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Query: UMLS:C0038454 (stroke)
 147,016 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Eight adult manual resuscitators were compared with regard to weight, dimensions, number of parts, possibility of misassembly, durability, self-reinflation time, average stroke volume with male and female operators using one hand and two hands, maximum cycling rate at room temperature and low temperature, delivered oxygen concentration, per cent demand ventilation, and ease of use. Of the devices tested, the Robertshaw and the Hudson Lifesaver had design problems in the oxygen delivery system, reducing the effective cycling rates. The Ohio Hope I delivered inadequate oxygen concentrations, and the Ohio Hope II delivered inadequate oxygen concentrations when used without a reservoir. The Hope II was also found awkward to use because of the bulky reservoir. The Puritan PMR delivered low oxygen concentrations and its valve required a screwdriver for disassembly and cleaning: a possible misassembly hazard was also noted. The Air-Shields Ambu Mark II, the Laerdal II, and the Penlon units rated high with respect to the tested variables, with the Penlon and Laerdal II devices achieving oxygen concentrations greater than 95%.
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PMID:1980 assessment of eight adult manual resuscitators. 1031 6

The availability of cadaver kidneys for transplantation falls far short of the needs of a rapidly expanding population of patients on chronic hemodialysis. Kidneys with the least ischemic injury come from donors with fatal head injury or stroke; such kidneys can be removed from a "beating-heart" cadaver after declaring death on the basis of brain death. To clarify the legal status of brain death and to encourage salvage of transplantable kidneys with minimal ischemic injury, 12 states already have codified the concept of brain death. Although the first few laws were lengthy and included medical terms, six of the last seven laws have used one or two models proposed by the American Bar Association (ABA) and the Institute of Society, Ethics and Life Sciences, Hastings-on-Hudson, N. Y. The ABA proposal is the simpler of the two models and should provide the basis for future state laws. In addition, the National Conference of Commissioners on Uniform State Laws plans to present a model law to define death and the liabilities of a physician who declares death on the basis of brain death by mid 1977. While state legislatures have written laws that establish the legality of the concept of brain death, medical groups have sought to define the medical criteria for its determination. The most recent list of criteria comes from a National Institutes of Health-supported Collaborative Study on Cerebral Survival, as follows: (1) unresponsivity, (2) apnea, (3) dilated pupils and absent cephalic reflexes, (4) electrocerebral silence, (5) a confirmatory test of absent cerebral blood flow (angiography, isotope bolus curve, retinoscopy, or echoencephalography).
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PMID:Progress in legal definition of brain death and consent to remove cadaver organs. 1697 49

Swim speed during diving has important energetic consequences. Not only do costs increase as drag rises non-linearly with increasing speed, but speed also affects travel time to foraging patches and therefore time and energy budgets over the entire dive cycle. However, diving behaviour has rarely been considered in relation to current velocity. Strong tidal currents around the Belcher Islands, Nunavut, Canada, produce polynyas, persistent areas of open water in the sea ice which are important habitats for wildlife wintering in Hudson Bay. Some populations of common eiders Somateria mollissima sedentaria remain in polynyas through the winter where they dive to forage on benthic invertebrates. Strong tidal currents keep polynyas from freezing, but current velocity can exceed 1.5 m s(-1) and could influence time and energy costs of diving and foraging. Polynyas therefore provide naturally occurring flume tanks allowing investigation of diving strategies of free ranging birds in relation to current velocity. We used a custom designed sub-sea ice camera to non-invasively investigate over 150 dives to a depth of 11.3 m by a population of approximately 100 common eiders at Ulutsatuq polynya during February and March of 2002 and 2003. Current speed during recorded dives ranged from 0 to 1 m s(-1). As currents increased, vertical descent speed of eiders decreased, while descent duration and the number of wing strokes and foot strokes during descent to the bottom increased. However, nearly simultaneous strokes of wings and feet, and swim speed relative to the moving water, were maintained within a narrow range (2.28+/-0.23 Hz; 1.25+/-0.14 m s(-1), respectively). This close regulation of swim speed over a range in current speed of 1.0 m s(-1) might correspond to efficient muscle contraction rates, and probably reduces work rates by avoiding rapidly increasing drag at greater speeds; however, it also increases travel time to benthic foraging patches. Despite regulation of average swim speed, high instantaneous speeds during oscillatory stroking can increase dive costs due to drag. While most diving birds have been considered either foot or wing propelled, eider ducks used both wing and foot propulsion during descent. Our observations indicate that the power phase of foot strokes coincides with the transition between upstroke and downstroke of the wings, when drag is greatest. Coordinated timing between foot and wing propulsion could therefore serve to maintain a steadier speed during descent and decrease the costs of diving. Despite tight regulation of stroke and swim speed patterns, descent duration and total number of foot and wing strokes during descent increase non-linearly with increasing current velocity, suggesting an increase in energetic costs of diving.
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PMID:Regulation of stroke pattern and swim speed across a range of current velocities: diving by common eiders wintering in polynyas in the Canadian Arctic. 1702 91