Introduction Abdominal wall reconstruction can be a challenging procedure especially in case of large sized defects. Previous studies suggest that primary fascial closure with mesh reinforcement improves outcomes reducing hernia recurrence rate. [1-5] To date, only few studies have compared bridged and mesh reinforced repairs with significant differences among study groups concerning defect sizes. [1, 3, 4] Indeed, the comparison of these two repair techniques in randomized controlled trials is…
Leadership. Throughout the narrative, lives of people from various walks in life are analyzed with the lens of servant leadership. The reader can look into the life of a Healthcare worker, a soldier, a member of corporate America and an educator. Characteristics of Servant Leadership Active Listening One of the most important aspects of servant leadership is active listening. According to the novel, The Servant by James Hunter (2012), active listening is a difficult discipline that requires…
The year was 1878; the great inventor and scientist Thomas Edison was attempting to downsize electric lighting sources. He set out to redesign the way consumers would utilize electricity. Thomas Edison created small lightbulbs instead of the much bigger light fixtures that were in use during that time. He created small bulbs capable for indoor use, they were long-lasting, did not overheat, and above all could run on low power. A little over a year later, he patented the lightbulb using a strand…
Chapter 3 Experimental Setup 3.1 Test rig components and description: Fig. 3 illustrates schematic view of the test rig of an IDX-SAHP system. It was designed for a typical UK home administering up to 350 L/day of DHW. The main components are numbered in (Fig.3). The evacuated tube collector installed outdoor on a south facing roof has a surface area of 3.021 m2 with a 52-degree inclination (tilt angle). A 300L, stainless steel, insulated water storage tank has two coils immersed inside, one for…
(b) Bar-Zakay (1971) Model The Bar-Zakay (1971) model is well known for its degree of similarity to the project management in the way of technically dealing with the on- hand situation. The four model stages are 1) Search 2) Adaption 3) Execution and 4) Maintenance. Reader should take a look into Figure .. providing more detailed information activities, milestones and the decision points. As it can be seen two main parts the transferor and the transferee, called donor and recipient divide figure…
PICU from January 2014 to December 2014. PIM2 scoring system was assessed within an hour of infant or child's arrival to the PICU. Logistic regression analysis was done to compare expected mortality risk with observed mortality rate. Receiver operating characteristics (ROC) curve analysis was done and standardized mortality ratio was calculated. PIM2 Index validation was performed by use of Hosmer and Lemeshow goodness-of-fit test. Results : Two hundred patients were included in this study. The…
Multiple Thresholds for Different Components of the Brain in Ischemic Stroke Perfusion Imaging Background The treatment target for acute ischemic stroke is to open the occluded blood vessel with thrombolysis. By opening the occluded vessel we can save the tissues at risk of conversion to infarct core which referred to as the penumbra. Nowadays with advanced imaging, clinicians are able to distinguish the penumbra and infarct core. If the penumbra is large and infarct core small (mismatch…
differentiate collisions by position. Using the Simbex HIT System, the researchers calculated peak and median linear acceleration, rotational acceleration, impact location, and frequency for each position, and were able to distinguish certain impact characteristics by position. Peak rotational acceleration, measured in rad/s2, was calculated by multiplying the vector product of peak linear acceleration and a point of rotation 10 centimeters below the center of gravity of the head (a location…
event. According to Hall, this event can then be further classified into specific codes: the Dominant or Hegemonic code, the Oppositional, or the Negotiated code. The message that is being received to the audience must be correctly decoded by the receiver in order…
No place better exemplifies bricolages than a shared, college bedroom. Bricolages are “compositions designed by combining pre-existing designs” which “express their creator’s identity and worldview, consciously or unconsciously” (Huhtamo, Meeting 1, 20). Bricolages are analyzed through semiotics, the analysis of culture through interpretations of signs (Huhtamo, “Basic Concepts” 257). College is where many first experience living with people who are not family. In a shared bedroom, styles and…