Response to ‘An alternative method of establishing the first rib under ultrasound-guidance’

2021 ◽  
pp. rapm-2021-103254
Author(s):  
Mark Friedrich B Hurdle ◽  
Guilherme Ferreira-Dos-Santos ◽  
Raul Rosario-Concepcion ◽  
Laura V Gil ◽  
Jason S Eldrige ◽  
...  
2020 ◽  
Vol 10 (2) ◽  
pp. 103-111
Author(s):  
Andrey K. Babin ◽  
Andrew R. Dattel ◽  
Margaret F. Klemm

Abstract. Twin-engine propeller aircraft accidents occur due to mechanical reasons as well as human error, such as misidentifying a failed engine. This paper proposes a visual indicator as an alternative method to the dead leg–dead engine procedure to identify a failed engine. In total, 50 pilots without a multi-engine rating were randomly assigned to a traditional (dead leg–dead engine) or an alternative (visual indicator) group. Participants performed three takeoffs in a flight simulator with a simulated engine failure after rotation. Participants in the alternative group identified the failed engine faster than the traditional group. A visual indicator may improve pilot accuracy and performance during engine-out emergencies and is recommended as a possible alternative for twin-engine propeller aircraft.


1984 ◽  
Vol 23 (06) ◽  
pp. 277-282 ◽  
Author(s):  
A. Van Lingen ◽  
G. Westera ◽  
M. van ◽  
W. Den Hollander ◽  
E. E. Van der Wall ◽  
...  

SummaryThis paper presents an alternative method of demarcating regions of in terest over the myocardium after ad ministration of 123I-heptadecanoic acid to patients with coronary artery disea se. In a matrix of 32 × 32 pixels the elimination rates of the radioactivity, which are not corrected for back ground activity, are visualized per pixel in a functional image. The func tional image showed areas in the myocardium with high values of uncorrected elimination rates. These areas corresponded with the tracer defects on the scintigram. Corrected elimination rates obtained from re gions of interest of functional images were comparable with those of scinti grams. Thus based on functional im ages of uncorrected elimination rates a reliable, objective determination of regions of interest over normal and abnormal myocardium can be made.


1999 ◽  
Vol 12 (04) ◽  
pp. 173-177 ◽  
Author(s):  
R. L. Aper ◽  
M. D. Brown ◽  
M. G. Conzemius

SummaryTreatment of canine hip dysplasia (CHD) via triple pelvic osteotomy (TPO) is widely accepted as the treatment that best preserves the existing hip joint. TPO, however, has several important disadvantages. In an effort to avoid some of the difficulties associated with TPO an alternative method of creating acetabular ventroversion (AW) was sought. The purpose of this study was to explore the effects of placement of a wedge in the sacroiliac (SI) joint on A W and to compare this to the effect of TPO on A W . On one hemipelvis a 30° pelvic osteotomy plate was used for TPO. The contralateral hemipelvis had a 28° SI wedge inserted into the SI joint. Pre- and postsurgical radiographs of each pelvis were taken and the angular measurements were recorded. On average, the 28° SI wedge resulted in 20.9° of A W, the 30° canine pelvic osteotomy plate resulted in 24.9° A W . Significant differences were not found (p >0.05) between the two techniques. Sacroiliac wedge rotation effectively creates A W and has several theoretical advantages when compared to TPO. The in vivo effects of sacroiliac wedge rotation should be studied in order to evaluate the clinical effect of the technique.Sacroiliac wedge rotation was tested as an alternative method to increase the angle of acetabular ventroversion. This technique effectively rotated the acetabulum and has several theoretical advantages when compared to triple pelvic osteotomy.


1988 ◽  
Vol 60 (01) ◽  
pp. 039-043 ◽  
Author(s):  
L Mandelbrot ◽  
M Guillaumont ◽  
M Leclercq ◽  
J J Lefrère ◽  
D Gozin ◽  
...  

SummaryVitamin K status was evaluated using coagulation studies and/ or vitamin IQ assays in a total of 53 normal fetuses and 47 neonates. Second trimester fetal blood samples were obtained for prenatal diagnosis under ultrasound guidance. Endogenous vitamin K1 concentrations (determined by high performance liquid chromatography) were substantially lower than maternal levels. The mean maternal-fetal gradient was 14-fold at mid trimester and 18-fold at birth. Despite low vitamin K levels, descarboxy prothrombin, detected by a staphylocoagulase assay, was elevated in only a single fetus and a single neonate.After maternal oral supplementation with vitamin K1, cord vitamin K1 levels were boosted 30-fold at mid trimester and 60 fold at term, demonstrating placental transfer. However, these levels were substantially lower than corresponding supplemented maternal levels. Despite elevated vitamin K1 concentrations, supplemented fetuses and neonates showed no increase in total or coagulant prothrombin activity. These results suggest that the low prothrombin levels found during intrauterine life are not due to vitamin K deficiency.


Author(s):  
Neelam Sidhar Wright

‘New Bollywood’ has arrived, but its postmodern impulse often leaves film scholars reluctant to theorise its aesthetics. How do we define the style of a contemporary Bollywood film? Are Bollywood films just uninspired Hollywood rip-offs, or does their borrowing signal genuine innovation within the industry? Applying postmodern concepts and locating postmodern motifs in key commercial Hindi films, this book reveals how Indian cinema has changed in the twenty-first century. Equipping readers with an alternative method of reading contemporary Indian cinema, the book takes Indian film studies beyond the standard theme of diaspora, and exposes a new decade of aesthetic experimentation and textual appropriation in mainstream Bombay cinema. A bold celebration of contemporary Bollywood texts, this book radically redefines Indian film and persuasively argues for its seriousness as a field of cinematic studies.


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