Sample records for bed sore problem
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An Intelligent FPGA Based Anti-Sweating System for Bed Sore Prevention in a Clinical Environment
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K. S. Jaichandar
2011-01-01
Full Text Available Bed sores, a common problem among immobile patients occur as a result of continuous sweating due to increase in skin to bed surface temperature in patients lying on same posture for prolonged period. If left untreated, the skin can break open and become infected. Currently adopted methods for bed sores prevention include: use of two hourly flip chat for repositioning patient or use of air fluidized beds. However, the setbacks of these preventive measures include either use of costly equipment or wastage of human resources. This paper introduces an intelligent low cost FPGA based anti-sweating system for bed sores prevention in a clinical environment. The developed system consists of bed surface implanted temperature sensors interfaced with an FPGA chip for sensing the temperature change in patient’s skin to bed surface. Based on the temperature change, the FPGA chip select the - mode (heater/cooler and speed of the fan module. Furthermore, an alarm module was implemented to alert the nurse to reposition the patient only if patient’s skin to bed surface temperature exceeds a predefined threshold thereby saving human resources. By integrating the whole system into a single FPGA chip, we were able to build a low cost compact system without sacrificing processing power and flexibility.
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[Sacral pressure sores and their treatment].
Bielecki, Marek; Skowroński, Rafał; Skowroński, Jan
2006-01-01
Sacral bed sores still present a serious problem in most surgery departments. They occur mainly in elderly patients of limited mobility. The treatment of such sores extends over long periods of time and therefore involves considerable costs. The material consisted of 11 sacral pressure ulcers treated surgically. The sores occurred in 4 severely disabled patients suffering from proximal third femur fractures, 4 patients with traumatic brain injury (treated in the Intensive Care Unit), and 3 patients suffering from bed sores after spinal cord injury. In 6 patients a fasciocutaneous flap was applied to the sores and in 5 cases a pedicled musculocutaneous gluteus maximus flap. The end results were assessed using Seiler's criteria. Complications of the "seroma" type were observed in 3 patients, and in 2 marginal necrosis. In all our patients complete healing was achieved within 2-4 weeks. On analysing our experience to date in surgical treatment of bed sores we are of the opinion that even extensive sacral sores can be covered with unilateral pedicled flaps provided that they are appropriately planned. Deep sores of the 4th degree sometimes with concomitant osteomyelitis require pedicled muscle flaps or in some cases musculocutaneous flaps to improve local circulation. The preparation of the patient for reconstruction surgery is just as important as the operation itself and therefore such preparation should never be neglected.
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[Skin care and prevention of bed sores in bedridden patients].
Martínez Cuervo, Fernando; Soldevilla Agreda, J Javier; Verdú Soriano, José; Segovia Gómez, Teresa; García Fernández, Francisco Pedro; Pancorbo Hidalgo, Pedro Luís
2007-12-01
The aging process and environmental aggressions will leave their imprints on the state of a person's skin, possibly compromising some of its functions. Age is a risk factor for the development of bed sores, but not the only factor nor the most important one; therefore, we need to develop prevention programs directed to all patients who spend long periods of time sedentary or bedridden. Prevention programs for bed sores must be based on the best evidence available and include a risk evaluation on these factors: suffering a lesion due to pressure, specific skin treatment, incontinence control, excessive humidity posture changes and the use of special surfaces to manage pressure during an increase in mobility or activity by the patient, local pressure reducing devices as well as paying attention to special situations. All of these care measures have to be developed based on a continuity of treatment among the institutions and caretakers involved with treating each patient.
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Full Text Available ... cushion? play_arrow What’s important to know about positioning in bed to prevent pressure sores? play_arrow ... Disabilities Photography by Rona Talcott Website by Mobile Marketing LLC Understanding Spinal Cord Injury About Us Expert ...
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Lin, Haodong; Hou, Chunlin; Chen, Aimin; Xu, Zhen
2010-08-01
Among the many difficult problems presented by patients with spinal cord injuries, management of ischial pressure ulcers remains challenging for reconstructive surgeons. This study describes the long-term outcome of using posterior-thigh fasciocutaneous flaps for the treatment of ischial pressure sores. Between January 1999 and June 2003, 12 patients with ischial sores were enrolled in this study. All the patients underwent early aggressive surgical debridement followed by surgical reconstruction with a laterally based posterior-thigh fasciocutaneous flap. The follow-up period ranged from 24 months to 97 months (mean, 62 months). All the flaps survived, and there were no partial flap losses. Primary-wound healing occurred in all the cases. In two patients, Grade II ischial pressure sores recurred 24 months and 27 months after the operation. There was no recurrence in the other 10 patients. The posterior-thigh fasciocutaneous pedicled flap was a good method for treating ischial bed sores. This flap could be used to treat recurrences observed after primary bed-sore treatment with other methods. The flap was easy to raise, and it did not cause any donor-site morbidity. The long-term outcome of using posterior-thigh fasciocutaneous flaps for the treatment of ischial pressure sores was generally good. (c) Thieme Medical Publishers.
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Pressure Sore at an Unusual Site- the Bilateral Popliteal Fossa: A Case report
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Kamal Kataria
2012-05-01
Full Text Available Pressure sore is tissue ulceration due to unrelieved pressure, altered sensory perception, and exposure to moisture. Geriatric patients with organic problems and patients with spinal cord injuries are the high-risk groups. Soft tissues over bony prominences are the common sites for ulcer development. About 95% of pressure ulcers occur in the lower part of the body. Ischial tuberosity, greater trochanter, sacrum and heel are common sites. In addition to these, pressure sores at unusual sites like nasal alae, malar eminences, cervical region and medial side of knee have also been described. Only 1.6% of the patients present with sores in areas outside the pelvis and lower extremity. In a paraplegic patient, pressure sores are usually over extensor surface of knee and heel but pressure ulcer over popliteal fossa are extremely rare. We herein report a case of a 36-years-old diabetic and paraplegic male, who presented with multiple bed sores involving the sacral area, heels and bilateral popliteal fossa. Popliteal fossa is an unusual site for pressure sores. Only one similar case has been previously reported in the literature.
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Pressure Sore at an Unusual Site- the Bilateral Popliteal Fossa: A Case report
Kataria, Kamal; Sagar, Sushma; Singhal, Manish; Yadav, Rajni
2012-01-01
Pressure sore is tissue ulceration due to unrelieved pressure, altered sensory perception, and exposure to moisture. Geriatric patients with organic problems and patients with spinal cord injuries are the high-risk groups. Soft tissues over bony prominences are the common sites for ulcer development. About 95% of pressure ulcers occur in the lower part of the body. Ischial tuberosity, greater trochanter, sacrum and heel are common sites. In addition to these, pressure sores at unusual sites like nasal alae, malar eminences, cervical region and medial side of knee have also been described. Only 1.6% of the patients present with sores in areas outside the pelvis and lower extremity. In a paraplegic patient, pressure sores are usually over extensor surface of knee and heel but pressure ulcer over popliteal fossa are extremely rare. We herein report a case of a 36-years-old diabetic and paraplegic male, who presented with multiple bed sores involving the sacral area, heels and bilateral popliteal fossa. Popliteal fossa is an unusual site for pressure sores. Only one similar case has been previously reported in the literature. PMID:29181131
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Berthe, J V; Bustillo, A; Mélot, C; de Fontaine, S
2007-01-01
Pressure ulcers are a frequent complication of bed rest. The development of an efficient and low cost pressure relieving system for the prevention of bed-sores would be of considerable hospital health and economic interest. Our study was designed to determine the effectiveness in pressure-sore prevention of an interface pressure-decreasing mattress, the Kliniplot mattress, used in our institution since 1978. In a prospective randomised controlled 7-month clinical trial we compared the Kliniplot mattress with our standard hospital mattress in 1729 patients admitted to medical and surgical departments (neurology, cardiology, oncology-haematology, neurosurgery, thoracic surgery and orthopaedic surgery). Two groups (Klinipot mattress and standard hospital mattress) were monitored for the prevention of pressure sores. The patients were evaluated on a daily basis from their admission until the eventual occurrence of a bed-sore. Patients' characteristics and pressure-sore risk factors were similar at the baseline in both groups. Patients presenting with a pressure sore at the time of admission were excluded. Forty-two of the 1729 patients (2.4%) who entered the study developed at least one pressure sore. Twenty-one of the 657 patients (3.2%) nursed on the Kliniplot mattress, and 21 of the 1072 patients (1.9%) on the standard mattress developed bed-sores (p = 0.154). The median time for the occurrence of pressure sores was 31 days (range 6-87) with the Kliniplot mattress and 18 days (range 2 to 38) with the standard mattress (p sores using the modified Ek's scale were no different at the baseline between both groups (p = 0.764). The severity of the pressure sores was no different between both groups (p = 0.918). Our results show that the occurrence of pressure sores is not reduced but is delayed when patients are nursed on a Kliniplot pressure-decreasing mattress.
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Giuglea, Carmen; Marinescu, Sllviu; Florescu, Ioan Petre; Jecan, Crenguta
2010-01-01
Pressure sores can be defined as lesions caused by unrelieved pressure resulting in damage of the underlying tissue. They represent a common problem in the pathology of plegic patients and, plastic surgery has a significant role in their treatment. Pressure sores occur over bony prominences and so, they are most commonly seen at the sacrum and trochanters in paralyzed patients and at ischium for the patients who sit in a wheelchair for a long time. For these patients, surgical treatment is very important because on one hand, it stops the loss of nutrients and proteins at the site of the pressure sore, and on the other hand, it permits the initiation of neuromuscular recuperation treatment much faster.
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An audit of the physiotherapy management of paraplegic patients with sacral pressure sores
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D. Pather
2013-01-01
Full Text Available Introduction: Pressure sores are the most common complication post spinal cord injury that requires patients to be on bed rest. Patient bed rest delay rehabilitation and may lead to other complications associated with immobility. This study sought to establish the treatment interventions physiotherapists provide to patients with sacral pressure sores and the factors that they consider when deciding whether the patient should receive physiotherapy in the ward or gym. Methods: This was a questionnaire based survey of physiotherapists working in spinal cord injury rehabilitation units in South Africa. The self-designed questionnaire was sent to all the main spinal rehabilitation units in the country (14 located in Gauteng, Kwa-Zulu Natal, Western Cape, Eastern Cape and Free State provinces. Results: Thirty-nine physiotherapists from a total of 51 completed the questionnaires (76% response rate. The most common treatment practice for patients with sacral pressure sores was bed rest (98%. The most common physio-therapy practices (70% included were upper limb muscle strengthening, upper and lower limb passive movements, positioning into prone and side lying and passive stretching. The choice of treatment environment was influenced by doctors’ orders and the size, grade and duration of the pressure sores. Conclusion: Direct involvement in pressure sore management in South Africa seem to be less than in other parts of the world. If we are to minimise the pressure sore impact, it appears like we need more focus on gait re-education and standardised ADL programmes and patient treatment in the gym to possibly maximise healing and rehabilitation.
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Directory of Open Access Journals (Sweden)
Sonia Ranelli
2014-06-01
Full Text Available Question: Is exposure to non-music-related activities associated with playing-related musculoskeletal problems in young instrumentalists? Is non-music-activity-related soreness associated with playing-related musculoskeletal problems in this group of instrumentalists? Design: Observational study using a questionnaire and physical measures. Participants: 859 instrumentalists aged 7 to 17 years from the School of Instrumental Music program. Results: Of the 731 respondents who completed the questionnaire adequately, 412 (56% experienced instrument-playing problems; 219 (30% had symptoms severe enough to interfere with normal playing. Children commonly reported moderate exposure to non-music-related activities, such as watching television (61%, vigorous physical activity (57%, writing (51% and computer use (45%. Greater exposure to any non-music activity was not associated with playing problems, with odds ratios ranging from 1.01 (95% CI 0.7 to 1.5 for watching television to 2.08 (95% CI 0.5 to 3.3 for intensive hand activities. Four hundred and seventy eight (65% children reported soreness related to non-music activities, such as vigorous physical activity (52%, writing (40%, computer use (28%, intensive hand activities (22%, electronic game use (17% and watching television (15%. Non-music-activity-related soreness was significantly associated with instrument playing problems, adjusting for gender and age, with odds ratios ranging from 2.6 (95% CI 1.7 to 3.9 for soreness whilst watching television, to 4.3 (95% CI 2.6 to 7.1 for soreness during intensive hand activities. Conclusion: Non-music-activity-related soreness co-occurs significantly with playing problems in young instrumentalists. The finding of significant co-occurrence of music and non-music-related soreness in respondents in this study suggests that intervention targets for young instrumentalists could include risk factors previously identified in the general child and adolescent
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Ranelli, Sonia; Straker, Leon; Smith, Anne
2014-06-01
Is exposure to non-music-related activities associated with playing-related musculoskeletal problems in young instrumentalists? Is non-music-activity-related soreness associated with playing-related musculoskeletal problems in this group of instrumentalists? Observational study using a questionnaire and physical measures. 859 instrumentalists aged 7 to 17 years from the School of Instrumental Music program. Of the 731 respondents who completed the questionnaire adequately, 412 (56%) experienced instrument-playing problems; 219 (30%) had symptoms severe enough to interfere with normal playing. Children commonly reported moderate exposure to non-music-related activities, such as watching television (61%), vigorous physical activity (57%), writing (51%) and computer use (45%). Greater exposure to any non-music activity was not associated with playing problems, with odds ratios ranging from 1.01 (95% CI 0.7 to 1.5) for watching television to 2.08 (95% CI 0.5 to 3.3) for intensive hand activities. Four hundred and seventy eight (65%) children reported soreness related to non-music activities, such as vigorous physical activity (52%), writing (40%), computer use (28%), intensive hand activities (22%), electronic game use (17%) and watching television (15%). Non-music-activity-related soreness was significantly associated with instrument playing problems, adjusting for gender and age, with odds ratios ranging from 2.6 (95% CI 1.7 to 3.9) for soreness whilst watching television, to 4.3 (95% CI 2.6 to 7.1) for soreness during intensive hand activities. Non-music-activity-related soreness co-occurs significantly with playing problems in young instrumentalists. The finding of significant co-occurrence of music and non-music-related soreness in respondents in this study suggests that intervention targets for young instrumentalists could include risk factors previously identified in the general child and adolescent population, as well as music-specific risk factors. This is an
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[Program for lowering the incidence of pressure sores in neurosurgical patients].
Chang, Chau-Hui; Chen, Hui-Ling; Chen, Hsiang-Chi
2007-12-01
Pressure sores are one of the well known problems that occur in hospitals. As the literature on the subject indicates, a lot of money is expended in managing this problem every year, and 12-66% of pressure sores are caused during surgery. Patients who undergo neurosurgical procedures are susceptible to pressure sores because of lengthy operations. We collected data on patients with pressure sores who underwent surgery between May 2004 and August 2004, and found that the incidence of pressure sore in neurosurgical patients was 9.5%, which was the highest among all surgical patients. This project was developed to solve the problem of pressure sores by setting up standard preventive procedures, a nursing follow up system and continuing education courses, and utilizing cotton rolls to pad sites of pressure sores. The incidence of pressure sore in neurosurgical patients was reduced from 9.5% to 7% after the improvement project was carried out. The more concerned nurses are about pressure sores, the better the quality of operative nursing care.
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Reduction of the incidence of pressure sores by an education program on nursing care.
Srisupan, Vijitr; Senaratana, Wilawan; Picheansatian, Wilawan; Chittreecheur, Jittaporn; Watanakool, Malinee; Chaisri, Pratin; Singhakumfu, Laddawan; Tribuddharat, Chanwit; Danchaivijitr, Somwang
2005-12-01
To determine whether an education and campaign program would reduce the incidence of pressure sores. The study was performed in a 1,400-bed teaching hospital in Thailand with a total number of 697patients from 47 wards for a point prevalence study; 1,201 and 1,268 patients from 12 wards to determine whether reduction of pressure sore occurrence would be obtained by an education program. The point prevalence of pressure sores was 10.8%. The significant risk factors were age older than 60 years, fecal incontinence, and history of diarrhea. The occurrence of pressure sores was significantly reduced after the educational program from 9.91% to 5. 76%. The education on patient care aiming at reduction of the occurrence of pressure sores could be adopted nation-wide in order to reduce the morbidity, mortality and expenses. The education program was effective in reducing the incidence of pressure sores.
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... To help cold sores or fever blisters, you can also apply ice to the sore. You may reduce your chance of getting common mouth sores by: Avoiding very hot foods or beverages Reducing stress and practicing relaxation techniques like yoga or meditation ...
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Full Text Available ... play_arrow What is "sepsis," and why is it dangerous? play_arrow How common are pressure sores ... likely to develop pressure sores? play_arrow Is it true that a pressure sore can develop in ...
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Full Text Available ... of a pressure sore required? play_arrow How long is the typical healing time for a pressure ... arrow Why do some pressure sores take so long to heal? play_arrow Can a pressure sore ...
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... under one third inch or 1 centimeter across) Gray color as healing starts Less common symptoms include: ... Aphthous ulcer; Ulcer - aphthous Images Canker sore Mouth anatomy Canker sore (aphthous ulcer) Fever blister References Bope ...
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Pressure sores are areas of damaged skin caused by staying in one position for too long. They commonly ... wheelchair, or are unable to change your position. Pressure sores can cause serious infections, some of which are ...
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Sores - male genitals; Ulcers - male genitals ... A common cause of male genital sores are infections that are spread through sexual contact, such as: Genital herpes (small, painful blisters filled with clear ...
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Full Text Available ... Injury Medical Expert Videos Topics menu Topics Preventing Pressure Sores Adult Injuries Spinal Cord Injury 101 David Chen, MD Preventing Pressure Sores Mary Zeigler, MS Transition from Hospital to Home ...
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... A streptococcus. Less commonly, bacterial diseases such as gonorrhea and chlamydia can cause sore throat. Most cases ... physical exam alone. A culture for chlamydia or gonorrhea is positive. Sore throat caused by the flu ( ...
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Full Text Available ... play_arrow What do family members and caregivers need to know about pressure sores? play_arrow What do family members and caregivers need to do to prevent pressure sores? play_arrow ...
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Full Text Available ... increased? play_arrow What do family members and caregivers need to know about pressure sores? play_arrow What do family members and caregivers need to do to prevent pressure sores? play_ ...
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... and how can it be increased? play_arrow What do family members and caregivers need to know about pressure sores? play_arrow What do family members and caregivers need to do to prevent pressure sores? play_ ...
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Full Text Available ... Counseling Blog About Media Donate Spinal Cord Injury Medical Expert Videos Topics menu Topics Preventing Pressure Sores ... sores? What is a Spinal Cord Injury? SCI Medical Experts People Living With SCI Personal Experiences By ...
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Full Text Available ... cord injuries? play_arrow Why are pressure sores so serious? play_arrow What is "sepsis," and why ... pressure sores? play_arrow Why is pressure relief so important when sitting in a wheelchair? play_arrow ...
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Full Text Available ... especially prone to pressure sores? play_arrow What parts of the body are most likely to develop ... play_arrow How long is the typical healing time for a pressure sore? play_arrow Why do ...
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[Prevalence of pressure sores in a university hospital in 2003].
Daideri, G; Berthier, F; Brocker, P; Darmon, M-J; Mignolet, F; Quaranta, J-F; Staccini, P
2006-12-01
To determine the prevalence of pressure sores in a university hospital and to assess the risk of developing a pressure sore. A one-day survey was performed in all hospitalized patients, day hospital excepted. The Garches scale was used to assess the severity of pressure sores and the Braden scale was used to measure the patient's risk for the development of pressure ulcers. One thousand six hundred and eleven patients were included, mean age was 62+/-23 years and 53.3% were over 65 years old. In hospitalized patients, 64% were in acute care, 29% in intermediate medicine and long-term care and 7% in intensive care units. We have found 675 pressure sores in 268 patients, mean age of 76 years; 263 decubitus ulcers were acquired during hospitalization. The most frequent sites were heels (46%) and sacrum (26%). Stage 1 pressure ulcers showed 33% of the total. The total prevalence was 16.6%, 95% CI (14.9-18.6), the hospital acquired pressure sores prevalence was 7.5%, all stages included. A Braden score less than or equal to 15 was found in 29.1% of hospitalized patients. Standard mattresses were used in 37% of patients with pressure sores. Multivariate analysis showed that age and a Braden score less than or equal to 15 were significantly associated with pressure sores. Pressure sores are still an important problem in hospital; occurrence must be considered as an iatrogenic event and management requires a multidisciplinary approach.
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Evidence-based medicine: pressure sores.
Cushing, Carolyn A; Phillips, Linda G
2013-12-01
After studying this article, the participant should be able to: 1. Cite risk factors for pressure sore development. 2. Detail the pathophysiology of pressure sores. 3. List the types and classification of pressure sores. 4. Consider the various nonsurgical conservative wound management strategies. 5. Describe the appropriate surgical interventions for each pressure sore type. 6. Understand the causes of recurrent pressure sores and methods of avoiding recurrence. Pressure sores are the result of unrelieved pressure, usually over a bony prominence. With an estimated 2.5 million pressure ulcers treated annually in the United States at a cost of $11 billion, pressure sores represent a costly and labor-intensive challenge to the health care system. A comprehensive team approach can address both prevention and treatment of these recalcitrant wounds. Consideration must be given to the patient's medical and socioeconomic condition, as these factors are significantly related to outcomes. Mechanical prophylaxis, nutritional optimization, treatment of underlying infection, and spasm control are essential in management. A variety of pressure sore patterns exist, with surgical approaches directed to maximize future coverage options. A comprehensive approach is detailed in this article to provide the reader with the range of treatment options available.
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Tendas, Andrea; Niscola, Pasquale; Giovannini, Marco; Costa, Adriana; Venditti, Daniela; Volta, Laura; Malandruccolo, Luigi; Sabbadini, Stefania; Lasorella, Rosa; Fabritiis, Paolo de; Cassetta, Rita; Perrotti, Alessio P
2017-01-01
Pressure sores are a major complication in the bed-ridden older patient. In this report, we present the case of platelet rich plasma (PRP) application for the treatment of a pressure sore in an 88-year-old female affected by transfusion-dependent chronic inflammatory disease anemia associated with the congenital and inherited condition of thalassemic trait carrier. A weekly application schedule was planned athome, given the patient's debilitation and her decreased performance status as well as personal and family difficulties to go as outpatients at our treatment center. After 9 PRP applications, a remarkable sore improvement was achieved so that PRP was discontinued; nevertheless, sore rapidly improved until the full resolution and the complete closing after 4 months from the start of PRP treatment. Noteworthy, transfusion support was interrupted and a significant recovery and a sustained stabilization of hemoglobin (Hb) level at 1 year after ulcer healing were observed. The present case suggests that PRP application, performed athome in our case, is a feasible and effective treatment for pressure sores and related complications. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.
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Full Text Available ... and how can it be increased? play_arrow What do family members and caregivers need to know about pressure sores? play_arrow What do family members and caregivers need to do to prevent pressure sores? play_ ...
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How elderly patients with femoral fracture develop pressure sores in hospital.
Versluysen, M
1986-01-01
The routine hospital management of 100 consecutive elderly patients was studied to determine the reason for the high incidence of pressure sores among patients admitted to hospital for femoral fractures. Of these patients, 66 developed sores, 83% occurring by the fifth day in hospital. This was due to the long periods that patients were immobilised on high pressure surfaces in the casualty department, wards, and theatres before repair of the fracture and restoration of their weight bearing function. Sores are not simply a ward or nursing problem, but an unintended consequence of hospital treatment. To reduce the incidence of sores elderly patients should be treated on low pressure patient support systems from the point of entry to hospital until mobility is restored. PMID:3085827
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... Tract Infections: Indwelling (Foley) Catheter Taking Care of Pressure Sores [Download this pamphlet: "Taking Care of Pressure Sores" - ( ... may not show up right away. Stages of pressure sores and how to care for them: STAGE ONE ...
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A comparative analysis of pressure sore treatment modalities in community settings
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N. Small
2002-09-01
Full Text Available The management of pressure sores in community settings, poses a clinical problem which challenges the patient’s tolerance and the clinician’s diligence and ingenuity. Pressure sores can be painful, lead to infection and are associated with considerable morbidity and increased mortality (Patterson & Bennett, 1995:919; Bale, Banks, Hagelstein & Harding, 1998:65. Treatment costs of these wounds are high in terms of resources (Colin 1995:65; Wood, Griffiths & Stoner, 1997:256. However, since there are untold cost in terms of pain and suffering to the patient, it is impossible to calculate the true cost of pressure sores (Dealey, 1994:87.
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Pressure sores and hip fractures.
Haleem, S; Heinert, G; Parker, M J
2008-02-01
Development of pressure sores during hospital admission causes morbidity and distress to the patient, increases strain on nursing resources, delaying discharge and possibly increasing mortality. A hip fracture in elderly patients is a known high-risk factor for development of pressure sores. We aimed to determine the current incidence of pressure sores and identify those factors which were associated with an increased risk of pressure sores. We retrospectively analysed prospectively collected data of 4654 consecutive patients admitted to a single unit. One hundred and seventy-eight (3.8%) of our patients developed pressure sores. Patient factors that increased the risk of pressure sores were increased age, diabetes mellitus, a lower mental test score, a lower mobility score, a higher ASA score, lower admission haemoglobin and an intra-operative drop in blood pressure. The risk was higher in patients with an extracapsular neck of femur fracture and patients with an increased time interval between admission to hospital and surgery. Our studies indicate that while co-morbidities constitute a substantial risk in an elderly population, the increase in incidence of pressure sores can be reduced by minimising delays to surgery.
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What role can nurse leaders play in reducing the incidence of pressure sores?
Wurster, Joan
2007-01-01
Pressure sores have plagued the nursing profession for many years as a major health care problem in terms of a patient's suffering and financial cost. Pressure sores are increasingly common in hospitalized patients in the United States with a 63% increase from 1993 to 2003. The nurse leader is accountable for the occurrence of pressure sores, a nurse-sensitive indicator, by a scorecard which is benchmarked against other facilities. The nurse leader must take a systematic approach in the prevention of pressure sores, with the strategy being consistent and motivating to the staff in order to improve patient outcome. The chief nursing officer, the unit manager, and the bedside nurse must all collaborate to prevent tissue injury in patients at risk for developing pressure sores and to promote wound healing in patients with existing breakdown.
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[Pressure sores unit--a one year study].
Jaul, E
2001-10-01
The phenomenon of pressure sores in the elderly patient often requires an alternative management policy to that of the standard treatment. In general, the therapeutic approach to pressure sores in the elderly should be different to that in younger patients. This modification is due to the accompanying comorbidity so often associated with aging. Due to accompanying illnesses, the aging population is at high risk and more predisposed to the development of pressure sores. The importance of the establishment of a unit for pressure sores arises from the specific geriatric team approach to the patient and the need to focus carefully on the pressure sores. The management of this special Pressure Sores Unit with a permanent capable staff requires skilled treatment, both localized and systemic, since pressure sores are very often a result of systemic failure or an indication of a terminal condition in the elderly patient. Over six months we followed-up on the number and location of the pressure sores in 47 patients in addition to other functional and nutritional parameters, in order to investigate any connection between the pressure sores and nutritional parameters. The results of the study indicate that the nutritional state of the patients admitted for pressure sores was very poor. Two thirds of the patients suffered from either dementia or stroke, and 90 percent were bedridden, incontinent and enterally fed. Despite the poor general condition of the patient, the study shows improvement in the pressure sores with a reduction from an average of 2.8 to 1.8 pressure sores per patient. The improvement in the pressure sore located on the legs was three times greater than those located in the pelvic area. By the end of the study, 50% of the patients had died, 33% of the original patients who were still in the unit showed improvement in the pressure sores and 15% were discharged showing complete recovery from the sores. No significant correlation was found between changes in the
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How to care for pressure sores
... ency/patientinstructions/000740.htm How to care for pressure sores To use the sharing features on this page, ... Shoulders Back Back of head Caring for a Pressure Sore Stage I or II sores will heal if ...
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Plaum, Pål-Erik; Riemer, Gunnar; Frøslie, Kathrine Frey
2006-12-29
Myelomeningocele (MMC) is a part of a complex neural tube defect and a disorder of the cerebrospinal fluid system. Pressure sores are a frequent complication for patients with MMC. Little is known about the risk factors for pressure sores in adults with MMC. The aim of this study was to investigate an association between the presence of pressure sores and other patient characteristics, in order to develop an improved strategy for the management of sores. A structured questionnaire regarding sores, medical condition, function and living factors was designed and sent to the 193 patients with MMC registered in the year 2003 at TRS, a National Centre for Rare Disorders in Norway. Out of 193 total, 87 patients participated and 71 patients (82%) reported sores; 26 (30%) at the time of the interview and 45 (52%) during the last 5 years. Sores were mostly localized on toes and feet and occurred exclusively in regions with reduced or missing sensibility. A significant association was found between sores and memory deficit (p = 0.02), Arnold Chiari malformation (p = 0.02) and a record of previous sores (p = 0.004). Sores were not significantly associated with hydrocephalus, syringomyelia, nutrition, body mass index, smoking, physical activity, employment or living together with other persons. Some patients (18, 21%) reported skin inspection by others and the remainder relied on self-inspection. Patients with sensory deficit, memory problems, and Arnold Chiari malformation had a higher risk of having pressure sores. This patient group needs improved skin inspection routines and sore treatment.
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Directory of Open Access Journals (Sweden)
Frøslie Kathrine
2006-12-01
Full Text Available Abstract Background Myelomeningocele (MMC is a part of a complex neural tube defect and a disorder of the cerebrospinal fluid system. Pressure sores are a frequent complication for patients with MMC. Little is known about the risk factors for pressure sores in adults with MMC. The aim of this study was to investigate an association between the presence of pressure sores and other patient characteristics, in order to develop an improved strategy for the management of sores. Methods A structured questionnaire regarding sores, medical condition, function and living factors was designed and sent to the 193 patients with MMC registered in the year 2003 at TRS, a National Centre for Rare Disorders in Norway. Results Out of 193 total, 87 patients participated and 71 patients (82% reported sores; 26 (30% at the time of the interview and 45 (52% during the last 5 years. Sores were mostly localized on toes and feet and occurred exclusively in regions with reduced or missing sensibility. A significant association was found between sores and memory deficit (p = 0.02, Arnold Chiari malformation (p = 0.02 and a record of previous sores (p = 0.004. Sores were not significantly associated with hydrocephalus, syringomyelia, nutrition, body mass index, smoking, physical activity, employment or living together with other persons. Some patients (18, 21% reported skin inspection by others and the remainder relied on self-inspection. Conclusion Patients with sensory deficit, memory problems, and Arnold Chiari malformation had a higher risk of having pressure sores. This patient group needs improved skin inspection routines and sore treatment.
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Plaum, Pål-Erik; Riemer, Gunnar; Frøslie, Kathrine Frey
2006-01-01
Background Myelomeningocele (MMC) is a part of a complex neural tube defect and a disorder of the cerebrospinal fluid system. Pressure sores are a frequent complication for patients with MMC. Little is known about the risk factors for pressure sores in adults with MMC. The aim of this study was to investigate an association between the presence of pressure sores and other patient characteristics, in order to develop an improved strategy for the management of sores. Methods A structured questionnaire regarding sores, medical condition, function and living factors was designed and sent to the 193 patients with MMC registered in the year 2003 at TRS, a National Centre for Rare Disorders in Norway. Results Out of 193 total, 87 patients participated and 71 patients (82%) reported sores; 26 (30%) at the time of the interview and 45 (52%) during the last 5 years. Sores were mostly localized on toes and feet and occurred exclusively in regions with reduced or missing sensibility. A significant association was found between sores and memory deficit (p = 0.02), Arnold Chiari malformation (p = 0.02) and a record of previous sores (p = 0.004). Sores were not significantly associated with hydrocephalus, syringomyelia, nutrition, body mass index, smoking, physical activity, employment or living together with other persons. Some patients (18, 21%) reported skin inspection by others and the remainder relied on self-inspection. Conclusion Patients with sensory deficit, memory problems, and Arnold Chiari malformation had a higher risk of having pressure sores. This patient group needs improved skin inspection routines and sore treatment. PMID:17196099
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... clearly. Sometimes, surgery can make this problem worse. Pressure sores ( pressure ulcers or bed sores) from being in bed or ... the hospital for 3 to 5 days. Full recovery will take from 3 to 4 months to ...
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[Pressure sores in a university hospital].
Barbut, Frédéric; Parzybut, Bérengère; Boëlle, Pierre-Yves; Neyme, Denis; Farid, Rachida; Kosmann, Marie-Jeanne; Luquel, Laurence
2006-05-01
To determine the prevalence of pressure sores, their risk factors, and the responsible microbial agents in an acute-care hospital and to evaluate their management. A prevalence survey was conducted from 5 July through 9 July 2004. Investigators completed a standardized questionnaire for each hospitalized patient, including demographic data (age, sex, previous hospitalizations, etc.) and Braden scale risk factors (sensory perception, humidity, activity, mobility, nutrition, and friction and shear). Two experts in skin care detected pressure sores by physical examination of the patients. Each pressure sore was swabbed and inoculated on selective media. Management was evaluated by reviewing the clinical charts of each patient with a pressure sore. The study included 535 adult patients (aged 59 +/- 19 years): 75 ulcer sores were observed in 37 patients (prevalence=6.9%). Stage I sores accounted for 24% of the total, stage II for 29%, stage III 31%, and stage IV 16%. The most frequent site was the heel (41%), followed by the sacrum (20%), elbow (11%), back (7%) and ischial tuberosities (7%). Sixty (80%) were acquired while hospitalized. Age-adjusted multivariate analyses found that the risk factors significantly associated with pressure sores were Braden scorepressure sores (OR=5.0 95% CI: 2.2-11.6, psores (24.5%), mostly stage III and IV, were colonized by multiple-drug-resistant bacteria (i.e., methicillin resistant Staphylococcus aureus, extended spectrum beta-lactamase Enterobacteriaceae). Seven (9.3%) of the 75 ulcers were diagnosed only during the survey, by the experts; of the 68 diagnosed before the survey, 57 (83.8%) had been under treatment. Treatment was considered inappropriate according to French guidelines in 31.6% of the cases. This prospective prevalence study resulted in better awareness of the patients at risk for pressure sores. It also made the recently created mobile geriatrics unit better known within the hospital.
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Herpes Simplex Virus (Cold Sores)
... Print Share Cold Sores in Children: About the Herpes Simplex Virus Page Content A child's toddler and ... Cold sores (also called fever blisters or oral herpes) start as small blisters that form around the ...
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ISCHIECTOMY FOR PRESSURE SORES
Stern, Mark; Cozen, Lewis; Aldes, John
1960-01-01
Ischiectomy with primary closure was carried out in five paraplegic patients with pressure sores. This operation, less extensive than the wide excision with full thickness graft that is now widely advocated, was successful in four of the five cases. In the fifth case none of the several attempts to heal the sores was in the least successful. PMID:18732351
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Spinks, Anneliese; Glasziou, Paul P; Del Mar, Chris B
2013-11-05
Sore throat is a common reason for people to present for medical care. Although it remits spontaneously, primary care doctors commonly prescribe antibiotics for it. To assess the benefits of antibiotics for sore throat for patients in primary care settings. We searched CENTRAL 2013, Issue 6, MEDLINE (January 1966 to July week 1, 2013) and EMBASE (January 1990 to July 2013). Randomised controlled trials (RCTs) or quasi-RCTs of antibiotics versus control assessing typical sore throat symptoms or complications. Two review authors independently screened studies for inclusion and extracted data. We resolved differences in opinion by discussion. We contacted trial authors from three studies for additional information. We included 27 trials with 12,835 cases of sore throat. We did not identify any new trials in this 2013 update. 1. Symptoms Throat soreness and fever were reduced by about half by using antibiotics. The greatest difference was seen at day three. The number needed to treat to benefit (NNTB) to prevent one sore throat at day three was less than six; at week one it was 21. 2. Non-suppurative complications The trend was antibiotics protecting against acute glomerulonephritis but there were too few cases to be sure. Several studies found antibiotics reduced acute rheumatic fever by more than two-thirds within one month (risk ratio (RR) 0.27; 95% confidence interval (CI) 0.12 to 0.60). 3. Suppurative complications Antibiotics reduced the incidence of acute otitis media within 14 days (RR 0.30; 95% CI 0.15 to 0.58); acute sinusitis within 14 days (RR 0.48; 95% CI 0.08 to 2.76); and quinsy within two months (RR 0.15; 95% CI 0.05 to 0.47) compared to those taking placebo. 4. Subgroup analyses of symptom reduction Antibiotics were more effective against symptoms at day three (RR 0.58; 95% CI 0.48 to 0.71) if throat swabs were positive for Streptococcus, compared to RR 0.78; 95% CI 0.63 to 0.97 if negative. Similarly at week one the RR was 0.29 (95% CI 0.12 to 0
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New concepts in the prevention of pressure sores.
Bogie, Kath; Powell, Heather L; Ho, Chester H
2012-01-01
Pressure sores are a serious, and costly, complication for many patients with reduced mobility and sensation. Some populations, such as those with spinal cord injury (SCI), remain at high risk throughout their lifetime. Prevention is highly preferable and while the concept is readily definable, it is much more challenging to develop valid preventative measures. Subjective and objective approaches to risk factor assessment before pressure sores develop are reviewed, including risk status scales and emerging techniques to assess deep tissue injury. Devices to prevent pressure sores have traditionally focused on pressure-relieving cushions and mattresses. Technological advances being applied in the development of new pressure sore prevention devices are presented. Clinical evidence-based practice is integral to pressure sore prevention. Comprehensive assessment must include evaluation of systemic diseases, anatomical and physiological factors, together with environmental and psychosocial factors, which can all contribute to pressure sore development. Extrinsic factors need to be considered in conjunction with intrinsic tissue health factors and are reviewed together with an evaluation of currently available clinical practice guidelines. This chapter presents the broad diversity of factors associated with pressure sore development and highlights the need for an interdisciplinary team approach in order to maximize successful prevention of pressure sores. Copyright © 2012 Elsevier B.V. All rights reserved.
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... as those that cause colds, the flu, and mononucleosis) can lead to a sore throat. Bacteria (such ... to the valves of the heart. What is mononucleosis? Mononucleosis (mono) is a viral infection caused by ...
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... mouth that move, such as the tongue, soft palate, cheeks, and lips. This condition is recurrent because ... week. Most of the time, canker sores are self-limiting. This means that they will go away ...
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... may reduce how often they return. Symptoms A cold sore usually passes through several stages: Tingling and itching. Many people feel an itching, burning or tingling sensation around their lips for a day or so ...
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Two-dimensional lift-up problem for a rigid porous bed
Energy Technology Data Exchange (ETDEWEB)
Chang, Y.; Huang, L. H.; Yang, F. P. Y. [Department of Civil Engineering, National Taiwan University, Taipei, Taiwan (China)
2015-05-15
The present study analytically reinvestigates the two-dimensional lift-up problem for a rigid porous bed that was studied by Mei, Yeung, and Liu [“Lifting of a large object from a porous seabed,” J. Fluid Mech. 152, 203 (1985)]. Mei, Yeung, and Liu proposed a model that treats the bed as a rigid porous medium and performed relevant experiments. In their model, they assumed the gap flow comes from the periphery of the gap, and there is a shear layer in the porous medium; the flow in the gap is described by adhesion approximation [D. J. Acheson, Elementary Fluid Dynamics (Clarendon, Oxford, 1990), pp. 243-245.] and the pore flow by Darcy’s law, and the slip-flow condition proposed by Beavers and Joseph [“Boundary conditions at a naturally permeable wall,” J. Fluid Mech. 30, 197 (1967)] is applied to the bed interface. In this problem, however, the gap flow initially mainly comes from the porous bed, and the shear layer may not exist. Although later the shear effect becomes important, the empirical slip-flow condition might not physically respond to the shear effect, and the existence of the vertical velocity affects the situation so greatly that the slip-flow condition might not be appropriate. In contrast, the present study proposes a more general model for the problem, applying Stokes flow to the gap, the Brinkman equation to the porous medium, and Song and Huang’s [“Laminar poroelastic media flow,” J. Eng. Mech. 126, 358 (2000)] complete interfacial conditions to the bed interface. The exact solution to the problem is found and fits Mei’s experiments well. The breakout phenomenon is examined for different soil beds, mechanics that cannot be illustrated by Mei’s model are revealed, and the theoretical breakout times obtained using Mei’s model and our model are compared. The results show that the proposed model is more compatible with physics and provides results that are more precise.
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The ′reading man flap′ for pressure sore reconstruction
Directory of Open Access Journals (Sweden)
Stamatis Sapountzis
2011-01-01
Full Text Available Background: The treatment of pressure sores represents a significant challenge to health care professionals. Although, pressure wound management demands a multidisciplinary approach, soft tissue defects requiring reconstruction are often considered for surgical management. Myocutaneous and fasciocutaneous flaps can provide stable coverage of pressure sores. Purpose: Here, we describe our experience using a recent fasciocutaneous flap, which is named ′reading man′ flap, in sacral, ischial, and trochanteric pressure sores. Materials and Methods: During a period of 1 year the authors operated 16 patients, 11 men, and 5 women, using the reading man flap. The ages of the patients ranged from 24 to 78 years. The location of pressure sores was 8 sacral, 5 ischial, and 3 trochanteric pressure sores. The mean size of pressure sores was 8 cm × 9 cm. Results: All pressure sores covered bt the Reading Man flap healed asymptomatically. After follow-up of 2-8 months, no recurrences were encountered and no further surgical intervention was required. Conclusion: The reading man flap was found to be a useful technique for the closure of pressure sore in different anatomic locations. The advantage of tension-free closure and the minimal additional healthy skin excision made this flap a useful tool in pressure sore reconstructions.
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Specific and cross over effects of massage for muscle soreness: randomized controlled trial.
Jay, Kenneth; Sundstrup, Emil; Søndergaard, Stine D; Behm, David; Brandt, Mikkel; Særvoll, Charlotte A; Jakobsen, Markus D; Andersen, Lars L
2014-02-01
Muscle soreness can negatively interfere with the activities of daily living as well as sports performance. In the working environment, a common problem is muscle tenderness, soreness and pain, especially for workers frequently exposed to unilateral high repetitive movements tasks. The aim of the study is therefore to investigate the acute effect of massage applied using a simple device Thera-band roller Massager on laboratory induced hamstring muscle soreness, and the potential cross over effect to the non-massaged limb. 22 healthy untrained men (Mean age 34 +/- 7 years; mean height 181.7 +/- 6.9 cm; mean weight 80.6 +/- 6.4 kg; BMI: 24.5 +/- 1.3) with no prior history of knee, low back or neck injury or other adverse health issues were recruited. Participants visited the researchers on two separate occasions, separated by 48 hours, each time providing a soreness rating (modified visual analog scale 0-10), and being tested for pressure pain threshold (PPT) and active range of motion (ROM) of the hamstring muscles. During the first visit, delayed onset muscular soreness of the hamstring muscles was induced by 10 x 10 repetitions of the stiff-legged dead-lift. On the second visit participants received either 1) 10 minutes of roller massage on one leg, while the contralateral leg served as a cross over control, or 2) Resting for 10 minutes with no massage at all. Measurement of soreness, PPT and ROM were taken immediately before and at 0, 10, 30 and 60 min. after treatment. There was a significant group by time interaction for soreness (p < 0.0001) and PPT (p = 0.0007), with the massage group experiencing reduced soreness and increasing PPT compared with the control group. There was no group by time interaction for ROM (p = 0.18). At 10 min. post massage there was a significant reduction in soreness of the non-massaged limb in the cross over control group compared to controls but this effect was lost 30 minutes post massage. Massage with a roller device reduces
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... lack of vitamins and minerals, hormonal changes or menstrual periods. In some cases the cause is unknown. In most cases, the sores go away by themselves. Some ointments, creams or rinses may help with the pain. Avoiding hot, spicy food while you have a ...
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Rational Pharmacotherapy for Sore Throat in Children at Different Stages of the Assistance
Directory of Open Access Journals (Sweden)
A.V. Zaychenko
2013-09-01
Full Text Available The article deals with one of the most pressing problems in pediatrics in the autumn and winter — a sore throat in children. The authors give its basic reasons, threatening symptoms that accompany sore throat, indicating an urgent need to visit a doctor, as well as the issues of treatment. It is noted that the most appropriate is the use of combination drugs that have complex (anti-microbial, anti-inflammatory, analgesic effect. The characteristics of Strepsils Kids preparation, developed specifically for use in children from 6 years, are given.
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Management of patients with sore throats in relation to guidelines: an interview study in Sweden.
Hedin, Katarina; Strandberg, Eva Lena; Gröndal, Hedvig; Brorsson, Annika; Thulesius, Hans; André, Malin
2014-12-01
To explore how a group of Swedish general practitioners (GPs) manage patients with a sore throat in relation to current guidelines as expressed in interviews. Qualitative content analysis was used to analyse semi-structured interviews. Swedish primary care. A strategic sample of 25 GPs. Perceived management of sore throat patients. It was found that nine of the interviewed GPs were adherent to current guidelines for sore throat and 16 were non-adherent. The two groups differed in terms of guideline knowledge, which was shared within the team for adherent GPs while idiosyncratic knowledge dominated for the non-adherent GPs. Adherent GPs had no or low concerns for bacterial infections and differential diagnosis whilst non-adherent GPs believed that in patients with a sore throat any bacterial infection should be identified and treated with antibiotics. Patient history and examination was mainly targeted by adherent GPs whilst for non-adherent GPs it was often redundant. Non-adherent GPs reported problems getting patients to abstain from antibiotics, whilst no such problems were reported in adherent GPs. This interview study of sore throat management in a strategically sampled group of Swedish GPs showed that while two-thirds were non-adherent and had a liberal attitude to antibiotics one-third were guideline adherent with a restricted view on antibiotics. Non-adherent GPs revealed significant knowledge gaps. Adherent GPs had discussed guidelines within the primary care team while non-adherent GPs had not. Guideline implementation thus seemed to be promoted by knowledge shared in team discussions.
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Full Text Available ... Sores Mary Zeigler, MS Transition from Hospital to Home Kim Eberhardt Muir, MS ... medical advice, recommend or endorse health care products or services, or control the information found on external websites. ...
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[Surgical coverage technics of pressure sores and their outcomes].
Bilkay, Ufuk; Helvaci, Evren; Tokat, Cenk; Ozek, Cüneyt; Akin, Yalçin
2006-04-01
We reviewed the outcome of 66 patients with 100 pressure sores between 1984 and 2002. In the current study, 100 pressure sores in 66 patients (45 male, 21 female; mean age 39.4; range 13 to 80 years) who underwent surgical repair of pressure sores reconstructed using myocutaneous or fasciocutaneous flaps, skin grafts, excision and closure. The risk factors for pressure sores included acute trauma-induced spinal cord injury in 40 (61%) patients with paraplegia and in 5 (7%) patients with quadriplegia; congenital spina bifida and multiple sclerosis in 7 (11%) patients and prolonged immobilization in 14 (21 patients) patients. We achieved an overall pressure sore recurrence rate of 22% and overall patient recurrence of 24% in a-3-year follow-up. The recurrence rates according to anatomic sites; 23% (10 of 43) for the ischial pressure sore, sacral 21% (8 of 37), and trochanteric 20% (4 of 20). Fasciocutaneous and myocutaneous flap reconstructions were the most durable, as they were associated with 17% (6 of 34) and 12% recurrence rates (5 of 39). To reduce the recurrence rates the authors advocate the use of myocutaneous and fasciocutaneous flaps instead of skin grafts or direct closure for the coverage of pressure sores.
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Full Text Available ... Living with SCI Personal Experiences by Topic Resources Peer Counseling Blog About Media Donate Spinal Cord Injury Medical Expert Videos Topics menu Topics Preventing Pressure Sores Adult Injuries Spinal Cord Injury 101 David ...
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Approach to the pressure sores in geriatric patients
Directory of Open Access Journals (Sweden)
Emre İnözü
2012-09-01
Full Text Available Objectives: The aim of this study was to evaluate the follow-up results of nutritionally supported geriatric patientswho were admitted for their pressure sores then plannedtheir treatment.Materials and methods: In this study, we analyzed thehospitalized geriatric pressure sore patients in our clinicwho were admitted between 2006 and 2011. We calculatedBody Mass Index and the blood albumin levels of allhospitalized geriatric patients. In this patient group proteinenergy malnutrition and deficiency were analyzed andproper nutrition support was provided accordingly. Afterrecovering from malnutrition further treatment surpassed.Results: The mean albumin levels of the hospitalized patientswas 2,53 ± 0,25 g/dL after nutritional support thoselevels increased to mean 3,95 ± 0,42 g/dL . Of all thosepatients 75% were operated when their general conditionallowed us for a surgery. Due to their high risk wedid not perform any surgical operation to the remaining25%.. Post operative mean hospitalization period was 12(8-21 days. Majority of the patients (78.6% were treatedsuccessfully either with surgical or conservative treatmentmodalities.Conclusions: The success of the geriatric pressure soretreatment is highly related with the proper nutritional supportfor the ongoing malnutrition-like pathologies. Beforeoperation nutritional support not only makes a healthygranulation tissue but also yields fast and reliable woundhealing. Despite their chronic health problems many ofour geriatric patients were treated surgically for their pressuresores.Key words: Pressure sore, geriatric medicine, malnutrition,nutritional support
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Full Text Available ... Sores Mary Zeigler, MS Transition from Hospital to Home Kim Eberhardt Muir, MS Coping with a New ... not provide medical advice, recommend or endorse health care products or services, or control the information found ...
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Full Text Available ... hours? play_arrow What's the best way to do daily skin inspections? play_arrow What are the ... for someone with a spinal cord injury to do to prevent pressure sores? play_arrow Why is ...
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Full Text Available ... play_arrow What parts of the body are most likely to develop pressure sores? play_arrow Is ... daily skin inspections? play_arrow What are the most important things for someone with a spinal cord ...
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Full Text Available ... L Sarah Harrison, OT Anne Bryden, OT The Role of the Social Worker after Spinal Cord Injury ... do to prevent pressure sores? play_arrow What role does diet and hydration play in preventing pressure ...
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Full Text Available ... arrow What's the best way to do daily skin inspections? play_arrow What are the most important ... to prevent pressure sores? play_arrow What is “skin tolerance” and how can it be increased? play_ ...
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Full Text Available ... arrow Is it true that a pressure sore can develop in a few hours? play_arrow What's ... play_arrow What is “skin tolerance” and how can it be increased? play_arrow What do family ...
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Full Text Available ... Adult Injuries Spinal Cord Injury 101 David Chen, MD Preventing Pressure Sores Mary Zeigler, MS Transition from ... Rosenberg, PsyD Understanding SCI Rehabilitation Donald Peck Leslie, MD Adjusting to Social Life in a Wheelchair Lisa ...
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Full Text Available ... Medical Experts People Living with SCI Personal Experiences by Topic Resources Peer Counseling Blog About Media Donate Spinal Cord Injury Medical Expert Videos Topics menu Topics Preventing Pressure Sores Adult Injuries Spinal Cord Injury 101 David ...
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Prebio, Michael; Katz-Papatheophilou, Elfriede; Heindl, Werner; Gelbmann, Herbert; Burghuber, Otto C
2005-02-01
Prone positioning in patients with adult respiratory distress syndrome is a well-known method to improve oxygenation. The aim of our study was to evaluate a new device for prone positioning, the prone-head support system (PHS system), with regard to reduction of cutaneous pressure sores. In a pilot study we randomized 8 patients with ARDS in two groups: 180 degrees standard prone positioning (group without mask) and prone positioning with the PHS system (group with mask). The PHS system consists of a facemask support, which is connected to an adapted air suspension bed. The patients of both groups were intermittently proned for several days. We evaluated the pressure sores on head and neck before turning the patients prone for the first time and after each period of prone positioning. We documented the quantity, the size, the type and the localization of the pressure sores. There was no significant difference in the mean duration of prone positioning (27.1+/-14.7 hours in the group with mask versus 24.5+/-18.7 h in the group without mask). In the group with mask there were 1.5+/-0.8 new pressure sores by each proning, whereas in the group without mask there were 2.37+/-1.6 new pressure sores, which was lower, but not significantly. The overall area of pressure sores (798 mm2 versus 3184 mm2, p=0.004), the area of pressure sores per patient (199.5+/-104.7 mm2 versus 796+/-478 mm2, p=0.03) and the increase of the area of pressure sores per proning (79.8+/-52.0 mm2 versus 398.0+/-214.3 mm2, p=0.004) were significantly lower in the group with mask in comparison to the group without mask. The lips were the most effected localization in both groups. The pressure sores in the group with mask were less severe and showed a homogenous distribution in comparison to the group without mask. Blisters dominated in the group with mask in comparison to erosions, necrosis and ulcers in the group without mask. The PHS system with its face mask is able to reduce the extent and the
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Full Text Available ... the most important thing to do to prevent pressure sores? What is a Spinal Cord Injury? SCI Medical Experts People Living With SCI Personal Experiences By Topic Resources Blog Peer Counseling About Media Donate Contact Us Terms of ...
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Diabetes, Gum Disease, and Other Dental Problems
... Diabetes, Sexual, & Bladder Problems Diabetes, Gum Disease, & Other Dental Problems How can diabetes affect my mouth? Too ... What if my mouth is sore after my dental work? A sore mouth is common after dental ...
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Occipital pressure sores in two neonates.
Liu, Yi; Xiao, Bin; Zhang, Cheng; Su, Zhihong
2015-01-01
The preference for a specific head shape can be influenced by people's culture, religious beliefs and race. Modern Chinese people prefer a "talented" head shape, which is rounded and has a long profile. To obtain their preferred head shape, some parents try to change their neonates' sleeping position. Due to these forced sleeping positions, positional skull deformities, such as plagiocephaly, may be present during the first few months of life. In this article, we report two neonatal cases, of Hui nationality and Dongxiang nationality, with occipital pressure sores that were caused by using hard objects as pillows with the intention of obtaining a flattened occiput. The pressure sores were deep to the occipital bone and needed surgical management. These pressure sores caused wounds that were repaired by local skin flaps, after debridement, and the use of external constraints from a dense sponge-made head frame for approximately two weeks. One case recovered with primary healing after surgical operation. The other case suffered from a disruption of the sutured wound, and a secondary operation was performed to cover the wound. These occipital pressure sores are avoidable by providing guidance to the parents in ethnic minorities' area regarding the prevention, diagnosis and management of positional skull deformity.
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Pressure sores and blood and serum dysmetabolism in spinal cord injury patients.
Scivoletto, G; Fuoco, U; Morganti, B; Cosentino, E; Molinari, M
2004-08-01
Spinal cord injury (SCI) patients with pressure sores were studied before and after surgical intervention for ulcer healing and compared with matched SCI patients without sores and with patients with pressure sores and other diseases. To analyse the relationship between pressure sores and anaemia and serum protein alteration in SCI patients. To study the pathogenesis of these alterations and suggest appropriate therapy. Spinal cord unit in Rome, Italy. A total of 13 SCI patients with pressure sores, 13 comparable patients without pressure sores and four patients with other diseases and pressure sores. Haematochemical parameters. Patients with pressure sore showed significant decreased red cells, decreased haemoglobin and haematocrit, increased white cells and ferritin and decreased transferrin and transferrin saturation; total hypoproteinemia and hypoalbuminemia with increased Alfa-1 and gamma globulins increased erythrocyte sedimentation rate and C-reactive protein were also present. The alterations returned to normal after surgical intervention for pressure sore healing. Patients with pressure sores suffer from anaemia and serum protein alteration that fells within the range of metabolic alteration of chronic disorders and neoplastic diseases. The alterations depend on a decreased utilisation of iron stores in the reticuloendothelial system and on inhibition of the hepatic synthesis of albumin. With regard to treatment, iron treatment should be avoided because of the risk of haemochromatosis.
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[Pressure sores in geriatric medicine: the role of nutrition].
Fontaine, Juliette; Raynaud-Simon, Agathe
2008-01-01
Malnutrition is frequent in geriatric patients: it affects 30 to 60% of elderly residents of institutions and 30 to 70% of patients admitted for short-term hospitalization. Malnutrition is a risk factor for developing pressure sores, and patients with them are more often and more severely malnourished than patients without them. In elderly subjects, multiple and interlinked factors may trigger or aggravate malnutrition; they may be physical, psychological or social and may be worsened by drugs and some diets. Malnutrition has been recognized as a risk factor for the onset and perpetuation of pressure sores. Of the dietary factors, protein intake seems most important. A low body mass index (BMI), low serum albumin, and weight loss are associated with an increased risk of pressure sores. A physician observing pressure sores must conduct a nutritional assessment, using clinical and laboratory screening tools. The criteria for malnutrition in elderly subjects are weight loss > or =5% in 3 months or > or =10% in 6 months, BMIpressure sores in geriatric medicine. It must be adapted for each patient. The recommended calorie intake in malnourished patients at risk of or with pressure sores is 30-40 kcal/kg/d, with 1.2-1.5 g of proteins/kg/d.
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Cost analysis of surgically treated pressure sores stage III and IV.
Filius, A; Damen, T H C; Schuijer-Maaskant, K P; Polinder, S; Hovius, S E R; Walbeehm, E T
2013-11-01
Health-care costs associated with pressure sores are significant and their financial burden is likely to increase even further. The aim of this study was to analyse the direct medical costs of hospital care for surgical treatment of pressure sores stage III and IV. We performed a retrospective chart study of patients who were surgically treated for stage III and IV pressure sores between 2007 and 2010. Volumes of health-care use were obtained for all patients and direct medical costs were subsequently calculated. In addition, we evaluated the effect of location and number of pressure sores on total costs. A total of 52 cases were identified. Average direct medical costs in hospital were €20,957 for the surgical treatment of pressure sores stage III or IV; average direct medical costs for patients with one pressure sore on an extremity (group 1, n = 5) were €30,286, €10,113 for patients with one pressure sore on the trunk (group 2, n = 32) and €40,882 for patients with multiple pressure sores (group 3, n = 15). The additional costs for patients in group 1 and group 3 compared to group 2 were primarily due to longer hospitalisation. The average direct medical costs for surgical treatment of pressure sores stage III and IV were high. Large differences in costs were related to the location and number of pressure sores. Insight into the distribution of these costs allows identification of high-risk patients and enables the development of specific cost-reducing measures. Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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[Options for flap coverage in pressure sores].
Nae, S; Antohi, N; Stîngu, C; Stan, V; Parasca, S
2010-01-01
Despite improvements in reconstructive techniques for pressure sores, recurrences are still seen frequently, and success rate remains variable. During 2003 - 2007, at the Emergency Hospital for Plastic Surgery and Burns in Bucharest, 27 patients underwent surgical repair of 45 pressure sores located at sacral (22 ulcers), ischial (12 ulcers) and trochanteric (11 ulcers) regions. The mean patient age was 57, 1 years (range 26 to 82 years). Mean postoperative follow-up was 6 months (range 2 months - 2 years). There were 18 complications for the 45 sores (40%). At 6 months postoperatively, recurrence was noted in 12 ulcers (27%). Details regarding indications, contraindications, advantages and disadvantages for different coverage options are outlined. The authors advocate the importance of surgical coverage in reducing morbidity, mortality and treatment costs.
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Muscular soreness following prolonged intermittent high-intensity shuttle running.
Thompson, D; Nicholas, C W; Williams, C
1999-05-01
The aim of this study was to examine the impact of prolonged intermittent high-intensity shuttle running on soreness and markers of muscle damage. Sixteen males took part in the study, half of whom were assigned to a running group and half to a resting control group. The exercise protocol involved 90 min of intermittent shuttle running and walking (Loughborough Intermittent Shuttle Test: LIST), reflecting the activity pattern found in multiple-sprint sports such as soccer. Immediately after exercise, there was a significant increase (P < 0.05) in serum activities of creatine kinase and aspartate aminotransferase, and values remained above baseline for 48 h (P < 0.05). Median peak activities of creatine kinase and aspartate aminotransferase occurred 24 h post-exercise and were 774 and 43 U x l(-1), respectively. The intensity of general muscle soreness, and in the specific muscles investigated, was greater than baseline for 72 h after the shuttle test (P < 0.05), peaking 24-48 h post-exercise (P < 0.05). Muscle soreness was not correlated with either creatine kinase or aspartate aminotransferase activity. Soreness was most frequently reported in the hamstrings. Neither soreness nor serum enzyme activity changed in the controls over the 4 day observation period. It appears that unaccustomed performance of prolonged intermittent shuttle running produces a significant increase in both soreness and markers of muscle damage.
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Evidence for antibiotic use for sore throat and URTI in general practice
African Journals Online (AJOL)
banzi
508 C M E September 2003 Vol.21 No.9. There is a common misconception among many people that antibiotics are necessary for common colds and their symptoms. Evidence- based medicine can provide a rational approach to this problem. Evidence for antibiotic use for sore throat and URTI in general practice. G T J KA ...
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Flurbiprofen microgranules for relief of sore throat: a randomised, double-blind trial
Russo, Marc; Bloch, Mark; de Looze, Fred; Morris, Christopher; Shephard, Adrian
2013-01-01
Background Many people with sore throat seek, and are often inappropriately prescribed, antibiotics. Aim The objective of this study was to determine the analgesic efficacy of flurbiprofen 8.75 mg microgranules versus placebo. These microgranules are a possible alternative treatment for patients with sore throat due to upper respiratory tract infection (URTI). Design and setting Randomised, double-blind, placebo-controlled, multiple-dose study conducted at eight primary care sites in Australia. Method Participants with sore throat of onset within the past 4 days received either flurbiprofen 8.75 mg microgranules or non-medicated placebo microgranules. Throat soreness, difficulty in swallowing, sore throat pain intensity, sore throat relief, oral temperature, and treatment benefits were all assessed at regular intervals. Result Of 373 patients from eight centres, 186 received flurbiprofen 8.75 mg microgranules and 187 received placebo microgranules (intent-to-treat population). Throat soreness was significantly reduced over the first 2 hours after the first dose. Reductions in difficulty in swallowing were observed at all time points from 5 to 360 minutes after the first dose, after taking flurbiprofen microgranules versus placebo. Sore throat relief was also evident at 1 minute and lasted for at least 6 hours. The multiple-dose efficacy results showed reduction of difficulty in swallowing at the end of days 1–3 and sore throat relief at the end of day 1. Conclusion Microgranules containing flurbiprofen 8.75 mg provided fast and effective relief from sore throat due to URTI and represent an alternative treatment option to antibiotic therapy. PMID:23561694
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Bulfone, Giampiera; Marzoli, Ilaria; Quattrin, Rosanna; Fabbro, Carmen; Palese, Alvisa
2012-02-01
To explore the incidence of intraoperative pressure sores, the associated risk factors and the preventive strategies adopted by nurses, we adopted a longitudinal study in a 900-bed teaching hospital with multiple operating theatres, located in the North of Italy. Patients who underwent major surgery were evaluated four times: at the moment of operating theatre admission, at operating theatre discharge, and on their third and sixth postoperative day. Of the patients included (n = 102) who had an average age of 62.3 years (range 20-87), 12.7% (13/102) developed a pressure ulcer in the operating theatre; 46.1% (6/13) of these ulcers were still present on the third postoperative day. Some health conditions (diabetes mellitus, cardiac diseases) and intra-operative factors (lying on the operating table for more than 6.15 hours, intraoperative hypothermia) are associated with the occurrence of pressure sores.
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Pressure sores following elective total hip arthroplasty: pitfalls of misinterpretation.
Keong, Nicole; Ricketts, David; Alakeson, Nuki; Rust, Philippa
2004-01-01
OBJECTIVE: To assess the reliability of reporting protocols regarding pressure sores. METHODS: Retrospective data were collected regarding pressure sore rates following total hip arthroplasty operations carried out during 2001 at two orthopaedic units in an NHS hospital (Princess Royal Hospital) and in a local private hospital. RESULTS: Preliminary results presented in audit and interim reports indicated an alarmingly high pressure sore rate across the two sites (17/172 [9.9%] NHS, 23/71 [32.4%] private hospital). On analysis, the data collection system was revealed to be flawed. Grade 1 areas (erythema with no ulceration) were included, leading to a dramatic discrepancy between reported and confirmed pressure sores. Re-analysis showed the confirmed pressure sore rates to be much lower (2.3% NHS, 1.0% private hospital). CONCLUSIONS: This audit suggests that both poor data collection and education lead to inaccurate audit. This may lead to subsequent inappropriate management and inappropriate NHS star ratings. PMID:15140301
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Prevention of pressure sores by identifying patients at risk
DEFF Research Database (Denmark)
Andersen, Klaus Ejner; Jensen, O; Kvorning, S A
1982-01-01
The risk of pressure sores developing in patients admitted with acute conditions was assessed by a simple risk score system based on age, reduced mobility, incontinence, pronounced emaciation, redness over bony prominences, unconsciousness, dehydration, and paralysis in a prospective clinical stu...... of pressure sores prevents their development.......The risk of pressure sores developing in patients admitted with acute conditions was assessed by a simple risk score system based on age, reduced mobility, incontinence, pronounced emaciation, redness over bony prominences, unconsciousness, dehydration, and paralysis in a prospective clinical study...
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The evaluation of daily living activities, pressure sores and risk factors.
Aydın, Gökçen; Mucuk, Salime
2015-01-01
This study was conducted to assess daily living activities, pressure sores and risk factors. This was a descriptive study. The study was conducted at a rehabilitation center with 188 individuals participating in the study. Data were collected with a questionnaire form, Activities of Daily Living Scale (ADLS), Instrumental Activities of Daily Living Scale (IADLS) and Braden Risk Assessment Scale (BRAS). Among the participants, 48.9% were dependent according to activities of daily living and 71.8% were dependent on instrumental activities of daily living. It was noted that 4.8% had pressure sores and 38.8% were at high risk. A strong and positive correlation was found among ADLS, IADLS, and BRAS scores (p pressure sores (p pressure sores. Individuals who are treated at rehabilitation centers should be periodically assessed in terms of risk. Pressure sore development can be prevented with appropriate nursing interventions. To reduce the risk of developing pressure sores, nurses should describe the individual's degree of dependency according to ADLS and IADLS and initiate preventive nursing care. © 2014 Association of Rehabilitation Nurses.
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[An assessment scale for the prevention of pressure sores in children].
Chauvet, Corinne; Poirier, Marie-Renée; Sourisseau, Petronela Rachieru; Béduneau, Denis; Soulard, Anthony; Delacroix, Delphine
2015-04-01
Pressure sores in children are rare. However, when they do occur they can have significant consequences. Professionals in paediatric units realised the importance of assessing the risk of pressure sores and developed a pressure sore assessment scale specific to children. This project, carried out through a hospital-training school partnership, emphasises the importance of clinical reasoning in nursing practices.
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Osteomyelitis beneath pressure sores
International Nuclear Information System (INIS)
Sugarman, B.; Hawes, S.; Musher, D.M.; Klima, M.; Young, E.J.; Pircher, F.
1983-01-01
Twenty-eight pressure sores were evaluated prospectively. Osteomyelitis was reported histologically in nine of 28 bones and pressure-related changes were reported in 14 bones. Roentgenograms suggested the presence of osteomyelitis in four instances of histologically proved osteomyelitis. Technetium Tc 99m medronate bone scans were highly sensitive, showing increased uptake in all cases of osteomyelitis; however, increased uptake also occurred commonly in uninfected bones due to pressure-related changes or other noninfectious causes. Cultures of bone biopsy samples usually disclosed anaerobic bacteria, gram-negative bacilli, or both. The diagnosis of osteomyelitis must be considered if a pressure sore does not respond to local therapy. If the technetium Tc 99m medronate uptake is increased in the involved area, or roentgenographic findings are abnormal, the diagnosis can only be made with certainty by histologic examination of bone. Antibacterial treatment should be selected based on the results of bone culture
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[The prevention of pressure sores in paediatric intensive care].
Thueux, Emilie
2014-01-01
In paediatric intensive care, children develop pressure sores as a result of various mechanical and clinical factors. The prevention and assessment of the risk of pressure sores constitute a key concern for the nursing teams which establish prevention strategies adapted to the young patients.
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Oxidative stress and acute-phase response in patients with pressure sores.
Cordeiro, Maria Bernarda Cavalcanti; Antonelli, Elida Juliana; da Cunha, Daniel Ferreira; Júnior, Alceu Afonso Jordão; Júnior, Virmondes Rodrigues; Vannucchi, Helio
2005-09-01
We investigated the relation between oxidative stress and the occurrence of the acute-phase response with serum ascorbic acid and alpha-tocopherol levels in patients with pressure sores. The following groups of patients were studied: 1) those who had patients with pressure sores, 2) those who had pneumonia, and 3) those who did not develop pressure sores or any type of infection (control). Concentrations of total proteins, albumin, creatinine, iron, ferritin, transferrin, C-reactive protein, alpha1-acid glycoprotein, total iron-binding capacity, ascorbic acid, alpha-tocopherol, and malondialdehyde were measured during the first days of hospitalization. Albumin concentrations were significantly lower (P pressure sores compared with controls. Concentrations of ascorbic acid and alpha-tocopherol were significantly decreased (P pressure sores or infection, whereas malondialdehyde concentrations were significantly increased (P pressure sores and 10 of 12 patients (83.33%) with pneumonia presented serum ascorbic acid concentrations below the reference value (34 to 91 micromol/L). Concentrations of ascorbic acid and alpha-tocopherol versus malondialdehyde were significantly correlated in the three patient groups (r = -0.44, P pressure sores and acute infection present a systemic inflammatory response accompanied by an increase in lipid peroxidation that is associated with decreased serum ascorbic acid and alpha-tocopherol levels, suggesting that these patients may be at risk for important nutritional deficiencies.
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Aetiology of pressure sores in patients with spinal cord injury.
Thiyagarajan, C; Silver, J R
1984-01-01
One hundred consecutive patients admitted to the National Spinal Injuries Centre, Stoke Mandeville Hospital, with pressure sores were studied to assess the relative importance of factors known to predispose to the development of scores. Loss of feeling was critical, because patients were unable to appreciate pain when the sore was developing. Risk of developing a sore increased with age, but duration of the paralysis was of equal importance. After discharge from hospital the presence of a caring relative or friend was essential for survival. Many patients developed sores because of poor facilities at home or inappropriate advice from those who looked after them. An even more distressing factor was the number of patients who developed sores in hospital owing to inadequate nursing care. There are relatively few paralysed patients in the community, but the lessons learnt in this study may be applied to all patients with orthopaedic injuries and to geriatric patients with limited mobility. Nursing and medical staff must turn patients regularly and ensure that there is proper equipment to relieve pressure on the skin. Patients should not be allowed to sit in a chair if they develop a sacral or trochanteric sore. More effort should be directed towards the appropriate education of patients, their relatives, and all those who are concerned with their welfare. Images FIG 1 FIG 2 FIG 3 PMID:6439284
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Treatment of ischial pressure sores using a modified gracilis myofasciocutaneous flap.
Lin, Haodong; Hou, Chunlin; Chen, Aimin; Xu, Zhen
2010-04-01
Despite the availability of a variety of flap reconstruction options, ischial pressure sores continue to be the most difficult pressure sores to treat. This article describes a successful surgical procedure for the coverage of ischial ulcers using a modified gracilis myofasciocutaneous flap. From August 2000 to April 2004, 12 patients with ischial sores were enrolled in the study. All patients underwent early aggressive surgical debridement followed by surgical reconstruction with a modified gracilis myofasciocutaneous flap. The follow-up period ranged from 13 to 86 months, with a mean of 44 months. Overall, 91.7% of the flaps (11 of 12) survived primarily. Partial flap necrosis occurred in one patient. Primary wound healing occurred without complications at both the donor and recipient sites in all cases. In one patient, grade II ischial pressure sores recurred 13 months after the operation. There was no recurrence in other 11 patients. A modified gracilis myofasciocutaneous flap provides a good cover for ischial pressure sores. Because it is easy to use and has favorable results, it can be used in the primary treatment for large and deep ischial pressure sores. Copyright Thieme Medical Publishers.
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Sacral pressure sore reconstruction – the pedicled superior gluteal ...
African Journals Online (AJOL)
Pressure sore reconstruction has always been challenging. Immobile patients are prone to develop pressure sores from unre- lieved pressure on tissue over the sacral area, with shear, friction, moisture and malnutrition as contributing factors. Up to one-third of immobilised patients in long-term care facilities will develop.
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Prevention of pressure sores by identifying patients at risk.
Andersen, K E; Jensen, O; Kvorning, S A; Bach, E
1982-01-01
The risk of pressure sores developing in patients admitted with acute conditions was assessed by a simple risk score system based on age, reduced mobility, incontinence, pronounced emaciation, redness over bony prominences, unconsciousness, dehydration, and paralysis in a prospective clinical study. During seven months in 1977, 600 of 3571 patients were classified as at risk. Of these 35 (5.8%) developed sores compared with five (0.2%) of those not at risk. The results of this study compared with those over the same period in 1976 show that close observation of at-risk patients and early detection of pressure sores prevents their development. PMID:6803980
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Sore Throat: Diagnosis and Treatment
... neck to check for swollen glands (lymph nodes) Listening to your or your child's breathing with a ... of your sore throat, these at-home care strategies can help you ease your symptoms: Rest. And ...
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[Treatment of pubic osteomyelitis secondary to pressure sores].
Brunel, Anne-Sophie; Téot, Luc; Lamy, Brigitte; Masson, Raphaël; Morquin, David; Reynes, Jacques; Le Moing, Vincent
2014-01-01
There is no consensus regarding the diagnostic and therapeutic strategy for pubic osteomyelitis secondary to pelvic pressure sores. Diagnosis is often difficult and bone biopsies with microbiological and anatomical-pathological examination remain the gold standard. The rate of cicatrisation of pressure sores is low. Cleansing and negative pressure treatment are key elements of the treatment. Optimising the care management with medical-surgical collaboration is being studied in the Ostear protocol.
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How effective are treatments other than antibiotics for acute sore throat?
Thomas, M; Del Mar, C; Glasziou, P
2000-01-01
To estimate the benefits of treatments other than antibiotics for acute sore throat, and the differences between non-antibiotic interventions and controls in patient-perceived pain of sore throat, a systematic review of controlled trials in Medline and the Cochrane Library was carried out. Sixty-six randomised controlled trials (with or without additional antibiotics) were identified and 17 met the selection criteria. Twenty-two non-antibiotic managements for sore throat were compared. Their ...
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Pressure sores--a multifaceted approach to prevention and treatment.
Staas, W. E.; Cioschi, H. M.
1991-01-01
The incidence and effect of pressure sores on the disabled and elderly population have created a challenge to physicians and health care professionals, from emergency departments to rehabilitation units, and in the community. If not prevented, the morbidity and mortality of patients and the direct and indirect costs to both patients and the health care system are radically increased. In this article we define the impact on our health care system of pressure sores, provide an overview of a multifaceted approach to their prevention and management, and introduce successful behavioral and educational approaches for patients with chronic, recurrent sores. A coordinated approach with patients as informed participants and their care givers enhances the chances for success. PMID:1830985
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International Nuclear Information System (INIS)
Firooznia, H.; Rafii, M.; Golimbu, C.; Lam, S.; Sokolow, J.; Kung, J.S.
1982-01-01
Nine patients with spinal cord injury (SCI) and large pressure ulcers and other possible complications, were evaluated by computed tomography (CT), conventional radiography, tomography, bone scanning, gallium scanning, and sonography. CT revealed the depth, extent, and relationship of the ulcer-bed to the underlying structures in all 9 patients. CT also positively identified unsuspected intra- and extra-pelvic abscess and pelvic osteomyelitis in 4 patients each. Other modalities identified only 2 of these complications. We believe CT is the modality of choice for evaluation of these complications in SCI patients, because of its superior ability in evaluation of pressure sores and detection of pathologic changes in soft tissue and bone in the pelvic region
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Treatment of ischial pressure sores with double adipofascial turnover flaps.
Lin, Haodong; Hou, Chunlin; Xu, Zhen; Chen, Aiming
2010-01-01
Despite a variety of flap reconstruction options, the ischium remains the most difficult pressure sore site to treat. This article describes the authors' successful surgical procedure for coverage of ischial ulcers using double adipofascial turnover flaps.After debridement, the adipofascial flaps are harvested both cephalad and caudal to the defect. The flaps are then turned over to cover the exposed bone in a manner so as to overlap the 2 flaps. The skin is then closed with sutures in 2 layers. A total of 15 patients with ischial sores were treated using this surgical procedure.The follow-up period ranged from 11 to 159 months, with a mean of 93.6 months. Overall, 86.7% of the flaps (13 of 15) healed primarily. One patient had a recurrent grade II ischial pressure sore again 11 months after the operation. The other 14 patients did not have a recurrence.Treatment of ischial pressure sores with adipofascial turnover flaps provides an easy, minimally invasive procedure, with preservation of future flap options, and a soft-tissue supply sufficient for covering the bony prominence and filling dead space. This technique is a reliable and safe reconstructive modality for the management of minor ischial pressure sores.
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Cutaneous flaps in the treatment of 338 pressure sores: a better choice.
Greco, Manfredi; Marchetti, Francesco; Tempesta, Massimo; Ruggiero, Marco; Marcasciano, Marco; Carlesimo, Bruno
2013-01-01
Muscular flaps are considered by many surgeons as a treatment of choice for pressure sores. Nevertheless fasciocutaneous and adipofascial flaps are less sensitive to ischemia, more resistant to pressure and have higher mechanical resistance. The aim of this study is to evaluate the results of our integrated rehabilitative and surgical protocol in pressure sore management based on the use of cutaneous flaps. Since 1998, we treated 338 pressure sores (PS) in 195 patients (120 males; 75 females), 189 patients were affected by paraplegia and tetraplegia and 6 of them by neurological disorders. Ninety sacral, 156 ischiatic, 75 trochanteric, 9 calcanean and 8 sores of the iliac-crest were succesfully treated. All showed an involvement of the bone element, with osteitis and/or periosteitis. 14 cases of trocanteric sores showed a deeper bone involvement, with evidences of osteomyelitis. Follow up ranges from 7 years to 2 months. Median time for wound healing was 18 days. The use of fasciocutaneous flaps, as an alternative to the traditional muscolocutaneous flaps in the treatment of pressure sores leads to good and statistically comparable, healing rate, time and incidence of complications. Reconstructive plastic surgery as is a decisive factor to reach a good rehabilitative outcome, minimizing the time of rehabilitation with a following decrease of hospitalization costs. In spinal cord injured patients, surgical treatment of pressure sores is not proposed as the main procedure, but it is an important stage during the natural history of pressure sores. Cutaneous, adipofascial and fasciocutaneous flaps are less invasive, of a relatively easy execution, provided by a reliable vascular pedicle and they could be "re-used" in case of recurrences.
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Reconstruction of pressure sores with perforator-based propeller flaps.
Jakubietz, Rafael G; Jakubietz, Danni F; Zahn, Robert; Schmidt, Karsten; Meffert, Rainer H; Jakubietz, Michael G
2011-03-01
Perforator flaps have been successfully used for reconstruction of pressure sores. Although V-Y advancement flaps approximate debrided wound edges, perforator-based propeller flaps allow rotation of healthy tissue into the defect. Perforator-based propeller flaps were planned in 13 patients. Seven pressure sores were over the sacrum, five over the ischial tuberosity, and one on the tip of the scapula. Three patients were paraplegic, six were bedridden, and five were ambulatory. In three patients, no perforators were found. In 10 patients, propeller flaps were transferred. In two patients, total flap necrosis occurred, which was reconstructed with local advancement flaps. In two cases, a wound dehiscence occurred and had to be revised. One hematoma required evacuation. No further complications were noted. No recurrence at the flap site occurred. Local perforator flaps allow closure of pressure sores without harvesting muscle. The propeller version has the added benefit of transferring tissue from a distant site, avoiding reapproximation of original wound edges. Twisting of the pedicle may cause torsion and venous obstruction. This can be avoided by dissecting a pedicle of at least 3 cm. Propeller flaps are a safe option for soft tissue reconstruction of pressure sores. © Thieme Medical Publishers.
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Von Renteln-Kruse, W; Krause, T; Anders, J; Kühl, M; Heinemann, A; Püschel, K
2004-04-01
Some old persons at risk do develop, but others, at comparable risk, do not develop high-grade pressure sores. To evaluate potentially different risk factors, we performed a post mortem case-control study in old persons who developed high-grade pressure sores within six months until 14 days before death. Consecutive cases with pressure sores grade >/=3 and potential controls at comparably high risk for pressure sores were examined before cremation. After written informed consent had been obtained by the next relatives, all available nursing and medical records of the deceased were thoroughly evaluated. Cases and controls were matched according to age, gender, immobility, and cachexia.A total of 100 cases with 71 pressure sores grade 3 and 29 pressure sores grade 4 were compared to 100 controls with 27 pressure sores grade pressure sores in frail older high-risk persons. Sedative drug effects and impaired patient compliance with preventive and therapeutic measures may also be associated with the development of high-grade pressure sores in old persons at high risk.
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Evaluation of blood and serum markers in spinal cord injured patients with pressure sores.
Gurcay, Eda; Bal, Ajda; Gurcay, Ahmet G; Cakci, Aytul
2009-03-01
To evaluate blood and serum markers in traumatic spinal cord injured (SCI) patients, with and without pressure sores. This cross-sectional study was performed at the Ministry of Health Diskapi Yildirim Beyazit, and Numune Education and Research Hospitals, Ankara, Turkey, from 2006-2008. A total of 23 SCI patients with pressure sores (group I) and a control group of 25 SCI patients without pressure sores (group II) were evaluated. Characteristics of sores were examined with respect to duration, location, grade, tissue types, surface area, and exudate amount. Recorded laboratory parameters included erythrocyte sedimentation rates (ESR), C-reactive protein (CRP), hemoglobin (Hb), hematocrit (Htc), lymphocytes, white blood cells (WBC), red blood cells (RBC), serum iron, transferrin, total iron-binding capacity (TIBC), ferritin, total protein, albumin, vitamin B12, and zinc. The most common pressure sore location was the sacrum (38%). Compared to the control group, the patients with pressure sores showed anemia with reduced serum iron, transferrin, TIBC, and increased ferritin. They also had increased ESR, CRP, and WBC and reduced lymphocytes, total protein, albumin and zinc. Statistically significant correlations were found between CRP, Hb, Htc, lymphocytes, RBC, WBC, and serum protein levels, and grade of pressure sores. Clinicians should regularly screen patients with respect to blood and serum markers, in order to determine any risks for pressure sores, and they should perform immediate preventive measures based on the patient's condition.
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[Surgical issues and outcomes in ischial pressure sores treatment].
Voulliaume, D; Grecea, M; Viard, R; Brun, A; Comparin, J-P; Foyatier, J-L
2011-12-01
Ischiatic pressure sores are frequent in spinal cord injury patients, associated with bad prognosis and high recurrence rate. Many surgical techniques were described, including surgical debridement followed by pedicled flap coverage. We aim to propose a practical decision tree for primary or secondary ischial pressure sore treatment. Our series of 48 operated ischial sores with an average follow up of 4 years (range 2 to 8years) is analyzed and compared to previously published reports. Surgical techniques are discussed according to their specific indications. The optimal recurrence rate in published reports about pressure sore treatment is 20%; a rate inferior to 19% is found in our series, showing the equal importance of flap selection and postoperative care and education. Depending on each situation, various available flaps are described and compared: gluteus maximus flap, biceps femoris flap, gracilis flap, tensor fascia lata flap, fasciocutaneous thigh flaps, rectus femoris and vastus lateralis flap, rectus abdominis flap. Specific surgical indications for more extensive wounds are studied: resection arthroplasty of the hip, hip disarticulation, fillet flaps from the leg, microsurgery. Based upon our experience, a decision tree summarizes our proposition of flap selection, depending on the wound size and the patient background. Copyright © 2010 Elsevier Masson SAS. All rights reserved.
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Directory of Open Access Journals (Sweden)
Hyun Ho Han
2016-01-01
Full Text Available The sacral area is the most common site of pressure sore in bed-ridden patients. Though many treatment methods have been proposed, a musculocutaneous flap using the gluteus muscles or a fasciocutaneous flap is the most popular surgical option. Here, we propose a new method that combines the benefits of these 2 methods: combined V-Y fasciocutaneous advancement and gluteus maximus muscle rotational flaps. A retrospective review was performed for 13 patients who underwent this new procedure from March 2011 to December 2013. Patients’ age, sex, accompanying diseases, follow-up duration, surgical details, complications, and recurrence were documented. Computed tomography was performed postoperatively at 2 to 4 weeks and again at 4 to 6 months to identify the thickness and volume of the rotational muscle portion. After surgery, all patients healed within 1 month; 3 patients experienced minor complications. The average follow-up period was 13.6 months, during which time 1 patient had a recurrence (recurrence rate, 7.7%. Average thickness of the rotated muscle was 9.43 mm at 2 to 4 weeks postoperatively and 9.22 mm at 4 to 6 months postoperatively (p=0.087. Muscle thickness had not decreased, and muscle volume was relatively maintained. This modified method is relatively simple and easy for reconstructing sacral sores, provides sufficient padding, and has little muscle donor-site morbidity.
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The effect of Dry Bed Training on behavioural problems in enuretic children
Hira Sing, R.A.; van Leerdam, F.J.M.; Bolk-Bennink, L.F.; Koot, H.M.
2002-01-01
Children with nocturnal enuresis (n = 91) selected by school doctors in the Netherlands from 1991 to 1994 were included in a study to assess the course of behavioural problems especially when the children became dry after the Dry Bed Training (DBT) programme. The Child Behaviour Checklist (CBCL)
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Cost analysis of surgically treated pressure sores stage III and IV.
Filius, A.; Damen, T.H.; Schuijer-Maaskant, K.P.; Polinder, S.; Hovius, S.E.R.; Walbeehm, E.T.
2013-01-01
Health-care costs associated with pressure sores are significant and their financial burden is likely to increase even further. The aim of this study was to analyse the direct medical costs of hospital care for surgical treatment of pressure sores stage III and IV. We performed a retrospective chart
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[Effects of massage on delayed-onset muscle soreness].
Bakowski, Paweł; Musielak, Bartosz; Sip, Paweł; Biegański, Grzegorz
2008-01-01
Delayed onset muscle soreness (DOMS) is the pain or discomfort often felt 12 to 24 hours after exercising and subsides generally within 4 to 6 days. Once thought to be caused by lactic acid buildup, a more recent theory is that it is caused by inflammatory process or tiny tears in the muscle fibers caused by eccentric contraction, or unaccustomed training levels. Exercises that involve many eccentric contractions will result in the most severe DOMS. Fourteen healthy men with no history of upper arm injury and no experience in resistance training were recruited. The mean age, height, and mass of the subjects were 22.8 +/- 1.2 years, 178.3 +/- 10.3 cm, and 75.0 +/- 14.2 kg, respectively. Subjects performed 8 sets of concentric and eccentric actions of the elbow flexors with each arm according to Stay protocol. One arm received 10 minutes of massage 30 minutes after exercise, the contralateral arm received no treatment. Measurements were taken at 9 assessment times: pre-exercise and postexercise at 10 min, 6, 12, 24, 36, 48, 72 and 96 hours. Dependent variables were range of motion, perceived soreness and upper arm circumference. There was noticed difference in perceived soreness across time between groups. The analysis indicated that massage resulted in a 10% to 20% decrease in the severity of soreness, but the differences were not significant. Difference in range of motion and arm circumference was not observed. Massage administered 30 minutes after exercises could have a beneficial influence on DOMS but without influence on muscle swelling and range of motion.
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Detection and Isolation of Digital Dermatitis Treponemes from Bovine Pressure Sores.
Clegg, S R; Crosby-Durrani, H E; Bell, J; Blundell, R; Blowey, R W; Carter, S D; Evans, N J
2016-05-01
Pressure sores cause severe pain and discomfort in hospitalized people and in farmed cattle and are often infected with unknown bacteria. Pressure sores occur on the upper legs of 6-10% of recumbent cattle and are generally considered to be caused by constant pressure, commonly on bony areas of the limbs. This study analyzed pressure sores taken from the upper limbs of 14 cattle using isolation in culture and nested polymerase chain reaction (PCR) to detect treponemes associated with digital dermatitis (DD). A 100% association of DD treponemes with the pressure sores was demonstrated, but treponemes were shown not to be part of the normal skin microbiota. Immunohistochemistry showed an association of DD treponemes with lesions and particularly with the hair follicles in lesions, identifying the bacteria deep within wounds, thereby suggesting that they could contribute to lesion pathogenesis. The bacteria isolated from the pressure sore lesions were similar or identical on analysis of the 16S rRNA gene to those found in DD foot lesions in cattle, suggesting the same bacteria can infect multiple lesions. Indeed, the results of this study suggest that these spirochaetal bacteria may be expanding in host range and in their ability to colonize different tissues and contribute to a range of disease manifestations in farm animals. Copyright © 2016 Elsevier Ltd. All rights reserved.
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Pressure Sores and Systemic Inflammatory Response Syndrome: UC Davis Quality Improvement Initiative.
Jairam, Abhishek; Song, Ping; Patel, Nirav B; Wong, Michael S
2018-05-01
The National Pressure Ulcer Advisory Panel estimates pressure sore care to approach $11 billion annually. It is not uncommon for these patients to present to the emergency department (ED) with a chief concern of a pressure sore, while concurrently carrying an undiagnosed infectious process that is the culprit for the acute presentation, rather than the chronic pressure injury. We aim to identify patients who met systemic inflammatory response syndrome (SIRS) criteria at ED presentation who were referred to plastic and reconstructive surgery for pressure sore debridement prior to a complete medical workup. We hypothesize that a restructuring of the ED triaging system would help conserve hospital resources, reduce costs of pressure sore management, and improve patient care and outcomes by first treating primary, underlying pathologies. This is a retrospective chart review of 36 patients who presented to the University of California, Davis Medical Center Emergency Department with a pressure sore and met SIRS criteria, but obtained a plastic surgery consult prior to a full medical workup. We defined SIRS based on standardized criteria: temperature greater than 100.4°F or less than 96.8°F, pulse rate greater than 90 beats/min, respiratory rate greater than 20 breaths/min or PaCO2 less than 32 mm Hg, white blood cell count greater than 12,000, less than 4000, or greater than 10% bands. Fifty percent of patients (18/36) met SIRS criteria at ED presentation for their pressure sores. Of these SIRS patients, 9 (50%) had a diagnosis of urinary tract infection or urosepsis, 6 (33.3%) had sepsis of undefined origin, and 3 (16.7%) had other diagnoses such as osteomyelitis or acute respiratory distress syndrome. Half of patients consulted while in the University of California, Davis Medical Center Emergency Department with pressure sores met SIRS criteria and received a plastic and reconstructive surgery consult prior to a full medical workup. We propose a new algorithm for
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Vitamin C depletion and pressure sores in elderly patients with femoral neck fracture.
Goode, H. F.; Burns, E.; Walker, B. E.
1992-01-01
OBJECTIVE--To evaluate the contribution of specific nutritional deficiencies (as indicated by zinc; vitamin A, C, and E; albumin; and haemoglobin concentrations) to the risk of pressure sores. DESIGN--Observational cohort study. SETTING--St James's University Hospital, Leeds. SUBJECTS--21 elderly patients presenting consecutively to the orthopaedic unit with femoral neck fracture. MAIN OUTCOME MEASURE--Full thickness epidermal break over a pressure bearing surface. RESULTS--10 patients (48%) developed a pressure sore during their hospital stay. Indices of zinc status and concentrations of albumin, haemoglobin, and vitamins A and E were similar in patients who developed a pressure sore and those who did not. Mean leucocyte vitamin C concentration, however, was 6.3 (SD 2.2) micrograms/10(8) cells in patients who developed a pressure sore as compared with 12.8 (4.6) micrograms/10(8) cells in patients who did not. CONCLUSIONS--Low concentrations of leucocyte vitamin C appear to be associated with subsequent development of pressure sores in elderly patients with femoral neck fractures. PMID:1458073
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International Nuclear Information System (INIS)
Bashir, I.; Masood, N.
2014-01-01
Objective: The objective of this study was to asses the occurrence and severity of sore throat following endotracheal anesthesia and its reduction by beclomethasone inhalation. Study Design: A randomized controlled trial. Place and Duration of Study: This study was carried out at the main operation theatre, Combined Military Hospital Rawalpindi from October 2002 to April 2003. Patients and Methods: Two hundred patients undergoing general anaesthesia for elective surgery were included. Patients were randomly assigned to two groups of 100 patients each. The patients in group A were given one puff inhalation of beclomethasone before intubation while group B was control group. The patients were evaluated for occurrence and severity of postoperative sore throat by direct questions 6, 12, 24 and 48 hours after surgery. Results: In the beclomethasone group, 10 patients had sore throat as compared to 55 in control group (p<0.01). All 10 patients who experienced symptoms in beclomethasone group had mild sore throat while among the patients in the control group 22 had mild, 13 had moderate and 20 had severe sore throat. After 48 hours, no patient had the symptoms in the study group while 9 of the control group still suffered from sore throat. No drug related side effects were observed. Conclusion: Postoperative sore throat after general anaesthesia is common (occurrence rate of 55%). Beclomethasone inhaler is highly effective in the prevention of postoperative sore throat. It reduces both the occurrence and severity of sore throat. (author)
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[Indication of sclerotherapy in the treatment of ischiatic pressure sore: about 13 cases].
Bahé, L; Prud'homme, A; Penaud, A; Formé, N; Zakine, G
2012-12-01
Ischiatic pressure sore is a common pathology of the paraplegic patient. Usually treated after medical therapy, with fasciocutaneous or musculocutaneous local flaps, despite this treatment the recurrence rate is high. Sclerotherapy, injection of pure ethanol in the cavity of the pressure sore could be an interesting solution in the armentarium of the plastic surgeon in some indications. Sclerotherapy was used for 13 patients in the plastic surgery department to treat ischiatic pressure sores with a cavity, beneath the defect. The mean length of stay was 24 days. The ischiatic pressure sore was completely healed with no skin defect or cavity for nine patients (65%). For two patients, there was a delay of healing of the skin defect but no cavity beneath. There were two early recurrences of the pressure sore. They were treated by sclerotherapy with a complete recovery in 2 months with simple hydrocolloid dressings. The mean post op follow-up was 14,6 months (4 to 24). Only one recurrence was observed after 12 months. The injection of pure ethanol in the cavity of specifics ischiatics pressure sores is a simple, fast and effective technique with a good and stable long term wound healing. The mean length of stay is shorter and the recurrence rate is equivalent to other techniques. Copyright © 2009 Elsevier Masson SAS. All rights reserved.
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Directory of Open Access Journals (Sweden)
H. L. Yang
2016-01-01
Full Text Available Background. Postoperative sore throat is one of the major complaints of general anesthesia in the postanesthesia care unit. This prospective study investigated the preventive effect of ketorolac tromethamine spray in postendotracheal-intubation-induced sore throat after general anesthesia. Methods. Surgical patients undergoing general anesthesia with endotracheal intubation were recruited from a medical center. Patients were randomly assigned to group K (treated with 5% ketorolac tromethamine spray or group D (treated with distilled water spray. Before intubation, each endotracheal tube was sprayed with the appropriate solution by physicians over the 20 cm length of the cuff. Each group comprised 95 patients fitting the inclusion and exclusion criteria for whom complete data sets were collected. The intensity of the sore throat was measured at 1, 3, 6, and 24 h after surgery, and data were compared. Results. The two groups had similar characteristics. Postoperative sore throat was significantly less frequent in group K than in group D (p<0.001 and the pain intensity was significantly lower in group K than in group D at each time point (all p<0.001. Conclusions. This study demonstrated that preanesthesia 5% ketorolac tromethamine spray could effectively decrease postendotracheal-intubation-induced sore throat in patients undergoing general anesthesia.
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... such as sores, are very common. Follow this chart for more information about mouth problems in adults. ... cancers. See your dentist if sharp or rough teeth or dental work are causing irritation. Start OverDiagnosisThis ...
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The Effect of Early Complications on Flap Selection on Sacral Pressure Sores
Directory of Open Access Journals (Sweden)
Musa Kemal Keleş
2017-06-01
Full Text Available Objective: Pressure sores occur in bedridden patients in intensive care units, clinics, and even at their own places. Care for sick relatives and working with doctors to address treatment options and ensure proper follow-up are some of the problems associated with these types of wounds. Surgical therapy in the treatment of pressure ulcers is associated with significant complications. In comparison to non-surgical treatment, surgical treatment has a low complication rate and is more cost-effective. The surgical treatment enables the patients to return to their social life sooner than non-surgical treatment. Patient's ability to early return to their social life is advantageous in terms of reducing morbidity and the need for additional operations. This study is aimed to review the flap choices used to treat sacral pressure sores and the resulting acute complications rates retrospectively. Material and Methods: Patients treated for stage 3 and stage 4 sacral pressure sores in our clinic in the past 5 years were included in the study. Patient records were analyzed retrospectively. Patients' demographic data and surgical treatment they received were documented. Surgical method and surgical outcomes were evaluated and early complication rates were determined. Result: Fifty patients were included in the study; 10 of them were female, 40 of were male cases. The most common causative agent was paraplegia after traffic accident. Conclusion: A significant difference was not observed between the type of flap used in the surgical treatment and the rate of complications. Consequently, the surgical treatment of pressure ulcers in the sacral region depends on the patient's individual situation, the cooperation of the family, and previously applied treatments
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A Contribution to the Problem of Initiation of a Combustion Source in an Oil-Saturated Bed
Koznacheev, I. A.; Dobrego, K. V.
2013-11-01
The problem on in-situ self-ignition of an oil-saturated bed under the conditions of forced filtration of an oxygen-containing gas has been solved with analytical and numerical methods with account of the burnout of a deficient gas component. The influence of the burnout of this component and of convective removal of heat from the bed on the time of its self-ignition has been determined. Recommendations for the optimum regime of initiation of the self-ignition of the bed with account of variation of the blast flow rate and the oxygen content have been given.
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Bonomi, Stefano; Salval, André; Brenta, Federica; Rapisarda, Vincenzo; Settembrini, Fernanda
2016-09-01
Many procedures have been proposed for the treatment of pressure sores, and V-Y advancement flaps are widely used to repair a defect. Unfortunately, the degree of mobility of a V-Y advancement flap is dependent on the laxity of the underlying subcutaneous tissue. This is an important disadvantage of traditional V-Y advancement flap and limits its use.We used V-Y advancement flaps as perforator-based to overcome mobility restriction problem, with a further modification (Pacman-like shape) to improve the covering surface area of the flap. Between January 2012 and December 2014, the authors used 37 V-Y Pacman perforator-based flaps in 33 consecutive patients for coverage of defects located at sacral (n = 21), ischial (n = 13), trochanter (n = 1) regions. There were 27 male and 6 female patients with a mean age of 49.9 years (range, 15-74 years). All flaps survived completely (92.3%) except 3 in which one of them had undergone total necrosis due to hematoma and the other 2 had partial necrosis. No venous congestion was observed. The mean follow-up period was 14.9 months (range, 2-38 months). No flap surgery-related mortality or recurrence of pressure sores was noted. The V-Y Pacman perforator-based advancement flaps are safe and very effective for reconstruction of pressure sores at various regions. The advantage of our modification procedure include shorter operative time, lesser pedicle dissection, low donor site morbidity, good preservation of muscle, and offers remarkable excursion to the V-Y flap, which make the V-Y Pacman perforator-based flaps an excellent choice for large pressure sore coverage.
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Production of polycrystalline silicon by fluidized-bed-problems and recent progress of study
Energy Technology Data Exchange (ETDEWEB)
Kojima, Toshinori
1988-10-01
Concerning the production of polycrystalline silicon from SiH/sub 4/ by applying fluidized bed reaction, recent progress of study, problems involved, and countermeasures to them were reported. For the experiment, stainless tube with 50mm inside diameter attached with electric heater on the wall as auxillary heat source was used to measure the temperature distribution in the bed. As the diluting gas, hydrogen and argon were used to investigate the effect of diluent gas and it was understood that sort of diluent gas affected on the crogging and reaction rate. It was indicated that, in the fluidized bed reaction which gave large depositing area and high productivity, contamination was easily occurred. Observation of fine powder by electronic-microscope revealed that different diluent caused the difference of fine powder shape and that the higher the reaction temperature the more fine powder was produced. Crogging condition was affected by tower diameter, together with temperature and fluidizing conditions. In addition, two recent patents were introduced. 11 references, 10 figures.
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Tadiparthi, S; Hartley, A; Alzweri, L; Mecci, M; Siddiqui, H
2016-07-01
Pressure sore treatment in spinal injury patients is challenging. A multidisciplinary approach with joint management by the plastic surgery and spinal injury teams was initiated at our institution in 2005 to improve patient care and surgical outcomes following reconstruction. This study assessed the surgical outcomes following reconstruction using the team approach and to compare inpatient stay and readmissions for complications before and after the multidisciplinary protocol was introduced. A retrospective review of consecutive patients in the multidisciplinary pressure sore clinic was performed. Data were collected on patient demographics, reconstructive techniques, surgical outcomes and readmission for any complications. In total, 45 patients with 60 pressure sores (grade 3 or 4) were reviewed in the joint clinic between 2005 and 2011. The majority of patients were paraplegic (78%), while the remaining 22% were tetraplegic. Ischial sores were the most common (45%) followed by trochanteric (23%) and sacral (20%) sores. Multiple sores were noted in 44% of patients. Flap reconstruction was required in 32 patients (71%); after a mean follow-up time of 33 months (range 25-72 months), there were three (9%) major complications (two recurrences of pressure sores and one sinus) and seven (22%) minor complications. After introduction of patient care pathways through the multidisciplinary approach, the rate of readmission for complications decreased from 14% to 5.5% and inpatient stay upon readmission reduced from 65 to 45 days. Implementation of a multidisciplinary approach was key to optimising surgical outcomes, achieving a low recurrence rate (6%) and reducing readmissions. Copyright © 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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Jiang, Maohua; Yang, Xiaoliang; Wei, Bangmin; Li, Yinghao
2012-03-01
To investigate the method and effectiveness of repairing sacrococcygeal pressure sores with modified upper gluteal rhomboid fasciocutaneous flap. Between January 2004 and March 2011, 43 patients with sacrococcygeal pressure sores were treated. There were 25 males and 18 females with an average age of 63 years (range, 38-95 years). The disease duration was 3 months to 2 years and 6 months (mean, 8.5 months). The size of pressure sores ranged from 6 cm x 5 cm to 18 cm x 13 cm. According to the extent and lesion degree of pressure scores, 23 pressure sores were rated as degree III and 20 pressure sores as degree IV. The modified upper gluteal rhomboid flap was designed, one-side upper gluteal fasciocutaneous flaps were transplanted to repair sacrococcygeal pressure sores in 19 cases and two-side flaps in 24 cases. The size of one side flap ranged from 6.5 cm x 4.5 cm to 18.0 cm x 11.5 cm. Fluid under flap occurred in 1 case and edge necrosis of the flaps in 3 cases at 7 days after operation, which were cured after drainage and dressing change; the other flaps survived, and incisions healed by first intention. All patients were followed up 6 months to 3 years with an average of 11 months. Two patients relapsed at 5 months and 8 months, respectively; the other patients had no recurrence. The color of the flaps was normal, and the appearance and elasticity of the flaps were good. The modified upper gluteal rhomboid fasciocutaneous flap has the advantages of simple design and operation, less injury, and reliable effect in repairing sacrococcygeal pressure sores.
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Acute effects of massage or active exercise in relieving muscle soreness
DEFF Research Database (Denmark)
Andersen, Lars L; Jay, Kenneth; Andersen, Christoffer H
2013-01-01
Massage is commonly believed to be the best modality for relieving muscle soreness. However, actively warming up the muscles with exercise may be an effective alternative. The purpose of this study was to compare the acute effect of massage with active exercise for relieving muscle soreness. Twenty...... healthy female volunteers (mean age 32 years) participated in this examiner-blind randomized controlled trial (ClinicalTrials.gov NCT01478451). The participants performed eccentric contractions for the upper trapezius muscle on a Biodex dynamometer. Delayed onset muscle soreness (DOMS) presented 48 hours...... later, at which the participants (a) received 10 minutes of massage of the trapezius muscle or (b) performed 10 minutes of active exercise (shoulder shrugs 10 × 10 reps) with increasing elastic resistance (Thera-Band). First, 1 treatment was randomly applied to 1 shoulder while the contralateral...
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Krause, Tom; Anders, Jennifer; von Renteln-Kruse, Wolfgang
2005-10-01
The association between urinary incontinence and pressure sores is put down to various causes. Most frequently urinary wet and following maceration of the skin are mentioned. However, it is possible that urinary incontinence is only an indicator for other risk factors or a measure of the need for care without any causal relation to pressure sores. There are hardly any controlled or randomised studies; this lack of scientific evidence is problematic. Based on a case-control-study including data of 200 patients as well as on the existing models of explanation, the following study tries to examine critically the connections between pressure sores and urinary incontinence. Out of the patients in our study population 97.5 percent were incontinent. Different categories of the risk factor urinary incontinence and different dichotomisations have led to different statistical results. Statements concerning the connection between urinary incontinence and pressure sores have to be interpreted critically. The dependence of urinary incontinence on other risk factors such as patients' need for care or compliance suggests that the causal connection to pressure sores be not reduced to the influence of wetness. We advise to research connections between urinary incontinence and pressure sores in a methodologically appropriate setting.
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Practical Management of Pressure Sores
Jordan, John M.
1992-01-01
Pressure sores are common in the debilitated elderly. Causal factors are unrelieved pressure, shearing forces, friction, and moisture. Preventive measures should be used for all high-risk patients, defined by general condition, mental status, degree of incontinence, amount of activity, and mobility. Principles of treating ulcers include pressure relief, reducing bacterial counts, debriding necrotic tissue, and providing a moist, clean environment. Imagesp2385-ap2389-ap2392-a PMID:21221298
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Medial circumflex femoral artery flap for ischial pressure sore
Directory of Open Access Journals (Sweden)
Palanivelu S
2009-01-01
Full Text Available A new axial pattern flap based on the terminal branches of the medial circumflex femoral artery is described for coverage of ischial pressure sore. Based on the terminal branches of the transverse branch of medial circumflex femoral artery, which exit through the gap between the quadratus femoris muscle above and the upper border of adductor magnus muscle below, this fascio cutaneous flap is much smaller than the posterior thigh flap but extremely useful to cover ischeal pressure sores. The skin redundancy below the gluteal fold allows a primary closure of the donor defect. It can also be used in combination with biceps femoris muscle flap.
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Colin, D; Rochet, J-M; Ribinik, P; Barrois, B; Passadori, Y; Michel, J-M
2012-10-01
The use of support surfaces in the prevention and treatment of pressure ulcers prevention is an important part of care for a patient at risk and/or suffering from sore(s). Define which support surfaces to use in prevention and treatment of at-risk and/or pressure sore patients. A systematic review of the literature querying the several Pascal Biomed, PubMed and Cochrane Library databases from 2000 through 2010. RESULTS (GRADE A): In prevention, a structured foam mattress is more efficient than a standard hospital mattress. An alternating pressure mattress is more effective than a visco-elastic mattress limiting the occurrence heel pressure ulcers, but those that do occur are more serious. A low-air-loss bed is more efficient than a mixed pulsating air mattress in prevention of heel pressure ulcers. Some types of sheepskin can reduce sacral pressure ulcer incidence in orthopedic patients. Use of an overlay on an operating table limits the occurrence of peroperative and postoperative pressure ulcers. An air-fluidized bed improves pressure ulcer healing. The data in the literature are not always relevant and do not suffice to dictate a clinician's choices. We are compelled to recognize the methodological limitations of many studies, the lack of corporate interest in conducting such studies and the relatively small number of available trials. However, the effectiveness of some support surfaces reaches a sufficient level of evidence, especially when they are associated with postural, hydration and nutritional measures. Support surfaces are recommended in prevention and treatment of patients at risk and/or already suffering from pressure ulcer, and their use should constitute part of an overall preventive or curative strategy. Copyright © 2012. Published by Elsevier Masson SAS.
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Urban sores. On the interaction between segregation, urban decay and deprived neighbourhoods
DEFF Research Database (Denmark)
Andersen, Hans Skifter
Most European countries have experienced special problems that have emerged in certain more or less well-defined parts of cities called de-prived or depressed urban neighbourhoods. These problems were initially found in the oldest urban areas with the lowest quality housing. Since the beginning...... of the 1980s, however, in Europe they have also emerged in newer social housing estates outside city centres. These neighbourhoods display visible physical and social problems that can disfigure the perhaps otherwise attractive urban landscape. They could in severe cases even be termed sores on the face...... of the city. They are often perceived by the public as places that are not inhabited or frequented by decent people – they are seen as ‘places of exclusion’. The purpose of this book is to contribute to a deeper understanding of why such neighbourhoods come to exist and the impacts they have on cities. Urban...
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Difference between a Sore Throat, Strep, and Tonsillitis
... often called Hand, Foot, and Mouth disease ). Infectious mononucleosis (often called "Mono") can produce a sore throat, ... most young children who are infected with the mononucleosis virus have few or no symptoms. Strep Throat ...
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Chang, Chun-Kai; Wu, Chien-Ju; Chen, Chun-Yu; Wang, Chi-Yu; Chu, Tzi-Shiang; Hsu, Kuo-Feng; Chiu, Han-Ting; Liu, Hung-Hui; Chou, Chang-Yi; Wang, Chih-Hsin; Lin, Chin-Ta; Dai, Niann-Tzyy; Tzeng, Yuan-Sheng
2017-12-01
Pressure sores are often observed in patients who are bedridden. They can be a severe problem not only for patients and their caregivers but also for plastic surgeons. Here, we describe a new method of superior gluteal artery perforator flap harvesting and anchoring with the assistance of intraoperative indocyanine green fluorescent angiography. In this report, we describe the procedure and outcomes for 19 patients with grades III and IV sacral pressure sores who underwent the operation between September 2015 and November 2016. All flaps survived, and two experienced wound-edge partial dehiscence. With the assistance of this imaging device, we were able to acquire a reliable superior gluteal artery perforator flap and perform modified operations with it that are safe, easy to learn and associated with fewer complications than are traditional. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
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Effects of intravenous diclofenac on postoperative sore throat in ...
African Journals Online (AJOL)
Effects of intravenous diclofenac on postoperative sore throat in patients undergoing laparoscopic surgery at Aga Khan University Hospital, Nairobi: A prospective, randomized, double blind controlled trial.
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[Primary investigation on fumigation and moxibustion in treatment ulcer and sore of yin syndrome].
Zhu, Chao-Jun; Zhang, Zhao-Hui; Ma, Jing; Li, Pin-Chuan; Liu, Xian-Zhou; Yin, Yue; Tian, Ying
2011-09-01
To explore the fumigation and moxibustion therapy in treatment of ulcer and sore of yin syndrome. The fumigation and moxibustion therapy is the combination of fumigation and moxibustion, in which, smoking fumigation is provided with warming effect and the actions as moxibustion. This therapy works on the efficacy of both fumigation and moxibustion. In treatment, different herbal medicines can be selected flexibly, acting on dispersing yin and rescuing yang. The fumigation and moxibustion therapy can drain toxin and remove ulcer and sore. It contributes to the treatment of boils and chronic sores of yin syndrome and promotes wound healing.
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The usefulness of a clinical 'scorecard' in managing patients with sore throat in general practice
Directory of Open Access Journals (Sweden)
Bakare Tony MO
2010-07-01
Full Text Available Abstract Background Objective: To evaluate the usefulness of a clinical scorecard in managing sore throat in general practice. Design: Validation study of scorecard for sore throat with a throat swab culture used as the 'gold standard'. Setting: A solo family practice in rural New South Wales, Australia Participants: Patients attending with sore throat. Methods Patients from the age of 5 years and above presenting with the main symptom of a sore throat, and who have not had any antibiotic treatment in the previous two weeks, were invited to participate in the study. The doctor completed a scorecard for each patient participating and took a throat swab for culture. Adult patients (> 16 yrs were asked to complete a patient satisfaction questionnaire, while guardians accompanying children (5 yr to Main outcome measures: 1. Ability of a new scorecard to differentiate between bacterial and non-bacterial sore throat. 2. Patients' trust in the scorecard. Results The scorecard has a sensitivity of 93.33%, a specificity of 63.16%, a positive predictive value of 50% and a negative predictive value of 96%. The sensitivity is better than other sore throat scorecards that have been published but with a slightly lower specificity. There was a high level of patient trust in the scorecard was (85.8% agreement. Patients also trusted their doctor's judgement based on the scorecard (90.6% agreement. Conclusions As the scorecard has a high sensitivity but only a moderate specificity, this means that it is more reliable for negative results, i.e. when the result suggests a viral infection. When the result favours a bacterial sore throat, then a high sensitivity can mean that there are a number of false positives. GPs can be confident in withholding antibiotics when the scorecard indicates a viral infection.
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On the Problem of Filtration to an Imperfect Gallery in a Pressureless Bed
Bereslavskii, É. N.; Dudina, L. M.
2018-01-01
The problem of plane steady-state filtration in a pressureless bed to an imperfect gallery in the presence of evaporation from the flow free surface is considered. To study such type of flow, a mixed boundary-value problem of the theory of analytical functions is formulated and solved with application of the Polubarinova-Kochina method. Based on the model suggested, an algorithm for computing the discharge of the gallery and the ordinate of free surface emergence to the impermeable screen is developed. A detailed hydrodynamic analysis of the influence of all physical parameters of the model on the desired filtration characteristics is given.
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Chiari, Paolo; Giorgi, Sabina; Ugolini, Daniela; Montanari, Morena; Giudanella, Pietro; Gramantieri, Antonella; Collesi, Franca; Pau, Michelina; Smaldone, Maddalena; Matarasso, Maddalena; Mazzini, Cinzia; Russo, Francesca; Gazineo, Domenica; Fontana, Mirella; Taddia, Patrizia
2012-01-01
Randomized controlled trial on the effectiveness of Corpitolinol 60 in the prevention of pressure sores in surgical patients. The risk of pressure sores in surgical patients is widely recognised. The Corpitolinol 60 (Sanyréne®) applied on compressed areas seems to reduce the risk of pressure sores. To assess the efficacy of Corpitolinol 60 in preventing pressure sores in the operatory theatre. The open label randomized clinical trial was conducted in 5 operating theatres of Northen Italy. Patients were randomized to receive Corpitolinol 60 in areas undergoing compression. Experimental group and controls were treated with usual measures for preventing pressure sores. The lesions were staged according to NPUAP up to 24 hours after surgery. Three-hundred-one patients were randomized (155 in the Sanyréne® group and 143 controls). The main variables predictive of pressure sores risk (ASA class, sex, age, duration of the surgery, and BMI) were comparable across groups. At the end of the surgery 71 patients (23.8%) in the experimental group and 47 controls (30.8%) had a pressure sore (p 0.006; RR 1.81 IC95% 1.17-2.79). Twelve and 24 hours after surgery the differences between groups were not significant. The aim of reducing pressure sores was not reached for patients treated with Corpitolinol 60.
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ASPECTS REGARDING THE EFFECT OF ANTIINFLAMMATORY DRUGS ON DELAYED ONSET MUSCLE SORENESS
Honceriu C.; Hagiu B.A.
2013-01-01
The objectives of the study are to investigate the effects of using Diclofenac ointment for delayed onset muscle soreness. The research has been conducted on two groups of junior football players, males, the number of 9 each (control and treated), which has been induced by this type of muscle soreness with specific exercises. The treated group used Diclofenac gel for the relief of musculoskeletal pain. The evaluation of values of muscular strength (Squat Jump, Jump Countermovement, Free Jump,...
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Kim, Chae Min; Yun, In Sik; Lee, Dong Won; Lew, Dae Hyun; Rah, Dong Kyun; Lee, Won Jai
2014-07-01
Reconstruction of ischial pressure sore defects is challenging due to extensive bursas and high recurrence rates. In this study, we simultaneously applied a muscle flap that covered the exposed ischium and large bursa with sufficient muscular volume and a profunda femoris artery perforator fasciocutaneous flap for the management of ischial pressure sores. We retrospectively analyzed data from 14 patients (16 ischial sores) whose ischial defects had been reconstructed using both a profunda femoris artery perforator flap and a muscle flap between January 2006 and February 2014. We compared patient characteristics, operative procedure, and clinical course. All flaps survived the entire follow-up period. Seven patients (50%) had a history of surgery at the site of the ischial pressure sore. The mean age of the patients included was 52.8 years (range, 18-85 years). The mean follow-up period was 27.9 months (range, 3-57 months). In two patients, a biceps femoris muscle flap was used, while a gracilis muscle flap was used in the remaining patients. In four cases (25%), wound dehiscence occurred, but healed without further complication after resuturing. Additionally, congestion occurred in one case (6%), but resolved with conservative treatment. Among 16 cases, there was only one (6%) recurrence at 34 months. The combination of a profunda femoris artery perforator fasciocutaneous flap and muscle flap for the treatment of ischial pressure sores provided pliability, adequate bulkiness and few long-term complications. Therefore, this may be used as an alternative treatment method for ischial pressure sores.
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Directory of Open Access Journals (Sweden)
Chae Min Kim
2014-07-01
Full Text Available Background Reconstruction of ischial pressure sore defects is challenging due to extensive bursas and high recurrence rates. In this study, we simultaneously applied a muscle flap that covered the exposed ischium and large bursa with sufficient muscular volume and a profunda femoris artery perforator fasciocutaneous flap for the management of ischial pressure sores. Methods We retrospectively analyzed data from 14 patients (16 ischial sores whose ischial defects had been reconstructed using both a profunda femoris artery perforator flap and a muscle flap between January 2006 and February 2014. We compared patient characteristics, operative procedure, and clinical course. Results All flaps survived the entire follow-up period. Seven patients (50% had a history of surgery at the site of the ischial pressure sore. The mean age of the patients included was 52.8 years (range, 18-85 years. The mean follow-up period was 27.9 months (range, 3-57 months. In two patients, a biceps femoris muscle flap was used, while a gracilis muscle flap was used in the remaining patients. In four cases (25%, wound dehiscence occurred, but healed without further complication after resuturing. Additionally, congestion occurred in one case (6%, but resolved with conservative treatment. Among 16 cases, there was only one (6% recurrence at 34 months. Conclusions The combination of a profunda femoris artery perforator fasciocutaneous flap and muscle flap for the treatment of ischial pressure sores provided pliability, adequate bulkiness and few long-term complications. Therefore, this may be used as an alternative treatment method for ischial pressure sores.
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Quillot, M; Lodde, J P; Pegorier, O; Reynaud, J P; Cormerais, A
1994-08-01
The authors propose a modification of the classical design of island flaps for cover of pressure sores, applied to gluteus maximus and tensor fascia lata muscles: the hatchet flap. 31 flaps have been used including 13 gluteus maximus superior flaps for sacral pressure sores, 9 gluteal inferior flaps for ischial pressure sores and 9 tensor fascia lata flaps for trochanteric pressure sores. A small partial necrosis and two cases of sepsis were observed in this series, but did not require surgical revision. The authors emphasize the value of this modification of the classical flap design, which preserves an even better musculocutaneous capital in these patients, who are often already multi-operated. The very rapid recovery of patients supports the authors' application of hatchet flaps to the surgery of pressure sores, and suggests the extension to other musculocutaneous flaps in the future.
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Treatment of pressure sores in spina bifida patients with calcium alginate and foam dressings.
Ausili, E; Paolucci, V; Triarico, S; Maestrini, C; Murolo, D; Focarelli, B; Rendeli, C
2013-06-01
Prospective study on local treatment of pressure sores using calcium alginate and foam dressings in spina bifida patients. Investigate if this sequential approach is valid and safe for selected patients with neurological impairments. Using European Pressure Ulcer Grading System, after clinical evaluation of local sore, selected patients of Spina Bifida Center of Rome were treated with sequential calcium alginate and foam dressings for 12 weeks. Pressure ulcere surfaces were measured monthly by ulcer tracing. The endpoints were the mean absolute areas surface reduction during every month and number of patients achieving a 50% or more during study. 14 patients (7 males aged 12-24 years) with spina bifida and pressure sores were treated. Mean and standard deviation of mean surface area reduction were 12.5 ± 7.5 cm 2 at start of the study versus 3.7 ± 5.2 cm 2 after 12 weeks, p pressure sores in selected patients with spina bifida. In fact, they protect the wound and create an environment favorable to healing.
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Mouth Sores Caused by Cancer Treatment: How to Cope
... leading to sores and infections. Both chemotherapy and radiation can impair your body's germ-fighting system (immune system). With an impaired immune system, viruses, bacteria and fungi can more easily infect your mouth, ...
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Reconstruction of trochanteric pressure sores with pedicled anterolateral thigh myocutaneous flaps.
Wang, Chih-Hsin; Chen, Shih-Yi; Fu, Ju-Peng; Dai, Niann-Tzyy; Chen, Shao-Liang; Chen, Tim-Mo; Chen, Shyi-Gen
2011-05-01
To provide an alternative choice for covering trochanteric pressure sores, we report on a modified pedicle anterolateral thigh (ALT) myocutaneous flap based on the descending branch of the lateral circumflex femoral artery. From August 2007 to January 2010, 20 consecutive patients (10 men and 10 women) underwent 21 pedicled ALT myocutaneous flaps for reconstruction of trochanteric pressure sores. The flap was designed and elevated, resembling the ALT perforator flap including part of the vastus lateralis muscle but without skeletonisation of the perforators. The mean age of patients was 79.4 years (range: 46-103). The mean follow-up period was 13.9 months (range: 3-32). The flaps were 8-21 cm long and 5-11 cm wide. All flaps healed without major complications. All donor sites were closed primarily without skin grafting and showed good aesthetic results. No recurrence was observed. This modified design of pedicled ALT myocutaneous flap without skeletonisation of perforators is a reliable and easily harvested flap for reconstruction of trochanteric pressure sores with limited morbidity. Crown Copyright © 2010. Published by Elsevier Ltd. All rights reserved.
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Directory of Open Access Journals (Sweden)
Elżbieta Chrzan
2016-12-01
• Wyraźnie brakuje w literaturze naukowej pielęgniarskich prac empirycznych z zakresu problematyki i leczenia odleżyn, które pozwoliłyby na weryfikację skuteczności sposobów i metod postępowania w praktyce zawodowej. Summary Prevention and treatment of pressure ulcers are extremely significant problem in nursing care. Bed sores are a source of additional health complications of the patient, are a source of pain and suffering, as well as common financial problems. The purpose of this work is to identify the role played by the nurse in the prevention and treatment of pressure ulcers and the response to the questions of concern: the root Problem: the importance of nursing care in the prevention and treatment of pressure ulcers? Specific problems: what range of preventive activities may take a nurse in preventing pressure ulcers? What is the role of the nurse in the treatment of pressure ulcers? Whether gender, age and diagnosis are important in the treatment of pressure ulcers? Whether the patient's length of stay in hospital has an impact on the progress in the treatment of pressure ulcers? What brings standardization against bed sores stationary care prevention? In response to the above questions it took the following hypothesis: Hypothesis: Nurse full leading role in in prevention against bed sores. and treatment of pressure ulcers. Hypothesis: Sound at a high level of nursing care effectively prevents patients with pressure ulcers. Nurse has a significant impact on therapeutic effects in the process of treatment of pressure ulcers. Age, sex and diagnosis of the patient are variables, which have a significant impact on the treatment of pressure ulcers. Duration of hospitalization, understood as a time of specialized, comprehensive, individual and multilateral treatment of pressure ulcers, has a beneficial effect on progress in the treatment of pressure ulcers. Standardization of nursing care in prevention and treatment of pressure ulcers raises
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[Reliability and validity of the Braden Scale for predicting pressure sore risk].
Boes, C
2000-12-01
For more accurate and objective pressure sore risk assessment various risk assessment tools were developed mainly in the USA and Great Britain. The Braden Scale for Predicting Pressure Sore Risk is one such example. By means of a literature analysis of German and English texts referring to the Braden Scale the scientific control criteria reliability and validity will be traced and consequences for application of the scale in Germany will be demonstrated. Analysis of 4 reliability studies shows an exclusive focus on interrater reliability. Further, even though examination of 19 validity studies occurs in many different settings, such examination is limited to the criteria sensitivity and specificity (accuracy). The range of sensitivity and specificity level is 35-100%. The recommended cut off points rank in the field of 10 to 19 points. The studies prove to be not comparable with each other. Furthermore, distortions in these studies can be found which affect accuracy of the scale. The results of the here presented analysis show an insufficient proof for reliability and validity in the American studies. In Germany, the Braden scale has not yet been tested under scientific criteria. Such testing is needed before using the scale in different German settings. During the course of such testing, construction and study procedures of the American studies can be used as a basis as can the problems be identified in the analysis presented below.
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When a Sore Throat Is a More Serious Infection
... often called Hand, Foot, and Mouth disease). Infectious mononucleosis can produce a sore throat, often with marked ... most young children who are infected with the mononucleosis virus have few or no symptoms. Strep throat ...
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Efficiency of Magnetic Field Treatment on Pressure Sores in Bedridden Patients
Directory of Open Access Journals (Sweden)
Ferda Özdemir
2011-09-01
Full Text Available Objective: Pressure sores are an important source of complications in patients who are immobilized and bedridden. We aimed to investigate the efficiency of magnetic field treatment in pressure sores. Material and Methods: This was a randomized, double blind controlled design study. 20 patients in the study group received magneto-therapy, once a day for 30 minutes and with 150G, keeping to the BTL09 magnetotherapy device’s program. In the control group, 20 patients received the dressing only once a day. The surface areas of the pressure sores were evaluated at the onset of the treatment (1st day, and on the 7th and 15th days.Results: When within group comparisons were conducted, a significant difference was observed between the 1st and 7th day, 7th and 15th day, and 1st and 15th day measures in both the groups in terms of the scar area. The average healing time for the treatment group was 10.80±4.06 (6-20 days, and the average healing time for the control group was 18.85±9.75 (5-32 days. There was a statistically significant difference between the two groups (z=-2.114, p=0.034. Also, there was a significant difference in the scar area between the two groups in the 15th day measure (z=-3.818, p=0.000.Conclusion: The healing process of the tissue can be accelerated.with the use of magnetotherapy in the treatment of pressure sores of stage II and III,
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... teeth (periodontitis), canker sores, oral warts, fever blisters, oral candidiasis (thrush), hairy leukoplakia (which causes a rough, white patch on the tongue), and dental caries. Read More Publications Cover image Mouth Problems + HIV Publication files Download Language English PDF — ...
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[A scale for the assessment of the risk of pressure sores in paediatric intensive care].
Weigel, Virginie
2014-01-01
Pressure sores are a frequent complication in paediatric intensive care. A multi-disciplinary nursing team has drawn up an assessment scale for the risk of pressure sores and has put in place guidelines for caring for children in intensive care. Prevention actions are thereby adapted to each young patient.
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Yücel, Ali; Kan, Yüksel; Yesilada, Erdem; Akın, Onat
2017-01-20
Topical formulations such as oily extracts or ointments prepared with the flowering aerial parts of St. John's wort (Hypericum perforatum L., Hypericaceae) have been used in the management of a wide range dermatological problems including superficial wounds and burns, bruises, contusions and many others in the worldwide traditional medicines. This is the first case study reporting the beneficial effects of an oily extract of St. John's wort in the treatment of pressure sores in a intensive care unit (ICU) patient. The oily extract of St. John's wort was applied to a volunteer patient at ICU daily for forty successive days for wound care and treatment. Healing status was monitored macroscopically by measuring the wound size and stages at certain intervals as well as histopathological evaluation of the tissue sections taken at the initial and final dates of treatment. Evaluation of the results obtained from the macroscopical and histopathological experimentation have shown that oily extract of St. John's wort provided significant efficacy for the treatment of pressure sore wounds. St. John's wort oily extract may be suggested as a cost-effective option for the prevention or treatment of pressure sores in ICU patients. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
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Spotlight on Psoriasis: Preventing Patches of Itchy, Sore Skin
... Subscribe August 2016 Print this issue Spotlight on Psoriasis Preventing Patches of Itchy, Sore Skin En español ... Sun Damage Sun and Skin Wise Choices Avoid Psoriasis Triggers Factors that may trigger psoriasis or make ...
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Directory of Open Access Journals (Sweden)
Harry Laksono
2013-03-01
Full Text Available Background: Local muscle soreness is the most common temporomandibular disorders complaint of patients seeking treatment in the dental clinics. The emergency treatment that can be done in the clinics to manage this disorder is by making anterior bite splint. Anterior bite splint is usually made of acrylic, but currently there is a soft putty impression material that can also be used for making anterior bite splint. The effectiveness of soft putty anterior bite splint in local muscle soreness treatment still has not clear. Purpose: To determine the effectiveness of the soft putty impression material as a material used for making anterior bite splint in the treatment of local muscle soreness. Case: Six patients was reported five female patients aged 20-40 years old and one male patient aged 37 years old with local muscle soreness. Four female patients with a “click” sound on TMJ. Case management: Make differential diagnosis with screening history (anamnesis, clinical examination consists of extra oral examination such as muscle and temporomandibular joint palpation, measure the mandibular movement, end-feel, load test, intra oral examination and radiographic evaluation. Record the results and make the diagnosis. Make a soft putty anterior bite splint, adjusted and inserted in the maxillary anterior teeth. Record the results based on signs and symptoms. Conclusion: It can be concluded that anterior bite splint made of soft putty impression material is effective for treatment the local muscle soreness.Latar belakang: Salah satu tipe temporomandibular disorders yang paling sering dijumpai di klinik dokter gigi adalah local muscle soreness. Perawatan yang dapat dengan segera dilakukan di klinik untuk mengelola gangguan tersebut adalah dengan pembuatan anterior bite splint. Biasanya anterior bite splint terbuat dari akrilik, namun saat ini telah ada bahan cetak soft putty yang memungkinkan untuk dipakai sebagai bahan pembuatan anterior bite splint
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Inferior gluteal artery perforator flap: a viable alternative for ischial pressure sores.
Kim, Young Seok; Lew, Dae Hyun; Roh, Tai Suk; Yoo, Won Min; Lee, Won Jai; Tark, Kwan Chul
2009-10-01
The ischial area is by far the most common site for pressure sores in wheelchair-bound paraplegic patients, because most of the pressure of the body is exerted on this area in the seated position. Even after a series of successful pressure sore treatments, the site is very prone to relapse from the simplest everyday tasks. Therefore, it is crucial to preserve the main pedicle during primary surgery. Several surgical procedures, such as myocutaneous flap and perforator flap, have been introduced for the treatment of pressure sores. During a 4-year time period at our institute, we found favourable clinical results using the inferior gluteal artery perforator (IGAP) procedure for ischial sore treatment. A total of 23 patients (20 males and three females) received IGAP flap surgery in our hospital from January 2003 to January 2007. Surgery was performed on the same site again in 10 (43%) patients who had originally relapsed after undergoing the conventional method of pressure sore surgery. The average age of patients was 47.4 years (range 26-71 years). Most of the patients were paraplegic (16 cases, 70%) and others were either quadriplegic (four cases, 17%) or ambulatory (three cases, 13%). Based on hospital records and clinical photographs, we attempted to assess the feasibility and practicability of the IGAP flap procedure through comparative analysis of several parameters including the size of the defective area, treatment modalities, relapses, complications, and postoperative treatments. The average follow-up duration for 23 subjects was 25.4 months (range 5-42 months). All flaps survived without major complications. Partial flap necrosis developed in one case but secondary healing was achieved and the final outcome was not impaired. Most of the cases healed well during the follow-up period. Postoperative complications such as wound dehiscence and fistula developed in some subjects, but all healed well with a secondary treatment. A total of five cases relapsed
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Decubitus grade IV (deep pressure sore) with intact skin in a patient with spinal cord injury
Theunissen, C.C.W.; Zeilstra, J.T.; van Voorst Vader, P.C.; Kardaun, S.H.; Leeman, F.W.J.
2006-01-01
Even with intact skin the possibility of pressure sores should not be dismissed. Early recognition of a pressure sore is important for adequate treatment and prevention of progression. Multidisciplinary intervention is essential. A wheelchair patient with spinal cord injury is described, who
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[Assessment of patients with pressure sores admitted in a tertiary care center].
Moro, Adriana; Maurici, Alice; do Valle, Juliana Barros; Zaclikevis, Viviane Renata; Kleinubing, Harry
2007-01-01
To determine the prevalence and analyze the profile of patients with pressure sores, focusing on risk factors, the patients' clinical characteristics at a tertiary care center, as well as stage and location of the lesions on the body. This was a cross sectional not controlled observational study, all patients admitted from April to June of 2005 were observed daily to identify all cases of pressure sores. The affected patients were evaluated by a standard questionnaire and the Scale of Braden was applied to define the risk of developing ulcers. Of the 690 patients admitted during the referred period, a prevalence of 5.9% of patients with lesions was observed, equivalent to 41 patients 63.9% of which were elderly and the average length of stay was 18 days. In the sample studied 41.5% of patients were found in the internal medicine section and the intensive care unit, ICU. The most common location for sores was the sacral area, corresponding to 73.1% of the patients, and stage II was the most frequent, observed in 58.5% of those patients. According to the Braden scale, most patients, 80.4%, had a high risk of developing pressure ulcers, compared to 9.7% of patients with moderate risk and 7.4% with low risk. The affected patients were at high risk of developing pressure sores. Prevalence of these lesions and the clinical and demographic profile of the affected patients are in accordance with the data in literature.
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Protecting Your Home from Bed Bugs
... your home: Inspect the luggage rack in your hotel room for bed bugs. Check secondhand furniture, beds, ... with Bed Bug Problems Discover. Accessibility EPA Administrator Budget & Performance Contracting Grants January 19, 2017 Web Snapshot ...
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Xie, Yun; Zhuang, Yue-Hong; Xue, Lan; Zheng, He-Ping; Lin, Jian-Hua
2015-12-01
Gigantic pressure sores pose a daunting challenge for plastic surgeons. This paper presents a composite gluteofemoral flap for reconstruction of large pressure sores over the sacrococcygeal region. In this anatomical study, 30 embalmed cadaveric lower limbs were used for dissection to observe the musculocutaneous perforators of the inferior gluteal artery and the longitudinal nutritional vascular chain of the posterior femoral cutaneous nerve. In this clinical study, eight patients underwent surgical harvest of the composite gluteofemoral flap for coverage of grade IV sacrococcygeal pressure sores. The size of the pressure sores ranged between 16 × 9 cm and 22 × 10 cm. The inferior gluteal artery was present in 26 cases and absent in four cases. It gave off two to four musculocutaneous branches with a diameter larger than 0.5 mm to the gluteus maximus. A direct cutaneous branch was given off at the inferior margin of the gluteus maximus, serving as a nutritional artery for the posterior femoral cutaneous nerve. The size of the flap harvested ranged between 22 × 9 cm and 32 × 10 cm. Flaps in seven patients survived uneventfully and developed epidermal necrosis at the distal margin in one case. An average 2-year follow-up revealed no recurrence of pressure sores. The composite gluteofemoral flap, being robust in blood supply, simple in surgical procedure, and large in donor territory, is an important addition to the armamentarium. Copyright © 2015 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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Antibiotic prescribing in patients with self-reported sore throat
Mehta, Nishchay; Schilder, Anne; Fragaszy, Ellen; E R Evans, Hannah; Dukes, Oliver; Manikam, Logan; Little, Paul; Smith, Sarah C; Hayward, Andrew
2017-01-01
OBJECTIVES: To investigate the predictors of general practitioner (GP) consultation and antibiotic use in those developing sore throat. METHODS: We conducted a prospective population-based cohort study on 4461 participants in two rounds (2010-11) from 1897 households. RESULTS: Participants reported
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Chiari, Paolo; Fontana, Mirella; Bianchi, Tommaso; Bonzagni, Cristina; Galetti, Caterina
2006-01-01
Although guidelines for the management of pressure sores are widely available, their implementation is not always easy and sometimes does not produce the desired changes. To describe the results of a clinical audit aiming at assessing the appropriate use of medications for pressure sores, after the implementation of guidelines. The audit group, with an expert in assessment, a nurse expert in pressure sores, a microbiologist, a dermatologist and a chemist analysed the clinical and nursing records of all the patients with a pressure sore, discharged during the first trimester of 2005 and 2006, after the implementation of the guidelines, from wards with higher prevalence of pressure sores: geriatric, medical, intensive care, rehabilitation and post acute wards. Each documented treatment was classified as appropriate, not appropriate or "grey area", treatments inappropriate according to guidelines but not according to expert or current knowledge (e.g. poliurethane medications for heel pressure sores). After each stage, the results were returned and discussed with the involved wards. One hundred 74 patients were surveyed in 2005 and 199 in 2006, with a total of respectively 287 and 326 sores. The percentage of inappropriate treatments was 20% in 2005 and 12.8% in 2006 (OR 1.79 I.C. 95% 1.10- 2.91), while an increase of treatments considered grey area (from 7% to 13.5%) was observed. The medium number of medications used was 17.3 per lesion, in 2005 and 16.4 in 2006 with a cost respectively of 83.6 and 67.35 per lesion, but the two populations were not strictly comparable. Clinical audit is a strategy that involving doctors and nurses, may promote positive changes. The rate of inappropriate treatments (higher in areas with high turnover of nurses) can be improved with educational interventions. The identification of treatments of the grey area highlights the need of periodically revising guidelines to update their contents according to new knowledge and technologies.
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Muscle fascicle behavior during eccentric cycling and its relation to muscle soreness.
Peñailillo, Luis; Blazevich, Anthony J; Nosaka, Kazunori
2015-04-01
A single bout of eccentric exercise confers a protective effect against muscle damage and soreness in subsequent eccentric exercise bouts, but the mechanisms underpinning this effect are unclear. This study compared vastus lateralis (VL) muscle-tendon behavior between two eccentric cycling bouts to test the hypothesis that muscle-tendon behavior would be different between bouts and would be associated with the protective effect. Eleven untrained men (27.1 ± 7.0 yr) performed two bouts of eccentric cycling (ECC1 and ECC2) separated by 2 wk for 10 min at 65% of maximal concentric workload (191.9 ± 44.2 W) each. Muscle soreness (by visual analog scale) and maximal voluntary isometric contraction (MVC) torque of the knee extensors were assessed before and 1-2 d after exercise. Using ultrasonography, VL fascicle length and angle changes during cycling were assessed, and tendinous tissue (TT) length changes were estimated. VL EMG amplitude, crank torque, and knee joint angles were measured during cycling. Soreness was greater (P tendon behavior may be an important mechanism underpinning the protective effect.
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Medicinal Plants for Healing Sores and Wounds among the ...
African Journals Online (AJOL)
Medicinal Plants for Healing Sores and Wounds among the Communities Surrounding Ungoye Forest, Kwazulu-Natal, South Africa. ... The focus was on the medicinal plants that grow in the Ungoye forest and around the homesteads. The survey ... Keywords: Traditional medicine, documentation, Ethno-survey, wounds.
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Cirugía reconstructiva de las úlceras por presión Reconstructive surgery of pressure sores
Directory of Open Access Journals (Sweden)
2007-09-01
Full Text Available Pressure sores are frequent in certain group of patients with predisposing conditions. In their evolution, this type of sores may require surgery, but the incidence of postoperative complications is high in this type of patients, given the confluence of factors that go against the sucessful surgery of these lesions in these patients. A retrospective cross-sectional descriptive study was made to evaluate the results of surgical treatment of pressure sores in a 3 years-period. Taking into account the studied variables, the drawn conclusions will allow designing new strategies for care of these patients, in order to reduce postoperative morbidity and lenght of stay at hospital
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Agglomeration of bed material: Influence on efficiency of biofuel fluidized bed boiler
Directory of Open Access Journals (Sweden)
Ryabov Georgy A.
2003-01-01
Full Text Available The successful design and operation of a fluidized bed combustor requires the ability to control and mitigate ash-related problems. The main ash-related problem of biomass filing boiler is agglomeration. The fluidized bed boiler with steam capacity of 66 t/h (4 MPa, 440 °C was started up at the Arkhangelsk Paper-Pi dp-Plant in 2001. This boiler was manufactured by the Russian companies "Energosofin" and "Belenergomash" and installed instead of the existing boiler with mechanical grate. Some constructional elements and steam drum of existing boiler remained unchanged. The primary air fan was installed past the common air fan, which supply part of the air into 24 secondary airports. First operating period shows that the bed material is expanded and then operator should increase the primary air rate, and the boiler efficiency dramatically decreases. Tills paper presents some results of our investigations of fuel, bed and fly ash chemical compositions and other characteristics. Special experiments were carried out to optimize the bed drain flow rate. The influence of secondly air supply improvement on mixing with the main flow and boiler efficiency are given.
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Velaei, Kobra; Bayat, Mohammad; Torkman, Giti; Rezaie, Fatemealsadat; Amini, Abdollah; Noruzian, Mohsen; Tavassol, Azaedh; Bayat, Mehernoush
2012-09-01
This study used a biomechanical test to evaluate the effects of pentoxifylline administration on the wound healing process of an experimental pressure sore induced in rats. Under general anesthesia and sterile conditions, experimental pressure sores generated by no. 25 Halsted mosquito forceps were inflicted on 12 adult male rats. Pentoxifylline was injected intraperitoneally at a dose of 50 mg/kg daily from the day the pressure sore was generated, for a period of 20 days. At the end of 20 days, rats were sacrificed and skin samples extracted. Samples were biomechanically examined by a material testing instrument for maximum stress (N mm(2)), work up to maximum force (N), and elastic stiffness (N/mm). In the experimental group, maximum stress (2.05±0.15) and work up to maximum force (N/mm) (63.75±4.97) were significantly higher than the control group (1.3±0.27 and 43.3±14.96, P=0.002 and P=0.035, respectively). Pentoxifylline administration significantly accelerated the wound healing process in experimental rats with pressure sores, compared to that of the control group.
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Energy Technology Data Exchange (ETDEWEB)
Andersson, Kajsa; Gervind, Pernilla
2009-07-01
Agglomeration of bed sand is a common problem during combustion of biofuels with high ash content in fluidized bed boilers. Former studies have shown that co-combustion of biofuels with sewage sludge increases the agglomeration temperature. Sewage sludge has a low heating value and high ash content. It would therefore be better to use sludge as an additive to the combustion than as a co-combusted biofuel. In this study the trigging value of sludge addition to the combustion of some biofuel was investigated. The effect of adding sludge with different precipitation chemicals, iron sulphate and aluminium sulphate, was investigated. The biofuels used for the experiments were bark, refused derived fuel (RDF) and a mixture of wood and straw, 75/25 % on energy basis. All experiments were carried out in a laboratory scale fluidized bed reactor. Analyses of chemical composition of bed sand and SEM/EDX analyses were performed after the combustion. Eventually agglomeration tests were performed in order to find the agglomeration temperature of the samples. Some of the samples sintered during the combustion and were not tested for the agglomeration temperature. SEM/EDX showed that all samples of bed sand contained sand particles with more or less coatings. In some cases the coatings seemed to consist of one dense inner layer and one more porous outer layer. From SEM/EDX and chemical composition analyses it was found that the total amount of phosphorous in the bed sand samples was increased with an increased addition of sludge in all experiments. The concentration of phosphorous was especially higher in the outer layers/coatings. It was also found that elements from the sludge seem to get caught by a sticky layer at the bed sand surface and form a non-sticky or less sticky layer that prevents agglomeration. The total amount of aluminium was increased with an increased addition of sludge for the wood/straw samples, while it increased with an increased amount of combusted fuel for
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APLIKASI PEMESANAN MAKANAN ONLINE BERBASIS WEB PADA RUMAH MAKAN PAGI SORE SIPIN JAMBI
Directory of Open Access Journals (Sweden)
Novhirtamely Kahar
2013-07-01
Full Text Available Rumah Makan Pagi Sore Sipin Jambi merupakan rumah makan yang menyediakan bermacam-macam menu makanan khas minang dan memiliki banyak pelanggan. Pemesanan makanan bagi pelanggan tetap jika jarak tempat tinggal dengan rumah makan berjauhan selama ini dilakukan melalui telepon. Cara tersebut memiliki kendala, salah satunya pelanggan tidak mengetahui daftar menu dan harga yang ditawarkan oleh rumah makan. Penelitian ini bertujuan untuk membangun aplikasi pemesanan makanan online sehingga penyampaian informasi menjadi cepat, akurat, memiliki jangkauan yang luas, serta dapat memesan makanan secara online. Sistem aplikasi pemesanan ini terdiri dari aplikasi untuk pelanggan dan admin. Aplikasi untuk pelanggan terdiri dari : Home, Profil, Menu, Paket Catering, Promotion, Info, dan Pemesanan. Aplikasi pemesanan untuk pelanggan terdiri dari Delivery Service, Paket Catering Service, dan Paket Catering Ruang Minang. Sedangkan aplikasi untuk admin terdiri dari olah data menu utama, transaksi, dan laporan. Untuk transaksi pembayaran dilakukan secara cash kepada bagian pengiriman. Sistem aplikasi ini dibangun dengan menggunakan PHP dan database MySQL. Dengan dibangunnya aplikasi ini, maka pelanggan dengan mudah mendapatkan informasi tentang Rumah Makan Pagi Sore Sipin Jambi dan dapat melakukan pemesanan makanan dimana saja dan kapan saja, sehingga dapat meningkatkan jumlah pelanggan dan berdampak pada peningkatan profit Rumah Makan Pagi Sore tersebut.Rumah Makan Pagi Sore Sipin Jambi merupakan rumah makan yang menyediakan bermacam-macam menu makanan khas minang dan memiliki banyak pelanggan. Pemesanan makanan bagi pelanggan tetap jika jarak tempat tinggal dengan rumah makan berjauhan selama ini dilakukan melalui telepon. Cara tersebut memiliki kendala, salah satunya pelanggan tidak mengetahui daftar menu dan harga yang ditawarkan oleh rumah makan. Penelitian ini bertujuan untuk membangun aplikasi pemesanan makanan online sehingga penyampaian informasi menjadi
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Sports Mass Age Therapy on the Reduction of Delayed Onset Muscle Soreness of the Quadriceps Femoris
Directory of Open Access Journals (Sweden)
Boguszewski Dariusz
2014-12-01
Full Text Available Purpose. Massage therapy is one of most commonly applied treatments during athletic training. The aim of this study was to assess the effectiveness of sports massage therapy on reducing post-exercise quadriceps muscle soreness. Methods. A sample of 29 women aged 24-26 years was divided into an experimental group (n = 15 receiving classic sports massage therapy and a control group (n = 14 given no treatment. An exercise session consisting of five sets of deep squat jumps was administered after which lower limb power as assessed via the vertical jump test. Muscle soreness was assessed using the visual analogue scale (VAS and exercise intensity with the Borg Rating of Perceived Exertion Scale. Subsequent measurements of lower limb power and muscle soreness were performed 24, 48, 72 and 96 h after the exercise session. Differences between the measurements were assessed by the Friedman and least significant difference tests while between-group comparisons involved the Mann-Whitney U test. Results. The largest decrease in lower limb power was observed between the first measurement after the exercise session and 24 h later (p < 0.01. The smallest decrease in power was observed in the massage group. The highest levels of muscle soreness were noted 24 h post-exercise in the massage group and 48 h post-exercise in the control group. The experimental group showed a decrease in muscle soreness in each subsequent measurement, with the results close to zero on the VAS 96 h postexercise. Conclusions. Massage therapy quickened recovery and improved muscle efficiency post-exercise and may serve as an effective treatment of muscle soreness. The analgesic effect of massage suggests it should be widely applied in sport, physical therapy and rehabilitation.
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Fixed-bed Reactor Dynamics and Control - A Review
DEFF Research Database (Denmark)
Jørgensen, S. B.
1986-01-01
The industrial diversity of fixed bed reactors offers a challenging and relevant set of control problems. These intricate problems arise due to the rather complex dynamics of fixed bed reactors and to the complexity of actual reactor configurations. Many of these control problems are nonlinear...... and multi-variable. During the last decade fixed bed reactor control strategies have been proposed and investigated experimentally. This paper reviews research on these complex control problems with an emphasis upon solutions which have been demon-strated to work in the laboratory and hold promise...
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Laser homeostatics on delayed onset muscle soreness
Energy Technology Data Exchange (ETDEWEB)
Liu, T C Y; Fu, D R; Liu, X G; Tian, Z X, E-mail: liutcy@scnu.edu.cn [Lab Laser Sports Medicine, South China Normal University, University Town, Guangzhou, GD 510006 (China)
2011-01-01
Delayed onset muscle soreness (DOMS) and its photobiomodulation were reviewed from the viewpoint of function-specific homeostasis (FSH) in this paper. FSH is a negative-feedback response of a biosystem to maintain the function-specific fluctuations inside the biosystem so that the function is perfectly performed. A stressor may destroy a FSH. A stress is a response of a biosystem to a stressor and may also be in stress-specific homeostasis (StSH). A low level light (LLL) is so defined that it has no effects on a function in its FSH or a stress in its StSH, but it modulate a function far from its FSH or a stress far from its StSH. For DOMS recovery, protein metabolism in the Z-line streaming muscular cell is the essential process, but the inflammation, pain and soreness are non-essential processes. For many DOMS phenomena, protein metabolism in the Z-line streaming muscular cell is in protein metabolism-specific homeostasis (PmSH) so that there are no effects of LLL although the inflammation can be inhibited and the pain can be relieved. An athlete or animal in the dysfunctional conditions such as blood flow restriction and exercise exhaustion is far from PmSH and the protein metabolism can be improved with LLL.
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International Nuclear Information System (INIS)
Elliott, D.E.; Healey, E.M.; Roberts, A.G.
1974-01-01
Problems that have arisen during the initial stages of development of fluidised bed boilers in which heat transfer surfaces are immersed in fluidised solids are discussed. The very high heat transfer coefficients that are obtained under these conditions can be exploited to reduce the total heat transfer surface to a fraction of that in normal boilers. However, with the high heat flux levels involved, tube stressing becomes more important and it is advantageous to use smaller diameter tubes. One of the initial problems was that the pumping power absorbed by the fluidised bed appeared to be high. The relative influence of the fluidising velocity (and the corresponding bed area), tube diameter, tube spacing, heat transfer coefficient and bed temperature on pumping power and overall cost was determined. This showed the importance of close tube packing and research was undertaken to see if this would adversely affect the heat transfer coefficient. Pressure operation also reduces the pumping power. Fouling and corrosion tests in beds burning coal suggest that higher temperatures could be reached reliably and cost studies show that, provided the better refractory metals are used, the cost of achieving higher temperatures is not unduly high. It now remains to demonstrate at large scale that the proposed systems are viable and that the methods incorporated to overcome start up and part lead running problems are satisfactory. The promising role of these heat transfer techniques in other applications is briefly discussed
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Pressure sores and underlying bone infection
International Nuclear Information System (INIS)
Sugarman, B.
1987-01-01
Pressure sores are a serious complication of hospitalized and chronically ill patients. Evaluation for underlying bone infection can be made difficult by radiographic, nuclear imaging, and soft-tissue culture studies that are abnormal and suggest the presence of bone infection, when no infection is present. Evaluation by bone biopsy with histologic and microbiological studies can accurately and promptly diagnose whether bone infection is present. This allows appropriate treatment when infection is present, and prevents unneeded and potentially toxic antibiotic therapy when preliminary studies incorrectly suggest that infection is present
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Pressure sores–a constant problem for plegic patients and a permanent challenge for plastic surgery
Marinescu, S; Florescu, IP; Jecan, C
2010-01-01
Pressure sores–a constant problem for plegic patients and a permanent challenge for plastic surgery Pressure sores can be defined as lesions caused by unrelieved pressure resulting in damage of the underlying tissue. They represent a common problem in the pathology of plegic patients and, plastic surgery has a significant role in their treatment. Pressure sores occur over bony prominences and so, they are most commonly seen at the sacrum and trochanters in paralyzed patients and at ischium for the patients who sit in a wheelchair for a long time. For these patients, surgical treatment is very important because on one hand, it stops the loss of nutrients and proteins at the site of the pressure sore, and on the other hand, it permits the initiation of neuromuscular recuperation treatment much faster. PMID:20968200
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The characteristics of bed agglomeration during fluidized bed combustion of eucalyptus bark
International Nuclear Information System (INIS)
Chaivatamaset, Pawin; Tia, Suvit
2015-01-01
The bed agglomeration behaviors were investigated experimentally when eucalyptus bark was burning tested in a laboratory scale fluidized bed reactor. The focuses of this work were the influences of operating conditions and bed materials on the bed agglomeration tendency and the elucidation in the behaviors of fuel inorganic elements and the governing mode of the agglomeration. It was found that the defluidization caused by the bed agglomeration was clearly detectable from the decrease in measured bed pressure. The growth of bed particle and accumulation of agglomerates during combustion provided the partial to complete defluidization. The defluidization was promoted by the increase of bed temperature and bed particle size, and the decrease of fluidizing air velocity. The SEM-EDS analyses revealed that the bed agglomeration was mainly attributed to the formation of potassium silicate compounds as liquid phase during the combustion. This was initiated by the chemical reaction between the bed particle and the released ash constituents. In this study, the inorganic migration from fuel particle to bed particle was likely dominated by the condensation/reaction. The thermodynamic examination by ternary phase diagram analysis corroborated that the liquid phase formation of the ash derived materials controlled the agglomeration. The alumina sand prevented the bed agglomeration since it was inactive in the formation of viscous molten substances during combustion at the observed temperatures. - Highlights: • The behaviors of bed agglomeration were studied during the fluidized bed combustion of eucalyptus bark. • The increase in bed temperature and sand size, and the decrease of air velocity promoted bed defluidization. • The formation of molten potassium silicate compounds conduced to the bed agglomeration. • Condensation/reaction was the dominant inorganic migration mechanism from fuel particle to bed particle. • The alumina sand prevented effectively the bed
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[Support devices for the prevention and treatment of pressure sores].
Perrouin-Verbe, Brigite
2014-12-01
There is a strategy to be followed in the treatment of patients with specific pathologies placing them at high risk of pressure sores. In some cases, sophisticated support devices are used.These techniques must be combined with basic good practices.
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Directory of Open Access Journals (Sweden)
W. Calderón
2010-12-01
Full Text Available Las úlceras trocantéreas por presión representan un problema importante a nivel extra e intrahospitalario. Existen múltiples opciones terapéuticas, ya sean colgajos randomizados, musculocutáneos, fasciocutáneos o libres. Presentamos la técnica quirúrgica del colgajo en hacha de tensor de fascia lata para el tratamiento de esta patología. Consiste en el diseño de un colgajo en V con irrigación por su base superior, que contacta con la úlcera por uno de sus extremos, simulando la forma de un hacha. Resecamos la úlcera hasta obtener un lecho vital, resecando además el hueso prominente dicho hasta un plano en que se visualice tejido sano. Levantamos y rotamos el colgajo cubriendo el defecto. Finalmente se realiza el cierre primario en VY sin tensión. La zona donante permite un cierre primario sin tensión. Mantenemos drenajes durante 10 días. Este colgajo permite obtener una buena cobertura para úlceras trocantéreas por decúbito con un adecuado resultado cosmético. Recogemos una casuística de 17 úlceras tratadas mediante el colgajo descrito; como complicaciones se presentaron 3 seromas, resueltos con sistema de cierre con presión negativa externa e interna; 2 casos de dehiscencia de sutura y 2 hematomas resueltos en pabellón de cirugía. Creemos pertinente conocer este colgajo que debe estar siempre presente dentro de las posibilidades terapéuticas para pacientes con úlceras trocantereas por decúbito.The trochanteric pressure sore it´s an important intra and extrahospitalary problem. There are different therapeutic options for this pathology, for example random, musculocutaneous, fasciocutaneous or free flaps. We present the hatchet-shaped fascia lata tensor flap to treat this kind of lesions. We design a V flap with irrigation in the superior base, having one of the extreme in contact with the sore. The shape of the flap is a hatchet. It´s important to get a vital bed resecting affected tissues and prominent bone; then
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Huang, Tze-Ta; Tseng, Chih-En; Lee, Tsan-Mu; Yeh, Jen-Ying; Lai, Yu-Yung
2009-03-01
Nasal-ala pressure sores induced by nasotracheal intubation are common complications of oral and maxillofacial surgery, but are easily ignored. To determine whether such sores could be prevented, we studied the effects of a combination of cushioning material in an animal model, and then analyzed the efficacy of this combination clinically. Four pigs received nasotracheal intubation. Each pig received intubation for 4, 8, 12, or 16 hours. Outcomes from pigs undergoing 500-gram-weight compression on each nostril were compared: one nostril received an application of cushioning materials, and the contralateral nostril did not. After the required study period, clinical assessment and further evaluation were performed by measuring pressure-sore dimensions and performing incisional biopsies. Clinical applications of this protective technique were then undertaken. Eight patients who underwent intubation without Soft Liner (GC Co, Tokyo, Japan) and DuoDERM CGF (ConvaTec, Inc, Princeton, NJ) protection, and 10 patients with Soft Liner and DuoDERM protection, were evaluated. The protective efficacy of the cushioning materials was significant in the animal model as well as in clinical practice. Pressure sores were avoided on the protected side, with severe tissue necrosis documented on the control side. We found that the combined use of Soft Liner and DuoDERM reduced the size and severity of nasal-ala pressure sores attributable to nasotracheal intubation during oral and maxillofacial surgery.
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Hai, Henglin; Li, Huatao; Chen, Yang; Li, Qiang; Wu, Shenggang; Lili, Wang; Yan, Lei; Xiaoying, Zhou
2013-03-01
To investigate the effectiveness of pedicled superior gluteal artery perforator bilateral quadrilobed flaps for repairing large sacrococcygeal pressure sores. Between June 2003 and August 2011, 6 paraplegia patients with large sacrococcygeal pressure sores were repaired with the pedicled superior gluteal artery perforator bilateral quadrilobed flaps. There were 2 males and 4 females with an average age of 45.6 years (range, 37-62 years). The mean disease duration was 8.4 months (range, 3-26 months). According to National Pressure Ulcer Advisory Panel (NPUAP) standard, 6 cases rated as degree IV. The size of pressure sores ranged from 15 cm x 13 cm to 18 cm x 16 cm. The size of flaps ranged from 18 cm x 14 cm to 21 cm x 15 cm. After operation, all flaps survived successfully. The wounds healed by first intention in 5 cases; partial dehiscence of incision occurred in 1 case, which was cured after dressing change for 26 days. Six patients were followed up 6-24 months (mean, 12.5 months). The appearance and texture of the flaps were smooth and soft with good elasticity and no ulceration. Pedicled superior gluteal artery perforator bilateral quadrilobed flaps can repair large sacrococcygeal pressure sores. The appearance of flaps is smooth and has good compression-resistance effect.
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Maldonado, Sergio; Borthwick, Alistair G L
2018-02-01
We derive a two-layer depth-averaged model of sediment transport and morphological evolution for application to bedload-dominated problems. The near-bed transport region is represented by the lower (bedload) layer which has an arbitrarily constant, vanishing thickness (of approx. 10 times the sediment particle diameter), and whose average sediment concentration is free to vary. Sediment is allowed to enter the upper layer, and hence the total load may also be simulated, provided that concentrations of suspended sediment remain low. The model conforms with established theories of bedload, and is validated satisfactorily against empirical expressions for sediment transport rates and the morphodynamic experiment of a migrating mining pit by Lee et al. (1993 J. Hydraul. Eng. 119 , 64-80 (doi:10.1061/(ASCE)0733-9429(1993)119:1(64))). Investigation into the effect of a local bed gradient on bedload leads to derivation of an analytical, physically meaningful expression for morphological diffusion induced by a non-zero local bed slope. Incorporation of the proposed morphological diffusion into a conventional morphodynamic model (defined as a coupling between the shallow water equations, Exner equation and an empirical formula for bedload) improves model predictions when applied to the evolution of a mining pit, without the need either to resort to special numerical treatment of the equations or to use additional tuning parameters.
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Maldonado, Sergio; Borthwick, Alistair G. L.
2018-02-01
We derive a two-layer depth-averaged model of sediment transport and morphological evolution for application to bedload-dominated problems. The near-bed transport region is represented by the lower (bedload) layer which has an arbitrarily constant, vanishing thickness (of approx. 10 times the sediment particle diameter), and whose average sediment concentration is free to vary. Sediment is allowed to enter the upper layer, and hence the total load may also be simulated, provided that concentrations of suspended sediment remain low. The model conforms with established theories of bedload, and is validated satisfactorily against empirical expressions for sediment transport rates and the morphodynamic experiment of a migrating mining pit by Lee et al. (1993 J. Hydraul. Eng. 119, 64-80 (doi:10.1061/(ASCE)0733-9429(1993)119:1(64))). Investigation into the effect of a local bed gradient on bedload leads to derivation of an analytical, physically meaningful expression for morphological diffusion induced by a non-zero local bed slope. Incorporation of the proposed morphological diffusion into a conventional morphodynamic model (defined as a coupling between the shallow water equations, Exner equation and an empirical formula for bedload) improves model predictions when applied to the evolution of a mining pit, without the need either to resort to special numerical treatment of the equations or to use additional tuning parameters.
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Delayed onset muscle soreness: No pain, no gain? The truth behind ...
African Journals Online (AJOL)
Delayed onset muscle soreness (DOMS) is muscle pain and stiffness that develops ... limited success in reducing the symptoms.1,4-6 The DOMS phenomenon ... Nutritional supplementation (antioxidants and L-carnitine) shows promise, but ...
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Chen, Yen-Chou; Huang, Eng-Yen; Lin, Pao-Yuan
2014-03-01
The gluteus maximus myocutaneous flap was considered the workhorse that reconstructed sacral pressure sores, but was gradually replaced by fasciocutaneous flap because of several disadvantages. With the advent of the perforator flap technique, gluteal perforator (GP) flap has gained popularity nowadays. The aim of this study was to compare the complications and outcomes between GP flaps and gluteal fasciocutaneous rotation (FR) flaps in the treatment of sacral pressure sores. Between April 2007 and June 2012, 63 patients underwent sacral pressure sore reconstructions, with a GP flap used in 31 cases and an FR flap used in 32 cases. Data collected on the patients included patient age, gender, co-morbidity for being bedridden and follow-up time. Surgical details collected included the defect size, operative time and estimated blood loss. Complications recorded included re-operation, dehiscence, flap necrosis, wound infection, sinus formation, donor-site morbidity and recurrence. The complications and clinical outcomes were compared between these two groups. We found that there was no significant difference in patient demographics, surgical complications and recurrence between these two groups. In gluteal FR flap group, all recurrent cases (five) were treated by reuse of previous flaps. Both methods are comparable, good and safe in treating sacral pressure sores. Gluteal FR flap can be performed without microsurgical dissection, and re-rotation is feasible in recurrent cases. The authors suggest using gluteal FR flaps in patients with a high risk of sore recurrence. Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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Directory of Open Access Journals (Sweden)
Ali Karbasfrushan
2014-10-01
Full Text Available Introduction: Nausea and vomiting after ear, nose and throat (ENT surgery is one of the most common and notable problems facing anesthesiologists in this area. This study was conducted to determine the effect of a pharyngeal pack on the severity of nausea, vomiting, and sore throat among patients after ear, pharynx, and throat surgeries. Materials and Methods: This randomized clinical study was performed in 140 patients (61 men and 79 women; age range, 20–40 years who had undergone nasal surgery in 2010. Patients were divided into two groups: the first group were treated using a pharyngeal pack (case group and the second group were managed without a pharyngeal pack (control group. Statistical analysis was performed using the Chi-square test and the Mann-Whitney U test. SPSS software was used for data analysis. Results: The mean severity of nausea and vomiting in the two groups was 2.057, 1.371 and 1.100, respectively, with no significant differences between groups. However, the mean severity of sore throat was 1.714 in the group with the pharyngeal pack and 1.385 in the group without pharyngeal pack (P=0.010. Conclusion: Not only does a pharyngeal pack in ENT surgery not reduce the extent and severity of nausea and vomiting, but it also increases the severity of sore throat in patients when leaving the recovery room and discharging hospital.
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Tabari, Masumeh; Soltani, Ghasem; Zirak, Nahid; Alipour, Moammad; Khazaeni, Kamran
2013-09-01
Postoperative sore throat is a common complaint in patients with endotracheal intubation and has potentially dangerous complications. This randomized controlled trial study investigated the incidence of postoperative sore throat after general anesthesia when betamethasone gel is applied to a tracheal tube compared with when IV dexamethasone is prescribed. Two hundred and twenty five American Society of Anesthesiologist (ASA)-class I and II patients undergoing elective abdominal surgery with tracheal intubation were randomly divided into three groups: betamethasone gel, intravenous (IV) dexamethasone, and control groups. In the post-anesthesia care unit, a blinded anesthesiologist interviewed all patients regarding postoperative sore throat at 1,6, and 24 hours after surgery. The incidence of sore throat was significantly lower in the betamethasone gel group compared with the IV dexamethasone and control groups, 1, 6, and 24 hours after surgery. In the first day after surgery 10.7% of the betamethasone group had sore throat whereas 26.7% of the IV dexamethasone group and 30.7% of the control group had sore throat. Bucking before extubation was observed in 14(18.4%), 8(10.4%), and 9(12.2%) patients, in the IV dexamethasone, betamethasone gel, and control group, respectively. We concluded that wide spread application of betamethasone gel over tracheal tubes effectively mitigates postoperative sore throat, compared with IV dexamethasone application.
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Directory of Open Access Journals (Sweden)
Masoomeh Tabari
2013-10-01
Full Text Available Introduction: Postoperative sore throat is a common complaint in patients with endotracheal intubation and has potentially dangerous complications. This randomized controlled trial study investigated the incidence of postoperative sore throat after general anesthesia when betamethasone gel is applied to a tracheal tube compared with when IV dexamethasone is prescribed. Materials and Methods: Two hundred and twenty five American Society of Anesthesiologist (ASA-class I and II patients undergoing elective abdominal surgery with tracheal intubation were randomly divided into three groups: betamethasone gel, intravenous (IV dexamethasone, and control groups. In the post-anesthesia care unit, a blinded anesthesiologist interviewed all patients regarding postoperative sore throat at 1,6, and 24 hours after surgery. Results: The incidence of sore throat was significantly lower in the betamethasone gel group compared with the IV dexamethasone and control groups, 1, 6, and 24 hours after surgery. In the first day after surgery 10.7% of the betamethasone group had sore throat whereas 26.7% of the IV dexamethasone group and 30.7% of the control group had sore throat. Bucking before extubation was observed in 14(18.4%, 8(10.4%, and 9(12.2% patients, in the IV dexamethasone, betamethasone gel, and control group, respectively. Conclusion: We concluded that wide spread application of betamethasone gel over tracheal tubes effectively mitigates postoperative sore throat, compared with IV dexamethasone application.
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Antioxidants for preventing and reducing muscle soreness after exercise.
Ranchordas, Mayur K; Rogerson, David; Soltani, Hora; Costello, Joseph T
2017-12-14
Muscle soreness typically occurs after intense exercise, unaccustomed exercise or actions that involve eccentric contractions where the muscle lengthens while under tension. It peaks between 24 and 72 hours after the initial bout of exercise. Many people take antioxidant supplements or antioxidant-enriched foods before and after exercise in the belief that these will prevent or reduce muscle soreness after exercise. To assess the effects (benefits and harms) of antioxidant supplements and antioxidant-enriched foods for preventing and reducing the severity and duration of delayed onset muscle soreness following exercise. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, SPORTDiscus, trial registers, reference lists of articles and conference proceedings up to February 2017. We included randomised and quasi-randomised controlled trials investigating the effects of all forms of antioxidant supplementation including specific antioxidant supplements (e.g. tablets, powders, concentrates) and antioxidant-enriched foods or diets on preventing or reducing delayed onset muscle soreness (DOMS). We excluded studies where antioxidant supplementation was combined with another supplement. Two review authors independently screened search results, assessed risk of bias and extracted data from included trials using a pre-piloted form. Where appropriate, we pooled results of comparable trials, generally using the random-effects model. The outcomes selected for presentation in the 'Summary of findings' table were muscle soreness, collected at times up to 6 hours, 24, 48, 72 and 96 hours post-exercise, subjective recovery and adverse effects. We assessed the quality of the evidence using GRADE. Fifty randomised, placebo-controlled trials were included, 12 of which used a cross-over design. Of the 1089 participants, 961 (88.2%) were male and 128 (11.8%) were female. The age range for
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Giant Cell Fibroblastoma: A Case Report
Directory of Open Access Journals (Sweden)
Mohd Jaseem Hassan
2012-05-01
Full Text Available Pressure sore is tissue ulceration due to unrelieved pressure, altered sensory perception, and exposure to moisture. Geriatric patients with organic problems and patients with spinal cord injuries are the high-risk groups. Soft tissues over bony prominences are the common sites for ulcer development. About 95% of pressure ulcers occur in the lower part of the body. Ischial tuberosity, greater trochanter, sacrum and heel are common sites. In addition to these, pressure sores at unusual sites like nasal alae, malar eminences, cervical region and medial side of knee have also been described. Only 1.6% of the patients present with sores in areas outside the pelvis and lower extremity. In a paraplegic patient, pressure sores are usually over extensor surface of knee and heel but pressure ulcer over popliteal fossa are extremely rare. We herein report a case of a 36-years-old diabetic and paraplegic male, who presented with multiple bed sores involving the sacral area, heels and bilateral popliteal fossa. Popliteal fossa is an unusual site for pressure sores. Only one similar case has been previously reported in the literature.
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How social media meet patients questions: YouTube review for mouth sores in children.
Di Stasio, D; Romano, A; Paparella, R S; Gentile, C; Serpico, R; Minervini, G; Candotto, V; Laino, L
2018-01-01
Recurrent aphthous stomatitis (RAS) is one of the most common causes of mouth sores in children so the management of this condition is a matter of great importance. YouTube is increasingly being used by patients to obtain health-related information. The aim of this work is to examine the quality of information offered by YouTube about mouth sores in children (MSC). Searching the term mouth sores in children, (MSC) displayed 12.300 results. Of the top 60 videos analyzed, 31 were excluded following exclusion criteria. The major source of upload was from healthcare information channels (HC-41,38%), followed by individual users (HP-25.59%), healthcare professionals (IU-17.24%) and generalist information channels (HC-13.78%); 20.69% of them deal with predisposing factors, and related pathologies, the majority of these propose home remedies (60.72%) rather than topical analgesic drugs (21.43%), antimicrobials (7.14%) and topical steroids (3.57). Most of the videos analyzed were slightly useful (68.97%). Information about mouth sores in children on YouTube was poor regardless of the upload source. Analyzing health content on social platforms is a starting point for providing greater quality of health-related information.
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Djedovic, Gabriel; Morandi, Evi M; Metzler, Julia; Wirthmann, Anna; Matiasek, Johannes; Bauer, Thomas; Rieger, Ulrich M
2017-12-01
The development of pressure sores is still not only an enormous economical but also a medical burden. Especially in the ischial region, the local defect coverage remains demanding as it is the main weight-bearing area in wheelchair-mobilised patients and is prone to high mobility. The purpose of our study was to report our long-time experience with the reconstruction of ischial pressure ulcers with the medially based posterior thigh flap. A retrospective analysis of all primary pressure sores grade III-IV in the ischial area, which were covered with a medially based posterior thigh flap between January 2008 and December 2014, at our department was conducted. A total of 28 patients underwent defect coverage of an ischial pressure sore with the aforementioned flap. The subgroup with complications showed a statistically significant longer hospital stay. A statistically significant correlation between age and the coincidence of comorbidities could be seen. Older patients showed significantly higher grades of pressure sores. The medially based posterior thigh flap is a safe and reliable flap design. Complication rates are comparable to other flaps. Nevertheless, in case of complications, a significantly longer duration of hospitalisation has to be taken into account. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
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Parental contribution to over prescription of antibiotics for sore throat ...
African Journals Online (AJOL)
Introduction: Antibiotics are often prescribed by physicians for sore throat in children because of the danger of post streptococcal complications. The role of the parents in over prescription of antibiotics is less well known. Objective: To evaluate the knowledge, attitudes and practice of parents to antibiotic prescription for ...
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Clinical effects of Angelica dahurica dressing on patients with I-II phase pressure sores.
Gong, Fen; Niu, Junzhi; Pei, Xing
2016-11-02
Angelica dahurica is a well-known traditional Chinese Medicine (TCM), while little information is available about its effects on pressure sores. We aimed to investigate the clinical effect of Angelica dahurica on patients with I-II phase pressure sores, as well as the underlying mechanism. Patients (n = 98) with phase I and phase II pressure sores were enrolled and randomly assigned to control and treated groups. In addition to holistic nursing, patients in the control group received compound clotrimazole cream, while patients in the treated group received continuous 4 weeks of external application of Angelica dahurica dressing. Therapeutic effect was recorded, along with the levels of interleukin-8 (IL-8), epidermal growth factor (EGF), transforming growth factor (TGF)-β, and vascular endothelial growth factor (VEGF). Besides, HaCaT cells were cultured with different concentrations of Angelica dahurica, and then cell viability, clone formation numbers, cell cycle, and levels of cyclin D1 and cyclin-dependent kinase (CDK) 2 were determined. The total effective rate in the treated group was significantly higher than in the control group. Levels of IL-8, EGF, TGF-β, and VEGF were statistically increased by Angelica dahurica. In addition, the cell viability and clone formation numbers were significantly upregulated by Angelica dahurica in a dose-dependent manner. Also, the percentage of cells in G0/G1 phase, and levels of cyclin D1 and CDK2 were significantly elevated. Our results suggest that Angelica dahurica may provide an effective clinical treatment for I-II phase pressure sores.
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Sore throat · vaginal discharge · labial ulcer · Dx?
Caravelli, Ashley; Bhatnagar, Rupal; Ashaye, Adelola
2016-06-01
The patient complained of worsening vaginal pain and increased vaginal discharge, but reported resolution of her back and chest pain. She also said that a week earlier, she'd had a fever that reached 104° F and a sore throat. She denied urinary frequency/urgency, sexual activity, or sexual abuse.
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Efficacy of flurbiprofen 8.75 mg lozenge in patients with a swollen and inflamed sore throat.
Aspley, Sue; Shephard, Adrian; Schachtel, Emily; Sanner, Kathleen; Savino, Laurie; Schachtel, Bernard
2016-09-01
Sore throat is often over-treated with antibiotics, therefore there is a need for non-antibiotic treatments that provide effective relief. From the patient's point of view, symptoms of pharyngeal inflammation such as a "swollen" and "inflamed" throat are often considered the most bothersome; so, a non-steroidal anti-inflammatory drug could be an appropriate treatment. We investigated the efficacy and safety of flurbiprofen 8.75 mg lozenge in adults with a swollen and inflamed throat. We enrolled adults with moderate-to-severe sore throat and evidence of tonsillo-pharyngitis into a randomized, double-blind study. Patients received flurbiprofen 8.75 mg or placebo lozenges every 3-6 hours as needed (up to five lozenges in 24 hours) and rated their symptoms (sore throat pain, difficulty swallowing and the sensation of a swollen throat) on standard linear scales regularly over 24 hours. The efficacy of flurbiprofen lozenge was determined in patients reporting a swollen and inflamed throat at baseline, as well as those with relatively severe symptoms. ClinicalTrials.gov NCT01049334. The main outcome measures were the time-weighted summed differences in patient-reported sore throat pain, difficulty swallowing and swollen throat over 24 hours. Out of 204 patients, 124 (60.8%) described their throats as swollen and inflamed at baseline. Flurbiprofen lozenges provided greater relief than placebo over 24 hours: 79.8%, 99.6% and 69.3% (for sore throat pain, difficulty swallowing and swollen throat, respectively, all P ≤ 0.01). These outcomes were more substantial in patients with relatively severe symptoms. No serious or unexpected adverse events occurred. Flurbiprofen 8.75 mg lozenge appears to provide effective, well-tolerated relief of sore throat, difficulty swallowing and swollen throat in adults with a swollen and inflamed throat, as well as those with relatively severe symptoms. A limitation of these findings is that, while predetermined, these are
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Flap surgery for pressure sores: should the underlying muscle be transferred or not?
Thiessen, Filip E; Andrades, Patricio; Blondeel, Philip N; Hamdi, Moustapha; Roche, Nathalie; Stillaert, Filip; Van Landuyt, Koenraad; Monstrey, Stan
2011-01-01
Musculocutaneous flaps have become the first choice in the surgical repair of pressure sores, but the indication for including muscle in the transferred flaps still remains poorly defined. This study compares outcomes after muscle and non-muscle flap coverage of pressure sores to investigate whether it is still necessary to incorporate muscle tissue as part of the surgical treatment of these ulcers. A retrospective revision of 94 consecutive patients with ischial or sacral pressure sores operated between 1996 and 2002 was performed. Depending on the inclusion of muscle into the flap, the patients were divided in two groups: musculocutaneous flap group and fasciocutaneous flap group. Charts were reviewed for patient characteristics, ulcer features and reconstructive information. Data between groups were compared with emphasis on early (haematoma or seroma, dehiscence, infections, necrosis and secondary procedures) and late (recurrence) postoperative complications. A total of 37 wounds were covered with muscle and 57 wounds covered without muscle tissue. The groups were comparable in relation to age, gender, ulcer characteristics and timing for surgery. There were no significant differences in early complications between the study groups. The mean follow-up period was 3.10 ± 1.8 years (range: 0.5 to 6.7). There were no statistical differences in ulcer recurrence between the groups. The type of flap used was not associated with postoperative morbidity or recurrence in the univariate and multivariate analyses. The findings of this clinical study indicate that the musculocutaneous flaps are as good as fasciocutaneous flaps in the reconstruction of pressure sores, and they question the long-standing dogma that muscle is needed in the repair of these ulcers. Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
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Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover
Directory of Open Access Journals (Sweden)
Mehrotra Sandeep
2009-01-01
Full Text Available Pressure sores are increasing in frequency commensurate with an ageing population with multi-system disorders and trauma. Numerous classic options are described for providing stable wound cover. With the burgeoning knowledge on perforator anatomy, recent approaches focus on the use of perforator-based flaps in bedsore surgery. A giant neglected trochanteric pressure sore in a paraplegic is presented. Since conventional options of reconstruction appeared remote, the massive ulcer was successfully managed by a chimeric perforator-based flap. The combined muscle and fasciocutaneous flaps were raised as separate paddles based on the anterolateral thigh perforator branches and provided stable cover without complications. Perforators allow versatility in managing complex wounds without compromising on established principles.
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de Looze, Ferdinandus; Russo, Marc; Bloch, Mark; Montgomery, Barney; Shephard, Adrian; Smith, Gary; Aspley, Sue
2016-06-01
Viral infections cause most cases of pharyngitis (sore throat); consequently, antibiotics are generally not warranted. However, a treatment targeting pain and inflammation, e.g. a topical non-steroidal anti-inflammatory spray, may be helpful for patients. To evaluate the efficacy and safety of flurbiprofen 8.75 mg spray. This randomised, double-blind, parallel group study was conducted at six community-based clinical research centres in Australia and two in New Zealand. Adults with sore throat due to upper respiratory tract infection (onset ≤ four days) took one dose of flurbiprofen (n = 249) or placebo spray (n = 256); after six hours, they could re-dose every three-six hours as required, for three days (max. five doses/day). The primary endpoint was the area under the change from baseline curve in throat soreness from zero-two hours (AUC0-2h). The change from baseline in other sore throat symptoms also assessed efficacy. The mean AUC0-2h for throat soreness was significantly greater with flurbiprofen spray (-1.82; 95% CI: -1.98 to 1.65) compared with placebo (-1.13; 95% CI: -1.27 to 0.99) (P flurbiprofen spray compared with placebo from the first time-points assessed (five minutes for throat soreness/difficulty swallowing, 20 minutes for sore throat pain intensity and 30 minutes for swollen throat) for up to six hours (P Flurbiprofen spray provides rapid and long-lasting relief from sore throat symptoms, and is well-tolerated over three days.
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Directory of Open Access Journals (Sweden)
Karabalaeifar Sara
2013-01-01
Full Text Available Delayed onset muscle soreness usually occurs after doing a new unusual physical activity, especially when, associated with repeated eccentric contractions and then it gradually disappears. There is not an extensive agreement in the case of treatment method of soreness signs quick reduction. This research was carried out with the aim of investigation caffeine consumption effect to find a good way in order to reduce the signs of delayed onset muscle soreness. In this semi-experimental with Double-blind design, 16 female volleyball player with an age average of 22.5+2.5 in 2 homogeneous 8 subject control and experimental group were studied. In this research, the effect of caffeine existing in coffee in 5 stages (24h before exercise, 12h before, immediately before exercise, after exercise and 12h after it and 1mg per 1kg of body weight on amount of perceived pain and range of motion of the joint and edema due to delay onset muscle soreness because of 50 jumps and lands of a 1 meter stage was investigated. The results showed that caffeine consumption has a meaningful effect on reduction of all the expressed signs after eccentric contractions. So it is recommended that physio thrapysts, doctors and athletes use this method to reduce delayed onset muscle soreness consequences after the injury.
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Niu, Junzhi; Han, Lin; Gong, Fen
2016-08-15
BACKGROUND This study aimed to explore the therapeutic effect of external application of ligustrazine combined with holistic nursing on pressure sores, as well as the underlying mechanism. MATERIAL AND METHODS From February 2014 to March 2015, a total of 32 patients with Phase II and Phase III pressure sores were enrolled and randomly assigned to an experimental group or a control group. The clinical data were comparable between the 2 groups. In addition to holistic nursing, the patients in the experimental group received 4 weeks of continuous external application of ligustrazine, whereas patients in the control group received compound clotrimazole cream. Therapeutic effect and healing time were recorded. HaCaT cells were used as an in vitro model for mechanism analysis of the effect of ligustrazine in treating pressure sores. After culturing with different concentrations of ligustrazine or the inhibitor of AKT (LY294002) for 72 h, cell viability, clone formation numbers, and levels of phosphatidyl inositol 3-kinase (PI3K), p-AKT, and p-mammalian target of rapamycin (mTOR) were determined. RESULTS Compared to the control group, the total effective rate in the experimental group was significantly higher, and the healing time was significantly reduced. Cell viability and clone formation numbers were significantly upregulated by ligustrazine in a dose-dependent manner. Both the cell viability and clone formation numbers were significantly inhibited by application of LY294002. CONCLUSIONS Our results suggest that ligustrazine combined with holistic nursing is an effective treatment of pressure sores. The protective effect may be associated with the promotion of cell growth by activation of the PI3K/AKT pathway.
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Pressure sores in spinal cord injury: Active intervention saves costs
African Journals Online (AJOL)
2008-07-22
Jul 22, 2008 ... interrogated for all cervical spine injuries. Patients were identified retrospectively for the period April 2003 to May 2006 and divided into 4 groups according to the level of intervention they received to prevent pressure sores. Group A. These were the first 100 patients with cervical injuries managed in the unit ...
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Schachtel, Bernard P; Shephard, Adrian; Shea, Timothy; Sanner, Kathleen; Savino, Laurie; Rezuke, Jeanne; Schachtel, Emily; Aspley, Sue
2016-11-01
This study assessed multiple doses of flurbiprofen 8.75 mg lozenges for the relief of three prominent symptoms of acute pharyngitis: pain intensity (primary end point), difficulty swallowing and swollen throat. A total of 204 patients (102 in each group) with confirmed pharyngitis (onset ≤4 days) were randomly assigned to take up to five flurbiprofen or placebo lozenges every 3-6 h, for 7 days. Using validated rating scales (sore throat pain intensity, difficulty swallowing and swollen throat) patients rated their symptoms for the duration of the study. Over the first 24 h, patients treated with flurbiprofen lozenges reported significantly greater reductions in sore throat pain (47%) as well as difficulty swallowing (66%) and swollen throat (40%) compared with placebo (all p flurbiprofen lozenges provide effective relief of sore throat pain intensity as well as difficulty swallowing and swollen throat.
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The operative treatment of pressure sores in the pelvic region: A 10-year period overview.
Jósvay, János; Klauber, András; Both, Béla; Kelemen, Péter B; Varga, Zsombor Z; Pesthy, Pál Cs
2015-07-01
Pelvic region pressure sores often develop following spinal cord injury. Surgery is often necessary for long standing, large-sized pressure sores not responding to conservative treatment. Authors analyze their results of a 10-year period, and identify factors contributing to the reduction of the recurrence rate. A total of 119 pressure sores were operated on 98 patients in two institutions during a 10-year period (1 January 2003 to 31 December 2012). The encountered perioperative complications are summarized, and the recurrence rate is analyzed with a patient follow-up questionnaire. We experienced 15 perioperative complications (12.6%). All complications were fully resolved by conservative treatment. Fifty-eight returned patient replies were processed. The average follow-up time after surgery was 5.2 years. The recurrence rate was 5.47%. The strict adherence to surgical indications, full patient compliance, specialized pre- and post-operative patient care, our routinely used preferred surgical method, all contribute to a low post-operative complication rate, long-term flap survival, and an extended recurrence free period.
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Watermelon juice: potential functional drink for sore muscle relief in athletes.
Tarazona-Díaz, Martha P; Alacid, Fernando; Carrasco, María; Martínez, Ignacio; Aguayo, Encarna
2013-08-07
l-Citrulline is an excellent candidate to reduce muscle soreness, and watermelon is a fruit rich in this amino acid. This study investigated the potential of watermelon juice as a functional drink for athletes. An in vitro study of intestinal absorption of l-citrulline in Caco-2 cells was performed using unpasteurized (NW), pasteurized (80 °C for 40 s) watermelon juice (PW) and, as control, a standard of l-citrulline. l-citrulline bioavailability was greater when it was contained in a matrix of watermelon and when no heat treatment was applied. In the in vivo experiment (maximum effort test in a cycloergometer), seven athletes were supplied with 500 mL of natural watermelon juice (1.17 g of l-citrulline), enriched watermelon juice (4.83 g of l-citrulline plus 1.17 g from watermelon), and placebo. Both watermelon juices helped to reduce the recovery heart rate and muscle soreness after 24 h.
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Directory of Open Access Journals (Sweden)
Hassani V
2001-09-01
Full Text Available Post-operative sore throat is one of the most common complications and complaints of patients after general anesthesia especially in operations that need endotracheal intubations. Its causes are: size of endotracheal tube and type of its cuff, inadequate airway humidification, trauma during intubation and suctioning, high flow of inspiratory gases, surgical manipulation of airway and adjacent organs, ect. Use of instruments with less invasion to upper respiratory tract, for example, face mask and airway, LMA or CPT are methods, used for decreasing the rate of post-operative sore throat. This study was performed to compare the rate of sore throat after general anesthesia between Laryngeal Mask Airway (LMA and Cuffed Pharyngeal Tube (CPT. From the patients, 120 ASA: PS-I cases, were selected, who were candidates for elective surgery of Orthopedics, Urology, General surgery and Gynecology in Hazrat Rasool-Akram Hospital Complex in the year 2000. Their operation were performed in supine position and did not need muscle relaxation and the patients had spontaneous breathing. Duration of surgery was less than 2 hours. The patients were randomly allocated into two groups: LMA was used for one group and CPT for others. Immediately after operation, in the recovery room and at 6, 12, 18 and 24 hours after removing the tube, the patients were asked about sore throat and the results were recorded in the related sheets. The results was 31.7 percent of patients in group LMA and 0 percent of patients in group CPT, had sore throat. There were significant difference between groups (LMA and CPT in presentation of sore throat (P<0.001.
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International Nuclear Information System (INIS)
Loboiko, A.I.
2000-03-01
The study was devoted to the problem of debris bed coolability arising from severe accident at nuclear power reactor. After reactor core melting occurs and subsequent debris bed is formed in the lower plenum of reactor pressure vessel (RPV) it is important to confine this debris bed inside RPV boundary. One of the possible accident scenarios assumes the interaction between coolant and molten core materials resulting from rapid melt quenching, freezing and fragmentation. Particulated fuel and steel may subsequently settle on available surfaces within the reactor vessel, forming debris porous beds which produce radioactive decay heating. In case of severe core degradation, such heat transfer mechanisms as radiation, conduction and natural single-phase convection may appear to be insufficient and coolant boiling may happen on the surface or inside the bed. Depending on rate of heat generation there may be sufficient debris cool down or its 'dryout' which pose a danger for RPV integrity. The study considers development of 2D numerical code capable to predict coolant saturation as a function of different parameters. Analysis of previous activities on one-dimensional and multi-dimensional models was done. On the basis of the analysis it was concluded that the correct prediction of the debris saturation on dryant power requires two-dimensional numerical simulation considering the processes like two-phase convection, capillary effects, different models of permeability, different models of heat transfer between solid debris and coolant, non-homogeneity of parameters porous medium, heat and mass transfer between debris bed and a highly porous gap along the inner RPV surface. Particular attention was given to consideration of boundary conditions for debris bed. Introduction of the analytical model for dependence of gap properties on heat flux from debris bed allowed to create an algorithm for use in numerical calculations and finally to develop a code which allowed for stable
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Keshavarzi, Alireza; Noori, Lila Khaje
2010-12-01
River bed scourings are a major environmental problem for fish and aquatic habitat resources. In this study, to prevent river bed and banks from scouring, different types of bed sills including convex, concave and linear patterns were installed in a movable channel bed in a laboratory flume. The bed sills were tested with nine different arrangements and under different flow conditions. To find the most effective bed sill pattern, the scouring depth was measured downstream of the bed sill for a long experimental duration. The scour depth was measured at the middle and at the end of each experimental test for different ratios of the arch radius to the channel width [r/w]. The experimental results indicated that the convex pattern with r/w=0.35 produced minimum bed scouring depth at the center line whereas the concave pattern with r/w=0.23 produced the minimum scour depth at the wall banks. Therefore, the convex pattern was the most effective configuration for prevention of scouring at the center line of the river while the concave pattern was very effective to prevent scouring at the river banks. These findings can be suggested to be used in practical applications.
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White, G W; Mathews, R M; Fawcett, S B
1989-01-01
People who use wheelchairs are at risk for developing pressure sores. Regular pressure relief, in the form of a wheelchair push-up, is one way to reduce the likelihood of pressure sores. We examined the effects of antecedent (i.e., instructions, audible prompts) and consequent (i.e., alarm avoidance) events on wheelchair push-ups, using a multiple baseline analysis with 2 participants with spina bifida. Results suggest that the combined procedure was more effective than either antecedent or consequent events alone, and there is some evidence suggesting maintenance of effects over time. PMID:2793635
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André, A; Crouzet, C; De Boissezon, X; Grolleau, J-L
2015-06-01
Surgical treatment of perineal pressure sores could be done with various fascio-cutaneous or musculo-cutaneous flaps, which provide cover and filling of most of pressure sores after spinal cord injuries. In rare cases, classical solutions are overtaken, then it is necessary to use more complex techniques. We report a case of a made-to-measure lower limb flap for coverage of confluent perineal pressure sores. A 49-year-old paraplegic patient developed multiple pressure sores on left and right ischial tuberosity, inferior pubic bone and bilateral trochanters with hips dislocation. Surgical treatment involved a whole right thigh flap to cover and fill right side lesions, associated to a posterior right leg musculo-cutaneous island flap to cover and fill the left trochanteric pressure sore. The surgical procedure lasted 6.5 hours and required massive blood transfusion. Antibiotics were adapted to bacteriological samples. There were no postoperative complications; complete wound healing occurred after three weeks. A lower limb sacrifice for coverage of a giant perineal pressure sores is an extreme surgical solution, reserved to patients understanding the issues of this last chance procedure. A good knowledge of vascular anatomy is an essential prerequisite, and allows to shape made-to-measure flaps. The success of such a procedure is closely linked to the collaboration with the rehabilitation team (appropriate therapeutic education concerning transfers and positioning). Copyright © 2014 Elsevier Masson SAS. All rights reserved.
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Rosatti, Giorgio; Zugliani, Daniel
2015-03-01
In a two-phase free-surface flow, the transition from a mobile-bed condition to a fixed-bed one (and vice versa) occurs at a sharp interface across which the relevant system of partial differential equations changes abruptly. This leads to the possibility of conceiving a new type of Riemann Problem (RP), which we have called Composite Riemann Problem (CRP), where not only the initial constant values of the variables but also the system of equations change from left to right of a discontinuity. In this paper, we present a strategy for solving a CRP by reducing it to a standard RP of a single, composite system of equations. This can be obtained by combining the two original systems by means of a suitable weighting function, namely the erodibility variable, and the introduction of an appropriate differential equation for this quantity. In this way, the CRP problem can be analyzed theoretically with standard methods, and the features of the solutions can be clearly identified. In particular, a stationary contact wave is able to correctly describe the sharp transition between mobile- and fixed-bed conditions. A finite volume scheme based on the Multiple Averages Generalized Roe approach (Rosatti and Begnudelli (2013) [22]) was used to numerically solve the fixed-mobile CRP. Several test cases demonstrate the effectiveness, exact well balanceness and high accuracy of the scheme when applied to problems that fall within the physical range of applicability of the relevant mathematical model.
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Scalise, Alessandro; Tartaglione, Caterina; Bolletta, Elisa; Pierangeli, Marina; Di Benedetto, Giovanni
2015-08-01
We report the case of a 50-year-old paraplegic man with a complicated grade III/IV ischiatic pressure sore treated with a propeller flap based on the first perforator of the profunda femoris artery. Our aim was to surgically reconstruct an ischiatic pressure sore in a patient with ankylosis using a fasciocutaneous perforator propeller flap obtained from the posterior region of the thigh. Our decision to perform a profunda femoris artery perforator propeller flap reconstruction was mainly due to the anatomical contiguity of the flap with the site of the lesion and the good quality of the skin harvested from the posterior region of the thigh. The use of the perforator fasciocutaneous flap represents a muscle-sparing technique, providing a better long-term result in surgical reconstruction. The choice of the 180-degree propeller flap was due to its ability to provide a good repair of the pressure ulcer and to pass over the ischiatic prominence in the patient in the forced decubitus position. The operatory course did not present any kind of complication. Using this reconstructive treatment, we have obtained complete coverage of the ischiatic pressure sore.
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Energy Technology Data Exchange (ETDEWEB)
Silva, Julio M.; Marchesin, Dan [Instituto de Matematica Pura e Aplicada (IMPA), Rio de Janeiro, RJ (Brazil)
2008-07-01
The deep bed filtration problem is closely related to secondary oil recovery. In this work we derive explicit solutions to two filtration problems. The filtration function varies non-linearly with the Darcy speed and linearly with the deposition, but very little. The first solution is built by the method of perturbations and although it is only an approximation it is available in multiple symmetries, including the radial geometry used in the field. The main motivation is the validation of numerical methods. The second solution is exact but it is only available in the linear symmetry, i.e., laboratory geometry. We use it to verify the accuracy of the first solution, but it can also be used to simulate the deposition in experiments. (author)
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Diabetes: Good Diabetes Management and Regular Foot Care Help Prevent Severe Foot Sores
Amputation and diabetes: How to protect your feet Good diabetes management and regular foot care help prevent severe foot sores that ... and may require amputation. By Mayo Clinic Staff Diabetes complications can include nerve damage and poor blood ...
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Park, Sun-June; Lee, Kyeong-Tae; Jeon, Byung-Joon; Woo, Kyong-Je
2018-04-01
Pedicled perforator flaps (PPFs) have been widely used to treat pressure sores in the gluteal region. Selection of a reliable perforator is crucial for successful surgical treatment of pressure sores using PPFs. In this study, we evaluate the role of magnetic resonance imaging (MRI) in planning PPF reconstruction of pressure sores in the gluteal region. A retrospective chart review was performed in patients who had undergone these PPF reconstructions and who had received preoperative MRI. Preoperatively, the extent of infection and necrotic tissue was evaluated using MRI, and a reliable perforator was identified, considering the perforator location in relation to the defect, perforator size, and perforator courses. Intraoperatively, the targeted perforator was marked on the skin at the locations measured on the MRI images, and the marked location was confirmed using intraoperative handheld Doppler. Superior gluteal artery, inferior gluteal artery, or parasacral perforators were used for the PPFs. Surgical outcomes were evaluated. A total of 12 PPFs were performed in 12 patients. Superior gluteal artery perforator flaps were performed in 7 patients, inferior gluteal artery perforator flaps were performed in 3 patients, and parasacral perforator flaps were performed in 2 patients. We could identify a reliable perforator on MRI, and it was found at the predicted locations in all cases. There was only one case of partial flap necrosis. There was no recurrence of the pressure sores during the mean follow-up period of 6.7 months (range = 3-15 months). In selected patients with gluteal pressure sores, MRI is a suitable means for not only providing information about disease extent and comorbidities but also for evaluating perforators for PPF reconstructions.
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Pattern of Pressure Sores in Spinal Injured Patients with in the First ...
African Journals Online (AJOL)
Background: Before 2006, all our spinal injured patients were nursed on conventional form mattress without pressure redistributing support surface. Pressure sore was a common complication and was a major contributing factor to prolonged hospitalization. Aim: The aim of this study is to determine the pattern of pressure ...
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Paghetti, Angela; Bellingeri, Andrea; Pomponio, Giovanni; Sansoni, Julita; Paladino, Dario
2009-01-01
The aim of this observational study was to evaluate the efficacy, tolerability and methods of application of ialuronic acid associated with argentic sulphadiazine (Connettivina Plus) in routine clinical activity, on a target of "complex" patients with pressure sores, for the most realistic assessment possible. The study comprised 127 patients hospitalized between January 2006 and December 2007, who received ialuronic acid associated with argentic sulphadiazine in addition to the standard treatment. Inclusion criteria were th presence of at least one stage 2 or 3 pressure sore (NPUAP '89 classification), pressure sore that the researcher had already decided to treat using ialuronic acid associated with argentic sulphadiazine , according to hospital protocol, area of the lesion less than 25cm2, patient age 18 years or more, informed patient consensus. Patients with these characteristics were , however, excluded if they did not provide written consent or if they had one of the following: presence of pressure sores with escara, concomitant neoplastic disease, concomitant insulin-dependent diabetes or other pathologies that interfere with skin regeneration, allergic diasthesis (acclaimed or presumed) to ialuronic acid - argentic sulphadiazine, inability / refusal to undergo all the subsequent controls required by the study. Improvement or complete healing of the pressure sores was observed in 67% of patients at early follow-up (10 days), increasing to 76% and 87% at 20 and 35 day controls respectively. The Push tool further improved in patients who carried on treatment. Use of ialuronic acid associated with argentic sulphadiazine was effective for treating grade 2-3 pressure sores in patients with chronic lesions and its efficacy was confirmed in association with both advanced and traditional types of medication.
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Chemical Characterization of Bed Material Coatingsby LA-ICP-MS and SEM-EDS
Piispanen, M. H.; Mustonen, A. J.; Tiainen, M. S.; Laitinen, R. S.
Bed material coatings and the consequent agglomeration of bed material are main ash-related problems in FB-boilers. The bed agglomeration is a particular problem when combusting biofuels and waste materials. Whereas SEM-EDS together with automated image processing has proven to be a convenient method to study compositional distribution in coating layers and agglomerates, it is a relatively expensive technique and is not necessarily widely available. In this contribution, we explore the suitability of LA-ICP-MS to provide analogous information of the bed.
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Potential health impacts of burning coal beds and waste banks
Finkelman, R.B.
2004-01-01
Uncontrolled release of pollutants from burning coal beds and waste banks presents potential environmental and human health hazards. On a global scale, the emissions of large volumes of greenhouse gases from burning coal beds may contribute to climate change that alters ecosystems and patterns of disease occurrence. On regional and local scales, the emissions from burning coal beds and waste banks of acidic gases, particulates, organic compounds, and trace elements can contribute to a range of respiratory and other human health problems. Although there are few published reports of health problems caused by these emissions, the potential for problems can be significant. In India, large numbers of people have been displaced from their homes because of health problems caused by emissions from burning coal beds. Volatile elements such as arsenic, fluorine, mercury, and selenium are commonly enriched in coal deposits. Burning coal beds can volatilize these elements, which then can be inhaled, or adsorbed on crops and foods, taken up by livestock or bioaccumulated in birds and fish. Some of these elements can condense on dust particles that can be inhaled or ingested. In addition, selenium, arsenic, lead, tin, bismuth, fluorine, and other elements condense where the hot gaseous emissions come in contact with ambient air, forming mats of concentrated efflorescent minerals on the surface of the ground. These mats can be leached by rainwater and washed into local water bodies providing other potential routes of exposure. Although there are little data linking burning coal beds and waste banks to known health problems, a possibly analogous situation exists in rural China where mineralized coal burned in a residential environment has caused widespread and severe health problems such as fluorosis and arseniasis. ?? 2004 Elsevier B.V. All rights reserved.
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Ear Acupuncture for Acute Sore Throat: A Randomized Controlled Trial
2014-09-26
SEP 2014 2. REPORT TYPE Final 3. DATES COVERED 4. TITLE AND SUBTITLE Ear acupuncture for acute sore throat. A randomized controlled trial...Auncular Acupuncture is a low risk option for acute pain control •Battlefield acupuncture (BFA) IS a specific auncular acupuncture technique •BFA IS...Strengths: Prospect1ve RCT •Weaknesses Small sample stze. no sham acupuncture performed, patients not blinded to treatment •Th1s study represents an
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Energy Technology Data Exchange (ETDEWEB)
Hiltunen, M; Vaehaenen-Koivuluoma, T [Foster Wheeler Energia Oy, Karhula (Finland)
1997-10-01
Some commercial BFB boilers burning biofuels, or biofuels and industrial wood wastes have suffered serious problems in bed material sintering. In worst cases the cumulation of reactive alkali compounds has caused total sintering of bed material even during a few days` operation. This presentation reports the results obtained from three separate cases, where sintering problems occurred. Boiler A burned biofuel with quartz sand and limestone addition. Boiler B burned softwood bark and industrial wood waste with sand addition. Boiler C burned softwood bark and sludge with sand addition. Due to the fuel used, bed sintering occurred in all boilers. Obviously, sintering was also influenced by some technical problems. Bed material samples have been analyzed with XRF and SEM-EDS techniques. According to these analyses, the main reason for sintering in boiler A is the cumulation of reactive potassium in bed material. In boiler B, the main reason is the fuel change from a mixture of softwood bark and industrial wood waste to pure industrial wood waste. The extra load of reactive sodium exceeded the critical concentration of alkali compounds in bed material. Also in boiler C, the fuel change from a mixture of softwood bark and sludge to pure softwood bark seems to be one of the reasons for bed sintering. After the fuel change the bed saturated with reactive potassium and the bed sintered. (orig.)
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Chen, D.; Zhang, Y.
2008-12-01
The objective of this paper is to describe the statistical properties of experiments on non-uniform bed-load transport as well as the mechanism of bed armoring processes. Despite substantial effort made over the last two decades, the ability to compute the bed-load flux in a turbulent system remains poor. The major obstacles include the poor understanding of the formation of armor lays on bed surfaces. Such a layer is much flow-resistible than the underlying material and therefore significantly inhibits sediment transport from the reach. To study the problem, we conducted a flume study for mixed sand/gravel sediments. We observed that aggregated sediment blocks were the most common characters in armor layers - the largest sizes resist hydraulic forces, while the smaller sizes add interlocking support and prevent loss of fine material through gaps between the larger particles. Fractional transport rates with the existing of armor layers were measured with time by sediment trapping method at the end of flume. To address the intermittent and time-varying behavior of bed-load transport during bed armoring processes, we investigated the probability distribution of the fractional bed-load transport rates, and the underlying dynamic model derived from the continuous time random walk framework. Results indicate that it is critical to consider the impact of armor layers when a flow is sufficient to move some of the finer particles and yet insufficient to move all the larger particles on a channel bed.
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Dual-dermal-barrier fashion flaps for the treatment of sacral pressure sores.
Hsiao, Yen-Chang; Chuang, Shiow-Shuh
2015-02-01
The sacral region is one of the most vulnerable sites for the development of pressure sores. Even when surgical reconstruction is performed, there is a high chance of recurrence. Therefore, the concept of dual-dermal-barrier fashion flaps for sacral pressure sore reconstruction was proposed. From September 2007 to June 2010, nine patients with grade IV sacral pressures were enrolled. Four patients received bilateral myocutaneous V-Y flaps, four patients received bilateral fasciocutaneous V-Y flaps, and one patient received bilateral rotation-advanced flaps for sacral pressure reconstruction. The flaps were designed based on the perforators of the superior gluteal artery in one patient's reconstructive procedure. All flaps' designs were based on dual-dermal-barrier fashion. The mean follow-up time was 16 months (range = 12-25). No recurrence was noted. Only one patient had a complication of mild dehiscence at the middle suture line, occurring 2 weeks after the reconstructive surgery. The dual-dermal fashion flaps are easily duplicated and versatile. The study has shown minimal morbidity and a reasonable outcome.
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Schachtel, Bernard; Aspley, Sue; Shephard, Adrian; Shea, Timothy; Smith, Gary; Schachtel, Emily
2014-07-03
The sore throat pain model has been conducted by different clinical investigators to demonstrate the efficacy of acute analgesic drugs in single-dose randomized clinical trials. The model used here was designed to study the multiple-dose safety and efficacy of lozenges containing flurbiprofen at 8.75 mg. Adults (n=198) with moderate or severe acute sore throat and findings of pharyngitis on a Tonsillo-Pharyngitis Assessment (TPA) were randomly assigned to use either flurbiprofen 8.75 mg lozenges (n=101) or matching placebo lozenges (n=97) under double-blind conditions. Patients sucked one lozenge every three to six hours as needed, up to five lozenges per day, and rated symptoms on 100-mm scales: the Sore Throat Pain Intensity Scale (STPIS), the Difficulty Swallowing Scale (DSS), and the Swollen Throat Scale (SwoTS). Reductions in pain (lasting for three hours) and in difficulty swallowing and throat swelling (for four hours) were observed after a single dose of the flurbiprofen 8.75 mg lozenge (Pflurbiprofen-treated patients experienced a 59% greater reduction in throat pain, 45% less difficulty swallowing, and 44% less throat swelling than placebo-treated patients (all Pflurbiprofen 8.75 mg lozenges were shown to be an effective, well-tolerated treatment for sore throat pain. Other pharmacologic actions (reduced difficulty swallowing and reduced throat swelling) and overall patient satisfaction from the flurbiprofen lozenges were also demonstrated in this multiple-dose implementation of the sore throat pain model. This trial was registered with ClinicalTrials.gov, registration number: NCT01048866, registration date: January 13, 2010.
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Unal, Cigdem; Ozdemir, Jale; Yirmibesoglu, Oktay; Yucel, Ergin; Agir, Hakan
2012-07-01
Reconstructive surgery for ischial pressure sore defects presents a challenge because of high rates of recurrence. The aim of this study was to describe the use of inferior gluteal artery (IGA) and posterior thigh perforators in management of ischial pressure sores with limited donor sites. Between September 2005 and 2009, 11 patients (9 male, 2 female) with ischial sores were operated by using IGA and posterior thigh perforator flaps. The data of patients included age, sex, cause of paraplegia, flap size, perforator of flap, previous surgeries, recurrences, complications, and postoperative follow-up. Nine IGA and 5 posterior thigh perforator flaps were used. Six patients presented with recurrent lesions, 5 patients were operated for sacral and contralateral ischial pressure sores previously. In 2 patients, IGA and posterior thigh perforator flaps were used in combination. Patients were followed for an average of 34.3 months. In 2 recurrent cases, readvancement of IGA perforator flap and gluteus maximus myocutaneous flap were treatment of choice. Treatment of patients with recurrent lesions or multiple pressure sores is challenging because of limited available flap donor sites. In this study, posterior thigh perforator flaps were preferred in patients in whom the previous donor site was the gluteal region. IGA perforator flaps were the treatment of choice in patients for whom posterior thigh region was previously used. Alternately, preserved perforators of previous conventional myocutaneous flaps enabled us to use these perforators in recurrences.
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Sea bed mapping and inspection
Energy Technology Data Exchange (ETDEWEB)
NONE
2006-07-01
The conference has 24 presentations on the topics: Sea bed mapping, inspection, positioning, hydrography, marine archaeology, remote operation vehicles and computerized simulation technologies, oil field activities and plans, technological experiences and problems. (tk)
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Expanded-bed chromatography in primary protein purification.
Anspach, F B; Curbelo, D; Hartmann, R; Garke, G; Deckwer, W D
1999-12-31
Chromatography in stable expanded beds enables proteins to be recovered directly from cultivations of microorganisms or cells and preparations of disrupted cells, without the need for prior removal of suspended solids. The general performance of an expanded bed is comparable to a packed bed owing to reduced mixing of the adsorbent particles in the column. However, optimal operating conditions are more restricted than in a packed bed due to the dependence of bed expansion on the size and density of the adsorbent particles as well as the viscosity and density of the feedstock. The feedstock composition may become the most limiting restriction owing to interactions of adsorbent particles with cell surfaces, DNA and other substances, leading to their aggregation and consequently to bed instabilities and channeling. Despite these difficulties, expanded-bed chromatography has found widespread applications in the large scale purification of proteins from mammalian cell and microbial feedstocks in industrial bioprocessing. The basics and implementation of expanded-bed chromatography, its advantages as well as problems encountered in the use of this technique for the direct extraction of proteins from unclarified feedstocks are addressed.
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Sediment transport primer: estimating bed-material transport in gravel-bed rivers
Peter Wilcock; John Pitlick; Yantao Cui
2009-01-01
This primer accompanies the release of BAGS, software developed to calculate sediment transport rate in gravel-bed rivers. BAGS and other programs facilitate calculation and can reduce some errors, but cannot ensure that calculations are accurate or relevant. This primer was written to help the software user define relevant and tractable problems, select appropriate...
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Djedovic, Gabriel; Metzler, Julia; Morandi, Evi M; Wachter, Tanja; Kühn, Shafreena; Pierer, Gerhard; Rieger, Ulrich M
2017-12-01
Pressure sore rates remain high in both nursing homes as well as in hospitals. Numerous surgical options are available for defect coverage in the sacral region. However, objective data is scarce as to whether a specific flap design is superior to another. Here, we aim to compare two fasciocutaneous flap designs for sacral defect coverage: the gluteal rotation flap and the gluteal V-Y flap. All primary sacral pressure sores of grades III-IV that were being covered with gluteal fasciocutaneous rotational or V-Y flaps between January 2008 and December 2014 at our institution were analysed. A total of 41 patients received a total of 52 flaps. Of these, 18 patients received 20 gluteal rotational flaps, and 23 patients received 32 V-Y flaps. Both groups were comparable with regards to demographics, comorbidities and complications. Significantly more V-Y flaps were needed to cover smaller defects. Mean length of hospital stay was significantly prolonged when surgical revision had to be carried out. Both flap designs have proven safe and reliable for defect coverage after sacral pressure sores. Gluteal rotational flaps appear to be more useful for larger defects. Both flap designs facilitate their reuse in case of pressure sore recurrence. Complication rates appear to be comparable in both designs and to the current literature. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
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Kawase-Koga, Yoko; Mori, Yoshiyuki; Hoshi, Kazuhito; Takato, Tsuyoshi
2013-11-01
Craniofacial surgery occasionally results in sores and necrosis of the facial skin because of pressure from surgical instruments. During surgical treatment of mandibular condylar process fractures, the main mandibular fragment is routinely retracted downward using a wire to achieve a satisfactory anatomic reduction. This procedure may injure the facial skin. This potential complication is easily overlooked by medical staff, but it is easily preventable. We herein describe a method of using a rubber tube to avoid causing pressure sores of the facial skin during surgical treatment of mandibular condylar process fractures.
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Parasacral Perforator Flaps for Reconstruction of Sacral Pressure Sores.
Lin, Chin-Ta; Chen, Shih-Yi; Chen, Shyi-Gen; Tzeng, Yuan-Sheng; Chang, Shun-Cheng
2015-07-01
Despite advances in reconstruction techniques, pressure sores continue to present a challenge to the plastic surgeon. The parasacral perforator flap is a reliable flap that preserves the entire contralateral side as a future donor site. On the ipsilateral side, the gluteal muscle itself is preserved and all flaps based on the inferior gluteal artery are still possible. We present our experience of using parasacral perforator flaps in reconstructing sacral defects. Between August 2004 and January 2013, 19 patients with sacral defects were included in this study. All the patients had undergone surgical reconstruction of sacral defects with a parasacral perforator flap. The patients' sex, age, cause of sacral defect, flap size, flap type, numbers of perforators used, rotation angle, postoperative complications, and hospital stay were recorded. There were 19 parasacral perforator flaps in this series. All flaps survived uneventfully except for 1 parasacral perforator flap, which failed because of methicillin-resistant Staphylococcus aureus infection. The overall flap survival rate was 95% (18/19). The mean follow-up period was 17.3 months (range, 2-24 months). The average length of hospital stay was 20.7 days (range, 9-48 days). No flap surgery-related mortality was found. Also, there was no recurrence of sacral pressure sores or infected pilonidal cysts during the follow-up period. Perforator-based flaps have become popular in modern reconstructive surgery because of low donor-site morbidity and good preservation of muscle. Parasacral perforator flaps are durable and reliable in reconstructing sacral defects. We recommend the parasacral perforator flap as a good choice for reconstructing sacral defects.
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Status of the fluidized bed unit
International Nuclear Information System (INIS)
Williams, P.M.; Wade, J.F.
1994-01-01
Rocky Flats has a serious mixed waste problem. No technology or company has a license and available facilities to remedy this dilemma. One solution under study is to use a catalytic fluidized bed unit to destroy the combustible portion of the mixed waste. The fluidized bed thermal treatment program at Rocky Flats is building on knowledge gained over twenty years of successful development activity. The FBU has numerous technical advantages over other thermal technologies to treat Rocky Flats' mixed waste, the largest being the lower temperature (700 degrees C versus 1000 degrees C) which reduces acid corrosion and mechanical failures and obviates the need for ceramic lining. Successful demonstrations have taken place on bench, pilot, and full-scale tests using radioactive mixed wastes. The program is approaching implementation and licensing of a production-scale fluidized bed system for the safe treatment of mixed waste. The measure for success on this project is the ability to work closely with the community to jointly solve problems and respond to concerns of mixed waste treatment at Rocky Flats
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Bed Bug Epidemic: A Challenge to Public Health
Ratnapradipa, Dhitinut; Ritzel, Dale O.; Haramis, Linn D.; Bliss, Kadi R.
2011-01-01
In recent years, reported cases of bed bug infestations in the U.S. and throughout the world have escalated dramatically, posing a global public health problem. Although bed bugs are not known to transmit disease to humans, they pose both direct and indirect public health challenges in terms of health effects, treatment, cost, and resource…
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Advantages of forced non-steady operated trickle-bed reactors
Boelhouwer, J.G.; Piepers, H.W.; Drinkenburg, A.A.H.
2002-01-01
Trickle-bed reactors are usually operated in the steady state trickle flow regime. Uneven liquid distribution and the formation of hot spots are the most serious problems experienced during trickle flow operation. In this paper, we advocate the use of non-steady state operation of trickle-bed
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Directory of Open Access Journals (Sweden)
Boguszewski Dariusz
2016-07-01
Full Text Available biological regeneration in athletes. The aim of this study was to evaluate the effectiveness of the application of lymphatic kinesiotaping in reducing delayed onset muscle soreness of biceps brachii.
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Delayed onset muscle soreness : treatment strategies and performance factors.
Cheung, Karoline; Hume, Patria; Maxwell, Linda
2003-01-01
Delayed onset muscle soreness (DOMS) is a familiar experience for the elite or novice athlete. Symptoms can range from muscle tenderness to severe debilitating pain. The mechanisms, treatment strategies, and impact on athletic performance remain uncertain, despite the high incidence of DOMS. DOMS is most prevalent at the beginning of the sporting season when athletes are returning to training following a period of reduced activity. DOMS is also common when athletes are first introduced to certain types of activities regardless of the time of year. Eccentric activities induce micro-injury at a greater frequency and severity than other types of muscle actions. The intensity and duration of exercise are also important factors in DOMS onset. Up to six hypothesised theories have been proposed for the mechanism of DOMS, namely: lactic acid, muscle spasm, connective tissue damage, muscle damage, inflammation and the enzyme efflux theories. However, an integration of two or more theories is likely to explain muscle soreness. DOMS can affect athletic performance by causing a reduction in joint range of motion, shock attenuation and peak torque. Alterations in muscle sequencing and recruitment patterns may also occur, causing unaccustomed stress to be placed on muscle ligaments and tendons. These compensatory mechanisms may increase the risk of further injury if a premature return to sport is attempted.A number of treatment strategies have been introduced to help alleviate the severity of DOMS and to restore the maximal function of the muscles as rapidly as possible. Nonsteroidal anti-inflammatory drugs have demonstrated dosage-dependent effects that may also be influenced by the time of administration. Similarly, massage has shown varying results that may be attributed to the time of massage application and the type of massage technique used. Cryotherapy, stretching, homeopathy, ultrasound and electrical current modalities have demonstrated no effect on the alleviation of
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[Prescribing antibiotics for sore throat: a persistent habit].
Damoiseaux, Roger A M J; Venekamp, Roderick P
2015-01-01
Recently the revision of the guideline of the Dutch College of General Practitioners on sore throat has been published. Again, one of the key messages is restricting the use of antibiotics. In the Netherlands general practitioners prescribe antibiotics in 50% of cases of tonsillitis. Although there has been a decrease in the number of antibiotic prescriptions for tonsillitis in the last 30 years, they are still being prescribed twice as often as is recommended by the guideline. The beliefs of both patient and doctor play an important role in prescribing and better communication might help to improve the situation. Public campaigns can also help by providing the best knowledge on the effectiveness of antibiotics to the public.
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van der Velden, A W; Bell, J; Sessa, A; Duerden, M; Altiner, A
2013-11-01
The majority of throat infections are of viral origin and resolve without antibiotic treatment. Despite this, antibiotic use for sore throat infections remains high, partly because it is difficult to determine when antibiotics may be useful, on the basis of physical findings alone. Antibiotics may be beneficial in bacterial throat infections under certain clinical and epidemiological circumstances; however, even many of those infections in which bacteria play a role do resolve just as quickly without antibiotics. Furthermore, non-medical factors such as patient expectations and patient pressure are also important drivers of antibiotic use. To address these issues, a behavioural change is required that can be facilitated by improved communication between primary healthcare providers and patients. In this article, we provide doctors, nurses and pharmacy staff, working in primary care or in the community, with a structured approach to sore throat management, with the aim of educating and empowering patients to self-manage their condition. The first component of this approach involves identifying and addressing patients' expectations and concerns with regard to their sore throat and eliciting their opinion on antibiotics. The second part is dedicated to a pragmatic assessment of the severity of the condition, with attention to red-flag symptoms and risk factors for serious complications. Rather than just focusing on the cause (bacterial or viral) of the upper respiratory tract infections as a rationale for antibiotic use, healthcare providers should instead consider the severity of the patient's condition and whether they are at high risk of complications. The third part involves counselling patients on effective self-management options and providing information on the expected clinical course. Such a structured approach to sore throat management, using empathetic, non-paternalistic language, combined with written patient information, will help to drive patient
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Directory of Open Access Journals (Sweden)
Payam Mohamad-Panahi
2013-06-01
Full Text Available The purpose of this study was to investigation of the effects of two different dose of BCAA supplementation on serum indices of muscle damage and soreness in soccer players. 30 male soccer players (age: 20.2+-0.6 yr participated as subjects in this study. Subjects were randomly divided into three groups (double-blind design. All subjects performed lower- body resistance exercise (6 sets, 10 repetitions, 70% 1RM. The BCAA was given at doses of 200 and 450 mg.kg -1 BW for supplemental groups 1 and 2, respectively, 30 minutes before and after to exercise tests and carbohydrate was given at dose of 200 mg.kg -1 BW for placebo group. To identify enzymes activity (IU/L, venous blood samples were collected 30 min prior to exercise and at 24 and 48 hrs post exercise. Data were statistically analyzed using repeated measures ANOVA and Bonfferoni test. Baseline CK, CK-MB and muscle soreness were determined 30 minutes before the exercise test. Baseline serum values for CK, CK-MB and baseline muscle soreness were not different between groups in the 30 minutes before the exercise test (p>0/05. However, there were significant increases between the pre-exercise and post-exercise values for CK, CK-MB and muscle soreness from 24 hrs to 48 hrs post-test (p<0/05, but there were no significant differences between two groups (p< 0.05(. These results suggested that two different dosages of BCAA supplementation did not affect muscle damage and muscle sureness during resistance exercise bout in soccer players.
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Borehole-inclusion stressmeter measurements in bedded salt
International Nuclear Information System (INIS)
Cook, C.W.; Ames, E.S.
1980-07-01
Sandia purchased borehole-inclusion stressmeters from a commercial supplier to measure in situ stress changes in bedded salt. However, the supplied stressmeters were difficult to set in place and gave erratic results in bedded salt. These problems were overcome with a new extended platen design. Also a straingaged transducer was designed which can be read with a conventional data logger. Due to the nonlinear behavior of bedded salt under uniaxial loading, a new empirical calibration scheme was devised. In essence, the stressmeters are calibrated as force transducers and this calibration curve is then used to determine the relationship between uniaxial stress changes in bedded salt and the gage's output. The stressmeter and calibration procedures have been applied under mine conditions and produced viable results. Future work will involve finite element analysis to calculate the observed behavior of the stressmeters. The response of the stressmeters in bedded salt is neither that of a true stressmeter or of a true strainmeter. However, repeatable calibrations make the gages very useful
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Forni, Cristiana; Zoli, Marina; Loro, Loretta; Tremosini, Morena; Mini, Sandra; Pirini, Valter; Turrini, Roberta; Durante, Stefano; Nicolini, Annamaria; Riccioni, Francesca; Girolami, Roberto
2009-01-01
Pressure sores, especially at the heel, are a side effect of the cast. To assess the incidence of late skin complications (heel pressure sores) of a cast and determine risk factors. All consecutive patients treated with a leg cast over a 16 months observation time were recruited. Risk factors were identified by the nurse that placed the cast and skin lesions classified with the NPUAP scale when the cast was removed. In the 216 enrolled patients 17.6% (38) developed a pressure sore: 16/124 in orthopedic wards; 22/92 in oncology wards. The multivariate analysis identified the following risk factors: administration of cytotoxic drugs (p = 0.033; OR = 2.61; having a cancer did not increase the risk); skin redness before cast application (p = 0.001; OR = 4.44) and having reported symptoms after the application (p = 0.000; OR = 7.86). Pressure sores were mainly stage 1 and only 6/216 (2.4%) > or = stage II. The type of plaster cast, the material, the number of days it was worn and having had a surgery are not significant risk factors. Pressure sores related to leg plaster casts are a frequent complication in at risk sub-groups. The acknowledgement and identification of specific risk factors may allow to identify and evaluate preventive interventions to improve the care of these patients.
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Performance of Sandy Dry Beds for sludge dewatering
International Nuclear Information System (INIS)
Al-Muzaini, S.
2003-01-01
Sludge produced by the Jahra treatment plant was assessed. The assessment was directed at determining the performance of sand drying beds. The assessment of quality of the sludge produced was based on the standards for land application of sewage sludge. Analyses were carried out for trace heavy metals and bacteria. The results of analyses showed that the sludge produced was high in organic matter and sand content but low in heavy metals. The collected data indicated that the sand drying beds at the Jahra treatment plant are at present inadequate to handle the projected sludge production. The investigation showed that the sand drying beds are fully used and the plant will require 3-4 times the capacity of the existing drying beds when the plant becomes fully operational. In addition, these sand drying beds are subjected to uncontrollable conditions such as temperature, rainfall and sludge drainage rate. Thus, sand drying beds have become less popular as a dewatering system. This paper evaluates the performance of the existing sand drying beds and suggests the most appropriate technology to alleviate the above mentioned problems. (author)
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Directory of Open Access Journals (Sweden)
Hristov Jordan Y.
2006-01-01
Full Text Available The concept of a variable friction factor of fluid-driven de form able powder beds undergoing fluidization is discussed. The special problem discussed addresses the friction factor and bed permeability relationships of Geldart’s A powders and magnetically stabilized beds in axial fields. Governing equations and scaling relation ships are developed through three approaches (1 Minimization of the pressure drop with respect to the fluid velocity employing the Darcy-Forchheimer equation together with the Richardson-Zaki scaling law, (2 Minimization of the pres sure drop across an equivalent-channel replacing the actual packed beds by a straight pipe with bed-equivalent obstacle of a simple geometry, and (3 Entropy minimization method applied in cases of the Darcy-Forchheimer equation and the equivalent-channel model. Bed-to-surface heat transfer coefficients are commented in the context of the porosity/length scale relationships developed. Both the pressure drop curves developments and phase diagram de signs are illustrated by applications of the intersection of asymptotes technique to beds exhibiting certain degree of cohesion.
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Little, Paul; Hobbs, F D Richard; Moore, Michael; Mant, David; Williamson, Ian; McNulty, Cliodna; Cheng, Ying Edith; Leydon, Geraldine; McManus, Richard; Kelly, Joanne; Barnett, Jane; Glasziou, Paul; Mullee, Mark
2013-10-10
To determine the effect of clinical scores that predict streptococcal infection or rapid streptococcal antigen detection tests compared with delayed antibiotic prescribing. Open adaptive pragmatic parallel group randomised controlled trial. Primary care in United Kingdom. Patients aged ≥ 3 with acute sore throat. An internet programme randomised patients to targeted antibiotic use according to: delayed antibiotics (the comparator group for analyses), clinical score, or antigen test used according to clinical score. During the trial a preliminary streptococcal score (score 1, n=1129) was replaced by a more consistent score (score 2, n=631; features: fever during previous 24 hours; purulence; attends rapidly (within three days after onset of symptoms); inflamed tonsils; no cough/coryza (acronym FeverPAIN). Symptom severity reported by patients on a 7 point Likert scale (mean severity of sore throat/difficulty swallowing for days two to four after the consultation (primary outcome)), duration of symptoms, use of antibiotics. For score 1 there were no significant differences between groups. For score 2, symptom severity was documented in 80% (168/207 (81%) in delayed antibiotics group; 168/211 (80%) in clinical score group; 166/213 (78%) in antigen test group). Reported severity of symptoms was lower in the clinical score group (-0.33, 95% confidence interval -0.64 to -0.02; P=0.04), equivalent to one in three rating sore throat a slight versus moderate problem, with a similar reduction for the antigen test group (-0.30, -0.61 to -0.00; P=0.05). Symptoms rated moderately bad or worse resolved significantly faster in the clinical score group (hazard ratio 1.30, 95% confidence interval 1.03 to 1.63) but not the antigen test group (1.11, 0.88 to 1.40). In the delayed antibiotics group, 75/164 (46%) used antibiotics. Use of antibiotics in the clinical score group (60/161) was 29% lower (adjusted risk ratio 0.71, 95% confidence interval 0.50 to 0.95; P=0.02) and in the
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Development of a cushion to prevent ischial pressure sores.
Bowker, P; Davidson, L M
1979-01-01
A study was carried out jointly by nursing staff and technologists in an attempt to develop a cushion based on scientific principles and measurement that might prevent pressure sores. At each stage in the development clinical trials were carried out, and using the results of these together with the opinions of medical staff and patients who used the cushion the design was suitably modified. Over four years a seat was evolved that was simple to construct and fulfilled the clinical requirements for a wide range of patients while providing maximum relief of high-pressure points. The design was subsequently taken up commercially. Images Fig 3 PMID:509176
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Marquis, G. A.; Roy, A. G.
2012-02-01
This study examines bed load transport processes in a small gravel-bed river (Béard Creek, Québec) using three complementary methods: bed elevation changes between successive floods, bed activity surveys using tags inserted into the bed, and bed load transport rates from bed load traps. The analysis of 20 flood events capable of mobilizing bed material led to the identification of divergent results among the methods. In particular, bed elevation changes were not consistent with the bed activity surveys. In many cases, bed elevation changes were significant (1 to 2 times the D50) even if the bed surface had not been activated during the flood, leading to the identification of processes of bed dilation and contraction that occurred over 10% to 40% of the bed surface. These dynamics of the river bed prevent accurate derivation of bed load transport rates from topographic changes, especially for low magnitude floods. This paper discusses the mechanisms that could explain the dilation and contraction of particles within the bed and their implications in fluvial dynamics. Bed contraction seems to be the result of the winnowing of the fine sediments under very low gravel transport. Bed dilation seems to occur on patches of the bed at the threshold of motion where various processes such as fine sediment infiltration lead to the maintenance of a larger sediment framework volume. Both processes are also influenced by flood history and the initial local bed state and in turn may have a significant impact on sediment transport and morphological changes in gravel-bed rivers.
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Skillman, Joanna; Thomas, Sunil
2011-12-01
When intermittent compression devices (ICDs) are used to prevent venous thromboembolism (VTE) they can cause pressure sores in a selected group of women, undergoing long operations. A prospective audit pre and post intervention showed a reduced risk with an alternative device, without increasing the risk of VTE.
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Chiari, Paolo; Poli, Marco; Magli, Claudia; Bascelli, Emanuele; Rocchi, Roberto; Bolognini, Silvia; Tartari, Piero; Armuzzi, Roberta; Rossi, Gianna; Peghetti, Angela; Biavati, Catia; Fontana, Mirella; Gazineo, Domenica; Cordella, Simona; Tiozzo, Emanuela; Ciliento, Gaetano; Carta, Giovanna; Taddia, Patrizia
2012-01-01
Multicenter prospective cohort study, to validate the Italian version of the Braden Q scale for the risk of pressure sores in newborns and up to 8 years old children. Children admitted to Intensive care Units (ICU), oncology and neurology/neurosurgery wards are at risk of developing pressure sores. To validate the Italian version of the Braden Q scale for the assessment of the risk of developing pressure sores in children. Children from 21 days to 8 years, admitted to intensive and sub intensive units were recruited. Premature babies, children admitted with a pressure sore and with a story of congenital cardiomiopathy were excluded. In this cohort, multicentre and with repeated measurements study, the first assessment was performed after 24 hours from hospital admission, using the Braden Q Scale (Suddaby's version). The pressure sores were assessed with the Skin assessment Tool and staged according to the National Pressure Ulcer Advisory Panel. RESULTS. On the 157 children 524 observation were conducted. The incidence of pressure sores was 17.2%. Only the analysis on specific subgroups of patients showed a good diagnostic accuracy: 71.4% on children 3-8 years; 85.6% in sub intensive wards. The Braden Q scale may be reliably used and shows a good diagnostic accuracy in children 3-8 years of age admitted to sub-intensive, neurology, oncology and heamatology wards.
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Cold-water immersion (cryotherapy for preventing and treating muscle soreness after exercise
Directory of Open Access Journals (Sweden)
Chris Bleakley
Full Text Available BACKGROUND: Many strategies are in use with the intention of preventing or minimizing delayed onset muscle soreness and fatigue after exercise. Cold-water immersion, in water temperatures of less than 15 °C, is currently one of the most popular interventional strategies used after exercise. OBJECTIVES: To determine the effects of cold-water immersion in the management of muscle soreness after exercise. SEARCH METHODS: In February 2010, we searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (The Cochrane Library (2010, Issue 1, Medline, Embase, Cumulative Index to Nursing and Allied Health (CINAHL, British Nursing Index and archive (BNI, and the Physiotherapy Evidence Database (PEDro. We also searched the reference lists of articles, handsearched journals and conference proceedings and contacted experts. In November 2011, we updated the searches of Central (2011, Issue 4, Medline (up to November Week 3 2011, Embase (to 2011 Week 46 and CINAHL (to 28 November 2011 to check for more recent publications. SELECTION CRITERIA: Randomized and quasi-randomized trials comparing the effect of using cold-water immersion after exercise with: passive intervention (rest/no intervention, contrast immersion, warm-water immersion, active recovery, compression, or a different duration/dosage of cold-water immersion. Primary outcomes were pain (muscle soreness or tenderness (pain on palpation, and subjective recovery (return to previous activities without signs or symptoms. DATA COLLECTION AND ANALYSIS: Three authors independently evaluated study quality and extracted data. Some of the data were obtained following author correspondence or extracted from graphs in the trial reports. Where possible, data were pooled using the fixed-effect model. MAIN RESULTS: Seventeen small trials were included, involving a total of 366 participants. Study quality was low. The temperature, duration and
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DEFF Research Database (Denmark)
Souza-Silva, Eduardo; Wittrup Christensen, Steffan; Hirata, Rogerio Pessoto
2018-01-01
Purpose: Delayed onset muscle soreness (DOMS) occur within 1-2 days after eccentric exercise but the mechanism mediating hypersensitivity is unclear. This study hypothesized that eccentric exercise reduces the blood flow response following muscle contractions and cuff occlusion, which may result...... anterior muscle. All measures were done bilaterally at day-0 (pre-exercise), day-2 and day-6 (post-exercise). Subjects scored the muscle soreness on a Likert scale for 6 days. Results: Eccentric exercise increased Likert scores at day-1 and day-2 compared with day-0 (P... in accumulated algesic substances being a part of the sensitization in DOMS. Methods: Twelve healthy subjects (5 women) performed dorsiflexion exercise (5 sets of 10 repeated eccentric contractions) in one leg, while the contralateral leg was the control. The maximal voluntary contraction (MVC) of the tibialis...
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Interleukin-6 and Delayed Onset Muscle Soreness Do Not Vary during the Menstrual Cycle
Chaffin, Morgan E.; Berg, Kris E.; Meendering, Jessica R.; Llewellyn, Tamra L.; French, Jeffrey A.; Davis, Jeremy E.
2011-01-01
The purpose of this study was to determine if a difference in interleukin-6 (IL-6) and delayed onset muscles soreness (DOMS) exists in two different phases of the menstrual cycle. Nine runners performed one 75-min high-intensity interval running session during the early follicular (EF) phase and once during the midluteal (ML) phase of the…
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A uranium bed with ceramic body for tritium storage
Energy Technology Data Exchange (ETDEWEB)
Khapov, A.S.; Grishechkin, S.K.; Kiselev, V.G. [' All Russia Research Institute of Automatics' - FSUE VNIIA, Moscow (Russian Federation)
2015-03-15
It is widely recognized that ceramic coatings provide an attractive solution to lower tritium permeation in structural materials. Alumina based ceramic coatings have the highest permeation reduction factor for hydrogen. For this reason an attempt was made to apply crack-free low porous ceramics as a structural material of a bed body for tritium storage in a setup used for hydrogenating neutron tube targets at VNIIA. The present article introduces the design of the bed. This bed possesses essentially a lower hydrogen permeation factor than traditionally beds with stainless steel body. Bed heating in order to recover hydrogen from the bed is suggested to be implemented by high frequency induction means. Inductive heating allows decreasing the time necessary for tritium release from the bed as well as power consumption. Both of these factors mean less thermal power release into glove box where a setup for tritium handling is installed and thus causes fewer problems with pressure regulations inside the glove box. Inductive heating allows raising tritium sorbent material temperature up to melting point. The latter allows achieving nearly full tritium recovery.
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Bouroubi, Athmane; Donazzolo, Yves; Donath, Franck; Eccles, Ron; Russo, Marc; Harambillet, Nadine; Gautier, Stéphanie; Montagne, Agnès
2017-09-01
The aim of this study was to compare the efficacy and safety of a new oromucosal ibuprofen form, ibuprofen 25 mg lozenge, in single and repeat dosing for up to 4 days, to the matched placebo, in the treatment of acute sore throat pain in adults. In this randomised, double-blind, placebo-controlled trial, adult patients with non-streptococcal sore throat and signs of moderate-to-severe associated pain (≥5 on the objective Tonsillo-Pharyngitis Assessment 21-point scale and ≥60 mm on the subjective 0-100 mm visual analogue Sore Throat Pain Intensity Scale [STPIS]) were assigned ibuprofen 25 mg (n=194) or matching placebo (n=191) lozenge treatment. Efficacy was assessed (at the investigating centre up to 2 hours after first dosing, then on an ambulatory basis) by parameters derived from patient's scores on scales of pain relief, pain intensity, and global efficacy assessment. The primary efficacy end-point was the time-weighted TOTal PAin Relief (TOTPAR) over 2 hours after first dosing using the Sore Throat Relief Scale (STRS). Safety and local tolerability were assessed. Ibuprofen 25 mg was superior to placebo on numerous pain relief parameters; TOTPAR was significantly higher with ibuprofen 25 mg over 2 hours after first dosing (Ppain (n=128), after an average 4 days (Prelief of sore throat pain and is as well tolerated as placebo. ClinicalTrials.gov, NCT01785862. © 2017 John Wiley & Sons Ltd.
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Clinical physiology of bed rest
Greenleaf, John E.
1993-01-01
Maintenance of optimal health in humans requires the proper balance between exercise, rest, and sleep as well as time in the upright position. About one-third of a lifetime is spent sleeping; and it is no coincidence that sleeping is performed in the horizontal position, the position in which gravitational influence on the body is minimal. Although enforced bed rest is necessary for the treatment of some ailments, in some cases it has probably been used unwisely. In addition to the lower hydrostatic pressure with the normally dependent regions of the cardiovascular system, body fuid compartments during bed rest in the horizontal body position, and virtual elimination of compression on the long bones of the skeletal system during bed rest (hypogravia), there is often reduction in energy metabolism due to the relative confinement (hypodynamia) and alteration of ambulatory circadian variations in metabolism, body temperature, and many hormonal systems. If patients are also moved to unfamiliar surroundings, they probably experience some feelings of anxiety and some sociopsychological problems. Adaptive physiological responses during bed rest are normal for that environment. They are attempts by the body to reduce unnecessary energy expenditure, to optimize its function, and to enhance its survival potential. Many of the deconditioning responses begin within the first day or two of bed rest; these early responses have prompted physicians to insist upon early resumption of the upright posture and ambulation of bedridden patients.
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Costello, Joseph T; Baker, Philip R A; Minett, Geoffrey M; Bieuzen, Francois; Stewart, Ian B; Bleakley, Chris
2015-09-18
Recovery strategies are often used with the intention of preventing or minimising muscle soreness after exercise. Whole-body cryotherapy, which involves a single or repeated exposure(s) to extremely cold dry air (below -100 °C) in a specialised chamber or cabin for two to four minutes per exposure, is currently being advocated as an effective intervention to reduce muscle soreness after exercise. To assess the effects (benefits and harms) of whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults. We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, the British Nursing Index and the Physiotherapy Evidence Database. We also searched the reference lists of articles, trial registers and conference proceedings, handsearched journals and contacted experts.The searches were run in August 2015. We aimed to include randomised and quasi-randomised trials that compared the use of whole-body cryotherapy (WBC) versus a passive or control intervention (rest, no treatment or placebo treatment) or active interventions including cold or contrast water immersion, active recovery and infrared therapy for preventing or treating muscle soreness after exercise in adults. We also aimed to include randomised trials that compared different durations or dosages of WBC. Our prespecified primary outcomes were muscle soreness, subjective recovery (e.g. tiredness, well-being) and adverse effects. Two review authors independently screened search results, selected studies, assessed risk of bias and extracted and cross-checked data. Where appropriate, we pooled results of comparable trials. The random-effects model was used for pooling where there was substantial heterogeneity. We assessed the quality of the evidence using GRADE. Four laboratory-based randomised controlled trials were included. These reported results for 64
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Mike, Jonathan N; Cole, Nathan; Herrera, Chris; VanDusseldorp, Trisha; Kravitz, Len; Kerksick, Chad M
2017-03-01
Mike, JN, Cole, N, Herrera, C, VanDusseldorp, T, Kravitz, L, and Kerksick, CM. The effects of eccentric contraction duration on muscle strength, power production, vertical jump, and soreness. J Strength Cond Res 31(3): 773-786, 2017-Previous research has investigated the effects of either eccentric-only training or comparing eccentric and concentric exercise on changes related to strength and power expression, but no research to date has investigated the impact of altering the duration of either the concentric or the eccentric component on these parameters. Therefore, the purpose of this study was to assess the duration of eccentric (i.e., 2-second, 4-second vs. 6-second) muscle contractions and their effect on muscle strength, power production, vertical jump, and soreness using a plate-loaded barbell Smith squat exercise. Thirty college-aged men (23 ± 3.5 years, 178 ± 6.8 cm, 82 ± 12 kg, and 11.6 ± 5.1% fat) with 3.0 ± 1.0 years of resistance training experience and training frequency of 4.3 ± 0.9 days per week were randomized and assigned to 1 of 3 eccentric training groups that incorporated different patterns of contraction. For every repetition, all 3 groups used 2-second concentric contractions and paused for 1 second between the concentric and eccentric phases. The control group (2S) used 2-second eccentric contractions, whereas the 4S group performed 4-second eccentric contractions and the 6S group performed 6-second eccentric contractions. All repetitions were completed using the barbell Smith squat exercise. All participants completed a 4-week training protocol that required them to complete 2 workouts per week using their prescribed contraction routine for 4 sets of 6 repetitions at an intensity of 80-85% one repetition maximum (1RM). For all performance data, significant group × time (G × T) interaction effects were found for average power production across all 3 sets of a squat jump protocol (p = 0.04) while vertical jump did not reach
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DEFF Research Database (Denmark)
Souza-Silva, Eduardo; Wittrup Christensen, Steffan; Hirata, Rogerio Pessoto
2018-01-01
Purpose: Delayed onset muscle soreness (DOMS) occur within 1-2 days after eccentric exercise but the mechanism mediating hypersensitivity is unclear. This study hypothesized that eccentric exercise reduces the blood flow response following muscle contractions and cuff occlusion, which may result ...
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Margolis, Lee M; Murphy, Nancy E; Martini, Svein; Spitz, Marissa G; Thrane, Ingjerd; McGraw, Susan M; Blatny, Janet-Martha; Castellani, John W; Rood, Jennifer C; Young, Andrew J; Montain, Scott J; Gundersen, Yngvar; Pasiakos, Stefan M
2014-12-01
Physiological consequences of winter military operations are not well described. This study examined Norwegian soldiers (n = 21 males) participating in a physically demanding winter training program to evaluate whether short-term military training alters energy and whole-body protein balance, muscle damage, soreness, and performance. Energy expenditure (D2(18)O) and intake were measured daily, and postabsorptive whole-body protein turnover ([(15)N]-glycine), muscle damage, soreness, and performance (vertical jump) were assessed at baseline, following a 4-day, military task training phase (MTT) and after a 3-day, 54-km ski march (SKI). Energy intake (kcal·day(-1)) increased (P balance was lower (P military training provide the basis for future studies to evaluate nutritional strategies that attenuate protein loss and sustain performance during severe energy deficits.
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A simple concept for covering pressure sores: wound edge-based propeller perforator flap.
Kelahmetoglu, Osman; Van Landuyt, Koenraad; Yagmur, Caglayan; Sommeling, Casper E; Keles, Musa K; Tayfur, Volkan; Simsek, Tekin; Demirtas, Yener; Guneren, Ethem
2017-12-01
We present a new surgical modification to allow propeller perforator flaps to cover pressure sores at various locations. We used a propeller perforator flap concept based on the detection of newly formed perforator vessels located 1 cm from the wound margin and stimulated by the chronic inflammation process. Between January 2009 and January 2017, 33 wound edge-based propeller perforator flaps were used to cover pressure sores at various locations in 28 patients. In four cases more than one flap was used on the same patient. The patients comprised 18 males and 10 females with a mean age of 41·25 (range, 16-70) years. All patients underwent follow-up for 0-12 months. The mean follow-up duration was 5·03 months. Venous congestion was observed in three flaps that were rotated by 180° (9·1%). However, there was a significant difference between flaps rotated by 90° and 180° according to the complication rate (P = 0·034). Out of 33 flaps, 29 flaps healed uneventfully. Patients were able to sit and lie on their flaps three weeks after surgery. In our study, we were able to obtain satisfying final results using these novel flaps. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
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Directory of Open Access Journals (Sweden)
Jianmin Guo
2017-09-01
Full Text Available Purpose: The purpose of this systematic review and meta-analysis was to evaluate the effects of massage on alleviating delayed onset of muscle soreness (DOMS and muscle performance after strenuous exercise.Method: Seven databases consisting of PubMed, Embase, EBSCO, Cochrane Library, Web of Science, CNKI and Wanfang were searched up to December 2016. Randomized controlled trials (RCTs were eligible and the outcomes of muscle soreness, performance (including muscle maximal isometric force (MIF and peak torque and creatine kinase (CK were used to assess the effectiveness of massage intervention on DOMS.Results: Eleven articles with a total of 23 data points (involving 504 participants satisfied the inclusion criteria and were pooled in the meta-analysis. The findings demonstrated that muscle soreness rating decreased significantly when the participants received massage intervention compared with no intervention at 24 h (SMD: –0.61, 95% CI: –1.17 to –0.05, P = 0.03, 48 h (SMD: –1.51, 95% CI: –2.24 to –0.77, P < 0.001, 72 h (SMD: –1.46, 95% CI: –2.59 to –0.33, P = 0.01 and in total (SMD: –1.16, 95% CI: –1.60 to –0.72, P < 0.001 after intense exercise. Additionally, massage therapy improved MIF (SMD: 0.56, 95% CI: 0.21–0.90, P = 0.002 and peak torque (SMD: 0.38, 95% CI: 0.04–0.71, P = 0.03 as total effects. Furthermore, the serum CK level was reduced when participants received massage intervention (SMD: –0.64, 95% CI: –1.04 to –0.25, P = 0.001.Conclusion: The current evidence suggests that massage therapy after strenuous exercise could be effective for alleviating DOMS and improving muscle performance.
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International Nuclear Information System (INIS)
Sinclair, Judith A.; Oates, Jason P.; Dale, Roger G.
1999-01-01
Purpose: The use of radiobiological modelling to examine the likely consequences of interruptions to radiotherapy schedules and to assess various compensatory measures. Methods and Materials: An effect-time graphical display, the BED-time chart, has been developed using the linear-quadratic (LQ) model. This is used to examine the effects on tumour and normal tissues of treatment interruption scenarios representative of clinical situations. The mathematical criteria governing successful salvage have also been drafted and applied to typical situations. Results: The successful salvage of an interrupted treatment is dependent on a number of interacting factors and the method presented here can be used to examine the trade-offs that exist. Although the mathematics may be complex, it is shown that the dilemmas posed by an interrupted treatment may be more easily appreciated with reference to BED-time charts. These may therefore have a useful role as a teaching aid for portraying a wider variety of radiotherapy problems and also in the documentation of interruptions to treatment and the measures taken to compensate for them. Conclusions: Interruptions to radiotherapy regimes are undesirable and compensatory measures need to be initiated as soon as possible after the gap, with a view to completing the amended treatment within the originally prescribed treatment time. Adequate compensation is particularly difficult for long gaps and gaps which occur towards the end of the scheduled treatment. Modelling exercises can help establish guidelines on the available windows of opportunity
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Pasiakos, Stefan M; Lieberman, Harris R; McLellan, Tom M
2014-05-01
Protein supplements are frequently consumed by athletes and recreationally-active individuals, although the decision to purchase and consume protein supplements is often based on marketing claims rather than evidence-based research. To provide a systematic and comprehensive analysis of literature examining the hypothesis that protein supplements enhance recovery of muscle function and physical performance by attenuating muscle damage and soreness following a previous bout of exercise. English language articles were searched with PubMed and Google Scholar using protein and supplements together with performance, exercise, competition and muscle, alone or in combination as keywords. Inclusion criteria required studies to recruit healthy adults less than 50 years of age and to evaluate the effects of protein supplements alone or in combination with carbohydrate on performance metrics including time-to-exhaustion, time-trial or isometric or isokinetic muscle strength and markers of muscle damage and soreness. Twenty-seven articles were identified of which 18 dealt exclusively with ingestion of protein supplements to reduce muscle damage and soreness and improve recovery of muscle function following exercise, whereas the remaining 9 articles assessed muscle damage as well as performance metrics during single or repeat bouts of exercise. Papers were evaluated based on experimental design and examined for confounders that explain discrepancies between studies such as dietary control, training state of participants, sample size, direct or surrogate measures of muscle damage, and sensitivity of the performance metric. High quality and consistent data demonstrated there is no apparent relationship between recovery of muscle function and ratings of muscle soreness and surrogate markers of muscle damage when protein supplements are consumed prior to, during or after a bout of endurance or resistance exercise. There also appears to be insufficient experimental data
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Varicose and other vein problems - self-care
... neomycin Drying lotions, such as calamine Lanolin, a natural moisturizer Benzocaine or other creams that numb the skin Watch for skin sores on your leg, mainly around your ankle. Take care of sores right away to prevent infection. When ...
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Rock bed heat accumulators. Final report
Energy Technology Data Exchange (ETDEWEB)
Riaz, M.
1977-12-01
The principal objectives of the research program on rock bed heat accumulators (or RBHA) are: (1) to investigate the technical and economic feasibility of storing large amounts of thermal energy (in the tens of MWt range) at high temperature (up to 500/sup 0/C) over extended periods of time (up to 6 months) using native earth or rock materials; (2) to conduct studies to establish the performance characteristics of large rock bed heat accumulators at various power and temperature levels compatible with thermal conversion systems; and (3) to assess the materials and environmental problems associated with the operation of such large heat accumulators. Results of the study indicate that rock bed heat accumulators for seasonal storage are both technically and economically feasible, and hence could be exploited in various applications in which storage plays an essential role such as solar power and total energy systems, district and cogeneration heating systems.
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Energy Technology Data Exchange (ETDEWEB)
Esch, G.W.; Hazen, T.C.
1978-07-01
The implications from these studies are varied, sometimes clear and sometimes less so, for many of the results have raised new and even more critical questions. Thus, our data clearly show that Aeromonas hydrophila is the etiological agent for red-sore disease. Furthermore, they suggest that the effects of temperature are twofold, first in increasing the density of the pathogen in the water column and then in affecting the physiology of the host organism to such an extent as to increase the probability of acquiring the pathogen. On the other hand, organic loading, suggested by other investigators as being important in red-sore disease, was not identified as being significant in the present study. However, if organic loading, or any of its consequences, can be shown to induce stress, then it may be as important in other systems as temperature is in Par Pond. Thus it is quite conceivable that it (organic loading), or some other water quality parameter, may create conditions conducive to increasing densities of A. hydrophila while simultaneously producing water quality characteristics which would lead to stress in fish, and then to increasing the probability of fish acquiring red-sore disease. An enigmatic observation (see Hazen, 1978, for details) is that A. hydrophila has been recovered from a variety of habitats throughout the U.S., yet red-sore disease is known to occur only in the southeast. This peculiar distribution pattern raises several important questions regarding the epizootiology of red-sore, not the least of which is the possibility of there existing differentially virulent strains of A. hydrophila and/or more or less susceptible populations of potential hosts in various parts of the country. Other significant questions are related to the variability in amplitude of red-sore disease from one year to the next among bass in Par Pond, the mode of entry of the pathogen into largemouth bass, and the basic, cellular mechanisms of stress in largemouth bass.
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International Nuclear Information System (INIS)
Esch, G.W.; Hazen, T.C.
1978-07-01
The implications from these studies are varied, sometimes clear and sometimes less so, for many of the results have raised new and even more critical questions. Thus, our data clearly show that Aeromonas hydrophila is the etiological agent for red-sore disease. Furthermore, they suggest that the effects of temperature are twofold, first in increasing the density of the pathogen in the water column and then in affecting the physiology of the host organism to such an extent as to increase the probability of acquiring the pathogen. On the other hand, organic loading, suggested by other investigators as being important in red-sore disease, was not identified as being significant in the present study. However, if organic loading, or any of its consequences, can be shown to induce stress, then it may be as important in other systems as temperature is in Par Pond. Thus it is quite conceivable that it (organic loading), or some other water quality parameter, may create conditions conducive to increasing densities of A. hydrophila while simultaneously producing water quality characteristics which would lead to stress in fish, and then to increasing the probability of fish acquiring red-sore disease. An enigmatic observation (see Hazen, 1978, for details) is that A. hydrophila has been recovered from a variety of habitats throughout the U.S., yet red-sore disease is known to occur only in the southeast. This peculiar distribution pattern raises several important questions regarding the epizootiology of red-sore, not the least of which is the possibility of there existing differentially virulent strains of A. hydrophila and/or more or less susceptible populations of potential hosts in various parts of the country. Other significant questions are related to the variability in amplitude of red-sore disease from one year to the next among bass in Par Pond, the mode of entry of the pathogen into largemouth bass, and the basic, cellular mechanisms of stress in largemouth bass
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Possibility of removing condensate and scattered oil from gas-condensate field during bed flooding
Energy Technology Data Exchange (ETDEWEB)
Belkina, N.A.; Yagubov, M.S.
1984-01-01
The problem is set of evaluating the possible removal from the bed of scattered oil and condensate during flooding of the bed. For this purpose, an experimental study was made of the displacement by water from the porous medium of the oil and condensate saturating it. The obtained experimental results permit evaluation of the possible removal from the gas-condensate bed of scattered oil and condensate during flooding of the bed.
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Directory of Open Access Journals (Sweden)
Nafiseh Shokri Mashhadi
2013-01-01
Conclusions: Administration of ginger and cinnamon in athlete women for six weeks did not show any significant change in the IL-6 level, but showed a decrease in muscle soreness in the cinnamon and ginger groups.
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Infant's bed climate and bedding in the Japanese home.
Nakamura Ikeda, Rie; Fukai, Kiyoko; Okamoto Mizuno, Kazue
2012-06-01
to assess the bed climate of infants in their homes in Japan. descriptive, exploratory, non-experimental research design. the data were collected at the participants' homes under normal circumstances. nineteen healthy infants between the ages of two and five months. Their mothers, who joined a parenting class organised by a maternity clinic in Okayama, Japan, consented to participate in this study. we visited the infants' homes and interviewed their mothers concerning the types and use of bedding. The temperature and relative humidity of the bed climate at the back and foot of the bedding, and in the room were measured every minute for four consecutive days. Differences among the bed climates measured during three seasons (spring, summer, and autumn) were assessed by one-way analysis of variance. The bed temperature was higher for infants than for adults. No significant difference in temperature was noted among the three seasons. The bed temperature was about 36.0°C when waterproof sheets and futon mattresses for children or adult were used. The average relative humidity of the bed climate at the back was highest in summer, followed by that in spring and autumn; the differences were significant. The use of waterproof sheets and futon mattresses for children in summer increased the relative humidity to 80% or more. The use of infant beds, sunoko drainboards, and cotton futon mattresses in summer was effective in reducing the bed humidity. these results suggest that nurse-midwives should advise the parents on comfortable bed climates for their infants, as well as how to select and use bedding for them. Copyright © 2010 Elsevier Ltd. All rights reserved.
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Activation of lower back muscles via FES for pressure sores prevention in paraplegia: a case study.
Vanoncini, M; Holderbaum, W; Andrews, B J
2010-04-01
The aim of this paper is to show the feasibility of the use of functional electrical stimulation (FES) applied to the lower back muscles for pressure sores prevention in paraplegia. The hypothesis under study is that FES induces a change in the pressure distribution on the contact area during sitting. Tests were conducted on a paraplegic subject (T5), sitting on a standard wheelchair and cushion. Trunk extensors (mainly the erector spinae) were stimulated using surface electrodes placed on the skin. A pressure mapping system was used to measure the pressure on the sitting surface in four situations: (a) no stimulation; (b) stimulation on one side of the spine only; (c) stimulation on both sides, at different levels; and (d) stimulation at the same level on both sides, during pressure-relief manoeuvres. A session of prolonged stimulation was also conducted. The experimental results show that the stimulation of the erector spinae on one side of the spine can induce a trunk rotation on the sagittal plane, which causes a change in the pressure distribution. A decrease of pressure on the side opposite to the stimulation was recorded. The phenomenon is intensified when different levels of stimulation are applied to the two sides, and such change can be sustained for a considerable time (around 5 minutes). The stimulation did not induce changes during pressure-relief manoeuvres. Finally, from this research we can conclude that the stimulation of the trunk extensors can be a useful tool for pressure sores prevention, and can potentially be used in a routine for pressure sores prevention based on periodical weight shifts.
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Romain, Cindy; Freitas, Tomás T; Martínez-Noguera, Francisco J; Laurent, Caroline; Gaillet, Sylvie; Chung, Linda H; Alcaraz, Pedro E; Cases, Julien
2017-11-01
High-intensity exercises are known to provoke delayed onset muscle soreness (DOMS). Delayed onset muscle soreness typically occurs within the first 24 h, peaks between 24 and 72 h, and can last as long as 5-7 days post-exercise. Delayed onset muscle soreness is a multifactorial process involving both mechanical and biochemical components, associated with clinical features that may limit range of motion, and athletes seek for effective recovery strategies to optimize future training sessions. TensLess ® is a food supplement developed to help manage post-exercise recovery. The supplement has been investigated on 13 recreationally active athletes of both sex, during a randomized, double-blind, and crossover clinical investigation, including a 3-week washout period. The clinical investigation was based on the study of TensLess ® effects for DOMS management and on the reduction of associated muscle damages following an eccentric exercise protocol. Supplementation with TensLess ® induced significant decrease in DOMS perception (-33%; p = 0.008) as of the first 24 h; this was significantly correlated with a lowered release of muscle damage-associated biomarkers, namely myoglobin, creatinine, and creatine kinase, for the whole length of the recovery period. Taken together, these positive results clearly indicate that post-exercise supplementation with TensLess ® may preserve myocytes and reduce soreness following eccentric exercise-induced damages, and, accordingly, significantly shorten muscle recovery. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.
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Hai, Heng-lin; Shen, Chuan-an; Chai, Jia-ke; Li, Hua-tao
2012-02-01
To explore the clinical effect of transplantation of the long head of biceps femoris muscle flap in combination with semi-V posterior thigh fasciocutaneous flap for repair of pressure sores over ischial tuberosity. Eight patients with 10 deep pressure sores over ischial tuberosity were admitted to the First Affiliated Hospital to the PLA General Hospital and the 98th Hospital of PLA from April 2004 to June 2010. The wounds measured from 2 cm × 2 cm to 6 cm × 4 cm were covered with the long head of biceps femoris muscle flap and semi-V posterior thigh fasciocutaneous flap (ranged from 10 cm × 6 cm to 13 cm × 8 cm). The condition of flaps was observed and followed up for a long time. All flaps survived. Nine wounds healed by first intention. Subcutaneous accumulation of fluids occurred in one wound with formation of a sinus at drainage site, and it healed after dressing change for 25 days. Patients were followed up for 7 to 34 months. Sore recurred in one patient 9 months after surgery, and it was successfully repaired with the same flap for the second time. Flaps in the other 7 patients appeared satisfactory with soft texture and without ulceration. This combined flap is easy in formation and transfer, and it causes little side injury with good resistance against pressure. It is a new method for repair of pressure sore over sacral region.
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Wear oxidation of evaporator coils in fluidised bed captive power plants
International Nuclear Information System (INIS)
Ghosal, S.K.; De, P.K.
2000-01-01
Combustion of pulverised coal or gas to form steam in thermal power plants is a common practice. Corrosion of water-wall, superheater and reheater tubes is the typical problem faced in these power plants. Modification of process conditions, redesigning of equipment and selection of more corrosion resistant materials are few methods which have been tried to combat corrosion to a certain extent. Restricted heat transfer efficiency is another problem associated with these power plants. In order to bring upon improvements, fluidized bed combustors are being used in some advanced thermal power plants at present because of excellent combustion and heat transfer efficiencies. Even with low grade coals, higher combustion efficiency could be achieved in these combustors due to excellent gas/solid chemical reactivity at relatively low reaction temperatures. Further improvements in in-bed heat transfer and bed temperature uniformity have been possible with the use of sand in bed. However, erosion, corrosion and combined erosion/corrosion are some of the major modes of material degradation associated with these fluidized bed combustors using sand. Recently in a captive power unit using bubbling fluidized bed combustors containing sand, evaporator coils made of carbon steel were seen to be severely affected by erosion corrosion. The directional nature of metal removal from the studs, tube OD and ultimately the rupture of the thinned tube wall confirmed the above observation. Microstructural examinations showed loss of carbon at certain places including those near the leaked/punctured regions at the prevailing bed temperature of 850 deg C. This paper describes the detailed investigations carried out on wear oxidation phenomenon occurred in a captive thermal power plant using advanced bubbling fluidized bed combustors. (author)
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Williams, S; Trewartha, G; Kemp, S P T; Michell, R; Stokes, K A
2016-01-01
This prospective cohort study investigated the influence of an artificial playing surface on injury risk and perceptions of muscle soreness in elite English Premiership Rugby Union players. Time loss (from 39.5 matches) and abrasion (from 27 matches) injury risk was compared between matches played on artificial turf and natural grass. Muscle soreness was reported over the 4 days following one match played on each surface by 95 visiting players (i.e., normally play on natural grass surfaces). There was a likely trivial difference in the overall injury burden relating to time-loss injuries between playing surfaces [rate ratio = 1.01, 90% confidence interval (CI): 0.73-1.38]. Abrasions were substantially more common on artificial turf (rate ratio = 7.92, 90% CI: 4.39-14.28), although the majority of these were minor and only two resulted in any reported time loss. Muscle soreness was consistently higher over the 4 days following a match on artificial turf in comparison with natural grass, although the magnitude of this effect was small (effect sizes ranging from 0.26 to 0.40). These results suggest that overall injury risk is similar for the two playing surfaces, but further surveillance is required before inferences regarding specific injury diagnoses and smaller differences in overall injury risk can be made. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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Analysis of wall-packed-bed thermal interactions
International Nuclear Information System (INIS)
Gorbis, Z.R.; Tillack, M.S.; Tehranian, F.; Abdou, M.A.
1995-01-01
One of the major issues remaining for ceramic breeder blankets involves uncertainties in heat transfer and thermomechanical interactions within the breeder and multiplier regions. Particle bed forms are considered in many reactor blanket designs for both the breeder and Be multiplier. The effective thermal conductivity of beds and the wall-bed thermal conductance are still not adequately characterized, particularly under the influence of mechanical stresses. The problem is particularly serious for the wall conductance between Be and its cladding, where the uncertainty can be greater than 50%. In this work, we describe a new model for the wall-bed conductance that treats the near-wall region as a finite-width zone. The model includes an estimate of the region porosity based on the number of contact points, and the contact area for smooth surfaces. It solves the heat conduction in a near-wall unit cell. The model is verified with existing data and used to predict the range of wall conductances expected in future simulation experiments and in reactor applications. (orig.)
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Prevent, identify, and treat bed bug infestations using EPA’s step-by-step guides, based on IPM principles. Find pesticides approved for bed bug control, check out the information clearinghouse, and dispel bed bug myths.
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Electric versus hydraulic hospital beds: differences in use during basic nursing tasks.
Capodaglio, Edda Maria
2013-01-01
Biomechanical, postural and ergonomic aspects during real patient-assisting tasks performed by nurses using an electric versus a hydraulic hospital bed were observed. While there were no differences in the flexed postures the nurses adopted, longer performance times were recorded when electric beds were used. Subjective effort, force exertion and lumbar shear forces exceeding safety limits proved electric beds were superior. Patients' dependency level seemed to influence the type of nurses' intervention (duration and force actions), irrespective of the bed used. The nurses greatly appreciated the electric bed. Its use seemed to reduce the level of effort perceived during care giving and the postural load during critical subtasks. Ergonomics and organizational problems related to adopting electric beds in hospital wards should be addressed further to make their use more efficient.
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Marine oil dietary supplementation reduces delayed onset muscle soreness after a 30 km run
Baum, Klaus; Telford, Richard D; Cunningham, Ross B
2013-01-01
Klaus Baum,1 Richard D Telford,2 Ross B Cunningham,3 1Trainingsinstitut Prof Baum, Köln, Germany; 2College of Medicine, Biology, and Environment, Australian National University, Canberra, ACT, Australia; 3The Fenner School of Environment and Society, Australian National University, Canberra, ACT, Australia Objective: Runners are prone to delayed onset muscle soreness (DOMS) during long distance training. This especially holds for unaccustomed training volumes at moderate to high int...
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Thermal-hydraulic considerations for particle bed reactors
Benenati, R.; Araj, K. J.; Horn, F.
In the design of particle bed reactor (PBR) cores, consideration must be given to the gas coolant channels and their configuration. Neutronics analysis provides the relative volume fractions of the component materials, but these must be arranged in such a manner as to allow proper cooling of all components by the gas flow at relatively low pressure drops. The thermal hydraulic aspects of this problem are addressed. A description of the computer model used in the analysis of the steady state condition is also included. Blowdown tests on hot particle bed fuel elements were carried out and are described.
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Energy Technology Data Exchange (ETDEWEB)
Huizinga, H W [Illinois State Univ., Normal; Esch, G W; Hazen, T C
1979-01-01
The histopathology of red-sore disease, caused by the gram-negative bacterium, Aeromonas hydrophila, is described for largemouth bass, Micropterus salmoides. Externally, lesions range from those affecting a few scales (pin-point), to those associated with extensive chronic ulcerations; there is focal hemorrhage, oedema and dermal necrosis which exposes underlying muscles producing infiltration of mononuclear and granulocytic inflammatory cells. Internally, the liver and kidneys are foci for toxic products produced by A. hydrophila with, in the most severe cases, complete destruction of the structural integrity of both organs. Pathological changes were not serious in either the spleen or heart, even in cases with massive damage in the liver and kidney. Internal and external lesions were similar in both natural and experimentally induced infections. The pathobiology of red-sore disease in bass was postulated to be linked to elevated water temperature stimulating increased metabolism, decreased body condition and stress, leading to the increased production of corticosteroids and the concommitant rise in susceptibility to infection.
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Bed agglomeration characteristics of palm shell and corncob combustion in fluidized bed
International Nuclear Information System (INIS)
Chaivatamaset, Pawin; Sricharoon, Panchan; Tia, Suvit
2011-01-01
Bed particle agglomeration was studied experimentally in an atmospheric laboratory scale fluidized bed combustor using quartz sand as bed material. Palm shell and corncob were tested. The objectives of the study were (i) to describe the contributions of the biomass ash properties and the operating conditions on the bed agglomeration tendency in term of the bed defluidization time (t def ) and the extent of potassium accumulation in the bed (K/Bed) and (ii) to further elucidate the ash inorganic behaviors and the governing bed agglomeration mechanisms. Defluidization caused by the bed agglomeration was experienced in all experiments during combustion of these biomasses, as a consequence of the presence of potassium in biomass. The experimental results indicated that biomass ash characteristics were the significant influence on the bed agglomeration. The increasing bed temperature, bed particle size and static bed height and the decreasing fluidizing air velocity enhanced the bed agglomeration tendency. The SEM/EDS analyses on the agglomerates confirmed that the agglomeration was attributed to the formation of potassium silicate liquid enriched on the surface of quartz sand particles in conjunction with the high surface temperature of the burning biomass char particles. Thermodynamic examination based on the phase diagram analysis confirmed that the molten phase formation was responsible for the agglomeration. In this study, the high molten ash fraction resulting from the high potassium content in biomass promoted the agglomeration and thus defluidization. - Highlights: → Palm shell and corncob of Thailand are tested their bed agglomeration behaviors during fluidized bed combustion. → The increase of bed temperature, bed particle size and static bed height and the decrease of air velocity enhance bed agglomeration. → The formation of ash derived potassium silicate melts enriched on sand surface is the key process. → The collision between char and sand
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PROGNOSTIC FACTORS IN PATIENTS WITH PRESSURE SORES IN A UNIVERSITY HOSPITAL IN SOUTHERN BRAZIL.
Walter, Gustavo Palmeiro; Seidel, William; Giustina, Renata Della; Bins-Ely, Jorge; Maurici, Rosemeri; Narciso-Schiavon, Janaína Luz
2017-01-01
Despite advances in medical care, patients who are hospitalized or have spinal cord injuries often develop pressure sores. The objective of this study was to describe the epidemiological characteristics of pressure sores and evaluate factors associated with recurrence and cure. In this historical cohort study, clinical and laboratory data were collected from medical records between 1997 and 2016. Sixty individuals with pressure ulcers were included; mean patient age was 38.1±16.5 (37.0) years, 83.3% were men, and 86.8% identified as white. Most patients (85.1%) had paraplegia, amputation, or trauma of the lower limbs with motor sequelae; the remainder (14.9%) were quadriplegic. Most (78.3%) underwent surgery, and the mean follow-up time was 1.8±2.5 years. The lesions were cured in 25 patients; they recurred in 25% of the patients, and recurrence was seen to be associated with the location of the lesions. Patients with recurrent lesions had more medical consultations and a longer treatment time. Individuals whose ulcers had healed had fewer lesions, higher body mass index (BMI), and a higher proportion of these patients underwent surgery. BMI and location and number of lesions are prognostic factors. Level of Evidence IV, Case Series.
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Interpersonal Problems and Developmental Trajectories of Binge Eating Disorder
Blomquist, Kerstin K.; Ansell, Emily B.; White, Marney A.; Masheb, Robin M.; Grilo, Carlos M.
2012-01-01
Objective To explore associations between specific interpersonal constructs and the developmental progression of behaviors leading to binge eating disorder (BED). Method Eighty-four consecutively evaluated, treatment-seeking obese (BMI ≥ 30) men and women with BED were assessed with structured diagnostic and clinical interviews and completed a battery of established measures to assess the current and developmental eating- and weight-related variables as well as interpersonal functioning. Results Using the interpersonal circumplex structural summary method, amplitude, elevation, the affiliation dimension, and the quadratic coefficient for the dominance dimension were associated with eating and weight-related developmental variables. The amplitude coefficient and more extreme interpersonal problems on the dominance dimension (quadratic)—i.e., problems with being extremely high (domineering) or low in dominance (submissive)—were significantly associated with ayounger age at onset of binge eating, BED, and overweight as well as accounted for significant variance in age at binge eating, BED, and overweight onset. Greater interpersonal problems with having an overly affiliative interpersonal style were significantly associated with, and accounted for significant variance in, ayounger age at diet onset. Discussion Findings provide further support for the importance of interpersonal problems among adults with BED and converge with recent work highlighting the importance of specific types of interpersonal problems for understanding heterogeneity and different developmental trajectories of individuals with BED. PMID:22727087
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Dynamic transition between fixed- and mobile-bed: mathematical and numerical aspects
Zugliani, Daniel; Pasqualini, Matteo; Rosatti, Giorgio
2017-04-01
Free-surface flows with high sediment transport (as debris flow or hyper-concentrated flow) are composed by a mixture of fluid and solid phase, usually water and sediment. When these flows propagate over loose beds, particles constituting the mixture of water and sediments strongly interact with the ones forming the bed, leading to erosion or deposition. However, there are lots of other situations when the mixture flows over rigid bedrocks or over artificially paved transects, so there is no mass exchange between bed and mixture. The two situations are usually referred to as, respectively, mobile- and fixed-bed conditions. From a mathematical point of view, the systems of Partial Differential Equations (PDEs) that describe these flows derive from mass and momentum balance of both phases, but, the two resulting PDEs systems are different. The main difference concerns the concentration: in the mobile-bed condition, the concentration is linked to the local flow conditions by means of a suitable rheological relation, while in the fixed-bed case, the concentration is an unknown of the problem. It is quite common that a free surface flow with high sediment transport, in its path, encounters both conditions. In the recent work of Rosatti & Zugliani 2015, the mathematical and numerical description of the transition between fixed- and mobile-bed was successfully resolved, for the case of low sediment transport phenomena, by the introduction of a suitable erodibility variable and satisfactory results were obtained. The main disadvantage of the approach is related to the erodibility variable, that changes in space, based on bed characteristics, but remains constant in time. However, the nature of the bed can change dynamically as result of deposition over fixed bed or high erosion over mobile bed. With this work, we extend the applicability of the mentioned approach to the more complex PDEs describing the hyper-concentrated flow. Moreover, we introduce a strategy that allows
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Research and application of packing density for pebble bed in HTR
International Nuclear Information System (INIS)
Yu Fujiang; Xie Fei; Sun Ximing
2015-01-01
The pebble bed high temperature gas-cooled reactor is one of the major types of reactors developed by Chinese nuclear technology. The statistical analysis for packing density in the pebble bed is an important issue of physical-thermal calculation and safety analysis. Aimed to this problem, a new kind of method was set up to solve this problem. Compared with the traditional lattice-fill method and the experiment, its efficiency and accuracy were verified, while helping to find out the best length of unit in the traditional lattice-fill method. This method was used to analyze the boundary effects observed by experiments. (authors)
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Lee, M S; Seo, S R; Kim, J-C
2012-10-01
Pressure sores are lesions caused by impaired blood flow. Conventional dressings can absorb exudates, but do not promote wound healing. A hydrogel composed of β-cyclodextrin (β-CD), polyethyleneimine (PEI) and silk fibroin (SF) was assessed for use in healing of pressure sores. The hydrogel was prepared by crosslinking β-CD-grafted PEI and SF using epichlorohydrin. The gel was then immersed in an aqueous solution of Centella asiatica extract (CAE) 0.7 mg/mL and/or hydrocortisone acetate (HCA) 0.5 mg/mL. The in vivo pressure sore-healing efficacy of the dry gel (with or without the drugs) was investigated in terms of the hyperplasia of epidermis and the number of neutrophils in the skin tissue. The specific loading of CAE was 0.0091 g/g of dry gel. The percentage of CAE released at 24 h at pH 3.0, 5.0 and 7.4 was approximately 63.9%, 55.0% and 44.4%, respectively. This pH-dependent release is possibly due to the degree of gel swelling, which decreased with increasing pH. The specific loading of HCA was 0.0050 g/g dry gel, and the percentage release of HCA at 24 h was around 20% at all three pH points. It is likely that HCA release is independent of pH. HCA is a hydrophobic compound, and therefore the release of HCA is affected by the partitioning of HCA between the β-CD cavity and the bulk water phase, but not by the degree of swelling of the hydrogel. The pressure sores treated with the hydrogel healed in 6 days, compared with 10 days for controls. In this study, a β-CD/PEI/SF hydrogel containing CAE and HCA reduced the healing time for pressure sores. © The Author(s). CED © 2012 British Association of Dermatologists.
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Process and technological wastes compaction through a fluidized bed incineration process
International Nuclear Information System (INIS)
Guiroy, J.J.
1993-01-01
The various fluidized bed systems (dense or circulating) are reviewed and the advantages of the circulation fluidized bed are highlighted (excellent combustion performance, clean combustion, large operating range, poly-functionality with regards to waste type, ...). Applications to contaminated graphite (with the problem of ash management) and to plant process wastes (ion exchangers, technological wastes, aqueous effluents); study of the neutralization and chlorine emission
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Bed blocking by elderly patients in general-hospital wards.
Rubin, S G; Davies, G H
1975-08-01
A point prevalence survey, using a questionnaire, was performed in three general hospitals to investigate the problem of elderly patients blocking acute-hospital beds. A total of 1010 occupied general beds were surveyed and all patients, over the age of 60 years, who had been in hospital more than four weeks, and who, in the opinion of medical and nursing staff, were no longer in need of the facilities of a general hospital, were investigated. Forty-eight patients (4.8 per cent of the total) were found to be genuinely in bed inappropriate to their needs. Rehabilitation, together with assessment of these patients, appeared disorganized and lacked consistency, and decisions regarding suitable 'disposal' appeared to be made without sufficient consultation and conformed to no detectable pattern. The main reason for the continuing bed occupancy of the patients was the length of the waiting lists for alternative residential accommodation and the main single medical factor preventing discharge home or to a hostel was the problem of mobility. By interviewing staff and patients and scrutinizing the questionnaires, it was found that 23 patients (48 per cent) were only suitable for transfer to a long-stay hospital. Of these, however, 15 (31 per cent) could be placed in specialized accommodation if some degree of nursing care, at present not available, was provided.
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The Safety of Hospital Beds: Ingress, Egress, and In-Bed Mobility.
Morse, Janice M; Gervais, Pierre; Pooler, Charlotte; Merryweather, Andrew; Doig, Alexa K; Bloswick, Donald
2015-01-01
To explore the safety of the standard and the low hospital bed, we report on a microanalysis of 15 patients' ability to ingress, move about the bed, and egress. The 15 participants were purposefully selected with various disabilities. Bed conditions were randomized with side rails up or down and one low bed with side rails down. We explored the patients' use of the side rails, bed height, ability to lift their legs onto the mattress, and ability to turn, egress, and walk back to the chair. The standard bed was too high for some participants, both for ingress and egress. Side rails were used by most participants when entering, turning in bed, and exiting. We recommend that side rails be reconsidered as a means to facilitate in-bed movement, ingress, and egress. Furthermore, single deck height settings for all patients are not optimal. Low beds as a safety measure must be re-evaluated.
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Energy Technology Data Exchange (ETDEWEB)
Mesa Perez, Juan Miguel; Marin Mesa, Henry Ramon [Bioware Tecnologia, Campinas, SP (Brazil); Rocha, Jose Dilcio; Olivares Gomez, Edgardo [Universidade Estadual de Campinas (NIPE/UNICAMP), SP (Brazil). Nucleo Interdisciplinar de Planejamento Energetico; Cortez, Luis Augusto Barbosa; Shimabukuro, Fabio Rodrigo; Vallin, Marco Jim Gui [Universidade Estadual de Campinas (FEAGRI/UNICAMP), SP (Brazil). Fac. de Engenharia Agricola
2006-07-01
The fluidized bed reactor developed by the researchers of the UNICAMP in the installations of the Sugar Cane Technology Center (CTC), in Piracicaba-SP, is the first reactor of biomass fast pyrolysis in Brazil to produce bio-oil. In this work the problems of operation with the reactor in functioning are presented as the emptying of gases produced in the pyrolysis by means of the biomass feeding system, the block of the thread of biomass feeding, the inert material sintering in the bed, etc. The possible causes are described. Thus it, the first ones could be solved, either by the reduction of the height of the inert bed, or by the increase of the wadding percentage of the thread, among others. These results of the exploratory tests make possible the steady work of the plant, greater knowledge of the phenomena that occur during the fast pyrolysis in flutizide bed, as well as the establishment of adjusted levels for the identified independent factors during the remaining experimental works. (author)
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A review of some parameters involved in fluidized bed bioreactors
Energy Technology Data Exchange (ETDEWEB)
Wright, P.C. [School of Chemical Engineering and Industrial Chemistry, The Univ. of New South Wales, Sydney (Australia); Raper, J.A. [School of Chemical Engineering and Industrial Chemistry, The Univ. of New South Wales, Sydney (Australia)
1996-02-01
Three-phase fluidized bed bioreactors have advantages over conventional chemical reaction systems. There is a lack of agreement over most major operational conditions, and a wide range of design variables are open to question. A large body of recent work in the field has been reviewed, with a degree of historical comparison and discussion. It has been found that aspects of fluidized bed biofilm reactors of vital importance include: choice of solid media, gas and liquid loadings, bacterial type and reactor mechanical design. A large proportion of the work in the field of three-phase fluidization is non-biologically specific, or not tested on a bacterially inoculated system. The majority of three-phase fluidized bed bioreactor work is in the field of water treatment. Although this work has highlighted the potential for use of bio-fluidized beds for this application, there are still specific problems hinderin the large scale industrial acceptance of three-phase fluidized bed bioreactors. (orig.)
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Application and Discussion of Dual Fluidized Bed Reactor in Biomass Energy Utilization
Guan, Haibin; Fan, Xiaoxu; Zhao, Baofeng; Yang, Liguo; Sun, Rongfeng
2018-01-01
As an important clean and renewable energy, biomass has a broad market prospect. The dual fluidized bed is widely used in biomass gasification technology, and has become an important way of biomass high-value utilization. This paper describes the basic principle of dual fluidized bed gasification, from the gas composition, tar content and thermal efficiency of the system point of view, analyzes and summarizes several typical dual fluidized bed biomass gasification technologies, points out the existence of gas mixing, the external heat source, catalyst development problems on gas. Finally, it is clear that the gasification of biomass in dual fluidized bed is of great industrial application and development prospect.
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Traveler's encounter with nymphs in a hotel bed.
Sandlund, Johanna; Banaei, Niaz
2014-01-01
This case illustrates skin lesions in a traveler staying in a hotel bed infested with tics. Although infestation of hotels with bedbugs belonging to the Cimex genus is a growing problem worldwide, tick infestation has never been reported before.
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Directory of Open Access Journals (Sweden)
M. Rossato
2015-06-01
Conclusion: Use of cryotherapy after exercise with eccentric contractions was effective to reestablish the level of biochemical markers of muscle damage and reduce muscle soreness and pain perception in subjects submitted to downhill running.
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Real-Time Measurement of Volatile Chemicals Released by Bed Bugs during Mating Activities
DEFF Research Database (Denmark)
Kilpinen, Ole Østerlund; Liu, Dezhao; Adamsen, Anders Peter
2012-01-01
In recent years, bed bug (Hemiptera: Cimicidae) problems have increased dramatically in many parts of the world, leading to a renewed interest in their chemical ecology. Most studies of bed bug semiochemicals have been based on the collection of volatiles over a period of time followed by chemical...
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7 CFR 2902.15 - Bedding, bed linens, and towels.
2010-01-01
... PROCUREMENT Designated Items § 2902.15 Bedding, bed linens, and towels. (a) Definition. (1) Bedding is that... minimum biobased content is 12 percent and shall be based on the amount of qualifying biobased carbon in..., and silk are not qualifying biobased feedstocks for the purpose of determining the biobased content of...
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Evaluation of a clay-based acidic bedding conditioner for dairy cattle bedding.
Proietto, R L; Hinckley, L S; Fox, L K; Andrew, S M
2013-02-01
This study investigated the effects of a clay-based acidic bedding conditioner on sawdust bedding pH, dry matter (DM), environmental pathogen counts, and environmental bacterial counts on teat ends of lactating dairy cows. Sixteen lactating Holstein cows were paired based on parity, days in milk, milk yield, and milk somatic cell count, and were negative for the presence of an intramammary pathogen. Within each pair, cows were randomly assigned to 1 of 2 treatments with 3-wk periods in a crossover design. Treatment groups consisted of 9 freestalls per group bedded with either untreated sawdust or sawdust with a clay-based acidic bedding conditioner, added at 3- to 4-d intervals over each 21-d period. Bedding and teat ends were aseptically sampled on d 0, 1, 2, 7, 14, and 21 for determination of environmental bacterial counts. At the same time points, bedding was sampled for DM and pH determination. The bacteria identified in the bedding material were total gram-negative bacteria, Streptococcus spp., and coliform bacteria. The bacteria identified on the teat ends were Streptococcus spp., coliform bacteria, and Klebsiella spp. Teat end score, milk somatic cell count, and intramammary pathogen presence were measured weekly. Bedding and teat cleanliness, environmental high and low temperatures, and dew point data were collected daily. The bedding conditioner reduced the pH, but not the DM, of the sawdust bedding compared with untreated sawdust. Overall environmental bacterial counts in bedding were lower for treated sawdust. Total bacterial counts in bedding and on teat ends increased with time over both periods. Compared with untreated sawdust, the treated bedding had lower counts of total gram-negative bacteria and streptococci, but not coliform counts. Teat end bacterial counts were lower for cows bedded on treated sawdust for streptococci, coliforms, and Klebsiella spp. compared with cows bedded on untreated sawdust. The clay-based acidic bedding conditioner
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India's first 100,000 lbs/hr atmospheric bed boiler
International Nuclear Information System (INIS)
Mahajan, S.K.
1991-01-01
This paper covers the operating experience at the Petrochemical Complex of Hindustan Polymers, a Member Company of the UB Group, India, on the India's first 100,000 Lbs/hr atmospheric fluidized bed boiler supplied by Bharat Heavy Electricals Ltd., India. This atmospheric fluidized bed boiler is in operation for over 7 years with over 51,000 operating hours. The paper covers the details of onstream hours, actual thermal efficiency achieved, type of coal used and operational advantages of such boilers as per experience of Hindustan Polymers. Paper also highlights the maintenance and equipment problems as well as the developments which have taken place to overcome such problems. Details of experience in the operation of this boiler with baghouse system using abrasive and high ash coal are also covered
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El-Sabbagh, Ahmed H
2011-10-01
Management of patients with large or recurrent pressure ulcerations can be complicated by the lack of available local flap, whether already used or because adjacent lesions make such flap insufficient for complete coverage. In this article, the gracilis muscle was modified to cover large defects without help from its cutaneous territory. Twelve ischeal pressure sores were treated between August 2007 and 2009 with the modified gracilis muscle flap in a single-staged procedure. Five ulcers were recurrent and seven patients have associated pressure ulcers. All reconstructions were successful. Mean patient age was 35 years and nearly all patients had multiple significant comorbidities, including associated ulcers, diabetes and urethrocutaneous fistula. All flaps and donor sites healed uneventfully. There was one complication presented as cellulites at the donor site. Follow-up in some cases extend up to 1·5 years. No recurrence was observed. The accordion gracilis muscle flap is a handy, safe and fast flap for reconstruction of recurrent, difficult ischeal pressure sores. © 2011 The Author. © 2011 Blackwell Publishing Ltd and Medicalhelplines.com Inc.
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A new approach to define surface/sub-surface transition in gravel beds
Haynes, Heather; Ockelford, Anne-Marie; Vignaga, Elisa; Holmes, William
2012-12-01
The vertical structure of river beds varies temporally and spatially in response to hydraulic regime, sediment mobility, grain size distribution and faunal interaction. Implicit are changes to the active layer depth and bed porosity, both critical in describing processes such as armour layer development, surface-subsurface exchange processes and siltation/ sealing. Whilst measurements of the bed surface are increasingly informed by quantitative and spatial measurement techniques (e.g., laser displacement scanning), material opacity has precluded the full 3D bed structure analysis required to accurately define the surface-subsurface transition. To overcome this problem, this paper provides magnetic resonance imaging (MRI) data of vertical bed porosity profiles. Uniform and bimodal (σ g = 2.1) sand-gravel beds are considered following restructuring under sub-threshold flow durations of 60 and 960 minutes. MRI data are compared to traditional 2.5D laser displacement scans and six robust definitions of the surface-subsurface transition are provided; these form the focus of discussion.
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Heitmuller, Franklin T.; Asquith, William H.
2008-01-01
The Texas Department of Transportation commonly builds and maintains low-water crossings (LWCs) over streams in the Edwards Plateau in Central Texas. LWCs are low-height structures, typically constructed of concrete and asphalt, that provide acceptable passage over seasonal rivers or streams with relatively low normal-depth flow. They are designed to accommodate flow by roadway overtopping during high-flow events. The streams of the Edwards Plateau are characterized by cobble- and gravel-sized bed material and highly variable flow regimes. Low base flows that occur most of the time occasionally are interrupted by severe floods. The floods entrain and transport substantial loads of bed material in the stream channels. As a result, LWCs over streams in the Edwards Plateau are bombarded and abraded by bed material during floods and periodically must be maintained or even replaced.
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Directory of Open Access Journals (Sweden)
Seyed Hamid Reza Faiz
2014-01-01
Full Text Available Background: Air way intubation for general anesthesia usually leads to sore throat after surgery. Ketamine plays an important role to block a number of receptors related to pain. Benzydamine hydrochloride is a non-steroidal anti-inflammatory drug that has been used to improve oropharyngeal disorders. In this study, it was intended to compare the effect of gargling different solutions before the surgery on post-operative sore throat (POST in patients who underwent general anesthesia for hysterectomy. Materials and Methods: A total of 60 patients who underwent the elective hysterectomy were entered to the randomized controlled trial regarding to the eligibility criteria. Patients were simply randomly allocated to three groups and received one code. Every code was representative for a specific drug: 20 cc normal saline (control group or 1.5 mg benzydamine in 20 cc solution or 20 mg ketamine in 20 cc solutions. All the research teams were blinded to the received solutions. POST was evaluated with numerical rating scale. The data were entered to SPSS software and analysis of variance (ANOVA and Kruskal-Wallis one-way analysis of variance test, were performed. Results: The mean ages of ketamine, benzydamine, and normal saline recipients were not significantly different. The trend of the severity of sore throat during the first 24 h after the operation in ketamine recipients was significantly lower than the other two groups (P < 0.001. Conclusion: The pain scale after surgery was reduced by using both ketamine and benzydamine, but the ketamine effect was more noticeable.
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International Nuclear Information System (INIS)
Yakush, S.E.; Lubchenko, N.T.; Kudinov, P.
2015-01-01
In this work we consider a water-cooled power reactor severe accident scenario with pressure vessel failure and subsequent release of molten corium. A surrogate model for prediction of dryout heat flux for ex-vessels debris beds of different shapes is developed. Functional form of dryout heat flux dependence on problem parameters is developed by the analysis of coolability problem in non-dimensional variables. It is shown that for a flat debris bed the dryout heat flux can be represented in terms of three 1-dimensional functions for which approximating formulas are found. For two-dimensional debris beds (cylindrical, conical, Gaussian heap, mound-shaped), an additional function taking into account the bed shape geometry is obtained from numerical simulations using DECOSIM code as a full model. With the surrogate model in hand, risk analysis of debris bed coolability is carried out by Monte Carlo sampling of the input parameters within selected ranges, with assumed distribution functions
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[Plastic surgery treatment techniques for interdisciplinary therapy of pressure sores].
Müller, Karin; Becker, Frederic; Pfau, Matthias; Werdin, Frank
2017-06-01
Pressure sores in geriatric patients represent a challenge for all disciplines involved in the treatment process; however, the prerequisite for successful treatment is the elaboration of an interdisciplinary treatment concept. The treatment goals should be adapted to the individual needs of the patients including the life situation, general condition and local findings. In addition to general basic operative techniques, such as wound cleansing and conditioning, plastic and reconstructive surgery provides a wide range of highly specialized operative techniques for the treatment of these patients by which a definitive defect coverage can be achieved. The aim of this article is to raise awareness for these complex and highly specialized procedures for all disciplines participating in the treatment in order to improve the interdisciplinary cooperation and ultimately the quality of treatment.
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Greater bottoms upgrading with Albemarle's e-bed catalysts
Energy Technology Data Exchange (ETDEWEB)
Toshima, H.; Sedlacek, Z.; Backhouse, D.; Mayo, S.; Plantenga, F. [Albemarle Catalysts, Houston, TX (United States)
2006-07-01
The E-bed process is a heavy oil upgrading technology that produces near isothermal reactor conditions at a constant catalytic activity. However, E-bed conversion optimization is limited by reactor and downstream fouling problems caused by asphaltene precipitation. While asphaltene precipitation can controlled by reducing hydrogenation, high hydrogenation activity is needed for the removal of sulfur and heavy metals. This presentation described an asphaltene molecule management concept to reduce the fouling of E-bed units. Sediment reduction and high hydrogenation catalysts were used in a modified E-bed process with a variety of feeds and operating conditions. It was observed that the KF1312 catalyst achieved much higher sediment-reduction capability along with satisfactory hydrogenation activity with the different kinds of crude oil sources tested. The catalyst hydrocracked the asphaltenes into smaller molecules, which created greater asphaltene solubility. The sediment reduction capacity of the catalyst-staging technology is now being optimized. It was concluded that the technology will help to reduce fouling in E-bed processes and lead to improved conversion rates for refineries. refs., tabs., figs.
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Energy Technology Data Exchange (ETDEWEB)
Lee, Jae-Uk [Department of Chemical Engineering, Pohang University of Science and Technology, San 31, Hyoja-Dong, Pohang 790-784 (Korea, Republic of); Chang, Min Ho; Yun, Sei-Hun [National Fusion Research Institute, 169-148-gil Kwahak-ro, Yusong-gu, Daejon 34133 (Korea, Republic of); Lee, Euy Soo, E-mail: eslee@dongguk.edu [Department of Chemical & Biochemical Engineering, Dongguk University, Seoul 100-715 (Korea, Republic of); Lee, In-Beum [Department of Chemical Engineering, Pohang University of Science and Technology, San 31, Hyoja-Dong, Pohang 790-784 (Korea, Republic of)
2016-12-15
This paper proposes an improved design model for the multi-bed system in the Storage and Delivery System considering that the hydriding and dehydriding rates of a getter bed decay over time. More specifically, the hydriding and dehydriding rates are influenced by the amount of remaining inventory in the getter bed and time simultaneously. Therefore, we formulate the rate decays mathematically to consider these features in the design model. The optimization problem is formulated as a mixed integer nonlinear program (MINLP) model with nonlinear constraints. Inductive operation scenario is presented to illustrate the applicability of the proposed model.
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International Nuclear Information System (INIS)
Lee, Jae-Uk; Chang, Min Ho; Yun, Sei-Hun; Lee, Euy Soo; Lee, In-Beum
2016-01-01
This paper proposes an improved design model for the multi-bed system in the Storage and Delivery System considering that the hydriding and dehydriding rates of a getter bed decay over time. More specifically, the hydriding and dehydriding rates are influenced by the amount of remaining inventory in the getter bed and time simultaneously. Therefore, we formulate the rate decays mathematically to consider these features in the design model. The optimization problem is formulated as a mixed integer nonlinear program (MINLP) model with nonlinear constraints. Inductive operation scenario is presented to illustrate the applicability of the proposed model.
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Bliss, Mary Rose
2004-01-01
The notorious statement by Asher about the dangers of bed rest [Brit Med J 1947; ii: 967-8] which continues to be quoted out of context in leading medical journals today is inapplicable to modern short stay elderly hospital patients and has little medical foundation. 'Blood clotting in the veins' is more likely to result from venous stasis during sitting than from lying down. 'Lime draining from the bones' refers to subjects' spending weeks, not hours, in the horizontal position and similar losses have been shown to occur in healthy people immobilised in chairs for long periods during the day. Constipation is common in sick old people and there is no evidence that 'scybala stacking up the colon' is more likely to occur in bed than in a chair. The 'flesh rotting from the seat', or pressure sores, occur as frequently or more frequently, in sick patients nursed in chairs as in bed. 'Urine leaking from the distended bladder' may be reduced in very debilitated old people sitting in chairs, but at the expense of impaired renal function associated with reduced perfusion in the upright posture and exacerbated incontinence due to a compensatory diuresis at night. The 'spirit evaporating from the soul' today is more likely to afflict old patients who are exhausted by prolonged chair nursing and orthostatic hypotension due to age or illness. Recent studies in intensive care patients have highlighted the hypotension due to vasodilatation which can occur in infection and trauma. There is no evidence that nosocomial pneumonia is reduced by sitting patients out of bed, and lack of sleep is likely to exacerbate infection and delay recovery. Preventing patients from lying down when they feel the need is a violation of their rights and has been shown to be probably as injurious as the Victorian practice of preventing healthy patients from getting up. Physiotherapy is obviously important but patients should be allowed to decide for themselves how long they spend in or out of bed.
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Gargling with Ketamine Attenuates the Postoperative Sore Throat
Directory of Open Access Journals (Sweden)
A Rudra
2009-01-01
Full Text Available Postoperative sore throat (POST is a common complication of anaesthesia with endotracheal tube that affects patient satisfaction after surgery. Therefore, this complication remains to be resolved in patients undergoing endotra-cheal intubation. The aim of the study was to compare the effectiveness of ketamine gargles with placebo in prevent-ing POST after endotracheal intubation. Forty patients scheduled for elective surgery under general anaesthesia were randomized into: Group C, water 30 ml; Group K, ketamine 50 mg in water 29 ml. Patients were asked to gargle this mixture for 40 seconds, 5 minutes before induction of anaesthesia. POST was graded at 4, 8 and 24 hours after operation on a four-point scale (0-3. In the Control group POST occurred more frequently, when compared with patients belonging to Ketamine group, at 4, 8, and 24 hours and significantly more patients suffered severe POST in Control group at 8 and 24 hours compared with Ketamine group (P< 0.05. We demonstrated that gargling with ketamine significantly attenuated POST, with no drug-related side effects were observed.
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DEFF Research Database (Denmark)
Anicic, Bozidar; Lin, Weigang; Dam-Johansen, Kim
2018-01-01
Agglomeration is one of the operational problems in fluidized bed combustion of biomass, which is caused by interaction between bed materials (e.g. silica sand) and the biomass ash with a high content of potassium species. However, the contribution of different potassium species to agglomeration ...
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Effects of acupuncture on symptoms and muscle function in delayed-onset muscle soreness.
Hübscher, Markus; Vogt, Lutz; Bernhörster, Marcus; Rosenhagen, Andreas; Banzer, Winfried
2008-10-01
This study was done to investigate the effects of a standardized acupuncture treatment on symptoms and muscle function in exercise-induced delayed-onset muscle soreness (DOMS). A prospective, randomized, controlled, observer and subject-blinded trial was undertaken. Twenty-two (22) healthy subjects (22-30 years; 10 males and 12 females) were randomly assigned to three treatment groups: real acupuncture (deep needling at classic acupuncture points and tender points; n = 7), sham-acupuncture (superficial needling at nonacupuncture points; n = 8), and control (no needling; n = 7). DOMS of the nondominant elbow-flexors was experimentally induced through eccentric contractions until exhaustion. The outcome measures were pain perception (visual analogue scale; VAS; range: 0-10 cm), mechanical pain threshold (MPT; pressure algometer), and maximum isometric voluntary force (MIVF; force transducer). Treatment was applied immediately, 24 and 48 hours after DOMS induction. Measurements of MPT and MIVF were made prior to DOMS induction as well as before and after every treatment session. VAS data were acquired after DOMS induction as well as pre- and post-treatment. Final pain, MPT, and MIVF measurements were performed 72 hours after DOMS induction. Following nonparametric testing, there were no significant differences between groups in outcome measures at baseline. After 72 hours, pain perception (VAS) was significantly lower in the acupuncture group compared to the sham acupuncture and control subjects. However, the mean MPT and MIVF scores were not significantly different between groups. Although acupuncture seemed to have no effects on mechanical pain threshold and muscle function, it proved to reduce perceived pain arising from exercise-induced muscle soreness.
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Zwart, S; Sachs, APE; Ruijs, GJHM; Gubbels, JW; Hoes, AW; de Melker, RA
2000-01-01
Objective To assess whether treatment with penicillin for three days and the traditional treatment for seven days were equally as effective at accelerating resolution of symptoms in patients with sore throat compared with placebo. Design Randomised double blind placebo controlled trial. Setting 43
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DEFF Research Database (Denmark)
Karlsmark, T.; Goodman, J.J.; Drouault, Y.
2008-01-01
Background Hydrocolloid technology has been proven effective in treating dermal wounds. A previous study showed that a newly developed thin hydrocolloid patch [Compeed (R) cold sore patch (CSP)] provided multiple wound-healing benefits across all stages of a herpes simplex labialis (HSL) outbreak...
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Purification performances of common reed beds based on the ...
African Journals Online (AJOL)
SARAH
2013-11-30
Nov 30, 2013 ... advantages, the reed bed is a solution to Beninese purification problems. Since technical service agent of ... Journal of Applied Biosciences 71:5682– 5691. ISSN 1997–5902 ..... 15N/14N ratios. Journal of Hydrology, vol. 199,.
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Directory of Open Access Journals (Sweden)
Peiman Eini
2012-04-01
Full Text Available Background: Streptococcus Pyogenes (group A streptococcus, GAS is the most important cause of bacterial pharyngitis in children and adolescents. Acute pharyngitis is one of the most common conditions in all ages but it is most common in children. Over diagnosis of acute pharyngitis represents one of the major causes of antibiotic abuse. The goal of this study is to make an estimate of the frequency of group A streptococcus in sore throat patients in Farshchian hospital emergency department and clinic in Hamadan. Methods: For estimation of the clinical features role in diagnosis of streptococcal sore throat, we took samples of 100 patients with average age of 32.96±29.86 years with sore throat. We took samples from pharynx and used standard methods of bacteriology in order to detect streptococcus. Results: Group A Streptococcus (GAS accounts for 3 percent of all cases of pharyngitis. Clinically, all of the patients had sore throat. The percent breakdowns are as follows: 30% had exudate, 78% had fever, 8% had lymphadenopathy and 7.7 percent of exudative pharyngitis was streptococcal. The cost for unnecessary antibiotic therapy for every single patient who had negative pharynx culture was approximately 32160 Rails. Conclusion: The low frequency of streptococcus pharyngitis in treated patients reveal that diagnosis based on clinical features is not reliable. We recommend use of other diagnostic methods such as Rapid Antigen Detection Tests (RATs. Only reliable and scientific protocols for antibiotic to therapy.
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Cases of bed bug (Cimex lectularius infestations in Northwest Italy
Directory of Open Access Journals (Sweden)
Federica Giorda
2013-12-01
Full Text Available Bed bugs (Cimex lectularius have been a common problem for humans for at least 3,500 years and in Europe their presence was endemic until the end of World War II, when infestations began to decrease. However, since the beginning of the 21st century new cases of infestations have been reported in developed countries. Many theories have been put forward to explain this change of direction, but none has been scientifically proven. The aim of this study is to provide some reports of bed bug infestations in Northern Italy (Liguria, Piedmont and Aosta valley regions and a brief summary about their identification, clinical significance, bioecology and control. From 2008 to date, 17 bed bug infestations were identified in Northwest Italy. Knowledge about the presence and distribution of bed bugs in Italy is scanty, prior to this work only 2 studies reported the comeback of these arthropods in the Italian territory; further investigations would be necessary to better understand the current situation.
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... for mouth ulcers, leukoplakia, oral cancer, and other mouth sores. Anti-inflammatory medicines may be prescribed for glossititis and geographic tongue. Alternative Names Dark tongue; Burning tongue syndrome - symptoms Images Black hairy tongue Black hairy tongue ...
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Effect of rolling bed on decubitus in bedridden nursing home patients.
Izutsu, T; Matsui, T; Satoh, T; Tsuji, T; Sasaki, H
1998-02-01
Decubitus is one of the most difficult management problems encountered in bedridden elderly patients. Relief of pressure over decubitus is the most important principle of the management. We developed a rolling air cushion bed which turns the patient to a 15-degree inclined lateral position with an inflating ripple mattress, a longitudinally aligned air inflatable tube. The position of the patients was changed between right and left laterals and to supine every 15 minutes automatically. Nineteen bedridden patients with decubitus used the rolling air cushion bed for 3 months and 12 bedridden patients with decubitus used a conventional bed and had their position changes every 2 hours by care givers. Severity of decubitus was divided into 4 grades and the decubitus significantly improved from 2.8 (S.E. 0.2) to 2.0 (S.E. 0.3) after 3 months in patients using the rolling air cushion bed, while in patients with conventional beds it changed from 3.0 (S.E. 0.2) to 3.2 (S.E. 0.2) (not statistically significant). We suggest that the rolling air cushion bed would be beneficial to decubitus relief in bedridden elderly and may relieve labor by care givers.
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McSweeney, L A; Rousseau, N S; Wilson, J A; Wilkes, S; Haighton, C A
2017-04-01
To determine the impact of recurrent sore throats and tonsillitis in adults and stakeholder views of treatment pathways. Qualitative semistructured interview design reporting novel data from a feasibility study for a UK national trial of tonsillectomy in adults. Nine study sites linked to ear, nose and throat departments in National Health Service hospitals located across the United Kingdom. Fifteen patients, 11 general practitioners and 22 ear, nose and throat staff consented to in-depth interviews, which were analysed using a framework analysis approach. Views of stakeholder groups. Recurrent sore throats were reported to severely impact patients' family, work and social life. Ear, nose and throat staff stated that patients faced increasing barriers to secondary care service access. General practitioners were under pressure to reduce 'limited clinical value' surgical procedures. The findings from this study suggest that there is a disconnect between the attitudes of the stakeholders and the reality of recurrent sore throat, tonsillectomy procedures and service provision. More evidence for the role of tonsillectomy is needed from randomised controlled trials to determine whether it should continue to be ranked as a procedure of limited clinical effectiveness. © 2016 John Wiley & Sons Ltd.
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Effects of setting new source performance standards for fluidized-bed combustion systems
Energy Technology Data Exchange (ETDEWEB)
1978-02-01
This study was undertaken for the US Environmental Protection Agency to examine the potential consequences of revisions in New Source Performance Standards (NSPS) on fluidized-bed combustor-based steam electric generators of greater than 250,000,000 Btu. A study of the appropriateness and differential effects of alternate regulatory approaches to the standards-setting process was made. Problems dealing with an emerging technology such as fluidized-bed combustion were emphasized. Finally, an examination was made of the potential benefits of fluidized-bed combustion (FBC) systems relative to conventional coal-fired systems equipped with scrubbers. Information is included on the relative advantages and disadvantages of utility-sized fluidized-bed combustors, the technical consequences of NSPS alternatives, policy implications concerning NSPS for steam-electric generators, and cost models for atmospheric and pressurized FBC systems. (LCL)
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Bond, John; Wilson, Janet; Eccles, Martin; Vanoli, Alessandra; Steen, Nick; Clarke, Ray; Zarod, Andrew; Lock, Catherine; Brittain, Katie; Speed, Chris; Rousseau, Nikki
2006-08-09
Uncertainties surrounding the effectiveness and cost-effectiveness of childhood tonsillectomy for recurrent sore throat led the NHS Health Technology Assessment Programme to commission this research to evaluate the effectiveness and cost-effectiveness of tonsillectomy and adeno-tonsillectomy in comparison with standard non-surgical management in children aged under 16 with recurrent throat infections. The aim is to evaluate if tonsillectomy and adeno-tonsillectomy reduces the number of episodes of sore throats among children to a clinically significant extent. A simple prospective pragmatic randomised controlled trial with economic analysis and prospective cohort study of non-trial participants comparing surgical intervention with conventional medical treatment. The treatment arm will receive tonsillectomy and adeno-tonsillectomy while in the control arm non-surgical conventional medical treatment only will be used. The primary outcome measure will be reported number of episodes of sore throat over two years with secondary outcomes measures of reported number of episodes of sore throat, otitis media and upper respiratory tract infection which invoke a GP consultation; reported number of symptom-free days; reported severity of sore throats and surgical and anaesthetic morbidity. The study will take place in five hospitals in the UK. The trial population will be 406 children aged 4-15 on their last birthday with recurrent sore throat referred by primary care to the 5 otolaryngology departments. The duration of the study is seven years (July 2001-July 2008). As with all pragmatic randomised controlled trials it is impossible to control the external environment in which the research is taking place. Since this trial began a number of factors have arisen which could affect the outcome including; a reduction in the incidence of respiratory tract infections, marked socio-economic differences in consultation rates, the results from the National Prospective Tonsillectomy
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Directory of Open Access Journals (Sweden)
Lock Catherine
2006-08-01
Full Text Available Abstract Background Uncertainties surrounding the effectiveness and cost-effectiveness of childhood tonsillectomy for recurrent sore throat led the NHS Health Technology Assessment Programme to commission this research to evaluate the effectiveness and cost-effectiveness of tonsillectomy and adeno-tonsillectomy in comparison with standard non-surgical management in children aged under 16 with recurrent throat infections. The aim is to evaluate if tonsillectomy and adeno-tonsillectomy reduces the number of episodes of sore throats among children to a clinically significant extent. Methods/design A simple prospective pragmatic randomised controlled trial with economic analysis and prospective cohort study of non-trial participants comparing surgical intervention with conventional medical treatment. The treatment arm will receive tonsillectomy and adeno-tonsillectomy while in the control arm non-surgical conventional medical treatment only will be used. The primary outcome measure will be reported number of episodes of sore throat over two years with secondary outcomes measures of reported number of episodes of sore throat, otitis media and upper respiratory tract infection which invoke a GP consultation; reported number of symptom-free days; reported severity of sore throats and surgical and anaesthetic morbidity. The study will take place in five hospitals in the UK. The trial population will be 406 children aged 4–15 on their last birthday with recurrent sore throat referred by primary care to the 5 otolaryngology departments. The duration of the study is seven years (July 2001- July 2008. Discussion As with all pragmatic randomised controlled trials it is impossible to control the external environment in which the research is taking place. Since this trial began a number of factors have arisen which could affect the outcome including; a reduction in the incidence of respiratory tract infections, marked socio-economic differences in
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Marres, H.A.M.
2008-01-01
In this comment, the practice guideline 'Sore throat' (second revision) is discussed. This guideline, composed by the Dutch College of General Practitioners, offers general practitioners a well-appreciated overview of the common practices regarding diagnostic tests and treatment of pharyngitis and
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Luo, Xiaochen; Nuttall, Amy K; Locke, Kenneth D; Hopwood, Christopher J
2018-01-01
Despite wide recognition of the importance of interpersonal problems in binge eating disorder (BED), the nature of this association remains unclear. Examining the direction of this longitudinal relationship is necessary to clarify the role that interpersonal problems play in the course of binge eating problems, and thus to specify treatment targets and mechanisms. This study aimed to articulate the bidirectional, longitudinal associations between BED and both the general severity of interpersonal problems as well as warm and dominant interpersonal styles. Severity and styles of interpersonal problems and BED symptoms were measured at baseline, 12 weeks, 24 weeks, and 36 weeks in a sample of 107 women in treatment for BED. Results from bivariate latent change score models indicated that interpersonal problem severity and BED symptoms are associated longitudinally but do not directly influence each other. The results indicated a bidirectional interrelation between binge eating symptoms and dominance such that less dominance predicted greater decreases in binge eating problems, and less binge eating symptoms predicted greater increases in dominance. We also found that binge eating symptoms positively predicted changes in warmth (i.e., less binge eating symptoms predicted less increases or more decreases in warmth). These findings highlight the importance of using dynamic models to examine directionality and delineate the distinct roles of interpersonal severity and styles in BED trajectories. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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Instability and the formation of bubbles and the plugs in fluidized beds
Directory of Open Access Journals (Sweden)
Piotr Schulz
2004-01-01
Full Text Available This is an review paper, particulary concentrate on results not many researches by reason that are explain in the text. We consider stability of disperse, two-phase flow (gas-solid particles or liquid-solid particles linear and non-linear. In particular we discuss the result of Anderson, Sundareson and Jackson (1995 [Anderson K., Sundareson S., Jackson R.: Instabilities and the formation of bubbles in fluidized beds. J. Fluid Mech. 303 (1995, 327-366] that for vertical dispersion flow one- and two-dimensional, they attack problem growing disturbances directly by numerical integration of equations of motion from given initial conditions (using computer Cray C-90. In principle, this would allow authors to explore all aspects of dynamical behaviour of fluidized beds. It is interesting mechanism of periodic plug describing by Anderson et al. and attest by other researchers. Second part of paper is more general, dedicate the problem of linear stability of uniformly fluidized state ("fluidized bed". We make the most important stages of calculations (after to Jackson (2000 [Jackson R.: The Dynamics of Fluidized Particles. Cambridge University Press 2000] and demonstrate that the majority (but not all of fluidized beds with parameters having technical importance is unstable, or stable in narrow interval of wave numbers \\(k\\.
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Management bedding : vrijloopstal met composterende bedding van houtsnippers
Boer, de H.C.; Wiersma, M.; Galama, P.J.; Szanto, G.L.
2015-01-01
In de vrijloopstal liggen de koeien meestal op een organische bedding en scheiden daar mest (feces en urine) uit. Om de bedding voldoende droog en schoon te houden wordt er regelmatig nieuw strooisel aangevoerd en wordt de toplaag bewerkt. Op basis van onderzoek- en praktijkervaringen tot nu toe
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Head of the bed elevation angle recorder for intensive care unit
Krefft, Maciej; Zamaro-Michalska, Aleksandra; Zabołotny, Wojciech M.; Zaworski, Wojciech; Grzanka, Antoni; Łazowski, Tomasz; Tavola, Mario; Siewiera, Jacek; Mikaszewska-Sokolewicz, Małgorzata
2013-10-01
This paper presents a recording system optimized for long term measurement of bed headrest elevation angle in the Intensive Care Unit. The continuous monitoring of this parameter allows to find the correlation between the patient's position in bed and the risk of the Ventilator Associated Pneumonia (VAP), a very serious problem in therapy of critically ill patients. Recorder might be be an important tool to evaluate the "care bundles" - sets of preventive procedures recommended for treatment of patients in the ICU.
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Production of renewable energy from biomass and waste materials using fluidized bed technologies
International Nuclear Information System (INIS)
Rozainee, M.; Rashid, M.; Looi, S.
2000-01-01
Malaysian industries generate substantial amount of biomass and waste materials such as wastes from agricultural and wood based industries, sludge waste from waste-water treatment plants and solid waste from municipals. Incinerating these waste materials not only produces renewable energy, but also solving their disposal problems. Fluidized bed combustors are widely used for incinerating these biomass materials. The significant advantages of fluidized bed incineration include simple design, efficient, and ability to reduce air pollution emissions. This paper discusses the opportunities and challenges of producing the green energy from biomass materials using the fluidized bed technologies. (Author)
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Foam Rolling for Delayed-Onset Muscle Soreness and Recovery of Dynamic Performance Measures
Pearcey, Gregory E. P.; Bradbury-Squires, David J.; Kawamoto, Jon-Erik; Drinkwater, Eric J.; Behm, David G.; Button, Duane C.
2015-01-01
Context: After an intense bout of exercise, foam rolling is thought to alleviate muscle fatigue and soreness (ie, delayed-onset muscle soreness [DOMS]) and improve muscular performance. Potentially, foam rolling may be an effective therapeutic modality to reduce DOMS while enhancing the recovery of muscular performance. Objective: To examine the effects of foam rolling as a recovery tool after an intense exercise protocol through assessment of pressure-pain threshold, sprint time, change-of-direction speed, power, and dynamic strength-endurance. Design: Controlled laboratory study. Setting: University laboratory. Patients or Other Participants: A total of 8 healthy, physically active males (age = 22.1 ± 2.5 years, height = 177.0 ± 7.5 cm, mass = 88.4 ± 11.4 kg) participated. Intervention(s): Participants performed 2 conditions, separated by 4 weeks, involving 10 sets of 10 repetitions of back squats at 60% of their 1-repetition maximum, followed by either no foam rolling or 20 minutes of foam rolling immediately, 24, and 48 hours postexercise. Main Outcome Measure(s): Pressure-pain threshold, sprint speed (30-m sprint time), power (broad-jump distance), change-of-direction speed (T-test), and dynamic strength-endurance. Results: Foam rolling substantially improved quadriceps muscle tenderness by a moderate to large amount in the days after fatigue (Cohen d range, 0.59 to 0.84). Substantial effects ranged from small to large in sprint time (Cohen d range, 0.68 to 0.77), power (Cohen d range, 0.48 to 0.87), and dynamic strength-endurance (Cohen d = 0.54). Conclusions: Foam rolling effectively reduced DOMS and associated decrements in most dynamic performance measures. PMID:25415413
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Effect of bed particles to combustion of gases in fluidized bed
Energy Technology Data Exchange (ETDEWEB)
Raiko, R.; Wallen, V.; Etelaeaho, R.; Correia, S. [Tampere Univ. of Technology (Finland). Energy and Process Engineering
1997-10-01
The objective of this project was to obtain experimental data on effects of sand particles to the combustion of gases. The effect of the surface area of the particles was tested using different sized particles. The fluidized bed reactor used in these experiments was a stainless-steel tube with an internal diameter of 42 mm surrounded by an electric heater. The test rig was built in the Laboratory of Energy and Process Engineering at Tampere University of Technology. In order to elucidate the possible changes of particle surface, microscopic and porosimetric studies were conducted with both fresh bed particles and used bed particles. These measurements indicate that carbon monoxide significantly reacts with oxygen in the particulate or emulsion phase of a fluidized bed, if the residence time is long enough. The reaction rate depends mainly on temperature, air coefficient, residence time and particle size of the solids. It seems that the combustion enhances if the average particle size increases. Whether this is caused by increased free path length or reduced specific surface area of the bed is yet unknown. The first might be more probable cause because the majority of reactions often took place in the freeboard right above the bed. It was clear that the bed hindered proper combustion in several cases. (orig.)
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Bed retained products in swept fixed bed (SFB) coal hydropyrolysis
Energy Technology Data Exchange (ETDEWEB)
Mastral, A.M.; Perez-Surio, M.J. [CSIC, Zaragosa (Spain). Inst. de Carboquimica
1997-12-31
The hydropyrolysis of a low rank coal in a swept fixed bed (SFB) reactor is carried out by fixing the hydrogen pressure (40 kg/cm{sup 2}), the hydrogen flow (2 l/min) and the residence time (10 min) at increasing temperatures (400 C, 500 C and 600 C) and coal bed heights (h, 1.5h, 2h, 2.5h and 3h). It is shown that the percentages of tars and char directly depend on the coal bed height and that there is not only a quantitative dependence, but also the height of the coal bed is very important and plays a relevant role on the nature of the conversion products. (orig.)
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Nicolas, B; Moiziard, A S; Barrois, B; Colin, D; Michel, J M; Passadori, Y; Ribinik, P
2012-10-01
Implementation of a prevention strategy after the identification of risk factors is essential at the entrance in a care unit or in a medical-social unit. Determine which medical devices and which treatments may be used in order to prevent pressure sore in 2012. Systematic review of the literature using databases: Pascal, Biomed, PubMed, and Cochrane library between 2000 and 2010. Nursing care including use of soft product, non-irritating for the cleaning, hydration of the skin with emollients, protection of fragile skin in case of incontinence by applying a skin protector and application of dressings in front of bony prominences to reduce shear forces, remain valid (level C). Nursing cares and use of dressing in patients with high risks of pressure sores are the responsibility of the nurses. The engagement of health care teams involves screening of risk factors and the knowledge of treatments and local devices. Local preventive treatment in a patient with risk factors of pressure sore is of great interest at entrance in a care unit or in a medical-social unit. Copyright © 2012. Published by Elsevier Masson SAS.
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In-bed accountability of tritium in production scale metal hydride storage beds
International Nuclear Information System (INIS)
Klein, J.E.
1995-01-01
An ''in-bed accountability'' (IBA) flowing gas calorimetric measurement method has been developed and implemented to eliminate the need to remove tritium from production scale metal hydride storage beds for inventory measurement purposes. Six-point tritium IBA calibration curves have been completed for two, 390 gram tritium metal hydride storage beds. The calibration curves for the two tritium beds are similar to those obtained from the ''cold'' test program. Tritium inventory errors at the 95 percent confidence level ranged from ± 7.3 to 8.6 grams for the cold test results compared to ± 4.2 to 7.5 grams obtained for the two tritium calibrated beds
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Energy Technology Data Exchange (ETDEWEB)
Rasmussen, V.; Garcia Carrion, M.; Farre Solsona, C.
2004-07-01
The Kaldnes Moving bed biofilm technology is a biofilm process which is very suitable for treatment of industrial wastewaters. Biofilm processes have several acknowledged advantages compared to suspended biomass processes, e. g. resistance to toxicity and load variations. Traditionally biofilm processes have been known to clog at high loads and hence have not been suited for industrial effluents: however, the Kaldnes Moving Bed biofilm process has overcome this problem. This article describes how the process has been used as pre-treatment up front of activated sludge at a dairy in USA, and as sole treatment at pharmaceutical industry in Sweden. (Author)
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Thermal Analysis of Fluidized Bed and Fixed Bed Latent Heat Thermal Storage System
Beemkumar, N.; Karthikeyan, A.; Shiva Keshava Reddy, Kota; Rajesh, Kona; Anderson, A.
2017-05-01
Thermal energy storage technology is essential because its stores available energy at low cost. Objective of the work is to store the thermal energy in a most efficient method. This work is deal with thermal analysis of fluidized bed and fixed bed latent heat thermal storage (LHTS) system with different encapsulation materials (aluminium, brass and copper). D-Mannitol has been used as phase change material (PCM). Encapsulation material which is in orbicular shape with 4 inch diameter and 2 mm thickness orbicular shaped product is used. Therminol-66 is used as a heat transfer fluid (HTF). Arrangement of encapsulation material is done in two ways namely fluidized bed and fixed bed thermal storage system. Comparison was made between the performance of fixed bed and fluidized bed with different encapsulation material. It is observed that from the economical point of view aluminium in fluidized bed LHTS System has highest efficiency than copper and brass. The thermal energy storage system can be analyzed with fixed bed by varying mass flow rate of oil paves a way to find effective heat energy transfer.
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The odorant receptor co-receptor from the bed bug, Cimex lectularius L.
Directory of Open Access Journals (Sweden)
Immo A Hansen
Full Text Available Recently, the bed bug, Cimex lectularius L. has re-emerged as a serious and growing problem in many parts of the world. Presence of resistant bed bugs and the difficulty to eliminate them has renewed interest in alternative control tactics. Similar to other haematophagous arthropods, bed bugs rely on their olfactory system to detect semiochemicals in the environment. Previous studies have morphologically characterized olfactory organs of bed bugs' antenna and have physiologically evaluated the responses of olfactory receptor neurons (ORNs to host-derived chemicals. To date, odorant binding proteins (OBPs and odorant receptors (ORs associated with these olfaction processes have not been studied in bed bugs. Chemoreception in insects requires formation of heteromeric complexes of ORs and a universal OR coreceptor (Orco. Orco is the constant chain of every odorant receptor in insects and is critical for insect olfaction but does not directly bind to odorants. Orco agonists and antagonists have been suggested as high-value targets for the development of novel insect repellents. In this study, we have performed RNAseq of bed bug sensory organs and identified several odorant receptors as well as Orco. We characterized Orco expression and investigated the effect of chemicals targeting Orco on bed bug behavior and reproduction. We have identified partial cDNAs of six C. lectularius OBPs and 16 ORs. Full length bed bug Orco was cloned and sequenced. Orco is widely expressed in different parts of the bed bug including OR neurons and spermatozoa. Treatment of bed bugs with the agonist VUAA1 changed bed bug pheromone-induced aggregation behavior and inactivated spermatozoa. We have described and characterized for the first time OBPs, ORs and Orco in bed bugs. Given the importance of these molecules in chemoreception of this insect they are interesting targets for the development of novel insect behavior modifiers.
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Bed care for patients in palliative settings: considering risks to caregivers and bed surfaces.
Fragala, Guy
2015-02-01
Ensuring patients are comfortable in bed is key to effective palliative care, but when moving and positioning patients in bed, health professionals face an occupational risk of injury. The turning and positioning (TAP) system is a new method of moving patients in bed, that evidence has shown to reduce the risk of injury to caregivers. Providing the correct bed surface is another aspect of bed care essential to the comfort of the palliative patient, and to aid wound prevention and treatment. It is important to take a patient-centred approach when considering the most appropriate bed surface patients. This article provides an overview and discussion of these two aspects of bed care for palliative patients.
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Fluid bed porosity equation for an inverse fluidized bed bioreactor with particles growing biofilm
International Nuclear Information System (INIS)
Campos-Diaz, K. E.; Limas-Ballesteros, R.
2009-01-01
Fluid Bed Bioreactor performance is strongly affected by bed void fraction or bed porosity fluctuations. Particle size enlargement due to biofilm growth is an important factor that is involved in these variations and until now there are no mathematical equations that consider biofilm growth. In this work a mathematical equation is proposed to calculate bed void fraction in an inverse fluid bed bioreactor. (Author)
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[Decubitus ulcer in the calcaneus region: rapid development, difficult recovery].
Fugazza, G; Bona, F
1996-03-01
Heel pressure sores frequently arise in patients kept in bed for a long time independently of their primary disease. In account of this event the authors completed a study concerning possible mutual relations between heel pressure sores and primary disease of the patients; to validate the pharmacological treatment in less severe sores and the surgical resolution in more serious cutaneous lesions. In the last 3 years (1992-1995) at the Rehabilitation Centre of Montescano the authors have treated 39 patients suffering from 63 different severe cutaneous lesions: from phlycten to deep necrosis. The therapeutic plane utilized pharmacological treatment for 1st, 2nd, 3rd degree pressure sores, and surgical treatment for 4th degree. Pharmacological treatment included: enzymatic drugs, bactericidal and bacteriostatic medicines and cicatrizing substances. Different healing times were related to different pressure sore severity. Surgical treatment consisted of transposition of flap into wound defect. This system caused considerable reduction in resolution times. The authors noticed how easily pressure sores arise in the heel region, and how difficultly they heal. This is probably connected with particular anatomical and vascular characteristics of this region.
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International Nuclear Information System (INIS)
Hargreaves, P.M.; Ellis, C.J.; Angel, M.V.
1984-01-01
Vertical profiles of planktonic and micronektonic biomass observed close to the sea bed along a transect running up the continental slope on the southern flank of the Porcupine Seabight (to the southwest of Ireland) showed that a doubling in biomass concentration occurs from 100 to 10m above the sea bed. Comparison with biomass concentrations at two deep water stations, one in the Seabight and the other in the Rockall Trough, showed that there was a consistent increase in standing crop close to the sea bed over the slope. Supplementary data were collected on the northern flank of the Seabight. Analysis of both taxonomic groups and individual species showed that some taxa were more abundant near the sea floor and extended their vertical ranges to greater depths over the slope than over deep water, other taxa were unaffected. The implications to the problem of assessing the safety of sea bed disposal of high level radioactive waste are summarised. (author)
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A polytropic model of a critical two-phase flow in a bed of spherical particles
Directory of Open Access Journals (Sweden)
Tairov Emir
2017-01-01
Full Text Available The paper is concerned with a model of isenthalpic flow of vapor-water mixture in a fixed bed of solid particles. The mixture expansion process is considered to be polytropic. Similarly to the known problem of gas dynamics of a granular bed we obtained the relationships for calculation of a critical mass velocity. The results of the calculation based on a theoretical model are compared with the experimental data obtained in the packed beds of steel balls, 2 mm and 4 mm in diameter.
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International Nuclear Information System (INIS)
Lohnert, G.; Mueller-Frank, U.; Heil, J.
1976-01-01
A pebble-bed nuclear reactor of large power rating comprises a container having a funnel-shaped bottom forming a pebble run-out having a centrally positioned outlet. A bed of downwardly-flowing substantially spherical nuclear fuel pebbles is positioned in the container and forms a reactive nuclear core maintained by feeding unused pebbles to the bed's top surface while used or burned-out pebbles run out and discharge through the outlet. A substantially conical body with its apex pointing upwardly and its periphery spaced from the periphery of the container spreads the bottom of the bed outwardly to provide an annular flow down the funnel-shaped bottom forming the runout, to the discharge outlet. This provides a largely constant downward velocity of the spheres throughout the diameter of the bed throughout a substantial portion of the down travel, so that all spheres reach about the same burned-out condition when they leave the core, after a single pass through the core area
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Gervais, Pierre; Pooler, Charlotte; Merryweather, Andrew; Doig, Alexa K.; Bloswick, Donald
2015-01-01
To explore the safety of the standard and the low hospital bed, we report on a microanalysis of 15 patients’ ability to ingress, move about the bed, and egress. The 15 participants were purposefully selected with various disabilities. Bed conditions were randomized with side rails up or down and one low bed with side rails down. We explored the patients’ use of the side rails, bed height, ability to lift their legs onto the mattress, and ability to turn, egress, and walk back to the chair. The standard bed was too high for some participants, both for ingress and egress. Side rails were used by most participants when entering, turning in bed, and exiting. We recommend that side rails be reconsidered as a means to facilitate in-bed movement, ingress, and egress. Furthermore, single deck height settings for all patients are not optimal. Low beds as a safety measure must be re-evaluated. PMID:28462302
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Energy Technology Data Exchange (ETDEWEB)
Hunt, G.; Schoebotham, N.
1981-02-01
In Energy Equipment Company's two-stage fluidized bed system, partial combustion in a fluidized bed is followed by burn-off of the generated gases above the bed. The system can be retrofitted to existing boilers, and can burn small, high ash coal efficiently. It has advantages when used as a hot gas generator for process drying. Tests on a boiler at a Cadbury Schweppes plant are reported.
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Biodenitrification of gaseous diffusion plant aqueous wastes: stirred bed reactor
International Nuclear Information System (INIS)
Holland, M.E.
1980-01-01
Approximately 30 kilograms of nitrates per day are discarded in the raffinates (acid wastes) of the Portsmouth Gaseous Diffusion Plant's X-705 Uranium Recovery and Decontamination Facility. A biodenitrification process employing continuous-flow, stirred-bed reactors has been successfully used to remove nitrates from similar acid wastes at the Oak Ridge Y-12 Plant. Laboratory studies have been made at Portsmouth to characterize the X-705 raffinates and to test the stirred-bed biodenitrification process on such raffinates. Raffinates which had been previously characterized were pumped through continuous-flow, stirred-bed, laboratory-scale reactors. Tests were conducted over a period of 146 days and involved variations in composition, mixing requirements, and the fate of several metal ions in the raffinates. Tests results show that 20 weight percent nitrates were reduced to a target nitrate effluent concentration of 100 μg/ml with a 99.64 percent efficiency. However, the average denitrification rate achieved was only 33% of that demonstrated with the Y-12 stirred-bed system. These low rates were probably due to the toxic effects of heavy metal ions on the denitrifying bacteria. Also, most of the uranium in the raffinate feed remained in the biomass and calcite, which collected in the reactor. This could cause criticality problems. For these reasons, it was decided not to make use of the stirred-bed bioreactor at Portsmouth. Instead, the biodenitrification installation now planned will use fluidized bed columns whose performance will be the subject of a subsequent report
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Apparatus for controlling fluidized beds
Rehmat, A.G.; Patel, J.G.
1987-05-12
An apparatus and process are disclosed for control and maintenance of fluidized beds under non-steady state conditions. An ash removal conduit is provided for removing solid particulates from a fluidized bed separate from an ash discharge conduit in the lower portion of the grate supporting such a bed. The apparatus and process of this invention is particularly suitable for use in ash agglomerating fluidized beds and provides control of the fluidized bed before ash agglomeration is initiated and during upset conditions resulting in stable, sinter-free fluidized bed maintenance. 2 figs.
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An Evaluation of Reed Bed Technology to Dewater Army Wastewater Treatment Plant Sludge
1993-09-01
speculated that the plants produced "root exudations" that were active against pathogens , and that the plants specifically showed an affinity for cadmium, zinc...mineralize and for pathogens to be destroyed. This downtime makes multiple beds necessary. The USEPA also reports that the major advantage of the reed...employee to regulate the sludge applications. This employee would also visually assess the beds for possible problems such as weed or insect ( aphid
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Managing Vegetation on Peat-Sand Filter Beds for Wastewater Disposal
Arthur E. Elling
1985-01-01
Five species of grass, one sedge, and cattail were grown on a peat-sand filter bed irrigated with sewage effluent. Yields, uptake of nitrogen and phosphorus, and lodging problems were determined for all species when grown to various heights ranging from 5 to 75 cm.
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International Nuclear Information System (INIS)
Abdul, A.; Rozainee, M.; Anwar, J.; Wan Alwi, R.S.
2010-01-01
Full text: Rice husk is among the most important recovery resources for silica that is produced annually in huge quantities in many countries such as Malaysia which produces 2.38 (MT) of rice paddy. Rice husks accounts for 14-35 % of the weight of the paddy harvested, depending on the paddy variety and because of its abundance it poses serious environmental problems in the rice producing countries. Therefore, the thermo-chemical conversion of rice husks to useful silica ash by fluidized bed combustion is the proven and cost-effective technology for converting the renewable waste husks by making commercial use of this rice husk ash because of its self sustaining ability. However, feeding of rice husk into the reactor bed has become a difficult problem hindering the production of amorphous silica. This is due to the poor penetration and low bulk density as well as the flaky, abrasive and joined nature of rice husk. Most of the researches into fluidized bed combustion are on laboratory or bench scale and none had discussed pilot scale combustion of rice husk into amorphous silica. A recent attempt to solve this feeding problem from an experimental investigation in a bench-scale culminates into a pilot-scale fluidized bed combustor designed with a combined screw conveyor and an inclined pneumatic feeding by direct injection, yet the problem persists. This paper presents a retrofit design of the existing 0.5 m internal diameter pilot scale fluidized bed combustor by the use of combined screw feeding system. It is envisaged that at the end of the experimental investigation the retrofit design will address the problem associated with rice husk feeding in bubbling fluidized bed combustors. (author)
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Experimental study of flow field characteristics on bed configurations in the pebble bed reactor
International Nuclear Information System (INIS)
Jia, Xinlong; Gui, Nan; Yang, Xingtuan; Tu, Jiyuan; Jia, Haijun; Jiang, Shengyao
2017-01-01
Highlights: • PTV study of flow fields of pebble bed reactor with different configurations are carried out. • Some criteria are proposed to quantify vertical velocity field and flow uniformity. • The effect of different pebble bed configurations is also compared by the proposed criteria. • The displacement thickness is used analogically to analyze flow field characteristics. • The effect of mass flow variation in the stagnated region of the funnel flow is measured. - Abstract: The flow field characteristics are of fundamental importance in the design work of the pebble bed high temperature gas cooled reactor (HTGR). The different effects of bed configurations on the flow characteristics of pebble bed are studied through the PTV (Particle Tracking Velocimetry) experiment. Some criteria, e.g. flow uniformity (σ) and mass flow level (α), are proposed to estimate vertical velocity field and compare the bed configurations. The distribution of the Δθ (angle difference between the individual particle velocity and the velocity vector sum of all particles) is also used to estimate the resultant motion consistency level. Moreover, for each bed configuration, the thickness of displacement is analyzed to measure the effect of the funnel flow zone based on the boundary layer theory. Detailed information shows the quantified characteristics of bed configuration effects on flow uniformity and other characteristics; and the sequence of levels of each estimation criterion is obtained for all bed configurations. In addition, a good design of the pebble bed configuration is suggested and these estimation criteria can be also applied and adopted in testing other geometry designs of pebble bed.
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Burm, Jin Sik; Hwang, Jungil; Lee, Yung Ki
2018-04-01
Owing to the high recurrence rates of ischial pressure sores, surgeons should consider the possibility of future secondary flap surgery during flap selection. The purpose of this article is to present a new surgical option for the reconstruction of primary or recurrent ischial pressure sores using a simple hamstring-adductor magnus advancement flap and direct closure. After horizontal fusiform skin excision, complete bursa excision and ischiectomy were performed. The tenomuscular origin of the adductor magnus and the conjoined tenomuscular origin of the biceps femoris long head and semitendinosus were isolated and completely detached from the inferior border of the ischial tuberosity. They were then advanced in a cephalad direction without detachment of the distal tendon or muscle and securely affixed to the sacrotuberous ligament. The wound was directly closed without further incision or dissection. Twelve ischial pressure sores (6 primary and 6 recurrent; 12 patients) were surgically corrected. The follow-up period was 12 to 65 months. All patients healed successfully without early postoperative complications, such as hematoma, seroma, infection, wound dehiscence, or partial necrosis. Late complications included wound disruption 5 weeks after surgery that spontaneously healed in 1 case and recurrence 3 years later in another case. The new surgical option presented herein, which involves hamstring-adductor magnus advancement flap and direct closure, is a simple and reliable method for providing sufficient muscle bulk to fill the dead space and proper padding to the bone stump while preserving the main vascular perforators and pedicles as well as future surgical options.
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Bed diameter effects and incipient slugging in gas fluidized beds
International Nuclear Information System (INIS)
Agarwal, P.K.
1986-01-01
The coalescence and growth of bubble swarms formed at the distributor of a fluidized bed gives rise to lateral as well as vertical distributions of bubble properties. However, existing models employ average bubble properties obtained largely from semi-empirical considerations. In a recent Paper, the author developed a bubble growth model based on a population balance approach. Analytical expressions were derived for the bubble characteristic distributions and averages. However, the model, developed for unconstrained growth, did not take into account the effect of the bed diameter and the possibility of slugging. In this Paper, the model is extended to take these aspects into account. A slugging criterion is also developed which is expected to be valid for the regime where incipient slugging depends on the bed height as well as the region where bed height does not significantly affect minimum slugging conditions
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Optimization Model for Capacity Management and Bed Scheduling for Hospital
Sitepu, Suryati; Mawengkang, Herman; Husein, Ismail
2018-01-01
Hospital is a very important institution to provide health care for people. It is not surprising that nowadays the people’s demands for hospital is increasing.. However, due to the rising cost of healthcare services, hospitals need to consider efficiencies in order to overcome these two problems. This paper deals with an integrated strategy of staff capacity management and bed allocation planning to tackle these problems. Mathematically, the strategy can be modeled as an integer linear programming problem. We solve the model using a direct neighborhood search approach, based on the notion of superbasic variables.
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Effect of bed configuration on pebble flow uniformity and stagnation in the pebble bed reactor
International Nuclear Information System (INIS)
Gui, Nan; Yang, Xingtuan; Tu, Jiyuan; Jiang, Shengyao
2014-01-01
Highlights: • Pebble flow uniformity and stagnation characteristics are very important for HTR-PM. • Arc- and brachistochrone-shaped configuration effects are studied by DEM simulation. • Best bed configurations with uniform flow and no stagnated pebbles are suggested. • Detailed quantified characteristics of bed configuration effects are shown for explanation. - Abstract: Pebble flow uniformity and stagnation characteristics are very important for the design of pebble bed high temperature gas-cooled reactor. Pebble flows inside some specifically designed contraction configurations of pebble bed are studied by discrete element method. The results show the characteristics of stagnation rates, recycling rates, radial distribution of pebble velocity and residence time. It is demonstrated clearly that the bed with a brachistochrone-shaped configuration achieves optimum levels of flow uniformity and recycling rate concentration, and almost no pebbles are stagnated in the bed. Moreover, the optimum choice among the arc-shaped bed configurations is demonstrated too. Detailed information shows the quantified characteristics of bed configuration effects on flow uniformity. In addition, a good design of the pebble bed configuration is suggested
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Improvement for the design of packed moving bed adsorption column
International Nuclear Information System (INIS)
Xiao Wei
2014-01-01
The problems needed to pay attention to in the physical design of packed moving bed adsorption column were presented. The design of key parts such as the inlet and outlet of liquid phase and gas phase were improved. The expected effect was achieved by the improvement. (author)
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Bosboom, E.M.H.; Bouten, C.V.C.; Oomens, C.W.J.; Straaten, van H.W.M.; Baaijens, F.P.T.; Kuipers, H.
2001-01-01
To obtain more insight in the aetiology of deep pressure sores, an animal model was developed to relate controlled externalloading to local muscle damage. The tibialis anterior muscle (TA) and overlying skin of a rat were compressed between indentorand tibia. Loads of 10, 70 and 250 kPa at skin
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International Nuclear Information System (INIS)
Umekawa, Hisashi; Ozawa, Mamoru; Takenaka, Nobuyuki; Matsubayashi, Masahito
1999-01-01
The bulk movement of fluidized bed material was visualized by neutron radiography by introducing tracers into the bed materials. The simulated fluidized bed consisted of aluminum plates, and the bed material was sand of 99.7% SiO 2 (mean diameter: 0.218 mm, density: 2555 kg/m 3 ). Both materials were almost transparent to neutrons. Then the sand was colored by the contamination of the sand coated by CdSO 4 . Tracer particles of about 2 mm diameter were made by the B 4 C, bonded by the vinyl resin. The tracer was about ten times as large as the particle of fluidized bed material, but the traceability was enough to observe the bed-material bulk movement owing to the large effective viscosity of the fluidized bed. The visualized images indicated that the bubbles and/or wakes were important mechanism of the behavior of the fluidized bed movement
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Method and apparatus for a combination moving bed thermal treatment reactor and moving bed filter
Energy Technology Data Exchange (ETDEWEB)
Badger, Phillip C.; Dunn, Jr., Kenneth J.
2015-09-01
A moving bed gasification/thermal treatment reactor includes a geometry in which moving bed reactor particles serve as both a moving bed filter and a heat carrier to provide thermal energy for thermal treatment reactions, such that the moving bed filter and the heat carrier are one and the same to remove solid particulates or droplets generated by thermal treatment processes or injected into the moving bed filter from other sources.
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Predicting the distribution of bed material accumulation using river network sediment budgets
Wilkinson, Scott N.; Prosser, Ian P.; Hughes, Andrew O.
2006-10-01
Assessing the spatial distribution of bed material accumulation in river networks is important for determining the impacts of erosion on downstream channel form and habitat and for planning erosion and sediment management. A model that constructs spatially distributed budgets of bed material sediment is developed to predict the locations of accumulation following land use change. For each link in the river network, GIS algorithms are used to predict bed material supply from gullies, river banks, and upstream tributaries and to compare total supply with transport capacity. The model is tested in the 29,000 km2 Murrumbidgee River catchment in southeast Australia. It correctly predicts the presence or absence of accumulation in 71% of river links, which is significantly better performance than previous models, which do not account for spatial variability in sediment supply and transport capacity. Representing transient sediment storage is important for predicting smaller accumulations. Bed material accumulation is predicted in 25% of the river network, indicating its importance as an environmental problem in Australia.
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Propagation of a Strong Shock Over a Random Bed of Spherical Particles
Energy Technology Data Exchange (ETDEWEB)
Mehta, Y. [Univ. of Florida, Gainesville, FL (United States); Neal, C. [Univ. of Florida, Gainesville, FL (United States); Salari, K. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Jackson, T. L. [Univ. of Florida, Gainesville, FL (United States); Balachandar, S. [Univ. of Florida, Gainesville, FL (United States); Thakur, S. [Univ. of Florida, Gainesville, FL (United States)
2017-04-11
Propagation of a strong shock through a bed of particles results in complex wave dynamics such as a reflected shock, a transmitted shock, and highly unsteady flow inside the particle bed. In this paper we present three-dimensional numerical simulations of shock propagation in air over a random bed of particles. We assume the flow is inviscid and governed by the Euler equations of gas dynamics. Simulations are carried out by varying the volume fraction of the particle bed at a fixed shock Mach number. We compute the unsteady inviscid streamwise and transverse drag coefficients as a function of time for each particle in the random bed as a function of volume fraction. We show that (i) there are significant variations in the peak drag for the particles in the bed, (ii) the mean peak drag as a function of streamwise distance through the bed decreases with a slope that increases as the volume fraction increases, and (iii) the deviation from the mean peak drag does not correlate with local volume fraction. We also present the local Mach number and pressure contours for the different volume fractions to explain the various observed complex physical mechanisms occurring during the shock-particle interactions. Since the shock interaction with the random bed of particles leads to transmitted and reflected waves, we compute the average flow properties to characterize the strength of the transmitted and reflected shock waves and quantify the energy dissipation inside the particle bed. Finally, to better understand the complex wave dynamics in a random bed, we consider a simpler approximation of a planar shock propagating in a duct with a sudden area change. We obtain Riemann solutions to this problem, which are used to compare with fully resolved numerical simulations.
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Fluidised bed combustion system
International Nuclear Information System (INIS)
McKenzie, E.C.
1976-01-01
Fluidized bed combustion systems that facilitates the maintenance of the depth of the bed are described. A discharge pipe projects upwardly into the bed so that bed material can flow into its upper end and escape downwardly. The end of the pipe is surrounded by an enclosure and air is discharged into the enclosure so that material will enter the pipe from within the enclosure and have been cooled in the enclosure by the air discharged into it. The walls of the enclosure may themselves be cooled
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Attempts on cardoon gasification in two different circulating fluidized beds
Directory of Open Access Journals (Sweden)
Chr. Christodoulou
2014-11-01
Full Text Available Few tests have been carried out in order to evaluate the use of cardoon in gasification and combustion applications most of the researchers dealt with agglomeration problems. The aim of this work is to deal with the agglomeration problem and to present a solution for the utilization of this biofuel at a near industrial application scale. For this reason, two experiments were conducted, one in TU Delft and one in Centre for Research and Technology Hellas (CERTH, using fuel cardoon and 50% w/w cardoon blended with 50% w/w giant reed respectively. Both experimental campaigns were carried out in similar atmospheric circulating fluidized bed gasifiers. Apart from the feedstock, the other differences were the gasification medium and the bed material used in each trial. The oxidizing agent at TUD׳s run was O2/steam, whereas CERTH׳s tests used air. When experiments with the cardoon 50% w/w–giant reed 50% w/w blend were performed no agglomeration problems were presented. Consequently, gasification could be achieved in higher temperature than that of pure cardoon which led to the reduction of tar concentration.
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Energy Technology Data Exchange (ETDEWEB)
Hansen, E. K. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)
2015-05-06
This assessment is based on readily available literature and discusses both Newtonian and non-Newtonian slurries with respect to sliding beds and erosion due to sliding beds. This report does not quantify the size of the sliding beds or erosion rates due to sliding beds, but only assesses if they could be present. This assessment addresses process pipelines in the Pretreatment (PT) facility and the high level waste (HLW) transfer lines leaving the PT facility to the HLW vitrification facility concentrate receipt vessel.
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International Nuclear Information System (INIS)
Hansen, E. K.
2015-01-01
This assessment is based on readily available literature and discusses both Newtonian and non-Newtonian slurries with respect to sliding beds and erosion due to sliding beds. This report does not quantify the size of the sliding beds or erosion rates due to sliding beds, but only assesses if they could be present. This assessment addresses process pipelines in the Pretreatment (PT) facility and the high level waste (HLW) transfer lines leaving the PT facility to the HLW vitrification facility concentrate receipt vessel.
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Bacillus cereus in free-stall bedding.
Magnusson, M; Svensson, B; Kolstrup, C; Christiansson, A
2007-12-01
To increase the understanding of how different factors affect the bacterial growth in deep sawdust beds for dairy cattle, the microbiological status of Bacillus cereus and coliforms in deep sawdust-bedded free stalls was investigated over two 14-d periods on one farm. High counts of B. cereus and coliforms were found in the entire beds. On average, 4.1 log(10) B. cereus spores, 5.5 log(10) B. cereus, and 6.7 log(10) coliforms per gram of bedding could be found in the upper layers of the sawdust likely to be in contact with the cows' udders. The highest counts of B. cereus spores, B. cereus, and coliforms were found in the bedding before fresh bedding was added, and the lowest immediately afterwards. Different factors of importance for the growth of B. cereus in the bedding material were explored in laboratory tests. These were found to be the type of bedding, pH, and the type and availability of nutrients. Alternative bedding material such as peat and mixtures of peat and sawdust inhibited the bacterial growth of B. cereus. The extent of growth of B. cereus in the sawdust was increased in a dose-dependent manner by the availability of feces. Urine added to different bedding material raised the pH and also led to bacterial growth of B. cereus in the peat. In sawdust, a dry matter content greater than 70% was needed to lower the water activity to 0.95, which is needed to inhibit the growth of B. cereus. In an attempt to reduce the bacterial growth of B. cereus and coliforms in deep sawdust beds on the farm, the effect of giving bedding daily or a full replacement of the beds was studied. The spore count of B. cereus in the back part of the free stalls before fresh bedding was added was 0.9 log units lower in stalls given daily bedding than in stalls given bedding twice weekly. No effect on coliform counts was found. Replacement of the entire sawdust bedding had an effect for a short period, but by 1 to 2 mo after replacement, the counts of B. cereus spores in the
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Astronomical cycle origin of bedded chert: A middle Triassic bedded chert sequence, Inuyama, Japan
Ikeda, Masayuki; Tada, Ryuji; Sakuma, Hironobu
2010-09-01
Astronomical forcing is one of the main drivers of climate change, and astronomical cyclicity recorded in sediments provides a clue to understand the dynamics of the global climate system. Bedded cherts consist of rhythmic alternations of chert and shale beds. Although previous studies have hypothesized that the origin of bedded chert is related to astronomical cycles (e.g. Fischer, 1976; Hori et al., 1993), conclusive proof remains elusive. To explore this possibility, we established a continuous, high-resolution lithostratigraphy of middle Triassic bedded chert in Central Japan. The average duration of each chert-shale couplet is 20 kyr, similar to that of the precession cycle. Spectral analysis of a bed number series of thickness variations in chert beds was performed assuming that each chert-shale couplet represents a 20-kyr precession cycle. The results reveal cycles involving approximately 200, 20, 5, and 2-3 beds, corresponding to periodicities of approximately 4000, 400, 100, and 40-60 kyr, respectively. By further assuming that the 20-bed cycle represents a 405-kyr eccentricity cycle of constant and stable periodicity, we converted the bed number series to a time series. Spectral analysis of the time series revealed distinct periodicities of 3600, 117, 97, and 38 kyr, in addition to 405 kyr. Besides 3600 kyr, these periodicities agree well with the 120, 95, and 37 kyr periodicities for eccentricity cycles and the obliquity cycle during the Triassic. Moreover, we detected amplitude modulation of the approximately 100-kyr cycle of thickness variations in chert beds with a 405-kyr periodicity, which may correspond to amplitude modulation of 100-kyr climatic precession cycle with the 405-kyr periodicity. The approximately 3600-kyr periodicity described above and 1800-kyr periodicity manifested as the amplitude modulation of the 405-kyr cycle are correlated to present-day long-term eccentricity cycles of 2400 and 4800 kyr evolved by chaotic behavior of solar
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Coating and melt induced agglomeration in a poultry litter fired fluidized bed combustor
International Nuclear Information System (INIS)
Billen, Pieter; Creemers, Benji; Costa, José; Van Caneghem, Jo; Vandecasteele, Carlo
2014-01-01
The combustion of poultry litter, which is rich in phosphorus, in a fluidized bed combustor (FBC) is associated with agglomeration problems, which can lead to bed defluidization and consequent shutdown of the installation. Whereas earlier research indicated coating induced agglomeration as the dominant mechanism for bed material agglomeration, it is shown experimentally in this paper that both coating and melt induced agglomeration occur. Coating induced agglomeration mainly takes place at the walls of the FBC, in the freeboard above the fluidized bed, where at the prevailing temperature the bed particles are partially molten and hence agglomerate. In the ash, P 2 O 5 forms together with CaO thermodynamically stable Ca 3 (PO 4 ) 2 , thus reducing the amount of calcium silicates in the ash. This results in K/Ca silicate mixtures with lower melting points. On the other hand, in-bed agglomeration is caused by thermodynamically unstable, low melting HPO 4 2− and H 2 PO 4 − salts present in the fuel. In the hot FBC these salts may melt, may cause bed particles to stick together and may subsequently react with Ca salts from the bed ash, forming a solid bridge of the stable Ca 3 (PO 4 ) 2 between multiple particles. - Highlights: • Coating induced agglomeration not due to K phosphates, but due to K silicates. • Melt induced agglomeration due to H 2 PO 4 − and HPO 4 2− salts in the fuel. • Wall agglomeration corresponds to coating induced mechanism. • In-bed agglomeration corresponds to melt induced mechanism
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Thermofluid-neutronic stability of the rotating, fluidized bed, space-power reactor
International Nuclear Information System (INIS)
Lee, C.C.; Jones, O.C.; Becker, M.
1993-01-01
A rotating fluidized bed nuclear reactor has the potential of being a vary attractive option for ultra-high power space systems, especially for propulsion. Research has already examined fuel bed expansion due to variations in state variables, propellant flow rate, and rotational speed, and has also considered problems related to thermal stress. This paper describes the results of a coupled thermofluid-neutronic analysis where perturbations in fuel bed height caused by maneuvering changes in operating conditions alter power levels due to varying absorption of neutrons which would otherwise leak from the system, mainly through the nozzle. This first analysis was not a detailed stability analysis. Rather, it utilized simplified neutronic methods, and was intended to provide an order-of-magnitude assessment of the stability of the reactor with the intention to determine whether or not stability might be a 'concept killer'. Stability was compared with a fixed-fuel-bed reactor of identical geometry for three different cases comprising a set of small, medium and large sizes/powers from 250 MW to 5 GW. It was found that power fluctuations in the fluidized bed reactor were larger by 100 db or more than expected in a packed bed reactor of the same geometry, but never resulted in power excursions. Margins to unit gain in some cases, however, were sufficiently small that the approximations in this quasi-2-dimensional model may not be sufficiently accurate to preclude significant excursions. (orig.)
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Dissolved oxygen control in a coupled fluidized bed system
International Nuclear Information System (INIS)
Jones, R.M.; Melcer, H.
1988-01-01
The biological fluidized bed process is a modification of more conventional fixed film processes, such as the trickling filter, in which wastewater is passed upward through a bed of granular support medium, typically sand, at a sufficient velocity to expand or fluidize the medium. The granular medium provides a large surface area for the establishment of a biological film. The fluidized bed process was selected to investigate the treatment of coking plant wastewaters in view of the significant advantages offered in terms of reduced reactor volumes that result from the high biomass concentration maintained on the support medium. The technical feasibility of treating coal distillation condensates was evaluated during a 3-year study at Environment Canada's Wastewater Technology Centre (WTC). The feed to the pilot scale test system consisted of effluent from fixed and free leg ammonia stills at the by-product coke plant of Dofasco Inc. in Hamilton, Ontario. The pilot plant consisted of two fluidized bed reactors in series, coupled to provide carbon oxidation, nitrification and denitrification in the predenitrification operating mode. The anoxic denitrification reactor was 115 mm in diameter and the oxygenic nitrification reactor, 290 mm in diameter. The bed heights and reactor volumes were adjustable by relocation of the position of the sand/biomass wasting valve. The experimental objective of this research was to determine those operating conditions required to maintain stable nitrification and complete denitrification under both steady state and dynamic operating conditions. Details regarding operating, sampling and analytic procedures have been presented elsewhere. A specific operating problem existed relating to the control of the dissolved oxygen concentration in the oxygenic fluidized bed reactor, the solution of which forms the basis of the paper
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Application of CaO-Based Bed Material for Dual Fluidized Bed Steam Biomass Gasification
Koppatz, S.; Pfeifer, C.; Kreuzeder, A.; Soukup, G.; Hofbauer, H.
Gasification of biomass is a suitable option for decentralized energy supply based on renewable sources in the range of up to 50 MW fuel input. The paper presents the dual fluidized bed (DFB) steam gasification process, which is applied to generate high quality and nitrogen-free product gas. Essential part of the DFB process is the bed material used in the fluidized reactors, which has significant impact on the product gas quality. By the use of catalytically active bed materials the performance of the overall process is increased, since the bed material favors reactions of the steam gasification. In particular, tar reforming reactions are favored. Within the paper, the pilot plant based on the DFB process with 100kW fuel input at Vienna University of Technology, Austria is presented. Actual investigations with focus on CaO-based bed materials (limestone) as well as with natural olivine as bed material were carried out at the pilot plant. The application of CaO-based bed material shows mainly decreased tar content in the product gas in contrast to experiments with olivine as bed material. The paper presents the results of steam gasification experiments with limestone and olivine, whereby the product gas composition as well as the tar content and the tar composition are outlined.
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Biodegradation of phenolic waste liquors in stirred-tank, packed-bed, and fluidized-bed bioreactors
Energy Technology Data Exchange (ETDEWEB)
Holladay, D W; Hancher, G W; Chilcote, D D; Scott, C D
1978-11-01
The biological degradation of phenolic scrub liquors similar to those that arise in coal conversion processes was studied for symbiotic bacterial populations contained in a continuously stirred tank bioreactor, a three-phase packed-bed bioreactor, and a three-phase, fluidized-bed bioreactor. The conversions of phenol compounds were comparable in the three-phase, packed-bed bioreactor and the continuously stirred tank bioreactor; however, the packed-bed bioreactor degradation rates were as much as twice those in the continuously stirred tank bioreactor, and packed-bed bioreactor retention times were as low as one- tenth those of the continuously stirred tank bioreactors (minimum time was 12 hours).
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Iwata, Yuji; Ando, Chieko
2007-01-01
In this paper we describe bed (nest) and bed-site reuse by western lowland gorillas (Gorilla g. gorilla) in Moukalaba-Doudou National Park, south-eastern Gabon. During an eight-month study 44 bed sites and 506 beds were found. Among these, 38.6% of bed sites and 4.1% of beds were reused. We analyzed the monthly frequency of bed-site reuse in relation to rainfall, fruit abundance, and fruit consumption by the gorillas. The different frequency of bed-site reuse in the rainy and dry seasons was not significant. More bed-site reuse was observed during the fruiting season than during the non-fruiting season. Results from fecal analysis suggested that gorillas ate more fruit in the fruiting season than in the non-fruiting season. The frugivorous diet of western gorillas may possibly cause gorillas to stay in some areas and, consequently, reuse their bed sites. Reuse of bed sites by gorillas suggests their frequent return to an area where preferred fruit is readily available. A higher percentage of arboreal beds may also affect bed-site reuse, because of the shortage of bed material.
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Gervasi, Marco; Sisti, Davide; Benelli, Piero; Fernández-Peña, Eneko; Calcabrini, Cinzia; Rocchi, Marco B L; Lanata, Luigi; Bagnasco, Michela; Tonti, Andrea; Vilberto, Stocchi; Sestili, Piero
2017-07-01
In professional road cyclists, the majority of overuse injuries affect the lower limbs and are mostly represented by contractures or muscle shortening, characterized by an increase of tone and stiffness and a variation of elasticity. Treatment and prevention of these specific conditions may include physical, supplementary, and pharmacologic support. The aim of this real-life study was to determine: first, the alterations of tone, stiffness, elasticity, and soreness of rectus femoris (RF) and biceps femoris (BF) in top class cyclists engaged in 3 multistage races, and second, whether any variable in the management of the athletes may affect the prevention and/or reduction of such alterations.Twenty-three professional cyclists competing in 3 international, cycling stage races were assessed. Athletes could receive, upon the approval of the medical staff, physical, dietary, and/or pharmacological management which could include treatments with topical over-the-counter myorelaxants to prevent and/or reduce muscle contractures. MyotonPro was used to daily measure tone, stiffness, and elasticity in RF and BF in relaxed and contracted state after every stage. In parallel, BF and RF soreness was also assessed with a Likert scale.All athletes received the same general massage management; none of them received dietary supplements; some of the athletes were treated with a topical myorelaxant thiocolchicoside (TCC 0.25%) foam 3 times daily. TCC was identified as the only variable able to affect these muscle parameters in the cyclists. Tone, stiffness (regardless of the state), and soreness significantly increased over time either in BF or RF in all athletes. In the group of athletes that used TCC (n = 11; TCC+) the increase in tone, stiffness, and soreness was significantly lower than in the group not receiving TCC (n = 12; No-TCC). Elasticity varied coherently with tone and stiffness.A very intense and protracted sport activity increases muscular tone, stiffness, and
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Sexually Transmitted Infection
... infected person’s herpes sore or fluid from a herpes sore. Having genital herpes during pregnancy can cause serious health problems for ... pass herpes to your baby if you have genital herpes sores and blisters (called an outbreak) for the ...
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The effect of vibration on bed voidage behaviors in fluidized beds with large particles
Directory of Open Access Journals (Sweden)
H. Jin
2007-09-01
Full Text Available The effects of vibration parameters, operating conditions and material properties on bed voidage were investigated using an optical fiber probe approach in a vibrating fluidized bed with a diameter of 148 mm. Variables studied included frequency (0-282 s-1, amplitude (0 mm-1 mm, bed height (0.1 m-0.4 m as well as four kinds of particles (belonging to Geldart's B and D groups. The axial and radial voidage distribution with vibration is compared with that without vibration, which shows vibration can aid in the fluidization behaviors of particles. For a larger vibration amplitude, the vibration seriously affects bed voidage. The vibration energy can damp out for particle layers with increasing the bed height. According to analysis of experimental data, an empirical correlation for predicting bed voidage, giving good agreement with the experimental data and a deviation within ±15%, was proposed.
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Direct contact condensation in packed beds
Energy Technology Data Exchange (ETDEWEB)
Li, Yi; Klausner, James F.; Mei, Renwei; Knight, Jessica [Department of Mechanical and Aerospace Engineering, University of Florida, Gainesville, FL 32611 (United States)
2006-12-15
A diffusion driven desalination process was recently described where a very effective direct contact condenser with a packed bed is used to condense water vapor out of an air/vapor mixture. A laboratory scale direct contact condenser has been fabricated as a twin tower structure with two stages, co-current and countercurrent. Experiments have been operated in each stage with respective saturated air inlet temperatures of 36, 40 and 43{sup o}C. The temperature and humidity data have been collected at the inlet and exit of the packed bed for different water to air mass flow ratios that vary between 0 and 2.5. A one-dimensional model based on conservation principles has been developed, which predicts the variation of temperature, humidity, and condensation rate through the condenser stages. Agreement between the model and experiments is very good. It is observed that the countercurrent flow stage condensation effectiveness is significantly higher than that for the co-current stage. The condensation heat and mass transfer rates were found to decrease when water blockages occur within the packed bed. Using high-speed digital cinematography, it was observed that this problem can occur at any operating condition, and is dependent on the packing surface wetting characteristics. This observation is used to explain the requirement for two different empirical constants, depending on packing diameter, suggested by Onda for the air side mass transfer coefficient correlation. (author)
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Parent-child bed-sharing: The good, the bad, and the burden of evidence.
Mileva-Seitz, Viara R; Bakermans-Kranenburg, Marian J; Battaini, Chiara; Luijk, Maartje P C M
2017-04-01
The practice of parent and child sharing a sleeping surface, or 'bed-sharing', is one of the most controversial topics in parenting research. The lay literature has popularized and polarized this debate, offering on one hand claims of dangers, and on the other, of benefits - both physical and psychological - associated with bed-sharing. To address the scientific evidence behind such claims, we systematically reviewed 659 published papers (peer-reviewed, editorial pieces, and commentaries) on the topic of parent-child bed-sharing. Our review offers a narrative walkthrough of the many subdomains of bed-sharing research, including its many correlates (e.g., socioeconomic and cultural factors) and purported risks or outcomes (e.g., sudden infant death syndrome, sleep problems). We found general design limitations and a lack of convincing evidence in the literature, which preclude making strong generalizations. A heat-map based on 98 eligible studies aids the reader to visualize world-wide prevalence in bed-sharing and highlights the need for further research in societies where bed-sharing is the norm. We urge for multiple subfields - anthropology, psychology/psychiatry, and pediatrics - to come together with the aim of understanding infant sleep and how nightly proximity to the parents influences children's social, emotional, and physical development. Copyright © 2016 Elsevier Ltd. All rights reserved.
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Loading and Unloading Weaned Pigs: Effects of Bedding Types, Ramp Angle, and Bedding Moisture
Directory of Open Access Journals (Sweden)
Arlene Garcia
2014-12-01
Full Text Available The use of non-slip surfaces during loading and unloading of weaned pigs plays an important role in animal welfare and economics of the pork industry. Currently, the guidelines available only suggest the use of ramps below 20° to load and unload pigs. Three ramp angles (0°, 10° or 20°, five bedding materials (nothing, sand, feed, wood shavings or wheat straw hay, two moistures (dry or wet bedding; >50% moisture over two seasons (>23.9 °C summer, <23.9 °C winter were assessed for slips/falls/vocalizations (n = 6,000 pig observations. “Score” was calculated by the sum of slips, falls, and vocalizations. With the exception of using feed as a bedding, all beddings provided some protection against elevated slips, falls, and vocalizations (P < 0.01. Providing bedding reduced (P < 0.05 scores regardless of whether the bedding was dry or wet. Scores increased as the slope increased (P < 0.01. Provision of bedding, other than feed, at slopes greater than zero, decreased slips, falls and vocalizations. The total time it took to load and unload pigs was
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Experimental studies on the coolability of packed beds. Flooding of hot dry packed beds
International Nuclear Information System (INIS)
Leininger, S.; Kulenovic, R.; Laurien, E.
2013-01-01
In case of a severe accident in a nuclear power plant meltdown of the reactor core can occur and form a packed bed in the lower plenum of the reactor pressure vessel (RPV) after solidification due to contact with water. The removal of after-heat and the long-term coolability is of essential interest. The efficient injection of cooling water into the packed bed has to be assured without endangering the structural integrity of the reactor pressure vessel. The experiments performed aimed to study the dry-out and the quenching (flooding) of hot dry packed beds. Two different inflow variants, bottom- and top-flooding including the variation of the starting temperature of the packed bed and the injection rate were studied. In case of bottom flooding the quenching time increases with increasing packed bed temperature and decreasing injection rate. In case of top flooding the flow pattern is more complex, in a first phase the water flows preferentially toward the RPV wall, the flow paths conduct the water downwards. The flow resistance of the packed bed increases with increasing bed temperatures. The quenching temperatures increase significantly above average.
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International Nuclear Information System (INIS)
Sasaki, Minoru; Nakamichi, Hideya; Takeda, Seiichiro; Kubota, Kanya; Katoh, Shuji
1983-01-01
The fluidized bed denitrator for uranyl nitrate hexahydrate (UNH) at Tokai reprocessing plant has been operated since 1976. About 170 tons of spent fuel have been reprocessed, and the denitrator has encountered numerous operational problems during the period. This report deals with these technical problems and the associated countermeasures taken, including the dismantling and reconstruction of equipment and the improvement of operating method. The major problems encountered were as follows: (1) the crystallization of UNH on the UNH feeding line, (2) spray nozzle clogging and candle filter clogging, (3) particle growth, (4) plugging of the drawing-out line by nozzle caking, and (5) slugging in fluidized-bed denitration. The total quantity and quality of UO 3 products obtained so far at the plant are also briefly described together with some future R and D programs such as the improvement of UO 3 reactivity and the automation of denitrators. (Aoki, K.)
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Akhtar, Moneeb; Van Heukelom, Paul G; Ahmed, Azeemuddin; Tranter, Rachel D; White, Erinn; Shekem, Nathaniel; Walz, David; Fairfield, Catherine; Vakkalanka, J Priyanka; Mohr, Nicholas M
2018-02-22
Telemedicine allows patients to connect with healthcare providers remotely. It has recently expanded to evaluate low-acuity illnesses such as pharyngitis by using patients' personal communication devices. The purpose of our study was to compare the telemedicine-facilitated physical examination with an in-person examination in emergency department (ED) patients with sore throat. This was a prospective, observational, blinded diagnostic concordance study of patients being seen for sore throat in a 60,000-visit Midwestern academic ED. A telemedicine and a face-to-face examination were performed independently by two advanced practice providers (APP), blinded to the results of the other evaluator. The primary outcome was agreement on pharyngeal redness between the evaluators, with secondary outcomes of agreement and inter-rater reliability on 14 other aspects of the pharyngeal physical examination. We also conducted a survey of patients and providers to evaluate perceptions and preferences for sore throat evaluation using telemedicine. Sixty-two patients were enrolled, with a median tonsil size of 1.0. Inter-rater agreement (kappa) for tonsil size was 0.394, which was worse than our predetermined concordance threshold. Other kappa values ranged from 0 to 0.434, and telemedicine was best for detecting abnormal coloration of the palate and tender superficial cervical lymph nodes (anterior structures), but poor for detecting abnormal submandibular lymph nodes or asymmetry of the posterior pharynx (posterior structures). In survey responses, telemedicine was judged easier to use and more comfortable for providers than patients; however, neither patients nor providers preferred in-person to telemedicine evaluation. Telemedicine exhibited poor agreement with the in-person physical examination on the primary outcome of tonsil size, but exhibited moderate agreement on coloration of the palate and cervical lymphadenopathy. Future work should better characterize the importance of
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Energy Technology Data Exchange (ETDEWEB)
None
1979-07-01
The objective of this program is to design, construct, and test a multicell fluidized-bed boiler as a pollution-free method of burning high-sulfur or highly corrosive coals without excessive maintenance problems. The fluidized-bed boiler will provide approximately 300,000 pounds of steam per hour. Steam pressure and temperature conditions were selected to meet requirements of the site at which the boiler was installed.
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The effect of bed non-uniformities and porosity of particles on dryout in boiling particle beds
International Nuclear Information System (INIS)
Macbeth, R.V.; Mogford, D.J.; Willshire, S.J.
1988-03-01
This report relates to an on-going experimental programme concerned with the coolability of beds of reactor core debris or rubble immersed in a liquid coolant, as might occur in an accident situation. The objectives are to develop experimental techniques, improve the understanding of bed cooling mechanisms, determine dry-out limitations of various bed configurations and particle shapes and sizes and devise ways of improving bed coolability. The report concentrates on a recently discovered effect on bed coolability of particle porosity, such as exists in fragmented UO 2 fuel pellets. It is shown that porosity can lower bed dry-out powers by a factor of 4 or 5. A mechanism which explains the effect is presented. The report also gives results of bed non-uniformities obtained by mixing glass particles with the dielectrically heated 'ferrite' particles used in the experiments. (author)
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International Nuclear Information System (INIS)
Obeid, Farah; Zeaiter, Joseph; Al-Muhtaseb, Ala’a H.; Bouhadir, Kamal
2014-01-01
Highlights: • Thermo-catalytic pyrolysis of waste polyethylene bottles was investigated. • The highest yield of liquid (82%) was obtained over a cement powder bed. • Acidic catalysts narrowed the carbon chain length of the paraffins to C 10 –C 28 . • Combination of cement bed with HBeta catalyst gave the highest yield of liquid. • Significant yield of aromatics was obtained mainly naphthalene and D-limonene. - Abstract: Plastic waste is an increasing economic and environmental problem as such there is a great need to process this waste and reduce its environmental impact. In this work, the pyrolysis of high density polyethylene (HDPE) waste products was investigated using both thermal and catalytic cracking techniques. The experimental work was carried out using packed bed reactor operating under an inert atmosphere at 450 °C. Different reactor bed materials, including sand, cement and white clay were used to enhance the thermal cracking of HDPE. In addition, the catalytic effect of sodium hydroxide, HUSY and HBeta zeolite catalysts on the degradation of HDPE waste was also investigated. The reactor beds were found to significantly alter the yield as well as the product composition. Products such as paraffins (⩽C 44 ), olefins (⩽C 22 ), aromatics (⩽C 14 ) and alcohols (C 16 and C 17 ) were obtained at varying rates. The highest yield of liquid (82%) was obtained over a cement powder bed with a paraffin yield of 58%. The yield of paraffins and olefins followed separate paths, for paraffins it was found to increase in the order or Cement > White clay > Silica Sand, whereas for the olefins it was in the reverse order Silica Sand > White clay > Cement. The results obtained in this work exhibited a higher P/O ratio than expected, where the amount of generated paraffins was greater than 60% in most cases. Less olefin was generated as a consequence. This indicates that the product generated is more suited to be used as a fuel rather than as a chemical
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Psychological effects of acute physical inactivty during microgravitiy simulated by bed rest
Directory of Open Access Journals (Sweden)
Petra Dolenc
2009-05-01
Full Text Available Long-duration weightlessness simulated by bed rest represents an important model to study the consequences of physical inactivity and sedentarism on the human body. This study evaluated changes of mood status, psychological well-being, coping strategies and physical self in ten healthy young male subjects during a 35-day horizontal bed rest. Participants were asked to complete psychometrical inventories before and after the bed rest experiment. The preceived satisfaction with life and the physical self-concept did not change during bed rest period and mood states were relatively stable during the experiment according to the Emotional States Questionnaire. The neurotic level was enhanced during the bed rest period according to the Slovenian version of the General Health Questionnaire. However, even after the period of physical immobilization, the expression of these symptoms remains relatively low and does not represent a risk to the mental health of the subjects. The results from Coping Resources Inventory indicated a tendency toward an increase of emotion focused coping and a decrease of problem focused coping strategies. The importance of this research was to provide evidence that the provision of favourable habitability countermeasures can prevent deterioration in the psychological state under conditions of physical immobilisation. Our findings have applied value in the field of health prevention and rehabilitaion.
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International Nuclear Information System (INIS)
Blacker, P.T.; McLain, D.R.
1962-04-01
The object of the experiments was to choose suitable particulate materials for a fluidised bed cooler, to test a deep fluidised bed for uniformity of heat transfer coefficient, and to explore the temperature distribution in a centrally heated annular fluidised bed. This memorandum records the techniques used and some of the practical aspects involved, together with the performance results obtained, for the assistance of other experimenters who may wish to use fluidised beds as a laboratory technique. Mathematical correlation of the results has not been attempted since some of the properties of the bed material were not known and to determine them was beyond the scope of the work programme. Rather, we have compared our results with those of other experimenters. Graphite tubes, for use in steady state thermal stress experiments, are to be heated by a graphite radiant heater situated in the bore and cooled on the outer surface. The tubes are 2 cm. bore, 8 cm. outside diameter and 48 cm. long. The outside temperature of the tubes is to be between 500 deg. C. and 1500 deg. C. It is estimated that the heat transfer rate required for fracture at the outer surface is 30 watts/cm 2 . This could readily be achieved by cooling with liquid metals, water or high velocity gas. However, serious problems of either materials compatibility or mechanical complexity make these undesirable. A water-cooled fluidised bed of compatible solids fluidised with nitrogen gas can overcome most of these problems and give heat transfer coefficients close to that required, vis. about 0.1 w/cm C . A coolant bed about 20'' long would be required and an annulus of about 2'' radial width round the specimen was considered to be practicable
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Energy Technology Data Exchange (ETDEWEB)
Blacker, P T; McLain, D R [Reactor Development Division, Atomic Energy Establishment, Winfrith, Dorchester, Dorset (United Kingdom)
1962-04-15
The object of the experiments was to choose suitable particulate materials for a fluidised bed cooler, to test a deep fluidised bed for uniformity of heat transfer coefficient, and to explore the temperature distribution in a centrally heated annular fluidised bed. This memorandum records the techniques used and some of the practical aspects involved, together with the performance results obtained, for the assistance of other experimenters who may wish to use fluidised beds as a laboratory technique. Mathematical correlation of the results has not been attempted since some of the properties of the bed material were not known and to determine them was beyond the scope of the work programme. Rather, we have compared our results with those of other experimenters. Graphite tubes, for use in steady state thermal stress experiments, are to be heated by a graphite radiant heater situated in the bore and cooled on the outer surface. The tubes are 2 cm. bore, 8 cm. outside diameter and 48 cm. long. The outside temperature of the tubes is to be between 500 deg. C. and 1500 deg. C. It is estimated that the heat transfer rate required for fracture at the outer surface is 30 watts/cm{sup 2}. This could readily be achieved by cooling with liquid metals, water or high velocity gas. However, serious problems of either materials compatibility or mechanical complexity make these undesirable. A water-cooled fluidised bed of compatible solids fluidised with nitrogen gas can overcome most of these problems and give heat transfer coefficients close to that required, vis. about 0.1 w/cm C . A coolant bed about 20'' long would be required and an annulus of about 2'' radial width round the specimen was considered to be practicable.
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Directory of Open Access Journals (Sweden)
Changlu Wang
2011-04-01
Full Text Available The bed bug resurgence in North America, Europe, and Australia has elicited interest in investigating the causes of the widespread and increasing infestations and in developing more effective control strategies. In order to extend global perspectives on bed bug management, we reviewed bed bug literature in China by searching five Chinese language electronic databases. We also conducted telephone interviews of 68 pest control firms in two cities during March 2011. In addition, we conducted telephone interviews to 68 pest control companies within two cities in March 2011. Two species of bed bugs (Cimex lectularius L. and Cimex hemipterus (F. are known to occur in China. These were common urban pests before the early1980s. Nationwide “Four-Pest Elimination” campaigns (bed bugs being one of the targeted pests were implemented in China from 1960 to the early 1980s. These campaigns succeeded in the elimination of bed bug infestations in most communities. Commonly used bed bug control methods included applications of hot water, sealing of bed bug harborages, physical removal, and applications of residual insecticides (mainly organophosphate sprays or dusts. Although international and domestic travel has increased rapidly in China over the past decade (2000–2010, there have only been sporadic new infestations reported in recent years. During 1999–2009, all documented bed bug infestations were found in group living facilities (military dormitories, worker dormitories, and prisons, hotels, or trains. One city (Shenzhen city near Hong Kong experienced significantly higher number of bed bug infestations. This city is characterized by a high concentration of migratory factory workers. Current bed bug control practices include educating residents, washing, reducing clutter, putting items under the hot sun in summer, and applying insecticides (pyrethroids or organophosphates. There have not been any studies or reports on bed bug insecticide
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Eggertsen, L.; Ferreira, C. E. L.; Fontoura, L.; Kautsky, N.; Gullström, M.; Berkström, C.
2017-09-01
Seascape connectivity is regarded essential for healthy reef fish communities in tropical shallow systems. A number of reef fish species use separate adult and nursery habitats, and hence contribute to nutrient and energy transfer between habitats. Seagrass beds and mangroves often constitute important nursery habitats, with high structural complexity and protection from predation. Here, we investigated if reef fish assemblages in the tropical south-western Atlantic demonstrate ontogenetic habitat connectivity and identify possible nurseries on three reef systems along the eastern Brazilian coast. Fish were surveyed in fore reef, back reef, Halodule wrightii seagrass beds and seaweed beds. Seagrass beds contained lower abundances and species richness of fish than expected, while Sargassum-dominated seaweed beds contained significantly more juveniles than all other habitats (average juvenile fish densities: 32.6 per 40 m2 in Sargassum beds, 11.2 per 40 m2 in back reef, 10.1 per 40 m2 in fore reef, and 5.04 per 40 m2 in seagrass beds), including several species that are found in the reef habitats as adults. Species that in other regions worldwide (e.g. the Caribbean) utilise seagrass beds as nursery habitats were here instead observed in Sargassum beds or back reef habitats. Coral cover was not correlated to adult fish distribution patterns; instead, type of turf was an important variable. Connectivity, and thus pathways of nutrient transfer, seems to function differently in east Brazil compared to many tropical regions. Sargassum-dominated beds might be more important as nurseries for a larger number of fish species than seagrass beds. Due to the low abundance of structurally complex seagrass beds we suggest that seaweed beds might influence adult reef fish abundances, being essential for several keystone species of reef fish in the tropical south-western Atlantic.
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Investigation of heat transfer in bed and freeboard of fluidized bed combustors
International Nuclear Information System (INIS)
Mitor, V.V.; Matsnev, V.V.; Sorokin, A.P.
1986-01-01
Experimental results for heat transfer between immersed bundles of bare tubes and fluidized beds are reported. The experimental results are obtained on industrial boilers with a bed area from 2,5 to 4 m/sup 2/ under conditions of long term operation. The bed temperature range has been 1073 0 K-1233 0 K, gas velocity between 1,8-4,5 m/s, mean particle size from 1,5 mm to 6,0 mm, freeboard furnace height of 2,3 and 5 m. The obtained data are compared with experimental results from literature
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Fluidized bed combustion with the use of Greek solid fuels
Directory of Open Access Journals (Sweden)
Kakaras Emmanuel
2003-01-01
Full Text Available The paper is an overview of the results obtained up to date from the combustion and co-combustion activities with Greek brown coal in different installations, both in semi-industrial and laboratory scale. Combustion tests with Greek lignite were realized in three different Circulating Fluidized Bed Combustion (CFBC facilities. Low rank lignite was burned in a pilot scale facility of approx. 100kW thermal capacity, located in Athens (NTUA and a semi-industrial scale of 1.2 MW thermal capacity, located at RWE's power station Niederaussem in Germany. Co-combustion tests with Greek xylitic lignite and waste wood were carried out in the 1 MWth CFBC installation of AE&E, in Austria. Lab-scale co-combustion tests of Greek pre-dried lignite with biomass were accomplished in a bubbling fluidized bed in order to investigate ash melting problems. The obtained results of all aforementioned activities showed that fluidized bed is the appropriate combustion technology to efficiently exploit the low quality Greek brown coal either alone or in conjunction with biomass species.
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Directory of Open Access Journals (Sweden)
Radkova E
2017-07-01
Full Text Available Eugenia Radkova,1 Natalia Burova,2 Valeria Bychkova,3 Robert DeVito4 1OCT Clinical Trials, Saint Petersburg, Russia; 2Federal State Establishment Clinical Diagnostic Medical Center, Saint Petersburg, Russia; 3Reckitt Benckiser (Russia, Moscow, Russia; 4Reckitt Benckiser, Parsippany, NJ, USA Objective: To assess the efficacy of flurbiprofen 8.75 mg delivered as a spray or lozenge in patients with sore throat due to upper respiratory tract infection (URTI.Materials and methods: This multicenter, double-blind, double-dummy, non-inferiority study randomized 440 adults with recent-onset, moderate-to-severe sore throat due to URTI to a single dose of either flurbiprofen 8.75 mg spray (n=218 or flurbiprofen 8.75 mg lozenge (n=222. The presence or absence of beta-hemolytic streptococci (A or C was confirmed by culture tests (throat swab. The primary efficacy end point was the difference from baseline to 2 hours post-dose in sore throat pain intensity scale (STPIS pain intensity difference [PID] 2h, a validated 100 mm visual analog scale (from 0=“no pain” to 100=“severe pain”, with a non-inferiority margin of −6 mm. Secondary end points included STPIS PID at 1 hour (STPIS PID 1h and over 2 hours (STPIS sum of sore throat pain intensity differences [SPID]0–2h and ratings of patient satisfaction and investigator assessment of drug efficacy at 2 hours. Safety (adverse events [AEs] was also assessed.Results: Reductions in sore throat pain intensity at 2 hours (STPIS PID 2h were similar for spray (least square mean −40.51 and lozenge (−40.10 (difference: 0.41, 95% confidence interval [95% CI] −3.20, 4.01, with non-inferiority demonstrated. Subgroup analyses showed similar efficacy (STPIS PID 2h for patients testing positive or negative for Strep A or C. There was no significant difference between spray and lozenge in STPIS PID 1h or STPIS SPID0–2h, and patient satisfaction and investigators’ assessment of efficacy at 2
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Li, Dongbing; Briens, Cedric; Berruti, Franco
2015-01-01
Lignin pyrolysis was studied in a bubbling fluidized bed reactor equipped with a fractional condensation train, using nitrogen as the fluidization gas. The effect of different bed materials (silica sand, lignin char, activated lignin char, birch bark char, and foamed glass beads) on bio-oil yield and quality was investigated for a pyrolysis temperature of 550 °C. Results how that a bed of activated lignin char is preferable to the commonly used silica sand: pyrolysis of Kraft lignin with a bed of activated lignin char not only provides a pure char product, but also a higher dry bio-oil yield (with a relative increase of 43%), lower pyrolytic water production, and better bio-oil quality. The bio-oil obtained from Kraft lignin pyrolysis with a bed of activated lignin char has a lower average molecular weight, less tar, more phenolics, and less acidity than when sand is used as bed material. Copyright © 2015 Elsevier Ltd. All rights reserved.
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Uranium bed oxidation vacuum process system
International Nuclear Information System (INIS)
McLeland, H.L.
1977-01-01
Deuterium and tritium gases are occluded in uranium powder for release into neutron generator tubes. The uranium powder is contained in stainless steel bottles, termed ''beds.'' If these beds become damaged, the gases must be removed and the uranium oxidized in order not to be flammable before shipment to ERDA disposal grounds. This paper describes the system and methods designed for the controlled degassing and oxidation process. The system utilizes sputter-ion, cryo-sorption and bellows pumps for removing the gases from the heated source bed. Removing the tritium gas is complicated by the shielding effect of helium-3, a byproduct of tritium decay. This effect is minimized by incremental pressure changes, or ''batch'' processing. To prevent runaway exothermic reaction, oxidation of the uranium bed is also done incrementally, or by ''batch'' processing, rather than by continuous flow. The paper discusses in detail the helium-3 shielding effect, leak checks that must be made during processing, bed oxidation, degree of gas depletion, purity of gases sorbed from beds, radioactivity of beds, bed disposal and system renovation
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... Home For Consumers Consumer Updates Practice Hospital Bed Safety Share Tweet Linkedin Pin it More sharing options ... It depends on the complexity of the bed." Safety Tips CDRH offers the following safety tips for ...
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Bioenergy originating from biomass combustion in a fluidized bed
Energy Technology Data Exchange (ETDEWEB)
Crujeira, T.; Gulyurtlu, I.; Lopes, H.; Abelha, P.; Cabrita, I. [INETI/DEECA, Lisboa (Portugal)
2008-07-01
Bioenergy could significantly contribute to reducing and controlling greenhouse emissions (GHG) and to replace fossil fuels in large power plants. Although the use of biomass, originating from forests, could be beneficial, particularly in preventing fires, there are obstacles to achieve a sustainable supply chain of biomass in most European countries. In addition, there are also technical barriers as requirements of biomass combustion may differ from those of coal, which could mean significant retrofitting of existing installations. The combustion behaviour of different biomass materials were studied on a pilot fluidised bed combustor, equipped with two cyclones for particulate matter removal. The gaseous pollutants leaving the stack were sampled under isokinetic conditions for particulate matter, chlorine compounds, heavy metals and dioxins and furans (PCDD/F). The results obtained indicated that the combustion of these materials did not present any operational problem, although for temperatures above 800{sup o}C, bed agglomeration could be observed for all biomass materials studied. Most of the combustion of biomass, contrary to what is observed for coal, takes place in the riser where the temperature was as much as 150{sup o}C above that of the bed. Stable combustion conditions were achieved as well as high combustion efficiency. When compared with the emissions of bituminous coal, the most used fossil fuel, the emissions of CO and SO2 were found to be lower and NOx emissions were similar to those of coal. HCl and PCDD/F could be considerable with biomasses containing high chlorine levels, as in the case of straw. It was observed that the nature of ash could give rise serious operating problems.
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International Nuclear Information System (INIS)
Horn, F.L.; Powell, J.R.; Savino, J.M.
1985-01-01
Gas-cooled reactors, using packed beds of small diameter coated fuel particles have been proposed for compact, high-power systems. The particulate fuel used in the tests was 800 microns in diameter, consisting of a thoria kernel coated with 200 microns of pyrocarbon. Typically, the bed of fuel particles was contained in a ceramic cylinder with porous metallic frits at each end. A dc voltage was applied to the metallic frits and the resulting electric current heated the bed. Heat was removed by passing coolant (helium or hydrogen) through the bed. Candidate frit materials, rhenium, nickel, zirconium carbide, and zirconium oxide were unaffected, while tungsten and tungsten-rhenium lost weight and strength. Zirconium-carbide particles were tested at 2000 K in H 2 for 12 hours with no visible reaction or weight loss
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INCOME PER BED AS A DETERMINANT OF HOSPITAL’S FINANCIAL LIQUIDITY
Directory of Open Access Journals (Sweden)
Agnieszka Bem
2014-10-01
Full Text Available Hospitals’ financial condition is very important, in terms of availability and quality of inpatient health care services. Inpatient’s services consume, in Poland, an important part (about 50% of National Health Fund resources, but financial situation of hospitals is difficult and many hospitals report problems with liquidity and solvency. The purpose of this research is to study the relationship between the intensity of care, measured by the annual income per bed, and the static liquidity ratios (current ratio and quick ratio. The research has been conducted on the sample of 138 Polish hospitals, using data covering the period 2009-2011. In order to test research hypotheses, statistical tools have been used (T-Student distribution. The study has shown, that, during analyzed period, liquidity ratios have lowered and the level of financial liquidity is, in case of Polish hospitals, lower than recommended in the literature. The authors also confirmed the existence of the relationship between annual income per bed and liquidity ratios. However, the most important finding is that the relationship between the hospital’s income per bed and financial liquidity ratios is positive only up to a certain level, which has been estimated at about 60,000-70,000 EUR per bed. Above this level further increase in income per bed decreases liquidity ratios. This finding seems to be extremely important for health care managers, which usually strive for the income maximization.
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Chaotic hydrodynamics of fluidized beds
Energy Technology Data Exchange (ETDEWEB)
Van der Stappen, M.L.M. [Unit Process and Systems Engineering, Advanced Manufacturing Technology Group, Unilever Research Laboratorium, Vlaardingen (Netherlands)
1996-12-31
The major goals of this thesis are: (1) to develop and evaluate an analysis method based on techniques from non-linear chaos theory to characterize the nonlinear hydrodynamics of gas-solids fluidized beds quantitatively; and (2) to determine the dependence of the chaotic invariants on the operating conditions and investigate how the chaos analysis method can be profitably applied to improve scale-up and design of gas-solids fluidized bed reactors. Chaos theory is introduced in chapter 2 with emphasis on analysis techniques for (experimental) time series, known from literature at the start of this work (1990-1991). In chapter 3, the testing of existing and newly developed techniques on both model and fluidized bed data is described. This leads to the development of the chaos analysis method to analyze measured pressure fluctuations time series of a fluidized bed. Following, in chapter 4, this method is tested and all choices for the parameters are evaluated. The influence of the experimental parameters and external disturbances on the measurements and analysis results is discussed and quantified. The result is a chaos measurement and analysis protocol, which is further used in this work. In chapter 5, the applications to fluidized beds are discussed. It is shown that the entropy is a good measure for the characterization of the dynamical behavior of gas-solids bubbling/slugging fluidized beds. Entropy is applied to characterize the influence of the operating conditions, to assess regime transitions and to analyze dimensionless similar beds of different scale. Quantitative design correlations that relate entropy to the operating parameters (including the bed diameter) are described. Finally, it is discussed how the results of this work might be used in scaling up the chaotic dynamics of fluidized beds. The overall conclusions and outlook from this work are presented in chapter 6. 182 refs.
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Comparison of packed bed and fluidized bed membrane reactors for methane reforming
Gallucci, F.; van Sint Annaland, M.; Kuipers, J.A.M.
2009-01-01
In this work the performance of different membrane reactor concepts, both fluidized bed and packed bed membrane reactors, have been compared for the reforming of methane for the production of ultra-pure hydrogen. Using detailed theoretical models, the required membrane area to reach a given
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Effects of bed-load movement on flow resistance over bed forms
Indian Academy of Sciences (India)
Abstract. The effect of bed-load transport on flow resistance of alluvial channels with undulated bed was experimentally investigated. The experiments were carried out in a tilting flume 250mm wide and 12·5m long with glass-sides of rectan- gular cross-section and artificial dune shaped floor that was made from Plexi-glass.
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76 FR 550 - Second National Bed Bug Summit; Notice of Public Meeting
2011-01-05
... identify knowledge gaps and barriers to effective community-wide bed bug control; propose the next steps in addressing knowledge gaps and eliminating barriers; and develop a framework for addressing the highest... many areas of the country. As this resilient pest has become a nationwide problem affecting hotels...
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Staged fluidized-bed combustion and filter system
International Nuclear Information System (INIS)
Mei, J.S.; Halow, J.S.
1994-01-01
A staged fluidized-bed combustion and filter system are described for substantially reducing the quantity of waste through the complete combustion into ash-type solids and gaseous products. The device has two fluidized-bed portions, the first primarily as a combustor/pyrolyzer bed, and the second as a combustor/filter bed. The two portions each have internal baffles to define stages so that material moving therein as fluidized beds travel in an extended route through those stages. Fluidization and movement is achieved by the introduction of gases into each stage through a directional nozzle. Gases produced in the combustor/pyrolyzer bed are permitted to travel into corresponding stages of the combustor/filter bed through screen filters that permit gas flow but inhibit solids flow. Any catalyst used in the combustor/filter bed is recycled. The two beds share a common wall to minimize total volume of the system. A slightly modified embodiment can be used for hot gas desulfurization and sorbent regeneration. Either side-by-side rectangular beds or concentric beds can be used. The system is particularly suited to the processing of radioactive and chemically hazardous waste. 10 figures
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Comparison of the Characteristics and Performance of Flurbiprofen 8.75 mg Spray for Sore Throat.
Veale, David; Shephard, Adrian; Adams, Verity; Lidster, Charlotte
2017-01-01
Sore throat sprays provide targeted relief by delivering the active ingredient directly to the site of pain. Different sprays vary in characteristics, thus affecting delivery of the active ingredient to the throat, which can impact compliance. The characteristics and performance of FLURBIPROFEN 8.75 mg SPRAY were compared with 12 other sprays. Parameters assessed included spray angle and pattern, droplet size distribution, shot weight uniformity and shot weight throughout life. Among all sprays tested WICK Sulagil Halsspray had the smallest spray angle (46°) and also the smallest diameter spray pattern (X=32.8 mm; Y=34.4 mm). Thiovalone® Buccal Spray Suspension had both the largest spray angle (82°) and largest diameter spray pattern (X=62.6 mm; Y=78.0 mm). Hasco Sept® Aerosol Spray had the smallest droplet size (Dv90=118.4 μm) whereas OKi infiammazione e dolore® 0.16% spray had the largest (Dv90=214.34 μm). In terms of shot weight uniformity, TANTUM® VERDE GOLA 0.25% spray showed the least variation (2% RSD) between shots and UNIBEN Aerosol Spray the most (23.4% RSD). Shot weight throughout life studies showed that FLURBIPROFEN 8.75 mg SPRAY had the least deviation from shot weight (1.77%) whereas OKi infiammazione e dolore® 0.16% spray deviated the most (44.9%). FLURBIPROFEN 8.75 mg SPRAY had the second smallest spray angle/pattern and droplet size distribution and also the least variation in shot weight. Different sore throat sprays vary in different attributes, affecting delivery of the active ingredient. FLURBIPROFEN 8.75 mg SPRAY performed well overall, ranking first among all sprays tested, and providing a dose which is targeted and uniformly delivered throughout the life of the bottle. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.
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Mizumoto, Kazuo; Morita, Eishin
2009-01-01
The aim of the present study was to predict operative morbidity in elderly patients with deep pressure sores by using the Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) scoring system. Fifteen patients over 70 years old were retrospectively reviewed who had undergone gluteus maximus fasciocutaneous flap-reconstruction for pressure sores of the sacral region from 1 April 2005 to 31 March 2007. Complications were seen in six cases (40%) after operation. Four were wound infection, one was chest infection and another was septicemia. The subjects were divided into two groups by the presence (complicated group) or absence (non-complicated group) of postoperative complications. Each item of physiological scores, physiological score (PS), operative severity score (OS) and predicted morbidity rate (R) were calculated and compared between two groups. As a result, hemoglobin (P = 0.0276), PS (P = 0.0023) and R (P = 0.0078) differed significantly between the two groups. It is noteworthy that the PS were over 25 in all of the complicated group, but in only one of nine in the non-complicated group (P = 0.0014). Our study suggests that, for pressure sores in the sacral region in elderly patients, gluteus maximus fasciocutaneous flap-reconstruction can be employed in patients whose PS are under 24 in the POSSUM scoring system.
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Stability analysis of the high temperature thermal pebble bed nuclear reactor concept
International Nuclear Information System (INIS)
Vondy, D.R.
1981-02-01
A study was made of the stability of the high temperature gas-cooled pebble bed core against xenon-driven oscillation. This generic study indicated that a core as large as 3000 MW(t) could be stable. Several aspects present a challenge to analysis including the void space above the pebble bed, the effects of possible control rod configurations, and the temperature feedback contribution. Special methods of analysis were developed in this effort. Of considerable utility was the scheme of including an azimuthal buckling loss term in the neturon balance equations admitting direct solution of the first azimuthal harmonic for a core having azimuthal symmetry. This technique allows the linear stability analysis to be done solving two-dimensional (RZ) problems instead of three-dimensional problems. A scheme for removing the fundamental source contribution was also implemented to allow direct iteration toward the dominant harmonic solution, treating up to three dimensions with diffusion theory
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Bed bugs have long been a pest – feeding on blood, causing itchy bites and generally irritating their human hosts. They are successful hitchhikers, and can move from an infested site to furniture, bedding, baggage, boxes, and clothing.
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Calculation of local bed to wall heat transfer in a fluidized-bed
International Nuclear Information System (INIS)
Kilkis, B.I.
1987-01-01
Surface to bed heat transfer in a fluidized-bed largely depends upon its local and global hydrodynamical behavior including particle velocity, particle trajectory, gas velocity, and void fraction. In this study, a computer program was developed in order to calculate the local bed to wall heat transfer, by accounting for the local and global instantaneous hydrodynamics of the bed. This is accomplished by utilizing the CHEMFLUB computer program. This information at a given location is interpreted so that the most appropriate heat transfer model is utilized for each time increment. These instantaneous heat transfer coefficient for the given location. Repeating the procedure for different locations, a space average heat transfer coefficient is also calculated. This report briefly summarizes the various heat transfer models employed and gives sample computer results reporting the case study for Mickley - Trilling's experimental set-up. Comparisons with available experimental data and correlations are also provided in order to compare and evaluate the computer results
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DEFF Research Database (Denmark)
Knudsen, M.A.; Biering-Sørensen, Fin
2008-01-01
of surgical excision and successful closure of the wound, the patient developed Marjolin's ulcer 2.5 years later. Yet it illustrates the primary importance of preventing the development pressure sores, of aggressive (surgical) therapy with healing when they do arise and of taking frequent biopsies......STUDY DESIGN: Case report. OBJECTIVE: Report of an unusual case, where a Marjolin's ulcer that developed 2.5 years after surgical excision and successful closure. SETTING: Department of Plastic and Reconstructive Surgery and Burn Unit and the Clinic for Spinal Cord Injuries, Copenhagen University...... Hospital, Rigshospitalet, Copenhagen, Denmark. METHODS AND RESULTS: A 22-year-old man sustained a fracture with luxation of the 5th and 6th cervical vertebrae and loss of sensory and motor function after a diving accident (complete C8 lesion). During initial hospitalization, he developed a sacral ulcer...
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A Numerical Model for Trickle Bed Reactors
Propp, Richard M.; Colella, Phillip; Crutchfield, William Y.; Day, Marcus S.
2000-12-01
Trickle bed reactors are governed by equations of flow in porous media such as Darcy's law and the conservation of mass. Our numerical method for solving these equations is based on a total-velocity splitting, sequential formulation which leads to an implicit pressure equation and a semi-implicit mass conservation equation. We use high-resolution finite-difference methods to discretize these equations. Our solution scheme extends previous work in modeling porous media flows in two ways. First, we incorporate physical effects due to capillary pressure, a nonlinear inlet boundary condition, spatial porosity variations, and inertial effects on phase mobilities. In particular, capillary forces introduce a parabolic component into the recast evolution equation, and the inertial effects give rise to hyperbolic nonconvexity. Second, we introduce a modification of the slope-limiting algorithm to prevent our numerical method from producing spurious shocks. We present a numerical algorithm for accommodating these difficulties, show the algorithm is second-order accurate, and demonstrate its performance on a number of simplified problems relevant to trickle bed reactor modeling.
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A new method to quantify fluidized bed agglomeration in the combustion of biomass fuels
Energy Technology Data Exchange (ETDEWEB)
Oehman, M. [Umeaa Univ. (Sweden). Dept. of Chemistry
1997-12-31
The present licentiate thesis is a summary and discussion of four papers, dealing with the development, evaluation and use of a new method to quantify bed agglomeration tendencies for biomass fuels. An increased utilization of biomass related fuels has many environmental benefits, but also requires careful studies of potential new problems associated with these fuels such as bed agglomeration/defluidization during combustion and gasification in fluidized beds. From a thorough literature survey, no suitable methods to determine bed agglomeration tendencies of different fuels, fuel combinations or fuels with additives appeared to be available. It therefore seemed of considerable interest to develop a new method for the quantification of fluidized bed agglomeration tendencies for different fuels. A bench scale fluidized bed reactor (5 kW), specially designed to obtain a homogeneous isothermal bed temperature, is used. The method is based on controlled increase of the bed temperature by applying external heat to the primary air and to the bed section walls. The initial agglomeration temperature is determined by on- or off-line principal component analysis of the variations in measured bed temperatures and differential pressures. Samples of ash and bed material for evaluation of agglomeration mechanisms may also be collected throughout the operation. To determine potential effects of all the process related variables on the determined fuel specific bed agglomeration temperature, an extensive sensitivity analysis was performed according to a statistical experimental design. The results showed that the process variables had only relatively small effects on the agglomeration temperature, which could be determined to 899 deg C with a reproducibility of {+-} 5 deg C (STD). The inaccuracy was determined to be {+-} 30 deg C (STD). The method was also used to study the mechanism of both bed agglomeration using two biomass fuels and prevention of bed agglomeration by co
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Directory of Open Access Journals (Sweden)
Daniel Ferreira da Cunha
2000-06-01
Full Text Available Pressure sores are common among bedridden, elderly, or malnourished patients, and may occur in terminal ill patients because of impaired mobility, fecal or urinary incontinence, and decreased healing capacity. The aim of this study was to compare frequency of pressure sores between malnourished and non-malnourished necropsied adults. METHOD: All (n = 201 adults (age ³ 18 years autopsied between 1986 and 1996 at the Teaching Hospital of Triangulo Mineiro Medical School (Uberaba were eligible for the study. Gender, race, weight, height and main diagnoses were recorded. Ninety-six cases were excluded because of probable body water retention (congestive heart failure, hepatic insufficiency, nephrotic syndrome or pressure sores secondary to peripheral vascular ischemia. Body mass index (BMI was used to define malnourished (BMI 18.5kg/m² groups. RESULTS: Except for weight (42.5kg; range: 28-57 vs. 60; 36-134.5kg and BMI (16.9; range: 12.4-18.5 vs. 22.7; range: 18.5-54.6kg/m², respectively, there were no statistical differences among 43 malnourished and 62 non-malnourished cases in relation to age (54.9 ± 20.4 vs. 52.9 ± 17.9 years, percentage of white persons (74.4 vs. 64.5%, male gender (76.7 vs. 69.3% and main diagnoses. Five malnourished (11.6% and 7 (11.5% non-malnourished cases had pressure sores (p=0.89. CONCLUSION: Pressure sores were equally common findings in necropsied persons with protein-energy malnutrition, as assessed by body mass index.Escaras de decúbito são comuns em pacientes acamados, idosos e subnutridos e podem ocorrer em pacientes terminais devido à imobilidade, incontinência fecal e urinária e imunodepressão. Além disso, a contaminação das Escaras de decúbito aumentam o risco de sepsis e podem piorar o estado nutricional. O objetivo deste estudo foi comparar a freqüência de Escaras de decúbito entre adultos necropsiados com ou sem subnutrição. MÉTODO: Adultos (n=201 necropsiados no Hospital Escola da FMTM
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The application of radioactive tracers for determination of bed-load transport in alluvial rivers
International Nuclear Information System (INIS)
Thomsen, T.
1980-01-01
Radioactive isotopes have been applied for determining the transport rate of bed load in an alluvial river on the basis of: centroid velocity of the tracer particles, size and material-transporting width of mobile layer. These parameters were found by detailed measurements in the field. Computed values were produced on the basis of Engelund and Fredsoee's model on sediment transport and on the propagation of bed forms. When comparing measured and computed values, the difference was about 25%. Finally, the applicability of tracer methods for solving practical problem is discussed. (author)
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Energy Technology Data Exchange (ETDEWEB)
Larfeldt, Jenny; Zintl, Frank [TPS Termiska Processer AB, Nykoeping (Sweden)
2003-08-01
Bed sintering is a well known problem in fluidised bed boilers. In order to avoid bed sintering the bed material turn over ratio is high which leads a high consumption of bed material. This work aims at developing and evaluating a method for testing the bed agglomeration tendency of a FB bed material by using a rotating furnace. A rotating furnace has been designed and tests have shown that three temperatures describing the increasing agglomeration tendency can be evaluated; TA when several particles stick to each other and to the crucible wall, TB when half of the material sticks to the wall and TC when almost all the material forms a ball in the crucible. Comparison with bed agglomeration tests has shown that TA is between 80 deg C to 130 deg C lower than the bed agglomeration temperature from fluid bed tests. It is shown that TB is closer to the bed agglomeration temperature and finally that the temperature TC is higher than the bed agglomeration temperature. It is concluded that in the rotating furnace sticking of particles is visualised early, and that this sticking will not cause defluidisation of the bed until more than half of the material in the crucible is sticky. Repeated tests has been performed at a heating rate of 5 deg/minute and a rotating speed of 12 rpm and a furnace inclination of 20 deg was found to give distinct results in the evaluation. The evaluation has shown to be reproducible at lower temperatures. At higher temperatures, around 1,000 deg C, the evaluation was complicated by a poor picture quality which probably can be improved by proper cooling of the camera. It has also been shown that sticking of material in the rotating furnace could be detected at relatively low temperatures of 750 deg C that disappeared at higher temperatures. This is likely to be explained by melting salts that evaporates as temperature increase. At even higher temperatures the sticking reappeared until a ball was formed in the crucible. The latter sticking is
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Backhaus, M; Citak, M; Tilkorn, D-J; Meindl, R; Schildhauer, T A; Fehmer, T
2011-11-01
Retrospective chart review. The aim of our study was to evaluate the mortality rate and further specific risk factors for Fournier's gangrene in patients with spinal cord injury (SCI). Division of Spinal Cord Injury, BG-University Hospital Bergmannsheil Bochum, Ruhr-University Bochum, Germany. All patients with a SCI and a Fournier's gangrene treated in our hospital were enrolled in this study. Following parameters were taken form patients medical records: age, type of SCI, cause of Fournier's gangrene, number of surgical debridements, length of hospital and intensive care unit stay, co morbidity factors and mortality rate. In addition, laboratory parameter including the laboratory risk indicator for necrotizing fasciitis (LRINEC) score and microbiological findings were analyzed. Clinical diagnosis was made via histological examination. A total of 16 male patients (15 paraplegic and one tetraplegic) were included in the study. In 81% of all cases, the origin of Fournier's gangrene was a pressure sore. The median LRINEC score on admission was 6.5. In the vast majority of cases, a polybacterial infection was found. No patient died during the hospital stay. The mean number of surgical debridements before soft tissue closure was 1.9 and after a mean time interval of 39.1 days wound closure was performed in all patients. Pressure sores significantly increase the risk of developing Fournier's gangrene in patients with SCI. We reported the results of our patients to increase awareness among physicians and training staff working with patients with a SCI in order to expedite the diagnosis.
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African Journals Online (AJOL)
Prof Ezechukwu
2012-03-01
Mar 1, 2012 ... Yenagoa on the second day of life and was treated as a case of skin sepsis with ... and adulthood and is usually confined to the hands and feet. Later in life ... his clothing and diapers while the sores on the nail beds occurred ...
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Effect of a Central Graphite Column on a Pebble Flow in a Pebble Bed Core
International Nuclear Information System (INIS)
In, W. K.; Lee, W. J.; Chang, J. H.
2006-01-01
A pebble bed reactor(PBR) uses coated fuel particles embedded in spherical graphite fuel pebbles. The fuel pebbles flow down through the core during an operation. The pebble bed core is configured as cylindrical or annular depending on the reactor power. It is well known that an annular core can increase a cores' thermal power. The annular inner core zone is typically filled with movable graphite balls or a fixed graphite column. The first problem with this conventional annular core is that it is difficult to maintain a boundary between the central graphite ball zone and the outer fuel zone. The second problem is that it is expensive to replace the central fixed graphite column after several tens of years of reactor operation. In order to resolve these problems, a PBR with a central graphite column in a low core is invented. This paper presents the effect of the central graphite column on a pebble flow by using the computational fluid dynamics(CFD) code, CFX-10
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An Apparatus for Bed Material Sediment Extraction From Coarse River Beds in Large Alluvial Rivers
Singer, M. B.; Adam, H.; Cooper, J.; Cepello, S.
2005-12-01
Grain size distributions of bed material sediment in large alluvial rivers are required in applications ranging from habitat mapping, calibration of sediment transport models, high resolution sediment routing, and testing of existing theories of longitudinal and cross steam sediment sorting. However, characterizing bed material sediment from coarse river beds is hampered by difficulties in sediment extraction, a challenge that is generally circumvented via pebble counts on point bars, even though it is unclear whether the bulk grain size distribution of bed sediments is well represented by pebble counts on bars. We have developed and tested a boat-based sampling apparatus and methodology for extracting bulk sediment from a wide range of riverbed materials. It involves the use of a 0.4 x 0.4 x 0.2 meter stainless steel toothed sampler, called the Cooper Scooper, which is deployed from and dragged downstream by the weight of a jet boat. The design is based on that of a river anchor such that a rotating center bar connected to a rope line in the boat aligns the sampler in the downstream direction, the teeth penetrate the bed surface, and the sampler digs into the bed. The sampler is fitted with lead weights to keep it from tipping over. The force of the sampler `biting' into the bed can be felt on the rope line held by a person in the boat at which point they let out slack. The boat then motors to the spot above the embedded sampler, which is hoisted to the water surface via a system of pulleys. The Cooper Scooper is then clipped into a winch and boom assembly by which it is brought aboard. This apparatus improves upon commonly used clamshell dredge samplers, which are unable to penetrate coarse or mixed bed surfaces. The Cooper Scooper, by contrast, extracts statistically representative bed material sediment samples of up to 30 kilograms. Not surprisingly, the sampler does not perform well in very coarse or armored beds (e.g. where surface material size is on the
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A mathematical model for supplying air-cooling for a building using a packed bed
Energy Technology Data Exchange (ETDEWEB)
Marewo, G.T. [Zimbabwe Univ., Mathematics Dept., Harare (Zimbabwe); Henwood, D.J. [School of Computing and Mathematical Sciences, Brighton (United Kingdom)
2006-01-15
The cooling system at the Harare International School uses a packed bed system for storing the coldness of the night-time to be used later for day-time air-conditioning. A two-phase mathematical model is described for the packed bed which includes heat dispersion in the fluid, and heat loss to the environment. This is in contrast to other studies, where at least one of these terms is neglected to simplify the mathematical model. A numerical method for obtaining a solution is proposed and implemented. Using measured inlet temperatures, the measured and predicted outlet temperatures of the bed show good trend agreement. The differences in detail are examined through sensitivity analyses for both the heat convection transfer and air velocity. It is apparent that adjusting these parameters can increase the agreement between the predicted and measured data. A parametric study for heat storage with various materials and bed sizes is given, which indicates how the code may be used as a tool for improving design and operational parameters. Practical application: A mathematical model of a packed bed is described; the bed is made up of fluid flowing over solid material with heat interchange between the two. The solid material is idealized as spheres and the fluid temperature is assumed uniform in a cross-section of the bed. The model includes heat interchange between the bed and its surrounding environment and allows for time varying fluid velocity. The input data is the inlet temperature to the bed, which may be measured. The comparison with measured data may be helpful to anyone attempting to develop and test a similar model. The sensitivity tests give an understanding of the significance of some of the parameters involved. The Appendix gives a mathematical statement of the problem and an outline of an approach to developing computer code for a numerical solution. (Author)
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Energy Technology Data Exchange (ETDEWEB)
Lee, Jae-Uk, E-mail: eslee@dongguk.edu [Department of Chemical Engineering, Pohang University of Science and Technology, San 31, Hyoja-Dong, Pohang 790-784 (Korea, Republic of); Chang, Min Ho; Yun, Sei-Hun [National Fusion Research Institute, 169-148-gil Kwahak-ro, Yusong-gu, Daejon 34133 (Korea, Republic of); Lee, Euy Soo [Department of Chemical & Biochemical Engineering, Dongguk University, Seoul 100-715 (Korea, Republic of); Lee, In-Beum [Department of Chemical Engineering and Graduate School of Engineering Mastership, Pohang University of Science and Technology, San 31, Hyoja-Dong, Pohang 790-784 (Korea, Republic of); Lee, Kun-Hong [Department of Chemical Engineering, Pohang University of Science and Technology, San 31, Hyoja-Dong, Pohang 790-784 (Korea, Republic of)
2016-11-01
Highlights: • We introduce a mathematical model for the multi-bed storage system in the tritium plant. • We obtain details of operation by solving the model. • The model assesses diverse operation scenarios with respect to risk. - Abstract: In this paper, we describe our hypothetical operation model (HOM) for the multi-bed system of the storage and delivery system (SDS) of the ITER tritium plant. The multi-bed system consists of multiple getter beds (i.e., for batch operation) and buffer vessels (i.e., for continuous operation). Our newly developed HOM is formulated as a mixed-integer linear programming (MILP) model and has been extensively investigated to optimize chemical and petrochemical production planning and scheduling. Our model determines the timing, duration, and size of tasks corresponding to each set of equipment. Further, inventory levels for each set of equipment are calculated. Our proposed model considers the operation of one cycle of one set of getter beds and is implemented and assessed as a case study problem.
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EARLY MEDICAL REHABILITATION OF THE PATIENTS WITH SPINAL CORD INJURY
Directory of Open Access Journals (Sweden)
Aleš Demšar
2003-12-01
Full Text Available Background. Early medical rehabilitation (EMR of the patients with spinal cord injury is discussed in this article.For successful rehabilitation adequate surgical treatment, which enables early verticalisation, is compulsory.Predictable respiratory, vascular, intestinal and urologic complications, contractures and bed sores are described and algorhytms of EMR in the period of spinal shock and after, until transferring the patient to the IRSR, are presented.Respiratory therapy, thromboprophylaxis, kinesiotherapy and functional electrical stimulation as well as the methods of early bladder and bowel control, contractures and bed sores prevention, as procedures of EMR are fully presented.With special importance early verticalisation from the 5th post operative day with help of the tilt table is presented as the key point of EMR.Conclusions. With aggressive EMR the paraplegic patient is able to gain erect posture from the 5th post operative day, sits in a wheel chair from 10th to 14th day and stands in the paralel bar from 15th day on.
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Apparatus and process for controlling fluidized beds
Rehmat, Amirali G.; Patel, Jitendra G.
1985-10-01
An apparatus and process for control and maintenance of fluidized beds under non-steady state conditions. An ash removal conduit is provided for removing solid particulates from a fluidized bed separate from an ash discharge conduit in the lower portion of the grate supporting such a bed. The apparatus and process of this invention is particularly suitable for use in ash agglomerating fluidized beds and provides control of the fluidized bed before ash agglomeration is initiated and during upset conditions resulting in stable, sinter-free fluidized bed maintenance.
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Fluidized bed boiler feed system
Jones, Brian C.
1981-01-01
A fluidized bed boiler feed system for the combustion of pulverized coal. Coal is first screened to separate large from small particles. Large particles of coal are fed directly to the top of the fluidized bed while fine particles are first mixed with recycled char, preheated, and then fed into the interior of the fluidized bed to promote char burnout and to avoid elutriation and carryover.
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Fluidized bed incinerator development
International Nuclear Information System (INIS)
Ziegler, D.L.; Johnson, A.J.
1976-01-01
A fluidized bed incinerator is being developed for burning rad contaminated solid and liquid waste materials. In situ neutralization of acid gases by the bed material, catalytic afterburning, and gas filtration are used to produce a clean flue gas without the use of aqueous scrubbing
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International Nuclear Information System (INIS)
Connolly, J.R.; Keil, K.; Mansker, W.L.; Allen, C.C.; Husler, J.; Lowy, R.; Fortney, D.R.; Lappin, A.R.
1984-10-01
This report summarizes the detailed geologic characterization of samples of bed-contact zones and surrounding nonwelded bedded tuffs, both within Tunnel Bed 5, that are exposed in the G-Tunnel complex beneath Rainier Mesa on the Nevada Test Site (NTS). Original planning studies treated the bed-contact zones in Tunnel Bed 5 as simple planar surfaces of relatively high permeability. Detailed characterization, however, indicates that these zones have a finite thickness, are depositional in origin, vary considerably over short vertical and horizontal distances, and are internally complex. Fluid flow in a sequence of nonwelded zeolitized ash-flow or bedded tuffs and thin intervening reworked zones appears to be a porous-medium phenomenon, regardless of the presence of layering. There are no consistent differences in either bulk composition or detailed mineralogy between bedded tuffs and bed-contact zones in Tunnel Bed 5. Although the original bulk composition of Tunnel Bed 5 was probably peralkaline, extensive zeolitization has resulted in a present peraluminous bulk composition of both bedded tuffs and bed-contact zones. The major zeolite present, clinoptilolite, is intermediate (Ca:K:Na = 26:35:39) and effectively uniform in composition. This composition is similar to that of clinoptilolite from the tuffaceous beds of Calico Hills above the static water level in hole USW G-1, but somewhat different from that reported for zeolites from below the static water level in USW G-2. Tunnel Bed 5 also contains abundant hydrous manganese oxides. The similarity in composition of the clinoptilolites from Tunnel Bed 5 and those above the static water level at Yucca Mountain indicates that many of the results of nuclide-migration experiments in Tunnel Bed 5 would be transferrable to zeolitized nonwelded tuffs above the static water level at Yucca Mountain
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Theoretical comparison of packed bed and fluidized bed membrane reactors for methane reforming
Gallucci, F.; van Sint Annaland, M.; Kuipers, J.A.M.
2010-01-01
In this theoretical work the performance of different membrane reactor concepts, both fluidized bed and packed bed membrane reactors, has been compared for ultra-pure hydrogen production via methane reforming. Using detailed theoretical models, the required membrane area to reach a given conversion
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Atmospheric Fluidized Bed Combustion testing of North Dakota lignite
Energy Technology Data Exchange (ETDEWEB)
Goblirsch, G; Vander Molen, R H; Wilson, K; Hajicek, D
1980-05-01
The sulfur retention by the inherent alkali, and added limestone sorbent, perform about the same and are reasonably predictable within a range of about +-10% retention by application of alkali to sulfur ratio. Temperature has a substantial effect on the retention of sulfur by the inherent alkali or limestone. The temperature effect is not yet fully understood but it appears to be different for different coals and operational conditions. The emission of SO/sub 2/ from the fluid bed burning the Beulah lignite sample used for these tests can be controlled to meet or better the current emission standards. The injection of limestone to an alkali-to-sulfur molar ratio of 1.5 to 1, should lower the SO/sub 2/ emissions below the current requirement of 0.6 lb SO/sub 2//10/sup 6/ Btu to 0.4 lb SO/sub 2//10/sup 6/ Btu, a safe 33% below the standard. Agglomeration of bed material, and consequent loss of fluidization quality can be a problem when burning high sodium lignite in a silica bed. There appears, however, to be several ways of controlling the problem including the injection of calcium compounds, and careful control of operating conditions. The heat transfer coefficients measured in the CPC and GFETC tests are comparable to data obtained by other researchers, and agree reasonably well with empirical conditions. The NO/sub x/ emissions measured in all of the tests on Beulah lignite are below the current New Source Performance Standard of 0.5 lb NO/sub 2//10/sup 6/ Btu input. Combustion efficiencies for the Beulah lignite are generally quite high when ash recycle is being used. Efficiencies in the range of 98% to 99%+ have been measured in all tests using this fuel.
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Walking (Gait), Balance, and Coordination Problems
... FES) d Complementary & Alternative Medicines Chiropractic Therapy Marijuana Massage and Bodywork Acupuncture d For Clinicians d Resources & ... Advocate Program d Advanced Care Needs Pressure Sores Osteoporosis Seeking Services: Questions to Ask d Resources for ...
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Fluid-bed process for SYNROC production
International Nuclear Information System (INIS)
Ackerman, F.J.; Grens, J.Z.; Ryerson, F.J.; Hoenig, C.L.; Bazan, F.; Peters, P.E.; Smith, R.; Campbell, J.H.
1983-01-01
SYNROC is a titanate-based ceramic waste developed for the immobilization of high-level nuclear reactor waste. Lawrence Livermore National Laboratory (LLNL) has investigated a fluid-bed technique for the large-scale production of SYNROC precursor powders. Making SYNROC in a fluid bed permits slurry drying, calcination and reduction-oxidation reactions to be carried out in a single unit. We present the results of SYNROC fluid-bed studies from two fluid-bed units 10 cm in diameter: an internally heated fluid-bed unit developed by Exxon Idaho and an externally heated unit constructed at LLNL. Bed operation over a range of temperatures, feed rates, fluidizing rates, and redox conditions indicate that SYNROC powders of a high density and a uniform particle size can be produced. These powders facilitate the densification step and yield dense ceramics (greater than 95% theoretical density) with well-developed phases and low leaching rates
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Method for the combustion of a gas, in fixed bed, with an oxidized solid and associated installation
Abanades García, Juan Carlos; Fernández García, José Ramón
2014-01-01
[EN] The present invention pertains to the field of the generation of energy from combustible gases, incorporating the capture of carbon dioxide for use or permanent storage and, specifically relates to cyclical methods of gas combustion with oxidized solids (chemical looping processes), in fixed bed, for solving the problem of controlling temperature in the combustion of gaseous fuels in fixed beds of metal oxides operating at high pressures, and also the associated installation.
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Assessment of Health Status of Elderly People in the City of Kashan
Directory of Open Access Journals (Sweden)
Mohammad Taghi Joghataei
2006-10-01
Full Text Available Objectives: In the first of 20th century average years of old has not been 50 years, but today it is more than 75 years. The purpose of this study is evaluation of elderly health status in Kashan including psychological health, cognitive health, balance and gait status, nutrition health and risk of bed sore. Practical goal of the study is assessment of health needs in elderly and prevention of the common disease of elderly in society. Methods & Materials: The population of this descriptive analytical research were Kashanian with age of 55 and more. The sampling method had used in this research was simple incidental method. For gathering the information, the questionnaire was referred to the elderly and they filled the supposed questionnaires. Result: the two-common disease are musculoskeletal and cardiovascular (41.7%. Base on finding 63.8% of Kashan elderly are at the risk of nutrition deficiency and 5.8% have nutrition deficiency. The geriatric depression scale used for evaluation of depression. There is 34.2% elderly with severe depression. Five percent of them have severe cognitive disorders, other 47.5% have mild one and 17.5% with cognitive health. The activity of daily living is in 81. 7% of population without any dependence and in 13.3% with dependence and in 5% with complete dependence. The risk of bed sore is in 3.3% of population very high. Conclusion: the high frequency of Kashan elderly problems shows that this society needs rehabilitation and treatment. The education priorities in this population are " Prevention of musculoskeletal and cardiovascular disease.
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Clinical evaluation of an automated turning bed.
Melland, H I; Langemo, D; Hanson, D; Olson, B; Hunter, S
1999-01-01
The purposes of this study were to assess client comfort and sleep quality, client physiologic response (skin and respiratory status), the effect on the need for caregiver assistance, and cost when using an automated turning bed. Nonexperimental, evaluative study. Twenty-four adult home or long-term care resident subjects who had a degenerative disease, spinal cord injury, stroke, cerebral palsy, or back surgery. Each subject agreed to use the automated turning bed for four weeks. Researchers completed a demographic survey and skin assessment, and assessed each subject for pressure ulcer risk and for the need of assistance of a care giver for turning before and after the four weeks of using the turning bed. Subjects rated the turning bed in terms of comfort and sleep quality. Subjects rated the turning bed as more comfortable than their own bed and expressed satisfaction at the pain relief attained when on the turning bed. While using the turning bed, there was a significant improvement in sleep quality. No skin breakdown or deterioration in respiratory status occurred. Fewer subjects required the assistance of a caregiver for turning when on the turning bed. This automated turning bed shows great promise in meeting a need for patients with limited mobility whether they are homebound or in a residential community. Future studies that further investigate use of the turning bed for postoperative back patients while still in the acute care setting are indicated. Replicative studies with a larger sample size are also indicated.
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The combustion of low calorific value fuels (oil shale) by using fluidized bed combustor
International Nuclear Information System (INIS)
Azzam, S.M.
1993-01-01
The present work reports an experimental data for combustion of oil-shale in a fluidized bed combustor. The experimental set up was designed for the combustion of low calorific value fuel such as oil-shale to facilitate the variation of many parameters over a wide operating range. A cold run was firstly conducted to study the fluidization parameters. Fluidization experiment were made with different sized quartiz particles. Minimum fluidization velocities and other fluidization characteristics were determined at room temperature. Secondary a hot run was started, first studying the combustion of 'LPG' in a fluidized bed as a starting process, then studying the combustion if oil-shale with different flow rates. The experimetal results are promising and give rise to hopes that this valuable deposit can be used as a fuel source and can be burned sucessfully in a fluidized bed combustor. This study had prooved that utilization of oil-shale a fuel source is no more a complicated technical problem, this opens the way for power generation using fluidized bed combustors. (author). 17 refs., 32 figs., 3 tabs
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The combustion of low calorific value fuels (oil shale) by using fluidized bed combustor
Energy Technology Data Exchange (ETDEWEB)
Azzam, S M
1994-12-31
The present work reports an experimental data for combustion of oil-shale in a fluidized bed combustor. The experimental set up was designed for the combustion of low calorific value fuel such as oil-shale to facilitate the variation of many parameters over a wide operating range. A cold run was firstly conducted to study the fluidization parameters. Fluidization experiment were made with different sized quartiz particles. Minimum fluidization velocities and other fluidization characteristics were determined at room temperature. Secondary a hot run was started, first studying the combustion of `LPG` in a fluidized bed as a starting process, then studying the combustion if oil-shale with different flow rates. The experimetal results are promising and give rise to hopes that this valuable deposit can be used as a fuel source and can be burned sucessfully in a fluidized bed combustor. This study had prooved that utilization of oil-shale a fuel source is no more a complicated technical problem, this opens the way for power generation using fluidized bed combustors. (author). 17 refs., 32 figs., 3 tabs.
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21 CFR 880.5550 - Alternating pressure air flotation mattress.
2010-04-01
... body pressure. The device is used to prevent and treat decubitus ulcers (bed sores). (b) Classification... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Alternating pressure air flotation mattress. 880... Personal Use Therapeutic Devices § 880.5550 Alternating pressure air flotation mattress. (a) Identification...
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Gaeuman, David; Andrews, E.D.; Krause, Andreas; Smith, Wes
2009-01-01
Bed load samples from four locations in the Trinity River of northern California are analyzed to evaluate the performance of the Wilcock‐Crowe bed load transport equations for predicting fractional bed load transport rates. Bed surface particles become smaller and the fraction of sand on the bed increases with distance downstream from Lewiston Dam. The dimensionless reference shear stress for the mean bed particle size (τ*rm) is largest near the dam, but varies relatively little between the more downstream locations. The relation between τ*rm and the reference shear stresses for other size fractions is constant across all locations. Total bed load transport rates predicted with the Wilcock‐Crowe equations are within a factor of 2 of sampled transport rates for 68% of all samples. The Wilcock‐Crowe equations nonetheless consistently under‐predict the transport of particles larger than 128 mm, frequently by more than an order of magnitude. Accurate prediction of the transport rates of the largest particles is important for models in which the evolution of the surface grain size distribution determines subsequent bed load transport rates. Values of τ*rm estimated from bed load samples are up to 50% larger than those predicted with the Wilcock‐Crowe equations, and sampled bed load transport approximates equal mobility across a wider range of grain sizes than is implied by the equations. Modifications to the Wilcock‐Crowe equation for determining τ*rm and the hiding function used to scale τ*rm to other grain size fractions are proposed to achieve the best fit to observed bed load transport in the Trinity River.
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A new vibration isolation bed stage with magnetorheological dampers for ambulance vehicles
International Nuclear Information System (INIS)
Chae, Hee Dong; Choi, Seung-Bok
2015-01-01
The vibration experienced in an ambulance can lead to secondary injury to a patient and discourage a paramedic from providing emergency care. In this study, with the goal of resolving this problem, a new vibration isolation bed stage associated with magnetorheological (MR) dampers is proposed to ensure ride quality as well as better care for the patient while he/she is being transported. The bed stage proposed in this work can isolate vibrations in the vertical, rolling and pitching directions to reflect the reality that occurs in the ambulance. Firstly, an appropriate-sized MR damper is designed based on the field-dependent rheological properties of MR fluid, and the damping force characteristics of a MR damper are evaluated as a function of the current. A mechanical model of the proposed vibration isolation bed stage is then established to derive the governing equations of motion. Subsequently, a sliding mode controller is formulated to control the vibrations caused from the imposed excitation signals; those signals are directly measured using a real ambulance subjected to bump-and-curve road conditions. Using the controller based on the dynamic motion of the bed stage, the vibration control performance is evaluated in both the vertical and pitch directions. It is demonstrated that the magnitude of the vibration in the patient compartment of the ambulance can be significantly reduced by applying an input current to the MR dampers installed for the new bed stage. (technical note)
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Antibiotic prescription strategies for acute sore throat: a prospective observational cohort study.
Little, Paul; Stuart, Beth; Hobbs, F D Richard; Butler, Chris C; Hay, Alastair D; Delaney, Brendan; Campbell, John; Broomfield, Sue; Barratt, Paula; Hood, Kerenza; Everitt, Hazel; Mullee, Mark; Williamson, Ian; Mant, David; Moore, Michael
2014-03-01
Data from trials suggest that antibiotics reduce the risk of complications of sore throat by at least 50%, but few trials for complications have been done in modern settings, and datasets of delayed antibiotic prescription are underpowered. Observational evidence is important in view of poor compliance with antibiotic treatment outside trials, but no prospective observational cohort studies have been done to date. We generated a large prospective cohort from the DESCARTE study, and the PRISM component of DESCARTE, of 12,829 adults presenting with sore throat (≤ 2 weeks duration) in primary care. Our follow-up of the cohort was based on a detailed and structured review of routine medical records, and analysis of the comparison of three antibiotic prescription strategies (no antibiotic prescription, immediate antibiotic prescription, and delayed antibiotic prescription) to control for the propensity to prescribe antibiotics. Information about antibiotic prescription was recorded in 12,677 individuals (4805 prescribed no antibiotics, 6088 prescribed antibiotics immediately, and 1784 prescribed delayed antibiotics). We documented by review of patients' notes (n=11,950) the development of suppurative complications (eg, quinsy, impetigo and cellulitis, otitis media, and sinusitis) or reconsultation with new or non-resolving symptoms). We used multivariate analysis to control for variables significantly related to the propensity to prescribe antibiotics and for clustering by general practitioner. 164 (1.4%) of the 11,950 patients with information available developed complications; otitis media and sinusitis were the most common complications (101 patients [62%]). Compared with no antibiotic prescription, immediate antibiotic prescription was associated with fewer complications (adjusted risk ratio [RR] 0.62, 95% CI 0.43-0.91, estimated number needed to treat [NNT 193) as was delayed prescription of antibiotics (0.58, 0.34-0.98; NNT 174). 1787 of the 11,950 patients (15
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DNA profiling of trace DNA recovered from bedding.
Petricevic, Susan F; Bright, Jo-Anne; Cockerton, Sarah L
2006-05-25
Trace DNA is often detected on handled items and worn clothing examined in forensic laboratories. In this study, the potential transfer of trace DNA to bedding by normal contact, when an individual sleeps in a bed, is examined. Volunteers slept one night on a new, lower bed sheet in their own bed and one night in a bed foreign to them. Samples from the sheets were collected and analysed by DNA profiling. The results indicate that the DNA profile of an individual can be obtained from bedding after one night of sleeping in a bed. The DNA profile of the owner of the bed could also be detected in the foreign bed experiments. Since mixed DNA profiles can be obtained from trace DNA on bedding, caution should be exercised when drawing conclusions from DNA profiling results obtained from such samples. This transfer may have important repercussions in sexual assault investigations.
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Utility of Recycled Bedding for Laboratory Rodents
Miyamoto, Toru; Li, Zhixia; Kibushi, Tomomi; Okano, Shinya; Yamasaki, Nakamichi; Kasai, Noriyuki
2009-01-01
Animal facilities generate a large amount of used bedding containing excrement as medical waste. We developed a recycling system for used bedding that involves soft hydrothermal processing. In this study, we examined the effects of bedding type on growth, hematologic and serum biochemical values, and organ weights of female and male mice reared on either recycled or fresh bedding from 3 to 33 wk of age. Neither growth nor physiology differed between mice housed on recycled bedding compared wi...
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Bed-To-Wall Heat Transfer in a Supercritical Circulating Fluidised Bed Boiler
Directory of Open Access Journals (Sweden)
Błaszczuk Artur
2014-06-01
Full Text Available The purpose of this work is to find a correlation for heat transfer to walls in a 1296 t/h supercritical circulating fluidised bed (CFB boiler. The effect of bed-to-wall heat transfer coefficient in a long active heat transfer surface was discussed, excluding the radiation component. Experiments for four different unit loads (i.e. 100% MCR, 80% MCR, 60% MCR and 40% MCR were conducted at a constant excess air ratio and high level of bed pressure (ca. 6 kPa in each test run. The empirical correlation of the heat transfer coefficient in a large-scale CFB boiler was mainly determined by two key operating parameters, suspension density and bed temperature. Furthermore, data processing was used in order to develop empirical correlation ranges between 3.05 to 5.35 m·s-1 for gas superficial velocity, 0.25 to 0.51 for the ratio of the secondary to the primary air, 1028 to 1137K for bed temperature inside the furnace chamber of a commercial CFB boiler, and 1.20 to 553 kg·m-3 for suspension density. The suspension density was specified on the base of pressure measurements inside the boiler’s combustion chamber using pressure sensors. Pressure measurements were collected at the measuring ports situated on the front wall of the combustion chamber. The obtained correlation of the heat transfer coefficient is in agreement with the data obtained from typical industrial CFB boilers.
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Musculoskeletal problems among string instrumentalists in South Africa
Directory of Open Access Journals (Sweden)
Adedayo T. Ajidahun
2017-02-01
Full Text Available Background: Musicians who play string instruments are affected more by musculoskeletal injuries when compared to other instrument playing groups. Musculoskeletal problems are commonly found in the upper extremities and trunk. Several risk factors such as gender, practice hours and instrument played are associated with the prevalence and distribution of musculoskeletal problems among string instrumentalists. Objectives: The aim of this study was to determine the prevalence, distribution, severity and risk factors for musculoskeletal problems among string instrumentalists. Method: A cross-sectional study design using both online and paper-based questionnaires were used to collect data from string instrumentalists playing in both amateur and professional orchestras in South Africa. Results: A total of 114 string instrumentalists participated in the study, of which 86 (77% reported problems in one or more anatomic regions while 39 (35% were currently experiencing musculoskeletal problems that affected their performance. The trunk and both shoulders were the most commonly affected body regions. The majority of the participants reported the severity of the complaints as mild to moderate with aching, soreness, tingling and fatigue being the most commonly used descriptors of the symptoms of playing-related musculoskeletal problems. Conclusion: The results of this study showed that the prevalence of musculoskeletal problems that affect performance is high among string instrumentalists in South Africa. An evaluation of associated risk factors with the aim of reducing injuries may be important in improving performance.
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Directory of Open Access Journals (Sweden)
Sara Hayward, Colin D. Wilborn, Lem W. Taylor, Stacie L. Urbina, Jordan J. Outlaw, Cliffa A. Foster, Michael D. Roberts
2016-12-01
Full Text Available We examined if two different dietary interventions affected markers of soreness and inflammation over a 5-day high-volume resistance training protocol in females that resistance-trained 8 weeks prior. Twenty-eight females (age: 20 ± 1 yr; body mass: 63.5 ± 1.6 kg, height: 1.67 ± 0.01 m completed 4 weeks of pre-training (weeks 1-4 followed by a subsequent 4-week training period along with a dietary intervention (weeks 5-8. Dietary interventions from weeks 5-8 included: a no intervention (CTL, n = 10 b a higher-protein diet supplemented with hydrolyzed whey protein (50 g/d and omega-3 fatty acids (900 mg/d (DI, n = 8, and c the DI condition as well as creatine monohydrate (5 g/d (DI+C, n = 10. During week 9, participants resistance-trained for five consecutive days whereby 8 sets of 10 target repetitions at 70% one repetition maximum (1RM were performed each day for bench press, back squat, deadlift, and hip-thrusters with the intent of eliciting muscle soreness and inflammation. Prior to and 24 h following each of the 5 bouts muscle soreness (DOMS was assessed via questionnaire, and fasting blood was obtained and analyzed for serum cortisol, interleukin-6 (IL-6 and C-reactive protein (CRP. No group*time (G*T or time effects were observed for training volume over the 5-d overreaching protocol. Furthermore, no group*time (G*T or time effects were observed for serum cortisol, IL-6 or CRP, and DOMS actually decreased in all groups 24 h following the fifth day training bout. This study demonstrates that, regardless of protein, omega-3 fatty acid and/or creatine supplementation, 5 days of consecutive resistance training does not alter perceived muscle soreness, training volume, and/or markers of inflammation in novice resistance-trained females.
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2010-11-01
often yielding uncertain information regarding the degree of hazard and the spatial extent of the problem. Subsequent remediation commonly involves...suited to sampling organic contaminants across bed-water interfaces and down into the sediment bed. The methodology must yield data that are more...surrogate standards were Soxhlet extracted for 24 hr using 450 mL of dichloromethane. Extracts were reduced to approximately 10 mL using the rotary
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Redolfi, M.; Bertoldi, W.; Tubino, M.; Welber, M.
2018-02-01
Measurement and estimation of bed load transport in gravel bed rivers are highly affected by its temporal fluctuations. Such variability is primarily driven by the flow regime but is also associated with a variety of inherent channel processes, such as flow turbulence, grain entrainment, and bed forms migration. These internal and external controls often act at comparable time scales, and are therefore difficult to disentangle, thus hindering the study of bed load variability under unsteady flow regime. In this paper, we report on laboratory experiments performed in a large, mobile bed flume where typical hydromorphological conditions of gravel bed rivers were reproduced. Data from a large number of replicated runs, including triangular and square-wave hydrographs, were used to build a statistically sound description of sediment transport processes. We found that the inherent variability of bed load flux strongly depends on the sampling interval, and it is significantly higher in complex, wandering or braided channels. This variability can be filtered out by computing the mean response over the experimental replicates, which allows us to highlight two distinctive phenomena: (i) an overshooting (undershooting) response of the mean bed load flux to a sudden increase (decrease) of discharge, and (ii) a clockwise hysteresis in the sediment rating curve. We then provide an interpretation of these findings through a conceptual mathematical model, showing how both phenomena are associated with a lagging morphological adaptation to unsteady flow. Overall, this work provides basic information for evaluating, monitoring, and managing gravel transport in morphologically active rivers.
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... thinners and wearing support stockings may be recommended. Pressure sores. Being immobile also puts you at risk of developing bedsores (pressure sores). Frequent repositioning may help avoid this problem. Relapse. ...
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Xu, Jian-wei; Liao, Yuan-mei; Liu, Hui; Nie, Ren-hua; Havumaki, Joshua
2014-01-01
Insecticide-treated nets (ITNs) are an integral part of vector control recommendations for malaria elimination in China. This study investigated the extent to which bed nets were used and which factors influence bed net use among Jinuo Ethnic Minority in China-Myanmar-Laos border areas. This study combined a quantitative household questionnaire survey and qualitative semi-structured in-depth interviews (SDI). Questionnaires were administered to 352 heads of households. SDIs were given to 20 key informants. The bed net to person ratio was 1∶2.1 (i.e., nearly one net for every two people), however only 169 (48.0%) households owned at least one net and 623 (47.2%) residents slept under bed nets the prior night. The percentages of residents who regularly slept under nets (RSUN) and slept under nets the prior night (SUNPN) were similar (48.0% vs. 47.2%, P>0.05), however the percentage correct use of nets (CUN) was significantly lower (34.5%, Pcash income per person (ACIP) was an independent factor that influenced bed net use (PHigh bed net availability does not necessarily mean higher coverage or bed net use. Household income, house type and knowledge of the ability of bed nets to prevent malaria are all independent factors that influence bed net use among Jinuo Ethnic Minority.
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Numerical calculation of wall-to-bed heat transfer coefficients in gas-fluidized beds
Kuipers, J.A.M.; Prins, W.; van Swaaij, W.P.M.
1992-01-01
A computer model for a hot gas-fluidized bed has been developed. The theoretical description is based on a two-fluid model (TFM) approach in which both phases are considered to be continuous and fully interpenetrating. Local wall-to-bed heat-transfer coefficients have been calculated by the
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VA National Bed Control System
Department of Veterans Affairs — The VA National Bed Control System records the levels of operating, unavailable and authorized beds at each VAMC, and it tracks requests for changes in these levels....
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Tritium measurement technique using ''in-bed'' calorimetry
International Nuclear Information System (INIS)
Klein, J.E.; Mallory, M.K.; Nobile, A. Jr.
1991-01-01
One of the new technologies that has been introduced to the Savannah River Site (SRS) is the production scale use of metal hydride technology to store, pump, and compress hydrogen isotopes. For tritium stored in metal hydride storage beds, a unique relationship does not exist between the amount of tritium in the bed and the pressure-volume-temperature properties of the hydride material. Determining the amount of tritium in a hydride bed after desorbing the contents of the bed to a tank and performing pressure, volume, temperature, and composition (PVTC) measurements is not practical due to long desorption/absorption times and the inability to remove tritium ''heels'' from the metal hydride materials under normal processing conditions. To eliminate the need to remove tritium from hydride storage beds for measurement purposes, and ''in-bed'' tritium calorimetric measurement technique has been developed. The steady-state temperature rise of a gas stream flowing through a jacketed metal hydride storage bed is measured and correlated with power input to electric heaters used to simulate the radiolytic power generated by the decay of tritium to 3 He. Temperature rise results for prototype metal hydride storage beds and the effects of using different gases in the bed are shown. Linear regression results shows that for 95% confidence intervals, temperature rise measurements can be obtained in 14 hours and have an accuracy of ±1.6% of a tritium filled hydride storage bed
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Experimental and theoretical studies on hydrogenation of olefins in multiphase fixed bed reactors
Energy Technology Data Exchange (ETDEWEB)
Battsengel, B.; Datsevitch, L.; Jess, A. [Bayreuth Univ. (Germany). Dept. of Chemical Engineering
2003-07-01
Multi phase reactors like trickle bed systems are frequently used for gas-liquid reactions. In general, they have complex mass and heat transfer characteristics; scale-up is therefore difficult. The present work focuses on the role of mass transfer on the effective reaction rate, taking catalytic octene hydrogenation as a model reaction. The reaction rate in a trickle bed reactor is by a factor of about 20 smaller than (theoretically) in the absence of any mass transfer limitations. Based on the experimental results, the so-called pre-saturation concept is presented, where only the liquid saturated with hydrogen is fed into the reactor. The effective reaction rate in this two phase system (liquid and solid cat.) is equal or even higher than in a trickle bed reactor. Scale-up problems do not occur, and the pre-saturation concept has also other advantages (lower energy consumption), as discussed in detail in this paper. (orig.)
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Fluidized bed combustion: mixing and pollutant limitation
Energy Technology Data Exchange (ETDEWEB)
Leckner, B. [Chalmers Univ. of Technology, Goeteborg (Sweden). Dept. of Energy Conversion
1997-10-01
Fluidized bed combustion (FBC) has been applied commercially during a few decades, and sufficient knowledge is gained to design boilers with sizes of up to several hundreds of megawatt thermal power (MW{sub th}). The knowledge of what goes on inside a large combustion chamber is still limited, however, and this impedes further optimization and efficient solution of problems that might occur. Despite this lack of knowledge the present survey deals with combustion chamber processes and discusses mixing and distribution of fuel and air in the combustion chamber and its importance for sulphur capture and reduction of emissions of nitrogen oxides. It is desirable to present the material in a general way and to cover the entire field of FBC. However, the scarce openly published information deals mostly with coal combustion in atmospheric circulating fluidized bed (CFB) combustors, and therefore this application will receive most attention, but reference is also made to pressurized combustion and to other fuels than coal. In this context the important work made in the LIEKKI project on the analysis of different fuels and on the influence of pressure should be especially pointed out. (orig.)
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International Nuclear Information System (INIS)
Jarungthammachote, S.; Dutta, A.
2008-01-01
Spouted beds have been found in many applications, one of which is gasification. In this paper, the gasification processes of conventional and modified spouted bed gasifiers were considered. The conventional spouted bed is a central jet spouted bed, while the modified spouted beds are circular split spouted bed and spout-fluid bed. The Gibbs free energy minimization method was used to predict the composition of the producer gas. The major six components, CO, CO 2 , CH 4 , H 2 O, H 2 and N 2 , were determined in the mixture of the producer gas. The results showed that the carbon conversion in the gasification process plays an important role in the model. A modified model was developed by considering the carbon conversion in the constraint equations and in the energy balance calculation. The results from the modified model showed improvements. The higher heating values (HHV) were also calculated and compared with the ones from experiments. The agreements of the calculated and experimental values of HHV, especially in the case of the circular split spouted bed and the spout-fluid bed were observed
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Adult bed-wetting: A concern? My 24-year-old husband has started to wet the bed at ... of Privacy Practices Notice of Nondiscrimination Manage Cookies Advertising Mayo Clinic is a not-for-profit organization ...
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... Directory Planning, Budget and Results Jobs and Internships Headquarters Offices Regional Offices Labs and Research Centers Bed ... to be careful in how you select a company. Related Information Collaborative Strategy on Bed Bugs - highlights ...
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EPA-Registered Bed Bug Products
... rest or hide in hampers, bed frames, even furniture); Failing to treat adjacent areas where bed bugs ... to work (some pesticides, such as desiccators or growth regulators, may be very effective but take some ...
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Directory of Open Access Journals (Sweden)
AYGUN, H.
2012-05-01
Full Text Available Circulating fluidized bed boilers are increasingly used in the power generation due to their higher combustion efficiency and lower pollutant emissions. Such boilers require an effective control of the bed temperature, because it influences the boiler combustion efficiency and the rate of harmful emissions. A Particle-Swarm-Optimization-Proportional-Integrative-Derivative (PSO-PID controller for the bed temperature of a circulating fluidized bed boiler is presented. In order to prove the capability of the proposed controller, its performances are compared at different boiler loads with those of a Fuzzy Logic (FL controller. The simulation results demonstrate some advantages of the proposed controller.
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Study on transient of fluidized bed nuclear reactor
International Nuclear Information System (INIS)
Streck, E.E.
1988-01-01
The point kinetic equations for a Fluidized-Bed Nuclear Reactor are solved by the method of Hansen. Due to the time varying nature of the reactor volume, the equations have a non-conventional formulation (moving boundary problem), but the method of solution preserves its asymptotic convergence and efficiency characteristics under this formulation. A one dimensional and linearized thermal hydraulics feedback model was coupled to the point kinetic equations in order to obtain a more realistic representation of the reactor power. The resulting equations are solved by the Euler explicit method. (author)
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Carling, Cheryl L L; Kristoffersen, Doris Tove; Flottorp, Signe; Fretheim, Atle; Oxman, Andrew D; Schünemann, Holger J; Akl, Elie A; Herrin, Jeph; MacKenzie, Thomas D; Montori, Victor M
2009-08-01
We conducted an Internet-based randomized trial comparing four graphical displays of the benefits of antibiotics for people with sore throat who must decide whether to go to the doctor to seek treatment. Our objective was to determine which display resulted in choices most consistent with participants' values. This was the first of a series of televised trials undertaken in cooperation with the Norwegian Broadcasting Company. We recruited adult volunteers in Norway through a nationally televised weekly health program. Participants went to our Web site and rated the relative importance of the consequences of treatment using visual analogue scales (VAS). They viewed the graphical display (or no information) to which they were randomized and were asked to decide whether to go to the doctor for an antibiotic prescription. We compared four presentations: face icons (happy/sad) or a bar graph showing the proportion of people with symptoms on day three with and without treatment, a bar graph of the average duration of symptoms, and a bar graph of proportion with symptoms on both days three and seven. Before completing the study, all participants were shown all the displays and detailed patient information about the treatment of sore throat and were asked to decide again. We calculated a relative importance score (RIS) by subtracting the VAS scores for the undesirable consequences of antibiotics from the VAS score for the benefit of symptom relief. We used logistic regression to determine the association between participants' RIS and their choice. 1,760 participants completed the study. There were statistically significant differences in the likelihood of choosing to go to the doctor in relation to different values (RIS). Of the four presentations, the bar graph of duration of symptoms resulted in decisions that were most consistent with the more fully informed second decision. Most participants also preferred this presentation (38%) and found it easiest to understand (37
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Directory of Open Access Journals (Sweden)
Mª Emma Borges
2015-02-01
Full Text Available Water pollution from emerging contaminants (ECs or emerging pollutants is an important environmental problem. Heterogeneous photocatalytic treatment, as advanced oxidation treatment of wastewater effluents, has been proposed to solve this problem. In this paper, a heterogeneous photocatalytic process was studied for emergent contaminants removal using paracetamol as a model contaminant molecule. TiO2 photocatalytic activity was evaluated using two photocatalytic reactor configurations: Photocatalyst solid suspension in wastewater in a stirred photoreactor and TiO2 supported on glass spheres (TGS configuring a packed bed photoreactor. The surface morphology and texture of the TGS were monitored by scanning electron microscope (SEM. The influence of photocatalyst amount and wastewater pH were evaluated in the stirred photoreactor and the influence of wastewater flowrate was tested in the packed bed photoreactor, in order to obtain the optimal operation conditions. Moreover, results obtained were compared with those obtained from photolysis and adsorption studies, using the optimal operation conditions. Good photocatalytic activities have been observed and leads to the conclusion that the heterogeneous photocatalytic system in a packed bed is an effective method for removal of emerging pollutants.
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Fluidization quality analyzer for fluidized beds
Daw, C.S.; Hawk, J.A.
1995-07-25
A control loop and fluidization quality analyzer for a fluidized bed utilizes time varying pressure drop measurements. A fast-response pressure transducer measures the overall bed pressure drop, or over some segment of the bed, and the pressure drop signal is processed to produce an output voltage which changes with the degree of fluidization turbulence. 9 figs.
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Ahn, Gyu Chul; Jang, Sun Sik; Lee, Kang Yeon; Kwak, Wan Sup; Oh, Young Kyun; Park, Keun Kyu
2016-03-01
This study was designed to examine the characteristics of sawdust and cocopeat bedding materials, including physicochemical properties (Exp. I) and on-farm trial (Exp. II). In Exp. I, the proportion of particle size was in the order of sawdust> cocopeat India>cocopeat Vietnam (pcocopeat Vietnam>sawdust (pfan (blowing 2.00 m/s) and no fan treatments, and feed bunk side (FB) and water supply side (WS) within a pen (4.5 m, width×9.0 m, length). Beddings were replaced with fresh bedding materials when moisture concentrations were over 65%. No interactions among treatments were detected for moisture concentration and increment rates, and ammonia concentrations, but a significant effect was observed (pfan than with fan. Moisture concentrations and increment rate within a pen were also higher (pfan-FB and sawdust-fan-FB were replaced with fresh bedding material between 4 to 5 experimental weeks. The ammonia concentrations and pH of beddings were not significantly different among treatments. Therefore, using cocopeat bedding with a blowing fan can extend twice the bedding utilization period, and WS within a pen showed twice the bedding-life compared to FB. Despite the outstanding characteristics of cocopeat compared with sawdust, using cocopeat as an alternative for sawdust bedding is not recommended for cattle management, considering it has 4.4 times higher bedding cost and a dust production problem.
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Energy Technology Data Exchange (ETDEWEB)
Moormann, R.
2008-06-15
The AVR pebble bed reactor (46 MW{sub th}) was operated 1967-88 at coolant outlet temperatures up to 990 C. A principle difference of pebble bed HTRs as AVR to conventional reactors is the continuous movement of fuel element pebbles through the core which complicates thermohydraulic, nuclear and safety estimations. Also because of a lack of other experience AVR operation is still a relevant basis for future pebble bed HTRs and thus requires careful examination. This paper deals mainly with some insufficiently published unresolved safety problems of AVR operation and of pebble bed HTRs but skips the widely known advantageous features of pebble bed HTRs. The AVR primary circuit is heavily contaminated with metallic fission products (Sr-90, Cs-137) which create problems in current dismantling. The amount of this contamination is not exactly known, but the evaluation of fission product deposition experiments indicates that the end of life contamination reached several percent of a single core inventory, which is some orders of magnitude more than precalculated and far more than in large LWRs. A major fraction of this contamination is bound on graphitic dust and thus partly mobile in depressurization accidents, which has to be considered in safety analyses of future reactors. A re-evaluation of the AVR contamination is performed here in order to quantify consequences for future HTRs (400 MW{sub th}). It leads to the conclusion that the AVR contamination was mainly caused by inadmissible high core temperatures, increasing fission product release rates, and not - as presumed in the past - by inadequate fuel quality only. The high AVR core temperatures were detected not earlier than one year before final AVR shut-down, because a pebble bed core cannot yet be equipped with instruments. The maximum core temperatures are still unknown but were more than 200 K higher than calculated. Further, azimuthal temperature differences at the active core margin of up to 200 K were
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International Nuclear Information System (INIS)
Moormann, R.
2008-06-01
The AVR pebble bed reactor (46 MW th ) was operated 1967-88 at coolant outlet temperatures up to 990 C. A principle difference of pebble bed HTRs as AVR to conventional reactors is the continuous movement of fuel element pebbles through the core which complicates thermohydraulic, nuclear and safety estimations. Also because of a lack of other experience AVR operation is still a relevant basis for future pebble bed HTRs and thus requires careful examination. This paper deals mainly with some insufficiently published unresolved safety problems of AVR operation and of pebble bed HTRs but skips the widely known advantageous features of pebble bed HTRs. The AVR primary circuit is heavily contaminated with metallic fission products (Sr-90, Cs-137) which create problems in current dismantling. The amount of this contamination is not exactly known, but the evaluation of fission product deposition experiments indicates that the end of life contamination reached several percent of a single core inventory, which is some orders of magnitude more than precalculated and far more than in large LWRs. A major fraction of this contamination is bound on graphitic dust and thus partly mobile in depressurization accidents, which has to be considered in safety analyses of future reactors. A re-evaluation of the AVR contamination is performed here in order to quantify consequences for future HTRs (400 MW th ). It leads to the conclusion that the AVR contamination was mainly caused by inadmissible high core temperatures, increasing fission product release rates, and not - as presumed in the past - by inadequate fuel quality only. The high AVR core temperatures were detected not earlier than one year before final AVR shut-down, because a pebble bed core cannot yet be equipped with instruments. The maximum core temperatures are still unknown but were more than 200 K higher than calculated. Further, azimuthal temperature differences at the active core margin of up to 200 K were observed
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Solid fuel feed system for a fluidized bed
Jones, Brian C.
1982-01-01
A fluidized bed for the combustion of coal, with limestone, is replenished with crushed coal from a system discharging the coal laterally from a station below the surface level of the bed. A compartment, or feed box, is mounted at one side of the bed and its interior separated from the bed by a weir plate beneath which the coal flows laterally into the bed while bed material is received into the compartment above the plate to maintain a predetermined minimum level of material in the compartment.
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International Nuclear Information System (INIS)
Arromdee, Porametr; Kuprianov, Vladimir I.
2012-01-01
Highlights: ► We propose burning of peanut shells in a conical fluidized bed using alumina sand. ► We examine hydrodynamic, combustion and emission characteristics of the reactor. ► High, over 99%, combustion efficiency is achievable. ► Emissions of CO and NO from the combustor meet the national emission limits. ► Composition of the bed material undergoes significant changes during the combustion. -- Abstract: This paper reports experimental studies on burning peanut shells in the conical fluidized-bed combustor using alumina sand as the fluidizing agent. Prior to combustion tests, hydrodynamic regimes and characteristics of a conical alumina–biomass bed were investigated under cold-state conditions for variable percentage of peanut shells in the mixture and static bed height. With selected particle sizes (300–500 μm) and static bed height (30 cm), alumina ensured bubbling fluidization regime of the bed at operating conditions specified for firing biomass. Combustion tests were performed at 60 kg/h and 45 kg/h fuel feed rates, while ranging excess air from 20% to 80% at a fixed combustor load. Temperature and gas concentrations (O 2 , CO, C x H y as CH 4 , and NO) were measured along radial and axial directions inside the reactor as well as at stack in order to characterize combustion and emission performance of the combustor for the ranges of operating conditions. For firing 60 kg/h peanut shells, excess air of 40% can be selected as an appropriate value ensuring high, about 99%, combustion efficiency and rather low emissions of CO and NO: 520 ppm and 125 ppm, respectively (both on a dry basis and at 6% O 2 ). With reducing combustor load, the combustion efficiency and emission characteristics were improved to a little extent. No evidence of bed agglomeration was found during 30-h combustion tests on this conical fluidized-bed combustor using alumina sand as the bed material. However, the timescale effect on the composition of the bed material was
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Energy Technology Data Exchange (ETDEWEB)
Davidsson, Kent; Eskilsson, David; Gyllenhammar, Marianne; Herstad Svaerd, Solvie; Kassman, Haakan; Steenari, Britt-Marie; Aamand, Lars-Erik
2006-12-15
Combustion of biofuel and waste wood is often accompanied by chlorine and alkali related operating problems such as slagging, deposit formation and corrosion on heat exchanger surfaces and bed agglomeration in fluidised bed boilers. In order to gain a greater insight into possible measures to overcome alkali related operating problems studies were carried out during 2005-2006. The results of the studies are presented in this report which includes work performed in the two following projects: 1 A5-509 Frame work - measures for simultaneous minimisation of alkali related operating problems 2 A5-505 Bed agglomeration risk related to combustion of cultivated fuels (wheat straw, red canary grass, industrial hemp) in commercial bed materials Full-scale experiments were carried out at Chalmers 12 MW{sub th} CFB boiler within the project A5-509. The purpose was to study the effect of various measures on bed agglomeration and deposit formation in connection with co-combustion of wood and straw pellets. The various measures included changing the bed material (blast furnace sand and olivine sand), adding various additives (kaolin, ammonium sulphate, elemental sulphur) and also co-combustion with sewage sludge. Furthermore results from kaolin experiments at the 26 MWth CFB boiler owned by Naessjoe Affaersverk were made available during the project and are also presented in this report. The results from the experiments at Chalmers revealed that, already at the lowest dosage of kaolin, approx. 2 kg/MWh, the bed material agglomeration temperatures increased significantly. The dosage of kaolin can presumably be reduced somewhat further while still maintaining the high agglomeration temperature. Experiments with a higher dosage of kaolin, 7 kg/MWh, proved that kaolin could also reduce the risk of deposit problems. The experiments at Naessjoe showed also that addition of kaolin increased the agglomeration temperature of the bed material. Addition of sulphur in any form resulted in a
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Coolability of volumetrically heated particle beds
Energy Technology Data Exchange (ETDEWEB)
Rashid, Muhammad
2017-03-22
In case of a severe nuclear reactor accident, with loss of coolant, a particle bed may be formed from the fragmentation of the molten core in the residual water at different stages of the accident. To avoid further propagation of the accident and maintain the integrity of the reactor pressure vessel, the decay heat of the particle bed must be removed. To better understand the various thermo-hydraulic processes within such heat-generating particle beds, the existing DEBRIS test facility at IKE has been modified to be able to perform novel boiling, dryout and quenching experiments. The essential experimental data includes the pressure gradients measured by 8 differential pressure transducers along the bed height as a function of liquid and vapour superficial velocities, the determination of local dryout heat fluxes for different system pressures as well as the local temperature distribution measured by a set of 51 thermocouples installed inside the particle bed. The experiments were carried out for two different particle beds: a polydispersed particle bed which consisted of stainless steel balls (2 mm, 3 mm and 6 mm diameters) and an irregular particle bed which consisted of a mixture of steel balls (3 mm and 6 mm) and irregularly shaped Al{sub 2}O{sub 3} particles. Additionally, all experiments were carried out for different flow conditions, such as the reference case of passive 1D top-flooding, 1D bottom flooding (driven by external pumps and different downcomer configurations) and 2D top-/bottom-/lateral flooding with a perforated downcomer. In this work, it has been observed that for both particle beds with downcomer configurations an open downcomer leads to the best coolability (dryout heat flux = 1560 kW/m{sup 2}, polydispersed particle bed, psys = 1 bar) of the particle bed, mainly due to bottom-flow with enhanced natural convection. It has also been shown that a potential lateral flow via a perforation of the downcomer does not bring any further improvements
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Coolability of volumetrically heated particle beds
International Nuclear Information System (INIS)
Rashid, Muhammad
2017-01-01
In case of a severe nuclear reactor accident, with loss of coolant, a particle bed may be formed from the fragmentation of the molten core in the residual water at different stages of the accident. To avoid further propagation of the accident and maintain the integrity of the reactor pressure vessel, the decay heat of the particle bed must be removed. To better understand the various thermo-hydraulic processes within such heat-generating particle beds, the existing DEBRIS test facility at IKE has been modified to be able to perform novel boiling, dryout and quenching experiments. The essential experimental data includes the pressure gradients measured by 8 differential pressure transducers along the bed height as a function of liquid and vapour superficial velocities, the determination of local dryout heat fluxes for different system pressures as well as the local temperature distribution measured by a set of 51 thermocouples installed inside the particle bed. The experiments were carried out for two different particle beds: a polydispersed particle bed which consisted of stainless steel balls (2 mm, 3 mm and 6 mm diameters) and an irregular particle bed which consisted of a mixture of steel balls (3 mm and 6 mm) and irregularly shaped Al 2 O 3 particles. Additionally, all experiments were carried out for different flow conditions, such as the reference case of passive 1D top-flooding, 1D bottom flooding (driven by external pumps and different downcomer configurations) and 2D top-/bottom-/lateral flooding with a perforated downcomer. In this work, it has been observed that for both particle beds with downcomer configurations an open downcomer leads to the best coolability (dryout heat flux = 1560 kW/m 2 , polydispersed particle bed, psys = 1 bar) of the particle bed, mainly due to bottom-flow with enhanced natural convection. It has also been shown that a potential lateral flow via a perforation of the downcomer does not bring any further improvements in
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Flow characteristics of counter-current flow in debris bed
International Nuclear Information System (INIS)
Abe, Yutaka; Adachi, Hiromichi
2004-01-01
In the course of a severe accident, a damaged core would form a debris bed consisting of once-molten and fragmented fuel elements. It is necessary to evaluate the dryout heat flux for the judgment of the coolability of the debris bed during the severe accident. The dryout phenomena in the debris bed is dominated by the counter-current flow limitation (CCFL) in the debris bed. In this study, air-water counter-current flow behavior in the debris bed is experimentally investigated with glass particles simulating the debris beds. In this experiment, falling water flow rate and axial pressure distributions were experimentally measured. As the results, it is clarified that falling water flow rate becomes larger with the debris bed height and the pressure gradient in the upper region of the debris bed is different from that in the lower region of the debris bed. These results indicate that the dominant region for CCFL in the debris bed is identified near the top of the debris bed. Analytical results with annular flow model indicates that interfacial shear stress in the upper region of the debris bed is larger than that in the lower region of the debris bed. (author)
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International Nuclear Information System (INIS)
Grimmett, E.S.; Kunze, J.F.
1975-01-01
A reactor vessel containing a fluidized-bed region of particulate material including both a neutron-moderating and a fertile substance is described. A gas flow including fissile material passes through the vessel at a sufficient rate to fluidize the particulate material and at a sufficient density to support a thermal fission reaction within the fluidized-bed region. The high-temperature portion of a heat transfer system is located within the fluidized-bed region of the reactor vessel in direct contact with the fluidized particles. Heat released by fission is thereby transferred at an enhanced rate to a coolant circulating within the heat transfer system. Fission products are continuously removed from the gas flow and supplemental fissile material added during the reactor operation. (U.S.)
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International Nuclear Information System (INIS)
Luo, Siwei; Bayham, Samuel; Zeng, Liang; McGiveron, Omar; Chung, Elena; Majumder, Ankita; Fan, Liang-Shih
2014-01-01
Highlights: • Accumulated more than 300 operation hours were accomplished for the moving bed reducer reactor. • Different reactor operation variables were investigated with optimal conditions identified. • High conversions of sub-bituminous coal and bituminous coal were achieved without flow problems. • Co-current and counter-current contact modes were tested and their applicability was discussed. - Abstract: The CLC process has the potential to be a transformative commercial technology for a carbon-constrained economy. The Ohio State University Coal Direct Chemical Looping (CDCL) process directly converts coal, eliminating the need for a coal gasifier oran air separation unit (ASU). Compared to other solid-fuel CLC processes, the CDCL process is unique in that it consists of a countercurrent moving bed reducer reactor. In the proposed process, coal is injected into the middle of the moving bed, whereby the coal quickly heats up and devolatilizes, splitting the reactor roughly into two sections with no axial mixing. The top section consists of gaseous fuel produced from the coal volatiles, and the bottom section consists of the coal char mixed with the oxygen carrier. A bench-scale moving bed reactor was used to study the coal conversion with CO 2 as the enhancing gas. Initial tests using metallurgical cokefines as feedstock were conducted to test the effects of operational variables in the bottom section of the moving bed reducer, e.g., reactor temperature, oxygen carrier to char ratio, enhancer gas CO 2 flow rate, and oxygen carrier flow rates. Experiments directly using coal as the feedstock were subsequently carried out based on these test results. Powder River Basin (PRB) coal and Illinois #6 coal were tested as representative sub-bituminous and bituminous coals, respectively. Nearly complete coal conversion was achieved using composite iron oxide particles as the oxygen carriers without any flow problems. The operational results demonstrated that a
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2D numerical model of particle-bed collision in fluid-particle flows over bed
Czech Academy of Sciences Publication Activity Database
Lukerchenko, Nikolay; Chára, Zdeněk; Vlasák, Pavel
2006-01-01
Roč. 44, č. 1 (2006), s. 70-78 ISSN 0022-1686 R&D Projects: GA AV ČR IAA2060201 Institutional research plan: CEZ:AV0Z20600510 Keywords : saltation * particle-bed collision * collision angle * bed roughness Subject RIV: BK - Fluid Dynamics Impact factor: 0.527, year: 2006
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Fluidized-bed reactors processes and operating conditions
Yates, John G
2016-01-01
The fluidized-bed reactor is the centerpiece of industrial fluidization processes. This book focuses on the design and operation of fluidized beds in many different industrial processes, emphasizing the rationale for choosing fluidized beds for each particular process. The book starts with a brief history of fluidization from its inception in the 1940’s. The authors present both the fluid dynamics of gas-solid fluidized beds and the extensive experimental studies of operating systems and they set them in the context of operating processes that use fluid-bed reactors. Chemical engineering students and postdocs as well as practicing engineers will find great interest in this book.
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Effect of various drying bed on thermodynamic characteristics
Directory of Open Access Journals (Sweden)
Ali Motevali
2017-09-01
Full Text Available In this study thermodynamic parameter and energy consumption in drying of two plant dill and mint in three bed drying including fix, semi fix and fluid with using a hot air drying was investigated. Experimental was conducted in three bed drying including fix, semi fix and fluid and four levels temperature (30, 40, 50 and 60 °C. Maximum energy consumption in dill drying at 40 °C and fluid bed to be 16.41 MJ and minimum energy consumption at 30 °C and fix bed to be 2.77 MJ. Also minimum energy consumption in mint drying at 60 °C and fix bed to be 3.64 MJ and maximum energy consumption at 40 °C and fluid bed to be 28.65 MJ. The highest energy, drying and thermal efficiency for both mint and dill was achieved at 60 °C on the fixed bed, whereas the lowest efficiency was at 40 °C and on the fluidized bed. Also the highest power and specific heat consumption for both mint and dill was achieved at 40 °C on the fluid bed, whereas the lowest efficiency was at 30 °C and on the fluidized bed.
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Energy Technology Data Exchange (ETDEWEB)
Laitinen, R; Patrikainen, T; Heikkinen, R; Tiainen, M; Virtanen, M [Oulu Univ. (Finland). Inst. of Chemistry
1997-10-01
The scope of this project is to use the information and experience gained from the development of classification method to predict ash related problems like bed agglomeration during fluidised combustion. If boilers have to be shut down due to slagging or agglomeration of the bed material may cause significant economic losses for the entire energy production chain. Mineral classification methods based on the scanning electron microscopy are commonly used for coal ash investigation. In this work different biomass, peat, and peat-wood ash, fluidised-bed materials, and bed agglomerates were analysed with SEM-EDS combined with automatic image analysis software. The properties of ash particles are different depending on the fuel type. If biomass like wood or bark are added to peat the resulting ash has different properties. Due to the low mineral content in the original peat and to the fact that the majority of inorganic material is bound to the organic matrix, the classification has turned out to be less informative than was hoped. However, good results are obtained the by use of quasiternary diagrams. With these diagrams the distribution of particle composition is easily illustrated and thus meaningful prediction can be made of the slagging and agglomerating properties of ash. The content of ten different elements are determined for each particle by SEM-EDS combined with Link AIA software. The composition of the diagram corners can be varied Freely within these ten elements. (orig.)
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Fluidized bed dry dense medium coal beneficiation
CSIR Research Space (South Africa)
North, Brian C
2017-10-01
Full Text Available medium beneficiation using a fluidized bed was investigated. Bed materials of sand, magnetite and ilmenite were used in a laboratory sized cylindrical fluidized bed. The materials were individually tested, as were mixes of sand and heavy minerals. Coal...
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Effectiveness of Bed Bug Pesticides
Before EPA allows a bed bug claim on a label, the product must be supported by data showing it will kill bed bugs when applied according to the label. Also consider factors such as extent of infestation, site preparation, and insect life stages.
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T. E. Lisle; J. M. Nelson; B. L. Barkett; J. Pitlick; M. A. Madej
1998-01-01
Recent laboratory experiments have shown that bed mobility in gravel bed channels responds to changes in sediment supply, but detailed examinations of this adjustment in natural channels have been lacking, and practical methodologies to measure bed mobility have not been tested. We examined six gravel-bed, alternate-bar channels which have a wide range in annual...
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DEFF Research Database (Denmark)
Hansen, Klavs Feilberg; Pedersen, Carsten Mørk
2008-01-01
This paper describes a simple test method for determining the torsion strength of a single bed joint between two bricks and presents results from testing using this test method. The setup for the torsion test is well defined, require minimal preparation of the test specimen and the test can...... be carried out directly in a normal testing machine. The torsion strength is believed to be the most important parameter in out-of-plane resistance of masonry walls subjected to bending about an axis perpendicular to the bed joints. The paper also contains a few test results from bending of small walls about...... an axis perpendicular to the bed joints, which indicate the close connection between these results and results from torsion tests. These characteristics make the torsion strength well suited to act as substitute parameter for the bending strength of masonry about an axis perpendicular to the bed joints....
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A low tritium hydride bed inventory estimation technique
Energy Technology Data Exchange (ETDEWEB)
Klein, J.E.; Shanahan, K.L.; Baker, R.A. [Savannah River National Laboratory, Aiken, SC (United States); Foster, P.J. [Savannah River Nuclear Solutions, Aiken, SC (United States)
2015-03-15
Low tritium hydride beds were developed and deployed into tritium service in Savannah River Site. Process beds to be used for low concentration tritium gas were not fitted with instrumentation to perform the steady-state, flowing gas calorimetric inventory measurement method. Low tritium beds contain less than the detection limit of the IBA (In-Bed Accountability) technique used for tritium inventory. This paper describes two techniques for estimating tritium content and uncertainty for low tritium content beds to be used in the facility's physical inventory (PI). PI are performed periodically to assess the quantity of nuclear material used in a facility. The first approach (Mid-point approximation method - MPA) assumes the bed is half-full and uses a gas composition measurement to estimate the tritium inventory and uncertainty. The second approach utilizes the bed's hydride material pressure-composition-temperature (PCT) properties and a gas composition measurement to reduce the uncertainty in the calculated bed inventory.
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A solid target for SINQ based on a Pb-shot Pebble-bed
International Nuclear Information System (INIS)
Atchison, F.; Heidenreich, G.
1991-01-01
Preliminary results from scoping calculations examining the possibilities of implementing a Pebble-bed of Pb-shot as a target for SINQ are presented. The primary design objects are set out and estimates of heating and activation given. Cooling circuit parameters are discussed and estimates for operating conditions presented. A short discussion of problems associated with a realisation is included. (author)
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Semi-dry flue gas desulfurization using Ca(OH)2 in a fluidized bed reactor with bed materials
International Nuclear Information System (INIS)
Park, Young Oak; Roh, Hak Jae; Oh, Chang Sup; Kim, Yong Ha
2010-01-01
The main objective of present work is to reduce sulfur dioxide emission from power plant for the environment protection. The fluidized bed (FB) was used as the reactor with bed materials in a new semi-dry flue gas desulfurization (FGD) process to achieve high desulfurization efficiency (>98%). Fine powder of Ca(OH) 2 as sorbent and water were continuously fed separately to the bed reactor where bed materials (2 mm glass beads) were fluidized vigorously with flue gas (flow 720 Nm 3 / hr) using bench scale plant of stainless steel column. We have investigated different effects of water injection flow rate, Ca/ S molar ratio and weight of bed materials on SO 2 removal. The increments in the Ca/ S molar ratio and water injection flow rate have been resulted higher desulfurization efficiency with certain disadvantages such as higher sorbent cost and lower temperature of the treated flue gas, respectively. (author)
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Sameem, Mojib; Au, Michael; Wood, Thomas; Farrokhyar, Forough; Mahoney, James
2012-07-01
Management of pressure sores poses a significant reconstructive challenge for plastic surgeons. Currently, there is no consensus on whether musculocutaneous, fasciocutaneous, or perforator-based flaps provide superior results for treating pressure sores. The following databases were searched: Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, LILACS (January of 1950 to November of 2010), MEDLINE (January of 1950 to November of 2010), and EMBASE (January of 1980 to November of 2010). Only articles reporting on the use of musculocutaneous, fasciocutaneous, and perforator-based flaps were included. The primary study outcomes were complication and recurrence rates. Fifty-five articles were included in the final analysis (kappa = 0.78). From this total, 28 were categorized as pertaining to musculocutaneous flaps, 13 studied fasciocutaneous flaps, and 14 evaluated perforator-based flaps. The authors' review revealed recurrence and complication rates of 8.9 and 18.6 percent, respectively, following reconstruction with musculocutaneous flaps, 11.2 and 11.7 percent following reconstruction with fasciocutaneous flaps, and 5.6 and 19.6 percent following reconstruction with perforator-based flaps. Overall, statistical analysis revealed no significant difference in complication or recurrence rates among these three techniques. The authors' review revealed that there was no statistically significant difference with regard to recurrence or complication rates among musculocutaneous, fasciocutaneous, or perforator-based flaps. This suggests that surgeons performing such reconstructive procedures may choose to consider the advantages of a specific approach rather than the complication and recurrence rates. Therapeutic, IV.
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Does Bedding Affect the Airway and Allergy?
Directory of Open Access Journals (Sweden)
RW Siebers
2011-03-01
Full Text Available Various cross-sectional and longitudinal studies have suggested that synthetic bedding is associated with asthma, allergic rhinitis and eczema while feather bedding seems to be protective. Synthetic bedding items have higher house dust mite allergen levels than feather bedding items. This is possibly the mechanism involved although fungal and bacterial proinflammatory compounds and volatile organic compounds may play a role. In this review we present and discuss the epidemiological evidence and suggest possible mechanisms. Primary intervention studies are required to show whether feather bedding is protective for the development of childhood asthma and allergic diseases while secondary intervention studies are required to potentially reduce symptoms and medication use in subjects with established disease.
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Does bedding affect the airway and allergy?
Siebers, R W; Crane, J
2011-04-01
Various cross-sectional and longitudinal studies have suggested that synthetic bedding is associated with asthma, allergic rhinitis and eczema while feather bedding seems to be protective. Synthetic bedding items have higher house dust mite allergen levels than feather bedding items. This is possibly the mechanism involved although fungal and bacterial proinflammatory compounds and volatile organic compounds may play a role. In this review we present and discuss the epidemiological evidence and suggest possible mechanisms. Primary intervention studies are required to show whether feather bedding is protective for the development of childhood asthma and allergic diseases while secondary intervention studies are required to potentially reduce symptoms and medication use in subjects with established disease.
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International Nuclear Information System (INIS)
Jing Qiangshan; Lou Hui; Mo Liuye; Zheng Xiaoming
2006-01-01
Reforming of methane with carbon dioxide and oxygen was investigated over Ni/MgO-SiO 2 catalysts using fixed bed and fluidized bed reactors. The conversions of CH 4 and CO 2 in a fluidized bed reactor were close to thermodynamic equilibrium. The activity and stability of the catalyst in the fixed bed reactor were lower than that in the fluidized bed reactor due to carbon deposition and nickel sintering. TGA and TEM techniques were used to characterize the spent catalysts. The results showed that a lot of whisker carbon was found on the catalyst in the rear of the fixed bed reactor, and no deposited carbon was observed on the catalysts in the fluidized bed reactor after reaction. It is suggested that this phenomenon is related to a permanent circulation of catalyst particles between the oxygen rich and oxygen free zones. That is, fluidization of the catalysts in the fluidized bed reactor favors inhibiting deposited carbon and thermal uniformity in the reactor
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Transient quenching of superheated debris beds during bottom reflood
International Nuclear Information System (INIS)
Tutu, N.K.; Ginsberg, T.; Klein, J.; Schwarz, C.E.; Klages, J.
1984-01-01
The experimental data suggest that for small liquid supply rate and low initial particle temperature, the bed quench process is a one-dimensional frontal phenomenon. The bed heat flux is constant during most of the duration of the quench period. The range of conditions which display one-dimensional frontal cooling characteristics is identified as the deep bed regime of bed quenching, and a limiting mathematical model was developed to describe the observed behavior. For large liquid supply rate and high initial bed temperature, the bed quench process is a complex phenomenon. Under these conditions, the bed heat flux displays a nonuniform time dependence. In order to characterize this shallow bed regime, it was necessary to develop a detailed transient model of the coolant-debris interaction. This model, while developed for the shallow bed regime, also applies to the deep bed regime. Numerical computations clearly demonstrate the importance of developing a general reliable model for the solid-fluid heat transfer coefficients
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Leary, K. C. P.; Schmeeckle, M. W.
2017-12-01
Flow separation/reattachment on the lee side of alluvial bed forms is known to produce a complex turbulence field, but the spatiotemporal details of the associated patterns of bed load sediment transported remain largely unknown. Here we report turbulence-resolving, simultaneous measurements of bed load motion and near-bed fluid velocity downstream of a backward facing step in a laboratory flume. Two synchronized high-speed video cameras simultaneously observed bed load motion and the motion of neutrally buoyant particles in a laser light sheet 6 mm above the bed at 250 frames/s downstream of a 3.8 cm backward facing step. Particle Imaging Velocimetry (PIV) and Acoustic Doppler Velocimetry (ADV) were used to characterize fluid turbulent patterns, while manual particle tracking techniques were used to characterize bed load transport. Octant analysis, conducted using ADV data, coupled with Markovian sequence probability analysis highlights differences in the flow near reattachment versus farther downstream. Near reattachment, three distinct flow patterns are apparent. Farther downstream we see the development of a dominant flow sequence. Localized, intermittent, high-magnitude transport events are more apparent near flow reattachment. These events are composed of streamwise and cross-stream fluxes of comparable magnitudes. Transport pattern and fluid velocity data are consistent with the existence of permeable "splat events," wherein a volume of fluid moves toward and impinges on the bed (sweep) causing a radial movement of fluid in all directions around the point of impingement (outward interaction). This is congruent with flow patterns, identified with octant analysis, proximal to flow reattachment.
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Marjolin's Ulcer Complicating a Pressure Sore: The Clock is Ticking.
Khan, Kamran; Giannone, Anna Lucia; Mehrabi, Erfan; Khan, Ayda; Giannone, Roberto E
2016-02-22
Malignant degeneration in any chronic wound is termed a Marjolin's ulcer (MU). The overall metastatic rate of MU is approximately 27.5%. However, the prognosis of MU specific to pressure sores is poor, with a reported metastatic rate of 61%. This is due to insidious, asymptomatic malignant degeneration, a lack of healthcare provider awareness, and, ultimately, delayed management. An 85-year-old white male was noted by his wound-care nurse to have a rapidly developing growth on his lower back over a period of 4 months. There was history of a non-healing, progressive pressure ulcer of the lower back for the past 10 years. On examination, there was a 4 × 4 cm pressure ulcer of the lower back, with a superimposed 1.5 × 2 cm growth in the superior region. There was an absence of palpable regional lymphadenopathy. Punch biopsy revealed squamous cell carcinoma consistent with Marjolin's ulcer. The ulcer underwent excision with wide margins, and a skin graft was placed. Due to the prompt recognition of an abnormality by the patient's wound-care nurse, metastasis was not evident on imaging. There are no signs of recurrence at 1-year follow-up. Marjolin's ulcer has a rapid progression from local disease to widespread metastasis. Therefore, it is essential that wound-care providers are aware of the clinical signs and symptoms of malignant degeneration in chronic wounds.
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Energy Technology Data Exchange (ETDEWEB)
1981-05-01
The first full scale plant for the production of methane from organic waste could be built in the next few years believes M.J. Nyns of the University of Louvain, Belgium, utilizing either expanded bed or fluidised bed systems, with more than one stage, in a continuous flow arrangement. Up to 8.0 m cubed gas/m cubed digester/day could be produced with residence times reduced to 34 hours.
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International Nuclear Information System (INIS)
Tehranian, F.
1995-01-01
Materials in the form of particle beds have been considered for shielding and tritium breeding as well as neutron multiplication in many of the conceptual reactor design studies. As the level of effort of the fusion blanket community in the area of out-of-pile and in-pile (ITER) testing of integrated test modules increases, so does the need for modelling capability for predicting the thermomechanical responses of the test modules under reactor environment.In this study, the thermomechanical responses of a particle bed-structural wall system in a layered configuration, subjected to bed temperature rise and/or external coolant pressure, were considered. Equations were derived which represent the dependence of the particle-to-particle and particle-to-wall contact forces and areas on the structural wall deformations and in turn on the thermomechanical loads. Using the derived equations, parametric analyses were performed to study the variations in the thermomechanical response quantities of a beryllium particle bed-stainless steel structural wall when subjected to thermomechanical loads. The results are presented in two parts. In Part I, presented in this paper, the derivation of the analytical equations and the effects of bed temperature rise are discussed. In Part II of this study, also presented in this symposium, the effects of external coolant pressure as well as the combined effects of bed temperature rise and coolant pressure on the thermomechanical responses are given.It is shown that, depending on the stiffness of the structural walls, uniform bed temperature rises in the range 100-400 C result in non-uniform effective thermal properties through the prticle bed and could increase the bed effective thermal conductivity by a factor of 2-5 and the bed-wall interface thermal conductance by even a larger factor. (orig.)
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DEFF Research Database (Denmark)
Bergholdt, Kim; Fabricius, Rasmus N; Bendix, Tom
2008-01-01
mattresses have a positive effect on LBP, and especially a hard mattress is commonly believed to have a positive effect. METHODS: One hundred sixty CLBP patients were randomized to 1 of 3 groups, having a mattress/bed mounted in their sleeping room for 1 month. The beds were: (1) waterbed (Akva), (2) body......-conforming foam mattress (Tempur), and (3) a hard mattress (Innovation Futon). At baseline and after 4 weeks, a blinded observer interviewed the patients on LBP levels (0-10), daily function (activities of daily living, 0-30), and on the amount of sleeping hours/night. RESULTS: Because of dropout of 19 patients...... using the probably most relevant "worst case" data. There were no relevant difference between the effects of the water bed and the foam bed. CONCLUSION: The Waterbed and foam mattress' did influence back symptoms, function and sleep more positively as apposed to the hard mattress, but the differences...
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On partial fluidization in rotating fluidized beds
International Nuclear Information System (INIS)
Kao, J.; Pfeffer, R.; Tardos, G.I.
1987-01-01
In a rotating fluidized bed, unlike in a conventional fluidized bed, the granules are fluidized layer by layer from the (inner) free surface outward at increasing radius as the gas velocity is increased. This is a very significant and interesting phenomenon and is extremely important in the design of these fluidized beds. The phenomenon was first suggested in a theoretical analysis and recently verified experimentally in the authors' laboratory. However, in the first paper, the equations presented are too cumbersome and the influence of bed thickness is not clearly stated. In this note the authors present simplified equations, based on that paper, for the pressure drop and the minimum fluidizing velocities in a rotating fluidized bed. Experimental data are also shown and compared with the theoretical model, and the effect of bed thickness is shown. Furthermore, an explanation for the observation of a maximum in the pressure drop vs. velocity curve instead of the plateau derived by Chen is proposed
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International Nuclear Information System (INIS)
Morin, T.J.
1989-01-01
Pressure gradients and secondary flow fields generated by the passage of electrical current in a d.c. gas discharge or gas laser are topics of longstanding interest in the gaseous electronics literature. These hydrodynamic effects of space charge fields and charged particle density gradients have been principally exploited in the development of gas separation and purification processes. In recent characterization studies of fixed-bed and fluidized-bed plasma reactors several anomalous flow features have been observed. These reactors involve the contacting of a high-frequency, resonantly-sustained, disperse gas discharge with granular solids in a fixed or fluidized bed. Anomalies in the measured pressure drops and fluidization velocities have motivated the development of an appropriate theoretical approach to, and some additional experimental investigations of electrophoretic effects in disperse gas discharges. In this paper, a theory which includes the effects of space charge and diffusion is used to estimate the electric field and charged particle density profiles. These profiles are then used to calculate velocity fields and gas flow rates for monolith, fixed-bed, and fluidized-bed reactors. These results are used to rationalize measurements of gas flow rates and axial pressure gradients in high-frequency disperse gas discharges with and without an additional d.c. axial electric field
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Evaluation of the Hanford 200 West Groundwater Treatment System: Fluidized Bed Bioreactor
Energy Technology Data Exchange (ETDEWEB)
Looney, Brian B. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Jackson, Dennis G. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Dickson, John O. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Eddy-Dilek, Carol A. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)
2017-05-12
A fluidized bed reactor (FBR) in the 200W water treatment facility at Hanford is removing nitrate from groundwater as part of the overall pump-treat-reinject process. Control of the FBR bed solids has proven challenging, impacting equipment, increasing operations and maintenance (O&M), and limiting the throughput of the facility. In response to the operational challenges, the Department of Energy Richland Office (DOE-RL) commissioned a technical assistance team to facilitate a system engineering evaluation and provide focused support recommendations to the Hanford Team. The DOE Environmental Management (EM) technical assistance process is structured to identify and triage technologies and strategies that address the target problem(s). The process encourages brainstorming and dialog and allows rapid identification and prioritization of possible options. Recognizing that continuous operation of a large-scale FBR is complex, requiring careful attention to system monitoring data and changing conditions, the technical assistance process focused on explicit identification of the available control parameters (“knobs”), how these parameters interact and impact the FBR system, and how these can be adjusted under different scenarios to achieve operational goals. The technical assistance triage process was performed in collaboration with the Hanford team.
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21 CFR 880.6060 - Medical disposable bedding.
2010-04-01
... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Medical disposable bedding. 880.6060 Section 880.6060 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED... Devices § 880.6060 Medical disposable bedding. (a) Identification. Medical disposable bedding is a device...
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A two dimensional model of undertow current over mud bed
International Nuclear Information System (INIS)
Mir Hammadul Azam; Abdul Aziz Ibrahim; Noraieni Hj, Mokhtar
1996-01-01
Coastal wave-current dynamics often causes severe erosion and this activity is more prominent within the surf zone. Turbulence generated by breaking wave is a complex phenomena and the degree of complexity increases to a higher degree when it happens over mud bed. A better understanding on wave and current is necessary to enrich the engineering hand to facilitate any coastal development work. Since physical model has certain deficiencies, such as high cost and scaling problem, the need for developing numerical models in such cases is significant. A time averaged two dimensional model has been developed to simulate the undertow over mud bed. A turbulent energy model also included which considers only the vertical variation of mixing length. Production of turbulent kinetic energy in the surf zone has been calculated from an hydraulic jump analogy. The result obtained shows an insignificant vertical variation of current. Further research is needed involving laboratory and field works to get sufficient data for comparing the model results
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Wave Driven Fluid-Sediment Interactions over Rippled Beds
Foster, Diane; Nichols, Claire
2008-11-01
Empirical investigations relating vortex shedding over rippled beds to oscillatory flows date back to Darwin in 1883. Observations of the shedding induced by oscillating forcing over fixed beds have shown vortical structures to reach maximum strength at 90 degrees when the horizontal velocity is largest. The objective of this effort is to examine the vortex generation and ejection over movable rippled beds in a full-scale, free surface wave environment. Observations of the two-dimensional time-varying velocity field over a movable sediment bed were obtained with a submersible Particle Image Velocimetry (PIV) system in two wave flumes. One wave flume was full scale and had a natural sand bed and the other flume had an artificial sediment bed with a specific gravity of 1.6. Full scale observations over an irregularly rippled bed show that the vortices generated during offshore directed flow over the steeper bed form slope were regularly ejected into the water column and were consistent with conceptual models of the oscillatory flow over a backward facing step. The results also show that vortices remain coherent during ejection when the background flow stalls (i.e. both the velocity and acceleration temporarily approach zero). These results offer new insight into fluid sediment interaction over rippled beds.
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Edlich, Richard F; Winters, Kathryne L; Long, William B; Gubler, K Dean
2006-01-01
The occurrence of pressure ulcers in patients is very high in certain high-risk groups. These special high-risk groups include elderly patients, patients with spinal cord injuries, or any individual with an impaired ability to reposition. Prevention of pressure ulcers is by far the best treatment of this condition, warranting certain interventions and preventive measures. One major risk factor to be minimized is the exposure of skin to moisture. Underpads are often used to protect the skin of patients who are incontinent. These products effectively absorb moisture and present a quick-drying surface to the skin. The construction of an underpad should accomplish three goals. First, its backing should have a low coefficient of friction to prevent frictional skin injuries. Second, an inner absorbent core should rapidly contain moisture and disseminate it throughout the entire pad. Third, the core and coverstock should successfully work together to retain moisture and prevent wet-back or fluid return. The purpose of this study was to determine the performance of three commercially available underpads in reducing the development of pressure sores in patients at high risk. In this study we selected three underpads that could be securely attached to either the underlying bed or the chair. The three performance parameters examined were absorbent capacity, wetback prevention, and holding security of the underpads. Measurements of these performance parameters can be easily replicated in other laboratories. The results of these studies provide a scientific basis for selecting and purchasing an underpad to prevent pressure ulcers in patients. In this comprehensive evaluation, we assess an absorbent underpad with polyethylene flaps and two absorbent underpads with adhesive. The absorbent capacity results showed Tranquility SlimLine Peach Sheet to be the most absorbent. The wet-back results showed Tranquility SlimLine Peach Sheet to be the only underpad with no wet-back, with no
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Bhasin, Purendra; Gujar, Prateek; Bhasin, Priyamvada
2012-11-01
We describe a case of recipient bed melt and wound dehiscence after uneventful penetrating keratoplasty and subconjunctival injection of bevacizumab. Three weeks postoperatively, the patient presented with limbal ischemia, recipient bed melt, and wound dehiscence corresponding to the area of bevacizumab injection. The melt was managed by application of cyanoacrylate glue along with bandage contact lens. Although the graft survived, there was a problem in re-epithelization. This case highlights the need for further studies to elucidate the therapeutic dose, side effects, and correct timing of using bevacizumab with respect to corneal transplant surgery.
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Martin, Sarah E.; Conklin, Martha H.
2018-01-01
This study uses continuous-recording load cell pressure sensors in four, high-elevation (1500-1800 m), Sierra Nevada headwater streams to collect high-temporal-resolution, bedload-movement data for investigating the channel bed movement patterns within these streams for water years 2012-2014. Data show an annual pattern where channel bed material in the thalweg starts to build up in early fall, peaks around peak snow melt, and scours back to baseline levels during hydrograph drawdown and base flow. This pattern is punctuated by disturbance and recovery of channel bed material associated with short-term storm events. A conceptual model, linking sediment sources at the channel margins to patterns of channel bed fill and scour in the thalweg, is proposed building on the results of Martin et al. (2014). The material in the thalweg represents a balance between sediment supply from the channel margins and sporadic, conveyor-belt-like downstream transport in the thalweg. The conceptual model highlights not only the importance of production and transport rates but also that seasonal connectedness between the margins and thalweg is a key sediment control, determining the accumulation rate of sediment stores at the margins and the redistribution of sediment from margins to thalweg that feeds the conveyor belt. Disturbance and recovery cycles are observed at multiple temporal scales; but long term, the channel beds are stable, suggesting that the beds act as short-term storage for sediment but are in equilibrium interannually. The feasibility of use for these sensors in forested mountain stream environments is tested. Despite a high failure rate (50%), load cell pressure sensors show potential for high-temporal-resolution bedload measurements, allowing for the collection of channel bed movement data to move beyond time-integrated change measurements - where many of the subtleties of bedload movement patterns may be missed - to continuous and/or real-time measurements. This
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Energy Technology Data Exchange (ETDEWEB)
Vogel, B. (Technische Univ. Magdeburg (Germany). Inst. fuer Thermische Apparate- und Umwelttechnik, Abt. Umwelttechnik); Lindau, S. (Technische Univ. Magdeburg (Germany). Inst. fuer Thermische Apparate- und Umwelttechnik, Abt. Umwelttechnik); Busse, U. (Technische Univ. Magdeburg (Germany). Inst. fuer Thermische Apparate- und Umwelttechnik, Abt. Umwelttechnik)
1992-04-01
The volume of sludge from the sewage treatment represents the largest problem in the waste management in Germany recently. The thermal treatment is inevitable for the solution of the problem. The fluidised bed combustion is suitable for a very good usability of sewage sludge. Experimental investigations carried out in a stationary fluidised bed in laboratory scale. The emissions of gaseous air pollutants are influenced by the properties of the sludge and the parameters of the process. The dependence of the formation and the reactions of the pollutants from various parameters are analysed and judged. (orig.)
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Fluidized Bed Reactor as Solid State Fermenter
Directory of Open Access Journals (Sweden)
Krishnaiah, K.
2005-01-01
Full Text Available Various reactors such as tray, packed bed, rotating drum can be used for solid-state fermentation. In this paper the possibility of fluidized bed reactor as solid-state fermenter is considered. The design parameters, which affect the performances are identified and discussed. This information, in general can be used in the design and the development of an efficient fluidized bed solid-state fermenter. However, the objective here is to develop fluidized bed solid-state fermenter for palm kernel cake conversion into enriched animal and poultry feed.
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CSIR Research Space (South Africa)
Oboirien, BO
2013-02-01
Full Text Available Coal biosolubilisation was investigated in stirred tank reactor, fluidised bed and fixed bed bioreactors with a view to highlight the advantages and shortcomings of each of these reactor configurations. The stirred aerated bioreactor and fluidised...
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Find a Bed Bug Pesticide Product
Introduces the Bed Bug Product Search Tool, to help consumers find EPA-registered pesticides for bed bug infestation control. Inclusion in this database is not an endorsement. Always follow label directions carefully.
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Synthetic bedding and wheeze in childhood.
Ponsonby, Anne-Louise; Dwyer, Terence; Kemp, Andrew; Cochrane, Jennifer; Couper, David; Carmichael, Allan
2003-01-01
The reasons for the increase in childhood asthma over time are unclear. The indoor environment is of particular concern. An adverse role for synthetic bedding on asthma development in childhood has been suggested by cross-sectional studies that have found an association between synthetic pillow use and childhood wheeze. Prospective data on infant bedding have not been available. Bedding data at 1 month of age were available from an infant survey for children who were participating in a 1995 follow-up study (N = 863; 78% traced). The 1995 follow-up was embedded in a larger cross-sectional survey involving 6,378 seven year olds in Tasmania (N = 92% of eligible). Outcome measures included respiratory symptoms as defined in the International Study of Asthma and Allergies in Childhood protocol. Frequent wheeze was defined as more than 12 wheeze episodes over the past year compared with no wheeze. Synthetic pillow use at 1 month of age was associated with frequent wheeze at age 7 (adjusted relative risk [aRR] = 2.5; 95% confidence interval [CI] = 1.2-5.5) independent of childhood exposure. Current synthetic pillow and quilt use was strongly associated with frequent wheeze (aRR = 5.2; CI = 1.3-20.6). Substantial trends were evident for an association of increasing number of synthetic bedding items with frequent wheeze and with increasing wheeze frequency. Among children with asthma, the age of onset of asthma occurred earlier if synthetic bedding was used in infancy. In this cohort, synthetic bedding was strongly and consistently associated with frequent childhood wheeze. The association did not appear to be attributable to bedding choice as part of an asthma management strategy.