Anesthesia in the presence of a mediastinal mass is difficult and challenging as the mass can involve or compress the heart, great vessels, tracheo-bronchial tree and the surrounding structures. We describe a case of severe tracheo-bronchial obstruction requiring emergency tracheostomy during the intraoperative period after an uneventful induction of anesthesia in a patient with a large esophageal polyp presenting as a posterior mediastinal mass.

No abstract

Budget Pre-Owned Cars is built with a vision that there has to be a better way to buy and sell a pre-owned car, A memorable one every customer leaves with. This includes: 1. Better selection of high quality of cars. 2. Low prices and after sales services. 3. A stress free experience. 4. No-obligation deal of purchase or sale. 5. No-pressure customer service. And therefore we intend to make analytics for the following ideas: 1. Price prediction 2. Sales Prediction 3. Customer parameters 4. Payment support 5. Customer segmentation 6. Future services. Data analytics will help in separating useful information from the useless data. Also, it can save the company time and minimize error rates, hence improved accuracy and quality. These insights will hence further help in modifying the products according to the market needs. These predictions are based on the historical data; hence die rent techniques will be used including data mining for the same. The predictions are then evaluated and compared to and the one with best performance.

Use of indifference curves, defined as functionality between development index and pollution load to evaluate environmental impact, is proposed. Existing Battelle environmental evaluation methodology is subjective in its approach. The use of indifference curves lends a more objective approach to environment assessment methodology. The extent of environmental damage we are prepared to accept, for a development, can be explained by Willingness to Pay and Willingness to Accept approach. The application of proposed approach has been demonstrated taking an example of Power plant set up in forest area. The curves clearly show that cost of EMP considering mitigation of ecological damage is higher than the EMP mitigating impacts of air and water pollution only. The example stresses the need for willingness to accept along with willingness to pay.