A young woman with congenital heart disease including dextrocardia presented to us following an out-of-hospital ventricular fibrillation (VF) arrest. She had a dual-chamber pacemaker inserted already for bradycardia. Therewere concerns over the risk of baffle occlusion due to multiple transvenous wires. She received an entirely right-sided subcutaneous implantable cardioverter-defibrillator wit...

A case of anomalous origin of the left coronary artery from the pulmonary artery in a patient with the origin of the coronary opposite to the aorta is reported. Between many surgical options we conclude to reestablish a double coronary system reconnecting the coronary through a conduit created with a pulmonary wall baffle and an autologous pericardial patch.

The strategy for the management of adult patients with congenital heart disease (CHD) often represents a challenge for cardiac surgeons and cardiologists due to complex anatomy, wide range of clinical presentations, and a high-risk profile. However, hybrid approach may represent an attractive solution. We report three cases of adult patients previously operated for CHD and recently treated with...

In order to establish an echocardiographic profile of patients with simple transposition after Mustard's operation, we examined the M-mode records of 10 patients who were found to be free of significant abnormalities at follow-up cardiac catheterization. When compared with established normals, right ventricular wall thicknesses and cavity dimensions were increased, while left ventricular wall t...

STUDY OBJECTIVES To compare lung deposition of fenoterol or flunisolide administered from a novel, multidose inhalation device delivering liquid droplets (RESPIMAT; Boehringer Ingelheim Ltd; Bracknell, UK) or from conventional metered-dose inhalers (MDIs) with and without spacers. DESIGN Two randomized, three-way crossover studies. SETTING Clinical research laboratory. PARTICIPANTS Health...

Hearing Protection Devices (HPD), such as earmuffs, are widely used to protect workers from noisy environments. Numerical predictive tools can be used to simulate the vibroacoustic behaviour of earmuffs and thus assess their sound attenuation and improve their acoustical design. The present work describes the implementation of a vibroacoustic finite element numerical model of an earmuff coupled...

Crowdsourcing is an increasingly popular phenomenon where companies solicit the help of the public in helping accomplish some of the activities commonly performed by employees or contractors. These activities can range from solving scientific problems that baffle the in-house experts to repetitive and boring tasks that are deemed too mundane for the employees. Other activities include content g...

A micro-channel heat exchanger reactor with different micro-baffle shapes has been studied numerically. Governing equations were solved base on the finite volume method with FLUENT software. In upper section, oxidation reaction of methanol was occurred and in lower section, steam reforming of methanol was done. Two sections were separated with solid part which played as heat exchanger and trans...