UK PubMed Central (United Kingdom)

ObjectiveTo assess the utility of gracilis muscle transposition in the treatment of iatrogenic rectourethral fistula.Summary Background DataIatrogenic...Full Text Available

UK PubMed Central (United Kingdom)

Idiopathic achalasia is a primary esophageal motor disorder characterized by esophageal aperistalsis and abnormal lower esophageal sphincter (LES) relaxation in response to deglutition. It is a rare...Full Text Available

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PMID:9163165

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Between 1983 and 1986, 35 of 90 patients with acquired immunodeficiency syndrome (AIDS) had double-contrast esophagograms to rule out opportunistic esophagitis. The radiographs were reviewed without knowledge of the clinical or endoscopic findings. Candida esophagitis was diagnosed radiographically in 17 patients who had varying degrees of plaque formation and viral esophagitis in three who had discrete ulcers without plaques. All three patients with viral esophagitis (herpes in 2 and cytomegalo virus in one) and 15 of 17 with Candida esophagitis had endoscopic and/or clinical corroboration of the radiographic diagnosis. Thus, the authors' experience suggests that fungal and viral esophagitis can often be differentiated on double-contrast esophagography, so that appropriate antifungal or antiviral therapy can be instituted without need for endoscopic ...

UK PubMed Central (United Kingdom)

BackgroundEsophageal squamous cell carcinoma (ESCC) is one of the most aggressive carcinomas of the gastrointestinal tract. We assessed the relevance of Slug in measuring the invasive...Full Text Available

UK PubMed Central (United Kingdom)

BackgroundThis study aimed to assess whether endoscopic implantation of an injectable esophageal prosthesis, the Gatekeeper Reflux Repair System (GK), is a safe and effective therapy...Full Text Available

UK PubMed Central (United Kingdom)

AIM: To compare 2 different types of covered esophageal nitinol stents (Ultraflex and Choostent) in terms of efficacy, complications, and long-term outcome.METHODS: A retrospective review of...Full Text Available

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Self-expanding metallic stent insertion has been widely applied for the palliative treatment of malignant esophageal strictures. Although it is known as an easy, safe, and effective procedure, complications are well known and include things such as stent migration and esophageal stent occlusion caused by tumor in growth. However, metallic stent fractures have been rarely reported in the esophagus, especially for nitinol stents. We report a case of a stent fracture associated with migration in a patient with a malignant esophageal stricture near the gastroesophageal junction. It is highly probable that the stent fracture was due to chemical erosion of the stent caused by gastric juice

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Aluminium phosphide ingestion is the most common agricultural poisoning in suburban and rural India and with a high mortality rate. Among survivors of acute poisoning there are recent sporadic reports of esophageal complications such as esophageal strictures and tracheo-esophageal fistula. The present study was carried out to determine the incidence, natural history, and treatment outcome of local esophageal complications in survivors of aluminium phosphide poisoning with complaints of dysphagia. All confirmed cases of poisoning with aluminium phosphide ingestion were admitted in Hamidia Hospital, Gandhi Medical College, Bhopal, Madhya Pradesh, India, from October 2007 to October 2008. Survivors with complaints of dysphagia underwent a barium study and upper gastrointestinal endoscopy to d...

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Background Aluminium phosphide tablets popularly known, as ?celphos? is a highly toxic fumigant used as insecticide for preservation of food grains. India is an agricultural country and celphos tablets are easily available to psychologically vulnerable young people. It is swallowed with suicidal intent and death comes in minutes. Patients and methods In this series there were seven patients with tracheo esophageal complications out of 342 patients reviewed. Four patients had esophageal stricture and three had stricture plus tracheo esophageal fistulas. Types of symptoms including progressive dyshagia and extent of respiratory symptoms were evaluated. Nutrition status and success or failure of dilatation at the time of endoscopy was taken into account. The criteria for oesophageal replaceme...

UK PubMed Central (United Kingdom)

Gastrointestinal perforations are conservatively managed at endoscopy by through-the-scope endoclips and covered self expandable stents, according to the size and tissue features of the perforation....Full Text Available

UK PubMed Central (United Kingdom)

BackgroundHuman papillomavirus (HPV) infection is a major risk factor for the development of nearly all cases of cervical cancer worldwide. The presence of HPV DNA in cases of esophageal...Full Text Available

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A 21-year-old woman developed midesophageal stricture two weeks after ingestion of aluminium phosphide (AlP) tablets. Aluminium phosphide is a lethal protoplasmic toxin and is also the most common cause of suicidal poisoning in northern India. Upper gastrointestinal endoscopy (UGIE) showed a tight esophageal stricture 29?cm from the incisors with a circumferential ulcer. Dilatation up to 17?mm was done using Savary-Gilliard dilators. She had repeated dilatations three times at nearly two-week intervals. In view of the resistant stricture, a silicone Polyflex stent was placed across the stricture and removed after 3?months; there was no recurrence of stricture even after three months of follow-up. Patients with recurrent esophageal stricture and those with fistula may benefit from silicone ...

UK PubMed Central (United Kingdom)

Effector proteins expressed in the esophageal gland cells of cyst nematodes are delivered into plant cells through a hollow, protrusible stylet. Although evidence indicates that effector proteins function...Full Text Available

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In patients subjected to bone marrow transplantation the aggressive measures necessarily preceding this treatment lead to drastic metabolic changes which, in turn, are a cause of marked disturbances of homeostasis. The general preparatory measures in the form of cytoreduction by cytostatic drugs are broadened for leukaemic patients to include wholebody irradiation. During the study described here investigations were carried out into the resulting strain on the metabolism. One of the most essential changes observed in those patients was a nitrogen loss of up to approx. 20 g/day that occurred during the immunosuppressive phase. This was accompanied by markedly pronounced variations in fluid elimination, which partly were of an iatrogenic nature. An immediate and sufficient substitution of amino acids in connection with complete parenteral nutrition rapidly acted to compensate for the nitrogen losses, even though these could not be totally reversed to achieve a ...

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An experimental study was undertaken to determine for the turbulent regime the heat transfer and fluid flow characteristics of a heat exchange array of unperforated, and perforated brass plates with 33% of the plate area open. In both cases, the plates were aligned parallel to the flow direction. For the flow conditions examined, the results showed enhancement of heat transfer and friction factor for the perforated array.

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A new algorithm for the treatment of sliding interfaces between solids with or without friction in an Eulerian wavecode is described. The algorithm has been implemented in the two-dimensional version of the CTH code. The code was used to simulate penetration and perforation of aluminum plates by rigid, conical-nosed tungsten projectiles. Comparison with experimental data is provided.

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Purpose The aim of this study was to evaluate the role of host periosteum and recipient bed perforation on the healing of an onlay graft to the mandible based on histologic and immunohistochemical analysis. Materials and methods Each of the 12 adult sheep used in the study received four iliac corticocancellous onlay bone grafts on the lateral surface of the mandible. In experiment 1, the block graft was placed in direct contact with the recipient bed and fixed with micro-screws, and in experiment 2, the recipient cortical bed was perforated before graft placement. The host periosteum around the graft was excised before flap replacement in experiment 3, and in experiment 4, a sheet of silicone membrane was placed between the graft and the recipient bed. The animals were euthanised at 4, 8, ...

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Background An emerging imaging tool, the functional lumen imaging probe (Endoflip; Crospon Ltd, Galway, Ireland), provides a real-time measurement of esophagogastric junction (EGJ) capacity and diameter, which would be of particular interest in functional esophageal surgery such as Heller myotomy and antireflux procedures. This study aimed to demonstrate the intraoperative use of endoflip in the treatment of achalasia and gastroesophageal reflux disease (GERD). Methods In the first case, Heller myotomy was performed under endopflip guidance, for persistent dysphagia after failed endoscopic dilatation. In the second case, the endoflip was used to calibrate a Nissen fundoplication. With the patient under general anesthesia, the endoflip catheter was inserted orally and positioned to straddle...

UK PubMed Central (United Kingdom)

INTRODUCTIONCutiplast (absorbent perforated dressing with adhesive border; Smith & Nephew) is commonly used following orthopaedic operation, but complications of its use...Full Text Available

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During a high temperature treatment of the radioactive wastes that contain ruthenium, some ruthenium is volatilized and released to the off gas system. The volatilized ruthenium is removed with a scrubber and an adsorber. It was expected that the scrubber was one of the most effective equipments to remove ruthenium and the decontamination factor of the scrubber was studied. The experimental apparatus was simulated as part of an actual perforated plate column scrubber. The non-radioactive ruthenium which simulated the radioactive ruthenium was volatilized and fed into the scrubber. The decontamination factor of the scrubber was determined by the ratio of the ruthenium concentration at the inlet and outlet of the scrubber off gas stream. The results showed that the scrubber removed the volatile ruthenium effectively as expected.

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Objective: To evaluate technical feasibility and acute and subacute radiotolerance of a self-expandable stent loaded with {sup 125}I seeds in the rabbit esophagus. Methods: A self-expandable stent designed for esophageal application was made of 0.16 mm nitinol wire and loaded with {sup 125}I seeds (CIAE-6711). Twenty-seven stents with three different radioactive dosages (n = 9 in each dosage group) were implanted in the esophagus of healthy rabbits, while nine stents alone were used as controls. The stents were perorally deployed into the esophagus under fluoroscopic guidance. Radiological follow-up included plain chest film, CT scan, and barium esophagography which were undertaken in all rabbits of each group at 2, 4, and 8 weeks, respectively, which were correlated to histopathological findings. The stented esophageal segments along with their adjacent tissues were harvested for histopathological examinations. Results: The stent was ...

Science.gov (United States)

Bladder perforation due to the obturator nerve reflex (ONR) is a serious complication during TUR of bladder tumor using the conventional TUR system; requiring monopolar electrocautery and non-conductive solution as perfusate. Recently, the TURis system, which employs bipolar electrocautery and physiological saline as perfusate, has been developed. Electrical resistance of physiological saline and human tissues are approximately 40 and 500 omega, respectively. Thus, theoretically, electrical current flows between the resection loop and the recovery electrode integrated in the outer sleeve of the endoscope, without forming electrical circuit in the patient's body; suggesting possible elimination of the ONR. Here we describe a case of bladder perforation during surgery using the TURis system; the ONR was exaggerated during the procedure to stop bleeding at the lateral wall using bipolar electrocautery. In addition to this case, there have been a ...

British Library Electronic Table of Contents (United Kingdom)

Scanning electron microscope (SEM) is necessary to demonstrate presence or absence of pit membranes in possible perforations or the type of pit membrane remnants in perforations in vessel element end-walls of angiosperms, but it was unconfirmed and questionable whether pit membrane absence in pits was affected by the processing and handling before SEM observations. To solve this question, the secondary xylem of four woody species from primitive angiosperms, Illicium henryi Diels. (Illiciaceae), Schisandra rubriflora (Franch.) Rehd. et Wils. (Schisandraceae), Tetracentron sinensis Oliv. and Trochodendron aralioides Sieb. & Zucc. (Trochodendraceae) was chosen and the following techniques were used: (1) fresh materials were examined in low-vacuum with ESEM. (2) Air-dried materials were examin...

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This study is concerned to the perforation phenomena of the oblique dual-plate by projectile. Experiment and simulation related to that was carried out. the variables considered in this phenomena include the electrolytic zinc coated steel sheet and carbon steel rod. In the former, the confirmation and projectile velocity possible phenomena of real phenomena is done, the latter, the effect of parameter such as time-step and grid space length is analyzed by using the three-dimensional Lagrangian explicit time-integration finite element code, HEMP. This code use the eight node hexahedral elements and in this study, Von-Mises Criteria is used as the strength model, Mie-Gruneisen is as the Equation of State. The simulation was performed by contrast with the experiment. Through the calibration of the parameter of Lagrangian code, reasonable result was approached.

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Purpose: To analyze p53, bcl-2, c-myc, and cyclooxygenase-2 protein expression changes and examine their relationship with various antioxidant enzymes in esophageal carcinoma patients. Methods and Materials: Patients in Group 1 underwent transhiatal esophagectomy and those in Group 2 were administered chemoradiotherapy followed by surgery after 4 weeks of neoadjuvant therapy. Results: The relationship analysis among the various protein markers and antioxidant enzymes showed an inverse correlation between bcl-2 and superoxide dismutase/catalase in tumor tissues, irrespective of the treatment arm followed. An important positive association was observed between bcl-2 and reduced glutathione levels in the tumor tissue of patients receiving neoadjuvant therapy. Another apoptosis-modulating marker, c-myc, in the tumor tissue of Group 2 patients showed similar pattern levels (high and low) as that of superoxide dismutase/catalase. The association of cyclooxygenase-2 and ...

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A length of metal sheathed metal oxide cable is perforated to permit liquid access to the insulation about a pair of conductors spaced close to one another. Changes in resistance across the conductors will be a function of liquid level, since the wetted insulation will have greater electrical conductivity than that of the dry insulation above the liquid elevation.

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Proton pump inhibitors are highly successful in treating gastroesophageal reflux disease, but a significant proportion of patients have persistent symptoms from weakly or nonacidic reflux. Transient lower esophageal sphincter relaxation (TLESR) represents the dominant mechanism of gastroesophageal reflux and has therefore become the most intensely investigated therapeutic target. The triggering of TLESR involve the vagal pathways and the ?-aminobutyric type B (GABA(B)) and metabotropic glutamate type 5 (mGluR5) receptors. Baclofen is a GABA(B) receptor agonist that is effective in inhibiting TLESR and reducing the number of reflux episodes, but is associated with significant central nervous system (CNS) side effects. The newer GABA(B) agonists, such as AZD9343 and AZD3355, and mGluR5 antag...

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Numerical simulation of dynamic fracture of concrete slabs, impacted by steel projectiles, was carried out in this study. The concrete response was described by a continuum damage model. This continuum damage model was originally developed to study rock fragmentation and was modified in the present study with an emphasis on the post-limit structural response. The model was implemented into a transient dynamic explicit finite element code LS-DYNA2D and the code was then used for the numerical simulations. The specific impact configuration of this study follows the experiment series conducted by Hanchak et al. Comparisons between calculated results and measured data were made. Good agreements were found.

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To assess the feasibility of transluminal radiofrequency thermal ablation using a stent-type electrode and to determine, by means of in-vivo and in-vivo animal studies, the appropriate parameters. In-vivo: the radiofrequency electrode used was a self-expandable nitinol stent with 1cm insulated ends. A stent was placed in the portal vein of bovine liver, and ablations at target temperatures of 70, 80, 90, and 100 .deg. C were performed. Ablated sizes were measured longitudinally. In vivo: four mongrel dogs were anesthetized, and a stent was inserted in the common bile duct under fluoroscopic guidance through an ultrasound-guided gall bladder puncture site. The ablation temperature was set at 80 .deg. C, and each dog underwent proximal and distal esophageal ablations lasting 12 minutes. They were sacrificed immediately. In-vivo: ablated sizes showed significant correlation with target temperatures (r>0.04; p<0.05). Although most lesions were fusiform, ...

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For almost 150 years, the two monotypic genera Trochodendron and Tetracentron (Trochodendraceae) have been considered to share an unusual and primitive feature in angiosperms - the lack of vessels in their wood. Therefore, they have been classified in a basal position in the angiosperms. Our observations by light microscopy, low-vacuum environmental scanning electron microscopy (ESEM) and high-vacuum scanning electron microscopy (SEM) both in fresh and FAA-fixed materials consistently showed the presence of tracheary elements differentiated into two types in both genera. In Trochodendron, the tracheary elements can be divided into perforate vessel elements and imperforate fiber-tracheids and tracheids. The vessel elements show end and lateral walls. The pits on the end walls are elongate- ...

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OBJECTIVE To present our initial experience of thulium laser resection via a flexible cystoscope for recurrent non-muscle-invasive bladder cancer (ThuRBT), as transurethral resection for bladder tumour (TURBT) is regarded as the reference standard for treating this disease, but alternative laser resection or ablation is suitable especially for recurrent tumours. PATIENTS AND METHODS From January 2005 to October 2005, 32 patients with early recurrent bladder tumour (recurrent within a year after TURBT) were treated with ThuRBT via a flexible cystoscope. The follow-up included urine analysis, ultrasonography and cystoscopy every 3 months. RESULTS All patients were treated successfully with ThuRBT in one session, with no bladder haemorrhage, obturator nerve reflex or vesicle perforation. Rand...

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Two dogs were given 3.0 mCi/kg body weight of "1"0"6Ru-"1"0"6Rh and two were given 4.0 mCi/kg. At 5 days after treatment, one dog from each dose level was colectomized. The dog given the larger dose but not surgically treated was killed in extremis due to acute lower bowel injury at 18 days. The other dog, given 3.0 mCi/kg but not surgically treated, was killed in a moribund condition at 145 days after dosing. The rectum had perforated. The colectomized dogs recovered from intestinal injury and showed no radiation damage at the termination of the study.

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Oil and gas production and processing operations sometimes cause naturally occurring radioactive materials (NORM) to accumulate at elevated concentrations in by-product waste streams. The sources of most of the radioactivity are isotopes of "2"3"8U and "2"3"2Th series, which are naturally present in the subsurface formations from which oil and gas are produced. NORM waste may cause problems in the operations of installations by plugging perforations, clogging tubular and valves then restricting flow. Therefore, plants or equipment have to be refurbished and decontaminated before reuse to avoid radioactive waste or surface contaminated object. There are two options for safe disposal of scale and sludge produced from NORM Descaling Facility : 1- Injection into an abandoned production well. 2- The construction of a near surface depository. These options are assumed to be environmental friendly disposal options. (author)

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The BT-EdF-CEA consortium for the development and the performance improvement of lithium/polymer batteries has carried out a safety analysis of the industrial risk and the risk for users linked with this new technology. The process chosen for the manufacturing of lithium/polymer batteries does not generate any particular risk of personnel or environmental contamination. Security tests have permitted to observe and analyze the behaviour of 4 Ah elements during thermal shocks, perforation and crushing, and during external short-circuit on 20 Ah elements. These tests demonstrate the great thermal stability and the excellent behaviour of batteries in the case of partial destruction. (J.S.) 2 refs.

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An Effect of pinhole(perforation or pit penetration) that might be formed outside the package on the nuclide leaching from paraffin waste form was investigated. In case of single pinhole, the leached mass and cumulative fraction leached (CFL) increased with the larger diameter of pinhole, but they were not in direct proportion to the size or area of pinhole. If the total area of multiple pinholes was fixed, the leached mass showed a tendency to increase as each size was smaller and the number was more. It was also found that the leached mass was not in direct proportion to the number of pinhole in case of constant size. In order to analyze the test results, the shrinking core model(SCM) was derived from the diffusion-controlled dissolution reaction and compared with previous diffusion model.

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Background: High satisfaction rates have been reported after autologous breast reconstruction. Yet, most mastectomy patients receive implant reconstructions (ImBR). Independent and active decision makers have shown mainly to choose for autologous reconstructions, such as the Deep inferior epigastric perforator (DIEP) flap (DiepBR). To further explore the decision making to opt for either ImBR or DiepBR, we investigated patient knowledge, informational resources used, effect of plastic surgeons' advice, coping style and personal independence. Methods: A total of 153 women, who were planned for DiepBR or ImBR preoperatively, completed a study-specific and standardised validated psychological questionnaire. Analyses were aimed at information-seeking behaviour, personal independence and coping...

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Shaped charges were first used more than 30 years ago to perforate casing, cement sheath and reservoir to provide selective communication between the reservoir and well bore. Since then, advances have been made in design of shaped charge sand ancillary equipment. Penetration has increased considerably. Miniaturization of equipment allows passing through relatively small restrictions and effectively communicating with reservoirs. Gun debris has been drastically reduced and in some designs eliminated. Deep reservoirs can be effectively penetrated under down-hole environments exceeding 500 F and 20,000 psi. This work covers the problems encountered and reviews successful devices employing shaped charge and explosive technology.

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Aim:To examine the electrophysiological effects of sophocarpine on action potentials (AP) and ionic currents of cardiac myocytes and to compare some of these effects with those of amiodarone.Methods:Langendorff perfusion set-up was used in isolated guinea pig heart, and responses to sophocarpine were monitored using electrocardiograph. Conventional microelectrode, voltage clamp technique and perforated patch were employed to record fast response AP (fAP), slow response AP (sAP) and ionic currents in guinea pig papillary muscle or rabbit sinus node cells.Results:Tachyarrhythmia produced by isoprenaline (15 ?mol/L) could be reversed by sophocarpine (300 ?mol/L). Sophocarpine (10 ?mol/L) decreased the amplitude by 4.0%, maximal depolarization velocity (Vmax) of the fAP by 24.4%...

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The need to increase efficiency of volumetric receivers for use in solar power plants by reducing reradiation losses and increasing the ``volumetric effect`` has promoted the idea of a receiver with tapered ducts. These seems to be very promising since higher efficiency and considerable saving of material can be achieved, as compared to conventional receivers perforated with ducts of constant cross-section. A finite element program is being developed to calculate stationary heat transfer in the tapered ducts by free and forced convection in the gas flow, conduction in walls and in the gas, and solar and thermal radiation. Gas and wall temperatures are considered to be varying only in the flow direction. In order to perform the highly nonlinear calculations of radiative exchange, the exact knowledge of the view factors is necessary. The aim of the present work is to evaluate analytically the view factors in tapered ducts.

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Purpose: To assess the role of CT in the evaluation of traumatic and spontaneous oesophageal perforation. Materials and methods: From March 2001 to May 2003, we studied 12 patients (7 males and 5 females; age range: 25-66 years, mean age: 43.5 years) with suspected oesophageal perforation due to motor-vehicle accidents (4 cases), stab wound (one case), post-intubation (2 cases), foreign body ingestion (2 cases) and spontaneous (3 cases). Five patients underwent standard chest and cervical radiography; two patients with suspected foreign body ingestion also underwent a gastrografin swallow study; all of the 12 patients underwent CT of the neck, chest and abdomen before and after intravenous, and in four cases oral, administration of contrast material. Results: In 5 patients with cervical, thoracic and abdominal trauma, the CT examination showed the presence of pleuroparenchymal injury (pneumothorax, pleural effusion and subcutaneous emphysema) ...

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The objective of the first project period is to: make a study into materials suitable for the non-premix radiant burners (NPRB); choose the materials for the construction; make proposals for the design of the NPRB; test the different proposals with a CFD-model. In pursuit of finding a suitable material it is necessary first to estimate the maximum temperature that will occur in the burner. It has been estimated that the maximum adiabatic flame temperature will be about 2400-2500 K. The maximum temperature in the burner will of course never reach this level. A more realistic temperature was estimated to 2100-2300 K. The final choice was made after having contacted some of the leading producers. It was possible to find one producer that could produce burners of one of the suggested materials, zirconia. Several construction ideas for the NPRB have been discussed and some of them tested with a CFD-model. The proposed burner concept has been modified in order to obtain a homogenous ...

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One way to intensify heat and mass transfer processes in column-type equipment is through use of contact devices with directional gas phase injection into a liquid. Making the perforations at an angle to the tray plane permits a rise in the permissible gas velocity in the column, since inertial force adds to gravity during separation. Different arrangements of the jet-forming elements relative to one another and to partitions and baffle-type contacts installed on the trays can improve phase contact conditions and intensify heat and mass transfer. Design of jet-type trays for a specific purpose requires that the influence of jet-forming, element design parameters on at least the fluid dynamic situation on the tray be known. In this work, the authors evaluate the influence of tab bend-up angle on jet tray working characteristics. These investigations demonstrate that the jet inclination angle (the angle of maximum gas velocity in the jet) exceeds the tab bend-up ...

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Perforated thermoplastic masks are used to provide patients immobilization. This procedure inserts a material in the path of the radiation beam, that attenuates and modifies the beam fluence and flatness. The present study evaluates the increase in skin dose as a result of using thermoplastic masks. Relative doses were measured on the surface of a solid water phantom, in the presence and absence of masks. These masks were stretched according to deformation patterns observed in clinical routine. The measurements were obtained with a plane-parallel chamber (Markus type 23343) and radiochromic film (EBT Gafchromic) for 6MV X-rays from a linear accelerator, and for a radiation beam from a cobalt therapy unit. The results showed that thermoplastic masks, whose thickness varied between 2 and 3 mm, increased the dose on the surface by a factor of 3. Due to the variations in the skin dose distribution, clinical procedures were suggested to minimize radiobiological damages ...

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Laser holographic interferometry and pressure measurements are presented for the effects of rib-to-duct height ratio (H/2B), rib pitch-to-height ratio (Pi/H), and Reynolds number (Re) on the spatially periodic-fully developed turbulent heat transfer and friction in a rectangular duct of width-to-height ratio of 4:1 with an array of ribs detached from one wall at a clearance to rib-height ratio of 0.38. The ranges of H/2B, Pi/H, and Re examined were 0.13 to 0.26, 7 to 13, and 5 {times} 10{sup 3} to 5 {times} 10{sup 4}, respectively. The difference in the H/2B dependence of the thermal performance between the detached and attached solid-rib array is documented H/2B = 0.17 and Pi/H = 10 are found to provide the best thermal performance for the range of parameters tested. Compact heat transfer and friction correlations are developed. Additionally, it is found that heat transfer augmentation with a detached solid-rib array is superior to with a detached perforated-rib ...

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This study investigated the effectiveness of dealing with biological waste by composting. In particular, it examined the feasibility of recovering excess thermal energy produced in the process of composting biological waste in terms of mass and energy transport parameters required in the aerated compost bed. An experiment was performed in which a 100 dm{sup 3} adiabatic, leak-tight reactor equipped with a controlled aeration system was constructed to study the temperature and pressure distribution in the bed. Sensors were used to determine the amount and humidity of emitted gases under variable external physical conditions. The perforated bottom of the reactor allowed for bed aeration. As such, the humidity and heat were transported upwards, forced by the air pumped in and by natural convection. In terms of pressure distribution inside the composted and aerated bed, the study results showed that there were considerable differences in pressure for the selected ...

Science.gov (United States)

Cardiovascular effects of positive end-expiratory pressure (PEEP) at 20 cmH2O were examined in six mongrel dogs (11.3-15.0 kg). The dogs were anesthetized through a combination of intramuscular Innovar and gaseous anesthesia (60% N2O-40% O2). For volume measurements, radiodense tantalum screws were placed on the endocardial surface of the left and right ventricle. Esophageal and left and right ventricular pressures were measured. With the use of this preparation, the effects of positive end-expiratory pressure (PEEP = 20 cmH2O) on cardiovascular function were examined. PEEP caused right ventricular transmural pressures to decrease, 3.4 +/- 1.0 to 2.0 +/- 1.0 mmHg end-diastolic (P less than 0.05) and 29.2 +/- 2.2 to 27.9 + 2.2 mmHg peak systolic; left ventricular transmural pressures decreased, 5.9 +/- 1.6 to 1.2 +/- 1.4 mmHg end-diastolic (P less than 0.05) and 117.2 +/- 8.0 to 76.2 +/- 7.4 mmHg peak systolic (P less than 0.05). After volume loading the animal (500 ...

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Recurrent variceal bleeding due to liver cirrhosis led to treatment with a transjugular intrahepatic portosystemic shunt (TIPS) in a pregnant woman at 20 weeks` gestation. Fetal radiation exposure was estimated to be less than 10 mSv. The use of a graduated catheter allowed measurement of field size and reliable determination of the patient`s entrance dose. Radiation exposure of an approximated fetal dosage of 5.2 mSv did not justify abortion for medical reasons. Therefore, TIPS procedure is not generally contraindicated during pregnancy itself. TIPS placement may be a therapeutic option related to the severity of the underlying maternal disease, after radiation exposure of the fetus has been estimated. (orig.) [Deutsch] Bei rezidivierender Oesophagusvarizenblutung auf dem Boden einer Leberzirrhose wurde bei bestehender Schwangerschaft der 20. Woche ein transjugulaerer portosystemischer Stent-Shunt (TIPS) neu angelegt. Praeinterventionell wurde die zu erwartende Strahlenexposition fuer ...

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The serum levels of ferritin in 394 patients, including 339 patients with various malignant tumors and 23 with various non-malignant diseases, and 32 healthy subjects were determined. The normal levels of ferritin were 82.7 +- 42.3 ng/ml for males and 42.0 +- 36.9 ng/ml for females. The positive ratio of serum ferritin level was 28% in patients with malignant tumors and 22% in patients with non-malignant diseases. The usefulness of serum ferritin assay in screening for malignant tumors appeared to be limited. High serum levels of ferritin were found in patients with malignant lymphoma (positive ratio: 42%), pulmonary cancer (38%) and esophageal cancer (37%). According to the histological types, epidermoid cancer appeared to produce a higher serum level of ferritin than adenocarcinoma in patients with pulmonary cancer. It was interesting that malignant lymphoma had a high serum level of ferritin in spite of its low serum level of CEA. Carcinoma of the digestive ...

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Naval Petroleum Reserve No. 3 (NPR-3), also known as Teapot Dome, is a government-owned oil field in Natrona County, Wyoming. It is an asymmetrical anticline located on the western edge of the Powder River Basin, just south of the Salt Creek Anticline. Production started in 1922, and today the field is a marginally economic stripper field with average production of less than 3 BOPD (0.5 m{sup 3}/D) per well. Total field production is about 1,800 BOPD (286 m{sup 3}/D). The Second Wall Creek Formation was waterflooded from 1979 until June 1992 with poor results due to the extensive natural fracture system in this sandstone unit. Since water injection ceased, reservoir pressure has declined to very low levels. Liquids extraction and reinjection of the gas produced from high-GOR wells along the gas-oil contact continues, but the average gas cap pressure has fallen to approximately 150 psi (1.03 MPa) from an original pressure of 1,120 psi (7.72 MPa). Since the oil is highly paraffinic, wax ...

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Detailed quantitative sequence stratigraphic analysis and three-dimensional (3-D) modeling of the fluvio-deltaic Pikeville, Hyden, and four Corners formations of the Breathitt Group, eastern Kentucky, indicate that it is possible to make confident deterministic correlations of sand bodies at offshore development well spacings. The key to high-confidence correlation is the delineation of the 3-D architecture of third-order composite sequences, which are seismically mappable, and the recognition of internal fourth-order sequences, which are stacked into lowstand, transgressive, and highstand sequence sets. Volumetric partitioning of reservoir sand bodies between systems tracts and sequences allows prediction of channel sandstone geometries and channel: crevasse splay ratios. Furthermore, channel-fill type is predictable from the sequence stratigraphy. Within 13 studied fourth-order sequences, incised valley fills represent the main reservoirs, which are laterally continuous over tens of ...

International Nuclear Information System (INIS)

Full text: A 51-year-old woman with end stage renal failure secondary to Haemolytic Uraemic syndrome underwent a cadaveric renal transplant. A routine post transplant DTPA scan was performed which demonstrated satisfactory renal transplant perfusion and function. Incidental note was made of tracer uptake in the pelvis in the mid-line, which was suspected to be a uterine fibroid. This was confirmed on ultrasonography and at surgery. One week post transplantation the patient became acutely unwell and at laparotomy a perforated diverticular abscess was drained. Intraoperatively the transplant kidney was examined and the surgeon thought there was a area of infarction. This was confirmed on biopsy. As the patient's creatinine was rising a repeat DTPA study was performed. Perfusion and function of the transplant kidney was virtually absent while Doppler studies showed no flow. The patient however continued to produce urine and the creatinine was stable. Subsequently a ...

Energy Technology Data Exchange (ETDEWEB)

Thin, elastic foils of good resistance to the air exposure, patented as wound healing aids, were prepared by evaporation of a blend of lecithin (L) and sodium hyaluronan (H) taken under varying proportions. The contact angle for water, glycerol, formamide, ethylene glycol and diiodomethane, was determined for these foils. The contact angle was correlated against the H:L foil composition. For all liquids but formamide the highest contact angle was noted for the H:L = 2:1 (g g{sup -1}) ratio. The contact angles provided estimation of the work of adhesion. At the same L:H ratio the work of adhesion was the lowest. It was suggested that lecithin cross-linked hyaluronan. Since the work of adhesion of the studied liquids was similar to that of diiodomethane, it could be concluded that almost all functional groups on the foil surface were completely blocked. Perhaps, at H:L = 2:1 (g g{sup -1}) a stoichiometric complex of hyaluronic acid with lecithin was formed, and polar functional groups ...

Energy Technology Data Exchange (ETDEWEB)

The purpose of this study was to investigate the feasibility and the optimal conditions of radiofrequency (RF) ablation by using the stent-type electrode upon the saphenous vein of goats for the endovenous treatment of varicose veins. A self-expandable nitinol stent electrode (6 mm diameter, 2 cm length, cell size; 1.3 x 2 mm) was designed to expose the distal 1 cm segment to allow for contact with the venous wall. The proximal part of the electrode was connected to the RF generator by insulated copper wires located within the stent electrode introducer. Initially, to optimize the power setting, ablation of 6 saphenous veins in 3 goats was performed with power settings of 10, 20 and 30 W. Pull back rate of the electrode was 2 and 4 cm/min for each power level, respectively. The goats were sacrificed 4-6 weeks later and histologic examinations of the saphenous veins were done. For the second part of the experiment, RF ablation of 4 saphenous veins from 2 goats was done by applying the ...

Energy Technology Data Exchange (ETDEWEB)

Several steam generator tube rupture accidents have occurred at plants in the past. In this paper the Computational Multi-Fluid Dynamics (CMFD) investigation of the horizontal steam generator thermal-hydraulics during the tube rupture accident is performed. A guillotine of a steam generator U-tube is assumed with choked flow from the primary to the secondary side of the steam generator. We have computed water and steam velocity fields, steam volume fraction distribution on the steam generator secondary (shell) side, as well as the swell level increase. The simulation results are a support to the safety analyses of the steam generator tube rupture accident. Numerical simulation is performed with the multidimensional multi-fluid modelling approach. The two-phase flow around steam generator tubes in the bundle is modelled by the porous media approach. Interfacial mass, momentum and energy transfer are modelled with the closure laws. The governing equations are solved with the SIMPLE type ...

Energy Technology Data Exchange (ETDEWEB)

This thesis deals with the analysis of dominant loss mechanisms in direct methanol fuel cells (DMFC) and hydrogen fed polymer electrolyte membrane fuel cells (PEFC) by means of experimental characterization and modeling work. Due to different fuels used in these two fuel cell types, the dominant loss mechanisms are different in their nature. All in-situ characterization techniques that are used in this work are based on a novel test fuel cell with embedded reference electrodes. The first part of this work presents a new concept for realizing a reference electrode configuration in a polymer electrolyte membrane fuel cell by means of laser ablation. The laser beam is used to evaporate a small gap into the electrode surface of a catalyst coated membrane (CCM) to isolate the reference electrode from the working/counter electrode (WE/CE). This method enables the simultaneous ablation of the electrodes on both sides of the CCM because the membrane is transparent for the laser beam. ...

International Nuclear Information System (INIS)

Penetrating liver wounds are related to many causes and rank second after blunt abdominal and liver trauma. In this report are examined the clinical and radiological findings of personal series of patients with penetrating trauma, especially by firearms and stab and cut wounds. It will also tried to define the diagnostic workup of these traumas, which is especially based on CT signs of liver damage and associated changes and which is of basic importance for following treatment, both surgical or conservative. In the last seven years it was retrospectively reviewed 31 cases of penetrating liver trauma. The patients were 19 men and 12 women, ranging in age 18 to 73 (mean 42), with penetrating liver injuries from firearms (16 patients) and stab (9 cases) wounds; 6 patients had injuries from different cases. Abdominal CT was carried out in emergency with the CT Angiography (CTA) technique in all patients. In the patients with suspected chest and abdomen involvement CT was performed from the ...

Energy Technology Data Exchange (ETDEWEB)

This report summarizes the research conducted during Budget Period One on the project ''Improved Natural Gas Storage Well Remediation''. The project team consisted of Furness-Newburge, Inc., the technology developer; TechSavants, Inc., the technology validator; and Nicor Technologies, Inc., the technology user. The overall objectives for the project were: (1) To develop, fabricate and test prototype laboratory devices using sonication and underwater plasma to remove scale from natural gas storage well piping and perforations; (2) To modify the laboratory devices into units capable of being used downhole; (3) To test the capability of the downhole units to remove scale in an observation well at a natural gas storage field; (4) To modify (if necessary) and field harden the units and then test the units in two pressurized injection/withdrawal gas storage wells; and (5) To prepare the project's final report. This report ...

Energy Technology Data Exchange (ETDEWEB)

Penetrating liver wounds are related to many causes and rank second after blunt abdominal and liver trauma. In this report are examined the clinical and radiological findings of personal series of patients with penetrating trauma, especially by firearms and stab and cut wounds. It will also tried to define the diagnostic workup of these traumas, which is especially based on CT signs of liver damage and associated changes and which is of basic importance for following treatment, both surgical or conservative. In the last seven years it was retrospectively reviewed 31 cases of penetrating liver trauma. The patients were 19 men and 12 women, ranging in age 18 to 73 (mean 42), with penetrating liver injuries from firearms (16 patients) and stab (9 cases) wounds; 6 patients had injuries from different cases. Abdominal CT was carried out in emergency with the CT Angiography (CTA) technique in all patients. In the patients with suspected chest and abdomen involvement CT was performed from the ...