Plant equipment faults and grid upset events, including those that presently result in transients that challenge the protection system, might be better managed through the use of advanced operator aids. There are clear safety and economic advantages if the probability that an upset will lead to an unplanned shutdown can be reduced or if the plant response to an upset can be mitigated such that ...

PURPOSE To review the anesthetic management of patients with cerebral aneurysms during treatment in the interventional neuroradiology (INR) suite compared with in the operating room. METHODS This was a retrospective chart review of 100 consecutive patients treated by endovascular coiling compared with 100 patients treated by surgical clipping of a cerebral aneurysm. Information compared and a...

Regardless of the setting, the goals of anesthesia remain the same: achieving reversible unconsciousness, immobility, muscle relaxation, amnesia, and analgesia while preserving cardiopulmonary function. However, providing optimal anesthetic care in the high-volume sterilization clinic is often challenging due to a variety of factors, including high caseload, limited time for physical examinatio...

Metalworking equipment is designed to modify a sheet, rod, or block of metal material in order to shape it for a specific application. This equipment can operate on the metal by bending it, drilling through it, or by cutting it. For small-scale operations, many tools require a significant amount of manual input. Unless the operator has extensive training and experience, the manual input may not...

Environmental Health (EH) Departments devote considerable resources to investigating domestic noise complaints. In 1989-90 Environmental Health Officers in England and Wales received 97,798 noise complaints, of which 61% were about domestic noise [1]. The object of investigating a complaint is to determine whether a statutory nuisance exists. In practice, this depends on the judgement of the En...

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PURPOSE OF REVIEW To summarize recent publications emphasizing the changes in the population of patients with congenital heart disease and trends in the anesthetic and perioperative care of these patients presenting for noncardiac procedures. RECENT FINDINGS It has been reported that children with congenital heart disease presenting for noncardiac surgery are at an increased anesthetic risk. ...

now-a-days truncus arteriosus has been known as “common arterial trunk” (cat) and is an uncommon congenital cardiac defect presenting in about 1-3% congenital heart disease. environmental and genetic factors effects on incidence of cat and other conotruncal anomalies. the majority patients with cat and 22q11 deletion have other anomalies such as hypoplasia or aplasia of the thymus or parath...