Проект Ле Морн Брабант (о. Маврикий)

Adopting the African village configuration, the design of each estate is revolved around the pool, which is an anchor point with the rooms on each side.Each estate is a collection of special purpose pavilions within its garden.Privacy and a sense of isolation is the design. The choice to interact with neighbours is exercised by each tenant, and is not the result of inadvertent proximity.The indoor becoming the outdoor, with the outdoor being within the Estate, is the intention; a oneness with the environment, with both the built up and the natural leading

DESIGN, IMPLEMENTATION AND BENCH EVALUATION OF A SYSTEM FOR AUTOMATIC SYNCHRONIZATION OF CHEST X-RAY RADIOGRAPHY WITH PEAK LUNG INFLATION

ABSTRACT The clinical diagnostic data in a chest radiograph is enhanced if chest motion is minimal and X-ray beam exposure occurs at or near peak lung inflation (PLI). Currently, for patients who cannot voluntarily hold a maximal inspiration, beam exposure is manually "synchronized" with PLI and is a hit or miss proposition. We implemented a system for automatically synchronizing beam exposure with PLI during chest radiography. Pressure and bi-directional flow at the airway of patients undergoing positive pressure ventilation are monitored by a personal computer. An algorithm coded in C looks for a zero flow crossing and a peak lung pressure to determine PLI. Custom-built interface electronics allow (a) the system to detect, in real time, which buttons on the X-ray machine handswitch are being pressed by the operator and (b) X-ray beam exposure to be triggered via the software. During bench validation using a mechanical test lung, the system worked consistently, without false triggering. Tests with human patients are currently under way, with IRB approval and informed consent. Preliminary human data indicate that higher quality and more consistent chest radiographs are possible with automatic synchronization of X-ray beam exposure with PLI

Serum markers and development of delayed neuropsychological sequelae after acute carbon monoxide poisoning: anion gap, lactate, osmolarity, S100B protein, and interleukin-6

Objective Reliable biomarkers of delayed neuropsychological sequelae (DNS) after acute carbon monoxide (CO) poisoning are lacking. This study investigated the associations between potential serum markers and the development of DNS after acute CO poisoning. Methods Retrospective chart reviews were conducted for patients diagnosed with acute CO poisoning during a 28-month period. The patients were divided into two groups according to the presence or absence of having developed DNS. Multivariate analysis was performed to identify predictors of DNS after CO poisoning. Results Of a total of 102 patients, 10 (9.8%) developed DNS. The levels of serum osmolarity, S100B protein, and serum lactate, as well as serum anion gap, were statistically significant in univariate analysis. Multiple logistic regression analysis showed that anion gap (adjusted odds ratio [AOR], 1.36; 95% confidence interval [CI], 1.11 to 1.88), serum lactate level (AOR, 1.74; 95% CI, 1.26 to 2.75), and serum S100B protein level ([AOR, 7.02×105; 95% CI, 4.56×102 to 9.00×1010] in model 1, [AOR, 3.69×105; 95% CI, 2.49×102 to 2.71×1011] in model 2) were independently associated with DNS development. Conclusion Based on our preliminary results, serum lactate level, serum anion gap, and serum S100B protein level in the emergency department could be informative predictors of DNS development in patients with acute CO poisoning. These markers might have the potential to improve early recognition of DNS in patients with acute CO poisoning

Upper Eyelid Blepharoplasty

Upper eyelid blepharoplasty is a common oculoplastic procedure used to remove excess tissue from the upper lids. This procedure can be used functionally to improve the superior visual field of a patient, or it can be performed cosmetically to enhance a patient's appearance. This chapter will discuss upper eyelid blepharoplasty, from preoperative assessment, surgical procedure, postoperative care, and potential complications involved