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1

Zappe, R. W. Valve selection handbook: Engineering fundamentals for selecting manual valves, check valves, pressure relief valves, and rupture discs. 4th ed. Houston, Tex: Gulf Pub. Co., 1999.

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2

Ridgely, J. N. Resolution of Generic Issue C-8: An evaluation of boiling water reactor main stream isolation valve leakage and the effectiveness of leakage treatment methods. Washington, DC: Division of Boiling Water Reactor Licensing, Office of Nuclear Reactor Regulation, U.S. Nuclear Regulatory Commission, 1986.

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3

Graves, C. C. Regulatory analysis for the resolution of generic issue C-8, "main steam isolation valve leakage and LCS failure". Washington, DC: Division of Safety Issue Resolution, Office of Nuclear Regulatory Research, U.S. Nuclear Regulatory Commission, 1990.

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4

Symposium on ASME Codes and Recent Advances in PVP and Valve Technology Including a Survey of Operations Research Methods in Engineering (1986 Chicago, Ill.). Symposium On ASME Codes and Recent Advances in PVP and Valve Technology Including a Survey of Operations Research Methods in Engineering: Presented at the 1986 Pressure Vessels and Piping Conference and Exhibition, Chicago, Illinois, July 20-24, 1986. Edited by Fong J. T. 1934-, American Society of Mechanical Engineers. Codes and Standards Liaison Subcommittee., and Pressure Vessels and Piping Conference (1986 : Chicago, Ill.). New York, N.Y. (345 E. 47th St., New York 10017): American Society of Mechanical Engineers, 1986.

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5

American Petroleum Institute. Refining Dept. Seat tightness of pressure relief valves. 3rd ed. Washington, D.C. (1220 L St., NW, Washington 20005): American Petroleum Institute, 1991.

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6

Pressure relief devices: ASME and API code simplified. New York: McGraw-Hill, 2006.

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7

Staunton, R. H. Aging and service wear of spring-loaded pressure relief valves used in safety-related systems at nuclear power plants. Washington, DC: U.S. Nuclear Regulatory Commission, 1995.

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8

Rolander, Nathan. Materials investigation of thermal triggers used in pressure relief devices on transit buses. Washington, D.C: Federal Transit Administration, 2003.

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9

National Board of Boiler and Pressure Vessel Inspectors. National board VR® repair symbol administrative rules and procedures: Repair of ASME and national board stamped pressure relief valves. Columbus, Ohio (1055 Crupper Ave., Columbus 43229): National Board of Boiler and Pressure Vessel Inspectors, 1985.

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10

Martin, C. N. B. Effects of upstream bends and valves on orifice plate pressure distributions and discharge coefficients. Glasgow: National Engineering Laboratory, 1986.

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11

Association, Compressed Gas. Recommendations to minimize hazards of CG-7 pressure relief valves and ancillary devices for liquefied petroleum gas cylinders. Chantilly, VA: Compressed Gas Association, Inc., 2007.

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12

Pressure Vessels and Piping Conference (1989 Honolulu, Hawaii). Pipeline dynamics and valves, 1989: Presented at the 1989 ASME Pressure Vessels and Piping Conference, JSME co-sponsorship, Honolulu, Hawaii, July 23-27, 1989. New York, N.Y: American Society of Mechanical Engineers, 1989.

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13

Pressure Vessels and Piping Conference (1992 New Orleans, La.). Valves, bolted joints, pipe supports, and restraints: Presented at the 1992 Pressure Vessels and Piping Conference, New Orleans, Louisiana, June 21-25, 1992. New York, N.Y: American Society of Mechanical Engineers, 1992.

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14

Pressure, Vessels and Piping Conference (1993 Denver Colo ). Power plant equipment design: Bolted joints, pumps, valves, pipe and duct supports : presented at the 1993 Pressure Vessels and Piping Conference, Denver, Colorado, July 25-29, 1993. New York: ASME, 1993.

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15

Gardner, A. M. N. The return of blood to the heart: Venous pumps in health and disease. London: J. Libbey, 1989.

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16

Gardner, A. M. N. The return of blood to the heart: Venous pumps in health and disease. 2nd ed. London: Libbey, 1993.

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17

Gardner, A. M. N. The return of blood to the heart: Venous pumps in health and disease. London: Libbey, 1989.

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18

Lamb-Faffelberger, Margarete. Valie Export und Elfriede Jelinek im Spiegel der Presse: Zur Rezeption der feministischen Avantgarde Österreichs. New York: P. Lang, 1992.

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19

Neely, H. H. Light water reactor pressure isolation valve performance testing. Supt. of Docs., U.S. G.P.O. [distributor], 1990.

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20

Design Institute for Emergency Relief Systems Users Group. Safety Valve Stability & Capacity Test Results: Pressure Relief Valve Performance Study Final Report. Amer Inst of Chemical Engineers, 1999.

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21

Design Institute for Emergency Relief. Safety Valve Stability and Capacity Test Results: Pressure Relief Valve Performance Study Final Report. Amer Inst of Chemical Engineers, 1988.

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22

Popescu, Bogdan A., Shantanu P. Sengupta, Niloufar Samiei, and Anca D. Mateescu. Heart valve disease (mitral valve disease): mitral stenosis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198726012.003.0035.

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The most common cause of mitral stenosis (MS) is rheumatic fever followed by degenerative MS. Echocardiography is the key method to diagnose and evaluate MS. Echocardiographic findings are closely related to aetiology. In rheumatic disease echocardiography shows thickening of leaflet tips with restricted opening caused by commissural fusion resulting in ‘doming’ of the mitral valve in diastole. Quantitation of MS severity includes measuring mitral valve area (MVA) by planimetry (anatomical area, by two-/three-dimensional echo), or by the pressure half-time (PHT) method (functional area, by Doppler), and the mean pressure gradient. Planimetry is considered the reference method to determine MVA as it is relatively load independent. The PHT method is widely used due to its simplicity, but different factors influence the relationship between PHT and MVA. Other indices of MS severity are rarely used in clinical practice. Echocardiography also helps in the assessment of consequences of MS, and of associated valvular lesions. Exercise Doppler is recommended when there is discrepancy between the resting echocardiography findings and the clinical picture. Echocardiography is crucial in determining the timing and type of intervention in patients with MS. When considering percutaneous mitral commissurotomy (PMC) valve morphology should be comprehensively evaluated for mobility, thickness, calcifications, and subvalvular apparatus. The echo findings may determine the suitability for PMC, guide the procedure, and assess its results.
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23

Unger, Philippe, and Gerald Maurer. Heart valve disease: mixed valve disease, multiple valve disease, and others. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198726012.003.0039.

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Multiple and mixed heart valve disease are highly prevalent. Echocardiography is the cornerstone technique for imaging these patients. As with patients with single-valve stenosis or regurgitation, one should aim to evaluate the aetiology, the mechanism(s) of dysfunction, as well as the consequences and the possibility of repair. There are, however, specific issues, which include the followings: (1) the lack of published data; (2) most indices of valvular regurgitation and of stenosis severity have been validated in patients with single-valve/single-lesion disease; and (3) the haemodynamic interactions that may affect the severity and the diagnosis of these lesions. A global assessment of the consequences of the lesions is of the utmost importance in the decision-making process: whereas only severe regurgitation or stenosis is usually considered for surgery by current guidelines in a single-valve lesion, the combination of two or more less-than-severe lesions causing symptoms, left ventricular dysfunction, and/or pulmonary pressure increase may warrant surgery. This chapter focuses on the echocardiographic assessment of these sometimes complex lesions, emphasizing some pitfalls and tips to take into account when managing these patients.
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24

Baumgartner, Helmut, Stefan Orwat, Elif Sade, and Javier Bermejo. Heart valve disease (aortic valve disease): aortic stenosis. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198726012.003.0032.

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Echocardiography has become the gold standard for the assessment of patients with aortic stenosis (AS). It allows morphological assessment of the aortic valve and provides information on the aetiology of the disease. The quantification of AS includes primarily the measurement of transaortic jet velocities and gradients as well as the calculation of the valve area, thus combining flow-dependent and relatively flow-independent variables. Awareness of potential pitfalls is fundamental when assessing these variables. Haemodynamic consequences of AS on left ventricular (LV) size, wall thickness, and function as well as associated valve lesions and estimates of pulmonary artery pressure are required for the comprehensive evaluation of the disease. In the setting of classical low-flow–low-gradient AS with reduced LV systolic function, low-dose dobutamine echocardiography is of particular diagnostic and prognostic importance. The entity of severe low-flow–low-gradient AS in the presence of preserved LV function remains a particular diagnostic challenge. For accurate differentiation from pseudo-severe AS or misclassified moderate AS, an integrated approach including additional variables such as the extent of valve calcification by computed tomography may be required. In addition to the assessment of AS aetiology and quantification of its severity, echocardiography can provide predictors of outcome that may have a major impact on the decision for intervention.
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25

Romagnoli, Stefano, and Giovanni Zagli. Blood pressure monitoring in the ICU. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0131.

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Two major systems are available for measuring blood pressure (BP)—the indirect cuff method and direct arterial cannulation. In critically-ill patients admitted to the intensive care unit, the invasive blood pressure is the ‘gold standard’ as a tight control of BP values, and its change over time is important for choosing therapies and drugs titration. Since artefacts due to the inappropriate dynamic responses of the fluid-filled monitoring systems may lead to clinically relevant differences between actual and displayed pressure values, before considering the BP value shown as reliable, the critical care giver should carefully evaluate the presence/absence of artefacts (over- or under-damping/resonance). After the arterial pressure waveform quality has been verified, the observation of each component of the arterial wave (systolic upstroke, peak, systolic decline, small pulse of reflected pressure waves, dicrotic notch) may provide a number of useful haemodynamic information. In fact, changes in the arterial pulse contour are due the interaction between the heart beat and the whole vascular properties. Vasoconstriction, vasodilatation, shock states (cardiogenic, hypovolaemic, distributive, obstructive), valve diseases (aortic stenosis, aortic regurgitation), ventricular dysfunction, cardiac tamponade are associated with particular arterial waveform characteristics that may suggest to the physician underlying condition that could be necessary to investigate properly. Finally, the effects of positive-pressure mechanical ventilation on heart–lung interaction, may suggest the existence of an absolute or relative hypovolaemia by means of the so-called dynamic indices of fluid responsiveness.
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26

Navier-Stokes flow field analysis of compressible flow in a high pressure safety relief valve. [Washington, DC: National Aeronautics and Space Administration, 1993.

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27

Navier-Stokes flow field analysis of compressible flow in a high pressure safety relief valve. [Washington, DC: National Aeronautics and Space Administration, 1993.

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28

Bruce, Vu, and United States. National Aeronautics and Space Administration., eds. Navier-Stokes flow field analysis of compressible flow in a high pressure safety relief valve. [Washington, DC: National Aeronautics and Space Administration, 1993.

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29

Bruce, Vu, and United States. National Aeronautics and Space Administration., eds. Navier-Stokes flow field analysis of compressible flow in a high pressure safety relief valve. [Washington, DC: National Aeronautics and Space Administration, 1993.

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30

Mojoli, Francesco, and Antonio Braschi. Respiratory support with continuous positive airways pressure. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0089.

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Continuous positive airways pressure (CPAP) is a mechanical ventilation (MV) mode in which the patient breaths spontaneously at a higher than atmospheric pressure. CPAP increases transpulmonary pressure inducing an FRC increase and a WOB decrease in acute restrictive lung pathology, with improvement of gas exchange. The work of breathing (WOB) is also reduced in the resistive component and inspiratory effort can be reduced if the patient experiences airway collapse and flow limitation, where CPAP counteracts the inspiratory threshold load represented by intrinsic PEEP. CPAP has been proven to be useful in many clinical situation and the technique for administration has a pivotal role in clinical efficacy of the technique. It’s crucial to keep the positive pressure as constant as possible and to avoid any technical increase of WOB. These goals can be achieved by continuous or demand flow systems. The modern ventilators work well and have overcome the valve function problem, which made difficult to use CPAP with old-generation machines.
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31

Workshop on Gate Valve Pressure Locking and Thermal Binding, held at Marriott Hotel, New Orleans, LA, February 4, 1994. Washington, DC: U.S. Nuclear Regulatory Commission, 1995.

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32

Lancellotti, Patrizio, and Bernard Cosyns. Assessment of Diastolic Function. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713623.003.0005.

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Diastole is the part of the cardiac cycle starting at aortic valve closure and ending at mitral valve closure. Evaluation of diastolic function by echocardiography is useful to diagnose heart failure with preserved ejection fraction, and regardless of ejection fraction, echocardiography can be used to estimate left ventricular filling pressure. Assessment of diastolic function includes analysis of left ventricular relaxation and compliance, left atrial and left ventricular filling pressures. This chapter describes the phases of diastole and covers the integrated approach of LV diastolic function through M-Mode and 2D/3D echocardiography, pulsed-wave Doppler echocardiography, and pulsed-wave tissue Doppler echocardiography.
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33

Zamor, Natacha. Hypoxia During Anesthesia. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0022.

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In the modern anesthesia machine, there are various safety checks in place to help prevent the delivery of a hypoxic gas mixture to the patient. They include the pin index safety system (PISS), diameter index safety system (DISS), failsafe valve, oxygen-nitrous oxide proportioning system, oxygen supply failure alarm, flowmeter sequence, and, most distally, the oxygen analyzer. The PISS is a feature in the high-pressure system. The DISS, failsafe valve, and oxygen failure alarm are in the intermediate-pressure system. The flowmeters, proportioning system, and oxygen analyzer are in the low-pressure system. This chapter undertakes a discussion of the distinct role of each feature and their limitations.
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34

Design and analysis of piping and components, 1990: Including valve testing and applications : presented at the 1990 Pressure Vessels and Piping Conference, Nashville, Tennessee, June 17-21, 1990. New York, N.Y: American Society of Mechanical Engineers, 1990.

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35

Anwar, Ashraf M., and Folkert Jan ten Cate. Tricuspid and pulmonary valves. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199599639.003.0016.

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Right-sided heart valves are complex anatomical structures. Studies describing the morphological and functional assessment of both valves are lacking. Most echocardiographic modalities provide a qualitative rather than quantitative approach.Echocardiography has a central role in the assessment of tricuspid regurgitation through estimation of severity, understanding the mechanism, assessment of pulmonary artery pressure, evaluation of right ventricular function, guidance towards surgery versus medical therapy, and assessment of valve competence after surgery.Transoesophageal echocardiography is an accurate method providing a qualitative assessment of right-sided heart valves. However, the lack of good validation makes it difficult to recommend its use for a quantitative approach. Hopefully, the future will provide refinements in instrumentation and techniques leading to increased accuracy in reporting and cost-effectiveness in making clinical decisions.
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36

Orenbuch-Harroch, Efrat, and Charles L. Sprung. Pulmonary artery catheterization in the ICU. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0133.

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Haemodynamic monitoring is a significant component in the management of critically-ill patients. Flow-directed pulmonary artery catheters (PAC) are a simple and rapid technique for measuring several continuous or intermittent circulatory variables. The PAC is helpful in diagnosis, guidance of therapy, and monitoring therapeutic interventions in various clinical conditions, including myocardial infarction and its complications, non-cardiogenic pulmonary oedema and severely ill patients.The catheter is inserted through a large vein. The PAC is advanced, after ballooninflation with 1.5 mL of air, through the right ventricle across the pulmonary valve and into the pulmonary artery (PA). Finally, the catheter is advanced to the ‘wedge’ position. The pulmonary artery wedge pressure (PAWP) is identified by a decrease in pressure combined with a characteristic change in the waveform. The balloon should then be deflated and the PA tracing should reappear. Direct measurements include central venous pressure, pulmonary artery pressure, and PAWP, which during diastole represents the left ventricular end-diastolic pressure and reflects left ventricular preload. Cardiac output can be measured by thermodilution technique. Other haemodynamic variables can be derived from these measurements. Absolute contraindications are rare. Relative contraindications include coagulopathy and conditions that increase the risk of arrhythmias.
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37

Pressure relief device certifications. Columbus, Ohio (1055 Crupper Ave., Columbus 43229): The Board, 1987.

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38

Liang, Yafen, and Andrew Shaw. Severe Valvular Disease. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0008.

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The pathophysiology of valvular diseases follows the fundamental principles of fluid and pressure dynamics. Alteration in any of the major components that determine forward flow can translate into a change in stroke volume, which in turn results in a change in cardiac output. The goal of managing severe valvular disease in the perioperative period is to maintain the forward flow required for end organ perfusion and minimize regurgitation. Accordingly, this chapter discusses the major principles involved in the pathophysiology of valve disease, as well as the perioperative assessment of disease severity and appropriate management based upon the type of lesion being encountered.
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39

Clifford, Matthews, ed. A quick guide to pressure relief valves (PRVs). London: Professional Engineering Pub., 2004.

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40

Safety), CCPS (Center for Chemical Process. Guidelines for Pressure Relief and Effluent Handling Systems. American Institute of Chemical Engineers, 2010.

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41

Burton, Derek, and Margaret Burton. Food procurement and processing. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198785552.003.0004.

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Fish display a wide range of adaptations of the mouth and pharynx for specific feeding patterns including planktivory, fin-biting, picking and scraping. Appetite control is complex, involving stimulatory and inhibitory hormones. The gut has a linear plan similar to other vertebrates but with considerable variation between taxa, and a stomach may be absent. Many bony fish possess pyloric caeca, containing digestive enzymes, and may increase surface area for digestion. In chondrichthyes (sharks, etc.), a ‘spiral valve’ increases surface area of the intestine. Smooth muscle contractions in the gut wall pass food along the tract under control of food pressure, the autonomic nervous system and specific peptides. Digestion by hydrolytic enzymes, and absorption occur in the intestine, monomers produced being absorbed mainly through transcellular routes, involving enterocytes, into the blood of the hepatic portal vein to the liver. Dietary requirements and nutrition are discussed.
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42

Methods of testing capacity of refrigerant pressure regulators. Atlanta, GA: American Society of Heating, Refrigerating and Air-Conditioning Engineers, 2006.

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43

American Institute of Chemical Engineers. Center for Chemical Process Safety., ed. Guidelines for pressure relief and effluent handling systems. New York, N.Y: The Institute, 1998.

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44

Hert, Stefan De, and Patrick Wouters. Heart disease and anaesthesia. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0083.

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Cardiovascular disease is a leading cause of mortality. Hypertension is one of the major risk factors for cardiovascular disease. Classically, hypertension is subdivided according to the aetiology into primary and secondary hypertension. Ischaemic heart disease constitutes a major concern for perioperative morbidity and mortality. Therefore important efforts are directed towards the identification of the patient at risk for perioperative cardiac complications and towards optimization of the cardiac status before intervention. Cardiac rhythm disturbances fall into two general classes: bradyarrhythmias and tachyarrhythmias. While single isolated extra or skipped heart beats are usually harmless, serious heart rhythm disturbances are caused by an underlying heart disease. Valvular heart disease refers to any disease process involving any valve of the heart. Valvular heart disease may be as a result of a stenosis or an insufficiency of the valve, or both. It is characterized by pressure or volume overload to the atria and the ventricles (or both). It is this overload that will be responsible for the symptomatology of the disease. As a result of significant advances in prenatal diagnosis, cardiac surgery, interventional cardiology, and perioperative medicine, about 90% of infants with congenital heart disease are currently expected to reach adulthood. Management of these patients requires insight into (1) the primary cardiac lesion, (2) the type of cardiac surgical or interventional procedure(s) performed, (3) the presence of residual defects or sequelae, (4) the current physical status (i.e. balanced vs unbalanced), (5) the effects of surgery or pregnancy on their pathophysiological condition, and (6) the presence of comorbidity.
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45

G, DeWall K., U.S. Nuclear Regulatory Commission. Office of Nuclear Regulatory Research. Division of Engineering Technology., Idaho National Engineering and Environmental Laboratory., and Lockheed Idaho Technologies Company, eds. Results of pressure locking and thermal binding tests of gate valves. Washington, DC: Division of Engineering Technology, Office of Nuclear Regulatory Research, U.S. Nuclear Regulatory Commission, 1998.

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46

G, DeWall K., U.S. Nuclear Regulatory Commission. Office of Nuclear Regulatory Research. Division of Engineering Technology., Idaho National Engineering and Environmental Laboratory., and Lockheed Idaho Technologies Company, eds. Results of pressure locking and thermal binding tests of gate valves. Washington, DC: Division of Engineering Technology, Office of Nuclear Regulatory Research, U.S. Nuclear Regulatory Commission, 1998.

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47

Matthews, Clifford. A Quick Guide to Pressure Relief Valves (PRVs) (Quick Guides (PEP)). Wiley, 2005.

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48

The World Market for Pressure-Reducing Valves: A 2004 Global Trade Perspective. Icon Group International, Inc., 2005.

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49

Parker, Philip M. The World Market for Pressure-Reducing Valves: A 2007 Global Trade Perspective. ICON Group International, Inc., 2006.

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50

National Institute of Standards and Technology (U.S.) and Naval Surface Warfare Center (U.S.). Carderock Division, eds. Utility of high pressure oil with digital proportional valves in servo applications. Gaithersburg, MD: U.S. Dept. of Commerce, Technology Administration, National Institute of Standards and Technology, 2002.

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