A chylothorax is an abnormal accumulation of chyle, a type of lipid-rich lymph, in the space surrounding the lung. The lymphatics of the digestive system normally returns lipids absorbed from the small bowel via the thoracic duct, which ascends behind the esophagus to drain into the left brachiocephalic vein. If normal thoracic duct drainage is disrupted, either due to obstruction or rupture, chyle can leak and accumulate within the negative-pressured pleural space. In people on a normal diet, this fluid collection can sometimes be identified by its turbid, milky white appearance, since chyle contains emulsified triglycerides.
Chylothorax is a rare but serious condition, as it signals leakage of the thoracic duct or one of its tributaries. There are many treatments, both surgical and conservative.[1] About 2–3% of all fluid collections surrounding the lungs (pleural effusions) are chylothoraces.[2] It is important to distinguish a chylothorax from a pseudochylothorax (a pleural effusion that happens to be high in cholesterol), which has a similar appearance visually but is caused by more chronic inflammatory processes and requires a different treatment
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A chylothorax is an abnormal accumulation of chyle, a type of lipid-rich lymph, in the space surrounding the lung. The lymphatics of the digestive system normally returns lipids absorbed from the small bowel via the thoracic duct, which ascends behind the esophagus to drain into the left brachiocephalic vein. If normal thoracic duct drainage is disrupted, either due to obstruction or rupture, chyle can leak and accumulate within the negative-pressured pleural space. In people on a normal diet, this fluid collection can sometimes be identified by its turbid, milky white appearance, since chyle contains emulsified triglycerides.
Chylothorax is a rare but serious condition, as it signals leakage of the thoracic duct or one of its tributaries. There are many treatments, both surgical and conservative.[1] About 2–3% of all fluid collections surrounding the lungs (pleural effusions) are chylothoraces.[2] It is important to distinguish a chylothorax from a pseudochylothorax (a pleural effusion that happens to be high in cholesterol), which has a similar appearance visually but is caused by more chronic inflammatory processes and requires a different treatment
Liver transplant In India by Dr. Abhideep Chaudhary, Sir Ganga Ram Hospitaldrabhideep
This presentation is related to Liver Transplant, Liver Failure, It's causes and remedy.
Here we also talk about liver transplant scenario in india and success rate of liver transplant both cadaver or living donor.
We also give a brief about the cost of liver transplant.
Dr. Abhideep Chaudhary, is liver transplant consultant/surgeon at Sir Ganga Ram Hospital, New Delhi, India.
Email : drabhideep@yahoo.com , care@drabhideep.com
Programming the schedule
1. Slide the RUN/program switch to .
2. The Switch-point indicator is 1 (1) and the Light indicator ( ) is
on, indicating your settings are for the first switch-point and
will turn the lights on.
NOTE: Odd numbered switch-points always turn the lights on,
and even numbered switch-points always turn the lights off.
3. Repeatedly press the 1…7 button until the Day indicator
points to the days you want your first switch-point to take
place. For example, if you want the first switch-point to take
place only on Tuesdays, press the 1…7 button twice so the
indicator (▲) points to 2 (2=Tuesday).
4. Repeatedly press the h button to set the hour. Make sure the
displayed AM/PM indicator is correct. To rapidly advance the
displayed hour, press and hold the h button.
5. Repeatedly press the m button to set the minute. To rapidly
advance the displayed minute, press and hold the h button.
6. When ready to proceed to the next switch-point, press the
button once. The Switch-point indicator changes to 2 (2) and
the Light indicator ( ) is off.
7. Repeat steps 3 through 6 for each switch-point. You can
program as few as 1 and as many as 16 switch-points. The
maximum number of switch-points for any single day is 8.
8. When your programming is complete, slide the RUN/program
switch to RUN.
Changing or deleting a switch-point
1. Slide the RUN/program switch to .
2. Press the button until the Switch-point indicator is displayed
for the switch-point you want to change.
■ To change the days and time, use the 1…7, h, and m
buttons.
■ To delete the switch-point, simultaneously press and hold
the and buttons until the display flashes 0:00.
3. When your changes are complete, slide the RUN/program
switch to RUN.
Reviewing the schedule
1. Slide the RUN/program switch to .
2. Repeatedly press the button. With each press, the Switch-
point indicator will increase, and the days and time for each
switch-point will be shown.
3. When your review is complete, slide the RUN/program switch
to RUN.
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Gro clock instructions
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Manuals+
User Manuals Simplified.
GRO Clock Instructions (910/3348)
Home » Argos » GRO Clock Instructions (910/3348)
How to use your groclock
Setting the brightness
You may want to adjust the brightness of the blue glow as it may be too bright during the night. There
are 11 levels of brightness available (00–10) for the blue screen only.
To adjust the levels:
From the digital clock, select the settings menu using the DOWN key — (all icons are flashing)
ENTER — (clock icon flashes) — press DOWN key 4 times to select bulb icon — (bulb icon flashes)
2. — ENTER
Using UP and DOWN keys, select the brightness level, from 00 to 10 — ENTER
When all menu icons are flashing, press DOWN button to return to digital clock mode.
Key–lock feature
The Gro–clock has a key–lock feature, similar to mobile phones. The key–lock is best used once the
sleep modes have been activated. To switch on the key–lock just press the DOWN key and HOLD for 3
seconds until you see a cross in the big star’s cheek. This means the key–lock is now on. To check it’s
working press UP or ENTER and a cross will appear on the screen. To unlock the feature, just press and
hold the DOWN key for 3 seconds until you hear a beep. Top tip: practice this so that the child does
not see you pressing and holding the keys!
The stars…
At the start there are 12 stars around Mr Star. In order to show your children the passing of time these
stars will go out evenly over the sleep or nap time. For example, if you set the Gro–clock for 12 hours,
one star will go out every hour, or if you set for 1 hour nap one star will go our every 5 minutes. When
the clock reaches the wake–up time that you set, the star disappears into a sun–rise and the sun
appears.
Frequently asked questions
Q. If the power is turned off, does the clock remember the correct time?
A. When the power goes off, the clock ‘freezes’ all the settings, including the main time, the wake up
times and brightness settings. Therefore if the power goes off for a few seconds and then back on, the
time will have been paused for a few seconds. However if the power was off say for 3 hours, then the
time will be out by 3 hours and will therefore need re–setting.
Q. If I need to keep the power on to maintain the correct time, should I worry about
electricity consumption?
A. No, your clock uses LEDs so it’s naturally energy efficient. However it also has a built–in energy
saving mode. One hour after the wake up time has activated, the clock automatically turns off
coloured LED lights and runs on a tiny amount of electricity. To re–activate just press any key and the
colour LEDs will come back.
Q. What is the difference between the night–time and day–time nap mode?
A. In a way they are very similar because the clock works in exactly the same way in both modes.
Once activated, the clock will count down and the star will change into the sun at the time set in each
mode. The reason there are two modes is so that parents who are putting their children to sleep
during the day and at night can have the two different times stored, which saves them from having to
re–set the wake up times every session.
Q. Can I make the alarm sound at any time and in any mode?
A. Yes! The time you set for the alarm is independent of the night–time or day–time nap modes.
Therefore you could have the sun coming up silently at 7am and then the alarm sounding at 7.30am.
Q. How do I know if the alarm will sound?
A. The alarm bell icon appears in the cheek of the sun/star when the alarm is switched on.
Q. How can I stop my child from playing with buttons and changing the settings?
A. Very easily, by using the key–lock function, which is similar to the function on mobile phones. (See
page 6).
Q. Is there a demo mode so I can show my child how it changes from the sun to Mr Star?
A. Yes! There is a built–in demo mode which runs through all the sun and Mr Star transitions. To set
the Demo mode on, just press and hold the UP button for three seconds and the clock will show all the
transitions on a continuous loop. To turn off the Demo mode, simply press and hold the UP button for
three seconds.
Q. My screen has frozen and is not responding to the controls.
A. Switch the clock off at the mains, wait a few seconds and switch back on. If you have any other
questions, please call our customer services helpline on 0844 557 983.
4. What the screen shows:
When the Gro–clock is first switched on, the digital clock is displayed. Using the DOWN button, you can
scroll through the four screens:
1. Digital clock
2. Night–time sleep (sun with flashing star icon)
3. Day–time nap (sun with flashing sun icon)
4. Settings menu:
Step 2: Set the clock time
Set the clock time
From the digital clock, select the settings menu using the DOWN key —> (all icons are flashing)
ENTER—> (clock icon flashes) —>ENTER
Using UP and DOWN keys, select the hour —> ENTER
Select minutes —> ENTER
Select AM or PM —> ENTER
Select OFF or ON —> ENTER (selects whether the digital clock is invisible (OFF) or visible (ON) during
the normal use of the clock). This educational feature allows you to teach your child digital time at the
same time as using the stars and sun images
When all menu icons are flashing, press DOWN button to return to digital clock mode, or press ENTER
to re–enter the settings menu.
Step 3: Set the wake–up time
The Gro–clock has two different modes, one for night–time sleeps and one for day–time naps. This
means you can set two different times that you want your child to wake–up.
Set night–time sleep — setting the morning wake–up time
This is the time that the clock will change from showing the blue star (time for sleep) into showing the
yellow sun, indicating its OK for the child to get up.
From the digital clock, select the settings menu using the DOWN key —> (all icons are flashing)
ENTER —> (clock icon flashes) g press DOWN key once to select star icon —> (star icon flashes) —>
ENTER
5. Using UP and DOWN keys, select the hour —>ENTER
Select minutes —>ENTER
Select AM or PM —> ENTER
When all menu icons are flashing, press DOWN button to return to digital clock mode
Set day–time nap — setting the wake–up time for the nap
This function works exactly the same way as the night–time sleep mode, with the clock changing from
the blue star into the yellow sun, showing the child that the day–time nap has finished. This separate
setting for day–time naps, means you can have two wake–up times both stored simultaneously on the
clock.
From the digital clock, select the settings menu using the DOWN key—> (all icons are flashing)
ENTER —> (clock icon flashes) g press DOWN key twice to select Sun icon —> (Sun icon flashes) —>
ENTER
Using UP and DOWN keys, select the hour —> ENTER
Select minutes —> ENTER
Select AM or PM —> ENTER —> (all icons flashing)
When all menu icons are flashing, press DOWN button to return to digital clock mode
Top tip: some parents like to use the day–time nap setting for a ‘weekend’ wake–up time!
Step 4: Ready to go!
To activate the night–time sleep mode
From the digital clock use the DOWN key to select night–time sleep screen (the screen shows a
large yellow sun, with a small flashing star icon)
ENTER —> the clock gradually changes to the night–time star images and has now begun its
countdown to the wake–up time the following morning. Don’t forget to use the key–lock (see page
6)
or
To activate the day–time nap mode
6. From the digital clock use the DOWN key to select day–time nap screen (the screen shows a large
yellow sun, with a small flashing sun icon)
ENTER —> the clock gradually changes to the night–time star images and has now begun its
countdown to the wake–up time at the end of the nap. Don’t forget to use the key–lock (see page
6)
To de–activate either mode
If you need to de–activate the Gro–clock once the countdown has started, simply press the ENTER key
to bring it back to the night–time sleep/day–time nap screen (sun with flashing star or sun icon).
When it’s time to wake up
As soon as the last star goes out the clock will go through an animated colour changing sunrise,
indicating that it’s time to get up.
Using the book with the Gro–clock
When you are reading ‘Sleepy Farm’, leave the clock on the sun image with the icon flashing while
reading the first half of the book. At the ‘sunset’ page, press the ENTER key and the sun on the clock
will wink, just like the sun in the book! It’s great for the children to say good–bye to the sun, because
they won’t see him again until the morning! (For key–lock feature see page 6).
Additional Features
Setting the audible alarm In normal use, the Gro–clock works silently, which means that when the
wake–up time is reached the child may even stay asleep (which would be a bonus!). However, there is
the option of setting and switching on an audible alarm. This alarm can be switched on whilst using
any of the main 3 modes (i.e. night–time, day–time nap and digital clock mode). The default setting for
the clock is for the alarm to be turned off, so there are no fears of the alarm going off when you want
the clock to run silently. To switch on the alarm and set the time:
From the digital clock, select the settings menu using the DOWN key —> (all icons are flashing)
ENTER —> (clock icon flashes) —> press DOWN key 3 times to select Bell icon —> (Bell icon
flashes) —> ENTER
Using UP and DOWN keys, select the hour —> ENTER
Select minutes —> ENTER
7. Select AM or PM —> ENTER
To switch alarm on —> press the DOWN or UP key once g (bell icon flashes without cross) —>
ENTER
When all menu icons are flashing, press the DOWN key to return to digital clock mode
The alarm is now on. To show you that the alarm is on, the Bell icon now appears on all the modes and
remains in view at all times. To cancel the sounder once the alarm is making a noise, just press the UP
or DOWN key.
From the digital clock, select the settings menu using the DOWN key —> (all icons are flashing)
ENTER —> (clock icon flashes) g press DOWN key 3 times to select bell icon (bell icon flashes)
Press ENTER 4 times until the bell icon flashes
Press the DOWN or UP key once to get the icon of the bell with a cross through it —>ENTER
The alarm is now off.
GroClock-User-Manual Download
Basic Instructions for the Gro Clock
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