scholarly journals A new method for therapeutic paracentesis: The automated low flow pump system. Comments in the context of the history of paracentesis

2013 ◽  
Vol 58 (5) ◽  
pp. 850-852 ◽  
Author(s):  
Vicente Arroyo
2013 ◽  
Vol 58 (5) ◽  
pp. 922-927 ◽  
Author(s):  
Pablo Bellot ◽  
Martin-Walter Welker ◽  
German Soriano ◽  
Markus von Schaewen ◽  
Beate Appenrodt ◽  
...  

2015 ◽  
Vol 400 (8) ◽  
pp. 979-983 ◽  
Author(s):  
M. N. Thomas ◽  
G. H. Sauter ◽  
A. L. Gerbes ◽  
M. Stangl ◽  
T. S. Schiergens ◽  
...  

Author(s):  
Deep K. Datta-Ray

The history of Indian diplomacy conceptualises diplomacy racially—as invented by the West—and restrictively—to offence. This is ‘analytic-violence’ and it explains the berating of Indians for mimicking diplomacy incorrectly or unthinkingly, and the deleting, dismissing, or denigrating, of diplomatic practices contradicting history’s conception. To relieve history from these offences, a new method is presented, ‘Producer-Centred Research’ (PCR). Initiating with abduction, an insight into a problem—in this case Indian diplomacy’s compromised historicisation—PCR solves it by converting history’s racist rationality into ‘rationalities’. The plurality renders rationality one of many, permitting PCR’s searching for rationalities not as a function of rationality but robust practices explicable in producer’s terms. Doing so is exegesis. It reveals India’s nuclear diplomacy as unique, for being organised by defence, not offence. Moreover, offence’s premise of security as exceeding opponent’s hostility renders it chimerical for such a security is, paradoxically, reliant on expanding arsenals. Additionally, doing so is a response to opponents. This fragments sovereignty and abdicates control for one is dependent on opponent’s choices. Defence, however, does not instigate opponents and so really delivers security by minimising arsenals since offence is eschewed. Doing so is not a response to opponents and so maintains sovereignty and retains control by denying others the right to offense. The cost of defence is courage, for instance, choosing to live in the shadow of nuclear annihilation. Exegesis discloses Balakot as a shift from defence to offence, so to relieve the Bharatiya Janata Party’s (BJP) leadership of having to be courageous. The intensity of the intention to discard courage is apparent in the price the BJP paid. This included equating India with Pakistan, permitting it to escalate the conflict, and so imperiling all humanity in a manner beyond history.


Perfusion ◽  
1998 ◽  
Vol 13 (2) ◽  
pp. 111-117 ◽  
Author(s):  
Joseph J Sistino

One of the most controversial and challenging surgical undertakings of the next century promises to be foetal cardiac surgery. Animal studies have been underway for several years to gain an understanding of the physiological mechanisms required to achieve this undertaking. Not since the days of crosscirculation has there been a maternal risk associated with open-heart surgery. The diagnosis of congenital heart defects with foetal ultrasound can now be made as early as 12 weeks gestation. Simple cardiac abnormalities, such as valvular stenosis or atresia, alter intracardiac flow patterns and affect normal cardiac chamber development. Without early intervention, these complex lesions often require major surgical reconstruction, beginning in the neonatal period. Foetal cardiac bypass techniques have evolved from the use of roller pumps and bubble oxygenators primed with maternal blood to the use of an axial flow pump incorporated in a right atrial to pulmonary artery or aortic shunt. Because the blood entering the right atrium is oxygenated by the placenta, an oxygenator in the bypass circuit is probably not needed. The low prime axial flow pump system avoids the dilution of the foetus with the maternal adult haemoglobin and improves the outcome. A major focus of research has concentrated on maintenance of placental blood flow with the use of vasodilators and cyclooxygenase inhibitors. Investigation with primates will be necessary to confirm the placental physiology before human operations can be performed. As the foetal bypass challenges are overcome, there is the potential for a reduction in the number of complex cardiac lesions requiring early surgical intervention in the twenty-first century.


Author(s):  
Yo Han Jung ◽  
Young Uk Min ◽  
Jin Young Kim

This paper presents a numerical investigation of the effect of tip clearance on the suction performance and flow characteristics at different flow rates in a vertical mixed-flow pump. Numerical analyses were carried out by solving three-dimensional Reynolds-averaged Navier-Stokes equations. Steady computations were performed for three different tip clearances under noncavitating and cavitating conditions at design and off-design conditions. The pump performance test was performed for the mixed-flow pump and numerical results were validated by comparing the experimental data for a system characterized by the original tip clearance. It was shown that for large tip clearance, the head breakdown occurred earlier at the design and high flow rates. However, the head breakdown was quite delayed at low flow rate. This resulted from the cavitation structure caused by the tip leakage flow at different flow rates.


Author(s):  
Marina Dupas-Langlet ◽  
Julien Dupas ◽  
Sophie Samain ◽  
Maria-Isabelle Giardiello ◽  
Vincent Meunier ◽  
...  

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