Long-term outcomes following Medtronic Open Pivot valved conduit

Aortic root replacement is a complex procedure, though subsequent modifications of the original Bentall procedure have made surgery more reproducible. The study aim was to examine the outcomes of a modified Bentall procedure, using the Medtronic Open PivotTM valved conduit. Whilst short-term data on the conduit and long-term data on the valve itself are available, little is known of the long-term results with the valved conduit. Patients undergoing aortic root replacement between February 1999 and February 2010, using the Medtronic Open Pivot valved conduit were identified from the prospectively collected Cardiothoracic Register at The Prince Charles Hospital, Brisbane, Australia. All patients were followed up echocardiographically and clinically. The primary end-point was death, and a Cox proportional model was used to identify factors associated.with survival. Secondary end-points were valve-related morbidity (as defined by STS guidelines) and postoperative morbidity. Predictors of morbidity were identified using logistic regression. A total of 246 patients (mean age 50 years) was included in the study. The overall mortality was 12%, with actuarial 10-year survival 79% and a 10-year estimate of valve-related death of 0.04 (95% CI: 0.004, 0.07). Preoperative myocardial infarction (p = 0.004, HR 4.74), urgency of operation (p = 0.038, HR 2.8) and 10% incremental decreases in ejection fraction (p = 0.046, HR 0.69) were predictive of mortality. Survival was also affected by the valve gradients, with a unit increase in peak gradient reducing mortality (p = 0.021, HR 0.93). Valve-related morbidity occurred in 11 patients. Urgent surgery (p <0.001, OR 4.12), aortic dissection (p = 0.015, OR 3.35), calcific aortic stenosis (p = 0.016, OR 2.35) and Marfan syndrome (p 0.009, OR 3.75) were predictive of postoperative morbidity. The reoperation rate was 1.2%. The Medtronic Open Pivot valved conduit is a safe and durable option for aortic root replacement, and is associated with low morbidity and 10-year survival of 79%. However, further studies are required to determine the effect of valve gradient on survival.

O papel do pivot na produção da notícia: estudo de caso da SIC

Relatório de estágio apresentado à Escola Superior de Comunicação Social como parte dos requisitos para obtenção de grau de mestre em Jornalismo.

La traduction d'une innovation organisationnelle dans les pratiques professionnelles de réseau : l'infirmière pivot en oncologie

Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal

Optimal moment to change pressure regulator and sprayer kit on center pivot irrigation machines: a theoretical proposal

A theoretical model was developed in order to determine the optimal moment for substituting the sprayer and pressure regulator kit on a center pivot irrigation machine. The model is based on the hypothesis that pressure regulator and sprayer deterioration decrease irrigation uniformity. To compensate the deficit that happens at under irrigated areas, an increase on irrigation depth is required. The model considers: additional water consumption and energy costs, maintenance and labor costs, as well as yield losses associated with under or over irrigated areas. The sum of all these components is compared to buying and installing a new spray kit cost, allowing the farmer to decide the best moment to renovate the sprayer and pressure regulator kits on a center pivot irrigation machine based on economic criteria.

Optimal moment to change pressure regulator and sprayer kit on center pivot irrigation machines: application to a study case

A theoretical model developed by the authors for determining the optimal moment to substitute sprayer and pressure regulator kit on a center pivot irrigating potatoes and beans has been applied. The methodology compares the sum of the costs due to additional consumption of water and energy, maintenance and labor, as well as yield losses associated to areas with deficit or over irrigation to the costs due to buy and install a new sprinkling set on the pivot. The results showed that for a reduction of 3.07% of the Hermann and Hein’s Uniformity Coefficient (UCh), the substitution of the sprinkling module on the pivot is justified when potatoes and beans are cultivated.

Nitrogen fertilizer (15N) leaching in a central pivot fertigated coffee crop

Nitrogen has a complex dynamics in the soil-plant-atmosphere system. N fertilizers are subject to chemical and microbial transformations in soils that can result in significant losses. Considering the cost of fertilizers, the adoption of good management practices like fertigation could improve the N use efficiency by crops. Water balances (WB) were applied to evaluate fertilizer N leaching using 15N labeled urea in west Bahia, Brazil. Three scenarios (2008/2009) were established: i) rainfall + irrigation the full year, ii) rainfall only; and iii) rainfall + irrigation only in the dry season. The water excess was considered equal to the deep drainage for the very flat area (runoff = 0) with a water table located several meters below soil surface (capillary rise = 0). The control volume for water balance calculations was the 0 - 1 m soil layer, considering that it involves the active root system. The water drained below 1 m was used to estimate fertilizer N leaching losses. WB calculations used the mathematic model of Penman-Monteith for evapotranspiration, considering the crop coefficient equal to unity. The high N application rate associated to the high rainfall plus irrigation was found to be the main cause for leaching, which values were 14.7 and 104.5 kg ha-1 for the rates 400 and 800 kg ha-1 of N, corresponding to 3.7 and 13.1 % of the applied fertilizer, respectively.

Economic viability of retrofiting emitters in center pivot irrigation systems

Although several studies have been conducted to evaluate the uniformity of water application under center pivot irrigation systems, there are few studies concerning the economic perspective of such coefficient. The aim of this study is to present a methodology to accomplish an economic analysis as support for the decision-making to retrofit emitters in center pivot irrigation systems, and to attribute an economic meaning to the uniformity coefficient of water application taking into account the response function productivity to the amount of water applied and the sale price of the crops. In the hypothetic calculation example considering the variation of revenue of potato crop under center pivot irrigation system, it was verified that the area with uniformity coefficient of water application of 90% brought an income increase of BR$ 1,992.00, considering an area about 1,0 ha. Thus, it can be concluded that the methodology presented has met the objectives proposed in the study and made it possible to attribute an economical meaning to the coefficient of water uniformity application.

A study on the shallow water effect on a ship's pivot point

Information on the pivot point of a turning ship is collected, taking into account practical notes and manuals on ship maneuvering as well as experimental data and simulated results which all together reveal a consistent behavior when varying water depth or some ship particulars. Results from the studies already carried out on the Riverine Support Patrol Vessel (RSPV) of the Colombian Navy are included in this one, in order to estimate the pivot point’s position and to contrast those results with theory and available empirical observations. Linear manoeuvrability theory is tested and its results show poor approximation with respect to the kinematic equations. As to the depth variation effect, by means of fullscale experiments it is confirmed that the pivot point’s position, when going to shallow water, always varies in the same way, proving to be coherent with the available information on this phenomenon.

Still the “pivot”: Russia’s self-conception and view of the euro crisis as perceived in public opinion and the Rossiiskaya Gazeta, 2011-12. EU Centre in Singapore Working Paper No. 8, August 2012

In his influential and disputed 1904 lecture, “The Geographical Pivot of History,” Halford Mackinder argued that the Russian heartland was the fulcrum of many historical and geostrategic currents across Eurasian space. While the thesis has been thought surpassed by recent technological advances in transportation, it serves as a useful heuristic device to open certain thematic lines of analysis apparent in the presentation of the ongoing “EUrocrisis” by the country’s newspaper of record, the Rossiiskaya Gazeta.

Recalibrating CSDP-NATO relations: the real pivot. Security Policy Brief No. 47, June 2013

In an age of major power shifts, which we know from history always to be particularly dangerous, different scenarios are possible; the only promising one is that of more and well-structured international cooperation. Yet, critical voices point at a drifting apart of longstanding allies. Recalibrating CSDPNATO relations has become more important than ever.

Sottotitolaggio e pivot subtitling a confronto nello spezzone del film "This is England".

Lo scopo di questa tesi è mettere a confronto due tecniche di sottotitolaggio presenti sul mercato, sottotitolando uno spezzone del film “This is England”. Il primo approccio è il sottotitolaggio tradizionale, ovvero la creazione di sottotitoli in una data lingua a partire dall’audio e dallo script nella lingua dei dialoghi originali. Il secondo metodo è il pivot subtitling, che consiste nella creazione di sottotitoli in una determinata lingua a partire da sottotitoli esistenti in una lingua diversa da quella dei dialoghi originali. Questa tesi nasce dalla curiosità di sperimentare personalmente le due tecniche e formare una mia opinione critica al riguardo. Così è seguita la scelta di un film. Il film “This is England”, di difficile comprensione a causa di accenti particolarmente marcati di alcuni protagonisti, della densità di alcuni dialoghi e dei riferimenti culturali alla sottocultura inglese skinhead nata a fine anni ‘60. La parte principale del lavoro è stata la creazione dei sottotitoli. Nel primo capitolo introdurrò il film, spiegherò la prima fase del lavoro, ovvero come ho svolto il processo del sottotitolaggio tradizionale, successivamente seguiranno nozioni sui pivot subtitles e il secondo processo di creazione di quelli italiani. Il secondo capitolo spiegherà il concetto di qualità dei sottotitoli. Successivamente seguiranno i commenti ai sottotitoli: si tratterà di mettere a confronto i sottotitoli ottenuti con le due diverse tecniche per la medesima battuta o scena. Per finire analizzerò le differenze che emergono dalle due tecniche, l’impatto sul pubblico, i vantaggi e gli svantaggi di ognuna e i motivi per cui una viene utilizzata più dell’altra. Queste considerazioni serviranno per dare una risposta alla questione della tesi: in cosa consiste la differenza fra le due tecniche? Sono accettabili entrambi i risultati seppur diversi?

Traité complet de prothèse dentaire à l'usage des artistes, savants et des gens du monde, précédé de l'histoire de lárt du dentiste chez les anciens..., et suivi d'un aperçu sur les dangers des dents a pivot... /

Hay un retrato del autor.

Forceps à double pivot, destiné surtout à prévenir le décroisement des branches... /

Mode of access: Internet.