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Ultrasonography of a Helical Left Common Carotid Artery
Case Presentation: An 83-year-old woman was admitted to the intensive care unit for septic shock at which point an internal jugular central venous line was placed. The patient’s common carotid artery was visualized in an atypical location, lateral to the internal jugular vein. Further inspection revealed the common carotid artery travelling in a rotational trajectory around the internal jugular vein.Discussion: For at least two decades, point-of-care ultrasound has become the standard of care for placing central venous lines. This surprising anatomical orientation is rare and cautions physicians to fully explore a patient’s anatomy prior to placing central lines
Vortex nucleation in rotating BEC: the role of the boundary condition for the order parameter
We study the process of vortex nucleation in rotating two-dimensional BEC
confined in a harmonic trap. We show that, within the Gross-Pitaevskii theory
with the boundary condition of vanishing of the order parameter at infinity,
topological defects nucleation occurs via the creation of vortex-antivortex
pairs far from the cloud center, where the modulus of the order parameter is
small. Then, vortices move towards the center of the cloud and antivortices
move in the opposite direction but never disappear. We also discuss the role of
surface modes in this process.Comment: 6 pages, 2 figure
A Relational Event Approach to Modeling Behavioral Dynamics
This chapter provides an introduction to the analysis of relational event
data (i.e., actions, interactions, or other events involving multiple actors
that occur over time) within the R/statnet platform. We begin by reviewing the
basics of relational event modeling, with an emphasis on models with piecewise
constant hazards. We then discuss estimation for dyadic and more general
relational event models using the relevent package, with an emphasis on
hands-on applications of the methods and interpretation of results. Statnet is
a collection of packages for the R statistical computing system that supports
the representation, manipulation, visualization, modeling, simulation, and
analysis of relational data. Statnet packages are contributed by a team of
volunteer developers, and are made freely available under the GNU Public
License. These packages are written for the R statistical computing
environment, and can be used with any computing platform that supports R
(including Windows, Linux, and Mac).
Land-surface modelling in hydrological perspective – a review
The purpose of this paper is to provide a review of the different types of energy-based land-surface models (LSMs) and discuss some of the new possibilities that will arise when energy-based LSMs are combined with distributed hydrological modelling. We choose to focus on energy-based approaches, because in comparison to the traditional potential evapotranspiration models, these approaches allow for a stronger link to remote sensing and atmospheric modelling. New opportunities for evaluation of distributed land-surface models through application of remote sensing are discussed in detail, and the difficulties inherent in various evaluation procedures are presented. Finally, the dynamic coupling of hydrological and atmospheric models is explored, and the perspectives of such efforts are discussed
Droplet size and nozzle tip pressure from a pulse-width modulation sprayer
Pulse-width modulation (PWM) sprayers can improve application accuracy through flow control, turn compensation, and high-resolution overlap control by pulsing an electronically-actuated solenoid valve which controls the relative proportion of time each solenoid valve is open (duty cycle). The objective of this experiment was to identify the droplet size distribution and nozzle tip pressure when influenced by PWM duty cycle, nozzle technology, and gauge pressure to provide PWM guidelines. The experiment was conducted in a low-speed wind tunnel at the Pesticide Application Technology Laboratory using a SharpShooter® PWM system. In general, for non-venturi nozzles, as duty cycle decreased, droplet size slightly increased between 40 and 100% duty cycles. Conversely, venturi nozzles did not always follow this trend. The lowest duty cycle evaluated (20%) negatively impacted droplet size and caused inconsistencies for all nozzle by pressure combinations. The addition of a solenoid valve lowered nozzle tip pressure while gauge pressure remained constant indicating a restriction is present within the solenoid valve. Greater orifice sizes increased the pressure loss observed. Duty cycle minimally impacted nozzle tip pressure trends which were similar to the electrical square wave PWM signals. However, venturi nozzles deviated from this trend, specifically twin-fan, single pre-orifice venturi nozzles. In conclusion, venturi nozzles are not recommended for PWM systems as they may lead to inconsistent applications, specifically in regards to droplet size generation and nozzle tip pressures. Spray pressures of 276 kPa or greater and PWM duty cycles of 40% or greater are recommended to ensure proper PWM operation
Semantic Memory Functional MRI and Cognitive Function After Exercise Intervention in Mild Cognitive Impairment
Mild cognitive impairment (MCI) is associated with early memory loss, Alzheimer\u27s disease (AD) neuropathology, inefficient or ineffective neural processing, and increased risk for AD. Unfortunately, treatments aimed at improving clinical symptoms or markers of brain function generally have been of limited value. Physical exercise is often recommended for people diagnosed with MCI, primarily because of its widely reported cognitive benefits in healthy older adults. However, it is unknown if exercise actually benefits brain function during memory retrieval in MCI. Here, we examined the effects of exercise training on semantic memory activation during functional magnetic resonance imaging (fMRI). Seventeen MCI participants and 18 cognitively intact controls, similar in sex, age, education, genetic risk, and medication use, volunteered for a 12-week exercise intervention consisting of supervised treadmill walking at a moderate intensity. Both MCI and control participants significantly increased their cardiorespiratory fitness by approximately 10% on a treadmill exercise test. Before and after the exercise intervention, participants completed an fMRI famous name discrimination task and a neuropsychological battery, Performance on Trial 1 of a list-learning task significantly improved in the MCI participants. Eleven brain regions activated during the semantic memory task showed a significant decrease in activation intensity following the intervention that was similar between groups (p-values ranged 0.048 to 0.0001). These findings suggest exercise may improve neural efficiency during semantic memory retrieval in MCI and cognitively intact older adults, and may lead to improvement in cognitive function. Clinical trials are needed to determine if exercise is effective to delay conversion to AD
Rock Response in a 12-M Tunnel through a Zone of Low Strength
At the Rocky Mountain Pumped Storage Project a 12 meter diameter power tunnel was excavated through sedimentary rock for 760 meters. Approximately 10% of this tunnel was through Pennington shale that is described as a dark gray massive organic shale. This paper will describe the methods of testing .and rock characterization, the results of instrumentation and monitoring, and the post-construction testing program for the excavation, and conclude with a discussion of the observed rock response in relation to the measured strength and deformation properties. This particular zone of the tunnel required the addition of longer rockbolts, and a discussion of that supplemental rock reinforcement will be included
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