Cuffs

Cuff IA and G J Barton 1999. Evaluation and Improvement of Multiple Sequence Methods for P Secondary Structure Prediction. Proteins Structure, Function and Genetics 34 508-519. 

I. Bazovsky, Reliability Theory andPractice, Prentice-HaU, Inc., Englewood CUffs, N.J., 1961. 

In contrast, the total artificial heart (TAH) is designed to overtake the function of the diseased natural heart. While the patient is on heart—lung bypass, the natural ventricles are surgically removed. Polyurethane cuffs are then sutured to the remaining atha and to two other blood vessels that connect with the heart. 

Submitted by Elliot R. Alexander and Arthur C. Cope. Checked by Cuff S. Hamilton and Robert F. Coles. 

The Chemical Marketing Reporter tabulates the current list price for many chemicals. These prices, like off the cuff estimates from vendors, tend to be conservative. The European Chemical News also publishes chemical prices for many places in the world. These prices are sometimes better to use for raw materials. 

Consider short-sleeved overalls for workers using metal cutting fluids (avoids skin friction from cuffs saturated with oil and holding particles of swarf)... 

Aufschlag, m. impact percussion increase, extra (in price or tax) cuff, facing warp bound (of a ball) (Med.) application. Aufschlagebuch, n. reference book, aufschlagen, v.t. strike up or open open, unfold unbung (casks) handle (hides) set up, erect raise apply (as a poultice). — v.r. spring up strike rise (in price). — v.i. strike, impinge. 

An early Energi2er watch battery, held against shirt cuff buhon for sice comparison. (Corbis Corporation)... 

For cocktail-culture devotees, there s a neat starched-cuff scuffle about who invented the sidecar. The Ritz s Little Bar and Harry s New York Bar both claim it, in Paris, in the 1920s. Harry s owner, Harry MacElhone, concocted it, says John J. Poister, author of The New American Bartender s Guide. Mr. MacElhone served hot dogs with martinis, too. 

G. A. White I cannot give you a figure offhand. It depends on so many things, and I am sure you can appreciate that. For example, what methane content do you have in your gas What pressure level do you really want There are many factors involved in establishing a cost difference between atmospheric pressure and 300 lb and 600 lb. There is no way that I can give you an off-the-cuff answer. If you are serious about it, we would be very happy to give you an opinion on a specific set of conditions. But there is no generalization that I can make. 

Author s comment] Because a general rendition of the Scientific Method cannot be cast in legally watertight wording, all possible outcomes of a series of measurements and pursuant actions must be in writing before the experiments are started. This includes but is not limited to the number of additional samples and measurements, and prescriptions on how to calculate and present final results. Off-the-cuff interpretations and decisions after the fact are viewed with suspicion. 

If a stroke patient receives intravenous (IV) thrombolysis, care often continues in the ED until the patient arrives in the ICU. Close monitoring must continue during this time, with special attention to the blood pressure. The blood pressure is most commonly checked via an arm cuff, since the placement of invasive lines (e.g., arterial catheterization) is relatively contraindicated once the patient has received intravenous thrombolysis (unless the situation is emergent and mandates such treatment). The systolic pressure must not exceed 185 mm Hg, and the diastolic pressure limit should be 110 mm Hg. Should the blood pressure exceed these limits, IV antihypertensive agents should be administered. IV pushes of labetolol (10-20 mg over 1-2 minutes) may be effective, but if patients are refractory to these initial measures then a continuous infusion of labetolol (0.5-2.0 mg/minute), nicardipine (5-15 mg/hour), or nitro-prusside (0.25-10 mg/kg/minute) may be necessary to keep the patient s blood pressure within the range. There will be a more detailed discussion of these antihypertensive agents, including their side effect profiles, later in this chapter. 

The selection of blood pressure cuff size based on a patient s arm circumference is crucial for the accurate measurement of blood pressure. Systolic and diastolic blood pressure tend to increase when the cuff size is too small relative to the patient s arm circumference. This circumstance is important due to the increasing prevalence of obesity in developed nations. Currently, the guidelines of the American College of Cardiology/American Heart Association (ACC/AHA) Blood Pressure Measurement in Humans recommends cuff sizes for small, standard, and large adults with an optimal 2 1 ratio of cuff length/width based on arm circumference.18... 

To reduce deviations in blood pressure measurement in the clinic, the patient and clinician should not talk during blood pressure readings. The measurement arm is supported and positioned at heart level with the blood pressure cuff encircling at least 80% of arm circumference. If a mercury or aneroid device is used, then the palpatory method must be used first to estimate the systolic blood pressure.18 If an automated device is used, this is not necessary. After the patient s cuff is inflated above the systolic pressure, the mercury column should drop at a rate of 2 to 3 mm per second. A stethoscope placed over the brachial artery in the antecubital fossa identifies the first and last audible Korotkoff sounds, which should be taken as systolic and diastolic pressure, respectively. A minimum of two readings at least 1 minute apart are then averaged. If measurements... 

Trousseau s sign An indication of latent tetany in which carpal spasm occurs when the upper arm is compressed, as by a tourniquet or a blood pressure cuff. 

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