HYPOTHESES Temporary vascular clampage (Pringle maneuver) during liver surgery can cause ischemia-reperfusion injury. In this process, activation of polymorphonuclear leukocytes (PMNLs) might play a major role. Thus, we investigated the effects of hepatic ischemic preconditioning on PMNL functions. DESIGN Prospective randomized study. Patients who underwent partial liver resection were random...

background : many women suffer from perineal trauma during the normal vaginal delivery. perineal trauma is mainly associated with pain and complications after the childbirth. perineal management techniques can play a significant role in perineal trauma reduction. this study aimed to compare the effects of perineal management techniques (hands-off technique, ritgen maneuver and perineal massage ...

We present an approach for turn around behavior generation and execution for an unmanned ground vehicle (UGV) operating in a rugged terrain. The generated behavior allows the vehicle to rapidly execute N-point turn maneuver in a narrow space by exploiting the vehicle’s dynamics as well as the properties of the terrain. The developed approach incorporates model-predictive planning and optimizati...

In this paper, a CFD-based method coupling with overset grid technique is used to directly simulate the 20/20 zigzag maneuver of the fully appended ONR Tumblehome ship model. Numerical computations are carried out by our in-house CFD code naoe-FOAM-SJTU, which is developed on the open source platform OpenFOAM. The overset grid module is used to predict the ship motions with 20/20 zigzag maneuve...

Vertigo and balance disorders are among the most common symptoms encountered in patients who visit ENT outpatient department. This is associated with risk of falling and is compounded in elderly persons with other neurologic deficits and chronic medical problems. BPPV is the most common cause of peripheral vertigo. BPPV is a common vestibular disorder leading to significant morbidity, psychosoc...

A 25-year-old man underwent an excision of a thigh mass under general anesthesia without any complication. After the operation, he developed oxygen desaturation requiring a jaw thrust maneuver. A rapidly expanding hematoma on the right side of the neck was formed shortly after the application of the maneuver. The patient was returned to the operation room for a neck exploration. Damage to the f...

(CHEST 2004; 125:302–304) A 56-year-old man presented with complaints of dysphagia and shortness of breath for the past 2 days. He denied chest pain, cough, fever, chills, or chest trauma. Ten days prior to hospital admission, the patient was self-treated with the Heimlich maneuver after choking on a piece of candy. The patient had a 120 –pack-year history of smoking and a medical history signi...

Evidence Six systematic reviews of RCTs consistently supported Epley maneuvers (as classically described) despite considerable heterogeneity among trials.1-6 • Most recent review (11 RCTs, N = 745)1: -Results were statistically significant for the Epley maneuver versus control at 24 hours and 4 weeks. —Resolution of symptoms (5 RCTs, n = 273): 56% versus 21% with control (NNT = 3). —Positive to...

require the use of color in order to fully convey their points. Foreword Six years ago, the Marine Corps embarked on new efforts based on the " New Sciences " to provide quantitative answers, where possible, to the important questions facing military decision-makers. Maneuver Warfare Science 1998 described some initial thoughts on providing support to these decision-makers in areas that our tra...