Focused Assessment with Sonography for Trauma (FAST) has been widely used and studied in blunt and penetrating trauma for the past 3 decades. Prior to FAST, invasive procedures such as diagnostic peritoneal lavage and exploratory laparotomy were commonly used to diagnose intra-abdominal injuries. Today, the FAST examination has evolved into a more comprehensive study of the abdomen, heart, thorax, inferior vena cava, among others, with many variations in technique, protocols and interpretation. Trauma management strategies such as laparotomy, endoscopy, computed tomography angiography, angiographic intervention, serial imaging and clinical observation have also changed over the years. This technique, at times, has managed to replace computed tomography and peritoneal lavage diagnosis, without producing delays in the surgical procedure. As such, the relationship between the patient’s clinical information and the results of the exam should be guided to guide therapeutic approaches in difficult to access settings such as intensive care units in war zones, rural or remote locations where other imaging methods are not available. This review will discuss the evolution of the FAST exam to its current status and evaluate its evolving role in the acute management of the trauma patient.
In this paper silver nanoparticles (NPs) which are synthesized by a simple plasma arc discharge method, that is a kind of electrochemical methods, are examined. The method is very simple and silver NPs are obtained very fast by means of two polished silver plates and electrochemical cell. The effects of changing some terms of the experiment including using Hydrogen peroxide (H2O2), temperature and the medium of experiment on oxygen percent and crystalline structure of silver NPs have been studied by transmission electron microscopy, UV-visible spectrophotometery, and X-ray diffraction. Water medium gets larger nanoparticles with less oxygen content compare to air medium. The size of synthesized nanoparticles become smaller and they also become more spherical by using H2O2 in air medium. In water medium, the size and concentration of the silver crystallite increase by temperature growth and adding H2O2 respectively.
Nowadays, more and more cars have begun to enter into innumerable families; the family car has become a necessity for Chinese households who have certain purchasing power. However, the ups and downs of oil prices have brought some impact on people's automobile consumption activities. Therefore, after collecting the information of the oil price and family car consumer, carried on through in-depth analysis of the relevant data with reasonable relationship, and then developed a suitable for China's national conditions and finished oil pricing model, thereby the National Development and Reform Commission have proposed the suggestion for China's refined oil pricing mechanisms and promoting the healthy development of new energy vehicles with specific measures. For question 1, through the problem analysis and information access, combined with the past and current situation of the domestic refined oil prices, we analyze the following seven factors: international crude oil prices, China's annual crude oil imports, China's annual crude oil exports, crude oil output in China, China's annual GDP per capita, China's annual consumption of crude oil, the total annual energy consumption in China, all have influence on China's refined oil prices. By monadic linear regression analysis, annual average prices of domestic refined oil products have a certain correlation with the various influencing factors, and then by multiple linear regression way eventually concluded the final relationship between oil prices and the influence factors, which compared with the current price, and make reasonable evaluation model. Through the establishment of various influencing factors and function of time, and using the evaluation model for refined oil product price to make reasonable forecast. According to this model, in order to predict refined oil product price as $122.15 per barrel in 2016. For question two, we basically sums up three key factor which influence the quantity of family vehicle: China's oil product prices, the annual GDP per capita, total road mileage. Through Excel to make the relationship curves of different quantity of family cars against influencing factors, and use Grey Forecasting method to forecast the quantity of family cars. And carries on the residual error test, it is used to conclude that the rationality of the model is highly. The number of private cars of the city of xi 'an is predicts that to 8.302 million vehicles by 2020. For question three, we discussed the relationship between international crude oil prices and domestic exports of crude oil export with domestic refined oil prices, through its multiple linear regressions to get the final pricing model. For question four, according to three previous established models, we proposed China's refined oil pricing mechanism proposal to the national development and Reform Commission: perfect price controls, deeper product market, and integration of resources consideration and environmental protection class tax types, adjust the consumption tax collection and Administration links, and improve the production cost accounting.
With the development of material life, the importance of plants in life has become increasingly prominent, and indoor flowers are also popular. As we all know, plants have purified air, refreshing brainwashing, promote sleep, sterilization and other effects, such as mint, Clivia, aloe and so on. Therefore, the choice of plants corresponding to their own needs is particularly important, while to note that some flowers should not be placed indoors. And different flowers on the water, temperature, light, soil and other requirements are not the same.
Heat recovery is one of the measures proposed for the appropriate use of ammonia in tropical countries. This article analyzes a heat recovery system installed in an industrial refrigeration plant. Based on comparative readings of operating parameters of the installation, determined the effectiveness of the heat exchange, the increase in the efficiency of the refrigeration system, as well as the fuel saved by heating water in the industry. The results obtained reported that the thermal design based on heat exchange in annular spaces allows a significant saving of resources and a high rate of thermal utilization.
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