The document summarizes the experience with extracorporeal membrane oxygenation (ECMO) and mechanical circulatory support (MCS) at the Department of Cardiothoracic Surgery and Transplants at Monaldi Hospital in Naples, Italy from 1988-2010. It provides statistics on heart transplants performed, details on 22 cases of ECMO support in 15 patients from 2007-2010, and discusses complications in 9 cases of ventricular assist devices implanted from 1995-2007. Surgical techniques for ECMO cannulation are also described.
This document provides an overview of Duratex's business for the first semester of 2003. It summarizes Duratex's main business segments, competitors, shareholders, stock performance, capital expenditures, industrial capacity levels, and debt structure. Key points include Duratex's preferred shareholders being led by Itaúsa and pension funds, its preferred stock appreciating 22.1% in the first semester, CAPEX of R$103.5 million and EBITDA of R$139.4 million, and ramping up production of its new MDF plant.
2007* Airline Marketing Embraer Day 2007Embraer RI
This document summarizes an Embraer Day 2007 presentation on the airline market and Embraer programs for aircraft in the 30-120 seat segment. It includes the following key points:
1) The air transport industry has seen strong demand growth in recent years and is projected to continue growing. However, airlines have had to work hard to reduce costs to offset rising fuel prices.
2) The regional jet market served by Embraer's ERJ145 family and the 70-120 seat market served by Embraer's E-Jets have both evolved in recent years.
3) Projections show the airline industry as a whole and most regions are expected to have positive net results in 2007 and 2008
Analyst presentation business plan Hera 2014Hera Group
Hera Group is a leading multi-utility company in Italy that provides waste, energy, and network services. Over the past decade, Hera has grown significantly through market expansion, efficiency gains, acquisitions, and capital investments. Hera's business plan for 2014 targets further growth by expanding its customer base to 2 million customers, enhancing operating efficiency, and making selective investments to complete its asset base, with a focus on waste-to-energy plants, gas infrastructure, and network maintenance and development. Hera aims to increase its EBITDA to over 750 million Euros by 2014 through these strategic initiatives.
The document provides an overview of India's power sector and initiatives to develop smart grid technologies. It discusses:
1) Key organizations in India's power sector including the Ministry of Power, Central Electricity Authority, and state/central transmission utilities.
2) Current power scenario including installed capacity mix, plans for capacity additions, and transmission infrastructure.
3) Initiatives to modernize distribution networks and reduce losses through the Restructured Accelerated Power Development and Reforms Program (R-APDRP).
4) Efforts to develop smart grid technologies through the constitution of the Indian Smart Grid Task Force and India Smart Grid Forum to coordinate activities and establish standards.
Enter the Art of Extrusion
Alumat & Almax Mori Group investments, through the lens of fine arts
In a time of crisis and economical challenges, the choice of Alumat and Almax Mori group has been investing – new persons, new machinery, new plant, new technologies, new services.
13% of the Group’s annual turnover has been invested to improve products and processes.
The result: increased quality and efficiency, both for our internal processes and for the products.
Producing better, delivering faster, satisfying more and more customers with advanced solutions that bring extrusion to the state of an Art.
Start the voyage now, we’ll be beside you day after day.
Alumat & Almax Mori Group – Choose ahead.
A DECISION SUPPORT SYSTEM TO DETERMINE THE SPORT SPONSORSHIP RESPONSE Mine ISIK
This document outlines a decision support system to determine the effectiveness of sport sponsorship agreements and selection of sponsorships. It discusses literature on sports sponsorship and marketing applications of the Analytic Hierarchy Process (AHP). The proposed model evaluates sponsorship selection based on criteria such as sport type, sponsor-team relations, sponsor effects, and team qualifications. Results of applying the AHP model are also presented.
The New Service Economy: Innovation in ServicesIan Miles
The document discusses service innovation and the evolution of understanding services and service innovation. It notes the growing interest in "service innovation" in academic publications over time. It describes key service industry sectors and perspectives on what services do, namely effect transformations of entities like goods, buildings, and human beings to achieve various effects. The document outlines three main types of transformations services provide: physical, human, and informational, with most service industries involving a mixture of all three.
The document provides an overview of global soybean supply and demand from 1990/1991 to 2011/2012. Some key points:
- Global soybean consumption increased 152% from 1990/1991 to 2010/2011, more than corn (83%) or wheat (21%).
- The top four soybean producing countries are the US, Argentina, Brazil, and China.
- Soybean production and consumption have been rising in most regions. Global soymeal consumption is forecast to reach 177 million tons in 2011/2012.
This document provides an overview of Duratex's business for the first semester of 2003. It summarizes Duratex's main business segments, competitors, shareholders, stock performance, capital expenditures, industrial capacity levels, and debt structure. Key points include Duratex's preferred shareholders being led by Itaúsa and pension funds, its preferred stock appreciating 22.1% in the first semester, CAPEX of R$103.5 million and EBITDA of R$139.4 million, and ramping up production of its new MDF plant.
2007* Airline Marketing Embraer Day 2007Embraer RI
This document summarizes an Embraer Day 2007 presentation on the airline market and Embraer programs for aircraft in the 30-120 seat segment. It includes the following key points:
1) The air transport industry has seen strong demand growth in recent years and is projected to continue growing. However, airlines have had to work hard to reduce costs to offset rising fuel prices.
2) The regional jet market served by Embraer's ERJ145 family and the 70-120 seat market served by Embraer's E-Jets have both evolved in recent years.
3) Projections show the airline industry as a whole and most regions are expected to have positive net results in 2007 and 2008
Analyst presentation business plan Hera 2014Hera Group
Hera Group is a leading multi-utility company in Italy that provides waste, energy, and network services. Over the past decade, Hera has grown significantly through market expansion, efficiency gains, acquisitions, and capital investments. Hera's business plan for 2014 targets further growth by expanding its customer base to 2 million customers, enhancing operating efficiency, and making selective investments to complete its asset base, with a focus on waste-to-energy plants, gas infrastructure, and network maintenance and development. Hera aims to increase its EBITDA to over 750 million Euros by 2014 through these strategic initiatives.
The document provides an overview of India's power sector and initiatives to develop smart grid technologies. It discusses:
1) Key organizations in India's power sector including the Ministry of Power, Central Electricity Authority, and state/central transmission utilities.
2) Current power scenario including installed capacity mix, plans for capacity additions, and transmission infrastructure.
3) Initiatives to modernize distribution networks and reduce losses through the Restructured Accelerated Power Development and Reforms Program (R-APDRP).
4) Efforts to develop smart grid technologies through the constitution of the Indian Smart Grid Task Force and India Smart Grid Forum to coordinate activities and establish standards.
Enter the Art of Extrusion
Alumat & Almax Mori Group investments, through the lens of fine arts
In a time of crisis and economical challenges, the choice of Alumat and Almax Mori group has been investing – new persons, new machinery, new plant, new technologies, new services.
13% of the Group’s annual turnover has been invested to improve products and processes.
The result: increased quality and efficiency, both for our internal processes and for the products.
Producing better, delivering faster, satisfying more and more customers with advanced solutions that bring extrusion to the state of an Art.
Start the voyage now, we’ll be beside you day after day.
Alumat & Almax Mori Group – Choose ahead.
A DECISION SUPPORT SYSTEM TO DETERMINE THE SPORT SPONSORSHIP RESPONSE Mine ISIK
This document outlines a decision support system to determine the effectiveness of sport sponsorship agreements and selection of sponsorships. It discusses literature on sports sponsorship and marketing applications of the Analytic Hierarchy Process (AHP). The proposed model evaluates sponsorship selection based on criteria such as sport type, sponsor-team relations, sponsor effects, and team qualifications. Results of applying the AHP model are also presented.
The New Service Economy: Innovation in ServicesIan Miles
The document discusses service innovation and the evolution of understanding services and service innovation. It notes the growing interest in "service innovation" in academic publications over time. It describes key service industry sectors and perspectives on what services do, namely effect transformations of entities like goods, buildings, and human beings to achieve various effects. The document outlines three main types of transformations services provide: physical, human, and informational, with most service industries involving a mixture of all three.
The document provides an overview of global soybean supply and demand from 1990/1991 to 2011/2012. Some key points:
- Global soybean consumption increased 152% from 1990/1991 to 2010/2011, more than corn (83%) or wheat (21%).
- The top four soybean producing countries are the US, Argentina, Brazil, and China.
- Soybean production and consumption have been rising in most regions. Global soymeal consumption is forecast to reach 177 million tons in 2011/2012.
A 60-year-old female presented with an interventricular septum rupture following a myocardial infarction. Immediate surgical repair carried too high of a risk. She was stabilized with an extracorporeal membrane oxygenation (ECMO) device, which supported her cardiovascularly and allowed time for planning. After four days on ECMO, her condition worsened and she received a heart transplant. She recovered well and was discharged after one month with no complications at her six-month follow-up. The conclusion was that ECMO can effectively bridge high-risk patients with septal ruptures to surgery or transplantation.
Amarelli 313 Transplantation Ii Early Graft Failure After Heart Transplant Le...Cristiano Amarelli
The document discusses a study examining risk factors for early graft failure (EGF) within 24 hours of heart transplantation. The study analyzed 317 transplant recipients and identified factors significantly associated with EGF, including male sex, redo surgery, high donor inotrope use, weight mismatch over 20%, and longer ischemic time. EGF occurred in 32 patients (10.1%) and was associated with high mortality of 52.9%.
pre and post transplant echo , contrast echo Leonardo Vinci
This document discusses the use of contrast echocardiography for pre- and post-operative evaluation of heart transplant patients. It outlines how echocardiography is used to evaluate donor hearts prior to transplantation, assess for complications immediately after transplantation, and monitor cardiac structure and function long-term. Contrast echocardiography helps improve endocardial border visualization and allows for more accurate assessment of parameters like ventricular volumes and ejection fraction both before and after transplantation. The document also discusses the role of echocardiography in diagnosing issues like rejection and transplant coronary artery disease.
This document provides an overview of ultrasound techniques for examining the hip. It discusses using ultrasound to view structures like the hip joint, labrum, muscles like the sartorius and rectus femoris, and the femoral nerve bundle. For each structure, it provides tips on patient positioning and transducer orientation as well as the equivalent MRI imaging plane. It also shows examples of pathologies like a labral tear or adductor strain visible on ultrasound. The document aims to describe the ultrasound technique for comprehensively examining the anterior, medial, lateral and posterior aspects of the hip.
This document provides definitions and ultrasound imaging appearances of common musculoskeletal abnormalities including:
1. Joint effusion seen as anechoic intraarticular fluid.
2. Synovial hypertrophy seen as non-displaceable hypoechoic tissue that may exhibit Doppler signals, indicating inflammation.
3. Tendon lesions like tenosynovitis seen as hypoechoic synovial sheath widening and tendinitis seen as hypoechoic and thickened tendons.
4. Enthesopathy seen as hypoechoic tendon attachments to bone that may have Doppler signals and bony changes.
5. Bursitis seen as abnormally distended anechoic or hypoechoic
This document provides an overview of musculoskeletal ultrasound (MSK US) and tendon anatomy and pathology. It discusses the basics of MSK US, including equipment selection, probe placement, image orientation, and normal anatomical structures like tendons, ligaments, and bones. It also covers current, developing and potential clinical indications for MSK US in evaluating conditions like effusions, synovitis, tendon tears, and bone abnormalities. Finally, it discusses tendon anatomy in detail, describing the histological structure and features of supporting versus sliding tendons, as well as myotendinous and osteotendinous junctions.
This document discusses the role of echocardiography in assessing hearts for transplantation and monitoring hearts after transplantation. It covers how echo is used to evaluate donor hearts for abnormalities and the condition of the coronary arteries. Echo is also vital for monitoring transplant recipients for signs of rejection by assessing left ventricular mass, valve performance, and ventricular function. The document introduces a new echo rejection score using tissue Doppler imaging metrics that shows promise as a non-invasive alternative to biopsy for detecting rejection.
step by step presentation on ultrasound evaluation of shoulder and knee joints with illustrations of probe positioning.multiple examples of pathologies also added.
The document outlined ultrasound techniques for evaluating various structures of the knee, including tendons, ligaments, menisci, and neurovascular structures. It described optimal probe positioning and leg positioning for visualizing each target structure in longitudinal and transverse views. Comparisons were made to equivalent MRI planes to aid ultrasound interpretation. A variety of pathologies were also demonstrated through ultrasound images.
Rheumatoid arthritis and osteoarthritisSonal Saran
Rheumatoid arthritis is a chronic inflammatory disease that predominantly affects the joints, especially small joints of the hands and feet. It is more common in women and involves symmetrical polyarticular inflammation of joints. The pathophysiology involves both cellular and humoral immune mechanisms leading to synovial membrane proliferation and cartilage/bone erosion. Osteoarthritis is the most common type of arthritis and is characterized by degeneration of joint cartilage and underlying bone, commonly affecting weight bearing joints like the hips and knees. Risk factors include age, obesity, trauma and genetics. Symptoms include joint pain, stiffness and decreased range of motion.
This document discusses the convergence of communication technologies and the importance of IPv6. It notes that voice will remain the dominant mobile application in the near future but mobile internet usage is growing rapidly. It also discusses that IPv4 addresses are finite and will run out by 2010, forcing networks to increasingly rely on IPv6. IPv6 allows for long-lived connections without keepalive messages, improving battery life for mobile devices, as converged communication shifts to an all-IP model.
The document is an environmental report from 2008 that discusses the company's environmental initiatives and performance that year. It covers topics like reducing CO2 emissions, waste management, environmental accounting, and biodiversity conservation efforts. The report aims to disclose the company's environmental activities and impacts to stakeholders in a transparent manner.
‘Wind in our Sails’ is about offshore wind energy and provides a detailed analysis of the sector’s rapidly developing supply chain.
A growing industry with huge potential and massive developer interest, offshore is nonetheless facing a possible financing gap and an inadequate power grid. Questions answered in the report include;
How much capacity is currently installed?
Will there be enough turbines, foundations, cables, ships and ports.
How much is under construction, consented and in government concession zones?
How will the sector develop in the next few years?
(November 2011)
Market for Gas as a Motor Fuel in Russia and GloballyBlueCorridorRally
This document discusses Gazprom's role in Russia's compressed natural gas (CNG) market and opportunities for growth. It notes that Russia currently ranks 20th globally in vehicle fleet running on natural gas, with 86,000 vehicles, and that Gazprom operates 242 of Russia's 525 CNG stations. Factors that could support growth include government subsidies, more CNG vehicle options, regional conversion programs, and expanding refueling infrastructure. The railway sector is also exploring use of liquefied natural gas to power locomotives. Gazprom aims to set targets and measures to develop the CNG market through legal and policy frameworks.
1) Cloud computing and virtualization are transforming IT and businesses by increasing flexibility and lowering costs.
2) Mobile usage is growing rapidly, with over 1 billion smartphones currently in use and mobile sales increasing significantly year-over-year.
3) EMC storage solutions are highly integrated with VMware virtualization and ranked #1 by customers in virtualized server environments, positioning EMC as the leader for private and hybrid cloud infrastructure.
- PRT Growing Services Ltd. is the largest producer of container grown forest seedlings in North America, with 13 nursery sites and over 425 employees.
- The presentation discusses PRT's competitive position, contracted revenue stream, forest seedling market drivers including the housing market and export markets, and the impact of the US housing market downturn on PRT's financial performance between 2008-2011.
- Looking ahead, PRT's growth strategies include leveraging an expected housing market recovery, expanding into regional forestry markets, diversifying into non-forestry starter plants and hardwood seedlings.
The document discusses using paleolimnological techniques to reconstruct ecosystem responses in three peri-alpine lakes - Lake Annecy, Lake Bourget, and Lake Geneva - over the past 150 years to hierarchical effects of climate change and local human pressures. Generalized additive models are used to infer the temporal contributions of climate, nutrient inputs, and fish stocking/predation on diatom communities and other biological proxies. Results suggest climate was relatively more important than local factors in earlier periods, while local pressures like nutrients and fish stocking have dominated more recently, varying between the individual lakes. Comparing the relative impacts of different forcings over time aims to improve understanding of lake sensitivity to multiple environmental drivers.
The document discusses automating infrastructure using configuration management tools like Chef. It provides an overview of Chef, including its architecture and key components. Chef uses cookbooks and recipes to describe infrastructure in code. Cookbooks contain attributes, recipes, and artifacts. Recipes operate with reusable resources. The Chef server stores node configuration and cookbooks. It communicates with nodes via its REST API. Nodes run Chef client which uses Ohai to discover attributes and executes recipes to ensure nodes match configurations.
After a review of the State of the World --societal, environmental and economic-- we give some data about the Cyprus economy and explain why Innovation is the Way.
A 60-year-old female presented with an interventricular septum rupture following a myocardial infarction. Immediate surgical repair carried too high of a risk. She was stabilized with an extracorporeal membrane oxygenation (ECMO) device, which supported her cardiovascularly and allowed time for planning. After four days on ECMO, her condition worsened and she received a heart transplant. She recovered well and was discharged after one month with no complications at her six-month follow-up. The conclusion was that ECMO can effectively bridge high-risk patients with septal ruptures to surgery or transplantation.
Amarelli 313 Transplantation Ii Early Graft Failure After Heart Transplant Le...Cristiano Amarelli
The document discusses a study examining risk factors for early graft failure (EGF) within 24 hours of heart transplantation. The study analyzed 317 transplant recipients and identified factors significantly associated with EGF, including male sex, redo surgery, high donor inotrope use, weight mismatch over 20%, and longer ischemic time. EGF occurred in 32 patients (10.1%) and was associated with high mortality of 52.9%.
pre and post transplant echo , contrast echo Leonardo Vinci
This document discusses the use of contrast echocardiography for pre- and post-operative evaluation of heart transplant patients. It outlines how echocardiography is used to evaluate donor hearts prior to transplantation, assess for complications immediately after transplantation, and monitor cardiac structure and function long-term. Contrast echocardiography helps improve endocardial border visualization and allows for more accurate assessment of parameters like ventricular volumes and ejection fraction both before and after transplantation. The document also discusses the role of echocardiography in diagnosing issues like rejection and transplant coronary artery disease.
This document provides an overview of ultrasound techniques for examining the hip. It discusses using ultrasound to view structures like the hip joint, labrum, muscles like the sartorius and rectus femoris, and the femoral nerve bundle. For each structure, it provides tips on patient positioning and transducer orientation as well as the equivalent MRI imaging plane. It also shows examples of pathologies like a labral tear or adductor strain visible on ultrasound. The document aims to describe the ultrasound technique for comprehensively examining the anterior, medial, lateral and posterior aspects of the hip.
This document provides definitions and ultrasound imaging appearances of common musculoskeletal abnormalities including:
1. Joint effusion seen as anechoic intraarticular fluid.
2. Synovial hypertrophy seen as non-displaceable hypoechoic tissue that may exhibit Doppler signals, indicating inflammation.
3. Tendon lesions like tenosynovitis seen as hypoechoic synovial sheath widening and tendinitis seen as hypoechoic and thickened tendons.
4. Enthesopathy seen as hypoechoic tendon attachments to bone that may have Doppler signals and bony changes.
5. Bursitis seen as abnormally distended anechoic or hypoechoic
This document provides an overview of musculoskeletal ultrasound (MSK US) and tendon anatomy and pathology. It discusses the basics of MSK US, including equipment selection, probe placement, image orientation, and normal anatomical structures like tendons, ligaments, and bones. It also covers current, developing and potential clinical indications for MSK US in evaluating conditions like effusions, synovitis, tendon tears, and bone abnormalities. Finally, it discusses tendon anatomy in detail, describing the histological structure and features of supporting versus sliding tendons, as well as myotendinous and osteotendinous junctions.
This document discusses the role of echocardiography in assessing hearts for transplantation and monitoring hearts after transplantation. It covers how echo is used to evaluate donor hearts for abnormalities and the condition of the coronary arteries. Echo is also vital for monitoring transplant recipients for signs of rejection by assessing left ventricular mass, valve performance, and ventricular function. The document introduces a new echo rejection score using tissue Doppler imaging metrics that shows promise as a non-invasive alternative to biopsy for detecting rejection.
step by step presentation on ultrasound evaluation of shoulder and knee joints with illustrations of probe positioning.multiple examples of pathologies also added.
The document outlined ultrasound techniques for evaluating various structures of the knee, including tendons, ligaments, menisci, and neurovascular structures. It described optimal probe positioning and leg positioning for visualizing each target structure in longitudinal and transverse views. Comparisons were made to equivalent MRI planes to aid ultrasound interpretation. A variety of pathologies were also demonstrated through ultrasound images.
Rheumatoid arthritis and osteoarthritisSonal Saran
Rheumatoid arthritis is a chronic inflammatory disease that predominantly affects the joints, especially small joints of the hands and feet. It is more common in women and involves symmetrical polyarticular inflammation of joints. The pathophysiology involves both cellular and humoral immune mechanisms leading to synovial membrane proliferation and cartilage/bone erosion. Osteoarthritis is the most common type of arthritis and is characterized by degeneration of joint cartilage and underlying bone, commonly affecting weight bearing joints like the hips and knees. Risk factors include age, obesity, trauma and genetics. Symptoms include joint pain, stiffness and decreased range of motion.
This document discusses the convergence of communication technologies and the importance of IPv6. It notes that voice will remain the dominant mobile application in the near future but mobile internet usage is growing rapidly. It also discusses that IPv4 addresses are finite and will run out by 2010, forcing networks to increasingly rely on IPv6. IPv6 allows for long-lived connections without keepalive messages, improving battery life for mobile devices, as converged communication shifts to an all-IP model.
The document is an environmental report from 2008 that discusses the company's environmental initiatives and performance that year. It covers topics like reducing CO2 emissions, waste management, environmental accounting, and biodiversity conservation efforts. The report aims to disclose the company's environmental activities and impacts to stakeholders in a transparent manner.
‘Wind in our Sails’ is about offshore wind energy and provides a detailed analysis of the sector’s rapidly developing supply chain.
A growing industry with huge potential and massive developer interest, offshore is nonetheless facing a possible financing gap and an inadequate power grid. Questions answered in the report include;
How much capacity is currently installed?
Will there be enough turbines, foundations, cables, ships and ports.
How much is under construction, consented and in government concession zones?
How will the sector develop in the next few years?
(November 2011)
Market for Gas as a Motor Fuel in Russia and GloballyBlueCorridorRally
This document discusses Gazprom's role in Russia's compressed natural gas (CNG) market and opportunities for growth. It notes that Russia currently ranks 20th globally in vehicle fleet running on natural gas, with 86,000 vehicles, and that Gazprom operates 242 of Russia's 525 CNG stations. Factors that could support growth include government subsidies, more CNG vehicle options, regional conversion programs, and expanding refueling infrastructure. The railway sector is also exploring use of liquefied natural gas to power locomotives. Gazprom aims to set targets and measures to develop the CNG market through legal and policy frameworks.
1) Cloud computing and virtualization are transforming IT and businesses by increasing flexibility and lowering costs.
2) Mobile usage is growing rapidly, with over 1 billion smartphones currently in use and mobile sales increasing significantly year-over-year.
3) EMC storage solutions are highly integrated with VMware virtualization and ranked #1 by customers in virtualized server environments, positioning EMC as the leader for private and hybrid cloud infrastructure.
- PRT Growing Services Ltd. is the largest producer of container grown forest seedlings in North America, with 13 nursery sites and over 425 employees.
- The presentation discusses PRT's competitive position, contracted revenue stream, forest seedling market drivers including the housing market and export markets, and the impact of the US housing market downturn on PRT's financial performance between 2008-2011.
- Looking ahead, PRT's growth strategies include leveraging an expected housing market recovery, expanding into regional forestry markets, diversifying into non-forestry starter plants and hardwood seedlings.
The document discusses using paleolimnological techniques to reconstruct ecosystem responses in three peri-alpine lakes - Lake Annecy, Lake Bourget, and Lake Geneva - over the past 150 years to hierarchical effects of climate change and local human pressures. Generalized additive models are used to infer the temporal contributions of climate, nutrient inputs, and fish stocking/predation on diatom communities and other biological proxies. Results suggest climate was relatively more important than local factors in earlier periods, while local pressures like nutrients and fish stocking have dominated more recently, varying between the individual lakes. Comparing the relative impacts of different forcings over time aims to improve understanding of lake sensitivity to multiple environmental drivers.
The document discusses automating infrastructure using configuration management tools like Chef. It provides an overview of Chef, including its architecture and key components. Chef uses cookbooks and recipes to describe infrastructure in code. Cookbooks contain attributes, recipes, and artifacts. Recipes operate with reusable resources. The Chef server stores node configuration and cookbooks. It communicates with nodes via its REST API. Nodes run Chef client which uses Ohai to discover attributes and executes recipes to ensure nodes match configurations.
After a review of the State of the World --societal, environmental and economic-- we give some data about the Cyprus economy and explain why Innovation is the Way.
This document summarizes an Embraer Day 2007 presentation on the airline market and Embraer programs for aircraft in the 30-120 seat segment. It includes the following key points:
1) The air transport industry has seen strong demand growth in recent years and is projected to continue growing. However, airlines have had to work hard to reduce costs to offset rising fuel prices.
2) The regional jet market served by Embraer's ERJ145 family and the 70-120 seat market served by Embraer's E-Jets have both evolved in recent years.
3) Projections show the airline industry as a whole and most regions are expected to have positive net results in 2007 and 2008
This document is an answer sheet for an IELTS listening exam. It instructs test takers to fill in personal information like their name, candidate number, and test date in the designated boxes. The sheet contains 40 questions and boxes to mark answers with a check or X. Test administrators will initial the sheet after checking answers and include the listening sub-score and total score.
Social-ecological dynamics and the effects of bonding social capital on local...Kemraj Parsram
Grenville, the second largest fishing centre in Grenada, share characteristics typical of small scale fisheries across the eastern Caribbean and further afield. A major fishery involves small tunas and tuna-like fishes. Approximately 50 boats, typically with a crew of 2, troll daily inside and along the edge of the island’s extensive shelf, landing on average nearly 400 metric tonnes of fish annually. Sixty percent of these landings are usually blackfin tuna (locally known as ‘bonita’ or ‘common tur’) and skip jack tuna. Over the last seven years, this fishery and particularly its marketing system have been plagued with perturbations, both idiosyncratic and covariate. In this paper, I explore some critical social-ecological factors that cause or contribute to these perturbations. I highlight how bonding social capital between fishers and unemployed youths (two key categories of stakeholders in the fishery) helps them to cope with some of these perturbations, as well as adding fire to the flame. This paper is part of larger doctoral research on the governance of small-scale fisheries in the eastern Caribbean. The findings here are based upon information collected through key informant interviews, participant observations, and informal interviews during a one year period of residence (July 2010 - June 2011) in the fishing community of Grenville.
1. Thailand has experienced strong regional economic disparities over the past several decades. Bangkok and surrounding areas form the economic core region and have significantly higher GDP per capita than other regions, particularly the northern and northeastern border regions.
2. Within regions, border areas tend to lag further behind economically compared to core areas. Border regions have high poverty rates and lower wages. However, cross-border trade has helped boost local economies and may help reduce inter-regional disparities over time.
3. The government has implemented investment policies to encourage development outside of Bangkok, but most investment still clusters in core regions due to agglomeration economies. Some border industrialization has occurred, but investment levels remain far below core regions
This document provides a summary of the presentation "Understanding the recession and laughing in its face" given by Joe Saxton to the Association of Charity Shops in July 2009. It includes graphs of key economic indicators in the UK such as GDP growth, inflation, interest rates, earnings growth, unemployment, house prices, stock market performance, currency values, and retail sales trends. It also examines consumer confidence data and how the public has been economizing during the recession.
Smallholders represent a significant portion (38%) of oil palm cultivation in Indonesia, and represent a critical component of the palm oil industry, as well as constitute a significant opportunity to improve livelihoods in resource-poor settings. Smallholders’ engagement in oil palm cultivation began as part of Indonesian government to promote tree plantation crops in the late 1970s. The initial programme consisted basically of direct state investments through state-owned companies (PTPN) and was integrated with government-sponsored transmigration programmes to provide a labor force for the new plantations. This integration was embryonic for smallholder engagement in state-led agribusiness. The emergence of smallholder oil palm planters constituted a spread effect of plantation development led by the government. The state agribusiness-driven policy has transformed rural areas and settlement development was started in the surrounding of large-scale oil palm plantation.
The document contains data from 1999-2012 on the reach and hours for Absolute Radio in the UK and London. It shows Absolute Radio's reach and hours increasing over time in both the UK and London. Charts also show Absolute Radio's share of London men and overall London listeners increasing over time, with its highest shares in weekday mornings.
This document discusses the importance of saving energy. It shows that between 1986 and 2007, both Thailand's population and energy consumption increased substantially. Specifically, the population grew from around 50,000 to over 60,000 and energy usage rose from about 300,000 to nearly 900,000 tonnes of oil equivalent. This rapid growth in energy consumption could create problems if not managed properly.
The document discusses challenges facing efforts to reduce economic disparities between regions in England. It notes that while the goal is to narrow gaps in growth rates, economic performance has always varied between cities and little progress has been made. Barriers include a lack of consensus around the role of core cities, artificial administrative boundaries, and departments prioritizing different approaches. Resolving tensions between priorities of growth places versus places in need remains difficult politically.
Set di slides divulgative per la manifestazione della Regione Campania organizzata dal Monaldi- Azienda dei Colli- in supporto alla donazione di Organi in occasione della settimana della donazione 2018. #partenopedona
Corso formativo della Società italiana trapianti di organo.
Principi base ed evoluzione degli schemi immunosoppressivi nel trapianto di cuore dagli albori ad oggi: dai protocolli di centro alla medicina personalizzata.
A rapid overview of indications to Mechanical Circulatory Support in the Acute and Chronic Setting of Heart Failure concluding with the new horizons in LVAD therapy and Heart Replacement.
Slides from the first meeting of ECTTA held in Budapest. The presentation focused on the role of EUROMACS data in the expansion of knowledge on Mechanical Circulatory Support.
European Consensus on Expansion of Thoracic Donor Pool (ECTTA)Cristiano Amarelli
This document outlines tasks and responsible roles for developing consensus recommendations on maximizing the use of organs recovered from cadaver donors. It proposes that each participant suggest two choices for each task to identify two individuals responsible for each task. Each task description would be made available online for editing by all participants. The draft divides tasks into areas like donor assessment, management, monitoring, organ preservation techniques, allocation protocols, and considerations for pediatric transplantations. Responsible roles would include clinicians, anesthesiologists, surgeons, and procurement agencies.
Asaio 2017: Predicting Right Ventricular Failure in CF-LVAD Era.Cristiano Amarelli
The ALMA score from Loforte et al. presented at the ASAIO meeting in Chicago on June 24th. An Useful Decision Supporting Tool available bedside to predict right ventricular failure and even to modify the surgical planning to support/protect right heart and warranting better outcome.
The document discusses short-term mechanical circulatory support devices like extracorporeal membrane oxygenation (ECMO) and the Impella pump. ECMO can be used to provide both cardiac and respiratory support through peripheral or central cannulation. It discusses indications, configurations, complications and management of ECMO. The Impella is an axial flow pump that is placed via catheter into the heart to unload the left ventricle and increase cardiac output, protecting the myocardium with less invasive placement compared to other devices.
This document discusses rehabilitation in heart transplant patients. It provides statistics on heart transplants performed from 1988-2006, including the most common causes of heart disease. It also discusses treatment at the time of transplant, trends in recipient characteristics, and survival rates post-transplant. Complications after transplant like hypertension, renal dysfunction, hyperlipidemia, diabetes and coronary altery disease are common. Exercise intolerance is also discussed. Rehabilitation including exercise training can help increase VO2 max and reduce complications like osteoporosis and obesity. Safety precautions during rehabilitation are also recommended.
This document discusses various topics related to heart transplantation including:
1. Older donor hearts exhibit a higher risk of developing coronary allograft vasculopathy (CAV) and worse long-term outcomes.
2. Hearts from older donors also show increased risk of renal dysfunction in recipients.
3. The use of everolimus in heart transplant recipients may provide benefits such as reduced risk of acute rejection and CMV infection while also being less nephrotoxic than calcineurin inhibitors. However, everolimus use can also increase risks like hyperlipidemia and impaired wound healing.
3. Recipient age is an important factor, as older recipients have higher risks of developing
1. ECMO and MCS in Naples
Dr. Cristiano Amarelli
Perfusionist: Emanuele Petrazzuolo
Department of Cardiothoracic Surgery and Transplants
Second University of Naples
Monaldi Hospital
Napoli
11. Experience in Naples with ventricular assistances
19952007 9 Novacor
2007
1 ABIOMED died for infection before heart transplantation Intermacs 3
1 ABIOMED crash and burn
2008
1 De Bakey crash and burn
2009 4 LEVITRONIX
V. M. RVAD (Levitronix) + LVAS (Heartmate) Intermacs 2 OK
S. G. RVAD (Levitronix post Redo for Prosthetic Endocarditis) crash and burn OK
S. A. ECMO per IR after Emergent Mitral Rupture crash and burn
S. D. LVAS (Heartmate) RVAD (Levitronix) and upgrade to V-V ECMO (Levitronix)
2010 5 LEVITRONIX + 3 ARDS Percutaneous ECMO GiugFem
Z. S. RVAD(Levitronix)+LVAS (Heartmate)RVAD RemovalRVFIntermacs 2
G. M. Berlin Heart Intermacs 2 OK
G. M. Berlin Heart Infection (7months) Transplant ECMO crash and burn OK
K. K. ECMO post-cardiotomy failure Transplant crash and burn
B. A. ECMO post cardiotomy failure Transplant crash and burn OK
D. F. RVAD (in operata di DIV) crash and burn OK
12. Experience in Naples
Complications
2007 2 surgical revisions for bleeding on the same
patient
2009
Cerebral Hemorrhage after 8 months
1 surgical revision for Pulmonary Cannula migration
Cerebral Hemorrhage after 1 month
2010
Right Ventricular failure after RVAD removal
1 surgical revision for atrial tamponade
13. Surgical Tecnique and methods
Double Tobacco Pursestring on teflon felt
Tourniquets Secured Tying Suture on a small Teflon Felt
Application of spray VIVOSTAT Fibrin Sealant
14.
15.
16. V.M. 24/06/2009
Patient Characteristic RVAD Course
Male, 62 y No Bleeding
60 Kg x 160 cm Optimal RV unloading (PVC 3)
Post-ischemic Cardiomiopathy Lac on ICU 2,2 mmol/L
IACD BiV RBC Units PFC Units
Chronic Renal Failure
Postoperative Course
Chronic Peripheral Arteriopathy
On 3° p.o. Estubated
Type of MCS On 20° p.o. RVAD Removed
Levitronix: Right Atrium PA On 64° p.o. Discharged
Heartmate II
17. G. M. 07/03/2010
Patient Characteristic ECMO Course
Female, 10 y Surgical Revision for Bleeding
24 Kg x 115 cm RBC 15 Units PFC 18 Units
Post-myocarditis
On November 2009 Excor BVAD
Postoperative Course
Transplanted on 07/03/2010
On 5° p.o. Estubated
Donor: 15 Kg 5 Years old
On 7° p.o. ECMO Removed
Type of MCS On 72°p.o. Discharged
After CPB Levitronix: Now on I NYHA
Right Atrium Aorta
18. B.A. 25/05/2010
Patient Characteristic Type of MCS
Female, 66 y Levitronix:Right Atrium Aorta
72 Kg x 160 cm
Elective Mitral Replacement ECMO Course
HCV + RNA- Lac in ICU: 6,3 mmol/L
PO2>150 mmHg PCO2 OK
Postoperative Course I Day Drainage 425 cc
On 2° p.o. Hour Cardiogenic shock II day: Revision for Atrial tamponade
CPR and IABP IV Day: Heart Transplantation
During CPR transferred in OR V Day: IABP Removed
RBC 10 Units, PFC 12 Units
Still Hospidalized for Pulmonary Infection
21. Experience in Naples with Respiratory ECMO
2010 3 ARDS
Percutaneous ECMO GiugFem MEDOSHILITE LAEVITRONICS
P. R. 22 y H1N1 Infection Duration 28 gg
C. P. 28 y H1N1 Infection Duration 12 gg
P. G. 34 y H1N1 Infection Duration 30 gg
22. Paziente ECMO: P.R. aa 22, IVDU
Ventilation Duration Pre-ECMO 3d
ICU Stay 30d (28d in ECMO)
Blood Flow 1° h (Liters/min) 5, 07
Blood Flow 1° d (Liters/min) 3.73
Gas Flow 1°d (Liters/min) 4.65
PTT ratio 41.9
Oxygenator Model MEDOSHILITE LAEVITRONICS
ECMO - Cannulation GiugularFemoral
VAM modality BIPAP
23. Conclusions
ECMO can be a lifesaving strategy in patients with end-
stage circulatory and respiratory failure.
Results are strictly related to the reversibility of the
underlying disease and the timing of the indication.
Anticoagulation management is still a challenge in the
setting of Circulatory Support with central ECMO.