scholarly journals The Relationship of the Subclavius Muscle with Relevance to Venous Cannulation below the Clavicle

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Kyutaro Kawagishi ◽  
Joho Tokumine ◽  
Alan Kawarai Lefor
Keyword(s):  
Real Time ◽  
Subclavian Vein ◽  
Venous Cannulation ◽  
Ultrasound Guided ◽  
Insertion Technique ◽  
The Real ◽  
Anatomical Relationship ◽  
Relationship Of ◽  
The Relationship ◽  
Subclavius Muscle

Introduction. The catheter “pinch-off syndrome” has been described to be secondary to crimping of the catheter between the clavicle and the first rib, as well as entrapment of the catheter at the site of penetration of the subclavius muscle. The lateral insertion technique has been recommended to prevent catheter pinch-off, but it is unknown if this technique can prevent entrapment by the subclavius muscle. We undertook this study to evaluate the anatomical relationship of the subclavius muscle and the subclavian vein.Methods. Twenty-eight adult cadavers were studied on both right and left sides. The adherence between the subclavian vein and subclavius muscle was subjectively assessed and the distance between the two structures was measured in mm.Results. The subclavius muscle and subclavian vein were tightly adherent in 72% of specimens, partly adherent in 14% with a mean distance of 4.5 mm and loosely connected in 14% with a mean distance of 6.1 mm.Conclusions. The anatomical relationship between the subclavius muscle and vein was very close in the majority of specimens, suggesting that the lateral insertion technique may not prevent penetration of the muscle, which may contribute to catheter pinch-off. The real-time ultrasound-guided technique may prevent penetration of the subclavius muscle.

Joshua Kates, Essential History: Jacques Derrida and the Development of Deconstruction (Evanston, Illinois: Northwestern University Press, 2005), 352pp, $29.95 (USD), ISBN 10: 0810123274, ISBN-13: 978-0810123274

Derrida Today ◽  
2008 ◽  
Vol 1 (1) ◽  
pp. 131-133
Author(s):  
Gary Banham
Keyword(s):  
Jacques Derrida ◽  
The Real ◽  
Northwestern University ◽  
Relationship Of ◽  
The Relationship

This book promises a ‘radical reappraisal’ (Kates 2005, xv) of Derrida, concentrating particularly on the relationship of Derrida to philosophy, one of the most vexed questions in the reception of his work. The aim of the book is to provide the grounds for this reappraisal through a reinterpretation in particular of two of the major works Derrida published in 1967: Speech and Phenomena and Of Grammatology. However the study of the development of Derrida's work is the real achievement of the book as Kates discusses major works dating from the 1954 study of genesis in Husserl's phenomenology through to the essays on Levinas and Foucault in the early 1960's as part of his story of how Derrida arrived at the writing of the two major works from 1967.

scholarly journals Adaptive Model for Biofeedback Data Flows Management in the Design of Interactive Immersive Environments

2021 ◽  
Vol 11 (11) ◽  
pp. 5067
Author(s):  
Paulo Veloso Gomes ◽  
António Marques ◽  
João Donga ◽  
Catarina Sá ◽  
António Correia ◽  
...  
Keyword(s):  
Real Time ◽  
Emotional State ◽  
Adaptive Model ◽  
Multimodal Data ◽  
The Real ◽  
Time Interaction ◽  
Data Flows ◽  
Immersive Systems ◽  
Immersive Environment ◽  
The Relationship

The interactivity of an immersive environment comes up from the relationship that is established between the user and the system. This relationship results in a set of data exchanges between human and technological actors. The real-time biofeedback devices allow to collect in real time the biodata generated by the user during the exhibition. The analysis, processing and conversion of these biodata into multimodal data allows to relate the stimuli with the emotions they trigger. This work describes an adaptive model for biofeedback data flows management used in the design of interactive immersive systems. The use of an affective algorithm allows to identify the types of emotions felt by the user and the respective intensities. The mapping between stimuli and emotions creates a set of biodata that can be used as elements of interaction that will readjust the stimuli generated by the system. The real-time interaction generated by the evolution of the user’s emotional state and the stimuli generated by the system allows him to adapt attitudes and behaviors to the situations he faces.

scholarly journals A Study of Malposition of Central Venous Catheter – A Comparative Study between Ultrasound Guided and Anatomical Landmark Technique

2018 ◽  
Vol 2 (3) ◽  
pp. 277-281
Author(s):  
Lalit Kumar Rajbanshi ◽  
Sambhu Bahadur Karki ◽  
Batsalya Arjyal
Keyword(s):  
Real Time ◽  
Internal Jugular Vein ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Venous Catheter ◽  
Anatomical Landmark ◽  
Ultrasound Guided ◽  
Central Venous ◽  
Catheter Tip ◽  
Landmark Technique

Introduction: Central venous catheterization is a routine procedure for long-term infusion therapy and central venous pressure measurement. Sometimes, the catheter tip may be unintentionally placed at the position other than the junction of superior vena cava and right atrium. This is called malposition and can lead to erroneous pressure measurement, increase risk of thrombosis, venous obstruction or other life threatening complications like pneumothorax, cardiac temponade.Objectives: This study aimed to observe the incidence of the malposition and compare the same between ultrasound guided catheterization and blind anatomical landmark technique.Methodology: This study was a prospective comparative study conducted at the intensive care unit of Birat Medical College and Teaching Hospital for two-year duration. All the catheterizations were done either with the use of real time ultrasound or blind anatomical landmark technique. The total numbers of central venous catheterization, the total incidences of malposition were observed. Finally the incidences were compared between real time ultrasound guided technique and blind anatomical landmark technique.Results: In two-year duration of the study, a total of 422 central venous cannulations were successfully done. The real time ultrasound was used for 280 cannulations while blind anatomical landmark technique was used for 162 patients. The study observed various malposition in 36 cases (8.5%). The most common malposition was observed for subclavian vein to ipsilateral internal jugular vein (33.3%) followed by subclavian to subclavian vein (27.8%) and internal jugular to ipsilateral subclavian vein (16.7%). In four patients the catheter had a reverse course in the internal jugular vein while the tip was placed in pleural cavity in three cannulations. There was coiling of the catheter inside left subclavian vein in one patient. The malposition was significantly reduced with the use of the real time ultrasound (P< 0.001). However there is no significant difference in the incidence of the various malposition between ultrasound guidance technique and blind anatomical landmark technique when compared individually.Conclusion: The malposition of the central venous catheter tip was common complication with the overall incidence of 8.5%. The most common malposition was subclavian vein to internal jugular vein. The use of real time ultrasound during the catheterization procedure can significantly reduced the risk of malposition.Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 277-281

scholarly journals The specifics of interpretation of the history in the story by A. Doronin «A Wolf Ravine»

2021 ◽  
Vol 11 (1) ◽  
pp. 139-147
Author(s):  
S. V. Sheyanova ◽  
◽  
N. M. Yusupova ◽  
Keyword(s):  
Literary Criticism ◽  
Historical Narrative ◽  
Volga Region ◽  
Psychological States ◽  
The Real ◽  
The Subject ◽  
The Individual ◽  
Relationship Of ◽  
First Time ◽  
The Relationship

Introduction: at present the reader’s audience is particularly interested in creative experiments in which the historical fate of the Russian peasantry in the «turning» eras is artistically comprehended. The article is devoted to the study of the problem-thematic range of modern Mordovian historical prose. The subject of analysis is the peculiarity of the reception of the period of collectivization and dekulakization in the story by Erzyan prose writer A. Doronin «A Wolf Ravine». Objective: to reveal the features of the artistic reconstruction of the events of the 1930s, the modeling of the relationship between a man and society in the story by A. Doronin «A Wolf Ravine».Research materials: the story by A. Doronin «A Wolf Ravine». Results and novelty of the research: the historical story « A Wolf Ravine » for the first time becomes the object of scientific understanding and is introduced into the context of Finno-Ugric literary criticism. A. Doronin artistically interprets the real events and circumstances of the resettlement of dispossessed peasants of the Volga region to the uninhabited steppes of Kazakhstan. As a result of the study, we conclude that the actualization of this problem-thematic cluster is due to the creative concept of the historical writer; the individual author’s approach to the reconstruction of historical narrative can be traced in the writer’s desire to realistically reveal the relationship of personality and society in the tragic 1930s; to analyze intentions of people and of the psychological states of the characters. Problems of a sociopolitical nature, actualized in the story, are filled with philosophical, axiological content, and lead to a multi-faceted understanding of the «man and history» problem.

scholarly journals On the Relationship of Mathematics to the Real World

Resonance ◽  
2018 ◽  
Vol 23 (2) ◽  
pp. 183-195
Author(s):  
Deepak Dhar
Keyword(s):  
Real World ◽  
The Real ◽  
Relationship Of ◽  
The Relationship

scholarly journals Community Core Evolution in Mobile Social Networks

2013 ◽  
Vol 2013 ◽  
pp. 1-14 ◽  
Author(s):  
Hao Xu ◽  
Weidong Xiao ◽  
Daquan Tang ◽  
Jiuyang Tang ◽  
Zhenwen Wang
Keyword(s):  
Social Networks ◽  
Community Structure ◽  
Empirical Studies ◽  
Mobile Social Networks ◽  
The Real ◽  
Temporary Connection ◽  
Whole Process ◽  
Relationship Of ◽  
The Relationship ◽  
Stable Community

Community detection in social networks attracts a lot of attention in the recent years. Existing methods always depict the relationship of two nodes using the temporary connection. However, these temporary connections cannot be fully recognized as the real relationships when the history connections among nodes are considered. For example, a casual visit in Facebook cannot be seen as an establishment of friendship. Hence, our question is the following: how to cluster the real friends in mobile social networks? In this paper, we study the problem of detecting the stable community core in mobile social networks. The cumulative stable contact is proposed to depict the relationship among nodes. The whole process is divided into timestamps. Nodes and their connections can be added or removed at each timestamp, and historical contacts are considered when detecting the community core. Also, community cores can be tracked through the incremental computing, which can help to recognize the evolving of community structure. Empirical studies on real-world social networks demonstrate that our proposed method can effectively detect stable community cores in mobile social networks.

Using Logic Activities to Produce a Class Constitution

1992 ◽  
Vol 40 (3) ◽  
pp. 174-176
Author(s):  
Susan Strand Monchamp
Keyword(s):  
Real World ◽  
Evaluation Standards ◽  
The Real ◽  
Mathematical Connections ◽  
Relationship Of ◽  
The Relationship

One of my major goals in mathematics is to have my student understand the relationship of mathematics to the real world. To this end, we begin the year in my first-gradeclass by doing a series of logic activities that lead to the production of our class constitution. The activities reflect three of the NCTM' curriculum and evaluation standards—Mathematics a Communication, Mathematics as Reasoning, and Mathematical Connections (NCTM 1989).

The Relationship between Regular Sinusoidal Waves in the Tissue at Lung-related Acupuncture Points and the Respiration Pacesetter Mechanism

2019 ◽  
Author(s):  
Fletcher Kovich
Keyword(s):  
Real Time ◽  
Respiration Rate ◽  
Heart Beat ◽  
Slow Waves ◽  
The Other ◽  
Acupuncture Points ◽  
Post Exercise ◽  
The Real ◽  
The Relationship

Background: While investigating the real-time impedance at acupuncture points (acupoints), it was found that regular sinusoidal waves were present that corresponded to the pulsing of certain organs, such as respiration and duodenal waves, the stomach&rsquo;s slow waves, and also the heart&rsquo;s beating.Methods: This study investigated such respiration waves at lung-related acupoints to clarify their relation to the respiration pacesetter mechanism. The impedance at key acupoints was monitored in real time while the patients&rsquo; breathing slowed after exercise.Results: In all 7 patients studied, the respiration and heart-beat waves matched the rates in the corresponding organs at rest, and did not vary markedly due to exercise. In 3 of the 7 patients, their post-exercise respiration rate exactly matched that of their duodenal waves, but then dropped, stepwise, back to their usual respiration rate. In the other 4 patients, their post-exercise respiration rate did not reach that of their duodenal waves, so this pattern was not triggered.Conclusion: The results suggested that as well as the brainstem respiration pacesetter, there was also a separate &ldquo;pace signal&rdquo; present which remained constant and seemed to define the respiration rate when at rest. It is currently unknown what mechanism causes the respiration rate to increase due to exercise. But these results suggest that the brainstem pacesetter is sometimes guided by the duodenal pace signal instead of the lung pace signal, which may explain how the pacesetter is able to jump to a higher rate, even though its chemoreceptor inputs may be unchanged.

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