A 31 year-old female with Trisomy 21, uncorrected complete atrioventricular septal defect (AVSD) and consequent Eisenmenger syndrome presented to our emergency department with dyspnea, hypoxia, and worsening cyanosis. She was found to be hemodynamically stable with a heart rate of 70 bpm and blood pressure of 100/60. There was no pulsusparadoxus. She was notably cyanotic, platypneic, and hypoxi...

A 3D lattice Boltzmann model is developed and used to calculate the water and gas permeabilities of model cement pastes at different degrees of water saturation. In addition to permeable micron-sized capillary pores and impermeable solid inclusions, the lattice Boltzmann model comprises weakly-permeable nano-porous calcium silicate hydrate (C-S-H). The multi-scale problem is addressed by using ...

core flooding experiments were conducted with the objective of evaluating near miscible surfactant alternating co2 injection and the effect of surfactant concentrations on gas-oil and water displacements in porous media. the core samples were provided from a low permeability mixed wet oil reservoir at 156 °f and 1900 psia. in addition, very few studies of surfactant adsorption on carbonate mine...

The technical standard reports that one of the reasons that should lead the examiner to stop the 6MWT is a fall in pulse oximetry oxygen saturation (SpO2) to <80% and suggests resuming the test after the SpO2 recovers to >85%. This suggestion is based on a single study only [3] that reports instruction to resume walking if SpO2 rises above 80% (and not 85%), citing these two documents: “ATS sta...

This paper describes a one-dimensional numerical model for natural gas production from the dissociation of methane hydrate in hydrate-capped gas reservoir under depressurization and thermal stimulation. Some of the hydrate reservoirs discovered are overlying a free-gas layer, known as hydrate-capped gas reservoirs. These reservoirs are thought to be easiest and probably the first type of hydrat...

Air – water gas exchange governs fluxes of gas into and out of aquatic ecosystems. Knowing this flux is necessary to calculate gas budgets (i.e., O2) to estimate whole-ecosystem metabolism and basin-scale carbon budgets. Empirical data on rates of gas exchange for streams, estuaries, and oceans are readily available. However, there are few data from large rivers and no data from whitewater rapi...

a 16-year-old girl with an intellectual disability (known case of down syndrome) arrived in the emergency eepartment with complaints of severe breathlessness, bloody salivation (bright red blood or clots), and difficulty in speaking and swallowing of liquids and solids. the patient gradually developed progressive bloody salivation and hoarseness, never had any history of trauma to the head and ...

To perform a bronchoscopy safely, it is very important to make a risk assessment before and after the procedure. There have been no reports of hypoxemia during sleep on the day after a bronchoscopic examination; therefore, we evaluated the oxygen saturation status during sleep on the days before and after bronchoscopy. Thirty patients that underwent bronchoscopy were studied. Continuous pulse o...