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1.
J Surg Case Rep ; 2020(6): rjaa114, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32582430

RESUMO

An aorto-esophageal fistula (AEF) is a rare yet life-threatening cause of upper gastrointestinal bleeding. We report our experience with open surgical management of two cases of AEF. Both cases presented with almost identical presentations: hematemesis and hemodynamic instability. The aorta in the first patient was normal; the defect was small and was repaired with a Dacron patch. The second patient had an aneurysmal aorta, which was replaced with a Dacron graft. Both cases were performed under partial bypass. The esophageal rent in both patients was debrided, primarily closed and buttressed with a vascularized intercostal pedicle. Nonavailability of endovascular personnel and equipment along with hemodynamic instability of the patient influenced our surgical strategy. Long-term follow-up of these patients is necessary to analyze the outcomes of our surgical repair.

2.
Nanotechnol Sci Appl ; 7: 63-71, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25187699

RESUMO

Attempts to apply nanotechnology in agriculture began with the growing realization that conventional farming technologies would neither be able to increase productivity any further nor restore ecosystems damaged by existing technologies back to their pristine state; in particular because the long-term effects of farming with "miracle seeds", in conjunction with irrigation, fertilizers, and pesticides, have been questioned both at the scientific and policy levels, and must be gradually phased out. Nanotechnology in agriculture has gained momentum in the last decade with an abundance of public funding, but the pace of development is modest, even though many disciplines come under the umbrella of agriculture. This could be attributed to: a unique nature of farm production, which functions as an open system whereby energy and matter are exchanged freely; the scale of demand of input materials always being gigantic in contrast with industrial nanoproducts; an absence of control over the input nanomaterials in contrast with industrial nanoproducts (eg, the cell phone) and because their fate has to be conceived on the geosphere (pedosphere)-biosphere-hydrosphere-atmosphere continuum; the time lag of emerging technologies reaching the farmers' field, especially given that many emerging economies are unwilling to spend on innovation; and the lack of foresight resulting from agricultural education not having attracted a sufficient number of brilliant minds the world over, while personnel from kindred disciplines might lack an understanding of agricultural production systems. If these issues are taken care of, nanotechnologic intervention in farming has bright prospects for improving the efficiency of nutrient use through nanoformulations of fertilizers, breaking yield barriers through bionanotechnology, surveillance and control of pests and diseases, understanding mechanisms of host-parasite interactions at the molecular level, development of new-generation pesticides and their carriers, preservation and packaging of food and food additives, strengthening of natural fibers, removal of contaminants from soil and water, improving the shelf-life of vegetables and flowers, clay-based nanoresources for precision water management, reclamation of salt-affected soils, and stabilization of erosion-prone surfaces, to name a few.

3.
ISA Trans ; 46(4): 569-82, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17559854

RESUMO

In this paper a method for fault detection and diagnosis (FDD) of real time systems has been developed. A modeling framework termed as real time discrete event system (RTDES) model is presented and a mechanism for FDD of the same has been developed. The use of RTDES framework for FDD is an extension of the works reported in the discrete event system (DES) literature, which are based on finite state machines (FSM). FDD of RTDES models are suited for real time systems because of their capability of representing timing faults leading to failures in terms of erroneous delays and deadlines, which FSM-based ones cannot address. The concept of measurement restriction of variables is introduced for RTDES and the consequent equivalence of states and indistinguishability of transitions have been characterized. Faults are modeled in terms of an unmeasurable condition variable in the state map. Diagnosability is defined and the procedure of constructing a diagnoser is provided. A checkable property of the diagnoser is shown to be a necessary and sufficient condition for diagnosability. The methodology is illustrated with an example of a hydraulic cylinder.

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