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Sample records for ahmed tube insertion

  1. Graft-free Ahmed tube insertion: a modified method at 5 mm from limbus

    Directory of Open Access Journals (Sweden)

    Juan Carlos Mesa-Gutiérrez

    2010-04-01

    Full Text Available Juan Carlos Mesa-Gutiérrez, Juan Lillo-Sopena, Anna Monés-Llivina, Silvia Sanz-Moreno, Jorge Arruga-GinebredaDepartment of Ophthalmology, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, SpainObjective: To determine the medium-term outcome of Ahmed implants inserted through a needle tract at 5 mm from limbus that eliminates the need for a donor scleral graft.Methods: A retrospective case series of 19 patients undergoing Ahmed implant surgery for refractory glaucoma with a mean follow-up of 12 months. Primary outcome measures included control of intraocular pressure after surgery. Secondary outcome measure included the frequency of intraoperative and postoperative complications.Results: Intraocular pressure was maintained between 6 and 21 mmHg throughout the study. There was no postoperative hypotony. There were no complications related to this modified technique.Conclusion: Needle tract at 5 mm from limbus maintains implant’s ability to control intraocular pressure and eliminates the need for a donor scleral graft or heterologous material.Keywords: surgical technique, Ahmed implant, refractory glaucoma, donor scleral graft, tube shunt device

  2. Transcorneal tube erosion of an Ahmed valve implant in an adult

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    Al-Shahwan Sami

    2010-01-01

    Full Text Available Ahmed valve implants are currently used to manage high-risk complicated adults and pediatric glaucoma when standard filtration surgery is unsuccessful. Despite its success, the Ahmed valve shunt has significant complications particularly in the anterior segment. We report an unusual case of transcorneal tube erosion of an Ahmed valve implant in an adult that resulted from long-standing tube-corneal touch. Periodic observation of tube position is recommended.

  3. Ear tube insertion

    Science.gov (United States)

    Myringotomy; Tympanostomy; Ear tube surgery; Pressure equalization tubes; Ventilating tubes; Ear infection - tubes; Otitis - tubes ... trapped fluid can flow out of the middle ear. This prevents hearing loss and reduces the risk ...

  4. Clinical findings following Ahmed Glaucoma Valve™ implantation in pediatric glaucoma

    OpenAIRE

    Pirouzian, Amir; Demer, Joseph L.

    2008-01-01

    Purpose To describe clinical findings after Ahmed valve drainage implantation in children. Design All records in one practice were reviewed to identify and describe clinical findings in all children who had undergone Ahmed Glaucoma Valve™ S2 model insertion for uncontrolled primary or secondary glaucoma. Results A total of 6 patients were identified, ranging in age from 2–15 years. Mean follow-up time averaged from 2–5 years from the time of tube insertion. Three patients exhibited pupillary ...

  5. Eustachian tube function in children after insertion of ventilation tubes.

    NARCIS (Netherlands)

    Heerbeek, N. van; Ingels, K.J.A.O.; Snik, A.F.M.; Zielhuis, G.A.

    2001-01-01

    This study was performed to assess the effect of the insertion of ventilation tubes and the subsequent aeration of the middle ear on eustachian tube (ET) function in children. Manometric ET function tests were performed repeatedly for 3 months after the placement of ventilation tubes in 83 children

  6. T-tube insertion for sclerotic subglottic stenosis.

    Science.gov (United States)

    Goto, Taichiro; Kato, Ryoichi

    2014-02-01

    T-tube insertion is effective treatment for subglottic stenosis, but it is generally difficult due to bending of the T-tube. In a 52-year-old woman with relapsing polychondritis, a T-tube was inserted after predilatation using Hegar dilators. We describe the details of our T-tube insertion methods for sclerotic subglottic stenosis.

  7. Clinical findings following Ahmed Glaucoma Valve™ implantation in pediatric glaucoma

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    Amir Pirouzian

    2008-03-01

    Full Text Available Amir Pirouzian1, Joseph L Demer21Department of Ophthalmology, San Diego Children’s Hospital, San Diego, UCSD, San Diego, CA, USA; 2Department of Ophthalmology, Jules Stein Eye Institute, UCLA, Los Angeles, CA, USAPurpose: To describe clinical findings after Ahmed valve drainage implantation in children.Design: All records in one practice were reviewed to identify and describe clinical findings in all children who had undergone Ahmed Glaucoma ValveTM S2 model insertion for uncontrolled primary or secondary glaucoma.Results: A total of 6 patients were identified, ranging in age from 2–15 years. Mean follow-up time averaged from 2–5 years from the time of tube insertion. Three patients exhibited pupillary peaking towards the tube of the valve. All patients required additional surgery or additional medications to control intraocular pressure. Lenticular opacification near the tube site developed in one patient. Gradual tube extrusion was also noted in another two patients.Conclusion: Multiple clinical events follow the Ahmed valve insertion in children. Pupillary irregularity is the most commonly noted event in this series. To avoid or reduce the risk of this complication, additional or modification of surgical procedures could be considered. The mechanism of such occurrence will further be discussed.Keywords: Ahmed Glaucoma Valve, children, pediatric glaucoma

  8. Clinical findings following Ahmed Glaucoma Valve™ implantation in pediatric glaucoma

    Science.gov (United States)

    Pirouzian, Amir; Demer, Joseph L

    2008-01-01

    Purpose To describe clinical findings after Ahmed valve drainage implantation in children. Design All records in one practice were reviewed to identify and describe clinical findings in all children who had undergone Ahmed Glaucoma Valve™ S2 model insertion for uncontrolled primary or secondary glaucoma. Results A total of 6 patients were identified, ranging in age from 2–15 years. Mean follow-up time averaged from 2–5 years from the time of tube insertion. Three patients exhibited pupillary peaking towards the tube of the valve. All patients required additional surgery or additional medications to control intraocular pressure. Lenticular opacification near the tube site developed in one patient. Gradual tube extrusion was also noted in another two patients. Conclusion Multiple clinical events follow the Ahmed valve insertion in children. Pupillary irregularity is the most commonly noted event in this series. To avoid or reduce the risk of this complication, additional or modification of surgical procedures could be considered. The mechanism of such occurrence will further be discussed. PMID:19668395

  9. Tension Pneumothorax and Subcutaneous Emphysema Complicating Insertion of Nasogastric Tube.

    Science.gov (United States)

    Al Saif, Narjis; Hammodi, Adel; Al-Azem, M Ali; Al-Hubail, Rasheed

    2015-01-01

    Nasogastric tube has a key role in the management of substantial number of hospitalized patients particularly the critically ill. In spite of the apparent simple insertion technique, nasogastric tube placement has its serious perhaps fatal complications which need to be carefully assessed. Pulmonary misplacement and associated complications are commonplace during nasogastric tube procedure. We present a case of tension pneumothorax and massive surgical emphysema in critically ill ventilated patient due to inadvertent nasogastric tube insertion and also discussed the risk factors, complication list, and arrays of techniques for safer tube placement.

  10. Tension Pneumothorax and Subcutaneous Emphysema Complicating Insertion of Nasogastric Tube

    Directory of Open Access Journals (Sweden)

    Narjis AL Saif

    2015-01-01

    Full Text Available Nasogastric tube has a key role in the management of substantial number of hospitalized patients particularly the critically ill. In spite of the apparent simple insertion technique, nasogastric tube placement has its serious perhaps fatal complications which need to be carefully assessed. Pulmonary misplacement and associated complications are commonplace during nasogastric tube procedure. We present a case of tension pneumothorax and massive surgical emphysema in critically ill ventilated patient due to inadvertent nasogastric tube insertion and also discussed the risk factors, complication list, and arrays of techniques for safer tube placement.

  11. [The Use of a Tracheal Tube for Guiding Nasogastric Tube Insertion].

    Science.gov (United States)

    Saima, Shunsuke; Asai, Takashi; Okuda, Yasuhisa

    2016-04-01

    An obese patient was scheduled for shoulder joint surgery under general anesthesia. After induction of anesthesia and tracheal intubation, insertion of a gastric tube was difficult. A new tracheal tube was prepared, the connecter was removed, and the tube was cut longitudinally. The tube was inserted orally into the esophagus. A gastric tube was passed through the nose, and its tip was taken out of the mouth. The tip of the gastric tube was passed through the tracheal tube, and its correct position in the stomach was confirmed by auscultation of the epigastrium. The tracheal tube was carefully taken out from the esophagus leaving the gastric tube in the stomach. The cut tracheal tube was peeled off from the gastric tube. Correct positioning of the gastric tube was re-confirmed.

  12. Blind bedside insertion of small bowel feeding tubes.

    LENUS (Irish Health Repository)

    Duggan, SN

    2009-12-01

    The use of Naso-Jejunal (NJ) feeding is limited by difficulty in feeding tube placement. Patients have traditionally required transfer to Endoscopy or Radiology for insertion of small bowel feeding tubes, with clear resource implications. We hypothesised that the adoption of a simple bedside procedure would be effective and reduce cost. Clinical nutrition and nurse specialist personnel were trained in the 10\\/10\\/10 method of blind bedside NJ insertion.

  13. External ear canal cholesteatoma after ventilation tube insertion and mastoidectomy

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    Đerić Dragoslava

    2012-01-01

    Full Text Available Introduction. Etiopathogenetically, there are two types of chollesteatomas: congenital, and acquired. Numerous theories in the literature try to explain the nature of the disease, however, the question about cholesteatomas remain still unanswered. The aim of the study was to present a case of external ear canal cholesteatoma (EEC developed following microsurgery (ventilation tube insertion and mastoidectomy, as well as to point ant possible mechanisms if its development. Case report. A 16-yearold boy presented a 4-month sense of fullness in the ear and otalgia on the left side. A year before, mastoidectomy and posterior atticotomy were performed with ventilation tube placement due to acute purulent mastoiditis. Diagnosis was based on otoscopy examination, audiology and computed tomography (CT findings. CT showed an obliterative soft-tissue mass completely filled the external ear canal with associated erosion of subjacent the bone. There were squamous epithelial links between the canal cholesteatoma and lateral tympanic membrane surface. They originated from the margins of tympanic membrane incision made for a ventilation tube (VT insertion. The position of VT was good as well as the aeration of the middle ear cavity. The tympanic membrane was intact and of normal appearance without middle ear extension or mastoid involvement of cholesteatoma. Cholesteatoma and ventilation tube were both removed. The patient recovered without complications and shortly audiology revealed hearing improving. Follow-up 2 years later, however, showed no signs of the disease. Conclusion. There could be more than one potential delicate mechanism of developing EEC in the ear with VT insertion and mastoidectomy. It is necessary to perform routine otologic surveillance in all patients with tubes. Affected ear CT scan is very helpful in showing the extent of cholesteatoma and bony defects, which could not be assessed by otoscopic examination alone.

  14. Influence of Suction Tube Noise on Hearing in Pediatric Patients Who Received Ventilation Tube Insertion.

    OpenAIRE

    Chul Ho Jang; Chang-Hun Song; Seong-Hwan Kim; Pa-Chun Wang

    2004-01-01

    Background: Myringotomy with ventilation tube insertion is the most frequently used surgicalprocedure performed on children to treat otitis media with effusion. Therisk of acoustic trauma caused by the suctioning noise during the procedurehas not been clearly understood. The objective of this study was to investigatewhether the suctioning noise during ventilation tube placement proceduredamaged children's hearing.Methods: The study was conducted in a prospective manner. The ventilation tubepl...

  15. Nelaton catheter assisted versus standard nasogastric tube insertion: a randomized, clinical trial.

    Science.gov (United States)

    Ghaemi, M; Mousavinasab, N; Jalili, S

    2014-01-09

    It is sometimes difficult to insert a nasogastric tube in an anaesthetized patient. We evaluated the benefit of reinforcing the distal portion of the nasogastric tube with a Nelaton catheter: 8 and 10 French Nelaton catheters were inserted into 16 and 18 French nasogastric tubes respectively through the first proximal holes of tubes up to their tips. The patients anaesthetized were randomly allocated into either the control or the Nelaton groups, and nasogastric tube was inserted as deeply as the catheter length, then the catheter was withdrawn and the tube was inserted farther to reach the stomach. Eighty patients (40 in each group) were included in this study. The success rate of nasogastric tube insertion was 90% in the Nelaton group and 57% in the control group (P = 0.001). The mean insertion time was 80 (SD 43) and 92 (SD 35) seconds in the Nelaton and the control groups respectively.

  16. Hearing loss in young adults who had ventilation tube insertion in childhood.

    NARCIS (Netherlands)

    Beer, B.A. de; Schilder, A.G.M.; Ingels, K.J.A.O.; Snik, A.F.M.; Zielhuis, G.A.; Graamans, K.

    2004-01-01

    It is known that insertion of ventilation tubes can cause damage to the tympanic membrane and hearing deterioration in the long-term. To investigate long-term effects of recurrent otitis media and of ventilation tube insertion, we used a study group (n = 358 subjects), with or without a history of o

  17. A new technique for T tube insertion in severe subglottic stenosis.

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    Goto, Taichiro; Akanabe, Kumi; Oyamada, Yoshitaka; Kato, Ryoichi

    2011-06-01

    T tube insertion for subglottic stenosis is often difficult due to bending of the T tube itself. A T tube could be inserted safely and consistently in a patient with severe subglottic stenosis employing a method that we newly devised. Our method can be performed under local anesthesia without special instruments and is technically straightforward. And also, our method is considered to be applicable to marked stenosis and stenosis with a complex morphology. Herein we present an improved method for inserting a silicone T tube through a tracheostomy stoma in patients with severe subglottic stenosis.

  18. Experimental Study on Heat Transfer Characteristics of Shell and Tube Heat Exchanger Using Hitran Wire Matrix Turbulators As Tube Inserts.

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    Manoj

    2014-06-01

    Full Text Available Shell and tube heat exchangers are extensively used in boilers, oil coolers, pre-heaters, condensers etc. They are also having special importance in process application as well as refrigeration and air conditioning industries. The present paper emphasizes on heat transfer characteristics of shell and tube heat exchangers with the aid of hiTRAN wire matrix inserts is been studied. Investigations were made on effect of mass flow rate of water on heat transfer characteristics in case of plain tube without inserts. When hiTRAN wire matrix tube inserts are used, which effectively increases the turbulence of tube side flow due to the hydrodynamic and thermal agitation of boundary layer in turns increases additional pressure drop is available in the system. This results in increase in the wall shear, reduced wall temperature which enhances substantial increase in tube side heat transfer characteristics. Heat and cooling processes streams is a standard operation in many industries this operation is often performed in heat exchangers where the heated or cold fluid flows under laminar conditions inside the tubes the mechanisms of under those flow conditions are complex poorly understood since they can involve both forced and natural convection making accurate prediction for heat exchanger. Heat transfer in laminar flow regimes is low by default but can be greatly increased by the use of passive heat transfer enhancement such as tube inserts. The present analysis the hiTRAN wire matrix turbulators were used and increased heat transfer characteristics as expected outcomes.

  19. Withdrawing method of the stiffening tube incidentally inserted into the descending colon

    Institute of Scientific and Technical Information of China (English)

    Shinsaku Fukuda; Tatsuya Mikami; Tadashi Shimoyama; Norihiro Hanabata; Hideki Iwamura; Akihiro Munakata

    2005-01-01

    We experienced a very rare complication of colonoscopy,a migration of stiffening tube into the colorectum. We herein introduce a withdrawing method of migrating stiffening tube incidentally inserted into the colorectum.A 65-year-old Japanese woman underwent colonoscopy because of abdominal discomfort. We used stiffening tube to insert the scope to the proximal colon because of her redundant sigmoid colon. When withdrawing the scope,we realized that the tube was fully inside the colorectum.We could not remove the tube instantly, and it reached the splenic flexure, finally. We reinserted the scope through the migrating tube, straightened the scope, and withdrew it holding a slight angle of the scope over the proximal end of the tube. Then, we could safely remove the tube along with the scope through the anus.

  20. Fluoroscopically Guided Three-Tube Insertion for the Treatment of Postoperative Gastroesophageal Anastomotic Leakage

    Energy Technology Data Exchange (ETDEWEB)

    Yin, Guowen; Xu, Qingyu; Chen, Shixi; Bai, Xiangjun; Jiang, Feng; Zhang, Qin; Xu, Lin; Xu, Weidong [Cancer Hospital of Jiangsu Province, Nanjing (Korea, Republic of)

    2012-03-15

    To retrospectively evaluate the feasibility and effectiveness of three-tube insertion for the treatment of postoperative gastroesophageal anastomotic leakage (GEAL). From January 2007 to January 2011, 28 cases of postoperative GEAL after an esophagectomy with intrathoracic esophagogastric anastomotic procedures for esophageal and cardiac carcinoma were treated by the insertion of three tubes under fluoroscopic guidance. The three tubes consisted of a drainage tube through the leak, a nasogastric decompression tube, and a nasojejunum feeding tube. The study population consisted of 28 patients (18 males, 10 females) ranging in their ages from 36 to 72 years (mean: 59 years). We evaluated the feasibility of three-tube insertion to facilitate leakage site closure, and the patients' nutritional benefit by checking their serum albumin levels between pre- and post-enteral feeding via the feeding tube. The three tubes were successfully placed under fluoroscopic guidance in all twenty-eight patients (100%). The procedure times for the three tube insertion ranged from 30 to 70 minutes (mean time: 45 minutes). In 27 of 28 patients (96%), leakage site closure after three-tube insertion was achieved, while it was not attained in one patient who received stent implantation as a substitute. All patients showed good tolerance of the three-tube insertion in the nasal cavity. The mean time needed for leakage treatment was 21 {+-} 3.5 days. The serum albumin level change was significant, increasing from pre-enteral feeding (2.5 {+-} 0.40 g/dL) to post-enteral feeding (3.7 {+-} 0.51 g/dL) via the feeding tube (p < 0.001). The duration of follow-up ranged from 7 to 60 months (mean: 28 months). Based on the results of this study, the insertion of three tubes under fluoroscopic guidance is safe, and also provides effective relief from postesophagectomy GEAL. Moreover, our findings suggest that three-tube insertion may be used as the primary procedure to treat postoperative GEAL.

  1. Impact of Pneumococcal Conjugate Vaccine on Pediatric Tympanostomy Tube Insertion in Partial Immunized Population

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    Mao-Che Wang

    2015-01-01

    Full Text Available Objective. To investigate the impact of seven-valent pneumococcal conjugate vaccine on tube insertions in a partial immunized pediatric population. Study Design. Retrospective ecological study. Methods. This study used Taiwan National Health Insurance Research Database for the period 2000–2009. Every child under 17 years old who received tubes during this 10-year period was identified and analyzed. The tube insertion rates in different age groups and the risk to receive tubes in different birth cohorts before and after the release of the vaccine in 2005 were compared. Results. The tube insertion rates for children under 17 years of age ranged from 21.6 to 31.9 for 100,000 persons/year. The tube insertion rate of children under 2 years old decreased significantly after 2005 in period effect analysis (β = −0.074, P < 0.05, and the negative β value means a downward trend and increased in children 2 to 9 years old throughout the study period (positive β values which mean upward trends, P < 0.05. The rate of tube insertion was lower in 2004-2005 and 2006-2007 birth cohorts than that of 2002-2003 birth cohort (RR = 0.90 and 0.21, 95% CI 0.83–0.97 and 0.19–0.23, resp.. Conclusion. The seven-valent pneumococcal conjugate vaccine may reduce the risk of tube insertion for children of later birth cohorts. The vaccine may have the protective effect on tube insertions in a partial immunized pediatric population.

  2. Insertion Success of the Laryngeal Tube in Emergency Airway Management

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    Gries, André; Ramshorn-Zimmer, Alexandra; Wenzel, Volker

    2016-01-01

    Background. Emergency airway management (AM) is a priority when resuscitating critically ill or severely injured patients. The goal of this study was to determine the success rates of LT insertion during AM. Methods. Studies that included LT first-pass insertion (FPI) and overall-pass insertion (OPI) success by emergency medical services and in-hospital providers performing AM for emergency situations as well as for scheduled surgery published until July 2014 were searched systematically in Medline. Results. Data of 36 studies (n = 1,897) reported a LT FPI success by physicians of 82.5% with an OPI success of 93.6% (p < 0.001). A cumulative analysis of all 53 studies (n = 3,600) led to FPI and OPI success of 80.1% and 92.6% (p < 0.001), respectively. The results of 26 studies (n = 2,159) comparing the LT with the laryngeal mask airway (LMA) demonstrated a FPI success of 77.0 versus 78.7% (p = 0.36) and an OPI success of 92.2 versus 97.7% (p < 0.001). Conclusion. LT insertion failed in the first attempt in one out of five patients, with an overall failure rate in one out of 14 patients. When compared with the LT, the LMA had a cumulative 5.5% better OPI success rate.

  3. The protective effect of adenoidectomy on pediatric tympanostomy tube re-insertions: a population-based birth cohort study.

    Directory of Open Access Journals (Sweden)

    Mao-Che Wang

    Full Text Available Adenoidectomy in conjunction with tympanostomy tube insertion for treating pediatric otitis media with effusion and recurrent acute otitis media has been debated for decades. Practice differed surgeon from surgeon. This study used population-based data to determine the protective effect of adenoidectomy in preventing tympanostomy tube re-insertion and tried to provide more evidence based information for surgeons when they do decision making.Retrospective birth cohort study.This study used the National Health Insurance Research Database for the period 2000-2009 in Taiwan. The tube reinsertion rate and time to tube re-insertion among children who received tympanostomy tubes with or without adenoidectomy were compared. Age stratification analysis was also done to explore the effects of age.Adenoidectomy showed protective effects on preventing tube re-insertion compared to tympanostomy tubes alone in children who needed tubes for the first time (tube re-insertion rate 9% versus 5.1%, p = 0.002 and longer time to re-insertions, p = 0.01, especially those aged over 4 years when they had their first tube surgery. After controlling the effect of age, adenoidectomy reduced the rate of re-insertion by 40% compared to tympanostomy tubes alone (aHR: 0.60; 95% CI: 0.41-0.89. However, the protective effect of conjunction adenoidectomy was not obvious among children with a second tympanostomy tube insertion. Children who needed their first tube surgery at the age 2-4 years were most prone to have tube re-insertions, followed by the age group of 4-6 years.Adenoidectomy has protective effect in preventing tympanostomy tube re-insertions compared to tympanostomy tubes alone, especially for children older than 4 years old and who needed tubes for the first time. Nonetheless, clinicians should still weigh the pros and cons of the procedure for their pediatric patients.

  4. Experiment attributes to establish tube with twisted tape insert performance cooling plasma facing components

    International Nuclear Information System (INIS)

    The modeling capability for tubes with twisted tape inserts is reviewed with reference to the application of cooling plasma facing components in magnetic confinement fusion devices. The history of experiments examining the cooling performance of tubes with twisted tape inserts is reviewed with emphasis on the manner of heating, flow stability limits and the details of the test section and fluid delivery system. Models for heat transfer, burnout, and onset of net vapor generation in straight tube flows and tube with twisted tape are compared. As a result, the gaps in knowledge required to establish performance limits of the plasma facing components are identified and attributes of an experiment to close those gaps are presented

  5. Disc-retained tubes for radiologically inserted gastrostomy (RIG): Not up to the job?

    International Nuclear Information System (INIS)

    Aim: To assess the insertion procedure and performance of disc-retained gastrostomy tubes, recording complications and accidental displacements by prospective audit, and to determine whether primary placement of the tube off-licence was feasible. Materials and methods: Disc-retained 12 F single-lumen Monarch gastrostomy tubes (Enteral UK, Selby, UK) were inserted by three gastrointestinal interventional radiologists in a supra-regional cancer centre. The 12 F tubes required a 20 F peel-away sheath with four-point gastropexy fixation and were placed under conscious sedation, using electrocardiogram (EEG) bispectral index monitoring. Follow-up was performed in an in-house gastrostomy drop-in clinic at 1 week and 1 month, supplemented with weekly telephone follow-up. Patients also had open access to the gastrostomy drop-in clinic for immediate advice and complication management. Results: Eighteen patients underwent primary insertion of a Monarch gastrostomy tube over 5 months. A total of 6/18 (33%) tubes displaced; 4/18 (22%) completely, 2/18 (11%) occult into the peritoneum. Four of 18 (22%) patients developed infection at the stoma site. Due to the unexpectedly poor performance of the tube, the study was terminated early. Conclusion: Initial experience with the Monarch disc-retained gastrostomy tube demonstrates it unsuitable for primary placement with current protocols. In view of the potentially serious complications, the Medicines and Healthcare Products Regulatory Agency (MHRA) has been informed. A request has been made to the distributer to reassess the tube design and/or review the procedure promoted for primary placement

  6. False-positive pH aspirates after nasogastric tube insertion in head and neck tumour.

    Science.gov (United States)

    Sellers, Claudia Kate

    2012-08-27

    Nasogastric (NG) feeding tubes are commonly inserted to supplement enteral nutrition in certain patient groups, including those with head and neck cancers where swallowing may be compromised. An NHS National Patient Safety Alert was released in 2011 detailing ongoing cases of significant morbidity and mortality attached to the incorrect placement of NG feeding tubes in hospital inpatients. Since 2005, there were 21 deaths and 79 cases of harm nationally due to feeding into the lung through misplaced tubes. pH testing remains the first-line method of placement confirmation, with chest x-ray used when no aspirate is gained or where pH testing fails to confirm suitable acidity. We present a case report describing false-positive NG tube placement confirmation tests in a patient with head and neck cancer, who was administered feed into lung parenchyma with significant morbidity. We discuss the case for specific NG tube placement protocols in head and neck cancer patients.

  7. How to insert a nasogastric tube and check gastric position at the bedside.

    Science.gov (United States)

    Best, Carolyn

    2016-05-18

    Rationale and key points A nasogastric tube (NG tube) can be used to aspirate stomach contents or to administer feed, medication or fluid into the stomach. ▶ A blind technique is used to insert the NG tube through the nostril, along the nasopharynx, through the oesophagus and into the stomach. ▶ It is important for nurses to be able to recognise problems that may arise when inserting a NG tube blindly, and to know what actions to take if it is suspected that the distal tip of the NG tube is not sitting in the stomach, or they are unable to identify its location. ▶ Misplacement and subsequent use of a NG tube to administer feed, medication or fluid is a 'never event' ( NHS England Patient Safety Domain 2015 ). Reflective activity Clinical skills articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: 1. How you think this article will change your practice. 2. How you could use this resource to educate your colleagues. Subscribers can update their reflective accounts at rcni.com/portfolio. PMID:27191450

  8. How to insert a nasogastric tube and check gastric position at the bedside.

    Science.gov (United States)

    Best, Carolyn

    2016-05-18

    Rationale and key points A nasogastric tube (NG tube) can be used to aspirate stomach contents or to administer feed, medication or fluid into the stomach. ▶ A blind technique is used to insert the NG tube through the nostril, along the nasopharynx, through the oesophagus and into the stomach. ▶ It is important for nurses to be able to recognise problems that may arise when inserting a NG tube blindly, and to know what actions to take if it is suspected that the distal tip of the NG tube is not sitting in the stomach, or they are unable to identify its location. ▶ Misplacement and subsequent use of a NG tube to administer feed, medication or fluid is a 'never event' ( NHS England Patient Safety Domain 2015 ). Reflective activity Clinical skills articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: 1. How you think this article will change your practice. 2. How you could use this resource to educate your colleagues. Subscribers can update their reflective accounts at rcni.com/portfolio.

  9. Improving the documentation of nasogastric tube insertion and adherence to local enteral nutrition guidelines.

    Science.gov (United States)

    Cole, Esther

    2015-01-01

    Fine bore nasogastric (NG) tubes are often required for patients who have insufficient nutrition to meet their daily requirements, as well as for feeding or medications when there are difficulties with swallowing. "Death or severe harm as a result of a naso […] gastric tubes being misplaced in the respiratory tract" is one of the Department of Health's list of "never events". Noble's Hospital, Isle of Man, has local guidelines based on the National Patient Safety Agency's 2005 guidelines and 2011 update, regarding the initial insertion and confirmation of placement of NG tubes. Retrospective baseline data looking at 13 case notes across 10 hospital wards showed that the majority of NG tube insertions took place on the stroke unit. A three-point quality of guidelines score showed that 8/13 (62%) cases were following guidelines appropriately. A seven-point quality of documentation score showed no case notes had full documentation. A teaching intervention for junior doctors and nurses was devised. However, there was no significant improvement in quality scores after 90 days (49 NG tube insertions). Therefore, an NG tube bundle, which included a pro forma for the case notes, information poster, and sticker for the nurse notes, was trialled on the stroke unit for six weeks. This showed that 10/12 (83%) cases were following guidelines appropriately. While only 2/12 (16%) of case notes had full documentation, this represented the two occasions when the pro forma was filled in and filed correctly. It is hoped that there could be a roll out of the intervention hospital-wide with identification of ways to improve usage of the NG tube bundle.

  10. Nasogastric tube insertion in anesthetized and intubated patients: a new and reliable method

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    Tsai Yung-Fong

    2012-08-01

    Full Text Available Abstract Background The “Rusch” intubation stylet is used to make endotracheal tube intubation easy. We designed this study to evaluate the usage of this equipment in the guidance of nasogastric tube (NGT insertion. Methods A total of 103 patients, aged 23 to 70 years, undergoing gastrointestinal or hepatic surgeries that required intraoperative NGT insertions were enrolled into our study. The patients were randomly allocated to the control group (Group C or the stylet group (Group S according to a computerized, random allocation software program. In the control group, the NGT was inserted with the patient’s head in an intubating position. In the stylet group, the NGT was inserted with the assistance of a “Rusch” intubation stylet tied together at the tips by a slipknot. The success rates of the two methods, the durations of the insertions, and the occurrences of complications were recorded. All of the failed cases in the control group were subjected to the new technique used in the stylet group, and the successful rescue rate was also evaluated. Results Successful insertions were recorded for 52/53 patients (98.1% in Group S and for 32/50 patients (64% in Group C. The mean insertion times were 39.5 ± 19.5 seconds in Group C and 40.3 ± 23.2 seconds in Group S. Successful rescues of failure cases in Group C were achieved in 17/18 patients (94.4% with the assistance of a “Rusch” intubation stylet. Conclusions The “Rusch” intubation stylet-guided method is reliable with a high success rate of NGT insertion in anesthetized and intubated patients. Trial registration Institutional Review Board of Chang Gung Memorial Hospital (IRB: 98-2669B and Australian New Zealand Clinical Trials Registry (ACTRN12611000423910

  11. Severe prelenticular membrane formation on the surface of a hydrophilic acrylic intraocular lens after cataract surgery in an eye with an Ahmed valve implant

    Institute of Scientific and Technical Information of China (English)

    Yong-Sun; Ahn; Jin; A; Choi

    2015-01-01

    <正>Dear Sir,Iam Yong-Sun Ahn,from the Department of Ophthalmology of St.Vincent Hospital of Suwon,Kyungki-do,South Korea.Cataracts are a common problem in eyes with a glaucoma drainage device(GDD),because tube shunt surgery increases the incidence and progression of cataracts[1].An Ahmed valve,the most commonly inserted GDD,is composed of a silicone tube connected to a flat plate sewn to the sclera,and aqueous humor flows from the

  12. Comparative evaluation of intraocular pressure changes subsequent to insertion of laryngeal mask airway and endotracheal tube.

    Directory of Open Access Journals (Sweden)

    Ghai B

    2001-07-01

    Full Text Available AIMS: To evaluate the intraocular pressure and haemodynamic changes subsequent to insertion of laryngeal mask airway and endotracheal tube. SUBJECTS AND METHODS: The study was conducted in 50 adult patients. A standard general anaesthesia was administered to all the patients. After 3 minutes of induction of anaesthesia baseline measurements of heart rate, non-invasive blood pressure and intraocular pressure were taken following which patients were divided into two groups: laryngeal mask airway was inserted in group 1 and tracheal tube in group 2. These measurements were repeated at 15-30 second, every minute thereafter up to 5 minutes after airway instrumentation. RESULTS: A statistically significant rise in heart rate, systolic blood pressure, diastolic blood pressure and intraocular pressure was seen in both the groups subsequent to insertion of laryngeal mask airway or endotracheal tube. Mean maximum increase was statistically more after endotracheal intubation than after laryngeal mask airway insertion. The duration of statistically significant pressure responses was also longer after endotracheal intubation. CONCLUSION: Laryngeal mask airway is an acceptable alternative technique for ocular surgeries, offering advantages in terms of intraocular pressure and cardiovascular stability compared to tracheal intubation.

  13. Tuning the oscillation of nested carbon nanotubes by insertion of an additional inner tube

    Science.gov (United States)

    Motevalli, B.; Liu, Jefferson Z.

    2013-12-01

    Different mechanisms of nano-oscillators with telescopic oscillations have attracted lots of attention due to the possible generation of GHz frequencies. In particular, nested carbon nanotubes are of special interest for which different mechanisms have been examined. In this paper, we will show that insertion of an additional inner tube into a conventional double walled carbon nanotube (DWCNT) oscillator not only can increase the oscillatory frequency considerably but also provides a wide range of system parameters for tuning the oscillatory behavior as well as its frequency. The insertion of an additional tube results in a number of different vdW force profiles (which only depend on the length ratios of the three tubes). Being subject to these different vdW force profiles and trigged with different initial velocity, an oscillating tube can exhibit various types of motions. We use a phase division diagram to discriminate the system parameters according to the different types of motions. Accordingly, a comprehensive study of the oscillatory frequency is also carried out. To perceive an insight into the effectiveness of insertion, a comparison is also made with the counterpart DWCNT oscillator. It is observed that this new mechanism offers a number of new possibilities in designing and characterizing a carbon nanotube based oscillator.

  14. Numerical simulation of heat transfer of latent functionally thermal fluid in tubes with coaxially inserted cylindrical bars in laminar

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    The heat transfer of latent functionally thermal fluid in three kinds of tubes with coaxially inserted cylindrical bars is numerically researched using equivalent spe- cific heat model, and the flow fields are analyzed with field synergy field. It is found that in the tubes with coaxially inserted cylindrical bars, the heat transfer effects of functionally thermal fluid become more and more pronounced with the Ste de- creasing. This is similar to be case of functionally thermal fluid flowing in smooth straight tubes. Compared with the results receiving from smooth straight tubes, the heat transfer of functional thermal fluid in tubes with coaxially inserted cylindrical bars has been significantly enhanced. And this effect becomes more apparent as the diameter of coaxially inserted cylindrical bars increases meanwhile, however, energy consuming of the tubes shows the same trend.

  15. A novel technique to insert nasogastric tube for the anesthetized patients during cervical esophageal reconstruction

    Institute of Scientific and Technical Information of China (English)

    Ruijie Zhang; Yu Deng; Shengling Fu; Yixin Cai; Ni Zhang; Xiangning Fu

    2014-01-01

    Objective:We are describing a novel technique to insert nasogastric tube (NGT) in the anesthetized patients dur-ing cervical esophageal reconstruction. Methods:Forty patients with mid and upper esophageal tumor enrol ed into this study were randomly al ocated into two groups (the control group, group C and the novel method group, group N). Al the patients were applied mechanical anastomosis to finish the cervical esophageal reconstruction. The procedure of NGT insertion for group C use the conventional method;wel , the group N use the novel technique. Results:Al the patients in group N had been finished the NGT insertion in the first attempt, and the total time for insertion was (5.05 ± 1.15) mins;on the contrary, for the group C, duration of insertion (min) was (24.45 ± 5.23) mins, and the successful rate of NGT insertion in the first attempt was 40%(P<0.05);no one in group N had coiling/kinking, and 6/20 (30%) in group C had it (P=0.020). The complication rate of bleeding between the two group had no significant dif erence. Conclusion:For the patient with mid and upper esophageal tumor who need cervical esophageal reconstruction, this novel method can save the NGT insertion time, and make it easier with higher successful rate.

  16. Further understanding of twisted tape effects as tube insert for heat transfer enhancement

    Energy Technology Data Exchange (ETDEWEB)

    Abu-Khader, Mazen M. [Al-Balqa Applied University, Department of Chemical Engineering, FET, Amman (Jordan)

    2006-12-15

    Tube inserts are used as heat transfer enhancement tool for both retrofit and new design of shell and tube heat exchangers. This paper discusses and reviews the characteristics and performance of twisted tapes. The theory and application are also addressed. Industrial case study was selected to illustrate the behaviour effect that the twisted tapes impose at various laminar, transition and turbulent flow regions. This effect was demonstrated by changing the inside tube diameter and twist ratio through evaluating selected exchanger design parameters such as: local heat transfer coefficient, friction factor and pressure drop. Testing the exponent powers for Re and Pr at both laminar and turbulent regions were carried out. General design considerations are outlined for the use of twisted tapes in shell and tube heat exchangers. (orig.)

  17. Further understanding of twisted tape effects as tube insert for heat transfer enhancement

    Science.gov (United States)

    Abu-Khader, Mazen M.

    2006-12-01

    Tube inserts are used as heat transfer enhancement tool for both retrofit and new design of shell and tube heat exchangers. This paper discusses and reviews the characteristics and performance of twisted tapes. The theory and application are also addressed. Industrial case study was selected to illustrate the behaviour effect that the twisted tapes impose at various laminar, transition and turbulent flow regions. This effect was demonstrated by changing the inside tube diameter and twist ratio through evaluating selected exchanger design parameters such as: local heat transfer coefficient, friction factor and pressure drop. Testing the exponent powers for Re and Pr at both laminar and turbulent regions were carried out. General design considerations are outlined for the use of twisted tapes in shell and tube heat exchangers.

  18. Radiology responsibilities post NPSA guidelines for nasogastric tube insertion: A single centre review

    International Nuclear Information System (INIS)

    Background: There are well-recognised complications associated with malposition of nasogastric (NG) tubes. In 2011 the UK National Patient Safety Agency (NPSA) published an alert regarding their insertion and position confirmation. This alert also identified the expected radiology standards for both image acquisition and reporting. Method: This was a retrospective review of referrals over a six-month period within a multi-site NHS Trust. A consecutive sampling approach was used and radiology reports where the text included the terms “NG tube”, “nasogastric” or “feeding” were included. Data were collected from the radiology information system and NG tube visibility and image quality were confirmed by two independent reviewers. Results: 1137 examinations demonstrated an NG tube, of which 68.3% were performed to check tube position. There was statistically significant correlation between lower radiation exposure and non-visualisation (Fishers exact test, p < 0.001). The number of examinations with higher exposure index (EI) in the NG check cohort suggests that the radiographer increased the exposure to improve visualization (x2 = 2.846; 95% CI; p = 0.046), although the utility of this is unproven. Malplaced tubes were demonstrated either in the respiratory tract (1.8%) or proximal gastrointestinal tract (8.6%) as a result of insufficient length introduced. Conclusion: The prompt acquisition and reporting of radiographs is essential to reduce the risk of NG tube complications. Respiratory tract misplacement rates were in line with the published literature, but this study does raise concern regarding the number of tubes located in the proximal GI tract. Radiology's responsibility in accurate and effective reporting of medical interventions is significant

  19. Thermal performance enhancement in tubes using helically twisted tape with alternate axis inserts

    Science.gov (United States)

    Yongsiri, K.; Thianpong, C.; Nanan, K.; Eiamsa-ard, S.

    2016-01-01

    This article presents an investigation on heat transfer enhancement in a round tube inserted with a helically twisted tape. The effects of a helically twisted tape with alternate axis (HTT-A) on heat transfer, friction factor, and thermal performance factor behaviours are reported for the turbulent regime. HTT-A geometries are tape pitch to tube diameter, P/D = 1.0, 1.5, and 2.0; alternate length to pitch length, l/P = 1.0, 1.5, and 2.0; twisted length to tape width, y/W = 3.0; and tape width to tube diameter, w/D = 0.2. The experiment has been performed by varying the volumetric air flow rate in order to adjust Reynolds number ranging from 6 000 to 20 000. The wall of the testing tube is uniformly heated as a constant heat flux while the tests are covered with thermal insulations to reduce heat loss to surroundings. Thermal performance is evaluated by comparing the present experimental results with the results of the modified HTT-A and also those obtained from previous study (conventional helically twisted tape, HTT). The thermal performance of tested tube with HTT-A is evaluated to obtain the degree of heat transfer enhancement and friction factor induced by HTT-A with respect to the plain tube under the same test conditions. Evenly, it is interesting to observe that the tube with HTT-A consistently possesses higher heat transfer and thermal performance factor than those with the HTT around 14.1% and 1.9%, respectively. The HTT-A with the smaller pitch ratio and adjacent twist length provides higher heat transfer rate and friction factor than the one with larger pitch ratio and alternate length as a result of a larger contact surface area, stronger swirl intensity and, thus, better fluid mixing near the tube wall. In the range determined, the tubes with the largest pitch ratio ( P/D = 2.0) and smallest alternate length ( l/P = 1.0) give the highest thermal performance factor at around 1.35. In addition, the empirical correlations of the Nusselt number, friction

  20. Clinical findings following Ahmed Glaucoma Valve™ implantation in pediatric glaucoma

    OpenAIRE

    Amir Pirouzian; Demer, Joseph L.

    2008-01-01

    Amir Pirouzian1, Joseph L Demer21Department of Ophthalmology, San Diego Children’s Hospital, San Diego, UCSD, San Diego, CA, USA; 2Department of Ophthalmology, Jules Stein Eye Institute, UCLA, Los Angeles, CA, USAPurpose: To describe clinical findings after Ahmed valve drainage implantation in children.Design: All records in one practice were reviewed to identify and describe clinical findings in all children who had undergone Ahmed Glaucoma ValveTM S2 model insertion for uncontroll...

  1. J-tube technique for double-j stent insertion during laparoscopic upper urinary tract surgical procedures.

    Science.gov (United States)

    Kim, Hyung Suk; Lee, Byung Ki; Jung, Jin-Woo; Lee, Jung Keun; Byun, Seok-Soo; Lee, Sang Eun; Jeong, Chang Wook

    2014-11-01

    Double-J stent insertion has been generally performed during laparoscopic upper urinary tract (UUT) surgical procedures to prevent transient urinary tract obstruction and postoperative flank pain from ureteral edema and blood clots. Several restrictive conditions that make this procedure difficult and time consuming, however, include the coiled distal ends of the flexible Double-J stent and the limited bending angle of the laparoscopic instruments. To overcome these limitations, we devised a Double-J stent insertion method using the new J-tube technique. Between July 2011 and May 2013, Double-J stents were inserted using the J-tube technique in 33 patients who underwent a laparoscopic UUT surgical procedure by a single surgeon. The mean stent placement time was 4.8±2.7 minutes, and there were no intraoperative complications. In conclusion, the J-tube technique is a safe and time-saving method for Double-J stent insertion during laparoscopic surgical procedures.

  2. Increasing rate of middle ear ventilation tube insertion in children in denmark

    DEFF Research Database (Denmark)

    Djurhuus, Bjarki Ditlev; Skytthe, Axel; Christensen, Kaare;

    2014-01-01

    ventilation tube insertions distributed among 269,459 different children were identified. From 1997 to 2010 the age standardized incidence rate in 0-15-year-olds increased from 26 to 40 per 1000 person years with an estimated annual increase of 2.0% (95% confidence interval 1.9-2.1%). The largest increase......OBJECTIVE: To study the incidence rates of middle ear ventilation tube insertion in children aged 0 to 15 years in Denmark from 1997 to 2010. METHODS: Using two national registers, the Danish National Health Service Register and the Danish National Patient Register, practically all cases of middle...... in incidence rate was found in 1-year-olds with an annual increase of 4.5% (95% confidence interval 4.4-4.6%). Age-specific incidence rates remained at maximum around the age of 14 months throughout the period. The cumulative incidence proportion for the 2010 birth cohort by the time they reach the age of 5...

  3. Cooperative learning using simulation to achieve mastery of nasogastric tube insertion.

    Science.gov (United States)

    Cason, Melanie Leigh; Gilbert, Gregory E; Schmoll, Heidi H; Dolinar, Susan M; Anderson, Jane; Nickles, Barbara Marshburn; Pufpaff, Laurie A; Henderson, Ruth; Lee, Frances Wickham; Schaefer, John J

    2015-03-01

    Traditionally, psychomotor skills training for nursing students involves didactic instruction followed by procedural review and practice with a task trainer, manikin, or classmates. This article describes a novel method of teaching psychomotor skills to associate degree and baccalaureate nursing students, Cooperative Learning Simulation Skills Training (CLSST), in the context of nasogastric tube insertion using a deliberate practice-to-mastery learning model. Student dyads served as operator and student learner. Automatic scoring was recorded in the debriefing log. Student pairs alternated roles until they achieved mastery, after which they were assessed individually. Median checklist scores of 100% were achieved by students in both programs after one practice session and through evaluation. Students and faculty provided positive feedback regarding this educational innovation. CLSST in a deliberate practice-to-mastery learning paradigm offers a novel way to teach psychomotor skills in nursing curricula and decreases the instructor-to-student ratio. PMID:25692824

  4. A Heuristic Force Model for Haptic Simulation of Nasogastric Tube Insertion Using Fuzzy Logic.

    Science.gov (United States)

    Choi, Kup-Sze; He, Xue-Jian; Chiang, Vico C L; Deng, Zhaohong; Qin, Jing

    2016-01-01

    Nasogastric tube (NGT) placement is an essential clinical skill. The training is conventionally performed on rubber mannequins albeit practical limitations. Computer simulation with haptic feedback can potentially offer a more realistic and accessible training method. However, the complex interactions between the tube and the nasogastric passage make it difficult to model the haptic feedback during NGT placement. In this paper, a fuzzy-logic-based approach is proposed to directly transfer the experience of clinicians in NGT placement into the simulation system. Based on their perception of the varying tactile sensation and the conditions during NGT placement, the membership functions and fuzzy rules are defined to develop the force model. Forces created using the model are then combined with friction forces to drive the haptic device and render the insertion forces in real time. A prototype simulator is developed based on the proposed force model and the implementation details are presented. The usability of the prototype is also evaluated by clinical teachers. The proposed methodology has the potential for developing computerized NGT placement training methods for clinical education. It is also applicable for simulation systems involving complicated force interactions or computation-expensive models.

  5. Airway management using laryngeal mask airway in insertion of the Montgomery tracheal tube for subglottic stenosis -A case report-.

    Science.gov (United States)

    Park, Jung Sun; Kwon, Young-Suk; Lee, Sangseock; Yon, Jun Heum; Kim, Dong Won

    2010-12-01

    The Montgomery tracheal tube (T-tube) is a device used as a combined tracheal stent and airway after laryngotracheoplasty for patients with tracheal stenosis. This device can present various challenges to anesthesiologists during its placement, including the potential for acute loss of the airway, inadequate administration of inhalation agents, and inadequacy of controlled mechanical ventilation. The present case of successful airway management used a laryngeal mask airway under total intravenous anesthesia with propofol and remifentanil in the insertion of a Montgomery T-tube in a tracheal resection and thyrotracheal anastomosis because of severe subglottic stenosis.

  6. Multicentre survey of radiologically inserted gastrostomy feeding tube (RIG) in the UK

    International Nuclear Information System (INIS)

    Aims: To evaluate the variance in current UK clinical practice and clinical outcomes for direct percutaneous radiologically inserted gastrostomy (RIG). Materials and methods: A prospective UK multicentre survey of RIG performed between October 2008 and August 2010 was performed through the British Society of Gastrointestinal and Abdominal Radiology (BSGAR). Results: Data from 684 patients were provided by 45 radiologists working at 17 UK centres. Two hundred and sixty-three cases (40%) were performed with loop-retained catheters, and 346 (53%) with balloon-retained devices. Sixty percent of all patients experienced pain in the first 24 h, but settled in the majority thereafter. Early complications, defined as occurring in the first 24 h, included minor bleeding (1%), wound infection (3%), peritonism (2%), and tube misplacement (1%). Late complications, defined as occurring between day 2 and day 30 post-procedure, included mild pain (30%), persisting peritonism (2%), and 30 day mortality of 1% (5/665). Pre-procedural antibiotics or anti-methicillin-resistant Staphylococcus aureus (MRSA) prophylaxis did not affect the rate of wound infection, peritonitis, post-procedural pain, or mortality. Ninety-three percent of cases were performed using gastropexy. Gastropexy decreased post-procedural pain (p < 0.001), but gastropexy-related complications occurred in 5% of patients. However, post-procedure pain increased with the number of gastropexy sutures used (p < 0.001). The use of gastropexy did not affect the overall complication rate or mortality. Post-procedure pain increased significantly as tube size increased (p < 0.001). The use of balloon-retention feeding tubes was associated with more pain than the deployment of loop-retention devices (p < 0.001). Conclusion: RIG is a relatively safe procedure with a mortality of 1%, with or without gastropexy. Pain is the commonest complication. The use of gastropexy, fixation dressing or skin sutures, smaller tube sizes, and

  7. The usefulness of levin tube inserted drip infusion spiral CT: comparison with conventional method in subtotal gastrectomy patients

    Energy Technology Data Exchange (ETDEWEB)

    Park, Young Jin; Kim, Young Hwan; Yoon, Jung Hee; Cha, Soon Joo; Kim, Jeong Sook [Sanggye Paik Hospital, Seoul (Korea, Republic of); Kim, Sung Rok; Hur, Gham; Rhim, Hyun Chul [Hanyang University Hospital, Seoul (Korea, Republic of)

    1998-04-01

    The purpose of this study is to access the usefulness of newly designed Levin tube inserted drip infusion spiral CT for the evaluation of remnant stomach and anastomosis site in patients who have undergone subtotal gastrectomy for stomach cancer. A new technique named Levin tube inserted drip infusion spiral CT was used to prospectively study 23 patients. A 16Fr Levin tube was inserted into the remnant stomach; 500 ml of tap water was drip infused just before CT scanning and an additional 500 ml of water was infused during IV contrast injection. Water was infused by gravity, using a water bottle suspended at a height of 90 cm (Group A). The 31 patients who underwent conventional spiral CT scanning immediately after the divided ingestion of 900 ml diluted gastrografin were selected as a control group (Group B). The anatomic delineation of the anastomosis site was graded by two radiologists as excellent (3), good(2), fair (1) or poor (0). To evaluate the degree of distension, the maximal diameters of remnant stomach and the anastomosis site, and the thickness of the stomach wall, were also measured. In patients who had undergone subtobal gastrectomy, Levin tube inserted drip infusion spiral CT showed excellent anatomic delineation of the site of anastomosis and remnant stomach. We found that because it increases the distension of remnant stomach and the anastomosis site, this technique is effective for the evaluation of postoperative stomach. (author). 10 refs., 2 tabs., 3 figs.

  8. CFD analysis of heat transfer and friction factor charaterstics in a circular tube fitted with horizontal baffles twisted tape inserts

    Science.gov (United States)

    Salman, Sami D.; Kadhum, Abdul Amir H.; Takriff, Mohd S.; Bakar Mohamad, Abu

    2013-12-01

    Swirl/vortex flow generator is an important form of passive augmentation techniques. Twisted-tape is one of the most important members of this form which is used extensively in different type heat exchangers. This paper reports the effect of twisted tape inserts on heat transfer and friction factor characteristics in circular tube under constant heat flux and laminar flow conditions using CFD simulation. Plain twisted tape inserts with twist ratios (y = 2.93, 3.91) and baffled twisted tape inserts with twist ratio (y = 2.93) have been used for the simulation using Fluent version 6.3.26. The results obtained by simulation matched with the literature correlations for plain tube with the discrepancy of less than ± 8% for Nusselt number and ± 6.25% for friction factor. The results have also revealed that the heat transfer in term of the Nusselt number enhanced with increases of Reynolds number, decreases of twist ratio and baffle insert. Among the various twist ratios, the twisted tape with twist ratio of y=2.93 and baffle is offered a maximum heat transfer enhancement.

  9. Comparing insertion characteristics on nasogastric tube placement by using GlideScopeTM visualization vs. MacIntosh laryngoscope assistance in anaesthetized and intubated patients

    Directory of Open Access Journals (Sweden)

    Wan Hafsah Wan Ibadullah

    2016-08-01

    Full Text Available Abstract Background and objective: This was a prospective, randomized clinical study to compare the success rate of nasogastric tube insertion by using GlideScopeTM visualization versus direct MacIntosh laryngoscope assistance in anesthetized and intubated patients. Methods: Ninety-six ASA I or II patients, aged 18-70 years were recruited and randomized into two groups using either technique. The time taken from insertion of the nasogastric tube from the nostril until the calculated length of tube had been inserted was recorded. The success rate of nasogastric tube insertion was evaluated in terms of successful insertion in the first attempt. Complications associated with the insertion techniques were recorded. Results: The results showed success rates of 74.5% in the GlideScopeTM Group as compared to 58.3% in the MacIntosh Group (p = 0.10. For the failed attempts, the nasogastric tube was successfully inserted in all cases using rescue techniques. The duration taken in the first attempt for both techniques was not statistically significant; Group A was 17.2 ± 9.3 s as compared to Group B, with a duration of 18.9 ± 13.0 s (p = 0.57. A total of 33 patients developed complications during insertion of the nasogastric tube, 39.4% in Group A and 60.6% in Group B (p = 0.15. The most common complications, which occurred, were coiling, followed by bleeding and kinking. Conclusion: This study showed that using the GlideScopeTM to facilitate nasogastric tube insertion was comparable to the use of the MacIntosh laryngoscope in terms of successful rate of insertion and complications.

  10. Pars tensa retraction pockets in children: treatment by excision and ventilation tube insertion.

    Science.gov (United States)

    Srinivasan, V; Banhegyi, G; O'Sullivan, G; Sherman, I W

    2000-08-01

    Tympanic membrane retraction pockets involving the pars tensa are not uncommon in clinical practice. Recurrent infections, ossicular erosion and cholesteatoma are the recognized sequelae. The management options include surveillance, medical treatment and surgery. The surgical procedures range from grommet insertion to extensive tympanoplasty procedures. We report our experience with simple excision and grommet insertion, performed in 31 ears in 26 patients as day cases. The follow-up ranged from 8 to 34 months with a mean of 16 months. The procedure was successful in 23 ears (success rate of 74%). Recurrence of retraction occurred in seven ears and in one ear there was a persistent perforation. Age, previous grommet insertion and severity of retraction did not have a statistically significant influence on the final outcome. We conclude that excision and grommet insertion is a simple, safe and efficient procedure for the management of tympanic membrane retraction pockets and can be considered in preference to extensive tympanoplasty. PMID:10971530

  11. Experimental investigation of heat transfer and pressure drop of turbulent flow inside tube with inserted helical coils

    Science.gov (United States)

    Sharafeldeen, M. A.; Berbish, N. S.; Moawed, M. A.; Ali, R. K.

    2016-08-01

    The heat transfer and pressure drop were experimentally investigated in a coiled wire inserted tube in turbulent flow regime in the range of Reynolds number of 14,400 ≤ Re ≤ 42,900. The present work aims to extend the experimental data available on wire coil inserts to cover wire diameter ratio of 0.044 ≤ e/d ≤ 0.133 and coil pitch ratio of 1 ≤ p/d ≤ 5. Uniform heat flux was applied to the external surface of the tube and air was selected as fluid. The effects of Reynolds number and wire diameter and coil pitch ratios on the Nusselt number and friction factor were studied. The enhancement efficiency and performance criteria ranges are of (46.9-82.6 %) and (100.1-128 %) within the investigated range of the different parameters, respectively. Correlations are obtained for the average Nusselt number and friction factor utilizing the present measurements within the investigated range of geometrical parameters and Re. The maximum deviation between correlated and experimental values for Nusselt number and friction factor are ±5 and ±6 %, respectively.

  12. PROSPECTIVE COMPARATIVE STUDY OF HAEMODYNAMIC CHANGES DURING INSERTION OF LARYNGEAL MASK AIRWAY VERSUS ENDOTRACHEAL TUBE IN PAEDIATRIC PATIENTS

    Directory of Open Access Journals (Sweden)

    Roshith Thomas

    2016-06-01

    Full Text Available BACKGROUND & METHODS This study was conducted to determine and compare the pressor responses associated with insertion of a laryngeal mask airway with endotracheal tube during elective surgical procedures under general anaesthesia in paediatric patients. 64 patients of age between 2-12 years weighing between 10–40 kg, belonging to ASA grade I and II, scheduled for elective surgeries under general anaesthesia were included in the study. Patients belonging to ASA grade III and IV, those scheduled for emergency surgeries and patients with anticipated difficult airway were excluded from the study. The patients were randomised into two groups of 32 each, by computer generated software. For patients in group-L, airway was secured with laryngeal mask airway. Patients in group-E, airway was secured with endotracheal tube. Heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure and SpO2 were recorded just before induction and subsequently at 1, 3, 5 & 10 minutes. Mean heart rate increase at 1, 3 & 5 minutes was much less when compared to Group-E (p=significant. Mean systolic blood pressure of Group-L is significantly less at 1, 3, 5 & 10 minutes than that of Group-E (p=significant. Mean diastolic blood pressure of Group-L is significantly less at 1, 3 & 10 minutes compared to Group-E (p=significant. RESULTS & CONCLUSION Complications like sore throat, blood staining and coughing at the end of the procedure were seen less in Group-L than in group-E. In this study, we concluded that the pressor responses were less with LMA than with endotracheal tube. Based on our conclusion, we can say that LMA can be used as an alternative to endotracheal tube in maintaining an intact airway under general anaesthesia.

  13. LAMINAR CONVECTIVE HEAT TRANSFER AND FRICTION FACTOR OF AL2O3 NANOFLUID IN CIRCULAR TUBE FITTED WITH TWISTED TAPE INSERTS

    Directory of Open Access Journals (Sweden)

    L. Syam Sundar

    2011-06-01

    Full Text Available We experimentally investigated the fully developed laminar convective heat transfer and friction factor characteristics of different volume concentrations of Al2O3 nanofluid in a plain tube and fitted with different twist ratios of twisted tape inserts. Experiments were conducted with water and nanofluid in the range of particle volume concentration of , and twisted tape twist ratios of . The nanofluid heat transfer coefficient is high compared to water and further heat transfer enhancement is observed with twisted tape inserts. The pressure drop increases slightly with the inserts, but is comparatively negligible. A generalized regression equation is developed based on the experimental data for the estimation of the Nusselt number and friction factor for water and nanofluid in a plain tube and with twisted tape inserts.

  14. Definition of the minimum longitude of insert in the rebuilding of Charpy test tubes for surveillance and life extension of vessels in Mexico

    International Nuclear Information System (INIS)

    In the National Institute of Nuclear Research (Mexico) a welding system for the rebuilding of Charpy test tubes has been developed, automated, qualified and used for the surveillance of the mechanical properties (mainly embrittlement) of the vessel. This system uses the halves of the rehearsed Charpy test tubes of the surveillance capsules extracted of the reactors, to obtain, of a rehearsed test tube, two reconstituted test tubes. This rebuilding process is used so much in the surveillance program like in the potential extension of the operation license of the vessel. To the halves of Charpy test tubes that have been removed the deformed part by machine are called -insert- and in a very general way the rebuilding consists in weld with the welding process -Stud Welding- two metallic implants in the ends of the insert, to obtain a reconstituted test tube. The main characteristic of this welding are the achieved small dimensions, so much of the areas welded as of the areas affected by the heat. The applicable normative settles down that the minim longitude of the insert for the welding process by Stud Welding it should be of 18 mm, however according to the same normative this longitude can diminish if is demonstrated analytic or experimentally that the central volume of 1 cm3 in the insert is not affected. In this work the measurement of the temperature profiles to different distances of the welding interface is presented, defining an equation for the maximum temperatures reached in function of the distance, on the other hand the real longitude affected in the test tube by means of metallography is determined and this way the minimum longitude of the insert for this developed rebuilding system was determined. (Author)

  15. Structure Development and Research Development of Inserts in Heat Exchanger Tubes%换热管管内插入物研究进展

    Institute of Scientific and Technical Information of China (English)

    张灿灿; 王定标; 吴金星; 韩勇

    2014-01-01

    换热管内插入物种类繁多,本文综述了国内外管内插入物结构的最新发展状况,结合国内外学者的实验和模拟研究结果,说明了不同管内插入物的技术特性,重点对自旋式管内插入物的各项性能进行比较分析,以期找出不同管内插入物的优点,寻求最优管内插入结构。%Several tube inserts are popularly used in heat exchangers. In general, the tube inserts can be classified into two categories: stationary inserts and self-rotating inserts. This paper focuses on reviewing the large number of experimental and numerical simulation works on inserts such as twisted tapes, miniature hydraulic turbine, etc. The heat transfer performance and frictional loss of various self-rotating inserts are compared to get the optimal configuration. Determining how to find the optimal self-rotating insert is the main objective.

  16. Heat transfer enhancement of laminar nanofluids flow in a circular tube fitted with parabolic-cut twisted tape inserts.

    Science.gov (United States)

    Salman, Sami D; Kadhum, Abdul Amir H; Takriff, Mohd S; Mohamad, Abu Bakar

    2014-01-01

    Numerical investigation has been carried out on heat transfer and friction factor characteristics of copper-water nanofluid flow in a constant heat-fluxed tube with the existence of new configuration of vortex generator using Computational Fluid Dynamics (CFD) simulation. Two types of swirl flow generator: Classical twisted tape (CTT) and Parabolic-cut twisted tape (PCT) with a different twist ratio (y = 2.93, 3.91 and 4.89) and different cut depth (w = 0.5, 1.0 and 1.5 cm) with 2% and 4% volume concentration of CuO nanofluid were used for simulation. The effect of different parameters such as flow Reynolds number, twist ratio, cut depth and nanofluid were considered. The results show that the enhancement of heat transfer rate and the friction factor induced by the Classical (CTT) and Parabolic-cut (PCT) inserts increases with twist ratio and cut depth decreases. The results also revealed that the heat transfer enhancement increases with an increase in the volume fraction of the CuO nanoparticle. Furthermore, the twisted tape with twist ratio (y = 2.93) and cut depth w = 0.5 cm offered 10% enhancement of the average Nusselt number with significant increases in friction factor than those of Classical twisted tape.

  17. Three Dimensional Numerical Simulation of Convection-Condensation of Vapor with High Concentration Air in Tube with Inserts

    Institute of Scientific and Technical Information of China (English)

    崔永章; 田茂诚; 张林华; 李广鹏; 朱建宾

    2012-01-01

    A three-dimensional numerical model is presented for studying the convection-condensation of mixture with vapor in a tube with edgefold-twisted-tape inserts under transition flow.According to the diffusion layer theory and laminar species transport,a condensation model with user defined function is proposed and compared with heat and mass transfer analogy and experimental test.With the condensation model,the influences of gap width and op-erating parameters on thermal-hydrodynamics performance are simulated.As the gap width increases,convection and condensation heat transfer increase initially and then decrease,while convection heat transfer increases sharply and then decreases slightly.Increasing vapor fraction has a significant effect on condensation heat transfer but it has little effect on convective heat transfer.With the increase of inner wall temperature both convection and condensa-tion heat transfer all decrease and the ratio of condensation to total heat decrease dramatically.Increases inlet tem-perature mainly affects convection heat transfer.

  18. PEG tube insertion - discharge

    Science.gov (United States)

    ... and the inside of the gastrostomy opening (or stoma) in your stomach wall. These discs prevent the ... had your gastrostomy for a while and the stoma is established, something called a button device can ...

  19. Nasogastric feeding tubes from a neonatal department yield high concentrations of potentially pathogenic bacteria- even 1 d after insertion

    DEFF Research Database (Denmark)

    Petersen, Sandra Meinich; Greisen, Gorm; Krogfelt, Karen Angeliki

    2016-01-01

    BACKGROUND: Preterm infants are vulnerable to pathogens and at risk of developing necrotizing enterocolitis (NEC) or sepsis. Nasogastric feeding tubes (NG-tubes) might contaminate feeds given through them due to biofilm formation. We wanted to determine if there is a rationale in replacing NG-tubes...... more often to reduce contamination. METHODS: We conducted an observational study of used NG-tubes from a tertiary neonatal department. After removal, we flushed a 1-ml saline solution through the tube, determined the density of bacteria by culture, and related it to the duration of use and any...... probiotic administration through the tube. RESULTS: Out of the 94 NG-tubes, 89% yielded more than 1,000 colony-forming units (CFU)/ml bacteria, and 55% yielded the potentially pathogenic Enterobacteriaceae and/or Staphylococcus aureus. The mean concentration in the yield was 5.3 (SD: 2.1, maximum 9.4) log10...

  20. Perfusion index versus non-invasive hemodynamic parameters during insertion of i-gel, classic laryngeal mask airway and endotracheal tube

    Directory of Open Access Journals (Sweden)

    Hosam M Atef

    2013-01-01

    Full Text Available Background: Perfusion index (PI is a non-invasive numerical value of peripheral perfusion obtained from a pulse oximeter. In this study, we evaluated the efficacy of PI for detecting haemodynamic stress responses to insertion of i-gel, laryngeal mask airway (LMA and endotracheal tube and compare, its reliability with the conventional haemodynamic criteria in adults during general anaesthesia. Methods: Sixty patients scheduled for elective general surgery under general anaesthesia were randomised to three groups. (i-gel, LMA and ET groups ( n=20/group. Heart rate (HR (positive if ≥10 bpm, systolic blood pressure (SBP, diastolic blood pressure (DBP (positive if ≥15 mm Hg and PI (positive if ≤10% were monitored for 5 min after insertion. Main outcome measures: SBP, DBP, HR and PI were measured before induction of anaesthesia and before and after insertion of the airway device. Results: Insertion of airway devices produced significant increases in HR, SBP and DBP in LMA and ET groups. Moreover, PI was decreased significantly by 40%, 100% and 100% in the three groups. Using the PI criterion, the sensitivity was 100% (CI 82.4-100.0%. Regarding the SBP and DBP criterions, the sensitivity was 44.4% (CI 24.6-66.3%, 55.6% (CI 33.7-75.4% respectively. Also, significant change in the mean PI over time (from pre-insertion value to the 1 st min, 3 rd min, until the 4 th min after insertion without regard the device type, ( P<0.001. Conclusion: PI is a reliable and easier alternative to conventional haemodynamic criteria for detection of stress response to insertion of i-gel, LMA and ET during propofol fentanyl isoflurane anaesthesia in adult patients.

  1. CFD Simulation of Heat Transfer and Friction Factor Augmentation in a Circular Tube Fitted with Elliptic-Cut Twisted Tape Inserts

    Directory of Open Access Journals (Sweden)

    Sami D. Salman

    2013-01-01

    Full Text Available This paper presents the application of a mathematical model for simulation of the swirling flow in a tube induced by elliptic-cut and classical twist tape inserts. Effects of the twist ratio (y=2.93, 3.91, and 4.89 and cut depth (w=0.4, 0.8, and 1.4 cm on heat transfer enhancement (Nu and friction factor (f in laminar flow are numerically investigated. The simulation is carried out using commercial CFD package (FLUENT-6.3.26 to grasp the physical behaviour of the thermal and fluid flows of a constant heat-fluxed tube fitted with elliptic-cut twist tape in the laminar flow regime for the Reynolds number ranging from 200 to 2100. The simulated results matched the literature correlations of plain tube for validation with 8% variation for Nusselt number and 10% for friction factor. The results show that the heat transfer rate and friction factor in the tube equipped with elliptic-cut twist tape (ECT are significantly higher than those fitted with classical twist tape (CTT. Moreover the results also reveal that the Nusselt number and the friction factor in the tube with elliptic-cut twisted tape (ECT increase with decreasing twist ratios (y and cut depths (w.

  2. CFD Analysis of Heat Transfer and Friction Factor Characteristics in a Circular Tube Fitted with Quadrant-Cut Twisted Tape Inserts

    Directory of Open Access Journals (Sweden)

    Sami D. Salman

    2013-01-01

    Full Text Available This paper reports numerical investigations of heat transfer and friction factor characteristics in swirling flow conditions using CFD simulation. A commercial CFD package, FLUENT 6.3.26, was used in this study. 3D models for circular tube fitted with classical and quadrant-cut twisted tape (QCT inserts with three twist ratios (y = 2.93, 3.91, and 4.89 and different cut depths (w = 0.5, 1.0, and 1.5 cm were generated for the simulation. The data obtained from the CFD simulation were verified with the literature correlations of plain tube with the discrepancy of less than ±8% for Nusselt number and ±10% for friction factor. The results show that there was a significant increase in heat transfer coefficient and friction factor in the tube fitted with quadrant-cut twisted tape (QCT with decreasing of twist ratio (y and cut depth (w. Furthermore, the configuration of QCT insert with a twist ratio of y = 2.93 and a cut depth of w = 0.5 cm offered higher heat transfer rate and friction factor than other twist ratios.

  3. Combination of helical ferritic-steel inserts and flux-tube-expansion divertor for the heat control in tokamak DEMO reactor

    Energy Technology Data Exchange (ETDEWEB)

    Takizuka, T., E-mail: takizuka.tomonori@gmail.com [Graduate School of Engineering, Osaka University, 2-1 Yamadaoka, Suita 565-0871 (Japan); Tokunaga, S.; Hoshino, K. [Japan Atomic Energy Agency, 2-166, Omotedate, Obuchi, Rokkasho, Aomori 039-3212 (Japan); Shimizu, K. [Japan Atomic Energy Agency, 801-1, Mukoyama, Naka 311-0193 (Japan); Asakura, N. [Japan Atomic Energy Agency, 2-166, Omotedate, Obuchi, Rokkasho, Aomori 039-3212 (Japan)

    2015-08-15

    Edge localized modes (ELMs) in the H-mode operation of tokamak reactors may be suppressed/mitigated by the resonant magnetic perturbation (RMP), but RMP coils are considered incompatible with DEMO reactors under the strong neutron flux. We propose an innovative concept of the RMP without installing coils but inserting ferritic steels of the helical configuration. Helically perturbed field is naturally formed in the axisymmetric toroidal field through the helical ferritic steel inserts (FSIs). When ELMs are avoided, large stationary heat load on divertor plates can be reduced by adopting a flux-tube-expansion (FTE) divertor like an X divertor. Separatrix shape and divertor-plate inclination are similar to those of a simple long-leg divertor configuration. Combination of the helical FSIs and the FTE divertor is a suitable method for the heat control to avoid transient ELM heat pulse and to reduce stationary divertor heat load in a tokamak DEMO reactor.

  4. Risk of bleeding in patients undergoing percutaneous endoscopic gastrotrostomy (PEG tube insertion under antiplatelet therapy: a systematic review with a meta-analysis

    Directory of Open Access Journals (Sweden)

    Alfredo J. Lucendo

    2015-03-01

    Full Text Available Background and aim: Patients undergoing percutaneous endoscopic gastrostomy (PEG tube placement often are under antiplatelet therapy with a potential thromboembolic risk if these medications are discontinued. This systematic review aims to assess if maintaining aspirin and/or clopidogrel treatment increases the risk of bleeding following PEG placement. Methods: A systematic search of the MEDLINE, EMBASE, and SCOPUS databases was developed for studies investigating the risk of bleeding in patients on antiplatelet therapy undergoing PEG tube insertion. Summary estimates, including 95 % confidence intervals (CI, were calculated. A fixed or random effects model was used depending on heterogeneity (I². Publication bias risks were assessed by means of funnel plot analysis. Results: Eleven studies with a total of 6,233 patients (among whom 3,665 were undergoing antiplatelet treatment, met the inclusion criteria and were included in the quantitative summary. Any PEG tube placement-related bleeding was found in 2.67 % (95 % CI 1.66 %, 3.91 % of the entire population and in 2.7 % (95 % CI 1.5 %, 4.1 % of patients not receiving antiplatelet therapy. Pooled relative risk (RR for bleeding in patients under aspirin, when compared to controls, was 1.43 (95 % CI 0.89, 2.29; I² = 0 %; pooled RR for clopidogrel was 1.21 (95 % CI 0.48, 3.04; I² = 0 % and for dual antiplatelet therapy, 2.13; (95 % CI 0.77, 5.91; I² = 47 %. No significant publication bias was evident for the different medications analyzed. Conclusion: Antiplatelet therapy was safe among patients undergoing PEG tube insertion. Future prospective and randomized studies with larger sample sizes are required to confirm the results of this study.

  5. Flow topology, heat transfer characteristic and thermal performance in a circular tube heat exchanger inserted with punched delta winglet vortex generators

    Energy Technology Data Exchange (ETDEWEB)

    Boonloi, Amnart [College of Industrial Technology, Bangkok (Thailand); Jedsadaratanachai, Withada [Faculty of Engineering, Bangkok (Thailand)

    2016-01-15

    To improve the heat transfer rate and thermal performance, the punched delta winglet vortex generators, DWVGs, were inserted in the middle of the circular tube heat exchanger. The effects of the flow attack angles and the flow directions were investigated numerically for the Reynolds number Re = 100 – 2000. The finite volume method and the SIMPLE algorithm were used to study. The results are reported in terms of the flow structure, heat transfer behavior and thermal performance evaluation and also compared with the smooth tube with no vortex generators. As the numerical results, the use of the DWVGs in the tube can improve the heat transfer rate and thermal performance by creating the vortex flow through the tested section. The rise of the flow attack angle results in the increasing strength of the vortex flows. The flow attack angle of 25 .deg. performs the highest heat transfer rate and thermal performance, while the flow attack angle of 0 .deg. gives the reversed results. The computational results reveal that the optimum thermal enhancement factor is around 2.80 at Re = 2000, α = 25 .deg., with the winglet tip pointing downstream. The correlations on both the Nusselt number ratio and friction factor ratio for the DWVG in the tube heat exchanger are presented.

  6. Measurement of fluid flow by means of pressure differential devices inserted in circular cross-section conduits running full -- Part 4: Venturi tubes

    CERN Document Server

    International Organization for Standardization. Geneva

    2003-01-01

    ISO 5167-4:2003 specifies the geometry and method of use (installation and operating conditions) of Venturi tubes when they are inserted in a conduit running full to determine the flowrate of the fluid flowing in the conduit. ISO 5167-4:2003 also provides background information for calculating the flow-rate and is applicable in conjunction with the requirements given in ISO 5167-1. ISO 5167-4:2003 is applicable only to Venturi tubes in which the flow remains subsonic throughout the measuring section and where the fluid can be considered as single-phase. In addition, each of these devices can only be used within specified limits of pipe size, roughness, diameter ratio and Reynolds number. ISO 5167-4:2003 is not applicable to the measurement of pulsating flow. It does not cover the use of Venturi tubes in pipes sized less than 50 mm or more than 1 200 mm, or for where the pipe Reynolds numbers are below 20 000. ISO 5167-4:2003 deals with the three types of classical Venturi tubes: cast, machined and rough welde...

  7. Flow topology, heat transfer characteristic and thermal performance in a circular tube heat exchanger inserted with punched delta winglet vortex generators

    International Nuclear Information System (INIS)

    To improve the heat transfer rate and thermal performance, the punched delta winglet vortex generators, DWVGs, were inserted in the middle of the circular tube heat exchanger. The effects of the flow attack angles and the flow directions were investigated numerically for the Reynolds number Re = 100 – 2000. The finite volume method and the SIMPLE algorithm were used to study. The results are reported in terms of the flow structure, heat transfer behavior and thermal performance evaluation and also compared with the smooth tube with no vortex generators. As the numerical results, the use of the DWVGs in the tube can improve the heat transfer rate and thermal performance by creating the vortex flow through the tested section. The rise of the flow attack angle results in the increasing strength of the vortex flows. The flow attack angle of 25 .deg. performs the highest heat transfer rate and thermal performance, while the flow attack angle of 0 .deg. gives the reversed results. The computational results reveal that the optimum thermal enhancement factor is around 2.80 at Re = 2000, α = 25 .deg., with the winglet tip pointing downstream. The correlations on both the Nusselt number ratio and friction factor ratio for the DWVG in the tube heat exchanger are presented

  8. Numerical investigation of heat transfer and friction factor characteristics in a circular tube fitted with V-cut twisted tape inserts.

    Science.gov (United States)

    Salman, Sami D; Kadhum, Abdul Amir H; Takriff, Mohd S; Mohamad, Abu Bakar

    2013-01-01

    Numerical investigation of the heat transfer and friction factor characteristics of a circular fitted with V-cut twisted tape (VCT) insert with twist ratio (y = 2.93) and different cut depths (w = 0.5, 1, and 1.5 cm) were studied for laminar flow using CFD package (FLUENT-6.3.26). The data obtained from plain tube were verified with the literature correlation to ensure the validation of simulation results. Classical twisted tape (CTT) with different twist ratios (y = 2.93, 3.91, 4.89) were also studied for comparison. The results show that the enhancement of heat transfer rate induced by the classical and V-cut twisted tape inserts increases with the Reynolds number and decreases with twist ratio. The results also revealed that the V-cut twisted tape with twist ratio y = 2.93 and cut depth w = 0.5 cm offered higher heat transfer rate with significant increases in friction factor than other tapes. In addition the results of V-cut twist tape compared with experimental and simulated data of right-left helical tape inserts (RLT), it is found that the V-cut twist tape offered better thermal contact between the surface and the fluid which ultimately leads to a high heat transfer coefficient. Consequently, 107% of maximum heat transfer was obtained by using this configuration.

  9. The drama of Ahmed Yerima : studies in Nigerian theatre

    NARCIS (Netherlands)

    Julius-Adeoye, ‘Rantimi Jays

    2013-01-01

    The Drama of Ahmed Yerima. Studies in Nigerian Theatre gives a detailed development of Nigerian theatre from its ritualistic nature in the 16th Century up to the literary form of the 21st century. It looks at the trajectory movement of the theatre through television to cinema and video film/Nollywoo

  10. Application of myringotomy and ventilation tube insertion in the hearing rehabilitation of children with secretory otitis media%鼓膜切开置管术在儿童分泌性中耳炎听力康复中的应用

    Institute of Scientific and Technical Information of China (English)

    苗英章; 步桂清; 张秀者; 荣宏; 张勋

    2003-01-01

    AIM: To study the role of the myringotomy and ventilation tube insertion inthe hearing rehabilitation of the children with secretory otitis media(SOM).METHODS: Myringotomy and ventilation tube insertions were performed in56 children with chronic SOM. RESULTS: The pure-tone threshold average(PTA) of six months after operation in 50 cases(91 ears) was improvedsignificantly compared with the preoperative PTA( P < 0. 01 ). The effectiverate of myringotomy and ventilation tube insertion was 92. 3%. CONCLU-SION: As a therapeutic method in the hearing rehabilitation of the childrenwith chronic SOM, the myringotomy and veptilation tube insertion should beused as primary surgical therapy.

  11. Measurement of impulse peak insertion loss from two acoustic test fixtures and four hearing protector conditions with an acoustic shock tube

    Directory of Open Access Journals (Sweden)

    William J Murphy

    2015-01-01

    Full Text Available Impulse peak insertion loss (IPIL was studied with two acoustic test fixtures and four hearing protector conditions at the E-A-RCAL Laboratory. IPIL is the difference between the maximum estimated pressure for the open-ear condition and the maximum pressure measured when a hearing protector is placed on an acoustic test fixture (ATF. Two models of an ATF manufactured by the French-German Research Institute of Saint-Louis (ISL were evaluated with high-level acoustic impulses created by an acoustic shock tube at levels of 134 decibels (dB, 150 dB, and 168 dB. The fixtures were identical except that the E-A-RCAL ISL fixture had ear canals that were 3 mm longer than the National Institute for Occupational Safety and Health (NIOSH ISL fixture. Four hearing protection conditions were tested: Combat Arms earplug with the valve open, ETYPlugs ® earplug, TacticalPro headset, and a dual-protector ETYPlugs earplug with TacticalPro earmuff. The IPILs measured for the E-A-RCAL fixture were 1.4 dB greater than the National Institute for Occupational Safety and Health (NIOSH ISL ATF. For the E-A-RCAL ISL ATF, the left ear IPIL was 2.0 dB greater than the right ear IPIL. For the NIOSH ATF, the right ear IPIL was 0.3 dB greater than the left ear IPIL.

  12. Ahmed glaucoma valve implant: Experience in East Africa

    Directory of Open Access Journals (Sweden)

    Kiage D

    2009-01-01

    Full Text Available Purpose : To describe short term outcomes of Ahmed Glaucoma Valve [AGV] implantation in East African patients. Materials and Methods : In this multi-center retrospective case series we reviewed eyes of Black African patients with refractory glaucoma, treated consecutively with Ahmed Glaucoma Valve implantation, in two centers in Kenya between January 2006 and October 2007. Results : About 25 cases including 18 [72%] pediatric eyes and seven [28%] adult eyes were identified. Results have been presented with a median follow-up of two months with inter-quartile range [IQR] of one to 12 months. intraocular pressure [IOP] was reduced from a mean of 36.4 mmHg preoperatively to 16.7 mmHg and glaucoma medications were lowered from a mean of 1.32 before surgery to 0.2 after surgery. The success rate during short term follow-up was 79%. The mean visual acuity dropped slightly from 6/18 pre-operatively to 6/24. There was only one major complication of an extruded, infected valve in a child. Conclusions : The Ahmed Valve Implant is safe and effective in lowering IOP for the short term in pediatric and adult East African patients with refractory glaucoma. Further studies with more patients and longer term follow-up are needed in this population.

  13. Gastrostomy Tube (G-Tube)

    Science.gov (United States)

    ... endoscope (a thin, flexible tube with a tiny camera and light at the tip) inserted through the ... Nemours Foundation, iStock, Getty Images, Corbis, Veer, Science Photo Library, Science Source Images, Shutterstock, and Clipart.com

  14. A Randomized Clinical Trial Comparing the Standard Mcintosh Laryngoscope and the C-Mac D blade Video laryngoscope™ for Double Lumen Tube Insertion for One Lung Ventilation in Onco surgical Patients

    OpenAIRE

    Shagun Bhatia Shah; Ajay Kumar Bhargava; Uma Hariharan; Amit Kumar Mittal; Nitesh Goel; Manish Choudhary

    2016-01-01

    Background and Aims: Several devices enabling double-lumen tube (DLT) placement for thoracic surgeries are available, but there are no studies for D-blade video laryngoscope-guided DLT insertion. We compared the CMac D-blade videolaryngoscope™ and the Macintosh laryngoscope for DLT endobronchial intubation using parameters of time and attempts required for intubation, glottic view, incidence of complications and haemodynamic changes. Methods: Prospective, parallel group, randomised controlled...

  15. 丁卡因在正颌术后患者胃管置入中的应用效果%Effects of tetracaine spray on insertion of stomach tubes after orthognathic surgery

    Institute of Scientific and Technical Information of China (English)

    雍琪; 魏建华; 马婕; 陈欢; 何英莲

    2013-01-01

    Objective To evaluate the effects of oropharyngeal topical anesthesia with tetracaine spray (0.1%) on the discomfort and success rate of insertion of stomach tube after orthognathic surgery.Methods Totals of 80 patients treated with bimaxillary orthognathic surgery were randomly assigned into control group (n =40) and test group (n =40).Stomach tubes were inserted into stomachs of the patients with a semirecumbent position through nasal at the day after surgery.Traditional methods of inserting stomach tubes were applied in control group,while patients in test group were given topical anesthesia with 0.1% tetracaine spray to oropharyngeal before stomach tubes inserted.The operating time and primary success rate of tube insertion were recorded.Intubation pain or discomfort was observed.Results The operating time of test group was significantly shorter than that of control group (2.7 ± 0.8 min vs 4.2 ± 1.1 min,t =2.892,P < 0.01).Primary success rate of intubation of test group was significantly higher than that of control group (97.5% vs 85%,x2 =3.914,P <0.05).There was less pain or discomfort in the intubation process in test group (Z =2.660,P < 0.01).Conclusions Stomach tube insertion with 0.1% tetracaine spray topical anesthesia can alleviate pain,improve primary success rate of stomach tube insertion.%目的 观察0.1%丁卡因表面麻醉用于正颌术后患者胃管置入过程中,对置管不适的效果和一次置管成功率的影响.方法 将80例双颌接受正颌外科手术的患者采用随机数字表法分为对照组以及干预组,每组40例.两组均于术后第1天采用半卧位经鼻留置胃管,对照组用传统方法留置胃管,干预组置管前3 min应用0.1%的丁卡因给予咽腔喷雾表面麻醉,分别测量置管时间和一次性置管成功率,并对置管不适情况进行评估.结果 干预组置管时间显著短于对照组(2.7 ±0.8 min vs 4.2±1.1 min),一次性置管率高于对照组(97.5%vs 85

  16. Numerical Simulation of the Tube Inserted with Rotors -assembled Device for Heat Transfer Enhancement%换热管内转子强化换热的数值模拟

    Institute of Scientific and Technical Information of China (English)

    张震; 韩崇刚; 李锋样; 阎华; 杨卫民

    2011-01-01

    Principle of the rotors - assembled device for heat transfer enhancement and automatic cleaning was first introduced in the paper.Flow field, temperature field, pressure field and process of heat exchange were regarded to evaluate flow and heat transfer characteristics of the tube by building up 3 - D flow models of a plain tube and the tube inserted with several rotors.The comparison of simulation results showed that the three - dimensional flow in the tube inserted with rotors was very complex, with clear circular flow between rotors and the tube wall, while the tangential velocity and radial velocity increased to some extent, and the fluid inside the rotating radius flowed in a spiral way.In all, the tube inserted with rotors achieved stronger turbulence intensity than the plain tube, especially in the near- wall region.Therefore convective heat transfer was enhanced with heat transfer coefficient increased, which proved heat transfer enhancement and automatic cleaning functions of rotors.%本文概述了转子组合式强化传热装置的强化传热和自清洁原理.分别通过建立光管及内置多个转子换热管的三维流动模型,对换热管内流场、温度场、压力场以及换热过程进行了模拟,得到了管内流体的流动特性和传热特性.对比模拟结果表明,内置转子换热管管内的三维流动比较复杂,转子与管壁之间缝隙内的流体有着明显的环绕流动,切向速度和径向速度也增大到一定范围,转子旋转半径内的流体整体呈螺旋流动.总的来说,内置转子的换热管内较光管有较强的湍流度,尤其是近壁区域,因此强化了管内的对流换热,传热系数显著提高,从而验证了转子具有强化传热和自清洁的双重功能.

  17. The Ahmed Glaucoma Valve in Neovascular Glaucoma (An AOS Thesis)

    Science.gov (United States)

    Netland, Peter A.

    2009-01-01

    Purpose: To evaluate the results of Ahmed glaucoma valve surgery in neovascular glaucoma and control patients. Methods: In this retrospective comparative study, we reviewed 76 eyes of 76 patients, comparing the surgical outcomes in control patients (N=38) to matched neovascular glaucoma patients (N=38). Success was defined as intraocular pressure (IOP) ≥6 mm Hg and ≤21 mm Hg, without further glaucoma surgery, and without loss of light perception. Results: Average follow-up for control and neovascular glaucoma patients was 18.4 and 17.4 months, respectively (P = .550). At last follow-up, mean IOP was 16.2 ± 5.2 mm Hg and 15.5 ± 12.5 mm Hg (P = .115) in control and neovascular glaucoma patients, respectively. Life-table analysis showed a significantly lower success for neovascular glaucoma patients compared with controls (P = .0096), with success at 1 year of 89.2% and 73.1%, at 2 years of 81.8% and 61.9%, and at 5 years of 81.8% and 20.6% for control and neovascular glaucoma eyes, respectively. Cox proportional hazards regression analysis showed neovascular glaucoma as a risk factor for surgical failure (odds ratio, 5.384, 95% CI, 1.22–23.84, P = .027). Although IOP control and complications were comparable between the two groups, visual outcomes were worse in neovascular glaucoma patients, with 9 eyes (23.7%) with neovascular glaucoma compared with no controls losing light perception vision (P = .002). The majority with loss of vision (5 of 9) had successful control of IOP during the postoperative period. Conclusion: Neovascular glaucoma patients have greater risk of surgical failure after Ahmed glaucoma valve surgery compared with controls. Despite improved mean IOP with drainage implants, visual outcomes may be poor, possibly due to progression of underlying disease. PMID:20126506

  18. Effect of tympanostomy tube insertion on middle ear function in children with secretory otitis media%鼓室置管对儿童分泌性中耳炎中耳功能影响的研究

    Institute of Scientific and Technical Information of China (English)

    毛承刚; 万俐佳; 周小淳; 吴燕; 鲁海涛

    2012-01-01

    目的 探讨鼓室置管治疗儿童分泌性中耳炎对中耳功能的影响.方法 选取47例(58耳)临床诊断为分泌性中耳炎的患儿,分别在鼓室置管术前及术后1个月、6个月进行纯音测听、声导抗、畸变产物耳声发射(distortion product otoacoustic emission,DPOAE)检查和耳镜检查,以评估鼓室置管手术前后中耳功能的变化及术后的并发症.结果 鼓室置管术后1个月、6个月分别行耳镜和声导抗检查,均较术前听力明显提高.术后6个月与术后1个月检查结果比较,听力改变差异无统计学意义.与鼓室置管术前比较,DPOAE引出率及部分频率幅值提高,差异具有统计学意义.鼓室置管术后的并发症主要是中耳感染、分泌性中耳炎复发、鼓膜穿孔和鼓膜内陷.结论 鼓室置管治疗儿童分泌性中耳炎,应用检测纯音测听、声导抗、DPOAE和耳镜检查,了解鼓室置管术后的并发症情况,综合评价对中耳功能的影响,具有临床指导意义.%Objective To investigate the effect of tympanostomy tube insertion on the middle ear function in children with secretory otitis media ( SOM). Methods Pure tone audiometry, acoustic impedance , distortion product otoacoustic emission ( DPOAE) examination and otoscopy were carried out in 47 children (58 ears) with SOM before tube insertion, one month and 6 months after tube insertion respectively to evaluate the changes of middle ear function and surgical complications. Results One month and 6 months after tube insertion, hearing of children with catheter patency was significantly improved. In addition, the detection rate and amplitude of DPOAE were significantly increased. The difference of hearing 1 month and 6 months after tube insertion was statistically insignificant. Surgical and postoperative complications included middle ear infection, recurrent SOM, tympanic perforation and tympanic membrane retraction. Conclusion Pure tone audiometry, acoustic impedance

  19. Outcomes of Ahmed glaucoma valve implantation in advanced primary congenital glaucoma with previous surgical failure

    Directory of Open Access Journals (Sweden)

    Huang J

    2015-06-01

    Full Text Available Jingjing Huang,1 Jialiu Lin,1 Ziqiang Wu,2 Hongzhi Xu,3 Chengguo Zuo,1 Jian Ge1 1State Key Laboratory of Ophthalmology, Department of Glaucoma, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, People’s Republic of China; 2Center for Advanced Eye Care, Carson City, NV, USA; 3Institute of Child Health Policy, University of Florida, Gainesville, FL, USA Purpose: The purpose of this study was to evaluate the intermediate surgical results of Ahmed glaucoma valve (AGV implantation in patients less than 7 years of age, with advanced primary congenital glaucoma who have failed previous surgeries.Patients and methods: Consecutive patients with advanced primary congenital glaucoma that failed previous operations and had undergone subsequent AGV implantation were evaluated retrospectively. Surgical success was defined as 1 intraocular pressure (IOP ≥6 and ≤21 mmHg; 2 IOP reduction of at least 30% relative to preoperative values; and 3 without the need for additional surgical intervention for IOP control, loss of light perception, or serious complications.Results: Fourteen eyes of eleven patients were studied. Preoperatively, the average axial length was 27.71±1.52 (25.56–30.80 mm, corneal diameter was 14.71±1.07 (13.0–16.0 mm, cup-to-disc ratio was 0.95±0.04 (0.9–1.0, and IOP was 39.5±5.7 (30–55 mmHg. The mean follow-up time was 18.29±10.96 (5–44, median 18 months. There were significant reductions in IOPs and the number of glaucoma medications (P<0.001 postoperatively. The IOPs after operation were 11.3±3.4, 13.6±5.1, 16.3±2.7, and 16.1±2.6 mmHg at 1 month, 6 months, 12 months, and 18 months, respectively. Kaplan–Meier estimates of the cumulative probability of valve success were 85.7%, 71.4%, and 71.4% at 6, 12, and 18 months, respectively. Severe surgical complications, including erosion of tube, endophthalmitis, retinal detachment, choroidal detachment, and delayed suprachoroidal hemorrhage, occurred in 28

  20. 分泌性中耳炎儿童治疗前后DPOAE检测结果分析%An Analysis of Distortion Product Otoacoustic Emissions on Children with Tympanotomy Tube Insertion

    Institute of Scientific and Technical Information of China (English)

    王淑芬; 王智楠; 徐忠强

    2012-01-01

    目的 分析分泌性中耳炎(SOM)儿童治疗前后畸变产物耳声发射(DPOAE)的结果.方法 对235例(442耳)分泌性中耳炎患儿(SOM组)于置管前及置管后第1天、置管后1周行DPOAE测试,并与123例(246耳)正常儿童(对照组)进行比较.结果 SOM组患儿置管前DPOAE引出率和幅值均较对照组低,置管后第1天即有提高,在1 560、4 416 Hz处引出率升高明显,在1 105、1 560、2 211、4 416 Hz处幅值显著升高,与术前比较,差异有统计学意义(P<0.05或P<0.01).置管后1周DPOAE引出率和幅值进一步升高,与术前比较,引出率在783、1 560、2 211、4 416 Hz及幅值在783~4 416 Hz差异有统计学意义(P<0.05或P<0.01).结论 SOM患儿置管后一周内DPOAE引出率和幅值均逐渐提高.%Objective To analyse the result of distortion product otoacoustic emissions on children with tym-panotomy tube insertion. Methods 235 patients (442 ears) with SOM were selected and recorded the DPOAE audio gram with Smart OAE 4. 24 otodymic analyser before, one day after and one week after tube insertion. 123 normal subjects(246 ears) were selected as control. Results The eliciting rate and amplitude increased after tube insertion. The differences at 1105. 1560,2211, 4416 Hz were statistically significant . The amplitude increased one week later. Conclusion The eliciting rate and amplitude of DPOAE increased gradually after tympanotomy tube insertion in children with SOM.

  1. MELAMET IN THE DIVAN OF SARBAN AHMED SĂRBĂN AHMED DĮVĂNI’NDA MELĂMĮİLİK

    Directory of Open Access Journals (Sweden)

    Bekir KAYABAŞI

    2010-01-01

    Full Text Available Sarban Ahmed is one of poet melami sheik in the 16th century. Since his sheik İsmail Masuki died and his follow up by state, cause to slow up activity of tariqat. Sarban Ahmed use to poems that contiued to faith tariqat of disciples. He process to theme of melamet, when write to form of ottoman poetry. We look for concept of melamet to Ahmed Sarban’s poems that inside to meaning borders of ottoman poetry. Sarban Ahmed 16. yüzyıl şair Melami şeyhlerindendir. Şeyhi, İsmail Maşukî’nin tarikat inançları yüzünden öldürülmüş olması, Sarban Ahmed’in devlet otoritesi tarafından takip ediliyor olması, tarikatın yer altına çekilerek faaliyetlerini yavaşlatması sonucunu doğurmuştur. Sarban Ahmed, müritlerinin tarikat inançlarını devam ettirmek için şiirlerini kullanmıştır. Divan şiiri nazım biçimiyle yazdığı şiirlerinde melamet temasını işlemiştir. Bu çalışmada, Divan şiirinin anlam sınırları çerçevesinde Sarban Ahmed şiirlerindeki Melamilik anlayışını tespit etmeye çalıştık.

  2. Pars Plana Ahmed Implantation Combined with 23-gauge Vitrectomy for Refractory Neovascular Glaucoma in Diabetic Retinopathy

    OpenAIRE

    Jeong, Hoon Seok; Nam, Dong Heun; Paik, Hae Jung; Lee, Dae Yeong

    2012-01-01

    Purpose To evaluate the efficacy and safety of a pars plana Ahmed valve implantation combined with 23-gauge sutureless vitrectomy in the treatment of patients with medically uncontrolled neovascular glaucoma (NVG) in proliferative diabetic retinopathy (PDR). Methods The authors retrospectively reviewed the records of 11 consecutive patients with refractory NVG in PDR who underwent a 23-gauge sutureless vitrectomy combined with pars plana placement of an Ahmed valve implant. Control of intraoc...

  3. 管内插入物强化传热及除垢的研究进展%Progress in Study on Heat Transfer Enhancement for Tube Insert and Scale Removal

    Institute of Scientific and Technical Information of China (English)

    马强

    2011-01-01

    This article introduced the the field synergy theory was used to characteristics of heat transfer enhancement for tube insert, and explain the mechanism of heat transfer, especially in velocity vector field and heat flow vector field synergy between the effects of heat transfer process. In recent years, researchers have summarized the insertion of the tube with enhanced heat transfer and scale removal. Suggestions have been given for future research.%介绍了内插物强化传热技术的特点,运用了场协同理论来解释其强化传热的机理,主要是速度矢量场和热流矢量场之间的协同对传热过程的影响。总结了近年来研究者们对管内插入扭带强化传热和除垢的研究结果及进展,并对将来的研究工作提出了建议。

  4. Numerical simulation Study on Heat Transfer Characteristics of Nanofluids in Twisted-Tape Inserts Tubes%纳米流体在内置扭带管的传热数值模拟

    Institute of Scientific and Technical Information of China (English)

    孙斌; 刘彤

    2015-01-01

    In order to take a comparative study on heat transfer enhancement of nanofluids in the twisted-tape inserts in tubes,established an enhanced heat exchanger of twisted-tape inside tubes of the tube heat exchang-er’ s physical model,carried on numerical simulation by using RNG k-ε model. Comparing with experimental results,spatial distribution of heat transfer fluid temperature field,heat transfer coefficient and flow field can be obtained. Compared nanofluids with water on influence of enhancing heat exchanger in six different twist ratio and two different materials of twisted-tape inserts. The result shows that using Cu-water nanofluids as the work-ing fluid has a significantly improvement on the heat transfer performance of the heat. The heat transfer effect of 0. 8% Cu-water nanofluids is better than that of 0. 5%. The smaller twist ratio is,the better effect of heat trans-fer can be. The enhancement of heat transfer is 0. 51 between Twisted-Tape Inserts Tubes with twist ratio is 2. 5 using 0. 5% Cu-water nanofluids and plain tube using water. Copper twisted tape inserts tube heat exchanger is better than aluminum twisted tapes.%为了对比纳米流体在内置扭带管中的强化传热效果,建立了以Cu-水纳米流体和水为传热介质的内置扭带强化换热管的管式换热器物理模型,采用RNG k-ε进行数值模拟研究,并与实验结果对比,得到了内置扭带换热管流体流动的速度、温度、湍流强度场的分布规律及特性。比较了两种质量分数的纳米流体与水在六种不同扭转比的扭带换热管中和两种不同材质的内置扭带分别对强化传热的影响。结果表明,以Cu-水纳米流体为工质的内置扭带管的换热效果明显优于纯水;质量分数为0.8%的Cu-水纳米流体换热效果优于0.5%的Cu-水纳米流体,扭转比越小,则换热效果越好,质量分数为0.5%的Cu-水纳米流体在扭转比为2.5的内置扭带管中相对于水

  5. A meta-analysis of the therapeutic effects of increasing insertion depth of nasogastric tube on gastrointestinal de-compression%胃管置入深度对胃肠减压疗效的Meta分析

    Institute of Scientific and Technical Information of China (English)

    郑琼娜; 王华芬; 吕敏芳; 郑晶晶

    2014-01-01

    Objective To evaluate the efficacy of increasing insertion depth of nasogastric tube in the treatment of gas-trointestinal decompression. Methods The randomized clinical trials(RCT) that compared the efficacy of increasing inser-tion depth of nasogastric tube in treatment of gastrointestinal decompression were researched from CBM,CNKI,Wangfang data,Cochrane,EMBASE,CINAHL,PubMed. After extracting data and assessing the quality of the included studies, meta-analysis was conducted using RevMan 5.2 software. Results Twenty RCTs including 3507 cases were included. Meta-analysis showed that increasing insertion depth of nasogastric tube significantly decreased occurring rate of moderate-severe abdominal distention[OR=0.28, 95%CI(0.24, 0.33)],significantly increased the 24 hours volume of drainage after nasogas-tric tube place [WMD=200.36, 95%CI (95.37, 305.35)] and significantly shortened the recovery time of bowel sounds [WMD=-23.98, 95%CI (-30.09,-17.86)]. Conclusions Increasing insertion depth of nasogastric tube can decrease oc-curring rate of moderate-severe abdominal distention, increase 24 hours volume of drainage after nasogastric tube place and shorten recovery time of bowel sounds.%目的:根据现有临床研究评价增加胃管插入深度对胃肠减压的有效性。方法检索CBM、CNKI、万方数据库、Cochrane、EMBASE、CINAHL、PubMed等数据库中的有关胃管插入深度对胃肠减压效果影响的中英文随机对照试验(RCT),提取数据并进行质量评价,数据分析采用RevMan5.2软件。结果共纳入20篇文献,共3507例患者。Meta分析结果显示:增加胃管置入深度可以降低中重度腹胀的发生率[OR=0.28,95%CI(0.24,0.33)]、增加置管后24 h引流液量[WMD=200.36,95%CI (95.37,305.35)]、缩短肠鸣音恢复时间[WMD=-23.98,95%CI (-30.09,-17.86)]。结论增加胃管的置入深度可以有效减轻腹胀、增加引流量、缩短肠鸣音的恢复时间。

  6. 不锈钢管镶嵌件在压铸中的应用研究%Research and Application of Inserts of Stainless Steel Tube in Die Casting

    Institute of Scientific and Technical Information of China (English)

    李振生

    2013-01-01

    阐述了汽车发动机电控冷却器压铸件不锈钢油管内镶嵌件的结构、定位及工艺过程控制.其要点是,在油管接头上预先按图纸尺寸要求钻攻底孔、攻牙及铣面,同时做出与之配合的镀锌螺栓接头,装配后(将螺栓接头旋入油管接头内,成为油管总成,再放到压铸模上)通过与模具上的限位镶块精确定位,从而实现铸件压铸后油管接头位置度及接头端面的距离尺寸不变的目的.压铸结束后拆除可循环利用的螺栓接头,镀锌接头涂层防止了高温下因油污引起的生锈,满足了产品的清洁度要求.%According to the product assembly requirements, first pre-drilling thread bottom hole, tapping and milling surface in the tube union required by the drawing, and make the galvanized thread plug at the same time, the thread plug is screwed into the tube union as a tube assembly, and then put it into the casting mold . The tube dimensions of the casting would be achieved directly by the die casting process through die-casting mould precision limit insert . When the die casting is complete, remove the recyclable thread plug . The galvanized thread plug can prevent effectively metal from rust caused by the high temperature and oil of the fitting surface between the tube union and the thread plug to ensure the cleanliness requirement, and protect the tube surface against damage . The internal thread of the tube u-nion ensure the tooth shape in the thread plug force in the die casting process, so as to achieve the purpose of directly by the die-casting process. Reduce the cost under the precondition to satisfy the production requirements.

  7. Clinical Analysis of Inserting Gastric Tube to Tube Rupture in 1 Cases of Pesticide Poisoning%关于农药中毒插胃管致胃管断裂1例临床分析

    Institute of Scientific and Technical Information of China (English)

    陈霞

    2014-01-01

    目的分析抢救农药中毒患者置胃管时被患者咬断的原因。方法介绍1例女性患者因自服敌敌畏,患者洗胃时拒不配合,强行咬断胃管的前端致胃管断裂的病历进行分析。结果患者吐出断胃管,更换胃管,在口腔内置入牙垫,置入胃管完成洗胃的全过程。结论洗胃是农药中毒患者最直接有效地方法,有效地将胃管插入胃内并进行固定是确保洗胃过程顺利进行的一个关键环节,能最大限度地减少毒物的吸收,直接影响抢救有机磷农药中毒的成功率。提高洗胃的速度和清洁度,减少不良反应,提高抢救成功率,减轻护士疲劳感。%Objective Analysis for pesticide poisoning patients indwel ing gastric tube was a patient of snap. Methods A female patients because of self medication in patients with gastric lavage, dichlorvos, refuses to cooperate with, forced to bite tube rupture caused by stomach tube at the front end of the medical record analysis. Results The patient to spit out the broken tube, replace the nasogastric tube, in the mouth into the stomach with dental pad, complete the whole process of gastric lavage. Conclusion The gastric lavage is pesticide poisoning were the most direct and effective way, ef ectively the gastric tube into the stomach and fixation is the key to ensuring the gastric lavage process smoothly, can minimize the absorption of poison, directly af ect the organic phosphorus pesticide poisoning rescue success rate. To improve the speed of gastric lavage and cleanliness, reduce adverse reaction, improve the success rate, reduce the fatigue feeling.

  8. 内置螺旋弹簧换热管内流动与传热三维数值模拟%3D numerical simulation of fluid flow and heat transfer in heat exchange tube with helical coil inserts

    Institute of Scientific and Technical Information of China (English)

    徐建民; 彭坤; 胡小霞; 黄伟; 余海燕

    2012-01-01

    In order to investigate single-tube heat transfer enhancement principles of heat exchange tube with helical coil inserts,the flow and heat transfer characteristics were simulated using Fluent software.The effects of spring application on flow field,pressure drop and heat transfer performance were investigated.The pitch of coil spring was set as 2 mm,4 mm,5 mm.The effects of spring pitch on the heat transfer enhancement performance were analyzed.The numerical results showed that the fluid in tube with helical coil inserts presents the helical flow,the cutting speed and the radial velocity of flow near the wall had been improved to some extent.Thus the fluid was mixed completely,boundary layer was disturbed fully and heat was exchanged thoroughly.And the temperature difference between inlet and outlet increased as well,with the maximum increase of 0.9 ℃.Under the conditions of the same Reynolds number,the Nusselt number in tube with helical coil inserts was higher than plain tube,but pressure drop and friction factor increased obviously.With the reduced spring pitch,heat transfer was enhanced and friction factor was increased.%为研究内置螺旋弹簧换热管单管强化传热原理,采用Fluent软件对内置螺旋弹簧换热管内流体流动与传热特性进行数值模拟,考察了弹簧的应用对管内流场、压降和换热性能的影响,并分别取螺旋弹簧节距p分别为2 mm、4 mm、5 mm初步研究了弹簧的节距对强化传热效果的影响。模拟结果显示:弹簧管内流体呈螺旋流动状态,管壁附近流体切向速度和径向速度有一定程度的提高,从而加剧了管内流体的混合及边界层的扰动,充分换热,弹簧管进出口温度差较光管有所增加,最高增加了0.9℃;相同雷诺数条件下,内置螺旋弹簧换热管Nu数均高于光管,而压降和阻力系数相比光管有明显增加,随着弹簧节距减小换热增强而摩擦阻力系数增加。

  9. Definition of the minimum longitude of insert in the rebuilding of Charpy test tubes for surveillance and life extension of vessels in Mexico; Definicion de la longitud minima de inserto en la reconstitucion de probetas Charpy para vigilancia y extension de vida de vasijas en Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Romero C, J.; Hernandez C, R.; Rocamontes A, M., E-mail: jesus.romero@inin.gob.mx [ININ, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2011-11-15

    In the National Institute of Nuclear Research (Mexico) a welding system for the rebuilding of Charpy test tubes has been developed, automated, qualified and used for the surveillance of the mechanical properties (mainly embrittlement) of the vessel. This system uses the halves of the rehearsed Charpy test tubes of the surveillance capsules extracted of the reactors, to obtain, of a rehearsed test tube, two reconstituted test tubes. This rebuilding process is used so much in the surveillance program like in the potential extension of the operation license of the vessel. To the halves of Charpy test tubes that have been removed the deformed part by machine are called -insert- and in a very general way the rebuilding consists in weld with the welding process -Stud Welding- two metallic implants in the ends of the insert, to obtain a reconstituted test tube. The main characteristic of this welding are the achieved small dimensions, so much of the areas welded as of the areas affected by the heat. The applicable normative settles down that the minim longitude of the insert for the welding process by Stud Welding it should be of 18 mm, however according to the same normative this longitude can diminish if is demonstrated analytic or experimentally that the central volume of 1 cm{sup 3} in the insert is not affected. In this work the measurement of the temperature profiles to different distances of the welding interface is presented, defining an equation for the maximum temperatures reached in function of the distance, on the other hand the real longitude affected in the test tube by means of metallography is determined and this way the minimum longitude of the insert for this developed rebuilding system was determined. (Author)

  10. Ahmed Midhat and Adnan Adivar on history of science and civilizations.

    Science.gov (United States)

    Kilinc, Berna

    2008-01-01

    I analyze the contrasting visions of history of science in the works respectively of an Ottoman and a Turkish man of letters, Ahmed Midhat and Adnan Adivar, and claim that they perceived the link between science and cultural identity in different terms. Ahmed Midhat conceived of science as closely tied to its cultural matrix, whereas Adivar settled for a less holistic view. Both authors saw science as the harbinger of a new social existence, but they evaluated the prospects of this existence in rather divergent ways. Ahmed Midhat was concerned with the detrimental effects of an unquestioning appropriation of European scientific traditions, while Adivar had no such qualms, and celebrated the universalism and progressiveness of reason as revealed in history of science. I suggest that these differences in their outlooks presented their readers with civilizational choices.

  11. Calorimeter insertion

    CERN Multimedia

    2006-01-01

    Calorimeter insertion between toroids in the ATLAS experiment detector Calorimeters are surrounding the inner detector. Calorimeters will absorb and measure the energies of the most charged and neutral particles after the collisions. The saved energy in the calorimeter is detected and converted to signals that are taken out with data taking electronics.

  12. Bilateral Sturge-Weber Syndrome and glaucoma controlled with Ahmed valve implant

    OpenAIRE

    Marcelo Jarczun Kac; Karina Nagao; Sansão Isaac Kac; Marcelo Palis Ventura

    2015-01-01

    Sturge-Weber Syndrome is a rare neuro-oculocutaneous disorder. The authors describe the case of a 13 years old boy, presented with bilateral Sturge-Weber Syndrome and glaucoma. Surgical treatment with Ahmed valve implantation in both eyes was carried out achieving lower levels of intraocular pressure.

  13. Bilateral Sturge-Weber Syndrome and glaucoma controlled with Ahmed valve implant

    Directory of Open Access Journals (Sweden)

    Marcelo Jarczun Kac

    2015-02-01

    Full Text Available Sturge-Weber Syndrome is a rare neuro-oculocutaneous disorder. The authors describe the case of a 13 years old boy, presented with bilateral Sturge-Weber Syndrome and glaucoma. Surgical treatment with Ahmed valve implantation in both eyes was carried out achieving lower levels of intraocular pressure.

  14. A study of the Sa-Ahm Five Element acupuncture theory.

    Science.gov (United States)

    Ahn, Chang-Beohm; Jang, Kyung-Jun; Yoon, Hyun-Min; Kim, Cheol-Hong; Min, Young-Kwang; Song, Chun-Ho; Lee, Jang-Cheon

    2009-12-01

    This study is a review of the theoretical basis of Sa-Ahm Five Element acupuncture devised about 360 years ago. A total of 21 books and papers ranging from the ancient Huang Di Nei Jing to modern biomedical acupuncture for pain management were researched in relation to the Five Shu points. Gao-Wu, in the Chinese Ming Dynasty, used the Five Shu points for the first time based on the creation cycle as the tonification and sedation treatment, termed the "tonification and sedation treatment of self meridian". Since then, and for no particular reason, this method has been rarely used until Sa-Ahm's new doctrine, which includes the concept of the destruction cycle, was asserted. Sa-Ahm Five Element acupuncture is a method in which the Five Shu points are used from the viewpoints of the simultaneous tonification and sedation methods that are based on the promotion and control cycles. Although it is currently the most utilized method in accordance with the practitioner's points, this method is in need of designated guidelines by which Sa-Ahm acupuncture can be practiced effectively. PMID:20633508

  15. 糖尿病新生血管性青光眼 Ahmed 引流阀植入术%Ahmed valve implantation in diabetic patients with neovascular glaucoma

    Institute of Scientific and Technical Information of China (English)

    苗培建; 张雪翎; 刘振英; 张正培

    2016-01-01

    目的:观察Ahmed引流阀植入治疗糖尿病新生血管性青光眼( NVG)的效果。方法2005年12月至2013年5月住院的38例(38眼)采用Ahmed引流阀植入治疗的糖尿病NVG临床资料,进行回顾性分析。结果38例中术后早期出现低眼压浅前房7例,短暂性眼压升高4例,前房积血12例,阀门管堵塞2例。术前与术后出院时眼压比较,平均下降(34.17±14.99)mmHg(1 mmHg=0.133 kPa),差异有统计学意义(P<0.01)。视力提高11例,下降1例,不变26例。结论围手术期血糖的稳定控制,术中的个性化治疗,术后及时发现并给予正确的处理,可以取得较好的临床疗效。%Objective To observe surgical outcomes of Ahmed valve implantation in diabetic patients with neovascular glaucoma .Methods The clinical data of 38 eyes of 38 patients with diabetic neovascular glaucoma were retrospectively analyzed .They had undergone Ahmed valve implantation in Eye Institute of Xuzhou from Dec.2005 to May 2013.Results In the 38 patients, 7 cases were observed with ocular hypotension and shallow anterior chamber , 4 cases with transient ocular hypertension , 12 cases with hyphema and two cases with valve tube blockage in the early stage after the operation .Compared with the preoperative IOP, the postoperative IOP was reduced by (34.17 ±14.99) mmHg, and the difference was statistically significant (P<0.01).There were 11 cases with improved vision, one case with decreased vision, and 26 cases with unchanged vision .Conclusion Stable control of blood sugar perioperatively , individualized treatment during operation , timely detection and right treatment of postoperative complications , can make the surgery get more satisfactory clinical efficacy .

  16. Reliable experimental setup to test the pressure modulation of Baerveldt Implant tubes for reducing post-operative hypotony

    Science.gov (United States)

    Ramani, Ajay

    Glaucoma encompasses a group of conditions that result in damage to the optic nerve and can cause loss of vision and blindness. The nerve is damaged due to an increase in the eye's internal (intraocular) pressure (IOP) above the nominal range of 15 -- 20 mm Hg. There are many treatments available for this group of diseases depending on the complexity and stage of nerve degradation. In extreme cases where drugs or laser surgery do not create better conditions for the patient, ophthalmologists use glaucoma drainage devices to help alleviate the IOP. Many drainage implants have been developed over the years and are in use; but two popular implants are the Baerveldt Glaucoma Implant and the Ahmed Glaucoma Valve Implant. Baerveldt Implants are non-valved and provide low initial resistance to outflow of fluid, resulting in post-operative complications such as hypotony, where the IOP drops below 5 mm of Hg. Ahmed Glaucoma Valve Implants are valved implants which initially restrict the amount of fluid flowing out of the eye. The long term success rates of Baerveldt Implants surpass those of Ahmed Valve Implants because of post-surgical issues; but Baerveldt Implants' initial effectiveness is poor without proper flow restriction. This drives the need to develop new ways to improve the initial effectiveness of Baerveldt Implants. A possible solution proposed by our research team is to place an insert in the Baerveldt Implant tube of inner diameter 305 microns. The insert must be designed to provide flow resistance for the early time frame [e.g., first 30 -- 60 post-operative days] until sufficient scar tissue has formed on the implant. After that initial stage with the insert, the scar tissue will provide the necessary flow resistance to maintain the IOP above 5 mm Hg. The main objective of this project was to develop and validate an experimental apparatus to measure pressure drop across a Baerveldt Implant tube, with and without inserts. This setup will be used in the

  17. Long-term success of Ahmed glaucoma valve in refractory glaucoma%Ahmed青光眼阀治疗难治性青光眼的长期疗效

    Institute of Scientific and Technical Information of China (English)

    Mahmut Kaya; Zeynep Ozbek; Aylin Yaman; Ismet Durak

    2012-01-01

    目的:评估Ahmed青光眼阀(Ahmed glaucoma valve,AGV)植入治疗难治性青光眼的长期疗效及并发症.方法:回顾性分析13例13眼接受Ahmed青光眼阀植入,最短随访18mo的难治性青光眼患者.所有患者均在术前及术后1,3,6mo,1a及1a以后行全面的眼科检查,眼压测量,记录并发症及抗青光眼的药物需求.结果:患者平均年龄27.3±16.0岁.所有患眼(100%)接受至少一次前置小切口手术.平均随访61.3±30.8mo.在少量药物的作用下,12mo时眼压由35.0±7.0mmHg降至18.2±7.9mmHg,96mo时降至17.0±4.1mmHg,76.9%患者需其他辅助治疗以达到预期的成功疗效.最常见的并发症包括包裹性囊肿8眼(61.5%),置管脱出4眼(30.8%).结论:包裹性囊肿是最常见的并发症,阻碍了Ahmed青光眼阀植入治疗难治性青光眼.虽然囊肿被抗纤维化药物切除,但没有抗青光眼药物的治疗,眼压仍旧不能很好控制.%AIM: To evaluate the long-term results and complications of Ahmed glaucoma valve (AGV) implantation in refractory glaucoma.glaucoma who underwent AGV implantation and had a minimum follow-up of 18 months was performed. All patients underwent a complete ophthalmologic examination and intraocular pressure(IOP) measurement before surgery and at 1 month, 3 months, 6 months, 1 year after surgery and yearly afterwards. Complications and the number of antiglaucoma medications needed were recorded. incisional surgery. Mean follow-up was 61.3±30.8 months. IOP was reduced from a mean of 35.0±7.0mmHg to 18.2±7.9mmHg at 12 months and to 17.0±4.1mmHg at 96 months (P<0.05) with a lower number of medications from baseline, 76.9% patients required additional procedures to achieve the success criteria set by previously published series. The most common complications were encapculated cyst formation in eight eyes (61.5%) and tube exposure in four eyes (30.8%). hindered succesful IOP control after AGV implant insertion for refractory glaucoma. Despite cyst

  18. 圆管内插入螺旋片状多孔介质的换热性能及场协同分析%Heat Transfer Performance for Tube Inserted With Helical Screw-Tape Porous Media and Its Field Synergy Analysis

    Institute of Scientific and Technical Information of China (English)

    张晓屿; 刘志春; 刘伟

    2011-01-01

    The present study introduced a tube inserted with helical screw-tape porous media which can make the fully developed laminar flow in the tube to form an equivalent thermal boundary layer, and thereby enhance the heat transfer between the fluid and the tube wall. At the same time, the increase of flow resistance in the tube is not so obvious. The overall flow and heat transfer performance for the fully developed laminar water flow in a tube inserted with helical screw-tape porous media was investigated numerically. The comparisons between helical screw-tape porous media and ring porous media and cylindrical porous media were made. And its mechanisms of enhancing heat transfer were also analyzed using the principle of field synergy. The results shows that the tube inserted with the helical screw-tape porous media can improve the flow and heat transfer performance effectively, the value of PEC varied between 3.60 and 3.95.%采用数值计算的方法,以水为流动介质,研究了圆管内插入螺旋片状多孔介质在充分发展的层流区的换热及流动综合性能,并与环状和圆柱状多孔介质插入物进行了对比,此外,利用场物理量协同原理对计算结果进行了分析。结果表明,在圆管内插入螺旋片状多孔介质可以有效提高换热与流动的综合性能,其PEC达到3.60—3.95.

  19. Enteral Tube Feeding and Pneumonia

    Science.gov (United States)

    Gray, David Sheridan; Kimmel, David

    2006-01-01

    To determine the effects of enteral tube feeding on the incidence of pneumonia, we performed a retrospective review of all clients at our institution who had gastrostomy or jejunostomy tubes placed over a 10-year period. Ninety-three subjects had a history of pneumonia before feeding tube insertion. Eighty had gastrostomy and 13, jejunostomy…

  20. The Ahmed shunt versus the Baerveldt shunt for refractory glaucoma: a meta-analysis

    OpenAIRE

    Wang, Shiming; Gao, Xiaoming; Qian, Nana

    2016-01-01

    Background The purpose of this study was to compare the efficacy and tolerability of the Ahmed glaucoma valve (AGV) implant and the Baerveldt implant for the treatment of refractory glaucoma. Methods We comprehensively searched four databases, including PubMed, EMBASE, Web of Science, and the Cochrane Library databases, selecting the relevant studies. The continuous variables, namely, intraocular pressure reduction (IOPR) and a reduction in glaucoma medication, were pooled by the weighted mea...

  1. Zakajev: Tšetšeenia on Euroopa, mitte Vene siseasi / Ahmed Zakajev ; interv. Kadri Liik

    Index Scriptorium Estoniae

    Zakajev, Ahmed

    2003-01-01

    Tšetšeenia presidendi Aslan Mashadovi esindaja Ahmed Zakajev vastab küsimustele, mis puudutavad tema kohtuasja, Vene-Tšetšeenia konflikti, tshetsheenide tungimist Dagestani 1999. aastal. Tema hinnangul saab püsiva rahu tuua vaid Tšetšeenia kuulutamine rahvusvaheliseks protektoraadiks. Vt. samas: Analüütik: aitaks rahvusvaheline sekkumine. Tšetšeenia sõdade kronoloogia

  2. Clinical outcomes of trabeculectomy vs. Ahmed glaucoma valve implantation in patients with penetrating keratoplasty : (Trabeculectomy vs. Ahmed galucoma valve in patients with penetrating keratoplasty).

    Science.gov (United States)

    Akdemir, Mehmet Orcun; Acar, Banu Torun; Kokturk, Furuzan; Acar, Suphi

    2016-08-01

    The aim of this study was to compare the visual outcomes, intraocular pressure (IOP), and endothelial cell loss caused by trabeculectomy (TRAB) and Ahmed glaucoma valve (AGV) implantation in patients who had previously undergone penetrating keratoplasty (PKP). The data from all patients who underwent surgical treatment of glaucoma after PKP were reviewed at the Cornea Department of Haydarpasa Numune Education and Research Hospital. Eighteen patients who had undergone surgical treatment of glaucoma after PKP were included in this retrospective study. Time between PKP and glaucoma surgeries, visual acuity results, IOP results, endothelial cell counts (ECC) before the surgery, at 1st, 6th, and 12th month of surgery were recorded. Differences between two groups were evaluated. Mean loss of ECC was 315 cells/mm(2) in the AGV group and 197 cells/mm(2) in TRAB group at 12th month of glaucoma surgery. The difference between endothelial cell loss at 12th month of surgery was statistically significant and higher in AGV group (p < 0.001). The decrease in IOP was 64.2 % in AGV group and 46.9 % in TRAB group at 12th month of surgery. Both differences were statistically significant between 2 groups (p = 0.001, 0.001). TRAB successfully decreased both the IOP and endothelial cell loss in patients with post-PKP glaucoma. Ahmed glaucoma valve had a significantly better IOP lowering but higher endothelial cell loss effect. PMID:26646776

  3. Computational analysis of flow field around Ahmed car model passing underneath a flyover

    Science.gov (United States)

    Musa, Md Nor; Osman, Kahar; Hamat, Ab Malik A.

    2012-06-01

    A flow structure around a ground vehicle has been studied by many researchers using numerous methods, either computational or experimental. However, no analysis of flow field generated by a car passing under a flyover has been carried out. One of the famous simplified models of a car is the Ahmed body that has been established to investigate the influence of the flow structure on the drag. In this paper, we investigate a flow field around Ahmed body of a single cruising condition as the vehicle passes under a flyover, using a computational method with RANS equation. The main objective of this paper is to evaluate the turbulence kinetic energy and velocity magnitude developed within the wall boundary created by the flyover, to the air flow field that is generated by the Ahmed reference car. It was observed that the simulated airflow passes the vehicle was bounded by the wall of the flyover and consequently changes the pattern of the flow field. Understanding the characteristic of this flow field under a flyover is essential if one wants to maximize the recovery of the dissipated energy which, for example, can be used to power a small vertical-axis wind turbine to produce and store electrical energy for lighting under the flyover.

  4. Application of 5-Fluorouracil-Polycaprolactone Sustained-Release Film in Ahmed Glaucoma Valve Implantation Inhibits Postoperative Bleb Scarring in Rabbit Eyes

    OpenAIRE

    Xiu-Zeng Bi; Wei-Hua Pan; Xin-Ping Yu; Zong-Ming Song; Zeng-Jin Ren; Min Sun; Cong-Hui Li; Kai-Hui Nan

    2015-01-01

    This study was designed to investigate whether 5-fluorouracil (5-Fu)-polycaprolactone sustained-release film in Ahmed glaucoma valve implantation inhibits postoperative bleb scarring in rabbit eyes. Eighteen New Zealand white rabbits were randomly divided into three groups (A, B and C; n = 6 per group). Group A received combined 5-Fu-polycaprolactone sustained-release film application and Ahmed glaucoma valve implantation, group B received local infiltration of 5-Fu and Ahmed glaucoma valve i...

  5. A Turkish Philosopher Between the East and the West: On Ahmed Midhat Efendi’s Life and Scientific/Philosophical Thoughts

    OpenAIRE

    Doğan, Cem

    2013-01-01

    As an intelletual, Ahmed Midhat represents an important breaking point from the Ottoman intelligentsia. Forasmuch, Ahmed Midhat Efendi managed to overcome the question of “how can be this empire led to the salvation?”. It was a contemplated question since Tanzimat Era. Midhat, as the very first intellectual who perceived the Western philosophy and its scienticif and philosophical problems, had a colorful and unsteady frame of mind. In this article, Ahmed Midhat Efendi’s thoughts, journalism, ...

  6. Turbine nozzle stage having thermocouple guide tube

    Science.gov (United States)

    Schotsch, Margaret Jones; Kirkpatrick, Francis Lawrence; Lapine, Eric Michael

    2002-01-01

    A guide tube is fixed adjacent opposite ends in outer and inner covers of a nozzle stage segment. The guide tube is serpentine in shape between the outer and inner covers and extends through a nozzle vane. An insert is disposed in the nozzle vane and has apertures to accommodate serpentine portions of the guide tube. Cooling steam is also supplied through chambers of the insert on opposite sides of a central insert chamber containing the guide tube. The opposite ends of the guide tube are fixed to sleeves, in turn fixed to the outer and inner covers.

  7. Numerical Simulation of Pressure Drop and Flow Filed in the Heat Exchanger Tube Inserted Self-rotating Straight-tooth Twisted Tape%内插自旋直齿扭带换热管压降及流场数值模拟

    Institute of Scientific and Technical Information of China (English)

    刘宜仔; 林清宇; 冯振飞; 欧向波; 刘晓林

    2014-01-01

    In order to visually describe the characteristics of pressure drop and flow filed self-ro-tating straight-tooth twisted tape inserted in heat exchanger tube,the computer model for the in-ner basin of heat exchanger tube was established,in which self-rotating straight-tooth twisted tape is inserted with water as the medium,and numerical simulation was taken to study the char-acteristics of pressure drop and flow filed in tube by using RNG k~εturbulence model.The re-sults of numerical simulation indicated that the pressure dropΔp of the tube with twisted tape in-to a parabola relationship with the flow velocity u,the faster of the flow velocity,the larger of the pressure drop,and it was greater than that of smooth tube.The fluid was a rule of three-di-mensional spiral flow in the tube with twisted tape,making the fluid form a secondary vortex flow.The twisted tape with straight serration structure enhanced the turbulence of fluid.In the region near tube wall,the flow axial velocity of the tube with twisted tape was averagely in-creased more in the range of 33.05% ~ 35.17% than that of smooth tube.%为了直观地描述内插自旋直齿扭带管内压降及流场的特性,建立了以水为介质的内插自旋直齿扭带换热管内流场的计算模型,采用RNG k~ε湍流模型对管内压降及流场的特性进行数值模拟研究。计算结果表明,扭带管的压降Δp与流体的流速u成抛物线关系,压降随着流速的增大而增大,并且大于空管的压降;扭带管的流体呈有规律的三维螺旋状流动,且存在二次流,扭带的直齿结构增强了流体的湍流程度;在近管壁区域,扭带管的流体轴向速度比空管平均提高幅度在33.05%~35.17%。

  8. Application of Ahmed glaucoma valve implantation with sodium hyaluronate on NVG%Ahmed 青光眼阀植入术中联合应用透明质酸钠治疗 NVG

    Institute of Scientific and Technical Information of China (English)

    陈金桃; 叶正辉; 徐志伟

    2014-01-01

    operation at 1mo, comparing the complications such as postoperative intraocular pressure ( IOP ) , the changes of best corrected visual acuity (BCVA), the hemorrhage of shallow anterior chamber, hyphema and choroidal detachment, etc.IOP before and after operation between the two groups was examined by independent sample test (non-normal distribution), the complications were compared by χ2 text. RESULTS:Postoperative follow-up time was 1mo.IOP in research group was declined from 42.8 ±5.56mmHg preoperatively to 17.7 ±3.77mmHg, IOP in control group was declined from 42.5±5.36mmHg preoperatively to 18.6± 5. 39mmHg. Postoperative complications: shallow anterior chamber occurred in 2 patients ( 2 eyes ) in research group and 4 patients (4 eyes) in control group. Hyphema occurred in 1 patient (1 eye) in research group and in 5 patients (5 eyes) in control group.Poor location of the anterior chamber silicone tube occurred in 1 patient in research group. CONCLUSION: Sodium hyaluronate combined with Ahmed glaucom avalve can effectively reduce IOP in patients with NVG and decrease the postoperative hyphema, which will lead to short-term increasing IOP in patients after operation, but had no significant effect in the long run.

  9. 两种润滑剂在鼻咽通气管置管中的应用%Application of two kinds of lubricant in inserting nasopharyngeal endotracheal tube

    Institute of Scientific and Technical Information of China (English)

    沈春花; 温济金

    2015-01-01

    Objective To investigate the effect of lidocaine hydrochloride mucilage and paraffin oil in inserting nasopharyngeal endotracheal tube as a lubricant .Methods 92 patients who need nasopharyngeal airway placements after extubation in postoperative anesthesia care unit ( PACU ) were included in this study and were randomly divided into 2 groups,46 cases in lidocaine hydrochloride mucilage group (group L) and 46 cases in paraffin oil group ( group P ) .Nasopharyngeal airway was lubricated with lidocaine hydrochloride mucilage before placement in group L and with paraffin oilin group P .We compared catheter placement success rate , injury rate of nasal mucosa , and the time required for a successful placement between two groups .And we also compared pulse oxygen saturation(SpO2), heart rate(HR), blood pressure and comfort level at different time points (before the incubation ,5 minute and 10 minute after the incubation ) between two groups .Results There were no significant differences in terms of intubation success rate , mucosal injury rate, placement comparison time ,the HR values, the value of SpO2 and the value of blood pressure at the study time points .The comfort level of group L was higher than of group P (P<0.05).Conclusions Compared to paraffin oil, lidocaine hydrochloride mucilage can increase the comfort level of patients incubated with nasopharyngeal airway .%目的:比较利多卡因胶浆和石蜡油作为润滑剂在鼻咽通气管置管中的效果。方法将92例麻醉恢复室术后气管导管拔管后放置鼻咽通气管的老年肿瘤患者,随机分为利多卡因胶浆组(L组)和石蜡油组( P组)各46例。 L组采用利多卡因胶浆和P组以石蜡油作为润滑剂在放置鼻咽通气管前均匀涂抹整条鼻咽通气管表面。比较两组患者置管成功率和所需时间、鼻腔黏膜损伤率,对比两组患者在鼻咽通气管置管前后不同时点的脉搏血氧饱和度( SpO2)、血压( Bp

  10. Reconciling different legal spheres in theory and practice: pluralism and constitutionalism in the cases of Al Jedda, Ahmed and Nada

    NARCIS (Netherlands)

    C. Eckes; S. Hollenberg

    2013-01-01

    A detailed analysis of four judicial responses to extreme pluri-contextual settings, the House of Lords’ and the European Court of Human Rights (ECtHR)’s rulings in Al-Jedda, the UK Supreme Court’s judgment in Ahmed, and the ECtHR’s recent ruling in Nada, demonstrates that all three courts relied on

  11. Ahmed Zakajev: Litvinenko tapeti, sest ta abistas omakasupüüdmatult tšetšeene / Tõnis Erilaid

    Index Scriptorium Estoniae

    Erilaid, Tõnis, 1943-

    2007-01-01

    Vene ajalehes Kommersant ilmus intervjuu endise Itškeeria ministri Ahmed Zakajeviga, kes ei kahtle, et Aleksandr Litvinenko tapmisega on seotud Andrei Lugovoi. Suurbritannia politsei tegutseb täie tõsidusega, et sundida Venemaad Andrei Lugovoid välja andma

  12. Experimental and theoretical analysis of vortex breakdown in the wake of the 25∘ Ahmed body

    Science.gov (United States)

    Jermann, Cyril; Meliga, Philippe; Pujals, Gregory; Gallaire, Francois; Serre, Eric

    2014-11-01

    We study experimentally and theoretically the wake of the 25circ; Ahmed body, considered a suitable test-case to reproduce the two counter-rotating longitudinal vortices widely encountered in automotive aerodynamics. The three-dimensional experimental mean flow is reconstructed at high Reynolds number (Re = 2 . 8 ×106) from a series of cross-flow time-averaged planes acquired with a moving automated Stereo-PIV system. We observe a sharp decay of the axial velocity and vorticity in the near-wake, 0 . 5 times the projected length of the slanted surface downstream the square back, where the streamwise vortices is subjected to a strong adverse pressure gradient and the turbulent kinetic energy exhibits a peak in the vortex core. A stability analysis of the experimental velocity shows that the flow undergoes vortex breakdown roughly at the same position, through a transition from supercritical (x 0 . 5) conditions and the accumulation of upstream propagating axisymmetric waves.

  13. Consumer Perceptions of Brand Trust Online of Clothing in Karachi: A case study of Gul Ahmed

    Directory of Open Access Journals (Sweden)

    Amna Javed

    2014-03-01

    Full Text Available Online purchase, in the clothing industry of Pakistan, is on a historical high. There are various factors that affect the brand trust of online consumers. This research is aimed to find the correlation between security and privacy of personal information, name of the brand, word-of-mouth, prior online experience and information quality on the one hand and the online brand trust of consumers on the other. The study is conducted in relation to a single brand, named Gul Ahmed. The sample for this study contained 387 respondents. The results of the study show that all these factors have a significant relationship with online brand trust. Word of mouth however, has been found to have the strongest correlation with the online brand trust.

  14. High-order large-eddy simulation of flow over the ``Ahmed body'' car model

    Science.gov (United States)

    Minguez, M.; Pasquetti, R.; Serre, E.

    2008-09-01

    The structure of the turbulent flow over a simplified automotive model, the Ahmed body (S. R. Ahmed and G. Ramm, SAE Paper No. 8403001, 1984) with a 25° slanted back face, is investigated using high-order large-eddy simulations (LESs) at Reynolds number Re =768000. The numerical approach is carried out with a multidomain spectral Chebyshev-Fourier solver and the bluff body is modeled with a pseudopenalization method. The LES capability is implemented thanks to a spectral vanishing viscosity (SVV) technique, with particular attention to the near wall region. Such a SVV-LES approach is extended for the first time to an industrial three-dimensional turbulent flow over a complex geometry. In order to better understand the interactions between flow separations and the dynamic behavior of the released vortex wake, a detailed analysis of the flow structures is provided. The topology of the flow is well captured showing a partial separation of the boundary layer over the slanted face and the occurrence of two strong contrarotating trailing vortices expanding farther in the wake. The interactions of these large vortices with smaller structures reminiscent of horseshoe vortices, within the shear layer over the slanted face, form large helical structures providing strong unsteady phenomena in the wake. Mean velocity fields and turbulence statistics show a global agreement with the reference experiments of Lienhart et al. (DGLR Fach Symposium der AG SRAB, Stuttgart University, 15-17 November 2000). In order to provide a deeper insight into the nature of turbulence, the flow is analyzed using power spectra and the invariant theory of turbulence of Lumley [Adv. Appl. Mech. 18, 123 (1978)].

  15. Nasogastric tube syndrome induced by an indwelling long intestinal tube.

    Science.gov (United States)

    Sano, Naoki; Yamamoto, Masayoshi; Nagai, Kentaro; Yamada, Keiichi; Ohkohchi, Nobuhiro

    2016-04-21

    The nasogastric tube (NGT) has become a frequently used device to alleviate gastrointestinal symptoms. Nasogastric tube syndrome (NTS) is an uncommon but potentially life-threatening complication of an indwelling NGT. NTS is characterized by acute upper airway obstruction due to bilateral vocal cord paralysis. We report a case of a 76-year-old man with NTS, induced by an indwelling long intestinal tube. He was admitted to our hospital for treatment of sigmoid colon cancer. He underwent sigmoidectomy to release a bowel obstruction, and had a long intestinal tube inserted to decompress the intestinal tract. He presented acute dyspnea following prolonged intestinal intubation, and bronchoscopy showed bilateral vocal cord paralysis. The NGT was removed immediately, and tracheotomy was performed. The patient was finally discharged in a fully recovered state. NTS be considered in patients complaining of acute upper airway obstruction, not only with a NGT inserted but also with a long intestinal tube. PMID:27099450

  16. Nasogastric tube syndrome induced by an indwelling long intestinal tube.

    Science.gov (United States)

    Sano, Naoki; Yamamoto, Masayoshi; Nagai, Kentaro; Yamada, Keiichi; Ohkohchi, Nobuhiro

    2016-04-21

    The nasogastric tube (NGT) has become a frequently used device to alleviate gastrointestinal symptoms. Nasogastric tube syndrome (NTS) is an uncommon but potentially life-threatening complication of an indwelling NGT. NTS is characterized by acute upper airway obstruction due to bilateral vocal cord paralysis. We report a case of a 76-year-old man with NTS, induced by an indwelling long intestinal tube. He was admitted to our hospital for treatment of sigmoid colon cancer. He underwent sigmoidectomy to release a bowel obstruction, and had a long intestinal tube inserted to decompress the intestinal tract. He presented acute dyspnea following prolonged intestinal intubation, and bronchoscopy showed bilateral vocal cord paralysis. The NGT was removed immediately, and tracheotomy was performed. The patient was finally discharged in a fully recovered state. NTS be considered in patients complaining of acute upper airway obstruction, not only with a NGT inserted but also with a long intestinal tube.

  17. 管内插入扭带及螺旋线圈的传热与阻力特性实验研究%Experimental Study of the Heat Transfer and Resistance Characteristics of a Tube Internally Inserted by a Twisted Tape and a Spiral Coil

    Institute of Scientific and Technical Information of China (English)

    韩继广; 吴新; 周翼; 詹岳

    2012-01-01

    Experimentally studied were the heat transfer and resistance characteristics of a tube internally inserted by a twisted tape and a spiral coil with air serving as the working medium. In the scope of turbulent flow, i. e. 3000 < Re < 22000, test data were obtained by using a tube internally inserted with a twisted tape of five kinds of structural parameters, spiral coil(p =20 mm,e =2 mm) and a combination of a twisted tape( Y = 4.76 -9.52,X=0. 714 -0. 952) and a spiral coil(p =20 mm,e = 2 mm). It has been found that to internally insert a twisted tape can increase Nusselt Number by 32% -56% and/by 157% -208% and to internally insert a spiral coil can increase Nusselt Number by 70% -88% and/by 705% -808% while to internally insert a combination of a twisted tape and a spiral coil can increase Nusselt Number by 117% - 133% and/by 859% -893% .indicating that the internally inserted object can obviously increase the in-tube heat exchange coefficient of air and in the meantime, however, it brings about an increase of the resistance to the flow inside. Through a multivariable linear regressions statistical correlation formula for Nu and f of a tube with a twisted tape was formulated through a fitting,offering a theoretical basis for design and modification of a heat exchanger.%实验研究了以空气为工质的管内插入扭带与螺旋线圈的传热与阻力特性,在3000<Re<22000湍流范围内获得了管内插入5种不同结构参数的扭带(Y =4.76~9.52,X=0.714 ~0.952)、一种螺旋线圈(p=20 mm,e=2 mm)以及扭带(Y=4.76,X=0.714)与螺旋线圈(p =20 mm,e =2 mm)复合的实验数据.研究表明,在管内采用插入式扭带,可使Nu提高32% ~56%,f提高157% ~ 208%,在管内插入螺旋线圈,Nu提高70%~88%,f提高705%~ 808%,而在管内插入两者复合结构,Nu提高117%~133%,f提高859%~893%,即管内插入物可显著提高空气的管内换热系数,但同时也带来流动阻力的增大,通过多元线

  18. A NEW SIHHAT-NÂME THE SEHDÎ’S SIHHAT-NÂME FOR SULTAN AHMED III / YENI BIR SIHHÂT-NÂME SEHDÎ’NIN SULTAN III. AHMED SIHHAT-NÂME’SI

    Directory of Open Access Journals (Sweden)

    Dr. Bahir SELÇUK

    2008-05-01

    Full Text Available The Divan poets on various occcasions presented poemsprimarly to sultans and notable statesmen of the period. Onekind of these poems is the sıhhat-nâme written poems for therecovery of sultans of a disease. In our classical kind ofpoems the sıhhat-nâme was mostly written for III. SultanAhmed. One of the sıhhat-nâmes written for Sultan Ahmed isavailable in the collected poems of Sehdi who is from Antakya.In this study, the poet of 18th century, the sıhhatnâmeof Sehdî, has been studied in terms of content and formby translating it into new Turkish alphabet.

  19. Feasibility of supreme laryngeal mask airway in patients required insertion of nasogastric tube before laparoscopic surgery%Supreme双管喉罩用于术前置入鼻胃管的腹腔镜手术患者气道管理的可行性

    Institute of Scientific and Technical Information of China (English)

    汤洁; 张锦

    2012-01-01

    Objective To assess the feasibility of supreme laryngeal mask airway in patients required insertion of nasogastric tube before laparoscopic surgery. Methods Sixty ASA Ⅰ ~ Ⅱ patients( 24 ~62 year old,52 ~75 kg ) scheduled for elective laparoscopic surgery were randomly divided into 2 groups: group I ( n = 29 )and group Ⅱ ( n = 31 ). In group I ,the nasogastric tube was inserted through the drain tube of supreme LMA. In group Ⅱ ,the nasogastric tube was inserted before operation. The fiberoptic laryngoscopy scores were assessed. The LMA placement time,success rate of LMA placement at the first attempt, airway sealing pressure were recorded. PETCO2 and peak airway pressure ( Ppeak )were monitored during operation. The problems after removal of the LMA were observed,and the adverse reactions after operation were recorded. Results There was no significant difference in the LMA placement time, success rate of LMA placement at the first attempt, airway sealing pressure, fiberoptic laryngoscopy scores, problems after removal of the LMA and adverse reactions between the two groups ( P >0. 05 ). Conclusion Supreme LMA can be used safely and effectively for the patients required insertion of nasogastric tube before laparoscopic surgery.%目的 评价Supreme双管喉罩用于术前置入鼻胃管的腹腔镜手术患者气道管理的可行性.方法 择期全麻下拟行腹腔镜胆囊切除手术患者60例,ASA Ⅰ~Ⅱ级,年龄24~62岁,体重52~75 kg,Mallampati Ⅰ~Ⅱ级,将患者随机分为经Supreme喉罩引流管放置胃管组( I组,29例)和术前经鼻放置胃管组(Ⅱ组,31例).Ⅰ组放置胃管后经胃管引流胃内容物,Ⅱ组于术前经鼻放置胃管,麻醉诱导前充分吸引后再置入喉罩.喉罩置入成功后行纤维支气管镜检查评分.记录喉罩置入时间、首次置入成功率和气道密封压情况.记录置入喉罩后和气腹后气道峰压(Ppeak)和呼气末二氧化碳分压(PETCO2)的变化.拔除喉罩

  20. i-gel喉罩用于术前置入鼻胃管的腹腔镜手术患者气道管理的效果%Efficacy of laryngeal mask airway i-gel in patients required insertion of nasogastric tube before laparoscopic surgery

    Institute of Scientific and Technical Information of China (English)

    杨宁; 左明章; 石妤; 宋京海

    2011-01-01

    目的 评价i-gel喉罩用于术前置入鼻胃管的腹腔镜手术患者气道管理的效果.方法 择期全麻下拟行腹腔镜手术患者55例,性别不限,ASA分级Ⅰ~Ⅲ级,年龄26~64,体重54~73 kg,Mallampati分级Ⅰ~Ⅲ级,采用随机数字表法,将患者随机分为2组:经i-gel喉罩放置胃管组(Ⅰ组,n=28)和术前经鼻放置胃管组(Ⅱ组,n=27).Ⅰ组经i-gel喉罩的引流管放置胃管,并经胃管引流胃液及气体,Ⅱ组术前经鼻放置并术中保留胃管,麻醉诱导前充分吸引后,再置入喉罩.术中监测血液动力学指标、SpO2、PETCO2和气道峰压.置入成功后行纤维支气管镜检查评分,并观察胃管位移的发生情况;记录喉罩置入时间、首次置入成功情况、气道密封压、罩体周围漏气和胃管引流情况.拔除喉罩后观察罩体内是否有血液或返流物,记录术后24 h内咽部不良反应的发生情况.结果 两组术中血液动力学平稳,SpO2、气道峰压均在正常范围,气道峰压低于喉罩密封压,组间比较差异无统计学意义(P>0.05);两组喉罩置入时间、首次置入成功率、胃管引流率、气道密封压、罩体漏气发生率、口咽部解剖结构显露评分、咽部不良反应发生率、罩体内带血和有返流物的发生率比较差异均无统计学意义(P>0.05),Ⅱ组胃管均未发生位移.结论 对于术前置入鼻胃管的腹腔镜手术患者,i-gel喉罩易于置入,气道密封性可靠,通气效果好,不影响胃管引流,可安全有效地用于该类患者的气道管理.%Objective To assess the efficacy of laryngeal mask airway (LMA) i-gel in patients required insertion of nasogastric tube before laparoscopic surgery. Methods Fifty-five ASA Ⅰ - Ⅲ patients ( Mallampati Ⅰ -Ⅲ ), aged 26-64 yr, weighing 54-73 kg, scheduled for elective laparoscopic surgery were randomly divided into 2 groups: group Ⅰ ( n= 28) and group Ⅱ ( n = 27). The size of i-gel LMA was chosen based on

  1. 21 CFR 888.4230 - Cement ventilation tube.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Cement ventilation tube. 888.4230 Section 888.4230...) MEDICAL DEVICES ORTHOPEDIC DEVICES Surgical Devices § 888.4230 Cement ventilation tube. (a) Identification. A cement ventilation tube is a tube-like device usually made of plastic intended to be inserted...

  2. 高黏介质中内插扭带对换热管换热性能影响%Influences of an inserted twisted tape on the heat transfer performances of a tube with high viscous medium

    Institute of Scientific and Technical Information of China (English)

    胡斐; 陆晓峰; 朱晓磊

    2015-01-01

    某石化公司炼油厂第二套常减压装置中换热器的热交换介质为高黏度的原油及其附属产品,在对流换热过程中传热系数低,动能消耗大.针对这一现状,本文设计了一种换热管内插间歇半扭带,利用计算流体力学软件 Fluent 对内插间歇半扭带换热管在实际工况下的换热过程进行数值模拟,与光滑管、内插连续扭带换热管进行了对比,并给出了间歇半扭带传热元件的优化设计参数.结果表明:内插间歇半扭带大幅提高了换热管内流体的努塞尔数Nu,同时也使换热管内摩擦阻力系数f增大;间歇半扭带换热管的换热效率η比内插连续扭带换热管提高8%~12%;当间歇半扭带的扭曲率y为10、连接杆长度s为345mm时,换热效率η最高,达到2.06.研究结果为该常减压装置换热器强化传热的研究提供了理论依据.%The high viscosity of the heat transfer medium in the crude oil distillation unit in oil refinery process will normally lead to low heat transfer efficiency and high kinetic energy consumption. To solve the problem,this research designed a segmented semi-twisted tape to conduct numerical simulation of the heat transfer process of the tube with a segmented semi-twisted tape under actual conditions,using FLUENT. The heat transfer parameters in plain tube and tube with a continuous twisted tape were compared. The simulation provided optimum design parameters of the segmented semi-twisted tape. The results showed that the segmented semi-twisted tape improved Nu(Nusselt number) of the fluid in a heat transfer tube as well asf(friction factor),and η(heat transfer efficiency) of the tube with a segmented semi-twisted tape was increased by 8%-12% compared the tube with a continuous twisted tape. The value of η reached the highest number of 2.06 wheny(twist ratio of the segmented semi-twisted tape)was 10 ands(length of the connection rod) was 345mm. The results provided a theoretical basis for the

  3. Toward automated cochlear implant insertion using tubular manipulators

    Science.gov (United States)

    Granna, Josephine; Rau, Thomas S.; Nguyen, Thien-Dang; Lenarz, Thomas; Majdani, Omid; Burgner-Kahrs, Jessica

    2016-03-01

    During manual cochlear implant electrode insertion the surgeon is at risk to damage the intracochlear fine-structure, as the electrode array is inserted through a small opening in the cochlea blindly with little force-feedback. This paper addresses a novel concept for cochlear electrode insertion using tubular manipulators to reduce risks of causing trauma during insertion and to automate the insertion process. We propose a tubular manipulator incorporated into the electrode array composed of an inner wire within a tube, both elastic and helically shaped. It is our vision to use this manipulator to actuate the initially straight electrode array during insertion into the cochlea by actuation of the wire and tube, i.e. translation and slight axial rotation. In this paper, we evaluate the geometry of the human cochlea in 22 patient datasets in order to derive design requirements for the manipulator. We propose an optimization algorithm to automatically determine the tube set parameters (curvature, torsion, diameter, length) for an ideal final position within the cochlea. To prove our concept, we demonstrate that insertion can be realized in a follow-the-leader fashion for 19 out of 22 cochleas. This is possible with only 4 different tube/wire sets.

  4. Analysis on the efficacy of Ahmed glaucoma valve implantation for refractory glaucoma%Ahmed 青光眼引流阀植入术治疗难治性青光眼效果分析

    Institute of Scientific and Technical Information of China (English)

    宋玫侠; 李上

    2016-01-01

    Objective To analyze the efficacy and safety of Ahmed glaucoma valve implantation for refractory glaucoma. Methods 38 patients (42 eyes)with refractory glaucoma were selected as research subjects.All of them accepted the Ahmed glaucoma valve implantation,The levels of intraocular pressure before and after treatment were compared.Postoperative complica-tions and clinical efficacy were recorded.Results Visual improvement rate was 90.5%,and the intraocular pressure decreased to (18.47 ±3.26)mm Hg.There were 12 (31.6%)cases of complete success and 22 (57.9%)cases of conditional success.There were 2 (5.3%)cases of intraoperative complication and 2 (5.3%)cases of postoperative complication.Conclusion Ahmed glaucoma valve implantation for refractory glaucoma is effective and safe,worthy of promotion.%目的:探讨 Ahmed 青光眼引流阀植入术治疗难治性青光眼的效果及安全性。方法选取2013年4月至2015年4月确诊的38例(42眼)难治性青光眼患者,均接受 Ahmed 青光眼引流阀植入术治疗,比较治疗前后眼压变化情况,观察术后并发症发生情况及临床疗效。结果38例患者术后视力良好率90.5%,眼压降至(18.47±3.26)mm Hg。完全成功12例,占31.6%;条件成功22例,占57.9%。术中并发症2例(5.3%),术后并发症2例(5.3%)。结论Ahmed引流阀植入术治疗难治性青光眼疗效确切,并发症少,值得推广。

  5. Drag reduction on the 25 slant angle Ahmed reference body using pulsed jets

    Energy Technology Data Exchange (ETDEWEB)

    Joseph, Pierric [CNAM, Institut AeroTechnique (IAT), Saint Cyr l' Ecole (France); Amandolese, Xavier [CNAM, Aerodynamics Department, Saint Cyr l' Ecole (France); Aider, Jean-Luc [UMR 7636, CNRS, ESPCI ParisTech, PMMH Laboratory, Paris (France)

    2012-05-15

    This paper highlights steady and unsteady measurements and flow control results obtained on an Ahmed model with slant angle of 25 in wind tunnel. On this high-drag configuration characterized by a large separation bubble along with energetic streamwise vortices, time-averaged and time-dependent results without control are first presented. The influence of rear-end periodic forcing on the drag coefficient is then investigated using electrically operated magnetic valves in an open-loop control scheme. Four distinct configurations of flow control have been tested: rectangular pulsed jets aligned with the spanwise direction or in winglets configuration on the roof end and rectangular jets or a large open slot at the top of the rear slant. For each configuration, the influence of the forcing parameters (non-dimensional frequency, injected momentum) on the drag coefficient has been studied, along with their impact on the static pressure on both the rear slant and vertical base of the model. Depending on the type and location of pulsed jets actuation, the maximum drag reduction is obtained for increasing injected momentum or well-defined optimal pulsation frequencies. (orig.)

  6. Incidence of nutritional anaemia among the under five children attending Ahmed Gasim hospital

    International Nuclear Information System (INIS)

    A survey was carried out in Khartoum North Ahmed Gasim specialist Hospital for children to identify aetiological factors that lead to incidence of nutritional anaemia among children under under five years of age. The sample consists of 192 patients taken from the hospital wards (experimental group), and 60 healthy children taken from out patient vaccination department of same hospital. A questionnaire was used as a tool for collection data regarding children and their families with emphasis to general information, socio-economic information, dietary information, anthropometric information, medical history and laboratory investigations including haemoglobin, hematocrit (PCV)%, peripheral blood picture, serum ferritin, serum folate and serum B12. Results show no correlation between anaemia and age R(0.1048) p12 deficiency. Some children affected had mixed deficiency anaemia (3.182). Iron deficiency without anaemia was common among healthy children (control) 22.8%. Some recommendations were set for the improvement of the existing situation e.g. health education, nutrition education with emphasis on intake of supplements and weaning diets rich in iron and folate. Follow up and surveillance program to compact nutritional anaemia should be adopted.(Author)

  7. [Suprapubic catheter insertion].

    Science.gov (United States)

    Neumann, Eva; Schwentner, Christian

    2016-01-01

    The suprapubic catheter enables a percutaneous drainage of urine. The insertion is made superior of the pubic bone through the abdominal wall into the bladder. It allows a permanent drainage of urine bypassing the urethra. The insertion of a suprapubic catheter requires knowledge and expertise. This paper summarizes the basic background and allows to follow the practical application step by step. PMID:26800072

  8. Tie rod insertion test

    CERN Multimedia

    B. LEVESY

    2002-01-01

    The superconducting coil is inserted in the outer vaccum tank and supported by a set of tie rods. These tie rods are made of titanium alloy. This test reproduce the final insertion of the tie rods inside the outer vacuum tank.

  9. Deadly pressure pneumothorax after withdrawal of misplaced feeding tube

    DEFF Research Database (Denmark)

    Andresen, Erik Nygaard; Frydland, Martin; Usinger, Lotte

    2016-01-01

    BACKGROUND: Many patients have a nasogastric feeding tube inserted during admission; however, misplacement is not uncommon. In this case report we present, to the best of our knowledge, the first documented fatality from pressure pneumothorax following nasogastric tube withdrawal. CASE PRESENTATION......: An 84-year-old Caucasian woman with dysphagia and at risk of aspiration underwent routine insertion of a nasogastric feeding tube; however, shortly after insertion she developed respiratory distress. A chest X-ray showed the tube had been misplaced into our patient's right lung. The tube was removed......, but our patient died less than an hour after withdrawal. The autopsy report stated that cause of death was tension pneumothorax, which developed following withdrawal of the misplaced feeding tube. CONCLUSIONS: The indications for insertion of nasogastric feeding tubes are many and the procedure...

  10. Pîr Ahmed Efendi, The Sheikh of Kalburcu, and Understanding of Alevîs in the Sample of Sofca

    Directory of Open Access Journals (Sweden)

    Rıfat Türkel

    2016-06-01

    Full Text Available Pir Ahmed Efendi is an important person who lived in Kütahya at XVI. century and arrived scholars from line of his family as Müfti Dervis, Sunullâh-ı Gaybi. Pir Ahmed Efendi who had been respected at his period, has been recalled to the present day by varied sections. However, he has been appropriated by Alevi’s from begining from second part of XX. century, up to the present. He is still honoured between Alevi’s at the state and in Sofca in which his grave is located in. Besides, there still is a household under his name and students in it. That’s why in this work we aimed to present Pir Ahmed Efendi, and to determine Alevi perception in Sofca. We gave some information first about Pir Ahmed Efendi’s life by using writing sources in order to make Alevi perception more clear in Sofca and Pir Ahmed household. Then, we have mentioned about understanding of Pir Ahmed Efendi in todays Sofca. Subsequently we tried to determine Alevi understanding of “Koculu Household” which is Alevi’s of Sofca are connected, Seyyid Kemal Sultan Household and the House that bear the name Pir Ahmed Efendi from the point of basic belief and worshipping. We compared it to the traditional Alevi understanding in places. To do all of these we used quantitative researches instead of qualitative researches. And for provision we made an interview to mentors of mentioned households and students in Eskisehir, Kutahya and Sofca.

  11. Efficacy of laryngeal mask airway Ⅰ-gel for airway management in patients requiring insertion of nasogastric tube before laparoscopic cholecystectomy%Ⅰ-gel喉罩用于术前置入鼻胃管的腹腔镜胆囊切除术患者气道管理的效果

    Institute of Scientific and Technical Information of China (English)

    石妤; 左明章; 杨宁; 连盟

    2014-01-01

    目的 评价Ⅰ-gel喉罩用于术前置入鼻胃管的腹腔镜胆囊切除术患者气道管理的效果.方法 择期全麻下拟行腹腔镜胆囊切除术患者60例,性别不限,ASA分级Ⅰ-Ⅲ级,年龄26 ~ 64岁,体重54 ~ 90 kg,Mallampati分级Ⅰ-Ⅲ级,采用随机数字表法,将其分为3组(n=20):Ⅰ组经Ⅰ-gel喉罩的引流管放置胃管,Ⅱ组术前经鼻放置胃管并术中保留,麻醉诱导前确定胃管位置,置入I-gel喉罩后不经引流管放置胃管,Ⅲ组术前经鼻放置胃管并术中保留,麻醉诱导前确定胃管位置,置入I-gel喉罩后经引流管放置胃管.术中监测血流动力学指标、SpO2、PETCO2和气道峰压(Ppeak).置入成功后行纤维支气管镜检查评分,并记录胃管位移的发生情况;记录喉罩置入时间、首次置入成功情况、置入刻.度、气道密封压、喉罩漏气和胃管引流情况.拔除喉罩后记录罩体内是否有血液或返流物,通过pH值试纸测定喉罩尖端及罩体的背侧和腹侧的pH值.记录术后24h内口咽部不良反应的发生情况.结果 3组术中血流动力学平稳,SpO2、Ppeak和PEr CO2均在正常范围,Ppeak低于气道密封压.3组喉罩置入时间、首次置入成功率、置入刻度、气道密封压、喉罩漏气发生率、纤维支气管镜检查评分、拔除喉罩时间、术后口咽部不良反应发生率、罩体内带血和有返流物的发生率,术后喉罩尖端及罩体背侧和腹侧的pH值比较差异无统计学意义(P>0.05),Ⅱ组和Ⅲ组经鼻胃管均未发生位移.Ⅱ组有7例患者经喉罩的引流管有黄色胃液流出,其中仅有2例患者经鼻放置的胃管有引流液.结论 对于术前置入鼻胃管的腹腔镜胆囊切除术患者,Ⅰ-gel喉罩易于置入,其气道密封性可靠,通气效果好.%Objective To evaluate the efficacy of laryngeal mask airway (LMA) Ⅰ-gel for airway management in the patients requiring insertion of nasogastric tube before laparoscopic

  12. Disorder of blood-aqueous barrier following Ahmed Glaucoma Valve implantation

    Institute of Scientific and Technical Information of China (English)

    ZHOU Min-wen; WANG Wei; CHEN Shi-da; HUANG Wen-bin; ZHANG Xiu-lan

    2013-01-01

    Background Ahmed Glaucoma Valve implantation (AGVI) is used to treat refractory glaucoma.Breakdown of the blood-aqueous barrier (BAB) has been noted after some surgical techniques.The current study was designed to assess BAB disruption after AGVI.Methods Anterior chamber protein content was measured by the laser flare cell photometry in 22 eyes of 22 patients with refractory glaucoma before AGVI and at each postoperative visit up to 1 month.Results Before AGVI the mean aqueous flare values in all eyes were (15.17±9.84) photon counts/ms.After AGVI,the values significantly increased at day 1,day 3,and week 1 compared to those before AGVI (all P <0.05) with a peak at day 3.They returned to pre-operative levels at week 2,and were lower than preoperative level at month 1.Eyes with previous intraocular surgery history had greater aqueous flare values than those without previous intraocular surgery history,but there were no significant differences at all time points postoperatively (all P >0.05).Furthermore,eyes with shallow anterior chambers had greater aqueous flare values at day 3 and week 1 (all P <0.05).When comparing eyes with other refractory glaucoma conditions,neovascular glaucoma combined with intravitreal bevacizumab injection resulted in lower aqueous flare values after AGVI,but no significant differences were observed at all time points,postoperatively (all P>0.05).Conclusions The BAB was impaired and inflammation was present in the anterior chamber in refractory glaucomatous eyes following AGVI.However,such conditions were resolved within 1 month postoperatively.Intravitreal bevacizumab treatment in neovascular glaucoma eyes before AGVI may prevent BAB breakdown.

  13. Outcomes of Ahmed valve surgery for refractory glaucoma in Dhahran, Saudi Arabia

    Institute of Scientific and Technical Information of China (English)

    Tariq; Alasbali; Abdullah; Ali; Alghamdi; Rajiv; Khandekar

    2015-01-01

    AIM: To evaluate the outcomes of Ahmed glaucoma valve(AGV) implantation surgery for refractory glaucoma.METHODS: This one-armed historical cohort study was conducted in 2011. Refractory glaucoma was defined as eyes with an intraocular pressure(IOP) greater than21 mm Hg with maximally tolerated glaucoma medications, failed surgeries, or both. For all eyes with refractory glaucoma that underwent AGV implantation,data were collected on IOP, the best corrected visual acuity(BCVA) and glaucoma medications preoperatively and 4, 6, 12, 24 and 56 wk postoperatively. Logarithm values of IOP were calculated and compared. RESULTS: The study group was comprised of 30patients(30 eyes, 16 males and 14 females) with refractory glaucoma. Mean preoperative IOP was 39.3 ±13.8 mm Hg. Postoperative mean IOP was 15.7±7.1 mm Hg,19.6 ±12.8 mm Hg and 13.9 ±14.2 mm Hg at 12, 24 and56 wk respectively. BCVA was ≥6/60 in 11 eyes preoperatively, and five eyes had BCVA ≥6/60 at 56 wk postoperatively. Preoperatively, more than four medications were used to treat glaucoma in 21 eyes. At12 wk postoperatively, no medications were required to control IOP in 20 eyes. At 56 wk postoperatively, at least one medication was required to control IOP in 10 eyes.Over the entire follow up period, four eyes were treated with yttrium aluminium garnet(YAG) laser and 14 eyes required a second surgery. The AGV was removed in four eyes.CONCLUSION: AGV implantation reduced IOP and the number of medications required to control refractory glaucoma. However, there was a higher risk of decreased vision. Long-term follow up and prompt intervention are recommended.

  14. Intravitreal bevacizumab and Ahmed glaucoma valve implantation in patients with neovascular glaucoma

    Institute of Scientific and Technical Information of China (English)

    Hai-Tao; Zhang; Yu-Xin; Yang; Ying-Ying; Xu; Rui-Min; Yang; Bao-Jun; Wang; Jun-Xi; Hu

    2014-01-01

    AIM:To explore the efficacy of preoperative intravitreal bevacizumab(IVB) injection combined with Ahmed glaucoma valve(AGV) implantation in the treatment of neovascular glaucoma(NVG).METHODS:This retrospective study included 35 eyes from 35 patients who underwent preoperative IVB and AGV implantation for treatment of NVG. Findings such as intraocular pressure(IOP) number of anti-glaucoma medications, visual acuity(VA), surgical success rates,and complications were recorded.RESULTS:AfterAGVimplantation,IOPwas18.2±4.0mmHg,15.5±3.3 mm Hg and 9.8±2.6 mm Hg at 6, 12 and 36 mo,significantly decreased compared with pre-IOP(P <0.01).The number of anti-glaucoma medications was 0.9 ±0.5,0.8 ±0.9 and 0.8 ±0.6 at 6, 12 and 36 mo, significantly decreased compared to pre-treatment(P <0.01). At last visit, there were 19 eyes with stable VA, 4 with VA improvement, 12 with diminished VA and 3 with complete loss light perception. There were 7 cases that failed during 3-year fellow up period. Cumulative probabilities of valve survival by Kaplan-Meier analysis were 82.9%,74.1% and 71.0% at 12, 24 and 36 mo, respectively. Cox stepwise regression analysis found that the survival time was significant associated with the pre-visual acuity <2/400(P <0.05). Post-operative complications occurred in 8eyes, of which hyphema presented in 2 eyes, choroidal effusion in 2 eyes.CONCLUSION:The procedure of preoperative IVB andAGV implantation should be one of treatments for NVG because of its safety and effectiveness.

  15. Fibreoptic Bronchoscope for Nasogastric Tube Placement

    Directory of Open Access Journals (Sweden)

    Bhandari Dhiraj

    2015-09-01

    Full Text Available A patient of stage III squamous cell carcinoma of mandible with hemi-mandibulectomy, modified radical neck dissection and radiotherapy required Ryle’s Tube (RT insertion for feeding. This case report describes use of fibreoptic bronchoscope to place an endotracheal tube in oesophagus through nasal route which was then used as a conduit to pass a RT into stomach.

  16. Consideraciones hidrogeoquímicas sobre el acuífero detrítico costero de Bou Ahmed (Marruecos)

    OpenAIRE

    El Attar, Aida; El Morabiti, Karim; Molina, Luis; Sánchez Martos, Francisco; El Kharim, Younes

    2009-01-01

    The salinity of the waters of the detritic aquifer of Bou Ahmed (Morocco) is very diverse. Based on their hydrogeochemistry, two types of water have been differentiated. The less saline group of waters (electrical conductivity less than 1.500 μS/cm) is directly related to the surface waters of the two rivers that feed the aquifer. The more saline group (1.000 μS/cm - 3.900 μS/cm) corresponds to sampling points along the valley sides. Their greater salinity is a consequence of the ...

  17. Comparing Leaf and Root Insertion

    Directory of Open Access Journals (Sweden)

    Jaco Geldenhuys

    2010-07-01

    Full Text Available We consider two ways of inserting a key into a binary search tree: leaf insertion which is the standard method, and root insertion which involves additional rotations. Although the respective cost of constructing leaf and root insertion binary search trees trees, in terms of comparisons, are the same in the average case, we show that in the worst case the construction of a root insertion binary search tree needs approximately 50% of the number of comparisons required by leaf insertion.

  18. Heat Transfer Enhancement by Using Different Types of Inserts

    OpenAIRE

    Tabatabaeikia, S.; Mohammed, H.A.; Nik-Ghazali, N.; Shahizare, B.

    2014-01-01

    Heat transfer enhancement has been always a significantly interesting topic in order to develop high efficient, low cost, light weight, and small heat exchangers. The energy cost and environmental issue are also encouraging researchers to achieve better performance than the existing designs. Two of the most effective ways to achieve higher heat transfer rate in heat exchangers are using different kinds of inserts and modifying the heat exchanger tubes. There are different kinds of inserts emp...

  19. The Composite Insertion Electrode

    DEFF Research Database (Denmark)

    Atlung, Sven; Zachau-Christiansen, Birgit; West, Keld;

    1984-01-01

    The specific energy obtainable by discharge of porous insertion electrodes is limited by electrolyte depletion in thepores. This can be overcome using a solid ion conductor as electrolyte. The term "composite" is used to distinguishthese electrodes from porous electrodes with liquid electrolyte. ...... conductivities, the thicknessof the electrode, the volume fractions, and the slope of the potential curve.......The specific energy obtainable by discharge of porous insertion electrodes is limited by electrolyte depletion in thepores. This can be overcome using a solid ion conductor as electrolyte. The term "composite" is used to distinguishthese electrodes from porous electrodes with liquid electrolyte....... The theoretical basis for such electrodes is discussedand, using a simplified model, equations are derived to describe the distribution of potential and current duringdischarge/charge operation. Under the assumption that the insertion compound particles are small enough to ensureequilibrium, and that the local...

  20. ALS insertion devices

    International Nuclear Information System (INIS)

    The Advanced Light Source (ALS), the first US third generation synchrotron radiation source, is currently under construction at the Lawrence Berkeley Laboratory. The low-emittance, 1.5 GeV electron storage ring and the insertion devices are specifically designed to produce high brightness beams in the UV to soft X-Ray range. The planned initial complement of insertion devices includes four 4.6 m long undulators, with period lengths of 3.9 cm, 5.0 cm (2) and 8.0 cm, and a 2.9 m long wiggler of 16 cm period length. Undulator design is well advanced and fabrication has begun on the 5.0 cm and 8.0 cm period length undulators. This paper discusses ALS insertion device requirements; general design philosophy; and design of the magnetic structure, support structure/drive systems, control system and vacuum system. 18 refs., 9 figs., 5 tabs

  1. Disc-Donut-Tube wear test report, Phase I

    International Nuclear Information System (INIS)

    The report describes a test program which simulated the wear-inducing conditions in the AI Prototype CRBR Steam Generator. This was accomplished by simulating the wear inducing loading and motion of a steam tube against ''disc-donut'' tube spacer plates. It was found that 2-1/4 Cr-1 Mo tubes, wearing against 2-1/4 Cr-l Mo tube spacer plates, seized and galled as deep as .017 inches. Inconel 718 tube spacer plates uniformly wore the tubes as deep as .012 in. Aluminum bronze inserts wore as deep as .003 inches into the tube

  2. Insertion in Persian

    Science.gov (United States)

    Kambuziya, Aliyeh Kord-e Zafaranlu; Dehghan, Masoud

    2011-01-01

    This paper investigates epenthesis process in Persian to catch some results in relating to vowel and consonant insertion in Persian lexicon. This survey has a close relationship to the description of epenthetic consonants and the conditions in which these consonants are used. Since no word in Persian may begin with a vowel, so that hiatus can't be…

  3. Inserting the CMS solenoid

    CERN Multimedia

    Maximilien Brice

    2005-01-01

    The huge superconducting solenoid for CMS is inserted into the cryostat barrel. CMS uses the world's largest thin solenoid, in terms of energy stored, and is 12 m long, with a diameter of 6 m and weighing 220 tonnes. When turned on the magnet will produce a field strength of 4 T using superconducting niobium-titanium material at 4.5 K.

  4. Pixel detector insertion

    CERN Multimedia

    CMS

    2015-01-01

    Insertion of the Pixel Tracker, the 66-million-channel device used to pinpoint the vertex of each colliding proton pair, located at the heart of the detector. The geometry of CMS is a cylinder lying on its side (22 meters long and 15 meters high in dia

  5. Safe and adequate placement of nasogastric tubes in the presence of a cuffed tracheostomy tube.

    Science.gov (United States)

    Parmar, A; Macleod, I; McDonald, S; Tierney, P

    2011-09-01

    This case report and review of the literature aims to highlight the importance of the use of a chest radiograph to check the placement of nasogastric tubes after insertion in an awake patient with an inflated cuffed tracheostomy tube regardless of an acidic pH test.

  6. [Nasogastric tubes: a lot of bother].

    Science.gov (United States)

    Tagliabue, Fabio; D'Angelo, Carlo; Zuccon, William; Giorgetta, Casimiro; Balduzzi, Valerio; Gambarini, Fabrizio; Bonandrini, Luigi

    2008-01-01

    The insertion of the nasogastric tube is one of the procedure that produces the most discomfort for the patients and practitioners. The AA, with the make use of their clinical experience and the data of the literature, report some personal reflections about the management of the nasogastric tube. The AA also analyse some variables (choice of the tube, approach to the patient, insertion of the tube, examination of the position, fixation and removal) that can influence on discomfort of the patient. The choice of the most right SNG is an important moment for the correct insertion; an effect we need to adjust the material and diameter of the tube to the prearranged use. The common practice demonstrates that the collaboration with the patient, obtained by "direct" and "indirect" strategies, gives more possibilities to immediately success of this procedure. The literature explains that it is possible to decrease the discomfort with topical anesthesia; still there are some points of view to clarify. From analyse of the different methods to check the position of SNG, the pH test of the aspirating fluid is the best solution. Once examination of right placement, we need to fix in different points (at least two). From personal experience the removal of SNG is better tolerate that the insertion because the patient is more conscious to be on the mend. The principal recommendation is to abstain from insertion of SNG if it is not closely necessary!

  7. Late-Onset Endophthalmitis Secondary to Exposed Glaucoma Tube Implant in a Rare Case of Paediatric Glaucoma

    Directory of Open Access Journals (Sweden)

    Akshatha Ranganath

    2011-01-01

    Full Text Available Glaucoma drainage implants (GDIs are used to treat paediatric glaucoma resistant to conventional medical and surgical treatment, achieving good intraocular pressure (IOP control and long-term success. Late endophthalmitis is a rare complication that may develop following GDI surgery. A 17-year-old male presented with acute endophthalmitis 2 years after Ahmed glaucoma valve implantation with pericardial patch graft for management of refractory glaucoma secondary to congenital ectropion uveae. The glaucoma tube was exposed due to erosion of the overlying conjunctiva with no visible pericardial graft. After control of active infection, he underwent tube revision surgery whereby the exposed tube was retained and repatched with a double-thickness pericardial patch graft. He did well following surgery with good control of IOP and restoration of vision. Conjunctival dehiscence with graft melting over the GDI tube presented a major risk factor for endophthalmitis. Prompt surgical revision of an exposed tube is highly recommended to avoid ocular morbidity.

  8. 飞秒化学的先驱者--记诺贝尔化学奖得主Ahmed H.Zewail教授%The Precursor of the Femtochemistry-Nobel Prize's Winner:Professor Ahmed H.Zewail

    Institute of Scientific and Technical Information of China (English)

    兰峥岗; 王鸿飞

    2000-01-01

    @@ 1999年10月12日,瑞典皇家科学院将今年的诺贝尔化学奖授予埃及和美国双重国籍的物理化学和化学物理学家Ahmed H.Zewail,以表彰他在利用飞秒激光脉冲研究化学反应方面的开拓性工作.各国科学家都认为这是一个众望所归的结果.在最近几年里,Zewail教授一直是诺贝尔化学奖呼声很高的候选人,并得到多次提名.

  9. SVC obstruction and stridor relieved by nasogastric tube insertion.

    Science.gov (United States)

    Molena, Emma J; Krishnamoorthy, Ashwin; Praveen, Coimbatore

    2016-03-01

    Achalasia is an idiopathic motility disorder of the oesophagus of increasing incidence. It is characterized by aperistalsis of the lower oesophagus and failure of relaxation of the lower oesophageal sphincter. Patients classically present with chronic symptoms of dysphagia, chest pain, weight loss and regurgitation, and they commonly suffer pulmonary complications such as recurrent microaspiration of static, retained food contents of the upper oesophagus. However, it has also been described, uncommonly, to present with megaoesophagus and secondary tracheal compression. We present a case of megaoesophagus secondary to achalasia which presented with stridor and signs of acute superior vena caval obstruction.

  10. 两种润滑剂对中青年男性患者导尿舒适度的影响%Influence of two different lubricant on degree of comfort among young and middle-aged by inserting catheter drainage tube

    Institute of Scientific and Technical Information of China (English)

    陈志娜; 谭清华; 黄天雯; 曾丽雯; 吕洁梅; 何瑾云; 唐雪莉

    2009-01-01

    Objective To study the influence of two different lubricant on degree of comfort among young and middle-aged by inserting catheter drainage tube,in order to decrease iatrogenic damage and urinary tract infections.Methods A total of 220 young and middle-aged received catheter drainage tube were divided into iodophor lubrication group(observation group)and paraffin oil lubrication group(control group),110 cases respectively.Blood pressure(BP),heart rate(HR),feelings and first time urine testing after indwelling catheter were recorded.Results The incidence of microscopic hematuria in observation group was lower than that in control group,the patients' discomfortableness during the intubation was also lower in observation group.Conclusions O.5% iodophor lubrication can reduce the urethral catheter mucesal injury,obviously improve patients' comfort with indwelling catheterization.%目的 探讨用两种润滑剂润滑导尿管对中青年男性患者舒适度的影响,降低医源性损伤及尿路感染的发生.方法 将220例术前需留置尿管的男性患者随机分为观察组和对照组各110例,观察组用0.5%碘伏润滑导尿管,对照组用液体石蜡润滑导尿管.观察并记录患者插尿管时的血压、心率及导尿后的感觉,检查留置尿管后的第1次尿液常规.结果 观察组较对照组尿液潜血发生率低,插管期间患者不适感降低.结论 0.5%碘伏润滑尿管可减少尿道黏膜的损伤,明显提高导尿术中患者的舒适度.

  11. Assessment of Filtration Bleb and Endplate Positioning Using Magnetic Resonance Imaging in Eyes Implanted with Long-Tube Glaucoma Drainage Devices.

    Directory of Open Access Journals (Sweden)

    Ichiya Sano

    Full Text Available To evaluate ocular fluid filtration and endplate positioning in glaucomatous eyes with long-tube glaucoma drainage devices (GDDs using magnetic resonance imaging (MRI and the effects of various factors on postoperative intraocular pressure (IOP.This observational case series included 27 consecutive glaucomatous eyes (18 men, 7 women; mean age ± standard error, 63.0±2.0 years who underwent GDD implantation (n = 8 Ahmed Glaucoma Valves [AGV] and n = 19 Baerveldt Glaucoma Implants [BGI]. Tubes were inserted into the pars plana in 23 eyes and anterior chamber in 4 eyes. Six months postoperatively, high-resolution orbital images were obtained using 3-Tesla MRI with head-array coils, and the filtering bleb volume, bleb height, and distances between the anterior endplate edge and corneal center or limbus or between the endplate and orbital wall were measured.In MR images obtained by three-dimensional fast imaging employing steady-state acquisition (3D-FIESTA sequences, the shunt endplate was identified as low-intensity signal, and the filtering bleb was identified as high-intensity signals above and below the endplate in all eyes. The 6-month-postoperative IOP level was correlated negatively with bleb volume (r = -0.4510, P = 0.0182 and bleb height (r = -0.3954, P = 0.0412. The postoperative IOP was significantly (P = 0.0026 lower in BGI-implanted eyes (12.2±0.7 mmHg than AGV-implanted eyes (16.7±1.2 mmHg; bleb volume was significantly (P = 0.0093 larger in BGI-implanted eyes (478.8±84.2 mm3 than AGV-implanted eyes (161.1±52.3 mm3. Other parameters did not differ.The presence of intraorbital/periocular accumulation of ocular fluid affects postoperative IOP levels in eyes implanted with long-tube GDDs. Larger filtering blebs after BGI than AGI implantations explain lower postoperative IOP levels achieved with BGI than AGV. The findings will contribute to better understanding of IOP reducing mechanism of long-tube GDDs.

  12. Thermal performance of tubular heat exchanger with multiple twisted-tape inserts

    Institute of Scientific and Technical Information of China (English)

    Suriya Chokphoemphun; Monsak Pimsarn; Chinaruk Thianpong; Pongjet Promvonge

    2015-01-01

    The paper presents an experimental investigation on enhanced heat transfer and pressure loss characteristics by using single, double, triple, and quadruple twisted-tape inserts in a round tube having a uniform heat-fluxed wal . The investigation has been conducted in the heat exchanger tube inserted with various twisted-tape numbers for co-and counter-twist arrangements for the turbulent air flow, Reynolds number (Re) from 5300 to 24000. The typical single twisted-tape inserts at two twist ratios, y/w=4 and 5, are used as the base case, while the other multiple twisted-tape inserts are at y/w=4 only. The experimental results of heat transfer and pressure drop in terms of Nusselt number (Nu) and friction factor (f), respectively, reveal that Nu increases with the increment of Re and of twisted-tape number. The values of Nu for the inserted tube are in a range of 1.15–2.12 times that for the plain tube while f is 1.9–4.1 times. The thermal enhancement factor of the inserted tube under similar pumping power is evaluated and found to be above unity except for the single and the double co-twisted tapes. The quadruple counter-twisted tape insert provides the maximum thermal performance.

  13. ENDOSCOPIC GROMMET INSERTION OUR EXPERIENCE

    Directory of Open Access Journals (Sweden)

    Balasubramanian Thiagarajan

    2012-03-01

    Full Text Available Grommet insertion the commonest surgical procedure next only to circumcision is usually performed using an operating microscope 1. Authors have been using 4 mm 0 degree nasalendoscopes to perform this procedure during the last 5 years. This is a report of their experience in using endoscope inlieu of microscope in performing this surgery. This study makes a comparative analysis of Endoscopic Grommet insertion viz a viz Microscopic Grommet insertion. For this comparative analysis one year (2009 data base of Government Stanley Medical College Chennai India was used. This study reveals that Endoscopic Grommet insertion compared favorably with Microscopic Grommet insertion in all aspects with certain obvious advantages.

  14. Bougie insertion: A common practice with underestimated dangers

    Science.gov (United States)

    Theodorou, D.; Doulami, G.; Larentzakis, A.; Almpanopoulos, K.; Stamou, K.; Zografos, G.; Menenakos, E.

    2011-01-01

    Introduction Esophageal perforation after bariatric operations is rare. We report two cases of esophageal perforation after bariatric operations indicating the dangers of a common practice – like insertion of esophageal tubes – and we describe our management of that complication. Presentation of case A 56 year old woman who underwent laparoscopic sleeve gastrectomy and a 41 year old woman who underwent laparoscopic adjustable gastric banding respectively. In both operations a bougie has been used and led to esophageal perforation. Discussion The insertion of bougie and especially of inflated bougie is a common practice. It is an invasive procedure that in most cases is performed by the anesthesiologist team. Conclusion Bougie insertion is an invasive procedure with risks and should always be attempted under direct supervision of surgical team or should be inserted by a surgeon. PMID:22288051

  15. 改良Ahmed青光眼引流阀植入术治疗难治性青光眼的临床分析%Clinical Analysis of Modified Ahmed Glaucoma Valve Implantation in the Treatment of Refractory Glaucoma

    Institute of Scientific and Technical Information of China (English)

    杨扬

    2016-01-01

    Objective To analyze the clinical effect of modified Ahmed glaucoma valve implantation in the treatment of refractory glaucoma.Methods 76 patients with refractory glaucoma were divided into Ahmed group (Ahmed glaucoma valve implantation) and modified Ahmed group (modified Ahmed glaucoma valve implantation) according to the different treatment methods. The intraocular pressure, visual acuity and complications after treatment were compared between the two groups.Results The intraocular pressure, visual acuity and complications of modified Ahmed group were beter than Ahmed group, the difference has statistical significance (P<0.05).Conclusion Modified Ahmed glaucoma valve implantation in the treatment of refractory glaucoma has significant effect and less adverse reactions, worthy of clinical promotion and application.%目的:分析改良Ahmed青光眼引流阀植入术治疗难治性青光眼的临床疗效。方法76例难治性青光眼患者根据治疗方法的不同分为Ahmed组36例(采用Ahmed青光眼引流阀植入术治疗)和改良Ahmed组40例(采用改良Ahmed青光眼引流阀植入术治疗),比较两组患者治疗后的眼压、视力及并发症情况。结果改良Ahmed组的视力恢复情况,眼压,并发症均优于Ahmed组,差异比较均具有统计学意义(P<0.05)。结论改良Ahmed青光眼引流阀植入术治疗难治性青光眼,疗效显著,且不良反应较小,值得临床推广应用。

  16. Ear Tubes

    Science.gov (United States)

    ... of the ear drum or eustachian tube, Down Syndrome, cleft palate, and barotrauma (injury to the middle ear caused by a reduction of air pressure, ... specialist) may be warranted if you or your child has experienced repeated ... fluid in the middle ear, barotrauma, or have an anatomic abnormality that ...

  17. Facility target insert shielding assessment

    Energy Technology Data Exchange (ETDEWEB)

    Mocko, Michal [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2015-10-06

    Main objective of this report is to assess the basic shielding requirements for the vertical target insert and retrieval port. We used the baseline design for the vertical target insert in our calculations. The insert sits in the 12”-diameter cylindrical shaft extending from the service alley in the top floor of the facility all the way down to the target location. The target retrieval mechanism is a long rod with the target assembly attached and running the entire length of the vertical shaft. The insert also houses the helium cooling supply and return lines each with 2” diameter. In the present study we focused on calculating the neutron and photon dose rate fields on top of the target insert/retrieval mechanism in the service alley. Additionally, we studied a few prototypical configurations of the shielding layers in the vertical insert as well as on the top.

  18. Book review: The superlative city: Dubai and the urban condition in the early twenty-first century edited by Ahmed Kanna

    OpenAIRE

    Housby, Elaine

    2014-01-01

    "The Superlative City: Dubai and the Urban Condition in the Early Twenty-First Century." Ahmed Kanna. Harvard University Press. August 2013. --- In the last few years, the Persian Gulf city of Dubai has exploded from the Arabian sands onto the world stage. Oil wealth, land rent, and so-called informal economic practices have blanketed the urbanscape with enormous enclaved developments attracting a global elite, while the economy runs on a huge army of migrant workers from the labour-exporting...

  19. Ultrasonic airborne insertion loss measurements at normal incidence (L).

    Science.gov (United States)

    Farley, Jayrin; Anderson, Brian E

    2010-12-01

    Transmission loss and insertion loss measurements of building materials at audible frequencies are commonly made using plane wave tubes or as a panel between reverberant rooms. These measurements provide information for noise isolation control in architectural acoustics and in product development. Airborne ultrasonic sound transmission through common building materials has not been fully explored. Technologies and products that utilize ultrasonic frequencies are becoming increasingly more common, hence the need to conduct such measurements. This letter presents preliminary measurements of the ultrasonic insertion loss levels for common building materials over a frequency range of 28-90 kHz using continuous-wave excitation. PMID:21218864

  20. Impedance calculation for ferrite inserts

    Energy Technology Data Exchange (ETDEWEB)

    Breitzmann, S.C.; Lee, S.Y.; /Indiana U.; Ng, K.Y.; /Fermilab

    2005-01-01

    Passive ferrite inserts were used to compensate the space charge impedance in high intensity space charge dominated accelerators. They study the narrowband longitudinal impedance of these ferrite inserts. they find that the shunt impedance and the quality factor for ferrite inserts are inversely proportional to the imaginary part of the permeability of ferrite materials. They also provide a recipe for attaining a truly passive space charge impedance compensation and avoiding narrowband microwave instabilities.

  1. Experimental Investigation On The Enhancement In Thermosyphon Effect Due To Insertion Of Twisted Strips Inside A Duct

    Directory of Open Access Journals (Sweden)

    S. V. Prayagi

    2011-08-01

    Full Text Available The present work deals with experimental studies on heat transfer and flow characteristic for buoyancy induced flow through inclined tubes inserted with twisted strips. The parameters varied during the experimetation are; tube inclination , heat supply and twist pitch. It was found that the percentage enhancement in heat transfer coefficient decreases with increase in pitch parameters and tube inclination.The flow rate decreases for lower values of pitch parameters and increase in the tube inclination.

  2. Hidden $U(1)_Y$ Ward-Takahashi identities, absence of Brout-Englert-Higgs fine-tuning, decoupling of certain heavy particles, due to spontaneous symmetry breaking II: The Abelian Higgs model (AHM), extended-AHM, derivations and examples

    CERN Document Server

    Lynn, Bryan W

    2015-01-01

    This work is dedicated to the memory of R. Stora. The spontaneously broken (SSB) $U(1)_Y$ Abelian Higgs model (AHM) (the gauge theory of a scalar $\\phi \\propto (H+i\\pi)= {\\tilde H}e^{i{\\tilde \\pi}/}$ and a transverse vector A) has a massless pseudo-scalar $\\pi$ in Lorenz gauge. Physical states have a conserved global current and Goldstone theorem (GT). $\\tilde \\pi$ becomes a Nambu-Goldstone boson (NGB). Slavnov-Taylor identities keep on-shell T-matrix elements of physical states independent of anomaly-free gauge, and global, transformations, yielding towers of $\\phi$-sector Ward-Takahashi Identities (WTI), and constraining external $\\phi$ dynamics. Ultraviolet quadratic divergences (UVQD) contribute only to $m_\\pi^2$, forced by the GT to 0, so all UVQD vanish. Weak-scale renormalized gauge-independent Higgs pole-mass and VEV are therefore not fine-tuned. The NGB is "eaten" and decouples, hiding the $U(1)_Y$ WTI from observable particle physics. Our regularization-scheme-independent results are unchanged by th...

  3. Gastrostomy insertion: comparing the options - PEG, RIG or PIG?

    Energy Technology Data Exchange (ETDEWEB)

    Laasch, H.-U. E-mail: hul@smtr.nhs.uk; Wilbraham, L.; Bullen, K.; Marriott, A.; Lawrance, J.A.L.; Johnson, R.J.; Lee, S.H.; England, R.E.; Gamble, G.E.; Martin, D.F

    2003-05-01

    AIM: To compare percutaneous endoscopic gastrostomy (PEG) with radiologically inserted gastrostomy (RIG) and assess a hybrid gastrostomy technique (per-oral image-guided gastrostomy, PIG). MATERIALS AND METHODS: Fifty PEGs and 50 RIGs performed in three centres were prospectively compared and the endoscopic findings of 200 PEGs reviewed. A fluoroscopy-guided technique was modified to place 20 F over-the-wire PEG-tubes in 60 consecutive patients. RESULTS: Technical success was 98%, 100% and 100% for PEG, RIG and PIG, respectively. Antibiotic prophylaxis significantly reduced stoma infection for orally placed tubes (p=0.02). Ten out of 50 (20%) small-bore RIG tubes blocked. Replacement tubes were required in six out of 50 PEGs (12%), 10 out of 50 RIGs (20%), but no PIGs (p<0.001). No procedure-related complications occurred. The function of radiologically placed tubes was significantly improved with the larger PIG (p<0.001), with similar wound infection rates. PIG was successful in 24 patients where endoscopic insertion could not be performed. Significant endoscopic abnormalities were found in 42 out of 200 PEG patients (21%), all related to peptic disease. Insignificant pathology was found in 8.5%. CONCLUSION: PIG combines advantages of both traditional methods with a higher success and lower re-intervention rate. Endoscopy is unlikely to detect clinically relevant pathology other than peptic disease. PIG is a very effective gastrostomy method; it has better long-term results than RIG and is successful where conventional PEG has failed.

  4. Gastrostomy insertion: comparing the options - PEG, RIG or PIG?

    International Nuclear Information System (INIS)

    AIM: To compare percutaneous endoscopic gastrostomy (PEG) with radiologically inserted gastrostomy (RIG) and assess a hybrid gastrostomy technique (per-oral image-guided gastrostomy, PIG). MATERIALS AND METHODS: Fifty PEGs and 50 RIGs performed in three centres were prospectively compared and the endoscopic findings of 200 PEGs reviewed. A fluoroscopy-guided technique was modified to place 20 F over-the-wire PEG-tubes in 60 consecutive patients. RESULTS: Technical success was 98%, 100% and 100% for PEG, RIG and PIG, respectively. Antibiotic prophylaxis significantly reduced stoma infection for orally placed tubes (p=0.02). Ten out of 50 (20%) small-bore RIG tubes blocked. Replacement tubes were required in six out of 50 PEGs (12%), 10 out of 50 RIGs (20%), but no PIGs (p<0.001). No procedure-related complications occurred. The function of radiologically placed tubes was significantly improved with the larger PIG (p<0.001), with similar wound infection rates. PIG was successful in 24 patients where endoscopic insertion could not be performed. Significant endoscopic abnormalities were found in 42 out of 200 PEG patients (21%), all related to peptic disease. Insignificant pathology was found in 8.5%. CONCLUSION: PIG combines advantages of both traditional methods with a higher success and lower re-intervention rate. Endoscopy is unlikely to detect clinically relevant pathology other than peptic disease. PIG is a very effective gastrostomy method; it has better long-term results than RIG and is successful where conventional PEG has failed

  5. Pneumothorax Following Feeding Tube Placement: Precaution and Treatment

    Directory of Open Access Journals (Sweden)

    Morteza Zahmatkesh

    2012-05-01

    Full Text Available Nasojejunal feeding tubes are being used at an increased frequency, but it is not without complications that could be life-threatening. We report two cases of pneumothorax following small-bore feeding tube insertion into the pleural cavity, resulting in pneumothorax. We further discuss the potential measures that can be taken to prevent and treat this serious complication.

  6. Neutron tubes

    Science.gov (United States)

    Leung, Ka-Ngo; Lou, Tak Pui; Reijonen, Jani

    2008-03-11

    A neutron tube or generator is based on a RF driven plasma ion source having a quartz or other chamber surrounded by an external RF antenna. A deuterium or mixed deuterium/tritium (or even just a tritium) plasma is generated in the chamber and D or D/T (or T) ions are extracted from the plasma. A neutron generating target is positioned so that the ion beam is incident thereon and loads the target. Incident ions cause D-D or D-T (or T-T) reactions which generate neutrons. Various embodiments differ primarily in size of the chamber and position and shape of the neutron generating target. Some neutron generators are small enough for implantation in the body. The target may be at the end of a catheter-like drift tube. The target may have a tapered or conical surface to increase target surface area.

  7. Straightening tubes

    International Nuclear Information System (INIS)

    Hexagonal wrapper tubes, especially for nuclear reactor core sub-assemblies, may suffer from unacceptable bow as a result of welding wear pads to the wrapper and heat treatment. Straightening of the bow is effected by a method wherein at each of a series of axially spaced locations the faces or vertices of the tube are measured relative to a reference to determine the direction of bow at the locations. From these measurements, the appropriate axial locations for the application of corrective loading can be determined, whereby by application of the loading at a selected face or vertex for such measurements the bow is reduced. Such loading, by an actuator, can be repeated at the locations until the bow is reduced to within tolerances. (author)

  8. Esophageal rupture due to Sengstaken-Blakemore tube misplacement

    Institute of Scientific and Technical Information of China (English)

    Chee-Fah Chong

    2005-01-01

    The author presents three cases of esophageal rupture during the treatment of massive esophageal variceal bleeding with Sengstaken-Blakemore (SB) tube. In each case, simple auscultation was used to guide SB tube insertion, with chest radiograph obtained only after complete inflation of the gastric balloon. Two patients died of hemorrhagic shock and one died of mediastinitis.The author suggests that confirmation of SB tube placement by auscultation alone may not be adequate.Routine chest radiographs should be obtained before and after full inflation of the gastric balloon to confirm tube position and to detect tube dislocation.

  9. Intraoperative wide bore nasogastric tube knotting: A rare incidence.

    Science.gov (United States)

    Lamba, Sangeeta; Sethi, Surendra K; Khare, Arvind; Saini, Sudheendra

    2016-01-01

    Nasogastric tubes are commonly used in anesthetic practice for gastric decompression in surgical patients intraoperatively. The indications for its use are associated with a number of potential complications. Knotting of small-bore nasogastric tubes is usually common both during insertion and removal as compared to wide bore nasogastric tubes. Knotting of wide bore nasogastric tube is a rare complication and if occurs usually seen in long standing cases. We hereby report a case of incidental knotting of wide bore nasogastric tube that occurred intraoperatively.

  10. 影响AHM与DINA诊断准确率的因素研究%The Research on Factors Influencing Diagnostic Accuracy in AHM and DINA

    Institute of Scientific and Technical Information of China (English)

    颜远海; 丁树良; 汪文义

    2011-01-01

    Cognitive diagnostic theory is the product of combination cognitive psychology with modern psychological and educational measurement and it is a core of the new theoretical generation. Various factors, such as attribute hierarchy, test blueprint and test length, and the quality of the items, I.e., the quantity of the slip attached to . An item will affect the accuracy of diagnosis to some extent. Based on two diagnosis models AHM and DINA, affecting degree of different factors to accuracy index of classification is investigated in the paper. The results show different factors have varying degree of influence on the accuracy of diagnosis. Test-length is not the longer the better when attribute structure is linear. Different test blueprint has varying degree of influence on the diagnostic accuracy. A cognitive test that contains reachability matrix has a higher classification accuracy rate than that of not contained. The higher the slip, the lower the pattern and the marginal classification accuracy rate are. The more compact the attribute hierarchy, the higher classification accuracy rate. AHM is more sensitive to attribute construction, while DINA is not. Generally speaking, the accuracy of classification of DINA is higher than AHM, but sometimes DINA model may provide some unreasonable estimate of knowledge states. This finding does not coincide with DeCarlo's conclusion.%对属性层级模型(AHM)和确定性输入、噪声“与”门模型(DINA)2个认知诊断模型,讨论不同因素对判准率的影响.实验表明,含有可达阵的测验比不含可达阵的测验判准率高.对于线型结构测验长度达到一定值以后,增加测验长度对诊断准确率的改进不大.虽然总体而言,DINA分类准确性要优于AHM,属性结构紧密度越大,判准率越高;但是AHM估计结果符合属性层级结构,而DINA估计结果却可能违背属性层级关系,这和2011年De Carlo的发现不相同.

  11. Insertion device vacuum system designs

    International Nuclear Information System (INIS)

    Synchrotron light source insertion device vacuum systems now in operation and systems proposed for the future are reviewed. An overview of insertion devices is given and four generic vacuum chamber designs, transition section design and pumping considerations are discussed. Examples of vacuum chamber systems are presented

  12. Method and means for in situ repair of heat exchanger tubes in nuclear installations or the like

    International Nuclear Information System (INIS)

    A method of sealing leaky heat exchanger tubes in situ in nuclear installations is described which consists of the steps of: providing a sleeve having an outer diameter slightly larger than the inner diameter of the tube whose leak is to be sealed and having a length shorter than the length of the tube yet sufficient to overlap the leak and having a flange at one end thereof, the flange being dimensioned larger than the inner diameter of the tube for limiting insertion of the sleeve into the tube; cooling the sleeve to a temperature at which its outer diameter is sufficiently reduced to allow insertion of the sleeve into the tube; inserting the cooled sleeve into the tube to be sealed through one end of the tube to overlap the leaky portion while the sleeve is so cooled until the insertion is limited by the flange; allowing the sleeve to warm up to the temperature of the tube; the sleeve being open at both ends such that fluids flowing through the heat exchanger tube flow through the sleeve also; and guiding the sleeve into position for insertion by means of a guide fabricated of material which is solid at insertion temperatures but becomes fluid at room temperature, and allowing the guide to become fluid when the insertion of the sleeve is complete, whereby the sleeve forms with the inside of the tube in the region of the leak a leak-proof sealing bond with a generally uniform hoop stress thereby repairing the leak

  13. Test manufacturing of copper canisters with cast inserts. Assessment report

    Energy Technology Data Exchange (ETDEWEB)

    Andersson, C.G

    1998-08-01

    The current design of canisters for the deep repository for spent nuclear fuel consists of an outer corrosion-protective copper casing in the form of a tubular section with lid and bottom and an inner pressure-resistant insert. The insert is designed to be manufactured by casting and inside are channels in which the fuel assemblies are to be placed. Over the last years, a number of full-scale manufacturing tests of all canister components have been carried out. The purpose has been to determine and develop the best manufacturing technique and to establish long-term contacts with the best suppliers of material and technology. Part of the work has involved the developing and implementing of a quality assurance system in accordance with ISO 9001, covering the whole chain from suppliers of material up to and including the delivery of assembled canisters. This report consists of a description of the design of the canister together with current drawings and complementary technical specifications stipulating, among other things, requirements placed on different materials. The different manufacturing methods that have been used are also described and commented on in both text and illustrations. For the manufacturing of copper tubes, the roll-forming of rolled plate to tube halves and longitudinal welding is a method that has been tested on a relatively large number of tubes by now, and that probably can be developed into a functioning production method. However, the very promising outcome of performed tests on seamless tube manufacturing, has resulted in a change in direction in tube manufacturing, focusing on continued testing of extrusion as well as pierce and draw processing in the immediate future. In connection with ongoing operations, new manufacturing tests of tubes with less material thickness will be carried out. Test manufacturing of cast inserts has resulted in the choice of nodular iron as material in the continued work. This improvement in design has resulted

  14. Test manufacturing of copper canisters with cast inserts. Assessment report

    International Nuclear Information System (INIS)

    The current design of canisters for the deep repository for spent nuclear fuel consists of an outer corrosion-protective copper casing in the form of a tubular section with lid and bottom and an inner pressure-resistant insert. The insert is designed to be manufactured by casting and inside are channels in which the fuel assemblies are to be placed. Over the last years, a number of full-scale manufacturing tests of all canister components have been carried out. The purpose has been to determine and develop the best manufacturing technique and to establish long-term contacts with the best suppliers of material and technology. Part of the work has involved the developing and implementing of a quality assurance system in accordance with ISO 9001, covering the whole chain from suppliers of material up to and including the delivery of assembled canisters. This report consists of a description of the design of the canister together with current drawings and complementary technical specifications stipulating, among other things, requirements placed on different materials. The different manufacturing methods that have been used are also described and commented on in both text and illustrations. For the manufacturing of copper tubes, the roll-forming of rolled plate to tube halves and longitudinal welding is a method that has been tested on a relatively large number of tubes by now, and that probably can be developed into a functioning production method. However, the very promising outcome of performed tests on seamless tube manufacturing, has resulted in a change in direction in tube manufacturing, focusing on continued testing of extrusion as well as pierce and draw processing in the immediate future. In connection with ongoing operations, new manufacturing tests of tubes with less material thickness will be carried out. Test manufacturing of cast inserts has resulted in the choice of nodular iron as material in the continued work. This improvement in design has resulted

  15. Iatrogenic velopharyngeal insufficiency caused by neonatal nasogastric feeding tube.

    Science.gov (United States)

    Pollack, Aron Z; Ward, Robert F; DeRowe, Ari; April, Max M

    2014-08-01

    Complications from a prolonged nasogastric tube intubation, though seldom reported, are well described. Herein we describe the first two reported cases of velopharyngeal insufficiency secondary to velopharyngeal scarring and immobility from repetitive nasogastric tube insertions and prolonged use. Differing only in location, the proposed pathophysiologic mechanism of injury is identical to that of the nasogastric tube syndrome, a rare and serious, well described entity consisting of bilateral vocal fold paralysis due to pressure-induced ulceration of the posterior cricoarytenoid musculature.

  16. A training simulator for ultrasound-guided percutaneous nephrostomy insertion

    OpenAIRE

    Rock, B G; Leonard, A P; Freeman, S. J.

    2010-01-01

    Increasing trainee numbers and changes to working patterns have resulted in a scarcity of training opportunities for training-grade doctors wishing to learn nephrostomy tube insertion techniques. A method of introducing trainees to the skills required to perform percutaneous nephrostomy in a safe, non-threatening environment, without risk to patients, is desirable. Commercial and biological nephrostomy phantoms are available, but they are expensive and not widely available, and a cheap, safe,...

  17. Bimetallic sleeve for repairing a heat exchanger tube locally damaged and repairing process of a such tube with this sleeve

    International Nuclear Information System (INIS)

    A tubular sleeve comprising two end sections made of the same metal as the heat exchanger tube and connected by a ring of an alloy suitable for welding is inserted into the tube and welded in place from the inside. The tube and end sections may be of Incoloy 800 while the ring is in Ni-Cr Alloy, Inconel 600 or Inconel 690. 3 figs

  18. A virtual reality based simulator for learning nasogastric tube placement.

    Science.gov (United States)

    Choi, Kup-Sze; He, Xuejian; Chiang, Vico Chung-Lim; Deng, Zhaohong

    2015-02-01

    Nasogastric tube (NGT) placement is a common clinical procedure where a plastic tube is inserted into the stomach through the nostril for feeding or drainage. However, the placement is a blind process in which the tube may be mistakenly inserted into other locations, leading to unexpected complications or fatal incidents. The placement techniques are conventionally acquired by practising on unrealistic rubber mannequins or on humans. In this paper, a virtual reality based training simulation system is proposed to facilitate the training of NGT placement. It focuses on the simulation of tube insertion and the rendering of the feedback forces with a haptic device. A hybrid force model is developed to compute the forces analytically or numerically under different conditions, including the situations when the patient is swallowing or when the tube is buckled at the nostril. To ensure real-time interactive simulations, an offline simulation approach is adopted to obtain the relationship between the insertion depth and insertion force using a non-linear finite element method. The offline dataset is then used to generate real-time feedback forces by interpolation. The virtual training process is logged quantitatively with metrics that can be used for assessing objective performance and tracking progress. The system has been evaluated by nursing professionals. They found that the haptic feeling produced by the simulated forces is similar to their experience during real NGT insertion. The proposed system provides a new educational tool to enhance conventional training in NGT placement.

  19. Flow and heat transfer enhancement in tube heat exchangers

    Science.gov (United States)

    Sayed Ahmed, Sayed Ahmed E.; Mesalhy, Osama M.; Abdelatief, Mohamed A.

    2015-11-01

    The performance of heat exchangers can be improved to perform a certain heat-transfer duty by heat transfer enhancement techniques. Enhancement techniques can be divided into two categories: passive and active. Active methods require external power, such as electric or acoustic field, mechanical devices, or surface vibration, whereas passive methods do not require external power but make use of a special surface geometry or fluid additive which cause heat transfer enhancement. The majority of commercially interesting enhancement techniques are passive ones. This paper presents a review of published works on the characteristics of heat transfer and flow in finned tube heat exchangers of the existing patterns. The review considers plain, louvered, slit, wavy, annular, longitudinal, and serrated fins. This review can be indicated by the status of the research in this area which is important. The comparison of finned tubes heat exchangers shows that those with slit, plain, and wavy finned tubes have the highest values of area goodness factor while the heat exchanger with annular fin shows the lowest. A better heat transfer coefficient ha is found for a heat exchanger with louvered finned and thus should be regarded as the most efficient one, at fixed pumping power per heat transfer area. This study points out that although numerous studies have been conducted on the characteristics of flow and heat transfer in round, elliptical, and flat tubes, studies on some types of streamlined-tubes shapes are limited, especially on wing-shaped tubes (Sayed Ahmed et al. in Heat Mass Transf 50: 1091-1102, 2014; in Heat Mass Transf 51: 1001-1016, 2015). It is recommended that further detailed studies via numerical simulations and/or experimental investigations should be carried out, in the future, to put further insight to these fin designs.

  20. Root cause of incomplete control rod insertions at Westinghouse reactors

    Energy Technology Data Exchange (ETDEWEB)

    Ray, S. [Westinghouse, Monroeville, PA (United States)

    1997-01-01

    Within the past year, incomplete RCCA insertions have been observed on high burnup fuel assemblies at two Westinghouse PWRs. Initial tests at the Wolf Creek site indicated that the direct cause of the incomplete insertions observed at Wolf Creek was excessive fuel assembly thimble tube distortion. Westinghouse committed to the NRC to perform a root cause analysis by the end of August, 1996. The root cause analysis process used by Westinghouse included testing at ten sites to obtain drag, growth and other characteristics of high burnup fuel assemblies. It also included testing at the Westinghouse hot cell of two of the Wolf Creek incomplete insertion assemblies. A mechanical model was developed to calculate the response of fuel assemblies when subjected to compressive loads. Detailed manufacturing reviews were conducted to determine if this was a manufacturing related issue. In addition, a review of available worldwide experience was performed. Based on the above, it was concluded that the thimble tube distortion observed on the Wolf Creek incomplete insertion assemblies was caused by unusual fuel assembly growth over and above what would typically be expected as a result of irradiation exposure. It was determined that the unusual growth component is a combination of growth due to oxide accumulation and accelerated growth, and would only be expected in high temperature plants on fuel assemblies that see long residence times and high power duties.

  1. photomultiplier tubes

    CERN Multimedia

    photomultiplier tubes. A device to convert light into an electric signal (the name is often abbreviated to PM). Photomultipliers are used in all detectors based on scintillating material (i.e. based on large numbers of fibres which produce scintillation light at the passage of a charged particle). A photomultiplier consists of 3 main parts: firstly, a photocathode where photons are converted into electrons by the photoelectric effect; secondly, a multiplier chain consisting of a serie of dynodes which multiply the number of electron; finally, an anode, which collects the resulting current.

  2. photomultiplier tube

    CERN Multimedia

    photomultiplier tubes. A device to convert light into an electric signal (the name is often abbreviated to PM). Photomultipliers are used in all detectors based on scintillating material (i.e. based on large numbers of fibres which produce scintillation light at the passage of a charged particle). A photomultiplier consists of 3 main parts: firstly, a photocathode where photons are converted into electrons by the photoelectric effect; secondly, a multiplier chain consisting of a serie of dynodes which multiply the number of electron; finally, an anode, which collects the resulting current.

  3. Tube furnace

    Science.gov (United States)

    Foster, Kenneth G.; Frohwein, Eugene J.; Taylor, Robert W.; Bowen, David W.

    1991-01-01

    A vermiculite insulated tube furnace is heated by a helically-wound resistance wire positioned within a helical groove on the surface of a ceramic cylinder, that in turn is surroundingly disposed about a doubly slotted stainless steel cylindrical liner. For uniform heating, the pitch of the helix is of shorter length over the two end portions of the ceramic cylinder. The furnace is of large volume, provides uniform temperature, offers an extremely precise programmed heating capability, features very rapid cool-down, and has a modest electrical power requirement.

  4. Fatal massive hemorrhage caused by nasogastric tube misplacement in a patient with mediastinitis.

    Science.gov (United States)

    Wu, Pei-Yu; Kang, Ting-Jui; Hui, Chung-Kun; Hung, Ming-Hui; Sun, Wei-Zen; Chan, Wei-Hung

    2006-01-01

    Nasogastric tube insertion is a routine procedure in medical care. However, misplacement of the tube can cause a variety of complications, which can be life threatening in some instances. We report a case of fatal hemorrhagic shock immediately after nasogastric tube insertion in a patient undergoing debridement by video-assisted thoracoscopic surgery for mediastinitis. Emergency endoscopy showed that the bleeding came from the nasogastric tube which had perforated the esophagus and possibly tore an intrathoracic large vessel. The nasogastric tube insertion was considered to have directly produced the perforation because no esophageal perforation had been found on preoperative endoscopy. Factors contributing to the risk of esophageal perforation in this case included coexisting mediastinitis, surgical manipulation, endotracheal intubation, inability to cooperate during general anesthesia, and repetitive advancement of the nasogastric tube. Prompt clamping of the nasogastric tube or delayed insertion after failed attempts might have improved the outcome. This report illustrates the complication of massive bleeding that can occur immediately after misplaced insertion of a nasogastric tube. Extraordinary care should be taken to avoid misplacement of the nasogastric tube during insertion.

  5. Comparison of Generalized Estimating Equations and Quadratic Inference Functions in superior versus inferior Ahmed Glaucoma Valve implantation

    Directory of Open Access Journals (Sweden)

    Razieh Khajeh-Kazemi

    2011-01-01

    Full Text Available Background: The celebrated generalized estimating equations (GEE approach is often used in longitudinal data analysis While this method behaves robustly against misspecification of the working correlation structure, it has some limitations on efficacy of estimators, goodness-of-fit tests and model selection criteria The quadratic inference functions (QIF is a new statistical methodology that overcomes these limitations Methods : We administered the use of QIF and GEE in comparing the superior and inferior Ahmed glaucoma valve (AGV implantation, while our focus was on the efficiency of estimation and using model selection criteria, we compared the effect of implant location on intraocular pressure (IOP in refractory glaucoma patients We modeled the relationship between IOP and implant location, patient′s sex and age, best corrected visual acuity, history of cataract surgery, preoperative IOP and months after surgery with assuming unstructured working correlation Results : 63 eyes of 63 patients were included in this study, 28 eyes in inferior group and 35 eyes in superior group The GEE analysis revealed that preoperative IOP has a significant effect on IOP (p = 0 011 However, QIF showed that preoperative IOP, months after surgery and squared months are significantly associated with IOP after surgery (p < 0 05 Overall, estimates from QIF are more efficient than GEE (RE = 1 272 Conclusions : In the case of unstructured working correlation, the QIF is more efficient than GEE There were no considerable difference between these locations, our results confirmed previously published works which mentioned it is better that glaucoma patients undergo superior AGV implantation

  6. A tube-in-tube thermophotovoltaic generator

    Energy Technology Data Exchange (ETDEWEB)

    Ashcroft, J.; Campbell, B.; Depoy, D.

    1996-12-31

    A thermophotovoltaic device includes at least one thermal radiator tube, a cooling tube concentrically disposed within each thermal radiator tube and an array of thermophotovoltaic cells disposed on the exterior surface of the cooling tube. A shell having a first end and a second end surrounds the thermal radiator tube. Inner and outer tubesheets, each having an aperture corresponding to each cooling tube, are located at each end of the shell. The thermal radiator tube extends within the shell between the inner tubesheets. The cooling tube extends within the shell through the corresponding apertures of the two inner tubesheets to the corresponding apertures of the two outer tubesheets. A plurality of the thermal radiator tubes can be arranged in a staggered or an in-line configuration within the shell.

  7. Deadly pressure pneumothorax after withdrawal of misplaced feeding tube

    DEFF Research Database (Denmark)

    Andresen, Erik Nygaard; Frydland, Martin; Usinger, Lotte

    2016-01-01

    BACKGROUND: Many patients have a nasogastric feeding tube inserted during admission; however, misplacement is not uncommon. In this case report we present, to the best of our knowledge, the first documented fatality from pressure pneumothorax following nasogastric tube withdrawal. CASE PRESENTATION......, but our patient died less than an hour after withdrawal. The autopsy report stated that cause of death was tension pneumothorax, which developed following withdrawal of the misplaced feeding tube. CONCLUSIONS: The indications for insertion of nasogastric feeding tubes are many and the procedure...... is considered harmless; however, if the tube is misplaced there is good reason to be cautious on removal as this can unmask puncture of the pleura eliciting pneumothorax and, as this case report shows, result in an ultimately deadly tension pneumothorax....

  8. Computation and measurement of calandria tube sag in PHWR

    International Nuclear Information System (INIS)

    Calandria tubes and liquid injection shutdown system (LISS) tubes in a pressurized heavy water reactor (PHWR) is known to sag due to irradiation creep and growth during plant operation. When the sag of calandria tube becomes bigger, the calandria tube possibly comes in contact with LISS tube crossing beneath and calandria tube. The contact subsequently may cause the damage on the calandria tube resulting in unpredicted outage of the plant. It is therefore necessary to check the gap between the two tubes in order to periodically confirm no contact by using a proper measure during the plant life. An ultrasonic gap measuring probe assembly which can be inserted into two viewing ports of the calandria was developed in Korea and utilized to measure the sags of both tubes in the PHWR. It was found that the centerlines of calandria tubes and liquid injection shutdown system tubes can be precisely detected by ultrasonic wave. The gaps between two tubes were easily obtained from the relative distance of the measured centerline elevations of the tubes. Based on the irradiation creep equation and the measurement data, a computer program to calculate the sags was also developed. With the computer program, the sag at the end of plant life was predicted. (author)

  9. Afterword: Europe and the political geography of global confrontation. A world system perspective on Behind the War on Terror (N. Mosaddeq Ahmed)

    OpenAIRE

    Tausch, Arno

    2003-01-01

    Behind the War on Terror: Western Secret Strategy and the Struggle for Iraq by: Nafeez Mosaddeq Ahmed Manufacturer: Clairview Books Release Date: 23 June, 2003 Media: Paperback Sales Rank: 3,781 This afterword to this brilliant book starts from the assumption that both Europe and the Arab world are facing the same tendency of a basic and underlying shift in global economic activity away from the West of the Euro/Asian/African landmass towards the countries of the Pacific, and that the United ...

  10. Urethral catheter insertion forces: a comparison of experience and training

    Directory of Open Access Journals (Sweden)

    Benjamin K. Canales

    2009-02-01

    Full Text Available Purpose: This study was undertaken to evaluate the insertion forces utilized during simulated placement of a urethral catheter by healthcare individuals with a variety of catheter experience. Materials and Methods: A 21F urethral catheter was mounted to a metal spring. Participants were asked to press the tubing spring against a force gauge and stop when they met a level of resistance that would typically make them terminate a catheter placement. Simulated catheter insertion was repeated fives times, and peak compression forces were recorded. Healthcare professionals were divided into six groups according to their title: urology staff, non-urology staff, urology resident/ fellow, non-urology resident/ fellow, medical student, and registered nurse. Results: A total of fifty-seven healthcare professionals participated in the study. Urology staff (n = 6 had the lowest average insertion force for any group at 6.8 ± 2.0 Newtons (N. Medical students (n = 10 had the least amount of experience (1 ± 0 years and the highest average insertion force range of 10.1 ± 3.7 N. Health care workers with greater than 25 years experience used significantly less force during catheter insertions (4.9 ± 1.8 N compared to all groups (p < 0.01. Conclusions: We propose the maximum force that should be utilized during urethral catheter insertion is 5 Newtons. This force deserves validation in a larger population and should be considered when designing urethral catheters or creating catheter simulators. Understanding urethral catheter insertion forces may also aid in establishing competency parameters for health care professionals in training.

  11. Gene Insertion Patterns and Sites

    Science.gov (United States)

    Vain, Philippe; Thole, Vera

    During the past 25 years, the molecular analysis of transgene insertion patterns and sites in plants has greatly contributed to our understanding of the mechanisms underlying transgene integration, expression, and stability in the nuclear genome. Molecular characterization is also an essential step in the safety assessment of genetically modified crops. This chapter describes the standard experimental procedures used to analyze transgene insertion patterns and loci in cereals and grasses transformed using Agrobacterium tumefaciens or direct transfer of DNA. Methods and protocols enabling the determination of the number and configuration of transgenic loci via a combination of inheritance studies, polymerase chain reaction, and Southern analyses are presented. The complete characterization of transgenic inserts in plants is, however, a holistic process relying on a wide variety of experimental approaches. In this chapter, these additional approaches are not detailed but references to relevant bibliographic records are provided.

  12. Adjunctive with versus without intravitreal bevacizumab injection before Ahmed glaucoma valve implantation in the treatment of neovascular glaucoma

    Institute of Scientific and Technical Information of China (English)

    ZHOU Min-wen; WANG Wei; HUANG Wen-bin; CHEN Shi-da; LI Xing-yi; GAO Xin-bao; ZHANG Xiu-lan

    2013-01-01

    Background Neovascular glaucoma (NVG) is a refractory disease which is difficult to manage.This study aimed at evaluating the efficacy and safety of adjunctive intravitreal bevacizumab (IVB) injection in conjunction with Ahmed glaucoma valve implantation (AGVI) in the management of NVG.Methods This was a retrospective study of patients with NVG in whom AGVI was performed between October 2008 and May 2012.The sample was divided into two groups according to the pretreatment:with adjunctive IVB injection (the IVB group,n=25 eyes) and without adjunctive IVB injection (the control group,n=28 eyes).The surgical success rate,number of antiglaucoma medications used,best-corrected visual acuity (BCVA),postoperative complications,regression,and recurrence of iris neovascularization (NVI) were analyzed between the groups.Results The surgical outcomes of the two groups were compared.The complete success rates in the IVB and control groups were 84.0% and 64.3% at 12 months and 80.0% and 53.6% at 18 months,respectively.There was a significant difference between the two groups (P=0.041).Mean postoperative intraocular pressures,mean number of postoperative antiglaucoma medications,and BCVA were not significant between the two groups.The NVI in 22 (88.0%) eyes had completely regressed within 2-8 days after IVB.However,NVI recurred in 10 eyes (40.0%) 2-9 months later after IVB.The IVB group had only 1 case (4.0%) of hyphema out of 25 eyes,while there were 8 (28.6%) cases of hyphema out of 28 eyes in the control group (P=0.026).Conclusions This study showed that preoperative IVB injection reduced NVI remarkably,decreased hyphema,and led to higher surgical success rates.Pre-operative IVB injection may be an effective adjunct to AGVI in the management of NVG.

  13. Titanium condenser tubes

    International Nuclear Information System (INIS)

    The corrosion resistance of titanium in sea water is extremely excellent, but titanium tubes are expensive, and the copper alloy tubes resistant in polluted sea water were developed, therefore they were not used practically. In 1970, ammonia attack was found on the copper alloy tubes in the air-cooled portion of condensers, and titanium tubes have been used as the countermeasure. As the result of the use, the galvanic attack an copper alloy tube plates with titanium tubes as cathode and the hydrogen absorption at titanium tube ends owing to excess electrolytic protection were observed, but the corrosion resistance of titanium tubes was perfect. These problems can be controlled by the application of proper electrolytic protection. The condensers with all titanium tubes adopted recently in USA are intended to realize perfectly no-leak condensers as the countermeasure to the corrosion in steam generators of PWR plants. Regarding large condensers of nowadays, three problems are pointed out, namely the vibration of condenser tubes, the method of joining tubes and tube plates, and the tubes of no coolant leak. These three problems in case of titanium tubes were studied, and the problem of the fouling of tubes was also examined. The intervals of supporting plates for titanium tubes should be narrowed. The joining of titanium tubes and titanium tube plates by welding is feasible and promising. The cleaning with sponge balls is effective to control fouling. (Kako, I.)

  14. Ultrastructural and Morphometric Analysis of Peripheral Nerve Regeneration Within Silicone Tubes

    OpenAIRE

    CANPOLAT, Leyla

    1999-01-01

    Semi-thin and thin sections were used to observe the morphogenesis of peripheral nerves regenerating in silicone tubes. The progress of peripheral nerve regeneration across a 10 mm gap within the silicone tubes was examined after 3, 6 and 9 months. The left sciatic nerves of rats were transected. The proximal and distal nerve stumps were inserted into a silicone tube, in which they were separeted by a 10 mm gap. A tissue cable formed inside the silicone tube with regenerated axons....

  15. Tube Thoracostomy: Complications and Its Management

    Directory of Open Access Journals (Sweden)

    Emeka B. Kesieme

    2012-01-01

    Full Text Available Background. Tube thoracostomy is widely used throughout the medical, surgical, and critical care specialities. It is generally used to drain pleural collections either as elective or emergency. Complications resulting from tube thoracostomy can occasionally be life threatening. Aim. To present an update on the complications and management of complications of tube thoracostomy. Methods. A review of the publications obtained from Medline search, medical libraries, and Google on tube thoracostomy and its complications was done. Results. Tube thoracostomy is a common surgical procedure which can be performed by either the blunt dissection technique or the trocar technique. Complication rates are increased by the trocar technique. These complications have been broadly classified as either technical or infective. Technical causes include tube malposition, blocked drain, chest drain dislodgement, reexpansion pulmonary edema, subcutaneous emphysema, nerve injuries, cardiac and vascular injuries, oesophageal injuries, residual/postextubation pneumothorax, fistulae, tumor recurrence at insertion site, herniation through the site of thoracostomy, chylothorax, and cardiac dysrhythmias. Infective complications include empyema and surgical site infection. Conclusion. Tube thoracostomy, though commonly performed is not without risk. Blunt dissection technique has lower risk of complications and is hence recommended.

  16. Tube thoracostomy: complications and its management.

    Science.gov (United States)

    Kesieme, Emeka B; Dongo, Andrew; Ezemba, Ndubueze; Irekpita, Eshiobo; Jebbin, Nze; Kesieme, Chinenye

    2012-01-01

    Background. Tube thoracostomy is widely used throughout the medical, surgical, and critical care specialities. It is generally used to drain pleural collections either as elective or emergency. Complications resulting from tube thoracostomy can occasionally be life threatening. Aim. To present an update on the complications and management of complications of tube thoracostomy. Methods. A review of the publications obtained from Medline search, medical libraries, and Google on tube thoracostomy and its complications was done. Results. Tube thoracostomy is a common surgical procedure which can be performed by either the blunt dissection technique or the trocar technique. Complication rates are increased by the trocar technique. These complications have been broadly classified as either technical or infective. Technical causes include tube malposition, blocked drain, chest drain dislodgement, reexpansion pulmonary edema, subcutaneous emphysema, nerve injuries, cardiac and vascular injuries, oesophageal injuries, residual/postextubation pneumothorax, fistulae, tumor recurrence at insertion site, herniation through the site of thoracostomy, chylothorax, and cardiac dysrhythmias. Infective complications include empyema and surgical site infection. Conclusion. Tube thoracostomy, though commonly performed is not without risk. Blunt dissection technique has lower risk of complications and is hence recommended. PMID:22028963

  17. Fixed mask assembly research for APS insertion devices

    International Nuclear Information System (INIS)

    The Fixed Mask Assembly (FMA) is the first component to interact with the photon beam. Two sets of a pair of FMA channels, vertically and horizontally disposed, contain the beam rather than define it. They are subject to very large heat fluxes during containment. In current practice, the FMA channels are made of heavy, seamless copper, have rectangular cross-sections, and are cooled internally with water. Channels are set at grazing angles ranging from 1 to 6 degrees with respect to the beam, depending on the type of insertion device. APS insertion devices will impose higher heat fluxes on FMAs. Therefore, a need exists to improve the FMA engineering, keeping in the mind the current design criteria and philosophy of FMAs. Preliminary analysis of current heat transfer practice indicates that the major resistance to heat transfer is on the coolant side. Therefore, FMA cooling would benefit from enhanced heat transfer on the coolant side. With this principle in mind, an experimental program has been undertaken to explore the feasibility of using high-performance copper tube configurations which are expected to yield heat transfer coefficients, ''h,'' in single phase flow systems 2 to 5(?) times higher than equivalent plain tubes. In this report, the experimental scope and a preliminary analysis of high-performance copper tube configurations are described

  18. Fixed mask assembly research for APS insertion devices

    International Nuclear Information System (INIS)

    The Fixed Mask Assembly (FMA) is the first component to interact with the photon beam. Two sets of a pair of FMA channels, vertically and horizontally disposed, contain the beam rather than define it. They are subject to very large heat fluxes during containment. In current practice, the FMA channels are made of heavy, seamless copper, have rectangular cross-sections, and are cooled internally with water. Channels are set at grazing angles ranging from I to 6 degrees with respect to the beam, depending on the type of insertion device. APS insertion devices will impose higher heat fluxes on FMAS. Therefore, a need exists to improve the FMA engineering, keeping in mind the current design criteria and philosophy of FMAS. Preliminary analysis of current heat transfer practice indicates that the major resistance to heat transfer is on the coolant side. Therefore, FMA cooling would benefit from enhanced heat transfer on the coolant side. With this principle in mind, an experimental program has been undertaken to explore the feasibility of using high-performance copper tube configurations which are expected to yield heat transfer coefficients, open-quotes hclose quotes, in single phase flow systems 2 to 5(?) times higher than equivalent plain tubes. In this report, the experimental scope and a preliminary analysis of high-performance copper tube configurations are described

  19. Concepts for stereoselective acrylate insertion

    KAUST Repository

    Neuwald, Boris

    2013-01-23

    Various phosphinesulfonato ligands and the corresponding palladium complexes [{((PaO)PdMeCl)-μ-M}n] ([{( X1-Cl)-μ-M}n], (PaO) = κ2- P,O-Ar2PC6H4SO2O) with symmetric (Ar = 2-MeOC6H4, 2-CF3C6H4, 2,6-(MeO)2C6H3, 2,6-(iPrO)2C 6H3, 2-(2′,6′-(MeO)2C 6H3)C6H4) and asymmetric substituted phosphorus atoms (Ar1 = 2,6-(MeO)2C6H 3, Ar2 = 2′-(2,6-(MeO)2C 6H3)C6H4; Ar1 = 2,6-(MeO)2C6H3, Ar2 = 2-cHexOC 6H4) were synthesized. Analyses of molecular motions and dynamics by variable temperature NMR studies and line shape analysis were performed for the free ligands and the complexes. The highest barriers of ΔGa = 44-64 kJ/mol were assigned to an aryl rotation process, and the flexibility of the ligand framework was found to be a key obstacle to a more effective stereocontrol. An increase of steric bulk at the aryl substituents raises the motional barriers but diminishes insertion rates and regioselectivity. The stereoselectivity of the first and the second methyl acrylate (MA) insertion into the Pd-Me bond of in situ generated complexes X1 was investigated by NMR and DFT methods. The substitution pattern of the ligand clearly affects the first MA insertion, resulting in a stereoselectivity of up to 6:1 for complexes with an asymmetric substituted phosphorus. In the consecutive insertion, the stereoselectivity is diminished in all cases. DFT analysis of the corresponding insertion transition states revealed that a selectivity for the first insertion with asymmetric (P aO) complexes is diminished in the consecutive insertions due to uncooperatively working enantiomorphic and chain end stereocontrol. From these observations, further concepts are developed. © 2012 American Chemical Society.

  20. Measurements of absorbed heat flux and water-side heat transfer coefficient in water wall tubes

    Science.gov (United States)

    Taler, Jan; Taler, Dawid; Kowal, Andrzej

    2011-04-01

    The tubular type instrument (flux tube) was developed to identify boundary conditions in water wall tubes of steam boilers. The meter is constructed from a short length of eccentric tube containing four thermocouples on the fire side below the inner and outer surfaces of the tube. The fifth thermocouple is located at the rear of the tube on the casing side of the water-wall tube. The boundary conditions on the outer and inner surfaces of the water flux-tube are determined based on temperature measurements at the interior locations. Four K-type sheathed thermocouples of 1 mm in diameter, are inserted into holes, which are parallel to the tube axis. The non-linear least squares problem is solved numerically using the Levenberg-Marquardt method. The heat transfer conditions in adjacent boiler tubes have no impact on the temperature distribution in the flux tubes.

  1. Comparison of two percutaneous radiological gastrostomy tubes in the nutritional management of ALS patients.

    Science.gov (United States)

    Rio, Alan; Ampong, Mary Ann; Turner, Martin R; Shaw, Ashley S; Al-Chalabi, Ammar; Shaw, Chris E; Leigh, P Nigel; Sidhu, Paul S

    2005-09-01

    Patient care and minimizing complications post gastrostomy have to date received little attention in ALS patients. We compare the complications associated with pigtail and mushroom type percutaneous radiological gastrostomy tubes in this patient group. Patients requiring PRG received either Wills-Oglesby or the skin level Entristar. Retrospective review of the clinical notes was performed capturing demographic data, peristomal infection, tube displacement, tube failure, nutritional status, site of disease onset, and survival. Thirty-five patients (Group 1) had the Wills-Oglesby tube of which 14 (40%) tubes required replacement. The Entristar tube was inserted in 29 patients (Group 2) where 8 (28%) required replacement (NS). The incidence of infection was significantly lower with the Entristar tube, (psyndrome'. We conclude that the Entristar skin level gastrostomy tube is associated with a reduction in peristomal infection, tube failure and blockage compared with the Wills-Oglesby tube.

  2. 插入双面有三角形翅片的金属带对热交换管中流动和传热特性的影响%Influence of Double-sided Delta-wing Tape Insert with Alternate-axes on Flow and Heat Transfer Characteristics in a Heat Exchanger Tube

    Institute of Scientific and Technical Information of China (English)

    Smith Eiamsa-ard; Pongjet Promvonge

    2011-01-01

    The convective heat transfer and friction behaviors of turbulent tube flow through a straight tape with double-sided delta wings (T-W) have been studied experimentally. In the current work, the T-W formed on the tape was used as vortex generators for enhancing the heat transfer coefficient by breakdown of thermal boundary layer and by mixing of fluid flow in tubes. The T-W characteristics are (1) T-W with forward/backward-wing arrangement, (2) T-W with alternate axis (T-WA), (3) three wing-width ratios and (4) wing-pitch ratios. The experimental result reveals that for using the T-W, the increases in the mean Nusselt number (Nu) and friction factor are, respectively, up to 165% and 14.8 times of the plain tube and the maximum thermal performance factor is 1.19. It is also obvious that the T-W with forward-wing gives higher heat transfer rate than one with backward-wing around 7%.The present investigation also shows that the heat transfer rate and friction factor obtained from the T-WA is higher than that from the T-W. In addition, the flow pattern and temperature fields in the T-W tube with both backward and forward wings were also examined numerically.

  3. 基于粒子成像测速技术的内置螺旋弹簧换热管内流场研究%Study of Flow Field Characteristics in Heat Exchange Tube with Helical Spring Insert Based on Particle Image Velocimetry

    Institute of Scientific and Technical Information of China (English)

    徐建民; 吴雯; 雷斌; 邹宇; 郑小涛

    2016-01-01

    The flow field characteristics and the influence of the parameters of the coil spring on the inner flow field are studied by using the particle image velocimetry .The results show that the coil spring has a very obvious disturbing effect on the tube ,which not only increases the vortex strength of the tube .but also speeds up the flow rate of the fluid in the tube .The radial velocity of the fluid in the inner spiral spring tube is of M type .The middle diameter ,pitch diameter and spring wire diameter are the main targets of the flow field change .%采用粒子成像测速技术研究了换热管内置螺旋弹簧时的流场特性以及螺旋弹簧的参数对管内流场的影响.结果表明,在管内设置螺旋弹簧有十分明显的扰流效果,不仅增加了管内流体的漩涡强度,而且加快了管内流体的流动速度;内置螺旋弹簧管内流体的径向速度呈M型波动;内置螺旋弹簧的中径、节距以及簧丝直径是影响流场变化的主要因素.

  4. Nasogastric Tube Placement in Newborns Before Discharge.

    Science.gov (United States)

    Alnemri, Abdulrahman M; Saeed, Anjum; Assiri, Asaad M

    2016-04-01

    The aim of this study was to assess the knowledge of medical staff (physicians) at different levels about insertion or placement of nasogastric tube (NGT) in a normal newborn before discharge. It was a survey-based, observational study conducted at King Khalid University Hospital. Atotal of 103 doctors were sent text message; among those 81 (78.6%) responded. Among the respondents, 27, 16, 11 and 27 were neonatologists, general physicians, obstetricians/ ENT/pediatric surgeons, and senior registrars neonatology (SRN), respectively. Majority of physicians, 57 (70.3%) rejected the idea of insertion of NGTin a normal newborn but in 24 (29.6%), answer was to insert NGTin all the newborns before discharge to check the patency of nasal cavities. Regarding the position, region of doctors and their response, majority from Center said ‘No’(not in favour of insertion) but from South, 17/18 (94.4%) said ‘Yes’(in favour of insertion). Regarding other specialties, majority of them showed rejection of this idea. In conclusion, most of the healthcare professionals, directly involved with neonatal care, rejected the idea of routine insertion of NGTin normal newborn examination before discharge; rather, some non-invasive technique could be opted.

  5. Contrast-free endoscopic stent insertion in malignant biliary obstruction

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    AIM: To present a case series of MRCP-guided endoscopic biliary stent placement, performed entirely without contrast injection.METHODS: Contrast-free endoscopic biliary drainage was attempted in 20 patients with malignant obstruction,unsuitable for resection on the basis of tumor extent or medical illness. MRCP images were used to confirm the diagnosis of tumor, to exclude other biliary diseases and to demonstrate the stenoses as well as dilation of proximal liver segments. The procedure was carried out under conscious sedation. Patients were placed in the left lateral decubitus position. The endoscope was inserted, the papilla identified and cannulated by a papillotome. A guide wire was inserted and guided deeply into the biliary tree, above the stenosis, by fluoroscopy. A papillotomy approximately 1 cm. long was performed and the papillotome was exchanged with a guiding-catheter. A 10 Fr, Amsterdam-type plastic stent,7 to 15 cm long, was finally inserted over the guide wire/guiding catheter by a pusher tube system.RESULTS: Successful stent insertion was achieved in all patients. There were no major complications. Successful drainage, with substantial reduction in bilirubin levels,was achieved in all patients.CONCLUSION: This new method of contrast-free endoscopic stenting in malignant biliary obstruction is a safe and effective method of palliation. However, a larger, randomized study comparing this new approach with the standard procedure is needed to confirm the findings of the present study.

  6. The first LHC insertion quadrupole

    CERN Multimedia

    2004-01-01

    An important milestone was reached in December 2003 at the CERN Magnet Assembly Facility. The team from the Accelerator Technology - Magnet and Electrical Systems group, AT-MEL, completed the first special superconducting quadrupole for the LHC insertions which house the experiments and major collider systems. The magnet is 8 metres long and contains two matching quadrupole magnets and an orbit corrector, a dipole magnet, used to correct errors in quadrupole alignment. All were tested in liquid helium and reached the ultimate performance criteria required for the LHC. After insertion in the cryostat, the superconducting magnet will be installed as the Q9 quadrupole in sector 7-8, the first sector of the LHC to be put in place in 2004. Members of the quadrupole team, from the AT-MEL group, gathered around the Q9 quadrupole at its inauguration on 12 December 2003 in building 181.

  7. Insertion device calculations with mathematica

    Energy Technology Data Exchange (ETDEWEB)

    Carr, R. [Stanford Synchrotron Radiation Lab., CA (United States); Lidia, S. [Univ. of California, Davis, CA (United States)

    1995-02-01

    The design of accelerator insertion devices such as wigglers and undulators has usually been aided by numerical modeling on digital computers, using code in high level languages like Fortran. In the present era, there are higher level programming environments like IDL{reg_sign}, MatLab{reg_sign}, and Mathematica{reg_sign} in which these calculations may be performed by writing much less code, and in which standard mathematical techniques are very easily used. The authors present a suite of standard insertion device modeling routines in Mathematica to illustrate the new techniques. These routines include a simple way to generate magnetic fields using blocks of CSEM materials, trajectory solutions from the Lorentz force equations for given magnetic fields, Bessel function calculations of radiation for wigglers and undulators and general radiation calculations for undulators.

  8. Myringotomy versus ventilation tubes in secretory otitis media: eardrum pathology, hearing, and eustachian tube function 25 years after treatment

    DEFF Research Database (Denmark)

    Caye-Thomasen, P.; Stangerup, S.E.; Jorgensen, G.;

    2008-01-01

    OBJECTIVE: This report documents the dynamics of eardrum pathology, hearing acuity, and eustachian tube function during 25 years after treatment of bilateral secretory otitis media. The included children were treated by myringotomy on the left ear and ventilation tube insertion on the right ear....... MATERIALS AND METHODS: Two hundred twenty-four children with bilateral secretory otitis media were treated by bilateral myringotomy and insertion of a ventilation tube on the right side only. The children were reexamined by otomicroscopy, tympanometry, and pure tone audiometry after 3, 7, and 25 years......, but also continuing progression of disease and/or treatment sequelae many years after treatment. However, these changes do not seem to affect the hearing acuity in the long term. The treatment modality has no impact on late eustachian tube function Udgivelsesdato: 2008/8...

  9. Welding of zircaloy tubes for fuel rods fabrication

    International Nuclear Information System (INIS)

    The TIG process form welding zircaloy tube-end plug to fabricate UO2 pellet fuel rods is presented. The zircaloy tube is used as weld by welding zircaloy end-plugs inserted into ends. The technical aspects of this welding process, necessary equipment, and weld properties are discussed. The main problems involved with this type of weld and the nondestructive and destructive weld quality controls are emphasized. (Author)

  10. Device for facilitating the insertion and withdrawal of fuel assemblies from a nuclear reactor

    International Nuclear Information System (INIS)

    A device is provided which is installed in a reactor prior to carrying out refueling operations and which accurately locates and isolates a selected core location to permit rapid withdrawal and insertion of fuel subassemblies at that location. A shielded plug designed to cooperate with the refueling apparatus is inserted into an access port in the reactor head. A structural shroud extends down from the plug and carries at its lower end a radially floating, hexagonal spreader tube with mechanisms to rotate it for angular alignment purposes and a linear drive for inserting it into the core. The upper end of the spreader tube serves as a guide for leading the fuel handling apparatus into alignment with the chosen subassembly

  11. Experimental study on noise reduction effect of a muffler inserted in liquid transporting pipeline

    International Nuclear Information System (INIS)

    In order to reduce the noise of liquid transporting pipelines caused by the motion of the power unit, a kind of compact hydrodynamic muffler used in pipes with small diameters is proposed which achieves good vibration damping as well as hydrodynamic noise reduction. Based on the rubber damper tube, according to the structure characteristics, the muffler is composed of two main parts, the rubber damper tube and the inner noise reducing structure. Experiment on insertion loss of the muffler in stationary state is conducted. It is found that the rubber damper tube itself has a good performance at noise reducing at the frequency band considered here, total insertion loss values can reach 10 dB and the inner structures improve the performance of the muffler at low frequency band

  12. Experimental study on noise reduction effect of a muffler inserted in liquid transporting pipeline

    Science.gov (United States)

    Du, T.; Xu, W. W.; Wu, D. Z.; Wang, L. Q.

    2013-12-01

    In order to reduce the noise of liquid transporting pipelines caused by the motion of the power unit, a kind of compact hydrodynamic muffler used in pipes with small diameters is proposed which achieves good vibration damping as well as hydrodynamic noise reduction. Based on the rubber damper tube, according to the structure characteristics, the muffler is composed of two main parts, the rubber damper tube and the inner noise reducing structure. Experiment on insertion loss of the muffler in stationary state is conducted. It is found that the rubber damper tube itself has a good performance at noise reducing at the frequency band considered here, total insertion loss values can reach 10 dB and the inner structures improve the performance of the muffler at low frequency band.

  13. Field errors in hybrid insertion devices

    Energy Technology Data Exchange (ETDEWEB)

    Schlueter, R.D. [Lawrence Berkeley Lab., CA (United States)

    1995-02-01

    Hybrid magnet theory as applied to the error analyses used in the design of Advanced Light Source (ALS) insertion devices is reviewed. Sources of field errors in hybrid insertion devices are discussed.

  14. Field Errors in Hybrid Insertion Devices

    OpenAIRE

    Schlueter, R.D.

    1995-01-01

    Hybrid magnet theory as applied to the error analyses used in the design of Advanced Light Source (ALS) insertion devices is reviewed. Sources of field errors in hybrid insertion devices are discussed.

  15. Experimental investigation of turbulent heat transfer performance in internal flow using a star shape cross sectioned twisted rod inserts

    Science.gov (United States)

    Kapse, A. A.; Dongarwar, P. R.; Gawande, R. R.

    2016-04-01

    In the present investigation, the heat transfer and pressure drop characteristics of a circular tube fitted with a new 5 point star shape cross sectioned twisted rod inserts are experimentally reported for fully developed turbulent flow regime. Test runs were conducted in a concentric double pipe heat exchanger in the Reynolds number (Re) range of 8000-32,000 with water as a working fluid. For different investigated geometries of insert, the average Nusselt number ratio ({{Nu}}_{{a}} /{{Nu}}_{{p}} ) and average friction factor ratio ({{f}}_{{a}} /{{f}}_{{p}} ) with and without inserts are reported to be in the range of 1.79-2.79 and 2.44-4.17 respectively. The Nusselt number ratio ({{Nu}}_{{a}} /{{Nu}}_{{c}} ) based on equal pumping power is also reported and found to be in the range of 0.94-1.24. The effects of varying pitch to length of insert ratio (p/l) and diameter of insert to the inner diameter of tube ratio (d/Di) on heat transfer and pressure drop are reported and empirical correlation is given for Nusselt number in terms of Reynolds number (Re), pitch to length of insert ratio (p/l), insert diameter to inner diameter of tube ratio (d/Di) and Prandtl number (Pr).

  16. Radiographic testing of tube-to-tubesheet of heatexchanger

    International Nuclear Information System (INIS)

    Most of the heat exchangers used for thermal and nuclear power plants are of shell and tube type, and when tubes and tube plates are welded, high reliability is required for the welded parts. As the intermediate heat exchangers for high temperature liquid sodium of FBRs, the similar construction is considered, therefore, the inspection of high accuracy is indispensable. There are various welded joint types for tubes and tube plates. Toshiba Corp. has developed and put in practical use the inspection techniques for the welded joints of tubes and tube plates using the small focus x-ray apparatuses of rod anode type, and very high reliability was able to be obtained. By applying these techniques, the skill of welders can be tested and certified, and the quality of welded parts can be heightened. With the small focus x-ray apparatuses, the energy can be changed by the tube voltage, high sharpness and contrast can be obtained, and inspection can be carried out in a short time. The principle, specification, targets and test results of these apparatuses are described. The radiography of the butt-welded joints, inserted type joints and other types of tubes and tube plates is explained. The procedure of radiography is shown. (Kako, I.)

  17. Does 'insertion' work? France's minimum income"

    OpenAIRE

    Whitton, Timothy

    1993-01-01

    International audience France's Revenu Minimum d Insertion (RMI) received the approval of the French Parliament on 1st December1988, and came into effect shortly afterwardsi. In addition to a means test, the RMI is conditional upon signature of a contract (le contrat d'insertion) by which its recipients pledge themselves to take whatever action the RMI authorities recommend in order to re-insert themselves in main-stream society. Insertion is a difficult concept to translate into English. ...

  18. Delayed bowel perforation following suprapubic catheter insertion

    OpenAIRE

    Mehta Ajay; Ahmed Shwan J; Rimington Peter

    2004-01-01

    Abstract Background Complications of suprapubic catheter insertion are rare but can be significant. We describe an unusual complication of a delayed bowel perforation following suprapubic catheter insertion. Case presentation A gentleman presented with features of peritonitis and feculent discharge along a suprapubic catheter two months after insertion of the catheter. Conclusion Bowel perforation is the most feared complication of suprapubic catheter insertion especially in patients with low...

  19. Tetrahedral mesh for needle insertion

    OpenAIRE

    Syvertsen, Rolf Anders

    2007-01-01

    This is a Master’s thesis in how to make a tetrahedral mesh for use in a needle insertion simulator. It also describes how it is possible to make the simulator, and how to improve it to make it as realistic as possible. The medical simulator uses a haptic device, a haptic scene graph and a FEM for realistic soft tissue deformation and interaction. In this project a tetrahedral mesh is created from a polygon model, and then the mesh has been loaded into the HaptX haptic scene graph. The object...

  20. 脑卒中患者胃管留置长度的循证护理实践与效果评价%Evidence based nursing practice and effect evaluation of gastric tube insertion length for stroke patients with cerebral

    Institute of Scientific and Technical Information of China (English)

    陈鸿梅; 邓丽媛; 王艳红; 兰鸿

    2014-01-01

    Objective To study and evaluate the effect of nasogastric tube's indwelling length for stroke patients with cerebral .Method 116 patients with enteral nutrition by nasogastric tube were randomly assigned and divided in‐to control group and observe group .The indwelling length of nasogastric tube was 55~65 cm from eyebrows to na‐vel in the control group ,and 45~55 cm in the observe group .Result The remain volume of gastric juice in the ob‐serve group was more than that of the control group(P<0 .05) .Conclusion Selecting a suitable indwelling length of nasogastric tube among stroke patients by the evidence‐based nursing may reflect the gastric residual volume accu‐rately ,reduce reflux ,choking and aspiration rates .Its a feasibility method for clinical using .%目的:应用循证护理探讨脑卒中患者胃管置入长度并评价其效果。方法将我院116例经鼻胃管肠内营养的脑卒中患者随机分为对照组(n=52)和观察组(n=64),观察组根据循证步骤选取最佳的证据,改进胃管留置长度为患者眉心至脐的体表距离(约55~65 cm );对照组按《基础护理学》教材,胃管留置长度为患者前额发际至剑突的体表距离(约45~55 cm ),比较两组患者返流、呛咳及误吸的发生率和胃内残留量监测情况。结果观察组返流、呛咳及误吸发生率均低于对照组(P<0.05);观察组胃内残留量大于对照组(P<0.05)。结论采取循证护理的方法制订科学、个性化的胃管留置长度,可准确反映胃内残留量,减少返流、呛咳及误吸发生率,值得在临床实践工作中推荐。

  1. Tracheostomy tube - speaking

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000465.htm Tracheostomy tube - speaking To use the sharing features on ... are even speaking devices that can help you. Tracheostomy Tubes and Speaking Air passing through vocal cords ( ...

  2. Neural Tube Defects

    Science.gov (United States)

    Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the ... that she is pregnant. The two most common neural tube defects are spina bifida and anencephaly. In ...

  3. 21 CFR 868.5800 - Tracheostomy tube and tube cuff.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Tracheostomy tube and tube cuff. 868.5800 Section... (CONTINUED) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Therapeutic Devices § 868.5800 Tracheostomy tube and tube cuff. (a) Identification. A tracheostomy tube and tube cuff is a device intended to be placed into...

  4. The love moaning of a poet: the vocabulary of the letters written by Ahmed Arif to Leyla ErbilBir şairin aşk iniltileri: Ahmed Arif’ten Leyla Erbil’e mektupların söz varlığı

    Directory of Open Access Journals (Sweden)

    Sami Baskın

    2015-09-01

    Full Text Available Ahmed Arif, who is one of the Sociable Poets of the 1940s, wrote about the topics in his works in a romantic style. The enthusiasm and the romance in his works separates him from other poets of the era. Although he wrote only one poetry book, his poems such as Hasretinden Prangalar Eskittim, Haberin Var mı? (İçerde, Terketmedi Sevdan Beni became famous and were composed and sung by famous singers of Turkey like Funda Arar, Ahmet Kaya, Suavi, Edip Akbayram, Cem Karaca. These events made him become a famous poet not only in a narrow society who had similar thoughts, but also all over Turkey. There are many sources for the lyricism and romance that gave him this fame. However, the most important share among these many sources belongs to his love for Leyla Erbil. He did not limit his love with poems and he conveyed his love for Leyla Erbil in the letters he wrote, most of which were written between the years 1954-1959, and the last of which was written in 1977. In his poems, Ahmed Arif told his love, his environment, the intellectual world of the era, his exiles and the challenges he had experienced. All these reasons make the verbal existence of the Letters from Ahmed Arif to Leyla Erbil important. For this reason, in this study, the letters are examined in terms of verbal existence and the words in his works are classified under titles such as Basic Word Existence, Proverbs, Phrases, Terms, Verbal Structures, Reduplications, Slang and Expletives, Sayings specific to Diyarbakır, etc. and the concept areas are defined. As a result of this, it has been determined that Ahmed Arif was infatuated with Leyla Erbil, he even placed her in the very center of his personal life, sometimes he deified her, and defined her as “My lady, my friend, by sister, my daughter, my god, my messenger”. Moreover, it was also observed that the local sayings, phrases, and especially slang and expletives have important places in Ahmed Arif’s vocabulary.  

  5. Comparison of bougie-guided insertion of Proseal tm laryngeal mask airway with digital technique in adults

    Directory of Open Access Journals (Sweden)

    Anand Kuppusamy

    2010-01-01

    Full Text Available The Proseal TM laryngeal mask airway (PLMA TM , Laryngeal Mask Company, UK was designed to improve ventilatory characteristics and offer protection against regurgitation and gastric insufflation. The PLMA is a modified laryngeal mask airway with large ventral cuff, dorsal cuff and a drain tube. These modifications improve seal around glottis and enable better ventilatory characteristics. The drain tube prevents gastric distension and offers protection against aspiration. There were occasional problems, like failed insertion and inadequate ventilation, in placing PLMA TM using the classical digital technique. To overcome these problems, newer placement techniques like thumb insertion technique, introducer tool placement and gum elastic bougie (GEB-aided placement were devised. We compared classical digital placement of PLMA TM with gum elastic bougie-aided technique in 60 anaesthetised adult patients (with 30 patients in each group with respect to number of attempts to successful placement, effective airway time, airway trauma during insertion, postoperative airway morbidity and haemodynamic response to insertion. The number of attempts to successful placement, airway trauma during insertion and haemodynamic response to insertion were comparable among the two groups, while effective airway time and oropharyngeal leak pressure were significantly higher in bougie- guided insertion of PLMA. Postoperatively, sore throat was more frequent with digital technique while dysphagia was more frequent with bougie-guided technique. Hence gum elastic bougie guided, laryngoscope aided insertion of PLMA is an excellent alternate to classical digital technique.

  6. Combined Scleral Flap with Donor Scleral Patch Graft for Anterior Tube Placement in Glaucoma Drainage Device Surgery

    Science.gov (United States)

    Yu, Jea H.; Nguyen, Chuck; Gallemore, Esmeralda

    2016-01-01

    Purpose. To report a new technique for anterior placement of tubes for glaucoma drainage devices to reduce the risk of tube erosions. Methods. Retrospective review of select cases of Ahmed Valve surgery combined with the novel method of a limbal-based scleral flap covered by a scleral patch graft to cover the tube at the entrance through the limbus. Intraoperative and postoperative illustrations are shown to highlight the method of tube placement. Results. In this retrospective case series, 3 patients are presented illustrating the technique. Two had neovascular glaucoma and one had primary open-angle glaucoma (POAG). On average, intraocular pressure was reduced from 39 ± 14 mmHg to 15 ± 2 mmHg and the number of glaucoma medications was reduced from 4 ± 1 to 0. Preoperative and most recent visual acuities were hand-motion (HM) and HM, 20/60 and 20/50, and 20/70 and 20/30, respectively. Conclusion. The combination of a limbal-based scleral flap with scleral patch graft to cover the tube with glaucoma drainage devices may be an effective means to reduce erosion and protect against endophthalmitis. PMID:27747118

  7. Combined Scleral Flap with Donor Scleral Patch Graft for Anterior Tube Placement in Glaucoma Drainage Device Surgery

    Directory of Open Access Journals (Sweden)

    Jea H. Yu

    2016-01-01

    Full Text Available Purpose. To report a new technique for anterior placement of tubes for glaucoma drainage devices to reduce the risk of tube erosions. Methods. Retrospective review of select cases of Ahmed Valve surgery combined with the novel method of a limbal-based scleral flap covered by a scleral patch graft to cover the tube at the entrance through the limbus. Intraoperative and postoperative illustrations are shown to highlight the method of tube placement. Results. In this retrospective case series, 3 patients are presented illustrating the technique. Two had neovascular glaucoma and one had primary open-angle glaucoma (POAG. On average, intraocular pressure was reduced from 39±14 mmHg to 15±2 mmHg and the number of glaucoma medications was reduced from 4±1 to 0. Preoperative and most recent visual acuities were hand-motion (HM and HM, 20/60 and 20/50, and 20/70 and 20/30, respectively. Conclusion. The combination of a limbal-based scleral flap with scleral patch graft to cover the tube with glaucoma drainage devices may be an effective means to reduce erosion and protect against endophthalmitis.

  8. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... YouTube Videos > NEI YouTube Videos: Amblyopia NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration Amblyopia ... of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI on Twitter NEI on YouTube NEI ...

  9. NEI You Tube Videos: Amblyopia

    Science.gov (United States)

    ... NEI YouTube Videos > NEI YouTube Videos: Amblyopia NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration ... Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI on Twitter NEI on YouTube ...

  10. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... NEI YouTube Videos > NEI YouTube Videos: Amblyopia NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration ... Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI on Twitter NEI on YouTube ...

  11. TPV Tube Generators for Apartment Building and Industrial Furnace Applications

    Science.gov (United States)

    Fraas, Lewis M.; Avery, James E.; Daniels, Wilbert E.; Huang, Huang X.; Malfa, Enrico; Venturino, Matteo; Testi, Giandomenico; Mascalzi, Gianni; Wuenning, Joachim G.

    2003-01-01

    Major changes in the regulation of electric and natural gas industries during recent years have forced energy companies to explore opportunities in small-size Combined Heat and Power systems. These differ fundamentally from the traditional model of central generation and delivery since small, modular electric generators can be located very close to end-users inside a building or a single house within an industrial area, combined with the production of heat and cold. In particular, interest is growing in the new technologies for sub-100kWe units, including systems based on thermophotovoltaic (TPV) technology. TPV generator tubes can be inserted into hot furnaces to generate electricity and low-grade heat. In this generator tube, a water-cooled GaSb photovoltaic converter array inside the tube faces outward toward an infrared emitter liner mounted on the inside surface of the closed-end tube. Each tube can be sized to generate several kW and a given furnace can heat several tubes. We have conducted pilot experiments on key components in order to develop the concept just described. This includes a pilot scale array tested in an electrical furnace that heat a 3″ diameter alumina tube with an infrared emitting liner. Also, a silicon carbide tube with a water-cooling system was tested in a ceramic fiber lined furnace equipped with a commercial 200 kW flameless regenerative burner, simulating a TPV generator tube in such a system.

  12. Evaluation of promoting effect of transdermal enhancers with AHM-Topsis%基于属性AHM的Topsis综合评价促透剂的促透效果

    Institute of Scientific and Technical Information of China (English)

    赖焕玲; 黄萍; 王晖

    2012-01-01

    目的 运用基于属性AHM的Topsis,对几种促透剂的促透效果进行综合评价.方法 以延胡索乙素为模型药物,以氮酮、薄荷醇、丁香油、广藿香挥发油为促透剂,在离体透皮吸收装置上进行透皮吸收实验,计算渗透系数、稳态流量、滞后时间、增渗倍数,运用基于属性AHM的Topsis对促透效果进行综合评价.结果 对延胡索乙素的促渗作用,优劣顺序为:10 mL·L-1氮酮、10 mL·L-1氮酮和10 mL·L-1丁香油、10 mL·L-1丁香油、10 mL·L-1氮酮和10 mL·L-1薄荷醇、10 mL·L-1薄荷醇和10 mL·L-1丁香油、10 mL·L-1薄荷醇、10 mL·L-1氮酮和10 mL·L-1广藿香挥发油、10 mL·L-1丁香油和10 mL·L-1广藿香挥发油、10 mL·L-1薄荷醇和10 mL·L-1广藿香挥发油、10 mL·L-1广藿香挥发油.结论 基于属性AHM的Topsis使主观与客观相结合,能公正地评价中药挥发油促渗剂的促渗效果.%Objective To evaluate the promoting effect of transdermal enhancers with AHM-Topsis .Methods Tetrahydropalmatine was used as a model,and azone,menthol,clove oil,and patchouli oil were used as transdermal enhancers .Transdermal absorption experiment the of nicotinamide on the device of penetrating skins in vitro was done .Penetrating rates and steady fluxs and lag times and enhancement ratio were observed ,and then the AHM-Topsis was used to evaluate the promoting effect of transdermal enhancers .Results As for promoting effect on tetrahydropalmatine ,the order of advantages and disadvantages were as follows :10 mL · L-1 azone ,10 mL · L-1 azone & 10 mL · L-1 clove oil ,10 mL · L-1 clove oil ,10 mL · L azone & 10 mL · L-1 menthol ,10 mL ?·L-1 menthol & 10 mL · L-1 clove oil ,10 mL · L-1 menthol ,10 mL · L-1 azone & 10 mL · L-1 patchouli oil ,10 mL · L-1 clove oil & 10 mL · L-1 patchouli oil,10 mL · L-1 menthol & 10 mL · L-1 patchouli oil ,10 mL · L-1 patchouli oil .Conclusion AHM-Topsis can evaluate the promoting effect of transdermal

  13. Development of fabrication technology for copper canisters with cast inserts. Status report in August 2001

    International Nuclear Information System (INIS)

    This report contains an account of the results of trial fabrication of copper canisters with cast inserts carried out during the period 1998 - 2001. The work of testing of fabrication methods is being focused on a copper thickness of 50 mm. Occasional canisters with 30 mm copper thickness are being fabricated for the purpose of gaining experience and evaluating fabrication and inspection methods for such canisters. For the fabrication of copper tubes, SKB has concentrated its efforts on seamless tubes made by extrusion and pierce and draw processing. Five tubes have been extruded and two have been pierced and drawn during the period. Materials testing has shown that the resultant structure and mechanical properties of these tubes are good. Despite certain problems with dimensional accuracy, it can be concluded that both of these methods can be developed for use in the serial production of SKB' copper tubes. No new trial fabrication with roll forming of copper plate and longitudinal welding has been done. This method is nevertheless regarded as a potential alternative. Copper lids and bottoms are made by forging of continuous-cast bars. The forged blanks are machined to the desired dimensions. Due to the Canister Laboratory's need for lids to develop the technique for sealing welding, a relatively large number of forged blanks have been fabricated. It is noted in the report that the grain size obtained in lids and bottoms is much coarser than in fabricated copper tubes. Development work has been commenced for the purpose of optimizing the forging process. Nine cast inserts have been cast during the three-year period. The results of completed material testing of test pieces taken at different places along the length of the inserts have in several cases shown an unacceptable range of variation in strength properties and structure. In the continued work, insert fabrication will be developed in terms of both casting technique and iron composition. Development work on

  14. PanoInserts: mobile spatial teleconferencing

    OpenAIRE

    Pece, F.; Steptoe, W.; F. Wanner; Julier, S.; Weyrich, T.; Kautz, J.; Steed, A.

    2013-01-01

    We present PanoInserts: a novel teleconferencing system that uses smartphone cameras to create a surround representation of meeting places. We take a static panoramic image of a location into which we insert live videos from smartphones. We use a combination of marker- and image-based tracking to position the video inserts within the panorama, and transmit this representation to a remote viewer. We conduct a user study comparing our system with fully-panoramic video and conventional webcam vi...

  15. Lunar Lava Tube Sensing

    Science.gov (United States)

    York, Cheryl Lynn; Walden, Bryce; Billings, Thomas L.; Reeder, P. Douglas

    1992-01-01

    Large (greater than 300 m diameter) lava tube caverns appear to exist on the Moon and could provide substantial safety and cost benefits for lunar bases. Over 40 m of basalt and regolith constitute the lava tube roof and would protect both construction and operations. Constant temperatures of -20 C reduce thermal stress on structures and machines. Base designs need not incorporate heavy shielding, so lightweight materials can be used and construction can be expedited. Identification and characterization of lava tube caverns can be incorporated into current precursor lunar mission plans. Some searches can even be done from Earth. Specific recommendations for lunar lava tube search and exploration are (1) an Earth-based radar interferometer, (2) an Earth-penetrating radar (EPR) orbiter, (3) kinetic penetrators for lunar lava tube confirmation, (4) a 'Moon Bat' hovering rocket vehicle, and (5) the use of other proposed landers and orbiters to help find lunar lava tubes.

  16. 蒸发器内置毛细管开孔系统强化换热的试验研究%Experimental Study on Heat Transfer Enhancement by Holes Opened in the Capillary Inserted in the Tube of the Evaporator

    Institute of Scientific and Technical Information of China (English)

    李鹏; 刘斌; 王清伟; 段爱鹏

    2016-01-01

    Based on the field synergy principle and enhancement of heat transfer characteristics of jet impingement,a new type heat ex-changer was designed.In this device,the capillary with opening holes was placed into the evaporation tube,making the refrigerant directly spray to the inner surface of the evaporation and absorb heat by evaporating,in which the heat transferring effi-ciency was extremely high because of the best coordination between velocity field and temperature gradient field.Theoretical anal-ysis of the capillary tube was taken to learn the coordination between velocity field and temperature gradient field with inlet veloci-ty (2m/s and 0.5m/s)and aperture (1mm and 0.5mm).Meanwhile experiments of the new type heat ex-changer were carried out under the evaporation pressure of 0 MPa,and compared with conventional capillary throttle system.The results shows the temperature field on the surface of the evaporation tube was more stable in the opening experiments,while there was a big fluctua-tion in contrast capillary experiment due to its poor ability of flow adjustment.With the same conditions of evaporation pressure and heat transfer area,the exhaust pressure in conventional capillary experiment was 13.6%higher than that of opening experi-ment,so the coefficient of performance and refrigerant charge amount are better than those of conventional capillary experiment. Meanwhile compressor power consumption in conventional capillary experiment was 9.1% higher than that of opening experiment, which verified the higher refrigerating efficiency of opening experiment.Due to the jet impingement of refrigerant and the best co-ordination between the flow field and temperature gradient field,the performance of heat ex-changer was dramatically improved, which made the temperature field on the surface of the evaporating tubes more uniform.%基于场协同强化理论,结合射流冲击的换热特点对常规毛细节流制冷系统进行优化,设计出一种新型的换

  17. Pleural controversy: optimal chest tube size for drainage.

    Science.gov (United States)

    Light, Richard W

    2011-02-01

    In recent years, a higher and higher percentage of patients with pleural effusions or pneumothorax are being treated with small-bore (10-14 F) chest tubes rather than large-bore (>20 F). However, there are very few randomized controlled studies comparing the efficacy and complication rates with the small- and large-bore catheters. Moreover, the randomized trials that are available have flaws in their design. The advantages of the small-bore catheters are that they are easier to insert and there is less pain with their insertion while they are in place. The placement of the small-bore catheters is probably more optimal when placement is done with ultrasound guidance. Small-bore chest tubes are recommended when pleurodesis is performed. The success of the small-bore indwelling tunnelled catheters that are left in place for weeks documents that the small-bore tubes do not commonly become obstructed with fibrin. Patients with complicated parapneumonic effusions are probably best managed with small-bore catheters even when the pleural fluid is purulent. Patients with haemothorax are best managed with large-bore catheters because of blood clots and the high volume of pleural fluid. Most patients with pneumothorax can be managed with aspiration or small-bore chest tubes. If these fail, a large-bore chest tube may be necessary. Patients on mechanical ventilation with barotrauma induced pneumothoraces are best managed with large-bore chest tubes.

  18. Tubing weld cracking test

    International Nuclear Information System (INIS)

    A tubing weld cracking (TWC) test was developed for applications involving advanced austenitic alloys (such as modified 800H and 310HCbN). Compared to the Finger hot cracking test, the TWC test shows an enhanced ability to evaluate the crack sensitivity of tubing materials. The TWC test can evaluate the cracking tendency of base as well as filter materials. Thus, it is a useful tool for tubing suppliers, filler metal producers and fabricators

  19. Delayed bowel perforation following suprapubic catheter insertion

    Directory of Open Access Journals (Sweden)

    Mehta Ajay

    2004-12-01

    Full Text Available Abstract Background Complications of suprapubic catheter insertion are rare but can be significant. We describe an unusual complication of a delayed bowel perforation following suprapubic catheter insertion. Case presentation A gentleman presented with features of peritonitis and feculent discharge along a suprapubic catheter two months after insertion of the catheter. Conclusion Bowel perforation is the most feared complication of suprapubic catheter insertion especially in patients with lower abdominal scar. The risk may be reduced with the use of ultrasound scan guidance.

  20. Nozzle insert for mixed mode fuel injector

    Science.gov (United States)

    Lawrence, Keith E.

    2006-11-21

    A fuel injector includes a homogenous charge nozzle outlet set and a conventional nozzle outlet set controlled respectively, by first and second needle valve members. The homogeneous charged nozzle outlet set is defined by a nozzle insert that is attached to an injector body, which defines the conventional nozzle outlet set. The nozzle insert is a one piece metallic component with a large diameter segment separated from a small diameter segment by an annular engagement surface. One of the needle valve members is guided on an outer surface of the nozzle insert, and the nozzle insert has an interference fit attachment to the injector body.

  1. Categorising YouTube

    OpenAIRE

    Thomas Mosebo Simonsen

    2011-01-01

    This article provides a genre analytical approach to creating a typology of the User Generated Content (UGC) of YouTube. The article investigates the construction of navigation processes on the YouTube website. It suggests a pragmatic genre approach that is expanded through a focus on YouTube’s technological affordances. Through an analysis of the different pragmatic contexts of YouTube, it is argued that a taxonomic understanding of YouTube must be analysed in regards to the vacillation of a...

  2. Steam generator tube performance

    International Nuclear Information System (INIS)

    A survey of steam generator operating experience for 1986 has been carried out for 184 pressurized water and pressurized heavy-water reactors, and 1 water-cooled, graphite-moderated reactor. Tubes were plugged at 75 of the reactors (40.5%). In 1986, 3737 tubes were plugged (0.14% of those in service) and 3148 tubes were repaired by sleeving. A small number of reactors accounted for the bulk of the plugged tubes, a phenomenon consistent with previous years. For 1986, the available tubesheet sludge data for 38 reactors has been compiled into tabular form, and sludge/deposit data will be incorporated into all future surveys

  3. Ultrasonic inspection of nodular cast iron insert edge distance using curved linear PA-probe

    Energy Technology Data Exchange (ETDEWEB)

    Lipponen, A.; Sarkimo, M. (VTT Technical Research Centre of Finland, Espoo (Finland)); Pitkaenen, J. (Posiva Oy, Eurajoki (Finland))

    2010-05-15

    Nuclear fuel disposal canisters consist of a copper tube and a cast iron insert. The copper tube is designed for corrosion protection. The design and use of the nodular cast iron insert is based on strength and fracture mechanic aspects and it is the load carrying part of the structure. The preliminary acceptance criteria for the cast iron insert are under study. There are several aspects in accepting the inspection results of nodular cast iron insert for use. One aspect among others is the position of the edge which is nearest to surface. In an earlier study this was stated to have a tolerance of edge position +- 5 mm. There have been studies both on eccentricity and the real position of the nearest edge tolerances. To determine the edge position, different ultrasonic techniques were tested using a curved linear PA-probe. To evaluate whether the distance variation is within the tolerance limit, the real geometrical nominal distance must be computed. Because the tolerances of the cast iron insert and its internal geometry can give a large variation in the edge position, these must be carefully evaluated. The applied ultrasonic system is a 128 element phased array equipment. The used probe is curved and adjusted to curvature of the cast iron insert. The curved probe was designed to inspect the edge of the channel with one long axial line scanning. During line scanning the phased array probe does at the same time electronical scanning. To optimize this electronic scanning, three different ultrasonic techniques were used. This evaluation of edge distance was tested in four inspections of real size cast iron inserts. It was seen that the variation of the edge position is about 1 to 12 mm in radial direction (straightness) and in circumferential direction about 2 to 8 mm (twist) in range of about 4 m. (orig.)

  4. Steam generator tube failures

    International Nuclear Information System (INIS)

    A review and summary of the available information on steam generator tubing failures and the impact of these failures on plant safety is presented. The following topics are covered: pressurized water reactor (PWR), Canadian deuterium uranium (CANDU) reactor, and Russian water moderated, water cooled energy reactor (VVER) steam generator degradation, PWR steam generator tube ruptures, the thermal-hydraulic response of a PWR plant with a faulted steam generator, the risk significance of steam generator tube rupture accidents, tubing inspection requirements and fitness-for-service criteria in various countries, and defect detection reliability and sizing accuracy. A significant number of steam generator tubes are defective and are removed from service or repaired each year. This wide spread damage has been caused by many diverse degradation mechanisms, some of which are difficult to detect and predict. In addition, spontaneous tube ruptures have occurred at the rate of about one every 2 years over the last 20 years, and incipient tube ruptures (tube failures usually identified with leak detection monitors just before rupture) have been occurring at the rate of about one per year. These ruptures have caused complex plant transients which have not always been easy for the reactor operators to control. Our analysis shows that if more than 15 tubes rupture during a main steam line break, the system response could lead to core melting. Although spontaneous and induced steam generator tube ruptures are small contributors to the total core damage frequency calculated in probabilistic risk assessments, they are risk significant because the radionuclides are likely to bypass the reactor containment building. The frequency of steam generator tube ruptures can be significantly reduced through appropriate and timely inspections and repairs or removal from service

  5. Steam generator tube failures

    Energy Technology Data Exchange (ETDEWEB)

    MacDonald, P.E.; Shah, V.N.; Ward, L.W.; Ellison, P.G.

    1996-04-01

    A review and summary of the available information on steam generator tubing failures and the impact of these failures on plant safety is presented. The following topics are covered: pressurized water reactor (PWR), Canadian deuterium uranium (CANDU) reactor, and Russian water moderated, water cooled energy reactor (VVER) steam generator degradation, PWR steam generator tube ruptures, the thermal-hydraulic response of a PWR plant with a faulted steam generator, the risk significance of steam generator tube rupture accidents, tubing inspection requirements and fitness-for-service criteria in various countries, and defect detection reliability and sizing accuracy. A significant number of steam generator tubes are defective and are removed from service or repaired each year. This wide spread damage has been caused by many diverse degradation mechanisms, some of which are difficult to detect and predict. In addition, spontaneous tube ruptures have occurred at the rate of about one every 2 years over the last 20 years, and incipient tube ruptures (tube failures usually identified with leak detection monitors just before rupture) have been occurring at the rate of about one per year. These ruptures have caused complex plant transients which have not always been easy for the reactor operators to control. Our analysis shows that if more than 15 tubes rupture during a main steam line break, the system response could lead to core melting. Although spontaneous and induced steam generator tube ruptures are small contributors to the total core damage frequency calculated in probabilistic risk assessments, they are risk significant because the radionuclides are likely to bypass the reactor containment building. The frequency of steam generator tube ruptures can be significantly reduced through appropriate and timely inspections and repairs or removal from service.

  6. A Shocking Complication of a Pneumothorax: Chest Tube-Induced Arrhythmias and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Shaun Cardozo

    2014-01-01

    Full Text Available We describe a patient with a recent chest tube insertion leading to atrial fibrillation with rapid ventricular rate that led to multiple inappropriate internal cardiac defibrillator (ICD shocks. This is the first reported case of this occurring in a patient with an ICD leading to inappropriate shocks. Our elderly patient with emphysema presented with a spontaneous pneumothorax and developed rapid atrial fibrillation following emergency tube thoracostomy. The patient had a single lead ICD and received multiple inappropriate shocks for the rapid ventricular rate in the therapy zone. Although medical treatment helped stabilize the patient, resolution of the atrial fibrillation occurred only after the chest tube was removed. In a patient with a chest tube or other intrathoracic catheters, maintaining a high index of suspicion that chest tube insertions can cause secondary life threatening cardiovascular complications needs to be considered. In such patients, removal of the device proves to be the most prudent treatment action.

  7. Marginal adaptation of ceramic inserts after cementation

    NARCIS (Netherlands)

    Ozcan, M; Pfeiffer, P; Nergiz, [No Value

    2002-01-01

    The advantage of using ceramic inserts is to prevent major drawbacks of composite resins such as polymerization shrinkage, wear and microleakage. This in vitro study evaluated the marginal adaptation of two approximal ceramic insert systems after cementation to the cavities opened with ultrasonic ti

  8. An Elementary Account of Needle Insertion

    Institute of Scientific and Technical Information of China (English)

    张文兵; 霍则军

    2004-01-01

    @@ Based on the authors' clinical and personal experiences, several pain-inducing factors easily to be ignored by the operators when quick needle insertion is applied, and the authors' first invented slow painless needle insertion method are introduced in the article.

  9. Hologram recording tubes

    Science.gov (United States)

    Rajchman, J. H.

    1973-01-01

    Optical memories allow extremely large numbers of bits to be stored and recalled in a matter of microseconds. Two recording tubes, similar to conventional image-converting tubes, but having a soft-glass surface on which hologram is recorded, do not degrade under repeated hologram read/write cycles.

  10. Welding Tubes In Place

    Science.gov (United States)

    Meredith, R.

    1984-01-01

    Special welding equipment joins metal tubes that carry pressurized cyrogenic fluids. Equipment small enough to be used in confined spaces in which such tubes often mounted. Welded joints lighter in weight and more leak-proof than joints made with mechanical fittings.

  11. Experiments on vibration of heat exchanger tube arrays in cross flow

    International Nuclear Information System (INIS)

    A series of tests have been made at the Commissariat a l'Energie Atomique, in cooperation with General Atomic Company, SAN DIEGO (U.S.A.) on the flow-induced vibration of heat exchanger tube bundles in cross flow. These tests were made in air on tube bundles which simulated heat exchangers in the high temperature gas cooled reactors. The tests were of two types. In the first type, an instrumented tube was inserted at various locations into a tube bundle. Measurements were made of pressure at a number of points along the tube and about the circumference of the tube. These measurements were processed to obtain the spectra of turbulent pressure fluctuations on the tube, the spanwise correlation and the lift force. The second set of tests was made on tube bundles with flexible tubes. As the flow velocity was increased, these tests clearly show an instability. Nine tube configurations were tested with both plastic and metallic tubes and the effect of tube-to-tube difference in natural frequency was investigated

  12. Measurement and computation for sag of calandria tube due to irradiation creep in PHWR

    International Nuclear Information System (INIS)

    Calandria tubes and Liquid Injection Shutdown System(LISS) tubes in a Pressurized Heavy Water Reactor(PHWR) are to sag due to irradiation creep and growth during plant operation. When the sag of calandria tube becomes bigger, the calandria tube possibly comes in contact with LISS tube crossing beneath the calandria tube. The contact subsequently may cause the damage on the calandria tube resulting in unpredicted outage of the plant. It is therefore necessary to check the gap between the two tubes in order to periodically confirm no contact by using a proper measure during the plant life. An ultrasonic gap measuring probe assembly which can be inserted into two viewing ports of the calandria was developed in Korea and utilized to measure the sags of both tubes in the PHWR. It was found that the centerlines of calandria tubes and liquid injection shutdown system tubes can be precisely detected by ultrasonic wave. The gaps between two tubes were easily obtained from the relative distance of the measured centerline elevations of the tubes. Based on the irradiation creep equation and the measurement data, a computer program to calculate the sags was also developed. With the computer program, the sag at the end of plant life was predicted

  13. Metallographic study of reconstitution welding in inserts of 1 cm{sup 3}; Estudio metalografico de soldaduras de reconstitucion en insertos de 1 cm{sup 3}

    Energy Technology Data Exchange (ETDEWEB)

    Romero C, J.; Garcia R, R.; Fernandez T, F.; Perez R, N.; Rocamontes A, M. [ININ, 52750 La Marquesa, Estado de Mexico (Mexico)

    2007-07-01

    In this article, the welding metallographic study carried out in Charpy test tubes reconstituted with notch in 'V', used in the surveillance programs of the vessel in nucleo electric plants is described. Inserts of 1 cm{sup 3} are used, where the inserts are usually rectangular of minimum 18 millimeters of length. The importance of using inserts of 1 cm{sup 3} is that the mechanical properties can be measured in another direction of the vessel steel, when changing the direction or sense of the notch in 'V' or the face where this notch is made in the insert. (Author)

  14. Categorising YouTube

    DEFF Research Database (Denmark)

    Simonsen, Thomas Mosebo

    2011-01-01

    This article provides a genre analytical approach to creating a typology of the User Generated Content (UGC) of YouTube. The article investigates the construction of navigation processes on the YouTube website. It suggests a pragmatic genre approach that is expanded through a focus on YouTube’s...... technological affordances. Through an analysis of the different pragmatic contexts of YouTube, it is argued that a taxonomic understanding of YouTube must be analysed in regards to the vacillation of a user-driven bottom-up folksonomy and a hierarchical browsing system that emphasises a culture of competition...... and which favours the already popular content of YouTube. With this taxonomic approach, the UGC videos are registered and analysed in terms of empirically based observations. The article identifies various UGC categories and their principal characteristics. Furthermore, general tendencies of the UGC within...

  15. Central Solenoid Insert Technical Specification

    Energy Technology Data Exchange (ETDEWEB)

    Martovetsky, Nicolai N [ORNL; Smirnov, Alexandre [ORNL

    2011-09-01

    The US ITER Project Office (USIPO) is responsible for the ITER central solenoid (CS) contribution to the ITER project. The Central Solenoid Insert (CSI) project will allow ITER validation the appropriate lengths of the conductors to be used in the full-scale CS coils under relevant conditions. The ITER Program plans to build and test a CSI to verify the performance of the CS conductor. The CSI is a one-layer solenoid with an inner diameter of 1.48 m and a height of 4.45 m between electric terminal ends. The coil weight with the terminals is approximately 820 kg without insulation. The major goal of the CSI is to measure the temperature margin of the CS under the ITER direct current (DC) operating conditions, including determining sensitivity to load cycles. Performance of the joints, ramp rate sensitivity, and stability against thermal or electromagnetic disturbances, electrical insulation, losses, and instrumentation are addressed separately and therefore are not major goals in this project. However, losses and joint performance will be tested during the CSI testing campaign. The USIPO will build the CSI that will be tested at the Central Solenoid Model Coil (CSMC) Test Facility at the Japan Atomic Energy Agency (JAEA), Naka, Japan. The industrial vendors (the Suppliers) will report to the USIPO (the Company). All approvals to proceed will be issued by the Company, which in some cases, as specified in this document, will also require the approval of the ITER Organization. Responsibilities and obligations will be covered by respective contracts between the USIPO, called Company interchangeably, and the industrial Prime Contractors, called Suppliers. Different stages of work may be performed by more than one Prime Contractor, as described in this specification. Technical requirements of the contract between the Company and the Prime Contractor will be covered by the Fabrication Specifications developed by the Prime Contractor based on this document and approved by

  16. Measurement of enhanced heat transfer coefficient with perforated twisted tape inserts during condensation of R-245fa

    Science.gov (United States)

    Khatua, A. K.; Kumar, P.; Singh, H. N.; Kumar, R.

    2016-04-01

    The experimental conductive heat transfer results for flow through inserted perforated twisted tapes in a horizontal tube during condensation of pure R-245fa vapor. The test section consisting of two separate coaxial double pipes assembled in series, acted like a counter flow heat exchanger, where the refrigerant condensed inside the inner tube by rejecting heat to the cooling water flowing inside the outer tube in reversed direction. Data for three perforated twisted tapes having constant twist ratio of 7.1 mm and pitch of perforation as 12.5, 25.0 and 37.5 mm, inserted one by one in full length of test condenser by varying refrigerant mass flux from 100 to 200 kg/m2 s in steps of 50 kg/m2 s for the range of vapor quality from 0.1 to 0.9, were collected together with flow and without insert (plain tube). It has been found that the perforated twisted tape insert having pitch of perforation equal to in order of 12.5 mm gives the highest value of average heat transfer coefficient and is of the order of 37.5 % more than that of the plain one and the correlation predicts the experimental data within an error band of ±15 %.

  17. Robotic Tube-Gap Inspector

    Science.gov (United States)

    Gilbert, Jeffrey L.; Gutow, David A.; Maslakowski, John E.

    1993-01-01

    Robotic vision system measures small gaps between nearly parallel tubes. Robot-held video camera examines closely spaced tubes while computer determines gaps between tubes. Video monitor simultaneously displays data on gaps.

  18. Polymerization shrinkage and contraction force of composite resin restorative inserted with "Megafiller".

    Science.gov (United States)

    Tani, Y; Nambu, T; Ishikawa, A; Katsuyama, S

    1993-12-01

    This study quantified the contraction force and polymerization shrinkage of composite resins with/without beta-Quartz Glass Ceramic Inserts (BQCI) as "Megafiller". The materials used for the determination included a chemically cured composite and five light-cured composites. The system for measuring contraction force consisted of a transparent teflon tube for preparing the specimen, a small load cell, a dynamic strain gauge and a pen-recorder. After the composite was packed into the teflon mold, a BQCI (Type R3) was inserted through the opening and the specimen was cured. Linear polymerization shrinkage of the composites was measured every 10 seconds from the start of mixing or irradiation to 90 minutes by the mercury bath method. Three pieces each of BQCI (Type T3) were inserted in each specimen. The results suggested that BQCI was markedly effective in reducing polymerization shrinkage, but was not always effective in reducing the contraction force during polymerization.

  19. Pressure tube type reactor

    International Nuclear Information System (INIS)

    Heretofore, a pressure tube type reactor has a problem in that the evaluation for the reactor core performance is complicate and no sufficient consideration is made for the economical property, to increase the size of a calandria tank and make the cost expensive. Then, in the present invention, the inner diameter of a pressure tube is set to greater than 50% of the lattice gap in a square lattice like arrangement, and the difference between the inner and the outer diameters of the calandria tube is set smaller than 20% of the lattice gap. Further, the inner diameter of the pressure tube is set to greater than 40% and the difference between the inner and the outer diameters of the calandria tube is set smaller than 30% of the lattice gap in a triangle lattice arrangement. Then, heavy water-to-fuel volume ratio can be determined appropriately and the value for the coolant void coefficient is made more negative side, to improve the self controllability inherent to the reactor. In particular, when 72 to 90 fuel rods are arranged per one pressure tube, the power density per one fuel rod is can be increased by about twice. Accordingly, the number of the pressure tubes can be reduced about to one-half, thereby enabling to remarkably decrease the diameter of the reactor core and to reduce the size of the calandria, which is economical. (N.H.)

  20. Isolated Fallopian Tube Torsion

    Directory of Open Access Journals (Sweden)

    S. Kardakis

    2013-01-01

    Full Text Available Isolated torsion of the Fallopian tube is a rare gynecological cause of acute lower abdominal pain, and diagnosis is difficult. There are no pathognomonic symptoms; clinical, imaging, or laboratory findings. A preoperative ultrasound showing tubular adnexal masses of heterogeneous echogenicity with cystic component is often present. Diagnosis can rarely be made before operation, and laparoscopy is necessary to establish the diagnosis. Unfortunately, surgery often is performed too late for tube conservation. Isolated Fallopian tube torsion should be suspected in case of acute pelvic pain, and prompt intervention is necessary.

  1. Device for the selective positioning of a component on a tube plate

    International Nuclear Information System (INIS)

    The invention relates to a device for the selective positioning of a component on a tube plate. It particularly applies to the positioning of a guide tube head successively opposite all the tubes of the tube bundle of a nuclear reactor steam generator. The large number of tubes in the tube bundle of the steam generator in a pressure water nuclear power station must be checked periodically for any likely corrosion. This check is effected with a Foucault current probe which is inserted in each tube in turn and is connected to a probe signal processing unit. The probe is placed in a flexible guide tube brought in turn in front of each tube of the bundle to be checked. The invention concerns a device to move the opening of a tube guide for a Foucault current detector over the entire surface of the tube plate, thereby providing access to all the tubes whilst limiting the interventions to a single positioning and a single withdrawal of the apparatus for testing all the bundle. Between the two interventions at the beginning and end of the operation, all displacements are remote controlled from outside the dangerous radioacive area

  2. Computation and measurement of calandria tube sag in pressurized heavy water reactor

    International Nuclear Information System (INIS)

    Calandria tubes and liquid injection shutdown system nozzles in a pressurized heavy water reactor are to sag due to irradiation creep and growth during plant operation. When the sag of calandria tube becomes bigger, the calandria tube possibly comes in contact with liquid injection shutdown system tube crossing beneath the calandria tube. The contact subsequently may cause the damage on the calandria tube resulting in unpredicted outage of the plant. It is therefore necessary to check the gap between the two tubes in order to periodically confirm no contact by using a proper measure during the plant life. An ultrasonic gap measurement probe assembly which can be inserted into two viewing ports of the calandria was developed in Korea and utilized to measure the sag between both tubes in the reactor. It was found that the centerlines of calandria tubes and liquid injection shutdown system tubes can be precisely detected by ultrasonic wave. The gaps between two tubes were easily obtained from the relative distance of the measured centerline elevations of the tubes. Based on the irradiation creep equation and the measurement data, a computer program to calculate the sags was also developed. With the computer program, the sag at the end of plant life was predicted

  3. Treatment of Snoring with a Nasopharyngeal Airway Tube

    Directory of Open Access Journals (Sweden)

    Macario Camacho

    2016-01-01

    Full Text Available Objective. To study the feasibility of a standard nasopharyngeal airway tube (NPAT as treatment for snoring. Methods. An obese 35-year-old man, who is a chronic, heroic snorer, used NPATs while (1 the patient’s bedpartner scored the snoring and (2 the patient recorded himself with the smartphone snoring app “Quit Snoring.” Baseline snoring was 8–10/10 (10 = snoring that could be heard through a closed door and interrupted the bedpartner’s sleep to the point where they would sometimes have to sleep separately and 60–200 snores/hr. Several standard NPATs were tested, consisting of soft polyvinyl chloride material raging between 24- and 36-French (Fr tubes. Results. The 24 Fr tube did not abate snoring. The 26 Fr tube was able to abate the snoring sound most of the night (smartphone app: 11.4 snores/hr, bedpartner VAS = 2/10. The 28 and 30 Fr tubes abated the snoring sound the entire time worn (smartphone app: 0 snores, bedpartner VAS 0/10 but could not be tolerated more than 2.5 hours. The tube of 36 Fr size could not be inserted, despite several attempts bilaterally. Conclusion. Appropriately sized nasopharyngeal airway tubes may abate the snoring sound; however, as in this patient, they may be too painful and intolerable for daily use.

  4. Experimental characterization of the unsteady natural wake of the full-scale square back Ahmed body: flow bi-stability and spectral analysis

    Science.gov (United States)

    Volpe, Raffaele; Devinant, Philippe; Kourta, Azeddine

    2015-05-01

    In recent years, the increasing interest in reducing the aerodynamic drag of vehicles, such as station wagons, minivans or buses, has led research to focus on the characterization of square back bluff geometries. In this paper, the results of an extensive experimental campaign on the full-scale well-known body of Ahmed et al. (1984) are presented, for two height-based Reynolds numbers, and . Eighty-one measurement points were used to map the base pressure field, while the wake topology was investigated by means of a series of ten 2D Particle Image Velocimetry planes. These measurements clearly show that the wake presents a bi-stable behavior, characterized by a random succession of switches between two well-defined mutually symmetric configurations, confirming the results from Grandemange et al. (J Fluid Mech 722:51-84, 2013b. doi: 10.1017/jfm.2013.83) for the same model. For the presented results, the timescale of this phenomenon is of the order of . The sensitivity of the bi-stability to the yaw angle was also investigated, and considerations on how to take such a behavior into account in post-processing this kind of field are given. High-frequency measurements were also carried out with four piezoelectric transducers and a synchronized two-component hot-wire. The results show a low-frequency spectral activity: peaks at and 0.19, corresponding to vortex shedding modes, were found on the lateral base pressures and in the far wake, whereas a signature at was visible on the vertical base centerline and in the recirculation bubble shear layer. Correlation analysis and proper orthogonal decomposition confirm the interpretation of the latter mode as the pumping of the recirculation bubble.

  5. Kinking of medical tubes.

    Science.gov (United States)

    Ingles, David

    2004-05-01

    The phenomenon of kinking in medical tubing remains a problem for some applications, particularly critical ones such as transporting gasses or fluids. Design features are described to prevent its occurrence.

  6. Power vacuum tubes handbook

    CERN Document Server

    Whitaker, Jerry

    2012-01-01

    Providing examples of applications, Power Vacuum Tubes Handbook, Third Edition examines the underlying technology of each type of power vacuum tube device in common use today. The author presents basic principles, reports on new development efforts, and discusses implementation and maintenance considerations. Supporting mathematical equations and extensive technical illustrations and schematic diagrams help readers understand the material. Translate Principles into Specific Applications This one-stop reference is a hands-on guide for engineering personnel involved in the design, specification,

  7. An Unusual Complication of Suprapubic Catheter Insertion

    Directory of Open Access Journals (Sweden)

    Krishnan Ananthakrishnan

    2006-01-01

    Full Text Available A patient who had a small bowel mesentery perforation following insertion of a suprapubic catheter (SPC is described. He had no bowel complaints immediately following the procedure, but presented 10 weeks later with insidious onset bowel obstruction due to the kink caused by the catheter. This complication occurred despite cystoscopy control and adequate bladder distension prior to the procedure. This isolated case illustrates the fact that regardless of the ease and frequency of SPC insertion, complications do occur.

  8. Aeronautical tubes and pipes

    Science.gov (United States)

    Beauclair, N.

    1984-12-01

    The main and subcomponent French suppliers of aircraft tubes and pipes are discussed, and the state of the industry is analyzed. Quality control is essential for tubes with regard to their i.d. and metallurgical compositions. French regulations do not allow welded seam tubes in hydraulic circuits unless no other form is available, and then rustproofed steel must be installed. The actual low level of orders for any run of tubes dictates that the product is only one of several among the manufacturers' line. Automation, both in NDT and quality control, assures that the tubes meet specifications. A total of 10 French companies participate in the industry, serving both civil and military needs, with some companies specializing only in titanium, steel, or aluminum materials. Concerns wishing to enter the market must upgrade their equipment to meet the higher aeronautical specifications and be prepared to furnish tubes and pipes that serve both functional and structural purposes simultaneously. Additionally, pipe-bending machines must also perform to tight specifications. Pipes can range from 0.2 mm exterior diameter to 40 mm, with wall thicknesses from 0.02 mm to 3 mm. A chart containing a list of manufacturers and their respective specifications and characteristics is presented, and a downtrend in production with reduction of personnel is noted.

  9. Clearing obstructed feeding tubes.

    Science.gov (United States)

    Marcuard, S P; Stegall, K L; Trogdon, S

    1989-01-01

    This is a report of an in vitro study evaluating the ability of six solutions to dissolve clotted enteral feeding, which can cause feeding tube occlusion. The following clotted enteral feeding products were tested: Ensure Plus, Ensure Plus with added protein (Promod 20 g/liter), Osmolite, Enrich, and Pulmocare. Clot dissolution was then tested by adding Adolf's Meat Tenderizer, Viokase, Sprite, Pepsi, Coke, or Mountain Dew. Distilled water served as control. Dissolution score for each mixture was assessed blindly. Best dissolution was observed with Viokase in pH 7.9 solution (p less than 0.01). Similar results were obtained when feeding tube patency was restored in eight in vitro occluded feeding tubes (Dobbhoff, French size 8) by using first Pepsi (two/eight successful) and then Viokase in pH 7.9 (six/six successful). We also report our experience in the first 10 patients with occluded feeding tubes using this Viokase solution injected through a Drum catheter into the feeding tube. In seven patients, this method proved to be successful, and the reasons for failure in three patients include a knotted tube, impacted tablet powder, and a formula clot fo 24 hr duration and 45 cm in length. PMID:2494372

  10. A gas laser tube

    Energy Technology Data Exchange (ETDEWEB)

    Tetsuo, F.; Tokhikhide, N.

    1984-04-19

    A gas laser tube is described in which contamination of the laser gas mixture by the coolant is avoided, resulting in a longer service life of the mirrors. The holder contains two tubes, one inside the other. The laser gas mixture flows through the internal tube. An electrode is fastened to the holder. The coolant is pumped through the slot between the two tubes, for which a hole is cut into the holder. The external tube has a ring which serves to seal the cavity containing the coolant from the atmosphere. The internal tube has two rings, one to seal the laser gas mixture and the other to seal the coolant. A slot is located between these two rings, which leads to the atmosphere (the atmosphere layer). With this configuration, the degradation of the sealing properties of the internal ring caused by interaction with the atmospheric layer is not reflected in the purity of the laser gas mixture. Moreover, pollution of the mirrors caused by the penetration of the coolant into the cavity is eliminated.

  11. Steam generator tube laser sleeving

    International Nuclear Information System (INIS)

    ; Weld inspectability through UT examination; Easy and reliable process; Long lifetime of optical equipment (mirrors, lenses, fibers). Considering these criteria we have chosen: working in pseudo-pulsed mode with 50 hz frequency, using nitrogen as protective gas, a welding power of about 600 W, 30 cm/mn advance speed. The laser welding process brings two main additional advantages if we compare it to the GTAW one: Reproducibility of the penetration and resisting cross-section and this, independently of surrounding conditions (fit up strength, tube/plate hard-rolling tightening,...); Flexibility and performances which enable a remote-controlled work with great output. The process consists of five main operations to which two optional ones can be added. These main operations are: Tube cleaning, Sleeve insertion/expansion, Upper and lower joint welding, Weld televisual inspection, Upper assembly stress-relieving process. The optional operations consist of: Tube inlet rework and Weld UT-inspection. The following three main concerns determined the design and installation of industrial laser sleeving means: the reliability, the most reduced dose rate, the output. Outside reactor building you have three containers for: The control-unit consisting of drive and supervision computers as well as video means; The laser unit itself (connected to the welding equipment in steam generator bunker by an optical fiber spreading the power) and its control cabinet; Auxiliary equipments. Inside reactor building you will find the equipments specific to each process (welding-device, brushing-unit, expansion hydraulic generator,...) as well as the electric cabinets connected to control unit. Data flow from outside to inside reactor and vice-versa through an optical fiber. Investigations about these industrial means are not achieved up to now but will be qualified (with EDF collaboration) in the CETIC afterwards and shall be used on a French power plant at the beginning of year 1992

  12. Z-2 Threaded Insert Design and Testing

    Science.gov (United States)

    Ross, Amy; Rhodes, Richard; Jones, Robert J.; Graziosi, David; Ferl, Jinny; Sweeny, Mitch; Scarborough, Stephen

    2016-01-01

    NASA's Z-2 prototype space suit contains several components fabricated from an advanced hybrid composite laminate consisting of IM10 carbon fiber and fiber glass. One requirement was to have removable, replaceable helicoil inserts to which other suit components would be fastened. An approach utilizing bonded in inserts with helicoils inside of them was implemented. During initial assembly, cracking sounds were heard followed by the lifting of one of the blind inserts out of its hole when the screws were torqued. A failure investigation was initiated to understand the mechanism of the failure. Ultimately, it was determined that the pre-tension caused by torqueing the fasteners is a much larger force than induced from the pressure loads of the suit which was not considered in the insert design. Bolt tension is determined by dividing the torque on the screw by a k value multiplied by the thread diameter of the bolt. The k value is a factor that accounts for friction in the system. A common value used for k for a non-lubricated screw is 0.2. The k value can go down by as much as 0.1 if the screw is lubricated which means for the same torque, a much larger tension could be placed on the bolt and insert. This paper summarizes the failure investigation that was performed to identify the root cause of the suit failure and details how the insert design was modified to resist a higher pull out tension.

  13. The Basques according to polymorphic Alu insertions.

    Science.gov (United States)

    de Pancorbo, M M; López-Martínez, M; Martínez-Bouzas, C; Castro, A; Fernández-Fernández, I; de Mayolo, G A; de Mayolo, A A; de Mayolo, P A; Rowold, D J; Herrera, R J

    2001-08-01

    Polymorphic Alu insertions provide a set of DNA markers of interest in human population genetics. Approximately 1000-2000 of these insertions have not reached fixation within the human genome. Each one of these polymorphic loci most probably resulted from a unique insertional event, and therefore all individuals possessing the insertion are related by descent not just state. In addition, the direction of mutational change is toward the gain of the Alu element at a particular locus. Therefore, the improved knowledge of both the ancestral state and the direction of mutational change greatly facilitates the analysis of population relationships. As a result, Alu insertion polymorphisms represent a significant tool for population genetic studies. In this study, polymorphic Alu insertions have been employed to ascertain phylogenetic relationships among Basque groups and worldwide populations. The Basques are considered to be a geographic isolate with a unique language and customs. They may be direct descendants of Cro-Magnon enclaves from the upper Paleolithic (38,000 to 10,000 years). The Basques are distributed among narrow valleys in northeastern Spain with little migration between them until recently. This characteristic may have had an effect on allelic frequency distributions. With the aim of studying this possible effect, we have analyzed six autosomal polymorphic Alu loci from four different sites within the Spanish Basque region in order to ascertain any genetic heterogeneity among the Basques. The results are consistent with a lack of homogeneity among these four autochthonous Basque groups. PMID:11511929

  14. Dynamic tube/support interaction in heat exchanger tubes

    Energy Technology Data Exchange (ETDEWEB)

    Chen, S.S.

    1991-01-01

    The supports for heat exchanger tubes are usually plates with drilled holes; other types of supports also have been used. To facilitate manufacture and to allow for thermal expansion of the tubes, small clearances are used between tubes and tube supports. The dynamics of tube/support interaction in heat exchangers is fairly complicated. Understanding tube dynamics and its effects is important for heat exchangers. This paper summarizes the current state of the art on this subject and to identify future research needs. Specifically, the following topics are discussed: dynamics of loosely supported tubes, tube/support gap dynamics, tube response in flow, tube damage and wear, design considerations, and future research needs. 55 refs., 1 fig.

  15. Hydrodynamics of a self-agitated draft tube airlift reactor

    Directory of Open Access Journals (Sweden)

    Tekić Miodrag N.

    2014-01-01

    Full Text Available The main hydrodynamic characteristics of a novel-constructed, self-agitated draft tube airlift reactor (DT-ALR were investigated. Ten impellers, driven only by the means of gas throughput and induced liquid circulation, were inserted in the draft tube. The insertion of impellers caused bubble breakup and reduction of both mean bubble size and coalescence, even under the conditions of high gas throughputs. Although the impellers induced energy losses, the resistance to the flow was relatively lower due to their rotation, unlike the internals used in other research reported in the literature. In comparison to the conventional configuration of a DT-ALR, it was found that the presence of impellers led to significant changes in hydrodynamics: riser gas holdup and mixing time increased, while overall gas holdup and liquid velocity in the downcomer decreased. [Projekat Ministarstva nauke Republike Srbije, br. 172025

  16. Insertion of Balloon Retained Gastrostomy Buttons: A 5-Year Retrospective Review of 260 Patients

    Energy Technology Data Exchange (ETDEWEB)

    Power, Sarah, E-mail: sarahpower28@yahoo.co.uk; Kavanagh, Liam N.; Shields, Mary C.; Given, Mark F.; Keeling, Aoife N.; McGrath, Frank P.; Lee, Michael J., E-mail: mlee@rcsi.ie [Beaumont Hospital, Department of Radiology (Ireland)

    2013-04-15

    Radiologically inserted gastrostomy (RIG) is an established way of maintaining enteral nutrition in patients who cannot maintain nutrition orally. The purpose of this study was to evaluate the safety and efficacy of primary placement of a wide bore button gastrostomy in a large, varied patient population through retrospective review. All patients who underwent gastrostomy placement from January 1, 2004 to January 1, 2009 were identified. 18-Fr gastrostomy buttons (MIC-Key G) were inserted in the majority. Follow-up ranged from 6 months to 4.5 years. A total of 260 patients (M:F 140:120, average age 59.2 years) underwent gastrostomy during the study period. Overall success rate for RIG placement was 99.6 %, with success rate of 95.3 % for primary button insertion. Indications included neurological disorders (70 %), esophageal/head and neck malignancy (21 %), and other indications (9 %). Major and minor complication rates were 1.2 and 12.8 %, respectively. Thirty-day mortality rate was 6.8 %. One third of patients underwent gastrostomy reinsertion during the study period, the main indication for which was inadvertent catheter removal. Patency rate was high at 99.5 %. The maximum number of procedures in any patient was 8 (n = 2), and the average tube dwell time was 125 days. Primary radiological insertion of a wide bore button gastrostomy is a safe technique, with high success rate, high patency rate, and low major complication rate. We believe that it is feasible to attempt button gastrostomy placement in all patients, once tract length is within limits of tube length. If difficulty is encountered, then a standard tube may simply be placed instead.

  17. Three-dimensional numerical simulation of detonations in coaxial tubes

    Science.gov (United States)

    Tsuboi, Nobuyuki; Daimon, Yu; Hayashi, A. Koichi

    2008-10-01

    Three-dimensional numerical simulation of detonations in both a circular tube and a coaxial tube are simulated to reveal characteristics of single spinning and two-headed detonations. The numerical results show a feature of a single spinning detonation which was discovered in 1926. Transverse detonations are observed in both tubes, however, the single spinning mode maintains the complex Mach reflection whereas the two-headed mode develops periodically from the single Mach reflection to the complex one. The calculated cell aspect ratio for the two-headed mode changes from 1.09 to 1.34 as the radius of axial insert increases from r 1/ R = 0.1 to 0.9. The calculated cell aspect ratio for r 1/ R = 0.1 is close to the experimental results without an axial insert. The formation of an unreacted gas pocket behind the detonation front was not observed in the single spinning mode; however, the two-headed mode has unreacted gas pocket behind the front near the axial insert.

  18. [A case of subglottic stenosis with bridging granuloma after intubation with double-lumen endotracheal tube].

    Science.gov (United States)

    Ito, Yosuke; Nakata, Yoko; Nakamura, Sakiko; Nagaya, Kei

    2013-08-01

    We present a case of subglottic stenosis with rare bridging granuloma after intubation with double-lumen endotracheal tube. An 81-year-old woman was diagnosed with the lung tumor and scheduled for the thoracoscopic surgery. We induced anesthesia with propofol, remifentanil and rocuronium. A 35 Fr double-lumen intratracheal tube was inserted to the trachea with some resistance, when the tube passed through the glottis. A few days later, she suffered from respiratory discomfort. An otolaryngologist examined her larynx and subglottis. Laryngoscopic examination revealed bridging granuloma leading to tracheal stenosis. Tracheostomy and resection of granuloma were performed, and her symptom improved. If we feel resistance in intubating a double-lumen endotracheal tube in a patient with a history of intubation with a tracheal tube, we should operate gently adjusting the size of the tracheal tube.

  19. Knot formation in the feeding jejunostomy tube: A case report and review of the literature

    Institute of Scientific and Technical Information of China (English)

    Guo-Shiou Liao; Huan-Fa Hsieh; Meng-Hang Wu; Teng-Wei Chen; Jyh-Cherng Yu; Yao-Chi Liu

    2007-01-01

    Jejunostomy feeding tubes provide surgeons with an excellent method for providing nutritional support, but there are several complications associated with a tube jejunostomy, including complications resulting from placement of the tube, mechanical problems related to the location or function and development of focally thickened small-bowel folds. A 76-year old man who presented with multiple medical diseases was admitted to our hospital due to aspiration pneumonia with acute respiratory failure and septic shock. He underwent exploratory laparotomy with feeding jejunostomy using a 14-French nasogastric tube for nutritional support. However, occlusion of the feeding tube was found 30- d after operation, and a rare complication of knot formation in the tube occurred after a new tube was replaced. On the following day, the tube was removed and replaced with a similar tube, which was placed into the jejunum for only 15 cm. The patient's feedings were maintained smoothly for two months. Knot formation in the feeding tube seems to be very rare. To our knowledge, this is the third case in the literature review. Its incidence is probably related to the length of the tube inserted into the lumen.

  20. Categorising YouTube

    Directory of Open Access Journals (Sweden)

    Thomas Mosebo Simonsen

    2011-09-01

    Full Text Available This article provides a genre analytical approach to creating a typology of the User Generated Content (UGC of YouTube. The article investigates the construction of navigationprocesses on the YouTube website. It suggests a pragmatic genre approach that is expanded through a focus on YouTube’s technological affordances. Through an analysis of the different pragmatic contexts of YouTube, it is argued that a taxonomic understanding of YouTube must be analysed in regards to the vacillation of a user-driven bottom-up folksonomy and a hierarchical browsing system that emphasises a culture of competition and which favours the already popular content of YouTube. With this taxonomic approach, the UGC videos are registered and analysed in terms of empirically based observations. The article identifies various UGC categories and their principal characteristics. Furthermore, general tendencies of the UGC within the interacting relationship of new and old genres are discussed. It is argued that the utility of a conventional categorical system is primarily of analytical and theoretical interest rather than as a practical instrument.

  1. Effect of tube size on electromagnetic tube bulging

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The commercial finite code ANSYS was employed for the simulation of the electromagnetic tube bulging process. The finite element model and boundary conditions were thoroughly discussed. ANSYS/EMAG was used to model the time varying electromagnetic field in order to obtain the radial and axial magnetic pressure acting on the tube. The magnetic pressure was then used as boundary conditions to model the high velocity deformation of various length tube with ANSYS/LSDYNA. The time space distribution of magnetic pressure on various length tubes was presented. Effect of tube size on the distribution of radial magnetic pressure and axial magnetic pressure and high velocity deformation were discussed. According to the radial magnetic pressure ratio of tube end to tube center and corresponding dimensionless length ratio of tube to coil, the free electromagnetic tube bulging was studied in classification. The calculated results show good agreements with practice.

  2. Hamstring tendons insertion - an anatomical study

    Directory of Open Access Journals (Sweden)

    Cristiano Antonio Grassi

    2013-09-01

    Full Text Available OBJECTIVE: To study the anatomy of the hamstring tendons insertion and anatomical rela-tionships. METHODS: Ten cadaver knees with medial and anterior intact structures were selected. The dissection was performed from anteromedial access to exposure of the insertion of the flexor tendons (FT, tibial plateau (TP and tibial tuberosity (TT. A needle of 40 × 12 and a caliper were used to measure the distance of the tibial plateau of the knee flexor tendons insertion at 15 mm from the medial border of the patellar tendon and tibial tuberosity to the insertion of the flexor tendons of the knee. The angle between tibial plateau and the insertion of the flexor tendons of the knee (A-TP-FT was calculated using Image Pro Plus software. RESULTS: The mean distance TP-FT was 41 ± 4.6 mm. The distance between the TT-FT was 6.88 ± 1 mm. The (A-TP-FT was 20.3 ± 4.9°. CONCLUSION: In the anterior tibial flexor tendons are about 40 mm from the plateau with an average of 20°.

  3. Pericardial sac perforation: a rare complication of neonatal nasogastric tube feeding

    Energy Technology Data Exchange (ETDEWEB)

    El-Din Mahmoud Hanafy, Emad; Al Naqeeb, Niran [Al-Adan Hospital, Neonatal ICU, Department of Paediatrics, Hawally (Kuwait); Ashebu, Samuel D.; Bopaya Nanda, Harini [Al-Adan Hospital, Department of Diagnostic Radiology and Imaging, P.O. Box 43721, Hawally (Kuwait)

    2006-10-15

    The insertion of a nasogastric tube for feeding and gastric aspiration is a common practice in the care of newborns, especially if they are preterm and unwell. Esophageal perforation is a rare but serious complication of this procedure. Associated perforation of the pericardial sac is an unusual, severe, and previously unreported complication of nasogastric tube feeding in a neonate. We present an illustrative case. (orig.)

  4. Kajian Efektifitas Sistem Struktur Tube Dengan Sistem Struktur Tube In Tube Di Bawah Beban Gempa

    OpenAIRE

    Sihotang, Dian Frisca

    2010-01-01

    Berkembangnya teknologi telah melahirkan berbagai sistem struktur bangunan tahan gempa, seperti penggunaan sistem tube.Tube adalah merupakan frame penahan gaya yang menahan gaya gaya lateral dengan struktur kantilever kotak yang memiliki jarak kolom yang berdekatan yang dipasang pada sekeliling gedung, sehingga penampilan wajah depan gedung seperti lubang jendela jendela yang terbuka. Rancangan tube ini kemudian dimodifikasi lagi dengan menambah pengaku pada bagian dalam ( konsep tube in tube...

  5. Heat transfer augmentation in a circular tube with winglet vortex generators☆

    Institute of Scientific and Technical Information of China (English)

    Suriya Chokphoemphun; Monsak Pimsarn; Chinaruk Thianpong; Pongjet Promvonge

    2015-01-01

    The article presents the influence of winglet vortex generators (WVGs) placed in the core flow area on ther-mal performance enhancement of a tube heat exchanger. The experiment was carried out in a uniform wall heat-fluxed tube by varying turbulent alrflow for Reynolds number ranging from 5300 to 24000. In the pres-ent work, the WVGs with an attack angle of 30° were inserted into the test tube at four different winglet pitch ratios (RP=P/D) and three winglet-width or blockage ratios (RB=e/D). The experimental results at various RP and RB values were evaluated and compared with those for smooth tube and tubes with twist-ed tape or wire coil. The measurement reveals that the WVGs enhance considerably the heat transfer and friction loss above the plaln tube, wire coil and twisted tape. The Nusselt number and friction factor increase with the increment of RB and Re but with the decreasing RP. The average Nusselt numbers for the WVGs with various RB are in the range of 2.03–2.34 times above the plaln tube. The thermal performance for the WVGs is found to be much higher than that for the wire coil and twisted tape and is in a range of 1.35–1.59. Also, a numerical investigation is conducted to study the flow structure and heat transfer enhancement mecha-nisms in the winglet-inserted tube.

  6. “Nutrothorax” complicating a misplaced nasogastric feeding tube in a severely ill patient

    Directory of Open Access Journals (Sweden)

    Aloísio Felipe-Silva

    2012-03-01

    Full Text Available Introduction of nasogastric feeding tubes is usually blindly performed and isgenerally considered a safe procedure. However, the rate of complications ofa blind insertion technique varies from 0.3 to 15%, and is usually related toinadvertent insertion of nasogastric tubes into the trachea and distal airways.The main predisposing factors related to tube malpositioning and complicationsare altered mental status with decreased cough or gag reflex, a preexistingendotracheal tube and severe illness. Complications include severe aspirationpneumonia, hydrothorax, hemothorax, empyema and pneumothorax. Themortality related to misplacement of a nasogastric tube is around 0.1-0.3% ofthe procedures. This 61-year old female had a history of poor appetite, weightloss, dyspnea and fever. A chest axial computerized tomography showedenlarged mediastinal lymph nodes. Laboratory showed hypercalcemia withnormal PTH and hypokalemia. As the patient remained anorectic, a nasogastricfeeding tube was placed, through which the administration of enteral diet, bycontinuous infusion pump, was started. After 12 hours the patient developeddyspnea, hypoxemia and hypotension. During orotracheal intubation, itwas disclosed the presence of the nasogastric tube in the trachea as wellas the infused diet within the respiratory tract. Autopsy revealed an unusualcomplication of a nasogastric tube misplacement, which led to a massivecollection of enteral nutrition fluid into the pleural space – a “nutrothorax”.Additionally, an underlying stage IV anaplastic large cell lymphoma withinterstitial lung and bronchial mucosa involvement was diagnosed.

  7. Comparison of FP-7 and S-2 Ahmed glaucoma valve implantation in refractory glaucoma patients for short-term follow-up

    Institute of Scientific and Technical Information of China (English)

    BAI Yu-jing; LI Yi-qing; CHAI Fang; YANG Xue-jiao; ZHANG Yi-chong; WEI Yan-tao; HUANG Jing-jing; GE Jian; ZHUO Ye-hong

    2011-01-01

    Background Ahmed glaucoma valves (AGV) has been used for decades, but there is no detailed report about the efficacy of AGV in Chinese glaucoma patients. This study aimed to compare the intraocular pressure (IOP) lowering efficacy and side effects of S-2 polypropylene and PF-7 silicone AGV implantation in Chinese refractory glaucoma patients.Methods Patients were divided into S-2 model AGV group and FP-7 model AGV group. The complete and qualified surgical success rate, change of IOP, number of anti-glaucoma medications used and postoperative complications were recorded and analyzed.Results Average follow-up time was comparable between two groups. IOP was reduced from (37.9±12.7) mmHg preoperatively to (17.3±5.3) mmHg at the last follow-up in S-2 group and reduced from (39.9±14.4) mmHg to (17.7±4.9)mmHg in FP-7 group. Anti-glaucoma medications were reduced from 3.8±0.2 to 1.5±0.2 in S-2 group, and 3.5±0.2 to 0.7±0.2 in FP-7 groups. The cumulative success rates were comparable in two groups, which were 61.2% and 72.1% in S-2 group and FP-7 group respectively. When IOP reduction criteria was used, complete success rates were 30.6% and 51.2% for S-2 and FP-7 groups, and qualified success rates were 86.1% and 92.7% separately. In both groups, the major complication was hypotony, and the previous trabeculectomy of patients was the major risk factor for surgery failure.Conclusions In this short-term retrospective study, S-2 AGV is showed at least as effective as FP-7 AGV in IOP reduction, but associated with higher rate of complications. Previous trabeculectomy is a principle risk factor for AGV implantation failure. These clinical outcomes are important for converting use of the FP-7 silicon AGV in Chinese refractory glaucoma patients.

  8. New continuous air pumping technique to improve clinical outcomes of descemet-stripping automated endothelial keratoplasty in asian patients with previous ahmed glaucoma valve implantation.

    Directory of Open Access Journals (Sweden)

    Chang-Min Liang

    Full Text Available BACKGROUND: To evaluate the outcomes of Descemet-stripping automated endothelial keratoplasty (DSAEK with the use of continuous air pumping technique in Asian eyes with previous Ahmed glaucoma valve implantation. METHODS: The DSAEK procedure was modified in that complete air retention of the anterior chamber was maintained for 10 min using continuous air pumping at 30 mm Hg. The primary outcome measurement was graft survival, and postoperative clinical features including, rate of graft detachment, endothelial cell count, intraocular pressure (IOP, surgical time and cup/disc ratio were also recorded. RESULTS: A total of 13 eyes of 13 patients which underwent modified DSAEK and 6 eyes of 6 patients which underwent conventional DSAEK were included. There was a significant difference in graft survival curves between two groups (P = 0.029; the 1-year graft survival rates were estimated as 100% and 66.7% for patients with modified DSAEK and those with traditional DSAEK, respectively. The rate of graft detachment were 0% and 33.3% for the modified DSAEK and conventional DSAEK groups, respectively (P = 0.088. The significantly lowered surgical time for air tamponade was noted in the modified DSAEK group compared to that in the conventional DSAEK group [median (IQR: 10.0 (10.0, 10.0 min vs. 24.5 (22.0, 27.0 min; P<0.001] Postoperatively, patients in the modified DSAEK group had significantly lower IOP as compared to the conventional DSAEK group [12.0 (11.0, 15.0 mm Hg vs. 16.0 (15.0, 18.0 mm Hg; P = 0.047]. Modified DSAEK patients had higher endothelial cell counts as compared to conventional DSAEK patients [2148.0 (1964.0, 2218.0 vs. 1529.0 (713.0, 2014.0], but the difference did not reach statistical significance (P = 0.072. CONCLUSIONS: New continuous air pumping technique in DSAEK can be performed safely and effectively in patients with prior GDDs placement who have corneal failure.

  9. True anteroposterior view pedicle screw insertion technique

    Directory of Open Access Journals (Sweden)

    Bai JY

    2016-06-01

    Full Text Available Jia-yue Bai, Wei Zhang, Ji-long An, Ya-peng Sun, Wen-yuan Ding, Yong Shen Key Biomechanical Laboratory of Orthopedics, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People’s Republic of China Background: The wide use of minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF surgery in the treatment of degenerative disc disease of lumbar spine in spinal surgery highlights the gradual decrease in the use of traditional pedicle screw insertion technology. This study aims to analyze the accuracy of the true anteroposterior view pedicle screw insertion technique in MIS-TLIF surgery, compare it with conventional pedicle screw insertion technology, and discuss its clinical application value. Methods: Fifty-two patients undergoing true anteroposterior view (group A and 87 patients undergoing conventional pedicle screw insertion (group B were diagnosed with lumbar disc herniation or lumbar spinal stenosis. Time for screw placement, intraoperative irradiation exposure, accuracy rate of pedicle screw insertion, and incidence of neurovascular injury were compared between the two groups. Results: The time for screw placement and intraoperative irradiation exposure was significantly less in group A. Penetration rates of the paries lateralis of vertebral pedicle, medial wall of vertebral pedicle, and anterior vertebral wall were 1.44%, 0%, and 2.40%, respectively, all of which were significantly lower than that in group B. No additional serious complications caused by the placement of screw were observed during the follow-up period in patients in group A, but two patients with medial penetration underwent revision for unbearable radicular pain. Conclusion: The application of true anteroposterior view pedicle screw insertion technique in MIS-TLIF surgery shortens time for screw placement and reduces the intraoperative irradiation exposure along with a higher accuracy rate of screw placement, which makes it a safe, accurate

  10. RERTR-12 Insertion 2 Irradiation Summary Report

    Energy Technology Data Exchange (ETDEWEB)

    D. M. Perez; G. S. Chang; D. M. Wachs; G. A. Roth; N. E. Woolstenhulme

    2012-09-01

    The Reduced Enrichment for Research and Test Reactor (RERTR) experiment RERTR-12 was designed to provide comprehensive information on the performance of uranium-molybdenum (U-Mo) based monolithic fuels for research reactor applications.1 RERTR-12 insertion 2 includes the capsules irradiated during the last three irradiation cycles. These capsules include Z, Y1, Y2 and Y3 type capsules. The following report summarizes the life of the RERTR-12 insertion 2 experiment through end of irradiation, including as-run neutronic analysis results, thermal analysis results and hydraulic testing results.

  11. A Review Paper on Heat Transfer Rate Enhancements by Wire Coil Inserts in the Tube

    OpenAIRE

    Prabhakar Ray*1,; Dr Pradeep Kumar Jhinge2

    2014-01-01

    Enhancing heat transfer surface are used in many engineering applications such as heat exchanger, air conditioning, chemical reactor and refrigeration systems etc, hence many techniques have been investigated on enhancement of heat transfer rate and decrease the size and cost of the involving equipment especially in heat exchangers .One of the most important techniques used are passive heat transfer technique. These techniques when adopted in Heat exchanger proved that the ove...

  12. Downhole pulse tube refrigerators

    Energy Technology Data Exchange (ETDEWEB)

    Swift, G.; Gardner, D. [Los Alamos National Lab., NM (United States). Condensed Matter and Thermal Physics Group

    1997-12-01

    This report summarizes a preliminary design study to explore the plausibility of using pulse tube refrigeration to cool instruments in a hot down-hole environment. The original motivation was to maintain Dave Reagor`s high-temperature superconducting electronics at 75 K, but the study has evolved to include three target design criteria: cooling at 30 C in a 300 C environment, cooling at 75 K in a 50 C environment, cooling at both 75 K and 30 C in a 250 C environment. These specific temperatures were chosen arbitrarily, as representative of what is possible. The primary goals are low cost, reliability, and small package diameter. Pulse-tube refrigeration is a rapidly growing sub-field of cryogenic refrigeration. The pulse tube refrigerator has recently become the simplest, cheapest, most rugged and reliable low-power cryocooler. The authors expect this technology will be applicable downhole because of the ratio of hot to cold temperatures (in absolute units, such as Kelvin) of interest in deep drilling is comparable to the ratios routinely achieved with cryogenic pulse-tube refrigerators.

  13. Prawns in Bamboo Tube

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    Ingredients: 400 grams Jiwei prawns, 25 grams pork shreds, 5 grams sliced garlic. Condiments: 5 grams cooking oil, minced ginger root and scallions, cooking wine, salt, pepper and MSG (optional) Method: 1. Place the Shelled prawns into a bowl and mix with all the condiments. 2. Stuff the prawns into a fresh bamboo tube,

  14. Potential risk of malposition of nasogastric tube using nose-ear-xiphoid measurement.

    Directory of Open Access Journals (Sweden)

    Yen-Chun Chen

    Full Text Available BACKGROUND: Correct placement of nasogastric tubes provide proper functionality and maximize benefit and minimize risk. The Nose-Ear-Xiphoid (NEX body surface estimate method is a long-lasting technique, and this study was conducted to evaluate the correlation between NEX method and the secure insertion depth of nasogastric tube. MATERIALS AND METHODS: Thirty patients with nasogastric tube insertion who received whole body positron emission tomography with computerized tomography scan (PET-CT were recruited. All data were gathered in the image center, which included Nose-Ear (NE, Ear-Xiphoid (EX, Nose-Ear-Xiphoid (NEX, glabella-xiphoid (GX and glabella-umbilicus (GU lengths. The distances of the inserted portion of the nasogastric tube between the cardiac and the nostril were measured by multiplanar reconstruction algorithm. RESULTS: Only one patient successfully placed all side-holes into the stomach while using NEX method to estimate inserting depth. Twenty-nine patients (96.7% failed to place correctly. Fourteen participants had one or more side-holes in both the esophagus and the stomach sides. Fifteen patients could not pass through any side-hole across the gastroesophageal junction. They had shorter EX distances (p = 0.02, but no difference among the NE distances. Body height had the highest statistical correlation with nasogastric tube length (adjusted R(2 = 0.459, as compared with the NEX, GX and GU body surface methods. CONCLUSION: This study suggests that NEX method is inappropriate for adult patients to estimate the ideal inserting length of nasogastric tube. Physicians should realize these underinsertions with any side-hole above the gastroesophageal junctions may increase the potential risk of complications.

  15. Frequency, Gradience, and Variation in Consonant Insertion

    Science.gov (United States)

    An, Young-ran

    2010-01-01

    This dissertation addresses the extent to which linguistic behavior can be described in terms of the projection of patterns from existing lexical items, through an investigation of Korean reduplication. Korean has a productive pattern of reduplication in which a consonant is inserted in a vowel-initial base, illustrated by forms such as "alok"--"t…

  16. Thermal Performance of the XRS Helium Insert

    Science.gov (United States)

    Breon, Susan R.; DiPirro, Michael J.; Tuttle, James G.; Shirron, Peter J.; Warner, Brent A.; Boyle, Robert F.; Canavan, Edgar R.

    1999-01-01

    The X-Ray Spectrometer (XRS) is an instrument on the Japanese Astro-E satellite, scheduled for launch early in the year 2000. The XRS Helium Insert comprises a superfluid helium cryostat, an Adiabatic Demagnetization Refrigerator (ADR), and the XRS calorimeters with their cold electronics. The calorimeters are capable of detecting X-rays over the energy range 0.1 to 10 keV with a resolution of 12 eV. The Helium Insert completed its performance and verification testing at Goddard in January 1999. It was shipped to Japan, where it has been integrated with the neon dewar built by Sumitomo Heavy Industries. The Helium Insert was given a challenging lifetime requirement of 2.0 years with a goal of 2.5 years. Based on the results of the thermal performance tests, the predicted on-orbit lifetime is 2.6 years with a margin of 30%. This is the result of both higher efficiency in the ADR cycle and the low temperature top-off, more than compensating for an increase in the parasitic heat load. This paper presents a summary of the key design features and the results of the thermal testing of the XRS Helium Insert.

  17. Manipulator for inspection and possible repair of the tubes of heat exchangers, especially of steam generators for nuclear reactors

    International Nuclear Information System (INIS)

    Manipulator for inspecting and, if required, repairing the tubes of heat exchangers, especially for nuclear reactors, comprises a tube bundle set in a tube sheet leading into a steam generator chamber and a manipulator is brought in through a lead-in nozzle. An inspection arm can be inserted and removed through the lead-in nozzle and the nozzle can be closed off tight by a blind flange. The inspection arm comprises a guide tube supported in the leadin nozzle, and a swivel arm supported at the end of the guide tube so that it can rotate in a plane parallel to the tube sheet. The swivel arm carries at its outer end an extendable and retractable mouthpiece carrier with a mouthpiece which can be aligned onto the tube openings. The outer contour of the swivel arm and the mouthpiece carrier in the stretched-out transport position is not greater than the inner contour of the lead-in nozzle

  18. Restore condition of Incore thimble tubes in guide tubes

    Energy Technology Data Exchange (ETDEWEB)

    Solanas, A.; Izquierdo, J.

    2014-07-01

    Aging of Nuclear Power Plant and succession of outages lead to wear and twist of the thimbles tubes but also to the fooling of Incore guide tubes. These can create friction and a high strength must be used for thimble tubes withdrawal. (Author)

  19. An in vitro comparison of tracheostomy tube cuffs

    Directory of Open Access Journals (Sweden)

    Maguire S

    2015-04-01

    Full Text Available Seamus Maguire,1 Frances Haury,2 Korinne Jew2 1Research and Development, Covidien Respiratory and Monitoring Solutions, Athlone, Ireland; 2Medical Affairs, Covidien Respiratory and Monitoring Solutions, Boulder, CO, USA Introduction: The Shiley™ Flexible adult tracheostomy tube with TaperGuard™ cuff has been designed through its geometry, materials, diameter, and wall thickness to minimize micro-aspiration of fluids past the cuff and to provide an effective air seal in the trachea while also minimizing the risk of excessive contact pressure on the tracheal mucosa. The cuff also has a deflated profile that may allow for easier insertion through the stoma site. This unique design is known as the TaperGuard™ cuff. The purpose of the observational, in vitro study reported here was to compare the TaperGuard™ taper-shaped cuff to a conventional high-volume low-pressure cylindrical-shaped cuff (Shiley™ Disposable Inner Cannula Tracheostomy Tube [DCT] with respect to applied tracheal wall pressure, air and fluid sealing efficacy, and insertion force.Methods: Three sizes of tracheostomy tubes with the two cuff types were placed in appropriately sized tracheal models and lateral wall pressure was measured via pressure-sensing elements on the inner surface. Fluid sealing performance was assessed by inflating the cuffs within the tracheal models (25 cmH2O, instilling water above the cuff, and measuring fluid leakage past the cuff. To measure air leak, tubes were attached to a test lung and ventilator, and leak was calculated by subtracting the average exhaled tidal volume from the average delivered tidal volume. A tensile test machine was used to measure insertion force for each tube with the cuff deflated to simulate clinical insertion through a stoma site.Results: The average pressure exerted on the lateral wall of the model trachea was lower for the taper-shaped cuff than for the cylindrical cuff under all test conditions (P<0.05. The taper

  20. Laser welding of a tube

    International Nuclear Information System (INIS)

    For sleeving PWR steam generator tubes, the welding laser work is made under protection of a primary gas going out by the crossing window of the laser and under a secondary gas flowing axially through the head and the tube

  1. Quarter-wave pulse tube

    Science.gov (United States)

    Swift, G. W.; Gardner, D. L.; Backhaus, S. N.

    2011-10-01

    In high-power pulse-tube refrigerators, the pulse tube itself can be very long without too much dissipation of acoustic power on its walls. The pressure amplitude, the volume-flow-rate amplitude, and the time phase between them evolve significantly along a pulse tube that is about a quarter-wavelength long. Proper choice of length and area makes the oscillations at the ambient end of the long pulse tube optimal for driving a second, smaller pulse-tube refrigerator, thereby utilizing the acoustic power that would typically have been dissipated in the first pulse-tube refrigerator's orifice. Experiments show that little heat is carried from the ambient heat exchanger to the cold heat exchanger in such a long pulse tube, even though the oscillations are turbulent and even when the tube is compactly coiled.

  2. Tubing For Sampling Hydrazine Vapor

    Science.gov (United States)

    Travis, Josh; Taffe, Patricia S.; Rose-Pehrsson, Susan L.; Wyatt, Jeffrey R.

    1993-01-01

    Report evaluates flexible tubing used for transporting such hypergolic vapors as those of hydrazines for quantitative analysis. Describes experiments in which variety of tubing materials, chosen for their known compatibility with hydrazine, flexibility, and resistance to heat.

  3. Acute diaphragmatic paralysis caused by chest-tube trauma to phrenic nerve

    International Nuclear Information System (INIS)

    A 31/2-year-old child developed unilateral diaphragmatic paralysis after chest drain insertion. Plain chest X-ray demonstrated paravertebral positioning of the chest-tube tip, and magnetic resonance imaging revealed hematomas in the region of the chest-tube tip and the phrenic nerve fibers. The trauma to the phrenic nerve was apparently secondary to malposition of the chest tube. This is a rare complication and has been reported mainly in neonates. Radiologists should notify the treating physicians that the correct position of a chest drain tip is at least 2 cm distant from the vertebrae. (orig.)

  4. Performance of Closed Tow-Phase Thermosyphon With Double Tube Evaporator

    International Nuclear Information System (INIS)

    Experimental studies were carried out for the new thermosyphon type of double tube evaporator. thermosyphons are utilized for transporting large quantities of heat energy. thermosyphons have been widely used in energy and different industrial applications due to their simple construction , small thermal resistance, broad operating limits and low fabrication costs. thermal analysis of thermosyphons performance is experimentally presented in the steady state operation of the closed two-phase thermosyphon of double tube evaporator. the experimental study was performed by inserting an inner pipe into the evaporator of thermosyphon. this study aims to examine the thermosyphons performance against the traditional thermosyphon and analysis of the characteristics of double tube evaporator

  5. Ultrasonic nondestructive tubing inspection system

    International Nuclear Information System (INIS)

    A system for measuring the extent of tube wall erosion in an inspection region of a heat exchanger tube of a nuclear steam generator, uses an ultrasonic means driven helically inside the eroded tube which may be filled with a fluid (e.g., water) to minimize ultrasonic wave attenuation. A control means cooperates with the ultrasonic means to produce a map of the tube wall thickness in an inspection region

  6. Sleeve puller salvages welded tubes

    Science.gov (United States)

    Weaver, J. F.

    1980-01-01

    Tool removes sleeve remnants without distorting or damaging tubes, unlike pliers and other conventional handtools. Tubes can be reused, saving time, labor, and material in many applications. Sleeve-removal fixture consists of pressure screw, swing arm, locking screws, and base. It removes sleeve remnant from tubing after welded joint has been sawed through.

  7. Insertion of optic fibre for CMS

    CERN Multimedia

    Maximilien Brice

    2003-01-01

    The MicroJET system uses high pressure to carefully put the optical fibres into their protective tubes. These fibres are vital for rapid data transfer, but are also very delicate and, if damanged, may not work at the required efficiency. Similiar methods are used to install cables for the telecommunications industry.

  8. Neural tube defects

    Directory of Open Access Journals (Sweden)

    M.E. Marshall

    1981-09-01

    Full Text Available Neural tube defects refer to any defect in the morphogenesis of the neural tube, the most common types being spina bifida and anencephaly. Spina bifida has been recognised in skeletons found in north-eastern Morocco and estimated to have an age of almost 12 000 years. It was also known to the ancient Greek and Arabian physicians who thought that the bony defect was due to the tumour. The term spina bifida was first used by Professor Nicolai Tulp of Amsterdam in 1652. Many other terms have been used to describe this defect, but spina bifida remains the most useful general term, as it describes the separation of the vertebral elements in the midline.

  9. Mallory-Weiss tear following cardiac surgery : transoesophageal echoprobe or nasogastric tube?

    NARCIS (Netherlands)

    De Vries, AJ; van der Maaten, JMAA; Laurens, RRP

    2000-01-01

    A case of fatal upper gastrointestinal bleeding from a Mallory-Weiss tear after transoesophageal echocardiography during cardiac surgery is reported. After the echocardiographic examination, which is considered a safe procedure, a nasogastric tube was inserted which immediately revealed bright red b

  10. Comparison of conventional Injection Mould Inserts to Additively Manufactured Inserts using Life Cycle Assessment

    DEFF Research Database (Denmark)

    Hofstätter, Thomas; Bey, Niki; Mischkot, Michael;

    2016-01-01

    Polymer Additive Manufacturing can be used to produce soft tooling inserts for injection moulding. Compared to conventional tooling, the energy and time consumption during production are significantly lower. As the life time of such inserts is significantly shorter than the life time of traditional...... of their potential environmental impact and yield throughout the development and pilot phase. Insert geometry is particularly advantageous for pilot production and small production sizes. In this research, Life Cycle Assessment is used to compare the environmental impact of soft tooling by Additive Manufacturing...... (using Digital Light Processing) and three traditional methods for the manufacture of inserts (milling of brass, steel, and aluminium) for injection moulds during the pre-production phase....

  11. Fabrication of seamless calandria tubes

    International Nuclear Information System (INIS)

    Full text: Calandria tube is a large diameter, thin walled zircaloy-4 tube and is an important structural component of PHWR type of reactors. These tubes are lifetime components and remain during the full life of the reactor. Calandria tubes are classified as extremely thin walled tubes with a diameter to wall thickness ratio of around 96. Such thin walled tubes are conventionally produced by seam welded route comprising of extrusion of slabs followed by a series of hot and rolling passes, shaping into O-shape and eventual welding. An alternative and superior method of fabricating the calandria tubes, the seamless route, has been developed, which involves hot extrusion of mother blanks followed by three successive cold pilger reductions. Eccentricity correction of the extruded blanks is carried out on a special purpose grinding equipment to bring the wall thickness variation within permissible limits. Predominant wall thickness reductions are given during cold pilgering to ensure high Q-factor values. The texture in the finished tubes could be closely, controlled with an average fr value of 0.65. Pilgering parameters and tube guiding system have been specially designed to facilities rolling of thin walled tubes. Seamless calandria tubes have distinct advantages over welded tubes. In addition to the absence of weld, they are dimensionally more stable, lighter in weight and possess uniform grains with superior grain size. The cycle time from billet to finished product is substantially reduced and the product is amenable to high level of quality assurance. The most significant feature of the seamless route is its material recovery over welded route. Residual stresses measured in the tubes indicate that these are negligible and uniform along the length of the tube. In view of their superior quality, the first charge of seamless calandria tubes will be rolled into the first 500 MWe Pressurised Heavy Water Reactor at Tarapur

  12. Primary fallopian tube carcinoma

    Directory of Open Access Journals (Sweden)

    Mladenović-Segedi Ljiljana

    2009-01-01

    Full Text Available Introduction. Primary fallopian tube carcinoma is extremely rare, making 0.3-1.6% of all female genital tract malignancies. Although the etymology of this tumor is unknown, it is suggested to be associated with chronic tubal inflammation, infertility, tuberculous salpingitis and tubal endometriosis. High parity is considered to be protective. Cytogenetic studies show the disease to be associated with over expression of p53, HER2/neu and c-myb. There is also some evidence that BRCA1 and BRCA2 mutations have a role in umorogeneis. Clinical features. The most prevailing symptoms with fallopian tube carcinoma are abdominal pain, abnormal vaginal discharge/bleeding and the most common finding is an adnexal mass. In many patients, fallopian tube carcinoma is asymptomatic. Diagnosis. Due to its rarity, preoperative diagnosis of primary fallopian tube carcinoma is rarely made. It is usually misdiagnosed as ovarian carcinoma, tuboovarian abscess or ectopic pregnancy. Sonographic features of the tumor are non-specific and include the presence of a fluid-filled adnexal structure with a significant solid component, a sausage-shaped mass, a cystic mass with papillary projections within, a cystic mass with cog wheel appearance and an ovoid-shaped structure containing an incomplete separation and a highly vascular solid nodule. More than 80% of patients have elevated pretreatment serum CA-125 levels, which is useful in follow-up after the definite treatment. Treatment. The treatment approach is similar to that of ovarian carcinoma, and includes total abdominal hysterectomy and bilateral salpingo-oophorectomy. Staging is followed with chemotherapy.

  13. Clogging of feeding tubes.

    Science.gov (United States)

    Marcuard, S P; Perkins, A M

    1988-01-01

    This is a report of an in vitro study evaluating clotting ability of some formulas with intact protein and hydrolyzed protein sources in a series of buffers ranging from a pH of 1 thru 10. The following 10 products were tested: Ensure Plus, Ensure, Enrich, Osmolite, Pulmocare, Citrotein, Resource, Vivonex TEN, Vital, and Hepatic Acid II. Protein (10 and 20 g/liter) was added to Citrotein and Ensure Plus. All formulas were tested at full and some at half strength. Clotting occurred only in premixed intact protein formulas (Pulmocare, Ensure Plus, Osmolite, Enrich, Ensure) and in Resource. No clotting was observed for Citrotein (intact protein formula in powder form), Vital, Vivonex TEN, and Hepatic Aid II. Adding protein did not cause or increase clotting. In summary, clotting of some liquid formula diet appears to be an important factor causing possible gastric feeding tube occlusion. The following measures may help in preventing this problem: flushing before and after aspirating for gastric residuals to eliminate acid precipitation of formula in the feeding tube, advance the nasogastric feeding tube into the duodenum if possible, and avoid mixing these products with liquid medications having a pH value of 5.0 or less. PMID:3138452

  14. Traveling-Wave Tubes

    Science.gov (United States)

    Kory, Carol L.

    1998-01-01

    The traveling-wave tube (TWT) is a vacuum device invented in the early 1940's used for amplification at microwave frequencies. Amplification is attained by surrendering kinetic energy from an electron beam to a radio frequency (RF) electromagnetic wave. The demand for vacuum devices has been decreased largely by the advent of solid-state devices. However, although solid state devices have replaced vacuum devices in many areas, there are still many applications such as radar, electronic countermeasures and satellite communications, that require operating characteristics such as high power (Watts to Megawatts), high frequency (below 1 GHz to over 100 GHz) and large bandwidth that only vacuum devices can provide. Vacuum devices are also deemed irreplaceable in the music industry where musicians treasure their tube-based amplifiers claiming that the solid-state and digital counterparts could never provide the same "warmth" (3). The term traveling-wave tube includes both fast-wave and slow-wave devices. This article will concentrate on slow-wave devices as the vast majority of TWTs in operation fall into this category.

  15. CRL X-RAY TUBE

    OpenAIRE

    Kolchevsky, N. N.; Petrov, P. V.

    2015-01-01

    A novel types of X-ray tubes with refractive lenses are proposed. CRL-R X-ray tube consists of Compound Refractive Lens- CRL and Reflection X-ray tube. CRL acts as X-ray window. CRL-T X-ray consists of CRL and Transmission X-ray tube. CRL acts as target for electron beam. CRL refractive lens acts as filter, collimator, waveguide and focusing lens. Properties and construction of the CRL X-ray tube are discussed.

  16. Nasogastric tube feeding: a safe option for patients?

    Science.gov (United States)

    Williams, Trish

    2016-01-01

    This article will show that fine-bore nasogastric tube feeding can be facilitated for patients when long term percutaneous endoscopic gastrostomy (PEG) or radiologically inserted gastrostomy (RIG) options are not suitable. How the safe replacement of these tubes is facilitated, and what instructions the patient and the nursing home are given to support patient care and safety are also discussed. The decision to support this type of feeding must be completely individualised, considering home and external support agencies available to each patient. The risk assessment completed to facilitate this has been based on the patients' individual circumstances, and a nasogastric tube home passport developed to help in the assessment and decision-making process. For fine-bore nasogastric tube feeding to be safe, it does have to be supported once the patient is discharged from the hospital. A good knowledge of the home support and carer support agencies, and what is available, should be discussed. Multidisciplinary team support is essential in ensuring a safe discharge can be planned and managed. Good patient risk assessment and nursing considerations are discussed to show how the challenges that may prevent a patient discharge with this type of feed are managed. This article will show how two very different patients discharges were facilitated by safe fine-bore nasogastric tube feeding in the community. Patient assessment and nursing considerations are discussed, as well as the importance of a multidisciplinary approach to show how this was successfully achieved in a local district hospital.

  17. Reliability of steam generator tubing

    Energy Technology Data Exchange (ETDEWEB)

    Kadokami, E. [Mitsubishi Heavy Industries Ltd., Hyogo-ku (Japan)

    1997-02-01

    The author presents results on studies made of the reliability of steam generator (SG) tubing. The basis for this work is that in Japan the issue of defects in SG tubing is addressed by the approach that any detected defect should be repaired, either by plugging the tube or sleeving it. However, this leaves open the issue that there is a detection limit in practice, and what is the effect of nondetectable cracks on the performance of tubing. These studies were commissioned to look at the safety issues involved in degraded SG tubing. The program has looked at a number of different issues. First was an assessment of the penetration and opening behavior of tube flaws due to internal pressure in the tubing. They have studied: penetration behavior of the tube flaws; primary water leakage from through-wall flaws; opening behavior of through-wall flaws. In addition they have looked at the question of the reliability of tubing with flaws during normal plant operation. Also there have been studies done on the consequences of tube rupture accidents on the integrity of neighboring tubes.

  18. Microdischarges in DC accelerator tubes

    International Nuclear Information System (INIS)

    Voltage tests on the Daresbury ceramic/titanium accelerator tube have shown that microdischarges play an important role in the conditioning process. It has been found that the voltage onset for microdischarges in a tube is dependent on the surface contamination of the electrodes and the tube geometry (in particular the tube length). This geometrical effect can be related to the trajectories of secondary ions emitted from the electrode surfaces. Sensitive diagnostic techniques have been developed to study the mass and energy distribution of ions emitted along the axis of the tube during these predischarges. The energy distribution of protons (and H- ions) can be related to the origins of the discharges in the tube. Detailed results are presented for a particular tube geometry. (author)

  19. Roles for retrotransposon insertions in human disease.

    Science.gov (United States)

    Hancks, Dustin C; Kazazian, Haig H

    2016-01-01

    Over evolutionary time, the dynamic nature of a genome is driven, in part, by the activity of transposable elements (TE) such as retrotransposons. On a shorter time scale it has been established that new TE insertions can result in single-gene disease in an individual. In humans, the non-LTR retrotransposon Long INterspersed Element-1 (LINE-1 or L1) is the only active autonomous TE. In addition to mobilizing its own RNA to new genomic locations via a "copy-and-paste" mechanism, LINE-1 is able to retrotranspose other RNAs including Alu, SVA, and occasionally cellular RNAs. To date in humans, 124 LINE-1-mediated insertions which result in genetic diseases have been reported. Disease causing LINE-1 insertions have provided a wealth of insight and the foundation for valuable tools to study these genomic parasites. In this review, we provide an overview of LINE-1 biology followed by highlights from new reports of LINE-1-mediated genetic disease in humans. PMID:27158268

  20. Beamline Insertions Manager at Jefferson Lab

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, Michael C. [Jefferson Lab., Newport News, VA (United States)

    2015-09-01

    The beam viewer system at Jefferson Lab provides operators and beam physicists with qualitative and quantitative information on the transverse electron beam properties. There are over 140 beam viewers installed on the 12 GeV CEBAF accelerator. This paper describes an upgrade consisting of replacing the EPICS-based system tasked with managing all viewers with a mixed system utilizing EPICS and high-level software. Most devices, particularly the beam viewers, cannot be safely inserted into the beam line during high-current beam operations. Software is partly responsible for protecting the machine from untimely insertions. The multiplicity of beam-blocking and beam-vulnerable devices motivates us to try a data-driven approach. The beamline insertions application components are centrally managed and configured through an object-oriented software framework created for this purpose. A rules-based engine tracks the configuration and status of every device, along with the beam status of the machine segment containing the device. The application uses this information to decide on which device actions are allowed at any given time.

  1. [Historical evolution of package inserts in Brazil].

    Science.gov (United States)

    Caldeira, Telma Rodrigues; Neves, Eugênio Rodrigo Zimmer; Perini, Edson

    2008-04-01

    In Brazil, package inserts provide key information on pharmaceuticals. The current study analyzes the evolution of package inserts and the impact on this process by scientific research and development, globalization of information, and various health policies. The study began with a retrospective review of Brazilian health legislation until 1920, the year when the National Public Health Department was created. The analysis of documents on the evolution of health regulation in Brazil began with the Brazilian Pharmaceutical Collection-Health Rulings. The second stage of the study involved a search of standards and norms in VISALEGIS: Health Surveillance Legislation, Portal for Legislation from the National Congressional Information System and the Health Legislation System. Package inserts became an important vehicle for information in the country and underwent important regulatory changes in the latter half of the 20th century. From 1946 to 2006, the number of mandatory items increased, with more in-depth description. However, the standardization of information for medicines with the same active ingredient failed to materialize, despite its importance and the various legal initiatives in this direction.

  2. Optimization of ITER Central Solenoid Insert design

    Energy Technology Data Exchange (ETDEWEB)

    Khodak, Andrei, E-mail: akhodak@pppl.gov [Princeton Plasma Physics Laboratory, Princeton, NJ 08543 (United States); Martovetsky, Nicolai; Smirnov, Alexandre [Oak Ridge National Laboratory, Oak Ridge, TN 37831 (United States); Titus, Peter [Princeton Plasma Physics Laboratory, Princeton, NJ 08543 (United States)

    2013-10-15

    Highlights: ► Modifications of coil design for testing ITER superconducting cable are presented. ► Numerical analysis allowed optimal selection of the material for the coil spacers. ► Current sharing temperature distributions along the cable are predicted. -- Abstract: The United States ITER Project Office (USIPO) is responsible for fabrication of the Central Solenoid (CS) for International Thermonuclear Experimental Reactor (ITER). The CS Insert (CSI) project should provide a verification of the conductor performance in relevant conditions of temperature, field, currents and mechanical strain. The US IPO will build the CSI that will be tested at the Central Solenoid Model Coil (CSMC) Test Facility at JAEA, Naka. One of the design goals of the CSI is to assure that the properties of the conductor near the median plane are measured accurately. Since Nb3Sn is strain sensitive and electromagnetic forces generate a significant strain that increases the current sharing temperature (T{sub cs}), we need to design the Insert in such a way that the most strained conductor near the median plane would still have the lowest T{sub cs} of all the rest of the conductor in the Insert. The difference between thermal contraction of the jacket and spacer material allows controlling axial distribution of the coil radial deformation. Numerical analysis of the CSI was performed using stainless steel, titanium and invar spacer material variants. Distribution of the T{sub cs} was obtained from numerical results in the form similar to one proposed for ITER.

  3. App-assisted external ventricular drain insertion.

    Science.gov (United States)

    Eftekhar, Behzad

    2016-09-01

    The freehand technique for insertion of an external ventricular drain (EVD) is based on fixed anatomical landmarks and does not take individual variations into consideration. A patient-tailored approach based on augmented-reality techniques using devices such as smartphones can address this shortcoming. The Sina neurosurgical assist (Sina) is an Android mobile device application (app) that was designed and developed to be used as a simple intraoperative neurosurgical planning aid. It overlaps the patient's images from previously performed CT or MRI studies on the image seen through the device camera. The device is held by an assistant who aligns the images and provides information about the relative position of the target and EVD to the surgeon who is performing EVD insertion. This app can be used to provide guidance and continuous monitoring during EVD placement. The author describes the technique of Sina-assisted EVD insertion into the frontal horn of the lateral ventricle and reports on its clinical application in 5 cases as well as the results of ex vivo studies of ease of use and precision. The technique has potential for further development and use with other augmented-reality devices. PMID:26654178

  4. Genotyping of the 19-bp insertion/deletion polymorphism in the 5' flank of beta-hydroxylase gene by dissociation analysis of allele-specific PCR products

    DEFF Research Database (Denmark)

    Rasmussen, Henrik Berg; Werge, Thomas

    2005-01-01

    The 19-bp insertion/deletion polymorphism in the 5' flank of the dopamine beta-hydroxylase (DBH) gene has been associated with psychiatric disorders. We have developed a simple, reliable and inexpensive closed-tube assay for genotyping of this polymorphism based upon T(m) determination of amplified...

  5. Ultrasonic inspection of tube to tube plate welds

    International Nuclear Information System (INIS)

    To monitor the deterioration of a weld between a tube and tube plate which has been repaired by a repair sleeve inside the tube and brazed at one end to the tube, ultrasound from a crystal at the end of a rod is launched, in the form of Lamb-type waves, into the tube through the braze and allowed to travel along the tube to the weld and be reflected back along the tube. The technique may also be used for the type of heat exchanger in which, during construction, the tubes are welded to the tube plate via external sleeves in which case the ultrasound is used in a similar manner to inspect the sleeve/tube plate weld. an electromagnetic transducer may be used to generate the ultrasound. The ultrasonic head comprising the crystal and an acoustic baffle is mounted on a Perspex (RTM) rod which may be rotated by a stepping motor. Echo signals from the region of deterioration may be isolated by use of a time gate in the receiver. The device primarily detects circumferentially orientated cracks, and may be used in heat exchangers in nuclear power plants. (author)

  6. Experimental and numerical investigation to evaluate the performance of triangular finned tube heat exchanger

    Directory of Open Access Journals (Sweden)

    Vinous M. Hameed, Bashar Muslem Essa

    2015-01-01

    Full Text Available Experimental and numerical investigation has been performed in this work to evaluate the performance for triangular finned tube heat exchanger. Experimental work included designing and manufacturing of shaped triangular fins from copper material of (10mm length, (10mm height, (1mm thickness, (22 mm distance between every two fins shaped and (15mm pitch between each two of fins which are install on the straight copper tube of (2m length having (20mm inner diameter and (22mm outer diameter. The inner tube is inserted inside the Perspex tube of (54mm inner diameter and (60mm outer diameter. Cold Air and hot water are used as working fluids in the shell side and tube side, respectively. Air at various mass flow rates (0.001875 to 0.003133 kg/sec flows through annuli and water at Reynold's numbers ranging from (10376.9 to 23348.03 flows through the inner tube. Performance of (smooth and finned tube heat exchanger was investigated experimentally. Experimental results showed that the enhancement of heat dissipation for triangular finned tube is (3.252 to4.502 times than that of smooth tube respectively. Numerical simulation has been carried out on present heat exchanger to analyze flow field and heat transfer using COMSOL computational fluid dynamic (CFD package model. The comparison between experimental work and numerical results showed good agreement.

  7. Development of advanced high reliable helical type double wall tube steam generator

    International Nuclear Information System (INIS)

    A helical-coil-type double wall tube filled with a wire mesh layer is proposed for a steam generator (SG) of a new-type fast-breeder reactor in Japan in order to further increase reliability in operation. This double wall tube consists of inner and outer tubes and a wire mesh layer between inner and outer tubes. In last fiscal year, following 2 R and D projects were planned and established. An in-service inspection (ISI) technology is required to put this double wall tube SG to practical use. We need to detect small defects on an outer surface of an outer tube during an insert of a sensor into an inner tube. A major candidate for this inspection is a remote field eddy current testing (RFECT). An objective of this development is to demonstrate a defect detection of a double wall tube with a wire mesh layer using a RFECT. In order to connect tubes for helical-coil length, we designed and made prototype welding device unit, executed survey welding examination and evaluated applicability by the test piece examination. (author)

  8. Feeding tube-related complications and problems in patients receiving long-term home enteral nutrition

    Directory of Open Access Journals (Sweden)

    Vasileios Alivizatos

    2015-04-01

    Full Text Available Aim: The aim of this study was to evaluate the long-term complications and problems related to gastrostomy and jejunostomy feeding tubes used for home enteral nutrition support and the effect these have on health care use. Materials and Methods: The medical records of 31 patients having gastrostomy (27 patients and jejunostomy (4 feeding tubes inserted in our Department were retrospectively studied. All were discharged on long-term (>3 months enteral nutrition and followed up at regular intervals by a dedicated nurse. Any problem or complication associated with tube feeding as well as the intervention, if any, that occurred, was recorded. Data were collected and analyzed. Results: All the patients were followed up for a mean of 17.5 months (4-78. The most frequent tube-related complications included inadvertent removal of the tube (broken tube, plugged tube; 45.1%, tube leakage (6.4%, dermatitis of the stoma (6.4%, and diarrhea (6.4%. There were 92 unscheduled health care contacts, with an average rate of such 2.9 contacts over the mean follow-up time of 17.5 months. Conclusion: In patients receiving long-term home enteral nutrition, feeding tube-related complications and problems are frequent and result in significant health care use. Further studies are needed to address their optimal prevention modalities and management.

  9. Percutaneous gastrostomy tube placement in patients with ventriculoperitoneal shunts

    Energy Technology Data Exchange (ETDEWEB)

    Sane, S.S.; Towbin, A.; Bergey, E.A.; Kaye, R.D.; Fitz, C.R.; Albright, L.; Towbin, R.B. [Department of Radiology, Children`s Hospital of Pittsburgh, 3705 Fifth Avenue, Pittsburgh, PA 15213 (United States)

    1998-07-01

    Objective. The purpose of this study is to determine the risk of CNS and/or peritoneal infection in children with ventriculoperitoneal shunts in whom a percutaneous gastrostomy tube is placed. Materials and methods. We placed 205 gastrostomy or gastrojejunostomy tubes from January of 1991 to December 1996. Twenty-three patients (10 boys, 13 girls) had ventriculoperitoneal shunts at the time of placement. All shunts were placed at least 1 month prior to placement of the gastrostomy tube. The patients ranged in age from 8 months to 16 years with a mean age of 6 years, 9 months. Patient weight ranged from 2 kg to 60 kg. All 23 children required long-term nutritional support due to severe neurologic impairment. No prophylactic antibiotics were given prior to the procedure. Of the patients, 21/23 had a 14-F Sacks-Vine gastrostomy tube with a fixed terminal retention device inserted, using percutaneous fluoroscopic antegrade technique. Two of the 23 patients had a Ross 14-F Flexi-flo gastrostomy tube which required a retrograde technique due to a small caliber esophagus in these children. Results. All 23 children had technically successful placements of percutaneous gastrostomy (7) or gastrojejunostomy (16) tubes. Of the children, 21/23 (91 %) had no complications from the procedure. Two of 23 (9 %) patients demonstrated signs of peritonitis after placement of their gastrostomy tubes and subsequently had shunt infections. In both, children CSF culture grew gram-positive cocci. The antegrade technique was used in both children who developed peritonitis. Conclusion. Our study indicates children with ventriculoperitoneal shunts who undergo percutaneous gastrostomy are at greater risk for infection and subsequent shunt malfunction. Therefore, we recommend prophylactic antibiotic therapy to cover for skin and oral flora. (orig.) With 1 fig., 7 refs.

  10. The NASA, Marshall Space Flight Center drop tube user's manual

    Science.gov (United States)

    Rathz, Thomas J.; Robinson, Michael B.

    1990-01-01

    A comprehensive description of the structural and instrumentation hardware and the experimental capabilities of the 105-meter Marshall Space Flight Center Drop Tube Facility is given. This document is to serve as a guide to the investigator who wishes to perform materials processing experiments in the Drop Tube. Particular attention is given to the Tube's hardware to which an investigator must interface to perform experiments. This hardware consists of the permanent structural hardware (with such items as vacuum flanges), and the experimental hardware (with the furnaces and the sample insertion devices). Two furnaces, an electron-beam and an electromagnetic levitator, are currently used to melt metallic samples in a process environment that can range from 10(exp -6) Torr to 1 atmosphere. Details of these furnaces, the processing environment gases/vacuum, the electrical power, and data acquisition capabilities are specified to allow an investigator to design his/her experiment to maximize successful results and to reduce experimental setup time on the Tube. Various devices used to catch samples while inflicting minimum damage and to enhance turnaround time between experiments are described. Enough information is provided to allow an investigator who wishes to build his/her own furnace or sample catch devices to easily interface it to the Tube. The experimental instrumentation and data acquisition systems used to perform pre-drop and in-flight measurements of the melting and solidification process are also detailed. Typical experimental results are presented as an indicator of the type of data that is provided by the Drop Tube Facility. A summary bibliography of past Drop Tube experiments is provided, and an appendix explaining the noncontact temperature determination of free-falling drops is provided. This document is to be revised occasionally as improvements to the Facility are made and as the summary bibliography grows.

  11. New cardiac retractor for epicardial electrode insertion via subxiphoid approach.

    Science.gov (United States)

    Sakamoto, T; Arai, H; Suzuki, A

    1993-04-01

    A new retractor for the insertion of epicardial screw-in electrodes is described. We have found that this instrument can be easily applied to the heart and gives excellent exposure for electrode insertion.

  12. Nasogastric tube depth: the 'NEX' guideline is incorrect.

    Science.gov (United States)

    Taylor, Stephen J; Allan, Kaylee; McWilliam, Helen; Toher, Deirdre

    Misplacing 17-23% of nasogastric (NG) tubes above the stomach ( Rollins et al, 2012 ; Rayner, 2013 ) represents a serious risk in terms of aspiration, further invasive (tube) procedures, irradiation from failed X-ray confirmation, delay to feed and medication. One causal factor is that in the National Patient Safety Agency (NPSA) guidance to place a tube, length is measured from nose to ear to xiphisternum (NEX) ( NSPA, 2011 ); NEX is incorrect because it only approximates the nose to gastro-oesophageal junction (GOJ) distance and is therefore too short. To overcome this and because the xiphisternum is more difficult to locate, local policy is to measure in the opposite direction; xiphisternum to ear to nose (XEN), then add 10 cm. The authors determined whether external body measurements can be used to estimate the NG tube length to safely reach the gastric body. This involved testing the statistical association of body length, age, sex and XEN in consecutive critically ill patients against internal anatomical landmarks determined from an electromagnetic (EM) trace of the tube path. XEN averaged 50 cm in 71 critically ill patients aged 53±20 years. Tube marking and the EM trace were used to determine mean insertion distances at pre-gastro-oesophageal junction (GOJ) (48 cm), where the tube first turns left towards the stomach and becomes shallow on the trace; gastric body (62 cm), where the tube reaches the left-most part of the stomach; and gastric antrum (73 cm) at the midline on the EM trace. Using body length, age, sex and XEN in a linear regression model, only 25% of variability was predicted, showing that external measurements cannot reliably predict the length of tube required to reach the stomach. A tube length of XEN (or NEX) is too short to guarantee gastric placement and is unsafe. XEN+10 cm or more complex measurements will reach the gastric body (mid-stomach) in most patients, but because of wide variation, external measurements often fail to predict a

  13. Sealed ion accelerator tubes (survey)

    International Nuclear Information System (INIS)

    The first publications on developing commercial models of small-scale sealed accelerator tubes in which neutrons are generated appeared in the foreign press in 1954 to 1957; they were very brief and were advertising-oriented. The tubes were designed for neutron logging of oil wells instead of ampule neutron sources (Po + Be, Ra + Be). Later, instruments of this type began to be called neutron tubes from the resulting neutron radiation that they gave off. In Soviet Union a neutron tube was developed in 1958 in connection with the development of the pulsed neutron-neutron method of studying the geological profile of oil wells. At that time the tube developed was intended, in the view of its inventors, to replace standard isotope sources with constant neutron yield. A fairly detailed survey of neutron tubes was made in the studies. 8 refs., 8 figs

  14. Steam generator tube integrity program

    Energy Technology Data Exchange (ETDEWEB)

    Dierks, D.R.; Shack, W.J. [Argonne National Laboratory, IL (United States); Muscara, J.

    1996-03-01

    A new research program on steam generator tubing degradation is being sponsored by the U.S. Nuclear Regulatory Commission (NRC) at Argonne National Laboratory. This program is intended to support a performance-based steam generator tube integrity rule. Critical areas addressed by the program include evaluation of the processes used for the in-service inspection of steam generator tubes and recommendations for improving the reliability and accuracy of inspections; validation and improvement of correlations for evaluating integrity and leakage of degraded steam generator tubes, and validation and improvement of correlations and models for predicting degradation in steam generator tubes as aging occurs. The studies will focus on mill-annealed Alloy 600 tubing, however, tests will also be performed on replacement materials such as thermally-treated Alloy 600 or 690. An overview of the technical work planned for the program is given.

  15. Roles for retrotransposon insertions in human disease

    OpenAIRE

    Dustin C Hancks; Kazazian, Haig H.

    2016-01-01

    Over evolutionary time, the dynamic nature of a genome is driven, in part, by the activity of transposable elements (TE) such as retrotransposons. On a shorter time scale it has been established that new TE insertions can result in single-gene disease in an individual. In humans, the non-LTR retrotransposon Long INterspersed Element-1 (LINE-1 or L1) is the only active autonomous TE. In addition to mobilizing its own RNA to new genomic locations via a “copy-and-paste” mechanism, LINE-1 is able...

  16. Compiler-assisted static checkpoint insertion

    Science.gov (United States)

    Long, Junsheng; Fuchs, W. K.; Abraham, Jacob A.

    1992-01-01

    This paper describes a compiler-assisted approach for static checkpoint insertion. Instead of fixing the checkpoint location before program execution, a compiler enhanced polling mechanism is utilized to maintain both the desired checkpoint intervals and reproducible checkpoint 1ocations. The technique has been implemented in a GNU CC compiler for Sun 3 and Sun 4 (Sparc) processors. Experiments demonstrate that the approach provides for stable checkpoint intervals and reproducible checkpoint placements with performance overhead comparable to a previously presented compiler assisted dynamic scheme (CATCH) utilizing the system clock.

  17. Alternate tube plugging criteria for steam generator tubes

    Energy Technology Data Exchange (ETDEWEB)

    Cueto-Felgueroso, C.; Aparicio, C.B. [Tecnatom, S.A., Madrid (Spain)

    1997-02-01

    The tubing of the Steam Generators constitutes more than half of the reactor coolant pressure boundary. Specific requirements governing the maintenance of steam generator tubes integrity are set in Plant Technical Specifications and in Section XI of the ASME Boiler and Pressure Vessel Code. The operating experience of Steam Generator tubes of PWR plants has shown the existence of some types of degradatory processes. Every one of these has an specific cause and affects one or more zones of the tubes. In the case of Spanish Power Plants, and depending on the particular Plant considered, they should be mentioned the Primary Water Stress Corrosion Cracking (PWSCC) at the roll transition zone (RTZ), the Outside Diameter Stress Corrosion Cracking (ODSCC) at the Tube Support Plate (TSP) intersections and the fretting with the Anti-Vibration Bars (AVBs) or with the Support Plates in the preheater zone. The In-Service Inspections by Eddy Currents constitutes the standard method for assuring the SG tubes integrity and they permit the monitoring of the defects during the service life of the plant. When the degradation reaches a determined limit, called the plugging limit, the SG tube must be either repaired or retired from service by plugging. Customarily, the plugging limit is related to the depth of the defect. Such depth is typically 40% of the wall thickness of the tube and is applicable to any type of defect in the tube. In its origin, that limit was established for tubes thinned by wastage, which was the predominant degradation in the seventies. The application of this criterion for axial crack-like defects, as, for instance, those due to PWSCC in the roll transition zone, has lead to an excessive and unnecessary number of tubes being plugged. This has lead to the development of defect specific plugging criteria. Examples of the application of such criteria are discussed in the article.

  18. Insertion and deletion processes in recent human history.

    Directory of Open Access Journals (Sweden)

    Per Sjödin

    Full Text Available BACKGROUND: Although insertions and deletions (indels account for a sizable portion of genetic changes within and among species, they have received little attention because they are difficult to type, are alignment dependent and their underlying mutational process is poorly understood. A fundamental question in this respect is whether insertions and deletions are governed by similar or different processes and, if so, what these differences are. METHODOLOGY/PRINCIPAL FINDINGS: We use published resequencing data from Seattle SNPs and NIEHS human polymorphism databases to construct a genomewide data set of short polymorphic insertions and deletions in the human genome (n = 6228. We contrast these patterns of polymorphism with insertions and deletions fixed in the same regions since the divergence of human and chimpanzee (n = 10,546. The macaque genome is used to resolve all indels into insertions and deletions. We find that the ratio of deletions to insertions is greater within humans than between human and chimpanzee. Deletions segregate at lower frequency in humans, providing evidence for deletions being under stronger purifying selection than insertions. The insertion and deletion rates correlate with several genomic features and we find evidence that both insertions and deletions are associated with point mutations. Finally, we find no evidence for a direct effect of the local recombination rate on the insertion and deletion rate. CONCLUSIONS/SIGNIFICANCE: Our data strongly suggest that deletions are more deleterious than insertions but that insertions and deletions are otherwise generally governed by the same genomic factors.

  19. Dermatology on YouTube

    OpenAIRE

    Boyers, Lindsay N.; Quest, Tyler; Karimkhani, Chante; Connett, Jessica; Dellavalle, Robert P.

    2014-01-01

    YouTube, reaches upwards of six billion users on a monthly basis and is a unique source of information distribution and communication. Although the influence of YouTube on personal health decision-making is well established, this study assessed the type of content and viewership on a broad scope of dermatology related content on YouTube. Select terms (i.e. dermatology, sun protection, skin cancer, skin cancer awareness, and skin conditions) were searched on YouTube. Overall, the results inclu...

  20. YouTube and 'psychiatry'.

    Science.gov (United States)

    Gordon, Robert; Miller, John; Collins, Noel

    2015-12-01

    YouTube is a video-sharing website that is increasingly used to share and disseminate health-related information, particularly among younger people. There are reports that social media sites, such as YouTube, are being used to communicate an anti-psychiatry message but this has never been confirmed in any published analysis of YouTube clip content. This descriptive study revealed that the representation of 'psychiatry' during summer 2012 was predominantly negative. A subsequent smaller re-analysis suggests that the negative portrayal of 'psychiatry' on YouTube is a stable phenomenon. The significance of this and how it could be addressed are discussed.

  1. YouTube and 'psychiatry'.

    Science.gov (United States)

    Gordon, Robert; Miller, John; Collins, Noel

    2015-12-01

    YouTube is a video-sharing website that is increasingly used to share and disseminate health-related information, particularly among younger people. There are reports that social media sites, such as YouTube, are being used to communicate an anti-psychiatry message but this has never been confirmed in any published analysis of YouTube clip content. This descriptive study revealed that the representation of 'psychiatry' during summer 2012 was predominantly negative. A subsequent smaller re-analysis suggests that the negative portrayal of 'psychiatry' on YouTube is a stable phenomenon. The significance of this and how it could be addressed are discussed. PMID:26755987

  2. Learning from YouTube [Video Book

    Science.gov (United States)

    Juhasz, Alexandra

    2011-01-01

    YouTube is a mess. YouTube is for amateurs. YouTube dissolves the real. YouTube is host to inconceivable combos. YouTube is best for corporate-made community. YouTube is badly baked. These are a few of the things Media Studies professor Alexandra Juhasz (and her class) learned about YouTube when she set out to investigate what actually happens…

  3. Construction of small-insert and large-insert metagenomic libraries.

    Science.gov (United States)

    Simon, Carola; Daniel, Rolf

    2010-01-01

    The vast majority of the Earth's biological diversity is hidden in uncultured and yet uncharacterized microbial genomes. The construction of metagenomic libraries is a cultivation-independent molecular approach to assess this unexplored genetic reservoir. In the last few years, a high number of novel biocatalysts have been identified by function-based or sequence-based screening of metagenomic libraries. Here, we describe detailed protocols for the construction of metagenomic small-insert and large-insert libraries in plasmids and fosmids, respectively, from environmental DNA. PMID:20830554

  4. Polymeric Biodegradable Stent Insertion in the Esophagus

    Directory of Open Access Journals (Sweden)

    Kai Yang

    2016-04-01

    Full Text Available Esophageal stent insertion has been used as a well-accepted and effective alternative to manage and improve the quality of life for patients diagnosed with esophageal diseases and disorders. Current stents are either permanent or temporary and are fabricated from either metal or plastic. The partially covered self-expanding metal stent (SEMS has a firm anchoring effect and prevent stent migration, however, the hyperplastic tissue reaction cause stent restenosis and make it difficult to remove. A fully covered SEMS and self-expanding plastic stent (SEPS reduced reactive hyperplasia but has a high migration rate. The main advantage that polymeric biodegradable stents (BDSs have over metal or plastic stents is that removal is not require and reduce the need for repeated stent insertion. But the slightly lower radial force of BDS may be its main shortcoming and a post-implant problem. Thus, strengthening support of BDS is a content of the research in the future. BDSs are often temporarily effective in esophageal stricture to relieve dysphagia. In the future, it can be expect that biodegradable drug-eluting stents (DES will be available to treat benign esophageal stricture, perforations or leaks with additional use as palliative modalities for treating malignant esophageal stricture, as the bridge to surgery or to maintain luminal patency during neoadjuvant chemoradiation.

  5. Infrared imaging of LED lighting tubes and fluorescent tubes

    Science.gov (United States)

    Siikanen, Sami; Kivi, Sini; Kauppinen, Timo; Juuti, Mikko

    2011-05-01

    The low energy efficiency of conventional light sources is mainly caused by generation of waste heat. We used infrared (IR) imaging in order to monitor the heating of both LED tube luminaires and ordinary T8 fluorescent tubes. The IR images showed clearly how the surface temperatures of the fluorescent tube ends quickly rose up to about +50...+70°C, whereas the highest surface temperatures seen on the LED tubes were only about +30...+40°C. The IR images demonstrated how the heat produced by the individual LED chips can be efficiently guided to the supporting structure in order to keep the LED emitters cool and hence maintain efficient operation. The consumed electrical power and produced illuminance were also recorded during 24 hour measurements. In order to assess the total luminous efficacy of the luminaires, separate luminous flux measurements were made in a large integrating sphere. The currently available LED tubes showed efficacies of up to 88 lm/W, whereas a standard "cool white" T8 fluorescent tube produced ca. 75 lm/W. Both lamp types gave ca. 110 - 130 lx right below the ceiling-mounted luminaire, but the LED tubes consume only 40 - 55% of the electric power compared to fluorescent tubes.

  6. Transfer of a cold atmospheric pressure plasma jet through a long flexible plastic tube

    Science.gov (United States)

    Kostov, Konstantin G.; Machida, Munemasa; Prysiazhnyi, Vadym; Honda, Roberto Y.

    2015-04-01

    This work proposes an experimental configuration for the generation of a cold atmospheric pressure plasma jet at the downstream end of a long flexible plastic tube. The device consists of a cylindrical dielectric chamber where an insulated metal rod that serves as high-voltage electrode is inserted. The chamber is connected to a long (up to 4 m) commercial flexible plastic tube, equipped with a thin floating Cu wire. The wire penetrates a few mm inside the discharge chamber, passes freely (with no special support) along the plastic tube and terminates a few millimeters before the tube end. The system is flushed with Ar and the dielectric barrier discharge (DBD) is ignited inside the dielectric chamber by a low frequency ac power supply. The gas flow is guided by the plastic tube while the metal wire, when in contact with the plasma inside the DBD reactor, acquires plasma potential. There is no discharge inside the plastic tube, however an Ar plasma jet can be extracted from the downstream tube end. The jet obtained by this method is cold enough to be put in direct contact with human skin without an electric shock. Therefore, by using this approach an Ar plasma jet can be generated at the tip of a long plastic tube far from the high-voltage discharge region, which provides the safe operation conditions and device flexibility required for medical treatment.

  7. Endoscopically placed nasogastrojejunal feeding tubes: a safe route for enteral nutrition in patients with hepatic encephalopathy.

    Science.gov (United States)

    Lee, Steven S; Mathiasen, Ronald A; Lipkin, Craig A; Colquhoun, Steven D; Margulies, Daniel R

    2002-02-01

    Patients with hepatic encephalopathy are at particular risk for aspiration when given oral or gastric feedings. An ideal strategy might combine distal enteral feeding with proximal gastric decompression, which is offered by a nasogastrojejunal (NGJ) feeding tube. One objective was to determine the efficacy and safety of endoscopically placed NGJ feeding tubes in patients with hepatic encephalopathy. Charts of patients who underwent NGJ tube placements between April 1997 and January 2000 were retrospectively reviewed. Two endoscopic techniques ("push" and "pull") were used. Eighteen patients (nine male and nine female) underwent 32 procedures. Twelve patients had undergone liver transplantation, four had decompensated cirrhosis, and two had fulminant hepatic failure. Twenty procedures used the push technique and 12 required the pull technique. The insertion time was shorter for the push technique compared with the pull technique (21.8 vs 39.6 min, P < 0.05). Enteral feedings were begun at an average of 5.2 hours after tube placement. The tubes remained in place for an average of 13.9 days. Complications related to the NGJ tubes included self-removal in eight, tube clogging in five, proximal migration in four, and intraduodenal migration of the gastric port in one. No aspiration episodes occurred. We conclude that NGJ feeding tubes may be placed endoscopically as a bedside procedure for patients with hepatic encephalopathy and provide a safe, efficacious, and rapid route for enteral nutrition in these patients.

  8. The use of a nasogastric tube to facilitate nasotracheal intubation: a randomised controlled trial.

    Science.gov (United States)

    Lim, C-W; Min, S-W; Kim, C-S; Chang, J-E; Park, J-E; Hwang, J-Y

    2014-06-01

    During nasotracheal intubation, the tracheal tube passes through either the upper or lower pathway in the nasal cavity, and it has been reported to be safer that the tracheal tube passes though the lower pathway, just below the inferior turbinate. We evaluated the use of a nasogastric tube as a guide to facilitate tracheal tube passage through the lower pathway, compared with the 'conventional' technique (blind insertion of the tracheal tube into the nasal cavity). A total of 60 adult patients undergoing oral and maxillofacial surgery were included in the study. In 20 out of 30 patients (66.7%) with the nasogastric tube-guided technique, the tracheal tube passed through the lower pathway, compared with 8 out of 30 patients (26.7%) with the 'conventional' technique (p = 0.004). Use of the nasogastric tube-guided technique reduced the incidence and severity of epistaxis (p = 0.027), improved navigability (p = 0.034) and required fewer manipulations (p = 0.001) than the 'conventional' technique.

  9. A buffer insertion and simultaneous sizing timing optimization algorithm

    Institute of Scientific and Technical Information of China (English)

    Yin Guoli; Lin Zhenghui

    2006-01-01

    A path-based timing optimization algorithm for buffer insertion and simultaneous sizing is proposed.Firstly, candidate buffer insertion location and buffer size for each branch in a given routing path were obtained via localized timing optimization. Then, through evaluating each potential insertion against design objectives, potential optimal buffer insertion locations and sizes for the whole routing tree were determined. At last, by removing redundant buffer insertion operations which do not maximize S ( so ), given timing requirements are finally fulfilled through minimum number of buffers.

  10. Forming tool improves quality of tubing flares

    Science.gov (United States)

    1966-01-01

    Punch and die set improves the quality of tubing flares for use with standard flared-tube fittings in high-pressure systems. It forges a dimensionally accurate flare in the tubing and forces more tubing material into the high-stress areas to improve the strength and tightness of the tubing connection.

  11. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Vision Research & Ophthalmology (DIVRO) Student Training Programs NEI Home About NEI Health Information News and Events Grants ... Research at NEI Education Programs Training and Jobs Home > NEI YouTube Videos > NEI YouTube Videos: Amblyopia NEI ...

  12. Flaming on YouTube

    NARCIS (Netherlands)

    Moor, Peter J.; Heuvelman, Ard; Verleur, Ria

    2010-01-01

    In this explorative study, flaming on YouTube was studied using surveys of YouTube users. Flaming is defined as displaying hostility by insulting, swearing or using otherwise offensive language. Three general conclusions were drawn. First, although many users said that they themselves do not flame,

  13. Is looped nasogastric tube feeding more effective than conventional nasogastric tube feeding for dysphagia in acute stroke?

    Directory of Open Access Journals (Sweden)

    Harwood Rowan

    2007-08-01

    Full Text Available Abstract Background Dysphagia occurs in up to 50% of patients admitted to hospital with acute strokes with up to 27% remaining by seven days. Up to 8% continue to have swallowing problems six months after their stroke with 1.7% still requiring enteral feeding. Nasogastric tubes (NGT are the most commonly used method for providing enteral nutrition in early stroke, however they are easily and frequently removed leading to inadequate nutrition, early PEG (Percutaneous Endoscopic Gastrostomy insertion or abandoning of feeding attempts. Looped nasogastric tube feeding may improve the delivery of nutrition to such patients. Methods Three centre, two arm randomised controlled trial, with 50 participants in each arm comparing loop (the intervention versus conventional nasogastric tube feeding. The primary outcome measure is proportion of intended feed delivered in the first 2 weeks. The study is designed to show a mean increase of feed delivery of 16% in the intervention group as compared with the control group, with 90% power at a 5% significance level. Secondary outcomes are treatment failures, mean volume of feed received, adverse events, cost-effectiveness, number of chest x-rays, number of nasogastric tubes and tolerability. Trial Registration ISRCTN Number: ISRCTN61174381

  14. INSERTION DEVICE UPGRADE PLANS AT THE NSLS.

    Energy Technology Data Exchange (ETDEWEB)

    TANABE, T.; BLEDNYKH, A.; HARDER, D.; LEHECKA, M.; RAKOWSKY, G.; SKARITKA, J.

    2005-05-16

    This paper describes plans to upgrade insertion devices (IDs) at the National Synchrotron Light Source (NSLS), Brookhaven National Laboratory, U.S.A. The aging wiggler (W120) at X25 is being replaced by a 1 m long in-vacuum mini-gap undulator (MGU-X25) optimized for a dedicated macromolecular crystallography program. A new, 1/3 m long, undulator (MGU or SCU-X9), will be installed between a pair of RF cavities at X9, and will serve a new beamline dedicated for small angle x-ray scattering (SAXS). Both IDs will have provision for cryocooling the NdFeB hybrid arrays to 150K to raise the field and K-value and to obtain better spectral coverage. Design issues of the devices and other considerations, especially magnetic measurement at low temperature, will be discussed.

  15. Intraocular lens dislocation and tube shunt in the posterior chamber: a case report

    OpenAIRE

    Moreno-Montañés, Javier; Velázquez-Villoria, Alvaro; Sabater, Alfonso L.; Salinas-Alamán, Angel

    2015-01-01

    Background To describe management of a case of intraocular lens (IOL) and capsular bag (CB) dislocation in an eye with an Ahmed glaucoma valve in the posterior chamber. Case presentation A 75-year-old pseudophakic man with open-angle glaucoma and diabetic retinopathy developed neovascular glaucoma. After two intravitreous injections of bevacizumab and panretinal photocoagulation were administered, the new vessels regressed. However, goniosynechiae were observed over 360° of the angle. An Ahme...

  16. Regulatory perspective on incomplete control rod insertions

    Energy Technology Data Exchange (ETDEWEB)

    Chatterton, M.

    1997-01-01

    The incomplete control rod insertions experienced at South Texas Unit 1 and Wolf Creek are of safety concern to the NRC staff because they represent potential precursors to loss of shutdown margin. Even before it was determined if these events were caused by the control rods or by the fuel there was an apparent correlation of the problem with high burnup fuel. It was determined that there was also a correlation between high burnup and high drag forces as well as with rod drop time histories and lack of rod recoil. The NRC staff initial actions were aimed at getting a perspective on the magnitude of the problem as far as the number of plants and the amount of fuel that could be involved, as well as the safety significance in terms of shutdown margin. As tests have been performed and data has been analyzed the focus has shifted more toward understanding the problem and the ways to eliminate it. At this time the staff`s understanding of the phenomena is that it was a combination of factors including burnup, power history and temperature. The problem appears to be very sensitive to these factors, the interaction of which is not clearly understood. The model developed by Westinghouse provides a possible explanation but there is not sufficient data to establish confidence levels and sensitivity studies involving the key parameters have not been done. While several fixes to the problem have been discussed, no definitive fixes have been proposed. Without complete understanding of the phenomena, or fixes that clearly eliminate the problem the safety concern remains. The safety significance depends on the amount of shutdown margin lost due to incomplete insertion of the control rods. Were the control rods to stick high in the core, the reactor could not be shutdown by the control rods and other means such as emergency boration would be required.

  17. HF electronic tubes. Technologies, grid tubes and klystrons

    International Nuclear Information System (INIS)

    This article gives an overview of the basic technologies of electronic tubes: cathodes, electronic optics, vacuum and high voltage. Then the grid tubes, klystrons and inductive output tubes (IOT) are introduced. Content: 1 - context and classification; 2 - electronic tube technologies: cathodes, electronic optics, magnetic confinement (linear tubes), periodic permanent magnet (PPM) focussing, collectors, depressed collectors; 3 - vacuum technologies: vacuum quality, surface effects and interaction with electrostatic and RF fields, secondary emission, multipactor effect, thermo-electronic emission; 4 - grid tubes: operation of a triode, tetrodes, dynamic operation and classes of use, 'common grid' and 'common cathode' operation, ranges of utilisation and limitations, operation of a tetrode on unadjusted load, lifetime of a tetrode, uses of grid tubes; 5 - klystrons: operation, impact of space charge, multi-cavity klystrons, interaction efficiency, extended interaction klystrons, relation between interaction efficiency, perveance and efficiency, ranges of utilization and power limitations, multi-beam klystrons and sheet beam klystrons, operation on unadjusted load, klystron band pass and lifetime, uses; 6 - IOT: principle of operation, ranges of utilisation and limitations, interaction efficiency and depressed collector IOT, IOT lifetime and uses. (J.S.)

  18. [Improving the Care Accuracy of Percutaneously Inserted Central Catheters Using Objective Structured Clinical Examination].

    Science.gov (United States)

    Yang, Pei-Hsin; Hsu, Hsin-Chieh; Chiang, Chia-Chin; Tseng, Yun-Shan

    2016-06-01

    Approximately 9,800 adverse events related to medical tubing are reported in Taiwan every year. Most neonates in critical condition and premature infants acquire fluid, nutrition, and infusion solution using percutaneously inserted central catheters (PICCs). Objective structured clinical examination (OSCE) is an objective evaluative tool that may be used to measure the clinical competence of healthcare professionals. Very little is known about the effects of OSCE in Taiwan in terms of improving the accuracy of use of PICCs in nursing care and of reducing unexpected medical tubing removals. The present project aimed to explore the effects of an OSCE course on these two issues in the realms of standard operating procedures, care protocols, and training equipment at a neonatal intermediate unit in Taiwan. The duration of the present study ran from 2/20/2013 to 10/30/2013. The results showed that nurses' knowledge of PICCs improved from 87% to 91.5%; nurses' skill-care accuracy related to PICCs improved from 59.1% to 97.3%; and incidents of unexpected tube removals declined from 63.6% to 16.7%. This project demonstrated that OSCE courses improve the quality of PICC nursing care. Additionally, the instant feedback mechanism within the OSCE course benefited both teachers and students. PMID:27250965

  19. Experimental Study of Heat Transfer Enhancement and Friction Loss Induced by Inserted Rotor-assembled Strand (II) Lubricant Oil 22

    Institute of Scientific and Technical Information of China (English)

    韩崇刚; 杨卫民; 丁玉梅; 关昌峰; 李锋祥; 张震; 阎华

    2011-01-01

    The paper described experimental investigation of heat transfer and single-phase pressure drop through tubes with different rotor-assembled strands inserted in the Reynolds number range of 800-9000 with lubricant as working fluid. In the experiment, fixed mounts were employed to eliminate the entrance effect. The experimental results showed that the employment of fixed mounts led to a visible bias of friction factor in the laminar regime while it could not affect the Nusselt numbers significantly. Experiment for the tube inserted with rotors-assembled strand showed remarkable improvement for heat transfer with the Nusselt number increased by 200%-225% in the laminar regime and 125%-160% in the transitional regime. Meanwhile, the friction factor increased inevitably by 200%-300% within the same range of Reynolds number. The comparison of different rotor-assembled strands in-serted tubes and plain tube showed that the heat transfer benefited from the increase of the diameter of rotor-assembled strand with the same lead and the decrease of the lead of rotor-assembled strand, so does the friction factor. Based on experimental data and thorough multivariant linear normal regression method, the correlations of average Nusselt number and friction factor are established.

  20. The use of radiologically placed gastroctomy tubes in head and neck cancer patients receiving radiotherapy

    International Nuclear Information System (INIS)

    Purpose: Patients undergoing radiotherapy to the head and neck area frequently experience radiation reactions that can markedly restrict oral intake, require hospitalization, and occasionally cause treatment interruptions. The Vancouver Cancer Center (VCC) has recently employed radiologically placed gastrostomy tubes (G-tubes) in the management of this problem. A review of the patients on whom this procedure had been performed is the subject of this review. Methods and Materials: Thirty-four patients had gastrostomy tubes inserted under radiologic guidance. This group is compared to a control group matched for age, sex, irradiated volume, and radiation dose, who did not have gastrostomy tubes. Patients with gastrostomy tubes were divided into two categories: (a) patients who had tubes inserted in anticipation of severe reactions, and (b) patients who developed severe radiation reactions necessitating nutritional support. Results: The gastrostomy group consisted of 65% males with an average age of 59 years and stage range of II (12%), III (24%), and IV (65%). In both the elective group and the nonelective group, patients maintained their weight at 95 to 97% of the pretreatment weight, at follow-up of 6 weeks and 3 months. This compared with an average weight loss in the control group of 9% at 6 weeks and 12% at 3 months. The length of hospitalization was a mean of 4.9 days in the elective group and 19 days in the nonelective group. Complication were low compared to those documented in the literature, but included two tube migrations, two aspirations, and one gastrointestinal bleed. Conclusions: We believe that gastrostomy tubes contribute significantly to the management of patients with head and neck cancer, particularly in maintenance of nutrition, and they may decrease the need for hospitalization

  1. Experimental study of heat transfer enhancement in a concentric double pipe heat exchanger with different axial pitch ratio of perforated twisted tape inserts

    Science.gov (United States)

    Yaningsih, Indri; Istanto, Tri; Wijayanta, Agung Tri

    2016-03-01

    In this study, an experimental investigation has been carried out for heat transfer and pressure drop characteristics of a concentric double pipe heat exchanger using the perforated twisted (PT) tape inserts with various axial pitch ratios. The experiments were performed using PT tape inserts with tape-twist ratio of 3.97 and the three axial pitch ratio (Sx/W = 0.56, 0.87 and 1.19) and constant the perforation hole diameter ratio (d/W = 0.16). In the experiments, hot water and cold water flowed through the inner pipe and annulus, respectively. The experiments were performed for counter current flow mode of the fluids in a turbulent flow regime with Reynolds number ranging from 5400 to 17,500. A tube with typical twisted (TT) tape insert and a plain tube were also tested for comparison. The experimental results revealed that both heat transfer rate and friction factor of the heat exchanger equipped with PT tape inserts were significantly higher than those of the plain tube and with TT tape insert. The results showed that the Nusselt number increased with decreasing Sx/W. PT tape inserts with Sx/W = 0.56, 0.87 and 1.19, provided Nusselt number up to 32%, 23% and 14% higher than TT tape insert, respectively. An average friction factor in the inner pipe generated by PT tape inserts with axial pitch ratios (Sx/W) of 0.56, 0.87 and 1.19 is found to be around 47%, 38% and 29% higher than that induced by TT tape insert, respectively. The thermal performance factor of PT tape inserts varies between 0.92 - 1.39, 0.88 - 1.34, and 0.84 - 1.28 for Sx/W = 0.56, 0.87 and 1.19, respectively. In addition, the empirical correlations of Nusselt number, friction factor and thermal performance factor were developed from the experimental results.

  2. Conditioning and breakdown phenomena in accelerator tubes

    International Nuclear Information System (INIS)

    Important breakdown mechanisms in accelerator tubes are reviewed, and discharge phenomena in NEC tubes are deduced from the surface appearance of the electrodes and insulators of a used tube. Microphotos of these surfaces are shown

  3. Vidicon storage tube electrical input/output

    Science.gov (United States)

    Lipoma, P.

    1972-01-01

    Electrical data storage tube is assembled from standard vidicon tube using conventional amplification and control circuits. Vidicon storage tube is simple, inexpensive and has an erase and preparation time of less than 5 microseconds.

  4. Wear mechanisms of WC-Co drill bit inserts against alumina counterface under dry friction: Part 2 — Graded WC-Co inserts

    OpenAIRE

    Yahiaoui, Malik; Paris, Jean-Yves; Denape, Jean; Colin, Christophe; Ther, Olivier; Dourfaye, Alfazazi

    2015-01-01

    The tribological behaviour of innovative graded cemented carbide inserts were studied by using a rotary tribometer and abrasive alumina counterfaces. This work completes the study made on commercial inserts with homogeneous cobalt content. Inserts with three types of graduation processes were considered: inserts with borides WCoB phases, imbibed inserts and inserts combining both processes (i.e. inserts with reactive imbibition). Physicochemical and mechanical measurements show that the WCoB ...

  5. Rotational spectral studies of O(1D) insertion reactions with methane and ethylene: Methanol and vinyl alcohol in a supersonic expansion

    Science.gov (United States)

    Hays, Brian M.; Wehres, Nadine; DePrince, Bridget Alligood; Roy, Althea A. M.; Laas, Jacob C.; Widicus Weaver, Susanna L.

    2015-06-01

    We report a new apparatus for millimeter/submillimeter spectroscopic studies of O(1D) insertion reactions to produce molecules of astrophysical interest. This study focuses on the insertion of O(1D) into methane to form methanol, and the insertion of O(1D) into ethylene to form vinyl alcohol (CH2CHOH). The O(1D) was produced via laser photodissociation of O3 in a fused silica tube and mixed with a hydrocarbon before a supersonic expansion. Direct absorption millimeter/submillimeter spectroscopy was used to monitor the products. The methanol study was used as an experimental benchmark, while the vinyl alcohol study extended rotational spectroscopic measurements to higher frequencies. Observed products from both insertion reactions included, but were not limited to, H2CO, HO2, and CH3O. Methanol and vinyl alcohol were only produced in detectable quantities when the fused silica tube was included, indicating that collisions before the expansion are required for production and stabilization of the O(1D) insertion products.

  6. CONCENTRIC TUBE-FOULING RIG FOR INVESTIGATION OF FOULING DEPOSIT FORMATION FROM PASTEURISER OF VISCOUS FOOD LIQUID

    Directory of Open Access Journals (Sweden)

    N. I. KHALID

    2013-02-01

    Full Text Available This paper reports the work on developing concentric tube-fouling rig, a new fouling deposit monitoring device. This device can detect and quantify the level of fouling deposit formation. It can also functioning as sampler for fouling deposit study, which can be attached at any food processing equipment. The design is initiated with conceptual design. The rig is designed with inner diameter of 7 cm and with tube length of 37 cm. A spiral insert with 34.5 cm length and with 5.4 cm diameter is fitted inside the tube to ensure the fluid flows around the tube. In this work, the rig is attached to the lab-scale concentric tube-pasteurizer to test its effectiveness and to collect a fouling sample after pasteurization of pink guava puree. Temperature changes are recorded during the pasteurization and the data is used to plot the heat transfer profile. Thickness of the fouling deposit is also measured. The trends for thickness, heat resistance profile and heat transfer profile for concentric tube-fouling rig matched the trends obtained from lab-scale concentric tube-pasteurizer very well. The findings from this work have shown a good potential of this rig however there is a limitation with spiral insert, which is discussed in this paper.

  7. Electronic components, tubes and transistors

    CERN Document Server

    Dummer, G W A

    1965-01-01

    Electronic Components, Tubes and Transistors aims to bridge the gap between the basic measurement theory of resistance, capacitance, and inductance and the practical application of electronic components in equipments. The more practical or usage aspect of electron tubes and semiconductors is given emphasis over theory. The essential characteristics of each main type of component, tube, and transistor are summarized. This book is comprised of six chapters and begins with a discussion on the essential characteristics in terms of the parameters usually required in choosing a resistor, including s

  8. PEG tubes: dealing with complications.

    Science.gov (United States)

    Malhi, Hardip; Thompson, Rosie

    A percutaneous endoscopic gastronomy tube can be used to deliver nutrition, hydration and medicines directly into the patient's stomach. Patients will require a tube if they are unable to swallow safely, putting them at risk of aspiration of food, drink and medicines into their lungs. It is vital that nurses are aware of the complications that may arise when caring for a patient with a PEG tube. It is equally important that nurses know how to deal with these complications or from where tc seek advice. This article provides a quick troubleshooting guide to help nurses deal with complications that can arise with PEG feeding.

  9. PEG tubes: dealing with complications.

    Science.gov (United States)

    Malhi, Hardip; Thompson, Rosie

    A percutaneous endoscopic gastronomy tube can be used to deliver nutrition, hydration and medicines directly into the patient's stomach. Patients will require a tube if they are unable to swallow safely, putting them at risk of aspiration of food, drink and medicines into their lungs. It is vital that nurses are aware of the complications that may arise when caring for a patient with a PEG tube. It is equally important that nurses know how to deal with these complications or from where tc seek advice. This article provides a quick troubleshooting guide to help nurses deal with complications that can arise with PEG feeding. PMID:26016095

  10. Ocular inserts - Advancement in therapy of eye diseases

    Directory of Open Access Journals (Sweden)

    Anita Kumari

    2010-01-01

    Full Text Available The ocular insert represents a significant advancement in the therapy of eye disease. Ocular inserts are defined as sterile, thin, multilayered, drug-impregnated, solid or semisolid consistency devices placed into the cul-de-sac or conjuctival sac, whose size and shape are especially designed for ophthalmic application. They are composed of a polymeric support that may or may not contain a drug. The drug can later be incorporated as dispersion or a solution in the polymeric support. They offer several advantages as increased ocular residence and sustained release of medication into the eye. The insert includes a body portion sized to position within a lachrymal canaliculus of the eyelid. The inserts are classified according to their solubility as insoluble, soluble, or bioerodible inserts. The release of drug from the insert depends upon the diffusion, osmosis, and bioerosion of the drug, and this article is an attempt to present a brief about this newer drug delivery system.

  11. The Effect of Windings on ADSL Transformer Insertion Losses

    Institute of Scientific and Technical Information of China (English)

    JIANG Xiao-na; LAN Zhong-wen; CHEN Sheng-ming; ZHANG Huai-wu; SU Hua

    2007-01-01

    Insertion loss (IL) is one of the important parameters of asymmetrical digital subscriber loop (ADSL) transformers. In different frequency bands, the factors that affect insertion loss are different. Windings mainly affect insertion loss in mid and high frequency bands.The effects of winding ways, winding wire diameter and winding turns on insertion loss were discussed. The presented experiment shows that the insertion loss of an ADSL transformer could be under 0.4 dB in mid frequency band when the winding is 30 turns, in which the ADSL transformer satisfies the requirement of total harmonic distortion (THD). Our experiments also show that the sandwich winding structure is better than the side by side winding structure and the twisted-pair winding structure, and the increase of winding diameter is one means to reduce insertion losses of an ADSL transformer in mid frequency band.

  12. Insertion torque versus mechanical resistance of mini- implants inserted in different cortical thickness

    Directory of Open Access Journals (Sweden)

    Renata de Faria Santos

    2014-06-01

    Full Text Available OBJECTIVE: This study aimed to measure insertion torque, tip mechanical resistance to fracture and transmucosal neck of mini-implants (MI (Conexão Sistemas de PróteseT, as well as to analyze surface morphology. METHODS: Mechanical tests were carried out to measure the insertion torque of MIs in different cortical thicknesses, and tip mechanical resistance to fracture as well as transmucosal neck of MIs. Surface morphology was assessed by scanning electron microscopy (SEM before and after the mechanical tests. RESULTS: Values of mechanical resistance to fracture (22.14 N.cm and 54.95 N.cm were higher and statistically different (P 0.05 to torsional fracture in the tip of MI (22.14 N.cm when 3 mm cortical thickness (16.11 N.cm and dense bone (23.95 N.cm were used. Torsional fracture of the transmucosal neck (54.95 N.cm was higher and statistically different (P < 0.05 from insertion torsional strength in all tested situations. SEM analysis showed that the MIs had the same smooth surface when received from the manufacturer and after the mechanical tests were performed. Additionally, no significant marks resulting from the manufacturing process were observed. CONCLUSION: All mini-implants tested presented adequate surface morphology. The resistance of mini-implants to fracture safely allows placement in 1 and 2-mm cortical thickness. However, in 3-mm cortical thickness and dense bones, pre-drilling with a bur is recommended before insertion.

  13. Mistaken Endobronchial Placement of a Nasogastric Tube During Mandibular Fracture Surgery

    OpenAIRE

    Kalava, Arun; Clark, Kirpal; McIntyre, John; Yarmush, Joel M.; Lizardo, Teresita

    2015-01-01

    A 64-year-old male had an awake right nasal fiber-optic intubation with an endotracheal tube for open reduction and internal fixation of bilateral displaced mandibular fractures. After induction of anesthesia, an 18 Fr nasogastric tube (NGT) was inserted through the left nostril and was secured. The patient required high flow rates to deliver adequate tidal volumes with the ventilator. A chest x-ray done in the postanesthesia care unit revealed a malpositioned NGT in the left lower lobe bronc...

  14. EXPLORATION ON SCALABILITY OF DATABASE BULK INSERTION WITH MULTITHREADING

    OpenAIRE

    Boon-Wee Low; Boon-Yaik Ooi; and Chee-Siang Wong

    2011-01-01

    The advancement of database engine and multi-core processors technologies have enable database insertion to be implemented concurrently via multithreading programming. The objective of this work is to evaluate the performance of using multithreading technique to perform database insertion of large data set with known size to enhance the performance of data access layer (DAL) particularly on the bulk-insertion operation. The performance evaluation includes techniques such as using single datab...

  15. A CRITICAL APPRAISAL OF PACKAGE INSERTS IN INDIA

    Directory of Open Access Journals (Sweden)

    Makbool Ali M.

    2016-06-01

    Full Text Available formation is a Package Insert. It is a printed leaflet that contains information based on regulatory guidelines for the safe and effective use of a drug. Incomplete and incorrect product information may have serious consequences including disability or death. In India, the concept of package insert is governed by the Drugs and Cosmetics Act (1940 and Rules (1945. Keeping this in mind, this study was designed to assess the presentation and completeness of drug information provided in the currently available package inserts for allopathic drugs in India. AIM To evaluate the presentation and completeness of drug information provided in the currently available package inserts for allopathic drugs in India. OBJECTIVES To evaluate drug information in package inserts according to headings mentioned in Section 6.2 and 6.3 of Schedule D, Drugs and Cosmetics Rules, 1945. MATERIAL AND METHODS Package inserts accompanying allopathic medicines were obtained from a drug store and three pharmacies around a tertiary care centre in Western India on request over a 1-month period. The package inserts were included in the study and analysed for the presentation and completeness of information according to the headings mentioned in Section 6.2 and Section 6.3 of Schedule D, The Drugs and Cosmetics Rules, 1945. RESULTS 110 package inserts were analysed in the study. None of the reviewed package insert contained all the sections as required by the Drugs and Cosmetic Rules. CONCLUSION To avoid medication errors due to deficits in drug information in package inserts, tighter monitoring of package inserts by regulatory authorities is recommended. Steps should be taken to ensure that the information in the package inserts follows a standard layout for easy and convenient comprehension.

  16. Development of a new tube-to-tubesheet welding type for FBR's heat exchangers

    International Nuclear Information System (INIS)

    The intermediate heat exchanger for exchanging heat between primary and secondary sodium and the steam generator are required to guarantee the performance and the reliability of construction over long term under the environment of high temperature sodium peculiar to a FBR. With the increase of power output of FBR plants, the number of heating tubes and the size of tube plates of the intermediate heat exchangers of shell and tube type increase. In order to improve the reliability and the production process of the tube to tube plate welding, a new method was developed, according to which heating tubes are inserted into tube plate holes by about their thickness, and the welding of perfect penetration is carried out internally with an automatic TIG welder. At the same time, in order to confirm the reliability of the welded joints by this method, the tests for evaluating the strength for short time and long term were carried out. It was confirmed that the satisfactory performance of the welded joints was able to be obtained, and the method would be applicable to actual heat exchangers. As for the nondestructive inspection of welded joints, the radiographic method was established, and ultrasonic and eddy current flaw detection methods are being developed now. (Kako, I.)

  17. Percutaneous transgastric endoscopic tube ileostomy in a porcine survival model

    Science.gov (United States)

    Shi, Hong; Chen, Su-Yu; Wang, Yong-Guang; Jiang, Sheng-Jun; Cai, He-Li; Lin, Kai; Xie, Zhao-Fei; Dong, Fen-Fang

    2016-01-01

    AIM To introduce natural orifice transgastric endoscopic surgery (NOTES) tube ileostomy using pelvis-directed submucosal tunneling endoscopic gastrostomy and endoscopic tube ileostomy. METHODS Six live pigs (three each in the non-survival and survival groups) were used. A double-channeled therapeutic endoscope was introduced perorally into the stomach. A gastrostomy was made using a 2-cm transversal mucosal incision following the creation of a 5-cm longitudinal pelvis-directed submucosal tunnel. The pneumoperitoneum was established via the endoscope. In the initial three operations of the series, a laparoscope was transumbilically inserted for guiding the tunnel direction, intraperitoneal spatial orientation and distal ileum identification. Endoscopic tube ileostomy was conducted by adopting an introducer method and using a Percutaneous Endoscopic Gastrostomy Catheter Kit equipped with the Loop Fixture. The distal tip of the 15 Fr catheter was placed toward the proximal limb of the ileum to optimize intestinal content drainage. Finally, the tunnel entrance of the gastrostomy was closed using nylon endoloops with the aid of a twin grasper. The gross and histopathological integrity of gastrostomy closure and the abdominal wall-ileum stoma tract formation were assessed 1 wk after the operation. RESULTS Transgastric endoscopic tube ileostomy was successful in all six pigs, without major bleeding. The mean operating time was 71 min (range: 60-110 min). There were no intraoperative complications or hemodynamic instability. The post-mortem, which was conducted 1-wk postoperatively, showed complete healing of the gastrostomy and adequate stoma tract formation of ileostomy. CONCLUSION Transgastric endoscopic tube ileostomy is technically feasible and reproducible in an animal model, and this technique is worthy of further improvement. PMID:27729743

  18. Technical note: Computer-manufactured inserts for prosthetic sockets.

    Science.gov (United States)

    Sanders, Joan E; McLean, Jake B; Cagle, John C; Gardner, David W; Allyn, Katheryn J

    2016-08-01

    The objective of this research was to use computer-aided design software and a tabletop 3-D additive manufacturing system to design and fabricate custom plastic inserts for trans-tibial prosthesis users. Shape quality of inserts was tested right after they were inserted into participant's test sockets and again after four weeks of wear. Inserts remained properly positioned and intact throughout testing. Right after insertion the inserts caused the socket to be slightly under-sized, by a mean of 0.11mm, approximately 55% of the thickness of a nylon sheath. After four weeks of wear the under-sizing was less, averaging 0.03mm, approximately 15% of the thickness of a nylon sheath. Thus the inserts settled into the sockets over time. If existing prosthetic design software packages were enhanced to conduct insert design and to automatically generate fabrication files for manufacturing, then computer manufactured inserts may offer advantages over traditional methods in terms of speed of fabrication, ease of design, modification, and record keeping. PMID:27212209

  19. Threaded insert for compact cryogenic-capable pressure vessels

    Energy Technology Data Exchange (ETDEWEB)

    Espinosa-Loza, Francisco; Ross, Timothy O.; Switzer, Vernon A.; Aceves, Salvador M.; Killingsworth, Nicholas J.; Ledesma-Orozco, Elias

    2015-06-16

    An insert for a cryogenic capable pressure vessel for storage of hydrogen or other cryogenic gases at high pressure. The insert provides the interface between a tank and internal and external components of the tank system. The insert can be used with tanks with any or all combinations of cryogenic, high pressure, and highly diffusive fluids. The insert can be threaded into the neck of a tank with an inner liner. The threads withstand the majority of the stress when the fluid inside the tank that is under pressure.

  20. The ATLAS Insertable B-Layer Project

    CERN Document Server

    Miucci, A; The ATLAS collaboration

    2014-01-01

    The ATLAS experiment will upgrade its Pixel Detector with the installation of a new pixel layer in 2013-14. The new sub-detector, named Insertable B-layer (IBL), will be installed between the existing Pixel Detector and a new smaller radius beam-pipe at a radius of 3.3 cm. To cope with the high radiation and pixel occupancy due to the proximity to the interaction point, a new read-out chip and two different silicon sensor technologies (planar and 3D) have been de- veloped. Furthermore, the physics performance should be improved through the reduction of pixel size while a low material budget should be imposed. A new mechanical support using lightweight staves and a CO2 based cooling system is used. An overview of the IBL project and the status of the production of staves and the qualification of the assembly procedure, the loaded module electrical integrity and the read-out chain will be presented.

  1. APS insertion devices: Recent developments and results

    International Nuclear Information System (INIS)

    The Advanced Photon Source (APS) now has a total of 23 insertion devices (IDs). Over two-thirds of them are installed on the storage ring. The installed devices include 18, 27 and 55 mm-period undulators; an 85 mm-period wiggler; a 16 cm-period elliptical multipole wiggler; and many 33 mm-period undulators. Most of the IDs occupy storage-ring straight sections equipped with 8 mm vertical-aperture vacuum chambers. All of the IDs were measured magnetically at the APS and, in most cases, underwent a final magnetic tuning in order to minimize variation in the various integrals of the field through the ID over the full gap range. Special shimming techniques to correct magnetic field parameters in appropriate gap-dependent ways were developed and applied. Measurements of the closed-orbit distortion as a function of the ID gap variation have been completed, and results are in a good agreement with magnetic measurements. Spectral diagnostics of the ID radiation, including measurements of the absolute spectral flux, brilliance and polarization, show excellent agreement between calculated and measured results. Studies of the sensitivity of IDs to radiation exposure and measurements of the dose rate received by the IDs are in progress

  2. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Funding Division of Extramural Activities Division of Extramural Science Programs Funding Opportunity Announcements Funding Mechanisms Supported by ... Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI ...

  3. Lunar Core Drive Tubes Summary

    Data.gov (United States)

    National Aeronautics and Space Administration — Contains a brief summary and high resolution imagery from various lunar rock and core drive tubes collected from the Apollo and Luna missions to the moon.

  4. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Eye Disease Dilated Eye Exam Dry Eye For Kids Glaucoma Healthy Vision Tips Leber Congenital Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI ...

  5. drift tube for linear accelerator

    CERN Multimedia

    A drift tube from the Linac 1. This was the first tank of the linear accelerator Linac1, the injection system for the Proton Synchrotron, It ran for 34 years (1958 - 1992). Protons entered at the far end and were accelerated between the copper drift tubes by an oscillating electromagnetic field. The field flipped 200 million times a second (200 MHz) so the protons spent 5 nanoseconds crossing a drift tube and a gap. Moving down the tank, the tubes and gaps had to get longer as the protons gained speed. The tank accelerated protons from 500 KeV to 10 MeV. Linac1 was also used to accelerate deutrons and alpha particles for the Intersecting Storage Rings and oxygen and sulpher ions for the Super Proton Synchrotron heavy ion programme.

  6. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Funding Division of Extramural Affairs Division of Extramural Science Programs Funding Opportunity Announcements Funding Mechanisms Supported by ... Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia NEI ...

  7. The YouTube reader

    OpenAIRE

    2009-01-01

    YouTube has come to epitomize the possibilities of digital culture. With more than seventy million unique users a month and approximately eighty million videos online, this brand-name video distribution platform holds the richest repository of popular culture on the Internet. As the fastest growing site in the history of the Web, YouTube promises endless new opportunities for amateur video, political campaigning, entertainment formats, and viral marketing—a clip culture that has seemed to out...

  8. Duplication of the fallopian tube

    Directory of Open Access Journals (Sweden)

    R Narayanan

    2008-01-01

    Full Text Available Hysterosalpingography accurately delineates the uterine and tubal lumen, and hence is routinely performed for the evaluation of infertility.We observed a case of infertility where uterine cavity was normal but fallopian tubes were bifurcated at the ampullary region. Mullerian duct anomalies are reported in literature, but maldevelopment of fallopian tube in isolation is rare. This abnormality can present as infertility, ectopic pregnancy, in association with urinary tract anomalies or as failure of sterilisation method.

  9. Eddy current tube testing unit

    International Nuclear Information System (INIS)

    The unit described can check a wide variety of tubes in quick succession and its modular design gives it a high degree of versability. Suitably defined working conditions and specific fittings enable most of the faults encountered in the manufacture of a tube to be detected. By appropriate means of selection based on signal amplitude, phase and frequency analyses it is possible to adapt selection criteria to the seriousness of the different categories of defect

  10. Test-tube Baby Option

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    As China’s first test tube baby celebrates her 20th birthday,the country is moving to improve IVF procedures I feel just like a normal person,despite being a little bit hi-tech,"said China’s first test-tube baby Zheng Mengzhu at her birthday party in Beijing. Zheng,born on March 10,1988 in the No.3 Hospital affiliated to the Peking University of Medical Sciences,made a trip

  11. Late onset endophthalmitis

    Directory of Open Access Journals (Sweden)

    Abdulaziz AlHadlaq

    2016-04-01

    Full Text Available We report an extremely rare presentation of late-onset endophthalmitis in a young adult patient with an unexposed Ahmed tube implant. The implant was inserted 11 years prior to presentation. There was no history of trauma or any obvious exposure on clinical examination and the tube plate was filled with purulent material. After aqueous and vitreous tap, the patient underwent intracameral, intravitreal subconjunctival antibiotic injections and was started on systemic antibiotics with good response. Endophthalmitis associated with tube drainage device can present as late as 11 years and even without an unexposed tube.

  12. Late onset endophthalmitis associated with unexposed glaucoma valved drainage device.

    Science.gov (United States)

    AlHadlaq, Abdulaziz; AlMalki, Salem; AlShahwan, Sami

    2016-01-01

    We report an extremely rare presentation of late-onset endophthalmitis in a young adult patient with an unexposed Ahmed tube implant. The implant was inserted 11 years prior to presentation. There was no history of trauma or any obvious exposure on clinical examination and the tube plate was filled with purulent material. After aqueous and vitreous tap, the patient underwent intracameral, intravitreal subconjunctival antibiotic injections and was started on systemic antibiotics with good response. Endophthalmitis associated with tube drainage device can present as late as 11 years and even without an unexposed tube. PMID:27330390

  13. Dermatology on YouTube.

    Science.gov (United States)

    Boyers, Lindsay N; Quest, Tyler; Karimkhani, Chante; Connett, Jessica; Dellavalle, Robert P

    2014-06-15

    YouTube, reaches upwards of six billion users on a monthly basis and is a unique source of information distribution and communication. Although the influence of YouTube on personal health decision-making is well established, this study assessed the type of content and viewership on a broad scope of dermatology related content on YouTube. Select terms (i.e. dermatology, sun protection, skin cancer, skin cancer awareness, and skin conditions) were searched on YouTube. Overall, the results included 100 videos with over 47 million viewers. Advocacy was the most prevalent content type at 24% of the total search results. These 100 videos were "shared" a total of 101,173 times and have driven 6,325 subscriptions to distinct YouTube user pages. Of the total videos, 35% were uploaded by or featured an MD/DO/PhD in dermatology or other specialty/field, 2% FNP/PA, 1% RN, and 62% other. As one of the most trafficked global sites on the Internet, YouTube is a valuable resource for dermatologists, physicians in other specialties, and the general public to share their dermatology-related content and gain subscribers. However, challenges of accessing and determining evidence-based data remain an issue.

  14. A laser tube position regulator

    Energy Technology Data Exchange (ETDEWEB)

    Sinyitiro, A.; Norio, K.

    1984-03-26

    An improved design is patented for a mechanism and method of regulating, with a high degree of accuracy, the position of a laser tube in a gas laser inside the optical resonator formed by external mirrors. The laser tube is held in two holders. Each holder contains an L shaped bracket which supports a semitransparent plate. The plate is positioned so that its center is over the center of the end of the tube which is in the form of a Brewster window. A narrow parallel beam is directed along the tube axis from an external auxiliary laser. The beam passes through the semitransparent mirror of the optical resonator in the adjusted laser, through the first Brewster window, the tube itself, and the second Brewster window and is reflected back in the reverse direction from a fully reflecting mirror in the optical resonator. This provides partial reflection of the beam from the external Brewster mirror surface. The tube position in the holders is regulated continuously so that the luminous spots from the beams reflected off the Brewster windows fall on the semitransparent plates in the center of the latter which is designated as the point of intersection.

  15. Ease of insertion of the laryngeal mask airway in pediatric surgical patients: Predictors of failure and outcome

    Science.gov (United States)

    Asida, SM; Ahmed, SS

    2016-01-01

    Background: Laryngeal mask airway (LMA) is an useful alternative to endotracheal tube for airway management. The risk of life-threatening adverse respiratory events during its use is rare, but we need to know about the risk-adjusted prediction of its insertion failure requiring rescue tracheal intubation and its impact on patient outcome. Materials and Methods: Five hundred patients; 6 months to 12-year-old, American Society of Anesthesiologists I and II scheduled to undergo elective surgical procedures that require general anesthesia were included in this study. LMA was inserted after induction of anesthesia. The insertion conditions, intra, and postoperative events were recorded. Our primary outcome variable was trial success from the first time. Results: We recorded 426 cases (85.2%) of first trial success with clear airway compared to 46 case (9.2%) of second trial success (P ≤ 0.001). Predictors of failure of first attempt of LMA insertion include abnormal airway anatomy (91%), body weight failure rates. Predictors of LMA failure in the pediatric surgical population should be independently considered. Trial Registration: The study is registered in the Australian and New Zealand clinical trial registry with the allocated trial number: ACTRN12614000994684. Web address of trial: http://www.ANZCTR.org.au/A CTRN12614000994684.aspx. PMID:27375384

  16. Osmotic regulation of seamless tube growth.

    Science.gov (United States)

    Schottenfeld-Roames, Jodi; Ghabrial, Amin S

    2013-02-01

    Most organs are composed of tubes of differing cellular architectures, including intracellular 'seamless' tubes. Two studies examining the morphogenesis of the seamless tubes formed by the excretory canal cell in Caenorhabditis elegans reveal a previously unappreciated role for osmoregulation of tubulogenesis: hyperosmotic shock recruits canalicular vesicles to the lumenal membrane to promote seamless tube growth. PMID:23377027

  17. Osmotic regulation of seamless tube growth

    OpenAIRE

    Schottenfeld-Roames, Jodi; Ghabrial, Amin S.

    2013-01-01

    Most organs are composed of tubes of differing cellular architectures, including intracellular, “seamless” tubes. Two studies examining the morphogenesis of the C. elegans excretory canal cell seamless tubes reveal a previously unappreciated role for osmoregulation of tubulogenesis: hyperosmotic shock recruits canalicular vesicles to the lumenal membrane to promote seamless tube growth.

  18. Pump element for a tube pump

    DEFF Research Database (Denmark)

    2011-01-01

    relative to the rod element so as to allow for a fluid flow in the tube through the first valve member, along the rod element, and through the second valve member. The tube comprises an at least partly flexible tube portion between the valve members such that a repeated deformation of the flexible tube...... pump as mentioned above, thereby acting to generate a fluid flow through the tube upon repeated deformation of the tube between the two valve members. The pump element may comprise a connecting part for coupling to another tube and may comprise a sealing part establishing a fluid tight connection...

  19. Load beam unit replaceable inserts for dry coal extrusion pumps

    Science.gov (United States)

    Saunders, Timothy; Brady, John D.

    2012-11-13

    A track assembly for a particulate material extrusion pump according to an exemplary aspect of the present disclosure includes a link assembly with a roller bearing. An insert mounted to a load beam located such that the roller bearing contacts the insert.

  20. Enhanced citrate production through gene insertion in Aspergillus niger

    DEFF Research Database (Denmark)

    Jongh, Wian de; Nielsen, Jens

    2007-01-01

    The effect of inserting genes involved in the reductive branch of the tricarboxylic acid (TCA) cycle on citrate production by Aspergillus niger was evaluated. Several different genes were inserted individually and in combination, i.e. malate dehydrogenase (mdh2) from Saccharomyces cerevisiae, two...

  1. 21 CFR 310.515 - Patient package inserts for estrogens.

    Science.gov (United States)

    2010-04-01

    ... recent revision of the patient package insert. (d) Guidance language. The Food and Drug Administration... 21 Food and Drugs 5 2010-04-01 2010-04-01 false Patient package inserts for estrogens. 310.515 Section 310.515 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN...

  2. Experience with incomplete control rod insertion in fuel with burnup exceeding approximately 40 GWD/MTU

    Energy Technology Data Exchange (ETDEWEB)

    Kee, E. [Houston Lighting & Power Co., Wadworth, TX (United States)

    1997-01-01

    Analysis and measurement experience with fuel assemblies having incomplete control rod insertion at burnups of approximately 40 GWD/MTU is presented. Control rod motion dynamics and simplified structural analyses are presented and compared to measurement data. Fuel assembly growth measurements taken with the plant Refueling Machine Z-Tape are described and presented. Bow measurements (including plug gauging) are described and potential improvements are suggested. The measurements described and analysis performed show that sufficient guide tube bow (either from creep or yield buckling) is present in some high burnup assemblies to stop the control rods before they reach their full limit of travel. Recommendations are made that, if implemented, could improve cost performance related to testing and analysis activities.

  3. First photon-shutter development for APS insertion device beamline front ends

    Science.gov (United States)

    Shu, Deming; Nian, H. L. Thomas; Wang, Zhibi; Collins, Jeffrey T.; Ryding, David G.; Kuzay, Tuncer M.

    1993-02-01

    One of the most critical components on the Advanced Photon Source (APS) insertion device (ID) beamline front ends is the first photon shutter. It operates in two modes to fully intercept the high total power and high-heat-flux ID photon beam in seconds (normal mode) or in less than 100 ms (emergency fast mode). It is designed to operate in ultra high vacuum (UHV). The design incorporates a multi-channel rectangular bar, bent in a `hockey stick' configuration, with two-point suspension. The flanged end is an articulated bellows with rolling hinges. The actuation end is a spring-assisted, pneumatic fail-safe flexural pivot type. The coolant (water) channels incorporate brazed copper foam to enhance the heat transfer, a tube technology particular to the APS. The design development, and material aspects, as well as the extensive thermal and vibrational analyses in support of the design, are presented in this paper.

  4. Consideration of alternative designs for a Percutaneous Endoscopic Gastrostomy feeding tube

    Science.gov (United States)

    Yerrabolu, Santosh Rohit

    The inability of some people to chew or swallow foods (but can digest foods) due to problems associated with various diseases and complications leads them to insufficient nutritional intake and loss of quality of life. These individuals are generally provided with nutritional support by means of injecting or infusing food directly into their stomachs or small intestines via feeding tubes. Gastrostomy feeding tubes (G-tubes) are used when such nutritional support is required for over 3-6 weeks. Percutaneous Endoscopic Gastrostomy (PEG) tubes are one of the most widely used G- Tubes and devices which are inserted via an incision through the abdominal wall either through a pull or push method. This investigation proposes conceptual alternative Percutaneous Endoscopy Gastrostomy (PEG) feeding tube designs with optimized materials selection to be used for their construction. The candidate materials were chosen from 18 commercial catheters, 2 reference grade polymers and a commercial polymer; using tissue-catheter-friction testing and surface chemistry characterization (Infrared spectroscopy and Critical Surface Tension approximation). The main objectives considered were to minimize slipping/dislodgement of gastrostomy tube/seal, to reduce peristomal leakage, and to attain size variability of PEG tubes while maintaining a low profile. Scanning Electron Microscope- Energy Dispersive X-ray Spectroscopy was employed to further determine the filler materials used in the samples. Nylon coated with fatty ester and filled with Barium sulphate was determined as the optimum material for the construction of the tube part of the feeding tubes to reduce slipping/dislodgment of gastrostomy tube/seal and to minimize peristomal leakage. Nylon coated with fatty ester and filled with Silica is the suggested as a candidate material for construction of the bumper/mushroom sections of the feeding tubes to avoid the Buried Bumper Syndrome. Fused Deposition Modeling, Selective Laser Sintering

  5. Current practices for ultrasonic and radiographic examination of tubes, tube plates and tube-plate welds of tube bundles in heat exchangers. Chapter 3

    International Nuclear Information System (INIS)

    The chapter describes the ultrasonic and radiographic inspection procedures that are applied to heat exchanger tube bundles. The inspection process starts with the ultrasonic examination of the tubes and tube plates during manufacture, followed by radiography of the tube-to-tube-plate welds during fabrication of the tube bundle. Ultrasonic methods are explained for welds which are amenable to this type of inspection. For the in-service inspection of tube bundles the chapter relates the authors' experiences on the ultrasonic inspection of tubes and tube plates in the Prototype Fast Breeder Reactor at Dounreay. At the end of the chapter some comments are made about future ultrasonic and radiographic developments for tube bundles. (author)

  6. Analysis of the Sherlock II tip location system for inserting peripherally inserted central venous catheters.

    Science.gov (United States)

    Lelkes, Valdis; Kumar, Abhishek; Shukla, Pratik A; Contractor, Sohail; Rutan, Thomas

    2013-01-01

    Peripherally inserted central catheters (PICCs) are frequently placed at the bedside. The purpose of our study was to evaluate the efficacy of the Sherlock II tip location system (Bard Access Systems, Salt Lake City, UT), which offers electromagnetic detection of the PICC tip to assist the operator in guiding the tip to a desired location. We performed a retrospective review of patients who had a bedside PICC using the Sherlock II tip location system. Three hundred seventy-five of 384 patients (97.7%) had the catheter tip positioned appropriately. Our results suggest that the Sherlock II tip location system is an efficacious system for bedside PICC placement.

  7. Report on converging insert moulding with µ-IM

    DEFF Research Database (Denmark)

    Islam, Aminul

    Task 5.2.1 deals with the technical feasibility of converging the state-of-the-art µ IM process with insert moulding to offer a wide range of multi-material µ components. The main objective of this deliverable is to summarize state-of-the-art information and to make the guideline needed for the...... convergence. In particular the following aspects are summed up in the deliverable:  Need for converging insert moulding with µ-IM  Objectives and expected outcome from task 5.2.1  State-of-the-art micro insert moulding and different scenario of micro insert moulding  Challenges ahead of converging insert......-IM. Besides this fact current deliverable will provide state-of-the-art information for technology convergence and ways to overcome challenges to use convergent technologies in industrial productions....

  8. Gas turbine nozzle vane insert and methods of installation

    Science.gov (United States)

    Miller, William John; Predmore, Daniel Ross; Placko, James Michael

    2002-01-01

    A pair of hollow elongated insert bodies are disposed in one or more of the nozzle vane cavities of a nozzle stage of a gas turbine. Each insert body has an outer wall portion with apertures for impingement-cooling of nozzle wall portions in registration with the outer wall portion. The insert bodies are installed into the cavity separately and spreaders flex the bodies toward and to engage standoffs against wall portions of the nozzle whereby the designed impingement gap between the outer wall portions of the insert bodies and the nozzle wall portions is achieved. The spreaders are secured to the inner wall portions of the insert bodies and the bodies are secured to one another and to the nozzle vane by welding or brazing.

  9. Intralabyrinthine Penetrating Ventilation Tube with Preservation of Hearing: An Unusual Clinical Situation

    Directory of Open Access Journals (Sweden)

    Raoelina, Tantely Razafimahefa

    2015-01-01

    Full Text Available Introduction Traumatic perilymphatic fistula is not a rare event with regards to sport activities or traffic accident. However, iatrogenic damage to the inner ear can occur following the common use of grommets and ventilation tube insertion. Objectives To report an unusual case of insertion of aeration tube into the vestibule trough the stapes footplate. Resumed Report A 62-year-old woman experienced iatrogenic penetration into the vestibule from a ventilation tube inserted for retraction pocket management. The event was misdiagnosed both by the surgeon and by the emergency room physicians, leading to delay in the management. However, preservation of the hearing function lasted for 2 weeks prior to deafness, thanks to the valve of Bast, which preserved the cochlear fluid. Conclusion This case gives us the opportunity to stress the need for systematic clinical examination of traumatic injury to the ear and to recommend performing multiplanar millimetric computed tomography scan with accurate interpretation. Traumatic injuries should be referred to a dedicated traumatic emergency referral center.

  10. Intralabyrinthine penetrating ventilation tube with preservation of hearing: an unusual clinical situation.

    Science.gov (United States)

    Raoelina, Tantely Razafimahefa; Elziere, Maya; Michel, Justin; Devèze, Arnaud

    2015-04-01

    Introduction Traumatic perilymphatic fistula is not a rare event with regards to sport activities or traffic accident. However, iatrogenic damage to the inner ear can occur following the common use of grommets and ventilation tube insertion. Objectives To report an unusual case of insertion of aeration tube into the vestibule trough the stapes footplate. Resumed Report A 62-year-old woman experienced iatrogenic penetration into the vestibule from a ventilation tube inserted for retraction pocket management. The event was misdiagnosed both by the surgeon and by the emergency room physicians, leading to delay in the management. However, preservation of the hearing function lasted for 2 weeks prior to deafness, thanks to the valve of Bast, which preserved the cochlear fluid. Conclusion This case gives us the opportunity to stress the need for systematic clinical examination of traumatic injury to the ear and to recommend performing multiplanar millimetric computed tomography scan with accurate interpretation. Traumatic injuries should be referred to a dedicated traumatic emergency referral center.

  11. 49 CFR 230.61 - Arch tubes, water bar tubes, circulators and thermic siphons.

    Science.gov (United States)

    2010-10-01

    ... MAINTENANCE STANDARDS Boilers and Appurtenances Washing Boilers § 230.61 Arch tubes, water bar tubes, circulators and thermic siphons. (a) Frequency of cleaning. Each time the boiler is washed, arch tubes and... 49 Transportation 4 2010-10-01 2010-10-01 false Arch tubes, water bar tubes, circulators...

  12. Laser initiated endotracheal tube explosion.

    Science.gov (United States)

    De Vane, G G

    1990-06-01

    A 62-year-old male with a diagnosis of subglottic and tracheal stenosis resulting from a prolonged intubation was scheduled for a laser bronchoscopy and placement of a silicon T-shaped tube. His history was significant for two myocardial infarctions, an episode of congestive heart failure and exertional angina. A 6 mm polyvinyl chloride endotracheal tube, wrapped with aluminum tape, was placed in an existing tracheostomy stoma. During the course of the procedure, a sudden bright flash occurred followed by an explosive noise and black smoke rising in the anesthesia circuit and from the patient's mouth. The endotracheal tube was removed and the patient was treated for first and second degree burns in the supraglottic area and base of the tongue. In laser surgery of the airway, special care should be given to reducing the flammability of the inspired gases which can be best accomplished by the mixture of helium with oxygen. Helium acts to retard ignition of polyvinyl chloride tubes in concentrations of 60% or greater. The external surface of the tube can also be protected with the application of a metallic tape affixed in a spiral fashion. Finally, a protocol for the management and treatment of this emergency should be adopted and rehearsed. PMID:2378234

  13. Physics of magnetic flux tubes

    CERN Document Server

    Ryutova, Margarita

    2015-01-01

    This book is the first account of the physics of magnetic flux tubes from their fundamental properties to collective phenomena in an ensembles of flux tubes. The physics of magnetic flux tubes is absolutely vital for understanding fundamental physical processes in the solar atmosphere shaped and governed by magnetic fields. High-resolution and high cadence observations from recent space and  ground-based instruments taken simultaneously at different heights and temperatures not only show the ubiquity of filamentary structure formation but also allow to study how various events are interconnected by system of magnetic flux tubes. The book covers both theory and observations. Theoretical models presented in analytical and phenomenological forms are tailored for practical applications. These are welded with state-of-the-art observations from early decisive ones to the most recent data that open a new phase-space for exploring the Sun and sun-like stars. Concept of magnetic flux tubes is central to various magn...

  14. Analysis of autofrettaged metal tubes

    International Nuclear Information System (INIS)

    Thick-walled cylinders are widely used as compressor cylinders, pump cylinders, high pressure tubing, process reactors and vessels, nuclear reactors, isostatic vessels and gun barrels. In practice, cylinders are generally subjected to sudden and frequently drastic pressure fluctuations, such as the pressure generated in a gun barrel upon the firing of the weapon, pressure reversals in pump cylinders or in process reactors employing high-pressure piping, necessitating enhanced strength of such cylinders. A process for enhancing the strength of thick-walled cylinders has been in service, and is referred to as 'autofrettage'. It extends the service life of the cylinder. The autofrettage is achieved by increasing elastic strength of a cylinder with various methods such as hydraulic pressurization, mechanical swaging, or by utilizing the pressure of a powder gas. This research work deals with the hydraulic and mechanical autofrettage of metal tubes with the objective to attain enhanced strength. Five metal tubes are taken randomly for analysis purpose. The experimental data for five metal tubes is obtained to analyze the behavior of different parameters used during, before, and after autofrettage process. For this research, two-stage autofrettage is taken into consideration. The modeling of the metal tube is carried out in WildFire-ProEngineering, and for analysis purpose, finite element software ANSYS7 and COSMOS are used. The graphical analysis of swage autofrettage is carried out using MATLAB7. The results are validated using available experimental and numerical data. (author)

  15. Synthesis and structural characterization of coaxial nano tubes intercalated of molybdenum disulfide with carbon

    International Nuclear Information System (INIS)

    In this work the study of some fundamental aspects in the growth of unidimensional systems of coaxial nano tubes from the mold method is approached. This method is an inclusion technique of a precursor reagent into oxide nano porous alumina film (mold), and later applying some processes of synthesis it is gotten to obtain the wished material. The synthesized structures are identified later because they take place by means of the initial formation of nano tubes of MoS2, enclosing to carbon nano tubes by the same method, with propylene flow which generates a graphitization process that 'copy' the mold through as it flows. Binary phase MoS2 + C nano tubes were synthesized by propylene pyrolysis inside MoS2 nano tubes prepared by template assisted technique. The large coaxial nano tubes constituted of graphite sheets inserted between the MoS2 layers forming the outer part, and coaxial multi wall carbon nano tubes (MWCNT) intercalated with MoS2 inside. High resolution electron microscopy (HRTEM), electron energy loss spectroscopy (EELS), high angle annular dark field (HAADF), gatan image filter (GIF), nano beam electron diffraction patterns (NBEDP), along with molecular dynamics simulation and quantum mechanical calculations were used to characterize the samples. The one-dimensional structures exhibit diverse morphologies such as long straight and twisted nano tubes with several structural irregularities. The inter-planar spacing between MoS2 layers was found to increase from 6.3 to 7.4 A due to intercalation with carbon. Simulated HREM images revealed the presence of these twisted nano structures, with mechanical stretch into intercalate carbon between MoS2 layers. Our results open up the possibility of using MoS2 nano tubes as templates for the synthesis of new one- dimensional binary phase systems. (Author)

  16. Pre-radiotherapy feeding tube identifies a poor prognostic subset of postoperative p16 positive oropharyngeal carcinoma patients

    International Nuclear Information System (INIS)

    This study explores variables associated with poor prognosis in postoperative p16 positive oropharyngeal squamous cell carcinoma (OPSCC) patients undergoing adjuvant radiotherapy or chemoradiotherapy. Specifically, analysis was done related to timing of feeding tube insertion relative to radiotherapy. From 1997–2009, of 376 consecutive patients with OPSCC, 220 received adjuvant IMRT, and 97 were p16 positive and eligible. Of these, 23 had feeding tube placement before IMRT (B-FT), 32 during/after IMRT (DA-FT), and 42 had no feeding tube (NO-FT). Feeding tubes were not placed prophylactically. These three groups were analyzed for differential tumor, patient, treatment, and feeding tube characteristics, as well as differences in overall survival (OS), disease free survival (DFS), and distant metastasis free survival (DMFS). Pre-RT FT insertion was associated with higher tumor size and depth, T (but not N) and overall stage, comorbidities, presence of chemotherapy, and less use of transoral laser microsurgery/transoral bovie. Additionally, time from surgery to IMRT completion was also statistically longer in the B-FT group. The feeding tube was permanent in 52% of patients in the B-FT group versus 16% in the DA-FT group (p = 0.0075). The 5-year OS for the NO-FT, DA-FT, and B-FT groups was 90%, 86%, and 50%, respectively. The 5-year DFS for the NO-FT, DA-FT, and B-FT groups was 87.6%, 83.6%, and 42.7%, respectively. Multivariate analysis showed that for OS and DFS, feeding tube placement timing and smoking history were statistically significant. Due to the poor prognosis of early FT insertion, the presence of FTs at time of radiotherapy consultation can be used as an alternate marker to identify a subset of p16 positive OPSCC patients that have a poor prognosis

  17. Energy dissipation in circular tube

    Directory of Open Access Journals (Sweden)

    A.D. Girgidov

    2012-01-01

    Full Text Available Energy dissipation distribution along the circular tube radius is important in solving such problems as calculation of heat transfer by the air flow through building envelope; calculation of pressure loss in spiral flows; calculation of cyclones with axial and tangential supply of dust-containing gas.Two types of one-dimensional radially axisymmetric flows in circular tube were considered: axial flow and rotation about the axis (Rankine vortex. Relying on two- and four-layer description of axial turbulent flow energy dissipation was calculated in each layer.Similar calculation for Rankine vortex with viscous sublayer at the tube surface was provided. By employing the dissipation minimum principle the boundary radius between rigid rotation and free vortex is calculated. Approximation of the velocity distribution in Rankine vortex is proposed.

  18. Failure analysis of brass tubes

    Energy Technology Data Exchange (ETDEWEB)

    Lawrence, S.J.; Bodnar, R.L. [Bethlehem Steel Corp., PA (United States)

    1997-02-01

    The 1996 Jacquet Lucas Award for Excellence in Metallography was won by Samuel J. Lawrence and Richard L. Bodnar for their analysis of cracks in Admiralty brass cooling tubes, which are part of a heat exchanger in a turbogenerator that provides electricity to a manufacturing plant. A mixture of non-recirculating city and spring pit water flows through bundles of tubes to cool the oil in which they are immersed. However, a problem developed when several of the brass tubes cracked transversely, allowing cooling water to mix with the oil. This award-winning entry in the ASM/IMS competition shows how the metallographers analyzed the cracks, and what the results were.

  19. Drift tubes of Linac 2

    CERN Multimedia

    1977-01-01

    With the advent of the 800 MeV PS Booster in 1972, the original injector of the PS, a 50 MeV Alvarez-type proton linac, had reached its limits, in terms of intensity and stability. In 1973 one therefore decided to build a new linac (Linac 2), also with a drift-tube Alvarez structure and an energy of 50 MeV. It had a new Cockcroft-Walton preinjector with 750 keV, instead of the previous one with 500 keV. Linac 2 was put into service in 1980. The old Linac 1 was then used for the study of, and later operation with, various types of ions. This picture shows Linac 2 drift-tubes, suspended on stems coming from the top, in contrast to Linac 1, where the drift-tubes stood on stems coming from the bottom.

  20. The generation of 25.05 T using a 5.11 T Bi2Sr2CaCu2Ox superconducting insert magnet

    International Nuclear Information System (INIS)

    A 25.05 T magnetic field was generated by a 5.11 T superconducting Bi2Sr2CaCu2Ox insert magnet within a 19.94 T resistive magnet. The Bi2Sr2CaCu2Ox magnet is constructed using fully reacted powder-in-tube conductor and insulated stainless steel reinforcement. Three concentric sections are used to minimize the total stress in the Bi2Sr2CaCu2Ox conductor: two double pancake stacks and an outer layer-wound section. The insert coil operates at 4.2 K in a 0.168 m diameter cryostat fitted to the resistive magnet. Here we provide an overview of the design and construction of the insert and the results of self-field and in-field testing. Mechanical and electrical safety issues, related to testing in a large resistive magnet, are discussed

  1. Computational Investigation on Fully Developed Periodic Laminar Flow Structure in Baffled Circular Tube with Various BR

    Directory of Open Access Journals (Sweden)

    Withada Jedsadaratanachai

    2014-01-01

    Full Text Available This paper presents a 3D numerical analysis of fully developed periodic laminar flow in a circular tube fitted with 45° inclined baffles with inline arrangement. The computations are based on a finite volume method, and the SIMPLE algorithm has been implemented. The characteristics of fluid flow are presented for Reynolds number, Re = 100–1000, based on the hydraulic diameter (D of the tube. The angled baffles were repeatedly inserted at the middle of the test tube with inline arrangement to generate vortex flows over the tested tube. Effects of different Reynolds numbers and blockage ratios (b/D, BR with a single pitch ratio of 1 on flow structure in the tested tube were emphasized. The flows in baffled tube show periodic flow at x/D ≈ 2-3, and become a fully developed periodic flow profiles at x/D ≈ 6-7, depending on Re, BR and transverse plane positions. The computational results reveal that the higher of BR and closer position of turbulators, the faster of fully developed periodic flow profiles.

  2. Sampling of high molecular weight hydrocarbons with adsorbent tubes; Provtagning av tyngre kolvaeten med adsorptionsroer

    Energy Technology Data Exchange (ETDEWEB)

    Stroemberg, B. [TPS Termiska Processer AB, Nykoeping (Sweden)

    1996-12-01

    Adsorption tubes have been used to determine the content of hydrocarbons in gas samples from small scale combustion and gasification of biomass. Compounds from benzene (mw 78) to indeno (1,2,3-cd) pyrene (mw 276) have been examined. The results show that it is possible to analyze polyaromatic hydrocarbons (PAH) with 4 aromatic rings (mw 202). Detection limits for these compounds are < 1{mu}g/m{sup 3}. PAH with higher molecule weight can be identified and quantified in samples with high amounts of PAH e.g. at gasification of biomass. Sampling on adsorption tubes is extremely quick and easy. The tube is inserted in the gas of interest and the sample is sucked through the tube with a pump. Sampling times of 2-10 minutes are often sufficient. High moisture content in the gas may result in losses of the most volatile compounds, when drying. Even very low concentrations of water in the tube may cause ice formation in the cold-trap and the sample will be destroyed. The analysis is unfortunately time-consuming because the desorption oven must be cooled between every analysis. This will reduce the number of samples which can be analyzed per day. The tubes can be stored for several weeks before analysis without deterioration. 4 refs, 5 figs, 3 tabs

  3. An intraoral miniature x-ray tube based on carbon nanotubes for dental radiography

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun Jin; Kim, Hyun Nam; Raza, Hamid Saeed; Park, Han Beom; Cho, Sung Oh [Dept. of Nuclear and Quantum Engineering, Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of)

    2016-06-15

    A miniature X-ray tube based on a carbon-nanotube electron emitter has been employed for the application to a dental radiography. The miniature X-ray tube has an outer diameter of 7 mm and a length of 47 mm. The miniature X-ray tube is operated in a negative high-voltage mode in which the X-ray target is electrically grounded. In addition, X-rays are generated only to the teeth directions using a collimator while X-rays generated to other directions are shielded. Hence, the X-ray tube can be safely inserted into a human mouth. Using the intra-oral X-ray tube, a dental radiography is demonstrated where the positions of an X-ray source and a sensor are reversed compared with a conventional dental radiography system. X-ray images of five neighboring teeth are obtained and, furthermore, both left and right molar images are achieved by a single X-ray shot of the miniature X-ray tube.

  4. Immediate post-placental IUD insertion: the expulsion problem.

    Science.gov (United States)

    Thiery, M; Van Kets, H; Van der Pas, H

    1985-04-01

    This paper reports an evaluation of immediate post-placental insertion of a non-copper (Lippes Loop D) and several copper-bearing IUD models (TCu200, TCu220C, MLCu375, MLCu250, Nova T-PP, DimélysR). Based on the analysis of a total of 2,646 insertions and 55,794 woman-months of experience, we conclude that placement of an IUD within ten minutes of delivery of the placenta is a valuable alternative to interval insertion, because this method is safe and effective. Effectiveness was significantly lower for the Lippes Loop D than for the T- and ML-IUD models tested, the latter showing roughly comparable pertinent event rates. Pertinent event rates for copper IUDs were influenced by the skill of the operator; age of the recipient only had a significant effect on effectiveness, whereas parity had no significant effect on pertinent event rates. The single and still unsolved problem associated with immediate postpartum insertion is the greater likelihood of expulsion compared with interval insertion, and this hazard is significantly much greater for the Loop than for the copper-bearing devices assessed. The evolution of the expulsion rates shows a constant time-relationship. This pattern makes it obvious why follow-up of recipients, at least during the first trimester following insertion, is mandatory if immediate post-placental IUD insertion is to be optimally effective. PMID:4006467

  5. Knot Insertion Algorithms for ECT B-spline Curves

    Institute of Scientific and Technical Information of China (English)

    SONG Huan-huan; TANG Yue-hong; LI Yu-juan

    2013-01-01

    Knot insertion algorithm is one of the most important technologies of B-spline method. By inserting a knot the local prop-erties of B-spline curve and the control flexibility of its shape can be further improved, also the segmentation of the curve can be re-alized. ECT spline curve is drew by the multi-knots spline curve with associated matrix in ECT spline space;Muehlbach G and Tang Y and many others have deduced the existence and uniqueness of the ECT spline function and developed many of its important properties .This paper mainly focuses on the knot insertion algorithm of ECT B-spline curve.It is the widest popularization of B-spline Behm algorithm and theory. Inspired by the Behm algorithm, in the ECT spline space, structure of generalized Pólya poly-nomials and generalized de Boor Fix dual functional, expressing new control points which are inserted after the knot by linear com-bination of original control vertex the single knot, and there are two cases, one is the single knot, the other is the double knot. Then finally comes the insertion algorithm of ECT spline curve knot. By application of the knot insertion algorithm, this paper also gives out the knot insertion algorithm of four order geometric continuous piecewise polynomial B-spline and algebraic trigonometric spline B-spline, which is consistent with previous results.

  6. On the welded Tube map

    OpenAIRE

    Audoux, Benjamin

    2014-01-01

    This note investigates the so-called Tube map which connects welded knots, that is a quotient of the virtual knot theory, to ribbon torus-knots, that is a restricted notion of fillable knotted tori in the 4-sphere. It emphasizes the fact that ribbon torus-knots with a given filling are in one-to-one correspondence with welded knots before quotient under classical Reidemeister moves and reformulates these moves and the known sources of non-injectivity of the Tube map in terms of filling changes.

  7. Working session 3: Tubing integrity

    Energy Technology Data Exchange (ETDEWEB)

    Cueto-Felgueroso, C. [Tecnatom, S.A., San Sebastian de los Reyes, Madrid (Spain); Strosnider, J. [NRC, Washington, DC (United States)

    1997-02-01

    Twenty-three individuals representing nine countries (Belgium, Canada, the Czech Republic, France, Japan, the Slovak Republic, Spain, the UK, and the US) participated in the session on tube integrity. These individuals represented utilities, vendors, consultants and regulatory authorities. The major subjects discussed by the group included overall objectives of managing steam generator tube degradation, necessary elements of a steam generator degradation management program, the concept of degradation specific management, structural integrity evaluations, leakage evaluations, and specific degradation mechanisms. The group`s discussions on these subjects, including conclusions and recommendations, are summarized in this article.

  8. Working session 3: Tubing integrity

    International Nuclear Information System (INIS)

    Twenty-three individuals representing nine countries (Belgium, Canada, the Czech Republic, France, Japan, the Slovak Republic, Spain, the UK, and the US) participated in the session on tube integrity. These individuals represented utilities, vendors, consultants and regulatory authorities. The major subjects discussed by the group included overall objectives of managing steam generator tube degradation, necessary elements of a steam generator degradation management program, the concept of degradation specific management, structural integrity evaluations, leakage evaluations, and specific degradation mechanisms. The group's discussions on these subjects, including conclusions and recommendations, are summarized in this article

  9. Orifice plates and venturi tubes

    CERN Document Server

    Reader-Harris, Michael

    2015-01-01

    This book gives the background to differential-pressure flow measurement and goes through the requirements explaining the reason for them. For those who want to use an orifice plate or a Venturi tube the standard ISO 5167 and its associated Technical Reports give the instructions required.  However, they rarely tell the users why they should follow certain instructions.  This book helps users of the ISO standards for orifice plates and Venturi tubes to understand the reasons why the standards are as they are, to apply them effectively, and to understand the consequences of deviations from the standards.

  10. Flow Deflection in Intersected Tubes

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    In order to verify the flow interference at the fracture intersections, a group of hydraulic simulations of crossing flow was carried out. The manifold interference effects at the intersection of fractures on water flow has been confirmed extensively either in the normal or in the oblique intersected tubes as well as in the intersected tubes of either equal or variant diameters. Consequently, suggest that the fissure network can no longer be taken as a set of solitary fractures, but as a set of elementary intersected ractures. The deflection effect at fracture intersections on the water flow should be taken into considwhen is dealt with any theory related to the water migration in fractures.

  11. Sunspot rotation. II. Effects of varying the field strength and twist of an emerging flux tube

    CERN Document Server

    Sturrock, Z

    2016-01-01

    Context. Observations of flux emergence indicate that rotational velocities may develop within sunspots. However, the dependence of this rotation on sub-photospheric field strength and twist remains largely unknown. Aims. We investigate the effects of varying the initial field strength and twist of an emerging sub-photospheric magnetic flux tube on the rotation of the sunspots at the photosphere. Methods. We consider a simple model of a stratified domain with a sub-photospheric interior layer and three overlying atmospheric layers. A twisted arched flux tube is inserted in the interior and is allowed to rise into the atmosphere. To achieve this, the MHD equations are solved using the Lagrangian-remap code, Lare3d. We perform a parameter study by independently varying the sub-photospheric magnetic field strength and twist. Results. Altering the initial field strength and twist significantly affects the tube's evolution and the rotational motions that develop at the photosphere. The rotation angle, vorticity, a...

  12. Prospective study of the effects of ventilation tubes on hearing after radiotherapy for carcinoma of nasopharynx

    Energy Technology Data Exchange (ETDEWEB)

    Chowdhury, C.R.; Ho, J.H.; Wright, A.; Tsao, S.Y.; Au, G.K.; Tung, Y.

    1988-03-01

    In patients with nasopharyngeal carcinoma, deafness sometimes occurs following radiotherapy. It is usually conductive, but may be sensorineural. Tinnitus is present frequently and usually is distressing. The role of ventilation tubes (grommets) in relieving these problems was assessed in a prospective randomized controlled trial of 115 patients. In the group with grommets, there was an improvement in hearing, with a reduction of the averaged air-bone gap (p less than .01). This was not found in the control group without ventilation tubes, who developed a larger conductive loss (p less than .01) and, in addition, a slight deterioration of the averaged bone conduction threshold (p less than .01). Surprisingly, the group with grommets did not develop this sensorineural loss (p less than .01). In addition, tinnitus was improved significantly by the insertion of ventilation tubes (p less than .01). Neither necrosis nor stenosis of the external auditory meatus was found in either group.

  13. Development of ITER toroidal field insert. International collaboration with Russia

    International Nuclear Information System (INIS)

    The Central Solenoid (CS) model coil programme was performed since 1992 as one of the projects in the Engineering Design Activity (EDA) of the International Thermonuclear Experimental Reactor(ITER). The CS model coil programme involves a plan to develop the Toroidal Field (TF) insert to demonstrate the conductor performance of ITER TF coils under a magnetic flux density of 13T. The TF insert was fabricated by Russia and tested by Japan under the framework of the ITER-EDA. The TF insert developed a single-layer solenoid with nine turns. It is wound with a cable-in-conduit (CIC) conductor which consists of 1,152 Nb3Sn strands, a thin titanium jacket and a central channel. The outer diameter, height and weight of the TF insert are 1.56 m, 3.2 m and 3.1 ton, respectively. Fabrication of the TF insert was completed in May 2001 at the D.V.Efremov Scientific Research Institute for Electrophysical Apparatus (Efremov institute) in St. Petersburg, Russia. The TF insert was then transported to the Japan Atomic Energy Research Institute (JAERI). Installation of the TF insert to CS model coil test facility was completed in August, 2001. Experiments including the cooldown and warmup processes, were completed in November 2001. The TF insert was charged to 13T with 46 kA without any instability under a back up magnetic field from the CS model coil. This report introduces an overview of the fabrication, installation and experiments for the TF insert conducted under collaboration between Japan and Russia. (author)

  14. Islet amyloid polypeptide inserts into phospholipid monolayers as monomer.

    Science.gov (United States)

    Engel, Maarten F M; Yigittop, HaciAli; Elgersma, Ronald C; Rijkers, Dirk T S; Liskamp, Rob M J; de Kruijff, Ben; Höppener, Jo W M; Antoinette Killian, J

    2006-02-24

    Amyloid deposits in the pancreatic islets of Langerhans are thought to be a main factor responsible for death of the insulin-producing islet beta-cells in type 2 diabetes. It is hypothesized that beta-cell death is related to interaction of the 37 amino acid residue human islet amyloid polypeptide (hIAPP), the major constituent of islet amyloid, with cellular membranes. However, the mechanism of hIAPP-membrane interactions is largely unknown. Here, we study the nature and the molecular details of the initial step of hIAPP-membrane interactions by using the monolayer technique. It is shown that both freshly dissolved hIAPP and the non-amyloidogenic mouse IAPP (mIAPP) have a pronounced ability to insert into phospholipid monolayers, even at lipid packing conditions that exceed the conditions that occur in biological membranes. In contrast, the fibrillar form of hIAPP has lost the ability to insert. These results, combined with the observations that both the insertion kinetics and the dependence of insertion on the initial surface pressure are similar for freshly dissolved hIAPP and mIAPP, indicate that hIAPP inserts into phospholipid monolayers most likely as a monomer. In addition, our results suggest that the N-terminal part of hIAPP, which is nearly identical with that of mIAPP, is largely responsible for insertion. This is supported by experiments with hIAPP fragments, which show that a peptide consisting of the 19 N-terminal residues of hIAPP efficiently inserts into phospholipid monolayers, whereas an amyloidogenic decapeptide, consisting of residues 20-29 of hIAPP, inserts much less efficiently. The results obtained here suggest that hIAPP monomers might insert with high efficiency in biological membranes in vivo. This process could play an important role as a first step in hIAPP-induced membrane damage in type 2 diabetes. PMID:16403520

  15. Catalytic X-H insertion reactions based on carbenoids.

    Science.gov (United States)

    Gillingham, Dennis; Fei, Na

    2013-06-21

    Catalysed X-H insertion reactions into diazo compounds (where X is any heteroatom) are a powerful yet underutilized class of transformations. The following review will explore the historical development of X-H insertion and give an up-to-date account of the metal catalysts most often employed, including an assessment of their strengths and weaknesses. Despite decades of development, recent work on enantioselective variants, as well as applying catalytic X-H insertion towards problems in chemical biology indicate that this field has ample room for innovation. PMID:23407887

  16. Study on Visually Design of Indexable Insert Tip

    Institute of Scientific and Technical Information of China (English)

    YAO Ji-quan; ZHAO Shu-qiang; ZHANG Shen-hou; CHEN Xin; GUO Xian-yang

    2013-01-01

    In order to improve the development efficiency of the indexable insert tip, three-dimensional parametric and visualization applications program of indexable insert tip was developed in AutoCAD VBA (Visual Basic for Applications). The software could significantly improve the modeling efficiency of indexable insert tip and the model could also be used to static analysis, dynamic analysis and thermodynamic analysis. All aspects of performance could be fully understood by the finite element analysis. The ref-erence for the blade parameters preferred is also provided.

  17. Cutting inserts effect on heat generation in turning process

    Directory of Open Access Journals (Sweden)

    Ján Žitňanský

    2014-03-01

    Full Text Available The paper is focused on confirmation of an effect of cutting materials and cutting inserts geometry on cutting forces and temperature, quality and accuracy of machined surface in turning. The main part is devoted to description of advanced turning tools and cutting materials. The experimental part is focused on cutting forces and temperature measurement and machined surface quality in turning of steel grade 11 523 samples with one feed and depth of cut value and varying spindle speed. Measurements were performed with various types of indexable cutting inserts used. Measured values were evaluated in terms of the effect of different properties of cutting inserts and various spindle speed values.

  18. Industrial stator vane with sequential impingement cooling inserts

    Science.gov (United States)

    Jones, Russell B; Fedock, John A; Goebel, Gloria E; Krueger, Judson J; Rawlings, Christopher K; Memmen, Robert L

    2013-08-06

    A turbine stator vane for an industrial engine, the vane having two impingement cooling inserts that produce a series of impingement cooling from the pressure side to the suction side of the vane walls. Each insert includes a spar with a row of alternating impingement cooling channels and return air channels extending in a radial direction. Impingement cooling plates cover the two sides of the insert and having rows of impingement cooling holes aligned with the impingement cooling channels and return air openings aligned with the return air channel.

  19. International Workshop on Magnetic Measurements of Insertion Devices

    Energy Technology Data Exchange (ETDEWEB)

    1993-10-01

    The International Workshop on Magnetic Measurements of Insertion Devices was held at the Advanced Photon Source, Argonne National Laboratory, on September 28--29, 1993. The workshop brought together scientists and engineers from Europe, Japan, and the United States to discuss the following topics: Special techniques for magnetic measurements of insertion devices, magnetic tolerances of the insertion devices for third generation synchrotron radiation sources, methods for and accuracy of the multipole moments measurements, magnetic sensors, among other topics. The workshop included thirteen presentations that are collected in this volume.

  20. Fracture inspection by BHTV logging through a vinyl chloride tube; Enbi pipe ga sonyusareta kosei deno BHTV ni yoru kiretsu chosa

    Energy Technology Data Exchange (ETDEWEB)

    Horikawa, H.; Okabe, T.; Takasugi, S. [GERD Geothermal Energy Research and Development Co. Ltd., Tokyo (Japan); Yamauchi, Y.; Imanishi, H. [Osaka Soil Test, Osaka (Japan)

    1997-05-27

    A borehole televiewer (BHTV) logging was conducted to investigate cracks in bored wells. The logging process shoots ultrasonic waves onto bore walls and utilizes reflection waves from the bore walls. If the bores are filled with muddy water, or the ultrasonic waves can pass through even if vinyl chloride tubes have been inserted after excavation, the state of the bore walls can be investigated in principle. Conventional optical scanners are, however, incapable of making this investigation. The BHTV logging can be used for identifying lithofacies from reflection intensities from bore walls (it depends on sound impedance of rocks), not to speak of finding cracks. As a result of making logging upon setting time windows from 105 to 145 {mu} sec in a bored well inserted with a vinyl chloride tube, cracks in the bore wall were identified clearly through the vinyl chloride tube. If the distance between the bore wall and the vinyl chloride tube becomes smaller, setting the time window becomes difficult, making reflection data acquisition more difficult. Impacts of decentering in the vinyl chloride tube on the data and the crack analysis result are small. The reflection intensity has decreased by about half as a result of having the circular vinyl chloride tube inserted. 5 refs., 9 figs., 1 tab.

  1. Nursing administration of medication via enteral tubes in adults: a systematic review.

    Science.gov (United States)

    Phillips, Nicole M; Nay, Rhonda

    2007-09-01

    Background  Enteral tubes are frequently inserted as part of medical treatment in a wide range of patient situations. Patients with an enteral tube are cared for by nurses in a variety of settings, including general and specialised acute care areas, aged care facilities and at home. Regardless of the setting, nurses have the primary responsibility for administering medication through enteral tubes. Medication administration via an enteral tube is a reasonably common nursing intervention that entails a number of skills, including preparing the medication, verifying the tube position, flushing the tube and assessing for potential complications. If medications are not given effectively through an enteral tube, harmful consequences may result leading to increased morbidity, for example, tube occlusion, diarrhoea and aspiration pneumonia. There are resultant costs for the health-care system related to possible increased length of stay and increased use of equipment. Presently what is considered to be best practice to give medications through enteral tubes is unknown. Objectives  The objective of this systematic review was to determine the best available evidence on which nursing interventions are effective in minimising the complications associated with the administration of medications via enteral tubes in adults. Nursing interventions and considerations related to medication administration included form of medication, verifying tube placement before administration, methods used to give medication, methods used to flush tubes, maintenance of tube patency and specific practices to prevent possible complications related to the administration of enteral medications. Search strategy  The following databases were searched for literature reported in English only: CINAHL, MEDLINE, The Cochrane Library, Current Contents/All Editions, EMBASE, Australasian Medical Index and PsychINFO. There was no date restriction applied. In addition, the reference lists of all included

  2. Nursing administration of medication via enteral tubes in adults: a systematic review.

    Science.gov (United States)

    Phillips, Nicole M; Nay, Rhonda

    2007-09-01

    Background  Enteral tubes are frequently inserted as part of medical treatment in a wide range of patient situations. Patients with an enteral tube are cared for by nurses in a variety of settings, including general and specialised acute care areas, aged care facilities and at home. Regardless of the setting, nurses have the primary responsibility for administering medication through enteral tubes. Medication administration via an enteral tube is a reasonably common nursing intervention that entails a number of skills, including preparing the medication, verifying the tube position, flushing the tube and assessing for potential complications. If medications are not given effectively through an enteral tube, harmful consequences may result leading to increased morbidity, for example, tube occlusion, diarrhoea and aspiration pneumonia. There are resultant costs for the health-care system related to possible increased length of stay and increased use of equipment. Presently what is considered to be best practice to give medications through enteral tubes is unknown. Objectives  The objective of this systematic review was to determine the best available evidence on which nursing interventions are effective in minimising the complications associated with the administration of medications via enteral tubes in adults. Nursing interventions and considerations related to medication administration included form of medication, verifying tube placement before administration, methods used to give medication, methods used to flush tubes, maintenance of tube patency and specific practices to prevent possible complications related to the administration of enteral medications. Search strategy  The following databases were searched for literature reported in English only: CINAHL, MEDLINE, The Cochrane Library, Current Contents/All Editions, EMBASE, Australasian Medical Index and PsychINFO. There was no date restriction applied. In addition, the reference lists of all included

  3. 21 CFR 876.5980 - Gastrointestinal tube and accessories.

    Science.gov (United States)

    2010-04-01

    ... intubation, feeding tube, gastroenterostomy tube, Levine tube, nasogastric tube, single lumen tube with... § 876.9. (2) Class I (general controls) for the dissolvable nasogastric feed tube guide for the nasogastric tube. The class I device is exempt from the premarket notification procedures in subpart E of...

  4. Welding the CNGS decay tube

    CERN Multimedia

    Maximilien Brice

    2004-01-01

    3.6 km of welds were required for the 1 km long CERN Neutrinos to Gran Sasso (CNGS) decay tube, in which particles produced in the collision with a proton and a graphite target will decay into muons and muon neutrinos. Four highly skilled welders performed this delicate task.

  5. Fin-tube solar collectors

    Science.gov (United States)

    1980-01-01

    Report presents test procedures and results of thermal-performance evaluation of seven commercial fin tube (liquid) solar collector-absorber plates. Tests were conducted indoors at Marshall Space Flight Center Solar simulator. Results are graphically shown along with supporting test data and summary, indicating efficiency as function of collector inlet temperature.

  6. Working session 1: Tubing degradation

    Energy Technology Data Exchange (ETDEWEB)

    Kharshafdjian, G. [Atomic Energy of Canada, Mississauga, Ontario (Canada); Turluer, G. [IPSN, Fontenay-aux-Roses (France)

    1997-02-01

    A general introductory overview of the purpose of the group and the general subject area of SG tubing degradation was given by the facilitator. The purpose of the session was described as to {open_quotes}develop conclusions and proposals on regulatory and technical needs required to deal with the issues of SG tubing degradation.{close_quotes} Types, locations and characteristics of tubing degradation in steam generators were briefly reviewed. The well-known synergistic effects of materials, environment, and stress and strain/strain rate, subsequently referred to by the acronym {open_quotes}MESS{close_quotes} by some of the group members, were noted. The element of time (i.e., evolution of these variables with time) was emphasized. It was also suggested that the group might want to consider the related topics of inspection capabilities, operational variables, degradation remedies, and validity of test data, and some background information in these areas was provided. The presentation given by Peter Millet during the Plenary Session was reviewed; Specifically, the chemical aspects and the degradation from the secondary side of the steam generator were noted. The main issues discussed during the October 1995 EPRI meeting on secondary side corrosion were reported, and a listing of the potential SG tube degradations was provided and discussed.

  7. Oscillatory flow in bifurcating tubes

    International Nuclear Information System (INIS)

    Respiratory fluid mechanics is characterized by flow through bifurcating, Y-shaped, tubes. Steady flow through such geometries has been studied in detail by several authors. However, the recent widespread use of high frequency mechanical assistance of ventilation has generated interest in unsteady flows. A symmetric, singly branching pipe has been constructed, with its bifurcation shaped to model pulmonary conditions. The form of the bifurcation is based on CAT scans of human tracheal carinas. Its features include an area change of the parent tube from circular to roughly elliptical near the junction, a pinch-off effect on the parent tube, smoothly curved outer walls at the junction, and a sharp flow divider. Parent and daughter tubes have an l/d ratio of > 50, so that entrance effects are avoided. In order to better understand the effects of unsteadiness, piston driven, laminar, purely oscillatory flow has been established in the pipe for a variety of Womersley numbers. By appropriate choices of flow frequency and amplitude, fluid viscosity, and pipe diameter, tracheal Reynolds and Womersley numbers have been matched for resting breathing (tidal volume of 600 ml to 0.25 Hz), high frequency breathing (50 ml at 5 Hz), and intermediate breathing levels

  8. OurTube / David Talbot

    Index Scriptorium Estoniae

    Talbot, David

    2009-01-01

    USA California Ülikooli töötajate Abram Stern'i ja Michael Dale'i poolt 2005. a. algatatud USA kongressis peetud kõnede videoremiksidest ja nende poolt loodud veebisaidist Metavid.org. Ka YouTube keskkonnast ja wikipedia katsetustest muuta oma keskkond multimeedialisemaks

  9. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Supported by the NEI Research at NEI All Research at NEI Office of the Scientific Director Office of the Clinical Director Education Programs ... Health Information News and Events Grants and Funding Research at NEI Education ... NEI YouTube Videos: Amblyopia NEI ...

  10. X-ray tube arrangement

    International Nuclear Information System (INIS)

    An x-ray tube is described incorporating an elongated target/ anode over which the electron beam is deflected and from which x-rays are emitted. Improved methods of monitoring and controlling the amplitude of the beam deflection are presented. (U.K.)

  11. NEI You Tube Videos: Amblyopia

    Medline Plus

    Full Text Available ... Macular Degeneration Amblyopia Animations Blindness Cataract Convergence Insufficiency Diabetic Eye Disease Dilated Eye Exam Dry Eye For Kids Glaucoma Healthy Vision Tips Leber Congenital Amaurosis Low Vision Refractive Errors Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube ...

  12. The use of dimorphic Alu insertions in human DNA fingerprinting

    Energy Technology Data Exchange (ETDEWEB)

    Novick, G.E.; Gonzalez, T.; Garrison, J.; Novick, C.C.; Herrera, R.J. [Florida International Univ., Miami, FL (United States). Dept. of Biological Sciences; Batzer, M.A. [Lawrence Livermore National Lab., CA (United States); Deininger, P.L. [Louisiana State Univ., New Orleans, LA (United States). Medical Center

    1992-12-04

    We have characterized certain Human Specific Alu Insertions as either dimorphic (TPA25, PV92, APO), sightly dimorphic (C2N4 and C4N4) or monomorphic (C3N1, C4N6, C4N2, C4N5, C4N8), based on studies of Caucasian, Asian, American Black and African Black populations. Our approach is based upon: (1) PCR amplification using primers directed to the sequences that flank the site of insertion of the different Alu elements studied; (2) gel electrophoresis and scoring according to the presence or absence of an Alu insertion in one or both homologous chromosomes; (3) allelic frequencies calculated and compared according to Hardy-Weinberg equilibrium. Our DNA fingerprinting procedure using PCR amplification of dimorphic Human Specific Alu insertions, is stable enough to be used not only as a tool for genetic mapping but also to characterize populations, study migrational patterns and track the inheritance of human genetic disorders.

  13. A new insertion sequence for incremental Delaunay triangulation

    Institute of Scientific and Technical Information of China (English)

    Jian-Fei Liu; Jin-Hui Yan; S.H.Lo

    2013-01-01

    Incremental algorithm is one of the most popular procedures for constructing Delaunay triangulations (DTs).However,the point insertion sequence has a great impact on the amount of work needed for the construction of DTs.It affects the time for both point location and structure update,and hence the overall computational time of the triangulation algorithm.In this paper,a simple deterministic insertion sequence is proposed based on the breadth-first-search on a Kd-tree with some minor modifications for better performance.Using parent nodes as search-hints,the proposed insertion sequence proves to be faster and more stable than the Hilbert curve order and biased randomized insertion order (BRIO),especially for non-uniform point distributions over a wide range of benchmark examples.

  14. Fireplace insert and its parameters depend on the used glazing

    Science.gov (United States)

    Papučík, Štefan; Čaja, Alexander

    2016-06-01

    The contribution deals with the analysis of the impact of using double glass to change the performance and emission parameters of the fireplace insert. Conventional fireplace inserts are equipped with heat-resistant glass, which is resistant to high temperatures. For this type of inserts are required to be radiant constituent maximized. Prevailing part of heat is into the interior gets just by radiation through the glazed part. The hot water fireplace inserts is the requirement that the radiant constituent to the environment to a minimum. Therefore, instead of a single glass using double glazing which is intended to reduce this part of heat transfer. The temperature in the furnace is increased, and transmitted most of the heat into the water.

  15. Needle Insertion with Duty-Cycled Rotation into Multiple Media

    OpenAIRE

    Lehocky, Craig A.; Riviere, Cameron N.

    2012-01-01

    Thin, flexible needles can be steered along nonlinear paths to reach deep anatomical structures within the human body. This study builds upon previous work involving steering of bevel-tipped needles by inserting while rotating in a duty-cycled fashion. Here we investigate how needle material and radius, duty cycle, and tissue stiffness affect needle curvature. Needles were inserted into media while rotated at a specified duty cycle and the curvature was measured. A linear relationship between...

  16. Insertion and Deletion Processes in Recent Human History

    OpenAIRE

    Per Sjödin; Thomas Bataillon; Schierup, Mikkel H.

    2010-01-01

    BACKGROUND: Although insertions and deletions (indels) account for a sizable portion of genetic changes within and among species, they have received little attention because they are difficult to type, are alignment dependent and their underlying mutational process is poorly understood. A fundamental question in this respect is whether insertions and deletions are governed by similar or different processes and, if so, what these differences are. METHODOLOGY/PRINCIPAL FINDINGS: We use publishe...

  17. Generating Novel Allelic Variation Through Activator Insertional Mutagenesis in Maize

    OpenAIRE

    Bai, Ling; Singh, Manjit; Pitt, Lauren; Sweeney, Meredith; Brutnell, Thomas P.

    2007-01-01

    The maize transposable element Activator (Ac) has been exploited as an insertional mutagen to disrupt, clone, and characterize genes in a number of plant species. To develop an Ac-based mutagenesis platform for maize, a large-scale mutagenesis was conducted targeting the pink scutellum1 locus. We selected 1092 Ac transposition events from a closely linked donor Ac, resulting in the recovery of 17 novel ps1 alleles. Multiple phenotypic classes were identified corresponding to Ac insertions in ...

  18. Lithium Insertion In Silicon Nanowires: An ab Initio Study

    KAUST Repository

    Zhang, Qianfan

    2010-09-08

    The ultrahigh specific lithium ion storage capacity of Si nanowires (SiNWs) has been demonstrated recently and has opened up exciting opportunities for energy storage. However, a systematic theoretical study on lithium insertion in SiNWs remains a challenge, and as a result, understanding of the fundamental interaction and microscopic dynamics during lithium insertion is still lacking. This paper focuses on the study of single Li atom insertion into SiNWs with different sizes and axis orientations by using full ab initio calculations. We show that the binding energy of interstitial Li increases as the SiNW diameter grows. The binding energies at different insertion sites, which can be classified as surface, intermediate, and core sites, are quite different. We find that surface sites are energetically the most favorable insertion positions and that intermediate sites are the most unfavorable insertion positions. Compared with the other growth directions, the [110] SiNWs with different diameters always present the highest binding energies on various insertion locations, which indicates that [110] SiNWs are more favorable by Li doping. Furthermore, we study Li diffusion inside SiNWs. The results show that the Li surface diffusion has a much higher chance to occur than the surface to core diffusion, which is consistent with the experimental observation that the Li insertion in SiNWs is layer by layer from surface to inner region. After overcoming a large barrier crossing surface-to-intermediate region, the diffusion toward center has a higher possibility to occur than the inverse process. © 2010 American Chemical Society.

  19. Experimental investigation of heat transfer augmentation inside double pipe heat exchanger equipped with reduced width twisted tapes inserts using polymeric nanofluid

    Science.gov (United States)

    Hazbehian, Mohammad; Maddah, Heydar; Mohammadiun, Hamid; Alizadeh, Mostafa

    2016-01-01

    In this study, we report a further enhancement in heat transfer coefficients of base fluid in combination with structural modifications of tape inserts. Polyvinyl Alcohol and TiO2 with mean diameter of 15 nm were chosen as base fluid and nano-particles, respectively. The experiments are carried out in plain tube with four longitudinal internal fins and reduced width twisted tape (RWTT) inserts of twist ratio varying form 2-5 and width of 12-16. Experiments are undertaken to determine heat transfer coefficients and friction factor of TiO2/PVA nanofluid up to 2.0 % volume concentration at an average temperature of 30 °C. The investigations are undertaken in the Reynolds number range of 800-30,000 for flow in tubes and with tapes of different width length ratios. The experiments was verified with well-known correlations. The average Nusselt number and friction factor in the tube fitted with the full-length twisted tapes at y/w = 3.0, and 5.0, are respectively 50-130, and 30-95 % higher than those in the plain tube; 90-220 and 100-270 % when the working fluid is nanofluid, respectively. For the reduced width twisted tapes, the heat transfer rate is decreased with decreasing tapes width. The average Nusselt numbers in the tube fitted with the RWTT of 16, 14 and 12 are respectively, 210-390, 190-320 and 170-290 % of that in the plain tube. With the similar trend mentioned above, RWTT with higher width length yield higher thermal enhancement factor in comparison with smaller width. The use of RWTT led to the highest thermal performance factor up to 1.75. Maximum thermal performance factor which was obtained belonged to twists with twist ratio of 2 and width of 16 with φ = 0.5 % and Reynolds number range of 800-30,000.

  20. A new specifically designed forceps for chest drain insertion.

    LENUS (Irish Health Repository)

    Andrews, Emmet

    2012-02-03

    Insertion of a chest drain can be associated with serious complications. It is recommended that the drain is inserted with blunt dissection through the chest wall but there is no specific instrument to aid this task. We describe a new reusable forceps that has been designed specifically to facilitate the insertion of chest drains.A feasibility study of its use in patients who required a chest drain as part of elective cardiothoracic operations was undertaken. The primary end-point was successful and accurate placement of the drain. The operators also completed a questionnaire rating defined aspects of the procedure. The new instrument was used to insert the chest drain in 30 patients (19 male, 11 female; median age 61.5 years (range 16-81 years)). The drain was inserted successfully without the trocar in all cases and there were no complications. Use of the instrument rated as significantly easier relative to experience of previous techniques in all specified aspects. The new device can be used to insert intercostal chest drains safely and efficiently without using the trocar or any other instrument.

  1. Modeling Amyloid Beta Peptide Insertion into Lipid Bilayers

    CERN Document Server

    Mobley, D L; Singh, R R P; Maddox, M W; Longo, M J; Mobley, David L.; Cox, Daniel L.; Singh, Rajiv R. P.; Maddox, Michael W.; Longo, Marjorie L.

    2003-01-01

    Inspired by recent suggestions that the Alzheimer's amyloid beta peptide (A-beta), can insert into cell membranes and form harmful ion channels, we model insertion of the peptide into cell membranes using a Monte Carlo code which is specific at the amino acid level. We examine insertion of the regular A-beta peptide as well as mutants causing familial Alzheimer's disease. We present our results and develop the hypothesis that partial insertion into the membrane, leaving the peptide in one leaflet, increases the probability of harmful channel formation. This hypothesis can partly explain why these mutations are neurotoxic simply due to peptide insertion behavior, and also explains why, normally, A-beta 42 is more toxic to some cultured cells than A-beta 40, but the E22Q mutation reverses this effect. We further apply this model to various artificial A-beta mutants which have been examined experimentally, and offer testable experimental predictions contrasting the roles of aggregation and insertion with regard ...

  2. Esophageal Atresia: Migration of the gastrostomy tube into the bronchus

    Directory of Open Access Journals (Sweden)

    Hosseini Seyed Mohammad

    2008-01-01

    Full Text Available A 2-day-old baby boy, 38 weeks gestation, weight 2000 g was brought due to hypersalivation and imperforate anus with gasless abdomen on plain X-ray. He underwent a gastrostomy tube insertion and colostomy. In contrast study of the stomach, on the 5th postoperative day, the dye spilled into the tracheo bronchial tree and the catheter was seen,entering the right main bronchus. The patient underwent right thoracotomy and the presence of fistula and catheter were confirmed. The fistula and distal esophagus were closed and fixed to the prevertebral fascia because of a long gap. He is under follow-up and recieving home care for a later delayed primary anastomosis.

  3. RF Field Distribution Tuning of Drift Tube Linac

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Han Sung; Kwon, Hyeok Jung; Jang, Ji Ho; Cho, Yong Sub [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2013-10-15

    To make a design field profile, we performed the RF tuning process for a 100-MeV drift tube linac (DTL) of Korea Multipurpose Accelerator Complex (KOMAC). The tuning process includes the field flatness tuning by using the slug tuners and the tilt sensitivity tuning by using the post couplers. The target values of the tuning process are like followings; - Field uniformity: better than 2% - Tilt sensitivity: less than 150%/MHz. During the tilt sensitivity tuning, we found that the slug tuners prevented the field stabilization if they were inserted too much. However, if the slug tuner positions were limited, then it was not possible to tune the DTL tank to the right resonant frequency. To solve the problem, we attached the tuning rings around each post couplers, which compensate the frequency gap caused by the slug tuner position limitations. We present the tuning process and results in this paper.

  4. Structure and growth thermodynamics of carbon tubes

    Institute of Scientific and Technical Information of China (English)

    李文治; 钱露茜; 钱生法; 周维亚; 王刚; 付春生; 赵日安; 解思深

    1996-01-01

    Carbon tubes were prepared by Ni (or Ti) catalytic pyrolysis of acetylene. The catalytic effect of nanometer nickel powders is related to the reduction temperature in H2 atmosphere. Nanometer nickel powders reduced at high temperature have a distinguished catalytic effect, and the yield of the carbon tubes is relatively high; but for the nickel powders reduced at low temperature, the yield of carbon tubes is low, and no tube can be formed. Carbon tubes can only be grown along the edges or on the tips of the Ni (or Ti) sheets reduced at about 770C. But if Ni (or Ti) sheets are etched in acid, at lot of carbon tubes with various forms can be formed on their surface. The structure and morphology of the carbon tubes is studied, and the growth thermodynamics for the straight, curved and helical carbon tubes are systematically investigated for the first time.

  5. Ultrasonic testing of steam generator tubes

    International Nuclear Information System (INIS)

    A system is developed for inspection of steam generator tube, especially near the tube plate. Imaging, thickness measurement, radial profilometry, longitudinal and circonferential crack detection and welded joints testing are reviewed

  6. Chemical cleaning specification: few tube test model

    International Nuclear Information System (INIS)

    The specification is for the waterside chemical cleaning of the 2 1/4 Cr - 1 Mo steel steam generator tubes. It describes the reagents and conditions for post-chemical cleaning passivation of the evaporator tubes

  7. The accessory fallopian tube: A rare anomaly

    Directory of Open Access Journals (Sweden)

    Kusum R Gandhi

    2012-01-01

    Full Text Available This paper presents a rare anatomical variation in the form of accessory fallopian tube on right side. The duplication of fallopian tube was observed in a 34-year-old female during routine undergraduate dissection in our department. Fallopian tube is the part of uterus that carries the ovum from the ovary to the uterus. Accessory fallopian tube is the congenital anomaly attached to the ampullary part of main tube. This accessory tube is common site of pyosalpinx, hydrosalpinx, cystic swelling and torsion. The ovum released by the ovary may also be captured by the blind accessory tube leading to infertility or ectopic pregnancy. Hence, all patients of infertility or pelvic inflammatory disease should be screened to rule out the presence of accessory fallopian tube and if encountered should be removed.

  8. Dynamics Calculation of Travel Wave Tube

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    During the dynamics calculating of the travel tube, we must obtain the field map in the tube. The field map can be affected by not only the beam loading, but also the attenuation coefficient. The calculation of the attenuation coefficient

  9. A dosimetric comparison of copper and Cerrobend electron inserts.

    Science.gov (United States)

    Rusk, Benjamin D; Carver, Robert L; Gibbons, John P; Hogstrom, Kenneth R

    2016-01-01

    The purpose of this work was to evaluate differences in dose resulting from the use of copper aperture inserts compared to lead-alloy (Cerrobend) aperture inserts for electron beam therapy. Specifically, this study examines if copper aperture inserts can be used clinically with the same commissioning data measured using lead-alloy aperture inserts. The copper inserts were acquired from .decimal, LLC and matching lead-alloy, Cerrobend inserts were constructed in-house for 32 com-binations of nine square insert field sizes (2 × 2 to 20 × 20 cm2) and five applicator sizes (6 × 6 to 25 × 25 cm2). Percent depth-dose and off-axis relative dose profiles were measured using an electron diode in water for select copper and Cerrobend inserts for a subset of applicators (6 × 6, 10 × 10, 25 × 25 cm2) and energies (6, 12, 20 MeV) at 100 and 110 cm source-to-surface distances (SSD) on a Varian Clinac 21EX accelerator. Dose outputs were measured for all field size-insert combina-tions and five available energies (6-20 MeV) at 100 cm SSD and for a smaller subset at 110 cm SSD. Using these data, 2D planar absolute dose distributions were generated and compared. Criteria for agreement were ± 2% of maximum dose or 1 mm distance-to-agreement for 99% of points. A gamma analysis of the beam dosimetry showed 94 of 96 combinations of insert size, applicator, energy, and SSD were within the 2%/1 mm criteria for > 99% of points. Outside the field, copper inserts showed less bremsstrahlung dose under the insert compared to Cerrobend (greatest difference was 2.5% at 20 MeV and 100 cm SSD). This effect was most prominent at the highest energies for combinations of large applicators with small field sizes, causing some gamma analysis failures. Inside the field, more electrons scattered from the collimator edge of copper compared to Cerrobend, resulting in an increased dose at the field edge for copper at shallow depths (greatest increase was 1% at 20 MeV and 100 cm SSD). Dose

  10. Tube morphogenesis: closure, but many openings remain

    OpenAIRE

    Nelson, W. James

    2003-01-01

    Epithelial and endothelial tubes form the basic structure of many organs and tissues in the fruit fly Drosophila melanogaster, the nematode Caenorhabditis elegans, zebrafish and mammals. Comparison of how tubes form during development defines several pathways that generate a single unbranched tube or dichotomously branching tubular networks. The formation of tubes can be induced directly by intrinsic signals within epithelial primordia or by inductive signaling between adjacent epithelia and ...

  11. Tube Thoracostomy: Complications and Its Management

    OpenAIRE

    Chinenye Kesieme; Eshiobo Irekpita; Nze Jebbin; Ndubueze Ezemba; Andrew Dongo; Kesieme, Emeka B.

    2011-01-01

    Background. Tube thoracostomy is widely used throughout the medical, surgical, and critical care specialities. It is generally used to drain pleural collections either as elective or emergency. Complications resulting from tube thoracostomy can occasionally be life threatening. Aim. To present an update on the complications and management of complications of tube thoracostomy. Methods. A review of the publications obtained from Medline search, medical libraries, and Google on tube thoracostom...

  12. [A tube retractor for cardiac surgery].

    Science.gov (United States)

    Ohkado, A; Shiikawa, A; Ishitoya, H; Murata, A

    2001-03-01

    A retractor exclusively used to retract the tubes in cardiac surgery which needs cardiopulmonary bypass was developed. The half-cylinder-shaped end, the lightly curved handle and the flat and triangular grip enable easy and effective grasp of the tubes. This new instrument facilitates operative procedures by effectively retracting the tubes which persistently obstruct the operative field, in such a case of placement of a retrograde cardioplegia tube via the right atrium.

  13. Kundt's Tube: An Acoustic Gas Analyzer

    Science.gov (United States)

    Aristov, Natasha; Habekost, Gehsa; Habekost, Achim

    2011-01-01

    A Kundt tube is normally used to measure the speed of sound in gases. Therefore, from known speeds of sound, a Kundt tube can be used to identify gases and their fractions in mixtures. In these experiments, the speed of sound is determined by measuring the frequency of a standing sound wave at a fixed tube length, temperature, and pressure. This…

  14. Feasibility of Upper Port Plug tube handling

    NARCIS (Netherlands)

    Koning, J. F.; Elzendorn, B. S.; Ronden, D. M. S.; Klinkhamer, J. F. F.; Biel, W.; Krasikov, Y.; Walker, C. I.

    2011-01-01

    Central, retractable tubes are proposed in several Upper Port Plugs (UPPs) designs for ITER, to enable fast exchange of specific components of diagnostics housed in these UPPs. This paper investigates into possible designs to enable the efficient handling of tubes. The feasibility of tube handling i

  15. Welding device inside a small diameter tube

    International Nuclear Information System (INIS)

    The orbital welding tool is supported in a socket at the end of a flexible tube. A motor rotating the head is placed in a casing fixed to the other end of the flexible tube and rotates the welding tool by the intermediary of a flexible transmission. A second flexible tube fixed to the casing permits the translation of the welding tool

  16. The rationale for preventive treatments for early post-tympanostomy tube otorrhea in persistent otitis media with effusion.

    Science.gov (United States)

    Faramarzi, Mohammad; Roosta, Sareh; Shishegar, Mahmood; Abbasi, Rohollah; Atighechi, Saeid

    2016-06-01

    Some studies have shown that post-tympanostomy tube otorrhea (PTTO) is a common complication after tympanostomy tube insertion. There are wide range of controversies about the incidence of PTTO and different methods of preventive treatment. The aim of this study was to determine the incidence of early PTTO in persistent otitis media with effusion in our centers. We also investigated the effect of preventive treatments on the incidence of early PTTO in children with persistent otitis media with effusion. This multi-central study comprised 536 ears belonging to children with otitis media and effusion for at least 3 months, referred for complications arising from post-tympanostomy tube insertion. The patients were randomly divided into three treatment and control groups. In the first group of patients, the middle ear cavity was irrigated with isotonic saline after myringotomy. The second group received oral amoxicillin three times a day for 7 days postoperatively. The third group had similar treatment as the second group, in addition to topical ciprofloxacin drop, 4 drops three times a day for 3 days after operation. The control group did not undergo any treatment. Early post-tympanostomy tube otorrhea was detected in 6 ears (1.1 %), including 3 (2.2 %) from the control group and 3 (2.3 %) from the first group. There was no statistically significant difference in early PTTO between integrated treatment groups and control group (P = 0.111). As the total rate of early post-tympanostomy tube otorrhea was very low, there was no significant difference between the 3 treatment groups and control group. Our study did not support the routine use of preventive therapy. A period of at least 3 months watchful waiting before tympanostomy tube insertion may help reduce the incidence of PTTO. PMID:26153378

  17. Measurement of the neutron flux distribution in graphite-moderated core SHE-8 inserted with experimental control rods

    International Nuclear Information System (INIS)

    A very-high temperature gas cooled reactor is so designed to attain the desired outlet coolant gas temperature under the limiting maximum temperature of fuel elements. Optimization in the spatial power distribution is thus necessary by suitable arrangement of the control rods and fuel exchange program. In this respect, high accuracy in calculation of the spatial power distribution is required. In this report, experiment and calculation are compared for a 20% enriched uranium loaded and graphite moderated core, SHE-8. Induced activity of the copper pins were measured for the following four core configurations: Case 1 : standard core without control rods Case 2 : a single control rod inserted along the core axis Case 3 : a single control rod inserted off the core axis Case 4 : two control rods inserted symmetrically along the core axis. The experimental control rods used are the pellets of a cold pressed homogeneous mixture of carbon and B4C powders contained in thin-walled aluminum tubes. The diameter of the experimental control rods and their B4C content are the same as in the preliminary core design of UHTGR by JAERI. Calculation of the neutron flux distribution was made by the three-dimensional two-group source-sink method. Agreement beween experiment and calculation is fairly good, so the axial peaking factor can be estimated within the error of 1--3%. Discrepancies in the radial peaking factor are large, however, about 5%. (auth.)

  18. The clinical application of double-tube drainage technique in treating biliary tract stricture occurred after orthotopic liver transplantation: report of 4 cases

    International Nuclear Information System (INIS)

    Objective: To discuss the clinical value of double-tube drainage with the help of percutaneous transhepatic puncture technique in treating biliary tract stricture which occurred after orthotopic liver transplantation. Methods: Double-tube drainage management was carried out in four patients with biliary tract stricture which occurred after orthotopic liver transplantation. With the help of percutaneous transhepatic puncture technique one or two tunnels were established, via which two tubes were established, via which two tubes were inserted and double-tube drainage was performed. The clinical data were retrospectively analyzed. Results: All the four patients were suffered multiple biliary tract strictures accompanied with biliary sludge. The mean age, the cold ischemia time and warm ischemia time of grafting liver were 55 year, 11.4 hours and 6 minutes, respectively. Biliary reconstruction was accomplished by end-to-end anastomosis of the bile ducts. The two drainage tubes were inserted through one tunnel in two cases and through two tunnels in another two cases. In the four cases the biliary balloon dilatation and bile drainage were respectively performed 3, 9, 11 and 35 times. Good clinical result was obtained in three cases and ineffective result was seen in one case. Conclusion: The double-tube drainage technique can be selectively applied in the patients with multiple biliary tract strictures and biliary sludge. Repeated biliary plasty and thoroughly drainage are the keys to ensure an effective treatment of biliary stricture occurred after orthotopic liver transplantation. (authors)

  19. Investigation Of Heat Transfer Augmentation In A Tube With Different Modified Twisted Tape Inserts Under The Same Conditions

    OpenAIRE

    Gürlek, Gökhan; Özbalta, Necdet

    2013-01-01

    The swirl flow devices like twisted tape, winglet, groove, conical ring, wire coil etc. have been used as passive heat transfer augmentation technique. Especially, twisted tape devices have been applied in thermal engineering systems such as boilers, heat exchangers, water heater. Many researches using swirl flow devices particularly twisted tape with different geometries for heat transfer enhancement have been published. In this paper, different modified twisted tapes which had examined in p...

  20. Using a Bedside Video-assisted Test Tube Test to Assess Stoma Viability: A Report of 4 Cases.

    Science.gov (United States)

    Ahmad, Sarwat; Turner, Keli; Shah, Paulesh; Diaz, Jose

    2016-07-01

    Mucosal discoloration of an intestinal stoma may indicate self-limited venous congestion or necrosis necessitating operative revision. A common bedside technique to assess stoma viability is the "test tube test". A clear tube is inserted into the stoma and a hand-held light is used to assess the color of the stoma. A technique (video-assisted test tube test [VATTT]) developed by the authors utilizes a standard video bronchoscope inserted into a clear plastic blood collection tube to visually inspect and assess the mucosa. This technique was evaluated in 4 patients (age range 49-72 years, all critically ill) with a discolored stoma after emergency surgery. In each case, physical exam revealed ischemic mucosa at the surface either immediately after surgery or after worsening hypotension weeks later. Serial test tube test assessments were ambiguous when trying to assess deeper mucosa. The VATTT assessment showed viable pink mucosa beneath the surface and until the fascia was revealed in 3 patients. One (1) patient had mucosal ischemia down to the fascia, which prompted operative revision of the stoma. The new stoma was assessed with a VATTT and was viable for the entire length of the stoma. VATTT provided an enhanced, magnified, and clearer way to visually assess stoma viability in the postoperative period that can be performed at the bedside with no adverse events. It may prevent unnecessary relaparotomy or enable earlier diagnosis of deep ostomy necrosis. Validity and reliability studies are warranted. PMID:27428565

  1. The comparison of corrosion resistance between Baosteel's alloy 690 tube and foreign alloy 690 tube

    International Nuclear Information System (INIS)

    Alloy 690 having excellent corrosion resistance is widely used for SG tubes. The intergranular corrosion and pitting corrosion resistance of Baosteel's alloy 690 tube, Country A alloy 690 tube and Country B alloy 690 tube have been analysed by comparison. It shows that: The intergranular corrosion of Baosteel's alloy 690 tube tested complied with ASTM G28 Standard could satisfy the technical requirement. However.some of Baosteel's alloy 690 tube in intergranular corrosion resistance had less performance than Country A. In addition, pitting corrosion tested with ASTM G48 Standard shown the Baosteel's alloy 690 tube better than Country B. (authors)

  2. Mechanical Instabilities of Biological Tubes

    CERN Document Server

    Hannezo, Edouard; Prost, Jacques; 10.1103/PhysRevLett.109.018101

    2012-01-01

    We study theoretically the shapes of biological tubes affected by various pathologies. When epithelial cells grow at an uncontrolled rate, the negative tension produced by their division provokes a buckling instability. Several shapes are investigated : varicose, enlarged, sinusoidal or sausage-like, all of which are found in pathologies of tracheal, renal tubes or arteries. The final shape depends crucially on the mechanical parameters of the tissues : Young modulus, wall-to-lumen ratio, homeostatic pressure. We argue that since tissues must be in quasistatic mechanical equilibrium, abnormal shapes convey information as to what causes the pathology. We calculate a phase diagram of tubular instabilities which could be a helpful guide for investigating the underlying genetic regulation.

  3. HIGH CURRENT COAXIAL PHOTOMULTIPLIER TUBE

    Science.gov (United States)

    Glass, N.W.

    1960-01-19

    A medium-gain photomultiplier tube having high current output, fast rise- time, and matched output impedance was developed. The photomultiplier tube comprises an elongated cylindrical envelope, a cylindrical anode supported at the axis of the envelope, a plurality of elongated spaced opaque areas on the envelope, and a plurality of light admitting windows. A photo-cathode is supported adjacent to each of the windows, and a plurality of secondary emissive dynodes are arranged in two types of radial arrays which are alternately positioned to fill the annular space between the anode and the envelope. The dynodes are in an array being radially staggered with respect to the dynodes in the adjacent array, the dynodes each having a portion arranged at an angle with respect to the electron path, such that electrons emitted by each cathode undergo multiplication upon impingement on a dynode and redirected flight to the next adjacent dynode.

  4. Scintillation counter: photomultiplier tube alignment

    International Nuclear Information System (INIS)

    A scintillation counter, particularly for counting gamma ray photons, includes a massive lead radiation shield surrounding a sample-receiving zone. The shield is disassembleable into a plurality of segments to allow facile installation and removal of a photomultiplier tube assembly, the segments being so constructed as to prevent straight-line access of external radiation through the shield into the sample receiving zone. Provisions are made for accurately aligning the photomultiplier tube with respect to one or more sample-transmitting bores extending through the shield to the sample receiving zone. A sample elevator, used in transporting samples into the zone, is designed to provide a maximum gamma-receiving aspect to maximize the gamma detecting efficiency. (auth)

  5. Ionization tube simmer current circuit

    Science.gov (United States)

    Steinkraus, Jr., Robert F.

    1994-01-01

    A highly efficient flash lamp simmer current circuit utilizes a fifty percent duty cycle square wave pulse generator to pass a current over a current limiting inductor to a full wave rectifier. The DC output of the rectifier is then passed over a voltage smoothing capacitor through a reverse current blocking diode to a flash lamp tube to sustain ionization in the tube between discharges via a small simmer current. An alternate embodiment of the circuit combines the pulse generator and inductor in the form of an FET off line square wave generator with an impedance limited step up output transformer which is then applied to the full wave rectifier as before to yield a similar simmer current.

  6. Microstructural degradation in compound tubes

    Energy Technology Data Exchange (ETDEWEB)

    Salonen, J.; Auerkari, P. [VTT Manufacturing Technology, Espoo (Finland)

    1996-12-31

    In order to quantify microstructural degradation at high temperatures, samples of SA 210 / AISI 304 L compound tube material were annealed in the temperature range 540-720 deg C for 1 to 1 000 hours. The hardness of the annealed material was measured and the micro structure of the samples was investigated with optical and scanning electron microscopy. Microstructural degradation was characterised by the carbide structure in the ferritic-pearlitic base material and by the depth of decarburised and carburised zones of the compound tube interface. The observed changes were quantified in terms of their time and temperature dependence and diffusion coefficients of the process. The results can be used in estimating the extent of thermal exposure of high-temperature components after long-term service or after incidences of overheating. (orig.) (4 refs.)

  7. Flux tubes at Finite Temperature

    CERN Document Server

    Bicudo, Pedro; Cardoso, Marco

    2016-01-01

    We show the flux tubes produced by static quark-antiquark, quark-quark and quark-gluon charges at finite temperature. The sources are placed in the lattice with fundamental and adjoint Polyakov loops. We compute the square densities of the chromomagnetic and chromoelectric fields above and below the phase transition. Our results are gauge invariant and produced in pure gauge SU(3). The codes are written in CUDA and the computations are performed with GPUs.

  8. Ultrasonic inspection of inpile tubes

    International Nuclear Information System (INIS)

    The in-service inspection (ISI) of inpile tubes can be performed accurately and safely with a semiautomatic ultrasonic inspection system. The ultrasonic technique uses a set of multiple transducers to detect and size cracks, voids, and laminations radially and circumferentially. Welds are also inspected for defects. The system is designed to inspect stainless steel and Inconel tubes ranging from 53.8 mm (2.12 in.) to 101.6 mm (4 in.) inner diameter with wall thickness on the order of 5 mm. The inspection head contains seven transducers mounted in a surface-following device. Six angle-beam transducers generate shear waves in the tubes. Two of the six are oriented to detect circumferential cracks, and two detect axial cracks. Although each of these four transducers is used in the pulse-echo mode, they are oriented in aligned sets so pitch-catch operation is possible if desired. The remaining angle-beam transducers are angulated to detect flaws that are off axial or circumferential orientation. The seventh transducer is used for longitudinal inspection and detects and sizes laminar-type defects

  9. Comparison of the ease of laryngeal mask airway ProSeal insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway

    Science.gov (United States)

    Jun, Joo Hyun; Kim, Jong Hak; Kim, Youn Jin; Chang, Ri-Na

    2011-01-01

    Background The sniffing position is recommended for conventional laryngeal mask airway (LMA) insertion. However, there has been a high success rate of LMA insertion with the head in the neutral position. The effect of a difficult airway on the ease of LMA insertion is not clear. In this study, we compared the ease of LMA ProSeal™ (PLMA) insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway. Methods After obtaining informed consent from the subjects, we enrolled 144 adult patients (age range: 18-65) with an ASA physical status 1 or 2. After evaluation of the airway, all the patients were grouped into the EA (easy airway) group (n = 68) and the DA (difficult airway) group (n = 76). According to the head position, each group was divided into the EA-SE (extension) group (n = 35), the EA-SN (sniffing) group (n = 33), the DA-SE group (n = 39) and the DA-SN group (n = 37). The success rate and insertion time at the first attempt were evaluated. The position of the PLMA was fiberoptically scored from the mask aperture of the airway tube in the original head position. After the head position was changed to the sniffing and neutral positions in the SE and SN group, respectively, the position of PLMA was re-evaluated fiberoptically. Results The success rate and insertion time at the first attempt and the fiberoptic score showed no significant difference among the groups. After head position was changed, there were no significant changes in the fiberopitc scores. Conclusions A difficult airway and the head position had no influence on the ease of PLMA insertion and the fiberopic score. Therefore, the head position can be selected according to the individual patient's situation. PMID:21602973

  10. Knotting of a nasogastric feeding tube in a child with head injury: A case report and review of literature.

    Science.gov (United States)

    Ismail, Nasiru J; Bot, Gyang Markus; Hassan, Ismail; Shilong, Danaan J; Obande, Joseph O; Aliu, Salamat Ahuoiza; Dung, Ezekiel D; Shehu, Bello B

    2014-01-01

    Nasogastric intubation is one of the most common routine nonoperative procedures available for the hospital care of patients. The insertion and removal of this tube is associated with many complications. The complications include trauma, nasal septal abscess and inadvertent entry into the cranial cavity and trachea, ulceration, bleeding from varices and perforation. Knotting of the nasogastric tube is one of the very rare complications of nasogastric intubation particularly in children. To the best of our knowledge there are very few reported cases in children. The technique used in the patient was the application of a steady tug which allows the lower oesophageal sphincter to open, therefore enabling the removal of the nasogastric tube. The possible predispositions to knotting of a nasogastric tube include small bore tubes, excess tube length and gastric surgery. We postulate that reduced gastric tone is another possible predisposing factor with head injury being the most likely reason in the index patient. We also challenge the fact that the small sized stomach is a risk factor for knotting of a feeding tube if the functional status and tone are normal, because of the rarity in children.

  11. Preparation of chitosan nanofiber tube by electrospinning.

    Science.gov (United States)

    Matsuda, Atsushi; Kagata, Go; Kino, Rikako; Tanaka, Junzo

    2007-03-01

    Water-insoluble chitosan nanofiber sheets and tubes coated with chitosan-cast film were prepared by electrospinning. When as-spun chitosan nanofiber sheets and tubes were immersed in 28% ammonium aqueous solution, they became insoluble in water and showed nanofiber structures confirmed by SEM micrography. Mechanical properties of chitosan nanofiber sheets and tubes were improved by coating with chitosan-cast film, which gave them a compressive strength higher than that of crab-tendon chitosan, demonstrating that chitosan nanofiber tubes coated with chitosan-cast film are usable as nerve-regenerative guide tubes.

  12. Examination of coiled steam-generator tubes by the multifrequency eddy current method

    International Nuclear Information System (INIS)

    If a generator tube in a fast-neutron breeder reactor is perforated, there could follow a violent water-sodium reaction which may damage the tubes in the vicinity. To reduce this risk it is necessary to detect any wastage of tube thickness and assess its severity. In the French fast-reactor design each of the tubes to be examined is in the form of a coil with an entry loop at the top and an expansion loop at its lower extremity. The length of the whole, which is composed of several sections assembled by means of butt welds, is about 100m. The coils are wound round an inert core and held in place by clips and toothed support devices. There are two main problems, (a) how to insert a probe into a coiled tube; (b) how to make an effective measurement by the eddy current technique in view of the many disturbing factors present. The first is overcome by using the Discault apparatus described here. The second can be overcome by eddy currents analysis at different frequencies and then using different combinations of the signals to reduce the number of disturbing factors. (U.K.)

  13. Big brains are not enough: performance of three parrot species in the trap-tube paradigm.

    Science.gov (United States)

    Liedtke, Jannis; Werdenich, Dagmar; Gajdon, Gyula K; Huber, Ludwig; Wanker, Ralf

    2011-01-01

    The trap-tube task has become a benchmark test for investigating physical causality in vertebrates. In this task, subjects have to retrieve food out of a horizontal tube using a tool and avoiding a trap hole in the tube. Great apes and corvids succeeded in this task. Parrots with relative brain volumes comparable to those of corvids and primates also demonstrate high cognitive abilities. We therefore tested macaws, a cockatoo, and keas on the trap-tube paradigm. All nine parrots failed to solve the task. In a simplified task, trap tubes with a slot inserted along the top were offered. The slot allowed the birds to move the reward directly with their bills. All but one individual solved this task by lifting the food over the trap. However, the parrots failed again when they were prevented from lifting the reward, although they anticipated that food will be lost when moved into the trap. We do not think that the demanding use of an external object is the main reason for the parrots' failure. Moreover, we suppose these parrots fail to consider the trap's position in the beginning of a trial and were not able to stop their behaviour and move the reward in the trap's opposite direction.

  14. A new method of placement of naso-jejunum feeding tube guided by electromagnetic positioning navigator

    Directory of Open Access Journals (Sweden)

    Jian-guo XIAO

    2015-11-01

    Full Text Available Objective To study the clinical application of electromagnetic positioning navigator assisted placement of nasojejunal feeding tube in early enteral nutrition for patients with critical illness. Methods Critically ill patients, who showed very high risks and could not withstand transferring for tube placement were selected as study subjects. The feeding tube with affiliated wire was inserted to jejunum guided by electromagnetic positioning navigator, and the site was confirmed by abdominal X-ray film or bedside ultrasound. The patients' vital signs, side effects and complications during and after the procedure were observed. Results Fifteen critically ill patients, aged 21-72 (mean 50.9±15.8 and with APACHEⅡ scores of 6-35 (mean 18.6±7.8, underwent this procedure. Of them 10 were undergoing mechanical ventilation, and 5 were given drugs to raise blood pressure. All the placement of feeding tubes were successfully. The intubation time was 5-42 minutes (mean 20.2min. Vital signs of all the patients were stable during the procedure, except for nausea 3 patients. No severe complications occurred. Conclusion The placement of naso-jejunal feeding tube guided by electromagnetic positioning navigator is easy to operate, safe and with high success rate, so it offers an effective route for early enteral nutrition for patients with critical illnesses. DOI: 10.11855/j.issn.0577-7402.2015.10.12

  15. Drain Tube-Induced Jejunal Penetration Masquerading as Bile Leak following Whipple’s Operation

    Directory of Open Access Journals (Sweden)

    Sang Ho Bae

    2011-05-01

    Full Text Available A 70-year-old man had undergone pancreaticoduodenectomy due to a distal common bile duct malignancy. After the operation, serous fluid discharge decreased from two drain tubes in the retroperitoneum. Over four weeks, the appearance of the serous fluid changed to a greenish bile color and the patient persistently drained over 300 ml/day. Viewed as bile leak at the choledochojejunostomy, treatment called for endoscopic diagnosis and therapy. Cap-fitted forward-viewing endoscopy demonstrated that the distal tip of a pancreatic drain catheter inserted at the pancreaticojejunostomy site had penetrated the opposite jejunum wall. One of the drain tubes primarily placed in the retroperitoneum had also penetrated the jejunum wall, with the distal tip positioned near the choledochojejunostomy site. No leak of contrast appeared beyond the jejunum or anastomosis site. Following repositioning of a penetrating catheter of the pancreaticojejunostomy, four days later, the patient underwent removal of two drain tubes without additional complications. In conclusion, the distal tip of the catheter, placed to drain pancreatic juice, penetrated the jejunum wall and may have caused localized perijejunal inflammation. The other drain tube, placed in the retroperitoneal space, might then have penetrated the inflamed wall of the jejunum, allowing persistent bile drainage via the drain tube. The results masqueraded as bile leakage following pancreaticoduodenectomy.

  16. Seamless lesion insertion in digital mammography: methodology and reader study

    Science.gov (United States)

    Pezeshk, Aria; Petrick, Nicholas; Sahiner, Berkman

    2016-03-01

    Collection of large repositories of clinical images containing verified cancer locations is costly and time consuming due to difficulties associated with both the accumulation of data and establishment of the ground truth. This problem poses a significant challenge to the development of machine learning algorithms that require large amounts of data to properly train and avoid overfitting. In this paper we expand the methods in our previous publications by making several modifications that significantly increase the speed of our insertion algorithms, thereby allowing them to be used for inserting lesions that are much larger in size. These algorithms have been incorporated into an image composition tool that we have made publicly available. This tool allows users to modify or supplement existing datasets by seamlessly inserting a real breast mass or micro-calcification cluster extracted from a source digital mammogram into a different location on another mammogram. We demonstrate examples of the performance of this tool on clinical cases taken from the University of South Florida Digital Database for Screening Mammography (DDSM). Finally, we report the results of a reader study evaluating the realism of inserted lesions compared to clinical lesions. Analysis of the radiologist scores in the study using receiver operating characteristic (ROC) methodology indicates that inserted lesions cannot be reliably distinguished from clinical lesions.

  17. Customizable engineered blood vessels using 3D printed inserts.

    Science.gov (United States)

    Pinnock, Cameron B; Meier, Elizabeth M; Joshi, Neeraj N; Wu, Bin; Lam, Mai T

    2016-04-15

    Current techniques for tissue engineering blood vessels are not customizable for vascular size variation and vessel wall thickness. These critical parameters vary widely between the different arteries in the human body, and the ability to engineer vessels of varying sizes could increase capabilities for disease modeling and treatment options. We present an innovative method for producing customizable, tissue engineered, self-organizing vascular constructs by replicating a major structural component of blood vessels - the smooth muscle layer, or tunica media. We utilize a unique system combining 3D printed plate inserts to control construct size and shape, and cell sheets supported by a temporary fibrin hydrogel to encourage cellular self-organization into a tubular form resembling a natural artery. To form the vascular construct, 3D printed inserts are adhered to tissue culture plates, fibrin hydrogel is deposited around the inserts, and human aortic smooth muscle cells are then seeded atop the fibrin hydrogel. The gel, aided by the innate contractile properties of the smooth muscle cells, aggregates towards the center post insert, creating a tissue ring of smooth muscle cells. These rings are then stacked into the final tubular construct. Our methodology is robust, easily repeatable and allows for customization of cellular composition, vessel wall thickness, and length of the vessel construct merely by varying the size of the 3D printed inserts. This platform has potential for facilitating more accurate modeling of vascular pathology, serving as a drug discovery tool, or for vessel repair in disease treatment. PMID:26732049

  18. Customizable engineered blood vessels using 3D printed inserts.

    Science.gov (United States)

    Pinnock, Cameron B; Meier, Elizabeth M; Joshi, Neeraj N; Wu, Bin; Lam, Mai T

    2016-04-15

    Current techniques for tissue engineering blood vessels are not customizable for vascular size variation and vessel wall thickness. These critical parameters vary widely between the different arteries in the human body, and the ability to engineer vessels of varying sizes could increase capabilities for disease modeling and treatment options. We present an innovative method for producing customizable, tissue engineered, self-organizing vascular constructs by replicating a major structural component of blood vessels - the smooth muscle layer, or tunica media. We utilize a unique system combining 3D printed plate inserts to control construct size and shape, and cell sheets supported by a temporary fibrin hydrogel to encourage cellular self-organization into a tubular form resembling a natural artery. To form the vascular construct, 3D printed inserts are adhered to tissue culture plates, fibrin hydrogel is deposited around the inserts, and human aortic smooth muscle cells are then seeded atop the fibrin hydrogel. The gel, aided by the innate contractile properties of the smooth muscle cells, aggregates towards the center post insert, creating a tissue ring of smooth muscle cells. These rings are then stacked into the final tubular construct. Our methodology is robust, easily repeatable and allows for customization of cellular composition, vessel wall thickness, and length of the vessel construct merely by varying the size of the 3D printed inserts. This platform has potential for facilitating more accurate modeling of vascular pathology, serving as a drug discovery tool, or for vessel repair in disease treatment.

  19. Recombination of an intrachromosomal paracentric insertion of chromosome 3

    Energy Technology Data Exchange (ETDEWEB)

    Best, R.G.; Burnett, W.J.; Brock, J.K. [Univ. of South Carolina School of Medicine, Columbia, SC (United States)] [and others

    1994-09-01

    Cytogenetic studies were initiated on a newborn female due to multiple congenital anomalies including microcephaly, clinodactyly, abnormal positioning of hands, left facial palsy, heart defect, sacral dimple, and facial dysmorphic features. Facial features were described as low set rotated ears, nystagmus, and a small, flattened nose. A structural rearrangement of the long arm of chromosome 3 was observed with a complex banding pattern. Study of parental chromosomes revealed a normal male pattern for the father, and an intrachromosomal insertion on the long arm of chromosome 3 for the mother described as 46,XX,dir ins(3)(q21q23q26.2). Further characterization of the proband`s structurally abnormal chromosome 3 revealed a karyotype best described as: 46,XX,rec(3),dupq23{r_arrow}q26.2::q21{r_arrow}q23,dir ins(3)(q21q23q26.2), which is a partial duplication of both the inserted segment as well as the intervening segment between the inserted segment and the insertion site. This would appear to be the result of a three-strand double cross-over within the insertion loop. Molecular cytogenetic studies are presently underway to further elucidate chromosome structure of the proband and her mother.

  20. Minimizing of the only-insertion insdel systems

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    A more recent branch of natural computing is DNA computing. At the theoretical level, DNA computing is powerful.This is due to the fact that DNA structure and processing suggest a series of new data structures and operations, and to the fact of the massive parallelism. The insertion-deletion system (insdel system) is a DNA computing model based on two genetic operations:insertion and deletion which, working together, are very powerful, leading to characterizations of recursively enumerable languages. When designing an insdel computer, it is natural to try to keep the underlying model as simple as possible. One idea is to use either only insertion operations or only deletion operations. By helping with a weak coding and a morphism, the family INS47DEL00 is equal to the family of recursively enumerable languages. It is an open problem proposed by Martin-Vide et al. on whether or not the parameters 4 and 7 appearing here can be replaced by smaller numbers. In this paper, our positive answer to this question is that INS42DEL00 can also play the same role as insertion and deletion. We suppose that the INS42DEL00 may be the least only-insertion insdel system in this situation. We will give some reasons supporting this conjecture in our paper.