WorldWideScience

Sample records for tee vikestest hingepiinadest

  1. Tee ajalugu / Maris Takk

    Index Scriptorium Estoniae

    Takk, Maris

    2006-01-01

    Eesti Maanteemuuseumi (Varbuse postijaam, Kanepi vald, Põlvamaa) näitus "Tee ajalugu". Sisekujundus: Krista Lepland, Malle Jürgenson, kaasautor Tea Tammelaan, OÜ Laika, Belka & Strelka. Ehitus: OÜ Bauvel. Postitõlla maalis Kai Kaljo. Eesti Sisearhitektide Liidu 2005. a. näituse kujunduse preemia. T. Tammelaanest, K. Leplandist ja M. Jürgensonist, OÜ Laika, Belka & Strelka tähtsamad tööd. Hedi Rootsist, tema tähtsamad tööd. Ill.: plaan, 28 värv. vaadet, 4 portreefotot

  2. Forensic testing of a double tee bridge.

    Science.gov (United States)

    2014-12-01

    This report describes an investigation to quantify the behavior of precast, prestressed concrete double-tee bridge : girders made with lightweight concrete. As part of the investigation, three bridge girders were salvaged from a : decommissioned brid...

  3. 21 CFR 868.5995 - Tee drain (water trap).

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Tee drain (water trap). 868.5995 Section 868.5995...) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Therapeutic Devices § 868.5995 Tee drain (water trap). (a) Identification. A tee drain (water trap) is a device intended to trap and drain water that collects in ventilator...

  4. TEE Beam Manufacturing Analysis for Weight Reduction and Producibility

    National Research Council Canada - National Science Library

    Blomquist, Paul A

    1994-01-01

    .... Tees produced by the traditional method of deflanging hot-rolled I-beams (I/T shapes) have been compared to fabricated tee-shapes produced from plate for a target group of 1700 tees used in a DDG-51 class vessel...

  5. High temperature lined conduits, elbows and tees

    Science.gov (United States)

    De Feo, Angelo; Drewniany, Edward

    1982-01-01

    A high temperature lined conduit comprising, a liner, a flexible insulating refractory blanket around and in contact with the liner, a pipe member around the blanket and spaced therefrom, and castable rigid refractory material between the pipe member and the blanket. Anchors are connected to the inside diameter of the pipe and extend into the castable material. The liner includes male and female slip joint ends for permitting thermal expansion of the liner with respect to the castable material and the pipe member. Elbows and tees of the lined conduit comprise an elbow liner wrapped with insulating refractory blanket material around which is disposed a spaced elbow pipe member with castable refractory material between the blanket material and the elbow pipe member. A reinforcing band is connected to the elbow liner at an intermediate location thereon from which extend a plurality of hollow tubes or pins which extend into the castable material to anchor the lined elbow and permit thermal expansion. A method of fabricating the high temperature lined conduit, elbows and tees is also disclosed which utilizes a polyethylene layer over the refractory blanket after it has been compressed to maintain the refractory blanket in a compressed condition until the castable material is in place. Hot gases are then directed through the interior of the liner for evaporating the polyethylene and setting the castable material which permits the compressed blanket to come into close contact with the castable material.

  6. Construction of prestressed concrete single-tee bridge superstructures.

    Science.gov (United States)

    1977-01-01

    This report discusses in detail the construction of the first five precast, prestressed concrete, single-tee beam bridge superstructures to be let to contract in Virginia. The data suggest that this single-tee beam enables efficient construction of t...

  7. Multiple-jet thermal mixing in a piping tee

    International Nuclear Information System (INIS)

    Lykoudis, P.S.; Hagar, R.C.

    1979-01-01

    Piping tees that are used to mix fluid streams at different temperatures are subjected to possibly severe thermal and mechanical stresses. There is reason to suspect that mixing in a piping tee could be improved by injecting the fluid streams into the tee through multiple jets. This paper reports the results of an experimental investigation of the effects of multiple-jet injection on mixing in a piping tee. The experimental work involves the measurement of the temperature fluctuation intensity with a hot-film sensor downstream of a simple 22.22-mm(7/8-in.)-diam tee with mixed multiple-jet injected hot and cold streams of water. The jets were provided by holes drilled in plates that partially blocked the inlet streams; 26 pairs of plates were investigated. The number of holes per plate varied from 1 to 51; the jet diameters ranged from 5 to 68% of the tee diameter. The inlet stream Reynolds number upstream of the jet plates was roughly 15 500 for each stream. The data indicated that the root mean square (rms) temperature fluctuation intensity measured at the tee outlet decreased dramatically as the jet plate cross-sectional area void fraction was decreased. When the jets emanating from the tee plates were misaligned, the reduction of the rms temperature fluctuation was not as high as when the jets were aligned. The rate of decay of the intensity downstream of the tee for most ofthe plates investigated was found to agree well with the -3/4 power decay law predicted by Corrsin's theory of scalar decay. However, unusual features in the intensity decay data were also observed, such as an increase of the intensity several diameters downstream before continuing to decay

  8. Finite element stress analysis of extruded outlet tee junctions

    International Nuclear Information System (INIS)

    Gilroy, J.E.; Clark, J.S.; Tosh, P.A.

    1985-01-01

    The stress analysis of branch pipe intersections and nozzles in large diameter, thin walled pipework systems, subjected to moment loadings, is an area of concern to pipework designers. This is of particular concern in the pipework design of the liquid metal heat transport systems used in Fast Reactor Power Plants. The authors have used the NASTRAN finite element program to model a 10 x 10 x 8 x 3/8 in. extruded outlet tee, subjected to internal pressure, in-plane, out-of-plane and torsion moments applied to both the branch pipe and the run pipe legs of the tee. The results of the analysis are compared with the stresses obtained experimentally on a similar sized tee. (author)

  9. Palverännaku tee õpetab kogemuse kaudu / Katri Soe

    Index Scriptorium Estoniae

    Soe, Katri

    2006-01-01

    Camino de Santiago ehk Santiago tee juhtimiskoolitusest. Kommenteerivad koolituse läbinud Mistra-Autexi projektijuht Siiri Vaaderpass, AS-i Saare Finants juhataja Alar Tõru, AS-i Tobaccoland Eesti juhatuse esimees Mall Bakler ning koolituse organisaator ja läbiviija Aira Tammemäe

  10. Pirita tee trepp = Pirita road stairway / Villem Tomiste

    Index Scriptorium Estoniae

    Tomiste, Villem, 1975-

    2011-01-01

    Artikkel lähtub Tallinna III linnafoorumist, kus vaatluse all oli Pirita tee alguse piirkond. Lauluväljaku ja Maarjamäe memoriaali vahelisest alast. Ettepanek ehitada Pirita teelt klindile trepistik, mis linna poolt külgneks elamute alaga. Näitusehallid võiksid kolida klindi peale Narva maantee äärde

  11. Thermal fatigue evaluation of piping system Tee-connections

    International Nuclear Information System (INIS)

    Metzner, K.J.; Braillard, O.; Faidy, C.; Marcelles, I.; Solin, J.; Stumpfrock, L.

    2004-01-01

    Thermal fatigue is one significant long-term degradation mechanism nuclear power plants (NPP), in particular, as operating plants become older and life time extension activities have been initiated. In general, the common thermal fatigue issues are understood and controlled by plant instrumentation systems. However, incidents in some plants indicate that certain piping system Tees are susceptible to turbulent temperature mixing effects that cannot be adequately monitored by common thermocouple instrumentation. The THERFAT project has been initiated to advance the accuracy and reliability of thermal fatigue load determination in engineering tools and research oriented approaches to outline a science based practical methodology for managing thermal fatigue risks in Tee-connections susceptible to high cyclic thermal fatigue. (orig.)

  12. Finite element analysis of elasto-plastic tee joints

    International Nuclear Information System (INIS)

    Powell, G.H.

    1974-09-01

    The theory and computational procedures used in the computer program B169TJ/EP for the analysis of elasto-plastic tee joints are described, and detailed user's guide is presented. The program is particularly applicable to joints conforming to the ANSI B16.9 Manufacturing Standard, but can also be applied to other joint geometries. The joint may be loaded by internal pressure and by arbitrary combinations of applied forces and moments at the ends of the branch and run pipes, and the loading sequence may be arbitrary. The joint material is assumed to yield according to the von Mises criterion, and to exhibit either linear kinematic hardening or nonlinear isotropic hardening after yield. The program makes use of the finite element and mesh generation procedures previously applied in the elastic stress analysis program B16.9TJ/ SA, with minor modifications. (U.S.)

  13. Stress of tee joints by the finite element method

    International Nuclear Information System (INIS)

    Gantayat, A.N.; Powell, G.H.

    1973-02-01

    A series of three computer programs for the stress and thermal stress analysis of tee joints to ASA B16.9 is described. Detailed user's guides to the programs are presented, and the results of analyses are compared with experimental measurements obtained elsewhere. An investigation to select the most appropriate finite element for inclusion in the programs is described. The finite element theory, for both stress and transient heat flow analysis, is presented in detail. Listings of input data for sample problems are included. It is concluded that results in good agreement with experiment can be obtained, but that further studies of the effects of mesh refinement remain to be carried out. (auth)

  14. Comparing Measurements of CT Angiography, TEE, and Fluoroscopy of the Left Atrial Appendage for Percutaneous Closure.

    Science.gov (United States)

    Saw, Jacqueline; Fahmy, Peter; Spencer, Ryan; Prakash, Roshan; McLaughlin, Patrick; Nicolaou, Savvas; Tsang, Michael

    2016-04-01

    Left atrial appendage (LAA) closure requires accurate preprocedural measurements, and trans-esophageal echocardiography (TEE), cardiac computed tomography angiography (CCTA) and fluoroscopy can be utilized. However, correlations between these measurements remain inadequately assessed. Patients who underwent LAA closure at Vancouver General Hospital who had baseline LAA measurements by CCTA, TEE, and fluoroscopy were included in this analysis. CCTAs were performed with prospective-ECG-gating with Toshiba 320-detector or Siemens second generation 128-slice dual-source scanners, and images interpreted with VitreaWorkstation.™ LAA maximal dimensions were obtained for all patients at: (1) Amplatzer Cardiac Plug (ACP)/Amulet landing zone 10 mm within orifice, (2) WATCHMAN ostium, and (3) WATCHMAN depth measurements. Correlations and agreements were compared. We report 50 consecutive patients who underwent LAA closure (8 ACP, 10 Amulet, 32 WATCHMAN). Average age was 75.2 ± 8.7 years, mean CHADS2 score 3.0 ± 1.3, and CHA2 DS2 -VASc 4.7 ± 1.5. Procedural device implantation success was 100%. For ACP landing zone, mean maximal measurements were 24.1 ± 4.7 mm with CCTA, 22.3 ± 4.9 mm TEE, and 19.9 ± 5.6 mm fluoroscopy (P fluoroscopy/CTA, 0.67 fluoroscopy/TEE, and 0.80 CTA/TEE. For WATCHMAN ostium, mean maximal measurements were 25.8 ± 4.7 mm CCTA (P fluoroscopy, P = 0.16 vs. TEE), 25.1 ± 4.4 mm TEE (P = 0.016 vs. fluoroscopy), and 23.8 ± 4.9 mm fluoroscopy; R value 0.71 fluoroscopy/CTA, 0.65 fluoroscopy/TEE, and 0.74 CTA/TEE. Depth measurements were 34.3 ± 5.7 mm with CCTA, 31.1 ± 6.5 mm TEE, and 27.8 ± 7.1 mm fluoroscopy (all P fluoroscopy/CTA, 0.22 fluoroscopy/TEE, and 0.56 CTA/TEE. All 3 imaging modalities correlated with ACP landing zone and WATCHMAN ostium measurements, with CCTA providing the largest measurements, followed by TEE and fluoroscopy. © 2016 Wiley Periodicals, Inc.

  15. Saaremaa laevakompanii lõhkus valmis jäätee / Harda Roosna

    Index Scriptorium Estoniae

    Roosna, Harda, 1956-

    2006-01-01

    Majandusministeeriumis kohtusid kantsler Marika Priske, lennundus- ja merendusosakonna juhataja aset. Nathan Tõnisson, Saaremaa laevakompanii juhatuse esimees Tõnis Rihvk, veeteede ameti peadirektor Andrus Maide ning maanteeameti peadirektor Riho Sõrmus arutamaks jäätee ettevalmistusprotsessi reegleid ning talvise parvlaevaliikluse koordineerimist

  16. Ainult kaks küsimust : tantsuteatri Tee Kuubis projektijuht / Laura Kvelstein

    Index Scriptorium Estoniae

    Kvelstein, Laura

    2011-01-01

    Tallinnas toimuvast projektist OSLA (Old Spaces Living Art / Vanad Paigad Elav Kunst), mida korraldab Tallinna Ülikooli juures tegutsev tantsuteater Tee Kuubis. Tänavaetendused algavad 5. juunil, suur tantsulavastus on 14. augustil

  17. Test report on experimental stress analysis of a 24 inch diameter tee (ORNL T-13)

    International Nuclear Information System (INIS)

    Henley, D.R.

    1975-03-01

    The experimental stress analysis and low cycle fatigue test of one 24 in. x 24 in. x 10 in. schedule 160 carbon steel, ANSI B16.9 tee performed by Combustion Engineering, Inc. are described. The tee was instrumented with 230 rectangular strain gage rosettes. Elastic data was obtained for 12 loading conditions consisting of internal pressure and orthogonal pure moments and orthogonal direct forces applied individually to the free branch and run ends of the tee. One of the run ends of the tee was ''built in'' throughout the test. All loads were applied through pipe extensions welded to the tee. The tee was tested to failure in a low cycle pressure fatigue test with a cyclic internal pressure between 100 psi and 7000 psi. A through-the-wall fatigue crack occurred at 15,084 cycles. Significant test results are summarized and compared with design values tabulated in the ASME Boiler and Pressure Vessel Code, Section III, 1971. (U.S.)

  18. Fatigue caused by temperature changes in mixing tees

    International Nuclear Information System (INIS)

    Rothenhoefer, Horst

    2010-01-01

    Unexpected damages at mixing tees in piping systems in the past, one of them in the French NPP Civaux, raised questions concerning the basic cause for these events. Assumptions lead to the postulation of a ''new'' degradation mechanism which was called ''striping'', mainly based on thermal fluctuations in the mixing zone of hot and cold fluid which would be transferred to the internal wall of the pipe resulting in High Cycle Fatigue (HCF). Experiments and CFD simulations have been performed to understand the degradation mechanism behind the damages in order to find adequate measures to control that mechanism in future. The knowledge and assessment of all relevant degradation mechanisms is prerequisite for the application of the Integrity Concept, part of the German KTA 3201.4. In this paper numerous publications concerning striping are reviewed and assessed. The published experiments and simulations are separated into two main groups. The first group should help to understand the details of the mixing fluid flow and the corresponding thermal fluctuations. The second group should verify the damage mechanism of local thermal cycles as a HCF load. Latest simulation results and a detailed assessment of the heat transfer between fluid and structure are explained to understand and describe the degradation mechanism of striping and to define adequate measures for failure prevention. It is shown that if the procedure of monitoring and assessment, including the optimization of operational modes, is applied, which some utilities have been practicing for many years, the ''new'' degradation mechanism of striping is covered as well. Finally the conclusions are validated by transferring them to real damages proving that with the new knowledge the damages can be explained and the Integrity Concept can still be applied if the guidelines are realized in practice. (orig.)

  19. TEE, an estimator for the precision of eclipse and transit minimum times

    Science.gov (United States)

    Deeg, H. J.; Tingley, B.

    2017-03-01

    Context. Transit or eclipse timing variations have proven to be a valuable tool in exoplanet research. However, no simple way to estimate the potential precision of such timing measures has been presented yet, nor are guidelines available regarding the relation between timing errors and sampling rate. Aims: A timing error estimator (TEE) equation is presented that requires only basic transit parameters as input. With the TEE, estimating timing precision for actual data and for future instruments, such as the TESS and PLATO space missions, is straightforward. Methods: A derivation of the timing error based on a trapezoidal transit shape is given. We also verify the TEE on realistically modelled transits using Monte Carlo simulations and determine its validity range, exploring in particular the interplay between ingress/egress times and sampling rates. Results: The simulations show that the TEE gives timing errors very close to the correct value, as long as the temporal sampling is faster than transit ingress/egress durations and transits with very low S/N are avoided. Conclusions: The TEE is a useful tool for estimating eclipse or transit timing errors in actual and future data sets. In combination with a previously published equation to estimate period-errors, predictions for the ephemeris precision of long-coverage observations are possible as well. The tests for the TEE's validity range also led to implications for instrumental design. Temporal sampling has to be faster than transit ingress or egress durations, or a loss in timing precision will occur. An application to the TESS mission shows that transits close to its detection limit will have timing uncertainties that exceed 1 h within a few months of their acquisition. Prompt follow-up observations will be needed to avoid "losing" their ephemerides.

  20. Analysis method by fracture finite element for tee with longitudinal through-wall crack

    International Nuclear Information System (INIS)

    Lu Yuechuan; Zhang Fenggang

    2008-01-01

    This paper presents how to use finite element procedure ABAQUS to conduct the fracture finite element analysis for tee with longitudinal through-wall crack, and focuses on the establishment of computation model and calculation method of J-integral. The finite element computation results are compared with the theoretical results for the straight pipe, which shows that the two results are almost the same. This indicates that the method, input and singular element which used to calculate J-integral are correct. The methods and processes can be used to analyze J-integral of tee with longitudinal through-wall crack by ABAQUS. (authors)

  1. Impact of a Monoplane Hemodynamic TEE (hTEE) Monitoring Device on Decision Making in a Heterogeneous Hemodynamically Unstable Intensive Care Unit Population: A Prospective, Observational Study.

    Science.gov (United States)

    Hlaing, Maung; He, Jianghua; Haglund, Nicholas; Takayama, Hiroo; Flynn, Brigid C

    2017-10-18

    This prospective observational study was undertaken to evaluate the utility of a miniature transesophageal echocardiography probe (ImaCor hemodynamic [hTEE]) in the management of hemodynamically unstable intensive care unit patients with and without various forms of mechanical circulatory support. A prospective observational study. A single tertiary care cardiothoracic and surgical intensive care unit. Fifty-three cardiothoracic and surgical intensive care unit patients undergoing miniature transesophageal echocardiography examinations. All patients had hemodynamic instability as defined by necessity of mechanical circulatory support (MCS) devices or vasoactive medications. From April 2012 to February 2014, 53 hemodynamically unstable intensive care unit patients received an examination with the miniature transesophageal echocardiography probe when deemed necessary by the intensivist for rapid and/or ongoing transesophageal echocardiographic examinations. Twenty-eight of the examinations were performed in patients with MCS devices (53%). The remainder of examinations (n = 25, 47%) were performed in patients after other cardiothoracic surgery or noncardiac surgery with cardiac complications. The measured endpoint was determination of usefulness of management guidance due to the miniature transesophageal echocardiographic examination as assessed by the intensivist caring for the patient. The incidence of hTEE imaging provoking a change in management also was recorded. Overall, of the 53 examinations, 77% (n = 41) provided useful information to the management. Of the 25 examinations in patients without MCS, 92% (n = 23) of the examinations were useful in guiding management. Among the 28 examinations in patients with MCS devices, 64% (n = 18) of examinations were useful in guiding management (odds ratio = 0.156; 95% confidence interval, 0.015-0.899; p = 0.022). Eight of the 53 examinations (15%) were deemed to have "poor image quality" by the echocardiographer. Age

  2. Elasto-Plastic Analysis of Tee Joints Using HOT-SMAC

    Science.gov (United States)

    Arnold, Steve M. (Technical Monitor); Bednarcyk, Brett A.; Yarrington, Phillip W.

    2004-01-01

    The Higher Order Theory - Structural/Micro Analysis Code (HOT-SMAC) software package is applied to analyze the linearly elastic and elasto-plastic response of adhesively bonded tee joints. Joints of this type are finding an increasing number of applications with the increased use of composite materials within advanced aerospace vehicles, and improved tools for the design and analysis of these joints are needed. The linearly elastic results of the code are validated vs. finite element analysis results from the literature under different loading and boundary conditions, and new results are generated to investigate the inelastic behavior of the tee joint. The comparison with the finite element results indicates that HOT-SMAC is an efficient and accurate alternative to the finite element method and has a great deal of potential as an analysis tool for a wide range of bonded joints.

  3. Experimental investigation of liquid entrainment in vertical up tee branch with double-end gas inlets

    International Nuclear Information System (INIS)

    Sun, D.C.; Zhang, J.; Xiang, Y.; Tian, W.X.; Liu, J.C.; Zhang, P.; Qiu, S.Z.

    2015-01-01

    Highlights: • Test facility scaled after AP1000 with a ratio of 1:5.6 was constructed. • Visualization tests were conducted to gain more entrainment details. • Entrainment onset and entrainment rate data were collected and analyzed. • Experimental data were compared with available data and correlations. • The liquid entrainment frequency in entrainment rate tests were analyzed. - Abstract: Tee branches are widely used in nuclear power plants for varying purposes. The tee branch is adopted by the fourth stage Automatic Depressurization System (ADS-4) in Westinghouse AP600/AP1000 to depressurize the primary loop during the small break loss of coolant accident (SBLOCA). However, large amount of coolant will be entrained simultaneously through the ADS-4 branch which poses the threat of core uncovering and melting. Visualization experiments with double-end gas inlets were conducted to investigate the ADS-4 tee branch entrainment phenomena in AP1000. Entrainment process were recorded by high speed camera and analyzed in detail. The onset of liquid entrainment and entrainment rate data were obtained and compared with existing data and correlations, and discrepancies were found in the comparison due to the difference of test section geometric configuration. The gas flow rate has little effect on the branch quality at the same dimensionless gas chamber height in entrainment rate tests. The entrainment frequency was also studied. The test data reveal that the entrainment period decreases rapidly with the increase of entrainment rate in low range of the entrainment rate, and gradually stabilizes in high range of the entrainment rate

  4. "Euroopa telligootika tee" : rahvusvahelised koostööprojektid / Ülle Jukk

    Index Scriptorium Estoniae

    Jukk, Ülle

    2005-01-01

    Euroopa Liidu programmi INTERREG IIIB raames ellu kutsutud projektist "European Route of Brick Gothic", milles osalemise lepingule kirjutas 2002. a. alla 27 linna ja maakonda ning kohalikku ja riigiasutust Saksamaalt, Poolast, Taanist, Rootsist, Leedust, Lätist ja Eestist (Muinsuskaitseamet, SA Tartumaa Turism). 1.-3. IX 2003 toimus seminar Tartus. Koostati käsiraamat "Kohalikud turundusstrateegiad kultuuripärandi innovaatiliseks kasutamiseks". Valminud on voldik "Euroopa tellisgootika tee", kõikide osalejate objekte tutvustav infobrozhüür ning veebileht (www.eurob.org)

  5. Beyond the static image: Tee Corinne's roles as a pioneering lesbian artist and art historian.

    Science.gov (United States)

    Snider, Stefanie

    2013-01-01

    While Tee Corinne has been widely recognized as a preeminent lesbian and feminist artist of the last forty years, little has been written about her as an artist or art historian in any substantial way. This article attempts to shed light on Corinne's investment in creating explicitly sexual lesbian visual art and art historical writings that put pressure on the categories of artist and art historian between the 1970s and early 2000s. Corinne's work manages to fulfill feminist ideals while also working outside of the norms set up in both the lesbian and mainstream realms of art and art history.

  6. Comparison of the design rules for the end of the prestressed concrete double tee component between China and the United States

    Directory of Open Access Journals (Sweden)

    Meng Xian Hong

    2016-01-01

    Full Text Available Precast prestressed concrete double tee is an economic bearing component which can be made into a large span, large coverage area .From the angle of the design for the end of the precast prestressed concrete double tee component, flexure and axial tension in extended end, direct shear, diagonal tension at re-entrant corner, diagonal tension in extended end and the connection of the end of precast prestressed double tee component in China and the United States are compared. The comparative study provide the direction for the future development of China in the double tee,including strengthening the end reinforcement and increasing end connections.

  7. Experimental stress analysis and fatigue tests of five 24-in. NPS ANSI Standard B16. 9 tees. [PWR; BWR

    Energy Technology Data Exchange (ETDEWEB)

    Moore, S.E.; Hayes, J.K.; Weed, R.A.

    1985-03-01

    Experimental stress analyses and low-cycle fatigue tests of five 24-in. nominal pipe size American National Standards Institute (ANSI) Standard B16.9 forged tees are documented in this report. The tees, designated as Oak Ridge National Laboratory tees T10, T11, T12, T13, and T16, were tested under subcontract at Combustion Engineering, Inc. in Chattanooga, Tennessee. Experimental stress analyses were conducted for 12 individual loadings on each tee. Each test model was instrumented with approx. 225, 1/8-in. three-gage, 45/sup 0/ strain rosettes on the inside and outside surfaces; and 6 linear variable differential transformers mounted on special nonflexible holding frames for measuring deflections and rotations of the pipe extensions. Following completion of the strain-gate tests, each tee was fatigue tested to failure with either a fully reversed displacement controlled in-plane bending moment on the branch or a cyclic internal pressure that ranged from a value slightly above zero to about 90% of the nominal yield pressure of the pipe extensions.

  8. Embolic Stroke Diagnosed by Elevated D-Dimer in a Patient With Negative TEE for Cardioembolic Source

    Directory of Open Access Journals (Sweden)

    Irina Y. Sazonova PhD

    2014-12-01

    Full Text Available We report a case of cerebrovascular accident with thromboembolic stroke etiology in a patient who had atrial flutter and negative transesophageal echocardiography (TEE results. The increased D-dimer levels (1877 ng/mL initiated referral for magnetic resonance imaging and magnetic resonance angiography of the brain that showed classic recanalization of an embolic thrombus in the angular branch of the left middle cerebral distribution. The D-dimer level of this patient was normalized after 3 months of anticoagulation therapy. Although TEE is considered the gold standard for evaluation of cardiac source of embolism, exclusion of intracardiac thrombus with TEE alone does not eliminate the risk of thromboembolic events. This case highlights the utility of D-dimer as a potential adjunct in the decision-making process to guide investigation of thromboembolism, determine subsequent therapy, and hence reduce the risk of embolic stroke recurrence.

  9. Theoretical modelling and experimental investigation of single-phase and two-phase flow division at a tee-junction

    International Nuclear Information System (INIS)

    Lemonnier, H.; Hervieu, E.

    1991-01-01

    Phase separation in a tee-junction is modelled in the particular case of bubbly-flow. The model is based on a two-dimensional approach and hence, uses local equations. The first step consists in modelling the single-phase flow in the tee-junction. The free streamline theory is used to predict the flow of the continuous phase. The two recirculation zones which are presented in this case are predicted by the model. The second step consists in predicting the gas bubble paths as a result of the actions of the single-phase flow. Finally, the trajectories of gas bubbles are used to predict the separation characteristics of the tee-junction. Each step of the modelling procedure has been carefully tested by an in-depth experimental investigation. Excellent quantitative agreement is obtained between experimental results and model predictions. Moreover, the phase separation phenomenon is found to be clearly described by the model. (orig.)

  10. Parametric CAD and Fea Model of a Saddle Tapping Tee

    DEFF Research Database (Denmark)

    A. Kristensen, Anders Schmidt; Lund Jepsen, Kristian

    2007-01-01

    is determined from paragraph K302.3.2 in ASME B31.3. A full parametric 3D CAD model of the Saddle Tapping Tee is developed where a number of user-defined parameters are controlled from an Excel spreadsheet allowing parameter studies and technical documentation to be generated effectively. The same Excel spread......-sheet control a full 3D parametric FEA model which is automatically updated from the user-defined parameters set for the CAD-model. As the gasket is subjected to a contact pressure arising from the clamping force acting on the pipe section, a FE contact analysis is carried out. This contact analysis is set up...... required and relevant user-defined parameter on the Saddle Tapping Tee from a single Excel spreadsheet in both the CAD model and the FE model. A full 3D CAD model is effectively generated for dimensions in the range from NPS ½ to NPS 24 and FEA can be performed to provide documentation of the behaviour...

  11. Paravalvular mitral valve leakage presenting as congestive heart failure, missed by TTE but diagnosed by TEE: a case report.

    Science.gov (United States)

    Jayawardena, Suriya; Sooriabalan, Danushan; Burzyantseva, Olga; Sinnapunayagm, Selvaratnam

    2008-10-06

    Diagnosis of prosthetic valve leakage by the transthoracic echocardiogram (TTE) technique is more difficult. These limitations are diminished with the use of transesophageal echocardiogram (TEE) techniques. A 71 year old Caucasian male presented with symptoms and signs of congestive heart failure. Past medical history included a bio-prosthetic mitral valve replacement for severe mitral regurgitation. TTE showed possible mitral regurgitation. As the TTE did not correlate with the finding of a high E-velocity, a TEE was performed, which showed a significant paravalvular leak of moderate severity around the bio-prosthetic mitral valve. There should be a high degree of suspicion to diagnose a paravalvular leak.

  12. Thermal fatigue in mixing tees: A step by step simplified procedure

    International Nuclear Information System (INIS)

    Faidy, Claude

    2003-01-01

    Following the CIVAUX 1 incident of a leak on RHR system, EDF has developed a step by step procedure to screen and analyse similar locations: mixing tees with long duration at high ΔT between the 2 fluids. The paper present the procedure, the background of the methodology and few R and D work that support this procedure. The procedure is based on: screening criteria on maximum DT and minimum duration. screening criteria without any duration consideration, only DT and material. a simplified and conservative estimation of a usage factor. a detailed analysis of usage factor and crack growth rate, based on specific data collection of operating transients. Around that procedure EDF launched an R and D program on fatigue curves and fatigue reduction factors for high cycle fatigue. The procedure is compared with field experience and recent R and D fatigue tests. (author)

  13. Laminar forced convective heat transfer in a two-dimensional branching tee junction

    International Nuclear Information System (INIS)

    Khodadadi, J.M.; Nguyen, T.M.; Vlachos, N.S.

    1985-01-01

    Laminar forced convective heat transfer in a two-dimensional ninety degree branching tee junction is studied numerically. The governing elliptic equations are solved by a finite-difference numerical scheme utilizing primitive dependent variables. A wide range of Reynolds numbers and dividing flowrates is studied while the working fluid is air with constant properties which is heated via the constant temperature walls of the bifurcation. The location of the separation and reattachment points corresponding to the two recirculation zones which form near the bifurcation are quantified as a function of the Reynolds number and dividing flowrate. The variation of the local Nusselt number along the walls of the bifurcation is discussed in light of the direct effects of the highly perturbed flowfield

  14. Assessment of TEES reg sign applications for Wet Industrial Wastes: Energy benefit and economic analysis report

    Energy Technology Data Exchange (ETDEWEB)

    Elliott, D.C.; Scheer, T.H.

    1992-02-01

    Fundamental work is catalyzed biomass pyrolysis/gasification led to the Thermochemical Environmental Energy System (TEES{reg sign}) concept, a means of converting moist biomass feedstocks to high-value fuel gases such as methane. A low-temperature (350{degrees}C), pressurized (3100 psig) reaction environment and a nickel catalyst are used to reduce volumes of very high-moisture wastes such as food processing byproducts while producing useful quantities of energy. A study was conducted to assess the economic viability of a range of potential applications of the process. Cases examined included feedstocks of cheese whey, grape pomace, spent grain, and an organic chemical waste stream. The analysis indicated that only the organic chemical waste process is economically attractive in the existing energy/economic environment. However, food processing cases will become attractive as alternative disposal practices are curtailed and energy prices rise.

  15. Thermal fatigue crack growth in mixing tees nuclear piping - An analytical approach

    International Nuclear Information System (INIS)

    Radu, V.

    2009-01-01

    The assessment of fatigue crack growth due to cyclic thermal loads arising from turbulent mixing presents significant challenges, principally due to the difficulty of establishing the actual loading spectrum. So-called sinusoidal methods represent a simplified approach in which the entire spectrum is replaced by a sine-wave variation of the temperature at the inner pipe surface. The need for multiple calculations in this process has lead to the development of analytical solutions for thermal stresses in a pipe subject to sinusoidal thermal loading, described in previous work performed at JRC IE Petten, The Netherlands, during the author's stage as seconded national expert. Based on these stress distributions solutions, the paper presents a methodology for assessment of thermal fatigue crack growth life in mixing tees nuclear piping. (author)

  16. Via Baltica : Eesti tee Hansaliidust Euroopa Liitu? = Via Baltica : Viron tie Hansaliitosta Euroopan Unioniin? / Hannu Eerikäinen

    Index Scriptorium Estoniae

    Eerikäinen, Hannu

    2004-01-01

    Via Baltica moodustab Läänemere regioonis tähtsaima arengutelje, mis avab Põhja-Euroopale tee EL-ist väljaspool olevatesse riikidesse. Tallinnast saab taas tähtis vahendaja Põhja- ja Kesk-Euroopa vahel

  17. A hydro-thermo-mechanics analyze of the thermal fatigue in the mixing tee junction

    Energy Technology Data Exchange (ETDEWEB)

    Gourdin, C.; Chapuliot, S. [CEA Saclay, Dir. de l' Energie Nucleaire, (DEN/DM2S/SEMT/LISN), 91 - Gif sur Yvette (France); Magnaud, J.P. [CEA Saclay, Dir. de l' Energie Nucleaire (DEN/DM2S/SFME/LTMF), 91 - Gif sur Yvette (France); Payen, T. [Institut de Radioprotection et de Surete Nucleaire (IRSN/DES/SAMS), 92 - 92 - Fontenay aux Roses (France)

    2003-07-01

    Work presented here, has been achieved at Cea, and is related to the comprehension of the mechanisms leading to cracking under thermal loading in the zones of mixing. The main objective of this work is to analyze, by computation, the thermal loading induced by the turbulent mixing following a tee junction and to explain how it can create cracking, from the internal skin of the component to a leakage, as it was observed in Civaux Power Plant in 1998. The phenomenon is still today not completely understood. One of the principal reasons to this partial incomprehension undoubtedly resides in the multi-field aspect of the loading and of the associated damage, utilizing three different and complementary scientific disciplines: thermohydraulics, thermomechanics and material science. The presentation proposed here, consists in connecting the analyses resulting from these various fields. The first part concentrates on thermohydraulics simulations. The choice of an adequate modeling is discussed on the basis of observed cracking in order to highlight phenomena of large scale beats, which are supposed one of the major causes leading to the failure of the structures. The second part deals with the use of the temperature fields obtained in the first part in order to carry out thermomechanical simulations. All these simulations are 3-dimensional and represent the complex geometry of Civaux RRA piping line, including a tee junction and elbows, water flow velocity. Mean and temperatures variations, mean and stresses variations are also presented. As final results make it possible to determine a map of the damage associated with these complex thermal loading. (authors)

  18. Transesophageal echocardiography (TEE) vs. transthoracic echocardiography (TTE) in assessing cardio-vascular sources of emboli in patients with acute ischemic stroke.

    Science.gov (United States)

    Blum, Arnon; Reisner, Shimon; Farbstein, Yakov

    2004-09-01

    Transesophageal echocardiography (TEE) is a valuable tool in the evaluation of ischemic stroke patients. However, the real clinical impact of additional TEE data remains to be defined. Our purpose was to evaluate the impact of TEE on the management of patients at low risk for cardiogenic embolism. We studied 68 patients (57+/-10 years old) with ischemic stroke at low-risk for cardiogenic embolism. Each patient underwent bilateral carotid ultrasound Doppler study, trans-thoracic echocardiography (TTE) and TEE in order to find out left atrial spontaneous echo contrast or intracavitary thrombi, communication or aneurysm of the inter-atrial septum, ventricular septal defect, patent foramen ovale, and the presence of intra-aortic atherosclerotic plaques or thrombi. In 28 out of 68 patients TEE found an abnormal lesion that has not been detected by TTE: there were 23 diffuse (>5mm) atherosclerotic atheromas in the aortic arch, 5 patent foramen ovale (PFO) lesions, 3 left atrial thrombi, 1 ventricular septal defect (VSD), and 1 atrial septal defect (ASD). 6 patients had more than 1 finding. These findings changed the management, and all 28 patients started to be treated with Coumadine instead of Aspirin. Patients with PFO were sent to close the shunt with a patch. In half of the patients TEE (but not TTE) found a significant lesion that changed our policy of management. None of these lesions were detected by TTE. It seems that TEE is mandatory in the evaluation of patients with acute ischemic stroke.

  19. Kundalini Yoga, Yogi Tee und das Wassermannzeitalter: Bibliografische Einblicke in die Healthy, Happy, Holy Organization (3HO) des Yogi Bhajan

    OpenAIRE

    Laue, Thorsten

    2008-01-01

    Obwohl seit 40 Jahren im Westen aktiv, ist die Healthy, Happy, Holy Organization (3HO) des Yogi Bhajan (1929-2004) von der deutschen wie internationalen Forschung weitestgehend übersehen worden. Um dieser Forschungslücke entgegenzuwirken, verfasste ich 2003 meine religionswissenschaftlich begründete Magisterarbeit Darstellung und Quellen der 3HO Deutschland e.V. Aus dem Darstellungsteil entstand die 2007 im Münsteraner LIT-Verlag publizierte Monographie Kundalini Yoga, Yogi Tee und das Wasser...

  20. Improving the coastal record of tsunamis in the ESI-07 scale: Tsunami Environmental Effects Scale (TEE-16 scale)

    Energy Technology Data Exchange (ETDEWEB)

    Lario, J.; Bardaji, T.; Silva, P.G.; Zazo, C.; Goy, J.L.

    2016-07-01

    This paper discusses possibilities to improve the Environmental Seismic Intensity Scale (ESI-07 scale), a scale based on the effects of earthquakes in the environment. This scale comprises twelve intensity degrees and considers primary and secondary effects, one of them the occurrence of tsunamis. Terminology and physical tsunami parameters corresponding to different intensity levels are often misleading and confusing. The present work proposes: i) a revised and updated catalogue of environmental and geological effects of tsunamis, gathering all the available information on Tsunami Environmental Effects (TEEs) produced by recent earthquake-tsunamis; ii) a specific intensity scale (TEE-16) for the effects of tsunamis in the natural environment at coastal areas. The proposed scale could be used in future tsunami events and, in historic and paleo-tsunami studies. The new TEE- 16 scale incorporates the size specific parameters already considered in the ESI-07 scale, such as wave height, run-up and inland extension of inundation, and a comprehensive and more accurate terminology that covers all the different intensity levels identifiable in the geological record (intensities VI-XII). The TEE-16 scale integrates the description and quantification of the potential sedimentary and erosional features (beach scours, transported boulders and classical tsunamites) derived from different tsunami events at diverse coastal environments (e.g. beaches, estuaries, rocky cliffs,). This new approach represents an innovative advance in relation to the tsunami descriptions provided by the ESI-07 scale, and allows the full application of the proposed scale in paleoseismological studies. The analysis of the revised and updated tsunami environmental damage suggests that local intensities recorded in coastal areas do not correlate well with the TEE-16 intensity (normally higher), but shows a good correlation with the earthquake magnitude (Mw). Tsunamis generated by earthquakes can then be

  1. Large-eddy simulation in a mixing tee junction: High-order turbulent statistics analysis

    International Nuclear Information System (INIS)

    Howard, Richard J.A.; Serre, Eric

    2015-01-01

    Highlights: • Mixing and thermal fluctuations in a junction are studied using large eddy simulation. • Adiabatic and conducting steel wall boundaries are tested. • Wall thermal fluctuations are not the same between the flow and the solid. • Solid thermal fluctuations cannot be predicted from the fluid thermal fluctuations. • High-order turbulent statistics show that the turbulent transport term is important. - Abstract: This study analyses the mixing and thermal fluctuations induced in a mixing tee junction with circular cross-sections when cold water flowing in a pipe is joined by hot water from a branch pipe. This configuration is representative of industrial piping systems in which temperature fluctuations in the fluid may cause thermal fatigue damage on the walls. Implicit large-eddy simulations (LES) are performed for equal inflow rates corresponding to a bulk Reynolds number Re = 39,080. Two different thermal boundary conditions are studied for the pipe walls; an insulating adiabatic boundary and a conducting steel wall boundary. The predicted flow structures show a satisfactory agreement with the literature. The velocity and thermal fields (including high-order statistics) are not affected by the heat transfer with the steel walls. However, predicted thermal fluctuations at the boundary are not the same between the flow and the solid, showing that solid thermal fluctuations cannot be predicted by the knowledge of the fluid thermal fluctuations alone. The analysis of high-order turbulent statistics provides a better understanding of the turbulence features. In particular, the budgets of the turbulent kinetic energy and temperature variance allows a comparative analysis of dissipation, production and transport terms. It is found that the turbulent transport term is an important term that acts to balance the production. We therefore use a priori tests to evaluate three different models for the triple correlation

  2. Numerical simulation of long-period fluid temperature fluctuation at a mixing tee for the thermal fatigue problem

    Energy Technology Data Exchange (ETDEWEB)

    Utanohara, Yoichi, E-mail: utanohara@inss.co.jp [Institute of Nuclear Safety System, Inc., 64 Sata, Mihama-cho, Mikata-gun, Fukui 919-1205 (Japan); Nakamura, Akira, E-mail: a-naka@inss.co.jp [Institute of Nuclear Safety System, Inc., 64 Sata, Mihama-cho, Mikata-gun, Fukui 919-1205 (Japan); Miyoshi, Koji, E-mail: miyoshi.koji@inss.co.jp [Institute of Nuclear Safety System, Inc., 64 Sata, Mihama-cho, Mikata-gun, Fukui 919-1205 (Japan); Kasahara, Naoto, E-mail: kasahara@n.t.u-tokyo.ac.jp [University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8656 (Japan)

    2016-08-15

    Highlights: • A large eddy simulation of a mixing tee was carried out. • Fluid temperature fluctuation could be predicted qualitatively. • Grid convergence was almost attained and the simulation continued until 100 s. • A longer-period temperature fluctuation than the well-known St = 0.2 appeared. • Prediction of long-period temperature fluctuations improves the thermal fatigue assessment. - Abstract: Thermal fatigue cracks may be initiated at mixing tees where high and low temperature fluids flow in and mix. According to a previous study, damage by thermal fatigue depends on the frequency of the fluid temperature fluctuation near the wall surface. Structures have the time constant of structural response that depends on physical properties of the structure and the gain of the frequency response tends to become maximum at the frequency lower than the typical frequency of fluid temperature fluctuation. Hence the effect of the lower frequency, that is, long-period temperature fluctuation is important for the thermal fatigue assessment. The typical frequency of fluid temperature fluctuation is about St = 0.2 (nearly 6 Hz), where St is Strouhal number and means non-dimensional frequency. In the experimental study by Miyoshi et al. (2014), a longer-period fluctuation than St = 0.2 was also observed. Results of a fluid–structure coupled analysis by Kamaya et al. (2011) showed this long-period temperature fluctuation causes severer damage to piping. In the present study, a large eddy simulation was carried out to investigate the predictive performance of the long-period fluid temperature fluctuation more quantitatively. Numerical simulation was conducted for the WATLON experiment which was the water experiment of a mixing tee performed at the Japan Atomic Energy Agency. Four computational grids were used to confirm grid convergence. In the short time (9 s) simulations, tendencies of time-averaged and fluctuated velocities could be followed. Time

  3. High Cycle Thermal Fatigue Analysis for a Mixing Tee in Safety Injection and Shutdown Cooling System of SKN Unit 3 and 4 Power Plant

    International Nuclear Information System (INIS)

    Yang, Kyeong Jin; Lee, Dong Jae; Kim, Dae Soo; Huh, Man Gil

    2011-01-01

    Safety Injection and Shutdown Cooling system (SISC) in a nuclear power plant has an important role of core cooling during plant shutdown and on emergency conditions. A heat exchanger on the SISC removes the heat energy generated in the reactor core during shutdown cooling event. Mixing tee placed on downstream of the heat exchanger designates a Tshaped branch connection where the hot flow passed through the by-pass line mixes with the flow passed through the heat exchanger, and due to the characteristics of fluid with bad heat conductivity, the flow develops a mixing zone in a distance from the mixing tee. The pipe wall in the mixing zone experiences the thermal oscillation of high cycle, and therefore is in a state of the high cycle thermal fatigue loadings. In this work, performed is the high cycle thermal fatigue analysis for a mixing tee under the prescribed thermal loadings in a mixing zone. Using the evaluation guide established by JSME, JSME S017- 2003 which has evaluation procedure composing of the four steps, we evaluate the fatigue integrity of the mixing tee of which the results show that the mixing tee satisfies the fatigue integrity in the last step (fourth) of four steps of evaluation procedure where the fatigue usage factor, U was calculated and then compared with the well known criterion, U<1. Representative results of the fatigue analysis are also discussed

  4. Performance analysis of series-shunt and TEE types of microwave switches of different semiconductor materials for Satellite communications

    Directory of Open Access Journals (Sweden)

    Cirilo Gabino León Vega

    2014-01-01

    Full Text Available Se presenta un análisis de desempeño de conmutadores de microondas compuestos, de una entrada y una salida (SPST, diseñados con diodos p-i-n tipo masa con diferentes tipos de materiales semiconductores para las bandas de frecuencia Ku y Ka. Las dos configuraciones de conmutadores compuestos más comunes son aquellos con diodos p-i-n ubicados en diseños serie-paralelo y serie-paralelo-serie (TEE y aquí son analizados utilizando materiales semiconductores de Si, GaAs, GaN-WZ, GaN-ZB, GaSb, InP y SiC. Se presenta la metodología utilizada en los cálculos de resistencia serie y capacitancia de unión en los diodos p-i-n con el propósito de calcular los parámetros de desempeño propios de cada dispositivo conmutador. Estos parámetros son pérdida de inserción y aislamiento. Los conmutadores de tipo serie-paralelo, exceptuando el conmutador basado en diodo p-i-n de SiC-6 H, exhiben pérdidas de inserción menores a 0.2 dB y aislamiento hasta 41dB a la frecuencia de operación de 12 GHz. El conmutador diodo p-i-n tipo TEE con base en GaN-ZB tiene la mejor respuesta de pérdida de inserción menor a 0.23 dB y aislamiento hasta 52 dB, a las frecuencias de operación de 12 GHz y 30 GHz. El conmutador compuesto con base en diodo p-i-n de GaSb alcanza el mejor desempeño a la frecuencia de 12 GHz. Los conmutadores de microondas con configuración TEE tienen respuestas satisfactorias para la frecuencia de 30 GHz.

  5. A generic-tee-plenum mixing system for application to single point aerosol sampling in stacks and ducts.

    Science.gov (United States)

    Han, Taewon; O'Neal, Dennis L; Ortiz, Carlos A

    2007-01-01

    The ANSI/HPS-N13.1-1999 standard is based on the concept of obtaining a single point representative sample from a location where the velocity and contaminant profiles are relatively uniform. It is difficult to predict the level of mixing in an arbitrary stack or duct without experimental data to meet the ANSI/HPS N13.1-1999 requirements. The goal of this study was to develop experimental data for a range of conditions in "S" (S-shaped configuration) duct systems with different mixing elements and "S" systems having one or two mixing elements. Results were presented in terms of the coefficients of variation (COVs) for velocity, tracer gas, and 10-mum aerodynamic diameter (AD) aerosol particle profiles at different downstream locations for each mixing element. Five mixing elements were tested, including a 90 degrees elbow, a commercial static mixer, a Small-Horizontal Generic-Tee-Plenum (SH-GTP), a Small-Vertical Generic-Tee-Plenum (SV-GTP), and a Large-Horizontal Generic-Tee-Plenum (LH-GTP) system. The COVs for velocity, gas concentration, and aerosol particles for the three GTP systems were all determined to be less than 8%. Tests with two different sizes of GTPs were conducted, and the results showed the performance of the GTPs was relatively unaffected by either size or velocity as reflected by the Reynolds number. The pressure coefficients were 0.59, 0.57, and 0.65, respectively, for the SH-GTP, SV-GTP, and LH-GTP. The pressure drop for the GTPs was approximately twice that of the round elbow, but a factor of 5 less than a Type IV Air Blender. The GTP was developed to provide a sampling location less than 4-duct diameters downstream of a mixing element with low pressure drop condition. The object of the developmental effort was to provide a system that could be employed in new stack; however, the concept of GTPs could also be retrofitted onto existing system applications as well. Results from these tests show that the system performance is well within the ANSI

  6. Assessment of TEES{reg_sign} applications for Wet Industrial Wastes: Energy benefit and economic analysis report

    Energy Technology Data Exchange (ETDEWEB)

    Elliott, D.C.; Scheer, T.H.

    1992-02-01

    Fundamental work is catalyzed biomass pyrolysis/gasification led to the Thermochemical Environmental Energy System (TEES{reg_sign}) concept, a means of converting moist biomass feedstocks to high-value fuel gases such as methane. A low-temperature (350{degrees}C), pressurized (3100 psig) reaction environment and a nickel catalyst are used to reduce volumes of very high-moisture wastes such as food processing byproducts while producing useful quantities of energy. A study was conducted to assess the economic viability of a range of potential applications of the process. Cases examined included feedstocks of cheese whey, grape pomace, spent grain, and an organic chemical waste stream. The analysis indicated that only the organic chemical waste process is economically attractive in the existing energy/economic environment. However, food processing cases will become attractive as alternative disposal practices are curtailed and energy prices rise.

  7. Large-eddy simulations of velocity and temperature fluctuations in hot and cold fluids mixing in a tee junction with an upstream straight or elbow main pipe

    International Nuclear Information System (INIS)

    Lu, T.; Attinger, D.; Liu, S.M.

    2013-01-01

    Highlights: • Temperature and velocity fluctuations in a tee junction are predicted using LES. • The numerical results are in good agreement with the experimental data. • Upstream elbow pipe has significant influence on those fluctuations. -- Abstract: Thermal striping resulting in thermal fatigue is an important safety issue for nuclear power plants. In this work, temperature and velocity fluctuations in hot and cold fluids mixing in a tee junction with the main pipe connected either to an upstream straight or elbow pipe have been numerically predicted using large-eddy simulations (LES) on the FLUENT platform with the assumption of fully-developed velocity at both main and branch pipe inlets. The numerical results for the case with an upstream straight pipe were found to be in reasonable agreement with the available experimental data. The reason for the small discrepancy between the numerical results and experimental data can be attributed to the turbulence velocity being 10% of the fully-developed velocity at the main and branch pipe inlets in the LES calculations, while in the experiments the turbulence velocity was about 10% of the average velocity upstream of the tee junction. The simulated normalized mean and root-mean square (RMS) temperatures and the velocities at both straight and elbow tees were then compared, as well as the power spectrum densities (PSD) of the temperature fluctuations. The elbow pipe upstream of the main pipe has a significant influence on the mixing, resulting in increased temperature and velocity fluctuations. The flow pattern of the elbow tee deviates from the wall jet due to the secondary flow in the upstream elbow pipe

  8. Thermal striping tests in mixing tees with same pipe diameters. 1st report, characteristics of flow patterns and fluid temperature fluctuations

    International Nuclear Information System (INIS)

    Kawamura, Tsutomu; Shiina, Kouji; Ohtsuka, Masaya

    2003-01-01

    Thermal striping tests in mixing tees with same pipe diameters were conducted in order to construct databases for establishment of an evaluation method for high-cycle thermal fatigue of piping systems. The flow patterns were visualized and fluid temperature distributions near the pipe wall were measured to clarify the temperature fluctuation characteristics. The velocity ratio, which is the ratio of the velocity in the branch pipe to that in the main pipe, was changed from 0.1 to 5. Temperature difference of incoming flows was about 40 degrees Celsius. Large temperature fluctuations more than 90% of the incoming flow temperature difference occurred near the mixing tees and frequency characteristics were random. The temperature fluctuation characteristics depended on the velocity ratio. The effects of the upstream and downstream piping elements such as a diffuser, valve, and elbow on the temperature fluctuation were small. (author)

  9. Study of elasticity and limit analysis of joints and branch pipe tee connections; Etude elastique et analyse limite des piquages et des tes

    Energy Technology Data Exchange (ETDEWEB)

    Plancq, David [Nantes Univ., 44 (France)

    1997-09-24

    The industrial context of this study is the behaviour and sizing the pipe joints in PWR and fast neutron reactors. Two aspects have been approached in this framework. The first issue is the elastic behaviour of the pipe joining with a plane or spherical surface or with another pipe in order to get a better understanding of this components usually modelled in classical calculations in a very simplified way. We focused our search on the bending of an intersecting pipe. In the case of the intersection with a plane surface we have conducted our study on the basis of literature results. In the case of intersection on a spherical surface we have also solved entirely the problem by using a sphere shell description different from that usually utilized. Finally, we give an approach to obtain a simple result for the bending of branch pipe tee joints allowing the formulation of a specific finite element. The second issue approached is the limit analysis which allows characterising the plastic failure of this structures and defining reference constraints. This constraints are used in numerous applications. We mention here the rules of pipe sizing and analyzing under primary load, the mechanics of cracks and the definition of global plasticity criteria. To solve this problem we concentrated our studies on the development of a new calculation techniques for the limit load called elastic compensation method (ECM). We have tested it on a large number of classical structures and on the branch pipe tee connections. We propose also a very simple result regarding the lower limit of the bending of a tee junction 111 refs., 88 figs., 8 tabs.

  10. %nueTing '['Tees

    Indian Academy of Sciences (India)

    The tree is regarded as sacred by Hindus and is grown near viJJages and temples. Fruits are small, fleshy and orange-red when ripe. The timber is used for making crates, cart-shafts while the aerial props are used as tent poles and umbreJ/a handles. The milky latex and infusion of the bark are used in Indian medicine.

  11. Tee tehinguni / Villu Zirnask

    Index Scriptorium Estoniae

    Zirnask, Villu, 1966-

    2007-01-01

    Ärimehed Aare Kilp ja Andres Agasild ettevõtete ostmisest ja oma kogemustest selles vallas. Lisa: Andres Agasild. Kas kasvada orgaaniliselt või üle võttes? Vt. ka lk. 8-11. Aavo Koppel. Professionaalne nõustaja ja pool aastat pingutust. Tabel: Ostuprotsess ja tehingu ajakava. Kommenteerib Suprema klient Jaano Vink

  12. "Tehisintellekti" pikk tee ekraanile

    Index Scriptorium Estoniae

    2001-01-01

    Mängufilmi "A.I. - Tehisintellekt" ("A.I. : Artificial Intelligence") ekraanile seadmise mõte sündis režissöör Stanley Kubrick'il 1969. aastal, kui ilmus Brian Aldissi ulmejutt "Supertoys Last All Summer Long". Ekraanile jõudis see 2001. a. Steven Spielbergi käe all

  13. Making a success of providing NHS Health Checks in community pharmacies across the Tees Valley: a qualitative study

    Directory of Open Access Journals (Sweden)

    Heywood Peter J

    2011-09-01

    Full Text Available Abstract Background In England and Wales, the Department of Health introduced a primary prevention programme, NHS Health Checks, to provide screening for cardiovascular risk amongst people aged 40-74. The aim of this programme is to offer treatment and advice to those identified with an increased risk of cardiovascular diseases (CVD. The North East of England has some of the highest rates of CVD in the UK and prevention is therefore a priority. NHS Tees funded this programme of work under the local branding of Healthy Heart Checks (HHC. These were initially implemented principally through GP practices from October 2008 but, in order to mitigate the possibility that some hard to reach communities would be reluctant to engage with some primary care settings, plans were also developed to deliver the programme through workplace settings and through community pharmacies. This paper reports specifically on the findings from the evaluation in respect of the setting up of HHCs in community pharmacies and aims to offer some lessons for other service settings where this option is seen as a way of providing low threshold services which will minimise inequalities in intervention uptake. Methods In assessing the community pharmacy component of HHCs, a selection of staff having direct involvement in the process was invited to take part in the evaluation. Interviews were carried out with representatives from community pharmacy, staff members from the commissioning Primary Care Trusts and with Local Pharmaceutical Committee members. Results Evaluation and analysis identified challenges which should be anticipated and addressed in initiating HHC in community pharmacies. These have been categorised into four main themes for discussion in this paper: (1 establishing and maintaining pharmacy Healthy Heart Checks, (2 overcoming IT barriers, (3 developing confident, competent staff and (4 ensuring volume and through flow in pharmacy. Conclusions Delivering NHS health

  14. Total Energy Expenditure (TEE) measured with the doubly labeled water technique in women from 60 to 70 years of age from Havana City, Cuba

    International Nuclear Information System (INIS)

    Hernandez-Triana, M.H.; Porrata, C.; Estrada, G.; Diaz, M.E.; Martin, I.; Bayley, H.; McCormack, B.A.; Jones, P.J.H.

    2002-01-01

    Aim: With the purpose to measure the Total Energy Expenditure (TEE) and to validate the Cuban Dietary Energy Allowance for elderly subjects, energy expenditure was assessed by the doubly labeled water technique in 11 women aged 65.9 ± 2.8 y with a mean BMI of 21.4 ± 4.2 kg/m2 during 14 days under free-living conditions in their own environment in Havana City. Materials and Methods: After taking a basal urine sample, the women received an oral dose of 2.5 g H218O (10%) and 0.12 g 2H2O (99.8%) body weight and samples of saliva and urine were collected 14 days after. Resting Metabolic Rate (RMR) was estimated by the Schofield equations proposed by the 1985 FAO/WHO/UNU Expert Committee Report and energy intake was measured by trained dietitians using the 3-day weighed dietary record. A mean value of the food quotient of 0.85 was used for the calculations of the CO2 production by the isotopic method. Results: In spite of the expected variability, the differences between TEE measured by the isotopic method (7.57 MJ/d) and estimated according to FAO/WHO/UNU, 1985 (7.24 MJ/d) were not significant (0.625). The recommended dietary allowance for energy valid for Cuban elderly subjects (7.66 MJ/d) was only slight over the value of the measured TEE. The value of energy expenditure measured in free-living elderly women from Havana City was in the range of acceptable values (6-8 MJ/d) for this group of age. Conclusions: The total energy expenditure of elderly women from Havana City was lower than reported values for women living in developed countries but coincident with those of women of the developing world. The differences between dietary energy intake and TEE measured by the isotopic method were around 27% and coincident with previous reports in elderly people. The Cuban allowance for dietary energy for elderly women was enough for covering their energy requirements

  15. Urbanistid ja keskkonnaeksperdid: iga muudatuse eest Reidi tee projektis oleme pidanud võitlema / Helen Sooväli-Sepping, Kristi Grišakov, Mari Jüssi ; intervjueerinud Mari Peegel ; kommenteerinud Taavi Aas

    Index Scriptorium Estoniae

    Sooväli-Sepping, Helen, 1974-

    2016-01-01

    TLÜ keskkonnakorralduse professor ja linnakorralduse õppekava juht Helen Sooväli-Sepping, TTÜ maastikuarhitektuuri õppekava juht ja linnaplaneerija-urbanist Kristi Grišakov ning Stockholmi keskkonnainstituudi Tallinna keskuse liikuvus- ja keskkonnaekspert Mari Jüssi kinnitavad, et Reidi tee projekt ei ole endiselt inimsõbralik

  16. Predictive capability of left atrial size measured by CT, TEE, and TTE for recurrence of atrial fibrillation following radiofrequency catheter ablation.

    Science.gov (United States)

    Parikh, Sachin S; Jons, Christian; McNitt, Scott; Daubert, James P; Schwarz, Karl Q; Hall, Burr

    2010-05-01

    Recurrence of atrial fibrillation (AF) after radiofrequency catheter ablation (RFCA) has been well established and is in part related to left atrial (LA) size. The purpose of this study was to assess the predictive capability of LA diameter (LAD) and LA volume (LAV) by echocardiography and computed tomography (CT) to determine success in patients undergoing RFCA of AF. Eighty-eight patients with paroxysmal or persistent AF who had undergone RFCA and had a prior transthoracic echocardiogram (TTE), transesophageal echocardiogram (TEE), and CT were enrolled in the study. TTE LADs and LV ejection fraction as well as TEE LADs and LAVs in three views were recorded. CT LAVs were also recorded. Clinical parameters prior to ablation as well as at 1-year follow-up were assessed. A total of 40 (45%) patients with paroxysmal AF and 48 (55%) patients with persistent AF were analyzed. Paroxysmal AF patients had a RFCA success rate of 88% at 1 year with persistent AF patients having a 52% success rate (P or= 117 cc was associated with an odds ratio (OR) for recurrence of 4.8 (95% confidence interval [CI]=[1.4-16.4], P = 0.01) while a LAV >or=130 cc was associated with an OR for recurrence of 22.0 (95% CI =[2.5-191.0], P = 0.005) after adjustment for persistent AF. LA dimensions and AF type are highly predictive of AF recurrence following RFCA. LAV by CT has significant predictive benefit over standard LADs in severely enlarged atria even after adjustment for AF type.

  17. Venemaa ukrainalik tee / Andrei Piontkovski

    Index Scriptorium Estoniae

    Piontkovski, Andrei

    2008-01-01

    Ilmunud ka:: Den za Dnjom 11. juuni lk. 17. Autor nimetab neli põhjust, miks Venemaa ja lääne suhete halvenemine on tänapäeval omandanud iseseisva hoo. Tema sõnul on parim viis Venemaa aitamiseks toetada Ukraina nõudmist kuuluda Euroopasse ja selle institutsioonidesse, see mõjub Vene poliitilisele mentaliteedile rohkem kui miski muu

  18. Eikuhugi viiv tee / Janar Ala

    Index Scriptorium Estoniae

    Ala, Janar, 1979-

    2009-01-01

    Tallinnfilmi 1979.a. mängufilmist "Hukkunud Alpinisti hotell" (režissöör Grigori Kromanov, operaator Jüri Sillart, kunstnik Tõnu Virve, kostüümikunstnik Slava Zaitsev, helilooja Sven Grünberg), mis värskelt restaureerituna taas kinoekraanile jõudis

  19. TEE-Based Trusted Storage

    DEFF Research Database (Denmark)

    Gonzalez, Javier; Bonnet, Philippe

    Today, it is safe to assume that any program or data can be compromised, if they are not protected by hardware within a secure area. Systems based on crypto-processors (e.g., a trusted platform module, a smart card or a hardware security module) rely on the properties of tamper resistant hardware...

  20. Tee uutele turgudele tugeva logistikapartneriga

    Index Scriptorium Estoniae

    2006-01-01

    Rahvusvahelise logistikaettevõtte Baltic Logistic System Eesti AS-i (BizPak/DPD) müügi- ja turundusjuhi Janek Kivimurru sõnul omab hästi läbi mõeldud logistikastrateegia võtmerolli edu saavutamisel uutel turgudel

  1. "Miks, kägu, sa mäe peal seal kukkumas käid ..." ; "Pikk on tee. Küla taga, kus aas ...." ; "Milleks sulle mu armastust vaja on veel ..." ; "Terve päev nii möödub üha ..." ; "Väike tütarlaps mõnusalt suplemas jões ..." ; Maasikad ; Mesila

    Index Scriptorium Estoniae

    Romanov, Vladimir

    2004-01-01

    Sisu: "Miks, kägu, sa mäe peal seal kukkumas käid ..." ; "Pikk on tee. Küla taga, kus aas ...." ; "Milleks sulle mu armastust vaja on veel ..." ; "Terve päev nii möödub üha ..." ; "Väike tütarlaps mõnusalt suplemas jões ..." ; Maasikad ; Mesilaste keel. Eluloolisi andmeid autori kohta lk. 371. Luuletused paralleelselt udmurdi ja eesti keeles

  2. Pikk tee koos Pipiga / Herdis Kirk

    Index Scriptorium Estoniae

    Kirk, Herdis

    2003-01-01

    Vanemuise teatri näitlejast H. Merzinist, kes mängib Rootsis Värnamos peaosa illustraator I. Wiklandi autobiograafilisel teosel põhineva teose lavastuses "Pikk-pikk teekond", lavastaja Birgitta Englin

  3. Fluid mixing with a pipeline tee

    Energy Technology Data Exchange (ETDEWEB)

    Sroka, L.M.; Forney, L.J. (Georgia Inst. of Tech., Atlanta, GA (USA)); Forney, L.J. (Georgia Inst. of Tech., Atlanta, GA (USA))

    1988-01-01

    The pipeline mixing of two fluid streams by turbulent jet injection normal to the pipeline has been studied theoretically and experimentally. A simple scaling law for the second moment of the tracer concentration within the pipeline is proposed for the first fifteen pipe diameters downstream from the injection point. The similarity solution is derived by assuming that the tracer diffuses in a weak compound jet moving parallel to the pipeline axis. The theoretical results are correlated with all of the available experimental measurements. The results indicate that the second moment of the tracer concentration decreases with increasing jet momentum and distance from the injection point.

  4. Contrast harmonic TEE: A feasibility study

    NARCIS (Netherlands)

    Bouakaz, Ayache; Krenning, Boudewijn; Biagini, Elena; Galema, Tjebbe; ten Cate, Folkert; de Jong, N.

    2004-01-01

    Ultrasound (US) contrast agents serve as tracers for the noninvasive quantification of blood flow, and many of them are now approved for left ventricular opacification and for enhanced endocardial border delineation. The availability of more stable contrast bubbles has stimulated many new classes of

  5. Tabletitervishoid meid tervemaks ei tee / Eugen Veges

    Index Scriptorium Estoniae

    Veges, Eugen, 1955-

    2009-01-01

    Autori hinnangul tuleks tervishoiu rahastamise aluseid muuta. Maksumäära langetamine koos omavastutusega mõjuks hinna ja kvaliteedi suhtele, muudaks teenindaja ja teenindatava suhted mõistetavamaks ning patsiendile vastuvõetavamaks

  6. Balti "Ungari tee" taotlus 1965 / Rein Taagepera

    Index Scriptorium Estoniae

    Taagepera, Rein, 1933-

    2010-01-01

    1965. aastal H. Raagi, H. Susi ja R. Taagepera poolt koostatud ja levitatud satelliitsusmemorandumist, milles toodi välja idee kehtestada Balti riikides rahvademokraatia; Zbigniew Brzezinski rollist memorandumi vahendajana ning selle avaldamisele järgnenud vastukajadest ja tegevustest kuni aastani 1973

  7. Tee bändi nagu kunstiteost, tee kunsti nagu jam session'it / Hanno Soans

    Index Scriptorium Estoniae

    Soans, Hanno, 1974-

    2009-01-01

    3. "NU Performance'i" festival "Recycle Pop" Kanuti gildis 11.-14. novembrini 2009. Kuraatorid Anders Härm ja Priit Raud. Norra Baktruppeni, rootslanna Catti Brandeliuse, prantslanna Carole Douillard'i, Andres Lõo, Maria Arusoo & Maria Juure, Erkki Luugi, Marco Laimre, Raul Kelleri, Kati Ilvese ja Killu Sukmiti esinemisest

  8. Villa Viimsis : Palumetsa tee 9 = Villa, Viimsi : Palumetsa tee 9 / Epp Lankots

    Index Scriptorium Estoniae

    Lankots, Epp, 1976-

    2005-01-01

    Hoone välisilme ning kuju määrab majasisene piki välisseina teisele korrusele tõusev trepp, mille kallet ning suunda markeerib fassaadil jooksev puitsõrestik. Maapinna-korruse ulatuses on fassaadil terasvõrku pakitud graniitkivid. Arhitektid: Andri Kirsima, Hannes Niineväli. Sisearhitekt: Raul Tiitus. Ill.: 3 välisvaadet

  9. Tee teistele head, kuid tee seda hästi / Jeff Skoll ; interv. Des Dearlove

    Index Scriptorium Estoniae

    Skoll, Jeff

    2004-01-01

    Ilmunud ka: Delovõje Vedomosti : Karjera i obutshenije, 18. aug. 2004, lk. 6-7. Ameerika interneti-oksjonifirma eBay rajaja Jeff Skoll selgitab oma ettevõtte näitel sotsiaalse ettevõtluse olemust ning prognoosib selle populaarsuse kasvu tulevikus

  10. Ära tee, tee! = Do not do it, do it! / Rebeka Põldsam

    Index Scriptorium Estoniae

    Põldsam, Rebeka, 1989-

    2016-01-01

    Margit Säde-Lehni kuraatorinäitus "DOings & kNOTs. Kunst ja/või instruktsioon" Tallinna Kunstihoones. Lähtepunktiks on Hans Ulrich Obristi 1993. a. algatatud projekt „Do it”. Kunstihoonesse on kutsutud 20 kunstnikku/rühmitust üle Euroopa, et tõlgendada kellegi teise jäetud instruktsioone ja teha nende järgi uusi teoseid

  11. Tee endale teene - saada kliendid konkurentide juurde / Frederick F. Reichheld

    Index Scriptorium Estoniae

    Reichheld, Frederick F.

    2003-01-01

    Autor leiab, et kulude vähendamiseks ja tulude suurendamiseks on vaja valida õigeid kliente. Vt. samas: Kuidas võita lojaalseid kliente ehk takjaid? ; Kuidas vältida ebalojaalseid kliente ehk liblikaid? ; Lojaalsus on kahesuunaline

  12. Venemaa avas tee Kyoto protokolli jõustumiseks / Arko Olesk

    Index Scriptorium Estoniae

    Olesk, Arko, 1981-

    2004-01-01

    Kuigi USA on 1997. aastal sõlmitud globaalse soojenemise vastu suunatud Kyoto protokolli vastu, võib see rakenduda, sest Venemaa valitsus kiitis 30. septembril leppe heaks. Lisa: Venemaa Kyoto protokolli kaalukeelena

  13. Tee Bagdadini: 21. sajandi ristisõdijad / Tiago Marques

    Index Scriptorium Estoniae

    Marques, Tiago

    2003-01-01

    Kas USA on tegelikult pühendunud "režiimivahetuse" poliitikale Iraagis või tahab kontrollida terve piirkonna majanduspotentsiaali, küsib autor. Kasvavast lõhest USA valitsuses. Regionaalsetest konfliktidest islamimaailmas. Kaart: Iraagi etniline jaotumus

  14. Kohtuasi peatas Kõusaare "Magnuse" tee ka Riias / Mari Kodres

    Index Scriptorium Estoniae

    Kodres, Mari

    2008-01-01

    Kadri Kõusaare debüütfilmi "Magnus" linastamine Läti väärtfilmikinos Cinema Riga lõpetati, kuna kino juhtkond koos filmi levitajaga otsustasid linastamist jätkata alles peale kohtuvaidluse lõppu

  15. Saksamaa frankofiilne välispoliitika - tupikus tee / Jeroen Bult

    Index Scriptorium Estoniae

    Bult, Jeroen

    2003-01-01

    Hollandi ajaloolane ja publitsist Jeroen Bult Saksamaa ja Prantsusmaa, Saksamaa ja USA suhetest. Autori sõnul on Saksamaa ühepoolne orientatsioon Prantsusmaale viinud Saksamaa kaugemale oma traditsioonilistest huvidest Ida-Euroopas

  16. Pikk tee märkamiseni / Katrin Saks

    Index Scriptorium Estoniae

    Saks, Katrin, 1956-

    2008-01-01

    Õpilaste koolisuhetest ning koolivägivallast. Ilmunud ka Vooremaa 9. okt. 2008, lk. 2 ; Võrumaa Teataja 11. okt. 2008, lk. 2 ; Koit 11. okt. 2008, lk. 6 ; Meie Maa 13. okt. 2008, lk. 2 ; Pärnu Postimees 10. okt. 2008, lk. 15 ; Virumaa Teataja 15. okt. 2008, lk. 11

  17. Ärme tee majanduskasvust ebajumalat / Eugen Veges

    Index Scriptorium Estoniae

    Veges, Eugen, 1955-

    2011-01-01

    Endine ettevõtja on seisukohal, et majanduskasvu saavutamine ei ole eesmärk omaette, rõõmu tuleks tunda üleüldisest ja tasakaalustatud arengust, riigi valitsemises tuleks abstraktsete näitajate kõrval näha ka inimest

  18. Ränk tee rehepaplusest talupojamõistuseni / Andres Herkel

    Index Scriptorium Estoniae

    Herkel, Andres, 1962-

    2008-01-01

    Parlamendiliikme sõnul ei pruugi majanduslangus tähendada otsest ja kiiret väärtushinnangute muutumist, küll aga võib see kaasa tuua nii poliitiliste kui isiklike otsuste rea, mis pikas perspektiivis tagab Eestile kindlama ja stabiilsema arengu. Ilmunud ka: Meie Maa 5. november lk. 2; Sõnumitooja 5. nov. lk. 2; Harju Ekspress 7. nov. lk. 8; Koit 6. nov. lk. 6; Kuulutaja 7. nov. lk. 4; Elva Postipoiss 8. nov. lk. 4; Lõunaleht 20. nov. lk. 4

  19. The TEES process cleans waste and produces energy

    International Nuclear Information System (INIS)

    Elliott, D.C.; Silva, L.J.

    1995-02-01

    A gasification system is under development that can be used with most types of wet organic wastes. The system operates at 350 degrees C and 205 atm using a liquid water phase as the processing medium. Since a pressurized system is used, the wet waste can be fed as a solution or slurry to the reactor without drying. Through the development of catalysts, a useful processing system has been produced. The system has utility both for direct conversion of high-moisture biomass to fuel gas or as a wastewater cleanup system for wet organic wastes including unconverted biomass from bioconversion processes. By the use of this system >99% conversions of organic waste to medium-Btu fuel gas can be achieved

  20. Eestil on Euroopas ka oma tee / Jürgen Ligi

    Index Scriptorium Estoniae

    Ligi, Jürgen, 1959-

    2004-01-01

    Ilmunud ka: Põhjarannik, 17. apr. 2004, lk. 2; Severnoje Poberezhje, 17. apr. 2004, lk. 2; Koit,17. apr. 2004, lk. 6; Meie Maa, 17. apr. 2004, lk. 2; Hiiu Leht, 20. apr. 2004, lk. 2; Virumaa Nädalaleht, 23. apr. 2004, lk. 2; Sakala, 23. apr. 2004, lk. 2; Valgamaalane, 8. mai 2004, lk. 2. Maksu- ja sotsiaalpoliitika otsustusõigusest ning kaitsmisest EL-i riikides

  1. The TEES process cleans waste and produces energy

    Energy Technology Data Exchange (ETDEWEB)

    Elliott, D.C.; Silva, L.J.

    1995-02-01

    A gasification system is under development that can be used with most types of wet organic wastes. The system operates at 350{degrees}C and 205 atm using a liquid water phase as the processing medium. Since a pressurized system is used, the wet waste can be fed as a solution or slurry to the reactor without drying. Through the development of catalysts, a useful processing system has been produced. The system has utility both for direct conversion of high-moisture biomass to fuel gas or as a wastewater cleanup system for wet organic wastes including unconverted biomass from bioconversion processes. By the use of this system >99% conversions of organic waste to medium-Btu fuel gas can be achieved.

  2. Kas Saudi Araabia naftatulu leiab tee Rootsi pangandusturule? / Romet Enok

    Index Scriptorium Estoniae

    Enok, Romet

    2008-01-01

    Autor vaatleb, kes võiks enim olla huvitatud Põhjala pangandusturu ümberkorraldamisest ja kellel oleks selleks kõige rohkem vahendeid. Autori hinnangul on võimalik, et Investori ja SEB juhtide kohtumisel Saudi Araabia printsi Alwaleed bin Saudiga oli kõne all Saudi printsi kaasamine strateegilise investorina SEB kõrvale Nordeat ostma

  3. ) E STRYI) TEE~ I)IE VOOR()OST

    African Journals Online (AJOL)

    vyandelike voetsoldate op te tree. Volgens 5. SA Infanteriebrigadegroephoofkwartier se een ..... van hulle is kpl R. R. G. White, wat sy een oog verloor het. Sktr A. B. Cunningham van. 3 Transvaal Scottish se C ... toe hulle dit nader as 2000 tree van die sen- trale fortifikasies waag en slaag oak daarin am die pantserkarre aan ...

  4. Eesti pikk tee Cannes'i / Jaak Lõhmus

    Index Scriptorium Estoniae

    Lõhmus, Jaak

    2007-01-01

    60. Cannes'i filmifestivalil osaleb eestlane Kadri Kõusaar filmiga "Magnus" võistlusprogrammis "Vaatenurk", noorte produtsentide üritusel "Producers on the Move" osaleb Riina Sildos. Eestlaste osalemispüüdlustest varasematel aastatel ning "Magnuse" retseptsioonist festivalil

  5. How I do it: judging appropriateness for TTE and TEE.

    Science.gov (United States)

    Fonseca, Ricardo; Marwick, Thomas H

    2014-06-24

    The increasing cost of healthcare is a widespread international problem to which the cost of imaging has been an important contributor. Some imaging tests are ordered inappropriately and contribute to wasted use of resources. Appropriate use criteria have been developed in the USA in order to guide test selection, but there are a number of problems, including the evidence base for these criteria and the steps that can be taken to change physician practice. A restrictive approach to test ordering is difficult to fit to the nuances of clinical presentation and may compromise patient care. We propose an alternative approach to physician guidance based on the most common markers of inappropriate testing.

  6. "Ülemiste" hotell Tallinnas : Lennujaama tee 2 = Ülemiste Hotel, Tallinn : Lennujaama tee 2 / Epp Lankots

    Index Scriptorium Estoniae

    Lankots, Epp, 1976-

    2005-01-01

    Arhitekt Martin Aunin, kes pälvis detailideni tervikliku ja peene materjalikäsitlusega arhitektuurse idee väljendamise eest "Ülemiste" hotelli loomisel Eesti Kultuurkapitali arhitektuuri sihtkapitali 2004. a. objektipreemia. 2004. a. parim betoonehitis. Ill.: 4 värv. välis- ja 4 sisevaadet

  7. Kui ise ei tee, siis ei tee keegi : New Yorgi Storefronti galerii-platvormi töökorralduse kogemusi / Anu Lill

    Index Scriptorium Estoniae

    Lill, Anu

    2015-01-01

    Artikli autori kogemusi, olnud New Yorgi Storefront for Art and Architecture galeriis turunduse, suhtekorralduse ja arenduse osakonnas praktikal. Storefrontis tehakse näitusi, korraldatakse filmilinastusi, konverentse ning vestlusringe kunstnike ja arhitektidega

  8. Churchi-Pytagorase tees / Robert Rosen ; tõlk. Kalle Hein

    Index Scriptorium Estoniae

    Rosen, Robert

    2006-01-01

    Autori essee peamiseks mõtteks on põhjendada ühismõõdutuse tegelikkust ja näidata, kuidas matemaatika ja looduse vahekorra mõistmine on seotud matemaatika enda arendamise strateegiaga. Lisaks ka Kalevi Kulli märkused autori kohta

  9. Eesti porgand võib leida tee USA sõduri lauale Afganistanis / Gert D. Hankewitz

    Index Scriptorium Estoniae

    Hankewitz, Gert D.

    2010-01-01

    Lähiajal väisavad Eestit Ameerika Ühendriikide armee varustamisega tegeleva ameti US Defence Logistics Agency esindajad, kes otisvad oma vägedele Afganistanis köögiviljade, vee ja ehitusmaterjalidega varustajat

  10. Advocacy for Art Education: Beyond Tee-Shirts and Bumper Stickers

    Science.gov (United States)

    Bobick, Bryna; DiCindio, Carissa

    2012-01-01

    Advocacy is not new to art education. Over the years, Goldfarb (1979), Hodsoll (1985), and Erickson and Young (1996) have written about the importance of arts advocacy, but the concept of advocacy has evolved with the times. For example, in the 1970s, arts advocacy was described as a "movement" and brought together art educators,…

  11. I)IE STR YI) TEE~ I)IE VOORJ>OSTE:

    African Journals Online (AJOL)

    Reserwe betref. nie een. 501- daat uit die. Galla. Sidamo noordooswaarts verskuif is nie as gevolg van die maneuvers van. 1 SA. Divisie. Sien die amptelike geskiedenisverslag van die. Suid-Afrikaanse. Legioen, opgestel deur. Harry. Klein: Springbok. Record, p 98. Scientia Militaria, South African Journal of Military Studies ...

  12. Gustav Ränga tee Tartu Ülikooli professoriks : Eesti etnoloogia 1930. aastatel / Marleen Metslaid

    Index Scriptorium Estoniae

    Metslaid, Marleen

    2016-01-01

    1930. aastate etnoloogia käsitlusaladest ja - viisidest. Doktoritöö eesmärgil tehtud välitöödest. Tekstianalüütiline vaade Ränga doktoritööle ehk Eesti etnoloogia kanoonilistest tekstidest. Professuuri täitmise küsimusest ehk Eesti etnoloogia olukorrast 1930. aastate lõpus

  13. On the strength evaluation of the tees with elongated neck swagened of pipes

    International Nuclear Information System (INIS)

    Gurevich, V.Z.; Fedosov, A.I.; Minkin, L.N.; Kats, M.N.; Kapustina, Eh.I.

    1976-01-01

    Results are presented of experimental determination of the carrying capacity and stressed state of T-pieces with an elongated neck, made of steels 20 and 12KH1MF. An approximated procedure for the evaluation of their strength is given. The ultimate and collapsing pressure data are reported. Comparison is made between the experimental and design data, the latters being obtained by the formulas adopted for ordinary T-pieces. It has been revealed that the design relying on the carrying capacity is equally suitable for evaluation of the strength of the products operating at high temperatures under creep conditions

  14. Design of microstrip-fed printed UWB diversity antenna with tee crossed shaped structure

    Directory of Open Access Journals (Sweden)

    Raj Kumar

    2016-06-01

    Full Text Available A compact, Ultra Wideband (UWB antenna system for multi-input multi-output (MIMO/diversity application is proposed. The antenna system is a microstrip structure with two similar triangular shaped radiating elements and a common ground plane. The radiating elements are excited by tapered feed for better impedance matching. A T-crossed shaped stub is added in the ground plane to increase the isolation between the two radiators. The overall dimension of the proposed antenna system is 46 mm × 32.6 mm × 1.6 mm. The measured impedance bandwidth (reflection coefficient < −10 dB is from 1.8 GHz to well beyond 12 GHz which covers the entire UWB region. A measured isolation of 15 dB or better is achieved in the UWB region. The diversity gain of the antenna system is close to 10 dBi and the envelope correlation coefficient is well below 0.2 in the operating band. Parametric study is also done to check the sensitivity of the antenna in terms of reflection coefficient and isolation to the different parameters. These characteristics show that the proposed antenna is suitable for the MIMO/diversity application.

  15. Design of microstrip-fed printed UWB diversity antenna with tee crossed shaped structure

    OpenAIRE

    Raj Kumar; Gopal Surushe

    2016-01-01

    A compact, Ultra Wideband (UWB) antenna system for multi-input multi-output (MIMO)/diversity application is proposed. The antenna system is a microstrip structure with two similar triangular shaped radiating elements and a common ground plane. The radiating elements are excited by tapered feed for better impedance matching. A T-crossed shaped stub is added in the ground plane to increase the isolation between the two radiators. The overall dimension of the proposed antenna system is 46 mm × 3...

  16. Disainisurf : DIY ehk Do It Yourself ehk TSI ehk Tee Seda Ise / Aleksander Tsapov

    Index Scriptorium Estoniae

    Tsapov, Aleksander

    2006-01-01

    Kolm valikut disainerite ja disainibüroode objekte isetegemise eeskujuks. Efektiivne kasutamiselust: alumiiniumleht sisustuse vormimiseks; taaskasutus: raamatud ruumi liigendamise osana, tool-panipaik, "mumifitseeritud" tool, plastpudelitest nagi; lihtsus: rattaga pink, kaasaskantav, jalgadele asetatav lamp, valgustid, hoiukastid

  17. Pro Patria advised Rüütel to stay home / Berit Teeäär

    Index Scriptorium Estoniae

    Teeäär, Berit

    2005-01-01

    Isamaaliidu juhtpoliitiku, Europa Parlamendi saadiku Tunne Kelami arvates annab president Arnold Rüütli otsus mitte sõita 9. maiks Moskvasse Eestile hea võimaluse selgitada oma ajalugu tervele maailmale

  18. Rail Baltica uus tee viiks rongid nelja tunniga Varssavisse / Tiina Rekand

    Index Scriptorium Estoniae

    Rekand, Tiina, 1985-

    2011-01-01

    Rail Baltica tasuvusuuringus on välja töötatud neli optimaalsemat marsruuti. Aecom Ltd Balti regiooni direktor Arnis Kakulis peab parimaks kiireimat ja lühimat teed, mis kulgeks Tallinnast Varssavisse Pärnu, Riia ja Kaunase kaudu

  19. LP-tee pikeneb Tartust Pärnuni / Sirje Pärismaa

    Index Scriptorium Estoniae

    Pärismaa, Sirje, 1958-

    2015-01-01

    Norrast pärit tõenduspõhist koostöökultuuri arendava LP-mudeliga (learning environment and pedagogical analysis) on liitumas seitse kooli Pärnust, Viljandist, Puhjast, Tartust ning kolm lasteaeda

  20. Inimese papilloomiviiruse vastane vaktsiin imet ei tee, aga kaitseb siiski / Marika Kusnets

    Index Scriptorium Estoniae

    Kusnets, Marika

    2006-01-01

    5. oktoobril korraldas ravimifirma Merck Sharp & Dohme koostöös erialaarstide, Eesti Vähiliidu ja Quattromediga ajakirjanikele ümarlaua, kus räägiti emakakaelavähi põhjustest ja ravist, HPV tüüpidest, nakatumis- ja kaitsemehhanismidest ning uuest Eesti turule jõudvast vaktsiinist

  1. Tee It up!: Implementing a TPSR System in a High School Golf Unit

    Science.gov (United States)

    Busch, Nikki; Lavay, Barry

    2012-01-01

    Implementing Hellison's "Teaching Personal and Social Responsibility" (TPSR) system can help students take responsibility for their own behavior by helping students understand what it means to demonstrate appropriate behavior at various levels of responsibility. The levels range from zero through five and include: 0) irresponsibility, 1) respect,…

  2. Mixing at double-Tee junctions with unequal pipe sizes in water distribution systems

    Data.gov (United States)

    U.S. Environmental Protection Agency — Pipe flow mixing with various solute concentrations and flow rates at pipe junctions is investigated. The degree of mixing affects the spread of contaminants in a...

  3. Stephen Kingi tee tumeda tornini võttis 30 aastat / Raul Sulbi

    Index Scriptorium Estoniae

    Sulbi, Raul

    2007-01-01

    Stephen Kingi triloogiast "Tume torn" (Tallinn : Pegasus, 2006-2007) : Laskur : [romaan] / tõlkija Mart Kalvet ; Kolm saatusekaarti / [tõlkinud Kaido Haavandi] ; Ahermaad / [tõlkinud Matti Piirimaa] ;

  4. Design data for quick development of folded H plane tee at high ...

    Indian Academy of Sciences (India)

    Harish V Dixit

    2018-03-14

    Mar 14, 2018 ... waveguide array used to drive power at a low hybrid fre- quency in the tokamak so as to sustain plasma ... The electric field is forced to be zero so as to satisfy the boundary condition at the intersection of the interface 3–30 and 4–40 due to the presence of the conductor. Thus the field at the interface 3–30 ...

  5. Robert Jemison ``Tee'' Van de Graaff: From Football Fields to Electric Fields

    Science.gov (United States)

    Graham, M. Talmage; Young, James

    2004-11-01

    Robert Van de Graaff's three older brothers made the family name famous in football, and it seemed that Robert was also headed toward being a sports star. Unfortunately, his football career was cut short by an injury. However, it is interesting to note that principles involved in his most memorable invention have some remarkable analogs in that sport. Few details of Robert's early life have heretofore been published. The purpose of this paper, during the 75th anniversary year of the invention of the Van de Graaff generator, is to provide some of this interesting historical background.

  6. "Onions and Stripey Tee-Shirts" or how Do Primary Pupils Learn about France?

    Science.gov (United States)

    Esarte-Sarries, Veronica

    1989-01-01

    Describes how sources such as television, visits, and personal accounts influence British students' impressions and stereotypes of France and French culture. Teachers can help students to interpret these impressions beyond perception from a typical British norm. (CB)

  7. Pöttering : Venemaa ei tee EL-i sisepoliitikat / Risto Berendson

    Index Scriptorium Estoniae

    Berendson, Risto, 1975-

    2004-01-01

    Eestis viibinud Euroopa Parlamendi suurima fraktsiooni esimehe Hans-Gert Pötteringi sõnul puudub Venemaal niikaua, kui ta peab sõda Tšetšeenias, õigus inimõiguste teemal sõna võtta. Pöttering nõuab Euroopa Komisjonilt ja EL-i Ministrite Nõukogult Eesti ning Läti huvide kaitsmist EL-i ja Venemaa ühisavalduses

  8. JustFilm tegi PÖFFile tee vabaks / Helen Teesalu

    Index Scriptorium Estoniae

    Teesalu, Helen

    2006-01-01

    10. Pimedate Ööde Filmifestivali laste- ja noortefilmi festivali Just Film parima lastefilmi auhinna sai Taani "Me saame sellest üle", parim noortefilm oli Saksamaa "Pilv". Hispaania "Seitse neitsit" sai eriauhinna ja publiku lemmiktegelane oli Ahmed filmist "Tommy põrgu". Lisatud kommentaar peakorraldajalt Elen Lotmanilt

  9. Peaminister Parts : "ei" seisukohaga Keskerakonnaga valitsust ei tee / Juhan Parts ; interv. Tuuli Koch

    Index Scriptorium Estoniae

    Parts, Juhan, 1966-

    2003-01-01

    Peaminister Juhan Parts tõdeb, et Keskerakonna juht Edgar Savisaar on selgelt väljendanud oma eitavat seisukohta Eesti EL-iga liitumise suhtes ning sellelt pinnalt on võimu jagamine Keskerakonnaga võimatu

  10. Kunsti rõõmus ja okkaline tee Omari küünis / Andres Laasik

    Index Scriptorium Estoniae

    Laasik, Andres, 1960-2016

    2008-01-01

    Naissaarel Omari küünis esietendus 7. juulil Nargen festivali raames Kristian Smedsi lavastus "Jumal on ilu" Oulus elanud kunstniku Vilho Lammi elust. Lavastus tugineb Paavo Rintala samanimelisele romaanile. Lavastuses osalevad peamiselt Soome Rahvusteatri näitlejad

  11. Fatigue and shear behavior of HPC bulb tee girders : LTRC technical summary report.

    Science.gov (United States)

    2008-04-01

    The objectives of the research were (1) to provide assurance that full size, deep prestressed concrete girders made with HPC would perform satisfactorily under flexural fatigue, static shear, and static flexural loading conditions; (2) to determine i...

  12. Developing Connections for Longitudinal Joints between Deck Bulb Tees - Development of UHPC Mixes with Local Materials

    Science.gov (United States)

    2016-10-30

    In past decades, many state DOTs and the Federal Highway Administration (FHWA) have begun : working with ultra-high performance concrete (UHPC), an advanced cementitious material. The Washington State Department of Transportation (WSDOT) has not empl...

  13. Dokumentaalselt tõestatud: Paul Keresel suleti tee maailmameistri tiitlile / Paavo Kivine

    Index Scriptorium Estoniae

    Kivine, Paavo, 1939-

    2015-01-01

    Miks neli aastakümmet tipus püsinud suurmeister ei tulnud maailmameistriks. Lisatud dokument on pöördumine Venemaa Kommunistliku Partei II sekretäri ülesandeid täitnud Andrei Ždanovi poole ettepanekuga lubada Paul Keresel osaleda 1947. aasta maailmameistrivõistlustel (foto venekeelsest dokumendist ja tõlge)

  14. Lühim tee iseendani läheb ümber maailma / Katrin Kaugver

    Index Scriptorium Estoniae

    Kaugver, Katrin, 1950-

    2007-01-01

    Euroopa Teadusraamatukogude Konsortsiumi (CERL) vanaraamatu seminarist Budapestis "Trükised ja omanikud : kirjeldades Euroopa kultuuri geograafiat" 2006. a. novembris. Esimest korda käis Eesti sel kokkusaamisel konsortsiumi täisliikme staatuses, TLÜ Akadeemiline Raamatukogu sai CERL-i täisliikmeks 2006. a.

  15. Ülemiste järve esitlev elegantne hotell : Lennujaama tee 2, Tallinn = An Elegant Hotel that Presents Lake Ülemiste : Lennujaama tee 2, Tallinn / Urmas Oja

    Index Scriptorium Estoniae

    Oja, Urmas, 1981-2012

    2004-01-01

    Aerofloti hotelli kohale ja osalt vana maja konstruktsioonidele ehitatud Ülemiste hotellist. Hotelli ees on parkla ja purskkaevuga väljak. Projekteerija: EA Reng, projektijuht Taavi Turvas. Arhitekt Martin Aunin. Sisekujundus: Meelis Press, Hillar Mänd (M. Pressi Arhitektuuribüroo). Konstruktsioonid: Inseneribüroo Pike. Ehitaja: FKSM. I, II ja III korruse plaan, 3 välis- ja 5 sisevaadet

  16. Spanish participation in the Benchmark of the OECD of CFDs applied to nuclear safety: the test of Tee Junction; Participacion espanola en el Benchmark de la OCDE de CFDS aplicados a Seguridad Nuclear: el test de la Tee Junction

    Energy Technology Data Exchange (ETDEWEB)

    Abdelaziz Essa, M. A.; Chiva, S.; Munoz-Cobo, J. L.

    2011-07-01

    In this paper we show the main results obtained by the groups of the Universities UPV and UJI (GITH-Inter-Universitary Group on Thermal-Hidraulics), in the modeling of the OCDE Benchmark on the T-Junction performed during the year 2010. This benchmark consisted in predicting, using CFD codes the velocity and temperature distributions downstream the junction. Also was considered a important issue the prediction of the velocity and temperature fluctuations, especially the Power Spectral density of the temperature fluctuations. The results obtained in the Benchmark by the GITH group were very good.

  17. Development of a Methodology for Conducting Training Effectiveness Evaluations of Air Defense Training, and Abstracts of TEE-Related Literature

    Science.gov (United States)

    1982-06-01

    Goodlad, Egan Guba, and Dan Stufflebeam , and directors of educational research across the country. it is a practi- tioner’s guide to the evaluation of...its appLication to training, especially military teat training. Reeves, J.M. 6, Michael, W.B. Application of the Stufflebeam educational decision-makig

  18. Evaluation of mixing downstream of tees in duct systems with respect to single point representative air sampling.

    Science.gov (United States)

    Kim, Taehong; O'Neal, Dennis L; Ortiz, Carlos

    2006-09-01

    Air duct systems in nuclear facilities must be monitored with continuous sampling in case of an accidental release of airborne radionuclides. The purpose of this work is to identify the air sampling locations where the velocity and contaminant concentrations fall below the 20% coefficient of variation required by the American National Standards Institute/Health Physics Society N13.1-1999. Experiments of velocity and tracer gas concentration were conducted on a generic "T" mixing system which included combinations of three sub ducts, one main duct, and air velocities from 0.5 to 2 m s (100 to 400 fpm). The experimental results suggest that turbulent mixing provides the accepted velocity coefficients of variation after 6 hydraulic diameters downstream of the T-junction. About 95% of the cases achieved coefficients of variation below 10% by 6 hydraulic diameters. However, above a velocity ratio (velocity in the sub duct/velocity in the main duct) of 2, velocity profiles were uniform in a shorter distance downstream of the T-junction as the velocity ratio went up. For the tracer gas concentration, the distance needed for the coefficients of variation to drop 20% decreased with increasing velocity ratio due to the sub duct airflow momentum. The results may apply to other duct systems with similar geometries and, ultimately, be a basis for selecting a proper sampling location under the requirements of single point representative sampling.

  19. Magnumi-vendade tee rikkuseni käib läbi valguse ja varju / Villy Paimets

    Index Scriptorium Estoniae

    Paimets, Villy, 1972-

    2005-01-01

    Margus ja Aivar Linnamäele kuuluv Eesti suurim ravimimüügikontsern Magnum Medical on läbi aastate silma paistnud rohke offshore'ide, laenuskeemide ja esindusisikute kasutamisega. Vt. samas: Kultuurimetseen ja rallimees; Kuidas allesjäänud vara kolmeks kalliks sõiduautoks moondus; Magnum Medical tegutseb mitmes riigis ja hulga tütarfirmadega. Diagramm

  20. Johan Benadie : Eesti tööstusfirmadel maailmaklassini veel pikk tee astuda / Johan Benadie ; interv. Raul Kalev

    Index Scriptorium Estoniae

    Benadie, Johan

    2004-01-01

    Eesti tööstusettevõtteid külastas tööstusettevõtetele suunatud koolitusprogrammi "20 Keys" eestvedaja. "20 Keys" aitab Benadie sõnul tööstusettevõte tootlikkust suurendada. Lisa: Mis on "20 Keys"

  1. Miks ohverdada veel üks põlvkond? / Christopher õBeazley ; interv. Berit Teeäär

    Index Scriptorium Estoniae

    õBeazley, Christopher

    2008-01-01

    Euroopa Parlamendi Balti-Euroopa tugirühma esimees Christopher Beazley vastab küsimustele, mis puudutavad tema huvi Balti riikide ja Läänemere regiooni vastu, Läänemere piirkonnas paiknevate Euroopa Liidu vanade ja uute liikmesriikide kontseptuaalsete erinevuste tõttu tekkida võivaid lahkhelisid, Euroopa Liidu ja Venemaa suhete seisu ja arenguperspektiive, liidu ühise välispoliitika kujunemise võimalikkust, Kaliningradi oblasti demilitariseerimist ning selle enklaavi muutmist Euroopa Liidu ja Venemaa vahelise vabakaubanduse pilootprojektiks, Läänemere ökoloogilise olukorra parandamist

  2. Meistrite tee 10 büroohoone Tallinnas = Meistrite St. 10 Office Building in Tallinn / Eero Palm

    Index Scriptorium Estoniae

    Palm, Eero, 1974-

    2005-01-01

    Kuubilaadne neljakorruseline hoone, parklapoolsel küljel evakuatsioonitrepp. Peamisteks materjalideks viimistlemata ja roostekarva betoonelement ning klaas. Projekteerija: Palm-E Arhitektibüroo OÜ. Arhitekt Eero Palm. Konstruktor: Randväli & Karema AS. Projekteeritud 2003, valminud 2004. Ill.: tüüpkorruse ja I korruse plaan, 5 värv. välisvaadet

  3. The intake and quality of breakfast consumption among adolescents attending public secondary schools in Potchefstroom / Leanne Margaret Tee

    OpenAIRE

    Tee, Leanne Margaret

    2014-01-01

    Regular breakfast consumption among adolescents has been linked to decreased risk of obesity and chronic diseases, improved cognition and improved nutrient intake in adolescents. Despite this, research has indicated that adolescent breakfast consumption is declining globally. Adolescents are at particularly high-risk for health compromising behaviours such as increased fast food consumption, increased sedentary levels and frequent breakfast skipping. Research shows that lifestyle and behaviou...

  4. Andrew Smith: peame leidma tee majanduskasvuni, mis põhineb säästmisel, investeeringutel ja ekspordil / Andrew Smith

    Index Scriptorium Estoniae

    Smith, Andrew

    2010-01-01

    KPMG (UK) peaökonomist Andrew Smith vastab küsimustele, mis puudutavad majanduskriisi tekkimist, olukorra paranemist, majandusolukorda Suurbritannias, erinevusi Euroopa ja muude maailma piirkondade vahel, sarnasusi Eesti ja Suurbritannia majandusolukorra vahel ning prognoose edaspidiste arengute osas

  5. Tee Kilkennysse läheb läbi... Liivalaia / William Elliott ; tõlk. Marek Laane

    Index Scriptorium Estoniae

    Elliott, William

    2005-01-01

    Suurbritannia diplomaat rõhutab vajadust tunda hästi olukorda selles riigis, mida hakatakse rajama või taas üles ehitama. Ta esitab kolm teesi, mida peaks silmas pidama riigi taasülesehitusel. Nn. riskiriikidega diplomaatiliste sidemete säilitamise tähtsusest. Lisa: Rumalaid diplomaatilistest suhetest loobumisi

  6. Kontorihoone : Järvevana tee 9g, Tallinn = Office Building : 9g Järvevana Str., Tallinn / Raivo Puusepp

    Index Scriptorium Estoniae

    Puusepp, Raivo

    2003-01-01

    Merko Ehituse 6-korruseline suletud kabinetsüsteemis büroohoone. Arhitekt Raivo Puusepp, kaasa töötasid Maike Heido ja Peeter Loo. Sisekujundaja Kaire Kemp (ArtAku). Konstruktiivne lahendus: Neoprojekt. Projekt 2001, valmis 2003. I korruse plaan, sise- ja 2 välisvaadet

  7. Computational fluid dynamic model for glycerol gasification in supercritical water in a tee junction shaped cylindrical reactor

    NARCIS (Netherlands)

    Yukananto, Riza; Pozarlik, Artur K.; Brem, Gerrit

    2018-01-01

    Gasification in supercritical water is a very promising technology to process wet biomass into a valuable gas. Providing insight of the process behavior is therefore very important. In this research a computational fluid dynamic model is developed to investigate glycerol gasification in

  8. Hotell 'Bernhard' Otepääl. Otepää aedlinn, Kolga tee 22a / Andres Lunge

    Index Scriptorium Estoniae

    Lunge, Andres

    1998-01-01

    Otepää aedlinnas asuva U. Tiirmaa poolt kuuekümnendatel projekteeritud Tartu Katseremonditehase puhkebaasi rekonstrueerimine. Kavandati uus peasissepääs, täiendav tubadekorrus, restoran, vastuvõtufuajee jm. ning juurdeehitusena osaliselt maaalune lisakorpus konverentsisaali jm. ruumidega. Tellija: AS Regel. Projekteerija: Tareke Projekt OÜ. Arhitekt Andres Lunge. Sisekujundaja Taisi Kadarik. Ehitus: AS Regel, 1996-1998. Projekt 1995, 1998, valmis 1998

  9. Spanish participation in the Benchmark of the OECD of CFDs applied to nuclear safety: the test of Tee Junction

    International Nuclear Information System (INIS)

    Abdelaziz Essa, M. A.; Chiva, S.; Munoz-Cobo, J. L.

    2011-01-01

    In this paper we show the main results obtained by the groups of the Universities UPV and UJI (GITH-Inter-Universitary Group on Thermal-Hidraulics), in the modeling of the OCDE Benchmark on the T-Junction performed during the year 2010. This benchmark consisted in predicting, using CFD codes the velocity and temperature distributions downstream the junction. Also was considered a important issue the prediction of the velocity and temperature fluctuations, especially the Power Spectral density of the temperature fluctuations. The results obtained in the Benchmark by the GITH group were very good.

  10. La resolución de problemas formales y prácticos: un estudio con niños Tee Savi

    OpenAIRE

    García, Javier

    2013-01-01

    El artículo muestra las estrategias utilizadas por alumnos de sexto grado de primaria al resolver problemas aritméticos, clasificados por el autor en formales y prácticos. El escrito invita a reflexionar a los profesores que atienden a niños de diversas culturas (como los alumnos inmigrantes) y a investigadores que se interesan por estudiar la influencia de la cultura y el contexto del niño en su rendimiento escolar. La investigación es un estudio de casos; utiliza como instrumentos de recole...

  11. Numerical investigation on thermal striping conditions for a tee junction of LMFBRE coolant pipes. 7. Effect of the 'Turbulence promoter' on the fluid mixing

    International Nuclear Information System (INIS)

    Tanaka, Masa-aki; Muramatsu, Toshiharu

    2004-06-01

    It is important to evaluate thermal-striping phenomena, which is the thermal fatigue issue in the structure generated by the temperature fluctuation due to the fluid mixing. Especially, the high amplitude and the high number of repetitions of the temperature fluctuation are needed to take into consideration. Moreover, it is necessary to consider the comparatively low frequency components of fluid temperature fluctuation, since the influence to structure material is large. Therefore, it is required to know the generating mechanism and conditions of the high amplitude and the low frequency component of fluid temperature fluctuation. In Japan Nuclear Cycle Development Institute, basic research on the promote system for fluid mixing is conducted, which system ('Turbulence promoter') is expected to reduce the large amplitude and low frequency components of fluid temperature fluctuation in T junction pipe. In this investigation, it is aimed to validate the effect and to generalize the mixing characteristics of 'Turbulence promoter' on the fluid mixing in T-junction pipe, and to contribute the knowledge to the rational design of LMFBR. In this report, numerical simulation for the existing experiment was conducted using a quasi-direct simulation code (DINUS-3). From the numerical simulation, the following results are obtained. (1) Numerical calculations could simulate well the flow patterns observed in the visualization experiment, in impinging jet case (Pattern-C) and deflecting jet cases (Pattern-B1 and Pattern-B). (2) By installing Turbulence promoter', cross-section area of main pipe after the mixing point is narrowed, and the fluid of main pipe is accelerated and flows along the slope of the promoter on the opposite side of branch pipe. this accelerated flow acts to prevent the collision of the branch pipe flow to the promoter. Therefore, the branch pipe flow conditions in deflecting jet category are extended. (3) At the throat of the main pipe, the flow was separated from the edge of the 'Turbulence promoter' and eddies were generated in downstream side of the promoter. And also the wake region was formed behind the promoter. By these eddies, fluid mixing is promoted. However, in the downstream side of the promoter, temperature fluctuation with large amplitude will be produced, since the flow attached to the main pipe wall as the main piping flow and the branch piping flow are mixed. (author)

  12. Ühehäälne Euroopa / Hans-Gert Pöttering ; interv. Berit Teeäär, Kaja Sõrg

    Index Scriptorium Estoniae

    Pöttering, Hans-Gert, 1945-

    2007-01-01

    Euroopa Parlamendi president räägib, kuivõrd paistab Eesti välja Euroopa poliitikas, vaeb Läänemere strateegiat ja Eesti-Vene kahepoolsete suhete arengut, Euroopa-Liidu ja Venemaa suhteid, sh seoses kavandatava Vene-Saksa gaasijuhtmega ning Euroopa Rahvapartei põhimõtteid ja tegevust. Lisad: Euroopa Parlamendi Euroopa Rahvapartei ja Euroopa Demokraatide (ERP-ED) fraktsioon; Mis on Euroopa Parlament?

  13. Rahvalik ehitus : galeriimaja Harjumaal Peetris Uusmaa tee 1, 3, 5 = Construction for the people : gallery-accessed building in Peetri, Harju County / Triin Ojari

    Index Scriptorium Estoniae

    Ojari, Triin, 1974-

    2008-01-01

    Projekteerija: Arhitektuuribüroo Emil Urbel. Autorid: Emil Urbel, Ainar Luik, Ivar Lubjak. Konstruktor: OÜ Printsiip. Ehitaja: KMG Ehitus. Projekt: 2006, valmis: 2007. Emil Urbel ja Ainar Luik hoone arhitektuursest lahendusest, ehitusmaterjalidest, ökonoomsusest, ehitusest. Asendiplaan, I-III korruse plaan, 7 värv. välisvaadet

  14. Pärnu mnt. ja Järvevana tee vahelise ala planeerimiskonkurss = Planning Competition of the Area between Järvevana and Pärnu Roads / Kalle Komissarov

    Index Scriptorium Estoniae

    Komissarov, Kalle, 1976-

    2002-01-01

    Konkursist, zürii koosseis, võidutöödest. Võistlusala oli AS-i "Kalev" ja Tallinna Piimatööstuse territoorium. Preemiad: I - Nikolai Volkov, Liis Sagadi, II - Tarmo Teedumäe, Renee Puusepp, Karli Luik, Toomas Tammis, Inga Raukas, III - Veronika Valk, ostupreemiad - Alver Trummal Arhitektid ja büroo Kosmos

  15. Mobility Analysis of AmpuTees (MAAT I): Quality of life and satisfaction are strongly related to mobility for patients with a lower limb prosthesis.

    Science.gov (United States)

    Wurdeman, Shane R; Stevens, Phillip M; Campbell, James H

    2017-10-01

    While rehabilitation professionals are historically trained to place emphasis on the restoration of mobility following lower limb amputation, changes in healthcare dynamics are placing an increased emphasis on the limb loss patient's quality of life and general satisfaction. Thus, the relationship between these constructs and mobility in the patient with lower limb loss warrants further investigation. To determine the relationship between mobility of the patient with lower limb loss and both (1) general (1) general satisfaction and (2) quality of life. Retrospective chart analysis. A retrospective chart review of the Prosthetic Limb Users Survey of Mobility and the Prosthesis Evaluation Questionnaire-Well-Being subsection. Pearson correlations were used to test relationships. Data from 509 patients with a lower limb prosthesis were included. Mobility was found to be positively correlated with quality of life ( r = 0.511, p mobility and both quality of life and general satisfaction. Thus, in the holistic care of a patient with lower limb loss, maximizing mobility would correlate with greater quality of life and general satisfaction. Clinical relevance There is growing emphasis on the quality of life and general satisfaction experienced by patients undergoing prosthetic rehabilitation. The results of this study underscore the importance of providing prosthetic rehabilitation that maximizes the patient's mobility, noting that these individuals also report greater quality of life and general satisfaction.

  16. Räägi, mida tead. Tea, mida räägid, Tee, mida räägid / Reet Valgmaa

    Index Scriptorium Estoniae

    Valgmaa, Reet, 1952-

    2010-01-01

    Õpetajate täienduskoolitusest teistsuguse nurga alt. On kolm põhimõttelist küsimust: miks ja millist enesetäiendust õpetav inimene soovib; kelle juures ta näeb selleks kõige sobivamat võimalust ja kuidas õpitu rakendub töös

  17. Õpi hästi, tee karjääri, võta naine, osta maja! Tänan, ei / Tiiu Laks

    Index Scriptorium Estoniae

    Laks, Tiiu, 1984-

    2010-01-01

    8. oktoobril 2010 Eesti Rahvusraamatukogu Tornisaalis esietendunud VAT teatri lavastusest "Hikikomori". Austria näitekirjaniku Holger Schoberi näidendi lavastas Margo Teder. Osades: Meelis Põdersoo, Kadri Adamson ja Anne Veesaar

  18. "Kes tööd ei tee, ei pea ka sööma!": ühe lootusetu võitluse lugu : Nõukogude töökohustuse ja parasiitide vaenamine Eesti NSV-s / Indrek Paavle

    Index Scriptorium Estoniae

    Paavle, Indrek, 1970-

    2015-01-01

    NSV Liidus kehtinud töökohustusest, töödistsipliini rikkumisest, distsipliinirikkumistega võitlemisest. Nõukogude võimu esimesest 20 aastast. Töötajate sunnismaisusest ja töödistsipliini rikkumise kriminaliseerimisest. Töödistsipliini seaduste rakendamise algusest Eestis. 1948. ja 1951. aasta parasiitide seadustest. Hruštšovi kampaaniast. Eesti NSV 1961. aasta parasiitidevastasest seadusest. Kampaania tulemustest. 1966. aasta seadusest. 1975. aasta seadusest. 1980. aastate kampaaniatest

  19. Tallinna Tehnikaülikooli Raamatukogu = The Library of the Tallinn University of Technology / Margit Mutso

    Index Scriptorium Estoniae

    Mutso, Margit, 1966-

    2010-01-01

    Tallinnas Akadeemia tee 1 / Ehitajate tee 7 asuva raamatukoguhoone arhitektuursest lahendusest. Hoone on projekteerinud arhitektuuribüroo Agabus, Endjärv & Truverk Arhitektid. Žürii liikme Kalle Komissarovi hinnang kultuurkapitali aastapreemiale esitatud hoonele

  20. Medline Plus

    Full Text Available ... Transesophageal Echocardiogram (TEE) (Shawnee Mission Medical Center, Merriam, KS, 2/17/2009) Cardiomyopathy Septal Myectomy Surgery to ... Transesophageal Echocardiogram (TEE) (Shawnee Mission Medical Center, Merriam, KS, 2/17/2009) Transradial Approach for Cardiac Catheterization: ...

  1. Simulator-based Transesophageal Echocardiographic Training with Motion Analysis A Curriculum-based Approach

    NARCIS (Netherlands)

    Matyal, Robina; Mitchell, John D.; Hess, Philip E.; Chaudary, Bilal; Bose, Ruma; Jainandunsing, Jayant S.; Wong, Vanessa; Mahmood, Feroze

    Background: Transesophageal echocardiography (TEE) is a complex endeavor involving both motor and cognitive skills. Current training requires extended time in the clinical setting. Application of an integrated approach for TEE training including simulation could facilitate acquisition of skills and

  2. The advantages of live/real time three-dimensional transesophageal echocardiography during assessments of pulmonary stenosis.

    Science.gov (United States)

    Kemaloğlu Öz, Tuğba; Özpamuk Karadeniz, Fatma; Akyüz, Şükrü; Ünal Dayı, Şennur; Esen Zencirci, Aycan; Atasoy, Işıl; Ösken, Altuğ; Eren, Mehmet

    2016-04-01

    This report sought to compare live/real-time three-dimensional transesophageal echocardiography (3D-TEE) with two-dimensional transesophageal echocardiography (2D-TEE) and to determine whether there are advantages to using 3D-TEE on patients with pulmonary stenosis (PS). Sixteen consecutive adult patients (50 % male and 50 % female; mean age 33 ± 13.4 years) with PS and indications of TEE were prospectively enrolled in this study. Following this, initial 2D-TEE and 3D-TEE examinations were performed, and 3D-TEE images were analyzed using an off-line Q-lab software system. Finally, the 2D-TEE and 3D-TEE findings were compared. In the present study, 3D-TEE allowed us to obtain the en face views of pulmonary valves (PVs) in all but one patient. While this patient was without a PV due to a previous tetralogy of Fallot operation, we could detect the type of PV in the other 15 (93.7 %) patients by using 3D-TEE. Due to poor image quality, the most stenotic area was not measurable in only one (6.2 %) of the patients. In eight (50 %) of the patients, severity and localization of stenosis were more precisely determined with 3DTEE than with 2D-TEE. The PVs' maximal annulus dimensions were found to be significantly larger when they were measured using 3D modalities. This study provides evidence of the incremental value of using 3D-TEE rather than 2D-TEE during assessments of PS, specifically in cases where special conditions (pregnancy, pulmonary regurgitation, and concomitant atrial septal defects) cause recordings of the transvalvular peak gradient to be inaccurate. Therefore, 3D-TEE should be used as a complementary imaging tool to 2D-TEE during routine echocardiographic examinations.

  3. Manual Skill Acquisition During Transesophageal Echocardiography Simulator Training of Cardiology Fellows : A Kinematic Assessment

    NARCIS (Netherlands)

    Matyal, Robina; Montealegre-Gallegos, Mario; Mitchell, John D.; Kim, Han; Bergman, Remco; Hawthorne, Katie M.; O'Halloran, David; Wong, Vanessa; Hess, Phillip E.; Mahmood, Feroze

    2015-01-01

    Objective: To investigate whether a transesophageal echocardiography (TEE) simulator with motion analysis can be used to impart proficiency in TEE in an integrated curriculum-based model. Design: A prospective cohort study. Setting: A tertiary-care university hospital. Participants: TEE-naive

  4. Emerging Concepts in Transesophageal Echocardiography [version 1; referees: 3 approved

    Directory of Open Access Journals (Sweden)

    Cory Maxwell

    2016-03-01

    Full Text Available Introduced in 1977, transesophageal echocardiography (TEE offered imaging through a new acoustic window sitting directly behind the heart, allowing improved evaluation of many cardiac conditions. Shortly thereafter, TEE was applied to the intraoperative environment, as investigators quickly recognized that continuous cardiac evaluation and monitoring during surgery, particularly cardiac operations, were now possible. Among the many applications for perioperative TEE, this review will focus on four recent advances: three-dimensional TEE imaging, continuous TEE monitoring in the intensive care unit, strain imaging, and assessment of diastolic ventricular function.

  5. Automated quantitative 3-dimensional modeling of the aortic valve and root by 3-dimensional transesophageal echocardiography in normals, aortic regurgitation, and aortic stenosis: comparison to computed tomography in normals and clinical implications.

    Science.gov (United States)

    Calleja, Anna; Thavendiranathan, Paaladinesh; Ionasec, Razvan Ioan; Houle, Helene; Liu, Shizhen; Voigt, Ingmar; Sai Sudhakar, Chittoor; Crestanello, Juan; Ryan, Thomas; Vannan, Mani A

    2013-01-01

    We tested the ability of a novel automated 3-dimensional (3D) algorithm to model and quantify the aortic root from 3D transesophageal echocardiography (TEE) and computed tomographic (CT) data. We compared the quantitative parameters obtained by automated modeling from 3D TEE (n=20) and CT data (n=20) to those made by 2D TEE and targeted 2D from 3D TEE and CT in patients without valve disease (normals). We also compared the automated 3D TEE measurements in severe aortic stenosis (n=14), dilated root without aortic regurgitation (n=15), and dilated root with aortic regurgitation (n=20). The automated 3D TEE sagittal annular diameter was significantly greater than the 2D TEE measurements (P=0.004). This was also true for the 3D TEE and CT coronal annular diameters (P0.05) in normals, but these were significantly different (P0.05), but all 3 were significantly different compared with the abnormal group (P<0.05). The automated 3D annulus commissure coronary ostia distances in normals showed significant difference between 3D TEE and CT (P<0.05); also, these parameters by automated 3D TEE were significantly different in abnormal (P<0.05). Finally, the automated 3D measurements showed excellent reproducibility for all parameters. Automated quantitative 3D modeling of the aortic root from 3D TEE or CT data is technically feasible and provides unique data that may aid surgical and transcatheter interventions.

  6. Total energy expenditure estimated using foot-ground contact pedometry.

    Science.gov (United States)

    Hoyt, Reed W; Buller, Mark J; Santee, William R; Yokota, Miyo; Weyand, Peter G; Delany, James P

    2004-02-01

    Routine walking and running, by increasing daily total energy expenditure (TEE), can play a significant role in reducing the likelihood of obesity. The objective of this field study was to compare TEE estimated using foot-ground contact time (Tc)-pedometry (TEE(PEDO)) with that measured by the criterion doubly labeled water (DLW) method. Eight male U.S. Marine test volunteers [27 +/- 4 years of age (mean +/- SD); weight = 83.2 +/- 10.7 kg; height = 182.2 +/- 4.5 cm; body fat = 17.0 +/- 2.9%] engaged in a field training exercise were studied over 2 days. TEE(PEDO) was defined as (calculated resting energy expenditure + estimated thermic effect of food + metabolic cost of physical activity), where physical activity was estimated by Tc-pedometry. Tc-pedometry was used to differentiate inactivity, activity other than exercise (i.e., non-exercise activity thermogenesis, or NEAT), and the metabolic cost of locomotion (M(LOCO)), where M(LOCO) was derived from total weight (body weight + load weight) and accelerometric measurements of Tc. TEE(PEDO) data were compared with TEEs measured by the DLW (2H2(18)O) method (TEE(DLW)): TEE(DLW) = 15.27 +/- 1.65 MJ/day and TEE(PEDO) = 15.29 +/- 0.83 MJ/day. Mean bias (i.e., TEE(PEDO) - TEE(DLW)) was 0.02 MJ, and mean error (SD of individual differences between TEE(PEDO) and TEE(DLW)) was 1.83 MJ. The Tc-pedometry method provided a valid estimate of the average TEE of a small group of physically active subjects where walking was the dominant activity.

  7. Left Atrial Enlargement on Transthoracic Echocardiography Predicts Left Atrial Thrombus on Transesophageal Echocardiography in Ischemic Stroke Patients

    Directory of Open Access Journals (Sweden)

    James Anaissie

    2016-01-01

    Full Text Available Background. Transesophageal echocardiogram (TEE is superior to transthoracic echocardiogram (TTE in detecting left atrial thrombus (LAT, a risk factor for stroke, but is costly and invasive, carrying a higher risk for complications. Aims. To determine the utility of using left atrial enlargement (LAE on TTE to predict LAT on TEE. Methods. AIS patients who presented in 06/2008–7/2013 and underwent both TTE and TEE were identified from our prospective stroke registry. Analysis consisted of multivariate logistic regression with propensity score adjustment and receiver operating characteristic (ROC area under the curve (AUC analyses. Results. 219 AIS patients underwent both TTE and TEE. LAE on TTE was detected in 113 (51.6% of AIS patients. Patients with LAE on TTE had higher proportion of LAT on TEE (8.4% versus 1.0%, p=0.018. LAE on TTE predicted increased odds of LAT on TEE (OR=8.83, 95% CI 1.04–74.83, p=0.046. The sensitivity and specificity for LAT on TEE by LAE on TEE were 88.89% and 52.20%, respectively (AUC=0.7054, 95% CI 0.5906–0.8202. Conclusions. LAE on TTE can predict LAT detected on TEE in nearly 90% of patients. This demonstrates the utility of LAE on TTE as a potential screening tool for LAT, potentially limiting unneeded costs and complications associated with TEE.

  8. Transesophageal echocardiography simulation is an effective tool in teaching psychomotor skills to novice echocardiographers.

    Science.gov (United States)

    Sohmer, Benjamin; Hudson, Christopher; Hudson, Jordan; Posner, Glenn D; Naik, Viren

    2014-03-01

    Performance of transesophageal echocardiography (TEE) requires the psychomotor ability to obtain interpretable echocardiographic images. The purpose of this study was to determine the effectiveness of a simulation-based curriculum in which a TEE simulator is used to teach the psychomotor skills to novice echocardiographers and to compare instructor-guided with self-directed online delivery of the curriculum. After institutional review board approval, subjects inexperienced in TEE completed an online review of TEE material prior to a baseline pre-test of TEE psychomotor skills using the simulator. Subjects were randomized to two groups. The first group received an instructor-guided lesson of TEE psychomotor skills with the simulator. The second group received a self-directed slide presentation of TEE psychomotor skills with the simulator. Both lessons delivered identical information. Following their respective training sessions, all subjects performed a post-test of their TEE psychomotor skills using the simulator. Two assessors rated the TEE performances using a validated scoring system for acquisition of images. Pre-test TEE simulator scores were similar between the two instruction groups (9.0 vs 5.0; P = 0.28). The scores in both groups improved significantly following training, regardless of the method of instruction (P psychomotor skills. There was no difference in improvement between the different modalities of instruction. Further research will examine the need for a faculty resource for a curriculum in which a simulator is used as an adjunct.

  9. Left Atrial Enlargement on Transthoracic Echocardiography Predicts Left Atrial Thrombus on Transesophageal Echocardiography in Ischemic Stroke Patients.

    Science.gov (United States)

    Anaissie, James; Monlezun, Dominique; Seelochan, A; Siegler, James E; Chavez-Keatts, Maria; Tiu, Jonathan; Pineda, Denise; George, Alexander; Shaban, Amir; Abi Rafeh, Nidal; Schluter, Laurie; Martin-Schild, Sheryl; El Khoury, Ramy

    2016-01-01

    Background. Transesophageal echocardiogram (TEE) is superior to transthoracic echocardiogram (TTE) in detecting left atrial thrombus (LAT), a risk factor for stroke, but is costly and invasive, carrying a higher risk for complications. Aims. To determine the utility of using left atrial enlargement (LAE) on TTE to predict LAT on TEE. Methods. AIS patients who presented in 06/2008-7/2013 and underwent both TTE and TEE were identified from our prospective stroke registry. Analysis consisted of multivariate logistic regression with propensity score adjustment and receiver operating characteristic (ROC) area under the curve (AUC) analyses. Results. 219 AIS patients underwent both TTE and TEE. LAE on TTE was detected in 113 (51.6%) of AIS patients. Patients with LAE on TTE had higher proportion of LAT on TEE (8.4% versus 1.0%, p = 0.018). LAE on TTE predicted increased odds of LAT on TEE (OR = 8.83, 95% CI 1.04-74.83, p = 0.046). The sensitivity and specificity for LAT on TEE by LAE on TEE were 88.89% and 52.20%, respectively (AUC = 0.7054, 95% CI 0.5906-0.8202). Conclusions. LAE on TTE can predict LAT detected on TEE in nearly 90% of patients. This demonstrates the utility of LAE on TTE as a potential screening tool for LAT, potentially limiting unneeded costs and complications associated with TEE.

  10. Feasibility of measurements of valve dimensions in en-face-3D transesophageal echocardiography.

    Science.gov (United States)

    Eibel, Sarah; Turton, Edwin; Mukherjee, Chirojit; Bevilacqua, Carmine; Ender, Joerg

    2017-10-01

    Newest 3D software allows measurements directly in the en-face-3D TEE mode. Aim of the study was to ascertain whether measurements performed in the en-face-3D TEE mode are comparable with conventional measurement methods based on 2D TEE and 3D using the multiple plane reconstruction mode with the Qlab ® software. En-face-3D TEE is used more frequently in daily clinical routine during cardiac operations. So far measurements could only be done based on 2D images or with the use of multi planar reconstruction mode with additional software. Measurement directly in the 3D image (en-face-3D TEE) would make measurements faster and easier to use in clinical practice. After approval by the local ethic committee and written informed consent from the patients additionally to a comprehensive perioperative 2D TEE examination a real time (RT) 3D zoom- dataset was recorded. Routine measurements of the length of anterior and posterior mitral valve leaflets as well as mitral valve and aortic valve areas were performed in en-face-3D TEE, multiplanar reconstruction mode using Qlab ® -software (Philips, Netherlands) and 2D TEE standard views. Twenty nine patients with a mean age of 67 years undergoing elective cardiac surgery/interventions were enrolled in this study. Direct measurements in en-face-3D TEE mode lead to non significant underestimation of all parameters as compared to Qlab ® and 2D TEE measurements. Measurements in en-face-3D TEE are feasible but lead to non significant underestimation compared to measurements performed with Qlab ® or in 2D TEE views.

  11. Ka sisaliku tee kivil jätab jälje. Tantsuteatri uurimise metodoloogiast Rahel Olbrei pärandi näitel / Even a Lizard’s Path on Stone Leaves a Trace: Methodological Issues on Dance Research from the Example of Rahel Olbrei's Legacy

    Directory of Open Access Journals (Sweden)

    Heili Einasto

    2014-12-01

    Full Text Available The article is dedicated to dance research methodology, using Rahel Olbrei’s legacy as an example. Rahel Olbrei (1898—1983 was an Estonian choreographer and founder of the Estonia Theatre Dance Company. A choreographer’s work, when not on stage, becomes invisible, though it leaves its trace in the cultural memory. Olbrei’s legacy exists in the memory of the people who met her personally, but also of those who have obtained their memories from them – together they form a collective memory, Tamm and Halla (2008 present five major memory transmission channels: oral narratives, written (memoirs, diaries, autobiographies, history books, etc., visual (photos in Olbrei’s case, actional (the Rahel Olbrei Annual Award and spatial channels.  Memories are not fixed; they are records of how events have been experienced. We draw key elements out of our experience and save them, and later create or form that experience anew. Remembering as a process also needs information about how something is remembered: hints, directions and any triggers that wake up some of the information saved in the brain. Oral history is a process of relation building: relations are built between narrators and listeners, between past events and present dialogue – thus, when making oral history interviews, it is essential to also record aspects outside of the interview.  Choreography will stay alive only when it is being taught from one dancer to another. This paper describes the processes of making, saving and passing on movement texts using examples by Olbrei. In a situation where Olbrei’s choreography is lost forever, we can ask: what is her legacy in Estonia theatre and ballet? This legacy is perhaps strongest in dancers trained by her who were carriers of a pre-war work ethic and Olbrei’s vision of dancers as dancing actors. Olbrei’s views on dance education and art are alive today. She was convinced that a professional dancer should be able to perform anything. She deemed it important to have dancers as collaborators, not merely imitators of dance movements, and her vision of ballet as a meaningful dance drama was shared by choreographers who came after her. Only the challenges of the present century – commercialization of ballet as a genre and internationalisation of ballet companies – have started to crumble Olbrei’s artistic legacy and ideal of dance performance as a deeply felt art and the dancer as the choreographer’s collaborator.

  12. Põhja-Eesti Regionaalhaigla X-korpus = North-Estonian Regional Hospital X-wing / Mari Kurismaa ; intervjueerinud Margit Mutso

    Index Scriptorium Estoniae

    Kurismaa, Mari, 1956-

    2011-01-01

    Tallinnas Sütiste tee 19 asuva haigla juurdeehitise sisekujundusest. Sisearhitekt Mari Kurismaa (Stuudio Kurismaa OÜ). Arhitektid Indrek Suigusaar, Vivian Oruvee (AB Pluss OÜ). Infograafika autor Mari Kaljuste

  13. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... Sports Clinic Training - Exposure - Experience (TEE) Tournament Wheelchair Games Winter Sports Clinic ... War Specific to Women Types of Trauma War Terrorism Violence and Abuse Disasters ...

  14. Maestro lahkub, edu retsept taskus / Tõnis Arnover

    Index Scriptorium Estoniae

    Arnover, Tõnis, 1952-

    2006-01-01

    USA keskpanga pikaaegse juhi Alan Greenspani tegevusest ja ametist tagasiastumisest. Vt. samas: Kõnekate vihjete suurmeister; Doktorikraad tuli alles keskeas; Alan Greenspani tee pooljumala seisusesse. Verstapostid keskpanga juhina

  15. Restoran Noa Miidurannas = Noa Restaurant in the Miiduranna area of Tallinn / Peeter Loo, Jan Skolimowski, Kaspar Kruuse, Tarmo Piirmets ; kommenteerinud Raivo Kotov

    Index Scriptorium Estoniae

    2015-01-01

    Noa restoran Miidurannas Ranna tee 3, valminud 2014. Arhitektid Peeter Loo, Jan Skolimowski, Kaspar Kruuse (Kamp Arhitektid), sisearhitekt Tarmo Piirmets (Pink). Eesti Kultuurkapitali Arhitektuuri sihtkapitali arhitektuuripreemia 2014

  16. Draamateater võitis Poolas kaks preemiat / Tambet Kaugema

    Index Scriptorium Estoniae

    Kaugema, Tambet

    1999-01-01

    Eesti Draamateatri lavastus "Mao tee kalju peal" tõi Torunis toimunud rahvusvaheliselt festivalilt Kontakt kaks preemiat - Toruni Ülikooli preemia ja festivalile akrediteeritud teatrikriitikute preemia

  17. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... National Resource Directory Grants Management Services Veterans Service Organizations Office of ... Clinic Training - Exposure - Experience (TEE) Tournament Wheelchair Games Winter Sports ...

  18. Assessment of left atrial appendage function by transthoracic pulsed Doppler echocardiography: Comparing against transesophageal interrogation and predicting echocardiographic risk factors for stroke.

    Science.gov (United States)

    Wai, Shin Hnin; Kyu, Kyu; Galupo, Mary Joyce; Songco, Geronica G; Kong, William K F; Lee, Chi Hang; Yeo, Tiong Cheng; Poh, Kian Keong

    2017-10-01

    Transesophageal echocardiographic (TEE) findings of left atrial appendage (LAA) thrombus, spontaneous echo contrast (SEC), and LAA dysfunction are established risk factors of cardioembolic stroke. The semi-invasive nature of TEE limits its utility as a routine risk stratification tool. We aim to correlate TEE and transthoracic echocardiography (TTE) pulsed Doppler measurements of LAA flow velocities and use TTE measurements to predict TEE findings. We prospectively measured pulsed Doppler LAA flow velocities in 103 consecutive patients on TEE and TTE. There was a strong correlation between TEE and TTE LAA emptying velocity (LAA E) (r = .88, P TTE LAA E predicted the presence of thrombus or SEC independent of atrial fibrillation (AF). To predict the presence of thrombus or SEC, the optimal TTE LAA E cutoff was ≤30 cm/s in all patients (75% sensitive, 90% specific) and ≤31 cm/s in AF patients (80% sensitive, 79% specific). To predict LAA dysfunction (TEE E ≤ 20 cm/s), the optimal TTE LAA E cutoff was ≤27 cm/s (100% sensitive, 89% specific in all patients and 100% sensitive, 74% specific in AF patients). TTE assessment of LAA function is feasible and correlates well with the more invasive TEE method. It predicts the presence of thrombus, SEC, and LAA dysfunction on TEE. TTE LAA assessment has incremental value in thromboembolic risk stratification and should be utilized more frequently. © 2017, Wiley Periodicals, Inc.

  19. Transthoracic Echocardiography to Assess Aortic Regurgitation after TAVR: A Comparison with Periprocedural Transesophageal Echocardiography.

    Science.gov (United States)

    Goncalves, Alexandra; Nyman, Charles; Okada, David R; Singh, Avinainder; Swanson, Jeffrey; Cheezum, Michael; Steigner, Michael; Di Carli, Marcelo; Solomon, Scott; Shah, Pinak B; Bhatt, Deepak L; Shook, Douglas; Blankstein, Ron

    We aimed to compare periprocedural transesophageal echocardiography (TEE) with postprocedural transthoracic echocardiography (TTE) for the diagnosis of aortic regurgitation (AR). TEE and TTE images of 163 transcatheter aortic valve replacement (TAVR) patients (mean age 81 ± 8 years; 56% men) were reviewed separately and blinded to each other as well as to all clinical data. The median time between TEE during TAVR (TEE/TAVR) and TTE was 4 days (IQR 2-10 days). After TAVR, 48% of the patients had at least trace AR by TEE, 56% by angiography and 67% by TTE. The majority of AR was paravalvular (78%). More patients were classified with mild-to-moderate AR by TTE than by TEE (44 vs. 22%, p TTE which was not at TEE/TAVR, both systolic and diastolic blood pressure (SBP and DBP) were significantly higher during TTE than during TEE (mean ΔSBP = 9 ± 4 mm Hg and mean ΔDBP = 6 ± 2 mm Hg, p TTE were found among patients with no AR or among those who had AR in both studies. At a median follow-up of 185 days (IQR 39-424 days), the overall mortality was 17%, but this was not associated with the presence of AR on TTE or TEE. Patients' hemodynamic conditions may result in underdiagnosis of paravalvular regurgitation in periprocedural TEE. Our findings suggest that a postprocedural evaluation for AR by TTE could serve as a reasonable alternative to TEE for the evaluation of AR. © 2016 S. Karger AG, Basel.

  20. Impact of perioperative transesophageal echocardiography on tetralogy of fallot total repair

    Directory of Open Access Journals (Sweden)

    Yasmin Abdel Razek

    2014-03-01

    Conclusion: TEE imaging is a safe, feasible, and accurate tool for anatomical, hemodynamic, and functional assessment in patients with TOF during surgical repair. TEE offers the advantage of permitting visualization of the operative procedure in real time and provides guidance for the surgeon in making decisions inside the operating room.

  1. Are novel non-invasive imaging techniques needed in patients with suspected prosthetic heart valve endocarditis? A systematic review and meta-analysis

    Energy Technology Data Exchange (ETDEWEB)

    Habets, Jesse; Mali, Willem P.T.M. [University Medical Center Utrecht, Department of Radiology, Utrecht (Netherlands); Tanis, Wilco [Haga Teaching Hospital, Department of Cardiology, The Hague (Netherlands); Reitsma, Johannes B. [University Medical Center Utrecht, Julius Center for Health Sciences and Primary Care, Utrecht (Netherlands); Brink, Renee B.A. van den [Academic Medical Center, Department of Cardiology, Amsterdam (Netherlands); Chamuleau, Steven A.J. [University Medical Center Utrecht, Department of Cardiology, Utrecht (Netherlands); Budde, Ricardo P.J. [Erasmus Medical Center, Department of Radiology, Rotterdam (Netherlands)

    2015-07-15

    Multimodal non-invasive imaging plays a key role in establishing a diagnosis of PHV endocarditis. The objective of this study was to provide a systematic review of the literature and meta-analysis of the diagnostic accuracy of TTE, TEE, and MDCT in patients with (suspected) PHV endocarditis. Studies published between 1985 and 2013 were identified via search and cross-reference of PubMed/Embase databases. Studies were included if (1) they reported on the non-invasive index tests TTE, TEE, or MDCT; (2) data was provided on PHV endocarditis as the condition of interest; and (3) imaging results were verified against either surgical inspection/autopsy or clinical follow-up reference standards, thereby enabling the extraction of 2-by-2 tables. Twenty articles (including 496 patients) met the inclusion criteria for PHV endocarditis. TTE, TEE, and MDCT + TEE had a pooled sensitivity/specificity for vegetations of 29/100 %; 82/95 %, and 88/94 %, respectively. The pooled sensitivity/specificity of TTE, TEE, and MDCT + TEE for periannular complications was 36/93 %, 86/98 %, and 100/94 %, respectively. TEE showed good sensitivity and specificity for establishing a diagnosis of PHV endocarditis. Although MDCT data are limited, this review showed that MDCT in addition to TEE may improve sensitivity in detecting life-threatening periannular complications. (orig.)

  2. Intraoperative transesophageal echocardiography assessment of right atrial myxoma resulting in a change of the surgical plan

    Directory of Open Access Journals (Sweden)

    Sathish Kumar Dharmalingam

    2014-01-01

    Full Text Available Transesophageal echocardiography (TEE is an important diagnostic tool. It provides structural and functional assessment of cardiac structures which can improve the overall outcome of the patient. We present a case with right atrial myxoma in which TEE helped to find the attachment of the mass so that overall surgical plan was changed.

  3. Uued kõrghooned Rocca al Mares / Harri Treial

    Index Scriptorium Estoniae

    Treial, Harri

    2003-01-01

    Arhitektuuribüroo Künnapu & Padrik projekteeritud viiest hoonest Vabaõhumuuseumi tee 4 on esimesed valmis.Vabaõhumuuseumi tee 5 kerkib kaks 12-korruselist elamut, mille autoriks on AS Nord Projekt arhitekt Meeli Truu. Sisekujundaja Eerik Olle. 3 ill

  4. Dorogi, kotorõje nam võbirajut / Eteri Kekelidze

    Index Scriptorium Estoniae

    Kekelidze, Eteri, 1944-

    2005-01-01

    Eestis jätkub aktiivne elamu- ja tee-ehitus, suuri probleeme ehitusmaterjalide tarnimisega elamuehituse või tee-ehituse tarbeks sel aastal ei ole olnud. Ehitusmaterjalide tootmise probleemideks on kujunemas loodusressursside kaevandamise perspektiivid ja planeeritav keskkonnamaksude tõus

  5. Integration of trans-esophageal echocardiography with magnetic tracking technology for cardiac interventions

    Science.gov (United States)

    Moore, John T.; Wiles, Andrew D.; Wedlake, Chris; Bainbridge, Daniel; Kiaii, Bob; Trejos, Ana Luisa; Patel, Rajni; Peters, Terry M.

    2010-02-01

    Trans-esophageal echocardiography (TEE) is a standard component of patient monitoring during most cardiac surgeries. In recent years magnetic tracking systems (MTS) have become sufficiently robust to function effectively in appropriately structured operating room environments. The ability to track a conventional multiplanar 2D TEE transducer in 3D space offers incredible potential by greatly expanding the cumulative field of view of cardiac anatomy beyond the limited field of view provided by 2D and 3D TEE technology. However, there is currently no TEE probe manufactured with MTS technology embedded in the transducer, which means sensors must be attached to the outer surface of the TEE. This leads to potential safety issues for patients, as well as potential damage to the sensor during procedures. This paper presents a standard 2D TEE probe fully integrated with MTS technology. The system is evaluated in an environment free of magnetic and electromagnetic disturbances, as well as a clinical operating room in the presence of a da Vinci robotic system. Our first integrated TEE device is currently being used in animal studies for virtual reality-enhanced ultrasound guidance of intracardiac surgeries, while the "second generation" TEE is in use in a clinical operating room as part of a project to measure perioperative heart shift and optimal port placement for robotic cardiac surgery. We demonstrate excellent system accuracy for both applications.

  6. Aaviku elamurajoon Tallinnas / Piret Lindpere

    Index Scriptorium Estoniae

    Lindpere, Piret, 1963-

    2004-01-01

    Aaviku elamurajoon Jõeküla tee ja Tiskre tee vahelisel alal. Arhitektid Emil Urbel ja Indrek Erm, arendaja Tiit Nurklik. Väikevormide kontseptsiooni autorid Maria Pukk ja Ivar Lubjak. Eesti Kultuurkapitali 2003. a. arhitektuurne eripreemia. Arvamus: Epp Lankots,. Andres Kurg. 7 ill

  7. Low-Power Receive-Electronics for a Miniature 3D Ultrasound Probe

    NARCIS (Netherlands)

    Yu, Z.

    2012-01-01

    This thesis describes the design of a front-end application-specific integrated circuit (ASIC), which will be put into the tip of a miniature ultrasound probe for 3D Trans-Esophageal Echocardiography (TEE). To enable 3D TEE, a matrix piezoelectric ultrasound transducer with more than 2000 elements

  8. Registration of multi-view echocardiography data

    NARCIS (Netherlands)

    Mulder, H.W.|info:eu-repo/dai/nl/345491645

    2017-01-01

    Three-dimensional transesophageal echocardiography (TEE) is a non-invasive imaging technique that is particularly suited for visualizing the heart in real-time. For these reasons, TEE is an useful imaging modality for intraprocedural guidance, for example in the case of catheter ablations for the

  9. 76 FR 7151 - Certain Carbon Steel Butt-Weld Pipe Fittings From Brazil, Japan, Taiwan, Thailand, and the People...

    Science.gov (United States)

    2011-02-09

    ... from the domestic interested parties, Weldbend Corporation, Tube Forging of America, Mills Iron Works... unfinished, that have been formed in the shape of elbows, tees, reducers, caps, etc., and, if forged, have... unfinished, that have been formed in the shape of elbows, tees, reducers, caps, etc., and if forged, have...

  10. Manual Skill Acquisition During Transesophageal Echocardiography Simulator Training of Cardiology Fellows: A Kinematic Assessment.

    Science.gov (United States)

    Matyal, Robina; Montealegre-Gallegos, Mario; Mitchell, John D; Kim, Han; Bergman, Remco; Hawthorne, Katie M; O'Halloran, David; Wong, Vanessa; Hess, Phillip E; Mahmood, Feroze

    2015-12-01

    To investigate whether a transesophageal echocardiography (TEE) simulator with motion analysis can be used to impart proficiency in TEE in an integrated curriculum-based model. A prospective cohort study. A tertiary-care university hospital. TEE-naïve cardiology fellows. Participants underwent an 8-session multimodal TEE training program. Manual skills were assessed at the end of sessions 2 and 8 using motion analysis of the TEE simulator's probe. At the end of the course, participants performed an intraoperative TEE; their examinations were video captured, and a blinded investigator evaluated the total time and image transitions needed for each view. Results are reported as mean±standard deviation, or median (interquartile range) where appropriate. Eleven fellows completed the knowledge and kinematic portions of the study. Five participants were excluded from the evaluation in the clinical setting because of interim exposure to TEE or having participated in a TEE rotation after the training course. An increase of 12.95% in post-test knowledge scores was observed. From the start to the end of the course, there was a significant reduction (pcardiology fellows can be complemented with kinematic analyses to objectify acquisition of manual skills during simulator-based training. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Comparison between transthoracic and transesophageal echocardiography in screening for infective endocarditis in patients with Staphylococcus aureus bacteremia.

    Science.gov (United States)

    Wong, D; Keynan, Y; Rubinstein, E

    2014-11-01

    Echocardiography is an important diagnostic tool in evaluating a patient with Staphylococcus aureus bacteremia (SAB) for diagnosing infective endocarditis (IE). We sought to compare the utility of transthoracic echocardiography (TTE) with transesophageal echocardiography (TEE) in screening for IE in patients with SAB. We performed a retrospective chart review of 285 adult patients from two tertiary care hospitals with at least one positive blood culture for S. aureus between 2010 and 2012. Patients who underwent echocardiography were divided into two groups: TTE (screened with TTE only) and TEE (screened with both TTE and TEE). The demographic factors and clinical outcomes were compared between the groups. Of the 285 charts reviewed, 213 (74.7 %) patients were screened with echocardiography: 183 (85.9 %) were screened with TTE alone and 30 (14.1 %) were screened with both TTE and TEE. TEE disclosed more cases of definite IE than TTE (8 [26.7 %] vs. 22 [12.0 %], p = 0.046). The TEE group had higher mortality than the TTE group (15 [50.0 %] vs. 43 [23.5 %], p = 0.004). In patients with definite IE, mortality was higher in the TEE group than in the TTE group (6 [75.0 %] vs. 6 [27.3 %], p = 0.034). TEE discovered additional findings that were missed by TTE in 36.7 % of cases and refuted the findings of TTE in 13.3 % of cases. We do not support the routine use of TEE in patients with uncomplicated SAB. High-risk patients in which IE is a serious consideration should undergo investigation with TEE.

  12. Generative Retrieval Improves Learning and Retention of Cardiac Anatomy Using Transesophageal Echocardiography.

    Science.gov (United States)

    Kleiman, Amanda M; Forkin, Katherine T; Bechtel, Allison J; Collins, Stephen R; Ma, Jennie Z; Nemergut, Edward C; Huffmyer, Julie L

    2017-05-01

    Transesophageal echocardiography (TEE) is a valuable monitor for patients undergoing cardiac and noncardiac surgery as it allows for evaluation of cardiovascular compromise in the perioperative period. It is challenging for anesthesiology residents and medical students to learn to use and interpret TEE in the clinical environment. A critical component of learning to use and interpret TEE is a strong grasp of normal cardiovascular ultrasound anatomy. Fifteen fourth-year medical students and 15 post-graduate year (PGY) 1 and 2 anesthesiology residents without prior training in cardiac anesthesia or TEE viewed normal cardiovascular anatomy TEE video clips; participants were randomized to learning cardiac anatomy in generative retrieval (GR) and standard practice (SP) groups. GR participants were required to verbally identify each unlabeled cardiac anatomical structure within 10 seconds of the TEE video appearing on the screen. Then a correctly labeled TEE video clip was shown to the GR participant for 5 more seconds. SP participants viewed the same TEE video clips as GR but there was no requirement for SP participants to generate an answer; for the SP group, each TEE video image was labeled with the correctly identified anatomical structure for the 15 second period. All participants were tested for intermediate (1 week) and late (1 month) retention of normal TEE cardiovascular anatomy. Improvement of intermediate and late retention of TEE cardiovascular anatomy was evaluated using a linear mixed effects model with random intercepts and random slopes. There was no statistically significant difference in baseline score between GR (49% ± 11) and SP (50% ± 12), with mean difference (95% CI) -1.1% (-9.5, 7.3%). At 1 week following the educational intervention, GR (90% ± 5) performed significantly better than SP (82% ± 11), with mean difference (95% CI) 8.1% (1.9, 14.2%); P = .012. This significant increase in scores persisted in the late posttest session at one month

  13. Simultaneous measurement of free-living energy expenditure by the doubly labeled water method and heart-rate monitoring

    Energy Technology Data Exchange (ETDEWEB)

    Livingstone, M.B.; Prentice, A.M.; Coward, W.A.; Ceesay, S.M.; Strain, J.J.; McKenna, P.G.; Nevin, G.B.; Barker, M.E.; Hickey, R.J. (Univ. of Ulster at Jordanstown, County Antrim, Northern Ireland (England))

    1990-07-01

    Total energy expenditure (TEE) was measured simultaneously in 14 free-living adults over 15 d by the doubly labeled water (DLW) method and for 2-4 separate days by heart-rate (HR) monitoring. Individual curves for HR vs oxygen consumption (VO2) were obtained and an HR (FLEX HR: 97 +/- 8 beats/min, range 84-113 beats/min) that discriminated between rest and activity was identified. Calibration curves were used to assign an energy value to daytime HR above FLEX HR. Below FLEX HR energy expenditure was taken as resting metabolism. Sleeping energy expenditure was assumed to be equal to basal metabolic rate. Average HR TEE (12.99 +/- 3.83 MJ/d) and average DLW TEE (12.89 +/- 3.80 MJ/d) were similar. HR TEE discrepancies ranged from -22.2% to +52.1%, with nine values lying within +/- 10% of DLW TEE estimates. The FLEX HR method provides a close estimation of the TEE of population groups. However, an increased number of sampling days may improve the precision of individual estimates of TEE.

  14. Guidelines of the Indian Association of Cardiovascular and Thoracic Anaesthesiologists and Indian College of Cardiac Anaesthesia for perioperative transesophageal echocardiography fellowship examination

    Directory of Open Access Journals (Sweden)

    Kanchi Muralidhar

    2016-01-01

    Full Text Available During current medical care, perioperative transesophageal echocardiography (TEE has become a vital component of patient management, especially in cardiac operating rooms and in critical care medicine. Information derived from echocardiography has an important bearing on the patient′s outcome. The Indian Association of Cardiovascular and Thoracic Anaesthesiologists (IACTA has promoted the use of TEE during routine clinical care of patients undergoing cardiac surgery. An important mission of IACTA is to oversee training and certify anesthesiologists in the perioperative and intensive care use of TEE. The provision of "Fellowship" is by way of conducting IACTA - TEE fellowship (F-TEE examination. This has been done annually for the past 7 years using well-established curriculums by accredited national and international societies. Now, with the transformation and reconstitution of IACTA education and research cell into the newly formed Indian College of Cardiac Anaesthesia, F-TEE is bound to meet international standards. To ensure that the examinations are conducted in a transparent and foolproof manner, the guideline committee (formulated in 2010 of IACTA has taken the onus of formulating the guidelines for the same. These guidelines have been formally reviewed and updated since 2010 and are detailed here to serve as a guide to both the examinee and examiner ensuring standardization, efficiency, and competency of the IACTA F-TEE certification process.

  15. Simultaneous measurement of free-living energy expenditure by the doubly labeled water method and heart-rate monitoring

    International Nuclear Information System (INIS)

    Livingstone, M.B.; Prentice, A.M.; Coward, W.A.; Ceesay, S.M.; Strain, J.J.; McKenna, P.G.; Nevin, G.B.; Barker, M.E.; Hickey, R.J.

    1990-01-01

    Total energy expenditure (TEE) was measured simultaneously in 14 free-living adults over 15 d by the doubly labeled water (DLW) method and for 2-4 separate days by heart-rate (HR) monitoring. Individual curves for HR vs oxygen consumption (VO2) were obtained and an HR (FLEX HR: 97 +/- 8 beats/min, range 84-113 beats/min) that discriminated between rest and activity was identified. Calibration curves were used to assign an energy value to daytime HR above FLEX HR. Below FLEX HR energy expenditure was taken as resting metabolism. Sleeping energy expenditure was assumed to be equal to basal metabolic rate. Average HR TEE (12.99 +/- 3.83 MJ/d) and average DLW TEE (12.89 +/- 3.80 MJ/d) were similar. HR TEE discrepancies ranged from -22.2% to +52.1%, with nine values lying within +/- 10% of DLW TEE estimates. The FLEX HR method provides a close estimation of the TEE of population groups. However, an increased number of sampling days may improve the precision of individual estimates of TEE

  16. Extract and fraction from Ulmus wallichiana Planchon promote peak bone achievement and have a nonestrogenic osteoprotective effect.

    Science.gov (United States)

    Sharan, Kunal; Siddiqui, Jawed A; Swarnkar, Gaurav; Tyagi, Abdul Malik; Kumar, Avinash; Rawat, Preeti; Kumar, Manmeet; Nagar, Geet K; Arya, Kamal R; Manickavasagam, Lakshmi; Jain, Girish K; Maurya, Rakesh; Chattopadhyay, Naibedya

    2010-03-01

    This study aimed to determine the skeletal effects of total ethanolic extract (TEE) and its butanolic fraction (BF) from the stem-bark of Ulmus wallichiana, which is rich in C-glycosylated flavonoids, in growing rats (for peak bone [PB] achievement) and in ovariectomized (OVx) rats (for menopausal bone loss). TEE (750 mg kg(-1) d(-1)) and BF (50 mg kg(-1) d(-1)) were given orally for 10 weeks to weaning female Sprague-Dawley rats and for 12 weeks to adult OVx rats of the same strain, respectively. In studies with OVx rats, sham operated + vehicle, OVx + 17beta-estradiol, and OVx + vehicle groups served as various controls. Bone mineral density (BMD), biomechanical strength, bone histology, formations of osteoprogenitor cells, osteoid formation, and bone turnover/resorption markers were studied. Bioactive marker compounds in TEE and BF were analyzed by high-performance liquid chromatography. One-way analysis of variance was used to test significance of effects. In growing rats, both TEE and BF increased BMD, bone strength, and bone formation rate, suggesting higher PB achievement. OVx rats treated with either TEE or BF exhibited increased BMD at various anatomical positions and improved bone strength and trabecular architecture compared with the OVx + vehicle group. Serum osteocalcin and urinary type 1 collagen degradation product levels in OVx rats treated with either TEE or BF were significantly lower than those of the OVx + vehicle group. Neither TEE nor BF exhibited uterine estrogenicity. Analysis of marker compounds revealed significant enrichment of two bioactive markers in BF over TEE. Derived from U wallichiana, BF at much a lower dose than TEE was effective in PB achievement and prevention of OVx-induced bone loss.

  17. Simultaneous Validation of Seven Physical Activity Questionnaires Used in Japanese Cohorts for Estimating Energy Expenditure: A Doubly Labeled Water Study.

    Science.gov (United States)

    Sasai, Hiroyuki; Nakata, Yoshio; Murakami, Haruka; Kawakami, Ryoko; Nakae, Satoshi; Tanaka, Shigeho; Ishikawa-Takata, Kazuko; Yamada, Yosuke; Miyachi, Motohiko

    2018-04-28

    Physical activity questionnaires (PAQs) used in large-scale Japanese cohorts have rarely been simultaneously validated against the gold standard doubly labeled water (DLW) method. This study examined the validity of seven PAQs used in Japan for estimating energy expenditure against the DLW method. Twenty healthy Japanese adults (9 men; mean age, 32.4 [standard deviation {SD}, 9.4] years, mainly researchers and students) participated in this study. Fifteen-day daily total energy expenditure (TEE) and basal metabolic rate (BMR) were measured using the DLW method and a metabolic chamber, respectively. Activity energy expenditure (AEE) was calculated as TEE - BMR - 0.1 × TEE. Seven PAQs were self-administered to estimate TEE and AEE. The mean measured values of TEE and AEE were 2,294 (SD, 318) kcal/day and 721 (SD, 161) kcal/day, respectively. All of the PAQs indicated moderate-to-strong correlations with the DLW method in TEE (rho = 0.57-0.84). Two PAQs (Japan Public Health Center Study [JPHC]-PAQ Short and JPHC-PAQ Long) showed significant equivalence in TEE and moderate intra-class correlation coefficients (ICC). None of the PAQs showed significantly equivalent AEE estimates, with differences ranging from -547 to 77 kcal/day. Correlations and ICCs in AEE were mostly weak or fair (rho = 0.02-0.54, and ICC = 0.00-0.44). Only JPHC-PAQ Short provided significant and fair agreement with the DLW method. TEE estimated by the PAQs showed moderate or strong correlations with the results of DLW. Two PAQs showed equivalent TEE and moderate agreement. None of the PAQs showed equivalent AEE estimation to the gold standard, with weak-to-fair correlations and agreements. Further studies with larger sample sizes are needed to confirm these findings.

  18. Risk of thromboembolism in cisplatin versus carboplatin-treated patients with lung cancer.

    Science.gov (United States)

    Kim, Eric S; Baran, Andrea M; Mondo, Esther L; Rodgers, Thomas D; Nielsen, Gradon C; Dougherty, David W; Pandya, Kishan J; Rich, David Q; van Wijngaarden, Edwin

    2017-01-01

    Carboplatin is widely used to treat lung cancer in the United States as an alternative to cisplatin. Several studies have demonstrated that cisplatin-based regimen is associated with a high frequency of thromboembolic complications. However, there has been limited investigation directly comparing the risk of thromboembolic events (TEEs) between cisplatin- and carboplatin-treated patients with lung cancer. All lung cancer patients treated with cisplatin or carboplatin at Wilmot Cancer Center, University of Rochester between 2011 and 2014 were included. Patient characteristics including exposure (cisplatin vs. carboplatin) and outcome (TEEs between the time of the first dose of cisplatin or carboplatin and 4 weeks after the last dose) were collected by reviewing electronic medical records. A Fisher's exact test was used to compare the proportion of incident TEEs between cisplatin and carboplatin groups. The risk of TEE associated with carboplatin compared to cisplatin was assessed using multiple logistic regression. Among 415 subjects, 317 patients (76.4%) received carboplatin and 98 (23.6%) patients received cisplatin. In the carboplatin group, 10.9% (33/302) of evaluable patients developed treatment-related TEEs vs. 14.7% (14/95) in the cisplatin group. There was no significant difference in the risk of developing TEEs between the two groups (P = 0.32). However, 15.2% of carboplatin-related TEEs were arterial thromboses compared to none in the cisplatin group. The incidence of carboplatin-related TEEs was high in lung cancer patients without significant difference in the risk of developing TEEs between cisplatin and carboplatin groups. Potential use of prophylactic anticoagulation in all platinum-treated patients should be further investigated.

  19. Importance of adequately performed Valsalva maneuver to detect patent foramen ovale during transesophageal echocardiography.

    Science.gov (United States)

    Rodrigues, Ana Clara; Picard, Michael H; Carbone, Aime; Arruda, Ana Lúcia; Flores, Thaís; Klohn, Juliana; Furtado, Meive; Lira-Filho, Edgar B; Cerri, Giovanni G; Andrade, José L

    2013-11-01

    Transesophageal echocardiography (TEE) plays an important role in evaluating cardioembolic sources of emboli. The identification of a patent foramen ovale (PFO) is reportedly improved with TEE compared with transthoracic echocardiography (TTE), but the Valsalva maneuver during TEE may be difficult or suboptimal. The aim of this study was to assess the efficacy of the Valsalva maneuver for PFO diagnosis using TEE compared with TTE by evaluating patients with ischemic stroke referred for echocardiography. Only patients able to perform the Valsalva maneuver during TTE were included; efficacy was defined by a 20 cm/sec decrease in transmitral E velocity. A PFO was judged present when microbubbles of agitated intravenous saline were seen in the left chambers within three cycles after right atrial opacification. Of 108 patients (mean age, 55 ± 15 years; 61 men), 48 (44%) were judged to have PFOs by TEE and/or TTE. In 36 patients (33% of the total, 75% of those with PFOs), microbubbles were observed both by TEE and TTE, in seven patients only during TTE, and in five patients only during TEE. In patients able to satisfactorily perform the Valsalva maneuver during TEE, 22 PFOs were found, and two shunts (9%) were missed, whereas in patients unable to perform this maneuver, 26 PFOs were observed, with five shunts missed (19%) (P TTE, either the echocardiographic window was suboptimal or the shunt was small. An adequate Valsalva maneuver is crucial for diagnosis of PFO; most patients with stroke may be screened using TTE with contrast and the Valsalva maneuver, with TEE indicated in case of suboptimal transthoracic images. Copyright © 2013 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.

  20. Significance of transesophageal echocardiography in the evaluation of aortic valve stenosis

    Directory of Open Access Journals (Sweden)

    Prcović Biljana

    2010-01-01

    Full Text Available Background/Aim. Transesophageal echocardiography (TEE is a relatively new diagnostic method offering better resolution of cardiac anatomy than the conventional transthoracal two-dimensional echocardiography (TTE. Clinical indications for TEE have been expanding, thus the technique as a diagnostic procedure is used in numerous cardiac diseases such as endocarditis, congenital heart defect, aortic dissection, prosthetic valves dysfunction, as well as in calculation of aortic valve surface in aortic stenosis. The aim of the study was to prove TEE as a more precise method in determination of the level of seriousness of aortic valve stenosis. Methods. All the patients went through TTE and TEE. Evaluating of the aortic valve surface was performed by the use of Gorlin's formula in TTE while it was planimetric in TEE examination. Results. Comparative analysis of all parameters obtained by TTE and TEE showed a difference between them. All the parameters values except that for surface area of the aortic valve orifice confluence were higher in TEE than in TTE examination, but no difference was statistically significant (p > 0.05; t-test for a dependant specimens. By the use of the TTE method, the size of aortic orifice stenosis was 1.22 ± 0.54 cm2, and by the TEE method it was 1.08 ± 0.54 cm2. Conclusion. Multiplain TEE is reliable in quantification of an aortic valve area in patients with aortic stenosis. It offers useful clinical information, particularly in patients with non-adequate evaluation with TTE, as well as in seriously ill patients or those with a confirmed valvular defect.

  1. Aortic valve type and calcification as assessed by transthoracic and transoesophageal echocardiography.

    Science.gov (United States)

    Yousry, Mohamed; Rickenlund, Anette; Petrini, Johan; Jenner, Jonas; Liska, Jan; Eriksson, Per; Franco-Cereceda, Anders; Eriksson, Maria J; Caidahl, Kenneth

    2015-07-01

    Aortic valve calcification (AVC) may predict poor outcome. Bicuspid aortic valve (BAV) leads to several haemodynamic changes accelerating the progress of aortic valve (AV) disease. To compare the diagnostic accuracy of transoesophageal echocardiography (TEE) and transthoracic echocardiography (TTE) in the assessment of aortic valve phenotype and degree of AVC, with intra-operative evaluation as a reference. We examined 169 patients (median age 65 years, 51 women) without significant coronary artery disease undergoing AV and/or aortic root surgery. TTE was performed within a week prior to surgery and TEE at the time of surgery. Compared with surgical AVC assessment, visual evaluation using a 5-grade scoring system and real-time images showed a higher correlation (TTE r = 0·83 and TEE r = 0·82) than visual (TTE r = 0·64 and TEE 0·63) or grey scale mean (GSMn) (TTE r = 0·63 and TEE r = 0·52) assessment of end-diastolic still frames. AVC assessment using real-time images showed high intraclass correlation coefficients (TTE 0·94 and TEE 0·93). With regard to BAV, TEE was superior to TTE with a higher interobserver agreement, sensitivity and specificity (0·86, 92% and 94% versus 0·57, 77% and 82%, respectively). Semi-quantitative AVC assessment of real-time cine loops from both TEE and TTE correlated well with intra-operative evaluation of AVC. Applying a predefined scoring system for AVC evaluation assures a high interobserver correlation. TEE was superior to TTE for evaluation of valve phenotype and should be considered when a diagnosis of BAV is clinically important. © 2014 The Authors. Clinical Physiology and Functional Imaging published by John Wiley & Sons Ltd on behalf of Scandinavian Society of Clinical Physiology and Nuclear Medicine.

  2. Esophageal Perforation: A Rare Complication of Transesophageal Echocardiography in a Patient with Asymptomatic Esophagitis

    Directory of Open Access Journals (Sweden)

    Kabir Ahmed

    2012-12-01

    Full Text Available Transesophageal echocardiography (TEE is a commonly used procedure in patients with suspected endocarditis. A rare but dreadful complication of this procedure is perforation of the esophagus. We report the case of an elderly female with multiple comorbidities, who presented with polyarticular septic arthritis. TEE was performed to rule out endocarditis. Though the standard procedure protocol was followed, she developed esophageal perforation. It was managed with esophageal stenting but she developed multiorgan failure and did not survive. This case highlights the potential of severe morbidity and mortality associated with TEE. Appropriate screening must be done and high-risk individuals must be identified before such procedures are attempted.

  3. Intraoperative three-dimensional transesophageal echocardiography for assessing the defect geometries of mitral prosthetic paravalvular leak during transcatheter closure

    Directory of Open Access Journals (Sweden)

    Jeng Wei

    2015-03-01

    Conclusion: RT 3D TEE can clearly delineate the geometries of defects in their entirety, including shape, size, and location of the defect and track canal. It would also appear that RT 3D TEE is superior to 2D TEE in the process of guiding the wire through the difficult canal anatomy, facilitating the overall procedure. The small mitral PVLs can be completely occluded, but subsequent complications occurred with large defect closures because of embolization or releak. Therefore, transcatheter closure of PVLs seems to be an attractive alternative for these patients, but newer occluder designs that better conform to leak geometry will be required to improve outcomes.

  4. Transesophageal echocardiographic evaluation of an intraoperative retrograde acute aortic dissection: case report

    Directory of Open Access Journals (Sweden)

    Reiter Charles G

    2006-04-01

    Full Text Available Abstract Background We report an intraoperative retrograde dissection of the aorta and its subsequent evaluation by transesophageal echocardiography (TEE. Case presentation A 78 year old woman with an ascending aortic aneurysm without dissection and coronary artery disease was brought to the operating room for aneurysm repair and coronary artery bypass grafting. After initiation of cardiopulmonary bypass through a femoral artery cannula, aortic dissection was noted and subsequently imaged by TEE. Conclusion Retrograde aortic dissection through the femoral artery is life-threatening. Intraoperative TEE can be used to diagnose this uncommon event, and should be considered after initiation of bypass.

  5. Detection of Right Heart Emboli by Transesophageal Echocardiography in Cement Implantation Syndrome in an Elderly Patient

    Directory of Open Access Journals (Sweden)

    Ching-Hung Chen

    2008-09-01

    Full Text Available Femoral fractures are common and lethal among elderly patients. The elderly suffer more perioperative risks because of their complicated medical conditions and poor physical reserves. During cemented arthroplasty surgery in the elderly, unstable hemodynamic changes are frequently noted when the cement and prosthesis are inserted. Transesophageal echocardiography (TEE allows rapid perioperative diagnosis and management of hemodynamic changes. We report an elderly patient with paroxysmal atrial fibrillation, in whom a huge serpentine embolus was noted by TEE. Although cardiovascular collapse was encountered during cemented hip arthroplasty surgery, the patient was successfully resuscitated and the related perioperative risk was managed by TEE application.

  6. Three-dimensional transesophageal echocardiography: Principles and clinical applications

    Directory of Open Access Journals (Sweden)

    Annette Vegas

    2016-01-01

    Full Text Available A basic understanding of evolving 3D technology enables the echocardiographer to master the new skills necessary to acquire, manipulate, and interpret 3D datasets. Single button activation of specific 3D imaging modes for both TEE and transthoracic echocardiography (TTE matrix array probes include (a live, (b zoom, (c full volume (FV, and (d color Doppler FV. Evaluation of regional LV wall motion by RT 3D TEE is based on a change in LV chamber subvolume over time from altered segmental myocardial contractility. Unlike standard 2D TEE, there is no direct measurement of myocardial thickening or displacement of individual segments.

  7. F.F.F.F. / Pille Väljataga

    Index Scriptorium Estoniae

    Väljataga, Pille

    2001-01-01

    Rühmituse F.F.F.F. (Berit Teeäär, Maria Valdma, Ketli Tiitsar, Kaire Rannik, Kristi Paap) esinemisest 2000. a. suvel Leedus Niida kunstnike majas. Ehteid eksponeeriti kõrvuti nende 20-kordse suurendusega fotodega.

  8. Medline Plus

    Full Text Available ... Debranching (University of Maryland Medical Center, Baltimore, MD, 2/16/2012) Transesophageal Echocardiogram (TEE) (Shawnee Mission Medical Center, Merriam, KS, 2/17/2009) Cardiomyopathy Septal Myectomy Surgery to Treat ...

  9. USA suursaadik NATO-s : oleme valmis tulema liitlasi kaitsma / Kurt Volker ; interv. Liisa Past

    Index Scriptorium Estoniae

    Volker, Kurt

    2008-01-01

    USA suursaadik NATO juures on seisukohal, et Ukrainal on veel pikk tee NATO liikmesuse saavutamiseks; ta ei usu, et Venemaa plaaniks rünnata ühtegi NATO liikmesriiki. Afganistani ja Iraagi julgeolekust

  10. Vazhnõi shag na dlinnom puti / Lev Golub

    Index Scriptorium Estoniae

    Golub, Lev

    2004-01-01

    WTO tippkohtumisel alustati maailma kaubanduse liberaliseerimist, pikk tee põllumajandustoodete ekspordi subsideerimise kaotamiseni. Euroopa Liidu põllumajandustootja kaitsmisest suhkru hinna näitel. Eesti põllumajandustootjate perspektiividest

  11. Thoughts on a road about roads / Margit Mutso

    Index Scriptorium Estoniae

    Mutso, Margit, 1966-

    2013-01-01

    Arhitekt Margit Mutso teede rekonstrueerimise ja planeerimise problemaatikast: autoteed, liiklussõlmed, liiklusmärgid, müratõkked, teeäärne arhitektuur, liiklusohutus, avalik kunst, linna sissesõidud, tänavad, inseneride haridus

  12. Eesti elektrisüsteemi juhtimiskeskus = Estonian electrical system command centre

    Index Scriptorium Estoniae

    2010-01-01

    Tallinnas Kadaka tee 42B1asuva Eesti elektrisüsteemi juhtimiskeskuse sisekujundusest. Spetsiaalsed kaarjad lauad on sisearhitektide projekteeritud. Sisearhitektid: Priit Põldme, Reet Sepp (Joonprojekt), nende tähtsamate tööde loetelu

  13. Measuring body composition and energy expenditure in children with severe neurologic impairment and intellectual disability

    NARCIS (Netherlands)

    Rieken, Rob; van Goudoever, Johannes B.; Schierbeek, Henk; Willemsen, Sten P.; Calis, Elsbeth A. C.; Tibboel, Dick; Evenhuis, Heleen M.; Penning, Corine

    2011-01-01

    Accurate prediction equations for estimating body composition and total energy expenditure (TEE) in children with severe neurologic impairment and intellectual disability are currently lacking. The objective was to develop group-specific equations to predict body composition by using

  14. Karulaugu lasteaed-algkool = Karulaugu preschool and elementary school / Triin Ojari

    Index Scriptorium Estoniae

    Ojari, Triin, 1974-

    2009-01-01

    2009. a. Haabneemes Randvere tee 18 valminud Karulaugu lasteaed-algkoolist, mille arhitektid on Emil Urbel ja Indrek Erm, projekteerija AB Emil Urbel, sisekujundajad Taso Mähar ja Ines Haak. Projekt 2007

  15. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament Wheelchair Games Winter Sports ... Community Providers and Clergy Co-Occurring Conditions Continuing Education Publications List of Center Publications Articles by Center ...

  16. Kuldkaru elutöö eest / Endel Link

    Index Scriptorium Estoniae

    Link, Endel

    2001-01-01

    Ameerika näitleja Kirk Douglas (1916), kellele seekordsel Berlinalel antakse elutöö eest Kuldkaru. Austamisõhtul näidatakse teda Stanley Kubricku kaua keelu all olnud filmis "Tee kuulsusele " ("Paths of Glory") : 1957

  17. Kubija Hotell-Loodusspaa = Kubija Hotel-Nature Spa

    Index Scriptorium Estoniae

    2012-01-01

    Võrus Männiku tee 43A asuva Kubija Hotell-Loodusspaa sisekujundusest. Sisearhitektid Tiiu Truus ja Birgit Jaanus (Stuudio Truus). Arhitektid Indrek Tiigi ja Helle-Triin Hansumäe. Loetletud Stuudio Truus tehtud töid

  18. Vigdis Finnbogadottir / Vigdis Finnbogadottir ; interv. Astrid kannel

    Index Scriptorium Estoniae

    Finnbogadottir, Vigdis

    2007-01-01

    Maailma esimene valitud naispresident, Islandi Vabariigi president aastatel 1980-1996 Vigdis Finnbogadottir. Haridus, karjäär, tee teatridirektori toolilt presidendipostile, väikerahva keele olulisus, naised tipp-poliitikas, hariduse osatähtsus

  19. Tõ menja uvazhajesh? / Liina Tõnisson ; interv. Tatjana Opekina

    Index Scriptorium Estoniae

    Tõnisson, Liina, 1940-

    2003-01-01

    Pikaajalise kogemusega Riigikogu liikme Liina Tõnissoni arvates on Eesti ühiskonnal veel pikk tee tõelise demokraatiani. Koostööst Reformierakonnaga, partei liidrist Edgar Savisaarest, paremliberaalsest poliitikast

  20. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... FAQs Ask a Question Toll Free Numbers Locator Hospitals and Clinics Vet Centers Regional Benefits Offices Regional ... TEE) Tournament Wheelchair Games Winter Sports Clinic Locations Hospitals & Clinics Vet Centers Regional Benefits Offices Regional Loan ...

  1. Soomaa öömajad

    Index Scriptorium Estoniae

    2002-01-01

    2002. a. suvel toimus EKA Arhitektuuri ja Linnaplaneerimise osakonnas workshop "ELAMUs" koostöös Soomaa rahvuspargi, Yokohama ülikooli arhitektuuriosakonna ja COO Arhitektidega. Valmis neli öömaja matkajatele Soomaa rahvuspargis. Heinatelgist, tee- ja matkamajast

  2. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament Wheelchair Games Winter Sports Clinic Locations Hospitals & Clinics Vet Centers Regional Benefits ...

  3. Vmesto Key Kaubamaja v Mustamjae mozhet bõt postrojeno novoje kommertsheskoje zdanije

    Index Scriptorium Estoniae

    2006-01-01

    Tallinna Mustamäe linnaosas Kadaka tee 70 asunud Key Kaubamaja asemele kavandatakse kahekorruselist kaubamaja ja kuuekorruselist büroohoonet. Detailplaneeringu eskiisprojekti koostas Ruum ja Maastik OÜ

  4. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament Wheelchair Games Winter Sports Clinic ... Exposure EMDR for PTSD Medications for PTSD ...

  5. Põhja-Eesti Regionaalhaigla uus korpus = New Block of the North Estonia Mrdical Centre

    Index Scriptorium Estoniae

    2010-01-01

    Tallinnas Sütiste tee 19 asuva haigla uue korpuse sisekujundusest. Sisearhitekt Mari Kurismaa, tema tähtsamate tööde loetelu. Haigla arhitektid Indrek Suigusaar ja Vivian Oruvee. Infograafika: Mari Kaljuste

  6. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament Wheelchair Games Winter Sports Clinic Locations Hospitals & Clinics Vet Centers ...

  7. Slesers says spend, spend, spend

    Index Scriptorium Estoniae

    2011-01-01

    5. augustil kinnitas Läti Esimene Partei/Läti Tee parlamendivalimiste valimisplatvormi, mille peamine mõte seisneb selles, et raha tuleb teenida, mitte säästa. Zatlersi Reformierakond on samuti oma valimisplatvormi kinnitanud

  8. Liberaliseerime kapitalituru / Kenneth Rogoff

    Index Scriptorium Estoniae

    Rogoff, Kenneth

    2007-01-01

    IMF on ainus organisatsioon, mis võib leida tee riikidevahelise koostööni ka rahandusala üleilmastumise riskide vastu, tehes aktiivset lobitööd areneva maailma kiiremaks finantsiliseks avamiseks

  9. Viimsi Keevituse kontorihoone = Viimsi Keevitus office building / Madis Eek ; intervjueerinud Margit Mutso

    Index Scriptorium Estoniae

    Eek, Madis, 1966-

    2011-01-01

    Haabneemes Kaluri tee 13 asuva hoone rekonstrueerimisest ja sisekujundusest. Arhitekt Madis Eek, kaasautorid Kristi Põldme, Kristel Jaanus, klaasseinte joongraafika autor Reio Avaste (AB Eek & Mutso OÜ) . Keevislõvide autor Kalle Pruuden

  10. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament Wheelchair Games ...

  11. Kesk-Ameerika võitleb uimastimaffia vastu / Allan Espenberg

    Index Scriptorium Estoniae

    Espenberg, Allan

    2008-01-01

    USA parlament andis rohelise tee Merida initsiatiivile, mis näeb ette Mehhikole, Kesk-Ameerika riikidele ja Kariibi maadele organiseeritud kuritegevuse vastu võitlemiseks majanduslikku ja tehnilist abi

  12. Jälitades vandlit / Bryan Christie ; fotod Brent Stirton

    Index Scriptorium Estoniae

    Christie, Bryan

    2015-01-01

    Osa Aafrika sõjategevuseks kasutatavast rahast saadakse vandliärist. Võltsvõhad, millesse on peidetud GPS-seadmed, paljastavad Aafrikas salakütitud vandli tee. Võitlusest salaküttimise vastu Aafrika riikides

  13. Urmas Klaas : me ei nõustu ääremaaks surumisega! / Urmas Klaas ; interv. Taimi Käos

    Index Scriptorium Estoniae

    Klaas, Urmas, 1971-

    2006-01-01

    Valga-Ametmäe rekonstrueeritud tee pidulikule avamisele kutsutud Põlva maavanem Urmas Klaas leiab, et esmaseks probleemiks on kõrvalteed ja et Valga-, Võru- ja Põlvamaa peaksid koos võitlema ääremaaks surumise vastu

  14. Guantanamo vangilaagri üleelanute pihtimus : meid koheldi nagu loomi / Ruhal Ahmed, Shaliq Rasul ; interv. Külli-Riin Tigasson

    Index Scriptorium Estoniae

    Ahmed, Ruhal

    2006-01-01

    Kõnelevad kaks Michael Winterbottomi, Mat Whitecrossi dokumentaalse taustaga mängufilmi "Tee Guantanamosse" ("The Road to Guantanamo") prototüüpi, kelle kannatusi USA vangilaagris see film kujutab. Filmi näidatakse ka 10. PÖFFil

  15. Liquid metal systems development: reactor vessel support structure evaluation

    International Nuclear Information System (INIS)

    McEdwards, J.A.

    1981-01-01

    Results of an evaluation of support structures for the reactor vessel are reported. The U ring, box ring, integral ring, tee ring and tangential beam supports were investigated. The U ring is the recommended vessel support structure configuration

  16. Eesti 37. harrastusfilmide festival / Jaak Järvine

    Index Scriptorium Estoniae

    Järvine, Jaak

    2002-01-01

    Kokkuvõte Eesti filmiamatööride 37. festivalist. Parima portreefilmi rändauhind jääb Eve Esterile ja Tõnu Arule filmi "Minu tee" eest. Filmis avaneb kunstniku Elna Kaasiku maailm tema vaipade kaudu

  17. Hypnosis for sedation in transesophageal echocardiography: a comparison with midazolam.

    Science.gov (United States)

    Eren, Gulay; Dogan, Yuksel; Demir, Guray; Tulubas, Evrim; Hergunsel, Oya; Tekdos, Yasemin; Dogan, Murat; Bilgi, Deniz; Abut, Yesim

    2015-01-01

    Transesophageal echocardiography (TEE), being a displeasing intervention, usually entails sedation. We aimed to compare the effects of hypnosis and midazolam for sedation in TEE. A prospective single-blinded study conducted on patients scheduled for TEE between April 2011 and July 2011 at a university in Istanbul, Turkey. A total of 41 patients underwent sedation using midazolam and 45 patients underwent hypnosis. Patients were given the State-Trait Anxiety Inventory (STAI) test for anxiety and continuous performance test (CPT) for alertness before and after the procedure. The difficulty of probing and the overall procedure rated by the cardiologist and satisfaction scores of the patients were also documented. Anxiety was found to be less and attention more in the hypnosis group, as revealed by STAI and CPT test scores (P Hypnosis proved to be associated with positive therapeutic outcomes for TEE with regard to alleviation of anxiety and maintenance of vigilance, thus providing more satisfaction compared to sedation with midazolam.

  18. Medline Plus

    Full Text Available ... to disable it to view the programs. Blood, Heart and Circulation Angioplasty Transradial Approach for Cardiac Catheterization: ... Chicago Medical Center, Chicago, IL, 6/26/2014) Heart Diseases Transesophageal Echocardiogram (TEE) (Shawnee Mission Medical Center, ...

  19. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) ... Topics For Veterans For Researchers Research Oversight Special Groups Caregivers Combat Veterans & their Families Readjustment Counseling (Vet ...

  20. Fotoiskusstvo v sovremennom mire / Dmitri Babitshenko

    Index Scriptorium Estoniae

    Babitshenko, Dmitri

    2007-01-01

    Neljas Ars Baltica fotokunstitriennaal "Donþt Worry - be Curious!" Kumu Kunstimuuseumis 11. augustist 30. septembrini. Näitus esitab fotosid, videosid ja installatsioone Läänemere regiooni 20 kunstnikult. Osalejad loetletud. Eestit esindab Katrin Tees

  1. Medline Plus

    Full Text Available ... Forest University Baptist Medical Center, Winston-Salem, NC, 12/16/13) Transesophageal Echocardiogram (TEE) (Shawnee Mission Medical ... Broward Health Medical Center, Fort Lauderdale, FL, 5/12/2014) Total Ankle Replacement (Doctors Hospital, Coral Gables, ...

  2. Czeslaw Miloszi uusi raamatuid / Hendrik Lindepuu

    Index Scriptorium Estoniae

    Lindepuu, Hendrik

    1997-01-01

    Lühidalt C. Miloszi 1997. a. ilmunud raamatutest: lühiesseede kogumik 'Miloszi ABC' (Abecadlo Milosza), esseekogumik 'Elu saartel' (Zycie na wryspah) ning aforismide, proosaluule ja mõttekildude kogumik 'Koerake tee ääres' (Piesek przydrozny)

  3. Kasvuvisioon 2018 - Eesti riigi järgmine juhtimisülesanne / Priit Põldoja

    Index Scriptorium Estoniae

    Põldoja, Priit, 1969-

    2010-01-01

    Ettevõtja hinnagul peab Eesti riigil olema aktiivne ettekujutus, kuidas positiivselt eristuda ja kuhu edasi liikuda. Arengufondi initsiatiiv Eesti kasvuvisiooni loomisel peaks leidma ühel või teisel viisil tee Eesti otsustajate tegevuskavva

  4. Nauding kehale ja meelele / Marika Aret ; tekst Inna Inanna

    Index Scriptorium Estoniae

    Aret, Marika

    2014-01-01

    Mustamäel Mustamäe tee 17 avatud Bliss majast, kus muude teenuste kõrval pakutakse buffeeerestoranis ja kohvikus taime- ja toortoitu. Intervjuu Blissi käivitustiimi ja restorani perenaise Marika Aretiga

  5. Torunis kohtuvad naaberteatrid / Andres Laasik

    Index Scriptorium Estoniae

    Laasik, Andres, 1960-2016

    1999-01-01

    22. mail algas Poola väikelinnas Torunis rahvusvaheline teatrifestival "Kontakt". Eestist valis festivali juhtkond välja Priit Pedajase lavastuse "Mao tee kalju peal", mida mängitakse 27. mail ja 28. mail ka Varssavis

  6. Eesti osaleb Riia teatrifestivalil kahe lavastusega

    Index Scriptorium Estoniae

    1999-01-01

    Riias algas 25. okt. rahvusvaheline teatrifestival Homo Novus '99,kus Eestit esindavad Eesti Draamateater Priit Pedajase lavastusega "Mao tee kalju peal" ja Theatrum Lembit Petersoni lavastusega "Pelleas ja Melisande"

  7. Draamateater ja Theatrum Riias festivalil / Andres Keil

    Index Scriptorium Estoniae

    Keil, Andres, 1974-

    1999-01-01

    Riias algas 25. okt. rahvusvaheline teatrifestival Homo Novus '99,kus Eestit esindavad Eesti Draamateater Priit Pedajase lavastusega "Mao tee kalju peal" ja Theatrum Lembit Petersoni lavastusega "Pelleas ja Melisande"

  8. Draamateater napsas kaks auhinda

    Index Scriptorium Estoniae

    1999-01-01

    Draamateatri lavastus "Mao tee kalju peal" võitis Toruni rahvusvahelisel teatrifestivalil kaks auhinda. Priit Pedajase lavastus sai teatrikriitikute preemia ja eriauhinna Toruni Koperniku Ülikoolilt. Peaauhinda sel aastal välja ei antudki

  9. Laenu tagamisest munitsipaalmaaga ehk kuidagi ikka saab / Rein Tiivel

    Index Scriptorium Estoniae

    Tiivel, Rein, 1940-

    2006-01-01

    AS Kinnisvaratehingud ja Puulinna Linnavalitsus leppisid kokku linna omandis oleva kinnisasja koormamises kinnisvarafirma kasuks. Esitatud kaasus sisaldas mitmeid kokkuleppeid, mis seadsid kahtluse alla tehingu kehtivuse ja valitud tee otstarbekuse

  10. Medline Plus

    Full Text Available ... Arch Debranching (University of Maryland Medical Center, Baltimore, MD, 2/16/2012) Transesophageal Echocardiogram (TEE) (Shawnee Mission ... Bypass Surgery (University of Maryland Medical Center, Baltimore, MD, 9/09/2013) Minimally Invasive Transcatheter Aortic Valve ...

  11. Viimsi Püha Jaakobi kirik = Jacob's Church in Viimsi / Margit Mutso

    Index Scriptorium Estoniae

    Mutso, Margit, 1966-

    2009-01-01

    Kirikuhoonest (Nurme tee 3, Pringi küla, Viimsi vald), mille arhitekt on Martin Aunin, kaasautor Erkki Ristoja ja konstruktor Kristjan Kaares. Žürii hinnang kultuurkapitali aastapreemiale esitatud hoonele

  12. Globanizatsija v miniature / Aleksandr Ikonnikov

    Index Scriptorium Estoniae

    Ikonnikov, Aleksandr

    2002-01-01

    St. Peterburgi 3000. a. ja Kaasani 1000. a. pühendatud rahvusvaheline konverents tõi meile erinevatest rahvustest, erinevate poliitiliste vaadetega inimesi erinevatest riikidest. Konverents "Suur Volga tee"

  13. Joonised, tähendused ja unistused, ehk enklaavi eelised = From drawings to meanings and dreams: the advantage of remaining an enclave / Lilia del Rio

    Index Scriptorium Estoniae

    Rio, Lilia del

    2011-01-01

    Pirita tee alguse piirkonnast, mis oli vaatluse all 15. ja 16. juunil 2010. aastal toimunud Tallinna III linnafoorumil. Linnaruumi tegelikkusest ja Tallinna ruumilistest prioriteetidest. Rahvuspargist, rahvapargist, linnaparkidest. Plaanidest ja joonistest planeerimisprotsesside ja otstarveteni. Tallinna tulevikust

  14. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... Centers Regional Benefits Offices Regional Loan Centers Cemetery Locations Search Enter your search text Enter your search ... Experience (TEE) Tournament Wheelchair Games Winter Sports Clinic Locations Hospitals & Clinics Vet Centers Regional Benefits Offices Regional ...

  15. The silver hoard from Kõue / Ülle Tamla, Mauri Kiudsoo

    Index Scriptorium Estoniae

    Tamla, Ülle

    2014-01-01

    Tavapärasest erineval moel toimunud kaevamistest. Peitmiskoha tõlgendamiseks kasutati eriaegseid kaarte. Võib arvata, et aare oli peidetud tee vahetusse lähedusse. Teaduslikku väärtust lisavad aardes sisaldunud mündid

  16. Structural monitoring of Rigolets Pass Bridge.

    Science.gov (United States)

    2009-10-01

    The overall objective of this research project was to evaluate the structural behavior of prestressed highperformance : concrete (HPC) long-span bulb-tee girders utilized in Louisiana bridge construction. To : accomplish this objective, one span of t...

  17. Kiviõli seikluskeskuse teenindushoone = Kiviõli adventure centre service building / Koit Ojaliiv

    Index Scriptorium Estoniae

    Ojaliiv, Koit, 1980-

    2015-01-01

    Kiviõli seikluskeskuse teenindushoone Mäepealse tee 1, valminud 2014. Hoone arhitekt Koit Ojaliiv (Kuu Arhitektid), sisekujundus Hannes Praks ja Eeva Masso (Kohvi OÜ). 2014. aasta Kultuurkapitali Arhitektuuripreemia kandidaat

  18. Medline Plus

    Full Text Available ... Center, New York, NY, 2/13/2008) Heart Health Tests Transesophageal Echocardiogram (TEE) (Shawnee Mission Medical Center, ... Louis, St. Louis, MO, 05/11/2011) Sexual Health Issues Erectile Dysfunction Simultaneous Inflatable Penile Prosthesis (IPP) ...

  19. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament Wheelchair Games Winter Sports ... Achievements Divisions and Staff Leadership Divisions Executive Behavioral Science Clinical ... Islands Women’s Health Sciences Positions Available ...

  20. Training Effectiveness Evaluation of the VESUB Technology Demonstration System

    National Research Council Canada - National Science Library

    Hays, Robert

    1998-01-01

    ...) technology demonstration system. A two-phase TEE was conducted at the Submarine Training Facility, Norfolk, VA and the Naval Submarine School, Groton, CT using Navy trainees ranging in experience from Junior Officers to qualified...

  1. Tshornõi jashtshik amerikanskoi demokratii / Dmitri Bõkov

    Index Scriptorium Estoniae

    Bõkov, Dmitri

    2008-01-01

    Ameerika Ühendriikide uue presidendi eluloost: päritolu, haridustee, eraelu, tee poliitikasse, õnnestunud kampaania ja võit presidendivalimistel. Kommenteerivad politoloog Maksim Shevtshenko ja tuntud naispoliitik Irina Hakamada

  2. Intra‑cardiac masses in adults: A review of echocardiogram records ...

    African Journals Online (AJOL)

    Background: Transthoracic echocardiography (TTE) is an excellent initial diagnostic technique used to evaluate and diagnose cardiac masses, even though transoesophageal echocardiography (TEE) provides superior image resolution and better visualization of cardiac masses, especially in patients with suboptimal ...

  3. Cooperative Studies in the Utilization and Storage of Excess Weapons-Grade Plutonium

    Energy Technology Data Exchange (ETDEWEB)

    Bolyatko, V. V. [Moscow Engineering Physics Institute (Russia)

    1998-01-29

    This technical report is a tangible and verifiable deliverable associated with the Nuclear Group subproject “Cooperative Studies in the Utilization and Storage of Excess Weapons-grade Plutonium.” This report is an assessment ofthe work performed by the Russian party from 1 October 1995 through 30 September 1996 regarding milestones defined in the contract between the Moscow Engineering Physics Institute (MEPhI) and the Texas Engineering Experiment Station (TEES). In these interactions, TEES serves as agent of the Amarillo National Resource Center for Plutonium (ANRCP) in the capacity oflead institution for the Nuclear Group of the ANRCP. The official Statement ofWork dated 8 April 1996 enumerates specific milestones and deliverables. In its present form, this report is an edited version ofthe translation submitted to TEES by MEPhI on 7 October 1996. The principal investigators for this subproject are Dr. Paul Nelson of TEES and Dr. Victor Bolyatko of the Moscow Engineering Physics Institute.

  4. 14. VII avati Rael Arteli galerii fotoruumis...

    Index Scriptorium Estoniae

    2004-01-01

    Anu Allase kureeritud näitus "Juhitud reisid/Guided Tours". Näitusel osalevad Liisi Peets, Katrin Tees, Piret Räni, Anu Vahtra, Daisy Lappard, Tiit Sokk (Ulvi Tiit & Marili Sokk), Raivo Hool ja Rataplan

  5. VENOUS AIR-EMBOLISM, PRESERVATION REPERFUSION INJURY, AND THE PRESENCE OF INTRAVASCULAR AIR COLLECTIONS IN HUMAN DONOR LIVERS - A RETROSPECTIVE CLINICAL-STUDY

    NARCIS (Netherlands)

    WOLF, RFE; SLUITER, WJ; BALLAST, A; VANDAM, RM; SLOOFF, MJH

    In human liver transplantation, air embolism is seldom encountered after graft reperfusion. Nevertheless, despite adequate flushing and clamping routines, air emboli have been reported in transesophageal echocardiography (TEE) studies performed during the reperfusion phase, We retrospectively

  6. Kak obraz vhodit v obraz / Mihhail Shemjakin

    Index Scriptorium Estoniae

    Shemjakin, Mihhail

    2004-01-01

    Vene kunstnik Mihhail Shemjakin endast (A. Ananitshevi intervjuu almanahhist "Mir Mihhaila Shemjakina") ja projekti "Mihhail Shemjakini näitus Tallinnas" autor Marina Tee Tallinna Linnagaleriis toimunud näitusest

  7. Google ohverdab kasumit / Tarvo Vaarmets

    Index Scriptorium Estoniae

    Vaarmets, Tarvo

    2010-01-01

    Internetikontserni Google II kvartali puhaskasum osutus analüütikute prognoosidest väiksemaks. Google on kasumi hoogsa kasvatamise asemel valinud teise tee - otsida uusi võimalusi, uusi turge ja kasvuallikaid

  8. Tallinn pokupajet zemlju dlja prokladki shosse Põhjaväil

    Index Scriptorium Estoniae

    2007-01-01

    Seoses Russalkast Ahtri tänavani ulatuva tee-ehitusega seisab linnal ees 16 maaküsimuse lahendamine. Probleemidest seoses väila osaliselt merre ehitamisega. Kommenteerivad Alo Brandt ja Ain Valdmann

  9. Medline Plus

    Full Text Available ... New York, NY, 1/04/2012) Coronary Artery Disease Transradial Approach for Cardiac Catheterization: The New Frontier ... Medical Center, Chicago, IL, 6/26/2014) Heart Diseases Transesophageal Echocardiogram (TEE) (Shawnee Mission Medical Center, Merriam, ...

  10. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... a Question Toll Free Numbers Media Contact Locator Hospitals and Clinics Vet Centers Regional Benefits Offices Regional ... TEE) Tournament Wheelchair Games Winter Sports Clinic Locations Hospitals & Clinics Vet Centers Regional Benefits Offices Regional Loan ...

  11. Liver Transplant: Nutrition

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  12. Federal Benefits for Veterans, Dependents and Survivors: 2017 Online Edition

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  13. Hepatitis C: Clinical Trials

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  14. Disaster Rescue and Response Workers

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  15. Agent Orange

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  16. PTSD: National Center for PTSD

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  17. Women Veterans Health Care: Frequently Asked Questions

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  18. Aging Veterans and Posttraumatic Stress Symptoms

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  19. Hepatitis C: Treatment

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  20. Self-Harm and Trauma

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  1. Center for Women Veterans

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  2. Sexual Trauma: Women Veterans Health Care

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  3. Effects of Disasters: Risk and Resilience Factors

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  4. Sleep and Posttraumatic Stress Disorder (PTSD)

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  5. Hepatitis C: Sex and Sexuality

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  6. Burn Pits

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  7. Hepatitis C: Mental Health

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  8. Chronic Fatigue Syndrome in Gulf War Veterans

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  9. Military Exposures

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  10. Mental Health and HIV

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  11. Department of Veterans Affairs

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training – Exposure – Experience (TEE) Tournament ...

  12. AL Amyloidosis and Agent Orange

    Science.gov (United States)

    ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  13. Liver Transplant: Complications/Medications

    Science.gov (United States)

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  14. Diseases and Conditions

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  15. Suicide and PTSD

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  16. Drug Dosing Toolkit

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  17. Rehabilitation and Prosthetic Services

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  18. Hepatitis C: Questions to Ask Your Doctor about Your Diagnosis

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  19. Soft Tissue Sarcomas and Agent Orange

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  20. How Is PTSD Measured?

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  1. Suicide Prevention: 1-800-273-8255

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  2. Infectious Diseases - Diseases Related to Service in Gulf War, Iraq, and Afghanistan

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  3. Patient Treatment Tracking Chart

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  4. What Is Decompensated Cirrhosis?

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  5. VA Caregiver Support

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  6. Military Sexual Trauma

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  7. Body Shape Changes with HIV

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  8. Sex and Sexuality and HIV

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  9. Coping with Traumatic Stress Reactions

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  10. Health Benefits: Easy Ways to Apply for Enrollment

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  11. Other Common Problems

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  12. Viral Hepatitis

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  13. Mefloquine (Lariam)

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  14. Issues Specific to Women

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  15. Veterans Health Administration

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  16. Effects of PTSD on Family

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  17. Hepatitis C: Questions to Ask Your Doctor about Treatment

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  18. What Can I Do If I Think I Have PTSD?

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  19. Hepatitis C: Managing Pain

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  20. Chronic B-Cell Leukemias and Agent Orange

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  1. Porphyria Cutanea Tarda and Agent Orange

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  2. Eesti Ajaloomuuseumi, Maarjamäe lossi tallihoone renoveerimine = Renovation of the Estonian History Museum's Maarjamäe palace stables / Jaak Huimerind, Tarmo Piirmets ; kommenteerinud Kaido Kivi

    Index Scriptorium Estoniae

    Huimerind, Jaak, 1957-

    2015-01-01

    Eesti Ajaloomuuseumi Maarjamäe lossi renoveeritud tallihoone Tallinnas Pirita tee 66, valminud 2014. Arhitekt Jaak Huimerind (Studio Paralleel OÜ), sisearhitekt ja näituse kujundaja Tarmo Piirmets (Pink OÜ). Eesti Kultuurkapitali Arhitektuuri sihtkapitali renoveerimispreemia 2014

  3. Cardiac Output Calculation and Three-Dimensional Echocardiography

    NARCIS (Netherlands)

    Montealegre-Gallegos, Mario; Mahmood, Feroze; Owais, Khurram; Hess, Phillip; Jainandunsing, Jayant S.; Matyal, Robina

    Objective: To compare the determination of stroke volume (SV) and cardiac output (CO) using 2-dimensional (2D) versus 3-dimensional (3D) transesophageal echocardiography (TEE). Design: Prospective observational study. Setting: Tertiary care university hospital. Participants: 35 patients without

  4. Comparison of left ventricular outflow geometry and aortic valve area in patients with aortic stenosis by 2-dimensional versus 3-dimensional echocardiography.

    Science.gov (United States)

    Saitoh, Takeji; Shiota, Maiko; Izumo, Masaki; Gurudevan, Swaminatha V; Tolstrup, Kirsten; Siegel, Robert J; Shiota, Takahiro

    2012-06-01

    The present study sought to elucidate the geometry of the left ventricular outflow tract (LVOT) in patients with aortic stenosis and its effect on the accuracy of the continuity equation-based aortic valve area (AVA) estimation. Real-time 3-dimensional transesophageal echocardiography (RT3D-TEE) provides high-resolution images of LVOT in patients with aortic stenosis. Thus, AVA is derived reliably with the continuity equation. Forty patients with aortic stenosis who underwent 2-dimensional transthoracic echocardiography (2D-TTE), 2-dimensional transesophageal echocardiography (2D-TEE), and RT3D-TEE were studied. In 2D-TTE and 2D-TEE, the LVOT areas were calculated as π × (LVOT dimension/2)(2). In RT3D-TEE, the LVOT areas and ellipticity ([diameter of the anteroposterior axis]/[diameter of the medial-lateral axis]) were evaluated by planimetry. The AVA is then determined using planimetry and the continuity equation method. LVOT shape was found to be elliptical (ellipticity of 0.80 ± 0.08). Accordingly, the LVOT areas measured by 2D-TTE (median 3.7 cm(2), interquartile range 3.1 to 4.1) and 2D-TEE (median 3.7 cm(2), interquartile range 3.1 to 4.0) were smaller than those by 3D-TEE (median 4.6 cm(2), interquartile range 3.9 to 5.3; p interquartile range 0.79 to 1.3, p interquartile range 0.64 to 0.94) and 2D-TEE (median 0.76 cm(2), interquartile range 0.62 to 0.95). Additionally, the continuity equation-based AVA by RT3D-TEE was consistent with the planimetry method. In conclusion, RT3D-TEE might allow more accurate evaluation of the elliptical LVOT geometry and continuity equation-based AVA in patients with aortic stenosis than 2D-TTE and 2D-TEE. Copyright © 2012 Elsevier Inc. All rights reserved.

  5. Uued elamupiirkonnad / Lee Taal, Gea Velthut

    Index Scriptorium Estoniae

    Taal, Lee

    1998-01-01

    Lühiinfot: projektijuht, valmis elamud, infrastruktuur, arhitektuurne kontseptsioon, ehitajad, arhitektid jm. Maarjamäe elamupiirkond (AB Harmin, AB Urbel ja Peil, Alver Trummal Arhitektid), Vabaõhukooli tee asum (Künnapu & Padrik), Lepiku küla Kloostrimetsas /Lepiku Kinnisvarahooldus), Raudalu asum Viljandi mnt. ääres (R-Konsult, I. Raud), Kodu 2001 (Nordprojekt, Jaak Kruusmägi), Tiskre Haaberstis (Arhitektuuribüroo Alis), Randvere tee (Nordprojekt), Veskimöldre (Koot ja Koot).

  6. Tc-99m-HMPAO-Labeled leukocyte SPECT/CT in pediatrics: detecting Candida albicans tricuspid endocarditis

    Energy Technology Data Exchange (ETDEWEB)

    Calais, Jeremie; Edet-Sanson, Agathe; Gaucher, Stephane; Vera, Pierre; Cloirec, Joseph Le [Henri Becquerel Cancer Center and Rouen Univ. Hospital, Rouen (France)

    2015-12-15

    These results led to performing TEE, which showed tricuspid vegetation. Blood cultures were then positive to Candida albicans. Control blood cultures and TEE performed 6 weeks later after adapted antifungal therapy remained negative. In accordance with the results of Erba and al., this case illustrates the usefulness of late thoracic SPECT-CT acquisition of a WBC scan in a patient with high clinical suspicion of endocarditis and identified risk factors but inconclusive echocardiographic findings.

  7. Tc-99m-HMPAO-Labeled leukocyte SPECT/CT in pediatrics: detecting Candida albicans tricuspid endocarditis

    International Nuclear Information System (INIS)

    Calais, Jeremie; Edet-Sanson, Agathe; Gaucher, Stephane; Vera, Pierre; Cloirec, Joseph Le

    2015-01-01

    These results led to performing TEE, which showed tricuspid vegetation. Blood cultures were then positive to Candida albicans. Control blood cultures and TEE performed 6 weeks later after adapted antifungal therapy remained negative. In accordance with the results of Erba and al., this case illustrates the usefulness of late thoracic SPECT-CT acquisition of a WBC scan in a patient with high clinical suspicion of endocarditis and identified risk factors but inconclusive echocardiographic findings

  8. On your fingertips – A new aid to learn the anatomy of the secundum atrial septal defect

    Directory of Open Access Journals (Sweden)

    Ankur Phatarpekar

    2016-05-01

    Full Text Available Though the anatomy of heart is beautifully demonstrated by two-dimensional echocardiography, it is difficult to imagine a three-dimensional structure on two-dimensional echocardiogram. It is especially difficult for a junior fellow in cardiology to conceptualize the atrial septal defect (ASD and its rims on two-dimensional echo at different angles, especially trans-esophageal echo (TEE. The left hand can be a useful tool to learn the ASD and its rims on TEE.

  9. Aorto-right ventricular fistula: a complication of aortic valve replacement.

    Science.gov (United States)

    Najib, Mohammad Q; Ng, Daniel; Vinales, Karyne L; Chaliki, Hari P

    2012-01-01

    The occurrence of aorto-right ventricular (aorto-RV) fistula after prosthetic aortic valve replacement is rare. Transthoracic echocardiography (TTE) with color-flow Doppler, transesophageal echocardiography (TEE), or both may be required for diagnosis. A 42-year-old woman sought care for palpitations and dyspnea due to atrial flutter 2 weeks after prosthetic aortic valve replacement and graft replacement of the ascending aorta. TTE and TEE revealed left-to-right shunt due to aorto-RV fistula.

  10. Value of trans-oesophageal echocardiography as a method of encouraging patients with chronic atrial fibrillation to use anticoagulation therapy

    OpenAIRE

    Bakalli, Aurora; Kamberi, Lulzim; Dragusha, Gani; Zeqiri, Nexhmi; Gashi, Fitim; Prekpalaj, Lazer

    2010-01-01

    Background Despite the indisputable role of anticoagulation therapy for atrial fibrillation (AF) patients at risk for stroke, anticoagulants remain under-used in everyday clinical practice. We assumed that by performing trans-oesophageal echocardiography (TEE) on patients with AF who were not on anticoagulation treatment prior to the procedure, and by explaining to them the TEE images obtained, as well as the possible consequences of these findings, we could convince patients to start anticoa...

  11. Measurements of cardiac output obtained with transesophageal echocardiography and pulmonary artery thermodilution are not interchangeable

    DEFF Research Database (Denmark)

    Møller-Sørensen, H; Graeser, K; Hansen, K L

    2014-01-01

    BACKGROUND: Echocardiography is increasingly becoming an integrated tool for circulatory evaluation in the intensive care unit and the operating room. Therefore, it is imperative to know the reproducibility of measurements obtained by echocardiography. In this study, a comparison of cardiac output...... (CO) measurements obtained with transesophageal echocardiography (TEE) and pulmonary artery catheter (PAC) thermodilution (TD) was carried out to test the precision, accuracy and trending ability of CO measurements obtained with TEE. METHODS: Twenty-five patients completed the study. Each patient...

  12. Jõekaldal Lasnamäel / Triin Ojari

    Index Scriptorium Estoniae

    Ojari, Triin, 1974-

    2006-01-01

    2006. aastal Berliini Tehnikaülikooli arhitektuurikateedri üheks edukamaks lõputööks osutunud Florian Bartholome ja Robert Ostmanni tööst "Tallinn - Lasnamäe", kus Laagna tee muudetakse jõeks, Laagna tee äärne ebasõbralik tsoon avalikuks puhkealaks jm. Projekt pälvis auhinna Rahvusvahelise Arhitektide Liidu (UIA) konkursil "Celebration of Cities 2" ja oli väljas Veneetsia arhitektuuribiennaalil

  13. Diagnosis of malignancy of adult mediastinal tumors by conventional and transesophageal echocardiography.

    Science.gov (United States)

    Zhou, Wei-Wei; Wang, Hong-Wei; Liu, Nan-Nan; Li, Jing-Jing; Yuan, Wei; Zhao, Rui; Xiang, Liang-Bi; Qi, Miao

    2015-04-20

    Transesophageal echocardiography (TEE) is a well-established method for detecting and diagnosing heart tumors. In contrast, its role in assessing the presence, growth and evidence of malignant tumors originating from mediastinal sites remains unclear. The aim of this study was to compare the diagnostic impact of TEE and transthoracic echocardiography (TTE) for determining the localization, growth and malignancy of adult mediastinal tumors (MTs). In a prospective and investigator-blinded study, we evaluated 144 consecutive patients with MT lesions to assess the diagnostic impact of TEE and TTE for detecting the presence of tumors spreading both inside and outside of the heart and for determining infiltration and invasion using pathological examination results as a reference. All tumor lesions were diagnosed and carefully evaluated by biopsy. Biopsy revealed malignant tumors in 79 patients and benign tumors in 65 patients. When compared to histological findings, TEE predicted malignancy from the presence of tumors spreading both inside and outside of the heart and from infiltration and invasion in 49/79 patients (62.0%). TTE predicted malignancy in only 8/79 patients (10.1%, P TTE visualized tumor lesions in 110 patients (76.4%) and was less effective at detecting MT lesions (P TTE and TEE could detect anterior MTs and adequately verified MTs (P > 0.05); TEE detected medium MTs better than TTE (P TTE for predicting the localization and growth of MTs as well as for accessing evidence of tumor malignancy. TTE and TEE were able to detect anterior MTs; TEE was able to detect medium MT better than TTE.

  14. Topological entanglement entropy in Euclidean AdS3 via surgery

    Science.gov (United States)

    Luo, Zhu-Xi; Sun, Hao-Yu

    2017-12-01

    We calculate the topological entanglement entropy (TEE) in Euclidean asymptotic AdS3 spacetime using surgery. The treatment is intrinsically three-dimensional. In the BTZ black hole background, several different bipartitions are applied. For the bipartition along the horizon between two single-sided black holes, TEE is exactly the Bekenstein-Hawking entropy, which supports the ER=EPR conjecture in the Euclidean case. For other bipartitions, we derive an Entangling-Thermal relation for each single-sided black hole, which is of topological origin. After summing over genus-one classical geometries, we compute TEE in the high-temperature regime. In the case where k = 1, we find that TEE is the same as that for the Moonshine double state, given by the maximally-entangled superposition of 194 types of "anyons" in the 3d bulk, labeled by the irreducible representations of the Monster group. We propose this as the bulk analogue of the thermofield double state in the Euclidean spacetime. Comparing the TEEs between thermal AdS3 and BTZ solutions, we discuss the implication of TEE on the Hawking-Page transition in 3d.

  15. Using an Allometric Equation to Accurately Predict the Energy Expenditure of Children and Adolescents With Nonalcoholic Fatty Liver Disease.

    Science.gov (United States)

    Martincevic, Inez; Mouzaki, Marialena

    2017-03-01

    Pediatric patients with nonalcoholic fatty liver disease (NAFLD) require targeted nutrition therapy that relies on calculating energy needs. Common energy equations are inaccurate in predicting resting energy expenditure (REE), influencing total energy expenditure (TEE) estimates. Equations based on allometric scaling are simple, accurate, void of subjective activity and/or stress factor bias, and they estimate TEE. To investigate the predictive accuracy of an allometric energy equation (AEE) in predicting TEE of children and adolescents with NAFLD. Retrospective study performed in a single institution. The allometric equation was used to calculate AEE, and the results were compared with TEE calculated using indirect calorimetry data (measured REE) multiplied by an activity factor (AF) of 1.5 or 1.7. Fifty-six patients with a mean age of 13 years were included in this study. The agreement between TEE (using an AF of 1.5) and AEE was -96 kcal/d (confidence interval, -29 to 221). The predictive accuracy of the allometric equation was not different between obese and nonobese patients. Allometric equations allow for accurate estimation of TEE in children with NAFLD.

  16. One-stop shop assessment for atrial septal defect closure using 256-slice coronary CT angiography

    Energy Technology Data Exchange (ETDEWEB)

    Yamasaki, Yuzo; Kamitani, Takeshi; Sagiyama, Koji; Yamanouchi, Torahiko; Honda, Hiroshi [Kyushu University, Department of Clinical Radiology, Graduate School of Medical Sciences, 3-1-1 Maidashi, Higashi-ku, Fukuoka (Japan); Nagao, Michinobu; Kawanami, Satoshi [Kyushu University, Department of Molecular Imaging and Diagnosis, Graduate School of Medical Sciences, Fukuoka (Japan); Sakamoto, Ichiro [Kyushu University, Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Fukuoka (Japan); Yamamura, Kenichiro [Kyushu University, Department of Pediatrics, Graduate School of Medical Sciences, Fukuoka (Japan); Yabuuchi, Hidetake [Kyushu University, Department of Health Sciences, Graduate School of Medical Sciences, Fukuoka (Japan)

    2017-02-15

    To investigate the feasibility and accuracy of measurement of the pulmonary to systemic blood flow ratio (Qp/Qs) and defect and rim sizes in secundum atrial septal defects (ASDs) using 256-slice CT, compared to the reference transoesophageal echocardiography (TEE) and right heart catheterization (RHC) measurements. Twenty-three consecutive adult patients with secundum ASDs who underwent retrospective ECG-gated coronary CT angiography (CCTA), TEE and RHC were enrolled in this study. Right ventricular (RV) and left ventricular (LV) stroke volumes (SV) were calculated by biventricular volumetry of CCTA. Qp/Qs-CT was defined as RVSV/LVSV. The sizes of the defect and rim were measured by multi-planar reconstruction CT images. Correlations between Qp/Qs-CT and Qp/Qs-RHC and between the defect diameter obtained by CT and TEE were analyzed by Pearson's coefficient analysis. Rim sizes by CT and TEE were compared by paired t-test. Qp/Qs-CT was significantly correlated with Qp/Qs-RHC (r = 0.83, p < 0.0001), and the defect diameter by CT was significantly correlated with that by TEE (r = 0.95, p < 0.0001). There was no significant difference between CT and TEE in measurements of rim size. 256-slice CCTA allows measuring Qp/Qs and size of defects and rims in patients with secundum ASDs, accomplishing pretreatment evaluation non-invasively and comprehensively. (orig.)

  17. A clinical audit of thrombophilia testing in pediatric patients with acute thromboembolic events: impact on management.

    Science.gov (United States)

    Gavva, Chakri; Sarode, Ravindra; Zia, Ayesha

    2017-11-28

    Routine testing for inherited and acquired thrombophilia defects is frequently performed in pediatric patients with thromboembolic events (TEEs). No consensus guidelines exist regarding the timing of testing or the type of patients to be tested. The primary objective of our study, therefore, was to determine whether thrombophilia testing during the acute TEE setting affected clinical management in pediatric patients. A secondary aim included estimation of potential harm from thrombophilia testing. We retrospectively reviewed data on all pediatric patients diagnosed with a TEE during a 1-year period. Fifty-two (51%) of 102 patients with a TEE underwent thrombophilia testing during the acute phase, with 26 patients (50%) having a positive test result during the acute phase. Only 12% of patients tested were confirmed to have a thrombophilia eventually, yielding a false-positive rate of ∼7% for testing when performed in the acute setting. There were no changes to the acute management, regardless of a positive or negative result. Testing resulted in unnecessary blood loss in 12 patients younger than 1 year and acute testing cost approximately $82 000. Our data show that thrombophilia testing during acute TEEs in pediatric patients did not impact clinical management. There is also a potential for false-positive tests leading to unnecessary long-term anticoagulation. These findings suggest against thrombophilia testing during acute TEE setting in children.

  18. Transthoracic echocardiography (TTE): sufficiently sensitive screening test for native valve infective endocarditis (IE).

    Science.gov (United States)

    McDermott, Brian P; Cunha, Burke A; Choi, David; Cohen, Jerald; Hage, Jean

    2011-01-01

    We recently reviewed our experience with paired transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE) studies for the diagnosis of native valve infective endocarditis. In patients with normal heart valves, we demonstrated that a normal TTE effectively rules out infective endocarditis and a TTE is unnecessary. In patients with abnormal heart valves, a TEE did not enhance the diagnostic yield in most patients (12/15). We reviewed 87 paired TTEs and TEEs, that is, TEE with a preceding TTE performed for the evaluation of native valve IE. Of 87 paired echocardiograms, 72 of 87 had normal TTEs and TEEs, with no evidence of a vegetation indicative of infective endocarditis. A total of 15 of 87 TTEs had thickened/calcified valves without a definite vegetation. Of these, only 3 of 15 were subsequently shown to have a vegetation indicative of endocarditis by TEE. In patients with possible native valve infective endocarditis, before blood culture results are known, a negative TTE was sufficiently specific to rule out native valve infective endocarditis. Our data showed that the negative predictive value of a normal TTE in the evaluation of possible native valve endocarditis is 90% or greater. In those with some valve abnormality (ie, thickened/calcified heart valves), subsequent TTE did not materially increase vegetation detection. Copyright © 2011 Elsevier Inc. All rights reserved.

  19. Detection of left atrial thrombus by intracardiac echocardiography in patients undergoing ablation of atrial fibrillation.

    Science.gov (United States)

    Sriram, Chenni S; Banchs, Javier E; Moukabary, Talal; Moradkhan, Raman; Gonzalez, Mario D

    2015-09-01

    The role of intracardiac echocardiography (ICE) to detect thrombus within left atrium (LA) before atrial fibrillation (AF) ablation despite a recent transesophageal echocardiogram (TEE) is not well defined. We examined the prevalence of LA/left atrial appendage (LAA) thrombus using ICE immediately prior to AF ablation in patients in whom anticoagulation was not withheld. We analyzed 122 consecutive patients (62.6 ± 10.8 years, 90 males, CHA(2)DS(2) -VASc score 2.4 ± 1.5, persistent AF 29.5 %) who underwent an ICE-guided AF ablation 1 day after a negative (n = 120) or inconclusive (n = 2) TEE for LA thrombus. LA was imaged with ICE from the right atrium, coronary sinus, and right ventricular inflow tract (RVIT). ICE and TEE images were compared for LAA area, thrombus, and spontaneous echo contrast (SEC). LAA was adequately visualized in 99 and 100 % of patients with TEE and ICE, respectively. RVIT was the best ICE view for LAA visualization. The LAA 2-D-area measured by TEE was 4.9 ± 0.5 vs. 5 ± 0.5 cm(2) by ICE (P = NS). ICE identified a thrombus in seven patients with a previous negative TEE, leading to cancellation of ablation. It ruled out a thrombus in two patients with an inconclusive TEE. Thrombi were found in the LAA (n = 4), atrial septum (n = 2), and left superior pulmonary vein (n = 1). SEC during TEE was more frequent in patients with thrombus on ICE than those without (85.7 vs. 17.4 %; p = 0.03; positive predictive value 23.1 %, negative predictive value 98.9 %). The results of our staged imaging approach suggest that ICE has a complimentary value in re-screening the LA/LAA for thrombus after a recent negative or equivocal TEE. The presence of SEC during TEE increases the probability of finding a thrombus with ICE, which could potentially be dislodged during catheter manipulation.

  20. Optimized guidance of percutaneous edge-to edge repair of the mitral valve using real-time 3-D transesophageal echocardiography.

    Science.gov (United States)

    Altiok, Ertunc; Becker, Michael; Hamada, Sandra; Reith, Sebastian; Marx, Nikolaus; Hoffmann, Rainer

    2011-08-01

    Percutaneous edge-to-edge repair with the MitraClip device has been shown to allow effective treatment of mitral regurgitation. It is mainly guided by transesophageal echocardiography while fluoroscopic guidance is of less importance. The impact of real-time three-dimensional transesophageal echocardiography (RT 3-D TEE) for guidance of this complex interventional procedure has not been evaluated. In 28 high-surgical risk patients with moderate or severe mitral regurgitation (mean age 67 ± 10 years; 15 male), 2-D and RT 3-D TEE were used for the guidance of percutaneous edge-to-edge mitral valve repair using the MitraClip device. We performed a structured analysis to compare information and guidance capacity provided by RT 3-D TEE compared to 2-D TEE. RT 3-D TEE was found to provide advantages in 9 of 11 steps of the percutaneous mitral repair procedure. The advantages related to optimized definition of the transseptal puncture site, improved guidance of the clip delivery system towards the mitral valve, precise positioning of the clip delivery system simultaneously in anterior-posterior and lateral-medial direction above the mitral valve considering mitral valve scallops A2 and P2 and valvular regurgitation jet position, adjustment of the opened clip-arms perpendicular to the commissural line, visualization of the clip position relative to the valvular orifice and of the remaining regurgitant jet after clip closure from atrial as well as ventricular views providing double orifice images and thereby allowing confirmation or rejection of clip position in medial-lateral direction. RT 3-D TEE was inferior to 2-D TEE for leaflet grasping and analysis of leaflet insertion. In complex interventional edge-to-edge repair with the MitraClip device requiring optimal spatial information RT 3-D TEE allows improved guidance of the procedure. RT 3-D TEE guidance compared with 2-D TEE guidance alone resulted in greater operator confidence to adequately perform the procedure.

  1. Transesophageal echocardiographic evaluation of native aortic valve area: utility of the double-envelope technique.

    Science.gov (United States)

    Maslow, A D; Mashikian, J; Haering, J M; Heindel, S; Douglas, P; Levine, R

    2001-06-01

    To assess the accuracy of aortic valve area (AVA) calculations using the continuity equation with data obtained from the double envelope (DE) (simultaneously obtained left ventricular outflow tract [V1]) and aortic valve [V2] velocities) during intraoperative transesophageal echocardiography (TEE). Prospective study; measurements were performed on-line. University hospital. Cardiac and noncardiac surgical patients (n = 75) with recent aortic valve assessment (AVA was measured by the continuity equation using the DE technique (DE/TEE) and by planimetry (PL/TEE). Left ventricular outflow tract diameter was obtained from midesophageal views, whereas subvalvular (V1) and valvular (V2) velocities were obtained simultaneously using continuous-wave Doppler from transgastric views. V1 was also obtained using pulsed-wave Doppler. Measurements were compared with AVA obtained preoperatively by the Gorlin equation during cardiac catheterization (G/CATH) or by transthoracic echocardiography using the traditional continuity equation (C/TTE) (nonsimultaneously obtained V1 and V2). A DE was obtained in 73 of 75 patients (97%). Four patients had atrial fibrillation at the time of the examination, whereas the rest were in sinus rhythm. PL/TEE was performed in 54 of 71 patients with sinus rhythm (76%). Agreement was good between DE/TEE and G/CATH (mean bias, 0.02 cm(2) [SD, 0.24 cm(2)]), and C/TTE (mean bias, -0.05 cm(2) [SD, 0.16 cm(2)]). Agreement was not as good between PL/TEE and G/CATH (mean bias, -0.07 cm(2) [SD, 0.28 cm(2)]) and C/TTE (mean bias, -0.13 cm(2) [SD, 0.30 cm(2)]). V1 obtained by pulsed-wave Doppler and with DE closely agreed (mean bias, 0.01 m/sec [SD, 0.05 m/sec]). TEE evaluation of native AVA using the DE technique is feasible and in good agreement with that obtained by C/TTE and G/CATH. Compared with DE/TEE, PL/TEE did not agree as well. Use of DE/TEE should simplify the continuity equation and may minimize errors resulting from beat-to-beat variability in

  2. Total Energy Expenditure, Energy Intake, and Body Composition in Endurance Athletes Across the Training Season: A Systematic Review.

    Science.gov (United States)

    Heydenreich, Juliane; Kayser, Bengt; Schutz, Yves; Melzer, Katarina

    2017-12-01

    Endurance athletes perform periodized training in order to prepare for main competitions and maximize performance. However, the coupling between alterations of total energy expenditure (TEE), energy intake, and body composition during different seasonal training phases is unclear. So far, no systematic review has assessed fluctuations in TEE, energy intake, and/or body composition in endurance athletes across the training season. The purpose of this study was to (1) systematically analyze TEE, energy intake, and body composition in highly trained athletes of various endurance disciplines and of both sexes and (2) analyze fluctuations in these parameters across the training season. An electronic database search was conducted on the SPORTDiscus and MEDLINE (January 1990-31 January 2015) databases using a combination of relevant keywords. Two independent reviewers identified potentially relevant studies. Where a consensus was not reached, a third reviewer was consulted. Original research articles that examined TEE, energy intake, and/or body composition in 18-40-year-old endurance athletes and reported the seasonal training phases of data assessment were included in the review. Articles were excluded if body composition was assessed by skinfold measurements, TEE was assessed by questionnaires, or data could not be split between the sexes. Two reviewers assessed the quality of studies independently. Data on subject characteristics, TEE, energy intake, and/or body composition were extracted from the included studies. Subjects were categorized according to their sex and endurance discipline and each study allocated a weight within categories based on the number of subjects assessed. Extracted data were used to calculate weighted means and standard deviations for parameters of TEE, energy intake, and/or body composition. From 3589 citations, 321 articles were identified as potentially relevant, with 82 meeting all of the inclusion criteria. TEE of endurance athletes was

  3. Impact of transesophageal echocardiography on management in patients with suspected cardioembolic stroke.

    Science.gov (United States)

    Khariton, Yevgeniy; House, John A; Comer, Lynn; Coggins, Tina R; Magalski, Anthony; Skolnick, David G; Good, Thomas H; Main, Michael L

    2014-12-15

    Transesophageal echocardiography (TEE) is frequently performed in patients with acute ischemic cerebrovascular events to exclude a cardioembolic source. We aimed to determine the clinical impact of TEE on management. This is a retrospective single-center study of 1,458 consecutive patients hospitalized with acute ischemic stroke or transient ischemic attack who underwent TEE for evaluation of a suspected cardioembolic cause. Significant TEE findings were determined for each patient as recorded on the TEE report. The medical record was reviewed for baseline, clinical, and demographic variables and to determine whether significant management changes occurred as a result of the TEE findings. Potential significant changes in management included initiation of anticoagulation, placement of a patent foramen ovale (PFO) closure device, initiation of antibiotic therapy for endocarditis, surgical PFO closure, other cardiac surgery, and coil embolization of a pulmonary arteriovenous malformation. A significant change in management occurred in 243 patients (16.7%); 173 (71%) underwent treatment for PFO with a percutaneous PFO closure device (n = 100), initiation of chronic systemic anticoagulation (n = 68), or surgical PFO closure (n = 5). Additional findings leading to a change in management included endocarditis (n = 20), aortic arch atheroma (n = 14), intracardiac thrombus (n = 13), pulmonary arteriovenous malformation (n = 2), aortic valve fibroelastoma (n = 2), other valve masses (n = 4), and miscellaneous causes (n = 15). In conclusion, in patients with suspected cardioembolic stroke, TEE findings led to a change in management in 16.7% of patients. Of these, most (71%) were directed at prevention of subsequent paradoxical emboli in patients with PFO. Copyright © 2014 Elsevier Inc. All rights reserved.

  4. Avoiding transthoracic echocardiography and transesophageal echocardiography for patients with variable body mass indexes in infective endocarditis

    Directory of Open Access Journals (Sweden)

    Robert Sogomonian

    2016-04-01

    Full Text Available Background: Echocardiography has been a popular modality used to aid in the diagnosis of infective endocarditis (IE with the modified Duke criteria. We evaluated the necessity between the uses of either a transthoracic echocardiography (TTE or transesophageal echocardiography (TEE in patients with a body mass index (BMI greater than or equal to 25 kg/m2 and less than 25 kg/m2. Methods: A single-centered, retrospective study of 198 patients between 2005 and 2012 diagnosed with IE based on modified Duke criteria. Patients, required to be above age 18, had undergone an echocardiogram study and had blood cultures to be included in the study. Results: Among 198 patients, two echocardiographic groups were evaluated as 158 patients obtained a TTE, 143 obtained a TEE, and 103 overlapped with TEE and TTE. Out of these patients, 167 patients were included in the study as 109 (65% were discovered to have native valve vegetations on TEE and 58 (35% with TTE. TTE findings were compared with TEE results for true negatives and positives to isolate valvular vegetations. Overall sensitivity of TTE was calculated to be 67% with a specificity of 93%. Patients were further divided into two groups with the first group having a BMI ≥25 kg/m2 and the subsequent group with a BMI <25 kg/m2. Patients with a BMI ≥25 kg/m2 who underwent a TTE study had a sensitivity and specificity of 54 and 92%, respectively. On the contrary, patients with a BMI < 25 kg/m2 had a TTE sensitivity and specificity of 78 and 95%, respectively. Conclusions: Patients with a BMI <25 kg/m2 and a negative TTE should refrain from further diagnostic studies, with TEE strong clinical judgment is warranted. Patients with a BMI ≥ 25 kg/m2 may proceed directly to TEE as the initial study, possibly avoiding an additional study with a TTE.

  5. Diagnostic accuracy of transesophageal echocardiogram for the detection of patent foramen ovale: a meta-analysis.

    Science.gov (United States)

    Mojadidi, Mohammad Khalid; Bogush, Nikolay; Caceres, Jose Diego; Msaouel, Pavlos; Tobis, Jonathan M

    2014-07-01

    Patent foramen ovale (PFO) is a remnant of the fetal circulation present in 20% of the population. Right-to-left shunting (RLS) through a PFO has been linked to the pathophysiology of stroke, migraine with aura, and hypoxemia. While different imaging modalities including transcranial Doppler, intra-cardiac echo, and transthoracic echo (TTE) have often been used to detect RLS, transesophageal echo (TEE) bubble study remains the gold standard for diagnosing PFO. The aim of this study was to determine the relative accuracy of TEE in the detection of PFO. A systematic review of Medline, using a standard approach for meta-analysis, was performed for all prospective studies assessing accuracy of TEE in the detection of PFO using confirmation by autopsy, cardiac surgery, and/or catheterization as the reference. Search results revealed 3105 studies; 4 met inclusion criteria. A total of 164 patients were included. TEE had a weighted sensitivity of 89.2% (95% CI: 81.1-94.7%) and specificity of 91.4% (95% CI: 82.3-96.8%) to detect PFO. The overall positive likelihood ratio (LR+) was 5.93 (95% CI: 1.30-27.09) and the overall negative likelihood ratio (LR-) was 0.22 (95% CI: 0.08-0.56). While TEE bubble study is considered to be the gold standard modality for diagnosing PFO, some PFOs may still be missed or misdiagnosed. It is important to understand the limitations of TEE and perhaps use other highly sensitive screening tests, such as transcranial doppler (TCD), in conjunction with TEE before scheduling a patient for transcatheter PFO closure. © 2013, Wiley Periodicals, Inc.

  6. ENERGY EXPENDITURE AND HABITUAL PHYSICAL ACTIVITIES IN ADOLESCENT SPRINT ATHLETES

    Directory of Open Access Journals (Sweden)

    Dirk Aerenhouts

    2011-06-01

    Full Text Available This study aimed to assess total energy expenditure (TEE and specific habitual physical activities in adolescent sprint athletes. Two methods used to estimate TEE, an activity diary (AD and SenseWear armband (SWA, were compared. Sixteen athletes (6 girls, 10 boys, mean age 16.5 ± 1.6 yr simultaneously wore a SWA and completed an AD and food diary during one week. Basal energy expenditure as given by the SWA when taken off was corrected for the appropriate MET value using the AD. TEE as estimated by the AD and SWA was comparable (3196 ± 590 kcal and 3012 ± 518 kcal, p = 0.113 without day-to-day variations in TEE and energy expended in activities of high intensity. Daily energy intake (2569 ± 508 kcal did not match TEE according to both the AD and SWA (respectively p < 0.001 and p = 0.007. Athletes were in a supine position for a longer time on weekend days than on week days and slept longer on Sundays. Athletes reported a longer time of high-intensive physical activities in the AD than registered by the SWA on 4 out of 7 days. In addition to specific sprint activities on 3 to 7 days per week, 11 out of 16 athletes actively commuted to school where they participated in sports once or twice per week. The AD and the SWA are comparable in the estimation of TEE, which appears realistic and sustainable. The SWA offers an appropriate and objective method in the assessment of TEE, sleeping and resting in adolescent athletes on the condition that detailed information is given for the times the armband is not worn. The AD offers activity specific information but relies on the motivation, compliance and subjectivity of the individual, especially considering high-intensive intermittent training

  7. Estimating activity energy expenditure: how valid are physical activity questionnaires?

    Science.gov (United States)

    Neilson, Heather K; Robson, Paula J; Friedenreich, Christine M; Csizmadi, Ilona

    2008-02-01

    Activity energy expenditure (AEE) is the modifiable component of total energy expenditure (TEE) derived from all activities, both volitional and nonvolitional. Because AEE may affect health, there is interest in its estimation in free-living people. Physical activity questionnaires (PAQs) could be a feasible approach to AEE estimation in large populations, but it is unclear whether or not any PAQ is valid for this purpose. Our aim was to explore the validity of existing PAQs for estimating usual AEE in adults, using doubly labeled water (DLW) as a criterion measure. We reviewed 20 publications that described PAQ-to-DLW comparisons, summarized study design factors, and appraised criterion validity using mean differences (AEE(PAQ) - AEE(DLW), or TEE(PAQ) - TEE(DLW)), 95% limits of agreement, and correlation coefficients (AEE(PAQ) versus AEE(DLW) or TEE(PAQ) versus TEE(DLW)). Only 2 of 23 PAQs assessed most types of activity over the past year and indicated acceptable criterion validity, with mean differences (TEE(PAQ) - TEE(DLW)) of 10% and 2% and correlation coefficients of 0.62 and 0.63, respectively. At the group level, neither overreporting nor underreporting was more prevalent across studies. We speculate that, aside from reporting error, discrepancies between PAQ and DLW estimates may be partly attributable to 1) PAQs not including key activities related to AEE, 2) PAQs and DLW ascertaining different time periods, or 3) inaccurate assignment of metabolic equivalents to self-reported activities. Small sample sizes, use of correlation coefficients, and limited information on individual validity were problematic. Future research should address these issues to clarify the true validity of PAQs for estimating AEE.

  8. Estimating the effects of energy imbalance on changes in body weight in children.

    Science.gov (United States)

    Swinburn, Boyd A; Jolley, Damien; Kremer, Peter J; Salbe, Arline D; Ravussin, Eric

    2006-04-01

    Estimating changes in weight from changes in energy balance is important for predicting the effect of obesity prevention interventions. The objective was to develop and validate an equation for predicting the mean weight of a population of children in response to a change in total energy intake (TEI) or total energy expenditure (TEE). In 963 children with a mean (+/-SD) age of 8.1 +/- 2.8 y (range: 4-18 y) and weight of 31.5 +/- 17.6 kg, TEE was measured by using doubly labeled water. Log weight (dependent variable) and log TEE (independent variable) were analyzed in a linear regression model with height, age, and sex as covariates. It was assumed that points of dynamic balance, called "settling points," occur for populations wherein energy is in balance (TEE = TEI), weight is stable (ignoring growth), and energy flux (EnFlux) equals TEE. TEE (or EnFlux) explained 74% of the variance in weight. The unstandardized regression coefficient was 0.45 (95% CI: 0.38, 0.51; R(2) = 0.86) after including covariates. Conversion into proportional changes (time(1) to time(2)) gave the equation (weight(2)/weight(1)) = (EnFlux(2)/EnFlux(1))(0.45). In 3 longitudinal studies (n = 212; mean follow-up of 3.4 y), the equation predicted the mean follow-up measured weight to within 0.5%. The relation of EnFlux with weight was positive, which implied that a high TEI (rather than low physical activity and low TEE) was the main determinant of high body weight. Two populations of children with a 10% difference in mean EnFlux would have a 4.5% difference in mean weight.

  9. Transthoracic contrast echocardiography using vitamin B6 and sodium bicarbonate as contrast agents for the diagnosis of patent foramen ovale.

    Science.gov (United States)

    He, Jiang-Chun; Zheng, Jian-Yong; Li, Xin; Yang, Ye; Zhang, Bo-Yang; Chen, Yu; Li, Xian-Feng; Liu, Ying-Ming; Cao, Yi; Zhao, Li; Li, Tian-Chang

    2017-08-01

    To evaluate the utility of transthoracic contrast echocardiography (cTTE) using vitamin B6 and sodium bicarbonate as contrast agents for diagnosing right-to-left shunt (RLS) caused by patent foramen ovale (PFO) compared to that of transesophageal echocardiography (TEE). We investigated 125 patients admitted to our neurology department with unexplained cerebral infarction and migraine. All patients underwent cTTE using vitamin B6 and sodium bicarbonate as contrast agents, after which they underwent transthoracic echocardiography. The Doppler signal was recorded during the Valsalva maneuver, and TEE examinations were performed. The feasibility, diagnostic sensitivity, and safety of cTTE and TEE for PFO recognition were compared. Evidence of PFO was found in 49 (39.20%) patients with cTTE, more than were detected with TEE (39, 31.20%) (χ 2 =5.0625, P=0.0244). cTTE had a sensitivity of 92.31% and a specificity of 84.88% for diagnosing PFO, showing high concordance with TEE for PFO recognition (κ=0.72). Further, results of a semi-quantitative evaluation of PFO-RLS by cTTE were better than those with TEE (Z=-2.011, P=0.044). No significant adverse reaction was discovered during cTTE examination. cTTE using vitamin B6 and sodium bicarbonate as contrast agents has relatively good sensitivity and specificity for diagnosing RLS caused by PFO when compared with those for TEE. Using vitamin B6 and sodium bicarbonate as contrast agents to perform cTTE is recommended for detecting and diagnosing the PFO due to its simplicity, non-invasive character, low cost, and high feasibility.

  10. Avoiding transthoracic echocardiography and transesophageal echocardiography for patients with variable body mass indexes in infective endocarditis.

    Science.gov (United States)

    Sogomonian, Robert; Alkhawam, Hassan; Vyas, Neil; Jolly, JoshPaul; Nguyen, James; Moradoghli Haftevani, Emma A; Al-Khazraji, Ahmed; Ashraf, Amar

    2016-01-01

    Echocardiography has been a popular modality used to aid in the diagnosis of infective endocarditis (IE) with the modified Duke criteria. We evaluated the necessity between the uses of either a transthoracic echocardiography (TTE) or transesophageal echocardiography (TEE) in patients with a body mass index (BMI) greater than or equal to 25 kg/m(2) and less than 25 kg/m(2). A single-centered, retrospective study of 198 patients between 2005 and 2012 diagnosed with IE based on modified Duke criteria. Patients, required to be above age 18, had undergone an echocardiogram study and had blood cultures to be included in the study. Among 198 patients, two echocardiographic groups were evaluated as 158 patients obtained a TTE, 143 obtained a TEE, and 103 overlapped with TEE and TTE. Out of these patients, 167 patients were included in the study as 109 (65%) were discovered to have native valve vegetations on TEE and 58 (35%) with TTE. TTE findings were compared with TEE results for true negatives and positives to isolate valvular vegetations. Overall sensitivity of TTE was calculated to be 67% with a specificity of 93%. Patients were further divided into two groups with the first group having a BMI ≥25 kg/m(2) and the subsequent group with a BMI TTE study had a sensitivity and specificity of 54 and 92%, respectively. On the contrary, patients with a BMI TTE sensitivity and specificity of 78 and 95%, respectively. Patients with a BMI TTE should refrain from further diagnostic studies, with TEE strong clinical judgment is warranted. Patients with a BMI ≥ 25 kg/m(2) may proceed directly to TEE as the initial study, possibly avoiding an additional study with a TTE.

  11. Authentication of Radial Versus Femoral Arterial Pressure Waveform-Derived Cardiac Output With Transesophageal Echocardiography-Derived Cardiac Output Measurements in Patients Undergoing On-Pump Coronary Bypass Surgery.

    Science.gov (United States)

    Maddali, Madan Mohan; Waje, Niranjan Dilip; Sathiya, Panchatcharam Murthi

    2017-08-01

    The aim of this study was to ascertain if arterial waveform-derived cardiac output measurements from radial and femoral cannulation sites were reliable as compared with transesophageal echocardiography (TEE)-derived cardiac output (CO) values, and which of the CO measurements derived from radial and the femoral arterial pressure waveforms closely tracked simultaneously measured TEE-derived CO values. This study also aimed to ascertain if cardiopulmonary bypass (CPB) would impact the accuracy of arterial pressure-derived CO values from either of the 2 sites. A prospective observational study. Tertiary care cardiac center. Cardiac surgical patients undergoing on-pump primary coronary artery bypass surgery. Waveform-derived CO monitoring through radial and femoral artery cannulation using a FloTrac/Vigileo system. Twenty-seven consecutive cardiac surgical patients undergoing on-pump primary coronary artery bypass surgery were included in the study. Cardiac output was measured sequentially by the arterial pressure waveform analysis method from radial and femoral arterial sites and compared with simultaneously measured TEE-derived CO. Cardiac output data were obtained in triplicate at 6 predefined time intervals: before and after sternotomy, 5, 15, and 30 minutes after separation from CPB and prior to shifting the patient out of the operating room. The overall bias of the study was 0.11 and 0.27, the percentage error was 19.31 and 18.45, respectively, for radial and femoral arterial waveform-derived CO values as compared with TEE-derived CO measurements. The overall precision as compared with the TEE-derived CO values was 16.94 and 15.95 for the radial and femoral cannulation sites, respectively. The bias calculated by the Bland-Altman method suggested that CO measurements from the radial arterial site were in closer agreement with TEE-derived CO values at all time periods, and the relation was not affected by CPB. However, percentage error and precision calculations

  12. Implementation of real-time three-dimensional transesophageal echocardiography for mitral balloon valvuloplasty.

    Science.gov (United States)

    Eng, Marvin H; Salcedo, Ernesto E; Kim, Michael; Quaife, Robert A; Carroll, John D

    2013-11-15

    Transthoracic (TTE) and intracardiac echocardiography (ICE) have both been established as modalities for imaging guidance in mitral balloon valvuloplasty (MBV). Real-time three-dimensional transesophageal echocardiography (RT3D-TEE) improves depth resolution, characterization of pathology and visualization of interventional catheters and devices. Three-dimensional imaging should enhance catheter navigation but improvements in procedural outcomes are not easily quantified. Using time from transseptal puncture to balloon inflation, procedure time and radiation exposure as surrogates for improvements linked to image guidance, we describe our early experience in implementing RT3D-TEE during MBV, a prototypical left-sided structural intervention. Using a dedicated interventional procedures database, we reviewed the clinical and procedural variables of 70 consecutive cases of MBV utilizing either RT3D-TEE or TTE combined with ICE from 12/2004 to 4/2009. The clinical characteristics of both groups were well matched and there was no difference in mean gradient reduction or complication rates. Fluoroscopy times (TTE/ICE 26.7 ± 5.6 min. vs. RT3D-TEE 23.3 ± 6 min. P = 0.02) and radiation dose-area product (TTE/ICE 216.2 ± 96.6 vs. RT3D-TEE 171.5 ± 63.9) were lower with the RT3D-TEE cohort. Time from 1st transseptal puncture attempt to 1st balloon inflation was found to be lower in the RT-3DTEE cohort (TTE/ICE 36 ± 8 min vs. 28 ± 8 min P <0.01) CONCLUSION: RT3D-TEE is associated with expedited transseptal puncture and balloon catheter navigation as reflected in the decreased transseptal to balloon time. RT3D-TEE is associated with less reliance on fluoroscopic navigation as compared to using TTE/ICE. This series demonstrates the feasibility and advantages of implementing RT3D-TEE for MBV. Copyright © 2013 Wiley Periodicals, Inc.

  13. TU-F-BRF-04: Registration of 3D Transesophageal Echocardiography and X-Ray Fluoroscopy Using An Inverse Geometry X-Ray System

    Energy Technology Data Exchange (ETDEWEB)

    Speidel, M; Hatt, C; Tomkowiak, M; Raval, A [University of Wisconsin, Madison, WI (United States); Funk, T [Triple Ring Technologies, Inc., Newark, CA (United States)

    2014-06-15

    Purpose: To develop a method for the fusion of 3D echocardiography and Scanning-Beam Digital X-ray (SBDX) fluoroscopy to assist with catheter device and soft tissue visualization during interventional procedures. Methods: SBDX is a technology for low-dose inverse geometry x-ray fluoroscopy that performs digital tomosynthesis at multiple planes in real time. In this study, transesophageal echocardiography (TEE) images were fused with SBDX images by estimating the 3D position and orientation (the “pose”) of the TEE probe within the x-ray coordinate system and then spatially transforming the TEE image data to match this pose. An initial pose estimate was obtained through tomosynthesis-based 3D localization of points along the probe perimeter. Position and angle estimates were then iteratively refined by comparing simulated projections of a 3D probe model against SBDX x-ray images. Algorithm performance was quantified by imaging a TEE probe in different known orientations and locations within the x-ray field (0-30 degree tilt angle, up to 50 mm translation). Fused 3D TEE/SBDX imaging was demonstrated by imaging a tissue-mimicking polyvinyl alcohol cylindrical cavity as a catheter was navigated along the cavity axis. Results: Detected changes in probe tilt angle agreed with the known changes to within 1.2 degrees. For a 50 mm translation along the source-detector axis, the detected translation was 50.3 mm. Errors for in-plane translations ranged from 0.1 to 0.9 mm. In a fused 3D TEE/SBDX display, the catheter device was well visualized and coincident with the device shadow in the TEE images. The TEE images portrayed phantom boundaries that were not evident under x-ray. Conclusion: Registration of soft tissue anatomy derived from TEE imaging and device imaging from SBDX x-ray fluoroscopy is feasible. The simultaneous 3D visualization of these two modalities may be useful in interventional procedures involving the navigation of devices to soft tissue anatomy.

  14. Validation of Actigraph accelerometer estimates of total energy expenditure in young children.

    Science.gov (United States)

    Reilly, John J; Kelly, Louise A; Montgomery, Colette; Jackson, Diane M; Slater, Christine; Grant, Stan; Paton, James Y

    2006-01-01

    To assess the validity of two equations based on the Actigraph CSA/MTI accelerometer for prediction of total energy expenditure (TEE). The criterion was TEE measured using the doubly labeled water method in 85 children, mean age 4.6 years (SD 1.1), over 7 days in the pre-schoolers and 10 days in the school-age participants. Children wore the Actigraph concurrently during waking hours, for 3 of 7 days (pre-schoolers) or 7 of 10 days (school-age children). We tested two prediction equations based on accelerometry. Agreement between predicted and measured TEE was assessed using the 'Bland Altman' approach. Mean TEE measured by doubly-labeled water was 5.8 MJ/d (SD 1.6). Mean error for the Ekelund equation was + 0.3 MJ/d (limits of agreement -3.7 to + 4.3), and for that of Puyau et al. was -0.3 MJ/d (limits of agreement + 3.2 to -3.8). Simple approaches using the Actigraph appear to be inadequate for the estimation of free-living TEE in young children at present.

  15. Validation of energy intake by 24-hour multiple pass recall: comparison with total energy expenditure in children aged 5-7 years.

    Science.gov (United States)

    Montgomery, Colette; Reilly, John J; Jackson, Diane M; Kelly, Louise A; Slater, Christine; Paton, James Y; Grant, Stan

    2005-05-01

    Accurate measurement of energy intake (EI) is essential in studies of energy balance in all age groups. Reported values for EI can be validated against total energy expenditure (TEE) measured using doubly labelled water (DLW). Our previous work has indicated that the use of the standardized 24 h multiple pass recall (24 h MPR) method produces slight overestimates of EI in pre-school children which are inaccurate at individual level but acceptable at group level. To extend this work, the current study validated EI by 24 h MPR against TEE by DLW in sixty-three (thirty-two boys) school-aged children (median age 6 years). In both boys and girls, reported EI was higher than TEE, although this difference was only significant in the girls (median difference 420 kJ/d, P=0.05). On analysis of agreement between TEE and EI, the group bias was an overestimation of EI by 250 kJ/d with wide limits of agreement (-2880, 2380 kJ/d). EI was over-reported relative to TEE by 7 % and 0.9 % in girls and boys, respectively. The bias in the current study was lower than in our previous study of pre-school children, suggesting that estimates of EI become less inaccurate as children age. However, the current study suggests that the 24 h MPR is inaccurate at the individual level.

  16. The effect of transesophageal echocardiography in the surgical treatment of tetralogy of Fallot.

    Science.gov (United States)

    Wang, L-C; Li, S-K; Zhu, F-T; Bian, T; Wang, H-Y

    2018-04-01

    To investigate the effect of transesophageal echocardiography (TEE) in the surgical treatment of tetralogy of Fallot. 98 patients with tetralogy of Fallot received and cured by Zhengzhou Cardiovascular Hospital (Zhengzhou No. 7 People's Hospital) from January 2015 to January 2017 were selected as the study objects. All patients were examined by TEE before surgery, and the pulmonary artery index (PAI) and pulmonary vein index (PVI) were measured, so as to analyze the effect of TEE in the surgical treatment of tetralogy of Fallot. Among the 98 patients, 12 patients were diagnosed with intensive care unit (ICU) retention, 23 patients were diagnosed with respirator assisted respiration extension, 8 patients were diagnosed with low cardiac output syndrome, and 10 patients were diagnosed with respiratory tract infection, which indicated that TEE could diagnose conditions after radical operation of tetralogy of Fallot. The calculation results showed that the PAI was (171.37±58.39) mm2/m2 and the PVI was (282.46±54.37) mm2/m2. The Pearson correlation analysis showed that the correlation between them was good (r=0.821, ptetralogy of Fallot. TEE can predict the occurrence of respirator assisted respiration extension, ICU retention and low cardiac output syndrome of patients after radical surgery by evaluating the PAI and PVI of patients with tetralogy of Fallot.

  17. Anti-inflammatory activity of Taraxacum officinale.

    Science.gov (United States)

    Jeon, Hye-Jin; Kang, Hyun-Jung; Jung, Hyun-Joo; Kang, Young-Sook; Lim, Chang-Jin; Kim, Young-Myeong; Park, Eun-Hee

    2008-01-04

    Taraxacum officinale has been widely used as a folkloric medicine for the treatment of diverse diseases. The dried plant was extracted with 70% ethanol to generate its ethanol extract (TEE). For some experiments, ethyl acetate (EA), n-butanol (BuOH) and aqueous (Aq) fractions were prepared in succession from TEE. TEE showed a scavenging activity in the 1,1-diphenyl-2-picrylhydrazyl (DPPH) assay, a diminishing effect on intracellular reactive oxygen species (ROS) level, and an anti-angiogenic activity in the chicken chorioallantoic (CAM) assay. In the carrageenan-induced air pouch model, TEE inhibited production of exudate, and significantly diminished nitric oxide (NO) and leukocyte levels in the exudate. It also possessed an inhibitory effect on acetic acid-induced vascular permeability and caused a dose-dependent inhibition on acetic acid-induced abdominal writhing in mice. Suppressive effects of TEE on the production of NO and expression of inducible nitric oxide synthase (iNOS) and cyclooxygenase-2 (COX-2) in lipopolysaccharide (LPS)-stimulated macrophages were also assessed. Among the fractions, the n-butanol fraction (BuOH) was identified to be most effective in the CAM assay. Collectively, Taraxacum officinale contains anti-angiogenic, anti-inflammatory and anti-nociceptive activities through its inhibition of NO production and COX-2 expression and/or its antioxidative activity.

  18. Fully automatic segmentation of the mitral leaflets in 3D transesophageal echocardiographic images using multi-atlas joint label fusion and deformable medial modeling.

    Science.gov (United States)

    Pouch, A M; Wang, H; Takabe, M; Jackson, B M; Gorman, J H; Gorman, R C; Yushkevich, P A; Sehgal, C M

    2014-01-01

    Comprehensive visual and quantitative analysis of in vivo human mitral valve morphology is central to the diagnosis and surgical treatment of mitral valve disease. Real-time 3D transesophageal echocardiography (3D TEE) is a practical, highly informative imaging modality for examining the mitral valve in a clinical setting. To facilitate visual and quantitative 3D TEE image analysis, we describe a fully automated method for segmenting the mitral leaflets in 3D TEE image data. The algorithm integrates complementary probabilistic segmentation and shape modeling techniques (multi-atlas joint label fusion and deformable modeling with continuous medial representation) to automatically generate 3D geometric models of the mitral leaflets from 3D TEE image data. These models are unique in that they establish a shape-based coordinate system on the valves of different subjects and represent the leaflets volumetrically, as structures with locally varying thickness. In this work, expert image analysis is the gold standard for evaluating automatic segmentation. Without any user interaction, we demonstrate that the automatic segmentation method accurately captures patient-specific leaflet geometry at both systole and diastole in 3D TEE data acquired from a mixed population of subjects with normal valve morphology and mitral valve disease. Copyright © 2013 Elsevier B.V. All rights reserved.

  19. Transesophageal echocardiographic guidance of transcatheter closure of the aortic valve in a patient with left ventricular assist device-related severe aortic regurgitation

    Directory of Open Access Journals (Sweden)

    Preetham R Muskala

    2017-04-01

    Full Text Available A 68-year-old man with a severe ischemic cardiomyopathy underwent left ventricular assist device (LVAD implantation (Heart Mate II device for destination therapy. He presented 49 months after LVAD implantation with worsening heart failure symptoms and new severe aortic regurgitation. Given high risk for both surgical and transcatheter aortic valve replacement, he was admitted for transcatheter closure of the aortic valve under transesophageal echocardiographic (TEE guidance. TEE imaging revealed severe aortic regurgitation (Fig. 1A and B and Videos 1 and 2. Under TEE and fluoroscopic guidance, a 25 mm Amplatzer cribriform atrial septal defect closure device was advanced across the aortic valve (Fig. 1C and D and Videos 3 and 4. Immediately after device deployment, TEE revealed a well-seated device with complete aortic valve closure and trivial aortic regurgitation (Fig. 2A, B, C and D and Videos 5, 6, 7 and 8. Subsequent transthoracic echocardiograms obtained from 74 to 172 days after the procedure revealed no residual aortic regurgitation. The patient awoke with diffuse urticaria 244 days after the procedure and died en route to the emergency department, presumably secondary to a systemic allergic reaction. De novo aortic regurgitation is increasingly recognized in patients with LVADs (1. TEE-guided transcatheter aortic valve closure is an option in these high-risk patients (2.

  20. Association of energy intake and expenditure with obesity: A cross-sectional study of 150 pediatric patients following treatment for leukemia.

    Science.gov (United States)

    Srivastava, Richa; Batra, Atul; Dhawan, Deepa; Bakhshi, Sameer

    2017-02-01

    Increased obesity in leukemia survivors has been attributed to chemotherapy and radiation. Data on total energy intake (TEI) and total energy expenditure (TEE) are lacking in obese childhood leukemia patients after completion of therapy from India. We conducted a cross-sectional study in pediatric acute leukemia patients after completion of therapy wherein energy intake was assessed by 24-hour recall method. TEE was calculated using Harris-Benedict equation, by assessing the physical activity level using Physical Activity Questionnaire for children and basal metabolic rate by World Health Organization equation. Indian Academy of Pediatrics 2015 guidelines for BMI were used for defining overweight and obesity. Nutritional status was assessed in 150 leukemia patients after completion of therapy. Twenty-five percent of leukemia patients after completion of therapy were overweight and obese versus 11% of healthy controls (p = 0.042). The mean ratio of TEI/required energy intake (REI), TEE/required energy expenditure (REE), and (TEI:REI)/(TEE:REE) were significantly higher in overweight and obese group versus nonobese survivors (p obesity. Obesity in leukemia patients after completion of therapy is associated with increased energy intake, causing imbalance between energy intake and TEE in these patients.

  1. Effectiveness of Antiretroviral Therapy in Individuals Who for Economic Reasons Were Switched From a Once-Daily Single-Tablet Regimen to a Triple-Tablet Regimen

    DEFF Research Database (Denmark)

    Engsig, Frederik N; Gerstoft, Jan; Helleberg, Marie

    2014-01-01

    BACKGROUND: To assess the impact on virological outcomes of a switch from branded single-tablet regimen (STR) including tenofovir, efavirenz, and emtricitabine (STR-TEE) to generic triple-tablet regimen (TTR), including tenofovir, efavirenz, and lamivudine (TTR-TEL), which was implemented on April...... April 1, 2011 to March 31, 2012 (n = 56) and cART-experienced HIV patients who were on STR-TEE from April 1, 2010 (n = 356) or were switched from STR-TEE to TTR-TEL after April 1, 2011 (n = 512). We estimated the fraction with detectable HIV-RNA, development of the 184V/I resistance mutations, and time...... to switch of cART. Approximately 96.2% of cART-experienced patients on STR-TEE were shifted to TTR-TEL after April 1, 2011. For the naive STR-TEE and TTR-TEL patients, the fractions with detectable HIV-RNA at week 48 were 7.0% and 8.3% and for the cART experienced 4.0% and 4.4%, respectively. The 184V...

  2. Transcranial Doppler to Detect Right to Left Communication: Evaluation Versus Transesophageal Echocardiography in Real Life.

    Science.gov (United States)

    Maillet, Alexandre; Pavero, Antoine; Salaun, Pierre; Pibourdin, Alexis; Skopinski, Sophie; Thambo, Jean-Benoit; Sibon, Igor; Constans, Joël; Boulon, Carine

    2018-01-01

    We compared transcranial Doppler (TCD) with transesophageal echocardiography (TEE) and transthoracic echocardiography (TTE) for the detection of right to left communication (RLC) in the heart. All patients explored from 2013 to 2016 in a vascular medicine unit to detect RLC by TCD were included. Right to left communication was detected by TCD monitoring for microembolic signals after intravenous injection of agitated 5% glucose and air. One hundred one patients were explored for RLC by TCD, 64 by TEE (not possible in 10, bubble injection in 51), and 93 by TTE because of unexplained stroke or arterial thrombosis (51 males, 50 females, age 51.0 ± 15.8 years) (bubble injection in 35). Fifty-three patients were positive after TCD (TEE: 4 negative, TTE: 7 negative). Of the negative patients after TCD, none was positive for TEE and 1 was positive for TTE with no evidence of patent foramen ovale. Transcranial Doppler was sensitive to detect RLC, even in patients with negative TTE or TTE. A negative TEE did not exclude RLC demonstrated by TCD. Transcranial Doppler might be proposed as first line to detect RLC.

  3. Anatomic characterization of cavotricuspid isthmus by 3D transesophageal echocardiography in patients undergoing radiofrequency ablation of typical atrial flutter.

    Science.gov (United States)

    Regoli, François; Faletra, Francesco; Marcon, Serena; Leo, Laura Anna; Dequarti, Maria Cristina; Caputo, Maria Luce; Conte, Giulio; Moccetti, Tiziano; Auricchio, Angelo

    2018-01-01

    Radiofrequency ablation (RFA) is the treatment of choice of cavotricuspid isthmus (CTI)-dependent atrial flutter. Procedural time is highly variable due to anatomical structures. This study aimed to characterize CTI anatomy by transesophageal 3D echocardiography imaging (3D-TEE) to identify anatomic structures related to longer ablation time. Thirty-one consecutive patients (mean age 67.3 ± 11.5 years, 22 males) underwent CTI-ablation procedure. Before ablation, TEE was performed and 3D-TEE images were acquired to evaluate CTI anatomy qualitatively as well as perform measures of CTI morphological features. The electrophysiologist performing RFA was blinded to 3D-TEE data. Bidirectional block of CTI was achieved in all patients without procedural complications after a median ablation time of 11 (IQR 7-14) min. Patients with RFA time ≥11 min (Group 2) presented lower left ventricular ejection fraction (51.1 ± 17.0 vs. 59.5 ± 6.6%, P 3D-TEE imaging is extremely helpful in qualitative and quantitative evaluation of CTI anatomy in patients undergoing RFA for symptomatic typical atrial flutter. Detection of a deep right atrial pouch was found to be associated with significantly prolonged CTI ablation time to achieve bidirectional block. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2017. For permissions, please email: journals.permissions@oup.com.

  4. Total Energy Expenditure in Obese Kuwaiti Primary School Children Assessed by the Doubly-Labeled Water Technique

    Directory of Open Access Journals (Sweden)

    Lena Davidsson

    2016-10-01

    Full Text Available The aim of this pilot study was to assess body composition and total energy expenditure (TEE in 35 obese 7–9 years old Kuwaiti children (18 girls and 17 boys. Total body water (TBW and TEE were assessed by doubly-labeled water technique. TBW was derived from the intercept of the elimination rate of deuterium and TEE from the difference in elimination rates of 18O and deuterium. TBW was used to estimate fat-free mass (FFM, using hydration factors for different ages and gender. Fat mass (FM was calculated as the difference between body weight and FFM. Body weight was not statistically different but TBW was significantly higher (p = 0.018 in boys (44.9% ± 3.3% than girls (42.4% ± 3.0%, while girls had significantly higher estimated FM (45.2 ± 3.9 weight % versus 41.6% ± 4.3%; p = 0.014. TEE was significantly higher in boys (2395 ± 349 kcal/day compared with girls (1978 ± 169 kcal/day; p = 0.001. Estimated physical activity level (PAL was significantly higher in boys; 1.61 ± 0.167 versus 1.51 ± 0.870; p = 0.034. Our results provide the first dataset of TEE in 7–9 years old obese Kuwaiti children and highlight important gender differences to be considered during the development of school based interventions targeted to combat childhood obesity.

  5. [Comparison of aortic annular diameter defined by different measurement mordalities before transcatheter aortic valve implantation].

    Science.gov (United States)

    Qi, R X; You, X D; Pu, Z X; Yang, Q; Huang, Z X; Zhou, L M; Huang, P T

    2017-05-24

    Objective: To compare aortic annular diameter measured by transthoracic echocardiography (TTE), transesophageal echocardiography (TEE), and multislice computed tomography (MSCT) in patients with severe aortic stenosis, and to evaluate the impact on selection of prosthetic valve type in transcatheter aortic valve implantation (TAVI). Methods: Clinical data of 138 patients with severe aortic stenosis referred for TAVI between January 2014 and June 2016 in our hospital were retrospectively analyzed.The difference of aortic annular diameter measured by TTE, TEE, and MSCT were compared.TTE was performed after TAVI to evaluate the accuracy of measurement before TAVI. Results: (1) Aortic annular diameter was (23.37±2.22) mm by TTE and (23.52±1.70) mm by TEE ( P =0.12). Pearson correlation analysis showed that aortic annular diameter measured by TTE was correlated to that measured by TEE ( r =0.87, P TTE and TTE (all P TTE and TEE measurements are smaller than that from MSCT.In the absence of a gold standard, selection of prosthetic valve type in TAVI procedure should rely on comprehensive considerations, which is of importance to get good clinical results for severe aortic stenosis patients underwent TAVI.

  6. Research on Synchronous Coordination Development of Tourism-Economy-Environment System in Qinghai Section of Silk Road

    Science.gov (United States)

    Xue, Huaju

    2018-01-01

    Using coupling theory in physics, the paper analyzed the relationship of coordinated development of tourism-economy-environment system (abbr. TEES) in Qinghai. Results showed the comprehensive evaluation of Qinghai TEES has been improved greatly from 2000 to 2014. However, coupling degree has still been in the running-in stage and coordination degree only arrives at the primary coordination level, the development of economy and tourism has exceeded the threshold of ecological environment after 2008, and the ecological environment has become the bottleneck restricting the further improvement of coupling coordination. In the future, Qinghai must change its mode of development and focus on industrial upgrading and transformation so as to promote the harmonious and sustainable development of TEES in the Silk Road.

  7. Total energy expenditure and physical activity in young Scottish children: mixed longitudinal study.

    Science.gov (United States)

    Reilly, J J; Jackson, D M; Montgomery, C; Kelly, L A; Slater, C; Grant, S; Paton, J Y

    2004-01-17

    Childhood obesity has been attributed to a decline in total energy expenditure (TEE). We measured TEE, physical activity, and sedentary behaviour in a representative sample of young children from Glasgow, UK, at age 3 years (n=78), and we did a follow-up study at age 5 years (n=72). Mean physical activity level (TEE/resting energy expenditure) was 1.56 (SD 0.39) at age 3 years and 1.61 (0.22) at age 5 years. Median time in sedentary behaviour was 79% of monitored hours at age 3 years (IQR 74-84) and 76% (71-80) at age 5 years. Median time spent in moderate to vigorous physical activity represented only 2% of monitored hours at age 3 years (IQR 1-4) and 4% at age 5 years (2-6). Modern British children establish a sedentary lifestyle at an early age.

  8. Collagen fleece-bound fibrin sealant is not associated with an increased risk of thromboembolic events or major bleeding after its use for haemostasis in surgery: a prospective multicentre surveillance study

    DEFF Research Database (Denmark)

    Birth, Mathias; Figueras, Joan; Bernardini, Stéphane

    2009-01-01

    ), major bleeding (any bleeding that required intervention), and immunological events (hypersensitivity including anaphylaxis) that occurred during surgery, post-operative hospital stay or 6 months of follow-up were reported as adverse events. The primary endpoint was the proportion of patients...... experiencing a confirmed TEE. RESULTS: A total of 3098 patients were recruited at 227 centres in 12 European countries. The most frequent types of surgery were hepatic (33%), gastrointestinal (16%) and urological (14%) and the main indication for surgery was for primary (35%) or secondary (20%) malignancy....... Forty-six patients (1.5%, 95% CI 1.1-2.0%) had at least one TEE during the study. The most commonly reported TEEs were pulmonary embolism or post-procedural pulmonary embolism (n = 18) and deep vein thrombosis (n = 9). There were 64 major bleedings in 62 patients and 9 immunological events in 8 patients...

  9. Intraoperative Diagnosis of Stanford Type A Dissection by Transesophageal Echocardiogram in a Patient Presenting for Renal Transplantation

    Directory of Open Access Journals (Sweden)

    William R. Hand

    2011-01-01

    Full Text Available A 48-year-old patient with hypertensive end-stage renal disease presented for cadaveric renal transplantation. On physical exam, a previously undocumented diastolic murmur was heard loudest at the left lower sternal border. The patient had a history of pericardial effusions and reported “a feeling of chest fullness” when lying flat. As such, a transesophageal echocardiogram (TEE was performed after induction of anesthesia to evaluate the pericardial space and possibly determine the etiology and severity of the new murmur. The TEE revealed a Stanford Type A aortic dissection. The renal transplant was cancelled (organ reassigned within region, and the patient underwent an urgent ascending and proximal hemiarch aortic replacement. This case demonstrates the importance of a thorough physical exam and highlights the utility of TEE for noncardiac surgical cases.

  10. Collagen fleece-bound fibrin sealant is not associated with an increased risk of thromboembolic events or major bleeding after its use for haemostasis in surgery: a prospective multicentre surveillance study

    Directory of Open Access Journals (Sweden)

    Günther Klaus

    2009-06-01

    Full Text Available Abstract Background Topical haemostatic agents are used to help achieve haemostasis during surgery when standard surgical techniques are insufficient. The objective of this study was to confirm the safety profile of an equine collagen patch coated with human fibrinogen and human thrombin with particular focus on the occurrence of thromboembolic events (TEEs, major bleeding and immunological events. Methods This was a non-interventional, multicentre, prospective, surveillance study in which a collagen fleece-bound fibrin sealant was prescribed in accordance with its marketing authorisation. The decision to use the sealant was based solely on current surgical practice. All patients that received the sealant and provided informed consent were included. TEEs (any coagula-based occlusion in a vessel or the heart identified by symptomatic clinical signs and/or verified by paraclinical examination, major bleeding (any bleeding that required intervention, and immunological events (hypersensitivity including anaphylaxis that occurred during surgery, post-operative hospital stay or 6 months of follow-up were reported as adverse events. The primary endpoint was the proportion of patients experiencing a confirmed TEE. Results A total of 3098 patients were recruited at 227 centres in 12 European countries. The most frequent types of surgery were hepatic (33%, gastrointestinal (16% and urological (14% and the main indication for surgery was for primary (35% or secondary (20% malignancy. Forty-six patients (1.5%, 95% CI 1.1–2.0% had at least one TEE during the study. The most commonly reported TEEs were pulmonary embolism or post-procedural pulmonary embolism (n = 18 and deep vein thrombosis (n = 9. There were 64 major bleedings in 62 patients and 9 immunological events in 8 patients. Conclusion Collagen fleece-bound fibrin sealant does not appear to be associated with an increased risk of TEEs, major bleeding or immunological events in patients undergoing

  11. Contrast transcranial Doppler ultrasound in the detection of right-to-left shunts: comparison of Echovist-200 and Echovist-300, timing of the Valsalva maneuver, and general recommendations for the performance of the test.

    Science.gov (United States)

    Droste, Dirk W; Jekentaite, Ruta; Stypmann, Jörg; Grude, Matthias; Hansberg, Tjark; Ritter, Martin; Nabavi, Darius; Nam, Eun-Mi; Dittrich, Ralf; Wichter, Thomas; Ringelstein, E Bernd

    2002-01-01

    Cardiac right-to-left shunts (RLS) can be identified by transesophageal echocardiography (TEE) as well as by transcranial Doppler ultrasound (TCD) using contrast agents, such as Echovist-200 or Echovist-300 in conjunction with a Valsalva maneuver (VM) as provocation procedure. Both Echovist preparations are in use. Currently, the appropriate timing of the VM is still under debate. Sixty-four patients were investigated by both TEE and bilateral TCD of the middle cerebral arteries. The following protocol was applied in a randomized way: (1) no VM, (2) VM for 5 s starting with the beginning of Echovist-300 injection, (3) VM for 5 s starting 5 s after the beginning of Echovist-300 injection, (4) VM for 5 s starting 10 s after the beginning of Echovist-300 injection, and (5) VM for 5 s starting 5 s after the beginning of Echovist-200 injection. In 27 patients, an RLS was demonstrated by both TEE and contrast TCD (shunt-positive). Twenty-two patients were negative in both investigations, no patient was positive on TEE but negative on TCD, 15 patients were only positive on at least one TCD investigation but negative on TEE. Tests 3 and 5 were the most appropriate ones; test 3 was slightly superior to test 5. TCD using Echovist-300 or Echovist-200 is a sensitive method to identify TEE-proven cardiac RLS. To achieve the best diagnostic accuracy, the VM should be performed for a duration of 5 s starting at 5 s following the beginning of contrast injection. Copyright 2002 S. Karger AG, Basel

  12. Full characterization of a spin liquid phase: from topological entropy to robustness and braid statistics

    Science.gov (United States)

    Jahromi, Saeed S.; Langari, Abdollah

    2017-04-01

    We use the topological entanglement entropy (TEE) as an efficient tool to fully characterize the Abelian phase of a {{{Z}}2}× {{{Z}}2} spin liquid emerging as the ground state of topological color code (TCC), which is a class of stabilizer states on the honeycomb lattice. We provide the fusion rules of the quasiparticle (QP) excitations of the model by introducing single- or two-body operators on physical spins for each fusion process which justify the corresponding fusion outcome. Besides this, we extract the TEE from Renyi entanglement entropy (EE) of the TCC, analytically and numerically by finite size exact diagonalization on the disk shape regions with contractible boundaries. We obtain that the EE has a local contribution, which scales linearly with the boundary length in addition to a topological term, i.e. the TEE, arising from the condensation of closed strings in the ground state. We further investigate the ground state dependence of the TEE on regions with non-contractible boundaries, i.e. by cutting the torus to half cylinders, from which we further identify multiple independent minimum entropy states (MES) of the TCC and then extract the U and S modular matrices of the system, which contain the self and mutual statistics of the anyonic QPs and fully characterize the topological phase of the TCC. Eventually, we show that, in spite of the lack of a local order parameter, TEE and other physical quantities obtained from the ground state wave function such as the entanglement spectrum (ES) and ground state fidelity are sensitive probes to study the robustness of a topological phase. We find that the topological order in the presence of a magnetic field persists until the vicinity of the transition point, where the TEE and fidelity drops to zero and the ES splits severely, signaling breakdown of the topological phase of the TCC.

  13. In-vivo continuous monitoring of mixed venous oxygen saturation by photoacoustic transesophageal echocardiography (Conference Presentation)

    Science.gov (United States)

    Li, Li; Subramaniam, Balachundhar; Aguirre, Aaron D.; Andrawes, Michael N.; Tearney, Guillermo J.

    2016-02-01

    Mixed venous oxygen saturation (SvO2), measured from pulmonary arteries, is a gold-standard measure of the dynamic balance between the oxygen supply and demand in the body. In critical care, continuous monitoring of SvO2 plays a vital role in early detection of circulatory shock and guiding goal-oriented resuscitation. In current clinical practice, SvO2 is measured by invasive pulmonary artery catheters (PAC), which are associated with a 10% risk of severe complications. To address the unmet clinical need for a non-invasive SvO2 monitor, we are developing a new technology termed photoacoustic transesophageal echocardiography (PA-TEE). PA-TEE integrates transesophageal echocardiography with photoacoustic oximetry, and enables continuous assessment of SvO2 through an esophageal probe that can be inserted into the body in a minimally invasive manner. We have constructed a clinically translatable PA-TEE prototype, which features a mobile OPO laser, a modified ultrasonography console and a dual-modality esophageal probe. Comprised of a rotatable acoustic array detector, a flexible optical fiber bundle and a light-integrating acoustic lens, the oximetric probe has an outer diameter smaller than 15 mm and will be tolerable for most patients. Through custom-made C++/Qt software, our device acquires and displays ultrasonic and photoacoustic images in real time to guide the deployment of the probe. SvO2 is calculated on-line and updated every second. PA-TEE has now been used to evaluate SvO2 in living swine. Our findings show that changing the fraction of oxygen in the inspired gas modulates SvO2 measured by PA-TEE. Statistic comparison between SvO2 measurements from PA-TEE in vivo the gold-standard laboratorial analysis on blood samples drawn from PACs will be presented.

  14. Absolute assessment of aortic valve stenosis by planimetry using cardiovascular magnetic resonance imaging: Comparison with transoesophageal echocardiography, transthoracic echocardiography, and cardiac catheterisation

    International Nuclear Information System (INIS)

    Reant, Patricia; Lederlin, Mathieu; Lafitte, Stephane; Serri, Karim; Montaudon, Michel; Corneloup, Olivier; Roudaut, Raymond; Laurent, Francois

    2006-01-01

    Objective: The aims of this study were to investigate absolute assessment of aortic valve area (AVA), before surgery for aortic stenosis, using cardiovascular magnetic resonance (CMR) in comparison with transoesophageal echocardiography (TEE) and with effective AVA indirectly obtained by routine techniques i.e. transthoracic echocardiography (TTE) and cardiac catheterisation. Materials and methods: Absolute AVA planimetry was performed by TEE and CMR steady state free precession sequences obtained through the aortic valvular plane. Effective AVA was calculated by the continuity equation in TTE and by cardiac catheterisation (Gorlin formula). Results: Thirty-nine patients with aortic valve stenosis, mean age 71.7 ± 7.6 years, with a mean AVA of 0.93 ± 0.31 cm 2 as measured by TEE, were enrolled in the study. Mean differences were: between CMR and TEE planimetry: d = 0.01 ± 0.14 cm 2 , between CMR and cardiac catheterisation: d = 0.05 ± 0.13 cm 2 , between CMR and TTE: d = 0.10 ± 0.17 cm 2 , between TTE and TEE: d = 0.10 ± 0.18 cm 2 , between TTE and cardiac catheterisation: d 0.06 ± 0.16 cm 2 , and between TEE and cardiac catheterisation: d = 0.07 ± 0.13 cm 2 . Mean intraobserver and interobserver differences of CMR planimetry were d = 0.02 ± 0.07 cm 2 and d = 0.03 ± 0.14 cm 2 , respectively. Conclusion: CMR planimetry of the AVA is a noninvasive and reproducible technique to evaluate stenotic aortic valves and can be used as an alternative to echocardiography or cardiac catheterisation

  15. Accuracy of conventional transthoracic echocardiography for the diagnosis of intracardiac right-to-left shunt: a meta-analysis of prospective studies.

    Science.gov (United States)

    Mojadidi, Mohammad Khalid; Winoker, Jared S; Roberts, Scott C; Msaouel, Pavlos; Zaman, Muhammad Omer; Gevorgyan, Rubine; Tobis, Jonathan M

    2014-10-01

    Paradoxical embolization through a right-to-left shunt (RLS), often from a patent foramen ovale (PFO), has been associated with cryptogenic stroke. While transesophageal echo (TEE) bubble study is the current standard reference for diagnosing PFO, transthoracic echo (TTE) remains the most commonly used screening test for RLS due to its noninvasiveness and easy availability. The aim of this meta-analysis was to determine the accuracy of TTE compared to TEE as the reference. A systematic review of Medline, Cochrane, and Embase was done to look for all the prospective studies assessing for intracardiac RLS using conventional TTE compared to TEE as the reference; both TTE and TEE were performed with a contrast agent and a maneuver to provoke RLS in all studies. A total of 13 studies with 1436 patients fulfilled the inclusion criteria. The weighted mean sensitivity and specificity for TTE were 46% and 99%, respectively. Likewise, the positive likelihood ratio and negative likelihood ratio were 20.85 and 0.57, respectively. Using different contrast agents, different microbubble cutoffs for a positive TTE/TEE, and different cardiac cycle cutoffs for a positive TTE/TEE did not affect the accuracy of TTE. In a population of patients with cryptogenic stroke, a TTE that tests positive for RLS has a 95% probability of being a true positive. Transthoracic echocardiogram has a low sensitivity and extremely high specificity, making it a poor rule out test but an excellent rule in test for the detection of intracardiac RLS. © 2014, Wiley Periodicals, Inc.

  16. An Approach to Improve the Negative Predictive Value and Clinical Utility of Transthoracic Echocardiography in Suspected Native Valve Infective Endocarditis.

    Science.gov (United States)

    Sivak, Joseph A; Vora, Amit N; Navar, Ann Marie; Schulte, Phillip J; Crowley, Anna Lisa; Kisslo, Joseph; Corey, G Ralph; Liao, Lawrence; Wang, Andrew; Velazquez, Eric J; Samad, Zainab

    2016-04-01

    In patients with suspected native valve infective endocarditis, current guidelines recommend initial transthoracic echocardiography (TTE) followed by transesophageal echocardiography (TEE) if clinical suspicion remains. The guidelines do not account for the quality of initial TTE or other findings that may alter the study's diagnostic characteristics. This may lead to unnecessary TEE when initial TTE was sufficient to rule out vegetation. The objective of this study was to determine if the use of a strict definition of negative results on TTE would improve the performance characteristics of TTE sufficiently to exclude vegetation. A retrospective analysis of patients at a single institution with suspected native valve endocarditis who underwent TTE followed by TEE within 7 days between January 1, 2007, and February 28, 2014, was performed. Negative results on TTE for vegetation were defined by either the standard approach (no evidence of vegetation seen on TTE) or by applying a set of strict negative criteria incorporating other findings on TTE. Using TEE as the gold standard for the presence of vegetation, the diagnostic performance of the two transthoracic approaches was compared. In total, 790 pairs of TTE and TEE were identified. With the standard approach, 661 of the transthoracic studies had negative findings (no vegetation seen), compared with 104 studies with negative findings using the strict negative approach (meeting all strict negative criteria). The sensitivity and negative predictive value of TTE for detecting vegetation were substantially improved using the strict negative approach (sensitivity, 98% [95% CI, 95%-99%] vs 43% [95% CI, 36%-51%]; negative predictive value, 97% [95% CI, 92%-99%] vs 87% [95% CI, 84%-89%]). The ability of TTE to exclude vegetation in patients is excellent when strict criteria for negative results are applied. In patients at low to intermediate risk with strict negative results on TTE, follow-up TEE may be unnecessary

  17. Effect of Early Direct Current Cardioversion on the Recurrence of Atrial Fibrillation in Patients With Persistent Atrial Fibrillation

    DEFF Research Database (Denmark)

    Osmanagic, Armin; Möller, Sören; Osmanagic, Azra

    2015-01-01

    In patients with persistent atrial fibrillation (AF), the sinus rhythm (SR) can be restored by direct current cardioversion (DCC), although the recurrence of AF after successful DCC is common. We examined whether transesophageal echocardiography (TEE)-guided early DCC, compared with the conventio......In patients with persistent atrial fibrillation (AF), the sinus rhythm (SR) can be restored by direct current cardioversion (DCC), although the recurrence of AF after successful DCC is common. We examined whether transesophageal echocardiography (TEE)-guided early DCC, compared...... with persistent AF lasting >60 days. The recurrence-free survival probability at 28 days in patients with persistent AF

  18. Final Environmental Assessment, Conversion of Forest Land to Road Right-of-Way, Arnold Air Force Base, Tennessee

    Science.gov (United States)

    2005-04-01

    devorpmI-imeS tnerruC yradnuoB esaB 000,4000,3000,2000,10 teeF Wattendorf Memorial Hwy E012005024ATL\\Tree115.ai Figure 2-3 Conversion of Forest Land...devorpmI-imeS tnerruC 000,4000,3000,2000,10 teeF Wattendorf Memorial Hwy E012005024ATL\\Tree116.ai Figure 2-4 Conversion of Forest Land to Road Right-of...maples (Acer spp.), sassafras (Sassafras albidum), sourwood (Oxydendrum arboreum), and blueberries (Vaccinium spp.). 3.4.4 Sensitive Species

  19. Energy Intake in Socially Vulnerable Women Living in Brazil: Assessment of the Accuracy of Two Methods of Dietary Intake Recording Using Doubly Labeled Water.

    Science.gov (United States)

    Lins, Isabela Lays Lopes; Bueno, Nassib Bezerra; Grotti Clemente, Ana Paula; Pfrimer, Karina; Sawaya, Ana Lydia; de Menezes Toledo Florêncio, Telma Maria

    2016-10-01

    Diet is related to the prevention of chronic diseases, but assessing dietary intake is a complex task, especially in socially vulnerable populations. To assess the accuracy of the 24-hour food recall (24HFR) and the food frequency questionnaire (FFQ) methods in socially vulnerable women in Brazil and compare these methods against doubly labeled water (DLW). Cross-sectional study. Energy intake (EI) was measured using 3 24HFRs and 1 FFQ. Total energy expenditure (TEE) was measured using DLW. Cutoff points were calculated to assess underreporting and overreporting using both the difference and the ratio between the EI and TEE. Sixty-seven socially vulnerable, nondieting adult women with stable body weight and mothers of malnourished children. EI, in kilocalories, derived from 24HFR and FFQ. Repeated measures analysis of variance was used to compare EI and TEE and Bland-Altman graphs were plotted to assess the agreement between these variables. Spearman correlation coefficient between the ratio of EI to TEE and socioeconomic or anthropometric variables was calculated. Mean TEE was 2,186 kcal (95% CI 2,063 to 2,309 kcal). EI obtained through 24HFR (mean=1,848.6 kcal [95% CI 1,737.5 to 1,959.7 kcal]) was significantly lower than TEE (P=0.01), and significantly lower than the EI obtained through FFQ (mean=2,084.5 [95% CI 1,929.0 to 2,240.0 kcal]; P<0.01). There were no statistically significant differences between the EI values of FFQ and TEE (P=0.89). The distribution of underreporters, nonunderreporters, and overreporters were more homogenous in the FFQ method. There was a positive correlation between body fat percentage and underreporting in the FFQ method (r=0.245; P=0.046). The methods of assessing dietary intake in our study showed poor agreement with TEE obtained by DLW. These may, therefore, not be the most suitable methods for assessing EI in this population. Copyright © 2016 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

  20. Evaluation of aortic valve stenosis by cardiac multislice computed tomography compared with echocardiography: a systematic review and meta-analysis

    DEFF Research Database (Denmark)

    Abdulla, Jawdat; Sivertsen, Jacob; Kofoed, Klaus Fuglsang

    2009-01-01

    totaling 470 patients. The meta-analysis was carried out to examine the reliability of MSCT compared to transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE). Seven studies including 266 patients with AVS were also eligible for a secondary analysis to compare the accuracy of MSCT...... with invasive coronary angiography. RESULTS: The AVA was measured by MSCT and TTE in all 14 studies, and by TEE in four studies. The results of the meta-analyses showed that planimetry by MSCT overestimated the AVA, with a bias of 0.08 (95% CI 0.04, 0.13) cm2) (p = 0.0001) compared to TTE. The MSCT measurement...

  1. Management issues during HeartWare left ventricular assist device implantation and the role of transesophageal echocardiography

    Directory of Open Access Journals (Sweden)

    Sanjay Orathi Patangi

    2013-01-01

    Full Text Available Left ventricular assist devices (LVAD are increasingly used for mechanical circulatory support of patients with severe heart failure, primarily as a bridge to heart transplantation. Transesophageal echocardiography (TEE plays a major role in the clinical decision making during insertion of the devices and in the post-operative management of these patients. The detection of structural and device-related mechanical abnormalities is critical for optimal functioning of assist device. In this review article, we describe the usefulness of TEE for optimal perioperative management of patients presenting for HeartWare LVAD insertion.

  2. Dave Benton laulab Peetri kirikus / Arvo Uustalu

    Index Scriptorium Estoniae

    Uustalu, Arvo, 1964-

    2004-01-01

    Poplaulja Dave Bentoni ja Eesti Televisiooni lastekoori kontserdist 20. dets. Tartu Peetri kirikus. Peetri kirikus heategevuskontserdil "Tee rõõmsaks mind, kui sul on aega" 28. dets. laulavad Katrin Pärn, Toomas Lunge, Kait Tamra ja Indrek Kalda. Rein Rannapi viisistatud kantaati "Ilus maa" esitab Kadri Leppoja juhatusel ja Urmas Taniloo saatel M. Härma gümnaasiumi segakoor

  3. Tshuzhoi Tanel Padar / Dmitri Babitshenko

    Index Scriptorium Estoniae

    Babitshenko, Dmitri

    2007-01-01

    Saksamaalt pärit, Eesti ülikoolides filmiteooria ja -ajaloo loenguid pidav ja filmi "Ring tee" valmimist režissöörina juhtinud Dirk Hoyeri mängufilm esilinastub 27. apr. kinos "Sõprus". Praeguseks on film ümber nimetatud "Võõraks", ühes peaosadest astub üles muusik Tanel Padar

  4. Möödus vaikselt / Tiina Käesel

    Index Scriptorium Estoniae

    Käesel, Tiina, 1943-

    2001-01-01

    Tallinna rakenduskunsti triennaalist 2000 "Omand" Tarbekunstimuuseumis. Kontseptsioon-kujundus: Ketli Tiitsar, Kaire Rannik, Berit Teeäär, Kristi Paap (F.F.F.F.). Paremaid esinejaid. Peaauhind - Eija Mustonen (Soome), auhinnad - Audrius Janushonis (Leedu), Claus Domine Hansen (Taani), Tarbekunstimuuseumi ostuauhind - Aigi Orav, grupi F.F.F.F. auhind - Monika Järg

  5. F.F.F.F. armastab mõtestada ennast / Reet Varblane

    Index Scriptorium Estoniae

    Varblane, Reet, 1952-

    2002-01-01

    Rühmituse F.F.F.F. (Kristi Paap, Kaire Rannik, Berit Teeäär, Ketli Tiitsar, Maria Valdma) näitus "Meie igapäevane leib" 9. novembrini Hansapanga galeriis ja näitus "Pentagramm" 26. X-1. XII Tarbekunstimuuseumis

  6. Socio-economic and environmental factors influence energy utilization in Brazilian breast-fed infants

    NARCIS (Netherlands)

    Haisma, Hinke; Coward, W. Andrew; Visser, G. Henk; Vonk, Roel; Wells, Jonathan C. K.; Wright, A.; Victora, Cesar G.

    2006-01-01

    Energy intake recommendations for infants are based on data from industrialized countries. FAO/WHO/UNU expressed the need for studies on total energy expenditure (TEE) and basal metabolic rate from developing countries covering current and changing lifestyles. For this observational study, 65

  7. Ilon Wiklandi Imedemaa muudab tagasi lapseks / Janar Ala

    Index Scriptorium Estoniae

    Ala, Janar, 1979-

    2009-01-01

    Haapsalus avati 1. juulil 2009. a. lastepärane teemakeskus Iloni Imedemaa, kus saab tutvuda raamatuillustraatori Ilon Wiklandi kujutatud tegelastega. Avamisel viibis ka proua Evelin Ilves koos tütre Kadri Keiuga. Samal teemal ka "Pildi sisse: Iloni Imedemaa avab tee kunstniku loomingusse" lk. 1. Fotod sündmusest vt. ka: Postimees : Arter 4. juuli 2009, lk. 16, pealk.: Imedemaa Haapsalus

  8. One-dimensional calculation of flow branching using the method of characteristics

    International Nuclear Information System (INIS)

    Meier, R.W.; Gido, R.G.

    1978-05-01

    In one-dimensional flow systems, the flow often branches, such as at a tee or manifold. The study develops a formulation for calculating the flow through branch points with one-dimensional method of characteristics equations. The resultant equations were verified by comparison with experimental measurements

  9. Novel, multimodal approach for basic transesophageal echocardiographic teaching.

    Science.gov (United States)

    Mitchell, John D; Mahmood, Feroze; Bose, Ruma; Hess, Philip E; Wong, Vanessa; Matyal, Robina

    2014-06-01

    Web and simulation technology may help in creating a transesophageal echocardiography (TEE) curriculum. The authors discuss the educational principles applied to developing and implementing a multimodal TEE curriculum. The authors modified a pilot course based on principles for effective simulation-based education. Key curricular elements were consistent with principles for effective simulation-based education: (1) clear goals and carefully structured objectives, (2) conveniently accessed, graduated, longitudinal instruction, (3) a protected and optimal learning environment, (4) repetition of concepts and technical skills, (5) progressive expectations for understanding and skill development, (6) introduction of abnormalities after understanding of normal anatomy and probe manipulation is achieved, (7) live learning sessions that are customizable to meet learner needs and individualized proctoring in skill sessions, (8) use of multiple approaches to teaching, (9) regular and relevant feedback, and (10) application of performance and compliance measures. Fifty-five learners participated in a curriculum with web-based modules, live teaching, and simulation practice between August 2011 and May 2013. It is possible to develop and implement an integrated, multimodal TEE curriculum supported by educational theory. The authors will explore the transferability of this approach to intraoperative TEE on live patients. Copyright © 2014 Elsevier Inc. All rights reserved.

  10. 76 FR 25704 - Announcement of Funding Awards for the Emergency Capital Repair Grant Program; Fiscal Year 2010

    Science.gov (United States)

    2011-05-05

    .......... PA 12 251,953 Replace windows, emergency call system, elevators and roof. Culpepper Garden I Culpepper Garden I, Inc. Arlington VA 204 447,071 Replace the convertor system tees and piping. DePaul House... could not be absorbed within the project's operating budget and other project resources. A total of $4...

  11. Kas kliimadiplomaatia päästab maailma? / Liisi Poll

    Index Scriptorium Estoniae

    Poll, Liisi, 1980-

    2007-01-01

    ÜRO Peaassambleel esinenud USA presidendi George W. Bush väljendas oma eitavaid seisukohti Kyoto protokolli ja teiste taoliste ülemaailmsete lepingute suhtes. Autor selgitab kliimapoliitika ja -diplomaatia tagamaid. Lisa: Kyoto protokolli raske tee; Maailma suurimad saastajad. Vt. samas intervjuud Allan Gromoviga Eesti seisukohtadest Kyoto protokolli eesmärkide osas

  12. 78 FR 25436 - Pesticide Experimental Use Permits; Receipt of Applications; Comment Request

    Science.gov (United States)

    2013-05-01

    .... Pesticide Chemical: Methiozolin. Type of Chemical: Herbicide. Summary of Request: The applicant proposes use..., green collar and surrounds, tees, and fairways) in 34 states. The first year of the spring program is... Mains, Ph.D., Mosquito Mate, Inc., 1122 Oak Hill Drive, Lexington, KY 40505-3322. Pesticide Chemical...

  13. Noninvasive Hemodynamic Measurements During Neurosurgical Procedures in Sitting Position.

    Science.gov (United States)

    Schramm, Patrick; Tzanova, Irene; Gööck, Tilman; Hagen, Frank; Schmidtmann, Irene; Engelhard, Kristin; Pestel, Gunther

    2017-07-01

    Neurosurgical procedures in sitting position need advanced cardiovascular monitoring. Transesophageal echocardiography (TEE) to measure cardiac output (CO)/cardiac index (CI) and stroke volume (SV), and invasive arterial blood pressure measurements for systolic (ABPsys), diastolic (ABPdiast) and mean arterial pressure (MAP) are established monitoring technologies for these kind of procedures. A noninvasive device for continuous monitoring of blood pressure and CO based on a modified Penaz technique (volume-clamp method) was introduced recently. In the present study the noninvasive blood pressure measurements were compared with invasive arterial blood pressure monitoring, and the noninvasive CO monitoring to TEE measurements. Measurements of blood pressure and CO were performed in 35 patients before/after giving a fluid bolus and a change from supine to sitting position, start of surgery, and repositioning from sitting to supine at the end of surgery. Data pairs from the noninvasive device (Nexfin HD) versus arterial line measurements (ABPsys, ABPdiast, MAP) and versus TEE (CO, CI, SV) were compared using Bland-Altman analysis and percentage error. All parameters compared (CO, CI, SV, ABPsys, ABPdiast, MAP) showed a large bias and wide limits of agreement. Percentage error was above 30% for all parameters except ABPsys. The noninvasive device based on a modified Penaz technique cannot replace arterial blood pressure monitoring or TEE in anesthetized patients undergoing neurosurgery in sitting position.

  14. Revision of dietary reference intakes for energy in preschool-age children

    Science.gov (United States)

    Dietary Reference Intakes (DRI) for energy aim to balance energy expenditure at a level of physical activity consistent with health and support adequate growth in children. DRIs were derived from total energy expenditure (TEE) measured by using the doubly labeled water (DLW) method; however, the dat...

  15. Now You See Me, Now You Don't

    NARCIS (Netherlands)

    Jainandunsing, Jayant S.; Jeganathan, Jelliffe; Scheeren, Thomas W. L.; Natour, Ehsan

    A 60-YEAR-OLD MALE was undergoing radical nephrectomy under transesophageal echocardiographic (TEE) guidance for renal cell carcinoma. The tumor was known to extend to the lumen of the inferior vena cava through the renal vein (Fig 1). During extraction, a large portion of the tumor was dislodged

  16. Organizational Assessment of the Depot Level Analysis Center for the Lockheed S-3 Viking Aircraft.

    Science.gov (United States)

    1987-09-01

    were difee a -o-n Tee developed by Harvard University researchers Paul Lawrence and Jay Lorsch. The cornerstone of the studies of Lawrence 7and orsch is...Galbraith, J.R., Organization Design, Addison-Wesley ?u~lisnirg Co., 1977. Galbraith, J.R. and Nathanson , D.A., Strateav Implementation: The Role of Structure

  17. Kosovo elanikud ei malda enam iseseisvuse küsimusega oodata / Raimo Poom

    Index Scriptorium Estoniae

    Poom, Raimo

    2007-01-01

    Tee leidmine Kosovo iseseisvusele on praegu üks kõige valulikumaid rahvusvaheliste läbirääkimiste küsimusi. Vt. samas: ÜRO erisaadiku Ahtisaari plaan Kosovo jaoks; Eestlased teenivad kõige keerulisemas piirkonnas; Kosovo serblaste liider: iseseisvusel pole põhjendust

  18. Lessons Learned from the Private Sector

    Energy Technology Data Exchange (ETDEWEB)

    Robichaud, Robert J [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2017-09-07

    This session is focused on lessons learned from private sector energy projects that could be applied to the federal sector. This presentation tees up the subsequent presentations by outlining the differences between private and federal sectors in objectives, metrics for determining success, funding resources/mechanisms, payback and ROI evaluation, risk tolerance/aversion, new technology adoption perspectives, and contracting mechanisms.

  19. Alternate Welding Processes for In-Service Welding

    Science.gov (United States)

    2009-04-24

    Conducting weld repairs and attaching hot tap tees onto pressurized pipes has the advantage of avoiding loss of service and revenue. However, the risks involved with in-service welding need to be managed by ensuring that welding is performed in a rep...

  20. Compensatory Changes in Energy Balance Regulation over One Athletic Season.

    Science.gov (United States)

    Silva, Analiza M; Matias, Catarina N; Santos, Diana A; Thomas, Diana; Bosy-Westphal, Anja; MüLLER, Manfred J; Heymsfield, Steven B; Sardinha, LUíS B

    2017-06-01

    Mechanisms in energy balance (EB) regulation may include compensatory changes in energy intake (EI) and metabolic adaption (MA), but information is unavailable in athletes who often change EB components. We aim to investigate EB regulation compensatory mechanisms over one athletic season. Fifty-seven athletes (39 males/18 females; handball, volleyball, basketball, triathlon, and swimming) were evaluated from the beginning to the competitive phase of the season. Resting and total energy expenditure (REE and TEE, respectively) were assessed by indirect calorimetry and doubly labeled water, respectively, and physical activity energy expenditure was determined as TEE - 0.1(TEE) - REE. Fat mass (FM) and fat-free mass (FFM) were evaluated by dual-energy x-ray absorptiometry and changed body energy stores was determined by 1.0(ΔFFM/Δtime) + 9.5(ΔFM/Δtime). EI was derived as TEE + EB. REE was predicted from baseline FFM, FM, sex, and sports. %MA was calculated as 100(measured REE/predicted REE-1) and MA (kcal) as %MA/100 multiplied by baseline measured REE. Average EI minus average physical activity energy expenditure was computed as a proxy of average energy availability, assuming that a constant nonexercise EE occurred over the season. Body mass increased by 0.8 ± 2.5 kg (P sports and the demanding workloads these athletes are exposed to highlight the need for sport-specific energy requirements.

  1. Tallinna Tehnikaülikooli raamatukogu = Tallinn University of Technology library

    Index Scriptorium Estoniae

    2010-01-01

    Tallinnas Akadeemia tee 1 asuva raamatukoguhoone sisekujundusest. Sisearhitektid Kristi Lents, Hannelore Kääramees, hoone arhitektid Priit Pent ja Eero Endjärv (Agabus, Endjärv & Truverk Arhitektid). Sisearhitektide tähtsamate koos tehtud tööde loetelu

  2. Maanteeamet ei pea uue maantee ehitamist õigustatuks / Gerli Romanovitsh

    Index Scriptorium Estoniae

    Romanovitš, Gerli, 1977-

    2004-01-01

    Ilmunud ka: Severnoje Poberezhje, 8. dets. 2004, lk. 1, 4. Maanteeamet ei pea Kukruse-Jõhvi teelõigu asemele uue maantee ehitamist asulast põhja poole rahaliselt õigustatuks, kuna transiitliikluse Kukruselt väljasuunamine ei vähendaks kahe linna ühendava tee turvalisust ning investeeringud tuleks õnnetuste vältimiseks teha topelt

  3. Energy requirements of infants, children and adolescents

    Science.gov (United States)

    Energy requirements of infants, children and adolescents are defined as the amount of energy needed to balance total energy expenditure (TEE) at a desirable level of physical activity, and to support optimal growth and development consistent with long-term health. The latest FAO/WHO/UNU recommendati...

  4. Role of physical activity and sleep duration in growth and body composition of preschool-aged children

    Science.gov (United States)

    The impact of physical activity patterns and sleep duration on growth and body composition of preschool-aged children remains unresolved. Aims were (1) to delineate cross-sectional associations among physical activity components, sleep, total energy expenditure (TEE), and body size and composition; ...

  5. How newness enters a country : reception of the "postcolonial" in Estonia / Ene-Reet Soovik

    Index Scriptorium Estoniae

    Soovik, Ene-Reet, 1968-

    2006-01-01

    Postkolonialistliku tõlkekirjanduse retseptsiooni Eestis vaadeldakse kolme romaani põhjal: Arundhati Roy "Väikeste Asjade Jumal" (eesti k. 1997 ja 2004), Salman Rushdie "Mauri viimane ohe" (eesti k. 2001 ja 2008), Ben Okri "Näljutatud tee" (eesti k. 1998)

  6. Lasnamäel on võimalusi ja jõudu / Tõnu Laigu ; interv. Urve Eslas

    Index Scriptorium Estoniae

    Laigu, Tõnu

    2007-01-01

    Tallinnas toimunud Lasnamäe-teemalisest konverentsist, kus kaaluti linnaosa tulevikuperspektiive. Lasnamäe elukeskkonnast ja selle muutmisest. Mustakivi tee äärde kavandatavast Tallink City meelelahutus- ja kaubanduskeskusest. Endise Dvigateli tehase territooriumile kavandatavast Ülemiste Cityst. Kalle Klandorfi, Karin Bachmanni ja Veronika Valgu kommentaarid

  7. r_--------------------------'-'-3-7-3--

    African Journals Online (AJOL)

    ISBN 1-883620-10-4. The question of where to do your house job, internship or residency is a major consideration .... of the service be subjected to stringent quality control and assurance programmes to ensure optimum ... vice, and a medical audit by a hospital transfusion commit- tee. We should note the need for a hospital ...

  8. Sadhana | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    This paper presents quick, easy design steps and methodology for obtaining the structure of a folded H plane tee at any given frequency of operation. Further, a scheme for the thermal management for high input power level(500 kW continuous wave) is presented. The proposed methodology is tested at various frequencies ...

  9. Effects of Minority Status in the Classroom on Children's Intergroup Attitudes.

    Science.gov (United States)

    Brown, Christia Spears; Bigler, Rebecca S.

    2002-01-01

    Three studies examined effects of relative group size on the development of children's intergroup attitudes during a summer school program in which elementary school children were assigned to majority or minority novel groups denoted by tee-shirt color. Results showed a complex effect of relative group size, varying as a function of the relative…

  10. Effects of strip and full-width tillage on soil carbon IV oxide-carbon ...

    African Journals Online (AJOL)

    Yomi

    carbon IV oxide-carbon (CO2-C) fluxes, bacterial and fungal populations in growing period of sunflower. (Helianthus annus). A row-crop .... Tillage accelerates soil CO2 emission by improving soil aeration, disaggregating soil .... Schleibler calcimeter (Tee et al., 1993), total nitrogen (N) was determined by using the micro ...

  11. Võru linnagaleriis avati kolm uut näitust

    Index Scriptorium Estoniae

    2009-01-01

    26. oktoobrist 20 novembrini on Võru Linnagaleriis avatud Ruti Jõgi joonistuste ja Aivar Rumvoldi maalide näitus "Koos. Omaette", Marek Hämmelbergi isikunäitus "Tuvi ämm" ning grupi Sigmund Freud (Liina Guiter, Katrin Tees, Helen Melesk) näitus "Keemia"

  12. What is Clinical Efficacy of Transesophageal Echocardiography in Patients With Cryptogenic Stroke?: A Critically Appraised Topic.

    Science.gov (United States)

    Christiansen, Michael E; Van Woerkom, Ryan C; Demaerschalk, Bart M; Wingerchuk, Dean M; O'Carroll, Cumara B

    2018-01-01

    Adults with cryptogenic stroke often undergo transesophageal echocardiogram (TEE) because this is the gold-standard for evaluation of potential proximal sources of emboli. The risks of performing this invasive test must be weighed against its clinical efficacy and limitations, determined by the rate of positive findings, and the impact on clinical outcome for the patient. To critically appraise current evidence regarding the rate of positive TEE findings in cryptogenic stroke patients, and analyze the implications of these findings on management decisions and outcomes. The objective was addressed through the development of a structured, critically appraised topic. We incorporated a clinical scenario, background information, a structured question, literature search strategy, critical appraisal, results, evidence summary, commentary, and bottom line conclusions. Participants included consultant and resident neurologists, a medical librarian, and vascular neurology and cardiology content experts. TEE commonly identifies abnormalities, including aorta atherosclerosis in 51%, patent foramen ovale in 43%, and atrial septal aneurysm in 13% of patients. Findings such as left-sided chamber thrombus or intracardiac tumor that definitively warrant a change in management by guideline-supported use of anticoagulation are less common, occurring in ∼3% of patients. TEE identifies potential causal sources of embolus in patients with cryptogenic stroke that leads to changes in management and outcomes at least 3% of the time. Other findings, particularly aorta atherosclerosis, are identified much more commonly but the causal link to stroke is uncertain, thus changes in management in these cases is variable and data describing resulting outcomes are lacking.

  13. Linn pakub ebasobivate majade tõrjumiseks hüvitist / Urmas Seaver

    Index Scriptorium Estoniae

    Seaver, Urmas, 1973-

    2005-01-01

    Tallinna linnavalitsus tahab linnamüüri külge plaanitavate elumajade ja Pirita tee äärde kavandatud kõrghoone ehitamise välistamiseks alustada läbirääkimisi AS-iga Restor, AS-iga Skanska EMV ja AS-iga Eesti Näitused

  14. Tom Olaf Urb / intervjueerinud Siim Õ. Ilves

    Index Scriptorium Estoniae

    Urb, Tom Olaf, 1985-

    2016-01-01

    Muusik, produtsent, kirjanik ja näitleja Tom-Olaf Urb, lavanimega Reket, arutleb disaini teemal ja nimetab kümme disainieset, mis teda elus köitnud on. Eesti Hip-Hop auhindade jagamisel valiti Reketi "Tuule tee" 2015.a. parimaks kodumaiseks hip-hop albumiks

  15. Influence of transoesophageal echocardiography on therapy and prognosis in young patients with TIA or ischaemic stroke

    NARCIS (Netherlands)

    Rettig, T. C. D.; Bouma, B. J.; van den Brink, R. B. A.

    2009-01-01

    Objective. To determine the influence of transoesophageal echocardiography (TEE) on therapy and prognosis in patients with cryptogenic transient ischaemic attack (TIA) or ischaemic stroke under the age of 50 years.Methods and results. We evaluated all patients aged 50 and under who were referred to

  16. Männiku sotsiaalelamu = Social housing in Männiku / Peeter Pere

    Index Scriptorium Estoniae

    Pere, Peeter, 1957-

    2012-01-01

    2012. a. Tallinnas Männiku tee 92 valminud inva- ja peremajutamiseks mõeldud sotsiaalelamu, vana ühiselamu ümberprojekteerimine. Arhitektid: Siiri Vallner, Indrek Peil, Kaire Nõmm, kaasautorid: Ragnar Põllukivi, Andro Mänd, Kadri Klementi (Kavakava). Sisearhitekt Tarmo Piirmets (Pink). Projekt: 2010-2011

  17. Untitled

    African Journals Online (AJOL)

    bilities in their communities and institutions as administrations, members of commit- tees, public educators, community mobilizers and even mentors. For female academ- ics, who tend to have heavier additional roles, reproductive, the challenge becomes enormous and cumbersome (Uche, 1999; Campbal 1997 &Williams, ...

  18. Märjamaa rahvamajja "Noorsoolikale". Linnalaager tutvustab muusikastiile

    Index Scriptorium Estoniae

    2006-01-01

    Alternatiivmuusika- ja kunstipeost "Noorsoolikas 2006" 17. juunil Märjamaa rahvamajas (info: www.noorsoolikas.ee). Popmuusikastiile tutvustavast linnalaagrist "Tunne oma stiili" 10-13-aastastele lastele 31. juulist 4. augustini Haabersti avatud noortekeskuses (Õismäe tee 88A)

  19. Tehnoloogiafirma kontor Mustamäel. Skype'i Tallinna büroo / Skype'i Eesti kontor = Technology firm headquarters in Mustamäe. Skype's Tallinn offices / Skype's Estonia office

    Index Scriptorium Estoniae

    2007-01-01

    Tallinnas Akadeemia tee 21F asuva kontori ruumikujundus. Sisearhitekt Tarmo Piirmets (Pink OÜ), kes pälvis Skupe'i kontori sesekujunduse eest Eesti Kultuurkapitali arhitektuuri sihtkapitali aastapreemia. I-IV korruse plaan, 11 värv. vaadet, foto T. Piirmetsast

  20. Kollaaž arhitektuuris / Anne Prommik

    Index Scriptorium Estoniae

    Prommik, Anne

    1999-01-01

    Arhitekt Vilen Künnapu projekteeritud 14-korteline elamu Nõmme tee 54. Ehitas Heinla Ehitus. Projektijuht Eno Lagle. Põhimaterjalid: metall, puit, kivi, klaas. Kommenteerivad: arhitekt, projektijuht, AS Haabersti Maja müügijuht R. Nermann, Heinla Ehituse juht M. Heinsaar.

  1. Proceedings of the Annual Meeting of the Association for Education in Journalism and Mass Communication (83rd, Phoenix, Arizona, August 9-12, 2000). Graduate Education Interest Group.

    Science.gov (United States)

    Association for Education in Journalism and Mass Communication.

    The Graduate Education Interest Group section of the proceedings contains the following five papers: "The Press, President, and Presidential Popularity During Ronald Reagan's War on Drugs" (Hyo-Seong Lee); "Malaysia's Broadcasting Industry in Transition: Effect of New Competitions on Traditional Television Channels" (Tee-Tuan…

  2. Rikkad ja ilusad protestivad Maxima säästupoe vastu / Askur Alas

    Index Scriptorium Estoniae

    Alas, Askur, 1973-

    2008-01-01

    Tallinnas Pirital asuva Merivälja tee 80e kinnistu eskiisprojektist, mis ei vasta kehtestatud detailplaneeringule. Elanikud protestivad plaani vastu rajada elukohta lähedale Maxima säästuketi pood. Hoone arhitektuurse lahenduse autor on Tõnis Tarbe Arhitektuuribüroo

  3. Bürokraatia pidurdab teedeehitust / Silva Männik

    Index Scriptorium Estoniae

    Männik, Silva, 1974-

    2004-01-01

    Ilmunud ka: Delovõje Vedomosti 25. märts lk. 8. Eurobürokraatia tõttu jääb Eesti tee-ehitajatel sel aastal saamata ligi pool miljardit krooni. Diagramm: Teedeehitusprojektid 2004. aasta riigieelarves

  4. Aukus teed ja uued maksud / Andres Eilart, Aavo Kokk

    Index Scriptorium Estoniae

    Eilart, Andres

    2011-01-01

    Kui ka kogu kütuseaktsiisi raha kulutada tee-ehituseks, ei piisaks sellest ikkagi. Eesti on varem või hiljem sunnitud mõtlema maksulistele teedele. Illustratsiooniks Hando Mugasto (1907-1937) graafikakunsti tööstusmaastiku valdkonda kuuluv "Asfaldivalajad"

  5. Tantsufestival Momentum 2008 : Alatskivi lossi tunded, mõtted, emotsioonid / Reet Kruup

    Index Scriptorium Estoniae

    Kruup, Reet

    2008-01-01

    25.-27. aprillini Alatskivi Kaunite Kunstide Kuu raames toimunud tantsufestivalist Momentum 2008. Festivalil osalesid Alatskivi vallas tegutsevate tantsurühmade kõrval ka tantsuteater Tee Kuubis, kontakttantsurühmitus Kontakt Tartust ja Tartu Ülikooli Viljandi Kultuuriakadeemia lavakunstide osakonna tudengid, kes esitasid improvisatsioonilise tantsuetenduse "Alatskivi lossi tunded, mõtted, emotsioonid..."

  6. Sonnõi mir i jasnost snovideni / Jelena Skulskaja

    Index Scriptorium Estoniae

    Skulskaja, Jelena, 1950-

    2004-01-01

    PÖFFi mängufilme - "Tühi maja" ("Bin jip"), "Minu kasuvend Frankenstein" ("Moi svodnõi brat Frankenshtein"), "2046", "Tee maitse" ("Cha no aji"), "Allakäik" ("Der Untergang"), "Tütarlaps pärlkõrvarõngaga" ("Girl with a Pearl Earring"). Lisa : "Pimedate Ööde festival statistika peeglis"

  7. Randvere Kool = Randvere School / Kristi Lents

    Index Scriptorium Estoniae

    Lents, Kristi, 1981-

    2013-01-01

    Kristi Lents-Esnari ja Marita Mätase (Allianss Arhitektid) kujundatud Randvere Kooli (G.H. Schüdlöffeli tee 4, Randvere küla, Viimsi) interjöörist. Hoone arhitekt Inga Raukas. Lühidalt Kristi Lents-Esnarist ja Marita Mätasest

  8. Problems of implementation the total quality management in the Lithuanian road building enterprises / Julius Christauskas

    Index Scriptorium Estoniae

    Christauskas, Julius

    2005-01-01

    Leedu tee-ehitusettevõtete juhtimine ei ole suunatud protsessi kui terviku kontrollile ja tulemuslikule meeskonnatööle, töötajad ei ole valmis võtma suuremat vastutust, puudu jääb efektiivsusest, loovusest ja innovatiivsusest. Tabelid. Graafikud

  9. Basal Metabolic Rate and Energy Expenditure of Rural Farmers in ...

    African Journals Online (AJOL)

    Basal Metabolic rate and household activities were measured by indirect calorimetry, using the Douglas bag technique. Physical activity Level was measured by twenty-four hour activity diary and TEE calculated as a product of BMR and PAL. Men's BMR was 4.7 MJ/day while that of women was 4.3 MJ/day. Farmers mean ...

  10. Eesti Ehitus ostis firmades enamusosalusi / Gert D. Hankewitz

    Index Scriptorium Estoniae

    Hankewitz, Gert D.

    2006-01-01

    Ilmunud ka: Delovõje Vedomosti 1. märts lk. 4. Eesti Ehitus ostis täisosaluse Linnaehituses ja tee-ehitusfirmas Aspi, milles enne oli vaid kaasosanik. Vt. samas: Eesti Ehitusel on osalus veel kolmes ettevõttes

  11. Kõik saab korda / Tamara Luuk

    Index Scriptorium Estoniae

    Luuk, Tamara, 1952-

    2010-01-01

    Rahvusvaheline videokunsti näitus "Kõik saab korda" Kumu Kunstimuuseumis 2. jaanuarini 2011. Kuraator Maria-Kristiina Soomre, kujundaja Berit Teeäär. Osalevad Marina Abramović (Serbia/USA), Eija-Liisa Ahtila (Soome), Kai Kaljo, Mike Marshall (Inglismaa), Ene-Liis Semper, Santeri Tuori (Soome), Guido van der Werve (Holland)

  12. 75 FR 32467 - Notice of a Regional Waiver of Section 1605 (Buy American Requirement) of the American Recovery...

    Science.gov (United States)

    2010-06-08

    ... the Clean Water State Revolving Fund to complete this project. The City was unable to find a supplier... joint reducer tee fitting, manufactured outside of the U.S. This is a project specific waiver and only applies to the use of the specified product for the ARRA project discussed in this notice. Any other ARRA...

  13. LETTERS I BRIEWE

    African Journals Online (AJOL)

    wil deelneem, moet die Vereniging rog iller ook maar help. Die wenslikheid van BTW moet asseblief weereens aan die minister voorgele word. Wanneer 'n takbesruurder saam- kom is dit naruurlik 'n dubbele konsultasie. Tee of koffie aan veneenwoordigers het 'n spesiale afdeling nodig in so 'n bylae. Die Vereniging moet ...

  14. Atlas-Based Mosaicing of Left Atrial 3-D Transesophageal Echocardiography Images

    NARCIS (Netherlands)

    Mulder, Harriët W.; van Stralen, Marijn; Ren, Ben; Haak, Alexander; Viergever, Max A.; Bosch, Johan G.; Pluim, JPW

    Transesophageal echocardiography (TEE) is a promising imaging modality used to guide cardiac interventions, such as catheter ablation for the treatment of cardiac arrhythmias. These procedures rely on good visualization of the left atrium and pulmonary veins. To visualize these structures in a

  15. Twelve weeks of moderate aerobic exercise without dietary intervention or weight loss does not affect 24-h energy expenditure in lean and obese adolescents

    NARCIS (Netherlands)

    van der Heijden, Gert-Jan; Sauer, Pieter J. J.; Sunehag, Agneta L.

    Background: Exercise might have a persistent effect on energy expenditure and fat oxidation, resulting in increased fat loss. However, even without weight loss, exercise results in positive metabolic effects. The effect of an aerobic exercise program on 24-h total energy expenditure (TEE) and its

  16. Riigi valik - turvalisus või kaos / Kärt Anvelt

    Index Scriptorium Estoniae

    Anvelt, Kärt, 1973-

    2005-01-01

    2004. aastal lahkus Eesti politseist 382 inimest, 2005. aasta esimese kümne kuuga 360. Autor on seisukohal, et kui riik politseinike ja päästetöötajate palgatõusu osas kardinaalseid otsuseid ei tee, tekib riigil aasta-kahe pärast probleeme turvalisuse tagamisega

  17. Tornimäe kaksiktornid Tallinnas. Konkursi "Aasta betoonehitis 2007" nominent / Meeli Truu, Juhan Idnurm, Jaan Port...[jt.

    Index Scriptorium Estoniae

    2008-01-01

    AS Nord Projekt; konstruktorid: Juhan Idnurm, Jaan Port, Kaido Kuusiku (Nord Projekt AS), Indrek Heinloo (E-Inseneribüroo OÜ), Matis Teeäär (Neoprojekt OÜ), Kaido Pärl (TAA-Konsult); ehitajad: Lemminkäinen Eesti AS, AS Merko Ehitus; betooni ja betoonelementide tarnijad: AS Rudus Eesti, AS Betoneks

  18. Spinario - tornen i foden = Spinario : the thorn in the foot / Lise Gotfredsen

    Index Scriptorium Estoniae

    Gotfredsen, Lise

    2006-01-01

    Hellenistlikust skulptuurist "Okkatõmbaja" - "Spinario" ja selle hilisematest variantidest, mis sümboliseerivad ilu, edevust, aga ka pattu. Seda motiivi on kasutatud 12. sajandil ka Ojamaa, Taani ja Norra kirikutes ristimisastjatel, kujutades negatiivset, kahtlevat inimest, kes võib pääseda, kui ta valib õige tee ja vabastab end "okkast"

  19. "Ekspeditsioon Wunderlich" = "Expedition Wunderlich" / Carl-Dag Lige, Hannes Praks ; kommenteerinud Triin Ojari

    Index Scriptorium Estoniae

    Lige, Carl-Dag, 1982-

    2016-01-01

    Näitus "Ekspeditsioon Wunderlich" Eesti Arhitektuurimuuseumis. Autorid Katrin Talvik, Merilin Tee, Sabine Suuster, Martin Saar, Karl Taul, Alden Jõgisuu, Tõnu Lensment, Aadam Kaarma, Cael-Dag Lige, Hannes Praks. Näitus on Eesti Kunstiakadeemia ja Eesti Arhitektuurimuuseumi ühisprojekt

  20. African Journal of Biotechnology - Vol 9, No 21 (2010)

    African Journals Online (AJOL)

    Evaluation of consumers' choice of wooden dining furniture in Southwestern Nigeria: A market strategy for furniture manufacturers and marketers · EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. OGE Arowosoge, NT Tee, 3109-3115 ...

  1. Fulltext PDF

    Indian Academy of Sciences (India)

    M. Senthilkumar (Newgen Imaging) 1461 1996 Oct 15 13:05:22

    With the objective of working towards effective procedures for microzonation of urban centers, the Programme Advisory and Monitoring Commit- tee (PAMC) of Seismology Division, Department of Science and Technology, Govt. of India under the leadership of Dr Harsh K Gupta mooted the idea of conducting a workshop on ...

  2. Unistuste Rail Baltic - ilus ja kallis / Mikk Salu

    Index Scriptorium Estoniae

    Salu, Mikk, 1975-

    2011-01-01

    Rail Balticu puhul on tähtsaim küsimus, kas uut raudteeühendust on üldse vaja, mitte aga see, kas tee läheb läbi Tartu või Pärnu. Konsutatsioonifirma AECOM koostatud raportist Rail Balticu tasuvuse kohta

  3. Rail Baltic - дорогой и рискованный проект / Микк Салу

    Index Scriptorium Estoniae

    Салу, Микк, 1975-

    2011-01-01

    Rail Balticu puhul on tähtsaim küsimus, kas uut raudteeühendust on üldse vaja, mitte aga see, kas tee läheb läbi Tartu või Pärnu. Konsutatsioonifirma AECOM koostatud raportist Rail Balticu tasuvuse kohta

  4. Shock-absorbing caster wheel is simple and compact

    Science.gov (United States)

    Kindley, R. J.

    1968-01-01

    Compact shock-absorbing caster wheel mitigates or absorbs shock by a compressible tire which deforms into a cavity between its inner edge and the wheel hub. A tee-shaped annular ring embedded in the tire distributes loads more uniformly throughout both wheel and tire.

  5. Ruumikujundused eelmisel aastal / Tuuli Org

    Index Scriptorium Estoniae

    Org, Tuuli

    2007-01-01

    Kokkuvõtted Kuressaare linna 2006. aasta ilusamatest ruumikujundustest: Ereki kontorihoone Pihtla tee 28 (Vello Liiv), kohvik Classic Lossi 9 (Kai Laanmets, Liina Saabas), Kuressaare gümnaasium Nooruse 1 (Vello Liiv), Vinoteek Lossi 4 (Ülle Kiirend, Anne Olop)

  6. Intraspecies variation in BMR does not affect estimates of early hominin total daily energy expenditure.

    Science.gov (United States)

    Froehle, Andrew W; Schoeninger, Margaret J

    2006-12-01

    We conducted a meta-analysis of 45 studies reporting basal metabolic rate (BMR) data for Homo sapiens and Pan troglodytes to determine the effects of sex, age, and latitude (a proxy for climate, in humans only). BMR was normalized for body size using fat-free mass in humans and body mass in chimpanzees. We found no effect of sex in either species and no age effect in chimpanzees. In humans, juveniles differed significantly from adults (ANCOVA: P BMR and body size, and used them to predict total daily energy expenditure (TEE) in four early hominin species. Our predictions concur with previous TEE estimates (i.e. Leonard and Robertson: Am J Phys Anthropol 102 (1997) 265-281), and support the conclusion that TEE increased greatly with H. erectus. Our results show that intraspecific variation in BMR does not affect TEE estimates for interspecific comparisons. Comparisons of more closely related groups such as humans and Neandertals, however, may benefit from consideration of this variation. 2006 Wiley-Liss, Inc.

  7. Põlvamaad internetiseeritakse kolme projekti abil / Raivo Sihver

    Index Scriptorium Estoniae

    Sihver, Raivo

    2006-01-01

    Põlvamaa traadita interneti käivitamiseks on kolm projekti: Phare CBC programm, riigi infosüsteemide keskuse poolt käivitatud "KülaTee 3" ja MTÜ Kanepi Kommunikatsioonikeskuse initsiatiivil käivitatud ning tänaseks ka ellu viidud viie valla 17 külakeskuse varustamine internetiga

  8. Super Bowl Physics.

    Science.gov (United States)

    Volpe, Michael

    1994-01-01

    Considers using a football game to provide a group activity on physics reasoning. Groups determine how long the coin toss was in the air, distance of kickoff, velocity of ball leaving the tee, maximum height of ball, force applied to the ball when passed by the quarterback, etc. Provides possible solutions to each question. (MVL)

  9. Applications of Latent Variable Models in Modeling Influence and Decision Making

    Science.gov (United States)

    2013-04-01

    set acti ists sex sea movie rejecting pickup legislature influential connection l an northeastern c m unity chu ch acceptance convicted widening...j in install attrac guara tee writers badly d scription m s stro ghold ack wle ged patent en r destr yed tourism vi tory lasting l id formati n counte

  10. Aasta tantsukunstnik on Kaja Kann

    Index Scriptorium Estoniae

    2006-01-01

    Rahvusvahelisel tantsupäeval pälvis Philip Morrise tantsuauhinna soolo eest "There are laika dogs living in Estonia" Kaja Kann. Läbilöögi preemia võitis Tallinna Ülikooli tantsutudengite teater Tee Kuubis ja tantsija preemia Alissa Shnaider Sasha Pepeljajevi trupi Apparatus lavastuse "Uksed" eest. Tseremoonia toimus KUMUs

  11. Diplomaat Kaili Terras Karlsruhes / Aino Siebert ; foto: Aino Siebert

    Index Scriptorium Estoniae

    Siebert, Aino

    2002-01-01

    Euroopa Liit organiseeris koostöös Rahvaülikooliga ettekannete sarja, et tutvustada riike, kes 2004. aastal võetakse Euroopa Liidu liikmeks. Esimesena esines Eesti Berliini Suursaatkonna poliitikasekretär ettekandega "Tee Euroopa Liitu vaadelduna Eesti perspektiividest"

  12. Kohtumised jõuga = Encounters with power / Vilen Künnapu

    Index Scriptorium Estoniae

    Künnapu, Vilen, 1948-

    2010-01-01

    Arhitekt mõtestab oma loomingu spirituaalset ehk energeetilist arhitektuuri - Budistlik keskus Jälgimäel, kontseptuaalne projekt "9 Mandala Templit Londonis, Thames'i jõel", ümartempel Tallinna vanglale, Valguse Tee kirik Tallinnas, kabel Huuksi mõisapargis, tempelelamu Suurupis, Tigutorn Tartus jt.

  13. I feel Slovenia(n) / Anzhe Logar

    Index Scriptorium Estoniae

    Logar, Anzhe

    2008-01-01

    Autor annab ülevaate poliitilistest arengutest ja võimuvõitlusest Sloveenias alates iseseisvumisest kuni 2008. aasta septembrini, perioodi sisse mahub ka Sloveenia esimene eesistumiskord Euroopa Liidus. Vt. samas: Berit Teeäär. Poriloopimisega saavutatud võit. Tabel: 21. septembril 2008 toimunud parlamendivalimiste tulemused

  14. Lemminkäinen valas vaidluses õli tulle / Katariina Krjutškova, Tea Taruste

    Index Scriptorium Estoniae

    Krjutškova, Katariina

    2010-01-01

    Lemminkäinen Eesti AS-i juhi Sven Pertens on arvamusel, et kui Aruvalla-Kose tee-ehituse riigihankes sõlmitakse leping Nordecon Infraga, aga kohtuvaidluses selgub hiljem, et hankeprotsessis on tehtud vigu, võib EL oma abiraha tagasi küsida. Lemminkäineni ja Nordeconi vaidlusest. Rahandusministeeriumi kommentaar

  15. Kae kunstnikku! / Harry Liivrand, Margit Tõnson

    Index Scriptorium Estoniae

    Liivrand, Harry, 1961-

    2007-01-01

    Filmiajaloo kümme parimat filmi kunstnikest: Vincente Minnelli "Elujanu", Peter Webber "Tütarlaps pärlkõrvarõngaga", Andrei Tarkovski "Andrei Rubljov", Julie Taymor "Frida", James Ivory "Picasso: looja ja hävitaja", Ed Harris "Pollock", Julian Schnabel "Basquiat", Konrad Wolf "Goya ehk tunnetuse salakaval tee", Raoul Ruiz "Klimt", Oliver Hirschbiegel "Allakäik"

  16. Inimese teekond valguses ja varjus / Karina Talts

    Index Scriptorium Estoniae

    Talts, Karina

    2005-01-01

    11. märtsil esietendus teatris NO98 ja Sine Loco (A. Türnpu projekt) koostöös lavastus "Inimese teekond", mille lähtematerjaliks on J. Bunyani religioosne teos "Palveränduri tee". Lavastaja ja kokkupanija A. Türnpu

  17. Aitajaid sel teekonnal pole / Madli Pesti

    Index Scriptorium Estoniae

    Pesti, Madli, 1980-

    2005-01-01

    11. märtsil esietendus teatris NO98 ja Sine Loco (A. Türnpu projekt) koostöös lavastus "Inimese teekond", mille lähtematerjaliks on J. Bunyani religioosne teos "Palveränduri tee". Lavastaja ja kokkupanija A. Türnpu

  18. Vabatrupp näitas meeleheite hiiglasi / Margit Tõnson

    Index Scriptorium Estoniae

    Tõnson, Margit, 1978-

    2005-01-01

    11. märtsil esietendus teatris NO98 ja Sine Loco (A. Türnpu projekt) koostöös lavastus "Inimese teekond", mille lähtematerjaliks on J. Bunyani religioosne teos "Palveränduri tee". Lavastaja ja kokkupanija A. Türnpu

  19. Pääsemine? / Andrus Norak

    Index Scriptorium Estoniae

    Norak, Andrus, 1958-2011

    2005-01-01

    11. märtsil esietendus teatris NO98 ja Sine Loco (A. Türnpu projekt) koostöös lavastus "Inimese teekond", mille lähtematerjaliks on J. Bunyani religioosne teos "Palveränduri tee". Lavastaja ja kokkupanija A. Türnpu

  20. Tuglas ja Ristikivi avavad prantslaste tõlkesarja

    Index Scriptorium Estoniae

    2010-01-01

    Prantsuse kirjastuselt "Editions Ameline" ilmus Friedebert Tuglase prantsuskeelne novellikogu L'Ombre d'un Homme ("Inimese vari"). Sarja nimi Le chemin du lézard tähendab tõlkes "Sisaliku tee", see Ristikivi luuletus on prantsuse kui eesti keeles ära toodud

  1. Brain-Building Math Games.

    Science.gov (United States)

    Jung, Loretta Welk

    1983-01-01

    Index cards, masking tape, pizza shells, golf tees, and empty soda bottles can be used to make manipulative objects to be used in children's mathematics games. Twenty-two games that provide practice in number drills and problem solving are described, along with instructions for making objects needed for the games. (PP)

  2. Inimroti askeldused elegantses paberlabürindis / Silvia Soro

    Index Scriptorium Estoniae

    Soro, Silvia

    2005-01-01

    27. nov. esietendus Viljandi Kultuuriakadeemia black box'is Tallinna Ülikooli koreograafi-lavastaja eriala magistrandi H. Ehrenbuschi ja Kunstiakadeemia graafika eriala magistrantide J. Samma, A. Teeääre ja K. Ehala (paberlõige, lavakujundus) koostöös sündinud lavastus "!"

  3. Küllalt juba ajaloo ümberkirjutamisest! / Sergei Tsõganov

    Index Scriptorium Estoniae

    Tsõganov, Sergei

    2004-01-01

    Ilmunud ka: Narvskaja Gazeta 11. veebr. lk. 7; Estonija 16. märts lk. 5. Kommentaar Narvas visiidil viibinud justiitsminister Ken-Marti Vaheri arvamusele likvideerida Narva-Jõesuusse viiva tee ääres seisev nõukogude tank

  4. Castro II jätkab oma vanema venna kurssi / Krister Paris

    Index Scriptorium Estoniae

    Paris, Krister

    2008-01-01

    Kuuba uus juht Raul Castro lubas riigis esimese asjana käsile võtta kahe valuuta süsteemi. Vaatlejate hinnangul suudab ta säilitada kuubalaste seas legitiimsuse vaid siis, kui tal õnnestub parandada nende elujärge. Lisa: Tee endisest ülemtimukast presidendiks

  5. Minimally invasive cardiac surgery and transesophageal echocardiography

    Directory of Open Access Journals (Sweden)

    Ajay Kumar Jha

    2014-01-01

    Full Text Available Improved cosmetic appearance, reduced pain and duration of post-operative stay have intensified the popularity of minimally invasive cardiac surgery (MICS; however, the increased risk of stroke remains a concern. In conventional cardiac surgery, surgeons can visualize and feel the cardiac structures directly, which is not possible with MICS. Transesophageal echocardiography (TEE is essential during MICS in detecting problems that require immediate correction. Comprehensive evaluation of the cardiac structures and function helps in the confirmation of not only the definitive diagnosis, but also the success of surgical treatment. Venous and aortic cannulations are not under the direct vision of the surgeon and appropriate positioning of the cannulae is not possible during MICS without the aid of TEE. Intra-operative TEE helps in the navigation of the guide wire and correct placement of the cannulae and allows real-time assessment of valvular pathologies, ventricular filling, ventricular function, intracardiac air, weaning from cardiopulmonary bypass and adequacy of the surgical procedure. Early detection of perioperative complications by TEE potentially enhances the post-operative outcome of patients managed with MICS.

  6. Ny engelsk specialistuddannelse på ældreområdet

    DEFF Research Database (Denmark)

    Evron, Lotte Orr

    2016-01-01

    Naughton C, Hayes N, Zainab Z, Norton C, Lee G, Fitzpatrick JM, Crawford M, Tee S. The development of the Older Person’s Nurse Fellowship: Education concept to delivery. Nurse Education Today, 2016; (44): 1-7. doi: 10.1016/j.nedt.2016.04.022 Introduktion: Uddannelse af sundhedspersonale inden...

  7. Detection of left atrial thrombus in patients with mitral stenosis and atrial fibrillation: retrospective comparison of two-phase computed tomography, transoesophageal echocardiography and surgical findings

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Bo Hwa; Ko, Sung Min [Konkuk University Medical Center, Konkuk University School of Medicine, Department of Radiology, Research Institute of Medical Science, Seoul (Korea, Republic of); Hwang, Hweung Kon [Konkuk University Medical Center, Konkuk University School of Medicine, Department of Cardiology, Seoul (Korea, Republic of); Song, Meong Gun; Shin, Je Kyoun [Konkuk University Medical Center, Konkuk University School of Medicine, Department of Thoracic surgery, Seoul (Korea, Republic of); Kang, Woon Seok; Kim, Tae-Yop [Konkuk University Medical Center, Konkuk University School of Medicine, Department of Anesthesiology, Seoul (Korea, Republic of)

    2013-11-15

    This retrospective study aims to assess the accuracy of two-phase computed tomography (CT) and transoesophageal echocardiography (TEE) for the detection of left atrial (LA) thrombus in patients with mitral stenosis (MS) and atrial fibrillation (AF), by using intraoperative findings as the reference standard. Preoperative two-phase CT and intraoperative TEE were performed in 106 patients with MS and AF. The ratio (LAA/AA{sub L}) of Hounsfield units (HU) in the LA appendage (LAA) to the ascending aorta (AA) was calculated on the late-phase CT image. LA echodense masses on TEE and LA filling defects on two-phase CT were observed in 29 and 39 patients, respectively. Thirty-five LA thrombi were identified at surgery in 27 patients. Compared with the intraoperative findings, per-patient sensitivity, specificity, positive and negative predictive values of two-phase CT were 100 %, 85 %, 69 % and 100 %, and those by using TEE were 93 %, 95 %, 86 % and 97 % in detecting LAA thrombus. After adopting the cut-off value of 0.5 for the LAA/AA{sub L} HU ratio, the specificity and positive predictive value of two-phase CT were increased to 96 % and 90 %, respectively. Two-phase CT with a cut-off value of LAA/AA{sub L} HU ratio of 0.5 provides high performance for the detection of LAA thrombus. (orig.)

  8. Pole õige olla diktatuurisemu / Silver Meikar

    Index Scriptorium Estoniae

    Meikar, Silver, 1978-

    2008-01-01

    Ilmunud ka: Linnaleht : Tartu 21. mai 2008, lk. 4. Riigikogu liige kirjutab, et keskerakondlaste ja Jaan Kundla otsus luua Valgevene parlamendi sõprusrühm ja asuda seeläbi Lukashenka režiimiga sõprussuhetesse, ei tee riigile au

  9. Twelve weeks of moderate aerobic exercise without dietary intervention or weight loss does not affect 24-h energy expenditure in lean and obese adolescents.

    Science.gov (United States)

    Exercise might have a persistent effect on energy expenditure and fat oxidation, resulting in increased fat loss. However, even without weight loss, exercise results in positive metabolic effects. The effect of an aerobic exercise program on 24-h total energy expenditure (TEE), and its components-ba...

  10. Characterization of the syndrome of UGI bleeding from a Mallory-Weiss tear associated with transesophageal echocardiography.

    Science.gov (United States)

    Cappell, Mitchell S; Dass, Kathleen; Manickam, Palaniappian

    2014-10-01

    To quantitatively describe the syndrome of Mallory-Weiss tears associated (MWa) with antecedent transesophageal echocardiography (TEE) as a distinct syndrome. Cases of MWa were identified by comprehensive, computerized literature search via PubMed and review of textbooks and monographs on TEE and gastroenterology. Statistical comparison of 17 identified MWa cases versus previously published series of 73 cases of Mallory-Weiss tears unassociated with TEE (MWu) was performed. A new illustrative case is also currently reported. Comparison between these two groups revealed the following: MWa patients were significantly older (67.1 vs. 52.6 years, p = .0002, assuming equal variance), likely due to MWa patients having preexisting cardiovascular disease for which the TEE was indicated. The two groups had similar sex distributions (60 vs. 76% male, p = .32). MWa patients were significantly, more frequently anticoagulated at the time of bleeding (90.9 vs. 9.6%, p syndrome: (1) tear associated with hiatal hernia, (2) presentation with severe, fatal UGI bleeding, and (3) no anticoagulation during bleeding episode. Patients with MWa represent a distinct clinical subset from patients with MWu, with significantly older mean age, more frequent concomitant anticoagulation, and higher mortality. They also tend to have more severe bleeding. These characteristics are important in clinically managing this syndrome.

  11. Teacher Candidate Fashion, Tattoos, and Piercings: Finding Balance and Common Sense

    Science.gov (United States)

    Colbert, Ron

    2008-01-01

    The season of new buds and blossoms also signals fashion changes in the college classroom. Shorts, short skirts, tees, muscle tops, underwear exposed by low-rise pants, hospital scrubs, and flip-flops appear. With the advent of warm weather, women's clothing style can be tight and/or revealing. Jewelry and accessories become more visible. Today,…

  12. A novel method to estimate blood flow velocity in the left atrial appendage using enhanced computed tomography: role of Hounsfield unit density ratio at two distinct points within the left atrial appendage.

    Science.gov (United States)

    Yasuoka, Ryobun; Kurita, Takashi; Kotake, Yasuhito; Akaiwa, Yuzuru; Hashiguchi, Naotaka; Motoki, Koichiro; Yamamoto, Hiromi; Kobuke, Kazuhiro; Iwanaga, Yoshitaka; Hirano, Yutaka; Miyazaki, Shunichi

    2017-07-01

    Low blood flow velocity in the left atrial appendage (LAA) indicates a high risk of thromboembolism. Although transesophageal echocardiography (TEE) has been the standard method with which to evaluate the LAA blood flow velocity, a clinically noninvasive method is desired. We hypothesized that the ratio of the Hounsfield unit (HU) density at two distinct points within the LAA represents the blood flow velocity in the LAA. We retrospectively investigated 60 consecutive patients with atrial fibrillation (paroxysmal type, n = 29) who underwent enhanced computed tomography (CT) and TEE. The peak emptying flow velocity in the LAA (LAAPV) was evaluated using TEE. HU density was measured at proximal and distal sites of the LAA (LAAp and LAAd) on CT images. The LAAd/LAAp ratio was correlated with the LAAPV (P velocity of the LAA can be estimated by the HU density ratio at distal and proximal sites within the LAA. Our method might be a feasible substitution for TEE to discriminate patients with a reduced LAAPV.

  13. Tallinna Teletorn = Tallinn Television Tower

    Index Scriptorium Estoniae

    2015-01-01

    Rekonstrueeritud Tallinna Teletorn Kloostrimetsa tee 58a, valminud 2012. Eesti kultuurkapitali aastapreemia 2012. Arhitekt David Basiladze. Rekonstrueerimise projekti arhitektid Raivo Kotov, Andrus Kõresaar, Indrek Mikk, Margit Aule, Jaanus Männik, Lea Laidra, Karis Kahr (KOKO Arhitektid). Sisearhitektid Liis Lindvere, Raili Paling, Margit Argus (KOKO Arhitektid). Konstruktor Neoprojekt

  14. Structures to Resist the Effects of Accidental Explosions. Volume 6. Special Considerations in Explosive Facility Design

    Science.gov (United States)

    1985-04-01

    example, a vertical ’ displacement of a single rigid mass might also cause rotation of the mass. An I uncoupled system, on the other hand . Is one i...subject to an overhead blast load. Use a double tee section. Given: a. Presure-tirae loading (fig 6A-2). b. Material strenghts Concrete: fp

  15. Minimally invasive cardiac surgery and transesophageal echocardiography.

    Science.gov (United States)

    Jha, Ajay Kumar; Malik, Vishwas; Hote, Milind

    2014-01-01

    Improved cosmetic appearance, reduced pain and duration of post-operative stay have intensified the popularity of minimally invasive cardiac surgery (MICS); however, the increased risk of stroke remains a concern. In conventional cardiac surgery, surgeons can visualize and feel the cardiac structures directly, which is not possible with MICS. Transesophageal echocardiography (TEE) is essential during MICS in detecting problems that require immediate correction. Comprehensive evaluation of the cardiac structures and function helps in the confirmation of not only the definitive diagnosis, but also the success of surgical treatment. Venous and aortic cannulations are not under the direct vision of the surgeon and appropriate positioning of the cannulae is not possible during MICS without the aid of TEE. Intra-operative TEE helps in the navigation of the guide wire and correct placement of the cannulae and allows real-time assessment of valvular pathologies, ventricular filling, ventricular function, intracardiac air, weaning from cardiopulmonary bypass and adequacy of the surgical procedure. Early detection of perioperative complications by TEE potentially enhances the post-operative outcome of patients managed with MICS.

  16. Veselo i legko o problemah rasshirjajushtsheisja Evropõ / Ksenia Repson

    Index Scriptorium Estoniae

    Repson, Ksenia

    2007-01-01

    Neljas Ars Baltica foto- ja videokunstitriennaal "Don't Worry - be Curious!" Kumu Kunstimuuseumis. Näitus esitab fotosid, videosid ja installatsioone Läänemere regiooni kunstnikelt. Osalejad loetletud. Eestit esindab Katrin Tees. Kuraatorid Dorothee Bienert, Kati Kivinen ja Enrico Lunghi

  17. Fotonäitus kompab vastuvõtuvõime piire / Anu Aaremäe

    Index Scriptorium Estoniae

    Aaremäe, Anu

    2007-01-01

    Näitus "Don't Worry - be Curious!" ja 4. Ars Baltica fototriennaal Kumu Kunstimuuseumis. Pikemalt soome kunstniku Tellervo Kalleineni videoinstallatsioonist "Kaebuste koor" ja lätlase Kaspars Goba tööst. Eestit esindas Katrin Tees fotoseeriaga "Risustaja käsiraamat edasijõudnutele"

  18. Ääremaade pärispatt / Hardo Pajula

    Index Scriptorium Estoniae

    Pajula, Hardo, 1966-

    2006-01-01

    Sarnastest probleemidest Eesti ja Argentina rahanduses. Autor kirjutab, et Eesti ja Argentina on ühtemoodi rahakeskuste ääremaad, ainsaks lahenduseks on ääremaastaatusest välja kasvada või keskustega ühte sulada: Eesti rahasüsteemi lahustumine euroalas on ainus tee keskusesse. Lisa: Mis juhtus Argentinas?

  19. Joonistada, et õppida armastama / Anneli Sihvart

    Index Scriptorium Estoniae

    Sihvart, Anneli, 1964-

    2011-01-01

    Konkursi algataja Marina Tee 3-17-aastastele mõeldud rahvusvahelisest loomekonkursist "Maa värvid". Seekordne, 12. konkurss teemal "Minu kodulinn" või "Merelinn Tallinn" toimub Euroopa kultuuripealinna Tallinn 2011 raames. Joonistamise mõjust lapse arengule

  20. Arhitektuurikriitik Urmas Oja arvab nii / Urmas Oja

    Index Scriptorium Estoniae

    Oja, Urmas, 1981-2012

    2004-01-01

    Korterelamust Meriväljal Ranniku tee 2A (arhitekt Tiit Trummal), Kadriorus Poska t. 34 (OÜ Linnaprojekt, arhitekt Merle Kinks, valminud 1998), Poska t. 28 (OÜ Alver Trummal Arhitektid, valminud 2003), renoveeritud elamust Herne t. 9 (Casa Projekt, arhitekt Gert Sarv, valminud 2004), punasest kortermajast Kollane t. 5 (Arhitektuuriagentuur, valminud 2001)

  1. PTSD: National Center for PTSD

    Medline Plus

    Full Text Available ... the Media Room Public Affairs News Releases Speeches Videos Publications National Observances Veterans Day Memorial Day Celebrating America's Freedoms Special Events Adaptive Sports Program Creative Arts Festival Golden Age Games Summer Sports Clinic Training - Exposure - Experience (TEE) Tournament ...

  2. Konfliktne ja soe Iisrael / Signe-Fideelia Roots

    Index Scriptorium Estoniae

    Roots, Fideelia-Signe, 1976-

    2008-01-01

    "Port Performance'i" workshop'ist Iisraelis 19. IV-6. V, performance'ite esitlusest Tel Avivi kaasaegse kunsti keskuses (CCAs) 4. V. Organiseerijad: performance'i-kunstnikud BBB Johannes Deimling ja Angelika Fojtuch. Osalesid Signe-Fideelia Roots ja Katrin Tees Eestist, Dinoys Damman Šveitsist ja Mara Maglione Itaaliast. Muljeid Iisraelist, sealsest kunstielust

  3. KGB methods suspected in eavesdropping affair

    Index Scriptorium Estoniae

    2011-01-01

    Läti Esimese Partei/Läti Tee esimees Ainars Slesers ütles telekanali LNT 5. mai saates 900 sekundit, et Läti hotellis Radisson Blu Ridzene on tõenäoliselt pealt kuulatud välismaiste ametiisikute kõnesid. Hotelli esindaja Aiga Lapina kinnitas, et hotell ei tea sellest midagi ja on nõus asja kontrollima

  4. Moldova aitavad jalule majandusreformid / Marianne Mikko

    Index Scriptorium Estoniae

    Mikko, Marianne, 1961-

    2005-01-01

    Moldova on teinud Transnistria konflikti lahendamises panuse koostööle EL-iga ning on alustanud oma seaduste ühtlustamist EL-iga. Kirjeldades Moldova majanduse arengu teel seisvaid raskusi, on autor seisukoha, et eestlastel tasub moldovlasi aktiivsemalt nõustada, aidata arendada demokraatiat ning ellu viia majandusreforme. Lisa: Moldova tee Euroopasse

  5. Sarri võttis Talleksiga taanlastelt Saksa Auto / Villy Paimets

    Index Scriptorium Estoniae

    Paimets, Villy, 1972-

    2005-01-01

    Andres Sarri poolt kontrollitav AS Talleks ostis Taani partnerilt Semler Holding välja 50-protsendilise osaluse AS-is Saksa Auto. Lisa: Viimastel aastatel eestlaste poolt välja ostetud ettevõtted. Diagramm: Saksa Auto tulemused paranesid mullu märgatavalt. Vt. samas: Sarri: me ei tee halbu tehinguid; Peeter Raidla. Tuleristsed 90ndate alguse võimuvõitlusest

  6. Viimsi Keevituse büroo = Offices of Viimsi Keevitus

    Index Scriptorium Estoniae

    2010-01-01

    Viimsis Kaluri tee 13 asuva Viimsi Keevituse büroo sisekujundusest. Autorid: arhitektid Kristi Põldme, Madis Eek, Kristel Jaanus (AB Eek & Mutso), valik nende töödest. Büroo sissepääsu kõrval oleva lõvi autor on skulptor Kalle Pruuden. Klaasseinte 3D graafika: Reio Avaste

  7. Ausad vaesed, laiskus ja võitlev feminism / Hillar Padu

    Index Scriptorium Estoniae

    Padu, Hillar

    2002-01-01

    Inglise filosoof, loogik ja ühiskonnategelane Bertrand Russell (1872-1970) väitis, et usk töö moraalsusesse teeb tänapäeva maailmas palju kurja ja et tee õnnele ja jõukusele seisneb plaanipärase töö vähendamises

  8. Astelpajufirma plaanib marjatöötlemistehast / Nils Niitra

    Index Scriptorium Estoniae

    Niitra, Nils, 1975-

    2006-01-01

    Astelpaju tooteid teenustööna valmistav OÜ Berry Farming kavandab Elva tee äärde rajada astelpajumarja töötlemise tehase, tehase hoone ehitus koos sisseseadega läheb maksma 50-60 miljonit krooni. Kaart: Astelpajumarja töötlemise tehas

  9. Selgusid Betti Alveri preemia nominendid

    Index Scriptorium Estoniae

    2005-01-01

    Betti Alveri kirjandusauhinna nominendid: Sass Henno "Mina olin siin", Andrei Hvostovi "Lombakas Achilleus", Mart Kanguri, Jaak Ranna ja Ivar Ravi "Jaak Rand ja teisi jutte", Diana Leesalu "2 grammi hämaruseni", Jaan Pehki "Sisukord", Linnar Priimäe "Kelle tee on varjul", Leo de Sixtuse "Skarabeuse tsivilisatsioon". Vt. ka Eesti Päevaleht, 16. nov., lk. 15

  10. Betti Alveri sünniaastapäeval kuulutatakse välja järjekordne Alveri kirjandusauhinna saaja...

    Index Scriptorium Estoniae

    2005-01-01

    Kirjandusauhinna nominendid: Sass Henno. Mina olin siin ; Andrei Hvostov. Lombakas Achilleus ; Mart Kangur, Jaak Rand ja Ivar Ravi. Jaak Rand ja teisi jutte ; Diana Leesalu. 2 grammi hämaruseni ; Jaan Pehk. Sisukord ; Linnar Priimägi. Kelle tee on varjul ; Leo de Sixtus. Skarabeuse tsivilisatsioon

  11. Kanajev kavatseb ehitada Orlovi lossi lähistele veekeskuse ja hotelli / Dannar Leitmaa

    Index Scriptorium Estoniae

    Leitmaa, Dannar, 1982-

    2010-01-01

    12. oktoobril oli Tallinna kesklinna halduskogu linnaplaneerimis- ja maakomisjoni ees eskiisprojekt, mille järgi ärimees Anatoli Kanajev ehitaks Pirita tee 32 krundile veekeskuse ja hotelli. Selgitused projekti autorilt arhitekt Irina Raualt (R-Konsult). Hetkel koostatakse ala detailplaneerimgut. Krundi vastu tunnevad huvi ka sotsiaaldemokraadid, kes rajaksid sinna rahvuspargi

  12. Aino Kalda autoportree / Oskar Loorits

    Index Scriptorium Estoniae

    Loorits, Oskar, 1900-1961

    2000-01-01

    Varem ilmunud: Meie Tee nr. 3-4, 1956. Rets. rmt.: Kallas, Aino. Päevaraamat aastaist 1897-1906 / tlk. Helmi Eller. Toronto : Orto, 1954 ; Kallas, Aino. Päevaraamat aastaist 1907-1915 / tlk. Helmi Eller. Toronto : Orto, 1955 ; Kallas, Aino. Hinge sild : päevaraamat aastaist 1916-1921 / tlk. Helmi Eller. Lund : EKK, 1956

  13. Lavalood / Mihkel Mutt

    Index Scriptorium Estoniae

    Mutt, Mihkel, 1953-

    1999-01-01

    Tom Stoppardi "Midagi tõelist" Vanalinnastuudios, lav. Roman Baskin, Torgny Lindgreni "Mao tee kalju peal" Eesti Draamateatri väikeses saalis, lav. Priit Pedajas, Josef ja Karel Čapeki "Putukate elust" Pärnu Endlas, lavastaja Jaan Tooming

  14. Toruni kandidaate kolm / Tambet Kaugema

    Index Scriptorium Estoniae

    Kaugema, Tambet

    1999-01-01

    10. korda Torunis toimuva Poola rahvusvahelise teatrifestivali Kontakt'99 kandidaatidena valis Eesti Kultuuriministeerium välja kolm lavastust: M. Kõivu "Omavahelisi jutuajamisi tädi Elliga" Vanemuisest (lav. A. Mäeots), Moskva lavastaja S. Pepeljaevi "Kodanikud" Von Krahli teatrist ning T. Lindgreni "Mao tee kalju peal" Eesti Draamateatrist (lav. P. Pedajas)

  15. Sadhana | Indian Academy of Sciences

    Indian Academy of Sciences (India)

    Home; Journals; Sadhana. VIKAS N GUPTA. Articles written in Sadhana. Volume 43 Issue 3 March 2018 pp 33. Design data for quick development of folded H plane tee at high average power level · HARISH V DIXIT AVIRAJ R JADHAV YOGESH M JAIN ALICE N CHEERAN VIKAS N GUPTA P K SHARMA · More Details ...

  16. Pedagoogiline kultusraamat ja selle järjed / Linda Järve

    Index Scriptorium Estoniae

    Järve, Linda, 1946-

    2016-01-01

    Anton Makarenkost ja tema kasvatussüsteemist. Tutvustatakse tema raamatuid "Pedagoogiline poeem", mille ilmumisest möödus hiljuti 80 aastat, samuti selle järge "Lipud tornidel" ning sama teemat käsitlevat Frida Vigdorova teost "Tee ellu"

  17. Author Details

    African Journals Online (AJOL)

    Tee, L. Vol 28, No 2 (2015) - Articles The intake and quality of breakfast consumption in adolescents attending public secondary schools in the North West province, South Africa Abstract PDF. ISSN: 2078-6204. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More ...

  18. 14. II kell 14 esitletakse EKMi Rüütelkonna hoones...

    Index Scriptorium Estoniae

    2005-01-01

    Esitletakse raamatuid "Eesti kunst. 101 teost Eesti kunstimuuseumi kogudest" (autorid: Tiina Abel, Eha Komissarov, Hanno Soans, koostanud T. Abel, E. Komissarov, H. Soans ja Kädi Talvoja, kujundanud Anu Lemsalu), "Kunstnik ja tema kodu. C. T. von Neffi kunstikogu Piira ja Muuga mõisast" (koostanud Tiina Abel, kujundanud Andres Tali) ja Kiwa "Roboti tee on nihe. Salatühik"

  19. Transcatheter mitral valve implantation via transapical approach

    DEFF Research Database (Denmark)

    Sondergaard, Lars; Brooks, Matthew; Ihlemann, Nikolaj

    2015-01-01

    bypass surgery (n = 2), severe pulmonary hypertension (n = 1) and moderate to severe chronic renal failure (n = 3). A CardiAQ mitral valve was implanted using fluoroscopy and transoesophageal (TEE) guidance via a standard transapical approach. RESULTS: Accurate prosthesis positioning and deployment...

  20. Millal laps tööle panna? / Kristiina Illak

    Index Scriptorium Estoniae

    Illak, Kristiina

    2007-01-01

    Mõni hakkab raha teenima õige varakult, teine ajab tööl käimata ülikooli lõpuni läbi. Kumb tee on õigem? Lapse töötamise ja kooli kõrvalt töötamise üle arutlevad Katrin Peitre, Toomas Kibus, Lynn Veski ja Tiina Laanem

  1. Feasibility of transesophageal echocardiography in birds without cardiac disease.

    Science.gov (United States)

    Beaufrère, Hugues; Pariaut, Romain; Nevarez, Javier G; Tully, Thomas N

    2010-03-01

    To establish a technique of transesophageal echocardiography (TEE) in birds without cardiac disease and describe the imaging planes obtained. Validation study. 18 birds including 3 pigeons (Columbia livia), 3 barred owls (Strix varia), 2 red-tailed hawks (Buteo jamaicensis), 1 goose (Anser anser), 1 mallard duck (Anas platyrhynchos), 1 Muscovy duck (Cairina moschata), 2 brown pelicans (Pelecanus occidentalis), 2 Hispaniolan Amazon parrots (Amazona ventralis), 2 red-fronted macaws (Ara rubrogenys), and 1 military macaw (Ara militaris). For each bird, anesthesia was induced and maintained by use of isoflurane. A pediatric, multiplane transesophageal ultrasound probe was passed into the esophagus and adjusted to the level of the heart for echocardiography. Probe positions were recorded via fluoroscopy, and associated imaging planes were described. TEE was performed successfully in all birds except the pelicans, 1 Hispaniolan Amazon parrot, and the red-fronted macaws. Five imaging planes of the heart were consistently viewed from 3 positions of the probe (identified as caudal, middle, and cranial positions relative to the cardiac silhouette). M-mode echocardiography of the left ventricle and the aortic root was performed. Color flow and spectral Doppler ultrasonographic images of in- and outflow regions were obtained. One Hispaniolan Amazon parrot died as a result of esophageal perforation. TEE examination of birds was feasible and provided a larger number of imaging planes with better resolution and details than those typically achieved via a transcoelomic approach. However, TEE should be performed with caution in psittacines.

  2. Download this PDF file

    African Journals Online (AJOL)

    eobe

    experiments such as measuring soil erosion, soil water infiltration or soil-water contamination caused by .... pump to a tee joint which links a set of PVC pipes. The. PVC connections comprises of three pipes of ... They possessed adequate thickness so as to avoid sagging at any given period of the experimental run. 3.

  3. Meest sõnast, meeri sarvest! / Jürgen Rooste

    Index Scriptorium Estoniae

    Rooste, Jürgen, 1979-

    2006-01-01

    Tallinn saab 2011. a. Euroopa kultuuripealinnaks. Muutustest, mida autor usub Tallinnas toimuma hakkavat (Vabaduse väljakult kaob parkla, teatrid saavad juurdeehitused, peatatakse kõrghoonete ehitamine Pirita tee äärde, hoogustub kultuuritehase Polymer töö jm.)

  4. Kõnnitee kindlusesse / Andres Kurg

    Index Scriptorium Estoniae

    Kurg, Andres, 1975-

    1998-01-01

    Arhitektid José Martinez Lapena ja Elias Torres Tur ääristasid siksakina mäekülge mööda Castelldefelsi kindlusse viiva jalakäijaste tee Barcelonas raudbetooni ja sakilise roostevärvi Corten terasega

  5. Müüdid ja mälestused mõttelennu meelevallas / Aita Kivi

    Index Scriptorium Estoniae

    Kivi, Aita, 1954-

    2000-01-01

    Sisu : Maimu Berg. Ära; Liam O'Flaherty. Must org; Victoria Holt. Menfreya; Tomás Eloy MartÍnez. Püha Evita; Ervin Õunapuu. Teie mälestuseks, kes iganes te olete ja kus asute; Anne Kahro. Viie kella tee

  6. Accuracy assessment of fluoroscopy-transesophageal echocardiography registration

    Science.gov (United States)

    Lang, Pencilla; Seslija, Petar; Bainbridge, Daniel; Guiraudon, Gerard M.; Jones, Doug L.; Chu, Michael W.; Holdsworth, David W.; Peters, Terry M.

    2011-03-01

    This study assesses the accuracy of a new transesophageal (TEE) ultrasound (US) fluoroscopy registration technique designed to guide percutaneous aortic valve replacement. In this minimally invasive procedure, a valve is inserted into the aortic annulus via a catheter. Navigation and positioning of the valve is guided primarily by intra-operative fluoroscopy. Poor anatomical visualization of the aortic root region can result in incorrect positioning, leading to heart valve embolization, obstruction of the coronary ostia and acute kidney injury. The use of TEE US images to augment intra-operative fluoroscopy provides significant improvements to image-guidance. Registration is achieved using an image-based TEE probe tracking technique and US calibration. TEE probe tracking is accomplished using a single-perspective pose estimation algorithm. Pose estimation from a single image allows registration to be achieved using only images collected in standard OR workflow. Accuracy of this registration technique is assessed using three models: a point target phantom, a cadaveric porcine heart with implanted fiducials, and in-vivo porcine images. Results demonstrate that registration can be achieved with an RMS error of less than 1.5mm, which is within the clinical accuracy requirements of 5mm. US-fluoroscopy registration based on single-perspective pose estimation demonstrates promise as a method for providing guidance to percutaneous aortic valve replacement procedures. Future work will focus on real-time implementation and a visualization system that can be used in the operating room.

  7. Evaluation of prosthetic heart valves by transesophageal echocardiography: problems, pitfalls, and timing of echocardiography

    NARCIS (Netherlands)

    van den Brink, Renee B. A.

    2006-01-01

    Transesophageal echocardiography (TEE) is especially suitable for examination of prosthetic valves because of the proximity of the esophagus to the heart and absence of interference with lungs and ribs. This article reviews normal and abnormal morphologic characteristics of prosthetic valves such as

  8. Transoesophageal echocardiography: What a neuroanaesthesiologist should know?

    Directory of Open Access Journals (Sweden)

    Minati Choudhury

    2015-01-01

    Full Text Available Transoesophageal echocardiography (TEE is a semi invasive imaging modality rapidly gained credence and popularity in the cardiothoracic centers worldwide by mid 1990s. It has also been found to be useful in some noncardiac surgical procedures, in particular in the management of neurosurgical patients and haemodynamically unstable patients in intensive care units (ICUs. The principal goal of basic transoesophageal echocardiographic examination encompass a broad range of anatomic imaging including the diagnosis of air embolism, causes of haemodynamic instability, ventricular size and function, volume status, and complications from invasive procedures, as well as the clinical impact or etiology of pulmonary dysfunction in ICU. TEE is relatively cheap and semi-invasive, but it should not be used as a stand-alone device but as a tool which provides data in addition to the data acquired from other forms of monitoring. The establishment of TEE in perioperative neuro anaesthetic care though recent, may result in a significant change in the role of the anaesthetsiologist who, using TEE can provide new information which may change the course and the outcome of surgical procedures.

  9. Split-bolus single-phase cardiac multidetector computed tomography for reliable detection of left atrial thrombus. Comparison to transesophageal echocardiography

    Energy Technology Data Exchange (ETDEWEB)

    Staab, W.; Zwaka, P.A.; Sohns, J.M.; Schwarz, A.; Lotz, J. [University Medical Center Goettingen Univ. (Germany). Inst. for Diagnostic and Interventional Radiology; Sohns, C.; Vollmann, D.; Zabel, M.; Hasenfuss, G. [Goettingen Univ. (Germany). Dept. of Cardiology and Pneumology; Schneider, S. [Goettingen Univ. (Germany). Dept. of Medical Statistics

    2014-11-15

    Evaluation of a new cardiac MDCT protocol using a split-bolus contrast injection protocol and single MDCT scan for reliable diagnosis of LA/LAA thrombi in comparison to TEE, optimizing radiation exposure and use of contrast agent. A total of 182 consecutive patients with drug refractory AF scheduled for PVI (62.6% male, mean age: 64.1 ± 10.2 years) underwent routine diagnostic work including TEE and cardiac MDCT for the evaluation of LA/LAA anatomy and thrombus formation between November 2010 and March 2012. Contrast media injection was split into a pre-bolus of 30 ml and main bolus of 70 ml iodinated contrast agent separated by a short time delay. In this study, split-bolus cardiac MDCT identified 14 of 182 patients with filling defects of the LA/LAA. In all of these 14 patients, abnormalities were found in TEE. All 5 of the 14 patients with thrombus formation in cardiac MDCT were confirmed by TEE. MDCT was 100% accurate for thrombus, with strong but not perfect overall results for SEC equivalent on MDCT.

  10. Viis korrust klaasi ja betooni / Ell-Maaja Randküla

    Index Scriptorium Estoniae

    Randküla, Ell-Maaja, 1939-2016

    2005-01-01

    Hotell Ülemiste Tallinnas Lennujaama tee 2. Sisekujundus: Meelis Press ja Hillar Mänd, AS Meelis Pressi Arhitektuuribüroo. Ehitaja: AS FKSM. Arhitekt Martin Aunin. Meelis Pressist ja Hillar Männist, nende tähtsamad tööd. Ill.: 21 värv. vaadet

  11. ;Prog' rarti'me"

    African Journals Online (AJOL)

    tions (NGOs) in national and international AIDS prevention and control strategies, written from the perspective of the World. Heolth Organisation's Global Programme on AIDS (GPA). Cooperation between NGOs, WHO and national AIDS commit- tees is of vital mutual benefit in promoting effective programmes. Apart from ...

  12. dte stand van en vooruitsigte vir landbouproduksie in suid-afrika

    African Journals Online (AJOL)

    Voedselinvoere be- staan hoofsaaklik uit koffie, rys, tee, kakaobone en bees- vleis met sporadiese invoere van enkele ander produkte soos melkpoeier. Die bevolkingsaanwas in Suid-Afrika is van die hoogste in die w€reld, nogtans het die volume van voedselpro- duksie vinniger toegeneem as die bevolkingsgroei wat. 'n.

  13. Tuljak on tagasi / Kersti Pikk

    Index Scriptorium Estoniae

    Pikk, Kersti

    2015-01-01

    Taasavatud kohvikust "Tuljak" Tallinnas Pirita tee 26e. Hoone on projekteerinud Valve Pormeister, interjööri kujundanud Väino Tamm ja Vello Asi. Restaureerimisprojekti autor on Ove Oot (Apex Arhitektuuribüroo), sisearhitektid Tarmo Piirmets ja Martti Siimann. Hooviala maastikuprojekti autorid on Lylian Meister ja Maarja Gustavson. Lühidalt kohvikus pakutavatest toitudest

  14. The use of intraoperative transoesophageal echocardiography as a ...

    African Journals Online (AJOL)

    2012-11-25

    Nov 25, 2012 ... rarer locations such as the heart, spine and eyes. The cyst consists of three layers: an outside layer .... controlled mechanical ventilation. A Philips transoesophageal echocardiography (TEE) ... oesophageal, short-axis view of the aortic valve (during systole). Note the large fluid-filled cyst obstructing the right.

  15. Rapid detection of RB1 recurrent mutations in retinoblastoma by ...

    Indian Academy of Sciences (India)

    R: 5 -AGATATTCTGCAAGTACAATCACATT-3 were recruited from the Farabi, Rasool-Akram and Mahak hospitals in Tehran, Iran. The study was approved by the Avi- cenna Research Institute's ethics and human rights commit- tee. The parents and guardians of all patients were consulted and a written informed consent ...

  16. Improving Teacher-Made Assessments in Technology and Engineering Education

    Science.gov (United States)

    White, Jesse W.; Moye, Johnny J.; Gareis, Christopher R.; Hylton, Sarah P.

    2018-01-01

    In the interest of learning how to effectively use the technological literacy standards and of adhering to education regulation, this article focuses on efforts to improve the professional teaching practices of Technology and Engineering Education (TEE) teachers by using the Gareis and Grant (2015) process with respect to "Standards for…

  17. Aasta betoonehitis 2005

    Index Scriptorium Estoniae

    2006-01-01

    Aasta betoonehitiseks valiti TTP kontorihoone Tallinnas Pirital (Mähe tee 1), arhitekt Meelis Press. Eriauhinnad pälvisid arhitektuuribüroo QP Arhitektid (arhitektid Tõnu Laigu, Tõnu Laanemäe) AS Coal Terminal peahoone eest Muuga sadamas ja arhitektuuribüroo 3 + 1 Arhitektid eramu eest Magasini kvartalis Tallinnas

  18. DIE MAPOCH.OORLOG,1882-1883

    African Journals Online (AJOL)

    Toe genl Joubert Nyabela teen November 1882 opdrag gegee' het om Mampuru te help op- spoor, het hy geweier, Hy het Mampuru trouens beskerming verleen, Gevolglik het Joubert en sy. 16 kommando direk tee'n die Ndzundza opgetrek, waarop 'n oorlog gevolg het wat net langer as agt maande geduur het en die ZAR ...

  19. Problema Polshi / Dominique Moisi

    Index Scriptorium Estoniae

    Moisi, Dominique

    2007-01-01

    Autor võrdleb Hispaania ja Poola arengut ning leiab, et kuigi Euroopa Liidu liikmesriigina on Poola olnud märkimisväärselt edukas, seisab riik praegu teelahkmel: kas jätkata oma praegust poliitikat Saksamaa suhtes või loobuda minevikutaagast ja valida Hispaania tee

  20. Elutervik ja aeg : murdkem püramiidi võim / Sigmund Kvaloy ; tõlk. Tiiu Speek

    Index Scriptorium Estoniae

    Kvaloy, Sigmund

    2005-01-01

    Nüüdisaegsest ökofilosoofiast, tööstusliku kasvu ühiskonna ja eluliste vajaduste ühiskonna vastuoludest ning Norra ökopoliitikast. Lisatud lühiülevaade autori elukäigust. Vt. ka: David Rothenberg. Elutervik ja elulised vajadused: Eesti tee. Lk. 549