2011 update, regarding the initial insertion and confirmation of placement of NG tubes. Retrospective baseline data looking at 13 case notes across 10 hospital wards showed that the majority of NG tube insertions took place on the stroke unit. A three-point quality of guidelines score showed that 8/13 (62%) cases were following guidelines appropriately. A seven-point quality of documentation score showed no case notes had full documentation. A teaching intervention for junior doctors and nurses was devised. However, there was no significant improvement in quality scores after 90 days (49 NG tube insertions). Therefore, an NG tube bundle, which included a pro forma for the case notes, information poster, and sticker for the nurse notes, was trialled on the stroke unit for six weeks. This showed that 10/12 (83%) cases were following guidelines appropriately. While only 2/12 (16%) of case notes had full documentation, this represented the two occasions when the pro forma was filled in and filed correctly. It is hoped that there could be a roll out of the intervention hospital-wide with identification of ways to improve usage of the NG tube bundle.

  2. [The Use of a Tracheal Tube for Guiding Nasogastric Tube Insertion].

    Science.gov (United States)

    Saima, Shunsuke; Asai, Takashi; Okuda, Yasuhisa

    2016-04-01

    An obese patient was scheduled for shoulder joint surgery under general anesthesia. After induction of anesthesia and tracheal intubation, insertion of a gastric tube was difficult. A new tracheal tube was prepared, the connecter was removed, and the tube was cut longitudinally. The tube was inserted orally into the esophagus. A gastric tube was passed through the nose, and its tip was taken out of the mouth. The tip of the gastric tube was passed through the tracheal tube, and its correct position in the stomach was confirmed by auscultation of the epigastrium. The tracheal tube was carefully taken out from the esophagus leaving the gastric tube in the stomach. The cut tracheal tube was peeled off from the gastric tube. Correct positioning of the gastric tube was re-confirmed.

  3. On the welded Tube map

    OpenAIRE

    Audoux, Benjamin

    2014-01-01

    This note investigates the so-called Tube map which connects welded knots, that is a quotient of the virtual knot theory, to ribbon torus-knots, that is a restricted notion of fillable knotted tori in the 4-sphere. It emphasizes the fact that ribbon torus-knots with a given filling are in one-to-one correspondence with welded knots before quotient under classical Reidemeister moves and reformulates these moves and the known sources of non-injectivity of the Tube map in terms of filling changes.

  4. Working session 3: Tubing integrity

    Energy Technology Data Exchange (ETDEWEB)

    Cueto-Felgueroso, C. [Tecnatom, S.A., San Sebastian de los Reyes, Madrid (Spain); Strosnider, J. [NRC, Washington, DC (United States)

    1997-02-01

    Twenty-three individuals representing nine countries (Belgium, Canada, the Czech Republic, France, Japan, the Slovak Republic, Spain, the UK, and the US) participated in the session on tube integrity. These individuals represented utilities, vendors, consultants and regulatory authorities. The major subjects discussed by the group included overall objectives of managing steam generator tube degradation, necessary elements of a steam generator degradation management program, the concept of degradation specific management, structural integrity evaluations, leakage evaluations, and specific degradation mechanisms. The group`s discussions on these subjects, including conclusions and recommendations, are summarized in this article.

  5. Working session 3: Tubing integrity

    International Nuclear Information System (INIS)

    Twenty-three individuals representing nine countries (Belgium, Canada, the Czech Republic, France, Japan, the Slovak Republic, Spain, the UK, and the US) participated in the session on tube integrity. These individuals represented utilities, vendors, consultants and regulatory authorities. The major subjects discussed by the group included overall objectives of managing steam generator tube degradation, necessary elements of a steam generator degradation management program, the concept of degradation specific management, structural integrity evaluations, leakage evaluations, and specific degradation mechanisms. The group's discussions on these subjects, including conclusions and recommendations, are summarized in this article

  6. Orifice plates and venturi tubes

    CERN Document Server

    Reader-Harris, Michael

    2015-01-01

    This book gives the background to differential-pressure flow measurement and goes through the requirements explaining the reason for them. For those who want to use an orifice plate or a Venturi tube the standard ISO 5167 and its associated Technical Reports give the instructions required.  However, they rarely tell the users why they should follow certain instructions.  This book helps users of the ISO standards for orifice plates and Venturi tubes to understand the reasons why the standards are as they are, to apply them effectively, and to understand the consequences of deviations from the standards.

  7. Flow Deflection in Intersected Tubes

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    In order to verify the flow interference at the fracture intersections, a group of hydraulic simulations of crossing flow was carried out. The manifold interference effects at the intersection of fractures on water flow has been confirmed extensively either in the normal or in the oblique intersected tubes as well as in the intersected tubes of either equal or variant diameters. Consequently, suggest that the fissure network can no longer be taken as a set of solitary fractures, but as a set of elementary intersected ractures. The deflection effect at fracture intersections on the water flow should be taken into considwhen is dealt with any theory related to the water migration in fractures.

  8. Single port laparoscopic long-term tube gastrostomy in Göttingen minipigs

    DEFF Research Database (Denmark)

    Birck, Malene Muusfeldt; Vegge, Andreas; Moesgaard, S G;

    2015-01-01

    Oral dosing by gavage is often used to test compounds in minipigs. This method is also used for certain nutritional studies that require exact dosing. This procedure may be stressful for the animal and requires the assistance of more than one technician. We investigated whether a gastrostomy tube...... of the stomach and placement of a locking pigtail catheter into the fundus region of the stomach. The minipigs were followed for three weeks after surgery and macroscopic and microscopic tissue reactions were evaluated at necropsy. All catheters were successfully placed and were easy to use. At necropsy...... it was evident that the catheter had entered the stomach in the fundus region in 11/12 of the animals. In one animal the catheter had entered the antrum region. None of the animals developed leakage or clinically detectable reactions to the gastrostomy tube. Histopathologically, only discrete changes were...

  9. Compassion Fatigue among Social Work Students in Field Placements

    Science.gov (United States)

    Harr, Cynthia; Moore, Brenda

    2011-01-01

    This pilot study, conducted with BSW and MSW field students at a public university in Southwestern United States, explored the psychological effect of compassion fatigue and compassion satisfaction on social work students in field placements. Results from the Professional Quality of Life Scale's compassion satisfaction and fatigue subscales…

  10. 45 CFR 605.35 - Evaluation and placement.

    Science.gov (United States)

    2010-10-01

    ... Preschool, Elementary, and Secondary Education § 605.35 Evaluation and placement. (a) Preplacement evaluation. A recipient that operates a public elementary or secondary education program or activity shall... who, because of handicap, needs or is believed to need special education or related services...

  11. Advanced Placement Economics Improves Both Merit and Equity

    Science.gov (United States)

    Meek, Sally; Morton, John

    2009-01-01

    In 1989, microeconomics and macroeconomics examinations debuted on the Advanced Placement (AP) scene. At that time, many professors of economics were skeptical that college freshmen had the skills and maturity to understand the concepts in principles of economics courses. They thought teaching these concepts to high school students was even more…

  12. Developmental Placement: Does It Prevent Future Learning Problems?

    Science.gov (United States)

    May, Deborah C.; Welch, Edward

    1984-01-01

    Of 223 children who were coded as buy-a-year (BAY), overplaced (OP), or traditional (TR) based on their Gesell placement status, there were no significant differences between TR, BAY, or OP children on referrals or classification or on receipt of speech and language service, remedial reading, remedial math, or counseling. (Author/CL)

  13. Advanced Placement Mathematics Calculus, Grade 12 Curriculum Guide.

    Science.gov (United States)

    Scharf, John; And Others

    This document is a guide to the advanced placement program in calculus for grade 12 in the city schools in Warren, Ohio. The program covers analytic geometry, differential and integral calculus of algebraic functions, elementary transcendental functions, and applications of differentiation and integration. The philosophy and aims of the program…

  14. 38 CFR 18.435 - Evaluation and placement.

    Science.gov (United States)

    2010-07-01

    ... evaluation of any qualified person who, because of handicap, needs or is believed to need special education... regular or program special education and any subsequent change in placement. (b) Evaluation procedures... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Evaluation and...

  15. Assessing L2 Knowledge of Spanish Clitic Placement: Converging Methodologies.

    Science.gov (United States)

    Duffield, Nigel; White, Lydia

    1999-01-01

    Reports on an experiment investigating adult second language (L2) acquisition of Spanish object clitic placement by native speakers of English and French. Two experimental methodologies are compared: an on-line sentence matching task and an off-line grammaticality judgment task. (Author/VWL)

  16. Work Placements for Languages Students: A Transformative Experience

    Science.gov (United States)

    Organ, Alison

    2016-01-01

    A work placement module is compulsory in the second year of most degree programmes at York St John University, as part of an institution-wide strategy to embed employability in the curriculum. As most languages students spend their second year studying abroad, the Languages in the Workplace module was designed in such a way that the setting up of…

  17. Poverty and Child Placement: A New/Old Idea.

    Science.gov (United States)

    Gustavsson, Nora S.; MacEachron, Ann E.

    1997-01-01

    Examines historical precedents for removing poor children from their families, reviews relevant experiences of Native Americans, and analyzes child placement through the lens of poverty. The role of the federal government in child protection is examined by comparing the Indian Child Welfare Act and the Adoption Assistance and Child Welfare Act.…

  18. Accounting for L2 learners’ errors in word stress placement

    Directory of Open Access Journals (Sweden)

    Clara Herlina Karjo

    2016-01-01

    Full Text Available Stress placement in English words is governed by highly complicated rules. Thus, assigning stress correctly in English words has been a challenging task for L2 learners, especially Indonesian learners since their L1 does not recognize such stress system. This study explores the production of English word stress by 30 university students. The method used for this study is immediate repetition task. Participants are instructed to identify the stress placement of 80 English words which are auditorily presented as stimuli and immediately repeat the words with correct stress placement. The objectives of this study are to find out whether English word stress placement is problematic for L2 learners and to investigate the phonological factors which account for these problems. Research reveals that L2 learners have different ability in producing the stress, but three-syllable words are more problematic than two-syllable words. Moreover, misplacement of stress is caused by, among others, the influence of vowel lenght and vowel height.

  19. Towards an evaluation of quality for names placement methods

    NARCIS (Netherlands)

    Dijk, Steven van; Kreveld, M.J. van; Strijk, T.; Wolff, A.

    2002-01-01

    The cartographic labeling problem is the problem of placing text on a map. This includes the positioning of the labels, and determining the shape in the case of line and area feature labels. There are many rules and customs that describe aspects of good label placement, like readability and clear as

  20. Teaching Melodic Dictation in Advanced Placement Music Theory

    Science.gov (United States)

    Paney, Andrew S.; Buonviri, Nathan O.

    2014-01-01

    In this study approaches to teaching melodic dictation skills used by Advanced Placement (AP) Music Theory teachers were examined. Twelve high school teachers from four states were interviewed. Four themes emerged from the interview transcripts: cognitive frameworks, processing strategies, rhythm, and course design. Participants generally…

  1. Do Graduate Student Teacher Training Courses Affect Placement Rates?

    Science.gov (United States)

    Ishiyama, John; Balarezo, Christine; Miles, Tom

    2014-01-01

    We investigate whether the existence of a required graduate course on "Teaching in Political Science" is related to overall job placement rates reported by graduate political science programs. We examine this in light of evidence from 73 public PhD-granting political science departments across the country. We find that the existence of…

  2. Effects of placement point of background music on shopping website.

    Science.gov (United States)

    Lai, Chien-Jung; Chiang, Chia-Chi

    2012-01-01

    Consumer on-line behaviors are more important than ever due to highly growth of on-line shopping. The purposes of this study were to design placement methods of background music for shopping website and examine the effect on browsers' emotional and cognitive response. Three placement points of background music during the browsing, i.e. 2 min., 4 min., and 6 min. from the start of browsing were considered for entry points. Both browsing without music (no music) and browsing with constant music volume (full music) were treated as control groups. Participants' emotional state, approach-avoidance behavior intention, and action to adjust music volume were collected. Results showed that participants had a higher level of pleasure, arousal and approach behavior intention for the three placement points than for no music and full music. Most of the participants for full music (5/6) adjusted the background music. Only 16.7% (3/18) participants for other levels turn off the background music. The results indicate that playing background music after the start of browsing is benefit for on-line shopping atmosphere. It is inappropriate to place background music at the start of browsing shopping website. The marketer must manipulated placement methods of background music for a web store carefully.

  3. Developing a Multimedia, Computer-Based Spanish Placement Test

    Science.gov (United States)

    Zabaleta, Francisco

    2007-01-01

    Placing students of a foreign language within a basic language program constitutes an ongoing problem, particularly for large university departments when they have many incoming freshmen and transfer students. This article outlines the author's experience designing and piloting a language placement test for a university level Spanish program. The…

  4. Video-Assisted Thoracic Placement of Epicardial Leads

    NARCIS (Netherlands)

    Schouwenburg, Jasper J.; Klinkenberg, Theo J.; Maass, Alexander H.; Mariani, Massimo A.

    2014-01-01

    Cardiac resynchronization therapy is one of the cornerstones of heart failure treatment. Inability to access the coronary sinus or one of its sidebranches is one of the most common causes of therapeutic failure. We describe a technique using video-assisted thoracic surgery for epicardial placement o

  5. Surprise and Sense Making: Undergraduate Placement Experiences in SMEs

    Science.gov (United States)

    Walmsley, Andreas; Thomas, Rhodri; Jameson, Stephanie

    2006-01-01

    Purpose: This paper seeks to explore undergraduate placement experiences in tourism and hospitality SMEs, focusing on the notions of surprise and sense making. It aims to argue that surprises and sense making are important elements not only of the adjustment process when entering new work environments, but also of the learning experience that…

  6. Heuristic Placement Routines for Two-Dimensional Bin Packing Problem

    Directory of Open Access Journals (Sweden)

    L. Wong

    2009-01-01

    Full Text Available Problem statement: Cutting and packing (C and P problems are optimization problems that are concerned in finding a good arrangement of multiple small items into one or more larger objects. Bin packing problem is a type of C AND P problems. Bin packing problem is an important industrial problem where the general objective is to reduce the production costs by maximizing the utilization of the larger objects and minimizing the material used. Approach: In this study, we considered both oriented and non-oriented cases of Two-Dimensional Bin Packing Problem (2DBPP where a given set of small rectangles (items, was packed without overlaps into a minimum number of identical large rectangles (bins. We proposed heuristic placement routines called the Improved Lowest Gap Fill, LGFi and LGFiOF for solving non-oriented and oriented cases of 2DBPP respectively. Extensive computational experiments using benchmark data sets collected from the literature were conducted to assess the effectiveness of the proposed routines. Results: The computational results were compared with some well known heuristic placement routines. The results showed that the LGFi and LGFiOF are competitive when compared with other heuristic placement routines. Conclusion: Both LGFi and LGFiOF produced better packing quality compared to other heuristic placement routines.

  7. Optimal Placement of Phasor Measurement Units with New Considerations

    DEFF Research Database (Denmark)

    Su, Chi; Chen, Zhe

    2010-01-01

    of these factors is taken into account in the proposed PMU placement method in this paper, which is the number of adjacent branches to the PMU located buses. The concept of full topological observability is adopted and a version of binary particle swarm optimization (PSO) algorithm is utilized. Results from...

  8. Childhood Placement in Special Education and Adult Well-Being

    Science.gov (United States)

    Chesmore, Ashley A.; Ou, Suh-Ruu; Reynolds, Arthur J.

    2016-01-01

    The present study investigates the relationship between childhood placement in special education and adult well-being among 1,377 low-income, minority children participating in the Chicago Longitudinal Study. Roughly 16% of the sample received special education services in Grades 1 to 8. After accounting for sociodemographic factors and early…

  9. Percutaneous placement of peritoneal port-catheter in oncologic patients

    International Nuclear Information System (INIS)

    The aim of this paper is to describe the technique of percutaneous ultrasound (US)-guided placement of a peritoneal port-catheter in an interventional radiological setting. Nineteen patients with peritoneal carcinomatosis were selected for intraperitoneal port-catheter placement in order to perform intracavitary receptor-immuno- or radio-immunotherapy with Ytrium-90. All the procedures were performed percutaneously under US and fluoro guidance; the insertion site for catheters was chosen according to abdominal conditions and US findings: all devices were implanted at the lower abdominal quadrants. All patients were followed up with CT and US according to the therapy protocol. The procedure was successfully completed in 15/19 patients, in 4 being contraindicated by peritoneal adhesions. No procedure-related complications and device occlusions during therapy were observed; one catheter displaced 7 months later the placement. In our experience, this procedure was feasible, reliable and easy to perform, allowing the correct administration of the planned intracavitary therapy. Peritoneal adhesions are the main limitation of peritoneal port placement. (orig.)

  10. Immediate implant placement and provisionalisation in the aesthetic zone

    NARCIS (Netherlands)

    Van Nimwegen, W G; Goené, R J; Van Daelen, A C L; Stellingsma, K; Raghoebar, G M; Meijer, H J A

    2016-01-01

    The aim of this retrospective study was to assess the outcome of immediate single-tooth implant placement and provisionalisation in the aesthetic zone regarding hard and soft peri-implant tissue parameters and patient-related outcome measures in a private practice. All consecutively treated patients

  11. 22 CFR 96.54 - Placement standards in outgoing cases.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Placement standards in outgoing cases. 96.54 Section 96.54 Foreign Relations DEPARTMENT OF STATE LEGAL AND RELATED SERVICES ACCREDITATION OF AGENCIES... print, media, and internet resources designed to communicate with potential prospective adoptive...

  12. [Studies of Student Performance on the Comparative Guidance Placement Program.

    Science.gov (United States)

    Reed, M. Douglas

    Data from the College Entrance Examination Board's Comparative Guidance and Placement (CGP) Program were used in these two studies of students at Central Virginia Community College (CVCC). In the first study, 1971 fall quarter performance in specific courses and in all courses was compared to CGP performance. The conclusions indicate that: (1) CGP…

  13. 26 CFR 31.3506-1 - Companion sitting placement services.

    Science.gov (United States)

    2010-04-01

    ... the employee-employer relationship when, under §§ 31.3121(d)-1 and 31.3121(d)-2, that relationship... companion sitting placement service, this section has no effect upon that employee-employer relationship. (e.... Issues such as hours of work, amount of payment, and the method by which the services are performed...

  14. Developmental, Familial, and Peer Deterrents to Adoption Placement.

    Science.gov (United States)

    Weir, Kyle N.

    2000-01-01

    Examines the developmental, familial, and peer deterrents that form barriers to adoption placement, based on interviews with 17 teen mothers in a residential facility. Analyzes responses based on an Eriksonian developmental model, and notes the role of family "cutoffs" and "re-admissions" and peer pressure as deterrents to adoption. Suggests…

  15. J-tube technique for double-j stent insertion during laparoscopic upper urinary tract surgical procedures.

    Science.gov (United States)

    Kim, Hyung Suk; Lee, Byung Ki; Jung, Jin-Woo; Lee, Jung Keun; Byun, Seok-Soo; Lee, Sang Eun; Jeong, Chang Wook

    2014-11-01

    Double-J stent insertion has been generally performed during laparoscopic upper urinary tract (UUT) surgical procedures to prevent transient urinary tract obstruction and postoperative flank pain from ureteral edema and blood clots. Several restrictive conditions that make this procedure difficult and time consuming, however, include the coiled distal ends of the flexible Double-J stent and the limited bending angle of the laparoscopic instruments. To overcome these limitations, we devised a Double-J stent insertion method using the new J-tube technique. Between July 2011 and May 2013, Double-J stents were inserted using the J-tube technique in 33 patients who underwent a laparoscopic UUT surgical procedure by a single surgeon. The mean stent placement time was 4.8±2.7 minutes, and there were no intraoperative complications. In conclusion, the J-tube technique is a safe and time-saving method for Double-J stent insertion during laparoscopic surgical procedures.

  16. Promoting the Learning Mobility of Future Workers: Experiments with Virtual Placements in University-Business Arrangements.

    NARCIS (Netherlands)

    van Dorp, C.A.; Herrero de Egaña y Espinosa de los Monteros, A.; Lansu, A.; Kocsis Baán, M.; Virkus, S.

    2011-01-01

    Virtual placements are learning arrangements, which generate new possibilities for accumulating professional (work-based) knowledge. Virtual placements are beneficial in many ways; they merit increased training opportunities, exposure to not/never-thought-of occupations, integration of disadvantaged

  17. 21 CFR 876.5980 - Gastrointestinal tube and accessories.

    Science.gov (United States)

    2010-04-01

    ... intubation, feeding tube, gastroenterostomy tube, Levine tube, nasogastric tube, single lumen tube with... § 876.9. (2) Class I (general controls) for the dissolvable nasogastric feed tube guide for the nasogastric tube. The class I device is exempt from the premarket notification procedures in subpart E of...

  18. Enhancing undergraduate community placements: a critical review of current literature.

    Science.gov (United States)

    Dickson, Caroline A W; Morris, Gillian; Gable, Clare

    2015-04-01

    In the face of the UK-wide policy shift to increased home care, inspiring and enabling the next generation of community nurses is more urgent than ever. The quality of the pre-registration practice learning experience is highly influential on career choices at the point of qualification. Given that 50% of learning by pre-registration students takes place in practice, mentors have a crucial role to play in preparing the next generation of nurses to work in the community. This article discusses the findings of a systematic and critical literature review of pre-registration placements that was funded by the Queen's Nursing Institute Scotland. The review found that students' experiences of learning in community settings are variable, and perceptions of students and mentors are misaligned in terms of what a quality placement should look like. Although there is no clear definition of what constitutes a community placement and there is some underuse of learning environments in areas such as general practice nursing, there are also a number of examples of new and imaginative placements. While these innovations provide 'whole experience' placements, they are currently lacking robust evaluation, despite their potential usefulness on a larger scale. Mentors have the opportunity to provide students with a range of learning opportunities that increase preparedness for working in the community, allowing final year students in particular greater influence over their learning experience. Students undertaking community practice learning, where they have a managed level of autonomy, are more likely to feel confident to take on community nursing roles. PMID:25839877

  19. Innovation, personal growth and professional identity: perspectives on role emerging placements in occupational therapy

    OpenAIRE

    Warren, Alison F

    2014-01-01

    Role emerging placements are relatively new in the Republic of Ireland and there is debate regarding the influence of this placement model on the learning and development of occupational therapy students. The model involves a student completing a placement in a non-traditional setting, with supervision from an on-site supervisor and an off-site occupational therapist. This research explores how learning opportunities are created in role emerging placements to support the development of occupa...

  20. Welding the CNGS decay tube

    CERN Multimedia

    Maximilien Brice

    2004-01-01

    3.6 km of welds were required for the 1 km long CERN Neutrinos to Gran Sasso (CNGS) decay tube, in which particles produced in the collision with a proton and a graphite target will decay into muons and muon neutrinos. Four highly skilled welders performed this delicate task.

  1. Fin-tube solar collectors

    Science.gov (United States)

    1980-01-01

    Report presents test procedures and results of thermal-performance evaluation of seven commercial fin tube (liquid) solar collector-absorber plates. Tests were conducted indoors at Marshall Space Flight Center Solar simulator. Results are graphically shown along with supporting test data and summary, indicating efficiency as function of collector inlet temperature.

  2. Working session 1: Tubing degradation

    Energy Technology Data Exchange (ETDEWEB)

    Kharshafdjian, G. [Atomic Energy of Canada, Mississauga, Ontario (Canada); Turluer, G. [IPSN, Fontenay-aux-Roses (France)

    1997-02-01

    A general introductory overview of the purpose of the group and the general subject area of SG tubing degradation was given by the facilitator. The purpose of the session was described as to {open_quotes}develop conclusions and proposals on regulatory and technical needs required to deal with the issues of SG tubing degradation.{close_quotes} Types, locations and characteristics of tubing degradation in steam generators were briefly reviewed. The well-known synergistic effects of materials, environment, and stress and strain/strain rate, subsequently referred to by the acronym {open_quotes}MESS{close_quotes} by some of the group members, were noted. The element of time (i.e., evolution of these variables with time) was emphasized. It was also suggested that the group might want to consider the related topics of inspection capabilities, operational variables, degradation remedies, and validity of test data, and some background information in these areas was provided. The presentation given by Peter Millet during the Plenary Session was reviewed; Specifically, the chemical aspects and the degradation from the secondary side of the steam generator were noted. The main issues discussed during the October 1995 EPRI meeting on secondary side corrosion were reported, and a listing of the potential SG tube degradations was provided and discussed.

  3. Oscillatory flow in bifurcating tubes

    International Nuclear Information System (INIS)

    Respiratory fluid mechanics is characterized by flow through bifurcating, Y-shaped, tubes. Steady flow through such geometries has been studied in detail by several authors. However, the recent widespread use of high frequency mechanical assistance of ventilation has generated interest in unsteady flows. A symmetric, singly branching pipe has been constructed, with its bifurcation shaped to model pulmonary conditions. The form of the bifurcation is based on CAT scans of human tracheal carinas. Its features include an area change of the parent tube from circular to roughly elliptical near the junction, a pinch-off effect on the parent tube, smoothly curved outer walls at the junction, and a sharp flow divider. Parent and daughter tubes have an l/d ratio of > 50, so that entrance effects are avoided. In order to better understand the effects of unsteadiness, piston driven, laminar, purely oscillatory flow has been established in the pipe for a variety of Womersley numbers. By appropriate choices of flow frequency and amplitude, fluid viscosity, and pipe diameter, tracheal Reynolds and Womersley numbers have been matched for resting breathing (tidal volume of 600 ml to 0.25 Hz), high frequency breathing (50 ml at 5 Hz), and intermediate breathing levels

  4. OurTube / David Talbot

    Index Scriptorium Estoniae

    Talbot, David

    2009-01-01

    USA California Ülikooli töötajate Abram Stern'i ja Michael Dale'i poolt 2005. a. algatatud USA kongressis peetud kõnede videoremiksidest ja nende poolt loodud veebisaidist Metavid.org. Ka YouTube keskkonnast ja wikipedia katsetustest muuta oma keskkond multimeedialisemaks

  5. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Supported by the NEI Research at NEI All Research at NEI Office of the Scientific Director Office of the Clinical Director Education Programs ... Health Information News and Events Grants and Funding Research at NEI Education ... NEI YouTube Videos: Amblyopia NEI ...

  6. X-ray tube arrangement

    International Nuclear Information System (INIS)

    An x-ray tube is described incorporating an elongated target/ anode over which the electron beam is deflected and from which x-rays are emitted. Improved methods of monitoring and controlling the amplitude of the beam deflection are presented. (U.K.)

  7. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry Eye For Kids Glaucoma Healthy Vision Tips Leber Congenital Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube ...

  8. Disrupted Social Work Field Placement: Factors That Contribute to Premature Termination of BSW Students' Field Placement

    Science.gov (United States)

    Tyler, Janet

    2012-01-01

    According to R. Wayne ("Legal Guidelines for Dismissing Students Because of Poor Performance in the Field," 2004), there is a widely accepted assumption in social work education that field placement provides the best opportunity to evaluate students' goodness-of-fit with the profession and is therefore used to weed out unsuitable…

  9. Using a Regression Discontinuity Design to Estimate the Impact of Placement Decisions in Developmental Math

    Science.gov (United States)

    Melguizo, Tatiana; Bos, Johannes M.; Ngo, Federick; Mills, Nicholas; Prather, George

    2016-01-01

    This study evaluates the effectiveness of math placement policies for entering community college students on these students' academic success in math. We estimate the impact of placement decisions by using a discrete-time survival model within a regression discontinuity framework. The primary conclusion that emerges is that initial placement in a…

  10. Acute Duodenal Obstruction After Percutaneous Placement of Metallic Biliary Stents: Peroral Treatment with Enteral Stents

    International Nuclear Information System (INIS)

    Three patients with malignant biliary obstruction were treated with placement of metallic biliary stents. Two patients had known partial duodenal stenosis but had no symptoms of gastrointestinal obstruction. The patients developed symptomatic duodenal obstruction early after biliary metallic stent placement. The symptomatic duodenal obstructions were successfully treated with peroral placement of duodenal stents, which obviated the need for surgical intervention

  11. A new branch of advertising: reviewing factors that influence reactions to product placement

    NARCIS (Netherlands)

    E. van Reijmersdal; P. Neijens; E.G. Smit

    2009-01-01

    This iiterature review presents a quantitative synthesis of 57 studies on product placement and shows which factors are most effective, it shows that placement characteristics, such as placement commerciality, modality, and prominence, have a strong impact on audience reactions. Audience characteris

  12. Waarschuwingen, beroemheden en brand placement: de effecten van type waarschuwing en geloofwaardigheid op kijkerreacties

    NARCIS (Netherlands)

    K. Dekker; E. van Reijmersdal

    2010-01-01

    Although many studies on product placement have been conducted, effects of celebrities in product placement remained unstudied. In addition, new legislation forces television programs to show warnings for sponsored content. However, effects of such warnings for product placement are unknown. The pre

  13. Early jejunal feeding by bedside placement of a nasointestinal tube significantly improves nutritional status and reduces complications in critically ill patients versus enteral nutrition by a nasogastric tube.

    Science.gov (United States)

    Wan, Bing; Fu, Haiyan; Yin, Jiangtao

    2015-01-01

    本研究探讨改良的盲插型鼻肠管的置入方法,并比较鼻肠管及鼻胃管进行肠内 营养后患者的营养状态、炎症指标及肠内营养的费用及并发症发生率。入住 ICU的危重症患者70例随机分为鼻胃管组(NGT;n=35)和经鼻腔置入鼻肠管 组(NIT;n=35)。比较了患者的营养相关指标、机械通气及ICU住院日、记录 肠内营养并发症发生率及肠内营养费用等。第7、14天,NIT组的PA及TF水平明 显高于NGT组(p<0.01,p<0.05)。两组间腹胀、腹泻、上消化道出血及肝功 能损害无统计学差异,但反流及吸入性肺炎发生率、机械通气时间、ICU平均 住院日和肠内营养支持费用,NIT组均明显低于NGT组(p<0.01)。IL-6和TNF- α水平及 APACHE II评分,NIT组显著低于NGT组(Day 7,p<0.01;Day 14, p<0.05)。使用新型鼻肠管并改良盲插方式,可以提高盲插成功率。更重要的 是,及时使用鼻肠管肠内营养,可以显著改善重症患者的营养状况、炎症反应 及肠内营养的支持费用和相关并发症。

  14. 鼻空肠管与鼻胃管应用在ICU患者中的效果观察%Effect observation of nasojejunal tube and nasogastric tube applying to patients in ICU

    Institute of Scientific and Technical Information of China (English)

    梁丽贞; 吴月花

    2015-01-01

    Objective To compare the clinical application effect of early-stage enteral nutrition by nasojejunal tube or nasogastric tube on patients in intensive care unit (ICU) in order to select a safe and effective enteral nutrition ap-proach. Methods 60 patients in ICU supported by enteral nutrition were evenly divided into group A and B based on the sequence of admission into ICU.In group A,nasojejunal tube was applied,while in group B,nasogastric tube was placed.The same enteral nutrition with the same dripping method was provided in both groups.Implementation time of enteral nutrition after tube placement in the two groups was recorded.The incidences of complications like reflux,aspira-tion,abdominal diarrhea,abdominal distension,and tube plugging,etc.within 7 days were observed in both groups. Results After tube placement,implementation time of enteral nutrition in group A was earlier than that in group B.Within 48 hours,nutrient solution after tube placement was successfully dripped in 23 cases (76.7%) in group A and 9 cases (30.0%) in group B,the difference was significant (χ2=15.94,P<0.05).The incidence of complications within 7 days after tube placement was 23.3% in group A and 56.7% in group B,the difference was significant (χ2=6.94,P<0.05). Conclusion For patients in ICU,early-stage enteral nutrition support by nasojejunal tube is safer and more effective in comparison with that by nasogastric tube.%目的:比较ICU患者经鼻空肠管与鼻胃管实施早期肠内营养的临床应用效果,选择一条安全、高效的肠内营养途径。方法将60例需行肠内营养的ICU患者按入住ICU的先后顺序分为A组和B组各30例,A组置入鼻空肠管,B组置入鼻胃管,两组使用滴入方式输入相同的肠内营养剂,记录两组置管后肠内营养开始实施的时间,观察两组在置管7d内并发症的发生率,包括反流、误吸、腹泻、腹胀、堵管。结果置管后肠内营养开始实施的时间A

  15. Medical image of the week: Dobhoff placement in a patient with hiatal hernia

    Directory of Open Access Journals (Sweden)

    Sekhon KK

    2015-01-01

    Full Text Available No abstract available. Article truncated at 150 words. A 79 year-old woman with a past medical history of obstructive sleep apnea, chronic obstructive pulmonary disease on home oxygen, obesity hypoventilation syndrome, hypertension, and anxiety presented with a 2 day history of altered mental status and symptoms consistent with a COPD exacerbation, including dyspnea and increased oxygen requirements. She was found to be hypercarbic and did not tolerate a trial of BiPAP due to her altered mentation. She was subsequently intubated. Due to an expected prolonged intubation period, plans for enteral access were made. A Dobhoff naso-duodenal feeding tube (DHT was inserted. On chest radiograph and a concurrent abdominal radiograph, the DHT appeared to have been inserted into the left mainstem bronchus terminating in the left lower lobe (Figure 1A and 1B. The nursing staff removed and replaced the DHT resulting in a similar radiograph. A third placement was attempted with similar radiographic results. Therefore, a computed tomography (CT …

  16. COMPARATIVE STUDY OF ‘PERCUTANEOUS NEPHROLITHOTOMY PLACEMENT’ VERSUS PERCUTANEOUS NEPHROLITHOTOMY WITHOUT NEPHROSTOMY PLACEMENT (TUBELESS PCNL

    Directory of Open Access Journals (Sweden)

    Jagadeeshwar

    2014-11-01

    Full Text Available OBJECTIVES: To assess the efficacy, safety, and morbidity of tubeless percutaneous nephrolithotomy (PCNL and compare it with standard PCNL. METHODOLOGY: Between august 2008 and December 2008 patients undergoing PCNL prospectively evaluated in two groups. One group patients undergone PCNL with nephrostomy placement (Standard PCNL and second group of patients undergone PCNL without nephrostomy tube (TUBELESS PCNL. Case selection criteria were adequately matched and postoperative outcome was recorded in same way in both groups. Patients who needed more than two percutaneous tracts, intraoperative perforation of the pelvicalyceal system, excessive manipulation at the ureteropelvic junction, or a residual stone after the procedure and who had a solitary kidney or azotemia were excluded from the study. RESULTS: A total 43 patients (23 patients in group I, 22 patients in group II were included in the study. Post-operative plain x-ray of kidneys, ureters and bladder showed a 100% stone clearance rate. There was no tract related problems i.e., tract infection and sinus formation. Mean hospital stay was 5.9 days in group I and 4.1days in group II. Post-operative ultrasonography during hospitalization showed no perinephric collection. No readmissions to the hospital at mean follow up of 6 months (range 2to 6 months. All patients were doing well. CONCUSIONS: Avoiding the use of nephrostomy or D-J stent may not compromise the safety of PCNL and it decreases morbidity of the patient.

  17. Structure and growth thermodynamics of carbon tubes

    Institute of Scientific and Technical Information of China (English)

    李文治; 钱露茜; 钱生法; 周维亚; 王刚; 付春生; 赵日安; 解思深

    1996-01-01

    Carbon tubes were prepared by Ni (or Ti) catalytic pyrolysis of acetylene. The catalytic effect of nanometer nickel powders is related to the reduction temperature in H2 atmosphere. Nanometer nickel powders reduced at high temperature have a distinguished catalytic effect, and the yield of the carbon tubes is relatively high; but for the nickel powders reduced at low temperature, the yield of carbon tubes is low, and no tube can be formed. Carbon tubes can only be grown along the edges or on the tips of the Ni (or Ti) sheets reduced at about 770C. But if Ni (or Ti) sheets are etched in acid, at lot of carbon tubes with various forms can be formed on their surface. The structure and morphology of the carbon tubes is studied, and the growth thermodynamics for the straight, curved and helical carbon tubes are systematically investigated for the first time.

  18. Ultrasonic testing of steam generator tubes

    International Nuclear Information System (INIS)

    A system is developed for inspection of steam generator tube, especially near the tube plate. Imaging, thickness measurement, radial profilometry, longitudinal and circonferential crack detection and welded joints testing are reviewed

  19. Chemical cleaning specification: few tube test model

    International Nuclear Information System (INIS)

    The specification is for the waterside chemical cleaning of the 2 1/4 Cr - 1 Mo steel steam generator tubes. It describes the reagents and conditions for post-chemical cleaning passivation of the evaporator tubes

  20. The accessory fallopian tube: A rare anomaly

    Directory of Open Access Journals (Sweden)

    Kusum R Gandhi

    2012-01-01

    Full Text Available This paper presents a rare anatomical variation in the form of accessory fallopian tube on right side. The duplication of fallopian tube was observed in a 34-year-old female during routine undergraduate dissection in our department. Fallopian tube is the part of uterus that carries the ovum from the ovary to the uterus. Accessory fallopian tube is the congenital anomaly attached to the ampullary part of main tube. This accessory tube is common site of pyosalpinx, hydrosalpinx, cystic swelling and torsion. The ovum released by the ovary may also be captured by the blind accessory tube leading to infertility or ectopic pregnancy. Hence, all patients of infertility or pelvic inflammatory disease should be screened to rule out the presence of accessory fallopian tube and if encountered should be removed.

  1. Dynamics Calculation of Travel Wave Tube

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    During the dynamics calculating of the travel tube, we must obtain the field map in the tube. The field map can be affected by not only the beam loading, but also the attenuation coefficient. The calculation of the attenuation coefficient

  2. Tube morphogenesis: closure, but many openings remain

    OpenAIRE

    Nelson, W. James

    2003-01-01

    Epithelial and endothelial tubes form the basic structure of many organs and tissues in the fruit fly Drosophila melanogaster, the nematode Caenorhabditis elegans, zebrafish and mammals. Comparison of how tubes form during development defines several pathways that generate a single unbranched tube or dichotomously branching tubular networks. The formation of tubes can be induced directly by intrinsic signals within epithelial primordia or by inductive signaling between adjacent epithelia and ...

  3. Tube Thoracostomy: Complications and Its Management

    OpenAIRE

    Chinenye Kesieme; Eshiobo Irekpita; Nze Jebbin; Ndubueze Ezemba; Andrew Dongo; Kesieme, Emeka B.

    2011-01-01

    Background. Tube thoracostomy is widely used throughout the medical, surgical, and critical care specialities. It is generally used to drain pleural collections either as elective or emergency. Complications resulting from tube thoracostomy can occasionally be life threatening. Aim. To present an update on the complications and management of complications of tube thoracostomy. Methods. A review of the publications obtained from Medline search, medical libraries, and Google on tube thoracostom...

  4. Oxy-acetylene driven laboratory scale shock tubes for studying blast wave effects

    CERN Document Server

    Courtney, Michael

    2011-01-01

    Instrumentation is needed to produce realistic blast waves in a laboratory setting. This paper describes the development and characterization of oxy-acetylene driven, laboratory scale shock tubes for use in studying blast injury, candidate armor materials, and material properties at blast loading rates. The pressure-time profiles show a true shock front and exponential decay characteristic of blast waves and have relevant durations. The modular design includes shock tube diameters of 27 mm and 41 mm, and a selection of peak pressures from 204 kPa to 920 kPa can be produced by selection of the driver section diameter and placement of the test sample. Characterization studies of several driver/driven section combinations showed consistent results, with peak pressures having 0.8 - 6.9 percent uncertainty in the mean. This shock tube design provides a more realistic blast profile than current air-driven shock tubes. In addition, operation does not require specialized personnel or facilities like most blast-driven...

  5. Brand Placement in Establishing Corporate Identity - A University Example -

    Directory of Open Access Journals (Sweden)

    Saliha AĞAÇ

    2015-06-01

    Full Text Available With competition becoming ever fiercer, brands must conform to modern marketing and become more influential on consumer perceptions by developing strategies according to the needs and demands of consumers. Hence it is very important to determine how the br and is perceived and placed in the consumer’s mind. Branding is a key issue on the modern agenda. As universities have understood the importance of establishing corporate identity and brand placement, they have joined the race and begun developing social strategies to develop their brand values. These include establishing brand belongingness, advertising and promotions and efforts to make the university stand out among similar ones. Brand placement in the minds of users is attempted through the name, logo , colors, characters and fonts representing the university used on clothing, office material and similar. Brand placement efforts include definitions by consumers of the product or service or attempts to distinguish these from those of competitors. This r esearch deals with a clothing b rand representing a university, brand image and product perceptions as well as the brand placement efforts. The scanning method was used in the research. The brand of casual clothing used as an example for brand placement as well as similarly known brands were examined for their product variety, prices and consumer portfolios. Measurement devices were prepared for the brand placement of the apparel designed and produced for the university, and a pilot trial was performed. I n the pilot trial, a set of questions was asked to a group of randomly chosen 242 people, consisting of academics, university students and administrative staff. The data obta ined were analyzed using SPSS 16 .0. Findings were given in tables according to sta tus variables. The finding of the research indicate that in brand placing efforts, for the intended consumer the apparel’s fabric, stitching and print/embroidery quality, its price

  6. Kundt's Tube: An Acoustic Gas Analyzer

    Science.gov (United States)

    Aristov, Natasha; Habekost, Gehsa; Habekost, Achim

    2011-01-01

    A Kundt tube is normally used to measure the speed of sound in gases. Therefore, from known speeds of sound, a Kundt tube can be used to identify gases and their fractions in mixtures. In these experiments, the speed of sound is determined by measuring the frequency of a standing sound wave at a fixed tube length, temperature, and pressure. This…

  7. Feasibility of Upper Port Plug tube handling

    NARCIS (Netherlands)

    Koning, J. F.; Elzendorn, B. S.; Ronden, D. M. S.; Klinkhamer, J. F. F.; Biel, W.; Krasikov, Y.; Walker, C. I.

    2011-01-01

    Central, retractable tubes are proposed in several Upper Port Plugs (UPPs) designs for ITER, to enable fast exchange of specific components of diagnostics housed in these UPPs. This paper investigates into possible designs to enable the efficient handling of tubes. The feasibility of tube handling i

  8. Welding device inside a small diameter tube

    International Nuclear Information System (INIS)

    The orbital welding tool is supported in a socket at the end of a flexible tube. A motor rotating the head is placed in a casing fixed to the other end of the flexible tube and rotates the welding tool by the intermediary of a flexible transmission. A second flexible tube fixed to the casing permits the translation of the welding tool

  9. Feeding Tube Placement in Patients with Advanced Dementia: The Beliefs and Practice Patterns of Speech-Language Pathologists

    Science.gov (United States)

    Sharp, Helen M.; Shega, Joseph W.

    2009-01-01

    Purpose: To describe the beliefs and practices of speech-language pathologists (SLPs) about the use of percutaneous endoscopic gastrostomy (PEG) among patients with advanced dementia and dysphagia. Method: A survey was mailed to a geographically stratified random sample of 1,050 medical SLPs. Results: The response rate was 57%, and 326 surveys met…

  10. Potential risk of malposition of nasogastric tube using nose-ear-xiphoid measurement.

    Directory of Open Access Journals (Sweden)

    Yen-Chun Chen

    Full Text Available BACKGROUND: Correct placement of nasogastric tubes provide proper functionality and maximize benefit and minimize risk. The Nose-Ear-Xiphoid (NEX body surface estimate method is a long-lasting technique, and this study was conducted to evaluate the correlation between NEX method and the secure insertion depth of nasogastric tube. MATERIALS AND METHODS: Thirty patients with nasogastric tube insertion who received whole body positron emission tomography with computerized tomography scan (PET-CT were recruited. All data were gathered in the image center, which included Nose-Ear (NE, Ear-Xiphoid (EX, Nose-Ear-Xiphoid (NEX, glabella-xiphoid (GX and glabella-umbilicus (GU lengths. The distances of the inserted portion of the nasogastric tube between the cardiac and the nostril were measured by multiplanar reconstruction algorithm. RESULTS: Only one patient successfully placed all side-holes into the stomach while using NEX method to estimate inserting depth. Twenty-nine patients (96.7% failed to place correctly. Fourteen participants had one or more side-holes in both the esophagus and the stomach sides. Fifteen patients could not pass through any side-hole across the gastroesophageal junction. They had shorter EX distances (p = 0.02, but no difference among the NE distances. Body height had the highest statistical correlation with nasogastric tube length (adjusted R(2 = 0.459, as compared with the NEX, GX and GU body surface methods. CONCLUSION: This study suggests that NEX method is inappropriate for adult patients to estimate the ideal inserting length of nasogastric tube. Physicians should realize these underinsertions with any side-hole above the gastroesophageal junctions may increase the potential risk of complications.

  11. Transanal drainage tube reduces rate and severity of anastomotic leakage in patients with colorectal anastomosis: A case controlled study

    Science.gov (United States)

    Brandl, A.; Czipin, S.; Mittermair, R.; Weiss, S.; Pratschke, J.; Kafka-Ritsch, R.

    2016-01-01

    Background and aims The aim of this study was to investigate the clinical usefulness of the placement of a transanal drainage tube to prevent anastomotic leakage in colorectal anastomoses. Material and methods This single-center retrospective trial included all patients treated with surgery for benign or malign colorectal disease between January 2009 and December 2012. The transanal drainage tube was immediately placed after colorectal anastomosis until day five and was routinely used since 2010. Patients treated with a transanal drainage tube were compared with the control group. Statistical analysis was performed using Fisher's exact or Chi-square tests for group comparison and a linear regression model for multivariate analysis. Results This study included 242 patients (46% female; median age 63 years; range 18–93); 34% of the patients underwent a laparoscopic procedure, and 57% of the patients received a placement of a transanal drainage tube. Anastomotic leakage occurred in 19 patients (7.9%). Univariate analysis showed a higher rate of anastomotic leakage in patients with an ASA score 4 (p = 0.02) and a lower rate in patients with transanal drainage placement (3.6% vs. 13.6%; p = 0.007). The grading of the complication of anastomotic leakage was reduced with transanal drainage (e.g., Dindo ≧ 3b: 20.0% vs. 92.9%; p = 0.006), and the hospital stay was shortened (17.6 ± 12.5 vs. 22.1 ± 17.6 days; p = 0.02). Multivariate analysis revealed that transanal drainage was the only significant factor (HR = −2.90; −0.168 to −0.032; p = 0.007) affecting anastomotic leakage. Conclusions Placement of a transanal drainage tube in patients with colorectal anastomoses is a safe and simple technique to perform and reduces anastomotic leakage, the severity of the complication and hospital stay. PMID:27158483

  12. The comparison of corrosion resistance between Baosteel's alloy 690 tube and foreign alloy 690 tube

    International Nuclear Information System (INIS)

    Alloy 690 having excellent corrosion resistance is widely used for SG tubes. The intergranular corrosion and pitting corrosion resistance of Baosteel's alloy 690 tube, Country A alloy 690 tube and Country B alloy 690 tube have been analysed by comparison. It shows that: The intergranular corrosion of Baosteel's alloy 690 tube tested complied with ASTM G28 Standard could satisfy the technical requirement. However.some of Baosteel's alloy 690 tube in intergranular corrosion resistance had less performance than Country A. In addition, pitting corrosion tested with ASTM G48 Standard shown the Baosteel's alloy 690 tube better than Country B. (authors)

  13. Mechanical Instabilities of Biological Tubes

    CERN Document Server

    Hannezo, Edouard; Prost, Jacques; 10.1103/PhysRevLett.109.018101

    2012-01-01

    We study theoretically the shapes of biological tubes affected by various pathologies. When epithelial cells grow at an uncontrolled rate, the negative tension produced by their division provokes a buckling instability. Several shapes are investigated : varicose, enlarged, sinusoidal or sausage-like, all of which are found in pathologies of tracheal, renal tubes or arteries. The final shape depends crucially on the mechanical parameters of the tissues : Young modulus, wall-to-lumen ratio, homeostatic pressure. We argue that since tissues must be in quasistatic mechanical equilibrium, abnormal shapes convey information as to what causes the pathology. We calculate a phase diagram of tubular instabilities which could be a helpful guide for investigating the underlying genetic regulation.

  14. HIGH CURRENT COAXIAL PHOTOMULTIPLIER TUBE

    Science.gov (United States)

    Glass, N.W.

    1960-01-19

    A medium-gain photomultiplier tube having high current output, fast rise- time, and matched output impedance was developed. The photomultiplier tube comprises an elongated cylindrical envelope, a cylindrical anode supported at the axis of the envelope, a plurality of elongated spaced opaque areas on the envelope, and a plurality of light admitting windows. A photo-cathode is supported adjacent to each of the windows, and a plurality of secondary emissive dynodes are arranged in two types of radial arrays which are alternately positioned to fill the annular space between the anode and the envelope. The dynodes are in an array being radially staggered with respect to the dynodes in the adjacent array, the dynodes each having a portion arranged at an angle with respect to the electron path, such that electrons emitted by each cathode undergo multiplication upon impingement on a dynode and redirected flight to the next adjacent dynode.

  15. Scintillation counter: photomultiplier tube alignment

    International Nuclear Information System (INIS)

    A scintillation counter, particularly for counting gamma ray photons, includes a massive lead radiation shield surrounding a sample-receiving zone. The shield is disassembleable into a plurality of segments to allow facile installation and removal of a photomultiplier tube assembly, the segments being so constructed as to prevent straight-line access of external radiation through the shield into the sample receiving zone. Provisions are made for accurately aligning the photomultiplier tube with respect to one or more sample-transmitting bores extending through the shield to the sample receiving zone. A sample elevator, used in transporting samples into the zone, is designed to provide a maximum gamma-receiving aspect to maximize the gamma detecting efficiency. (auth)

  16. Ionization tube simmer current circuit

    Science.gov (United States)

    Steinkraus, Jr., Robert F.

    1994-01-01

    A highly efficient flash lamp simmer current circuit utilizes a fifty percent duty cycle square wave pulse generator to pass a current over a current limiting inductor to a full wave rectifier. The DC output of the rectifier is then passed over a voltage smoothing capacitor through a reverse current blocking diode to a flash lamp tube to sustain ionization in the tube between discharges via a small simmer current. An alternate embodiment of the circuit combines the pulse generator and inductor in the form of an FET off line square wave generator with an impedance limited step up output transformer which is then applied to the full wave rectifier as before to yield a similar simmer current.

  17. Microstructural degradation in compound tubes

    Energy Technology Data Exchange (ETDEWEB)

    Salonen, J.; Auerkari, P. [VTT Manufacturing Technology, Espoo (Finland)

    1996-12-31

    In order to quantify microstructural degradation at high temperatures, samples of SA 210 / AISI 304 L compound tube material were annealed in the temperature range 540-720 deg C for 1 to 1 000 hours. The hardness of the annealed material was measured and the micro structure of the samples was investigated with optical and scanning electron microscopy. Microstructural degradation was characterised by the carbide structure in the ferritic-pearlitic base material and by the depth of decarburised and carburised zones of the compound tube interface. The observed changes were quantified in terms of their time and temperature dependence and diffusion coefficients of the process. The results can be used in estimating the extent of thermal exposure of high-temperature components after long-term service or after incidences of overheating. (orig.) (4 refs.)

  18. Endoscopic pancreatic duct stent placement for inflammatory pancreatic diseases

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The role of endoscopic therapy in the management of pancreatic diseases is continuously evolving; at present most pathological conditions of the pancreas are successfully treated by endoscopic retrograde cholangiopancreatography (ERCP) or endoscopic ultrasound (EUS),or both. Endoscopic placement of stents has played and still plays a major role in the treatment of chronic pancreatitis, pseudocysts, pancreas divisum, main pancreatic duct injuries, pancreatic fistulae, complications of acute pancreatitis, recurrent idiopathic pancreatitis,and in the prevention of post-ERCP pancreatitis. These stents are currently routinely placed to reduce intraductal hypertension, bypass obstructing stones, restore lumen patency in cases with dominant, symptomatic strictures,seal main pancreatic duct disruption, drain pseudocysts or fluid collections, treat symptomatic major or minor papilla sphincter stenosis, and prevent procedure-induced acute pancreatitis. The present review aims at updating and discussing techniques, indications, and results of endoscopic pancreatic duct stent placement in acute and chronic inflammatory diseases of the pancreas.

  19. Optimized placement of nodes for target detection in sensor networks

    Institute of Scientific and Technical Information of China (English)

    HU Ning; ZHANG Deyun

    2007-01-01

    In order to improve the precision of the target detection in wireless sensor networks,a new approach based on genetic algorithm (GA) was proposed to optimize the placement of the sensor.The target location problem was transformed into locating a target at a grid point through modeling the sensor field as a grid of points.Moreover,the sensor placement problem was formulated as a combinatorial optimization problem,which is aimed at minimizing the maximum discrimination error under the restraints of limited cost and complete coverage.The GA approach uses binary coding to represent the location,and both single parent crossover operator and single parent mutation operator are used to improve its speed and efficiency.Experimental results have shown that a global optimal solution can be quickly obtained using the proposed method and the precision requirement for target location is satisfied.

  20. Temporary transvenous pacemaker placement in the Emergency Department.

    Science.gov (United States)

    Harrigan, Richard A; Chan, Theodore C; Moonblatt, Steven; Vilke, Gary M; Ufberg, Jacob W

    2007-01-01

    Emergency Department placement of a temporary transvenous cardiac pacemaker offers potential life-saving benefits, as the device can definitively control heart rate, ensure effective myocardial contractility, and provide adequate cardiac output in select circumstances. The procedure begins with establishment of central venous access, usually by a right internal jugular or left subclavian vein approach, although the femoral vein is an acceptable alternative, especially in patients who are more likely to bleed should vascular access become complicated. The indications for the procedure, as well as the equipment needed, are reviewed. Both blind and ECG-guided techniques of insertion are described. Methods of verification of pacemaker placement and function are discussed, as are the early complications of the procedure. PMID:17239740

  1. Videoconferencing in Math and Science Preservice Elementary Teachers' Field Placements

    Science.gov (United States)

    Plonczak, Irene

    2010-03-01

    This study was designed to examine benefits and challenges of teaching through videoconferencing in the context of students’ field placement experiences, particularly as it relates to an inquiry-based approach to teaching and learning math and science. In the context of mathematics and science methods courses, preservice teachers, with the supervision of professors, field placement supervisors and cooperating teachers, taught a series of math and science lessons via video conferencing to 5th grade classes in a major urban public school. Two major results of this study indicate that: (1) teaching through videoconferencing highlights strengths and weaknesses in questioning skill techniques that are at the heart of an inquiry-based approach; (2) teaching through videoconferencing raises the intellectual challenge of teaching and allows preservice teachers to look face to face into their limited understanding of the content matter in math and science.

  2. An Optimization Model for Product Placement on Product Listing Pages

    Directory of Open Access Journals (Sweden)

    Yan-Kwang Chen

    2014-01-01

    Full Text Available The design of product listing pages is a key component of Website design because it has significant influence on the sales volume on a Website. This study focuses on product placement in designing product listing pages. Product placement concerns how venders of online stores place their products over the product listing pages for maximization of profit. This problem is very similar to the offline shelf management problem. Since product information sources on a Web page are typically communicated through the text and image, visual stimuli such as color, shape, size, and spatial arrangement often have an effect on the visual attention of online shoppers and, in turn, influence their eventual purchase decisions. In view of the above, this study synthesizes the visual attention literature and theory of shelf-space allocation to develop a mathematical programming model with genetic algorithms for finding optimal solutions to the focused issue. The validity of the model is illustrated with example problems.

  3. Penile Corporeal Reconstruction during Difficult Placement of a Penile Prosthesis

    Directory of Open Access Journals (Sweden)

    Viet Q. Tran

    2008-01-01

    Full Text Available For some patients with impotence and concomitant severe tunical/corporeal tissue fibrosis, insertion of a penile prosthesis is the only option to restore erectile function. Closing the tunica over an inflatable penile prosthesis in these patients can be challenging. We review our previous study which included 15 patients with severe corporeal or tunical fibrosis who underwent corporeal reconstruction with autologous rectus fascia to allow placement of an inflatable penile prosthesis. At a mean follow-up of 18 months (range 12 to 64, all patients had a prosthesis that was functioning properly without evidence of separation, herniation, or erosion of the graft. Sexual activity resumed at a mean time of 9 weeks (range 8 to 10. There were no adverse events related to the graft or its harvest. Use of rectus fascia graft for coverage of a tunical defect during a difficult penile prosthesis placement is surgically feasible, safe, and efficacious.

  4. Flux tubes at Finite Temperature

    CERN Document Server

    Bicudo, Pedro; Cardoso, Marco

    2016-01-01

    We show the flux tubes produced by static quark-antiquark, quark-quark and quark-gluon charges at finite temperature. The sources are placed in the lattice with fundamental and adjoint Polyakov loops. We compute the square densities of the chromomagnetic and chromoelectric fields above and below the phase transition. Our results are gauge invariant and produced in pure gauge SU(3). The codes are written in CUDA and the computations are performed with GPUs.

  5. The Effect of Product Placement Marketing on Effectiveness of Internet Advertising

    Science.gov (United States)

    Liao, Hsiu-Li; Liu, Su-Houn; Pi, Shih-Ming; Chen, Hui-Ju

    Compared to the traditional way of doing advertising, such as ad Banners, internet product placement is now emerging as a promising strategy for advertisers to do their job effectively in this Web 2.0 era. Therefore, this study focuses on the effectiveness of product placement advertising on the Internet. The results show that product prominence (Subtle or Prominent) and presentation of the advertising (Video or Images) significantly impacts the effectiveness of product placement advertising on the Internet, including brand impression, advertising attitude, and intention to click. Product prominence and presentation of the advertisement have an interactive impact. Our findings indicated that presenting the product through videos will enhance higher levels of advertising attitude, brand impression, and intention to click than presenting it through still images. Subtle placements will increase the level of advertising attitude and intention to click more so than prominent placements. But prominent placements increase the brand impression more than the subtle placements.

  6. Ultrasonic inspection of inpile tubes

    International Nuclear Information System (INIS)

    The in-service inspection (ISI) of inpile tubes can be performed accurately and safely with a semiautomatic ultrasonic inspection system. The ultrasonic technique uses a set of multiple transducers to detect and size cracks, voids, and laminations radially and circumferentially. Welds are also inspected for defects. The system is designed to inspect stainless steel and Inconel tubes ranging from 53.8 mm (2.12 in.) to 101.6 mm (4 in.) inner diameter with wall thickness on the order of 5 mm. The inspection head contains seven transducers mounted in a surface-following device. Six angle-beam transducers generate shear waves in the tubes. Two of the six are oriented to detect circumferential cracks, and two detect axial cracks. Although each of these four transducers is used in the pulse-echo mode, they are oriented in aligned sets so pitch-catch operation is possible if desired. The remaining angle-beam transducers are angulated to detect flaws that are off axial or circumferential orientation. The seventh transducer is used for longitudinal inspection and detects and sizes laminar-type defects

  7. GroFi: Large-scale fiber placement research facility

    OpenAIRE

    Krombholz, Christian; Kruse, Felix; Wiedemann, Martin

    2016-01-01

    GroFi is a large research facility operated by the German Aerospace Center’s Center for Lightweight-Production-Technology in Stade. A combination of different layup technologies namely (dry) fiber placement and tape laying, allows the development and validation of new production technologies and processes for large-scale composite components. Due to the use of coordinated and simultaneously working layup units a high flexibility of the research platform is achieved. This allows the investiga...

  8. Peripherally inserted central catheter placement using the Sonic Flashlight

    OpenAIRE

    Amesur, Nikhil; Wang, David; Chang, Wilson; Weiser, David; Klatzky, Roberta; Shukla, Gaurav; Stetten, George

    2009-01-01

    The Sonic Flashlight is an ultrasound device that projects real-time ultrasound images into patients using a semi-reflective/transparent mirror. We evaluated the feasibility of using the Sonic Flashlight for clinical PICC placements, originally with the mirror located inside a sterile cover (15 patients), then with the mirror outside (11 patients). Successful access was obtained in all cases. Results show that this new design improved visibility, as judged subjectively first-hand and in photo...

  9. Stressmeter placement at spent fuel test in climax granite

    International Nuclear Information System (INIS)

    Vibrating wire stressmeters were installed in the Spent Fuel Facility at the Nevada Test Site. These stressmeters will measure the changes in in situ stress during the five-year spent fuel test. Before installation, laboratory tests were conducted to study reproducibility of placement and to develop a program hopefully to reduce corrosion of the stressmeters while in place at the Spent Fuel Facility. These laboratory tests are discussed along with the installation of the stressmeters at the Spent Fuel Facility

  10. Selecting utilities placement techniques in urban underground engineering

    OpenAIRE

    Curiel Esparza, Jorge; Cantó Perelló, Julián

    2013-01-01

    Placement of utilities has not been generally accomplished in any sustainable technique resulting in a veritable maze in high density urban areas. As underground space scarcity grows in our cities due to the increasing demands for utility services, subsurface facilities such as utility tunnels are becoming more efficient in providing the required infrastructure. There is a growing public awareness of aesthetic considerations and impatience with street cuts and their associated costs, traffic ...

  11. Wavelength Converters Placement in Optical Networks Using Bee Colony Optimization

    OpenAIRE

    MARKOVIC, G. Z.

    2016-01-01

    Wavelength converters placement (WCP) in all-optical WDM networks belongs to the class of hard combinatorial optimization problems. So far, this problem has been solved by various heuristic strategies or by application of metaheuristic approaches such as genetic algorithms (GA), particle swarm optimization (PSO), differential evolution (DE), etc. In this paper, we introduce the application of Bee Colony Optimization (BCO) metaheuristic to solve the WCP problem in all-optical WDM n...

  12. An improved simulated annealing algorithm for standard cell placement

    Science.gov (United States)

    Jones, Mark; Banerjee, Prithviraj

    1988-01-01

    Simulated annealing is a general purpose Monte Carlo optimization technique that was applied to the problem of placing standard logic cells in a VLSI ship so that the total interconnection wire length is minimized. An improved standard cell placement algorithm that takes advantage of the performance enhancements that appear to come from parallelizing the uniprocessor simulated annealing algorithm is presented. An outline of this algorithm is given.

  13. Accidental Implant Screwdriver Ingestion: A Rare Complication during Implant Placement.

    OpenAIRE

    Anshul Jain; Baliga, Shridhar D

    2014-01-01

    One of the complications during a routine dental implant placement is accidental ingestion of the implant instruments, which can happen when proper precautions are not taken. Appropriate radiographs should be taken to locate the correct position of foreign body; usually the foreign body passes asymptomatically from gastrointestinal tract but sometimes it may lead to intestinal obstruction, perforations and impactions. The aim of this article is to report accidental ingestion of 19 mm long scr...

  14. A Partnership Approach to Work Placement in Higher Education

    OpenAIRE

    Sheridan, Irene; Linehan, Margaret

    2013-01-01

    Abstract There is a perceived gap between traditional university education and a readiness to enter the workforce which is often addressed by the inclusion of a work-based learning experience within the undergraduate education process. The intention of the curriculum designers is that the work placement experience will provide learners with an opportunity to develop their employability skills and to apply the knowledge that they have gained within a practice setting. This practice-focused ...

  15. Endoscopic pancreatic duct stent placement for inflammatory pancreatic diseases

    OpenAIRE

    Testoni, Pier Alberto

    2007-01-01

    The role of endoscopic therapy in the management of pancreatic diseases is continuously evolving; at present most pathological conditions of the pancreas are successfully treated by endoscopic retrograde cholangio-pancreatography (ERCP) or endoscopic ultrasound (EUS), or both. Endoscopic placement of stents has played and still plays a major role in the treatment of chronic pancreatitis, pseudocysts, pancreas divisum, main pancreatic duct injuries, pancreatic fistulae, complications of acute ...

  16. Complications of stent placement for benign stricture of gastrointestinal tract

    Institute of Scientific and Technical Information of China (English)

    Ying-Sheng Cheng; Ming-Hua Li; Wei-Xiong Chen; Ni-Wei Chen; Qi-Xin Zhuang; Ke-Zhong Shang

    2004-01-01

    AIM: To observe the frequent complications of stent placement for stricture of the gastrointestinal tract and to find proper treatment.METHODS: A total number of 140 stents were inserted in 138 patients with benign stricture of the gastrointestinal tract. The procedure was completed under fluoroscopy in all of the patients.RESULTS: Stents were successfully placed in all the 138 patients. Pains occurred in 23 patients (16.7%), slight or dull pains were found in 21 patients and severe chest pain in 2 respectively.For the former type of pain, the patients received only analgesia or even no treatment, while peridural anesthesics was conducted for the latter condition. Reflux occurred in 16 of these patients (11.6%) after stent placement. It was managed by common antireflux procedures. Gastrointestinal bleeding occurred in 13 patients (9.4%), and was treated by hemostat. Restenosis of the gastrointestinal tract occurred in 8 patients (5.8%), and was apparently associated with hyperplasia of granulation tissue. In 2 patients, the second stent was placed under X-ray guidance. The granulation tissue was removed by cauterization through hot-node therapy under gastroscope guidance in 3 patients, and surgical reconstruction was performed in another 3 patients. Stent migration occurredin 5 patients (3.6%), and were extracted with the aid of a gastroscope. Food-bolus obstruction was encountered in 2 patients (1.4%) and was treated by endoscope removal. No perforation occurred in all patients.CONCLUSION: Frequent complications after stent placement for benign stricture of the gastrointestinal tract include pain,reflux, bleeding, restenosis, stent migration and food-bolus obstruction. They can be treated by drugs, the second stent placement or gastroscopic procedures according to the specific conditions.

  17. Static Approximation of MPI Communication Graphs for Optimized Process Placement

    OpenAIRE

    McPherson, Andrew J; Nagarajan, Vijay; Cintra, Marcelo

    2014-01-01

    Message Passing Interface (MPI) is the de facto standard for programming large scale parallel programs. Static understanding of MPI programs informs optimizations including process placement and communication/computation overlap, and debugging. In this paper, we present a fully context and flow sensitive, interprocedural, best-effort analysis framework to staticallyanalyze MPI programs. We instantiate this to determine an approximation of the point-to-point communication graph of an MPI progr...

  18. Required Steps of Managing International Equity Placement Strategic Alliance

    OpenAIRE

    Harimukti Wandebori; Erik Joost de Bruijn; Harm-Jan Steenhuis

    2012-01-01

    The purpose of the research is to unravel the steps of managing international equity placement strategic alliance (IEPSA). The steps of managing an IEPSA are obtained by conducting theoretical review. The theoretical reviews consist of theory of strategic alliance; definition, classification, and finding definition of an IEPSA, political and analytical considerations and the necessary steps. These steps of managing IEPSA can be classified into analyzing of macro consideration, micro considera...

  19. Every team needs a coach: Training for interprofessional clinical placements.

    Science.gov (United States)

    Grymonpre, Ruby; Bowman, Susan; Rippin-Sisler, Cathy; Klaasen, Kathleen; Bapuji, Sunita B; Norrie, Ola; Metge, Colleen

    2016-09-01

    Despite growing awareness of the benefits of interprofessional education and interprofessional collaboration (IPC), understanding how teams successfully transition to IPC is limited. Student exposure to interprofessional teams fosters the learners' integration and application of classroom-based interprofessional theory to practice. A further benefit might be reinforcing the value of IPC to members of the mentoring team and strengthening their IPC. The research question for this study was: Does training in IPC and clinical team facilitation and mentorship of pre-licensure learners during interprofessional clinical placements improve the mentoring teams' collaborative working relationships compared to control teams? Statistical analyses included repeated time analysis multivariate analysis of variance (MANOVA). Teams on four clinical units participated in the project. Impact on intervention teams pre- versus post-interprofessional clinical placement was modest with only the Cost of Team score of the Attitudes Towards Healthcare Team Scale improving relative to controls (p = 0.059) although reflective evaluations by intervention team members noted many perceived benefits of interprofessional clinical placements. The significantly higher group scores for control teams (geriatric and palliative care) on three of four subscales of the Assessment of Interprofessional Team Collaboration Scale underscore our need to better understand the unique features within geriatric and palliative care settings that foster superior IPC and to recognise that the transition to IPC likely requires a more diverse intervention than the interprofessional clinical placement experience implemented in this study. More recently, it is encouraging to see the development of innovative tools that use an evidence-based, multi-dimensional approach to support teams in their transition to IPC.

  20. Use of an introducer sheath for colonic stent placement

    Energy Technology Data Exchange (ETDEWEB)

    De Gregorio, Miguel A.; Mainar, Antonio; Alfonso, Eduardo; Gimeno, Maria Jose [Department of Interventional Radiology, University Hospital of Zaragoza, C/ San Juan Bosco, 15, 50009 Zaragoza (Spain); Tejero, Eloy [Department of Surgery, University Hospital of Zaragoza, C/ San Juan Bosco, 15, 50009 Zaragoza (Spain); Herrera, Marcos [Department of Radiology, Hennepin County Medical Center, Minneapolis, MN 55408 (United States)

    2002-09-01

    We describe a technical modification of Wallstent implantation for the treatment of malignant rectosigmoid and descending colonic obstructions. The modification is the routine placement of an introducer sheath via the rectum before stent implantation in order to straighten the rectosigmoid region. This device facilitates catheter and guide wire manipulations and obtaining specimen biopsies for histopathological studies. The introducer sheath has been used without complications in 21 consecutive patients. (orig.)

  1. Alternatives to Industrial Work Placement at Dublin Institute of Technology

    OpenAIRE

    Bates, Catherine; Gamble, Elena

    2011-01-01

    In the current economic crisis, higher education graduates need transferable professional skills more than ever. They need resourcefulness, an ability to work reflectively, a sense of civic awareness and an impressive curriculum vitae. This case study analyses how Dublin Institute of Technology’s Programme for Students Learning With Communities provides cost-effective, sustainable solutions to these needs, offering an alternative to industrial work placement. Community-based learning and rese...

  2. Surgical spacer placement and proton radiotherapy for unresectable hepatocellular carcinoma

    Institute of Scientific and Technical Information of China (English)

    Shohei; Komatsu; Yuichi; Hori; Takumi; Fukumoto; Masao; Murakami; Yoshio; Hishikawa; Yonson; Ku

    2010-01-01

    Few potentially curative treatment options exist apart from hepatic resection for patients with huge hepatocellular carcinoma (HCC). Proton radiotherapy is a promising new modality which has an inherent antitumor effect against HCC. However, the application of proton radiotherapy for tumors adjacent to the gastrointestinal tract is restricted because the tolerance dose of the intestine is extremely low. A novel two-step treatment was developed with surgical spacer placement and subsequent proton radiotherap...

  3. Required Steps of Managing International Equity Placement Strategic Alliance

    Directory of Open Access Journals (Sweden)

    Harimukti Wandebori

    2012-01-01

    Full Text Available The purpose of the research is to unravel the steps of managing international equity placement strategic alliance (IEPSA. The steps of managing an IEPSA are obtained by conducting theoretical review. The theoretical reviews consist of theory of strategic alliance; definition, classification, and finding definition of an IEPSA, political and analytical considerations and the necessary steps. These steps of managing IEPSA can be classified into analyzing of macro consideration, micro consideration, domestic company’s stakeholder support, cultural understanding, strategic planning, internal support, human resource management, organizational arrangement, management control system, evolved cultural understanding, and evaluating results. In this research, the domestic partners who formed the IEPSAs are limited to State-Owned Enterprises (SOEs. The IEPSA was one of the means of privatization. The research will be beneficial for both foreign and domestic partners who form an IEPSA in the previous SOEs. By knowing the steps of managing the IEPSA both partners will be able to secure a successful implementation of IEPSA. By identifying the steps of managing the IEPSA, the stakeholder will not see IEPSA as threat rather as an opportunity to improve performance, to create synergy, and generate benefits for both partners and stakeholder. By knowing the necessary steps of managing the IEPSA, the stakeholder including society and politician will envisage the IEPSA as a means of effectively improving the SOEs’ performances.The research was espected to provide contributions for the research on strategic alliances. Apparently, there exist no literatures discussing about IEPSA in the domain of strategic alliances. Keywords: strategic alliance, equity placement, international equity placement strategic alliance, privatization, steps of international equity placement strategic alliance, state-owned enterprises

  4. Optimal PMU Placement By Improved Particle Swarm Optimization

    DEFF Research Database (Denmark)

    Rather, Zakir Hussain; Liu, Leo; Chen, Zhe;

    2013-01-01

    of conventional particle swarm optimization method. The proposed method of IBPSO ensures optimal PMU placement with and without consideration of zero injection measurements. The proposed method has been applied to standard test systems like 17 bus, IEEE 24-bus, IEEE 30-bus, New England 39-bus, IEEE 57-bus system...... and large power systems of IEEE 118-bus, IEEE 300-bus system and Western Danish power system. The effectiveness of the proposed method has been verified by comparison of results with previous methods....

  5. Randomizing task placement does not randomize traffic (enough)

    OpenAIRE

    Jokanovic, Ana; Prisacari, Bogdan; Rodriguez, German; Minkenberg, Cyriel

    2013-01-01

    Dragonflies are one of the most promising topologies for the Exascale effort for their scalability and cost. Dragonflies achieve very high throughput under uniform traffic, but have a pathological behavior under other regular traffic patterns, some of them very common in HPC applications. A recent study showed that randomization of task placement can make pathological, regular (multi-dimensional stencil) traffic patterns behave similar to uniform traffic. In this work we provide a theoret...

  6. Asperisporium and Pantospora (Mycosphaerellaceae): epitypifications and phylogenetic placement

    OpenAIRE

    Minnis, A.M.; Kennedy, A.H.; Grenier, D.B.; Rehner, S.A.; Bischoff, J.F.

    2012-01-01

    The species-rich family Mycosphaerellaceae contains considerable morphological diversity and includes numerous anamorphic genera, many of which are economically important plant pathogens. Recent revisions and phylogenetic research have resulted in taxonomic instability. Ameliorating this problem requires phylogenetic placement of type species of key genera. We present an examination of the type species of the anamorphic Asperisporium and Pantospora. Cultures isolated from recent port intercep...

  7. Product placement e libertà di espressione

    OpenAIRE

    Fiori, Laura

    2008-01-01

    Object of the search is the advertising phenomenon of the "product placement", with reference to that it has been investigated legality’s limits, as well as the relationship with the constitutionally protected liberty of expression. Particularly, it has been analyzed, in first place, the problem of the relationship between the freedom of expression and the liberty of economic initiative, with particular reference to the different circles of guardianship to these prepared:...

  8. Preparation of chitosan nanofiber tube by electrospinning.

    Science.gov (United States)

    Matsuda, Atsushi; Kagata, Go; Kino, Rikako; Tanaka, Junzo

    2007-03-01

    Water-insoluble chitosan nanofiber sheets and tubes coated with chitosan-cast film were prepared by electrospinning. When as-spun chitosan nanofiber sheets and tubes were immersed in 28% ammonium aqueous solution, they became insoluble in water and showed nanofiber structures confirmed by SEM micrography. Mechanical properties of chitosan nanofiber sheets and tubes were improved by coating with chitosan-cast film, which gave them a compressive strength higher than that of crab-tendon chitosan, demonstrating that chitosan nanofiber tubes coated with chitosan-cast film are usable as nerve-regenerative guide tubes.

  9. Turbine nozzle stage having thermocouple guide tube

    Science.gov (United States)

    Schotsch, Margaret Jones; Kirkpatrick, Francis Lawrence; Lapine, Eric Michael

    2002-01-01

    A guide tube is fixed adjacent opposite ends in outer and inner covers of a nozzle stage segment. The guide tube is serpentine in shape between the outer and inner covers and extends through a nozzle vane. An insert is disposed in the nozzle vane and has apertures to accommodate serpentine portions of the guide tube. Cooling steam is also supplied through chambers of the insert on opposite sides of a central insert chamber containing the guide tube. The opposite ends of the guide tube are fixed to sleeves, in turn fixed to the outer and inner covers.

  10. Rapid prototyping drill guide template for lumbar pedicle screw placement

    Institute of Scientific and Technical Information of China (English)

    LU Sheng; XU Yong-qing; ZHANG Yuan-zhi; LI Yan-bing; SHI Ji-hong; CHEN Guo-ping; CHEN Yu-bing

    2009-01-01

    To develop a novel method of spinal pedical stereotaxy by reverse engineering and rapid prototyping techniques, and to validate its accuracy by experimental and clinical studies. Methods: A 3D reconstruction model for the desired lumbar vertebra was generated by using the Mimics 10.11 software, and the optimal screw size and orientation were determined using the reverse engineering software. Afterwards, a drill template was created by reverse engi-neering principle, whose surface was the antitemplate of the vertebral surface. The drill template and its correspond-ing vertebra were manufactured using the rapid prototyping technique. Results: The accuracy of the drill template was con-firmed by drilling screw trajectory into the vertebral biomodel preoperatively. This method also showed its ability to cus-tomize the placement and size of each screw based on the unique morphology of the lumbar vertebra.The drill tem-plate fits the postural surface of the vertebra very well in the cadaver experiment. Postoperative CT scans for controlling the pedicle bore showed that the personalized template had a high precision in cadaver experiment and clinical application. No misplacement occurred by using the per-sonalized template. During surgery, no additional computer assistance was needed.Conclusions: The authors have developed a novel drill template for lumbar pedicle screw placement with good applicability and high accuracy. The potential use of drill templates to place lumbar pedicle screws is promising. Our methodology appears to provide an accurate technique and trajectory for pedicle screw placement in the lumbar spine.

  11. Image guided placement of temporary anchorage devices for tooth movement

    International Nuclear Information System (INIS)

    The aim of this project is to develop an image guided protocol for placement of a temporary anchorage device without surgically reflecting a mucoperiosteal flap. Eighteen orthodontic cases were selected for skeletal anchorage from the department of orthodontics at Case University. CBCT images of the subjects were taken using the Hitachi CB MercuRay system set at 15 mA, 120 kVp. CBCT images evaluated the ideal location for TAD placement in three dimensions. Horizontal and vertical linear measurements were taken from fixed dental landmarks to clearly define the location for placement. Transverse slices were used to evaluate the thickness of the buccal plate. Using the transverse view, the angle of insertion was determined such that the maximum buccal plate surface area would contact the screw. TADs were placed in the optimum location, with the most appropriate angle of insertion using a closed approach and with minimal local anesthesia and without flap elevation. Results: All TADs were placed without anatomic encroachment and enabled fixed orthodontic anchorage. (orig.)

  12. Material quality development during the automated tow placement process

    Science.gov (United States)

    Tierney, John Joseph

    Automated tow placement (ATP) of thermoplastic composites builds on the existing industrial base for equipment, robotics and kinematic placement of material with the aim of further cost reduction by eliminating the autoclave entirely. During ATP processing, thermoplastic composite tows are deposited on a preconsolidated substrate at rates ranging from 10--100mm/s and consolidated using the localized application of heat and pressure by a tow placement head mounted on a robot. The process is highly non-isothermal subjecting the material to multiple heating and cooling rates approaching 1000°C/sec. The requirement for the ATP process is to achieve the same quality in seconds (low void content, full translation of mechanical properties and degree of bonding and minimal warpage) as the autoclave process achieves in hours. The scientific challenge was to first understand and then model the relationships between processing, material response, microstructure and quality. The important phenomena affecting quality investigated in this study include a steady state heat transfer simulation, consolidation and deconsolidation (void dynamics), intimate contact and polymer interdiffusion (degree of bonding/mechanical properties) and residual stress and warpage (crystallization and viscoelastic response). A fundamental understanding of the role of materials related to these mechanisms and their relationship to final quality is developed and applied towards a method of process control and optimization.

  13. Hierarchical planning for a surface mounting machine placement

    Institute of Scientific and Technical Information of China (English)

    曾又姣; 马登哲; 金烨; 严隽琪

    2004-01-01

    For a surface mounting machine(SMM)in printed circuit board(PCB)assembly line,there are four problems,e.g. CAD data conversion,nozzle selection,feeder assignment and placement sequence determination. A hierarchical planning for them to maximize the throughput rate of an SMM is presented here. To minimize set-up time,a CAD data conversion system was first applied that could automatically generate the data for machine placement from CAD design data files. Then an effective nozzle selection approach was implemented to minimize the time of nozzle changing. And then,to minimize picking time,an algorithm for feeder assignment was used to make picking multiple components simultaneously as much as possible. Finally,in order to shorten pick-and-place time,a heuristic algorithm was used to determine optimal component placement sequence according to the decided feeder positions. Experiments were conducted on a four head SMM.The experimental results were used to analyse the assembly line performance.

  14. Asset Management Based Distributed Generation Placement from Load Growth Viewpoint

    Directory of Open Access Journals (Sweden)

    majid ghani varzaneh

    2014-10-01

    Full Text Available In this paper, by presenting the asset management model, it is tried to investigate the importance of distributed generation (DG unit placement from radial distribution system reliability indices sensitivity viewpoint and then DG placement will be carried out. Asset management model is designed and explained to maximize the benefit of distribution companies for invested capital. As the value of distribution system reliability indices depend on customers load pattern, any change in customers load pattern causes changes in distribution system reliability indices. One of the factors that changes customers load pattern, is load growth. With considering that the system hardware characteristics are being constant, the values of reliability indices are also highly dependent on load distribution. Therefore, for assessing the current studies the level of validity and the adequacy of system in future, current load distribution and load growth in future should be studied. In this paper, with optimal placement of DG, it is tried to minimize the distribution system reliability indices sensitivity in accordance with load growth in different load patterns.

  15. Image guided placement of temporary anchorage devices for tooth movement

    Energy Technology Data Exchange (ETDEWEB)

    Bahl-Palomo, L.; Bissada, N. [Case Western Reserve Univ. School of Dental Medicine, Dept. of Periodontics, Cleveland, OH (United States); Palomo, J.M.; Hans, M.G. [Case Western Reserve Univ. School of Dental Medicine, Dept. of Orthodontics, Cleveland, OH (United States)

    2007-06-15

    The aim of this project is to develop an image guided protocol for placement of a temporary anchorage device without surgically reflecting a mucoperiosteal flap. Eighteen orthodontic cases were selected for skeletal anchorage from the department of orthodontics at Case University. CBCT images of the subjects were taken using the Hitachi CB MercuRay system set at 15 mA, 120 kVp. CBCT images evaluated the ideal location for TAD placement in three dimensions. Horizontal and vertical linear measurements were taken from fixed dental landmarks to clearly define the location for placement. Transverse slices were used to evaluate the thickness of the buccal plate. Using the transverse view, the angle of insertion was determined such that the maximum buccal plate surface area would contact the screw. TADs were placed in the optimum location, with the most appropriate angle of insertion using a closed approach and with minimal local anesthesia and without flap elevation. Results: All TADs were placed without anatomic encroachment and enabled fixed orthodontic anchorage. (orig.)

  16. On the influence of problem definition in sensor placement optimization

    Science.gov (United States)

    Pettit, Chris L.; Vecherin, Sergey N.; Wilson, D. Keith

    2009-05-01

    The combinatorial nature of sensor placement optimization has motivated the use of heuristic algorithms to avoid the high computational costs of finding global optima by focusing instead on satisfactory local optima. Transition of an optimization strategy from research to practice should involve a detailed inquiry into the dependence of its results on the representation of realistic scenarios. A sampling method was used to examine how the specification of a sensor placement problem for optimization affects the statistical properties of various ensembles of optimum networks produced by a heuristic algorithm. Features sampled in each ensemble were the resolution of the grid used for computing network coverage, the range of each sensor, and the dimensions of obstacles to line-of-sight sensing. The candidate placement grid also was sampled to examine the consequences of being unable to place sensors at a subset of a regularly spaced grid. The objective function was the number of sensors required to exceed a probability of detection threshold throughout the coverage area. The relative importance of variability in each parameter was found to depend on the widths and baseline values of the assumed variability ranges. Important length scale ratios were identified for ensuring the feasibility and integrity of the optimization process.

  17. The Scientific Impact of Nations: Journal Placement and Citation Performance

    Science.gov (United States)

    Smith, Matthew J.; Weinberger, Cody; Bruna, Emilio M.; Allesina, Stefano

    2014-01-01

    International collaboration is becoming increasingly important for the advancement of science. To gain a more precise understanding of how factors such as international collaboration influence publication success, we divide publication success into two categories: journal placement and citation performance. Analyzing all papers published between 1996 and 2012 in eight disciplines, we find that those with more countries in their affiliations performed better in both categories. Furthermore, specific countries vary in their effects both individually and in combination. Finally, we look at the relationship between national output (in papers published) and input (in citations received) over the 17 years, expanding upon prior depictions by also plotting an expected proportion of citations based on Journal Placement. Discrepancies between this expectation and the realized proportion of citations illuminate trends in performance, such as the decline of the Global North in response to rapidly developing countries, especially China. Yet, most countries' show little to no discrepancy, meaning that, in most cases, citation proportion can be predicted by Journal Placement alone. This reveals an extreme asymmetry between the opinions of a few reviewers and the degree to which paper acceptance and citation rates influence career advancement. PMID:25296039

  18. A fast neural-network algorithm for VLSI cell placement.

    Science.gov (United States)

    Aykanat, Cevdet; Bultan, Tevfik; Haritaoğlu, Ismail

    1998-12-01

    Cell placement is an important phase of current VLSI circuit design styles such as standard cell, gate array, and Field Programmable Gate Array (FPGA). Although nondeterministic algorithms such as Simulated Annealing (SA) were successful in solving this problem, they are known to be slow. In this paper, a neural network algorithm is proposed that produces solutions as good as SA in substantially less time. This algorithm is based on Mean Field Annealing (MFA) technique, which was successfully applied to various combinatorial optimization problems. A MFA formulation for the cell placement problem is derived which can easily be applied to all VLSI design styles. To demonstrate that the proposed algorithm is applicable in practice, a detailed formulation for the FPGA design style is derived, and the layouts of several benchmark circuits are generated. The performance of the proposed cell placement algorithm is evaluated in comparison with commercial automated circuit design software Xilinx Automatic Place and Route (APR) which uses SA technique. Performance evaluation is conducted using ACM/SIGDA Design Automation benchmark circuits. Experimental results indicate that the proposed MFA algorithm produces comparable results with APR. However, MFA is almost 20 times faster than APR on the average.

  19. Development boiling to sprinkled tube bundle

    Science.gov (United States)

    Kracík, Petr; Pospíšil, Jiří

    2016-03-01

    This paper presents results of a studied heat transfer coefficient at the surface of a sprinkled tube bundle where boiling occurs. Research in the area of sprinkled exchangers can be divided into two major parts. The first part is research on heat transfer and determination of the heat transfer coefficient at sprinkled tube bundles for various liquids, whether boiling or not. The second part is testing of sprinkle modes for various tube diameters, tube pitches and tube materials and determination of individual modes' interface. All results published so far for water as the falling film liquid apply to one to three tubes for which the mentioned relations studied are determined in rigid laboratory conditions defined strictly in advance. The sprinkled tubes were not viewed from the operational perspective where there are more tubes and various modes may occur in different parts with various heat transfer values. The article focuses on these processes. The tube is located in a low-pressure chamber where vacuum is generated using an exhauster via ejector. The tube consists of smooth copper tubes of 12 mm diameter placed horizontally one above another.

  20. Gastroenteric tube feeding: Techniques, problems and solutions

    Science.gov (United States)

    Blumenstein, Irina; Shastri, Yogesh M; Stein, Jürgen

    2014-01-01

    Gastroenteric tube feeding plays a major role in the management of patients with poor voluntary intake, chronic neurological or mechanical dysphagia or gut dysfunction, and patients who are critically ill. However, despite the benefits and widespread use of enteral tube feeding, some patients experience complications. This review aims to discuss and compare current knowledge regarding the clinical application of enteral tube feeding, together with associated complications and special aspects. We conducted an extensive literature search on PubMed, Embase and Medline using index terms relating to enteral access, enteral feeding/nutrition, tube feeding, percutaneous endoscopic gastrostomy/jejunostomy, endoscopic nasoenteric tube, nasogastric tube, and refeeding syndrome. The literature showed common routes of enteral access to include nasoenteral tube, gastrostomy and jejunostomy, while complications fall into four major categories: mechanical, e.g., tube blockage or removal; gastrointestinal, e.g., diarrhea; infectious e.g., aspiration pneumonia, tube site infection; and metabolic, e.g., refeeding syndrome, hyperglycemia. Although the type and frequency of complications arising from tube feeding vary considerably according to the chosen access route, gastrointestinal complications are without doubt the most common. Complications associated with enteral tube feeding can be reduced by careful observance of guidelines, including those related to food composition, administration rate, portion size, food temperature and patient supervision. PMID:25024606

  1. Gastroenteric tube feeding: techniques, problems and solutions.

    Science.gov (United States)

    Blumenstein, Irina; Shastri, Yogesh M; Stein, Jürgen

    2014-07-14

    Gastroenteric tube feeding plays a major role in the management of patients with poor voluntary intake, chronic neurological or mechanical dysphagia or gut dysfunction, and patients who are critically ill. However, despite the benefits and widespread use of enteral tube feeding, some patients experience complications. This review aims to discuss and compare current knowledge regarding the clinical application of enteral tube feeding, together with associated complications and special aspects. We conducted an extensive literature search on PubMed, Embase and Medline using index terms relating to enteral access, enteral feeding/nutrition, tube feeding, percutaneous endoscopic gastrostomy/jejunostomy, endoscopic nasoenteric tube, nasogastric tube, and refeeding syndrome. The literature showed common routes of enteral access to include nasoenteral tube, gastrostomy and jejunostomy, while complications fall into four major categories: mechanical, e.g., tube blockage or removal; gastrointestinal, e.g., diarrhea; infectious e.g., aspiration pneumonia, tube site infection; and metabolic, e.g., refeeding syndrome, hyperglycemia. Although the type and frequency of complications arising from tube feeding vary considerably according to the chosen access route, gastrointestinal complications are without doubt the most common. Complications associated with enteral tube feeding can be reduced by careful observance of guidelines, including those related to food composition, administration rate, portion size, food temperature and patient supervision.

  2. Capillary Hemangioma of the Fallopian Tube.

    Science.gov (United States)

    Katiyar, Richa; Patne, Shashikant C U; Bharti, Shreekant; Jain, Madhu

    2016-04-01

    Neoplastic lesions of the fallopian tube are rarely seen by surgical pathologists. Haemangioma of the fallopian tube is an extremely rare benign neoplasm. A 30-year-old lady with polymenorrhea and dysmenorrhea underwent hysterectomy and bilateral salpingo-oophorectomy. Her left fallopian tube showed a 2mm sized solid nodule in the wall. Histopathological examination revealed a well-defined vascular lesion in the left fallopian tube, consistent with capillary haemangioma. The vascular endothelium was highlighted by CD34 immunostaining. Our literature review has identified 10 cases of cavernous haemangioma of the fallopian tube. To the best of our knowledge, we report the first ever case of capillary haemangioma of the fallopian tube. This is also the smallest detected haemangioma in the fallopian tube. PMID:27190899

  3. Tube erosion in bubbling fluidized beds

    Energy Technology Data Exchange (ETDEWEB)

    Levy, E.K. [Lehigh Univ., Bethlehem, PA (United States). Energy Research Center; Stallings, J.W. [Electric Power Research Inst., Palo Alto, CA (United States)

    1991-12-31

    This paper reports on experimental and theoretical studies that were preformed of the interaction between bubbles and tubes and tube erosion in fluidized beds. The results are applicable to the erosion of horizontal tubes in the bottom row of a tube bundle in a bubbling bed. Cold model experimental data show that erosion is caused by the impact of bubble wakes on the tubes, with the rate of erosion increasing with the velocity of wake impact with the particle size. Wake impacts resulting from the vertical coalescence of pairs of bubbles directly beneath the tube result in particularly high rates of erosion damage. Theoretical results from a computer simulation of bubbling and erosion show very strong effects of the bed geometry and bubbling conditions on computed rates of erosion. These results show, for example, that the rate of erosion can be very sensitive to the vertical location of the bottom row of tubes with respect to the distributor.

  4. Bearing pad to pressure tube contact simulation

    Energy Technology Data Exchange (ETDEWEB)

    Talebi, F.; Behdadi, A.; Luxat, J.C., E-mail: farshat@mcmaster.ca, E-mail: behdada@mcmaster.ca, E-mail: luxatj@mcmaster.ca [McMaster Univ., Dept. of Engineering Physics, Hamilton, Ontario (Canada)

    2011-07-01

    Thermal creep strain deformation is a very important pressure tube failure mechanism. During a postulated LOCA (loss of coolant accident) with failure of emergency core injection sys- tem (ECIS), the fuel cladding temperature rapidly increases and the pressure tube becomes completely dry in a few seconds after flow stagnation occurs. Subsequently, the pressure tube circumference is heated by thermal radiation except at the spots where the bearing pads are in direct contact with the pressure tube. Therefore, the localized hot spots are developed on the pressure tube's inner surface under the bearing pads. The main objective of this paper is to evaluate the local thermal-mechanical deformation of a pressure tube in a CANDU reactor and to investigate the fuel channel integrity under localized contact between bearing pad and pressure tube. Furthermore, the mechanistic models are validated against the experimental works per- formed at WRL (Whiteshell research laboratory). Calculations are performed using the finite element method in which the heat, thermal mechanical and creep strain equations are solved, simultaneously. According to the experimental set up, the heat conduction from bearing pads to the inner surface of the pressure tube with appropriate convective and radiation boundary conditions has been simulated. Furthermore, the thermal creep strain deformation has been obtained for when the pressure tube is still under operational condition. It is observed that the pressure tube thermal strain will occur if sufficient high temperature is reached however, depending on the severity of flow degradation in the fuel channel, these localized hot spots could represent a potential creep strain failure of the pressure tube. Whether the pressure tube would fail at these hot spots before contacting the calandria tube depends on the localized temperature and experienced pressure transients. Sensitivity analysis is performed in order to evaluate the contact conductance

  5. Effect of tube-support interaction on the dynamic responses of heat exchanger tubes. [LMFBR

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Y.S.; Jendrzejczyk, J.A.; Wambsganss, M.W.

    1977-01-01

    Operating heat exchangers have experienced tube damages due to excessive flow-induced vibration. The relatively small inherent tube-to-baffle hole clearances associated with manufacturing tolerances in heat exchangers affect the tube vibrational characteristics. In attempting a theoretical analysis, questions arise as to the effects of tube-baffle impacting on dynamic responses. Experiments were performed to determine the effects of tube-baffle impacting in vertical/horizontal tube orientation, and in air/water medium on the vibrational characteristics (resonant frequencies, mode shapes, and damping) and displacement response amplitudes of a seven-span tube model. The tube and support conditions were prototypic, and overall length approximately one-third that of a straight tube segment of the steam generator designed for the CRBR. The test results were compared with the analytical results based on the multispan beam with ''knife-edge'' supports.

  6. Effect of U-tube length on space distribution of UTSG reverse flow in tubes

    International Nuclear Information System (INIS)

    For natural circulation, it is shown that parallel flow in the tubes of inverted U-tube steam generators can be non-uniform. And reverse flow occurs in some tubes. Existing studies on the space distribution of reverse flow tubes are dissident. A flow model of one-dimensional steady state is established. Analysis shows that the length will change the relationship of flow characteristics between tubes. And the space distribution of reverse flow tube differs further. When the U-tube length of UTSG is small enough, flow excursion will occur earlier in shorter tube than longer tube, and vise versa. And the analysis is validated by best estimate code RELAP5/MOD3.3. (authors)

  7. CFD modeling of a boiler's tubes rupture

    International Nuclear Information System (INIS)

    This paper reports the results of a study on the reason for tubes damage in the superheater Platen section of the 320 MW Bisotoun power plant, Iran. The boiler has three types of superheater tubes and the damage occurs in a series of elbows belongs to the long tubes. A three-dimensional modeling was performed using an in-house computational fluid dynamics (CFD) code in order to explore the reason. The code has ability of simultaneous solving of the continuity, the Reynolds-Averaged Navier-Stokes (RANS) equations and employing the turbulence, combustion and radiation models. The whole boiler including; walls, burners, air channels, three types of tubes, etc., was modeled in the real scale. The boiler was meshed into almost 2,000,000 tetrahedral control volumes and the standard k-ε turbulence model and the Rosseland radiation model were used in the model. The theoretical results showed that the inlet 18.9 MPa saturated steam becomes superheated inside the tubes and exit at a pressure of 17.8 MPa. The predicted results showed that the temperature of the steam and tube's wall in the long tubes is higher than the short and medium size tubes. In addition, the predicted steam mass flow rate in the long tube was lower than other ones. Therefore, it was concluded that the main reason for the rupture in the long tubes elbow is changing of the tube's metal microstructure due to working in a temperature higher than the design temperature. In addition, the structural fatigue tension makes the last elbow of the long tube more ready for rupture in comparison with the other places. The concluded result was validated by observations from the photomicrograph of the tube's metal samples taken from the damaged and undamaged sections

  8. Development of INCONEL 600 precision tube (1)

    Energy Technology Data Exchange (ETDEWEB)

    Joo, Yeong Han; Jo, Bong Hyeon; Lee, Dong Hee; Kim, Wan Kyo; Jeong, Pyeong Keun; Yoon, Hwang Lo; Chio, Seok Sik [Sammi Steel Co. Ltd., Changwon (Korea, Republic of)

    1994-07-01

    Steam generator, being connected with nuclear fuel reactor is one of the most important part of nuclear power plant and consists of a large number of INCONEL 600 tubes. Approximately 160 tons of tubes are needed for a single nuclear power plant. All of INCONEL 600 steam generator tubes for domestic nuclear power plants have been imported. The aim of this research is to develop INCONEL 600 precision tubes for steam generator of nuclear power plant. If this research is conducted successfully, we can produce nuclear fuel tubes, Ni-alloy precision tubes and stainless steel precision tubes for many purposes and technology of INCONEL 600 steam generator tubes are similar to those of other tubes above mentioned. In the current study, development of preliminary manufacturing process of INCONEL 600 precision tubes for steam generator and investigation of material`s metallurgical characteristics were conducted. The main scope of this research is as follows. First, the preliminary manufacturing process design was conducted after investigations of foreign manufacturing processes and technical reports. Second, the results of investigations of material`s metallurgical characteristics through the manufacturing process were applied to the production technology of tentative INCONEL 600 precision tubes for sample. Third, preliminary process routes were established and samples of INCONEL 600 precision tube were produced by this process. As the results of this research, 14 pieces of INCONEL 600 precision tubes were produced by preliminary manufacturing process and the material`s metallurgical characteristics were investigated through the processes. But the SCC test could not be conducted due to the absence of equipment. In order to apply the results of SCC test to the manufacturing process, we need a SCC tester which can simulate SCC characteristics under high temperature and high pressurized circulating water. 95 refs., 55 figs., 20 tabs.

  9. Closed End Launch Tube (CELT)

    Science.gov (United States)

    Lueck, Dale E.; Immer, Christopher D.

    2004-02-01

    A small-scale test apparatus has been built and tested for the CELT pneumatic launch assist concept presented at STAIF 2001. The 7.5 cm (3-inch) diameter × 305 M (1000 feet) long system accelerates and pneumatically brakes a 6.35 cm diameter projectile with variable weight (1.5 - 5 Kg). The acceleration and braking tube has been instrumented with optical sensors and pressure transducers at 14 stations to take data throughout the runs. Velocity and pressure profiles for runs with various accelerator pressures and projectile weights are given. This test apparatus can serve as an important experimental tool for verifying this concept.

  10. Steam generator tube laser sleeving

    International Nuclear Information System (INIS)

    For many years, Framatome has been used with different techniques and means to perform the steam generator tube sleeving operation, such as the 'mechanical' either GTAW welded or kinetic welding process. As soon as first power laser units appeared on the market we felt right interested in applying this process to the sleeving operation. After comparison between all the processes and equipments existing at that time (that is to say CO2 and YAG laser units), we chose the YAG and bought a 1.2 kW NEC laser unit in 1988. As it was installed in our Welding Center of Le Creusot, this equipment enabled us carrying out a preliminary test programme which targets were: getting the mastery of the equipment and associated technologies, implementing this process for the sleeve welding operation by improvement of the welding-pen. The NEC laser unit became afterwards transferred to our workshop in Chalon-sur-Saone (June 1990), where we achieved the final tests of the process at the same time we were investigating the development of industrial operation means. The actual program is mainly focused on 7/8'' tube steam generator repair process at tubesheet outlet. Yet made sure that our methods and means apply as well to 3/4'' tubes up to second tube support-plate level. Sleeves are made of heat-treated Inconel 690. The sleeved unit has been designed to provide the same breaking strength and leak-tightness as the tube. The upper part of sleeve consists of an anti-pop out length which ensures some locking-up in case the tube breaks in upper transition expansion area. Preliminary tests dealt with the various parameters which may exert an influence on geometry and quality of the, weld bead, as: - laser beam power (for continuous and pulsed modes), - welding speed, - focal spot size and location from the surface to be welded, - protective gas. After performance of preliminary tests on many thousands of weld beads we decided to use the process according to following criteria: Weld quality

  11. Eddy current inspection of tubing

    International Nuclear Information System (INIS)

    The Experimental research work carried out to develop a Eddy current testing equipment is described. Search coils with ferrite or air cores were used and the obtained results are discussed. Valuable information was gained from a improved channel in which a direct measure of the defect and the reference signal phase difference is obtained. Artificial defect used to evaluate resolution and sensitivity were produced by electro-machining and mechanical means. Finned SAP tubing was tested in a routine basis with the described equipment and the results plotted. Basic and theoretical considerations on the Eddy current testing technique are given in the last section of this report. (Author)

  12. Consumer responses to brands placed in YouTube movies: the effect of prominence and endorser expertise

    OpenAIRE

    Verhellen, Yann; Dens, N; De Pelsmacker, Patrick

    2013-01-01

    Despite the vast growth of web 2.0., academic research has not kept pace with the development of advertising techniques for user-generated content. The present study is, to the best of our knowledge, the first to investigate the effects of brand placement techniques in user-generated content. Using a 2x2 full-factorial between-subjects design with self-produced videos posted on a major social media platform (YouTube), we investigate the effects of prominence (how conspicuously the brand is us...

  13. Successful tubes treatment of esophageal fistula

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Aim: To discuss the merits of "tubes treatment" for esophageal fistula (EF). Methods: A 66-year-old female who suffered from a bronchoesophageal and esophagothoratic fistula underwent a successful "three tubes treatment" (close chest drainage, negative pressure suction at the leak, and nasojejunal feeding tube), combination of antibiotics, antacid drugs and nutritional support. Another 55-year-old male patient developed an esophagopleural fistula (EPF) after esophageal carcinoma operation. He too was treated conservatively with the three tubes strategy as mentioned above towards a favorable outcome. Results:The two patients recovered with the tubes treatment, felt well and became able to eat and drink, presenting no complaint. Conclusion: Tubes treatment is an effective basic way for EF. It may be an alternative treatment option.

  14. Development of a supermirror neutron guide tube

    International Nuclear Information System (INIS)

    A supermirror neutron guide tube with a characteristic wavelength of 1.2 A was developed and installed at the Kyoto University Reactor (KUR). The apparent critical wavelength of the present supermirrors is about 250 A. The geometrical parameters of the guide tube are : 11.7 m total length, and 10 mm wide x 74 mm high beam cross section. The supermirror neutron guide tube presents decisive advantages over the conventional nickel mirror guide tube higher transmission of neutrons, brought about through the contribution of neutrons of shorter wavelengths and of those presenting large divergent angles. The total neutron flux obtained from the KUR supermirror guide tube is about 5 x 107 n/cm2 · s, which is about 25 times what is obtainable with the conventional KUR nickel mirror neutron guide tube of the same geometrical parameters. (author)

  15. Precision alignment of permanent magnet drift tubes

    International Nuclear Information System (INIS)

    The Lawrence Berkeley National Laboratory (LBNL) technique of drift-tube alignment has been resurrected at Los Alamos for the precision alignment of 1-cm-core drift tubes that carry high gradient rare-earth-cobalt quadrupoles. Because the quadrupoles cannot be switched off, this technique is not applicable to a drift-tube assembly, but tests indicate that individual magnetic centers can be detected with a precision of +/-0.003 mm. Methods of transferring this information to machined alignment flats on the sides of the drift-tube body are discussed. With measurements of drift tubes designed for a 100-mA, 425-MHz drift-tube linac, offsets between the geometric and magnetic axes of up to +/-0.05 mm were detected following final assembly and welding. This degree of offset is serious if not accommodated, because it represents the entire alignment tolerance for the 40-cell tank. The measurement equipment and technique are described

  16. Ballooning of CANDU pressure tubes. Model assessment

    International Nuclear Information System (INIS)

    The transient creep equations used to analyze the possible ballooning and failure of Zr-2.5% Nb pressure tubes during a loss-of-coolant accident (LOCA) were developed and verified using as-received Zr-2.5% Nb pressure tube material. But in a CANDU reactor, the pressure tubes absorb deuterium and are exposed to a continuous neutron fluence. Consequently, a literature survey was done to determine how irradiation damage and deuterium might affect the creep rate and ductility of Zr-2.5% Nb pressure tubes in the temperature range from 600 to 800 degrees C. It was found that irradiation damage, dissolved deuterium and deuteride blisters could possibly affect the creep rate and ductility of ZR-2.5% Nb pressure tubes in this temperature range, but deuteride platelets are expected to have little effect. Further tests are required to determine the effect of irradiation damage and deuterium on the creep rate and ductility of pressure tubes

  17. CFD Simulation on Ethylene Furnace Reactor Tubes

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Different mathematical models for ethylene furnace reactor tubes were reviewed. On the basis of these models a new mathematical simulation approach for reactor tubes based on computational fluid dynamics (CFD) technique was presented. This approach took the flow, heat transfer, mass transfer and thermal cracking reactions in the reactor tubes into consideration. The coupled reactor model was solved with the SIMPLE algorithm. Some detailed information about the flow field, temperature field and concentration distribution in the reactor tubes was obtained, revealing the basic characteristics of the hydrodynamic phenomena and reaction behavior in the reactor tubes. The CFD approach provides the necessary information for conclusive decisions regarding the production optimization, the design and improvement of reactor tubes, and the new techniques implementation.

  18. Narratives From YouTube

    Directory of Open Access Journals (Sweden)

    Mikael Quennerstedt

    2013-10-01

    Full Text Available The aim of this paper is to explore what is performed in students’ and teachers’ actions in physical education practice in terms of “didactic irritations,” through an analysis of YouTube clips from 285 PE lessons from 27 different countries. Didactic irritations are occurrences that Rønholt describes as those demanding “didactic, pedagogical reflections and discussions, which in turn could lead to alternative thinking and understanding about teaching and learning.” Drawing on Barad’s ideas of performativity to challenge our habitual anthropocentric analytical gaze when looking at educational visual data, and using narrative construction, we also aim to give meaning to actions, relations, and experiences of the participants in the YouTube clips. To do this, we present juxtaposing narratives from teachers and students in terms of three “didactic irritations”: (a stories from a track, (b, stories from a game, and (c, stories from a bench. The stories re-present events-of-moving in the data offering insights into embodied experiences in PE practice, making students’ as well as teachers’ actions in PE practice understandable.

  19. Measurement of foot placement and its variability with inertial sensors.

    Science.gov (United States)

    Rebula, John R; Ojeda, Lauro V; Adamczyk, Peter G; Kuo, Arthur D

    2013-09-01

    Gait parameters such as stride length, width, and period, as well as their respective variabilities, are widely used as indicators of mobility and walking function. Foot placement and its variability have thus been applied in areas such as aging, fall risk, spinal cord injury, diabetic neuropathy, and neurological conditions. But a drawback is that these measures are presently best obtained with specialized laboratory equipment such as motion capture systems and instrumented walkways, which may not be available in many clinics and certainly not during daily activities. One alternative is to fix inertial measurement units (IMUs) to the feet or body to gather motion data. However, few existing methods measure foot placement directly, due to drift associated with inertial data. We developed a method to measure stride-to-stride foot placement in unconstrained environments, and tested whether it can accurately quantify gait parameters over long walking distances. The method uses ground contact conditions to correct for drift, and state estimation algorithms to improve estimation of angular orientation. We tested the method with healthy adults walking over-ground, averaging 93 steps per trial, using a mobile motion capture system to provide reference data. We found IMU estimates of mean stride length and duration within 1% of motion capture, and standard deviations of length and width within 4% of motion capture. Step width cannot be directly estimated by IMUs, although lateral stride variability can. Inertial sensors measure walks over arbitrary distances, yielding estimates with good statistical confidence. Gait can thus be measured in a variety of environments, and even applied to long-term monitoring of everyday walking. PMID:23810335

  20. Torsional Stability of Aluminum Alloy Seamless Tubing

    Science.gov (United States)

    Moore, R L; Paul, D A

    1939-01-01

    Torsion tests were made on 51ST aluminum-alloy seamless tubes having diameter-to-thickness ratios of from 77 to 139 and length-to-diameter ratios of from 1 to 60. The torsional strengths developed in the tubes which failed elastically (all tubes having lengths greater than 2 to 6 times the diameter) were in most cases within 10 percent of the value indicated by the theories of Donnel, Timoshenko, and Sturm, assuming a condition of simply supported ends.