Power Management applications: load shedding; active and reactive power control; busbar synchronization. * Horizontal communication to IEDs via GOOSE and Vertical communication via MMS for standard data objects and SoE for breaker and switch commands.
A paraesophageal hernia is also known as a hiatal hernia, where a portion of the stomach slides through the diaphragm and into the chest. This may cause symptoms of pain, heartburn, reflux, and difficulty swallowing food. Sometimes it causes food or even liquids to become stuck as they go down the esophagus.
PARAESOPHAGEAL HERNIA REPAIR â¢ Operative principles: â¢ Reduction of hernia sacâs contents â¢ Excessive force may cause serosal/full-thickness tears â¢ Mobilization/Removal of hernia sac â¢ May minimize recurrence due to: â¢ obliteration of potential space â¢ improved healing and scar formation.