We describe a laparoscopic technique for relieving obstruction of a continuous ambulatory peritoneal dialysis (CAPD) catheter. Laparoscopic repositioning of the catheter and omentectomy obviated the need for laparotomy in a patient with end-stage renal disease.
We report a case of simple renal cyst rupture resulting from blunt trauma. The injury was detected on computed tomographic scanning. The patient was treated conservatively and CT scan one month later demonstrated resolution of the cystic rupture.
R . O SB O RN E, T . D UR K IN , H . SH AN N ON , E . DO RN A N A ND C . H UG H ES . 1999.The performance of class I and II microbiological safety cabinets over 7 years, employed in a force-ventilated containment level 3 (CL-3) laboratory, is described. Operator Protection (OP) provided by the cabinets, assessed by still and latterly limited 'in-use' KI-Discus tests, showed no overall deterioration during the review period. Comparisons show that a selected class II unit, but not a second, and a new class II MSC in a recently commissioned, similar CL-3 facility, provide the same order of OP as a class I cabinet. From the experiences described, it is strongly recommended that OP tests (OPTs) should be part of the routine servicing regime to ensure that cabinets meet required performance levels, and additionally to allow detection and rectification of poor containment, particularly where induced by environmental factors. The value of OPTs is discussed with reference to certain national standards.
Research in the area of field validation of training concepts and devices targeted for U.S. Army, Europe (USAREUR) utilization is conducted as an in-house effort by the Army Research Institute for the Behavioral and Social Sciences (ARI). The entire project i6 directly responsive to the Army's advanced development RDTE program and to special requirements of the 7th Army Training Center at Grafenwoehr, Germany. The present effort, accomplished under Army Project 2Q163743A773, represents one phase in the exploration of newly developed training concepts, devices, aids and simulation techniques that are not yet field tested. The objective of this effort is to conduct validation studies of selected devices, techniques, and concepts and provide for their integration into USAREUR programs as their training value is documented. The authors wish to acknowledge the dedicated and substantial as-:istance that SSG Ronald J. Anderson of the Ist ID provided during the equipment setup and data collection phase of the study. They also extend appreciation to CPT George S. Perkins of the 4th Brigade, 4th ID, and CPT Richard E. Overmyer, Jr., of the 7th ATC, Combined Arms Training Directorate, for their contributions to the scheduling and execution of this effort.
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