4,010 research outputs found

    Teaching percutaneous renal biopsy using unfixed human cadavers

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    Background: Percutaneous renal biopsy (PRB) is an important diagnostic procedure. Despite advances in its safety profile there remains a small but significant risk of bleeding complications. Traditionally, operators train to perform PRB through tutor instruction and directly supervised PRB attempts on real patients. We describe an approach to teaching operators to perform PRB using cadaveric simulation. Methods: We devised a full day course hosted in the Clinical Anatomy Skills Centre, with places for nine candidates. Course faculty consisted of two Consultant Nephrologists, two Nephrology trainees experienced in PRB, and one Radiologist. Classroom instruction included discussion of PRB indications, risk minimisation, and management of complications. Two faculty members acted as models for the demonstration of kidney localisation using real-time ultrasound scanning. PRB was demonstrated using a cadaveric model, and candidates then practised PRB using each cadaver model. Results: Written candidate feedback was universally positive. Faculty considered the cadaveric model a realistic representation of live patients, while the use of multiple cadavers introduced anatomical variation. Conclusions: Our model facilitates safe simulation of a high risk procedure. This might reduce serious harm associated with PRB and improve patient safety, benefiting trainee operators and patients alike

    Networked Drones for Industrial Emergency Events

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    Uncontrolled emissions of gases from industrial accidents and disasters result in huge loss of life and property. Such extreme events require a quick and reliable survey of the site for effective rescue strategy planning. To achieve these goals, a network of unmanned aerial vehicles can be deployed that survey the affected region and identify safe and danger zones. Although single UAV-based systems for gas sensing applications are well-studied in literature, research on the deployment of a UAV network for such applications, which is more robust and fault tolerant, is still in infancy. The objective of this project is to design a system that can be deployed in emergency situations to provide a quick survey and identification of safe and dangerous zones in a given region that contains a toxic plume without making any assumptions about plume location. We focus on an end-to-end solution and formulate a two-phase strategy that can not only guarantee detection/acquisition of plume but also its characterization with high spatial resolution. To guarantee coverage of the region with a certain spatial resolution, we set up a vehicle routing problem. To overcome the limitations imposed by limited range of sensors and drone resources, we estimate the concentration map by using Gaussian kernel extrapolation. Finally, we evaluate the suggested framework in simulations. Our results suggest that this two-phase strategy not only gives better error performance but is also more efficient in terms of mission time. Moreover, the comparison between 2-phase random search and 2-phase uniform coverage suggest that the latter is better for single drone systems whereas for multiple drones the former gives reasonable performance at low computational cost

    Pengaruh Strategi Pemasaran terhadap Penjualan Batubara pada PT. Cahaya Mantingan Nusantara Jakarta

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    The research aims is to collect a complete and accurate data and information concerning about the impact of marketing strategy. This study conducts an analysis to examine and analyze the execution of marketing strategy and sales and also to analyze how big the impact of marketing strategy determine the sales of coal in PT Cahaya Mantingan Nusantara Jakarta, in order to anticipate an intense competition. Correlation analysis concludes a strong and significant correlation between sales and marketing strategy. The determination coefficient shows that 52,25 percent of sales determined by marketing strategy

    The Influence of the Upper Extremities Movement on Take-off in Vertical Jump

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    The positive influence of the upper extremities swing on the effect of take-off in jumping is well known. Such movement is used in vertical jump, long jump, high jump and others. This effect causes increase of the ground reaction force produced by each segment (Luhtanen and Komi, 1978) and in addition the upper extremities swing has also a coordinative meaning, for example while double overarm movement at running is to be change into parallel movement at take off (high jump), There are also such situations like in basketball and volleyball (Wielki and Dangre, 1983; Wilkerson, 1983) in which the desired arms swing is limited by the other task which has to be performed like blocking or passing the ball. Loss in the height of the vertical jump -while the arms swing is not executed -and diminishing ground reaction force at take-off and the possible changes in biomechanical variables during take-off, are the object of this experiment
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