We introduce a standard technique modification for Ahmed valves in patients with SO. This modification consists on locating the Ahmed valve more tangential to the limbus curvature instead of the usual perpendicular position and inserting the tube in the posterior chamber. The tube can be longer and run parallel to pupil. This technique allows use superotemporal quadrant (fewer complications), avoid corneal touch and decrease SO loss through the tube to subconjunctival space.

The increasing complexity and often transboundary scope of complex emergencies are exceeding the capacity of humanitarian logistics systems. The military plays a growing role in supplementing and even leading humanitarian assistance and disaster relief logistics. However, issues relating to military involvement such as sovereignty and cost have refocused the conversation onto capabilities and capacities of commercial logistics providers, who have not been fully engaged and integrated into disaster preparedness, response, and recovery activities. The commercial sector is part of the larger supply chain management system that includes contracting, procurement, storage, and transportation of food, water, medicine, and other supplies, as well as human resources, and necessary machinery and equipment. Military and commercial logistics share many of these elements and tasks daily. The most effective and efficient response combines key elements from humanitarian, military, and commercial logistics systems. Such trilateral cooperation represents the next step in an evolving partnership paradigm that is truly synergistic. We present a Synchronized Disaster Relief Model, as well as multiple examples of how military, commercial, and humanitarian supply chains each bring unique capabilities to disaster relief operations, and how these three supply chains can complement each other in a synergistic manner, through synchronized action.

An echocardiographic study was performed in a 38-year-old man with a dissecting aortic aneurysm diagnosed clinically and by cardiac catheterization.The echocardiograms showed normal aortic leaflets within two anterior and two posterior echoes indicating an abnormally dilated aortic root and thefalse lumen of the aneurysm.After surgical repair the echocardiographic study showed a normal aortic root echogram without any false lumen in the aortic walls.This technique may therefore be useful in the noninvasive diagnosis of this condition.

No abstract

No abstract