there is controversy in the literature regarding a number of topics related to anterior cruciate ligament (acl)reconstruction. the purpose of this article is to answer the following questions: 1) bone patellar tendon bone (bptb) reconstruction or hamstring reconstruction (hr); 2) double bundle or single bundle; 3) allograft or authograft; 4) early or late reconstruction; 5) rate of return to sp...

BACKGROUND Aspiration of colonized oropharyngeal secretions is a major factor in the pathogenesis of ventilator-associated pneumonia (VAP). A tapered-cuff endotracheal tube (ETT) has been demonstrated to reduce aspiration around the cuff. Whether these properties are efficacious in reducing VAP is not known. METHODS This 2-period, investigator-initiated observational study was designed to ass...

A CFD model of VVER-440 fuel assembly heads was developed based on the technical documentation of a full-scale test facility built in the Kurchatov Institute, Moscow. Steady-state and transient calculations were performed to validate the model with a measurement set and investigate the effects of the spatial discretization, choosing of different turbulence models and use of different inlet boun...

T he cardiovascular system is the first organ system to form and function in the developing embryo. In the early stages the heart is a slow conducting, single tubular structure generating an even peristaltic contraction. During embryogenesis it then develops into a four chambered heart with synchronous contraction for a dual circulation. These synchronous contractions of the atrial and ventricu...

This study was conducted on the atrioventricular node (AVN) and atrioventricular bundle (AVB) of fivefour-month-old ovine fetuses. The histological structure of these components was studied by routinehistological techniques and use of specific staining methods. The AVN was caudally located adjacent to theroot of the aorta. It was almost spherical in shape and consisted of twisty cells. The node...

This paper uses second-order software for evaluating five Stirling engine parameter?s effect on its performance to select an appropriate configuration with optimal dimensions use in a concentrated solar power plant. Appropriate configuration, heater shape, bundle tube heat exchanger size, and regenerator type geometry are studied. Results show that Alpha is the most suitable high-temperature di...