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1.
Semin Cutan Med Surg ; 32(4): 247-9, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24800435

RESUMO

Asset protection planning is a highly technical area of legal planning. Because of the fraudulent transfer laws, asset protection planning must be done in advance of any claim, be technically sound, not rely upon secrecy, and avoid any number of critical mistakes including keeping personal and business assets separate. Physicians who engage in asset protection planning must avoid critical mistakes, and not count on bankruptcy to provide relief from creditors. General rules and cautions for those who are considering the creation of an asset protection plan for their personal assets.


Assuntos
Administração Financeira , Responsabilidade Legal/economia , Imperícia/legislação & jurisprudência , Gestão de Riscos , Dermatologia , Dissidências e Disputas/legislação & jurisprudência , Administração Financeira/economia , Administração Financeira/legislação & jurisprudência , Humanos , Estados Unidos
3.
Biomed Eng Online ; 3(1): 14, 2004 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-15153246

RESUMO

BACKGROUND: Blunt trauma causes short-term compression of some or all parts of the chest, abdomen or pelvis and changes hemodynamics of the blood. Short-term compression caused by trauma also results in a short-term decrease in the diameter of blood vessels. It has been shown that with a sudden change in the diameter of a tube or in the direction of the flow, the slower-moving fluid near the wall stops or reverses direction, which is known as boundary layer separation (BLS). We hypothesized that a sudden change in the diameter of elastic vessel that results from compression may lead not only to BLS but also to other hemodynamic changes that can damage endothelium. METHODS: We applied Navier-Stokes, multiphase and boundary layer equations to examine such stress. The method of approximation to solve the BL equations was used. Experiments were conducted in an aerodynamic tube, where incident flow velocity and weight of carriage with particles before and after blowing were measured. RESULTS: We found that sudden compression resulting from trauma leads to (1) BLS on the curved surface of the vessel wall; (2) transfer of laminar boundary layer into turbulent boundary layer. Damage to the endothelium can occur if compression is at least 25% and velocity is greater than 2.4 m/s or if compression is at least 10% and velocity is greater than 2.9 m/s. CONCLUSION: Our research may point up new ways of reducing the damage from blunt trauma to large vessels. It has the potential for improvement of safety features of motor vehicles. This work will better our understanding of the precise mechanics and critical variables involved in diagnosis and prevention of blunt trauma to large vessels.


Assuntos
Vasos Sanguíneos/lesões , Modelos Cardiovasculares , Aorta/lesões , Aorta/patologia , Aorta/fisiopatologia , Velocidade do Fluxo Sanguíneo , Vasos Sanguíneos/patologia , Vasos Sanguíneos/fisiopatologia , Endotélio Vascular/lesões , Endotélio Vascular/patologia , Hemodinâmica , Humanos , Matemática , Resistência ao Cisalhamento
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