WorldWideScience

Sample records for bleeding pavements

  1. Concrete Pavement Joint Deterioration

    OpenAIRE

    2016-01-01

    Concrete pavements are an important part of our national infrastructure. In recent years the relatively small number of reported joints deteriorating prematurely in concrete pavements around Indiana has increased. Changes over the past 45 years in INDOT specification, pavement materials, designs and construction practices, and current de-icing materials were examined and related to the durability of concrete at the joints of existing pavements. A survey of concrete pavements across the state ...

  2. Pavement management and rehabilitation of portland cement concrete pavements

    Science.gov (United States)

    Zegeer, C. V.; Agent, K. R.; Rizenbergs, R. L.; Curtayne, P. C.; Scullion, T.; Pedigo, R. D.; Hudson, W. R.; Roberts, F. L.; Karan, M. A.; Haas, R.

    Pavement management and rehabilitation projects and techniques are discussed. The following topics are discussed: economic analyses and dynamic programming in resurfacing project selection; implementation of an urban pavement management system; pavement performance modeling for pavement management; illustration of pavement management: from data inventory to priority analysis; rehabilitation of concrete pavements by using portland cement concrete overlays; pavement management study: Illinois tollway pavement overlays; resurfacing of plain jointed-concrete pavements; design procedure for premium composite pavement; model study of anchored pavement; prestressed concrete overlay at O'Hare International Airport: in-service evaluation; and, bonded portland cement concrete resurfacing.

  3. Gastrointestinal bleeding

    Science.gov (United States)

    ... refers to any bleeding that starts in the gastrointestinal tract. Bleeding may come from any site along the GI tract, but is often divided into: Upper GI bleeding: The upper GI tract includes the ...

  4. Permeable pavement study (Edison)

    Data.gov (United States)

    U.S. Environmental Protection Agency — While permeable pavement is increasingly being used to control stormwater runoff, field-based, side-by-side investigations on the effects different pavement types...

  5. Pavement Subgrade Performance Study

    DEFF Research Database (Denmark)

    Zhang, Wei; Ullidtz, Per; Macdonald, Robin

    1998-01-01

    The report describes the second test in the Danish Road Testing Machine (RTM) under the International Pavement Subgrade Performance Study. Pavement response was measured in different layers, and compared to different theroretical values. Performance in terms of plastic strains, rutting...

  6. Bleeding disorders

    Science.gov (United States)

    ... can occur when certain factors are low or missing. Bleeding problems can range from mild to severe. Some bleeding disorders are present at birth and are passed through families (inherited). Others develop from: Illnesses such as vitamin ...

  7. Bleeding gums

    Science.gov (United States)

    ... periodontal exam. DO NOT use tobacco, since it makes bleeding gums worse. Control gum bleeding by applying pressure directly on the gums with a gauze pad soaked in ice water. If you have been diagnosed with a ...

  8. Pavement Testing Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Comprehensive Environmental and Structural AnalysesThe ERDC Pavement Testing Facility, located on the ERDC Vicksburg campus, was originally constructed to provide an...

  9. Pavement Testing Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Comprehensive Environmental and Structural Analyses The ERDC Pavement Testing Facility, located on the ERDC Vicksburg campus, was originally constructed to provide...

  10. Asphalt in Pavement Maintenance.

    Science.gov (United States)

    Asphalt Inst., College Park, MD.

    Maintenance methods that can be used equally well in all regions of the country have been developed for the use of asphalt in pavement maintenance. Specific information covering methods, equipment and terminology that applies to the use of asphalt in the maintenance of all types of pavement structures, including shoulders, is provided. In many…

  11. Concrete Block Pavements

    Science.gov (United States)

    1983-03-01

    1967, Cedergren 1974, Federal Highway .’,U .. V,47 -’":: 37 Administration 1980). Block pavements have essentially the same prob- lems with moisture...Vicksburg, Miss. Cedergren , H. R. 1974. Drainage of Highway and Airfield Pavements, John Wiley and Sons, New VOk. I Cement and Concrete Association

  12. Perimenopausal Bleeding and Bleeding After Menopause

    Science.gov (United States)

    ... Patients About ACOG Perimenopausal Bleeding and Bleeding After Menopause Home For Patients Search FAQs Perimenopausal Bleeding and ... 2011 PDF Format Perimenopausal Bleeding and Bleeding After Menopause Gynecologic Problems What are menopause and perimenopause? What ...

  13. Pavement Snow Melting

    Energy Technology Data Exchange (ETDEWEB)

    Lund, John W.

    2005-01-01

    The design of pavement snow melting systems is presented based on criteria established by ASHRAE. The heating requirements depends on rate of snow fall, air temperature, relative humidity and wind velocity. Piping materials are either metal or plastic, however, due to corrosion problems, cross-linked polyethylene pipe is now generally used instead of iron. Geothermal energy is supplied to systems through the use of heat pipes, directly from circulating pipes, through a heat exchanger or by allowing water to flow directly over the pavement, by using solar thermal storage. Examples of systems in New Jersey, Wyoming, Virginia, Japan, Argentina, Switzerland and Oregon are presented. Key words: pavement snow melting, geothermal heating, heat pipes, solar storage, Wyoming, Virginia, Japan, Argentina, Klamath Falls.

  14. DRAINAGE AND FLEXIBLE PAVEMENT PERFORMANCE

    Directory of Open Access Journals (Sweden)

    SIDDHARTHA ROKADE

    2012-04-01

    Full Text Available Providing adequate drainage to a pavement system has been considered as an important design consideration to prevent premature failures due to water related problems such as pumping action, loss of support, and rutting, among others. Most water in pavements is due to rainfall infiltration into unsaturated pavement layers, throughjoints, cracks, shoulder edges, and various other defects, especially in older deteriorated pavements. Water also seep upward from a high groundwater table due to capillary suction or vapour movements, or it may flow laterally from the pavement edges and side ditches. Providing adequate drainage to a pavement system has been considered as an important design consideration to ensure satisfactory performance of the pavement, particularly from the perspective of life cycle cost and serviceability. To minimize premature pavement distresses and to enhance the pavement performance, it is imperative to provide adequate drainage to allow infiltrated water to drain out from the base and sub-base, thus avoiding saturation of base and subgrade soils. This paper deals with the analysis of the impact of subsurface drainage on pavement system performance. The requirement ofeffective subsurface drainage for pavement performance is also discussed.

  15. Precast Concrete Pavements

    Science.gov (United States)

    1981-11-01

    Gorsuch 1962, Kruse 1966, Jacoby 1967, and Hargett 1970). The final slab design used in construction is shown in Figure 2. These slabs were 6 ft wide, 24...Experiment Station, CE, Vicksburg, Miss. Gorsuch , R. F. 1962. "Preliminary Investigation of Precast Prestressed Concrete Pavements," MS Thesis, South Dakota

  16. Geotextiles in Flexible Pavement Construction

    Science.gov (United States)

    Alungbe, Gabriel D.

    2004-01-01

    People everywhere in the developed world regularly drive on paved roads. Learning about the construction techniques and materials used in paving benefits technology and construction students. This article discusses the use of geosynthetic textiles in pavement construction. It presents background on pavements and describes geotextiles and drainage…

  17. Pavement roughness and skid properties

    Science.gov (United States)

    Road roughness and roadway safety as it relates to both surface and air transportation are discussed. The role of road roughness in vehicle ride, the measurement of roughness, the evaluation of riding confort, and the effect of grooving pavements are discussed. The effects of differential pavement friction on the response of cars in skidding maneuvers is discussed.

  18. Menorrhagia (Heavy Menstrual Bleeding)

    Science.gov (United States)

    Diseases and Conditions Menorrhagia (heavy menstrual bleeding) By Mayo Clinic Staff Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. Although heavy ...

  19. USE OF RECLAIMED ASPHALT PAVEMENT WITH MILLED ROAD PAVEMENT LAYERS

    OpenAIRE

    Andrzej Plewa; Marta Wasilewska; Władysław Gardziejczyk; Paweł Gierasimiuk

    2015-01-01

    The article presents the results of research on the functional properties of asphalt mixes using RAP obtained from milling asphalt road pavements. Asphalt concrete AC 22P with 0%, 10%, 15% and 20% addition of RAP used for base course of road pavements were designed. It was found that asphalt mixes with RAP characterized by comparable and in some cases better functional properties compared to the asphalt mixes without RAP (0%). One should notice the influence of RAP on the performance and ...

  20. Quantifying Evaporation in a Permeable Pavement System

    Science.gov (United States)

    Studies quantifying evaporation from permeable pavement systems are limited to a few laboratory studies and one field application. This research quantifies evaporation for a larger-scale field application by measuring the water balance from lined permeable pavement sections. Th...

  1. Dynamic contracting mechanism for pavement maintenance management

    NARCIS (Netherlands)

    Demirel, H.C.; De Ridder, H.A.J.

    2013-01-01

    Technological advances, financial possibilities and changes of demands have increasingly affected the pavement maintenance environment for outsourcing in recent years. This induces complexity in the contracting methods of pavement maintenance activities. Despite the fact that current contracting pra

  2. Field Investigation of High Performance Pavements in Virginia

    OpenAIRE

    2005-01-01

    This study evaluated 18 pavement sections located in high-traffic highways in Virginia to find a premium pavement design with a life span of 40 years or more using current and past field experience. The selected pavement sections were thought to perform well. Eight flexible pavements, six composite pavements, two continuously reinforced concrete pavements, and two jointed plain concrete pavements were investigated. Field testing consisted of (1) falling weight deflectometer (FWD) testing to a...

  3. USE OF RECLAIMED ASPHALT PAVEMENT WITH MILLED ROAD PAVEMENT LAYERS

    Directory of Open Access Journals (Sweden)

    Andrzej Plewa

    2015-07-01

    Full Text Available The article presents the results of research on the functional properties of asphalt mixes using RAP obtained from milling asphalt road pavements. Asphalt concrete AC 22P with 0%, 10%, 15% and 20% addition of RAP used for base course of road pavements were designed. It was found that asphalt mixes with RAP characterized by comparable and in some cases better functional properties compared to the asphalt mixes without RAP (0%. One should notice the influence of RAP on the performance and durability of the asphalt mixtures, as compared to virgin asphalt mixtures (without RAP.

  4. [Obscure gastrointestinal bleeding].

    Science.gov (United States)

    Pastor, J; Adámek, S

    2013-08-01

    Obscure gastrointestinal bleeding represents 5% of all cases of bleeding into the gastrointestinal tract (GIT). The cause of this type of bleeding cannot be found by gastroscopy or colonoscopy - the most common cause being bleeding from the source in the small intestine. In other cases it is bleeding from other parts of the digestive tube which has already stopped or was not noticed during admission endoscopy. Imaging methods (X-ray, CT, MRI, scintigraphy) and endoscopic methods (flexible or capsule enteroscopy) are used in the diagnosis and treatment. If, despite having used these methods, the source of bleeding is not found and the bleeding continues, or if the source is known but the bleeding cannot be stopped by radiologic or endoscopic intervention, surgical intervention is usually indicated. The article provides an overview of current diagnostic and treatment options, including instructions on how to proceed in these diagnostically difficult situations.

  5. Upper gastrointestinal bleeding.

    Science.gov (United States)

    Feinman, Marcie; Haut, Elliott R

    2014-02-01

    Upper gastrointestinal (GI) bleeding remains a commonly encountered diagnosis for acute care surgeons. Initial stabilization and resuscitation of patients is imperative. Stable patients can have initiation of medical therapy and localization of the bleeding, whereas persistently unstable patients require emergent endoscopic or operative intervention. Minimally invasive techniques have surpassed surgery as the treatment of choice for most upper GI bleeding.

  6. The Concrete and Pavement Challenge

    Science.gov (United States)

    Roman, Harry T.

    2012-01-01

    The modern world is characterized by the extensive use of concrete and asphalt pavement. Periodically, these materials are replaced and the old materials disposed of. In this challenge, students will be asked to develop ways to reuse the old materials. It is important for students to understand how concrete and asphalt are made and applied, as…

  7. Nonvariceal upper gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Burke, Stephen J.; Weldon, Derik; Sun, Shiliang [University of Iowa, Department of Radiology, Iowa, IA (United States); Golzarian, Jafar [University of Iowa, Department of Radiology, Iowa, IA (United States); University of Iowa, Department of Radiology, Carver College of Medicine, Iowa, IA (United States)

    2007-07-15

    Nonvariceal upper gastrointestinal bleeding (NUGB) remains a major medical problem even after advances in medical therapy with gastric acid suppression and cyclooxygenase (COX-2) inhibitors. Although the incidence of upper gastrointestinal bleeding presenting to the emergency room has slightly decreased, similar decreases in overall mortality and rebleeding rate have not been experienced over the last few decades. Many causes of upper gastrointestinal bleeding have been identified and will be reviewed. Endoscopic, radiographic and angiographic modalities continue to form the basis of the diagnosis of upper gastrointestinal bleeding with new research in the field of CT angiography to diagnose gastrointestinal bleeding. Endoscopic and angiographic treatment modalities will be highlighted, emphasizing a multi-modality treatment plan for upper gastrointestinal bleeding. (orig.)

  8. Simplified Pavement Design for LPAs: Introduction to PaveXpress

    OpenAIRE

    2015-01-01

    Simplified Pavement Design for LPA's; An introduction to and use of PaveXpress, a simplified, free, web-based pavement design scoping tool for roadway and parking lot pavements. The system was developed by Pavia Systems in partnership with the National Asphalt Pavement Association. PaveXpress creates technical sound pavement structural designs for flexible and rigid pavements based on widely accepted industry standards from the Association of State Highway Officials (AASHTO). The simplified p...

  9. Improving the distribution and reducing the magnitude of pavement damage

    Science.gov (United States)

    Barker, W. R.; Chou, U. T.

    1980-08-01

    In the analysis of flexible pavement, the layered elastic theory was used to compute the pavement response. For the rigid pavement, finite difference, layered elastic theory, and Westergard procedures were used to compute tensile stresses in concrete that formed the basis for predicting allowable stress repetitions. For flexible pavement, the only effective means to reduce pavement damage was to modify the wheel assembly to reduce stress or strain at the critical locations in the pavement systems. The most effective modification would be to increase the spacing between duals. For rigid pavements, the edge effect was critical, thus suggesting that modifications to shift the loading away from the pavement edge would be effective.

  10. Investigation of perpetual pavement using finite element modelling

    Directory of Open Access Journals (Sweden)

    Monireh Zokaei

    2016-06-01

    Full Text Available With considering numerous failures which exist in flexible pavements, a huge amount of money is spending on treatment and reconstructing pavements. Many researches have been performed to with improving pavement quality, increased the performance and pavements life. One type of long lasting pavements is perpetual pavement. In this research ABAQUS software is used to simulate pavement. . Materials are modelled as visco-elastic type and loading wheel is assumed to be moving. After gaining results, the effects of different parameters on pavements function is assessed. Modelling movements of loading wheel is very effective in viscoelastic condition, increase more accuracy of the finite-element model.

  11. Removable Urban Pavements: An innovative, sustainable technology

    OpenAIRE

    2012-01-01

    Removable Urban Pavements: An innovative, sustainable technology By definition, a Removable Urban Pavement (RUP) can be quickly opened and closed, using lightweight equipment, for easy access to underground networks. While no such pavement appears to have ever been constructed, the premises of the concept can be found in certain military paths or industrial soils. A survey conducted among French municipal authorities has revealed the potential benefit of the RUP concept in decreasing the publ...

  12. Improving Data Quality for Pavement Management System

    OpenAIRE

    2015-01-01

    The Metropolitan Transportation Commission (MTC) has developed a pavement management StreetSaver program with more than 400 users in the United States. MTC uses the program to evaluate street and road condition and perform maintenance needs assessments for the 109 cities and counties in the San Francisco Bay Area. Quality pavement condition survey data is a critical component of a pavement management system. MTC has augmented a new quality acceptance (QA) program as part of its Quality Data M...

  13. Enhancing pavements for thermal applications

    OpenAIRE

    Keikhaei Dehdezi, Pejman

    2012-01-01

    Renewable energy combined with energy efficiency can offer a viable and influential solution to minimise the harmful consequences of both fossil fuel depletion and increases in the cost of power generation. However, in most cases renewable energy technologies require high initial investments that may deter potential users. Pavement Energy Systems (PES) potentially offer a low-cost solution to sustainable and clean energy generation by utilising the thermo-physical properties and design featur...

  14. Gastrointestinal Bleeding in Athletes.

    Science.gov (United States)

    Eichner, Edward R.

    1989-01-01

    Describes the scope and importance of gastrointestinal bleeding in runners and other athletes, discussing causes, sites, and implications of exercise-related bleeding. Practical tips to mitigate the problem, potentially more troublesome in women because of lower iron stores, are presented (e.g., gradual conditioning and avoidance of prerace…

  15. Full-Scale Accelerated Pavement Testing of Warm-Mix Asphalt (WMA) for Airfield Pavements

    Science.gov (United States)

    2014-01-01

    ER D C/ G SL T R -1 4 -3 Full-Scale Accelerated Pavement Testing of Warm-Mix Asphalt (WMA) for Airfield Pavements G eo te ch n ic al...2014 Full-Scale Accelerated Pavement Testing of Warm-Mix Asphalt (WMA) for Airfield Pavements Mariely Mejías-Santiago, Jesse D. Doyle, and John F... asphalt (WMA) mixtures designed for airfield pavements. Three WMA mixtures were evaluated and compared to a control hot-mix asphalt (HMA) mixture. Data

  16. Surgical bleeding in microgravity

    Science.gov (United States)

    Campbell, M. R.; Billica, R. D.; Johnston, S. L. 3rd

    1993-01-01

    A surgical procedure performed during space flight would occur in a unique microgravity environment. Several experiments performed during weightlessness in parabolic flight were reviewed to ascertain the behavior of surgical bleeding in microgravity. Simulations of bleeding using dyed fluid and citrated bovine blood, as well as actual arterial and venous bleeding in rabbits, were examined. The high surface tension property of blood promotes the formation of large fluid domes, which have a tendency to adhere to the wound. The use of sponges and suction will be adequate to prevent cabin atmosphere contamination with all bleeding, with the exception of temporary arterial droplet streams. The control of the bleeding with standard surgical techniques should not be difficult.

  17. Vaginal or uterine bleeding - overview

    Science.gov (United States)

    There are many causes of abnormal vaginal bleeding. HORMONES Most often, abnormal uterine bleeding is caused by a hormone imbalance. When hormones are the cause, doctors call the problem dysfunctional uterine bleeding (DUB) . DUB is more ...

  18. Numerical Simulation of Tire-Pavement Interaction

    NARCIS (Netherlands)

    Srirangam, S.K.

    2015-01-01

    Good skid resistance of a pavement surface is essential for road safety. Loss of skid resistance can lead to property damage and loss of lives. Ever increasing need of driver safety poses challenges to the highway authorities to evaluate pavement conditions even more precisely under different condit

  19. Load Response Analysis of Asphalt Pavement

    Directory of Open Access Journals (Sweden)

    Xiao Zhijun

    2016-01-01

    Full Text Available Based on the filed data of Fuzhou test road, load response regulation of nonlinear pavement structure was analyzed in this paper; Mechanics software was adopted to analyze linear elastic and nonlinear of the pavement structure, analyzed results and road filed data were compared, and determine the correlation between them and the field data.

  20. Theoretical Development and Engineering Practice of Pavements in China

    Institute of Scientific and Technical Information of China (English)

    QIU Yan-jun

    2008-01-01

    This paper presents a comprehensive review of historical theory development and current construction practice of pavement engineering in China. Mechanical models, design guides, construction techniques, evaluation methods and maintenance standards are elaborated for Portland cement concrete (PCC) pavements and asphalt concrete (AC) pavements. Differences in design methodology among pavements of rural highways, urban roads and airport fields are discussed based on service requirements.Lessons and experiences based on the past 20 years' construction practice and pavement performance are summarized. Current research areas in pavement engineering associated with unconventional geological and/or landscaping in China's highway construction and national strategic plan for pavement engineering are also covered.

  1. Heavy Menstrual Bleeding (Menorrhagia)

    Science.gov (United States)

    ... related to pregnancy, such as a miscarriage or ectopic pregnancy, can cause abnormal bleeding. A miscarriage is when ... called a fetus) dies in the uterus. An ectopic pregnancy is when a baby starts to grow outside ...

  2. Lower gastrointestinal bleeding.

    Science.gov (United States)

    Feinman, Marcie; Haut, Elliott R

    2014-02-01

    This article examines causes of occult, moderate and severe lower gastrointestinal (GI) bleeding. The difference in the workup of stable vs unstable patients is stressed. Treatment options ranging from minimally invasive techniques to open surgery are explored.

  3. Avoiding Winter Nose Bleeds

    Institute of Scientific and Technical Information of China (English)

    1999-01-01

    WINTER is the best season for peopleto do cold-endurance exercises. But thedry, windy weather makes the moisturein the nasal mucosa evaporate quickly,reducing the elasticity of capillaries andmaking for frequent nose-bleeds.

  4. Dysfunctional Uterine Bleeding

    OpenAIRE

    1987-01-01

    Dysfunctional uterine bleeding (DUB) is defined as abnormal uterine bleeding that results from an ovarian endocrinopathy. It may be associated with ovulatory and anovulatory cycles. The diagnosis of DUB depends on a thorough history and physical examination to exclude organic disorders. In older women, endometrial biopsy should be done before starting therapy. The treatment depends on an understanding of the menstrual cycle. In less urgent cases, anovulatory cycles are managed using progester...

  5. Effective flow resistivity of highway pavements.

    Science.gov (United States)

    Rochat, Judith L; Read, David R

    2013-12-01

    In the case of highway traffic noise, propagating sound is influenced by the ground over which it travels, whether it is the pavement itself or the ground between the highway and nearby communities. Properly accounting for ground type in modeling can increase accuracy in noise impact determinations and noise abatement design. Pavement-specific effective flow resistivity values are being investigated for inclusion in the Federal Highway Administration Traffic Noise Model, which uses these values in the sound propagation algorithms and currently applies a single effective flow resistivity value to all pavement. Pavement-specific effective flow resistivity values were obtained by applying a modified version of the American National Standards Institute S1.18 standard. The data analysis process was tailored to allow for increased sensitivity and extraction of effective flow resistivity values for a broad range of pavements (sound absorptive to reflective). For porous pavements (sound absorptive), it was determined that examination of the measured data can reveal influence from an underlying structure. Use of such techniques can aid in the design of quieter pavements.

  6. Acute upper gastrointestinal bleeding.

    Science.gov (United States)

    Kurien, Matthew; Lobo, Alan J

    2015-10-01

    Acute upper gastrointestinal bleeding (AUGIB) is a frequently encountered medical emergency with an incidence of 84-160/100000 and associated with mortality of approximately 10%. Guidelines from the National Institute for Care and Care Excellence outline key features in the management of AUGIB. Patients require prompt resuscitation and risk assessment using validated tools. Upper gastrointestinal endoscopy provides accurate diagnosis, aids in estimating prognosis and allows therapeutic intervention. Endoscopy should be undertaken immediately after resuscitation in unstable patients and within 24 hours in all other patients. Interventional radiology may be required for bleeding unresponsive to endoscopic intervention. Drug therapy depends on the cause of bleeding. Intravenous proton pump inhibitors should be used in patients with high-risk ulcers. Terlipressin and broad-spectrum antibiotics should be used following variceal haemorrhage. Hospitals admitting patients with AUGIB need to provide well organised services and ensure access to relevant services for all patients, and particularly to out of hours endoscopy.

  7. On-road Bicycle Pavement Markings

    Data.gov (United States)

    Allegheny County / City of Pittsburgh / Western PA Regional Data Center — A mile by mile breakdown of the on-street bicycle pavement markings installed within the City of Pittsburgh. These include bike lanes, shared lane markings...

  8. Open-Graded Bases for Airfield Pavements.

    Science.gov (United States)

    1987-07-01

    pressure. 7. The rapid drainage of the bases is particularly important for rigid pavement to prevent pumping at the joints. Cedergren (1974) was a particu...filter cloth, collector trenches or perforated collector pipe, pipe outlets, and outlet markers. 11. From the studies by Cedergren , Rollings, and...paper No. 2516, American Society of Civil Engineers, New York. Cedergren , H. R. 1974a. Drainage of Highway and Airfield Pavements, John Wiley and Sons

  9. Pavement Performance Index for Indian rural roads

    Directory of Open Access Journals (Sweden)

    Abhay Tawalare

    2016-09-01

    Full Text Available The performance of a road is evaluated from time to time so as to improve its quality and helps in planning maintenance of roads. For this purpose various pavement deteriorating models as a decision tool are available. But they are not easy to use for field engineers due to either huge past data requirement or complicated calculations. Therefore, this paper presents a Pavement Performance Index for rural roads by using simple methodology. The distress parameters of rural roads were identified through literature review. Similarly rating criteria for each distress parameters were identified through literature. For final selection of distress parameters in context of Indian rural road, opinions of five highly experienced industrial experts were taken. After that the weightage for severity of each parameter causing distress of pavement is calculated by using data of questionnaire survey in which 117 professionals working in Pradhan Mantri Gram Sadak Yojana across the country were participated. The paper suggests a formula to decide Pavement Performance Index that depends on rating criterion and severity weightage of distress parameters of pavement performance. The study concluded that suggested Pavement Performance Index makes calculations easy for field engineers and will be useful to decide priority list of rural roads for repair and maintenance schedule.

  10. Thermal stability analysis under embankment with asphalt pavement and cement pavement in permafrost regions.

    Science.gov (United States)

    Junwei, Zhang; Jinping, Li; Xiaojuan, Quan

    2013-01-01

    The permafrost degradation is the fundamental cause generating embankment diseases and pavement diseases in permafrost region while the permafrost degradation is related with temperature. Based on the field monitoring results of ground temperature along G214 Highway in high temperature permafrost regions, both the ground temperatures in superficial layer and the annual average temperatures under the embankment were discussed, respectively, for concrete pavements and asphalt pavements. The maximum depth of temperature field under the embankment for concrete pavements and asphalt pavements was also studied by using the finite element method. The results of numerical analysis indicate that there were remarkable seasonal differences of the ground temperatures in superficial layer between asphalt pavement and concrete pavement. The maximum influencing depth of temperature field under the permafrost embankment for every pavement was under the depth of 8 m. The thawed cores under both embankments have close relation with the maximum thawed depth, the embankment height, and the service time. The effective measurements will be proposed to keep the thermal stabilities of highway embankment by the results.

  11. Bleeding during Pregnancy

    Science.gov (United States)

    ... FAQ090 “Early Pregnancy Loss”). What is an ectopic pregnancy? An ectopic pregnancy occurs when the fertilized egg does not implant ... vaginal bleeding is the only sign of an ectopic pregnancy. Other symptoms may include abdominal, pelvic, or shoulder ...

  12. Improving a pavement-watering method on the basis of pavement surface temperature measurements

    CERN Document Server

    Hendel, Martin; Diab, Youssef; Royon, Laurent

    2014-01-01

    Pavement-watering has been studied since the 1990's and is currently considered a promising tool for urban heat island reduction and climate change adaptation. However, possible future water resource availability problems require that water consumption be optimized. Although pavement heat flux can be studied to improve pavement-watering methods (frequency and water consumption), these measurements are costly and require invasive construction work to install appropriate sensors in a dense urban environment. Therefore, we analyzed measurements of pavement surface temperatures in search of alternative information relevant to this goal. It was found that high frequency surface temperature measurements (more than every 5 minutes) made by an infrared camera can provide enough information to optimize the watering frequency. Furthermore, if the water retaining capacity of the studied pavement is known, optimization of total water consumption is possible on the sole basis of surface temperature measurements.

  13. Approach to the bleeding newborn

    OpenAIRE

    1998-01-01

    Bleeding in the newborn can lead to serious cardiovascular and neurological effects. Routine administration of vitamin K has reduced the incidence of hemorrhagic disease of the newborn, but abnormal bleeding can occur in babies from many causes. A practical approach to the diagnosis and treatment of bleeding in the newborn is described in this article.

  14. Platelet function in bleeding disorders

    NARCIS (Netherlands)

    van Bladel, E.R.

    2013-01-01

    The first bleeding diathesis we studied was hemophilia A. Since FVIII activity level does not always correlate with the bleeding tendency in individual patients, bleeding tendency must also be influenced by other factors. Earlier studies excluded the remaining clotting factors and FVIII genotype as

  15. Discrete element modelling of permanent pavement deformation in granular materials

    OpenAIRE

    Cai, Wei

    2015-01-01

    The permanent deformation of a pavement due to vehicle load is one of the important factors affecting the design life as well as the maintenance cost of a pavement. For the purpose of obtaining a cost-effective design, it is advisable to predict the traffic-loadinduced permanent pavement deformation. The permanent deformation in pavements (i.e. rutting) can be classified into three categories, including the wearing of the asphalt layers, compaction, and shear deformations. In the present stud...

  16. Porous Flame-retarded Asphalt Pavement for Highway Tunnel

    Institute of Scientific and Technical Information of China (English)

    HU Shuguang; HUANG Shaolong; Ding Qingjun

    2008-01-01

    A new way to improve the tunnel fire protection by using flame-retarded porous asphalt pavement containing ATH powders was introduced. Based on the miniature burning test designed and conducted, the burning time and temperature of porous asphalt (PA) and flame-retarded porous asphalt (FRPA) were studied comparing with cement concrete pavement, dense-graded HMA and S MA. Results of burning test and pavement performance test indicate that FRPA is appropriate and suitable as the pavement material of highway tunnel.

  17. Knowledge Discovery and Pavement Performance: Intelligent Data Mining

    NARCIS (Netherlands)

    Miradi, M.

    2009-01-01

    The main goal of the study was to discover knowledge from data about asphalt road pavement problems to achieve a better understanding of the behavior of them and via this understanding improve pavement quality and enhance its lifespan. Four pavement problems were chosen to be investigated; raveling

  18. Pavement Sealcoat, PAHs, and the Environment

    Science.gov (United States)

    Van Metre, P. C.; Mahler, B. J.

    2011-12-01

    Recent research by the USGS has identified coal-tar-based pavement sealants as a major source of polycyclic aromatic hydrocarbons (PAHs) to the environment. Coal-tar-based sealcoat is commonly used to coat parking lots and driveways and is typically is 20-35 percent coal tar pitch, a known human carcinogen. Several PAHs are suspected mutagens, carcinogens, and (or) teratogens. In the central and eastern U.S. where the coal-tar-based sealants dominate use, sum-PAH concentration in dust particles from sealcoated pavement is about 1,000 times higher than in the western U.S. where the asphalt-based formulation is prevalent. Source apportionment modeling indicates that particles from sealcoated pavement are contributing the majority of the PAHs to recent lake sediment in 35 U.S. urban lakes and are the primary cause of upward trends in PAHs in many of these lakes. Mobile particles from parking lots with coal-tar-based sealcoat are tracked indoors, resulting in elevated PAH concentrations in house dust. In a recently completed study, volatilization fluxes of PAHs from sealcoated pavement were estimated to be about 60 times fluxes from unsealed pavement. Using a wide variety of methods, the author and colleagues have shown that coal-tar-based sealcoat is a major source of PAHs to the urban environment and might pose risks to aquatic life and human health.

  19. Spills on Flat Inclined Pavements

    Energy Technology Data Exchange (ETDEWEB)

    Simmons, Carver S.; Keller, Jason M.; Hylden, Jeff L.

    2004-03-01

    This report describes the general spill phenomenology for liquid spills occurring on relatively impermeable surfaces such as concrete or asphalt pavement and the development and application of a model to describe the time evolution of such spills. The discussion assumes evaporation and degradation are negligible and a homogeneous surface. In such an instance, the inherent interfacial properties determine the spatial extent of liquid spreading with the initial flow being controlled by the release rate of the spill and by the liquids resistance to flow as characterized by its viscosity. A variety of spill scenarios were simulated and successful implementation of the model was achieved. A linear relationship between spill area and spill volume was confirmed. The simulations showed spill rate had little effect on the final spill area. Slope had an insignificant effect on the final spill area, but did modify spill shape considerably. However, a fluid sink on the edge of the simulation domain, representing a storm drain, resulted in a substantial decrease in spill area. A bona fide effort to determine the accuracy of the model and its calculations remain, but comparison against observations from a simple experiment showed the model to correctly determine the spill area and general shape under the conditions considered. Further model verification in the form of comparison against small scale spill experiments are needed to confirm the models validity.

  20. Porous pavement. Phase 1: Design and operational criteria

    Science.gov (United States)

    Diniz, E. V.

    1980-08-01

    Utilization concepts, benefits and disadvantages, as well as other characteristics of porous pavements are presented with emphasis on porous asphalt pavements, but the criteria and design approach are applicable to all other porous pavement types. Design considerations include siting problems, load bearing design and hydrologic design. The history of porous pavement development and previous experience with porous pavement by several designers, contractors and operators are described. A computer model for hydrologic performance evaluation of existing or proposed porous pavement systems is also examined. Load bearing design criteria are based on previous work conducted for porous asphalt pavements. Appendices include a sample set of specifications for porous asphalt construction and a list of soils and their permeability classes as prepared by the U.S. Soil Conservation Service.

  1. Structural Design of Pavement Overlays Based on Functional Parameters

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    This paper reports a practical pavement overlay design methodbased on PCI (Pavement Condition Index). Current pavement investigation method (JTJ 073-96) is compared to the ASTM D 5340, which is the standard test method for airport pavement condition evaluation initially developed for US Air Force. The deficiency in the calculation of PCI based on field data in JTJ 073 is discussed. The proposed design method is compared to AASHTO overlay design method with good agreement. The paper concludes with an example illustrating how the existing pavement structural capacity is related to pavement distress survey results. The presented design method can be used in the design for overlay rehabilitation of pavements of highways, urban streets and airports.

  2. Story: A Bleeding Watermelon

    Directory of Open Access Journals (Sweden)

    Nor bzang

    2010-12-01

    Full Text Available A Bleeding Watermelon was written by Norsang (Nor bzang;b. 1988, a native of Dpa ris (Rab rgyas (Huazangsi 华藏寺 Township, Tianzhu 天祝 Tibetan Autonomous County,Gansu 甘肃 Province. Norsang writes: I heard that a university student opened an elevator door in a campus building still under construction. The elevator shaft was empty and he fell to his death. Many people had questions about his death. This inspired me to write this story.

  3. "Full-Scale Testing of Pavement Response"

    DEFF Research Database (Denmark)

    Ullidtz, Per; Ekdahl, Peter

    1998-01-01

    Three pavement sections in southern Sweden were instrumented in late 1991. Each section have instruments for measuring the strain at the bottom of the asphalt layer, vertical stress and strains in the subgrade and temperatures at different depths. The purpose was to evaluate different theoretical...

  4. Asphalt for draining pavement; Haisuisei hosoyo asphalt

    Energy Technology Data Exchange (ETDEWEB)

    Yamamori, H.; Nakamura, Y. [Mitsubishi Oil Co. Ltd., Tokyo (Japan)

    1994-12-28

    The effect and functions of draining pavement with a superb performance as a paved road were introduced. In the draining pavement, a porous asphalt mixture was used for the surface and base layers of the road and the remaining layers are not in water penetration property. It is necessary that void continues to prevent water film from being generated when rain falls and resistance against water flow is small but durability has problems when the void rate is large. According to the balance, the void rate ranges from 20 to 23 % for execution, thus preventing water splash on a rainy day, hydroplaning, and dazzlement, etc. due to reflection of light. The noise during driving due to the tire of an automobile is reduced by 5 to 6 dB owing to draining pavement. Also, engine noise is reduced to 40 - 60 % since the surface is porous. In the draining pavement, a high-viscosity asphalt is used for a binder and the void rate is large, thus preventing temperature to rise easily due to heat release and achieving an improved flow behavior. 6 refs., 11 figs., 14 tabs.

  5. Cracking of open traffic rigid pavement

    Directory of Open Access Journals (Sweden)

    Niken Chatarina

    2017-01-01

    Full Text Available The research is done by observing the growth of real structure cracking in Natar, Lampung, Indonesia compared to C. Niken’s et al research and literature study. The rigid pavement was done with open traffic system. There are two main crack types on Natar rigid pavement: cracks cross the road, and cracks spreads on rigid pavement surface. The observation of cracks was analyzed by analyzing material, casting, curing, loading and shrinkage mechanism. The relationship between these analysis and shrinkage mechanism was studied in concrete micro structure. Open traffic make hydration process occur under vibration; therefore, fresh concrete was compressed and tensioned alternately since beginning. High temperature together with compression, cement dissociation, the growth of Ca2+ at very early age leads abnormal swelling. No prevention from outside water movement leads hydration process occur with limited water which caused spreads fine cracks. Limited water improves shrinkage and plastic phase becomes shorter; therefore, rigid pavement can’t accommodate the abnormal swelling and shrinking alternately and creates the spread of cracks. Discontinuing casting the concrete makes both mix under different condition, the first is shrink and the second is swell and creates weak line on the border; so, the cracks appear as cracks across the road.

  6. Viscoelastic Pavement Modeling with a Spreadsheet

    DEFF Research Database (Denmark)

    Levenberg, Eyal

    2016-01-01

    The aim herein was to equip civil engineers and students with an advanced pavement modeling tool that is both easy to use and highly adaptive. To achieve this, a mathematical solution for a layered viscoelastic half-space subjected to a moving load was developed and subsequently implemented...

  7. Gastrointestinal bleeding under dabigatran

    Directory of Open Access Journals (Sweden)

    C Stöllberger

    2014-01-01

    Full Text Available Dabigatran-absorption is dependent on the intestinal P-glycoprotein (P-gp-system, and P-gp activity is modulated by several drugs. We report an 83-old female with atrial fibrillation who developed gastrointestinal bleeding. She was under a therapy with non-steroidal anti-inflammatory drugs (NSAID and P-gp-modulating drugs and renal function was impaired. We conclude that NSAID and P-gp-modulating drugs should be avoided in dabigatran-treated patients. If renal function deteriorates the dabigatran-dosage should be reduced or the therapy should be stopped. There is an urgent need to increase knowledge about drug interactions with dabigatran.

  8. Bleeding complications in immune thrombocytopenia.

    Science.gov (United States)

    Arnold, Donald M

    2015-01-01

    Bleeding manifestations in patients with immune thrombocytopenia (ITP) range from mild skin bruises to life-threatening intracranial hemorrhage (ICH). Severe bleeding is distinctly uncommon when the platelet count is >30 × 10(9)/L and usually only occurs when the platelet count falls administrative databases, the frequency of ICH in patients with ITP is ~0.5% in children and 1.5% in adults. Estimates of severe (non-ICH) bleeding are difficult to obtain because of the lack of standardized case definitions; the lack of a universally accepted, ITP-specific bleeding assessment tool; and the omission of reporting bleeding outcomes in many clinical studies. In practice, the presence of bleeding should dictate whether or not treatment is needed because many patients, especially children, can be safely managed with observation alone. Guiding principles for the management of ITP, based on the bleeding risk are: (1) Decide when treatment is needed and when it can safely be withheld; (2) for patients with chronic ITP, use the least toxic treatment at the lowest dose; (3) emergency treatment of severe thrombocytopenia-associated bleeding requires combination therapy; and (4) early aggressive therapy may result in durable platelet count responses.

  9. Truck fleet model for design and assessment of flexible pavements

    OpenAIRE

    Belay, Abraham; O'Brien, Eugene J.; Kroese, Dirk P.

    2008-01-01

    The mechanistic empirical method of flexible pavement design/assessment uses a large number of numerical truck model runs to predict a history of dynamic load. The pattern of dynamic load distribution along the pavement is a key factor in the design/ assessment of flexible pavement. While this can be measured in particular cases, there are no reliable methods of predicting the mean pattern for typical traffic conditions. A simple linear quarter car model is developed here which aims to reprod...

  10. Permeability testing of drilling core sample from pavement

    Institute of Scientific and Technical Information of China (English)

    Suda WANG; Zhengguang TANG; Xiaojun NING; Peiguan WU; Pingyi XING

    2008-01-01

    The permeability coefficient of pavement material is a very important parameter in designing the drainage of pavement structures and is also used to evalu-ate the quality of road construction. New equipment is used to measure the permeability coefficient of the pave-ment drilling core sample and relevant testing methods are introduced. Testing drilling core samples from a certain highway of Yunnan province has been proven to be feas-ible. The test results are also analyzed.

  11. Vitamin K deficiency bleeding of the newborn

    Science.gov (United States)

    Vitamin K deficiency bleeding of the newborn (VKDB) is a bleeding disorder in babies. It most often ... A lack of vitamin K may cause severe bleeding in newborn babies. Vitamin K plays an important role in blood clotting. Babies often ...

  12. Hybrid green permeable pave with hexagonal modular pavement systems

    Science.gov (United States)

    Rashid, M. A.; Abustan, I.; Hamzah, M. O.

    2013-06-01

    Modular permeable pavements are alternatives to the traditional impervious asphalt and concrete pavements. Pervious pore spaces in the surface allow for water to infiltrate into the pavement during rainfall events. As of their ability to allow water to quickly infiltrate through the surface, modular permeable pavements allow for reductions in runoff quantity and peak runoff rates. Even in areas where the underlying soil is not ideal for modular permeable pavements, the installation of under drains has still been shown to reflect these reductions. Modular permeable pavements have been regarded as an effective tool in helping with stormwater control. It also affects the water quality of stormwater runoff. Places using modular permeable pavement has been shown to cause a significant decrease in several heavy metal concentrations as well as suspended solids. Removal rates are dependent upon the material used for the pavers and sub-base material, as well as the surface void space. Most heavy metals are captured in the top layers of the void space fill media. Permeable pavements are now considered an effective BMP for reducing stormwater runoff volume and peak flow. This study examines the extent to which such combined pavement systems are capable of handling load from the vehicles. Experimental investigation were undertaken to quantify the compressive characteristics of the modular. Results shows impressive results of achieving high safety factor for daily life vehicles.

  13. Environmentally friendly pavements: Results from noise measurements 2005-2008

    OpenAIRE

    Berge, Truls Svenn; Haukland, Frode; Ustad, Asbjørn

    2009-01-01

    CPX-measurements (tyre A) have been performed on a wide range of ordinary dense Norwegian road pavements and special test pavements, as part of the R&D project “Environmental friendly pavements” initiated by the Norwegian Public Roads Administration. The following conclusions can be made from the investigation:- New dense asphalt concrete pavements can give a tyre/road noise level (CPX) of 4-8 dB(A) lower noise level, compared to a chosen reference level for a pavement of type AC 0/11 and SMA...

  14. A novel micromechanics based approach in modeling pavement response

    Science.gov (United States)

    Bhattacharya, Arun

    For maintaining a smooth flow of traffic in the nation's highway system, sections of pavements that are damaged need to be serviced frequently. Among the various types of damage, those caused by heavy trucks are a major concern. Based on a detailed and broad literature survey, it is apparent that no analytical model exists which could closely predict dynamic pavement response and progressive damage, even qualitatively, due to truck loading. It is such a model that is developed in this work. In order to predict pavement response and damage analytically, a model will have to be based on a theory that captures the essential features of the pavement material. The state-of-the-art Microplane Theory, which has never been applied before to pavement, is chosen to model the material behavior in this research. The theory is implemented in a finite element code to predict tri-axial pavement response. The pavement material damage due to traffic loading is also presented qualitatively. Furthermore, using Taguchi Methods, the critical parameters in a pavement design are determined. Finally, the response of pavement to various joint designs parameters is evaluated.

  15. Design of Road Pavement Using Recycled Aggregate

    Science.gov (United States)

    Remišová, Eva; Decký, Martin; Mikolaš, Milan; Hájek, Matej; Kovalčík, Luboš; Mečár, Martin

    2016-10-01

    The presented article gives special attention to codified clauses of the road construction law, the relevant clauses of the standards and technical regulations to design and control the quality of recycled aggregate constructions. The article also presents the authors’ suggestions to design of earth constructions and pavements of roads according to the Slovak technical standards, technical regulations and objectively determined results of research and development of road infrastructure. The article presents a comparison of the mechanical characteristics measurements of the structural layers of road pavements built from the recycled and natural aggregate. It also presents correlation functions of results obtained from in situ and in laboratory CBR (Californian Bearing Ratio) measuring, representing the world's most widely used control method of bearing capacity of mentioned construction layers.

  16. Acute variceal bleeding: general management

    Institute of Scientific and Technical Information of China (English)

    David Patch; Lucy Dagher

    2001-01-01

    @@ TREATMENT STRATEGIES FOR ACUTE VARICEAL BLEEDING Backgound Acute variceal bleeding has a significant mortality which ranges form 5% to 50% in patients with cirrhosis[1].Overall survival is probably improving,because of new therapeutic approaches,and improved medical care.However,mortality is still closely related to failure to control hacmorrhage or carly rebleeding,which is a distinct characteristic of portal hypertensive bleeding and occures in as many as 50% of patients in the first days to 6 weeks after admission et al[2].

  17. Fibrinogen concentrate in bleeding patients

    DEFF Research Database (Denmark)

    Wikkelsø, Anne; Lunde, Jens; Johansen, Mathias;

    2013-01-01

    Hypofibrinogenaemia is associated with increased morbidity and mortality, but the optimal treatment level, the use of preemptive treatment and the preferred source of fibrinogen remain disputed. Fibrinogen concentrate is increasingly used and recommended for bleeding with acquired haemostatic...

  18. Management of severe perioperative bleeding

    DEFF Research Database (Denmark)

    Kozek-Langenecker, Sibylle A; Afshari, Arash; Albaladejo, Pierre

    2013-01-01

    with an assessment of the quality of the evidence in order to allow anaesthetists throughout Europe to integrate this knowledge into daily patient care wherever possible. The Guidelines Committee of the European Society of Anaesthesiology (ESA) formed a task force with members of scientific subcommittees......The aims of severe perioperative bleeding management are three-fold. First, preoperative identification by anamesis and laboratory testing of those patients for whom the perioperative bleeding risk may be increased. Second, implementation of strategies for correcting preoperative anaemia...... and stabilisation of the macro- and microcirculations in order to optimise the patient's tolerance to bleeding. Third, targeted procoagulant interventions to reduce the amount of bleeding, morbidity, mortality and costs. The purpose of these guidelines is to provide an overview of current knowledge on the subject...

  19. Effect of induced deformation on NDT pavement evaluation

    Science.gov (United States)

    Tawfiq, Kamal S.; Sobanjo, John O.; Ruiz, R.

    1999-02-01

    Three nondestructive testing techniques were used in this study to evaluate pavement layer properties. These techniques included deflection and seismic methods. In the deflection methods, measurable surface deformations were induced using falling weight deflectometer and Dynaflect tests. These two tests utilized different schemes of dynamic loading applications to produce deflection basins from which the pavement layer properties were back calculated. Pavement properties from seismic methods were obtained from the analysis of surface waves due to transient load applications. In this study the seismic pavement analyzer (SPA) was used to determine pavement moduli values. Although the same assumptions for linear elastic behavior of pavement properties are usually assumed in all the three methods, obtained moduli values from these techniques did not conform to each other. Commonly, pavement deflection from SPA is not considered when analyzing layer properties. To narrow the gap between the obtained results, however, time-history records and frequency response functions were used to determine surface deflections from the three methods. Deflection measurements correlated with the obtained moduli values. Using these correlations, moduli values at any pavement deflection levels could be evaluated, especially at levels produced by traffic loads.

  20. Full-Depth Asphalt Pavements for Parking Lots and Driveways.

    Science.gov (United States)

    Asphalt Inst., College Park, MD.

    The latest information for designing full-depth asphalt pavements for parking lots and driveways is covered in relationship to the continued increase in vehicle registration. It is based on The Asphalt Institute's Thickness Design Manual, Series No. 1 (MS-1), Seventh Edition, which covers all aspects of asphalt pavement thickness design in detail,…

  1. Pavement Subgrade Performance Study in the Danish Road Testing Machine

    DEFF Research Database (Denmark)

    Ullidtz, Per; Ertman Larsen, Hans Jørgen

    1997-01-01

    Most existing pavement subgrade criteria are based on the AASHO Road Test, where only one material was tested and for only one climatic condition. To study the validity of these criteria and to refine the criteria a co-operative research program entitled the "International Pavement Subgrade Perfo...

  2. Research on pavement crack recognition methods based on image processing

    Science.gov (United States)

    Cai, Yingchun; Zhang, Yamin

    2011-06-01

    In order to overview and analysis briefly pavement crack recognition methods , then find the current existing problems in pavement crack image processing, the popular methods of crack image processing such as neural network method, morphology method, fuzzy logic method and traditional image processing .etc. are discussed, and some effective solutions to those problems are presented.

  3. Utilization of Advanced Diagnostic Methods for Texture and Rut Depth Analysis on a Testing Pavement Section

    Science.gov (United States)

    Slabej, Martin; Grinč, Michal; Kotek, Peter; Kováč, Matúš; Decký, Martin

    2015-05-01

    Qualitative characteristics of pavement in wide range reflects the pavement serviceability, which is a summary of the characteristics of the pavement, providing a fast, smooth, economical and especially safe driving of motor-vehicles. The target factor of pavement serviceability and safety of roads represents the quality of their surface properties. In the framework of research activities performed in the Research Centre founded under the auspices of University of Žilina, individual parameters of pavement serviceability were monitored by pavement surface scanning. This paper describes the creation of a 3D - road surface model and its analysis and evaluation from the viewpoint of two pavement serviceability parameters - the rut depth and texture. Measurements were performed on an experimental pavement section used contemporary in an Accelerated Pavement Testing experiment. The long-term goal is to ascertain functions predicting degradation of these two pavement serviceability parameters.

  4. Pavement structure mechanics response of flexible on semi-flexible overlay that based on the old cement concrete pavement damage

    Directory of Open Access Journals (Sweden)

    Jiang Ruinan

    2015-01-01

    Full Text Available The old cement pavement damage status directly affect the design of the paving renovation. Based on the state of the old road investigation, combined with the research data at home and abroad, use the control index that average deflection, deflection value and CBR value to determine the reasonable time to overlay. Draw up the typical pavement structure according to the principle of combination of old cement pavement overlay structure design, and calculated that the tensile stress and shear stress in asphalt layer ,semi-flexible layer and the tensile in the old cement pavement adopting BISA3.0 statics finite element analysis model when modulus in the old road was diminishing. Use the computed result to analyses the influence of old road damage condition the influence of pavement structure.

  5. Bleed Hole Flow Phenomena Studied

    Science.gov (United States)

    1997-01-01

    Boundary-layer bleed is an invaluable tool for controlling the airflow in supersonic aircraft engine inlets. Incoming air is decelerated to subsonic speeds prior to entering the compressor via a series of oblique shocks. The low momentum flow in the boundary layer interacts with these shocks, growing in thickness and, under some conditions, leading to flow separation. To remedy this, bleed holes are strategically located to remove mass from the boundary layer, reducing its thickness and helping to maintain uniform flow to the compressor. The bleed requirements for any inlet design are unique and must be validated by extensive wind tunnel testing to optimize performance and efficiency. To accelerate this process and reduce cost, researchers at the NASA Lewis Research Center initiated an experimental program to study the flow phenomena associated with bleed holes. Knowledge of these flow properties will be incorporated into computational fluid dynamics (CFD) models that will aid engine inlet designers in optimizing bleed configurations before any hardware is fabricated. This ongoing investigation is currently examining two hole geometries, 90 and 20 (both with 5-mm diameters), and various flow features.

  6. Wavelet-aided pavement distress image processing

    Science.gov (United States)

    Zhou, Jian; Huang, Peisen S.; Chiang, Fu-Pen

    2003-11-01

    A wavelet-based pavement distress detection and evaluation method is proposed. This method consists of two main parts, real-time processing for distress detection and offline processing for distress evaluation. The real-time processing part includes wavelet transform, distress detection and isolation, and image compression and noise reduction. When a pavement image is decomposed into different frequency subbands by wavelet transform, the distresses, which are usually irregular in shape, appear as high-amplitude wavelet coefficients in the high-frequency details subbands, while the background appears in the low-frequency approximation subband. Two statistical parameters, high-amplitude wavelet coefficient percentage (HAWCP) and high-frequency energy percentage (HFEP), are established and used as criteria for real-time distress detection and distress image isolation. For compression of isolated distress images, a modified EZW (Embedded Zerotrees of Wavelet coding) is developed, which can simultaneously compress the images and reduce the noise. The compressed data are saved to the hard drive for further analysis and evaluation. The offline processing includes distress classification, distress quantification, and reconstruction of the original image for distress segmentation, distress mapping, and maintenance decision-making. The compressed data are first loaded and decoded to obtain wavelet coefficients. Then Radon transform is then applied and the parameters related to the peaks in the Radon domain are used for distress classification. For distress quantification, a norm is defined that can be used as an index for evaluating the severity and extent of the distress. Compared to visual or manual inspection, the proposed method has the advantages of being objective, high-speed, safe, automated, and applicable to different types of pavements and distresses.

  7. Tire Footprint Affects Hydroplaning On Wet Pavement

    Science.gov (United States)

    Yager, Thomas J.

    1989-01-01

    Recent investigations of tire hydroplaning at highway speeds reveal, in addition to inflation pressure, tire-footprint aspect ratio (FAR), defined as width divided by length of tire surface in contact with pavement, significantly influences speed at which dynamic hydroplaning begins. Tire speeds and forces developed during tests of up to 65 mi/h (105 km/h) were monitored on flooded test surface to identify development of hydroplaning. Study focused on automotive tires because FAR's of automotive tires vary more than those of aircraft tires.

  8. Management of bleeding gastroduodenal ulcers

    DEFF Research Database (Denmark)

    Laursen, Stig Borbjerg; Jørgensen, Henrik Stig; Schaffalitzky de Muckadell, Ove B

    2012-01-01

    serious ulcer bleeding is suspected and blood found in gastric aspirate, endoscopy within 12 hours will result in faster discharge and reduced need for transfusions. Endoscopic hemostasis remains indicated for high-risk lesions. Clips, thermocoagulation, and epinephrine injection are effective......Description: A multidisciplinary group of Danish experts developed this guideline on management of bleeding gastroduodenal ulcers. Sources of data included published studies up to March 2011. Quality of evidence and strength of recommendations have been graded. The guideline was approved......-risk stigmata. Although selected patients can be discharged promptly after endoscopy, high-risk patients should be hospitalized for at least 3 days after endoscopic hemostasis. Patients with peptic ulcer bleeding who require secondary cardiovascular prophylaxis should start receiving acetylsalicylic acid (ASA...

  9. Endoscopic management of diverticular bleeding.

    Science.gov (United States)

    Rustagi, Tarun; McCarty, Thomas R

    2014-01-01

    Diverticular hemorrhage is the most common reason for lower gastrointestinal bleeding (LGIB) with substantial cost of hospitalization and a median length of hospital stay of 3 days. Bleeding usually is self-limited in 70-80% of cases but early rebleeding is not an uncommon problem that can be reduced with proper endoscopic therapies. Colonoscopy is recommended as first-line diagnostic and therapeutic approach. In the vast majority of patients diverticular hemorrhage can be readily managed by interventional endotherapy including injection, heat cautery, clip placement, and ligation to achieve endoscopic hemostasis. This review will serve to highlight the various interventions available to endoscopists with specific emphasis on superior modalities in the endoscopic management of diverticular bleeding.

  10. Endoscopic Management of Diverticular Bleeding

    Directory of Open Access Journals (Sweden)

    Tarun Rustagi

    2014-01-01

    Full Text Available Diverticular hemorrhage is the most common reason for lower gastrointestinal bleeding (LGIB with substantial cost of hospitalization and a median length of hospital stay of 3 days. Bleeding usually is self-limited in 70–80% of cases but early rebleeding is not an uncommon problem that can be reduced with proper endoscopic therapies. Colonoscopy is recommended as first-line diagnostic and therapeutic approach. In the vast majority of patients diverticular hemorrhage can be readily managed by interventional endotherapy including injection, heat cautery, clip placement, and ligation to achieve endoscopic hemostasis. This review will serve to highlight the various interventions available to endoscopists with specific emphasis on superior modalities in the endoscopic management of diverticular bleeding.

  11. An Innovative Strategy for Maintenance of Highway Pavement

    Directory of Open Access Journals (Sweden)

    Sandeep Choudhary, Dr. P. K. Agarwal

    2013-05-01

    Full Text Available Highway pavement are deteriorating fast due to lack of timely maintenance, leading to higher vehicle operating costs, increasing number of accidents etc. Thus, timely maintenance of the highway pavement is essential. Because, once pavements start to deteriorate; they deteriorate rapidly beyond the point where maintenance is effective. Thus, there is an urgent need to develop a strategy for maintenance of pavement in a huge highway network. In this study, an innovative strategy for maintenance of highway pavement is proposed. A two stage maintenance strategy is proposed. In stage I, it is proposed to determine priority of highway sections. In Stage II, priority of various maintenance activities to be carried out on various sections will be determined. Maintenance priority of the pavement is based on importance of the road sections, present road conditions, and future road conditions. The methodology proposed in this study is illustrated with the help of example of some hypothetical highway network consisting of 4 sections. Analysis results indicated that the proposed strategy is considered to be more rational, innovative & logical. Some strategies for maintenance of urban roads are also presented in this study. Therefore, it is expected that this study will be useful for maintenance of huge highway network in India and thus will be useful for preserving huge asset of pavement infrastructure.

  12. Evaluation of accelerated deterioration in NAPTF flexible test pavements

    Institute of Scientific and Technical Information of China (English)

    Kasthurirangan GOPALAKRISHNAN

    2008-01-01

    Previous research studies have successfully demonstrated the use of artificial neural network(ANN)models for predicting critical structural responses and layer moduli of highway flexible pavements.The primary objective of this study was to develop an ANN-based approach for backcalculation of pavement moduli based on heavy weight deflectometer(HWD)test data,especially in the analysis of airport flexible pavements subjected to new generation aircraft(NGA).Two medium-strength subgrade flexible test sections,at the National Airport Pavement Test Facility(NAPTF),were modeled using a finite element(FE) based pavement analysis program,which can consider the non-linear stress-dependent behavior of pavement geomaterials.A multi-layer,feed-forward network which uses an error-backpropagation algorithm was trained to approximate the HWD backcalculation function using the FE program generated synthetic database.At the NAPTF,test sections were subjected to Boeing 777 (B777)trafficking on one lane and Boeing 747(B747)trafficking on the other lane using a test machine.To monitor the effect of traffic and climatic variations on pavement structural responses.HWD tests were conducted on the traffieked lanes and on the untraffieked centerline of test sections as trafficking progressed.The trained ANN models were successfully applied on the actual HWD test data acquired at the NAPTF to predict the asphalt concrete moduli and non-1inear subgrade moduli of the medium-strength subgrade flexible test sections.

  13. Survival Analysis of Fatigue and Rutting Failures in Asphalt Pavements

    Directory of Open Access Journals (Sweden)

    Pabitra Rajbongshi

    2016-01-01

    Full Text Available Fatigue and rutting are two primary failure mechanisms in asphalt pavements. The evaluations of fatigue and rutting performances are significantly uncertain due to large uncertainties involved with the traffic and pavement life parameters. Therefore, deterministically it is inadequate to predict when an in-service pavement would fail. Thus, the deterministic failure time which is known as design life (yr of pavement becomes random in nature. Reliability analysis of such time (t dependent random variable is the survival analysis of the structure. This paper presents the survival analysis of fatigue and rutting failures in asphalt pavement structures. It is observed that the survival of pavements with time can be obtained using the bathtub concept that contains a constant failure rate period and an increasing failure rate period. The survival function (S(t, probability density function (pdf, and probability distribution function (PDF of failure time parameter are derived using bathtub analysis. It is seen that the distribution of failure time follows three parametric Weibull distributions. This paper also works out to find the most reliable life (YrR of pavement sections corresponding to any reliability level of survivability.

  14. [Gastrointestinal bleeding: the role of radiology].

    Science.gov (United States)

    Quiroga Gómez, S; Pérez Lafuente, M; Abu-Suboh Abadia, M; Castell Conesa, J

    2011-01-01

    Gastrointestinal bleeding represents a diagnostic challenge both in its acute presentation, which requires the point of bleeding to be located quickly, and in its chronic presentation, which requires repeated examinations to determine its etiology. Although the diagnosis and treatment of gastrointestinal bleeding is based on endoscopic examinations, radiological studies like computed tomography (CT) angiography for acute bleeding or CT enterography for chronic bleeding are becoming more and more common in clinical practice, even though they have not yet been included in the clinical guidelines for gastrointestinal bleeding. CT can replace angiography as the diagnostic test of choice in acute massive gastrointestinal bleeding, and CT can complement the endoscopic capsule and scintigraphy in chronic or recurrent bleeding suspected to originate in the small bowel. Angiography is currently used to complement endoscopy for the treatment of gastrointestinal bleeding.

  15. Automated management for pavement inspection system (AMPIS)

    Science.gov (United States)

    Chung, Hung Chi; Girardello, Roberto; Soeller, Tony; Shinozuka, Masanobu

    2003-08-01

    An automated in-situ road surface distress surveying and management system, AMPIS, has been developed on the basis of video images within the framework of GIS software. Video image processing techniques are introduced to acquire, process and analyze the road surface images obtained from a moving vehicle. ArcGIS platform is used to integrate the routines of image processing and spatial analysis in handling the full-scale metropolitan highway surface distress detection and data fusion/management. This makes it possible to present user-friendly interfaces in GIS and to provide efficient visualizations of surveyed results not only for the use of transportation engineers to manage road surveying documentations, data acquisition, analysis and management, but also for financial officials to plan maintenance and repair programs and further evaluate the socio-economic impacts of highway degradation and deterioration. A review performed in this study on fundamental principle of Pavement Management System (PMS) and its implementation indicates that the proposed approach of using GIS concept and its tools for PMS application will reshape PMS into a new information technology-based system providing a convenient and efficient pavement inspection and management.

  16. Research on Alkaline Filler Flame-Retarded Asphalt Pavement

    Institute of Scientific and Technical Information of China (English)

    HU Shuguang; ZHANG Houji; WANG Jiaolan

    2006-01-01

    Used as flame retardant of tunnel asphalt pavement, organic bromides produce a large amount of poisons and smoke in construction and flame retardation stage. The alkaline filler was found to replace mineral filler, and the flame-retarded asphalt mixtures were produced. Experimental results show that these asphalt mixtures are smoke restrained; the performances and construction technology of asphalt pavement are not influenced; also the alkaline filler is of low-price. So this kind of flame-retarded asphalt mixtures is suitable for tunnel pavement.

  17. Development of Improved Mechanistic Deterioration Models for Flexible Pavements

    DEFF Research Database (Denmark)

    Ullidtz, Per; Ertman, Hans Larsen

    1998-01-01

    The paper describes a pilot study in Denmark with the main objective of developing improved mechanistic deterioration models for flexible pavements based on an accelerated full scale test on an instrumented pavement in the Danish Road Tessting Machine. The study was the first in "International...... Pavement Subgrade Performance Study" sponsored by the Federal Highway Administration (FHWA), USA. The paper describes in detail the data analysis and the resulting models for rutting, roughness, and a model for the plastic strain in the subgrade.The reader will get an understanding of the work needed...

  18. Morphological Algorithms For The Analysis Of Pavement Structure

    Science.gov (United States)

    Grivas, Dimitri A.; Skolnick, Michael M.

    1989-11-01

    The applicability of morphological image processing techniques for the description of condition and analysis of pavement surfaces is examined. Morphological techniques can be used in the measurement of pavement media consisting of grain (aggregates) and binding substances (bituminous or Portland cement mixtures). Measurements of size and size distributions on surface features related to texture and distresses can be obtained via morphological opening and closing transformations and distributions. When correlated with actual physical measurements of such quantities, the presented morphological measures of size and size distributions may prove to be useful in characterizing the surface condition of both asphalt and concrete pavement structures.

  19. Treatment of acute variceal bleeding

    DEFF Research Database (Denmark)

    Bendtsen, Flemming; Krag, Aleksander Ahm; Møller, Søren

    2008-01-01

    The management of variceal bleeding remains a clinical challenge with a high mortality. Standardisation in supportive and new therapeutic treatments seems to have improved survival within the last 25 years. Although overall survival has improved in recent years, mortality is still closely related...

  20. Management of bleeding gastroduodenal ulcers

    DEFF Research Database (Denmark)

    Laursen, Stig Borbjerg; Jørgensen, Henrik Stig; Schaffalitzky de Muckadell, Ove B.

    2012-01-01

    -risk stigmata. Although selected patients can be discharged promptly after endoscopy, high-risk patients should be hospitalized for at least 3 days after endoscopic hemostasis. Patients with peptic ulcer bleeding who require secondary cardiovascular prophylaxis should start receiving acetylsalicylic acid (ASA...

  1. Gastrointestinal Bleeding Secondary to Calciphylaxis.

    Science.gov (United States)

    Gupta, Nancy; Haq, Khwaja F; Mahajan, Sugandhi; Nagpal, Prashant; Doshi, Bijal

    2015-11-17

    BACKGROUND Calciphylaxis is associated with a high mortality that approaches 80%. The diagnosis is usually made when obvious skin lesions (painful violaceous mottling of the skin) are present. However, visceral involvement is rare. We present a case of calciphylaxis leading to lower gastrointestinal (GI) bleeding and rectal ulceration of the GI mucosa. CASE REPORT A 66-year-old woman with past medical history of diabetes mellitus, hypertension, end-stage renal disease (ESRD), recently diagnosed ovarian cancer, and on hemodialysis (HD) presented with painful black necrotic eschar on both legs. The radiograph of the legs demonstrated extensive calcification of the lower extremity arteries. The hospital course was complicated with lower GI bleeding. A CT scan of the abdomen revealed severe circumferential calcification of the abdominal aorta, celiac artery, and superior and inferior mesenteric arteries and their branches. Colonoscopy revealed severe rectal necrosis. She was deemed to be a poor surgical candidate due to comorbidities and presence of extensive vascular calcifications. Recurrent episodes of profuse GI bleeding were managed conservatively with blood transfusion as needed. Following her diagnosis of calciphylaxis, supplementation with vitamin D and calcium containing phosphate binders was stopped. She was started on daily hemodialysis with low calcium dialysate bath as well as intravenous sodium thiosulphate. The clinical condition of the patient deteriorated. The patient died secondary to multiorgan failure. CONCLUSIONS Calciphylaxis leading to intestinal ischemia/perforation should be considered in the differential diagnosis in ESRD on HD presenting with abdominal pain or GI bleeding.

  2. Cost-Effective Pavement Performance Management of Indiana's Enhanced National Highway System through Strategic Modification of the Pavement Rehabilitation Treatment Trigger Values

    OpenAIRE

    Noureldin, Menna; Fricker, Jon D.; Sinha, Kumares C.

    2015-01-01

    Cost-Effective Pavement Performance Management of Indiana's Enhanced National Highway System through Strategic Modification of the Pavement Rehabilitation Treatment Trigger Values Presented during Session 3: Policy and Funding, moderated by Magdy Mikhail, at the 9th International Conference on Managing Pavement Assets (ICMPA9) in Alexandria, VA. Includes conference paper and PowerPoint slides.

  3. Gastrointestinal Bleeding: MedlinePlus Health Topic

    Science.gov (United States)

    ... GI Bleeding in Children (North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition) - PDF Patient Handouts Bleeding esophageal varices (Medical Encyclopedia) Also in Spanish Bloody or tarry stools (Medical Encyclopedia) Also in ...

  4. Effect of Pavement Conditions on Rolling Resistance

    Directory of Open Access Journals (Sweden)

    Mr.Dipanjan Mukherjee

    2014-07-01

    Full Text Available Rolling resistance is the force acting on a vehicle over a full journey. It is generated by the hysteresis of tyre and pavement. Rolling resistance, sometimes called rolling friction or rolling drag, is the force resisting the motion when a body (such as a ball, tire, or wheel rolls on a surface. It is mainly caused by non-elastic effects; that is, not all the energy needed for deformation (or movement of the wheel, roadbed, etc. is recovered when the pressure is removed. A hysteresis phenomenon can be observed when viscoelastic materials undergo a load-then-unload process. A typical hysteresis curve of viscoelastic material can be found. The shadow area enclosed by the hysteresis loop represents energy loss. A characteristic of a deformable material such that the energy of deformation is greater than the energy of recovery. The rubber compound in a tire exhibits hysteresis. As the tire rotates under the weight of the vehicle, it experiences repeated cycles of deformation and recovery, and it dissipates the hysteresis energy loss as heat. Hysteresis is the main cause of energy loss associated with rolling resistance and is attributed to the viscoelastic characteristics of the rubber. Materials that have a large hysteresis effect, such as rubber, which bounce back slowly, exhibit more rolling resistance than materials with a small hysteresis effect that bounce back more quickly and more completely, such as steel or silica. Low rolling resistance tires typically incorporate silica in place of carbon black in their tread compounds to reduce low-frequency hysteresis without compromising traction. Note that railroads also have hysteresis in the roadbed structure. Like the fuel consumption, rolling resistance also has a significant relationship with velocity. experiment has shown that, for a 32-tonn goods vehicle, rolling resistance contributes about 70% of total drag when driven at 50km/h and about 37% at 100km/h. An important issue which should not

  5. Striated clast pavements: Products of deforming subglacial sediment?

    Science.gov (United States)

    Clark, Peter U.

    1991-05-01

    Studies of modern glaciers have recently drawn attention to the importance of subglacial sediment deformation to glacier dynamics and processes. Inferences regarding the probable shear strength of this sediment imply that large clasts may in some cases sink to underlying rigid sediment, where abrasion by overlying deforming sediment could occur. This scenario provides a formative mechanism for striated clast pavements commonly described from the base of fine-grained massive diamictons associated with the late Pleistocene Laurentide ice sheet. Such a mechanism indicates that, at the time of formation of clast pavements, overlying diamictons associated with pavements had a low yield strength (≤0.5 kPa) and were deforming mechanically like a debris flow. Clast pavements may therefore be an important criterion for recognition of sediments deposited by subglacial deformation transport.

  6. ANALYSIS OF GROUP MAINTENANCE STRATEGY -ROAD PAVEMENT AND SEWERAGE PIPES-

    Science.gov (United States)

    Tanimoto, Keishi; Sugimoto, Yasuaki; Miyamoto, Shinya; Nada, Hideki; Hosoi, Yoshihiko

    Recently, it is critical to manage deteriorating sewerage and road facilities efficiently and strategically. Since the sewerage pipes are mostly installed under road pavement, the works for the replacement of the sewerage pipes are partially common to the works for the road. This means that the replacement cost can be saved by coordinating the timing of the replacements by sewerage pipe and road pavement. The purpose of the study is to develop the model based on Markov decision process to derive the optimal group maintenance policy so as to minimize lifecycle cost. Then the model is applied to case study area and demonstrated to estimate the lifecycle cost using statistical data such as pipe replacement cost, road pavement rehabilitation cost, and state of deterioration of pipes and road pavement.

  7. Abdominal compartment syndrome from bleeding duodenal diverticulum

    Directory of Open Access Journals (Sweden)

    Vakhtang Tchantchaleishvili

    2012-01-01

    Full Text Available Duodenal diverticuli are acquired false diverticuli of unknown etiology. Although mostly asymptomatic, they can occasionally cause upper gastrointestinal hemorrhage, rarely with massive bleeding. In this report, we present (to the best of our knowledge the first reported case of duodenal diverticular bleeding, causing abdominal compartment syndrome. Albeit a rare event, duodenal diverticular bleeding should be included in the differential diagnosis of upper gastrointestinal bleeding. As with our case, a multidisciplinary approach to managing such patients is crucial.

  8. An unusual cause of gastrointestinal bleed

    Directory of Open Access Journals (Sweden)

    C K Adarsh

    2014-01-01

    Full Text Available Gastrointestinal (GI bleed often brings the patient to the emergency medical service with great anxiety. Known common causes of GI bleed include ulcers, varices, Mallory-Weiss among others. All causes of GI bleed should be considered however unusual during the evaluation. Aortoenteric fistula (AEF is one of the unusual causes of GI bleed, which has to be considered especially in patients with a history of abdominal surgery in general and aortic surgery in particular.

  9. Ground Penetrating Radar Assessment of Flexible Road Pavement Degradation

    OpenAIRE

    Sandro Colagrande; Danilo Ranalli; Marco Tallini

    2011-01-01

    GPR investigations were used to study degraded road pavements built in cutting sections. Road integrity was assessed via quantitative analysis of power curves. 1600 MHz and 600 MHz radar sections were collected in 40 damaged and undamaged road pavement sites. The collected data were processed as follows: (i) linearisation with regression analysis of power curves; (ii) assessment of absorption angle α′ which is directly proportional to absorption coefficient α (this was obtained by setting t...

  10. Field environmental evaluation plan for sulfur use in pavements

    Science.gov (United States)

    Saylak, D.; Deuel, L. E.; Izatt, J. O.; Jacobs, C.; Zahray, R.; Ham, S.

    1982-07-01

    The use of sulfur in highway paving mixtures is discussed. The evaluation procedures deal with the safety and environmental aspects of storage and handling, formulation, construction, operation and maintenance of highway pavements containing sulfur, including the possible generation of noxious and abnoxious fumes, dust and gases. Methods and equipment for monitoring potential emissions and pollutants are recommended and safety practices for the handling of sulfur and sulfur-modified asphalt mixtures and pavements are discussed.

  11. Evaluation of pavement skid resistance using high speed texture measurement

    Directory of Open Access Journals (Sweden)

    Jay N. Meegoda

    2015-12-01

    Full Text Available Skid resistance is an important parameter for highway designs, construction, management, maintenance and safety. The purpose of this manuscript is to propose the correlation between skid resistance, which is measured as skid resistance trailer, and mean profile depth (MPD or the macro surface texture, which is measured by vehicle mounted laser, so that highway agencies can predict the skid resistance of pavement without the use of expensive and time consuming skid resistance trailer, which also causes disruption of traffic in use. In this research skid numbers and MPD from 5 new asphalt pavements and 4 old asphalt pavements were collected using a locked wheel skid trailer and a vehicle mounted laser. Using the data collected, a correlation between the skid number (SN40R collected by locked wheel skid tester and the texture data or MPD collected by a vehicle mounted laser operating at highway speeds was developed. The proposed correlation for new pavements was positive for MPD values less than 0.75 mm to reach a peak SN40R value, then there was a negative correlation as the MPD increases until the MPD value was equal to 1.1 mm and beyond the MPD value of 1.1 mm to the maximum value of 1.4 mm, SN40R value remained almost constant. There were significant data scatter for the MPD value of 0.8 mm. To explain these results, water film thickness during the friction test was calculated and the critical MPD was defined. The effect of sealed water pool on the SN40R was discussed. The test result showed a similar trend for older asphalt pavements, but with lower SN40R values due to the polishing of pavement micro-texture by traffic. Hence, a reduction factor was proposed for older pavements based on cumulative traffic volume for the above correlation to predict the skid resistance of older pavements.

  12. Advanced Construction Material for Airfield Pavements and Rapid Runway Repair

    Science.gov (United States)

    1990-12-01

    AIRFIELD PAVEMENTS AND RAPID RUNWAY REPAIR by Vincent Maurice Saroni, B.S.C.E. and David W. Fowler, Ph.D., P.E. T. U. Taylor Professor in...to my family, Betsy and Mark. ADVANCED CONSTRUCTION MATERIAL FOR AIRFIELD PAVEMENTS AND RAPID RUNWAY REPAIR Vincent Maurice Saroni, B.S.C.E. THESIS...85 C.4 Calculation Results of Modulus of Rupture, Density and Percent Voids for Uncompacted Siliceous G ravel

  13. Development of New Bituminous Pavement Design Method

    DEFF Research Database (Denmark)

    Ullidtz, Per

    The report and work of COST Action 333 sets in place the foundation for a coherent, cost-effective and harmonised European pavement design method. In order to do this, the work programme focused on information gathering, identification of requirements and the selection of the necessary design...... elements for such a European design method. During the course of the Action, 20 countries signed the Memorandum of Understanding and participated in the work, thus showing a very high level of interest in the work programme and results.The document contains a very thorough review of the position in Europe...... at the present time and identifies the basic framework for a design method. It then clearly shows the necessary steps to be taken in the future in order to arrive at a method based on current best practice in the shorter term, and then to move to improved versions....

  14. Pavement Response to Variable Tyre Pressure of Heavy Vehicles

    Directory of Open Access Journals (Sweden)

    Arshad Ahmad Kamil

    2016-01-01

    Full Text Available In recent years, the effect of overinflated tyre pressure and increased heavy vehicles’ axle load on flexible pavements has become a subject of great concern because of the higher stress levels induced and damage caused to road pavements. This paper aims to evaluate the effect of variable tyre inflation pressures (using actual tyre contact/footprint area to determine the responses of flexible pavement. A full scale experiment was conducted on a heavy vehicle with 1:1:2 axle configuration, 10 R 20 tyre size and attached trailer with constant axle load. Measurements were made for actual tyre-pavement contact area. KENPAVE linear elastic program was then used to analyse the effects of the measured actual tyre-pavement contact area and the results was compared using conventional circular tyre contact area. A comparative analysis was then made between the actual contact area and the conventional circular tyre contact area. It was found that high tyre inflation pressure produce smaller contact area, giving more detrimental effect on the flexible pavement. It was also found that the temperature of tyres when the heavy vehicles are operational give less significant impact on tyre inflation pressure for the Malaysian climate.

  15. Numerical Analysis of Asphalt Pavements under Moving Wheel Loads

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The responses of the pavement in service are the basis for the design of the semi-rigid base course asphalt pavement.Due to the dynamic characteristics of wheel loads and the temperature loads,the dynamic response analysis is very significant.In this article, the dynamic analysis of asphalt pavement under moving wheel loads is carried out using finite element method coupled with non-reflective boundary method.The influences of the base modulus, thickness, the vehicle velocity, the tire pressure, and the contact condition at the interface are studied using parametric analysis.The results of numerical analysis show that it is not appropriate to simply increase the base modulus or thickness in the design.It would be beneficial if the base design is optimized synthetically.The increase of damping is also beneficial to the pavements because of the surface deflection and the stresses declination.Furthermore, the good contact condition at the interface results in good performance because it combines every layer of the pavement to work together.As overload aggravates the working condition of the pavement, it is not allowed.

  16. Obscure gastrointestinal bleeding: preoperative CT-guided percutaneous needle localization of the bleeding small bowel segment.

    Science.gov (United States)

    Heiss, Peter; Feuerbach, Stefan; Iesalnieks, Igors; Rockmann, Felix; Wrede, Christian E; Zorger, Niels; Schlitt, Hans J; Schölmerich, Jürgen; Hamer, Okka W

    2009-04-01

    A 57-year-old woman presented with obscure gastrointestinal bleeding. Double balloon enteroscopy, angiography, and surgery including intraoperative enteroscopy failed to identify the bleeding site. Multidetector computed tomography (CT) depicted active bleeding of a small bowel segment. The bleeding segment was localized by CT-guided percutaneous needle insertion and subsequently removed surgically.

  17. Grout Impregnation of Pre-Placed Recycled Concrete Pavement (RCP) for Rapid Repair of Deteriorated Portland Cement Concrete Airfield Pavement

    Science.gov (United States)

    2007-04-01

    Hammitt (1985) also reports a high failure rate when using cold mix asphalt for crater repairs and recommended that it be abandoned as a technique...cement-treated base, embankment base material, and aggregate for asphalt paving mixtures . RCP has been used successfully for all of these types of...that recycled asphalt pavement ( RAP ) and RCP have a substantial history of usage in pavement construction. He reports that cost savings of 20 to

  18. Role of videocapsule endoscopy for gastrointestinal bleeding

    Institute of Scientific and Technical Information of China (English)

    Cristina Carretero; Ignacio Fernandez-Urien; Maite Betes; Miguel Mu(n)oz-Navas

    2008-01-01

    Obscure gastrointestinal bleeding (OGIB) is defined as bleeding of an unknown origin that persists or recurs after negative initial upper and lower endoscopies.Several techniques,such as endoscopy,arteriography,scintigraphy and barium radiology are helpful for recognizing the bleeding source;nevertheless,in about 5%-10% of cases the bleeding lesion cannot be determined.The development of videocapsule endoscopy (VCE) has permitted a direct visualization of the small intestine mucosa.We will analyze those techniques in more detail.The diagnostic yield of CE for OGIB varies from 38% to 93%,being in the higher range in those cases with obscure-overt bleeding.

  19. Bleeding

    Science.gov (United States)

    ... Emergency medical services: overview and ground transport. In: Marx JA, Hockberger RS, Walls RM, et al, eds. ... Simon BC, Hern HG. Wound management principles. In: Marx JA, Hockberger RS, Walls RM, et al, eds. ...

  20. STUDY ON FLOOD CONTROL PROPERTIES OF PERMEABLE PAVEMENT USING SATURATED-UNSATURATED SEEPAGE ANALYSIS

    Science.gov (United States)

    Yano, Takao; Nishiyama, Satoshi; Ohnishi, Yuzo; Nakashima, Shinichiro; Moriishi, Kazushi; Wada, Minoru

    The rainfall storage and infiltration facility of permeable pavement have been attracted attention as a control measure of flood and an environmental improvement measure in urban areas. However, rainfall infiltration of permeable pavement is unsteady flow and strongly dependent on the behavior of unsaturated zones in the pavement. Moreover, the wet condition of subbase course also has a great influence on the rainfall infiltration of the pavement. That's why previous studies have not made clear the precise the facility of permeable pavement as a flood control. In this paper, experimental studies and simulated analyses were performed to measure the overflow from the pavement under various conditions of rainfall intensities and estimate the rainfall infiltration of the pavement using the measurement data and unsaturated infiltration characteristics of porous asphalt materials. It is clear that this study shows the methods to have a quantitative estimation of the rainfall storage and infiltration facility of permeable pavement.

  1. Update to Permeable Pavement Research at the Edison Environmental Center - proceedings

    Science.gov (United States)

    The EPA’s Urban Watershed Management Branch (UWMB) has been monitoring the permeable pavement demonstration site at the Edison Environmental Center, NJ since 2010. This site has three different types of permeable pavements including interlocking concrete permeable pavers, p...

  2. Evaluation of Precast Panels for Airfield Pavement Repair. Phase 2: Results of Accelerated Pavement Testing

    Science.gov (United States)

    2013-09-01

    emergency or contingency airfield opera - tions. This report presents the results of accelerated pavement testing including the passes-to-failure, surface...9-in.-diam Geokon® earth pressure cells (EPC) capable of measuring up to 200 psi that were installed at the base-PCC interface at 10 locations as...Center deflections. 0 10 20 30 40 50 60 70 80 90 100 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 N or m al ize d  De fle ct io n,  m ils

  3. The management of lower gastrointestinal bleeding.

    Science.gov (United States)

    Marion, Y; Lebreton, G; Le Pennec, V; Hourna, E; Viennot, S; Alves, A

    2014-06-01

    Lower gastrointestinal (LGI) bleeding is generally less severe than upper gastrointestinal (UGI) bleeding with spontaneous cessation of bleeding in 80% of cases and a mortality of 2-4%. However, unlike UGI bleeding, there is no consensual agreement about management. Once the patient has been stabilized, the main objective and greatest difficulty is to identify the location of bleeding in order to provide specific appropriate treatment. While upper endoscopy and colonoscopy remain the essential first-line examinations, the development and availability of angiography have made this an important imaging modality for cases of active bleeding; they allow diagnostic localization of bleeding and guide subsequent therapy, whether therapeutic embolization, interventional colonoscopy or, if other techniques fail or are unavailable, surgery directed at the precise site of bleeding. Furthermore, newly developed endoscopic techniques, particularly video capsule enteroscopy, now allow minimally invasive exploration of the small intestine; if this is positive, it will guide subsequent assisted enteroscopy or surgery. Other small bowel imaging techniques include enteroclysis by CT or magnetic resonance imaging. At the present time, exploratory surgery is no longer a first-line approach. In view of the lesser gravity of LGI bleeding, it is most reasonable to simply stabilize the patient initially for subsequent transfer to a specialized center, if minimally invasive techniques are not available at the local hospital. In all cases, the complexity and diversity of LGI bleeding require a multidisciplinary collaboration involving the gastroenterologist, radiologist, intensivist and surgeon to optimize diagnosis and treatment of the patient.

  4. Stormwater quality of spring-summer-fall effluent from three partial-infiltration permeable pavement systems and conventional asphalt pavement.

    Science.gov (United States)

    Drake, Jennifer; Bradford, Andrea; Van Seters, Tim

    2014-06-15

    This study examined the spring, summer and fall water quality performance of three partial-infiltration permeable pavement (PP) systems and a conventional asphalt pavement in Ontario. The study, conducted between 2010 and 2012, compared the water quality of effluent from two Interlocking Permeable Concrete Pavements (AquaPave(®) and Eco-Optiloc(®)) and a Hydromedia(®) Pervious Concrete pavement with runoff from an Asphalt control pavement. The usage of permeable pavements can mitigate the impact of urbanization on receiving surface water systems through quantity control and stormwater treatment. The PP systems provided excellent stormwater treatment for petroleum hydrocarbons, total suspended solids, metals (copper, iron, manganese and zinc) and nutrients (total-nitrogen and total-phosphorus) by reducing event mean concentrations (EMC) as well as total pollutant loadings. The PPs significantly reduced the concentration and loading of ammonia (NH4(+)+NH3), nitrite (NO2(-)) and organic-nitrogen (Org-N) but increased the concentration and loading of nitrate (NO3(-)). The PP systems had mixed performances for the treatment of phosphate (PO4(3-)). The PP systems increased the concentration of sodium (Na) and chloride (Cl) but EMCs remained well below recommended levels for drinking water quality. Relative to the observed runoff, winter road salt was released more slowly from the PP systems resulting in elevated spring and early-summer Cl and Na concentrations in effluent. PP materials were found to introduce dissolved solids into the infiltrating stormwater. The release of these pollutants was verified by additional laboratory scale testing of the individual pavement and aggregate materials at the University of Guelph. Pollutant concentrations were greatest during the first few months after construction and declined rapidly over the course of the study.

  5. Pavement Evaluation and Maintenance Decisions Based on Fuzzy Inference Systems

    Directory of Open Access Journals (Sweden)

    Beltrán-Calvo Gloria Inés

    2014-07-01

    Full Text Available The remaining service life and maintenance decisions of existing pavements are highly dependent on stiffness and deterioration conditions throughout their operation. A non-conventional fuzzy logic based methodology is proposed in this work to address the stiffness-deterioration condition and conservation decisions, by means of three Fuzzy Inference Systems. Analysis were conducted using a database gathered from field tests performed on three and four layer pavement systems, that included traditional layer structuring and pavements having a subbase stiffer than their granular base. Information about layer thicknesses, magnitude and severity of structural distresses, and parameters and indicators derived from deflection testing by impulse load devices were used. The developed systems, allowed representing expert knowledge and linguistic variables of subjective and qualitative nature, commonly used to describe the severity levels of deterioration; thus they can be involved into structural characterization of pavements. Results were also expressed linguistically, to facilitate their interpretation and understanding. Based on the high quality of results obtained, it seems reasonable to conclude that the proposed systems could be used confidently for assessing and making decisions about pavement conservation, with low computational cost.

  6. Mechanical Response of Typical Cement Concrete Pavements under Impact Loading

    Directory of Open Access Journals (Sweden)

    Ding Fei

    2017-01-01

    Full Text Available In order to study the mechanical response of cement concrete pavements under impact loading, four types of typical cement concrete pavement structures are investigated experimentally and numerically under an impact load. Full-scale three-dimensional pavement slots are tested under an impact load and are monitored for the mechanical characteristics including the deflection of the pavement surface layer, the strain distribution at the bottom of the slab, and the plastic damage and cracking under the dynamic impact load. Numerical analysis is performed by developing a three-dimensional finite element model and by utilizing a cement concrete damage model. The results show that the calculation results based on the cement concrete damage model are in reasonable agreement with the experimental results based on the three-dimensional test slot experiment. The peak values of stress and strain as monitored by the sensors are analyzed and compared with the numerical results, indicating that the errors of numerical results from the proposed model are mostly within 10%. The rationality of the finite element model is verified, and the model is expected to be a suitable reference for the analysis and design of cement concrete pavements.

  7. AN UNUSUAL CAUSE OF UPPER GASTROINTESTINAL BLEEDING.

    Science.gov (United States)

    Ali, Kishwar; Zarin, Muhammad; Latif, Humera

    2015-01-01

    Gastrointestinal haemorrhage (GI) is a serious condition that presents both diagnostic as well as therapeutic challenges. Resuscitation of the patient is the first and most important step in its management followed by measures to localize and treat the exact source and site of bleeding. These modalities are upper and lower GI endoscopies, radionuclide imaging and angiography. Surgery is the last resort to handle the situation, if the patient does not respond to resuscitative measures and the various interventional procedures fail to locate and stop the bleeding. We present a case of upper GI bleeding which presented with massive per rectal bleeding and the patient was not responding to resuscitation with multiple blood transfusions. Ultimately an exploratory laparotomy was done which revealed an extra-intestinal source of bleeding into the lumen of duodenum, presenting as upper GI bleeding.

  8. Acoustical estimation of parameters of porous road pavement

    Science.gov (United States)

    Valyaev, V. Yu.; Shanin, A. V.

    2012-11-01

    In the simplest case, porous road pavement of a known thickness is described by such parameters as porosity, tortuosity, and flow resistance. The problem of estimating these parameters is investigated in this paper. An acoustic signal reflected by the pavement is used for this. It is shown that this problem can be solved by an experiment conducted in the time domain (i.e., the pulse response of the media is recorded). The incident sound wave is thrown at a grazing angle to the surface between the pavement and the air to improve penetration into the porous medium. The procedure of computing of the pulse response using the Morse-Ingard model is described in detail.

  9. RAPID INSPECTION OF PAVEMENT MARKINGS USING MOBILE LIDAR POINT CLOUDS

    Directory of Open Access Journals (Sweden)

    H. Zhang

    2016-06-01

    Full Text Available This study aims at building a robust semi-automated pavement marking extraction workflow based on the use of mobile LiDAR point clouds. The proposed workflow consists of three components: preprocessing, extraction, and classification. In preprocessing, the mobile LiDAR point clouds are converted into the radiometrically corrected intensity imagery of the road surface. Then the pavement markings are automatically extracted with the intensity using a set of algorithms, including Otsu’s thresholding, neighbor-counting filtering, and region growing. Finally, the extracted pavement markings are classified with the geometric parameters using a manually defined decision tree. Case studies are conducted using the mobile LiDAR dataset acquired in Xiamen (Fujian, China with different road environments by the RIEGL VMX-450 system. The results demonstrated that the proposed workflow and our software tool can achieve 93% in completeness, 95% in correctness, and 94% in F-score when using Xiamen dataset.

  10. Rapid Inspection of Pavement Markings Using Mobile LIDAR Point Clouds

    Science.gov (United States)

    Zhang, Haocheng; Li, Jonathan; Cheng, Ming; Wang, Cheng

    2016-06-01

    This study aims at building a robust semi-automated pavement marking extraction workflow based on the use of mobile LiDAR point clouds. The proposed workflow consists of three components: preprocessing, extraction, and classification. In preprocessing, the mobile LiDAR point clouds are converted into the radiometrically corrected intensity imagery of the road surface. Then the pavement markings are automatically extracted with the intensity using a set of algorithms, including Otsu's thresholding, neighbor-counting filtering, and region growing. Finally, the extracted pavement markings are classified with the geometric parameters using a manually defined decision tree. Case studies are conducted using the mobile LiDAR dataset acquired in Xiamen (Fujian, China) with different road environments by the RIEGL VMX-450 system. The results demonstrated that the proposed workflow and our software tool can achieve 93% in completeness, 95% in correctness, and 94% in F-score when using Xiamen dataset.

  11. Determination of Pavement Rehabilitation Activities through a Permutation Algorithm

    Directory of Open Access Journals (Sweden)

    Sangyum Lee

    2013-01-01

    Full Text Available This paper presents a mathematical programming model for optimal pavement rehabilitation planning. The model maximized the rehabilitation area through a newly developed permutation algorithm, based on the procedures outlined in the harmony search (HS algorithm. Additionally, the proposed algorithm was based on an optimal solution method for the problem of multilocation rehabilitation activities on pavement structure, using empirical deterioration and rehabilitation effectiveness models, according to a limited maintenance budget. Thus, nonlinear pavement performance and rehabilitation activity decision models were used to maximize the objective functions of the rehabilitation area within a limited budget, through the permutation algorithm. Our results showed that the heuristic permutation algorithm provided a good optimum in terms of maximizing the rehabilitation area, compared with a method of the worst-first maintenance currently used in Seoul.

  12. Geo synthetic-reinforced Pavement systems; Sistemas de pavimentos reforzados con geosinteticos

    Energy Technology Data Exchange (ETDEWEB)

    Zornberg, J. G.

    2014-02-01

    Geo synthetics have been used as reinforcement inclusions to improve pavement performance. while there are clear field evidence of the benefit of using geo synthetic reinforcements, the specific conditions or mechanisms that govern the reinforcement of pavements are, at best, unclear and have remained largely unmeasured. Significant research has been recently conducted with the objectives of: (i) determining the relevant properties of geo synthetics that contribute to the enhanced performance of pavement systems, (ii) developing appropriate analytical, laboratory and field methods capable of quantifying the pavement performance, and (iii) enabling the prediction of pavement performance as a function of the properties of the various types of geo synthetics. (Author)

  13. Evaluation of Common Maintenance Methods for Flexible Pavements

    Directory of Open Access Journals (Sweden)

    Asma T. Ibraheem

    2011-01-01

    Full Text Available Problem statement: With the increasing use and awareness of pavement management systems and the growing emphasis on asset management of pavement infrastructure, it is important to strengthen the maintenance components of these systems and particularly the preventive maintenance component. Iraqi Roads don’t receive an effective and proper maintenance during their service life until they reach the state of major failure that requires rehabilitation. Roads in Iraq are being lost. Approach: In this study, a study of the status of maintenance methods for road pavements in Iraq with special reference to flexible pavements is presented. For this purpose, open and closed questionnaires were executed in Baghdad to investigate the status of road pavement maintenance in Iraq. Road maintenance offices as (Ministry of construction and Housing, State Corporation for Roads and Bridges, Amanat Baghdad, Project office, were included in the questionnaire to arrive at the level of maintenance and techniques followed to maintain paved road in Iraq. Results: The interviews carried out reveal that maintenance in Iraq has secondary importance, apparently with no special budget allocated for such important works. In addition the maintenance methods and techniques followed do not comply the developments and modern techniques. Conclusion/Recommendations: Poor and miss-management of maintenance works and activities leading to delays and accumulation of failure in the highway network that require unusual expenditures to repair and maintain the accumulated damages. Also shortages in resources allocated for maintenance works and this leads to the diversion of significant portion of the allocated fund for maintenance works toward purchasing of new, or additional equipment to be used for the construction of new roads. It is strongly recommended to design a planning system for management pavement maintenance of road network in Iraq and develop a particular failure criterion

  14. Cold Region Pavements%寒区路面

    Institute of Scientific and Technical Information of China (English)

    GuyDore

    2002-01-01

    The article mainly discusses several essential problems of cold region pavement, including thermal cracking of asphalt concrete, cracking deterioration and heaving, frost heave, seasonal and long term roughness induced by different frost heave, frost heave cracking, bearing capacity loss during spring thaw. The reason for these problems is that cold region pavements are subjected to intense solicitation by climatic and environmental factors. The author offers several models corresponding to the solicitation. Furthermore in conclusion of the article the author indicates future research for cold region.

  15. Evaluation of multilayered pavement structures from measurements of surface waves

    Science.gov (United States)

    Ryden, N.; Lowe, M.J.S.; Cawley, P.; Park, C.B.

    2006-01-01

    A method is presented for evaluating the thickness and stiffness of multilayered pavement structures from guided waves measured at the surface. Data is collected with a light hammer as the source and an accelerometer as receiver, generating a synthetic receiver array. The top layer properties are evaluated with a Lamb wave analysis. Multiple layers are evaluated by matching a theoretical phase velocity spectrum to the measured spectrum. So far the method has been applied to the testing of pavements, but it may also be applicable in other fields such as ultrasonic testing of coated materials. ?? 2006 American Institute of Physics.

  16. Thin, applied surfacing for improving skid resistance of concrete pavements

    Science.gov (United States)

    Scholer, C. F.

    1980-12-01

    The use of select aggregate in a thin wearing surface of portland cement mortar to prolone or restore a concrete pavement's ability to develop high friction was accomplished. Two fine aggregates, blast furnace slag and lightweight expanded shale were found to exhibit skid resistance greater than the other aggregates evaluated. The British polishing wheel was used in the laboratory evaluation of aggregate to simulate wear. The need for a method of restoring friction to a worn, but otherwise sound concrete pavement led to a field evaluation of several different techniques for placing a very thin overlay. The successful method was a broomed, very thin layer of mortar, 3 mm thick.

  17. Functionality Enhancement of Industrialized Optical Fiber Sensors and System Developed for Full-Scale Pavement Monitoring

    Directory of Open Access Journals (Sweden)

    Huaping Wang

    2014-05-01

    Full Text Available Pavements always play a predominant role in transportation. Health monitoring of pavements is becoming more and more significant, as frequently suffering from cracks, rutting, and slippage renders them prematurely out of service. Effective and reliable sensing elements are thus in high demand to make prognosis on the mechanical properties and occurrence of damage to pavements. Therefore, in this paper, various types of functionality enhancement of industrialized optical fiber sensors for pavement monitoring are developed, with the corresponding operational principles clarified in theory and the performance double checked by basic experiments. Furthermore, a self-healing optical fiber sensing network system is adopted to accomplish full-scale monitoring of pavements. The application of optical fiber sensors assembly and self-healing network system in pavement has been carried out to validate the feasibility. It has been proved that the research in this article provides a valuable method and meaningful guidance for the integrity monitoring of civil structures, especially pavements.

  18. Factors Associated With Major Bleeding Events

    Science.gov (United States)

    Goodman, Shaun G.; Wojdyla, Daniel M.; Piccini, Jonathan P.; White, Harvey D.; Paolini, John F.; Nessel, Christopher C.; Berkowitz, Scott D.; Mahaffey, Kenneth W.; Patel, Manesh R.; Sherwood, Matthew W.; Becker, Richard C.; Halperin, Jonathan L.; Hacke, Werner; Singer, Daniel E.; Hankey, Graeme J.; Breithardt, Gunter; Fox, Keith A. A.; Califf, Robert M.

    2014-01-01

    Objectives This study sought to report additional safety results from the ROCKET AF (Rivaroxaban Once-daily oral Direct Factor Xa Inhibition Compared with Vitamin K Antagonism for Prevention of Stroke and Embolism Trial in Atrial Fibrillation). Background The ROCKET AF trial demonstrated similar risks of stroke/systemic embolism and major/nonmajor clinically relevant bleeding (principal safety endpoint) with rivaroxaban and warfarin. Methods The risk of the principal safety and component bleeding endpoints with rivaroxaban versus warfarin were compared, and factors associated with major bleeding were examined in a multivariable model. Results The principal safety endpoint was similar in the rivaroxaban and warfarin groups (14.9 vs. 14.5 events/100 patient-years; hazard ratio: 1.03; 95% confidence interval: 0.96 to 1.11). Major bleeding risk increased with age, but there were no differences between treatments in each age category (<65, 65 to 74, ≥75 years; pinteraction = 0.59). Compared with those without (n = 13,455), patients with a major bleed (n = 781) were more likely to be older, current/prior smokers, have prior gastrointestinal (GI) bleeding, mild anemia, and a lower calculated creatinine clearance and less likely to be female or have a prior stroke/transient ischemic attack. Increasing age, baseline diastolic blood pressure (DBP) ≥90 mm Hg, history of chronic obstructive pulmonary disease or GI bleeding, prior acetylsalicylic acid use, and anemia were independently associated with major bleeding risk; female sex and DBP <90 mm Hg were associated with a decreased risk. Conclusions Rivaroxaban and warfarin had similar risk for major/nonmajor clinically relevant bleeding. Age, sex, DBP, prior GI bleeding, prior acetylsalicylic acid use, and anemia were associated with the risk of major bleeding. (An Efficacy and Safety Study of Rivaroxaban With Warfarin for the Prevention of Stroke and Non-Central Nervous System Systemic Embolism in Patients With Non

  19. Bearing capacity evaluation of rubblized concrete pavements

    Directory of Open Access Journals (Sweden)

    González, M.

    2009-03-01

    Full Text Available The paper presents the findings of a research work performed on a real scale concrete pavement project where Rubblizing technology was used for its structural rehabilitation. Rubblizing may be defined as a fracture technique in which a concrete pavement slab is transformed in a granular base with a very high Modulus. This technique, fractures the concrete slab in angular pieces by using a concentrated dynamic load of low amplitude and high frequency. The research work was based on field study on the rehabilitation of 5 km motorway. The structural evaluations where made, before, during and after one year construction. Measurements and site evaluation where made by using DCP, Light Weight Deflectometer and FWD (on top of asphalt layer and excavating inside pits. The structural capacity of the Rubblized layer was evaluated through theoretical analysis. Because of the anisotropic properties of the Rubblized layer the results are presented using AASHTO structural layer coefficient. The structural layer coefficients recommended are between the range of 0.25 and 0.30 for concrete slabs with thickness grater than 220 mm.El trabajo presenta los resultados de un estudio a escala real de la capacidad estructural de un firme de hormigón rehabilitado utilizando la técnica de Rubblizing. La técnica de Rubblizing ha sido traducida como el pulverizado del firme de hormigón pero, es más bien un efecto combinado de trituración y fracturación de la losa de hormigón en todo su espesor para convertir esta en una base granular de alto módulo. Esta tecnica fractura la losa de hormigón en trozos angulares y entrelazados empleando una carga dinámica concentrada, de baja amplitud y alta frecuencia. La investigación se basó en el estudio de la rehabilitación de 5 km de autopista. Los estudios de la capacidad estructural fueron realizados durante, al término y un año después de la construcción. Para las mediciones y evaluaciones de terreno se utilizó, el

  20. Helical CT in acute lower gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Ernst, Olivier; Leroy, Christophe; Sergent, Geraldine [Department of Radiology, Hopital Huriez, 1 rue Polonovski, 59037 Lille (France); Bulois, Philippe; Saint-Drenant, Sophie; Paris, Jean-Claude [Department of Gastroenterology, Hopital Huriez, 1 rue Polonovski, 59037 Lille (France)

    2003-01-01

    The purpose of this study was to assess the usefulness of helical CT in depicting the location of acute lower gastrointestinal bleeding. A three-phase helical CT of the abdomen was performed in 24 patients referred for acute lower gastrointestinal bleeding. The diagnosis of the bleeding site was established by CT when there was at least one of the following criteria: spontaneous hyperdensity of the peribowel fat; contrast enhancement of the bowel wall; vascular extravasation of the contrast medium; thickening of the bowel wall; polyp or tumor; or vascular dilation. Diverticula alone were not enough to locate the bleeding site. The results of CT were compared with the diagnosis obtained by colonoscopy, enteroscopy, or surgery. A definite diagnosis was made in 19 patients. The bleeding site was located in the small bowel in 5 patients and the colon in 14 patients. The CT correctly located 4 small bowel hemorrhages and 11 colonic hemorrhages. Diagnosis of the primary lesion responsible for the bleeding was made in 10 patients. Our results suggest that helical CT could be a good diagnostic tool in acute lower gastrointestinal bleeding to help the physician to diagnose the bleeding site. (orig.)

  1. Recurrent Midgut Bleeding due to Jejunal Angioleiomyoma

    Directory of Open Access Journals (Sweden)

    Mahir Gachabayov

    2016-01-01

    Full Text Available Angioleiomyoma being a type of true smooth muscle gastrointestinal tumors can lead to serious life-threatening gastrointestinal bleeding. We report a case of 21-year-old male patient with recurrent midgut bleeding. Contrast-enhanced CT revealed highly vascular small bowel neoplasm. The patient underwent laparotomy with bowel resection and recovered uneventfully. Histopathology revealed jejunal angioleiomyoma.

  2. Recurrent Midgut Bleeding due to Jejunal Angioleiomyoma

    OpenAIRE

    2016-01-01

    Angioleiomyoma being a type of true smooth muscle gastrointestinal tumors can lead to serious life-threatening gastrointestinal bleeding. We report a case of 21-year-old male patient with recurrent midgut bleeding. Contrast-enhanced CT revealed highly vascular small bowel neoplasm. The patient underwent laparotomy with bowel resection and recovered uneventfully. Histopathology revealed jejunal angioleiomyoma.

  3. Transarterial embolization of acute intercostal artery bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Bae, Jae Ik; Park, Auh Whan; Lee, Seon Joo [Inje University College of Medicine, Busan (Korea, Republic of); Ko, Gi Young; Yoon, Hyun Ki [University of Ulsan College of Medicine, Seoul (Korea, Republic of); Yoon, Chang Jin [Seoul National University Bundang Hospital, Seongnam (Korea, Republic of); Shin, Tae Beom [Donga University College of Medicine, Busan (Korea, Republic of); Kim, Young Hwan [Kyimyung University School of Medicine, Daegu (Korea, Republic of)

    2005-09-15

    To report our experiences of transarterial embolization for acute intercostal artery bleeding. A retrospectively analysis of the causes, clinical manifestations, angiographic findings and transarterial embolization technique in 8 patients with acute intercostal artery bleeding, with a review of the anatomical basis. The causes of intercostal artery bleeding were iatrogenic and traumatic in 88 and 12% of cases, respectively. Active bleeding from the collateral intercostal or posterior intercostal arteries was angiographically demonstrated in 75 and 25% of cases, respectively. Transarterial embolization successfully achieved hemostasis in all cases. However, two patient with hypovolemic shock expired due to a massive hemothorax, despite successful transarterial embolization. Intercostal access should be performed through the middle of the intercostal space to avoid injury to the collateral intercostal artery. Transarterial embolization is an effective method for the control of intercostal artery bleeding.

  4. Recyclability of Concrete Pavement Incorporating High Volume of Fly Ash

    Directory of Open Access Journals (Sweden)

    Isamu Yoshitake

    2015-08-01

    Full Text Available Recyclable concrete pavement was made from fly ash and crushed limestone sand and gravel as aggregates so that the concrete pavement could be recycled to raw materials for cement production. With the aim to use as much fly ash as possible for the sustainable development of society, while achieving adequate strength development, pavement concrete having a cement-replacement ratio of 40% by mass was experimentally investigated, focusing on the strength development at an early age. Limestone powder was added to improve the early strength; flexural strength at two days reached 3.5 MPa, the minimum strength for traffic service in Japan. The matured fly ash concrete made with a cement content of 200 kg/m3 achieved a flexural strength almost equal to that of the control concrete without fly ash. Additionally, Portland cement made from the tested fly ash concrete was tested to confirm recyclability, with the cement quality meeting the Japanese classification of ordinary Portland cement. Limestone-based recyclable fly ash concrete pavement is, thus, a preferred material in terms of sustainability.

  5. Evaluating Pavement Cracks with Bidimensional Empirical Mode Decomposition

    Directory of Open Access Journals (Sweden)

    Nii Attoh-Okine

    2008-05-01

    Full Text Available Crack evaluation is essential for effective classification of pavement cracks. Digital images of pavement cracks have been analyzed using techniques such as fuzzy set theory and neural networks. Bidimensional empirical mode decomposition (BEMD, a new image analysis method recently developed, can potentially be used for pavement crack evaluation. BEMD is an extension of the empirical mode decomposition (EMD, which can decompose nonlinear and nonstationary signals into basis functions called intrinsic mode functions (IMFs. IMFs are monocomponent functions that have well-defined instantaneous frequencies. EMD is a sifting process that is nonparametric and data driven; it does not depend on an a priori basis set. It is able to remove noise from signals without complicated convolution processes. BEMD decomposes an image into two-dimensional IMFs. The present paper explores pavement crack detection using BEMD together with the Sobel edge detector. A number of images are filtered with BEMD to remove noise, and the residual image analyzed with the Sobel edge detector for crack detection. The results are compared with results from the Canny edge detector, which uses a Gaussian filter for image smoothing before performing edge detection. The objective is to qualitatively explore how well BEMD is able to smooth an image for more effective edge detection with the Sobel method.

  6. Ground Penetrating Radar Assessment of Flexible Road Pavement Degradation

    Directory of Open Access Journals (Sweden)

    Sandro Colagrande

    2011-01-01

    Full Text Available GPR investigations were used to study degraded road pavements built in cutting sections. Road integrity was assessed via quantitative analysis of power curves. 1600 MHz and 600 MHz radar sections were collected in 40 damaged and undamaged road pavement sites. The collected data were processed as follows: (i linearisation with regression analysis of power curves; (ii assessment of absorption angle α′ which is directly proportional to absorption coefficient α (this was obtained by setting the e.m. propagation velocity to 10 cm/ns; (iii comparison of absorption coefficients in both damaged and undamaged zones with respect to road pavement degradation. If the absorption coefficients of damaged and undamaged road sections have nearly the same value, then the likely cause of degradation is the fatigue or the thermal shrinkage; if they are not, then road degradation is due to the different compactness of the soil caused by vehicular traffic load. In a considerable number of sites, the statistical comparison of damaged and undamaged zones through the absorption coefficient analysis shows that surface observations of road pavements are quite consistent with power curve analyses.

  7. Optimisation of the Crack Pattern in Continuously Reinforced Concrete Pavements

    NARCIS (Netherlands)

    Ren, D.

    2015-01-01

    Recent field investigations on several new Continuously Reinforced Concrete Pavements (CRCP) in Belgium indicate that its crack pattern is characterized by low mean crack spacing along with a high percentage of clusters of closely spaced cracks. Field surveys also indicate that it is difficult to si

  8. Nitrogen Transformations in Three Types of Permeable Pavement

    Science.gov (United States)

    In 2009, USEPA constructed a 0.4-ha (1-ac) parking lot at the Edison Environmental Center in Edison, NJ, that incorporated three different permeable pavement types - permeable interlocking concrete pavers (PICP), pervious concrete (PC), and porous asphalt (PA). The driving lanes...

  9. Representative volume element of asphalt pavement for electromagnetic measurements

    Directory of Open Access Journals (Sweden)

    Terhi Pellinen

    2015-02-01

    Full Text Available The motivation for this study was to investigate the representative volume element (RVE needed to correlate the nondestructive electromagnetic (EM measurements with the conventional destructive asphalt pavement quality control measurements. A large pavement rehabilitation contract was used as the test site for the experiment. Pavement cores were drilled from the same locations where the stationary and continuous Ground Penetrating Radar (GPR measurements were obtained. Laboratory measurements included testing the bulk density of cores using two methods, the surface-saturated dry method and determining bulk density by dimensions. Also, Vector Network Analyzer (VNA and the through specimen transmission configuration were employed at microwave frequencies to measure the reference dielectric constant of cores using two different footprint areas and therefore volume elements. The RVE for EM measurements turns out to be frequency dependent; therefore in addition to being dependent on asphalt mixture type and method of obtaining bulk density, it is dependent on the resolution of the EM method used. Then, although the average bulk property results agreed with theoretical formulations of higher core air void content giving a lower dielectric constant, for the individual cores there was no correlation for the VNA measurements because the volume element seizes deviated. Similarly, GPR technique was unable to capture the spatial variation of pavement air voids measured from the 150-mm drill cores. More research is needed to determine the usable RVE for asphalt.

  10. An Approach for Nonlinear Fatigue Damage Evaluation in Asphalt Pavements

    Science.gov (United States)

    Rajbongshi, Pabitra; Thongram, Sonika

    2016-09-01

    Fatigue due to vehicular loads is one of the primary distress mechanisms in asphalt pavements. It happens primarily due to deterioration in asphalt material with load repetitions. Degradation of asphalt material may be evaluated using different parameters. In view of degradation, the incremental damage in a given pavement section would be different for different repetitions, even with same loadings. Therefore, the damage progression becomes nonlinear with repetitions. Accounting such nonlinearity in damage accumulation, and based on different damage evaluation parameters, this paper presents an equivalent approach for fatigue damage evaluation in asphalt pavements. Traditional fatigue equation adopted in mechanistic-empirical pavement design has been used in the present work. Four different criteria, namely number of load repetitions, asphalt stiffness reduction, strain enhancement and fatigue life reduction with repetitions are considered for damage estimation. The proposed approach could estimate same value of nonlinear damage, irrespective of the criteria used. The simplest form of criterion i.e. the number of load repetitions can be used for fatigue performance evaluation. Probabilistically, the damage propagation is also correlated and assessed with the failure probability.

  11. Development of traffic induced permanent strain in concrete block pavements

    NARCIS (Netherlands)

    Huurman, M.

    1996-01-01

    Concrete block pavements (c.b.p.) commonly consist of concrete blocks placed over a granular substructure. As a result of wheel load passages permanent strains will slowly develop in the substructure and cause rutting. This paper is about the prediction of the permanent strain development in the sub

  12. A Detailed Study of Cbr Method for Flexible Pavement Design

    Directory of Open Access Journals (Sweden)

    Er. Devendra Kumar Choudhary

    2014-06-01

    Full Text Available As per IRC recommendation, California Bearing Ratio (CBR value of subgrade is used for design of flexible pavements. California Bearing Ratio (CBR value is an important soil parameter for design of flexible pavements and runway of air fields. It can also be used for determination of sub grade reaction of soil by using correlation. It is one of the most important engineering properties of soil for design of sub grade of roads. CBR value of soil may depends on many factors like maximum dry density (MDD, optimum moisture content (OMC, liquid limit (LL, plastic limit (PL, plasticity index (PI, type of soil, permeability of soil etc. Besides, soaked or unsoaked condition of soil also affects the value. These tests can easily be performed in the laboratory. the estimation of the CBR could be done on the basis of these tests which are quick to perform, less time consuming and cheap, then it will be easy to get the information about the strength of subgrade over the length of roads, By considering this aspect, a number of investigators in the past made their investigations in this field and designed different pavements by determining the CBR value on the basis of results of low cost, less time consuming and easy to perform tests. In this study, attempts have been made to seek the values of CBR of different soil samples and correlate their CBR values for the design purpose of flexible pavement as per guidelines of IRC: SP: 37-2001.

  13. Modeling Recycling Asphalt Pavement Processing Technologies in Asphalt Mixing Plants

    OpenAIRE

    Simonas Tamaliūnas; Henrikas Sivilevičius

    2011-01-01

    The article presents reclaimed asphalt pavement (RAP) processing technologies and equipment models used in the asphalt mixing plant (AMP). The schematic model indicating all possible ways to process RAP in AMP is shown. The model calculating the needed temperature of mineral materials used for heating RAP is given and an example of such calculation is provided.Article in Lithuanian

  14. Modeling Recycling Asphalt Pavement Processing Technologies in Asphalt Mixing Plants

    Directory of Open Access Journals (Sweden)

    Simonas Tamaliūnas

    2011-04-01

    Full Text Available The article presents reclaimed asphalt pavement (RAP processing technologies and equipment models used in the asphalt mixing plant (AMP. The schematic model indicating all possible ways to process RAP in AMP is shown. The model calculating the needed temperature of mineral materials used for heating RAP is given and an example of such calculation is provided.Article in Lithuanian

  15. Nutrient infiltrate concentrations from three permeable pavement types.

    Science.gov (United States)

    Brown, Robert A; Borst, Michael

    2015-12-01

    While permeable pavement is increasingly being used to control stormwater runoff, field-based, side-by-side investigations on the effects different pavement types have on nutrient concentrations present in stormwater runoff are limited. In 2009, the U.S. EPA constructed a 0.4-ha parking lot in Edison, New Jersey, that incorporated permeable interlocking concrete pavement (PICP), pervious concrete (PC), and porous asphalt (PA). Each permeable pavement type has four, 54.9-m(2), lined sections that direct all infiltrate into 5.7-m(3) tanks enabling complete volume collection and sampling. This paper highlights the results from a 12-month period when samples were collected from 13 rainfall/runoff events and analyzed for nitrogen species, orthophosphate, and organic carbon. Differences in infiltrate concentrations among the three permeable pavement types were assessed and compared with concentrations in rainwater samples and impervious asphalt runoff samples, which were collected as controls. Contrary to expectations based on the literature, the PA infiltrate had significantly larger total nitrogen (TN) concentrations than runoff and infiltrate from the other two permeable pavement types, indicating that nitrogen leached from materials in the PA strata. There was no significant difference in TN concentration between runoff and infiltrate from either PICP or PC, but TN in runoff was significantly larger than in the rainwater, suggesting meaningful inter-event dry deposition. Similar to other permeable pavement studies, nitrate was the dominant nitrogen species in the infiltrate. The PA infiltrate had significantly larger nitrite and ammonia concentrations than PICP and PC, and this was presumably linked to unexpectedly high pH in the PA infiltrate that greatly exceeded the optimal pH range for nitrifying bacteria. Contrary to the nitrogen results, the PA infiltrate had significantly smaller orthophosphate concentrations than in rainwater, runoff, and infiltrate from PICP

  16. Effect Analysis of Vehicle System Parameters on Dynamic Response of Pavement

    Directory of Open Access Journals (Sweden)

    Rong-xia Xia

    2015-01-01

    Full Text Available In order to study the damage of a semirigid pavement under vehicle loads with varied parameters, the random dynamic loads applied on the pavement by a running vehicle were computed with two degrees of freedom, quarter-vehicle model, and then a three-dimensional finite element analysis model of semirigid asphalt pavement was established. With the peak stress index of each pavement layer, the effect of varied vehicle parameters on pavement response was studied. The results indicated that the stress wave frequency of each pavement layer was similar to that of the dynamic random load, and, with increased pavement depth, the wave effect decreased. The pavement response increased with increased suspension stiffness and tire stiffness and decreased with increased suspension damping and tire damping. Furthermore, compared to the stiffness, the response variation induced by the damping was orders of magnitude lower. Compared with the traditional time response analysis method, the peak response analysis of the pavement structure was more scientific, rational, and intuitive, which could be useful for the study of vehicle-pavement interaction and road damage.

  17. Predicting physical clogging of porous and permeable pavements

    Science.gov (United States)

    Yong, C. F.; McCarthy, D. T.; Deletic, A.

    2013-02-01

    SummaryPorous pavements are easily retrofitted, and effective in improving water quality and hydrology, but prone to clogging. Despite being a major determinant in the lifespan of porous pavements, there is limited information on the physical clogging processes through these systems. The aim of this study was to understand the main physical processes that govern physical clogging and develop a simple black-box model that predicts physical clogging. The key variables that were hypothesised to influence clogging were pavement design and climate characteristics. Two compressed time scale laboratory experiments were conducted over 3 years on three common porous pavement types; monolithic porous asphalt, modular Hydrapave and monolithic Permapave. Pavement design was found to be an important role in clogging. Permapave did not clog even after 26 years of operation in simulated sub-tropical Brisbane (Australia) climate while porous asphalt and Hydrapave clogged after just 12 years, from surface clogging and geotextile clogging, respectively. Each system was tested using two different dosing patterns: (1) continual wetting with no dry periods and (2) variable inflow rates with drying periods (i.e. representing more natural conditions). The latter dosing method approximately doubled the lifespan of all systems suggesting the influence of climate conditions on clogging. Clogging was found to be highly correlated with cumulative volume and flow rate. A simple black-box regression model that predicts physical clogging was developed as a function of cumulative volume and Brisbane climatic conditions. However it is very likely that the shape of this regression is general, and that it could be calibrated for different climates in the future.

  18. Recent rubber crumb asphalt pavement projects in Alberta

    Energy Technology Data Exchange (ETDEWEB)

    Soleyman, H.R. [Alberta Univ., Edmonton, AB (Canada). Dept. of Civil and Environmental Engineering; Pulles, B.C.M.; Treleaven, L.B. [EBA Engineering Consultants Ltd., Edmonton, AB (Canada)

    2003-07-01

    Several countries around the world have been using rubber crumb (RC) for pavement applications for more than 20 years. The performance of asphalt pavements is enhanced by the use of recycled tires, which has the added advantage of solving the problem of tire disposal. In 2002, the Tire Recycling Management Association of Alberta (TRMA) and Alberta Transportation (AT) evaluated the feasibility and performance of an overlay using asphalt rubber (AR) pavement in Alberta. A partnership in the project was formed by AT, the City of Calgary, the City of Edmonton, and Strathcona County, where each one paved one section of a road with AR in conjunction with a section using conventional or other asphalt mixture types. The roads selected were: (1) 112 Avenue North West in Calgary, (2) 17 Street and Baseline Road in Strathcona County, (3) 137 Avenue in Edmonton, and (4) highway 630 in the vicinity of North Cooking Lake (Alberta Transportation). Two different AR pavement thicknesses were used to study the effects of overlay thicknesses on the performance of the overlay. The structural and functional factors were monitored before, during and after the construction of all sections. The preliminary evaluation of the application of AR in Alberta was presented, along with a summary of test results and performances of AR pavement sections. A full freeze-thaw cycle is required (Spring 2003) before the results of the analysis of the testing are known. The reduced thickness AR sections performed in a similar manner to those with full thickness AC sections. 10 refs., 5 tabs., 3 figs.

  19. Upper gastrointestinal bleeding - state of the art.

    Science.gov (United States)

    Szura, Mirosław; Pasternak, Artur

    2014-01-01

    Upper gastrointestinal (GI) bleeding is a condition requiring immediate medical intervention, with high associated mortality exceeding 10%. The most common cause of upper GI bleeding is peptic ulcer disease, which largely corresponds to the intake of NSAIDs and Helicobacter pylori infection. Endoscopy is the essential tool for the diagnosis and treatment of active upper GI hemorrhage. Endoscopic therapy together with proton pump inhibitors and eradication of Helicobacter pylori significantly reduces rebleeding rates, mortality and number of emergency surgical interventions. This paper presents contemporary data on the diagnosis and treatment of upper gastrointestinal bleeding.

  20. Compressor bleed cooling fluid feed system

    Science.gov (United States)

    Donahoo, Eric E; Ross, Christopher W

    2014-11-25

    A compressor bleed cooling fluid feed system for a turbine engine for directing cooling fluids from a compressor to a turbine airfoil cooling system to supply cooling fluids to one or more airfoils of a rotor assembly is disclosed. The compressor bleed cooling fluid feed system may enable cooling fluids to be exhausted from a compressor exhaust plenum through a downstream compressor bleed collection chamber and into the turbine airfoil cooling system. As such, the suction created in the compressor exhaust plenum mitigates boundary layer growth along the inner surface while providing flow of cooling fluids to the turbine airfoils.

  1. Lower Gastrointestinal Bleeding in Chronic Hemodialysis Patients

    Directory of Open Access Journals (Sweden)

    Fahad Saeed

    2011-01-01

    Full Text Available Gastrointestinal (GI bleeding is more common in patients with chronic kidney disease and is associated with higher mortality than in the general population. Blood losses in this patient population can be quite severe at times and it is important to differentiate anemia of chronic diseases from anemia due to GI bleeding. We review the literature on common causes of lower gastrointestinal bleeding (LGI in chronic kidney disease (CKD and end-stage renal disease (ESRD patients. We suggest an approach to diagnosis and management of this problem.

  2. Long-term stormwater quantity and quality performance of permeable pavement systems.

    Science.gov (United States)

    Brattebo, Benjamin O; Booth, Derek B

    2003-11-01

    This study examined the long-term effectiveness of permeable pavement as an alternative to traditional impervious asphalt pavement in a parking area. Four commercially available permeable pavement systems were evaluated after 6 years of daily parking usage for structural durability, ability to infiltrate precipitation, and impacts on infiltrate water quality. All four permeable pavement systems showed no major signs of wear. Virtually all rainwater infiltrated through the permeable pavements, with almost no surface runoff. The infiltrated water had significantly lower levels of copper and zinc than the direct surface runoff from the asphalt area. Motor oil was detected in 89% of samples from the asphalt runoff but not in any water sample infiltrated through the permeable pavement. Neither lead nor diesel fuel were detected in any sample. Infiltrate measured 5 years earlier displayed significantly higher concentrations of zinc and significantly lower concentrations of copper and lead.

  3. Decision of National and Provincial Highway Asphalt Pavement Structure Based on Value Engineering

    Directory of Open Access Journals (Sweden)

    Yingwei Ren

    2014-01-01

    Full Text Available It is important that decision of asphalt pavement structure requires overall considerations of the performance and financial investment. To have asphalt pavement structure fulfilling good reliability, the asphalt pavement structure decision was researched based on value engineering theory. According to the national and provincial highway investigation data in Shandong Province during the last decade, the asphalt pavement performance attenuation rules of traffic levels and asphalt layer thicknesses were developed, and then the road performance evaluation method was presented. In addition, the initial investments, the costs of road maintenance, and middle-scale repair in a period were analyzed. For the light traffic and medium traffic example, using the value engineering method, the pavement performance and costs of which thickness varies from 6 cm to 10 cm were calculated and compared. It was concluded that value engineering was an effective method in deciding the asphalt pavement structure.

  4. Genetic analysis of bleeding disorders.

    Science.gov (United States)

    Edison, E; Konkle, B A; Goodeve, A C

    2016-07-01

    Molecular genetic analysis of inherited bleeding disorders has been practised for over 30 years. Technological changes have enabled advances, from analyses using extragenic linked markers to next-generation DNA sequencing and microarray analysis. Two approaches for genetic analysis are described, each suiting their environment. The Christian Medical Centre in Vellore, India, uses conformation-sensitive gel electrophoresis mutation screening of multiplexed PCR products to identify candidate mutations, followed by Sanger sequencing confirmation of variants identified. Specific analyses for F8 intron 1 and 22 inversions are also undertaken. The MyLifeOurFuture US project between the American Thrombosis and Hemostasis Network, the National Hemophilia Foundation, Bloodworks Northwest and Biogen uses molecular inversion probes (MIP) to capture target exons, splice sites plus 5' and 3' sequences and to detect F8 intron 1 and 22 inversions. This allows screening for all F8 and F9 variants in one sequencing run of multiple samples (196 or 392). Sequence variants identified are subsequently confirmed by a diagnostic laboratory. After having identified variants in genes of interest through these processes, a systematic procedure determining their likely pathogenicity should be applied. Several scientific societies have prepared guidelines. Systematic analysis of the available evidence facilitates reproducible scoring of likely pathogenicity. Documentation of frequency in population databases of variant prevalence and in locus-specific mutation databases can provide initial information on likely pathogenicity. Whereas null mutations are often pathogenic, missense and splice site variants often require in silico analyses to predict likely pathogenicity and using an accepted suite of tools can help standardize their documentation.

  5. Acute Lower Gastrointestinal Bleeding: Part I

    Directory of Open Access Journals (Sweden)

    Robert Enns

    2001-01-01

    Full Text Available Acute lower gastrointestinal (LGI bleeding is typically caused by vascular malformations, diverticuli and neoplasia. Although endoscopic evaluation of the colon is relatively standard in stable patients with LGI bleeding, those with significant ongoing hemorrhage are often more difficult to evaluate endoscopically. Other investigative techniques such as nuclear scintigraphy, angiography and surgical exploration have been commonly used in unstable patients with LGI bleeding when the exact site is unknown. These investigative techniques have had variable measures of success. This two-part review evaluates the literature in an attempt to review the optimal investigative approach in patients with LGI hemorrhage, in particular patients who have had significant and ongoing bleeding. Part 1 of this article concentrates on the etiology of LGI hemorrhage, followed in a subsequent article by diagnostic and management strategies. Following the review, a consensus update will be included with guidelines for clinical use.

  6. Fibrinogen concentrate for bleeding - a systematic review

    DEFF Research Database (Denmark)

    Lunde, J; Stensballe, J; Wikkelsø, A;

    2014-01-01

    Fibrinogen concentrate as part of treatment protocols increasingly draws attention. Fibrinogen substitution in cases of hypofibrinogenaemia has the potential to reduce bleeding, transfusion requirement and subsequently reduce morbidity and mortality. A systematic search for randomised controlled...

  7. Gastrointestinal bleeding in the pediatric patient.

    OpenAIRE

    Hillemeier, C.; Gryboski, J. D.

    1984-01-01

    Gastrointestinal hemorrhage in infants and children is a catastrophic event but is not associated with significant mortality except in those with a severe primary illness. Upper gastrointestinal bleeding in infants and young children is most often associated with stress ulcers or erosions, but in older children it may also be caused by duodenal ulcer, esophagitis, and esophageal varices. Lower gastrointestinal bleeding may be caused by a variety of lesions among which are infectious colitides...

  8. Integrating Pavement Crack Detection and Analysis Using Autonomous Unmanned Aerial Vehicle Imagery

    Science.gov (United States)

    2015-03-27

    the- art status in pavement health classification, UAV technology, and computer vision. Pavement Health Pavement repair has been a concern since... photography is uses an f-number. Each time the f- number is doubled, twice the rate of light is allowed onto the image sensor. A camera with a higher... photography in support of this research. Table 2 lists these airframes tested and applicable attributes examined in the selection process. Table 2

  9. Pre-Cast Concrete Panels for Contingency Rigid Airfield Pavement Damage Repairs

    Science.gov (United States)

    2010-06-01

    transfer mechanism in rigid pavements . Load transfer is essentially a design parameter that characterizes the reduction in the stresses and strains in the...the PCC slabs at the joints. Therefore, pavement responses such as stresses and strains are significantly lower compared to situations where no load...presented in Appendix C. Another method to calculate the load transfer efficiency in rigid pavements is based on the stresses under the PCC slabs at

  10. Sensitivity analysis of longitudinal cracking on asphalt pavement using MEPDG in permafrost region

    OpenAIRE

    Chen Zhang; Hainian Wang; Zhanping You; Biao Ma

    2015-01-01

    Longitudinal cracking is one of the most important distresses of asphalt pavement in permafrost regions. The sensitivity analysis of design parameters for asphalt pavement can be used to study the influence of every parameter on longitudinal cracking, which can help optimizing the design of the pavement structure. In this study, 20 test sections of Qinghai–Tibet Highway were selected to conduct the sensitivity analysis of longitudinal cracking on material parameter based on Mechanistic-Empiri...

  11. Use of Reclaimed Asphalt Pavement in Conjunction with Ground Improvement: A Case History

    OpenAIRE

    Foye, Kevin C.

    2011-01-01

    The use of Reclaimed Asphalt Pavement (RAP) in lieu of virgin crushed stone aggregate is becoming a widely accepted practice for a number of construction applications, particularly pavement base courses. A number of laboratory RAP studies have considered the mechanical properties of RAP bases in order to support pavement designs incorporating RAP. These studies have revealed a number of interesting relationships between RAP moisture content, compaction, and stiffness. This paper discusses the...

  12. Angiographic diagnosis and treatment of gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Park, Jae Hyung; Sung, Kyu Bo; Koo, Kyung Hoi; Bae, Tae Young; Chung, Eun Chul; Han, Man Chung [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1986-02-15

    Diagnostic angiographic evaluations were done in 33 patients with gastrointestinal bleeding for recent 5 years at Department of Radiology, Seoul National University Hospital. On 11 patients of them, therapeutic interventional procedures were made and the results were analysed. 1. In a total of 33 cases, there were 18 cases of upper GI bleeding and 15 cases of lower GI bleeding. The most frequent causes were peptic ulcer in the former and intestinal typhoid fever in the latter. 2. Bleeding sites were localized angiographically in 28 cases, so the detection rate was 85%. Four of the five angiographically negative cases were lower GI bleeding cases. 3. The most frequent bleeding site was left gastric artery (7/33). The next was ileocecal branch of superior mesenteric artery (6/33). 4. Among the 11 interventional procedures, Gelfoam embolization was done in 7 cases and Vasopressin infusion was tried in 4 cases. They were successful in 4 and 3 cases, suggesting 57% and 47% success rates respectively.

  13. Performance of pervious pavement parking bays storing rainwater in the north of Spain.

    Science.gov (United States)

    Gomez-Ullate, E; Bayon, J R; Coupe, S; Castro-Fresno, D

    2010-01-01

    Pervious pavements are drainage techniques that improve urban water management in a sustainable manner. An experimental pervious pavement parking area has been constructed in the north of Spain (Santander), with the aim of harvesting good quality rainwater. Forty-five pervious pavement structures have been designed and constructed to measure stored water quantity and quality simultaneously. Ten of these structures are specifically constructed with different geotextile layers for improving water storage within the pavements. Following the confirmation in previous laboratory experiments that the geotextile influenced on water storage, two different geosynthetics (Inbitex and a One Way evaporation control membrane) and control pervious pavements with no geotextile layers were tested in the field. Weather conditions were monitored in order to find correlations with the water storage within the pervious pavement models tested. During one year of monitoring the three different pervious pavement types tested remained at their maximum storage capacity. The heavy rain events which occurred during the experimental period caused evaporation rates within the pervious pavements to be not significant, but allowed the researchers to observe certain trends in the water storage. Temperature was the most closely correlated weather factor with the level of the water stored within the pervious pavements tested.

  14. ABNORMAL UTERINE BLEEDING IN PERIMENOPAUSE

    Directory of Open Access Journals (Sweden)

    Shivaji

    2016-06-01

    endometrial carcinoma. Perimenopausal women with heavy or irregular menstrual bleeding should have an endometrial biopsy taken to exclude endometrial disease and early evaluation and diagnosis of the complications of AUB, and thus arrive at timely and effective therapeutic strategies.

  15. Automatic Road Pavement Assessment with Image Processing: Review and Comparison

    Directory of Open Access Journals (Sweden)

    Sylvie Chambon

    2011-01-01

    Full Text Available In the field of noninvasive sensing techniques for civil infrastructures monitoring, this paper addresses the problem of crack detection, in the surface of the French national roads, by automatic analysis of optical images. The first contribution is a state of the art of the image-processing tools applied to civil engineering. The second contribution is about fine-defect detection in pavement surface. The approach is based on a multi-scale extraction and a Markovian segmentation. Third, an evaluation and comparison protocol which has been designed for evaluating this difficult task—the road pavement crack detection—is introduced. Finally, the proposed method is validated, analysed, and compared to a detection approach based on morphological tools.

  16. Investigations of the dynamics of road pavement reflectance

    Institute of Scientific and Technical Information of China (English)

    Kang Jiang; Kai Yu; Yongchao Zhao

    2012-01-01

    Road pavement reflectance is usually assumed to be invariant in short periods of time in some quantitative remote sensing applications. To examine its variability,reflectance sequences of concrete and asphalt pavement are measured in field for half a day in visible and near-infarecd (VNIR) spectral range using dual-beam method.As much as 20.7% and 3.52% of relative changes are found in asphalt and concrete reflectance data at 550 nm,and all VNIR bands demonstrate similar variations found to correlate with both illumination geometry and the relative portion of diffuse irradiance.In this letter,this effect is interpreted from a mathematic view.Further studies are needed to model the dynamics of reflectance physically.

  17. Mechanical Properties of Asphalt Pavement Structure in Highway Tunnel

    Institute of Scientific and Technical Information of China (English)

    SHI Chun-xiang; GUO Zhong-yin

    2008-01-01

    A linear full 3D finite element method (FEM) was performed in order to present the key design parameters of highway tunnel asphalt pavement under double-wheel load on rectangular loaded area considering horizontal contact stress induced by the acceleration/deceleration of vehicles. The key design parameters are the maximum horizontal tensile stresses at the surface of the asphalt layer, the maximum horizontal tensile stresses at the bottom of the asphalt layer and the maximum vertical shear stresses at the surface of the as- phalt layer were calculated. The influencing factors such as double-wheel weight; asphalt layer thickness; base course stiffness modulus and thickness; and the contact conditions among the structure layers on these key design parameters were also examined separately to propose construction procedures of highway tunnel asphalt pavement.

  18. Use of Recycled Aggregate and Fly Ash in Concrete Pavement

    Directory of Open Access Journals (Sweden)

    Myle N. James

    2011-01-01

    Full Text Available Problem statement: Recycled materials aggregate from the demolished concrete structures and fly ash from burning coal shows the possible application as structural and non structural components in concrete structures. This research aims to evaluate the feasibility of using concrete containing recycled concrete aggregate and fly ash in concrete pavement. Approach: Two water cement ratio (0.45 and 0.55 the compressive strength, modulus of electricity and flexural strength for concrete with recycled aggregate and fly ash with 0, 25% replacing cement in mass were considered. Results: The material properties of recycled aggregate concrete with fly ash indicate comparable results with that of concrete with natural aggregate and without fly ash. Conclusion/Recommendations: The recycled materials could be used in concrete pavement and it will promote the sustainability of concrete.

  19. Kinect, a Novel Cutting Edge Tool in Pavement Data Collection

    Science.gov (United States)

    Mahmoudzadeh, A.; Firoozi Yeganeh, S.; Golroo, A.

    2015-12-01

    Pavement roughness and surface distress detection is of interest of decision makers due to vehicle safety, user satisfaction, and cost saving. Data collection, as a core of pavement management systems, is required for these detections. There are two major types of data collection: traditional/manual data collection and automated/semi-automated data collection. This paper study different non-destructive tools in detecting cracks and potholes. For this purpose, automated data collection tools, which have been utilized recently are discussed and their applications are criticized. The main issue is the significant amount of money as a capital investment needed to buy the vehicle. The main scope of this paper is to study the approach and related tools that not only are cost-effective but also precise and accurate. The new sensor called Kinect has all of these specifications. It can capture both RGB images and depth which are of significant use in measuring cracks and potholes. This sensor is able to take image of surfaces with adequate resolution to detect cracks along with measurement of distance between sensor and obstacles in front of it which results in depth of defects. This technology has been very recently studied by few researchers in different fields of studies such as project management, biomedical engineering, etc. Pavement management has not paid enough attention to use of Kinect in monitoring and detecting distresses. This paper is aimed at providing a thorough literature review on usage of Kinect in pavement management and finally proposing the best approach which is cost-effective and precise.

  20. Marginal Aggregates in Flexible Pavements: Background Survey and Experimental Plan

    Science.gov (United States)

    1994-08-01

    cement, bitumen , and water has been marketed in France under the trade name Stabicol 71 , but it is not yet available in the U.S. This composite...in a pavement base course. Geotextile reinforcement and a new portland cement- bitumen emulsion have considerable potential to upgrade substandard...modifiers with SBS , polyethylene. 30 b) Hard Asphalt Cement - AC 40 asphalt cement. c) Large Stone Asphalt Mixtures - Increase maximum aggregate size. e

  1. The improvement of pavement performance using asphalt rubber hot mixes

    OpenAIRE

    Pais, Jorge C.; Pereira, Paulo A. A.

    2007-01-01

    The need of a better pavement performance has led researchers to develop new road materials, mainly for the asphalt layers, where the modification of the asphalt is the main example. This modification usually forces the use of polymers and fibers and, more recently, the use of crumb rubber from ground tires, where the modified asphalt is known as asphalt rubber. This asphalt rubber used in asphalt mixtures produces a superior performance if compared to the asphalt mixtures with...

  2. Structural Design of Asphalt Pavement for Low Cost Rural Roads

    Institute of Scientific and Technical Information of China (English)

    Yuan Goulin; Chen Rongshen

    2006-01-01

    On the basis of the equivalent axle load action frequency, the traffic classifications of rural roads as well as their corresponding types are classified. The asphalt pavement structure, road surface types and thickness of the rural roads are suggested for the various action frequency of the equivalent axle load. Furthermore, the roadbase thickness graphs are provided according to different equivalent axle load action frequency with different roadbed modulus and road surface modulus taken into account.

  3. The Research on the Cracks of the Asphalt Pavement

    Directory of Open Access Journals (Sweden)

    OuYangZiqiang

    2015-07-01

    Full Text Available The cracking is one of the common diseases of the asphalt pavement. According to the shape and the forming reasons, the cracks can be divided into two categories. Each categories can be divided into several types. Through the comparison and the analysis of the causes of different cracks, the prevention and the treatments are proposed in the respects of the structural design, material design and construction

  4. Pavement wear and airborne dust pollution in Norway

    OpenAIRE

    Snilsberg, Brynhild

    2008-01-01

    In several large cities in Norway the traffic volume is high. The use of studded tires and other friction enhancing measures during winter leads to significant pavement wear, which in turn leads to an increase in the amount of airborne particulate matter, often exceeding the limits set in the ambient air regulation. This represents a nuisance or health risk for people being exposed to the pollution. According to regulations set by the European Union particulate matter is measured and regulate...

  5. Evaluation of Nontraditional Airfield Pavement Surfaces for Contingency Operations

    Science.gov (United States)

    2014-01-01

    a layer of single -sized coarse aggregate, followed by vibrating fine aggregates, into the voids (dry-bound macadam) or using water to flush the... single surface treatment application is called a single bituminous surface treatment or chip seal and, when two or more successive layers of single ...Stabilized layer failure In evaluating a macadam or surface-treated pavement , if the binder no longer holds the aggregate in place (usually due to

  6. DYNAMIC JOINT LOAD TRANSFER EFFICIENCY OF RIGID PAVEMENT

    Directory of Open Access Journals (Sweden)

    YU Xinhua

    2011-02-01

    Full Text Available the mechanistic analysis presented in this paper is only the beginning of new approach for understanding the real joint load transfer capability on airport and highway concrete pavements. It gives up the two major assumptions those have been popularly adopted by hundreds of published papers: the load is transferred under a wheel with zero speed and with fixed position. The real load transfer in field is always under wheels with non-zero speed and with varied position at any moment. The objective of this study focuses on quantifying the dynamic effects of a moving wheel while it is crossing a joint on a pavement. The analysis is conducted using a model of two-slab system on Kelvin foundation under a moving wheel with variable speed v, different pavement damping Cs, foundation reaction modulus k and foundation damping Ck. The dynamic joint load transfer efficiency is temporarily and empirically defined by the peak strain ratio LTE(S on the two sides of a joint. The primary findings include: (1 The higher speed of a moving wheel leads to the higher LTE(S;(2 The larger the pavement damping Cs leads to the higher LTE(S;(3 The numerical ratio c(=LTE(Sdynamic/ LTE(Sstatic varies in the range 1 to 2 mainly depending on speed v and damping Cs;(4 The LTE(Sdynamic is not sensitive to foundation reaction modulus k and foundation damping Ck. Further researches are needed for appropriate applications of the new model in practice.

  7. Guidelines for Design, Construction, and Evaluation of Airport Pavement Drainage

    Science.gov (United States)

    1990-10-01

    Cedergren et. al. (11) have indicated that subsurface drainage may not be needed in pavement systems where the average annual precipitation is less...contributes water flow to each crack or joint (2). These are several ways in which the surface infiltration rate can be determined. Cedergren (3,4) has...Calculation Modules The program performs the following calculations: 5.5.7.1 Water Sources Surface infiltration (user selectable) Ridgeway procedure Cedergren

  8. Evaluation of Procedures for Backcalculation of Airfield Pavement Moduli

    Science.gov (United States)

    2015-08-01

    94/11. McLean, VA: U.S. Department of Transportation , Federal Highway Administration (FHWA). ERDC/GSL TR-15-31 143 Lytton, R.L. 1989...compared to processes utilized by other transportation agencies and those proposed by academia. Airfield deflection data were then analyzed using current...aircraft. As tire pressures and aircraft weights have increased steadily during this time, the design and evaluation software– Pavement- Transportation

  9. Influential Factors on Deicing Performance of Electrically Conductive Concrete Pavement

    Institute of Scientific and Technical Information of China (English)

    TANG Zuquan; QIAN Jueshi; LI Zhuoqiu; WU Chuanming

    2006-01-01

    The deicing experiment of carbon fiber reinforced electrically conductive concrete (CFRC) slab was conducted in laboratory at first, then the deicing process of CFRC pavement was analyzed by means of finite element method (FEM). At last, based on the energy conservation law and the computing results of finite element method, the influential factors including the setting of electric heating layer, environmental temperature, the thickness of ice, material parameters, and deicing power on deicing performance and energy consumption were discussed.

  10. EVALUATION OF TIRE RUBBER DISPOSAL IN CONCRETE FOR PAVEMENTS

    Directory of Open Access Journals (Sweden)

    Rosa Cristina Cecche Lintz

    2009-12-01

    Full Text Available The production of waste by the tire industry has been a growing problem, indicating the need for its reuse. More than thirty million tires are discharged per year in Brazil, where regulation for the environment states that for each four new tires, five unusable ones must be adequately disposed by manufacturers and importers. Paving consumes an extremely large quantity of materials, which can be the source of rational application of waste and rejected materials. Research shows that tire rubber can be added to asphalt, which increases its durability and improves pavement quality and safety conditions by absorbing the rubber elastic properties, and also be used for architectural applications, among others. This study deals with the addition of rubber fibers from tire crushing in concrete for roadway pavements in order to provide proper indication about the alternative material disposal through an evaluation of the mechanical behavior of the modified concrete. Different concrete mixes were produced, within which, part of fine aggregates were substituted by tire rubber and mechanical experiment tests were performed, which show that, due to great resistance losses, the disposal of this alternative material in concrete should be considered for light traffic pavements, with the addition of rubber ranging up to 10% in mass.

  11. Performance of Recycled Asphalt Pavement as Coarse Aggregate in Concrete

    Directory of Open Access Journals (Sweden)

    Fidelis O. OKAFOR

    2010-12-01

    Full Text Available Recycled asphalt pavement (RAP is the reclaimed and reprocessed pavement material containing asphalt and aggregate. Most RAP is recycled back into pavements, and as a result there is a general lack of data pertaining to the mechanical properties for RAP in other possible applications such as Portland cement concrete. In the present study, some mechanical properties of Portland cement concrete containing RAP as coarse aggregate were investigated in the laboratory. Six concrete mixes of widely differing water/cement ratios and mix proportions were made using RAP as coarse aggregate. The properties tested include the physical properties of the RAP aggregate, the compressive and flexural strengths of the concrete. These properties were compared with those of similar concretes made with natural gravel aggregate. Results of the tests suggest that the strength of concrete made from RAP is dependent on the bond strength of the “asphalt-mortar” (asphalt binder-sand-filler matrix coatings on the aggregates and may not produce concrete with compressive strength above 25 MPa. However, for middle and low strength concrete, the material was found to compare favorably with natural gravel aggregate.

  12. EVALUATION OF TIRE RUBBER DISPOSAL IN CONCRETE FOR PAVEMENTS

    Directory of Open Access Journals (Sweden)

    Rosa Cristina Cecche Lintz

    2009-01-01

    Full Text Available The production of waste by the tire industry has been a growing problem, indicating the need for its reuse. More than thirty million tires are discharged per year in Brazil, where regulation for the environment states that for each four new tires, five unusable ones must be adequately disposed by manufacturers and importers. Paving consumes an extremely large quantity of materials, which can be the source of rational application of waste and rejected materials. Research shows that tire rubber can be added to asphalt, which increases its durability and improves pavement quality and safety conditions by absorbing the rubber elastic properties, and also be used for architectural applications, among others. This study deals with the addition of rubber fibers from tire crushing in concrete for roadway pavements in order to provide proper indication about the alternative material disposal through an evaluation of the mechanical behavior of the modified concrete. Different concrete mixes were produced, within which, part of fine aggregates were substituted by tire rubber and mechanical experiment tests were performed, which show that, due to great resistance losses, the disposal of this alternative material in concrete should be considered for light traffic pavements, with the addition of rubber ranging up to 10% in mass.

  13. Laboratory Measurements of Particulate Matter Concentrations from Asphalt Pavement Abrasion

    Science.gov (United States)

    Fullová, Daša; Đurčanská, Daniela

    2016-12-01

    The issue of emissions from road traffic is compounded by the fact that the number of vehicles and driven kilometres increase each year. Road traffic is one of the main sources of particulate matter and traffic volume is still increasing and has unpleasant impact on longevity of the pavements and the environment. Vehicle motions cause mechanical wearing of the asphalt pavement surface - wearing course by vehicle tyres. The contribution deals with abrasion of bituminous wearing courses of pavements. The asphalt mixtures of wearing courses are compared in terms of mechanically separated particulate matter. The samples of asphalt mixtures were rutted in wheel tracking machine. The particulate matter measurements were performed in laboratory conditions. The experimental laboratory measurements make it possible to sample particulates without contamination from exhaust emissions, abraded particles from vehicles, resuspension of road dust and climate affects. The contribution offers partial results of measurements on six trial samples of asphalt mixtures with different composition. It presents particulate matter morphology and the comparison of rutted asphalt samples in terms of PM mass concentrations and chemical composition.

  14. Numerical Simulation of Moving Load on Concrete Pavements

    Directory of Open Access Journals (Sweden)

    Lajčáková Gabriela

    2015-06-01

    Full Text Available The knowledge of the development with time of the strain and stress states in pavement structures is needed in the solution of various engineering tasks as the design fatigue lifetime reliability maintenance and structure development. The space computing model of the truck TATRA 815 is introduced. The pavement computing model is created in the sense of Kirchhof theory of the thin slab on elastic foundation. The goal of the calculation is to obtain the vertical deflection in the middle of the slab and the time courses of vertical tire forces. The equations of motion are derived in the form of differential equations. The assumption about the shape of the slab deflection area is adopted. The equations of the motion are solved numerically in the environment of program system MATLAB. The dependences following the influence of various parameters (speed of vehicle motion, stiffness of subgrade, slab thickness, road profile on the pavement vertical deflections and the vertical tire forces are introduced. The results obtained from the plate computing model are compared with the results obtained by the FEM analysis. The outputs of the numerical solution in the time domain can be transformed into a frequency domain and subsequently used to solve various engineering tasks.

  15. Study the Relationship between Pavement Surface Distress and Roughness Data

    Directory of Open Access Journals (Sweden)

    Mubaraki Muhammad

    2016-01-01

    Full Text Available In this paper, pavement sections from the highway connected Jeddah to Jazan were selected and analyzed to investigate the relationship between International Roughness Index (IRI and pavement damage including; cracking, rutting, and raveling. The Ministry of Transport (MOT of Saudi Arabia has been collecting pavement condition data using the Road Surface Tester (RST vehicle. The MOT measures Roughness, Rutting (RUT, Cracking (CRA, raveling (RAV. Roughness measurements are calculated in terms of the International Roughness Index (IRI. The IRI is calculated over equally spaced intervals along the road profile. Roughness measurements are performed at speed between at 80 kilometers per hour. Thus RST vehicle has been used to evaluate highways across the country. The paper shows three relationships including; cracking (CRA verses roughness (IRI, rutting (RUT verses IRI, and raveling (RAV verses IRI. Also, the paper developed two models namely; model relates IRI to the three distress under study, and model relates IRI to ride quality. The results of the analysis claim at 95% confidence that a significant relationship exist between IRI and cracking, and raveling. It’s also shown that rutting did not show significant relationship to IRI values. That’s leads to conclude that the distresses types: cracking and raveling may possibly be described as ride quality distresses at different level of significant. Rutting distress described as non-ride quality type’s distresses.

  16. Laboratory Measurements of Particulate Matter Concentrations from Asphalt Pavement Abrasion

    Directory of Open Access Journals (Sweden)

    Fullová Daša

    2016-12-01

    Full Text Available The issue of emissions from road traffic is compounded by the fact that the number of vehicles and driven kilometres increase each year. Road traffic is one of the main sources of particulate matter and traffic volume is still increasing and has unpleasant impact on longevity of the pavements and the environment. Vehicle motions cause mechanical wearing of the asphalt pavement surface - wearing course by vehicle tyres. The contribution deals with abrasion of bituminous wearing courses of pavements. The asphalt mixtures of wearing courses are compared in terms of mechanically separated particulate matter. The samples of asphalt mixtures were rutted in wheel tracking machine. The particulate matter measurements were performed in laboratory conditions. The experimental laboratory measurements make it possible to sample particulates without contamination from exhaust emissions, abraded particles from vehicles, resuspension of road dust and climate affects. The contribution offers partial results of measurements on six trial samples of asphalt mixtures with different composition. It presents particulate matter morphology and the comparison of rutted asphalt samples in terms of PM mass concentrations and chemical composition.

  17. Configurations Of Tire Pressure On The Pavement For Commercial Vehicles: Calculation Of The ‘N’ Number And The Consequences On Pavement Performance

    Directory of Open Access Journals (Sweden)

    Paulo Boulos Filho

    2016-07-01

    Full Text Available Road traffic has a high variety of types of vehicles and cargo transported. One of the main difficulties in pavement design is forecasting the changes in traffic over time and evaluating the comparative deterioration power of the various loads with axle and tire settings and different levels of repetition. The road environment in Brazil, as we know, is the main means of the country's cargo transportation. Throughout the 1990s and 2000s the road modal accounted for over 60% of the total cargo transported in the country leaving the unbalanced Brazilian transport matrix with almost exclusive investments in such means of transportation. According to CNT 2012, which conducted a survey in approximately 45% of the paved network, evaluating the pavement functional conditions, traffic signs and geometry, 46% of the country’s road network has some type of deficiency in the pavement. The goal of this work is to contribute to a better understanding of the complex influence of traffic in the design and service life of the pavement. The load pressure of commercial vehicle tires over the pavement has increased in recent decades. A more apparent effect of this increase in tire pressure would be the change in the pavement- tire contact area which in turn may result in an increase in the contact load between tire and pavement and other harmful effects on the structure. This study aims to determine the effect on the calculation of the N number, or the number of solicitations of the standard axle on the road pavement, measuring the overload as a percentage of the legal load indicated by a scale. In short, we calculate how an increase in the overload percentage in comparison with the allowable load will influence the decrease of the calculated durability of the pavement designed for the highway.

  18. Immediate bleeding complications in dental implants: a systematic review

    OpenAIRE

    Balaguer Martí, José Carlos; Peñarrocha Oltra, David; Balaguer Martínez, José; Peñarrocha Diago, Miguel

    2015-01-01

    Objective: A review is made of the immediate or immediate postoperative bleeding complications in dental implants, with a view to identifying the areas of greatest bleeding risk, the causes of bleeding, the length of the implants associated with bleeding, the most frequently implicated blood vessels, and the treatments used to resolve these complications. Material and Methods: A Medline (PubMed) and Embase search was made of articles on immediate bleeding complications in dental implants publ...

  19. Investigation of mechanical properties of pavement through electromagnetic techniques

    Science.gov (United States)

    Benedetto, Andrea; Tosti, Fabio; D'Amico, Fabrizio

    2014-05-01

    Ground-penetrating radar (GPR) is considered as one of the most flexible geophysical tools that can be effectively and efficiently used in many different applications. In the field of pavement engineering, GPR can cover a wide range of uses, spanning from physical to geometrical inspections of pavements. Traditionally, such inferred information are integrated with mechanical measurements from other traditional (e.g. plate bearing test) or non-destructive (e.g. falling weight deflectometer) techniques, thereby resulting, respectively, in time-consuming and low-significant measurements, or in a high use of technological resources. In this regard, the new challenge of retrieving mechanical properties of road pavements and materials from electromagnetic measurements could represent a further step towards a greater saving of economic resources. As far as concerns unpaved and bound layers it is well-known that strength and deformation properties are mostly affected, respectively, by inter-particle friction and cohesion of soil particles and aggregates, and by bitumen adhesion, whose variability is expressed by the Young modulus of elasticity. In that respect, by assuming a relationship between electromagnetic response (e.g. signal amplitudes) and bulk density of materials, a reasonable correlation between mechanical and electric properties of substructure is therefore expected. In such framework, a pulse GPR system with ground-coupled antennae, 600 MHz and 1600 MHz centre frequencies was used over a 4-m×30-m test site composed by a flexible pavement structure. The horizontal sampling resolution amounted to 2.4×10-2 m. A square regular grid mesh of 836 nodes with a 0.40-m spacing between the GPR acquisition tracks was surveyed. Accordingly, a light falling weight deflectometer (LFWD) was used for measuring the elastic modulus of pavement at each node. The setup of such instrument consisted of a 10-kg falling mass and a 100-mm loading plate so that the influence domain

  20. Bayesian network modelling of upper gastrointestinal bleeding

    Science.gov (United States)

    Aisha, Nazziwa; Shohaimi, Shamarina; Adam, Mohd Bakri

    2013-09-01

    Bayesian networks are graphical probabilistic models that represent causal and other relationships between domain variables. In the context of medical decision making, these models have been explored to help in medical diagnosis and prognosis. In this paper, we discuss the Bayesian network formalism in building medical support systems and we learn a tree augmented naive Bayes Network (TAN) from gastrointestinal bleeding data. The accuracy of the TAN in classifying the source of gastrointestinal bleeding into upper or lower source is obtained. The TAN achieves a high classification accuracy of 86% and an area under curve of 92%. A sensitivity analysis of the model shows relatively high levels of entropy reduction for color of the stool, history of gastrointestinal bleeding, consistency and the ratio of blood urea nitrogen to creatinine. The TAN facilitates the identification of the source of GIB and requires further validation.

  1. Intertidal boulder pavements in the northeastern Gulf of Alaska and their geological significance

    Science.gov (United States)

    Eyles, C. H.

    1994-01-01

    Striated boulder pavements, consisting of planar concentrations of clasts having striated upper surfaces, are a common feature of glacigenic deposits but their origin is not well understood. Laterally extensive pavements are currently forming in the intertidal zone west of Icy Bay in the Gulf of Alaska. Pavements comprise "armoured" layers of interlocking boulders, one clast thick, that have been eroded from underlying outcrops of Late Cenozoic glaciomarine diamictites; they originate essentially as lag surfaces along a high energy, storm-dominated, mesotidal shoreline. Boulder pavements are either flat or show a "nucleated" plan form where successively smaller boulders have been accreted around a large core boulder. Nucleation imparts a hummocky surface topography to the pavements and suggests that some form of size sorting of clasts has occurred. Packing is promoted by repeated tamping of the clast lag by floating masses of glacier ice which become grounded across the intertidal zone at low tide. Repeated abrasion of the pavement surface by debris contained within ice blocks produces smooth, flattened clast upper surfaces and short, randomly oriented striations. Data from Icy Bay can be used to constrain the origin of laterally extensive boulder pavements exposed in Late Cenozoic glaciomarine sediments on Middleton Island. The significance of such pavements in the geologic record is that they form along erosional unconformities and may identify sequence boundaries.

  2. 76 FR 67018 - Notice to Manufacturers of Airport In-Pavement Stationary Runway Weather Information Systems

    Science.gov (United States)

    2011-10-28

    ... Information Systems AGENCY: Federal Aviation Administration (FAA), U.S. DOT. ACTION: Notice to Manufacturers of In-Pavement Stationary Runway Weather Information Systems. SUMMARY: Projects funded under the... Active or Passive In- Pavement Stationary Runway Weather Information Systems that meet the...

  3. Evaluation of Surface and Subsurface Processes in Permeable Pavement Infiltration Trenches

    Science.gov (United States)

    The hydrologic performance of permeable pavement systems can be affected by clogging of the pavement surface and/or clogging at the interface where the subsurface storage layer meets the underlying soil. As infiltration and exfiltration are the primary functional mechanisms for ...

  4. Quantifying Evaporation and Evaluating Runoff Estimation Methods in a Permeable Pavement System

    Science.gov (United States)

    The U.S. Environmental Protection Agency constructed a 0.4-ha parking lot in Edison, New Jersey, that incorporated permeable pavement in the parking lanes which were designed to receive run-on from the impervious hot-mix asphalt driving lanes. Twelve lined permeable pavement sec...

  5. Asphalt Pavement Aging and Temperature Dependent Properties Using Functionally Graded Viscoelastic Model

    Science.gov (United States)

    Dave, Eshan V.

    2009-01-01

    Asphalt concrete pavements are inherently graded viscoelastic structures. Oxidative aging of asphalt binder and temperature cycling due to climatic conditions being the major cause of non-homogeneity. Current pavement analysis and simulation procedures dwell on the use of layered approach to account for these non-homogeneities. The conventional…

  6. 23 CFR 973.208 - Indian lands pavement management system (PMS).

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Indian lands pavement management system (PMS). 973.208... HIGHWAYS MANAGEMENT SYSTEMS PERTAINING TO THE BUREAU OF INDIAN AFFAIRS AND THE INDIAN RESERVATION ROADS PROGRAM Bureau of Indian Affairs Management Systems § 973.208 Indian lands pavement management system...

  7. Unified Methodology for Airport Pavement Analysis and Design. Volume 1. State of the Art

    Science.gov (United States)

    1991-06-01

    pavements with saturated bases and subgrades to well- drained pavements. The damage factors ranged from 10 to 70,000. Cedergren also demonstrated that...34Modulus of Asphalt Mixtures - An Unresolved Dilemma," Transportation Research Board, Research Record 1171, p. 193, Washington, DC 13. Cedergren , H.R

  8. 23 CFR 970.208 - Federal lands pavement management system (PMS).

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Federal lands pavement management system (PMS). 970.208... Federal lands pavement management system (PMS). In addition to the requirements provided in § 970.204, the..., surface type, or other criteria the NPS deems appropriate. (c) The PMS shall be designed to fit the...

  9. RoADS: a road pavement monitoring system for anomaly detection using smart phones

    NARCIS (Netherlands)

    Seraj, Fatjon; Zwaag, van der Berend Jan; Dilo, Arta; Luarasi, Tamara; Havinga, Paul; Atzmueller, Martin; Chin, Alvin; Janssen, Frederik; Schweizer, Immanuel; Trattner, Christoph

    2016-01-01

    Monitoring the road pavement is a challenging task. Authorities spend time and finances to monitor the state and quality of the road pavement. This paper investigate road surface monitoring with smartphones equipped with GPS and inertial sensors: accelerometer and gyroscope. In this study we descri

  10. RoADS: a road pavement monitoring system for anomaly detection using smart phones

    NARCIS (Netherlands)

    Seraj, Fatjon; Zwaag, van der Berend Jan; Dilo, Arta; Luarasi, Tamara; Havinga, Paul

    2014-01-01

    Monitoring the road pavement is a challenging task. Authorities spend time and finances to monitor the state and quality of the road pavement. This paper investigate road surface monitoring with smartphones equipped with GPS and inertial sensors: accelerometer and gyroscope. In this study we describ

  11. Effects of reclaimed asphalt pavement on indirect tensile strength test of conditioned foamed asphalt mix

    Science.gov (United States)

    Yati Katman, Herda; Rasdan Ibrahim, Mohd; Yazip Matori, Mohd; Norhisham, Shuhairy; Ismail, Norlela

    2013-06-01

    This paper presents the results of Indirect Tensile Strength (ITS) Test for samples prepared with reclaimed asphalt pavement (RAP). Samples were conditioned in water at 25°C for 24 hours prior to testing. Results show that recycled aggregate from reclaimed asphalt pavement performs as well as virgin aggregate.

  12. Design of Rigid and Flexible Pavements by Various Methods & Their Cost Analysis of Each Method

    Directory of Open Access Journals (Sweden)

    Saurabh Jain

    2013-09-01

    Full Text Available Highway and pavement design plays an important role in the DPR projects. The satisfactory performance of the pavement will result in higher savings in terms of vehicle operating costs and travel time, which has a bearing on the overall economic feasibility of the project. This paper discusses about the design methods that are traditionally being followed and examines the “Design of rigid and flexible pavements by various methods & their cost analysis by each method”. Flexible pavement are preferred over cement concrete roads as they have a great advantage that these can be strengthened and improved in stages with the growth of traffic and also their surfaces can be milled and recycled for rehabilitation. The flexible pavements are less expensive also with regard to initial investment and maintenance. Although Rigid pavement is expensive but have less maintenance and having good design period. The economic part are carried out for the design pavement of a section by using the result obtain by design method and their corresponding component layer thickness. It can be done by drawing comparisons with the standard way and practical way. This total work includes collection of data analysis various flexible and rigid pavement designs and their estimation procedure are very much useful to engineer who deals with highways.

  13. 78 FR 26847 - Including Specific Pavement Types in Federal-aid Highway Traffic Noise Analyses

    Science.gov (United States)

    2013-05-08

    ... Federal Highway Administration Including Specific Pavement Types in Federal-aid Highway Traffic Noise... types used in Federal-aid highway traffic noise analyses. Current highway traffic noise analyses rely on... suggestions on whether and how to include additional pavement types in Federal-aid highway traffic...

  14. Small intestine bleeding due to multifocal angiosarcoma

    Institute of Scientific and Technical Information of China (English)

    Luisa Zacarias F(o)ohrding; Arne Macher; Stefan Braunstein; Wolfram Trudo Knoefel; Stefan Andreas Topp

    2012-01-01

    We report a case of an 84-year-old male patient with primary small intestinal angiosarcoma.The patient initially presented with anemia and melena.Consecutive endoscopy revealed no signs of upper or lower active gastrointestinal bleeding.The patient had been diagnosed 3 years previously with an aortic dilation,which was treated with a stent.Computed tomography suggested an aorto-intestinal fistula as the cause of the in-testinal bleeding,leading to operative stent explantation and aortic replacement.However,an aorto-intestinal fistula was not found,and the intestinal bleeding did not arrest postoperatively.The constant need for blood transfusions made an exploratory laparotomy imperative,which showed multiple bleeding sites,predominately in the jejunal wall.A distal loop jejunostomy was conducted to contain the small intestinal bleeding and a segmental resection for histological evaluation was performed.The histological analysis revealed a lessdifferentiated tumor with characteristic CD31,cytokeratin,and vimentin expression,which led to the diagnosis of small intestinal angiosarcoma.Consequently,the infiltrated part of the jejunum was successfully resected in a subsequent operation,and adjuvant chemotherapy with paclitaxel was planned.Angiosarcoma of the small intestine is an extremely rare malignant neoplasm that presents with bleeding and high mortality.Early diagnosis and treatment are essential to improve outcome.A small intestinal angiosarcoma is a challenging diagnosis to make because of its rarity,nonspecific symptoms of altered intestinal function,nonspecific abdominal pain,severe melena,and acute abdominal signs.Therefore,a quick clinical and histological diagnosis and decisive measures including surgery and adjuvant chemotherapy should be the aim.

  15. [Epidemiology of upper gastrointestinal bleeding in Gabon].

    Science.gov (United States)

    Gaudong Mbethe, G L; Mounguengui, D; Ondounda, M; Magne, C; Bignoumbra, R; Ntsoumou, S; Moussavou Kombila, J-B; Nzenze, J R

    2014-01-01

    The department of internal medicine of the military hospital of Gabon managed 92 cases of upper gastrointestinal bleeding from April 2009 to November 2011. The frequency of these hemorrhages in the department was 8.2%; they occurred most often in adults aged 30-40 years and 50-60 years, and mainly men (74%). Erosive-ulcerative lesions (65.2%) were the leading causes of hemorrhage, followed by esophageal varices (15.2%). These results underline the importance of preventive measures for the control of this bleeding.

  16. The Approach to Occult Gastrointestinal Bleed.

    Science.gov (United States)

    Naut, Edgar R

    2016-09-01

    Occult gastrointestinal bleeding is not visible and may present with a positive fecal occult blood test or iron deficiency anemia. Obscure bleeding can be overt or occult, with no source identified despite an appropriate diagnostic workup. A stepwise approach to this evaluation after negative upper and lower endoscopy has been shown to be cost effective. This includes repeat endoscopies if warranted, followed by video capsule endoscopy (VCE) if no obstruction is present. If the VCE is positive then specific endoscopic intervention may be possible. If negative, patients may undergo either repeat testing or watchful waiting with iron supplements.

  17. Acid inhibition and peptic ulcer bleeding.

    Science.gov (United States)

    Štimac, D; Franjić, N; Krznarić, Ž

    2011-01-01

    Peptic ulcer bleeding is one of the most common emergency situations in medicine. Combined pharmacological and endoscopic therapy together with emerging interventional radiological procedures are successfully treating peptic ulcer disease, reserving surgical procedures for only a small portion of patients unresponsive to 'conventional' therapy. Technological advancement has seen a great improvement in the field of endoscopic treatment in the form of various methods of hemostasis. However, pharmacological therapy with proton pump inhibitors still plays the central role in the peptic ulcer bleeding treatment algorithm.

  18. Impact of the variation in dynamic vehicle load on flexible pavement responses

    Science.gov (United States)

    Ahsanuzzaman, Md

    The purpose of this research was to evaluate the dynamic variation in asphalt pavement critical responses due to dynamic tire load variations. An attempt was also made to develop generalized regression equations to predict the dynamic response variation in flexible pavement under various dynamic load conditions. The study used an extensive database of computed pavement response histories for five different types of sites (smooth, rough, medium rough, very rough and severely rough), two different asphalt pavement structures (thin and thick) at two temperatures (70 °F and 104 °F), subjected to a tandem axle dual tire at three speeds 25, 37 and 50 mph (40, 60 and 80 km/h). All pavement responses were determined using the 3D-Move Analysis program (Version 1.2) developed by University of Nevada, Reno. A new term called Dynamic Response Coefficient (DRC) was introduced in this study to address the variation in critical pavement responses due to dynamic loads as traditionally measured by the Dynamic Load Coefficient (DLC). While DLC represents the additional varying component of the tire load, DRC represents the additional varying component of the response value (standard deviation divided by mean response). In this study, DRC was compared with DLC for five different sites based on the roughness condition of the sites. Previous studies showed that DLC varies with vehicle speed and suspension types, and assumes a constant value for the whole pavement structure (lateral and vertical directions). On the other hand, in this study, DRC was found to be significantly varied with the asphalt pavement and function of pavement structure, road roughness conditions, temperatures, vehicle speeds, suspension types, and locations of the point of interest in the pavement. A major contribution of the study is that the variation of pavement responses due to dynamic load in a flexible pavement system can be predicted with generalized regression equations. Fitting parameters (R2) in the

  19. Contemporary biogenic formation of clay pavements by eucalypts: further support for the phytotarium concept

    Science.gov (United States)

    Pate, John S.; Verboom, William H.

    2009-01-01

    Background and Aims Clayey (sodosolic) pavements were studied in lateral root catchments of eucalypts where mixed myrtaceous:proteaceous vegetation was colonizing a dune of quartzitic sand blown out from a playa lake during late Pleistocene times. The site at Chillinup in south-west Western Australia provided an opportunity to examine these signature pavements in an unequivocally recent setting, and to assess their effects on competing non-eucalypt vegetation. Methods Pavements were located, and their extents and depths assessed by probing with steel rods, followed by corings and pit excavations using an air spade. Listings of plant species, growth forms and root morphologies were assembled for different vegetation zones in a representative transect across the dune. A deep cutting through the dune provided details on pavement morphology and modifications to the sand deposit bioengineered by eucalypt and heath vegetation. Key Results Clay pavements comprised closely spaced, round-topped columns whose mean diameters and depths varied between eucalypt species. Incipient pavement formation was characterized by clumps of clay deposited around fine root material. Pavements appeared to have been synthesized in situ from locally accessed and imported constituents. Understoreys on superficial pavements of a tree eucalypt were considerably less dense and biodiverse than on the deeper pavements of two mallee species, whilst most profuse vegetation cover was encountered in heath on unmodified (non-pavemented) sand. Certain species were restricted to superficially located pavements, whilst other ‘generalist’ species occurred widely across the dune. Relict pavements formed by earlier generations of eucalypts were present in certain areas of the transect and in soil profiles of the cutting. Some relict pavements colonized by proteaceous shrubs were overprinted with ferricrete. Conclusions Clay pavements formed by eucalypts have pronounced effects on understorey vegetation and

  20. Road Edge of Pavement, Edge of Pavement - polygon digitized by Furgro Earthdata, Published in 2008, 1:2400 (1in=200ft) scale, Effingham County Board Of Commissioners.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Road Edge of Pavement dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Orthoimagery information as of 2008. It is described as...

  1. Diagnosis of gastrointestinal bleeding: A practical guide for clinicians

    Institute of Scientific and Technical Information of China (English)

    Bong; Sik; Matthew; Kim; Bob; T; Li; Alexander; Engel; Jaswinder; S; Samra; Stephen; Clarke; Ian; D; Norton; Angela; E; Li

    2014-01-01

    Gastrointestinal bleeding is a common problem encountered in the emergency department and in the primary care setting. Acute or overt gastrointestinal bleeding is visible in the form of hematemesis, melena or hematochezia. Chronic or occult gastrointestinal bleeding is notapparent to the patient and usually presents as positive fecal occult blood or iron deficiency anemia. Obscure gastrointestinal bleeding is recurrent bleeding when the source remains unidentified after upper endoscopy and colonoscopic evaluation and is usually from the small intestine. Accurate clinical diagnosis is crucial and guides definitive investigations and interventions. This review summarizes the overall diagnostic approach to gastrointestinal bleeding and provides a practical guide for clinicians.

  2. Management of Upper Gastrointestinal Bleeding in Children: Variceal and Nonvariceal.

    Science.gov (United States)

    Lirio, Richard A

    2016-01-01

    Upper gastrointestinal (UGI) bleeding is generally defined as bleeding proximal to the ligament of Treitz, which leads to hematemesis. There are several causes of UGI bleeding necessitating a detailed history to rule out comorbid conditions, medications, and possible exposures. In addition, the severity, timing, duration, and volume of the bleeding are important details to note for management purposes. Despite the source of the bleeding, acid suppression with a proton-pump inhibitor has been shown to be effective in minimizing rebleeding. Endoscopy remains the interventional modality of choice for both nonvariceal and variceal bleeds because it can be diagnostic and therapeutic.

  3. Application of matter-element analysis based on entropy right to evaluate the pavement condition in permafrost region

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Evaluation of pavement performance is one of the most important issues in a pavement-management system.By employing the concept of entropy,the matter-element model for evaluating pavement is established,and the weights of the evaluation indices are obtained from surveying data.By calculating the degree of dependence of the matter-element model,the pavement performance evaluation can be obtained by this method.The results show that the matter-element model based on entropy right has good performance for evaluating the pavement condition in permafrost region.

  4. Assessment of porous asphalt pavement performance: hydraulics and water quality

    Science.gov (United States)

    Briggs, J. F.; Ballestero, T. P.; Roseen, R. M.; Houle, J. J.

    2005-05-01

    The objective of this study is to focus on the water quality treatment and hydraulic performance of a porous asphalt pavement parking lot in Durham, New Hampshire. The site was constructed in October 2004 to assess the suitability of porous asphalt pavement for stormwater management in cold climates. The facility consists of a 4-inch asphalt open-graded friction course layer overlying a high porosity sand and gravel base. This base serves as a storage reservoir in-between storms that can slowly infiltrate groundwater. Details on the design, construction, and cost of the facility will be presented. The porous asphalt pavements is qualitatively monitored for signs of distress, especially those due to cold climate stresses like plowing, sanding, salting, and freeze-thaw cycles. Life cycle predictions are discussed. Surface infiltration rates are measured with a constant head device built specifically to test high infiltration capacity pavements. The test measures infiltration rates in a single 4-inch diameter column temporarily sealed to the pavement at its base. A surface inundation test, as described by Bean, is also conducted as a basis for comparison of results (Bean, 2004). These tests assess infiltration rates soon after installation, throughout the winter, during snowmelt, after a winter of salting, sanding, and plowing, and after vacuuming in the spring. Frost penetration into the subsurface reservoir is monitored with a frost gauge. Hydrologic effects of the system are evaluated. Water levels are monitored in the facility and in surrounding wells with continuously logging pressure transducers. The 6-inch underdrain pipe that conveys excess water in the subsurface reservoir to a riprap pad is also continuously monitored for flow. Since porous asphalt pavement systems infiltrate surface water into the subsurface, it is important to assess whether water quality treatment performance in the subsurface reservoir is adequate. The assumed influent water quality is

  5. Systemic causes of heavy menstrual bleeding

    NARCIS (Netherlands)

    Verschueren, Sophie

    2017-01-01

    Heavy menstrual bleeding (HMB) is a common problem in fertile women. In addition to local factors, such as a polyp or a uterine fibroid, systemic causes may lead to HMB. These systemic causes are discussed in this thesis. For years, women with HMB were tested underlying thyroid disorder, but our res

  6. Acute radiologic intervention in gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Lesak, F.

    1986-01-01

    A case of embolization of the gastroduodenal artery in a 38-year old man with chronic pancreatitis and uncontrollable bleeding is presented. The advantage of this interventional radiologic procedure is discussed and in selective cases it seems to be the choice of treatment.

  7. [OMEPRAZOL VS RANITIDINE IN UPPER DIGESTIVE BLEEDING

    Science.gov (United States)

    Regis R, Regina; Bisso A, Aland; Rebaza, Segundo

    1999-01-01

    Pectic ulcer is the most frequent cause of gastrointestinal bleeding. The homeostatic mechanism of bleeding, and coagulation, does not happen with values of pH less than 5,0. Therefore neutralization of gastric acidity (pH more than 5,0) is a recourse of control, improve the evolution and healing of peptic ulcer and to avoid a new bleeding. The aim of this study was to compare the results of treatment with omeprazole and ranitidine, in 57 patients admitted at emergency room of the Hospital Central de la Polic a Nacional del Per with endoscopic diagnosis of peptic ulcer, using Forrest classification. Patients received omeprazole 40 mg in bolus IV, followed by continuos infusion of 8 mg/hour for 72 hours (group A) or ranitidine 50 mg IV each 8 hours for 72 hours (group B). A new endoscopy was made 72 hours after admission demostrated a succesful therapy in both group. Bleeding stopped in 26/27 patients in group A (96,2%) and in 23/30 patients in group B (76,6%) (pomeprazole IV is more effective than ranitidine IV in the control of UGB because of peptic ulcer and provides a faster healing.

  8. Reoperation for bleeding in cardiac surgery

    DEFF Research Database (Denmark)

    Kristensen, Katrine Lawaetz; Rauer, Line Juul; Mortensen, Poul Erik;

    2012-01-01

    At Odense University Hospital (OUH), 5-9% of all unselected cardiac surgical patients undergo reoperation due to excessive bleeding. The reoperated patients have an approximately three times greater mortality than non-reoperated. To reduce the rate of reoperations and mortality due to postoperati...

  9. Italian Registry of Congenital Bleeding Disorders

    Science.gov (United States)

    Giampaolo, Adele; Abbonizio, Francesca; Arcieri, Romano; Hassan, Hamisa Jane

    2017-01-01

    In Italy, the surveillance of people with bleeding disorders is based on the National Registry of Congenital Coagulopathies (NRCC) managed by the Italian National Institute of Health (Istituto Superiore di Sanità). The NRCC collects epidemiological and therapeutic data from the 54 Hemophilia Treatment Centers, members of the Italian Association of Hemophilia Centres (AICE). The number of people identified with bleeding disorders has increased over the years, with the number rising from approx. 7000 in 2000 to over 11,000 in 2015. The NRCC includes 4020 patients with hemophilia A and 859 patients with hemophilia B. The prevalence of the rare type 3 vWD is 0.20/100,000 inhabitants. Less common congenital bleeding disorders include the following deficiencies: Factor I (fibrinogen), Factor II (prothrombin), Factor V, Factor VII, Factor X, Factor XI and Factor XIII, which affect 1953 patients. Hepatitis C Virus (HCV) infection affects 1561 patients, more than 200 of whom have two infections (HCV + HIV). Estimated hemophilia-related drug consumption in 2015 was approx. 550 million IU of FVIII for hemophilia A patients and approx. 70 million IU of FIX for hemophilia B patients. The NRCC, with its bleeding disorder data set, is a tool that can provide answers to fundamental questions in public health, monitoring care provision and drug treatment, as well as facilitating clinical and epidemiological research. PMID:28335488

  10. Rutting Prediction in Asphalt Pavement Based on Viscoelastic Theory

    Directory of Open Access Journals (Sweden)

    Nahi Mohammed Hadi

    2016-01-01

    Full Text Available Rutting is one of the most disturbing failures on the asphalt roads due to the interrupting it is caused to the drivers. Predicting of asphalt pavement rutting is essential tool leads to better asphalt mixture design. This work describes a method of predicting the behaviour of various asphalt pavement mixes and linking these to an accelerated performance testing. The objective of this study is to develop a finite element model based on viscoplastic theory for simulating the laboratory testing of asphalt mixes in Hamburg Wheel Rut Tester (HWRT for rutting. The creep parameters C1, C2 and C3 are developed from the triaxial repeated load creep test at 50°C and at a frequency of 1 Hz and the modulus of elasticity and Poisson’ s ratio determined at the same temperature. Viscoelastic model (creep model is adopted using a FE simulator (ANSYS in order to calculate the rutting for various mixes under a uniform loading pressure of 500 kPa. An eight-node with a three Degrees of Freedom (UX, UY, and UZ Element is used for the simulation. The creep model developed for HWRT tester was verified by comparing the predicted rut depths with the measured one and by comparing the rut depth with ABAQUS result from literature. Reasonable agreement can be obtained between the predicted rut depths and the measured one. Moreover, it is found that creep model parameter C1 and C3 have a strong relationship with rutting. It was clear that the parameter C1 strongly influences rutting than the parameter C3. Finally, it can be concluded that creep model based on finite element method can be used as an effective tool to analyse rutting of asphalt pavements.

  11. Numerical modeling of inelastic structures at loading of steady state rolling. Thermo-mechanical asphalt pavement computation

    Science.gov (United States)

    Wollny, Ines; Hartung, Felix; Kaliske, Michael

    2016-05-01

    In order to gain a deeper knowledge of the interactions in the coupled tire-pavement-system, e.g. for the future design of durable pavement structures, the paper presents recent results of research in the field of theoretical-numerical asphalt pavement modeling at material and structural level, whereby the focus is on a realistic and numerically efficient computation of pavements under rolling tire load by using the finite element method based on an Arbitrary Lagrangian Eulerian (ALE) formulation. Inelastic material descriptions are included into the ALE frame efficiently by a recently developed unsplit history update procedure. New is also the implementation of a viscoelastic cohesive zone model into the ALE pavement formulation to describe the interaction of the single pavement layers. The viscoelastic cohesive zone model is further extended to account for the normal pressure dependent shear behavior of the bonding layer. Another novelty is that thermo-mechanical effects are taken into account by a coupling of the mechanical ALE pavement computation to a transient thermal computation of the pavement cross-section to obtain the varying temperature distributions of the pavement due to climatic impact. Then, each ALE pavement simulation considers the temperature dependent asphalt material model that includes elastic, viscous and plastic behavior at finite strains and the temperature dependent viscoelastic cohesive zone formulation. The temperature dependent material parameters of the asphalt layers and the interfacial layers are fitted to experimental data. Results of coupled tire-pavement computations are presented to demonstrate potential fields of application.

  12. Development of traffic induced permanent strain in concrete block pavements

    OpenAIRE

    1996-01-01

    Concrete block pavements (c.b.p.) commonly consist of concrete blocks placed over a granular substructure. As a result of wheel load passages permanent strains will slowly develop in the substructure and cause rutting. This paper is about the prediction of the permanent strain development in the substructure and the associated rutting on the basis of the results of repeated load triaxial tests and analytical models. By discussing the behaviour of three c.b.p.'s it is shown that insight into c...

  13. Design Basis for Fibre Reinforced Concrete (FRC) Pavements

    DEFF Research Database (Denmark)

    Bendixen, Søren; Stang, Henrik

    1996-01-01

    -crack opening relationship can beused to descibe the properties of fibre reinforced concrete (FRC) intension and how the stress-crack opening relationship can beapplied in a simple design scheme for pavements. The projectincludes development of design tools, experiments to determine thestress-crack opening......The paper summarises a Ph.D. project on development of a new design basis for fibre reinforced concrete ground slabs. The stress-crack openingrelationship is a well know basic material property of theso-called fictitious crack model for concrete. In the presentstudy it is shown how the stress...

  14. Correlation of bleeding pattern with endometrial histopathologic results in perimenopausal women with abnormal uterine bleeding

    Directory of Open Access Journals (Sweden)

    Zehra Yilmaz

    2015-06-01

    Full Text Available Background: Abnormal Uterine Bleeding (AUB is referred as bleeding outside of normal menstruation pattern and it is the most common gynecological problem for women of all ages. This study was evaluated the correlation of menstrual bleeding patterns and endometrial histopathological findings in perimenopausal women. Methods: This study was done on perimenopausal aged women presented with AUB for the last 6 months at a gynecology clinic of a tertiary medical center. Only the patients with isolated endometrial causes of AUB were selected for study. A total of 313 cases were included in the study. Abnormal bleeding patterns of the patients were recorded and endometrial sampling was performed to all women. AUB was classified as menorrhagia, metrorrhagia, menometrorrhagia, polymenorrhea, intermenstrual bleeding, and histopathological findings were classified as Proliferative Endometrium (PE, Secretory Endometrium (SE, Disordered Proliferative Pattern (DPP, Endometrial Polyp (EP, Chronic Endometritis (CE, Endometrial Hyperplasia (EH, and Endometrial Adenocarcinoma (CA. Results: The most common bleeding pattern was menorrhagia (45.0% and the most common histopathological finding was PE+SE (52.0% in our study. PE+SE and endometrial hyperplasia without atypia were found more common in menorrhagia group. The most histopathological findings were found PE+SE in menometrorrhagia and polymenorrhea group (P 0.05. Conclusions: We concluded that although menometrorrhagia and polymenorrhea were significantly more associated with PE+SE, intermenstrual bleeding was significantly more associated with EP and CE. It is noteworthy that endometrial hyperplasia without atypia is significantly higher in patients with menorrhagia which is the most common abnormal bleeding pattern in perimenopausal aged women. [Int J Reprod Contracept Obstet Gynecol 2015; 4(3.000: 547-550

  15. Risk of bleeding related to antithrombotic treatment in cardiovascular disease

    DEFF Research Database (Denmark)

    Sørensen, Rikke; Olesen, Jonas B; Charlot, Mette;

    2012-01-01

    Antithrombotic therapy is a cornerstone of treatment in patients with cardiovascular disease with bleeding being the most feared complication. This review describes the risk of bleeding related to different combinations of antithrombotic drugs used for cardiovascular disease: acute coronary...

  16. Effects of cross-anisotropy and stress-dependency of pavement layers on pavement responses under dynamic truck loading

    Directory of Open Access Journals (Sweden)

    Rafiqul A. Tarefder

    2016-06-01

    Full Text Available Previous studies by the authors have determined pavement responses under dynamic loading considering cross-anisotropy in one layer only, either the cross-anisotropic viscoelastic asphalt concrete (AC layer or the cross-anisotropic stress-dependent base layer, but not both. This study evaluates pavement stress–strain responses considering cross-anisotropy in all layers, i.e. AC, base and subbase, using finite element modeling (FEM technique. An instrumented pavement section on Interstate I-40 near Albuquerque, New Mexico was used in ABAQUS framework as model geometry. Field asphalt cores were collected and tested in the laboratory to determine the cross-anisotropy (n-values defined by horizontal to vertical modulus ratio, and other viscoelastic parameters as inputs of the model incorporated through user defined material interface (UMAT functionality in ABAQUS. Field base and subbase materials were also collected and tested in the laboratory to determine stress-dependent nonlinear elastic model parameters, as inputs of the model, again incorporated through UMAT. The model validation task was carried out using field-measured deflections and strain values under falling weight deflectometer (FWD loads at the instrumented section. The validated model was then subjected to an actual truck loading for studying cross-anisotropic effects. It was observed that horizontal tensile strain at the bottom of the AC layer and vertical strains in all layers decreased with an increase in n-value of the asphalt layer, from n < 1 (anisotropy to n=1 (isotropy. This indicates that the increase in horizontal modulus caused the decrease in layer strains. It was also observed that if the base and subbase layers were considered stress-dependent instead of linear elastic unbound layers, the horizontal tensile strain at the bottom of the asphalt layer increased and vertical strains on top of the base and subbase also increased.

  17. Effects of cross-anisotropy and stress-dependency of pavement layers on pavement responses under dynamic truck loading

    Institute of Scientific and Technical Information of China (English)

    Rafiqul A. Tarefder; Mesbah U. Ahmed; Asifur Rahman

    2016-01-01

    Previous studies by the authors have determined pavement responses under dynamic loading consid-ering cross-anisotropy in one layer only, either the cross-anisotropic viscoelastic asphalt concrete (AC) layer or the cross-anisotropic stress-dependent base layer, but not both. This study evaluates pavement stressestrain responses considering cross-anisotropy in all layers, i.e. AC, base and subbase, using finite element modeling (FEM) technique. An instrumented pavement section on Interstate I-40 near Albu-querque, New Mexico was used in ABAQUS framework as model geometry. Field asphalt cores were collected and tested in the laboratory to determine the cross-anisotropy (n-values) defined by horizontal to vertical modulus ratio, and other viscoelastic parameters as inputs of the model incorporated through user defined material interface (UMAT) functionality in ABAQUS. Field base and subbase materials were also collected and tested in the laboratory to determine stress-dependent nonlinear elastic model pa-rameters, as inputs of the model, again incorporated through UMAT. The model validation task was carried out using field-measured deflections and strain values under falling weight deflectometer (FWD) loads at the instrumented section. The validated model was then subjected to an actual truck loading for studying cross-anisotropic effects. It was observed that horizontal tensile strain at the bottom of the AC layer and vertical strains in all layers decreased with an increase in n-value of the asphalt layer, from n<1 (anisotropy) to n ¼ 1 (isotropy). This indicates that the increase in horizontal modulus caused the decrease in layer strains. It was also observed that if the base and subbase layers were considered stress-dependent instead of linear elastic unbound layers, the horizontal tensile strain at the bottom of the asphalt layer increased and vertical strains on top of the base and subbase also increased.

  18. Sustainable Development Factors in Pavement Life-Cycle: Highway/Airport Review

    Directory of Open Access Journals (Sweden)

    Peyman Babashamsi

    2016-03-01

    Full Text Available Sustainability has gained as much importance as management in business. Sustainable pavement development as a business practice should involve making evaluations according to the triple bottom line in the pavement life-cycle. Despite the current approaches to evaluating the social as well as economic and environmental feasibility of pavement projects (involving highway and airport infrastructure, there has recently been a lack of consensus on a methodology to guarantee sustainability upon assessment and analysis during the pavement life-cycle. As sustainability is a complex issue, this study intends to further explore sustainability and elaborate on its meaning. The second step involves a general depiction of the major sustainability appraisal tools, namely cost-benefit analysis, life-cycle cost analysis, life-cycle assessment, multi-criteria decision-making, environmental impact assessment and social life-cycle assessment, and an explanation of their cons and pros. Subsequently, the article addresses the application of an organized methodology to highlight the main factors or concepts that should be applied in sustainable pavement development and, more specifically, in sustainable pavement management. In the final step, research recommendations toward sustainability are given. This study is aimed to assist decision-makers in pavement management to plan sustainability frameworks in accordance with probable boundaries and restrictions.

  19. Dynamic considerations in pavement layers moduli evaluation using falling weight deflectometer

    Science.gov (United States)

    Shoukry, Samir N.; Martinelli, David R.; Selezneva, Olga I.

    1996-11-01

    Falling weight deflectometer (FWD) test is employed by many state highway agencies for the nondestructive evaluation of pavement layers moduli. The accuracy of test results changes significantly for different pavement systems and may results in misleading conclusions. In this study, explicit finite element analysis was used to investigate the behavior of pavement layers under the action of an impact load. The time dependent dynamic responses of origin and flexible pavements were compared and significant differences in behavior were observed. Analysis of the time-histories of vertical deformations propagating through the pavement depth reveals that the displacements measured on the surface layer at standard FWD sensors' positions may not be indicative of the displacements of underlying layers. Computer results are provided for the extreme cases of fully bonded and unbonded pavement layers' interfaces. The results of the analysis reveal that the dynamic displacement patterns are much more complicated than the static ones. Animation of the model results indicates that near-surface pavement layers may behave as a set of composite plates resting on an elastic foundation in absence of bonds between the layers interfaces. If there are strong bonds, the near surface layers behave as a single composite solid resting on elastic foundation.

  20. Analytical prediction and field validation of transient temperature field in asphalt pavements

    Institute of Scientific and Technical Information of China (English)

    陈嘉祺; 李亮; 汪浩

    2015-01-01

    This work presented the development and validation of an analytical method to predict the transient temperature field in the asphalt pavement. The governing equation for heat transfer was based on heat conduction radiation and convection. An innovative time-dependent function was proposed to predict the pavement surface temperature with solar radiation and air temperature using dimensional analysis in order to simplify the complex heat exchange on the pavement surface. The parameters for the time-dependent pavement surface temperature function were obtained through the regression analysis of field measurement data. Assuming that the initial pavement temperature distribution was linear and the influence of the base course materials on the temperature of the upper asphalt layers was negligible, a close-form analytical solution of the temperature in asphalt layers was derived using Green’s function. Finally, two numerical examples were presented to validate the model solutions with field temperature measurements. Analysis results show that the solution accuracy is in agreement with field data and the relative errors at a shallower depth are greater than those at a deeper one. Although the model is not sensitive to dramatic changes in climatic factors near the pavement surface, it is applicable for predicting pavement temperature field in cloudless days.

  1. Greenhouse Gas Emissions from Asphalt Pavement Construction: A Case Study in China.

    Science.gov (United States)

    Ma, Feng; Sha, Aimin; Lin, Ruiyu; Huang, Yue; Wang, Chao

    2016-03-22

    In China, the construction of asphalt pavement has a significant impact on the environment, and energy use and greenhouse gas (GHG) emissions from asphalt pavement construction have been receiving increasing attention in recent years. At present, there is no universal criterion for the evaluation of GHG emissions in asphalt pavement construction. This paper proposes to define the system boundaries for GHG emissions from asphalt pavement by using a process-based life cycle assessment method. A method for evaluating GHG emissions from asphalt pavement construction is suggested. The paper reports a case study of GHG emissions from a typical asphalt pavement construction project in China. The results show that the greenhouse gas emissions from the mixture mixing phase are the highest, and account for about 54% of the total amount. The second highest GHG emission phase is the production of raw materials. For GHG emissions of cement stabilized base/subbase, the production of raw materials emits the most, about 98%. The GHG emission for cement production alone is about 92%. The results indicate that any measures to reduce GHG emissions from asphalt pavement construction should be focused on the raw materials manufacturing stage. If the raw materials production phase is excluded, the measures to reduce GHG emissions should be aimed at the mixture mixing phase.

  2. Investigating the Effects of "Cool" Solar Reflective Pavements on California Climate

    Science.gov (United States)

    Mohegh, M.; Ban-Weiss, G. A.; Levinson, R.; Rosado, P.

    2015-12-01

    Implementing "Cool pavement" is a local mitigation strategy that can reduce urban heat islands. We investigated the climate impacts of widespread deployment of cool pavements by increasing the albedo of the pavements from 0.1 to 0.5 to understand the efficiency of cool pavements in reducing the temperature in California's urban areas. A validated parameterization of WRF model coupled with Single Layer Urban Canopy Model (SLUCM) is employed to simulate the effects of pavements at the bottom of canopy on urban heat islands. The results show local surface air temperature reductions, peaking at late morning and late evening which coincides with the lowest boundary layer height in the day time. Summer time temperature reductions up to 0.62 K in the evening (20:00 local) and 0.32 K in afternoon (14:00) in California are predicted. The cooling effects of 15 cities in California are sampled and analyzed. The average temperature reductions for the cities in California show 0.32 K temperature reduction per 0.1 total albedo reduction in the afternoon (14:00) which is consistent with the previous works. The linear relation between temperature reductions and the albedo increase is used to estimate the effect of cool pavements in "No Canopy" state, which can be used as an upper bound of the effects of cool pavements.

  3. Determination of allowable subgrade frost heave with the pavement roughness index in numerical analysis

    Institute of Scientific and Technical Information of China (English)

    HongYan Ma; Feng Zhang; DeCheng Feng; Bo Lin

    2015-01-01

    Frost heave is an upward swelling of soil during cryogenic conditions in cold regions. It is caused by the accumulation of ice crystals in subgrade soil, which grow upwards when freezing temperatures penetrate into the subgrade. This study establishes the allowable soil subgrade frost heave based on the roughness standard of asphalt pavement in China, and aims to balance the pavement design and frost heave resistance of subgrades in cold regions. We formulated a mechanical model of pavement supported by the boundary conditions of differential frost heave, based on the elastic layered system theory. The differential soil subgrade frost heave was modeled as a sinusoidal function, and the allowable frost heave and the roughness index were modeled as the displacement boundaries for the top and bottom of the pavement structure. Then the allowable frost heave was back-calculated according to the roughness standard. Numerical results show that the allowable frost heave depends on the pavement structure, material properties, the highway grade, and other factors. In order to ensure that the actual soil subgrade frost heave is lower than the allowable frost heave, pavement structures and materials need to be selected and designed carefully. The numerical method proposed here can be applied to establish the frost heave re-sistance of subgrade when the pavement structure and materials are determined.

  4. An Optimization Model for Design of Asphalt Pavements Based on IHAP Code Number 234

    Directory of Open Access Journals (Sweden)

    Ali Reza Ghanizadeh

    2016-01-01

    Full Text Available Pavement construction is one of the most costly parts of transportation infrastructures. Incommensurate design and construction of pavements, in addition to the loss of the initial investment, would impose indirect costs to the road users and reduce road safety. This paper aims to propose an optimization model to determine the optimal configuration as well as the optimum thickness of different pavement layers based on the Iran Highway Asphalt Paving Code Number 234 (IHAP Code 234. After developing the optimization model, the optimum thickness of pavement layers for secondary rural roads, major rural roads, and freeways was determined based on the recommended prices in “Basic Price List for Road, Runway and Railway” of Iran in 2015 and several charts were developed to determine the optimum thickness of pavement layers including asphalt concrete, granular base, and granular subbase with respect to road classification, design traffic, and resilient modulus of subgrade. Design charts confirm that in the current situation (material prices in 2015, application of asphalt treated layer in pavement structure is not cost effective. Also it was shown that, with increasing the strength of subgrade soil, the subbase layer may be removed from the optimum structure of pavement.

  5. Capsule endoscopy: Current status in obscure gastrointestinal bleeding

    Institute of Scientific and Technical Information of China (English)

    R Gupta; Nageshwar Duvvuru Reddy

    2007-01-01

    Capsule endoscopy (CE) is a safe, non invasive diagnostic modality for the evaluation of small bowel lesions. Obscure gastrointestinal bleeding (OGIB) is one of the most important indications of capsule endoscopy.Capsule endoscopy has a very high diagnostic yield especially if the bleeding is ongoing. This technique appears to be superior to other techniques for the detection of suspected lesions and the source of bleeding. Capsule endoscopy has been shown to change the outcome in patients with obscure gastrointestinal (GI)bleed.

  6. Vivax malaria:a rare cause of thalamic bleed

    Institute of Scientific and Technical Information of China (English)

    Jaydeep Sarkar; Biku Naik; Atul Gawande; Atul Goel

    2012-01-01

    Most common cause of thalamic bleed is hypertension; other causes are arteriovenous malformation, aneurysm, bleeding diathesis, drugs, amyloid angiopathy, tumor etc.We present a case ofPlasmodium vivax (P. vivax) malaria with unusual site of bleeding i.e. left thalamus of brain.To the best of our knowledge, this is the first reported case of thalamic bleed caused by vivax malaria in absence of severe thrombocytopenia/disseminated intravascular coagulation (DIC).

  7. Abnormal Bleeding During Menopause Hormone Therapy: Insights for Clinical Management

    OpenAIRE

    2013-01-01

    Objective Our objective was to review the involved mechanisms and propose actions for controlling/treating abnormal uterine bleeding during climacteric hormone therapy. Methods A systemic search of the databases SciELO, MEDLINE, and Pubmed was performed for identifying relevant publications on normal endometrial bleeding, abnormal uterine bleeding, and hormone therapy bleeding. Results Before starting hormone therapy, it is essential to exclude any abnormal organic condition, identify women a...

  8. Sustainable Drainage Practices in Spain, Specially Focused on Pervious Pavements

    Directory of Open Access Journals (Sweden)

    Jorge Rodriguez-Hernandez

    2013-01-01

    Full Text Available The Spanish climate is full of contrasts, with torrential rains and long droughts; under these conditions, appropriate water management is essential. In Spain, until the end of the twentieth century, water management and legislative development lagged behind other more developed countries. Nowadays, great efforts are being made to reverse this situation and improve both water management and legislation in order to control the two main problems related to stormwater management in cities: floods and diffuse pollution. In this context, Sustainable Urban Drainage Systems (SUDS were developed as the main solution to these problems. The study of these techniques started in the 1970s in the USA, but they were not studied in Spain until 1993 when the University of Cantabria and CLABSA started to look into solutions for stormwater management. After 20 years of research and application, sustainable drainage in Spain is still behind other countries in spite of the efforts to change this situation, notably by the University of Cantabria with 10 years of experience in these techniques, mainly regarding pervious pavements, where more than 13 related research projects have been carried out. The future challenges focus on the application of pervious pavements for Urban Hydrological Rehabilitation.

  9. ESTIMATION OF THE CONCRETE PAVEMENT TEMPERATURE FIELDS AND THEIR GRADIENTS

    Directory of Open Access Journals (Sweden)

    M. K. Pshembaev

    2015-01-01

    Full Text Available The heat fluxes impact on the road-dressing concrete surfacing under different regions climatic conditions of the construction and maintenance dramatically degrades their solidity, corroding-, shiftingand frost-resistance, and ultimately – the service durability. The source of deformation processes is the character of the gradient temperature fields in the road dressing materials developing with both protracted (static and short run (dynamic heat-and-mass impacts that forward destruction of the pavement surface layers being in contact with free air. In addition, pulsating hydrodynamic pressures appear in the pores of moisture-laden pavement as a result of the vehicular traffic that foster material structure disruption of the surface layers leading to irreversible deformation incipiency (cracks etc.. The authors report of developing a С++ computer program for temperature and gradient fields engineering evaluations of the road dressings made of materials with various surfacing and free-air thermophysical characteristics in line with boundary conditions of the 3rd kind for semi-bounded body. The paper presents the evaluation results in form of graphical curves of the temperature allocation along the surfacing thickness as function of its initial temperature and thermophysical characteristics of the concrete. 

  10. Permeable pavement and stormwater management systems: a review.

    Science.gov (United States)

    Imran, H M; Akib, Shatirah; Karim, Mohamed Rehan

    2013-01-01

    Uncontrolled stormwater runoff not only creates drainage problems and flash floods but also presents a considerable threat to water quality and the environment. These problems can, to a large extent, be reduced by a type of stormwater management approach employing permeable pavement systems (PPS) in urban, industrial and commercial areas, where frequent problems are caused by intense undrained stormwater. PPS could be an efficient solution for sustainable drainage systems, and control water security as well as renewable energy in certain cases. Considerable research has been conducted on the function of PPS and their improvement to ensure sustainable drainage systems and water quality. This paper presents a review of the use of permeable pavement for different purposes. The paper focuses on drainage systems and stormwater runoff quality from roads, driveways, rooftops and parking lots. PPS are very effective for stormwater management and water reuse. Moreover, geotextiles provide additional facilities to reduce the pollutants from infiltrate runoff into the ground, creating a suitable environment for the biodegradation process. Furthermore, recently, ground source heat pumps and PPS have been found to be an excellent combination for sustainable renewable energy. In addition, this study has identified several gaps in the present state of knowledge on PPS and indicates some research needs for future consideration.

  11. Wavelet-based pavement image compression and noise reduction

    Science.gov (United States)

    Zhou, Jian; Huang, Peisen S.; Chiang, Fu-Pen

    2005-08-01

    For any automated distress inspection system, typically a huge number of pavement images are collected. Use of an appropriate image compression algorithm can save disk space, reduce the saving time, increase the inspection distance, and increase the processing speed. In this research, a modified EZW (Embedded Zero-tree Wavelet) coding method, which is an improved version of the widely used EZW coding method, is proposed. This method, unlike the two-pass approach used in the original EZW method, uses only one pass to encode both the coordinates and magnitudes of wavelet coefficients. An adaptive arithmetic encoding method is also implemented to encode four symbols assigned by the modified EZW into binary bits. By applying a thresholding technique to terminate the coding process, the modified EZW coding method can compress the image and reduce noise simultaneously. The new method is much simpler and faster. Experimental results also show that the compression ratio was increased one and one-half times compared to the EZW coding method. The compressed and de-noised data can be used to reconstruct wavelet coefficients for off-line pavement image processing such as distress classification and quantification.

  12. Detection of asphalt pavement cracks using remote sensing techniques

    Science.gov (United States)

    Mettas, Christodoulos; Agapiou, Athos; Themistocleous, Kyriacos; Neocleous, Kyriacos; Hadjimitsis, Diofantos G.

    2016-10-01

    Deterioration of asphalt road pavements is inevitable throughout its life cycle. There are several types of deterioration that take place on these surfaces, like surface defects and deformations. One of the most common asphalt defects is cracking. Fatigue, transverse, longitudinal, reflective, edge, block and slippage are types of cracking that can be observed anywhere in the world. Monitoring and preventative/periodic maintenance of these types of wears are two very important actions that have to take place to avoid "costly" solutions. This paper aims to introduce the spectral characteristics of uncracked (healthy) and cracked asphalt surfaces which can give a new asphalt crack index. This is performed through remote sensing applications in the area of asphalt pavements. Multispectral images can be elaborated using the index to enhance crack marks on asphalt surfaces. Ground spectral signatures were acquired from both uncracked and cracked asphalted areas of Cyprus (Limassol). Evaluation separability indices can be used to identify the optimum wavelength regions that can distinguish better the uncracked and cracked asphalt surfaces. The results revealed that the spectral sensitivity for the enhancement of cracked asphalt was detected using the Euclidean, Mahalanobis and Cosine Distance Indices in the Vis range (approximately at 450 nm) and in the SWIR 1 range (approximately at 1750 nm).

  13. Locating voids beneath pavement using pulsed electromagnetic waves

    Science.gov (United States)

    Steinway, W. J.; Echard, J. D.; Luke, C. M.

    1981-11-01

    The feasibility of using pulsed electromagnetic wave technology for locating and sizing voids beneath reinforced and nonreinforced portland cement concrete pavements is determined. The data processing techniques developed can be implemented to provide information for void depth and sizing to + or - 1/2 in. and spatial location within + or - 6 in. A very short pulse radar directly connected to a microcomputer was chosen as the equipment necessary to obtain measurements. This equipment has the required accuracy and reliability, and is a cost effective solution for the void locating problem. The radar provides a signal return from voids that has unique characteristics that can be examined to provide information regarding the location, depth, and shape of the void. The microcomputer provides a means of real time processing to extract the information from the radar signal return and record the results. Theoretical modeling of signal returns from voids led to suitable techniques for locating and sizing voids beneath the pavement. Analysis and application of these techniques to radar measurements verified the theoretical predictions that radar can be used to determine the location, size, and shape of actual voids.

  14. Evaluation of Warm-Mix Asphalt Technologies for Use on Airfield Pavements

    Science.gov (United States)

    2013-12-01

    Auburn, AL: National Center for Asphalt Technology. Cooley Jr., L. A. 2003. Evaluation of Pavement Permeability in Mississippi. Auburn, AL: National...ER D C/ G SL T R -1 2 -3 Evaluation of Warm-Mix Asphalt Technologies for Use on Airfield Pavements G eo te ch n ic al a n d S tr u ct...default. ERDC/GSL TR-12-3 February 2012 (Revised December 2013) Evaluation of Warm-Mix Asphalt Technologies for Use on Airfield Pavements

  15. The Dependence of Physical Mechanical Properties of Concrete Pavement Blocks on Coarse Aggregate Type

    Directory of Open Access Journals (Sweden)

    Malaiškienė Jurgita

    2014-12-01

    Full Text Available The aim of this research is to determine the dependences of the physical mechanical properties of vibropressed concrete (pavement blocks on the type of coarse aggregate used in the main layer. Sustainability of concrete pavement blocks is a really important matter. Five different batches of pavement blocks were produced, changing the consistence ratio of coarse aggregate in the main layer. There are two types of course aggregate: crushed gravel and granite. The consistence of a facing layer was not changed. All tests: density, tensile split strength, water absorption for vibro-pressed concrete units were made according to EN 1338:2003+AC2006.

  16. The effect of aggregate density on pavement performance of SMA-13 asphalt mixture

    Directory of Open Access Journals (Sweden)

    Qiao Yinping

    2016-05-01

    Full Text Available This paper chooses the top layer SMA-13 asphalt mixture material as the research object. Basalt was selected as pavement material, and modified SBS asphalt was used as a cementing material. Two basalt aggregates with different densities were used to carry out standard Marshall test in the laboratory.Aimed at the volume parameters of the asphalt mixture carry on anaiysis,and obtian the effect of aggregate density on pavement performance of SMA-13 asphalt mixture, which is that the density of aggregate has a significant effect on the void ratio, saturation, and the gap rate of the aggregate, thus affecting the pavement performance of the asphalt mixture

  17. CBR-Beta Design Procedure for Aggregate-Surfaced Airfield Pavements

    Science.gov (United States)

    2014-03-01

    ER D C/ G SL T R- 14 -6 CBR-Beta Design Procedure for Aggregate- Surfaced Airfield Pavements G eo te ch ni ca l a nd S tr uc tu re s...surfaces. The original flexible pavement design procedure of paved surfaces, which is based on the California Bearing Ratio (CBR) and the α-factor...Alpha-factor), was also extended and applied to the design and evaluation of aggregate-surfaced pavements . With the reformulation of the CBR-Alpha for

  18. Secondary prophylaxis for esophageal variceal bleeding.

    Science.gov (United States)

    Albillos, Agustín; Tejedor, Marta

    2014-05-01

    Combination therapy with beta-blockers and endoscopic band ligation (EBL) is the standard prophylaxis of esophageal variceal rebleeding in cirrhosis. Beta-blockers are the backbone of combination therapy, since their benefit extend to other complications of portal hypertension. EBL carries the risk of post-banding ulcer bleeding, which explains why overall rebleeding is reduced when beta-blockers are added to EBL, and not when EBL is added to beta-blockers. TIPS is the rescue treatment, but it could be considered as first choice in patients that first bleed while on beta-blockers, those with contraindications to beta-blockers or with refractory ascites, and those with fundal varices.

  19. The clinicopathological study of postmenopausal bleeding

    Directory of Open Access Journals (Sweden)

    Rita D.

    2016-11-01

    Results: In patients with post-menopausal bleeding, atrophic endometrium was seen in 31%, proliferative endometrium in 13%, isthmic endometrium in 5%, polyp in 5%, simple hyperplasia without atypia in 35%, simple hyperplasia with atypia in 3%, complex hyperplasia without atypia in 1%, complex hyperplasia with atypia in 1% and endometrial carcinoma in 6% of the patients with PMB. Benign conditions were seen in 94% and malignancy was seen in 6% cases. Conclusions: The most common causes for postmenopausal bleeding were endometrial hyperplasia (40%, atrophic endometrium (31%, isthmic endometrium (5%, polyp (5%, proliferative endometrium (13% and endometrial carcinoma (6%. A definitive diagnosis of PMB can be made by histological evaluation. Obesity, hypertension, diabetes mellitus and age since menopause are the risk factors for PMB. [Int J Reprod Contracept Obstet Gynecol 2016; 5(11.000: 3671-3674

  20. Helping mothers survive bleeding after birth

    DEFF Research Database (Denmark)

    Nelissen, Ellen; Ersdal, Hege; Ostergaard, Doris

    2014-01-01

    OBJECTIVE: To evaluate "Helping Mothers Survive Bleeding After Birth" (HMS BAB) simulation-based training in a low-resource setting. DESIGN: Educational intervention study. SETTING: Rural referral hospital in Northern Tanzania. POPULATION: Clinicians, nurse-midwives, medical attendants, and ambul......OBJECTIVE: To evaluate "Helping Mothers Survive Bleeding After Birth" (HMS BAB) simulation-based training in a low-resource setting. DESIGN: Educational intervention study. SETTING: Rural referral hospital in Northern Tanzania. POPULATION: Clinicians, nurse-midwives, medical attendants...... and feasible, although more time should be allocated for training, and teaching materials should be translated into the local language. Knowledge, skills, and confidence of learners increased significantly immediately after training. However, overall pass rates for skills tests of learners after training were...

  1. Vitamin K deficiency bleeding: a case study.

    Science.gov (United States)

    Woods, Christopher W; Woods, Amanda G; Cederholm, Carmen K

    2013-12-01

    Vitamin K deficiency bleeding (VKDB), formerly known as hemorrhagic disease of the newborn (HDN), is a bleeding disorder in neonates that is caused by inadequate serum levels of vitamin K. Vitamin K is a nutrient essential for adequate function of the coagulation cascade. Certain internal and external factors place newborn infants at higher risk for VKDB. Therefore, vitamin K prophylaxis has become the standard of care for newborns. Although the American Academy of Pediatrics recommends the administration of vitamin K to newborns, some parents are choosing to withhold vitamin K administration at birth. This case study describes an infant who developed VKDB in the absence of vitamin K prophylaxis. Although parents ultimately have the right to choose whether or not to administer vitamin K, as healthcare professionals, it is important to provide education regarding the potential complications of withholding vitamin K and the signs of VKDB if vitamin K prophylaxis at birth is withheld.

  2. Duodenal bleeding from metastatic renal cell carcinoma.

    Science.gov (United States)

    Rustagi, Tarun; Rangasamy, Priya; Versland, Mark

    2011-04-20

    Massive upper gastrointestinal bleeding due to malignancy is relatively uncommon and the duodenum is the least frequently involved site. Duodenal metastasis is rare in renal cell carcinoma (RCC) and early detection, especially in case of a solitary mass, helps in planning further therapy. We report a case of intractable upper gastrointestinal bleeding from metastatic RCC to the duodenum. The patient presented with melena and anemia, 13 years after nephrectomy for RCC. On esophagogastroduodenoscopy, a submucosal mass was noted in the duodenum, biopsies of which revealed metastatic RCC. In conclusion, metastasis from RCC should be considered in nephrectomized patients presenting with gastrointestinal symptoms and a complete evaluation, especially endoscopic examination followed by biopsy, is suggested.

  3. Duodenal Bleeding from Metastatic Renal Cell Carcinoma

    Science.gov (United States)

    Rustagi, Tarun; Rangasamy, Priya; Versland, Mark

    2011-01-01

    Massive upper gastrointestinal bleeding due to malignancy is relatively uncommon and the duodenum is the least frequently involved site. Duodenal metastasis is rare in renal cell carcinoma (RCC) and early detection, especially in case of a solitary mass, helps in planning further therapy. We report a case of intractable upper gastrointestinal bleeding from metastatic RCC to the duodenum. The patient presented with melena and anemia, 13 years after nephrectomy for RCC. On esophagogastroduodenoscopy, a submucosal mass was noted in the duodenum, biopsies of which revealed metastatic RCC. In conclusion, metastasis from RCC should be considered in nephrectomized patients presenting with gastrointestinal symptoms and a complete evaluation, especially endoscopic examination followed by biopsy, is suggested. PMID:21577373

  4. Duodenal Bleeding from Metastatic Renal Cell Carcinoma

    Directory of Open Access Journals (Sweden)

    Tarun Rustagi

    2011-04-01

    Full Text Available Massive upper gastrointestinal bleeding due to malignancy is relatively uncommon and the duodenum is the least frequently involved site. Duodenal metastasis is rare in renal cell carcinoma (RCC and early detection, especially in case of a solitary mass, helps in planning further therapy. We report a case of intractable upper gastrointestinal bleeding from metastatic RCC to the duodenum. The patient presented with melena and anemia, 13 years after nephrectomy for RCC. On esophagogastroduodenoscopy, a submucosal mass was noted in the duodenum, biopsies of which revealed metastatic RCC. In conclusion, metastasis from RCC should be considered in nephrectomized patients presenting with gastrointestinal symptoms and a complete evaluation, especially endoscopic examination followed by biopsy, is suggested.

  5. Interventional management of lower gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Weldon, Derik T.; Burke, Stephen J.; Sun, Shiliang; Mimura, Hidefumi; Golzarian, Jafar [University of Iowa Hospitals and Clinics, Department of Radiology, Iowa, IA (United States)

    2008-05-15

    Lower gastrointestinal bleeding (LGIB) arises from a number of sources and is a significant cause of hospitalization and mortality in elderly patients. Whereas most episodes of acute LGIB resolve spontaneously with conservative management, an important subset of patients requires further diagnostic workup and therapeutic intervention. Endovascular techniques such as microcatheter embolization are now recognized as safe, effective methods for controlling LGIB that is refractory to endoscopic intervention. In addition, multidetector CT has shown the ability to identify areas of active bleeding in a non-invasive fashion, enabling more focused intervention. Given the relative strengths and weaknesses of various diagnostic and treatment modalities, a close working relationship between interventional radiologists, gastroenterologists and diagnostic radiologists is necessary for the optimal management of LGIB patients. (orig.)

  6. Preliminary evaluation of the lifecycle costs and market barriers of reflective pavements

    Energy Technology Data Exchange (ETDEWEB)

    Ting, M.; Koomey, J.G.; Pomerantz, M.

    2001-11-21

    The objective of this study is to evaluate the life cycle costs and market barriers associated with using reflective paving materials in streets and parking lots as a way to reduce the urban heat island effect. We calculated and compared the life cycle costs of conventional asphalt concrete (AC) pavements to those of other existing pavement technologies with higher reflectivity-portland cement concrete (PCC), porous pavements, resin pavements, AC pavements using light-colored chip seals, and AC pavements using light-colored asphalt emulsion additives. We found that for streets and parking lots, PCC can provide a cost-effective alternative to conventional AC when severely damaged pavements must be completely reconstructed. We also found that rehabilitating damaged AC streets and intersections with thin overlays of PCC (ultra-thin white topping) can often provide a cost-effective alternative to standard rehabilitation techniques using conventional AC. Chip sealing is a common maintenance treatment for low-volume streets which, when applied using light-colored chips, could provide a reflective pavement surface. If the incremental cost of using light-colored chips is low, this chip sealing method could also be cost-effective, but the incremental costs of light-colored chips are as of yet uncertain and expected to vary. Porous pavements were found to have higher life cycle costs than conventional AC in parking lots, but several cost-saving features of porous pavements fell outside the boundaries of this study. Resin pavements were found to be only slightly more expensive than conventional AC, but the uncertainties in the cost and performance data were large. The use of light-colored additives in asphalt emulsion seal coats for parking lot pavements was found to be significantly more expensive than conventional AC, reflecting its current niche market of decorative applications. We also proposed two additional approaches to increasing the reflectivity of conventional AC

  7. The role of endoscopy in pediatric gastrointestinal bleeding

    Science.gov (United States)

    Franke, Markus; Geiß, Andrea; Greiner, Peter; Wellner, Ulrich; Richter-Schrag, Hans-Jürgen; Bausch, Dirk; Fischer, Andreas

    2016-01-01

    Background and study aims: Gastrointestinal bleeding in children and adolescents accounts for up to 20 % of referrals to gastroenterologists. Detailed management guidelines exist for gastrointestinal bleeding in adults, but they do not encompass children and adolescents. The aim of this study was to assess gastrointestinal bleeding in pediatric patients and to determine an investigative management algorithm accounting for the specifics of children and adolescents. Patients and methods: Pediatric patients with gastrointestinal bleeding admitted to our endoscopy unit from 2001 to 2009 (n = 154) were identified. Retrospective statistical and neural network analysis was used to assess outcome and to determine an investigative management algorithm. Results: The source of bleeding could be identified in 81 % (n = 124/154). Gastrointestinal bleeding was predominantly lower gastrointestinal bleeding (66 %, n = 101); upper gastrointestinal bleeding was much less common (14 %, n = 21). Hematochezia was observed in 94 % of the patients with lower gastrointestinal bleeding (n = 95 of 101). Hematemesis (67 %, n = 14 of 21) and melena (48 %, n = 10 of 21) were associated with upper gastrointestinal bleeding. The sensitivity and specificity of a neural network to predict lower gastrointestinal bleeding were 98 % and 63.6 %, respectively and to predict upper gastrointestinal bleeding were 75 % and 96 % respectively. The sensitivity and specifity of hematochezia alone to predict lower gastrointestinal bleeding were 94.2 % and 85.7 %, respectively. The sensitivity and specificity for hematemesis and melena to predict upper gastrointestinal bleeding were 82.6 % and 94 %, respectively. We then developed an investigative management algorithm based on the presence of hematochezia and hematemesis or melena. Conclusions: Hematochezia should prompt colonoscopy and hematemesis or melena should prompt esophagogastroduodenoscopy. If no

  8. Risk factors for major bleeding in the SEATTLE II trial.

    Science.gov (United States)

    Sadiq, Immad; Goldhaber, Samuel Z; Liu, Ping-Yu; Piazza, Gregory

    2017-02-01

    Ultrasound-facilitated, catheter-directed, low-dose fibrinolysis minimizes the risk of intracranial bleeding compared with systemic full-dose fibrinolytic therapy for pulmonary embolism (PE). However, major bleeding is nevertheless a potential complication. We analyzed the 150-patient SEATTLE II trial of submassive and massive PE patients to describe those who suffered major bleeding events following ultrasound-facilitated, catheter-directed, low-dose fibrinolysis and to identify risk factors for bleeding. Major bleeding was defined as GUSTO severe/life-threatening or moderate bleeds within 72 hours of initiation of the procedure. Of the 15 patients with major bleeding, four (26.6%) developed access site-related bleeding. Multiple venous access attempts were more frequent in the major bleeding group (27.6% vs 3.6%; p<0.001). All patients with major bleeding had femoral vein access for device delivery. Patients who developed major bleeding had a longer intensive care stay (6.8 days vs 4.7 days; p=0.004) and longer hospital stay (12.9 days vs 8.4 days; p=0.004). The frequency of inferior vena cava filter placement was 40% in patients with major bleeding compared with 13% in those without major bleeding ( p=0.02). Massive PE (adjusted odds ratio 3.6; 95% confidence interval 1.01-12.9; p=0.049) and multiple venous access attempts (adjusted odds ratio 10.09; 95% confidence interval 1.98-51.46; p=0.005) were independently associated with an increased risk of major bleeding. In conclusion, strategies for improving venous access should be implemented to reduce the risk of major bleeding associated with ultrasound-facilitated, catheter-directed, low-dose fibrinolysis. ClinicalTrials.gov Identifier: NCT01513759; EKOS Corporation 10.13039/100006522.

  9. Bleeding gums: Duloxetine may be the cause

    Directory of Open Access Journals (Sweden)

    Balhara YPS

    2007-01-01

    Full Text Available Duloxetine is a newly introduced drug. It is being prescribed for the management of diabetic neuropathic pain and major depressive disorder. The most frequently observed adverse events with duloxetine are nausea, dry mouth and somnolence, constipation, diarrhea, decreased appetite, weight loss, feeling of fatigue, dizziness, somnolence, hypohidrosis, decreased libido and erectile dysfunction. One of the patients being prescribed the drug developed bleeding gums on being started with the drug which resolved on stopping it. We hereby report this case.

  10. [Bleeding non-epithelial gastrointestinal neoplasms].

    Science.gov (United States)

    Zak, V I; Galtsev, A P

    1993-01-01

    Inefficiency of x-ray and endoscopic examinations of a bleeding hollow organ of the gastrointestinal tract may be explained by the effection of its wall with nonepithelial tumor (lipoma, neurinoma, leiomyoma). In some cases only laparotomy and examination of the abdominal cavity succeed in localization of the tumor. Intraoperative cytodiagnosis of nonepithelial benign tumors is a method conducive to sparing surgery (partial resection, dissection).

  11. Neurenteric Cyst Presenting with Bleeding Per Rectum.

    Science.gov (United States)

    Yadav, Taruna; Parmar, Padam; Rattan, Kamal Nain

    2016-01-01

    Neurenteric cyst in the thoracic cavity may produce a myriad of clinical features. We report a 7-month-old girl who presented with significant bleeding per rectum. On imaging, a mediastinal cystic structure with air-fluid levels was evident with cervico-thoracic vertebral anomalies. The cyst was excised and histopathology showed intestinal mucosal lining with heterotopic pancreatic tissue confirming the diagnosis of neurenteric cyst.

  12. Massive rectal bleeding from acquired jejunal diverticula

    OpenAIRE

    2011-01-01

    Abstract Small bowel diverticulosis is an uncommon and often asymptomatic condition that is sporadically observed during radiographic examination or laparotomy. Although it is frequently seen in duodenum, jejunal and ileal locations are very rare. The majority of patients with jejunal diverticula have no symptoms. However, they can present with a number of acute and emergent complications with a high rate of mortality. Bleeding from jejunal diverticula occurs in less than 3% - 8% of patients ...

  13. Bleeding Time, Volume of Shed Blood Collected at the Bleeding Time Site, and the Peripheral Venous Hematocrit.

    Science.gov (United States)

    2007-11-02

    The bleeding time. Prog in Hemostasis and Thrombosis, NY, Grune-Stratton 2:249-271,1974. 2. The bleeding time. The Lancet 1991;337:1447-1448. 3...aggregation. The Lancet 1984;1409-1410. 29. The bleeding-time and the haematocrit. The Lancet May 4; 1984;997-998. 30. Turrito VT,Weiss HJ: Red blood

  14. Endoscopic hemoclip treatment for bleeding peptic ulcer

    Institute of Scientific and Technical Information of China (English)

    Yung Chih Lai; Sien Sing Yang; Chi Hwa Wu; Tzen Kwan Chen

    2000-01-01

    AIM To evaluate the efficacy of endoscopic hemoclip in the treatment of bleeding peptic ulcer.METHODS Totally, 40 patients with F1a and F1b hemorrhagic activity of peptic ulcers were enrolled in this uncontrolled prospective study for endoscopic hemoclip treatment. We used a newly developed rotatable clip-device for the application of hemoclip (MD850) to stop bleeding. Endoscopy was repeated if there was any sign or suspicion of rebleeding, and reclipping was performed if necessary and feasible.RESULTS Initial hemostatic rate by clipping was 95%, and rebleeding rate was only 8%.Ultimate hemostatic rates were 87%, 96%, and 93% in the F1a and F1b subgroups, and total cases, respectively. In patients with shock on admission, hemoclipping achieved ultimate hemostasis of 71% and 83% in F1a and F1b subgroups, respectively. Hemostasis reached 100% in patients without shock regardless of hemorrhagic activity being F1a or F1b. The average number of clips used per case was 3.0 (range 2- 5). Spurting bleeders required more clips on average than did oozing bleeders (3.4 versus 2.8 ). We observed no obvious complications, no tissue injury, or impairment of ulcer healing related to hemoclipping.CONCLUSION Endoscopic hemoclip placement is an effective and safe method. With the improvement of the clip and application device,the procedure has become easier and much more efficient. Endoscopic hemoclipping deserves further study in the treatment of bleeding peptic ulcers.

  15. The usefulness of MDCT in acute intestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kum Rae; Park, Won Kyu; Kim, Jae Woon; Chang, Jay Chun; Jang, Han Won [College of Medicine, Yeungnam University, Daegu (Korea, Republic of)

    2006-10-15

    We wanted to evaluate the usefulness of MDCT for localizing a bleeding site and for helping make a decision on further management for acute intestinal bleeding. We conducted a retrospective review of 17 consecutive patients who presented with acute intestinal bleeding and who also underwent MDCT before angiography or surgery. The sensitivity of MDCT for detecting acute intestinal bleeding was assessed and compared with that of conventional angiography. The sensitivity of MDCT for the detection of acute intestinal bleeding was 77% (13 or 17), whereas that of angiography was 46% (6 or 13). All the bleeding points that were subsequently detected on angiography were visualized on MDCT. In three cases, the bleeding focus was detected on MDCT and not on angiography. In four cases, both MDCT and angiography did not detect the bleeding focus; for one of these cases, CT during SMA angiography was performed and this detected the active bleeding site. In patients with acute intestinal bleeding, MDCT is a useful image modality to detect the bleeding site and to help decide on further management before performing angiography or surgery. When tumorous lesions are detected, invasive angiography can be omitted.

  16. Scintigraphic localisation of colonic bleeding; Scintigrafisk lokalisasjon av colonbloedning

    Energy Technology Data Exchange (ETDEWEB)

    Aspevik, Ranveig K.; Miskowiak, Jerzy; I Bud, Margreta

    2001-07-01

    Background. Endoscopy and occasionally X-ray studies are used to discover the focus of a gastrointestinal bleeding. Material and methods. We describe a case of severe gastrointestinal bleeding where these methods failed. Scintigraphy after labelling of erythrocytes with 99m technetium was performed in a continuos manner for 60 minutes. Scintigrams were also taken three, ten and 23 hours after the injection. Results. No bleeding was revealed after 60 minutes but two hours later a slight radioactivity was encountered in the right part of the abdomen and the later images localised the bleeding in the right colon. The bleeding ceased after right-sided hemicolectomy. Interpretation. Scintigraphy is of value in localisation of gastrointestinal bleeding and should be performed in a continuos manner until the bleeding focus is localised. Secretion of unbound technetium through the mucosa of the stomach and its presence in the urinary tract should be taken in account.

  17. Microsurfacing – An Eco-Efficient Tool for Road Safety and Pavement Maintenance

    Directory of Open Access Journals (Sweden)

    Rajesh S. Gujar

    2013-11-01

    Full Text Available With the development of infrastructure, in rapidly developing modern era, frequent maintenance of existing infrastructure, especially roads is of prime importance.  Microsurfacing is a preventive maintenance technique (preventative maintenance strategy aims at producing the most cost-effective improvements in pavement quality and life involving three to six millimeter sized bitumen aggregate treated with a special emulsion.  The layer is neatly laid down on road section requiring maintenance.  This paper aims at focusing on the contributions made by researchers on Microsurfacing as a tool for pavement maintenance and repair.  Although the technique is finding its place in Indian sub-continents little late, but nevertheless it is universally considered as an inevitable tool as far as preventive pavement maintenance is concerned and should be used to extend life of the underlying pavement

  18. The Effect of Cement Stabilized Subgrade on Cost of the Flexible Pavement

    Directory of Open Access Journals (Sweden)

    Baha Vural Kök

    2012-03-01

    Full Text Available The road authorities aim roads that are resistant, with less maintenance, with high traffic security, with long life and economic. It is difficult to have an economic pavement construction on the subgrade with weak bearing capacity. In this study the effect of the cement stabilization on the weak subgrade and pavement costs has been studied. For this purpose the California Bearing Ratio (CBR of a weak subgrade that has been stabilized with 4% - 16% cement have been determined. The effect of the increase in the CBR on the pavement costs has been determined thanks to MATLAB program by considering thousands of alternatives. Consequently, the optimum cement content between the decrease on the pavement costs with increase on subgrade' CBR value and the additional costs spent to increase the CBR value has been determined.

  19. Mechanical Behavior and Failure Mechanism of Recycled Semi-lfexible Pavement Material

    Institute of Scientific and Technical Information of China (English)

    DING Qingjun; ZHAO Mingyu; SHEN Fan; ZHANG Xiaoqiang

    2015-01-01

    The mechanical behavior and failure mechanism of recycled semi-lfexible pavement material were investigated by different scales method. The macroscopic mechanical behavior of samples was studied by static and dynamic splitting tensile tests on mechanics testing system (MTS). The mechanical analysis in micro scale was carried out by material image analysis method and ifnite element analysis system. The strains of recycled semi-lfexible pavement material on samples surface and in each phase materials were obtained. The test results reveal that the performance of recovered asphalt binder was the major determinant on the structural stability of recycled semi-lfexible pavement material. The asphalt binder with high viscoelasticity could delay the initial cracking time and reduce the residual strain under cyclic loading conditions. The failure possibility order of each phase in recycled semi-flexible pavement material was asphalt binder, reclaimed aggregate, cement paste and virgin aggregate.

  20. Permeable Pavement Research at NRMRL’s Urban Watershed Research Facility (Poster 2)

    Science.gov (United States)

    Assess pollutant removal efficiency of porous pavement systems with regard to parking lot runoff. Bench-scale study will examine: Discharge volume Flow rate Total suspended solids (TSS) of influent vs. effluent Use of a geotextile permeable filter fabric...

  1. PHYSIOLOGICAL INFORMATION FOR PAVEMENT HEALTH MONITORING BASED ON SURFACE RIDE QUALITY

    Science.gov (United States)

    Tomiyama, Kazuya; Kawamura, Akira; Takahashi, Kiyoshi; Ishida, Tateki

    Pavement ride quality testing has traditionally been based on subjective questionnaire ratings. The questionnaire survey has ability to directly measure the sense of road users' ride quality. However, it is difficult to quantify the evaluation results based on the questionnaire due to its lack of objectivity. This study examines pavement health monitoring method using physiological information such as heart rate variability (HRV) for detecting mental stress of road users toward pavement ride quality. First, a results of a driving simulator experiment shows that potential mental stress caused by road roughness can be observed in high-frequency oscillations in 0.15-0.4Hz of HRV processed by continuous wavelet transform. Then, the high-frequency oscillations of HRV is summarized as an index related to the mental stress that makes objective ride quality evaluation possible. Finally, this study indicates that the index contributes to improve the accuracy of pavement health monitoring based on surface ride quality.

  2. Verification of Traffic Speed Deflectometer Measurements Using Instrumented Pavements in South Africa

    OpenAIRE

    Kannemeyer, Louw; Lategan, W.; Mckellar, A.

    2014-01-01

    Structural Session 2: Evaluation of Deflection Devices Moderated by Doug Chalman This presentation was held at the Pavement Evaluation 2014 Conference, which took place from September 15-18, 2014 in Blacksburg, Virginia. Presentation only

  3. Investigation of Applicability and Use of a Pavement Response Model with High Speed Deflection Devices (HSDDs)

    OpenAIRE

    Siddharthan, Rajaratnam V.; Nasimifar, Mahdi; Rada, Gonzalo R; Nazarian, Soheil; Sivaneswaran, Nadarajah; Thyagarajan, Senthilmurugan

    2014-01-01

    Structural Session 4: Future Applications Moderated by Trenton Clark This presentation was held at the Pavement Evaluation 2014 Conference, which took place from September 15-18, 2014 in Blacksburg, Virginia. Presentation only

  4. Performance Prediction of the NCAT Test Track Pavements Using Mechanistic Models

    Science.gov (United States)

    LaCroix, Andrew Thomas

    In the pavement industry in the United States of America, there is an increasing desire to improve the pavement construction quality and life for new and rehabilitated pavements. In order to improve the quality of the pavements, the Federal Highway Administration (FHWA) has pursued a performance-related specification (PRS) for over 20 years. The goal of PRS is to provide material and construction (M/C) properties that correlate well with pavement performance. In order to improve upon the PRS projects developed in WesTrack (NCHRP 9-20) and the MEPDG-based PRS (NCHRP 9-22), a set of PRS tests and models are proposed to provide a critical link between pavement performance and M/C properties. The PRS testing is done using the asphalt mixture performance tester (AMPT). The proposed PRS focuses on rutting and fatigue cracking of asphalt mixtures. The mixtures are characterized for their stiffness, fatigue behavior, and rutting resistance using a dynamic modulus (|E*|) test, a fatigue test, and a triaxial stress sweep (TSS) test, respectively. Information from the fatigue test characterizes the simplified viscoelastic continuum damage (S-VECD) model. Once the stiffness is reduced to a certain level, the material develops macro-cracks and fails. The TSS test is used to characterize a viscoplastic (VP) model. The VP model allows the prediction of the rut depth beneath the center of the wheel. The VECD and VP models are used within a layered viscoelastic (LVE) pavement model to predict fatigue and rutting performance of pavements. The PRS is evaluated by comparing the predictions to the field performance at the NCAT pavement test track in Opelika, Alabama. The test track sections evaluated are part of the 2009 test cycle group experiment, which focused on WMA, high RAP (50%), and a combination of both. The fatigue evaluation shows that all sections would last at least 18 years at the same traffic rate. The sections do not show any cracking, suggesting the sections are well

  5. Construction and Instrumentation of Full-Scale Geogrid Reinforced Pavement Test Sections

    Science.gov (United States)

    2008-04-01

    Nathan Lamie, and Troy W. Arnold Cold Regions Research and Engineering Laboratory U.S. Army Engineer Research and Development Center 72 Lyme Road...models compatible with NCHRP 1-37A, Guide for Mechanistic-Empirical Design of New and Rehabilitated Pavement Structures (available from http...Mechanistic-Empirical Design of New and Rehabilitated Pavement Structures (http://www.trb.org/mepdg/) (NCHRP 2004). The overall objectives of TPF-5(010) were

  6. Structural Improvements of Flexible Pavements Using Geosynthetics for Base Course Reinforcement

    Science.gov (United States)

    2009-10-01

    Engineering Laboratory 72 Lyme Road Hanover, NH 03755-1290 Final report Approved for public release; distribution is unlimited. Prepared for Federal...these cases.) Empirical rutting models presented in NCHRP 1-37A, Guide for Mechanistic-Empirical Design of New and Rehabilitated Pavement Structures...Mechanistic- Empirical Design of New and Rehabilitated Pavement Structures (http://www.trb.org/mepdg/). The research effort included the development of

  7. Cooler reflective pavements give benefits beyond energy savings: durability and illumination

    Energy Technology Data Exchange (ETDEWEB)

    Pomerantz, Melvin; Akbari, Hashem; Harvey, John T.

    2000-06-01

    City streets are usually paved with asphalt concrete because this material gives good service and is relatively inexpensive to construct and maintain. We show that making asphalt pavements cooler, by increasing their reflection of sunlight, may lead to longer lifetime of the pavement, lower initial costs of the asphalt binder, and savings on street lighting and signs. Excessive glare due to the whiter surface is not likely to be a problem.

  8. Research on the relationship between water stability and aggregate gradation of asphalt pavement

    OpenAIRE

    Zhao Bing; Zhao Bo

    2015-01-01

    In the early destruction of asphalt pavement, water damage is the most major form.In this paper, experimental study was conducted on the composition of asphalt concrete,Marshall specimens were made in different types of aggregate gradation with the same kind of asphalt. Water immersion tests were conducted in order to analysis the relationship between the water stability and aggregate gradation of asphalt pavement.

  9. Research on the relationship between water stability and aggregate gradation of asphalt pavement

    Directory of Open Access Journals (Sweden)

    Zhao Bing

    2015-05-01

    Full Text Available In the early destruction of asphalt pavement, water damage is the most major form.In this paper, experimental study was conducted on the composition of asphalt concrete,Marshall specimens were made in different types of aggregate gradation with the same kind of asphalt. Water immersion tests were conducted in order to analysis the relationship between the water stability and aggregate gradation of asphalt pavement.

  10. Paint Pavement Marking Performance Prediction Model That Includes the Impacts of Snow Removal Operations

    Science.gov (United States)

    2011-03-01

    Hypothesized that snow plows wear down mountain road pavement markings. 2007 Craig et al. -Edge lines degrade slower than center/skip lines 2007...retroreflectivity to create the models. They discovered that paint pavement markings last 80% longer on Portland Cement Concrete than Asphalt Concrete at low AADT...retroreflectivity, while yellow markings lost 21%. Lu and Barter attributed the sizable degradation to snow removal, sand application, and studded

  11. Development of Mechanistic-Empirical Pavement Design for Tropical Climate Using Cement-Treated Base Layer

    OpenAIRE

    Aderinola, O.S

    2016-01-01

    A mechanistic-empirical pavement design method is developed characterising cement-treated base layers for pavement design in Nigeria or other similar tropical and subtropical countries. Asphalt Concrete surface, Subbase and Aggregate base were characterised based on back calculation data from Claros et al (1986) while cement-treated base layer was based on modulus tests that had been conducted by past researchers. Failure criteria for the Asphalt Concrete fatigue failure and the s...

  12. Basics of a Good Road - Concrete Pavements: Road Scholar Program Part I

    OpenAIRE

    2014-01-01

    This 3-hour course will provide the basic knowledge needed to design, build, and maintain concrete pavements at a local level. Attendees will hear industry experts discuss the many applications for concrete pavements in our industry and the emerging innovations in the field of mix designs and maintenance. Attendees will receive core course credit for core course #6: Basics of a Good Road. Attendees who have already attended this core course will receive 3 Road Scholar points.

  13. Basics of a Good Road - Concrete Pavements: Road Scholar Program Part II

    OpenAIRE

    2014-01-01

    This 3-hour course will provide the basic knowledge needed to design, build, and maintain concrete pavements at a local level. Attendees will hear industry experts discuss the many applications for concrete pavements in our industry and the emerging innovations in the field of mix designs and maintenance. Attendees will receive core course credit for core course #6: Basics of a Good Road. Attendees who have already attended this core course will receive 3 Road Scholar points.

  14. 投稿须知%Construction Technology for Fast-Track Concrete Pavement

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    In this paper, one of new contents: construction technology for fast-track concrete pavement is introduced in 《Technical Specification for Construction of Highway Cement Concrete Pavements》 (JTG F30) which is revised in 2010 in order to not only provide high-quality and long-lasting life, but also reduce the time of engineering in the new construction, reconstruction and resurfacing maintain of cement concrete pavements, to quickly and early open public traffic, and to reduce traffic interruptions.

  15. The design and analysis on asphalt concrete pavement%沥青混凝土路面设计分析

    Institute of Scientific and Technical Information of China (English)

    王星茹

    2016-01-01

    This paper introduced the design process of urban road asphalt pavement,discussed the material and type of asphalt concrete pave-ment,from the pavement structure combination design,pavement design index,pavement structure layer calculation and other aspects,elabora-ted the design method of asphalt concrete pavement,made the asphalt pavement meet the structure strength and stability requirements.%介绍了城市道路沥青路面设计的流程,论述了沥青混凝土面层的材料与类型,从路面结构组合设计、路面设计指标、路面结构层计算等方面,阐述了沥青混凝土路面的设计方法,使沥青路面满足结构强度和稳定性的要求.

  16. Validation of theoretical models through measured pavement response

    DEFF Research Database (Denmark)

    Ullidtz, Per

    1999-01-01

    performance. The analytical models are based on a number of simplifications with respect to reality and must be verified experimentally.Different pressure gauges were installed in a sand, assumed to be a semi-infinite halfspace. The surface of the sand was loaded by a Falling Weight Deflectometer (FWD......) at different lateral positions with respect to the gauges. An integration of the stresses measured at the plane of the gauges showed that the total load recorded by the gauges was close to the loade imposed by the FWD, cofirming the reliability of the gauges. The theoretical stress calculated using continuum...... then used to derive the elastic parameters of the pavement layeres, that would produce deflections matching the measured deflections. Stresses and strains were then calculated at the position of the gauges and compared to the measured values. It was found that all analytical models would predict the tensile...

  17. Applying AHP—Based CBR to Estimate Pavement Maintenance Cost

    Institute of Scientific and Technical Information of China (English)

    Jui-Sheng Chou

    2008-01-01

    The cost-efficacy control of maintenance operations in developing countries has become critical to the infrastructure asset management after highway construction.To effectively manage numerous projects annually with limited resources,it is necessary to reasonably estimate costs during the process of making maintenance project selection decisions.This study outlines the modeling of case-based reasoning (CBR) estimation that compares and retrieves the most similar instance across the case library.Four CBR ap- proaches were presented and assessed in terms of their mean absolute prediction error rates.The resulting model demonstrates the ability of estimating the pavement maintenance project costs with the satisfactory accuracy at the early stages.

  18. Environmental history recorded in aeolian deposits under stone pavements, Mojave Desert, USA

    Science.gov (United States)

    Dietze, Michael; Dietze, Elisabeth; Lomax, Johanna; Fuchs, Markus; Kleber, Arno; Wells, Stephen G.

    2016-01-01

    Reconstructing the evolution of arid landscapes is challenged by limited availability of appropriate environmental archives. A widespread surface feature - stone pavement - traps aeolian fines and forms a special accretionary archive. Seven stone pavement-covered sections on basalt flows in the eastern Mojave Desert are condensed into a composite section, comprising five sedimentological units supported by an OSL-based chronology. Three of the units are of accretionary nature and each is covered by a stone pavement. They were deposited > 50.9-36.6 ka, < 36.6-14.2 ka and < 14.2 ka, and they are intimately coupled with the history of nearby Lake Mojave, which advances the current understanding of regional aeolian activity. End-member modeling analysis of grain-size distributions yielded seven sediment transport regimes. The accretionary system operates in two modes: A) episodic formation of a stone pavement by lateral processes once a vesicular horizon has formed on a barren surface; and B) accretion of dust and eventual burial of the clast layer. These findings improve current concepts about stone pavement evolution and their environmental proxy function in arid landscapes. Stone pavement-covered accretionary deposits are a new key archive that allows quantifying the relative importance of dust accretion, slope processes, soil formation and vegetation cover.

  19. Comparative field permeability measurement of permeable pavements using ASTM C1701 and NCAT permeameter methods.

    Science.gov (United States)

    Li, Hui; Kayhanian, Masoud; Harvey, John T

    2013-03-30

    Fully permeable pavement is gradually gaining support as an alternative best management practice (BMP) for stormwater runoff management. As the use of these pavements increases, a definitive test method is needed to measure hydraulic performance and to evaluate clogging, both for performance studies and for assessment of permeability for construction quality assurance and maintenance needs assessment. Two of the most commonly used permeability measurement tests for porous asphalt and pervious concrete are the National Center for Asphalt Technology (NCAT) permeameter and ASTM C1701, respectively. This study was undertaken to compare measured values for both methods in the field on a variety of permeable pavements used in current practice. The field measurements were performed using six experimental section designs with different permeable pavement surface types including pervious concrete, porous asphalt and permeable interlocking concrete pavers. Multiple measurements were performed at five locations on each pavement test section. The results showed that: (i) silicone gel is a superior sealing material to prevent water leakage compared with conventional plumbing putty; (ii) both methods (NCAT and ASTM) can effectively be used to measure the permeability of all pavement types and the surface material type will not impact the measurement precision; (iii) the permeability values measured with the ASTM method were 50-90% (75% on average) lower than those measured with the NCAT method; (iv) the larger permeameter cylinder diameter used in the ASTM method improved the reliability and reduced the variability of the measured permeability.

  20. Statistical classification of road pavements using near field vehicle rolling noise measurements.

    Science.gov (United States)

    Paulo, Joel Preto; Coelho, J L Bento; Figueiredo, Mário A T

    2010-10-01

    Low noise surfaces have been increasingly considered as a viable and cost-effective alternative to acoustical barriers. However, road planners and administrators frequently lack information on the correlation between the type of road surface and the resulting noise emission profile. To address this problem, a method to identify and classify different types of road pavements was developed, whereby near field road noise is analyzed using statistical learning methods. The vehicle rolling sound signal near the tires and close to the road surface was acquired by two microphones in a special arrangement which implements the Close-Proximity method. A set of features, characterizing the properties of the road pavement, was extracted from the corresponding sound profiles. A feature selection method was used to automatically select those that are most relevant in predicting the type of pavement, while reducing the computational cost. A set of different types of road pavement segments were tested and the performance of the classifier was evaluated. Results of pavement classification performed during a road journey are presented on a map, together with geographical data. This procedure leads to a considerable improvement in the quality of road pavement noise data, thereby increasing the accuracy of road traffic noise prediction models.

  1. Field validation of road roughness evaluation using in-pavement strain sensors

    Science.gov (United States)

    Zhang, Z.; Deng, F.; Huang, Y.; Bridgelall, R.

    2016-04-01

    Most transportation agencies now collect pavement roughness data using the inertial profilers, which requires instrumented vehicles and technicians with specialized training to interpret the results. The extensive labor requirements of the profiling activities limit data collection for portions of the national highway system to at most once per year, resulting in outdated roughness data for decision making of maintenance needs. In this paper, a real-time roughness evaluation method was developed by linking the output of durable in-pavement strain sensors to road roughness level. The durable in-pavement sensors will continuously provide information of road roughness in real time after they are installed and calibrated during the road construction until the service life of the associated pavement. Field tests validated the developed strain method by comparison with standard inertial profiling method and the connected-vehicle method. The comparison of the results from the field tests approves the effectiveness of the developed road roughness evaluation method using in-pavement strain sensors, which can be further applied practically for needed concrete pavements.

  2. Sensitivity analysis of asphalt-pavement structure dynamic responses under heavy load

    Directory of Open Access Journals (Sweden)

    ZHANG Lijuan

    2015-04-01

    Full Text Available With the 3-Dimensional finite-element dynamic model,the influence of axis-load,axis-speed,and pavement structure parameters on dynamic performance of pavement structure is studied.The results show that with the increase in load,the dynamic response of pavement is nearly proportional to axis-load and increases noticeably;Axis-speed influences the dynamic response to some extent.With the increase of axis-speed,dynamic response of pavement structure increases firstly.With axis-speed further increasing,dynamic response of pavement structure then decreases gradually.For fatigue failure,the influence of heavy-load with common moving speed is much greater than that of static load.Among the pavement structure parameters,thickness of surface-layer has a significant effect on shear stress and the compression stress at road surface.Subgrade modulus has a significant effect on road surface deflection,tensile stress at the bottom of subbase,and compression-strain at the top of subgrade.

  3. Thermal behavior of an asphalt pavement in the laboratory and in the parking lot.

    Science.gov (United States)

    Martinkauppi, J B; Mäkiranta, A; Kiijärvi, J; Hiltunen, E

    2015-01-01

    The urban, constructed areas are full of buildings and different kinds of pavements and have a noticeable lack of trees and flora. These areas are accumulating the heat from the Sun, people, vehicles, and constructions. One interesting heat collector is the asphalt pavement. How does the heat transfer to different layers under the pavement or does it? What are the temperatures under the pavement in Finland where the winter can be pretty hard? How can those temperatures be measured accurately? These are the main questions this paper gives the preliminary answers to. First the thermal behavior of asphalt and the layers beneath are researched in the laboratory and then the measurement field is bored and dug in the parking in the Western coast of Finland, 63°5'45'' N. Distributed temperature sensing method was found to be a good choice for temperature measurements. Thermal behavior of pavement has been monitored in different layers and the preliminary results have been published here. The goal of this research is to assess the applicability of asphalt pavements for heat energy collection.

  4. Study of the Effect of Temperature Changes on the Elastic Modulus of Flexible Pavement Layers

    Directory of Open Access Journals (Sweden)

    Mohd Raihan Taha

    2013-02-01

    Full Text Available In general, the stiffness of flexible pavement is influenced by environmental changes, whereby temperature and rainfall affect the asphalt layer and non-asphalt layer, such as the subgrade, respectively. Normally, the effect of temperature on flexible pavement can be measured using two methods. The first is a destructive test whereby core samples are tested in a laboratory using a Universal Testing Machine (UTM. The second is a non-destructive in situ test using equipment such as a Falling Weight Deflectometer (FWD and Spectral Analysis of Surface Waves (SASW. This study was conducted to investigate the effect of temperature at different tensile levels on the Soekarno-Hatta and Purwakarta Cikampek roads in Bandung, West Java, Indonesia. It is observed that different tensile levels and testing methods result in various elastic modulus values of flexible pavement. The higher the temperature applied to the flexible pavement layer, the more the elastic modulus values decrease. In contrast, the lower the temperature imposed on the flexible pavement layer, the more the elastic modulus values increase. Different testing methods (FWD, UTM and SASW on the flexible pavement layer are also affected by temperature changes.

  5. Thermal Behavior of an Asphalt Pavement in the Laboratory and in the Parking Lot

    Directory of Open Access Journals (Sweden)

    J. B. Martinkauppi

    2015-01-01

    Full Text Available The urban, constructed areas are full of buildings and different kinds of pavements and have a noticeable lack of trees and flora. These areas are accumulating the heat from the Sun, people, vehicles, and constructions. One interesting heat collector is the asphalt pavement. How does the heat transfer to different layers under the pavement or does it? What are the temperatures under the pavement in Finland where the winter can be pretty hard? How can those temperatures be measured accurately? These are the main questions this paper gives the preliminary answers to. First the thermal behavior of asphalt and the layers beneath are researched in the laboratory and then the measurement field is bored and dug in the parking in the Western coast of Finland, 63°5′45′′ N. Distributed temperature sensing method was found to be a good choice for temperature measurements. Thermal behavior of pavement has been monitored in different layers and the preliminary results have been published here. The goal of this research is to assess the applicability of asphalt pavements for heat energy collection.

  6. Research on nonlinear constitutive relationship of permanent deformation in asphalt pavements

    Institute of Scientific and Technical Information of China (English)

    PENG; Miaojuan; XU; Zhihong

    2006-01-01

    To predict correctly the rut depths in asphalt pavements,a new nonlinear viscoelastic-elastoplastic constitutive model of permanent deformation in asphalt pavements is presented.The model combines a generalized Maxwell model with an elastoplastic one.Then from the creep theory,the linear and nonlinear constitutive equations of the generalized Maxwell model are obtained.From the nonlinear finite element method for the rutting of the asphalt pavement,the rut depths of 4 asphalt-aggregate mixtures are obtained.And the results are compared with the ones from the finite element method by SHRP and the experiments by SWK/UN.The results in this paper are better than the ones by SHRP,and agree with the ones of the experiment by SWK/UN.This shows that the nonlinear viscoelastic-elastoplastic constitutive model,which is presented in this paper for the rutting of the asphalt pavement,is effective.The properties,such as nonlinear elasticity,plasticity,viscoelasticity and nonlinear viscoelasticity,which affect the rutting of an asphalt pavement,can be shown in the model.And the characteristics of the permanent deformation of the asphalt pavement can be presented entirely in the model.

  7. Adaptive Road Crack Detection System by Pavement Classification

    Directory of Open Access Journals (Sweden)

    Alejandro Amírola

    2011-10-01

    Full Text Available This paper presents a road distress detection system involving the phases needed to properly deal with fully automatic road distress assessment. A vehicle equipped with line scan cameras, laser illumination and acquisition HW-SW is used to storage the digital images that will be further processed to identify road cracks. Pre-processing is firstly carried out to both smooth the texture and enhance the linear features. Non-crack features detection is then applied to mask areas of the images with joints, sealed cracks and white painting, that usually generate false positive cracking. A seed-based approach is proposed to deal with road crack detection, combining Multiple Directional Non-Minimum Suppression (MDNMS with a symmetry check. Seeds are linked by computing the paths with the lowest cost that meet the symmetry restrictions. The whole detection process involves the use of several parameters. A correct setting becomes essential to get optimal results without manual intervention. A fully automatic approach by means of a linear SVM-based classifier ensemble able to distinguish between up to 10 different types of pavement that appear in the Spanish roads is proposed. The optimal feature vector includes different texture-based features. The parameters are then tuned depending on the output provided by the classifier. Regarding non-crack features detection, results show that the introduction of such module reduces the impact of false positives due to non-crack features up to a factor of 2. In addition, the observed performance of the crack detection system is significantly boosted by adapting the parameters to the type of pavement.

  8. Pavement Management for Local Agencies: How to do More with less with the Three Legged Stool System

    OpenAIRE

    Barnhardt, Blair

    2013-01-01

    Pavement management is important for agencies to maintain their critical infrastructure. By using the core principles of asset management, pavement assessment, and candidate selection, an agency is able to address pavement distresses with routine maintenance and prevent good and fair roads from becoming bad roads. This presentation discusses the many ways agencies have successfully managed their way to an improved overall road network even during the most challenging times.

  9. Endovascular management of acute bleeding arterioenteric fistulas

    DEFF Research Database (Denmark)

    Leonhardt, H.; Mellander, S.; Snygg, J.

    2008-01-01

    The objective of this study was to review the outcome of endovascular transcatheter repair of emergent arterioenteric fistulas. Cases of abdominal arterioenteric fistulas (defined as a fistula between a major artery and the small intestine or colon, thus not the esophagus or stomach), diagnosed...... arterioenteric fistulas in the emergent episode. However, in this group of patients with severe comorbidities, the risk of rebleeding is high and further intervention must be considered. Patients with cancer may only need treatment for the acute bleeding episode, and an endovascular approach has the advantage...

  10. Somatostatin analogues for acute bleeding oesophageal varices

    DEFF Research Database (Denmark)

    Gøtzsche, Peter C.; Hrobjartsson, A.

    2008-01-01

    or recent bleeding from oesophageal varices. DATA COLLECTION AND ANALYSIS: The outcome measures extracted were: mortality, blood transfusions, use of balloon tamponade, initial haemostasis and rebleeding. Intention-to-treat analyses including all randomised patients were conducted if possible; a random...... it was substantially reduced in the other trials, relative risk 0.36 (0.19 to 0.68). Use of balloon tamponade was rarely reported. AUTHORS' CONCLUSIONS: The need for blood transfusions corresponded to one half unit of blood saved per patient. It is doubtful whether this effect is worthwhile. The findings do...

  11. An Unusual Case of Gastrointestinal Bleeding

    Directory of Open Access Journals (Sweden)

    Kristin N. Fiorino

    2011-01-01

    Full Text Available A 10-year-old boy presented with a 3-day history of worsening abdominal pain, fever, emesis and melena. Abdominal ultrasound revealed a right upper quadrant mass that was confirmed by computed tomography angiogram (CTA, which showed an 8 cm well-defined retroperitoneal vascular mass. 123Iodine metaiodobenzylguanidine (123MIBG scan indicated uptake only in the abdominal mass. Subsequent biopsy revealed a paraganglioma that was treated with chemotherapy. This case represents an unusual presentation of a paraganglioma associated with gastrointestinal (GI bleeding and highlights the utility of CTA and 123MIBG in evaluation and treatment.

  12. DESERT PAVEMENTS AND SOILS ON BASALTIC PYROCLASTIC DEPOSITS AT LATHROP WELLS AND RED CONE VOLCANOES, SOUTHERN NEVADA

    Energy Technology Data Exchange (ETDEWEB)

    G.A. Valentine; C.D. Harrington

    2005-08-10

    Formation of desert pavement and accretionary soils are intimately linked in arid environments such as the Mojave Desert. Well-sorted fallout scoria lapilli at Lathrop Wells (75-80 ky) and Red Cone ({approx}1 Ma) volcanoes (southern Nevada) formed an excellent starting material for pavement, allowing infiltration of eolian silt and fine sand that first clogs the pore space of underlying tephra and then aggrades and develops vesicular A (Av) horizons. Variations in original pyroclast sizes provide insight into minimum and maximum clast sizes that promote pavement and soil formation: pavement becomes ineffective when clasts can saltate under the strongest winds, while clasts larger than coarse lapilli are unable to form an interlocking pavement that promotes silt accumulation (necessary for Av development). Contrary to predictions that all pavements above altitudes of {approx}400 m would have been ''reset'' in their development after late Pleistocene vegetation advances (about 15 ka), the soils and pavements show clear differences in maturity between the two volcanoes. This indicates that either the pavement soils develop slowly over many 10,000's of years and then are very stable, or that, if they are disrupted by vegetation advances, subsequent pavements are reestablished with successively more mature characteristics.

  13. DESERT PAVEMENTS AND SOILS ON BASALTIC PYROCLASTIC DEPOSITS AT LATHROP WELLS AND RED CONE VOLCANOES, SOUTHERN NEVADA ABSTRACT

    Energy Technology Data Exchange (ETDEWEB)

    G.A. Valentine; C.D. Harrington

    2005-08-26

    Formation of desert pavement and accretionary soils are intimately linked in arid environments such as the Mojave Desert. Well-sorted fallout scoria lapilli at Lathrop Wells (75-80 ky) and Red Cone ({approx}1 Ma) volcanoes (southern Nevada) formed an excellent starting material for pavement, allowing infiltration of eolian silt and fine sand that first clogs the pore space of underlying tephra and then aggrades and develops vesicular A (Av) horizons. Variations in original pyroclast sizes provide insight into minimum and maximum clast sizes that promote pavement and soil formation: pavement becomes ineffective when clasts can saltate under the strongest winds, while clasts larger than coarse lapilli are unable to form an interlocking pavement that promotes silt accumulation (necessary for Av development). Contrary to predictions that all pavements above altitudes of {approx}400 m would have been ''reset'' in their development after late Pleistocene vegetation advances (about 15 ka), the soils and pavements show clear differences in maturity between the two volcanoes. This indicates that either the pavements/soils develop slowly over many 10,000's of years and then are very stable, or that, if they are disrupted by vegetation advances, subsequent pavements are reestablished with successively more mature characteristics.

  14. [EMERGENCY TREATMENT OF BLEEDING IN PATIENTS TAKING WARFARIN].

    Science.gov (United States)

    Prasolov, N V; Shulutko, E M; Bulanov, A Yu; Yatskov, K V; Shcherbakov, O V

    2015-01-01

    Anticoagulant therapy with vitamin K antagonists (AVK) is an effective treatment and prevention of thrombosis. One of the major disadvantages of the AVK is a risk for serious bleeding. Prothrombin complex concentrates (PCC), fresh frozen plasma (FFP) and vitamin K1 are available for control of these situations. The experience of special team ofthe Scientific Center for Hematology was the basis for presented retrospective study. Three regimens of warfarin-related bleeding were compared: PCC+ VK for several bleeding, FFP+ VK for different clinical situations and VKfor light bleeding. PCC showed himself as effective and safe hemostatic agent. Transfusions of FFP were sometimes not effective, sometimes led to TACO. Supplementation of vitamin K1 for patients of I and II groups provided more stable control of hemostasis. In III group VK vas effective to stop bleeding. Two impotent sings for conclusion: necessary of laboratory monitoring, TEG first of all; individual balance of hemostasis base of bleeding or thrombotic risks.

  15. Abnormal Uterine Bleeding: American College of Nurse-Midwives.

    Science.gov (United States)

    2016-07-01

    Variations in uterine bleeding, termed abnormal uterine bleeding, occur commonly among women and often are physiologic in nature with no significant consequences. However, abnormal uterine bleeding can cause significant distress to women or may signify an underlying pathologic condition. Most women experience variations in menstrual and perimenstrual bleeding in their lifetimes; therefore, the ability of the midwife to differentiate between normal and abnormal bleeding is a key diagnostic skill. A comprehensive history and use of the PALM-COEIN classification system will provide clear guidelines for clinical management, evidence-based treatment, and an individualized plan of care. The purpose of this Clinical Bulletin is to define and describe classifications of abnormal uterine bleeding, review updated terminology, and identify methods of assessment and treatment using a woman-centered approach.

  16. Upper gastrointestinal bleeding etiology score for predicting variceal and non-variceal bleeding

    Institute of Scientific and Technical Information of China (English)

    Supot Pongprasobchai; Sireethorn Nimitvilai; Jaroon Chasawat; Sathaporn Manatsathit

    2009-01-01

    AIM: To identify clinical parameters, and develop an Upper Gastrointesinal Bleeding (UGIB) Etiology Score for predicting the types of UGIB and validate the score.METHODS: Patients with UGIB who underwent endoscopy within 72 h were enrolled. Clinical and basic laboratory parameters were prospectively collected.Predictive factors for the types of UGIB were identified by univariate and multivariate analyses and were used to generate the UGIB Etiology Score. The best cutoff of the score was defined from the receiver operating curve and prospectively validated in another set of patients with UGIB.RESULTS: Among 261 patients with UGIB, 47 (18%) had variceal and 214 (82%) had non-variceal bleeding.Univariate analysis identified 27 distinct parameters significantly associated with the types of UGIB. Logistic regression analysis identified only 3 independent factors for predicting variceal bleeding;previous diagnosis of cirrhosis or signs of chronic liver disease (OR 22.4, 95% CI 8.3-60.4, P < 0.001), red vomitus (OR4.6, 95% CI 1.8-11.9, P = 0.02), and red nasogastric (NG) aspirate (OR 3.3, 95% CI 1.3-8.3, P = 0.011).The UGIB Etiology Score was calculated from (3.1 x previous diagnosis of cirrhosis or signs of chronic liver disease) + (1.5 × red vornitus) + (1.2 × red NG aspirate), when 1 and 0 are used for the presence and absence of each factor, respectively. Using a cutoff ≥ 3.1, the sensitivity, specificity, accuracy, positive predictive value (PPV), and negative predictive value (NPV) in predicting variceal bleeding were 85%, 81%,82%, 50%, and 96%, respectively. The score was prospectively validated in another set of 195 UGIB cases (46 variceal and 149 non-variceal bleeding). The PPV and NPV of a score ≥3.1 for variceal bleeding were 79% and 97%, respectively.CONCLUSION: The UGIB Etiology Score, composed of 3 parameters, using a cutoff ≥ 3.1 accurately predicted variceal bleeding and may help to guide the choice of initial therapy for UGIB before endoscopy.

  17. Factors that can minimize bleeding complications after renal biopsy

    OpenAIRE

    Zhu, M. S.; J. Z. Chen; A.P. Xu

    2014-01-01

    Renal biopsy is a very important diagnostic tool in the evaluation of renal diseases. However, bleeding remains to be one of the most serious complications in this procedure. Many new techniques have been improved to make it safer. The risk factors and predictors of bleeding after percutaneous renal biopsy have been extensively reported in many literatures, and generally speaking, the common risk factors for renal biopsy complications focus on hypertension, high serum creatinine, bleeding dia...

  18. Determination of the Risk of Recurrent Gastroduodenal Ulcer Bleeding

    OpenAIRE

    2016-01-01

    Despite the advances in endoscopic haemostasis, the incidence of recurrent ulcer bleeding remains to be high. It necessitates further search for its prognosis and methods of treatment.The objective of the research was to analyse risk factors for recurrent gastroduodenal ulcer bleeding.Materials and methods. The study included 203 patients with gastroduodenal ulcer bleeding. There were 135 (66.5%) males and 68 (33.3%) females. All the patients were examined and received conservative treatment ...

  19. Gastrointestinal bleeding 30 years after a complicated cholecystectomy

    Institute of Scientific and Technical Information of China (English)

    Thorsten; Brechmann; Wolff; Schmiegel; Volkmar; Nicolas; Markus; Reiser

    2010-01-01

    Gastrointestinal bleeding from small-bowel varices is a rare and difficult to treat complication of portal hypertension. We describe the case of a 79-year-old female patient with recurrent severe hemorrhage from smallbowel varices 30 years after a complicated cholecystectomy. When double balloon enteroscopy was unsuccessful to reach the site of bleeding, a rendezvous approach was favored with intraoperative endoscopy. Active bleeding from varices within a biliodigestive anastomosis was found and controlled ...

  20. Gastrointestinal Bleeding Scintigraphy in the Early 21st Century.

    Science.gov (United States)

    Grady, Erin

    2016-02-01

    Gastrointestinal bleeding scintigraphy performed with (99m)Tc-labeled autologous erythrocytes or historically with (99m)Tc-sulfur colloid has been a clinically useful tool since the 1970s. This article reviews the history of the techniques, the different methods of radiolabeling erythrocytes, the procedure, useful indications, diagnostic accuracy, the use of SPECT/CT and CT angiography to evaluate gastrointestinal bleeding, and Meckel diverticulum imaging. The causes of pediatric bleeding are discussed by age.

  1. Recent Update of Embolization of Upper Gastrointestinal Tract Bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Ji Hoon [Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of)

    2012-02-15

    Nonvariceal upper gastrointestinal (UGI) bleeding is a frequent complication with significant morbidity and mortality. Although endoscopic hemostasis remains the initial treatment modality, severe bleeding despite endoscopic management occurs in 5-10% of patients, necessitating surgery or interventional embolotherapy. Endovascular embolotherapy is now considered the first-line therapy for massive UGI bleeding that is refractory to endoscopic management. Interventional radiologists need to be familiar with the choice of embolic materials, technical aspects of embolotherapy, and the factors affecting the favorable or unfavorable outcomes after embolotherapy for UGI bleeding.

  2. Incidence and Management of Bleeding Complications Following Percutaneous Radiologic Gastrostomy

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Nieun; Shin, Ji Hoon; Ko, Gi Young; Yoon, Hyun Ki; Gwon, Dong Il; Kim, Jin Hyoung; Sung, Kyu Bo [Asan Medical Center, Ulsan University College of Medicine, Seoul (Korea, Republic of)

    2012-03-15

    Upper gastrointestinal (GI) bleeding is a serious complication that sometimes occurs after percutaneous radiologic gastrostomy (PRG). We evaluated the incidence of bleeding complications after a PRG and its management including transcatheter arterial embolization (TAE). We retrospectively reviewed 574 patients who underwent PRG in our institution between 2000 and 2010. Eight patients (1.4%) had symptoms or signs of upper GI bleeding after PRG. The initial presentation was hematemesis (n = 3), melena (n = 2), hematochezia (n = 2) and bloody drainage through the gastrostomy tube (n = 1). The time interval between PRG placement and detection of bleeding ranged from immediately after to 3 days later (mean: 28 hours). The mean decrease in hemoglobin concentration was 3.69 g/dL (range, 0.9 to 6.8 g/dL). In three patients, bleeding was controlled by transfusion (n = 2) or compression of the gastrostomy site (n = 1). The remaining five patients underwent an angiography because bleeding could not be controlled by transfusion only. In one patient, the bleeding focus was not evident on angiography or endoscopy, and wedge resection including the tube insertion site was performed for hemostasis. The other four patients underwent prophylactic (n = 1) or therapeutic (n = 3) TAEs. In three patients, successful hemostasis was achieved by TAE, whereas the remaining one patient underwent exploration due to persistent bleeding despite TAE. We observed an incidence of upper GI bleeding complicating the PRG of 1.4%. TAE following conservative management appears to be safe and effective for hemostasis.

  3. Risk factors for bleeding after endoscopic mucosal resection

    Institute of Scientific and Technical Information of China (English)

    Masatsugu Shiba; Toshio Watanabe; Kazunari Tominaga; Yoshihiro Fujiwara; Tomoshige Hayashi; Kei Tsumura; Tetsuo Arakawa; Kazuhide Higuchi; Kaori Kadouchi; Ai Montani; Kazuki Yamamori; Hirotoshi Okazaki; Makiko Taguchi; Tomoko Wada; Atsushi Itani

    2005-01-01

    AIM: To clarify the risk factors for bleeding after endoscopic mucosal resection (EMR).METHODS: A total of 297 consecutive patients who underwent EMR were enrolled. Some of the patients had multiple lesions. Bleeding requiring endoscopic treatment was defined as bleeding after EMR. Odds ratios (OR) with 95% confidence intervals (CI), calculated by logistic regression with multivariate adjustments for covariates,were the measures of association.RESULTS: Of the 297 patients, 57 (19.2%) patients with bleeding after EMR were confirmed. With multivariate adjustment, the cutting method of ENR, diameter, and endoscopic pattern of the tumor were associated with the risk of bleeding after ENR. The multivariate-adjusted OR for bleeding after EMR using endoscopic aspiration mucosectomy was 3.07 (95%CI, 1.59-5.92) compared with strip biopsy. The multiple-adjusted OR for bleeding after EMR for the highest quartile (16-50 mm) of tumor diameter was 5.63 (95%CI, 1.84-17.23) compared with that for the lowest (4-7 mm). The multiple-adjusted OR for bleeding after EM R for depressed type of tumor was 4.21 (95%CI, 1.75-10.10) compared with elevated type.CONCLUSION: It is important to take tumor characteristics (tumor size and endoscopic pattern) and cutting method of EMR into consideration in predicting bleeding after ENR.

  4. CERVICAL ECTOPIC PREGNANCY WITH MASSIVE BLEEDING: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Slavcho Tomov

    2015-05-01

    Full Text Available A 29-year-old patient with cervical ectopic pregnancy (CEP presented as "suspected" cervical mass, and irregular vaginal bleeding was directed to a gynecologic oncologist for consultation. During the examination a massive bleeding occurred. After an unsuccessful attempt to stop the bleeding with a balloon catheter and vaginal tamponade, a total abdominal hysterectomy was performed. The predisposing factors, the differential diagnostic possibilities and the clinical approaches in CEP are discussed. Total abdominal hysterectomy is the procedure of choice for treatment of cervical pregnancy under conditions of urgency and life-threatening bleeding.

  5. Transcatheter arterial embolization in gastric cancer patients with acute bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hyun Joo; Shin, Ji Hoon; Yoon, Hyun-Ki; Ko, Gi-Young; Gwon, Dong-Il; Song, Ho-Young; Sung, Kyu-Bo [University of Ulsan College of Medicine, Department of Radiology and Research Institute of Radiology, Seoul (Korea)

    2009-04-15

    The safety and clinical effectiveness of transcatheter arterial embolization for bleeding associated with unresectable gastric cancer was evaluated. Twenty-three patients with bleeding from unresectable gastric cancer underwent transcatheter arterial embolization. Of the 23 patients, eight showed signs of active bleeding, such as contrast extravasation or pseudoaneurysm, seven showed only tumor staining, and the remaining eight patients showed negative angiographic findings. All embolization procedures were successful without procedure-related complications. In all eight active bleeding patients, immediate hemostasis was achieved. The overall clinical success rate was 52% (12/23). Recurrent bleeding within 1 month occurred in one (8%) in 12 patients with initial clinical success. One patient showed partial splenic infarction after embolization of the splenic artery for active bleeding from the short gastric artery. Overall 30-day mortality rate was 43% (10/23). The median overall survival period was 38 days. In patients with bleeding from unresectable gastric cancer, transcatheter arterial embolization was found to be safe and effective for achieving immediate hemostasis for active bleeding. Although the clinical success rate was not high, the recurrent bleeding rate was low at 1 month post procedure. (orig.)

  6. Photocoagulation in the treatment of bleeding peptic ulcer

    Science.gov (United States)

    Otto, Wlodzimierz; Paczkowski, Pawel M.

    1996-03-01

    The authors present their experience in the endoscopic laser photocoagulation of bleeding peptic ulcer. From 1991 to June 1995, 203 patients admitted for UGI bleeding from peptic ulcer have been treated by this method. The source of bleeding was confirmed by endoscopy. The patients were divided into two groups: actively bleeding peptic ulcer (group IA and IB according to Forrest's classification) and ulcer with stigmata of recent bleeding (group IIA/IIB). The former group consisted of 106 patients, among whom over 40 percent (45 patients) presented signs of hypovolemic shock on admission. Nd:YAG laser (Surgical Laser Technologies) was used in a continuous mode with a contact (8 - 20 watts) or non-contact (over 50 watts) method of coagulation. In actively bleeding patients photocoagulation resulted in stopping the hemorrhage in 95 (90%). Recurrent bleeding occurred in 16 cases; in 9 of them it was stopped by repeated photocoagulation. In this group 18 patients required surgical intervention. The mortality was of 10.3% (11 patients). In 97 patients with recent bleeding stigmata photocoagulation provoked heavy hemorrhage in 3 (in 2 cases stopped by prolonged coagulation). In 9 of the remaining 94 patients recurrent bleeding occurred. Nine patients required surgical intervention. Mortality in this group was of 6%.

  7. Angiography Diagnosis and Treatment of Traumatic Artery Bleeding

    Institute of Scientific and Technical Information of China (English)

    WANG Li; WANG Yan; LIU Jingzhang

    2002-01-01

    Objective After angiography and embolization of three cases suffering from traumatic artery bleeding we summarized the selective embolization of different artery bleeding cases and their treatment analysis. Methods The three cases were all female,among them,one suffering from hepatic artery bleeding by a traffic accident, the other two caused by iatrogenic damage. Of the two, one suffered from bleeding after the gall bladder removal, the other from bleeding after puncture biopsy through the kidney.Seldinger technique was used on the three cases, and puncture intubation was superselected and put through arterial femoralis. Catheters were put separately inside the target blood vessels to have radiography and contrast medium was found to have out flowed out to the bleeding artery. And then the mixed gelatin sponge particles were put into, Ultravist contrast medium to make suspension. Through fluoroscopy the suspension was injected into bleeding artery until no contrast medium out flowed. After that radiography was used to watch the result. Results After the embolization the three cases stopped bleeding at once with remarkable effects. Conclusion Therefore we conclude the embolization is the best method for treating artery bleeding.

  8. Numerical analysis of applying special pavements to solve the frost heave diseases of high-speed railway roadbeds in seasonally frozen ground regions

    Institute of Scientific and Technical Information of China (English)

    Chang Yuan; FuJun Niu; QiHao Yu; XinBin Wang; Lei Guo; YanHui You

    2015-01-01

    The Haerbin-Dalian Passenger Dedicated Line is the first high-speed railway constructed in the seasonally frozen ground regions of northeastern China. Frost heave diseases occurred in the first winter of its operation (between October 2012 and January 2013), and frost heave was observed mainly in the roadbed fills that were considered not susceptible to frost heave. This paper proposes applying two special pavements — black pavement and insulation-black pavement — to improve the thermal regime of the roadbed. Three numerical models of the roadbed temperature field were built based on the field con-ditions of the Changchun section (D3K692+840 to D3K692+860). The results show that: (1) Compared with cement pave-ment, black pavement and insulation-black pavement could reduce the freezing index at the roadbed surface by 37% and 64%, respectively, which could influence the maximum frozen depth; (2) the maximum frozen depths under the black pavement and insulation-black pavement were respectively 1.3–1.4 m and 1 m. Compared with cement pavement, they could reduce the maximum frozen depth by 0.4 m and 0.7–0.8 m, respectively, which would reduce the permitted amount of frost heave by 4 mm and 7–8 mm, which would meet the deformation limit established by theCode for Design on Special Subgrade of Railway; (3) the freezing periods of the black pavement and the insulation-black pavement were, respectively, approximately four months and two months. Compared with cement pavement, they could reduce the freezing period by approximately 19 days and 40 days, respectively, and delay the initial freezing time by 9 days and 18 days; and (4) compared with cement pavement, black pavement and black-insulation pavement could reduce the frozen areas of roadbeds in the cold season, which suggests that these two special pavements could provide better thermal stability for roadbeds.

  9. Work Plan for: "Investigation of Noise, Durability, Permeability and Friction Performance Trends for Asphaltic Pavement Surface Types," PPRC Strategic Plan Item 4.16

    OpenAIRE

    Harvey, John T

    2005-01-01

    The central purpose of this research is to support the Caltrans Quiet Pavement Pilot Program. The research conforms with FHWA guidance provided to State DOTs that conduct tire/pavement noise research. The broader purpose of this research is to support the Caltrans Quieter Pavements Road Map and Work Plan, with goals and objectives that address quiet as well as permeable asphalt surfaces for pavements. Results from this research will identify best practice for selecting asphaltic surf...

  10. State of the Art of Pavement Response Monitoring Systems for Roads and Airfields Symposium Held March 6-9, 1989 in West Lebanon, New Hampshire,

    Science.gov (United States)

    1989-09-01

    will be states, the IMS must be able to collected from SHA records. Where count accommodate a wide variety of data are missing, " backcasting " and...pavements is needed to develop future 1.ad i,.duced deflections, and slab policies on pavement design, construc- t,-":jct gradients. Field instru- tion...acquisition system capable of fast sampling rates is re- quired. Data collection of in-service pavements will help shape future policies on pavement design

  11. On-site inspections of pavement damages evolution using GPR

    Science.gov (United States)

    Tosti, Fabio; D'Amico, Fabrizio; Calvi, Alessandro; Benedetto, Andrea

    2014-05-01

    Ground-penetrating radar (GPR) is being increasingly used for pavements maintenance due to the wide range of applications spanning from physical to geometrical inspections, thereby allowing for a reliable diagnosis of the main causes of road structural damages. In this work, an off-ground GPR system was used to investigate a large-scale rural road network. Two sets of surveys were carried out in different time periods, with the main goals to i) localize the most critical sections; ii) monitor the evolution of previous damages and localize newborn deep faults, although not revealed at the pavement surface level; iii) analyze the causes of both evolution and emergence of faults by considering environmental and human factors. A 1-GHz GPR air-launched antenna was linked to an instrumented van for collecting data at traffic speed. Other support techniques (e.g. GPS data logger, odometer, HD video camera) were used for cross-checking,. Such centre frequency of investigation along with a 25-ns time window allow for a signal penetration of 900 mm, consistent with the deepest layer interfaces. The bottom of the array was 400 mm over the surface, with a minimum distance of 1200 mm from the van body. Scan length of maximum 10 km were provided for avoiding heavy computational loads. The rural road network was located in the District of Rieti, 100 km north from Rome, Italy, and mostly develops in a hilly and mountainous landscape. In most of the investigated roads, the carriageway consists in two lanes of 3.75 meters wide and two shoulders of 0.50 meters wide. A typical road section includes a HMA layer (65 mm average thickness), a base layer (100 mm average thickness), and a subbase layer (300 mm average thickness), as described by pavement design charts. The first set of surveys was carried out in two days at the beginning of spring in moderately dry conditions. Overall, 320-km-long inspections were performed in both travel directions, thereby showing a productivity of

  12. Reuse of Lathe Waste Steel Scrap in Concrete Pavements

    Directory of Open Access Journals (Sweden)

    Pooja Shrivastavaa

    2014-12-01

    Full Text Available These project works assess on the study of the workability and mechanical strength properties of the concrete reinforced with industrialized waste fibers or the recycled fibers. In each lathe industries wastes are available in form of steel scraps are yield by the lathe machines in process of finishing of different machines parts and dumping of these wastes in the barren soil contaminating the soil and ground water that builds an unhealthy environment. Now a day’s these steel scraps as a waste products used by innovative construction industry and also in transportation and highway industry. In addition to get sustainable progress and environmental remuneration, lathe scrap as worn-recycle fibers with concrete are likely to be used. When the steel scrap reinforced in concrete it acquire a term; fiber reinforced concrete and steel fibers in concrete defined as steel fiber reinforced concrete (SFRC.Different experimental studies are done to identify about fresh and hardened concrete properties of steel scrap fiber reinforced concrete (SSFRC and their mechanical properties are found to be increase due to the addition of steel scrap in concrete i.e. compressive strength, flexural strength, impact strength, fatigue strength and split tensile strength were increased but up to 0.5-2% scrap content . When compared with usual concrete to SSFRC, flexural strength increases by 40% and considerable increases in tensile and compressive strength. These steel scrap also aid to improve the shrinkage reduction, cracking resistance i.e. preventing crack propagation and modulus of elasticity. The workability of fresh SSFRC are carried out by using slump test but it restricted to less scrap contents. This work focuses on the enhancement of structural strength and improvement in fatigue life of concrete pavements by reuse of scrap steel in concrete. These concrete roads with SSFRC promises an appreciably eminent design life, offer superior serviceability and

  13. Thrombosis and bleeding disorders outside Western countries.

    Science.gov (United States)

    Mannucci, P M

    2007-07-01

    The rapidly developing countries of Asia are witnessing substantial progress in the awareness of bleeding and thrombotic disorders as important health care problems. It has been thought for a long time that venous thromboembolism is very rare in Asia. Recent large studies that involved the majority of Asian countries demonstrated that this is not true, so that the practice of not using thromboprophylaxis in high-risk medical and surgical cases should be abandoned. The management of hemophilia and allied coagulation disorders has also dramatically improved in several Asian countries, due to the increased availability of blood products for replacement therapy coupled with the leadership role exerted by a few charismatic physicians, particularly in India and Thailand. As to the future, countries such as China and India have the capacity and expertise in biotechnology to consider the production of recombinant factors and gene transfer as the best strategies to tackle the management of persons with hemophilia in these densely populated and huge countries.

  14. Do statins protect against upper gastrointestinal bleeding?

    DEFF Research Database (Denmark)

    Gulmez, Sinem Ezgi; Lassen, Annmarie Touborg; Aalykke, Claus;

    2009-01-01

    AIMS: Recently, an apparent protective effect of statins against upper gastrointestinal bleeding (UGB) was postulated in a post hoc analysis of a randomized trial. We aimed to evaluate the effect of statin use on acute nonvariceal UGB alone or in combinations with low-dose aspirin and other...... of statins with UGB were 0.94 (0.78-1.12) for current use, 1.40 (0.89-2.20) for recent use and 1.42 (0.96-2.10) for past use. The lack of effect was consistent across most patient subgroups, different cumulative or current statin doses and different statin substances. In explorative analyses, a borderline...... significant protective effect was observed for concurrent users of low-dose aspirin [OR 0.43 (0.18-1.05)]. CONCLUSION: Statins do not prevent UGB, except possibly in users of low-dose aspirin....

  15. Abnormal uterine bleeding: a clinicohistopathological analysis

    Directory of Open Access Journals (Sweden)

    Anupamasuresh Y

    2014-06-01

    Methods: In our prospective study of 359 Patients of the age between 46 and 73 years, clinical characteristics and the pattern of endometrial histopathology and their association in women, who present with abnormal uterine bleeding, are categorised into six groups. Results: In our study, a significant correlation of histopathology and BMI was observed with endometrial hyperplasia and malignancy in obese patient i.e. 37 out 96 and 13 out of 23 respectively. The incidence of malignancy has been increasing with the age being 1.6% in 46-50 years to 60% in 70-75 years. In our study 116 (32.3% had hypertension, 33 patients (9.2% had diabetes mellitus, 40 patients (11.1% had hypothyroidism. Conclusions: We found a maximum incidence of AUB in multiparous women. Clinicohistopathological analysis of AUB revealed endometrial hyperplasia in majority of patients. [Int J Reprod Contracept Obstet Gynecol 2014; 3(3.000: 656-661

  16. [Clinical pathway for bleeding peptic ulcers].

    Science.gov (United States)

    Mizuki, Akira; Tatemichi, Masayuki; Nikaido, Mitsuhiro; Hosoe, Naoki; Funakoshi, Sinsuke; Fukui, Kazuto; Maeda, Norio; Shigematsu, Takeharu; Nishiya, Hiromi; Hayashi, Tatsuhiko; Nagata, Hiroshi; Hibi, Norifumi; Tsukada, Nobuhiro

    2006-03-01

    We devised and evaluated a clinical pathway (CP) protocol for patients with bleeding peptic ulcers (BPU). Patients without severe comorbidities, who had been diagnosed with BPU and who had undergone endoscopic treatment, were enrolled in our study. The CP adaptation rate for BPU patients was 78.8% (89/113). The variance rate was 13.5% (12/89). The median length of admission was 10.0 +/- 4.6 days (n = 78) before and 7.4 +/- 2.9 days (n = 77) after introducing CP. Our CP for BPU was safe and resulted in shorter hospital stays and, therefore, cost reductions. In elder patients, our CP was also successful, but the variance rate was higher than in younger patients.

  17. Platelet Function Tests in Bleeding Disorders.

    Science.gov (United States)

    Lassila, Riitta

    2016-04-01

    Functional disorders of platelets can involve any aspect of platelet physiology, with many different effects or outcomes. These include platelet numbers (thrombocytosis or thrombocytopenia); changes in platelet production or destruction, or capture to the liver (Ashwell receptor); altered adhesion to vascular injury sites and/or influence on hemostasis and wound healing; and altered activation or receptor functions, shape change, spreading and release reactions, procoagulant and antifibrinolytic activity. Procoagulant membrane alterations, and generation of thrombin and fibrin, also affect platelet aggregation. The above parameters can all be studied, but standardization and quality control of assay methods have been limited despite several efforts. Only after a comprehensive clinical bleeding assessment, including family history, information on drug use affecting platelets, and exclusion of coagulation factor, and tissue deficits, should platelet function testing be undertaken to confirm an abnormality. Current diagnostic tools include blood cell counts, platelet characteristics according to the cell counter parameters, peripheral blood smear, exclusion of pseudothrombocytopenia, whole blood aggregometry (WBA) or light transmission aggregometry (LTA) in platelet-rich plasma, luminescence, platelet function analysis (PFA-100) for platelet adhesion and deposition to collagen cartridges under blood flow, and finally transmission electron microscopy to exclude rare structural defects leading to functional deficits. The most validated test panels are included in WBA, LTA, and PFA. Because platelets are isolated from their natural environment, many simplifications occur, as circulating blood and interaction with vascular wall are omitted in these assays. The target to reach a highly specific platelet disorder diagnosis in routine clinical management can be exhaustive, unless needed for genetic counseling. The elective overall assessment of platelet function disorder

  18. Impact of Vehicle Class and Tire Pressure on Pavement Performance in MEPDG

    Directory of Open Access Journals (Sweden)

    Mohamed I. E. Attia

    2014-10-01

    Full Text Available The new Mechanistic-Empirical Pavement Design Guide (MEPDG design and analysis procedures defines the exact traffic loading by defining the specific number of each vehicle class and the use of axle load distribution factors instead of the equivalent single axle load (ESAL. The number of traffic inputs (parameters in MEPDG was found to be 17024. This research aimed to evaluate the sensitivity of the predicted flexible pavement distress to vehicle class and tire pressure in MEPDG. To evaluate the impact of vehicle (truck class on pavement sections, different cases of loading were analyzed. For each case, the MEPDG Ver. 1.1 was used to evaluate the effect of tire pressure by solving each case for a tire pressure of 120 and 140 psi. The effect of the traffic parameters on asphalt pavement (AC rutting, base rutting, subgrade rutting, international roughness index (IRI, longitudinal cracking and fatigue (alligator cracking were investigated. It was found that vehicle class distribution (VCD would cause clear impact (comparable to the effect of AADTT level only if the major traffic is of specific class (very light or very heavy. If this is not the case, the vehicle class distribution will not be a significant factor that affects the final design because most of the trucks had similar impact on flexible pavement distresses. The impact of tire pressure is clear on longitudinal cracking, fatigue cracking and AC rutting, and have no significant impact on both base and subgrade rutting.

  19. Approaches for a 3D assessment of pavement evenness data based on 3D vehicle models

    Directory of Open Access Journals (Sweden)

    Andreas Ueckermann

    2015-04-01

    Full Text Available Pavements are 3D in their shape. They can be captured in three dimensions by modern road mapping equipment which allows for the assessment of pavement evenness in a more holistic way as opposed to current practice which divides into longitudinal and transversal evenness. It makes sense to use 3D vehicle models to simulate the effects of 3D surface data on certain functional criteria like pavement loading, cargo loading and driving comfort. In order to evaluate the three criteria mentioned two vehicle models have been created: a passenger car used to assess driving comfort and a truck-semitrailer submodel used to assess pavement and cargo loading. The vehicle models and their application to 3D surface data are presented. The results are well in line with existing single-track (planar models. Their advantage over existing 1D/2D models is demonstrated by the example of driving comfort evaluation. Existing “geometric” limit values for the assessment of longitudinal evenness in terms of the power spectral density could be used to establish corresponding limit values for the dynamic response, i.e. driving comfort, pavement loading and cargo loading. The limit values are well in line with existing limit values based on planar vehicle models. They can be used as guidelines for the proposal of future limit values. The investigations show that the use of 3D vehicle models is an appropriate and meaningful way of assessing 3D evenness data gathered by modern road mapping systems.

  20. Development of Performance Models for a Typical Flexible Road Pavement in Nigeria

    Directory of Open Access Journals (Sweden)

    Adebayo Oladipo Owolabi

    2012-09-01

    Full Text Available The results of a study conducted to facilitate the development of road pavement performance models that are appropriate for Nigeria and similar developing countries andcould predict the rate of deterioration over their lifespan have been presented. Comprehensive investigations were carried out on the expressway linking Lagos (the economic nerve centre of Nigeria with Ibadan (the largest city in West Africa - apparently one of the most heavily trafficked roads in the country. Data relating to traffic characteristics, pavement condition ratings, distress types, pavement thickness, roughness index, rainfall and temperature, were collected. Models were developed to determine Pavement Condition Score (PCS and International Roughness Index (IRI. Stepwise Regression was used to analyse the data and quantify the impact of key input parameters on the PCS and IRI. Parameters such as depth of ruts and area of pot holes were found to be statistically significant in predicting PCS while number of patches, length of longitudinal cracks and depth of ruts were statistically significant in predicting IRI. The models can be used for planning road maintenance programs, thus minimizing the need for comprehensive data collection on pavement condition before the maintenance exercise, which is costly and time consuming.

  1. State-of-the-art review of the applications of nanotechnology in pavement materials

    Science.gov (United States)

    Castillo, Luis, Jr.

    The use of nanotechnology in pavement materials is one main area that shows great promise and has the potential to change commonly used materials. This will develop more effective solutions to achieve the desired performance. The overall objective of this work is to present a state-of-the-art literature review of nano-science-based principles to improve the performance and, ultimately, the life cycle of transportation construction materials. This work will be organized into two different parts. The first part will consist of six sections: applications of nanotechnology in concrete pavements, applications of nanotechnology in asphalt pavement, application of nanotechnology in general soils, cost-benefit analysis, challenges, and trends to the future. In addition, a current practice review was performed from a literature review that included a questionnaire of the knowledge and opinion about nanotechnology, which included students, general contractors, teachers, engineers, and architects. The second part will deal with the advancement of the application of nanotechnology in pavement materials for different developed countries. Because nanotechnology is relatively a young field in pavement materials, limited research has been conducted in North America, Europe, and Asia. A comparison of the advancement of nano-science-based principles, as applied to the performance and life cycle of transportation materials, for the three continents will be carried out in a summarized manner.

  2. The Greenhouse Gas Emission from Portland Cement Concrete Pavement Construction in China.

    Science.gov (United States)

    Ma, Feng; Sha, Aimin; Yang, Panpan; Huang, Yue

    2016-06-24

    This study proposes an inventory analysis method to evaluate the greenhouse gas (GHG) emissions from Portland cement concrete pavement construction, based on a case project in the west of China. The concrete pavement construction process was divided into three phases, namely raw material production, concrete manufacture and pavement onsite construction. The GHG emissions of the three phases are analyzed by a life cycle inventory method. The CO₂e is used to indicate the GHG emissions. The results show that for 1 km Portland cement concrete pavement construction, the total CO₂e is 8215.31 tons. Based on the evaluation results, the CO₂e of the raw material production phase is 7617.27 tons, accounting for 92.7% of the total GHG emissions; the CO₂e of the concrete manufacture phase is 598,033.10 kg, accounting for 7.2% of the total GHG emissions. Lastly, the CO₂e of the pavement onsite construction phase is 8396.59 kg, accounting for only 0.1% of the total GHG emissions. The main greenhouse gas is CO₂ in each phase, which accounts for more than 98% of total emissions. N₂O and CH₄ emissions are relatively insignificant.

  3. PAHs underfoot: Contaminated dust from coal-tar sealcoated pavement is widespread in the United States

    Science.gov (United States)

    Van Metre, P.C.; Mahler, B.J.; Wilson, J.T.

    2009-01-01

    We reported in 2005 that runoff from parking lots treated with coal-tar-based sealcoat was a major source of polycyclic aromatic hydrocarbons (PAHs) to streams in Austin, Texas. Here we present new data from nine U. S. cities that show nationwide patterns in concentrations of PAHs associated with sealcoat Dust was swept from parking lots in six cities in the central and eastern U. S., where coal-tar-based sealcoat dominates use, and three cities in the western U. S., where asphalt-based sealcoat dominates use. For six central and eastern cities, median ?? PAH concentrations in dust from sealcoated and unsealcoated pavement are 2200 and 27 mg/kg, respectively. For three western cities, median ?? PAH concentrations in dust from sealcoated and unsealcoated pavement are similar and very low (2. 1 and 0. 8 mg/kg, respectively). Lakes in the central and eastern cities where pavement was sampled have bottom sediments with higher PAH concentrations than do those in the western cities relative to degree of urbanization. Bottom-sediment PAH assemblages are similar to those of sealcoated pavement dust regionally, implicating coal-tar-based sealcoat as a PAH source to the central and eastern lakes. Concentrations of benzo[a]pyrene in dust from coal-tar sealcoated pavement and adjacent soils greatly exceed generic soil screening levels, suggesting that research on human-health risk is warranted.

  4. Research on construction technology for orthotropic steel deck pavement of Haihe River Chunyi Bridge

    Science.gov (United States)

    Xue, Y. C.; Qian, Z. D.; Zhang, M.

    2017-01-01

    In order to ensure the good service quality of orthotropic steel deck pavement of Haihe River Chunyi Bridge in Tianjin, and to reduce the occurrence of pavement diseases like lateral and longitudinal cracks, the key working procedures such as steel deck cleaning, anticorrosive coating, bonding layer spraying, seam cutting, epoxy asphalt concrete’s mixing, transportation, paving and compaction were studied. The study was based on the main features of epoxy asphalt concrete which is the pavement materials of Haihe River Chunyi Bridge, and combined with the basic characteristics and construction conditions of Haihe River Chunyi Bridge. Furthermore, some processing measures like controlling time and temperature, continuous paving with two pavers, lateral feeding, and improving the compaction method were proposed. The project example shows that the processing measures can effectively solve the technical difficulties in the construction of orthotropic steel deck pavement of Haihe River Chunyi Bridge, can greatly improve the construction speed and quality, and can provide reference for the same kinds of orthotropic steel deck pavement construction.

  5. Effects on evaporation rates from different water-permeable pavement designs.

    Science.gov (United States)

    Starke, P; Göbel, P; Coldewey, W G

    2011-01-01

    The urban water balance can be attenuated to the natural by water-permeable pavements (WPPs). Furthermore, WPPs have a 16% higher evaporation rate than impermeable pavements, which can lead to a better urban climate. Evaporation rates from pavements are influenced by the pavement surface and by the deeper layers. By a compared evaporation measurement between different WPP designs, the grain size distribution of the sub-base shows no influence on the evaporation rates in a significant way. On the contrary, a sub-base made of a twin-layer decreases the evaporation by 16% compared to a homogeneous sub-base. By a change in the colour of the paving stone, 19% higher evaporation rates could be achieved. A further comparison shows that the transpiration-effect of the grass in grass pavers increases the evaporation rates more than threefold to pervious concrete pavements. These high evapotranspiration rates can not be achieved with a pervious concrete paving stone. In spite of this, the broad field of application of the pervious concrete paving stone increases the importance in regard to the urban climate.

  6. Application of viscoelastic continuum damage approach to predict fatigue performance of Binzhou perpetual pavements

    Directory of Open Access Journals (Sweden)

    Wei Cao

    2016-04-01

    Full Text Available For this study, the Binzhou perpetual pavement test sections constructed in Shandong Province, China, were simulated for long-term fatigue performance using the layered viscoelastic pavement analysis for critical distresses (LVECD finite element software package. In this framework, asphalt concrete was treated in the context of linear viscoelastic continuum damage theory. A recently developed unified fatigue failure criterion that defined the boundaries of the applicable region of the theory was also incorporated. The mechanistic modeling of the fatigue mechanisms was able to accommodate the complex temperature variations and loading conditions of the field pavements in a rigorous manner. All of the material models were conveniently characterized by dynamic modulus tests and direct tension cyclic fatigue tests in the laboratory using cylindrical specimens. By comparing the obtained damage characteristic curves and failure criteria, it is found that mixtures with small aggregate particle sizes, a dense gradation, and modified asphalt binder tended to exhibit the best fatigue resistance at the material level. The 15-year finite element structural simulation results for all the test sections indicate that fatigue performance has a strong dependence on the thickness of the asphalt pavements. Based on the predicted location and severity of the fatigue damage, it is recommended that Sections 1 and 3 of the Binzhou test sections be employed for perpetual pavement design.

  7. Life Cycle Assessment of Pavements: A Critical Review of Existing Literature and Research

    Energy Technology Data Exchange (ETDEWEB)

    Santero, Nicholas; Masanet, Eric; Horvath, Arpad

    2010-04-20

    This report provides a critical review of existing literature and modeling tools related to life-cycle assessment (LCA) applied to pavements. The review finds that pavement LCA is an expanding but still limited research topic in the literature, and that the existing body of work exhibits methodological deficiencies and incompatibilities that serve as barriers to the widespread utilization of LCA by pavement engineers and policy makers. This review identifies five key issues in the current body of work: inconsistent functional units, improper system boundaries, imbalanced data for asphalt and cement, use of limited inventory and impact assessment categories, and poor overall utility. This review also identifies common data and modeling gaps in pavement LCAs that should be addressed in future work. These gaps include: the use phase (rolling resistance, albedo, carbonation, lighting, leachate, and tire wear and emissions), asphalt fumes, feedstock energy of bitumen, traffic delay, the maintenance phase, and the end-of-life phase. This review concludes with a comprehensive list of recommendations for future research, which shed light on where improvements in knowledge can be made that will benefit the accuracy and comprehensiveness of pavement LCAs moving forward.

  8. Network level pavement evaluation with 1 mm 3D survey system

    Directory of Open Access Journals (Sweden)

    Kelvin C.P. Wang

    2015-12-01

    Full Text Available The latest iteration of PaveVision3D Ultra can obtain true 1 mm resolution 3D data at full-lane coverage in all 3 directions at highway speed up to 60 mph. This paper introduces the PaveVision3D Ultra technology for rapid network level pavement survey on approximately 1280 center miles of Oklahoma interstate highways. With sophisticated automated distress analyzer (ADA software interface, the collected 1 mm 3D data provide Oklahoma Department of Transportation (ODOT with comprehensive solutions for automated evaluation of pavement surface including longitudinal profile for roughness, transverse profile for rutting, predicted hydroplaning speed for safety analysis, and cracking and various surface defects for distresses. The pruned exact linear time (PELT method, an optimal partitioning algorithm, is implemented to identify change points and dynamically determine homogeneous segments so as to assist ODOT effectively using the available 1 mm 3D pavement surface condition data for decision-making. The application of 1 mm 3D laser imaging technology for network survey is unprecedented. This innovative technology allows highway agencies to access its options in using the 1 mm 3D system for its design and management purposes, particularly to meet the data needs for pavement management system (PMS, pavement ME design and highway performance monitoring system (HPMS.

  9. Tranexamic acid for upper gastrointestinal bleeding.

    Science.gov (United States)

    Bennett, Cathy; Klingenberg, Sarah Louise; Langholz, Ebbe; Gluud, Lise Lotte

    2014-11-21

    Background Tranexamic acid reduces haemorrhage through its antifibrinolytic effects. In a previous version of the present review, we found that tranexamic acid may reduce mortality. This review includes updated searches and new trials.Objectives To assess the effects of tranexamic acid versus no intervention, placebo or other antiulcer drugs for upper gastrointestinal bleeding.Search methods We updated the review by performing electronic database searches (Cochrane Central Register of Controlled Trials (CENTRAL),MEDLINE, EMBASE, Science Citation Index) and manual searches in July 2014.Selection criteriaRandomised controlled trials, irrespective of language or publication status.Data collection and analysis We used the standard methodological procedures of the The Cochrane Collaboration. All-cause mortality, bleeding and adverse events were the primary outcome measures. We performed fixed-effect and random-effects model meta-analyses and presented results as risk ratios (RRs) with 95% confidence intervals (CIs) and used I² as a measure of between-trial heterogeneity. We analysed tranexamic acid versus placebo or no intervention and tranexamic acid versus antiulcer drugs separately. To analyse sources of heterogeneity and robustness of the overall results, we performed subgroup, sensitivity and sequential analyses.Main results We included eight randomised controlled trials on tranexamic acid for upper gastrointestinal bleeding. Additionally, we identified one large ongoing pragmatic randomised controlled trial from which data are not yet available. Control groups were randomly assigned to placebo (seven trials) or no intervention (one trial). Two trials also included a control group randomly assigned to antiulcer drugs(lansoprazole or cimetidine). The included studies were published from 1973 to 2011. The number of participants randomly assigned ranged from 47 to 216 (median 204). All trials reported mortality. In total, 42 of 851 participants randomly assigned to

  10. Analysing the accuracy of pavement performance models in the short and long terms: GMDH and ANFIS methods

    NARCIS (Netherlands)

    Ziari, H.; Sobhani, J.; Ayoubinejad, J.; Hartmann, T.

    2016-01-01

    The accuracy of pavement performance prediction is a critical part of pavement management and directly influences maintenance and rehabilitation strategies. Many models with various specifications have been proposed by researchers and used by agencies. This study presents nine variables affecting pa

  11. Mechanics based model for predicting structure-induced rolling resistance (SRR) of the tire-pavement system

    Science.gov (United States)

    Shakiba, Maryam; Ozer, Hasan; Ziyadi, Mojtaba; Al-Qadi, Imad L.

    2016-11-01

    The structure-induced rolling resistance of pavements, and its impact on vehicle fuel consumption, is investigated in this study. The structural response of pavement causes additional rolling resistance and fuel consumption of vehicles through deformation of pavement and various dissipation mechanisms associated with inelastic material properties and damping. Accurate and computationally efficient models are required to capture these mechanisms and obtain realistic estimates of changes in vehicle fuel consumption. Two mechanistic-based approaches are currently used to calculate vehicle fuel consumption as related to structural rolling resistance: dissipation-induced and deflection-induced methods. The deflection-induced approach is adopted in this study, and realistic representation of pavement-vehicle interactions (PVIs) is incorporated. In addition to considering viscoelastic behavior of asphalt concrete layers, the realistic representation of PVIs in this study includes non-uniform three-dimensional tire contact stresses and dynamic analysis in pavement simulations. The effects of analysis type, tire contact stresses, pavement viscoelastic properties, pavement damping coefficients, vehicle speed, and pavement temperature are then investigated.

  12. Proportioning of Steel Fibre Reinforced Concrete Mixes for Pavement Construction and Their Impact on Environment and Cost

    Directory of Open Access Journals (Sweden)

    Stelios Kallis

    2011-07-01

    Full Text Available Steel fibre reinforced concrete (SFRC is a construction material investigated for more than 40 years including for pavement applications. A number of studies have demonstrated the technical merits of SFRC pavements over conventional concrete pavements; however little work has been carried out on the environmental and economical impact of SFRC during the pavement’s life cycle. Therefore, extended research was undertaken within the framework of the EU funded project “EcoLanes” to estimate the environmental and economical loadings of SFRC pavements. The innovative concept of the project is the use of recycled steel tyre-cord wire as concrete fibre reinforcement, which provides additional environmental benefits for tyre recycling over landfilling. Within the project framework a demonstration of a steel-fibre-reinforced roller-compacted concrete (SFR-RCC pavement was constructed in a rural area in Cyprus. In order to assess the economical and environmental picture of the demonstration pavement, life cycle cost analysis (LCCA and life cycle assessment (LCA studies were undertaken, which also compared the under study pavement design with four conventional alternatives. The main output of the studies is that SFR-RCC is more environmentally and economically sustainable than others. In addition, various concrete mix designs were investigated by considering parameters such as fibre type and dosage, cement type, and transportation distances to the construction site. Fibre dosage has been highlighted as a crucial factor compared with economical and environmental loadings in SFR-RCC pavement construction.

  13. The role of nuclear medicine in acute gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Robinson, P. (Saint James' s Hospital, Leeds (United Kingdom). Dept. of Radiology)

    1993-10-01

    In most patients with upper gastrointestinal (GI) bleeding, endoscopy will locate the site and cause of bleeding, and also provide an opportunity for local therapy. The cause of lower GI bleeding is often difficult to attribute, even when pathology is found by colonoscopy or barium enema. Nuclear medicine techniques can be used to identify the site of bleeding in those patients in whom the initial diagnostic procedures are negative or inconclusive. Methods using transient labelling of blood (e.g. [sup 99]Tc[sup m]-sulphur colloid) produce a high target-to-background ratio in positive cases, give quick results and localize bleeding sites accurately, but depend upon bleeding being active at the time of injection. Techniques using stable blood labelling (e.g. [sup 99]Tc[sup m]-labelled red blood cells) may be positive even with intermittent bleeding but may take several hours to produce a result and are less precise in localization. The most useful application is in patients with recurrent or prolonged bleeding, those with inconclusive endoscopy or barium studies, and those who are high-risk surgical candidates. (author).

  14. Role of endoscopy in the management of acute diverticular bleeding

    Institute of Scientific and Technical Information of China (English)

    Charalampos Pilichos; Emmanouil Bobotis

    2008-01-01

    Colonic diverticulosis is one of the most common causes of lower gastrointestinal bleeding. Endoscopy is not only a useful diagnostic tool for localizing the bleeding site, but also a therapeutic modality for its management. To date, haemostatic methods have included adrenaline injection, mechanical clipping, thermal and electrical coagulation or combinations of them. The results of all published data are herein reviewed.

  15. Hemospray treatment is effective for lower gastrointestinal bleeding

    NARCIS (Netherlands)

    Holster, I.L.; Brullet, E.; Kuipers, E.J.; Campo, R.; Fernandez-Atutxa, A.; Tjwa, E.T.

    2014-01-01

    Acute lower gastrointestinal bleeding (LGIB) is diverse in origin and can be substantial, requiring urgent hemostasis. Hemospray is a promising novel hemostatic agent for upper gastrointestinal bleeding (UGIB). It has been claimed in a small series that the use of Hemospray is also feasible in LGIB.

  16. EPIDEMIOLOGICAL CORRELATES OF POSTMENOPAUSAL BLEEDING IN A TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Sonia Arora

    2012-07-01

    Full Text Available Background: A woman is considered menopausal after 12 months of amenorrhea. The most feared symptom during menopause is postmenopausal bleeding which unless proved otherwise indicates genital malignancy. Objectives: To study Socio-demographic factors related to postmenopausal bleeding and to find time lapse between bleeding and reporting of these cases. Material and Methods: This cross sectional was done in the Department of Obstetrics & Gynecology, Pt. J. N. M. Medical College & DR. B. R. Ambedkar Memorial, Hospital, Raipur (C. G. The participants were 146 women who came with the complaint of postmenopausal bleeding. A detailed, preceded, pre-tested, structured, close ended questionnaire was used to collect the data. By interviewing these women, information was collected about different demographic factors like age, socio-economic status, parity etc. The collected data was put in the master chart and analyzed. Results: The proportion of postmenopausal bleeding cases was 3.5% .Maximum cases(50% with postmenopausal bleeding were found in the age group of 45-54yrs . 60 % of patients were from rural areas and 62% were illiterate. 65% of the patients were grand multipara (Parity4. Most of the patients belonged to lower socioeconomic strata. Almost half (48% of patients presented after, more than 6 months since the first episode of bleeding . Conclusions: The proportion of postmenopausal bleeding is high, requiring immediate investigation. Lack of awareness led to very late presentation of most of the patients, so education at community level is required to reduce this time lapse for earlier diagnosis and management

  17. Recombinant activated factor VII for uncontrolled bleeding postcardiac surgery

    Directory of Open Access Journals (Sweden)

    Aly Makram Habib

    2016-10-01

    Conclusion: In this analysis, rFVIIa succefully reduced the chest tube bleeding and blood products transfused during severe post cardiac surgical bleeding. However, safety of rFVIIa remains unclear. Prospective controlled trials are still needed to confirm the role of rFVIIa.

  18. Jejunal diverticulosis as the obscure cause of overt gastrointestinal bleeding.

    Science.gov (United States)

    Nyin, L Y; Zainun, A R; Tee, H P

    2011-08-01

    Jejunal diverticulosis is a rare gastrointestinal condition manifested as benign outpouching from the jejunal wall. It is usually asymptomatic, but may present as obscure gastrointestinal bleeding. This condition is often found incidentally in the imaging work-up of patients with other gastrointestinal conditions. We present a case of jejunal diverticulosis in a 65-year-old gentleman with obscure overt gastrointestinal bleed.

  19. 14 CFR 33.66 - Bleed air system.

    Science.gov (United States)

    2010-01-01

    ... Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT AIRWORTHINESS STANDARDS: AIRCRAFT ENGINES Design and Construction; Turbine Aircraft Engines § 33.66 Bleed air system. The engine must supply bleed air without adverse effect on the engine, excluding reduced thrust or...

  20. Gastrointestinal bleeding in patients with hereditary hemorrhagic telangiectasia

    DEFF Research Database (Denmark)

    Kjeldsen, A D; Kjeldsen, J

    2000-01-01

    Gastrointestinal bleeding occurs in a number of patients with hereditary hemorrhagic telangiectasia (HHT) and may lead to a high transfusion need. The aim of this study was to estimate the occurrence and severity of gastrointestinal bleeding in a geographically well defined HHT population....

  1. Recycled asphalt pavement - fly ash geopolymers as a sustainable pavement base material: Strength and toxic leaching investigations.

    Science.gov (United States)

    Hoy, Menglim; Horpibulsuk, Suksun; Rachan, Runglawan; Chinkulkijniwat, Avirut; Arulrajah, Arul

    2016-12-15

    In this research, a low-carbon stabilization method was studied using Recycled Asphalt Pavement (RAP) and Fly Ash (FA) geopolymers as a sustainable pavement material. The liquid alkaline activator (L) is a mixture of sodium silicate (Na2SiO3) and sodium hydroxide (NaOH), and high calcium FA is used as a precursor to synthesize the FA-RAP geopolymers. Unconfined Compressive Strength (UCS) of RAP-FA blend and RAP-FA geopolymer are investigated and compared with the requirement of the national road authorities of Thailand. The leachability of the heavy metals is measured by Toxicity Characteristic Leaching Procedure (TCLP) and compared with international standards. The Scanning Electron Microscopy (SEM) analysis of RAP-FA blend indicates the Calcium Aluminate (Silicate) Hydrate (C-A-S-H) formation, which is due to a reaction between the high calcium in RAP and high silica and alumina in FA. The low geopolymerization products (N-A-S-H) of RAP-FA geopolymer at NaOH/Na2SiO3=100:0 are detected at the early 7days of curing, hence its UCS is lower than that of RAP-FA blend. The 28-day UCS of RAP-FA geopolymers at various NaOH/Na2SiO3 ratios are significantly higher than that of the RAP-FA blend, which can be attributed to the development of geopolymerization reactions. With the input of Na2SiO3, the highly soluble silica from Na2SiO3 reacted with leached silica and alumina from FA and RAP and with free calcium from FA and RAP; hence the coexistence of N-A-S-H gel and C-A-S-H products. Therefore, the 7-day UCS values of RAP-FA geopolymers increase with decreasing NaOH/Na2SiO3 ratio. TCLP results demonstrated that there is no environmental risk for both RAP-FA blends and RAP-FA geopolymers in road construction. The geopolymer binder reduces the leaching of heavy metal in RAP-FA mixture. The outcomes from this research will promote the move toward increased applications of recycled materials in a sustainable manner in road construction.

  2. Cytokinin signaling regulates pavement cell morphogenesis in Arabidopsis

    Institute of Scientific and Technical Information of China (English)

    Hongjiang Li; Tongda Xu; Deshu Lin; Mingzhang Wen; Mingtang Xie; Jér(o)me Duclercq; Agnieszka Bielach

    2013-01-01

    The puzzle piece-shaped Arabidopsis leaf pavement cells (PCs) with interdigitated lobes and indents is a good model system to investigate the mechanisms that coordinate cell polarity and shape formation within a tissue.Auxin has been shown to coordinate the interdigitation by activating ROP GTPase-dependent signaling pathways.To identify additional components or mechanisms,we screened for mutants with abnormal PC morphogenesis and found that cytokinin signaling regulates the PC interdigitation pattern.Reduction in cytokinin accumulation and defects in cytokinin signaling (such as in ARR7-over-expressing lines,the ahk3cre1 cytokinin receptor mutant,and the ahp12345 cytokinin signaling mutant) enhanced PC interdigitation,whereas over-production of cytokinin and over-activation of cytokinin signaling in an ARR20 over-expression line delayed or abolished PC interdigitation throughout the cotyledon.Genetic and biochemical analyses suggest that cytokinin signaling acts upstream of ROPs to suppress the formation of interdigitated pattern.Our results provide novel mechanistic understanding of the pathways controlling PC shape and uncover a new role for cytokinin signaling in cell morphogenesis.

  3. GPR abilities in investigation of the pavement transversal cracks

    Science.gov (United States)

    Krysiński, Lech; Sudyka, Jacek

    2013-10-01

    This paper describes the results of an investigation into the capabilities of the GPR technique within the field of pavement crack diagnostics. Initially, laboratory tests were performed on prototypes simulating idealized cracks. Next, long-term visual observation and repeated GPR scanning were performed, on three roads of semi-rigid construction, several hundreds of meters long and subjected to heavy traffic. Furthermore, a road of rigid construction was tested, having a more than 70-year history of use. In several cases the cracks were probed by drillings, in order to recognize structures responsible for signal generation, or to explain reasons of signal lacking. The main result of this work is a list of GPR indications of cracks, which can be noticed on echograms. It was created through a correlation of the visually-observed cracks with the corresponding echograms, with decimeter accuracy. Several types of GPR responses were classified and linked to possible categories of crack structures, or to processes associated with the presence of cracks (as crumbling, erosion, and lithological alterations). The poor visibility of cracks was also studied, due to small crack size, or to the blurred character of the damaged area, or else to masking effects related to coarse grains in the asphalt mixture. The efficiency of the proposed method for the identification and localization of cracks is higher when a long-term GPR observation is performed.

  4. Road dust from pavement wear and traction sanding

    Energy Technology Data Exchange (ETDEWEB)

    Kupiainen, K.

    2007-07-01

    Vehicles affect the concentrations of ambient airborne particles through exhaust emissions, but particles are also formed in the mechanical processes in the tire-road interface, brakes, and engine. Particles deposited on or in the vicinity of the road may be re-entrained, or resuspended, into air through vehicle-induced turbulence and shearing stress of the tires. A commonly used term for these particles is 'road dust'. The processes affecting road dust emissions are complex and currently not well known. Road dust has been acknowledged as a dominant source of PM10 especially during spring in the sub-arctic urban areas, e.g. in Scandinavia, Finland, North America and Japan. The high proportion of road dust in sub-arctic regions of the world has been linked to the snowy winter conditions that make it necessary to use traction control methods. Traction control methods include dispersion of traction sand, melting of ice with brine solutions, and equipping the tires with either metal studs (studded winter tires), snow chains, or special tire design (friction tires). Several of these methods enhance the formation of mineral particles from pavement wear and/or from traction sand that accumulate in the road environment during winter. When snow and ice melt and surfaces dry out, traffic-induced turbulence makes some of the particles airborne. A general aim of this study was to study processes and factors underlying and affecting the formation and emissions of road dust from paved road surfaces. Special emphasis was placed on studying particle formation and sources during tire road interaction, especially when different applications of traction control, namely traction sanding and/or winter tires were in use. Respirable particles with aerodynamic diameter below 10 micrometers (PM10) have been the main concern, but other size ranges and particle size distributions were also studied. The following specific research questions were addressed: (i) How do traction

  5. The Mechanisms of Abnormal Bleeding in Patients with Anovulatory Dysfunctional Uterine Bleeding

    Institute of Scientific and Technical Information of China (English)

    Lu LUO; Feng-chuan ZHU; Yao-ying ZENG

    2002-01-01

    Objective To investigate the mechanisms of abnormal bleeding in patients with anovulatory dysfunctional uterine bleeding (DUB) and to analyze the correlation between vascular endothelial growth factor (VEGF) and microvessel density in the endometrium Materials & Methods Immunohistochemistry was used to study the expression of VEGF protein in the proliferative and hyperplastic endometrium. CD34 ,a marker of microvessel, was selected to measure microvessel density (MVD) in the endometrium.Fifteen women who were found to have no condition with normal menstrual cycles were set as control group.Results VEGF immunoreactivity in glandular epithelia cells was significantly lower in the hyperplastic endometrium than that of controls(P < 0. 05). There was no significant difference in VEGF protein level between proliferative DUB endometrium and that of controls. A positive correlation was found between glandular VEGF and MVD in the endometrium(r=0. 666, P<0.05). Conclusion The anovulatory DUB is associated with down-regulation of VEGF in the endometrium, and decreased secretion of VEGF will result in the disruption of angiogenesis, as a clinical manifestation of irregular bleeding.

  6. Acoustic resonance phenomena in air bleed channels in aviation engines

    Science.gov (United States)

    Aleksentsev, A. A.; Sazhenkov, A. N.; Sukhinin, S. V.

    2016-11-01

    The existence of axial-radial acoustic resonance oscillations of the basic air flow in bleed channels of aviation engines is demonstrated theoretically and experimentally. Numerical and analytical methods are used to determine the frequency of acoustic resonance oscillations for the lowest modes of open and closed bleed channels of the PS-90A engine. Experimental investigations reveal new acoustic resonance phenomena arising in the air flow in bleed channel cavities in the core duct of this engine owing to instability of the basic air flow. The results of numerical, analytical, and experimental studies of the resonance frequencies reached in the flow in bleed channel cavities in the core duct of the PS-90A engine are found to be in reasonable agreement. As a result, various types of resonance oscillations in bleed channels can be accurately described.

  7. Diagnosis and management of upper gastrointestinal bleeding in children.

    Science.gov (United States)

    Owensby, Susan; Taylor, Kellee; Wilkins, Thad

    2015-01-01

    Upper gastrointestinal bleeding is an uncommon but potentially serious, life-threatening condition in children. Rapid assessment, stabilization, and resuscitation should precede all diagnostic modalities in unstable children. The diagnostic approach includes history, examination, laboratory evaluation, endoscopic procedures, and imaging studies. The clinician needs to determine carefully whether any blood or possible blood reported by a child or adult represents true upper gastrointestinal bleeding because most children with true upper gastrointestinal bleeding require admission to a pediatric intensive care unit. After the diagnosis is established, the physician should start a proton pump inhibitor or histamine 2 receptor antagonist in children with upper gastrointestinal bleeding. Consideration should also be given to the initiation of vasoactive drugs in all children in whom variceal bleeding is suspected. An endoscopy should be performed once the child is hemodynamically stable.

  8. New insights to occult gastrointestinal bleeding: From pathophysiology to therapeutics

    Institute of Scientific and Technical Information of China (English)

    Antonio; Damián; Sánchez-Capilla; Paloma; De; La; Torre-Rubio; Eduardo; Redondo-Cerezo

    2014-01-01

    Obscure gastrointestinal bleeding is still a clinical challenge for gastroenterologists. The recent development of novel technologies for the diagnosis and treatment of different bleeding causes has allowed a better management of patients, but it also determines the need of a deeper comprehension of pathophysiology and the analysis of local expertise in order to develop a rational management algorithm. Obscure gastrointestinal bleeding can be divided in occult, when a positive occult blood fecal test is the main manifestation, and overt, when external sings of bleeding are visible. In this paper we are going to focus on overt gastrointestinal bleeding, describing the physiopathology of the most usual causes, analyzing the diagnostic procedures available, from the most classical to the novel ones, and establishing a standard algorithm which can be adapted depending on the local expertise or availability. Finally, we will review the main therapeutic options for this complex and not so uncommon clinical problem.

  9. Alternative Treatment for Bleeding Peristomal Varices: Percutaneous Parastomal Embolization

    Energy Technology Data Exchange (ETDEWEB)

    Pabon-Ramos, Waleska M., E-mail: waly.pr@duke.edu [Duke University Hospital, Department of Radiology (United States); Niemeyer, Matthew M. [Washington University Medical Center, Mallinckrodt Institute of Radiology (United States); Dasika, Narasimham L., E-mail: narasimh@med.umich.edu [University of Michigan Health System, Department of Radiology (United States)

    2013-10-15

    Purpose: To describe how peristomal varices can be successfully embolized via a percutaneous parastomal approach. Methods: The medical records of patients who underwent this procedure between December 1, 2000, and May 31, 2008, were retrospectively reviewed. Procedural details were recorded. Median fluoroscopy time and bleeding-free interval were calculated. Results: Seven patients underwent eight parastomal embolizations. The technical success rate was 88 % (one failure). All embolizations were performed with coils combined with a sclerosant, another embolizing agent, or both. Of the seven successful parastomal embolizations, there were three cases of recurrent bleeding; the median time to rebleeding was 45 days (range 26-313 days). The remaining four patients did not develop recurrent bleeding during the follow-up period; their median bleeding-free interval was 131 days (range 40-659 days). Conclusion: This case review demonstrated that percutaneous parastomal embolization is a feasible technique to treat bleeding peristomal varices.

  10. Genotypes of Helicobacter pylori in patients with peptic ulcer bleeding

    Institute of Scientific and Technical Information of China (English)

    Chin-Lin Perng; Hwai-Jeng Lin; Wen-Ching Lo; Guan-Ying Tseng; I-Chen Sun; Yueh-Hsing Ou

    2004-01-01

    AIM: Helicobacter pyloricauses chronic gastritis, peptic ulcer,gastric cancer and MALT-lymphoma. Different genotypes of Helicobacter pylori are confirmed from diverse geographic areas. Its association with bleeding peptic ulcer remains controversial. The aim of this study was to investigate the Helicobacter pylori vac4 alleles, cagA and iceA in patients with bleeding peptic ulcer.METHODS: We enrolled patients with bleeding, nonbleeding peptic ulcers and chronic gastritis. Biopsy specimens were obtained from the antrum of the stomach for rapid urease test, bacterial culture and PCR assay. DNA extraction and polymerase chain reaction were used to detect the presence or absence of cagA and to assess the polymorphism of vac4 and iceA.RESULTS: A total of 168 patients (60.4%) (25 patients with chronic gastritis, 26 patients with bleeding gastric ulcer,51 patients with non-bleeding gastric ulcer, 26 patients with bleeding duodenal ulcer, and 40 patients with non-bleeding duodenal ulcer) were found to have positive PCR results between January 2001 and December 2002. Concerning genotypes, we found cagA (139/278, 50%), vacA s1a (127/278, 45.7%), and iceA1 (125/278, 45%) predominated in all studied patients. In patients with bleeding peptic ulcers,vac4 s1a and m1T were fewer than those in patients with non-bleeding peptic ulcers (37/106 vs69/135, P=0.017, and 4/106 vs21/135, P=0.002).CONCLUSION: In patients with peptic ulcers, Hpylori vacA s1a and m1T prevent bleeding complication.

  11. The use of reflective and permeable pavements as a potential practice for heat island mitigation and stormwater management

    Science.gov (United States)

    Li, H.; Harvey, J. T.; Holland, T. J.; Kayhanian, M.

    2013-03-01

    To help address the built environmental issues of both heat island and stormwater runoff, strategies that make pavements cooler and permeable have been investigated through measurements and modeling of a set of pavement test sections. The investigation included the hydraulic and thermal performance of the pavements. The permeability results showed that permeable interlocking concrete pavers have the highest permeability (or infiltration rate, ˜0.5 cm s-1). The two permeable asphalt pavements showed the lowest permeability, but still had an infiltration rate of ˜0.1 cm s-1, which is adequate to drain rainwater without generating surface runoff during most typical rain events in central California. An increase in albedo can significantly reduce the daytime high surface temperature in summer. Permeable pavements under wet conditions could give lower surface temperatures than impermeable pavements. The cooling effect highly depends on the availability of moisture near the surface layer and the evaporation rate. The peak cooling effect of watering for the test sections was approximately 15-35 °C on the pavement surface temperature in the early afternoon during summer in central California. The evaporative cooling effect on the pavement surface temperature at 4:00 pm on the third day (25 h after watering) was still 2-7 °C lower compared to that on the second day, without considering the higher air temperature on the third day. A separate and related simulation study performed by UCPRC showed that full depth permeable pavements, if designed properly, can carry both light-duty traffic and certain heavy-duty vehicles while retaining the runoff volume captured from an average California storm event. These preliminarily results indicated the technical feasibility of combined reflective and permeable pavements for addressing the built environment issues related to both heat island mitigation and stormwater runoff management.

  12. Research on segregation evaluation methods of asphalt pavement based on air voids distribution

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Eye observation was used to evaluate the segregation degree of asphalt pavement, which was not much creditable. To the asphalt pavement, road surface texture measuring method which has appeared recently can identify gradational segregation; but it can't reflect the influence of the temperature segregation. However,using infrared temperature detector to evaluate the segregation must be taken during paving, which brings much inconvenience. In this paper, measuring the air voids distribution using non-nuclear density gauge to evaluate asphalt pavement segregation was introduced. Result shows that this method can directly reflect the comprehensive results of the two types of segregation in a high efficient and accurate way. Moreover, using the sketch map of segregation area can help to analyze the segregation reason visually.

  13. Road pavement condition mapping and assessment using remote sensing data based on MESMA

    Science.gov (United States)

    Pan, Y.; Zhang, X.; Jin, X.; Yu, H.; Rao, J.; Tian, S.; Luo, L.; Li, C.

    2016-04-01

    Remote sensing can be used to monitor changes of asphalt pavement condition because of the spectral change of aged asphalt material. However, owing to coarse spatial resolution of images and the limited width of roads ambient land cover types (e.g. vegetation, buildings, and soil) affect the spectral signal and add significant variability and uncertainty to analysis of road conditions. To overcome this problem, Multiple Endmember Spectral Mixture Analysis (MESMA) was tested to map asphalt pavement condition using WorldView-2 satellite imagery with eight bands spanning from visible to near infrared. Results indicated that MESMA run in a three-endmember model models mixed-pavement pixels well with a low average RMSE (0.01).

  14. New Technology and Experimental Study on Snow-Melting Heated Pavement System in Tunnel Portal

    Directory of Open Access Journals (Sweden)

    Jinxing Lai

    2015-01-01

    Full Text Available In recent years, with the rapid growth of economy and sharp rise of motor vehicles in China, the pavement skid resistance in tunnel portals has become increasingly important in cold region. However, the deicing salt, snow removal with machine, and other antiskid measures adopted by highway maintenance division have many limitations. To improve the treatment effect, we proposed a new snow-melting approach employing electric heat tracing, in which heating cables are installed in the structural layer of road. Through the field experiment, laboratory experiment, and numerical investigation, structure type, heating power, and preheating time of the flexible pavement heating system in tunnel portal were systematically analyzed, and advantages of electric heat tracing technology in improving the pavement skid resistance in tunnel portal were also presented. Therefore, such new technology, which offers new snow-melting methods for tunnel portal, bridge, mountainous area, and large longitudinal slope in cold region, has promising prospect for extensive application.

  15. 3-D cohesive finite element model for application in structural analysis of heavy duty composite pavements

    DEFF Research Database (Denmark)

    Skar, Asmus; Poulsen, Peter Noe

    2015-01-01

    , it can be shown that adequately good prediction of the structural response of composite pavements is obtained for monotonic loading without significant computational cost, making the model applicable for engineering design purpose. It is envisaged that the methodology implemented in this study can...... options and would yield unrealistic results in ultimate loading conditions. Cohesive modelling is one of the primary methods to handle localised damage in quasi-brittle materials, e.g., concrete, describing the potential crack in a discrete manner. To increase the versatility of existing methods...... this paper presents a numerical analysis of the fracture behaviour of cement bound granular mixtures in composite concrete block pavement systems applying a cohesive model. The functionality of the proposed model is compared to experimental investigations of beam bending tests. The pavement is modelled...

  16. Viscoroute 2.0: a tool for the simulation of moving load effects on asphalt pavement

    CERN Document Server

    Chabot, Armelle; Deloffre, Lydie; Duhamel, Denis

    2010-01-01

    As shown by strains measured on full scale experimental aircraft structures, traffic of slow-moving multiple loads leads to asymmetric transverse strains that can be higher than longitudinal strains at the bottom of asphalt pavement layers. To analyze this effect, a model and a software called ViscoRoute have been developed. In these tools, the structure is represented by a multilayered half-space, the thermo-viscoelastic behaviour of asphalt layers is accounted by the Huet-Sayegh rheological law and loads are assumed to move at constant speed. First, the paper presents a comparison of results obtained with ViscoRoute to results stemming from the specialized literature. For thick asphalt pavement and several configurations of moving loads, other ViscoRoute simulations confirm that it is necessary to incorporate viscoelastic effects in the modelling to well predict the pavement behaviour and to anticipate possible damages in the structure.

  17. Application of cluster analysis to preventive maintenance scheme design of pavement

    Institute of Scientific and Technical Information of China (English)

    ZENG Feng; ZHANG Xiao-ning

    2009-01-01

    To quantitatively identify the maintenance demand for each highway segments in the pavement main-tenance scheme design, a mathematical model of uniform segment division was established and an approach of applying cluster analysis theory to the uniform segment division and evaluation of pavement maintenance demand was proposed.The actual maintenance project of a highway carried out in Guangdong province was cited as an example to demonstrate the validity of the proposed method.It is proved that the cluster analysis can eliminate human factors in classification without being constrained by the quantities of samples, considering muhiple pavement distress indexes and the continuity of samples.Thus it is evident that cluster analysis is an efficient analytical tool in uniform segment division and evaluation of maintenance demand.

  18. Analysis on durability of asphalt pavement%沥青路面耐久性分析

    Institute of Scientific and Technical Information of China (English)

    车守忠

    2011-01-01

    简要介绍了我国沥青混凝土路面使用现状,针对沥青路面的损坏问题进行了分析,分别阐述了影响沥青路面耐久性的内部因素和外部因素,从原材料、配合比、防水设计等方面入手提出了耐久性改善措施,以期指导实践。%This paper briefly introduced the current situation of asphalt concrete pavements in our country,according to the damage problems of asphalt pavement made analysis,elaborated separately the internal factors and external factors which affect the durability of asphalt pavement,put forward durability improvement measures from raw materials,mixing ratio,waterproof design and other aspects,in order to guide practice.

  19. Plastic Damage Model to Evaluate the Fracture Size of Semi-Rigid Base Pavement

    Directory of Open Access Journals (Sweden)

    Cao Peng

    2013-01-01

    Full Text Available A simple supported beam model has been presented to simulate the response of semi-rigid pavement structure, which are consistent of the upper layer, middle layer, bottom layer, base and sub base course, during the cycle vehicle loading. This mechanics model coupled with plastic-damage mechanics model could simulate the limit broken of the pavement structure in condition that soil base layer losing bearing capacity gradually. In the meanwhile, numerical calculations based on preceding mechanics model, using the FEM software ABAQUS, have been used to define the broken size of beam. The results indicated that: when the size of simple supported beam expanded to 10 m, brittle damage could happen immediately, Just the standard vehicle loading (about 0.7 Mpa has been implement once. Objective of this study is to provide a physical and rather concrete explanation for the style and concept of the semi-rigid pavement brittle broken.

  20. Use of Reclaimed Asphalt Pavement in Conjunction with Ground Improvement: A Case History

    Directory of Open Access Journals (Sweden)

    Kevin C. Foye

    2011-01-01

    Full Text Available The use of Reclaimed Asphalt Pavement (RAP in lieu of virgin crushed stone aggregate is becoming a widely accepted practice for a number of construction applications, particularly pavement base courses. A number of laboratory RAP studies have considered the mechanical properties of RAP bases in order to support pavement designs incorporating RAP. These studies have revealed a number of interesting relationships between RAP moisture content, compaction, and stiffness. This paper discusses the experiences of a design-build contractor integrating a geosynthetic ground improvement program with a RAP base during the reconstruction of a 1.95 ha asphalt parking lot. Field observations of base course construction with RAP explore some of the implications of laboratory findings. A number of interesting observations on the technical, construction, and economic issues resulting from the project challenges and the use of RAP are presented.

  1. Bleeding spectrum in children with moderate or severe von Willebrand disease: Relevance of pediatric-specific bleeding

    NARCIS (Netherlands)

    Sanders, Yvonne V.; Fijnvandraat, Karin; Boender, Johan; Mauser-Bunschoten, Evelien P.; van der Bom, Johanna G.; de Meris, Joke; Smiers, Frans J.; Granzen, Bernd; Brons, Paul; Tamminga, Rienk Y J; Cnossen, Marjon H.; Leebeek, Frank W G

    2015-01-01

    The bleeding phenotype of children with von Willebrand disease (VWD) needs to be characterized in detail to facilitate diagnosis during childhood and aid in the planning and assessment of treatment strategies. The objective was to evaluate the occurrence, type, and severity of bleeding in a large co

  2. Bleeding spectrum in children with moderate or severe von Willebrand disease : Relevance of pediatric-specific bleeding

    NARCIS (Netherlands)

    Sanders, Yvonne V.; Fijnvandraat, Karin; Boender, Johan; Mauser-Bunschoten, Evelien P.; van der Bom, Johanna G.; de Meris, Joke; Smiers, Frans J.; Granzen, Bernd; Brons, Paul; Tamminga, Rienk Y J; Cnossen, Marjon H.; Leebeek, Frank W G

    2015-01-01

    The bleeding phenotype of children with von Willebrand disease (VWD) needs to be characterized in detail to facilitate diagnosis during childhood and aid in the planning and assessment of treatment strategies. The objective was to evaluate the occurrence, type, and severity of bleeding in a large co

  3. The prevalence of underlying bleeding disorders in patients with heavy menstrual bleeding with and without gynecologic abnormalities

    NARCIS (Netherlands)

    Knol, H. Marieke; Mulder, Andre; Bogchelman, Dick H.; Kluin-Nelemans, Hanneke C.; van der Zee, Ate G. J.; Meijer, Karina

    2013-01-01

    OBJECTIVE: The purpose of this study was to assess the prevalence of underlying bleeding disorders in women with heavy menstrual bleeding (HMB) with and without gynecologic abnormalities. STUDY DESIGN: We performed a single-center prospective cohort study of 112 consecutive patients who were referre

  4. Oxygen demand of aircraft and airfield pavement deicers and alternative freezing point depressants

    Science.gov (United States)

    Corsi, Steven R.; Mericas, Dean; Bowman, George

    2012-01-01

    Aircraft and pavement deicing formulations and other potential freezing point depressants were tested for biochemical oxygen demand (BOD) and chemical oxygen demand (COD). Propylene glycol-based aircraft deicers exhibited greater BOD5 than ethylene glycol-based aircraft deicers, and ethylene glycol-based products had lower degradation rates than propylene glycol-based products. Sodium formate pavement deicers had lower COD than acetate-based pavement deicers. The BOD and COD results for acetate-based pavement deicers (PDMs) were consistently lower than those for aircraft deicers, but degradation rates were greater in the acetate-based PDM than in aircraft deicers. In a 40-day testing of aircraft and pavement deicers, BOD results at 20°C (standard) were consistently greater than the results from 5°C (low) tests. The degree of difference between standard and low temperature BOD results varied among tested products. Freshwater BOD test results were not substantially different from marine water tests at 20°C, but glycols degraded slower in marine water than in fresh water for low temperature tests. Acetate-based products had greater percentage degradation than glycols at both temperatures. An additive component of the sodium formate pavement deicer exhibited toxicity to the microorganisms, so BOD testing did not work properly for this formulation. BOD testing of alternative freezing point depressants worked well for some, there was little response for some, and for others there was a lag in response while microorganisms acclimated to the freezing point depressant as a food source. Where the traditional BOD5 test performed adequately, values ranged from 251 to 1,580 g/kg. Where the modified test performed adequately, values of BOD28 ranged from 242 to 1,540 g/kg.

  5. Comparative Evaluation of Pavement Crack Detection Using Kernel-Based Techniques in Asphalt Road Surfaces

    Science.gov (United States)

    Miraliakbari, A.; Sok, S.; Ouma, Y. O.; Hahn, M.

    2016-06-01

    With the increasing demand for the digital survey and acquisition of road pavement conditions, there is also the parallel growing need for the development of automated techniques for the analysis and evaluation of the actual road conditions. This is due in part to the resulting large volumes of road pavement data captured through digital surveys, and also to the requirements for rapid data processing and evaluations. In this study, the Canon 5D Mark II RGB camera with a resolution of 21 megapixels is used for the road pavement condition mapping. Even though many imaging and mapping sensors are available, the development of automated pavement distress detection, recognition and extraction systems for pavement condition is still a challenge. In order to detect and extract pavement cracks, a comparative evaluation of kernel-based segmentation methods comprising line filtering (LF), local binary pattern (LBP) and high-pass filtering (HPF) is carried out. While the LF and LBP methods are based on the principle of rotation-invariance for pattern matching, the HPF applies the same principle for filtering, but with a rotational invariant matrix. With respect to the processing speeds, HPF is fastest due to the fact that it is based on a single kernel, as compared to LF and LBP which are based on several kernels. Experiments with 20 sample images which contain linear, block and alligator cracks are carried out. On an average a completeness of distress extraction with values of 81.2%, 76.2% and 81.1% have been found for LF, HPF and LBP respectively.

  6. COMPARATIVE EVALUATION OF PAVEMENT CRACK DETECTION USING KERNEL-BASED TECHNIQUES IN ASPHALT ROAD SURFACES

    Directory of Open Access Journals (Sweden)

    A. Miraliakbari

    2016-06-01

    Full Text Available With the increasing demand for the digital survey and acquisition of road pavement conditions, there is also the parallel growing need for the development of automated techniques for the analysis and evaluation of the actual road conditions. This is due in part to the resulting large volumes of road pavement data captured through digital surveys, and also to the requirements for rapid data processing and evaluations. In this study, the Canon 5D Mark II RGB camera with a resolution of 21 megapixels is used for the road pavement condition mapping. Even though many imaging and mapping sensors are available, the development of automated pavement distress detection, recognition and extraction systems for pavement condition is still a challenge. In order to detect and extract pavement cracks, a comparative evaluation of kernel-based segmentation methods comprising line filtering (LF, local binary pattern (LBP and high-pass filtering (HPF is carried out. While the LF and LBP methods are based on the principle of rotation-invariance for pattern matching, the HPF applies the same principle for filtering, but with a rotational invariant matrix. With respect to the processing speeds, HPF is fastest due to the fact that it is based on a single kernel, as compared to LF and LBP which are based on several kernels. Experiments with 20 sample images which contain linear, block and alligator cracks are carried out. On an average a completeness of distress extraction with values of 81.2%, 76.2% and 81.1% have been found for LF, HPF and LBP respectively.

  7. LOW-NOISE PAVEMENT AS A WAY OF LIMITATION OF TRAFFIC NOISE LEVEL

    Directory of Open Access Journals (Sweden)

    Władysław Gardziejczyk

    2014-11-01

    Full Text Available Road surface can significantlyreduce the trafficnoise level. Depending on the characteristic of the upper surface layers the differences between the maximum rolling noise levels from passing vehicles to reach values about 10 dB (A. A special group is low-noise pavements characterized by the presence of voids above 15%. Application the porous asphalt layers or asphalt mixture type BBTM affects a significantreduction the width of land surrounded the roads where permissible equivalent sound level is exceeded. Such solutions in some cases can replace acoustic barriers. Road pavements with a higher content of voids require proper maintenance because their acoustic performances are reduced during operation.

  8. Certification Tests on Cold Patch Asphalt Repair Materials for Use in Airfield Pavements

    Science.gov (United States)

    2010-06-01

    was then applied for 60 sec to the specimens, and the deviator stress of 90 psi was applied. The test was terminated when 4% strain was reached or... pavements . ERDC-GSL TR-05-07. Vicksburg, MS: U.S. Army Engineer Research and Development Center. U.S. Air Force. 2008a. Testing protocol for rigid spall...ER D C/ G SL T R- 10 -1 4 Certification Tests on Cold Patch Asphalt Repair Materials for Use in Airfield Pavements G eo te ch ni

  9. Assessment of low temperature cracking in asphalt pavement mixes and rheological performance of asphalt binders

    Science.gov (United States)

    Sowah-Kuma, David

    Government spends a lot of money on the reconstruction and rehabilitation of road pavements in any given year due to various distresses and eventual failure. Low temperature (thermal) cracking, one of the main types of pavement distress, contributes partly to this economic loss, and comes about as a result of accumulated tensile strains exceeding the threshold tensile strain capacity of the pavement. This pavement distress leads to a drastic reduction of the pavement's service life and performance. In this study, the severity of low temperature (thermal) cracking on road pavements selected across the Province of Ontario and its predicted time to failure was assessed using the AASTHO Mechanistic-Empirical Pavement Design Guide (MEPDG) and AASHTOWARE(TM) software, with inputs such as creep compliance and tensile strength from laboratory test. Highway 400, K1, K2, Y1, Sasobit, Rediset LQ, and Rediset WMX were predicted to have a pavement in-service life above 15 years. Additionally, the rheological performance of the recovered asphalt binders was assessed using Superpave(TM) tests such as the dynamic shear rheometer (DSR) and bending beam rheometer (BBR). Further tests using modified standard protocols such as the extended bending beam rheometer (eBBR) (LS-308) test method and double-edge notched tension (DENT) test (LS-299) were employed to evaluate the failure properties associated with in service performance. The various rheological tests showed K1 to be the least susceptible to low temperature cracking compared to the remaining samples whiles Highway 24 will be highly susceptible to low temperature cracking. X-ray fluorescence (XRF) analysis was performed on the recovered asphalt binders to determine the presence of metals such as zinc (Zn) and molybdenum (Mo) believed to originate from waste engine oil, which is often added to asphalt binders. Finally, the severity of oxidative aging (hardening) of the recovered asphalt binders was also evaluated using the

  10. System Identification Method for Evaluating the Effect of Thickness Error on Backcalculated Pavement Layer Moduli

    Institute of Scientific and Technical Information of China (English)

    ZHONG Yan-hui; WANG Fu-ming; ZHANG Bei; CAI Ying-chun

    2004-01-01

    Based on system identification theory and FWD testing data, the effect of thickness error on backcalculating pavement layer moduli is studied and the method of singular value decomposition (SVD) is presented to solve the morbidity problem of sensitivity matrix in this paper.The results show that the thickness error has great effects on the backcalculated pavement layer moduli. The error of backcalculated moduli can be controlled within the range of ±15% by limiting the thickness error within the range of ±5%.

  11. Assessment of the Remaining Life of Bituminous Layers in Road Pavements

    Directory of Open Access Journals (Sweden)

    Kálmán Adorjányi

    2017-02-01

    Full Text Available In this paper, a mechanistic-empirical approach is presented for the assessment of bearing capacity condition of asphalt pavement layers by Falling Weight Deflectometer measurements and laboratory fatigue tests. The bearing capacity condition ratio was determined using past traffic data and the remaining fatigue life which was determined from multilayer pavement response model. The traffic growth rate was taken into account with finite arithmetic and geometric progressions. Fatigue resistance of layers’ bituminous materials was obtained with indirect tensile fatigue tests. Deduct curve of condition scores was derived with Weibull distribution.

  12. Polymer concrete for precast repair of continuously reinforced concrete pavement on IH 30, near Mt. Pleasant

    Science.gov (United States)

    Meyer, A. M.; McCullough, B. F.; Fowler, D. W.

    1981-08-01

    Two punchout repairs made in a continuously reinforced concrete pavement (CRCP) using precast portland cement panels are described. The two repairs, one 1.44 sq. ft., the other 36 sq. ft., were completed and opened to traffic in one afternoon. This technique provides a rapid method of repair that produces a repair that is structurally as good or better than the surrounding pavement. With a trained crew, the repair time can be reduced and thus reducing lane closure time. Since lane closure time is a critical consideration in high volume highways, this method is cost effective in those areas.

  13. Severe upper gastrointestinal bleeding in extraluminal diverticula in the third part of the duodenum

    OpenAIRE

    2014-01-01

    The successful management of upper gastrointestinal (GI) bleeding requires identification of the source of bleeding and when this is achieved the bleeding can often be treated endoscopically. However, the identification of the bleeding can be challenging due to the location of the bleeding or technical aspects. Therefore it might be necessary to use other measures than endoscopy such as CT angiography. Duodenal diverticula is a rare cause of upper GI bleeding and can be challenging to diagnos...

  14. Multidetector CT angiography for acute gastrointestinal bleeding: technique and findings.

    Science.gov (United States)

    Artigas, José M; Martí, Milagros; Soto, Jorge A; Esteban, Helena; Pinilla, Inmaculada; Guillén, Eugenia

    2013-01-01

    Acute gastrointestinal bleeding is a common reason for emergency department admissions and an important cause of morbidity and mortality. Factors that complicate its clinical management include patient debility due to comorbidities; intermittence of hemorrhage; and multiple sites of simultaneous bleeding. Its management, therefore, must be multidisciplinary and include emergency physicians, gastroenterologists, and surgeons, as well as radiologists for diagnostic imaging and interventional therapy. Upper gastrointestinal tract bleeding is usually managed endoscopically, with radiologic intervention reserved as an alternative to be used if endoscopic therapy fails. Endoscopy is often less successful in the management of acute lower gastrointestinal tract bleeding, where colonoscopy may be more effective. The merits of performing bowel cleansing before colonoscopy in such cases might be offset by the resultant increase in response time and should be weighed carefully against the deficits in visualization and diagnostic accuracy that would result from performing colonoscopy without bowel preparation. In recent years, multidetector computed tomographic (CT) angiography has gained acceptance as a first-line option for the diagnosis and management of lower gastrointestinal tract bleeding. In selected cases of upper gastrointestinal tract bleeding, CT angiography also provides accurate information about the presence or absence of active bleeding, its source, and its cause. This information helps shorten the total diagnostic time and minimizes or eliminates the need for more expensive and more invasive procedures.

  15. The evaluation and management of obscure and occult gastrointestinal bleeding.

    Science.gov (United States)

    Singh, Vijay; Alexander, Jeffrey A

    2009-01-01

    Gastrointestinal (GI) bleeding is a common clinical presentation increasing in an aging population, frequently requiring hospitalization and emergent intervention, with significant morbidity, mortality, and costs. It may manifest overtly as hematemesis, melena, or hematochezia, or as an asymptomatic occult bleed. Management typically involves an esophagogastroduodenoscopy or a colonoscopy; these in combination sometimes do not identify a source of bleeding, with the source remaining obscure. Further work up to identify an obscure source frequently requires radiologically detecting the leakage of an intravascular tracer (using tagged red blood cells or angiography) with brisk bleeding or in other cases CT enterography (CTE) to detect bowel wall changes consistent with a bleeding source. Recent advances including capsule endoscopy, CTE, and double-balloon endoscopy have helped to identify bleeding sources beyond the reach of conventional endoscopy. Clinical decision-making about their use is complex and evolving. Knowing their relative merits and weaknesses including yield, contraindications, complications, and cost is essential in coming up with an appropriate management plan. This review covers the rationale for clinical management of obscure sources of GI bleeding, mentioning the approach to and the yield of conventional methods, with an emphasis on the recent advances mentioned above.

  16. Enhancing the resolution of gpr spectra for pavement engineering applications

    Science.gov (United States)

    Benedetto, F.; Benedetto, A.

    2012-04-01

    Ground Penetrating Radar (GPR) is a geophysical method that uses radar pulses to image the subsurface. This non-destructive method uses electromagnetic radiation and detects the reflected signals from subsurface structures. It can detect objects, changes in material, and voids and cracks. GPR has many applications in a number of fields. In the field of civil engineering one of the most advanced technologies used for road pavement monitoring is based on the deployment of advanced GPR systems. One of the most relevant causes of road pavement damage is often referable to water intrusion in structural layers. In this context, GPR has been recently proposed as a method to estimate moisture content in a porous medium without preventive calibration. Hence, the development of methods to obtain an estimate of the moisture content is a crucial research field involving economic, social and strategic aspects in road safety for a great number of public and private Agencies. In particular, a recent new approach was proposed to estimate moisture content in a porous medium basing on the theory of Rayleigh scattering, showing a shift of the frequency peak of the GPR spectrum towards lower frequencies as the moisture content increases in the soil. The weakness characterizing this approach is represented by the needs of high resolution signals, whereas GPR spectra are affected by low resolution. Hence, the rising requirement for high resolution leads to specific demands for improved prediction methods. Recently, a new technique combining the response of the conventional fast Fourier transform (FFT, well known for its high-precision receiving signal level) with that of the MUSIC (multiple signal classification) algorithm, well known for its super-resolution capacity has been proposed. This combined method has been proved to obtain a high precision level in quantifying the shift of the frequency peak of the GPR spectrum. This combined method can perform a reliable coarse estimate of

  17. Intraoperative bleeding control by uniportal video-assisted thoracoscopic surgery†.

    Science.gov (United States)

    Gonzalez-Rivas, Diego; Stupnik, Tomaz; Fernandez, Ricardo; de la Torre, Mercedes; Velasco, Carlos; Yang, Yang; Lee, Wentao; Jiang, Gening

    2016-01-01

    Owing to advances in video-assisted thoracic surgery (VATS), the majority of pulmonary resections can currently be performed by VATS in a safe manner with a low level of morbidity and mortality. The majority of the complications that occur during VATS can be minimized with correct preoperative planning of the case as well as careful pulmonary dissection. Coordination of the whole surgical team is essential when confronting an emergency such as major bleeding. This is particularly important during the VATS learning curve, where the occurrence of intraoperative complications, particularly significant bleeding, usually ends in a conversion to open surgery. However, conversion should not be considered as a failure of the VATS approach, but as a resource to maintain the patient's safety. The correct assessment of any bleeding is of paramount importance during major thoracoscopic procedures. Inadequate management of the source of bleeding may result in major vessel injury and massive bleeding. If bleeding occurs, a sponge stick should be readily available to apply pressure immediately to control the haemorrhage. It is always important to remain calm and not to panic. With the bleeding temporarily controlled, a decision must be made promptly as to whether a thoracotomy is needed or if the bleeding can be solved through the VATS approach. This will depend primarily on the surgeon's experience. The operative vision provided with high-definition cameras, specially designed or adapted instruments and the new sealants are factors that facilitate the surgeon's control. After experience has been acquired with conventional or uniportal VATS, the rate of complications diminishes and the majority of bleeding events are controlled without the need for conversion to thoracotomy.

  18. 沥青公路路面病害及其养护探讨%Discussion on the Distress and Maintenance of Asphalt Pavement Surface

    Institute of Scientific and Technical Information of China (English)

    许锋雷; 缪定武

    2013-01-01

      近年来由于车辆超载、水毁、养护管理不善的原因,部分沥青路面出现开裂、泛油、剥落、车辙等破损情况,致使公路行驶质量降低,直接影响了车辆的正常运行和公民的生命财产安全。因此,本文结合当前我国沥青公路的现状,分析并探讨对其的养护。%In recent years, due to overloading of vehicles da-maged, be damaged by flood, not good at maintenance manag-ement, part of the asphalt pavement appeared the damages of cracking, bleeding, spal ing, rut ing damage, resulting in redu-ced the quality of road, directly affects the normal operation of vehicle and safety of the lives and property of citizens. Theref-ore, based on the current situation of China's asphalt road, this paper analyzes and discusses its maintenance.

  19. Transvaginal Ultrasound for the Diagnosis of Abnormal Uterine Bleeding.

    Science.gov (United States)

    Wheeler, Karen C; Goldstein, Steven R

    2017-03-01

    Transvaginal ultrasound is the first-line imaging test for the evaluation of abnormal uterine bleeding in both premenopausal and postmenopausal women. Transvaginal ultrasound can be used to diagnose structural causes of abnormal bleeding such as polyps, adenomyosis, leiomyomas, hyperplasia, and malignancy, and can also be beneficial in making the diagnosis of ovulatory dysfunction. Traditional 2-dimensional imaging is often enhanced by the addition of 3-dimension imaging with coronal reconstruction and saline infusion sonohysterography. In this article we discuss specific ultrasound findings and technical considerations useful in the diagnosis of abnormal uterine bleeding.

  20. Therapeutic Options for Patients Bleeding with Peptic Ulcers

    Directory of Open Access Journals (Sweden)

    ABR Thomson

    1994-01-01

    Full Text Available It is likely that the best outcome for the patient with an acute upper gastrointestinal bleed (GIB includes early diagnosis: for a bleeding lesion with a high risk of rebleeding, in an older patient with systolic h.ypotension or in a person with multiple medical problems. Early therapeutic endoscopy with meticulous control of intragastric pH will Likely achieve the best outcome. The ideal pH criterion to stop bleeding or to prevent recurrence is unknown. An algorithm is presented to guide the clinical management of patients with GIB, and to focus on important questi.ons for future therapeutic studies.

  1. ULTRASONOGRAPHIC EVALUATION OF PREGNANCY WITH BLEEDING PER VAGINA

    Directory of Open Access Journals (Sweden)

    Amit C

    2014-12-01

    Full Text Available This study of 150 patients presenting with bleeding per vagina in first, second & third trimester was conducted to evaluate the cause of bleeding, access the severity of condition, to predict the later coarse of pregnancy & to evaluate the role of ultrasonography in management. This study was conducted in department of Radiology at Basaweshwar Teaching & General hospital, Government general hospital & Sangameshwer teaching & General hospital. This study concludes that, Ultrasonography should be the first line of investigation in all the cases of bleeding per vagina in pregnancy

  2. Splenic duplication: a rare cause of acute upper gastrointestinal bleeding.

    Science.gov (United States)

    Sharma, Pankaj; Alkadhi, Hatem; Gubler, Christoph; Bauerfeind, Peter; Pfammatter, Thomas

    2013-02-01

    Acute gastrointestinal bleeding represents a common medical emergency. We report the rare case of acute upper gastrointestinal bleeding caused by varices in the gastric fundus secondary to splenic duplication. Splenic duplication has been only rarely reported in the literature, and no case so far has described the associated complication of gastrointestinal bleeding, caused by venous drainage of the upper spleen via varices in the gastric fundus. We describe the imaging findings from endoscopy, endosonography, computed tomography (CT), flat-panel CT, and angiography in this rare condition and illustrate the effective role of intra-arterial embolization.

  3. Assessment of bleeding disorders in Sheehan's syndrome: are bleeding disorders the underlying cause of Sheehan's syndrome?

    Science.gov (United States)

    Gokalp, Deniz; Tuzcu, Alpaslan; Bahceci, Mithat; Ayyildiz, Orhan; Erdemoglu, Mahmut; Alpagat, Gulistan

    2011-01-01

    Sheehan's syndrome (SS) is an adenopituitary insufficiency caused by hypovolemia secondary to excessive blood loss during or after childbirth. However, the mechanism of postpartum hemorrhage and ischemia is not clear. We aimed to evaluate the bleeding disorders among patients with SS, in comparison with healthy controls. In addition, we investigated underlying causes in postpartum hemorrhage that begin the event. The present study was conducted at the Dicle University School of Medicine. Forty-eight patients with SS and 50 age-matched female healthy controls were included. Biochemical and hormonal variables were measured, as was platelet function by means of closure times (PFA-100 testing using collagen plus epinephrine and collagen plus ADP), von Willebrand factor (vWF) level, prothrombin time (PT), activated partial thromboplastin time (aPTT), international normalized ratio (INR), and coagulation factors. Although PT and INR were significantly higher in patients with SS (both P<0.01), aPTT and levels of fibrinogen, vWF, and factors II, V, VII, VIII, IX, X, XI, and XII did not differ significantly. Closure times with collagen/epinephrine and collagen/ADP also did not differ significantly between patients with SS and control patients. The nonspecific etiology and presence of excessive postpartum hemorrhage in patients with SS suggest that coagulation disorders may play a role in their predisposition to bleeding. The increased PT and INR noted might implicate bleeding diathesis as the underlying etiology, although no significant decreases were noted in factor levels. Further studies are needed to elucidate this complex mechanism of this disorder.

  4. Development of a Full-Depth Wheel Tracking Test for Asphalt Pavement Structure: Methods and Performance Evaluation

    Directory of Open Access Journals (Sweden)

    Hui Wang

    2016-01-01

    Full Text Available The rutting performance of asphalt pavement structure relies on the high temperature properties of asphalt mixture as well as the pavement structure and thickness. In order to investigate the influence of the structure and thickness, a full-depth wheel tracking test is developed in this research by improving the conventional wheel tracking test apparatus. The newly proposed test method is capable of varying its load speed and load size, controlling its specimen temperature gradient, and simulating the support conditions of actual asphalt pavement. The full-depth wheel tracking test based rutting performance evaluation of different asphalt pavement structures indicates that it is not reasonable to explain the rutting performance of asphalt pavement structure from the point of view of single-layer asphalt mixture rutting performance. The developed full-depth wheel tracking test can be used to distinguish rutting performance of different asphalt pavement structures, and two of five typical asphalt pavement structures commonly used in Shanxi Province were suggested for use in practical engineering.

  5. Endoscopic Management of Nonvariceal, Nonulcer Upper Gastrointestinal Bleeding

    NARCIS (Netherlands)

    Tjwa, E.T.; Holster, I.L.; Kuipers, E.J.

    2014-01-01

    Upper gastrointestinal bleeding (UGIB) is the most common emergency condition in gastroenterology. Although peptic ulcer and esophagogastric varices are the predominant causes, other conditions account for up to 50% of UGIBs. These conditions, among others, include angiodysplasia, Dieulafoy and Mall

  6. Modern issues on the treatment of peptic ulcer bleedings

    Directory of Open Access Journals (Sweden)

    Potakhin S.N.

    2014-03-01

    Full Text Available Despite the success of therapeutic treatment of peptic ulcer and the introduction of endoscopic technologies, the problem of peptic ulcer hemorrhage remains valid. A large number of publications in foreign literature are dedicated to epidemiology and prevention of bleeding, evaluation of modern tactics and search for new methods of treatment. The works relating to organization of aid to patients with peptic ulcer bleeding are of particular interest. According to the recent data not all clinics even in economically developed countries manage to follow the recommendations of an international consensus-2010 for non-variceal bleeding treatment of upper gastrointestinal tract. Among the causes of non-compliance of international recommendations there are subjective and objective factors, the understanding of which can significantly affect the optimization of aid to patients with peptic ulcer bleeding.

  7. Pregnancy Complications: Bleeding and Spotting from the Vagina

    Science.gov (United States)

    ... miscarry have bleeding or spotting before the miscarriage. Ectopic pregnancy. This is when a fertilized egg implants itself ... of the uterus and begins to grow. An ectopic pregnancy cannot result in the birth of a baby. ...

  8. A rare cause of recurrent gastrointestinal bleeding: mesenteric hemangioma

    Directory of Open Access Journals (Sweden)

    Zeytunlu Murat

    2009-01-01

    Full Text Available Abstract Lower gastrointestinal hemorrhage accounts for approximately 20% of gastrointestinal hemorrhage. The most common causes of lower gastrointestinal hemorrhage in adults are diverticular disease, inflammatory bowel disease, benign anorectal diseases, intestinal neoplasias, coagulopathies and arterio-venous malformations. Hemangiomas of gastrointestinal tract are rare. Mesenteric hemangiomas are also extremely rare. We present a 25-year-old female who was admitted to the emergency room with recurrent lower gastrointestinal bleeding. An intraluminal bleeding mass inside the small intestinal segment was detected during explorative laparotomy as the cause of the recurrent lower gastrointestinal bleeding. After partial resection of small bowel segment, the histopathologic examination revealed a cavernous hemagioma of mesenteric origin. Although rare, gastrointestinal hemangioma should be thought in differential diagnosis as a cause of recurrent lower gastrointestinal bleeding.

  9. Factors that can minimize bleeding complications after renal biopsy.

    Science.gov (United States)

    Zhu, M S; Chen, J Z; Xu, A P

    2014-10-01

    Renal biopsy is a very important diagnostic tool in the evaluation of renal diseases. However, bleeding remains to be one of the most serious complications in this procedure. Many new techniques have been improved to make it safer. The risk factors and predictors of bleeding after percutaneous renal biopsy have been extensively reported in many literatures, and generally speaking, the common risk factors for renal biopsy complications focus on hypertension, high serum creatinine, bleeding diatheses, amyloidosis, advanced age, gender and so on. Our primary purpose of this review is to summarize current measures in recent years literature aiming at minimizing the bleeding complication after the renal biopsy, including the drug application before and after renal biopsy, operation details in percutaneous renal biopsies, nursing and close monitoring after the biopsy and other kinds of biopsy methods.

  10. A rare cause of recurrent gastrointestinal bleeding: mesenteric hemangioma

    Science.gov (United States)

    Kazimi, Mircelal; Ulas, Murat; Ibis, Cem; Unver, Mutlu; Ozsan, Nazan; Yilmaz, Funda; Ersoz, Galip; Zeytunlu, Murat; Kilic, Murat; Coker, Ahmet

    2009-01-01

    Lower gastrointestinal hemorrhage accounts for approximately 20% of gastrointestinal hemorrhage. The most common causes of lower gastrointestinal hemorrhage in adults are diverticular disease, inflammatory bowel disease, benign anorectal diseases, intestinal neoplasias, coagulopathies and arterio-venous malformations. Hemangiomas of gastrointestinal tract are rare. Mesenteric hemangiomas are also extremely rare. We present a 25-year-old female who was admitted to the emergency room with recurrent lower gastrointestinal bleeding. An intraluminal bleeding mass inside the small intestinal segment was detected during explorative laparotomy as the cause of the recurrent lower gastrointestinal bleeding. After partial resection of small bowel segment, the histopathologic examination revealed a cavernous hemagioma of mesenteric origin. Although rare, gastrointestinal hemangioma should be thought in differential diagnosis as a cause of recurrent lower gastrointestinal bleeding. PMID:19178725

  11. Evaluation and Management of Adolescents with Abnormal Uterine Bleeding.

    Science.gov (United States)

    Mullins, Tanya L Kowalczyk; Miller, Rachel J; Mullins, Eric S

    2015-09-01

    The International Federation of Gynecology and Obstetrics and the American Congress of Obstetricians and Gynecologists support the use of new terminology for abnormal uterine bleeding (AUB) to consistently categorize AUB by etiology. The term AUB can be further classified as AUB/heavy menstrual bleeding (HMB) (replacing the term "menorrhagia") or AUB/intermenstrual bleeding (replacing the term "metrorrhagia"). Although many cases of AUB in adolescent women are attributable to immaturity of the hypothalamic-pituitary-ovarian axis, underlying bleeding disorders should be considered in women with AUB/HMB. This article reviews the new terminology for AUB, discusses important relevant features of history and examination, presents the laboratory evaluation of HMB, and describes hormonal (oral contraceptive pills, progestin-only methods, long-acting reversible contraceptives including intrauterine systems), hematologic (tranexamic acid and desmopressin), and surgical management options for AUB/HMB.

  12. Recent trends of study on esophageal variceal bleeding

    Institute of Scientific and Technical Information of China (English)

    CHENG Liu-fang; LI Chang-zheng

    2010-01-01

    @@ Esophageal variceal bleeding (EVB), a severe complication and main mortality cause of portal hypertension, had reached a relatively mature stage in its research. The mortality rate of EVB within 5 days showed decreased tendency in recent years, which may be due to wide adoption of endoscopic variceal ligation (EVL) and endoscopic injection sclerotherapy (EIS).1 Endoscopic treatment had been widely used because of its simple procedure, high hemostasis rate and low recurrent bleeding rate, and had become a main measure in cease of first episode and prevention of recurrent bleeding. The technique of endoscopic procedures had less progress in the last 5 years. Recent studies on EVB mainly focused on further improvement of clinical outcome, including primary prevention by EVL, selection and combination of different hemostatic measures, minimizing complications, better long-term management and forecast of bleeding risk.

  13. Anode reactive bleed and injector shift control strategy

    Science.gov (United States)

    Cai, Jun [Rochester, NY; Chowdhury, Akbar [Pittsford, NY; Lerner, Seth E [Honeoye Falls, NY; Marley, William S [Rush, NY; Savage, David R [Rochester, NY; Leary, James K [Rochester, NY

    2012-01-03

    A system and method for correcting a large fuel cell voltage spread for a split sub-stack fuel cell system. The system includes a hydrogen source that provides hydrogen to each split sub-stack and bleed valves for bleeding the anode side of the sub-stacks. The system also includes a voltage measuring device for measuring the voltage of each cell in the split sub-stacks. The system provides two levels for correcting a large stack voltage spread problem. The first level includes sending fresh hydrogen to the weak sub-stack well before a normal reactive bleed would occur, and the second level includes sending fresh hydrogen to the weak sub-stack and opening the bleed valve of the other sub-stack when the cell voltage spread is close to stack failure.

  14. Challenges in the management of acute peptic ulcer bleeding.

    Science.gov (United States)

    Lau, James Y W; Barkun, Alan; Fan, Dai-ming; Kuipers, Ernst J; Yang, Yun-sheng; Chan, Francis K L

    2013-06-08

    Acute upper gastrointestinal bleeding is a common medical emergency worldwide, a major cause of which are bleeding peptic ulcers. Endoscopic treatment and acid suppression with proton-pump inhibitors are cornerstones in the management of the disease, and both treatments have been shown to reduce mortality. The role of emergency surgery continues to diminish. In specialised centres, radiological intervention is increasingly used in patients with severe and recurrent bleeding who do not respond to endoscopic treatment. Despite these advances, mortality from the disorder has remained at around 10%. The disease often occurs in elderly patients with frequent comorbidities who use antiplatelet agents, non-steroidal anti-inflammatory drugs, and anticoagulants. The management of such patients, especially those at high cardiothrombotic risk who are on anticoagulants, is a challenge for clinicians. We summarise the published scientific literature about the management of patients with bleeding peptic ulcers, identify directions for future clinical research, and suggest how mortality can be reduced.

  15. Mechanistic Methodology for Airport Pavement Design with Engineering Fabrics. Volume 1. Theoretical and Experimental Bases.

    Science.gov (United States)

    1984-08-01

    DOTIFAAIPM-8419,, Mechanistic Methodology for Program Engineering& Airport Pavement Design with Maintenance Service Engineerin Washington, D.C. 20591...Reflective cracks require labor intensive operations for crack sealing and patching, thus becoming a significant maintenance expense item. The problem of...models or prediciting allowable critical strains are not available. The problems are complicated further by the fact that since asphaltic concrete is a

  16. Fast segmentation of industrial quality pavement images using Laws texture energy measures and k -means clustering

    Science.gov (United States)

    Mathavan, Senthan; Kumar, Akash; Kamal, Khurram; Nieminen, Michael; Shah, Hitesh; Rahman, Mujib

    2016-09-01

    Thousands of pavement images are collected by road authorities daily for condition monitoring surveys. These images typically have intensity variations and texture nonuniformities that make their segmentation challenging. The automated segmentation of such pavement images is crucial for accurate, thorough, and expedited health monitoring of roads. In the pavement monitoring area, well-known texture descriptors, such as gray-level co-occurrence matrices and local binary patterns, are often used for surface segmentation and identification. These, despite being the established methods for texture discrimination, are inherently slow. This work evaluates Laws texture energy measures as a viable alternative for pavement images for the first time. k-means clustering is used to partition the feature space, limiting the human subjectivity in the process. Data classification, hence image segmentation, is performed by the k-nearest neighbor method. Laws texture energy masks are shown to perform well with resulting accuracy and precision values of more than 80%. The implementations of the algorithm, in both MATLAB® and OpenCV/C++, are extensively compared against the state of the art for execution speed, clearly showing the advantages of the proposed method. Furthermore, the OpenCV-based segmentation shows a 100% increase in processing speed when compared to the fastest algorithm available in literature.

  17. EVALUATION OF RUTTING DEPTH IN FLEXIBLE PAVEMENTS BY USING FINITE ELEMENT ANALYSIS AND LOCAL EMPIRICAL MODEL

    Directory of Open Access Journals (Sweden)

    Alaa H. Abed

    2012-01-01

    Full Text Available The objective of this research is to predict rut depth in local flexible pavements. Predication model in pavement performance is the process that used to estimate the parameter values which related to pavement structure, environmental condition and traffic loading. The different local empirical models have been used to calculate permanent deformation which include environmental and traffic conditions. Finite element analysis through ANSYS computer software is used to analyze two dimensional linear elastic plane strain problem through (Plane 82 elements. Standard Axle Load (ESAL of 18 kip (80 kN loading on an axle with dual set of tires, the wheel spacing is 13.5 in (343 mm with tire contact pressure of 87 psi (0.6 MPa is used. The pavement system is assumed to be an elastic multi-layers system with each layer being isotropic, homogeneous with specified resilient modulus and Poisson ratio. Each layer is to extend to infinity in the horizontal direction and have a finite thickness except the bottom layer. The analysis of results show that, although, the stress level decrease 14% in the leveling course and 27% in the base course, the rut depth is increased by 12 and 28% in that layers respectively because the material properties is changed.

  18. Dynamics of vehicle-pavement coupled system based on a revised flexible roller contact tire model

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    A revised flexible roller contact tire model (RFRC tire model) is proposed, which considers not only the geometric and flexible filtering effect, but also tire damping and pavement displacement. A vehi- cle-pavement coupled system is modeled as a two DOF oscillator moving along a simply supported beam on a linear viscoelastic foundation. By using the Galerkin’s and Direct Integral method, dynamical responses of the vehicle-pavement coupled system are obtained based on the RFRC tire model and the traditional single point contact tire model (SPC tire model). The simulation results are compared with test data and the validity of the proposed RFRC tire model is verified. Differences between the two models are also investigated. It is found that the dynamical behaviors for both models agree with each other quite well when road surface roughness is a long harmonic wave. On the other hand, they are different under short harmonic wave or impulse road excitation. Thus the RFRC tire model should be used to compute the tire force and investigate dynamical responses of vehicle and pavement.

  19. Modelling of composite concrete block pavement systems applying a cohesive zone model

    DEFF Research Database (Denmark)

    Skar, Asmus; Poulsen, Peter Noe

    This paper presents a numerical analysis of the fracture behaviour of the cement bound base material in composite concrete block pavement systems, using a cohesive zone model. The functionality of the proposed model is tested on experimental and numerical investigations of beam bending tests...

  20. Quantifying Evaporation and Evaluating Runoff Estimation Methods in a Permeable Pavement System - abstract

    Science.gov (United States)

    Studies on quantifying evaporation in permeable pavement systems are limited to few laboratory studies that used a scale to weigh evaporative losses and a field application with a tunnel-evaporation gauge. A primary objective of this research was to quantify evaporation for a la...

  1. A hybrid strategy in selecting diverse combinations of innovative sustainable materials for asphalt pavements

    Directory of Open Access Journals (Sweden)

    Baron Colbert

    2016-04-01

    Full Text Available This project integrates recent innovations of recycled materials used in designing and building sustainable pavements. An increasing environmental awareness and the demand for improving economic and construction efficiencies, through measures such as construction warrantees and goals to reduce air pollution under the Kyoto Protocol, have increased the efforts to implement sustainable materials in roadways. The objective of this research is to develop a systematic approach toward selecting optimum combinations of sustainable materials for the construction of asphalt pavements. The selected materials, warm mix asphalt (WMA, recycled asphalt shingles (RAS, and reclaimed asphalt pavement (RAP were incorporated in this study. The results of this research are intended to serve as guidelines in the selection of the mixed sustainable materials for asphalt pavements. The approach developed from this project draws upon previous research efforts integrating graphical modeling with optimizing the amount of sustainable materials based on the performance. With regard to moisture susceptibility and rutting potential test results, as well as the MIM analysis based on a 95% confidence interval, the rutting performance and moisture susceptibility of asphalt mixtures are not significantly different regardless of the percentages of RAS, RAP, or WMA. The optimum mixture choices could be made by the plant emission rankings with consideration of the optimal WMA types, percentages of RAS/RAP, and WMA production temperatures. The WMA mixtures prepared with 75% RAP and Advera® WMA have produced the lowest CO2 emissions among the investigated mixture types.

  2. Permeable Pavement Research at NRMRL’s Urban Watershed Research Facility

    Science.gov (United States)

    The results of a bench-scale study of a porous pavement parking lot. Flow rates and total suspended solids (TSS) removal are discussed for systems with a geotextile filter fabric liner in place and those without. The systems with a liner have ~20% better TSS removal performance a...

  3. Coal-tar-based pavement sealcoat, polycyclic aromatic Hydrocarbons (PAHs), and environmental health

    Science.gov (United States)

    Mahler, B.J.; Van Metre, P.C.

    2011-01-01

    Studies by the U.S. Geological Survey (USGS) have identified coal-tar-based sealcoat-the black, viscous liquid sprayed or painted on asphalt pavement such as parking lots-as a major source of polycyclic aromatic hydrocarbon (PAH) contamination in urban areas for large parts of the Nation. Several PAHs are suspected human carcinogens and are toxic to aquatic life.

  4. The development and geometry of shape change in Arabidopsis thaliana cotyledon pavement cells

    Directory of Open Access Journals (Sweden)

    Halsey Leah E

    2011-02-01

    Full Text Available Abstract Background The leaf epidermis is an important architectural control element that influences the growth properties of underlying tissues and the overall form of the organ. In dicots, interdigitated pavement cells are the building blocks of the tissue, and their morphogenesis includes the assembly of specialized cell walls that surround the apical, basal, and lateral (anticlinal cell surfaces. The microtubule and actin cytoskeletons are highly polarized along the cortex of the anticlinal wall; however, the relationships between these arrays and cell morphogenesis are unclear. Results We developed new quantitative tools to compare population-level growth statistics with time-lapse imaging of cotyledon pavement cells in an intact tissue. The analysis revealed alternating waves of lobe initiation and a phase of lateral isotropic expansion that persisted for days. During lateral isotropic diffuse growth, microtubule organization varied greatly between cell surfaces. Parallel microtubule bundles were distributed unevenly along the anticlinal surface, with subsets marking stable cortical domains at cell indentations and others clearly populating the cortex within convex cell protrusions. Conclusions Pavement cell morphogenesis is discontinuous, and includes punctuated phases of lobe initiation and lateral isotropic expansion. In the epidermis, lateral isotropic growth is independent of pavement cell size and shape. Cortical microtubules along the upper cell surface and stable cortical patches of anticlinal microtubules may coordinate the growth behaviors of orthogonal cell walls. This work illustrates the importance of directly linking protein localization data to the growth behavior of leaf epidermal cells.

  5. Definition of Research Needs to Address Airport Pavement Distress in Cold Regions

    Science.gov (United States)

    1989-05-01

    the crack. Cedergren and of airport pavements have been addressed in an Godfrey (i974) note that 70’ of surface runoff FAA Advisory Circular (U.S...improvements in as- neering Laboratory. phalt concrete mix performance that may be Cedergren , H.R. and Godfrey, K.A. (1974) Wa- realized. ter: Key

  6. New U.S. pavement design guide will have major impact in Canada

    Energy Technology Data Exchange (ETDEWEB)

    Hein, D.

    2002-03-31

    The potential impacts and benefits that are likely to accrue to Canada with the upcoming release of the 2002 Pavement Design Guide of the American Association of State Highway and Transportation Officials (ASSHTO) are reviewed. The impact will be felt through AASHTO's 2002 mechanistic-empirical design method, a multi-level hierarchical approach based on design data requirements reflecting roadway classification and current roadway use configurations. A significant departure from the previous system is the emphasis on vehicle axle load distribution rather than equivalent single axle loads to evaluate pavement loading over service life. Specific benefits include: (1) consideration of inherent variations in materials, traffic and environmental factors in construction processes facilitating agency managers to be better able to weigh life cycle costs and cash flow in their decision making processes; (2) enhanced cost-responsibility studies through the improved ability to evaluate consequences of new pavement loading conditions; (3) ability of designers to use available and evolving materials ; (4) improved evaluation of premature pavement failures through better diagnostic techniques; and (5) better assessment of the effects of aging and that of the freeze-thaw cycle through better environmental data and analysis.

  7. Water Quality Performance of Three Side-by-Side Permeable Pavement Surface Materials: Three Year Update

    Science.gov (United States)

    Communities are increasingly installing structural low impact development (LID) practices to mange stormwater and reduce pollutant loads associated with stormwater runoff. Permeable pavement is a LID practice that has limited research on working-scale, side-by-side performance o...

  8. Re-Evaluation of the AASHTO-Flexible Pavement Design Equation with Neural Network Modeling

    Science.gov (United States)

    Tiğdemir, Mesut

    2014-01-01

    Here we establish that equivalent single-axle loads values can be estimated using artificial neural networks without the complex design equality of American Association of State Highway and Transportation Officials (AASHTO). More importantly, we find that the neural network model gives the coefficients to be able to obtain the actual load values using the AASHTO design values. Thus, those design traffic values that might result in deterioration can be better calculated using the neural networks model than with the AASHTO design equation. The artificial neural network method is used for this purpose. The existing AASHTO flexible pavement design equation does not currently predict the pavement performance of the strategic highway research program (Long Term Pavement Performance studies) test sections very accurately, and typically over-estimates the number of equivalent single axle loads needed to cause a measured loss of the present serviceability index. Here we aimed to demonstrate that the proposed neural network model can more accurately represent the loads values data, compared against the performance of the AASHTO formula. It is concluded that the neural network may be an appropriate tool for the development of databased-nonparametric models of pavement performance. PMID:25397962

  9. Dynamics of vehicle-pavement coupled system based on a revised flexible roller contact tire model

    Institute of Scientific and Technical Information of China (English)

    YANG ShaoPu; LI ShaoHua; LU YongJie

    2009-01-01

    A revised flexible roller contact tire model (RFRC tire model) is proposed, which considers not only the geometric and flexible filtering effect, but also tire damping and pavement displacement. A vehi-cle-pavement coupled system is modeled as a two DOF oscillator moving along a simply supported beam on a linear viscoelastic foundation. By using the Galerkin's and Direct Integral method, dynamical responses of the vehicle-pavement coupled system are obtained based on the RFRC tire model and the traditional single point contact tire model (SPC tire model). The simulation results are compared with test data and the validity of the proposed RFRC tire model is verified. Differences between the two models are also investigated. It is found that the dynamical behaviors for both models agree with each other quite well when road surface roughness is a long harmonic wave. On the other hand, they are different under short harmonic wave or impulse road excitation. Thus the RFRC tire model should be used to compute the tire force and investigate dynamical responses of vehicle and pavement.

  10. Agency and Design: Pavement Failure in the Transmilenio Project, Bogotá, Colombia

    DEFF Research Database (Denmark)

    Pineda, Andres Felipe Valderrama

    Transmilenio is the world’s first mass rapid bus transit system designed and built for the city of Bogotá, Colombia. Its first phase was developed and built during the years 1998-2000. The concrete pavement of the cities main corridor, Avenida Caracas and Autopista Norte, was designed and re...

  11. Re-evaluation of the AASHTO-flexible pavement design equation with neural network modeling.

    Science.gov (United States)

    Tiğdemir, Mesut

    2014-01-01

    Here we establish that equivalent single-axle loads values can be estimated using artificial neural networks without the complex design equality of American Association of State Highway and Transportation Officials (AASHTO). More importantly, we find that the neural network model gives the coefficients to be able to obtain the actual load values using the AASHTO design values. Thus, those design traffic values that might result in deterioration can be better calculated using the neural networks model than with the AASHTO design equation. The artificial neural network method is used for this purpose. The existing AASHTO flexible pavement design equation does not currently predict the pavement performance of the strategic highway research program (Long Term Pavement Performance studies) test sections very accurately, and typically over-estimates the number of equivalent single axle loads needed to cause a measured loss of the present serviceability index. Here we aimed to demonstrate that the proposed neural network model can more accurately represent the loads values data, compared against the performance of the AASHTO formula. It is concluded that the neural network may be an appropriate tool for the development of databased-nonparametric models of pavement performance.

  12. Re-evaluation of the AASHTO-flexible pavement design equation with neural network modeling.

    Directory of Open Access Journals (Sweden)

    Mesut Tiğdemir

    Full Text Available Here we establish that equivalent single-axle loads values can be estimated using artificial neural networks without the complex design equality of American Association of State Highway and Transportation Officials (AASHTO. More importantly, we find that the neural network model gives the coefficients to be able to obtain the actual load values using the AASHTO design values. Thus, those design traffic values that might result in deterioration can be better calculated using the neural networks model than with the AASHTO design equation. The artificial neural network method is used for this purpose. The existing AASHTO flexible pavement design equation does not currently predict the pavement performance of the strategic highway research program (Long Term Pavement Performance studies test sections very accurately, and typically over-estimates the number of equivalent single axle loads needed to cause a measured loss of the present serviceability index. Here we aimed to demonstrate that the proposed neural network model can more accurately represent the loads values data, compared against the performance of the AASHTO formula. It is concluded that the neural network may be an appropriate tool for the development of databased-nonparametric models of pavement performance.

  13. Dynamic Response of a Rigid Pavement Plate Based on an Inertial Soil

    Science.gov (United States)

    Gibigaye, Mohamed; Yabi, Crespin Prudence; Alloba, I. Ezéchiel

    2016-01-01

    This work presents the dynamic response of a pavement plate resting on a soil whose inertia is taken into account in the design of pavements by rational methods. Thus, the pavement is modeled as a thin plate with finite dimensions, supported longitudinally by dowels and laterally by tie bars. The subgrade is modeled via Pasternak-Vlasov type (three-parameter type) foundation models and the moving traffic load is expressed as a concentrated dynamic load of harmonically varying magnitude, moving straight along the plate with a constant acceleration. The governing equation of the problem is solved using the modified Bolotin method for determining the natural frequencies and the wavenumbers of the system. The orthogonal properties of eigenfunctions are used to find the general solution of the problem. Considering the load over the center of the plate, the results showed that the deflections of the plate are maximum about the middle of the plate but are not null at its edges. It is therefore observed that the deflection decreased 18.33 percent when the inertia of the soil is taken into account. This result shows the possible economic gain when taking into account the inertia of soil in pavement dynamic design. PMID:27382639

  14. Clinical approach to the patient with unexpected bleeding.

    Science.gov (United States)

    Teitel, J M

    2000-10-01

    Bleeding can be considered unexpected if it is disproportionate to the intensity of the haemostatic stress in a patient with no known haemorrhagic disorder or if it occurs in a patient in whom a bleeding disorder has been characterized but is adequately treated. A thorough history usually allows the clinician to predict reasonably accurately whether the patient is likely to have a systemic haemostatic defect (and if so whether it is congenital or acquired), or whether the bleeding likely has a purely anatomical basis. The nature of bleeding is instructive with respect to preliminary categorization. Thus, mucocutaneous bleeding suggests defects of primary haemostasis (disordered platelet-vascular interactions). Bleeding into deeper structures is more suggestive of coagulation defects leading to impaired fibrin clot formation, and delayed bleeding after primary haemostasis is characteristic of hyperfibrinolysis. Localized bleeding suggests an anatomical cause, although an underlying haemostatic defect may coexist. Where bleeding is so acutely threatening as to require urgent intervention, diagnosis and treatment must proceed simultaneously. In the case of minor haemorrhage (not threatening to life or limb) it may be preferable to defer therapy while the nature of the bleeding disorder is methodically investigated. Initial laboratory evaluation is guided by the preliminary clinical impression. The amount of blood loss can be inferred from the haematocrit or haemoglobin concentration, and the platelet count will quickly identify cases in which thrombocytopenia is the likely cause of bleeding. In the latter instance, examination of the red cell morphology, leucocyte differential, and mean platelet volume may allow the aetiological mechanism to be presumptively identified as hypoproliferative or consumptive. With regard to coagulation testing, the activated PTT, prothrombin time, and thrombin time usually constitute an adequate battery of screening tests, unless the

  15. "Comparison of some Structural Analyses Methods used for the Test Pavement in the Danish Road Testing Machine

    DEFF Research Database (Denmark)

    Baltzer, S.; Zhang, W.; Macdonald, R.;

    1998-01-01

    A flexible test pavement, instrumented to measure stresses and strains in the three primary axes with the upper 400 mm of the subgrade, has been constructed and load tested in the Danish Road Testing Machine (RTM). One objective of this research, which is part of the International Pavement Subgrade...... methods used for the RTM test pavement with data from FWD testing undertaken after the construction and loading programmes. Multilayer linear elastic forward and backcalculation methods, a finite element program and MS Excel spreadsheet based methods are compared....

  16. 高寒地区沥青路面设计%Asphalt Pavement Design in High Latitudeand Cold Regions

    Institute of Scientific and Technical Information of China (English)

    程军勤

    2015-01-01

    Combining with the development of highway pavement and key factors in pavement design,the selection of pavement structural layers in high latitude and cold regions is discussed in this paper,which can be seen as preference to similar projects.%从青海省公路路面设计的发展及设计中的关键要素等方面入手,探讨了高寒地区路面各结构层的选择,为同类地区的路面设计提供参考。

  17. Assessment of Load Capacity of the Airport Pavement Structure With the Use of the Acn-Pcn Method

    Directory of Open Access Journals (Sweden)

    Wesołowski Mariusz

    2014-12-01

    Full Text Available The structures of the airport pavements are designed for defined operational time, assuming the predicted intensity and structure of the air traffic. The safety of air operations conducted by aircrafts on airport pavements depends mostly on their load capacity and design. Therefore, the load capacity inspections should be performed periodically, as the information about the current operational condition of the airport pavement is the basis for decisions on types of aircrafts allowed for traffic, as well as traffic intensity and dates of renovation or modernization works.

  18. Transarterial embolization for management of severe postcoital bleeding

    Directory of Open Access Journals (Sweden)

    Armen Eskandari

    2016-08-01

    Full Text Available Objectives: Postcoital bleeding is an uncommon cause of gynecologic hemorrhage; however, it can be severe in a majority of cases necessitating surgical management. Methods: We report a case of severe postcoital bleeding in a young woman requiring blood transfusion. Results: Hemostasis was achieved using subselective embolization of cervical artery by metallic coils. Conclusion: Our case demonstrates a minimally invasive treatment for control of non-obstetric hemorrhage.

  19. Trends in acute nonvariceal upper gastrointestinal bleeding in dialysis patients.

    Science.gov (United States)

    Yang, Ju-Yeh; Lee, Tsung-Chun; Montez-Rath, Maria E; Paik, Jane; Chertow, Glenn M; Desai, Manisha; Winkelmayer, Wolfgang C

    2012-03-01

    Impaired kidney function is a risk factor for upper gastrointestinal (GI) bleeding, an event associated with poor outcomes. The burden of upper GI bleeding and its effect on patients with ESRD are not well described. Using data from the US Renal Data System, we quantified the rates of occurrence of and associated 30-day mortality from acute, nonvariceal upper GI bleeding in patients undergoing dialysis; we used medical claims and previously validated algorithms where available. Overall, 948,345 patients contributed 2,296,323 patient-years for study. The occurrence rates for upper GI bleeding were 57 and 328 episodes per 1000 person-years according to stringent and lenient definitions of acute, nonvariceal upper GI bleeding, respectively. Unadjusted occurrence rates remained flat (stringent) or increased (lenient) from 1997 to 2008; after adjustment for sociodemographic characteristics and comorbid conditions, however, we found a significant decline for both definitions (linear approximation, 2.7% and 1.5% per year, respectively; Pupper GI bleeding episodes and were more likely to receive blood transfusions during an episode. Overall 30-day mortality was 11.8%, which declined significantly over time (relative declines of 2.3% or 2.8% per year for the stringent and lenient definitions, respectively). In summary, despite declining trends worldwide, crude rates of acute, nonvariceal upper GI bleeding among patients undergoing dialysis have not decreased in the past 10 years. Although 30-day mortality related to upper GI bleeding declined, perhaps reflecting improvements in medical care, the burden on the ESRD population remains substantial.

  20. Overlooked problem of laparoscopic surgery: trocar site bleeding

    OpenAIRE

    Oguzhan Dincel; Fatih Basak; Erdem Kinaci

    2016-01-01

    Purpose: Trocar site bleeding is a complication which can be overlooked and prevented if pay attention. It can lead to unwanted problems during surgery if not noticed. In our study, we aimed to investigate the problem that can be seen in every laparoscopic surgery. Material and Methods: We reviewed the cases who underwent laparoscopic cholecystectomy in our clinic between September 2012 - September 2015. Patients with trocar site bleeding after surgery were enrolled into the study. Demogra...

  1. Overlooked problem of laparoscopic surgery: trocar site bleeding

    OpenAIRE

    Dincel, Oğuzhan; Başak, Fatih; Kınacı, Erdem

    2016-01-01

    Purpose: Trocar site bleeding is a complication which can be overlooked and prevented if pay attention. It can lead to unwanted problems during surgery if not noticed. In our study, we aimed to investigate the problem that can be seen in every laparoscopic surgery.Material and Methods: We reviewed the cases who underwent laparoscopic cholecystectomy in our clinic between September 2012 - September 2015. Patients with trocar site bleeding after surgery were enrolled into the study. Demographic...

  2. Endoscopic Removal of an Unusual Foreign Body Causing Gastrointestinal Bleeding

    Directory of Open Access Journals (Sweden)

    A. Karaman

    2010-09-01

    Full Text Available Foreign body ingestion is a condition more common in the pediatric population than in adults. In adults, although foreign body ingestion can be well tolerated, approximately 10–20% of patients require endoscopic intervention. Delayed diagnosis and unremoved foreign bodies can cause serious and fatal complications including perforation, fistula and gastrointestinal bleeding. Here we report a patient with bleeding duodenal ulcer thought to be initiated by a large foreign body.

  3. Appendicular bleeding: an excepcional cause of lower hemorrhage

    Directory of Open Access Journals (Sweden)

    Marta Magaz-Martínez

    Full Text Available Chronic complications of acute appendicitis managed in a conservative manner are not frequent. We present a case of acute lower gastrointestinal hemorrhage in a young patient with a previous acute appendicitis without surgical intervention. The colonoscopy detected an appendicular bleeding which was surgically treated. The anatomopathological diagnosis was granulomatous appendicitis. The clinical evolution of the patient was favorable without bleeding recurrence. Appendicular hemorrhage can be an unusual complication -however potentially severe- of acute appendicitis not treated surgically.

  4. Acquired antiprothrombin antibodies: an unusual cause of bleeding

    OpenAIRE

    Carvalho, Cristiana; Viveiro, Carolina; Maia, Paulo; Rezende, Teresa

    2013-01-01

    Acquired inhibitors of coagulation causing bleeding manifestations are rare in children. They emerge, normally in the context of autoimmune diseases or drug ingestion, but transient and self-limiting cases can occur after viral infection. We describe, an otherwise healthy, 7-year-old girl who had gingival bleeding after a tooth extraction. The prothrombin time (PT) and the activated partial thromboplastin time (APTT) were both prolonged with evidence of an immediate acting inhibitor (lupic an...

  5. Fibrinogen concentrates for bleeding trauma patients: what is the evidence?

    DEFF Research Database (Denmark)

    Meyer, Martin; Ostrowski, S R; Windeløv, N A;

    2011-01-01

    A balanced transfusion of red blood cells, fresh frozen plasma and platelets are recommended for massively bleeding trauma patients. Fibrinogen concentrates could potentially lessen or replace the need for fresh frozen plasma and/or platelet transfusions.......A balanced transfusion of red blood cells, fresh frozen plasma and platelets are recommended for massively bleeding trauma patients. Fibrinogen concentrates could potentially lessen or replace the need for fresh frozen plasma and/or platelet transfusions....

  6. Amphetamine-related ischemic colitis causing gastrointestinal bleeding

    OpenAIRE

    Panikkath, Ragesh; Panikkath, Deepa

    2016-01-01

    A 43-year-old woman presented with acute lower intestinal bleeding requiring blood transfusion. Multiple initial investigations did not reveal the cause of the bleeding. Colonoscopy performed 2 days later showed features suggestive of ischemic colitis. On detailed history, the patient admitted to using amphetamines, and her urine drug screen was positive for them. She was managed conservatively and advised not to use amphetamines again. She did not have any recurrence on 2-year follow-up.

  7. Amphetamine-related ischemic colitis causing gastrointestinal bleeding

    Science.gov (United States)

    Panikkath, Deepa

    2016-01-01

    A 43-year-old woman presented with acute lower intestinal bleeding requiring blood transfusion. Multiple initial investigations did not reveal the cause of the bleeding. Colonoscopy performed 2 days later showed features suggestive of ischemic colitis. On detailed history, the patient admitted to using amphetamines, and her urine drug screen was positive for them. She was managed conservatively and advised not to use amphetamines again. She did not have any recurrence on 2-year follow-up. PMID:27365888

  8. Double-balloon enteroscopy in detecting small intestinal bleeding

    Institute of Scientific and Technical Information of China (English)

    ZHI Fa-chao; PAN De-shou; ZHOU Dian-yuan; XIAO Bing; JIANG Bo; WAN Tian-mo; GUO Yu; ZHOU Dan; WANG Li-hui; CHEN Jin-feng; XIE Lu

    2005-01-01

    @@ Digestive tract hemorrhage is a common disease of the digestive system, but about 0.4%-5% intestinal bleeding can not be detected with gastroscope or colonscope.1 Since the intestine is long, tortuous, far away from both ends of the digestive tract and unfixed in position, clinical diagnosis of the bleeding is relatively difficult. Yamamoto and Sugano2 reported the clinical application of double-balloon enteroscope at American DDW in 2003.

  9. Fallot′s tetralogy presenting with variceal bleed.

    Directory of Open Access Journals (Sweden)

    Kejariwal D

    2001-07-01

    Full Text Available The erythrocytosis of Fallot′s tetralogy may lead to spontaneous thrombosis at any site, but splenic vein thrombosis and variceal bleed is rarely a presentation of Fallot′s tetralogy. A case of a 48 years old female with undiagnosed Fallot′s tetralogy, presenting with variceal bleed due to splenic vein thrombosis, is reported. It is also interesting to note that the patient survived till this age without any medical or surgical treatment.

  10. Pharmacologic Agents in the Management of Bleeding Disorders

    Science.gov (United States)

    1990-01-01

    patients with mild congenital and well as vitamin K in patients with cirrn-,sis. The use of acquired bleeding disorders. Despite intensive screen- DDAVP and...induce hemostasis during surgical pro- Moderate doses of aspirin 0 2 or drugs such as diphen- cedures such as renal biopsies. hydramine and diazepam ...Harris AS, Sjorin E, Nilsson IM. Intranasal andmnfor congenital an acquired bleeding disorders. Blood intravenous administration of desmopressin

  11. Therapeutic angiography for giant bleeding gastro-duodenal artery pseudoaneurysm

    Institute of Scientific and Technical Information of China (English)

    Ram; Elazary; Mahmoud; Abu-Gazala; Avraham; Schlager; Noam; Shussman; Avraham; I; Rivkind; Allan; I; Bloom

    2010-01-01

    We present the case of an 18-year-old female transferred to our center from an outside hospital due to persistent gastrointestinal bleeding. Two weeks prior to her transfer she underwent duodenal omentopexy for a perforated duodenal peptic ulcer. The patient underwent a computed tomography angiogram which identified the source of bleeding as a giant gastroduodenal artery (GDA) pseudoaneurysm. The patient was taken to interventional radiology where successful microcoil embolization was performed. We present ...

  12. Abnormal uterine bleeding in reproductive-aged women.

    Science.gov (United States)

    Matthews, Michelle L

    2015-03-01

    Abnormal uterine bleeding is a common medical condition with several causes. The International Federation of Gynecology and Obstetrics published guidelines in 2011 to develop universally accepted nomenclature and a classification system. In addition, the American College of Obstetrics and Gynecology recently updated recommendations on evaluation of abnormal uterine bleeding and indications for endometrial biopsies. This article reviews both medical and surgical treatments, including meta-analysis reviews of the most effective treatment options.

  13. Practical Approach to Endoscopic Management for Bleeding Gastric Varices

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Young Suk [Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of)

    2012-02-15

    Bleeding from gastric varices is generally more severe than bleeding from esophageal varices, although it occurs less frequently. Recently, new endoscopic treatment options and interventional radiological procedures have broadened the therapeutic armamentarium for gastric varices. This review provides an overview of the classification and pathophysiology of gastric varices, an introduction to current endoscopic and interventional radiological management options for gastric varices, and details of a practical approach to endoscopic variceal obturation using N-butyl-2-cyanoacrylate.

  14. Structural analyses of a rigid pavement overlaying a sub-surface void

    Science.gov (United States)

    Adam, Fatih Alperen

    Pavement failures are very hazardous for public safety and serviceability. These failures in pavements are mainly caused by subsurface voids, cracks, and undulation at the slab-base interface. On the other hand, current structural analysis procedures for rigid pavement assume that the slab-base interface is perfectly planar and no imperfections exist in the sub-surface soil. This assumption would be violated if severe erosion were to occur due to inadequate drainage, thermal movements, and/or mechanical loading. Until now, the effect of erosion was only considered in the faulting performance model, but not with regards to transverse cracking at the mid-slab edge. In this research, the bottom up fatigue cracking potential, caused by the combined effects of wheel loading and a localized imperfection in the form of a void below the mid-slab edge, is studied. A robust stress and surface deflection analysis was also conducted to evaluate the influence of a sub-surface void on layer moduli back-calculation. Rehabilitative measures were considered, which included a study on overlay and fill remediation. A series regression of equations was proposed that provides a relationship between void size, layer moduli stiffness, and the overlay thickness required to reduce the stress to its original pre-void level. The effect of the void on 3D pavement crack propagation was also studied under a single axle load. The amplifications to the stress intensity was shown to be high but could be mitigated substantially if stiff material is used to fill the void and impede crack growth. The pavement system was modeled using the commercial finite element modeling program Abaqus RTM. More than 10,000 runs were executed to do the following analysis: stress analysis of subsurface voids, E-moduli back-calculation of base layer, pavement damage calculations of Beaumont, TX, overlay thickness estimations, and mode I crack analysis. The results indicate that the stress and stress intensity are, on

  15. Liquefied Bleed for Stability and Efficiency of High Speed Inlets

    Science.gov (United States)

    Saunders, J. David; Davis, David; Barsi, Stephen J.; Deans, Matthew C.; Weir, Lois J.; Sanders, Bobby W.

    2014-01-01

    A mission analysis code was developed to perform a trade study on the effectiveness of liquefying bleed for the inlet of the first stage of a TSTO vehicle. By liquefying bleed, the vehicle weight (TOGW) could be reduced by 7 to 23%. Numerous simplifying assumptions were made and lessons were learned. Increased accuracy in future analyses can be achieved by: Including a higher fidelity model to capture the effect of rescaling (variable vehicle TOGW). Refining specific thrust and impulse models ( T m a and Isp) to preserve fuel-to-air ratio. Implementing LH2 for T m a and Isp. Correlating baseline design to other mission analyses and correcting vehicle design elements. Implementing angle-of-attack effects on inlet characteristics. Refining aerodynamic performance (to improve L/D ratio at higher Mach numbers). Examining the benefit with partial cooling or densification of the bleed air stream. Incorporating higher fidelity weight estimates for the liquefied bleed system (heat exchange and liquid storage versus bleed duct weights) could be added when more fully developed. Adding trim drag or 6-degree-of-freedom trajectory analysis for higher fidelity. Investigating vehicle optimization for each of the bleed configurations.

  16. Diagnosis and therapy of non-variceal upper gastrointestinal bleeding

    Institute of Scientific and Technical Information of China (English)

    Erwin; Biecker

    2015-01-01

    Non-variceal upper gastrointestinal bleeding(UGIB) is defined as bleeding proximal to the ligament of Treitz in the absence of oesophageal, gastric or duodenal varices. The clinical presentation varies according to the intensity of bleeding from occult bleeding to melena or haematemesis and haemorrhagic shock. Causes of UGIB are peptic ulcers, Mallory-Weiss lesions,erosive gastritis, reflux oesophagitis, Dieulafoy lesions or angiodysplasia. After admission to the hospital a structured approach to the patient with acute UGIB that includes haemodynamic resuscitation and stabilization as well as pre-endoscopic risk stratification has to be done. Endoscopy offers not only the localisation of the bleeding site but also a variety of therapeutic measures like injection therapy, thermocoagulation or endoclips. Endoscopic therapy is facilitated by acid suppression with proton pump inhibitor(PPI) therapy. These drugs are highly effective but the best route of application(oral vs intravenous) and the adequate dosage are still subjects of discussion. Patients with ulcer disease are tested for Helicobacter pylori and eradication therapy should be given if it is present. Non-steroidal antiinflammatory drugs have to be discontinued if possible. If discontinuation is not possible, cyclooxygenase-2 inhibitors in combination with PPI have the lowest bleeding risk but the incidence of cardiovascular events is increased.

  17. Congenital portosystemic shunts with and without gastrointestinal bleeding - case series

    Energy Technology Data Exchange (ETDEWEB)

    Gong, Ying; Chen, Jun; Chen, Qi; Ji, Min; Pa, Mier; Qiao, Zhongwei [Children' s Hospital of Fudan University, Department of Radiology, Shanghai (China); Zhu, Hui [Fudan University Shanghai Cancer Center, Department of Radiology, Shanghai (China); Zheng, Shan [Children' s Hospital of Fudan University, Department of Surgery, Shanghai (China)

    2015-12-15

    The clinical presentation of congenital portosystemic shunt is variable and gastrointestinal bleeding is an uncommon presentation. To describe the imaging features of congenital portosystemic shunt as it presented in 11 children with (n = 6) and without gastrointestinal bleeding (n = 5). We performed a retrospective study on a clinical and imaging dataset of 11 children diagnosed with congenital portosystemic shunt. A total of 11 children with congenital portosystemic shunt were included in this study, 7 with extrahepatic portosystemic shunts and 4 with intrahepatic portosystemic shunts. Six patients with gastrointestinal bleeding had an extrahepatic portosystemic shunt, and the imaging results showed that the shunts originated from the splenomesenteric junction (n = 5) or splenic vein (n = 1) and connected to the internal iliac vein. Among the five cases of congenital portosystemic shunt without gastrointestinal bleeding, one case was an extrahepatic portosystemic shunt and the other four were intrahepatic portosystemic shunts. Most congenital portosystemic shunt patients with gastrointestinal bleeding had a shunt that drained portal blood into the iliac vein via an inferior mesenteric vein. This type of shunt was uncommon, but the concomitant rate of gastrointestinal bleeding with this type of shunt was high. (orig.)

  18. Ultrasound contrast agents for bleeding detection and acoustic hemostasis

    Science.gov (United States)

    Zderic, Vesna; Luo, Wenbo; Brayman, Andrew; Crum, Lawrence; Vaezy, Shahram

    2005-04-01

    Objective: To investigate the application of ultrasound contrast agents (UCA) in improving both therapeutic and diagnostic aspects of ultrasound-guided High Intensity Focused Ultrasound (HIFU) therapy. Methods: Incisions (3 cm long, 0.5 cm deep) were made in rabbit livers (in anterior surface for HIFU treatment, or posterior surface for bleeding detection). UCA Optison (~0.1 ml/kg) was injected into mesenteric vein or ear vein. A HIFU applicator (5.5 MHz, 6400 W/cm2) was scanned manually over the incision until hemostasis was achieved. Occult bleeding was monitored with Doppler ultrasound. Results: The presence of Optison produced 37% reduction in hemostasis times normalized to initial bleeding rates. Gross and histological observations showed similar appearance of HIFU lesions produced in the presence of Optison and control HIFU lesions. The temperature reached 100°C in both HIFU only and HIFU+UCA treatments. Tension strength of hemostatic liver incisions was 0.9+/-0.5 N. Almost no bleeding could be detected before Optison injection. First appearance of contrast enhancement localized at the bleeding site was 15 s after Optison injection, and lasted for ~50 s. Conclusion: The presence of UCA during HIFU treatment of liver incisions resulted in shortening of HIFU application times and better visualization of bleeding sites.

  19. Bleeding disorders in dental practice: A diagnostic overview

    Directory of Open Access Journals (Sweden)

    Abhirup Goswami

    2014-01-01

    Full Text Available Dental health care workers are increasingly called upon to provide quality dental care to individuals whose bleeding and clotting mechanisms have been altered by inherited or acquired diseases. This provides an opportunity for the dentist who is trained in the recognition of oral and systemic signs of altered hemostasis to assist in the diagnosis of the underlying condition. A number of dental procedures result in the risk of bleeding that can have serious consequences, such as severe hemorrhage or possibly death, for the patient with a bleeding disorder. Oral care providers must be aware of the impact of bleeding disorders on the management of their patients. These disorders must be recognized from history, clinical examinations, and laboratory investigations, if indicated, prior to surgical procedures including those in dental surgery to prevent bleeding related complications. Safe dental care may require consultation with the patient′s physician, systemic management, and dental treatment modifications. The purpose of this article is how to identify these patients with bleeding disorders.

  20. Evaluation and management of abnormal uterine bleeding in premenopausal women.

    Science.gov (United States)

    Sweet, Mary Gayle; Schmidt-Dalton, Tarin A; Weiss, Patrice M; Madsen, Keith P

    2012-01-01

    Up to 14 percent of women experience irregular or excessively heavy menstrual bleeding. This abnormal uterine bleeding generally can be divided into anovulatory and ovulatory patterns. Chronic anovulation can lead to irregular bleeding, prolonged unopposed estrogen stimulation of the endometrium, and increased risk of endometrial cancer. Causes include polycystic ovary syndrome, uncontrolled diabetes mellitus, thyroid dysfunction, hyperprolactinemia, and use of antipsychotics or antiepileptics. Women 35 years or older with recurrent anovulation, women younger than 35 years with risk factors for endometrial cancer, and women with excessive bleeding unresponsive to medical therapy should undergo endometrial biopsy. Treatment with combination oral contraceptives or progestins may regulate menstrual cycles. Histologic findings of hyperplasia without atypia may be treated with cyclic or continuous progestin. Women who have hyperplasia with atypia or adenocarcinoma should be referred to a gynecologist or gynecologic oncologist, respectively. Ovulatory abnormal uterine bleeding, or menorrhagia, may be caused by thyroid dysfunction, coagulation defects (most commonly von Willebrand disease), endometrial polyps, and submucosal fibroids. Transvaginal ultrasonography or saline infusion sonohysterography may be used to evaluate menorrhagia. The levonorgestrel-releasing intrauterine system is an effective treatment for menorrhagia. Oral progesterone for 21 days per month and nonsteroidal anti-inflammatory drugs are also effective. Tranexamic acid is approved by the U.S. Food and Drug Administration for the treatment of ovulatory bleeding, but is expensive. When clear structural causes are identified or medical management is ineffective, polypectomy, fibroidectomy, uterine artery embolization, and endometrial ablation may be considered. Hysterectomy is the most definitive treatment.

  1. Multidetector computed tomography in acute lower gastrointestinal bleeding

    Directory of Open Access Journals (Sweden)

    John Palma

    2010-11-01

    Full Text Available John Palma, Marius Mihaila, Frank PilleulDépartement de Radiologie Digestive et des Urgences, Hôpital Edouard Herriot, Hospices Civils de Lyon, CHU, Lyon, FranceBackground: The aim of this study is to evaluate multidetector computed tomography (MDCT in acute massive lower gastrointestinal bleeding, with endoscopy and surgery as reference examinations.Methods: A single-center retrospective study involving 34 patients with acute massive lower gastrointestinal bleeding was carried out. All patients were evaluated by MDCT scan then endoscopic or surgical examinations. Sensitivity, specificity, and positive and negative predictive values of MDCT scan were calculated using the extravasation of the contrast agent as the main criterion.Results: Extravasation of the contrast agent was found in 30 of 34 patients (88%. The bleeding site seen on CT was always the same as on endoscopic or surgical examinations (100%. Sensitivity of MDCT scan was 94%, specificity 100%, positive predictive value 100%, and negative predictive value 50% (P < 0.001. Twelve diverticulum bleedings were seen on MDCT scan compared with 13 (92% on endoscopic or surgical examinations. Angiodysplasia was overestimated by MDCT scan.Conclusion: MDCT scan appears to be an excellent tool to find and localize the bleeding site in cases of acute massive lower gastrointestinal disease.Keywords: MDCT, acute lower gastrointestinal bleeding, extravasation, contrast agent

  2. Volatilization of polycyclic aromatic hydrocarbons from coal-tar-sealed pavement

    Science.gov (United States)

    Van Metre, Peter C.; Majewski, Michael S.; Mahler, Barbara J.; Foreman, William T.; Braun, Christopher L.; Wilson, Jennifer T.; Burbank, Teresa L.

    2012-01-01

    Coal-tar-based pavement sealants, a major source of PAHs to urban water bodies, are a potential source of volatile PAHs to the atmosphere. An initial assessment of volatilization of PAHs from coal-tar-sealed pavement is presented here in which we measured summertime gas-phase PAH concentrations 0.03 m and 1.28 m above the pavement surface of seven sealed (six with coal-tar-based sealant and one with asphalt-based sealant) and three unsealed (two asphalt and one concrete) parking lots in central Texas. PAHs also were measured in parking lot dust. The geometric mean concentration of the sum of eight frequently detected PAHs (ΣPAH8) in the 0.03-m samples above sealed lots (1320 ng m-3) during the hottest part of the day was 20 times greater than that above unsealed lots (66.5 ng m-3). The geometric mean concentration in the 1.28-m samples above sealed lots (138 ng m-3) was five times greater than above unsealed lots (26.0 ng m-3). Estimated PAH flux from the sealed lots was 60 times greater than that from unsealed lots (geometric means of 88 and 1.4 μg m-2 h-1, respectively). Although the data set presented here is small, the much higher estimated fluxes from sealed pavement than from unsealed pavement indicate that coal-tar-based sealants are emitting PAHs to urban air at high rates compared to other paved surfaces.

  3. Environmental history recorded in eolian deposits under stone pavements, eastern Mojave Desert, USA

    Science.gov (United States)

    Wells, Stephen; Fuchs, Markus; Dietze, Elisabeth; Lomax, Johanna; Kleber, Arno; Dietze, Michael

    2016-04-01

    Reconstructing the evolution of arid landscapes is challenged by the limited availability of appropriate environmental archives. A widespread surface feature of arid landscapes - stone pavement - traps eolian fines and can form an accretionary archive, growing with time and thereby recording essential information about the conditions under which it evolves. Based on a regional example in the eastern Mojave Desert, USA, seven stone pavement-covered soil-sediment sections on 560 and 270 ka old basalt flows are condensed to a correlation framework, comprising five distinct, successive sedimentological units. An OSL-based chronology enables correlation of this new sediment archive with other environmental archives from the region. Three of the stratigraphic units are of accretionary nature and the top of each unit is mantled by a new generation of stone pavement. These stratigraphic units were deposited between >32.3-20.4 ka, 20.4-16.5 ka and younger than 16.5 ka, appearing to be strongly coupled with the history of the nearby ancient Lake Mojave and enhancing our knowledge of the eolian activity in this area. End-member modelling analysis of sampled grain-size distributions allows identification of a local detritus component, four separate eolian components and two distinct clay enrichment components, contributing different quantities of sediment sources to the five stratigraphic units. These findings improve current concepts about the evolution of stone pavements and their role as conveyers of information about environmental conditions in arid landscapes. Stone pavement-covered accretionary sediment deposits are a new key archive that allows quantifying the relative importance of dust accretion, slope processes, soil formation and vegetation cover.

  4. Pavement Sealcoat, PAHs, and Water Quality of Urban Water Bodies: An Overview

    Science.gov (United States)

    Mahler, B. J.; Van Metre, P. C.; Ingersoll, C.; Kunz, J. L.; Kienzler, A.; Devaux, A.; Bony, S.

    2014-12-01

    Coal-tar-based (CT) sealcoat is used to protect and beautify the asphalt pavement of driveways and parking lots primarily in the central, southern, and northeastern U.S. and in Canada. CT sealcoat typically is 20 to 35 percent crude coal tar or coal-tar pitch and contains from 50,000 to 100,000 mg/kg PAHs, about 1,000 times more than asphalt-based (AS) sealcoat or asphalt itself. Tires and snowplows abrade the friable sealcoat surface into fine particles—PAH concentrations in fine particles (dust) from CT-sealcoated pavement are about 1,000 times higher than in dust from AS-sealcoated pavement (median total PAH concentrations 2,200 and 2.1 mg/kg, respectively). Use of CT sealcoat has several implications for urban streams and lakes. Source apportionment modeling has indicated that, in regions where CT sealcoat is prevalent, particles from sealcoated pavement are contributing the majority of the PAHs to recently deposited lake sediment, with implications for ecological health. Acute 2-d toxicity of runoff from CT-sealcoated pavement to stream biota, demonstrated for a cladoceran (Ceriodaphnia dubia) and fathead minnows (Pimephales promelas), continues for samples collected as long as weeks or months following sealcoat application. Using the fish-liver cell line RGL-W1, runoff collected as much as 36 days following CT-sealcoat application has been demonstrated to cause DNA damage and impair DNA repair capacity. These results demonstrate that CT runoff is a potential hazard to aquatic ecosystems for at least several weeks after sealant application, and that exposure to sunlight can enhance toxicity and genetic damage. Recent research has provided direct evidence that restricting use of CT sealcoat in a watershed can lead to a substantial reduction in PAH concentrations in receiving water bodies.

  5. Implications of Use of Coal-Tar-Based Pavement Sealcoat on Urban Water Quality

    Science.gov (United States)

    Van Metre, P. C.

    2015-12-01

    Coal-tar-based (CT) sealcoat is used to protect and improve the appearance of asphalt pavement of driveways and parking lots primarily in the central and eastern U.S. and in Canada. CT sealcoat typically is 20 to 35% crude coal tar or coal-tar pitch and contains from 50,000 to 100,000 mg/kg polycyclic aromatic hydrocarbons (PAH), about 1,000 times more than asphalt-based (AS) sealcoat or asphalt itself. Tires and snowplows abrade the friable sealcoat surface into fine particles—median total PAH concentrations in dust from CT-sealcoated pavement are 2,200 mg/kg compared to a median concentration of 11 mg/kg for dust from unsealed pavement. Use of CT sealcoat has several implications for urban streams and lakes. Source apportionment modeling has indicated that, in regions where CT sealcoat is prevalent, particles from sealcoated pavement are contributing the majority of the PAHs to recently deposited lake sediment, often resulting in sediment concentrations above toxicity thresholds based on effects-based sediment quality guidelines. Acute 2-day laboratory toxicity testing of simulated runoff from CT-sealcoated pavement to a cladoceran (Ceriodaphnia dubia) and fathead minnows (Pimephales promelas) demonstrated that toxicity continues for samples collected for weeks or months following sealcoat application and that toxicity is enhanced by exposure to UV light. Using the fish-liver cell line RTL-W1, runoff collected as much as 36 days following CT-sealcoat application has been demonstrated to cause DNA damage and impair DNA repair capacity. These results demonstrate that CT runoff is a potential hazard to aquatic ecosystems and that exposure to sunlight can enhance toxicity and genetic damage. Recent research has provided direct evidence that restricting use of CT sealcoat in a watershed can lead to a substantial reduction in PAH concentrations in receiving water bodies.

  6. Relation Between PAHs and Coal-Tar-Based Pavement Sealant in Urban Environments (Invited)

    Science.gov (United States)

    Mahler, B. J.; van Metre, P. C.

    2010-12-01

    Since 2003, coal-tar-based sealant products have come under increased scrutiny as a source of PAHs in urban environments. Sealant (or sealcoat) is the black, shiny substance often applied to asphalt pavement, in particular parking lots and driveways, for esthetic and maintenance purposes. Coal-tar-based sealant, one of the two primary pavement sealant types on the market, typically is 20-35 percent coal-tar pitch, a known carcinogen that is more than 50 percent polycyclic aromatic hydrocarbons (PAHs). The PAH content of the coal-tar-based sealant product is about 1,000 times that of a similar, asphalt-based product, on average. This difference is reflected in regional differences in sealant use and PAH concentrations in pavement dust. In the central and eastern U.S., where the coal-tar-based formulation is prevalent, ΣPAH in mobile particles from sealed pavement have been shown to be about 1,000 times higher than in the western U.S., where the asphalt-based formulation is prevalent (the median ΣPAH concentrations are 2,200 mg/kg in the central and eastern U.S. and 2.1 mg/kg in the western U.S.). Source apportionment modeling indicates that, in the central and eastern U.S., particles from sealed pavement are contributing the majority of the PAHs in recently deposited (post-1990) lake sediment, with implications for ecological health, and that coal-tar-based sealant is the primary cause of upward trends in PAHs in U.S. urban lakes. From the standpoint of human health, research indicates that mobile particles from parking lots with coal-tar-based sealant are tracked indoors, resulting in elevated PAH concentrations in house dust. Coal-tar-based sealcoat being applied to an asphalt parking lot at the University of Texas Pickle Research Center.

  7. Pavement testing by integrated geophysical methods: Feasibility, resolution and diagnostic potential

    Science.gov (United States)

    Orlando, Luciana; Cardarelli, Ettore; Cercato, Michele; De Donno, Giorgio; Di Giambattista, Luca

    2017-01-01

    This work is focused on the assessment of the diagnostic potential of several geophysical methods when applied to the investigation of a rigid airport pavement. The potential and limit of each technique are evaluated as well as the added value deriving from their integration. Firstly, we reconstruct a high-resolution image of the pavement by a large electromagnetic and georadar screening. An advanced processing of georadar data, implemented through the picking of the arrival times of reflections for each profile, provides a quantitative estimation of the deviation between the design and the as-built thickness of layers. Additionally, electrical tomography has been applied to unequivocally identify the anomalous zones, where higher values of resistivity would be associated to porous zones that are prone to degradation and failure. The seismic tomographic survey had the additional purpose to recover the mechanical properties of the pavement in terms of both P- and S-waves and consequently of elastic constants (Poisson's ratio), whose values were consistent with those recovered in literature. The anomalies detected by each technique are consistent in their indications and they can be correlated to failure phenomena occurring at layer interfaces within the pavement structure or to unexpected variations of the layer thicknesses. The cost-effective geophysical campaign has validated the four-layered system deduced from the original design and has been used to reconstruct a high-resolution map of the pavement in order to discriminate fractures, crack-prone areas or areas where the as-built differs from the original design.

  8. Hydraulic and treatment performance of pervious pavements under variable drying and wetting regimes.

    Science.gov (United States)

    Yong, C F; Deletic, A; Fletcher, T D; Grace, M R

    2011-01-01

    Pervious pavements are an effective stormwater treatment technology. However, their performance under variable drying and wetting conditions have yet to be tested, particularly under a continuous time scale. This paper reports on the clogging behaviour and pollutant removal efficiency of three pervious pavement types over 26 accelerated years. These pavements were monolithic porous asphalt (PA), Permapave (PP) and modular Hydrapave (HP). Over a cycle of 13 days, the period of which was equivalent to the average annual Brisbane, Australia rainfall (1,200 mm), the pavements were randomly dosed with four different flows. Drying events of 3 h duration were simulated during each flow. Inflow and outflow samples were collected and analysed for Total Suspended Solids (TSS), Total Phosphorus (TP) and Total Nitrogen (TN). To evaluate the rate of clogging, a 1 in 5 year Brisbane storm event was simulated in the 6th, 8th, 12th, 16th, 20th and 24th week. Under normal dosing conditions, none of the pavements showed signs of clogging even after 15 years. However, under storm conditions, both PA and HP started to clog after 12 years, while PP showed no signs of clogging after 26 years. The drying and various flow events showed no effects in TSS removal, with all systems achieving a removal of approximately 100%. The average TP removal was 20% for all flows except for low flow, which had a significant amount of leaching over time. Leaching from TN was also observed during all flows except high flow. The TSS, TP and TN results observed during storm events were similar to that of high flow.

  9. Energy harvesting in pavement from passing vehicles with piezoelectric composite plate for ice melting

    Science.gov (United States)

    Faisal, Farjana; Wu, Nan; Kapoor, Kartik

    2016-04-01

    An energy harvester in the road pavement made from a piezoelectric composite plate is designed and studied to collect energy from the passing vehicles for the ice melting aim. Piezoelectric material has the ability to produce electric charge on its surface when strain takes place due to any external loading. Based on this property, a rectangular composite plate harvester is developed consisting of piezoelectric material as the energy generation coating layer and A514 steel as the substrate layer to realize the energy harvesting process from the variable pressure generated in the road pavement by passing vehicles. Based on Westergaards stress model, a numerical model is developed to calculate the three dimensional stress distribution in the pavement. Numerical simulations are conducted to study the optimization of various parameters of the harvester, such as depth of the harvester in the pavement, length and width as well as thicknesses of piezoelectric layer and the substrate. By taking in to consideration the maximum stress that can be sustained by both of the piezoelectric material and also the substrate material, an optimum design of the piezoelectric couple composite plate energy harvester is suggested. It is seen that the maximum output power, which can be generated by a single patch of 0.2m*0.2m*0.0026m dimension with a vehicle passing at 22.2 m/s, can reach up to 23.36 W. With the well-designed pavement energy harvesters, it is feasible to collect enough energy to rise the temperature of the ice with the thickness of 1cm covering a 5m width road by 20 degree Celsius within 2.5 hours. This technique can be applied to melt the ice on the roads and bridges especially in cold countries.

  10. Managing sidewalk pavement maintenance: A case study to increase pedestrian safety

    Directory of Open Access Journals (Sweden)

    Maria Vittoria Corazza

    2016-06-01

    Full Text Available Comfort is a major requirement in planning pedestrian facilities. Pedestrians walk where they feel comfortable and when they do not feel at ease, they walk elsewhere. A typical example is that filthy, distressed, or too narrow sidewalks induce pedestrians to walk on carriageways. This behaviour jeopardizes road safety and highly dangerous to most users, leave them vulnerable. Unsuitable pavements can be the result of irregular maintenance operations to restore evenness after shock damage, weather phenomena, installation of equipment (e.g., posts, fences, urban furniture with a reduction of walkable surface, or substandard repair work on pavements and patches due to emergency operations. These problems can be solved with an appropriate maintenance management system, which optimizes financial resources to make smart decisions about how to intervene with an adequate and lasting maintenance operation. This paper defines an evaluation index for sidewalk conditions as a part of an efficient set-up of a Sidewalk Management System, which is similar to the better known Road Management System. The study relies on surveys, as well as the classification and analysis of sidewalk distresses. The authors adapted an index already standardized by ASTM for roads and airports: the Pavement Condition Index (PCI. PCI has been modified to consider the specific types on the sidewalks studied within this paper. To validate the method, a case study of a residential district in Rome, Italy, was carried out. The chosen area lacks regular maintenance and has therefore resulted in a network of unsafe sidewalks. Frequent detour routes were surveyed and related to the level of distresses within a general assessment of safety. This study concentrates on sidewalks with flexible pavements because this type of pavement is the only one adopted in the survey areas and, in general, throughout Italy.

  11. Road Edge of Pavement, Road Edge of Pavement in Iredell County, NC from 2005 Orthophotography, Published in 2005, 1:2400 (1in=200ft) scale, Iredell County GIS.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Road Edge of Pavement dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Orthoimagery information as of 2005. It is described as...

  12. Road Edge of Pavement, Pavement Condition Ratings and Maintenance Designations per Street Centerline. Updated frequently by Public Works Streets Division, Published in 2006, 1:1200 (1in=100ft) scale, City of Asheville Public Works Department.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Road Edge of Pavement dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from Field Observation information as of 2006. It is described...

  13. 沥青路面冷再生技术在路面维修中的应用%Application of Cold Recycling Technology of Asphalt Pavement in the Pavement Repair

    Institute of Scientific and Technical Information of China (English)

    冯国龙

    2014-01-01

    This paper analyzed several main causes of the damage of asphalt pavement and simply introduced the main techniques of the cold recycling technology of asphalt pave-ment. The author also introduced the concrete applying meth-ods of the cold regeneration technique of asphalt pavement in pavement repair.%本文针对沥青路面出现损坏的几个主要原因进行了分析,简单介绍了沥青路面冷再生技术的主要工艺,并且介绍了沥青路面冷再生技术在路面维修中的具体使用方法。

  14. Prognostic variables in patients with cirrhosis and oesophageal varices without prior bleeding

    DEFF Research Database (Denmark)

    Møller, S; Bendtsen, F; Christensen, E;

    1994-01-01

    As identification of patients at risk of bleeding or death is essential for prophylaxis, we determined the prognostic influence of various patient characteristics on the risk of bleeding and death. Fifty-five patients with cirrhosis and oesophageal varices without previous bleeding were included...... a significant relation with an increased risk of bleeding or death: high plasma volume (p varices (p

  15. [Massive small intestine bleeding: CT-angiography and surgical treatment - a case report].

    Science.gov (United States)

    Halamka, J; Chmátal, P

    2015-04-01

    Gastrointestinal bleeding is one of acute abdomen conditions that occur relatively frequently. Most cases can nowadays be managed endoscopically, surgery is rarely required. Approximately 5% of gastrointestinal bleeding cases are cases of so-called obscure gastrointestinal bleeding. The presented massive gastrointestinal bleed case report provides a current view on diagnostic and therapeutic modalities in the context of everyday clinical practice.

  16. Study of the Raveling Resistance of Porous Asphalt Pavements Used in Sustainable Drainage Systems Affected by Hydrocarbon Spills

    Directory of Open Access Journals (Sweden)

    Jorge Rodriguez-Hernandez

    2015-12-01

    Full Text Available Permeable pavements are one of the most commonly-used sustainable drainage systems (SuDS in urban areas for managing stormwater runoff problems. Porous asphalt is widely used in surface layers of permeable pavement systems, where it can suffer from accidental oil spills from vehicles. Oil spills affect bituminous mixes through the solvent action of the hydrocarbons on the bitumen, reducing the raveling resistance of asphalt pavements. In order to assess the raveling resistance in porous asphalt pavements, the Cantabro abrasion test was performed on 200 test samples after applying controlled oil spills. Three different types of binders were used: conventional bitumen, polymer-modified bitumen and special fuel-resistant bitumen. After analyzing the results, it was concluded that the most suitable bitumen to protect against oil leakages is the polymer-modified one, which is far better than the other two types of bitumen tested.

  17. Road Edge of Pavement, Published in Not Provided, 1:12000 (1in=1000ft) scale, Geospatial Viz.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Road Edge of Pavement dataset, published at 1:12000 (1in=1000ft) scale, was produced all or in part from Road Centerline Files information as of Not Provided....

  18. Thermal stresses of flexible pavement with consideration of temperature-dependent material characteristics using stiffness matrix method

    Science.gov (United States)

    Geng, Litao; Ren, Ruibo; Zhong, Yang; Xu, Qian

    2011-02-01

    The asphalt pavement is regarded as a multilayered elastic half space axisymmetrical body. By introducing the relationship between material characteristics and temperature into the fundamental equations of thermoelasticity and using mathematic methods of Laplace and Hankel integral transformation, the stiffness matrix for a layer is derived firstly. Then the global stiffness matrix is established for multilayered elastic half space using the finite element concepts in which layers are completely contacted. Therefore, explicit solution for thermal stresses of the asphalt pavement is obtained from the solution of the algebra equation formed by global stiffness matrix and the inverse Hankel and Laplace integral transformation. Because the elements of matrix do not include positive exponential function, the calculation is not overflowed and the shortages of transfer matrix method are overcome. This approach serves as a better model for real pavement structure as it takes into account the relationships between the material characteristics and temperature in the pavement system.

  19. 城市砌块路面设计分析%On design for urban block pavement

    Institute of Scientific and Technical Information of China (English)

    王星茹

    2015-01-01

    介绍了城市砌块路面材料的技术要求,分析了砌块路面的组合结构,采用弹性层状理论,对砌块路面设计方法进行了阐述,探讨了人行道与车行道典型的路面结构形式,给出了砌块路面设计的相关数据。%The paper introduces the technical requirements for the urban block pavement materials,analyzes the composite structure of the block pavement,adopts the elastic layer theory to illustrate the design method for the block pavement,and explores the typical pavement structures be-tween sidewalks and carriageways with related data.

  20. A novel semi-quantitative method for measuring tissue bleeding.

    Science.gov (United States)

    Vukcevic, G; Volarevic, V; Raicevic, S; Tanaskovic, I; Milicic, B; Vulovic, T; Arsenijevic, S

    2014-03-01

    In this study, we describe a new semi-quantitative method for measuring the extent of bleeding in pathohistological tissue samples. To test our novel method, we recruited 120 female patients in their first trimester of pregnancy and divided them into three groups of 40. Group I was the control group, in which no dilation was applied. Group II was an experimental group, in which dilation was performed using classical mechanical dilators. Group III was also an experimental group, in which dilation was performed using a hydraulic dilator. Tissue samples were taken from the patients' cervical canals using a Novak's probe via energetic single-step curettage prior to any dilation in Group I and after dilation in Groups II and III. After the tissue samples were prepared, light microscopy was used to obtain microphotographs at 100x magnification. The surfaces affected by bleeding were measured in the microphotographs using the Autodesk AutoCAD 2009 program and its "polylines" function. The lines were used to mark the area around the entire sample (marked A) and to create "polyline" areas around each bleeding area on the sample (marked B). The percentage of the total area affected by bleeding was calculated using the formula: N = Bt x 100 / At where N is the percentage (%) of the tissue sample surface affected by bleeding, At (A total) is the sum of the surfaces of all of the tissue samples and Bt (B total) is the sum of all the surfaces affected by bleeding in all of the tissue samples. This novel semi-quantitative method utilizes the Autodesk AutoCAD 2009 program, which is simple to use and widely available, thereby offering a new, objective and precise approach to estimate the extent of bleeding in tissue samples.

  1. Management of lower gastrointestinal bleeding in older adults.

    Science.gov (United States)

    Triadafilopoulos, George

    2012-09-01

    Lower gastrointestinal bleeding, acute overt, occult or obscure in nature, causes significant morbidity and mortality in older adults. As the elderly population is expected to increase in the future, healthcare costs and the clinical burden of lower gastrointestinal bleeding will rise. Lower gastrointestinal bleeding, by definition, originates from a site distal to the ligament of Treitz and is usually suspected when patients present with haematochezia, or maroon stools per rectum. A thorough history is paramount in guiding the diagnostic steps and management but is frequently inadequate in elderly, poorly communicating, nursing home patients. The causes of lower gastrointestinal bleeding in older adults may be anatomic, vascular, inflammatory, neoplastic or iatrogenic. Comorbidity from cardiopulmonary disease, renal disease, diabetes or underlying cancer, all prevalent in older adults, may affect the incidence, severity, morbidity and mortality of lower gastrointestinal bleeding in the elderly. The use of multiple medications, particularly non-steroidal anti-inflammatory, antiplatelet and anticoagulant agents, needs to be always considered in elderly patients with lower gastrointestinal bleeding and anaemia. CT imaging and early colonoscopy are useful in determining the site of bleeding and allowing haemostasis. If unsuccessful, angiographic intervention and surgery need to be considered. Videocapsule endoscopy is useful in cases where the small bowel is suspected as the source, and its results guide the performance of double- or single-balloon enteroscopy. Optimal care should involve a coordinated effort among the primary physician, endoscopist, interventional radiologist and surgeon in order to improve prognosis and subsequent management and reduce morbidity, mortality, length of stay and overall healthcare costs.

  2. Development of a Full-Depth Wheel Tracking Test for Asphalt Pavement Structure: Methods and Performance Evaluation

    OpenAIRE

    Hui Wang; Zepeng Fan; Jiupeng Zhang

    2016-01-01

    The rutting performance of asphalt pavement structure relies on the high temperature properties of asphalt mixture as well as the pavement structure and thickness. In order to investigate the influence of the structure and thickness, a full-depth wheel tracking test is developed in this research by improving the conventional wheel tracking test apparatus. The newly proposed test method is capable of varying its load speed and load size, controlling its specimen temperature gradient, and simul...

  3. Effects of reclaimed asphalt pavement on indirect tensile strength test of foamed asphalt mix tested in dry condition

    Science.gov (United States)

    Yati Katman, Herda; Rasdan Ibrahim, Mohd; Yazip Matori, Mohd; Norhisham, Shuhairy; Ismail, Norlela

    2013-06-01

    Indirect tensile strength (ITS) test was conducted to analyse strength of the foamed asphalt mixes incorporating reclaimed asphalt pavement. Samples were tested for ITS after cured in the oven at 40°C for 72 hours. This testing condition known as dry condition or unconditioned. Laboratory results show that reclaimed asphalt pavement (RAP) contents insignificantly affect the ITS results. ITS results significantly affected by foamed bitumen contents.

  4. 桥面铺装与小箱梁的共同作用试验%Experiment of Coaction of Bridge Deck Pavement and Small Box Girder

    Institute of Scientific and Technical Information of China (English)

    钱寅泉; 周正茂; 袁桂芳; 王素娟

    2012-01-01

    Load tests on a single small box girder and a bridge were carried out to evaluate the effects of deck pavement by comparing the deflections of the girders before and after the pavement surfaced. The comprehensive elastic modulus was obtained from the test before pavement surfaced, and the coaction degree of the bridge deck pavement and the girders was obtained by comparing the flexural inertia moment corresponding to the deflection in the test after pavement surfaced with the theoretical flexural inertia moment corresponding to the supposed thickness of the pavement in work. The results from these tests show that (1) the rough interface could greatly improve the coaction degree of bridge deck pavement with girders, which could reach 100% ; (2) in general cases, the extent of the coaction of bridge deck pavement with girders could reach 70% , and for a pavement with thickness of 8 cm, the thickness of the pavement in coaction could be taken as 60% or 3 cm in thickness could be substracted from the pavement in design; (3 ) the pavement could improve the uniformity of the transverse load distribution. Load tests on a single small box girder and a bridge were carried out to evaluate the effects of deck pavement by comparing the deflections of the girders before and after the pavement surfaced. The comprehensive elastic modulus was obtained from the test before pavement surfaced, and the coaction degree of the bridge deck pavement and the girders was obtained by comparing the flexural inertia moment corresponding to the deflection in the test after pavement surfaced with the theoretical flexural inertia moment corresponding to the supposed thickness of the pavement in work. The results from these tests show that (1) the rough interface could greatly improve the coaction degree of bridge deck pavement with girders, which could reach 100% ; (2) in general cases, the extent of the coaction of bridge deck pavement with girders could reach 70% , and for a pavement with

  5. 论沥青路面早期损坏的预防措施%Discussion on prevention measures of early damages of asphalt pavement

    Institute of Scientific and Technical Information of China (English)

    汪香莲

    2011-01-01

    Combining with the present asphalt concrete pavement construction and caused pavement early damages,this paper analysed the reasons and preventive measures of pavement early damages from pavement structure layer,mixing ratio design,raw materials,construction control and other aspects,in order to reduce the early damage of asphalt pavement,prolong the service life of pavement.%结合当前沥青混凝土路面施工及产生的路面早期破坏,从路面结构层、配合比设计、原材料、施工控制等方面分析了路面早期破坏的原因及预防措施,以减少沥青路面早期损坏,延长路面使用寿命。

  6. Upper gastrointestinal bleeding in Kuala Lumpur Hospital, Malaysia.

    Science.gov (United States)

    Lakhwani, M N; Ismail, A R; Barras, C D; Tan, W J

    2000-12-01

    Despite advancements in endoscopy and pharmacology in the treatment of peptic ulcer disease the overall mortality has remained constant at 10% for the past four decades. The aim of this study was to determine the age, gender, racial distribution, incidence and causes of endoscopically diagnosed cases of upper gastrointestinal (UGI) bleeding to summarise treatments undertaken and to report their outcome. A prospective study of UGI bleeding in 128 patients was performed in two surgical wards of Kuala Lumpur Hospital, involving both elective and emergency admissions. The study group comprised of 113 (88.2%) males and 15 (11.7%) females. The mean age was 51.9 years (range 14 to 85 years) and 37.5% (48 of 128 patients) were older than 60 years. The Indian race was over-represented in all disease categories. Smoking (50.1%), alcohol consumption (37.5%), non-steroidal anti-inflammatory drugs (NSAIDs) (17.2%), traditional remedies (5.5%), anti-coagulants (2.3%) and steroids (0.8%) were among the risk factors reported. Common presenting symptoms and signs included malaena (68.8%), haematemesis (59.4%) and fresh per rectal bleeding (33.6%). The commonest causes of UGI bleeding were duodenal ulcer (32%), gastric ulcer (29.7%), erosions (duodenal and gastric) (21.9%), oesophageal varices (10.9%) and malignancy (3.9%). UGI bleeding was treated non-surgically in 90.6% of cases. Blood transfusions were required in 62.6% (67/107) of peptic ulcer disease patients. Surgical intervention for bleeding peptic ulcer occurred in around 10% of cases and involved under-running of the bleeding vessel in most high risk duodenal and gastric ulcer patients. The overall mortality from bleeding peptic ulcer disease was 4.7%. Six patients died from torrential UGI haemorrhage soon after presentation, without the establishment of a cause. Active resuscitative protocols, early endoscopy, more aggressive interventional therapy, early surgery by more senior surgeons, increasing intensive care unit

  7. Computed tomography angiography in patients with active gastrointestinal bleeding

    Energy Technology Data Exchange (ETDEWEB)

    Reis, Fatima Regina Silva; D' Ippolito, Giuseppe, E-mail: fatima.rsreis@gmail.com [Universidade Federal de Sao Paulo (EPM/UNIFESP), Sao Paulo, SP (Brazil). Escola Paulista de Medicina; Cardia, P.P. [Hospital Vera Cruz, Campinas, SP (Brazil)

    2015-11-15

    Gastrointestinal bleeding represents a common medical emergency, with considerable morbidity and mortality rates, and a prompt diagnosis is essential for a better prognosis. In such a context, endoscopy is the main diagnostic tool; however, in cases where the gastrointestinal hemorrhage is massive, the exact bleeding site might go undetected. In addition, a trained professional is not always present to perform the procedure. In an emergency setting, optical colonoscopy presents limitations connected with the absence of bowel preparation, so most of the small bowel cannot be assessed. Scintigraphy cannot accurately demonstrate the anatomic location of the bleeding and is not available at emergency settings. The use of capsule endoscopy is inappropriate in the acute setting, particularly in the emergency department at night, and is a highly expensive method. Digital angiography, despite its high sensitivity, is invasive, presents catheterization-related risks, in addition to its low availability at emergency settings. On the other hand, computed tomography angiography is fast, widely available and minimally invasive, emerging as a promising method in the diagnostic algorithm of these patients, being capable of determining the location and cause of bleeding with high accuracy. Based on a critical literature review and on their own experience, the authors propose a computed tomography angiography protocol to assess the patient with gastrointestinal bleeding. (author)

  8. Factors affecting hospital mortality in acute upper gastrointestinal bleeding

    Directory of Open Access Journals (Sweden)

    Alam Mohammed

    2000-01-01

    Full Text Available This retrospective analysis studied the records of 564 consecutive patients admitted to Gastrointestinal Bleeding Unit of Riyadh Medical Complex with acute upper gastrointestinal bleeding over a 2-year period (May 1996-April 1998. The purpose of the study was to analyze the mortality with an aim to identify the risk factors affecting mortality in these patients. Majority of patients were men (82% and Saudis (54%. Their mean age was 52.46 + 17.8 years. Esophageal varices (45% were the main causes of bleeding followed by duodenal ulcers (24%. Overall mortality in this series was 15.8% (89 patients. Comorbid diseases were responsible for death in 68 (76% patients, whereas, bleeding was considered to be directly responsible for death in 21 (24% patients. On analysis of data from this study, old age (>60 years, systolic pressure < 90 mm Hg on admission, comorbid disease, variceal bleeding and Child′s grade C in patients with chronic liver disease were associated with adverse outcome.

  9. Endovascular management for significant iatrogenic portal vein bleeding.

    Science.gov (United States)

    Kim, Jong Woo; Shin, Ji Hoon; Park, Jonathan K; Yoon, Hyun-Ki; Ko, Gi-Young; Gwon, Dong Il; Kim, Jin Hyoung; Sung, Kyu-Bo

    2017-01-01

    Background Despite conservative treatment, hemorrhage from an intrahepatic branch of the portal vein can cause hemodynamic instability requiring urgent intervention. Purpose To retrospectively report the outcomes of hemodynamically significant portal vein bleeding after endovascular management. Material and Methods During a period of 15 years, four patients (2 men, 2 women; median age, 70.5 years) underwent angiography and embolization for iatrogenic portal vein bleeding. Causes of hemorrhage, angiographic findings, endovascular treatment, and complications were reported. Results Portal vein bleeding occurred after percutaneous liver biopsy (n = 2), percutaneous radiofrequency ablation (n = 1), and percutaneous cholecystostomy (n = 1). The median time interval between angiography and percutaneous procedure was 5 h (range, 4-240 h). Common hepatic angiograms including indirect mesenteric portograms showed active portal vein bleeding into the peritoneal cavity with (n = 1) or without (n = 2) an arterioportal (AP) fistula, and portal vein pseudoaneurysm alone with an AP fistula (n = 1). Successful transcatheter arterial embolization (n = 2) or percutaneous transhepatic portal vein embolization (n = 2) was performed. Embolic materials were n-butyl cyanoacrylate alone (n = 2) or in combination with gelatin sponge particles and coils (n = 2). There were no major treatment-related complications or patient mortality within 30 days. Conclusion Patients with symptomatic or life-threatening portal vein bleeding following liver-penetrating procedures can successfully be managed with embolization.

  10. Clinical Outcomes of Endoscopic Hemostasis in Marginal Ulcer Bleeding.

    Science.gov (United States)

    Yamasaki, Yasushi; Takenaka, Ryuta; Hori, Keisuke; Takemoto, Koji; Kawano, Seiji; Kawahara, Yoshiro; Fujiki, Shigeatsu; Okada, Hiroyuki

    2016-12-01

    The usefulness of endoscopy in marginal ulcer bleeding has rarely been studied, and the optimal method for preventing rebleeding is unclear. Here we assessed the efficacy of endoscopy in marginal ulcer bleeding and examined the efficacy of proton pump inhibitors (PPIs) in the prevention of rebleeding. A total of 28 patients with marginal ulcer bleeding (21 men, 7 women; median age 58.5 years) were treated by endoscopy. We analyzed the clinical characteristics, results of endoscopic therapy, characteristics of rebleeding patients, and relation between the use of PPIs and the duration of rebleeding. Sixteen patients had active bleeding. Initial hemostasis was achieved in all patients. There were no procedure-related adverse events. Rebleeding occurred in one patient within the first month and in 7 patients thereafter. There was a significant difference in the rebleeding rate between the patients who received a PPI and those who did not. In a multivariate analysis, the non-use of PPIs was a risk factor for rebleeding (hazard ratio, 6.22). Therapeutic endoscopy is effective in achieving hemostasis from marginal ulcer bleeding. PPIs may prevent rebleeding from marginal ulcers.

  11. Portable semiconductor laser system to stop internal bleeding

    Science.gov (United States)

    Rediker, Robert H.; Durville, Frederic M.; Cho, George; Boll, James H.

    1995-03-01

    One significant cause of death during a sever trauma (gun wound or stab wound) is internal bleeding. A semiconductor diode laser system has been used in in vitro studies of cauterizing veins and arteries to stop bleeding. The conditions of laparoscopic surgery, including bleeding conditions (blood flow and pressure), are simulated. Results have been obtained both with and without using a hemostat (e.g., forceps) to temporarily stop the bleeding prior to the cautery. With the hemostat and a fiber-coupled 810-nm laser, blood vessels of up to 5 mm diameter were cauterized with an 8 W output from the fiber. Great cautions must be used in extrapolating from these in vitro results, since the exact conditions of bleeding in a living being are impossible to exactly reproduce in a laboratory in-vitro experiment. In a living being, when blood flow stops the cessation of nourishment to the vessels results in irreversible physiological changes. Also, the blood itself is different from blood in a living being because an anti-clotting agent (heparin) was added in order to inhibit the blood's natural tendency to coagulate.

  12. Efficacy of endoscopic therapy for gastrointestinal bleeding from Dieulafoy's lesion

    Institute of Scientific and Technical Information of China (English)

    Jun Cui; Liu-Ye Huang; Yun-Xiang Liu; Bo Song; Long-Zhi Yi; Ning Xu; Bo Zhang; Cheng-Rong Wu

    2011-01-01

    AIM: To investigate the endoscopic hemostasis for gastrointestinal bleeding due to Dieulafoy's lesion. METHODS: One hundred and seven patients with gastrointestinal bleeding due to Dieulafoy's lesion were treated with three endoscopic hemostasis methods: aethoxysklerol injection (46 cases), endoscopic hemoclip hemostasis (31 cases), and a combination of hemoclip hemostasis with aethoxysklerol injection (30 cases). RESULTS: The rates of successful hemostasis using the three methods were 71.7% (33/46), 77.4% (24/31) and 96.7% (29/30), respectively, with significant differences between the methods (P < 0.05). Among those who had unsuccessful treatment with aethoxysklerol injection, 13 were treated with hemoclip hemostasis and 4 underwent surgical operation; 9 cases were successful in the injection therapy. Among the cases with unsuccessful treatment with hemoclip hemostasis, 7 were treated with injection of aethoxysklerol and 3 cases underwent surgical operation; 4 cases were successful in the treatment with hemoclip hemostasis. Only 1 case had unsuccessful treatment with a combined therapy of hemoclip hemostasis and aethoxysklerol injection, and surgery was then performed. No serious complications of perforation occurred in the patients whose bleeding was treated with the endoscopic hemostasis, and no re-bleeding was found during a 1-year follow-up. CONCLUSION: The combined therapy of hemoclip hemostasis with aethoxysklerol injection is the most effective method for gastrointestinal bleeding due to Dieulafoy's lesion.

  13. Histopathological pattern of abnormal uterine bleeding in endometrial biopsies.

    Science.gov (United States)

    Vaidya, S; Lakhey, M; Vaidya, S; Sharma, P K; Hirachand, S; Lama, S; KC, S

    2013-03-01

    Abnormal uterine bleeding is a common presenting complaint in gyanecology out patient department. Histopathological evaluation of the endometrial samples plays a significant role in the diagnosis of abnormal uterine bleeding. This study was carried out to determine the histopathological pattern of the endometrium in women of various age groups presenting with abnormal uterine bleeding. Endometrial biopsies and curettings of patients presenting with abnormal uterine bleeding was retrospectively studied. A total of 403 endometrial biopsies and curettings were analyzed. The age of the patients ranged from 18 to 70 years. Normal cyclical endometrium was seen in 165 (40.94%) cases, followed by 54 (13.40%) cases of disordered proliferative endometrium and 44 (10.92%) cases of hyperplasia. Malignancy was seen in 10 (2.48%) cases. Hyperplasia and malignancy were more common in the perimenopausal and postmenopausal age groups. Histopathological examination of endometrial biopsies and curettings in patients presenting with abnormal uterine bleeding showed a wide spectrum of changes ranging from normal endometrium to malignancy. Endometrial evaluation is specially recommended in women of perimenopausal and postmenopausal age groups presenting with AUB, to rule out a possibility of any preneoplastic condition or malignancy.

  14. Diagnostic accuracy of CT angiography in acute gastrointestinal bleeding.

    Science.gov (United States)

    Chua, A E; Ridley, L J

    2008-08-01

    The aim of the study was to carry out a systematic review determining the accuracy of CT angiography in the diagnosis of acute gastrointestinal bleeding. A search of published work in Medline and manual searching of reference lists of articles was conducted. Studies were included if they compared CT angiography to a reference standard of upper gastrointestinal endoscopy, colonoscopy, angiography or surgery in the diagnosis of acute gastrointestinal bleeding. Eight published studies evaluating 129 patients were included. Data were used to form 2 x 2 tables. Computed tomography angiography showed pooled sensitivity of 86% (95% confidence interval 78-92%) and specificity of 95% (95% confidence interval 76-100%), without showing significant heterogeneity (chi(2) = 3.5, P = 0.6) and (chi(2) = 5.4, P = 0.6), respectively. Summary receiver operating characteristic analysis showed an area under the curve of 0.93. Computed tomography angiography is accurate in the diagnosis of acute gastrointestinal bleeding and can show the precise location and aetiology of bleeding, thereby directing further management. Strong recommendations for use of CT cannot be made from this review because of the methodological limitations and further large prospective studies are needed to define the role of CT in acute gastrointestinal bleeding.

  15. 京秦高速公路路面早期破坏原因%Early Damage Reason of Jingqin Expressway Pavement

    Institute of Scientific and Technical Information of China (English)

    李伯威

    2012-01-01

    Common damage causes of asphalt design, thickness design, mixing design, pavement pavement quality are put forward. pavement are analyzed. From the aspects of pavement structure field construction and so on, technical measures for improving%对沥青路面常见病害产生的原因进行分析,并从路面结构设计、厚度设计、配合比设计及路面现场施工等方面提出提高路面质量的技术措施。

  16. Recurrent Epistaxis and Bleeding as the Initial Manifestation of Brucellosis.

    Science.gov (United States)

    Kamali Aghdam, Mojtaba; Davari, Kambiz; Eftekhari, Kambiz

    2016-03-01

    Severe thrombocytopenia with bleeding is rarely reported in children with brucellosis, and recurrent epistaxis is extremely rare. Brucellosis with hemorrhage should be differentiated from viral hemorrhagic fever, malignancy, and other blood disorders. Bone marrow aspiration (BMA) is mandatory to differentiate from other blood diseases. An 8-year-old boy was admitted with recurrent epistaxis, petechiae and purpura on face and extremities and bleeding from the gums. During the hospitalization, he was febrile and complained of muscle pain. Leukopenias associated with thrombocytopenia were observed. BMA showed to be normal. Among the multiple tests requested, only serum agglutination test (SAT) and 2-MercaptoEthanol test (2-ME) were positive. He was treated with Intravenous immunoglobulin (IVIG) associated with co-trimoxazole and rifampin. Finally, fever subsided, and he was discharged with good condition and normal platelet count. Brucellosis should be a differential diagnosis in patients with fever and bleeding disorders and a history of consumption of unpasteurized dairy, in endemic areas.

  17. Acquired antiprothrombin antibodies: an unusual cause of bleeding.

    Science.gov (United States)

    Carvalho, Cristiana; Viveiro, Carolina; Maia, Paulo; Rezende, Teresa

    2013-01-07

    Acquired inhibitors of coagulation causing bleeding manifestations are rare in children. They emerge, normally in the context of autoimmune diseases or drug ingestion, but transient and self-limiting cases can occur after viral infection. We describe, an otherwise healthy, 7-year-old girl who had gingival bleeding after a tooth extraction. The prothrombin time (PT) and the activated partial thromboplastin time (APTT) were both prolonged with evidence of an immediate acting inhibitor (lupic anticoagulant). Further coagulation studies demonstrated prothrombin (FII) deficiency and prothrombin directed (FII) antibodies. The serological tests to detect an underlying autoimmune disease were all negative. The coagulation studies normalised alongside the disappearance of the antibody. This article presents lupus anticoagulant hypoprothrombinaemia syndrome (LAHS) as a rare case of acquired bleeding diathesis in childhood.

  18. Evaluation and outcomes of patients with obscure gastrointestinal bleeding

    Institute of Scientific and Technical Information of China (English)

    Cositha; Santhakumar; Ken; Liu

    2014-01-01

    Obscure gastrointestinal bleeding(OGIB) is defined as recurrent or persistent bleeding or presence of iron deficiency anaemia after evaluation with a negative bidirectional endoscopy. OGIB accounts for 5% of gastrointestinal bleeding and presents a diagnostic challenge. Current modalities available for the investigation of OGIB include capsule endoscopy, balloon assisted enteroscopy, spiral enteroscopy and computed tomography enterography. These modalities overcome the limitations of previous techniques. Following a negative bidirectional endoscopy, capsule endoscopy and double balloon enteroscopy remain the cornerstone of investigation in OGIB given their high diagnostic yield. Longterm outcome data in patients with OGIB is limited, but is most promising for capsule endoscopy. This article reviews the current literature and provides an overview of the clinical evaluation of patients with OGIB, available diagnostic and therapeutic modalities and longterm clinical outcomes.

  19. Bleeding Jejunal Diverticulosis in a Patient with Myasthenia Gravis

    Directory of Open Access Journals (Sweden)

    I. Zuber-Jerger

    2008-01-01

    Full Text Available A seventy-year-old male presented with severe myasthenia gravis and an episode of obscure bleeding. There was a history of gastric ulcer leading to Billroth II surgery twenty-five years ago. Upper endoscopy revealed no pathology. Colonoscopy showed a few solitary diverticula and traces of old blood in the terminal ileum. Capsule endoscopy pictured red smear in the upper jejunum. Diverticula were seen as well. Suspecting bleeding jejunal diverticulosis double balloon enteroscopy was performed. The complete jejunal ascending loop and about 100 cm of the jejunum through the descending jejunal loop could be inspected. Large diverticula with fecoliths were found in both loops. Bleeding had ceased. The patient was discharged to neurology for optimizing therapy for myasthenia gravis.

  20. Liver transplantation in the treatment of bleeding esophageal varices

    Science.gov (United States)

    Iwatsuki, Shunzaburo; Starzl, Thomas E.; Todo, Satoru; Gordon, Robert D.; Tzakis, Andreas G.; Marsh, J. Wallis; Makowka, Leonard; Koneru, Baburao; Stieber, Andrei; Klintmalm, Goran; Husberg, Bo; van Thiel, David

    2010-01-01

    From March 1980 to July 1987, 1000 patients with various end-stage liver diseases received orthotopic liver transplants. Of the 7000 patients, three hundred two had definite histories of bleeding from esophageal varices before transplantation. There were 287 patients with nonalcoholic liver diseases and 15 patients with alcoholic cirrhosis. All patients had very poor liver function, which was the main indication for liver transplantation. One- through 5-year actuarial survival rates of the 302 patients were 79%, 74%, 71%, 71%, and 71%, respectively. These survival rates are far better than those obtained with other available modes of treatment for bleeding varices when liver disease is advanced. Long-term sclerotherapy is the treatment of primary choice for bleeding varices. Patients in whom sclerotherapy fails should be considered for liver transplantation unless clear contraindications exist. PMID:3051474