Pressure sores and hip fractures.

Science.gov (United States)

Haleem, S; Heinert, G; Parker, M J

2008-02-01

Development of pressure sores during hospital admission causes morbidity and distress to the patient, increases strain on nursing resources, delaying discharge and possibly increasing mortality. A hip fracture in elderly patients is a known high-risk factor for development of pressure sores. We aimed to determine the current incidence of pressure sores and identify those factors which were associated with an increased risk of pressure sores. We retrospectively analysed prospectively collected data of 4654 consecutive patients admitted to a single unit. One hundred and seventy-eight (3.8%) of our patients developed pressure sores. Patient factors that increased the risk of pressure sores were increased age, diabetes mellitus, a lower mental test score, a lower mobility score, a higher ASA score, lower admission haemoglobin and an intra-operative drop in blood pressure. The risk was higher in patients with an extracapsular neck of femur fracture and patients with an increased time interval between admission to hospital and surgery. Our studies indicate that while co-morbidities constitute a substantial risk in an elderly population, the increase in incidence of pressure sores can be reduced by minimising delays to surgery.

[Pressure sores unit--a one year study].

Science.gov (United States)

Jaul, E

2001-10-01

The phenomenon of pressure sores in the elderly patient often requires an alternative management policy to that of the standard treatment. In general, the therapeutic approach to pressure sores in the elderly should be different to that in younger patients. This modification is due to the accompanying comorbidity so often associated with aging. Due to accompanying illnesses, the aging population is at high risk and more predisposed to the development of pressure sores. The importance of the establishment of a unit for pressure sores arises from the specific geriatric team approach to the patient and the need to focus carefully on the pressure sores. The management of this special Pressure Sores Unit with a permanent capable staff requires skilled treatment, both localized and systemic, since pressure sores are very often a result of systemic failure or an indication of a terminal condition in the elderly patient. Over six months we followed-up on the number and location of the pressure sores in 47 patients in addition to other functional and nutritional parameters, in order to investigate any connection between the pressure sores and nutritional parameters. The results of the study indicate that the nutritional state of the patients admitted for pressure sores was very poor. Two thirds of the patients suffered from either dementia or stroke, and 90 percent were bedridden, incontinent and enterally fed. Despite the poor general condition of the patient, the study shows improvement in the pressure sores with a reduction from an average of 2.8 to 1.8 pressure sores per patient. The improvement in the pressure sore located on the legs was three times greater than those located in the pelvic area. By the end of the study, 50% of the patients had died, 33% of the original patients who were still in the unit showed improvement in the pressure sores and 15% were discharged showing complete recovery from the sores. No significant correlation was found between changes in the

How to care for pressure sores

Science.gov (United States)

... ency/patientinstructions/000740.htm How to care for pressure sores To use the sharing features on this page, ... Shoulders Back Back of head Caring for a Pressure Sore Stage I or II sores will heal if ...

[Sacral pressure sores and their treatment].

Science.gov (United States)

Bielecki, Marek; Skowroński, Rafał; Skowroński, Jan

2006-01-01

Sacral bed sores still present a serious problem in most surgery departments. They occur mainly in elderly patients of limited mobility. The treatment of such sores extends over long periods of time and therefore involves considerable costs. The material consisted of 11 sacral pressure ulcers treated surgically. The sores occurred in 4 severely disabled patients suffering from proximal third femur fractures, 4 patients with traumatic brain injury (treated in the Intensive Care Unit), and 3 patients suffering from bed sores after spinal cord injury. In 6 patients a fasciocutaneous flap was applied to the sores and in 5 cases a pedicled musculocutaneous gluteus maximus flap. The end results were assessed using Seiler's criteria. Complications of the "seroma" type were observed in 3 patients, and in 2 marginal necrosis. In all our patients complete healing was achieved within 2-4 weeks. On analysing our experience to date in surgical treatment of bed sores we are of the opinion that even extensive sacral sores can be covered with unilateral pedicled flaps provided that they are appropriately planned. Deep sores of the 4th degree sometimes with concomitant osteomyelitis require pedicled muscle flaps or in some cases musculocutaneous flaps to improve local circulation. The preparation of the patient for reconstruction surgery is just as important as the operation itself and therefore such preparation should never be neglected.

[Pressure sores in a university hospital].

Science.gov (United States)

Barbut, Frédéric; Parzybut, Bérengère; Boëlle, Pierre-Yves; Neyme, Denis; Farid, Rachida; Kosmann, Marie-Jeanne; Luquel, Laurence

2006-05-01

To determine the prevalence of pressure sores, their risk factors, and the responsible microbial agents in an acute-care hospital and to evaluate their management. A prevalence survey was conducted from 5 July through 9 July 2004. Investigators completed a standardized questionnaire for each hospitalized patient, including demographic data (age, sex, previous hospitalizations, etc.) and Braden scale risk factors (sensory perception, humidity, activity, mobility, nutrition, and friction and shear). Two experts in skin care detected pressure sores by physical examination of the patients. Each pressure sore was swabbed and inoculated on selective media. Management was evaluated by reviewing the clinical charts of each patient with a pressure sore. The study included 535 adult patients (aged 59 +/- 19 years): 75 ulcer sores were observed in 37 patients (prevalence=6.9%). Stage I sores accounted for 24% of the total, stage II for 29%, stage III 31%, and stage IV 16%. The most frequent site was the heel (41%), followed by the sacrum (20%), elbow (11%), back (7%) and ischial tuberosities (7%). Sixty (80%) were acquired while hospitalized. Age-adjusted multivariate analyses found that the risk factors significantly associated with pressure sores were Braden scorepressure sores (OR=5.0 95% CI: 2.2-11.6, psores (24.5%), mostly stage III and IV, were colonized by multiple-drug-resistant bacteria (i.e., methicillin resistant Staphylococcus aureus, extended spectrum beta-lactamase Enterobacteriaceae). Seven (9.3%) of the 75 ulcers were diagnosed only during the survey, by the experts; of the 68 diagnosed before the survey, 57 (83.8%) had been under treatment. Treatment was considered inappropriate according to French guidelines in 31.6% of the cases. This prospective prevalence study resulted in better awareness of the patients at risk for pressure sores. It also made the recently created mobile geriatrics unit better known within the hospital.

Herpes Simplex Virus (Cold Sores)

Science.gov (United States)

... Print Share Cold Sores in Children: About the Herpes Simplex Virus Page Content ​A child's toddler and ... Cold sores (also called fever blisters or oral herpes) start as small blisters that form around the ...

ISCHIECTOMY FOR PRESSURE SORES

Science.gov (United States)

Stern, Mark; Cozen, Lewis; Aldes, John

1960-01-01

Ischiectomy with primary closure was carried out in five paraplegic patients with pressure sores. This operation, less extensive than the wide excision with full thickness graft that is now widely advocated, was successful in four of the five cases. In the fifth case none of the several attempts to heal the sores was in the least successful. PMID:18732351

Antibiotics for sore throat.

Science.gov (United States)

Spinks, Anneliese; Glasziou, Paul P; Del Mar, Chris B

2013-11-05

Sore throat is a common reason for people to present for medical care. Although it remits spontaneously, primary care doctors commonly prescribe antibiotics for it. To assess the benefits of antibiotics for sore throat for patients in primary care settings. We searched CENTRAL 2013, Issue 6, MEDLINE (January 1966 to July week 1, 2013) and EMBASE (January 1990 to July 2013). Randomised controlled trials (RCTs) or quasi-RCTs of antibiotics versus control assessing typical sore throat symptoms or complications. Two review authors independently screened studies for inclusion and extracted data. We resolved differences in opinion by discussion. We contacted trial authors from three studies for additional information. We included 27 trials with 12,835 cases of sore throat. We did not identify any new trials in this 2013 update. 1. Symptoms Throat soreness and fever were reduced by about half by using antibiotics. The greatest difference was seen at day three. The number needed to treat to benefit (NNTB) to prevent one sore throat at day three was less than six; at week one it was 21. 2. Non-suppurative complications The trend was antibiotics protecting against acute glomerulonephritis but there were too few cases to be sure. Several studies found antibiotics reduced acute rheumatic fever by more than two-thirds within one month (risk ratio (RR) 0.27; 95% confidence interval (CI) 0.12 to 0.60). 3. Suppurative complications Antibiotics reduced the incidence of acute otitis media within 14 days (RR 0.30; 95% CI 0.15 to 0.58); acute sinusitis within 14 days (RR 0.48; 95% CI 0.08 to 2.76); and quinsy within two months (RR 0.15; 95% CI 0.05 to 0.47) compared to those taking placebo. 4. Subgroup analyses of symptom reduction Antibiotics were more effective against symptoms at day three (RR 0.58; 95% CI 0.48 to 0.71) if throat swabs were positive for Streptococcus, compared to RR 0.78; 95% CI 0.63 to 0.97 if negative. Similarly at week one the RR was 0.29 (95% CI 0.12 to 0

MECHANICAL REGENERATION OF SAND WASTE

Directory of Open Access Journals (Sweden)

D. I. Gnir

2005-01-01

Full Text Available The experimental activation of the sand regenerator of the firm SINTO is carried out at ОАО “MZOO". It is shown that sand grains are cleared from films of binding agents, that allows to use the treated sand for preparation of agglutinant and core sands.

New concepts in the prevention of pressure sores.

Science.gov (United States)

Bogie, Kath; Powell, Heather L; Ho, Chester H

2012-01-01

Pressure sores are a serious, and costly, complication for many patients with reduced mobility and sensation. Some populations, such as those with spinal cord injury (SCI), remain at high risk throughout their lifetime. Prevention is highly preferable and while the concept is readily definable, it is much more challenging to develop valid preventative measures. Subjective and objective approaches to risk factor assessment before pressure sores develop are reviewed, including risk status scales and emerging techniques to assess deep tissue injury. Devices to prevent pressure sores have traditionally focused on pressure-relieving cushions and mattresses. Technological advances being applied in the development of new pressure sore prevention devices are presented. Clinical evidence-based practice is integral to pressure sore prevention. Comprehensive assessment must include evaluation of systemic diseases, anatomical and physiological factors, together with environmental and psychosocial factors, which can all contribute to pressure sore development. Extrinsic factors need to be considered in conjunction with intrinsic tissue health factors and are reviewed together with an evaluation of currently available clinical practice guidelines. This chapter presents the broad diversity of factors associated with pressure sore development and highlights the need for an interdisciplinary team approach in order to maximize successful prevention of pressure sores. Copyright © 2012 Elsevier B.V. All rights reserved.

Sore Throat

Science.gov (United States)

... as those that cause colds, the flu, and mononucleosis) can lead to a sore throat. Bacteria (such ... to the valves of the heart. What is mononucleosis? Mononucleosis (mono) is a viral infection caused by ...

Canker Sores

Science.gov (United States)

... mouth that move, such as the tongue, soft palate, cheeks, and lips. This condition is recurrent because ... week. Most of the time, canker sores are self-limiting. This means that they will go away ...

Cold Sore

Science.gov (United States)

... may reduce how often they return. Symptoms A cold sore usually passes through several stages: Tingling and itching. Many people feel an itching, burning or tingling sensation around their lips for a day or so ...

The ′reading man flap′ for pressure sore reconstruction

Directory of Open Access Journals (Sweden)

Stamatis Sapountzis

2011-01-01

Full Text Available Background: The treatment of pressure sores represents a significant challenge to health care professionals. Although, pressure wound management demands a multidisciplinary approach, soft tissue defects requiring reconstruction are often considered for surgical management. Myocutaneous and fasciocutaneous flaps can provide stable coverage of pressure sores. Purpose: Here, we describe our experience using a recent fasciocutaneous flap, which is named ′reading man′ flap, in sacral, ischial, and trochanteric pressure sores. Materials and Methods: During a period of 1 year the authors operated 16 patients, 11 men, and 5 women, using the reading man flap. The ages of the patients ranged from 24 to 78 years. The location of pressure sores was 8 sacral, 5 ischial, and 3 trochanteric pressure sores. The mean size of pressure sores was 8 cm × 9 cm. Results: All pressure sores covered bt the Reading Man flap healed asymptomatically. After follow-up of 2-8 months, no recurrences were encountered and no further surgical intervention was required. Conclusion: The reading man flap was found to be a useful technique for the closure of pressure sore in different anatomic locations. The advantage of tension-free closure and the minimal additional healthy skin excision made this flap a useful tool in pressure sore reconstructions.

Canker Sores

Science.gov (United States)

... lack of vitamins and minerals, hormonal changes or menstrual periods. In some cases the cause is unknown. In most cases, the sores go away by themselves. Some ointments, creams or rinses may help with the pain. Avoiding hot, spicy food while you have a ...

Preventing Pressure Sores

Medline Plus

Full Text Available ... Sores Mary Zeigler, MS Transition from Hospital to Home Kim Eberhardt Muir, MS ... medical advice, recommend or endorse health care products or services, or control the information found on external websites. ...

[Program for lowering the incidence of pressure sores in neurosurgical patients].

Science.gov (United States)

Chang, Chau-Hui; Chen, Hui-Ling; Chen, Hsiang-Chi

2007-12-01

Pressure sores are one of the well known problems that occur in hospitals. As the literature on the subject indicates, a lot of money is expended in managing this problem every year, and 12-66% of pressure sores are caused during surgery. Patients who undergo neurosurgical procedures are susceptible to pressure sores because of lengthy operations. We collected data on patients with pressure sores who underwent surgery between May 2004 and August 2004, and found that the incidence of pressure sore in neurosurgical patients was 9.5%, which was the highest among all surgical patients. This project was developed to solve the problem of pressure sores by setting up standard preventive procedures, a nursing follow up system and continuing education courses, and utilizing cotton rolls to pad sites of pressure sores. The incidence of pressure sore in neurosurgical patients was reduced from 9.5% to 7% after the improvement project was carried out. The more concerned nurses are about pressure sores, the better the quality of operative nursing care.

[Surgical coverage technics of pressure sores and their outcomes].

Science.gov (United States)

Bilkay, Ufuk; Helvaci, Evren; Tokat, Cenk; Ozek, Cüneyt; Akin, Yalçin

2006-04-01

We reviewed the outcome of 66 patients with 100 pressure sores between 1984 and 2002. In the current study, 100 pressure sores in 66 patients (45 male, 21 female; mean age 39.4; range 13 to 80 years) who underwent surgical repair of pressure sores reconstructed using myocutaneous or fasciocutaneous flaps, skin grafts, excision and closure. The risk factors for pressure sores included acute trauma-induced spinal cord injury in 40 (61%) patients with paraplegia and in 5 (7%) patients with quadriplegia; congenital spina bifida and multiple sclerosis in 7 (11%) patients and prolonged immobilization in 14 (21 patients) patients. We achieved an overall pressure sore recurrence rate of 22% and overall patient recurrence of 24% in a-3-year follow-up. The recurrence rates according to anatomic sites; 23% (10 of 43) for the ischial pressure sore, sacral 21% (8 of 37), and trochanteric 20% (4 of 20). Fasciocutaneous and myocutaneous flap reconstructions were the most durable, as they were associated with 17% (6 of 34) and 12% recurrence rates (5 of 39). To reduce the recurrence rates the authors advocate the use of myocutaneous and fasciocutaneous flaps instead of skin grafts or direct closure for the coverage of pressure sores.

Preventing Pressure Sores

Medline Plus

Full Text Available ... Living with SCI Personal Experiences by Topic Resources Peer Counseling Blog About Media Donate Spinal Cord Injury Medical Expert Videos Topics menu Topics Preventing Pressure Sores Adult Injuries Spinal Cord Injury 101 David ...

Preventing Pressure Sores

Medline Plus

Full Text Available ... Sores Mary Zeigler, MS Transition from Hospital to Home Kim Eberhardt Muir, MS Coping with a New ... not provide medical advice, recommend or endorse health care products or services, or control the information found ...

Preventing Pressure Sores

Medline Plus

Full Text Available ... hours? play_arrow What's the best way to do daily skin inspections? play_arrow What are the ... for someone with a spinal cord injury to do to prevent pressure sores? play_arrow Why is ...

Preventing Pressure Sores

Medline Plus

Full Text Available ... play_arrow What parts of the body are most likely to develop pressure sores? play_arrow Is ... daily skin inspections? play_arrow What are the most important things for someone with a spinal cord ...

Preventing Pressure Sores

Medline Plus

Full Text Available ... L Sarah Harrison, OT Anne Bryden, OT The Role of the Social Worker after Spinal Cord Injury ... do to prevent pressure sores? play_arrow What role does diet and hydration play in preventing pressure ...

Preventing Pressure Sores

Medline Plus

Full Text Available ... arrow What's the best way to do daily skin inspections? play_arrow What are the most important ... to prevent pressure sores? play_arrow What is “skin tolerance” and how can it be increased? play_ ...

Preventing Pressure Sores

Medline Plus

Full Text Available ... cushion? play_arrow What’s important to know about positioning in bed to prevent pressure sores? play_arrow ... Disabilities Photography by Rona Talcott Website by Mobile Marketing LLC Understanding Spinal Cord Injury About Us Expert ...

Preventing Pressure Sores

Medline Plus

Full Text Available ... arrow Is it true that a pressure sore can develop in a few hours? play_arrow What's ... play_arrow What is “skin tolerance” and how can it be increased? play_arrow What do family ...

Preventing Pressure Sores

Medline Plus

Full Text Available ... Adult Injuries Spinal Cord Injury 101 David Chen, MD Preventing Pressure Sores Mary Zeigler, MS Transition from ... Rosenberg, PsyD Understanding SCI Rehabilitation Donald Peck Leslie, MD Adjusting to Social Life in a Wheelchair Lisa ...

Preventing Pressure Sores

Medline Plus

Full Text Available ... Medical Experts People Living with SCI Personal Experiences by Topic Resources Peer Counseling Blog About Media Donate Spinal Cord Injury Medical Expert Videos Topics menu Topics Preventing Pressure Sores Adult Injuries Spinal Cord Injury 101 David ...

Preventing Pressure Sores

Medline Plus

Full Text Available ... the most important thing to do to prevent pressure sores? What is a Spinal Cord Injury? SCI Medical Experts People Living With SCI Personal Experiences By Topic Resources Blog Peer Counseling About Media Donate Contact Us Terms of ...

Occipital pressure sores in two neonates.

Science.gov (United States)

Liu, Yi; Xiao, Bin; Zhang, Cheng; Su, Zhihong

2015-01-01

The preference for a specific head shape can be influenced by people's culture, religious beliefs and race. Modern Chinese people prefer a "talented" head shape, which is rounded and has a long profile. To obtain their preferred head shape, some parents try to change their neonates' sleeping position. Due to these forced sleeping positions, positional skull deformities, such as plagiocephaly, may be present during the first few months of life. In this article, we report two neonatal cases, of Hui nationality and Dongxiang nationality, with occipital pressure sores that were caused by using hard objects as pillows with the intention of obtaining a flattened occiput. The pressure sores were deep to the occipital bone and needed surgical management. These pressure sores caused wounds that were repaired by local skin flaps, after debridement, and the use of external constraints from a dense sponge-made head frame for approximately two weeks. One case recovered with primary healing after surgical operation. The other case suffered from a disruption of the sutured wound, and a secondary operation was performed to cover the wound. These occipital pressure sores are avoidable by providing guidance to the parents in ethnic minorities' area regarding the prevention, diagnosis and management of positional skull deformity.

Pressure sores and blood and serum dysmetabolism in spinal cord injury patients.

Science.gov (United States)

Scivoletto, G; Fuoco, U; Morganti, B; Cosentino, E; Molinari, M

2004-08-01

Spinal cord injury (SCI) patients with pressure sores were studied before and after surgical intervention for ulcer healing and compared with matched SCI patients without sores and with patients with pressure sores and other diseases. To analyse the relationship between pressure sores and anaemia and serum protein alteration in SCI patients. To study the pathogenesis of these alterations and suggest appropriate therapy. Spinal cord unit in Rome, Italy. A total of 13 SCI patients with pressure sores, 13 comparable patients without pressure sores and four patients with other diseases and pressure sores. Haematochemical parameters. Patients with pressure sore showed significant decreased red cells, decreased haemoglobin and haematocrit, increased white cells and ferritin and decreased transferrin and transferrin saturation; total hypoproteinemia and hypoalbuminemia with increased Alfa-1 and gamma globulins increased erythrocyte sedimentation rate and C-reactive protein were also present. The alterations returned to normal after surgical intervention for pressure sore healing. Patients with pressure sores suffer from anaemia and serum protein alteration that fells within the range of metabolic alteration of chronic disorders and neoplastic diseases. The alterations depend on a decreased utilisation of iron stores in the reticuloendothelial system and on inhibition of the hepatic synthesis of albumin. With regard to treatment, iron treatment should be avoided because of the risk of haemochromatosis.

[Prevalence of pressure sores in a university hospital in 2003].

Science.gov (United States)

Daideri, G; Berthier, F; Brocker, P; Darmon, M-J; Mignolet, F; Quaranta, J-F; Staccini, P

2006-12-01

To determine the prevalence of pressure sores in a university hospital and to assess the risk of developing a pressure sore. A one-day survey was performed in all hospitalized patients, day hospital excepted. The Garches scale was used to assess the severity of pressure sores and the Braden scale was used to measure the patient's risk for the development of pressure ulcers. One thousand six hundred and eleven patients were included, mean age was 62+/-23 years and 53.3% were over 65 years old. In hospitalized patients, 64% were in acute care, 29% in intermediate medicine and long-term care and 7% in intensive care units. We have found 675 pressure sores in 268 patients, mean age of 76 years; 263 decubitus ulcers were acquired during hospitalization. The most frequent sites were heels (46%) and sacrum (26%). Stage 1 pressure ulcers showed 33% of the total. The total prevalence was 16.6%, 95% CI (14.9-18.6), the hospital acquired pressure sores prevalence was 7.5%, all stages included. A Braden score less than or equal to 15 was found in 29.1% of hospitalized patients. Standard mattresses were used in 37% of patients with pressure sores. Multivariate analysis showed that age and a Braden score less than or equal to 15 were significantly associated with pressure sores. Pressure sores are still an important problem in hospital; occurrence must be considered as an iatrogenic event and management requires a multidisciplinary approach.

[Pressure sores in geriatric medicine: the role of nutrition].

Science.gov (United States)

Fontaine, Juliette; Raynaud-Simon, Agathe

2008-01-01

Malnutrition is frequent in geriatric patients: it affects 30 to 60% of elderly residents of institutions and 30 to 70% of patients admitted for short-term hospitalization. Malnutrition is a risk factor for developing pressure sores, and patients with them are more often and more severely malnourished than patients without them. In elderly subjects, multiple and interlinked factors may trigger or aggravate malnutrition; they may be physical, psychological or social and may be worsened by drugs and some diets. Malnutrition has been recognized as a risk factor for the onset and perpetuation of pressure sores. Of the dietary factors, protein intake seems most important. A low body mass index (BMI), low serum albumin, and weight loss are associated with an increased risk of pressure sores. A physician observing pressure sores must conduct a nutritional assessment, using clinical and laboratory screening tools. The criteria for malnutrition in elderly subjects are weight loss > or =5% in 3 months or > or =10% in 6 months, BMIpressure sores in geriatric medicine. It must be adapted for each patient. The recommended calorie intake in malnourished patients at risk of or with pressure sores is 30-40 kcal/kg/d, with 1.2-1.5 g of proteins/kg/d.

Reclaimability of the spent sand mixture – sand with bentonite – sand with furfuryl resin

Directory of Open Access Journals (Sweden)

J. Dańko

2011-04-01

Full Text Available Introduction of new binding materials and new technologies of their hardening in casting moulds and cores production requires theapplication of reclamation methods adequate to their properties as well as special devices realizing tasks. The spent sands circulationsystem containing the same kind of moulding and core sands is optimal from the point of view of the expected reclamation results.However, in the face of a significant variability of applied technologies and related to them various reclamation methods, the need - of theobtained reclamation products assessment on the grounds of systematic criteria and uniform bases – arises, with a tendency of indicatingwhich criteria are the most important for the given sand system. The reclaimability results of the mixture of the spent moulding sand withGeko S bentonite and the spent core sand with the Kaltharz 404U resin hardened by acidic hardener 100 T3, are presented in the paper.Investigations were performed with regard to the estimation of an influence of core sands additions (10 –25% on the reclaimed materialquality. Dusts and clay content in the reclaim, its chemical reaction (pH and ignition loss were estimated. The verification of the reclaiminstrumental assessment was performed on the basis of the technological properties estimation of moulding sand with bentonite, where the reclaimed material was used as a matrix.

Cost analysis of surgically treated pressure sores stage III and IV.

Science.gov (United States)

Filius, A; Damen, T H C; Schuijer-Maaskant, K P; Polinder, S; Hovius, S E R; Walbeehm, E T

2013-11-01

Health-care costs associated with pressure sores are significant and their financial burden is likely to increase even further. The aim of this study was to analyse the direct medical costs of hospital care for surgical treatment of pressure sores stage III and IV. We performed a retrospective chart study of patients who were surgically treated for stage III and IV pressure sores between 2007 and 2010. Volumes of health-care use were obtained for all patients and direct medical costs were subsequently calculated. In addition, we evaluated the effect of location and number of pressure sores on total costs. A total of 52 cases were identified. Average direct medical costs in hospital were €20,957 for the surgical treatment of pressure sores stage III or IV; average direct medical costs for patients with one pressure sore on an extremity (group 1, n = 5) were €30,286, €10,113 for patients with one pressure sore on the trunk (group 2, n = 32) and €40,882 for patients with multiple pressure sores (group 3, n = 15). The additional costs for patients in group 1 and group 3 compared to group 2 were primarily due to longer hospitalisation. The average direct medical costs for surgical treatment of pressure sores stage III and IV were high. Large differences in costs were related to the location and number of pressure sores. Insight into the distribution of these costs allows identification of high-risk patients and enables the development of specific cost-reducing measures. Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

[Options for flap coverage in pressure sores].

Science.gov (United States)

Nae, S; Antohi, N; Stîngu, C; Stan, V; Parasca, S

2010-01-01

Despite improvements in reconstructive techniques for pressure sores, recurrences are still seen frequently, and success rate remains variable. During 2003 - 2007, at the Emergency Hospital for Plastic Surgery and Burns in Bucharest, 27 patients underwent surgical repair of 45 pressure sores located at sacral (22 ulcers), ischial (12 ulcers) and trochanteric (11 ulcers) regions. The mean patient age was 57, 1 years (range 26 to 82 years). Mean postoperative follow-up was 6 months (range 2 months - 2 years). There were 18 complications for the 45 sores (40%). At 6 months postoperatively, recurrence was noted in 12 ulcers (27%). Details regarding indications, contraindications, advantages and disadvantages for different coverage options are outlined. The authors advocate the importance of surgical coverage in reducing morbidity, mortality and treatment costs.

Muscular soreness following prolonged intermittent high-intensity shuttle running.

Science.gov (United States)

Thompson, D; Nicholas, C W; Williams, C

1999-05-01

The aim of this study was to examine the impact of prolonged intermittent high-intensity shuttle running on soreness and markers of muscle damage. Sixteen males took part in the study, half of whom were assigned to a running group and half to a resting control group. The exercise protocol involved 90 min of intermittent shuttle running and walking (Loughborough Intermittent Shuttle Test: LIST), reflecting the activity pattern found in multiple-sprint sports such as soccer. Immediately after exercise, there was a significant increase (P < 0.05) in serum activities of creatine kinase and aspartate aminotransferase, and values remained above baseline for 48 h (P < 0.05). Median peak activities of creatine kinase and aspartate aminotransferase occurred 24 h post-exercise and were 774 and 43 U x l(-1), respectively. The intensity of general muscle soreness, and in the specific muscles investigated, was greater than baseline for 72 h after the shuttle test (P < 0.05), peaking 24-48 h post-exercise (P < 0.05). Muscle soreness was not correlated with either creatine kinase or aspartate aminotransferase activity. Soreness was most frequently reported in the hamstrings. Neither soreness nor serum enzyme activity changed in the controls over the 4 day observation period. It appears that unaccustomed performance of prolonged intermittent shuttle running produces a significant increase in both soreness and markers of muscle damage.

Flurbiprofen microgranules for relief of sore throat: a randomised, double-blind trial

Science.gov (United States)

Russo, Marc; Bloch, Mark; de Looze, Fred; Morris, Christopher; Shephard, Adrian

2013-01-01

Background Many people with sore throat seek, and are often inappropriately prescribed, antibiotics. Aim The objective of this study was to determine the analgesic efficacy of flurbiprofen 8.75 mg microgranules versus placebo. These microgranules are a possible alternative treatment for patients with sore throat due to upper respiratory tract infection (URTI). Design and setting Randomised, double-blind, placebo-controlled, multiple-dose study conducted at eight primary care sites in Australia. Method Participants with sore throat of onset within the past 4 days received either flurbiprofen 8.75 mg microgranules or non-medicated placebo microgranules. Throat soreness, difficulty in swallowing, sore throat pain intensity, sore throat relief, oral temperature, and treatment benefits were all assessed at regular intervals. Result Of 373 patients from eight centres, 186 received flurbiprofen 8.75 mg microgranules and 187 received placebo microgranules (intent-to-treat population). Throat soreness was significantly reduced over the first 2 hours after the first dose. Reductions in difficulty in swallowing were observed at all time points from 5 to 360 minutes after the first dose, after taking flurbiprofen microgranules versus placebo. Sore throat relief was also evident at 1 minute and lasted for at least 6 hours. The multiple-dose efficacy results showed reduction of difficulty in swallowing at the end of days 1–3 and sore throat relief at the end of day 1. Conclusion Microgranules containing flurbiprofen 8.75 mg provided fast and effective relief from sore throat due to URTI and represent an alternative treatment option to antibiotic therapy. PMID:23561694

Pressure sores following elective total hip arthroplasty: pitfalls of misinterpretation.

Science.gov (United States)

Keong, Nicole; Ricketts, David; Alakeson, Nuki; Rust, Philippa

2004-01-01

OBJECTIVE: To assess the reliability of reporting protocols regarding pressure sores. METHODS: Retrospective data were collected regarding pressure sore rates following total hip arthroplasty operations carried out during 2001 at two orthopaedic units in an NHS hospital (Princess Royal Hospital) and in a local private hospital. RESULTS: Preliminary results presented in audit and interim reports indicated an alarmingly high pressure sore rate across the two sites (17/172 [9.9%] NHS, 23/71 [32.4%] private hospital). On analysis, the data collection system was revealed to be flawed. Grade 1 areas (erythema with no ulceration) were included, leading to a dramatic discrepancy between reported and confirmed pressure sores. Re-analysis showed the confirmed pressure sore rates to be much lower (2.3% NHS, 1.0% private hospital). CONCLUSIONS: This audit suggests that both poor data collection and education lead to inaccurate audit. This may lead to subsequent inappropriate management and inappropriate NHS star ratings. PMID:15140301

Prevention of pressure sores by identifying patients at risk

DEFF Research Database (Denmark)

Andersen, Klaus Ejner; Jensen, O; Kvorning, S A

1982-01-01

The risk of pressure sores developing in patients admitted with acute conditions was assessed by a simple risk score system based on age, reduced mobility, incontinence, pronounced emaciation, redness over bony prominences, unconsciousness, dehydration, and paralysis in a prospective clinical stu...... of pressure sores prevents their development.......The risk of pressure sores developing in patients admitted with acute conditions was assessed by a simple risk score system based on age, reduced mobility, incontinence, pronounced emaciation, redness over bony prominences, unconsciousness, dehydration, and paralysis in a prospective clinical study...

The evaluation of daily living activities, pressure sores and risk factors.

Science.gov (United States)

Aydın, Gökçen; Mucuk, Salime

2015-01-01

This study was conducted to assess daily living activities, pressure sores and risk factors. This was a descriptive study. The study was conducted at a rehabilitation center with 188 individuals participating in the study. Data were collected with a questionnaire form, Activities of Daily Living Scale (ADLS), Instrumental Activities of Daily Living Scale (IADLS) and Braden Risk Assessment Scale (BRAS). Among the participants, 48.9% were dependent according to activities of daily living and 71.8% were dependent on instrumental activities of daily living. It was noted that 4.8% had pressure sores and 38.8% were at high risk. A strong and positive correlation was found among ADLS, IADLS, and BRAS scores (p pressure sores (p pressure sores. Individuals who are treated at rehabilitation centers should be periodically assessed in terms of risk. Pressure sore development can be prevented with appropriate nursing interventions. To reduce the risk of developing pressure sores, nurses should describe the individual's degree of dependency according to ADLS and IADLS and initiate preventive nursing care. © 2014 Association of Rehabilitation Nurses.

[An assessment scale for the prevention of pressure sores in children].

Science.gov (United States)

Chauvet, Corinne; Poirier, Marie-Renée; Sourisseau, Petronela Rachieru; Béduneau, Denis; Soulard, Anthony; Delacroix, Delphine

2015-04-01

Pressure sores in children are rare. However, when they do occur they can have significant consequences. Professionals in paediatric units realised the importance of assessing the risk of pressure sores and developed a pressure sore assessment scale specific to children. This project, carried out through a hospital-training school partnership, emphasises the importance of clinical reasoning in nursing practices.

Osteomyelitis beneath pressure sores

International Nuclear Information System (INIS)

Sugarman, B.; Hawes, S.; Musher, D.M.; Klima, M.; Young, E.J.; Pircher, F.

1983-01-01

Twenty-eight pressure sores were evaluated prospectively. Osteomyelitis was reported histologically in nine of 28 bones and pressure-related changes were reported in 14 bones. Roentgenograms suggested the presence of osteomyelitis in four instances of histologically proved osteomyelitis. Technetium Tc 99m medronate bone scans were highly sensitive, showing increased uptake in all cases of osteomyelitis; however, increased uptake also occurred commonly in uninfected bones due to pressure-related changes or other noninfectious causes. Cultures of bone biopsy samples usually disclosed anaerobic bacteria, gram-negative bacilli, or both. The diagnosis of osteomyelitis must be considered if a pressure sore does not respond to local therapy. If the technetium Tc 99m medronate uptake is increased in the involved area, or roentgenographic findings are abnormal, the diagnosis can only be made with certainty by histologic examination of bone. Antibacterial treatment should be selected based on the results of bone culture

[The prevention of pressure sores in paediatric intensive care].

Science.gov (United States)

Thueux, Emilie

2014-01-01

In paediatric intensive care, children develop pressure sores as a result of various mechanical and clinical factors. The prevention and assessment of the risk of pressure sores constitute a key concern for the nursing teams which establish prevention strategies adapted to the young patients.

Risk factors for pressure sores in adult patients with myelomeningocele--a questionnaire-based study.

Science.gov (United States)

Plaum, Pål-Erik; Riemer, Gunnar; Frøslie, Kathrine Frey

2006-12-29

Myelomeningocele (MMC) is a part of a complex neural tube defect and a disorder of the cerebrospinal fluid system. Pressure sores are a frequent complication for patients with MMC. Little is known about the risk factors for pressure sores in adults with MMC. The aim of this study was to investigate an association between the presence of pressure sores and other patient characteristics, in order to develop an improved strategy for the management of sores. A structured questionnaire regarding sores, medical condition, function and living factors was designed and sent to the 193 patients with MMC registered in the year 2003 at TRS, a National Centre for Rare Disorders in Norway. Out of 193 total, 87 patients participated and 71 patients (82%) reported sores; 26 (30%) at the time of the interview and 45 (52%) during the last 5 years. Sores were mostly localized on toes and feet and occurred exclusively in regions with reduced or missing sensibility. A significant association was found between sores and memory deficit (p = 0.02), Arnold Chiari malformation (p = 0.02) and a record of previous sores (p = 0.004). Sores were not significantly associated with hydrocephalus, syringomyelia, nutrition, body mass index, smoking, physical activity, employment or living together with other persons. Some patients (18, 21%) reported skin inspection by others and the remainder relied on self-inspection. Patients with sensory deficit, memory problems, and Arnold Chiari malformation had a higher risk of having pressure sores. This patient group needs improved skin inspection routines and sore treatment.

Aetiology of pressure sores in patients with spinal cord injury.

Science.gov (United States)

Thiyagarajan, C; Silver, J R

1984-01-01

One hundred consecutive patients admitted to the National Spinal Injuries Centre, Stoke Mandeville Hospital, with pressure sores were studied to assess the relative importance of factors known to predispose to the development of scores. Loss of feeling was critical, because patients were unable to appreciate pain when the sore was developing. Risk of developing a sore increased with age, but duration of the paralysis was of equal importance. After discharge from hospital the presence of a caring relative or friend was essential for survival. Many patients developed sores because of poor facilities at home or inappropriate advice from those who looked after them. An even more distressing factor was the number of patients who developed sores in hospital owing to inadequate nursing care. There are relatively few paralysed patients in the community, but the lessons learnt in this study may be applied to all patients with orthopaedic injuries and to geriatric patients with limited mobility. Nursing and medical staff must turn patients regularly and ensure that there is proper equipment to relieve pressure on the skin. Patients should not be allowed to sit in a chair if they develop a sacral or trochanteric sore. More effort should be directed towards the appropriate education of patients, their relatives, and all those who are concerned with their welfare. Images FIG 1 FIG 2 FIG 3 PMID:6439284

Treatment of ischial pressure sores using a modified gracilis myofasciocutaneous flap.

Science.gov (United States)

Lin, Haodong; Hou, Chunlin; Chen, Aimin; Xu, Zhen

2010-04-01

Despite the availability of a variety of flap reconstruction options, ischial pressure sores continue to be the most difficult pressure sores to treat. This article describes a successful surgical procedure for the coverage of ischial ulcers using a modified gracilis myofasciocutaneous flap. From August 2000 to April 2004, 12 patients with ischial sores were enrolled in the study. All patients underwent early aggressive surgical debridement followed by surgical reconstruction with a modified gracilis myofasciocutaneous flap. The follow-up period ranged from 13 to 86 months, with a mean of 44 months. Overall, 91.7% of the flaps (11 of 12) survived primarily. Partial flap necrosis occurred in one patient. Primary wound healing occurred without complications at both the donor and recipient sites in all cases. In one patient, grade II ischial pressure sores recurred 13 months after the operation. There was no recurrence in other 11 patients. A modified gracilis myofasciocutaneous flap provides a good cover for ischial pressure sores. Because it is easy to use and has favorable results, it can be used in the primary treatment for large and deep ischial pressure sores. Copyright Thieme Medical Publishers.

Sacral pressure sore reconstruction – the pedicled superior gluteal ...

African Journals Online (AJOL)

Pressure sore reconstruction has always been challenging. Immobile patients are prone to develop pressure sores from unre- lieved pressure on tissue over the sacral area, with shear, friction, moisture and malnutrition as contributing factors. Up to one-third of immobilised patients in long-term care facilities will develop.

Prevention of pressure sores by identifying patients at risk.

Science.gov (United States)

Andersen, K E; Jensen, O; Kvorning, S A; Bach, E

1982-01-01

The risk of pressure sores developing in patients admitted with acute conditions was assessed by a simple risk score system based on age, reduced mobility, incontinence, pronounced emaciation, redness over bony prominences, unconsciousness, dehydration, and paralysis in a prospective clinical study. During seven months in 1977, 600 of 3571 patients were classified as at risk. Of these 35 (5.8%) developed sores compared with five (0.2%) of those not at risk. The results of this study compared with those over the same period in 1976 show that close observation of at-risk patients and early detection of pressure sores prevents their development. PMID:6803980

Sore Throat: Diagnosis and Treatment

Science.gov (United States)

... neck to check for swollen glands (lymph nodes) Listening to your or your child's breathing with a ... of your sore throat, these at-home care strategies can help you ease your symptoms: Rest. And ...

[Treatment of pubic osteomyelitis secondary to pressure sores].

Science.gov (United States)

Brunel, Anne-Sophie; Téot, Luc; Lamy, Brigitte; Masson, Raphaël; Morquin, David; Reynes, Jacques; Le Moing, Vincent

2014-01-01

There is no consensus regarding the diagnostic and therapeutic strategy for pubic osteomyelitis secondary to pelvic pressure sores. Diagnosis is often difficult and bone biopsies with microbiological and anatomical-pathological examination remain the gold standard. The rate of cicatrisation of pressure sores is low. Cleansing and negative pressure treatment are key elements of the treatment. Optimising the care management with medical-surgical collaboration is being studied in the Ostear protocol.

How effective are treatments other than antibiotics for acute sore throat?

OpenAIRE

Thomas, M; Del Mar, C; Glasziou, P

2000-01-01

To estimate the benefits of treatments other than antibiotics for acute sore throat, and the differences between non-antibiotic interventions and controls in patient-perceived pain of sore throat, a systematic review of controlled trials in Medline and the Cochrane Library was carried out. Sixty-six randomised controlled trials (with or without additional antibiotics) were identified and 17 met the selection criteria. Twenty-two non-antibiotic managements for sore throat were compared. Their ...

Pressure sores--a multifaceted approach to prevention and treatment.

Science.gov (United States)

Staas, W. E.; Cioschi, H. M.

1991-01-01

The incidence and effect of pressure sores on the disabled and elderly population have created a challenge to physicians and health care professionals, from emergency departments to rehabilitation units, and in the community. If not prevented, the morbidity and mortality of patients and the direct and indirect costs to both patients and the health care system are radically increased. In this article we define the impact on our health care system of pressure sores, provide an overview of a multifaceted approach to their prevention and management, and introduce successful behavioral and educational approaches for patients with chronic, recurrent sores. A coordinated approach with patients as informed participants and their care givers enhances the chances for success. PMID:1830985

Risk factors for pressure sores in adult patients with myelomeningocele – a questionnaire-based study

Directory of Open Access Journals (Sweden)

Frøslie Kathrine

2006-12-01

Full Text Available Abstract Background Myelomeningocele (MMC is a part of a complex neural tube defect and a disorder of the cerebrospinal fluid system. Pressure sores are a frequent complication for patients with MMC. Little is known about the risk factors for pressure sores in adults with MMC. The aim of this study was to investigate an association between the presence of pressure sores and other patient characteristics, in order to develop an improved strategy for the management of sores. Methods A structured questionnaire regarding sores, medical condition, function and living factors was designed and sent to the 193 patients with MMC registered in the year 2003 at TRS, a National Centre for Rare Disorders in Norway. Results Out of 193 total, 87 patients participated and 71 patients (82% reported sores; 26 (30% at the time of the interview and 45 (52% during the last 5 years. Sores were mostly localized on toes and feet and occurred exclusively in regions with reduced or missing sensibility. A significant association was found between sores and memory deficit (p = 0.02, Arnold Chiari malformation (p = 0.02 and a record of previous sores (p = 0.004. Sores were not significantly associated with hydrocephalus, syringomyelia, nutrition, body mass index, smoking, physical activity, employment or living together with other persons. Some patients (18, 21% reported skin inspection by others and the remainder relied on self-inspection. Conclusion Patients with sensory deficit, memory problems, and Arnold Chiari malformation had a higher risk of having pressure sores. This patient group needs improved skin inspection routines and sore treatment.

Risk factors for pressure sores in adult patients with myelomeningocele – a questionnaire-based study

Science.gov (United States)

Plaum, Pål-Erik; Riemer, Gunnar; Frøslie, Kathrine Frey

2006-01-01

Background Myelomeningocele (MMC) is a part of a complex neural tube defect and a disorder of the cerebrospinal fluid system. Pressure sores are a frequent complication for patients with MMC. Little is known about the risk factors for pressure sores in adults with MMC. The aim of this study was to investigate an association between the presence of pressure sores and other patient characteristics, in order to develop an improved strategy for the management of sores. Methods A structured questionnaire regarding sores, medical condition, function and living factors was designed and sent to the 193 patients with MMC registered in the year 2003 at TRS, a National Centre for Rare Disorders in Norway. Results Out of 193 total, 87 patients participated and 71 patients (82%) reported sores; 26 (30%) at the time of the interview and 45 (52%) during the last 5 years. Sores were mostly localized on toes and feet and occurred exclusively in regions with reduced or missing sensibility. A significant association was found between sores and memory deficit (p = 0.02), Arnold Chiari malformation (p = 0.02) and a record of previous sores (p = 0.004). Sores were not significantly associated with hydrocephalus, syringomyelia, nutrition, body mass index, smoking, physical activity, employment or living together with other persons. Some patients (18, 21%) reported skin inspection by others and the remainder relied on self-inspection. Conclusion Patients with sensory deficit, memory problems, and Arnold Chiari malformation had a higher risk of having pressure sores. This patient group needs improved skin inspection routines and sore treatment. PMID:17196099

How elderly patients with femoral fracture develop pressure sores in hospital.

Science.gov (United States)

Versluysen, M

1986-01-01

The routine hospital management of 100 consecutive elderly patients was studied to determine the reason for the high incidence of pressure sores among patients admitted to hospital for femoral fractures. Of these patients, 66 developed sores, 83% occurring by the fifth day in hospital. This was due to the long periods that patients were immobilised on high pressure surfaces in the casualty department, wards, and theatres before repair of the fracture and restoration of their weight bearing function. Sores are not simply a ward or nursing problem, but an unintended consequence of hospital treatment. To reduce the incidence of sores elderly patients should be treated on low pressure patient support systems from the point of entry to hospital until mobility is restored. PMID:3085827

Treatment of ischial pressure sores with double adipofascial turnover flaps.

Science.gov (United States)

Lin, Haodong; Hou, Chunlin; Xu, Zhen; Chen, Aiming

2010-01-01

Despite a variety of flap reconstruction options, the ischium remains the most difficult pressure sore site to treat. This article describes the authors' successful surgical procedure for coverage of ischial ulcers using double adipofascial turnover flaps.After debridement, the adipofascial flaps are harvested both cephalad and caudal to the defect. The flaps are then turned over to cover the exposed bone in a manner so as to overlap the 2 flaps. The skin is then closed with sutures in 2 layers. A total of 15 patients with ischial sores were treated using this surgical procedure.The follow-up period ranged from 11 to 159 months, with a mean of 93.6 months. Overall, 86.7% of the flaps (13 of 15) healed primarily. One patient had a recurrent grade II ischial pressure sore again 11 months after the operation. The other 14 patients did not have a recurrence.Treatment of ischial pressure sores with adipofascial turnover flaps provides an easy, minimally invasive procedure, with preservation of future flap options, and a soft-tissue supply sufficient for covering the bony prominence and filling dead space. This technique is a reliable and safe reconstructive modality for the management of minor ischial pressure sores.

Cutaneous flaps in the treatment of 338 pressure sores: a better choice.

Science.gov (United States)

Greco, Manfredi; Marchetti, Francesco; Tempesta, Massimo; Ruggiero, Marco; Marcasciano, Marco; Carlesimo, Bruno

2013-01-01

Muscular flaps are considered by many surgeons as a treatment of choice for pressure sores. Nevertheless fasciocutaneous and adipofascial flaps are less sensitive to ischemia, more resistant to pressure and have higher mechanical resistance. The aim of this study is to evaluate the results of our integrated rehabilitative and surgical protocol in pressure sore management based on the use of cutaneous flaps. Since 1998, we treated 338 pressure sores (PS) in 195 patients (120 males; 75 females), 189 patients were affected by paraplegia and tetraplegia and 6 of them by neurological disorders. Ninety sacral, 156 ischiatic, 75 trochanteric, 9 calcanean and 8 sores of the iliac-crest were succesfully treated. All showed an involvement of the bone element, with osteitis and/or periosteitis. 14 cases of trocanteric sores showed a deeper bone involvement, with evidences of osteomyelitis. Follow up ranges from 7 years to 2 months. Median time for wound healing was 18 days. The use of fasciocutaneous flaps, as an alternative to the traditional muscolocutaneous flaps in the treatment of pressure sores leads to good and statistically comparable, healing rate, time and incidence of complications. Reconstructive plastic surgery as is a decisive factor to reach a good rehabilitative outcome, minimizing the time of rehabilitation with a following decrease of hospitalization costs. In spinal cord injured patients, surgical treatment of pressure sores is not proposed as the main procedure, but it is an important stage during the natural history of pressure sores. Cutaneous, adipofascial and fasciocutaneous flaps are less invasive, of a relatively easy execution, provided by a reliable vascular pedicle and they could be "re-used" in case of recurrences.

Reconstruction of pressure sores with perforator-based propeller flaps.

Science.gov (United States)

Jakubietz, Rafael G; Jakubietz, Danni F; Zahn, Robert; Schmidt, Karsten; Meffert, Rainer H; Jakubietz, Michael G

2011-03-01

Perforator flaps have been successfully used for reconstruction of pressure sores. Although V-Y advancement flaps approximate debrided wound edges, perforator-based propeller flaps allow rotation of healthy tissue into the defect. Perforator-based propeller flaps were planned in 13 patients. Seven pressure sores were over the sacrum, five over the ischial tuberosity, and one on the tip of the scapula. Three patients were paraplegic, six were bedridden, and five were ambulatory. In three patients, no perforators were found. In 10 patients, propeller flaps were transferred. In two patients, total flap necrosis occurred, which was reconstructed with local advancement flaps. In two cases, a wound dehiscence occurred and had to be revised. One hematoma required evacuation. No further complications were noted. No recurrence at the flap site occurred. Local perforator flaps allow closure of pressure sores without harvesting muscle. The propeller version has the added benefit of transferring tissue from a distant site, avoiding reapproximation of original wound edges. Twisting of the pedicle may cause torsion and venous obstruction. This can be avoided by dissecting a pedicle of at least 3 cm. Propeller flaps are a safe option for soft tissue reconstruction of pressure sores. © Thieme Medical Publishers.

What role can nurse leaders play in reducing the incidence of pressure sores?

Science.gov (United States)

Wurster, Joan

2007-01-01

Pressure sores have plagued the nursing profession for many years as a major health care problem in terms of a patient's suffering and financial cost. Pressure sores are increasingly common in hospitalized patients in the United States with a 63% increase from 1993 to 2003. The nurse leader is accountable for the occurrence of pressure sores, a nurse-sensitive indicator, by a scorecard which is benchmarked against other facilities. The nurse leader must take a systematic approach in the prevention of pressure sores, with the strategy being consistent and motivating to the staff in order to improve patient outcome. The chief nursing officer, the unit manager, and the bedside nurse must all collaborate to prevent tissue injury in patients at risk for developing pressure sores and to promote wound healing in patients with existing breakdown.

[High-grade pressure sores in frail older high-risk persons. A retrospective postmortem case-control-study].

Science.gov (United States)

Von Renteln-Kruse, W; Krause, T; Anders, J; Kühl, M; Heinemann, A; Püschel, K

2004-04-01

Some old persons at risk do develop, but others, at comparable risk, do not develop high-grade pressure sores. To evaluate potentially different risk factors, we performed a post mortem case-control study in old persons who developed high-grade pressure sores within six months until 14 days before death. Consecutive cases with pressure sores grade >/=3 and potential controls at comparably high risk for pressure sores were examined before cremation. After written informed consent had been obtained by the next relatives, all available nursing and medical records of the deceased were thoroughly evaluated. Cases and controls were matched according to age, gender, immobility, and cachexia.A total of 100 cases with 71 pressure sores grade 3 and 29 pressure sores grade 4 were compared to 100 controls with 27 pressure sores grade pressure sores in frail older high-risk persons. Sedative drug effects and impaired patient compliance with preventive and therapeutic measures may also be associated with the development of high-grade pressure sores in old persons at high risk.

Reduction of the incidence of pressure sores by an education program on nursing care.

Science.gov (United States)

Srisupan, Vijitr; Senaratana, Wilawan; Picheansatian, Wilawan; Chittreecheur, Jittaporn; Watanakool, Malinee; Chaisri, Pratin; Singhakumfu, Laddawan; Tribuddharat, Chanwit; Danchaivijitr, Somwang

2005-12-01

To determine whether an education and campaign program would reduce the incidence of pressure sores. The study was performed in a 1,400-bed teaching hospital in Thailand with a total number of 697patients from 47 wards for a point prevalence study; 1,201 and 1,268 patients from 12 wards to determine whether reduction of pressure sore occurrence would be obtained by an education program. The point prevalence of pressure sores was 10.8%. The significant risk factors were age older than 60 years, fecal incontinence, and history of diarrhea. The occurrence of pressure sores was significantly reduced after the educational program from 9.91% to 5. 76%. The education on patient care aiming at reduction of the occurrence of pressure sores could be adopted nation-wide in order to reduce the morbidity, mortality and expenses. The education program was effective in reducing the incidence of pressure sores.

The Diversity of Yellow-Related Proteins in Sand Flies (Diptera: Psychodidae.

Directory of Open Access Journals (Sweden)

Michal Sima

Full Text Available Yellow-related proteins (YRPs present in sand fly saliva act as affinity binders of bioamines, and help the fly to complete a bloodmeal by scavenging the physiological signals of damaged cells. They are also the main antigens in sand fly saliva and their recombinant form is used as a marker of host exposure to sand flies. Moreover, several salivary proteins and plasmids coding these proteins induce strong immune response in hosts bitten by sand flies and are being used to design protecting vaccines against Leishmania parasites. In this study, thirty two 3D models of different yellow-related proteins from thirteen sand fly species of two genera were constructed based on the known protein structure from Lutzomyia longipalpis. We also studied evolutionary relationships among species based on protein sequences as well as sequence and structural variability of their ligand-binding site. All of these 33 sand fly YRPs shared a similar structure, including a unique tunnel that connects the ligand-binding site with the solvent by two independent paths. However, intraspecific modifications found among these proteins affects the charges of the entrances to the tunnel, the length of the tunnel and its hydrophobicity. We suggest that these structural and sequential differences influence the ligand-binding abilities of these proteins and provide sand flies with a greater number of YRP paralogs with more nuanced answers to bioamines. All these characteristics allow us to better evaluate these proteins with respect to their potential use as part of anti-Leishmania vaccines or as an antigen to measure host exposure to sand flies.

Effect of sand versus grass training surfaces during an 8-week pre-season conditioning programme in team sport athletes.

Science.gov (United States)

Binnie, Martyn John; Dawson, Brian; Arnot, Mark Alexander; Pinnington, Hugh; Landers, Grant; Peeling, Peter

2014-01-01

This study compared the use of sand and grass training surfaces throughout an 8-week conditioning programme in well-trained female team sport athletes (n = 24). Performance testing was conducted pre- and post-training and included measures of leg strength and balance, vertical jump, agility, 20 m speed, repeat speed (8 × 20 m every 20 s), as well as running economy and maximal oxygen consumption (VO2max). Heart rate (HR), training load (rating of perceived exertion (RPE) × duration), movement patterns and perceptual measures were monitored throughout each training session. Participants completed 2 × 1 h conditioning sessions per week on sand (SAND) or grass (GRASS) surfaces, incorporating interval training, sprint and agility drills, and small-sided games. Results showed a significantly higher (P < 0.05) HR and training load in the SAND versus GRASS group throughout each week of training, plus some moderate effect sizes to suggest lower perceptual ratings of soreness and fatigue on SAND. Significantly greater (P < 0.05) improvements in VO2max were measured for SAND compared to GRASS. These results suggest that substituting sand for grass training surfaces throughout an 8-week conditioning programme can significantly increase the relative exercise intensity and training load, subsequently leading to superior improvements in aerobic fitness.

[Surgical issues and outcomes in ischial pressure sores treatment].

Science.gov (United States)

Voulliaume, D; Grecea, M; Viard, R; Brun, A; Comparin, J-P; Foyatier, J-L

2011-12-01

Ischiatic pressure sores are frequent in spinal cord injury patients, associated with bad prognosis and high recurrence rate. Many surgical techniques were described, including surgical debridement followed by pedicled flap coverage. We aim to propose a practical decision tree for primary or secondary ischial pressure sore treatment. Our series of 48 operated ischial sores with an average follow up of 4 years (range 2 to 8years) is analyzed and compared to previously published reports. Surgical techniques are discussed according to their specific indications. The optimal recurrence rate in published reports about pressure sore treatment is 20%; a rate inferior to 19% is found in our series, showing the equal importance of flap selection and postoperative care and education. Depending on each situation, various available flaps are described and compared: gluteus maximus flap, biceps femoris flap, gracilis flap, tensor fascia lata flap, fasciocutaneous thigh flaps, rectus femoris and vastus lateralis flap, rectus abdominis flap. Specific surgical indications for more extensive wounds are studied: resection arthroplasty of the hip, hip disarticulation, fillet flaps from the leg, microsurgery. Based upon our experience, a decision tree summarizes our proposition of flap selection, depending on the wound size and the patient background. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

Specific and cross over effects of massage for muscle soreness: randomized controlled trial.

Science.gov (United States)

Jay, Kenneth; Sundstrup, Emil; Søndergaard, Stine D; Behm, David; Brandt, Mikkel; Særvoll, Charlotte A; Jakobsen, Markus D; Andersen, Lars L

2014-02-01

Muscle soreness can negatively interfere with the activities of daily living as well as sports performance. In the working environment, a common problem is muscle tenderness, soreness and pain, especially for workers frequently exposed to unilateral high repetitive movements tasks. The aim of the study is therefore to investigate the acute effect of massage applied using a simple device Thera-band roller Massager on laboratory induced hamstring muscle soreness, and the potential cross over effect to the non-massaged limb. 22 healthy untrained men (Mean age 34 +/- 7 years; mean height 181.7 +/- 6.9 cm; mean weight 80.6 +/- 6.4 kg; BMI: 24.5 +/- 1.3) with no prior history of knee, low back or neck injury or other adverse health issues were recruited. Participants visited the researchers on two separate occasions, separated by 48 hours, each time providing a soreness rating (modified visual analog scale 0-10), and being tested for pressure pain threshold (PPT) and active range of motion (ROM) of the hamstring muscles. During the first visit, delayed onset muscular soreness of the hamstring muscles was induced by 10 x 10 repetitions of the stiff-legged dead-lift. On the second visit participants received either 1) 10 minutes of roller massage on one leg, while the contralateral leg served as a cross over control, or 2) Resting for 10 minutes with no massage at all. Measurement of soreness, PPT and ROM were taken immediately before and at 0, 10, 30 and 60 min. after treatment. There was a significant group by time interaction for soreness (p < 0.0001) and PPT (p = 0.0007), with the massage group experiencing reduced soreness and increasing PPT compared with the control group. There was no group by time interaction for ROM (p = 0.18). At 10 min. post massage there was a significant reduction in soreness of the non-massaged limb in the cross over control group compared to controls but this effect was lost 30 minutes post massage. Massage with a roller device reduces

Pressure Sore at an Unusual Site- the Bilateral Popliteal Fossa: A Case report

Directory of Open Access Journals (Sweden)

Kamal Kataria

2012-05-01

Full Text Available Pressure sore is tissue ulceration due to unrelieved pressure, altered sensory perception, and exposure to moisture. Geriatric patients with organic problems and patients with spinal cord injuries are the high-risk groups. Soft tissues over bony prominences are the common sites for ulcer development. About 95% of pressure ulcers occur in the lower part of the body. Ischial tuberosity, greater trochanter, sacrum and heel are common sites. In addition to these, pressure sores at unusual sites like nasal alae, malar eminences, cervical region and medial side of knee have also been described. Only 1.6% of the patients present with sores in areas outside the pelvis and lower extremity. In a paraplegic patient, pressure sores are usually over extensor surface of knee and heel but pressure ulcer over popliteal fossa are extremely rare. We herein report a case of a 36-years-old diabetic and paraplegic male, who presented with multiple bed sores involving the sacral area, heels and bilateral popliteal fossa. Popliteal fossa is an unusual site for pressure sores. Only one similar case has been previously reported in the literature.

Pressure Sore at an Unusual Site- the Bilateral Popliteal Fossa: A Case report

Science.gov (United States)

Kataria, Kamal; Sagar, Sushma; Singhal, Manish; Yadav, Rajni

2012-01-01

Pressure sore is tissue ulceration due to unrelieved pressure, altered sensory perception, and exposure to moisture. Geriatric patients with organic problems and patients with spinal cord injuries are the high-risk groups. Soft tissues over bony prominences are the common sites for ulcer development. About 95% of pressure ulcers occur in the lower part of the body. Ischial tuberosity, greater trochanter, sacrum and heel are common sites. In addition to these, pressure sores at unusual sites like nasal alae, malar eminences, cervical region and medial side of knee have also been described. Only 1.6% of the patients present with sores in areas outside the pelvis and lower extremity. In a paraplegic patient, pressure sores are usually over extensor surface of knee and heel but pressure ulcer over popliteal fossa are extremely rare. We herein report a case of a 36-years-old diabetic and paraplegic male, who presented with multiple bed sores involving the sacral area, heels and bilateral popliteal fossa. Popliteal fossa is an unusual site for pressure sores. Only one similar case has been previously reported in the literature. PMID:29181131

A comparative analysis of pressure sore treatment modalities in community settings

Directory of Open Access Journals (Sweden)

N. Small

2002-09-01

Full Text Available The management of pressure sores in community settings, poses a clinical problem which challenges the patient’s tolerance and the clinician’s diligence and ingenuity. Pressure sores can be painful, lead to infection and are associated with considerable morbidity and increased mortality (Patterson & Bennett, 1995:919; Bale, Banks, Hagelstein & Harding, 1998:65. Treatment costs of these wounds are high in terms of resources (Colin 1995:65; Wood, Griffiths & Stoner, 1997:256. However, since there are untold cost in terms of pain and suffering to the patient, it is impossible to calculate the true cost of pressure sores (Dealey, 1994:87.

Influence of Binding Rates on Strength Properties of Moulding Sands with the GEOPOL Binder

Directory of Open Access Journals (Sweden)

Holtzer M.

2014-03-01

Full Text Available The results of investigations of moulding sands with an inorganic binder called GEOPOL, developed by the SAND TEAM Company are presented in the paper. Hardeners of various hardening rates are used for moulding sands with this binder. The main aim of investigations was determination of the influence of the hardening rate of moulding sands with the GEOPOL binder on technological properties of these sands (bending strength, tensile strength, permeability and grindability. In addition, the final strength of moulding sands of the selected compositions was determined by two methods: by splitting strength and shear strength measurements. No essential influence of the hardening rate on such parameters as: permeability, grindability and final strength was found. However, the sand in which the slowest hardener (SA 72 were used, after 1 hour of holding, had the tensile and bending strength practically zero. Thus, the time needed for taking to pieces the mould made of such moulding sand will be 1.5 - 2 hours.

Cost analysis of surgically treated pressure sores stage III and IV.

NARCIS (Netherlands)

Filius, A.; Damen, T.H.; Schuijer-Maaskant, K.P.; Polinder, S.; Hovius, S.E.R.; Walbeehm, E.T.

2013-01-01

Health-care costs associated with pressure sores are significant and their financial burden is likely to increase even further. The aim of this study was to analyse the direct medical costs of hospital care for surgical treatment of pressure sores stage III and IV. We performed a retrospective chart

[Effects of massage on delayed-onset muscle soreness].

Science.gov (United States)

Bakowski, Paweł; Musielak, Bartosz; Sip, Paweł; Biegański, Grzegorz

2008-01-01

Delayed onset muscle soreness (DOMS) is the pain or discomfort often felt 12 to 24 hours after exercising and subsides generally within 4 to 6 days. Once thought to be caused by lactic acid buildup, a more recent theory is that it is caused by inflammatory process or tiny tears in the muscle fibers caused by eccentric contraction, or unaccustomed training levels. Exercises that involve many eccentric contractions will result in the most severe DOMS. Fourteen healthy men with no history of upper arm injury and no experience in resistance training were recruited. The mean age, height, and mass of the subjects were 22.8 +/- 1.2 years, 178.3 +/- 10.3 cm, and 75.0 +/- 14.2 kg, respectively. Subjects performed 8 sets of concentric and eccentric actions of the elbow flexors with each arm according to Stay protocol. One arm received 10 minutes of massage 30 minutes after exercise, the contralateral arm received no treatment. Measurements were taken at 9 assessment times: pre-exercise and postexercise at 10 min, 6, 12, 24, 36, 48, 72 and 96 hours. Dependent variables were range of motion, perceived soreness and upper arm circumference. There was noticed difference in perceived soreness across time between groups. The analysis indicated that massage resulted in a 10% to 20% decrease in the severity of soreness, but the differences were not significant. Difference in range of motion and arm circumference was not observed. Massage administered 30 minutes after exercises could have a beneficial influence on DOMS but without influence on muscle swelling and range of motion.

Detection and Isolation of Digital Dermatitis Treponemes from Bovine Pressure Sores.

Science.gov (United States)

Clegg, S R; Crosby-Durrani, H E; Bell, J; Blundell, R; Blowey, R W; Carter, S D; Evans, N J

2016-05-01

Pressure sores cause severe pain and discomfort in hospitalized people and in farmed cattle and are often infected with unknown bacteria. Pressure sores occur on the upper legs of 6-10% of recumbent cattle and are generally considered to be caused by constant pressure, commonly on bony areas of the limbs. This study analyzed pressure sores taken from the upper limbs of 14 cattle using isolation in culture and nested polymerase chain reaction (PCR) to detect treponemes associated with digital dermatitis (DD). A 100% association of DD treponemes with the pressure sores was demonstrated, but treponemes were shown not to be part of the normal skin microbiota. Immunohistochemistry showed an association of DD treponemes with lesions and particularly with the hair follicles in lesions, identifying the bacteria deep within wounds, thereby suggesting that they could contribute to lesion pathogenesis. The bacteria isolated from the pressure sore lesions were similar or identical on analysis of the 16S rRNA gene to those found in DD foot lesions in cattle, suggesting the same bacteria can infect multiple lesions. Indeed, the results of this study suggest that these spirochaetal bacteria may be expanding in host range and in their ability to colonize different tissues and contribute to a range of disease manifestations in farm animals. Copyright © 2016 Elsevier Ltd. All rights reserved.

Pressure Sores and Systemic Inflammatory Response Syndrome: UC Davis Quality Improvement Initiative.

Science.gov (United States)

Jairam, Abhishek; Song, Ping; Patel, Nirav B; Wong, Michael S

2018-05-01

The National Pressure Ulcer Advisory Panel estimates pressure sore care to approach $11 billion annually. It is not uncommon for these patients to present to the emergency department (ED) with a chief concern of a pressure sore, while concurrently carrying an undiagnosed infectious process that is the culprit for the acute presentation, rather than the chronic pressure injury. We aim to identify patients who met systemic inflammatory response syndrome (SIRS) criteria at ED presentation who were referred to plastic and reconstructive surgery for pressure sore debridement prior to a complete medical workup. We hypothesize that a restructuring of the ED triaging system would help conserve hospital resources, reduce costs of pressure sore management, and improve patient care and outcomes by first treating primary, underlying pathologies. This is a retrospective chart review of 36 patients who presented to the University of California, Davis Medical Center Emergency Department with a pressure sore and met SIRS criteria, but obtained a plastic surgery consult prior to a full medical workup. We defined SIRS based on standardized criteria: temperature greater than 100.4°F or less than 96.8°F, pulse rate greater than 90 beats/min, respiratory rate greater than 20 breaths/min or PaCO2 less than 32 mm Hg, white blood cell count greater than 12,000, less than 4000, or greater than 10% bands. Fifty percent of patients (18/36) met SIRS criteria at ED presentation for their pressure sores. Of these SIRS patients, 9 (50%) had a diagnosis of urinary tract infection or urosepsis, 6 (33.3%) had sepsis of undefined origin, and 3 (16.7%) had other diagnoses such as osteomyelitis or acute respiratory distress syndrome. Half of patients consulted while in the University of California, Davis Medical Center Emergency Department with pressure sores met SIRS criteria and received a plastic and reconstructive surgery consult prior to a full medical workup. We propose a new algorithm for

Does a foamy-block mattress system prevent pressure sores ? A prospective randomised clinical trial in 1729 patients.

Science.gov (United States)

Berthe, J V; Bustillo, A; Mélot, C; de Fontaine, S

2007-01-01

Pressure ulcers are a frequent complication of bed rest. The development of an efficient and low cost pressure relieving system for the prevention of bed-sores would be of considerable hospital health and economic interest. Our study was designed to determine the effectiveness in pressure-sore prevention of an interface pressure-decreasing mattress, the Kliniplot mattress, used in our institution since 1978. In a prospective randomised controlled 7-month clinical trial we compared the Kliniplot mattress with our standard hospital mattress in 1729 patients admitted to medical and surgical departments (neurology, cardiology, oncology-haematology, neurosurgery, thoracic surgery and orthopaedic surgery). Two groups (Klinipot mattress and standard hospital mattress) were monitored for the prevention of pressure sores. The patients were evaluated on a daily basis from their admission until the eventual occurrence of a bed-sore. Patients' characteristics and pressure-sore risk factors were similar at the baseline in both groups. Patients presenting with a pressure sore at the time of admission were excluded. Forty-two of the 1729 patients (2.4%) who entered the study developed at least one pressure sore. Twenty-one of the 657 patients (3.2%) nursed on the Kliniplot mattress, and 21 of the 1072 patients (1.9%) on the standard mattress developed bed-sores (p = 0.154). The median time for the occurrence of pressure sores was 31 days (range 6-87) with the Kliniplot mattress and 18 days (range 2 to 38) with the standard mattress (p sores using the modified Ek's scale were no different at the baseline between both groups (p = 0.764). The severity of the pressure sores was no different between both groups (p = 0.918). Our results show that the occurrence of pressure sores is not reduced but is delayed when patients are nursed on a Kliniplot pressure-decreasing mattress.

Vitamin C depletion and pressure sores in elderly patients with femoral neck fracture.

Science.gov (United States)

Goode, H. F.; Burns, E.; Walker, B. E.

1992-01-01

OBJECTIVE--To evaluate the contribution of specific nutritional deficiencies (as indicated by zinc; vitamin A, C, and E; albumin; and haemoglobin concentrations) to the risk of pressure sores. DESIGN--Observational cohort study. SETTING--St James's University Hospital, Leeds. SUBJECTS--21 elderly patients presenting consecutively to the orthopaedic unit with femoral neck fracture. MAIN OUTCOME MEASURE--Full thickness epidermal break over a pressure bearing surface. RESULTS--10 patients (48%) developed a pressure sore during their hospital stay. Indices of zinc status and concentrations of albumin, haemoglobin, and vitamins A and E were similar in patients who developed a pressure sore and those who did not. Mean leucocyte vitamin C concentration, however, was 6.3 (SD 2.2) micrograms/10(8) cells in patients who developed a pressure sore as compared with 12.8 (4.6) micrograms/10(8) cells in patients who did not. CONCLUSIONS--Low concentrations of leucocyte vitamin C appear to be associated with subsequent development of pressure sores in elderly patients with femoral neck fractures. PMID:1458073

Prophylaxis of postintubation sore throat by the use of single puff inhalation of clomethasone dipropionate preoperatively

International Nuclear Information System (INIS)

Bashir, I.; Masood, N.

2014-01-01

Objective: The objective of this study was to asses the occurrence and severity of sore throat following endotracheal anesthesia and its reduction by beclomethasone inhalation. Study Design: A randomized controlled trial. Place and Duration of Study: This study was carried out at the main operation theatre, Combined Military Hospital Rawalpindi from October 2002 to April 2003. Patients and Methods: Two hundred patients undergoing general anaesthesia for elective surgery were included. Patients were randomly assigned to two groups of 100 patients each. The patients in group A were given one puff inhalation of beclomethasone before intubation while group B was control group. The patients were evaluated for occurrence and severity of postoperative sore throat by direct questions 6, 12, 24 and 48 hours after surgery. Results: In the beclomethasone group, 10 patients had sore throat as compared to 55 in control group (p<0.01). All 10 patients who experienced symptoms in beclomethasone group had mild sore throat while among the patients in the control group 22 had mild, 13 had moderate and 20 had severe sore throat. After 48 hours, no patient had the symptoms in the study group while 9 of the control group still suffered from sore throat. No drug related side effects were observed. Conclusion: Postoperative sore throat after general anaesthesia is common (occurrence rate of 55%). Beclomethasone inhaler is highly effective in the prevention of postoperative sore throat. It reduces both the occurrence and severity of sore throat. (author)

[Indication of sclerotherapy in the treatment of ischiatic pressure sore: about 13 cases].

Science.gov (United States)

Bahé, L; Prud'homme, A; Penaud, A; Formé, N; Zakine, G

2012-12-01

Ischiatic pressure sore is a common pathology of the paraplegic patient. Usually treated after medical therapy, with fasciocutaneous or musculocutaneous local flaps, despite this treatment the recurrence rate is high. Sclerotherapy, injection of pure ethanol in the cavity of the pressure sore could be an interesting solution in the armentarium of the plastic surgeon in some indications. Sclerotherapy was used for 13 patients in the plastic surgery department to treat ischiatic pressure sores with a cavity, beneath the defect. The mean length of stay was 24 days. The ischiatic pressure sore was completely healed with no skin defect or cavity for nine patients (65%). For two patients, there was a delay of healing of the skin defect but no cavity beneath. There were two early recurrences of the pressure sore. They were treated by sclerotherapy with a complete recovery in 2 months with simple hydrocolloid dressings. The mean post op follow-up was 14,6 months (4 to 24). Only one recurrence was observed after 12 months. The injection of pure ethanol in the cavity of specifics ischiatics pressure sores is a simple, fast and effective technique with a good and stable long term wound healing. The mean length of stay is shorter and the recurrence rate is equivalent to other techniques. Copyright © 2009 Elsevier Masson SAS. All rights reserved.

Ketorolac Tromethamine Spray Prevents Postendotracheal-Intubation-Induced Sore Throat after General Anesthesia

Directory of Open Access Journals (Sweden)

H. L. Yang

2016-01-01

Full Text Available Background. Postoperative sore throat is one of the major complaints of general anesthesia in the postanesthesia care unit. This prospective study investigated the preventive effect of ketorolac tromethamine spray in postendotracheal-intubation-induced sore throat after general anesthesia. Methods. Surgical patients undergoing general anesthesia with endotracheal intubation were recruited from a medical center. Patients were randomly assigned to group K (treated with 5% ketorolac tromethamine spray or group D (treated with distilled water spray. Before intubation, each endotracheal tube was sprayed with the appropriate solution by physicians over the 20 cm length of the cuff. Each group comprised 95 patients fitting the inclusion and exclusion criteria for whom complete data sets were collected. The intensity of the sore throat was measured at 1, 3, 6, and 24 h after surgery, and data were compared. Results. The two groups had similar characteristics. Postoperative sore throat was significantly less frequent in group K than in group D (p<0.001 and the pain intensity was significantly lower in group K than in group D at each time point (all p<0.001. Conclusions. This study demonstrated that preanesthesia 5% ketorolac tromethamine spray could effectively decrease postendotracheal-intubation-induced sore throat in patients undergoing general anesthesia.

Missing links between histones and RNA Pol II arising from SAND?

Science.gov (United States)

Eukaryotic SAND domain-containing proteins bind DNA and are implicated in direct target gene activation and chromatin-mediated gene regulation. We summarize our recent results demonstrating that the Arabidopsis SAND domain protein ULTRAPETALA1 (ULT1) plays a key role in counteracting target gene rep...

Evaluation of wettability of binders used in moulding sands

Directory of Open Access Journals (Sweden)

Hutera B.

2007-01-01

Full Text Available Binders used in moulding sand have the differential properties. One of the main parameters influencing on moulding sand properties is wettability of the sand grain by binding material. In the article some problems concerned with wettability evaluation have been presented and the importance of this parameter for quantity description of process occurring in system: binder- sand grain has been mentioned. The procedure of wetting angle measurement and operation of prototype apparatus for wettability investigation of different binders used in moulding sand have been described, as well as the results of wetting angle measurement for different binders at different conditions. The addition of little amount of proper diluent to binder results in the state of equilibrium reached almost immediately. Such addition can also reduce the value of equilibrium contact angle. The uniform distribution of binder on the surface of the sand grains and reducing of the required mixing time can be obtained. It has also a positive effect on the moulding sand strength.

An audit of the physiotherapy management of paraplegic patients with sacral pressure sores

Directory of Open Access Journals (Sweden)

D. Pather

2013-01-01

Full Text Available Introduction: Pressure sores are the most common complication post spinal cord injury that requires patients to be on bed rest. Patient bed rest delay rehabilitation and may lead to other complications associated with immobility. This study sought to establish the treatment interventions physiotherapists provide to patients with sacral pressure sores and the factors that they consider when deciding whether the patient should receive physiotherapy in the ward or gym. Methods: This was a questionnaire based survey of physiotherapists working in spinal cord injury rehabilitation units in South Africa. The self-designed questionnaire was sent to all the main spinal rehabilitation units in the country (14 located in Gauteng, Kwa-Zulu Natal, Western Cape, Eastern Cape and Free State provinces. Results: Thirty-nine physiotherapists from a total of 51 completed the questionnaires (76% response rate. The most common treatment practice for patients with sacral pressure sores was bed rest (98%. The most common physio-therapy practices (70% included were upper limb muscle strengthening, upper and lower limb passive movements, positioning into prone and side lying and passive stretching. The choice of treatment environment was influenced by doctors’ orders and the size, grade and duration of the pressure sores. Conclusion: Direct involvement in pressure sore management in South Africa seem to be less than in other parts of the world. If we are to minimise the pressure sore impact, it appears like we need more focus on gait re-education and standardised ADL programmes and patient treatment in the gym to possibly maximise healing and rehabilitation.

Improving outcomes following reconstruction of pressure sores in spinal injury patients: A multidisciplinary approach.

Science.gov (United States)

Tadiparthi, S; Hartley, A; Alzweri, L; Mecci, M; Siddiqui, H

2016-07-01

Pressure sore treatment in spinal injury patients is challenging. A multidisciplinary approach with joint management by the plastic surgery and spinal injury teams was initiated at our institution in 2005 to improve patient care and surgical outcomes following reconstruction. This study assessed the surgical outcomes following reconstruction using the team approach and to compare inpatient stay and readmissions for complications before and after the multidisciplinary protocol was introduced. A retrospective review of consecutive patients in the multidisciplinary pressure sore clinic was performed. Data were collected on patient demographics, reconstructive techniques, surgical outcomes and readmission for any complications. In total, 45 patients with 60 pressure sores (grade 3 or 4) were reviewed in the joint clinic between 2005 and 2011. The majority of patients were paraplegic (78%), while the remaining 22% were tetraplegic. Ischial sores were the most common (45%) followed by trochanteric (23%) and sacral (20%) sores. Multiple sores were noted in 44% of patients. Flap reconstruction was required in 32 patients (71%); after a mean follow-up time of 33 months (range 25-72 months), there were three (9%) major complications (two recurrences of pressure sores and one sinus) and seven (22%) minor complications. After introduction of patient care pathways through the multidisciplinary approach, the rate of readmission for complications decreased from 14% to 5.5% and inpatient stay upon readmission reduced from 65 to 45 days. Implementation of a multidisciplinary approach was key to optimising surgical outcomes, achieving a low recurrence rate (6%) and reducing readmissions. Copyright © 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

[Clinical application of modified upper gluteal rhomboid fasciocutaneous flap in repairing sacrococcygeal pressure sores].

Science.gov (United States)

Jiang, Maohua; Yang, Xiaoliang; Wei, Bangmin; Li, Yinghao

2012-03-01

To investigate the method and effectiveness of repairing sacrococcygeal pressure sores with modified upper gluteal rhomboid fasciocutaneous flap. Between January 2004 and March 2011, 43 patients with sacrococcygeal pressure sores were treated. There were 25 males and 18 females with an average age of 63 years (range, 38-95 years). The disease duration was 3 months to 2 years and 6 months (mean, 8.5 months). The size of pressure sores ranged from 6 cm x 5 cm to 18 cm x 13 cm. According to the extent and lesion degree of pressure scores, 23 pressure sores were rated as degree III and 20 pressure sores as degree IV. The modified upper gluteal rhomboid flap was designed, one-side upper gluteal fasciocutaneous flaps were transplanted to repair sacrococcygeal pressure sores in 19 cases and two-side flaps in 24 cases. The size of one side flap ranged from 6.5 cm x 4.5 cm to 18.0 cm x 11.5 cm. Fluid under flap occurred in 1 case and edge necrosis of the flaps in 3 cases at 7 days after operation, which were cured after drainage and dressing change; the other flaps survived, and incisions healed by first intention. All patients were followed up 6 months to 3 years with an average of 11 months. Two patients relapsed at 5 months and 8 months, respectively; the other patients had no recurrence. The color of the flaps was normal, and the appearance and elasticity of the flaps were good. The modified upper gluteal rhomboid fasciocutaneous flap has the advantages of simple design and operation, less injury, and reliable effect in repairing sacrococcygeal pressure sores.

Reuse of waste foundry sand through interaction with sodium silicate binder

International Nuclear Information System (INIS)

Souza, J.C.; Chinelatto, A.S.A.; Chinelatto, A.L.; Oliveira, I.L.

2012-01-01

Green sand molds are used in metal casting process. However, after heating, activated bentonite present in green sand lose the binding properties, and part of the foundry sand has to be discarded from the process. The ABNT NBR 15.984/2011 establishes the management of waste foundry sand (WFS) avoiding disposal in landfills. The objective of this work was to investigate the possibility of reusing the WFS from the study of their interaction with sodium silicate binder. Studies with silica sand and new green sand was performed to compare the results obtained with the WFS. The characterizations of the samples were performed by measures the compressive strength, X-ray diffraction, optical microscopy and scanning electron microscopy. The results showed that there is interaction of the sodium silicate with the WFS as well as with the silica sand and green sand. (author)

Acute effects of massage or active exercise in relieving muscle soreness

DEFF Research Database (Denmark)

Andersen, Lars L; Jay, Kenneth; Andersen, Christoffer H

2013-01-01

Massage is commonly believed to be the best modality for relieving muscle soreness. However, actively warming up the muscles with exercise may be an effective alternative. The purpose of this study was to compare the acute effect of massage with active exercise for relieving muscle soreness. Twenty...... healthy female volunteers (mean age 32 years) participated in this examiner-blind randomized controlled trial (ClinicalTrials.gov NCT01478451). The participants performed eccentric contractions for the upper trapezius muscle on a Biodex dynamometer. Delayed onset muscle soreness (DOMS) presented 48 hours...... later, at which the participants (a) received 10 minutes of massage of the trapezius muscle or (b) performed 10 minutes of active exercise (shoulder shrugs 10 × 10 reps) with increasing elastic resistance (Thera-Band). First, 1 treatment was randomly applied to 1 shoulder while the contralateral...

[Urinary incontinence as a risk factor for pressure sores does not withstand a critical examination].

Science.gov (United States)

Krause, Tom; Anders, Jennifer; von Renteln-Kruse, Wolfgang

2005-10-01

The association between urinary incontinence and pressure sores is put down to various causes. Most frequently urinary wet and following maceration of the skin are mentioned. However, it is possible that urinary incontinence is only an indicator for other risk factors or a measure of the need for care without any causal relation to pressure sores. There are hardly any controlled or randomised studies; this lack of scientific evidence is problematic. Based on a case-control-study including data of 200 patients as well as on the existing models of explanation, the following study tries to examine critically the connections between pressure sores and urinary incontinence. Out of the patients in our study population 97.5 percent were incontinent. Different categories of the risk factor urinary incontinence and different dichotomisations have led to different statistical results. Statements concerning the connection between urinary incontinence and pressure sores have to be interpreted critically. The dependence of urinary incontinence on other risk factors such as patients' need for care or compliance suggests that the causal connection to pressure sores be not reduced to the influence of wetness. We advise to research connections between urinary incontinence and pressure sores in a methodologically appropriate setting.

Practical Management of Pressure Sores

Science.gov (United States)

Jordan, John M.

1992-01-01

Pressure sores are common in the debilitated elderly. Causal factors are unrelieved pressure, shearing forces, friction, and moisture. Preventive measures should be used for all high-risk patients, defined by general condition, mental status, degree of incontinence, amount of activity, and mobility. Principles of treating ulcers include pressure relief, reducing bacterial counts, debriding necrotic tissue, and providing a moist, clean environment. Imagesp2385-ap2389-ap2392-a PMID:21221298

Medial circumflex femoral artery flap for ischial pressure sore

Directory of Open Access Journals (Sweden)

Palanivelu S

2009-01-01

Full Text Available A new axial pattern flap based on the terminal branches of the medial circumflex femoral artery is described for coverage of ischial pressure sore. Based on the terminal branches of the transverse branch of medial circumflex femoral artery, which exit through the gap between the quadratus femoris muscle above and the upper border of adductor magnus muscle below, this fascio cutaneous flap is much smaller than the posterior thigh flap but extremely useful to cover ischeal pressure sores. The skin redundancy below the gluteal fold allows a primary closure of the donor defect. It can also be used in combination with biceps femoris muscle flap.

Difference between a Sore Throat, Strep, and Tonsillitis

Science.gov (United States)

... often called Hand, Foot, and Mouth disease ). Infectious mononucleosis (often called "Mono") can produce a sore throat, ... most young children who are infected with the mononucleosis virus have few or no symptoms. Strep Throat ...

Effects of intravenous diclofenac on postoperative sore throat in ...

African Journals Online (AJOL)

Effects of intravenous diclofenac on postoperative sore throat in patients undergoing laparoscopic surgery at Aga Khan University Hospital, Nairobi: A prospective, randomized, double blind controlled trial.

[Primary investigation on fumigation and moxibustion in treatment ulcer and sore of yin syndrome].

Science.gov (United States)

Zhu, Chao-Jun; Zhang, Zhao-Hui; Ma, Jing; Li, Pin-Chuan; Liu, Xian-Zhou; Yin, Yue; Tian, Ying

2011-09-01

To explore the fumigation and moxibustion therapy in treatment of ulcer and sore of yin syndrome. The fumigation and moxibustion therapy is the combination of fumigation and moxibustion, in which, smoking fumigation is provided with warming effect and the actions as moxibustion. This therapy works on the efficacy of both fumigation and moxibustion. In treatment, different herbal medicines can be selected flexibly, acting on dispersing yin and rescuing yang. The fumigation and moxibustion therapy can drain toxin and remove ulcer and sore. It contributes to the treatment of boils and chronic sores of yin syndrome and promotes wound healing.

Long-term outcome of using posterior-thigh fasciocutaneous flaps for the treatment of ischial pressure sores.

Science.gov (United States)

Lin, Haodong; Hou, Chunlin; Chen, Aimin; Xu, Zhen

2010-08-01

Among the many difficult problems presented by patients with spinal cord injuries, management of ischial pressure ulcers remains challenging for reconstructive surgeons. This study describes the long-term outcome of using posterior-thigh fasciocutaneous flaps for the treatment of ischial pressure sores. Between January 1999 and June 2003, 12 patients with ischial sores were enrolled in this study. All the patients underwent early aggressive surgical debridement followed by surgical reconstruction with a laterally based posterior-thigh fasciocutaneous flap. The follow-up period ranged from 24 months to 97 months (mean, 62 months). All the flaps survived, and there were no partial flap losses. Primary-wound healing occurred in all the cases. In two patients, Grade II ischial pressure sores recurred 24 months and 27 months after the operation. There was no recurrence in the other 10 patients. The posterior-thigh fasciocutaneous pedicled flap was a good method for treating ischial bed sores. This flap could be used to treat recurrences observed after primary bed-sore treatment with other methods. The flap was easy to raise, and it did not cause any donor-site morbidity. The long-term outcome of using posterior-thigh fasciocutaneous flaps for the treatment of ischial pressure sores was generally good. (c) Thieme Medical Publishers.

Approach to the pressure sores in geriatric patients

Directory of Open Access Journals (Sweden)

Emre İnözü

2012-09-01

Full Text Available Objectives: The aim of this study was to evaluate the follow-up results of nutritionally supported geriatric patientswho were admitted for their pressure sores then plannedtheir treatment.Materials and methods: In this study, we analyzed thehospitalized geriatric pressure sore patients in our clinicwho were admitted between 2006 and 2011. We calculatedBody Mass Index and the blood albumin levels of allhospitalized geriatric patients. In this patient group proteinenergy malnutrition and deficiency were analyzed andproper nutrition support was provided accordingly. Afterrecovering from malnutrition further treatment surpassed.Results: The mean albumin levels of the hospitalized patientswas 2,53 ± 0,25 g/dL after nutritional support thoselevels increased to mean 3,95 ± 0,42 g/dL . Of all thosepatients 75% were operated when their general conditionallowed us for a surgery. Due to their high risk wedid not perform any surgical operation to the remaining25%.. Post operative mean hospitalization period was 12(8-21 days. Majority of the patients (78.6% were treatedsuccessfully either with surgical or conservative treatmentmodalities.Conclusions: The success of the geriatric pressure soretreatment is highly related with the proper nutritional supportfor the ongoing malnutrition-like pathologies. Beforeoperation nutritional support not only makes a healthygranulation tissue but also yields fast and reliable woundhealing. Despite their chronic health problems many ofour geriatric patients were treated surgically for their pressuresores.Key words: Pressure sore, geriatric medicine, malnutrition,nutritional support

The usefulness of a clinical 'scorecard' in managing patients with sore throat in general practice

Directory of Open Access Journals (Sweden)

Bakare Tony MO

2010-07-01

Full Text Available Abstract Background Objective: To evaluate the usefulness of a clinical scorecard in managing sore throat in general practice. Design: Validation study of scorecard for sore throat with a throat swab culture used as the 'gold standard'. Setting: A solo family practice in rural New South Wales, Australia Participants: Patients attending with sore throat. Methods Patients from the age of 5 years and above presenting with the main symptom of a sore throat, and who have not had any antibiotic treatment in the previous two weeks, were invited to participate in the study. The doctor completed a scorecard for each patient participating and took a throat swab for culture. Adult patients (> 16 yrs were asked to complete a patient satisfaction questionnaire, while guardians accompanying children (5 yr to Main outcome measures: 1. Ability of a new scorecard to differentiate between bacterial and non-bacterial sore throat. 2. Patients' trust in the scorecard. Results The scorecard has a sensitivity of 93.33%, a specificity of 63.16%, a positive predictive value of 50% and a negative predictive value of 96%. The sensitivity is better than other sore throat scorecards that have been published but with a slightly lower specificity. There was a high level of patient trust in the scorecard was (85.8% agreement. Patients also trusted their doctor's judgement based on the scorecard (90.6% agreement. Conclusions As the scorecard has a high sensitivity but only a moderate specificity, this means that it is more reliable for negative results, i.e. when the result suggests a viral infection. When the result favours a bacterial sore throat, then a high sensitivity can mean that there are a number of false positives. GPs can be confident in withholding antibiotics when the scorecard indicates a viral infection.

The estimation of harmfulness for environment of moulding sand with biopolymer binder based on polylactide

Directory of Open Access Journals (Sweden)

K. Major-Gabryś

2011-01-01

Full Text Available The article takes into consideration technological and ecological aspects of IV generation moulding sands. Investigations concerning anapplication of biopolymer materials as binders for moulding sands are presented in the paper. These investigations are the continuation ofexaminations related to applications of various biopolymers as binding agents and to the properties of the moulding sands with biopolymerbinders. In the paper there are the researches concerning analyzing gases emitted from moulding sands during heating.

Reclamation of alkaline spent moulding sands of organic and inorganic type and their mixtures

Directory of Open Access Journals (Sweden)

R. Dańko

2011-10-01

Full Text Available Introduction of modern moulding sands with organic and inorganic binders requires the reclamation treatments in order to be able to reuse the matrices of spent sands. The spent sands, depending on the applied binding agent, are characterised by various abilities of the matrix reclamation. The results of investigations of the reclamation of spent moulding sands with the Rudal binder and spent sands with the Rezolit binder in the system of uniform sands and of mixed ones, are presented in the paper. Investigations were performed by means of the special experimental stands designed and built in the AGH University of Science and Technology, AGH, in Krakow.

[Randomized controlled trial on the effectiveness of Corpitolinol 60 in the prevention of pressure sores in patients undergoing surgery].

Science.gov (United States)

Chiari, Paolo; Giorgi, Sabina; Ugolini, Daniela; Montanari, Morena; Giudanella, Pietro; Gramantieri, Antonella; Collesi, Franca; Pau, Michelina; Smaldone, Maddalena; Matarasso, Maddalena; Mazzini, Cinzia; Russo, Francesca; Gazineo, Domenica; Fontana, Mirella; Taddia, Patrizia

2012-01-01

Randomized controlled trial on the effectiveness of Corpitolinol 60 in the prevention of pressure sores in surgical patients. The risk of pressure sores in surgical patients is widely recognised. The Corpitolinol 60 (Sanyréne®) applied on compressed areas seems to reduce the risk of pressure sores. To assess the efficacy of Corpitolinol 60 in preventing pressure sores in the operatory theatre. The open label randomized clinical trial was conducted in 5 operating theatres of Northen Italy. Patients were randomized to receive Corpitolinol 60 in areas undergoing compression. Experimental group and controls were treated with usual measures for preventing pressure sores. The lesions were staged according to NPUAP up to 24 hours after surgery. Three-hundred-one patients were randomized (155 in the Sanyréne® group and 143 controls). The main variables predictive of pressure sores risk (ASA class, sex, age, duration of the surgery, and BMI) were comparable across groups. At the end of the surgery 71 patients (23.8%) in the experimental group and 47 controls (30.8%) had a pressure sore (p 0.006; RR 1.81 IC95% 1.17-2.79). Twelve and 24 hours after surgery the differences between groups were not significant. The aim of reducing pressure sores was not reached for patients treated with Corpitolinol 60.

Improvement of composition of core sand and molding sand mixtures for power machine building castings

International Nuclear Information System (INIS)

Velikanov, G.F.; Primak, I.N.; Brechko, A.A.

1982-01-01

Considered is a problem of development and improvement of mixtures, as well as of antisticking coatings with the given parameters providing production of castings of the necessary quality. Requirements to properties of mixtures and antisticking coatings are formulated proceeding from the conditions of guaranteed production of qualitative steel castings with mass from 0.5 up to 20t and wall thickness from 60 up to 200 mm. Formation of film structure of binding compositions is studied, their marginal contact angle and surface tension are determined. In the result of work carried out on improvement of core sand and molding sand mixtures the labour productivity during the production of core and moldings has been increased in 20-25% in average, the quality has also been improved [ru

ASPECTS REGARDING THE EFFECT OF ANTIINFLAMMATORY DRUGS ON DELAYED ONSET MUSCLE SORENESS

OpenAIRE

Honceriu C.; Hagiu B.A.

2013-01-01

The objectives of the study are to investigate the effects of using Diclofenac ointment for delayed onset muscle soreness. The research has been conducted on two groups of junior football players, males, the number of 9 each (control and treated), which has been induced by this type of muscle soreness with specific exercises. The treated group used Diclofenac gel for the relief of musculoskeletal pain. The evaluation of values of muscular strength (Squat Jump, Jump Countermovement, Free Jump,...

Treatment of ischial pressure sores with both profunda femoris artery perforator flaps and muscle flaps.

Science.gov (United States)

Kim, Chae Min; Yun, In Sik; Lee, Dong Won; Lew, Dae Hyun; Rah, Dong Kyun; Lee, Won Jai

2014-07-01

Reconstruction of ischial pressure sore defects is challenging due to extensive bursas and high recurrence rates. In this study, we simultaneously applied a muscle flap that covered the exposed ischium and large bursa with sufficient muscular volume and a profunda femoris artery perforator fasciocutaneous flap for the management of ischial pressure sores. We retrospectively analyzed data from 14 patients (16 ischial sores) whose ischial defects had been reconstructed using both a profunda femoris artery perforator flap and a muscle flap between January 2006 and February 2014. We compared patient characteristics, operative procedure, and clinical course. All flaps survived the entire follow-up period. Seven patients (50%) had a history of surgery at the site of the ischial pressure sore. The mean age of the patients included was 52.8 years (range, 18-85 years). The mean follow-up period was 27.9 months (range, 3-57 months). In two patients, a biceps femoris muscle flap was used, while a gracilis muscle flap was used in the remaining patients. In four cases (25%), wound dehiscence occurred, but healed without further complication after resuturing. Additionally, congestion occurred in one case (6%), but resolved with conservative treatment. Among 16 cases, there was only one (6%) recurrence at 34 months. The combination of a profunda femoris artery perforator fasciocutaneous flap and muscle flap for the treatment of ischial pressure sores provided pliability, adequate bulkiness and few long-term complications. Therefore, this may be used as an alternative treatment method for ischial pressure sores.

Treatment of Ischial Pressure Sores with Both Profunda Femoris Artery Perforator Flaps and Muscle Flaps

Directory of Open Access Journals (Sweden)

Chae Min Kim

2014-07-01

Full Text Available Background Reconstruction of ischial pressure sore defects is challenging due to extensive bursas and high recurrence rates. In this study, we simultaneously applied a muscle flap that covered the exposed ischium and large bursa with sufficient muscular volume and a profunda femoris artery perforator fasciocutaneous flap for the management of ischial pressure sores. Methods We retrospectively analyzed data from 14 patients (16 ischial sores whose ischial defects had been reconstructed using both a profunda femoris artery perforator flap and a muscle flap between January 2006 and February 2014. We compared patient characteristics, operative procedure, and clinical course. Results All flaps survived the entire follow-up period. Seven patients (50% had a history of surgery at the site of the ischial pressure sore. The mean age of the patients included was 52.8 years (range, 18-85 years. The mean follow-up period was 27.9 months (range, 3-57 months. In two patients, a biceps femoris muscle flap was used, while a gracilis muscle flap was used in the remaining patients. In four cases (25%, wound dehiscence occurred, but healed without further complication after resuturing. Additionally, congestion occurred in one case (6%, but resolved with conservative treatment. Among 16 cases, there was only one (6% recurrence at 34 months. Conclusions The combination of a profunda femoris artery perforator fasciocutaneous flap and muscle flap for the treatment of ischial pressure sores provided pliability, adequate bulkiness and few long-term complications. Therefore, this may be used as an alternative treatment method for ischial pressure sores.

[A variant of island flaps for the covering of pressure sores: the hatchet flap. Apropos of 31 cases].

Science.gov (United States)

Quillot, M; Lodde, J P; Pegorier, O; Reynaud, J P; Cormerais, A

1994-08-01

The authors propose a modification of the classical design of island flaps for cover of pressure sores, applied to gluteus maximus and tensor fascia lata muscles: the hatchet flap. 31 flaps have been used including 13 gluteus maximus superior flaps for sacral pressure sores, 9 gluteal inferior flaps for ischial pressure sores and 9 tensor fascia lata flaps for trochanteric pressure sores. A small partial necrosis and two cases of sepsis were observed in this series, but did not require surgical revision. The authors emphasize the value of this modification of the classical flap design, which preserves an even better musculocutaneous capital in these patients, who are often already multi-operated. The very rapid recovery of patients supports the authors' application of hatchet flaps to the surgery of pressure sores, and suggests the extension to other musculocutaneous flaps in the future.

Treatment of pressure sores in spina bifida patients with calcium alginate and foam dressings.

Science.gov (United States)

Ausili, E; Paolucci, V; Triarico, S; Maestrini, C; Murolo, D; Focarelli, B; Rendeli, C

2013-06-01

Prospective study on local treatment of pressure sores using calcium alginate and foam dressings in spina bifida patients. Investigate if this sequential approach is valid and safe for selected patients with neurological impairments. Using European Pressure Ulcer Grading System, after clinical evaluation of local sore, selected patients of Spina Bifida Center of Rome were treated with sequential calcium alginate and foam dressings for 12 weeks. Pressure ulcere surfaces were measured monthly by ulcer tracing. The endpoints were the mean absolute areas surface reduction during every month and number of patients achieving a 50% or more during study. 14 patients (7 males aged 12-24 years) with spina bifida and pressure sores were treated. Mean and standard deviation of mean surface area reduction were 12.5 ± 7.5 cm 2 at start of the study versus 3.7 ± 5.2 cm 2 after 12 weeks, p pressure sores in selected patients with spina bifida. In fact, they protect the wound and create an environment favorable to healing.

Mouth Sores Caused by Cancer Treatment: How to Cope

Science.gov (United States)

... leading to sores and infections. Both chemotherapy and radiation can impair your body's germ-fighting system (immune system). With an impaired immune system, viruses, bacteria and fungi can more easily infect your mouth, ...

Reconstruction of trochanteric pressure sores with pedicled anterolateral thigh myocutaneous flaps.

Science.gov (United States)

Wang, Chih-Hsin; Chen, Shih-Yi; Fu, Ju-Peng; Dai, Niann-Tzyy; Chen, Shao-Liang; Chen, Tim-Mo; Chen, Shyi-Gen

2011-05-01

To provide an alternative choice for covering trochanteric pressure sores, we report on a modified pedicle anterolateral thigh (ALT) myocutaneous flap based on the descending branch of the lateral circumflex femoral artery. From August 2007 to January 2010, 20 consecutive patients (10 men and 10 women) underwent 21 pedicled ALT myocutaneous flaps for reconstruction of trochanteric pressure sores. The flap was designed and elevated, resembling the ALT perforator flap including part of the vastus lateralis muscle but without skeletonisation of the perforators. The mean age of patients was 79.4 years (range: 46-103). The mean follow-up period was 13.9 months (range: 3-32). The flaps were 8-21 cm long and 5-11 cm wide. All flaps healed without major complications. All donor sites were closed primarily without skin grafting and showed good aesthetic results. No recurrence was observed. This modified design of pedicled ALT myocutaneous flap without skeletonisation of perforators is a reliable and easily harvested flap for reconstruction of trochanteric pressure sores with limited morbidity. Crown Copyright © 2010. Published by Elsevier Ltd. All rights reserved.

When a Sore Throat Is a More Serious Infection

Science.gov (United States)

... often called Hand, Foot, and Mouth disease). Infectious mononucleosis can produce a sore throat, often with marked ... most young children who are infected with the mononucleosis virus have few or no symptoms. Strep throat ...

Efficiency of Magnetic Field Treatment on Pressure Sores in Bedridden Patients

Directory of Open Access Journals (Sweden)

Ferda Özdemir

2011-09-01

Full Text Available Objective: Pressure sores are an important source of complications in patients who are immobilized and bedridden. We aimed to investigate the efficiency of magnetic field treatment in pressure sores. Material and Methods: This was a randomized, double blind controlled design study. 20 patients in the study group received magneto-therapy, once a day for 30 minutes and with 150G, keeping to the BTL09 magnetotherapy device’s program. In the control group, 20 patients received the dressing only once a day. The surface areas of the pressure sores were evaluated at the onset of the treatment (1st day, and on the 7th and 15th days.Results: When within group comparisons were conducted, a significant difference was observed between the 1st and 7th day, 7th and 15th day, and 1st and 15th day measures in both the groups in terms of the scar area. The average healing time for the treatment group was 10.80±4.06 (6-20 days, and the average healing time for the control group was 18.85±9.75 (5-32 days. There was a statistically significant difference between the two groups (z=-2.114, p=0.034. Also, there was a significant difference in the scar area between the two groups in the 15th day measure (z=-3.818, p=0.000.Conclusion: The healing process of the tissue can be accelerated.with the use of magnetotherapy in the treatment of pressure sores of stage II and III,

At-Home Application of Autologous Platelet Rich Plasma as Treatment for Pressure Sore and Related Anemia.

Science.gov (United States)

Tendas, Andrea; Niscola, Pasquale; Giovannini, Marco; Costa, Adriana; Venditti, Daniela; Volta, Laura; Malandruccolo, Luigi; Sabbadini, Stefania; Lasorella, Rosa; Fabritiis, Paolo de; Cassetta, Rita; Perrotti, Alessio P

2017-01-01

Pressure sores are a major complication in the bed-ridden older patient. In this report, we present the case of platelet rich plasma (PRP) application for the treatment of a pressure sore in an 88-year-old female affected by transfusion-dependent chronic inflammatory disease anemia associated with the congenital and inherited condition of thalassemic trait carrier. A weekly application schedule was planned athome, given the patient's debilitation and her decreased performance status as well as personal and family difficulties to go as outpatients at our treatment center. After 9 PRP applications, a remarkable sore improvement was achieved so that PRP was discontinued; nevertheless, sore rapidly improved until the full resolution and the complete closing after 4 months from the start of PRP treatment. Noteworthy, transfusion support was interrupted and a significant recovery and a sustained stabilization of hemoglobin (Hb) level at 1 year after ulcer healing were observed. The present case suggests that PRP application, performed athome in our case, is a feasible and effective treatment for pressure sores and related complications. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

[A scale for the assessment of the risk of pressure sores in paediatric intensive care].

Science.gov (United States)

Weigel, Virginie

2014-01-01

Pressure sores are a frequent complication in paediatric intensive care. A multi-disciplinary nursing team has drawn up an assessment scale for the risk of pressure sores and has put in place guidelines for caring for children in intensive care. Prevention actions are thereby adapted to each young patient.

Influence green sand system by core sand additions

Directory of Open Access Journals (Sweden)

N. Špirutová

2012-01-01

Full Text Available Today, about two thirds of iron alloys casting (especially for graphitizing alloys of iron are produced into green sand systems with usually organically bonded cores. Separation of core sands from the green sand mixture is very difficult, after pouring. The core sand concentration increase due to circulation of green sand mixture in a closed circulation system. Furthermore in some foundries, core sands have been adding to green sand systems as a replacement for new sands. The goal of this contribution is: “How the green sand systems are influenced by core sands?”This effect is considered by determination of selected technological properties and degree of green sand system re-bonding. From the studies, which have been published yet, there is not consistent opinion on influence of core sand dilution on green sand system properties. In order to simulation of the effect of core sands on the technological properties of green sands, there were applied the most common used technologies of cores production, which are based on bonding with phenolic resin. Core sand concentration added to green sand system, was up to 50 %. Influence of core sand dilution on basic properties of green sand systems was determined by evaluation of basic industrial properties: moisture, green compression strength and splitting strength, wet tensile strength, mixture stability against staling and physical-chemistry properties (pH, conductivity, and loss of ignition. Ratio of active betonite by Methylene blue test was also determined.

Spotlight on Psoriasis: Preventing Patches of Itchy, Sore Skin

Science.gov (United States)

... Subscribe August 2016 Print this issue Spotlight on Psoriasis Preventing Patches of Itchy, Sore Skin En español ... Sun Damage Sun and Skin Wise Choices Avoid Psoriasis Triggers Factors that may trigger psoriasis or make ...

Evaluation of local muscle soreness treatment with anterior bite splint made of soft putty impression material

Directory of Open Access Journals (Sweden)

Harry Laksono

2013-03-01

Full Text Available Background: Local muscle soreness is the most common temporomandibular disorders complaint of patients seeking treatment in the dental clinics. The emergency treatment that can be done in the clinics to manage this disorder is by making anterior bite splint. Anterior bite splint is usually made of acrylic, but currently there is a soft putty impression material that can also be used for making anterior bite splint. The effectiveness of soft putty anterior bite splint in local muscle soreness treatment still has not clear. Purpose: To determine the effectiveness of the soft putty impression material as a material used for making anterior bite splint in the treatment of local muscle soreness. Case: Six patients was reported five female patients aged 20-40 years old and one male patient aged 37 years old with local muscle soreness. Four female patients with a “click” sound on TMJ. Case management: Make differential diagnosis with screening history (anamnesis, clinical examination consists of extra oral examination such as muscle and temporomandibular joint palpation, measure the mandibular movement, end-feel, load test, intra oral examination and radiographic evaluation. Record the results and make the diagnosis. Make a soft putty anterior bite splint, adjusted and inserted in the maxillary anterior teeth. Record the results based on signs and symptoms. Conclusion: It can be concluded that anterior bite splint made of soft putty impression material is effective for treatment the local muscle soreness.Latar belakang: Salah satu tipe temporomandibular disorders yang paling sering dijumpai di klinik dokter gigi adalah local muscle soreness. Perawatan yang dapat dengan segera dilakukan di klinik untuk mengelola gangguan tersebut adalah dengan pembuatan anterior bite splint. Biasanya anterior bite splint terbuat dari akrilik, namun saat ini telah ada bahan cetak soft putty yang memungkinkan untuk dipakai sebagai bahan pembuatan anterior bite splint

Inferior gluteal artery perforator flap: a viable alternative for ischial pressure sores.

Science.gov (United States)

Kim, Young Seok; Lew, Dae Hyun; Roh, Tai Suk; Yoo, Won Min; Lee, Won Jai; Tark, Kwan Chul

2009-10-01

The ischial area is by far the most common site for pressure sores in wheelchair-bound paraplegic patients, because most of the pressure of the body is exerted on this area in the seated position. Even after a series of successful pressure sore treatments, the site is very prone to relapse from the simplest everyday tasks. Therefore, it is crucial to preserve the main pedicle during primary surgery. Several surgical procedures, such as myocutaneous flap and perforator flap, have been introduced for the treatment of pressure sores. During a 4-year time period at our institute, we found favourable clinical results using the inferior gluteal artery perforator (IGAP) procedure for ischial sore treatment. A total of 23 patients (20 males and three females) received IGAP flap surgery in our hospital from January 2003 to January 2007. Surgery was performed on the same site again in 10 (43%) patients who had originally relapsed after undergoing the conventional method of pressure sore surgery. The average age of patients was 47.4 years (range 26-71 years). Most of the patients were paraplegic (16 cases, 70%) and others were either quadriplegic (four cases, 17%) or ambulatory (three cases, 13%). Based on hospital records and clinical photographs, we attempted to assess the feasibility and practicability of the IGAP flap procedure through comparative analysis of several parameters including the size of the defective area, treatment modalities, relapses, complications, and postoperative treatments. The average follow-up duration for 23 subjects was 25.4 months (range 5-42 months). All flaps survived without major complications. Partial flap necrosis developed in one case but secondary healing was achieved and the final outcome was not impaired. Most of the cases healed well during the follow-up period. Postoperative complications such as wound dehiscence and fistula developed in some subjects, but all healed well with a secondary treatment. A total of five cases relapsed

Decubitus grade IV (deep pressure sore) with intact skin in a patient with spinal cord injury

NARCIS (Netherlands)

Theunissen, C.C.W.; Zeilstra, J.T.; van Voorst Vader, P.C.; Kardaun, S.H.; Leeman, F.W.J.

2006-01-01

Even with intact skin the possibility of pressure sores should not be dismissed. Early recognition of a pressure sore is important for adequate treatment and prevention of progression. Multidisciplinary intervention is essential. A wheelchair patient with spinal cord injury is described, who

[Assessment of patients with pressure sores admitted in a tertiary care center].

Science.gov (United States)

Moro, Adriana; Maurici, Alice; do Valle, Juliana Barros; Zaclikevis, Viviane Renata; Kleinubing, Harry

2007-01-01

To determine the prevalence and analyze the profile of patients with pressure sores, focusing on risk factors, the patients' clinical characteristics at a tertiary care center, as well as stage and location of the lesions on the body. This was a cross sectional not controlled observational study, all patients admitted from April to June of 2005 were observed daily to identify all cases of pressure sores. The affected patients were evaluated by a standard questionnaire and the Scale of Braden was applied to define the risk of developing ulcers. Of the 690 patients admitted during the referred period, a prevalence of 5.9% of patients with lesions was observed, equivalent to 41 patients 63.9% of which were elderly and the average length of stay was 18 days. In the sample studied 41.5% of patients were found in the internal medicine section and the intensive care unit, ICU. The most common location for sores was the sacral area, corresponding to 73.1% of the patients, and stage II was the most frequent, observed in 58.5% of those patients. According to the Braden scale, most patients, 80.4%, had a high risk of developing pressure ulcers, compared to 9.7% of patients with moderate risk and 7.4% with low risk. The affected patients were at high risk of developing pressure sores. Prevalence of these lesions and the clinical and demographic profile of the affected patients are in accordance with the data in literature.

A composite gluteofemoral flap for reconstruction of large pressure sores over the sacrococcygeal region.

Science.gov (United States)

Xie, Yun; Zhuang, Yue-Hong; Xue, Lan; Zheng, He-Ping; Lin, Jian-Hua

2015-12-01

Gigantic pressure sores pose a daunting challenge for plastic surgeons. This paper presents a composite gluteofemoral flap for reconstruction of large pressure sores over the sacrococcygeal region. In this anatomical study, 30 embalmed cadaveric lower limbs were used for dissection to observe the musculocutaneous perforators of the inferior gluteal artery and the longitudinal nutritional vascular chain of the posterior femoral cutaneous nerve. In this clinical study, eight patients underwent surgical harvest of the composite gluteofemoral flap for coverage of grade IV sacrococcygeal pressure sores. The size of the pressure sores ranged between 16 × 9 cm and 22 × 10 cm. The inferior gluteal artery was present in 26 cases and absent in four cases. It gave off two to four musculocutaneous branches with a diameter larger than 0.5 mm to the gluteus maximus. A direct cutaneous branch was given off at the inferior margin of the gluteus maximus, serving as a nutritional artery for the posterior femoral cutaneous nerve. The size of the flap harvested ranged between 22 × 9 cm and 32 × 10 cm. Flaps in seven patients survived uneventfully and developed epidermal necrosis at the distal margin in one case. An average 2-year follow-up revealed no recurrence of pressure sores. The composite gluteofemoral flap, being robust in blood supply, simple in surgical procedure, and large in donor territory, is an important addition to the armamentarium. Copyright © 2015 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Pressure sores--a constant problem for plegic patients and a permanent challenge for plastic surgery.

Science.gov (United States)

Giuglea, Carmen; Marinescu, Sllviu; Florescu, Ioan Petre; Jecan, Crenguta

2010-01-01

Pressure sores can be defined as lesions caused by unrelieved pressure resulting in damage of the underlying tissue. They represent a common problem in the pathology of plegic patients and, plastic surgery has a significant role in their treatment. Pressure sores occur over bony prominences and so, they are most commonly seen at the sacrum and trochanters in paralyzed patients and at ischium for the patients who sit in a wheelchair for a long time. For these patients, surgical treatment is very important because on one hand, it stops the loss of nutrients and proteins at the site of the pressure sore, and on the other hand, it permits the initiation of neuromuscular recuperation treatment much faster.

Antibiotic prescribing in patients with self-reported sore throat

NARCIS (Netherlands)

Mehta, Nishchay; Schilder, Anne; Fragaszy, Ellen; E R Evans, Hannah; Dukes, Oliver; Manikam, Logan; Little, Paul; Smith, Sarah C; Hayward, Andrew

2017-01-01

OBJECTIVES: To investigate the predictors of general practitioner (GP) consultation and antibiotic use in those developing sore throat. METHODS: We conducted a prospective population-based cohort study on 4461 participants in two rounds (2010-11) from 1897 households. RESULTS: Participants reported

[A clinical audit on the use of medications for pressure sores, after the implementation of guidelines].

Science.gov (United States)

Chiari, Paolo; Fontana, Mirella; Bianchi, Tommaso; Bonzagni, Cristina; Galetti, Caterina

2006-01-01

Although guidelines for the management of pressure sores are widely available, their implementation is not always easy and sometimes does not produce the desired changes. To describe the results of a clinical audit aiming at assessing the appropriate use of medications for pressure sores, after the implementation of guidelines. The audit group, with an expert in assessment, a nurse expert in pressure sores, a microbiologist, a dermatologist and a chemist analysed the clinical and nursing records of all the patients with a pressure sore, discharged during the first trimester of 2005 and 2006, after the implementation of the guidelines, from wards with higher prevalence of pressure sores: geriatric, medical, intensive care, rehabilitation and post acute wards. Each documented treatment was classified as appropriate, not appropriate or "grey area", treatments inappropriate according to guidelines but not according to expert or current knowledge (e.g. poliurethane medications for heel pressure sores). After each stage, the results were returned and discussed with the involved wards. One hundred 74 patients were surveyed in 2005 and 199 in 2006, with a total of respectively 287 and 326 sores. The percentage of inappropriate treatments was 20% in 2005 and 12.8% in 2006 (OR 1.79 I.C. 95% 1.10- 2.91), while an increase of treatments considered grey area (from 7% to 13.5%) was observed. The medium number of medications used was 17.3 per lesion, in 2005 and 16.4 in 2006 with a cost respectively of 83.6 and 67.35 per lesion, but the two populations were not strictly comparable. Clinical audit is a strategy that involving doctors and nurses, may promote positive changes. The rate of inappropriate treatments (higher in areas with high turnover of nurses) can be improved with educational interventions. The identification of treatments of the grey area highlights the need of periodically revising guidelines to update their contents according to new knowledge and technologies.

Muscle fascicle behavior during eccentric cycling and its relation to muscle soreness.

Science.gov (United States)

Peñailillo, Luis; Blazevich, Anthony J; Nosaka, Kazunori

2015-04-01

A single bout of eccentric exercise confers a protective effect against muscle damage and soreness in subsequent eccentric exercise bouts, but the mechanisms underpinning this effect are unclear. This study compared vastus lateralis (VL) muscle-tendon behavior between two eccentric cycling bouts to test the hypothesis that muscle-tendon behavior would be different between bouts and would be associated with the protective effect. Eleven untrained men (27.1 ± 7.0 yr) performed two bouts of eccentric cycling (ECC1 and ECC2) separated by 2 wk for 10 min at 65% of maximal concentric workload (191.9 ± 44.2 W) each. Muscle soreness (by visual analog scale) and maximal voluntary isometric contraction (MVC) torque of the knee extensors were assessed before and 1-2 d after exercise. Using ultrasonography, VL fascicle length and angle changes during cycling were assessed, and tendinous tissue (TT) length changes were estimated. VL EMG amplitude, crank torque, and knee joint angles were measured during cycling. Soreness was greater (P tendon behavior may be an important mechanism underpinning the protective effect.

The diffusion of sulphur from moulding sand to cast and methods of its elimination

Directory of Open Access Journals (Sweden)

M. Hosadyna

2009-10-01

Full Text Available The care of high quality castings requires taking into account the possible negative influence of decomposition products of moulding and core sands on the structure of castings produced. Such products are emitted both from the sands of I generation, meaning sands bound by bentonite, especially those containing carbon forming additives, as well as from the sands of II generation, meaning the sands with the binding materials or even the sands without any binders, such as the forms produced by using the LOST FOAM technology. The literature often refers to the negative effects of nitrogen emitted from the sands with the urea resins on the tendency to create surface defects. That is why the aim of this study was to assess the degree of sulphur diffusion to the ferroalloy castings and the proposal of its limitation.

Medicinal Plants for Healing Sores and Wounds among the ...

African Journals Online (AJOL)

Medicinal Plants for Healing Sores and Wounds among the Communities Surrounding Ungoye Forest, Kwazulu-Natal, South Africa. ... The focus was on the medicinal plants that grow in the Ungoye forest and around the homesteads. The survey ... Keywords: Traditional medicine, documentation, Ethno-survey, wounds.

Development tendencies of moulding and core sands

Directory of Open Access Journals (Sweden)

Stanislaw M. Dobosz1

2011-11-01

Full Text Available Further development of the technology for making moulding and core sands will be strictly limited by tough requirements due to protection of the natural environment. These tendencies are becoming more and more tense, so that we will reach a point when even processes, that from technological point of view fulfill high requirements of the foundry industry, must be replaced by more ecologically-friendly solutions. Hence, technologies using synthetic resins as binding materials will be limited. This paper presents some predictable development tendencies of moulding and core sands. The increasing role of inorganic substances will be noticed, including silicate binders with significantly improved properties, such as improved knock-out property or higher reclamation strength. Other interesting solutions might also be moulding sands bonded by geo-polymers and phosphate binders or salts and also binders based on degradable biopolymers. These tendencies and the usefulness of these binders are put forward in this paper.

Cirugía reconstructiva de las úlceras por presión Reconstructive surgery of pressure sores

Directory of Open Access Journals (Sweden)

2007-09-01

Full Text Available Pressure sores are frequent in certain group of patients with predisposing conditions. In their evolution, this type of sores may require surgery, but the incidence of postoperative complications is high in this type of patients, given the confluence of factors that go against the sucessful surgery of these lesions in these patients. A retrospective cross-sectional descriptive study was made to evaluate the results of surgical treatment of pressure sores in a 3 years-period. Taking into account the studied variables, the drawn conclusions will allow designing new strategies for care of these patients, in order to reduce postoperative morbidity and lenght of stay at hospital

Evaluating the effects of pentoxifylline administration on experimental pressure sores in rats by biomechanical examinations.

Science.gov (United States)

Velaei, Kobra; Bayat, Mohammad; Torkman, Giti; Rezaie, Fatemealsadat; Amini, Abdollah; Noruzian, Mohsen; Tavassol, Azaedh; Bayat, Mehernoush

2012-09-01

This study used a biomechanical test to evaluate the effects of pentoxifylline administration on the wound healing process of an experimental pressure sore induced in rats. Under general anesthesia and sterile conditions, experimental pressure sores generated by no. 25 Halsted mosquito forceps were inflicted on 12 adult male rats. Pentoxifylline was injected intraperitoneally at a dose of 50 mg/kg daily from the day the pressure sore was generated, for a period of 20 days. At the end of 20 days, rats were sacrificed and skin samples extracted. Samples were biomechanically examined by a material testing instrument for maximum stress (N mm(2)), work up to maximum force (N), and elastic stiffness (N/mm). In the experimental group, maximum stress (2.05±0.15) and work up to maximum force (N/mm) (63.75±4.97) were significantly higher than the control group (1.3±0.27 and 43.3±14.96, P=0.002 and P=0.035, respectively). Pentoxifylline administration significantly accelerated the wound healing process in experimental rats with pressure sores, compared to that of the control group.

APLIKASI PEMESANAN MAKANAN ONLINE BERBASIS WEB PADA RUMAH MAKAN PAGI SORE SIPIN JAMBI

Directory of Open Access Journals (Sweden)

Novhirtamely Kahar

2013-07-01

Full Text Available Rumah Makan Pagi Sore Sipin Jambi merupakan rumah makan yang menyediakan bermacam-macam menu makanan khas minang dan memiliki banyak pelanggan. Pemesanan makanan bagi pelanggan tetap jika jarak tempat tinggal dengan rumah makan berjauhan selama ini dilakukan melalui telepon. Cara tersebut memiliki kendala, salah satunya pelanggan tidak mengetahui daftar menu dan harga yang ditawarkan oleh rumah makan. Penelitian ini bertujuan untuk membangun aplikasi pemesanan makanan online sehingga penyampaian informasi menjadi cepat, akurat, memiliki jangkauan yang luas, serta dapat memesan makanan secara online. Sistem aplikasi pemesanan ini terdiri dari aplikasi untuk pelanggan dan admin. Aplikasi untuk pelanggan terdiri dari : Home, Profil, Menu, Paket Catering, Promotion, Info, dan Pemesanan. Aplikasi pemesanan untuk pelanggan terdiri dari Delivery Service, Paket Catering Service, dan Paket Catering Ruang Minang. Sedangkan aplikasi untuk admin terdiri dari olah data menu utama, transaksi, dan laporan. Untuk transaksi pembayaran dilakukan secara cash kepada bagian pengiriman. Sistem aplikasi ini dibangun dengan menggunakan PHP dan database MySQL. Dengan dibangunnya aplikasi ini, maka pelanggan dengan mudah mendapatkan informasi tentang Rumah Makan Pagi Sore Sipin Jambi dan dapat melakukan pemesanan makanan dimana saja dan kapan saja, sehingga dapat meningkatkan jumlah pelanggan dan berdampak pada peningkatan profit Rumah Makan Pagi Sore tersebut.Rumah Makan Pagi Sore Sipin Jambi merupakan rumah makan yang menyediakan bermacam-macam menu makanan khas minang dan memiliki banyak pelanggan. Pemesanan makanan bagi pelanggan tetap jika jarak tempat tinggal dengan rumah makan berjauhan selama ini dilakukan melalui telepon. Cara tersebut memiliki kendala, salah satunya pelanggan tidak mengetahui daftar menu dan harga yang ditawarkan oleh rumah makan. Penelitian ini bertujuan untuk membangun aplikasi pemesanan makanan online sehingga penyampaian informasi menjadi

Management of patients with sore throats in relation to guidelines: an interview study in Sweden.

Science.gov (United States)

Hedin, Katarina; Strandberg, Eva Lena; Gröndal, Hedvig; Brorsson, Annika; Thulesius, Hans; André, Malin

2014-12-01

To explore how a group of Swedish general practitioners (GPs) manage patients with a sore throat in relation to current guidelines as expressed in interviews. Qualitative content analysis was used to analyse semi-structured interviews. Swedish primary care. A strategic sample of 25 GPs. Perceived management of sore throat patients. It was found that nine of the interviewed GPs were adherent to current guidelines for sore throat and 16 were non-adherent. The two groups differed in terms of guideline knowledge, which was shared within the team for adherent GPs while idiosyncratic knowledge dominated for the non-adherent GPs. Adherent GPs had no or low concerns for bacterial infections and differential diagnosis whilst non-adherent GPs believed that in patients with a sore throat any bacterial infection should be identified and treated with antibiotics. Patient history and examination was mainly targeted by adherent GPs whilst for non-adherent GPs it was often redundant. Non-adherent GPs reported problems getting patients to abstain from antibiotics, whilst no such problems were reported in adherent GPs. This interview study of sore throat management in a strategically sampled group of Swedish GPs showed that while two-thirds were non-adherent and had a liberal attitude to antibiotics one-third were guideline adherent with a restricted view on antibiotics. Non-adherent GPs revealed significant knowledge gaps. Adherent GPs had discussed guidelines within the primary care team while non-adherent GPs had not. Guideline implementation thus seemed to be promoted by knowledge shared in team discussions.

Sports Mass Age Therapy on the Reduction of Delayed Onset Muscle Soreness of the Quadriceps Femoris

Directory of Open Access Journals (Sweden)

Boguszewski Dariusz

2014-12-01

Full Text Available Purpose. Massage therapy is one of most commonly applied treatments during athletic training. The aim of this study was to assess the effectiveness of sports massage therapy on reducing post-exercise quadriceps muscle soreness. Methods. A sample of 29 women aged 24-26 years was divided into an experimental group (n = 15 receiving classic sports massage therapy and a control group (n = 14 given no treatment. An exercise session consisting of five sets of deep squat jumps was administered after which lower limb power as assessed via the vertical jump test. Muscle soreness was assessed using the visual analogue scale (VAS and exercise intensity with the Borg Rating of Perceived Exertion Scale. Subsequent measurements of lower limb power and muscle soreness were performed 24, 48, 72 and 96 h after the exercise session. Differences between the measurements were assessed by the Friedman and least significant difference tests while between-group comparisons involved the Mann-Whitney U test. Results. The largest decrease in lower limb power was observed between the first measurement after the exercise session and 24 h later (p < 0.01. The smallest decrease in power was observed in the massage group. The highest levels of muscle soreness were noted 24 h post-exercise in the massage group and 48 h post-exercise in the control group. The experimental group showed a decrease in muscle soreness in each subsequent measurement, with the results close to zero on the VAS 96 h postexercise. Conclusions. Massage therapy quickened recovery and improved muscle efficiency post-exercise and may serve as an effective treatment of muscle soreness. The analgesic effect of massage suggests it should be widely applied in sport, physical therapy and rehabilitation.

Laser homeostatics on delayed onset muscle soreness

Energy Technology Data Exchange (ETDEWEB)

Liu, T C Y; Fu, D R; Liu, X G; Tian, Z X, E-mail: liutcy@scnu.edu.cn [Lab Laser Sports Medicine, South China Normal University, University Town, Guangzhou, GD 510006 (China)

2011-01-01

Delayed onset muscle soreness (DOMS) and its photobiomodulation were reviewed from the viewpoint of function-specific homeostasis (FSH) in this paper. FSH is a negative-feedback response of a biosystem to maintain the function-specific fluctuations inside the biosystem so that the function is perfectly performed. A stressor may destroy a FSH. A stress is a response of a biosystem to a stressor and may also be in stress-specific homeostasis (StSH). A low level light (LLL) is so defined that it has no effects on a function in its FSH or a stress in its StSH, but it modulate a function far from its FSH or a stress far from its StSH. For DOMS recovery, protein metabolism in the Z-line streaming muscular cell is the essential process, but the inflammation, pain and soreness are non-essential processes. For many DOMS phenomena, protein metabolism in the Z-line streaming muscular cell is in protein metabolism-specific homeostasis (PmSH) so that there are no effects of LLL although the inflammation can be inhibited and the pain can be relieved. An athlete or animal in the dysfunctional conditions such as blood flow restriction and exercise exhaustion is far from PmSH and the protein metabolism can be improved with LLL.

Rational Pharmacotherapy for Sore Throat in Children at Different Stages of the Assistance

Directory of Open Access Journals (Sweden)

A.V. Zaychenko

2013-09-01

Full Text Available The article deals with one of the most pressing problems in pediatrics in the autumn and winter — a sore throat in children. The authors give its basic reasons, threatening symptoms that accompany sore throat, indicating an urgent need to visit a doctor, as well as the issues of treatment. It is noted that the most appropriate is the use of combination drugs that have complex (anti-microbial, anti-inflammatory, analgesic effect. The characteristics of Strepsils Kids preparation, developed specifically for use in children from 6 years, are given.

Pressure sores and underlying bone infection

International Nuclear Information System (INIS)

Sugarman, B.

1987-01-01

Pressure sores are a serious complication of hospitalized and chronically ill patients. Evaluation for underlying bone infection can be made difficult by radiographic, nuclear imaging, and soft-tissue culture studies that are abnormal and suggest the presence of bone infection, when no infection is present. Evaluation by bone biopsy with histologic and microbiological studies can accurately and promptly diagnose whether bone infection is present. This allows appropriate treatment when infection is present, and prevents unneeded and potentially toxic antibiotic therapy when preliminary studies incorrectly suggest that infection is present

[Support devices for the prevention and treatment of pressure sores].

Science.gov (United States)

Perrouin-Verbe, Brigite

2014-12-01

There is a strategy to be followed in the treatment of patients with specific pathologies placing them at high risk of pressure sores. In some cases, sophisticated support devices are used.These techniques must be combined with basic good practices.

Preventing pressure sores of the nasal ala after nasotracheal tube intubation: from animal model to clinical application.

Science.gov (United States)

Huang, Tze-Ta; Tseng, Chih-En; Lee, Tsan-Mu; Yeh, Jen-Ying; Lai, Yu-Yung

2009-03-01

Nasal-ala pressure sores induced by nasotracheal intubation are common complications of oral and maxillofacial surgery, but are easily ignored. To determine whether such sores could be prevented, we studied the effects of a combination of cushioning material in an animal model, and then analyzed the efficacy of this combination clinically. Four pigs received nasotracheal intubation. Each pig received intubation for 4, 8, 12, or 16 hours. Outcomes from pigs undergoing 500-gram-weight compression on each nostril were compared: one nostril received an application of cushioning materials, and the contralateral nostril did not. After the required study period, clinical assessment and further evaluation were performed by measuring pressure-sore dimensions and performing incisional biopsies. Clinical applications of this protective technique were then undertaken. Eight patients who underwent intubation without Soft Liner (GC Co, Tokyo, Japan) and DuoDERM CGF (ConvaTec, Inc, Princeton, NJ) protection, and 10 patients with Soft Liner and DuoDERM protection, were evaluated. The protective efficacy of the cushioning materials was significant in the animal model as well as in clinical practice. Pressure sores were avoided on the protected side, with severe tissue necrosis documented on the control side. We found that the combined use of Soft Liner and DuoDERM reduced the size and severity of nasal-ala pressure sores attributable to nasotracheal intubation during oral and maxillofacial surgery.

[Pedicled superior gluteal artery perforator bilateral quadrilobed flaps for repair of large sacrococcygeal pressure sores].

Science.gov (United States)

Hai, Henglin; Li, Huatao; Chen, Yang; Li, Qiang; Wu, Shenggang; Lili, Wang; Yan, Lei; Xiaoying, Zhou

2013-03-01

To investigate the effectiveness of pedicled superior gluteal artery perforator bilateral quadrilobed flaps for repairing large sacrococcygeal pressure sores. Between June 2003 and August 2011, 6 paraplegia patients with large sacrococcygeal pressure sores were repaired with the pedicled superior gluteal artery perforator bilateral quadrilobed flaps. There were 2 males and 4 females with an average age of 45.6 years (range, 37-62 years). The mean disease duration was 8.4 months (range, 3-26 months). According to National Pressure Ulcer Advisory Panel (NPUAP) standard, 6 cases rated as degree IV. The size of pressure sores ranged from 15 cm x 13 cm to 18 cm x 16 cm. The size of flaps ranged from 18 cm x 14 cm to 21 cm x 15 cm. After operation, all flaps survived successfully. The wounds healed by first intention in 5 cases; partial dehiscence of incision occurred in 1 case, which was cured after dressing change for 26 days. Six patients were followed up 6-24 months (mean, 12.5 months). The appearance and texture of the flaps were smooth and soft with good elasticity and no ulceration. Pedicled superior gluteal artery perforator bilateral quadrilobed flaps can repair large sacrococcygeal pressure sores. The appearance of flaps is smooth and has good compression-resistance effect.

Recycled sand in lime-based mortars.

Science.gov (United States)

Stefanidou, M; Anastasiou, E; Georgiadis Filikas, K

2014-12-01

The increasing awareness of the society about safe guarding heritage buildings and at the same time protecting the environment promotes strategies of combining principles of restoration with environmentally friendly materials and techniques. Along these lines, an experimental program was carried out in order to investigate the possibility of producing repair, lime-based mortars used in historic buildings incorporating secondary materials. The alternative material tested was recycled fine aggregates originating from mixed construction and demolition waste. Extensive tests on the raw materials have been performed and mortar mixtures were produced using different binding systems with natural, standard and recycled sand in order to compare their mechanical, physical and microstructure properties. The study reveals the improved behavior of lime mortars, even at early ages, due to the reaction of lime with the Al and Si constituents of the fine recycled sand. The role of the recycled sand was more beneficial in lime mortars rather than the lime-pozzolan or lime-pozzolan-cement mortars as a decrease in their performance was recorded in the latter cases due to the mortars' structure. Copyright © 2014 Elsevier Ltd. All rights reserved.

Delayed onset muscle soreness: No pain, no gain? The truth behind ...

African Journals Online (AJOL)

Delayed onset muscle soreness (DOMS) is muscle pain and stiffness that develops ... limited success in reducing the symptoms.1,4-6 The DOMS phenomenon ... Nutritional supplementation (antioxidants and L-carnitine) shows promise, but ...

Comparison of gluteal perforator flaps and gluteal fasciocutaneous rotation flaps for reconstruction of sacral pressure sores.

Science.gov (United States)

Chen, Yen-Chou; Huang, Eng-Yen; Lin, Pao-Yuan

2014-03-01

The gluteus maximus myocutaneous flap was considered the workhorse that reconstructed sacral pressure sores, but was gradually replaced by fasciocutaneous flap because of several disadvantages. With the advent of the perforator flap technique, gluteal perforator (GP) flap has gained popularity nowadays. The aim of this study was to compare the complications and outcomes between GP flaps and gluteal fasciocutaneous rotation (FR) flaps in the treatment of sacral pressure sores. Between April 2007 and June 2012, 63 patients underwent sacral pressure sore reconstructions, with a GP flap used in 31 cases and an FR flap used in 32 cases. Data collected on the patients included patient age, gender, co-morbidity for being bedridden and follow-up time. Surgical details collected included the defect size, operative time and estimated blood loss. Complications recorded included re-operation, dehiscence, flap necrosis, wound infection, sinus formation, donor-site morbidity and recurrence. The complications and clinical outcomes were compared between these two groups. We found that there was no significant difference in patient demographics, surgical complications and recurrence between these two groups. In gluteal FR flap group, all recurrent cases (five) were treated by reuse of previous flaps. Both methods are comparable, good and safe in treating sacral pressure sores. Gluteal FR flap can be performed without microsurgical dissection, and re-rotation is feasible in recurrent cases. The authors suggest using gluteal FR flaps in patients with a high risk of sore recurrence. Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Comparison of Effectiveness of Betamethasone gel Applied to the Tracheal Tube and IV Dexamethasone on Postoperative Sore Throat: A Randomized Controlled Trial.

Science.gov (United States)

Tabari, Masumeh; Soltani, Ghasem; Zirak, Nahid; Alipour, Moammad; Khazaeni, Kamran

2013-09-01

Postoperative sore throat is a common complaint in patients with endotracheal intubation and has potentially dangerous complications. This randomized controlled trial study investigated the incidence of postoperative sore throat after general anesthesia when betamethasone gel is applied to a tracheal tube compared with when IV dexamethasone is prescribed. Two hundred and twenty five American Society of Anesthesiologist (ASA)-class I and II patients undergoing elective abdominal surgery with tracheal intubation were randomly divided into three groups: betamethasone gel, intravenous (IV) dexamethasone, and control groups. In the post-anesthesia care unit, a blinded anesthesiologist interviewed all patients regarding postoperative sore throat at 1,6, and 24 hours after surgery. The incidence of sore throat was significantly lower in the betamethasone gel group compared with the IV dexamethasone and control groups, 1, 6, and 24 hours after surgery. In the first day after surgery 10.7% of the betamethasone group had sore throat whereas 26.7% of the IV dexamethasone group and 30.7% of the control group had sore throat. Bucking before extubation was observed in 14(18.4%), 8(10.4%), and 9(12.2%) patients, in the IV dexamethasone, betamethasone gel, and control group, respectively. We concluded that wide spread application of betamethasone gel over tracheal tubes effectively mitigates postoperative sore throat, compared with IV dexamethasone application.

Comparison of Effectiveness of Betamethasone gel Applied to the Tracheal Tube and IV Dexamethasone on Postoperative sore Throat: A Randomized Controlled Trial

Directory of Open Access Journals (Sweden)

Masoomeh Tabari

2013-10-01

Full Text Available Introduction: Postoperative sore throat is a common complaint in patients with endotracheal intubation and has potentially dangerous complications. This randomized controlled trial study investigated the incidence of postoperative sore throat after general anesthesia when betamethasone gel is applied to a tracheal tube compared with when IV dexamethasone is prescribed.   Materials and Methods: Two hundred and twenty five American Society of Anesthesiologist (ASA-class I and II patients undergoing elective abdominal surgery with tracheal intubation were randomly divided into three groups: betamethasone gel, intravenous (IV dexamethasone, and control groups. In the post-anesthesia care unit, a blinded anesthesiologist interviewed all patients regarding postoperative sore throat at 1,6, and 24 hours after surgery.   Results: The incidence of sore throat was significantly lower in the betamethasone gel group compared with the IV dexamethasone and control groups, 1, 6, and 24 hours after surgery. In the first day after surgery 10.7% of the betamethasone group had sore throat whereas 26.7% of the IV dexamethasone group and 30.7% of the control group had sore throat. Bucking before extubation was observed in 14(18.4%, 8(10.4%, and 9(12.2% patients, in the IV dexamethasone, betamethasone gel, and control group, respectively.   Conclusion:  We concluded that wide spread application of betamethasone gel over tracheal tubes effectively mitigates postoperative sore throat, compared with IV dexamethasone application.

Assessment Criteria of Bentonite Binding Properties

Directory of Open Access Journals (Sweden)

S. Żymankowska-Kumon

2012-09-01

Full Text Available The criteria, with which one should be guided at the assessment of the binding properties of bentonites used for moulding sands, areproposed in the paper. Apart from the standard parameter which is the active bentonite content, the unrestrained growth indicator should be taken into account since it seems to be more adequate in the estimation of the sand compression strength. The investigations performed for three kinds of bentonites, applied in the Polish foundry plants, subjected to a high temperature influences indicate, that the pathway of changes of the unrestrained growth indicator is very similar to the pathway of changes of the sand compression strength. Instead, the character of changes of the montmorillonite content in the sand in dependence of the temperature is quite different. The sand exhibits the significant active bentonite content, and the sand compression strength decreases rapidly. The montmorillonite content in bentonite samples was determined by the modern copper complex method of triethylenetetraamine (Cu(II-TET. Tests were performed for bentonites and for sands with those bentonites subjected to high temperatures influences in a range: 100-700ºC.

Antioxidants for preventing and reducing muscle soreness after exercise.

Science.gov (United States)

Ranchordas, Mayur K; Rogerson, David; Soltani, Hora; Costello, Joseph T

2017-12-14

Muscle soreness typically occurs after intense exercise, unaccustomed exercise or actions that involve eccentric contractions where the muscle lengthens while under tension. It peaks between 24 and 72 hours after the initial bout of exercise. Many people take antioxidant supplements or antioxidant-enriched foods before and after exercise in the belief that these will prevent or reduce muscle soreness after exercise. To assess the effects (benefits and harms) of antioxidant supplements and antioxidant-enriched foods for preventing and reducing the severity and duration of delayed onset muscle soreness following exercise. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, SPORTDiscus, trial registers, reference lists of articles and conference proceedings up to February 2017. We included randomised and quasi-randomised controlled trials investigating the effects of all forms of antioxidant supplementation including specific antioxidant supplements (e.g. tablets, powders, concentrates) and antioxidant-enriched foods or diets on preventing or reducing delayed onset muscle soreness (DOMS). We excluded studies where antioxidant supplementation was combined with another supplement. Two review authors independently screened search results, assessed risk of bias and extracted data from included trials using a pre-piloted form. Where appropriate, we pooled results of comparable trials, generally using the random-effects model. The outcomes selected for presentation in the 'Summary of findings' table were muscle soreness, collected at times up to 6 hours, 24, 48, 72 and 96 hours post-exercise, subjective recovery and adverse effects. We assessed the quality of the evidence using GRADE. Fifty randomised, placebo-controlled trials were included, 12 of which used a cross-over design. Of the 1089 participants, 961 (88.2%) were male and 128 (11.8%) were female. The age range for

Environmental Impacts of Sand Exploitation. Analysis of Sand Market

Directory of Open Access Journals (Sweden)

Marius Dan Gavriletea

2017-06-01

Full Text Available Sand is an indispensable natural resource for any society. Despite society’s increasing dependence on sand, there are major challenges that this industry needs to deal with: limited sand resources, illegal mining, and environmental impact of sand mining. The purpose of this paper is twofold: to present an overview of the sand market, highlighting the main trends and actors for production, export and import, and to review the main environmental impacts associated with sand exploitation process. Based on these findings, we recommend different measures to be followed to reduce negative impacts. Sand mining should be done in a way that limits environmental damage during exploitation and restores the land after mining operations are completed.

[Reduction of pressure sores during prone positioning of ventilated intensive care patients by the prone-head support system: a pilot study].

Science.gov (United States)

Prebio, Michael; Katz-Papatheophilou, Elfriede; Heindl, Werner; Gelbmann, Herbert; Burghuber, Otto C

2005-02-01

Prone positioning in patients with adult respiratory distress syndrome is a well-known method to improve oxygenation. The aim of our study was to evaluate a new device for prone positioning, the prone-head support system (PHS system), with regard to reduction of cutaneous pressure sores. In a pilot study we randomized 8 patients with ARDS in two groups: 180 degrees standard prone positioning (group without mask) and prone positioning with the PHS system (group with mask). The PHS system consists of a facemask support, which is connected to an adapted air suspension bed. The patients of both groups were intermittently proned for several days. We evaluated the pressure sores on head and neck before turning the patients prone for the first time and after each period of prone positioning. We documented the quantity, the size, the type and the localization of the pressure sores. There was no significant difference in the mean duration of prone positioning (27.1+/-14.7 hours in the group with mask versus 24.5+/-18.7 h in the group without mask). In the group with mask there were 1.5+/-0.8 new pressure sores by each proning, whereas in the group without mask there were 2.37+/-1.6 new pressure sores, which was lower, but not significantly. The overall area of pressure sores (798 mm2 versus 3184 mm2, p=0.004), the area of pressure sores per patient (199.5+/-104.7 mm2 versus 796+/-478 mm2, p=0.03) and the increase of the area of pressure sores per proning (79.8+/-52.0 mm2 versus 398.0+/-214.3 mm2, p=0.004) were significantly lower in the group with mask in comparison to the group without mask. The lips were the most effected localization in both groups. The pressure sores in the group with mask were less severe and showed a homogenous distribution in comparison to the group without mask. Blisters dominated in the group with mask in comparison to erosions, necrosis and ulcers in the group without mask. The PHS system with its face mask is able to reduce the extent and the

[Skin care and prevention of bed sores in bedridden patients].

Science.gov (United States)

Martínez Cuervo, Fernando; Soldevilla Agreda, J Javier; Verdú Soriano, José; Segovia Gómez, Teresa; García Fernández, Francisco Pedro; Pancorbo Hidalgo, Pedro Luís

2007-12-01

The aging process and environmental aggressions will leave their imprints on the state of a person's skin, possibly compromising some of its functions. Age is a risk factor for the development of bed sores, but not the only factor nor the most important one; therefore, we need to develop prevention programs directed to all patients who spend long periods of time sedentary or bedridden. Prevention programs for bed sores must be based on the best evidence available and include a risk evaluation on these factors: suffering a lesion due to pressure, specific skin treatment, incontinence control, excessive humidity posture changes and the use of special surfaces to manage pressure during an increase in mobility or activity by the patient, local pressure reducing devices as well as paying attention to special situations. All of these care measures have to be developed based on a continuity of treatment among the institutions and caretakers involved with treating each patient.

How social media meet patients’ questions: YouTube™ review for mouth sores in children.

Science.gov (United States)

Di Stasio, D; Romano, A; Paparella, R S; Gentile, C; Serpico, R; Minervini, G; Candotto, V; Laino, L

2018-01-01

Recurrent aphthous stomatitis (RAS) is one of the most common causes of mouth sores in children so the management of this condition is a matter of great importance. YouTube™ is increasingly being used by patients to obtain health-related information. The aim of this work is to examine the quality of information offered by YouTube™ about mouth sores in children (MSC). Searching the term ‘mouth sores in children’, (MSC) displayed 12.300 results. Of the top 60 videos analyzed, 31 were excluded following exclusion criteria. The major source of upload was from healthcare information channels (HC-41,38%), followed by individual users (HP-25.59%), healthcare professionals (IU-17.24%) and generalist information channels (HC-13.78%); 20.69% of them deal with predisposing factors, and related pathologies, the majority of these propose home remedies (60.72%) rather than topical analgesic drugs (21.43%), antimicrobials (7.14%) and topical steroids (3.57). Most of the videos analyzed were slightly useful (68.97%). Information about mouth sores in children on YouTube™ was poor regardless of the upload source. Analyzing health content on social platforms is a starting point for providing greater quality of health-related information.

The posterior thigh flap for defect coverage of ischial pressure sores - a critical single-centre analysis.

Science.gov (United States)

Djedovic, Gabriel; Morandi, Evi M; Metzler, Julia; Wirthmann, Anna; Matiasek, Johannes; Bauer, Thomas; Rieger, Ulrich M

2017-12-01

The development of pressure sores is still not only an enormous economical but also a medical burden. Especially in the ischial region, the local defect coverage remains demanding as it is the main weight-bearing area in wheelchair-mobilised patients and is prone to high mobility. The purpose of our study was to report our long-time experience with the reconstruction of ischial pressure ulcers with the medially based posterior thigh flap. A retrospective analysis of all primary pressure sores grade III-IV in the ischial area, which were covered with a medially based posterior thigh flap between January 2008 and December 2014, at our department was conducted. A total of 28 patients underwent defect coverage of an ischial pressure sore with the aforementioned flap. The subgroup with complications showed a statistically significant longer hospital stay. A statistically significant correlation between age and the coincidence of comorbidities could be seen. Older patients showed significantly higher grades of pressure sores. The medially based posterior thigh flap is a safe and reliable flap design. Complication rates are comparable to other flaps. Nevertheless, in case of complications, a significantly longer duration of hospitalisation has to be taken into account. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Parental contribution to over prescription of antibiotics for sore throat ...

African Journals Online (AJOL)

Introduction: Antibiotics are often prescribed by physicians for sore throat in children because of the danger of post streptococcal complications. The role of the parents in over prescription of antibiotics is less well known. Objective: To evaluate the knowledge, attitudes and practice of parents to antibiotic prescription for ...

Clinical effects of Angelica dahurica dressing on patients with I-II phase pressure sores.

Science.gov (United States)

Gong, Fen; Niu, Junzhi; Pei, Xing

2016-11-02

Angelica dahurica is a well-known traditional Chinese Medicine (TCM), while little information is available about its effects on pressure sores. We aimed to investigate the clinical effect of Angelica dahurica on patients with I-II phase pressure sores, as well as the underlying mechanism. Patients (n = 98) with phase I and phase II pressure sores were enrolled and randomly assigned to control and treated groups. In addition to holistic nursing, patients in the control group received compound clotrimazole cream, while patients in the treated group received continuous 4 weeks of external application of Angelica dahurica dressing. Therapeutic effect was recorded, along with the levels of interleukin-8 (IL-8), epidermal growth factor (EGF), transforming growth factor (TGF)-β, and vascular endothelial growth factor (VEGF). Besides, HaCaT cells were cultured with different concentrations of Angelica dahurica, and then cell viability, clone formation numbers, cell cycle, and levels of cyclin D1 and cyclin-dependent kinase (CDK) 2 were determined. The total effective rate in the treated group was significantly higher than in the control group. Levels of IL-8, EGF, TGF-β, and VEGF were statistically increased by Angelica dahurica. In addition, the cell viability and clone formation numbers were significantly upregulated by Angelica dahurica in a dose-dependent manner. Also, the percentage of cells in G0/G1 phase, and levels of cyclin D1 and CDK2 were significantly elevated. Our results suggest that Angelica dahurica may provide an effective clinical treatment for I-II phase pressure sores.

Leishmania development in sand flies: parasite-vector interactions overview.

Science.gov (United States)

Dostálová, Anna; Volf, Petr

2012-12-03

Leishmaniases are vector-borne parasitic diseases with 0.9 - 1.4 million new human cases each year worldwide. In the vectorial part of the life-cycle, Leishmania development is confined to the digestive tract. During the first few days after blood feeding, natural barriers to Leishmania development include secreted proteolytic enzymes, the peritrophic matrix surrounding the ingested blood meal and sand fly immune reactions. As the blood digestion proceeds, parasites need to bind to the midgut epithelium to avoid being excreted with the blood remnant. This binding is strictly stage-dependent as it is a property of nectomonad and leptomonad forms only. While the attachment in specific vectors (P. papatasi, P. duboscqi and P. sergenti) involves lipophosphoglycan (LPG), this Leishmania molecule is not required for parasite attachment in other sand fly species experimentally permissive for various Leishmania. During late-stage infections, large numbers of parasites accumulate in the anterior midgut and produce filamentous proteophosphoglycan creating a gel-like plug physically obstructing the gut. The parasites attached to the stomodeal valve cause damage to the chitin lining and epithelial cells of the valve, interfering with its function and facilitating reflux of parasites from the midgut. Transformation to metacyclic stages highly infective for the vertebrate host is the other prerequisite for effective transmission. Here, we review the current state of knowledge of molecular interactions occurring in all these distinct phases of parasite colonization of the sand fly gut, highlighting recent discoveries in the field.

Sore throat · vaginal discharge · labial ulcer · Dx?

Science.gov (United States)

Caravelli, Ashley; Bhatnagar, Rupal; Ashaye, Adelola

2016-06-01

The patient complained of worsening vaginal pain and increased vaginal discharge, but reported resolution of her back and chest pain. She also said that a week earlier, she'd had a fever that reached 104° F and a sore throat. She denied urinary frequency/urgency, sexual activity, or sexual abuse.

Efficacy of flurbiprofen 8.75 mg lozenge in patients with a swollen and inflamed sore throat.

Science.gov (United States)

Aspley, Sue; Shephard, Adrian; Schachtel, Emily; Sanner, Kathleen; Savino, Laurie; Schachtel, Bernard

2016-09-01

Sore throat is often over-treated with antibiotics, therefore there is a need for non-antibiotic treatments that provide effective relief. From the patient's point of view, symptoms of pharyngeal inflammation such as a "swollen" and "inflamed" throat are often considered the most bothersome; so, a non-steroidal anti-inflammatory drug could be an appropriate treatment. We investigated the efficacy and safety of flurbiprofen 8.75 mg lozenge in adults with a swollen and inflamed throat. We enrolled adults with moderate-to-severe sore throat and evidence of tonsillo-pharyngitis into a randomized, double-blind study. Patients received flurbiprofen 8.75 mg or placebo lozenges every 3-6 hours as needed (up to five lozenges in 24 hours) and rated their symptoms (sore throat pain, difficulty swallowing and the sensation of a swollen throat) on standard linear scales regularly over 24 hours. The efficacy of flurbiprofen lozenge was determined in patients reporting a swollen and inflamed throat at baseline, as well as those with relatively severe symptoms. ClinicalTrials.gov NCT01049334. The main outcome measures were the time-weighted summed differences in patient-reported sore throat pain, difficulty swallowing and swollen throat over 24 hours. Out of 204 patients, 124 (60.8%) described their throats as swollen and inflamed at baseline. Flurbiprofen lozenges provided greater relief than placebo over 24 hours: 79.8%, 99.6% and 69.3% (for sore throat pain, difficulty swallowing and swollen throat, respectively, all P ≤ 0.01). These outcomes were more substantial in patients with relatively severe symptoms. No serious or unexpected adverse events occurred. Flurbiprofen 8.75 mg lozenge appears to provide effective, well-tolerated relief of sore throat, difficulty swallowing and swollen throat in adults with a swollen and inflamed throat, as well as those with relatively severe symptoms. A limitation of these findings is that, while predetermined, these are

Flap surgery for pressure sores: should the underlying muscle be transferred or not?

Science.gov (United States)

Thiessen, Filip E; Andrades, Patricio; Blondeel, Philip N; Hamdi, Moustapha; Roche, Nathalie; Stillaert, Filip; Van Landuyt, Koenraad; Monstrey, Stan

2011-01-01

Musculocutaneous flaps have become the first choice in the surgical repair of pressure sores, but the indication for including muscle in the transferred flaps still remains poorly defined. This study compares outcomes after muscle and non-muscle flap coverage of pressure sores to investigate whether it is still necessary to incorporate muscle tissue as part of the surgical treatment of these ulcers. A retrospective revision of 94 consecutive patients with ischial or sacral pressure sores operated between 1996 and 2002 was performed. Depending on the inclusion of muscle into the flap, the patients were divided in two groups: musculocutaneous flap group and fasciocutaneous flap group. Charts were reviewed for patient characteristics, ulcer features and reconstructive information. Data between groups were compared with emphasis on early (haematoma or seroma, dehiscence, infections, necrosis and secondary procedures) and late (recurrence) postoperative complications. A total of 37 wounds were covered with muscle and 57 wounds covered without muscle tissue. The groups were comparable in relation to age, gender, ulcer characteristics and timing for surgery. There were no significant differences in early complications between the study groups. The mean follow-up period was 3.10 ± 1.8 years (range: 0.5 to 6.7). There were no statistical differences in ulcer recurrence between the groups. The type of flap used was not associated with postoperative morbidity or recurrence in the univariate and multivariate analyses. The findings of this clinical study indicate that the musculocutaneous flaps are as good as fasciocutaneous flaps in the reconstruction of pressure sores, and they question the long-standing dogma that muscle is needed in the repair of these ulcers. Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

Resting energy expenditure and body composition in bedridden institutionalized elderly women with advanced-stage pressure sores.

Science.gov (United States)

Sergi, Giuseppe; Coin, Alessandra; Mulone, Silvana; Castegnaro, Eugenio; Giantin, Valter; Manzato, Enzo; Busetto, Luca; Inelmen, Emine Meral; Marin, Sara; Enzi, Giuliano

2007-03-01

Our study investigated nutritional status, body composition, and resting energy expenditure (REE) in elderly patients with advanced-stage pressure sores (PS), in addition to researching any hypermetabolic condition and its relationship with PS size. The study involved 52 institutionalized bedridden elderly women (aged 83.7 +/- 6.3 years), divided into two groups: 23 with advanced-stage (stage 3 and 4) PS and 29 without PS. Albumin, prealbumin, and retinol-binding protein were measured in all patients, and fat-free mass (FFM) and fat mass (FM) were obtained by dual-energy x-ray absorptiometry (DEXA). REE was measured by indirect calorimetry and predicted with the Harris-Benedict formula. PS area and volume were also measured. The elderly women with and without PS were comparable in age, FFM, and FM. Mean albumin, prealbumin, and retinol-binding protein values were lower in cases with PS. Unadjusted mean REE was significantly higher in patients with PS (1212.3 +/- 236.7 vs 1085.5 +/- 161.3 kcal/d; p 110% of the predicted REE, was seen in 74% of patients with PS and 38% of controls. The difference between measured and predicted REE (DeltaREE) correlated with PS volume (r = 0.58; p elderly women are associated with a hypermetabolic state that is influenced by the volume of the PS.

Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover

Directory of Open Access Journals (Sweden)

Mehrotra Sandeep

2009-01-01

Full Text Available Pressure sores are increasing in frequency commensurate with an ageing population with multi-system disorders and trauma. Numerous classic options are described for providing stable wound cover. With the burgeoning knowledge on perforator anatomy, recent approaches focus on the use of perforator-based flaps in bedsore surgery. A giant neglected trochanteric pressure sore in a paraplegic is presented. Since conventional options of reconstruction appeared remote, the massive ulcer was successfully managed by a chimeric perforator-based flap. The combined muscle and fasciocutaneous flaps were raised as separate paddles based on the anterolateral thigh perforator branches and provided stable cover without complications. Perforators allow versatility in managing complex wounds without compromising on established principles.

Efficacy of flurbiprofen 8.75 mg spray in patients with sore throat due to an upper respiratory tract infection: A randomised controlled trial.

Science.gov (United States)

de Looze, Ferdinandus; Russo, Marc; Bloch, Mark; Montgomery, Barney; Shephard, Adrian; Smith, Gary; Aspley, Sue

2016-06-01

Viral infections cause most cases of pharyngitis (sore throat); consequently, antibiotics are generally not warranted. However, a treatment targeting pain and inflammation, e.g. a topical non-steroidal anti-inflammatory spray, may be helpful for patients. To evaluate the efficacy and safety of flurbiprofen 8.75 mg spray. This randomised, double-blind, parallel group study was conducted at six community-based clinical research centres in Australia and two in New Zealand. Adults with sore throat due to upper respiratory tract infection (onset ≤ four days) took one dose of flurbiprofen (n = 249) or placebo spray (n = 256); after six hours, they could re-dose every three-six hours as required, for three days (max. five doses/day). The primary endpoint was the area under the change from baseline curve in throat soreness from zero-two hours (AUC0-2h). The change from baseline in other sore throat symptoms also assessed efficacy. The mean AUC0-2h for throat soreness was significantly greater with flurbiprofen spray (-1.82; 95% CI: -1.98 to 1.65) compared with placebo (-1.13; 95% CI: -1.27 to 0.99) (P flurbiprofen spray compared with placebo from the first time-points assessed (five minutes for throat soreness/difficulty swallowing, 20 minutes for sore throat pain intensity and 30 minutes for swollen throat) for up to six hours (P Flurbiprofen spray provides rapid and long-lasting relief from sore throat symptoms, and is well-tolerated over three days.

EFFECT OF CAFFEINE ON THE AMOUNT OF PERCEIVED PAIN, JOINT RANGE OF MOTION AND EDEMA AFTER DELAYED MUSCLE SORENESS

Directory of Open Access Journals (Sweden)

Karabalaeifar Sara

2013-01-01

Full Text Available Delayed onset muscle soreness usually occurs after doing a new unusual physical activity, especially when, associated with repeated eccentric contractions and then it gradually disappears. There is not an extensive agreement in the case of treatment method of soreness signs quick reduction. This research was carried out with the aim of investigation caffeine consumption effect to find a good way in order to reduce the signs of delayed onset muscle soreness. In this semi-experimental with Double-blind design, 16 female volleyball player with an age average of 22.5+2.5 in 2 homogeneous 8 subject control and experimental group were studied. In this research, the effect of caffeine existing in coffee in 5 stages (24h before exercise, 12h before, immediately before exercise, after exercise and 12h after it and 1mg per 1kg of body weight on amount of perceived pain and range of motion of the joint and edema due to delay onset muscle soreness because of 50 jumps and lands of a 1 meter stage was investigated. The results showed that caffeine consumption has a meaningful effect on reduction of all the expressed signs after eccentric contractions. So it is recommended that physio thrapysts, doctors and athletes use this method to reduce delayed onset muscle soreness consequences after the injury.

Therapeutic Effect of External Application of Ligustrazine Combined with Holistic Nursing on Pressure Sores.

Science.gov (United States)

Niu, Junzhi; Han, Lin; Gong, Fen

2016-08-15

BACKGROUND This study aimed to explore the therapeutic effect of external application of ligustrazine combined with holistic nursing on pressure sores, as well as the underlying mechanism. MATERIAL AND METHODS From February 2014 to March 2015, a total of 32 patients with Phase II and Phase III pressure sores were enrolled and randomly assigned to an experimental group or a control group. The clinical data were comparable between the 2 groups. In addition to holistic nursing, the patients in the experimental group received 4 weeks of continuous external application of ligustrazine, whereas patients in the control group received compound clotrimazole cream. Therapeutic effect and healing time were recorded. HaCaT cells were used as an in vitro model for mechanism analysis of the effect of ligustrazine in treating pressure sores. After culturing with different concentrations of ligustrazine or the inhibitor of AKT (LY294002) for 72 h, cell viability, clone formation numbers, and levels of phosphatidyl inositol 3-kinase (PI3K), p-AKT, and p-mammalian target of rapamycin (mTOR) were determined. RESULTS Compared to the control group, the total effective rate in the experimental group was significantly higher, and the healing time was significantly reduced. Cell viability and clone formation numbers were significantly upregulated by ligustrazine in a dose-dependent manner. Both the cell viability and clone formation numbers were significantly inhibited by application of LY294002. CONCLUSIONS Our results suggest that ligustrazine combined with holistic nursing is an effective treatment of pressure sores. The protective effect may be associated with the promotion of cell growth by activation of the PI3K/AKT pathway.

Pressure sores in spinal cord injury: Active intervention saves costs

African Journals Online (AJOL)

2008-07-22

Jul 22, 2008 ... interrogated for all cervical spine injuries. Patients were identified retrospectively for the period April 2003 to May 2006 and divided into 4 groups according to the level of intervention they received to prevent pressure sores. Group A. These were the first 100 patients with cervical injuries managed in the unit ...

Flurbiprofen 8.75 mg lozenges for treating sore throat symptoms: a randomized, double-blind, placebo-controlled study.

Science.gov (United States)

Schachtel, Bernard P; Shephard, Adrian; Shea, Timothy; Sanner, Kathleen; Savino, Laurie; Rezuke, Jeanne; Schachtel, Emily; Aspley, Sue

2016-11-01

This study assessed multiple doses of flurbiprofen 8.75 mg lozenges for the relief of three prominent symptoms of acute pharyngitis: pain intensity (primary end point), difficulty swallowing and swollen throat. A total of 204 patients (102 in each group) with confirmed pharyngitis (onset ≤4 days) were randomly assigned to take up to five flurbiprofen or placebo lozenges every 3-6 h, for 7 days. Using validated rating scales (sore throat pain intensity, difficulty swallowing and swollen throat) patients rated their symptoms for the duration of the study. Over the first 24 h, patients treated with flurbiprofen lozenges reported significantly greater reductions in sore throat pain (47%) as well as difficulty swallowing (66%) and swollen throat (40%) compared with placebo (all p flurbiprofen lozenges provide effective relief of sore throat pain intensity as well as difficulty swallowing and swollen throat.

Sand transportation and reverse patterns over leeward face of sand dune

Science.gov (United States)

Jiang, Hong; Dun, Hongchao; Tong, Ding; Huang, Ning

2017-04-01

Sand saltation has complex interactions with turbulent flow and dune form. Most models of wind-blown sand consider ideal circumstances such as steady wind velocity and a flat surface, and the bulk of data on wind flow and sand transport over an individual dune has focused mostly on the influence of dune shape or inter-dune space on the wind flow, neglecting the effect of morphology on sand saltation, particularly airflow and sand transportation over the leeward slope. Wind flow structures over the leeward slope of sand dunes have a fundamental influence on the organization of sand dunes. In order to understand sand dune dynamics, lee face airflow and sediment transportation should be paid more attention. Previous field observations could not measure turbulent flow structure well because of the limited observation points and the influence of experiment structure on wind field. In addition, the reverse sand particles over leeward face could not be collected by sand trap in field. Numerous field observations could not measure turbulent flow structure because of the limited observation points and the influence of experimental structures on the wind field. In addition, the reverse transport of sand particles over leeward face could not be collected by sand traps in field. Therefore, this paper aims to investigate the turbulent flow structure and sand transport pattern over the leeward slope. A numerical model of sand saltation over slope terrain is constructed, which also considers the coupling effects between air flow and sand particles. The large eddy simulation method is used to model turbulent flow. Sand transport is simulated by tracking the trajectory of each sand particle. The results show that terrain significantly alters the turbulent air flow structure and wind-blown sand movement, especially over the leeward slope. Here, mass flux increases initially and then decreases with height in the reversed flow region in the direction of wind flow, and the mass flux

The operative treatment of pressure sores in the pelvic region: A 10-year period overview.

Science.gov (United States)

Jósvay, János; Klauber, András; Both, Béla; Kelemen, Péter B; Varga, Zsombor Z; Pesthy, Pál Cs

2015-07-01

Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate. A total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire. We experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%. The strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period.

Investigations of Physicochemical Properties and Thermal Utilisation of Dusts Generated in the Mechanical Reclamation Process of Spent Moulding Sands

Directory of Open Access Journals (Sweden)

Dańko R.

2015-04-01

Full Text Available The after reclamation dusts originated from various foundry plants, applying moulding sands with organic binding agents, mostly resins, are characterised by different properties in dependence of the used binders, reclamation systems, spent sands overheating degree and the efficiency of the system dedusting the reclaimed material operating in individual foundry plants.

Watermelon juice: potential functional drink for sore muscle relief in athletes.

Science.gov (United States)

Tarazona-Díaz, Martha P; Alacid, Fernando; Carrasco, María; Martínez, Ignacio; Aguayo, Encarna

2013-08-07

l-Citrulline is an excellent candidate to reduce muscle soreness, and watermelon is a fruit rich in this amino acid. This study investigated the potential of watermelon juice as a functional drink for athletes. An in vitro study of intestinal absorption of l-citrulline in Caco-2 cells was performed using unpasteurized (NW), pasteurized (80 °C for 40 s) watermelon juice (PW) and, as control, a standard of l-citrulline. l-citrulline bioavailability was greater when it was contained in a matrix of watermelon and when no heat treatment was applied. In the in vivo experiment (maximum effort test in a cycloergometer), seven athletes were supplied with 500 mL of natural watermelon juice (1.17 g of l-citrulline), enriched watermelon juice (4.83 g of l-citrulline plus 1.17 g from watermelon), and placebo. Both watermelon juices helped to reduce the recovery heart rate and muscle soreness after 24 h.

Comparative study of patients suffering sore throat after general anesthesia using laryngeal mask airway and cuffed pharyngeal tube in adults

Directory of Open Access Journals (Sweden)

Hassani V

2001-09-01

Full Text Available Post-operative sore throat is one of the most common complications and complaints of patients after general anesthesia especially in operations that need endotracheal intubations. Its causes are: size of endotracheal tube and type of its cuff, inadequate airway humidification, trauma during intubation and suctioning, high flow of inspiratory gases, surgical manipulation of airway and adjacent organs, ect. Use of instruments with less invasion to upper respiratory tract, for example, face mask and airway, LMA or CPT are methods, used for decreasing the rate of post-operative sore throat. This study was performed to compare the rate of sore throat after general anesthesia between Laryngeal Mask Airway (LMA and Cuffed Pharyngeal Tube (CPT. From the patients, 120 ASA: PS-I cases, were selected, who were candidates for elective surgery of Orthopedics, Urology, General surgery and Gynecology in Hazrat Rasool-Akram Hospital Complex in the year 2000. Their operation were performed in supine position and did not need muscle relaxation and the patients had spontaneous breathing. Duration of surgery was less than 2 hours. The patients were randomly allocated into two groups: LMA was used for one group and CPT for others. Immediately after operation, in the recovery room and at 6, 12, 18 and 24 hours after removing the tube, the patients were asked about sore throat and the results were recorded in the related sheets. The results was 31.7 percent of patients in group LMA and 0 percent of patients in group CPT, had sore throat. There were significant difference between groups (LMA and CPT in presentation of sore throat (P<0.001.

Soreness during non-music activities is associated with playing-related musculoskeletal problems: an observational study of 731 child and adolescent instrumentalists

Directory of Open Access Journals (Sweden)

Sonia Ranelli

2014-06-01

Full Text Available Question: Is exposure to non-music-related activities associated with playing-related musculoskeletal problems in young instrumentalists? Is non-music-activity-related soreness associated with playing-related musculoskeletal problems in this group of instrumentalists? Design: Observational study using a questionnaire and physical measures. Participants: 859 instrumentalists aged 7 to 17 years from the School of Instrumental Music program. Results: Of the 731 respondents who completed the questionnaire adequately, 412 (56% experienced instrument-playing problems; 219 (30% had symptoms severe enough to interfere with normal playing. Children commonly reported moderate exposure to non-music-related activities, such as watching television (61%, vigorous physical activity (57%, writing (51% and computer use (45%. Greater exposure to any non-music activity was not associated with playing problems, with odds ratios ranging from 1.01 (95% CI 0.7 to 1.5 for watching television to 2.08 (95% CI 0.5 to 3.3 for intensive hand activities. Four hundred and seventy eight (65% children reported soreness related to non-music activities, such as vigorous physical activity (52%, writing (40%, computer use (28%, intensive hand activities (22%, electronic game use (17% and watching television (15%. Non-music-activity-related soreness was significantly associated with instrument playing problems, adjusting for gender and age, with odds ratios ranging from 2.6 (95% CI 1.7 to 3.9 for soreness whilst watching television, to 4.3 (95% CI 2.6 to 7.1 for soreness during intensive hand activities. Conclusion: Non-music-activity-related soreness co-occurs significantly with playing problems in young instrumentalists. The finding of significant co-occurrence of music and non-music-related soreness in respondents in this study suggests that intervention targets for young instrumentalists could include risk factors previously identified in the general child and adolescent

Reducing risk of pressure sores: effects of watch prompts and alarm avoidance on wheelchair push-ups.

Science.gov (United States)

White, G W; Mathews, R M; Fawcett, S B

1989-01-01

People who use wheelchairs are at risk for developing pressure sores. Regular pressure relief, in the form of a wheelchair push-up, is one way to reduce the likelihood of pressure sores. We examined the effects of antecedent (i.e., instructions, audible prompts) and consequent (i.e., alarm avoidance) events on wheelchair push-ups, using a multiple baseline analysis with 2 participants with spina bifida. Results suggest that the combined procedure was more effective than either antecedent or consequent events alone, and there is some evidence suggesting maintenance of effects over time. PMID:2793635

[Thigh and leg musculo-cutaneous island flap for giant bilateral trochanteric and perineal pressure sores coverage: Extreme treatment in spinal cord injury].

Science.gov (United States)

André, A; Crouzet, C; De Boissezon, X; Grolleau, J-L

2015-06-01

Surgical treatment of perineal pressure sores could be done with various fascio-cutaneous or musculo-cutaneous flaps, which provide cover and filling of most of pressure sores after spinal cord injuries. In rare cases, classical solutions are overtaken, then it is necessary to use more complex techniques. We report a case of a made-to-measure lower limb flap for coverage of confluent perineal pressure sores. A 49-year-old paraplegic patient developed multiple pressure sores on left and right ischial tuberosity, inferior pubic bone and bilateral trochanters with hips dislocation. Surgical treatment involved a whole right thigh flap to cover and fill right side lesions, associated to a posterior right leg musculo-cutaneous island flap to cover and fill the left trochanteric pressure sore. The surgical procedure lasted 6.5 hours and required massive blood transfusion. Antibiotics were adapted to bacteriological samples. There were no postoperative complications; complete wound healing occurred after three weeks. A lower limb sacrifice for coverage of a giant perineal pressure sores is an extreme surgical solution, reserved to patients understanding the issues of this last chance procedure. A good knowledge of vascular anatomy is an essential prerequisite, and allows to shape made-to-measure flaps. The success of such a procedure is closely linked to the collaboration with the rehabilitation team (appropriate therapeutic education concerning transfers and positioning). Copyright © 2014 Elsevier Masson SAS. All rights reserved.

Soreness during non-music activities is associated with playing-related musculoskeletal problems: an observational study of 731 child and adolescent instrumentalists.

Science.gov (United States)

Ranelli, Sonia; Straker, Leon; Smith, Anne

2014-06-01

Is exposure to non-music-related activities associated with playing-related musculoskeletal problems in young instrumentalists? Is non-music-activity-related soreness associated with playing-related musculoskeletal problems in this group of instrumentalists? Observational study using a questionnaire and physical measures. 859 instrumentalists aged 7 to 17 years from the School of Instrumental Music program. Of the 731 respondents who completed the questionnaire adequately, 412 (56%) experienced instrument-playing problems; 219 (30%) had symptoms severe enough to interfere with normal playing. Children commonly reported moderate exposure to non-music-related activities, such as watching television (61%), vigorous physical activity (57%), writing (51%) and computer use (45%). Greater exposure to any non-music activity was not associated with playing problems, with odds ratios ranging from 1.01 (95% CI 0.7 to 1.5) for watching television to 2.08 (95% CI 0.5 to 3.3) for intensive hand activities. Four hundred and seventy eight (65%) children reported soreness related to non-music activities, such as vigorous physical activity (52%), writing (40%), computer use (28%), intensive hand activities (22%), electronic game use (17%) and watching television (15%). Non-music-activity-related soreness was significantly associated with instrument playing problems, adjusting for gender and age, with odds ratios ranging from 2.6 (95% CI 1.7 to 3.9) for soreness whilst watching television, to 4.3 (95% CI 2.6 to 7.1) for soreness during intensive hand activities. Non-music-activity-related soreness co-occurs significantly with playing problems in young instrumentalists. The finding of significant co-occurrence of music and non-music-related soreness in respondents in this study suggests that intervention targets for young instrumentalists could include risk factors previously identified in the general child and adolescent population, as well as music-specific risk factors. This is an

Profunda Femoris Artery Perforator Propeller Flap: A Valid Method to Cover Complicated Ischiatic Pressure Sores.

Science.gov (United States)

Scalise, Alessandro; Tartaglione, Caterina; Bolletta, Elisa; Pierangeli, Marina; Di Benedetto, Giovanni

2015-08-01

We report the case of a 50-year-old paraplegic man with a complicated grade III/IV ischiatic pressure sore treated with a propeller flap based on the first perforator of the profunda femoris artery. Our aim was to surgically reconstruct an ischiatic pressure sore in a patient with ankylosis using a fasciocutaneous perforator propeller flap obtained from the posterior region of the thigh. Our decision to perform a profunda femoris artery perforator propeller flap reconstruction was mainly due to the anatomical contiguity of the flap with the site of the lesion and the good quality of the skin harvested from the posterior region of the thigh. The use of the perforator fasciocutaneous flap represents a muscle-sparing technique, providing a better long-term result in surgical reconstruction. The choice of the 180-degree propeller flap was due to its ability to provide a good repair of the pressure ulcer and to pass over the ischiatic prominence in the patient in the forced decubitus position. The operatory course did not present any kind of complication. Using this reconstructive treatment, we have obtained complete coverage of the ischiatic pressure sore.

Eastern Scheldt Sand, Baskarp Sand No. 15

DEFF Research Database (Denmark)

Andersen, A. T; Madsen, E. B.; Schaarup-Jensen, A. L.

The present data report contains data from 13 drained triaxial tests, performed on two different sand types in the Soil Mechanics Laboratory at Aalborg University in March, 1997. Two tests have been performed on Baskarp Sand No. 15, which has already ken extensively tested in the Soil Mechanics...... Laboratory. The remaining 11 triaxial tests have ben performed on Eastern Scheldt Sand, which is a material not yet investigated at the Soil Mechanics Laboratory. In the first pari of this data report, the characteristics of the two sand types in question will be presented. Next, a description...... will described. In this connection, the procedure for preparation of the soil specimens will be presented, and the actual performance of the tests will be briefly outlined. Finally, the procedure for processing of the measurements from the laboratory in order to obtain usable data will be described. The final...

Diabetes: Good Diabetes Management and Regular Foot Care Help Prevent Severe Foot Sores

Science.gov (United States)

Amputation and diabetes: How to protect your feet Good diabetes management and regular foot care help prevent severe foot sores that ... and may require amputation. By Mayo Clinic Staff Diabetes complications can include nerve damage and poor blood ...

The Use of Magnetic Resonance Imaging in Planning a Pedicled Perforator Flap for Pressure Sores in the Gluteal Region.

Science.gov (United States)

Park, Sun-June; Lee, Kyeong-Tae; Jeon, Byung-Joon; Woo, Kyong-Je

2018-04-01

Pedicled perforator flaps (PPFs) have been widely used to treat pressure sores in the gluteal region. Selection of a reliable perforator is crucial for successful surgical treatment of pressure sores using PPFs. In this study, we evaluate the role of magnetic resonance imaging (MRI) in planning PPF reconstruction of pressure sores in the gluteal region. A retrospective chart review was performed in patients who had undergone these PPF reconstructions and who had received preoperative MRI. Preoperatively, the extent of infection and necrotic tissue was evaluated using MRI, and a reliable perforator was identified, considering the perforator location in relation to the defect, perforator size, and perforator courses. Intraoperatively, the targeted perforator was marked on the skin at the locations measured on the MRI images, and the marked location was confirmed using intraoperative handheld Doppler. Superior gluteal artery, inferior gluteal artery, or parasacral perforators were used for the PPFs. Surgical outcomes were evaluated. A total of 12 PPFs were performed in 12 patients. Superior gluteal artery perforator flaps were performed in 7 patients, inferior gluteal artery perforator flaps were performed in 3 patients, and parasacral perforator flaps were performed in 2 patients. We could identify a reliable perforator on MRI, and it was found at the predicted locations in all cases. There was only one case of partial flap necrosis. There was no recurrence of the pressure sores during the mean follow-up period of 6.7 months (range = 3-15 months). In selected patients with gluteal pressure sores, MRI is a suitable means for not only providing information about disease extent and comorbidities but also for evaluating perforators for PPF reconstructions.

Pattern of Pressure Sores in Spinal Injured Patients with in the First ...

African Journals Online (AJOL)

Background: Before 2006, all our spinal injured patients were nursed on conventional form mattress without pressure redistributing support surface. Pressure sore was a common complication and was a major contributing factor to prolonged hospitalization. Aim: The aim of this study is to determine the pattern of pressure ...

The Effect of Early Complications on Flap Selection on Sacral Pressure Sores

Directory of Open Access Journals (Sweden)

Musa Kemal Keleş

2017-06-01

Full Text Available Objective: Pressure sores occur in bedridden patients in intensive care units, clinics, and even at their own places. Care for sick relatives and working with doctors to address treatment options and ensure proper follow-up are some of the problems associated with these types of wounds. Surgical therapy in the treatment of pressure ulcers is associated with significant complications. In comparison to non-surgical treatment, surgical treatment has a low complication rate and is more cost-effective. The surgical treatment enables the patients to return to their social life sooner than non-surgical treatment. Patient's ability to early return to their social life is advantageous in terms of reducing morbidity and the need for additional operations. This study is aimed to review the flap choices used to treat sacral pressure sores and the resulting acute complications rates retrospectively. Material and Methods: Patients treated for stage 3 and stage 4 sacral pressure sores in our clinic in the past 5 years were included in the study. Patient records were analyzed retrospectively. Patients' demographic data and surgical treatment they received were documented. Surgical method and surgical outcomes were evaluated and early complication rates were determined. Result: Fifty patients were included in the study; 10 of them were female, 40 of were male cases. The most common causative agent was paraplegia after traffic accident. Conclusion: A significant difference was not observed between the type of flap used in the surgical treatment and the rate of complications. Consequently, the surgical treatment of pressure ulcers in the sacral region depends on the patient's individual situation, the cooperation of the family, and previously applied treatments

[Topic efficacy of ialuronic acid associated with argentic sulphadiazine (Connettivina Plus) in the treatment of pressure sores: a prospective observational cohort study].

Science.gov (United States)

Paghetti, Angela; Bellingeri, Andrea; Pomponio, Giovanni; Sansoni, Julita; Paladino, Dario

2009-01-01

The aim of this observational study was to evaluate the efficacy, tolerability and methods of application of ialuronic acid associated with argentic sulphadiazine (Connettivina Plus) in routine clinical activity, on a target of "complex" patients with pressure sores, for the most realistic assessment possible. The study comprised 127 patients hospitalized between January 2006 and December 2007, who received ialuronic acid associated with argentic sulphadiazine in addition to the standard treatment. Inclusion criteria were th presence of at least one stage 2 or 3 pressure sore (NPUAP '89 classification), pressure sore that the researcher had already decided to treat using ialuronic acid associated with argentic sulphadiazine , according to hospital protocol, area of the lesion less than 25cm2, patient age 18 years or more, informed patient consensus. Patients with these characteristics were , however, excluded if they did not provide written consent or if they had one of the following: presence of pressure sores with escara, concomitant neoplastic disease, concomitant insulin-dependent diabetes or other pathologies that interfere with skin regeneration, allergic diasthesis (acclaimed or presumed) to ialuronic acid - argentic sulphadiazine, inability / refusal to undergo all the subsequent controls required by the study. Improvement or complete healing of the pressure sores was observed in 67% of patients at early follow-up (10 days), increasing to 76% and 87% at 20 and 35 day controls respectively. The Push tool further improved in patients who carried on treatment. Use of ialuronic acid associated with argentic sulphadiazine was effective for treating grade 2-3 pressure sores in patients with chronic lesions and its efficacy was confirmed in association with both advanced and traditional types of medication.

An Intelligent FPGA Based Anti-Sweating System for Bed Sore Prevention in a Clinical Environment

Directory of Open Access Journals (Sweden)

K. S. Jaichandar

2011-01-01

Full Text Available Bed sores, a common problem among immobile patients occur as a result of continuous sweating due to increase in skin to bed surface temperature in patients lying on same posture for prolonged period. If left untreated, the skin can break open and become infected. Currently adopted methods for bed sores prevention include: use of two hourly flip chat for repositioning patient or use of air fluidized beds. However, the setbacks of these preventive measures include either use of costly equipment or wastage of human resources. This paper introduces an intelligent low cost FPGA based anti-sweating system for bed sores prevention in a clinical environment. The developed system consists of bed surface implanted temperature sensors interfaced with an FPGA chip for sensing the temperature change in patient’s skin to bed surface. Based on the temperature change, the FPGA chip select the - mode (heater/cooler and speed of the fan module. Furthermore, an alarm module was implemented to alert the nurse to reposition the patient only if patient’s skin to bed surface temperature exceeds a predefined threshold thereby saving human resources. By integrating the whole system into a single FPGA chip, we were able to build a low cost compact system without sacrificing processing power and flexibility.

The Pacman Perforator-Based V-Y Advancement Flap for Reconstruction of Pressure Sores at Different Locations.

Science.gov (United States)

Bonomi, Stefano; Salval, André; Brenta, Federica; Rapisarda, Vincenzo; Settembrini, Fernanda

2016-09-01

Many procedures have been proposed for the treatment of pressure sores, and V-Y advancement flaps are widely used to repair a defect. Unfortunately, the degree of mobility of a V-Y advancement flap is dependent on the laxity of the underlying subcutaneous tissue. This is an important disadvantage of traditional V-Y advancement flap and limits its use.We used V-Y advancement flaps as perforator-based to overcome mobility restriction problem, with a further modification (Pacman-like shape) to improve the covering surface area of the flap. Between January 2012 and December 2014, the authors used 37 V-Y Pacman perforator-based flaps in 33 consecutive patients for coverage of defects located at sacral (n = 21), ischial (n = 13), trochanter (n = 1) regions. There were 27 male and 6 female patients with a mean age of 49.9 years (range, 15-74 years). All flaps survived completely (92.3%) except 3 in which one of them had undergone total necrosis due to hematoma and the other 2 had partial necrosis. No venous congestion was observed. The mean follow-up period was 14.9 months (range, 2-38 months). No flap surgery-related mortality or recurrence of pressure sores was noted. The V-Y Pacman perforator-based advancement flaps are safe and very effective for reconstruction of pressure sores at various regions. The advantage of our modification procedure include shorter operative time, lesser pedicle dissection, low donor site morbidity, good preservation of muscle, and offers remarkable excursion to the V-Y flap, which make the V-Y Pacman perforator-based flaps an excellent choice for large pressure sore coverage.

Submarine sand ridges and sand waves in the eastern part of the China Sea

Science.gov (United States)

Wu, Ziyin; Li, Shoujun; Shang, Jihong; Zhou, Jieqiong; Zhao, Dineng; Liang, Yuyang

2016-04-01

Integrated with multi-beam and single-beam echo sounding data, as well as historical bathymetric data, submarine bathymetric maps of the eastern part of the China Sea, including the Bohai Sea, Huanghai Sea, and East China Sea, are constructed to systematically study submarine sand ridges and sand waves in the eastern part of the China Sea, combined with high-resolution seismic, sub-bottom profile and borehole data. Submarine sand ridges are extraordinarily developed in the eastern part of the China Sea, and 7 sand ridge areas can be divided from north to south, that is, the Laotieshan Channel sand ridge area in the Bohai Sea, the Korea Bay sand ridge area in the southern Huanghai Sea, the sand ridge area in the eastern Huanghai islands and the Huanghai Troughs, the Jianggang sand ridge area in the western Huanghai Sea, the sand ridge area in the East China Sea shelf, and the sand ridge and sand wave area in the Taiwan Strait and Taiwan Banks. The distribution area of the sand ridges and sand waves covers more than 450,000 km2, wherein ~10,000 km2 in the Bohai Bay, ~200,000 km2 in the Huanghai Sea, ~200,000 km2 in the East China Sea shelf, and ~40,000 km2 in the Taiwan Strait and Taiwan Banks, respectively. The great mass of sand ridges are distributed within water depth of 5-160 m, with a total length of over 160 km and a main width of 5-10 km. The inner structure of the sand ridges presents features of high-angle inclined beddings, with main lithology of sands, sand-mud alternations partly visible, and a small number of mud cores. Dating results indicate that the sand ridges in the eastern part of the China Sea are mainly developed in the Holocene. Sea-level variation dominates the sand ridge evolution in the eastern part of the China Sea since the LGM, and the sand ridges developed in the area of < 60m water depth are appeared in bad activity, meanwhile sand ridges with good activity are still developed in large scale.

Ear Acupuncture for Acute Sore Throat: A Randomized Controlled Trial

Science.gov (United States)

2014-09-26

SEP 2014 2. REPORT TYPE Final 3. DATES COVERED 4. TITLE AND SUBTITLE Ear acupuncture for acute sore throat. A randomized controlled trial...Auncular Acupuncture is a low risk option for acute pain control •Battlefield acupuncture (BFA) IS a specific auncular acupuncture technique •BFA IS...Strengths: Prospect1ve RCT •Weaknesses Small sample stze. no sham acupuncture performed, patients not blinded to treatment •Th1s study represents an

Fontainebleau Sand

DEFF Research Database (Denmark)

Leth, Caspar Thrane

2006-01-01

The report is a summary of results from laboratory tests in the geotechncial research group on Fontainebleau sand.......The report is a summary of results from laboratory tests in the geotechncial research group on Fontainebleau sand....

Evidence for antibiotic use for sore throat and URTI in general practice

African Journals Online (AJOL)

banzi

508 C M E September 2003 Vol.21 No.9. There is a common misconception among many people that antibiotics are necessary for common colds and their symptoms. Evidence- based medicine can provide a rational approach to this problem. Evidence for antibiotic use for sore throat and URTI in general practice. G T J KA ...

Dual-dermal-barrier fashion flaps for the treatment of sacral pressure sores.

Science.gov (United States)

Hsiao, Yen-Chang; Chuang, Shiow-Shuh

2015-02-01

The sacral region is one of the most vulnerable sites for the development of pressure sores. Even when surgical reconstruction is performed, there is a high chance of recurrence. Therefore, the concept of dual-dermal-barrier fashion flaps for sacral pressure sore reconstruction was proposed. From September 2007 to June 2010, nine patients with grade IV sacral pressures were enrolled. Four patients received bilateral myocutaneous V-Y flaps, four patients received bilateral fasciocutaneous V-Y flaps, and one patient received bilateral rotation-advanced flaps for sacral pressure reconstruction. The flaps were designed based on the perforators of the superior gluteal artery in one patient's reconstructive procedure. All flaps' designs were based on dual-dermal-barrier fashion. The mean follow-up time was 16 months (range = 12-25). No recurrence was noted. Only one patient had a complication of mild dehiscence at the middle suture line, occurring 2 weeks after the reconstructive surgery. The dual-dermal fashion flaps are easily duplicated and versatile. The study has shown minimal morbidity and a reasonable outcome.

Utility of the sore throat pain model in a multiple-dose assessment of the acute analgesic flurbiprofen: a randomized controlled study.

Science.gov (United States)

Schachtel, Bernard; Aspley, Sue; Shephard, Adrian; Shea, Timothy; Smith, Gary; Schachtel, Emily

2014-07-03

The sore throat pain model has been conducted by different clinical investigators to demonstrate the efficacy of acute analgesic drugs in single-dose randomized clinical trials. The model used here was designed to study the multiple-dose safety and efficacy of lozenges containing flurbiprofen at 8.75 mg. Adults (n=198) with moderate or severe acute sore throat and findings of pharyngitis on a Tonsillo-Pharyngitis Assessment (TPA) were randomly assigned to use either flurbiprofen 8.75 mg lozenges (n=101) or matching placebo lozenges (n=97) under double-blind conditions. Patients sucked one lozenge every three to six hours as needed, up to five lozenges per day, and rated symptoms on 100-mm scales: the Sore Throat Pain Intensity Scale (STPIS), the Difficulty Swallowing Scale (DSS), and the Swollen Throat Scale (SwoTS). Reductions in pain (lasting for three hours) and in difficulty swallowing and throat swelling (for four hours) were observed after a single dose of the flurbiprofen 8.75 mg lozenge (Pflurbiprofen-treated patients experienced a 59% greater reduction in throat pain, 45% less difficulty swallowing, and 44% less throat swelling than placebo-treated patients (all Pflurbiprofen 8.75 mg lozenges were shown to be an effective, well-tolerated treatment for sore throat pain. Other pharmacologic actions (reduced difficulty swallowing and reduced throat swelling) and overall patient satisfaction from the flurbiprofen lozenges were also demonstrated in this multiple-dose implementation of the sore throat pain model. This trial was registered with ClinicalTrials.gov, registration number: NCT01048866, registration date: January 13, 2010.

Use of inferior gluteal artery and posterior thigh perforators in management of ischial pressure sores with limited donor sites for flap coverage.

Science.gov (United States)

Unal, Cigdem; Ozdemir, Jale; Yirmibesoglu, Oktay; Yucel, Ergin; Agir, Hakan

2012-07-01

Reconstructive surgery for ischial pressure sore defects presents a challenge because of high rates of recurrence. The aim of this study was to describe the use of inferior gluteal artery (IGA) and posterior thigh perforators in management of ischial pressure sores with limited donor sites. Between September 2005 and 2009, 11 patients (9 male, 2 female) with ischial sores were operated by using IGA and posterior thigh perforator flaps. The data of patients included age, sex, cause of paraplegia, flap size, perforator of flap, previous surgeries, recurrences, complications, and postoperative follow-up. Nine IGA and 5 posterior thigh perforator flaps were used. Six patients presented with recurrent lesions, 5 patients were operated for sacral and contralateral ischial pressure sores previously. In 2 patients, IGA and posterior thigh perforator flaps were used in combination. Patients were followed for an average of 34.3 months. In 2 recurrent cases, readvancement of IGA perforator flap and gluteus maximus myocutaneous flap were treatment of choice. Treatment of patients with recurrent lesions or multiple pressure sores is challenging because of limited available flap donor sites. In this study, posterior thigh perforator flaps were preferred in patients in whom the previous donor site was the gluteal region. IGA perforator flaps were the treatment of choice in patients for whom posterior thigh region was previously used. Alternately, preserved perforators of previous conventional myocutaneous flaps enabled us to use these perforators in recurrences.

Study of Black Sand Particles from Sand Dunes in Badr, Saudi Arabia Using Electron Microscopy

Directory of Open Access Journals (Sweden)

Haider Abbas Khwaja

2015-08-01

Full Text Available Particulate air pollution is a health concern. This study determines the microscopic make-up of different varieties of sand particles collected at a sand dune site in Badr, Saudi Arabia in 2012. Three categories of sand were studied: black sand, white sand, and volcanic sand. The study used multiple high resolution electron microscopies to study the morphologies, emission source types, size, and elemental composition of the particles, and to evaluate the presence of surface “coatings or contaminants” deposited or transported by the black sand particles. White sand was comprised of natural coarse particles linked to wind-blown releases from crustal surfaces, weathering of igneous/metamorphic rock sources, and volcanic activities. Black sand particles exhibited different morphologies and microstructures (surface roughness compared with the white sand and volcanic sand. Morphological Scanning Electron Microscopy (SEM and Laser Scanning Microscopy (LSM analyses revealed that the black sand contained fine and ultrafine particles (50 to 500 nm ranges and was strongly magnetic, indicating the mineral magnetite or elemental iron. Aqueous extracts of black sands were acidic (pH = 5.0. Fe, C, O, Ti, Si, V, and S dominated the composition of black sand. Results suggest that carbon and other contaminant fine particles were produced by fossil-fuel combustion and industrial emissions in heavily industrialized areas of Haifa and Yanbu, and transported as cloud condensation nuclei to Douf Mountain. The suite of techniques used in this study has yielded an in-depth characterization of sand particles. Such information will be needed in future environmental, toxicological, epidemiological, and source apportionment studies.

A novel waste water cleanup, fines sequestration and consolidation technology for oil sands applications

Energy Technology Data Exchange (ETDEWEB)

Soane, D.; Ware, W.; Mahoney, R.; Kincaid, P. [Soane Energy LLC, Cambridge, MA (United States)

2010-07-01

This paper discussed a wastewater technology designed to rapidly sequester suspended fines and other pollutants from the tailings produced during oil sands processes. The technology can also be used to clarify existing tailings ponds, and is expected to help address growing environmental concerns over the remediation of oil sands tailings. The ATA system is comprised of the following 3 components: (1) an activator polymer, (2) a tether polymer, and (3) an anchor particle. A small dose of the activator polymer is added to the fine or mature tailings, which then causes the suspended clay fines to aggregate. The anchor particles are then coated with the tether polymer. The anchor particle is formed from sand derived from coarser tailings. The tether-bearing anchor particles bind to the aggregated clay fines in the activated tailings to form robust complexes that can easily be separated from the waste stream. Output streams from the ATA process include a clean water stream that can be reused in oil sands extraction processes; and a dewatered solid that can be used as landfill as well as in construction and reclamation applications. The sensible heat retained in the recycled water is expected to also reduce the energy requirements of the oil sands extraction process. 6 refs., 1 tab., 5 figs.

Comparison of fasciocutaneous V-Y and rotational flaps for defect coverage of sacral pressure sores: a critical single-centre appraisal.

Science.gov (United States)

Djedovic, Gabriel; Metzler, Julia; Morandi, Evi M; Wachter, Tanja; Kühn, Shafreena; Pierer, Gerhard; Rieger, Ulrich M

2017-12-01

Pressure sore rates remain high in both nursing homes as well as in hospitals. Numerous surgical options are available for defect coverage in the sacral region. However, objective data is scarce as to whether a specific flap design is superior to another. Here, we aim to compare two fasciocutaneous flap designs for sacral defect coverage: the gluteal rotation flap and the gluteal V-Y flap. All primary sacral pressure sores of grades III-IV that were being covered with gluteal fasciocutaneous rotational or V-Y flaps between January 2008 and December 2014 at our institution were analysed. A total of 41 patients received a total of 52 flaps. Of these, 18 patients received 20 gluteal rotational flaps, and 23 patients received 32 V-Y flaps. Both groups were comparable with regards to demographics, comorbidities and complications. Significantly more V-Y flaps were needed to cover smaller defects. Mean length of hospital stay was significantly prolonged when surgical revision had to be carried out. Both flap designs have proven safe and reliable for defect coverage after sacral pressure sores. Gluteal rotational flaps appear to be more useful for larger defects. Both flap designs facilitate their reuse in case of pressure sore recurrence. Complication rates appear to be comparable in both designs and to the current literature. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

A novel technique for preventing skin pressure sores using a rubber tube during surgical treatment of mandibular condyle fractures.

Science.gov (United States)

Kawase-Koga, Yoko; Mori, Yoshiyuki; Hoshi, Kazuhito; Takato, Tsuyoshi

2013-11-01

Craniofacial surgery occasionally results in sores and necrosis of the facial skin because of pressure from surgical instruments. During surgical treatment of mandibular condylar process fractures, the main mandibular fragment is routinely retracted downward using a wire to achieve a satisfactory anatomic reduction. This procedure may injure the facial skin. This potential complication is easily overlooked by medical staff, but it is easily preventable. We herein describe a method of using a rubber tube to avoid causing pressure sores of the facial skin during surgical treatment of mandibular condylar process fractures.

New generation expandable sand screens

OpenAIRE

Syltøy, Christer

2014-01-01

Master's thesis in Petroleum engineering This thesis aims to give a general insight into sand control and various sorts of sand control measures and applications of sand control tools. Special focus will be given to expandable sand screens – a technology which came about in the late 1990’s through the use of flexible, expandable tubulars as base pipe in sand screens. More specifically Darcy’s Hydraulic Endurance Screens, a compliant sand screen system using hydraulic activation, and the fu...

Saltation of non-spherical sand particles.

Directory of Open Access Journals (Sweden)

Zhengshi Wang

Full Text Available Saltation is an important geological process and the primary source of atmospheric mineral dust aerosols. Unfortunately, no studies to date have been able to precisely reproduce the saltation process because of the simplified theoretical models used. For example, sand particles in most of the existing wind sand movement models are considered to be spherical, the effects of the sand shape on the structure of the wind sand flow are rarely studied, and the effect of mid-air collision is usually neglected. In fact, sand grains are rarely round in natural environments. In this paper, we first analyzed the drag coefficients, drag forces, and starting friction wind speeds of sand grains with different shapes in the saltation process, then established a sand saltation model that considers the coupling effect between wind and the sand grains, the effect of the mid-air collision of sand grains, and the effect of the sand grain shape. Based on this model, the saltation process and sand transport rate of non-spherical sand particles were simulated. The results show that the sand shape has a significant impact on the saltation process; for the same wind speed, the sand transport rates varied for different shapes of sand grains by as much as several-fold. Therefore, sand shape is one of the important factors affecting wind-sand movement.

Parasacral Perforator Flaps for Reconstruction of Sacral Pressure Sores.

Science.gov (United States)

Lin, Chin-Ta; Chen, Shih-Yi; Chen, Shyi-Gen; Tzeng, Yuan-Sheng; Chang, Shun-Cheng

2015-07-01

Despite advances in reconstruction techniques, pressure sores continue to present a challenge to the plastic surgeon. The parasacral perforator flap is a reliable flap that preserves the entire contralateral side as a future donor site. On the ipsilateral side, the gluteal muscle itself is preserved and all flaps based on the inferior gluteal artery are still possible. We present our experience of using parasacral perforator flaps in reconstructing sacral defects. Between August 2004 and January 2013, 19 patients with sacral defects were included in this study. All the patients had undergone surgical reconstruction of sacral defects with a parasacral perforator flap. The patients' sex, age, cause of sacral defect, flap size, flap type, numbers of perforators used, rotation angle, postoperative complications, and hospital stay were recorded. There were 19 parasacral perforator flaps in this series. All flaps survived uneventfully except for 1 parasacral perforator flap, which failed because of methicillin-resistant Staphylococcus aureus infection. The overall flap survival rate was 95% (18/19). The mean follow-up period was 17.3 months (range, 2-24 months). The average length of hospital stay was 20.7 days (range, 9-48 days). No flap surgery-related mortality was found. Also, there was no recurrence of sacral pressure sores or infected pilonidal cysts during the follow-up period. Perforator-based flaps have become popular in modern reconstructive surgery because of low donor-site morbidity and good preservation of muscle. Parasacral perforator flaps are durable and reliable in reconstructing sacral defects. We recommend the parasacral perforator flap as a good choice for reconstructing sacral defects.

Evaluation of the effectiveness of kinesiotaping in reducing delayed onset muscle soreness of the biceps brachii

Directory of Open Access Journals (Sweden)

Boguszewski Dariusz

2016-07-01

Full Text Available biological regeneration in athletes. The aim of this study was to evaluate the effectiveness of the application of lymphatic kinesiotaping in reducing delayed onset muscle soreness of biceps brachii.

Delayed onset muscle soreness : treatment strategies and performance factors.

Science.gov (United States)

Cheung, Karoline; Hume, Patria; Maxwell, Linda

2003-01-01

Delayed onset muscle soreness (DOMS) is a familiar experience for the elite or novice athlete. Symptoms can range from muscle tenderness to severe debilitating pain. The mechanisms, treatment strategies, and impact on athletic performance remain uncertain, despite the high incidence of DOMS. DOMS is most prevalent at the beginning of the sporting season when athletes are returning to training following a period of reduced activity. DOMS is also common when athletes are first introduced to certain types of activities regardless of the time of year. Eccentric activities induce micro-injury at a greater frequency and severity than other types of muscle actions. The intensity and duration of exercise are also important factors in DOMS onset. Up to six hypothesised theories have been proposed for the mechanism of DOMS, namely: lactic acid, muscle spasm, connective tissue damage, muscle damage, inflammation and the enzyme efflux theories. However, an integration of two or more theories is likely to explain muscle soreness. DOMS can affect athletic performance by causing a reduction in joint range of motion, shock attenuation and peak torque. Alterations in muscle sequencing and recruitment patterns may also occur, causing unaccustomed stress to be placed on muscle ligaments and tendons. These compensatory mechanisms may increase the risk of further injury if a premature return to sport is attempted.A number of treatment strategies have been introduced to help alleviate the severity of DOMS and to restore the maximal function of the muscles as rapidly as possible. Nonsteroidal anti-inflammatory drugs have demonstrated dosage-dependent effects that may also be influenced by the time of administration. Similarly, massage has shown varying results that may be attributed to the time of massage application and the type of massage technique used. Cryotherapy, stretching, homeopathy, ultrasound and electrical current modalities have demonstrated no effect on the alleviation of

[Prescribing antibiotics for sore throat: a persistent habit].

Science.gov (United States)

Damoiseaux, Roger A M J; Venekamp, Roderick P

2015-01-01

Recently the revision of the guideline of the Dutch College of General Practitioners on sore throat has been published. Again, one of the key messages is restricting the use of antibiotics. In the Netherlands general practitioners prescribe antibiotics in 50% of cases of tonsillitis. Although there has been a decrease in the number of antibiotic prescriptions for tonsillitis in the last 30 years, they are still being prescribed twice as often as is recommended by the guideline. The beliefs of both patient and doctor play an important role in prescribing and better communication might help to improve the situation. Public campaigns can also help by providing the best knowledge on the effectiveness of antibiotics to the public.

Liquefaction resistance of calcareous sands

International Nuclear Information System (INIS)

Sandoval Vallejo, Eimar

2012-01-01

Calcareous sands are unique in terms of their origin, mineralogy, shape, fragility and intra particle porosity. This article presents results from an experimental program carried out to study the liquefaction resistance of a calcareous sand retrieved from Cabo Rojo at Puerto Rico. The experimental program included mineralogical characterization, index properties, and undrained cyclic triaxial tests on isotropically consolidated reconstituted samples. Due to the large variation in the calcareous sand properties, results are compared with previous researches carried out on other calcareous sands around the world. Results showed a wide range in the liquefaction resistance of the studied calcareous sands. Cabo Rojo sand experienced greater liquefaction resistance than most of the calcareous sands used for comparison. Important differences in the excess pore pressure generation characteristics were also found.

Amylmetacresol/2,4-dichlorobenzyl alcohol, hexylresorcinol, or carrageenan lozenges as active treatments for sore throat

Directory of Open Access Journals (Sweden)

Morokutti-Kurz M

2017-02-01

Full Text Available Martina Morokutti-Kurz, Christine Graf, Eva Prieschl-Grassauer Marinomed Biotechnologie GmbH, Vienna, Austria Abstract: Up to 80% of sore throats are caused by viruses. Several over the counter products are available which provide symptomatic, not causal relief. For such lozenges, containing the antiseptics and local anesthetics amylmetacresol (AMC and 2,4-dichlorobenzyl alcohol (DCBA or hexylresorcinol (HR, recently an additional virucidal effect was published. Therefore, we tested a set of Strepsils® lozenges, containing either HR (Max [#2] or AMC/DCBA (Original [#3], Extra Strong [#4], Warm [#5], Orange and Vitamin C [#6], Sugar free Lemon [#7], Children/Strawberry [#8] and Soothing Honey and Lemon [#9] for their antiviral efficiency against representatives of respiratory viruses known to cause sore throat: human rhinovirus (HRV 1a, HRV8, influenza virus A H1N1n, Coxsackievirus A10, and human coronavirus (hCoV OC43. The lozenges were tested head to head with Coldamaris® lozenges (#1, which contain the patented antiviral iota-carrageenan. None of the tested AMC/DCBA or HR containing lozenges shows any antiviral effectiveness against HRV8 at the tested concentrations, whereas all are moderately active against HRV1a. Only lozenge #5 shows any activity against hCoV OC43 and Coxsackievirus A10 at the tested concentrations. Similarly, only lozenge #3 is moderately active against influenza A H1N1n virus. The data indicates that neither the isolated effect of the active ingredients nor the pH but rather one or more of the excipients of the specific formulations are responsible for the antiviral effect of some of the AMC/DCBA or HR containing lozenges. In contrast, carrageenan-containing lozenges are highly active against all viruses tested. In another experiment, we showed that binding and inactivation of virus particles by iota-carrageenan are fast and highly effective. During the residence time of the lozenge in the mouth, the viral titer is

Sore throat: effective communication delivers improved diagnosis, enhanced self-care and more rational use of antibiotics.

Science.gov (United States)

van der Velden, A W; Bell, J; Sessa, A; Duerden, M; Altiner, A

2013-11-01

The majority of throat infections are of viral origin and resolve without antibiotic treatment. Despite this, antibiotic use for sore throat infections remains high, partly because it is difficult to determine when antibiotics may be useful, on the basis of physical findings alone. Antibiotics may be beneficial in bacterial throat infections under certain clinical and epidemiological circumstances; however, even many of those infections in which bacteria play a role do resolve just as quickly without antibiotics. Furthermore, non-medical factors such as patient expectations and patient pressure are also important drivers of antibiotic use. To address these issues, a behavioural change is required that can be facilitated by improved communication between primary healthcare providers and patients. In this article, we provide doctors, nurses and pharmacy staff, working in primary care or in the community, with a structured approach to sore throat management, with the aim of educating and empowering patients to self-manage their condition. The first component of this approach involves identifying and addressing patients' expectations and concerns with regard to their sore throat and eliciting their opinion on antibiotics. The second part is dedicated to a pragmatic assessment of the severity of the condition, with attention to red-flag symptoms and risk factors for serious complications. Rather than just focusing on the cause (bacterial or viral) of the upper respiratory tract infections as a rationale for antibiotic use, healthcare providers should instead consider the severity of the patient's condition and whether they are at high risk of complications. The third part involves counselling patients on effective self-management options and providing information on the expected clinical course. Such a structured approach to sore throat management, using empathetic, non-paternalistic language, combined with written patient information, will help to drive patient

EFFECTS OF TWO DIFFERENT DOSAGE OF BCAA SUPPLEMENTATION ON SERUM INDICES OF MUSCLE DAMAGE AND SORENESS IN SOCCER PLAYERS

Directory of Open Access Journals (Sweden)

Payam Mohamad-Panahi

2013-06-01

Full Text Available The purpose of this study was to investigation of the effects of two different dose of BCAA supplementation on serum indices of muscle damage and soreness in soccer players. 30 male soccer players (age: 20.2+-0.6 yr participated as subjects in this study. Subjects were randomly divided into three groups (double-blind design. All subjects performed lower- body resistance exercise (6 sets, 10 repetitions, 70% 1RM. The BCAA was given at doses of 200 and 450 mg.kg -1 BW for supplemental groups 1 and 2, respectively, 30 minutes before and after to exercise tests and carbohydrate was given at dose of 200 mg.kg -1 BW for placebo group. To identify enzymes activity (IU/L, venous blood samples were collected 30 min prior to exercise and at 24 and 48 hrs post exercise. Data were statistically analyzed using repeated measures ANOVA and Bonfferoni test. Baseline CK, CK-MB and muscle soreness were determined 30 minutes before the exercise test. Baseline serum values for CK, CK-MB and baseline muscle soreness were not different between groups in the 30 minutes before the exercise test (p>0/05. However, there were significant increases between the pre-exercise and post-exercise values for CK, CK-MB and muscle soreness from 24 hrs to 48 hrs post-test (p<0/05, but there were no significant differences between two groups (p< 0.05(. These results suggested that two different dosages of BCAA supplementation did not affect muscle damage and muscle sureness during resistance exercise bout in soccer players.

[Cohort study of the incidence of heel pressure sores in patients with leg casts at the Rizzoli Orthopedic Hospital and of the associated risk factors].

Science.gov (United States)

Forni, Cristiana; Zoli, Marina; Loro, Loretta; Tremosini, Morena; Mini, Sandra; Pirini, Valter; Turrini, Roberta; Durante, Stefano; Nicolini, Annamaria; Riccioni, Francesca; Girolami, Roberto

2009-01-01

Pressure sores, especially at the heel, are a side effect of the cast. To assess the incidence of late skin complications (heel pressure sores) of a cast and determine risk factors. All consecutive patients treated with a leg cast over a 16 months observation time were recruited. Risk factors were identified by the nurse that placed the cast and skin lesions classified with the NPUAP scale when the cast was removed. In the 216 enrolled patients 17.6% (38) developed a pressure sore: 16/124 in orthopedic wards; 22/92 in oncology wards. The multivariate analysis identified the following risk factors: administration of cytotoxic drugs (p = 0.033; OR = 2.61; having a cancer did not increase the risk); skin redness before cast application (p = 0.001; OR = 4.44) and having reported symptoms after the application (p = 0.000; OR = 7.86). Pressure sores were mainly stage 1 and only 6/216 (2.4%) > or = stage II. The type of plaster cast, the material, the number of days it was worn and having had a surgery are not significant risk factors. Pressure sores related to leg plaster casts are a frequent complication in at risk sub-groups. The acknowledgement and identification of specific risk factors may allow to identify and evaluate preventive interventions to improve the care of these patients.

Crushed rock sand – An economical and ecological alternative to natural sand to optimize concrete mix

Directory of Open Access Journals (Sweden)

Sanjay Mundra

2016-09-01

Full Text Available The study investigates the use of crushed rock sand as viable alternative to Natural River sand that is being conventionally used as fine aggregate in cement concrete. Various mix designs were developed for different grades of concrete based on IS, ACI and British codes using Natural River sand and crushed rock sand. In each case, the cube compressive strength test, and beam flexure tests were conducted. The results of the study show that, the strength properties of concrete using crushed rock sand are nearly similar to the conventional concrete. The study has shown that crushed stone sand can be used as economic and readily available alternative to river sand and can therefore help to arrest the detrimental effects on the environment caused due to excessive mining of river sand.

Development of a cushion to prevent ischial pressure sores.

Science.gov (United States)

Bowker, P; Davidson, L M

1979-01-01

A study was carried out jointly by nursing staff and technologists in an attempt to develop a cushion based on scientific principles and measurement that might prevent pressure sores. At each stage in the development clinical trials were carried out, and using the results of these together with the opinions of medical staff and patients who used the cushion the design was suitably modified. Over four years a seat was evolved that was simple to construct and fulfilled the clinical requirements for a wide range of patients while providing maximum relief of high-pressure points. The design was subsequently taken up commercially. Images Fig 3 PMID:509176

Rheological Characterization of Green Sand Flow

DEFF Research Database (Denmark)

Jabbaribehnam, Mirmasoud; Spangenberg, Jon; Hovad, Emil

2016-01-01

The main aim of this paper is to characterize experimentally the flow behaviour of the green sand that is used for casting of sand moulds. After the sand casting process is performed, the sand moulds are used for metal castings. The rheological properties of the green sand is important to quantif...

Investigations of physicochemical properties of dusts generated in mechanical reclamation process of spent moulding sands with alkaline resins

Directory of Open Access Journals (Sweden)

R. Dańko

2014-03-01

Full Text Available Mechanical reclamation processes of spent moulding sands generate large amounts of post-reclamation dusts mainly containing rubbed spent binding agents and quartz dusts. The amount of post-reclamation dusts, depending in the reclamation system efficiency and the reclaim dedusting system, can reach 5%-10% in relation to the total reclaimed spent moulding sand. The proper utilization of such material is a big problem facing foundries these days. This study presents the results of investigations of physicochemical properties of post- reclamation dusts. All tested dusts originated from various Polish cast steel plants applying the mechanical reclamation process of moulding sands with alkaline resins, obtained from different producers. Different dusts, delivered from foundries, were tested to determine their chemical composition, granular characterization, physicochemical and energetic properties. Presented results confirmed assumptions that it is possible to utilize dusts generated during mechanical reclamation of used sands with organic resins as a source of energy.

The Alberta oil sands story

Energy Technology Data Exchange (ETDEWEB)

1974-01-01

This report serves as a detailed introduction to the Alberta oil sands and their development. It includes a description of the oil sands deposits, an outline of crude bitumen recovery and upgrading processes, the role of Alberta Energy Company in oil sands development, environmental aspects, manpower requirements for oil sands development, research needs, and further oil sands projects. Presently proven recoverable reserves in the oil sands amount to 26.5 billion bbl of synthetic crude. Production from the Syncrude plant (125,000 bbl/d capacity) is expected to begin in 1977, followed by a Shell Canada operation around 1980. The provincial government will participate in the oil sand industry through its joint venture participation in Syncrude and its 50% share in Alberta Energy Company; the latter company participates in related aspects of the Syncrude project, such as pipelines. The result of Alberta's participation in the industry will mean that, directly or indirectly, the province will realize 60% of the total profits. The job creation potential of oil sands projects is estimated to be extensive, with a direct and indirect work force supported by oil sands activities possibly reaching 180,000 persons by the year 2000. Research needs have been identified, particularly in the area of in-situ thermal recovery technology, and the creation of the Alberta Oil Sands Technology and Research Authority has been authorized in order to meet these needs. Although current reserves are sufficient to support 20-30 synthetic crude plants, a number of factors will limit expansion of the industry. 8 figs., 5 tabs.

An audit of pressure sores caused by intermittent compression devices used to prevent venous thromboembolism.

Science.gov (United States)

Skillman, Joanna; Thomas, Sunil

2011-12-01

When intermittent compression devices (ICDs) are used to prevent venous thromboembolism (VTE) they can cause pressure sores in a selected group of women, undergoing long operations. A prospective audit pre and post intervention showed a reduced risk with an alternative device, without increasing the risk of VTE.

[Multicentre, prospective cohort study, to validate the Italian version of the Braden Q scale for the risk of the pressure sores in newborns and up to 8 years old children].

Science.gov (United States)

Chiari, Paolo; Poli, Marco; Magli, Claudia; Bascelli, Emanuele; Rocchi, Roberto; Bolognini, Silvia; Tartari, Piero; Armuzzi, Roberta; Rossi, Gianna; Peghetti, Angela; Biavati, Catia; Fontana, Mirella; Gazineo, Domenica; Cordella, Simona; Tiozzo, Emanuela; Ciliento, Gaetano; Carta, Giovanna; Taddia, Patrizia

2012-01-01

Multicenter prospective cohort study, to validate the Italian version of the Braden Q scale for the risk of pressure sores in newborns and up to 8 years old children. Children admitted to Intensive care Units (ICU), oncology and neurology/neurosurgery wards are at risk of developing pressure sores. To validate the Italian version of the Braden Q scale for the assessment of the risk of developing pressure sores in children. Children from 21 days to 8 years, admitted to intensive and sub intensive units were recruited. Premature babies, children admitted with a pressure sore and with a story of congenital cardiomiopathy were excluded. In this cohort, multicentre and with repeated measurements study, the first assessment was performed after 24 hours from hospital admission, using the Braden Q Scale (Suddaby's version). The pressure sores were assessed with the Skin assessment Tool and staged according to the National Pressure Ulcer Advisory Panel. RESULTS. On the 157 children 524 observation were conducted. The incidence of pressure sores was 17.2%. Only the analysis on specific subgroups of patients showed a good diagnostic accuracy: 71.4% on children 3-8 years; 85.6% in sub intensive wards. The Braden Q scale may be reliably used and shows a good diagnostic accuracy in children 3-8 years of age admitted to sub-intensive, neurology, oncology and heamatology wards.

Cold-water immersion (cryotherapy for preventing and treating muscle soreness after exercise

Directory of Open Access Journals (Sweden)

Chris Bleakley

Full Text Available BACKGROUND: Many strategies are in use with the intention of preventing or minimizing delayed onset muscle soreness and fatigue after exercise. Cold-water immersion, in water temperatures of less than 15 °C, is currently one of the most popular interventional strategies used after exercise. OBJECTIVES: To determine the effects of cold-water immersion in the management of muscle soreness after exercise. SEARCH METHODS: In February 2010, we searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (The Cochrane Library (2010, Issue 1, Medline, Embase, Cumulative Index to Nursing and Allied Health (CINAHL, British Nursing Index and archive (BNI, and the Physiotherapy Evidence Database (PEDro. We also searched the reference lists of articles, handsearched journals and conference proceedings and contacted experts. In November 2011, we updated the searches of Central (2011, Issue 4, Medline (up to November Week 3 2011, Embase (to 2011 Week 46 and CINAHL (to 28 November 2011 to check for more recent publications. SELECTION CRITERIA: Randomized and quasi-randomized trials comparing the effect of using cold-water immersion after exercise with: passive intervention (rest/no intervention, contrast immersion, warm-water immersion, active recovery, compression, or a different duration/dosage of cold-water immersion. Primary outcomes were pain (muscle soreness or tenderness (pain on palpation, and subjective recovery (return to previous activities without signs or symptoms. DATA COLLECTION AND ANALYSIS: Three authors independently evaluated study quality and extracted data. Some of the data were obtained following author correspondence or extracted from graphs in the trial reports. Where possible, data were pooled using the fixed-effect model. MAIN RESULTS: Seventeen small trials were included, involving a total of 366 participants. Study quality was low. The temperature, duration and

Blood flow after contraction and cuff occlusion is reduced in subjects with muscle soreness after eccentric exercise

DEFF Research Database (Denmark)

Souza-Silva, Eduardo; Wittrup Christensen, Steffan; Hirata, Rogerio Pessoto

2018-01-01

Purpose: Delayed onset muscle soreness (DOMS) occur within 1-2 days after eccentric exercise but the mechanism mediating hypersensitivity is unclear. This study hypothesized that eccentric exercise reduces the blood flow response following muscle contractions and cuff occlusion, which may result...... anterior muscle. All measures were done bilaterally at day-0 (pre-exercise), day-2 and day-6 (post-exercise). Subjects scored the muscle soreness on a Likert scale for 6 days. Results: Eccentric exercise increased Likert scores at day-1 and day-2 compared with day-0 (P... in accumulated algesic substances being a part of the sensitization in DOMS. Methods: Twelve healthy subjects (5 women) performed dorsiflexion exercise (5 sets of 10 repeated eccentric contractions) in one leg, while the contralateral leg was the control. The maximal voluntary contraction (MVC) of the tibialis...

Compressive behavior of fine sand.

Energy Technology Data Exchange (ETDEWEB)

Martin, Bradley E. (Air Force Research Laboratory, Eglin, FL); Kabir, Md. E. (Purdue University, West Lafayette, IN); Song, Bo; Chen, Wayne (Purdue University, West Lafayette, IN)

2010-04-01

The compressive mechanical response of fine sand is experimentally investigated. The strain rate, initial density, stress state, and moisture level are systematically varied. A Kolsky bar was modified to obtain uniaxial and triaxial compressive response at high strain rates. A controlled loading pulse allows the specimen to acquire stress equilibrium and constant strain-rates. The results show that the compressive response of the fine sand is not sensitive to strain rate under the loading conditions in this study, but significantly dependent on the moisture content, initial density and lateral confinement. Partially saturated sand is more compliant than dry sand. Similar trends were reported in the quasi-static regime for experiments conducted at comparable specimen conditions. The sand becomes stiffer as initial density and/or confinement pressure increases. The sand particle size become smaller after hydrostatic pressure and further smaller after dynamic axial loading.

Interleukin-6 and Delayed Onset Muscle Soreness Do Not Vary during the Menstrual Cycle

Science.gov (United States)

Chaffin, Morgan E.; Berg, Kris E.; Meendering, Jessica R.; Llewellyn, Tamra L.; French, Jeffrey A.; Davis, Jeremy E.

2011-01-01

The purpose of this study was to determine if a difference in interleukin-6 (IL-6) and delayed onset muscles soreness (DOMS) exists in two different phases of the menstrual cycle. Nine runners performed one 75-min high-intensity interval running session during the early follicular (EF) phase and once during the midluteal (ML) phase of the…

Pain relief of sore throat with a new anti-inflammatory throat lozenge, ibuprofen 25 mg: A randomised, double-blind, placebo-controlled, international phase III study.

Science.gov (United States)

Bouroubi, Athmane; Donazzolo, Yves; Donath, Franck; Eccles, Ron; Russo, Marc; Harambillet, Nadine; Gautier, Stéphanie; Montagne, Agnès

2017-09-01

The aim of this study was to compare the efficacy and safety of a new oromucosal ibuprofen form, ibuprofen 25 mg lozenge, in single and repeat dosing for up to 4 days, to the matched placebo, in the treatment of acute sore throat pain in adults. In this randomised, double-blind, placebo-controlled trial, adult patients with non-streptococcal sore throat and signs of moderate-to-severe associated pain (≥5 on the objective Tonsillo-Pharyngitis Assessment 21-point scale and ≥60 mm on the subjective 0-100 mm visual analogue Sore Throat Pain Intensity Scale [STPIS]) were assigned ibuprofen 25 mg (n=194) or matching placebo (n=191) lozenge treatment. Efficacy was assessed (at the investigating centre up to 2 hours after first dosing, then on an ambulatory basis) by parameters derived from patient's scores on scales of pain relief, pain intensity, and global efficacy assessment. The primary efficacy end-point was the time-weighted TOTal PAin Relief (TOTPAR) over 2 hours after first dosing using the Sore Throat Relief Scale (STRS). Safety and local tolerability were assessed. Ibuprofen 25 mg was superior to placebo on numerous pain relief parameters; TOTPAR was significantly higher with ibuprofen 25 mg over 2 hours after first dosing (Ppain (n=128), after an average 4 days (Prelief of sore throat pain and is as well tolerated as placebo. ClinicalTrials.gov, NCT01785862. © 2017 John Wiley & Sons Ltd.

Harmfulness Assessment of Moulding Sands with a Geopolymer Binder and a New Hardener, in An Aspect of the Emission of Substances from the Btex Group

Directory of Open Access Journals (Sweden)

Bobrowski A.

2015-04-01

Full Text Available The harmfulness assessment of moulding sands with a geopolymer binder and a new hardener, in an aspect of the emission of substances from the BTEX group, was performed. Within the expedience project the new series of hardeners for the inorganic GEOPOL binder was developed. Before the introduction of the new system of moulding sands it was necessary to estimate their influence on the environment. To this aim the gasses emission from moulding sands subjected to the influence of liquid cast iron was tested with regard to the content of the gases from the BTEX group (benzene, toluene, ethylbenzene and xylenes. For the comparison the analogous investigations of the up to now applied moulding sands with the geopolymer binder, were performed. It was found that both systems of moulding sands binding emit similar amounts of gases, as well as similar amounts of substances from the BTEX group. Moulding sands with the GEOPOL binder are much more environmentally friendly than moulding sands with organic binders. The content of the BTEX group substances in gases emitted from moulding sands with the GEOPOL binder was approximately 10-times lower than in case of the moulding sands with organic binders.

Binding of Fidarestat Stereoisomers with Aldose Reductase

Directory of Open Access Journals (Sweden)

Dae-Sil Lee

2006-11-01

Full Text Available The stereospecificity in binding to aldose reductase (ALR2 of two fidarestat {6-fluoro-2',5'-dioxospiro[chroman-4,4'-imidazolidine]-2-carboxamide} stereoisomers [(2S,4Sand (2R,4S] has been investigated by means of molecular dynamics simulations using freeenergy integration techniques. The difference in the free energy of binding was found to be2.0 ± 1.7 kJ/mol in favour of the (2S,4S-form, in agreement with the experimentalinhibition data. The relative mobilities of the fidarestats complexed with ALR2 indicate alarger entropic penalty for hydrophobic binding of (2R,4S-fidarestat compared to (2S,4S-fidarestat, partially explaining its lower binding affinity. The two stereoisomers differmainly in the orientation of the carbamoyl moiety with respect to the active site and rotationof the bond joining the carbamoyl substituent to the ring. The detailed structural andenergetic insights obtained from out simulations allow for a better understanding of thefactors determining stereospecific inhibitor-ALR2 binding in the EPF charges model.

On Pluvial Compaction of Sand

DEFF Research Database (Denmark)

Jacobsen, Moust

At the Institute of Civil Engineering in Aalborg model tests on dry sand specimens have been carried out during the last five years. To reduce deviations in test results, the sand laying technique has been carefully studied, and the sand mass spreader constructed. Preliminary results have been...

MORPHOMETRIC CHARACTERIZATION OF THE SAND FRACTION IN A SAND GRAIN IMAGE CAPTURE SYSTEM1

Directory of Open Access Journals (Sweden)

Lucimar Arruda Viana

Full Text Available ABSTRACT Morphology studies assume significant importance in analysis of phenomena of granular systems packaging, in particular with a view to the use of the technique of soil stabilization named particle size correction in forest roads. In this context, this study aimed to develop and operationalize a Sand Grain Image Capture System and, hereby, determine the morphological indices of the sand fractions of two sandy soils called João Pinheiro (JP and Cachoeira da Prata (CP. Soil samples, air-dried, were sieved (2.0 mm nominal mesh size for removal of gravels. The materials that passed through the sieve were subjected to dispersion, washing in 0.053 mm nominal mesh size sieve, removal of organic matter and iron oxides to obtain the clean sand fractions. Subsequently, each soil sample was sieved for separation into twelve classes, between the diameters of 0.149 mm and 1.190 mm, using a Rotap shaker. Next, tests were carried out to characterize the morphometric attributes of the twelve classes of sand fractions of the soils studied. For validation of the performance of the Sand Grain Image Capture System, the results were compared to those obtained using a standard procedure for image analysis. The analysis of the results led to the following conclusions: (i the sand fraction of the JP soil presented higher values for the morphometric indices roundness, elongation and compactness compared to sand fraction of the CP soil; and (ii the Sand Grain Image Capture System worked properly, with practicality.

Technology unlocks tar sands energy

Energy Technology Data Exchange (ETDEWEB)

Law, C

1967-09-25

Tar sand processing technology has been developed primarily in the categories of extraction techniques and in-situ processing. In October, a $235 million venture into tar sand processing will be inspected by visitors from many points on the globe. A synthetic crude of premium quality will be flowing through a 16-in. pipeline from the Tar Island plant site of Great Canadian Oil Sands to Edmonton. This processing plant uses an extractive mining technique. The tar sand pay zone in this area averages approximately 150 ft in thickness with a 50-ft overburden. It has been estimated that the tar sands cannot be exploited when the formation thickness is less than 100 ft and overburden exceeds the same amount. This indicates that extraction techniques can only be used to recover approximately 15% of the tar sand deposits. An in-situ recovery technique developed by Shell of Canada is discussed in detail. In essence it is selective hydraulic fracturing, followed by the injection of emulsifying chemicals and steam.

[Reliability and validity of the Braden Scale for predicting pressure sore risk].

Science.gov (United States)

Boes, C

2000-12-01

For more accurate and objective pressure sore risk assessment various risk assessment tools were developed mainly in the USA and Great Britain. The Braden Scale for Predicting Pressure Sore Risk is one such example. By means of a literature analysis of German and English texts referring to the Braden Scale the scientific control criteria reliability and validity will be traced and consequences for application of the scale in Germany will be demonstrated. Analysis of 4 reliability studies shows an exclusive focus on interrater reliability. Further, even though examination of 19 validity studies occurs in many different settings, such examination is limited to the criteria sensitivity and specificity (accuracy). The range of sensitivity and specificity level is 35-100%. The recommended cut off points rank in the field of 10 to 19 points. The studies prove to be not comparable with each other. Furthermore, distortions in these studies can be found which affect accuracy of the scale. The results of the here presented analysis show an insufficient proof for reliability and validity in the American studies. In Germany, the Braden scale has not yet been tested under scientific criteria. Such testing is needed before using the scale in different German settings. During the course of such testing, construction and study procedures of the American studies can be used as a basis as can the problems be identified in the analysis presented below.

Whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults.

Science.gov (United States)

Costello, Joseph T; Baker, Philip R A; Minett, Geoffrey M; Bieuzen, Francois; Stewart, Ian B; Bleakley, Chris

2015-09-18

Recovery strategies are often used with the intention of preventing or minimising muscle soreness after exercise. Whole-body cryotherapy, which involves a single or repeated exposure(s) to extremely cold dry air (below -100 °C) in a specialised chamber or cabin for two to four minutes per exposure, is currently being advocated as an effective intervention to reduce muscle soreness after exercise. To assess the effects (benefits and harms) of whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, the British Nursing Index and the Physiotherapy Evidence Database. We also searched the reference lists of articles, trial registers and conference proceedings, handsearched journals and contacted experts.The searches were run in August 2015. We aimed to include randomised and quasi-randomised trials that compared the use of whole-body cryotherapy (WBC) versus a passive or control intervention (rest, no treatment or placebo treatment) or active interventions including cold or contrast water immersion, active recovery and infrared therapy for preventing or treating muscle soreness after exercise in adults. We also aimed to include randomised trials that compared different durations or dosages of WBC. Our prespecified primary outcomes were muscle soreness, subjective recovery (e.g. tiredness, well-being) and adverse effects. Two review authors independently screened search results, selected studies, assessed risk of bias and extracted and cross-checked data. Where appropriate, we pooled results of comparable trials. The random-effects model was used for pooling where there was substantial heterogeneity. We assessed the quality of the evidence using GRADE. Four laboratory-based randomised controlled trials were included. These reported results for 64

Bituminous sands : tax issues

International Nuclear Information System (INIS)

Patel, B.

2004-01-01

This paper examined some of the tax issues associated with the production of bitumen or synthetic crude oil from oil sands. The oil sands deposits in Alberta are gaining more attention as the supplies of conventional oil in Canada decline. The oil sands reserves located in the Athabasca, Cold Lake and Peace River areas contain about 2.5 trillion barrels of highly viscous hydrocarbons called bitumen, of which nearly 315 billion barrels are recoverable with current technology. The extraction method varies for each geographic area, and even within zones and reservoirs. The two most common extraction methods are surface mining and in-situ extraction such as cyclic steam stimulation (CSS); low pressure steam flood; pressure cycle steam drive; steam assisted gravity drainage (SAGD); hot water flooding; and, fire flood. This paper also discussed the following general tax issues: bituminous sands definition; bituminous sands leases and Canadian development expense versus Canadian oil and gas property expense (COGPE); Canadian exploration expense (CEE) for surface mining versus in-situ methods; additional capital cost allowance; and, scientific research and experimental development (SR and ED). 15 refs

Oil sands tax expenditures

International Nuclear Information System (INIS)

Ketchum, K; Lavigne, R.; Plummer, R.

2001-01-01

The oil sands are a strategic Canadian resource for which federal and provincial governments provide financial incentives to develop and exploit. This report describes the Oil Sands Tax Expenditure Model (OSTEM) developed to estimate the size of the federal income tax expenditure attributed to the oil sands industry. Tax expenditures are tax concessions which are used as alternatives to direct government spending for achieving government policy objectives. The OSTEM was developed within the business Income Tax Division of Canada's Department of Finance. Data inputs for the model were obtained from oil sands developers and Natural Resources Canada. OSTEM calculates annual revenues, royalties and federal taxes at project levels using project-level projections of capital investment, operating expenses and production. OSTEM calculates tax expenditures by comparing taxes paid under different tax regimes. The model also estimates the foregone revenue as a percentage of capital investment. Total tax expenditures associated with investment in the oil sands are projected to total $820 million for the period from 1986 to 2030, representing 4.6 per cent of the total investment. 10 refs., 2 tabs., 7 figs

The Effects of Eccentric Contraction Duration on Muscle Strength, Power Production, Vertical Jump, and Soreness.

Science.gov (United States)

Mike, Jonathan N; Cole, Nathan; Herrera, Chris; VanDusseldorp, Trisha; Kravitz, Len; Kerksick, Chad M

2017-03-01

Mike, JN, Cole, N, Herrera, C, VanDusseldorp, T, Kravitz, L, and Kerksick, CM. The effects of eccentric contraction duration on muscle strength, power production, vertical jump, and soreness. J Strength Cond Res 31(3): 773-786, 2017-Previous research has investigated the effects of either eccentric-only training or comparing eccentric and concentric exercise on changes related to strength and power expression, but no research to date has investigated the impact of altering the duration of either the concentric or the eccentric component on these parameters. Therefore, the purpose of this study was to assess the duration of eccentric (i.e., 2-second, 4-second vs. 6-second) muscle contractions and their effect on muscle strength, power production, vertical jump, and soreness using a plate-loaded barbell Smith squat exercise. Thirty college-aged men (23 ± 3.5 years, 178 ± 6.8 cm, 82 ± 12 kg, and 11.6 ± 5.1% fat) with 3.0 ± 1.0 years of resistance training experience and training frequency of 4.3 ± 0.9 days per week were randomized and assigned to 1 of 3 eccentric training groups that incorporated different patterns of contraction. For every repetition, all 3 groups used 2-second concentric contractions and paused for 1 second between the concentric and eccentric phases. The control group (2S) used 2-second eccentric contractions, whereas the 4S group performed 4-second eccentric contractions and the 6S group performed 6-second eccentric contractions. All repetitions were completed using the barbell Smith squat exercise. All participants completed a 4-week training protocol that required them to complete 2 workouts per week using their prescribed contraction routine for 4 sets of 6 repetitions at an intensity of 80-85% one repetition maximum (1RM). For all performance data, significant group × time (G × T) interaction effects were found for average power production across all 3 sets of a squat jump protocol (p = 0.04) while vertical jump did not reach

Blood flow after contraction and cuff occlusion is reduced in subjects with muscle soreness after eccentric exercise

DEFF Research Database (Denmark)

Souza-Silva, Eduardo; Wittrup Christensen, Steffan; Hirata, Rogerio Pessoto

2018-01-01

Purpose: Delayed onset muscle soreness (DOMS) occur within 1-2 days after eccentric exercise but the mechanism mediating hypersensitivity is unclear. This study hypothesized that eccentric exercise reduces the blood flow response following muscle contractions and cuff occlusion, which may result ...

Effects of winter military training on energy balance, whole-body protein balance, muscle damage, soreness, and physical performance.

Science.gov (United States)

Margolis, Lee M; Murphy, Nancy E; Martini, Svein; Spitz, Marissa G; Thrane, Ingjerd; McGraw, Susan M; Blatny, Janet-Martha; Castellani, John W; Rood, Jennifer C; Young, Andrew J; Montain, Scott J; Gundersen, Yngvar; Pasiakos, Stefan M

2014-12-01

Physiological consequences of winter military operations are not well described. This study examined Norwegian soldiers (n = 21 males) participating in a physically demanding winter training program to evaluate whether short-term military training alters energy and whole-body protein balance, muscle damage, soreness, and performance. Energy expenditure (D2(18)O) and intake were measured daily, and postabsorptive whole-body protein turnover ([(15)N]-glycine), muscle damage, soreness, and performance (vertical jump) were assessed at baseline, following a 4-day, military task training phase (MTT) and after a 3-day, 54-km ski march (SKI). Energy intake (kcal·day(-1)) increased (P balance was lower (P military training provide the basis for future studies to evaluate nutritional strategies that attenuate protein loss and sustain performance during severe energy deficits.

Singing Sand Dunes

Indian Academy of Sciences (India)

ble low-frequency (s. 75–105 Hz), that can some- times be heard up to 10 km away. Scientific in- vestigations suggest that the sustained low fre- quency sound of sand dunes that resembles a pure note from a musical instrument, is due to the synchronized motion of well-sorted dry sand grains when they spontaneously ...

A simple concept for covering pressure sores: wound edge-based propeller perforator flap.

Science.gov (United States)

Kelahmetoglu, Osman; Van Landuyt, Koenraad; Yagmur, Caglayan; Sommeling, Casper E; Keles, Musa K; Tayfur, Volkan; Simsek, Tekin; Demirtas, Yener; Guneren, Ethem

2017-12-01

We present a new surgical modification to allow propeller perforator flaps to cover pressure sores at various locations. We used a propeller perforator flap concept based on the detection of newly formed perforator vessels located 1 cm from the wound margin and stimulated by the chronic inflammation process. Between January 2009 and January 2017, 33 wound edge-based propeller perforator flaps were used to cover pressure sores at various locations in 28 patients. In four cases more than one flap was used on the same patient. The patients comprised 18 males and 10 females with a mean age of 41·25 (range, 16-70) years. All patients underwent follow-up for 0-12 months. The mean follow-up duration was 5·03 months. Venous congestion was observed in three flaps that were rotated by 180° (9·1%). However, there was a significant difference between flaps rotated by 90° and 180° according to the complication rate (P = 0·034). Out of 33 flaps, 29 flaps healed uneventfully. Patients were able to sit and lie on their flaps three weeks after surgery. In our study, we were able to obtain satisfying final results using these novel flaps. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Massage Alleviates Delayed Onset Muscle Soreness after Strenuous Exercise: A Systematic Review and Meta-Analysis

Directory of Open Access Journals (Sweden)

Jianmin Guo

2017-09-01

Full Text Available Purpose: The purpose of this systematic review and meta-analysis was to evaluate the effects of massage on alleviating delayed onset of muscle soreness (DOMS and muscle performance after strenuous exercise.Method: Seven databases consisting of PubMed, Embase, EBSCO, Cochrane Library, Web of Science, CNKI and Wanfang were searched up to December 2016. Randomized controlled trials (RCTs were eligible and the outcomes of muscle soreness, performance (including muscle maximal isometric force (MIF and peak torque and creatine kinase (CK were used to assess the effectiveness of massage intervention on DOMS.Results: Eleven articles with a total of 23 data points (involving 504 participants satisfied the inclusion criteria and were pooled in the meta-analysis. The findings demonstrated that muscle soreness rating decreased significantly when the participants received massage intervention compared with no intervention at 24 h (SMD: –0.61, 95% CI: –1.17 to –0.05, P = 0.03, 48 h (SMD: –1.51, 95% CI: –2.24 to –0.77, P < 0.001, 72 h (SMD: –1.46, 95% CI: –2.59 to –0.33, P = 0.01 and in total (SMD: –1.16, 95% CI: –1.60 to –0.72, P < 0.001 after intense exercise. Additionally, massage therapy improved MIF (SMD: 0.56, 95% CI: 0.21–0.90, P = 0.002 and peak torque (SMD: 0.38, 95% CI: 0.04–0.71, P = 0.03 as total effects. Furthermore, the serum CK level was reduced when participants received massage intervention (SMD: –0.64, 95% CI: –1.04 to –0.25, P = 0.001.Conclusion: The current evidence suggests that massage therapy after strenuous exercise could be effective for alleviating DOMS and improving muscle performance.

Effects of protein supplements on muscle damage, soreness and recovery of muscle function and physical performance: a systematic review.

Science.gov (United States)

Pasiakos, Stefan M; Lieberman, Harris R; McLellan, Tom M

2014-05-01

Protein supplements are frequently consumed by athletes and recreationally-active individuals, although the decision to purchase and consume protein supplements is often based on marketing claims rather than evidence-based research. To provide a systematic and comprehensive analysis of literature examining the hypothesis that protein supplements enhance recovery of muscle function and physical performance by attenuating muscle damage and soreness following a previous bout of exercise. English language articles were searched with PubMed and Google Scholar using protein and supplements together with performance, exercise, competition and muscle, alone or in combination as keywords. Inclusion criteria required studies to recruit healthy adults less than 50 years of age and to evaluate the effects of protein supplements alone or in combination with carbohydrate on performance metrics including time-to-exhaustion, time-trial or isometric or isokinetic muscle strength and markers of muscle damage and soreness. Twenty-seven articles were identified of which 18 dealt exclusively with ingestion of protein supplements to reduce muscle damage and soreness and improve recovery of muscle function following exercise, whereas the remaining 9 articles assessed muscle damage as well as performance metrics during single or repeat bouts of exercise. Papers were evaluated based on experimental design and examined for confounders that explain discrepancies between studies such as dietary control, training state of participants, sample size, direct or surrogate measures of muscle damage, and sensitivity of the performance metric. High quality and consistent data demonstrated there is no apparent relationship between recovery of muscle function and ratings of muscle soreness and surrogate markers of muscle damage when protein supplements are consumed prior to, during or after a bout of endurance or resistance exercise. There also appears to be insufficient experimental data

Impact of thermal loading and other water quality parameters on the epizootiology of red-sore disease in centrarchids. Progress report, December 1, 1977--November 30, 1978

Energy Technology Data Exchange (ETDEWEB)

Esch, G.W.; Hazen, T.C.

1978-07-01

The implications from these studies are varied, sometimes clear and sometimes less so, for many of the results have raised new and even more critical questions. Thus, our data clearly show that Aeromonas hydrophila is the etiological agent for red-sore disease. Furthermore, they suggest that the effects of temperature are twofold, first in increasing the density of the pathogen in the water column and then in affecting the physiology of the host organism to such an extent as to increase the probability of acquiring the pathogen. On the other hand, organic loading, suggested by other investigators as being important in red-sore disease, was not identified as being significant in the present study. However, if organic loading, or any of its consequences, can be shown to induce stress, then it may be as important in other systems as temperature is in Par Pond. Thus it is quite conceivable that it (organic loading), or some other water quality parameter, may create conditions conducive to increasing densities of A. hydrophila while simultaneously producing water quality characteristics which would lead to stress in fish, and then to increasing the probability of fish acquiring red-sore disease. An enigmatic observation (see Hazen, 1978, for details) is that A. hydrophila has been recovered from a variety of habitats throughout the U.S., yet red-sore disease is known to occur only in the southeast. This peculiar distribution pattern raises several important questions regarding the epizootiology of red-sore, not the least of which is the possibility of there existing differentially virulent strains of A. hydrophila and/or more or less susceptible populations of potential hosts in various parts of the country. Other significant questions are related to the variability in amplitude of red-sore disease from one year to the next among bass in Par Pond, the mode of entry of the pathogen into largemouth bass, and the basic, cellular mechanisms of stress in largemouth bass.

Impact of thermal loading and other water quality parameters on the epizootiology of red-sore disease in centrarchids. Progress report, December 1, 1977--November 30, 1978

International Nuclear Information System (INIS)

Esch, G.W.; Hazen, T.C.

1978-07-01

The implications from these studies are varied, sometimes clear and sometimes less so, for many of the results have raised new and even more critical questions. Thus, our data clearly show that Aeromonas hydrophila is the etiological agent for red-sore disease. Furthermore, they suggest that the effects of temperature are twofold, first in increasing the density of the pathogen in the water column and then in affecting the physiology of the host organism to such an extent as to increase the probability of acquiring the pathogen. On the other hand, organic loading, suggested by other investigators as being important in red-sore disease, was not identified as being significant in the present study. However, if organic loading, or any of its consequences, can be shown to induce stress, then it may be as important in other systems as temperature is in Par Pond. Thus it is quite conceivable that it (organic loading), or some other water quality parameter, may create conditions conducive to increasing densities of A. hydrophila while simultaneously producing water quality characteristics which would lead to stress in fish, and then to increasing the probability of fish acquiring red-sore disease. An enigmatic observation (see Hazen, 1978, for details) is that A. hydrophila has been recovered from a variety of habitats throughout the U.S., yet red-sore disease is known to occur only in the southeast. This peculiar distribution pattern raises several important questions regarding the epizootiology of red-sore, not the least of which is the possibility of there existing differentially virulent strains of A. hydrophila and/or more or less susceptible populations of potential hosts in various parts of the country. Other significant questions are related to the variability in amplitude of red-sore disease from one year to the next among bass in Par Pond, the mode of entry of the pathogen into largemouth bass, and the basic, cellular mechanisms of stress in largemouth bass

Influence of ginger and cinnamon intake on inflammation and muscle soreness endued by exercise in Iranian female athletes

Directory of Open Access Journals (Sweden)

Nafiseh Shokri Mashhadi

2013-01-01

Conclusions: Administration of ginger and cinnamon in athlete women for six weeks did not show any significant change in the IL-6 level, but showed a decrease in muscle soreness in the cinnamon and ginger groups.

Activation of lower back muscles via FES for pressure sores prevention in paraplegia: a case study.

Science.gov (United States)

Vanoncini, M; Holderbaum, W; Andrews, B J

2010-04-01

The aim of this paper is to show the feasibility of the use of functional electrical stimulation (FES) applied to the lower back muscles for pressure sores prevention in paraplegia. The hypothesis under study is that FES induces a change in the pressure distribution on the contact area during sitting. Tests were conducted on a paraplegic subject (T5), sitting on a standard wheelchair and cushion. Trunk extensors (mainly the erector spinae) were stimulated using surface electrodes placed on the skin. A pressure mapping system was used to measure the pressure on the sitting surface in four situations: (a) no stimulation; (b) stimulation on one side of the spine only; (c) stimulation on both sides, at different levels; and (d) stimulation at the same level on both sides, during pressure-relief manoeuvres. A session of prolonged stimulation was also conducted. The experimental results show that the stimulation of the erector spinae on one side of the spine can induce a trunk rotation on the sagittal plane, which causes a change in the pressure distribution. A decrease of pressure on the side opposite to the stimulation was recorded. The phenomenon is intensified when different levels of stimulation are applied to the two sides, and such change can be sustained for a considerable time (around 5 minutes). The stimulation did not induce changes during pressure-relief manoeuvres. Finally, from this research we can conclude that the stimulation of the trunk extensors can be a useful tool for pressure sores prevention, and can potentially be used in a routine for pressure sores prevention based on periodical weight shifts.

Peculiarities of binding composition production in vortex jet mill

Science.gov (United States)

Zagorodnyuk, L. Kh; Lesovik, V. S.; Sumskoy, D. A.; Elistratkin, M. Yu; Makhortov, D. S.

2018-03-01

The article investigates the disintegration of perlite production waste in a vortex jet mill; the regularities of milling were established. Binding compositions were obtained at different ratios of cement vs. perlite sand production waste in the vortex jet mill in various milling regimes. The peculiarities of milling processes were studied, and technological and physicomechanical properties of the binding compositions were determined as well. The microstructure of the cement stones made of activated Portland cement and binding compositions in the vortex jet mill was elucidated by electron microscopy. The open pores of the cement-binding compositions prepared using perlite fillers were found to be filled by newgrowths at different stages of collective growth. The microstructure of the binding compositions is dense due to rationally proportioned composition, effective mineral filler— perlite waste — that creates additional substrates for internal composite microstructure formation, mechanochemical activation of raw mixture, which allows obtaining composites with required properties.

Supplementation with a Polyphenol-Rich Extract, TensLess® , Attenuates Delayed Onset Muscle Soreness and Improves Muscle Recovery from Damages After Eccentric Exercise.

Science.gov (United States)

Romain, Cindy; Freitas, Tomás T; Martínez-Noguera, Francisco J; Laurent, Caroline; Gaillet, Sylvie; Chung, Linda H; Alcaraz, Pedro E; Cases, Julien

2017-11-01

High-intensity exercises are known to provoke delayed onset muscle soreness (DOMS). Delayed onset muscle soreness typically occurs within the first 24 h, peaks between 24 and 72 h, and can last as long as 5-7 days post-exercise. Delayed onset muscle soreness is a multifactorial process involving both mechanical and biochemical components, associated with clinical features that may limit range of motion, and athletes seek for effective recovery strategies to optimize future training sessions. TensLess ® is a food supplement developed to help manage post-exercise recovery. The supplement has been investigated on 13 recreationally active athletes of both sex, during a randomized, double-blind, and crossover clinical investigation, including a 3-week washout period. The clinical investigation was based on the study of TensLess ® effects for DOMS management and on the reduction of associated muscle damages following an eccentric exercise protocol. Supplementation with TensLess ® induced significant decrease in DOMS perception (-33%; p = 0.008) as of the first 24 h; this was significantly correlated with a lowered release of muscle damage-associated biomarkers, namely myoglobin, creatinine, and creatine kinase, for the whole length of the recovery period. Taken together, these positive results clearly indicate that post-exercise supplementation with TensLess ® may preserve myocytes and reduce soreness following eccentric exercise-induced damages, and, accordingly, significantly shorten muscle recovery. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

[Repair of pressure sores over ischial tuberosity with long head of biceps femoris muscle flap combined with semi-V posterior thigh fasciocutaneous flap].

Science.gov (United States)

Hai, Heng-lin; Shen, Chuan-an; Chai, Jia-ke; Li, Hua-tao

2012-02-01

To explore the clinical effect of transplantation of the long head of biceps femoris muscle flap in combination with semi-V posterior thigh fasciocutaneous flap for repair of pressure sores over ischial tuberosity. Eight patients with 10 deep pressure sores over ischial tuberosity were admitted to the First Affiliated Hospital to the PLA General Hospital and the 98th Hospital of PLA from April 2004 to June 2010. The wounds measured from 2 cm × 2 cm to 6 cm × 4 cm were covered with the long head of biceps femoris muscle flap and semi-V posterior thigh fasciocutaneous flap (ranged from 10 cm × 6 cm to 13 cm × 8 cm). The condition of flaps was observed and followed up for a long time. All flaps survived. Nine wounds healed by first intention. Subcutaneous accumulation of fluids occurred in one wound with formation of a sinus at drainage site, and it healed after dressing change for 25 days. Patients were followed up for 7 to 34 months. Sore recurred in one patient 9 months after surgery, and it was successfully repaired with the same flap for the second time. Flaps in the other 7 patients appeared satisfactory with soft texture and without ulceration. This combined flap is easy in formation and transfer, and it causes little side injury with good resistance against pressure. It is a new method for repair of pressure sore over sacral region.

Investigation of the selected properties of dusts from the reclamation of spent sands with bentonite

Directory of Open Access Journals (Sweden)

J. Kamińska

2011-10-01

Full Text Available The investigation results of the selected properties of dusts generated during the mechanical reclamation of spent sands with bentonite as well as dusts from the dedusting system of sand processing plant are presented in the hereby paper. Investigations were performed with regard to determination conditions allowing to pelletise dusts in the bowl granulator. The verified methods of testing physical and chemical dust properties such as: specific density, bulk density of loosely put materials and apparent density of compacted materials together with their corresponding porosity, ignition losses and pH values, were applied. Granular composition of dusts generated during abrasion of spent binding materials in mechanical dry reclamation processes of spent sands with bentonite and coal dusts were performed by the laser diffraction analysis, allowing to broaden the measuring range of particle diameters. The optimal wetting agent content (in this case water at which the dust-water mixture obtains the best strength properties – after compacting by means of the standard moulder’s rammer – was determined.

Effect of St.John's wort (Hypericum perforatum) oily extract for the care and treatment of pressure sores; a case report.

Science.gov (United States)

Yücel, Ali; Kan, Yüksel; Yesilada, Erdem; Akın, Onat

2017-01-20

Topical formulations such as oily extracts or ointments prepared with the flowering aerial parts of St. John's wort (Hypericum perforatum L., Hypericaceae) have been used in the management of a wide range dermatological problems including superficial wounds and burns, bruises, contusions and many others in the worldwide traditional medicines. This is the first case study reporting the beneficial effects of an oily extract of St. John's wort in the treatment of pressure sores in a intensive care unit (ICU) patient. The oily extract of St. John's wort was applied to a volunteer patient at ICU daily for forty successive days for wound care and treatment. Healing status was monitored macroscopically by measuring the wound size and stages at certain intervals as well as histopathological evaluation of the tissue sections taken at the initial and final dates of treatment. Evaluation of the results obtained from the macroscopical and histopathological experimentation have shown that oily extract of St. John's wort provided significant efficacy for the treatment of pressure sore wounds. St. John's wort oily extract may be suggested as a cost-effective option for the prevention or treatment of pressure sores in ICU patients. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

The influence of an artificial playing surface on injury risk and perceptions of muscle soreness in elite Rugby Union.

Science.gov (United States)

Williams, S; Trewartha, G; Kemp, S P T; Michell, R; Stokes, K A

2016-01-01

This prospective cohort study investigated the influence of an artificial playing surface on injury risk and perceptions of muscle soreness in elite English Premiership Rugby Union players. Time loss (from 39.5 matches) and abrasion (from 27 matches) injury risk was compared between matches played on artificial turf and natural grass. Muscle soreness was reported over the 4 days following one match played on each surface by 95 visiting players (i.e., normally play on natural grass surfaces). There was a likely trivial difference in the overall injury burden relating to time-loss injuries between playing surfaces [rate ratio = 1.01, 90% confidence interval (CI): 0.73-1.38]. Abrasions were substantially more common on artificial turf (rate ratio = 7.92, 90% CI: 4.39-14.28), although the majority of these were minor and only two resulted in any reported time loss. Muscle soreness was consistently higher over the 4 days following a match on artificial turf in comparison with natural grass, although the magnitude of this effect was small (effect sizes ranging from 0.26 to 0.40). These results suggest that overall injury risk is similar for the two playing surfaces, but further surveillance is required before inferences regarding specific injury diagnoses and smaller differences in overall injury risk can be made. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Intraoperative indocyanine green fluorescent angiography-assisted modified superior gluteal artery perforator flap for reconstruction of sacral pressure sores.

Science.gov (United States)

Chang, Chun-Kai; Wu, Chien-Ju; Chen, Chun-Yu; Wang, Chi-Yu; Chu, Tzi-Shiang; Hsu, Kuo-Feng; Chiu, Han-Ting; Liu, Hung-Hui; Chou, Chang-Yi; Wang, Chih-Hsin; Lin, Chin-Ta; Dai, Niann-Tzyy; Tzeng, Yuan-Sheng

2017-12-01

Pressure sores are often observed in patients who are bedridden. They can be a severe problem not only for patients and their caregivers but also for plastic surgeons. Here, we describe a new method of superior gluteal artery perforator flap harvesting and anchoring with the assistance of intraoperative indocyanine green fluorescent angiography. In this report, we describe the procedure and outcomes for 19 patients with grades III and IV sacral pressure sores who underwent the operation between September 2015 and November 2016. All flaps survived, and two experienced wound-edge partial dehiscence. With the assistance of this imaging device, we were able to acquire a reliable superior gluteal artery perforator flap and perform modified operations with it that are safe, easy to learn and associated with fewer complications than are traditional. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Field test on sand compaction pile method with copper slag sand; Dosuisai slag wo mochiita SCP koho no shiken seko

Energy Technology Data Exchange (ETDEWEB)

Minami, K.; Matsui, H.; Naruse, E.; Kitazume, M. [Port and Harbour Research Inst., Kanagawa (Japan)

1997-09-20

This paper describes the sand compaction pile (SCP) method using copper slag sand. The SCP method is a method by which sand compaction piles are constructed in the ground, and improvement can be obtained in a short period. This method has been widely used even in the port areas for enhancing the bearing power of soft clay ground and the lateral resistance of sheet pile. A great deal of sand is required as a material. The sand requires high permeability, proper size distribution with less fine particle fraction content, easy compaction property with enough strength, and easy discharging property from the casing of construction machines as required properties. Recently, it becomes hard to secure proper sand materials. The copper slag sand is obtained from refining process of copper as a by-product which is quenched in water flow and crushed in water. The copper slag sand has higher particle density than that of sand, excellent permeability, and similar size distribution to that of sand. From compaction drainage triaxial compression test and permeability test, it was found that the mechanical properties of copper slag sand did not change by the crushing of grains with keeping excellent permeability. Through the test construction, applicability of the copper slag sand to the SCP method could be confirmed as an alternate material of sand. 17 refs., 9 figs., 4 tabs.

Marine oil dietary supplementation reduces delayed onset muscle soreness after a 30 km run

OpenAIRE

Baum, Klaus; Telford, Richard D; Cunningham, Ross B

2013-01-01

Klaus Baum,1 Richard D Telford,2 Ross B Cunningham,3 1Trainingsinstitut Prof Baum, Köln, Germany; 2College of Medicine, Biology, and Environment, Australian National University, Canberra, ACT, Australia; 3The Fenner School of Environment and Society, Australian National University, Canberra, ACT, Australia Objective: Runners are prone to delayed onset muscle soreness (DOMS) during long distance training. This especially holds for unaccustomed training volumes at moderate to high int...

Histopathology of red-sore disease (aeromonas hydrophila) in naturally and experimentally infected largemouth bass micropterus salmoides(lacepede)

Energy Technology Data Exchange (ETDEWEB)

Huizinga, H W [Illinois State Univ., Normal; Esch, G W; Hazen, T C

1979-01-01

The histopathology of red-sore disease, caused by the gram-negative bacterium, Aeromonas hydrophila, is described for largemouth bass, Micropterus salmoides. Externally, lesions range from those affecting a few scales (pin-point), to those associated with extensive chronic ulcerations; there is focal hemorrhage, oedema and dermal necrosis which exposes underlying muscles producing infiltration of mononuclear and granulocytic inflammatory cells. Internally, the liver and kidneys are foci for toxic products produced by A. hydrophila with, in the most severe cases, complete destruction of the structural integrity of both organs. Pathological changes were not serious in either the spleen or heart, even in cases with massive damage in the liver and kidney. Internal and external lesions were similar in both natural and experimentally induced infections. The pathobiology of red-sore disease in bass was postulated to be linked to elevated water temperature stimulating increased metabolism, decreased body condition and stress, leading to the increased production of corticosteroids and the concommitant rise in susceptibility to infection.

Galveston Island, Texas, Sand Management Strategies

Science.gov (United States)

2016-07-01

billion m3 of beach quality sand . However, Texas projects to date have not utilized these sources because of transportation costs. The lack of nearby...estimate that the San Luis Pass flood shoal contains approximately 11.8 million yd3 of beach quality sand . However, it is expected that if permits...a source of beach- quality sand . 2. Sand could be intercepted before it reaches the present dry beach. ERDC/CHL TR-16-13 55 3. The volume of

Numerical simulation of aeolian sand ripples

International Nuclear Information System (INIS)

Kang Liqiang; Guo Liejin

2004-01-01

With a new horizontal saltation displacement vector, a model is implemented to simulate the initiation and evolution of aeolian sand ripples. In the model, saltation distance considers the effects of surface height and slope. A linear stability analysis is also carried out for formation of sand ripples. The results show that, the model can be able to successfully reproduce sand ripples which can increase in scale by merging of small ripples. The linear stability analysis indicates that sand ripples appear when the relaxation rate parameter is below a threshold value and wind strength parameter is larger than a critical value. The results also verified that the formation of sand ripples is a self-organization process

Japan's involvement in oil sands development

International Nuclear Information System (INIS)

Sugiura, T.

1994-01-01

According to Japanese national policy, exploration and development by Japanese companies in overseas countries are promoted in order to ensure stable oil supplies. Japan Canada Oil Sands Limited (JACOS), part of the JAPEX group, was established during the 1978 world oil crisis to explore and develop Canadian oil sand resources in accordance with Japan's national policy. The JAPEX group, including JACOS, has invested $123 million in oil sands projects in Alberta. JAPEX's first involvement in oil sands was in the Primrose Project operated by Norcen in the Cold Lake area. Five years of cyclic steam stimulation pilot tests did not produce sufficiently good results to justify further operation. The second involvement was the PCEJ Project, a joint effort by four companies that are participating in a bitumen recovery test project in the Athabasca Deposit. JACOS holds 2,452 km 2 of oil sands leases in Alberta. Tests conducted since 1978 in the PCEJ Project include multiwell steam injection pilot tests, some of which showed promise. JACOS is also participating in steam assisted gravity drainage projects and in federal/provincial research programs. Obstacles identified in developing Alberta oil sands are the lack of a bitumen pipeline to Edmonton and the insufficient length of oil sands leases (currently 10 years), given the difficulties of oil sand development. 10 figs

MouldingSandDB – a modern database storing moulding sands properties research results

Directory of Open Access Journals (Sweden)

J. Jakubski

2011-01-01

Full Text Available The complexity of foundry processes requires the use of modern, advanced IT tools for optimization, storage and analysis of t echnicaldata. Properties of moulding and core sands that are collected in research laboratories, manufacturers, and finally in the foundries, are not in use later on. It seems important to create a database that will allow to use the results stored, along with the possibility of searching according to set criteria, adjusted to casting practice. This paper presents part of the database named „MouldingSandDB”, which allows to collect and search data for synthetic moulding sands.

PROGNOSTIC FACTORS IN PATIENTS WITH PRESSURE SORES IN A UNIVERSITY HOSPITAL IN SOUTHERN BRAZIL.

Science.gov (United States)

Walter, Gustavo Palmeiro; Seidel, William; Giustina, Renata Della; Bins-Ely, Jorge; Maurici, Rosemeri; Narciso-Schiavon, Janaína Luz

2017-01-01

Despite advances in medical care, patients who are hospitalized or have spinal cord injuries often develop pressure sores. The objective of this study was to describe the epidemiological characteristics of pressure sores and evaluate factors associated with recurrence and cure. In this historical cohort study, clinical and laboratory data were collected from medical records between 1997 and 2016. Sixty individuals with pressure ulcers were included; mean patient age was 38.1±16.5 (37.0) years, 83.3% were men, and 86.8% identified as white. Most patients (85.1%) had paraplegia, amputation, or trauma of the lower limbs with motor sequelae; the remainder (14.9%) were quadriplegic. Most (78.3%) underwent surgery, and the mean follow-up time was 1.8±2.5 years. The lesions were cured in 25 patients; they recurred in 25% of the patients, and recurrence was seen to be associated with the location of the lesions. Patients with recurrent lesions had more medical consultations and a longer treatment time. Individuals whose ulcers had healed had fewer lesions, higher body mass index (BMI), and a higher proportion of these patients underwent surgery. BMI and location and number of lesions are prognostic factors. Level of Evidence IV, Case Series.

Policy Analysis of the Canadian Oil Sands Experience

Energy Technology Data Exchange (ETDEWEB)

None, None

2013-09-01

For those who support U.S. oil sands development, the Canadian oil sands industry is often identified as a model the U.S. might emulate, yielding financial and energy security benefits. For opponents of domestic oil sands development, the Canadian oil sands experience illustrates the risks that opponents of development believe should deter domestic policymakers from incenting U.S. oil sands development. This report does not seek to evaluate the particular underpinnings of either side of this policy argument, but rather attempts to delve into the question of whether the Canadian experience has relevance as a foundational model for U.S. oil sands development. More specifically, this report seeks to assess whether and how the Canadian oil sands experience might be predictive or instructive in the context of fashioning a framework for a U.S. oil sands industry. In evaluating the implications of these underpinnings for a prospective U.S. oil sands industry, this report concentrates on prospective development of the oil sands deposits found in Utah.

A study of global sand seas

Science.gov (United States)

McKee, Edwin D.

1979-01-01

The birth of the idea that led to this publication on "Global Sand Seas" dates back to the late 1920's. At that time I was engaged in a study of the Coconino Sandstone of Arizona's Grand Canyon. Considerable controversy existed then as to whether this sandstone was a subaqueous deposit or was composed of wind-formed dunes. It became apparent that definitive literature was sparse or lacking on types of dunes, global distribution of these types, the mechanics of their development, the precise nature of their internal structure of cross-stratificiation, and the relation of wind systems to these sand forms. Especially lacking were data on criteria that could confidently be used in the recognition of ancient dunes. The common denominator in this publication is eolian sand bodies. Although the book is concerned primarily with desert sand seas, the subject matter is not restricted to deserts; it includes many references to deposits of coastal sand and to sand bodies in humid climates. Nor does the book deal exclusively with dunes, which, according to most definitions, involve mounds or hills. Many references are made to sand sheets, sand stringers, and other types of sand deposits that have no prominent topographic expression. All sand bodies accumulated by the action of wind are discussed. Chapters A-J of this publication are primarily topical. Chapters cover the grain texture, the color, and the structure of modern dunes and other eolian sands. Special treatment is given to the relation of wind data to dune interpretation, the evolution of form in current-deposited sand bodies as determined from experimental studies, and the discriminant analysis technique for differentiating between coastal and inland desert sands. This topical part of the publication also includes an analysis of criteria used in ancient deposits to interpret their eolian genesis and a consideration of economic application of the principles described, including a discussion of potentials and problems

Numerical simulation of wind-sand movement in the reversed flow region of a sand dune with a bridge built downstream.

Science.gov (United States)

He, Wei; Huang, Ning; Xu, Bin; Wang, Wenbo

2018-04-23

A bridge built inside the reversed flow region of a sand dune will change the characteristics of wind-sand movement in this region. The Reynolds-averaged Navier-Stokes simulation and discrete particle tracing are used to simulate the wind-sand movement around a sand dune with a bridge built inside the reversed region. Three cases with different bridge positions are studied. The results show that 1) compared with the isolated dune case, a tall bridge built at the leeward toe leads to an increase in the deposition rate on the leeward slope and a longer reversed flow region downstream of the sand dune; meanwhile, the high speed of crosswind on the bridge indicates that some measures should be taken to protect trains from strong crosswind; 2) a low bridge at the leeward toe has little effect on the sand deposition and reversed flow region of the dune; however, low sand transport rate and crosswind speed on the bridge show that anti-crosswind/sand measures should be taken according to the actual situation and 3) a low bridge on the leeward slope has little effect on the length of reversed flow region, however, high crosswind speed and sand flux on the bridge reveal the need of anti-crosswind/sand measures on the bridge. Moreover, the bridges in the reversed flow region increase the sand flux near the leeward crest; as a result, the moving patterns of the sand dune are changed.

A β-cyclodextrin, polyethyleneimine and silk fibroin hydrogel containing Centella asiatica extract and hydrocortisone acetate: releasing properties and in vivo efficacy for healing of pressure sores.

Science.gov (United States)

Lee, M S; Seo, S R; Kim, J-C

2012-10-01

  Pressure sores are lesions caused by impaired blood flow. Conventional dressings can absorb exudates, but do not promote wound healing. A hydrogel composed of β-cyclodextrin (β-CD), polyethyleneimine (PEI) and silk fibroin (SF) was assessed for use in healing of pressure sores. The hydrogel was prepared by crosslinking β-CD-grafted PEI and SF using epichlorohydrin. The gel was then immersed in an aqueous solution of Centella asiatica extract (CAE) 0.7 mg/mL and/or hydrocortisone acetate (HCA) 0.5 mg/mL. The in vivo pressure sore-healing efficacy of the dry gel (with or without the drugs) was investigated in terms of the hyperplasia of epidermis and the number of neutrophils in the skin tissue. The specific loading of CAE was 0.0091 g/g of dry gel. The percentage of CAE released at 24 h at pH 3.0, 5.0 and 7.4 was approximately 63.9%, 55.0% and 44.4%, respectively. This pH-dependent release is possibly due to the degree of gel swelling, which decreased with increasing pH. The specific loading of HCA was 0.0050 g/g dry gel, and the percentage release of HCA at 24 h was around 20% at all three pH points. It is likely that HCA release is independent of pH. HCA is a hydrophobic compound, and therefore the release of HCA is affected by the partitioning of HCA between the β-CD cavity and the bulk water phase, but not by the degree of swelling of the hydrogel. The pressure sores treated with the hydrogel healed in 6 days, compared with 10 days for controls. In this study, a β-CD/PEI/SF hydrogel containing CAE and HCA reduced the healing time for pressure sores. © The Author(s). CED © 2012 British Association of Dermatologists.

Sand dune tracking from satellite laser altimetry

Science.gov (United States)

Dabboor, Mohammed

Substantial problems arise from sand movement in arid and semi-arid countries. Sand poses a threat to infrastructure, agricultural and urban areas. These issues are caused by the encroachment of sand on roads and railway tracks, farmland, towns and villages, and airports, to name a few. Sand movement highly depends on geomorphology including vegetation cover, shape and height of the terrain, and grain size of the sand. However, wind direction and speed are the most important factors that affect efficient sand movement. The direction of the movement depends on the main direction of the wind, but it has been shown that a minimum wind speed is required, e.g. wind gusts, to initiate sand transport. This fact prevents a simple calculation of sand transport from conventional wind data as wind records rarely contain sub-minute intervals masking out any wind gusts. An alternative of predicting sand transport is the direct observation of sand advance by in situ measurements or via satellite. Until recently, satellite imagery was the only means to compare dune shape and position for predicting dune migration over several years. In 2003, the NASA laser altimetry mission ICESat became operational and monitors elevations over all surface types including sand dunes with an accuracy of about 10-20 cm. In this study, ICESat observations from repeat tracks (tracks overlapping eachother within 50 m) are used to derive sand dune advance and direction. The method employs a correlation of the elevation profiles over several dunes and was sucessfully validated with synthetic data. The accuracy of this method is 5 meters of dune advance. One of the most active areas exhibiting sand and dune movement is the area of the Arabian Peninsula. Approximately one-third of the Arabian Peninsula is covered by sand dunes. Different wind regimes (Shamal, Kaus) cause sand dune movement in the selected study area in the eastern part of the Arabian Peninsula between 20-25 degrees North and 45-55 degrees

Effects of cryotherapy on muscle damage markers and perception of delayed onset muscle soreness after downhill running: A Pilot study

Directory of Open Access Journals (Sweden)

M. Rossato

2015-06-01

Conclusion: Use of cryotherapy after exercise with eccentric contractions was effective to reestablish the level of biochemical markers of muscle damage and reduce muscle soreness and pain perception in subjects submitted to downhill running.

bentonite-sand mixture as new backfill/buffer material

International Nuclear Information System (INIS)

Cui Suli; Liu Jisheng; Zhang Huyuan; Liang Jian

2008-01-01

The mixture of bentonite and quartz sand is suggested as a new backfill/buffer material for geological disposal of HLW. To improve the further design of underground laboratory and in-situ industrial construction test, the optimization of sand addition to bentonite is focused at present research stage. Based on summarizing the research results abroad, laboratory tests were conducted on the mixture of GMZ001 bentonite and quartz sand, such as compaction test and swelling tests etc. Test data shows that GMZ bentonite-sand mixture exhibits a favorite compaction with a 30% sand addition, a highest swelling pressure with a 20% sand addition, and a decreasing plasticity with increases in sand addition and pore liquid concentration. (authors)

Comparison between predicted and observed sand waves and sand banks in the North Sea

NARCIS (Netherlands)

Hulscher, Suzanne J.M.H.; van den Brink, G.M.

2001-01-01

For the first time a prediction model of regular morphological patterns on the seabed was tested against observations of sand wave and sand bank occurrence in the entire North Sea. The model, which originates from first physical principles, predicts this occurrence via two dimensionless parameters

Critical State of Sand Matrix Soils

Science.gov (United States)

Marto, Aminaton; Tan, Choy Soon; Makhtar, Ahmad Mahir; Kung Leong, Tiong

2014-01-01

The Critical State Soil Mechanic (CSSM) is a globally recognised framework while the critical states for sand and clay are both well established. Nevertheless, the development of the critical state of sand matrix soils is lacking. This paper discusses the development of critical state lines and corresponding critical state parameters for the investigated material, sand matrix soils using sand-kaolin mixtures. The output of this paper can be used as an interpretation framework for the research on liquefaction susceptibility of sand matrix soils in the future. The strain controlled triaxial test apparatus was used to provide the monotonic loading onto the reconstituted soil specimens. All tested soils were subjected to isotropic consolidation and sheared under undrained condition until critical state was ascertain. Based on the results of 32 test specimens, the critical state lines for eight different sand matrix soils were developed together with the corresponding values of critical state parameters, M, λ, and Γ. The range of the value of M, λ, and Γ is 0.803–0.998, 0.144–0.248, and 1.727–2.279, respectively. These values are comparable to the critical state parameters of river sand and kaolin clay. However, the relationship between fines percentages and these critical state parameters is too scattered to be correlated. PMID:24757417

Production and global transport of Titan's sand particles

Science.gov (United States)

Barnes, Jason W.; Lorenz, Ralph D.; Radebaugh, Jani; Hayes, Alexander G.; Arnold, Karl; Chandler, Clayton

2015-06-01

Previous authors have suggested that Titan's individual sand particles form by either sintering or by lithification and erosion. We suggest two new mechanisms for the production of Titan's organic sand particles that would occur within bodies of liquid: flocculation and evaporitic precipitation. Such production mechanisms would suggest discrete sand sources in dry lakebeds. We search for such sources, but find no convincing candidates with the present Cassini Visual and Infrared Mapping Spectrometer coverage. As a result we propose that Titan's equatorial dunes may represent a single, global sand sea with west-to-east transport providing sources and sinks for sand in each interconnected basin. The sand might then be transported around Xanadu by fast-moving Barchan dune chains and/or fluvial transport in transient riverbeds. A river at the Xanadu/Shangri-La border could explain the sharp edge of the sand sea there, much like the Kuiseb River stops the Namib Sand Sea in southwest Africa on Earth. Future missions could use the composition of Titan's sands to constrain the global hydrocarbon cycle.

High temperature thermal energy storage in moving sand

Science.gov (United States)

Turner, R. H.; Awaya, H. I.

1978-01-01

Several high-temperature (to 500 C) heat-storage systems using sand as the storage medium are described. The advantages of sand as a storage medium include low cost for sand, widespread availability, non-toxicity, non-degradation characteristics, easy containment, and safety. The systems considered include: stationary sand with closely spaced tubes throughout the volume, the use of a fluidized bed, use of conveyor belt transporter, and the use of a blower rapid transport system. For a stationary sand bed, very close spacing of heat transfer tubes throughout the volume is required, manifesting as high power related system cost. The suggestion of moving sand past or around pipes is intended to reduce the power related costs at the penalty of added system complexity. Preliminary system cost estimates are offered. These rough calculations indicate that mobile sand heat storage systems cost less than the stationary sand approach.

Sand to Root Transfer of PAHs and PCBs by Carrots Grown on Sand with Pure Substances and Biosolids Amended Sand

OpenAIRE

Sablayrolles, Caroline; Montréjaud-Vignoles, Mireille; Silvestre, Jérôme; Patria, Lucie

2006-01-01

A study on behaviour of trace organic compounds (Polycyclic Aromatic Hydrocarbons, PAH, and Polychlorinated Biphenyls, PCB) in a sand-plant system has been carried out, with the reclamation of wastewater treatment plant biosolids for agriculture in mind. Carrot plants (Daucus carota) were grown on soilless culture (sand), to provide optimal transfer conditions, in plant containers inside a temperature regulated greenhouse. There were two types of experiment. The trace organic compounds have i...

Sediment oxygen demand of wetlands in the oil sands region of north-eastern Alberta

International Nuclear Information System (INIS)

Slama, C.; Ciborowski, J.J.; Gardner Costa, J.

2009-01-01

Reclaimed land in the Alberta oil sands mining area contains both reference and oil sands process-affected wetlands constructed using varying sediment compositions. The sediments derived from oil sands process materials (OSPM) may alter the biochemical reactions that take place and affect the sediment oxygen demand (SOD), which is a key factor that contributes to oxygen depletion. This presentation reported on a study in which SOD was measured in a suite of constructed wetlands of different ages, with or without OSPM and topsoil. The purpose of the study was to clarify the role of SOD in wetland function and in the reclamation process. Dissolved oxygen loggers were inserted into dome-shaped chambers on the sediment to measure changes in oxygen demand. Complementary measurements of respiration (CO 2 elution) were used to quantify the biological sediment oxygen demand (BSOD) component of SOD. The chemical sediment oxygen demand (CSOD) was then determined by subtraction from SOD. Wetlands reclaimed using OSPM are expected to have a lower BSOD to CSOD ratio than reference wetlands. Residual ammonia in OSPM sediments may react with sulphate and bind phosphorus. This reduces phosphorus bioavailability and may impede submergent macrophyte growth. As such, wetlands affected by CSOD will have fewer submerged macrophytes than BSOD dominant wetlands.

The accordion gracilis muscle flap: a new design for coverage of recurrent and complicated ischeal pressure sores.

Science.gov (United States)

El-Sabbagh, Ahmed H

2011-10-01

Management of patients with large or recurrent pressure ulcerations can be complicated by the lack of available local flap, whether already used or because adjacent lesions make such flap insufficient for complete coverage. In this article, the gracilis muscle was modified to cover large defects without help from its cutaneous territory. Twelve ischeal pressure sores were treated between August 2007 and 2009 with the modified gracilis muscle flap in a single-staged procedure. Five ulcers were recurrent and seven patients have associated pressure ulcers. All reconstructions were successful. Mean patient age was 35 years and nearly all patients had multiple significant comorbidities, including associated ulcers, diabetes and urethrocutaneous fistula. All flaps and donor sites healed uneventfully. There was one complication presented as cellulites at the donor site. Follow-up in some cases extend up to 1·5 years. No recurrence was observed. The accordion gracilis muscle flap is a handy, safe and fast flap for reconstruction of recurrent, difficult ischeal pressure sores. © 2011 The Author. © 2011 Blackwell Publishing Ltd and Medicalhelplines.com Inc.

Differential Midgut Attachment of Leishmania (Viannia braziliensis in the Sand Flies Lutzomyia (Nyssomyia whitmani and Lutzomyia (Nyssomyia intermedia

Directory of Open Access Journals (Sweden)

Rodrigo P. Soares

2010-01-01

Full Text Available The interaction between Leishmania and sand flies has been demonstrated in many Old and New World species. Besides the morphological differentiation from procyclic to infective metacyclic promastigotes, the parasite undergoes biochemical transformations in its major surface lipophosphoglycan (LPG. An upregulation of β-glucose residues was previously shown in the LPG repeat units from procyclic to metacyclic phase in Leishmania (Viannia braziliensis, which has not been reported in any Leishmania species. LPG has been implicated as an adhesion molecule that mediates the interaction with the midgut epithelium of the sand fly in the Subgenus Leishmania. These adaptations were explored for the first time in a species from the Subgenus Viannia, L. (V. braziliensis with its natural vectors Lutzomyia (Nyssomyia intermedia and Lutzomyia (Nyssomyia whitmani. Using two in vitro binding techniques, phosphoglycans (PGs derived from procyclic and metacyclic parasites were able to bind to the insect midgut and inhibit L. braziliensis attachment. Interestingly, L. braziliensis procyclic parasite attachment was ∼11-fold greater in the midgut of L. whitmani than in L. intermedia. The epidemiological relevance of L. whitmani as a vector of American Cutaneous Leishmaniasis (ACL in Brazil is discussed.

Comparing the effect of ketamine and benzydamine gargling with placebo on post-operative sore throat: A randomized controlled trial

Directory of Open Access Journals (Sweden)

Seyed Hamid Reza Faiz

2014-01-01

Full Text Available Background: Air way intubation for general anesthesia usually leads to sore throat after surgery. Ketamine plays an important role to block a number of receptors related to pain. Benzydamine hydrochloride is a non-steroidal anti-inflammatory drug that has been used to improve oropharyngeal disorders. In this study, it was intended to compare the effect of gargling different solutions before the surgery on post-operative sore throat (POST in patients who underwent general anesthesia for hysterectomy. Materials and Methods: A total of 60 patients who underwent the elective hysterectomy were entered to the randomized controlled trial regarding to the eligibility criteria. Patients were simply randomly allocated to three groups and received one code. Every code was representative for a specific drug: 20 cc normal saline (control group or 1.5 mg benzydamine in 20 cc solution or 20 mg ketamine in 20 cc solutions. All the research teams were blinded to the received solutions. POST was evaluated with numerical rating scale. The data were entered to SPSS software and analysis of variance (ANOVA and Kruskal-Wallis one-way analysis of variance test, were performed. Results: The mean ages of ketamine, benzydamine, and normal saline recipients were not significantly different. The trend of the severity of sore throat during the first 24 h after the operation in ketamine recipients was significantly lower than the other two groups (P < 0.001. Conclusion: The pain scale after surgery was reduced by using both ketamine and benzydamine, but the ketamine effect was more noticeable.

The Effect of Pharyngeal Packing during Nasal Surgery on the Incidence of Post Operative Nausea, Vomiting, and Sore Throat

Directory of Open Access Journals (Sweden)

Ali Karbasfrushan

2014-10-01

Full Text Available Introduction: Nausea and vomiting after ear, nose and throat (ENT surgery is one of the most common and notable problems facing anesthesiologists in this area. This study was conducted to determine the effect of a pharyngeal pack on the severity of nausea, vomiting, and sore throat among patients after ear, pharynx, and throat surgeries.   Materials and Methods: This randomized clinical study was performed in 140 patients (61 men and 79 women; age range, 20–40 years who had undergone nasal surgery in 2010. Patients were divided into two groups: the first group were treated using a pharyngeal pack (case group and the second group were managed without a pharyngeal pack (control group. Statistical analysis was performed using the Chi-square test and the Mann-Whitney U test. SPSS software was used for data analysis.   Results: The mean severity of nausea and vomiting in the two groups was 2.057, 1.371 and 1.100, respectively, with no significant differences between groups. However, the mean severity of sore throat was 1.714 in the group with the pharyngeal pack and 1.385 in the group without pharyngeal pack (P=0.010.   Conclusion:  Not only does a pharyngeal pack in ENT surgery not reduce the extent and severity of nausea and vomiting, but it also increases the severity of sore throat in patients when leaving the recovery room and discharging hospital.

Analysis of wind-blown sand movement over transverse dunes.

Science.gov (United States)

Jiang, Hong; Huang, Ning; Zhu, Yuanjian

2014-12-01

Wind-blown sand movement often occurs in a very complicated desert environment where sand dunes and ripples are the basic forms. However, most current studies on the theoretic and numerical models of wind-blown sand movement only consider ideal conditions such as steady wind velocity, flat sand surface, etc. In fact, the windward slope gradient plays a great role in the lift-off and sand particle saltation. In this paper, we propose a numerical model for the coupling effect between wind flow and saltating sand particles to simulate wind-blown sand movement over the slope surface and use the SIMPLE algorithm to calculate wind flow and simulate sands transport by tracking sand particle trajectories. We furthermore compare the result of numerical simulation with wind tunnel experiments. These results prove that sand particles have obvious effect on wind flow, especially that over the leeward slope. This study is a preliminary study on windblown sand movement in a complex terrain, and is of significance in the control of dust storms and land desertification.

Sand consolidation

Energy Technology Data Exchange (ETDEWEB)

Spain, H H

1965-01-21

In a sand consolidation method in which there is injected a mixture of resin-forming liquids comprising an aryl-hydroxy low molecular weight compound, a water- soluble aldehyde, and a catalyst, an improvement is claimed which comprises diluting the resin-forming liquids with a diluent and with water so that the yield of the resin is sufficient to consolidate the sand particles with the minimum desirable pressure. The diluent may be mutually soluble in water and in the resin-forming liquids, and does not affect the setting time of the polymer. The aldehyde and the aryl-hydroxy compound may be in ratio of 5:1, and the diluent, methyl alcohol, is present in a ratio of 2:1 with reference to the water.

[Plastic surgery treatment techniques for interdisciplinary therapy of pressure sores].

Science.gov (United States)

Müller, Karin; Becker, Frederic; Pfau, Matthias; Werdin, Frank

2017-06-01

Pressure sores in geriatric patients represent a challenge for all disciplines involved in the treatment process; however, the prerequisite for successful treatment is the elaboration of an interdisciplinary treatment concept. The treatment goals should be adapted to the individual needs of the patients including the life situation, general condition and local findings. In addition to general basic operative techniques, such as wound cleansing and conditioning, plastic and reconstructive surgery provides a wide range of highly specialized operative techniques for the treatment of these patients by which a definitive defect coverage can be achieved. The aim of this article is to raise awareness for these complex and highly specialized procedures for all disciplines participating in the treatment in order to improve the interdisciplinary cooperation and ultimately the quality of treatment.

Sands at Gusev Crater, Mars

Science.gov (United States)

Cabrol, Nathalie A.; Herkenhoff, Kenneth E.; Knoll, Andrew H.; Farmer, Jack D.; Arvidson, Raymond E.; Grin, E.A.; Li, Ron; Fenton, Lori; Cohen, B.; Bell, J.F.; Yingst, R. Aileen

2014-01-01

Processes, environments, and the energy associated with the transport and deposition of sand at Gusev Crater are characterized at the microscopic scale through the comparison of statistical moments for particle size and shape distributions. Bivariate and factor analyses define distinct textural groups at 51 sites along the traverse completed by the Spirit rover as it crossed the plains and went into the Columbia Hills. Fine-to-medium sand is ubiquitous in ripples and wind drifts. Most distributions show excess fine material, consistent with a predominance of wind erosion over the last 3.8 billion years. Negative skewness at West Valley is explained by the removal of fine sand during active erosion, or alternatively, by excess accumulation of coarse sand from a local source. The coarse to very coarse sand particles of ripple armors in the basaltic plains have a unique combination of size and shape. Their distribution display significant changes in their statistical moments within the ~400 m that separate the Columbia Memorial Station from Bonneville Crater. Results are consistent with aeolian and/or impact deposition, while the elongated and rounded shape of the grains forming the ripples, as well as their direction of origin, could point to Ma'adim Vallis as a possible source. For smaller particles on the traverse, our findings confirm that aeolian processes have dominated over impact and other processes to produce sands with the observed size and shape patterns across a spectrum of geologic (e.g., ripples and plains soils) and aerographic settings (e.g., wind shadows).

Direct Chlorination of Zircon Sand

International Nuclear Information System (INIS)

Dwiretnani Sudjoko; Budi Sulistyo; Pristi Hartati; Sunardjo

2002-01-01

It was investigated the direct chlorination of zircon sand in a unit chlorination equipment. The process was in semi batch. The product gas was scrubbed in aqueous NaOH. It was search the influence of time, ratio of reactant and size of particle sand to the concentration of Zr and Si in the product. From these research it was found that as the times, ratio of reactant increased, the concentration of Zr increased, but the concentration of Si decreased, while as grain size of zircon sand decreased the concentration of Zr decreased, but the concentration of Si increased. (author)

Thermal Conductivity of Polymer Composite poypropilene-Sand

International Nuclear Information System (INIS)

Betha; Mashuri; Sudirman; Karo Karo, Aloma

2001-01-01

Thermal conductivity composite materials polypropylene (PP)-sand have been investigated. PP composite with sand to increase thermal conductivity from the polymer. The composite in this observation is done by mixing matrix (PP melt flow 2/10)and filler sand)by means tool labo plastomil. The result of thermal conductivity is composite of PP-sand which is obtained increase and followed by the raising of filler particle volume fraction. The analysis of thermal conductivity based on the model Cheng and Vachon, model Lewis and Nielsen where this model has the function to support experiment finding. It is proved that Lewis' and Nielsen's model almost approach experiment result. And then thermal conductivity raising will be analyzed by the model of pararel-series conductive with the two (2)phases system. It is showed that sand in PP MF 2 composite have the big role to increase the thermal conductivity than sand in PP MF 10 composition, but it is not easy to shape conductive medium

Final report on Thermally Modified Sand demonstration project

Energy Technology Data Exchange (ETDEWEB)

1994-09-23

The use of salt and salt/sand mixtures on icy roadway surfaces has dramatically increased during the past 30 years. Despite extensive documentation on salt related damage to the roadway improvements, vehicles and the environment, road maintenance departments have continued to rely on this practice. Road maintenance departments in northern climate areas have long recognized the safety benefits for public mobility on icy roadways from the use of sand. As an abrasive material, the sand improves the surface traction that results in more drivable and less hazardous road conditions during the winter months. Stockpiles of pure sand stored during the winter months oftentimes freeze into large unworkable, monolithic piles. To maintain a free-flowing condition, it has been found to be necessary to add salt to the sand. The addition of salt in amounts ranging from 5 to 10 percent to that of sand, is usually sufficient to provide relatively free-flowing abrasive material that could be stored in stockpiles and applied to icy road surfaces with conventional sand spreading trucks. Another alternative for winter storage of pure sand to maintain a free-flowing condition is in humidity-controlled, heated buildings. As would be expected, this method has high capital and operating costs. and not cost effective for general highway maintenance use. The invention demonstrated herein is a method of thermally modifying pure sand that will remain in a free-flowing state throughout the winter season without the need for the salt additive. The thermally modified sand provides an abrasive material that when applied to icy roads does not cause environmental and corrosive damage as done by the application of sand with salt. By employing a very simple process of freezing screened sand particles by forced air convection under subfreezing conditions, the invention creates a product that has significant value in terms of economic and environmental benefits.

Evaluate of head loss, sediment value and copper removal in sand media (rapid sand filter

Directory of Open Access Journals (Sweden)

Daneshi Navab

2014-06-01

Full Text Available Along with the technology development and increasing consumption of water resources, we are experiencing low qualities in the mentioned resources. Copper brings about serious environment al pollution, threatening human health and ecosystem. This metal found variously in water resources and industrial activities. Therefore, it needs to treat the water resources from these excessive amounts. Different methods have used for this reason but the most used method during recent years has been the absorption by economic absorbers such as sand. Rapid sand filters usually used in water and wastewater treatment plants for water clarification. In this research, a single layer gravity rapid sand filter has used to reduce different concentrations of copper. sediment value and head loss arising in filter media is simulated by using combination of Carman-Kozeny, Rose and Gregory models in different discharges of rapid sand filter. Results have shown that with increasing in discharge and decreasing in input copper concentration, arriving time to given head loss, is increasing. In addition, results demonstrated that with increasing in copper concentration in influent, removal efficiency is decreasing somewhat. Results of this research can applied in an appropriate design of rapid sand filter to copper removal, a prediction of rapid sand filter ability to copper removal and an estimation of arising head loss during filter work thus evaluating of time interval backwash. DOI: http://dx.doi.org/10.3126/ije.v3i2.10641 International Journal of the Environment Vol.3(2 2014: 276-286

In situ recovery of oil from Utah tar sand: a summary of tar sand research at the Laramie Energy Technology Center

Energy Technology Data Exchange (ETDEWEB)

Marchant, L.C.; Westhoff, J.D.

1985-10-01

This report describes work done by the United States Department of Energy's Laramie Energy Technology Center from 1971 through 1982 to develop technology for future recovery of oil from US tar sands. Work was concentrated on major US tar sand deposits that are found in Utah. Major objectives of the program were as follows: determine the feasibility of in situ recovery methods applied to tar sand deposits; and establish a system for classifying tar sand deposits relative to those characteristics that would affect the design and operation of various in situ recovery processes. Contents of this report include: (1) characterization of Utah tar sand; (2) laboratory extraction studies relative to Utah tar sand in situ methods; (3) geological site evaluation; (4) environmental assessments and water availability; (5) reverse combustion field experiment, TS-1C; (6) a reverse combustion followed by forward combustion field experiment, TS-2C; (7) tar sand permeability enhancement studies; (8) two-well steam injection experiment; (9) in situ steam-flood experiment, TS-1S; (10) design of a tar sand field experiment for air-stream co-injection, TS-4; (11) wastewater treatment and oil analyses; (12) economic evaluation of an in situ tar sand recovery process; and (13) appendix I (extraction studies involving Utah tar sands, surface methods). 70 figs., 68 tabs.

Study on sand particles creep model and open pit mine landslide mechanism caused by sand fatigue liquefaction

Science.gov (United States)

Du, Dong-Ning; Wang, Lai-Gui; Zhang, Xiang-Dong; Zhang, Shu-Kun

2017-06-01

The sand particles in the sand - rock composite slope of the open pit mine occurs creep deformation and fatigue liquefaction under the action of vehicle load vibration and hydraulic gradient, which causes landslide geological disasters and it destroys the surface environment. To reveal the mechanism, a mechanics model based on the model considering the soil structural change with a new “plastic hinge” element is developed, to improve its constitutive and creep curve equations. Data from sand creep experiments are used to identify the parameters in the model and to validate the model. The results show that the mechanical model can describe the rotation progress between the sand particles, disclose the negative acceleration creep deformation stage during the third phase, and require fewer parameters while maintaining accuracy. It provides a new creep model considering rotation to analyze sand creep mechanism, which provides a theoretical basis for revealing the open pit mine landslide mechanism induced by creep deformation and fatigue liquefaction of sandy soil.

Retorting of bituminous sands

Energy Technology Data Exchange (ETDEWEB)

Chaney, P E; Ince, R W; Mason, C M

1872-09-26

This method of recovering oil from mined tar sands involves forming compacted tar sands pieces by special conditioning treatment that provides low internal permeability. The compacted pieces are then retorted in fixed bed form. The conditioning treatment can involve rolling of preformed pellets, compaction in a mold or pressure extrusion. Substantial collapsing of the bed during retorting is avoided. (9 claims) (Abstract only - original article not available from T.U.)

Gargling with Ketamine Attenuates the Postoperative Sore Throat

Directory of Open Access Journals (Sweden)

A Rudra

2009-01-01

Full Text Available Postoperative sore throat (POST is a common complication of anaesthesia with endotracheal tube that affects patient satisfaction after surgery. Therefore, this complication remains to be resolved in patients undergoing endotra-cheal intubation. The aim of the study was to compare the effectiveness of ketamine gargles with placebo in prevent-ing POST after endotracheal intubation. Forty patients scheduled for elective surgery under general anaesthesia were randomized into: Group C, water 30 ml; Group K, ketamine 50 mg in water 29 ml. Patients were asked to gargle this mixture for 40 seconds, 5 minutes before induction of anaesthesia. POST was graded at 4, 8 and 24 hours after operation on a four-point scale (0-3. In the Control group POST occurred more frequently, when compared with patients belonging to Ketamine group, at 4, 8, and 24 hours and significantly more patients suffered severe POST in Control group at 8 and 24 hours compared with Ketamine group (P< 0.05. We demonstrated that gargling with ketamine significantly attenuated POST, with no drug-related side effects were observed.

Use of sand wave habitats by silver hake

Science.gov (United States)

Auster, P.J.; Lindholm, J.; Schaub, S.; Funnell, G.; Kaufman, L.S.; Valentine, P.C.

2003-01-01

Silver hake Merluccius bilinearis are common members of fish communities in sand wave habitats on Georges Bank and on Stellwagen Bank in the Gulf of Maine. Observations of fish size v. sand wave period showed that silver hake are not randomly distributed within sand wave landscapes. Regression analyses showed a significant positive relationship between sand wave period and fish length. Correlation coefficients, however, were low, suggesting other interactions with sand wave morphology, the range of current velocities, and available prey may also influence their distribution. Direct contact with sand wave habitats varied over diel periods, with more fish resting on the seafloor during daytime than at night. Social foraging, in the form of polarized groups of fish swimming in linear formations during crepuscular and daytime periods, was also observed. Sand wave habitats may provide shelter from current flows and mediate fish-prey interactions. ?? 2003 The Fisheries Society of the British Isles.

Tidal dynamics in the sand motor lagoon

NARCIS (Netherlands)

De Vries, S.; Radermacher, M.; De Schipper, M.A.; Stive, M.J.F.

2015-01-01

The Sand Motor is a mega-nourishment characterized by a very large sand volume of around 20 million m3 placed along the Dutch coast. The Sand Motor is a pilot project to evaluate the performance of an alternative nourishment strategy with respect to different functions of the coastal system. Within

Numerical simulation of flow and compression of green sand

DEFF Research Database (Denmark)

Hovad, Emil

The focus of the industrial PhD project was concentrated on the production of the sand mold (green sand) which gives the cast component its final geometrical shape. In order to ensure a high quality of the cast component, it is important to control the manufacturing process of the mold itself so...... that it is homogeneous and stable. Therefore gaining a basic understanding of how the flow and deposition of green sand should be characterized and modelled was important, so that it could be used for simulation of the manufacturing process of the sand mold. The flowability of the green sand is important when the sand...... flows down through the hopper filling the chamber with sand during the sand shot. The flowability of green sand is mostly governed by the amount of water and bentonite which both decrease it. The flowability and the internal forces thus control how well you can fill a complex mold geom-etry in which...

Effects of acupuncture on symptoms and muscle function in delayed-onset muscle soreness.

Science.gov (United States)

Hübscher, Markus; Vogt, Lutz; Bernhörster, Marcus; Rosenhagen, Andreas; Banzer, Winfried

2008-10-01

This study was done to investigate the effects of a standardized acupuncture treatment on symptoms and muscle function in exercise-induced delayed-onset muscle soreness (DOMS). A prospective, randomized, controlled, observer and subject-blinded trial was undertaken. Twenty-two (22) healthy subjects (22-30 years; 10 males and 12 females) were randomly assigned to three treatment groups: real acupuncture (deep needling at classic acupuncture points and tender points; n = 7), sham-acupuncture (superficial needling at nonacupuncture points; n = 8), and control (no needling; n = 7). DOMS of the nondominant elbow-flexors was experimentally induced through eccentric contractions until exhaustion. The outcome measures were pain perception (visual analogue scale; VAS; range: 0-10 cm), mechanical pain threshold (MPT; pressure algometer), and maximum isometric voluntary force (MIVF; force transducer). Treatment was applied immediately, 24 and 48 hours after DOMS induction. Measurements of MPT and MIVF were made prior to DOMS induction as well as before and after every treatment session. VAS data were acquired after DOMS induction as well as pre- and post-treatment. Final pain, MPT, and MIVF measurements were performed 72 hours after DOMS induction. Following nonparametric testing, there were no significant differences between groups in outcome measures at baseline. After 72 hours, pain perception (VAS) was significantly lower in the acupuncture group compared to the sham acupuncture and control subjects. However, the mean MPT and MIVF scores were not significantly different between groups. Although acupuncture seemed to have no effects on mechanical pain threshold and muscle function, it proved to reduce perceived pain arising from exercise-induced muscle soreness.

Sand wave fields beneath the Loop Current, Gulf of Mexico: Reworking of fan sands

Science.gov (United States)

Kenyon, Neil H.; Akhmetzhanov, A.M.; Twichell, D.C.

2002-01-01

Extensive fields of large barchan-like sand waves and longitudinal sand ribbons have been mapped by deep-towed SeaMARC IA sidescan sonar on part of the middle and lower Mississippi Fan that lies in about 3200 m of water. The area is beneath the strongly flowing Loop Current. The bedforms have not been adequately sampled but probably consist of winnowed siliciclastic-foraminiferal sands. The size (about 200 m from wingtip to wingtip) and shape of the large barchans is consistent with a previously observed peak current speed of 30 cm/s, measured 25 m above the seabed. The types of small-scale bedforms and the scoured surfaces of chemical crusts, seen on nearby bottom photographs, indicate that near-bed currents in excess of 30 cm/s may sometimes occur. At the time of the survey the sand transport direction was to the northwest, in the opposite direction to the Loop Current but consistent with there being a deep boundary current along the foot of the Florida Escarpment. Some reworking of the underlying sandy turbidites and debris flow deposits is apparent on the sidescan sonar records. Reworking by deep-sea currents, resulting in erosion and in deposits characterised by coarsening upwards structures and cross-bedding, is a process that has been proposed for sand found in cores in shallower parts of the Gulf of Mexico. This process is more widespread than hitherto supposed. 

Penicillin for acute sore throat : randomised double blind trial of seven days versus three days treatment or placebo in adults

NARCIS (Netherlands)

Zwart, S; Sachs, APE; Ruijs, GJHM; Gubbels, JW; Hoes, AW; de Melker, RA

2000-01-01

Objective To assess whether treatment with penicillin for three days and the traditional treatment for seven days were equally as effective at accelerating resolution of symptoms in patients with sore throat compared with placebo. Design Randomised double blind placebo controlled trial. Setting 43

Randomized clinical study comparing Compeed (R) cold sore patch to acyclovir cream 5% in the treatment of herpes simplex labialis

DEFF Research Database (Denmark)

Karlsmark, T.; Goodman, J.J.; Drouault, Y.

2008-01-01

Background Hydrocolloid technology has been proven effective in treating dermal wounds. A previous study showed that a newly developed thin hydrocolloid patch [Compeed (R) cold sore patch (CSP)] provided multiple wound-healing benefits across all stages of a herpes simplex labialis (HSL) outbreak...

Oil sands and the environment

Energy Technology Data Exchange (ETDEWEB)

Seeley, R. [Shell Canada Ltd., Calgary, AB (Canada). Calgary Research Centre

2004-07-01

Oil sands are a significant resource for Alberta and Canada with continuing growth opportunity. There is a need to ensure sustainable development of the oil sands resources from a social, economic and environmental perspective. The industry has succeeded in terms of proven reserves, technology advancements, reduced operating costs, reliability and market accessibility. Some of the major challenges facing the industry include high capital cost, infrastructure, social services and keeping pace with growth. This presentation outlined the proactive measures that the oil sands industry has taken to manage environmental issues such as sulphur dioxide and nitrogen oxide emissions, greenhouse gases, water management and land reclamation. tabs., figs.

Alberta oil sands royalty regime

International Nuclear Information System (INIS)

Asgarpour, S.

2004-01-01

The long term objective of the Oil Sands Business Unit of Alberta Energy is to pave the way for Alberta's bitumen production to reach 3 million barrels per day by 2020. This presentation described the national government's role in resource development. It was emphasized that since the Crown is the owner of the oil sands resource, it would benefit by providing strategic leadership and by generating a larger royalty base. The oil sands fiscal regime was described with reference to generic royalty, risk sharing, investment, and project economics. Business rule principles were also outlined along with criteria for project expansions. Both upstream and downstream challenges and opportunities were listed. 4 figs

Experimental study of optimal self compacting concrete with spent foundry sand as partial replacement for M-sand using Taguchi approach

Directory of Open Access Journals (Sweden)

Nirmala D.B.

2016-06-01

Full Text Available This paper presents the application of Taguchi approach to obtain optimal mix proportion for Self Compacting Concrete (SCC containing spent foundry sand and M-sand. Spent foundry sand is used as a partial replacement for M-sand. The SCC mix has seven control factors namely, Coarse aggregate, M-sand with Spent Foundry sand, Cement, Fly ash, Water, Super plasticizer and Viscosity modifying agent. Modified Nan Su method is used to proportion the initial SCC mix. L18 (21×37 Orthogonal Arrays (OA with the seven control factors having 3 levels is used in Taguchi approach which resulted in 18 SCC mix proportions. All mixtures are extensively tested both in fresh and hardened states to verify whether they meet the practical and technical requirements of SCC. The quality characteristics considering “Nominal the better” situation is applied to the test results to arrive at the optimal SCC mix proportion. Test results indicate that the optimal mix satisfies the requirements of fresh and hardened properties of SCC. The study reveals the feasibility of using spent foundry sand as a partial replacement of M-sand in SCC and also that Taguchi method is a reliable tool to arrive at optimal mix proportion of SCC.

Experimental study of optimal self compacting concrete with spent foundry sand as partial replacement for M-sand using Taguchi approach

Science.gov (United States)

Nirmala, D. B.; Raviraj, S.

2016-06-01

This paper presents the application of Taguchi approach to obtain optimal mix proportion for Self Compacting Concrete (SCC) containing spent foundry sand and M-sand. Spent foundry sand is used as a partial replacement for M-sand. The SCC mix has seven control factors namely, Coarse aggregate, M-sand with Spent Foundry sand, Cement, Fly ash, Water, Super plasticizer and Viscosity modifying agent. Modified Nan Su method is used to proportion the initial SCC mix. L18 (21×37) Orthogonal Arrays (OA) with the seven control factors having 3 levels is used in Taguchi approach which resulted in 18 SCC mix proportions. All mixtures are extensively tested both in fresh and hardened states to verify whether they meet the practical and technical requirements of SCC. The quality characteristics considering "Nominal the better" situation is applied to the test results to arrive at the optimal SCC mix proportion. Test results indicate that the optimal mix satisfies the requirements of fresh and hardened properties of SCC. The study reveals the feasibility of using spent foundry sand as a partial replacement of M-sand in SCC and also that Taguchi method is a reliable tool to arrive at optimal mix proportion of SCC.

Importance of diagnostic laboratory methods of beta hemolytic streptococcus group A in comparison with clinical findings in the diagnosis of streptococcal sore throat and unnecessary antibacterial therapy

Directory of Open Access Journals (Sweden)

Peiman Eini

2012-04-01

Full Text Available Background: Streptococcus Pyogenes (group A streptococcus, GAS is the most important cause of bacterial pharyngitis in children and adolescents. Acute pharyngitis is one of the most common conditions in all ages but it is most common in children. Over diagnosis of acute pharyngitis represents one of the major causes of antibiotic abuse. The goal of this study is to make an estimate of the frequency of group A streptococcus in sore throat patients in Farshchian hospital emergency department and clinic in Hamadan. Methods: For estimation of the clinical features role in diagnosis of streptococcal sore throat, we took samples of 100 patients with average age of 32.96±29.86 years with sore throat. We took samples from pharynx and used standard methods of bacteriology in order to detect streptococcus. Results: Group A Streptococcus (GAS accounts for 3 percent of all cases of pharyngitis. Clinically, all of the patients had sore throat. The percent breakdowns are as follows: 30% had exudate, 78% had fever, 8% had lymphadenopathy and 7.7 percent of exudative pharyngitis was streptococcal. The cost for unnecessary antibiotic therapy for every single patient who had negative pharynx culture was approximately 32160 Rails. Conclusion: The low frequency of streptococcus pharyngitis in treated patients reveal that diagnosis based on clinical features is not reliable. We recommend use of other diagnostic methods such as Rapid Antigen Detection Tests (RATs. Only reliable and scientific protocols for antibiotic to therapy.

A longitudinal study of the incidence of pressure sores and the associated risks and strategies adopted in Italian operating theatres.

Science.gov (United States)

Bulfone, Giampiera; Marzoli, Ilaria; Quattrin, Rosanna; Fabbro, Carmen; Palese, Alvisa

2012-02-01

To explore the incidence of intraoperative pressure sores, the associated risk factors and the preventive strategies adopted by nurses, we adopted a longitudinal study in a 900-bed teaching hospital with multiple operating theatres, located in the North of Italy. Patients who underwent major surgery were evaluated four times: at the moment of operating theatre admission, at operating theatre discharge, and on their third and sixth postoperative day. Of the patients included (n = 102) who had an average age of 62.3 years (range 20-87), 12.7% (13/102) developed a pressure ulcer in the operating theatre; 46.1% (6/13) of these ulcers were still present on the third postoperative day. Some health conditions (diabetes mellitus, cardiac diseases) and intra-operative factors (lying on the operating table for more than 6.15 hours, intraoperative hypothermia) are associated with the occurrence of pressure sores.

Oil sands tailings management project

Energy Technology Data Exchange (ETDEWEB)

Godwalt, C. [Alberta WaterSMART, Calgary, AB (Canada); Kotecha, P. [Suncor Energy Inc, Calgary, AB (Canada); Aumann, C. [Alberta Innovates - Technology Futures, Alberta Governement, AB (Canada)

2010-11-15

The Oil sands leadership initiative (OSLI) works with the Government of Alberta on the development of the oil sands industry, considering environmental, economical and social aspects. Water management was identified as one of most important areas to focus on. Alberta WaterSMART was requested to support the development and the management of projects resulting from the work done or underway in this field. The development of a regional water management solution stood out as the most interesting solution to obtain significant results. In the Athabasca Region, oil sands producers work independently on their water sourcing and disposal with particular attention to fresh water conservation and economics. The Athabasca River represents a source for mines and distant saline aquifers are the target of steam assisted gravity drainage (SAGD) operators. As part of a four-phase project aiming to study the environmental and economic footprint (EEF) benefit of alternatives for Athabasca oil sands production water supply and disposal, the purpose of the tailings water management project was to identify tailings treatment technologies that are ready to be implemented, and to design and evaluate solutions in order to improve regional oil sands production water sourcing and disposal. Alternatives were evaluated based on their total EEF, applying a lifecycle assessment methodology with a particular attention on the quantification of important performance indicators. 25 refs., 8 tabs., 40 figs.

Oil sands tailings management project

International Nuclear Information System (INIS)

Godwalt, C.; Kotecha, P.; Aumann, C.

2010-11-01

The Oil sands leadership initiative (OSLI) works with the Government of Alberta on the development of the oil sands industry, considering environmental, economical and social aspects. Water management was identified as one of most important areas to focus on. Alberta WaterSMART was requested to support the development and the management of projects resulting from the work done or underway in this field. The development of a regional water management solution stood out as the most interesting solution to obtain significant results. In the Athabasca Region, oil sands producers work independently on their water sourcing and disposal with particular attention to fresh water conservation and economics. The Athabasca River represents a source for mines and distant saline aquifers are the target of steam assisted gravity drainage (SAGD) operators. As part of a four-phase project aiming to study the environmental and economic footprint (EEF) benefit of alternatives for Athabasca oil sands production water supply and disposal, the purpose of the tailings water management project was to identify tailings treatment technologies that are ready to be implemented, and to design and evaluate solutions in order to improve regional oil sands production water sourcing and disposal. Alternatives were evaluated based on their total EEF, applying a lifecycle assessment methodology with a particular attention on the quantification of important performance indicators. 25 refs., 8 tabs., 40 figs.

Invasive plants on disturbed Korean sand dunes

Science.gov (United States)

Kim, Kee Dae

2005-01-01

The sand dunes in coastal regions of South Korea are important ecosystems because of their small size, the rare species found in this habitat, and the beautiful landscapes they create. This study investigated the current vegetative status of sand dunes on three representative coasts of the Korean peninsula, and on the coasts of Cheju Island, and assessed the conditions caused by invasive plants. The relationships between the degree of invasion and 14 environmental variables were studied. Plots of sand dunes along line transects perpendicular to the coastal lines were established to estimate vegetative species coverage. TWINSPAN (Two-Way Indicator Species Analysis), CCA (Canonical Correspondence Analysis), and DCCA (Detrended Canonical Correspondence Analysis) were performed to classify communities on sand dunes and assess species composition variation. Carex kobomugi, Elymus mollis, and Vitex rotundifolia were found to be the dominant species plotted on the east, the west, and the peripheral coasts of Cheju Island, respectively. Vegetation on the south coast was totally extinct. The 19 communities, including representative C. kobomugi, C. kobomugi- Ixeris repens, C. kobomugi- Oenothera biennis, E. mollis, Lolium multiflorum- Calystegia soldanella, and V. rotundifolia- C. kobomugi, were all classified according to TWINSPAN. Oenothera biennis and L. multiflorum were exotics observed within these native communities. CCA showed that invasive native and exotic species distribution was segregated significantly, according to disturbance level, exotic species number, gravel, sand and silt contents, as well as vegetation size. It further revealed that human disturbance can strongly favor the settlement of invasive and exotic species. Restoration options to reduce exotic plants in the South Korean sand dune areas were found to be the introduction of native plant species from one sand dune into other sand dune areas, prohibition of building and the introduction of exotic

Characteristics of SCC with Fly Ash and Manufactured Sand

Science.gov (United States)

Praveen Kumar, K.; Radhakrishna

2016-09-01

Self compacting concrete (SCC) of M40 grade was designed. The binder in SCC consists of OPC and fly ash in the ratio of 65:35. River sand was replaced by manufactured sand (M-sand) at replacement levels of 20,40,60,80 and 100%. An attempt was made to evaluate the workability and strength characteristics of self compacting concrete with river sand and manufactured sand as fine aggregates. For each replacement level, constant workability was maintained by varying the dosage of superplasticizer. T50 flow time, V Funnel time, V-funnel T5 time as well as compressive, split tensile and flexural strength of SCC were found at each replacement level of M-sand. They were compared to SCC with river sand. Results indicate favourable use of M-sand in preparation of Self Compacting Concrete.

Properties of dune sand concrete containing coffee waste

Directory of Open Access Journals (Sweden)

Mohamed Guendouz

2018-01-01

Full Text Available In the last years, an increase of coffee beverages consumption has been observed all over the world; and its consumption increases the waste coffee grounds which will become an environmental problems. Recycling of this waste to produce new materials like sand concrete appears as one of the best solutions for reduces the problem of pollution. This work aims to study the possibility of recycling waste coffee grounds (Spent Coffee Grounds (SCG as a fine aggregate by replacing the sand in the manufacturing of dune sand concrete. For this; sand concrete mixes were prepared with substitution of sand with the spent coffee grounds waste at different percentage (0%, 5%, 10%, 15% and 20% by volume of the sand in order to study the influence of this wastes on physical (Workability, bulk density and porosity, mechanical (compressive and flexural strength and Thermal (Thermal conductivity and thermal diffusivity properties of dune sand concrete. The results showed that the use of spent coffee grounds waste as partial replacement of natural sand contributes to reduce workability, bulk density and mechanical strength of sand concrete mixes with an increase on its porosity. However, the thermal characteristics are improved and especially for a level of 15% and 20% of substitution. So, it is possible to obtain an insulating material which can be used in the various types of structural components. This study ensures that reusing of waste coffee grounds in dune sand concrete gives a positive approach to reduce the cost of materials and solve some environmental problems.

Documenting the global impacts of beach sand mining

Science.gov (United States)

Young, R.; Griffith, A.

2009-04-01

For centuries, beach sand has been mined for use as aggregate in concrete, for heavy minerals, and for construction fill. The global extent and impact of this phenomenon has gone relatively unnoticed by academics, NGOs, and major news sources. Most reports of sand mining activities are found at the very local scale (if the mining is ever documented at all). Yet, sand mining in many localities has resulted in the complete destruction of beach (and related) ecosystems along with severe impacts to coastal protection and tourism. The Program for the Study of Developed Shorelines at Western Carolina University and Beachcare.org have initiated the construction of a global database of beach sand mining activities. The database is being built through a combination of site visits and through the data mining of media resources, peer reviewed papers, and reports from private and governmental entities. Currently, we have documented sand mining in 35 countries on 6 continents representing the removal of millions of cubic meters of sand. Problems extend from Asia where critical infrastructure has been disrupted by sand mining to the Caribbean where policy reform has swiftly followed a highly publicized theft of sand. The Program for the Study of Developed Shorelines recently observed extensive sand mining in Morocco at the regional scale. Tens of kilometers of beach have been stripped of sand and the mining continues southward reducing hope of a thriving tourism-based economy. Problems caused by beach sand mining include: destruction of natural beaches and the ecosystems they protect (e.g. dunes, wetlands), habitat loss for globally important species (e.g. turtles, shorebirds), destruction of nearshore marine ecosystems, increased shoreline erosion rates, reduced protection from storms, tsunamis, and wave events, and economic losses through tourist abandonment and loss of coastal aesthetics. The threats posed by sand mining are made even more critical given the prospect of a

Studies on various characteristics of concrete structures using crushed sand

International Nuclear Information System (INIS)

Mimatsu, Makoto; Sugita, Hideaki; Yonemura, Masataka.

1985-01-01

With the recent advances of construction industry, the demands for concrete, hence for aggregate, are rising. The sand as such is in extreme shortage due to the exhaustion of river sand. Under the situation, the recent trends are for the use of crushed sand, i.e. the artificial sand obtained by crushing rocks, which have advantages of stabilized quality and adequate supplies. In building of nuclear power plants requiring large amounts of concrete, the usage of crushed sand is now unavoidable. The following are described : the situation of aggregate in Kyushu. production method of crushed sand and the quality standards, rocks used for crushed stone and sand and the properties, quality survey on crushed sand and the basic tests, characteristic tests of crushed-stone and -sand mixed concrete, the application of crushed sand in structures of the Sendai Nuclear Power Station. (Mori, K.)

Stakeholders' views of recurrent sore throat, tonsillitis and their management: a qualitative interview study for the NAtional Trial of Tonsillectomy IN Adults (NATTINA Part 1).

Science.gov (United States)

McSweeney, L A; Rousseau, N S; Wilson, J A; Wilkes, S; Haighton, C A

2017-04-01

To determine the impact of recurrent sore throats and tonsillitis in adults and stakeholder views of treatment pathways. Qualitative semistructured interview design reporting novel data from a feasibility study for a UK national trial of tonsillectomy in adults. Nine study sites linked to ear, nose and throat departments in National Health Service hospitals located across the United Kingdom. Fifteen patients, 11 general practitioners and 22 ear, nose and throat staff consented to in-depth interviews, which were analysed using a framework analysis approach. Views of stakeholder groups. Recurrent sore throats were reported to severely impact patients' family, work and social life. Ear, nose and throat staff stated that patients faced increasing barriers to secondary care service access. General practitioners were under pressure to reduce 'limited clinical value' surgical procedures. The findings from this study suggest that there is a disconnect between the attitudes of the stakeholders and the reality of recurrent sore throat, tonsillectomy procedures and service provision. More evidence for the role of tonsillectomy is needed from randomised controlled trials to determine whether it should continue to be ranked as a procedure of limited clinical effectiveness. © 2016 John Wiley & Sons Ltd.

Combined V-Y Fasciocutaneous Advancement and Gluteus Maximus Muscle Rotational Flaps for Treating Sacral Sores

Directory of Open Access Journals (Sweden)

Hyun Ho Han

2016-01-01

Full Text Available The sacral area is the most common site of pressure sore in bed-ridden patients. Though many treatment methods have been proposed, a musculocutaneous flap using the gluteus muscles or a fasciocutaneous flap is the most popular surgical option. Here, we propose a new method that combines the benefits of these 2 methods: combined V-Y fasciocutaneous advancement and gluteus maximus muscle rotational flaps. A retrospective review was performed for 13 patients who underwent this new procedure from March 2011 to December 2013. Patients’ age, sex, accompanying diseases, follow-up duration, surgical details, complications, and recurrence were documented. Computed tomography was performed postoperatively at 2 to 4 weeks and again at 4 to 6 months to identify the thickness and volume of the rotational muscle portion. After surgery, all patients healed within 1 month; 3 patients experienced minor complications. The average follow-up period was 13.6 months, during which time 1 patient had a recurrence (recurrence rate, 7.7%. Average thickness of the rotated muscle was 9.43 mm at 2 to 4 weeks postoperatively and 9.22 mm at 4 to 6 months postoperatively (p=0.087. Muscle thickness had not decreased, and muscle volume was relatively maintained. This modified method is relatively simple and easy for reconstructing sacral sores, provides sufficient padding, and has little muscle donor-site morbidity.

Protocol for north of England and Scotland study of tonsillectomy and adeno-tonsillectomy in children (NESSTAC). A pragmatic randomised controlled trial comparing surgical intervention with conventional medical treatment in children with recurrent sore throats.

Science.gov (United States)

Bond, John; Wilson, Janet; Eccles, Martin; Vanoli, Alessandra; Steen, Nick; Clarke, Ray; Zarod, Andrew; Lock, Catherine; Brittain, Katie; Speed, Chris; Rousseau, Nikki

2006-08-09

Uncertainties surrounding the effectiveness and cost-effectiveness of childhood tonsillectomy for recurrent sore throat led the NHS Health Technology Assessment Programme to commission this research to evaluate the effectiveness and cost-effectiveness of tonsillectomy and adeno-tonsillectomy in comparison with standard non-surgical management in children aged under 16 with recurrent throat infections. The aim is to evaluate if tonsillectomy and adeno-tonsillectomy reduces the number of episodes of sore throats among children to a clinically significant extent. A simple prospective pragmatic randomised controlled trial with economic analysis and prospective cohort study of non-trial participants comparing surgical intervention with conventional medical treatment. The treatment arm will receive tonsillectomy and adeno-tonsillectomy while in the control arm non-surgical conventional medical treatment only will be used. The primary outcome measure will be reported number of episodes of sore throat over two years with secondary outcomes measures of reported number of episodes of sore throat, otitis media and upper respiratory tract infection which invoke a GP consultation; reported number of symptom-free days; reported severity of sore throats and surgical and anaesthetic morbidity. The study will take place in five hospitals in the UK. The trial population will be 406 children aged 4-15 on their last birthday with recurrent sore throat referred by primary care to the 5 otolaryngology departments. The duration of the study is seven years (July 2001-July 2008). As with all pragmatic randomised controlled trials it is impossible to control the external environment in which the research is taking place. Since this trial began a number of factors have arisen which could affect the outcome including; a reduction in the incidence of respiratory tract infections, marked socio-economic differences in consultation rates, the results from the National Prospective Tonsillectomy

Protocol for north of England and Scotland study of tonsillectomy and adeno-tonsillectomy in children (NESSTAC. A pragmatic randomised controlled trial comparing surgical intervention with conventional medical treatment in children with recurrent sore throats

Directory of Open Access Journals (Sweden)

Lock Catherine

2006-08-01

Full Text Available Abstract Background Uncertainties surrounding the effectiveness and cost-effectiveness of childhood tonsillectomy for recurrent sore throat led the NHS Health Technology Assessment Programme to commission this research to evaluate the effectiveness and cost-effectiveness of tonsillectomy and adeno-tonsillectomy in comparison with standard non-surgical management in children aged under 16 with recurrent throat infections. The aim is to evaluate if tonsillectomy and adeno-tonsillectomy reduces the number of episodes of sore throats among children to a clinically significant extent. Methods/design A simple prospective pragmatic randomised controlled trial with economic analysis and prospective cohort study of non-trial participants comparing surgical intervention with conventional medical treatment. The treatment arm will receive tonsillectomy and adeno-tonsillectomy while in the control arm non-surgical conventional medical treatment only will be used. The primary outcome measure will be reported number of episodes of sore throat over two years with secondary outcomes measures of reported number of episodes of sore throat, otitis media and upper respiratory tract infection which invoke a GP consultation; reported number of symptom-free days; reported severity of sore throats and surgical and anaesthetic morbidity. The study will take place in five hospitals in the UK. The trial population will be 406 children aged 4–15 on their last birthday with recurrent sore throat referred by primary care to the 5 otolaryngology departments. The duration of the study is seven years (July 2001- July 2008. Discussion As with all pragmatic randomised controlled trials it is impossible to control the external environment in which the research is taking place. Since this trial began a number of factors have arisen which could affect the outcome including; a reduction in the incidence of respiratory tract infections, marked socio-economic differences in

Influence of sand base preparation on properties of chromite moulding sands with sodium silicate hardened with selected methods

Directory of Open Access Journals (Sweden)

Stachowicz M.

2017-03-01

Full Text Available The paper presents a research on the relation between thermal preparation of chromite sand base of moulding sands containing sodium silicate, hardened with selected physical and chemical methods, and structure of the created bonding bridges. Test specimens were prepared of chromite sand - fresh or baked at 950°C for 10 or 24 hours - mixed with 0.5 wt.% of the selected non-modified inorganic binder and, after forming, were hardened with CO2 or liquid esters, dried traditionally or heated with microwaves at 2.45 GHz. It was shown on the grounds of SEM observations that the time of baking the base sand and the hardening method significantly affect structure of the bonding bridges and are correlated with mechanical properties of the moulding sands. It was found that hardening chromite-based moulding mixtures with physical methods is much more favourable than hardening with chemical methods, guaranteeing also more than ten times higher mechanical properties.

Experimental perforation of tubing with a hydraulic sand jet

Energy Technology Data Exchange (ETDEWEB)

Semenov, Yu V

1970-01-01

A series of field tests has shown that perforation with a hydraulic sand jet improves the quality of well completion. The sand jet does not crack the cement sheath or the casing, and the perforations are larger and deeper than perforations formed by explosive charges. Fluid circulation during sand jet perforation can safely be stopped for at least 10 min. Water containing a surfactant can be used as a sand carrier. Sand jet perforation allows successful completion of wells cased by 2 tubing strings. Sand jet perforation can be used to clean the borehole well and to remove foreign objects from the well.

Effect of manufactured sand on the durability characteristics of concrete

Directory of Open Access Journals (Sweden)

S. S. SARAVANAN

2016-12-01

Full Text Available Concrete is the most sought after material due to increase in construction activities and infrastructural developments. Availability of natural sand is decreasing thereby increase in the cost of construction. In the present work undertaken, an attempt has been made to give an alternative to natural sand. Optimization of replacement of natural sand with manufactured sand in concrete, durability studies such as water absorption, rapid chloride permeability test, sorptivity, acid resistance, alkaline resistance, impact resistance and abrasion resistance of M40 and M50 grades of concrete have been studied with manufactured sand as fine aggregate and compared the results with the conventional sand concrete. The results shows that there is an increase in the durability properties up to 70 % level of replacements of sand with manufactured sand as fine aggregate and for 100 % use of manufactured sand also gives the better durability than the conventional sand concrete.

Experimental Study on Superfine Sand Concrete Mixed by Double Mixing Technology

OpenAIRE

yuqing zhao

2013-01-01

Traditional concept thought that medium sand and fine sand can be used to mix concrete, superfine sand can not used to mix concrete. This makes the source of superfine sand limited. With the shortage of medium sand and fine sand, it is imperative to exploit the resource of superfine sand. Superfine sand concrete is mixed by means of Double-doped Technology-ultra-fine fly ash and super plasticizer. Primary factor influencing superfine sand concrete strength is studied by orthogonal test, the o...

[The practice guideline 'Sore throat' (second revision) from the Dutch College of General Practitioners; a response from the perspective of otorhinolaryngology

NARCIS (Netherlands)

Marres, H.A.M.

2008-01-01

In this comment, the practice guideline 'Sore throat' (second revision) is discussed. This guideline, composed by the Dutch College of General Practitioners, offers general practitioners a well-appreciated overview of the common practices regarding diagnostic tests and treatment of pharyngitis and

The physics of wind-blown sand and dust.

Science.gov (United States)

Kok, Jasper F; Parteli, Eric J R; Michaels, Timothy I; Karam, Diana Bou

2012-10-01

The transport of sand and dust by wind is a potent erosional force, creates sand dunes and ripples, and loads the atmosphere with suspended dust aerosols. This paper presents an extensive review of the physics of wind-blown sand and dust on Earth and Mars. Specifically, we review the physics of aeolian saltation, the formation and development of sand dunes and ripples, the physics of dust aerosol emission, the weather phenomena that trigger dust storms, and the lifting of dust by dust devils and other small-scale vortices. We also discuss the physics of wind-blown sand and dune formation on Venus and Titan.

Sand Dunes with Frost

Science.gov (United States)

2004-01-01

9 May 2004 This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows a suite of frost-covered sand dunes in the north polar region of Mars in early spring, 2004. The dunes indicate wind transport of sand from left to right (west to east). These landforms are located near 78.1oN, 220.8oW. This picture is illuminated by sunlight from the lower left and covers an area about 3 km (1.9 mi) across.

Relationships between sand and water quality at recreational beaches.

Science.gov (United States)

Phillips, Matthew C; Solo-Gabriele, Helena M; Piggot, Alan M; Klaus, James S; Zhang, Yifan

2011-12-15

Enterococci are used to assess the risk of negative human health impacts from recreational waters. Studies have shown sustained populations of enterococci within sediments of beaches but comprehensive surveys of multiple tidal zones on beaches in a regional area and their relationship to beach management decisions are limited. We sampled three tidal zones on eight South Florida beaches in Miami-Dade and Broward counties and found that enterococci were ubiquitous within South Florida beach sands although their levels varied greatly both among the beaches and between the supratidal, intertidal and subtidal zones. The supratidal sands consistently had significantly higher (p sand) than the other two zones. Levels of enterococci within the subtidal sand correlated with the average level of enterococci in the water (CFU/100mL) for the season during which samples were collected (r(s) = 0.73). The average sand enterococci content over all the zones on each beach correlated with the average water enterococci levels of the year prior to sand samplings (r(s) = 0.64) as well as the average water enterococci levels for the month after sand samplings (r(s) = 0.54). Results indicate a connection between levels of enterococci in beach water and sands throughout South Florida's beaches and suggest that the sands are one of the predominant reservoirs of enterococci impacting beach water quality. As a result, beaches with lower levels of enterococci in the sand had fewer exceedences relative to beaches with higher levels of sand enterococci. More research should focus on evaluating beach sand quality as a means to predict and regulate marine recreational water quality. Copyright © 2011 Elsevier Ltd. All rights reserved.

Compressive Strength of Compacted Clay-Sand Mixes

Directory of Open Access Journals (Sweden)

Faseel Suleman Khan

2014-01-01

Full Text Available The use of sand to improve the strength of natural clays provides a viable alternative for civil infrastructure construction involving earthwork. The main objective of this note was to investigate the compressive strength of compacted clay-sand mixes. A natural clay of high plasticity was mixed with 20% and 40% sand (SP and their compaction and strength properties were determined. Results indicated that the investigated materials exhibited a brittle behaviour on the dry side of optimum and a ductile behaviour on the wet side of optimum. For each material, the compressive strength increased with an increase in density following a power law function. Conversely, the compressive strength increased with decreasing water content of the material following a similar function. Finally, the compressive strength decreased with an increase in sand content because of increased material heterogeneity and loss of sand grains from the sides during shearing.

Controls on the abruptness of gravel-sand transitions

Science.gov (United States)

Venditti, J. G.; Church, M. A.; Lamb, M. P.; Domarad, N.; Rennie, C. D.

2014-12-01

As gravel-bedded rivers fine downstream, they characteristically exhibit an abrupt transition from gravel- to sand-bed. This is the only abrupt transition in grain-size that occurs in the fluvial system and has attracted considerable attention. A number of competing theories have been proposed to account for the abruptness of the transition, including base-level control, attrition of ~10mm gravel to produce sand, and sediment sorting processes. The prevailing theory for the emergence of abrupt transitions is size selective sorting of bimodal sediment wherein gravel deposits due to downstream declining shear stress, fining the bedload until a sand-bed emerges. We explored this hypothesis by examining grain-size, shear stress, gravel mobility and sand suspension thresholds through the gravel-sand transition (GST) of the Fraser River, British Columbia. The Fraser GST is an arrested gravel wedge with patches of gravel downstream of the wedge forming a diffuse extension. There is an abrupt change in bed slope through the transition that leads to an abrupt change in shear stress. The GST, bed-slope change and backwater caused by the ocean are all coincident spatially, which enhances the sharpness of the GST. Interestingly, the bimodal reach of the river occurs downstream of the GST and exhibits no downstream gradients in shear stress, suspended sediment flux, gravel mobility or sand suspension thresholds. This calls into question the prevailing theory for the emergence of an abrupt GST by size selective sorting. We provide evidence, both empirical and theoretical, that suggests the emergence of an abrupt GST is caused by rapid deposition of sand when fine gravel deposits. We argue that the emergence of gravel-sand transitions is a consequence of gravel-bedded rivers adopting a steeper slope than sand-bedded rivers. The abruptness arises because the bed slope required to convey the gravel load fixes the distal location of a terminal gravel wedge, and once the river has

Oil sands to the rescue: oil sand microbial communities can degrade recalcitrant alkyl phenyl alkanoic acids

Energy Technology Data Exchange (ETDEWEB)

Whitby, Corinne [University of Essex (Canada)], email: cwhitby@essex.ac.uk

2011-07-01

Almost half of all global oil reserves are found as biodegraded heavy oils found in vast tar sand deposits located in North and South America and these account for 47% of Canadian oil production. Oil sand extraction generates large amounts of toxic waste water, known as oil sand process waters (OSPW), that are stored in large tailing ponds that contain toxic compounds like naphthenic acids (NAs). The presence of NAs creates problems like toxicity, corrosion, and the formation of calcium napthenate deposits which block pipelines and other infrastructure and need to be removed. This paper presents oil sand microbial communities that can degrade these NAs. The approach is to apply new aliphatic and aromatic NAs as substrates to supplement and identify NA degrading microbes and also to identify the metabolites produced and explain NA degradation pathways and the functional genes involved. The chemistry and the processes involved are explained. From the results, it is suggested that pure cultures of P. putida KT2440 be used against NAs.

A study of dissipation, degradation and binding of 14C-labeled endosulfan to soil in model lysimeter

International Nuclear Information System (INIS)

Gonzalez, J.E.; Ceballos, J.; Amor, A.; Saiz, E.B. de

1999-01-01

The degradation, dissipation and binding of α-endosulfan in two agricultural soils and sand was studied in lysimeter system under outdoor conditions, using 14 C labeled insecticide. Dissipation was rapid during the first few weeks after application. The half life of disappearance was 38 to 61 days for the soils from Cerro Punta and El Ejido, whereas, in sand it was 91 days. The insecticide degraded by oxidation at the sulfite group to the sulfate. The resultant product underwent further degradation to form 14 CO 2 and bound residues. Although a significant amount of 14 C leached through the sand, which contained less that 0.1% organic matter, there was no leaching of endosulfan through the other two types of soil, when leaching was started immediately after treatment. (author)

Potential building sand deposits in Songkhla province area

Directory of Open Access Journals (Sweden)

Kooptarnond, K.

2002-10-01

Full Text Available An investigation of potential building sand deposits in Songkhla province area subdivided them into four regions according to their accumulation in various alluvial plains, meanders throughout alluvial deposits and residual soils. Four selected deposits, were Rattaphum-Khuan Niang, U-Taphao river, Na Mom, and Chana-Thepha regions. Information obtained from these deposits revealed a good correlation between the geomorphological features as interpreted from aerial photographs and those identified from vertical electrical resistivity sounding results. Sand samples were analysed for their physical and chemical properties. Petrographic studies were also undertaken to characterize the composition types, texture and shapes. An overview of the sand properties was used them to be within the acceptable limits for building sand. However, relatively high organic impurities and soundness were found in sand from Khuan Niang and Na Mom deposits. The result indicated a potential reconnaissance mineral resource of about 46 square kilometres.A reserve evaluation for natural building sand was carried out by using Geographic Information System (GIS. Maps of the various parameters considered were constructed in digital database format with the aid of Arc/Info and ArcView software. Overlay mapping and buffer zone modules were performed to evaluate inferred resources of building sand. The key parameters of analysis included the distance from transportation, distance from streams, lithology and thickness of sand layers. The remaining inferred sand total was of about 386 million cubic metres or about 1,021 million metric tons was therefore estimated, of which 60 percent lies in the Rattaphum-Khuan Niang region and 40 percent in the other regions.

Foam Rolling for Delayed-Onset Muscle Soreness and Recovery of Dynamic Performance Measures

Science.gov (United States)

Pearcey, Gregory E. P.; Bradbury-Squires, David J.; Kawamoto, Jon-Erik; Drinkwater, Eric J.; Behm, David G.; Button, Duane C.

2015-01-01

Context: After an intense bout of exercise, foam rolling is thought to alleviate muscle fatigue and soreness (ie, delayed-onset muscle soreness [DOMS]) and improve muscular performance. Potentially, foam rolling may be an effective therapeutic modality to reduce DOMS while enhancing the recovery of muscular performance. Objective: To examine the effects of foam rolling as a recovery tool after an intense exercise protocol through assessment of pressure-pain threshold, sprint time, change-of-direction speed, power, and dynamic strength-endurance. Design: Controlled laboratory study. Setting: University laboratory. Patients or Other Participants: A total of 8 healthy, physically active males (age = 22.1 ± 2.5 years, height = 177.0 ± 7.5 cm, mass = 88.4 ± 11.4 kg) participated. Intervention(s): Participants performed 2 conditions, separated by 4 weeks, involving 10 sets of 10 repetitions of back squats at 60% of their 1-repetition maximum, followed by either no foam rolling or 20 minutes of foam rolling immediately, 24, and 48 hours postexercise. Main Outcome Measure(s): Pressure-pain threshold, sprint speed (30-m sprint time), power (broad-jump distance), change-of-direction speed (T-test), and dynamic strength-endurance. Results: Foam rolling substantially improved quadriceps muscle tenderness by a moderate to large amount in the days after fatigue (Cohen d range, 0.59 to 0.84). Substantial effects ranged from small to large in sprint time (Cohen d range, 0.68 to 0.77), power (Cohen d range, 0.48 to 0.87), and dynamic strength-endurance (Cohen d = 0.54). Conclusions: Foam rolling effectively reduced DOMS and associated decrements in most dynamic performance measures. PMID:25415413

Stakeholder relations in the oil sands : managing uncertainty

Energy Technology Data Exchange (ETDEWEB)

NONE

2009-05-15

Alberta's oil sands are now at the crossroads of a series of significant and complex global issues that will require careful negotiation by all stakeholders involved in the oil sands industry. This paper discussed methods of managing uncertainty and risk related to the oil sands industry's agenda for the future. Oil sands developers must continue to secure permission from communities and other key stakeholders in order to develop oil sand projects. Stakeholder relations between oil sands operators, First Nations, and Metis Nation communities must ensure that respect is maintained while environmental impacts are minimized and long-term economic benefits are secured for all parties. Environmental non-governmental organizations (ENGOs) must ensure that oil sands resources are developed responsibly, and that environmental standards are maintained. Seven key shifts in stakeholder relations resulting from the recent economic crisis were identified. These included (1) withdrawal from the multi-stakeholder process, (2) increased focus on government to demonstrate policy leadership, (3) a stronger push from ENGOs to express environmental concerns, (4) global lobby and public relations efforts from ENGOs, (5) companies retreating to local community stakeholders, (6) more active demands from First Nations and Metis Nations groups, and (7) companies challenging ENGO campaigns. The study concluded by suggesting that government leadership is needed to clear policy and regulatory frameworks for Canada's oil sands.

Providing floating capabilities in latest-generation sand screens

Energy Technology Data Exchange (ETDEWEB)

Bowen, E.G.; Coronado, M.P. [Society of Petroleum Engineers, Richardson, TX (United States)]|[Baker Hughes, Houston, TX (United States)

2008-10-15

Alternative production methods are needed for the massive reserves located in the bitumen region of Canada's tar sands. The area has over 100 installations of sand screens/slotted liners in both injection and production legs using steam-assisted gravity drainage (SAGD) technology. Multiple wells must be drilled from a single pad because of the sensitive nature of the environment. With significant depths of these wells, a floating sand screen provides assurance that the sand screen will reach the desired depth. Paraffin is generally used to plug the flow access of the screen during installation. This paper discussed a new technology that has been developed to allow for sand screen installations without relying on paraffin wax to withstand differential pressure. The new technology uses a hydro-mechanical valving system incorporated into the screen design to temporarily close off the screen while being run in the hole. The paper described how the technology could provide a reliable, time-saving solution for SAGD installations when floating sand control screens are needed. The paper discussed current technology and its limitations, sand screen installation, screen design for floating applications, and additional applications. It was concluded that this technology solution provides a unique alternative to the methods currently used to install sand screens with SAGD technology in the fast growing Canadian market for bitumen recovery. 2 refs., 5 figs.

Revegetation and management of tailings sand slopes from tar sand extraction: 1978 results

Energy Technology Data Exchange (ETDEWEB)

Rowell, M J

1979-01-01

The results are reported of research into the revegetation of two areas on a steeply sloping dike composed of tailings sand from tar sand extraction at the Great Canadian Oil Sand Limited plant at Fort McMurray, Alberta. One area was seeded with three pasture grasses and two legumes in 1971 after the slope surface had been mixed with peat to a depth of 15 cm. A second area had been amended with peat or peat and overburden and differing rates of fertilizer added. A mix containing nine grasses, four legumes, and oats, as a companion crop, was seeded in July 1976. The objectives of the research were to study methods for the establishment of a stable vegetative cover that would prevent erosion of the slope and, in time, might become a self maintaining unit. Tillage of soil amendments to a depth of 15 cm and 30 cm were compared in promoting deeper rooting and stabilizing of the slope.

Developing new markets for oil sands products

International Nuclear Information System (INIS)

Crandall, G.

2004-01-01

This paper presents a review by Purvin and Gertz of western Canadian crude oil supply. This energy consulting firm provides advise to the energy sector. It suggests that oil sands production will surpass declining conventional production. Oil sands supply includes bitumen, synthetic crude oil (SCO), and diluent. It is forecasted that oil sands will increase from 42 per cent of western supply in 2002 to 78 per cent in 2015. The potential of Alberta's oil sands was discussed along with a recent study of refined products and petrochemicals from bitumen. Upgrading, refining and petrochemical case studies were presented. The author examined if a Canadian oil sands upgrading project with high capital costs can be competitive with competing projects in the United States and internationally. In addition to supply and demand issues, the presentation examined infrastructure capability and market potential in the United States. The economic potential and risks of preferred business cases compared to upgrading to SCO were also evaluated. 15 figs

The behavior of gaseous iodine in sand

International Nuclear Information System (INIS)

Takahashi, Kanji

1974-01-01

Radioactive iodine gas was passed through 10 different sands collected at rivers and hills. The relation between the amount of the loaded gas and the amount of adsorbed gas was determined at room temperature, 50 -- 60 0 C, and 90 -- 100 0 C under humidity of 2 sand. This amount was about 1 -- 3 times as much as that of monomolecular membrane adsorption, 0.2 -- 0.3 μg/cm 2 . The decrease of adsorption amount that accompanies the increase of humidity is attributable to the decrease of effective surface area of sand due to the presence of water. The transport of iodine in sand was studied by passing gaseous iodine through a glass tubing packed with sand. The distribution in the flow direction of iodine indicated that the ease of desorption depends upon the situation of adsorption. Easily desorbed case was named Henry type adsorption. Hardly desorbed case was named absorption type. Discussion is made on experimental results. (Fukutomi, T.)

Which medical device and/or which local treatment for prevention in patients with risk factors for pressure sores in 2012? Developing French guidelines for clinical practice.

Science.gov (United States)

Nicolas, B; Moiziard, A S; Barrois, B; Colin, D; Michel, J M; Passadori, Y; Ribinik, P

2012-10-01

Implementation of a prevention strategy after the identification of risk factors is essential at the entrance in a care unit or in a medical-social unit. Determine which medical devices and which treatments may be used in order to prevent pressure sore in 2012. Systematic review of the literature using databases: Pascal, Biomed, PubMed, and Cochrane library between 2000 and 2010. Nursing care including use of soft product, non-irritating for the cleaning, hydration of the skin with emollients, protection of fragile skin in case of incontinence by applying a skin protector and application of dressings in front of bony prominences to reduce shear forces, remain valid (level C). Nursing cares and use of dressing in patients with high risks of pressure sores are the responsibility of the nurses. The engagement of health care teams involves screening of risk factors and the knowledge of treatments and local devices. Local preventive treatment in a patient with risk factors of pressure sore is of great interest at entrance in a care unit or in a medical-social unit. Copyright © 2012. Published by Elsevier Masson SAS.

Bioaugmentation of flow-through sand filters

DEFF Research Database (Denmark)

Samuelsen, Elin Djurhuus

for degradation performances in flow-through sand columns, with the aim of identifying a suitable inoculant strain for future environmental applications. Another aim was to identify a suitable genetic marker to monitor phenoxy acid degradation in strain Sphingobium sp. PM2. We were not able to link motility...... and biofilm formation to the strains´ ability to adhere to sand. Nevertheless, a correlation was found between cell surface hydrophobicity and adhesion and overall degradation performances in flow-through sand columns. We identified S phingobium sp. PM2 as a promising inoculant strain, displaying efficient...... MCPA degradation for prolonged periods in flow-through sand columns. In an expression study of catabolic genes with putative roles in phenoxy acid degradation, we observed a marked upregulation of catabolic genes cadA and tfdC upon exposure to MCPA, 2,4-D, dichlorprop and mecoprop in strain PM2, which...

Booming Sand Dunes

Science.gov (United States)

Vriend, Nathalie

"Booming" sand dunes are able to produce low-frequency sound that resembles a pure note from a music instrument. The sound has a dominant audible frequency (70-105 Hz) and several higher harmonics and may be heard from far distances away. A natural or induced avalanche from a slip face of the booming dune triggers the emission that may last for several minutes. There are various references in travel literature to the phenomenon, but to date no scientific explanation covered all field observations. This thesis introduces a new physical model that describes the phenomenon of booming dunes. The waveguide model explains the selection of the booming frequency and the amplification of the sound in terms of constructive interference in a confined geometry. The frequency of the booming is a direct function of the dimensions and velocities in the waveguide. The higher harmonics are related to the higher modes of propagation in the waveguide. The experimental validation includes quantitative field research at the booming dunes of the Mojave Desert and Death Valley National Park. Microphone and geophone recordings of the acoustic and seismic emission show a variation of booming frequency in space and time. The analysis of the sensor data quantifies wave propagation characteristics such as speed, dispersion, and nonlinear effects and allows the distinction between the source mechanism of the booming and the booming itself. The migration of sand dunes results from a complicated interplay between dune building, wind regime, and precipitation. The morphological and morphodynamical characteristics of two field locations are analyzed with various geophysical techniques. Ground-penetrating radar images the subsurface structure of the dunes and reveal a natural, internal layering that is directly related to the history of dune migration. The seismic velocity increases abruptly with depth and gradually increases with downhill position due to compaction. Sand sampling shows local

Oil sands economic impacts Canada : CERI report : backgrounder

International Nuclear Information System (INIS)

2005-09-01

Oil sands production now accounts for 1 out of every 2 barrels of supply in Western Canada. It is anticipated that Alberta's oil sands sector will experience significant growth over the next few decades. This paper provided an outline of the challenges and economic impacts resulting from oil sands development in Canada. Alberta's oil sands reserves are estimated at 175 billion barrels that are deemed economically recoverable using current technology. At current production levels, reserves will sustain production of 2.5 million barrels per day for the next 200 years. A study by the Canadian Energy Research Institute (CERI) has forecast $100 billion in investment for the 2000-2020 period. Numerous companies hold leases and are planning new projects. A number of recent advances in oil sands technology are expected to further reduce costs as development matures. A royalty and tax regime that provides long-term fiscal certainty is a key factor that supports current oil sands growth forecasts. The CERI study has indicated that economic spinoffs from oil sands development relate to employment generated outside of Alberta, and that the largest percentage of government revenue accrues to the federal government. However, development may be constrained because the pace of growth in the sector may exceed underlying infrastructure related to roads, housing and municipal services. An adequate workforce of qualified trades and technical and professional people is also crucial. Several pipeline projects have been proposed to deliver oil sands crudes to new markets over the next decade. It was concluded that the billions of dollars invested in oil sands in Alberta will contribute to the economic prosperity of the entire country. 11 figs

Effect of substrate size on sympatric sand darter benthic habitat preferences

Science.gov (United States)

Thompson, Patricia A.; Welsh, Stuart A.; Rizzo, Austin A.; Smith, Dustin M.

2017-01-01

The western sand darter, Ammocrypta clara, and the eastern sand darter, A. pellucida, are sand-dwelling fishes that have undergone range-wide population declines, presumably owing to habitat loss. Habitat use studies have been conducted for the eastern sand darter, but literature on the western sand darter remains sparse. To evaluate substrate selection and preference, western and eastern sand darters were collected from the Elk River, West Virginia, one of the few remaining rivers where both species occur sympatrically. In the laboratory, individuals were given the choice to bury into five equally available and randomly positioned substrates ranging from fine sand to granule gravel (0.12–4.0 mm). The western sand darter selected for coarse and medium sand, while the eastern sand darter was more of a generalist selecting for fine, medium, and coarse sand. Substrate selection was significantly different (p = 0.02) between species in the same environment, where the western sand darter preferred coarser substrate more often compared to the eastern sand darter. Habitat degradation is often a limiting factor for many species of rare freshwater fish, and results from this study suggest that western and eastern sand darters may respond differently to variations in benthic substrate composition.

Provenance and recycling of Arabian desert sand

Science.gov (United States)

Garzanti, Eduardo; Vermeesch, Pieter; Andò, Sergio; Vezzoli, Giovanni; Valagussa, Manuel; Allen, Kate; Kadi, Khalid A.; Al-Juboury, Ali I. A.

2013-05-01

This study seeks to determine the ultimate origin of aeolian sand in Arabian deserts by high-resolution petrographic and heavy-mineral techniques combined with zircon U-Pb geochronology. Point-counting is used here as the sole method by which unbiased volume percentages of heavy minerals can be obtained. A comprehensive analysis of river and wadi sands from the Red Sea to the Bitlis-Zagros orogen allowed us to characterize all potential sediment sources, and thus to quantitatively constrain provenance of Arabian dune fields. Two main types of aeolian sand can be distinguished. Quartzose sands with very poor heavy-mineral suites including zircon occupy most of the region comprising the Great Nafud and Rub' al-Khali Sand Seas, and are largely recycled from thick Lower Palaeozoic quartzarenites with very minor first-cycle contributions from Precambrian basement, Mesozoic carbonate rocks, or Neogene basalts. Instead, carbonaticlastic sands with richer lithic and heavy-mineral populations characterize coastal dunes bordering the Arabian Gulf from the Jafurah Sand Sea of Saudi Arabia to the United Arab Emirates. The similarity with detritus carried by the axial Tigris-Euphrates system and by transverse rivers draining carbonate rocks of the Zagros indicates that Arabian coastal dunes largely consist of far-travelled sand, deposited on the exposed floor of the Gulf during Pleistocene lowstands and blown inland by dominant Shamal northerly winds. A dataset of detrital zircon U-Pb ages measured on twelve dune samples and two Lower Palaeozoic sandstones yielded fourteen identical age spectra. The age distributions all show a major Neoproterozoic peak corresponding to the Pan-African magmatic and tectonic events by which the Arabian Shield was assembled, with minor late Palaeoproterozoic and Neoarchean peaks. A similar U-Pb signature characterizes also Jafurah dune sands, suggesting that zircons are dominantly derived from interior Arabia, possibly deflated from the Wadi al

The Geodiversity in Drift Sand Landscapes of The Netherlands

Science.gov (United States)

van den Ancker, Hanneke; Jungerius, Pieter Dirk; Riksen, Michel

2015-04-01

The authors carried out detailed field studies of more than twelve drift sand landscapes in The Netherlands. The objective of these studies was to restore Natura-2000 values by restoring the wind activity. Active drift sands occur almost exclusively in The Netherlands, Natura 2000 habitat 2330 'Inland dunes with open Corynephorus and Agrostis grasslands', for which reason our country is largely responsible for this European landscape. Active drift sands had almost disappeared for two reasons: first, the stabilization of the drift sands by air pollution, mainly nitrogen, which stimulates the growth of algae and grasses that initiate soil formation, and second, by the growth of forests surrounding the sands, which decreases the wind force. The restoration studies revealed differences in the geodiversity between and within the drift sand areas. Whereas the drift sands on geological and soil maps show as almost homogenous areas, they have in fact highly variable geo-conditions of which examples will be given. These geodiversity aspects concern differences in geomorphological structure, origin, sediments and age of the drift sands. Differences in wind and water erosion, trampling and soil formation add to the geodiversity within the drift sand areas. Especially in the primary stages of succession the differences in geodiversity are relevant for the Natura-2000 values. We discerned three main types of active sands. Firstly, the impressive drift sands with large parabolic dune structures, often consisting of series of interlocking parabolic dunes. They developed from the northeast towards the southwest, against the direction of the dominant wind, and must have taken centuries to develop. Small parts of these systems are still active, other parts show different degrees of soil formation. Their origin is still unclear but probably dates from medieval times (Heidinga, 1985, Jungerius & Riksen, 2008). Second are the drift sand areas with irregular hills from 0.5 to about 2

Experimental investigation of sanding propensity for the Andrew completion

Energy Technology Data Exchange (ETDEWEB)

Venkitaraman, A.; Li, H. [Schlumberger Perforating and Testing Center (United Kingdom); Leonard, A. J.; Bowden, P. R. [BP Exploration (United Kingdom)

1998-12-31

A series of laboratory experiments were performed on three reservoir core samples selected from two plot wells to confirm the likelihood of sand production during the completion phase of the planned Andrew horizontal wells, and to perform risk analysis of formation failure at the time of underbalance perforation, and expected producing conditions. CT scans revealed no perforation failure, and the core samples did not show any propensity to produce sand during single-phase oil flow. Transient sand production was observed when water cut was introduced, but sand production declined as the percentage of water cut was increased. There was no evidence of sand production in the core samples during depletion testing either, and the wells were subsequently completed with perforated cemented liners without sand control. No sand problems have been encountered in two years of production, with some wells in water cut and declined reservoir pressure of 200 psi. 8 refs., 3 tabs., 5 figs.

Nuclear energy in the oils sands

International Nuclear Information System (INIS)

Arsenault, J.E.

2014-01-01

The major Canadian oil sands are located in Alberta and Saskatchewan, with most production from the strata along the Athabasca River in Alberta. The economically recoverable oil sands reserves are estimated to be 168 billion barrels which at a current production rate of 1.8 million barrels per day (2012), are projected to last a very long time. Canada has been blessed with vast energy resources which make it potentially energy-independent and able to provide significant exports but there are concerns that their development cannot be managed in a wholly acceptable manner. Comparable concerns have been applied to nuclear energy in the past and in recent times to the oil sands. The technologies associated with these energy sources have always been controversial because they are at the confluence of economics and politics where finding a balance between risk and reward is difficult. So it should be no surprise that when these technologies get linked together in certain proposals their prospect for success is doubly difficult. The possible use of nuclear energy for production of oil from the oil sands dates back to the late 1950s, when an experiment to mine the oil by detonating an underground nuclear device was proposed. It was predicted that the heat and pressure released from such a device would create a large cavern into which oil would flow, and from where it would be pumped to the surface. Almost at the same time, oil sands research using conventional sources of energy had culminated with the development of practical refining processes, essentially those still in use today. These methods require large amounts of heat energy in the form of hot water and steam. In this century nuclear energy was proposed as the source for the heat required by the oil sands production processes. To date neither of these nuclear proposals for oil sands projects have been successful, because the economic and political balance could not be struck. (author)

The provenance of Taklamakan desert sand

Science.gov (United States)

Rittner, Martin; Vermeesch, Pieter; Carter, Andrew; Bird, Anna; Stevens, Thomas; Garzanti, Eduardo; Andò, Sergio; Vezzoli, Giovanni; Dutt, Ripul; Xu, Zhiwei; Lu, Huayu

2016-03-01

Sand migration in the vast Taklamakan desert within the Tarim Basin (Xinjiang Uyghur Autonomous region, PR China) is governed by two competing transport agents: wind and water, which work in diametrically opposed directions. Net aeolian transport is from northeast to south, while fluvial transport occurs from the south to the north and then west to east at the northern rim, due to a gradual northward slope of the underlying topography. We here present the first comprehensive provenance study of Taklamakan desert sand with the aim to characterise the interplay of these two transport mechanisms and their roles in the formation of the sand sea, and to consider the potential of the Tarim Basin as a contributing source to the Chinese Loess Plateau (CLP). Our dataset comprises 39 aeolian and fluvial samples, which were characterised by detrital-zircon U-Pb geochronology, heavy-mineral, and bulk-petrography analyses. Although the inter-sample differences of all three datasets are subtle, a multivariate statistical analysis using multidimensional scaling (MDS) clearly shows that Tarim desert sand is most similar in composition to rivers draining the Kunlun Shan (south) and the Pamirs (west), and is distinctly different from sediment sources in the Tian Shan (north). A small set of samples from the Junggar Basin (north of the Tian Shan) yields different detrital compositions and age spectra than anywhere in the Tarim Basin, indicating that aeolian sediment exchange between the two basins is minimal. Although river transport dominates delivery of sand into the Tarim Basin, wind remobilises and reworks the sediment in the central sand sea. Characteristic signatures of main rivers can be traced from entrance into the basin to the terminus of the Tarim River, and those crossing the desert from the south to north can seasonally bypass sediment through the sand sea. Smaller ephemeral rivers from the Kunlun Shan end in the desert and discharge their sediment there. Both river run

Nuclear energy in the oils sands

Energy Technology Data Exchange (ETDEWEB)

Arsenault, J.E.

2014-09-15

The major Canadian oil sands are located in Alberta and Saskatchewan, with most production from the strata along the Athabasca River in Alberta. The economically recoverable oil sands reserves are estimated to be 168 billion barrels which at a current production rate of 1.8 million barrels per day (2012), are projected to last a very long time. Canada has been blessed with vast energy resources which make it potentially energy-independent and able to provide significant exports but there are concerns that their development cannot be managed in a wholly acceptable manner. Comparable concerns have been applied to nuclear energy in the past and in recent times to the oil sands. The technologies associated with these energy sources have always been controversial because they are at the confluence of economics and politics where finding a balance between risk and reward is difficult. So it should be no surprise that when these technologies get linked together in certain proposals their prospect for success is doubly difficult. The possible use of nuclear energy for production of oil from the oil sands dates back to the late 1950s, when an experiment to mine the oil by detonating an underground nuclear device was proposed. It was predicted that the heat and pressure released from such a device would create a large cavern into which oil would flow, and from where it would be pumped to the surface. Almost at the same time, oil sands research using conventional sources of energy had culminated with the development of practical refining processes, essentially those still in use today. These methods require large amounts of heat energy in the form of hot water and steam. In this century nuclear energy was proposed as the source for the heat required by the oil sands production processes. To date neither of these nuclear proposals for oil sands projects have been successful, because the economic and political balance could not be struck. (author)

Sediment Source Fingerprinting of the Lake Urmia Sand Dunes.

Science.gov (United States)

Ahmady-Birgani, Hesam; Agahi, Edris; Ahmadi, Seyed Javad; Erfanian, Mahdi

2018-01-09

Aeolian sand dunes are continuously being discovered in inner dry lands and coastal areas, most of which have been formed over the Last Glacial Maximum. Presently, due to some natural and anthropogenic implications on earth, newly-born sand dunes are quickly emerging. Lake Urmia, the world's second largest permanent hypersaline lake, has started shrinking, vast lands comprising sand dunes over the western shore of the lake have appeared and one question has been playing on the minds of nearby dwellers: where are these sand dunes coming from, What there was not 15 years ago!! In the present study, the determination of the source of the Lake Urmia sand dunes in terms of the quantifying relative contribution of each upstream geomorphological/lithological unit has been performed using geochemical fingerprinting techniques. The findings demonstrate that the alluvial and the fluvial sediments of the western upstream catchment have been transported by water erosion and they accumulated in the lower reaches of the Kahriz River. Wind erosion, as a secondary agent, have carried the aeolian sand-sized sediments to the sand dune area. Hence, the Lake Urmia sand dunes have been originating from simultaneous and joint actions of alluvial, fluvial and aeolian processes.

Changes in active eolian sand at northern Coachella Valley, California

Science.gov (United States)

Katra, Itzhak; Scheidt, Stephen; Lancaster, Nicholas

2009-04-01

Climate variability and rapid urbanization have influenced the sand environments in the northern Coachella Valley throughout the late 20th century. This paper addresses changes in the spatial relationships among different sand deposits at northern Coachella Valley between two recent time periods by using satellite data acquired from the Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER). The approach employed here, involving multispectral thermal infrared (TIR) data and spectral mixture analysis, has shown that the major sand deposits can be spatially modeled at northern Coachella Valley. The "coarse-grained (quartz-rich) sand" deposit is associated with active eolian sand, and the "mixed sandy soil" and "fine-grained (quartz-rich) sand" deposits are associated with inactive eolian sand. The fractional abundance images showed a significant decrease between 2000 and 2006 in the percentage of active sand in the major depositional area for fluvial sediment, the Whitewater River, but also in two downwind areas: the Whitewater and Willow Hole Reserves. The pattern of the active sand appears to be related to variations in annual precipitation (wet and dry years) and river discharge in the northern Coachella Valley. We suggest here that recent human modifications to the major watercourses that supply sand affect the capability of fluvial deposition areas to restore sediments over time and consequently the responses of the sand transport system to climate change, becoming more sensitive to dry years where areas of active sand may shrink, degrade, and/or stabilize faster. The approach utilized in this study can be advantageous for future monitoring of sand in the northern Coachella Valley for management of these and similar environments.

Namibia : triaxial test on sand

DEFF Research Database (Denmark)

Steenfelt, Jørgen S.; Jacobsen, Kim P.

In connection with a harbour project the friction angle of a fine sand is required. On Friday 13 March 1998 the Danish Geotechnical Institute (DGI) delivered app. 2.5 kg sand for testing at the Geotechnical Engineering Laboratory, Aalborg University. The present Data Report summarises the results...... of two CID, isotropically consolidated, drained triaxial tests carried out according to the instructions in DG1 letter dated 13 March 1998....

Pattern formation - Instabilities in sand ripples

DEFF Research Database (Denmark)

Hansen, J. L.; v. Hecke, M.; Haaning, A.

2001-01-01

Sand ripples are seen below shallow wavy water and are formed whenever water oscillates over a bed of sand. Here we analyse the instabilities that can upset this perfect patterning when the ripples are subjected to large changes in driving amplitude or frequency, causing them to deform both...

Southeast Florida Sediment Assessment and Needs Determination (SAND) Study

Science.gov (United States)

2014-09-01

sand with some shell beds, sandstone , and limestone *Miami Limestone 0 to 80 ft Oolitic limestone, quartz sand, and sandstone Anastasia 0 to 100 ft...Sand, shell beds, marl, calcareous sandstone (coquina/calcarenite) Fort Thompson 0 to 80 ft Silty limestone, silty sand, clayey marl, shell marl...highly- to moderately- weathered quartzose sandstone , and highly-weathered (saprolitic) to moderately-weathered hard limestone. North-south and

Modelling the behavior of an oil saturated sand

International Nuclear Information System (INIS)

Evgin, E.; Altaee, A.; Lord, S.; Konuk, I.

1990-01-01

The experiments carried out in an earlier study show the oil contamination affects the strength and deformation characteristics of a crushed quartz sand. In the present study, a mathematical soil model is used to simulate the mechanical behavior of the same sand. The model parameters are determined for both clean and oil contaminated soil. Simulations are made for the stress-strain behavior of the soil in drained and undrained conventional traixial compression tests. In order to illustrate the effect of changes in the soil properties on the behavior of an engineering structure, a finite element analysis is carried out. In this paper comparative results are presented to show the differences in the behavior of a foundation resting on a clean sand, on an oil contaminated sand, and on a sand contaminated locally

Oblique second-order sand transport pathways on an intertidal sand flat in a natural tidal inlet system

DEFF Research Database (Denmark)

Ernstsen, Verner Brandbyge; Lefebvre, Alice; Kroon, Aart

2013-01-01

tide, sand is transported along ESE-oriented pathways across the intertidal flat towards the inner tidal basin. During the late stages of ebb tide, sand is transported in drainage channels (WSWoriented) from the intertidal flat towards the inlet channel. During storm events with winds from SW, wave...

Oil sands supply outlook

International Nuclear Information System (INIS)

Dunbar, R.

2004-01-01

In March 2004, The Canadian Energy Research Institute released a report on the expected future supply from Alberta's oil sands. The report indicates that the future for the already well-established oil sands industry is promising, particularly given the outlook for oil prices. The challenges facing the industry include higher industry supply costs and the need for innovative commercial and technological solutions to address the risks of irregularities and changes in crude oil prices. In 2003, the industry produced 874 thousand barrels per day of synthetic crude oil and unprocessed crude bitumen. This represents 35 per cent of Canada's total oil production. Current production capacity has increased to 1.0 million barrels per day (mbpd) due to new projects. This number may increase to 3.5 mbpd by 2017. Some new projects may be deferred due to the higher raw bitumen and synthetic crude oil supply costs. This presentation provided supply costs for a range of oil sands recovery technologies and production projections under various business scenarios. tabs., figs

Gasification of oil sand coke: review

Energy Technology Data Exchange (ETDEWEB)

Furimsky, E. [IMAF Group, Ottawa, ON (Canada)

1998-08-01

The production of synthetic crude from the tar sands in Western Canada has been steadily increasing. Most of the delayed coke produced by Suncor is combusted on site, whereas all fluid coke produced by Syncrude is stockpiled.The database on the chemical and physical properties of the oil sand coke, including the composition and fusion properties of the mineral matter, has been established. The reactivity of the coke was determined by oxygen chemisorption, fixed bed and fluid bed bench scale gasification and pilot plant gasification. The reactivity of the oil sand coke for gasification is rather low and comparable to high rank coals, such as anthracite. Slurrability tests revealed that a solid concentration in water, approaching 70 wt%, can be achieved. Gasification is the front runner among clean technologies for the conversion of carbonaceous solids to useful products. Several commercial gasifiers are available to cover the wide range of severity. Because of the low reactivity of oil sands coke, high severity conditions are required to achieve high gasification conversion. Such conditions can be attained in entrained bed gasifiers. Gasifiers employing both dry and slurry feeding systems are suitable. A high efficiency, low SO{sub x} and NO{sub x} emissions, as well as a low solid waste production are among the key advantages of the gasification technology compared with thecompeting technologies. Commercial gasification of oil sands coke is delayed because of the availability of natural gas on the site of the upgrading plants. Potential for the transportation of the oil sand coke to USA for electricity generation using the integrated gasification combined-cycle (IGCC) technology was evaluated. 27 refs., 17 figs., 9 tabs.

Reuse of waste cutting sand at Lawrence Livermore National Laboratory

International Nuclear Information System (INIS)

Mathews, S.; Wilson, K.

1998-01-01

Lawrence Livermore National Laboratory (LLNL) examined the waste stream from a water jet cutting operation, to evaluate the possible reuse of waste garnet sand. The sand is a cutting agent used to shape a variety of materials, including metals. Nearly 70,000 pounds of waste sand is generated annually by the cutting operation. The Environmental Protection Department evaluated two potential reuses for the spent garnet sand: backfill in utility trenches; and as a concrete constituent. In both applications, garnet waste would replace the sand formerly purchased by LLNL for these purposes. Findings supported the reuse of waste garnet sand in concrete, but disqualified its proposed application as trench backfill. Waste sand stabilized in a concrete matrix appeared to present no metals-leaching hazard; however, unconsolidated sand in trenches could potentially leach metals in concentrations high enough to threaten ground water quality. A technical report submitted to the San Francisco Bay Regional Water Quality Control Board was reviewed and accepted by that body. Reuse of waste garnet cutting sand as a constituent in concrete poured to form walkways and patios at LLNL was approved

Augmenting Sand Simulation Environments through Subdivision and Particle Refinement

Science.gov (United States)

Clothier, M.; Bailey, M.

2012-12-01

Recent advances in computer graphics and parallel processing hardware have provided disciplines with new methods to evaluate and visualize data. These advances have proven useful for earth and planetary scientists as many researchers are using this hardware to process large amounts of data for analysis. As such, this has provided opportunities for collaboration between computer graphics and the earth sciences. Through collaboration with the Oregon Space Grant and IGERT Ecosystem Informatics programs, we are investigating techniques for simulating the behavior of sand. We are also collaborating with the Jet Propulsion Laboratory's (JPL) DARTS Lab to exchange ideas and gain feedback on our research. The DARTS Lab specializes in simulation of planetary vehicles, such as the Mars rovers. Their simulations utilize a virtual "sand box" to test how a planetary vehicle responds to different environments. Our research builds upon this idea to create a sand simulation framework so that planetary environments, such as the harsh, sandy regions on Mars, are more fully realized. More specifically, we are focusing our research on the interaction between a planetary vehicle, such as a rover, and the sand beneath it, providing further insight into its performance. Unfortunately, this can be a computationally complex problem, especially if trying to represent the enormous quantities of sand particles interacting with each other. However, through the use of high-performance computing, we have developed a technique to subdivide areas of actively participating sand regions across a large landscape. Similar to a Level of Detail (LOD) technique, we only subdivide regions of a landscape where sand particles are actively participating with another object. While the sand is within this subdivision window and moves closer to the surface of the interacting object, the sand region subdivides into smaller regions until individual sand particles are left at the surface. As an example, let's say

Understanding Colombian Amazonian white sand forests

NARCIS (Netherlands)

Peñuela-Mora, M.C.

2014-01-01

Although progress has been made in studies on white sand forests in the Amazon, there is still a considerable gap in our knowledge of the unique species composition of white sand forests and their structure and dynamics, especially in Western Amazon. This thesis aims to fill this gap by addressing

Trajectories of saltating sand particles behind a porous fence

Science.gov (United States)

Zhang, Ning; Lee, Sang Joon; Chen, Ting-Guo

2015-01-01

Trajectories of aeolian sand particles behind a porous wind fence embedded in a simulated atmospheric boundary layer were visualized experimentally, to investigate the shelter effect of the fence on sand saltation. Two sand samples, one collected from a beach (d = 250 μm) and the other from a desert (d = 100 μm), were tested in comparison with the previous studies of a 'no-fence' case. A wind fence (ε = 38.5%) was installed on a flat sand bed filled with each sand sample. A high-speed photography technique and the particle tracking velocimetry (PTV) method were employed to reconstruct the trajectories of particles saltating behind the fence. The collision processes of these sand particles were analyzed, momentum and kinetic energy transfer between saltating particles and ground surface were also investigated. In the wake region, probability density distributions of the impact velocities agree well with the pattern of no-fence case, and can be explained by a log-normal law. The horizontal component of impact velocity for the beach sand is decreased by about 54%, and about 76% for the desert sand. Vertical restitution coefficients of bouncing particles are smaller than 1.0 due to the presence of the wind fence. The saltating particles lose a large proportion of their energy during the collision process. These results illustrate that the porous wind fence effectively abates the further evolution of saltating sand particles.

A New Option for the Reconstruction of Primary or Recurrent Ischial Pressure Sores: Hamstring-Adductor Magnus Muscle Advancement Flap and Direct Closure.

Science.gov (United States)

Burm, Jin Sik; Hwang, Jungil; Lee, Yung Ki

2018-04-01

Owing to the high recurrence rates of ischial pressure sores, surgeons should consider the possibility of future secondary flap surgery during flap selection. The purpose of this article is to present a new surgical option for the reconstruction of primary or recurrent ischial pressure sores using a simple hamstring-adductor magnus advancement flap and direct closure. After horizontal fusiform skin excision, complete bursa excision and ischiectomy were performed. The tenomuscular origin of the adductor magnus and the conjoined tenomuscular origin of the biceps femoris long head and semitendinosus were isolated and completely detached from the inferior border of the ischial tuberosity. They were then advanced in a cephalad direction without detachment of the distal tendon or muscle and securely affixed to the sacrotuberous ligament. The wound was directly closed without further incision or dissection. Twelve ischial pressure sores (6 primary and 6 recurrent; 12 patients) were surgically corrected. The follow-up period was 12 to 65 months. All patients healed successfully without early postoperative complications, such as hematoma, seroma, infection, wound dehiscence, or partial necrosis. Late complications included wound disruption 5 weeks after surgery that spontaneously healed in 1 case and recurrence 3 years later in another case. The new surgical option presented herein, which involves hamstring-adductor magnus advancement flap and direct closure, is a simple and reliable method for providing sufficient muscle bulk to fill the dead space and proper padding to the bone stump while preserving the main vascular perforators and pedicles as well as future surgical options.

Biodegradable materials as binders for IVth generation moulding sands

OpenAIRE

K. Major-Gabry

2015-01-01

This paper focuses on the possibility of using the biodegradable materials as binders (or parts of binders?compositions) for foundry moulding and core sands. Results showed that there is a great possibility of using available biodegradable materials as foundry moulding sand binders. Using biodegradable materials as partial content of new binders, or additives to moulding sands may not only decrease the toxicity and increase reclamation ability of tested moulding sands, but also accelerate the...

The Canadian oil sands--a sticky future

Energy Technology Data Exchange (ETDEWEB)

Cowtan, S A

1977-01-01

The oil sands have been known for 200 yr but only over the last decade have they been recognized as a potential major energy source for Canada. The study looks at the present GCOS plant, and briefly discusses Canada's future energy requirements and how she might fill those requirements from conventional and nonconventional sources, such as the Frontier areas, oil sands mining, oil sands in situ, and heavy oil. The economics and the future of these sources and the environment necessary for their development are analyzed.

Thermoluminescent dosimetric properties of Descalvado sand

International Nuclear Information System (INIS)

Teixeira, M.I.; Caldas, L.V.E.

2006-01-01

Sand samples proceeding from Descalvado, Sao Paulo, were studied with regard to their dosimetric properties using the thermoluminescence technique (TL) for high doses. These sand samples present steady physical and chemical characteristics to the end items, and they are used in the glass industry and for casting. The TL curves of the samples were obtained after an irradiation at the Gamma-Cell system ( 60 Co), of IPEN. The glow curves present two peaks at 80 C and 220 C approximately. Calibration curves were obtained for doses between 50 Gy and 5 kGy. The results indicate that the sand samples can be used for high-doses dosimetry in several areas of applications of ionizing radiation. (Author)

Thermoluminescent dosimetric properties of Descalvado sand

Energy Technology Data Exchange (ETDEWEB)

Teixeira, M.I.; Caldas, L.V.E

2006-07-01

Sand samples proceeding from Descalvado, Sao Paulo, were studied with regard to their dosimetric properties using the thermoluminescence technique (TL) for high doses. These sand samples present steady physical and chemical characteristics to the end items, and they are used in the glass industry and for casting. The TL curves of the samples were obtained after an irradiation at the Gamma-Cell system ({sup 60} Co), of IPEN. The glow curves present two peaks at 80 C and 220 C approximately. Calibration curves were obtained for doses between 50 Gy and 5 kGy. The results indicate that the sand samples can be used for high-doses dosimetry in several areas of applications of ionizing radiation. (Author)

A Improved Seabed Surface Sand Sampling Device

Science.gov (United States)

Luo, X.

2017-12-01

In marine geology research it is necessary to obtain a suf fcient quantity of seabed surface samples, while also en- suring that the samples are in their original state. Currently,there are a number of seabed surface sampling devices available, but we fnd it is very diffcult to obtain sand samples using these devices, particularly when dealing with fne sand. Machine-controlled seabed surface sampling devices are also available, but generally unable to dive into deeper regions of water. To obtain larger quantities of seabed surface sand samples in their original states, many researchers have tried to improve upon sampling devices,but these efforts have generally produced ambiguous results, in our opinion.To resolve this issue, we have designed an improved andhighly effective seabed surface sand sampling device that incorporates the strengths of a variety of sampling devices. It is capable of diving into deepwater to obtain fne sand samples and is also suited for use in streams, rivers, lakes and seas with varying levels of depth (up to 100 m). This device can be used for geological mapping, underwater prospecting, geological engineering and ecological, environmental studies in both marine and terrestrial waters.

Mitigating in situ oil sands carbon costs

Energy Technology Data Exchange (ETDEWEB)

Theriault, D.J.; Peterson, J. [Laricina Energy Ltd., Calgary, AB (Canada); Heinrichs, H. [Canadian Chemical Technology Inc., Calgary, AB (Canada)

2008-10-15

Carbon capture and sequestration is a complex problem with a variety of dimensions that need to be considered. The political, social, and regulatory pressures are forcing carbon costs on the oil sands industry in an effort to reduce the carbon footprint of oil sands operations. This paper reviewed the political, social, and regulatory pressures and obligations for the in-situ oil sands industry. It presented the views and insights of Laricina Energy on the carbon challenge. It also described the initiatives that Laricina Energy is taking to manage these imperatives and outlined the challenges the industry is facing. The purpose of the paper was to encourage dialogue and collaboration by the oil sands industry. The paper also described the dimensions of the carbon problem and how the industry can contribute to a solution. Last, the paper reviewed the parameters of carbon dioxide or greenhouse gas containment and storage issues. It was concluded that the regulatory and policy requirements need to be clarified so that industry understands the new business landscape as well as the requirements that influence the economics of in-situ oil sands development. 7 refs., 7 figs.

Quantification and localisation of damage in rat muscles after controlled loading; a new approach to study the aetiology of pressure sores

NARCIS (Netherlands)

Bosboom, E.M.H.; Bouten, C.V.C.; Oomens, C.W.J.; Straaten, van H.W.M.; Baaijens, F.P.T.; Kuipers, H.

2001-01-01

To obtain more insight in the aetiology of deep pressure sores, an animal model was developed to relate controlled externalloading to local muscle damage. The tibialis anterior muscle (TA) and overlying skin of a rat were compressed between indentorand tibia. Loads of 10, 70 and 250 kPa at skin

Aging effects on oil-contaminated Kuwaiti sand

International Nuclear Information System (INIS)

Al-Sanad, H.A.; Ismael, N.F.

1997-01-01

Large quantities of oil-contaminated sands resulted from the destruction of oil wells and the formation of oil lakes in Kuwait at the end of the Gulf Wa/r. A laboratory testing program was carried out to determine the geotechnical properties of this material and the effect of aging on their properties. Tests included direct shear, triaxial, and consolidation tests on clean and contaminated sand at the same relative density. The influence of aging was examined by testing uncontaminated sand after aging for one, three, and six months in natural environmental conditions. The results indicated increased strength and stiffness due to aging and a reduction of the oil content due to evaporation of volatile compounds. The factors that influence the depth of oil penetration in compacted sand columns were also examined including the type of oil, relative density, and the amount of fines

Effectiveness of SCADA Systems in Control of Green Sands Properties

Directory of Open Access Journals (Sweden)

Ignaszak Z.

2016-03-01

Full Text Available The paper undertakes an important topic of evaluation of effectiveness of SCADA (Supervisory Control and Data Acquisition systems, used for monitoring and control of selected processing parameters of classic green sands used in foundry. Main focus was put on process studies of properties of so-called 1st generation molding sands in the respect of their preparation process. Possible methods of control of this processing are presented, with consideration of application of fresh raw materials, return sand (regenerate and water. The studies conducted in one of European foundries were aimed at pointing out how much application of new, automated plant of sand processing incorporating the SCADA systems allows stabilizing results of measurement of selected sand parameters after its mixing. The studies concerned two comparative periods of time, before an implementation of the automated devices for green sands processing (ASMS - Automatic Sand Measurement System and MCM – Main Control Module and after the implementation. Results of measurement of selected sand properties after implementation of the ASMS were also evaluated and compared with testing studies conducted periodically in laboratory.

Effective Laboratory Method of Chromite Content Estimation in Reclaimed Sands

Directory of Open Access Journals (Sweden)

Ignaszak Z.

2016-09-01

Full Text Available The paper presents an original method of measuring the actual chromite content in the circulating moulding sand of foundry. This type of material is applied for production of moulds. This is the case of foundry which most frequently perform heavy casting in which for the construction of chemical hardening mould is used, both the quartz sand and chromite sand. After the dry reclamation of used moulding sand, both types of sands are mixed in various ratios resulting that in reclaimed sand silos, the layers of varying content of chromite in mixture are observed. For chromite recuperation from the circulating moulding sand there are applied the appropriate installations equipped with separate elements generating locally strong magnetic field. The knowledge of the current ratio of chromite and quartz sand allows to optimize the settings of installation and control of the separation efficiency. The arduous and time-consuming method of determining the content of chromite using bromoform liquid requires operational powers and precautions during using this toxic liquid. It was developed and tested the new, uncomplicated gravimetric laboratory method using powerful permanent magnets (neodymium. The method is used in the production conditions of casting for current inspection of chromite quantity in used sand in reclamation plant.

A combined CFD-experimental method for developing an erosion equation for both gas-sand and liquid-sand flows

Science.gov (United States)

Mansouri, Amir

The surface degradation of equipment due to consecutive impacts of abrasive particles carried by fluid flow is called solid particle erosion. Solid particle erosion occurs in many industries including oil and gas. In order to prevent abrupt failures and costly repairs, it is essential to predict the erosion rate and identify the locations of the equipment that are mostly at risk. Computational Fluid Dynamics (CFD) is a powerful tool for predicting the erosion rate. Erosion prediction using CFD analysis includes three steps: (1) obtaining flow solution, (2) particle tracking and calculating the particle impact speed and angle, and (3) relating the particle impact information to mass loss of material through an erosion equation. Erosion equations are commonly generated using dry impingement jet tests (sand-air), since the particle impact speed and angle are assumed not to deviate from conditions in the jet. However, in slurry flows, a wide range of particle impact speeds and angles are produced in a single slurry jet test with liquid and sand particles. In this study, a novel and combined CFD/experimental method for developing an erosion equation in slurry flows is presented. In this method, a CFD analysis is used to characterize the particle impact speed, angle, and impact rate at specific locations on the test sample. Then, the particle impact data are related to the measured erosion depth to achieve an erosion equation from submerged testing. Traditionally, it was assumed that the erosion equation developed based on gas testing can be used for both gas-sand and liquid-sand flows. The erosion equations developed in this work were implemented in a CFD code, and CFD predictions were validated for various test conditions. It was shown that the erosion equation developed based on slurry tests can significantly improve the local thickness loss prediction in slurry flows. Finally, a generalized erosion equation is proposed which can be used to predict the erosion rate in

Big picture thinking in oil sands tailings disposal

Energy Technology Data Exchange (ETDEWEB)

Boswell, J. [Thurber Engineering Ltd., Calgary, AB (Canada)

2010-07-01

This PowerPoint presentation discussed methods of disposing oil sands tailings. Oil sands operators are currently challenged by a variety of legislative and environmental factors concerning the creation and disposal of oil sands tailings. The media has focused on the negative ecological impact of oil sands production, and technical issues are reducing the effect of some mitigation processes. Operators must learn to manage the interface between tailings production and removal, the environment, and public opinion. The successful management of oil sand tailings will include procedures designed to improve reclamation processes, understand environmental laws and regulations, and ensure that the cumulative impacts of tailings are mitigated. Geotechnical investigations, engineering designs and various auditing procedures can be used to develop tailings management plans. Environmental screening and impact assessments can be used to develop sustainable solutions. Public participation and environmental mediation is needed to integrate the public, environmental and technical tailings management strategies. Operators must ensure public accountability for all stakeholders. tabs., figs.

Least tern and piping plover nesting at sand pits in Nebraska

Science.gov (United States)

Sidle, John G.; Kirsch, E.M.

1993-01-01

Endangered Least Terns (Sterna antillarum) and threatened Piping Plovers (Charadrius melodus) nest at commercial sand and gravel mining operations (sand pits) along the Platte River system in Nebraska. Sandbar habitat has been disappearing since the early 1900's along the Platte River system, but numbers of sand pits have increased. We hypothesized that birds would more fully utilize sand pits where suitable sandbar habitat was limited. We inventoried sand pits and censused terns and plovers on both habitats along the Loup River, part of the North Loup River, and most of the Platte River during 1988-1991. Using aircraft, we also quantified features of suitable sand pits present on the central Platte in 1988 and lower Platte in 1990, and related features to abundance and presence of birds. We found 225 sand pits of which 78 were suitable and 187 were unsuitable for nesting. Along the central Platte, where sandbar habitat is severely degraded, birds nested at 81% of the suitable sand pits (N = 32) at least once during 1988-1991, and most birds (61-94%) nested on sand pits. Along the lower Platte, where both sandbar and sand pit habitat are plentiful, birds nested at 60% of the suitable sand pits (N = 35) at least once during 1988-1991, and most birds (60-86%) nested on sandbars. Numbers of terns and plovers were more weakly correlated with features of sand pits on the central Platte than on the lower Platte. Least Terns and Piping Plovers seem to use more of the suitable sand pit habitat on the central Platte than on the lower Platte. Sand pits probably have influenced the birds' distribution by providing alternative nesting habitat along rivers where suitable sandbars are rare or absent.

Characterization of sand lenses embedded in tills

DEFF Research Database (Denmark)

Kessler, Timo Christian; Klint, K.E.S.; Nilsson, B.

2012-01-01

Tills dominate large parts of the superficial sediments on the Northern hemisphere. These glacial diamictons are extremely heterogeneous and riddled with fractures and lenses of sand or gravel. The frequency and geometry of sand lenses within tills are strongly linked to glaciodynamic processes...

Sand impaction of the small intestine in eight dogs.

Science.gov (United States)

Moles, A D; McGhite, A; Schaaf, O R; Read, R

2010-01-01

To describe signalment, clinical findings, imaging and treatment of intestinal sand impaction in the dog. Medical records of dogs with radiographic evidence of small intestinal sand impaction were reviewed. Sand impaction resulting in small intestinal obstruction was diagnosed in eight dogs. All dogs presented with signs of vomiting. Other clinical signs included anorexia, lethargy and abdominal pain. Radiographs confirmed the presence of radio-opaque material consistent with sand causing distension of the terminal small intestine in all dogs. Four dogs were treated surgically for their impaction and four dogs were managed medically. Seven of the eight dogs survived. Both medical and surgical management of intestinal sand impaction in the dog can be effective and both afford a good prognosis for recovery.

Consolidation of the formation sand by chemical methods

Directory of Open Access Journals (Sweden)

Mariana Mihočová

2006-10-01

Full Text Available The sand control by consolidation involves the process of injecting chemicals into the naturally unconsolidated formation to provide an in situ grain-to-grain cementation. The sand consolidation chemicals are available for some 30 years. Several types of consolidating material were tried. Presently available systems utilize solidified plastics to provide the cementation. These systems include phenol resin, phenol-formaldehyde, epoxy, furan and phenolic-furfuryl.The sand consolidation with the steam injection is a novel technique. This process provides a highly alkaline liquid phase and temperatures to 300 °C to geochemically create cements by interacting with the dirty sand.While the formation consolidation has widely applied, our experience has proved a high level of success.

Geotechnical properties of crude oil contaminated sand

International Nuclear Information System (INIS)

Puri, V.K.; Das, B.M.; Cook, E.E.; Shin, E.C.

1994-01-01

Contamination of soil due to an oil spill influences its subsequent engineering behavior. An investigation was conducted to study the effect of crude oil contamination on compaction characteristics, shear strength, one-dimensional compression, and coefficient of permeability. Water permeability was also determined by using commercial grade motor oils as contaminants. The test results indicate that the compaction characteristics are influenced by oil contamination. The angle of internal friction of sand (based on total stress condition) decreases due to presence of oil within the pore spaces in sand. One dimensional compression characteristics of sand are significantly influenced by oil contamination resulting in a decrease in the value of constrained modulus with increase in the degree of oil contamination compared to the case of dry sand. Water permeability was observed to be a function of the initial viscosity and the degree of saturation due to the contaminating oil

Sanding dust from nanoparticle-containing paints: Physical characterisation

International Nuclear Information System (INIS)

Koponen, I K; Jensen, K A; Schneider, T

2009-01-01

Increasing use of nanoparticles in different industrial applications has raised a new potential health risk to the workers as well as to the consumers. This study investigates the particle size distributions of sanding dust released from paints produced with and without engineered nanoparticles. Dust emissions from sanding painted plates were found to consist of five size modes; three modes under 1 μm and two modes around 1 and 2 μm. We observed that the sander was the only source of particles smaller than 50 nm and they dominated the number concentration spectra. Mass and surface area spectra were dominated by the 1 and 2 μm modes. Addition of nanoparticles caused only minor changes in the geometric mean diameters of the particle modes generated during sanding of two paints doped with 17 nm TiO2 and 95 nm Carbon Black nanoparticles as compared to the size modes generated during sanding a conventional reference paint. However, the number concentrations in the different size modes varied considerably in between the two NP-doped paints and the reference paint. Therefore, from a physical point of view, there may be a difference in the exposure risk during sanding surfaces covered with nanoparticle-based paints as compared to sanding conventional paints.

[Preliminary Study of Lonicera hypoglauca on Germination Conditions of Sand Culture Seeds and Sterilization Method of Sand Culture Seedling Sterilization].

Science.gov (United States)

Tan, Mu-xiu; Zeng, Wen-wen; Wei, Peng-xiao; Mo, Qiao-cheng; Pu, Zu-ning; Cen, Xiu-fen; Shi, Feng-hua

2015-05-01

To explore the germination conditions of Lonicera hypoglauca sand culture seeds and the effects of sand culture seedlings sterilization. 0.1% HgCl2 with different sterilization time, different illumination time and temperature culture condition were adopted to study the germination conditions of sand culture seeds. Different sterilization treatments and different hardening-seedling days were used to test the sterilization effect of sand culture seedlings. The sterilization effect of the combination of 75% ethanol 30 s + 0.1% HgCl2 5 min on Lonicera hypoglauca seeds was the optimum,with the average pollution rate of 15.56%, and the average germination rate reached 51.11%. The combination of varied temperature-room temperature under light for 12 h/d was the best, with the average germination rate peaked at 75.49%, and the average germination potential reached 68.36%. The treatment of detergent liquor scrub-tap water wash on the part above the hypocotyl, which was sand cultured under the opening condition and had no root, showed the best sterilization effect, with the average pollution rate was zero, and the average survival rate peaked at 100.00%. The sterilization effect of sand culture seedlings, which was disinfected after cleaning by detergent liquor scrub-tap water wash after hardening-seeding for 30 days, was the best, with the average pollution rate of 50.00%, and the average survival rate of 100.00%. The best sterilization effect is the combination of 75% ethanol 30 s + 0.1% HgCl2 5 min; Lighting for 12 h/d of varied temperature-room temperature is regarded as the optimum culture condition. The treatment of detergent liquor scrub-tap water wash treatment on the part above the hypocotyl,which is sand cultured under the opening condition and had no root, shows the best sterilization effect. For the sand culture seedlings, before inoculated in subculture medium, should be hardening-seedling for some days and sterilized after detergent liquor scrub-tap water wash.

Strength and Compaction Analysis of Sand-Bentonite-Coal Ash Mixes

Science.gov (United States)

Sobti, Jaskiran; Singh, Sanjay Kumar

2017-08-01

This paper deals with the strength and compaction characteristics of sand-bentonite-coal ash mixes prepared by varying percentages of sand, bentonite and coal ash to be used in cutoff walls and as a liner or cover material in landfills. The maximum dry density (MDD) and optimum moisture content (OMC) of sand-bentonite mixes and sand-bentonite-coal ash mixes were determined by conducting the standard proctor test. Also, the strength and stiffness characteristics of soil mixes were furnished using unconfined compressive strength test. The results of the study reveal influence of varying percentages of coal ash and bentonite on the compaction characteristics of the sand-bentonite-coal ash mixes. Also, validation of a statistical analysis of the correlations between maximum dry density (MDD), optimum moisture content (OMC) and Specific Gravity (G) was done using the experimental results. The experimental results obtained for sand-bentonite, sand-bentonite-ash and coal ash-bentonite mixes very well satisfied the statistical relations between MDD, OMC and G with a maximum error in the estimate of MDD being within ±1 kN/m3. The coefficient of determination (R2) ranged from 0.95 to 0.967 in case of sand-bentonite-ash mixes. However, for sand-bentonite mixes, the R2 values are low and varied from 0.48 to 0.56.

Sand filter clogging by septic tank effluent.

Science.gov (United States)

Spychała, M; Błazejewski, R

2003-01-01

The aim of this study was to characterise conditions and factors affecting fine sand clogging by septic tank effluent on the basis of physical modelling. The physical model consisted of 12 sand columns dosed with sewage from one household (5 persons), preliminary treated in a septic tank. Hydraulic loadings of the sand filters were equal to 82 mm/d. The mean discharge from sand columns, measured as the effluent volume collected during 10 minutes, decreased significantly over the experiment period from 34 cm3/min in August 2000 to 20 cm3/min in August 2001 at the same temperature of about 20 degrees C. First the columns clogged almost completely after 480 days in December 2001, however six columns had remained unclogged till the end of the experiment (March 2002). The temperature had a significant impact on hydraulic conductivity. A vertical distribution of accumulated mass and biomass was investigated in partly clogged sand. Microscopic survey of the clogging layer showed a presence of live micro-organisms, residuals of dead micro-organisms, particularly pieces of small animal armour and many fibres. These particles accelerated the accumulation of solids in the upper clogging layer. The study indicated that temperature impact on the filter hydraulic conductivity was more significant for biological activity, than for sewage viscosity.

Gravel Mobility in a High Sand Content Riverbed

Science.gov (United States)

Haschenburger, J. K.

2017-12-01

In sand-gravel channels, sand may modify gravel transport by changing conditions of entrainment and promoting longer displacements or gravel may inhibit sand transport if concentrated into distinct deposits, which restrict sand supply with consequences for migrating bedform size or form. This study reports on gravel mobility in the lower San Antonio River, Texas, where gravel content in the bed material ranges from about 1% to more than 20%. Sediment transport observations were collected at three U.S. Geological Survey gauging stations by deploying a Helley-Smith sampler with a 0.2 mm mesh bag from which transport rates and mobile grain sizes were determined. The flow rates sampled translate into an annual exceedance expectation from 0.2% to 98%. Gravel transport rates are generally two orders of magnitude smaller than the rates of sand transport. However, the finest gravels are transported at rates on the same order of magnitude as the coarsest sands. At all sites, the 2 and 2.8 mm fractions are transported at the lowest flow rate sampled, suggesting mobility for at least 38% to as much as 98% of the year. Fractions as large as 8 mm are mobilized at flow rates that are expected between 25% and 53% of the year. The largest fractions captured in the sampling (16 to 32 mm) require flows closer to bankfull conditions that occur no more than 0.8% of the year. Results document that some gravel sizes can be frequently transported in low gradient riverbeds with high sand content.

Sand waves on an epicontinental shelf: Northern Bering Sea

Science.gov (United States)

Field, M.E.; Nelson, C.H.; Cacchione, D.A.; Drake, D.E.

1981-01-01

Sand waves and current ripples occupy the crests and flanks of a series of large linear sand ridges (20 km ?? 5 km ?? 10 m high) lying in an open-marine setting in the northern Bering Sea. The sand wave area, which lies west of Seward Peninsula and southeast of Bering Strait, is exposed to the strong continuous flow of coastal water northward toward Bering Strait. A hierarchy of three sizes of superimposed bedforms, all facing northward, was observed in successive cruises in 1976 and 1977. Large sand waves (height 2 m; spacing 200 m) have smaller sand waves (height 1 m; spacing 20 m) lying at a small oblique angle on their stoss slopes. The smaller sand waves in turn have linguoid ripples on their stoss slopes. Repeated studies of the sand wave fields were made both years with high-resolution seismic-reflection profiles, side-scan sonographs, underwater photographs, current-meter stations, vibracores, and suspended-sediment samplers. Comparison of seismic and side-scan data collected along profile lines run both years showed changes in sand wave shape that indicate significant bedload transport within the year. Gouge marks made in sediment by keels of floating ice also showed significantly different patterns each year, further documenting modification to the bottom by sediment transport. During calm sea conditions in 1977, underwater video and camera observations showed formation and active migration of linguoid and straight-crested current ripples. Current speeds 1 m above the bottom were between 20 and 30 cm/s. Maximum current velocities and sand wave migration apparently occur when strong southwesterly winds enhance the steady northerly flow of coastal water. Many cross-stratified sand bodies in the geologic record are interpreted as having formed in a tidal- or storm-dominated setting. This study provides an example of formation and migration of large bedforms by the interaction of storms with strong uniform coastal currents in an open-marine setting. ?? 1981.

Scour at Vertical Piles in Sand-Clay Mixtures under Waves

DEFF Research Database (Denmark)

Dey, Subhasish; Helkjær, Anders; Sumer, B. Mutlu

2011-01-01

Marine sediments often contain sand-clay mixtures in widely varying proportions. This study presents the results of equilibrium scour and time variation of scour depths at circular piles embedded vertically in clay alone and sand-clay mixed beds under waves. Experiments were conducted in a wave...... flume with different proportions of sand-clay mixtures as bed sediments. Test results for the cases of steady current and sand alone under waves are used as references. The equilibrium scour depth reduces with an increase in clay proportion n (by weight) in a sand-clay mixture. Interestingly, the scour...

Frac sand in the United States: a geological and industry overview

Science.gov (United States)

Benson, Mary Ellen; Wilson, Anna B.; Bleiwas, Donald I.

2015-01-01

A new mineral rush is underway in the upper Midwest of the United States, especially in Wisconsin and Minnesota, for deposits of high-quality frac sand that the mining industry calls “Northern White” sand or “Ottawa” sand. Frac sand is a specialized type of sand that is added to fracking fluids that are injected into unconventional oil and gas wells during hydraulic fracturing (fracking or hydrofracking), a process that enhances petroleum extraction from tight (low permeability) reservoirs. Frac sand consists of natural sand grains with strict mineralogical and textural specifications that act as a proppant (keeping induced fractures open), extending the time of release and the flow rate of hydrocarbons from fractured rock surfaces in contact with the wellbore.

The effect of topical thiocolchicoside in preventing and reducing the increase of muscle tone, stiffness, and soreness: A real-life study on top-level road cyclists during stage competition.

Science.gov (United States)

Gervasi, Marco; Sisti, Davide; Benelli, Piero; Fernández-Peña, Eneko; Calcabrini, Cinzia; Rocchi, Marco B L; Lanata, Luigi; Bagnasco, Michela; Tonti, Andrea; Vilberto, Stocchi; Sestili, Piero

2017-07-01

In professional road cyclists, the majority of overuse injuries affect the lower limbs and are mostly represented by contractures or muscle shortening, characterized by an increase of tone and stiffness and a variation of elasticity. Treatment and prevention of these specific conditions may include physical, supplementary, and pharmacologic support. The aim of this real-life study was to determine: first, the alterations of tone, stiffness, elasticity, and soreness of rectus femoris (RF) and biceps femoris (BF) in top class cyclists engaged in 3 multistage races, and second, whether any variable in the management of the athletes may affect the prevention and/or reduction of such alterations.Twenty-three professional cyclists competing in 3 international, cycling stage races were assessed. Athletes could receive, upon the approval of the medical staff, physical, dietary, and/or pharmacological management which could include treatments with topical over-the-counter myorelaxants to prevent and/or reduce muscle contractures. MyotonPro was used to daily measure tone, stiffness, and elasticity in RF and BF in relaxed and contracted state after every stage. In parallel, BF and RF soreness was also assessed with a Likert scale.All athletes received the same general massage management; none of them received dietary supplements; some of the athletes were treated with a topical myorelaxant thiocolchicoside (TCC 0.25%) foam 3 times daily. TCC was identified as the only variable able to affect these muscle parameters in the cyclists. Tone, stiffness (regardless of the state), and soreness significantly increased over time either in BF or RF in all athletes. In the group of athletes that used TCC (n = 11; TCC+) the increase in tone, stiffness, and soreness was significantly lower than in the group not receiving TCC (n = 12; No-TCC). Elasticity varied coherently with tone and stiffness.A very intense and protracted sport activity increases muscular tone, stiffness, and

On shelterbelt design for combating sand invasion.

NARCIS (Netherlands)

Mohammed, A.E.; Stigter, C.J.; Adam, H.S.

1996-01-01

After a review of the scarce literature on using trees against sand encroachment, a quantitative experiment with a wide shelterbelt to combat sand invasion is reported on. Experimental work was carried out at the northwestern border of the Gezira Scheme (Sudan), an area of severe land degradation

Short Communications Sand moisture as a factor determining depth ...

African Journals Online (AJOL)

1993-11-05

Nov 5, 1993 ... The depths to which the animals burrow are, at least partly. determined by the moisture gradient in the sand. They are, however, incapable of burrowing into totally dry sand. Animals alter their position in the sand in response to changes in moisture content so as to ensure exposure to suitable conditions.

Simulating Sand Behavior through Terrain Subdivision and Particle Refinement

Science.gov (United States)

Clothier, M.

2013-12-01

Advances in computer graphics, GPUs, and parallel processing hardware have provided researchers with new methods to visualize scientific data. In fact, these advances have spurred new research opportunities between computer graphics and other disciplines, such as Earth sciences. Through collaboration, Earth and planetary scientists have benefited by using these advances in hardware technology to process large amounts of data for visualization and analysis. At Oregon State University, we are collaborating with the Oregon Space Grant and IGERT Ecosystem Informatics programs to investigate techniques for simulating the behavior of sand. In addition, we have also been collaborating with the Jet Propulsion Laboratory's DARTS Lab to exchange ideas on our research. The DARTS Lab specializes in the simulation of planetary vehicles, such as the Mars rovers. One aspect of their work is testing these vehicles in a virtual "sand box" to test their performance in different environments. Our research builds upon this idea to create a sand simulation framework to allow for more complex and diverse environments. As a basis for our framework, we have focused on planetary environments, such as the harsh, sandy regions on Mars. To evaluate our framework, we have used simulated planetary vehicles, such as a rover, to gain insight into the performance and interaction between the surface sand and the vehicle. Unfortunately, simulating the vast number of individual sand particles and their interaction with each other has been a computationally complex problem in the past. However, through the use of high-performance computing, we have developed a technique to subdivide physically active terrain regions across a large landscape. To achieve this, we only subdivide terrain regions where sand particles are actively participating with another object or force, such as a rover wheel. This is similar to a Level of Detail (LOD) technique, except that the density of subdivisions are determined by

SPECIFIC RESISTANCE AND SPECIFIC INTENSITY OF BELT SANDING OF WOOD

Directory of Open Access Journals (Sweden)

Boleslaw Porankiewicz

2010-06-01

Full Text Available This paper examines and discusses the specific belt sanding resistance K (N·cm-2 and specific belt sanding intensity SI (g·cm-2·min-1, for wood of Pinus sylvestris L., Picea abies L., Quercus robra L., Acer pseudoplatanus L., Alnus glutinosa Gaertn., and Populus Nigra L., by different sanding pressure pS, different sanding grit NG number, and different wood grain angles Phi(v.

Sand (CSW4)

CSIR Research Space (South Africa)

Estuarine and Coastal Research Unit

1982-12-01

Full Text Available This report is one of a series on Cape Estuaries being published under the general title "The Estuaries of the Cape, Part 2". The report provides information on sand estuary: historical background, abiotic and biotic characteristics. It is pointed...

The extraction of bitumen from western oil sands

International Nuclear Information System (INIS)

Oblad, A.G.; Bunger, J.W.; Dahlstrom, D.A.; Deo, M.D.; Hanson, F.V.; Miller, J.D.; Seader, J.D.

1992-08-01

The University of Utah tar sand research and development program is concerned with research and development on Utah is extensive oil sands deposits. The program has been intended to develop a scientific and technological base required for eventual commercial recovery of the heavy oils from oil sands and processing these oils to produce synthetic crude oil and other products such as asphalt. The overall program is based on mining the oil sand, processing the mined sand to recover the heavy oils and upgrading them to products. Multiple deposits are being investigated since it is believed that a large scale (approximately 20,000 bbl/day) plant would require the use of resources from more than one deposit. The tasks or projects in the program are organized according to the following classification: Recovery technologies which includes thermal recovery methods, water extraction methods, and solvent extraction methods; upgrading and processing technologies which covers hydrotreating, hydrocracking, and hydropyrolysis; solvent extraction; production of specialty products; and environmental aspects of the production and processing technologies. These tasks are covered in this report

Evaluation of sand reserves in del Plata City

International Nuclear Information System (INIS)

Loureiro, J.

2014-01-01

The purpose of this study is to evaluate the reserve of sand in the zone of del Plata city and beyond. This area is located in the S E edge of the department of San Jose near the mouth of Santa Lucia river. In this zone was identified the mantle of potentially exploitable sand which are based on their particle size, composition and depth of the limits cape. There are two powerful capes of sand separated by clay and silt

Telemedicine Physical Examination Utilizing a Consumer Device Demonstrates Poor Concordance with In-Person Physical Examination in Emergency Department Patients with Sore Throat: A Prospective Blinded Study.

Science.gov (United States)

Akhtar, Moneeb; Van Heukelom, Paul G; Ahmed, Azeemuddin; Tranter, Rachel D; White, Erinn; Shekem, Nathaniel; Walz, David; Fairfield, Catherine; Vakkalanka, J Priyanka; Mohr, Nicholas M

2018-02-22

Telemedicine allows patients to connect with healthcare providers remotely. It has recently expanded to evaluate low-acuity illnesses such as pharyngitis by using patients' personal communication devices. The purpose of our study was to compare the telemedicine-facilitated physical examination with an in-person examination in emergency department (ED) patients with sore throat. This was a prospective, observational, blinded diagnostic concordance study of patients being seen for sore throat in a 60,000-visit Midwestern academic ED. A telemedicine and a face-to-face examination were performed independently by two advanced practice providers (APP), blinded to the results of the other evaluator. The primary outcome was agreement on pharyngeal redness between the evaluators, with secondary outcomes of agreement and inter-rater reliability on 14 other aspects of the pharyngeal physical examination. We also conducted a survey of patients and providers to evaluate perceptions and preferences for sore throat evaluation using telemedicine. Sixty-two patients were enrolled, with a median tonsil size of 1.0. Inter-rater agreement (kappa) for tonsil size was 0.394, which was worse than our predetermined concordance threshold. Other kappa values ranged from 0 to 0.434, and telemedicine was best for detecting abnormal coloration of the palate and tender superficial cervical lymph nodes (anterior structures), but poor for detecting abnormal submandibular lymph nodes or asymmetry of the posterior pharynx (posterior structures). In survey responses, telemedicine was judged easier to use and more comfortable for providers than patients; however, neither patients nor providers preferred in-person to telemedicine evaluation. Telemedicine exhibited poor agreement with the in-person physical examination on the primary outcome of tonsil size, but exhibited moderate agreement on coloration of the palate and cervical lymphadenopathy. Future work should better characterize the importance of

Seasonal fluctuations of phlebotomines sand fly populations ...

African Journals Online (AJOL)

An entomological survey of phlebotomine sand flies was conducted in the Moulay Yacoub province, central Morocco. An anthropic niche (Ouled Aid) and a wild niche (Zliligh) were selected. Sand flies were collected twice a month between April 2011 and March 2012, using sticky traps and CDC light traps. 3675 specimens ...

Molecular Diversity between Salivary Proteins from New World and Old World Sand Flies with Emphasis on Bichromomyia olmeca, the Sand Fly Vector of Leishmania mexicana in Mesoamerica.

Science.gov (United States)

Abdeladhim, Maha; V Coutinho-Abreu, Iliano; Townsend, Shannon; Pasos-Pinto, Silvia; Sanchez, Laura; Rasouli, Manoochehr; B Guimaraes-Costa, Anderson; Aslan, Hamide; Francischetti, Ivo M B; Oliveira, Fabiano; Becker, Ingeborg; Kamhawi, Shaden; Ribeiro, Jose M C; Jochim, Ryan C; Valenzuela, Jesus G

2016-07-01

Sand fly saliva has been shown to have proteins with potent biological activities, salivary proteins that can be used as biomarkers of vector exposure, and salivary proteins that are candidate vaccines against different forms of leishmaniasis. Sand fly salivary gland transcriptomic approach has contributed significantly to the identification and characterization of many of these salivary proteins from important Leishmania vectors; however, sand fly vectors in some regions of the world are still neglected, as Bichromomyia olmeca (formerly known as Lutzomyia olmeca olmeca), a proven vector of Leishmania mexicana in Mexico and Central America. Despite the importance of this vector in transmitting Leishmania parasite in Mesoamerica there is no information on the repertoire of B. olmeca salivary proteins and their relationship to salivary proteins from other sand fly species. A cDNA library of the salivary glands of wild-caught B. olmeca was constructed, sequenced, and analyzed. We identified transcripts encoding for novel salivary proteins from this sand fly species and performed a comparative analysis between B. olmeca salivary proteins and those from other sand fly species. With this new information we present an updated catalog of the salivary proteins specific to New World sand flies and salivary proteins common to all sand fly species. We also report in this work the anti-Factor Xa activity of Lofaxin, a salivary anticoagulant protein present in this sand fly species. This study provides information on the first transcriptome of a sand fly from Mesoamerica and adds information to the limited repertoire of salivary transcriptomes from the Americas. This comparative analysis also shows a fast degree of evolution in salivary proteins from New World sand flies as compared with Old World sand flies.

A Primer on Alberta’s Oil sands Royalties

Directory of Open Access Journals (Sweden)

Sarah Dobson

2015-12-01

Full Text Available Fulfilling its campaign promise, the new NDP government announced a review of Alberta’s royalty framework in June 2015. The province receives royalty revenue from three main sources – natural gas, crude oil, and oil sands. Since the 2009-10 fiscal year the largest contributor to Alberta’s royalty revenues has been the oil sands. If you want a sense of how important oil sands royalties have been for Alberta’s finances, consider this: In the 2014–15 fiscal year, the government collected just over $5 billion from oil sands royalties. These royalties covered over 10 per cent of the province’s operational expenses of $48.6 billion in the same fiscal year. Over the last six fiscal years the oil sands have contributed an average of 10 per cent of revenues to provincial coffers. This makes oil sands royalties the fourth largest contributor behind personal income taxes (23 per cent, federal transfers (13 per cent and corporate income taxes (11 per cent. But how many Albertans really understand how the royalty system works? What do we mean when we say “royalty”? How does the Alberta Government calculate royalties on oil sands producers? If the system is going to change, it’s important that Albertans understand how the current system works. That is what this paper is designed to do. For Albertans to properly judge the impact of new policy, they need a solid understanding of the current policy environment. We all know that oil prices have dropped and oil sands producers are losing profitability. As such, changes to the royalty system could have a deep and profound impact on the sector. Here are some of the issues this primer will study: • Pre-payout projects vs. post-payout projects, in other words, the classification of projects for royalty purposes based on whether the cumulative costs of a project exceed its cumulative revenues • Monthly payment of royalties vs. annual payment • Understanding the unit price of bitumen and how that

Sand ramps as palaeoenvironmental archives: Integrating general principles and regional contexts through reanalysis of the Klipkraal Sands, South Africa

Science.gov (United States)

Rowell, Alexandra L. K.; Thomas, David S. G.; Bailey, Richard M.; Holmes, Peter J.

2018-06-01

Sand ramps occur on a continuum of topographically-controlled landforms, ranging from purely aeolian features (climbing/falling dunes) to talus cones and alluvial fans. Sand ramps have been identified as potentially important palaeoenvironmental archives in dryland regions that possess relatively few Quaternary proxy records. Their utility however requires not only good age control of depositional phases but clear identification of process regimes, determined through morphological and sedimentological analyses, with several recent studies indicating the complexities of palaeoenvironmental interpretations and the controls of ramp development (Bateman et al., 2012; Rowell et al., 2018). Klipkraal Sands is a sand ramp on the north-eastern margin of the semi-arid Karoo that has been important for inferences of the extent of southern African Late Quaternary aeolian activity (Thomas et al., 2002). We reanalyse this feature, in the light of both its significance and other recent studies that have inferred extensive southern African LGM aeolian activity (Telfer et al., 2012, 2014). New sedimentological data and twelve OSL dates indicate the Klipkraal Sands formed episodically between 100-0.14 ka, rather than accumulating rapidly, while sedimentological data question the aeolian affinities of the bulk of the feature. Therefore, Klipkraal is reinterpreted as showing no particular affinity to the LGM, with sediments locally sourced with a significant colluvial component. Only the upper historical sediments can be clearly interpreted as aeolian deposits. A complex interplay of processes is suggested, for which a meaningful palaeoenvironmental interpretation cannot be easily defined. This implies that the local geomorphic processes and controls operating on sand ramps need to be established before they can be fully utilised as palaeoenvironmental archives, with implications for their interpretation worldwide.

Heavy mineral concentration from oil sand tailings

Energy Technology Data Exchange (ETDEWEB)

Chachula, F.; Erasmus, N. [Titanium Corp. Inc., Regina, SK (Canada)

2008-07-01

This presentation described a unique technique to recover heavy minerals contained in the froth treatment tailings produced by oil sand mining extraction operations in Fort McMurray, Alberta. In an effort to process waste material into valuable products, Titanium Corporation is developing technology to recover heavy minerals, primarily zircon, and a portion of bitumen contained in the final stage of bitumen processing. The process technology is being developed to apply to all mined oil sands operations in the Fort McMurray region. In 2004, Titanium Corporation commissioned a pilot research facility at the Saskatchewan Research Council to test dry oil sands tailings. In 2005, a bulk sampling pilot plant was connected to the fresh oil sands tailings pipeline on-site in Fort McMurray, where washed sands containing heavy minerals were processed at a pilot facility. The mineral content in both deposited tailings and fresh pipeline tailings was assessed. Analysis of fresh tailings on a daily basis identified a constant proportion of zircon and higher levels of associated bitumen compared with the material in the deposited tailings. The process flow sheet design was then modified to remove bitumen from the heavy minerals and concentrate the minerals. A newly modified flotation process was shown to be a viable processing route to recover the heavy minerals from froth treatment tailings. 8 refs., 9 tabs., 12 figs.

Quality stabilisation of synthetic sand containing bentonite in process lines

OpenAIRE

A. Fedoryszyn

2010-01-01

Stabilisation of sand quality requires the monitoring and control of sand moisture contents and its other parameters at each stage of sandprocessing, i.e. during the preparation of return sand mix and rebonding processes. Stabilisation of sand quality necessitates the use of reliable control equipment and evaluation procedures. This study outlines the scope and results of research work aimed to improve the control equipment to enhance the performance of turbine mixers. The paper reviews the m...

Sand transport, erosion and granular electrification

DEFF Research Database (Denmark)

Merrison, J.P.

2012-01-01

is expanding our current understanding and outline the areas of advancement needed in the future. Presentation is made of current models for wind driven detachment/entrainment and the transport rates of sand and dust, including the effects of contact induced grain electrification. This ubiquitous phenomenon...... can affect grain transport through the generation of intense electric fields and processes of electrostatic assembly. Importantly the transport of sand is characterized by saltation, which is known to be an active process for erosion and therefore a source for dust and sand formation. Using novel...... erosion simulation techniques the link between grain transport rates and erosion rates has been quantified. Furthermore this can be linked to production rates for dust and has been associated with chemical and mineral alteration through a process of mechanical activation of fractured surfaces. This work...

Aeolian sand transport and aeolian deposits on Venus: A review

Science.gov (United States)

Kreslavsly, Mikhail A.; Bondarenko, Nataliya V.

2017-06-01

We review the current state of knowledge about aeolian sand transport and aeolian bedforms on planet Venus. This knowledge is limited by lack of observational data. Among the four planetary bodies of the Solar System with sufficient atmospheres in contact with solid surfaces, Venus has the densest atmosphere; the conditions there are transitional between those for terrestrial subaerial and subaqueous transport. The dense atmosphere causes low saltation threshold and short characteristic saltation length, and short scale length of the incipient dunes. A few lines of evidence indicate that the typical wind speeds exceed the saltation threshold; therefore, sand transport would be pervasive, if sand capable of saltation is available. Sand production on Venus is probably much slower than on the Earth; the major terrestrial sand sinks are also absent, however, lithification of sand through sintering is expected to be effective under Venus' conditions. Active transport is not detectable with the data available. Aeolian bedforms (transverse dunes) resolved in the currently available radar images occupy a tiny area on the planet; however, indirect observations suggest that small-scale unresolved aeolian bedforms are ubiquitous. Aeolian transport is probably limited by sand lithification causing shortage of saltation-capable material. Large impact events likely cause regional short-term spikes in aeolian transport by supplying a large amount of sand-size particles, as well as disintegration and activation of older indurated sand deposits. The data available are insufficient to understand whether the global aeolian sand transport occurs or not. More robust knowledge about aeolian transport on Venus is essential for future scientific exploration of the planet, in particular, for implementation and interpretation of geochemical studies of surface materials. High-resolution orbital radar imaging with local to regional coverage and desirable interferometric capabilities is the

Geomorphology and drift potential of major aeolian sand deposits in Egypt

Science.gov (United States)

Hereher, Mohamed E.

2018-03-01

Aeolian sand deposits cover a significant area of the Egyptian deserts. They are mostly found in the Western Desert and Northern Sinai. In order to understand the distribution, pattern and forms of sand dunes in these dune fields it is crucial to analyze the wind regimes throughout the sandy deserts of the country. Therefore, a set of wind data acquired from twelve meteorological stations were processed in order to determine the drift potential (DP), the resultant drift potential (RDP) and the resultant drift direction (RDD) of sand in each dune field. The study showed that the significant aeolian sand deposits occur in low-energy wind environments with the dominance of linear and transverse dunes. Regions of high-energy wind environments occur in the south of the country and exhibit evidence of deflation rather than accumulation with the occurrence of migratory crescentic dunes. Analysis of the sand drift potentials and their directions help us to interpret the formation of major sand seas in Egypt. The pattern of sand drift potential/direction suggests that the sands in these seas might be inherited from exogenous sources.

Two-fold sustainability – Adobe with sawdust as partial sand replacement

Science.gov (United States)

Jokhio, Gul A.; Syed Mohsin, Sharifah M.; Gul, Yasmeen

2018-04-01

Adobe is a material that is economic, environment friendly, and provides better indoor air quality. The material required for the preparation of adobe include clay, sand, and sometimes straw or other organic materials. These materials do not require industrial processing or transportation, however, sand mining has been recently posing a threat to the environment. Therefore, to enhance the existing sustainability of adobe, sand can be partially or fully replaced by other waste materials. This approach will not only solve the problem of excessive sand mining, it will also address the issue of waste management. Sawdust is one such waste material that can be used to partially replace sand in Adobe. This paper presents the results of compressive and flexural test carried out on Adobe samples with partial sand replacement by sawdust. The results show that about 4% sand replacement by volume produces higher compressive strength, whereas the flexural strength reduces with the use of sawdust. However, since flexural strength is not a critical property for adobe, it is concluded that replacing sand with sawdust by about 4% of volume will be beneficial.

Dynamic shear stiffness and damping ratio of marine calcareous and siliceous sands

Science.gov (United States)

Javdanian, Hamed; Jafarian, Yaser

2018-03-01

Shear stiffness and damping ratio of two marine calcareous and siliceous sands were evaluated through an experimental program. Resonant column and cyclic triaxial experiments were conducted to measure the dynamic properties of the sands in small and large shear strain amplitudes. The tests were conducted under various initial stress-density conditions. The influence of effective confining pressure on the dynamic properties of the sands was assessed and compared in a preceding paper. It was shown that the calcareous sand has higher shear stiffness and lower damping ratio in comparison to the siliceous sand. In this note, the results are presented in more details and the dynamic behavior curves of the studied sands are compared with some available models, mostly developed based on the laboratory data of siliceous sands. This comparative study reveals that the previous models predict the dynamic properties of the calcareous sand in less precision than those of the siliceous sand.

The importance of sand in the formation of avulsion channels within experimental fans that develop from sediment mixtures of mud and sand

Science.gov (United States)

Iscen, N.; Strom, K.

2017-12-01

Autogenic channel migration and avulsion has long been recognized as important drivers of alluvial fan dynamics. In the literature, several field studies have documented that the presence and the amount of sand transport through a channel is important for channel incision in alluvial fans and deltas. In our experiments, we present the general autogenic avulsion cycle of experimental alluvial fans with mixtures of cohesive sediment and sand with a range of boundary conditions, and we detail the importance of mobile sand fraction in the development of channels that lead to avulsion. Experimental observations demonstrate that new channels form at topographically low regions within the floodplain providing that sand is transported to these topographic lows due to overbank flow or levee breaching. In addition to the sediment transported from upstream, erosion of a previous deposit and an ongoing backfilling nearby are observed as the possible sources of sand getting into the ghost channels. We explore whether the presence of sand is important for channel development because it increases abrasion of the channel or because it changes the roughness characteristics of the flow. We also examine the affect of sediment and water supply change on the newly described channelization process and link distinctive channel morphologies to different stages of described channel development and the avulsion process.

Rheology of oil sands slurries

Energy Technology Data Exchange (ETDEWEB)

Chow, R.; Zhou, J. [Alberta Research Council, Edmonton, AB (Canada). Mineral Oil Sands Unit; Wallace, D. [Dean Wallace Consulting Inc., Beaumont, AB (Canada)

2006-07-01

This study focused on integrating rheology and colloid science to improve recovery of bitumen in surface mined oil sands. Factors that influence recovery, such as conditions of particle interaction, solids concentration and shear rate, were reviewed. In an effort to understand the rheological behaviour of clay-in-water suspensions, an elaborate procedure was developed to separate an inter-bedded clay layer from a site at Albian Sands Energy Inc. The variables were water chemistry, solids concentration, and shear rate. The research study was conducted at the Alberta Research Council with the support of the CONRAD Extraction Group. A controlled stress rheometer was used to provide the quantitative evaluations of the clay slurry properties. The research results indicate that the viscoelastic properties of the slurry are highly influenced by the shear history of the slurry, solids content, calcium concentration, and sample aging. Shear thinning behaviour was observed in all slurry samples, but the slurry viscosity increased with test time for a given shear rate. In order to classify the slurries, a method was developed to distinguish the gel strength. The slurries were then classified into 3 distinct patterns, including no gel, weak gel and strong gel. The evolution of the experimental protocols were described along with the current stability maps that correlate the domains of the gel strength according to the solids concentration, calcium ion content, and shear rate. It was concluded that the rheological properties of oil sands slurries influence bitumen recovery in commercial surface-mined oil sands operations. tabs., figs.

Production of oil from Intermountain West tar sands deposits

Energy Technology Data Exchange (ETDEWEB)

Glassett, J.M.; Glassett, J.A.

1976-03-01

Six tar sand deposits in the Intermountain West, each containing more than one billion barrels of oil in place, are identified. All of these deposits are in eastern Utah and contain a total of twenty-eight billion barrels of oil. The names of the six deposits arranged in descending order of desirability for large-scale surface-mining oil recovery operations are as follows: Sunnyside, Tar Sand Triangle, Asphalt Ridge, P.R. Spring, Circle Cliffs, and Hill Creek. An overview of each deposit is presented including geology, surface-mining variables, chemical processing variables, environmental aspects, and economics. A comparison of Utah tar sands and Athabasca, Alberta, Canada tar sands is also presented.

Sand and Gravel Operations

Data.gov (United States)

Department of Homeland Security — This map layer includes sand and gravel operations in the United States. These data were obtained from information reported voluntarily to the USGS by the aggregate...

A Threshold Continuum for Aeolian Sand Transport

Science.gov (United States)

Swann, C.; Ewing, R. C.; Sherman, D. J.

2015-12-01

The threshold of motion for aeolian sand transport marks the initial entrainment of sand particles by the force of the wind. This is typically defined and modeled as a singular wind speed for a given grain size and is based on field and laboratory experimental data. However, the definition of threshold varies significantly between these empirical models, largely because the definition is based on visual-observations of initial grain movement. For example, in his seminal experiments, Bagnold defined threshold of motion when he observed that 100% of the bed was in motion. Others have used 50% and lesser values. Differences in threshold models, in turn, result is large errors in predicting the fluxes associated with sand and dust transport. Here we use a wind tunnel and novel sediment trap to capture the fractions of sand in creep, reptation and saltation at Earth and Mars pressures and show that the threshold of motion for aeolian sand transport is best defined as a continuum in which grains progress through stages defined by the proportion of grains in creep and saltation. We propose the use of scale dependent thresholds modeled by distinct probability distribution functions that differentiate the threshold based on micro to macro scale applications. For example, a geologic timescale application corresponds to a threshold when 100% of the bed in motion whereas a sub-second application corresponds to a threshold when a single particle is set in motion. We provide quantitative measurements (number and mode of particle movement) corresponding to visual observations, percent of bed in motion and degrees of transport intermittency for Earth and Mars. Understanding transport as a continuum provides a basis for revaluating sand transport thresholds on Earth, Mars and Titan.

Presence of Campylobacter and Salmonella in sand from bathing beaches.

Science.gov (United States)

Bolton, F J; Surman, S B; Martin, K; Wareing, D R; Humphrey, T J

1999-02-01

The purpose of this study was to determine the presence of thermophilic Campylobacter spp. and Salmonella spp. in sand from non-EEC standard and EEC standard designated beaches in different locations in the UK and to assess if potentially pathogenic strains were present. Campylobacter spp. were detected in 82/182 (45%) of sand samples and Salmonella spp. in 10/182 (6%). Campylobacter spp. were isolated from 46/92 (50%) of samples from non-EEC standard beaches and 36/90 (40%) from EEC standard beaches. The prevalence of Campylobacter spp. was greater in wet sand from both types of beaches but, surprisingly, more than 30% of samples from dry sand also contained these organisms. The major pathogenic species C. jejuni and C. coli were more prevalent in sand from non-EEC standard beaches. In contrast, C. lari and urease positive thermophilic campylobacters, which are associated with seagulls and other migratory birds, were more prevalent in sand from EEC standard beaches. Campylobacter isolates were further characterized by biotyping and serotyping, which confirmed that strains known to be of types associated with human infections were frequently found in sand on bathing beaches.

Casting Ductile Iron in Layer Moulds Made from Ecological Sands

Directory of Open Access Journals (Sweden)

M. Rączka

2012-09-01

Full Text Available The article contains the results of tests performed under the target project in Hardtop Foundry Charsznica.The objective of the tests and studies was to develop a technology of making high-quality ductile iron castings, combined witheffective means of environmental protection. The studies presented in this article related to castings weighing from 1 to 300 kg made from ductile iron of grades 400-15 and 500-7, using two-layer moulds, where the facing and core sand was the sand with an alkaline organic binder, while backing sand was the sand with an inorganic geopolymer binder.A simplified method of sand reclamation was applied with possible reuse of the reclaim as an addition to the backing sand. The castiron spheroidising treatment and inoculation were selected taking into account the specific conditions of Hardtop Foundry. A pilot batch of castings was made, testing the gating and feeding systems and using exothermic sleeves on risers. The study confirmed the validity of the adopted concept of making ductile iron castings in layer moulds, while maintaining the content of sand with an organic binder at a level of maximum 15%.

Preliminary fingerprinting analysis of Alberta oil sands and related petroleum products

International Nuclear Information System (INIS)

Yang, C.; Wang, Z.D.; Hollebone, B.; Brown, C.E.; Yang, Z.Y.; Landriault, M.; Fieldhouse, B.

2009-01-01

This paper reported on a study that presented a preliminary quantitative chemical characterization of Alberta oil sands and many other related Alberta oils such as oil sand bitumen, Cold Lake bitumen, Albian heavy synthetic crude, and Alberta Mixed sweet blend. The rapid increase in production of the Alberta oil sands has resulted in unprecedented environmental concern. The mining, extraction and production of oil sands such resulted in huge consumption of water resources, huge emission of greenhouse gas and large number of tailings ponds. In addition, accidental spills in the transportation and usage of oil sands will potentially cause considerable impact on the environment. It is therefore essential to have the ability to characterize Alberta oil sands and their oil products. The specific chemical properties of the oil sands bitumen must be known. Therefore, this study collected quantitative data on the concentration and distribution profiles of target compounds in Alberta oil sands and its petroleum products. The chemical fingerprints of 5 Alberta oil sands and their related petroleum products were studied using gas chromatography/flame ionization detection (GC/FID) and gas chromatography/mass spectrometry (GC/MS). The characterized hydrocarbons were n-alkanes; target alkylated PAHs and other EPA priority PAHs; biomarker terpanes and steranes; and bicyclic sesquiterpanes. The information acquired during this study will provide the basis for oil-oil correlation and differentiation in future environmental applications relevant to oil sands. 24 refs., 6 tabs., 4 figs.

Economic impacts of Alberta's oil sands, volume 1

International Nuclear Information System (INIS)

Timilsina, G.R.; LeBlanc, N.; Walden, T.

2005-01-01

In 2004, the international media recognized Alberta's oil sands as part of the global oil reserves, thereby establishing Canada as second to Saudi Arabia as potential oil producing nations. The economic impacts of Alberta's oil sands industry on economies were assessed at regional, provincial and international levels for the 2000 to 2020 period. A customized input-output model was used to assess economic impacts, which were measured in terms of changes in gross domestic product; employment and labour income; and, government revenues. Cumulative impacts on employment by sector and by jurisdiction were also presented. An investment of $100 billion is expected through 2020, resulting in production of crude bitumen and synthetic crude oil outputs valued at about $531 billion. The impact of the oil sands industry on local employment was also evaluated. It was shown that activities in the oil sands industry will lead to significant economic impact in Alberta, Ontario, Quebec and the rest of Canada. Alberta's local economy would be the main beneficiary of oil sands activities with nearly 3.6 million person years employment created in Alberta during the 2000 to 2020. Another 3 million person years employment would be created in other Canadian provinces and outside Canada during the same time period. A sensitivity analysis on the responsiveness to oil prices and the removal of various constraints incorporated in the main analysis was also presented. The federal government will be the largest recipient of revenues generated to to oil sands activities. The results of the study were compared with that of the National Task Force on Oil Sands Strategies. This first volume revealed the results of the study while the second volume includes the data and detailed results. 48 refs., 57 tabs., 28 figs

Phase behavior of methane hydrate in silica sand

International Nuclear Information System (INIS)

Sun, Shi-Cai; Liu, Chang-Ling; Ye, Yu-Guang; Liu, Yu-Feng

2014-01-01

Highlights: • Hydrate p-T trace in coarse-grained sediment is consistent with that in bulk water. • Fine-grained sediment affects hydrate equilibrium for the depressed water activity. • Hydrate equilibrium in sediment is related to the pore size distribution. • The application of hydrate equilibrium in sediment depends on the actual condition. -- Abstract: Two kinds of silica sand powder with different particle size were used to investigate the phase behavior of methane hydrate bearing sediment. In coarse-grained silica sand, the measured temperature and pressure range was (281.1 to 284.2) K and (5.9 to 7.8) MPa, respectively. In fine-grained silica sand, the measured temperature and pressure range was (281.5 to 289.5) K and (7.3 to 16.0) MPa, respectively. The results show that the effect of coarse-grained silica sand on methane hydrate phase equilibrium can be ignored; however, the effect of fine-grained silica sand on methane hydrate phase equilibrium is significant, which is attributed to the depression of water activity caused by the hydrophilicity and negatively charged characteristic of silica particle as well as the pore capillary pressure. Besides, the analysis of experimental results using the Gibbs–Thomson equation shows that methane hydrate phase equilibrium is related to the pore size distribution of silica sand. Consequently, for the correct application of phase equilibrium data of hydrate bearing sediment, the geological condition and engineering requirement should be taken into consideration in gas production, resource evaluation, etc

Geophysical applications for oil sand mine tailings management

Energy Technology Data Exchange (ETDEWEB)

Parker, D.; Bauman, P. [WorleyParsons, Calgary, AB (Canada)

2009-07-01

Geophysical techniques are applied throughout a mine's life cycle to facilitate siting, constructing and monitoring of tailings dumps and ponds. This presentation described 3 case studies from the Athabasca region in northeast Alberta that demonstrated some of the concerns associated with oil sand mine tailings, and the information that geophysical surveys can provide. The objectives of these studies were to determine the lateral and depth extents of elevated conductivities of soil and groundwater that have high salt concentration from the tailings sand pore fluid. Due to high chloride concentrations within the tailings material, salt within the root zone may affect vegetation. A terrain conductivity survey was designed to map the lateral extents of salinity impact, while an electrical resistivity tomography (ERT) survey was used to delineate the tailings sand leachate at depth. The proper management of oil sand tailings facilities is vital to the life cycle of a mine. It was concluded that geophysical techniques can be instrumental in managing several engineering and environmental challenges, from Pleistocene channel mapping, to tailings pond settling characteristics, to reclaiming tailings sands. 1 ref., 7 figs.

Dewatering Behaviour of Fine Oil Sands Tailings : An Experimental Study

NARCIS (Netherlands)

Yao, Y.

2016-01-01

Oil sands tailings are a warm aqueous suspension of sand, silt, clay, residual bitumen and naphtha. The tailings are hydraulically transported and stored in tailing ponds where they segregate, with the sand settling from suspension forming beaches and the remaining tailings flowing to the middle of

Seasonal changing sand waves and the effect of surface waves

NARCIS (Netherlands)

Sterlini, Fenneke; van Dijk, Thaiënne A.G.P.; IJzer, Steven; Hulscher, Suzanne; Schüttrumpf, Holger; Tomasicchio, Guiseppe Roberto

2012-01-01

Sand waves are wavelike subaqueous sediment structures that exist in large areas in shelf seas. Due to their characteristics sand waves can severely affect human offshore activities, such as navigation. This makes it important to understand the physical processes that shape and change sand waves. In

Acetylcholinesterase mutations and organophosphate resistance in sand flies and mosquitoes

Science.gov (United States)

Leishmaniasis is an insect-borne disease caused by several protozoan species in the genus Leishmania, which are vectored by sand fly species in the genera Phlebotomus or Lutzomyia, depending on the sand fly species geographic range. Sand fly bites and leishmaniasis significantly impacted U.S. milita...

Sand and Gravel Deposits

Data.gov (United States)

Vermont Center for Geographic Information — This dataset is a statewide polygon coverage of sand, gravel, and stone resources. This database includes the best data available from the VT Agency of Natural...

High Temperature Thermal Properties of Bentonite Foundry Sand

Directory of Open Access Journals (Sweden)

Krajewski P.K.

2015-06-01

Full Text Available The paper presents results of measuring thermal conductivity and heat capacity of bentonite foundry sand in temperature range ambient - 900­­°C. During the experiments a technical purity Cu plate was cast into the green-sand moulds. Basing on measurements of the mould temperature field during the solidification of the casting, the temperature relationships of the measured properties were evaluated. It was confirmed that water vaporization strongly influences thermal conductivity of the moulding sand in the first period of the mould heating by the poured casting.

Dark grains of sand: a geological storytelling

Science.gov (United States)

Gallo Maresca, Magda

2017-04-01

In the secondary Italian school the Earth science learning begins at first year, in synergy with other natural science subjects such as Astronomy, Chemistry and Biology. Italian teachers have to focus on the landscape geomorphological aspects and often Earth processes are difficult to display since they are related to certain phenomena happened during the past and often far from the involved country. In order to better understand the environment surrounding us, very simple and poor materials, like sands, allow the teachers to create attractive lab experiences. According to the IBSE (Inquiry Based Science Education) approach, a learning unit has been implemented starting from a walking along the light carbonate beaches of the Adriatic sea: a smart look to the sands ("engage step"), stroke the students fantasy pushing them to explore some strange black grains on the sands. Dirty sands? Or rock landscape, soil degradation and Ofanto river and coastal processes (erosion, transportation and deposition)? This was the teaching challenge. Due to the youngest age, a third level, guided inquiry, was adopted so the teacher is the "guide of inquiry" encouraging the students using the research question ("Why is the sand dark?", "Do all sands look the same?", "Where does it come from?") and driving the students around their investigation plans ("How can I measure grain size?"). A procedure to answer the above questions and validate the results and explanations has been implemented to allow the students to be proactive in their study. During the learning activities will be the students to ask for field trip to elaborate their new knowledge, verify and visualize the speculated processes. The teaching skills allow to address several geosciences domains such as mineralogy, petrology, regional geology and geodynamics as well as other scientific disciplines such as mathematics (more specifically statistics), forensic science and even life sciences (the presence of bioclasts might

Clinical score and rapid antigen detection test to guide antibiotic use for sore throats: randomised controlled trial of PRISM (primary care streptococcal management).

Science.gov (United States)

Little, Paul; Hobbs, F D Richard; Moore, Michael; Mant, David; Williamson, Ian; McNulty, Cliodna; Cheng, Ying Edith; Leydon, Geraldine; McManus, Richard; Kelly, Joanne; Barnett, Jane; Glasziou, Paul; Mullee, Mark

2013-10-10

To determine the effect of clinical scores that predict streptococcal infection or rapid streptococcal antigen detection tests compared with delayed antibiotic prescribing. Open adaptive pragmatic parallel group randomised controlled trial. Primary care in United Kingdom. Patients aged ≥ 3 with acute sore throat. An internet programme randomised patients to targeted antibiotic use according to: delayed antibiotics (the comparator group for analyses), clinical score, or antigen test used according to clinical score. During the trial a preliminary streptococcal score (score 1, n=1129) was replaced by a more consistent score (score 2, n=631; features: fever during previous 24 hours; purulence; attends rapidly (within three days after onset of symptoms); inflamed tonsils; no cough/coryza (acronym FeverPAIN). Symptom severity reported by patients on a 7 point Likert scale (mean severity of sore throat/difficulty swallowing for days two to four after the consultation (primary outcome)), duration of symptoms, use of antibiotics. For score 1 there were no significant differences between groups. For score 2, symptom severity was documented in 80% (168/207 (81%) in delayed antibiotics group; 168/211 (80%) in clinical score group; 166/213 (78%) in antigen test group). Reported severity of symptoms was lower in the clinical score group (-0.33, 95% confidence interval -0.64 to -0.02; P=0.04), equivalent to one in three rating sore throat a slight versus moderate problem, with a similar reduction for the antigen test group (-0.30, -0.61 to -0.00; P=0.05). Symptoms rated moderately bad or worse resolved significantly faster in the clinical score group (hazard ratio 1.30, 95% confidence interval 1.03 to 1.63) but not the antigen test group (1.11, 0.88 to 1.40). In the delayed antibiotics group, 75/164 (46%) used antibiotics. Use of antibiotics in the clinical score group (60/161) was 29% lower (adjusted risk ratio 0.71, 95% confidence interval 0.50 to 0.95; P=0.02) and in the

Assessing environmental impacts of inland sand mining in parts of ...

African Journals Online (AJOL)

Sand is a valuable resource for construction and other purposes, however sand mining often result in serious environmental problems such as land degradation, loss of agricultural lands and biodiversity, as well increased poverty among people. This study assessed the environmental impacts of inland sand mining in six ...

Efficiency of Micro-fine Cement Grouting in Liquefiable Sand

International Nuclear Information System (INIS)

Mirjalili, Mojtaba; Mirdamadi, Alireza; Ahmadi, Alireza

2008-01-01

In the presence of strong ground motion, liquefaction hazards are likely to occur in saturated cohesion-less soils. The risk of liquefaction and subsequent deformation can be reduced by various ground improvement methods including the cement grouting technique. The grouting method was proposed for non-disruptive mitigation of liquefaction risk at developed sites susceptible to liquefaction. In this research, a large-scale experiment was developed for assessment of micro-fine cement grouting effect on strength behavior and liquefaction potential of loose sand. Loose sand samples treated with micro-fine grout in multidirectional experimental model, were tested under cyclic and monotonic triaxial loading to investigate the influence of micro-fine grout on the deformation properties and pore pressure response. The behavior of pure sand was compared with the behavior of sand grouted with a micro-fine cement grout. The test results were shown that cement grouting with low concentrations significantly decreased the liquefaction potential of loose sand and related ground deformation

Sustainable water management in Alberta's oil sands

Energy Technology Data Exchange (ETDEWEB)

Byers, Bill; Usher, Robyn; Roach, Andrea [CH2M HILL, Englewood, CO (United States); Lambert, Gord; Kotecha, Prit [Suncor Energy Inc., Calgary (Canada)

2012-07-01

The Canadian Association of Petroleum Producers forecast published in 2011 predicts that oil production from oil sands will increase by 50% in the next 3 years and double by 2020. This rate of growth will result in significant pressure on water resources; water use per barrel of oil sands production is comparable to other energy resources - about 2.5 barrels of fresh water per barrel of oil produced are used by mining operations and 0.5 barrels by in-situ operations. Suncor Energy Inc. (Suncor) was the first company to develop the oil sands in northern Alberta and holds one of the largest oil sands positions in Canada. In 2010, Suncor announced plans to increase production to more than 1 million barrels of oil equivalent per day by 2020, which it plans to achieve through oil sands production growth of approximately 10% per year. Because water supply and potential impacts to water quality are critical to its future growth, in 2010-2011 Suncor conducted a risk assessment to identify water-related business risks related to its northern Alberta operations. The assessment identified more than 20 high level business risks in strategic water risk areas including water supply, water reuse, storm water management, groundwater, waste management and river water return. The risk assessment results prompted development of a strategic roadmap to guide water stewardship across Suncor's regional operations. The roadmap describes goals, objectives, and specific activities for each of six key water risk areas, and informs prioritization and selection of prospective water management activities. Suncor is not only exploring water within its own boundaries, but is also collaborating with other oil sands producers to explore ways of integrating its water systems through industry consortia; Suncor is a member of the Oil Sands Leadership Initiative and of the recently formed Canadian Oil Sands Innovation Alliance, among others. (author)

Study on the Permeability Characteristics of Polyurethane Soil Stabilizer Reinforced Sand

Directory of Open Access Journals (Sweden)

Jin Liu

2017-01-01

Full Text Available A polymer material of polyurethane soil stabilizer (PSS is used to reinforce the sand. To understand the permeability characteristics of PSS reinforced sand, a series of reinforcement layer form test, single-hole permeability test, and porous permeability test of sand reinforced with PSS have been performed. Reinforcement mechanism is discussed with scanning electron microscope images. The results indicated that the permeability resistance of sand reinforced with polyurethane soil stabilizer is improved through the formation of reinforcement layer on the sand surface. The thickness and complete degree of the reinforcement layer increase with the increasing of curing time and PSS concentration. The water flow rate decreases with the increasing of curing time or PSS concentration. The permeability coefficient decreases with the increasing of curing time and PSS concentration and increases with the increasing of depth in specimen. PSS fills up the voids of sand and adsorbs on the surface of sand particle to reduce or block the flowing channels of water to improve the permeability resistance of sand. The results can be applied as the reference for chemical reinforcement sandy soil engineering, especially for surface protection of embankment, slope, and landfill.

Design and Fabrication of a Foundry Sand Mixer Using Locally ...

African Journals Online (AJOL)

Most small foundry shops mix their sand manually which is not efficient since homogenous mix cannot be guaranteed and even when foundry mixer are available most of them are imported costing the nation huge foriegn exchange. A foundry sand mixer capable of mixing foundry sand has been designed and fabricated ...

Mites and spiders act as biological control agent to sand flies

Directory of Open Access Journals (Sweden)

Diwakar Singh Dinesh

2014-02-01

Full Text Available Objective: To find out natural biological control agents of sand flies vector of kala azar in Bihar, India. Methods: Sand flies collected from the field using CDC light trap installing overnight to the collection site scrutitinized for Phlebotomus argentipes, the established vector of visceral leishmaniasis. Blood fed adult females were confined in the insectary for its development of life cycle. During developmental stages 2nd to 4th instars larvae were examined closely by using compound microscope for mite infestation. Adult spider residing along with sand flies collected in trap were kept in cage along with sand flies and their activities were watched closely and recorded by video and picture. Results: Mites were found predating 2nd to 4th instars larvae only under the laboratory conditions and lowering down the population of sand flies up to basal level within 15 d after infestation. One specific spider was found eating blood fed female sand flies kept inside the cage (n=50 attacking on lower part of thoracic region to kill the sand fly and ate desired soft part. Conclusions: Both predators, mites and spiders are acting as biological control agents to larvae and adults of sand flies respectively resulting variable density of vectors due to variable association with these predators and also cause lowering the transmission of the disease as hidden natural controlling agent of sand flies. The extensive study will be of immense help in controlling sand flies without use of environmental pollutant i.e. chemical insecticide.

Urban sores. On the interaction between segregation, urban decay and deprived neighbourhoods

DEFF Research Database (Denmark)

Andersen, Hans Skifter

Most European countries have experienced special problems that have emerged in certain more or less well-defined parts of cities called de-prived or depressed urban neighbourhoods. These problems were initially found in the oldest urban areas with the lowest quality housing. Since the beginning...... of the 1980s, however, in Europe they have also emerged in newer social housing estates outside city centres. These neighbourhoods display visible physical and social problems that can disfigure the perhaps otherwise attractive urban landscape. They could in severe cases even be termed sores on the face...... of the city. They are often perceived by the public as places that are not inhabited or frequented by decent people – they are seen as ‘places of exclusion’. The purpose of this book is to contribute to a deeper understanding of why such neighbourhoods come to exist and the impacts they have on cities. Urban...

Alberta Oil Sands Equity annual report, 1992-93. Partnership and progress in Alberta's oil sands development

International Nuclear Information System (INIS)

1993-01-01

Alberta Oil Sands Equity (AOSE) manages the Alberta government's equity investments in oil sands and heavy oil projects. AOSE is a 16.74% participant in the Syncrude Project, a 10% participant in the OSLO (Other Six Leases Operation) Commercial Project and the OSLO New Ventures project, and a 24.17% participant in the Lloydminster Bi-Provincial Upgrader. Syncrude produces ca 12% of Canadian crude oil requirements, and AOSE's share yielded $44 million profit for 1992/93, slightly higher than the the $43.3 million the previous year. The OSLO Commercial Project is a proposed commercial oil sands plant with a mine site and extraction plant to be located north of Fort McMurray, and an upgrading facility to be situated north of Edmonton. Work on this project was suspended in early 1992. The OSLO New Ventures project will handle the exploration and development of the remaining five oil sands leases plus the southern portion of Lease 31. As of March 31, 1993, the project owners were considering a commercial demonstration project utilizing dredging and cold-water extraction processes. Two of the owners are unable to provide funding and discussions are under way to resolve the matter and move the program forward. The Lloydminster Bi-Provincial Upgrader opened Noveber 20, 1992, and production has reached 41,000 bbl/d, or 89% of design capacity. The upgrader will increase the value of heavy crude oil and thereby increase its demand. 5 figs., 3 tabs

An investigation of waste foundry sand in asphalt concrete mixtures.

Science.gov (United States)

Bakis, Recep; Koyuncu, Hakan; Demirbas, Ayhan

2006-06-01

A laboratory study regarding the reuse of waste foundry sand in asphalt concrete production by replacing a certain portion of aggregate with WFS was undertaken. The results showed that replacement of 10% aggregates with waste foundry sand was found to be the most suitable for asphalt concrete mixtures. Furthermore, the chemical and physical properties of waste foundry sand were analysed in the laboratory to determine the potential effect on the environment. The results indicated that the investigated waste foundry sand did not significantly affect the environment around the deposition

Design of Screens for Sand Control of Wells

Directory of Open Access Journals (Sweden)

Ján Pinka

2006-04-01

Full Text Available Drilling, completion, production, and reservoir engineers, supervisors, foremen, superintendents, service company personnel, technologists and anyone involved with recommending, selecting, designing or on-site performance of well completions or workovers where sand production is, or may become, a serious problem will benefit from this course. Less sand influx can be expected in a horizontal well than in a vertical well. If horizontal holes in weak formation sands can be successfully gravel packed, the result could be significantly higher well productivity than with a liner, screen or pre-packed screen alone. The article covers innovative screens for sand control used in oil and gas industry from the world leaders in total completion. The type of screen (wire wrapped, reinforced, pre-packed, ect. should also be chosen with due consideration to running-in condition (curve radius, compression when the screens are pushed along the drain hole, etc..

Efficacy of flurbiprofen 8.75 mg delivered as a spray or lozenge in patients with sore throat due to upper respiratory tract infection: a randomized, non-inferiority trial in the Russian Federation

Directory of Open Access Journals (Sweden)

Radkova E

2017-07-01

Full Text Available Eugenia Radkova,1 Natalia Burova,2 Valeria Bychkova,3 Robert DeVito4 1OCT Clinical Trials, Saint Petersburg, Russia; 2Federal State Establishment Clinical Diagnostic Medical Center, Saint Petersburg, Russia; 3Reckitt Benckiser (Russia, Moscow, Russia; 4Reckitt Benckiser, Parsippany, NJ, USA Objective: To assess the efficacy of flurbiprofen 8.75 mg delivered as a spray or lozenge in patients with sore throat due to upper respiratory tract infection (URTI.Materials and methods: This multicenter, double-blind, double-dummy, non-inferiority study randomized 440 adults with recent-onset, moderate-to-severe sore throat due to URTI to a single dose of either flurbiprofen 8.75 mg spray (n=218 or flurbiprofen 8.75 mg lozenge (n=222. The presence or absence of beta-hemolytic streptococci (A or C was confirmed by culture tests (throat swab. The primary efficacy end point was the difference from baseline to 2 hours post-dose in sore throat pain intensity scale (STPIS pain intensity difference [PID] 2h, a validated 100 mm visual analog scale (from 0=“no pain” to 100=“severe pain”, with a non-inferiority margin of −6 mm. Secondary end points included STPIS PID at 1 hour (STPIS PID 1h and over 2 hours (STPIS sum of sore throat pain intensity differences [SPID]0–2h and ratings of patient satisfaction and investigator assessment of drug efficacy at 2 hours. Safety (adverse events [AEs] was also assessed.Results: Reductions in sore throat pain intensity at 2 hours (STPIS PID 2h were similar for spray (least square mean −40.51 and lozenge (−40.10 (difference: 0.41, 95% confidence interval [95% CI] −3.20, 4.01, with non-inferiority demonstrated. Subgroup analyses showed similar efficacy (STPIS PID 2h for patients testing positive or negative for Strep A or C. There was no significant difference between spray and lozenge in STPIS PID 1h or STPIS SPID0–2h, and patient satisfaction and investigators’ assessment of efficacy at 2�

The stable stiffness triangle - drained sand during deformation cycles

DEFF Research Database (Denmark)

Sabaliauskas, Tomas; Ibsen, Lars Bo

2017-01-01

Cyclic, drained sand stiffness was observed using the Danish triaxial appa- ratus. New, deformation dependant soil property (the stable stiffness triangle) was detected. Using the the stable stiffness triangle, secant stiffness of drained sand was plausible to predict (and control) even during ir...... findings can find application in off-shore, seismic and other engi- neering practice, or inspire new branches of research and modelling wherever dynamic, cyclic or transient loaded sand is encountered....

White Sands, New Mexico as seen from STS-60

Science.gov (United States)

1994-01-01

White Sands National Monument (Park) is easily recognized in the center of this near-vertical color photograph. White Sands is the world's largest gypsum dune field. It represents an alabaster sea that covers nearly 300 square miles. At the southwest corner of the White Sands is dry lake, Lucero. In terms of cultural features the city of Alamogordo and Holloman Air Force Base can be seen with great clarity on this photograph.

Design of dry sand soil stratified sampler

Science.gov (United States)

Li, Erkang; Chen, Wei; Feng, Xiao; Liao, Hongbo; Liang, Xiaodong

2018-04-01

This paper presents a design of a stratified sampler for dry sand soil, which can be used for stratified sampling of loose sand under certain conditions. Our group designed the mechanical structure of a portable, single - person, dry sandy soil stratified sampler. We have set up a mathematical model for the sampler. It lays the foundation for further development of design research.

Log-inject-log in sand consolidation

International Nuclear Information System (INIS)

Murphy, R.P.; Spurlock, J.W.

1977-01-01

A method is described for gathering information for the determination of the adequacy of placement of sand consolidating plastic for sand control in oil and gas wells. The method uses a high neutron cross-section tracer which becomes part of the plastic and uses pulsed neutron logging before and after injection of the plastic. Preferably, the method uses lithium, boron, indium, and/or cadmium tracers. Boron oxide is especially useful and can be dissolved in alcohol and mixed with the plastic ingredients

Re-usage of waste foundry sand in high-strength concrete.

Science.gov (United States)

Guney, Yucel; Sari, Yasin Dursun; Yalcin, Muhsin; Tuncan, Ahmet; Donmez, Senayi

2010-01-01

In this study, the potential re-use of waste foundry sand in high-strength concrete production was investigated. The natural fine sand is replaced with waste foundry sand (0%, 5%, 10%, and 15%). The findings from a series of test program has shown reduction in compressive and tensile strengths, and the elasticity modulus which is directly related to waste foundry inclusion in concrete. Nevertheless the concrete with 10% waste foundry sand exhibits almost similar results to that of the control one. The slump and the workability of the fresh concrete decreases with the increase of the waste foundry sand ratio. Although the freezing and thawing significantly reduces the mechanical and physical properties of the concrete. The obtained results satisfies the acceptable limits set by the American Concrete Institute (ACI). 2010 Elsevier Ltd. All rights reserved.

Study on strength characteristics of concrete using M-Sand and coconut fibers

Science.gov (United States)

Neeraja, D.; Wani, Amir Iqbal; Kamili, Zainulabideen; Agarwal, Krishnakant

2017-11-01

In the current world, concrete has become a very important part of the construction industry and the materials which are used in making concrete have evolved due to better quality of cement and better grade of coarse aggregates. The sand is an important part of concrete. It is mainly procured from natural sources. Thus the grade of sand is not under our control. The methods of removing sand from river beds are causing various environmental issues and river sand is depleting at a faster rate than it is replaced by natural methods. Hence, various replacements for the river sand are being done, one of which is manufactured-sand. It is obtained from various granite quarries. Manufactured-sand or M-sand is slowly replacing the fine aggregate in the concrete as the sand is well graded and gives higher strength of concrete. There are various fibers used for reinforcing concrete which consist mainly of artificial or steel fibers. Some of these fibers are quite costly and sometimes difficult to obtain. So there are many natural fibers which can be used in place of these fibers, one of which is coconut fiber, extracted from the shell of a coconut. Coconut fibers are used in various industries like rope making, coir mattresses etc. Since these fibers are one of the strongest fibers among naturally occuring fibers, they can be used in the concrete mix to increase the resistance in concrete. They are also light weight and easily available and thus can be used in reinforcement of concrete. The studies up till now have tested the use of coconut fibers in normal concrete involving river sand but in this study a particular ratio of M-sand and river sand is used to get the maximum possible strength. Hence, in this project an attempt was made to use M-sand and coconut fiber in concrete. Based on the test results, it can be concluded that combination of M-sand and coconut fibers gave favorable results in strength criteria.

Sand transport in urbanized beaches - models and reality

International Nuclear Information System (INIS)

Pineiro, G.; Norbis, W.; Panario, D.

2012-01-01

The general objective is to quantify the wind transport of sand in the urbanized beaches. The specific objectives include testing and calibration of the wind velocity as well as the classification of the beaches according to the magnitude and the direction of sand transport

Geophysics comes of age in oil sands development

Energy Technology Data Exchange (ETDEWEB)

Bauman, P. [WorleyParsons Komex, Calgary, AB (Canada); Birch, R.; Parker, D.; Andrews, B. [Calgary Univ., AB (Canada). Dept. of Geology and Geophysics

2008-07-01

This paper discussed geophysical techniques developed for oil sands exploration and production applications in Alberta's oil sands region. Geophysical methods are playing an important role in mine planning, tailings containment, water supply, and land reclamation activities. Geophysics techniques are used to estimate the volume of muskeg that needs to be stripped and stored for future reclamation activities as well as to site muskeg piles and delineate the thickness of clay Clearwater formations overlying Cretaceous oil-bearing sands. 2-D electrical resistivity mapping is used to map river-connected deep bedrock Pleistocene paleovalleys in the region. Geophysical studies are also used to investigate the interiors of dikes and berms as well as to monitor salt migration within tailings piles. Sonic and density logs are used to create synthetic seismograms for mapping the Devonian surface in the region. The new applications included the calculation of bitumen saturation from surface sands and shales; muskeg thickness mapping; and non-intrusive monitoring of leachate plumes. Geophysical techniques included 2-D electrical resistivity imaging; transient electromagnetic (EM) technologies; ground penetrating radar; and high-resolution seismic reflections. Polarization, surface nuclear magnetic resonance and push-probe sensing techniques were also discussed. Techniques were discussed in relation to Alberta's Athabasca oil sands deposits. 4 refs.

Seismic stochastic inversion identify river channel sand body

Science.gov (United States)

He, Z.

2015-12-01

The technology of seismic inversion is regarded as one of the most important part of geophysics. By using the technology of seismic inversion and the theory of stochastic simulation, the concept of seismic stochastic inversion is proposed.Seismic stochastic inversion can play an significant role in the identifying river channel sand body. Accurate sand body description is a crucial parameter to measure oilfield development and oilfield stimulation during the middle and later periods. Besides, rational well spacing density is an essential condition for efficient production. Based on the geological knowledge of a certain oilfield, in line with the use of seismic stochastic inversion, the river channel sand body in the work area is identified. In this paper, firstly, the single river channel body from the composite river channel body is subdivided. Secondly, the distribution of river channel body is ascertained in order to ascertain the direction of rivers. Morever, the superimposed relationship among the sand body is analyzed, especially among the inter-well sand body. The last but not at the least, via the analysis of inversion results of first vacuating the wells and continuous infilling later, it is meeted the most needs well spacing density that can obtain the optimal inversion result. It would serve effective guidance for oilfield stimulation.

Effect of River Indus Sand on Concrete Tensile Strength

Directory of Open Access Journals (Sweden)

M. T. Lakhiar

2018-04-01

Full Text Available In the development of Pakistan construction industry, the utilization of River Indus sand in concrete as fine aggregate has expanded tremendously. The aim of this research is to study the effect of Indus River sand on the tensile strength of various grades of concrete when it is utilized as fine aggregate. Concrete Samples of M15, M20 and M25 grade concrete were cured for 7, 14, 21 and 28 days. Based on the results, it is found that concrete became less workable when Indus river sand was utilized. It is recorded that tensile strength of concrete is decreased from 5% up to 20% in comparison with hill sand. The results were derived from various concrete grades.

LAND COVER DYNAMICS OF OLESHKY SANDS: TIME-SERIES ANALYSIS 1987-2017

Directory of Open Access Journals (Sweden)

V. Bogdanets

2017-11-01

Full Text Available Oleshky Sands is the largest expanse of sand in Ukraine and the second in Europe. In the beginning of XX century sands moving outside of arenas was almost stopped by planting trees (Pinus nigra ssp. pallasian and Pinus sylvestris L., and the territory had different use during the years. A 30-year (1987-2017 time series of Landsat imagery obtained via USGS geoservice was used to reveal land cover dynamics of deserted landscapes of Oleshky sands using QGIS software. Heavy sand storms can impact nearby settlements and expose harmful effect on local industry and quality of life of local communities. Forest fire is another dangerous factor for protective forest plantations during last years. Our estimation shows that sandy areas increase during 2000-2017; generally, conservation measures had constant effect despite afforestation of last years. The preventive effect of forest on sands moving at Oleshky sands can be characterized as stable in case of constant care about the forest plantation and proper documentation on land use and ownership.

Comparison of the Characteristics and Performance of Flurbiprofen 8.75 mg Spray for Sore Throat.

Science.gov (United States)

Veale, David; Shephard, Adrian; Adams, Verity; Lidster, Charlotte

2017-01-01

Sore throat sprays provide targeted relief by delivering the active ingredient directly to the site of pain. Different sprays vary in characteristics, thus affecting delivery of the active ingredient to the throat, which can impact compliance. The characteristics and performance of FLURBIPROFEN 8.75 mg SPRAY were compared with 12 other sprays. Parameters assessed included spray angle and pattern, droplet size distribution, shot weight uniformity and shot weight throughout life. Among all sprays tested WICK Sulagil Halsspray had the smallest spray angle (46°) and also the smallest diameter spray pattern (X=32.8 mm; Y=34.4 mm). Thiovalone® Buccal Spray Suspension had both the largest spray angle (82°) and largest diameter spray pattern (X=62.6 mm; Y=78.0 mm). Hasco Sept® Aerosol Spray had the smallest droplet size (Dv90=118.4 μm) whereas OKi infiammazione e dolore® 0.16% spray had the largest (Dv90=214.34 μm). In terms of shot weight uniformity, TANTUM® VERDE GOLA 0.25% spray showed the least variation (2% RSD) between shots and UNIBEN Aerosol Spray the most (23.4% RSD). Shot weight throughout life studies showed that FLURBIPROFEN 8.75 mg SPRAY had the least deviation from shot weight (1.77%) whereas OKi infiammazione e dolore® 0.16% spray deviated the most (44.9%). FLURBIPROFEN 8.75 mg SPRAY had the second smallest spray angle/pattern and droplet size distribution and also the least variation in shot weight. Different sore throat sprays vary in different attributes, affecting delivery of the active ingredient. FLURBIPROFEN 8.75 mg SPRAY performed well overall, ranking first among all sprays tested, and providing a dose which is targeted and uniformly delivered throughout the life of the bottle. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

Beach Sand Analysis for Indicators of Microbial Contamination

Science.gov (United States)

Traditional beach monitoring has focused on water quality, with little attention paid to health risks associated with beach sand. Recent research has reported that fecal indicator bacteria, as well as human pathogens can be found in beach sand and may constitute a risk to human h...

Evaluation of the Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) scoring system in elderly patients with pressure sores undergoing fasciocutaneous flap-reconstruction.

Science.gov (United States)

Mizumoto, Kazuo; Morita, Eishin

2009-01-01

The aim of the present study was to predict operative morbidity in elderly patients with deep pressure sores by using the Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) scoring system. Fifteen patients over 70 years old were retrospectively reviewed who had undergone gluteus maximus fasciocutaneous flap-reconstruction for pressure sores of the sacral region from 1 April 2005 to 31 March 2007. Complications were seen in six cases (40%) after operation. Four were wound infection, one was chest infection and another was septicemia. The subjects were divided into two groups by the presence (complicated group) or absence (non-complicated group) of postoperative complications. Each item of physiological scores, physiological score (PS), operative severity score (OS) and predicted morbidity rate (R) were calculated and compared between two groups. As a result, hemoglobin (P = 0.0276), PS (P = 0.0023) and R (P = 0.0078) differed significantly between the two groups. It is noteworthy that the PS were over 25 in all of the complicated group, but in only one of nine in the non-complicated group (P = 0.0014). Our study suggests that, for pressure sores in the sacral region in elderly patients, gluteus maximus fasciocutaneous flap-reconstruction can be employed in patients whose PS are under 24 in the POSSUM scoring system.

Proceedings of the Canadian oil sands forum 2007 : creating excellence through innovation

International Nuclear Information System (INIS)

2007-01-01

The supply from Canada's oil sands industry is growing at an accelerated pace. This conference was intended for professionals in the oil sands industry seeking updated information on oil sands developments, transportation issues and future market challenges and opportunities. It was attended by a broad range of industry participants who addressed some of the critical issues involved in developing oil sands projects. Despite market opportunities which have resulted in a fast pace of development and continually evolving project plans, there are challenges and uncertainties that must be overcome in order to achieve projected levels of supply growth. It was noted that the business environment in the oil sands industry is continually changing in terms of current supply/market/refining situations and new market developments. The conference also addressed how capital cost and mega-project management issues are being addressed. Expanding market opportunities for Canada's growing oil sands supply were highlighted along with latest developments related to upgrading strategies. Market experts also discussed issues related to synthetic crude, heavy oil markets and the supply and demand of diluents. The sessions were entitled: challenges and opportunities in oil sands; oil sands business outlook; latest project development updates; integration of Canadian oil sands with U.S. refining; and, technology and oil sands innovations.The conference featured 16 presentations, of which 6 have been catalogued separately for inclusion in this database. tabs., figs

Improving the geotechnical behavior of sand through cohesive admixtures

Directory of Open Access Journals (Sweden)

Mohie eldin Mohamed Afify Elmashad

2018-04-01

Full Text Available Irrigation projects in Egypt have been facing tremendous challenges, mostly is the scarcity of irrigation water. The current research presents the effect of different cohesive admixture on the conductivity of siliceous sand in general and its other geotechnical properties. Two different types of conventional swelling clay from (Toshka, 6th of October as well as bentonite were used to construct the irrigation canals and embankment. The results indicated that increase in the plasticity properties of the treated soil also decrease the permeability and infiltration. Moreover, the dry density of 2.08 t/m3 was obtained from sand and 20% 6th of October mixture, also the CBR of 31.20% were obtained from sand and 8% 6th of October mixture. Increasing the bentonite ratio increases the cohesion and decreasing the permeability. The swelling ratios of sand 6th of October Clay mixture is equal to 0.28%, and the fictitious stress at which the swelling ratio is nil, is equal to 16 kPa. Keywords: Sand, Swelling clay, Bentonite, Compaction test, Consolidation test, Triaxial test

Sustainable use of oil sands for geotechnical construction and road building

CSIR Research Space (South Africa)

Anochie-Boateng, Joseph

2012-02-01

Full Text Available Oil sands are natural deposits of bituminous sand materials that are mined and processed for crude oil. They are routinely used in oil sand fields for building temporary and sometimes permanent roads serving mining and hauling activities. Although...

Experimental Investigation of Evaporation and Drainage in Wettable and Water-Repellent Sands

Directory of Open Access Journals (Sweden)

Dae Hyun Kim

2015-05-01

Full Text Available This study presents experimental results on evaporation and drainage in both wettable and water-repellent sands whose surface wettability was artificially modified by silanization. The 2D optical and 3D X-ray computed tomographic imaging was performed during evaporation and the water retention during cyclic drainage and infiltration was measured to assess effects of wettability and initial wetting conditions. The evaporation gradually induces its front at the early stage advance regardless of the wettability and sand types, while its rate becomes higher in water-repellent Ottawa sand than the wettable one. Jumunjin sand which has a smaller particle size and irregular particle shape than Ottawa sand exhibits a similar evaporation rate independent of wettability. Water-repellent sand can facilitate the evaporation when both wettable and water-repellent sands are naturally in contact with each other. The 3D X-ray imaging reveals that the hydraulically connected water films in wettable sands facilitate the propagation of the evaporation front into the soil such that the drying front deeply advances into the soil. For cyclic drainage-infiltration testing, the evolution of water retention is similar in both wettable and water-repellent sands when both are initially wet. However, when conditions are initially dry, water-repellent sands exhibit low residual saturation values. The experimental observations made from this study propose that the surface wettability may not be a sole factor while the degree of water-repellency, type of sands, and initial wetting condition are predominant when assessing evaporation and drainage behaviors.

The Karakum and Kyzylkum sand seas dynamics; mapping and palaeoclimatic interpretations

Science.gov (United States)

Maman, Shimrit; Blumberg, Dan G.; Tsoar, Haim; Porat, Naomi

2015-04-01

Sand seas are large basins in deserts that are mantled by wind-swept sand and that exhibit varying degrees of vegetation cover. Wilson (1973) was the first to globally map and classify sand seas. Beyond Wilson's maps, however, little research has been published regarding the Karakum and Kyzylkum sand seas of Central Asia. Wilson's maps delineate active ergs from inactive ergs based solely on precipitation. His assumption of annual average rainfall as a factor determining mobility vs. stability of sand seas is too simplistic and does not take into consideration other factors such as biogenic soil crusts and wind power, both of which are known to have major effects on the dynamics of sand dunes. Literature related to mapping and classifying the Central Asian ergs by remote sensing or sand sea classification state (stable/active) is lacking. Moreover, the palaeoclimatic significance of dunes in Central Asia is difficult to assess, as there has been few studies of dune stratigraphy and numerical ages are lacking. Optically stimulated luminescence (OSL) is a firm optical dating method that is used to determine the elapsed time since quartz grains were last exposed to sunlight, thus, their burial. Yet, absolute ages indicating mobilization and stabilization of these sands, are still inadequately known and are here under discussion. The broad concern of this research was to determine the dynamics of the Central Asian sand seas and study the palaeoclimatic changes that brought to their stabilization. As there are no reliable maps or aeolian discussion of these sands, establishment of a digital data base was initially conducted, focusing on identifying and mapping these sand seas. The vast area and inaccessibility make traditional mapping methods virtually impossible. A variety of space-borne imagery both optical and radar, with varying spectral and spatial resolutions was used. These images provided the basis for mapping sand distribution, dune forms, and vegetation cover

Characteristics and Dynamics of a Large Sub-Tidal Sand Wave Field—Habitat for Pacific Sand Lance (Ammodytes personatus, Salish Sea, Washington, USA

Directory of Open Access Journals (Sweden)

H. Gary Greene

2017-10-01

Full Text Available Deep-water sand wave fields in the San Juan Archipelago of the Salish Sea and Pacific Northwest Washington, USA, have been found to harbor Pacific sand lance (PSL, Ammodytes personatus, a critical forage fish of the region. Little is known of the dynamics of these sand waves and the stability of the PSL sub-tidal habitats. Therefore, we have undertaken an initial investigation to determine the dynamic conditions of a well-known PSL habitat in the San Juan Channel within the Archipelago using bottom sediment sampling, an acoustical doppler current profiling (ADCP system, and multi-beam echo sounder (MBES bathymetry. Our study indicates that the San Juan Channel sand wave field maintained its shape and bedforms geometry throughout the years it has been studied. Based on bed phase diagrams for channelized bedforms, the sand waves appear to be in a dynamic equilibrium condition. Sea level rise may change the current regime within the Archipelago and may alter some of the deep-water or sub-tidal PSL habitats mapped there. Our findings have global significance in that these dynamic bedforms that harbor PSL and sand-eels elsewhere along the west coast of North America and in the North Sea may also be in a marginally dynamic equilibrium condition and may be prone to alteration by sea level rise, indicating an urgency in locating and investigating these habitats in order to sustain the forage fish.

On Foundation Improvement By Sand Replacement | Abam | Global ...

African Journals Online (AJOL)

This paper describes a simple foundation improvement method involving the replacement of poor foundation bearing soils with sand and the resultant improvement in bearing capacity and the minimization of settlement at the site of a large storage tank. Minimum thickness of sand replacement for various foundation loads ...

Computed tomography of pressure sores, pelvic abscess, and osteomyelitis in patients with spinal cord injury

International Nuclear Information System (INIS)

Firooznia, H.; Rafii, M.; Golimbu, C.; Lam, S.; Sokolow, J.; Kung, J.S.

1982-01-01

Nine patients with spinal cord injury (SCI) and large pressure ulcers and other possible complications, were evaluated by computed tomography (CT), conventional radiography, tomography, bone scanning, gallium scanning, and sonography. CT revealed the depth, extent, and relationship of the ulcer-bed to the underlying structures in all 9 patients. CT also positively identified unsuspected intra- and extra-pelvic abscess and pelvic osteomyelitis in 4 patients each. Other modalities identified only 2 of these complications. We believe CT is the modality of choice for evaluation of these complications in SCI patients, because of its superior ability in evaluation of pressure sores and detection of pathologic changes in soft tissue and bone in the pelvic region

Development of Marjolin's ulcer following successful surgical treatment of chronic sacral pressure sore

DEFF Research Database (Denmark)

Knudsen, M.A.; Biering-Sørensen, Fin

2008-01-01

of surgical excision and successful closure of the wound, the patient developed Marjolin's ulcer 2.5 years later. Yet it illustrates the primary importance of preventing the development pressure sores, of aggressive (surgical) therapy with healing when they do arise and of taking frequent biopsies......STUDY DESIGN: Case report. OBJECTIVE: Report of an unusual case, where a Marjolin's ulcer that developed 2.5 years after surgical excision and successful closure. SETTING: Department of Plastic and Reconstructive Surgery and Burn Unit and the Clinic for Spinal Cord Injuries, Copenhagen University...... Hospital, Rigshospitalet, Copenhagen, Denmark. METHODS AND RESULTS: A 22-year-old man sustained a fracture with luxation of the 5th and 6th cervical vertebrae and loss of sensory and motor function after a diving accident (complete C8 lesion). During initial hospitalization, he developed a sacral ulcer...

Ask Dr. Sue: Tree Climbing and Care of Sand Play Areas.

Science.gov (United States)

Aronson, Susan S.

1993-01-01

Discusses safety aspects of tree climbing and the use of sand in outdoor play areas at day care centers. Specifies ways to prune trees so that they are unclimbable and methods for maintaining sand areas. Includes a recipe for sand disinfectant. (MDM)

Differences and commonalities impregnation of dry and wet sand

Directory of Open Access Journals (Sweden)

Maujuda МUZAFFAROVA

2014-09-01

Full Text Available The article is devoted to research new methods of physic-chemical methods of preventing deflation to protect railways and highways from such phenomena as exogenous sand drifts. In particular, first studied the possibility of using binders in sand wet state. Results can significantly extend the scope of the method, and identified with particular impregnation maintaining stability requirements protective cover reduces both the concentration previously recommended binders, and their costs, thereby securing implementation in practice of shifting sands resource-saving technology.

Research for the development of the crushed sand (II)

Energy Technology Data Exchange (ETDEWEB)

Park, Chul Whan; Kang, Sun Duck; Min, Jeong Sik; Synn, Joong Ho; Park, Chan [Korea Institute of Geology Mining and Materials, Taejon (Korea)

1998-12-01

The sand obtained from river is not sufficient in amount for the demand of construction industry. The production of sand from sea and mountain is rapidly increasing for the substitution of the river sand. The industry of the crushed sand has recently been bricked for the above. Crushing, classification and dewatering are the main processes in the crushed sand production. This report concentrates the improvement of classification technology and the quality of ready mixed concrete. Air separator with testing size for the classification in the process of dry system was developed by the Yeung Nam university. This plant has the excellent efficiency for the collection of fine powder, but needs the improvement for separating function. The collection efficiency of the testing size air separator is reached to 99% in the condition of high revolution and low feeding speed. The classification efficiency is checked about 50% maximum in the condition of 200 rpm and dry sample. Energy saving test was carried out in the production process of the dry system with the rock samples of 14-17% of water content. The classification efficiency for dewatering sample passed the heating process was analysed 91.5%. But that for high water content sample skipped the heating process was analysed more or less 77%. Even though the heating process causes the classification efficiency being high, the energy consumption can also cause the price of the crushed sand high. Water content of sample as the effective element for the optimization of classification efficiency and energy saving should be studied next year. The quality of crushed sand in the mixing design. The test was carried out with the various content in mixing, the strength of ready mixed concrete has the maximum for the mould with 50-60% content of crushed sand. This strength is higher by 5-30% than 30% content and by 20-32% than 0% content, which means that the industry has the possibility of progress. (author). 10 refs., 31 tabs., 49

Pressure sores among malnourished necropsied adults - preliminary data Escaras de decúbito em adultos necropsiados com subnutrição - dados preliminares

Directory of Open Access Journals (Sweden)

Daniel Ferreira da Cunha

2000-06-01

Full Text Available Pressure sores are common among bedridden, elderly, or malnourished patients, and may occur in terminal ill patients because of impaired mobility, fecal or urinary incontinence, and decreased healing capacity. The aim of this study was to compare frequency of pressure sores between malnourished and non-malnourished necropsied adults. METHOD: All (n = 201 adults (age ³ 18 years autopsied between 1986 and 1996 at the Teaching Hospital of Triangulo Mineiro Medical School (Uberaba were eligible for the study. Gender, race, weight, height and main diagnoses were recorded. Ninety-six cases were excluded because of probable body water retention (congestive heart failure, hepatic insufficiency, nephrotic syndrome or pressure sores secondary to peripheral vascular ischemia. Body mass index (BMI was used to define malnourished (BMI 18.5kg/m² groups. RESULTS: Except for weight (42.5kg; range: 28-57 vs. 60; 36-134.5kg and BMI (16.9; range: 12.4-18.5 vs. 22.7; range: 18.5-54.6kg/m², respectively, there were no statistical differences among 43 malnourished and 62 non-malnourished cases in relation to age (54.9 ± 20.4 vs. 52.9 ± 17.9 years, percentage of white persons (74.4 vs. 64.5%, male gender (76.7 vs. 69.3% and main diagnoses. Five malnourished (11.6% and 7 (11.5% non-malnourished cases had pressure sores (p=0.89. CONCLUSION: Pressure sores were equally common findings in necropsied persons with protein-energy malnutrition, as assessed by body mass index.Escaras de decúbito são comuns em pacientes acamados, idosos e subnutridos e podem ocorrer em pacientes terminais devido à imobilidade, incontinência fecal e urinária e imunodepressão. Além disso, a contaminação das Escaras de decúbito aumentam o risco de sepsis e podem piorar o estado nutricional. O objetivo deste estudo foi comparar a freqüência de Escaras de decúbito entre adultos necropsiados com ou sem subnutrição. MÉTODO: Adultos (n=201 necropsiados no Hospital Escola da FMTM

Alberta Oil Sands Equity annual report, 1991-92. Partnership and progress in Alberta's oil sands development

International Nuclear Information System (INIS)

1992-01-01

Alberta Oil Sands Equity (AOSE) manages the Alberta government's equity investments in oil sands and heavy oil projects. AOSE is a 16.74% participant in the Syncrude Project, a 10% participant in the OSLO (Other Six Leases Operation) Commercial Project and the OSLO New Ventures project, and a 24.17% participant in the Lloydminster Bi-Provincial Upgrader. Syncrude produces over 11% of Canadian crude oil requirements, and AOSE's share yielded $43.3 million profit for 1991/92, down significantly from the $82.1 million the previous year due to lower oil prices. The OSLO Commercial Project is a proposed commercial oil sands plant with a mine site and extraction plant to be located north of Fort McMurray, and an upgrading facility to be situated north of Edmonton. Work on this project was suspended in early 1992. The OSLO New Ventures project will handle the exploration and development of the remaining five oil sands leases plus the southern portion of Lease 31. As of March 31, 1992, the project owners were considering a commercial demonstration project utilizing dredging and cold-water extraction processes. Two of the owners are unable to provide funding and discussions are under way to resolve the matter and move the program forward. The Lloydminster Bi-Provincial Upgrader was nearly 90% complete in March 1992 and full startup is expected in November 1992; engineering work was completed in March 1991. The upgrader will increase the value of heavy crude oil and thereby increase its demand. 4 figs., 4 tabs

CFD evaluation of erosion rate around a bridge near a sand dune

Science.gov (United States)

He, Wei; Huang, Ning; Dun, Hongchao; Wang, Wenbo

2017-04-01

This study performs a series of simulations through solving the Navier-Stokes equations and the RNG k-ε turbulence model to investigate the wind erosion rates around a bridge in a desert area with sand dunes. The digital elevation model of sand dunes and the bridge model are obtained respectively from hypsographic map and construction drawings. Through combining them into the CFD software of Fluent the simulation zone was formed. The data of wind speed obtained from field observation is fitted into a logarithm format, which was imported into Fluent model as a inlet wind speed condition. Then, the effect of Dun-Go railway on wind-blown sand movement of the neighbouring environment is simulated. The results exhibit that affected by both the sand dune and bridge, the flow field is in a complex condition. It is also shown that the bridge in upstream of the sand dune will not increase the sand transport rate intensively, but change both wind velocity gradient and turbulence kinetic energy over surface of sand dune. On the other hand, when the bridge is built downstream the sand dune, simulation results show that sand deposition rate would be decreased in reference region downstream the pier.

The oil sands: A new energy vision for Canada

International Nuclear Information System (INIS)

1995-01-01

Canada's oil sands deposits were considered to offer huge potential for wealth generation and enduring social benefits. This report showed that putting in action the plan developed by the National Task Force on Oil Sands Strategies would help unlock this potential and realize the benefits; the forecast called for a doubling or tripling of oil sands production over the next 25 years. The plan should also predicted an increase in investments in oil sands since the fiscal regime would be stable and the product would be in increasing demand. New capital investment should generate significant environmental, social and economic benefits. The real outcome would be increased national prosperity, since further growth in investment would translate into thousands of skilled jobs across Canada, expansion of government revenues, and improvements to Canada's trade balance. 1 ill

Oil sands: Strategies for future development - An overview

International Nuclear Information System (INIS)

Yildirim, E.

1995-01-01

The Alberta Chamber of Resources developed a Task Force in 1993 to promote oil sands development, and to identify and publicize the social and economic benefits of oil sands operations. Formation, mission of the National Task Force, impediments and opportunities for development were summarized. Attributes of oil sands, benefits of their development, impediments to development, strategic development and potential growth scenarios were discussed. Cooperation between government and industry was deemed essential. Recommendations included development of a bitumen pipeline network, provision of incentives to encourage development, encouragement of risk and reward sharing between bitumen producers and up graders, and diversification of products and by-products. 7 figs., 12 refs

Used Furan Sand Reclamation in REGMAS Vibratory Unit

Directory of Open Access Journals (Sweden)

Dańko J.

2015-09-01

Full Text Available The paper, especially dealt with problems of reclamation of used furan sand, carried out in new, vibratory sand reclamation unit REGMAS developed by researches from AGH-University of Science and Technology, Faculty of Foundry Engineering in Cracow (Poland. Functional characteristics of reclamation unit as well as the results of reclamation of used sand with furfuryl resin are discussed in the paper. The quality of reclaim was tested by means of the LOI and pH value, dust content in the reclaim and at least by the the quality of the castings produced in moulds prepared with the use of reclaimed matrix.

Opportunities for CANDU for the Alberta oil sands

International Nuclear Information System (INIS)

Hopwood, J.M.; Bock, D.; Miller, A.; Kuran, S.; Keil, H.; Fiorino, L.; Hau, K.; Zhou, X.; Dunbar, R.B.

2003-01-01

The Alberta oil sands bitumen deposits comprise of one of the largest sources hydrocarbon in the world, and have emerged as the fastest growing, soon to be dominant, source of crude oil in Canada. The oil industry has made great strides in improving the effectiveness of gathering this resource. In particular, alternatives to open-pit mining have been developed which enable in-site recovery of underground deposits with a minimum of environmental disruption. The main challenge that remains is the large quantity of energy needed in the process of extracting the oil and upgrading it to commercial levels. For a typical in-situ extraction project, about 18% of the energy content of the oil produced is used up in the extraction process, while a further 5% is used in generating hydrogen to upgrade the bitumen to synthetic crude oil. Looking ahead, even as improvements in energy use efficiency, (and hydrocarbon use efficiency) counterbalance the increases in hydrocarbon demand from economic growth (particularly in the developing world), Canada and Alberta recognize that the oil sands resource will be needed, and both support the development of this resource in an environmentally responsible way. The large energy requirement for the oil sands extraction process represents a challenge with regard to both environmental impact and security of supply. The use of natural gas, the current energy supply, has impacts in terms of air quality (via NOX and other emissions) and also represents a large greenhouse gas emissions component. As the oil sands industry expands, the availability of natural gas also becomes a concern, as does price and price stability. With this background, the opportunity for nuclear reactors to provide an economical, reliable, virtually zero-emission source of energy for the oil sands becomes very important. Over the last few years, developments in oil sands extraction technology, and developments in CANDU technology through the Advanced CANDU Reactor, (ACR