Enteral feeding has become an important means of providing nutritional support to seriously ill patients. Placement of the feeding tube through the pyloric ring and past the ligament of Treitz into the proximal jejunum is critical to reduce the risk of gastroesophageal regurgitation and microaspiration. We started utilizing transnasal endoscopy for intestinal feeding tube placement, placing ent...

BACKGROUND This study was undertaken to test the hypothesis that early enteral nutrition might reduce the incidence of serious complications after major abdominal surgery. METHODS In a randomised double blind prospective trial 30 patients received Nutri-drink and 30 patients received placebo through a nasoduodenal feeding tube. On the day of operation the patients were given median 600 ml of ...

BACKGROUND In this meta-analysis, we conducted a pooled analysis of clinical studies comparing the efficacy of single chest tube versus double chest tube after a lobectomy. METHODS According to the recommendations of the Cochrane Collaboration, we established a rigorous study protocol. We performed a systematic electronic search of the PubMed, Embase, Cochrane Library and Web of Science datab...

In the present paper the heat exchange performance of a counter flow double-tube condenser for a ternary refrigerant mixture R407C, composed ofHFC32/HFC125/HFC134a, is calculated using a prediction method developed by the present authors. The axial distributions of vapor and liquid bulk mass fraction, temperature, heat flux, mass flux, etc., are obtained for both a smooth tube and a microfin tu...

OBJECTIVE Draining of the chest cavity with two chest tubes after pulmonary lobectomy is a common practice. This study aimed to investigate whether using two tubes after a pulmonary lobectomy is more effective than using a single tube. METHOD This prospective randomised study included 100 consecutive patients who underwent lobectomy or bilobectomy for any pathological condition between May 20...

helical coil heat exchangers are widely used in industrial applications ranging fromcryogenic processes, air-conditioning, and nuclear reactors to waste heat recovery due totheir compact size and high heat transfer coefficient. in this kind of heat exchangers, flowand heat transfer are complicated. this paper reports a numerical investigation of theinfluence of different parameters such as coil...

abstract: in this study, al 2 o 3 /eg and tio 2 /eg nanofluids as coolants have been used in the double-tube heat exchanger. the hot solvent inlet heat exchanger must be cooled down with a specified amount. we can use nanofluids as coolants in the heat exchanger for optimization of the heat transfer area. therefore, the efficacy of nanofluids as coolants is verified. furthermore, flow rate of c...

this paper investigates axial compression process of multi-layered tubes with circular cross-section under the axial loading in the quasi-static condition using experimental method. some specimens are prepared in seven different groups, namely; empty carbon/epoxy composite tubes, solid carbon/epoxy composite rods, empty copper tubes, composite tubes with silicon sealant filler, concentrically s...

T here are no objective criteria for selecting the size of a double-lumen endobronchial tube (DLT) (1). An inappropriately sized DLT can cause airway trauma and interfere with oxygenation and lung separation during one-lung ventilation. The goal of this study was to determine if measurement of tracheal diameter from the preoperative chest radiograph can be used to predict which size DLT to choo...