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Sample records for cecostomy tube placement

  1. Constipation and Outcomes of Cecostomy.

    Science.gov (United States)

    Arya, Shruti; Gupta, Nancy; Gupta, Rahul; Aggarwal, Arun

    Constipation, defined as delay or difficulty in defecation, present for 2 or more weeks, is a common problem encountered by both primary and specialty medical providers. There are no randomized controlled trials on the use of antegrade enemas in the pediatric population. Most published papers are based on the experience at a particular center. The aim of this article is to describe the pathophysiology of constipation, review the contribution of colonic manometry to the diagnosis of constipation, summarize the advancements in the management of constipation through the use of antegrade enemas, and study the outcomes of cecostomy at different centers. This study is a comprehensive literature review generated by computerized search of literature, supplemented by review of monographs and textbooks in pathology, gastroenterology, and surgery. Literature search was performed using the publications from 1997 to 2012. The search included publications of all types presenting or reviewing data on cecostomy. The antegrade continence enema is a therapeutic option for defecation disorders when maximal conventional therapy is not successful. Symptoms of defecation disorders in children with different underlying etiologies improve significantly after a cecostomy is created. In addition, there is a benefit on the patients' physical activity, healthcare utilization, and general well-being. Based on the review of published literature it seems that antegrade enemas are a successful therapeutic option in children with severe constipation and/or fecal incontinence. With the advent of cecostomy buttons, patient compliance and the overall cosmetic appearance have improved.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. Fibreoptic Bronchoscope for Nasogastric Tube Placement

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    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.

  8. Fibreoptic Bronchoscope for Nasogastric Tube Placement

    OpenAIRE

    Bhandari Dhiraj; Garg Deepika; Chandankhede Shweta; Sharma Vaijyanti; Premendran Benhur; Tidke Sucheta

    2015-01-01

    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. 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.

  10. 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.

  11. 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.

  12. 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.

  13. Dose reduction during fluoroscopic placement of feeding tubes

    Energy Technology Data Exchange (ETDEWEB)

    Rudin, S.; Bednarek, D.R.; Miller, J.A. (State Univ. of New York, Buffalo (USA))

    1991-03-01

    By both increasing the optical iris of the video camera and removing the grid in fluoroscopic procedures involved in placement of a Dubbhoff feeding tube, the radiation dose to patients and staff was reduced by five to seven times. An average expected dose to a patient of about 300 mGy per procedure was reduced by two to three times when the grid was removed and by an additional three times when an iris of increased diameter was used. Because Dobbhoff procedures do not involve obtaining a diagnosis, the image degradation was acceptable and did not affect the total exposure times or ability to conduct the procedure. With the grid out, the difference between the mean exposure times of 5.1 minutes in 96 patient studies done with a normal iris opening and 4.0 minutes in 52 studies done with an enlarged iris was not statistically significant. The importance of reducing patient dose is reinforced by the finding that one-third of the patients underwent repeated procedures, accounting for almost 60% of the total.

  14. [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.

  15. Pneumothorax Following Feeding Tube Placement: Precaution and Treatment

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    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.

  16. Percutaneous endoscopic gastrostomy tube placement for end-stage palliation of malignant gastrointestinal obstructions

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    Anouar Teriaky

    2012-01-01

    Full Text Available Background/Aim: Decompression of malignant gastrointestinal obstructions is an uncommon indication for percutaneous endoscopic gastrostomy (PEG tubes. The purpose of this study is to determine the efficacy of venting PEG tubes in relieving nausea and vomiting and assessing complications associated with tube placement. Patients and Methods: This study is a retrospective chart review of patients with PEG tubes placed to decompress malignant gastrointestinal obstructions between January 2005 and September 2010 by the gastroenterology service at our institute. Patient demographics, symptom relief, procedural complications, diet tolerability and home palliation were reviewed. Results: Seven PEG tubes were inserted to decompress malignant gastrointestinal obstructions. The mean patient age was 62 years (range 37-82 years. The underlying primary malignancies were small intestine (1, appendiceal (1, pancreatic (2, and colon (3 cancer. Gastric outlet obstruction was present in 3 (43% patients while small bowel obstruction occurred in 4 (57% patients. There was relief of nausea and vomiting in 6 (86% patients. Procedural complications were present in 1 (14% patient and involved superficial cellulitis followed by peristomal leakage. Patients with gastric outlet obstruction continued to have limited oral intake while patients with small bowel obstruction tolerated varying degrees of oral nutrition. Six (86% patients were discharged home after PEG tube placement, but only 2 (33% were able to undergo end-stage palliation at home without re-admission for hospital palliation. Conclusions: Venting PEG tubes significantly reduce the symptoms of nausea and vomiting in patients with metastatic gastrointestinal obstruction due to primary gastrointestinal malignancies. Complications associated with tube placement were minimal.

  17. 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."

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

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    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

  19. Gastrostomy tube placement in patients with advanced dementia or near end of life.

    Science.gov (United States)

    Schwartz, Denise Baird; Barrocas, Albert; Wesley, John R; Kliger, Gustavo; Pontes-Arruda, Alessandro; Márquez, Humberto Arenas; James, Rosemarie Lembo; Monturo, Cheryl; Lysen, Lucinda K; DiTucci, Angela

    2014-12-01

    Based on current scientific literature, gastrostomy tube (G-tube) placement or other long-term enteral access devices should be withheld in patients with advanced dementia or other near end-of-life conditions. In many instances healthcare providers are not optimally equipped to implement this recommendation at the bedside. Autonomy of the patient or surrogate decision maker should be respected, as should the patient's cultural, religious, social, and emotional value system. Clinical practice needs to address risks, burdens, benefits, and expected short-term and long-term outcomes in order to clarify practice changes. This paper recommends a change in clinical practice and care strategy based on the results of a thorough literature review and provides tools for healthcare clinicians, particularly in the hospital setting, including an algorithm for decision making and a checklist to use prior to the placement of G-tubes or other long-term enteral access devices. Integrating concepts of patient-centered care, shared decision making, health literacy, and the teach-back method of education enhances the desired outcome of ethical dilemma prevention. The goal is advance care planning and a timely consensus among health team members, family members, and significant others regarding end-of-life care for patients who do not have an advance directive and lack the capacity to advocate for themselves. Achieving this goal requires interdisciplinary collaboration and proactive planning within a supportive healthcare institution environment.

  20. 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.

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

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    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.

  2. 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

  3. 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.

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

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    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.

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

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    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.

  6. 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.

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

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    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.

  8. 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.

  9. 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.

  10. 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。

  11. 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。

  12. 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.

  13. Sonographic confirmation of the correct placement of a nasoenteral tube in a woman with hyperemesis gravidarum: case report.

    Science.gov (United States)

    Swartzlander, Ty K; Carlan, S J; Locksmith, Greg; Elms, Luke

    2013-01-01

    Hyperemesis gravidarum is a serious systemic disorder of pregnant women characterized by intractable vomiting resulting in metabolic, biochemical, and hematologic changes. Enteral nutrition has been used successfully and has a lower complication rate than parenteral nutrition. Tube feeding requires location of the feeding tube tip before the infusion of nutritional substance is started. We report a case of assisted feeding tube tip location using real time sonography in a pregnant women treated for hyperemesis gravidarum. Sonographic examination may be used as an alternative to x-ray for the confirmation of feeding tube location in pregnant women and thus eliminate exposure of the fetus to ionizing radiation.

  14. 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.

  15. 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

  16. 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.

  17. 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.

  18. Predictive Factors for Prophylactic Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement and Use in Head and Neck Patients Following Intensity-Modulated Radiation Therapy (IMRT) Treatment: Concordance, Discrepancies, and the Role of Gabapentin.

    Science.gov (United States)

    Yang, Wuyang; McNutt, Todd R; Dudley, Sara A; Kumar, Rachit; Starmer, Heather M; Gourin, Christine G; Moore, Joseph A; Evans, Kimberly; Allen, Mysha; Agrawal, Nishant; Richmon, Jeremy D; Chung, Christine H; Quon, Harry

    2016-04-01

    The prophylactic placement of a percutaneous endoscopic gastrostomy (PEG) tube in the head and neck cancer (HNC) patient is controversial. We sought to identify factors associated with prophylactic PEG placement and actual PEG use. Since 2010, data regarding PEG placement and use were prospectively recorded in a departmental database from January 2010 to December 2012. HNC patients treated with intensity-modulated radiation therapy (IMRT) were retrospectively evaluated from 2010 to 2012. Variables potentially associated with patient post-radiation dysphagia from previous literature, and our experience was evaluated. We performed multivariate logistic regression on these variables with PEG placement and PEG use, respectively, to compare the difference of association between the two arms. We identified 192 HNC patients treated with IMRT. Prophylactic PEG placement occurred in 121 (63.0 %) patients, with PEG use in 97 (80.2 %) patients. PEG placement was associated with male gender (p < .01), N stage ≥ N2 (p < .05), pretreatment swallowing difficulties (p < .01), concurrent chemotherapy (p < .01), pretreatment KPS ≥80 (p = .01), and previous surgery (p = .02). Concurrent chemotherapy (p = .03) was positively associated with the use of PEG feeding by the patient, whereas pretreatment KPS ≥80 (p = .03) and prophylactic gabapentin use (p < .01) were negatively associated with PEG use. The analysis suggests there were discrepancies between prophylactic PEG tube placement and actual use. Favorable pretreatment KPS, no pretreatment dysphagia, no concurrent chemotherapy, and the use of gabapentin were significantly associated with reduced PEG use. This analysis may help refine the indications for prophylactic PEG placement.

  19. Iatrogenic gastric fistula due to inappropriate placement of intercostal drainage tube in a case of traumatic diaphragmatic hernia.

    Directory of Open Access Journals (Sweden)

    Rege S

    2001-04-01

    Full Text Available A 26-year-old, 30 weeks primigravida presented with a gastric fistula through a left intercostal drain, which was inserted for drainage of suspected haemopneumothorax following minor trauma. It was confirmed to be a diaphragmatic hernia, with stomach and omentum as its contents. On exploratory laparotomy, disconnection of the tube and fistulous tract, with reduction of herniated contents and primary suturing of stomach was carried out. Diaphragmatic reconstruction with polypropylene mesh was also carried out. Post-operative recovery was uneventful with full lung expansion by 3rd postoperative day. Patient was asymptomatic at follow-up 6 months.

  20. 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.

  1. Feeding tube insertion - gastrostomy

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002937.htm Feeding tube insertion - gastrostomy To use the sharing features on this page, please enable JavaScript. A gastrostomy feeding tube insertion is the placement of a feeding ...

  2. THE EFFECTS OF METHYLENE BLUE ON BLIND PLACEMENT OF NASOINTESTINAL TUBES IN CRITICAL PATIENTS%亚甲蓝在危重患者盲插鼻肠管中的应用

    Institute of Scientific and Technical Information of China (English)

    张富香

    2015-01-01

    Objective To explore the effect of methylene blue on blind placement of nasointestinal tubes in critical patients .Methods Methylene blue was transfused through nasointestinal tube in 54 critical pa‐tients , and whether or not methylene blue was discharged from nasointestinal tube was observed . If methylene blue was discharged from nasointestinal tube ,nasointestinal tubes would be placed again and methylene blue was transfused again . Those who showed no discharge of methylene blue after the two times of transfusion underwent X‐ray check‐ups .Re‐sults The success rate of nasointestinal tube crossing pylorus tested with methylene blue for the first time was 97 .50% ,and the success rate for the second time was 80% .Conclusion Locating the position of blind placement of nasointestinal tubes in critical patients is convenien and easy to manage .%目的:探讨亚甲蓝在危重患者盲插鼻肠管中的应用效果。方法将54例危重患者置入鼻肠管后,经鼻胃管注入亚甲蓝,观察鼻胃管内有无亚甲蓝流出,流出者,进行第二次置管,置管后再经鼻胃管注入亚甲蓝。将两次置管后鼻胃管无亚甲蓝流出者行腹部X片检查。结果第一次置管后亚甲蓝验证鼻肠管过幽门的成功率为97.50%;第二次为80%。结论亚甲蓝定位床旁盲插鼻肠管位置的方法简便易行,观察便利及时,值得临床推广应用。

  3. 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.

  4. 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.

  5. Clinical Applications of the Placement of Blind Nasal Jejunal Tube in Critically Ill Patients%盲视放置鼻空肠管在重症患者中的临床应用

    Institute of Scientific and Technical Information of China (English)

    魏威; 唐元旭; 杨聪

    2011-01-01

    Objective: The placement of blind nasal jejunal tube which is a treatment for critically ill patients could solve the problem of enteral nutrition,protect the food from regurgitation and aspiration,reduce aspiration pneumonia,as well as the corrosive esophageal stricture caused by toxic poisoning.Methods: Blind insertion technique of spiral nasal jejunal tube,together with early enteral nutrition therapy,was applied to various patients.Results: Blind insertion technique of spiral nasal jejunal tube had higher concordant and less injury.Conclusion: Blind insertion technique of spiral nasal jejunal tube,which was a clinical research with practical significance,could be used to all kinds of critically ill patients support nutrition,improve prognosis,cure rate and survival rate.%目的:探讨放置鼻空肠管在临床上抢救危重病人时解决肠内营养问题,防止食物返流、误吸,减少吸入性肺炎发生,减轻腐蚀性毒物中毒所致食道狭窄的临床应用效果。方法:对各种危重病人进行手法盲插留置螺旋型鼻空肠管,实施早期肠内营养支持治疗。结果:通过手法盲插留置螺旋型鼻空肠管,成功率较高,对病人损伤小。结论:通过留置鼻空肠管对各种重症患者进行营养支持治疗,可改善重症患者的预后,提高治愈率和存活率,是临床具有实用性意义的研究。

  6. 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

  7. 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.

  8. 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

  9. 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.

  10. 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...

  11. 系统评价非复杂性输尿管镜碎石术后不安置D-J管的可行性与有效性%Systematic review on feasibility and validity of non-D-J tube placement following uncomplicated ureteroscopic lithotripsy

    Institute of Scientific and Technical Information of China (English)

    钟强; 姜庆; 郑昌建; 赵春雷; 林艳君

    2012-01-01

    Objective To systematically review the feasibility and the validity of non-D-J tube placement following ureteroscopic litho-tripsy for ureteral calculi. Methods All randomized clinical trials of non-D-J tube placement after ureteroscopic lithotripsy were identified with Cochrane Library、PubMed、Embase、VIP、WangFang and CNKI. The quality of the included randomized trials and extracted data was assessed by two reviewers independently. Meta analysis was performed with RevMan 5. 0 soft ware. Results Twelve randomized trials ( including 1 071 patients ) were collected and divided into test group ( non-D-J tube placement ) and control group ( D-J tube placement ). The me-ta-analysis showed that the operation time was shortened in test group ( P =0. 000 2 ), the risk of postoperative frequent /urgent micturition was decreased by 41% , ( P <0. 000 01 ), hematuria by 51% (P = 0.007) and dysuria by 48%( P =0. 008 ) compared with those in control group. There was no statistical difference in mean hospital duration, stone discharge rate and postoperative ureterostenosis between test and control group ( P =0. 16 ). Conclusion Non-D-J tube placement after ureteroscopic lithotripsy is better than D-J tube placement in operation duration and postoperative complication,howerver, it has no influence on mean hospital time, stone discharge rate and postoperative ureterostenosis.%目的 系统评价非复杂输尿管镜下输尿管结石碎石术后不安置D-J管的可行性与有效性.方法 检索Cochrane Library、PubMed、EMbase、维普、万方及CNKI等在线数据库,搜索相关的所有随机对照试验,由两位评价员独立进行评价和资料提取,统计学分析采用RevMan 5.0软件处理.结果 共纳入12个随机对照试验(共1 071例),分为试验组(不安置D-J管)和对照组(安置D-J管),Meta分析结果显示,与对照组比较,试验组的手术时间短(P=0.000 2),术后尿频/尿急的发生风险减少了41%(P<0.000 01),

  12. [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.

  13. 床边幽门后喂养管置管法用于重症患者的初步研究%A pilot study of a novel method for bedside placement of postpyloric feeding tubes in critically ill patients

    Institute of Scientific and Technical Information of China (English)

    高友山; 邝耀均; 刘宇; 徐君; 黄世芳; 刘晖

    2010-01-01

    Objective To investigate a novel method of bedside placement of postpyloric feeding tubes in critically ill patients,and to evaluate its success rate,time used,and safety of this bedside method.Methods Data of consecutive patients requiring postpyloric feeding from February 2009 to July 2009 were collected.In this new method,a nonweighted 130-cm-long nasoenteric feeding tube with a guide wire was used under 10 mg of intravenous metoclopramide.The tube was gradually advanced,and the position of the tube was confirmed by auscultation to detect bubbling sound and respiration of inflated air (the vacuum test),as well as pH measurement of aspirated fluid.An abdominal radiograph was made finally for confirmation of the position of the tube before the feeding was initiated.The time taken to insert the tube,the success rate,the time between the decision to feed and commencement of feeding,and the complications of the procedure were recorded.Results In 28 patients the postpyloric feeding tube was placed.The main indication was 18 cases with high risk of aspiration,3 with gastroparesis,and 7 with acute pancreatitis.Of the 28 tube placements performed,26 (92.9%) were successful,and in 21 (75.0% of 28) the tube was in the jejunum.The average time for successful placement was (20.36±6.41) minutes.The time between the decision for feeding and commencement of feeding was (4.15±1.68) hours.No complications occurred.Conclusion Using a conventional nasoenteric feeding tube with a guide wire,and only one medical staff needed for the placement of the tube,this method is an efficient and cost-effective method of bedside postpyloric feeding tube placement.%目的 观察床边徒手幽门后喂养管置管法对重症患者治疗的效果,并对置管成功率、操作时间及安全性进行评价.方法 2009年2月至7月对需幽门后喂养者实施幽门后喂养管置管.使用130 cm长、带导丝的普通鼻胃肠管,操作前静脉给予10 mg甲氧氯普胺.置管过程中依

  14. Barren Island Dredged Material Placement for Regional Sediment Management

    Science.gov (United States)

    2012-09-01

    the island are extensive sea grass beds dominated by Ruppia maritima. Although geotextile tubes have been installed and some wetland restoration has...exceedingly costly, geotextile tubes were used at Bar- ren Island to contain the sediment as a less expensive alternative. Baltimore District desired...out of the placement site. After several discussions with various manufacturers of the geotextile tubes, Baltimore District ERDC/CHL CHETN-XIV-21

  15. A malfunctioning nasogastric feeding tube

    Directory of Open Access Journals (Sweden)

    Emanuele Cereda

    2013-02-01

    Full Text Available A critical point of nasogastric feeding tube placement, potentially resulting in an unsafe and/or non-effective operation of the device, is the monitoring of its proper placement into the stomach. A properly obtained and interpreted radiograph is currently recommended to confirm placement. We reported the case of a 68-year-old demented woman referred for complicated dysphagia. A nasogastric tube was blindly inserted and its placement was confirmed by the radiologist. Enteral nutrition was initiated but the patient began to vomit immediately. After reviewing the radiograph it was understood that a gastric loop in the tube and its tip pointing upwards did not allow a safe infusion of the feeding formula. It is not enough having the radiologist reporting that a nasogastric feeding tube is placed in the stomach; the inclusion in the report of specific warnings on any potential cause of malfunctioning of the device should be considered. The presence of a gastric loop should be taken into account as a cause of potential malfunctioning.

  16. Nearshore Placement Webinar: Nearshore Placement Research & Development

    Science.gov (United States)

    2012-11-29

    Huntington Beach (SANDAG) Shark River Inlet (NAN) Assateague Island, MD (NAB) Positive Recreational Feature Small Dispersive Placements Innovative...Coordination Act  Endangered Species Act  Coastal Zone Management Act – Sec. 307(c)  Marine Protection, Research, and Sanctuaries Act

  17. 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.

  18. 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.

  19. Fiducial Marker Placement

    Science.gov (United States)

    ... Media Computed Tomography (CT) - Body General Ultrasound Ultrasound - Prostate Introduction to Cancer Therapy (Radiation Oncology) Proton Therapy Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiotherapy (SBRT) Images related to Fiducial Marker Placement Sponsored by ...

  20. When to change a tracheostomy tube.

    Science.gov (United States)

    White, Alexander C; Kher, Sucharita; O'Connor, Heidi H

    2010-08-01

    Knowing when to change a tracheostomy tube is important for optimal management of all patients with tracheostomy tubes. The first tracheostomy tube change, performed 1-2 weeks after placement, carries some risk and should be performed by a skilled operator in a safe environment. The risk associated with changing the tracheostomy tube then usually diminishes over time as the tracheo-cutaneous tract matures. A malpositioned tube can be a source of patient distress and patient-ventilator asynchrony, and is important to recognize and correct. Airway endoscopy can be helpful to ensure optimal positioning of a replacement tracheostomy tube. Some of the specialized tracheostomy tubes available on the market are discussed. There are few data available to guide the timing of routine tracheostomy tube changes. Some guidelines are suggested.

  1. Placement of jejunal feeding tubes via a gastrostomy stoma in elderly patients with upper gastrointestinal perforation:An analysis of 13 cases%经胃造瘘管放置空肠营养管治疗老年上消化道穿孔13例

    Institute of Scientific and Technical Information of China (English)

    范学圣; 张舰; 刘兵

    2013-01-01

    目的:探讨经胃造瘘管放置空肠营养管治疗上消化道穿孔老年患者的可行性及治疗价值.方法:将我院普外科2008-02/2012-07收治的38例消化道穿孔患者,根据其肠内营养方式分为2组,A组患者术后采用鼻饲管进行肠内营养,B组患者采用经胃造瘘放置空肠营养管术后予肠内营养.分析比较两组患者术后出现呼吸道、消化道及其他各类不适的比例.结果:B组患者术后排斥引流管心理、鼻咽部不适、异物感、置管营养期间恶心、呕吐、早起(<3d)下床活动及置管后严重咳嗽、咳痰、合并肺炎等发生率与A组患者比较有明显统计学意义(P=0.036);营养改善方面,两组手术后第9天与第1天比较白蛋白,前白蛋白等指标均明显升高(P=0.024; 0.044),但二者第9天之间比较无明显差异(P>0.05).结论:采用经胃造瘘管置空肠营养管,术后早期行肠内营养,患者耐受性好,并发症低,尤其适合老年上消化道穿孔患者.%AIM: To assess the feasibility and therapeutic value of placement of jejunal feeding tubes via a gastrostomy stoma in elderly patients with upper gastrointestinal perforation. METHODS: Thirty-eight elderly patients with upper gastrointestinal perforation treated at our hospital from February 2008 to July 2012 were divided into two groups, those with a nasogastric tube or nasointestinal tube (group A) and those with a jejunal feeding tube placed via a gastrostomy stoma (group B). The percentages of patients with discomfort in the respiratory tract or gastrointestinal tract and other parameters were compared between the two groups. RESULTS: Group B was significantly different from Group A in the percentages of patients with a fear of intubation or complaints of na-sopharyngeal discomfort, serious cough and expectoration, and the incidence of nausea and vomiting during the period of enteral nutrition (all P 0.05). CONCLUSION: Placement of jejunal feeding tubes via a

  2. 框架-核心筒结构消能减震优化布置方法%Optimal Placement Method for Energy Dissipation in the Frame-core Tube Structure

    Institute of Scientific and Technical Information of China (English)

    李海; 翁大根

    2015-01-01

    Generally , the frame-core tube structure is shear bending or bending shear type structure . The common inter-story drifts, which reflect inter-story deformation, or the harmful inter-story drifts cannot reflect the partial deformation characters of structures accurately .In this study , the common frame -core tube structures were divided into different plane grids , also , generalized shear deformation was introduced in order to discuss the deformation change law and mutual relationship of different grids .This paper proposed a simplified calculation method of generalized shear deformation and it studied optimal allocation of placing metallic dampers in frame-tube structure .Finally, a practical engineering was exemplified with the response spectrum method and nonlinear time history analysis method to analyze different damping effects of different dissipation schemes that metal energy dissipative devices were placed in different grids .The conclusion shows that the scheme that the mental dissipative devices are placed in grids between core tube and frame column is better than that placed in grids between the outer frame columns .Thus some experiences can be afforded for the design of energy dissi-pation in the frame-tube structure .%框架-核心筒结构多为弯剪型或剪弯型结构,常用的反映层间变形的参数层间位移角或有害位移角不能很准确地反映结构局部变形特征。本文将常见的框架-核心筒结构形式划分为不同的平面区格,引入广义剪切变形,探讨不同区格广义剪切变形的变化规律及相互关系。本文提出了一种区格广义剪切变形简便计算方法,据此讨论了框架-核心筒结构优化布置金属消能器的问题。最后以实际工程为例,应用反应谱法和非线性时程分析法,分析了金属消能器布置在不同区格的减震方案对结构的减震效果,得到了金属消能器布置在核心筒与框架柱之间区格的

  3. 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.

  4. 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…

  5. Placement of a gastric tube at varied preoperative moments in patients scheduled for gastrointestinal operation under general anesthesia:the effect of timing on cortisol level%术前置胃管时间对全麻胃肠道手术患者皮质醇的影响

    Institute of Scientific and Technical Information of China (English)

    袁玉萍; 尹罗庚; 贡国娟; 吴红梅

    2012-01-01

    Objective To observe the effect of preoperative placing timing of gastric tube on cortisol level of patients scheduled for gastrointestinal operation under general anesthesia. Methods Forty patients scheduled for gastrointestinal operation under general anesthesia were commensurately randomized into two groups. The gastric tube was placed in the morning on the day when patients were to receive the gastrointestinal surgery in the control group, while it was placed after induction of general anaesthesia in the observation group. Mean arterial pressure, heart rates and serum cortisol level were recorded on the operation morning, before induction of general anesthesia, 2 and 5 minutes after endotracheal intubation. Results There was significant group effect between the two groups in mean arterial pressure, heart rates and serum cortisol level at varied time points (P<0. 05 for all). Conclusion Placement of a gastric tube after induction of general anaesthesia alleviates discomfort of patients, avoids abrupt icrease in blood pressure, heart rates and serum cortisol level, and lessens stress-induced reaction.%目的 观察术前置胃管时间对全麻胃肠道手术患者皮质醇的影响.方法 将40例胃肠道手术需要置胃管的患者随机分为两组,各20例.对照组于术晨病房常规置胃管,观察组于全麻诱导后置胃管.每组分别监测术晨,麻醉诱导前,气管插管后2 min及5 min时平均动脉压、心率及血清皮质醇.结果 两组不同时段各观察指标比较,干预主效应均P<0.05.结论 将手术患者置胃管时间放在麻醉诱导后进行能减少患者的不适感,避免血压、心率及皮质醇急剧升高,减轻应激反应.

  6. Biliary Duct-to-Duct Reconstruction with a Tunneled Retroperitoneal T-Tube During Liver Transplantation: a Novel Approach to Decrease Biliary Leaks After T-Tube Removal.

    Science.gov (United States)

    Navez, Julie; Mohkam, Kayvan; Darnis, Benjamin; Cazauran, Jean-Baptiste; Ducerf, Christian; Mabrut, Jean-Yves

    2017-04-01

    The benefit of placing a T-tube for duct-to-duct biliary reconstruction during orthotopic liver transplantation (OLT) remains controversial because it could be associated with specific complications, especially at the time of T-tube removal. While the utility of T-tube during OLT represents an eternal debate, only a few technical refinements of T-tube placement have been described since the report of the original technique by Starzl and colleagues. Herein, we present a novel technique of T-tube placement for duct-to-duct biliary reconstruction during OLT, using a tunneled retroperitoneal route. On the basis of our experience of 305 patients who benefitted from the reported technique, the placement of a tunneled retroperitoneal biliary T-tube appears to be safe and results in a low rate of biliary complications, especially at the time of T-tube removal.

  7. Port placement in thoracoscopy

    Directory of Open Access Journals (Sweden)

    KB Galketiya

    2014-03-01

    Full Text Available Background: Thoracoscopy reduces the morbidity of open thoracotomy. The placement of camera and working ports is crucial for successful completion of the procedure. Methods: A retrospective review of video assisted thoracoscopic surgeries performed during January 2011 to June 2013 at the university surgical unit, Peradeniya, Sri Lanka was done. Port placement of each surgery was identified and the adequacy of space for dissection, use of additional ports for retractors, successful, comfortable and safe completion of the surgery with regard to average operative time, mean blood loss and conversions to open surgery were noted. Results: 9 different thoracoscopic procedures were performed on 67 patients. All procedures allowed comfortable dissection, adequate space for dissection and required no additional ports for retractors except for thymectomy and excision of retrosternal goiter. Time taken was acceptable with minimum blood loss and no conversions. Conclusion: For anterior and posterior mediastinal procedures the camera port was placed in the mid and the posterior axillary lines respectively and provided a clear display of the anatomy. The thirty degree camera was preferred as it provided a wider visual field. Working ports for anterior and posterior mediastinal procedures were placed in the anterior and mid axillary line respectively. Most effective placement for working ports were found to be two intercostal spaces above and below the camera port.

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. A Case of Pneumoscrotum Following Chest Tube Placement

    OpenAIRE

    M Pezeshki Rad; M Mohammadi Fard

    2008-01-01

    Pneumoscrotum is a rare condition that occurs following a variety of procedural and pathological causes. We report a case of multiple trauma, pneumothorax and surgical emphysema, who presented with a swollen scrotum.

  17. [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…

  18. Hybrid endotracheal tubes

    Science.gov (United States)

    Sakezles, Christopher Thomas

    Intubation involves the placement of a tube into the tracheal lumen and is prescribed in any setting in which the airway must be stabilized or the patient anesthetized. The purpose of the endotracheal tube in these procedures is to maintain a viable airway, facilitate mechanical ventilation, allow the administration of anesthetics, and prevent the reflux of vomitus into the lungs. In order to satisfy these requirements a nearly airtight seal must be maintained between the tube and the tracheal lining. Most conventional endotracheal tubes provide this seal by employing a cuff that is inflated once the tube is in place. However, the design of this cuff and properties of the material are a source of irritation and injury to the tracheal tissues. In fact, the complication rate for endotracheal intubation is reported to be between 10 and 60%, with manifestations ranging from severe sore throat to erosion through the tracheal wall. These complications are caused by a combination of the materials employed and the forces exerted by the cuff on the tracheal tissues. In particular, the abrasive action of the cuff shears cells from the lining, epithelium adhering to the cuff is removed during extubation, and normal forces exerted on the basement tissues disrupt the blood supply and cause pressure necrosis. The complications associated with tracheal intubation may be reduced or eliminated by employing airway devices constructed from hydrogel materials. Hydrogels are a class of crosslinked polymers which swell in the presence of moisture, and may contain more than 95% water by weight. For the current study, several prototype airway devices were constructed from hydrogel materials including poly(vinyl alcohol), poly(hydroxyethyl methacrylate), and poly(vinyl pyrrolidone). The raw hydrogel materials from this group were subjected to tensile, swelling, and biocompatibility testing, while the finished devices were subjected to extensive mechanical simulation and animal trials

  19. 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 ...

  20. Jejunostomy feeding tube

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000181.htm Jejunostomy feeding tube To use the sharing features on this ... vomiting Your child's stomach is bloated Alternate Names Feeding - jejunostomy tube; G-J tube; J-tube; Jejunum ...

  1. Enteral tube feeding for individuals with cystic fibrosis: Cystic Fibrosis Foundation evidence-informed guidelines.

    Science.gov (United States)

    Schwarzenberg, Sarah Jane; Hempstead, Sarah E; McDonald, Catherine M; Powers, Scott W; Wooldridge, Jamie; Blair, Shaina; Freedman, Steven; Harrington, Elaine; Murphy, Peter J; Palmer, Lena; Schrader, Amy E; Shiel, Kyle; Sullivan, Jillian; Wallentine, Melissa; Marshall, Bruce C; Leonard, Amanda Radmer

    2016-11-01

    Nutrition is integral to the care of individuals with cystic fibrosis (CF). Better nutritional status is associated with improved pulmonary function. In some individuals with CF, enteral tube feeding can be useful in achieving optimal nutritional status. Current nutrition guidelines do not include detailed recommendations for enteral tube feeding. The Cystic Fibrosis Foundation convened an expert panel to develop enteral tube feeding recommendations based on a systematic review of the evidence and expert opinion. These guidelines address when to consider enteral tube feeding, assessment of confounding causes of poor nutrition in CF, preparation of the patient for placement of the enteral feeding tube, management of the tube after placement and education about enteral feeding. These recommendations are intended to guide the CF care team, individuals with CF, and their families through the enteral tube feeding process.

  2. 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.

  3. Sensor placement optimization in buildings

    Science.gov (United States)

    Bianco, Simone; Tisato, Francesco

    2012-01-01

    In this work we address the problem of optimal sensor placement for a given region and task. An important issue in designing sensor arrays is the appropriate placement of the sensors such that they achieve a predefined goal. There are many problems that could be considered in the placement of multiple sensors. In this work we focus on the four problems identified by Hörster and Lienhart. To solve these problems, we propose an algorithm based on Direct Search, which is able to approach the global optimal solution within reasonable time and memory consumption. The algorithm is experimentally evaluated and the results are presented on two real floorplans. The experimental results show that our DS algorithm is able to improve the results given by the most performing heuristic introduced in. The algorithm is then extended to work also on continuous solution spaces, and 3D problems.

  4. 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.

  5. 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.

  6. 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...

  7. 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.

  8. 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,…

  9. 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.

  10. A Cognitive Model of College Mathematics Placement

    Science.gov (United States)

    1989-08-01

    study focused on the precalculus -- calculus placement decision. The Cognitive model uses novel, or analysis level, placement test items in an attempt to...relative to the requirements of a precalculus course. Placement test scores may be partitioned to give analysis and non-analysis subtest scores which can...67 5.1.1 1989 Intercorrelations ....................................................................... 67 5.1.2 1989 Precalculus -Calculus

  11. 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…

  12. 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.

  13. Feeding tube - infants

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007235.htm Feeding tube - infants To use the sharing features on this page, please enable JavaScript. A feeding tube is a small, soft, plastic tube placed ...

  14. 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.)

  15. 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.

  16. Community placement: auditing the quality.

    Science.gov (United States)

    Bell, G; Bennett, J

    The second article in this two-part series analyses the development of an educational audit tool to examine the quality of the learning environment for student nurses undergoing community placement. Deficits in existing tools are identified and rationales suggested to overcome perceived problems. The article also discusses the issues which emerged during the piloting of the tool and its value as an audit instrument.

  17. In-Office Jones tube exchange using the Seldinger technique.

    Science.gov (United States)

    Eloy, Jean Anderson; Choudhry, Osamah J; Shukla, Pratik A; Langer, Paul D

    2013-01-01

    Conjunctivodacryocystorhinostomy (CDCR) with Jones tube placement is usually performed as a primary procedure for severe stenosis or obstruction of both upper and lower canaliculi of the lacrimal drainage pathway, or occasionally, after unsuccessful dacryocystorhinostomy (DCR). Jones tube obstruction is quite common, and often requires removal of the obstructed tube and replacement or exchange of the tube in the operating room. This procedure is typically performed under general anesthesia, and is associated with the risks of general anesthesia, a significant investment of time, and the cost of the operating suite. Recently, there has been a movement toward in-office procedures in otolaryngology and ophthalmology due to greater patient satisfaction and savings in time and money for patients and physicians. In this report, we describe a novel in-office method to exchange an obstructed Jones tube that provides the aforementioned benefits while preserving patient comfort. No similar case has been previously reported in the literature.

  18. 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.

  19. [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!

  20. 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.

  1. 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

  2. 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.

  3. Minimizing radiation dose to patient and staff during fluoroscopic, nasoenteral tube insertions

    Energy Technology Data Exchange (ETDEWEB)

    Rudin, S.; Bednarek, D.R. (New York Univ., NY (United States). School of Medicine)

    1992-02-01

    Since the fluoroscopic image during nasoenteral tube placements is used for guidance and not for diagnosis, a lower contrast image with increased quantum mottle can be easily tolerated. The three methods to reduce the radiation dose rate investigated consisted of removing camera from the image intensifier output phosphor, and setting the fluoroscopic mA to the minimum value so that the kVp could be maximized. Fluoroscopic frozen video frames of a clinical tube insertion comparing the images with and without the dose-saving techniques are presented. Measurements of the radiation dose rates using a Plexiglas phantom show that the dose for patient and staff during fluoroscopic-guided nasoenteral tube placements can be reduced by over a factor of 10 without significantly adversely affecting the actual placement procedure. (author).

  4. Social Work Program. Field Placement Manual for Social Work Field Placement I, Social Work Field Placement II.

    Science.gov (United States)

    Miller, Howard J.; And Others

    This document is a manual for a social work field placement program. The social work field placement is described as a learning experience designed to translate the students' interests, interpersonal abilities, and academic knowledge and theory into the capability of enabling others to solve problems. Expectations of skills to be learned in the…

  5. 32 CFR 1656.10 - Job placement.

    Science.gov (United States)

    2010-07-01

    ... will be reassigned in accordance with § 1656.12. (c) In making job interview referrals and in making... 32 National Defense 6 2010-07-01 2010-07-01 false Job placement. 1656.10 Section 1656.10 National....10 Job placement. (a) Selective Service will maintain a job bank for the exclusive purpose of...

  6. 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…

  7. 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

  8. Clitoral Pain Following Retropubic Midurethral Sling Placement

    Directory of Open Access Journals (Sweden)

    Melanie Christofferson, DO

    2015-12-01

    Conclusion: Clitoral pain symptoms following placement of a retropubic midurethral sling should be evaluated and promptly addressed, given the potential negative impact on the patient's sexual function. Christofferson M, Barnard J, and Montoya TI. Clitoral pain following retropubic midurethral sling placement. Sex Med 2015;3:346–348.

  9. New pole placement algorithm - Polynomial matrix approach

    Science.gov (United States)

    Shafai, B.; Keel, L. H.

    1990-01-01

    A simple and direct pole-placement algorithm is introduced for dynamical systems having a block companion matrix A. The algorithm utilizes well-established properties of matrix polynomials. Pole placement is achieved by appropriately assigning coefficient matrices of the corresponding matrix polynomial. This involves only matrix additions and multiplications without requiring matrix inversion. A numerical example is given for the purpose of illustration.

  10. Tube Feeding Troubleshooting Guide

    Science.gov (United States)

    Tube Feeding Troubleshoot ing Guide This guide is a tool to assist you, and should not replace your doctor’s ... everyone. table of contents Going Home with Tube Feedings....................................................2 Nausea and ... ...

  11. 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 ...

  12. Laparoscopic T-tube choledochotomy for biliary lithiasis.

    Science.gov (United States)

    Garteiz Martínez, Denzil; Sánchez, Alejandro Weber; López Acosta, María Elena

    2008-01-01

    T-tube choledochotomy has been an established practice in common bile duct exploration for many years. Although bile leaks, biliary peritonitis, and long-term postoperative strictures have been reported and are directly associated with the placement or removal of the T-tube, the severity of these complications may often be underestimated by surgeons. We present the case of a 31-year-old male patient who developed biliary peritonitis and septic shock after removal of a T-tube and illustrate one of the catastrophic events that may follow such procedures. Literature shows that these complications may occur more frequently and have higher morbidity and mortality than other less invasive procedures. This article reviews the advances in laparoscopic and endoscopic techniques, which provide alternative therapeutic approaches to choledocholithiasis and allow the surgeon to avoid having to perform a choledochotomy with T-tube drainage.

  13. Eustachian Tube Dilation via a Transtympanic Approach in 6 Cadaver Heads: A Feasibility Study.

    Science.gov (United States)

    Dean, Marc; Chao, Wei-Chieh; Poe, Dennis

    2016-10-01

    The goal of this study was to evaluate the feasibility of endoscopic transtympanic balloon dilation of the cartilaginous eustachian tube. To accomplish this, transtympanic balloon dilation of the cartilaginous eustachian tube was performed on 11 eustachian tubes (6 cadaver heads). The balloon catheter was introduced and passed through the protympanic orifice of the eustachian tube transtympanically under endoscopic view and cannulated without incident in all cadavers. Computed tomography was then performed postprocedure to evaluate for inadvertent dilation of the bony eustachian tube, adverse placement of the balloon, or any bony fractures. The balloon was seen to be successfully inflated in the cartilaginous portion without damage to surrounding structures in all cases. This demonstrates that under endoscopic guidance, the protympanic orifice of the eustachian tube can be feasibly cannulated and reliably traversed, allowing for targeted dilation of the cartilaginous eustachian tube from a transtympanic approach.

  14. 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.

  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. 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.

  17. 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.

  18. 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.)

  19. Nursing students' experience of practice placements.

    Science.gov (United States)

    MacDonald, Kathleen; Paterson, Kirstie; Wallar, Jessica

    2016-11-02

    Clinical practice placements are an essential component of pre-registration nursing programmes. Integration into a new team in an unfamiliar setting, which has its own values, practices, culture and language, can be stressful for nursing students. This article presents and discusses students' reflections on preparing for, entering and leaving practice placements. Ten students who participated in fortnightly group reflective sessions, discussed and analysed their learning experiences while on practice placements in an acute hospital. The challenges the students encountered were deconstructed using a group narrative approach. The students experienced ethical dilemmas around patient dignity, consent and advocacy as well as factors external to the practice setting, such as navigating systems and processes to access information before starting practice placements, managing household duties and academic workloads while working long shifts, and managing fatigue and loneliness. The students devised recommendations for other students to enable them to navigate their practice placements effectively and enhance their learning experience. Raising awareness among academic and practice placement staff of the challenges students encounter before and during their practice placement is essential to assist students to succeed and maximise their learning potential.

  20. 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)

  1. 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.

  2. 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.

  3. Fuel nozzle tube retention

    Energy Technology Data Exchange (ETDEWEB)

    Cihlar, David William; Melton, Patrick Benedict

    2017-02-28

    A system for retaining a fuel nozzle premix tube includes a retention plate and a premix tube which extends downstream from an outlet of a premix passage defined along an aft side of a fuel plenum body. The premix tube includes an inlet end and a spring support feature which is disposed proximate to the inlet end. The premix tube extends through the retention plate. The spring retention feature is disposed between an aft side of the fuel plenum and the retention plate. The system further includes a spring which extends between the spring retention feature and the retention plate.

  4. Heated Tube Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Heated Tube Facility at NASA GRC investigates cooling issues by simulating conditions characteristic of rocket engine thrust chambers and high speed airbreathing...

  5. 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.

  6. 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.

  7. 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.

  8. Wavy tube heat pumping

    Energy Technology Data Exchange (ETDEWEB)

    Haldeman, C. W.

    1985-12-03

    A PVC conduit about 4'' in diameter and a little more than 40 feet long is adapted for being seated in a hole in the earth and surrounds a coaxial copper tube along its length that carries Freon between a heat pump and a distributor at the bottom. A number of wavy conducting tubes located between the central conducting tube and the wall of the conduit interconnect the distributor with a Freon distributor at the top arranged for connection to the heat pump. The wavy conducting tubing is made by passing straight soft copper tubing between a pair of like opposed meshing gears each having four convex points in space quadrature separated by four convex recesses with the radius of curvature of each point slightly less than that of each concave recess.

  9. 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...

  10. Molybdenum Tube Characterization report

    Energy Technology Data Exchange (ETDEWEB)

    Beaux II, Miles Frank [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Usov, Igor Olegovich [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-02-07

    Chemical vapor deposition (CVD) techniques have been utilized to produce free-standing molybdenum tubes with the end goal of nuclear fuel clad applications. In order to produce tubes with properties desirable for this application, deposition rates were lowered requiring long deposition durations on the order of 50 hours. Standard CVD methods as well as fluidized-bed CVD (FBCVD) methods were applied towards these objectives. Characterization of the tubes produced in this manner revealed material suitable for fuel clad applications, but lacking necessary uniformity across the length of the tubes. The production of freestanding Mo tubes that possess the desired properties across their entire length represents an engineering challenge that can be overcome in a next iteration of the deposition system.

  11. What Are Neural Tube Defects?

    Science.gov (United States)

    ... NICHD Research Information Clinical Trials Resources and Publications Neural Tube Defects (NTDs): Condition Information Skip sharing on social media links Share this: Page Content What are neural tube defects? Neural (pronounced NOOR-uhl ) tube defects are ...

  12. 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.

  13. Fluoroscopic insertion of post-pyloric feeding tubes: success rates and complications

    Energy Technology Data Exchange (ETDEWEB)

    Thurley, P.D.; Hopper, M.A. [Department of Clinical Radiology, Nottingham University Hospitals NHS Trust, Nottingham (United Kingdom); Jobling, J.C. [Department of Clinical Radiology, Nottingham University Hospitals NHS Trust, Nottingham (United Kingdom)], E-mail: craig.jobling@nuh.nhs.uk; Teahon, K. [Department of Clinical Radiology, Nottingham University Hospitals NHS Trust, Nottingham (United Kingdom)

    2008-05-15

    Aim: To examine the success and complication rates of radiological placement of post-pyloric feeding tubes, including those inserted with the assistance of a guide-wire. Materials and Methods: Two hundred referrals (156 patients), between the dates of 5 April 2002 and 10 September 2004, were identified retrospectively from computerized records. Subsequently, the radiology reports and patients' notes were reviewed to evaluate the indications for post-pyloric feeding, success of placement, use of a guide-wire, and any complications. Results: A post-pyloric tube was placed in the distal duodenum/jejunum in 183 (91.5%) patients and in the proximal duodenum or distal stomach in six (3%). A tube could not be inserted in 11 (5.5%) patients, and 51 (25.5%) of the insertions required the use of a guide-wire. Immediate complications were recorded in seven patients (3.5%): vomiting (n = 5); hypotension and apnoea requiring naloxone (n = 1) and hypoxia requiring endotracheal intubation (n = 1). Conclusion: Radiological placement of post-pyloric feeding tubes has a success rate comparable with endoscopically placed tubes, and it rarely involves significant technique-related complications.

  14. 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.

  15. 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.

  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. Trajectory surgical guide stent for implant placement.

    Science.gov (United States)

    Adrian, E D; Ivanhoe, J R; Krantz, W A

    1992-05-01

    This article describes a new implant placement surgical guide that gives both implant location and trajectory to the surgeon. Radiopaque markers are placed on diagnostic dentures and a lateral cephalometric radiograph is made that shows the osseous anatomy at the symphysis and the anterior tooth location. The ideal implant location and trajectory data are transferred to a surgical stent that programs the angle and location of the fixtures at time of surgery. The stent has the additional benefit of acting as an occlusion rim, a mouth prop, and tongue retractor. Use of this stent has resulted in consistently programming the placement of implant fixtures that are prosthodontically ideal.

  18. Product Placement: La publicidad del s. XXI

    OpenAIRE

    Martin Soler, Anna

    2015-01-01

    Les característiques i la versatilitat del product placement el converteixen en una opció interessant per als anunciants que desitgen una publicitat original i creativa, alhora que per als productors aquesta pràctica els permet obtenir finançament per als seus continguts. Avui en dia, aquesta tècnica no tan sols es troba en el cinema i la televisió ja que la seva presència en els videojocs, el teatre o la literatura fa que el product placement s'instauri com la publicitat del s.XXI. Las ca...

  19. Nasogastric feeding tube

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000182.htm Nasogastric feeding tube To use the sharing features on this ... the nose. It can be used for all feedings or for giving a person extra calories. It ...

  20. Tube-Forming Assays.

    Science.gov (United States)

    Brown, Ryan M; Meah, Christopher J; Heath, Victoria L; Styles, Iain B; Bicknell, Roy

    2016-01-01

    Angiogenesis involves the generation of new blood vessels from the existing vasculature and is dependent on many growth factors and signaling events. In vivo angiogenesis is dynamic and complex, meaning assays are commonly utilized to explore specific targets for research into this area. Tube-forming assays offer an excellent overview of the molecular processes in angiogenesis. The Matrigel tube forming assay is a simple-to-implement but powerful tool for identifying biomolecules involved in angiogenesis. A detailed experimental protocol on the implementation of the assay is described in conjunction with an in-depth review of methods that can be applied to the analysis of the tube formation. In addition, an ImageJ plug-in is presented which allows automatic quantification of tube images reducing analysis times while removing user bias and subjectivity.

  1. Chest tube insertion - slideshow

    Science.gov (United States)

    ... presentations/100008.htm Chest tube insertion - series—Normal anatomy To use the sharing features ... pleural space is the space between the inner and outer lining of the lung. It is normally very thin, and lined only ...

  2. Snorkeling and Jones tubes

    OpenAIRE

    Lam, Lewis Y. W.; Weatherhead, Robert G.

    2015-01-01

    We report a case of tympanic membrane rupture during snorkeling in a 17-year-old young man who had previously undergone bilateral Jones tubes placed for epiphora. To our knowledge, this phenomenon has not been previously reported.

  3. Snorkeling and Jones tubes.

    Science.gov (United States)

    Lam, Lewis Y W; Weatherhead, Robert G

    2015-01-01

    We report a case of tympanic membrane rupture during snorkeling in a 17-year-old young man who had previously undergone bilateral Jones tubes placed for epiphora. To our knowledge, this phenomenon has not been previously reported.

  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. Magnesium tube hydroforming

    Energy Technology Data Exchange (ETDEWEB)

    Liewald, M.; Pop, R. [Institute for Metal Forming Technology (IFU), Stuttgart (Germany)

    2008-04-15

    Magnesium alloys reveal a good strength-to-weight ratio in the family of lightweight metals and gains potential to provide up to 30% mass savings compared to aluminium and up to 75 % compared to steel. The use of sheet magnesium alloys for auto body applications is however limited due to the relatively low formability at room temperature. Within the scope of this paper, extruded magnesium tubes, which are suitable for hydroforming applications, have been investigated. Results obtained at room temperature using magnesium AZ31 tubes show that circumferential strains are limited to a maximal value of 4%. In order to examine the influence of the forming temperature on tube formability, investigations have been carried out with a new die set for hot internal high pressure (IHP) forming at temperatures up to 400 C. Earlier investigations with magnesium AZ31 tubes have shown that fractures occur along the welding line at tubes extruded over a spider die, whereby a non-uniform expansion at bursting with an elongation value of 24% can be observed. A maximum circumferential strain of approx. 60% could be attained when seamless, mechanically pre-expanded and annealed tubes of the same alloy have been used. The effect of annealing time on materials forming properties shows a fine grained structure for sufficient annealing times as well as deterioration with a large increase at same time. Hence, seamless ZM21 tubes have been used in the current investigations. With these tubes, an increased tensile fracture strain of 116% at 350 C is observed as against 19% at 20 C, obtained by tensile testing of milled specimens from the extruded tubes. This behaviour is also seen under the condition of tool contact during the IHP forming process. To determine the maximum circumferential strain at different forming temperatures and strain rates, the tubes are initially bulged in a die with square cross-section under plane stress conditions. Thereafter, the tubes are calibrated by using an

  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. 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.

  8. 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.

  9. 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.

  10. Expanding the Scope of Advanced Placement Classes

    Science.gov (United States)

    Lim, Victoria

    2008-01-01

    Dr. Paul Dosal of the University of South Florida is not impressed with the way most high school students learn about Latin American history. Dosal believes an advanced placement course in the subject will change that. He's the executive director of ENLACE Florida, a statewide network funded by the W.K. Kellogg Foundation, designed to increase the…

  11. 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...

  12. 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.

  13. 34 CFR 300.327 - Educational placements.

    Science.gov (United States)

    2010-07-01

    ... public agency must ensure that the parents of each child with a disability are members of any group that makes decisions on the educational placement of their child. (Authority: 20 U.S.C. 1414(e)) ... CHILDREN WITH DISABILITIES Evaluations, Eligibility Determinations, Individualized Education Programs,...

  14. 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.

  15. 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

  16. Radiologic placement of tunneled central venous catheter

    Energy Technology Data Exchange (ETDEWEB)

    Hahn, Seong Tae; Yang, Po Song; Yang, Dong Hunn; Kim, Ki Tae; Kim, Choon Yul; Shinn, Kyung Sub [The Catholic Univ. College of Medicine, Seoul (Korea, Republic of); Yun, Eun Joo [Korea Veterans Hospital, Seoul (Korea, Republic of)

    1996-01-01

    To evaluate the efficacy and safety of fluoroscopy-guided, radiologic placement of a tunneled central venous catheter into the superior vena cava (SVC). Thirty five patients underwent tunneled central venous catheter placement to facilitate long-term chemotherapy. They included 33 leukemic patients, one colon cancer patient, and one multiple myeloma patient. After confirming central venous patency with a injection of contrast media via the peripheral cephalic or basilic vein in the wrist joint, the subclavian vein was punctured under fluoroscopic guidance. A 7F double lumen TPN catheter was placed into the SVC through a subcutaneous tunnel in the anterior chest wall. Catheter placements were successful in all patients. The mean procedure time was 17.2minutes, mean fluooscopy time was 1.3minutes, mean number of punctures was 1.4, and mean volume of injhected contrast media was 43.5cc. Only two of all leukemic patients developed mild hematomas at the puncture site, but these soon resolved themselves. None of the patients developed pneumothorax or hemothorax. But late complications included local infection in two patients (6%) and thrombotic occlusion of the catheter in one (3%). The occluded catheter was successfully recanalized with Urokinase infusion. Fluoroscopy-guided, radiologic placement of a tunneled central venous catheter is an easy and safe method, and useful for patients requiring long-term venous access.

  17. 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…

  18. 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...

  19. Osseointegrated fixture placement with simultaneous tooth extraction.

    Science.gov (United States)

    Schabes, G A; Sacks, H G; Kaufman, P S

    1992-03-01

    Three cases are presented that illustrate the potential for accelerating the healing phase with fixture-based treatment. Depending on the clinical circumstances, techniques may include radical alveolectomy, the use of fresh extraction sockets, and fixture placement in inter-radicular bone.

  20. Traumatic tibialis anterior tendon rupture: treatment with a two-stage silicone tube and an interposition hamstring tendons graft protocol.

    Science.gov (United States)

    Kontogeorgakos, Vasileios; Koutalos, Antonios; Hantes, Michael; Manoudis, Gregory; Badras, Leonidas; Malizos, Konstantinos

    2015-03-01

    A novel technique for managing ruptured tibialis anterior tendon complicated by infection and tendon substance loss in a young adult is described. A two-stage reconstruction technique with a silicon tube and tendon autograft was performed. At first, after local control of the infection, scar excision and placement of a silicone tube was performed. Ten weeks later, ipsilateral hamstrings tendons were harvested and bridged the 7 cm tendon gap. Eighteen months later, the patient has excellent clinical and functional outcome.

  1. 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.

  2. Wavelength converter placement in optical networks with dynamic traffic

    DEFF Research Database (Denmark)

    Buron, Jakob Due; Ruepp, Sarah Renée; Wessing, Henrik;

    2008-01-01

    We evaluate the connection provisioning performance of GMPLS-controlled wavelength routed networks under dynamic traffic load and using three different wavelength converter placement heuristics. Results show that a simple uniform placement heuristic matches the performance of complex heuristics u...

  3. Target Tracking, Approach, and Camera Handoff for Automated Instrument Placement

    Science.gov (United States)

    Bajracharya, Max; Diaz-Calderon, Antonio; Robinson, Matthew; Powell, Mark

    2005-01-01

    This paper describes the target designation, tracking, approach, and camera handoff technologies required to achieve accurate, single-command autonomous instrument placement for a planetary rover. It focuses on robust tracking integrated with obstacle avoidance during the approach phase, and image-based camera handoff to allow vision-based instrument placement. It also provides initial results from a complete system combining these technologies with rover base placement to maximize arm manipulability and image-based instrument placement.

  4. Parental Status Characteristics and Self-Placement of Young Adults.

    Science.gov (United States)

    McBroom, William H.; Hammer, Gail

    1983-01-01

    Examines status self-placement literature. Tests Talcott Parsons's inferences that, in predicting young adults' self-placement, (1) father's occupation is more important than other status variables of the father, (2) mother's employment makes the process of self-placement less predictable, and (3) "emancipation" from family of…

  5. 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

  6. 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

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

    Science.gov (United States)

    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. PMID:20190939

  8. 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.

  9. 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.

  10. The influence of chest tube size and position in primary spontaneous pneumothorax

    Science.gov (United States)

    Riber, Lars P. S.; Olesen, Winnie H.; Licht, Peter B.

    2017-01-01

    Background Optimal chest tube position in the pleural cavity is largely unexplored for the treatment of primary spontaneous pneumothorax (PSP). We investigated whether type, size and position of chest tubes influenced duration of treatment for PSP. Methods A retrospective follow-up study of all patients admitted with PSP over a 5-year period. Traumatic, iatrogenic and secondary pneumothoraxes were excluded. Gender, age, smoking habits, type and size of chest tube used (pigtail catheter or surgical chest tube) were recorded from the patients’ charts. All chest X-rays upon admittance and immediately following chest tube placement were retrieved and re-evaluated for size of pneumothorax (categorized into five groups) and location of the chest tube tip (categorized as upper, middle or lower third of the pleural cavity). All data were analysed in a Cox proportional hazards regression model. Results We identified 134 patients with PSP. Baseline characteristics were similar for patients treated with surgical chest tubes and pigtail catheters. Chest tube duration was not significantly influenced by position of the chest tube tip, but was significantly longer in females (P<0.01), patients <30 years (P=0.01), larger pneumothoraxes (P<0.01), use of surgical chest tubes (P=0.03) and a history of previous pneumothorax (P=0.04). Conclusions Contrary to common belief and guidelines recommendation the position of a chest tube in the pleural cavity did not significantly influence chest tube duration, but it was significantly longer in patients who were treated with a surgical chest tube. PMID:28275481

  11. Pole Placement with Fields of Positive Characteristic

    CERN Document Server

    Gorla, Elisa

    2009-01-01

    The pole placement problem belongs to the classical problems of linear systems theory. It is often assumed that the ground field is the real numbers R or the complex numbers C. The major result over the complex numbers derived in 1981 by Brockett and Byrnes states that arbitrary static pole placement is possible for a generic set of m-inputs, p-outputs and McMillan degree n system as soon as mp>=n. Moreover the number of solutions in the situation mp=n is an intersection number first computed by Hermann Schubert in the 19th century. In this paper we show that the same result with slightly different proofs holds over any algebraically closed field.

  12. 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.

  13. 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.

  14. 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.

  15. Automated Placement of Multiple Stereo Cameras

    OpenAIRE

    Malik, Rahul; Bajcsy, Peter

    2008-01-01

    International audience; This paper presents a simulation framework for multiple stereo camera placement. Multiple stereo camera systems are becoming increasingly popular these days. Applications of multiple stereo camera systems such as tele-immersive systems enable cloning of dynamic scenes in real-time and delivering 3D information from multiple geographic locations to everyone for viewing it in virtual (immersive) 3D spaces. In order to make such multi stereo camera systems ubiquitous, sol...

  16. Balanced Placement Of Vibration Sensors And Actuators

    Science.gov (United States)

    Gawronski, Wodek

    1996-01-01

    Mathematical approach that involves Hankel singular values leads to method for estimation of optimal placement of relatively few vibration sensors and actuators in multivariable flexible structure. Approach extends and complements previous developments regarding approximate decomposition, to Hankel singular values, of singular values of controllability and observability grammian matrices of multivariable flexible structure. Mathematical constructs also described in "Designing An Approximately Balanced LQG Compensator" (NPO-19000).

  17. 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.

  18. 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.

  19. 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.

  20. Heat-shrink plastic tubing seals joints in glass tubing

    Science.gov (United States)

    Del Duca, B.; Downey, A.

    1968-01-01

    Small units of standard glass apparatus held together by short lengths of transparent heat-shrinkable polyolefin tubing. The tubing is shrunk over glass O-ring type connectors having O-rings but no lubricant.

  1. Cladding tube manufacturing technology

    Energy Technology Data Exchange (ETDEWEB)

    Hahn, R. [Kraftwerk Union AG, Mulheim (Germany); Jeong, Y.H.; Baek, B.J.; Kim, K.H.; Kim, S.J.; Choi, B.K.; Kim, J.M. [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1999-04-01

    This report gives an overview of the manufacturing routine of PWR cladding tubes. The routine essentially consists of a series of deformation and annealing processes which are necessary to transform the ingot geometry to tube dimensions. By changing shape, microstructure and structure-related properties are altered simultaneously. First, a short overview of the basics of that part of deformation geometry is given which is related to tube reducing operations. Then those processes of the manufacturing routine which change the microstructure are depicted, and the influence of certain process parameters on microstructure and material properties are shown. The influence of the resulting microstructure on material properties is not discussed in detail, since it is described in my previous report 'Alloy Development for High Burnup Cladding.' Because of their paramount importance still up to now, and because manufacturing data and their influence on properties for other alloys are not so well established or published, the descriptions are mostly related to Zry4 tube manufacturing, and are only in short for other alloys. (author). 9 refs., 46 figs.

  2. 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.

  3. 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,

  4. 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.

  5. 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.

  6. 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....

  7. Local Infection after Placement of Percutaneous Endoscopic Gastrostomy Tubes: A Prospective Study Evaluating Risk Factors

    Directory of Open Access Journals (Sweden)

    Y Zopf

    2008-01-01

    Full Text Available BACKGROUND: Due to its high efficacy and technical simplicity, percutaneous endoscopic gastrostomy (PEG has gained wide-spread use. Local infection, occurring in approximately 2% to 39% of procedures, is the most common complication in the short term. Risk factors for local infection are largely unknown and therefore – apart from calculated antibiotic prophylaxis – preventive strategies have yet to be determined.

  8. 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)

  9. 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.

  10. 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

  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. A Novel and Innovative Way of Nasogastric Tube Insertion in Anesthetized Intubated Patient

    Science.gov (United States)

    Sahu, Sandeep; Kishore, Kamal; Sachan, Vertika; Chatterjee, Arnidam

    2017-01-01

    Nasogastric tube (NGT) placement in anesthetized and intubated is sometimes very challenging with more than 50% failure rate in the first attempt. We describe a newer innovative Sahu's three in one, technique with use of GlideScope and forward placement of intubated trachea by external laryngeal maneuver, these both techniques lead to separation of trachea from esophagus so that endoscopic jejunal feeding tube guide wire strengthen NGT can be guided and manipulated to esophagus under direct vision. After informed consent, we used Sahu's three in one combo technique to insert NGT in adult anesthetized and intubated patients of both the sexes with high success in the first attempt. We found this technique easy, helpful, less time consuming with high success rate.

  13. 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…

  14. Antibiotics in Pregnancy Increase Children's Risk of Otitis Media and Ventilation Tubes

    DEFF Research Database (Denmark)

    Pedersen, Tine Marie; Stokholm, Jakob; Thorsen, Jonathan

    2017-01-01

    OBJECTIVES: To study the association between antibiotic intake in pregnancy and the development of otitis media and placement of ventilation tubes (VTs) in the offspring under the hypothesis that antibiotics in pregnancy may alter the offspring's propensity for disease. STUDY DESIGN: Data from...... is associated with an increased risk of otitis media and VT insertions in the offspring. Antibiotics late in pregnancy mainly contributed to these effects, pointing toward potential transmission of an unfavorable microbiome from mother to child....

  15. Vortex tube optimization theory

    Energy Technology Data Exchange (ETDEWEB)

    Lewins, Jeffery [Cambridge Univ., Magdalene Coll., Cambridge (United Kingdom); Bejan, Adrian [Duke Univ., Dept. of Mechanical Engineering and Materials Science, Durham, NC (United States)

    1999-11-01

    The Ranque-Hilsch vortex tube splits a single high pressure stream of gas into cold and warm streams. Simple models for the vortex tube combined with regenerative precooling are given from which an optimisation can be undertaken. Two such optimisations are needed: the first shows that at any given cut or fraction of the cold stream, the best refrigerative load, allowing for the temperature lift, is nearly half the maximum loading that would result in no lift. The second optimisation shows that the optimum cut is an equal division of the vortex streams between hot and cold. Bounds are obtainable within this theory for the performance of the system for a given gas and pressure ratio. (Author)

  16. 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.

  17. 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.

  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. 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.

  20. 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.

  1. Optimal Placement of Wavelength Converting Nodes

    DEFF Research Database (Denmark)

    Belotti, Pietro; Stidsen, Thomas K.

    2001-01-01

    The all optical network using WDM and optical nodes (OXC's) seems to be a possibility in a near future. The consensus to day seems to be that optical wavelength conversions is un-realistic for several decades, hence wavelength blocking will happen in the all optical networks. A possible solution ...... to this problem could be to include digital nodes (DXC's) in the network at the right places. In this article we present a linear programming model which optimizes the placement of these more expensive DXC's in the network....

  2. 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.

  3. 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 commercial...... 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....

  4. 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.

  5. Two-Phase Algorithm for Optimal Camera Placement

    OpenAIRE

    Jun-Woo Ahn; Tai-Woo Chang; Sung-Hee Lee; Yong Won Seo

    2016-01-01

    As markers for visual sensor networks have become larger, interest in the optimal camera placement problem has continued to increase. The most featured solution for the optimal camera placement problem is based on binary integer programming (BIP). Due to the NP-hard characteristic of the optimal camera placement problem, however, it is difficult to find a solution for a complex, real-world problem using BIP. Many approximation algorithms have been developed to solve this problem. In this pape...

  6. Consumer responses to product placements in Thai television sitcoms

    OpenAIRE

    Ketrattanakul, Chalinee; Pongpatranon, Pimmanee

    2009-01-01

    Date: May 28, 2009 Program: MIMA – International Marketing Course name: Master Thesis (EFO705) Title: Consumer responses to product placements in Thai television sitcoms Authors: Chalinee Ketrattanakul           Pimmanee Pongpatranon        Tutor: Tobias Eltebrandt Problem: How Thai consumers identify the advertising strategy of product placements in Thai sitcoms? Purpose: To examine the responses of Thai customers toward product placements in T...

  7. 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

  8. 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.

  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. 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…

  11. 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.

  12. 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…

  13. 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.

  14. 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.

  15. Novel Visual Nasogastric Tube Insertion System: A Feasibility and Efficiency Study in a Manikin.

    Science.gov (United States)

    Li, Qiaoya; Xie, Juan; Wu, Jinxing; Guo, Rui; Ma, Wenwen; Xu, Gang; Yang, Min; Deng, Huisheng

    2016-01-01

    Background. Conventional nasogastric tube placement is an essential clinical procedure; however, complications may arise from blind manipulation. We tested the feasibility and efficiency of a visual nasogastric tube insertion system (VNGS) using a manikin. Methods. A microimaging fiber (0.8 mm) was integrated into the nasogastric tube to create the VNGS. Twenty inexperienced physicians were enrolled and assigned to the visual or conventional group. Each physician performed 10 repeated nasogastric tube insertions with visual guidance or the conventional method; another 20 inexperienced medical students received nasogastric tube insertion training using visual guidance or the conventional method. Results. The nasogastric tube successfully reached the stomach and the narrow anatomic structures were visualized with the VNGS. Time required for insertion was significantly shorter in the visual group compared to the conventional group (22.56 ± 3.08 versus 37.30 ± 4.12 seconds, P visual group. Less mucosal damage was noted in the visual group (3.43 ± 1.63 versus 9.86 ± 2.31 cm(2)). Medical students performed better NGT insertions (shorter insertion time and less procedure-related complications) after undergoing the visual guidance training. Conclusions. The VNGS may provide a new technique for nasogastric tube insertion applicable to clinical use or simulation training.

  16. Lava Tube Collapse Pits

    Science.gov (United States)

    2004-01-01

    [figure removed for brevity, see original site] We will be looking at collapse pits for the next two weeks. Collapse pits on Mars are formed in several ways. In volcanic areas, channelized lava flows can form roofs which insulate the flowing lava. These features are termed lava tubes on Earth and are common features in basaltic flows. After the lava has drained, parts of the roof of the tube will collapse under its own weight. These collapse pits will only be as deep as the bottom of the original lava tube. Another type of collapse feature associated with volcanic areas arises when very large eruptions completely evacuate the magma chamber beneath the volcano. The weight of the volcano will cause the entire edifice to subside into the void space below it. Structural features including fractures and graben will form during the subsidence. Many times collapse pits will form within the graben. In addition to volcanic collapse pits, Mars has many collapse pits formed when volatiles (such as subsurface ice) are released from the surface layers. As the volatiles leave, the weight of the surrounding rock causes collapse pits to form. These collapse pits are found in the southern hemisphere of Mars. They are likely lava tube collapse pits related to flows from Hadriaca Patera. Image information: VIS instrument. Latitude -36.8, Longitude 89.6 East (270.4 West). 19 meter/pixel resolution. Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time. NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D

  17. SYNCHRONIZATION PLACEMENT REGULATION LEGISLATION ON PERSONNEL PLACEMENT IN REMOTE, THE BORDER AND ISLANDS

    Directory of Open Access Journals (Sweden)

    Turniani Laksmiarti

    2014-08-01

    Full Text Available Background: Policy Ministry of Health on medical personnel in Remote Areas, Border and Islands (DTPK has beenquite clear to be implemented, but in a decentralized also has the authority as a whole in terms of the mechanism ofrecruitment of health workers. This study analyzed whether government regulations and local government authorities inthe medical staffing DTPK synchronization has occurred. When the study was conducted over five months, with the cityof North Minahasa and Sumenep. Method: Research method is done through legislation (statute approach and in depthinterviews to the offender legislation. Result: Results of the study showed that the local regulations concerning the placement of medical personnel in DTPK has not been published, so the rules of appointment and placement of medical personnelin DTPK refers to regulations issued by the Ministry of Health number. 7 of 2013 (lex derograt legi generali. Through vertical synchronization theory, Act number 36 of 2009 on the Regulation of the Minister of Health ‘s health number 7 in 2013 has generally been in synchronized, the terms of Act number. 32 of 2004, article 12 paragraph (1 to the Minister of Health Regulation number. 7 of 2013 article 4 paragraph (3 there is no synchronization. Sort order legislation described in Law number. 12 of 2011, Regulation order system needs to refer and consider higher regulations. In the horizontal synchronization, regulation number 32 of 2004 is directly related to regional autonomy, the regulation number 36 of Article12 paragraph (1, the second law is still there are some items that are less synchronous the removal and placement financing medical personnel conducted by the local government. The results of the study also stated that the rules of appointment and placement of medical personnel in DTPK there are legal dualism, which it feared would cause ambiguity. Recommendation: Given that placement of medical personnel still use the PTT Ministry of

  18. Tube coalescence in the Jingfudong lava tube and implications for lava flow hazard of Tengchong volcanism

    OpenAIRE

    Zhengquan Chen; Yongshun Liu; Haiquan Wei; Jiandong Xu; Wenfeng Guo

    2016-01-01

    Tube-fed structure occurs as a general phenomenon in Tengchong basic lavas, such as lava tubes, lava plugs and tube-related collapse depressions. We deduced the development of Laoguipo lava flows, which is the longest lava tube (Jingfudong lava tube) evolved in Tengchong volcanic area. Following the detailed documentation of the tube morphology of the Jingfudong lava tube, we propose that the Jingfudong lava tube was formed through vertical coalescence of at least three tubes. The coalescence...

  19. 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.

  20. Children's School Placement in Germany: Does Kindergarten Attendance Matter?

    Science.gov (United States)

    Spiess, C. Katharina; Buchel, Felix; Wagner, Gert G.

    2003-01-01

    Examined the relationship between kindergarten attendance and seventh-grade school placement of children in West Germany, differentiating associations for children of citizens from those of immigrants' children. Found a significant relationship between kindergarten attendance and later school placement for children in immigrant households but not…

  1. Understanding the Heritage Language Student: Proficiency and Placement

    Science.gov (United States)

    Thompson, Gregory L.

    2015-01-01

    Given the ever-growing number of Spanish heritage learners in both universities and colleges, the need has continued to grow for the development of placement exams that accurately measure language ability, are simple to evaluate, and are easy to administer to large numbers of students. This article analyzes the implementation of a placement exam…

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

    NARCIS (Netherlands)

    Wennekers, A.M.; Vandeberg, L.; Zoon, K.; van Reijmersdal, E.A.; Verlegh, P.; Voorveld, H.; Eisend, M.

    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. 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…

  4. Dental hygiene student experiences in external placements in Australia.

    Science.gov (United States)

    Taylor, Jane A; Hayes, Melanie J; Wallace, Linda

    2012-05-01

    While placements in external locations are being increasingly used in dental education globally, few studies have explored the student learning experience at such placements. The purpose of this study was to investigate student experiences while on external placement in a baccalaureate dental hygiene program. A self-reporting questionnaire was distributed to final-year dental hygiene students (n=77) at the University of Newcastle, Australia, in 2010. The questionnaire included questions regarding the type of placement, experiences offered, supervision, resources available, and lasting impressions. Responding students were generally positive about their external placement experience and indicated that the majority of facilities provided them with the opportunity to provide direct patient care and perform clinical tasks typical of a practicing hygienist. However, there was a statistically significant difference in their opinions about discipline-focused and community placements. Students indicated that their external placement experience provided opportunities to learn more about time and patient management, including hands-on experience with specific clinical tasks. Ongoing evaluations are necessary to ensure that external placements meet both student needs and intended learning outcomes within dental hygiene programs.

  5. Economic and Demographic Factors Impacting Placement of Students with Autism

    Science.gov (United States)

    Kurth, Jennifer A.; Mastergeorge, Ann M.; Paschall, Katherine

    2016-01-01

    Educational placement of students with autism is often associated with child factors, such as IQ and communication skills. However, variability in placement patterns across states suggests that other factors are at play. This study used hierarchical cluster analysis techniques to identify demographic, economic, and educational covariates…

  6. 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)

  7. 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....

  8. Quick foot placement adjustments during gait: direction matters

    NARCIS (Netherlands)

    Hoogkamer, W.; Potocanac, Z.; Duysens, J.

    2015-01-01

    To prevent falls, adjustment of foot placement is a frequently used strategy to regulate and restore gait stability. While foot trajectory adjustments have been studied during discrete stepping, online corrections during walking are more common in daily life. Here, we studied quick foot placement ad

  9. The Man From Dow: Placement Officer for a Year

    Science.gov (United States)

    Ideus, Harvey S.

    1974-01-01

    A professional (on leave of absence) in the Placement Office at University of Wisconsin-La Crosse was temporarily replaced by a personnel specialist from Dow Chemical. This exchange experience is separately described by the former director of Placement and Career Advising at the university and by "the man from Dow" himself. (EAK)

  10. 33 CFR 183.566 - Fuel pumps: Placement.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Fuel pumps: Placement. 183.566...) BOATING SAFETY BOATS AND ASSOCIATED EQUIPMENT Fuel Systems Manufacturer Requirements § 183.566 Fuel pumps: Placement. Each fuel pump must be on the engine it serves or within 12 inches of the engine, unless it is...

  11. 12 CFR 22.7 - Forced placement of flood insurance.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Forced placement of flood insurance. 22.7... HAVING SPECIAL FLOOD HAZARDS § 22.7 Forced placement of flood insurance. If a bank, or a servicer acting... or mobile home and any personal property securing the designated loan is not covered by...

  12. 12 CFR 339.7 - Forced placement of flood insurance.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Forced placement of flood insurance. 339.7... GENERAL POLICY LOANS IN AREAS HAVING SPECIAL FLOOD HAZARDS § 339.7 Forced placement of flood insurance. If... not covered by flood insurance or is covered by flood insurance in an amount less than the...

  13. 12 CFR 614.4945 - Forced placement of flood insurance.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Forced placement of flood insurance. 614.4945... OPERATIONS Flood Insurance Requirements § 614.4945 Forced placement of flood insurance. If a System... not covered by flood insurance or are covered by flood insurance in an amount less than the...

  14. 12 CFR 572.7 - Forced placement of flood insurance.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Forced placement of flood insurance. 572.7... HAVING SPECIAL FLOOD HAZARDS § 572.7 Forced placement of flood insurance. If a savings association, or a... not covered by flood insurance or is covered by flood insurance in an amount less than the...

  15. 12 CFR 760.7 - Forced placement of flood insurance.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Forced placement of flood insurance. 760.7... LOANS IN AREAS HAVING SPECIAL FLOOD HAZARDS § 760.7 Forced placement of flood insurance. If a credit... not covered by flood insurance, or is covered by flood insurance in an amount less than the...

  16. 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...

  17. The special relativistic shock tube

    Science.gov (United States)

    Thompson, Kevin W.

    1986-01-01

    The shock-tube problem has served as a popular test for numerical hydrodynamics codes. The development of relativistic hydrodynamics codes has created a need for a similar test problem in relativistic hydrodynamics. The analytical solution to the special relativistic shock-tube problem is presented here. The relativistic shock-jump conditions and rarefaction solution which make up the shock tube are derived. The Newtonian limit of the calculations is given throughout.

  18. Tubing for augmented heat transfer

    Energy Technology Data Exchange (ETDEWEB)

    Yampolsky, J.S.; Pavlics, P.

    1983-08-01

    The objectives of the program reported were: to determine the heat transfer and friction characteristics on the outside of spiral fluted tubing in single phase flow of water, and to assess the relative cost of a heat exchanger constructed with spiral fluted tubing with one using conventional smooth tubing. An application is examined where an isolation water/water heat exchanger was used to transfer the heat from a gaseous diffusion plant to an external system for energy recovery. (LEW)

  19. Diffusion in a Curved Tube

    OpenAIRE

    Ogawa, Naohisa

    2011-01-01

    The diffusion of particles in confining walls forming a tube is discussed. Such a transport phenomenon is observed in biological cells and porous media. We consider the case in which the tube is winding with curvature and torsion, and the thickness of the tube is sufficiently small compared with its curvature radius. We discuss how geomerical quantities appear in a quasi-one-dimensional diffusion equation.

  20. 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....

  1. Content replication and placement in mobile networks

    CERN Document Server

    La, Chi-Anh; Casetti, Claudio; Chiasserini, Carla-Fabiana; Fiore, Marco

    2011-01-01

    Performance and reliability of content access in mobile networks is conditioned by the number and location of content replicas deployed at the network nodes. Location theory has been the traditional, centralized approach to study content replication: computing the number and placement of replicas in a static network can be cast as a facility location problem. The endeavor of this work is to design a practical solution to the above joint optimization problem that is suitable for mobile wireless environments. We thus seek a replication algorithm that is lightweight, distributed, and reactive to network dynamics. We devise a solution that lets nodes (i) share the burden of storing and providing content, so as to achieve load balancing, and (ii) autonomously decide whether to replicate or drop the information, so as to adapt the content availability to dynamic demands and time-varying network topologies. We evaluate our mechanism through simulation, by exploring a wide range of settings, including different node ...

  2. 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.

  3. 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

  4. 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.

  5. Realistic Approach for Phasor Measurement Unit Placement

    DEFF Research Database (Denmark)

    Rather, Zakir Hussain; Chen, Zhe; Thøgersen, Paul

    2015-01-01

    This paper presents a realistic cost-effectivemodel for optimal placement of phasor measurement units (PMUs) for complete observability of a power system considering practical cost implications. The proposed model considers hidden or otherwise unaccounted practical costs involved in PMU...... installation. Consideration of these hidden but significant and integral part of total PMU installation costs was inspired from practical experience on a real-life project. The proposedmodel focuses on the minimization of total realistic costs instead of a widely used theoretical concept of a minimal number...... of PMUs. The proposed model has been applied to IEEE 14-bus, IEEE 24-bus, IEEE 30-bus, New England 39-bus, and large power system of 300 buses and real life Danish grid. A comparison of the presented results with those reported by traditionalmethods has also been shown to justify the effectiveness...

  6. 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.

  7. 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…

  8. Two-Phase Algorithm for Optimal Camera Placement

    Directory of Open Access Journals (Sweden)

    Jun-Woo Ahn

    2016-01-01

    Full Text Available As markers for visual sensor networks have become larger, interest in the optimal camera placement problem has continued to increase. The most featured solution for the optimal camera placement problem is based on binary integer programming (BIP. Due to the NP-hard characteristic of the optimal camera placement problem, however, it is difficult to find a solution for a complex, real-world problem using BIP. Many approximation algorithms have been developed to solve this problem. In this paper, a two-phase algorithm is proposed as an approximation algorithm based on BIP that can solve the optimal camera placement problem for a placement space larger than in current studies. This study solves the problem in three-dimensional space for a real-world structure.

  9. Cumulative Risks of Foster Care Placement for Danish Children

    DEFF Research Database (Denmark)

    Fallesen, Peter; Emanuel, Natalia; Wildeman, Christopher

    2014-01-01

    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......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...

  10. On Optimizing Gateway Placement for Throughput in Wireless Mesh Networks

    Directory of Open Access Journals (Sweden)

    Wang Xudong

    2010-01-01

    Full Text Available An innovative gateway placement scheme is proposed for wireless mesh networks (WMNs in this paper. It determines the location of a gateway based on a new performance metric called multihop traffic-flow weight (MTW. The MTW computation takes into account many factors that impact the throughput of WMNs, that is, the number of mesh routers, the number of mesh clients, the number of gateways, traffic demand from mesh clients, locations of gateways, and possible interference among gateways. Thus, the proposed gateway placement scheme provides a framework of significantly improving throughput of WMNs through proper placement of gateways. To evaluate the performance of the new gateway placement scheme, a nonasymptotic throughput of WMNs is derived by considering TDMA scheduling. The derivations also provide a guideline for designing scheduling schemes of WMNs. Numeric results show that the proposed gateway placement scheme constantly outperforms other schemes by a large margin.

  11. 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.

  12. Charm production in flux tubes

    CERN Document Server

    Aguiar, C E; Nazareth, R A M S; Pech, G

    1996-01-01

    We argue that the non-perturbative Schwinger mechanism may play an important role in the hadronic production of charm. We present a flux tube model which assumes that the colliding hadrons become color charged because of gluon exchange, and that a single non-elementary flux tube is built up as they recede. The strong chromoelectric field inside this tube creates quark pairs (including charmed ones) and the ensuing color screening breaks the tube into excited hadronic clusters. On their turn these clusters, or `fireballs', decay statistically into the final hadrons. The model is able to account for the soft production of charmed, strange and lighter hadrons within a unified framework.

  13. Charm production in flux tubes

    Science.gov (United States)

    Aguiar, C. E.; Kodama, T.; Nazareth, R. A. M. S.; Pech, G.

    1996-01-01

    We argue that the nonperturbative Schwinger mechanism may play an important role in the hadronic production of charm. We present a flux tube model which assumes that the colliding hadrons become color charged because of gluon exchange, and that a single nonelementary flux tube is built up as they recede. The strong chromoelectric field inside this tube creates quark pairs (including charmed ones) and the ensuing color screening breaks the tube into excited hadronic clusters. In their turn these clusters, or ``fireballs,'' decay statistically into the final hadrons. The model is able to account for the soft production of charmed, strange, and lighter hadrons within a unified framework.

  14. 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.

  15. Method for producing a tube

    Science.gov (United States)

    Peterson, Kenneth A.; Rohde, Steven B.; Pfeifer, Kent B.; Turner, Timothy S.

    2007-01-02

    A method is described for producing tubular substrates having parallel spaced concentric rings of electrical conductors that can be used as the drift tube of an Ion Mobility Spectrometer (IMS). The invention comprises providing electrodes on the inside of a tube that are electrically connected to the outside of the tube through conductors that extend between adjacent plies of substrate that are combined to form the tube. Tubular substrates are formed from flexible polymeric printed wiring board materials, ceramic materials and material compositions of glass and ceramic, commonly known as Low Temperature Co-Fired Ceramic (LTCC). The adjacent plies are sealed together around the electrode.

  16. Effect of the sequence of tube rolling in a tube bundle of a shell and tube heat exchanger on the stress-deformed state of the tube sheet

    Science.gov (United States)

    Tselishchev, M. F.; Plotnikov, P. N.; Brodov, Yu. M.

    2015-11-01

    Rolling the tube sheet of a heat exchanger with U-shaped tubes, as exemplified by the vapor cooler GP-24, was simulated. The simulation was performed using the finite element method with account of elas- tic-plastic properties of the tube and tube sheet materials. The simulation consisted of two stages; at the first stage, maximum and residual contact stress in the conjunction of a separate tube and the tube sheet was determined using the "equivalent sleeve" model; at the second stage, the obtained contact stress was applied to the hole surface in the tube sheet. Thus, different tube rolling sequences were simulated: from the center to the periphery of the tube sheet and from the periphery to the center along a spiral line. The studies showed that the tube rolling sequence noticeably influences the value of the tube sheet residual deflection for the same rolling parameters of separate tubes. Residual deflection of the tube sheet in different planes was determined. It was established that the smallest residual deflection corresponds to the tube rolling sequence from the periphery to the center of the tube sheet. The following dependences were obtained for different rolling sequences: maximum deformation of the tube sheet as a function of the number of rolled tubes, residual deformation of the tube sheet along its surface, and residual deflection of the tube sheet as a function of the rotation angle at the periphery. The preferred sequence of tube rolling for minimizing the tube sheet deformation is indicated.

  17. 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…

  18. 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.

  19. 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.

  20. Piezoelectric Rotary Tube Motor

    Science.gov (United States)

    Fisher, Charles D.; Badescu, Mircea; Braun, David F.; Culhane, Robert

    2011-01-01

    A custom rotary SQUIGGLE(Registered TradeMark) motor has been developed that sets new benchmarks for small motor size, high position resolution, and high torque without gear reduction. Its capabilities cannot be achieved with conventional electromagnetic motors. It consists of piezoelectric plates mounted on a square flexible tube. The plates are actuated via voltage waveforms 90 out of phase at the resonant frequency of the device to create rotary motion. The motors were incorporated into a two-axis postioner that was designed for fiber-fed spectroscopy for ground-based and space-based projects. The positioner enables large-scale celestial object surveys to take place in a practical amount of time.

  1. Diagnostic accuracy of methods used to verify nasogastric tube position in mechanically ventilated adult patients

    DEFF Research Database (Denmark)

    Bennetzen, Linda Vad; Håkonsen, Sasja Jul; Svenningsen, Helle

    2015-01-01

    -100% AND SPECIFICITY WAS 99-100%.: Capnography obtained a specificity of 100% but sensitivity for when the nasogastric tube was inserted through the nose could not be calculated based on available data. CONCLUSIONS: We found evidence (Level 2b) for colorimetric capnography to be a valid method for verifying...... systematic review were designed based on diagnostic test accuracy studies. Types of outcomes: The outcome was the accuracy (sensitivity and specificity) of the methods to discriminate between respiratory and gastrointestinal placement of the nasogastric tube. SEARCH STRATEGY: The search strategy aimed...... in tables. When these were not written in the studies, calculations were performed based on data presented in the studies. RESULTS: Five relevant papers describing two different methods for determining nasogastric tube position were identified: colorimetric capnography (four studies) and capnography (one...

  2. 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,

  3. Interpreting Shock Tube Ignition Data

    Science.gov (United States)

    2003-10-01

    times only for high concentrations (of order 1% fuel or greater). The requirements of engine (IC, HCCI , CI and SI) modelers also present a different...Paper 03F-61 Interpreting Shock Tube Ignition Data D. F. Davidson and R. K. Hanson Mechanical Engineering ... Engineering Department Stanford University, Stanford CA 94305 Abstract Chemical kinetic modelers make extensive use of shock tube ignition data

  4. 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.

  5. 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.

  6. Efficient sensor placement for state estimation in structural dynamics

    Science.gov (United States)

    Hernandez, Eric M.

    2017-02-01

    This paper derives a computationally efficient algorithm to determine optimal sequential sensor placement for state estimation in linear structural systems subjected to unmeasured excitations and noise contaminated measurements. The proposed algorithm is developed within the context of the Kalman filter and it minimizes the variance of the state estimate among all possible sequential sensor locations. The paper investigates the effects of measurement type, covariance matrix partition selection, spatial correlation of excitation and model selection on optimal sensor placement. The paper shows that the sequential approach reaches the optimal sensor placement as the number of sensor increases.

  7. Water-storage-tube systems. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Hemker, P.

    1981-12-24

    Passive solar collection/storage/distribution systems were surveyed, designed, fabricated, and mechanically and thermally tested. The types studied were clear and opaque fiberglass tubes, metal tubes with plastic liners, and thermosyphoning tubes. (MHR)

  8. 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.

  9. Optimal Camera Placement for Motion Capture Systems.

    Science.gov (United States)

    Rahimian, Pooya; Kearney, Joseph K

    2017-03-01

    Optical motion capture is based on estimating the three-dimensional positions of markers by triangulation from multiple cameras. Successful performance depends on points being visible from at least two cameras and on the accuracy of the triangulation. Triangulation accuracy is strongly related to the positions and orientations of the cameras. Thus, the configuration of the camera network has a critical impact on performance. A poor camera configuration may result in a low quality three-dimensional (3D) estimation and consequently low quality of tracking. This paper introduces and compares two methods for camera placement. The first method is based on a metric that computes target point visibility in the presence of dynamic occlusion from cameras with "good" views. The second method is based on the distribution of views of target points. Efficient algorithms, based on simulated annealing, are introduced for estimating the optimal configuration of cameras for the two metrics and a given distribution of target points. The accuracy and robustness of the algorithms are evaluated through both simulation and empirical measurement. Implementations of the two methods are available for download as tools for the community.

  10. 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.

  11. Sealing device and method for sealing fractures or leaks in wall or formation surrounding tube-shaped channel

    DEFF Research Database (Denmark)

    2014-01-01

    (11) arranged between the second annular flow barrier (8) and a third annular flow barrier (12) and including a sealing fluid activation device (13) adapted to at least initiate or accelerate curing of the sealing fluid (17). In operation, the elongated body may be displaced along the tube......-shaped channel until the sealing fluid activation section is placed at a position where sealing fluid has been ejected by the sealing fluid placement section, and the sealing fluid activation device may be activated. Thereby, sealing fluid may be cured at selected locations along the tube-shaped channel after...

  12. 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

  13. 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.

  14. 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)

  15. 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.

  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. 38 CFR 36.4706 - Forced placement of flood insurance.

    Science.gov (United States)

    2010-07-01

    ... (CONTINUED) LOAN GUARANTY Sale of Loans, Guarantee of Payment, and Flood Insurance § 36.4706 Forced placement... any time during the term of a designated loan that the building or mobile home and any...

  18. Clinical placements and nursing students' career planning: a qualitative exploration.

    Science.gov (United States)

    McKenna, Lisa; McCall, Louise; Wray, Natalie

    2010-04-01

    Many nursing students enter undergraduate programmes with preconceived ideas about their future nursing careers, and intend to practice in particular areas such as midwifery or paediatrics. Through clinical placements, students are exposed to different clinical areas and professional socialization is facilitated. However, little is known about the influence of clinical placements on students' career intentions. This paper reports nursing findings drawn from a large qualitative study conducted in Victoria, Australia that sought to explore the influence of health professional students' clinical placements on their future career intentions. Participants were invited to be involved in either face-to-face or focus group interviews depending upon their own preference. Thematic data analysis revealed three main themes: 're-affirming career choice', 'working in a particular area' and 'work location'. Findings from the study add to our understanding of factors influencing nursing students' planning for their future careers including the impact of clinical placements.

  19. 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.

  20. Acoustical studies on corrugated tubes

    Science.gov (United States)

    Balaguru, Rajavel

    Corrugated tubes and pipes offer greater global flexibility combined with local rigidity. They are used in numerous engineering applications such as vacuum cleaner hosing, air conditioning systems of aircraft and automobiles, HVAC control systems of heating ducts in buildings, compact heat exchangers, medical equipment and offshore gas and oil transportation flexible riser pipelines. Recently there has been a renewed research interest in analyzing the flow through a corrugated tube to understand the underlying mechanism of so called whistling, although the whistling in such a tube was identified in early twentieth century. The phenomenon of whistling in a corrugated tube is interesting because an airflow through a smooth walled tube of similar dimensions will not generate any whistling tones. Study of whistling in corrugated tubes is important because, it not only causes an undesirable noise problem but also results in flow-acoustic coupling. Such a coupling can cause significant structural vibrations due to flow-acoustic-structure interaction. This interaction would cause flow-induced vibrations that could result in severe damage to mechanical systems having corrugated tubes. In this research work, sound generation (whistling) in corrugated tubes due to airflow is analyzed using experimental as well as Computational Fluid Dynamics-Large Eddy Simulation (CFD-LES) techniques. Sound generation mechanisms resulting in whistling have been investigated. The whistling in terms of frequencies and sound pressure levels for different flow velocities are studied. The analytical and experimental studies are carried out to understand the influence of various parameters of corrugated tubes such as cavity length, cavity width, cavity depth, pitch, Reynolds numbers and number of corrugations. The results indicate that there is a good agreement between theoretically calculated, computationally predicted and experimentally measured whistling frequencies and sound pressure levels

  1. 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

  2. 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.

  3. On Design of Automatic Choosing Control by Pole Placement

    OpenAIRE

    高田, 等; 提, 祐樹; 八野, 知博; TAKATA, Hitoshi; Sage, Yuki; HACHINO, Tomohiro

    2009-01-01

    This paper is concerned with design of an augmented automatic choosing control (AACC) for nonlinear systems. The AACC is synthesized by smoothly uniting a set of sectionwise linear controls, in which pole placement approach is used. An observer theory is applied to it in a case that the state vector includes some unmeasurable variables directly. Control and observer's gains are obtained by the pole placement method.

  4. Correction of placement error in EBL using model based method

    Science.gov (United States)

    Babin, Sergey; Borisov, Sergey; Militsin, Vladimir; Komagata, Tadashi; Wakatsuki, Tetsuro

    2016-10-01

    The main source of placement error in maskmaking using electron beam is charging. DISPLACE software provides a method to correct placement errors for any layout, based on a physical model. The charge of a photomask and multiple discharge mechanisms are simulated to find the charge distribution over the mask. The beam deflection is calculated for each location on the mask, creating data for the placement correction. The software considers the mask layout, EBL system setup, resist, and writing order, as well as other factors such as fogging and proximity effects correction. The output of the software is the data for placement correction. Unknown physical parameters such as fogging can be found from calibration experiments. A test layout on a single calibration mask was used to calibrate physical parameters used in the correction model. The extracted model parameters were used to verify the correction. As an ultimate test for the correction, a sophisticated layout was used for verification that was very different from the calibration mask. The placement correction results were predicted by DISPLACE, and the mask was fabricated and measured. A good correlation of the measured and predicted values of the correction all over the mask with the complex pattern confirmed the high accuracy of the charging placement error correction.

  5. Factors influencing radiation therapy student clinical placement satisfaction

    Energy Technology Data Exchange (ETDEWEB)

    Bridge, Pete; Carmichael, Mary-Ann [School of Clinical Sciences, Queensland University of Technology, Brisbane (Australia)

    2014-02-15

    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.

  6. 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.

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

    NARCIS (Netherlands)

    van Reijmersdal, E.A.

    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

  8. 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. 

  9. 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.

  10. Tube-wave seismic imaging

    Science.gov (United States)

    Korneev, Valeri A [LaFayette, CA

    2009-05-05

    The detailed analysis of cross well seismic data for a gas reservoir in Texas revealed two newly detected seismic wave effects, recorded approximately 2000 feet above the reservoir. A tube-wave (150) is initiated in a source well (110) by a source (111), travels in the source well (110), is coupled to a geological feature (140), propagates (151) through the geological feature (140), is coupled back to a tube-wave (152) at a receiver well (120), and is and received by receiver(s) (121) in either the same (110) or a different receiving well (120). The tube-wave has been shown to be extremely sensitive to changes in reservoir characteristics. Tube-waves appear to couple most effectively to reservoirs where the well casing is perforated, allowing direct fluid contact from the interior of a well case to the reservoir.

  11. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... questions Clinical Studies Publications Catalog Photos and Images Spanish Language Information Dilated Exam Grants and Funding Extramural ... Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia Embedded video ...

  12. Pulse tube refrigerator; Parusukan reitoki

    Energy Technology Data Exchange (ETDEWEB)

    Hozumi, Yoshikazu [University of Tsukuba, Tsukuba (Japan); Shiraishi, Masao [Hiroshima University, Hiroshima (Japan)

    1999-06-05

    In the cryogenic field, high temperature superconductivity and research and development of the peripheral technology are popular. Refrigerating machine development of the very low temperature is also one of the results. Research and development are mainly advanced as a refrigerating machine of the center for the aerospace plane installation. There is special and small very low temperature refrigerating machine called 'the pulse tube refrigerating machine' of which the practical application is also recently being attempted for the semiconductor cooling using high temperature superconductivity. At present, the basic research of elucidation of refrigeration phenomenon of pulse tube refrigerating machine and development of high-performance pulse tube refrigerating machine is carried out by experiment in the Ministry of International Trade and Industry Mechanical Engineering Lab., Agency of Industrial Sci. and Technology and numerical simulation in Chiyoda Corp. In this report, the pulse tube refrigerating machine is introduced, and the application in the chemical engineering field is considered. (NEDO)

  13. 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.

  14. Tube wall thickness measurement apparatus

    Energy Technology Data Exchange (ETDEWEB)

    Lagasse, P.R.

    1987-01-06

    An apparatus is described for measuring the thickness of a tube's wall for the tube's entire length and circumference by determining the deviation of the tube wall thickness from the known thickness of a selected standard item, the apparatus comprising: a. a base; b. a first support member having first and second ends, the first end being connected to the base, the first support member having a sufficiently small circumference that the tube can be slid over the first support member; c. a spherical element, the spherical element being connected to the second end of the first support member. The spherical element has a sufficiently small circumference at its equator that the tube can be slid over the spherical element, the spherical element having at its equator a larger circumference than the first support member; d. a second support member having first and second ends, the first end being connected to the base, the second support member being spaced apart form the first support member; e. a positioning element connected to and moveable relative to the second support member; and f. an indicator connected to the positioning element and being moveable thereby to a location proximate the spherical element. The indicator includes a contact ball for contacting the selected standard item and holding it against the spherical element, the contact ball contacting the tube when the tube is disposed about the spherical element. The indicator includes a dial having a rotatable needle for indicating the deviation of the tube wall thickness from the thickness of the selected standard item, the rotatable needle being operatively connected to and responsive to the position of the contact ball.

  15. 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.

  16. Tube wall thickness measurement apparatus

    Energy Technology Data Exchange (ETDEWEB)

    Lagasse, P.R.

    1985-06-21

    An apparatus for measuring the thickness of a tube's wall for the tube's entire length and radius by determining the deviation of the tube wall thickness from the known thickness of a selected standard item. The apparatus comprises a base and a first support member having first and second ends. The first end is connected to the base and the second end is connected to a spherical element. A second support member is connected to the base and spaced apart from the first support member. A positioning element is connected to and movable relative to the second support member. An indicator is connected to the positioning element and is movable to a location proximate the spherical element. The indicator includes a contact ball for first contacting the selected standard item and holding it against the spherical element. The contact ball then contacts the tube when the tube is disposed about the spherical element. The indicator includes a dial having a rotatable needle for indicating the deviation of the tube wall thickness from the thickness of the selected standard item.

  17. Tube wall thickness measurement apparatus

    Science.gov (United States)

    Lagasse, P.R.

    1985-06-21

    An apparatus for measuring the thickness of a tube's wall for the tube's entire length and radius by determining the deviation of the tube wall thickness from the known thickness of a selected standard item. The apparatus comprises a base and a first support member having first and second ends. The first end is connected to the base and the second end is connected to a spherical element. A second support member is connected to the base and spaced apart from the first support member. A positioning element is connected to and movable relative to the second support member. An indicator is connected to the positioning element and is movable to a location proximate the spherical element. The indicator includes a contact ball for first contacting the selected standard item and holding it against the spherical element. The contact ball then contacts the tube when the tube is disposed about the spherical element. The indicator includes a dial having a rotatable needle for indicating the deviation of the tube wall thickness from the thickness of the selected standard item.

  18. Tube wall thickness measurement apparatus

    Energy Technology Data Exchange (ETDEWEB)

    Lagasse, Paul R. (Santa Fe, NM)

    1987-01-01

    An apparatus for measuring the thickness of a tube's wall for the tube's entire length and circumference by determining the deviation of the tube wall thickness from the known thickness of a selected standard item. The apparatus comprises a base and a first support member having first and second ends. The first end is connected to the base and the second end is connected to a spherical element. A second support member is connected to the base and spaced apart from the first support member. A positioning element is connected to and movable relative to the second support member. An indicator is connected to the positioning element and is movable to a location proximate the spherical element. The indicator includes a contact ball for first contacting the selected standard item and holding it against the spherical element. The contact ball then contacts the tube when the tube is disposed about the spherical element. The indicator includes a dial having a rotatable needle for indicating the deviation of the tube wall thickness from the thickness of the selected standard item.

  19. 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.

  20. 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

  1. Dry Ribbon for Heated Head Automated Fiber Placement

    Science.gov (United States)

    Hulcher, A. Bruce; Marchello, Joseph M.; Hinkley, Jeffrey A.; Johnston, Norman J.; Lamontia, Mark A.

    2000-01-01

    Ply-by-ply in situ processes involving automated heated head deposition are being developed for fabrication of high performance, high temperature composite structures from low volatile content polymer matrices. This technology requires (1) dry carbon fiber towpreg, (2) consolidation of towpreg to quality, placement-grade unidirectional ribbon or tape, and (3) rapid, in situ, accurate, ply-by-ply robotic placement and consolidation of this material to fabricate a composite structure. In this study, the physical properties of a candidate thermoplastic ribbon, PIXA/IM7, were evaluated and screened for suitability in robotic placement. Specifically, towpreg was prepared from PIXA powder. Various conditions (temperatures) were used to convert the powder-coated towpreg to ribbons with varying degrees of processability. Ribbon within preset specifications was fabricated at 3 temperatures: 390, 400 and 410 C. Ribbon was also produced out-of-spec by purposely overheating the material to a processing temperature of 450 C. Automated placement equipment at Cincinnati Milacron and NASA Langley was used to fabricate laminates from these experimental ribbons. Ribbons were placed at 405 and 450 C by both sets of equipment. Double cantilever beam and wedge peel tests were used to determine the quality of the laminates and, especially, the interlaminar bond formed during the placement process. Ribbon made under conditions expected to be non-optimal (overheated) resulted in poor placeability and composites with weak interlaminar bond strengths, regardless of placement conditions. Ribbon made under conditions expected to be ideal showed good processability and produced well-consolidated laminates. Results were consistent from machine to machine and demonstrated the importance of ribbon quality in heated-head placement of dry material forms. Preliminary screening criteria for the development and evaluation of ribbon from new matrix materials were validated.

  2. Free Piston Double Diaphragm Shock Tube

    OpenAIRE

    OGURA, Eiji; FUNABIKI, Katsushi; SATO, Shunichi; Abe, Takashi; 小倉, 栄二; 船曳, 勝之; 佐藤, 俊逸; 安部, 隆士

    1997-01-01

    A free piston double diaphragm shock tube was newly developed for generation of high Mach number shock wave. Its characteristics was investigated for various operation parameters; such as a strength of the diaphragm at the end of the comparession tube, an initial pressure of low pressure tube, an initial pressure of medium pressure tube and the volume of compression tube. Under the restriction of fixed pressures for the driver high pressure tube (32×10^5Pa) and the low pressure tube (40Pa) in...

  3. 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...... portion acts to alternately close and open the valve members thereby generating a fluid flow through the tube. The invention further relates to a pump element comprising at least two non-return valve members connected by a rod element, and for insertion in an at least partly flexible tube in such 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...

  4. 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.

  5. 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...

  6. 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.

  7. [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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. Mechanical Instabilities of Biological Tubes

    Science.gov (United States)

    Hannezo, Edouard; Prost, Jacques; Joanny, Jean-François

    2012-07-01

    We study theoretically the morphologies of biological tubes affected by various pathologies. When epithelial cells grow, the negative tension produced by their division provokes a buckling instability. Several shapes are investigated: varicose, dilated, sinuous, or sausagelike. They are all found in pathologies of tracheal, renal tubes, or arteries. The final shape depends crucially on the mechanical parameters of the tissues: Young’s 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. 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.

  15. Anatomy of the Eustachian Tube.

    Science.gov (United States)

    Leuwer, Rudolf

    2016-10-01

    The eustachian tube consists of 2 compartments: the Rüdinger's safety canal and the auxiliary gap. It is surrounded by a cartilaginous wall on the craniomedial side and a membranous wall on the inferolateral side. The eustachian tube cartilage is firmly attached to the skull base by the lateral and the medial suspensory ligaments, which are separated by the medial Ostmann fat pad. The function of the isometric tensor veli palatini muscle is modulated by hypomochlia, which have an influence on the muscular force vectors.

  16. FaSa: A Fast and Stable Quadratic Placement Algorithm

    Institute of Scientific and Technical Information of China (English)

    HOU WenTing(侯文婷); HONG XianLong(洪先龙); WU WeiMin(吴为民); CAI YiCi(蔡懿慈)

    2003-01-01

    Placement is a critical step in VLSI design because it dominates overall speed andquality of design flow. In this paper, a new fast and stable placement algorithm called FaSa is pro-posed. It uses quadratic programming model and Lagrange multiplier method to solve placementproblems. And an incremental LU factorization method is used to solve equations for speeding up.The experimental results show that FaSa is very stable, much faster than previous algorithms andits total wire length is comparable with other algorithms.

  17. [A suitable location for the placement of miniscrews].

    Science.gov (United States)

    Breuning, K H

    2014-02-01

    Miniscrews form a stable attachment point for anchoring during orthodontic treatment with fixed appliances. An additional advantage of this method of anchoring is that a set of teeth can be moved simultaneously, which means that the time required for treatment can be shortened considerably. Miniscrews can also be used for tooth movements that would otherwise be impossible. In selecting a suitable location for the placement of miniscrews, a number offactors play a role. On the basis of the findings reported in the literature on research, a miniscrew atlas has been developed which can serve as a guideline for the selection of a suitable location for the placement of miniscrews.

  18. Kinematically optimal robot placement for minimum time coordinated motion

    Energy Technology Data Exchange (ETDEWEB)

    Feddema, J.T.

    1995-10-01

    This paper describes an algorithm for determining the optimal placement of a robotic manipulator within a workcell for minimum time coordinated motion. The algorithm uses a simple principle of coordinated motion to estimate the time of a joint interpolated motion. Specifically, the coordinated motion profile is limited by the slowest axis. Two and six degree of freedom (DOF) examples are presented. In experimental tests on a FANUC S-800 arm, the optimal placement of the robot can improve cycle time of a robotic operation by as much as 25%. In high volume processes where the robot motion is currently the limiting factor, this increased throughput can result in substantial cost savings.

  19. Optimal PMU Placement By Improved Particle Swarm Optimization

    DEFF Research Database (Denmark)

    Rather, Zakir Hussain; Liu, Leo; Chen, Zhe;

    2013-01-01

    This paper presents an improved method of binary particle swarm optimization (IBPSO) technique for optimal phasor measurement unit (PMU) placement in a power network for complete system observability. Various effective improvements have been proposed to enhance the efficiency and convergence rate...... 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...

  20. Facilitating Industrial Placement in the Construction Engineering Curriculum

    DEFF Research Database (Denmark)

    Wandahl, Søren; Ussing, Lene Faber

    2016-01-01

    for the program to facilitate the industrial placement effectively. How to do so is investigated through a large survey among student that has finalized an internship scheme. The sample size consists of entries. Guidance on how to facilitate internship most effectively pre, per and post scheme is outlined......There is often a claim that there is a disconnection between theory and practice, which raises questions on student’s readiness for employment and the extent that higher education responds effectively to the evolving needs of the construction industry. Industrial placements schemes can facilitate...

  1. Immediate placement of dental implants in the mandible

    Directory of Open Access Journals (Sweden)

    Gurkar Haraswarupa Puttaraju

    2013-01-01

    Full Text Available This case describes extraction of teeth in the mandibular arch, i.e., 41 42 43 44 45 51 52 53 54 55 56 57 58 (grade two mobility, followed by immediate placement of four dental implants (3i biomet, two in the 45 55 region and two dental implants in 12 21 region. A prefabricated provisional mandibular denture was immediately placed. The purpose of immediate placement was to aid the patient resume his professional duties the next day itself along with esthetic and functional comfort, psychological well-being and most importantly preserving the remaining tissue in a healthy condition.

  2. Manufacturing of smart structures using fiber placement manufacturing processes

    Science.gov (United States)

    Thomas, Matthew M.; Glowasky, Robert A.; McIlroy, Bruce E.; Story, Todd A.

    1995-05-01

    Smart structures research and development, with the ultimate aim of rapid commercial and military production of these structures, are at the forefront of the Synthesis and Processing of Intelligent Cost-Effective Structures (SPICES) program. As part of this ARPA-sponsored program, MDA-E is using fiber placement processes to manufacture integrated smart structure systems. These systems comprise advanced composite structures with embedded fiber optic sensors, shape memory alloys, piezoelectric actuators, and miniature accelerometers. Cost-effective approaches and solutions to smart material synthesis in the fiber-placement process, based upon integrated product development, are discusses herein.

  3. Catheters, wires, tubes and drains on postoperative radiographs of pediatric cardiac patients: the whys and wherefores

    Energy Technology Data Exchange (ETDEWEB)

    Teele, Sarah A.; Thiagarajan, Ravi R. [Children' s Hospital Boston, Department of Cardiology, Boston, MA (United States); Harvard Medical School, Department of Pediatrics, Boston, MA (United States); Emani, Sitaram M. [Children' s Hospital Boston, Department of Cardiac Surgery, Boston, MA (United States); Harvard Medical School, Department of Surgery, Boston, MA (United States); Teele, Rita L. [Harvard Medical School, Department of Radiology, Boston, MA (United States); Starship Children' s Hospital, Department of Radiology, Grafton (New Zealand)

    2008-10-15

    Surgical treatment of congenital heart disease has advanced dramatically since the first intracardiac repairs in the mid-20th century. Previously inoperable lesions have become the focus of routine surgery and patients are managed successfully in intensive care units around the world. As a result, increasing numbers of postoperative images are processed by departments of radiology in children's hospitals. It is important that the radiologist accurately documents and describes the catheters, wires, tubes and drains that are present on the chest radiograph. This article reviews the reasons for the placement and positioning of perioperative equipment in children who have surgical repair of atrial septal defect, ventricular septal defect or transposition of the great arteries. Also included are a brief synopsis of each cardiac anomaly, the surgical procedure for its correction, and an in-depth discussion of the postoperative chest radiograph including illustrations of catheters, wires, tubes and drains. (orig.)

  4. Manually operated piston-driven shock tube

    OpenAIRE

    Reddy, KPJ; Sharath, N

    2013-01-01

    A simple hand-operated shock tube capable of producing Mach 2 shock waves is described. Performance of this miniature shock tube using compressed high pressure air created by a manually operated piston in the driver section of the shock tube as driver gas with air at 1 atm pressure as the test gas in the driven tube is presented. The performance of the shock tube is found to match well with the theoretically estimated values using normal shock relations. Applications of this shock tube named ...

  5. 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.

  6. 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...

  7. [Involuntary placement and treatment of persons with mental health problems].

    Science.gov (United States)

    Ikehara, Yoshikazu

    2013-01-01

    Involuntary placement and treatment of persons with mental health problems were initially discussed from the perspective of personal liberty. However, the autonomy of persons with mental health problems has been growing in importance as an issue of involuntary placement and treatment since the last part of the twentieth century, because the purpose of involuntary placement is not the deprivation of liberty but to provide adequate treatment under medical supervision. The UN Convention on the Rights of Persons with Disabilities (CRPD) adds a new perspective from non-discrimination and equality. Article 14 of CRPD states that "the existence of a disability shall in no case justify a deprivation of liberty." This provision should be construed from a perspective of non-discrimination. Conventional types of involuntary placement mainly based on dangerousness (UN-MI Principle 16-1a) and incompetency (UN-MI Principle16-1b) are not allowed by Article 14. There is a discussion on the difference between "mental disability" and "mental illness". Some people argue that CRPD should apply not to persons with mental illness, but to those with mental disabilities. However, CRPD does not provide a definition of "disability". It states that its definition is developing. ICF also mentions that ICD-10 and ICF should complement each other. Thus, CRPD should apply to the involuntary placement and treatment of persons with mental illness as well. It is clear that Article 14 intends to change the situation whereby persons who have been described using various terms, such as madness, lunacy, insanity, mental illness, mental disability, mental health problems, and users, are involuntarily hospitalized/placed. The significance of Article 14 will be lost if it cannot be applied to psychiatric hospitalization. From the perspective of non-discrimination, we have to universalize involuntary placement and treatment or completely abolish them. We cannot tolerate a situation where a type of

  8. 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

  9. 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.

  10. Kundt's Tube Experiment Using Smartphones

    Science.gov (United States)

    Parolin, Sara Orsola; Pezzi, Giovanni

    2015-01-01

    This article deals with a modern version of Kundt's tube experiment. Using economic instruments and a couple of smartphones, it is possible to "see" nodes and antinodes of standing acoustic waves in a column of vibrating air and to measure the speed of sound.

  11. 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.

  12. Thermal inhomogeneities in vortex tubes

    Science.gov (United States)

    Lemesh, N. I.; Senchuk, L. A.

    An experimental study of the effect of the temperature of the inlet gas on the temperature difference between the hot and cold streams discharged from a Ranque-Hilsch vortex tube is described. The experimental results are presented in graphical form. It is that the temperature difference increases with the temperature of the entering gas.

  13. 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.

  14. Holography and the Future Tube

    CERN Document Server

    Gibbons, G W

    2000-01-01

    The Future Tube $T^+_n$ of n-dimensional Minkowski spacetime may be identified with the reduced phase space or ` ` space of motions" of a particle moving in (n+1)-dimensional Anti-de-Sitter spacetime. Both are isomorphic to a bounded homogeneous domain in ${\\bf C}^{n}$ whose Shilov boundary may be identified with $n$-dimensional conformally compactified Minkowski spacetime.

  15. 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.

  16. A linear programming approach for placement of applicants to academic programs.

    Science.gov (United States)

    Kassa, Biniyam Asmare

    2013-01-01

    This paper reports a linear programming approach for placement of applicants to study programs developed and implemented at the college of Business & Economics, Bahir Dar University, Bahir Dar, Ethiopia. The approach is estimated to significantly streamline the placement decision process at the college by reducing required man hour as well as the time it takes to announce placement decisions. Compared to the previous manual system where only one or two placement criteria were considered, the new approach allows the college's management to easily incorporate additional placement criteria, if needed. Comparison of our approach against manually constructed placement decisions based on actual data for the 2012/13 academic year suggested that about 93 percent of the placements from our model concur with the actual placement decisions. For the remaining 7 percent of placements, however, the actual placements made by the manual system display inconsistencies of decisions judged against the very criteria intended to guide placement decisions by the college's program management office. Overall, the new approach proves to be a significant improvement over the manual system in terms of efficiency of the placement process and the quality of placement decisions.

  17. 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

  18. 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...

  19. Race and Teacher Evaluations as Predictors of Algebra Placement

    Science.gov (United States)

    Faulkner, Valerie N.; Stiff, Lee V.; Marshall, Patricia L.; Nietfeld, John; Crossland, Cathy L.

    2014-01-01

    This study is a longitudinal look at the different mathematics placement profiles of Black students and White students from late elementary school through 8th grade. Results revealed that Black students had reduced odds of being placed in algebra by the time they entered 8th grade even after controlling for performance in mathematics. An important…

  20. Today's practice of brand placement and the industry behind it

    NARCIS (Netherlands)

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

    2009-01-01

    This article presents a content analysis of brand placement on Dutch television, followed by 24 interviews with the parties involved. By combining a content analysis and a practitioners’ perspective, this article offers unique insights into the increasingly popular phenomenon of integrating advertis

  1. Optimal Placement of Phasor Measurement Units with New Considerations

    DEFF Research Database (Denmark)

    Su, Chi; Chen, Zhe

    2010-01-01

    Conventional phasor measurement unit (PMU) placement methods normally use the number of PMU installations as the objective function which is to be minimized. However, the cost of one installation of PMU is not always the same in different locations. It depends on a number of factors. One...

  2. Conceptualizing a Framework for Advanced Placement Statistics Teaching Knowledge

    Science.gov (United States)

    Haines, Brenna

    2015-01-01

    The purpose of this article is to sketch a conceptualization of a framework for Advanced Placement (AP) Statistics Teaching Knowledge. Recent research continues to problematize the lack of knowledge and preparation among secondary level statistics teachers. The College Board's AP Statistics course continues to grow and gain popularity, but is a…

  3. 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

  4. 38 CFR 21.252 - Job development and placement services.

    Science.gov (United States)

    2010-07-01

    ... AFFAIRS (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Vocational Rehabilitation and Employment Under 38 U.S.C. Chapter 31 Employment Services § 21.252 Job development and placement services. (a) General... Employment Services and the Veterans' Employment and Training Service of the United States Department...

  5. Clitic Placement in Spanish-English Bilingual Children

    Science.gov (United States)

    Perez-Leroux, Ana Teresa; Cuza, Alejandro; Thomas, Danielle

    2011-01-01

    Can transfer occur in child bilingual syntax when surface overlap does not involve the syntax-pragmatics interface? Twenty-three Spanish/English bilingual children participated in an elicited imitation study of clitic placement in Spanish restructuring contexts, where variable word order is not associated with pragmatic or semantic factors.…

  6. Incremental Placement-Based Clock Network Minimization Methodology

    Institute of Scientific and Technical Information of China (English)

    ZHOU Oiang; CAI Yici; HUANG Liang; HONG Xianlong

    2008-01-01

    Power is the major challenge threatening the progress of very large scale integration (VLSI) tech-nology development. In ultra-deep submicron VLSI designs, clock network size must be minimized to re-duce power consumption, power supply noise, and the number of clock buffers which are vulnerable to process variations. Traditional design methodologies usually let the clock router independently undertake the clock network minimization. Since clock routing is based on register locations, register placement actu-ally strongly influences the clock network size. This paper describes a clock network design methodology that optimizes register placement. For a given cell placement result, incremental modifications are per-formed based on the clock skew specifications by moving registers toward preferred locations that may re-duce the clock network size. At the same time, the side-effects to logic cell placement, such as signal net wirelength and critical path delay, are controlled. Test results on benchmark circuits show that the methodol-ogy can considerably reduce clock network size with limited impact on signal net wirelength and critical path delay.

  7. Phylogenetic placement of two species known only from resting spores

    DEFF Research Database (Denmark)

    Hajek, Ann E; Gryganskyi, Andrii; Bittner, Tonya;

    2016-01-01

    Molecular methods were used to determine the generic placement of two species of Entomophthorales known only from resting spores. Historically, these species would belong in the form-genus Tarichium, but this classification provides no information about phylogenetic relationships. Using DNA from...

  8. 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…

  9. 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…

  10. Kernel-Based Discriminant Techniques for Educational Placement

    Science.gov (United States)

    Lin, Miao-hsiang; Huang, Su-yun; Chang, Yuan-chin

    2004-01-01

    This article considers the problem of educational placement. Several discriminant techniques are applied to a data set from a survey project of science ability. A profile vector for each student consists of five science-educational indicators. The students are intended to be placed into three reference groups: advanced, regular, and remedial.…

  11. 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)

  12. 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.…

  13. Validating Automated Essay Scoring for Online Writing Placement

    Science.gov (United States)

    Ramineni, Chaitanya

    2013-01-01

    In this paper, I describe the design and evaluation of automated essay scoring (AES) models for an institution's writing placement program. Information was gathered on admitted student writing performance at a science and technology research university in the northeastern United States. Under timed conditions, first-year students (N = 879) were…

  14. 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.

  15. 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

  16. 45 CFR 84.35 - Evaluation and placement.

    Science.gov (United States)

    2010-10-01

    ... handicap, needs or is believed to need special education or related services before taking any action with respect to the initial placement of the person in regular or special education and any subsequent..., need or are believed to need special education or related services which ensure that: (1) Tests...

  17. 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... handicap, need or are believed to need special education or related services which ensure that: (1) Tests... regular or program special education and any subsequent change in placement. (b) Evaluation...

  18. 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…

  19. 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…

  20. Placements & Salaries Survey 2009: Jobs and Pay Take a Hit

    Science.gov (United States)

    Library Journal, 2009

    2009-01-01

    "It's a recession, baby!" was the common refrain among the Library and Information Science (LIS) graduates of the class of 2008. This was a record year for the number of graduates participating in "Library Journal"'s annual Placements & Salaries survey, and they had stories to tell, providing evidence of both hard times in the job market, and some…

  1. Localizing and placement of network node functions in a network

    NARCIS (Netherlands)

    Strijkers, R.J.; Meulenhoff, P.J.

    2014-01-01

    The invention enables placement and use of a network node function in a second network node instead of using the network node function in a first network node. The network node function is e.g. a server function or a router function. The second network node is typically located in or close to the cl

  2. 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…

  3. A Placement Web-Service for Lifelong Learners

    NARCIS (Netherlands)

    Kalz, Marco

    2009-01-01

    Kalz, M. (2009). A Placement Web-Service for Lifelong Learners. Presentation held at the 9th International Conference on Knowledge Management and Knowledge Technologies. September, 2-4, 2009, Graz, Austria. You can embed this presentation from here http://slideshare.net/mkalz

  4. Placements & Salaries Survey 2010: Stagnant Salaries, Rising Unemployment

    Science.gov (United States)

    Maatta, Stephanie L.

    2010-01-01

    "Library Journal's annual Placements & Salaries Survey, with 1,996 respondents representing 38.7% of the approximately 5160 2009 LIS graduates, found an uptick in starting salaries, but bigger bumps in part-time and temporary jobs, an expanding gender gap, setbacks for minority graduates, and a drop in the number of total graduates. On the up…

  5. 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.

  6. 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...

  7. 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.

  8. 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.

  9. 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

  10. Opioid Use and Neural Tube Defects

    Science.gov (United States)

    ... CDC.gov . Articles Key Findings: Opioid Use and Neural Tube Defects Recommend on Facebook Tweet Share Compartir The ... relationship to having a pregnancy affected by a neural tube defect (NTD). Researchers from Boston University and CDC ...

  11. 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。

  12. 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...

  13. DIFFERENCES IN ADVANCED PLACEMENT EXAM RESULTS FOR BLACK STUDENTS ACROSS THREE STATES

    OpenAIRE

    Joyner, Sheila A; John R. Slate; Davis, Carolyn; Joyner, Sheila; Slate, John

    2011-01-01

    Differences in Advanced Placement exam results for Black students in Texas, Georgia, and California were examined. Existing data from the College Board 2010 Report were used to compare overall Advanced Placement exam performance and individual Advanced Placement exam performance in English Language, U.S. History, and Calculus AB. Statistically significant differences were present in the performance on Black students on the overall Advanced Placement exam, as well as the three individual AP ...

  14. Roll-forming tubes to header plates

    Science.gov (United States)

    Kramer, K.

    1976-01-01

    Technique has been developed for attaching and sealing tubes to header plates using a unique roll-forming tool. Technique is useful for attaching small tubes which are difficult to roll into conventional grooves in header plate tube holes, and for attaching when welding, brazing, or soldering is not desirable.

  15. Feasibility of Upper Port Plug tube handling

    NARCIS (Netherlands)

    Koning, J.F.; Elzendoorn, B.S.Q.; 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

  16. Inclusive spectra of hadrons created by color tube fission; 1, Probability of tube fission

    CERN Document Server

    Gedalin, E V

    1997-01-01

    The probability of color tube fission that includes the tube surface small oscillation corrections is obtained with pre-exponential factor accuracy on the basis of previously constructed color tube model. Using these expressions the probability of the tube fission in $n$ point is obtained that is the basis for calculation of inclusive spectra of produced hadrons.

  17. 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.

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

    NARCIS (Netherlands)

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

    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

  19. Product placement - metody měření a vyhodnocování

    OpenAIRE

    Vaněk, Tomáš

    2011-01-01

    Marketing and commercial communication and the position of product placement within them; Product placement, the history, forms and the legal frame; Theory of measuring and evaluating commercial communications in general and specifical theories applicable for product placement; Experimental evaluation of these theories on concrete case.

  20. 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…

  1. 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.)

  2. Capillary imbibition in parallel tubes

    Science.gov (United States)

    McRae, Oliver; Ramakrishnan, T. S.; Bird, James

    2016-11-01

    In modeling porous media two distinct approaches can be employed; the sample can be examined holistically, using global variables such as porosity, or it can be treated as a network of capillaries connected in series to various intermediate reservoirs. In forced imbibition this series-based description is sufficient to characterize the flow, due to the presence of an externally maintained pressure difference. However, in spontaneous imbibition, flow is driven by an internal capillary pressure, making it unclear whether a series-based model is appropriate. In this talk, we show using numerical simulations the dynamics of spontaneous imbibition in concentrically arranged capillary tubes. This geometry allows both tubes access to a semi-infinite reservoir but with inlets in close enough proximity to allow for interference. We compare and contrast the results of our simulations with theory and previous experiments. Schlumberger-Doll Research.

  3. 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.

  4. Comparative analysis on inserting time of indwelling gastric tube and nasal tube for operation of esophageal cancer patients%食管癌手术患者留置胃管和鼻肠管置人时机的比较

    Institute of Scientific and Technical Information of China (English)

    冯志英; 冯燕芳; 黄素娟; 赖梅; 张莹

    2011-01-01

    Objective To explore the optimal timing of nasointestinal tube for operation of esophageal carcinoma patients.Methods 100 cases of esophageal cancer were randomly divided into two groups:tube after anesthesia group,anesthesia preposition pipe group.Anesthesia after tube group was in general anesthesia with tracheal intubation,after placing operation posture of indwelling stomach tube and nasal tube,anesthesia preposition pipe group placed nasal tube and indwelling gastric tube before anesthesia.Results Between the two groups,the comfort degree,nursing operation difficulty and the time,the first success rate of catheter and various complications appearing during catheter placement were significantly different (P< 0.01).Conclusion The optimal timing of indwelling gastric tube and nasal tube placement for the operation of esophageal cancer patients should be after general anesthesia with tracheal intubation and before surgical position of operation.%目的 探讨食管癌手术的患者置入胃管和鼻肠管的最佳时机.方法 100例食管癌手术患者随机分为两组:麻醉后置管组、麻醉前置管组.麻醉后置管组均在全身麻醉气管插管后、摆置手术体位前留置胃管和鼻肠管,麻醉前置管组均在麻醉前留置胃管和鼻肠管.结果 两组患者在舒适度、护理操作的难度和时间、置管首次的成功率、患者置管出现的各种并发症等方面差异有极显著性(P<0.O1).结论 食管癌手术患者留置胃管、鼻肠管置入的最佳时机在全身麻醉气管插管后、摆置手术体位前.

  5. 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

  6. 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.

  7. Film holder for radiographing tubing

    Science.gov (United States)

    Davis, Earl V.; Foster, Billy E.

    1976-01-01

    A film cassette is provided which may be easily placed about tubing or piping and readily held in place while radiographic inspection is performed. A pair of precurved light-impervious semi-rigid plastic sheets, hinged at one edge, enclose sheet film together with any metallic foils or screens. Other edges are made light-tight with removable caps, and the entire unit is held securely about the object to be radiographed with a releasable fastener such as a strip of Velcro.

  8. Gated SIT Vidicon Streak Tube

    Science.gov (United States)

    Dunbar, D. L.; Yates, G. J.; Black, J. P.

    1986-01-01

    A recently developed prototype streak tube designed to produce high gain and resolution by incorporating the streak and readout functions in one envelope thereby minimizing photon-to-charge transformations and eliminating external coupling losses is presented. The tube is based upon a grid-gated Silicon-Intensified-Target Vidicon (SITV) with integral Focus Projection Scan (FPS) TV readout. Demagnifying electron optics (m=0.63) in the image section map the 40-mm-diameter photocathode image unto a 25-mm-diameter silicon target where gains >= 103 are achieved with only 10 KV accelerating voltage. This is compared with much lower gains (~ 50) at much higher voltages (~ 30 KV) reported for streak tubes using phosphor screens. Because SIT technology is well established means for electron imaging in vacuum, such fundamental problems as "backside thinning" required for electron imaging unto CCDs do not exist. The high spatial resolution (~ 30 1p/mm), variable scan formats, and high speed electrostatic deflection (250 mm2 areas are routinely rastered with 256 scan lines in 1.6 ms) available from FPS readout add versatility not available in CCD devices. Theoretical gain and spatial resolution for this design (developed jointly by Los Alamos National Laboratory and General Electric Co.) are compared with similar calculations and measured data obtained for RCA 73435 streaks fiber optically coupled to (1) 25-mm-diameter SIT FPS vidicons and (2) 40-mm-diameter MCPTs (proximity-focused microchannel plate image intensifier tubes) fiber optically coupled to 18-mm-diameter Sb2S3 FPS vidicons. Sweep sensitivity, shutter ratio, and record lengths for nanosecond duration (20 to 200 ns) streak applications are discussed.

  9. Aerodynamic drag from two tubes in side-by-side arrangement for different tube shapes

    Directory of Open Access Journals (Sweden)

    Олександр Михайлович Терех

    2016-06-01

    Full Text Available Experimental investigations of aerodynamic drag from two tubes in side-by-side arrangement for different tube shapes in the range of Reynolds numbers from 4000 to16000 are performed. Comparison of experimental data is executed. It is set, that the tubes of drop-shaped form have less aerodynamic drag and the tubes of flat-oval and dumb-bell forms have greater drag as compared to drag of circular tubes

  10. Useful Scaling Parameters for the Pulse Tube

    Science.gov (United States)

    Lee, J. M.; Kittel, P.; Timmerhaus, K. D.; Radebaugh, R.; Cheng, Pearl L. (Technical Monitor)

    1995-01-01

    A set of eight non-dimensional scaling parameters for use in evaluating the performance of Pulse Tube Refrigerators is presented. The parameters result after scaling the mass, momentum and energy conservation equations for an axisymmetric, two-dimensional system. The physical interpretation of the parameters are described, and their usefulness is outlined for the enthalpy flow tube (open tube of the pulse tube). The scaling parameters allow the experimentalist to characterize three types of transport: enthalpy flow, mass streaming and heat transfer between the gas and the tube. Also reported are the results from a flow visualization experiment in which steady mass streaming in compressible oscillating flow is observed.

  11. 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.

  12. Freezing in a vertical tube

    Energy Technology Data Exchange (ETDEWEB)

    Sparrow, E.M.; Broadbent, J.A.

    1983-05-01

    Fundamental heat transfer experiments were performed for freezing of an initially superheated or nonsuperheated liquid in a cooled vertical tube. Measurements were made which yielded information about the freezing front and the frozen mass, about the various energy components extracted from the tube, and about the decay of the initial liquid superheat. Four component energies were identified and evaluated from the experimental data, including the latent energy released by the phase change and sensibly energies released from the subcooled frozen solid and the superheated liquid. Initial superheating of the liquid tended to moderately diminish the frozen mass and latent energy extraction at short freezing times but had little effect on these quantitites at longer times. The extracted sensible energies associated with the superheating more than compensated for the aforementioned decrease in the latent energy. Although the latent energy is the largest contributor to the total extracted energy, the aggregate sensible energies can make a significant contribution, especially at large tube wall subcooling, large initial liquid superheating, and short freezing time. Natural convection effects in the superheated liquid were modest and were confined to short freezing times.

  13. 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…

  14. 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

  15. Development boiling to sprinkled tube bundle

    Directory of Open Access Journals (Sweden)

    Kracík Petr

    2016-01-01

    Full Text Available 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.

  16. 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.

  17. 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

  18. 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.

  19. 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.

  20. Quantification and characterization of pleural fluid in healthy dogs with thoracostomy tubes.

    Science.gov (United States)

    Hung, Germaine C; Gaunt, M Casey; Rubin, Joseph E; Starrak, Gregory S; Sakals, Sherisse A

    2016-12-01

    OBJECTIVE To quantify and characterize pleural fluid collected from healthy dogs after placement of a thoracostomy tube (TT). ANIMALS 8 healthy Coonhound-cross dogs (mean ± SD weight, 27.2 ± 1.6 kg). PROCEDURES Thoracic CT of each dog was performed before placement of a TT and daily thereafter for 7 days. Thoracic fluid volume was calculated from CT images. Effusion was aspirated when detected; volume was recorded, and cytologic analysis and bacterial culture were performed. RESULTS Mean ± SD volume of pleural effusion detected by CT was 1.43 ± 0.59 mL/kg (range, 0.12 to 3.32 mL/kg). Mean volume collected via aspiration was 0.48 ± 0.84 mL/kg (range, 0 to 2.16 mL/kg). Cytologic analysis yielded results consistent with an exudate, characterized by septic suppurative inflammation in 6 dogs and mixed inflammation in 1 dog; there was insufficient volume for analysis in 1 dog. Sufficient volume was obtained for bacterial culture for 6 dogs, which yielded pure growths of Staphylococcus pseudintermedius (n = 3) and Streptococcus equi subspecies zooepidemicus (2) and mixed growth of both of these species (1). The TT was removed before day 7 in 4 dogs because of pyothorax (n = 3) and irreversible damage to the TT (1). CONCLUSIONS AND CLINICAL RELEVANCE Presence of a TT induced a minimal volume of pleural effusion in healthy dogs. Pyothorax developed in most dogs between 4 and 6 days after TT placement. On the basis of these findings, a TT should be removed by the fourth day after placement, unless complications are detected sooner.

  1. Unsteady flow sensing and optimal sensor placement using machine learning

    Science.gov (United States)

    Semaan, Richard

    2016-11-01

    Machine learning is used to estimate the flow state and to determine the optimal sensor placement over a two-dimensional (2D) 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 jet blowing intensities and actuation frequencies, characterizing different flow separation states. This study shows how the "random forests" algorithm is utilized beyond its typical usage in fluid mechanics estimating the flow state to determine the optimal sensor placement. The results are compared against the current de-facto standard of maximum modal amplitude location and against a brute force approach that scans all possible sensor combinations. The results show that it is possible to simultaneously infer the state of flow and to determine the optimal sensor location without the need to perform proper orthogonal decomposition. Collaborative Research Center (CRC) 880, DFG.

  2. Technique of Peritoneal Catheter Placement under Fluroscopic Guidance

    Directory of Open Access Journals (Sweden)

    Ahmed Kamel Abdel-Aal

    2011-01-01

    Full Text Available Peritoneal catheters are mainly used for peritoneal dialysis in patients with end-stage renal disease. Other uses of this catheter include intraperitoneal chemotherapy and gene therapy for ovarian cancer and draining of uncontrolled refractory ascites in patients with liver cirrhosis. Traditionally, surgeons place most of these peritoneal catheters either by laparoscopy or open laparotomy. We detail our percutaneous approach to placing peritoneal catheters using fluoroscopic guidance. We emphasize the use of additional ultrasound guidance, including gray scale and color Doppler ultrasound, to determine the safest puncture site and to guide the initial needle puncture in order to avoid bowel perforation and injury to epigastric artery. We present our experience in placing peritoneal catheters using this technique in 95 patients with various indications. Fluoroscopic guided percutaneous placement of peritoneal catheters is a safe, minimally invasive, and effective alternative to open surgical or laparoscopic placement.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.)

  10. Decentralized-feedback pole placement of linear systems

    Science.gov (United States)

    Wang, X.; Martin, C. F.; Gilliam, D.; Byrnes, C. I.

    1992-01-01

    A projectile product spaces model is used to analyze decentralized systems. The degree of the pole placement map is computed. The conditions under which the degree is odd are also given. Twin lift systems are studied. It is proved that the poles of a twin lift system can be assigned to any values by local static and local dynamic feedback laws if and only if the system is jointly controllable.

  11. 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...

  12. 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

  13. 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.

  14. 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.

  15. Pulse tube cooler having 1/4 wavelength resonator tube instead of reservoir

    Science.gov (United States)

    Gedeon, David R. (Inventor)

    2008-01-01

    An improved pulse tube cooler having a resonator tube connected in place of a compliance volume or reservoir. The resonator tube has a length substantially equal to an integer multiple of 1/4 wavelength of an acoustic wave in the working gas within the resonator tube at its operating frequency, temperature and pressure. Preferably, the resonator tube is formed integrally with the inertance tube as a single, integral tube with a length approximately 1/2 of that wavelength. Also preferably, the integral tube is spaced outwardly from and coiled around the connection of the regenerator to the pulse tube at a cold region of the cooler and the turns of the coil are thermally bonded together to improve heat conduction through the coil.

  16. Optimal sink placement in backbone assisted wireless sensor networks

    Directory of Open Access Journals (Sweden)

    I. Snigdh

    2016-07-01

    Full Text Available This article proposes a scheme for selecting the best site for sink placement in WSN applications employing backbone assisted communications. By placing the sink at a specific position, energy scavenging and delay constraints can effectively be controlled. In contrast to the conventional scheme for base station placement at the geographical centre or random placement at the end of the region of interest, the proposed scheme places the base station at either the graph theoretical centre or centroid of the backbone connecting nodes in the region of interest. This strategy shows a considerable reduction in the total number of hops that each packet needs to travel to reach the sink. The proposed scheme is applied on all the families of graphs prevalent in backbone assisted sensor networks to confirm the performance consistency and improvement in network parameters of the communication backbone measured in terms of delay, the carried load and the total energy consumption, eventually affected by the average number of hops for the message to reach the sink.

  17. Recognition of correct finger placement for photoplethysmographic imaging.

    Science.gov (United States)

    Karlen, Walter; Lim, Joanne; Ansermino, J Mark; Dumont, Guy A; Scheffer, Cornie

    2013-01-01

    In mobile health applications, non-expert users often perform the required medical measurements without supervision. Therefore, it is important that the mobile device guides them through the correct measurement process and automatically detects potential errors that could impact the readings. Camera oximetry provides a non-invasive measurement of heart rate and blood oxygen saturation using the camera of a mobile phone. We describe a novel method to automatically detect the correct finger placement on the camera lens for camera oximetry. Incorrect placement can cause optical shunt and if ignored, lead to low quality oximetry readings. The presented algorithm uses the spectral properties of the pixels to discriminate between correct and incorrect placements. Experimental results demonstrate high mean accuracy (99.06%), sensitivity (98.06%) and specificity (99.30%) with low variability. By sub-sampling pixels, the computational cost of classifying a frame has been reduced by more than three orders of magnitude. The algorithm has been integrated in a newly developed application called OxiCam where it provides real-time user feedback.

  18. 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.

  19. The scientific impact of nations: journal placement and citation performance.

    Directory of Open Access Journals (Sweden)

    Matthew J Smith

    Full Text Available 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.

  20. 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.

  1. Eighth Grade Algebra Course Placement and Student Motivation for Mathematics.

    Science.gov (United States)

    Simzar, Rahila M; Domina, Thurston; Tran, Cathy

    2016-01-01

    This study uses student panel data to examine the association between Algebra placement and student motivation for mathematics. Changes in achievement goals, expectancy, and task value for students in eighth grade Algebra are compared with those of peers placed in lower-level mathematics courses (N = 3,306). In our sample, students placed in Algebra reported an increase in performance-avoidance goals as well as decreases in academic self-efficacy and task value. These relations were attenuated for students who had high mathematics achievement prior to Algebra placement. Whereas all students reported an overall decline in performance-approach goals over the course of eighth grade, previously high-achieving students reported an increase in these goals. Lastly, previously high-achieving students reported an increase in mastery goals. These findings suggest that while previously high-achieving students may benefit motivationally from eighth grade Algebra placement, placing previously average- and low-performing students in Algebra can potentially undermine their motivation for mathematics.

  2. 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.

  3. 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.

  4. 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.

  5. OHS students: reaching a decision about hosting placements.

    Science.gov (United States)

    Boucaut, Rose

    2008-01-01

    Physiotherapists have an established role in occupational health, and their undergraduate education is important in preparation for such practice. At the University of South Australia students undertake small occupational health and safety projects on-site in industry. These industry placements are a challenge to secure, and the supervising industry hosts are generally not physiotherapists. This study sought to uncover influences involved when organisations consider hosting students. A qualitative approach was taken where semistructured interviews were conducted with a purposeful sample of nine industry hosts to explore their views about placements. Seven hosts were managers and two were physiotherapists. Three main themes came from the data analysis. The first and overriding theme was the "mutual benefit" in hosting students, where students gained valuable experience from working in industry on real problems, and hosts gained from the students' activities. The second theme related to what the host organisation gained - "the transfer and acquisition of resources, knowledge and skills" provided by the students, the nature and quality of which were important to hosts. The last theme had two components of "timing and time." The timing of student activities and how that fits with other activities simultaneously happening within the organisation was an important factor. Finally, participants reported consideration of the time taken to supervise the students in relation to time saved through student activities which assisted the host organization. Knowldege about influencing factors gained from this study may assist physiotherapy educators in securing student placements in industry.

  6. 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.)

  7. 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.

  8. Counter-driver shock tube

    Science.gov (United States)

    Tamba, T.; Nguyen, T. M.; Takeya, K.; Harasaki, T.; Iwakawa, A.; Sasoh, A.

    2015-11-01

    A "counter-driver" shock tube was developed. In this device, two counter drivers are actuated with an appropriate delay time to generate the interaction between a shock wave and a flow in the opposite direction which is induced by another shock wave. The conditions for the counter drivers can be set independently. Each driver is activated by a separate electrically controlled diaphragm rupture device, in which a pneumatic piston drives a rupture needle with a temporal jitter of better than 1.1 ms. Operation demonstrations were conducted to evaluate the practical performance.

  9. Improved Traveling-Wave Tube

    Science.gov (United States)

    Rousseau, Art; Tammaru, Ivo; Vaszari, John

    1988-01-01

    New space traveling-wave tube (TWT) provides coherent source of 75 watts of continuous-wave power output over bandwidth of 5 GHz at frequency of 65 GHz. Coupled-cavity TWT provides 50 dB of saturated gain. Includes thermionic emitter, M-type dispenser cathode providing high-power electron beam. Beam focused by permanent magnets through center of radio-frequency cavity structure. Designed for reliable operation for 10 years, and overall efficiency of 35 percent minimizes prime power input and dissipation of heat.

  10. 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.

  11. Vision Loss and Recovery after Baerveldt Aqueous Tube Shunt Implantation

    Science.gov (United States)

    Kim, Esther Lee; Tran, Jeffrey; Töteberg-Harms, Marc; Chahal, Jasdeep; Rhee, Douglas

    2017-01-01

    This study aims to determine the course of vision loss after Baerveldt aqueous tube shunt placement and identify risk factors associated with unexplained severe long-term vision loss, or snuff-out. We retrospectively reviewed 247 eyes of 222 patients who underwent Baerveldt implantations at one of two academic institutions. Postoperative vision loss at 6 months following surgery was categorized as mild-to-moderate versus severe and long-term versus transient. Long-term vision loss, defined as 3 or more lines of Snellen visual acuity (VA) loss compared with preoperative VA, occurred in 63 of 247 eyes (25.5%), and 39 had mild-to-moderate and 24 had severe loss. Of these 63 eyes, 18 had no identifiable cause of vision loss. On multivariate analysis, poorer Snellen VA on postoperative day 1 (POD1) was found to be a significant risk factor for long-term vision loss (p = 0.005). In addition, the negative change in preoperative versus POD1 Snellen VA (p = 0.021) and the presence of split fixation involving the inferonasal quadrant on preoperative Humphrey visual field (p = 0.044) were significant risk factors for snuff-out. Transient vision loss occurred in 76 of 242 eyes (30.8%). In conclusion, vision loss is not uncommon after Baerveldt surgery, with snuff-out occurring in 2.4% of cases in this study.

  12. 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.

  13. 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.

  14. 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.

  15. Explosively Bonded Gun Tube Liner Development

    Science.gov (United States)

    2015-04-01

    FOR OFFICIAL USE ONYLFGFF ARL-CR-0771 ● APR 2015 US Army Research Laboratory Explosively Bonded Gun Tube Liner Development...return it to the originator. ARL-CR-0771 ● APR 2015 US Army Research Laboratory Explosively Bonded Gun Tube Liner Development...COVERED (From - To) 12 January 2014–1 January 2015 4. TITLE AND SUBTITLE Explosively Bonded Gun Tube Liner Development 5a. CONTRACT NUMBER ORISE 1120

  16. Literature search for ceramic vacuum tubes

    Energy Technology Data Exchange (ETDEWEB)

    Cannon, W.

    1977-01-12

    The NTIS and Engineering Index files were searched for citations relating to Ceramic and/or Metal Electron Tubes and High Temperature Electronics. A total of 24 citations were found relating directly to ceramic tubes and 24 to high temperature electronics. A search for electron tubes in general was examined for high temperature applications and 39 were obtained. Computer printouts of the abstracts are included in appendices. (MHR)

  17. Cleaning device for inside of tube

    Energy Technology Data Exchange (ETDEWEB)

    Usuniwa, Yukio; Arai, Sanae; Koyama, Mayumi; Kuramata, Rumi

    1996-07-23

    A large number of small diameter tubes are disposed passing through a lower end plate of a main body of a reactor pressure vessel. The device of the present invention can wash the inside of the small diameter tube efficiently and forecast the completion time of the operation. Namely, purified water at a predetermined temperature is stored in a water reservoir of a purified water recycling unit. The purified water is introduced from a header to the inside of the tube by way of a short tube connected to the lower end of the tube. The purified water introduced into the tube is charged from an opening to an overflow tube and returned to the water reservoir passing through the over flowing tube. The inside of the tube is washed by such circulation of purified water. In the cleaning operation by using the device, (1) the completion time of the operation can be forecast and operationability is improved, and (2) since the operation can be performed rapidly, the period of time for performing the step can be shortened. (I.S.)

  18. Micro tube heat exchangers for Space Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Mezzo fabricates micro tube heat exchangers for a variety of applications, including aerospace, automotive racing, Department of Defense ground vehicles, economizers...

  19. GEIGER-MULLER TYPE COUNTER TUBE

    Science.gov (United States)

    Fowler, I.L.; Watt, L.A.K.

    1959-12-15

    A single counter tube capable of responding to a wide range of intensities is described. The counter tube comprises a tubular cathode and an anode extending centrally of the cathode. The spacing between the outer surface of the anode and the inner surface of the cathode is varied along the length of the tube to provide different counting volumes in adjacent portions of the tube. A large counting volume in one portion adjacent to a low-energy absorption window gives adequate sensitivity for measuring lowintensity radiation, while a smaller volume with close electrode spacing is provided in the counter to make possible measurement of intense garnma radiation fields.

  20. RF Breakdown in Drift Tube Linacs

    CERN Document Server

    Stovall, J; Lown, R

    2009-01-01

    The highest RF electric field in drift-tube linacs (DTLs) often occurs on the face of the first drift tube. Typically this drift tube contains a quadrupole focusing magnet whose fringing fields penetrate the face of the drift tube parallel to the RF electric fields in the accelerating gap. It has been shown that the threshold for RF breakdown in RF cavities may be reduced in the presence of a static magnetic field. This note offers a “rule of thumb” for picking the maximum “safe” surface electric field in DTLs based on these measurements.

  1. The nasogastric tube syndrome in infants.

    Science.gov (United States)

    Harmon, Jeffrey; Balakrishnan, Karthik; de Alarcon, Alessandro; Hart, Catherine K

    2014-05-01

    This series of three patients is the first description of the presentation, clinical course, and endoscopic findings of nasogastric tube-related airway distress, or nasogastric tube syndrome, in infants. We identify key differences in disease features from those described in adults, based on our literature review. Specifically, infant nasogastric tube syndrome presented as significant respiratory distress and postcricoid inflammation without vocal fold immobility. Symptoms resolved more quickly (mean±SD, 2±1 days) than reported in adults. We suggest that nasogastric tube syndrome should be considered in infants with otherwise unexplained respiratory distress, even in the absence of impaired vocal fold mobility.

  2. Finned Small Diameter Tube Heat Exchanger

    Science.gov (United States)

    Dang, Chaobin; Daiguji, Hirofumi; Hihara, Eiji; Tokunaga, Masahide

    The performance of fined small tube heat exchangers was investigated both experimentally and theoretically. The Inner diameters of tubes were 1.0mm, 2.1mm and 4.0mm. Exchanged heat and pressure drop obtained from numerical simulation agreed well with the experimental ones. Calculation results show that the volume of a 2.0mm tube heat exchanger can be reduced to 33% of that of a 4mm tube heat exchanger with the same capacity. In addition the distribution of two-phase flow in a branching unit was investigated by measuring downstream temperature distribution. The flow distribution in a branching unit strongly affects the exchanged heat.

  3. Performance of multi tubes in tube helically coiled as a compact heat exchanger

    Science.gov (United States)

    Nada, S. A.; El Shaer, W. G.; Huzayyin, A. S.

    2014-12-01

    Multi tubes in tube helically coiled heat exchanger is proposed as a compact heat exchanger. Effects of heat exchanger geometric parameters and fluid flow parameters; namely number of inner tubes, annulus hydraulic diameter, Reynolds numbers and input heat flux, on performance of the heat exchanger are experimentally investigated. Different coils with different numbers of inner tubes, namely 1, 3, 4 and 5 tubes, were tested. Results showed that coils with 3 inner tubes have higher values of heat transfer coefficient and compactness parameter (bar{h} Ah ). Pressure drop increases with increasing both of Reynolds number and number of inner tubes. Correlations of average Nusselt number were deduced from experimental data in terms of Reynolds number, Prandtl number, Number of inner coils tubes and coil hydraulic diameter. Correlations prediction was compared with experimental data and the comparison was fair enough.

  4. Fermilab drift tube Linac revisited

    Energy Technology Data Exchange (ETDEWEB)

    Milorad Popovic

    2004-05-12

    Using the PARMILA code running under PC-WINDOWS, the present performance of the Fermilab Drift Tube Linac has been analyzed in the light of new demands on the Linac/Booster complex (the Proton Source). The Fermilab Drift Tube Linac (DTL) was designed in the sixties as a proton linac with a final energy of 200 MeV and a peak current of 100mA. In the seventies, in order to enable multi-turn charge exchange injection into the Booster, the ion source was replaced by an H- source with a peak beam current of 25mA. Since then the peak beam current was steadily increased up to 55mA. In the early nineties, part of the drift tube structure was replaced with a side-coupled cavity structure in order to increase the final energy to 400 MeV. The original and still primary purpose of the linac is to serve as the injector for the Booster. As an added benefit, the Neutron Therapy Facility (NTF) was built in the middle seventies. It uses 66MeV protons from the Linac to produce neutrons for medical purposes. The Linac/Booster complex was designed to run at a fundamental cycling rate of 15Hz, but beam is accelerated on every cycle only when NTF is running. Until recently the demand from the High Energy Physics program resulted in an average linac beam repetition rate of order 1 Hz. With the MiniBoone experiment and the NuMI program, the demands on the Proton Source have changed, with emphasis on higher beam repetition rates up to 7.5Hz. Historically the beam losses in the linac were small, localized at one spot, so activation was not an important issue. With higher beam rate, this has the potential to become the dominant issue. Until today all tuning in the linac and Proton Source was governed by two goals: to maximize the peak beam current out of the linac and to minimize the beam losses in the linac. If maximal peak current from the linac is no longer a primary goal, then the linac quadrupoles can be adjusted differently to achieve different goals.

  5. 49 CFR 230.61 - Arch tubes, water bar tubes, circulators and thermic siphons.

    Science.gov (United States)

    2010-10-01

    ... (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION STEAM LOCOMOTIVE INSPECTION AND 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...

  6. A secure method of nasal endotracheal tube stabilization with suture and rubber tube.

    Science.gov (United States)

    Ota, Y; Karakida, K; Aoki, T; Yamazaki, H; Arai, I; Mori, Y; Nakatogawa, N; Suzuki, T

    2001-12-01

    A new method of stabilizing the nasal endotrascheal tube was described. The tube was secured to the anterior portion of the nasal septum with braided silk thread, which was tightened over the rubber tube to keep air route of the cuff open. There found no complications such as unplanned extubation, necrosis and infections of the nasal septum.

  7. Failure analysis of retired steam generator tubings

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hong Pyo; Kim, J. S.; Hwang, S. S. and others

    2005-04-15

    Degradation of steam generator leads to forced outage and extension of outage, which causes increase in repair cost, cost of purchasing replacement power and radiation exposure of workers. Steam generator tube rupture incident occurred in Uljin 4 in 2002, which made public sensitive to nuclear power plant. To keep nuclear energy as a main energy source, integrity of steam generator should be demonstrated. Quantitative relationship between ECT(eddy current test) signal and crack size is needed in assesment of integrity of steam generator in pressurized water reactor. However, it is not fully established for application in industry. Retired steam generator of Kori 1 has many kinds of crack such as circumferential and axial primary water stress corrosion crack and outer diameter stress corrosion crack(ODSCC). So, it can be used in qualifying and improving ECT technology and in condition monitoring assesment for crack detected in ISI(in service inspection). In addition, examination of pulled tube of Kori 1 retired steam generator will give information about effectiveness of non welded sleeving technology which was employed to repair defect tubes and remedial action which was applied to mitigate ODSCC. In this project, hardware such as semi hot lab. for pulled tube examination and modification transportation cask for pulled tube and software such as procedure of transportation of radioactive steam generator tube and non-destructive and destructive examination of pulled tube were established. Non-destructive and destructive examination of pulled tubes from Kori 1 retired steam generator were performed in semi hot lab. Remedial actions applied to Kori 1 retired steam generator, PWSCC trend and bulk water chemistry and crevice chemistry in Kori 1 were evaluated. Electrochemical decontamination technology for pulled tube was developed to reduce radiation exposure and enhance effectiveness of pulled tube examination. Multiparameter algorithm developed at ANL, USA was

  8. Optimisation of a microfluidic analysis chamber for the placement of microelectrodes.

    Science.gov (United States)

    Rogers, Michelle; Leong, Chi; Niu, Xize; de Mello, Andrew; Parker, Kim H; Boutelle, Martyn G

    2011-03-28

    The behaviour of droplets entering a microfluidic chamber designed to house microelectrode detectors for real time analysis of clinical microdialysate is described. We have designed an analysis chamber to collect the droplets produced by multiphase flows of oil and artificial cerebral spinal fluid. The coalescence chamber creates a constant aqueous environment ideal for the placement of microelectrodes avoiding the contamination of the microelectrode surface by oil. A stream of alternating light and dark coloured droplets were filmed as they passed through the chamber using a high speed camera. Image analysis of these videos shows the colour change evolution at each point along the chamber length. The flow in the chamber was simulated using the general solution for Poiseuille flow in a rectangular chamber. It is shown that on the centre line the velocity profile is very close to parabolic, and an expression is presented for the ratio between this centre line velocity and the mean flow velocity as a function of channel aspect ratio. If this aspect ratio of width/height is 2, the ratio of flow velocities closely matches that of Poiseuille flow in a circular tube, with implications for connections between microfluidic channels and connection tubing. The droplets are well mixed as the surface tension at the interface with the oil dominates the viscous forces. However once the droplet coalesces with the solution held in the chamber, the no-slip condition at the walls allows Poiseuille flow to take over. The meniscus at the back of the droplet continues to mix the droplet and acts as a piston until the meniscus stops moving. We have found that the no-slip conditions at the walls of the chamber, create a banding effect which records the history of previous drops. The optimal position for sensors is to be placed at the plane of droplet coalescence ideally at the centre of the channel, where there is an abrupt concentration change leading to a response time ≪16 ms, the

  9. Product Placement: A Smart Marketing Tool Shifting a Company to the Next Competitive Level

    Directory of Open Access Journals (Sweden)

    Kramolis Jan

    2013-12-01

    Full Text Available The primary aim of this paper was to discover connection between company’s competitiveness and product placement as a marketing tool. The secondary aim was searching for the genesis of product placement. The mentioned issues are explained from the perspectives of three groups: TV studios experts, directors and producers, and other experts (media agencies and advertisers. The Czech Republic market where product placement can be registered is very small – only few television companies. The survey was conducted during years 2011 and 2012 in the Czech Republic. There is no directly measurable tool to tell us exact outputs. However, the results reveal: Marketers are sure that product placement is efficient. The product placement belongs to a longterm marketing field where the brand building is also included. On the basis of the ascertainments acquired by the survey, the basic links between product placement, long-term marketing, and competitiveness are explained in this paper.

  10. Working session 2: Tubing inspection

    Energy Technology Data Exchange (ETDEWEB)

    Guerra, J. [Tecnatom, S.A. San Sebastian de los Reyes, Madrid (Spain); Tapping, R.L. [AECL, Chalk River, Ontario (Canada)

    1997-02-01

    This session was attended by delegates from 10 countries, and four papers were presented. A wide range of issues was tabled for discussion. Realizing that there was limited time available for more detailed discussion, three topics were chosen for the more detailed discussion: circumferential cracking, performance demonstration (to focus on POD and sizing), and limits of methods. Two other subsessions were organized: one dealt with some challenges related to the robustness of current inspection methods, especially with respect to leaving cracked tubes in service, and the other with developing a chart of current NDE technology with recommendations for future development. These three areas are summarized in turn, along with conclusions and/or recommendations. During the discussions there were four presentations. There were two (Canada, Japan) on eddy current probe developments, both of which addressed multiarray probes that would detect a range of flaws, one (Spain) on circumferential crack detection, and one (JRC, Petten) on the recent PISC III results.

  11. Photomultiplier Tubes at Cryogenic Temperatures

    Science.gov (United States)

    Saunders, Nathan

    2016-09-01

    Liquid noble gas scintillators are widely used in experiments searching for physics beyond the Standard Model. Photomultiplier Tubes (PMTs) working at cryogenic temperatures have been developed as the primary light readout device in those experiments. Three PMTs from Hamamatsu Photonics K.K. (R6041, R11065, and R8520) have been systematically characterized at liquid nitrogen temperature. The high voltage dividing circuits for two of the PMTs were custom-built to make sure there is similar performance at both room and liquid nitrogen temperatures. Their dark count rates at both temperatures were measured. Also measured were their single photoelectron responses at both temperatures using 300, 340, 370, and 420 nm LEDs. The intention is to couple these PMTs directly with inorganic scintillators at liquid nitrogen temperature to achieve high light yeilds for rare-event searches.

  12. A framework for mentor support in community-based placements.

    Science.gov (United States)

    McVeigh, Helen; Ford, Karen; O'Donnell, Alison; Rushby, Clive; Squance, Jenny

    This article explores the development and provision of a framework for supporting mentors working in community settings. A working group was set up to explore the provision of mentor support in community placements in Leicester, Leicestershire and Rutland, which was restructured to meet the demands of Nursing and Midwifery Council standards and to demonstrate a commitment to supporting mentors. This was done by providing regular mentoring update sessions, a regular newsletter, visiting lecturer contact and practice-held mentor resource packs. Evaluation of the update sessions was generally positive; the main criticism was the lack of pre-course information, which has since been addressed.

  13. Factores determinantes de la actitud hacia el product placement

    OpenAIRE

    Torrano Palazón, José; Flores López, Enrique

    2007-01-01

    Debido al importante incremento de la utilización del product emplacement o emplazamiento del producto como técnica publicitaria en películas, series de televisión, y en otros medios, presentamos esta investigación en la que, tras analizar la importancia de esta práctica publicitaria y las causas que han originado su desarrollo, profundizamos en el concepto del product placement y en su tipología. Además, también analizamos la actitud del consumidor hacia este tipo de publicidad en comparació...

  14. Optimization of the Document Placement in the RFID Cabinet

    Directory of Open Access Journals (Sweden)

    Kiedrowicz Maciej

    2016-01-01

    Full Text Available The study is devoted to the issue of optimization of the document placement in a single RFID cabinet. It has been assumed that the optimization problem means the reduction of archivization time with respect to the information on all documents with RFID tags. Since the explicit form of the criterion function remains unknown, for the purpose of its approximation, the regression analysis method has been used. The method uses data from a computer simulation of the process of archiving data about documents. To solve the optimization problem, the modified gradient projection method has been used.

  15. Pole-placement with constant gain output feedback

    Science.gov (United States)

    Sridhar, B.; Lindorff, D. P.

    1973-01-01

    Davison (1970) has demonstrated that it is possible to assign max (m, p) poles of a linear time-invariant controllable and observable multivariable system arbitrarily close to desired locations by using constant gain output feedback. A new proof of Davison's theorem on pole placement is developed, and a system design procedure is described which offers some advantages over Davison's method. It is shown that in some cases more than max (m, p) poles can be assigned arbitrarily, and a least square design procedure is proposed to approximate the desired pole locations when it is not possible to place all the poles.

  16. Reducing CSF shunt placement in patients with spinal myelomeningocele

    Directory of Open Access Journals (Sweden)

    Suresh Sankhla

    2009-01-01

    Full Text Available Object: The incidence of hydrocephalus requiring shunts in children with myelomeningocele (MMC is reported to be very high. Shunt-related complications are a significant cause of morbidity and mortality in this population. In order to minimize shunt placements, we used very rigid clinical selection criteria and followed them in all patients who had myelomeningocele and enlarged ventricles. The follow-up outcome of this retrospective study is reported. Methods: From 2000 to 2007, 23 patients with myelomeningocele and variable degree of hydrocephalus were treated at our institute with primary surgical closure of their myelomeningoceles without a CSF diversion procedure. Patients with severe hydrocephalus who required immediate shunt insertion, and those with no significant associated hydrocephalus were not included in this study. Data regarding the surgical results and complications, postoperative management, and the outcome at follow-up were obtained from their hospital records. Results: Initially increased size of the ventricular system was found to have decreased or stabilized in 17 (81% patients postoperatively. However, ventriculomegaly continued to progress further in 4 (19% out of 21 patients. Of 11 patients who presented with enlarged head, eight (73% patients showed reduction or stabilization in their head circumference. Three (27% children continued to have progressive head enlargement in the postoperative period and required shunt placement. Signs of raised intracranial pressure observed in six patients on admission, improved in two (33% and persisted or worsened in four (67% patients who eventually improved after the insertion of a shunt. Eight (35% patients experienced wound-related complications following closure of the MMC, including CSF leak in four, wound infection in three, wound breakdown in three, and pseudomeningocele in two patients. Shunt placement was required in the postoperative period in 13 (56.5% patients to treat

  17. Placement de marque interactif et image de marque : le cas des concerts.

    OpenAIRE

    Fayolle, Laurene; Capelli, Sonia; Sabadie, William

    2012-01-01

    Product placement, traditionally studied in films can become interactive in music concerts thanks to the co-production of the consumption experience between the artist and the public. The effects of product placement can be quantified with the brand memorization or attitude after exposition. This article takes into account the brand image. Thus, a high implication of both the artist and the public leads globally to better results concerning the brand associations.; Le placement de marque, tra...

  18. Teaching Shakespeare with YouTube

    Science.gov (United States)

    Desmet, Christy

    2009-01-01

    YouTube, the video sharing website that allows viewers to upload video content ranging from cute dog tricks to rare rock videos, also supports a lively community devoted to the performance of Shakespeare and Shakespearean adaptations. YouTube is also a popular site for student producers of Shakespeare performances, parodies, and other artistic…

  19. Arrangement of burner with sheath tube

    Energy Technology Data Exchange (ETDEWEB)

    Graat, J.W.; Remie, H.T.; Verhagen, A.M.

    1980-10-02

    This is concerned with an addition to the burner described in patent 28 28 319 in which fluid pulverised fuel and air is burnt in a chamber. The additional patent concerns a sheath tube, which surrounds the chamber and conducts the burnt gases on. The sheath tube has openings for better guidance of the thermal flow.

  20. Places to Go: YouTube

    Science.gov (United States)

    Downes, Stephen

    2008-01-01

    Founded in 2005 by three former PayPal employees, YouTube has revolutionized the Internet, marking a change from the static Internet to the dynamic Internet. In this edition of Places to Go, Stephen Downes discusses how the rise of a ubiquitous media format--Flash video--has made YouTube's success possible and argues that Flash video has important…

  1. Repairing Hidden Cracks in Coolant Tubes

    Science.gov (United States)

    Mills, R. C., Sr.; Duesberg, J.

    1984-01-01

    Repair technique closes leaks in tubes or conduits where access limited to wall opposite crack. Technique applicable to any tubular assembly where tubes bundled together or bonded to supporting shell, such as in heat exchangers. Procedure provides structural support to area failed and uninterrupted flow without significantly altering heat-transfer profile.

  2. Development of Zirconium alloys (for pressure tubes)

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Suk; Kwon, Sang Chul; Choo, Ki Nam; Jung, Chung Hwan; Yim, Kyong Soo; Kim, Sung Soo; Baek, Jong Hyuk; Jeong, Yong Hwan; Kim, Kyong Ho; Cho, Hae Dong [Korea Atomic Energy Research Inst., Daeduk (Korea, Republic of); Hwang, S. K.; Kim, M. H. [Inha Univ., Incheon (Korea, Republic of); Kwon, S. I [Korea Univ., Seoul (Korea, Republic of); Kim, I. S. [Korea Advanced Inst. of Science and Technology, Taejon (Korea, Republic of)

    1997-09-01

    The objective of this research is to set up the basic technologies for the evaluation of pressure tube integrity and to develop improved zirconium alloys to prevent pressure tube failures due to DHC and hydride blister caused by excessive creep-down of pressure tubes. The experimental procedure and facilities for characterization of pressure tubes were developed. The basic research related to a better understanding of the in-reactor performances of pressure tubes leads to noticeable findings for the first time : the microstructural effect on corrosion and hydrogen pick-up behavior of Zr-2.5Nb pressure tubes, texture effect on strength and DHC resistance and enhanced recrystallization by Fe in zirconium alloys and etc. Analytical methodology for the assessment of pressure tubes with surface flaws was set up. A joint research is being under way with AECL to determine the fracture toughness of O-8 at the EOL (End of Life) that had been quadruple melted and was taken out of the Wolsung Unit-1 after 10 year operation. In addition, pressure tube with texture controlled is being made along with VNINM in Russia as a joint project between KAERI and Russia. Finally, we succeeded in developing 4 different kinds of zirconium alloys with better corrosion resistance, low hydrogen pickup fraction and higher creep strength. (author). 121 refs., 65 tabs., 260 figs

  3. Sound absorption and reflection with coupled tubes

    NARCIS (Netherlands)

    Eerden, van der Frits

    2000-01-01

    This paper describes a special sound absorbing technique with an accompanying efficient numerical design tool. As a basis pressure waves in a single narrow tube or pore are considered. In such a tube the viscosity and the thermal conductivity of the air, or any other fluid, can have a significant ef

  4. A Flue Gas Tube for Thermoelectric Generator

    DEFF Research Database (Denmark)

    2013-01-01

    The invention relates to a flue gas tube (FGT) (1) for generation of thermoelectric power having thermoelectric elements (8) that are integrated in the tube. The FTG may be used in combined heat and power (CHP) system (13) to produce directly electricity from waste heat from, e.g. a biomass boiler...

  5. Coupled-cavity traveling-wave tubes

    Science.gov (United States)

    Connolly, D. J.; Omalley, T. A.

    1980-01-01

    Computer program is developed for analysis of coupled cavity traveling waves tubes (TWT's) which are used in variety of radar and communications applications. Programmers can simulate tubes of arbitrary complexity such as input and output couplers and other features peculiar to one or few cavities which may be modeled by correct choices of input data.

  6. Broadcast yourself on YouTube - really?

    NARCIS (Netherlands)

    Kruitbosch, G.; Nack, F.

    2008-01-01

    One essential reason for people to publish on the web is to express themselves freely. YouTube facilitates this self-expression by allowing users to upload video content they generated. This paper investigates to what extent the videos on YouTube are self-generated content, instead of amalgamated co

  7. Sampling Artifacts from Conductive Silicone Tubing

    Energy Technology Data Exchange (ETDEWEB)

    Timko, Michael T.; Yu, Zhenhong; Kroll, Jesse; Jayne, John T.; Worsnop, Douglas R.; Miake-Lye, Richard C.; Onasch, Timothy B.; Liscinsky, David; Kirchstetter, Thomas W.; Destaillats, Hugo; Holder, Amara L.; Smith, Jared D.; Wilson, Kevin R.

    2009-05-15

    We report evidence that carbon impregnated conductive silicone tubing used in aerosol sampling systems can introduce two types of experimental artifacts: 1) silicon tubing dynamically absorbs carbon dioxide gas, requiring greater than 5 minutes to reach equilibrium and 2) silicone tubing emits organic contaminants containing siloxane that adsorb onto particles traveling through it and onto downstream quartz fiber filters. The consequence can be substantial for engine exhaust measurements as both artifacts directly impact calculations of particulate mass-based emission indices. The emission of contaminants from the silicone tubing can result in overestimation of organic particle mass concentrations based on real-time aerosol mass spectrometry and the off-line thermal analysis of quartz filters. The adsorption of siloxane contaminants can affect the surface properties of aerosol particles; we observed a marked reduction in the water-affinity of soot particles passed through conductive silicone tubing. These combined observations suggest that the silicone tubing artifacts may have wide consequence for the aerosol community and should, therefore, be used with caution. Gentle heating, physical and chemical properties of the particle carriers, exposure to solvents, and tubing age may influence siloxane uptake. The amount of contamination is expected to increase as the tubing surface area increases and as the particle surface area increases. The effect is observed at ambient temperature and enhanced by mild heating (<100 oC). Further evaluation is warranted.

  8. Confined Tube Crimp Using Portable Hand Tools

    Energy Technology Data Exchange (ETDEWEB)

    Reynolds, Joseph James [Los Alamos National Laboratory; Pereyra, R. A. [LANL Retired; Archuleta, Jeffrey Christopher [Los Alamos National Laboratory; Martinez, Isaac P. [Los Alamos National Laboratory; Nelson, A. M. [MST-16 Summer Student (2007); Allen, Ronald Scott [Los Alamos National Laboratory; Page, R. L. [LANL Retired; Freer, Jerry Eugene [Los Alamos National Laboratory; Dozhier, Nathan Gus [Los Alamos National Laboratory

    2016-04-04

    The Lawrence Radiation Laboratory developed handheld tools that crimp a 1/16 inch OD tube, forming a leak tight seal1 (see Figure 1). The leak tight seal forms by confining the 1/16 inch OD tubing inside a die while applying crimp pressure. Under confined pressure, the tube walls weld at the crimp. The purpose of this study was to determine conditions for fabricating a leak tight tube weld. The equipment was used on a trial-and-error basis, changing the conditions after each attempt until successful welds were fabricated. To better confine the tube, the die faces were polished. Polishing removed a few thousandths of an inch from the die face, resulting in a tighter grip on the tubing wall. Using detergent in an ultrasonic bath, the tubing was cleaned. Also, the time under crimp pressure was increased to 30 seconds. With these modifications, acceptable cold welds were fabricated. After setting the conditions for an acceptable cold weld, the tube was TIG welded across the crimped face.

  9. Tube formula, Berezinians, and Dwork formula

    CERN Document Server

    Khudaverdian, Hovhannes M

    2007-01-01

    We consider an example of tubes of hypersurfaces in Euclidean space and generalise the tube formula to supercase. By this we assign to a point of the hypersurface in superspace a rational characteristic function. Does this rational function appear when we calculate the zeta-function of an arithmetic variety?

  10. Metal hydrides studied in gas discharge tube

    Science.gov (United States)

    Bozhinova, I.; Kolev, S.; Popov, Tsv.; Pashov, A.; Dimitrova, M.

    2016-05-01

    A novel construction of gas discharge tube has been tested for production of high densities of metal hydrydes. Its performance turned out to be comparable with the existing sources of the same type and even better. First results of the tests on NiH are reported and critically analysed. Plans for future modifiaction of the construction and application of the tube are discussed.

  11. Ultra-fast framing camera tube

    Science.gov (United States)

    Kalibjian, Ralph

    1981-01-01

    An electronic framing camera tube features focal plane image dissection and synchronized restoration of the dissected electron line images to form two-dimensional framed images. Ultra-fast framing is performed by first streaking a two-dimensional electron image across a narrow slit, thereby dissecting the two-dimensional electron image into sequential electron line images. The dissected electron line images are then restored into a framed image by a restorer deflector operated synchronously with the dissector deflector. The number of framed images on the tube's viewing screen is equal to the number of dissecting slits in the tube. The distinguishing features of this ultra-fast framing camera tube are the focal plane dissecting slits, and the synchronously-operated restorer deflector which restores the dissected electron line images into a two-dimensional framed image. The framing camera tube can produce image frames having high spatial resolution of optical events in the sub-100 picosecond range.

  12. Minimal guided bone regeneration procedure for immediate implant placement in the esthetic zone

    Directory of Open Access Journals (Sweden)

    Nettemu Sunil Kumar

    2013-01-01

    Full Text Available The anterior maxilla presents a challenging milieu interior for ideal placement of implants because of the compromised bone quality. With the advent of intraoral bone harvesting and augmentation techniques, immediate implant placement into fresh extraction sockets have become more predictable. Immediate implant placement has numerous advantages compared to the delayed procedure including superior esthetic and functional outcomes, maintenance of soft and hard tissue integrity and increased patient compliance. This case report exhibits immediate implant placement in the maxillary esthetic zone by combining a minimal invasive autogenous block bone graft harvest technique for ensuring successful osseointegration of the implant at the extraction site.

  13. Foster care placement change: The role of family dynamics and household composition.

    Science.gov (United States)

    Waid, Jeffrey; Kothari, Brianne H; Bank, Lew; McBeath, Bowen

    2016-09-01

    Sibling co-placement and kinship care have each been shown to protect against the occurrence of placement change for youth in substitute care. However, little is known about the effects of different combinations of sibling placement and relative caregiver status on placement change. Nor does the field fully understand how family dynamics may differ in these households. Utilizing data from the Supporting Siblings in Foster Care study, this paper examines family dynamics across four typologies of living composition, and tests the effects of living composition membership on the odds of experiencing a placement change over an 18-month period of time. Findings suggest that across living composition typologies, children who were placed separately from their siblings in non-relative care were more likely to be older, have more extensive placement histories, and experience more placement changes both prior to and during the study than were children in other living composition groups. Family living composition was found to influence the occurrence of placement change. Specifically, children co-placed in kinship care were least likely to experience movement; however, sibling co-placement in non-relative care was also protective. Results reveal the need to conduct additional research into the experiences of children in different family living arrangements, and tailor case management services and supports to children in substitute care accordingly. Implications and future directions are discussed.

  14. Efficient Hierarchical Algorithm for Mixed Mode Placement in Three Dimensional Integrated Circuit Chip Designs

    Institute of Scientific and Technical Information of China (English)

    YAN Haixia; ZHOU Qiang; HONG Xianlong; LI Zhuoyuan

    2009-01-01

    Hierarchical art was used to solve the mixed mode placement for three dimensional (3-D) inte-grated circuit design. The 3-D placement flow stream includes hierarchical clustering, hierarchical 3-D floor-planning, vertical via mapping, and recursive two dimensional (2-D) global/detailed placement phases. With state-of-the-art clustering and de-clustering phases, the design complexity was reduced to enhance the placement algorithm efficiency and capacity. The 3-D floorplanning phase solved the layer assignment problem and controlled the number of vertical vias. The vertical via mapping transformed the 3-D placement problem to a set of 2-D placement sub-problems, which not only simplifies the original 3-D placement prob-lem, but also generates the vertical via assignment solution for the routing phase. The design optimizes both the wire length and the thermal load in the floorplan and placement phases to improve the performance and reliability of 3-D integrate circuits. Experiments on IBM benchmarks show that the total wire length is reduced from 15% to 35% relative to 2-D placement with two to four stacked layers, with the number of vertical vias minimized to satisfy a pre-defined upper bound constraint. The maximum temperature is reduced by 16% with two-stage optimization on four stacked layers.

  15. Turbulent flow in longitudinally finned tubes

    Energy Technology Data Exchange (ETDEWEB)

    Edwards, D.P.; Hirsa, A.; Jensen, M.K. [Rensselaer Polytechnic Inst., Troy, NY (United States). Dept. of Mechanical Engineering, Aeronautical Engineering and Mechanics

    1996-09-01

    An experimental investigation of fully developed, steady, turbulent flow in longitudinally finned tubes has been performed. A two-channel, four-beam, laser-Doppler velocimeter was used to measure velocity profiles and turbulent statistics of air flow seeded with titanium dioxide particles. Mean velocities in axial, radial, and circumferential directions were measured over the tube cross sections and pressure drop in the tubes was measured at six stations along the test section length in order to calculate the fully developed friction factor. Four experimental tube geometries were studied: one smooth tube; two 8-finned tubes (fin height-to-radius ratios of 0.333 and 0.167), and one 16-finned tube (fin height-to-radius ratio of 0.167); detailed measurements were taken at air flow rates corresponding to Reynolds numbers of approximately 5,000, 25,000, and 50,000. Friction factor data were compared to literature results and showed good agreement for both smooth and finned tubes. The wall shear stress distribution varied significantly with reynolds number, particularly for Reynolds numbers of 25,000 and below. Maximum wall shear stress was found at the fin tip and minimum at the fin root. Four secondary flow cells were detected per fin (one in each interfin spacing and one in each core region for each fin); secondary flows were found to be small in comparison to the mean axial flow and relative magnitudes were unaffected by axial flow rate at Reynolds numbers above 25,000. The fluctuating velocities had a structure similar to that of the smooth tube in the core region while the turbulence in the interfin region was greatly reduced. The principal, primary shear stress distribution differed considerably from that of the smooth tube, particularly in the interfin region, and the orientation was found to be approximately in the same direction as the gradient of the mean axial velocity, supporting the use of an eddy viscosity formulation in turbulence modeling.

  16. Development and application of a falloposcope for transvaginal endoscopy of the fallopian tube.

    Science.gov (United States)

    Kerin, J; Surrey, E; Daykhovsky, L; Grundfest, W S

    1990-01-01

    A small flexible microendoscope with an outside diameter (OD) of 0.5 mm has been developed for effective visualization of the entire length of the human fallopian tube. Using a transvaginal approach, a small flexible operating hysteroscope with an OD ranging from 3.3 to 4.5 mm, was used to visualize the uterotubal ostium (UTO) for cannulation of the tube. A coaxial technique, incorporating guidewire cannulation, placement of an "over the wire" Teflon catheter, and replacement of the guidewire with a falloposcope, for video documentation of endotubal surface anatomy has been carried out without complication in 55 women who had a total of 84 tubes available for tubal endoscopy. Characterization of normal and abnormal epithelial changes has been documented for the intramural, isthmic, ampullary, and fimbrial tube. Technical difficulties related to failure to negotiate the entire tubal lumen in the absence of obstructive disease occurred in 9 (11%) of the 84 endoscopy cases. These technical difficulties have been partly overcome by the incorporation of smaller directional guidewires, softer distortion-free Teflon catheters, improved microendoscopes, and the acquisition of new surgical skills necessary for safe and successful endoscopy of the fallopian tube. Minor difficulties were experienced in 7 (8%) of 84 endoscopies due to ostial spasm secondary to attempted guidewire cannulation. Cannulation was successful once spasm ceased. Of the 75 (89%) remaining successful tubal endoscopies, documentation of endotubal lesions ranging from accumulated debris, nonobstructive intraluminal adhesions, stenosis, polyps, to total fibrotic obstruction were observed in 43 (57%) examinations. The majority (70%) of these lesions were confined to the medial third of the tube, between the UTO and ampullary isthmic junction (AIJ). The tubal lumen was considered to be endoscopically normal in 32 (42%) examinations. Techniques of tubal aquadissection (TA), guidewire cannulation (GC), wire

  17. Effects of covered solid sorbent tube sample holders on organic vapor measurements.

    Science.gov (United States)

    Marpoe, B S; Groves, W A; Lee, E G; Slaven, J E; Harper, M

    2012-01-01

    A study was conducted to examine whether there are significant differences between organic vapor concentrations measured using charcoal tubes with three different configurations: uncovered sample holder (open tube), SKC, and Buck brand covered sample holders. A fractional factorial experimental design was used with the following factors and levels: vapor (n-hexane vs. m-xylene), pump type (pulsating vs. continuous), exposure profile (variable vs. constant), flow rate (30 mL/min vs. 200 mL/min), duration (30 min vs. 80 min), and sample placement (mannequin vs. free hanging). Two of each sampler configuration (six total) were placed in an exposure chamber, and a dynamic test-atmosphere generation system was used to prepare atmospheres containing approximately 12-15 ppm n-hexane or m-xylene with exposure profiles and sampling conducted according to a run sheet generated for the experimental design. A total of 24 runs were completed with six samplers per run, yielding 144 samples that were analyzed by gas chromatography/flame ionization detector. Concentration results for each pair of SKC and Buck covered sample holders were averaged and normalized by dividing by the average result for the open tube sampler from the same run to eliminate the effect of daily variation in chamber concentrations. The resulting ratio of covered sample tube holder and open tube concentrations was used as the response variable. Results of analysis of variance using the general linear model (MINITAB 16) identified statistically significant main effects and/or interactions for pump type, exposure profile, flow rate, and sample holder. However, the magnitude of the effects was generally less than 10%, and overall mean concentration ratios were 0.989 and 1.02 for the Buck and SKC sample holders, respectively. These results show good agreement between covered sample holder results and open tube measurements and demonstrate that exposure assessment errors resulting from the use of covered

  18. Experimental study on in-tube condensation heat transfer characteristics of helically coiled spiral tubes

    Energy Technology Data Exchange (ETDEWEB)

    Park, J.U. [Sunchon First College, Sunchon (Korea); Kweon, Y.C. [Sun Moon University, Chonan (Korea); Han, K.I. [Pukyong National University, Pusan (Korea)

    2001-12-01

    An experimental study on condensation heat transfer characteristics of helically coiled spiral tubes was performed. The refrigerant is R-113. A refrigerant loop was established to measure the condensation heat transfer coefficients. Experiments were carried out uniform heat flux of 15 kW/m{sup 2}, refrigerant quality of 0.1 {approx} 0.9, curvature ratio of 0.016, 0.025 and 0.045. The curvature of a coil was defined as the ratio of the inside diameter of the tube to the diameter of the bending circle. To compare the condensation heat transfer coefficients of coiled spiral tubes, the previous results on coiled plain tubes and straight plain tubes were used. The results shows that the condensation heat transfer coefficients of coiled spiral tubes largely increase, as increasing Re and quality, compared to those of coiled plain tubes and straight plain tubes. As increasing degree of subcooling, however, the condensation heat transfer coefficients on coiled spiral tubes decrease. It is found that the heat transfer enhancement is more better than coiled plain tubes and straight plain tubes, as increasing curvature ratio. (author). 13 refs., 10 figs., 1 tab.

  19. 一次性经鼻喂养管在临床上的应用%Disposable Nasal Feeding Tube in the Clinical Application

    Institute of Scientific and Technical Information of China (English)

    王艳红; 刘亚波

    2014-01-01

    Objective To explore the application of disposable nasal feeding tube in the clinic. Methods From 2012 to June to 2013 May in our department were needed indwel ing gastric tube, no nasal septum curves, no esophageal and gastric varices in 30 patients with nasal feeding tube placement of nasogastric tube disposable. Results 30 patients were successful y inserted into the nasal feeding tube. Conclusion The disposable nasal feeding tube can improve the success rate, reduce the pain of patients.%目的:探讨一次性经鼻喂养管在临床上的应用。方法对2012年6月~2013年5月我科收治需留置胃管,无鼻中隔弯曲,无食管胃底静脉曲张共30例患者改用一次性经鼻喂养管放置胃管。结果30例患者中均一次成功置入鼻胃养管。结论一次性经鼻喂养管可提高成功率,减轻患者的痛苦。

  20. Risk of bleeding in patients undergoing percutaneous endoscopic gastrotrostomy (PEG tube insertion under antiplatelet therapy: a systematic review with a meta-analysis

    Directory of Open Access Journals (Sweden)

    Alfredo J. Lucendo

    2015-03-01

    Full Text Available Background and aim: Patients undergoing percutaneous endoscopic gastrostomy (PEG tube placement often are under antiplatelet therapy with a potential thromboembolic risk if these medications are discontinued. This systematic review aims to assess if maintaining aspirin and/or clopidogrel treatment increases the risk of bleeding following PEG placement. Methods: A systematic search of the MEDLINE, EMBASE, and SCOPUS databases was developed for studies investigating the risk of bleeding in patients on antiplatelet therapy undergoing PEG tube insertion. Summary estimates, including 95 % confidence intervals (CI, were calculated. A fixed or random effects model was used depending on heterogeneity (I². Publication bias risks were assessed by means of funnel plot analysis. Results: Eleven studies with a total of 6,233 patients (among whom 3,665 were undergoing antiplatelet treatment, met the inclusion criteria and were included in the quantitative summary. Any PEG tube placement-related bleeding was found in 2.67 % (95 % CI 1.66 %, 3.91 % of the entire population and in 2.7 % (95 % CI 1.5 %, 4.1 % of patients not receiving antiplatelet therapy. Pooled relative risk (RR for bleeding in patients under aspirin, when compared to controls, was 1.43 (95 % CI 0.89, 2.29; I² = 0 %; pooled RR for clopidogrel was 1.21 (95 % CI 0.48, 3.04; I² = 0 % and for dual antiplatelet therapy, 2.13; (95 % CI 0.77, 5.91; I² = 47 %. No significant publication bias was evident for the different medications analyzed. Conclusion: Antiplatelet therapy was safe among patients undergoing PEG tube insertion. Future prospective and randomized studies with larger sample sizes are required to confirm the results of this study.

  1. Influence of model errors in optimal sensor placement

    Science.gov (United States)

    Vincenzi, Loris; Simonini, Laura

    2017-02-01

    The paper investigates the role of model errors and parametric uncertainties in optimal or near optimal sensor placements for structural health monitoring (SHM) and modal testing. The near optimal set of measurement locations is obtained by the Information Entropy theory; the results of placement process considerably depend on the so-called covariance matrix of prediction error as well as on the definition of the correlation function. A constant and an exponential correlation function depending on the distance between sensors are firstly assumed; then a proposal depending on both distance and modal vectors is presented. With reference to a simple case-study, the effect of model uncertainties on results is described and the reliability and the robustness of the proposed correlation function in the case of model errors are tested with reference to 2D and 3D benchmark case studies. A measure of the quality of the obtained sensor configuration is considered through the use of independent assessment criteria. In conclusion, the results obtained by applying the proposed procedure on a real 5-spans steel footbridge are described. The proposed method also allows to better estimate higher modes when the number of sensors is greater than the number of modes of interest. In addition, the results show a smaller variation in the sensor position when uncertainties occur.

  2. Optimal Placement of Accelerometers for the Detection of Everyday Activities

    Directory of Open Access Journals (Sweden)

    Dewar Finlay

    2013-07-01

    Full Text Available This article describes an investigation to determine the optimal placement of accelerometers for the purpose of detecting a range of everyday activities. The paper investigates the effect of combining data from accelerometers placed at various bodily locations on the accuracy of activity detection. Eight healthy males participated within the study. Data were collected from six wireless tri-axial accelerometers placed at the chest, wrist, lower back, hip, thigh and foot. Activities included walking, running on a motorized treadmill, sitting, lying, standing and walking up and down stairs. The Support Vector Machine provided the most accurate detection of activities of all the machine learning algorithms investigated. Although data from all locations provided similar levels of accuracy, the hip was the best single location to record data for activity detection using a Support Vector Machine, providing small but significantly better accuracy than the other investigated locations. Increasing the number of sensing locations from one to two or more statistically increased the accuracy of classification. There was no significant difference in accuracy when using two or more sensors. It was noted, however, that the difference in activity detection using single or multiple accelerometers may be more pronounced when trying to detect finer grain activities. Future work shall therefore investigate the effects of accelerometer placement on a larger range of these activities.

  3. Elbow arthroscopy: setup, portal placement, and simple procedures.

    Science.gov (United States)

    Ahmad, Christopher S; Vitale, Mark A

    2011-01-01

    Elbow arthroscopy has become an accepted treatment for numerous elbow conditions, including loose bodies, lateral epicondylitis, contractures, painful osteophytes, synovitis, osteochondritis dissecans, synovial plica, and osteoarthritis. It is absolutely necessary that the treating surgeon have complete knowledge of elbow anatomy. Three options exist for patient positioning: supine, prone, and lateral decubitus. Standard arthroscopic probes, grasping forceps, punches, and motorized shavers and burrs are used in the procedure. Retractors are essential for visualizing, exposing, and protecting nerves. Specially designed capsular biters can be used to develop a plane between the capsule and the surrounding soft tissues to facilitate capsulotomy and capsulectomy. Among elbow arthroscopists, the sequence of portal placement varies; however, there is little variation in the exact location of portal placement because of neurovascular constraints. Loose body removal and extensor carpi radialis brevis release for lateral epicondylitis are common procedures suitable for the beginning arthroscopist. For beginning and advanced procedures, the surgeon's skill and competence must be at a level consistent with the procedure to avoid complications.

  4. Radiologic Placement of Tunneled Central Venous Catheters in Pediatric Patients

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Eun Ji; Song, Soon Young; Cho, On Koo; Koh, Byung Hee; Kim, Yong Soo; Jeong, Woo Kyoung; Lee, Yong Ho [Hanyang University College of Medicine, Seoul (Korea, Republic of)

    2010-08-15

    We evaluated the technical success and complication rates associated with the radiological placement of tunneled central venous catheters in pediatric patients. Between May 1, 2005 and March 31, 2008, a total of 46 tunneled central venous catheters were placed in 34 children (M:F = 22:12; mean age, 9.9 years [9 months to 16.8 years]). All procedures were performed under ultrasonographic and fluoroscopic guidance. Follow-up data were obtained through the retrospective review of the medical records. We used the Kaplan-Meier survival method for the evaluation of survival rate of the catheters. All procedures were technically successful. The observed periprocedural complications included hematoma formation in three patients. The mean catheter life was 189.3 days (total, 8710 days; range, 7-810). Catheters were removed due to death (n=9), the end of treatment (n=8), catheter sepsis (n=4), malfunction (n=8), and accidental removal (n=4). The rate of catheter sepsis and malfunction was 0.459 and 0.919 for every 1000 catheter days, respectively. The expected mean catheter life was 479.6 days as per the Kaplan- Meier analysis. The results suggest that the radiologic placement of a tunneled central venous catheter is an effective technique with a high technical success rate and low complication rate.

  5. Actuator Placement Via Genetic Algorithm for Aircraft Morphing

    Science.gov (United States)

    Crossley, William A.; Cook, Andrea M.

    2001-01-01

    This research continued work that began under the support of NASA Grant NAG1-2119. The focus of this effort was to continue investigations of Genetic Algorithm (GA) approaches that could be used to solve an actuator placement problem by treating this as a discrete optimization problem. In these efforts, the actuators are assumed to be "smart" devices that change the aerodynamic shape of an aircraft wing to alter the flow past the wing, and, as a result, provide aerodynamic moments that could provide flight control. The earlier work investigated issued for the problem statement, developed the appropriate actuator modeling, recognized the importance of symmetry for this problem, modified the aerodynamic analysis routine for more efficient use with the genetic algorithm, and began a problem size study to measure the impact of increasing problem complexity. The research discussed in this final summary further investigated the problem statement to provide a "combined moment" problem statement to simultaneously address roll, pitch and yaw. Investigations of problem size using this new problem statement provided insight into performance of the GA as the number of possible actuator locations increased. Where previous investigations utilized a simple wing model to develop the GA approach for actuator placement, this research culminated with application of the GA approach to a high-altitude unmanned aerial vehicle concept to demonstrate that the approach is valid for an aircraft configuration.

  6. Placement of an implantable central venous access device

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Tae Hoon; Lee, Young Suk [Dan Kook Univ., Seoul (Korea, Republic of). Hospital

    1998-03-01

    To evaluate the efficacy and safety of placement of a central venous catheter with infusion port into the superior vena cava. Central venous catheters with a infusion port were implanted in 21 patients (M:F=4:17, age range:15-63, mean age: 41) diagnosed as suffering from breast cancer (n=9), lymphoma (n=7), thymoma (n=2) rhabdomyosarcoma(n=2) and rectal cancer (n=1). The per(n=9), lymphoma(n=7), thymoma (n=2) rhabdomyosarcoma (n=2) and rectal cancer (n=1). The peripheral portion of the subclavian vein was punctured under fluoroscopic guidance during injection of contrast media at the site of the ipsilateral peripheral vein (20 cases) and under ultrasonographic guidance (1 case). 9.6F central venous catheters placed in the superior vena cava via the subclavian vein and the connected infusion ports were implanted in the subcutaneous pocket near the puncture site of the right anterosuperior chest wall. Radiologic placement under fluoroscopic guidance of a central venous catheter with a infusion port is easy, safe and useful for patients requiring long-term venous access. (author). 21 refs., 2 figs.

  7. Placement peripherally inserted central catheters (PICC): the upper arm approach

    Energy Technology Data Exchange (ETDEWEB)

    Choo, In Wook; Choo, Sung Wook; Choi, Dong Il; Yoon, Jung Hwan; Hwang, Jae Woong; Lim, Jae Hoon [Samsung Medical Center, Seoul (Korea, Republic of); Andrews, James C. [Mayo Clinic, Lansing (United States); Williams, David M.; Cho, Kyung J. [University of Michigan Hospital, Lansing (United States)

    1995-10-15

    To evaluate a recently developed technique to place a medium-duration (weeks to months) central venous access. Within three-year period, 635 patients were referred to interventional radiology suite for placement of peripherally inserted central catheter (PICC). Contrast medium was injected into the peripheral intravenous line and a puncture was made into the opacified vein near the junction of the middle and upper thirds of the upper arm, either the brachial or basilic vein under fluoroscopic guidance. A 5.5-French peel-away sheath was inserted into the vein and a 5-French silicone catheter was introduced with its distal tip to the junction of the right atrium and superior vena cava. Catheter placement was successful in all patients unless there was a central venous obstruction. Catheters were maintained from 2 days to 5 months with a mean of 3 weeks. Complications included infection requiring removal of the PICC in 16 patients (2.5%), acute thrombosis of the subclavian vein in 3 (0.5%). Occluded catheters in 4 patients were easily cleared with urokinase in place. The PICC system is an excellent option for medium-duration central venous access. Patients were able to carry on normal activities with the catheters in place.

  8. Placement of sensors in operational modal analysis for truss bridges

    Science.gov (United States)

    Debnath, N.; Dutta, A.; Deb, S. K.

    2012-08-01

    A modal approach is considered for sensor placement evaluation in operational modal analysis (OMA) where modal participation at individual degree of freedom (DOF) is evaluated separately for the target modes and subsequently locations are identified using these participation profiles. Modal contribution in output energy (MCOE) is proposed as modal measure to evaluate modal participation and has been applied in this modal approach framework for sensor placement evaluation. MCOE is evaluated using observability grammian for any types of response measurement (displacement, velocity or acceleration), while a system is released from any initial condition. Further, existing modal measures e.g. modal Hankel singular value (MHSV) and system norms (H2, H∞ and Hankel) are explained in perspective of OMA. To understand the efficiency of this proposed technique, MCOE is compared in terms of modal participation with existing modal measures as well as with other techniques like effective independence (EI) and modal kinetic energy (MKE). Analytical similarity is found for participation of a mode with EI method. Further, an existing large truss bridge structure is considered for comparative study based on modal participation of individual target modes along each DOF with acceleration measurement. In this comparison, MCOE technique is found to be in very good agreement with EI method as expected, while good agreement is observed with MHSV as well as norms and reasonable agreement with MKE method. Further, the adopted modal approach uses a flexible and insightful methodology for sensor location evaluation for multiple target modes.

  9. Sensor Placement For Structural Monitoring of Transmission Line Towers

    Directory of Open Access Journals (Sweden)

    Benny eRaphael

    2015-11-01

    Full Text Available Transmission line towers are usually analyzed using linear elastic idealized truss models. Due to the assumptions used in the analysis, there are discrepancies between the actual results obtained from full scale prototype testing and the analytical results. Therefore, design engineers are interested in assessing the actual stress levels in transmission line towers. Since it is costly to place sensors on every member of a tower structure, the best locations for sensors need to be carefully selected. This study evaluates a methodology for sensor placement in transmission line towers. The objective is to find optimal locations for sensors such that the real behavior of the structure can be explained from measurements. The methodology is based on the concepts of entropy and model falsification. Sensor locations are selected based on maximum entropy such that there is maximum separation between model instances that represent different possible combinations of parameter values which have uncertainties. The performance of the proposed algorithm is compared to that of an intuitive method in which sensor locations are selected where the forces are maximum. A typical 220 kV transmission tower is taken as case study in this paper. It is shown that the intuitive method results in much higher number of non-separable models compared to the optimal sensor placement algorithm. Thus the intuitive method results in poor identification of the system.

  10. Enteral Feeding Tubes in Patients Undergoing Definitive Chemoradiation Therapy for Head-and-Neck Cancer: A Critical Review

    Energy Technology Data Exchange (ETDEWEB)

    Koyfman, Shlomo A., E-mail: koyfmas@ccf.org [Departments of Radiation and Solid Tumor Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio (United States); Adelstein, David J. [Departments of Radiation and Solid Tumor Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio (United States)

    2012-11-01

    Definitive chemoradiation therapy has evolved as the preferred organ preservation strategy in the treatment of locally advanced head-and-neck cancer (LA-HNC). Dry mouth and dysphagia are among the most common and most debilitating treatment-related toxicities that frequently necessitate the placement of enteral feeding tubes (FT) in these patients to help them meet their nutritional requirements. The use of either a percutaneous endoscopic gastrostomy tube or a nasogastric tube, the choice of using a prophylactic vs a reactive approach, and the effects of FTs on weight loss, hospitalization, quality of life, and long-term functional outcomes are areas of continued controversy. Considerable variations in practice patterns exist in the United States and abroad. This critical review synthesizes the current data for the use of enteral FTs in this patient population and clarifies the relative advantages of different types of FTs and the timing of their use. Recent developments in the biologic understanding and treatment approaches for LA-HNC appear to be favorably impacting the frequency and severity of treatment-related dysphagia and may reduce the need for enteral tube feeding in the future.

  11. Application of a prototype process for developing a tube gastrostomy clinical pathway.

    Science.gov (United States)

    Sexauer, L F; Hogan, M P

    1998-01-01

    The development and implementation of clinical pathways as a managed care tool have been widely embraced as principal components of the healthcare industry's drive to reform costly, inconsistent, and often uncontrolled delivery of services. Clinical pathways are not new to healthcare; however, the lack of a defined and systematic process for pathway development has hindered organizational efforts to develop and implement clinical pathways. A multidisciplinary clinical pathway process prototype was identified as a means for effectively defining and linking care and outcomes for patients requiring tube gastrostomy placement at a large military medical facility. This article presents the prototype process for developing a clinical pathway with a practical application to illustrate the process and provides a process template for potential use by others interested in developing multidisciplinary clinical pathways.

  12. [Surgical jejunostomy as digestive tube access in the long-term].

    Science.gov (United States)

    Fernández López, María Teresa; Rodríguez Vázquez, Ana

    2013-01-01

    Home enteral nutrition (HEN) is the choice for patients who can not mantain oral intake but have a functioning gastrointestinal tract when it isn't justify keeping the patient in the hospital. The results of the HEN registry of the NADYA group in 2010 shows information related to the enteral acces route: 51% of the cases used nasogastric tubes, 27% gastrostomies, 10% oral route and 3% jejunostomies. Placement of a needle catheter jejunostomy is recommended for candidates for enteral nutrition undergoing major abdominal surgery, but publications about long-term use of this acces are scarce. We report same cases of patients whom the selected enteral acces was surgical jejunostomy. They represents the 1,14% of our patients with HEN at this moment, with a mean dwelling time of 210 ± 222 days. There has been frequent complications, but they were sligh.

  13. Modelling Fluidelastic Instability Forces in Tube Arrays

    Science.gov (United States)

    Anderson, J. Burns

    Historically, heat exchangers have been among the most failure prone components in nuclear power plants. Most of these failures are due to tube failures as a result of corrosion, fatigue and fretting wear. Fatigue and fretting wear are a result of flow induced vibration through turbulent buffeting and fluidelastic instability mechanisms. Fluidelastic instability is by far the most important and complex mechanism. This research deals with modelling fluidelastic instability and the resulting tube response. The proposed time domain model uses the concept of a flow cell (Hassan & Hayder [16]) to represent the complex flow field inside a shell and tube heat exchanger and accounts for temporal variations in the flow separation points as a result of tube motion. The fluidelastic forces are determined by predicting the attachment lengths. The predicted forces are used to simulate the response of a single flexible tube inside a shell and tube heat exchanger. It was found that accounting for temporal variations in the separation points predicted lower critical flow velocities, than that of fixed attachment and separation points. Once unstable a phase lag is predicted between the fluidelastic forces and tube response. It was determined that the predicted critical flow velocities agreed well with available experimental data. The developed model represents an important step towards a realistic fluidelastic instability model which can be used to design the new generation nuclear steam generators.

  14. Vibrations of tube arrays in transversal flow

    Energy Technology Data Exchange (ETDEWEB)

    Gibert, R.J.; Villard, B. (C.E.N. Saclay, Gif-sur-Yvette (France)); Chabrerie, J. (Ste Fives-Cail-Babcok, La Courneuve, (France)); Sagner, V. (Ste Bertin, Plaisir (France))

    1981-01-01

    The vibrations induced in tube arrays by a transversal flow are of great practical interest because of their destructive effects especially on heat exchangers. Though turbulence can significantly excite the tubes by itself, most intense vibrations are still caused by two fluid-elastic phenomena: - The << lock-in >> effect: The basic phenomenon consists of a generation and a synchronization of vortex shedding by a transversal tube motion when its frequency approaches the shedding frequency and when its level is large enough. The so modified vortex shedding generates much more intense vibrations. The lock-in effects is well known for a single cylinder. Less results have been obtained for bundles. - The whirling instability: In a tube row or a bundle, quasi-steady forces are generated by the displacements of the tubes in the flow field. Adjacent tubes are disymmetrically coupled by these forces and instability can appear beyond a critical flow velocity. For the tube rows H.J. Connors has shown that the phenomena are characterized by a coefficient c (which is a function of the pitch).

  15. Applicable methods for NDT of tubes

    Energy Technology Data Exchange (ETDEWEB)

    Pitkaenen, J.; Lipponen, A.; Kauppinen, P. [VTT Industrial Systems Espoo (Finland)

    2004-05-01

    For inside inspection of tubes, eddy current testing (ET) and internal rotating ultrasonic inspection (IRIS) are mainly used at the moment. Special eddy current method, remote field technique (RFEC) is being used to some extent, but normally only for ferritic tubes. This paper presents a review of techniques that can be used for internal inspections of tubes in boilers, heat exchangers and steam generators. Material affects the choice of the method, considering given defect type and detectability with the selected technique. In general ET methods are used for inspection of non- ferromagnetic tubes and IRIS and RFEC methods for inspection of ferromagnetic tubes. New techniques have been introduced, to determine the tube condition accurately. One of the developed techniques is for instance inspection of the internal surface by combination of dye penetrant and optical laser inspection. New applications of ultrasonic techniques include defect detection and characterisation by tip diffraction echoes, defect analysis by echo dynamics and the TOFD-technique for defect sizing. Ultrasonic guided waves have a great potential to increase inspection speed for defect detection, although sizing is still under development. For inspection of ferromagnetic tubes, a method based on magnetic flux leakage has been used. In addition to the basic techniques visualisation of the measured data is one of the. key factors for improved exploitation of the inspection results. (orig.)

  16. Investigating the Dynamics of Canonical Flux Tubes

    Science.gov (United States)

    von der Linden, Jens; Sears, Jason; Intrator, Thomas; You, Setthivoine

    2016-10-01

    Canonical flux tubes are flux tubes of the circulation of a species' canonical momentum. They provide a convenient generalization of magnetic flux tubes to regimes beyond magnetohydrodynamics (MHD). We hypothesize that hierarchies of instabilities which couple disparate scales could transfer magnetic pitch into helical flows and vice versa while conserving the total canonical helicity. This work first explores the possibility of a sausage instability existing on top of a kink as mechanism for coupling scales, then presents the evolution of canonical helicity in a gyrating kinked flux rope. Analytical and numerical stability spaces derived for magnetic flux tubes with core and skin currents indicate that, as a flux tube lengthens and collimates, it may become kink unstable with a sausage instability developing on top of the kink. A new analysis of 3D magnetic field and ion flow data on gyrating kinked magnetic flux ropes from the Reconnection Scaling Experiment tracks the evolution of canonical flux tubes and their helicity. These results and methodology are being developed as part of the Mochi experiment specifically designed to observe the dynamics of canonical flux tubes. This work is supported by DOE Grant DE-SC0010340 and the DOE Office of Science Graduate Student Research Program and prepared in part by LLNL under Contract DE-AC52-07NA27344. LLNL-ABS-697161.

  17. Air flow exploration of abrasive feed tube

    Science.gov (United States)

    Zhang, Shijin; Li, Xiaohong; Gu, Yilei

    2009-12-01

    An abrasive water-jet cutting process is one in which water pressure is raised to a very high pressure and forced through a very small orifice to form a very thin high speed jet beam. This thin jet beam is then directed through a chamber and then fed into a secondary nozzle, or mixing tube. During this process, a vacuum is generated in the chamber, and garnet abrasives and air are pulled into the chamber, through an abrasive feed tube, and mixes with this high speed stream of water. Because of the restrictions introduced by the abrasive feed tube geometry, a vacuum gradient is generated along the tube. Although this phenomenon has been recognized and utilized as a way to monitor nozzle condition and abrasive flowing conditions, yet, until now, conditions inside the abrasive feed line have not been completely understood. A possible reason is that conditions inside the abrasive feed line are complicated. Not only compressible flow but also multi-phase, multi-component flow has been involved in inside of abrasive feed tube. This paper explored various aspects of the vacuum creation process in both the mixing chamber and the abrasive feed tube. Based on an experimental exploration, an analytical framework is presented to allow theoretical calculations of vacuum conditions in the abrasive feed tube.

  18. Performance characteristics of pulse tube refrigerators

    Science.gov (United States)

    Huang, B. J.; Tzeng, T. M.

    In the present study experiments were carried out to investigate the performance characteristics of pulse tube refrigerators. It was found that the cool-down time tc during the transient or start-up period is dominated by the time constant of the pulse tube wall τpt and that the dynamics of a basic pulse tube (BPT) refrigerator approaches that of a first-order system. For steady state operation, the cold-end temperature TL was found to vary with τpt, and the cooling load QL increases monotonically with increasing τpt. This indicates that heat pumped by the gas from the cold to the hot end increases with decreasing hpt (i.e. less energy exchange between the gas and wall). The process of heat storage or release of the pulse tube wall is thus shown to have a negative effect on the performance of a BPT refrigerator. It was thus found experimentally that the gas compression/expansion process inside the pulse tube, which is similar to a Brayton cycle but lies between isothermal and adiabatic, can explain the performance of BPT refrigerators. The present experiment also shows that the performance of a pulse tube refrigerator at transient and steady states is mainly dominated by the time constant of the pulse tube wall τpt.

  19. Improve seawater cooling with titanium finned tubes

    Energy Technology Data Exchange (ETDEWEB)

    O' Donnell J. (High Performance Tube, Inc., Warren, NJ (United States))

    1992-10-01

    Seawater offers an endless supply of cooling water for these coastal processing facilities. But users must address seawater's corrosive nature in selecting construction materials for heat exchangers. Copper-nickel or carbon steel tubing fails continually under seawater service. This paper reports that titanium tubes, once thought to be too expensive a material for heat exchanger tubing, offer a unique combination of high material strength, excellent resistance to corrosion, and endurance to erosion by seawater. Titanium's superior physical properties in combination with enhanced surface area of low finned tubing perform the same heat duty with half the lineal footage of traditional heat exchanger tubes. High density low finned tubes multiply heat transfer capacity by a factor of two compared to plain tube. The technology applies in retrofit and original equipment manufacture (OEM) situations. It works best when the ratio of heat transfer coefficients is 2:1 or higher between the seawater coolant and shellside flow being cooled.

  20. Improving student support in professional placement learning: findings from the South west peninsula pilot of a new english national placement quality assurance and enhancement process.

    Science.gov (United States)

    Williamson, Graham R; Heath, Val; Ballantyne, Liz; Callaghan, Lynne; Webster, Daniel; Hunter, Claire

    2008-01-01

    English stakeholder collaboration has resulted in a new quality assurance process for non-medical health and social care placement providers and higher education institutions. This study aimed to discover the impact on student support that taking part in a pilot had on participating placement areas. Using a questionnaire survey with longitudinal follow-up one year later, we found that placement staff valued the opportunity to review and improve student support practices. This was still in evidence a year later where the pilot was described as giving the opportunity to provide evidence of aspects of student support practice; communicating and changing or developing aspects of that practice. Benefits accrued from interdisciplinary working in sharing and collaborating with other professions and organisations. Such activity could enhance clinical support staff activities and facilitate strategic partnerships between placement providers and higher education institutions.