Hybrid extracorporeal membrane oxygenation (ECMO) cannulation following traumatic pneumonectomy: A case report

A 28-year-old man presented in extremis after a motorcycle crash. Following traumatic pneumonectomy, he developed right heart failure and was placed on veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) only to transition to veno-arteriovenous (VAV) ECMO due to persistent hypoxemia. Resulting flow limitation caused distal ischemia of his left leg, requiring thrombectomy and fasciotomy. Potential loss of limb necessitated transitioning to veno-venous (VV) ECMO from which he was successfully decannulated thereafter. ECMO can bridge recovery following the most dire injuries, and hybrid strategies can ameliorate post-operative complications; however, ECMO itself carries significant risks that must be weighed against intended benefit.

Inclinations of greenhouse farmers in Turkey toward agricultural insurance

ABSTRACT: This study is explored the reasons why greenhouse farmers take out and do not take out agricultural insurance as well as the farmers’ inclinations toward agricultural insurance and the factors that affect them so that agricultural insurance can be improved. In this context, three districts of Antalya where greenhouse farming is intensively carried out, namely Aksu, Serik and Kumluca, were selected as the research location, and face-to-face interviews were conducted with 200 farmers, 100 of which had agricultural insurance and 100 of which did not. The farms were divided into two groups, namely, those with and without insurance, according to the data obtained. The potential statistical relationship between some selected features of the farms under study and the farmers with and without insurance was identified by chi-square test. Furthermore, the inclinations, views and opinions of farmers with and without agricultural insurance concerning agricultural insurance were evaluated using a Likert scale. Among the reasons why farmers take out agricultural insurance are insuring their crop, avoiding any potential loss, securing their income and presence of disaster risk. The main reasons why farmers do not take out agricultural insurance is the registration and share problems of their lands.

Credit and Liquidity Risk Assessment of NCC Bank: A Correlational Analysis

Credit risk and default risk are two interchangeable terms. Credit risk arises mainly from the lending, trade finance, leasing, and treasury business. This can be described as a potential loss from a counterparty's failure to perform as per contractual agreement with the bank being financially incapable or unwilling to repay it. Financial incapability arises when the creditor's source of earning becomes volatile. The unwillingness comes from the creditor's tendency to cheat and to make a bulk grain from the fraudulent activities. At a stretch, credit risk for the bank illustrates that the bank's performing loan portion can turn into non-performing ones. And that will decrease the recovery rate of the loan extended, and, as a result, the bank will face trouble providing the required interest amount by the depositors. Gradually the bank will become insolvent and maybe some days a bankrupt one.

Maximising stakeholder value in personal insolvency (a New Zealand perspective)

<p>Personal insolvency law in New Zealand has had some recent amendments that have been successful in reducing the number of bankruptcies. With the rise in consumer bankruptcies and insolvencies, both in New Zealand and internationally many historic insolvency laws and practices are outdated. Balancing the obligations of debtors with the relief of a proactive insolvency regime while satisfying stakeholders is difficult. If relief is too easily accessed there is a risk of abuse of the system. If relief is too difficult to obtain there will be unnecessary suffering and a potential loss of economic motivation for the insolvent. A new model of personal administration is argued as the best mechanism for maximising stakeholder value. Such a system if entered through a restrictive gateway would cease any concern of abuse.</p>

Maximising stakeholder value in personal insolvency (a New Zealand perspective)

<p>Personal insolvency law in New Zealand has had some recent amendments that have been successful in reducing the number of bankruptcies. With the rise in consumer bankruptcies and insolvencies, both in New Zealand and internationally many historic insolvency laws and practices are outdated. Balancing the obligations of debtors with the relief of a proactive insolvency regime while satisfying stakeholders is difficult. If relief is too easily accessed there is a risk of abuse of the system. If relief is too difficult to obtain there will be unnecessary suffering and a potential loss of economic motivation for the insolvent. A new model of personal administration is argued as the best mechanism for maximising stakeholder value. Such a system if entered through a restrictive gateway would cease any concern of abuse.</p>

Pembuktian Potensi Kerugian dalam Gugatan terhadap Keputusan Tata Usaha Negara

Administrative court verdict number 04/G/2013/PTUN.YK. juncto 149/B/2013/PT.TUN.SBY., verdict number 18/G/2015/PTUN.YK. juncto 115/B/2016/PT.TUN.SBY. juncto 37 PK/TUN/2017, and verdict number 14/G/2017/PTUN.YK. juncto 205/B/2017/PT.TUN.SBY. were example that license (as the state administrative decision) issued by administrative officials as the object of lawsuit in administrative court, by the reason of potential loss, which normatively regulared by law number 9 of 2004 and its expansion in law number 30 of 2014. As known, principle of ‘negativa non sunt probanda’ state that facts that have not/not yet been proven cannot be proven, while it is opened by the regulation above, of course it will have implications for the procedure of evidence in court to arouse the confiction of judges and affordability of Article 53 of law number 9 of 2004 in a lawsuit with a potential loss reason. This research is an empirical legal research with statutory, conceptual, and case approaches. Subject of this research was administrative judges of Yogyakarta Administrative Court as primary data and analyzed qualitatively. The results showed that the judge could prove the potential loss as the basis of lawsuit by assessing the legal standing of plaintiff, whether plaintiff had an interest in the issuance of the state administrative decisions or not. Meanwhile, potential losses can be proven by means of a systematic interpretation between Article 53 of law number 9 of 2004 and Article 87 of law number 30 of 2014.

Does Congestion Always Hurt? Managing Discount Under Congestion in a Game-Theoretic Setting

Many firms buy cloud services from cloud vendors, such as Amazon Web Services to serve end users. One of the key factors that affect the quality of cloud services is congestion. Congestion leads to a potential loss of end users, resulting in lower demand for cloud services. Although discount can stimulate demand, its effect under congestion is ambiguous; a higher discount leads to higher demand, but it can further lead to higher congestion, thereby lowering demand. We explore how congestion moderates both cloud vendor pricing and the buyer’s fulfillment decisions. We seek to answer how the congestion sensitivity of the end users and the cost of technology impact buyer profitability and the cloud vendor’s choice of discount. We also examine how the cost of technology determines the buyer’s willingness to pass on savings to end users. Our results show that the buyer is not necessarily worse off even when the end users are more intolerant to congestion. In fact, when end users are more congestion sensitive, the demand for cloud services can sometimes increase, and the discount offered by the vendor can decrease. We also observe that a lower cost of technology can sometimes hurt the buyer, and the buyer can pass on lower benefits to end users.