Unique method for removal of knotted lumbar epidural catheter: A case report

BACKGROUND Combined spinal-epidural(CSE)anesthesia is the preferred anesthesia method for cesarean delivery.The use of an epidural catheter is essential for administering additional drugs intraoperatively and managing postoperative pain.However,the insertion of epidural catheters is associated with various complications,such as total spinal anesthesia,symptoms indicative of spinal nerve root irritation,and challenges in epidural catheter removal.CASE SUMMARY We present a case report of a challenging epidural catheter removal due to knotting.The lumbar computed tomography scan results revealed that the catheter formed a tight knot in the epidural space.We used a novel extubation method and successfully removed the catheter.CONCLUSION The operator can use opposite forces to"spiral"apart the spinal joints by positioning the patient's body in a specific position.The findings indicate that,when combined with imaging examination results,this method is effective for the removal of epidural catheters.

Importance of Stewards and Other Protection Efforts for Conservation of Red Knots (Calidris canutus rufa) and Other Shorebirds on Delaware Bay, New Jersey

Understanding the factors that contribute to population stability in long-distance migrant birds is increasingly important, particularly given global climate change, sea level rise, and loss or disturbance at essential habitats. While the populations of most shorebirds are declining worldwide, those that migrate through Delaware Bay, New Jersey and Delaware, are declining at the most rapid rate despite conservation efforts. In this paper, we 1) provide background information on population declines of red knots (Calidris canutus rufa) using Delaware Bay, threats to their foraging, and efforts to reduce threats, 2) summarize briefly our studies of the effects of human activities on knots and other shorebirds, 3) present data on management efforts to protect knots and other shorebirds from the activities of people, and 4) discuss the efficacy of such efforts (usually referred to as “decreasing the effect of human disturbances”). The Shorebird Project on Delaware Bay is over 25 years old and provides long-term data to help assess the status of shorebird numbers, particularly for red knot, as well as the density of horseshoe crabs (Limulus polyphemus) and their eggs. Red knots have continued to decline even more precipitously in the last few years, presenting cause for concern. Protective efforts have been successful in reducing human disruption on the N.J. Delaware Bay beaches, but the lack of uniformity in implementation across the New Jersey side, and across the whole Bay have hampered further improvements. Implementation of signs, fencing, and stewards on some beaches significantly enhanced the use of these beaches by red knots, determined by examining the use of beaches pre- and post-implementation. Implementation of fencing and stewards had the greatest effect. From 1986 to 2018, there was a significant shift in the percent of Delaware Bay red knots using the NJ side, where protection efforts had been implemented on many of the beaches. Merely restricting access (without fencing or other efforts) did not result in more knots using the beaches post-restriction. This is the first paper that clearly shows the protective effects of having beach stewards. We discuss the long-term needs for continued management of Delaware Bay beaches, and other beaches coastwide, and of determining the causes of population declines of red knots.

The impact of the Rural Minimum Living Standard Guarantee(Rural Dibao)Program on child nutrition outcomes

The Rural Minimum Living Standard Guarantee(Rural Dibao)is an important unconditional cash transfer program to alleviate poverty in rural China.Despite the importance of children’s nutrition in breaking poverty cycles,little is known about the impact of Rural Dibao on child nutrition outcomes.Using China Family Panel Studies(CFPS),this paper examines the effects of Rural Dibao on child nutrition outcomes and investigates potential pathways and heterogeneous effects.We exploit propensity score matching and difference-in-differences techniques to evaluate the effects of the Rural Dibao program on child nutrition outcomes.Our results suggest that Rural Dibao significantly impacts the nutrition outcomes of children up to 15 years of age.Specifically,our results suggest that Rural Dibao improves child height-to-age z-scores by 1.05 standard deviations and lowers the probability of stunting by 11.9 percentage points.Additional analyses suggest that increased protein intake is the main pathway through which Rural Dibao participation contributes to better nutrition outcomes.We also find that the effect of the program is more pronounced among girls,children who are non-left-behind or live with highly educated mothers,and those from low-income families and poor areas.Our findings suggest that Rural Dibao participation helps improve child nutrition outcomes through improving diet quality.

The Present Situation of Chattel Guarantee System and Its Improvements—Taking the Angle of American Uniform Commercial Code(UCC)

Although there are appropriate stipulations for the chattel guarantees in the law of China, this guarantee system could not adapt to the request of economy's development because of the following reasons: the scope of chattel guarantees is narrow according to relevant stipulations; the transaction cost of the chattel is high; mortgage registration of chattel is in a mess; lack of efficiently executive guarantee system, etc. To counter the problems existing in the present Chinese chattel guarantee system, in this article, the author proposed some corresponding suggestions and countermeasures, hoping to perfect the chattel guarantee system in China.

Guarantee Strategy for the Safety of Agricultural Industry in Hunan Province

The safety of agricultural industry in Hunan Province shows an upward trend from"basically safe"to"very safe",but the state in the"safe"or"very safe"range is still unstable.In view of this,Hunan Province should guarantee the agricultural production ability,cultivate and enhance the core competitiveness of agriculture,firmly grasp the agricultural control power,attach importance to the export quality of agri-cultural products and other aspects to ensure the safety of agricultural industry.

Zeros of the Jones Polynomial for Torus Knots and 2-bridge Knots

We study zeros of the Jones polynomial and their distributions for torus knots and 2-bridge knots. We prove that e(2m+1)πi/2and e(2m+1)πi/4(m is a positive integer)can not be the zeros of Jones polynomial for torus knots T p,q by the knowledge of the trigonometric function. We elicit the normal form of Jones polynomials of the 2-bridge knot C(-2, 2, ···,(-1)r2) by the recursive form and discuss the distribution of their zeros.

The synergistic advantage of combining chloropicrin or dazomet with fosthiazate nematicide to control root-knot nematode in cucumber production

The highly-damaging root-knot nematode(Meloidogyne spp.,RKN)cannot be reliably controlled using only a nematicide such as fosthiazate because of increasing pest resistance.In laboratory and greenhouse trials,we showed that chloropicrin(CP)or dazomet(DZ)synergized the efficacy of fosthiazate against RKN.The combination significantly extended the degradation half-life of fosthiazate by an average of about 1.25 times.CP or DZ with fosthiazate reduced the time for fosthiazate to penetrate the RKN cuticle compared to fosthiazate alone.CP or DZ combined with low or medium rate of fosthiazate increased the total cucumber yield,compared to the use of each product alone.A low-dose fosthiazate with DZ improved total yield more than a low dose fosthiazate with CP.Extending the half-life of fosthiazate and reducing the time for fosthiazate or fumigant to penetrate the RKN cuticle were the two features that gave the fumigant-fosthiazate combination its synergistic advantage over these products used singularly.This synergy provides the opportunity for farmers to use a low dose of fosthiazate which lowers the risk of RKN resistance.Farmers could combine DZ at 30 g m^-2 with fosthiazate at a low rate of 0.375 g m^-2 to control RKN and adequately control two major soil-borne diseases in cucumber greenhouses.

Knot formation in the feeding jejunostomy tube:A case report and review of the literature

Jejunostomy feeding tubes provide surgeons with an excellent method for providing nutritional support, but there are several complications associated with a tube jejunostomy, including complications resulting from placement of the tube, mechanical problems related to the location or function and development of focally thickened small-bowel folds. A 76-year old man who presented with multiple medical diseases was admitted to our hospital due to aspiration pneumonia with acute respiratory failure and septic shock. He underwent exploratory laparotomy with feeding jejunostomy using a 14-French nasogastric tube for nutritional support. However, occlusion of the feeding tube was found 30 d after operation, and a rare complication of knot formation in the tube occurred after a new tube was replaced. On the following day, the tube was removed and replaced with a similar tube, which was placed into the jejunum for only 15 cm. The patient's feedings were maintained smoothly for two months. Knot formation in the feeding tube seems to be very rare. To our knowledge, this is the third case in the literature review. Its incidence is probably related to the length of the tube inserted into the lumen.

Robust Optimization Operation of Power System Considering the Non-probabilistic Uncertainty of Parameter

Probabilistic method requires a lot of sample information to describe the probability distributions of uncertain variables and has difficulty in dealing with the optimization problem with uncertain parameters which contains unsufficient information.To solve this problem,a robust optimization operation method based on information gap decision theory(IGDT) is presented considering the non-probabilistic uncertainties of parameters.By the proposed method the maximum resistance to the disturbance of uncertain parameters is achieved and the optimization strategies with uncertain parameters are presented.Finally,numerical simulation is performed on the modified IEEE-14 bus system.Numerical results show the effectiveness of the proposed approach.

Exploration on the Construction of "Student-centered" Professional Three-Dimensional Practical Teaching System

Talent cultivation is the primary task of universities.Local general undergraduate colleges and universities should adhere to the basic guidelines of systematization,practicality and integration,continuously explore the concept of"studentcentered"talent cultivation,and build a threedimensional practical teaching system from three aspects:strengthening the planning and design of the three-dimensional practical teaching system;building an internal and external practical teaching platform;and improving the evaluation and guarantee system of practical teaching quality.The system of practical teaching quality evaluation and guarantee is improved.In order to improve the cultivation ability of applied talents in all aspects.

SOME APPLICATIONS OF PLANAR GRAPH IN KNOT THEORY

The relationship between a link diagram and its corresponding planar graph is briefly reviewed. A necessary and sufficient condition is given to detect when a planar graph corresponds to a knot. The relationship between planar graph and almost planar Seifert surface is discussed. Using planar graph, we construct an alternating amphicheiral prime knot with crossing number n for any even number n 〉 4. This gives an affirmative answer to problem 1.66（B） on Kirby＇s problem list .

Knotted pictures of the Bell bases on the surface of a trivial torus

By means of the method of torus knot theory, this paper gives the complete processes of obtaining the knotted pictures of four Bell b^es from the knotted pictures of four basic two qubit states.

Knotted pictures of the GHZ states on the surface of a trivial torus

By means of the torus knot theory method, this paper presents the complete process of obtaining the knotted pictures of eight GHZ states on the surface of a trivial torus from the knotted pictures of eight basic three-qubit states on the surface of a trivial torus. Thus, we obtain eight knotted pictures 121 linkage on the ordinary plane.

On the analysis of the construction of the quality guarantee system of web based College English teaching

With the quick development of the reform of College English teaching, web based College English teaching is used and generalized in every institution of higher education. However, more attention should be paid to the teaching quality to develop this web based College English teaching model. Therefore, the construction of the quality guarantee system is of major significance to promote the effective design of web based College English course system and improve the quality of web based College English teaching.

Knotted picture of the whole complete quantum measurement process of quantum teleportation

Based on the previous work about the knotted pictures of quantum states, quantum logic gates and unitary transformations, this paper further gives the whole complete quantum measurement process of quantum teleportation from the viewpoint of knot theory.

A steered molecular dynamics study on the elastic behaviour of knotted polymer chains

In this paper the influence of a knot on the structure of a polymethylene （PM） strand in the tensile process is investigated by using the steered molecular dynamics （SMD） method. The gradual increasing of end-to-end distance, R, results in a tighter knot and a more stretched contour. That the break in a knotted rope almost invariably occurs at a point just outside the ＇entrance＇ to the knot, which has been shown in a good many experiments, is further theoretically verified in this paper through the calculation of some structural and thermodynamic parameters. Moreover, it is found that the analyses on bond length, torsion angle and strain energy can facilitate to the study of the localization and the size of a knot in the tensile process. The symmetries of torsion angles, bond lengths and bond angles in the knot result in the whole symmetry of the knot in microstructure, thereby adapting itself to the strain applied. Additionally, the statistical property of the force-dependent average knot size illuminates in detail the change in size of a knot with force f, and therefore the minimum size of the knot in the restriction of the potentials considered in this work for a PM chain is deduced. At the same time, the difference in response to uniaxial strain, between a knotted PM strand and an unknotted one is also investigated. The force-extension profile is easily obtained from the simulation. As expected, for a given f, the knotted chain has an R significantly smaller than that of an unknotted polymer. However, the scaled difference becomes less pronounced for larger values of N, and the results for longer chains approach those of the unknotted chains.

A Kind of Essential Surfaces in the Complements of Knots

In this paper, by the twist-crossing number of knots, we give an upper bound on the Euler characteristic of a kind of essential surfaces in the complements of alternating knots and almost alternating knots, which improves the estimation of the Euler characteristic of the essential surfaces with boundaries under certain conditions. Furthermore, we give the genus of the essential surfaces.

The Quantum sl₂-Invariant of a Family of Knots

We give a general formula of the quantum sl2-invariant of a family of braid knots. To compute the quantum invariant of the links we use the Lie algebra g=sl2 in its standard two-dimensional representation. We also recover the Jones polynomial of these knots as a special case of this quantum invariant.

Protection of Collective Rights of Rural Members in the Process of Land Transfer under Shareholding Cooperative Systems

According to the legal definitions of land transfer under shareholding cooperative systems,rural groups,collective rights of members,and this paper discloses the necessity of protecting the collective rights of members.In terms of qualification definition of members,rights of fetus,married daughters and sons in law cannot be guaranteed.In terms of rights protection,partial rights cannot be assured,power of personal stake inthe collective members is imperfect which results in inadequate,unbalanced,shaky and unpunctuated benefits.Based on objective and subjectivecauses,the democratic management rights of members in land transfer process have been weakened or even deprived,the protection of the basiclife is hard to realize.The paper proposes that it is necessary to build the social protection mechanisms of rural land shareholding cooperative sys-tems.The first is to treat those members that own land,attending the shareholding cooperation but having not taken part in the land transfer proces-sion as the protection objects.The second is in the procession of land transfer,making it clear the compensation standards of land transfer,estab-lishing the intermediate agencies of land transfer and performing the collective economic organizing functions.The third is that the account capital ofsocial protection is contributed together by personal member,the land users(shareholding cooperative companies) and government.The fourth isto pay more attention to the added value and safety management of capital operation.

The Knot Theory of Mind

The aim of this article is to present The Knot Theory of Mind, my original psychological theory. I am providing a theoretical framework for the knot psychotherapy that is based on practicing the balance between positive and negative emotions and thoughts, healthy introspection, optimistic and realistic observations about life and healthy ideation process. Every emotion, feeling and thought are important in the process of healing. Positive emotions, love especially, are the cure for psychological traumas.