Re: "Customized, single-incision, 3-wall orbital decompression".
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Biomedical subjects
Publications and source records attributed to William A White.
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Care of the patient with diabetes mellitus presents numerous challenges to the anesthesia practitioner. There is no perfect way to care for these patients nor are any 2 patients with diabetes exactly alike. With the advent of subcutaneous insulin pumps, the anesthesia practitioner has another tool to assist him or her in giving high quality care. This case study describes the anesthesia care provided to a patient with type 1 diabetes who wore his continuous subcutaneous insulin infusion (CSII) pump during general anesthesia for surgical repair of a herniated lumbar disk. Importantly, the anesthesia plan involved a collaborative effort with the patient. Blood glucose levels were stable throughout the perioperative period. Little or no extra work was required of the CRNA. This case showed that the CSII could be used to minimize perioperative fluctuations in blood sugar. Postoperatively, the patient expressed a high degree of satisfaction with the anesthetic.
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Traditionally, decision-makers have relied on economic impact estimates derived from conventional economy-wide models. Conventional models lack the environmental linkages necessary for examining environmental stewardship and economic sustainability, and in particular the ability to assess the impact of policies on natural capital. This study investigates environmentally extended economic impact estimation on a regional scale using a case study region in the province of Alberta known as the Foothills Model Forest (FMF). Conventional economic impact models are environmentally extended in pursuit of enhancing policy analysis and local decision-making. It is found that the flexibility of the computable general equilibrium (CGE) modeling approach offers potential for environmental extension, with a solid grounding in economic theory. The CGE approach may be the tool of the future for more complete integrated environment and economic impact assessment.