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Sample records for body negative pressure

  1. Proposed application of lower body negative pressure to cardiology

    Science.gov (United States)

    Schmidt, E. V.; Debusk, R. F.; Popp, R. L.

    1975-01-01

    Potential medical applications are presented of lower body negative pressure to the evaluation and treatment of cardiac patients. The essential features of an LBNP unit and the basic cardiovascular physiology of lower body negative pressure (LBNP) testing are described. Some of the results of previous spaceflight experiences and bedrest studies are summarized. The deconditioning effects of weightlessness experienced by orbiting astronauts are compared with the effects of bedrest restrictions prescribed for convalescing cardiac patients. The potential of LBNP for evaluating both pharmacological and physical activity regimens was examined, particularly in relation to post-myocardial infarction and coronary artery bypass patients. Applications of LBNP to the cardiac catheterization laboratory and the out-patient follow-up of cardiac patients are proposed.

  2. Limb venous compliance responses to lower body negative pressure in humans with high blood pressure.

    Science.gov (United States)

    Goulopoulou, S; Deruisseau, K C; Carhart, R; Kanaley, J A

    2012-05-01

    This study tested the hypothesis that limb venous responses to baroreceptor unloading are altered in individuals with high blood pressure (HBP) compared with normotensive (NT) controls. Calf venous compliance was assessed in 20 subjects with prehypertension and stage-1 hypertension (mean arterial pressure, MAP: 104±1 mm Hg) and 13 NT controls (MAP: 86±2 mm Hg) at baseline and during lower body negative pressure (LBNP), using venous occlusion plethysmography. Baroreflex sensitivity (BRS) was measured using the sequence technique and total peripheral resistance (TPR) was estimated from finger plethysmography. Baseline venous compliance was not different between groups, but the HBP group had lower baseline lnBRS (2.22±0.14 vs 2.7±0.18 ms mm Hg(-1)) and greater baseline TPR (3828±138 vs 3250±111 dyn sec(-1) cm(-5) m(2), Pcompliance was reduced in response to LBNP only in the NT group (Psec(-1) cm(-5) m(2), P<0.05). In conclusion, the early stages of hypertension are characterized by an attenuated venoconstrictor response to baroreceptor unloading, which may compensate for an exaggerated vasoconstrictor response and protect against further increases in blood pressure. PMID:21471995

  3. A cardiovascular system model for lower-body negative pressure response

    Science.gov (United States)

    Mitchell, B. A., Jr.; Giese, R. P.

    1971-01-01

    Mathematical models used to study complex physiological control systems are discussed. Efforts were made to modify a model of the cardiovascular system for use in studying lower body negative pressure. A computer program was written which allows orderly, straightforward expansion to include exercise, metabolism (thermal stress), respiration, and other body functions.

  4. The cerebral hemodynamics of normotensive hypovolemia during lower-body negative pressure

    Science.gov (United States)

    Giller, C. A.; Levine, B. D.; Meyer, Y.; Buckey, J. C.; Lane, L. D.; Borchers, D. J.

    1992-01-01

    Although severe hypovolemia can lead to hypotension and neurological decline, many patients with neurosurgical disorders experience a significant hypovolemia while autonomic compensatory mechanisms maintain a normal blood pressure. To assess the effects of normotensive hypovolemia upon cerebral hemodynamics, transcranial Doppler ultrasound monitoring of 13 healthy volunteers was performed during graded lower-body negative pressure of up to -50 mm Hg, an accepted laboratory model for reproducing the physiological effects of hypovolemia. Middle cerebral artery flow velocity declined by 16% +/- 4% (mean +/- standard error of the mean) and the ratio between transcranial Doppler ultrasound pulsatility and systemic pulsatility rose 22% +/- 8%, suggesting cerebral small-vessel vasoconstriction in response to the sympathetic activation unmasked by lower-body negative pressure. This vasoconstriction may interfere with the autoregulatory response to a sudden fall in blood pressure, and may explain the common observation of neurological deficit during hypovolemia even with a normal blood pressure.

  5. Early activation of the coagulation system during lower body negative pressure

    DEFF Research Database (Denmark)

    Zaar, M; Johansson, P I; Nielsen, L B;

    2009-01-01

    We considered that a moderate reduction of the central blood volume (CBV) may activate the coagulation system. Lower body negative pressure (LBNP) is a non-invasive means of reducing CBV and, thereby, simulates haemorrhage. We tested the hypothesis that coagulation markers would increase following...

  6. Evaluation of Cutaneous Blood Flow During Lower Body Negative Pressure to Prevent Orthostatic Intolerance of Bedrest

    Science.gov (United States)

    Rubin, Marilyn

    1991-01-01

    Orthostatic tolerance is markedly impaired in most of the crewmembers during space flight and could seriously compromise crew safety during and immediately after landing. NASA investigators are studying the use of lower body negative pressure (LBNP) as a countermeasure to this intolerance. It is hypothesized that the continuously changing vascular pressure induced by sinusoidal LBNP with an additional countermeasure of salt and water will help crewmembers to be in a more acceptable physiologic condition to enter the earth's atmosphere. In ground based studies, subjects on bedrest provide the model for studying the physiologic effects of weightlessness. When subjects are treated with sinusoidal LBNP, negative pressures ranging from 0 to -60 mm/Hg are administered during a two hour period. This increases body fluids in the legs and lower body. This paper reports the results of two subjects who were placed on bedrest for six days. The subjects were randomly selected for either the control or treatment mode. The subject receiving the treatment mode ingested salt tablets and water on day 4 of the bedrest period. A ramp LBNP of two hours was next administered to this subject. The control subject did not receive anything during the bedrest period. Laser Doppler was used to measure the cutaneous blood flow of the forearm and calf to monitor vasoconstrictor effects of the baroreceptor reflex. Data indicated that skin blood flow in the treatment subject was higher than baseline in the forearm while the skin blood flow was decreased in the control subject.

  7. Effects of regional hemoconcentration during LBNP on plasma volume determinations. [Lower Body Negative Pressure

    Science.gov (United States)

    Loeppky, J. A.; Kobayashi, Y.; Venters, M. D.; Luft, U. C.

    1979-01-01

    Blood samples were obtained from forearm vein or artery with indwelling cannula (1) before, (2) during the last min, and (3) about 2 min after lower body negative pressure (LBNP) in 16 experiments to determine whether plasma volume (PV) estimates were affected by regional hemoconcentration in the lower body. Total hemoglobin (THb) was estimated with the CO method prior to LBNP. Hemoglobin (Hb) and hematocrit (Hct) values from (2) gave only a 3% (87 ml) loss in PV due to LBNP, assuming no change in THb. However, Hb and Hct values from (3) showed an 11% loss in PV (313 ml). This 72% underestimation of PV loss with (2) must have resulted from the sequestration of blood and subsequent hemoconcentration in the lower body during LBNP. The effects of LBNP on PV should be estimated 1-3 min after exposure, after mixing but before extravascular fluid returns to the circulation.

  8. Development of a lower body negative pressure box with an environmental control system for physiological studies.

    Science.gov (United States)

    Russomano, T; Falcao, F; Gurgel, J; Piccoli, L; Porto, F; Dalmarco, G; de Azevedo, D F G; Allan, J; Beck, L; Petrat, G; Thompsen, S

    2005-01-01

    A headward fluid shift occurs during microgravity exposure, which causes the cardiovascular adaptive syndrome. Different countermeasures have been proposed to decrease its symptomatology, like the application of lower body negative pressure (LBNP). A LBNP box with an environment control system was developed, aiming to improve features of LBNP boxes used worldwide. It consists of five carbon steel ribs in the shape of a cylinder, which is wrapped with high pressure resistant and transparent vinyl. Inner and outer-wheeled trolleys can comfortably and easily move the subject in and out of the box. A custom-made skirt is secured around the subject's waist by an adjustable belt. The other end is secured between two window-type wooden structures, which seal the LBNP box. Inlet and an outlet valves connect the external to the internal environment of the chamber and tube system allows air to circulate gently. Electronic sensors are used to adjust the airflow keeping a pre-set negative pressure without changing humidity and temperature inside the box. Structural, pressure profile and leaking tests were performed with successful results. The improvements of the present LBNP box have substantially decreased the undesirable side effects of uncontrolled environment conditions during rapid pressure changes, and increased test subjects' comfort. PMID:17281238

  9. The Effects of Cold and Lower Body Negative Pressure on Cardiovascular Homeostasis

    OpenAIRE

    Kean, David J.; Peacock, Corey A; SANDERS, GABRIEL J.; John McDaniel; Colvin, Lisa A. C.; GLICKMAN, ELLEN L.

    2015-01-01

    Purpose. The purpose of this study is to determine how cold exposure and lower body negative pressure effected cardiovascular variables. Methods. Eleven males (20.3 years ± 2.7) underwent two 20-minute exposures to LBNP. During the 2 trials, the subjects were exposed to cold air (10°C) (COLD) and to ambient temperature (23°C) (AMB). The trials consisted of a 100-minute pre-LBNP period followed by a 20-minute exposure to LBNP and then a 15-minute recovery period. Cardiovascular variables were ...

  10. Vasoactive neuroendocrine responses associated with tolerance to lower body negative pressure in humans

    Science.gov (United States)

    Convertino, V. A.; Sather, T. M.

    2000-01-01

    The purpose of this investigation was to test the hypothesis that peripheral vasoconstriction and orthostatic tolerance are associated with increased circulating plasma concentrations of noradrenaline, vasopressin and renin-angiotensin. Sixteen men were categorized as having high (HT, n=9) or low (LT, n=7) tolerance to lower body negative pressure (LBNP) based on whether the endpoint of their pre-syncopal-limited LBNP (peak LBNP) exposure exceeded -60 mmHg. The two groups were matched for age, height, weight, leg volume, blood volume and maximal oxygen uptake, as well as baseline blood volume and plasma concentrations of vasoactive hormones. Peak LBNP induced similar reductions in mean arterial pressure in both groups. The reduction in leg arterial pulse volume (measured by impedance rheography), an index of peripheral vascular constriction, from baseline to peak LBNP was greater (Pvasoconstrictive actions.

  11. Effect of hindlimb suspension on cardiovascular responses to sympathomimetics and lower body negative pressure

    Science.gov (United States)

    Overton, J. Michael; Tipton, Charles M.

    1990-01-01

    To determine whether hindlimb suspension is associated with the development of cardiovascular deconditioning, male rats were studied before and after undergoing one of three treatment conditions for 9 days: (1) cage control (n = 15, CON), (2) horizontal suspension (n = 15, HOZ), and (3) head-down suspension (n = 18, HDS). Testing included lower body negative pressure administered during chloralose-urethan anesthesia and graded doses of sympathomimetic agents (norepinephrine, phenylephrine, and tyramine) administered to conscious unrestrained animals. Both HDS and HOZ were associated with a small decrease in the hypotensive response to lower body negative pressure. The HOZ group, but not the HDS group, exhibited augmented reflex tachycardia. Furthermore, both HDS and HOZ groups manifested reduced pressor responses to phenylephrine after treatment. These reductions were associated with significantly attenuated increases in mesenteric vascular resistance. However, baroreflex control of heart rate was not altered by the treatment conditions. Collectively, these results indicate that 9 days of HDS in rats does not elicit hemodynamic response patterns generally associated with cardiovascular deconditioning induced by hypogravic conditions.

  12. Sweat loss during heat stress contributes to subsequent reductions in lower-body negative pressure tolerance

    Science.gov (United States)

    Lucas, Rebekah A. I.; Ganio, Matthew S.; Pearson, James; Crandall, Craig G.

    2016-01-01

    The contribution of sweating to heat stress-induced reductions in haemorrhagic tolerance is not known. This study tested the hypothesis that fluid loss due to sweating contributes to reductions in simulated haemorrhagic tolerance in conditions of heat stress. Eight subjects (35 ± 8 years old; 77 ± 5 kg) underwent a normothermic time control and two heat stress trials (randomized). The two heat stress trials were as follows: (i) with slow intravenous infusion of lactated Ringer solution sufficient to offset sweat loss (IV trial); or (ii) without intravenous infusion (dehydration; DEH trial). Haemorrhage was simulated via progressive lower-body negative pressure (LBNP) to presyncope after core body (intestinal) temperature was raised by ~1.5°C using a water-perfused suit or a normothermic time control period. The LBNP tolerance was quantified via a cumulative stress index. Middle cerebral artery blood velocity (transcranial Doppler) and mean blood pressure (Finometer®) were measured continuously. Relative changes in plasma volume were calculated from haematocrit and haemoglobin. Increases in core body temperature and sweat loss (~1.6% body mass deficit) were similar (P > 0.05) between heat stress trials. Slow intravenous infusion (1.2 ± 0.3 litres) prevented heat-induced reductions in plasma volume (IV trial, −0.6 ± 6.1%; and DEH trial, −6.6 ± 5.1%; P = 0.01). Intravenous infusion improved LBNP tolerance (632 ± 64 mmHg min) by ~20% when compared with the DEH trial (407 ± 117 mmHg min; P = 0.01), yet tolerance remained 44% lower in the IV trial relative to the time control normothermic trial (1138 ± 183 mmHg min; P < 0.01). These data indicate that although sweat-induced dehydration impairs simulated haemorrhagic tolerance, this impairment is secondary to the negative impact of heat stress itself. PMID:22872657

  13. Standing Without Gravity: the Use of Lower Body Negative Pressure for Research and Reconditioning in Spaceflight

    Science.gov (United States)

    Charles, John B.; Campbell, M.R.; Stenger, M.B.; Lee, S.M.C.

    2014-01-01

    Weightlessness during spaceflight causes cephalad redistribution of intravascular and extravascular fluid, provoking cardiovascular and autonomic nervous system adaptations. The resulting functional state is appropriate for weightlessness but can result in orthostatic hypotension and intolerance during and after return to a persistent acceleration or gravitational environment. Lower body negative pressure (LBNP) applies subambient air pressure to the legs and lower abdomen inside a volume sealed at the waist, and decompression by 40-50 mmHg reverses the spaceflight-induced cephalad shift. LBNP has been used both to test the state of cardiovascular system during spaceflight and as a countermeasure by all space-faring nations. Two configurations have thus far been used in spaceflight since the first LBNP flew on the first Soviet Salyut station in 1971. The Soviet and Russian configuration, used in four Salyut stations, the Mir space station and the Russian segment of the International Space Station, has no saddle to support the body so during decompression the feet press against the bottom of the collapsible chamber which shortens and applies force against the feet proportional to the decompression level. Thus, activation of the skeletal musculature partially counteracts vascular and venous pooling in the enclosed body segments, stimulating the orthostatic compensatory mechanisms as they would be standing on Earth. In the American configuration, used aboard Skylab and the Space Shuttle, a saddle supported the astronaut so the feet did not contact the bottom of the chamber, and vascular engorgement was not countered by muscular contraction. This minimized skeletal muscle involvement, unmasked vascular compensatory mechanisms for research purposes, and allowed measurements of changes in leg volume and muscle sympathetic nerve activity. Both variants have demonstrated research and therapeutic value in appropriately designed protocols. LBNP continues to be used for

  14. Impact of lower body negative pressure induced hypovolemia on peripheral venous pressure waveform parameters in healthy volunteers

    International Nuclear Information System (INIS)

    Lower body negative pressure (LBNP) creates a reversible hypovolemia by sequestrating blood volume in the lower extremities. This study sought to examine the impact of central hypovolemia on peripheral venous pressure (PVP) waveforms in spontaneously breathing subjects. With IRB approval, 11 healthy subjects underwent progressive LBNP (baseline, −30, −75, and −90 mmHg or until the subject became symptomatic). Each was monitored for heart rate (HR), finger arterial blood pressure (BP), a chest respiratory band and PVP waveforms which are generated from a transduced upper extremity intravenous site. The first subject was excluded from PVP analysis because of technical errors in collecting the venous pressure waveform. PVP waveforms were analyzed to determine venous pulse pressure, mean venous pressure, pulse width, maximum and minimum slope (time domain analysis) together with cardiac and respiratory modulations (frequency domain analysis). No changes of significance were found in the arterial BP values at −30 mmHg LBNP, while there were significant reductions in the PVP waveforms time domain parameters (except for 50% width of the respiration induced modulations) together with modulation of the PVP waveform at the cardiac frequency but not at the respiratory frequency. As the LBNP progressed, arterial systolic BP, mean BP and pulse pressure, PVP parameters and PVP cardiac modulation decreased significantly, while diastolic BP and HR increased significantly. Changes in hemodynamic and PVP waveform parameters reached a maximum during the symptomatic phase. During the recovery phase, there was a significant reduction in HR together with a significant increase in HR variability, mean PVP and PVP cardiac modulation. Thus, in response to mild hypovolemia induced by LBNP, changes in cardiac modulation and other PVP waveform parameters identified hypovolemia before detectable hemodynamic changes. (paper)

  15. The Effects of Cold and Lower Body Negative Pressure on Cardiovascular Homeostasis

    Science.gov (United States)

    Kean, David J.; Peacock, Corey A.; Sanders, Gabriel J.; McDaniel, John; Colvin, Lisa A. C.; Glickman, Ellen L.

    2015-01-01

    Purpose. The purpose of this study is to determine how cold exposure and lower body negative pressure effected cardiovascular variables. Methods. Eleven males (20.3 years ± 2.7) underwent two 20-minute exposures to LBNP. During the 2 trials, the subjects were exposed to cold air (10°C) (COLD) and to ambient temperature (23°C) (AMB). The trials consisted of a 100-minute pre-LBNP period followed by a 20-minute exposure to LBNP and then a 15-minute recovery period. Cardiovascular variables were recorded every 30 minutes using bioimpedance. Results. When LBNP was applied during the AMB trials, stroke volume immediately decreased. During the COLD trial, there was a five-minute delay before the decrease in stroke volume. Heart rate increased immediately after LBNP initiation during the AMB trials but there was a delay in the increase during the COLD trials. That same pattern was followed with mean arterial blood pressures. Cerebral oxygenation was significantly lower throughout the COLD trial as compared to the AMB trials. Six subjects reported symptoms of syncope or presyncope during the AMB trials but there were no reports of symptoms during the COLD trials. Conclusion. From analysis of this data, cold improved the subject's tolerance to LBNP. PMID:25866805

  16. The Effects of Cold and Lower Body Negative Pressure on Cardiovascular Homeostasis

    Directory of Open Access Journals (Sweden)

    David J. Kean

    2015-01-01

    Full Text Available Purpose. The purpose of this study is to determine how cold exposure and lower body negative pressure effected cardiovascular variables. Methods. Eleven males (20.3 years ± 2.7 underwent two 20-minute exposures to LBNP. During the 2 trials, the subjects were exposed to cold air (10°C (COLD and to ambient temperature (23°C (AMB. The trials consisted of a 100-minute pre-LBNP period followed by a 20-minute exposure to LBNP and then a 15-minute recovery period. Cardiovascular variables were recorded every 30 minutes using bioimpedance. Results. When LBNP was applied during the AMB trials, stroke volume immediately decreased. During the COLD trial, there was a five-minute delay before the decrease in stroke volume. Heart rate increased immediately after LBNP initiation during the AMB trials but there was a delay in the increase during the COLD trials. That same pattern was followed with mean arterial blood pressures. Cerebral oxygenation was significantly lower throughout the COLD trial as compared to the AMB trials. Six subjects reported symptoms of syncope or presyncope during the AMB trials but there were no reports of symptoms during the COLD trials. Conclusion. From analysis of this data, cold improved the subject’s tolerance to LBNP.

  17. Fluid Shifts: Otoacoustical Emission Changes in Response to Posture and Lower Body Negative Pressure

    Science.gov (United States)

    Melgoza, R.; Kemp, D.; Ebert, D.; Danielson, R.; Stenger, M.; Hargens, A.; Dulchavsky, S.

    2016-01-01

    INTRODUCTION: The purpose of the NASA Fluid Shifts Study is to characterize fluid distribution and compartmentalization associated with long-duration spaceflight and to correlate these findings with vision changes and other elements of the visual impairment and intracranial pressure (VIIP) syndrome. VIIP signs and symptoms, as well as postflight lumbar puncture data, suggest that elevated intracranial pressure (ICP) may be associated with spaceflight-induced cephalad fluid shifts, but this hypothesis has not been tested. Due to the invasive nature of direct measures of ICP, a noninvasive technique of monitoring ICP is desired for use during spaceflight. The phase angle and amplitude of otoacoustic emissions (OAEs) have been shown to be sensitive to posture change and ICP (1, 2), therefore use of OAEs is an attractive option. OAEs are low-level sounds produced by the sensory cells of the cochlea in response to auditory stimulation. These sounds travel peripherally from the cochlea, through the oval window, to the ear canal where they can be recorded. OAE transmission is sensitive to changes in the stiffness of the oval window, occurring as a result of changes in cochlear pressure. Increased stiffness of the oval window largely affects the transmission of sound from the cochlea at frequencies between 800 Hz and 1600 Hz. OAEs can be self-recorded in the laboratory or on the ISS using a handheld device. Our primary objectives regarding OAE measures in this experiment were to 1) validate this method during preflight testing of each crewmember (while sitting, supine and in head-down tilt position), and 2) determine if OAE measures (and presumably ICP) are responsive to lower body negative pressure and to spaceflight. METHODS: Distortion-product otoacoustic emissions (DPOAEs) and transient evoked otoacoustic emissions (TEOAEs) were recorded preflight using the Otoport Advance OAE system (Otodynamics Ltd., Hatfield, UK). Data were collected in four conditions (seated

  18. Electrical admittance for filling of the heart during lower body negative pressure in humans

    DEFF Research Database (Denmark)

    Cai, Yujia; Holm, S; Jenstrup, M; Strømstad, M; Eigtved, A; Warberg, Jørgen; Højgaard, Liselotte; Friberg, L; Secher, N H

    2000-01-01

    To evaluate whether electrical admittance of intracellular water is applicable for monitoring filling of the heart, we determined the difference in intracellular water in the thorax (Thorax(ICW)), measured as the reciprocal value of the electrical impedance for the thorax at 1.5 and 100 kHz during...... lower body negative pressure (LBNP) in humans. Changes in Thorax(ICW) were compared with positron emission tomography-determined C(15)O-labeled erythrocytes over the heart. During -40 mmHg LBNP, the blood volume of the heart decreased by 21 +/- 3% as the erythrocyte volume was reduced by 20 +/- 2% and...... impedance by 3.3 +/- 0.3 Omega (1.5 kHz) and 3.0 +/- 0.4 Omega (100 kHz), whereas leg impedance decreased by 9.0 +/- 3.3Omega (1.5 kHz) and 6.1 +/- 3 Omega (100 kHz; P <0.01). Thorax(ICW) was reduced by 7.1 +/- 1.9 S. 10(-4) (P <0.01) and intracellular water in the leg tended to increase (from 37.8 +/- 4...

  19. Peripheral Microvascular Responses to Whole-Body Tilting, G(z) Centrifugation, and Lower Body Negative Pressure Stresses in Humans

    Science.gov (United States)

    Breit, G. A.; Watenpaugh, D. E.; Buckley, T. M.; Ballard, R. E.; Murthy, G.; Hargens, A. R.

    1994-01-01

    The response of the cutaneous microcirculation to orthostatic stress varies along the length of the body due to the interaction of central controls with regional responses to local blood pressure. We hypothesize that artificial orthostatic stresses such as Gz centrifugation and LBNP differ from whole-body tilting in terms of the distribution of microvascular blood flow. Cutaneous microvascular flows were measured by laser Doppler flowmetry at the neck, thigh, and leg of 15 normal subjects. Volunteers underwent stepwise head-up tilt (HUT) and short- and long-arm centrifugation protocols from supine control (0 Gz) to 0.2, 0.4, 0.6, 0.8, 1.0, 0.8, 0.6, 0.4, 0.2, and 0 Gz at the feet, for 30-s periods with 10-s transitions between levels. The same subjects underwent a corresponding supine LBNP protocol, up to 100 mmHg (in 20 mmHg increments) and back to zero pressure, which produced transmural pressure across blood vessels in the foot approximately equal to the HUT protocol. In general, application of all orthostatic stresses produced significant flow reductions in the lower body (p less than 0.05) and inconsistent changes in the neck. At low levels of each stress (0.4 Gz, 40 mmHg), LBNP generated the greatest relative reduction in flow in the lower body (-66.9+/-5.7%, thigh; -60.6 +/-5.7%, leg, mean +/- SE). HUT caused a less severe flow reduction than LBNP at the thigh and leg (-39.9 +/- 8.1% and -55.9+/-4.8%), while the effects induced by both forms of centrifugation were the least profound. Higher levels of each stress generally resulted in similar responses. These responses exhibit a consistent relationship to hypothesized changes in local microvascular transmural pressure, suggesting that myogenic and veno-arteriolar reflexes play a significant role in determining microvascular perfusion during orthostatic stress.

  20. Use of lower body negative pressure to counter symptoms of orthostatic intolerance in patients, bed rest subjects, and astronauts

    Science.gov (United States)

    Lathers, C. M.; Charles, J. B.

    1993-01-01

    This report briefly discusses some aspects of autonomic cardiovascular dysfunction as related to changes in orthostatic function in patients, bed rest subjects, and astronauts. This relationship is described in normal individuals to provide the basis for discussion of parameters that may be altered in patients, bed rest subjects, and astronauts. The relationships between disease states, age, periods of weightlessness during space flight, and autonomic dysfunction, and their contribution to changes in orthostatic tolerance are presented. The physiologic effects of lower body negative pressure are illustrated by presenting data obtained in bed rest subjects and in astronauts. Finally, the usefulness of lower body negative pressure to counter symptoms of orthostatic intolerance in patients, bed rest subjects, and astronauts is discussed.

  1. Psychomotor performance during a 28 day head-down tilt with and without lower body negative pressure

    Science.gov (United States)

    Traon, A. Pavy-le; de Feneyrols, A. Rous; Cornac, A.; Abdeseelam, R.; N'uygen, D.; Lazerges, M.; Güell, A.; Bes, A.

    Several factors may affect psychomotor performance in space: sensory-motor changes, sleep disturbances, psychological modifications induced by the social isolation and confinement. However, psychomotor performance is difficult to assess. A battery of standardized and computerized tests, so-called "Automated Portable Test System" (APTS) was devised to ascertain the cognitive, perceptive and motor abilities and their possible fluctuations according to environmental effects. Antiorthostatic bedrest, often used to simulate weightlessness, (particularly cardiovascular modifications) also constitutes a situation of social confinement and isolation. During two bedrest experiments (with head-down tilt of -6°) of 28 days each, we intended to assess psychomotor performance of 6 males so as to determine whether: —on the one hand, it could be altered by remaining in decubitus; —on the other, the Lower Body Negative Pressure sessions, designed to prevent orthostatic intolerance back on Earth, could improve the performance. To accomplish this, part of the APTS tests as well as an automated perceptive attention test were performed. No downgrading of psychomotor performance was observed. On the contrary, the tasks were more accurately performed over time. In order to assess the experimental conditions on the acquisition phase, the learning curves were modelled. A beneficial effect of the LBNP sessions on simple tests involving the visual-motor coordination and attention faculties can only be regarded as a mere trend. Methods used in this experiment are also discussed.

  2. RESTING SYMPATHETIC BAROREFLEX SENSITIVITY IN SUBJECTS WITH LOW AND HIGH TOLERANCE TO CENTRAL HYPOVOLEMIA INDUCED BY LOWER BODY NEGATIVE PRESSURE

    Directory of Open Access Journals (Sweden)

    Carmen eHinojosa-Laborde

    2014-06-01

    Full Text Available Central hypovolemia elicited by orthostasis or hemorrhage triggers sympathetically-mediated baroreflex responses to maintain organ perfusion; these reflexes are less sensitive in patients with orthostatic intolerance, and during conditions of severe blood loss, may result in cardiovascular collapse (decompensatory or circulatory shock. The ability to tolerate central hypovolemia is variable and physiological factors contributing to tolerance are emerging. We tested the hypothesis that resting muscle sympathetic nerve activity (MSNA and sympathetic baroreflex sensitivity (BRS are attenuated in male and female subjects who have low tolerance (LT to central hypovolemia induced by lower body negative pressure (LBNP. MSNA and diastolic arterial pressure (DAP were recorded in 47 human subjects who subsequently underwent LBNP to tolerance (onset of presyncopal symptoms. LT subjects experienced presyncopal symptoms prior to completing LBNP of -60 mm Hg, and subjects with high tolerance (HT experienced presyncopal symptoms after completing LBNP after -60 mmHg. Contrary to our hypothesis, resting MSNA burst incidence was not different between LT and HT subjects, and was not related to time to presyncope. BRS was assessed as the slope of the relationship between spontaneous fluctuations in DAP and MSNA during 5 min of supine rest. MSNA burst incidence/DAP correlations were greater than or equal to 0.5 in 37 subjects (LT: n= 9; HT: n=28, and BRS was not different between LT and HT (-1.8 ± 0.3 vs. -2.2 ± 0.2 bursts•(100 beats-1•mmHg-1, p=0.29. We conclude that tolerance to central hypovolemia is not related to either resting MSNA or sympathetic BRS.

  3. Closed incision negative pressure therapy

    DEFF Research Database (Denmark)

    Willy, Christian; Agarwal, Animesh; Andersen, Charles A;

    2016-01-01

    Surgical site occurrences (SSOs) affect up to or over 25% of patients undergoing operative procedures, with the subset of surgical site infections (SSIs) being the most common. Commercially available closed incision negative pressure therapy (ciNPT) may offer surgeons an additional option to manage...... of Controlled Trials using key words 'prevention', 'negative pressure wound therapy (NPWT)', 'active incisional management', 'incisional vacuum therapy', 'incisional NPWT', 'incisional wound VAC', 'closed incisional NPWT', 'wound infection', and 'SSIs' identified peer-reviewed studies published from 2000....... A majority presented data supporting ciNPT use. Numerous publications reported SSI risk factors, with the most common including obesity (body mass index ≥30 kg/m(2) ); diabetes mellitus; tobacco use; or prolonged surgical time. We recommend that the surgeon assess the individual patient's risk factors...

  4. Fluid Redistribution and Heart Rate in Humans During Whole-Body Tilting, G(z) Centrifugation, and Lower Body Negative Pressure

    Science.gov (United States)

    Watenpaugh, D. E.; Breit, G. A.; Ballard, R. E.; Murthy, G.; Hargens, A. R.

    1994-01-01

    Gravity creates blood pressure gradients which redistribute body fluids towards the feet. Positive G(z) centrifugation and lower body negative pressure (LBNP) have been proposed to simulate these and other effects of gravity during long-term existence in microgravity. We hypothesized that the magnitude of upper-to-lower body fluid redistribution would increase according to the following order: short-arm centrifugation (SAC), long-arm centrifugation (LAC), head-up tilt (HUT), and LBNP. To test this hypothesis, we employed strain gauge plethysmography of the neck, thigh and calf during HUT and supine SAC and LAC up to lG(z) at the feet, and during supine LBNP to 100 mm Hg. Supine 100 mm Hg LBNP generates footward force and produces transmural blood pressures in the foot approximately equal to 1 G(z) (90 deg) HUT. Heart rate was measured via cardiotachometry. Control measurements were made while supine. SAC and LAC elicited similar increases in thigh volume at 1 G(z) (2.3 +/- 0.4 and 2.1 +/- 0.1%, respectively; mean +/- se, n greater than or equal to 7). At 100 mm Hg LBNP, thigh volume increased (3.4 +/- 0.3%) significantly more than during l G(z) centrifugation (p less than 0.05). Surprisingly, due to a paradoxical 0.6% reduction of thigh volume between 0.8 and 1.0 G(z) HUT, thigh volume was increased only 0.6 +/- 0.3% at 1 G(z) HUT. The calf demonstrated similar, although less definitive, responses to the various gravitational stimuli. Neck volume tended to decrease less during HUT than during the other stimuli. Heart rate increased similarly during HUT (18 +/- 2 beats/min) and LAC (12 +/- 2 beats/min), and exhibited still greater elevation during LBNP (29 +/- 4 beats/min), yet did not increase during SAC. These results suggest upright posture activates mechanisms that counteract footward fluid redistribution which are not activated during supine applications of simulated gravity. LAC more closely approximated effects of normal gravity (HUT) than LBNP. Therefore

  5. Heart rate variability during simulated hemorrhage with lower body negative pressure in high and low tolerant subjects

    Directory of Open Access Journals (Sweden)

    CarmenHinojosa-Laborde

    2011-11-01

    Full Text Available Heart rate variability (HRV decreases during hemorrhage, and has been proposed as a new vital sign to assess cardiovascular stability in trauma patients. The purpose of this study was to determine if any of the HRV metrics could accurately distinguish between individuals with different tolerance to simulated hemorrhage. Specifically, we hypothesized that 1 HRV would be similar in low tolerant (LT and high tolerant (HT subjects at presyncope when both groups are on the verge of hemodynamic collapse; and 2 HRV could distinguish LT subjects at presyncope from hemodynamically stable HT subjects (i.e., at a submaximal level of hypovolemia. Lower body negative pressure (LBNP was used as a model of hemorrhage in healthy human subjects, eliciting central hypovolemia to the point of presyncopal symptoms (onset of hemodynamic collapse. Subjects were classified as LT if presyncopal symptoms occurred during the -15 to -60 mm Hg levels of LBNP, and HT if symptoms occurred after LBNP of -60 mmHg. A total of 20 HRV metrics were derived from R-R interval measurements at the time of presyncope, and at one level prior to presyncope (submax in LT and HT groups. Only four HRV metrics (Long-range Detrended Fluctuation Analysis, Forbidden Words, Poincaré Plot Descriptor Ratio, and Fractal Dimensions by Curve Length supported both hypotheses. These four HRV metrics were evaluated further for their ability to identify individual LT subjects at presyncope when compared to HT subjects at submax. Variability in individual LT and HT responses was so high that LT responses overlapped with HT responses by 85%-97%. The sensitivity of these HRV metrics to distinguish between individual LT from HT subjects was 6%-33%, and positive predictive values were 40%-73%. These results indicate that while a small number of HRV metrics can accurately distinguish between LT and HT subjects using group mean data, individual HRV values are poor indicators of tolerance to hypovolemia.

  6. Effects of the angiotensin type I receptor antagonist, losartan, on systemic and regional vascular responses to lower body negative pressure in healthy volunteers.

    OpenAIRE

    Duranteau, J; Pussard, E; Berdeaux, A; Giudicelli, J. F.

    1995-01-01

    1. The effects of a single oral dose (50 mg) of the angiotensin II AT1-receptor antagonist, losartan, on the systemic and regional vascular responses to simulated orthostatic stress by the lower body negative pressure (LBNP) technique were investigated in nine healthy volunteers, in a double-blind, placebo-controlled crossover study. 2. Arterial blood pressure remained unchanged throughout the study. Three hours after its administration and before LBNP, losartan selectively increased renal bl...

  7. Spectral components of human cardiovascular responses to step changes in Lower Body Negative Pressure (LBNP) before and after 22 hour of 6 deg head down bed rest

    Science.gov (United States)

    Knapp, C. F.; Evans, J. M.; Grande, K. J.; Murphy, C. D.; Patwardhan, A. R.

    1992-01-01

    Changes in autonomic outflow to peripheral organs during the development of bedrest induced orthostatic intolerance have not been determined. Recent studies have indicated that spectral analysis provides an indirect assessment of these changes. Eight male subjects were studied before and after 22 hours of 6 degree head down bedrest plus Lasix (40 mg. P.P.). Cardiovascular spectra (using an autoregressive technique) were determined for heart rate (HR, ECG), arterial pressure (AP, Finapres), radial artery flow (RF, Hokansen) and respiration rate (RR, BoMed). Spectra were obtained from 2.5 minute segments during control, lower body negative pressure (minus 10, 20, 30, 40, 50 mmHg) and recovery. Bedrest increased HR spectra power in the low frequency (.001 to .041 Hz) range, increased RF power in the low and mid (.04 to .18 Hz) range and increased AP power in the high (.18 to .50 Hz) frequency range. Increasing levels of lower body negative pressure decreased HR power and increased RF power in the high frequency range and decreased AP power in the low frequency range. Since spectral power of HR in the high frequency range has been shown to indicate parasympathetically mediated regulation and power in the low and mid frequency ranges indicates a sympathetic / parasympathetic mixture, then both bedrest and lower body negative pressure appeared to shift sympathetic / parasympathetic balance toward sympathetic regulation of HR. The interpretation of the spectral content of AP and RF with respect to their autonomic origins remains unclear.

  8. Incisional Negative Pressure Wound Therapy

    DEFF Research Database (Denmark)

    Hyldig, Nana

    Women with a pre-gestational body mass index (BMI) above 30 kg/m2 giving birth by caesarean section are at high risk of surgical wound infection compared with women with a BMI below 30 kg/m2. Incisional Negative Pressure Wound Therapy (iNPWT) is one strategy to reduce the rate of surgical wound...... infection. However, the treatment is relatively costly compared to standard postoperative dressings and thus it was important to consider the rationale for using iNPWT before introducing the treatment in a clinical setting. This thesis assesses the current evidence of whether iNPWT reduces post......-surgical wound complications when applied to closed surgical incisions. The meta-analysis showed that iNPWT appears to reduce the risk of post-surgical wound infection and seroma formation in high-risk wounds compared with standard postoperative dressings in selected surgical procedures. The thesis comprises a...

  9. Piezoelectric enhancement under negative pressure.

    Science.gov (United States)

    Kvasov, Alexander; McGilly, Leo J; Wang, Jin; Shi, Zhiyong; Sandu, Cosmin S; Sluka, Tomas; Tagantsev, Alexander K; Setter, Nava

    2016-01-01

    Enhancement of ferroelectric properties, both spontaneous polarization and Curie temperature under negative pressure had been predicted in the past from first principles and recently confirmed experimentally. In contrast, piezoelectric properties are expected to increase by positive pressure, through polarization rotation. Here we investigate the piezoelectric response of the classical PbTiO3, Pb(Zr,Ti)O3 and BaTiO3 perovskite ferroelectrics under negative pressure from first principles and find significant enhancement. Piezoelectric response is then tested experimentally on free-standing PbTiO3 and Pb(Zr,Ti)O3 nanowires under self-sustained negative pressure, confirming the theoretical prediction. Numerical simulations verify that negative pressure in nanowires is the origin of the enhanced electromechanical properties. The results may be useful in the development of highly performing piezoelectrics, including lead-free ones. PMID:27396411

  10. Multi-site and multi-depth near-infrared spectroscopy in a model of simulated (central) hypovolemia: Lower body negative pressure

    OpenAIRE

    Bartels, Sebastiaan; Bezemer, Rick; Wallis de Vries, Floris; Milstein, Dan; Lima, Alexandre; Cherpanath, Thomas; Meiracker, Anton; Bommel, Jasper; Heger, Michal; Karemaker, John; Ince, Can

    2011-01-01

    Purpose To test the hypothesis that the sensitivity of near-infrared spectroscopy (NIRS) in reflecting the degree of (compensated) hypovolemia would be affected by the application site and probing depth. We simultaneously applied multi-site (thenar and forearm) and multi-depth (15–2.5 and 25–2.5 mm probe distance) NIRS in a model of simulated hypovolemia: lower body negative pressure (LBNP). Methods The study group comprised 24 healthy male volunteers who were subjected to an LBNP protocol in...

  11. Cardiovascular responses to lower body negative pressure before and after 4 h of head-down bed rest and seated control in men and women.

    Science.gov (United States)

    Edgell, H; Grinberg, A; Gagné, N; Beavers, K R; Hughson, R L

    2012-11-01

    Cardiovascular deconditioning after a 4-h head-down bed rest (HDBR) might be a consequence of the time of day relative to pre-HDBR testing, or simply 4 h of confinement and inactivity rather than the posture change. Ten men and 11 women were studied during lower body negative pressure (LBNP) before and after 4-h HDBR and 4-h seated posture (SEAT) as a control for time of day and physical inactivity effects to test the hypotheses that cardiovascular deconditioning was a consequence of the HDBR posture, and that women would have a greater deconditioning response. Following HDBR, men and women had lower blood volume, higher heart rate with a greater increase during LBNP, a greater decrease of stroke volume during LBNP, lower central venous pressure, smaller inferior vena cava diameter, higher portal vein resistance index with a greater increase during LBNP, but lower forearm vascular resistance, lower norepinephrine, and lower renin. Women had lower vasopressin and men had higher vasopressin after HDBR, and women had lower pelvic impedance and men higher pelvic impedance. Following SEAT, brachial vascular resistance was reduced, thoracic impedance was elevated, the reduction of central venous pressure during LBNP was changed, women had higher angiotensin II whereas men had lower levels, and pelvic impedance increased in women and decreased in men. Cardiovascular deconditioning was greater after 4-h HDBR than after SEAT. Women and men had similar responses for most cardiovascular variables in the present study that tested the responses to LBNP after short-duration HDBR compared with a control condition. PMID:22984250

  12. Incisional Negative Pressure Wound Therapy

    DEFF Research Database (Denmark)

    Hyldig, Nana; Birke-Sorensen, Hanne; Kruse, Marie;

    incisions to reduce postoperative wound complications, though the evidence base to support this intervention is limited. The aim of this study was to assess if Negative Pressure Wound Therapy (NPWT) reduces postoperative complications when applied on closed surgical incisions. Method: A systematic review...... seroma formation (52%) compared to standard care. The reduction in wound dehiscence was not statistically significant. The numbers needed to treat were 3 (seroma), 17 (dehiscence), and 25 (infection). Methodical heterogeneity across studies led to downgrading quality of evidence to moderate for infection...

  13. Basal electric and magnetic fields of celestial bodies come from positive-negative charge separation caused by gravitation of quasi-Casimir pressure in weak interaction

    Science.gov (United States)

    Chen, Shao-Guang

    According to f =d(mv)/dt=m(dv/dt)+ v(dm/dt), a same gravitational formula had been de-duced from the variance in physical mass of QFT and from the variance in mass of inductive energy-transfer of GR respectively: f QF T = f GR = -G (mM/r2 )((r/r)+(v/c)) when their interaction-constants are all taken the experimental values (H05-0029-08, E15-0039-08). f QF T is the quasi-Casimir pressure. f GR is equivalent to Einstein's equation, then more easy to solve it. The hypothesis of the equivalent principle is not used in f QF T , but required by f GR . The predictions of f QF T and f GR are identical except that f QF T has quantum effects but f GR has not and f GR has Lense-Thirring effect but f QF T has not. The quantum effects of gravitation had been verified by Nesvizhevsky et al with the ultracold neutrons falling in the earth's gravitational field in 2002. Yet Lense-Thirring effect had not been measured by GP-B. It shows that f QF T is essential but f GR is phenomenological. The macro-f QF T is the statistic average pressure collided by net virtual neutrinos ν 0 flux (after self-offset in opposite directions) and in direct proportion to the mass. But micro-f QF T is in direct proportion to the scattering section. The electric mass (in inverse proportion to de Broglie wavelength λ) far less than nucleonic mass and the electric scattering section (in direct proportion to λ2 ) far large than that of nucleon, then the net ν 0 flux pressure exerted to electron far large than that to nucleon and the electric displacement far large than that of nucleon, it causes the gravitational polarization of positive-negative charge center separation. Because the gravity far less than the electromagnetic binding force, in atoms the gravitational polarization only produces a little separation. But the net ν 0 flux can press a part freedom electrons in plasma of ionosphere into the earth's surface, the static electric force of redundant positive ions prevents electrons from further

  14. Evaluation of Treadmill Exercise in a Lower Body Negative Pressure Chamber as a Countermeasure for Weightlessness-Induced Bone Loss: a Bed Rest Study with Identical Twins

    Science.gov (United States)

    Smith, Scott M.; Davis-Street, Janis E.; Fesperman, J. Vernell; Calkins, D. S.; Bawa, Maneesh; Macias, Brandon R.; Meyer, R. Scott; Hargens, Alan R.

    2003-01-01

    Counteracting bone loss is required for future space exploration. We evaluated the ability of treadmill exercise in a LBNP chamber to counteract bone loss in a 30-day bed rest study. Eight pairs of identical twins were randomly assigned to sedentary control or exercise groups. Exercise within LBNP decreased the bone resorption caused by bed rest and may provide a countermeasure for spaceflight. INTRODUCTION: Bone loss is one of the greatest physiological challenges for extended-duration space missions. The ability of exercise to counteract weightlessness-induced bone loss has been studied extensively, but to date, it has proven ineffective. We evaluated the effectiveness of a combination of two countermeasures-treadmill exercise while inside a lower body negative pressure (LBNP) chamber-on bone loss during a 30-day bed rest study. MATERIALS AND METHODS: Eight pairs of identical twins were randomized into sedentary (SED) or exercise/LBNP (EX/LBNP) groups. Blood and urine samples were collected before, several times during, and after the 30-day bed rest period. These samples were analyzed for markers of bone and calcium metabolism. Repeated measures ANOVA was used to determine statistical significance. Because identical twins were used, both time and group were treated as repeated variables. RESULTS: Markers of bone resorption were increased during bed rest in samples from sedentary subjects, including the collagen cross-links and serum and urinary calcium concentrations. For N-telopeptide and deoxypyridinoline, there were significant (p < 0.05) interactions between group (SED versus EX/LBNP) and phase of the study (sample collection point). Pyridinium cross-links were increased above pre-bed rest levels in both groups, but the EX/LBNP group had a smaller increase than the SED group. Markers of bone formation were unchanged by bed rest in both groups. CONCLUSIONS: These data show that this weight-bearing exercise combined with LBNP ameliorates some of the negative

  15. Negative pressure wound therapy: clinical utility

    OpenAIRE

    Sandoz H

    2015-01-01

    Heidi Sandoz Accelerate CIC, Mile End Hospital, London, UK Abstract: Negative pressure wound therapy (NPWT), also known as topical negative pressure therapy, has been increasingly used in health care for the management of a wide variety of wounds over the last 2–3 decades. It is an advanced therapy that can be helpful to accelerate wound healing in both acute and chronic wounds by delivering negative pressure (suction) to the wound bed. More recent advancements in the application of NP...

  16. Negative pressure wound therapy: clinical utility

    OpenAIRE

    Sandoz H

    2015-01-01

    Heidi Sandoz Accelerate CIC, Mile End Hospital, London, UK Abstract: Negative pressure wound therapy (NPWT), also known as topical negative pressure therapy, has been increasingly used in health care for the management of a wide variety of wounds over the last 2–3 decades. It is an advanced therapy that can be helpful to accelerate wound healing in both acute and chronic wounds by delivering negative pressure (suction) to the wound bed. More recent advancements in the application o...

  17. Negative pressure device for intra-abdominal pressure reduction

    Energy Technology Data Exchange (ETDEWEB)

    David, M; Geido, D; Pracca, F; Sanchez, G; Simini, F; Zoppolo, C [Nucleo de Ingenierfa Biomedica, Universidad de la Republica O. del Uruguay, Hospital de ClInicas, Av. Italia S/N, 11600, Montevideo (Uruguay)

    2007-11-15

    A device that generates negative extra-abdominal pressure (ABDOPRE) for treatment of patients with high intra-abdominal pressure was developed. It includes pressure sensors for transducing intra-abdominal pressure through an intra-vesical catheter and negative pressure in the vacuum bell which is placed over the abdomen. By means of a control system, a pattern for reducing IAP is set, according to a clinical protocol. The external negative pressure is generated using a vacuum pump connected to the bell. The system registers the values of interest for the medical history. The system is being tested over ICU patients, registering a satisfactory IAP reduction.

  18. Osmosis at constant volume. Negative pressure

    CERN Document Server

    Zupanovic, Pasko; Brumen, Milan; Fajmut, Ales; Juretic, Davor

    2009-01-01

    A thermodynamic state of solvent and solution separated with an elastic semipermeable membrane, in the box with a fixed volume, is considered. It is shown that the minimum of the free energy is accompanied by the compression of the solution and tension of the solvent caused by the transfer of solvent molecules into compartment with solution. The tensile state of the solvent is described in terms of negative pressure. It is found that the negative pressure as well as compression pressure is of the order of osmotic pressure given by van't Hoff equation. It is proposed that this mechanism could be responsible for the water uptake in tall trees.

  19. Elastic properties of water under negative pressures

    Energy Technology Data Exchange (ETDEWEB)

    Alvarenga, A.D.; Grimsditch, M. (Materials Science Division, Argonne National Laboratory, Argonne, Illinois 60439 (United States)); Bodnar, R.J. (Department of Geological Sciences, Virginia Polytechnic Institute, Blacksburg, Virginia 24061 (United States))

    1993-06-01

    Using Brillouin scattering we have investigated the elastic properties of water under negative pressures. The samples were H[sub 2]O liquid--vapor inclusions in [alpha]-quartz which could be heated to their homogenization temperatures (in the range 120--370 [degree]C); on cooling, negative pressures as high as 1000 bars were reached before a vapor bubble nucleated. The velocity of sound results obtained from our Brillouin experiments indicate that nucleation occurs long before reaching the mechanical instability region where the bulk modulus is zero.

  20. Negative pressure wound therapy: clinical utility

    Directory of Open Access Journals (Sweden)

    Sandoz H

    2015-04-01

    Full Text Available Heidi Sandoz Accelerate CIC, Mile End Hospital, London, UK Abstract: Negative pressure wound therapy (NPWT, also known as topical negative pressure therapy, has been increasingly used in health care for the management of a wide variety of wounds over the last 2–3 decades. It is an advanced therapy that can be helpful to accelerate wound healing in both acute and chronic wounds by delivering negative pressure (suction to the wound bed. More recent advancements in the application of NPWT have provided clinicians with wider choices of utilization. There are now devices available that can deliver irrigation to the wound bed, be used for closed surgical incisions, or are disposable and highly portable. Systematic reviews considering NPWT have been published previously. These usually focus on one wound group or device and fail to offer practical clinical guidance due to the scrutiny offered to the evidence via a systematic review process. Here, an overview of the history of NPWT, the varieties of device available, their wide clinical application, and the evidence to support its use are explored in a pragmatic way. Keywords: negative pressure, wound, incision, healing, pain 

  1. An Extension of Godunov SPH: Application to Negative Pressure Media

    CERN Document Server

    Sugiura, Keisuke

    2015-01-01

    In this paper, the Smoothed Particle Hydrodynamics (SPH) method is extended to the description of a medium with negative pressure. Under certain circumstances, the SPH method shows an unphysical instability that results in particle clustering. This instability is called the tensile instability. The tensile instability occurs in positive pressure regions in a regular fluid if a very large number of neighbor particles are used with certain shapes of kernel functions, and it is significant in negative pressure regions that emerge in stretched elastic bodies. We must suppress the tensile instability in SPH for calculations of elastic bodies. In this study, we explore a new technique to remove the tensile instability by extending the SPH method that utilizes a Riemann solver (Godunov SPH method) and conducting a linear stability analysis of the equation of motion for the extended method. We find that the tensile instability can be suppressed by choosing an appropriate order of interpolation in the equation of moti...

  2. An extension of Godunov SPH: Application to negative pressure media

    Science.gov (United States)

    Sugiura, Keisuke; Inutsuka, Shu-ichiro

    2016-03-01

    The modification of Smoothed Particle Hydrodynamics (SPH) method with Riemann Solver is called Godunov SPH. We further extend the Godunov SPH to the description of a medium with negative pressure. Under certain circumstances, the SPH method shows an unphysical instability that results in particle clustering. This instability is called the tensile instability. The tensile instability occurs in positive pressure regions in a regular fluid if a very large number of neighbor particles are used with certain shapes of kernel functions, and it is significant in negative pressure regions that emerge in stretched elastic bodies. We must suppress the tensile instability in SPH for calculations of elastic bodies. In this study, we develop a new technique to remove the tensile instability by extending the Godunov SPH method and conducting a linear stability analysis of the equation of motion for the extended method. We find that the tensile instability can be suppressed by choosing an appropriate order of interpolation in the equation of motion of the Godunov SPH method. We also derive an analytic solution for a Riemann solver for a simple equation of state of an elastic body, and construct a Godunov SPH method for the equation of state that allows negative pressure.

  3. GATA Negative Pressure Wound Therapy System

    OpenAIRE

    Yıldız, Şenol; Uzun, Günalp; Mutluoglu, Mesut; Memis, Ali

    2014-01-01

    The use of negative pressure wound therapy (NPWT) systems has been shown to promote wound healing. NPWT systems promise a fast and efficient way of preparing wounds for closure by either secondary intention or delayed primary closure, as well as for skin grafting and flap covering. While many of its benefits are established, commercial NPWT systems are not readily available and may be extremely costly for the patient. In the current report, we describe an equivalent alternative of NPWT at a s...

  4. Negative Pressure Pulmonary Edema After Extubation in Appendectomy: Case Report

    Directory of Open Access Journals (Sweden)

    Tarik Purtuloglu

    2016-01-01

    Full Text Available Negative pressure pulmonary edema (NPPE is a rare complication that can occur after acute upper airway obstruction or secondary to relax chronic upper airway obstruction and a life-threatening fatal condition. The first cause in the etiology of NPPE is developed laryngospasm after intubation or extubation, while the other causes are epiglottitis, croup, hiccups, foreign body aspiration, pharyngeal hematoma and oropharyngeal tumors. Supportive therapy is usually the only treatment. The fundamental principle of treatment is early diagnosis and to provide adequate oxygenation. Application of positive airway pressure is often provided with CPAP in most of patients, but sometimes re-intubation and mechanical ventilation may be required.

  5. Negative pressure therapy: theory and practice.

    Science.gov (United States)

    Schintler, M V

    2012-02-01

    Negative pressure (wound) therapy, synonymous with topical negative pressure or vacuum therapy mainly cited as branded VAC® (vacuum-assisted closure) therapy, is a mode of therapy used to encourage wound healing. It is used both as primary treatment of chronic and complex wounds and as an adjunct for temporary closure and wound bed preparation preceding surgical procedures such as skin grafts and flap surgery. The device has come into wide and successful use, although the physiological basis of its effect is not yet fully understood, and with a delay, increasingly evidence-based data become available. A meta-analysis was made of peer-reviewed publications (PubMed-Medline) chosen on the basis of inclusion of the terms randomized clinical trial, vacuum-assisted closure, and topical negative pressure. Scientific data were evaluated from experimental animal studies, randomized clinical trials, observations of clinical applications, and case reports on all known effects of VAC therapy. Systematic analysis of the data shows efficacy concerning induction of wound healing mechanisms, especially in the early stage. Increased perfusion can be considered proven. Data analysis shows positive efficacy for treatment of infection. Although this therapy appears effective and its superiority to conventional techniques has been demonstrated, there are still some critical votes concerning efficacy. Because its mechanisms of action remain unclear, and because there is still some gap between evidence-based data and the excellent clinical results, further prospective, randomized, blinded studies are needed. Even so, we conclude that vacuum therapy, used when indicated and especially by experienced surgeons, is an excellent tool to support wound healing. PMID:22271727

  6. Current concepts in negative pressure wound therapy.

    Science.gov (United States)

    Howe, Lisa M

    2015-05-01

    Negative pressure wound therapy (NPWT) is becoming recognized in veterinary medicine as a viable option for the management of complex wounds. NPWT has many advantages over traditional wound care and results in quicker and improved wound healing in many instances. This article discusses the art and science of NPWT, as well as the many current indications, complications, advantages and disadvantages, and future directions of NPWT in small animal veterinary medicine. This therapy will likely have a growing role in veterinary medical practice for complicated wound management and other usages in coming years. PMID:25744142

  7. Seeing ghosts: Negative body evaluation predicts overestimation of negative social feedback

    NARCIS (Netherlands)

    Alleva, J.M.; Lange, W.G.; Jansen, A.T.M.; Martijn, C.

    2014-01-01

    The current study investigated whether negative body evaluation predicts women's overestimation of negative social feedback related to their own body (i.e., covariation bias). Sixty-five female university students completed a computer task where photos of their own body, of a control woman's body, a

  8. Effects of Negative Body Image on Our Lives

    Institute of Scientific and Technical Information of China (English)

    翟良锴

    2015-01-01

    <正>According to Wikipedia,body image can be defined as"a person’s perception of the aesthetics or sexual attractiveness of his or her own body".Body image can be influenced by many factors such as media,social values,culture,gender.These influences can lead to both positive and negative body images.The positive body image shows people’s satisfaction with their

  9. Evaluation of continuous and intermittent myocardial topical negative pressure

    DEFF Research Database (Denmark)

    Lindstedt, Sandra; Malmsjö, Malin; Gesslein, Bodil;

    2008-01-01

    Topical negative pressure, commonly used in wound therapy, has been shown to increase blood flow and stimulate angiogenesis in subcutaneous tissue and skeletal muscle. In wound therapy, intermittent negative pressure is often preferred to continuous negative pressure as tissue exposed to...... intermittent therapy shows twice as much granulation tissue formation than that exposed to continuous pressure after 2 weeks of therapy. The present study was designed to elucidate the differences in microvascular blood flow in the left anterior descending artery area between continuous and intermittent...... myocardial topical negative pressure of -50 mmHg....

  10. Pressure Model of Soft Body Simulation

    CERN Document Server

    Maciej, M; Maciej, Matyka; Mark, Ollila

    2004-01-01

    Motivated by existing models used for soft body simulation which are rather complex to implement, we present a novel technique which is based on simple laws of physics and gives high quality results in real-time. We base the implementation on simple thermodynamics laws and use the Clausius-Clapeyron state equation for pressure calculation. In addition, this provides us with a pressure force that is accumulated into a force accumulator of a 3D mesh object by using an existing spring-mass engine. Finally after integration of Newtons second law we obtain the behavior of a soft body with fixed or non-fixed air pressure inside of it.

  11. Pressure sensor apparatus for indicating pressure in the body

    International Nuclear Information System (INIS)

    A novel pressure sensor for indicating pressure in the body cavities of humans or animals is described in detail. The pressure sensor apparatus is relatively small and is easily implantable. It consists of a radioactive source (e.g. Pr-145, C-14, Ni-63, Sr-90 and Am-241) and associated radiation shielding and a bellows. The pressure acting upon the sensing tambour causes the bellows to expand and contract. This is turn causes the radiation shielding to move and changes in pressure can then be monitored external to the body using a conventional nuclear detector. The bellows is made of resilient material (e.g. gold plated nickel) and has a wall thickness of approximately 0.0003 inches. The apparatus is essentially insensitive to temperature variations. (U.K.)

  12. Negative Mood Increases Selective Attention to Negatively Valenced Body Parts in Female Adolescents with Anorexia Nervosa

    Science.gov (United States)

    Svaldi, Jennifer; Bender, Caroline; Caffier, Detlef; Ivanova, Viliana; Mies, Nina; Fleischhaker, Christian; Tuschen-Caffier, Brunna

    2016-01-01

    Objective Previous research has yielded evidence of increased attentional processing of negatively valenced body parts in women with anorexia nervosa (AN), especially for those with high depressive symptomatology. The present study extended previous research by implementing an experimental mood manipulation. Method In a within-subjects design, female adolescents with AN (n = 12) and an age matched female control group (CG; n = 12) were given a negative and a positive mood induction at a one-week interval. After each mood induction, participants underwent a 3-min mirror exposure, while their eye movements were recorded. Results After the positive mood induction, both AN and CG participants displayed longer and more frequent gazes towards their self-defined most ugly relative to their self-defined most beautiful body part. However, after the negative mood induction, only females with AN were characterized by increased attention to their most ugly compared to their most beautiful body part, while CG participants’ attention distribution was balanced. Furthermore, in the negative (but not in the positive) mood induction condition gaze frequency and duration towards the most ugly body part was significantly stronger in the AN group relative to the CG. Discussion The results emphasize the role of negative mood in the maintenance of pathological information processing of the self-body. This increased body-related negativity-bias during negative mood may lead to the persistence and aggravation of AN patients’ body image disturbance. PMID:27123587

  13. Negative interstitial pressure in the peritendinous region during exercise

    DEFF Research Database (Denmark)

    Langberg, Henning; Skovgaard, D; Bülow, J;

    1999-01-01

    that a marked negative tissue pressure is generated in the peritendinous space around the Achilles tendon during exercise in humans. Negative tissue pressure could lead to fluid shift and could be involved in the increase in blood flow previously noted in the peritendinous tissue during exercise (H...

  14. Pressure Field Around Underwater Negative Streamers

    Czech Academy of Sciences Publication Activity Database

    Hoffer, Petr; Koláček, Karel; Lukeš, Petr; Stelmashuk, Vitaliy

    2015-01-01

    Roč. 43, č. 5 (2015), s. 1787-1792. ISSN 0093-3813 R&D Projects: GA ČR(CZ) GA15-12987S Grant ostatní: Rada Programu interní podpory projektů mezinárodní spolupráce AV ČR(CZ) M100431203 Institutional support: RVO:61389021 Keywords : Interferometry * plasma generation * pressure measurement * water Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 1.101, year: 2014

  15. Pressure Model of Soft Body Simulation

    OpenAIRE

    Maciej, Matyka; Mark, Ollila

    2004-01-01

    Motivated by existing models used for soft body simulation which are rather complex to implement, we present a novel technique which is based on simple laws of physics and gives high quality results in real-time. We base the implementation on simple thermodynamics laws and use the Clausius-Clapeyron state equation for pressure calculation. In addition, this provides us with a pressure force that is accumulated into a force accumulator of a 3D mesh object by using an existing spring-mass engin...

  16. 下体负压联合体育锻炼对运动耐力及体能的影响%Effect of lower body negative pressure combinding with physical exercise on the exercise tolerance and physical ability

    Institute of Scientific and Technical Information of China (English)

    吴燕红; 孙喜庆; 徐莉; 杨长斌; 周林甫; 张伟; 崔青山; 张帅; 卢东源; 王雷

    2011-01-01

    Objective :To observe the effect of lower body negative pressure (LBNP) combinding with physical exercise on the exercise tolerance and physical ability. Methods: A total of 24 healthy male subjects were randomly divided into physical exercise group, LBNP group and combined group. The first group carried out muscular -based explosive exercise for two consecutive weeks. The second group exercised on a tilt bed -50 mmHg LBNP 10 min every day. The third group combinded with these two exercises. The physical working capacity (PWC) and muscular strength were tested before and after 10- day's training. Results: After 10- day's combinding exercise,the PWC170/kg, VO2max, bench- press, freeweight squat, and sit- up increased significantly, but the 30 m -running and 15 m - leapfrog decreased significantly ( P < 0.05 ); After the physical exercise, the ability of bench -press, freeweight squat, 30 m- running and 15 m- leapfrog increased significantly( P <0.05 ); After LBNP, only the ability of bench - press and 15m - leapfrog increased significantly ( P < 0. 05 ). Conclusion: LBNP combined with physical exercise could effectively increase the exercise capacity and muscular strength.%目的:研究制定适合疗养期间高性能战斗机飞行员进行专项下体负压和体能训练方案.方法:24名健康男性随机分为3组.体育锻炼组连续2周进行力量锻炼;下体负压锻炼组利用倾斜床进行下体负压锻炼.联合锻炼组每天以上述两种不同的锻炼方式进行复合锻炼.锻炼前后进行运动耐力及体能测试.结果:体育锻炼联合下体负压锻炼组锻炼10 d后PWC170/kg、最大耗氧量显著提高,肌肉爆发力及静肌力指标较锻炼前显著提高(P<0.05);单纯体育锻炼组平板卧推、负重蹲起、30 m冲刺跑、15 m蛙跳成绩较锻炼前显著提高(P<0.05),单纯下体负压组仅平板卧推及15 m蛙跳成绩较锻炼前显著提高(P<0.05).结论:体育锻炼联合下体负压锻炼10 d

  17. Simplified Negative Pressure Wound Therapy in Pediatric Hand Wounds

    OpenAIRE

    Kasukurthi, Rahul; Gregory H Borschel

    2009-01-01

    Negative pressure wound therapy (NPWT) is commonly used as a bolster for skin grafts. The technique offers the benefit of negative pressure as well as reduced dressing changes. Skin grafting of the hand provides a unique challenge, and currently, the only commercially available NPWT hand dressings are adult-sized, precluding their use in small children. We present our custom NPWT “mitten” technique for use with skin grafts on the pediatric hand.

  18. Meta-analysis on the effect of negative pressure therapy in body surface wound treatment%创面负压治疗技术对体表创面治疗效果的Meta分析

    Institute of Scientific and Technical Information of China (English)

    白明; 赵茹; 王智; 龙笑; 曾昂; 张海林; 王晓军

    2013-01-01

    BACKGROUND:Negative pressure wound therapy has been widely recognized, the currently published papers are limited in academic value and lack of scientific, objective, qualified index to confirm the therapy effectiveness. OBJECTIVE:To systemical y evaluate the clinical effect of negative pressure wound therapy, provide more evidence for its clinical application, and guide clinical research. METHODS:Fifteen articles were screened out of peer-reviewed publications (Cochran library, Embase, PubMed-Medline and Chinese BioMedical Literature Database). Scientific data were col ected and evaluated by two researchers. The data were statistical y analyzed with RevMan software. RESULTS AND CONCLUSION:Only 15 random-control ed trials were final y preserved, including 10 as B-grade moderate bias risk and focused on the effect of negative pressure wound therapy on chronic wounds, and 5 as C-grade high bias risk and focused on the effect of negative pressure wound therapy on acute wounds. There were significant differences in the main outcome measures between negative pressure wound therapy and conventional wound therapy. As for chronic wound patients, no significant difference was observed in the operation-preparing period, reducing wound area, promoting wound granulation, and amputation rate between two therapies. As for acute wound patients, the differences were significant in the operation-preparing period, promoting wound granulation, wound infection rate, and cost materials between two therapies. However, no difference was significant in the healing of wound and hospitalization time. Our findings indicate that, negative pressure wound therapy is an effective means for both acute and chronic wounds, it can shorten operation-preparing period, promote wound granulation, and reduce amputation rate and infection rate, thus providing evidence for clinical application. The wel-designed study is needed to develop high-quality random control ed trails.%背景:创面负压治疗

  19. Body indices and basic vital signs in Helicobacter pylori positive and negative persons

    International Nuclear Information System (INIS)

    It has been hypothesized that Helicobacter pylori (Hp) infection may contribute to reduced stature, risk of hypertension or obesity. The aim was to evaluate body indices in Hp positive and negative persons. A total of 2436 subjects (4-100 years old) were tested for Hp status by 13C-urea breath test. Data on height and weight were collected for 84%, and blood pressure for 80% of the study subjects. The prevalence of Hp infection was 41.6%. The odds ratio for a 10-year increase in age was 1.21 (95% CI 1.17-1.25, p-value <0.001). Statistically significant negative association of Hp positivity with body height was most pronounced in the younger age groups, while a positive association of Hp positivity with body mass index was only seen in those aged 15+ years. There was a negative effect of Hp positivity on systolic and diastolic blood pressure in subjects below 25 and a relatively strong positive effect on blood pressure in subjects over 65 years. Residual confounding by social characteristics as a possible explanation for the associations of Hp positivity with height and blood pressure cannot be excluded. Unmeasured factors related to social and family environment may cause the apparent association between Hp positivity and children's growth and blood pressure

  20. Influence of Negative-Pressure Wound Therapy on Tissue Oxygenation of the Foot

    OpenAIRE

    Shon, Yoo-Seok; Lee, Ye-Na; Jeong, Seong-Ho; Dhong, Eun-Sang; Han, Seung-Kyu

    2014-01-01

    Background Negative-pressure wound therapy (NPWT) is believed to accelerate wound healing by altering wound microvascular blood flow. Although many studies using laser Doppler have found that NPWT increases perfusion, recent work using other modalities has demonstrated that perfusion is reduced. The purpose of this study was to investigate the influence of NPWT on tissue oxygenation of the foot, which is the most sensitive region of the body to ischemia. Methods Transcutaneous partial pressur...

  1. Negative pressure characteristics of an evaporating meniscus at nanoscale

    Directory of Open Access Journals (Sweden)

    Maroo Shalabh

    2011-01-01

    Full Text Available Abstract This study aims at understanding the characteristics of negative liquid pressures at the nanoscale using molecular dynamics simulation. A nano-meniscus is formed by placing liquid argon on a platinum wall between two nano-channels filled with the same liquid. Evaporation is simulated in the meniscus by increasing the temperature of the platinum wall for two different cases. Non-evaporating films are obtained at the center of the meniscus. The liquid film in the non-evaporating and adjacent regions is found to be under high absolute negative pressures. Cavitation cannot occur in these regions as the capillary height is smaller than the critical cavitation radius. Factors which determine the critical film thickness for rupture are discussed. Thus, high negative liquid pressures can be stable at the nanoscale, and utilized to create passive pumping devices as well as significantly enhance heat transfer rates.

  2. Development of a differential pressure switch for precise operation under negative pressure

    International Nuclear Information System (INIS)

    Negative atmospheric pressure is an isolation technique used in nuclear facilities including vessels and hot-cells to prevent release of radioactive materials. In the related system, differential pressure switches are very important function for process monitoring such as liquid level and negative pressure in a reprocessing process. Although air-tight switches have been using to avoid radioactive contamination, such type of switch have not meet requirements for precise operation under deep negative pressure. Therefore, we have been investigation an improved types of switches to overcome the problem. We have developed a prototype switch and made some vibration and endurance tests. Their results are described in this paper. (author)

  3. Negative body image associated with changes in the visual body appearance increases pain perception.

    Directory of Open Access Journals (Sweden)

    Michihiro Osumi

    Full Text Available Changing the visual body appearance by use of as virtual reality system, funny mirror, or binocular glasses has been reported to be helpful in rehabilitation of pain. However, there are interindividual differences in the analgesic effect of changing the visual body image. We hypothesized that a negative body image associated with changing the visual body appearance causes interindividual differences in the analgesic effect although the relationship between the visual body appearance and analgesic effect has not been clarified. We investigated whether a negative body image associated with changes in the visual body appearance increased pain. Twenty-five healthy individuals participated in this study. To evoke a negative body image, we applied the method of rubber hand illusion. We created an "injured rubber hand" to evoke unpleasantness associated with pain, a "hairy rubber hand" to evoke unpleasantness associated with embarrassment, and a "twisted rubber hand" to evoke unpleasantness associated with deviation from the concept of normality. We also created a "normal rubber hand" as a control. The pain threshold was measured while the participant observed the rubber hand using a device that measured pain caused by thermal stimuli. Body ownership experiences were elicited by observation of the injured rubber hand and hairy rubber hand as well as the normal rubber hand. Participants felt more unpleasantness by observing the injured rubber hand and hairy rubber hand than the normal rubber hand and twisted rubber hand (p<0.001. The pain threshold was lower under the injured rubber hand condition than with the other conditions (p<0.001. We conclude that a negative body appearance associated with pain can increase pain sensitivity.

  4. An Extension of Godunov SPH: Application to Negative Pressure Media

    OpenAIRE

    Sugiura, Keisuke; Inutsuka, Shu-Ichiro

    2015-01-01

    The modification of Smoothed Particle Hydrodynamics (SPH) method with Riemann Solver is called Godunov SPH. We further extend the Godunov SPH to the description of a medium with negative pressure. Under certain circumstances, the SPH method shows an unphysical instability that results in particle clustering. This instability is called the tensile instability. The tensile instability occurs in positive pressure regions in a regular fluid if a very large number of neighbor particles are used wi...

  5. The Pressure Function for Products of Non-negative Matrices

    OpenAIRE

    Feng, De-Jun; Lau, Ka-Sing

    2002-01-01

    Let $(\\Sigma_A, \\sigma)$ be a subshift of finite type and let $M(x)$ be a continuous function on $\\Sigma_A$ taking values in the set of non-negative matrices. We extend the classical scalar pressure function to this new setting and prove the existence of the Gibbs measure and the differentiability of the pressure function. We are especially interested on the case where $M(x)$ takes finite values $M_1, ..., M_m$. The pressure function reduces to $P(q):=\\lim_{n\\to \\infty}\\frac{1}{n} \\log \\sum_{...

  6. Negative Pressure Pulmonary Edema Following use of Laryngeal Mask Airway (LMA

    Directory of Open Access Journals (Sweden)

    Yesim Bayraktar

    2013-06-01

    Full Text Available Negative pressure pulmonary edema (NPPE following upper airway obstruction is a non-cardiogenic pulmonary edema. The first cause in the etiology of NPPE is developed laryngospasm after intubation or extubation, while the other causes are epiglotitis, croup, hiccups, foreign body aspiration, pharyngeal hematoma and oropharyngeal tumors.The Late diagnosis and treatment causes high morbidity and mortality. The protection of the airway and maintainance of arterial oxygenation will be life saving.In this article we aimed to report  a case of negative pressure pulmonary edema, resolved succesfully after treatment, following use of laryngeal mask airway (LMA.

  7. Controlling a negative loaded hydraulic cylinder using pressure feedback

    DEFF Research Database (Denmark)

    Hansen, M.R.; Andersen, T.O.

    2010-01-01

    This paper is concerned with the inherent oscillatory nature of pressure compensated velocity control of a hydraulic cylinder subjected to a negative load and suspended by means of an over-center valve. Initially, a linearized stability analysis of such a hydraulic circuit is carried out clearly...

  8. Negative ion formation in lanthanide atoms: Many-body effects

    CERN Document Server

    Felfli, Z; Sokolovski, D

    2016-01-01

    Investigations of low-energy electron-scattering of the lanthanide atoms Eu, Nd, Tb, Tm demonstrate that electron-correlation effects and core polarization are the dominant fundamental many-body effects responsible for the formation of metastable states of negative ions. Ramsauer Townsend minima, shape resonances and binding energies of the resultant anions are identified and extracted from the elastic total cross sections calculated using the complex angular momentum method. The large discrepancy between the recently measured electron affinity of 0.116 and the previously measured value of 1.053 eV for Eu is resolved. Also, the previously measured electron affinities for Nd, Tb and Tm are reconciled and new values are extracted from the calculated total cross sections. The large electron affinities found here for these atoms, should be useful in negative ion nanocatalysis, including methane conversion to methanol without CO2 emission, with significant environmental impact.. The powerful complex angular moment...

  9. Negative capillary-pressure-induced cavitation probability in nanochannels

    International Nuclear Information System (INIS)

    The capillarity-induced negative pressure of water flow has been investigated in nanochannels of a rectangular cross section by using computational fluid dynamics (CFD) simulation. As a consequent effect of negative pressure, the cavitation probability has been analyzed numerically. The numerical relation between the critical radius of cavitation (Rc) and geometrical characteristics of channels shows that cavitation does not occur in channels of uniform cross section (UCS), since 2Rc is larger than the smallest dimension of the channel. However, it may occur in channels of non-uniform cross section (NUCS), except for planar or high aspect ratio channels. The inequality in height and width is favorable for the absence of cavitation. The findings can also be applied to channels of elliptical or circular cross section. The results show the influence of geometrical characteristics of channels on the cavitation probability, which is important to engineer the channel geometrical structure in order to avoid undesirable filling problem 'cavitation' during the flow process.

  10. Negative-pressure-induced enhancement in a freestanding ferroelectric

    Science.gov (United States)

    Wang, Jin; Wylie-van Eerd, Ben; Sluka, Tomas; Sandu, Cosmin; Cantoni, Marco; Wei, Xian-Kui; Kvasov, Alexander; McGilly, Leo John; Gemeiner, Pascale; Dkhil, Brahim; Tagantsev, Alexander; Trodahl, Joe; Setter, Nava

    2015-10-01

    Ferroelectrics are widespread in technology, being used in electronics and communications, medical diagnostics and industrial automation. However, extension of their operational temperature range and useful properties is desired. Recent developments have exploited ultrathin epitaxial films on lattice-mismatched substrates, imposing tensile or compressive biaxial strain, to enhance ferroelectric properties. Much larger hydrostatic compression can be achieved by diamond anvil cells, but hydrostatic tensile stress is regarded as unachievable. Theory and ab initio treatments predict enhanced properties for perovskite ferroelectrics under hydrostatic tensile stress. Here we report negative-pressure-driven enhancement of the tetragonality, Curie temperature and spontaneous polarization in freestanding PbTiO3 nanowires, driven by stress that develops during transformation of the material from a lower-density crystal structure to the perovskite phase. This study suggests a simple route to obtain negative pressure in other materials, potentially extending their exploitable properties beyond their present levels.

  11. Low Pressure Negative Ion Drift Chamber for Dark Matter Search

    CERN Document Server

    Snowden-Ifft, D P; Burwell, J M

    2000-01-01

    Weakly Interacting Massive Particles (WIMPs) are an attractive candidate for the dark matter thought to make up the bulk of the mass of our universe. We explore here the possibility of using a low pressure negative ion drift chamber to search for WIMPs. The innovation of drifting ions, instead of electrons, allows the design of a detector with exceptional sensitivity to, background rejection from, and signature of WIMPs.

  12. Negative pressure wound therapy: suggested solutions to barriers

    OpenAIRE

    Ousey, Karen; Milne, Jeanette

    2010-01-01

    Effective communication to ensure maintenance of a seamless quality service for patients being transferred to the community from the acute sector with negative pressure wound therapy (NPWT) is essential. This paper reports the findings of a focus group convened to explore the decision making process; controversy or conflict surrounding the decisionmaking process; perceived barriers to seamless discharge and potential benefits of developing a UK standardized NPWT discharge do...

  13. Negative pressure wound therapy limits downgrowth in percutaneous devices

    OpenAIRE

    Mitchell, Saranne J.; Jeyapalina, Sujee; Nichols, Francesca R.; Agarwal, Jayant; Bachus, Kent N.

    2015-01-01

    Maintenance of a soft tissue seal around percutaneous devices is challenged by the downgrowth of periprosthetic tissues—a gateway to potential infection. As negative pressure wound therapy (NPWT) is used clinically to facilitate healing of complex soft tissue pathologies, it was hypothesized that NPWT could limit downgrowth of periprosthetic tissues. To test this hypothesis, 20 hairless guinea pigs were randomly assigned into four groups (n = 5/group). Using a One-Stage (Groups 1 and 3) or a ...

  14. Terapija s kontroliranim negativnim tlakom: Negative wound pressure therapy:

    OpenAIRE

    Ciringer, Miha; Smrke, Dragica; TRILLER, CIRIL

    2011-01-01

    Wound management represents a great burden for the patients' quality of life and also for the healthcare expenditures. The understanding of the complex cellular and molecular mechanisms involved in the healing process enabled the recent development in the field of wound dressing. One of the recent advances in the field is the negative wound pressure therapy. This modern wound dressing consists of a special foam or gauze that fills the entire wound volume and a microprocessor guided pump that ...

  15. Thermal nucleation of cavities in liquid helium at negative pressures

    OpenAIRE

    Guilleumas, Montserrat; Pi Pericay, Martí; Barranco Gómez, Manuel; Navarro Faus, Jesús; Solís, M.A.

    1993-01-01

    We have investigated the nucleation rate at which cavities are formed in 4He and 3He at negative pressures due to thermal fluctuations. To this end, we have used a density functional that reproduces the He liquid-gas interface along the coexistence line. The inclusion of thermal effects in the calculation of the barrier against nucleation results in a sizable decrease of the absolute value of the tensile strength above 1.5 K.

  16. Influence of negative pressurization on airborne microbial and radon levels

    Energy Technology Data Exchange (ETDEWEB)

    Kalliokoski, P.; Korhonen, P.; Kokotti, H.; Pasanen, A.L.; Rautiala, S.; Rantamaeki, J.

    1999-07-01

    The negative pressure inside a building is the main driving force for the entry of both radon and fungal spores. This study was conducted to test the suitability of depressurization to facilitate simultaneously the detection of fungal growth within the lower parts of building envelope and the risk of radon entry. Pressure difference was increased in three steps to 24--28 Pa in two wooden buildings known to suffer from long-term water damages. At the end, pulses of negative pressure were generated. Airborne viable fungal counts, radon and particle counts were followed during the tests together with the ventilation rate and particle count. The absolute concentrations of the impurities studied did not increase significantly or even decreased during the tests due to enhanced ventilation. However, when the increase in the ventilation rate was taken into consideration it was found that the entry rate of all the contaminants increased. The changes were larger in the tighter building where the radon entry rate increased systematically with the pressure difference reaching finally 13.8-fold level compared to the initial value. In the less tight building, the corresponding highest radon entry rate ratio was 9.5. Very large increases, up to 42-fold, were observed in the viable spore count ratio in the tighter building during the tests. In the leaky building, the changes were again considerably smaller; the maximum ratio was 4.2. Increases in particle emissions were smaller than those observed in fungal counts. The pulses were less effective than continuous depressurization. The results show that negative pressurization can be used to increase the release of fungal spores in order to detect hidden fungal growth. This kind of test is especially effective if there are no major leaks in the clean part of the building envelope. The method allows simultaneous rapid checking of need for radon mitigation.

  17. Study on the hydrogen negative ion in low pressure discharges

    International Nuclear Information System (INIS)

    A new use of negative hydrogen ions is the production of intense fast neutral atom beams useful in plasma heating in thermonuclear heating. That is one of the reasons that started this study. The density of negative hydrogen ions in diffusion, and multipole-type low pressure (10-3 - 10-2 Torr) discharges is deduced from the various formation and destruction processes of the species present in these discharges. The H- ions are essentially produced by dissociative attachment to vibrationally excited molecules and destroyed by processes the relative importance of which is discussed as a function of the discharge parameters. The experimental study of the density of the H- ions, measured by photodetachment, as a function of these parameters, coroborates the theoretical model

  18. Kinetic analysis of negative power deposition in low pressure plasmas

    CERN Document Server

    Trieschmann, Jan

    2016-01-01

    The negative power absorption in low pressure plasmas is investigated by means of an analyical model which couples Boltzmann's equation and the quasi-stationary Maxwell's equation. Exploiting standard Hilbert space methods an explicit solution for both, the electric field and the distribution function of the electrons for a bounded discharge configuration subject to an unsymmetrical excitation has been found for the first time. The model is applied to a low pressure inductively coupled plasma discharge. In this context particularly the anomalous skin effect and the effect of phase mixing is discussed. The analytical solution is compared with results from electromagnetic full wave particle in cell simulations. Excellent agreement between the analytical and the numerical results is found.

  19. Long term negative pressure ventilation: Rescue for the failing fontan?

    Institute of Scientific and Technical Information of China (English)

    Shriprasad; R; Deshpande; Kevin; O; Maher

    2014-01-01

    Current treatment strategies for single ventricle patients include non-intervention strategy, surgical palliation or primary transplantation. Surgical palliation includes a staged operative course culminating in the Fontan operation. With progress in surgical techniques, the survival has been improving. However, almost all of these Fontan patients will demonstrate pathophysiologic changes that ultimately constitute "Fontan failure physiology". This article reviews the pathophysiologic changes, current approach to management of these patients and proposes a novel way of reversing some of the pathophysiologic changes by utilization of negative pressure ventilation.

  20. Negative Pressure Wound Therapy With Low Pressure and Gauze Dressings to Treat Diabetic Foot Wounds

    OpenAIRE

    Lavery, Lawrence A.; Murdoch, Douglas P.; Kim, Paul J; Fontaine, Javier La; Thakral, Gaurav; Davis, Kathryn E.

    2014-01-01

    This study was a prospective cohort study to evaluate negative pressure wound therapy (NPWT) with low pressure and a gauze dressing to treat diabetic foot wounds. Thirty patients with diabetic foot wounds were consented to a prospective study to evaluate wound closure and complications to evaluate NPWT with low pressure (80 mmHg) and a gauze dressing interface (EZCare, Smith and Nephew) for up to 5 weeks. NPWT was changed 3 times a week. Study subjects were evaluated once a week for adverse e...

  1. Solvation pressure as real pressure: I. Ethanol and starch under negative pressure

    CERN Document Server

    Uden, N W A V; Faux, D A; Tanczos, A C; Howlin, B; Dunstan, D J

    2003-01-01

    The reality of the solvation pressure generated by the cohesive energy density of liquids is demonstrated by three methods. Firstly, the Raman spectrum of ethanol as a function of cohesive energy density (solvation pressure) in ethanol-water and ethanol-chloroform mixtures is compared with the Raman spectrum of pure ethanol under external hydrostatic pressure and the solvation pressure and hydrostatic pressure are found to be equivalent for some transitions. Secondly, the bond lengths of ethanol are calculated by molecular dynamics modelling for liquid ethanol under pressure and for ethanol vapour. The difference in bond lengths between vapour and liquid are found to be equivalent to the solvation pressure for the C-H sub 3 , C-H sub 2 and O-H bond lengths, with discrepancies for the C-C and C-O bond lengths. Thirdly, the pressure-induced gelation of potato starch is measured in pure water and in mixtures of water and ethanol. The phase transition pressure varies in accordance with the change in solvation pre...

  2. Use of negative pressure wound therapy in burn patients.

    Science.gov (United States)

    Teng, Shou-Cheng

    2016-09-01

    According to previous research, adjunctive negative pressure wound therapy (NPWT) can help manage infected wounds when applied along with appropriate debridement and antibiotic therapy as deemed clinically relevant. NPWT not only removes fluid, and reduces oedema, but also promotes perfusion around the wounds. In addition, NPWT may lead to improved graft fixation when used as a bolster, especially in patients who are less compliant or have poor graft fixation that result from using traditional methods. NPWT is a good choice to bolster skin grafts in young, active and less-compliant patients. We propose an enhanced segmental compartment-covered technique, which uses NPWT adjunctively as first-line wound treatment to help manage postoperative infection. Moreover, NPWT promotes granulation tissue formation to prepare the wound bed for subsequent skin graft and may be used as a bolster over the graft, which helps to attain skin graft viability. PMID:27547959

  3. Tonic activity in inspiratory muscles during continuous negative airway pressure.

    Science.gov (United States)

    Meessen, N E; van der Grinten, C P; Folgering, H T; Luijendijk, S C

    1993-05-01

    We studied tonic inspiratory activity (TIA) induced by continuous negative airway pressure (CNAP) in anaesthetized, spontaneously breathing cats. TIA in the diaphragm and parasternal intercostal muscles (ICM) was quantified in response to tracheal pressure (PTR) = -0.3 to -1.2 kPa. To differentiate between reflexes from rapidly adapting receptors (RARs), slowly adapting receptors (SARs) and C-fiber endings different temperatures of the vagus nerves (TVG) were used between 4 and 37 degrees C. At PTR = -1.2 kPa mean TIA values were 41% and 62% of peak inspiratory EMG activity of control breaths for the diaphragm and ICM, respectively. After vagotomy and for TVG < 6 degrees C CNAP did not induce TIA anymore. Changes in inspiratory and expiratory time during vagal cooling down to 4 degrees C confirmed the selective block of conductance in vagal afferents of the three types of lung receptors. We conclude that CNAP-induced TIA results from stimulation of RARs. Our data strongly indicate that stimulation of SARs suppresses TIA, whereas C-fiber endings are not involved in TIA at all. The results suggest that part of the hyperinflation in bronchial asthma may be caused by TIA in response to mechanical stimulation of RARs. PMID:8327788

  4. Helicobacter pylori-negative Russell body gastritis: Case report

    OpenAIRE

    Gobbo, Alessandro Del; Elli, Luca; Braidotti, Paola; Nuovo, Franca Di; Bosari, Silvano; Romagnoli, Solange

    2011-01-01

    Russell body gastritis is an unusual form of chronic gastritis characterized by the permeation of lamina propria by numerous plasma cells with eosinophilic cytoplasmic inclusions. Very few cases have been reported in the literature; the majority of which have shown Helicobacter Pylori (H. pylori) infection, thus suggesting a correlation between plasma cell presence and antigenic stimulation by H. pylori. We present a case of Russell body gastritis in a 78-year-old woman who was undergoing eso...

  5. [Application of therapy in negative pressure complex wounds in pediatrics].

    Science.gov (United States)

    Fernández Sánchez, Rosario; Muñoz-Miguelsanz, María Ángeles

    2016-01-01

    Negative pressure wound therapy (NPWT) has been widely used in the adult patient, contrary to what happens in children, with just a few long series papers. NPWT avoids long and expensive hospital admissions, reducing the hospital costs; it also decreases the family dynamics and allows for an early return to everyday activities. In this article, we present three clinical cases consisting of a toddler, a child and a teenager with complex wounds treated with NPWT in the pediatric surgery department of the Virgen de las Nieves University Hospital in Granada. The results were excellent, with a good adherence to treatment in all cases, achieving a complete closure in two cases; the third case needed a deferred surgical closure after surgical site preparation, and showed a decrease of the wound size after the NPWT. Moreover, successful pain management was achieved during the wound cleansing, which was done under an ambulatory regime. No general anesthesia was needed. From our experience, we propose the NPWT as an alternative therapy to the classic surgical approach for this type of complex lesions in children, which offers the same advantages and results than in adults. PMID:27297175

  6. Negative pressure wound therapy limits downgrowth in percutaneous devices.

    Science.gov (United States)

    Mitchell, Saranne J; Jeyapalina, Sujee; Nichols, Francesca R; Agarwal, Jayant; Bachus, Kent N

    2016-01-01

    Maintenance of a soft tissue seal around percutaneous devices is challenged by the downgrowth of periprosthetic tissues-a gateway to potential infection. As negative pressure wound therapy (NPWT) is used clinically to facilitate healing of complex soft tissue pathologies, it was hypothesized that NPWT could limit downgrowth of periprosthetic tissues. To test this hypothesis, 20 hairless guinea pigs were randomly assigned into four groups (n = 5/group). Using a One-Stage (Groups 1 and 3) or a Two-Stage (Groups 2 and 4) surgical procedure, each animal was implanted with a titanium-alloy subdermal device porous-coated with commercially pure, medical grade titanium. Each subdermal device had a smooth titanium-alloy percutaneous post. The One-Stage procedure encompassed insertion of a fully assembled device during a single surgery. The Two-Stage procedure involved the implantation of a subdermal device during the first surgery, and then three weeks later, insertion of a percutaneous post. Groups 1 and 2 served as untreated controls and Groups 3 and 4 received NPWT. Four weeks postimplantation of the post, the devices and surrounding tissues were harvested, and histologically evaluated for downgrowth. Within the untreated control groups, the Two-Stage surgical procedure significantly decreased downgrowth (p = 0.027) when compared with the One-Stage procedure. Independent of the surgical procedures performed, NPWT significantly limited downgrowth (p ≤ 0.05) when compared with the untreated controls. PMID:26487170

  7. Desalination in Cross-flow Vacuum Membrane Distillation under the Negative Membrane Pressure Difference

    OpenAIRE

    Chel-Ken Chiam; Azreen Ibrahim; Rosalam Sarbatly

    2014-01-01

    This study demonstrates desalination using cross-flow Vacuum Membrane Distillation (VMD) under negative membrane pressure differences. The membrane pressure difference is defined as the partial pressure difference of water vapour between the upstream membrane surface and the downstream membrane surface. The negative membrane pressure differences are resulted from the low feed temperatures (40-60°C) and the high downstream pressures (14.5-40 kPa). The experi...

  8. The Effect of Body Image Threat on Smoking Motivation Among College Women: Mediation by Negative Affect

    OpenAIRE

    Lopez Khoury, Elena N.; Litvin, Erika B.; Brandon, Thomas H.

    2009-01-01

    Previous descriptive, correlational, and quasi-experimental research has established that weight concerns and negative body image are associated with tobacco smoking, cessation, and relapse among young women. A recent experimental study found that activation of negative body image cognitions produced urges to smoke (Lopez, Drobes, Thompson, & Brandon, 2008). The current study intended to replicate and extend these experimental findings by examining the role of negative affect as a mediator of...

  9. Volume, flow, and timing of each breath during negative airway pressure in humans.

    Science.gov (United States)

    Hirsch, J A; Bishop, B

    1981-03-01

    We have analyzed the effects of 4-6 min of 5, 10 and 15 cmH2O continuous negative airway pressure breathing (NPB) on steady-state end-expiratory lung volume (delta VR) and breathing pattern. Fourteen healthy adults, seated in a full body box, breathed via a mouthpiece on a bag-in-box. Pressure in the body box was elevated to the desired pressure level. Inspiratory (TI) and expiratory (TE) durations, tidal volume (VT), minute ventilation (VI), mean inspiratory flow (VT/TI), and mean expiratory flow (VT/TE) were calculated from pneumotachometer recordings. The effects of NPB are decreases in delta VR, VT, and VT/TI and increases in VT/TE. The responses to NPB are an increase in breathing frequency, due to a shortened TE, and an increase in inspiratory activity. The decrease in delta VR and the increase in VT/TE are limited by an active retardation of expiratory flow. End-tidal CO2 and VI were not altered significantly during NPB, suggesting no alveolar hyperventilation. Thus multiple components of the human response to NPB are not all engaged at the same levels of NPB. The changes in the timing of respiratory events occur at -5 cmH2O, whereas VT compensation is not seen until -15 cmH2O. PMID:6788735

  10. Negative Pressure Wound Therapy. Therapy Settings and Biological Effects in Peripheral Wounds

    OpenAIRE

    Borgquist, Ola

    2013-01-01

    Negative pressure wound therapy (NPWT) promotes wound healing through several mechanisms, e.g., altered periwound blood flow, mechanical deformation of the wound edge tissue, and drainage of excess fluid and debris. The general aim of this thesis was to study the impact of different levels of negative pressure, different wound filling materials (foam or gauze), and different ways of applying the negative pressure (continuously, intermittently or variably) on the biological effects of NPWT in ...

  11. Negative interstitial pressure in the peritendinous region during exercise

    DEFF Research Database (Denmark)

    Langberg, Henning; Skovgaard, D; Bülow, J;

    1999-01-01

    In the present study, tissue pressure in the peritendinous area ventral to the human Achilles tendon was determined. The pressure was measured during rest and intermittent isometric calf muscle exercise at three torques (56, 112, and 168 Nm) 20, 40 and 50 mm proximal to the insertion of the tendon...

  12. Phonon-roton excitations in liquid He4 at negative pressures

    International Nuclear Information System (INIS)

    We present neutron scattering measurements of the phonon-roton excitations of superfluid He4 held at negative pressures from zero to -5 bar. The liquid was stretched to negative pressures by immersing it in the porous medium MCM-41. In the wave vector range 0.35≤Q≤1.55 Angstrom-1 and temperature T=0.4 K investigated, the phonon and maxon energies decrease systematically below bulk values as the negative pressure is increased. The energies are consistent with extrapolation of positive pressure values from which the negative internal pressure can be estimated. The maximum negative pressure realized is consistent with surface tension arguments and the MCM-41 pore diameter of 47 Angstrom

  13. BODY PRESSURE DISTRIBUTION OF AUTOMOBILE DRIVING HUMAN MACHINE CONTACT INTERFACE

    Institute of Scientific and Technical Information of China (English)

    CHEN Juan; HONG Jun; ZHANG E; LIANG Jian; LU Bingheng

    2007-01-01

    Aiming at the fatigue and comfort issues of human-machine contact Interface in automobile driving and based on physiological and anatomical principle, the physiological and biochemical process of muscles and nerves in the formation and development of fatigue is analyzed systematically. The fatigue-causing physiological characteristic Indexes are mapped to biomechanical Indexes like muscle stress-strain, the compression deformation of Wood vessels and nerves etc.from the perspective of formation mechanism. The geometrical model of skeleton and parenchyma is established by applying CT-scanned body data and MRI images. The general rule of comfort body pressure distribution is acquired through the analysis of anatomical structure of buttocks and femoral region. The comprehensive lest platform for sitting comfort of 3D adjustable contact Interface is constructed. The lest of body pressure distribution of human-machine contact interface and its comparison with subjective evaluation indicates that the biomechanical Indexes of automobile driving human-machine contact interface and body pressure distribution rule studied can effectively evaluate the fatigue and comfort issues of human-machine contact interface and provide theoretical basis for the optimal design of human-machine contact interface.

  14. Body mass index relates to blood pressure among adults

    Directory of Open Access Journals (Sweden)

    Suman Dua

    2014-01-01

    Full Text Available Background: The blood pressure and anthropometric measurements are important for evaluating the health of children, adolescents as well as adults. Aim: The aim is to study the blood pressure and body dimensions and to find out the prevalence of overweight/obesity and hypertension among adults. Materials and Methods: A cross-sectional study was conducted of all the people belonging to the Punjabi community, residing in Roshanara area and Jaina building in Delhi, for the past 20 years and aged 18-50 years. The men were engaged in transport business and women were mainly housewives. Results: Mean values of all the measurements, that is, height, weight, upper arm circumference, pulse rate, systolic blood pressure (SBP, and diastolic blood pressure (DBP were higher among males as compared with females, except skinfold thicknesses. Body mass index (BMI and fat percentage was found to be higher among females as compared with males. There was a significant positive correlation between BMI, fat percentage, and blood pressure both SBP as well as DBP. Odds ratio showed that overweight/obese subjects were more likely to have hypertension than those with normal BMI. Conclusion: Prevalence of prehypertension among overweight/obese suggested an early clinical detection of prehypertension and intervention including life style modification, particularly weight management.

  15. Exploring the complexities of body image experiences in middle age and older adult women within an exercise context: The simultaneous existence of negative and positive body images.

    Science.gov (United States)

    Bailey, K Alysse; Cline, Lindsay E; Gammage, Kimberley L

    2016-06-01

    Despite many body changes that accompany the aging process, the extant research is limited on middle age and older adults' body image experiences. The purpose of the present study was to explore how body image is represented for middle age and older adult women. Using thematic analysis, 10 women over the age of 55 were interviewed within an exercise context. The following themes were found: body dissatisfaction, body satisfaction despite ageist stereotypes, neutral body image within cohort, and positive body image characteristics. Negative and positive body images were experienced simultaneously, with neutral experiences expressed as low levels of dissatisfaction. This supports the contention that negative and positive body images exist on separate continuums and neutral body image is likely on the same continuum as negative body image. Programs that foster a social support network to reduce negative body image and improve positive body image in older female populations are needed. PMID:26989980

  16. Flat Plate Boundary Layer Under Negative Pressure Gradient

    Czech Academy of Sciences Publication Activity Database

    Antoš, Pavel; Jonáš, Pavel; Procházka, Pavel P.; Skála, Vladislav

    Pretoria, South Africa: HEFAT, 2015 - (Meyer, J.), s. 251-253 ISBN 978-1-77592-108-0. [International Conference on Heat Transfer, Fluid Mechanics and Thermodynamics : HEFAT 2015 /11./. SKUKUZA (ZA), 20.07.2015-23.07.2015] R&D Projects: GA ČR GAP101/12/1271 Institutional support: RVO:61388998 Keywords : boundary layer in decelerating flow * adverse pressure gradient * hot-wire anemometry Subject RIV: BK - Fluid Dynamics

  17. The face of appearance-related social pressure: gender, age and body mass variations in peer and parental pressure during adolescence

    OpenAIRE

    Helfert, Susanne; Warschburger, Petra

    2013-01-01

    Background Appearance-related social pressure plays an important role in the development of a negative body image and self-esteem as well as severe mental disorders during adolescence (e.g. eating disorders, depression). Identifying who is particularly affected by social pressure can improve targeted prevention and intervention, but findings have either been lacking or controversial. Thus the aim of this study is to provide a detailed picture of gender, weight, and age-related variations in t...

  18. The interplay of personality and negative comments about appearance in predicting body image.

    Science.gov (United States)

    Kvalem, Ingela Lundin; von Soest, Tilmann; Roald, Helge E; Skolleborg, Knut Chr

    2006-09-01

    This study investigates how personality traits in combination with frequency of and emotional reaction to negative comments about appearance while growing up are related to appearance evaluation and orientation among adult women. Nine hundred and seven participants from a representative sample of Norwegian women aged 22-55, answered questions measuring body image, personality (Big Five), and history of experiencing negative comments about appearance. Results indicated that only emotional reaction to negative comments about appearance significantly predicted both appearance evaluation and orientation, while frequency of negative comments did not. Being extrovert predicted more positive appearance evaluation and being more appearance oriented than being introvert. Scoring high on neuroticism was related to negative appearance evaluation and high appearance orientation. The findings demonstrate the importance of differentiating between the frequency and the emotional impact of teasing as well as including personality traits when studying body image. PMID:18089229

  19. Negative pressure monitoring and maintenance management of the ventilation system in the Tokai reprocessing plant

    International Nuclear Information System (INIS)

    Radioactive materials in nuclear plants are confined in the facility at a negative pressure less than atmospheric pressure, which is maintained by the ventilation system. Therefore, it is important for nuclear safety to keep the negative pressure and to monitor the condition of the ventilation system. Also, immediate maintenance is essential when the ventilation system fails. In the Tokai Reprocessing Plant, monitoring the negative pressure in the facilities and the condition of the ventilation system is performed using the centralize monitoring system. In addition, maintenance management has been performed by analyzing the failure data, which is accumulated in the past equipment maintenance, and by applying condition-based maintenance methods. As a result of such activities, the rate of failure in the ventilation system has been reduced. This paper describes the monitoring method for negative pressure and the maintenance management being conducted in the Tokai Reprocessing Plant. (author)

  20. Effectiveness of group body psychotherapy for negative symptoms of schizophrenia: multicentre randomised controlled trial†

    Science.gov (United States)

    Priebe, S.; Savill, M.; Wykes, T.; Bentall, R. P.; Reininghaus, U.; Lauber, C.; Bremner, S.; Eldridge, S.; Röhricht, F.

    2016-01-01

    Background Negative symptoms of schizophrenia have a severe impact on functional outcomes and treatment options are limited. Arts therapies are currently recommended but more evidence is required. Aims To assess body psychotherapy as a treatment for negative symptoms compared with an active control (trial registration: ISRCTN84216587). Method Schizophrenia out-patients were randomised into a 20-session body psychotherapy or Pilates group. The primary outcome was negative symptoms at end of treatment. Secondary outcomes included psychopathology, functional, social and treatment satisfaction outcomes at treatment end and 6-months later. Results In total, 275 participants were randomised. The adjusted difference in negative symptoms was 0.03 (95% CI −1.11 to 1.17), indicating no benefit from body psychotherapy. Small improvements in expressive deficits and movement disorder symptoms were detected in favour of body psychotherapy. No other outcomes were significantly different. Conclusions Body psychotherapy does not have a clinically relevant beneficial effect in the treatment of patients with negative symptoms of schizophrenia. PMID:27151073

  1. Body mass index and blood pressure measurement during pregnancy.

    LENUS (Irish Health Repository)

    Hogan, Jennifer L

    2012-02-01

    OBJECTIVE: The accurate measurement of blood pressure requires the use of a large cuff in subjects with a high mid-arm circumference (MAC). This prospective study examined the need for a large cuff during pregnancy and its correlation with maternal obesity. METHODS: Maternal body mass index (BMI), fat mass, and MAC were measured. RESULTS: Of 179 women studied, 15.6% were obese. With a BMI of level 1 obesity, 44% needed a large cuff and with a BMI of level 2 obesity 100% needed a large cuff. CONCLUSION: All women booking for antenatal care should have their MAC measured to avoid the overdiagnosis of pregnancy hypertension.

  2. Instagram Unfiltered: Exploring Associations of Body Image Satisfaction, Instagram #Selfie Posting, and Negative Romantic Relationship Outcomes.

    Science.gov (United States)

    Ridgway, Jessica L; Clayton, Russell B

    2016-01-01

    The purpose of this study was to examine the predictors and consequences associated with Instagram selfie posting. Thus, this study explored whether body image satisfaction predicts Instagram selfie posting and whether Instagram selfie posting is then associated with Instagram-related conflict and negative romantic relationship outcomes. A total of 420 Instagram users aged 18 to 62 years (M = 29.3, SD = 8.12) completed an online survey questionnaire. Analysis of a serial multiple mediator model using bootstrapping methods indicated that body image satisfaction was sequentially associated with increased Instagram selfie posting and Instagram-related conflict, which related to increased negative romantic relationship outcomes. These findings suggest that when Instagram users promote their body image satisfaction in the form of Instagram selfie posts, risk of Instagram-related conflict and negative romantic relationship outcomes might ensue. Findings from the current study provide a baseline understanding to potential and timely trends regarding Instagram selfie posting. PMID:26779659

  3. A Wireless Electroceutical Dressing Lowers Cost of Negative Pressure Wound Therapy

    OpenAIRE

    Ghatak, Piya Das; Schlanger, Richard; Ganesh, Kasturi; Lambert, Lynn; Gordillo, Gayle M.; Martinsek, Patsy; Roy, Sashwati

    2015-01-01

    Objective: To test whether the use of a wireless electroceutical dressing (WED) (Procellera®) in conjunction with a 5-day negative pressure wound therapy (NPWT) may reduce the number of dressing changes required per week with this therapy.

  4. Multivariate Modeling of Body Mass Index, Pulse Pressure, Systolic and Diastolic Blood Pressure in Chinese Twins

    DEFF Research Database (Denmark)

    Wu, Yili; Zhang, Dongfeng; Pang, Zengchang;

    2015-01-01

    Systolic and diastolic blood pressure, pulse pressure (PP), and body mass index (BMI) are heritable traits in human metabolic health but their common genetic and environmental backgrounds are not well investigated. The aim of this article was to explore the phenotypic and genetic associations among...... PP, systolic blood pressure (SBP), diastolic blood pressure (DBP), and BMI. The studied sample contained 615 twin pairs (17-84 years) collected in the Qingdao municipality. Univariate and multivariate structural equation models were fitted for assessing the genetic and environmental contributions...... multivariate model estimated (1) high genetic correlations for DBP with SBP (0.87), PP with SBP (0.75); (2) low-moderate genetic correlations between PP and DBP (0.32), each BP component and BMI (0.24-0.37); (3) moderate unique environmental correlation for PP with SBP (0.68) and SBP with DBP (0.63); (4) there...

  5. Applications of a versatile technique for trace analysis: atmospheric pressure negative chemical ionization.

    OpenAIRE

    Thomson, B A; Davidson, W R; Lovett, A M

    1980-01-01

    The ability to use ambient air as a carrier and reagent gas in an atmospheric pressure chemical ionization source allows instantaneous air analysis to be combined with hypersensitivity toward a wide variety of compounds. The TAGA (Trace Atmospheric Gas Analyser) is an instrument which is designed to use both positive and negative atmospheric pressure chemical ionization (APCI) for trace gas analysis; this paper describes several applications of negative APCI which demonstrates that the techni...

  6. Mechanically Powered Negative Pressure Wound Therapy as a Bolster for Skin Grafting

    OpenAIRE

    Adam L. Isaac, DPM; Jessica Rose, DO; David G. Armstrong, DPM, MD, PhD

    2014-01-01

    Summary: The use of negative pressure wound therapy (NPWT) as a bolster for split-thickness skin grafts has been well documented in the literature. It facilitates the removal of transudate, which can result in the formation of seroma, and mitigates shear stress, which can detach the graft from the underlying wound bed. Its widespread use may be limited by factors such as increased cost and length of hospitalization. Recently, mechanically powered devices (Smart Negative Pressure; Spiracur, In...

  7. Treatment of necrotizing fasciitis using negative pressure wound therapy in a puppy

    OpenAIRE

    Abma, Eline; Kitshoff, Adriaan; Vandenabeele, Sophie; Bosmans, Tim; Stock, Emmelie; de Rooster, Hilde

    2015-01-01

    A two-month-old German shepherd dog was presented with anorexia, lethargy and left hind limb lameness associated with swelling of the thigh. Clinical findings combined with cytology led to the presumptive diagnosis of necrotizing fasciitis (NF). Extensive debridement was performed and silver-foam-based negative pressure wound therapy (NPWT) was applied. During the first 48 hours, a negative pressure of -75 mmHg was used. Evaluation of the wound demonstrated no progression of necrosis and a mo...

  8. Negative Pressure Wound Therapy – A Review of its Uses in Orthopaedic Trauma

    OpenAIRE

    Putnis, Sven; Khan, Wasim S; Wong, James M.-L

    2014-01-01

    The use of Negative Pressure Wound Therapy (NPWT) for complex and large wounds has increased in popularity over the past decade. Modern NPWT systems consisting of an open pore foam sponge, adhesive dressing and a vacuum pump producing negative pressure have been used as an adjunct to surgical debridement to treat tissue defects around open fractures and chronic, contaminated wounds. Other uses include supporting skin grafts and protecting wounds at risk of breaking down. This review outlines ...

  9. Analysis of Effective Interconnectivity of DegraPol-foams Designed for Negative Pressure Wound Therapy

    OpenAIRE

    Heike Hall; Vincent Milleret; Anne Greet Bittermann; Dieter Mayer

    2009-01-01

    Many wounds heal slowly and are difficult to manage. Therefore Negative Pressure Wound Therapy (NPWT) was developed where polymer foams are applied and a defined negative pressure removes wound fluid, reduces bacterial burden and increases the formation of granulation tissue. Although NPWT is used successfully, its mechanisms are not well understood. In particular, different NPWT dressings were never compared. Here a poly-ester urethane Degrapol® (DP)-foam was produced and compared with comme...

  10. Conversion table for running on lower body positive pressure treadmills.

    Science.gov (United States)

    Kline, John R; Raab, Scot; Coast, J Richard; Bounds, Roger G; McNeill, David K P; de Heer, Hendrik D

    2015-03-01

    Lower body positive pressure (LBPP) or antigravity treadmills are becoming increasingly popular in sports and rehabilitation settings. Running at a decreased body weight (BW) reduces metabolic cost, which can be offset by running at faster speeds. To date, however, little is known about how much faster someone must run to offset the reduced metabolic cost. This study aimed to develop a user-friendly conversion table showing the speeds required on an LBPP treadmill to match the equivalent metabolic output on a regular, non-LBPP, treadmill across a range of body weight supports. A total of 20 recreational runners (11 males, 9 females) ran multiple 3-minute intervals on a regular treadmill and then on an LBPP treadmill at 6 different BWs (50-100%, 10% increments). Metabolic outputs were recorded and matched between the regular and LBPP treadmill sessions. Using regression analyses, a conversion table was successfully created for the speeds from 6.4 to 16.1 km·h (4 to 10 mph) in 0.8 km·h (0.5 mph) increments on the regular treadmill and BW proportions of 50, 60, 70, 80, 90, and 100% on an LBPP treadmill. The table showed that a greater increase in speed on the LBPP treadmill was needed with more support (p < 0.001) but that the proportion increase was smaller at higher speeds (p < 0.001). This research has implications for coaches or practitioners using or prescribing training on an LBPP treadmill. PMID:25162650

  11. Atrial distension, arterial pulsation, and vasopressin release during negative pressure breathing in humans

    DEFF Research Database (Denmark)

    Pump, B; Damgaard, M; Gabrielsen, A;

    2001-01-01

    During an antiorthostatic posture change, left atrial (LA) diameter and arterial pulse pressure (PP) increase, and plasma arginine vasopressin (AVP) is suppressed. By comparing the effects of a 15-min posture change from seated to supine with those of 15-min seated negative pressure breathing in...

  12. A pilot randomised controlled trial of negative pressure wound therapy to treat grade III/IV pressure ulcers [ISRCTN69032034

    OpenAIRE

    Ashby Rebecca L; Dumville Jo C; Soares Marta O; McGinnis Elizabeth; Stubbs Nikki; Torgerson David J; Cullum Nicky

    2012-01-01

    Abstract Background Negative pressure wound therapy (NPWT) is widely promoted as a treatment for full thickness wounds; however, there is a lack of high-quality research evidence regarding its clinical and cost effectiveness. A trial of NPWT for the treatment of grade III/IV pressure ulcers would be worthwhile but premature without assessing whether such a trial is feasible. The aim of this pilot randomised controlled trial was to assess the feasibility of conducting a future full trial of NP...

  13. Impact of Metacognitive Acceptance on Body Dissatisfaction and Negative Affect: Engagement and Efficacy

    Science.gov (United States)

    Atkinson, Melissa J.; Wade, Tracey D.

    2012-01-01

    Objective: To investigate engagement in metacognitive acceptance and subsequent efficacy with respect to decreasing 2 risk factors for disordered eating, body dissatisfaction (BD), and negative affect (NA). Method: In a pilot experiment, 20 female undergraduates (M[subscript age] = 24.35, SD = 9.79) underwent a BD induction procedure, received…

  14. Negative Pressure Wound Therapy (NPWT) to Treat Complex Defect of the Leg after Electrical Burn.

    Science.gov (United States)

    Tevanov, Iulia; Enescu, Dan M; Bălănescu, Radu; Sterian, G; Ulici, Alexandru

    2016-01-01

    Negative pressure wound therapy is a non-invasive treatment that uses under atmospheric pressure to increase blood supply to the wound, stimulating the formation of granulation tissue, angiogenesis, proliferation of fibroblasts and endothelial cells. Negative pressure therapy has also the ability to decrease the bacterial load, reduce swelling and decrease exudate while maintaining a moist environment that facilitates healing. Our patient, a 17 year old male, suffered major third and fourth-degree high voltage electrical burns on 60% of the body surface, in November 2011. After the excision of the necrotic tissue (muscles and tendons), the lower extremity of the right leg- the tibial bone, the fibula, external and internal malleoli became exposed circularly. The soft-tissue defect was partially covered by using an internal twin muscle flap and free split skin. Then, a cross leg flap technique has been used, partially covering the defect with a contralateral thigh flap. Surface swab cultures were positive for Pseudomonas aeruginosa. In October 2013 the patient was transferred to our department. The clinical examination of the right leg showed that the tibial bone had been exposed on an area of 15/3 cm in the lower half. The peroneal malleolus had also been exposed. The resection of the devitalized, exposed tibia and the avivement of the wound edges were performed. Then the NPWT was started and performed by intermittent suction. Local cleansing, soft-tissue avivement and dressing changes were performed twice a week for 6 weeks. After six weeks of NPWT and eleven dressing changes under general anaesthesia, the wounds were ready for skin grafting. Granulation tissue was formed, covering the entire surface of both the tibia bone and the peroneal malleolus. Both receptor beds were covered with free skin graft harvested from the ipsilateral thigh. The mechanical suture of the skin grafts was performed and the grafts were covered with damp dressing. By using the NPWT it

  15. Effect of negative pressure on growth, secretion and biofilm formation of Staphylococcus aureus.

    Science.gov (United States)

    Li, Tongtong; Wang, Guoqi; Yin, Peng; Li, Zhirui; Zhang, Licheng; Liu, Jianheng; Li, Ming; Zhang, Lihai; Han, Li; Tang, Peifu

    2015-10-01

    Negative pressure wound therapy (NPWT) has gained popularity in the management of contaminated wounds as an effective physical therapy, although its influence on the bacteria in the wounds remains unclear. In this study, we attempted to explore the effect of negative pressure conditions on Staphylococcus aureus, the most frequently isolated pathogen during wound infection. S. aureus was cultured in Luria-Bertani medium at subatmospheric pressure of -125 mmHg for 24 h, with the bacteria grown at ambient pressure as the control. The application of negative pressure was found to slow down the growth rate and inhibit biofilm development of S. aureus, which was confirmed by static biofilm assays. Furthermore, decreases in the total amount of virulence factors and biofilm components were observed, including α-hemolysin, extracellular adherence protein, polysaccharide intercellular adhesin and extracellular DNA. With quantitative RT-PCR analysis, we also revealed a significant inhibition in the transcription of virulence and regulatory genes related to wound infections and bacterial biofilms. Together, these findings indicated that negative pressure could inhibit the growth, virulence and biofilm formation of S. aureus. A topical subatmospheric pressure condition, such as NPWT, may be a potential antivirulence and antibiofilm strategy in the field of wound care. PMID:26272011

  16. Macroscopic changes during negative pressure wound therapy of the open abdomen using conventional negative pressure wound therapy and NPWT with a protective disc over the intestines

    OpenAIRE

    Hlebowicz Joanna; Hansson Johan; Malmsjö Malin; Lindstedt Sandra; Ingemansson Richard

    2011-01-01

    Abstract Background Higher closure rates of the open abdomen have been reported with negative pressure wound therapy (NPWT) than with other wound management techniques. However, the method has occasionally been associated with increased development of fistulae. We have previously shown that NPWT induces ischemia in the underlying small intestines close to the vacuum source, and that a protective disc placed between the intestines and the vacuum source prevents the induction of ischemia. In th...

  17. Primate body temperature and sleep responses to lower body positive pressure

    Science.gov (United States)

    Edgar, D. M.; Fuller, C. A.

    1984-01-01

    Cephalic fluid shifts, induced by lower body positive pressure (LBPP) are known to influence various physiological systems (i.e., cardiovascular and renal). In earlier experiments, an apparent change in the arousal state of primates in such LBPP conditions was observed. This study was designed to examine the effects of LBPP on arousal state and body temperature level which is normally correlated with sleep. Chair-restrained male squirrel monkeys were exposed to 40 mmHg LBPP for 90-100 minutes between the daytime hours of 13:00-15:00. Each monkey was placed in a specially modified restraint chair to which they were highly trained. Deep body temperature (DBT) was collected from 10 animals. Sleep parameters were obtained from six animals chronically implanted for sleep recording. A video camera was used to observe each animal's apparent state of arousal. LBPP resulted in an approximate 0.9 C decrease in DBT. During video observation, some animals appeared drowsy during LBPP; however, sleep recording revealed no significant changes in the state of arousal. Thus, LBPP is capable of inducing a mild hyperthermia. Further, the mechanisms underlying the observed lowering of body temperature appear to be independent of arousal state.

  18. Body conscious? Interoceptive awareness, measured by heartbeat perception, is negatively correlated with self-objectification.

    Directory of Open Access Journals (Sweden)

    Vivien Ainley

    Full Text Available BACKGROUND: 'Self-objectification' is the tendency to experience one's body principally as an object, to be evaluated for its appearance rather than for its effectiveness. Within objectification theory, it has been proposed that self-objectification accounts for the poorer interoceptive awareness observed in women, as measured by heartbeat perception. Our study is, we believe, the first specifically to test this relationship. METHODOLOGY/PRINCIPAL FINDINGS: Using a well-validated and reliable heartbeat perception task, we measured interoceptive awareness in women and compared this with their scores on the Self-Objectification Questionnaire, the Self-Consciousness Scale and the Body Consciousness Questionnaire. Interoceptive awareness was negatively correlated with self-objectification. Interoceptive awareness, public body consciousness and private body consciousness together explained 31% of the variance in self-objectification. However, private body consciousness was not significantly correlated with interoceptive awareness, which may explain the many nonsignificant results in self-objectification studies that have used private body consciousness as a measure of body awareness. CONCLUSIONS/SIGNIFICANCE: We propose interoceptive awareness, assessed by heartbeat perception, as a measure of body awareness in self-objectification studies. Our findings have implications for those clinical conditions, in women, which are characterised by self-objectification and low interoceptive awareness, such as eating disorders.

  19. Desalination in Cross-flow Vacuum Membrane Distillation under the Negative Membrane Pressure Difference

    Directory of Open Access Journals (Sweden)

    Chel-Ken Chiam

    2014-01-01

    Full Text Available This study demonstrates desalination using cross-flow Vacuum Membrane Distillation (VMD under negative membrane pressure differences. The membrane pressure difference is defined as the partial pressure difference of water vapour between the upstream membrane surface and the downstream membrane surface. The negative membrane pressure differences are resulted from the low feed temperatures (40-60°C and the high downstream pressures (14.5-40 kPa. The experimental results showed that positive fluxes (2-3.6 kg m-2 h take place although the system is operated under the negative membrane pressure differences. The humidity on upstream side higher than the humidity on downstream side allows the water vapour transfers from the feed to the permeate sides. Relatively high feed temperatures and relatively low downstream pressures resulted in high enthalpy differences and hence high fluxes. The hydrostatic pressure on the feed circulation loop contributed a minor effect on the total flux when membrane pore wetting takes place. The rejection of salt under these conditions was at least 96%.

  20. Negative pressure difference evaluation of Lungmen ABWR containment by using GOTHIC

    International Nuclear Information System (INIS)

    Highlights: • The Wetwell-to-Drywell Vacuum Breakers (WDVBs) can mitigate the negative pressure difference. • The performance of the WDVBs of the Lungmen ABWR containment is analyzed. • There is sufficient margin unless only one of eight WDVBs is operable. • The WDVBs shall be closed to avoid containment pressurization during accident. • The current requirement of the Lungmen plant ensures the containment safety. - Abstract: Negative pressure difference of the pressure suppression containments means that the wetwell pressure is greater than the drywell pressure and is an undesired effect to the containment safety. The Wetwell-to-Drywell Vacuum Breakers (WDVBs) are check valves used to mitigate this adverse effect. The Lungmen Nuclear Power Plant in Taiwan is a twin-unit Advanced Boiling Water Reactor (ABWR) plant. There are totally 8 WDVBs in the ABWR containment. In this study, a GOTHIC model is developed to evaluate the negative pressure difference of the Lungmen plant. Sensitivity study on the operable WDVB number is also performed. The results show that there is sufficient margin against the negative pressure difference for the ABWR containment. The design value will not be exceeded unless only one WDVB is operable. Furthermore, the effect of the WDVB leakage on the drywell pressure is evaluated by performing the short-term containment analyses. The peak drywell pressure will be greater than the design value with leakage area greater than 50% of one WDVB area. Based on the results of this study, the current requirement that all WDVBs shall be closed and operable during normal operation ensures the Lungmen containment safety

  1. A pressure-amplifying framework material with negative gas adsorption transitions.

    Science.gov (United States)

    Krause, Simon; Bon, Volodymyr; Senkovska, Irena; Stoeck, Ulrich; Wallacher, Dirk; Többens, Daniel M; Zander, Stefan; Pillai, Renjith S; Maurin, Guillaume; Coudert, François-Xavier; Kaskel, Stefan

    2016-04-21

    Adsorption-based phenomena are important in gas separations, such as the treatment of greenhouse-gas and toxic-gas pollutants, and in water-adsorption-based heat pumps for solar cooling systems. The ability to tune the pore size, shape and functionality of crystalline porous coordination polymers--or metal-organic frameworks (MOFs)--has made them attractive materials for such adsorption-based applications. The flexibility and guest-molecule-dependent response of MOFs give rise to unexpected and often desirable adsorption phenomena. Common to all isothermal gas adsorption phenomena, however, is increased gas uptake with increased pressure. Here we report adsorption transitions in the isotherms of a MOF (DUT-49) that exhibits a negative gas adsorption; that is, spontaneous desorption of gas (methane and n-butane) occurs during pressure increase in a defined temperature and pressure range. A combination of in situ powder X-ray diffraction, gas adsorption experiments and simulations shows that this adsorption behaviour is controlled by a sudden hysteretic structural deformation and pore contraction of the MOF, which releases guest molecules. These findings may enable technologies using frameworks capable of negative gas adsorption for pressure amplification in micro- and macroscopic system engineering. Negative gas adsorption extends the series of counterintuitive phenomena such as negative thermal expansion and negative refractive indices and may be interpreted as an adsorptive analogue of force-amplifying negative compressibility transitions proposed for metamaterials. PMID:27049950

  2. A pressure-amplifying framework material with negative gas adsorption transitions

    Science.gov (United States)

    Krause, Simon; Bon, Volodymyr; Senkovska, Irena; Stoeck, Ulrich; Wallacher, Dirk; Többens, Daniel M.; Zander, Stefan; Pillai, Renjith S.; Maurin, Guillaume; Coudert, François-Xavier; Kaskel, Stefan

    2016-04-01

    Adsorption-based phenomena are important in gas separations, such as the treatment of greenhouse-gas and toxic-gas pollutants, and in water-adsorption-based heat pumps for solar cooling systems. The ability to tune the pore size, shape and functionality of crystalline porous coordination polymers—or metal–organic frameworks (MOFs)—has made them attractive materials for such adsorption-based applications. The flexibility and guest-molecule-dependent response of MOFs give rise to unexpected and often desirable adsorption phenomena. Common to all isothermal gas adsorption phenomena, however, is increased gas uptake with increased pressure. Here we report adsorption transitions in the isotherms of a MOF (DUT-49) that exhibits a negative gas adsorption; that is, spontaneous desorption of gas (methane and n-butane) occurs during pressure increase in a defined temperature and pressure range. A combination of in situ powder X-ray diffraction, gas adsorption experiments and simulations shows that this adsorption behaviour is controlled by a sudden hysteretic structural deformation and pore contraction of the MOF, which releases guest molecules. These findings may enable technologies using frameworks capable of negative gas adsorption for pressure amplification in micro- and macroscopic system engineering. Negative gas adsorption extends the series of counterintuitive phenomena such as negative thermal expansion and negative refractive indices and may be interpreted as an adsorptive analogue of force-amplifying negative compressibility transitions proposed for metamaterials.

  3. Hydrogen negative-ion surface production on diamond materials in low-pressure H2 plasmas

    Science.gov (United States)

    Cartry, Gilles; Achkasov, Kostiantyn; Pardanaud, Cédric; Layet, Jean-Marc; Simonin, Alain; Gicquel, Alix; PIIM Collaboration; IRFM Collaboration; LSPM Collaboration

    2014-10-01

    Negative-ion sources producing H-current density of ~200 A/m2 are required for the heating of the fusion plasma of the international project ITER. The only up-to-date solution to reach such a high H-negative-ion current is the use of cesium (Cs). Deposition of Cs on the negative-ion source walls lowers the material work function and allows for high electron-capture efficiency by incident particles and thus, high negative ion yields. However, severe drawbacks to the use of Cs have been identified and its elimination from the fusion negative-ion sources would be highly valuable. Volume production is not efficient enough at low-pressure to reach the high current required. Therefore, we are working on alternative solutions to produce high yield of H-negative-ions on surfaces in Cs-free H2 plasmas. In this communication, we will detail the methodology employed to study negative-ion surface production. In particular we will describe how the negative-ions are extracted from the plasma, and how we can obtain information on surface production mechanisms from the measurement of the H-energy distribution functions. We will present some results obtained on diamond surfaces and show that diamond is a promising candidate as a negative-ion enhancer material in low-pressure H2 plasmas. EFDA, FR-FCM, ANR, PACA are acknowledged for their support.

  4. Microarray-based gene expression profiles in rabbit retina due to negative pressure suction.

    Science.gov (United States)

    Zhao, H X; Niu, C M; Guan, W Y

    2012-01-01

    We investigated a possible molecular pathogenesis involving retinal ganglion cell apoptosis following transient high intraocular pressure. Changes in the gene expression profiles of the retina were detected via gene chip methodology. Twelve New Zealand white rabbits were randomly assigned to control and 3-min negative pressure suction groups. The control group was treated only with a laser, and the experimental group was also treated with suction for 3 min, using a negative pressure generator. Total RNA was then extracted from the retinal tissue at different recovery stages to analyze gene expression profiles using the Agilent rabbit one-way gene chip. The groups were then compared. Immediately after negative pressure suction induction, 704 genes were differentially expressed. Among these, 485 genes were upregulated, and 219 were downregulated. Expression of the genes encoding CRYAA, CRYAB, and TLR3 genes, which are involved in apoptosis, was elevated. The KRT18 gene, which is involved in apoptosis, had reduced expression. Seven days after negative pressure suction, 482 genes were differentially expressed. Among these, 178 genes were upregulated, and 304 were downregulated. Expression of the genes encoding CRYAB, IL1-BETA and IL1R1, which are involved in apoptosis, was upregulated. Ten days after negative pressure suction, 402 genes were differentially expressed. Of these, 213 genes were upregulated, and 189 were downregulated. Apoptosis genes CRYAB, CRYBA3, CRYBB2, IL1- BETA, and IL1R1 showed higher expression levels. We concluded that negative pressure suction for long periods of time (for example, 3 min) results in changes in gene expression. Genes with higher fold changes help protect retinal ganglion cells from apoptosis. We suggest that promoting the expression of these genes should be considered as a new means for treating ischemic-hypoxic retinopathy. PMID:22653643

  5. The paradox of negative pressure wound therapy--in vitro studies.

    Science.gov (United States)

    Kairinos, Nicolas; Solomons, Michael; Hudson, Donald A

    2010-01-01

    Negative-pressure wound therapy (NPWT) has revolutionised wound care. Yet, it is still not understood how hypobaric tissue pressure accelerates wound healing. There is very little reported on the relevant physics of any substance subjected to suction in this manner. The common assumption is that applying suction to a substance is likely to result in a reduction of pressure in that substance. Although more than 250 research articles have been published on NPWT, there are little data verifying whether suction increases or decreases the pressure of the substance it is applied to. Clarifying this basic question of physics is the first step in understanding the mechanism of action of these dressings. In this study, pressure changes were recorded in soft plasticene and processed meat, using an intracranial tissue pressure microsensor. Circumferential, non-circumferential and cavity NPWT dressings were applied, and pressure changes within the underlying substance were recorded at different suction pressures. Pressures were also measured at 1cm, 2 cm and 3 cm from the NPWT placed in a cavity. In all three types of NPWT dressings, the underlying substance pressure was increased (hyperbaric) as suction pressure increased. Although there was a substantial pressure increase at 1cm, the rise in pressure at the 2-cm and 3-cm intervals was minimal. Substance pressure beneath all types of NPWT dressing is hyperbaric in inanimate substances. Higher suction pressures generate greater substance pressures; however, the increased pressure rapidly dissipates as the distance from the dressing is increased. The findings of this study on inanimate objects suggest that we may need to review our current perception of the physics underlying NPWT dressings. Further research of this type on living tissues is warranted. PMID:19036656

  6. Early use of negative pressure therapy in combination with silver dressings in a difficult breast abscess.

    Science.gov (United States)

    Richards, Alastair J; Hagelstein, Sue M; Patel, Girish K; Ivins, Nicola M; Sweetland, Helen M; Harding, Keith G

    2011-12-01

    Combining silver-based dressings with negative pressure therapy after radical excision of chronically infected breast disease is a novel application of two technologies. One patient with complex, chronic, infected breast disease underwent radical excision of the affected area and was treated early with a combination of silver-based dressings and topical negative pressure therapy. The wound was then assessed sequentially using clinical measurements of wound area and depth, pain severity scores and level of exudation. It is possible to combine accepted techniques with modern dressing technologies that result in a positive outcome. In this case, the combination of a silver-based dressing with negative pressure therapy following radical excision proved safe and was well tolerated by the patient. Full epithelisation of the wound was achieved and there was no recurrence of the infection for the duration of the treatment. PMID:21883932

  7. Biological effects of a disposable, canisterless negative pressure wound therapy system.

    OpenAIRE

    Malmsjö, Malin; Huddleston, Elizabeth; Martin, Robin

    2014-01-01

    Objective: Recent developments of negative pressure wound therapy (NPWT) systems have focused on making pumps smaller, lighter, and more portable. The recently introduced PICO system manages wound fluid through a highly breathable film within the dressing, thereby negating the need for a canister, which allows greater mobility and patient concordance. The aim of this study is to compare the biological effects of this system compared to a traditional NPWT system. Methods: Laboratory tests were...

  8. LIQUID-LIQUID PHASE EQUILIBRIUM OF POLYMER SOLUTIONS AND POLYMER BLENDS UNDER POSITIVE AND NEGATIVE PRESSURE

    Institute of Scientific and Technical Information of China (English)

    Attila R.Imre

    2003-01-01

    In this paper we would like to give a brief review about the extensibility of the liquid-liquid locus into the negative pressure region. Negative pressure states are hardly explored; most researchers believe that the pressure scale ends at p = 0.We would like to show that this is not true, thep = 0 point is not a special point for liquids, it can be "easily" crossed. We are going to give a few example, where the extension of liquid-liquid locus for polymer blends and solutions below p = 0 gives us some interesting results, like the merging of UCST and LCST branches in weakly interacting polymer solutions or the reason why most UCST blends exhibit pressure induced immiscibility. Also, we will see what happens with the immiscibility island of aqueous polymer solutions when - reaching the critical molar mass - it "disappears".

  9. LIQUID—LIQUID PHASE EQUILIBRIUM OF POLYMER SOLUTIONS AND POLYMER BLENDS UNDER POSITIVE AND NEGATIVE PRESSURE

    Institute of Scientific and Technical Information of China (English)

    AttilaR.Imre

    2003-01-01

    In this paper we would like to give a brief review about the extensibility of the liquid-liquid locus into the negative pressure region.Negative pressure states are hardly explored;most researchers believe that the pressure scale ends at p=0. We would like to show that this is not true3 the p=0 point is not a special point for liquids,it can be “easily” crossed.We are going to give a few example,where the extension of liquid-liquid locus for polymer blends and solutions below p=0 gives us some interesting results,like the merging of UCST and LCST branches in weakly interacting polymer solutions or the reason why most UCST blends exhibit pressure induced immiscibility.Also,we will see what happens with the immiscibility island of aqueous polymer solutions when-reaching the critical molar mass-it “disappears”.

  10. The Application of Negative Pressure Wound Therapy with Installation in Diabetic Foot Associated with Phlegmon

    Directory of Open Access Journals (Sweden)

    Wachal Krzysztof

    2015-03-01

    Full Text Available The negative pressure wound therapy in the treatment of diabetic foot ulcers was used successfully for many years. In the case of complications associated with infection by this type of wound treatment to give very good results. From many years of sustained research on a device that could combine the advantages of the negative pressure wound therapy and drainage flow. Finally, in the last year, the first V.A.C. Ulta (KCI, USA devices were included to the Polish hospital departments.

  11. Negative pressure wound therapy and external fixation device: a simple way to seal the dressing.

    Science.gov (United States)

    Bulla, Antonio; Farace, Francesco; Uzel, André-Pierre; Casoli, Vincent

    2014-07-01

    Negative pressure therapy is widely applied to treat lower limb trauma. However, sealing a negative pressure dressing in the presence of an external fixation device may be difficult and time consuming. Therefore, screws, pins, wires, etc, may preclude the vacuum, preventing the plastic drape to perfectly adhere to the foam. To maintain the vacuum, we tried to prevent air leaking around the screws putting bone wax at the junction between the pins and the plastic drape. This solution, in our hands, avoids air leakage and helps maintain vacuum in a fast and inexpensive way. PMID:24296597

  12. Necrotising fasciitis in a domestic shorthair cat--negative pressure wound therapy assisted debridement and reconstruction.

    Science.gov (United States)

    Nolff, M C; Meyer-Lindenberg, A

    2015-04-01

    A 10-year-old, domestic shorthair cat was presented for acute lameness of the left forelimb accompanied by severe pain, swelling, skin necrosis, malodorous discharge and pyrexia. Following a presumptive diagnosis of necrotising fasciitis aggressive surgical debridement of the affected soft tissues of the antebrachium and negative pressure wound treatment of the open defect were performed. Surgical findings supported the tentative diagnosis of necrotising fasciitis and Streptococcus canis was isolated from the wound. A free skin graft was performed 29 days after admission, and augmented by 3 days of negative pressure wound therapy to facilitate graft incorporation. Healing was achieved without complications and no functional or aesthetic abnormalities remained. PMID:25323110

  13. Dynamics of Telomeres and Promyelocytic Leukemia Nuclear Bodies in a Telomerase-negative Human Cell Line

    OpenAIRE

    Jegou, Thibaud; Chung, Inn; Heuvelman, Gerrit; Wachsmuth, Malte; Görisch, Sabine M.; Greulich-Bode, Karin M.; Boukamp, Petra; Lichter, Peter; Rippe, Karsten

    2009-01-01

    Telomerase-negative tumor cells maintain their telomeres via an alternative lengthening of telomeres (ALT) mechanism. This process involves the association of telomeres with promyelocytic leukemia nuclear bodies (PML-NBs). Here, the mobility of both telomeres and PML-NBs as well as their interactions were studied in human U2OS osteosarcoma cells, in which the ALT pathway is active. A U2OS cell line was constructed that had lac operator repeats stably integrated adjacent to the telomeres of ch...

  14. Positive/Negative Emotion Detection from RGB-D upper Body Images

    OpenAIRE

    Ballihi, Lahoucine; Lablack, Adel; Ben Amor, Boulbaba; Bilasco, Ioan Marius; Daoudi, Mohamed

    2014-01-01

    International audience The ability to identify users'mental states represents a valu-able asset for improving human-computer interaction. Considering that spontaneous emotions are conveyed mostly through facial expressions and the upper Body movements, we propose to use these modalities together for the purpose of negative/positive emotion classification. A method that allows the recognition of mental states from videos is pro-posed. Based on a dataset composed with RGB-D movies a set of i...

  15. No body is perfect: the significance of habitual negative thinking about appearance for body dissatisfaction, eating disorder propensity, self-esteem and snacking.

    Science.gov (United States)

    Verplanken, Bas; Tangelder, Yonne

    2011-06-01

    Thinking negatively about one's appearance may be a major source of unhappiness. It was investigated whether the habitual quality of negative body image thinking constitutes an additional vulnerability factor, i.e. when such thinking is repetitive and automatic. The cognitive content of negative body image thinking ('what') was distinguished from the habitual occurrence of such thinking ('how'). The mental habit component uniquely predicted explicit as well as implicit body dissatisfaction (the latter measured by an implicit association test) over and above cognitive content. Mental habit also accounted for eating disturbance propensity, low self-esteem and restrained snacking behaviour over and above cognitive content, even when controlled for body dissatisfaction. The habitual component of negative thinking about appearance thus seems a significant body image construct, has discriminant validity against body dissatisfaction, and constitutes a vulnerability factor for feelings of low self-worth and eating disturbance propensity. Implications for intervention strategies, such as mindfulness-based approaches, are discussed. PMID:21347977

  16. Using portable negative pressure wound therapy devices in the home care setting

    OpenAIRE

    Burke JR; Morley R; Khanbhai M

    2014-01-01

    Joshua R Burke, Rachael Morley, Mustafa Khanbhai Academic Surgery Unit, Education and Research Centre, University Hospital of South Manchester, Manchester, UK Abstract: Negative pressure wound therapy (NPWT) is the continuous or intermittent application of subatmospheric pressure to the surface of a wound that improves the wound environment, accelerates healing, and reduces wound closure time. Since its first documented use, this technology has lent itself to a number of adaptations, most no...

  17. The Evidence-Based Principles of Negative Pressure Wound Therapy in Trauma & Orthopedics

    OpenAIRE

    A, Novak; Wasim S. Khan; J, Palmer

    2014-01-01

    Negative pressure wound therapy is a popular treatment for the management of both acute and chronic wounds. Its use in trauma and orthopedics is diverse and includes the acute traumatic setting as well as chronic troublesome wounds associated with pressure sores and diabetic foot surgery. Efforts have been made to provide an evidence base to guide its use however this has been limited by a lack of good quality evidence. The following review article explores the available evidence and describe...

  18. Negative Pressure Pulmonary Oedema: A Rare Case Report of Two Brothers

    OpenAIRE

    Jaafarpour, Molouk; Khajavikhan, Javaher; Khani, Ali

    2013-01-01

    Negative Pressure Pulmonary O/Edema (NPPE) is potentially life-threatening and it is a general anaesthesia side effect. We are mentioning a rare case report of two brothers who were referred to our hospital for elective surgeries (varicocele and septoplasty) in a 3 years period. Both of them were athletes and their coagulation factors were disturbed after surgeries. Pulmonary oedema was healed after treating it by reintubation, mechanical ventilation by Positive End-Expiratory Pressure (PEEP)...

  19. The Newmarket pump: a new suction pump for external negative pressure ventilation.

    OpenAIRE

    Kinnear, W. J.; Shneerson, J M

    1985-01-01

    A new electronically controlled pump has been developed for use with a cuirass in providing external negative pressure ventilation. It is smaller, lighter, and more versatile than currently available pumps and operates on a servo principle. A rotary valve between the pump and the cuirass varies the rate of extraction of air from the cuirass. The pressure within the cuirass is sensed by a pressure transducer, and the output of this is used to control the position of the rotary valve by means o...

  20. Outcome of Negative-Pressure Wound Therapy for Open Abdomen Treatment After Nontraumatic Lower Gastrointestinal Surgery

    DEFF Research Database (Denmark)

    Bertelsen, Claus Anders; Fabricius, Rasmus; Kleif, Jakob;

    2014-01-01

    Few studies have focused on the risk factors for failure to achieve fascial closure after use of negative-pressure wound therapy (NPWT) in an open abdomen (OA). We aimed at analyzing possible risk factors for failure of fascial closure and the risk of fistulas after nontrauma lower gastrointestinal...

  1. Using the Solving Problems Together Psychoeducational Group Counseling Model as an Intervention for Negative Peer Pressure

    Science.gov (United States)

    Hall, Kimberly R.; Rushing, Jeri Lynn; Khurshid, Ayesha

    2011-01-01

    Problem-focused interventions are considered to be one of the most effective group counseling strategies with adolescents. This article describes a problem-focused group counseling model, Solving Problems Together (SPT), that focuses on working with students who struggle with negative peer pressure. Adapted from the teaching philosophy of…

  2. NEGATIVE PRESSURE WOUND THERAPY (NPWT FOR THE MANAGEMENT OF DIABETIC FOOT WOUND

    Directory of Open Access Journals (Sweden)

    Wesiana Heris Santy

    2015-11-01

    Full Text Available Complications often experienced by people with diabetes are complications in the feet ( 15 % called diabetic foot ( Akhtyo , 2009 . Where the injury to the leg if not treated properly will lead to infections and ultimately need to be amputated .The purpose of writing articles is to review and discuss the evidence-based literature bersadarkanpraktice of Negative Pressure Wound Therapy Effectiveness ( NPWT on the healing of diabetic foot ulcers.One technology that is used to prevent and avoid lower limb amputation is the technique of negative pressure or Negative Pressure Wound Therapy ( NPWT . This negative pressure technique has grown rapidly and now has been widely used in many countries , especially in Western European countries ( Germany and the United States . Negative pressure technique has the advantage that it is relatively cheaper cost than the use of hyperbaric oxygen . Results obtained by several studies that the use of NPWT may improve wound healing process through efforts to create a moist wound environment and decrease edema that becomes optimal wound healing , throw that out of the wound exudate so that the protease enzyme in the exudate also go wasted , this enzyme is known to interfere wound healing process . The other benefit is that it can stimulate cell growth by increasing angiogenesis physically , so that the growth of new cells will be maximal Abstrak : Komplikasi sering dialami pengidap diabetes adalah komplikasi pada kaki (15% disebut kaki diabetes (Akhtyo, 2009.Dimana luka pada kaki jika tidak ditangani dengan baik akan menyebabkan terjadinya infeksi dan akhirnya perlu di amputasi. Tujuan penulisan artikel adalah mengkaji dan membahas literature bersadarkan evidence based praktice  tentang Efektifitas Negative Pressure Wound Therapy (NPWT pada penyembuhan ulkus kaki Diabetik. Salah satu teknologi yang digunakan untuk mencegah dan menghindari amputasi ekstremitas bawah adalah  teknik tekanan negatif atau Negative

  3. Center of pressure velocity reflects body acceleration rather than body velocity during quiet standing.

    Science.gov (United States)

    Masani, Kei; Vette, Albert H; Abe, Masaki O; Nakazawa, Kimitaka

    2014-03-01

    The purpose of this study was to test the hypothesis that the center of pressure (COP) velocity reflects the center of mass (COM) acceleration due to a large derivative gain in the neural control system during quiet standing. Twenty-seven young (27.2±4.5 years) and twenty-three elderly (66.2±5.0 years) subjects participated in this study. Each subject was requested to stand quietly on a force plate for five trials, each 90 s long. The COP and COM displacements, the COP and COM velocities, and the COM acceleration were acquired via a force plate and a laser displacement sensor. The amount of fluctuation of each variable was quantified using the root mean square. Following the experimental study, a simulation study was executed to investigate the experimental findings. The experimental results revealed that the COP velocity was correlated with the COM velocity, but more highly correlated with the COM acceleration. The equation of motion of the inverted pendulum model, however, accounts only for the correlation between the COP and COM velocities. These experimental results can be meaningfully explained by the simulation study, which indicated that the neural motor command presumably contains a significant portion that is proportional to body velocity. In conclusion, the COP velocity fluctuation reflects the COM acceleration fluctuation rather than the COM velocity fluctuation, implying that the neural motor command controlling quiet standing posture contains a significant portion that is proportional to body velocity. PMID:24444652

  4. Improved wound management by regulated negative pressure-assisted wound therapy and regulated, oxygen- enriched negative pressure-assisted wound therapy through basic science research and clinical assessment.

    Science.gov (United States)

    Topaz, Moris

    2012-05-01

    Regulated negative pressure-assisted wound therapy (RNPT) should be regarded as a state-of-the-art technology in wound treatment and the most important physical, nonpharmaceutical, platform technology developed and applied for wound healing in the last two decades. RNPT systems maintain the treated wound's environment as a semi-closed, semi-isolated system applying external physical stimulations to the wound, leading to biological and biochemical effects, with the potential to substantially influence wound-host interactions, and when properly applied may enhance wound healing. RNPT is a simple, safe, and affordable tool that can be utilized in a wide range of acute and chronic conditions, with reduced need for complicated surgical procedures, and antibiotic treatment. This technology has been shown to be effective and safe, saving limbs and lives on a global scale. Regulated, oxygen-enriched negative pressure-assisted wound therapy (RO-NPT) is an innovative technology, whereby supplemental oxygen is concurrently administered with RNPT for their synergistic effect on treatment and prophylaxis of anaerobic wound infection and promotion of wound healing. Understanding the basic science, modes of operation and the associated risks of these technologies through their fundamental clinical mechanisms is the main objective of this review. PMID:23162229

  5. Improved wound management by regulated negative pressure-assisted wound therapy and regulated, oxygen- enriched negative pressure-assisted wound therapy through basic science research and clinical assessment

    Directory of Open Access Journals (Sweden)

    Moris Topaz

    2012-01-01

    Full Text Available Regulated negative pressure-assisted wound therapy (RNPT should be regarded as a state-of-the-art technology in wound treatment and the most important physical, nonpharmaceutical, platform technology developed and applied for wound healing in the last two decades. RNPT systems maintain the treated wound′s environment as a semi-closed, semi-isolated system applying external physical stimulations to the wound, leading to biological and biochemical effects, with the potential to substantially influence wound-host interactions, and when properly applied may enhance wound healing. RNPT is a simple, safe, and affordable tool that can be utilized in a wide range of acute and chronic conditions, with reduced need for complicated surgical procedures, and antibiotic treatment. This technology has been shown to be effective and safe, saving limbs and lives on a global scale. Regulated, oxygen-enriched negative pressure-assisted wound therapy (RO-NPT is an innovative technology, whereby supplemental oxygen is concurrently administered with RNPT for their synergistic effect on treatment and prophylaxis of anaerobic wound infection and promotion of wound healing. Understanding the basic science, modes of operation and the associated risks of these technologies through their fundamental clinical mechanisms is the main objective of this review.

  6. Combined Negative- and Positive-Pressure Ventilation for the Treatment of ARDS

    Directory of Open Access Journals (Sweden)

    Konstantinos Raymondos

    2015-01-01

    Full Text Available Objective. Tracheal intubation and positive-pressure ventilation as the current standard of care for the adult respiratory distress syndrome (ARDS seem to have reached their limit in terms of a further relevant reduction of the still very high mortality. Case Presentation. A 75-year-old male patient developed ARDS after abscess drainage with deteriorating oxygenation, despite positive end-expiratory pressure (PEEP values above 15 cm H2O. We applied external negative-pressure ventilation with a chamber respirator using −33 cm H2O at inspiration and −15 cm H2O at expiration, combined with conventional pressure support using a PEEP of about 8 cm H2O and a pressure support of 4–12 cm H2O. Alveolar infiltrates disappeared rapidly and PaO2/FiO2 values surpassed 300 mmHg after the first application and 500 mmHg after the second. Negative-pressure ventilation was used for 6–18 hours/day over five days. Now, 13 years later, the patient is still alive and has a good quality of life. Conclusion. Using this or similar concepts, not only in intubated patients but also as a noninvasive approach in patients with ARDS, offers new options that may genuinely differ from the present therapeutic approaches and may, therefore, have the potential to decrease the present high mortality from ARDS.

  7. Many-body theory calculations of positron binding to negative ions

    CERN Document Server

    Ludlow, J A

    2010-01-01

    A many-body theory approach developed by the authors [Phys. Rev. A 70, 032720 (2004)] is applied to positron bound states and annihilation rates in atomic systems. Within the formalism, full account of virtual positronium (Ps) formation is made by summing the electron-positron ladder diagram series, thus enabling the theory to include all important many-body correlation effects in the positron problem. Numerical calculations have been performed for positron bound states with the hydrogen and halogen negative ions, also known as Ps hydride and Ps halides. The Ps binding energies of 1.118, 2.718, 2.245, 1.873 and 1.393 eV and annihilation rates of 2.544, 2.482, 1.984, 1.913 and 1.809 ns$^{-1}$, have been obtained for PsH, PsF, PsCl, PsBr and PsI, respectively.

  8. Using portable negative pressure wound therapy devices in the home care setting

    Directory of Open Access Journals (Sweden)

    Burke JR

    2014-12-01

    Full Text Available Joshua R Burke, Rachael Morley, Mustafa Khanbhai Academic Surgery Unit, Education and Research Centre, University Hospital of South Manchester, Manchester, UK Abstract: Negative pressure wound therapy (NPWT is the continuous or intermittent application of subatmospheric pressure to the surface of a wound that improves the wound environment, accelerates healing, and reduces wound closure time. Since its first documented use, this technology has lent itself to a number of adaptations, most notably, the development of portable devices facilitating treatment in the home care setting. With advancing surgical standards, wound healing is an important rate-limiting factor in early patient discharge and often a major cost of inpatient treatment. The efficacy of NPWT in the home care setting has been investigated through rate of wound closure, time in care, and patient experience. Rate of wound closure is the most appropriate primary end point. Much can be gleaned from patient experience, but the future success of portable NPWT will be measured on time in care and therefore cost effectiveness. However, there is a lack of level 1a evidence demonstrating increased efficacy of portable over inpatient NPWT. The development of portable NPWT is an encouraging innovation in wound care technology, and extending the benefits to the home care setting is both possible and potentially more beneficial. Keywords: portable, negative pressure wound therapy, vacuum-assisted closure, topical negative pressure therapy

  9. The role of positive and negative pressure on cavitation nucleation in nanodroplet-mediated histotripsy

    Science.gov (United States)

    Vlaisavljevich, Eli; Aydin, Omer; Lin, Kuang-Wei; Yuksel Durmaz, Yasemin; Fowlkes, Brian; ElSayed, Mohamed; Xu, Zhen

    2016-01-01

    Nanodroplet-mediated histotripsy (NMH) is an ultrasound ablation technique combining histotripsy with acoustically sensitive perfluorocarbon (PFC) nanodroplets that can be selectively delivered to tumor cells for targeted tumor ablation. NMH takes advantage of the significantly reduced cavitation threshold of the nanodroplets, allowing for cavitation to be selectively generated only in regions containing nanodroplets. Understanding the physical mechanisms underlying the nanodroplet cavitation process is essential to the development of NMH. In this study, we hypothesize that cavitation nucleation is caused by the negative pressure (p-) exposed to the PFC, and the NMH cavitation threshold is therefore determined by the incident p-  of the single-cycle pulses commonly used in NMH. This paper reports the first study that separately investigates the effects of negative and positive pressure on the NMH cavitation threshold using near half-cycle ultrasound pulses with dominant negative (negative-polarity pulses) or positive (positive-polarity pulses) pressure phases. Tissue phantoms containing perfluorohexane (PFH) nanodroplets were exposed to negative-polarity and positive-polarity pulses generated by a frequency compounding transducer recently developed in our lab, and the probability of generating cavitation was measured as a function of peak negative (p-) and peak positive (p+) pressure. The results showed close agreement in the p-  cavitation threshold for PFH phantoms exposed to negative-polarity (11.4  ±  0.1 MPa) and positive-polarity (11.7  ±  0.2 MPa) pulses. The p+ at the cavitation threshold, in contrast, was measured to be significantly different for the negative-polarity (4.0  ±  0.1 MPa) and positive-polarity (42.6  ±  0.2 MPa) pulses. In the final part of this study, the experimental results were compared to the cavitation threshold predicted by classical nucleation theory (CNT), with results showing

  10. Cyclic negative pressure wound therapy: an alternative mode to intermittent system.

    Science.gov (United States)

    Lee, Kangwoo N; Ben-Nakhi, Muneera; Park, Eun J; Hong, Joon P

    2015-12-01

    The purpose of this study was to develop and test a novel mode of negative pressure wound therapy (NPWT) that minimises pain while preserving the efficacy in wound healing. A porcine model was used in this study. Wounds were generated in animals and treated with either simple dressing or various treatment modes of NPWT. The wound volume, perfusion level and vasculature status were analysed and compared among different groups. Clinical application was performed to evaluate the level of pain occurring when negative pressure is applied. Among the NPWT groups, the Cyclic-50 group showed most decrement in wound volume, even though statistical relevance was not found (P = 0·302). The perfusion level was significantly increased in the Cyclic-50 group compared with the Intermittent group (P NPWT mode decreased patient discomfort while maintaining superior wound healing effects as the intermittent mode. PMID:24373578

  11. Mechanically Powered Negative Pressure Wound Therapy as a Bolster for Skin Grafting

    Directory of Open Access Journals (Sweden)

    Adam L. Isaac, DPM

    2014-02-01

    Full Text Available Summary: The use of negative pressure wound therapy (NPWT as a bolster for split-thickness skin grafts has been well documented in the literature. It facilitates the removal of transudate, which can result in the formation of seroma, and mitigates shear stress, which can detach the graft from the underlying wound bed. Its widespread use may be limited by factors such as increased cost and length of hospitalization. Recently, mechanically powered devices (Smart Negative Pressure; Spiracur, Inc., Sunnyvale, Calif. have been reported as showing promise in healing wounds with outcomes surprisingly comparable to standard NPWT in the populations studied. We are unaware of any reports in the literature that have detailed the use of a mechanically powered NPWT device as a postoperative bolster for split-thickness skin grafts.

  12. Negative-Pressure Cavitation Extraction of Secoisolariciresinol Diglycoside from Flaxseed Cakes

    OpenAIRE

    Hao Tian; Wan-Yi Li; Dan Xiao; Zhi-Min Li; Jian-Wen Wang

    2015-01-01

    The negative-pressure cavitation extraction (NPCE) technique was applied firstly to extract secoisolariciresinol diglucoside (SDG) from flaxseed cakes. The significant extraction parameters were screened by fractional factorial design (FFD). The optimal parameters were determined using the central composite design (CCD) with the two variables, NaOH amount and the liquid/solid ratio. The conditions of the extraction were optimized by using response surface methodology (RSM). Under the optimal ...

  13. Some notes about density of states for a negative pressure matter

    International Nuclear Information System (INIS)

    The main goal of this paper is deriving Density of states g(ϵ) (degeneracy function) per volume for an equation of state (EOS) p = -ρ (we called it dark energy (DE)). We have concluded that thermodynamic quantities such as pressure and energy density are simple functions of temperature, fugacity, curvature, and mass of Bosons. Our work has expressed the origin of some claims about the negativity of the entropy for the scalar fields models of DE. (author)

  14. Negative pressure pulmonary edema after nasal fracture reduction in an obese female patient: a case report

    OpenAIRE

    Choi EK; Yi JG; Jeon YH

    2015-01-01

    Eunkyung Choi,1 Junggu Yi,1 Younghoon Jeon,2 1Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea; 2Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea Abstract: Postoperative negative pressure pulmonary edema (NPPE) is a rare, but well-known life-threatening complication of acute upper airway obstruction (UAO) which develops after general anesthesi...

  15. ADding negative pRESSure to improve healING (the DRESSING trial): a RCT protocol

    OpenAIRE

    Gillespie, Brigid M; Webster, Joan; Ellwood, David; Stapleton, Helen; Whitty, Jennifer A; Thalib, Lukman; Cullum, Nicky; Mahomed, Kassam; Chaboyer, Wendy

    2016-01-01

    Introduction Obese women are more likely to develop a surgical site infection (SSI) following caesarean section (CS) than non-obese women. Negative pressure wound therapy (NPWT) is increasingly being used to reduce SSI with limited evidence for its effectiveness. Objectives To determine the clinical and cost-effectiveness of using NPWT in obese women having elective and semiurgent CS. Methods and analysis A multisite, superiority parallel pragmatic randomised controlled trial with an economic...

  16. Negative pressure wound therapy accelerates rats diabetic wound by promoting agenesis

    OpenAIRE

    Li, Xiaoqiang; Liu, Jiaqi; Liu, Yang; Hu, Xiaolong; Dong, Maolong; Wang, Hongtao; Hu, Dahai

    2015-01-01

    Negative Pressure Wound Therapy (NPWT) has become widely adopted to several wound treatment over the last 15 years, including diabetic foot ulcer (DFU). Much of the existing evidence supports that NPWT increase in blood flow, reduce in edema, decrease bacterial proliferation and accelerate granulation-tissue formation. However, the accurate mechanism is not clear till now. The aim of the present study was to further elucidate the effects of NPWT on angiogenesis of diabetic wound model. As res...

  17. Negative pressure wound therapy for management of the surgical incision in orthopaedic surgery

    OpenAIRE

    Karlakki, S.; Brem, M.; Giannini, S.; Khanduja, V.; Stannard, J; R. Martin

    2013-01-01

    Objectives The period of post-operative treatment before surgical wounds are completely closed remains a key window, during which one can apply new technologies that can minimise complications. One such technology is the use of negative pressure wound therapy to manage and accelerate healing of the closed incisional wound (incisional NPWT). Methods We undertook a literature review of this emerging indication to identify evidence within orthopaedic surgery and other surgical disciplines. Liter...

  18. Negative Pressure Wound Therapy on Closed Surgical Wounds With Dead Space

    OpenAIRE

    Suh, Hyunsuk; Lee, A-Young; Park, Eun Jung; Hong, Joon Pio

    2015-01-01

    Background Closed incisional wound surgery frequently leaves dead space under the repaired skin, which results in delayed healing. The purpose of this study was to evaluate the effect of negative pressure wound therapy (NPWT) on incisional wounds with dead space after primary closure by evaluating the fluid volume through the suction drain, blood flow of the skin, tensile strength, and histology of the wounds. Methods Bilateral 25-cm-long incisional wounds with dead space were created on the ...

  19. Wound contraction and macro-deformation during negative pressure therapy of sternotomy wounds

    OpenAIRE

    Ingemansson Richard; Arheden Håkan; Engblom Henrik; Ugander Martin; Torbrand Christian; Malmsjö Malin

    2010-01-01

    Abstract Background Negative pressure wound therapy (NPWT) is believed to initiate granulation tissue formation via macro-deformation of the wound edge. However, only few studies have been performed to evaluate this hypothesis. The present study was performed to investigate the effects of NPWT on wound contraction and wound edge tissue deformation. Methods Six pigs underwent median sternotomy followed by magnetic resonance imaging in the transverse plane through the thorax and sternotomy woun...

  20. Negative pressure wound therapy (NPWT) for spinal wounds: a systematic review

    OpenAIRE

    Ousey, Karen; Atkinson, Ross A.; Williamson, J. Bradley; Lui, Steve

    2013-01-01

    Background context The management of postoperative spinal wound complication remains a challenge, with surgical site infection (SSI) incidence rates ranging from 0.4% to 20% after spinal surgery. Negative pressure wound therapy (NPWT) has been highlighted as an intervention that may stimulate healing and prevent SSI. However, the wound healing mechanism by NPWT and its effectiveness in spinal wounds still remain unclear. Purpose To systematically search, critically appraise, and su...

  1. Cost-Utility Analysis: Sartorius Flap versus Negative Pressure Therapy for Infected Vascular Groin Graft Managment

    OpenAIRE

    Chatterjee, Abhishek; Macarios, David; Griffin, Leah; Kosowski, Tomasz; Pyfer, Bryan J.; Offodile, Anaeze C.; Driscoll, Daniel; Maddali, Sirish; Attwood, John

    2015-01-01

    Background: Sartorius flap coverage and adjunctive negative pressure wound therapy (NPWT) have been described in managing infected vascular groin grafts with varying cost and clinical success. We performed a cost–utility analysis comparing sartorius flap with NPWT in managing an infected vascular groin graft. Methods: A literature review compiling outcomes for sartorius flap and NPWT interventions was conducted from peer-reviewed journals in MEDLINE (PubMed) and EMBASE. Utility scores were de...

  2. Role of negative pressure wound therapy in total hip and knee arthroplasty

    OpenAIRE

    Siqueira, Marcelo BP; Ramanathan, Deepak; Klika, Alison K.; Higuera, Carlos A; Barsoum, Wael K.

    2016-01-01

    Negative-pressure wound therapy (NPWT) has been a successful modality of wound management which is in widespread use in several surgical fields. The main mechanisms of action thought to play a role in enhancing wound healing and preventing surgical site infection are macrodeformation and microdeformation of the wound bed, fluid removal, and stabilization of the wound environment. Due to the devastating consequences of infection in the setting of joint arthroplasty, there has been some interes...

  3. Severe complications after negative pressure wound therapy in burned wounds: two case reports

    OpenAIRE

    Ren H; Li Y

    2014-01-01

    Haitao Ren,1 Yuan Li21Department of Burns and Wound Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China; 2Department of Ultrasound, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of ChinaAbstract: We present two typical cases of severe complications (sepsis and hemorrhage) after negative pressure wound therapy (NPWT) in burned patients. Necrotic tissues in some dee...

  4. Comparison of negative pressure wound therapy (NPWT) &conventional wound dressings in the open fracture wounds

    OpenAIRE

    Arti, Hamidreza; Khorami, Mohsen; Ebrahimi-Nejad, Vahid

    2016-01-01

    Objective: Successful closure is a primary step of treatment in open fracture wounds. Delayed healing or complications can lead to increased treatment duration, costs and disability rates. The aim of this study was to compare Negative Pressure Wound Therapy (NPWT) and conventional wound dressings in patients with open fracture wounds. Methods: In a prospective randomized clinical trial study, 90 patients with open fractures that were referred for treatment were enrolled between February 2013 ...

  5. Wounds with complicated shapes tend to develop infection during negative pressure wound therapy

    OpenAIRE

    Fujioka, Masaki; Hayashida, Kenji; Senjyu, Chikako

    2014-01-01

    Introduction: While negative pressure wound therapy (NPWP) has been shown to be useful, we felt that patients with wounds of complicated shapes were likely to develop infection during performing NPWT. We conducted an investigation to determine the factors of wound shape responsible for the occurrence of infection. Materials and methods: A total of 55 patients with wounds were treated using NPWT in our unit in 2011. Eight whose wounds formed a pocket, 7 whose wounds were deep, and 40 whose wou...

  6. The efficacy of negative pressure wound therapy on chemotherapeutic extravasation ulcers: An experimental study

    OpenAIRE

    Evren Isci; Canter, Halil I.; Mehmet Dadaci; Pergin Atilla; Ayse N Cakar; Abdullah Kecik

    2014-01-01

    Context: The extravasation of the chemotherapeutic agents is not an unusual phenomenon. Necrosis of the skin and underlying structures has been reported, depending on the cytotoxicity of the extravasating drug. Despite the presence of some antidotes, such wounds tend to enlarge with time and are likely to resist the treatment. Aims: The objective of this study was to investigate the efficacy of negative pressure wound therapy (NPWT) on extravasation ulcers. Settings and Design: Animals were s...

  7. Timer switch to convert suction apparatus for negative pressure wound therapy application

    OpenAIRE

    Surath Amarnath; Mettu Rami Reddy; Chayam Hanumantha Rao; Harsha Vardan Surath

    2014-01-01

    Background: Negative pressure wound therapy (NPWT) is an established modality in the treatment of chronic wounds, open fractures, and post-operative wound problems. This method has not been widely used due to the high cost of equipment and consumables. This study demonstrates an indigenously developed apparatus which gives comparable results at a fraction of the cost. Readily available materials are used for the air-tight dressing. Materials and Methods: Equipment consists of suction apparatu...

  8. NEGATIVE PRESSURE WOUND THERAPY (NPWT) FOR THE MANAGEMENT OF DIABETIC FOOT WOUND

    OpenAIRE

    Wesiana Heris Santy

    2015-01-01

    Complications often experienced by people with diabetes are complications in the feet ( 15 % ) called diabetic foot ( Akhtyo , 2009) . Where the injury to the leg if not treated properly will lead to infections and ultimately need to be amputated .The purpose of writing articles is to review and discuss the evidence-based literature bersadarkanpraktice of Negative Pressure Wound Therapy Effectiveness ( NPWT ) ) on the healing of diabetic foot ulcers.One technology that is used to prevent and ...

  9. Wound Chemotherapy by the Use of Negative Pressure Wound Therapy and Infusion

    OpenAIRE

    Giovinco, Nicholas A.; Bui, Trung D.; Fisher, Timothy; Mills, Joseph L.; Armstrong, David G.

    2010-01-01

    Introduction: Although the use of negative pressure wound therapy (NPWT) is broadly efficacious, it may foster some potentially adverse complications. This is particularly true in patients with diabetes who have a wound colonized with aerobic organisms. Traditional antiseptics have been proven useful to combat such bacteria but require removal of some NPWT devices to be effective. Methods: In this article, we describe a method of “wound chemotherapy” by combining NPWT and a continuous infusio...

  10. Advances in research on mechanisms of the effect of negative pressure wound treatment in wound healing

    OpenAIRE

    Li, Lei(Beijing Institute of Petrochemical Technology, Beijing, 102617, People's Republic of China); Kai-yang LV; Wu, Guo-Sheng; Zhu, Shi-hui

    2014-01-01

    Negative pressure wound treatment (NPWT) refers to apply a highly porous material between the wound and a semipermeable membrane, and it is then connected to a suction apparatus, leading to a minimal deformation of wound, resulting in promoting cell proliferation and wound repair. These devices may significantly expedite wound healing, facilitate the formation of granulation tissue, and reduce the complexity of subsequent reconstructive operations. In recent years, along with wide clinical us...

  11. [Negative Pressure Wound Therapy (NPWT) in small animal medicine. Mechanisms of action, applications and indications].

    Science.gov (United States)

    Nolff, M C; Meyer-Lindenberg, A

    2016-01-01

    The treatment of open wounds is a daily challenge in veterinary medicine. During the past years, a special treatment option, the Negative Pressure Wound Therapy (NPWT), has been developed. Usage of this therapy significantly increases the healing rate of open wounds as well as free skin grafts in small animals. This review describes the mechanisms of action, indications as well as the known complications associated with this therapy. PMID:26830725

  12. Wound contraction and macro-deformation during negative pressure therapy of sternotomy wounds

    Directory of Open Access Journals (Sweden)

    Ingemansson Richard

    2010-09-01

    Full Text Available Abstract Background Negative pressure wound therapy (NPWT is believed to initiate granulation tissue formation via macro-deformation of the wound edge. However, only few studies have been performed to evaluate this hypothesis. The present study was performed to investigate the effects of NPWT on wound contraction and wound edge tissue deformation. Methods Six pigs underwent median sternotomy followed by magnetic resonance imaging in the transverse plane through the thorax and sternotomy wound during NPWT at 0, -75, -125 and -175 mmHg. The lateral width of the wound and anterior-posterior thickness of the wound edge was measured in the images. Results The sternotomy wound decreased in size following NPWT. The lateral width of the wound, at the level of the sternum bone, decreased from 39 ± 7 mm to 30 ± 6 mm at -125 mmHg (p = 0.0027. The greatest decrease in wound width occurred when switching from 0 to -75 mmHg. The level of negative pressure did not affect wound contraction (sternum bone: 32 ± 6 mm at -75 mmHg and 29 ± 6 mm at -175 mmHg, p = 0.0897. The decrease in lateral wound width during NPWT was greater in subcutaneous tissue (14 ± 2 mm than in sternum bone (9 ± 2 mm, resulting in a ratio of 1.7 ± 0.3 (p = 0.0423, suggesting macro-deformation of the tissue. The anterior-posterior thicknesses of the soft tissue, at 0.5 and 2.5 cm laterally from the wound edge, were not affected by negative pressure. Conclusions NPWT contracts the wound and causes macro-deformation of the wound edge tissue. This shearing force in the tissue and at the wound-foam interface may be one of the mechanisms by which negative pressure delivery promotes granulation tissue formation and wound healing.

  13. Empirical Formulas for Calculation of Negative Pressure Difference in Vacuum Pipelines

    OpenAIRE

    Marek Kalenik

    2015-01-01

    The paper presents the analysis of results of empirical investigations of a negative pressure difference in vacuum pipelines with internal diameters of 57, 81, 102 mm. The investigations were performed in an experimental installation of a vacuum sewage system, built in a laboratory hall on a scale of 1:1. The paper contains a review of the literature concerning two-phase flows (liquid-gas) in horizontal, vertical and diagonal pipelines. It presents the construction and working principles of t...

  14. Managing Acute Wounds with Negative Pressure System in a Developing Country

    OpenAIRE

    Akpaloo, J.; Yorke, J.; Agbenorku, P.; Yenli, E. M. T.

    2013-01-01

    Introduction. The negative pressure system has been found to be a valuable addition to the various procedures of wound management and has been widely accepted to be safe and effective in promoting wound healing. Aim. The study seeks to find out the outcome of the use of the VAC device in the treatment of patients with acute wounds. Materials and Methods. Between January 2009 and December 2011, a consecutive nonrandomized study was conducted among 48 patients who presented with acute wounds at...

  15. Negative pressure pulmonary edema with laryngeal mask airway use: Recognition, pathophysiology and treatment modalities

    OpenAIRE

    Vandse, Rashmi; Kothari, Deven S; Tripathi, Ravi S; Lopez, Luis; Stawicki, Stanislaw P.A.; Papadimos, Thomas J

    2012-01-01

    Negative pressure pulmonary edema (NPPE) following the use of the laryngeal mask airway (LMA) is an uncommon and under-reported event. We present a case of a 58-year-old male, who developed NPPE following LMA use. After biting vigorously on his LMA, the patient developed stridor upon emergence, with concurrent appearance of blood-tinged, frothy sputum and pulmonary edema. He subsequently required three days of mechanical ventilation. After discontinuation of mechanical ventilation the patient...

  16. Negative extrathoracic pressure in treatment of respiratory failure in infants and young children.

    OpenAIRE

    Samuels, M P; Southall, D P

    1989-01-01

    OBJECTIVE--To assess the efficacy of a newly developed system for applying continuous or intermittent negative (subatmospheric) extrathoracic pressure in respiratory failure. DESIGN--Uncontrolled clinical trials in infants deteriorating or failing to improve despite standard medical treatment. SETTING--Paediatric and neonatal intensive care units and paediatric wards. PATIENTS--88 Infants and young children aged 1 day to 2 years with respiratory failure due to bronchopulmonary dysplasia, the ...

  17. Negative pressure pulmonary edema after nasal fracture reduction in an obese female patient: a case report

    Directory of Open Access Journals (Sweden)

    Choi EK

    2015-08-01

    Full Text Available Eunkyung Choi,1 Junggu Yi,1 Younghoon Jeon,2 1Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Republic of Korea; 2Department of Anesthesiology and Pain Medicine, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea Abstract: Postoperative negative pressure pulmonary edema (NPPE is a rare, but well-known life-threatening complication of acute upper airway obstruction (UAO which develops after general anesthesia. The pronounced inspiratory efforts following UAO lead to excessive negative inspiratory pressure, which may cause acute pulmonary edema. Early recognition and prompt treatment of NPPE is necessary to prevent patient morbidity and mortality. In addition, the physician should carefully manage the patient who has risk factors of UAO to prevent this situation. We experienced a case of NPPE following laryngospasm after tracheal extubation in an obese patient who underwent open reduction of orbital wall and nasal bone surgery. Keywords: airway obstruction, negative pressure pulmonary edema, laryngospasm, nasal surgery, obese

  18. Negative Pressures and the First Water Siphon Taller than 10.33 Meters.

    Science.gov (United States)

    Vera, Francisco; Rivera, Rodrigo; Romero-Maltrana, Diego; Villanueva, Jaime

    2016-01-01

    A siphon is a device that is used to drain a container, with water rising inside a hose in the form of an inverted U and then going down towards a discharge point placed below the initial water level. The siphon is the first of a number of inventions of the ancients documented about 2.000 years ago by Hero of Alexandria in his treatise Pneumatics, and although the explanation given by Hero was essentially correct, there is nowadays a controversy about the underlying mechanism that explains the working of this device. Discussions concerning the physics of a siphon usually refer to concepts like absolute negative pressures, the strength of liquid's cohesion and the possibility of a siphon working in vacuum or in the presence of bubbles. Torricelli understood the working principle of the barometer and the impossibility of pumping water out of wells deeper than 10.33 m. Following Torricelli's ideas it would also not be possible to build a siphon that drives pure water to ascend higher than 10.33 m. In this work, we report the first siphon that drives water (with surfactant) to ascend higher than the Torricellian limit. Motivated by the rising of sap in trees, we built a 15.4 m siphon that shows that absolute negative pressures are not prohibited, that cohesion plays an important role in transmitting forces through a fluid, and that surfactants can help to the transport of water in a metastable regime of negative pressures. PMID:27054847

  19. Using Clifford Algebra to Understand the Nature of Negative Pressure Waves

    Science.gov (United States)

    McClellan, Gene

    2014-03-01

    The geometric algebra of 3-D Euclidean space, a sub-discipline of Clifford algebra, is a useful tool for analyzing wave propagation. We use geometric algebra to explore the concept of negative pressure. In free space a straightforward extension of Maxwell's equations using geometric algebra yields a theory in which classical electromagnetic waves coexist with nonelectromagnetic waves having retrograde momentum. By retrograde momentum we mean waves carrying momentum pointing in the opposite direction of energy flow. If such waves exist, they would have negative pressure. In rebounding from a wall, they would pull rather than push. In this presentation we use standard methods of analyzing energy and momentum conservation and their flow through the surface of an enclosed volume to illustrate the properties of both the electromagnetic and nonelectromagnetic solutions of the extended Maxwell equations. The nonelectromagnetic waves consist of coupled scalar and electric waves and coupled magnetic and pseudoscalar waves. They superimpose linearly with electromagnetic waves. We show that the nonelectromagnetic waves, besides having negative pressure, propagate with the speed of light and do not interact with conserved electric currents. Hence, they have three properties in common with dark energy.

  20. Facets of negative affectivity and blood pressure in middle-aged men

    Directory of Open Access Journals (Sweden)

    Hannu Vanhanen

    2013-04-01

    Full Text Available Research results suggesting that facets of negative affectivity, i.e. anxiety, anger-hostility, and depression, relate to incident cardiovascular diseases have been steadily increasing. Evidence for depression has been especially extensive. Elevated blood pressure, a major risk factor of cardiovascular diseases, is one probable mediator in this context. The purpose of this study was to clarify the relationship of specific key elements of depressive disposition, i.e. depressive symptoms, hopelessness and vital exhaustion, with health behavior and blood pressure. Study sample was comprised of 710 middle-aged men. Participants completed self-report questionnaires assessing health behavior, depressive symptoms, vital exhaustion and hopelessness. Statistical analyses involved descriptive analyses, correlations and path analysis. Depressive symptoms and vital exhaustion associated with several unfavorable lifestyles such as smoking, alcohol consumption, and inactivity (standardized solution coefficients: 0.10, 0.14, 0.17, accordingly. However, no significant direct associations with blood pressure could be found for depressive symptoms or vital exhaustion. Hopelessness associated only with unhealthy diet (standardized solution coefficient -0.10 Moreover, for hopelessness, results showed a direct but inverse association with systolic blood pressure (standardized solution coefficient -0.08. Results suggest that the previously reported relations of depression and vital exhaustion with blood pressure could be mediated by unfavorable lifestyles. The relation of hopelessness with adverse health behaviors seems to be less significant. Also, the role of hopelessness as a risk factor of elevated blood pressure is not supported by the results of this study.

  1. Evaluation of negative pressure vacuum-assisted system in acute and chronic wounds closure: our experience.

    Science.gov (United States)

    Chiummariello, S; Guarro, G; Pica, A; Alfano, C

    2012-10-01

    Negative-pressure therapy or vacuum-assisted closure (VAC) has been used in clinical applications since the 1940's and has increased in popularity over the past decade. This dressing technique consists of an open cell foam dressing put into the wound cavity, a vacuum pump produces a negative pressure and an adhesive drape. A controlled sub atmospheric pressure from 75 to 150 mmHg is applied. The vacuum-assisted closure has been applied by many clinicians to chronic wounds in humans; however it cannot be used as a replacement for surgical debridement. The initial treatment for every contaminated wound should be the necrosectomy. The VAC therapy has a complementary function and the range of its indications includes pressure sores, stasis ulcers, chronic wounds such as diabetic foot ulcers, post traumatic and post operative wounds, infected wounds such as necrotizing fasciitis or sternal wounds, soft-tissue injuries, bone exposed injuries, abdominal open wounds and for securing a skin graft. We describe our experience with the VAC dressing used to manage acute and chronic wounds in a series of 135 patients, with excellent results together with satisfaction of the patients. PMID:23095568

  2. Timer switch to convert suction apparatus for negative pressure wound therapy application

    Directory of Open Access Journals (Sweden)

    Surath Amarnath

    2014-01-01

    Full Text Available Background: Negative pressure wound therapy (NPWT is an established modality in the treatment of chronic wounds, open fractures, and post-operative wound problems. This method has not been widely used due to the high cost of equipment and consumables. This study demonstrates an indigenously developed apparatus which gives comparable results at a fraction of the cost. Readily available materials are used for the air-tight dressing. Materials and Methods: Equipment consists of suction apparatus with adjustable pressure valve set to a pressure 125-150 mmHg. An electronic timer switch with a sequential working time of 5 min and a standby time of 3 min provides the required intermittent negative pressure. Readily available materials such as polyvinyl alcohol sponge, suction drains and steridrapes were used to provide an air tight wound cover. Results: A total of 90 cases underwent 262 NPWT applications from 2009 to 2014. This series, comprised of 30 open fractures, 21 post-operative and 39 chronic wounds. The wound healing rate in our study was comparable to other published studies using NPWT. Conclusion: The addition of electronic timer switch will convert a suction apparatus into NPWT machine, and the results are equally effective compared to more expensive counter parts. The use of indigenous dressing materials reduces the cost significantly.

  3. The History of Negative Pressure Wound Therapy (NPWT): From “Lip Service” to the Modern Vacuum System

    OpenAIRE

    Miller, Christine

    2013-01-01

    Negative pressure wound therapy (NPWT) is a commonly used modality to facilitate tissue granulation and thus hasten the healing process. While the modern vacuum systems are quite sophisticated, their historic origins can be traced to ancient times. This is a historic review of the precursors to the current negative pressure wound therapy.

  4. A Multicenter Randomized Controlled Trial Comparing Treatment of Venous Leg Ulcers Using Mechanically Versus Electrically Powered Negative Pressure Wound Therapy

    OpenAIRE

    Marston, William A.; Armstrong, David G.; Reyzelman, Alexander M.; Kirsner, Robert S.

    2015-01-01

    Objective: This study compares two different negative pressure wound therapy (NPWT) modalities in the treatment of venous leg ulcers (VLUs), the ultraportable mechanically powered (MP) Smart Negative Pressure (SNaP®) Wound Care System to the electrically powered (EP) Vacuum-Assisted Closure (V.A.C.®) System.

  5. A pilot randomised controlled trial of negative pressure wound therapy to treat grade III/IV pressure ulcers [ISRCTN69032034

    Directory of Open Access Journals (Sweden)

    Ashby Rebecca L

    2012-07-01

    Full Text Available Abstract Background Negative pressure wound therapy (NPWT is widely promoted as a treatment for full thickness wounds; however, there is a lack of high-quality research evidence regarding its clinical and cost effectiveness. A trial of NPWT for the treatment of grade III/IV pressure ulcers would be worthwhile but premature without assessing whether such a trial is feasible. The aim of this pilot randomised controlled trial was to assess the feasibility of conducting a future full trial of NPWT for the treatment of grade III and IV pressure ulcers and to pilot all aspects of the trial. Methods This was a two-centre (acute and community, pilot randomised controlled trial. Eligible participants were randomised to receive either NPWT or standard care (SC (spun hydrocolloid, alginate or foam dressings. Outcome measures were time to healing of the reference pressure ulcer, recruitment rates, frequency of treatment visits, resources used and duration of follow-up. Results Three hundred and twelve patients were screened for eligibility into this trial over a 12-month recruitment period and 12/312 participants (3.8% were randomised: 6 to NPWT and 6 to SC. Only one reference pressure ulcer healed (NPWT group during follow-up (time to healing 79 days. The mean number of treatment visits per week was 3.1 (NPWT and 5.7 (SC; 6/6 NPWT and 1/6 SC participants withdrew from their allocated trial treatment. The mean duration of follow-up was 3.8 (NPWT and 5.0 (SC months. Conclusions This pilot trial yielded vital information for the planning of a future full study including projected recruitment rate, required duration of follow-up and extent of research nurse support required. Data were also used to inform the cost-effectiveness and value of information analyses, which were conducted alongside the pilot trial. Trial registration Current Controlled Trials ISRCTN69032034.

  6. Radiation pressure on a moving body: beyond the Doppler effect

    OpenAIRE

    Horsley, S. A. R.; Artoni, M.; La Rocca, G. C.

    2011-01-01

    The dependence of macroscopic radiation pressure on the velocity of the object being pushed is commonly attributed to the Doppler effect. This need not be the case, and here we highlight velocity-dependent radiation pressure terms that have their origins in the mixing of s and p polarizations brought about by the Lorentz transformation between the lab and the material rest frame, rather than in the corresponding transformation of frequency and wavevector. The theory we develop may be relevant...

  7. Use of Negative Pressure Wound Therapy With Automated, Volumetric Instillation for the Treatment of Extremity and Trunk Wounds: Clinical Outcomes and Potential Cost-Effectiveness

    OpenAIRE

    Gabriel, Allen; Kahn, Kevin; Karmy-Jones, Riyad

    2014-01-01

    Objective: A growing body of literature supports use of negative pressure wound therapy (NPWT) with instillation and dwell time (NPWTi-d) with positive clinical outcomes and potential cost savings. A retrospective analysis was performed to compare clinical outcomes of wounds treated with NPWTi-d versus NPWT and to estimate cost-differences between treatments based on clinical outcomes. Methods: Data were extracted from records of patients with extremity or trunk wounds treated with NPWT (n = ...

  8. The Influence of Body Position on Cerebrospinal Fluid Pressure Gradient and Movement in Cats with Normal and Impaired Craniospinal Communication

    Science.gov (United States)

    Radoš, Milan; Erceg, Gorislav; Petošić, Antonio; Jurjević, Ivana

    2014-01-01

    Intracranial hypertension is a severe therapeutic problem, as there is insufficient knowledge about the physiology of cerebrospinal fluid (CSF) pressure. In this paper a new CSF pressure regulation hypothesis is proposed. According to this hypothesis, the CSF pressure depends on the laws of fluid mechanics and on the anatomical characteristics inside the cranial and spinal space, and not, as is today generally believed, on CSF secretion, circulation and absorption. The volume and pressure changes in the newly developed CSF model, which by its anatomical dimensions and basic biophysical features imitates the craniospinal system in cats, are compared to those obtained on cats with and without the blockade of craniospinal communication in different body positions. During verticalization, a long-lasting occurrence of negative CSF pressure inside the cranium in animals with normal cranio-spinal communication was observed. CSF pressure gradients change depending on the body position, but those gradients do not enable unidirectional CSF circulation from the hypothetical site of secretion to the site of absorption in any of them. Thus, our results indicate the existence of new physiological/pathophysiological correlations between intracranial fluids, which opens up the possibility of new therapeutic approaches to intracranial hypertension. PMID:24748150

  9. Negative pressure for diabetic foot:Evaluation based on calcitonin gene-related peptide in the limb skin of dogs

    Institute of Scientific and Technical Information of China (English)

    Rui Ling; Jun Yi; Ling Wang; Mofan Ning

    2006-01-01

    femoral artery 1/2,then contributing to ischemic status of this limb,thus,dog models of diabetic foot of posterior limbs were developed.When the dogs in the treatment group were successfully modeled,negative pressure treatment was conducted on their affected limbs after 14 days.When the dogs were lightly anesthetized,depilation was performed on the base of left posterior limb in ring form.Then,their depilated limbs were placed in self-made negative pressure cabin for 15 minutes of-12 kPa negative pressure treatment every day within 10 days successively.Negative pressure treatment on affected limbs was omitted in the model group.The dogs in the normal control group were not modeled or given negative pressure treatment.②After 10 days of treatment,3 groups of animals all subjected to immunohistochemical staining of toe skin of affected limb for detecting CGRP-immunoreactive positive nerve fibers.Analysis of variance and LSD-t test were used for comparison of measurement data.MAIN OUTCOME MEASURES:Changes of CGRP in sensory nerve fibers of skin of 3 groups of animals.RESULTS:CGRP-immunoreactive positive nerve fibers in the skin of animals of model group were(53.24±5.6)μm/mm2 ,which were significantly more than those of control group[(11.73±2.3)μm/mm2,t=16.94,P<0.01].CGRP-immunoreactive positive nerve fibers in the skin of animals of treatment group were(32.49±2.9)μm,mm2,which were less than those of model group(t=8.47,P<0.01),but were still more than those of normal control group(t=8.47,P<0.01).CONCLUSION:①Following the onset of diabetic foot,CGRP-immunoreactive positive nerve fibers in the skin of distal limb are obviously increased,which may be a self-protective mechanism of body.②Limb negative pressure treatment can treat diabetic foot.which attributes to that the release of CGRP in the sensory nerve fibers can promote vasodilatation.

  10. Cues of High and Low Body Weight Negatively Influence Adults' Perceptions and Ratings in the Hypothetical Adoption Paradigm

    Directory of Open Access Journals (Sweden)

    Anthony A. Volk

    2006-01-01

    Full Text Available Infant and child facial cues influence perceptions and ratings in the Hypothetical Adoption Paradigm as well as actual parental care. A previous study demonstrated that infant and child facial cues of low body weight negatively influenced adults' ratings. The current study sought to replicate and expand on those results by presenting adults with normal faces as well as faces that were digitally altered to display high or low body weight. Cues of abnormal body weight significantly, and negatively, influenced adults’ ratings of adoption preference, health, and cuteness. Effect sizes were larger for cues of high body weight. Thus, infant and child facial cues of abnormal body weight may represent a relative risk factor to the quality of adult care obtained by children with abnormal body weight.

  11. Effect of upper airway negative pressure on inspiratory drive during sleep.

    Science.gov (United States)

    Eastwood, P R; Curran, A K; Smith, C A; Dempsey, J A

    1998-03-01

    To determine the effect of upper airway (UA) negative pressure and collapse during inspiration on regulation of breathing, we studied four unanesthetized female dogs during wakefulness and sleep while they breathed via a fenestrated tracheostomy tube, which was sealed around the permanent tracheal stoma. The snout was sealed with an airtight mask, thereby isolating the UA when the fenestration (Fen) was closed and exposing the UA to intrathoracic pressure changes, but not to flow changes, when Fen was open. During tracheal occlusion with Fen closed, inspiratory time (TI) increased during wakefulness, non-rapid-eye-movement (NREM) sleep and rapid-eye-movement (REM) sleep (155 +/- 8, 164 +/- 11, and 161 +/- 32%, respectively), reflecting the removal of inhibitory lung inflation reflexes. During tracheal occlusion with Fen open (vs. Fen closed): 1) the UA remained patent; 2) TI further increased during wakefulness and NREM (215 +/- 52 and 197 +/- 28%, respectively) but nonsignificantly during REM sleep (196 +/- 42%); 3) mean rate of rise of diaphragm EMG (EMGdi/TI) and rate of fall of tracheal pressure (Ptr/TI) were decreased, reflecting an additional inhibitory input from UA receptors; and 4) both EMGdi/TI and Ptr/TI were decreased proportionately more as inspiration proceeded, suggesting greater reflex inhibition later in the effort. Similar inhibitory effects of exposing the UA to negative pressure (via an open tracheal Fen) were seen when an inspiratory resistive load was applied over several breaths during wakefulness and sleep. These inhibitory effects persisted even in the face of rising chemical stimuli. This inhibition of inspiratory motor output is alinear within an inspiration and reflects the activation of UA pressure-sensitive receptors by UA distortion, with greater distortion possibly occurring later in the effort. PMID:9480970

  12. The Method of Drainage Tube Pulling under Negative Pressure in Patients with Open Heart Surgery

    Directory of Open Access Journals (Sweden)

    Ozcan Gur

    2012-06-01

    Full Text Available Purpose: Postoperative complications is to impress negatively patient mortality. One of this complications relate to respiratory system. In our study, we aimed to present our clinical experience related to negative pressure practise while pulling thorax drainage tube. Methods: 448 patients (337 male, 111 female taken to open heart surgery december 2007 and november 2011 in our clinic. The mean age was 57,33±3,6 in patients. Drainage tubes were pulled on postoperative 1 day except much drainage and pneumothorax. Negative pressure was applied thorax drainage tubes between 70 and 100 mm Hg while pulling thorax drainage tubes. Results: Total 1008 number drainage tubes were placed. Thorasyntesis was applied because of liquid collection in left hemithorax in 3 patients. Pneumothorax was seen in 1 patient. Conclusion: We consider the rate of pneumothorax and pulmonary infection due to liquid collection in postoperative period may be reduced with modification while pulling drainage tube after heart surgery. [Cukurova Med J 2012; 37(3.000: 146-149

  13. Surface Tension and Negative Pressure Interior of a Non-Singular `Black Hole'

    CERN Document Server

    Mazur, Pawel O

    2015-01-01

    The constant density interior Schwarzschild solution for a static, spherically symmetric collapsed star has a divergent pressure when its radius $R\\le\\frac{9}{8}R_s=\\frac{9}{4}GM$. We show that this divergence is integrable, and induces a non-isotropic transverse stress with a finite redshifted surface tension on a spherical surface of radius $R_0=3R\\sqrt{1-\\frac{8}{9}\\frac{R}{R_s}}$. For $r < R_0$ the interior Schwarzschild solution exhibits negative pressure. When $R=R_s$, the surface is localized at the Schwarzschild radius itself, $R_0=R_s$, and the solution has constant negative pressure $p =-\\bar\\rho$ everywhere in the interior $r

  14. Severe complications after negative pressure wound therapy in burned wounds: two case reports

    Directory of Open Access Journals (Sweden)

    Ren H

    2014-07-01

    Full Text Available Haitao Ren,1 Yuan Li21Department of Burns and Wound Center, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of China; 2Department of Ultrasound, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, People's Republic of ChinaAbstract: We present two typical cases of severe complications (sepsis and hemorrhage after negative pressure wound therapy (NPWT in burned patients. Necrotic tissues in some deep burn wounds are difficult to judge correctly and remove thoroughly. An electrically burned blood vessel looks “intact” but can easily break. Necrotic tissue or injured blood vessels when using NPWT are dangerous, both for causing sepsis and hemorrhage. This is the first article that reports the severe complications of NPWT in burned patients. It is imperative to heed indications and avoid contraindications. Proper preparation of wound beds, close observation, and sufficient irrigation are also crucial to avoid these severe complications, and there is an urgent need to substitute the central vacuum system with the low-pressure system.Keywords: negative pressure wound therapy, complication, burn sepsis, bleeding, drainage

  15. Gauze-based negative pressure wound therapy: a valid method to manage pyoderma gangrenosum.

    Science.gov (United States)

    Fraccalvieri, Marco; Fierro, Maria Teresa; Salomone, Marco; Fava, Paolo; Zingarelli, Enrico M; Cavaliere, Giovanni; Bernengo, Maria G; Bruschi, Stefano

    2014-04-01

    Pyoderma gangrenosum (PG) is an uncommon ulcerative, non-infective chronic inflammatory skin disorder of unknown aetiology. Systemic therapies are necessary to control the associated medical diseases, and, due to the inflammatory nature of PG, topical or systemic immunosuppressant agents are effective, but wound healing is usually slow. Negative wound pressure therapy (NPWT) has become an important tool for the management of complex skin ulcers, and usage in PG has been recently described in the literature: we present four cases of classic PG in which NPWT in association with systemic therapy achieved wound healing and a drastic pain reduction. PMID:22891652

  16. Diabetic foot wounds: the value of negative pressure wound therapy with instillation.

    Science.gov (United States)

    Dalla Paola, Luca

    2013-12-01

    Chronic wounds such as diabetic foot wounds are a tremendous burden to the health care system and often require a multidisciplinary approach to prevent amputations. Advanced technologies such as negative pressure wound therapy (NPWT) and bioengineered tissues have been successfully used in the treatment of these types of complex wounds. However, the introduction of NPWT with instillation (NPWTi) has provided an alternative treatment for treating complex and difficult-to-heal wounds. This article provides an overview of NPWT and the new NPWTi system and describes preliminary experience using NPWTi on patients with complicated infected diabetic foot wounds after surgical debridement and in a multidisciplinary setting. PMID:24251841

  17. Skin graft fixation in severe burns: use of topical negative pressure

    OpenAIRE

    Kamolz, L.P.; Lumenta, D.B.; Parvizi, D.; Wiedner, M.; Justich, I.; Keck, M.; Pfurtscheller, K.; Schintler, M.

    2014-01-01

    Over the last 50 years, the evolution of burn care has led to a significant decrease in mortality. The biggest impact on survival has been the change in the approach to burn surgery. Early excision and grafting has become a standard of care for the majority of patients with deep burns; the survival of a given patient suffering from major burns is invariably linked to the take rate and survival of skin grafts. The application of topical negative pressure (TNP) therapy devices has demonstrated ...

  18. Negative pressure wound therapy for soft tissue injuries around the foot and ankle

    OpenAIRE

    Oh Jong-Keon; Shon Oog-Jin; Min Woo-Kie; Oh Chang-Wug; Kim Joon-Woo; Lee Hyun-Joo; Park Byung-Chul; Ihn Joo-Chul

    2009-01-01

    Abstract Background This study was performed to evaluate the results of negative pressure wound therapy (NPWT) in patients with open wounds in the foot and ankle region. Materials and methods Using a NPWT device, 16 patients were prospectively treated for soft tissue injuries around the foot and ankle. Mean patient age was 32.8 years (range, 3–67 years). All patients had suffered an acute trauma, due to a traffic accident, a fall, or a crush injury, and all had wounds with underlying tendon o...

  19. Advances in research on mechanisms of the effect of negative pressure wound treatment in wound healing

    Directory of Open Access Journals (Sweden)

    Lei LI

    2014-10-01

    Full Text Available Negative pressure wound treatment (NPWT refers to apply a highly porous material between the wound and a semipermeable membrane, and it is then connected to a suction apparatus, leading to a minimal deformation of wound, resulting in promoting cell proliferation and wound repair. These devices may significantly expedite wound healing, facilitate the formation of granulation tissue, and reduce the complexity of subsequent reconstructive operations. In recent years, along with wide clinical use, the therapeutic effect of NPWT has been recognized, but the mechanism of its clinical effect still needs further research. DOI: 10.11855/j.issn.0577-7402.2014.08.15

  20. The Patient’s Conceptions of Wound Treatment with Negative Pressure Wound Therapy

    OpenAIRE

    Ann-Mari Fagerdahl

    2014-01-01

    During the last two decades, additional methods have been developed in wound care where traditional treatments have been insufficient. Negative pressure wound therapy (NPWT) is one such method. This method has been described in multiple studies, but still, many pieces of the puzzle are missing to get a complete picture of NPWT’s impact on the patient’s health-related quality of life and how the patient experiences the treatment. The purpose of this study was to describe the patient’s concepti...

  1. Forgotten Intraoral Mikulic Pads: An Uncommon Reason for Negative Pressure Pulmonary Edema

    Directory of Open Access Journals (Sweden)

    Mustafa Ozgur

    2014-06-01

    Full Text Available Negative pressure pulmonary edema (NPPE is a rare complication, which can be fatal depending on post-extubation upper airway obstruction. The most frequent cause of NPPE is laryngospasm. Other causes include croup, epiglottitis, upper respiratory tract tumors, foreign substance aspiration, dark tracheal secretions, biting the endotracheal tube, or hematoma. In this case report we aimed to present an NPPE case that occurred as a result of a Mikulic pad being placed into the oral cavity during an operation and left there after the surgery was completed, which is an uncommon reason for upper airway obstruction following general anesthesia.

  2. Radial Body Forces Influence on FGM and Non-FGM Cylindrical Pressure Vessels

    OpenAIRE

    Jacob Nagler

    2016-01-01

    This study deals with the influence of radial body forces on FGM and non-FGM pressure vessels. It contains an extended overview of pressure vessels made from both kinds of material. Furthermore, full mathematical development of stress-strain field for both kinds of cylindrical vessels while being influenced by body forces has been performed. In addition, a new power law model for FGM materials was suggested and discussed. Finally, tables of composed plastic-elastic states are discussed.

  3. Heterosocial Involvement, Peer Pressure for Thinness, and Body Dissatisfaction among Young Adolescent Girls

    OpenAIRE

    Gondoli, Dawn M.; Corning, Alexandra F.; Blodgett Salafia, Elizabeth H.; Bucchianeri, Michaela M.; Fitzsimmons, Ellen E.

    2011-01-01

    The purpose of this study was to examine longitudinal connections among young adolescent heterosocial involvement (i.e., mixed-sex interactions), peer pressure for thinness, and body dissatisfaction. Three years of self-report questionnaire data were collected from 88 adolescent girls as they completed 6th through 8th grades. Results indicated that the relation between heterosocial involvement and body dissatisfaction was mediated by perceived peer pressure for thinness. Within this model, he...

  4. Macroscopic changes during negative pressure wound therapy of the open abdomen using conventional negative pressure wound therapy and NPWT with a protective disc over the intestines

    Directory of Open Access Journals (Sweden)

    Hlebowicz Joanna

    2011-04-01

    Full Text Available Abstract Background Higher closure rates of the open abdomen have been reported with negative pressure wound therapy (NPWT than with other wound management techniques. However, the method has occasionally been associated with increased development of fistulae. We have previously shown that NPWT induces ischemia in the underlying small intestines close to the vacuum source, and that a protective disc placed between the intestines and the vacuum source prevents the induction of ischemia. In the present study we compare macroscopic changes after 12, 24, and 48 hours, using conventional NPWT and NPWT with a protective disc between the intestines and the vacuum source. Methods Twelve pigs underwent midline incision. Six animals underwent conventional NPWT, while the other six pigs underwent NPWT with a protective disc inserted between the intestines and the vacuum source. Macroscopic changes were photographed and quantified after 12, 24, and 48 hours of NPWT. Results The surface of the small intestines was red and mottled as a result of petechial bleeding in the intestinal wall in all cases. After 12, 24 and 48 hours of NPWT, the area of petechial bleeding was significantly larger when using conventional NPWT than when using NPWT with the protective disc (9.7 ± 1.0 cm2 vs. 1.8 ± 0.2 cm2, p 2 vs. 2.0 ± 0.2 cm2, 24 hours (17.0 ± 0.7 cm2 vs. 2.5 ± 0.2 cm2 with the disc, p Conclusions The areas of petechial bleeding in the small intestinal wall were significantly larger following conventional NPWT after 12, 24 and 48 hours, than using NPWT with a protective disc between the intestines and the vacuum source. The protective disc protects the intestines, reducing the amount of petechial bleeding.

  5. Effect of Porous Pipe Characteristics on Soil Wetting Pattern in a Negative Pressure Difference Irrigation System

    Directory of Open Access Journals (Sweden)

    Nurun Nahar Khan

    2015-02-01

    Full Text Available Sub-surface irrigation has been widely used to reduce conveyance, evaporation and percolation losses. This system involves the application of water directly into the root zone of crops. Negative Pressure Difference Irrigation (NPDI is one kind of subsurface irrigation which is effective in management of irrigation water. The efficiency of this system is dependent on the soil wetting pattern as well as the characteristics of porous pipe. To examine the effect of characteristics of six different porous pipes on soil wetting pattern using NPDI system, experiments were done in laboratory at a negative pressure (Pn of -3 cm. That Pn was generated by placing water reservoir in a lower level than porous pipe, which was installed vertically at the center of soil column. The water was supplied for four hours and after removing dry soil from the column wetted soil was observed. The experimental results show that the soil wetting pattern varies for each type of porous pipe. The study reveals that the shape of the wetted soil is roughly truncated sphere. The maximum vertical expansion and maximum radial expansion vary with the change in diameter and length of porous pipes. With the change in diameter of 128.6%, the maximum radial expansion differs from 24.1% and 34.48% for X and Y axis respectively. Since the water use efficiency is in the range of 0.94 to 0.97, this advanced method can be used as alternative of other traditional methods

  6. Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect

    Directory of Open Access Journals (Sweden)

    Fabio Caviggioli

    2014-01-01

    Full Text Available Reconstruction of open abdominal defects is a clinical problem which general and plastic surgeons have to address in cooperation. We report the case of a 66-year-old man who presented an abdominal dehiscence after multiple laparotomies for a sigmoid-rectal adenocarcinoma that infiltrated into the abdominal wall, subsequently complicated by peritonitis and enteric fistula. A cutaneous dehiscence and an incontinent abdominal wall resulted after the last surgery. The abdominal wall was reconstructed using a biological porcine cross-linked mesh Permacol (Covidien Inc., Norwalk, CT. Negative Pressure Wound Therapy (NPWT, instead, was used on the mesh in order to reduce wound dimensions, promote granulation tissue formation, and obtain secondary closure of cutaneous dehiscence which was finally achieved with a split-thickness skin graft. Biological mesh behaved like a scaffold for the granulation tissue that was stimulated by the negative pressure. The biological mesh was rapidly integrated in the abdominal wall restoring abdominal wall continence, while the small dehiscence, still present in the central area, was subsequently covered with a split-thickness skin graft. The combination of these different procedures led us to solve this complicated case obtaining complete wound closure after less than 2 months.

  7. Expiratory flow limitation detected by forced oscillation and negative expiratory pressure.

    Science.gov (United States)

    Dellacà, R L; Duffy, N; Pompilio, P P; Aliverti, A; Koulouris, N G; Pedotti, A; Calverley, P M A

    2007-02-01

    The within-breath change in reactance (Delta(rs)) measured by forced oscillation technique (FOT) at 5 Hz reliably detects expiratory flow limitation in chronic obstructive pulmonary disease (COPD). The present study compared this approach to the standard negative expiratory pressure (NEP) method. In total, 21 COPD patients were studied by applying both techniques to the same breath and in 15 patients the measurements were repeated after bronchodilator. For each patient and condition five NEP tests were performed and independently scored by three operators unaware of the FOT results. In 180 tests, FOT classified 53.3% as flow limited. On average, the operators scored 27.6% of tests flow limited and 47.6% non-flow limited, but could not score 24.8%. The methods disagreed in 7.9% of cases; in 78% of these the NEP scores differed between operators. Bronchodilation reduced NEP and DeltaX(rs) scores, with only the latter achieving significance. Averaging the operators' NEP scores, a threshold between 24.6-30.8% of tidal volume being flow limited by NEP produced 94% agreement between methods. In conclusion, when negative expiratory pressure and forced oscillation technique were both available they showed good agreement. As forced oscillation technique is automatic and can measure multiple breaths over long periods, it is suitable for monitoring expiratory flow limitation continuously and identifying patients' breathing close to the onset of expiratory flow limitation, where intermittent sampling may be unrepresentative. PMID:17079262

  8. Negative Pressure Wound Therapy With Instillation: Review of Evidence and Recommendations.

    Science.gov (United States)

    Kim, Paul J; Attinger, Christopher E; Olawoye, Olayinka; Crist, Brett D; Gabriel, Allen; Galiano, Robert D; Gupta, Subhas; Lantis Ii, John C; Lavery, Lawrence; Lipsky, Benjamin A; Teot, Luc

    2015-12-01

    Negative pressure wound therapy with instillation (NPWTi) and dwell time is an adjunctive treatment modality for selected complex wounds. Because of the greater amount of research now available, a multidisciplinary expert panel comprising the fields of podiatry, plastic and general surgery, burn treatment, infectious diseases, and orthopedics was convened on July 11, 2015, to produce a summary of the data and recommendations on the use of NPWTi. The panel members each reviewed available published literature on NPWTi in the PubMed, Cochrane, and Google Scholar databases from 1 January 2012 up until 20 July 2015 using the string search term negative pressure wound therapy instillation provided by the panel moderator; there were no restrictions on the language or type of publication. Panel members discussed their experiences and worked to reach consensus on several predefined topics. NPWTi was found to be most appropriate for properly selected complex hosts or wounds such as patients with multiple comorbidities, patients with an American Society of Anesthesiology Classification ≥ 2, severe traumatic wounds, diabetic foot infections, and wounds complicated by invasive infection or extensive biofilm. NPWTi should not be used routinely to treat simple wounds or hosts without comorbidities.There is evidence that when NPWTi is added to standard of care in properly selected cases it provides better overall clinical outcomes than standard of care alone, even when including NPWT. Based on published evidence and panel member experience, the Panel recommends a dwell time - fluid briefly instilled into the wound and allowed to diffuse for a user-specified time - of 10-20 minutes followed by 2-4 hours of negative pressure at -125 mmHg, although larger wounds may need times of up to 6 hours. Normal saline (0.9%) is the preferred solution for NPWTi, except in special situations. NPWTi with dwell time is an adjunct to other standard principles of appropriate wound assessment and

  9. Negative pressure wound therapy with reticulated open cell foam in children: an overview.

    Science.gov (United States)

    Contractor, Dhruti; Amling, June; Brandoli, Cinzia; Tosi, Laura L

    2008-01-01

    This article summarizes the results of a comprehensive review of the literature on the use of negative pressure wound therapy with reticulated open cell foam (NPWT/ROCF) as delivered by V.A.C.(R) Therapy (KCI, San Antonio, TX) in pediatric patients. A review of the literature revealed 20 articles that discussed the use of NPWT/ROCF in exclusively pediatric patients. Nine articles were retrospective reviews, and 11 were case studies. This review discusses the insights from these articles. This review discusses the versatility of NPWT/ROCF for use with pediatric patients with infected wounds; full-thickness burns; open fractures; large soft tissue wounds; surgical wounds of the chest, abdomen, and spine; pilonidal disease; and pressure ulcers. NPWT/ROCF has been used in children as young as a few weeks of age, and in children with comorbidities such as congenital heart disease, immunosuppression, and spina bifida. Wound healing in children can be delayed by impaired perfusion, infection, edema, and poor nutrition. Clinical considerations for using NPWT/ROCF in children can include differences in healing due to higher granulation rates requiring more frequent dressing changes, poor nutritional status, small size, and low weight. With pediatric patients, there is no consensus on foam (white or black) selection, optimum amount of negative pressure, frequency of NPWT/ROCF dressing changes, and interposing contact layer selection. Randomized prospective studies are needed to make recommendations for safe and efficacious clinical practice. Research regarding the effects of dressing types, adjunctive treatment, and wound healing in neonates and children is needed. PMID:19034165

  10. Surface tension and negative pressure interior of a non-singular ‘black hole’

    Science.gov (United States)

    Mazur, Pawel O.; Mottola, Emil

    2015-11-01

    The constant density interior Schwarzschild solution for a static, spherically symmetric collapsed star has a divergent pressure when its radius R≤slant \\frac{9}{8}{R}s=\\frac{9}{4}{GM}. We show that this divergence is integrable, and induces a non-isotropic transverse stress with a finite redshifted surface tension on a spherical surface of radius {R}0=3R\\sqrt{1-\\frac{8}{9}\\frac{R }{{R}s}}. For r\\lt {R}0 the interior Schwarzschild solution exhibits negative pressure. When R={R}s, the surface is localized at the Schwarzschild radius itself, {R}0={R}s, and the solution has constant negative pressure p=-\\bar{ρ } everywhere in the interior r\\lt {R}s, thereby describing a gravitational condensate star, a fully collapsed non-singular state already inherent in and predicted by classical general relativity. The redshifted surface tension of the condensate star surface is given by {τ }s={{Δ }}κ /8π G, where {{Δ }}κ ={κ }+-{κ }-=2{κ }+=1/{R}s is the difference of equal and opposite surface gravities between the exterior and interior Schwarzschild solutions. The First Law, {{d}}M={{d}}{E}V+{τ }s {{d}}A is recognized as a purely mechanical classical relation at zero temperature and zero entropy, describing the volume energy and surface energy change respectively. The Schwarzschild time t of such a non-singular gravitational condensate star is a global time, fully consistent with unitary time evolution in quantum theory. A clear observational test of gravitational condensate stars with a physical surface versus black holes is the discrete surface modes of oscillation which should be detectable by their gravitational wave signatures.

  11. A phenomenological expression to describe the temperature dependence of pressure-induced softening in negative thermal expansion materials

    International Nuclear Information System (INIS)

    By exploring a simple model of a negative thermal expansion (NTE) system, we introduce a phenomenological expression to describe the temperature dependence of the pressure-induced softening in NTE structures. (paper)

  12. Lower body positive pressure: an emerging technology in the battle against knee osteoarthritis?

    Directory of Open Access Journals (Sweden)

    Takacs J

    2013-07-01

    Full Text Available Judit Takacs,1 Judy E Anderson,1,3 Jeff RS Leiter,1,2,4 Peter B MacDonald,2,4 Jason D Peeler1,4 1Department of Human Anatomy and Cell Science, 2Department of Surgery, 3Department of Biological Sciences, University of Manitoba, Winnipeg, Manitoba, Canada; 4Pan Am Clinic, Winnipeg, Manitoba, Canada Background: Knee osteoarthritis (OA is the most prevalent medical condition in individuals over the age of 65 years, and is a progressive joint degenerative condition with no known cure. Research suggests that there is a strong relationship between knee pain and loss of physical function. The resulting lifestyle modifications negatively impact not only disease onset and progression but also overall health, work productivity, and quality of life of the affected individual. Purpose: The goal of this investigation was to examine the feasibility of using an emerging technology called lower body positive pressure (LBPP to simulate weight loss and reduce acute knee pain during treadmill walking exercise in overweight individuals with radiographically confirmed symptomatic knee OA. Design: Prospective case series. Methods: Twenty-two overweight individuals with knee OA completed two 20-minute treadmill walking sessions (one full weight bearing and one LBPP supported at a speed of 3.1 mph, 0% incline. Acute knee pain was assessed using a visual analog scale, and the percentage of LBPP support required to minimize knee pain was evaluated every 5 minutes. Knee Osteoarthritis Outcome Scores were used to quantify knee pain and functional status between walking sessions. The order of testing was randomized, with sessions occurring a minimum of 1 week apart. Results: A mean LBPP of 12.4% of body weight provided participants with significant pain relief during walking, and prevented exacerbation of acute knee pain over the duration of the 20-minute exercise session. Patients felt safe and confident walking with LBPP support on the treadmill, and demonstrated no change

  13. Pressure-dependent mobility of negative ions in mixtures of H2O with Ar

    Science.gov (United States)

    de Urquijo, J.; Ruiz-Vargas, G.

    2016-04-01

    The mobility of negative ions in H2O-Ar mixtures has been measured with a pulsed Townsend technique. It has been found that for a fixed value of the density-normalized electric field strength, E/N, the mobility of the H2O anions is strongly pressure dependent. We have also found that even for a single, total gas mixture pressure, even though at first sight the mobility of the anions seems to follow Blanc’s relation closely, a closer view indicates that the mobilities tend to shift to higher values as the water vapour concentration decreases. In spite of the lack of mass spectrometry to assess the mass and abundance of the drifting anions under specific conditions of E/N, water vapour concentration and gas pressure, the present measurements are strongly indicative of a complex ion transport and ion-molecule reaction scheme of daughter H2O anions in the H2O-Ar mixture.

  14. EFFECT OF 8 WEEKS OF AEROBIC ON BODY COMPOSITION AND BLOOD PRESSURE IN POSTMENOPAUSAL WOMEN

    Directory of Open Access Journals (Sweden)

    Shahram Gholamrezai

    2014-10-01

    Full Text Available Aim: Nowadays increasing blood pressure is the most important risk factor of coronary, cerebral and renal vessel diseases. Epidemiological studies indicate that Physical inactivity adversely affects the blood pressure in postmenopausal women. The purpose of this study was to determine the impact of aerobic on body composition and blood pressure in postmenopausal women. Methods: 20 healthy postmenopausal women with similar age and weight were randomly devided in intervention and control groups. Subjects completed an informed consent form and health history questionnaire. The intervention group was trained in an aerobic exercise program for 8 weeks (3 sessions weekly. Weight, body fat percentage (BF%, body mass index (BMI, waist to hip ratio (WHR, Lean body mass and blood pressure (BP were measured in the beginning and the end of the study for all of the subjects. Data were analyzed by the Paired t-test and independent t- test. Results: The results showed that BF% , WHR, BMI decreased and Lean body mass increased significantly in training group after 8 weeks training (P0.05. Conclusions: It seems that a period of aerobic training for 8 weeks can be effective as a non-pharmacological treatment strategy for improvement some physical fitness and body composition indexes, blood pressure in postmenopausal women.

  15. Comparisons of negative pressure wound therapy and ultrasonic debridement for diabetic foot ulcers: a network meta-analysis

    OpenAIRE

    Wang, Ruran; Feng, Yanhua; Di, Bo

    2015-01-01

    Objective: a network meta-analysis was performed to compare the strength and weakness of negative pressure wound therapy (NPWT) with ultrasound debridement (UD) as for diabetic foot ulcers (DFU). Methods: PubMed, Ovid EMBASE, Web of Science, Cochrane library databases, and Chinese Biomedical Literature Database were searched till February 2015. Clinical compared studies of negative pressure wound therapy and ultrasound debridement were enrolled. The primary efficacy outcomes included healed u...

  16. Topical negative pressure therapy Recent experience of the department of plastic surgery at Ibn Sina University Hospital, Rabat, Morocco

    OpenAIRE

    Abdelmoughit Echchaoui; Malika Benyachou; Jawad Hafidi; Imane Elaissaoui; Hasna Zaouri; Samir Elmazouz; Noureddine Gharib; Abdellah Abbassi

    2014-01-01

    IntroductionThe topical negative pressure therapy (TNP) is a non-invasive method to treat chronic and acute wounds locally, using a continuous or intermittent negative pressure.The objective of this study is to present the first experience of this type of treatment used in clinical cases in our department. By presenting these cases, we highlight indication and efficiency of this new technique applied in relatively complicated situations, at the same time it also allows a significant improveme...

  17. An Improved Negative Pressure Wave Method for Natural Gas Pipeline Leak Location Using FBG Based Strain Sensor and Wavelet Transform

    OpenAIRE

    Qingmin Hou; Liang Ren; Wenling Jiao; Pinghua Zou; Gangbing Song

    2013-01-01

    Methods that more quickly locate leakages in natural gas pipelines are urgently required. In this paper, an improved negative pressure wave method based on FBG based strain sensors and wavelet analysis is proposed. This method takes into account the variation in the negative pressure wave propagation velocity and the gas velocity variation, uses the traditional leak location formula, and employs Compound Simpson and Dichotomy Searching for solving this formula. In addition, a FBG based strain...

  18. An Improved Negative Pressure Wave Method for Natural Gas Pipeline Leak Location Using FBG Based Strain Sensor and Wavelet Transform

    Directory of Open Access Journals (Sweden)

    Qingmin Hou

    2013-01-01

    Full Text Available Methods that more quickly locate leakages in natural gas pipelines are urgently required. In this paper, an improved negative pressure wave method based on FBG based strain sensors and wavelet analysis is proposed. This method takes into account the variation in the negative pressure wave propagation velocity and the gas velocity variation, uses the traditional leak location formula, and employs Compound Simpson and Dichotomy Searching for solving this formula. In addition, a FBG based strain sensor instead of a traditional pressure sensor was developed for detecting the negative pressure wave signal produced by leakage. Unlike traditional sensors, FBG sensors can be installed anywhere along the pipeline, thus leading to high positioning accuracy through more frequent installment of the sensors. Finally, a wavelet transform method was employed to locate the pressure drop points within the FBG signals. Experiment results show good positioning accuracy for natural gas pipeline leakage, using this new method.

  19. Body Weight and Not Exercise Capacity Determines Central Systolic Blood Pressure, a Surrogate for Arterial Stiffness, in Children and Adolescents.

    Science.gov (United States)

    Müller, Jan; Meyer, Joanna; Elmenhorst, Julia; Oberhoffer, Renate

    2016-08-01

    Cardiopulmonary fitness benefits cardiovascular health. Various studies have shown a strong negative correlation between exercise capacity and arterial stiffness in adults. However, evidence for this connection in children and adolescents is scarce. About 320 healthy children and adolescents (252 male, 14.0±2.1 years) were evaluated with regard to their demographic, anthropometric and hemodynamic parameters, and their peak oxygen uptake. Peripheral and central systolic blood pressures were measured with patients in a supine position using an oscillometric device. Peak oxygen uptake was assessed by cardiopulmonary exercise testing. In multivariate regression, only peripheral systolic blood pressure (β=0.653, P<.001) and body weight (β=0.284, P<.001) emerged as independent determinants for central systolic blood pressure. Body weight therefore determines central systolic blood pressure in children and adolescents rather than measures of cardiorespiratory fitness. The prevention of overweight in childhood is necessary to reduce stiffening of the arteries and delay the onset of cardiovascular disease. PMID:26689169

  20. Negative-Pressure Cavitation Extraction of Secoisolariciresinol Diglycoside from Flaxseed Cakes

    Directory of Open Access Journals (Sweden)

    Hao Tian

    2015-06-01

    Full Text Available The negative-pressure cavitation extraction (NPCE technique was applied firstly to extract secoisolariciresinol diglucoside (SDG from flaxseed cakes. The significant extraction parameters were screened by fractional factorial design (FFD. The optimal parameters were determined using the central composite design (CCD with the two variables, NaOH amount and the liquid/solid ratio. The conditions of the extraction were optimized by using response surface methodology (RSM. Under the optimal conditions, the extraction yield and the extraction purity of SDG was 16.25 mg/g and 3.86%, respectively. The efficiency of NPCE was compared with that of conventional extraction methods. Our results demonstrated that NPCE was comparable to the well-known ultrasound-assisted extraction in term of extraction yield and purity. This extraction technique has advantages of less time-consuming, low solvent usage and high throughput capability.

  1. Negative-Pressure Cavitation Extraction of Secoisolariciresinol Diglycoside from Flaxseed Cakes.

    Science.gov (United States)

    Tian, Hao; Li, Wan-Yi; Xiao, Dan; Li, Zhi-Min; Wang, Jian-Wen

    2015-01-01

    The negative-pressure cavitation extraction (NPCE) technique was applied firstly to extract secoisolariciresinol diglucoside (SDG) from flaxseed cakes. The significant extraction parameters were screened by fractional factorial design (FFD). The optimal parameters were determined using the central composite design (CCD) with the two variables, NaOH amount and the liquid/solid ratio. The conditions of the extraction were optimized by using response surface methodology (RSM). Under the optimal conditions, the extraction yield and the extraction purity of SDG was 16.25 mg/g and 3.86%, respectively. The efficiency of NPCE was compared with that of conventional extraction methods. Our results demonstrated that NPCE was comparable to the well-known ultrasound-assisted extraction in term of extraction yield and purity. This extraction technique has advantages of less time-consuming, low solvent usage and high throughput capability. PMID:26083040

  2. Cavitation and crystallization in a metastable Lennard-Jones liquid at negative pressures and low temperatures.

    Science.gov (United States)

    Baidakov, Vladimir G; Bobrov, Konstantin S; Teterin, Aleksey S

    2011-08-01

    Molecular dynamics simulations have been used to investigate the kinetics of spontaneous cavitation and crystallization in a Lennard-Jones liquid at negative pressures in the temperature range where these processes compete with each other. The nucleation rate has been calculated in NVE and NpT ensembles by the method of mean lifetime and the transition interface sampling method with parallel path swapping. The data obtained have been used to determine in the framework of classical nucleation theory the value of the ratio of the solid-liquid and the liquid-void interfacial free energy for critical crystals and cavities and the values of their volumes at points where the cavitation rate of the liquid is equal to the rate of its crystallization. PMID:21823717

  3. Meta-analysis of negative-pressure wound therapy for closed surgical incisions

    DEFF Research Database (Denmark)

    Hyldig, N; Birke-Sorensen, H; Kruse, M;

    2016-01-01

    BACKGROUND: Postoperative wound complications are common following surgical procedures. Negative-pressure wound therapy (NPWT) is well recognized for the management of open wounds and has been applied recently to closed surgical incisions. The evidence base to support this intervention is limited....... The aim of this study was to assess whether NPWT reduces postoperative wound complications when applied to closed surgical incisions. METHODS: This was a systematic review and meta-analysis of randomized clinical trials of NPWT compared with standard postoperative dressings on closed surgical...... incisions. RESULTS: Ten studies met the inclusion criteria, reporting on 1311 incisions in 1089 patients. NPWT was associated with a significant reduction in wound infection (relative risk (RR) 0·54, 95 per cent c.i. 0·33 to 0·89) and seroma formation (RR 0·48, 0·27 to 0·84) compared with standard care. The...

  4. Negative pressure pulmonary oedema following use of ProSeal LMA

    Directory of Open Access Journals (Sweden)

    Richa Jain

    2013-01-01

    Full Text Available Negative pressure pulmonary oedema (NPPO is a life threatening condition, manifested due to upper airway obstruction in a spontaneously breathing patient. Upper airway obstruction caused by classic laryngeal mask airway (cLMA and ProSeal laryngeal mask airway (PLMA has been reported, and NPPO has also been reported following the use of cLMA. Search of literature did not confirm NPPO following the use of PLMA. We encountered a female patient of NPPO scheduled for incision and drainage of an abscess who had signs of airway obstruction following PLMA insertion. Multiple attempts were made to get patent airway without success. PLMA was replaced with endotracheal tube following which pink frothy secretion appeared in breathing circuit. Patient was managed successfully with ICU care.

  5. Body Cues, Not Facial Expressions, Discriminate Between Intense Positive and Negative Emotions

    NARCIS (Netherlands)

    Aviezer, H.; Trope, Y.; Todorov, A.T.

    2012-01-01

    The distinction between positive and negative emotions is fundamental in emotion models. Intriguingly, neurobiological work suggests shared mechanisms across positive and negative emotions. We tested whether similar overlap occurs in real-life facial expressions. During peak intensities of emotion,

  6. Analysis of Effective Interconnectivity of DegraPol-foams Designed for Negative Pressure Wound Therapy

    Directory of Open Access Journals (Sweden)

    Heike Hall

    2009-03-01

    Full Text Available Many wounds heal slowly and are difficult to manage. Therefore Negative Pressure Wound Therapy (NPWT was developed where polymer foams are applied and a defined negative pressure removes wound fluid, reduces bacterial burden and increases the formation of granulation tissue. Although NPWT is used successfully, its mechanisms are not well understood. In particular, different NPWT dressings were never compared. Here a poly-ester urethane Degrapol® (DP-foam was produced and compared with commercially available dressings (polyurethane-based and polyvinyl-alcohol-based in terms of apparent pore sizes, swelling and effective interconnectivity of foam pores. DP-foams contain relatively small interconnected pores; PU-foams showed large pore size and interconnectivity; whereas PVA-foams displayed heterogeneous and poorly interconnected pores. PVA-foams swelled by 40 %, whereas DP- and PU-foams remained almost without swelling. Effective interconnectivity was investigated by submitting fluorescent beads of 3, 20 and 45 mm diameter through the foams. DP- and PU-foams removed 70-90 % of all beads within 4 h, independent of the bead diameter or bead pre-adsorption with serum albumin. For PVA-foams albumin pre-adsorbed beads circulated longer, where 20 % of 3 mm and 10 % of 20 mm diameter beads circulated after 96 h. The studies indicate that efficient bead perfusion does not only depend on pore size and swelling capacity, but effective interconnectivity might also depend on chemical composition of the foam itself. In addition due to the efficient sieve-effect of the foams uptake of wound components in vivo might occur only for short time suggesting other mechanisms being decisive for success of NPWT.

  7. Association of the forced oscillation technique with negative expiratory pressure in COPD.

    Science.gov (United States)

    Akita, Takefumi; Shirai, Toshihiro; Mori, Kazutaka; Shimoda, Yukiko; Suzuki, Takahito; Hayashi, Ichiro; Noguchi, Rie; Mochizuki, Eisuke; Sakurai, Shogo; Saigusa, Mika; Akamatsu, Taisuke; Yamamoto, Akito; Shishido, Yuichiro; Morita, Satoru; Asada, Kazuhiro; Suda, Takafumi

    2016-01-01

    Expiratory flow limitation (EFL) during tidal breathing is common in patients with severe COPD, and a major determinant of dynamic hyperinflation and exercise limitation. The negative expiratory pressure (NEP) technique has been the gold standard to detect EFL, while the forced oscillation technique (FOT) has also been reported to detect it. However, the association of FOT with NEP is not fully understood. We assessed whether broadband frequency FOT would predict the presence of EFL measured by NEP. FOT, NEP, and spirometry were performed in 51 patients with COPD. The extent of emphysema was measured by high-resolution computed tomography and scored. Fifteen patients were classified into the EFL-positive group and 36 into the EFL-negative group. In multivariate logistic regression analysis, EFL was independently predicted by emphysema score, forced vital capacity, and whole-breath respiratory system reactance at 5Hz (X5). The receiver operator characteristic curve analysis revealed that inspiratory X5 best predicted EFL-positivity. X5-related forced oscillatory parameters are useful for detecting EFL in the management of COPD. PMID:26369446

  8. Mechanisms for negative reactant ion formation in an atmospheric pressure corona discharge

    Energy Technology Data Exchange (ETDEWEB)

    Ewing, Robert G.; Waltman, Melanie J.

    2009-06-02

    In an effort to better understand the formation of negative reactant ions in air produced by an atmospheric pressure corona discharge source, the neutral vapors generated by the corona were introduced in varying amounts into the ionization region of an ion mobility spectrometer/mass spectrometer containing a 63Ni ionization source. With no discharge gas the predominant ions were O2- , however, upon the introduction of low levels of discharge gas the NO2- ion quickly became the dominant species. As the amount of discharge gas increased the appearance of CO3- was observed followed by the appearance of NO3-. At very high levels, NO3- species became effectively the only ion present and appeared as two peaks in the IMS spectrum, NO3- and the NO3-•HNO3 adduct, with separate mobilities. Since explosive compounds typically ionize in the presence of negative reactant ions, the ionization of an explosive, RDX, was examined in order to investigate the ionization properties with these three primary ions. It was found that RDX forms a strong adduct with both NO2- and NO3- with reduced mobility values of 1.49 and 1.44 cm2V-1s-1, respectively. No adduct was observed for RDX with CO3- although this adduct has been observed with a corona discharge mass spectrometer. It is believed that this adduct, although formed, does not have a sufficiently long lifetime (greater than 10 ms) to be observed in an ion mobility spectrometer.

  9. Surface Tension and Negative Pressure Interior of a Non-Singular ``Black Hole''

    Science.gov (United States)

    Mottola, Emil; Mazur, Pawel

    2015-04-01

    The interior Schwarzschild solution for a static, spherically symmetric collapsed star has a pressure divergence that is integrable, and induces a non-isotropic transverse stress with a finite surface energy and surface tension. When compressed to the Schwarzschild radius, the surface is at the same radius and the interior solution has constant negative pressure, thereby describing a gravitational condensate star, a fully collapsed state already inherent in and predicted by classical General Relativity. The redshifted surface tension of the condensate star surface is given by is the difference of surface gravities between the exterior and interior Schwarzschild solutions. The First Law, dM = dEv + τdA is a purely mechanical classical relation at zero temperature and zero entropy, describing the volume energy and surface energy respectively. Since there is no event horizon, the Schwarzschild time of such a non-singular gravitational condensate star is a global time, which is consistent with unitary time evolution in quantum theory. The interior acts as a defocusing lens for light passing through the condensate, leading to imaging characteristics distinguishable from a black hole. The discrete surface modes of oscillation which should be detectable by their GWave signatures

  10. Development of micropump-actuated negative pressure pinched injection for parallel electrophoresis on array microfluidic chip.

    Science.gov (United States)

    Li, Bowei; Jiang, Lei; Xie, Hua; Gao, Yan; Qin, Jianhua; Lin, Bingcheng

    2009-09-01

    A micropump-actuated negative pressure pinched injection method is developed for parallel electrophoresis on a multi-channel LIF detection system. The system has a home-made device that could individually control 16-port solenoid valves and a high-voltage power supply. The laser beam is excitated and distributes to the array separation channels for detection. The hybrid Glass-PDMS microfluidic chip comprises two common reservoirs, four separation channels coupled to their respective pneumatic micropumps and two reference channels. Due to use of pressure as a driving force, the proposed method has no sample bias effect for separation. There is only one high-voltage supply needed for separation without relying on the number of channels, which is significant for high-throughput analysis, and the time for sample loading is shortened to 1 s. In addition, the integrated micropumps can provide the versatile interface for coupling with other function units to satisfy the complicated demands. The performance is verified by separation of DNA marker and Hepatitis B virus DNA samples. And this method is also expected to show the potential throughput for the DNA analysis in the field of disease diagnosis. PMID:19681052

  11. Body Dissatisfaction and Eating Disturbances in Early Adolescence: A Structural Modeling Investigation Examining Negative Affect and Peer Factors

    Science.gov (United States)

    Hutchinson, Delyse M.; Rapee, Ronald M.; Taylor, Alan

    2010-01-01

    This study tested five proposed models of the relationship of negative affect and peer factors in early adolescent body dissatisfaction, dieting, and bulimic behaviors. A large community sample of girls in early adolescence was assessed via questionnaire (X[overbar] age = 12.3 years). Structural equation modeling (SEM) indicated that negative…

  12. Negative pressure induces p120-catenin-dependent adherens junction disassembly in keratinocytes during wound healing.

    Science.gov (United States)

    Huang, Ching-Hui; Hsu, Chih-Chin; Chen, Carl Pai-Chu; Chow, Shu-Er; Wang, Jong-Shyan; Shyu, Yu-Chiau; Lu, Mu-Jie

    2016-09-01

    A negative-pressure of 125mmHg (NP) has been widely used to treat chronic wounds in modern medicine. Keratinocytes under NP treatment have shown accelerated cell movement and decreased E-cadherin expression. However, the molecular mechanism of E-cadherin regulation under NP remains incompletely understood. Therefore, we investigated the E-cadherin regulation in keratinocytes (HaCaT cells) under NP. HaCaT cells were treated at ambient pressure (AP) and NP for 12h. Cell movement was measured by traditional and electric wound healing assays at the 2 different pressures. Mutants with overexpression of p120-catenin (p120(ctn)) were used to observe the effect of NP on p120(ctn) and E-cadherin expression during wound healing. Cell fractionation and immunoblotting data showed that NP increased Y228-phosphorylated p120(ctn) level and resulted in the translocation of p120(ctn) from the plasma membrane to cytoplasm. Immunofluorescence images revealed that NP decreased the co-localization of p120(ctn) and E-cadherin on the plasma membrane. Knockdown of p120(ctn) reduced E-cadherin expression and accelerated cell movement under AP. Overexpression of the Y228-phosphorylation-mimic p120(ctn) decreased E-cadherin membrane expression under both AP and NP. Phosphorylation-deficient mutants conferred restored adherens junctions (AJs) under NP. The Src inhibitor blocked the phosphorylation of p120(ctn) and impeded cell migration under NP. In conclusion, Src-dependent phosphorylation of p120(ctn) can respond rapidly to NP and contribute to E-cadherin downregulation. The NP-induced disassembly of the AJ further accelerates wound healing. PMID:27220534

  13. A STUDY OF NEGATIVE PRESSURE WOUND THERAPY: VACUUM ASSISTED CLOSURE IN CHRONIC NON-HEALING ULCERS

    Directory of Open Access Journals (Sweden)

    Dhamotharan Senraman

    2016-06-01

    Full Text Available BACKGROUND This study evaluates the advantage of Negative Pressure Wound Therapy-Vacuum Assisted Closure over Conventional Dressing in the management of chronic non-healing ulcers. METHODS From June 2014 to June 2015, 50 patients were selected (25 cases and 25 controls. After wound debridement, VAC dressing is applied. Pre VAC and post VAC culture and sensitivity is taken. Dressing is given for 72 hours and intermittent suction is given for 10 mins. in an hour, daily for 12 hours with negative pressure ranging from 100 to 125 mmHg. Rest of the time drain of the VAC dressing is connected to the Romovac suction drain. Doppler study to assess the vascularity of the limb before the procedure and X-ray is taken to rule out osteomyelitis. Control group patients are given conventional dressings. RESULTS The gender, age and ulcer distributions were almost equal in the case and control groups and were found to be statistically insignificant. Duration of hospital stay in days was found to be statistically significant between groups. Majority (52% of cases left hospital within 3 weeks’ time, while a major chunk (88% of control population stayed more than 3 weeks. VAC dressing shows better results in patients with normal Doppler study. VAC dressing have better results in patients with 48% undergoing split skin grafting and less rate (8% of amputation as against none undergoing split skin grafting and 24% needing amputation in the control group. Patients with sterile pre-VAC culture were not turning unsterile after VAC, but 90% unsterile turns sterile after VAC. CONCLUSION NPWT is a novel technique for managing an open wound by submitting the wound either to intermittent or continuous subatmospheric pressure. Here, we did a study to study the advantage of vacuum assisted closure over conventional dressing in the management of chronic non-healing ulcers and concluded that VAC decreases hospital stay, improves pus culture sterility, has better result in

  14. Exploiting potency of negative pressure in wound dressing using limited access dressing and suction-assisted dressing

    Directory of Open Access Journals (Sweden)

    Pramod Kumar

    2012-01-01

    Full Text Available Role of negative pressure dressing and moist wound healing are well established in the treatment of both acute and chronic wounds with certain advantages and disadvantages in both the techniques. Both these techniques prevents wound colonization, but the negative pressure dressing method has proved to have a greater potency to remove secretions, prevent wound invasion and eradication established infection. In both these techniques there is no accessibility to wound environment. Limited access dressing (LAD is a moist wound dressing with negative pressure. It provides limited access to the wound through two small ports for both dressers and pathogens. The LAD design has notable advantages like wound isolation that reduces chance of wound colonization and safe disposal of infected materials (important factor to reduce hospital-acquired infections, while avoiding some major disadvantages such as opacity of dressing materials, inaccessible offensive smelling wound environment, and relatively high treatment costs. In LAD a definite intermittent negative pressure regimen is followed. The intermittent negative pressure (cycle of 30 minutes suction and 3 1 / 2 hours rest is effective. Overall, the LAD is a safe and effective alternative to conventional dressing methods. LAD is an excellent research tool for wound healing as frequent/continuous record of wound healing is possible without disturbing the wound healing process. LAD is an effective dressing for limb salvage in cases of acute and chronic complex wounds. Leech effect prevents wound related systematic response syndrome and sepsis. Suction-assisted dressing (SAD is a combination of semiocclusive dressing with negative pressure. It works by removal of fluids by intermittent (like LAD negative pressure and preventing bacterial invasion. SAD is especially advantageous where soakage is less, there is no dead tissue covering the wound (e.g., following skin grafting, superficial skin wounds (e

  15. Intrathoracic and venous pressure relationships during responses to changes in body position

    Science.gov (United States)

    Avasthey, P.; Wood, E. H.

    1974-01-01

    Simultaneous end-expiratory pressures, referred to midthoracic level, in the superior and abdominal venae cavae, pericardial space, and right and left heart, were recorded without thoracotomy in three anesthetized dogs during sudden changes from supine to vertical head-up or head-down body positions. Intrathoracic and dependent great vein pressures referred to midchest level (sixth thoracic vertebra) decreased and showed simple hydrostatic gradients in either vertical position. However, a discontinuity in the large vein hydrostatic gradient occurred just distal to the superior margin of the thorax in either body position and was resumed again above this level. It is concluded that, just as the cerebrospinal fluid and intraperitoneal pressures minimize the effects of gravitational and inertial forces on the cerebral and visceral circulations, the pericardial and pleural pressures have a similar role for the heart proper.

  16. Changes in blood pressure and body weight over ten years in men selected for glucose intolerance.

    OpenAIRE

    Jarrett, R J; Keen, H; Murrells, T

    1987-01-01

    Relative changes in body weight and blood pressure over ten years of observation are reported in men recruited for a trial of therapy in relation to the natural history of glucose intolerance. Half were recommended a diet restricting carbohydrate to 120 g daily (diet group) and half were recommended to 'limit use of table sugar' (no diet). In both groups average weight and blood pressure fell over the 12 to 18 months after treatment allocation, the decline being proportionately greater for bo...

  17. Correlation of intraocular pressure with blood pressure and body mass index in offsprings of diabetic patients: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Shailaja Patil, Anita Herur, Shashikala GV, Surekharani Chinagudi, Manjula R, Roopa Ankad, Sukanya Badami, Brid SV

    2014-07-01

    Full Text Available Background: Raised intraocular pressure (IOP has been associated with risk factors like hypertension, diabetes mellitus (DM, obesity, body mass index (BMI and sex, increasing the risk of glaucoma causing visual impairment and blindness. Since familial inheritance is known with glaucoma and DM, the aim was to study the IOP and its correlation with BMI and blood pressure (BP in offsprings of DM and also to predict the future/early onset of glaucoma in them. Methods: This was an observational study done in medical undergraduate students. 25 students were included in the study group (offsprings of diabetic parents-cases and 23 students in the control group (offsprings without diabetic history in parents. Height, weight, blood pressure and intraocular pressure were recorded in both the groups and these were compared. Statistical analysis was done by student’s t test and Pearson’s correlation. Results: Cases exhibited a lower IOP, BMI, mean arterial pressure (MAP and diastolic blood pressure (DBP, but not SBP, as compared to controls. These differences, however, were not statistically significant except DBP. There was a negative correlation found between IOP and BMI and also between IOP and MAP in cases, whereas in controls, there was a positive correlation found between BMI and IOP and no correlation between IOP and MAP. Conclusion: Offsprings of diabetic patients may be less prone for primary open angle glaucoma. Limitations: The limitations of the present study include a smaller sample size, study of the results in relation to paternal or maternal diabetic status and also of grandparents, so that the inheritance of diabetes and also of IOP can be studied.

  18. Is subjective perception of negative body image among adolescents associated with bullying?

    NARCIS (Netherlands)

    Holubcikova, Jana; Kolarcik, Peter; Geckova, Andrea Madarasova; Van Dijk, Jitse P.; Reijneveld, Sijmen A.

    2015-01-01

    Adolescents' body image dissatisfaction has an adverse effect on peer relationships. It may lead to changes in behaviour (aggressive or passive) and consequently to bullying behaviour. Our aim was to assess the association between body image dissatisfaction and involvement in bullying and whether th

  19. Volume production of D- negative ions in low-pressure D2 plasmas-negative ion densities versus plasma parameters

    International Nuclear Information System (INIS)

    Pure volume production of D- negative ions is studied in a rectangular arc chamber. Production and control of D2 plasmas are tested by varying the intensity of the magnetic filter MF. The values of electron temperature Te and electron density ne in D2 plasmas are slightly higher than those in H2 plasmas. Te in D2 plasmas cannot be decreased below 1 eV in the extraction region with the same MF conditions for optimizing H2 plasmas. A stronger MF field is required for controlling Te in D2 plasmas. Therefore, the transport in or the production of H2 and D2 plasmas is different, i.e. there is an isotope effect, a consequence of which is that the H- and D- densities have different spatial distributions. Extracted H- and D- currents are primarily determined by H- and D- densities in front of the extraction hole, respectively. According to the estimated rate coefficients and collision frequencies of main collision processes, it is reconfirmed that Te in the extraction region should be maintained below 1 eV with ne kept high for the enhancement of H- and D- production. For the enhancement of D- production, preliminary results on VUV emission measurement are presented and discussed briefly

  20. High Blood Pressure in Adults with Disabilities: Influence of Gender, Body Weight and Health Behaviors

    Science.gov (United States)

    Lin, Lan-Ping; Liu, Chien-Ting; Liou, Shih-Wen; Hsu, Shang-Wei; Lin, Jin-Ding

    2012-01-01

    The aims of this study were to explore the mean and distribution of systolic and diastolic blood pressure, and to examine the influence of gender, body weight and health behaviors on hypertension in adults with disabilities. We analyzed the 2010 annual community health examination chart of adults with disabilities in east Taiwan. The study samples…

  1. A Comparison of Blood Pressure, Body Mass Index, and Acanthosis Nigricans in School-Age Children

    Science.gov (United States)

    Otto, Debra E.; Wang, Xiaohui; Tijerina, Sandra L.; Reyna, Maria Elena; Farooqi, Mohammad I.; Shelton, Margarette L.

    2010-01-01

    The purpose of this retrospective quantitative study was to examine the relationships among acanthosis nigricans (AN), body mass index (BMI), blood pressure (BP), school grade, and gender in children attending elementary school located in South West Texas. Data were collected by attending school district nurses. Researchers reviewed 7,026…

  2. Walking Activity, Body Composition and Blood Pressure in Adults with Intellectual Disabilities

    Science.gov (United States)

    Stanish, Heidi I.; Draheim, Christopher C.

    2007-01-01

    Background: Individuals with intellectual disabilities engage in limited physical activity which places their health at risk. This study examined the walking activity, body composition and blood pressure of adults with intellectual disabilities. Methods: A group of male and female adults (n = 103) wore a pedometer for 7 days and were categorized…

  3. The impact of surgical site occurrences and the role of closed incision negative pressure therapy.

    Science.gov (United States)

    Willy, Christian; Engelhardt, Michael; Stichling, Marcus; Grauhan, Onnen

    2016-09-01

    Surgical site occurrences are observed in up to 60% of inpatient surgical procedures in industrialised countries. The most relevant postoperative complication is surgical site infection (SSI) because of its impact on patient outcomes and enormous treatment costs. Literature reviews ('SSI', 'deep sternal wound infections' (DSWI), 'closed incision negative pressure wound therapy' (ciNPT) were performed by electronically searching MEDLINE (PubMed) and subsequently using a 'snowball' method of continued searches of the references in the identified publications. Search criteria included publications in all languages, various study types and publication in a peer-reviewed journal. The SSI literature search identified 1325, the DSWI search 590 and the ciNPT search 103 publications that fulfilled the search criteria. Patient-related SSI risk factors (diabetes mellitus, obesity, smoking, hypertension, female gender) and operation-related SSI risk factors (re-exploration, emergency operations, prolonged ventilation, prolonged operation duration) exist. We found that patient- and operation-related SSI risk factors were often different for each speciality and/or operative procedure. Based on the evidence, we found that high-risk incisions (sternotomy and incisions in extremities after high-energy open trauma) are principally recommended for ciNPT use. In 'lower'-risk incisions, the addition of patient-related or operation-related risk factors justifies the application of ciNPT. PMID:27547962

  4. Negative pressure wound therapy accelerates rats diabetic wound by promoting agenesis

    Science.gov (United States)

    Li, Xiaoqiang; Liu, Jiaqi; Liu, Yang; Hu, Xiaolong; Dong, Maolong; Wang, Hongtao; Hu, Dahai

    2015-01-01

    Negative Pressure Wound Therapy (NPWT) has become widely adopted to several wound treatment over the last 15 years, including diabetic foot ulcer (DFU). Much of the existing evidence supports that NPWT increase in blood flow, reduce in edema, decrease bacterial proliferation and accelerate granulation-tissue formation. However, the accurate mechanism is not clear till now. The aim of the present study was to further elucidate the effects of NPWT on angiogenesis of diabetic wound model. As result, our data showed: 1) NPWT promoted the wound healing and blood perfusion on both diabetic and normal wound compared with control, 2) The NPWT increased wound vessel density, and the wound treated with NPWT showed well developed and more functional vessels at day 7 post operation compared with control 3) NPWT up regulated the expression of VEGF at day 3 and Ang1 at day 7 on RNA and protein level. 4) Ang2 was up regulated in diabetic rats but NPWT attenuated this affection. Our data indicated that NPWT increased vessel density and promoted the maturation of neovascular over the potential mechanism of up regulated VEGF and Ang1 and down regulated of Ang2. PMID:26064242

  5. Management of negative pressure wound therapy in the treatment of diabetic foot ulcers

    Science.gov (United States)

    Meloni, Marco; Izzo, Valentina; Vainieri, Erika; Giurato, Laura; Ruotolo, Valeria; Uccioli, Luigi

    2015-01-01

    Diabetic foot (DF) is a common complication of diabetes and the first cause of hospital admission in diabetic patients. In recent years several guidelines have been proposed to reinforce the the management of DF with a notable increase in diabetes knowledge and an overall reduction of amputations. Significant improvements have been reached in the treatment of diabetic foot ulcers (DFUs) and nowadays clinicians have several advanced medications to apply for the best local therapy. Among these, negative pressure wound therapy (NPWT) is a useful adjunct in the management of chronic and complex wounds to promote healing and wound bed preparation for surgical procedures such as skin grafts and flap surgery. NPWT has shown remarkable results although its mechanisms of action are not completely understood. In this paper, we offer a complete overview of this medication and its implication in the clinical setting. We have examined literature related to NPWT concerning human, animal and in vitro studies, and we have summarized why, when and how we can use NPWT to treat DFUs. Further we have associated our clinical experience to scientific evidence in the field of diabetic foot to identify a defined strategy that could guide clinician in the use of NPWT approaching to DFUs. PMID:25992316

  6. Role of negative pressure wound therapy in total hip and knee arthroplasty.

    Science.gov (United States)

    Siqueira, Marcelo Bp; Ramanathan, Deepak; Klika, Alison K; Higuera, Carlos A; Barsoum, Wael K

    2016-01-18

    Negative-pressure wound therapy (NPWT) has been a successful modality of wound management which is in widespread use in several surgical fields. The main mechanisms of action thought to play a role in enhancing wound healing and preventing surgical site infection are macrodeformation and microdeformation of the wound bed, fluid removal, and stabilization of the wound environment. Due to the devastating consequences of infection in the setting of joint arthroplasty, there has been some interest in the use of NPWT following total hip arthroplasty and total knee arthroplasty. However, there is still a scarcity of data reporting on the use of NPWT within this field and most studies are limited by small sample sizes, high variability of clinical settings and end-points. There is little evidence to support the use of NPWT as an adjunctive treatment for surgical wound drainage, and for this reason surgical intervention should not be delayed when indicated. The prophylactic use of NPWT after arthroplasty in patients that are at high risk for postoperative wound drainage appears to have the strongest clinical evidence. Several clinical trials including single-use NPWT devices for this purpose are currently in progress and this may soon be incorporated in clinical guidelines as a mean to prevent periprosthetic joint infections. PMID:26807353

  7. The Patient’s Conceptions of Wound Treatment with Negative Pressure Wound Therapy

    Directory of Open Access Journals (Sweden)

    Ann-Mari Fagerdahl

    2014-07-01

    Full Text Available During the last two decades, additional methods have been developed in wound care where traditional treatments have been insufficient. Negative pressure wound therapy (NPWT is one such method. This method has been described in multiple studies, but still, many pieces of the puzzle are missing to get a complete picture of NPWT’s impact on the patient’s health-related quality of life and how the patient experiences the treatment. The purpose of this study was to describe the patient’s conceptions of wound treatment with NPWT. The study was inspired by phenomenography, and eight interviews were conducted with patients treated with NPWT. The results of the study were grouped into two main categories: stress and adaptation. Three descriptive categories were presented under stress: personal environment, competence of the nursing staff and organization and continuity of the dressing changes. Two descriptive categories were presented under adaptation: knowledge and creativity and confidence with the healthcare. Patients were affected by the treatment, and at times, the stress meant that they had difficulty coping. The most common source of stress observed in this study was the care environment, particularly the organization of the dressing changes and deficiencies in the healthcare personnel’s competence.

  8. A Wireless Electroceutical Dressing Lowers Cost of Negative Pressure Wound Therapy

    Science.gov (United States)

    Ghatak, Piya Das; Schlanger, Richard; Ganesh, Kasturi; Lambert, Lynn; Gordillo, Gayle M.; Martinsek, Patsy; Roy, Sashwati

    2015-01-01

    Objective: To test whether the use of a wireless electroceutical dressing (WED) (Procellera®) in conjunction with a 5-day negative pressure wound therapy (NPWT) may reduce the number of dressing changes required per week with this therapy. Approach: At the Ohio State University Comprehensive Wound Center, chronic wound patients (n=30) undergoing NPWT were randomized into two arms following consent as approved by the institutional review board. The control arm received standard of care NPWT, where the dressing change was performed thrice a week. The test arm received the same care except that the WED was added as an interface layer and dressing change was limited to twice a week. Results: A reduced cost of care was achieved using the WED in conjunction with NPWT. Despite fewer dressing changes in wounds dressed with the WED, closure outcomes were comparable with no overt signs of any wound complication, including infection. The cost of NPWT care during the week was significantly lower (from $2918 to $2346) in the WED-treated group compared with patients in the control arm. Innovation: This work introduces a novel technology platform involving a WED, which may be used in conjunction with NPWT. If used as such, NPWT is effective in decreasing the frequency of dressing change and lowering the cost of care. Conclusion: This work points toward the benefit of using the WED combined with NPWT. A larger clinical trial investigating the cost-effectiveness of WED in wound care is warranted. PMID:26005596

  9. Evidence for Negative Effects of Elevated Intra-Abdominal Pressure on Pulmonary Mechanics and Oxidative Stress

    Directory of Open Access Journals (Sweden)

    I. Davarcı

    2015-01-01

    Full Text Available Objective. To compare the effects of pneumoperitoneum on lung mechanics, end-tidal CO2 (ETCO2, arterial blood gases (ABG, and oxidative stress markers in blood and bronchoalveolar lavage fluid (BALF during laparoscopic cholecystectomy (LC by using lung-protective ventilation strategy. Materials and Methods. Forty-six patients undergoing LC and abdominal wall hernia (AWH surgery were assigned into 2 groups. Measurements and blood samples were obtained before, during pneumoperitoneum, and at the end of surgery. BALF samples were obtained after anesthesia induction and at the end of surgery. Results. Peak inspiratory pressure, ETCO2, and pCO2 values at the 30th minute were significantly increased, while there was a significant decrease in dynamic lung compliance, pH, and pO2 values in LC group. In BALF samples, total oxidant status (TOS, arylesterase, paraoxonase, and malondialdehyde levels were significantly increased; the glutathione peroxidase levels were significantly decreased in LC group. The serum levels of TOS and paraoxonase were significantly higher at the end of surgery in LC group. In addition, arylesterase level in the 30th minute was increased compared to baseline. Serum paraoxonase level at the end of surgery was significantly increased when compared to AWH group. Conclusions. Our study showed negative effects of pneumoperitoneum in both lung and systemic levels despite lung-protective ventilation strategy.

  10. On the significance of negative-pressure wound therapy with instillation in dermatology.

    Science.gov (United States)

    Müller, Cornelia Sigrid Lissi; Burgard, Barbara; Zimmerman, Monika; Vogt, Thomas; Pföhler, Claudia

    2016-08-01

    Methods used in the treatment of acute and chronic wounds undergo constant evolution, reevaluation, and innovation. While negative-pressure wound therapy (NPWT) is an established treatment modality, the combination of NPWT and instillation of normal saline as well as solutions with active antiseptic components for topical treatment of the wound bed represents a novel approach. The well-known effects of NPWT may thus be combined with those of local antisepsis. They include a decrease in wound area, induction of granulation tissue, and reduction in bacterial colonization. To date, studies have focused on NPWT with instillation for orthopedic/surgical indications, whereas clinical data in dermatosurgery is limited to case reports or small case series. There are as yet no randomized prospective studies investigating NPWT with instillation in the treatment of skin disorders. The goal of this review is to present the method of NPWT with instillation, to highlight its mode of action as well as possible complications and contraindications, and to review the recent literature. In summary, there is increasing evidence that both simple and complicated wounds may be effectively treated with NPWT with instillation, resulting in markedly accelerated tissue granulation and thus earlier defect closure. PMID:27509412

  11. Negative pressure wound therapy for soft tissue injuries around the foot and ankle

    Directory of Open Access Journals (Sweden)

    Oh Jong-Keon

    2009-05-01

    Full Text Available Abstract Background This study was performed to evaluate the results of negative pressure wound therapy (NPWT in patients with open wounds in the foot and ankle region. Materials and methods Using a NPWT device, 16 patients were prospectively treated for soft tissue injuries around the foot and ankle. Mean patient age was 32.8 years (range, 3–67 years. All patients had suffered an acute trauma, due to a traffic accident, a fall, or a crush injury, and all had wounds with underlying tendon or bone exposure. Necrotic tissues were debrided before applying NPWT. Dressings were changed every 3 or 4 days and treatment was continued for 18.4 days on average (range, 11–29 days. Results Exposed tendons and bone were successfully covered with healthy granulation tissue in all cases except one. The sizes of soft tissue defects reduced from 56.4 cm2 to 42.9 cm2 after NPWT (mean decrease of 24%. In 15 of the 16 cases, coverage with granulation tissue was achieved and followed by a skin graft. A free flap was needed to cover exposed bone and tendon in one case. No major complication occurred that was directly attributable to treatment. In terms of minor complications, two patients suffered scar contracture of grafted skin. Conclusion NPWT was found to facilitate the rapid formation of healthy granulation tissue on open wounds in the foot and ankle region, and thus, to shorten healing time and minimize secondary soft tissue defect coverage procedures.

  12. Simplified Negative Pressure Wound Therapy Device for Application in Low-Resource Settings.

    Science.gov (United States)

    Zurovcik, Danielle R; Mody, Gita N; Riviello, Robert; Slocum, Alex

    2015-10-01

    Negative pressure wound therapy (NPWT) provides proven wound healing benefits and is often a desirable wound treatment methodology. Unfortunately, NPWT devices are not widely available in low-resource settings. To overcome the identified NPWT barriers, a simplified NPWT (sNPWT) system was designed and iteratively improved during field-based testing. The sNPWT technology, our device design iterations, and the design-based results of our field tests are described in this article. The sNPWT system includes a bellows hand pump, an occlusive drape, and a tube with tube connectors, connecting the drape to the pump. The most critical property of an sNPWT system is that it must be airtight. The details of the design iterations, which are needed to achieve an occlusive system, are explained. During the design process, the sNPWT system was tested during the earthquake relief in Haiti. This testing found that a liquid sealant was necessary to seal the drape to the periwound skin. A study conducted in Rwanda verified that a liquid latex sealant was safe to use, and that the tube connector must be connected to the drape with an airtight method during the manufacturing process. This work has shown that sNPWT is feasible in low-resource settings. Since the completion of the clinical testing, the design has been further evolved, and the developers are working with contract manufacturers to produce the final design and preparing for regulatory approval applications. PMID:26356213

  13. Prosthetic Vascular Graft Infections: Bacterial Cultures from Negative-Pressure-Wound-Therapy Foams Do Not Improve Diagnostics.

    Science.gov (United States)

    Scherrer, Alexandra U; Bloemberg, Guido; Zbinden, Reinhard; Zinkernagel, Annelies S; Fuchs, Claudio; Frauenfelder, Sandra; Rancic, Zoran; Mayer, Dieter; Hasse, Barbara

    2016-08-01

    We analyzed the diagnostic value of microorganisms cultured from negative-pressure-wound-therapy (NPWT) foam samples compared to that of microorganisms cultured from deep tissue samples from patients with vascular graft infections. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were 58%, 86%, 81%, and 66%, respectively. The diagnostic value of microbiological cultures from NPWT foams was poor. PMID:27252462

  14. Using CFD Surface Solutions to Shape Sonic Boom Signatures Propagated from Off-Body Pressure

    Science.gov (United States)

    Ordaz, Irian; Li, Wu

    2013-01-01

    The conceptual design of a low-boom and low-drag supersonic aircraft remains a challenge despite significant progress in recent years. Inverse design using reversed equivalent area and adjoint methods have been demonstrated to be effective in shaping the ground signature propagated from computational fluid dynamics (CFD) off-body pressure distributions. However, there is still a need to reduce the computational cost in the early stages of design to obtain a baseline that is feasible for low-boom shaping, and in the search for a robust low-boom design over the entire sonic boom footprint. The proposed design method addresses the need to reduce the computational cost for robust low-boom design by using surface pressure distributions from CFD solutions to shape sonic boom ground signatures propagated from CFD off-body pressure.

  15. Negative comparisons about one's appearance mediate the relationship between Facebook usage and body image concerns.

    Science.gov (United States)

    Fardouly, Jasmine; Vartanian, Lenny R

    2015-01-01

    Use of social media, such as Facebook, is pervasive among young women. Body dissatisfaction is also highly prevalent in this demographic. The present study examined the relationship between Facebook usage and body image concerns among female university students (N=227), and tested whether appearance comparisons on Facebook in general, or comparisons to specific female target groups (family members, close friends, distant peers [women one may know but do not regularly socialize with], celebrities) mediated this relationship. Results showed a positive relationship between Facebook usage and body image concerns, which was mediated by appearance comparisons in general, frequency of comparisons to close friends and distant peers, and by upward comparisons (judging one's own appearance to be worse) to distant peers and celebrities. Thus, young women who spend more time on Facebook may feel more concerned about their body because they compare their appearance to others (especially to peers) on Facebook. PMID:25462886

  16. SUPPLEMENTARY COMPARISON: Negative gauge pressure comparison: range -95 kPa to +95 kPa (EURAMET Project 1131)

    Science.gov (United States)

    Rantanen, Markku; Saxholm, Sari; Altintas, Aykurt; Pavis, Richard; Peterson, Guliko

    2010-01-01

    A pressure comparison in the negative gauge pressure range was arranged in 2009. The participating laboratories were CMI/Czech Republic, FORCE Technology/Denmark, AS Metrosert/Estonia and MIKES/Finland. Negative gauge pressures are a common range for pressure calibrations although uncertainty requirements are generally not very high. The results from the four participating laboratories suggest that calibrations in the negative gauge pressure range are not as easy as expected. Some of the claimed uncertainties were perhaps too optimistic, and the large variation in the results made it difficult to generate consistent reference values. The agreement of the results at positive gauge pressures on the same transfer standard was much better. Obviously there is a need for further comparisons in the negative gauge pressure range. The transfer standard was a multifunction calibrator Beamex MC5 equipped with an internal pressure module for the range -100 kPa to 104 kPa in the gauge mode. The resolution of the display was 0.001 kPa. The stability of the transfer standard was good. The comparison was registered as EURAMET Project No. 1131 and as the supplementary comparison EURAMET.M.P-S8 in the BIPM key comparison database. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by EURAMET, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  17. Many-body theory calculations of positron binding to negative ions

    OpenAIRE

    Ludlow, J. A.; Gribakin, G. F.

    2010-01-01

    A many-body theory approach developed by the authors [Phys. Rev. A 70, 032720 (2004)] is applied to positron bound states and annihilation rates in atomic systems. Within the formalism, full account of virtual positronium (Ps) formation is made by summing the electron-positron ladder diagram series, thus enabling the theory to include all important many-body correlation effects in the positron problem. Numerical calculations have been performed for positron bound states with the hydrogen and ...

  18. Analysis of low pressure electro-positive and electro-negative rf plasmas with Monte Carlo method

    OpenAIRE

    M. ARDEHALI

    1998-01-01

    Particle-in-cell/Monte Carlo technique is used to simulate low pressure electro-negative and electro-positive plasmas at a frequency of 10 MHz. The potential, electric field, electron and ion density, and currents flowing across the plasma are presented. To compare the physical properties of the electro-positive gas with those of an electro-negative gas, the input voltage was decreased from 1000 Volts to 350 Volts. The simulation results indicate that the introduction of negative ions induces...

  19. Effects on heart pumping function when using foam and gauze for negative pressure wound therapy of sternotomy wounds

    Directory of Open Access Journals (Sweden)

    Lindstedt Sandra

    2011-01-01

    Full Text Available Abstract Background Negative pressure wound therapy (NPWT has remarkable effects on the healing of poststernotomy mediastinitis. Foam is presently the material of choice for NPWT in this indication. There is now increasing interest in using gauze, as this has proven successful in the treatment of peripheral wounds. It is important to determine the effects of NPWT using gauze on heart pumping function before it can be used for deep sternotomy wounds. The aim was to examine the effects of NPWT when using gauze and foam on the heart pumping function during the treatment of a sternotomy wound. Methods Eight pigs underwent median sternotomy followed by NPWT at -40, -70, -120 and -160 mmHg, using foam or gauze. The heart frequency, cardiac output, mean systemic arterial pressure, mean pulmonary artery pressure, central venous pressure and left atrial pressure were recorded. Results Cardiac output was not affected by NPWT using gauze or foam. Heart frequency decreased during NPWT when using foam, but not gauze. Treatment with foam also lowered the central venous pressure and the left atrial pressure, while gauze had no such effects. Mean systemic arterial pressure, mean pulmonary artery pressure and systemic vascular resistance were not affected by NPWT. Similar haemodynamic effects were observed at all levels of negative pressure studied. Conclusions NPWT using foam results in decreased heart frequency and lower right and left atrial filling pressures. The use of gauze in NPWT did not affect the haemodynamic parameters studied. Gauze may thus provide an alternative to foam for NPWT of sternotomy wounds.

  20. Electrical admittance for filling of the heart during lower body negative pressure in humans

    DEFF Research Database (Denmark)

    Cai, Yan; Holm, Søren; Jenstrup, Morten; Strømstad, Morten; Eigtved, Annika; Warberg, Jørgen; Højgaard, Liselotte; Friberg, Lars; Secher H., Niels

    cardiac output, electrical impedance, heart rate, positron emission tomography, technetium-labeled erythrocytes......cardiac output, electrical impedance, heart rate, positron emission tomography, technetium-labeled erythrocytes...

  1. The Effects of Variable, Intermittent, and Continuous Negative Pressure Wound Therapy, Using Foam or Gauze, on Wound Contraction, Granulation Tissue Formation, and Ingrowth Into the Wound Filler

    OpenAIRE

    Malmsjö, Malin; Gustafsson, Lotta; Lindstedt, Sandra; Gesslein, Bodil; Ingemansson, Richard

    2012-01-01

    Objective: Negative pressure wound therapy (NPWT) is commonly used in the continuous mode. Intermittent pressure therapy (IPT) results in faster wound healing, but it often causes pain. Variable pressure therapy (VPT) has therefore been introduced to provide a smooth transition between 2 different pressure environments, thereby maintaining the negative pressure environment throughout the therapy. The aim of the present study was to examine the effects of IPT and VPT on granulation tissue form...

  2. Negative Pressure Wound Therapy on Closed Surgical Wounds With Dead Space

    Science.gov (United States)

    Suh, Hyunsuk; Lee, A-Young; Park, Eun Jung; Hong, Joon Pio

    2016-01-01

    Background Closed incisional wound surgery frequently leaves dead space under the repaired skin, which results in delayed healing. The purpose of this study was to evaluate the effect of negative pressure wound therapy (NPWT) on incisional wounds with dead space after primary closure by evaluating the fluid volume through the suction drain, blood flow of the skin, tensile strength, and histology of the wounds. Methods Bilateral 25-cm-long incisional wounds with dead space were created on the back of 6 pigs by partially removing the back muscle and then suturing the skin with nylon sutures. NPWT (experimental group) or gauze dressing (control group) was applied over the closed incision for 7 days. Analysis of the wound included monitoring the amount of closed suction drain, blood perfusion unit, tensile strength of the repaired skin, and histology of the incision site. Results The drainage amount was significantly reduced in the experimental group (49.8 mL) compared to the control group (86.2 mL) (P = 0.046). Skin perfusion was increased in the experimental group with statistical significance compared to the control group (P = 0.0175). Collagen staining was increased in the experimental group. The tensile strength of the incision site was significantly higher in the experimental group (24.6 N at 7 days, 61.67 N at 21 days) compared to the control group (18.26 N at 7 days, 50.05 N at 21 days) (P = 0.02). Conclusion This study explains some of the mechanism for using NPWT in closed incision wounds with dead space. It demonstrates that NPWT significantly reduces drainage amount, increases skin perfusion, increases tensile strength, and has the tendency to promote collagen synthesis for closed wound with dead space indicating enhanced healing. PMID:25003432

  3. Cost-Utility Analysis: Sartorius Flap versus Negative Pressure Therapy for Infected Vascular Groin Graft Managment

    Science.gov (United States)

    Macarios, David; Griffin, Leah; Kosowski, Tomasz; Pyfer, Bryan J.; Offodile, Anaeze C.; Driscoll, Daniel; Maddali, Sirish; Attwood, John

    2015-01-01

    Background: Sartorius flap coverage and adjunctive negative pressure wound therapy (NPWT) have been described in managing infected vascular groin grafts with varying cost and clinical success. We performed a cost–utility analysis comparing sartorius flap with NPWT in managing an infected vascular groin graft. Methods: A literature review compiling outcomes for sartorius flap and NPWT interventions was conducted from peer-reviewed journals in MEDLINE (PubMed) and EMBASE. Utility scores were derived from expert opinion and used to estimate quality-adjusted life years (QALYs). Medicare current procedure terminology and diagnosis-related groups codes were used to assess the costs for successful graft salvage with the associated complications. Incremental cost-effectiveness was assessed at $50,000/QALY, and both univariate and probabilistic sensitivity analyses were conducted to assess robustness of the conclusions. Results: Thirty-two studies were used pooling 384 patients (234 sartorius flaps and 150 NPWT). NPWT had better clinical outcomes (86.7% success rate, 0.9% minor complication rate, and 13.3% major complication rate) than sartorius flap (81.6% success rate, 8.0% minor complication rate, and 18.4% major complication rate). NPWT was less costly ($12,366 versus $23,516) and slightly more effective (12.06 QALY versus 12.05 QALY) compared with sartorius flap. Sensitivity analyses confirmed the robustness of the base case findings; NPWT was either cost-effective at $50,000/QALY or dominated sartorius flap in 81.6% of all probabilistic sensitivity analyses. Conclusion: In our cost–utility analysis, use of adjunctive NPWT, along with debridement and antibiotic treatment, for managing infected vascular groin graft wounds was found to be a more cost-effective option when compared with sartorius flaps. PMID:26893991

  4. The efficacy of negative pressure wound therapy on chemotherapeutic extravasation ulcers: An experimental study

    Directory of Open Access Journals (Sweden)

    Evren Isci

    2014-01-01

    Full Text Available Context: The extravasation of the chemotherapeutic agents is not an unusual phenomenon. Necrosis of the skin and underlying structures has been reported, depending on the cytotoxicity of the extravasating drug. Despite the presence of some antidotes, such wounds tend to enlarge with time and are likely to resist the treatment. Aims: The objective of this study was to investigate the efficacy of negative pressure wound therapy (NPWT on extravasation ulcers. Settings and Design: Animals were separated into two groups; conventional dressing group and NPWT group. Materials and Methods: Extravasation necrosis was established by intradermal doxorubicin injection. Following the debridement of the necrotic areas, one group of animals was treated with the conventional dressing while NPWT was applied to the other group. The wound areas were measured, and then biopsies were taken on the 3 rd , 7 th and 14 th days after the debridement. Statistical Analysis Used: SPSS 11.5 for Windows was used. Two-way ANOVA test was used to compare wound areas between groups. Willcoxon sign test with Bonferroni correction was used to compare histological scores between groups. Chi-square test with Bonferroni correction was used to compare histological scores within the group between the days. Results: There is no significant difference in terms of inflammatory cell count, neovascularisation, granulation tissue formation between the groups. Contrary to these results wound areas at the end of the treatment were smaller in the NPWT group compared with the dressing group. Conclusion: There is the superiority of NPWT over conventional dressing in chemotherapeutic extravasation wounds as well as the wound area is concerned, but it is not proven histologically.

  5. Clinical recommendations and practical guide for negative pressure wound therapy with instillation.

    Science.gov (United States)

    Gupta, Subhas; Gabriel, Allen; Lantis, John; Téot, Luc

    2016-04-01

    Effective wound management involves a comprehensive assessment of the patient and the wound to determine an optimal wound treatment plan. It is critical to identify and address factors that may impair wound healing, prior to selecting the most appropriate therapy for each patient. Negative pressure wound therapy (NPWT) is a well-established advanced therapy that has been successful in adjunctive management of acute and chronic wounds. In recent years, the introduction of topical wound solution delivery in combination with NPWT has provided further benefits to wound healing. A commercially available system now offers automated, volumetric control of instilled topical wound solutions with a dwell time in combination with NPWT (NPWTi-d; V.A.C. VeraFlo Therapy, KCI, an Acelity company, San Antonio, TX). This NPWTi-d system differs from other instillation systems in that a timed, predetermined volume of topical wound solution is intermittently delivered (versus continuously fed) and allowed to dwell in the wound bed (without NPWT), for a user-selected period of time before NPWT is resumed. This added accuracy and process simplification of solution delivery in tandem with NPWT have prompted use of NPWTi-d as first-line therapy in a wider subset of complex wounds. However, considerably more research is required to validate efficacy of NPWTi-d in various wound types. The purpose of this review is to provide a relevant overview of wound healing, describe current literature supporting the adjunctive use of NPWTi-d, propose a clinical approach for appropriate application of NPWTi-d and conclude with case studies demonstrating successful use of NPWTi-d. Based on this review, we conclude that either a large case series examining effects of NPWTi-d on different wound types or possibly a large prospective registry evaluating NPWTi-d with real-world topical wound solutions versus immediate debridement and closure would be valuable to the medical community in evaluating the

  6. Expression of HIF-1α in irradiated tissue is altered by topical negative-pressure therapy

    International Nuclear Information System (INIS)

    Background and Purpose: Despite the enormous therapeutic potential of modern radiotherapy, common side effects such as radiation-induced wound healing disorders remain a well-known clinical phenomenon. Topical negative pressure therapy (TNP) is a novel tool to alleviate intraoperative, percutaneous irradiation or brachytherapy. Since TNP has been shown to positively influence the perfusion of chronic, poorly vascularized wounds, the authors applied this therapeutic method to irradiated wounds and investigated the effect on tissue oxygenation in irradiated tissue in five patients. Material and Methods: With informed patients' consent, samples prior to and 4 and 8 days after continuous TNP with -125 mmHg were obtained during routine wound debridements. Granulation tissue was stained with hematoxylin-eosin, and additionally with CD31, HIF-1α (hypoxia-inducible factor-1α), and D2-40 to detect blood vessels, measure indirect signs of hypoxia, and lymph vessel distribution within the pre- and post-TNP samples. Results: In this first series of experiments, a positive influence of TNP onto tissue oxygenation in radiation-induced wounds could be demonstrated. TNP led to a significant decrease of 53% HIF-1α-positive cell nuclei. At the same time, a slight reduction of CD31-stained capillaries was seen in comparison to samples before TNP. Immunostaining with D2-40 revealed an increased number of lymphatic vessels with distended lumina and an alteration of the parallel orientation within the post-TNP samples. Conclusion: This study is, to the authors' knowledge, the first report on a novel previously not described histological marker to demonstrate the effects of TNP on HIF-1α expression as an indirect marker of tissue oxygenation in irradiated wounds, as demonstrated by a reduction of HIF-1α concentration after TNP. Since this observation may be of significant value to develop possible new strategies to treat radiation-induced tissue injury, further investigations of HIF

  7. Maternal endotoxemia results in increases in blood pressure and body weight in rats

    Institute of Scientific and Technical Information of China (English)

    WEI Yan-ling; LI Xiao-hui

    2008-01-01

    Objective To investigate the effects of prenatal exposure to lipopolysaccharide (LPS) on blood pressure and body weight of offspring in rats. Methods Sixteen healthy pregnant rats were randomly divided into two groups. The rats in LPS group were injected intraperitoneally with LPS (0.79 mg·kg-1) at the 8th, 10th, 12th day of gestation. Those in the control group were only treated with NS. After delivery, all offspring were weighed and blood pressure was measured by tail-cuff method once every two weeks from the 6th to 24th week. In the 15th week, their food intakes were weighed every day. At the end of the 24th week, the rats were put to death by decapitation. Abdominal adipose tissues were taken to weigh, and serum level of leptin was detected by RIA. Results The offspring with prenatal LPS exposure showed increased systemic arterial pressure, heavier body weight, elevated food intake, increased adipose tissue weight and increased circulating leptin compared with controls. Conclusions Prenatal exposure to LPS leads to increases in blood pressure and body weight in rats.

  8. Prenatal exposure to lipopolysaccharide results in increases in blood pressure and body weight in rats

    Institute of Scientific and Technical Information of China (English)

    Yan-ling WEI; Xiao-hui LI; Jian-zhi ZHOU

    2007-01-01

    Aim: To investigate the effects of prenatal exposure to lipopolysacchadde (LPS) on blood pressure and body weight of offspring in rats. Methods: Sixteen healthy,pregnant rats were randomly divided into 2 groups. The rats in the LPS group were injected intraperitoneally with LPS (0.79 mg/kg) on the d 8, d 10, and d 12 of gestation. Those in the control group were only treated with normal saline. After delivery, all offspring were weighed and blood pressure was measured by the tail-cuff method once every 2 weeks from the 6th to the 24th week. In the 15th week,their food intake was weighed every day. At the end of the 24th week, the rats were killed by decapitation. Abdominal adipose tissues were weighed, and the serum level of leptin was detected by radioimmunoassay. Results: The offspring with prenatal LPS exposure showed increased systemic arterial pressure, heavier body weight, elevated food intake, increased adipose tissue weight, and increased circulating leptin compared with the controls. Conclusion: Prenatal exposure to LPS leads to increases in blood pressure and body weight in rats.

  9. Evaluation of a Decision-Making Curriculum for Teaching Adolescents with Disabilities to Resist Negative Peer Pressure

    Science.gov (United States)

    Khemka, Ishita; Hickson, Linda; Mallory, Sarah B.

    2016-01-01

    This study was designed to assess the impact of a decision-making curriculum (PEER-DM) on the social peer relationship knowledge and self-protective decision-making skills of adolescents with disabilities in hypothetical situations involving negative peer pressure. A randomized design was used to assign students with disabilities from…

  10. Classroom Approach for Managing Dietary Restraint, Negative Eating Styles, and Body Image Concerns among College Women

    Science.gov (United States)

    Hawks, Steven R.; Madanat, Hala; Smith, TeriSue; De La Cruz, Natalie

    2008-01-01

    Objective: In this exploratory study, the authors evaluated the impact of an elective college course on dieting levels, eating styles, and body image among college women. Participants: Participants were a convenience sample of 29 self-selected female students at a western university who were mostly white, normal-weight seniors with significant…

  11. [Chronobiological approach to the treatment of patients with erectile dysfunction using a combination of local negative pressure and laser illumination].

    Science.gov (United States)

    Moskvin, S V; Ivanchenko, L P

    2014-01-01

    It is shown that the synchronization of energetic, spectral, frequency, and temporal parameters of technique with biorhythms of physiological processes in the organ, which is target of impact, and in the human body as a whole, allows to significantly improve efficiency, and achieve stable and reproducible results of treatment. The article presents the results of study including 62 patients with vasculogenic ED. The study design included the randomization of patients into 3 groups depending on the complex of the therapy with the use of combined techniques, including negative pressure and laser illumination (LLNP) as a part of combined therapy and as monotherapy. Significant increase in the peak flow velocity after a course of treatment was observed in all three groups of patients. Improvement in erectile function was observed in all groups; according to IIEF score, erectile function has increased by 22.3 +/- 0.05% in group 1, by 34 +/- 1.5% in the group 2, and by 19 +/- 1.7% in the group 3, indicating the best results of treatment in the group receiving combined therapy. Combination of LLNP with the administration of PDE5 inhibitors significantly increases the effectiveness of treatment of vasculogenic ED due to the influence of physical factors on the stabilization of hemodynamics in the main arteries of the penis. After a course of therapy, increase in systemic vascular elasticity by 39.8 +/- 1.5% was also noted. The efficiency of the LLNP methodology in the treatment of patients with vasculogenic ED is demonstrated. The best results were obtained in the group of patients treated with combined therapy, including the use of LLNP and PDE-5 inhibitor. PMID:25211927

  12. Assessing safety of negative-pressure wound therapy over pedicled muscle flaps: A retrospective review of gastrocnemius muscle flap.

    Science.gov (United States)

    Lance, Samuel; Harrison, Lindsey; Orbay, Hakan; Boudreault, David; Pereira, Gavin; Sahar, David

    2016-04-01

    The use of negative-pressure wound therapy (NPWT) for management of open wounds and immobilization of split-thickness skin grafts (STSGs) over wounds has been well described. However, there is a concern for potential compromise of flap viability when NPWT is used for skin grafts over pedicled muscle flaps. We have used NPWT to immobilize STSGs in eight patients who underwent a pedicled gastrocnemius muscle flap operation in our department. We applied a negative pressure of -75 mmHg on the muscle flaps for 5 days postoperatively. All wounds healed successfully, with a 97.5 ± 5.5% mean STSG uptake. No flap necrosis was observed. In our series, the use of NPWT for fixation of STSGs over pedicled gastrocnemius muscle flap was effective and had no negative impact on flap viability. PMID:26732293

  13. Effect of lower-body positive pressure on postural fluid shifts in men

    Science.gov (United States)

    Hinghofer-Szalkay, H.; Kravik, S. E.; Greenleaf, J. E.

    1988-01-01

    The effect of the lower-body positive pressure (LBPP) on the orthostatic fluid and protein shifts were investigated in five men during combined tilt-table/antigravity suit inflation and deflation experiments. Changes in the mass densities of venous blood and plasma were measured and the values were used to calculate the densities of erythrocytes, whole-body blood, and shifted fluid. It was found that the application of 60 mm Hg LBPP during 60-deg head-up tilt prevented about half of the postural hemoconcentration occurring during passive head-up tilt.

  14. The partitioning of nanoparticles to endothelium or interstitium during ultrasound-microbubble-targeted delivery depends on peak-negative pressure

    Energy Technology Data Exchange (ETDEWEB)

    Hsiang, Y.-H.; Song, J.; Price, R. J., E-mail: rprice@virginia.edu [University of Virginia, Department of Biomedical Engineering (United States)

    2015-08-15

    Patients diagnosed with advanced peripheral arterial disease often face poor prognoses and have limited treatment options. For some patient populations, the therapeutic growth of collateral arteries (i.e. arteriogenesis) that bypass regions affected by vascular disease may become a viable treatment option. Our group and others are developing therapeutic approaches centered on the ability of ultrasound-activated microbubbles to permeabilize skeletal muscle capillaries and facilitate the targeted delivery of pro-arteriogenic growth factor-bearing nanoparticles. The development of such approaches would benefit significantly from a better understanding of how nanoparticle diameter and ultrasound peak-negative pressure affect both total nanoparticle delivery and the partitioning of nanoparticles to endothelial or interstitial compartments. Toward this goal, using Balb/C mice that had undergone unilateral femoral artery ligation, we intra-arterially co-injected nanoparticles (50 and 100 nm) with microbubbles, applied 1 MHz ultrasound to the gracilis adductor muscle at peak-negative pressures of 0.7, 0.55, 0.4, and 0.2 MPa, and analyzed nanoparticle delivery and distribution. As expected, total nanoparticle (50 and 100 nm) delivery increased with increasing peak-negative pressure, with 50 nm nanoparticles exhibiting greater tissue coverage than 100 nm nanoparticles. Of particular interest, increasing peak-negative pressure resulted in increased delivery to the interstitium for both nanoparticle sizes, but had little influence on nanoparticle delivery to the endothelium. Thus, we conclude that alterations to peak-negative pressure may be used to adjust the fraction of nanoparticles delivered to the interstitial compartment. This information will be useful when designing ultrasound protocols for delivering pro-arteriogenic nanoparticles to skeletal muscle.

  15. Birth weight, current body weight, and blood pressure in late adolescence.

    OpenAIRE

    Seidman, D S; Laor, A.; Gale, R; Stevenson, D K; Mashiach, S; Danon, Y L

    1991-01-01

    Objective--To study the effect of birth weight and body weight on blood pressure in late adolescence. Design--Analysis of data on weight, height, and blood pressure at age 17 of subjects from the Jerusalem perinatal study, according to their birth weight. Data for men and women were analysed separately. Setting--Jerusalem, Israel. Subjects--32,580 subjects (19,734 men and 12,846 women) born in the three major hospitals in Jerusalem during 1964-71 and subsequently drafted in to the army. MAIN ...

  16. Body Conscious? Interoceptive Awareness, Measured by Heartbeat Perception, Is Negatively Correlated with Self-Objectification

    OpenAIRE

    Vivien Ainley; Manos Tsakiris

    2013-01-01

    BACKGROUND: 'Self-objectification' is the tendency to experience one's body principally as an object, to be evaluated for its appearance rather than for its effectiveness. Within objectification theory, it has been proposed that self-objectification accounts for the poorer interoceptive awareness observed in women, as measured by heartbeat perception. Our study is, we believe, the first specifically to test this relationship. METHODOLOGY/PRINCIPAL FINDINGS: Using a well-validated and reliable...

  17. Automatic blood pressure measuring system (M092)

    Science.gov (United States)

    Nolte, R. W.

    1977-01-01

    The Blood Pressure Measuring System is described. It measures blood pressure by the noninvasive Korotkoff sound technique on a continual basis as physical stress is imposed during experiment M092, Lower Body Negative Pressure, and experiment M171, Metabolic Activity.

  18. Study of blood pressure and blood sugar levels in adolescence and comparison with body mass index

    OpenAIRE

    Ashwin Borade; Gauri Shashank Kadam; Gayatri Bhide; Ram Dhongade

    2011-01-01

    Background: Worldwide prevalence of overweight and obesity is increasing and its consequences prompted the WHO to designate obesity as a global epidemic in 2002. Being overweight is a risk factor for significant illness, especially diabetes and hypertension in adult life. Objectives : To study the blood pressure and blood sugar levels and lifestyle parameters in adolescence and comparison with body mass index. Materials and Methods: In a prospective case control study, out of the 1000 screene...

  19. Force Sensing Resistor and Evaluation of Technology for Wearable Body Pressure Sensing

    OpenAIRE

    Davide Giovanelli; Elisabetta Farella

    2016-01-01

    Wearable technologies are gaining momentum and widespread diffusion. Thanks to devices such as activity trackers, in form of bracelets, watches, or anklets, the end-users are becoming more and more aware of their daily activity routine, posture, and training and can modify their motor-behavior. Activity trackers are prevalently based on inertial sensors such as accelerometers and gyroscopes. Loads we bear with us and the interface pressure they put on our body also affect posture. A contact i...

  20. Disagreement in primary study selection between systematic reviews on negative pressure wound therapy

    Directory of Open Access Journals (Sweden)

    Sauerland Stefan

    2008-06-01

    Full Text Available Abstract Background Primary study selection between systematic reviews is inconsistent, and reviews on the same topic may reach different conclusions. Our main objective was to compare systematic reviews on negative pressure wound therapy (NPWT regarding their agreement in primary study selection. Methods This retrospective analysis was conducted within the framework of a systematic review (a full review and a subsequent rapid report on NPWT prepared by the Institute for Quality and Efficiency in Health Care (IQWiG. For the IQWiG review and rapid report, 4 bibliographic databases (MEDLINE, EMBASE, The Cochrane Library, and CINAHL were searched to identify systematic reviews and primary studies on NPWT versus conventional wound therapy in patients with acute or chronic wounds. All databases were searched from inception to December 2006. For the present analysis, reviews on NPWT were classified as eligible systematic reviews if multiple sources were systematically searched and the search strategy was documented. To ensure comparability between reviews, only reviews published in or after December 2004 and only studies published before June 2004 were considered. Eligible reviews were compared in respect of the methodology applied and the selection of primary studies. Results A total of 5 systematic reviews (including the IQWiG review and 16 primary studies were analysed. The reviews included between 4 and 13 primary studies published before June 2004. Two reviews considered only randomised controlled trials (RCTs. Three reviews considered both RCTs and non-RCTs. The overall agreement in study selection between reviews was 96% for RCTs (24 of 25 options and 57% for non-RCTs (12 of 21 options. Due to considerable disagreement in the citation and selection of non-RCTs, we contacted the review authors for clarification (this was not initially planned; all authors or institutions responded. According to published information and the additional

  1. Pressure transduction and fluid evacuation during conventional negative pressure wound therapy of the open abdomen and NPWT using a protective disc over the intestines

    Directory of Open Access Journals (Sweden)

    Lindstedt Sandra

    2012-03-01

    Full Text Available Abstract Background Negative pressure wound therapy (NPWT has gained acceptance among surgeons, for the treatment of open abdomen, since very high closure rates have been reported with this method, compared to other kinds of wound management for the open abdomen. However, the method has occasionally been associated with increased development of fistulae. We have previously shown that NPWT induces ischemia in the underlying small intestines close to the vacuum source, and that a protective disc placed between the intestines and the vacuum source prevents the induction of ischemia. In this study we compare pressure transduction and fluid evacuation of the open abdomen with conventional NPWT and NPWT with a protective disc. Methods Six pigs underwent midline incision and the application of conventional NPWT and NPWT with a protective disc between the intestines and the vacuum source. The pressure transduction was measured centrally beneath the dressing, and at the anterior abdominal wall, before and after the application of topical negative pressures of -50, -70 and -120 mmHg. The drainage of fluid from the abdomen was measured, with and without the protective disc. Results Abdominal drainage was significantly better (p Conclusions The drainage of the open abdomen was significantly more effective when using NWPT with the protective disc than with conventional NWPT. This is believed to be due to the more even and effective pressure transduction in the open abdomen using a protective disc in combination with NPWT.

  2. Salivary latent trait cortisol (LTC): Relation to lipids, blood pressure, and body composition in middle childhood.

    Science.gov (United States)

    Yeung, Ellen W; Place, Rebecca; Gordish-Dressman, Heather; Visich, Paul; Hoffman, Eric; Walker, Sheila O; Granger, Douglas A

    2016-09-01

    Adversity experienced early in life has the potential to influence physical health later in life. The stress-health relation may be partially explained by stress-related effects on cardiovascular risk factors. This study explored links between individual differences in trait-like variation in the activity of the hypothalamic-pituitary-adrenal (HPA) axis with cardiovascular risk factors in children. 474 children (M age=9.22years; 54% female; 83% Caucasian) were included in this study, in which cardiovascular risk was assessed using the following indices - triglycerides (TG), HDL-cholesterol (HDL-C), glucose (Glu); resting systolic and diastolic blood pressure, body mass index (BMI), waist-to-hip ratio, and % fat. Saliva samples were measured 3 times a day (waking, 30min post-waking and bedtime) over 3days (later assayed for cortisol). A latent trait cortisol (LTC) factor explained 43% of the variance in cortisol levels within and across days. Confirmatory factor analysis identified three cardiovascular risk factors: lipids (i.e., TG and HDL-C), blood pressure (i.e., systolic and diastolic), and body composition (i.e., BMI, Waist-to-hip ratio, and % fat). Lower salivary LTC was associated with higher lipids, higher blood pressure, and higher body composition. The findings further support the internal and external validity of the LTC construct, and may also advance our understanding of the link between interindividual differences in HPA axis activity and cardiovascular risk in middle childhood. PMID:27262343

  3. Relation of Body's Lean Mass, Fat Mass, and Body Mass Index With Submaximal Systolic Blood Pressure in Young Adult Men.

    Science.gov (United States)

    Prasad, Vivek K; Drenowatz, Clemens; Hand, Gregory A; Lavie, Carl J; Sui, Xuemei; Demello, Madison; Blair, Steven N

    2016-02-01

    We examined the association of body composition and body mass index (BMI) with submaximal systolic blood pressure (SSBP) among young adult men. The analysis included 211 men with BMI between 20 and 35 kg/m(2). Total lean mass and fat mass were measured using dual x-ray absorptiometry and lean mass percentage was calculated from the total lean mass. Fat mass index (FMI) and BMI were calculated using height and weight (total fat mass and total weight, respectively) measurements. SSBP was measured at each stage of a graded exercise test. Quintiles of lean mass percentage, FMI, and BMI were created with quintile 1 the lowest and quintile 5 the highest lean mass percentage, FMI, and BMI. Compared with men in lean mass percentage quintile 1, those in quintiles 2, 3, and 4 had significantly lower SSBP, whereas there was no significant difference in SSBP between quintile 1 and 5 at 6, 8, and 10 minutes. Compared with men in FMI quintile 5, those in quintiles 2, 3, and 4 had significantly lower SSBP, whereas there was no significant difference in SSBP between quintile 1 and 5. SSBP among men in lean mass percentage quintile 5 and FMI quintile 1 were still less than lean mass percentage quintile 1 and FMI quintile 5, respectively. There were no significant differences in SSBP across BMI quintiles 1 to 4 but a significantly higher SSBP in quintile 5 compared with quintiles 1 to 4. In conclusion, there was a J-curve pattern between SSBP and components of body composition, whereas, a linear relation between SSBP and BMI. PMID:26718229

  4. Use of dynamic CT in acute respiratory distress syndrome (ARDS) with comparison of positive and negative pressure ventilation

    Energy Technology Data Exchange (ETDEWEB)

    Helm, Emma; Babyn, Paul [Hospital for Sick Children, Department of Diagnostic Imaging, Toronto (Canada); Talakoub, Omid; Alirezaie, Javad [Ryerson University, Department of Electrical and Computer Engineering, Toronto, ON (Canada); Grasso, Francesco; Engelberts, Doreen; Kavanagh, Brian P. [Hospital for Sick Children and the University of Toronto, Departments of Anesthesia and Critical Care Medicine and the Program in Pulmonary and Experimental Medicine, Toronto (Canada)

    2009-01-15

    Negative pressure ventilation via an external device ('iron lung') has the potential to provide better oxygenation with reduced barotrauma in patients with ARDS. This study was designed to see if oxygenation differences between positive and negative ventilation could be explained by CT. Six anaesthetized rabbits had ARDS induced by repeated saline lavage. Rabbits were ventilated with positive pressure ventilation (PPV) and negative pressure ventilation (NPV) in turn. Dynamic CT images were acquired over the respiratory cycle. A computer-aided method was used to segment the lung and calculate the range of CT densities within each slice. Volumes of ventilated lung and atelectatic lung were measured over the respiratory cycle. NPV was associated with an increased percentage of ventilated lung and decreased percentage of atelectatic lung. The most significant differences in ventilation and atelectasis were seen at mid-inspiration and mid-expiration (ventilated lung NPV=61%, ventilated lung PPV=47%, p<0.001; atelectatic lung NPV=10%, atelectatic lung PPV 19%, p<0.001). Aeration differences were not significant at end-inspiration. Dynamic CT can show differences in lung aeration between positive and negative ventilation in ARDS. These differences would not be appreciated if only static breath-hold CT was used. (orig.)

  5. Influence of lower body pressure support on the walking patterns of healthy children and adults.

    Science.gov (United States)

    Kurz, Max J; Deffeyes, Joan E; Arpin, David J; Karst, Gregory M; Stuberg, Wayne A

    2012-11-01

    The purpose of this investigation was to evaluate the effect of a lower body positive pressure support system on the joint kinematics and activity of the lower extremity antigravity musculature of adults and children during walking. Adults (age = 25 ± 4 years) and children (age = 13 ± 2 years) walked at a preferred speed and a speed that was based on the Froude number, while 0-80% of their body weight was supported. Electrogoniometers were used to monitor knee and ankle joint kinematics. Surface electromyography was used to quantify the magnitude of the vastus lateralis and gastrocnemius muscle activity. There were three key findings: (1) The lower extremity joint angles and activity of the lower extremity antigravity muscles of children did not differ from those of adults. (2) The magnitude of the changes in the lower extremity joint motion and antigravity muscle activity was dependent upon an interaction between body weight support and walking speed. (3) Lower body positive pressure support resulted in reduced activation of the antigravity musculature, and reduced range of motion of the knee and ankle joints. PMID:22695469

  6. Pressure transduction and fluid evacuation during conventional negative pressure wound therapy of the open abdomen and NPWT using a protective disc over the intestines

    OpenAIRE

    Lindstedt Sandra; Malmsjö Malin; Hansson Johan; Hlebowicz Joanna; Ingemansson Richard

    2012-01-01

    Abstract Background Negative pressure wound therapy (NPWT) has gained acceptance among surgeons, for the treatment of open abdomen, since very high closure rates have been reported with this method, compared to other kinds of wound management for the open abdomen. However, the method has occasionally been associated with increased development of fistulae. We have previously shown that NPWT induces ischemia in the underlying small intestines close to the vacuum source, and that a protective di...

  7. Changes in subcutaneous blood flow during locally applied negative pressure to the skin

    DEFF Research Database (Denmark)

    Skagen, K; Henriksen, O

    1983-01-01

    The effect of locally applied subatmospheric pressure on subcutaneous blood flow was studied in 12 healthy subjects. Blood flow was measured on the forearm by the local 133Xe wash-out technique. Air suction between 10 mmHg and 250 mmHg was applied to the skin. Subatmospheric pressure of 20 mm...... veno-arteriolar axon reflex mechanism. The results suggest that the dominant part of the vasoconstriction induced by the local axon reflex occurs when vascular transmural pressure increases from 20 mmHg to 40 mmHg....

  8. Exercise training with negative pressure ventilation improves exercise capacity in patients with severe restrictive lung disease: a prospective controlled study

    OpenAIRE

    Ho, Shu-Chuan; Lin, Horng-Chyuan; Kuo, Han-Pin; Chen, Li-Fei; Sheng, Te-Fang; Jao, Wen-Ching; Wang, Chun-Hua; Lee, Kang-Yun

    2013-01-01

    Background Exercise training is of benefit for patients with restrictive lung disease. However, it tends to be intolerable for those with severe disease. We examined whether providing ventilatory assistance by using negative pressure ventilators (NPV) during exercise training is feasible for such patients and the effects of training. Methods 36 patients with restrictive lung disease were prospectively enrolled for a 12-week multidisciplinary rehabilitation program. During this program, half o...

  9. Evaluation of a Decision-Making Curriculum for Teaching Adolescents with Disabilities to Resist Negative Peer Pressure.

    Science.gov (United States)

    Khemka, Ishita; Hickson, Linda; Mallory, Sarah B

    2016-07-01

    This study was designed to assess the impact of a decision-making curriculum (PEER-DM) on the social peer relationship knowledge and self-protective decision-making skills of adolescents with disabilities in hypothetical situations involving negative peer pressure. A randomized design was used to assign students with disabilities from self-contained special education classes to an intervention group (n = 22) or a wait-list control group (n = 20). ANCOVA analyses, using pretest scores as covariates, indicated that students who were trained on PEER-DM had significantly higher effective decision-making action and correct risk perception scores, relative to participants in the control group. This study provides supporting evidence that PEER-DM is a promising intervention for students with disabilities, including those with identified autism spectrum disorders, during transition years to help them develop a better understanding of positive and negative peer relationships and learn systematic decision-making skills for improved handling of social situations in the school and community, especially situations involving negative peer pressure. The study adds credence to using systematic, strategy-based decision making interventions designed to address the cognitive, emotional and motivational processes underlying adolescent decision making in sensitive interpersonal situations involving peer pressure. The study points to the lack of preparedness to handle situations of negative peer pressure as a serious social and health risk for adolescents with disabilities that deserves urgent and concerted attention in transition services programming. Implications for future curriculum-development efforts and replication of treatment findings are discussed. Future research examining disability-specific patterns of decision-making in peer situations and comparisons with typically developing populations is recommended. PMID:26993636

  10. Application of negative pressure wound therapy in patients with wound dehiscence after abdominal open surgery: a single center experience

    OpenAIRE

    Jang, Ji Young; Shim, Hongjin; Lee, Yun Jin; Lee, Seung Hwan; Lee, Jae Gil

    2013-01-01

    Purpose Since the 1990's, negative pressure wound therapy (NPWT) has been used to treat soft tissue defects, burn wounds, and to achieve skin graft fixation. In the field of abdominal surgery, the application of NPWT is increasing in cases with an open abdominal wound requiring temporary wound closure and a second look operation. In the present study, the authors analyzed patients that underwent NPWT for postoperative wound dehiscence. Methods The computerized records of patients that had und...

  11. Effects of Negative Pressure Wound Therapy on Mesenchymal Stem Cells Proliferation and Osteogenic Differentiation in a Fibrin Matrix

    OpenAIRE

    Jin Zhu; Aixi Yu; Baiwen Qi; Zonghuan Li; Xiang Hu

    2014-01-01

    Vacuum-assisted closure (VAC) negative pressure wound therapy (NPWT) has been proven to be an effective therapeutic method for the treatment of recalcitrant wounds. However, its role in bone healing remains to be unclear. Here, we investigated the effects of NPWT on rat periosteum-derived mesenchymal stem cells (P-MSCs) proliferation and osteoblastic differentiation in a 3D fibrin matrix. P-MSCs underwent primary culture for three passages before being used to construct cell clots. The fibrin...

  12. Novel Use of Insulin in Continuous-Instillation Negative Pressure Wound Therapy as “Wound Chemotherapy”

    OpenAIRE

    Scimeca, Christy L; Bharara, Manish; Fisher, Timothy K.; Kimbriel, Heather; Mills, Joseph L.; Armstrong, David G.

    2010-01-01

    Negative pressure wound therapy (NPWT) is frequently employed in the treatment of complex wounds. A variety of wound chemotherapeutic agents such as insulin, which acts as a growth factor, may prove helpful in treatment as well. We present a case report in which insulin was used as a chemotherapeutic agent in continuous-instillation NPWT. To our knowledge, this is the first report in the literature describing this method of delivery.

  13. Negative-pressure wound therapy induces endothelial progenitor cell mobilization in diabetic patients with foot infection or skin defects

    OpenAIRE

    Seo, Sang Gyo; Yeo, Ji Hyun; Kim, Ji Hye; Kim, Ji-Beom; Cho, Tae-Joon; Lee, Dong Yeon

    2013-01-01

    Non healing chronic wounds are difficult to treat in patients with diabetes and can result in severe medical problems for these patients and for society. Negative-pressure wound therapy (NPWT) has been adopted to treat intractable chronic wounds and has been reported to be effective. However, the mechanisms underlying the effects of this treatment have not been elucidated. To assess the vasculogenic effect of NPWT, we evaluated the systemic mobilization of endothelial progenitor cells (EPCs) ...

  14. Prospective Study Examining Clinical Outcomes Associated with a Negative Pressure Wound Therapy System and Barker’s Vacuum Packing Technique

    OpenAIRE

    Cheatham, Michael L.; Demetriades, Demetrios; Fabian, Timothy C; Kaplan, Mark J.; Miles, William S.; Schreiber, Martin A; Holcomb, John B.; Bochicchio, Grant; Sarani, Babak; Rotondo, Michael F.

    2013-01-01

    Background The open abdomen has become a common procedure in the management of complex abdominal problems and has improved patient survival. The method of temporary abdominal closure (TAC) may play a role in patient outcome. Methods A prospective, observational, open-label study was performed to evaluate two TAC techniques in surgical and trauma patients requiring open abdomen management: Barker’s vacuum-packing technique (BVPT) and the ABTheraTM open abdomen negative pressure therapy system ...

  15. Negative pressure wound therapy management of the “open abdomen” following trauma: a prospective study and systematic review

    OpenAIRE

    Navsaria Pradeep; Nicol Andrew; Hudson Donald; Cockwill John; Smith Jennifer

    2013-01-01

    Abstract Introduction The use of Negative Pressure Wound Therapy (NPWT) for temporary abdominal closure of open abdomen (OA) wounds is widely accepted. Published outcomes vary according to the specific nature and the aetiology that resulted in an OA. The aim of this study was to evaluate the effectiveness of a new NPWT system specifically used OA resulting from abdominal trauma. Methods A prospective study on trauma patients requiring temporary abdominal closure (TAC) with grade 1or 2 OA was ...

  16. Negative Pressure Wound Therapy Applied Before and After Split-Thickness Skin Graft Helps Healing of Fournier Gangrene

    OpenAIRE

    Ye, Junna; Xie, Ting; Wu, Minjie; Ni, Pengwen; Lu, Shuliang

    2015-01-01

    Abstract Fournier gangrene is a rare but highly infectious disease characterized by fulminant necrotizing fasciitis involving the genital and perineal regions. Negative pressure wound therapy (NPWT; KCI USA Inc, San Antonio, TX) is a widely adopted technique in many clinical settings. Nevertheless, its application and effect in the treatment of Fournier gangrene are unclear. A 47-year-old male patient was admitted with an anal abscess followed by a spread of the infection to the scrotum, whic...

  17. The concept of negative pressure wound therapy (NPWT) after poststernotomy mediastinitis – a single center experience with 54 patients

    OpenAIRE

    Vogt Peter M; Pietrowski Detlef; Malkoc Anita; Ennker Ina C; Ennker Juergen; Albert Alexander

    2009-01-01

    Abstract Deep sternal infections, also known as poststernotomy mediastinitis, are a rare but often fatal complication in cardiac surgery. They are a cause of increased morbidity and mortality and have a significant socioeconomic aspect concerning the health system. Negative pressure wound therapy (NPWT) followed by muscular pectoralis plasty is a quite new technique for the treatment of mediastinitis after sternotomy. Although it could be demonstrated that this technique is at least as safe a...

  18. Effects on heart pumping function when using foam and gauze for negative pressure wound therapy of sternotomy wounds

    OpenAIRE

    Lindstedt Sandra; Malmsjö Malin; Ingemansson Richard

    2011-01-01

    Abstract Background Negative pressure wound therapy (NPWT) has remarkable effects on the healing of poststernotomy mediastinitis. Foam is presently the material of choice for NPWT in this indication. There is now increasing interest in using gauze, as this has proven successful in the treatment of peripheral wounds. It is important to determine the effects of NPWT using gauze on heart pumping function before it can be used for deep sternotomy wounds. The aim was to examine the effects of NPWT...

  19. Low-cost Negative-pressure Wound Therapy Using Wall Vacuum: A 15 Dollars by Day Alternative

    OpenAIRE

    Chaput, Benoit; Garrido, Ignacio; Eburdery, Harold; Grolleau, Jean Louis; Chavoin, Jean Pierre

    2015-01-01

    Background: Negative-pressure wound therapy (NPWT) has been marketed for about 20 years and remains popular. The only real obstacle to NPWT is the cost; therefore, we designed an inexpensive NPWT connected to a wall vacuum. Here, we report the feasibility and safety of this product, which we call PROVACUUM (Z-Biotech, Saint-Avertin, France). Methods: As a first step, the constraints imposed on the manufacturer were equipment quality similar to that of commercial NPWT systems, with an average ...

  20. Use of Bacteria- and Fungus-Binding Mesh in Negative Pressure Wound Therapy Provides Significant Granulation Tissue Without Tissue Ingrowth

    OpenAIRE

    Malmsjö, Malin; Lindstedt Ingemansson, Sandra; Ingemansson, Richard; Gustafsson, Lotta

    2014-01-01

    Objective: Bacteria- and fungus-binding mesh traps and inactivates bacteria and fungus, which makes it interesting, alternative, and wound filler for negative pressure wound therapy (NPWT). The aim of this study was to compare pathogen-binding mesh, black foam, and gauze in NPWT with regard to granulation tissue formation and ingrowth of wound bed tissue in the wound filler. Methods: Wounds on the backs of 8 pigs underwent 72 hours of NPWT using pathogen-binding mesh, foam, or gauze. Microdef...

  1. Negative pressure wound therapy promotes vessel destabilization and maturation at various stages of wound healing and thus influences wound prognosis

    OpenAIRE

    Ma, Zhanjun; SHOU, KANGQUAN; LI, ZONGHUAN; Jian, Chao; QI, BAIWEN; Yu, Aixi

    2016-01-01

    Negative pressure wound therapy (NPWT) has been observed to accelerate the wound healing process in humans through promoting angiogenesis. However, the potential biological effect and relevant molecular mechanisms, including microvessel destabilization, regression and endothelial cell proliferation in the early stage (1–3 days), and the neovascular stabilization and maturation in the later stage (7–15 days), have yet to be fully elucidated. The current study aimed to research the potential ef...

  2. Negative Pressure Wound Therapy in Infected Wound following Posterior Spinal Instrumentation using Simple Self-assembled System: A Case Report

    OpenAIRE

    Chang, CW; Chan, HZ; Lim, SW; Khoo, EH; Zulkiflee, O

    2014-01-01

    Abstract Postoperative wound infection in an instrumented spine patient is often disastrous. Management includes implant removal leading to spine instability. Negative pressure wound therapy (NPWT) applied to the spine surgical wound is one of the wound care technique with successful results. We report a case of a man who sustained Chance fracture of Lumbar 1 (L1) vertebra treated with long segment posterior instrumentation, who unfortunately developed Extended-spectrum beta-lactamase (ESBL) ...

  3. Negative Pressure Wound Therapy Decreases Mortality in a Murine Model of Burn-Wound Sepsis Involving Pseudomonas aeruginosa Infection

    OpenAIRE

    Yang Liu; Qin Zhou; Yunchuan Wang; Zhengcai Liu; Maolong Dong; Yaojun Wang; Xiao Li; Dahai Hu

    2014-01-01

    BACKGROUND: The colonization of burn wounds by Pseudomonas aeruginosa can lead to septic shock, organ injuries, and high mortality rates. We hypothesized that negative pressure wound therapy (NPWT) would decrease invasion and proliferation of P. aeruginosa within the burn wound and reduce mortality. METHODS: Thermal injuries were induced in anesthetized mice, and P. aeruginosa was applied to the wound surface for 24 h. After removing the burn eschar and debridement, the animals were subjected...

  4. Negative Pressure Wound Therapy for the Treatment of the Open Abdomen and Incidence of Enteral Fistulas: A Retrospective Bicentre Analysis

    OpenAIRE

    Sven Richter; Stefan Dold; Johannes P. Doberauer; Peter Mai; Jochen Schuld

    2013-01-01

    Introduction. The open abdomen (OA) is often associated with complications. It has been hypothesized that negative pressure wound therapy (NPWT) in the treatment of OA may provoke enteral fistulas. Therefore, we analyzed patients with OA and NPWT with special regard to the occurrence of intestinal fistulas. Methods. The present study included all consecutive patients with OA treated with NWPT from April 2010 to August 2011 in two hospitals. Patients' demographics, indications for OA, risk fac...

  5. A rigid barrier between the heart and sternum protects the heart and lungs against rupture during negative pressure wound therapy

    OpenAIRE

    Malmsjö Malin; Ingemansson Richard; Lindstedt Sandra

    2011-01-01

    Abstract Objectives Right ventricular heart rupture is a devastating complication associated with negative pressure wound therapy (NPWT) in cardiac surgery. The use of a rigid barrier has been suggested to offer protection against this lethal complication, by preventing the heart from being drawn up and damaged by the sharp edges of the sternum. The aim of the present study was to investigate whether a rigid barrier protects the heart and lungs against injury during NPWT. Methods Sixteen pigs...

  6. Microvascular blood flow response in the intestinal wall and the omentum during negative wound pressure therapy of the open abdomen

    OpenAIRE

    Hlebowicz, Joanna; Hansson, Johan; Lindstedt, Sandra

    2011-01-01

    Purpose Higher closure rates of the open abdomen have been reported with negative pressure wound therapy (NPWT) compared with other wound therapy techniques. However, the method has occasionally been associated with increased development of intestinal fistulae. The present study measures microvascular blood flow in the intestinal wall and the omentum before and during NPWT. Methods Six pigs underwent midline incision and application of NPWT to the open abdomen. The microvascular blood flow in...

  7. Negative Pressure Wound Therapy on Surgical Site Infections in Women Undergoing Elective Caesarean Sections: A Pilot RCT

    OpenAIRE

    Wendy Chaboyer; Vinah Anderson; Joan Webster; Anne Sneddon; Lukman Thalib; Gillespie, Brigid M

    2014-01-01

    Obese women undergoing caesarean section (CS) are at increased risk of surgical site infection (SSI). Negative Pressure Wound Therapy (NPWT) is growing in use as a prophylactic approach to prevent wound complications such as SSI, yet there is little evidence of its benefits. This pilot randomized controlled trial (RCT) assessed the effect of NPWT on SSI and other wound complications in obese women undergoing elective caesarean sections (CS) and also the feasibility of conducting a defi...

  8. Application of the Single Use Negative Pressure Wound Therapy Device (PICO) on a Heterogeneous Group of Surgical and Traumatic Wounds

    OpenAIRE

    Payne, Caroline; Edwards, Daren

    2014-01-01

    Objectives: Traumatic wounds and surgery inherently have their complications. Localized infections, wound dehiscence, and excessive wound leakage can be devastating to the patient with a prolonged recovery, but it is also costly to the hospital with an increased length of stay, extra workload, and dressing changes. The single use PICO (Smith and Nephew Healthcare, Hull, United Kingdom) negative pressure wound therapy (NPWT) dressing has revolutionized our management of various acute, chronic,...

  9. EURAMET.M.P-S9: comparison in the negative gauge pressure range ‑950 to 0 hPa

    Science.gov (United States)

    Saxholm, S.; Otal, P.; AltintaS, A.; Bermanec, L. G.; Durgut, Y.; Hanrahan, R.; Kocas, I.; Lefkopoulos, A.; Pražák, D.; Sandu, I.; Åetina, J.; Spohr, I.; Steindl, D.; Tammik, K.; Testa, N.

    2016-01-01

    A comparison in the negative gauge pressure range was arranged in the period 2011 - 2012. A total of 14 laboratories participated in this comparison: BEV (Austria), CMI (Czech Republic), DANIAmet-FORCE (Denmark), EIM (Greece), HMI/FSB-LPM (Croatia), INM (Romania), IPQ (Portugal), LNE (France), MCCAA (Malta), METROSERT (Estonia), MIKES (Finland), MIRS/IMT/LMT (Slovenia), NSAI (Ireland) and UME (Turkey). The project was divided into two loops: Loop1, piloted by MIKES, and Loop2, piloted by LNE. The results of the two loops are reported separately: Loop1 results are presented in this paper. The transfer standard was Beamex MC5 no. 25516865 with internal pressure module INT1C, resolution 0.01 hPa. The nominal pressure range of the INT1C is ‑1000 hPa to +1000 hPa. The nominal pressure points for the comparison were 0 hPa, ‑200 hPa, ‑400 hPa, ‑600 hPa, ‑800 hPa and ‑950 hPa. The reference values and their uncertainties as well as the difference uncertainty between the laboratory results and the reference values were determined from the measurement data by Monte Carlo simulations. Stability uncertainty of the transfer standard was included in the final difference uncertainty. Degrees of equivalences and mutual equivalences between the laboratories were calculated. Each laboratory reported results for all twelve measurement points, which means that there were 168 reported values in total. Some 163 of the 168 values (97 %) agree with the reference values within the expanded uncertainties, with a coverage factor k = 2. Among the laboratories, four different methods were used to determine negative gauge pressure. It is concluded that special attention must be paid to the measurements and methods when measuring negative gauge pressures. There might be a need for a technical guide or a workshop that provides information about details and practices related to the measurements of negative gauge pressure, as well as differences between the different methods. The

  10. The Level of Serum Cholesterol is Negatively Associated with Lean Body Mass in Korean non-Diabetic Cancer Patients

    Science.gov (United States)

    2016-01-01

    Due to poor nutrition and abnormal energy metabolism, cancer patients typically experience the loss of muscle mass. Although the diabetic conditions or dyslipidemia have been reported as a causal link of cancer but the consequence of such conditions in relation to gain or loss of skeletal muscle mass in cancer patients has not been well documented. The purpose of this study was to investigate the relationship of lean body mass and systemic parameters related to lipid metabolism in non-diabetic cancer patients using data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008-2011. As results the level of serum total cholesterol (total-C) was negatively associated with both total lean body mass and appendicular lean body mass in cancer patients after adjustment for sex, physical activity, energy intake and comorbidity. The associations between consumption of dietary factors (energy, carbohydrate, protein and fat) and lean body mass were disappeared after adjusting comorbidities of cancer patients. Multivariate-adjusted linear regression analysis by quartiles of serum total-C showed that higher quartile group of total-C had significantly lower percent of lean body mass than reference group in cancer patients. The data indicate that serum lipid status can be the potential estimate of loss of skeletal muscle mass in cancer patients and be referenced in nutrition care of cancer patients under the onset of cachexia or parenteral/enteral nutrition. This data need to be confirmed with large pool of subjects and should be specified by stage of cancer or the site of cancer in future studies. PMID:27152302

  11. The Level of Serum Cholesterol is Negatively Associated with Lean Body Mass in Korean non-Diabetic Cancer Patients.

    Science.gov (United States)

    Han, Ji Eun; Lee, Jun Yeup; Bu, So Young

    2016-04-01

    Due to poor nutrition and abnormal energy metabolism, cancer patients typically experience the loss of muscle mass. Although the diabetic conditions or dyslipidemia have been reported as a causal link of cancer but the consequence of such conditions in relation to gain or loss of skeletal muscle mass in cancer patients has not been well documented. The purpose of this study was to investigate the relationship of lean body mass and systemic parameters related to lipid metabolism in non-diabetic cancer patients using data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008-2011. As results the level of serum total cholesterol (total-C) was negatively associated with both total lean body mass and appendicular lean body mass in cancer patients after adjustment for sex, physical activity, energy intake and comorbidity. The associations between consumption of dietary factors (energy, carbohydrate, protein and fat) and lean body mass were disappeared after adjusting comorbidities of cancer patients. Multivariate-adjusted linear regression analysis by quartiles of serum total-C showed that higher quartile group of total-C had significantly lower percent of lean body mass than reference group in cancer patients. The data indicate that serum lipid status can be the potential estimate of loss of skeletal muscle mass in cancer patients and be referenced in nutrition care of cancer patients under the onset of cachexia or parenteral/enteral nutrition. This data need to be confirmed with large pool of subjects and should be specified by stage of cancer or the site of cancer in future studies. PMID:27152302

  12. Specific interaction between negative atmospheric ions and organic compounds in atmospheric pressure corona discharge ionization mass spectrometry.

    Science.gov (United States)

    Sekimoto, Kanako; Sakai, Mami; Takayama, Mitsuo

    2012-06-01

    The interaction between negative atmospheric ions and various types of organic compounds were investigated using atmospheric pressure corona discharge ionization (APCDI) mass spectrometry. Atmospheric negative ions such as O(2)(-), HCO(3)(-), COO(-)(COOH), NO(2)(-), NO(3)(-), and NO(3)(-)(HNO(3)) having different proton affinities served as the reactant ions for analyte ionization in APCDI in negative-ion mode. The individual atmospheric ions specifically ionized aliphatic and aromatic compounds with various functional groups as atmospheric ion adducts and deprotonated analytes. The formation of the atmospheric ion adducts under certain discharge conditions is most likely attributable to the affinity between the analyte and atmospheric ion and the concentration of the atmospheric ion produced under these conditions. The deprotonated analytes, in contrast, were generated from the adducts of the atmospheric ions with higher proton affinity attributable to efficient proton abstraction from the analyte by the atmospheric ion. PMID:22528201

  13. Refolding in high hydrostatic pressure of recombinant proteins from inclusion bodies in Escherichia Coli

    International Nuclear Information System (INIS)

    The expression of proteins as inclusion bodies in bacteria is a widely used alternative for production of recombinant protein. However, the aggregation is a problem often encountered during refolding of these proteins. High hydrostatic pressure are able to solubilise the inclusion bodies in the presence of low concentrations of denaturant reagents, encouraging refolding protein with high efficiency and reduce costs. This work aims to refolding of recombinant proteins expressed in Escherichia coli from inclusion bodies using high hydrostatic pressure. Three toxins, all featuring five or more disulfide bonds were studied: NXH8, Natterin 2 and Bothropstoxin 1. Suspensions of inclusion bodies of the three proteins were pressurized to 2000 bars for 16 hours. The buffers were optimized for refolding of the three proteins. The buffer used in the refolding of NXH8 was 50 mM Tris HCl, pH 9.0 with proportion of 1GSH: 4GSSG at a concentration of 6 mM and 2 M GdnHCl. Inclusion bodies were used in O.D. (A600nm) of 0.5. After refolding process, dialysis was performed at pH 7.0. The final yield of obtaining soluble NXH8 was 40% (28,6 mg of soluble NXH8/L of culture medium). The refolding of Bothropstoxin 1 was obtained in refolding buffer of Tris HCl 50 mM, pH 7,5 with proportion of 2 GSH: GSSG 3 and concentration of 3 mM and 1 M GdnHCl. Use with a suspension of O.D. (A600nm) of 0.5. The final yield of recovery of Bothropstoxin 1 refolded was 32% (9,2 mg of refolded Bothropstoxin 1/L of culture medium). The refolding of Natterin 2 was performed in the refolding buffer: 20 mM Tris HCl pH 9.0 at a ratio of 2 GSH: 3GSSG and concentration of 10 mM and 1 M GdnHCl and inclusion bodies O.D. (A600nm) of 6.0. The yield of Natterin 2 refolded was 20% (3,7 mg/L of culture medium). Physico-chemical and biological analysis were performed by SDS-PAGE, western blot, scanning electron microscopy, biological tests in vivo and in vitro and structural. The analysis conducted in NXH8 did not show

  14. Pressure moment on a liquid-filled projectile: Solid body rotation

    Science.gov (United States)

    Gerber, N.; Sedney, R.; Bartos, J. M.

    1982-10-01

    The liquid produced moment on a liquid filled spinning cylinder executing angular motion is determined, where the liquid originally is in solid body rotation. In an approximation to free flight spiraling motion of a projectile, the cylinder is nutating at constant frequency about a point on its axis and is undergoing timewise exponential yaw growth. The assumption of small yaw angle permits the formulation of a linearized viscous flow problem as a perturbation on solid body rotation. The pressure obtained from the resulting linearized flow is used to obtain the moment. Moment due to shear stresses is not considered. This moment is incorporated into the dynamical equations of gyroscopic motion to determine yaw growth rate and mutational frequency. This report provides a presentation of the equations and computational procedures. The approach is to apply a modal analysis in the flow solution which gives rise to ordinary differential equations, and then to make a correction required to compensate for neglect of the no slip conditions at the endwalls in the modal analysis. Results are compared with those of other theoretical work and with experimental data for endwall pressure, pressure moment, and yaw growth rate of projectiles and gyroscopes. In general, results agree well for high Reynolds number. Relative discrepancies are more prominent at low Reynolds numbers, particularly in yaw growth rate data. Qualitative agreement of present results with concurrent theoretical work of Murphy appears to be consistently good.

  15. A direct method for determining complete positive and negative capillary pressure curves for reservoir rock using the centrifuge

    Energy Technology Data Exchange (ETDEWEB)

    Spinler, E.A.; Baldwin, B.A. [Phillips Petroleum Co., Bartlesville, OK (United States)

    1997-08-01

    A method is being developed for direct experimental determination of capillary pressure curves from saturation distributions produced during centrifuging fluids in a rock plug. A free water level is positioned along the length of the plugs to enable simultaneous determination of both positive and negative capillary pressures. Octadecane as the oil phase is solidified by temperature reduction while centrifuging to prevent fluid redistribution upon removal from the centrifuge. The water saturation is then measured via magnetic resonance imaging. The saturation profile within the plug and the calculation of pressures for each point of the saturation profile allows for a complete capillary pressure curve to be determined from one experiment. Centrifuging under oil with a free water level into a 100 percent water saturated plug results in the development of a primary drainage capillary pressure curve. Centrifuging similarly at an initial water saturation in the plug results in the development of an imbibition capillary pressure curve. Examples of these measurements are presented for Berea sandstone and chalk rocks.

  16. Negative pressures in full-scale distribution system: field investigation, modelling, estimation of intrusion volumes and risk for public health

    Directory of Open Access Journals (Sweden)

    M. C. Besner

    2010-03-01

    Full Text Available Various investigations encompassing microbial characterization of external sources of contamination (soil and trenchwater surrounding water mains, flooded air-valve vaults, field pressure monitoring, and hydraulic and transient analyses were conducted in the same distribution system where two epidemiological studies showing an increase in gastrointestinal illness for people drinking tap water were conducted in the 1990's. Interesting results include the detection of microorganisms indicators of fecal contamination in all external sources investigated but at a higher frequency in the water from flooded air-valve vaults, and the recording of 18 negative pressure events in the distribution system during a 17-month monitoring period. Transient analysis of this large and complex distribution system was challenging and highlighted the need to consider field pressure data in the process.

  17. Unusual idiopathic normal pressure hydrocephalus patient with marked asymmetric and upper body parkinsonism

    Directory of Open Access Journals (Sweden)

    Kyunghun Kang

    2016-01-01

    Full Text Available Asymmetry of parkinsonian symptoms is strong evidence toward the diagnosis of Parkinson's disease (PD. Lower body parkinsonism is characteristic in idiopathic normal pressure hydrocephalus (INPH. We report an unusual INPH patient with marked asymmetric and upper body parkinsonism. An 83-year-old man presented with gait impairment and asymmetric clumsiness of movement. According to the Unified Parkinson's Disease Rating Scale (UPDRS, the motor subscore was 12 in the left limb and 8 in the right. The score was 14 for both the upper and lower body. After the cerebrospinal fluid tap test (CSFTT, he showed marked improvement in the upper body score. A loss of asymmetry of parkinsonian signs, with greater improvement in the left limb, was presented. Fluorinated N-3-fluoropropyl-2β-carbomethoxy-3β-(4-iodophenyl-nortropane (F-18 FP-CIT positron emission tomography (PET imaging was normal. In the differential diagnosis of elderly patients presenting with parkinsonism compatible with PD, we might need to consider a diagnosis of INPH.

  18. Pressure limits of negative ion sources based upon gas efficiency and extracted ion-current density

    International Nuclear Information System (INIS)

    The nature of the electrical discharge has an obvious impact upon the gas efficiency of an ion source and on the current density whch can be drawn from it. However external factors, such as the conductance of the grids and the background pressure along the beamline, also have an effect. Simple approximations based upon these factors show that there is a lower limit to the pressure of an ion source, which can deliver an ion beam of given current density at a specific gas efficiency. Estimates of ion stripping losses in a double gridded structure show that for all practical purposes, there is an upper limit as well

  19. The Effects of Body Mass Composition and Cushion Type on Seat-Interface Pressure in Spinal Cord Injured Patients

    Science.gov (United States)

    Cho, Kang Hee; Beom, Jaewon; Yuk, Jee Hyun

    2015-01-01

    Objective To investigate the effects of body mass composition and cushion type on seat-interface pressure in spinal cord injured (SCI) patients and healthy subjects. Methods Twenty SCI patients and control subjects were included and their body mass composition measured. Seat-interface pressure was measured with participants in an upright sitting posture on a wheelchair with three kinds of seat cushion and without a seat cushion. We also measured the pressure with each participant in three kinds of sitting postures on each air-filled cushion. We used repeated measure ANOVA, the Mann-Whitney test, and Spearman correlation coefficient for statistical analysis. Results The total skeletal muscle mass and body water in the lower extremities were significantly higher in the control group, whilst body fat was significantly higher in the SCI group. However, the seat-interface pressure and body mass composition were not significantly correlated in both groups. Each of the three types of seat cushion resulted in significant reduction in the seat-interface pressure. The SCI group had significantly higher seatinterface pressure than the control group regardless of cushion type or sitting posture. The three kinds of sitting posture did not result in a significant reduction of seat-interface pressure. Conclusion We confirmed that the body mass composition does not have a direct effect on seat-interface pressure. However, a reduction of skeletal muscle mass and body water can influence the occurrence of pressure ulcers. Furthermore, in order to minimize seat-interface pressure, it is necessary to apply a method fitted to each individual rather than a uniform method. PMID:26798612

  20. Education for healthy body weight: helping adolescents balance the cultural pressure for thinness.

    Science.gov (United States)

    Collins, M E

    1988-08-01

    Though education for healthy body weight traditionally has focused on obesity, the increased incidence of anorexia nervosa and bulimia among young women suggests education also is needed to address the opposite end of the spectrum. Anorexia nervosa and bulimia are complex and multidimensional disorders associated with individual, family, and sociocultural factors. This article examines the cultural pressure for dieting and thinness currently experienced in America and its impact as a possible predisposing factor for developing eating disorders among adolescent females. Literature is reviewed related to the changing American standard of attractiveness for females reflected by 20th century mass media and its subsequent influence on adolescent concerns for dieting and thinness. Preventive strategies are recommended to help adolescents balance the cultural pressure for thinness and their own desires for attractiveness within the larger context of overall good health. PMID:3216626

  1. A non-randomised, controlled clinical trial of an innovative device for negative pressure wound therapy of pressure ulcers in traumatic paraplegia patients.

    Science.gov (United States)

    Srivastava, Rajeshwar N; Dwivedi, Mukesh K; Bhagat, Amit K; Raj, Saloni; Agarwal, Rajiv; Chandra, Abhijit

    2016-06-01

    The conventional methods of treatment of pressure ulcers (PUs) by serial debridement and daily dressings require prolonged hospitalisation, associated with considerable morbidity. There is, however, recent evidence to suggest that negative pressure wound therapy (NPWT) accelerates healing. The commercial devices for NPWT are costly, cumbersome, and electricity dependent. We compared PU wound healing in traumatic paraplegia patients by conventional dressing and by an innovative negative pressure device (NPD). In this prospective, non-randomised trial, 48 traumatic paraplegia patients with PUs of stages 3 and 4 were recruited. Patients were divided into two groups: group A (n = 24) received NPWT with our NPD, and group B (n = 24) received conventional methods of dressing. All patients were followed up for 9 weeks. At week 9, all patients on NPD showed a statistically significant improvement in PU healing in terms of slough clearance, granulation tissue formation, wound discharge and culture. A significant reduction in wound size and ulcer depth was observed in NPD as compared with conventional methods at all follow-up time points (P = 0·0001). NPWT by the innovative device heals PUs at a significantly higher rate than conventional treatment. The device is safe, easy to apply and cost-effective. PMID:24894079

  2. Case report: (Pre)syncopal symptoms associated with a negative internal jugular venous pressure

    DEFF Research Database (Denmark)

    Olesen, Niels D; van Lieshout, Johannes J; Fisher, James P;

    2014-01-01

    middle cerebral artery mean blood velocity (MCA Vmean; P < 0.007) and the near-infrared spectroscopy-determined frontal lobe oxygenation (ScO2; P = 0.028) also decreased. Another subject, however, developed (pre)syncopal symptoms while seated and his IJV pressure decreased to -17 mmHg. Furthermore, his...

  3. The Effects of Negative Pressure by External Tissue Expansion Device on Epithelial Cell Proliferation, Neo-Vascularization and Hair Growth in a Porcine Model

    OpenAIRE

    Hsiao, Hui-Yi; Liu, Jia-Wei; Brey, Eric M; Cheng, Ming-Huei

    2016-01-01

    While pre-treating a fat transplant recipient site with negative pressure has shown promise for increasing the fat survival rate, the underlying mechanisms have not been investigated, partly due to challenges related to immobilization of vacuum domes on large animal subjects. The aim of this study was to examine the effect of negative pressure treatment by External Tissue Expansion Device (ETED) on fat grating recipient sites in a porcine model. The ETED was designed to provide negative press...

  4. Simulation of the steady-state transport of radon from soil into houses with basements under constant negative pressure

    International Nuclear Information System (INIS)

    A theoretical model was developed to simulate this phenomenon, under some specific assumptions. The model simulates: the generation and decay of radon within the soil; its transport throughout the soil due to diffusion and convection induced by the pressure disturbance applied at a crack in the basement; its entrance into the house through the crack; and the resultant indoor radon concentration. The most important assumptions adopted in the model were: a steady-state condition; a house with a basement; a geometrically well-defined crack at the wall-floor joint in the basement; and a constant negative pressure applied at the crack in relation to the outside atmospheric pressure. Two three-dimensional finite-difference computer programs were written to solve the mathematical equations of the model. The first program, called PRESSU, was used to calculate: the pressure distribution within the soil as a result of the applied disturbance pressure at the crack; and the resultant velocity distribution of the soil gas throughout the soil matrix. The second program, called MASTRA, was used to: solve the radon mass-transport equation, and to calculate the concentration distribution of radon in the soil gas within the whole soil; and to calculate the entry rate of radon through the crack into the basement, and the final indoor radon concentration. A parametric sensitivity analysis performed on the model, revealed several features of the mechanisms involved in the transport of radon into the house. 84 refs., 66 figs., 16 tabs

  5. Negative corona in silane-argon-hydrogen mixtures at low pressures

    International Nuclear Information System (INIS)

    Current pulses have been measured in negative corona discharges in argon-hydrogen and silane-argon-hydrogen mixtures near the Paschen minimum. It was found that the current pulses appear only on the right branch of the Paschen curve and have shapes similar to those of subnormal oscillations in dc discharges between parallel-plane electrodes. The effects of gas temperature and negative ions on the current pulse shape and size are examined. It appears that a small admixture of silane into an argon-hydrogen discharge results in a more pronounced ion-ion phase and doubles the pulse repetition frequency, while an increase in gas temperature acts in exactly the opposite way. The implications of these results on theories of current pulse formation are discussed

  6. Development of the PRSEUS Multi-Bay Pressure Box for a Hybrid Wing Body Vehicle

    Science.gov (United States)

    Jegley, Dawn C.; Velicki, Alexander

    2015-01-01

    NASA has created the Environmentally Responsible Aviation Project to explore and document the feasibility, benefits, and technical risk of advanced vehicle configurations and enabling technologies that will reduce the impact of aviation on the environment. A critical aspect of this pursuit is the development of a lighter, more robust airframe that will enable the introduction of unconventional aircraft configurations that have higher lift-to-drag ratios, reduced drag, and lower community noise. Although such novel configurations like the Hybrid Wing Body (HWB) offer better aerodynamic performance as compared to traditional tube-and-wing aircraft, their blended wing shapes also pose significant new design challenges. Developing an improved structural concept that is capable of meeting the structural weight fraction allocated for these non-circular pressurized cabins is the primary obstacle in implementing large lifting-body designs. To address this challenge, researchers at NASA and The Boeing Company are working together to advance new structural concepts like the Pultruded Rod Stitched Efficient Unitized Structure (PRSEUS), which is an integrally stiffened panel design that is stitched together and designed to maintain residual load-carrying capabilities under a variety of damage scenarios. The large-scale multi-bay fuselage test article described in this paper is the final specimen in a building-block test program that was conceived to demonstrate the feasibility of meeting the structural weight goals established for the HWB pressure cabin.

  7. Body Fatness and Risk for Elevated Blood Pressure, Total Cholesterol, and Serum Lipoprotein Ratios in Children and Adolescents.

    Science.gov (United States)

    Williams, Daniel P.; And Others

    1992-01-01

    Examines the relationship between body fat percent and risk for elevated blood pressure, serum total cholesterol, and serum lipoprotein ratios in 1,230 African-American and 2,090 white 5-18 year olds (1,667 males and 1,653 females). Results support body fatness standards in children and adolescents as cardiovascular risk factors. (SLD)

  8. Study of blood pressure and blood sugar levels in adolescence and comparison with body mass index

    Directory of Open Access Journals (Sweden)

    Ashwin Borade

    2011-01-01

    Full Text Available Background: Worldwide prevalence of overweight and obesity is increasing and its consequences prompted the WHO to designate obesity as a global epidemic in 2002. Being overweight is a risk factor for significant illness, especially diabetes and hypertension in adult life. Objectives : To study the blood pressure and blood sugar levels and lifestyle parameters in adolescence and comparison with body mass index. Materials and Methods: In a prospective case control study, out of the 1000 screened, a total of 200 adolescents were considered out of which 100 were with high body mass index (BMI and the other 100 were with normal BMI. Height, weight, BMI, waist hip ratio (WHR, blood pressure (BP, BSL, and associated risk factors like physical activity, fast food consumption, and computer/television watching were measured and screened. Results and Observations: 109 (54.5% males and 91 (45.5% females were included. Maximum number [90 (45%] of adolescents screened were in the age group of 17-19 years, while 54 (27% and 56 (28% adolescents were in the age group of 10-13 years and 14-16 years, respectively. According to CDC charts 2000, prevalence of overweight was 24% which was double when compared to WHO charts 2007. There was significant difference in prevalence of obesity; according to CDC chart it was 26%, whereas according to WHO chart it was 39%. The difference in blood pressures between cases and controls as per both CDC and WHO charts was found to be statistically significant (P 0.05 with BMI. Conclusion: The adolescents seem to have become heavier owing to environmental influences on growth patterns. So, a consideration should be given to shift the cut-offs for overweight and obesity to higher BMI percentiles if recent growth charts are to be followed. Adolescents with a BMI above the 95 >th percentile (obese are most likely to have obesity-related health risks.

  9. Comparisons of negative pressure wound therapy and ultrasonic debridement for diabetic foot ulcers: a network meta-analysis

    Science.gov (United States)

    Wang, Ruran; Feng, Yanhua; Di, Bo

    2015-01-01

    Objective: a network meta-analysis was performed to compare the strength and weakness of negative pressure wound therapy (NPWT) with ultrasound debridement (UD) as for diabetic foot ulcers (DFU). Methods: PubMed, Ovid EMBASE, Web of Science, Cochrane library databases, and Chinese Biomedical Literature Database were searched till February 2015. Clinical compared studies of negative pressure wound therapy and ultrasound debridement were enrolled. The primary efficacy outcomes included healed ulcers, reduction of ulcer areas and time to closure. Secondary amputation including major and minor amputations was used to assess the safety profile. Results: Out of 715 studies, 32 were selected which enrolled 2880 diabetic patients. The pooled analysis revealed that NPWT including vacuum assisted closure (VAC) and vacuum sealing drainage (VSD) were as efficacious as ultrasound debridement improving healed ulcers, odds ratio, 0.86; 95% CI 0.28 to 2.6 and 1.2; 95% CI 0.38 to 4, respectively. However, both were better to standard wound care in wound healing patients. Compared with the standard wound care treated diabetic foot ulcers, NPWT and UD resulted in a significantly superior efficacy in time to wound closure and decrement in area of wound. No significances were observed between NPWT and UD groups in both indicators. Fewer patients tended to receive amputation in NPWT and UD groups compared to standard wound care group. Conclusions: The results of the network meta-analysis indicated that negative pressure wound therapy was similar to ultrasound debridement for diabetic foot ulcers, but better than standard wound care both in efficacy and safety profile. PMID:26550165

  10. Topical negative pressure therapy Recent experience of the department of plastic surgery at Ibn Sina University Hospital, Rabat, Morocco

    Directory of Open Access Journals (Sweden)

    Abdelmoughit Echchaoui

    2014-12-01

    Full Text Available IntroductionThe topical negative pressure therapy (TNP is a non-invasive method to treat chronic and acute wounds locally, using a continuous or intermittent negative pressure.The objective of this study is to present the first experience of this type of treatment used in clinical cases in our department. By presenting these cases, we highlight indication and efficiency of this new technique applied in relatively complicated situations, at the same time it also allows a significant improvement in treating injuries and chronic wounds.Materials and methodsIn this study, we present the recent experience of the Department of Reconstructive and Plastic Surgery of the University Hospital Center of Avicenne in Rabat. This therapy was used for the first time this year (in 2014, in three young patients who presented with chronic wounds associated with local and general factors that are unfavorable for the healing process.ResultsIn all three of our cases we obtained highly satisfactory clinical results.TNP allows wounds to bud in a shorter time, as well as a fast healing by second intention due to controlled wound healing or split-skin graft without using flaps. This enables to decrease the margin of error, the time and the number of dressing replacements, and to reduce the length of hospital stay.ConclusionThis is an expensive and specific equipment. However, the cost-benefit ratio analysis shows that it is an essential method that should be part of our therapeutic strategies.Keywords: loss of substance, negative pressure, budding, healing.  

  11. Force Sensing Resistor and Evaluation of Technology for Wearable Body Pressure Sensing

    Directory of Open Access Journals (Sweden)

    Davide Giovanelli

    2016-01-01

    Full Text Available Wearable technologies are gaining momentum and widespread diffusion. Thanks to devices such as activity trackers, in form of bracelets, watches, or anklets, the end-users are becoming more and more aware of their daily activity routine, posture, and training and can modify their motor-behavior. Activity trackers are prevalently based on inertial sensors such as accelerometers and gyroscopes. Loads we bear with us and the interface pressure they put on our body also affect posture. A contact interface pressure sensing wearable would be beneficial to complement inertial activity trackers. What is precluding force sensing resistors (FSR to be the next best seller wearable? In this paper, we provide elements to answer this question. We build an FSR based on resistive material (Velostat and printed conductive ink electrodes on polyethylene terephthalate (PET substrate; we test its response to pressure in the range 0–2.7 kPa. We present a state-of-the-art review, filtered by the need to identify technologies adequate for wearables. We conclude that the repeatability is the major issue yet unsolved.

  12. Modeling of interstitial fluid movement in soft tissue under negative pressure - relevance to treatment of tissue swelling.

    Science.gov (United States)

    Iivarinen, Jarkko T; Korhonen, Rami K; Jurvelin, Jukka S

    2016-08-01

    Exact physiological mechanisms behind the potential positive treatment effects of pathological tissue swelling (edema), such as increased interstitial fluid flow, are poorly understood. Finite-element model was created and the model response was matched with the deformation data from the negative pressure (suction) measurements in human (N = 11) forearm. Two experimental suction protocols were simulated to evaluate their impact on interstitial fluid flow in soft tissues. Simulated continuous suction was up to 27 times more efficient in fluid transportation compared to the cyclic suction. The continuous suction that transports the interstitial fluid effectively may help to decrease soft tissue edema. PMID:26499361

  13. Combined Clagett procedure, negative pressure therapy, and thoracomyoplasty for treatment of late-onset postpneumonectomy empyema necessitatis

    Science.gov (United States)

    Dudek, Wojciech; Sirbu, Horia

    2015-01-01

    Late-onset post-pneumonectomy empyema necessitatis can occur many years after the surgery and is a life-threatening condition. A 58-year-old male presented with empyema necessitatis 18 years after undergoing pneumonectomy. He was successfully treated with a modified two-stage Clagett procedure and ambulatory negative pressure as the bridge between the stages. The 72-month follow-up was uneventful. The complete obliteration of the rigid and wide residual postpneumonectomy cavity was necessary to avoid re-recurrence of the infection. PMID:26702286

  14. A Gustilo Type IIIB Open Forearm Fracture Treated by Negative Pressure Wound Therapy and Locking Compression Plates : A Case Report

    OpenAIRE

    Takeuchi, Naohide; Mae, Takao; Hotokezaka, Shunsuke; Sasaki, Kosuke; Matsushita, Akinobu; Miake, Go; Kuchishi, Rintaro; Noguchi, Yasuo

    2011-01-01

    A 91-year-old female sustained injuries to her left forearm while walking across a crosswalk. X-rays showed left radial shaft and ulna shaft fractures, and the injury was a type IIIB open fracture. On the day of admission, irrigation and debridement of the open wound, and temporary fixation of the radius and ulna using an external fixator and a Kirschner wire were peformed. Six days after the surgery, we used negative pressure wound therapy (NPWT) using the V.A.C.ATS® system for the open woun...

  15. The Application of Negative Pressure Wound Therapy in the Treatment of Chronic Venous Leg Ulceration: Authors Experience

    Directory of Open Access Journals (Sweden)

    Marek Kucharzewski

    2014-01-01

    Full Text Available The aim of the study was to use negative pressure wound therapy (NPWT in patients with chronic venous leg ulceration. The authors present their experience in treatment of 15 patients whose average ulceration surface area was 62.6 cm2. In 10 patients, the ulcers healed within 6 weeks and in the remaining patients within 20 weeks. Based on the results obtained, the authors imply that NPWT is an effective method in the treatment of chronic venous leg.

  16. Negative pressure wound therapy versus standard wound care in chronic diabetic foot wounds: study protocol for a randomized controlled trial

    OpenAIRE

    Seidel, Dörthe; Mathes, Tim; Lefering, Rolf; Storck, Martin; Lawall, Holger; Neugebauer, Edmund A. M.

    2014-01-01

    Background In August 2010, the Federal Joint Committee (G-BA) decided that negative pressure wound therapy (NPWT) would not be reimbursable in German ambulatory care. This decision was based on reports from the Institute for Quality and Efficiency in Health Care (IQWiG), which concluded that there is no convincing evidence in favor of NPWT. The aim of this diabetic foot study (DiaFu study) is to evaluate whether the clinical, safety and economic results of NPWT are superior to the results of ...

  17. Airtight negative pressure dust-control technology and application of transpersite in the coal conveyer belt system

    Institute of Scientific and Technical Information of China (English)

    MA Yun-dong; JIA Hui-yan; ZHANG Da-ming

    2008-01-01

    Presented a new coal dust control program that was airtight negative pressure dust-control technology at the transpersite,combining with analysis with the movement of air currents and numerical simulation of gas-solid flow at the transpersite,and proved the mechanism of precipitation and proliferation for coal dust-controlt in theory.The technology has made good economic results at the Heidaigou Clean Plant,not only dust concentration control within 10 mg/m3 to the work site,but also substantial energy savings and cost savings.

  18. Airtight negative pressure dust-control technology and application of transpersite in the coal conveyer belt system

    Institute of Scientific and Technical Information of China (English)

    MA Yun-dong; JIA Hui-yan; ZHANG Da-ming

    2008-01-01

    Presented a new coal dust control program that was airtight negative pressure dust-control technology at the transpersite, combining with analysis with the movement of air currents and numerical simulation of gas-solid flow at the transpersite, and proved the mechanism of precipitation and proliferation for coal dust-controlt in theory. The technol-ogy has made good economic results at the Heidaigou Clean Plant, not only dust concen-tration control within 10 mg/m3 to the work site, but also substantial energy savings and cost savings.

  19. Negative pressure model for surface foaming of collagen and other biopolymer films by KrF laser ablation

    International Nuclear Information System (INIS)

    A single KrF laser pulse of energy larger than 0.5 J/cm2 is enough to create a microfoam layer on the surface of a collagen film and other related biopolymers. This is a new result that can be of interest for many new applications. The target material is excited in the radiation absorption depth of ∼17 μm and expands into a foam layer whose new surface is ∼5 μm above the original one. The estimated surface transient temperature of ∼83deg. C at threshold fluence does not account satisfactorily for this fast foaming process but consideration of the bipolar pressure variation ∼±200 bar, i.e. laser induced acoustic wave suggests that a cold homogeneous boiling is induced by the tensile part of the pressure wave in the laser excited volume. The classical nucleation theory predicts a spontaneous dense and homogeneous bubble formation when the pressure is negative in the inviscid liquid. These results constitute new examples of laser induced fast expulsion of liquid due to the hydrodynamic pressure wave which can also be considered as resulting from the surface acceleration/deceleration sequence

  20. The effect of swimming on pulmonary functions, blood pressure and body composition

    Directory of Open Access Journals (Sweden)

    Hasan Aykut Aysan

    2011-03-01

    Full Text Available The aim of this study was to investigate theeffect of 8 week swimming exercise on adult sedentarymen’s respiratory functions, resting heart rate, bloodpressures and body composition.Materials and methods: A total of 80 volunteers (40 inthe study group, 40 in the control group, aged between20 and 29 years were included. The participants’ bodyweight, percentage of body fat (PBF, body mass index(BMI, resting heart rate (RHR, systolic (SBP and diastolicblood pressures (DBP, and respiratory functionswere measured before and after 8 week of swimmingtraining program and compared with each other.Results: Significant decreases were observed betweenpre- and post-exercise (following 8 weeks exercise trainingin PBF (18.1±5% vs. 14.3±4%, respectively, RHR(83.1±6/min vs. 74.6±3.8/min, DBP (83±7,2 mmHg vs.74.6±3,8 mmHg (p0.001.No significant differences were found between pre-testand post-test measurements in body weight (78.1±11.4kg vs. 75.3±9.9 kg, respectively, BMI (25.2±3.9 kg/m2 vs.24.3±2.8 kg/m2 and SBP (127.6±11.8 mmHg vs.115.8±5.1 mmHg (p>0.05.Conclusion: Eight weeks swimming exercise reduced thePBF and increased the forced expiration volume, maximumvoluntarily ventilation, vital capacity and forced vitalcapacity. Swimming training also decreased RHR andbalanced DBP. J Clin Exp Invest 2011; 2(1: 35-41

  1. Negative Body-Image Bias in College Women as a Function of Self-Awareness and Self-Reported Body Dissatisfaction

    Science.gov (United States)

    Lebowitz Elkoubi, Allison

    2009-01-01

    Research on body image and body image disturbance has met with great debate and inconsistency regarding definition, conceptualization, and measurement. The fundamental understanding of body image ranges from being a perceptual or visual concept to actually representing attitudes or judgments individuals hold regarding their bodies. The present…

  2. The Prevalence and Inter-Relationship of Negative Body Image Perception, Depression and Susceptibility to Eating Disorders among Female Medical Undergraduate Students

    Science.gov (United States)

    Manaf, Nurajirahbt Abdul; Zuhrah, Beevi

    2016-01-01

    Introduction Female students are thought to be more negatively impacted by body image ideals and often more susceptible to various eating related disorders compared to men. A previous study using a sample of female students in Malaysia did not identify whether the increase in susceptibility to eating disorders can be explained by the level of body image acceptance. Aim To identify the prevalence of depression and susceptibility to eating disorders among a sample of 206 female students in one of the private universities in Malaysia and explore the relationship between depression, body image and susceptibility to eating disorders. In addition, this study aimed to determine whether depression is a mediator between body image and susceptibility to eating disorders among female college students. Materials and Methods The Body Image Acceptance and Action Questionnaire were used to assess body image acceptance, the Patient Health Questionnaire to measure depression and the Eating Attitude Test- 26 was used to assess susceptibility to eating disorders. Results The results showed that 65.5% (n=135) of the students were depressed and 6.3% (n=13) were susceptible to eating disorders. There was a significant positive relationship between depression and eating disorders and a negative relationship between body image and depression as well as between body image and eating disorder. Further, the regression model showed that depression was partially mediating the effect of body image on eating disorders. Conclusion Body image and depression contribute to eating disorders and treating depression could reduce susceptibility to eating disorders. PMID:27134977

  3. Correlation of intraocular pressure with blood pressure and body mass index in offsprings of diabetic patients: A cross-sectional study

    OpenAIRE

    Shailaja Patil, Anita Herur, Shashikala GV, Surekharani Chinagudi, Manjula R, Roopa Ankad, Sukanya Badami, Brid SV

    2014-01-01

    Background: Raised intraocular pressure (IOP) has been associated with risk factors like hypertension, diabetes mellitus (DM), obesity, body mass index (BMI) and sex, increasing the risk of glaucoma causing visual impairment and blindness. Since familial inheritance is known with glaucoma and DM, the aim was to study the IOP and its correlation with BMI and blood pressure (BP) in offsprings of DM and also to predict the future/early onset of glaucoma in them. Methods: This was an observation...

  4. Intermittent negative pressure wound therapy with instillation for the treatment of persistent periprosthetic hip infections: a report of two cases

    Directory of Open Access Journals (Sweden)

    Söylemez MS

    2016-02-01

    Full Text Available Mehmet Salih Söylemez,1 Korhan Özkan,2 Bülent Kılıç,3 Samet Erinç41Department of Orthopaedics and Traumatology, Bingöl State Hospital, Bingöl, 2Department of Orthopaedics and Traumatology, Faculty of Medicine, Medeniyet University, Istanbul, 3Department of Orthopaedics and Traumatology, Orthopaedic Surgery Clinic, Istanbul Gelişim University, Tekirdağ, 4Department of Orthopaedics and Traumatology, Istanbul Medeniyet University, Göztepe Training and Research Hospital, Istanbul, TurkeyAbstract: Intermittent negative pressure wound therapy with instillation (NPWTi is starting to be used successfully to treat early periprosthetic infections of endoprostheses. However, few articles have reported the outcome of treatment with intermittent NPWTi for late persistent periprosthetic infections of the hip. In this study, we report two cases who underwent several rounds of radical wound debridement for the treatment of a late persistent periprosthetic infection of the hip. Intermittent NPWTi was used in both cases. Patients were treated successfully and there was no recurrence after 3 and 1 years of follow-up, respectively.Keywords: negative pressure, vacuum-assisted, periprosthetic infection, hip

  5. Preventive incisional negative pressure wound therapy (Prevena) for an at-risk-surgical closure in a female Rottweiler.

    Science.gov (United States)

    Nolff, M C; Flatz, K M; Meyer-Lindenberg, A

    2015-02-01

    This case report describes a combination of negative pressure-wound-therapy (NPWT) and NPWT assisted incision management after resection of an abscess located at the right thoracic wall in a Rottweiler. The patient had a history of severe incisional complications after surgical interventions performed in the past, including repeated episodes of wound dehiscence, major skin necrosis and infection with and without a multiresistant strain of Staphylococcus aureus and several episodes of open wound management with healing rates between months and a year. Wound closure after resection of the mass was performed as a staged procedure. After two days of open NPWT the wound was primarily closed and a preventive incisional vacuum assisted therapy (CI-NPWT) was started for 7 days. The patient was discharged during therapy with the portable device in place. The Unit was removed at day 7 post wound closure, suture removal followed at day 10. Wound healing was uneventful and no major complications occurred at a follow up time of 8 months. This is the first description of closed incisional negative pressure wound therapy in the dog. PMID:26753336

  6. Suppression of Instability of High Pressure DC Microplasma Operating in the Negative Differential Resistance (NDR) Regime

    Science.gov (United States)

    Mahamud, Rajib; Farouk, Tanvir I.

    2015-09-01

    Microplasma devices have been the subject of considerable interest and research during the last decade. In a DC system most of the operation regime of the plasma discharges studied fall in the ``abnormal,'' ``normal'' and ``corona'' modes - where a quasi-steady state is achieved. It is well known that even in a DC system the negative differential resistance (NDR) regime can trigger self pulsing discharges. These pulsations are initiated by the parasitic capacitance of the system hence governed by the response time of the power circuit. The circuit response time is required to be larger than the ion transit time to initiate the oscillations. In this present study a suppressor circuit element in the form of an inductor is used to restrain the plasma from switching to a self pulsing mode. It has been identified that the combined response time of the inductor and the plasma discharge (L/Rplasma) has to be larger than the power circuit time constant (RC) to achieve suppression. Inhibition of oscillation has been observed in both experiments and numerical simulations. The obtained voltage-current characteristics show that the inductor element extends the normal glow regime to lower current. Additional parametric simulations are conducted to map out a ``stable'' operation regime. The author would like to thank DARPA (ARO Grant No. W911NF1210007) and University of South Carolina (USC) for the financial support of the work.

  7. DC negative corona discharge in atmospheric pressure helium: transition from the corona to the ‘normal’ glow regime

    Science.gov (United States)

    Hasan, Nusair; Antao, Dion S.; Farouk, Bakhtier

    2014-06-01

    Direct current (dc) negative corona discharges in atmospheric pressure helium are simulated via detailed numerical modeling. Simulations are conducted to characterize the discharges in atmospheric helium for a pin plate electrode configuration. A self-consistent two-dimensional hybrid model is developed to simulate the discharges and the model predictions are validated with experimental measurements. The discharge model considered consists of momentum and energy conservation equations for a multi-component (electrons, ions, excited species and neutrals) gas mixture, conservation equations for each component of the mixture and state relations. A drift-diffusion approximation for the electron and the ion fluxes is used. A model for the external circuit driving the discharge is also considered and solved along with the discharge model. Many of the key features of a negative corona discharge, namely non-linear current-voltage characteristics, spatially flat cathode current density and glow-like discharge in the high current regime are displayed in the predictions. A transition to the ‘normal’ glow discharge from the corona discharge regime is also observed. The transition is identified from the calculated current-voltage characteristic curve and is characterized by the radial growth of the negative glow and the engulfment of the cathode wire.

  8. DC negative corona discharge in atmospheric pressure helium: transition from the corona to the ‘normal’ glow regime

    International Nuclear Information System (INIS)

    Direct current (dc) negative corona discharges in atmospheric pressure helium are simulated via detailed numerical modeling. Simulations are conducted to characterize the discharges in atmospheric helium for a pin plate electrode configuration. A self-consistent two-dimensional hybrid model is developed to simulate the discharges and the model predictions are validated with experimental measurements. The discharge model considered consists of momentum and energy conservation equations for a multi-component (electrons, ions, excited species and neutrals) gas mixture, conservation equations for each component of the mixture and state relations. A drift–diffusion approximation for the electron and the ion fluxes is used. A model for the external circuit driving the discharge is also considered and solved along with the discharge model. Many of the key features of a negative corona discharge, namely non-linear current–voltage characteristics, spatially flat cathode current density and glow-like discharge in the high current regime are displayed in the predictions. A transition to the ‘normal’ glow discharge from the corona discharge regime is also observed. The transition is identified from the calculated current–voltage characteristic curve and is characterized by the radial growth of the negative glow and the engulfment of the cathode wire. (paper)

  9. Acute negative effect of a hypertrophy-oriented training bout on subsequent upper-body power output.

    Science.gov (United States)

    Baker, Daniel

    2003-08-01

    Athletes regularly combine maximal strength, power, and hypertrophy-oriented training within the same workout. Traditionally, it has been suggested that power-oriented exercises precede strength and hypertrophy-oriented training within a workout to avoid the possible negative effects that the latter types of training may have on power output. However, with regard to upper-body training, little study has been performed to verify this commonly held belief. The purpose of this study was to determine the extent, if any, of a high-repetition, short-rest-period, hypertrophy-oriented training dose on upper-body power output. Twenty-seven college-aged rugby league players were tested for average power output during bench press throws with a resistance of 40 kg (BT P40). The experimental group (Hyp, n = 15) then performed a typical hypertrophy-oriented work bout (3 x 10 at 65% 1 repetition maximum bench press, 1RM BP) before being retested for power output with the same resistance. In comparison with the control group (Con, n = 12), whose power output remained unchanged between the pre- and posttest periods, the Hyp group experienced a large, significant decrease in BT P40 power output. Even after further passive rest of 7 minutes, power output remained suppressed from the pretest values. Furthermore, the strongest 5 subjects experienced significantly larger percentage declines in power output than did the 5 less strong subjects. This study shows that a high-repetition, short-rest-period training can acutely decrease power output. Coaches should plan the order of exercises carefully when combining power and hypertrophy training. PMID:12930181

  10. Densification of porous bodies in a granular pressure-transmitting medium

    International Nuclear Information System (INIS)

    Densification is a critical step in the manufacture of near-net-shaped components via powder processing. A non-isostatic stress state will in general result in shape distortion in addition to densification. In the quasi-isostatic pressing (QIP) process the green body is placed into a granular pressure-transmitting medium (i.e. PTM), which is itself contained in a rigid die. Upon the application of a uniaxial load, the PTM redistributes the tractions on the green body, thereby creating a stress state that is quasi-isostatic. The character of the deformation of the PTM is studied using model experiments on pressing of the PTM in a rigid die and a scanning electron microscopy analysis of the PTM powder. An important problem of the optimization of the PTM chemical composition enabling the maximum densification of a porous specimen with the minimum possible shape distortion is solved. The results of modeling agree satisfactorily with the experimental data on cold QIPing Ti and Ni powder samples and hot QIPing TiC-TiNi cermet composites

  11. Effects of Restricted Fructose Access on Body Weight and Blood Pressure Circadian Rhythms

    Directory of Open Access Journals (Sweden)

    Danielle Senador

    2012-01-01

    Full Text Available High-fructose diet is known to produce cardiovascular and metabolic pathologies. The objective was to determine whether the timing of high fructose (10% liquid solution intake affect the metabolic and cardiovascular outcomes. Male C57BL mice with radiotelemetric probes were divided into four groups: (1 24 h water (control; (2 24 h fructose (F24; (3 12 h fructose during the light phase (F12L; (4 12 h fructose during the dark phase (F12D. All fructose groups had higher fluid intake. Body weight was increased in mice on restricted access with no difference in total caloric intake. Fasting glycemia was higher in groups with restricted access. F24 mice showed a fructose-induced blood pressure increase during the dark period. Blood pressure circadian rhythms were absent in F12L mice. Results suggest that the timing of fructose intake is an important variable in the etiology of cardiovascular and metabolic pathologies produced by high fructose consumption.

  12. Hybrid Wing-Body Pressurized Fuselage and Bulkhead, Design and Optimization

    Science.gov (United States)

    Mukhopadhyay, Vivek

    2013-01-01

    The structural weight reduction of a pressurized Hybrid Wing-Body (HWB) fuselage is a serious challenge. Hence, research and development are presently being continued at NASA under the Environmentally Responsible Aviation (ERA) and Subsonic Fixed Wing (SFW) projects in collaboration with the Boeing Company, Huntington Beach and Air Force Research Laboratory (AFRL). In this paper, a structural analysis of the HWB fuselage and bulkhead panels is presented, with the objectives of design improvement and structural weight reduction. First, orthotropic plate theories for sizing, and equivalent plate analysis with appropriate simplification are considered. Then parametric finite-element analysis of a fuselage section and bulkhead are conducted using advanced stitched composite structural concepts, which are presently being developed at Boeing for pressurized HWB flight vehicles. With this advanced stiffened-shell design, structural weights are computed and compared to the thick sandwich, vaulted-ribbed-shell, and multi-bubble stiffened-shell structural concepts that had been studied previously. The analytical and numerical results are discussed to assess the overall weight/strength advantages.

  13. The SNaP™ Wound Care System: A Case Series Using a Novel Ultraportable Negative Pressure Wound Therapy Device for the Treatment of Diabetic Lower Extremity Wounds

    OpenAIRE

    Lerman, Bruce; Oldenbrook, Leslie; Ryu, Justin; Fong, Kenton D.; Schubart, Peter J.

    2010-01-01

    Although there is significant evidence supporting the use of negative pressure wound therapy (NPWT) for the treatment of lower extremity diabetic ulcers, currently available electrically powered NPWT systems are not ideally suited for treating smaller diabetic foot ulcers. The Smart Negative Pressure (SNaP™) Wound Care System is a novel, ultraportable device that delivers NPWT without the use of an electrically powered pump. It was specifically designed to meet the wound care needs of patient...

  14. The consistent delivery of negative pressure to wounds using reticulated, open cell foam and regulated pressure feedback.

    Science.gov (United States)

    McNulty, Amy; Spranger, Ian; Courage, James; Green, Jeff; Wilkes, Robert; Rycerz, Anthony

    2010-05-01

    Negative pressure wound therapy (NPWT) is used to manage wounds and promote wound healing. The most common form of NPWT utilizes reticulated, open cell foam (ROCF). Pressure is transferred to the wound by ROCF using T.R.A.C.™ Technology (regulated pressure feedback [RPF]) creating an environment that promotes healing. This study examines the effectiveness of ROCF versus gauze in inducing macrostrain and investigates the ability of NPWT/ROCF/RPF to consistently deliver negative pressure to the wound, compensating for constantly changing wound fluid characteristics. In an in-vitro model, ROCF induced significantly greater macrostrain than gauze demonstrating a 57% decrease in dressing surface area following negative pressure application. The decrease measured with gauze under suction (GUS) was insignificant. The NPWT/ROCF/RPF system consistently delivered negative pressure to the wound when compared to GUS or ROCF without RPF. Further, with the negative pressure source elevated 36 in (90 cm) above surrogate wounds, GUS demonstrated a 7- to 10-fold pressure drop when compared to NPWT/ROCF/RPF. Systems without RPF are limited because they cannot sense or measure pressure delivered at the wound. In situations where pressure drop occurs, neither the clinician nor patient would necessarily know that suboptimal pressure was being delivered to the wound. Therefore, a system with ROCF and RPF capability that effectively monitors and maintains the NPWT environment plays a crucial role in the optimal induction of macrostrain and microstrain. The ability of the NPWT/ROCF/RPF system to monitor and maintain controlled, consistent delivery of negative pressure would seem important to achieve desired clinical outcomes. PMID:25902176

  15. The concept of negative pressure wound therapy (NPWT after poststernotomy mediastinitis – a single center experience with 54 patients

    Directory of Open Access Journals (Sweden)

    Vogt Peter M

    2009-01-01

    Full Text Available Abstract Deep sternal infections, also known as poststernotomy mediastinitis, are a rare but often fatal complication in cardiac surgery. They are a cause of increased morbidity and mortality and have a significant socioeconomic aspect concerning the health system. Negative pressure wound therapy (NPWT followed by muscular pectoralis plasty is a quite new technique for the treatment of mediastinitis after sternotomy. Although it could be demonstrated that this technique is at least as safe and reliable as other techniques for the therapy of deep sternal infections, complications are not absent. We report about our experiences and complications using this therapy in a set of 54 patients out of 3668 patients undergoing cardiac surgery in our institution between January 2005 and April 2007.

  16. Understanding the Influence of Pressure and Radial Loads on Stress and Displacement Response of a Rotating Body: The Automobile Wheel

    Directory of Open Access Journals (Sweden)

    2006-01-01

    Full Text Available This paper highlights the use of the finite element technique for analyzing stress and displacement distributions in wheels of automotive vehicles when subject to the conjoint influence of inflation pressure and radial load. The most commonly used considerations in the design of the rotating body are elucidated. A potentially viable technique for finite element modeling of radial wheel, subjected to loading, is highlighted. The extrinsic influence of inflation pressure on performance of the rotating body, that is, the wheel, is rationalized.

  17. Reconstruction of severely infected gluteal osteoradionecrosis using negative-pressure wound therapy and latissimus dorsi musculocutaneous flaps.

    Science.gov (United States)

    Kim, Sang Wha; Youn, Dong Geun; Hwang, Kyu Tae; Kim, Jeong Tae; Kim, Youn Hwan

    2016-01-01

    Radiotherapy is mandatory for aggressive cancer treatment. Unfortunately, the high-energy radiation used can lead to severe osteoradionecrosis. Radical debridement of devitalized bone and soft tissue coupled with reconstruction using well-vascularized tissues is the accepted treatment for this condition. However, osteoradionecrosis cannot be controlled easily or rapidly. The aim of this study was to present the results of the use of serial negative-pressure wound therapy (NPWT) in combination with a latissimus dorsi myocutaneous flap for treatment of gluteal osteoradionecrosis in a consecutive series of patients. Between January 2003 and December 2012, nine patients underwent reconstruction using serial NPWT and latissimus dorsi myocutaneous flaps. We applied negative-pressure dressings for at least 8 weeks. Final reconstruction was performed after the infection was controlled. The superior gluteal artery and vein were used as recipient vessels in all the cases. The mean interval between operation and radiation therapy was 28.3 ± 8.3 years, and the mean number of debridement performed was 6.3 ± 1. NPWT dressings were applied for 8-12 weeks (mean, 9.3 ± 2 weeks). The defects ranged in size from 14 × 8 cm to 18 × 15 cm. The flap size ranged from 15 × 10 cm to 18 × 15 cm. All flaps survived uneventfully except in one patient who experienced chronic seroma and wound dehiscence. There were no recurrences of osteomyelitis during the follow-up periods (mean, 14 ± 6.1 months). Based on the results obtained from this consecutive series of patients, we suggest that this methodology may provide an alternative approach for the treatment of severe osteoradionecrosis of the gluteal region. PMID:25641653

  18. Percentile distribution of blood pressure readings in relation to body mass index: a populationbased cross-sectional study ADOPOLNOR

    Directory of Open Access Journals (Sweden)

    Krzyżaniak Alicja

    2015-03-01

    Full Text Available Recent upward trends toward elevated blood pressure and increased weight expressed in terms of body mass index in children and adolescents call for regular monitoring of their physical growth and age-related changes in blood pressure. This requires adequate tools - reference values of a normal blood pressure range. The main objective of this study was to provide sex- and BMI-specific percentile reference values for systolic and diastolic blood pressure based on the adolescent Polish population, participants in the ADOPOLNOR study. A cross-sectional survey was carried out on a representative, randomly selected cohort of 4,941; 2,451 male and 2,490 female students aged 10-18 years, residents in Wielkopolska province and its capital, the city of Poznań. All examinations were performed in school nursery rooms during morning hours according to standard procedures. Body height and weight were measured and BMI was calculated. Blood pressure was measured twice on each occasion on the right arm using a fully calibrated TECH MED TM-Z mercury gauge sphygmomanometer with sets of exchangeable cuffs and a clinical stethoscope. The blood pressure classification was determined using the surveillance method. For each participant, the mean of measurements taken on each of the three occasions was calculated and served as his/her final blood pressure value. Using the LMS method, fitted percentile curves were created for BMI-related systolic and diastolic blood pressure. The findings revealed that age related blood pressure pattern was similar in boys and girls. It showed a steady increase of systolic and diastolic blood pressure with age. There was a positive correlation between the systolic and diastolic blood pressure indicating that when systolic blood pressure increased so diastolic did (r=0.61 at p<0.01. Boys were likely to have relatively higher mean values of systolic and diastolic blood pressure and steeper slope for BMI-related change in blood pressure

  19. Collision-induced dissociation analysis of negative atmospheric ion adducts in atmospheric pressure corona discharge ionization mass spectrometry.

    Science.gov (United States)

    Sekimoto, Kanako; Takayama, Mitsuo

    2013-05-01

    Collision-induced dissociation (CID) experiments were performed on atmospheric ion adducts [M + R](-) formed between various types of organic compounds M and atmospheric negative ions R(-) [such as O2(-), HCO3(-), COO(-)(COOH), NO2(-), NO3(-), and NO3(-)(HNO3)] in negative-ion mode atmospheric pressure corona discharge ionization (APCDI) mass spectrometry. All of the [M + R](-) adducts were fragmented to form deprotonated analytes [M - H](-) and/or atmospheric ions R(-), whose intensities in the CID spectra were dependent on the proton affinities of the [M - H](-) and R(-) fragments. Precursor ions [M + R](-) for which R(-) have higher proton affinities than [M - H](-) formed [M - H](-) as the dominant product. Furthermore, the CID of the adducts with HCO3(-) and NO3(-)(HNO3) led to other product ions such as [M + HO](-) and NO3(-), respectively. The fragmentation behavior of [M + R](-) for each R(-) observed was independent of analyte type (e.g., whether the analyte was aliphatic or aromatic, or possessed certain functional groups). PMID:23479312

  20. The increased killing of biofilms in vitro by combining topical silver dressings with topical negative pressure in chronic wounds.

    Science.gov (United States)

    Valente, Pedro Miguel Ds; Deva, Anand; Ngo, Quan; Vickery, Karen

    2016-02-01

    Chronic wounds remain a significant medical and financial burden in hospitals of today. A major factor in the transition from an acute to a chronic wound is its bacterial bioburden. Developments in molecular techniques have shown that chronic wounds remain colonised by many species of bacteria and that the bacteria within these chronic wounds exist in two forms. Treatments of chronic wounds have maintained a challenging field and significant ongoing research is being conducted. With the development of an in vitro wound model, we applied topical negative pressure (TNP) dressings to a spectrum of common bacterial biofilms found in chronic wounds and studied the synergistic efficacy between the application of TNP and silver-impregnated foam against these biofilms. This synergistic response was seen within the laboratory strains of staphylococcal biofilms over a 3-day treatment period but lost following the 5 days of treatment. However, combining topical pressure dressings and silver foam lead to a synergistic inactivation in Pseudomonas species over both 3-day and 5-day treatments. PMID:24712658

  1. Low-cost Negative-pressure Wound Therapy Using Wall Vacuum: A 15 Dollars by Day Alternative

    Science.gov (United States)

    Garrido, Ignacio; Eburdery, Harold; Grolleau, Jean Louis; Chavoin, Jean Pierre

    2015-01-01

    Background: Negative-pressure wound therapy (NPWT) has been marketed for about 20 years and remains popular. The only real obstacle to NPWT is the cost; therefore, we designed an inexpensive NPWT connected to a wall vacuum. Here, we report the feasibility and safety of this product, which we call PROVACUUM (Z-Biotech, Saint-Avertin, France). Methods: As a first step, the constraints imposed on the manufacturer were equipment quality similar to that of commercial NPWT systems, with an average treatment cost of $15/d. Then, we conducted a prospective study of patients with indications for NPWT from September 2013 to January 2015. Data collected included ease of use, quality of materials, and occurrence of complications during treatment. Results: We enrolled 23 patients with a mean age of 50.8 years. The average duration of treatment was 8.5 days (range, 3–21 days). The dressings were changed every 3.3 days (range, 2–4 days). Two hematomas occurred that required surgical revision and the transfusion of 2 units after large debridement of pressure ulcer. No other adverse events or infections occurred. The surgeons found that our device was similar to commercial NPWT devices. Conclusions: We developed an inexpensive NPWT that costs an average of $15/d. Our process is not intended to replace portable or stand-alone devices with batteries, but rather offers a less expensive alternative for hospitalized patients and makes NPWT accessible to the most precarious countries and institutions. PMID:26180719

  2. Global model analysis of negative ion generation in low-pressure inductively coupled hydrogen plasmas with bi-Maxwellian electron energy distributions

    International Nuclear Information System (INIS)

    A global model was developed to investigate the densities of negative ions and the other species in a low-pressure inductively coupled hydrogen plasma with a bi-Maxwellian electron energy distribution. Compared to a Maxwellian plasma, bi-Maxwellian plasmas have higher populations of low-energy electrons and highly vibrationally excited hydrogen molecules that are generated efficiently by high-energy electrons. This leads to a higher reaction rate of the dissociative electron attachment responsible for negative ion production. The model indicated that the bi-Maxwellian electron energy distribution at low pressures is favorable for the creation of negative ions. In addition, the electron temperature, electron density, and negative ion density calculated using the model were compared with the experimental data. In the low-pressure regime, the model results of the bi-Maxwellian electron energy distributions agreed well quantitatively with the experimental measurements, unlike those of the assumed Maxwellian electron energy distributions that had discrepancies

  3. A new phase diagram of water under negative pressure: The rise of the lowest-density clathrate s-III.

    Science.gov (United States)

    Huang, Yingying; Zhu, Chongqin; Wang, Lu; Cao, Xiaoxiao; Su, Yan; Jiang, Xue; Meng, Sheng; Zhao, Jijun; Zeng, Xiao Cheng

    2016-02-01

    Ice and ice clathrate are not only omnipresent across polar regions of Earth or under terrestrial oceans but also ubiquitous in the solar system such as on comets, asteroids, or icy moons of the giant planets. Depending on the surrounding environment (temperature and pressure), ice alone exhibits an exceptionally rich and complicated phase diagram with 17 known crystalline polymorphs. Water molecules also form clathrate compounds with inclusion of guest molecules, such as cubic structure I (s-I), cubic structure II (s-II), hexagonal structure H (s-H), tetragonal structure T (s-T), and tetragonal structure K (s-K). Recently, guest-free clathrate structure II (s-II), also known as ice XVI located in the negative-pressure region of the phase diagram of water, is synthesized in the laboratory and motivates scientists to reexamine other ice clathrates with low density. Using extensive Monte Carlo packing algorithm and dispersion-corrected density functional theory optimization, we predict a crystalline clathrate of cubic structure III (s-III) composed of two large icosihexahedral cavities (8(6)6(8)4(12)) and six small decahedral cavities (8(2)4(8)) per unit cell, which is dynamically stable by itself and can be fully stabilized by encapsulating an appropriate guest molecule in the large cavity. A new phase diagram of water ice with TIP4P/2005 (four-point transferable intermolecular potential/2005) model potential is constructed by considering a variety of candidate phases. The guest-free s-III clathrate with ultralow density overtakes s-II and s-H phases and emerges as the most stable ice polymorph in the pressure region below -5834 bar at 0 K and below -3411 bar at 300 K. PMID:26933681

  4. Predictors of Adolescent Male Body Image Dissatisfaction: Implications for Negative Health Practices and Consequences for School Health from a Regionally Representative Sample

    Science.gov (United States)

    Leone, James E.; Fetro, Joyce V.; Kittleson, Mark; Welshimer, Kathleen J.; Partridge, Julie A.; Robertson, Stacia L.

    2011-01-01

    Background: Adolescent males are more likely to sustain intentional and unintentional injuries, be involved in a physical confrontation, and be successful in suicide attempts. Body image dissatisfaction (BID) has been linked as a possible contributing factor to these negative health behaviors and risks; however, research is limited with males. The…

  5. Self-harm history predicts resistance to inpatient treatment of body shape aversion in women with eating disorders: The role of negative affect.

    Science.gov (United States)

    Olatunji, Bunmi O; Cox, Rebecca; Ebesutani, Chad; Wall, David

    2015-06-01

    Although self-harm has been observed among patients with eating disorders, the effects of such tendencies on treatment outcomes are unclear. The current study employed structural equation modeling to (a) evaluate the relationship between self-harm and changes in body dissatisfaction and drive for thinness in a large sample of patients (n = 2061) who underwent inpatient treatment, and (b) to examine whether the relationship between self-harm and changes in body dissatisfaction and drive for thinness during inpatient treatment remains significant when controlling for change in negative affect during treatment. Results revealed that patients with a history of self-harm reported significantly less reduction in body dissatisfaction and drive for thinness following treatment. Patients experiencing less change in negative affect also reported significantly less reduction in body dissatisfaction and drive for thinness after discharge from treatment. However, the association between history of self-harm and reduction in body dissatisfaction and drive for thinness after treatment became non-significant when controlling for change in negative affect. This pattern of findings was also replicated among patients with a primary diagnosis of anorexia nervosa (n = 845), bulimia nervosa (n = 565), and eating disorder not otherwise specified (n = 651). The implications of these findings for delineating the specific role of self-harm in the nature and treatment of eating disorders are discussed. PMID:25868550

  6. Negative Pressure Wound Therapy Literature Review of Efficacy, Cost Effectiveness, and Impact on Patients' Quality of Life in Chronic Wound Management and Its Implementation in the United Kingdom

    Directory of Open Access Journals (Sweden)

    Diaa Othman

    2012-01-01

    Full Text Available This is a paper reviewing the National Health Service (NHS agenda in relation to the use of Negative Pressure Wound Therapy (NPWT in chronic wound management and assesses the evidence behind it, its cost effectiveness and the outcome it has on patients’ satisfaction and life style. Multiple studies over the last 10 years looking at clinical efficacy of NPWT with its cost effectiveness and the implementation of this service in the UK were reviewed. NPWT has showed a reasonable body of evidence to support its usage in chronic wounds with potential positive outcomes on finance and patients’ satisfaction. However, the NHS system shows significant variations in the availability and implementation of this useful tool, depending on care providers and resources availabilities. The paper concluded that the NPWT can be a useful source of cutting down costs of chronic wound managements and saving money by its effect on expediting wound healing, which can address a part of the financial crises facing the NHS, however, has to be considered according to specific case needs. There should also be a national standard for the availability and indication of this tool to assure equal opportunities for different patients in different areas in the country.

  7. Sociocultural pressures, thin-ideal internalization, self-objectification, and body dissatisfaction: could feminist beliefs be a moderating factor?

    Science.gov (United States)

    Myers, Taryn A; Crowther, Janis H

    2007-09-01

    Theory and research suggest that sociocultural pressures, thin-ideal internalization, and self-objectification are associated with body dissatisfaction, while feminist beliefs may serve a protective function. This research examined thin-ideal internalization and self-objectification as mediators and feminist beliefs as a moderator in the relationship between sociocultural pressures to meet the thin-ideal and body dissatisfaction. Female undergraduate volunteers (N=195) completed self-report measures assessing sociocultural influences, feminist beliefs, thin-ideal internalization, self-objectification, and body dissatisfaction. Multisample structural equation modeling showed that feminist beliefs moderate the relationship between media awareness and thin-ideal internalization, but not the relationship between social influence and thin-ideal internalization. Research and clinical implications of these findings are discussed. PMID:18089276

  8. Effects of Hormone Replacement Therapy (HRT on the body weight, blood pressure and vaginal bleeding in menopausal women

    Directory of Open Access Journals (Sweden)

    Ali Baziad

    2002-03-01

    Full Text Available This study was a descriptive, retrospective trial conducted in 29 menopausal women. Each patient received treatment with conjugated equine estrogen (CEE 0.625 mg/day + medroxyprogesterone acetate (MPA 5 mg/hari continuously for the period of 6 months. The average age of menopause was 53.7 years with duration of menopause of 5.5 years. The education level of patients was Senior High School and higher. During the period of 6 months of continuous combined HRT, a significant increase of body weight and systolic blood pressure was found, while diastolic blood pressure did not have any significant change. Vaginal bleeding in the form of spotting occurred in 69% of the patients during the use of continuous combined HRT. (Med J Indones 2002; 11:11-4Keywords: continuous HRT, menopause, body weight, blood pressure, bleeding

  9. Reducing the negative effects of media exposure on body image: Testing the effectiveness of subvertising and disclaimer labels.

    Science.gov (United States)

    Frederick, David A; Sandhu, Gaganjyot; Scott, Terri; Akbari, Yasmin

    2016-06-01

    Body image activists have proposed adding disclaimer labels to digitally altered media as a way to promote positive body image. Another approach advocated by activists is to alter advertisements through subvertising (adding social commentary to the image to undermine the message of the advertisement). We examined if body image could be enhanced by attaching Photoshop disclaimers or subvertising to thin-ideal media images of swimsuit models. In Study 1 (N=1268), adult women exposed to disclaimers or subvertising did not report higher body state satisfaction or lower drive for thinness than women exposed to unaltered images. In Study 2 (N=820), adult women who were exposed to disclaimers or subvertising did not report higher state body satisfaction or lower state social appearance comparisons than women exposed to unaltered images or to no images. These results raise questions about the effectiveness of disclaimers and subvertising for promoting body satisfaction. PMID:27085112

  10. Effects of negative pressure wound therapy on mesenchymal stem cells proliferation and osteogenic differentiation in a fibrin matrix.

    Directory of Open Access Journals (Sweden)

    Jin Zhu

    Full Text Available Vacuum-assisted closure (VAC negative pressure wound therapy (NPWT has been proven to be an effective therapeutic method for the treatment of recalcitrant wounds. However, its role in bone healing remains to be unclear. Here, we investigated the effects of NPWT on rat periosteum-derived mesenchymal stem cells (P-MSCs proliferation and osteoblastic differentiation in a 3D fibrin matrix. P-MSCs underwent primary culture for three passages before being used to construct cell clots. The fibrin clots were incubated with NPWT under continuous suction at -125 mmHg in a subatmospheric perfusion bioreactor. Clots exposed to atmospheric pressure served as the static control. Compared to the control group, cell proliferation significantly increased in NPWT group after incubation for 3 days. There was no statistical difference in apoptosis rate between two groups. The ALP activity and mineralization of P-MSCs all increased under continuous suction. The expressions of collagen type 1 and transcription factor Cbfa-1 were higher at the 1-, 3-, and 7-day timepoints and the expressions of osteocalcin and integrin β5 were higher at the 3-, and 7-day timepoints in the NPWT group. These results indicate that a short time treatment with NPWT, applied with continuous suction at -125 mmHg, can enhance cellular proliferation of P-MSCs and induce the differentiation toward an osteogenic phenotype. The mechanotransduction molecule integrin β5 was found to be highly expressed after NPWT treatment, which indicates that NPWT may play a positive role in fracture healing through enhance bone formation and decrease bone resorption.

  11. The role of negative pressure wound therapy with reticulated open cell foam in the treatment of war wounds.

    Science.gov (United States)

    Powell, Elisha T

    2008-01-01

    The treatment of war wounds poses many unique challenges to all healthcare providers (surgeons, flight medics, nurses, etc.), whether they are located at the far forward trauma hospitals located in or near areas of conflict, at regional hospitals such as Landstuhl Medical Center in Germany, or the larger military hospitals in the United States. These complex wounds often involve massive loss of soft tissue and bone, are contaminated, and are unlike most injuries seen at civilian hospitals. Treatment guidelines, or doctrine, are the result of lessons learned in conflicts over the past few centuries dating back to early 19th century Europe through the Vietnam and recent Persian Gulf war. Advances in surgical and medical treatment have resulted from the complex challenges presented to the war trauma surgeon. More than 1 million patients have been treated for chronic pressure ulcers, abdominal wounds, diabetic ulcers, and acute civilian trauma wounds with negative pressure wound therapy with reticulated open cell foam (NPWT/ROCF) as delivered by V.A.C.(R) Therapy (KCI, San Antonio, TX) for over the past decade. However, the use of NPWT/ROCF for the care of war wounds at battlefield trauma hospitals and/or in the aeromedical evacuation transport system aboard aircraft is a new application of this wound treatment not yet accepted as doctrine. Investigational studies are ongoing to study the safety and efficacy of the treatment of battlefield wounds with NPWT/ROCF both for those national citizens treated at the trauma hospitals in Iraq and Afghanistan and for those wounded American and coalition patients who are transported through the aeromedical transport system to medical centers in the United States. PMID:19034160

  12. Are All Minority Women Equally Buffered from Negative Body Image? Intra-Ethnic Moderators of the Buffering Hypothesis

    Science.gov (United States)

    Sabik, Natalie J.; Cole, Elizabeth R.; Ward, L. Monique

    2010-01-01

    Body dissatisfaction is normative among European American women, and involvement with predominant culture or linking self-worth to weight may intensify the association between body dissatisfaction and drive for thinness for women of color. Our study investigated whether orientation to other ethnic groups (Multigroup Ethnic Identity Measure) and…

  13. Simultaneous irrigation and negative pressure wound therapy enhances wound healing and reduces wound bioburden in a porcine model.

    Science.gov (United States)

    Davis, Kathryn; Bills, Jessica; Barker, Jenny; Kim, Paul; Lavery, Lawrence

    2013-01-01

    Infected foot wounds are one of the most common reasons for hospitalization and amputation among persons with diabetes. The objective of the study was to investigate a new wound therapy system that employs negative pressure wound therapy (NPWT) with simultaneous irrigation therapy. For this study, we used a porcine model with full-thickness excisional wounds, inoculated with Pseudomonas aeruginosa. Wounds were treated for 21 days of therapy with either NPWT, NPWT with simultaneous irrigation therapy using normal saline or polyhexanide biguanide (PHMB) at low or high flow rates, or control. Data show that NPWT with either irrigation condition improved wound healing rates over control-treated wounds, yet did not differ from NPWT alone. NPWT improved bioburden over control-treated wounds. NPWT with simultaneous irrigation further reduced bioburden over control and NPWT-treated wounds; however, flow rate did not affect these outcomes. Together, these data show that NPWT with simultaneous irrigation therapy with either normal saline or PHMB has a positive effect on bioburden in a porcine model, which may translate clinically to improved wound healing outcomes. PMID:24134060

  14. Negative Pressure Wound Therapy on Surgical Site Infections in Women Undergoing Elective Caesarean Sections: A Pilot RCT

    Directory of Open Access Journals (Sweden)

    Wendy Chaboyer

    2014-09-01

    Full Text Available Obese women undergoing caesarean section (CS are at increased risk of surgical site infection (SSI. Negative Pressure Wound Therapy (NPWT is growing in use as a prophylactic approach to prevent wound complications such as SSI, yet there is little evidence of its benefits. This pilot randomized controlled trial (RCT assessed the effect of NPWT on SSI and other wound complications in obese women undergoing elective caesarean sections (CS and also the feasibility of conducting a definitive trial. Ninety-two obese women undergoing elective CS were randomized in theatre via a central web based system using a parallel 1:1 process to two groups i.e., 46 women received the intervention (NPWT PICO™ dressing and 46 women received standard care (Comfeel Plus® dressing. All women received the intended dressing following wound closure. The relative risk of SSI in the intervention group was 0.81 (95% CI 0.38–1.68; for the number of complications excluding SSI it was 0.98 (95% CI 0.34–2.79. A sample size of 784 (392 per group would be required to find a statistically significant difference in SSI between the two groups with 90% power. These results demonstrate that a larger definitive trial is feasible and that careful planning and site selection is critical to the success of the overall study.

  15. Measurement of vancomycin hydrochloride concentration in the exudate from wounds receiving negative pressure wound therapy: a pilot study.

    Science.gov (United States)

    Ida, Yukiko; Matsumura, Hajime; Onishi, Masami; Ono, Sayaka; Imai, Ryutaro; Watanabe, Katsueki

    2016-04-01

    It has been reported that negative pressure wound therapy (NPWT) is effective in the treatment of contaminated wounds. We hypothesised that systemically administered antibiotics migrate to wound site effectively by NPWT, which provides the antibacterial effect. We measured and compared the concentrations of vancomycin in the exudate and blood serum. Eight patients with skin ulcers or skin defect wounds who were treated with NPWT and were administered an intravenous drip of vancomycin were enrolled in this study. The wound surfaces were muscle, muscle fascia or adipose tissue. We administered vancomycin intravenously to NPWT patients (1-3 g/day). The exudate was obtained using 500 ml V.A.C. ATS canisters without gel. Three days later, the concentrations of vancomycin were measured. The mean concentration of vancomycin in the exudate from NPWT was 67% of the serum vancomycin concentration. We found that concentrations of vancomycin in NPWT exudates are higher than the previously reported concentrations in soft tissue without NPWT. The proactive use of NPWT might be considered in cases of suspected wound contamination when a systemic antibiotic is administered. PMID:24674131

  16. A rigid barrier between the heart and sternum protects the heart and lungs against rupture during negative pressure wound therapy

    Directory of Open Access Journals (Sweden)

    Malmsjö Malin

    2011-07-01

    Full Text Available Abstract Objectives Right ventricular heart rupture is a devastating complication associated with negative pressure wound therapy (NPWT in cardiac surgery. The use of a rigid barrier has been suggested to offer protection against this lethal complication, by preventing the heart from being drawn up and damaged by the sharp edges of the sternum. The aim of the present study was to investigate whether a rigid barrier protects the heart and lungs against injury during NPWT. Methods Sixteen pigs underwent median sternotomy followed by NPWT at -120 mmHg for 24 hours, in the absence (eight pigs or presence (eight pigs of a rigid plastic disc between the heart and the sternal edges. The macroscopic appearance of the heart and lungs was inspected after 12 and 24 hours of NPWT. Results After 24 hours of NPWT at -120 mmHg the area of epicardial petechial bleeding was 11.90 ± 1.10 cm2 when no protective disc was used, and 1.15 ± 0.19 cm2 when using the disc (p Conclusion Inserting a rigid barrier between the heart and the sternum edges offers protection against heart rupture and lung injury during NPWT.

  17. Negative pressure wound therapy decreases mortality in a murine model of burn-wound sepsis involving Pseudomonas aeruginosa infection.

    Directory of Open Access Journals (Sweden)

    Yang Liu

    Full Text Available BACKGROUND: The colonization of burn wounds by Pseudomonas aeruginosa can lead to septic shock, organ injuries, and high mortality rates. We hypothesized that negative pressure wound therapy (NPWT would decrease invasion and proliferation of P. aeruginosa within the burn wound and reduce mortality. METHODS: Thermal injuries were induced in anesthetized mice, and P. aeruginosa was applied to the wound surface for 24 h. After removing the burn eschar and debridement, the animals were subjected to either NPWT or wet-to-dry (WTD treatment protocols. The bacterial loads on the wound surface were assessed during 7 d of treatment, as were the concentrations of inflammatory cytokines in the peripheral blood samples. Survival was monitored daily for 14 d after burn induction. Finally, samples of wounded skin, lung, liver, and kidney were collected and subjected to histopathological examination. RESULTS: Applying P. aeruginosa to the burn wound surface led to sepsis. During early stages of treatment, NPWT reduced the mortality of the septic animals and levels of P. aeruginosa within the burn wound compared with WTD-treated animals. Circulating levels of cytokines and cytoarchitectural abnormalities were also significantly reduced via NPWT. CONCLUSIONS: Our data indicate that NPWT inhibits the invasion and proliferation of P. aeruginosa in burn-wounded tissue and decreases early mortality in a murine model of burn-wound sepsis. These therapeutic benefits likely result from the ability of NPWT to decrease bacterial proliferation on the wound surface, reduce cytokine serum concentrations, and prevent damage to internal organs.

  18. Negative Pressure Wound Therapy for the Treatment of the Open Abdomen and Incidence of Enteral Fistulas: A Retrospective Bicentre Analysis

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    Sven Richter

    2013-01-01

    Full Text Available Introduction. The open abdomen (OA is often associated with complications. It has been hypothesized that negative pressure wound therapy (NPWT in the treatment of OA may provoke enteral fistulas. Therefore, we analyzed patients with OA and NPWT with special regard to the occurrence of intestinal fistulas. Methods. The present study included all consecutive patients with OA treated with NWPT from April 2010 to August 2011 in two hospitals. Patients’ demographics, indications for OA, risk factors, complications, outcome and incidence of fistulas before, during and after NPWT were recorded. Results. Of 81 patients with OA, 26 had pre-existing fistulas and 55 were free from a fistula at the beginning of NPWT. Nine of the 55 patients developed fistulas during ( or after NPWT (. Seventy-five patients received ABThera therapy, 6 patients other temporary abdominal closure devices. Only diverticulitis seemed to be a significant predisposing factor for fistulas. Mortality was slightly lower for patients without fistulas. Conclusion. The present study revealed no correlation between occurrence of fistulas before, during, and after NWPT, with diverticulitis being the only risk factor. Fistula formation during NPWT was comparable to reports from literature. Prospective studies are mandatory to clarify the impact of NPWT on fistula formation.

  19. Negative pressure wound therapy management of the “open abdomen” following trauma: a prospective study and systematic review

    Directory of Open Access Journals (Sweden)

    Navsaria Pradeep

    2013-01-01

    Full Text Available Abstract Introduction The use of Negative Pressure Wound Therapy (NPWT for temporary abdominal closure of open abdomen (OA wounds is widely accepted. Published outcomes vary according to the specific nature and the aetiology that resulted in an OA. The aim of this study was to evaluate the effectiveness of a new NPWT system specifically used OA resulting from abdominal trauma. Methods A prospective study on trauma patients requiring temporary abdominal closure (TAC with grade 1or 2 OA was carried out. All patients were treated with NPWT (RENASYS AB Smith & Nephew to achieve TAC. The primary outcome measure was time taken to achieve fascial closure and secondary outcomes were complications and mortality. Results A total of 20 patients were included. Thirteen patients (65% achieved fascial closure following a median treatment period of 3 days. Four patients (20% died of causes unrelated to NPWT. Complications included fistula formation in one patient (5% with spontaneous resolution during NPWT, bowel necrosis in a single patient (5% and three cases of infection (15%. No fistulae were present at the end of NPWT. Conclusion This new NPWT kit is safe and effective and results in a high rate of fascial closure and low complication rates in the severely injured trauma patient.

  20. The influence of puberty onset, body mass index, and pressure to be thin on disordered eating behaviors in children and adolescents.

    Science.gov (United States)

    Tremblay, Line; Lariviere, Michel

    2009-04-01

    The main objective of this study is to verify the hypothesis that pubertal development, obesity, body satisfaction, as well as family and peer influences predict unhealthy eating habits in children and adolescents. A randomized stratified sample of young Quebecers aged 9, 13, and 16 years on March 31, 1999 [608 children aged of 9 years (325 girls and 283 boys) and 662 adolescents aged of 13 and 16 years (349 girls and 313 boys)] were used. Children's weight, height, and Body Mass Index (BMI) were recorded. Questionnaires were administered to children and a parent (usually the mother). Among 9-year-old children, this study found that weight loss or weight control behaviors were predicted mainly by the onset of puberty, lower maternal abusive control, and the level of peer pressure. Among adolescents, mother's BMI, income, peer pressure, and negative comments about the child's weight most strongly predicted behaviors to control weight, strategies to lose weight and the frequency of such behaviors. The findings suggest that both parents and children need to understand the impact of comments on a child's behavior. PMID:19447348

  1. The developmental effects of media-ideal internalization and self-objectification processes on adolescents' negative body-feelings, dietary restraint, and binge eating.

    Science.gov (United States)

    Dakanalis, Antonios; Carrà, Giuseppe; Calogero, Rachel; Fida, Roberta; Clerici, Massimo; Zanetti, Maria Assunta; Riva, Giuseppe

    2015-08-01

    Despite accumulated experimental evidence of the negative effects of exposure to media-idealized images, the degree to which body image, and eating related disturbances are caused by media portrayals of gendered beauty ideals remains controversial. On the basis of the most up-to-date meta-analysis of experimental studies indicating that media-idealized images have the most harmful and substantial impact on vulnerable individuals regardless of gender (i.e., "internalizers" and "self-objectifiers"), the current longitudinal study examined the direct and mediated links posited in objectification theory among media-ideal internalization, self-objectification, shame and anxiety surrounding the body and appearance, dietary restraint, and binge eating. Data collected from 685 adolescents aged between 14 and 15 at baseline (47 % males), who were interviewed and completed standardized measures annually over a 3-year period, were analyzed using a structural equation modeling approach. Results indicated that media-ideal internalization predicted later thinking and scrutinizing of one's body from an external observer's standpoint (or self-objectification), which then predicted later negative emotional experiences related to one's body and appearance. In turn, these negative emotional experiences predicted subsequent dietary restraint and binge eating, and each of these core features of eating disorders influenced each other. Differences in the strength of these associations across gender were not observed, and all indirect effects were significant. The study provides valuable information about how the cultural values embodied by gendered beauty ideals negatively influence adolescents' feelings, thoughts and behaviors regarding their own body, and on the complex processes involved in disordered eating. Practical implications are discussed. PMID:25416025

  2. Effectiveness and cost-effectiveness of body psychotherapy in the treatment of negative symptoms of schizophrenia – a multi-centre randomised controlled trial

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    Priebe Stefan

    2013-01-01

    Full Text Available Abstract Background Negative symptoms of schizophrenia are frequently associated with poor long term outcomes. Established interventions have little, if any, positive effects on negative symptoms. Arts Therapies such as Body Psychotherapy (BPT have been suggested to reduce negative symptoms, but the existing evidence is limited. In a small exploratory trial a manualised form of group BPT led to significantly lower negative symptom levels both at the end of treatment and at 4 months follow-up as compared to supportive counseling. We designed a large multi-site trial to assess the effectiveness of a manualised BPT intervention in reducing negative symptoms, compared to an active control. Methods/Design In a randomised controlled trial, 256 schizophrenic outpatients with negative symptoms will be randomly allocated either to BPT or Pilates groups. In both conditions, patients will be offered two 90 minutes sessions per week in groups of about 8 patients over a period of 10 weeks. Outcomes are assessed at the end of treatment and at six months follow-up. The primary outcome is severity of negative symptoms, as measured by the Positive and Negative Symptom Scale (PANSS, whilst a range of secondary outcome measures include general psychopathology, social contacts, and quality of life. We will also assess the cost-effectiveness of the intervention. Discussion The study aims to evaluate the effectiveness of a promising form of group therapy which may help alleviate negative symptoms that are associated with unfavourable long-term outcomes and have so far been difficult to treat. If the trial is successful, it will add a new and effective option in the treatment of negative symptoms. Group BPT is manualised, might be attractive to many patients because of its unusual approach, and could potentially be rolled out to services at relatively little additional cost. Trial registration Current Controlled Trials ISRCTN84216587

  3. Relationship between body composition changes and the blood pressure response to exercise test in overweight Japanese subjects.

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    Numata,Takeyuki

    2007-02-01

    Full Text Available We investigated the link between changes in body composition and the blood pressure (BP response to exercise in overweight Japanese by a retrospective clinical study carried out over a 3-year period. We analyzed data for 38 overweight Japanese aged 22-69 years (47.8 +- 11.4 at baseline. Among the participants, 32 overweight subjects (body mass index : BMI, 29.0 +- 3.0 kg/m2 were further analyzed with a 3-year follow up. BP at rest, the BP response to an exercise test, the aerobic exercise-level determined ventilatory threshold (VT, and body composition were evaluated at an interval of 1 year. During the study period, there were 6 drop outs, who started to receive anti-hypertensive drugs because of the development of hypertension. Based on analysis of follow up data, parameters of body composition were significantly reduced over the 3 years. Systolic BP (SBP at rest and at VT was also reduced. In addition, delta SBP (? : delta represents positive change in parameters at VT was positively correlated with ?parameters of body composition over the 3 years. In overweight subjects with increased body weight, there was a significant time (pre vs year 3 effect and interactions by 2 factor-factorial ANOVA. The present study indicates that changes in body composition are closely linked to the SBP response to an exercise test.

  4. Final report on EURAMET.M.P-S12 — Bilateral supplementary comparison of the national pressure standards of CMI and INRIM in the range 300 Pa to 15 kPa of negative gauge pressure

    Science.gov (United States)

    Krajícek, Zdenek; Bergoglio, Mercede; Pražák, Dominik; Pasqualin, Stefano

    2014-01-01

    This report describes a EURAMET bilateral supplementary comparison between Czech CMI and Italian INRIM in low negative gauge pressure in gas (nitrogen), denoted as EURAMET.M.P-S12. The digital non-rotating pressure balance FPG8601 manufactured by Fluke/DH-Instruments, USA is normally used for gauge and absolute pressures in the range from 1 Pa to 15 kPa, but with some modifications it can be used also for the negative gauge pressures in the same range. During the preparation of the visit of INRIM at CMI for the last comparison within the framework of EURAMET.M.P-K4.2010, it was agreed to also perform an additional comparison in the range from 300 Pa to 15 kPa of negative gauge pressure. The measurements were performed in October 2012. Both institutes successfully proved their equivalence in all the tested points in the range from 300 Pa to 15 kPa of negative gauge pressure in a comparison that had, so far, been unique. . Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

  5. 灌注负压与标准负压创面治疗的疗效比较%The impact of negative-pressure wound therapy with instillation compared with standard negative-pressure wound therapy

    Institute of Scientific and Technical Information of China (English)

    范伟锋; 区健毅; 陈衍尧; 李锦塘; 朱秋贤; 叶家键

    2015-01-01

    Objective: To evaluate the impact of negative-pressure wound therapy with instillation (NPWTi) compared with standard NPWT. Methods: A total of 142 patients with wound infection were enrolled between 2010 and 2014. Patients were divided into three groups: NPWT group, NPWTi with 6 min dwell time and 20 min dwell time group. The clinical differences among three groups were compared. Results: One hundred forty-two patients (NPWT, n=74; NPWTi, 6-minute dwell time, n=34; and NPWTi, 20-minute dwell time, n=34) were included in the analysis. Number of operative visits was significantly lower for the 6- minute and 20-minute dwell time groups [(2.4 ± 0.9) and (2.6 ± 0.9), respectively] compared with the no-instillation group (P≤0.05). Hospital stay was significantly shorter for the 20-minute dwell time group (11.4 ± 5.1) days compared with the no-instillation group (14.92 ± 9.23) days (P≤0.05). Time to final surgical procedure was significantly shorter for the 6- minute and 20-minute dwell time groups (7.8 ± 5.2 and 7.5 ± 3.1 days, respectively) compared with the no-instillation group (9.23 ± 5.2) days (P<0.05). Percentage of wounds closed before discharge and culture improvement for gram-positive bacteria was significantly higher for the 6-minute dwell time group compared with the no-instillation group (94% vs. 62%, and 90% vs. 63%, P<0.05, respectively). Conclusion: Negative-pressure wound therapy with instillation (6-minute or 20-minute dwell time) is more beneficial than standard negative-pressure wound therapy for the adjunctive treatment of acutely and chronically infected wounds that require hospital admission.%目的:探讨灌注式负压创面治疗与标准负压创面治疗的疗效比较情况。方法:回顾性分析2010年2月-2014年7月因伤口感染就诊于我院的142例患者。详细记录患者的病史及基线等资料,将患者分为灌注式负压治疗组和标准负压治疗组,其中灌注式负压分为6min 和20min 两组

  6. Importance of three-body reactions in high pressure plasmas as typified by the helium-nitrogen system

    International Nuclear Information System (INIS)

    Interest in inert-gas afterglows has been refocused by the developing importance of high pressure gas lasers operating in the visible and ultraviolet wavelength regions. These devices emphasize use of selective energy transfer pumping of atomic or molecular additives to energy storing, atmospheric pressure inert gases excited by intense electron beam discharges, or by fast pulsed direct discharges. At atmospheric pressures, thermolecular reaction channels that would be completely undetectable at low pressure may become important. This dissertation concerns an examination of three-body effects that enhance the reaction rates for energy transfer and for ion-molecule reactions that occur in atmospheric pressures of inert gas diluent, even in the absence of any formation of product clusters. The archetype case of the reaction of the energy-storing species of helium with molecular nitrogen was studied in two different preionized discharge systems capable of operation to 6 atm of pressure. The thermolecular rate coefficient for the reaction He2+ + N2 + He was concluded to be 13.1 x 10-30 cm6/sec with no evidence of saturation up to pressures of 6 atm. Effective rates of reaction were observed to be increased by this channel to a value three times in excess of the Langevin rate that has been traditionally considered to be an upper limit on the overall rate of reaction

  7. The Effects of Negative Pressure by External Tissue Expansion Device on Epithelial Cell Proliferation, Neo-Vascularization and Hair Growth in a Porcine Model

    Science.gov (United States)

    Hsiao, Hui-Yi; Liu, Jia-Wei; Brey, Eric M.; Cheng, Ming-Huei

    2016-01-01

    While pre-treating a fat transplant recipient site with negative pressure has shown promise for increasing the fat survival rate, the underlying mechanisms have not been investigated, partly due to challenges related to immobilization of vacuum domes on large animal subjects. The aim of this study was to examine the effect of negative pressure treatment by External Tissue Expansion Device (ETED) on fat grating recipient sites in a porcine model. The ETED was designed to provide negative pressure on the dorsum of swine. Pressure treatment (-70 mmHg) was applied for 1 or 3 hours every other day for 10 and 20 treatments. The treated areas (3.5 cm in diameter) were harvested and examined for histological changes, vessel density, cell proliferation (Ki67) and growth factor expression (FGF-1, VEGF and PDGB-bb). The application of the ETED increased epidermis thickness even after 1-hour treatments repeated 10 times. The results of Ki67 analysis suggested that the increasing thickness was due to cell proliferation in the epidermis. There was a more than two-fold increase in the vessel density, indicating that the ETED promotes vascularization. Unexpectedly, the treatment also increased the number of hair follicles. Negative pressure provided by the ETED increases the thickness of epidermis section of tissue, cell proliferation and vessel density. The porcine model provides a better representation of the effect of the ETED on skin tissue compared to small animal models and provides an environment for studying the mechanisms underlying the clinical benefits of negative pressure treatment. PMID:27128731

  8. The Effects of Negative Pressure by External Tissue Expansion Device on Epithelial Cell Proliferation, Neo-Vascularization and Hair Growth in a Porcine Model.

    Directory of Open Access Journals (Sweden)

    Hui-Yi Hsiao

    Full Text Available While pre-treating a fat transplant recipient site with negative pressure has shown promise for increasing the fat survival rate, the underlying mechanisms have not been investigated, partly due to challenges related to immobilization of vacuum domes on large animal subjects. The aim of this study was to examine the effect of negative pressure treatment by External Tissue Expansion Device (ETED on fat grating recipient sites in a porcine model. The ETED was designed to provide negative pressure on the dorsum of swine. Pressure treatment (-70 mmHg was applied for 1 or 3 hours every other day for 10 and 20 treatments. The treated areas (3.5 cm in diameter were harvested and examined for histological changes, vessel density, cell proliferation (Ki67 and growth factor expression (FGF-1, VEGF and PDGB-bb. The application of the ETED increased epidermis thickness even after 1-hour treatments repeated 10 times. The results of Ki67 analysis suggested that the increasing thickness was due to cell proliferation in the epidermis. There was a more than two-fold increase in the vessel density, indicating that the ETED promotes vascularization. Unexpectedly, the treatment also increased the number of hair follicles. Negative pressure provided by the ETED increases the thickness of epidermis section of tissue, cell proliferation and vessel density. The porcine model provides a better representation of the effect of the ETED on skin tissue compared to small animal models and provides an environment for studying the mechanisms underlying the clinical benefits of negative pressure treatment.

  9. The Effects of Negative Pressure by External Tissue Expansion Device on Epithelial Cell Proliferation, Neo-Vascularization and Hair Growth in a Porcine Model.

    Science.gov (United States)

    Hsiao, Hui-Yi; Liu, Jia-Wei; Brey, Eric M; Cheng, Ming-Huei

    2016-01-01

    While pre-treating a fat transplant recipient site with negative pressure has shown promise for increasing the fat survival rate, the underlying mechanisms have not been investigated, partly due to challenges related to immobilization of vacuum domes on large animal subjects. The aim of this study was to examine the effect of negative pressure treatment by External Tissue Expansion Device (ETED) on fat grating recipient sites in a porcine model. The ETED was designed to provide negative pressure on the dorsum of swine. Pressure treatment (-70 mmHg) was applied for 1 or 3 hours every other day for 10 and 20 treatments. The treated areas (3.5 cm in diameter) were harvested and examined for histological changes, vessel density, cell proliferation (Ki67) and growth factor expression (FGF-1, VEGF and PDGB-bb). The application of the ETED increased epidermis thickness even after 1-hour treatments repeated 10 times. The results of Ki67 analysis suggested that the increasing thickness was due to cell proliferation in the epidermis. There was a more than two-fold increase in the vessel density, indicating that the ETED promotes vascularization. Unexpectedly, the treatment also increased the number of hair follicles. Negative pressure provided by the ETED increases the thickness of epidermis section of tissue, cell proliferation and vessel density. The porcine model provides a better representation of the effect of the ETED on skin tissue compared to small animal models and provides an environment for studying the mechanisms underlying the clinical benefits of negative pressure treatment. PMID:27128731

  10. The developmental effects of media-ideal internalization and self-objectification processes on adolescents’ negative body-feelings, dietary restraint, and binge eating

    OpenAIRE

    Dakanalis, Antonios; Carrà, Giuseppe; Calogero, Rachel M.; Fida, R.; Clerici, M.; Zanetti, M. Assunta; Riva, G.

    2014-01-01

    Despite accumulated experimental evidence of the negative effects of exposure to media-idealized images, the degree to which body image, and eating related disturbances are caused by media portrayals of gendered beauty ideals remains controversial. On the basis of the most up-to-date meta-analysis of experimental studies indicating that media-idealized images have the most harmful and substantial impact on vulnerable individuals regardless of gender (i.e., “internalizers” and “self-objectifie...

  11. Whole body UVA irradiation lowers systemic blood pressure by release of nitric oxide from intracutaneous photolabile nitric oxide derivates

    OpenAIRE

    Opländer, C.; Volkmar, C.M.; Paunel-Görgülü, A; van Faassen, E.E.H.; Heiss, C

    2009-01-01

    Rationale: Human skin contains photolabile nitric oxide derivates like nitrite and S-nitroso thiols, which after UVA irradiation, decompose and lead to the formation of vasoactive NO. Objective: Here, we investigated whether whole body UVA irradiation influences the blood pressure of healthy volunteers because of cutaneous nonenzymatic NO formation. Methods and Results: As detected by chemoluminescence detection or by electron paramagnetic resonance spectroscopy in vitro with human skin speci...

  12. Management of initial orthostatic hypotension: lower body muscle tensing attenuates the transient arterial blood pressure decrease upon standing from squatting

    OpenAIRE

    Go-Schön, Ingeborg K.; Kim, Yu-Sok; Linzer, Mark; van Lieshout, Johannes J.; Wieling, Wouter; Krediet, C. T. Paul

    2007-01-01

    Abstract Initial orthostatic hypotension (IOH) comprises symptoms of cerebral hypoperfusion caused by an abnormally large transient mean arterial blood pressure (MAP) decrease 5-15 s after arising from a supine, sitting or squatting position. Few treatment options are available. We set out to test the hypothesis that lower body muscle tensing (LBMT) attenuates IOH after rising from squatting and its symptoms in daily life. Thirteen IOH patients (9 males, 27 years) rose twice from s...

  13. Gas Exchange in the Normal Lung : Experimental studies on the effects of positive end-expiratory pressure and body position

    OpenAIRE

    Johansson, Mats J.

    2014-01-01

    BACKGROUND: The principal function of the lung is gas exchange requiring adequate ventilation and perfusion at the level of the alveoli. The efficiency of gas exchange is depending on the distributions of regional ventilation (V) and pulmonary blood flow (Q) and their correlation. AIMS: To validate a high-resolution method to quantify regional V and to investigate the combined effect of positive end-expiratory pressure (PEEP) and body position on distributions of regional V and Q in the norma...

  14. RELATIONSHIP AMONG EVAPORATION FLUX OF GROUNDWATER, DEPTH OF WATER TABLE AND NEGATIVE PRESSURE HEAD IN BARE SOIL

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Evaporation of ground water is a part of moisture circulation in the field.And it is a main natural form in which water transmits from the ground water to the soil water and atmosphere water.According to the simulated experiments, we study the relationship among the evaporation, depth of groundwater table and negative pressure.By theoretical analysis of the experimental results, the main conclusions are drawn as follows.There are two abrupt points in every Q-H curve.The locations of the abrupt points are separately in step with the height of top of the capillary fringe and the height of maximal capillary rise in the soil section.When the depth of ground water table H is small, the evaporation flux of ground water is large.While the depth of water table exceeds the maximal capillary rise of media in vadose zone, the capillary rise breaks up and evaporation flux of groundwater is small.The water content ratio in ground surface tends to be zero and the surface of soil tends to be drought.These conclusions show that the maximal capillary rise of media in vadose zone is an important value in regulating rational depth of ground water to reduce the evaporation of ground water and to increase effective quantity of water resources.In the meantime, these conclusions are of important theoretical and practical significance to reduce the evaporation of ground water, to prevent and cure the salinization of soil, and to make full use of and protect water resources in the northern plains in China.

  15. Improving the false-negative rate of CT in acute appendicitis-Reassessment of CT images by body imaging radiologists: A blinded prospective study

    Energy Technology Data Exchange (ETDEWEB)

    Poortman, Pieter [Department of Surgery, St Elisabeth Hospital, Tilburg (Netherlands)], E-mail: ppoortman@wlz.nl; Lohle, Paul N.M. [Department of Surgery, St Elisabeth Hospital, Tilburg (Netherlands)], E-mail: plohle@elisabeth.nl; Schoemaker, Cees M. [Department of Surgery, St Elisabeth Hospital, Tilburg (Netherlands)], E-mail: mcschoemaker@elisabeth.nl; Cuesta, Miguel A. [Department of Surgery, VU Medical Centre, Amsterdam (Netherlands)], E-mail: ma.cuesta@vumc.nl; Oostvogel, Henk J.M. [Department of Surgery, St Elisabeth Hospital, Tilburg (Netherlands)], E-mail: h.oostvogel@elisabeth.nl; Lange-de Klerk, Elly S.M. de [Department of Epidemiology and Biostatistics, VU Medical Centre, Amsterdam (Netherlands)], E-mail: esm.delange@vumc.nl; Hamming, Jaap F. [Department of Surgery, Leiden University Medical Centre (Netherlands)], E-mail: j.f.hamming@lumc.nl

    2010-04-15

    Purpose: To compare the accuracy of computed tomography (CT) analyzed by individual radiology staff members and body imaging radiologists in a non-academic teaching hospital for the diagnosis of acute appendicitis. Patients and methods: In a prospective study 199 patients with suspected acute appendicitis were examined with unenhanced CT. CT images were pre-operatively analyzed by one of the 12 members of the radiology staff. In a later stage two body imaging radiologist reassessed all CT images without knowledge of the surgical findings and without knowledge of the primary CT diagnosis. The results, independently reported, were correlated with surgical and histopathologic findings. Results: In 132 patients (66%) acute appendicitis was found at surgery, in 67 patients (34%) a normal appendix was found. The sensitivity of the primary CT analysis and of the reassessment was 76% and 88%, respectively; the specificity was 84% and 87%; the positive predictive value was 90% and 93%; the negative predictive value was 64% and 78%; and the accuracy was 78% and 87%. Conclusion: Reassessment of CT images for acute appendicitis by body imaging radiologists results in a significant improvement of sensitivity, negative predictive value and accuracy. To prevent false-negative interpretation of CT images in acute appendicitis the expertise of the attending radiologist should be considered.

  16. Pressures at larger spatial scales strongly influence the ecological status of heavily modified river water bodies in Germany.

    Science.gov (United States)

    Kail, Jochem; Wolter, Christian

    2013-06-01

    River biota are influenced by anthropogenic pressures that operate at different spatial scales. Understanding which pressures at which spatial scales affect biota is essential to manage and restore degraded rivers. In Europe, many river reaches were designated as Heavily Modified Water Bodies (HMWB) according to the European Water Framework Directive (WFD), where the ecological potential might mainly be determined by pressures at larger spatial scales outside the HMWB (e.g. hydromorphological alterations at the river network and land use at the catchment scale). In Germany, hydromorphological alterations and diffuse pollution were the main pressures. Therefore, the three objectives of this study were to (i) identify the hydromorphological pressures at the site, reach, and river network scale, and land use categories at the catchment scale which significantly affect the ecological status of HMWB in Germany, (ii) quantify the relative importance of these pressures at different spatial scales, and (iii) analyse the differences in response between fish and macroinvertebrates. The results indicated that: (i) At the reach scale, fish were most strongly influenced by channel-bank conditions whilst the naturalness of channel-planform was the best proxy for the ecological status of macroinvertebrates. At the catchment scale, urbanization was the most detrimental land use. (ii) The pressures at larger spatial scales (catchment land use and hydromorphological alterations in the river network) generally were more important than hydromorphological alterations at the reach scale. (iii) Fish were affected equally by both, hydromorphological alterations at the reach scale and large-scale pressures whereas the latter were far more important for the ecological status of macroinvertebrates. In conclusion, these results indicated that large-scale pressures may often limit the efficiency of reach-scale restoration, especially for macroinvertebrates, even in the absence of saprobic

  17. 负压创面疗法治疗原理与研究进展%The research progress and theory of negative pressure wound therapy

    Institute of Scientific and Technical Information of China (English)

    张明玮; 刘志国

    2011-01-01

    Negative pressure wound therapy is widely applied to all kinds of refractory wound. Its primary mechanism of action is increasing wound perfusion, loss of tissues edema, inhibition of bacterial growth and preventing cross infection, to promote the repair of cell proliferation and apoptosis. As the increase of indications, some new problems need to be studied. Such as the optimum negative pressure vale, period of replacing accessories, the optimum therapeutic time. This paper will be reviewed based on mechanism negative pressure wound therapy and the problems need to be solved.%负压创面疗法(negative pressure wound therapy,NPWT)广泛用于各种难愈性创面的治疗.其主要作用机制为增加伤口血流灌注,减轻组织水肿,抑制细菌生长防止交叉感染,促进修复细胞的增殖同抑制凋亡.随着治疗适应证的增加,一些新的问题有待进一步研究,如最适负压值,敷料更换时间,合理的治疗时间等.本文对负压创面疗法的作用机制和现阶段需要解决的问题做一综述.

  18. A compare between myocardial topical negative pressure levels of -25 mmHg and -50 mmHg in a porcine model

    DEFF Research Database (Denmark)

    Lindstedt, Sandra; Paulsson, Per; Mokhtari, Arash;

    2008-01-01

    Topical negative pressure (TNP), widely used in wound therapy, is known to stimulate wound edge blood flow, granulation tissue formation, angiogenesis, and revascularization. We have previously shown that application of a TNP of -50 mmHg to the myocardium significantly increases microvascular blood...

  19. A volume pulsed corona formed during nanosecond pulsed periodic discharge of negative polarity in narrow gaps with airflow at atmospheric pressure

    Science.gov (United States)

    Lepekhin, N. M.; Priseko, Yu. S.; Puresev, N. I.; Filippov, V. G.

    2014-06-01

    A volume mode of spatially homogeneous nanosecond pulsed-periodic corona discharge of negative polarity has been obtained using an edge-to-edge electrode geometry in narrow gaps with airflow at atmospheric pressure and natural humidity. The parameters of discharge are estimated, and a factor limiting the power deposited in discharge is determined.

  20. Education for a Healthy Body Weight: Helping Adolescents Balance the Cultural Pressure for Thinness.

    Science.gov (United States)

    Collins, M. Elizabeth

    1988-01-01

    The article examines cultural pressure for extreme thinness in the United States and its impact as a possible predisposing factor for developing eating disorders among adolescent females. Preventive strategies are recommended to help adolescents balance this pressure and their own desire for attractiveness within the larger context of good health.…

  1. The characteristics of body negative image of male homosexuals%男同性恋负面身体意象的特点

    Institute of Scientific and Technical Information of China (English)

    何凯; 张晖; 王玲; 綦林; 梁勤; 杨曹芬; 任怡; 孙萌

    2015-01-01

    Objectives:To explore the characteristics of body negative image of male homosexuals to pro-vide theoretical and data basis for the treatment of eating disorder and other physical mental problems of male homo-sexual.Methods:Using convenient sampling method,71 college male homosexuals and 92 college male heterosex-uals were selected.Self -negative physical scale fat subscales (NPSS - F)and thin subscales (NPSS - T)) were used to compare the difference of negative body image between the two groups.Results:The two groups had significant differences on NPSS-F.The scores of male homosexual group were significantly higher than that of het-erosexual group (P <0.001).The scores of passive male homosexual were significantly higher than that of active male homosexual (P <0.001).The scores of male homosexual group on thin negative body image were significantly higher than that of heterosexual group (P <0.001);the scores of active male homosexual on thin negative body im-age were significantly higher than that of passive male homosexual (P <0.001).Conclusion:Male homosexual had a tendency to have fat negative body image;active male homosexual and heterosexuals were tend to produce thin negative body image,while passive male homosexual prone to have fat negative body image.%目的:了解男同性恋身体意象的特点,为男同性恋进食障碍等身心问题提供理论和数据解释。方法:采用方便抽样法,招募男同性恋大学生被试71例,男异性恋大学生被试92例,运用负面身体自我量表胖分量表(NPSS -F)和瘦分量表(NPSS -T),比较两组被试负面身体意象的差异。结果:(1)两组被试的胖负面身体意象量表得分存在显著差异,男同组的得分显著高于男异组(P <0.001);被动型男同得分显著高于主动型((P <0.001))。(2)在瘦负面身体意象上,男异组的得分显著高于男同组(P <0.001);主动型男同性恋的得

  2. Clinical effectiveness and cost-effectiveness of body psychotherapy in the treatment of negative symptoms of schizophrenia: a multicentre randomised controlled trial.

    Science.gov (United States)

    Priebe, Stefan; Savill, Mark; Wykes, Til; Bentall, Richard; Lauber, Christoph; Reininghaus, Ulrich; McCrone, Paul; Mosweu, Iris; Bremner, Stephen; Eldridge, Sandra; Röhricht, Frank

    2016-01-01

    BACKGROUND: The negative symptoms of schizophrenia significantly impact on quality of life and social functioning, and current treatment options are limited. In this study the clinical effectiveness and cost-effectiveness of group body psychotherapy as a treatment for negative symptoms were compared with an active control. DESIGN: A parallel-arm, multisite randomised controlled trial. Randomisation was conducted independently of the research team, using a 1 : 1 computer-generated sequence. Assessors and statisticians were blinded to treatment allocation. Analysis was conducted following the intention-to-treat principle. In the cost-effectiveness analysis, a health and social care perspective was adopted. PARTICIPANTS: ELIGIBILITY CRITERIA: age 18-65 years; diagnosis of schizophrenia with symptoms present at > 6 months; score of ≥ 18 on Positive and Negative Syndrome Scale (PANSS) negative symptoms subscale; no change in medication type in past 6 weeks; willingness to participate; ability to give informed consent; and community outpatient. EXCLUSION CRITERIA: inability to participate in the groups and insufficient command of English. SETTINGS: Participants were recruited from NHS mental health community services in five different Trusts. All groups took place in local community spaces. INTERVENTIONS: Control intervention: a 10-week, 90-minute, 20-session group beginners' Pilates class, run by a qualified Pilates instructor. Treatment intervention: a 10-week, 90-minute, 20-session manualised group body psychotherapy group, run by a qualified dance movement psychotherapist. OUTCOMES: The primary outcome was the PANSS negative symptoms subscale score at end of treatment. Secondary outcomes included measures of psychopathology, functional, social, service use and treatment satisfaction outcomes, both at treatment end and at 6-month follow-up. RESULTS: A total of 275 participants were randomised (140 body psychotherapy group, 135 Pilates group). At the end of

  3. Psychological and socio-cultural risk factors for developing negative attitude and anti-health behaviour toward the body in young women

    Directory of Open Access Journals (Sweden)

    Izydorczyk Bernadetta

    2015-12-01

    Full Text Available The main aim of the paper is to present the results of research concerning psychological and socio-cultural risk factors for development of negative anti-health (that is too restrictive and compensatory attitude toward one’s body in young Polish women. The study comprised 120 women, of 20 to 25 years of age, with similar socio-demographic status (marital status, living and having been brought up in multi-generation families who so far in the course of their lives have not disclosed mental or somatic disturbances (having accompanying manifestations of body image distortion. The theoretical theses for the research model were the contemporary cognitive concepts (multifactor models of body image dissatisfaction, as well as socio-cultural concepts.

  4. Homeostasis in Primates in the Hyperdynamic Environment. [circadian timekeeping and effects of lower body positive pressure on sleep

    Science.gov (United States)

    Fuller, C. A.

    1985-01-01

    The influence of chronic centrifugation upon the homestatic regulation of the circadian timekeeping system was examined. The interactions of body temperature regulation and the behavioral state of arousal were studied by evaluating the influence of cephalic fluid shifts induced by lower body positive air pressure (LBPP), upon these systems. The small diurnal squirrel monkey (Saimiri sciureus) was used as the non-human primate model. Results show that the circadian timekeeping system of these primates is functional in the hyperdynamic environment, however, some of its components appear to be regulated at different homeostatic levels. The LBPP resulted in an approximate 0.7 C decrease in DBT (p 0.01). However, although on video some animals appeared drowsy during LBPP, sleep recording revealed no significant changes in state of arousal. Thus, the physiological mechanisms underlying this lowering of body temperature can be independent of the arousal state.

  5. Health Technology Assessment of the Negative Pressure Wound Therapy for the treatment of acute and chronic wounds: efficacy, safety, cost effectiveness, organizational and ethical impact

    Directory of Open Access Journals (Sweden)

    Paolo Giorgi Rossi

    2012-06-01

    Full Text Available

    Background: the aim of the study was to assess the safety, efficacy and cost-effectiveness of negative Pressure wound therapy (nPT for people with chronic and acute wounds.

    Methods: the scope and the final draft of the report have been submitted to the stakeholders (producers, payers and patients. safety issues were addressed through a systematic review of the meta-literature. efficacy was addressed through a systematic review and meta-analysis of randomized controlled trials (rcTs comparing nPT and other standard therapies in patients with chronic or acute lesions. cost-consequence was analyzed through a systematic review of the existing studies.

    Results: we retrieved 19 studies, 13 of which were included in the meta-analysis. Many studies had biases that may have resulted in a better performance for nPT. nPT showed: a slightly shorter healing time (-10.4 days, p=0.001, with no heterogeneity, apart from one small study with very positive results, and 40% more patients healed (p=0.002, no heterogeneity.We identified 15 original research papers on nPT costs and cost per outcome. The costs-per-patient- treated varied from +29% to -60%, with several studies reporting savings for nPT.

    Conclusions: despite serious methodological flaws, the body of evidence available was sufficient to prove some clinical benefit of nPT in severe chronic and acute wound treatment. There is a need for independent and contextualized cost analyses....

  6. The Relation of Body Mass Index and Blood Pressure in Iranian Children and Adolescents Aged 7- 18 Years Old

    Directory of Open Access Journals (Sweden)

    M Hosseini

    2010-12-01

    Full Text Available Background: The obesity and hypertension are the major risk factors of several life threatening diseases. The present study was aimed to investigate the relation between body mass index (BMI the validated index of adiposity and different aspect of blood pressure (BP. Methods: Systolic and diastolic blood pressures and also weight and height of 7 to 18 years old children and adolescent col­lected in 2002 and 2004 respectively. Data was consisted of 14865 schoolchildren and adolescents from representative sam­ple of country. BMI was classified according to CDC 2000 standards into normal (BMI<85th percentile, at risk of over­weight (BMI≥85th and <95th percentile and overweight (BMI≥ 95th percentile. Then, age-sex specific prevalence of be­ing overweight was derived. ANOVA was used to investigate the effect of BMI on systolic blood pressure and diastolic blood pressure and mean arterial pressure of participants. Results: Mean systolic blood pressure (SBP, diastolic blood pressure (DBP and mean arterial blood pressure (MAP signifi­cantly increased with BMI (P< 0.0001 and age groups (P< 0.0001, and was significantly (P< 0.0001 higher in boys than girls especially in older ages. (P< 0.0001, interaction of age and BMI level. The proportion of being overweight was signifi­cantly higher in boys than girls was (7.4% vs. 3.6%; P< 0.0001. Conclusion: There is an association between BP and BMI in children and adolescence. SBP, DBP and MAP are associated with rise in BMI and age, which was lower in girls. This data can provide basics for public health policy makers and pri­mary prevention policies in the country.

  7. Influence of upper body position on middle cerebral artery blood velocity during continuous positive airway pressure breathing

    DEFF Research Database (Denmark)

    Højlund Rasmussen, J; Mantoni, T; Belhage, B; Pott, F C

    2007-01-01

    Continuous positive airway pressure (CPAP) is a treatment modality for pulmonary oxygenation difficulties. CPAP impairs venous return to the heart and, in turn, affects cerebral blood flow (CBF) and augments cerebral blood volume (CBV). We considered that during CPAP, elevation of the upper body...... in 11 healthy subjects during CPAP at different body positions (15 degrees head-down tilt, supine, 15 degrees, 30 degrees and 45 degrees upper body elevation). In the supine position, 10 cmH(2)O of CPAP reduced MCA V(mean) by 9 +/- 3% and increased cHbT by 4 +/- 2 micromol/L (mean +/- SEM); (P <0.......05). In the head-down position, CPAP increased cHbT to 13 +/- 2 micromol/L but left MCA V(mean) unchanged. Upper body elevation by 15 degrees attenuated the CPAP associated reduction in MCA V(mean) (-7 +/- 2%), while cHbT returned to baseline (1 +/- 2 micromol/L). With larger elevation of the upper body...

  8. Negative pressure wound therapy: Potential publication bias caused by lack of access to unpublished study results data

    Directory of Open Access Journals (Sweden)

    Sauerland Stefan

    2008-02-01

    Full Text Available Abstract Background Negative pressure wound therapy (NPWT is widely applied, although the evidence base is weak. Previous reviews on medical interventions have shown that conclusions based on published data alone may no longer hold after consideration of unpublished data. The main objective of this study was to identify unpublished randomised controlled trials (RCTs on NPWT within the framework of a systematic review. Methods RCTs comparing NPWT with conventional wound therapy were identified using MEDLINE, EMBASE, CINAHL and The Cochrane Library. Every database was searched from inception to May 2005. The search was updated in December 2006. Reference lists of original articles and systematic reviews, as well as congress proceedings and online trial registers, were screened for clues to unpublished RCTs. Manufacturers of NPWT devices and authors of conference abstracts were contacted and asked to provide study information. Trials were considered nonrandomised if concealment of allocation to treatment groups was classified as "inadequate". The study status was classified as "completed", "discontinued", "ongoing" or "unclear". The publication status of completed or discontinued RCTs was classified as "published" if a full-text paper on final study results (completed trials or interim results (discontinued trials was available, and "unpublished" if this was not the case. The type of sponsorship was also noted for all trials. Results A total of 28 RCTs referring to at least 2755 planned or analysed patients met the inclusion criteria: 13 RCTs had been completed, 6 had been discontinued, 6 were ongoing, and the status of 3 RCTs was unclear. Full-text papers were available on 30% of patients in the 19 completed or discontinued RCTs (495 analysed patients in 10 published RCTs vs. 1154 planned patients in 9 unpublished RCTs. Most information about conference abstracts and unpublished study information referring to trials that were unpublished at the

  9. Body size and risk of luminal, HER2-overexpressing, and triple-negative breast cancer in postmenopausal women

    OpenAIRE

    Phipps, Amanda I.; Malone, Kathleen E.; Porter, Peggy L.; Daling, Janet R.; Li, Christopher I.

    2008-01-01

    Although the clinical relevance of molecular subtypes of breast cancer has been documented, little is known about risk factors for different tumor subtypes, especially the HER2-overexpressing and triple-negative subtypes which have poor prognoses. Obesity may be differentially related to risk of different subtypes given the various potential mechanisms underlying its association with breast cancer. We pooled two population-based case-control studies of postmenopausal breast cancer for an anal...

  10. Maskelynite in asteroidal, lunar and planetary basaltic meteorites: An indicator of shock pressure during impact ejection from their parent bodies

    Science.gov (United States)

    Rubin, Alan E.

    2015-09-01

    Maskelynite is a diaplectic glass that forms from plagioclase at shock pressures of ∼20-30 GPa, depending on the Ca concentration. The proportion of maskelynite-rich samples in a basaltic meteorite group correlates with the parent-body escape velocity and serves as a shock indicator of launching conditions. For eucrites (basalts widely presumed to be from Vesta; vesc = 0.36 km s-1), ∼5% of the samples are maskelynite rich. For the Moon (vesc = 2.38 km s-1), ∼30% of basaltic meteorites are maskelynite rich. For Mars (vesc = 5.03 km s-1), ∼93% of basaltic meteorites are maskelynite rich. In contrast, literature data show that maskelynite is rare (∼1%) among mare basalts and basaltic fragments in Apollo 11, 12, 15 and 17 soils (which were never ejected from the Moon). Angrites are unbrecciated basaltic meteorites that are maskelynite free; they were ejected at low-to-moderate shock pressures from an asteroid smaller than Vesta. Because most impacts that eject materials from a large (⩾100 km) parent body are barely energetic enough to do that, a collision that has little more than the threshold energy required to eject a sample from Vesta will not be able to eject identical samples from the Moon or Mars. There must have been relatively few impacts, if any, that launched eucrites off their parent body that also imparted shock pressures of ∼20-30 GPa in the ejected rocks. More-energetic impacts were required to launch basalts off the Moon and Mars. On average, Vesta ejecta were subjected to lower shock pressures than lunar ejecta, and lunar ejecta were subjected to lower shock pressures than martian ejecta. H and LL ordinary chondrites have low percentages of shock-stage S5 maskelynite-bearing samples (∼1% and ∼4%, respectively), probably reflecting shock processes experienced by these rocks on their parent asteroids. In contrast, L chondrites have a relatively high proportion of samples containing maskelynite (∼11%), most likely a result of

  11. CORRELATIONS BETWEEN BLOOD PRESSURE AND BODY WEIGHT, SERUM LEPTIN IN HIGH CALORIE DIET-INDUCED OBESE RATS

    Institute of Scientific and Technical Information of China (English)

    Hu Zhi; Ma Aiqun; Yang Chun; Tian Hongyan

    2006-01-01

    Objective To examine the change of body weight (BW) and blood pressure (BP) in obese rats, clarify relationships between BP and BW and other factors. Methods Male Spraque-Dawley rats were fed either with normal diet (ND) or high calorie diet (HC) for 20 weeks. BW and BP of tail artery were observed biweekly and tetraweekly respectively; serum leptin and fasting insulin (FINS) were detected by enzyme-linked immunoadsordent assay (ELISA) and radioimmunoassay (RIA) respectively. Fasting plasma glucose (FPG) and free fatty acid(FFA) were measured by conventional means. Results BW, abdominal fat weight (AFW), ratio of abdominal fat weight to body weight (RF/W), systolic blood pressure (SBP), diastolic blood pressure (DBP), serum levels of leptin and FINS, FPG, FFA increased in the HD group after 20 weeks diet intervention (P<0.05 or P<0.01). SBP was strongly correlated with BW, leptin, FINS and FFA (P<0.05), DBP was correlated with FFA (r=0.47, P<0.05). In addition, leptin was positively correlated with BW, AFW, RF/W, FINS and FFA (P<0.05 or P<0.01). Conclusion In this study of high calorie-diet induced rats, the gain of BW is accompanied by increased BP. The obese rats have hyperleptinemia, hyperinsulinemia, hyperglycemia and dyslipidemia which may have important effects on the development of obesity-related hypertension. RF/W is the key factor in which affect serum leptin level.

  12. Body height and arterial pressure in seated and supine young males during +2 G centrifugation

    DEFF Research Database (Denmark)

    Arvedsen, Sine K.; Eiken, Ola; Kölegård, Roger;

    2015-01-01

    by the use of a human centrifuge would increase mean arterial pressure (MAP) more in tall than in short males in the seated position. In short (162-171cm, n=8) and tall (194-203cm, n=10) healthy males (18-41yr), brachial arterial pressure, heart rate (HR) and cardiac output were measured during +2G...... centrifugation, while they were seated upright with the legs kept horizontal (+2Gz). In a separate experiment, the same measurements were done with the subjects supine (+2Gx). During +2Gz MAP increased in the short (22±2 mmHg, P 

  13. Disulfide bond formation and folding of plant peroxidases expressed as inclusion body protein in Escherichia coli thioredoxin reductase negative strains

    DEFF Research Database (Denmark)

    Teilum, K; Ostergaard, L; Welinder, K G

    1999-01-01

    Escherichia coli is widely used for the production of proteins, which are of interest in structure and function studies. The folding yield of inclusion body protein is, however, generally low (a few percent) for proteins such as the plant and fungal peroxidases, which contain four disulfide bonds......, two Ca2+ ions, and a heme group. We have studied the expression yield and folding efficiency of (i) a novel Arabidopsis thaliana peroxidase, ATP N; and (ii) barley grain peroxidase, BP 1. The expression yield ranges from 0 to 60 microgram/ml of cell culture depending on the peroxidase gene and the...

  14. Blood volume, blood pressure and total body sodium: internal signalling and output control

    DEFF Research Database (Denmark)

    Bie, P

    2009-01-01

    . Plasma renin is log-linearly related to salt intake, and normally, decreases in renin secretion are a precondition of natriuresis after increases in total body sodium. Renin secretion is controlled by renal ABP, renal nerve activity and the tubular chloride concentrations at the macula densa (MD). Renal...

  15. Association of dietary pattern and body weight with blood pressure in Jiangsu Province, China

    NARCIS (Netherlands)

    Qin, Y.; Boonstra, A.; Pan, X.; Zhao, J.; Yuan, B.; Dai, Yue; Zhou, M.; Geleijnse, J.M.; Kok, F.J.; Shi, Z.

    2014-01-01

    Background To identify risk factors, associations between dietary patterns, body mass index (BMI), and hypertension in a Chinese population. Methods Dietary intake was assessed in 2518 adults by a 3-day 24 h recall and a food frequency questionnaire. Salt and oil intake was assessed by weighing reco

  16. Can 18F-FDG-PET/CT be generally recommended in patients with differentiated thyroid carcinoma and elevated thyroglobulin levels but negative I-131 whole body scan?

    International Nuclear Information System (INIS)

    Exact localization of recurrent iodine-negative thyroid cancer is mandatory, since surgery is the only curative therapy option in patients with iodine-negative tumor tissue. The aim of this study was to evaluate the impact of 18F-fluorodeoxyglucose positron emission tomography (FDG-PET)/CT as a routine diagnostic tool on clinical management in patients with suspected thyroid cancer recurrence and elevated serum thyroglobulin (Tg) but negative radioiodine whole body scan. After total thyroidectomy followed by radioiodine ablation, 30 consecutive patients with differentiated thyroid cancer, elevated serum thyroglobulin levels and negative whole body radioiodine scan underwent 18F-FDG-PET/CT. Results were verified by histology, ultrasound, or clinical follow-up. Diagnostic accuracy was determined for the whole study population and for subgroups with serum thyroglobulin below and above 10 ng/ml, respectively. Impact of PET/CT on clinical management was assessed. PET/CT identified FDG accumulating lesions in 19 of 30 patients. 17 were true-positive and 2 false-positive. In the true-positive group, 11 of the 17 patients had loco-regional disease, 3 had distant metastases only and 3 patients had both loco-regional and distant metastatic involvement. 18F-FDG-PET/CT was true-negative in 3 patients and false-negative in 8 patients. Overall sensitivity, specificity and accuracy were 68.0, 60.0, and 66.7%, respectively. In the subgroup of patients with serum thyroglobulin above 10 ng/ml (n=21) the sensitivity, specificity and accuracy were substantially higher with 70.0, 100.0, and 71.4%, respectively. Clinical management was changed for 17 (57%) of 30 patients, guiding to a curative surgical intervention in 9 patients (30%). 18F-FDG-PET/CT enables detection and precise localization of loco-regional recurrence and distant metastases of differentiated thyroid cancer in patients with elevated serum thyroglobulin but negative radioiodine with significant impact on patient

  17. Body Objectification, Social Pressure, and Disordered Eating Behavior in College Women: The Role of Sorority Membership

    Science.gov (United States)

    Basow, Susan A.; Foran, Kelly A.; Bookwala, Jamila

    2007-01-01

    Social pressure to conform to the thin ideal is believed to play a decisive role in the development of eating disorders. In this field study at a college with only sophomore rush, 99 sorority women, 80 nonsorority women past their first year, and 86 first-year women completed three subscales of the Eating Disorders Inventory-2 (Garner, 1991), the…

  18. The improvement effect of Modern Balinese Baris Dancing Exercise on body composition, blood pressure and heart rate.

    Science.gov (United States)

    Adiputra, I N

    1994-12-01

    Sixty healthy males, adult Balinese, aged from 18 to 22 years old, were studied to estimate the effect of Modern Balinese Baris Dancing Exercise (MBBDE) on body composition, heart rate, and blood pressure at rest. Based on their physical fitness level, the subjects were divided into an experimental group (EG) and a control group (CG). The EG had 8 weeks of practicing the MBBDE which consisted of 73-87% of estimated maximum heart rate level, 3 x 50 min per week. Significant reductions in fat tissue weight (-0.25 +/- 0.22 kg in EG and -0.02 +/- 0.51 kg in CG; p heart rate (-8.8 +/- 6.42 bpm in EG and -2.2 +/- 4.82 bpm in CG; p < 0.001). It is concluded that 8 weeks of practicing the MBBDE improved body composition and cardiovascular function as well. PMID:7730602

  19. Muscle activation and estimated relative joint force during running with weight support on a lower-body positive pressure treadmill

    DEFF Research Database (Denmark)

    Jensen, Bente Rona; Hovgaard-Hansen, Line; Cappelen, Katrine Louise

    2016-01-01

    Running on a lower-body positive pressure (LBPP) treadmill allows effects of weight support on leg muscle activation to be assessed systematically, and has the potential to facilitate rehabilitation and prevent overloading. The aim was to study the effect of running with weight support on leg......, while activity of biceps femoris muscle remained unchanged. Unweighting with LBPP reduced estimated joint force significantly although less than proportional to the degree of weight support (ankle). It was concluded that leg muscle activation adapted to the new biomechanical environment, and the effect...... muscle activation and to estimate relative knee and ankle joint forces. Runners performed 6-min running sessions at 2.22 m/s and 3.33 m/s, at 100, 80, 60, 40 and 20% body-weight (BW). Surface EMG, ground reaction force and running characteristics were measured. Relative knee and ankle joint forces were...

  20. Unveiling the influence of the radiation pressure in nature of orbits in the photogravitational restricted three-body problem

    CERN Document Server

    Zotos, Euaggelos E

    2015-01-01

    The case of the planar circular photogravitational restricted three-body problem where the more massive primary is an emitter of radiation is numerically investigated. A thorough numerical analysis takes place in the configuration $(x,y)$ and the $(x,C)$ space in which we classify initial conditions of orbits into three main categories: (i) bounded, (ii) escaping and (iii) collisional. Our results reveal that the radiation pressure factor has a huge impact on the character of orbits. Interpreting the collisional motion as leaking in the phase space we related our results to both chaotic scattering and the theory of leaking Hamiltonian systems. We successfully located the escape as well as the collisional basins and we managed to correlate them with the corresponding escape and collision times. We hope our contribution to be useful for a further understanding of the escape and collision properties of motion in this interesting version of the restricted three-body problem.

  1. Body-surface pressure data on two monoplane-wing missile configurations with elliptical cross sections at Mach 2.50

    Science.gov (United States)

    Allen, J. M.; Hernandez, G.; Lamb, M.

    1983-01-01

    Tabulated body surface pressure data for two monoplane-wing missile configurations are presented and analyzed. Body pressure data are presented for body-alone, body-tail, and body-wing-tail combinations. For the lost combination, data are presented for tail-fin deflection angles of 0 deg and 30 deg to simulate pitch, yaw, and roll control for both configurations. The data cover angles of attack from -5 deg to 25 deg and angles of roll from 0 deg to 90 deg at a Mach number of 2.50 and a Reynolds number of 6.56 x 1,000,000 per meter. Very consistent, systematic trends with angle of attack and angle of roll were observed in the data, and very good symmetry was found at a roll angle of 0 deg. Body pressures depended strongly on the local body cross-section shape, with very little dependence on the upstream shape. Undeflected fins had only a small influence on the pressures on the aft end of the body; however, tail-fin deflections caused large changes in the pressures.

  2. In it together: Mother talk of weight concerns moderates negative outcomes of encouragement to lose weight on daughter body dissatisfaction and disordered eating.

    Science.gov (United States)

    Hillard, Erin E; Gondoli, Dawn M; Corning, Alexandra F; Morrissey, Rebecca A

    2016-03-01

    Mothers' influence on their daughters is important for understanding girls' disordered eating and body dissatisfaction. Direct maternal encouragement of daughters to lose weight is linked to daughters' development of bulimic symptoms, and additional findings indicate that daughters whose mothers merely talk about dieting and body dissatisfaction are more likely to be diagnosed with an eating disorder. The current study extends such research by examining the interactive contributions of maternal encouragement to lose weight and maternal dieting discussions to the prediction of early adolescent daughters' body dissatisfaction and disordered eating over the middle school period. Participants were 89 adolescent girls who were in the 6th grade at Time 1. Regression analyses were conducted to examine interactive effects of mother encouragement to diet and talk of weight concerns on daughter body dissatisfaction, drive for thinness, and dieting behavior. Results suggest an interactive effect in which mothers' dieting talk may act as a buffer against the negative effects of direct encouragement to lose weight. PMID:26551484

  3. CORRELATIONS BETWEEN BLOOD PRESSURE AND BODY WEIGHT, SERUM LEPTIN IN HIGH CALORIE DIET-INDUCED OBESE RATS

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Obesity is a complex,multifactorial diseasethat has beenshownto be anindependent risk factorfor the development of hypertension.Large epide-miological studies have confir med the associationbet ween body weight and blood pressure.Howev-er,the pathophysiological mechanis ms have notbeen completely understood.One problem in thestudy of the mechanis ms of obesity-related hyper-tensionis the lack of a suitable ani mal model.Thegenetic models of obesity[1]may or may not develophypertension or do not mi mic the c...

  4. 18F-FDG scan in well-differentiated thyroid cancer patients with increased thyroglobulin antibody but negative I-131 total body scan

    International Nuclear Information System (INIS)

    Background/Aim: It is generally accepted that 18F-FDG PET scan is a valuable tool for evaluation of well-differentiated thyroid cancer patient who has increased level of serum thyroglobulin (Tg) but negative 1-131 total body scan. However, there are a group of patient who present with normal thyroglobulin level but increased thyroglobulin antibody (anti-Tg) level and negative 1-131 body scan. The persistence of thyroglobulin antibodies after thyroidectomy and radioiodine ablation probably indicates the presence of recurrent disease in these patients. Presently, 18F-FDG PET has been suggested for patients with negative 1-131 total body scan and elevated Tg level for the detection of both local recurrences and metastases of differentiated thyroid cancer. However, the value of 18F-FDG PET for patient management is still unclear for patients with negative 1-131 total body scan but increased thyroglobulin antibody levels. Therefore, the aim of this prospective study was to evaluate the usefulness of 18F-FDG PET in these patients. Methods and materials: We intend to evaluate the usefulness of 18F-FDG in well-differentiated thyroid cancer patients whose blood samples show increased anti-Tg level but negative 1-131 total body scan and normal serum Tg level. We plan to investigate at least 15 patients. All patients with differentiated thyroid cancer were treated by total or near total thyroidectomy. One month after total/near total thyroidectomy, we performed 1-131 total body scan. Baseline serum Tg and antiTg are also evaluated. If there is any visible remnant of thyroid tissue or evidence of metastases, thyroid remnant ablation or metastatic treatment with 1-131 is performed. Then 6 months later 1-131 total body scan, serum Tg and antiTg will be re-evaluated to search for any evidence of residual thyroid tissue of metastasis. If all 3 investigation results are concordant, patient will then be re-evaluated every 6 month period with only serum Tg and antiTg. If there is an

  5. The Duration of Negative Pressure Wound Therapy Can Be Reduced Using the HeartShield Device in Patients With Deep Sternal Wound Infection.

    OpenAIRE

    Ingemansson, Richard; Malmsjö, Malin; Lindstedt Ingemansson, Sandra

    2014-01-01

    Background: Heart rupture resulting in lethal bleeding is a devastating complication associated with negative pressure wound therapy (NPWT) in patients with deep sternal wound infection (DSWI). We have previously reported that the use of a protective HeartShield device in combination with NPWT decreases the risk of damage to the heart. This article presents a retrospective analysis of NPWT duration with and without the HeartShield device. Subjects and patients: The study included 6 patients t...

  6. 智能负压伤口治疗仪的研制%Research of Intelligent Negative Pressure Wound Therapeutic Instrument

    Institute of Scientific and Technical Information of China (English)

    刘致滨; 宋文晓; 李玲; 温国坚; 卢广文

    2012-01-01

    Negative pressure wound therapy(NPWT) is the advanced technology for promoting wound healing, which has been applied and developed in clinical in recent years. Combining with the two key techniques of NPWT, the article developed one kind of intelligent negative pressure wound therapeutic instrument, which could choose treatment mode freely, flexibility controlled the negative size, the interval of use time and pulse interval, achieving various types of wound treatment. The digital pressure senor MS5561C was designed to monitor the negative pressure scope, which can guarantee the safety of patient and efficacy of treatment simultaneously. With the advantage of convenience usage, lower cost, reliable safety and lower power, the system had a wide application prospection.%负压伤口治疗是促进伤口愈合的前沿技术,近年来在临床中得到应用和发展.本研究结合负压伤口治疗的两个关键技术——封闭负压引流和封闭负压辅助闭合技术,研制了一种智能负压伤口治疗仪.其自由选择治疗模式,可灵活地控制负压大小、使用时间及其脉动的间隔,实现了治疗多种类型的创口.同时,利用数字压力传感器MS5561C监控治疗过程中负压的范围,确保患者的安全和治疗的效果.本治疗仪具有使用方便、成本低、安全可靠、低功耗等优点,在创面治愈中有很大的应用前景.

  7. Failure by congestion of pedicled and free flaps for reconstruction of lower limbs after trauma: the role of negative-pressure wound therapy

    OpenAIRE

    L. Vaienti; Gazzola, R.; E. Benanti; Leone, F.; Marchesi, A.; Parodi, P; Riccio, M.

    2013-01-01

    Lower limb reconstruction with pedicled or free flaps can be commonly compromised by venous insufficiency. This complication often leads to partial/complete flap necrosis and increases the risk of superinfection. Negative-pressure wound therapy (NPWT) is known to increase local blood flow, decrease edema, promote tissue granulation, and reduce the likelihood of soft tissue infection. This study aims to evaluate the effectiveness of NPWT in the treatment of congested pedicled and free flaps of...

  8. Sternum wound contraction and distension during negative pressure wound therapy when using a rigid disc to prevent heart and lung rupture

    OpenAIRE

    Malmsjö Malin; Ingemansson Richard; Lindstedt Sandra

    2011-01-01

    Abstract Background There are increasing reports of deaths and serious complications associated with the use of negative pressure wound therapy (NPWT), of which right ventricular heart rupture is the most devastating. The use of a rigid barrier has been suggested to offer protection against this lethal complication by preventing the heart from being drawn up against the sharp edges of the sternum. The aim of the present study was to determine whether a rigid barrier can be safely inserted ove...

  9. A novel technique for the treatment of infected metalwork in orthopaedic patients using skin closure over irrigated negative pressure wound therapy dressings

    OpenAIRE

    Norris, R.; Chapman, AWP; Krikler, S; Krkovic, M

    2013-01-01

    Introduction There has been recent interest in the use of negative pressure wound therapy (NWPT) as an adjunct to parenteral antibiotics in the treatment of infection in orthopaedic patients with metalwork in situ. To address some of the limitations of standard NPWT in this situation, the senior author has developed a modified method of treatment for infected metalwork (excluding arthroplasty) in orthopaedic patients that includes irrigation and skin closure over the standard NPWT dressing. M...

  10. 负压创面疗法在骨科的临床应用%Application of negative pressure wound therapy in orthopedics

    Institute of Scientific and Technical Information of China (English)

    李志锐; 刘道宏; 唐佩福

    2016-01-01

    负压创面疗法(negative pressure wound therapy,NPWT)是一种有效治疗复杂损伤创面的方法.近年来,负压创面疗法已广泛应用于骨科各种类型的难治性创面.本文主要综述负压创面疗法在骨科的临床应用效果.

  11. Genomic and Proteomic Evaluation of Tissue Quality of Porcine Wounds Treated With Negative Pressure Wound Therapy in Continuous, Noncontinuous, and Instillation Modes

    OpenAIRE

    Derrick, Kathleen L.; Lessing, M. Christian

    2014-01-01

    Objective: Negative pressure wound therapy with instillation (NPWTi-d) combines NPWT with automated delivery and removal of topical wound treatment solutions. This porcine study compared genomic and proteomic responses of wounds treated with NPWTi-d with saline to wounds treated with NPWT in continuous and noncontinuous modes. Methods: Full-thickness porcine dorsal excisional wounds were treated with continuous NPWT, intermittent NPWT, dynamic NPWT, or NPWTi-d with saline (n = 10 wounds per g...

  12. Negative-pressure wound therapy for management of diabetic foot wounds: a review of the mechanism of action, clinical applications, and recent developments

    OpenAIRE

    Hasan, Muhammed Y.; Teo, Rachel; Nather, Aziz

    2015-01-01

    Negative-pressure wound therapy (NPWT) plays an important role in the treatment of complex wounds. Its effect on limb salvage in the management of the diabetic foot is well described in the literature. However, a successful outcome in this subgroup of diabetic patients requires a multidisciplinary approach with careful patient selection, appropriate surgical debridement, targeted antibiotic therapy, and optimization of healing markers. Evolving NPWT technology including instillation therapy, ...

  13. Comparison of the Effects of Different Negative Pressure Wound Therapy Modes—Continuous, Noncontinuous, and With Instillation—on Porcine Excisional Wounds

    OpenAIRE

    Lessing, M. Christian; James, Roberta B.; Ingram, Shannon C.

    2013-01-01

    Objective: Negative pressure wound therapy (NPWT) can be delivered in continuous or noncontinuous modes, while NPWT with instillation (NPWTi) couples NPWT with automated delivery and removal of topical wound treatment solutions and suspensions. This porcine study compared granulation response of NPWTi (instillation foam dressing with saline) to NPWT (standard foam dressing) in continuous and noncontinuous modes. Methods: Full-thickness dorsal excisional wounds in pigs were treated with contin...

  14. Negative pressure wound therapy : treatment outcomes and the impact on the patient´s health-related quality of life

    OpenAIRE

    Fagerdahl, Ann-Mari

    2013-01-01

    Throughout history wounds have been a cause of great distress to the sufferer and a major burden to society. Especially the slow-healing wounds have been an issue and in order to find healing treatments, complementary methods have been developed. Negative pressure wound therapy (NPWT) is one such complementary method. The overall aim of this thesis was to study if NPWT is an effective and safe method for wound treatment and to enhance the knowledge of the patients’ experience of the treatment...

  15. Early application of negative pressure wound therapy to acute wounds contaminated with Staphylococcus aureus: An effective approach to preventing biofilm formation

    OpenAIRE

    Li, Tongtong; Zhang, Lihai; Han, Li; Wang, Guoqi; Yin, Peng; Li, Zhirui; Zhang, Licheng; Guo, Qi; Liu, DaoHong; Tang, PeiFu

    2016-01-01

    Negative pressure wound therapy (NPWT) has been demonstrated to be effective at preventing biofilm-associated infections; however, its role in biofilm prevention is unknown. The present study evaluated the effect of NPWT on biofilm prevention when rapidly initiated following wound contamination. Full-thickness dermal wounds (8 mm) were created in rabbit ears and inoculated with green fluorescent protein-labeled Staphylococcus aureus (S. aureus). At 6 h following inoculation, continuous NPWT a...

  16. Observational study on efficacy of negative expiratory pressure test proposed as screening for obstructive sleep apnea syndrome among commercial interstate bus drivers - protocol study

    OpenAIRE

    Hirata Raquel P; Aguiar Isabella C; Nacif Sergio R; Giannasi Lilian C; Leitão Filho Fernando SS; Santos Israel R; Romano Salvatore; De Faria Newton S; Nonaka Paula N; Sampaio Luciana MM; Oliveira Claudia S; Carvalho Paulo TC; Lorenzi-Filho Geraldo; Braghiroli Alberto; Salvaggio Adriana

    2011-01-01

    Abstract Background Obstructive sleep apnea (OSA) is a respiratory disease characterized by the collapse of the extrathoracic airway and has important social implications related to accidents and cardiovascular risk. The main objective of the present study was to investigate whether the drop in expiratory flow and the volume expired in 0.2 s during the application of negative expiratory pressure (NEP) are associated with the presence and severity of OSA in a population of professional interst...

  17. Growth factors, silver dressings and negative pressure wound therapy in the management of hard-to-heal postoperative wounds in obstetrics and gynecology: a review

    OpenAIRE

    Stanirowski, Paweł Jan; Wnuk, Anna; Cendrowski, Krzysztof; Sawicki, Włodzimierz

    2015-01-01

    Purpose The last two decades witnessed the development of numerous innovative regimens for the management of patients with abnormally healing and infected wounds. Growth factors, negative pressure wound therapy (NPWT) and antiseptic dressings containing silver are examples of methods with best documented efficacy, being widely used in the treatment of acute and chronic post-traumatic wounds, burns and ulcers of various etiology. As far as obstetrics and gynecology are concerned, prevention an...

  18. Changes of anabolic processes at the cellular and molecular level in chronic wounds under topical negative pressure can be revealed by transcriptome analysis

    OpenAIRE

    Leffler, Mareike; Derrick, Kathleen L.; McNulty, Amy; Malsiner, Caye; Dragu, Adrian; Horch, Raymund E.

    2011-01-01

    Abstract Chronic wounds – as defined by the World Union of Wound Healing Societies (WUWHS) – are a considerable worldwide health care expense and impair quality of life. In order for chronic wounds to heal, these wounds must be transformed to a more acute state to begin the healing process. Topical negative pressure (TNP) with reticulated open cell foam (ROCF) is known to promote healing in certain types of chronic wounds. However, little is known about changes at the cellular or molecular le...

  19. Abdominal Cavity Eventration Treated by Means of the „Open Abdomen” Technique Using the Negative Pressure Therapy System – Case Report and Literature Review

    OpenAIRE

    Trzeciak Piotr W.; Porzeżyńska Joanna; Ptasińska Karolina; Walczak Dominik A.

    2015-01-01

    Wound dehiscence is a surgical complication in which the wound ruptures along the surgical suture with abdominal cavity bowel displacement. It is observed in 0.2-6% of operated patients. The extensive wound is a gateway for infection. Moreover, increased secretion of serous fluid induces a hygienic problem and may lead to secondary skin infections or bedsores. The negative pressure wound therapy (NPWT) system is an innovative therapeutic method. It perfectly executes the TIME strategy, receiv...

  20. CALCULATION OF THE THREE-DIMENSIONAL SOUND PRESSURE FIELD AROUND BODIES WITH MACRO POROSITIES

    OpenAIRE

    Bin WANG; Duhamel, Denis

    2014-01-01

    This paper proposes a multi-domain boundary element method to compute the sound field around bodies with macro porosities. It saves computational cost and is especially suitable for complex structures. It is based on the boundary element method, and divides the computation into an exterior subdomain and several interior subdomains. The subdomains are connected by transfer matrices. This method is applied to study some simple examples for which analytical or BEM results are available. Good agr...

  1. Tracer flow and pressure performance of reservoirs containing distributed thin bodies

    Energy Technology Data Exchange (ETDEWEB)

    Sato, Kozo [Teikoku Oil Co., Tokyo (Japan); Abbaszadeh, M.D. [Japan National Oil Corp., Chiba (Japan). Technology Research Center

    1996-09-01

    The effects of thin objects (fractures/barriers) on pressure distributions and displacement performances in staggered and direct line-drive patterns with uniformly and stochastically distributed objects at different density and length distributions are studied. Tracer breakthrough and well productivity are used to characterize the configuration of thin objects in the patterns. In most cases examined, tracer breakthrough time is more sensitive to the presence of thin objects than the well productivity. It is also found that representing fracture systems as equivalent anisotropic media may lead to erroneous pressure-distribution predictions around a well. The study was carried out by using the complex variable boundary element method (CVBEM), which yields both the potential and stream functions simultaneously, and is suitable to track displacement fronts in the presence of thin objects. Singularities caused by such objects are expressed analytically through the conformal-mapping technique.

  2. Lower Body Positive Pressure Application with an Antigravity Suit in Acute Carotid Occlusion

    Directory of Open Access Journals (Sweden)

    Karine Berthet

    2010-01-01

    Full Text Available The challenge in acute stroke is still to reperfuse as early as possible the ischemic territory. Since fibrinolytic therapies have a limited window with potential risk of bleeding, having a nonpharmacologic mean to recruit vessels in area surrounding necrosis might be useful. We propose here to use antigravity suit inflated at “venous” pressure levels to shift blood towards thoracic and brain territories. We report two cases of spectacular clinical recovery after acute carotid occlusion.

  3. Lower Body Positive Pressure Application with an Antigravity Suit in Acute Carotid Occlusion

    OpenAIRE

    Didier Payen; Anne Claire Lukaszewicz; Marie-Germaine Bousser; Karine Berthet

    2010-01-01

    The challenge in acute stroke is still to reperfuse as early as possible the ischemic territory. Since fibrinolytic therapies have a limited window with potential risk of bleeding, having a nonpharmacologic mean to recruit vessels in area surrounding necrosis might be useful. We propose here to use antigravity suit inflated at “venous” pressure levels to shift blood towards thoracic and brain territories. We report two cases of spectacular clinical recovery after acute carotid occlusion.

  4. Lower body positive pressure application with an antigravity suit in acute carotid occlusion.

    Science.gov (United States)

    Berthet, Karine; Lukaszewicz, Anne Claire; Bousser, Marie-Germaine; Payen, Didier

    2010-01-01

    The challenge in acute stroke is still to reperfuse as early as possible the ischemic territory. Since fibrinolytic therapies have a limited window with potential risk of bleeding, having a nonpharmacologic mean to recruit vessels in area surrounding necrosis might be useful. We propose here to use antigravity suit inflated at "venous" pressure levels to shift blood towards thoracic and brain territories. We report two cases of spectacular clinical recovery after acute carotid occlusion. PMID:20798842

  5. Major bleeding during negative pressure wound/V.A.C.® - therapy for postsurgical deep sternal wound infection - a critical appraisal

    Directory of Open Access Journals (Sweden)

    Segers Patrique

    2011-09-01

    Full Text Available Abstract Negative-pressure wound therapy, commercially known as vacuum-assisted closure (V.A.C.® therapy, has become one of the most popular (and efficacious interim (prior to flap reconstruction or definite methods of managing deep sternal wound infection. Complications such as profuse bleeding, which may occur during negative-pressure therapy but not necessarily due to it, are often attributed to a single factor and reported as such. However, despite the wealth of clinical experience internationally available, information regarding certain simple considerations is still lacking. Garnering information on all the factors that could possibly influence the outcome has become more difficult due to a (fortunate decrease in the incidence of deep sternal wound infection. If more insight is to be gained from fewer clinical cases, then various potentially confounding factors should be fully disclosed before complications can be attributed to the technique itself or improvements to negative-pressure wound therapy for deep sternal wound infection can be accepted as evidence-based and the guidelines for its use adapted. The authors propose the adoption of a simple checklist in such cases.

  6. ASSOCIATION OF BODY MASS INDEX WITH INTERARM BLOOD PRESSURE DIFFERENCE: A COMPARATIVE AND CROSS SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Namala Surya

    2015-11-01

    Full Text Available The major health problem faced by the 13% of world population is obesity and this obesity and overweight may lead to many health consequences such as cardiovascular diseases, diabetes and some cancers to mention a few. Objective of present study is to find the relation between the increased BMI and the interarm blood pressure difference. MATERIALS AND METHODS The present study was conducted on 180 subjects with age ranging from 18 to 50 years. They were divided into two groups based on the BMI. Subjects with normal BMI (25Kg/M2. The study was conducted in the GSL Medical College and General Hospital, Rajahmundry. RESULTS On comparing the results in overweight subjects in the age group of 40-50 were found to have interarm difference in the mean systolic blood pressure of more than 10mmHg, i.e. Mean value of 13.04+ 2.34(<0.001. CONCLUSION The overweight individuals with age more than 40 years, there is interarm difference in the mean systolic blood pressure, which is an indicator of peripheral vascular disease.

  7. Automatic blood pressure measuring system (M091)

    Science.gov (United States)

    1977-01-01

    The Leg Volume Measuring System is used to measure leg calf girth changes that occur during exposure to lower body negative pressure as a result of pooling of blood and other fluids in the lower extremities.

  8. Using Pressure- and Temperature-Sensitive Paint for Global Surface Pressure and Temperature Measurements on the Aft-Body of a Capsule Reentry Vehicle

    Science.gov (United States)

    Watkins, A. Neal; Buck, Gregory M.; Leighty, Bradley D.; Lipford, William E.; Oglesby, Donald M.

    2008-01-01

    Pressure Sensitive Paint (PSP) and Temperature Sensitive Paint (TSP) were used to visualize and quantify the surface interactions of reaction control system (RCS) jets on the aft body of capsule reentry vehicle shapes. The first model tested was an Apollo-like configuration and was used to focus primarily on the effects of the forward facing roll and yaw jets. The second model tested was an early Orion Crew Module configuration blowing only out of its forward-most yaw jet, which was expected to have the most intense aerodynamic heating augmentation on the model surface. This paper will present the results from the experiments, which show that with proper system design, both PSP and TSP are effective tools for studying these types of interaction in hypersonic testing environments.

  9. Optimization of plasma parameters with magnetic filter field and pressure to maximize H{sup −} ion density in a negative hydrogen ion source

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Won-Hwi; Dang, Jeong-Jeung; Kim, June Young; Hwang, Y. S., E-mail: yhwang@snu.ac.kr [Department of Nuclear Engineering, Seoul National University, Seoul 151-744 (Korea, Republic of); Chung, Kyoung-Jae [SNU Division of Graduate Education for Sustainabilization of Foundation Energy, Seoul National University, Seoul (Korea, Republic of)

    2016-02-15

    Transverse magnetic filter field as well as operating pressure is considered to be an important control knob to enhance negative hydrogen ion production via plasma parameter optimization in volume-produced negative hydrogen ion sources. Stronger filter field to reduce electron temperature sufficiently in the extraction region is favorable, but generally known to be limited by electron density drop near the extraction region. In this study, unexpected electron density increase instead of density drop is observed in front of the extraction region when the applied transverse filter field increases monotonically toward the extraction aperture. Measurements of plasma parameters with a movable Langmuir probe indicate that the increased electron density may be caused by low energy electron accumulation in the filter region decreasing perpendicular diffusion coefficients across the increasing filter field. Negative hydrogen ion populations are estimated from the measured profiles of electron temperatures and densities and confirmed to be consistent with laser photo-detachment measurements of the H{sup −} populations for various filter field strengths and pressures. Enhanced H{sup −} population near the extraction region due to the increased low energy electrons in the filter region may be utilized to increase negative hydrogen beam currents by moving the extraction position accordingly. This new finding can be used to design efficient H{sup −} sources with an optimal filtering system by maximizing high energy electron filtering while keeping low energy electrons available in the extraction region.

  10. Optimization of plasma parameters with magnetic filter field and pressure to maximize H− ion density in a negative hydrogen ion source

    International Nuclear Information System (INIS)

    Transverse magnetic filter field as well as operating pressure is considered to be an important control knob to enhance negative hydrogen ion production via plasma parameter optimization in volume-produced negative hydrogen ion sources. Stronger filter field to reduce electron temperature sufficiently in the extraction region is favorable, but generally known to be limited by electron density drop near the extraction region. In this study, unexpected electron density increase instead of density drop is observed in front of the extraction region when the applied transverse filter field increases monotonically toward the extraction aperture. Measurements of plasma parameters with a movable Langmuir probe indicate that the increased electron density may be caused by low energy electron accumulation in the filter region decreasing perpendicular diffusion coefficients across the increasing filter field. Negative hydrogen ion populations are estimated from the measured profiles of electron temperatures and densities and confirmed to be consistent with laser photo-detachment measurements of the H− populations for various filter field strengths and pressures. Enhanced H− population near the extraction region due to the increased low energy electrons in the filter region may be utilized to increase negative hydrogen beam currents by moving the extraction position accordingly. This new finding can be used to design efficient H− sources with an optimal filtering system by maximizing high energy electron filtering while keeping low energy electrons available in the extraction region

  11. A Risk Analysis Methodology to Address Human and Organizational Factors in Offshore Drilling Safety: With an Emphasis on Negative Pressure Test

    Science.gov (United States)

    Tabibzadeh, Maryam

    According to the final Presidential National Commission report on the BP Deepwater Horizon (DWH) blowout, there is need to "integrate more sophisticated risk assessment and risk management practices" in the oil industry. Reviewing the literature of the offshore drilling industry indicates that most of the developed risk analysis methodologies do not fully and more importantly, systematically address the contribution of Human and Organizational Factors (HOFs) in accident causation. This is while results of a comprehensive study, from 1988 to 2005, of more than 600 well-documented major failures in offshore structures show that approximately 80% of those failures were due to HOFs. In addition, lack of safety culture, as an issue related to HOFs, have been identified as a common contributing cause of many accidents in this industry. This dissertation introduces an integrated risk analysis methodology to systematically assess the critical role of human and organizational factors in offshore drilling safety. The proposed methodology in this research focuses on a specific procedure called Negative Pressure Test (NPT), as the primary method to ascertain well integrity during offshore drilling, and analyzes the contributing causes of misinterpreting such a critical test. In addition, the case study of the BP Deepwater Horizon accident and their conducted NPT is discussed. The risk analysis methodology in this dissertation consists of three different approaches and their integration constitutes the big picture of my whole methodology. The first approach is the comparative analysis of a "standard" NPT, which is proposed by the author, with the test conducted by the DWH crew. This analysis contributes to identifying the involved discrepancies between the two test procedures. The second approach is a conceptual risk assessment framework to analyze the causal factors of the identified mismatches in the previous step, as the main contributors of negative pressure test

  12. Robust high pressure stability and negative thermal expansion in sodium-rich antiperovskites Na3OBr and Na4OI2

    Science.gov (United States)

    Wang, Yonggang; Wen, Ting; Park, Changyong; Kenney-Benson, Curtis; Pravica, Michael; Yang, Wenge; Zhao, Yusheng

    2016-01-01

    The structure stability under high pressure and thermal expansion behavior of Na3OBr and Na4OI2, two prototypes of alkali-metal-rich antiperovskites, were investigated by in situ synchrotron X-ray diffraction techniques under high pressure and low temperature. Both are soft materials with bulk modulus of 58.6 GPa and 52.0 GPa for Na3OBr and Na4OI2, respectively. The cubic Na3OBr structure and tetragonal Na4OI2 with intergrowth K2NiF4 structure are stable under high pressure up to 23 GPa. Although being a characteristic layered structure, Na4OI2 exhibits nearly isotropic compressibility. Negative thermal expansion was observed at low temperature range (20-80 K) in both transition-metal-free antiperovskites for the first time. The robust high pressure structure stability was examined and confirmed by first-principles calculations among various possible polymorphisms qualitatively. The results provide in-depth understanding of the negative thermal expansion and robust crystal structure stability of these antiperovskite systems and their potential applications.

  13. Robust high pressure stability and negative thermal expansion in sodium-rich antiperovskites Na3OBr and Na4OI2

    International Nuclear Information System (INIS)

    The structure stability under high pressure and thermal expansion behavior of Na3OBr and Na4OI2, two prototypes of alkali-metal-rich antiperovskites, were investigated by in situ synchrotron X-ray diffraction techniques under high pressure and low temperature. Both are soft materials with bulk modulus of 58.6 GPa and 52.0 GPa for Na3OBr and Na4OI2, respectively. The cubic Na3OBr structure and tetragonal Na4OI2 with intergrowth K2NiF4 structure are stable under high pressure up to 23 GPa. Although being a characteristic layered structure, Na4OI2 exhibits nearly isotropic compressibility. Negative thermal expansion was observed at low temperature range (20–80 K) in both transition-metal-free antiperovskites for the first time. The robust high pressure structure stability was examined and confirmed by first-principles calculations among various possible polymorphisms qualitatively. The results provide in-depth understanding of the negative thermal expansion and robust crystal structure stability of these antiperovskite systems and their potential applications

  14. Robust high pressure stability and negative thermal expansion in sodium-rich antiperovskites Na{sub 3}OBr and Na{sub 4}OI{sub 2}

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Yonggang, E-mail: yyggwang@gmail.com, E-mail: yangwg@hpstar.ac.cn, E-mail: yusheng.zhao@unlv.edu [High Pressure Science and Engineering Center, University of Nevada, Las Vegas, Nevada 89154 (United States); Institute of Nanostructured Functional Materials, Huanghe Science and Technology College, Zhengzhou, Henan 450006 (China); High Pressure Synergetic Consortium (HPSynC), Geophysical Laboratory, Carnegie Institution of Washington, Argonne, Illinois 60439 (United States); Wen, Ting [Institute of Nanostructured Functional Materials, Huanghe Science and Technology College, Zhengzhou, Henan 450006 (China); Park, Changyong; Kenney-Benson, Curtis [High Pressure Collaborative Access Team (HPCAT), Geophysical Laboratory, Carnegie Institution of Washington, Argonne, Illinois 60439 (United States); Pravica, Michael; Zhao, Yusheng, E-mail: yyggwang@gmail.com, E-mail: yangwg@hpstar.ac.cn, E-mail: yusheng.zhao@unlv.edu [High Pressure Science and Engineering Center, University of Nevada, Las Vegas, Nevada 89154 (United States); Yang, Wenge, E-mail: yyggwang@gmail.com, E-mail: yangwg@hpstar.ac.cn, E-mail: yusheng.zhao@unlv.edu [High Pressure Synergetic Consortium (HPSynC), Geophysical Laboratory, Carnegie Institution of Washington, Argonne, Illinois 60439 (United States); Center for High Pressure Science and Technology Advanced Research (HPSTAR), Shanghai 201203 (China)

    2016-01-14

    The structure stability under high pressure and thermal expansion behavior of Na{sub 3}OBr and Na{sub 4}OI{sub 2}, two prototypes of alkali-metal-rich antiperovskites, were investigated by in situ synchrotron X-ray diffraction techniques under high pressure and low temperature. Both are soft materials with bulk modulus of 58.6 GPa and 52.0 GPa for Na{sub 3}OBr and Na{sub 4}OI{sub 2}, respectively. The cubic Na{sub 3}OBr structure and tetragonal Na{sub 4}OI{sub 2} with intergrowth K{sub 2}NiF{sub 4} structure are stable under high pressure up to 23 GPa. Although being a characteristic layered structure, Na{sub 4}OI{sub 2} exhibits nearly isotropic compressibility. Negative thermal expansion was observed at low temperature range (20–80 K) in both transition-metal-free antiperovskites for the first time. The robust high pressure structure stability was examined and confirmed by first-principles calculations among various possible polymorphisms qualitatively. The results provide in-depth understanding of the negative thermal expansion and robust crystal structure stability of these antiperovskite systems and their potential applications.

  15. Relationship of percent body fat (estimated by bioelectrical impedance analysis with blood pressure among young adult females of Amritsar (Punjab

    Directory of Open Access Journals (Sweden)

    Bindiya Rana

    2012-10-01

    Full Text Available The present cross-sectional study was carried out to find the association of percent body fat (PBF with blood pressure (BP variables among apparently healthy young females studying in Guru Nanak Dev University, Amritsar. A total of 150 females ranging in age from 20-25 years were personally interviewed. Height and weight of each subject was taken using standard methodology. Their body composition parameters were taken by using body fat analyzer. Subjects were categorized as obese and non-obese according to PBF, in which those having >30% body fat was considered as obese. BP of each subject was measured by using the standard methodology. The prevalence of hypertension was calculated according to JNC VII criteria. In the pooled data, the percentage prevalence of obesity according to PBF was 36%. The percentage prevalence of pre-hypertension and hypertension in the pooled sample was 54% and 12%, respectively. However, it was observed that prevalence of hypertension was slightly more among obese females (7.3% as compared to non-obese (4.7% but the prevalence of pre-hypertension was significantly (p<0.05 more in non-obese females (39.3% as compared to obese females (14.7%. The underline cause of this high prevalence of pre-hypertension in non-obese subjects was not known. It is clear from the correlation analysis that no association was observed between SBP and MAP with PBF in obese and non-obese subjects while DBP is positively and significantly (p<0.05 correlated with weight, fat mass and fat free mass in non-obese subjects only. Thus it is concluded from this study that PBF measured by BIA was not likely to be a good predictor of high BP. Therefore, further large prospective studies on the association of hypertension and whole body fat and abdominal fat should be carried out to confirm the role of fat on BP.

  16. Fractal basins of attraction in the planar circular restricted three-body problem with oblateness and radiation pressure

    Science.gov (United States)

    Zotos, Euaggelos E.

    2016-06-01

    In this paper we use the planar circular restricted three-body problem where one of the primary bodies is an oblate spheroid or an emitter of radiation in order to determine the basins of attraction associated with the equilibrium points. The evolution of the position of the five Lagrange points is monitored when the values of the mass ratio μ , the oblateness coefficient A1, and the radiation pressure factor q vary in predefined intervals. The regions on the configuration (x,y) plane occupied by the basins of attraction are revealed using the multivariate version of the Newton-Raphson method. The correlations between the basins of convergence of the equilibrium points and the corresponding number of iterations needed in order to obtain the desired accuracy are also illustrated. We conduct a thorough and systematic numerical investigation demonstrating how the dynamical quantities μ , A1, and q influence the basins of attractions. Our results suggest that the mass ratio and the radiation pressure factor are the most influential parameters, while on the other hand the structure of the basins of convergence are much less affected by the oblateness coefficient.

  17. The herpesvirus associated ubiquitin specific protease, USP7, is a negative regulator of PML proteins and PML nuclear bodies.

    Directory of Open Access Journals (Sweden)

    Feroz Sarkari

    Full Text Available The PML tumor suppressor is the founding component of the multiprotein nuclear structures known as PML nuclear bodies (PML-NBs, which control several cellular functions including apoptosis and antiviral effects. The ubiquitin specific protease USP7 (also called HAUSP is known to associate with PML-NBs and to be a tight binding partner of two herpesvirus proteins that disrupt PML NBs. Here we investigated whether USP7 itself regulates PML-NBs. Silencing of USP7 was found to increase the number of PML-NBs, to increase the levels of PML protein and to inhibit PML polyubiquitylation in nasopharyngeal carcinoma cells. This effect of USP7 was independent of p53 as PML loss was observed in p53-null cells. PML-NBs disruption was induced by USP7 overexpression independently of its catalytic activity and was induced by either of the protein interaction domains of USP7, each of which localized to PML-NBs. USP7 also disrupted NBs formed from some single PML isoforms, most notably isoforms I and IV. CK2α and RNF4, which are known regulators of PML, were dispensable for USP7-associated PML-NB disruption. The results are consistent with a novel model of PML regulation where a deubiquitylase disrupts PML-NBs through recruitment of another cellular protein(s to PML NBs, independently of its catalytic activity.

  18. The herpesvirus associated ubiquitin specific protease, USP7, is a negative regulator of PML proteins and PML nuclear bodies.

    Science.gov (United States)

    Sarkari, Feroz; Wang, Xueqi; Nguyen, Tin; Frappier, Lori

    2011-01-01

    The PML tumor suppressor is the founding component of the multiprotein nuclear structures known as PML nuclear bodies (PML-NBs), which control several cellular functions including apoptosis and antiviral effects. The ubiquitin specific protease USP7 (also called HAUSP) is known to associate with PML-NBs and to be a tight binding partner of two herpesvirus proteins that disrupt PML NBs. Here we investigated whether USP7 itself regulates PML-NBs. Silencing of USP7 was found to increase the number of PML-NBs, to increase the levels of PML protein and to inhibit PML polyubiquitylation in nasopharyngeal carcinoma cells. This effect of USP7 was independent of p53 as PML loss was observed in p53-null cells. PML-NBs disruption was induced by USP7 overexpression independently of its catalytic activity and was induced by either of the protein interaction domains of USP7, each of which localized to PML-NBs. USP7 also disrupted NBs formed from some single PML isoforms, most notably isoforms I and IV. CK2α and RNF4, which are known regulators of PML, were dispensable for USP7-associated PML-NB disruption. The results are consistent with a novel model of PML regulation where a deubiquitylase disrupts PML-NBs through recruitment of another cellular protein(s) to PML NBs, independently of its catalytic activity. PMID:21305000

  19. Reassessment of the body forces in a He atmospheric-pressure plasma jet: a modelling study

    International Nuclear Information System (INIS)

    Using a fully self-consistent fluid model, the impact of the plasma on the background gas flow in an atmospheric-pressure helium plasma jet (He-APPJ) impinging ambient air is investigated through determination of the electrohydrodynamic forces (EHD forces) and gas heating effects. Three gas flow compositions have been considered: a pure helium flow, a helium flow with 2% O2 admixture, and a helium flow with 2% N2 admixture. In all cases, results show that the plasma mainly affects background flow through localized heating, which creates a pressure gradient force acting to increase the flow velocity at the exit of the capillary by approximately 1 to 3 ms−1. The EHD forces on the other hand disturb the flow only slightly. Discharges with O2 and N2 admixtures exhibit increased gas heating and EHD forces. This is attributed to the extra rotational and vibrational excitation states available, coupling electron energy to the background gas. The findings here indicate that a significant increase in the Reynold number as a result of the presence of the plasma is an unlikely explanation for plasma-induced turbulence, observed in atmospheric plasma jet discharges. (paper)

  20. Proof of Concept of Crack Localization Using Negative Pressure Waves in Closed Tubes for Later Application in Effective SHM System for Additive Manufactured Components

    Directory of Open Access Journals (Sweden)

    Michaël F. Hinderdael

    2016-01-01

    Full Text Available Additive manufactured components have a different metallurgic structure and are more prone to fatigue cracks than conventionally produced metals. In earlier papers, an effective Structural Health Monitoring solution was presented to detect fatigue cracks in additive manufactured components. Small subsurface capillaries are embedded in the structure and pressurized (vacuum or overpressure. A crack that initiated at the component’s surface will propagate towards the capillary and finally breach it. One capillary suffices to inspect a large area of the component, which makes it interesting to locate the crack on the basis of the pressure measurements. Negative pressure waves (NPW arise from the abrupt encounter of high pressure fluid with low pressure fluid and can serve as a basis to locate the crack. A test set-up with a controllable leak valve was built to investigate the feasibility of using NPW to localize a leak in closed tubes with small lengths. Reflections are expected to occur at the ends of the tube, possibly limiting the localization accuracy. In this paper, the results of the tests on the test set-up are reported. It will be shown that the crack could be localized with high accuracy (millimeter accuracy which proves the concept of crack localization on basis of NPW in a closed tube of small length.

  1. Combined non-adaptive light and smell stimuli lowered blood pressure, reduced heart rate and reduced negative affect.

    Science.gov (United States)

    Dong, Shan; Jacob, Tim J C

    2016-03-15

    Bright light therapy has been shown to have a positive impact on seasonal affective disorder (SAD), depression and anxiety. Smell has also has been shown to have effects on mood, stress, anxiety and depression. The objective of this study was to investigate the effect of the combination of light and smell in a non-adaptive cycle. Human subjects were given smell (lemon, lavender or peppermint) and light stimuli in a triangular wave (60scycle) for 15min. Blood pressure and heart rate were monitored before and after each session for 5 consecutive days and a Profile of Mood States (POMS) test was administered before and after the sensory stimulation on days 1, 3 and 5. The light-smell stimulus lowered blood pressure, both systolic and diastolic, and reduced heart rate for all odours compared to control. Of the two sensory stimuli, the odour stimulus contributed most to this effect. The different aromas in the light-smell combinations could be distinguished by their different effects on the mood factors with lemon inducing the greatest mood changes in Dejection-Depression, Anger-Hostility, Tension-Anxiety. In conclusion, combined light and smell stimulation was effective in lowering blood pressure, reducing heart rate and improving mood. The combination was more effective than either smell or light stimuli alone, suggesting that a light-smell combination would be a more robust and efficacious alternative treatment for depression, anxiety and stress. PMID:26780148

  2. The stability of the triangular libration points for the plane circular restricted three-body problem with light pressure

    CERN Document Server

    Alvarez-Ramírez, M; de Moraes, R V; Skea, J E F; Stuchi, T J

    2012-01-01

    We study the fourth-order stability of the triangular libration points in the absence of resonance for the three-body problem when the infinitesimal mass is affected not only by gravitation but also by light pressure from both primaries. A comprehensive summary of previous results is given, with some inaccuracies being corrected. The Lie triangle method is used to obtain the fourth-order Birkhoff normal form of the Hamiltonian, and the corresponding complex transformation to pre-normal form is given explicitly. We obtain an explicit expression for the determinant required by the Arnold-Moser theorem, and show that it is a rational function of the parameters, whose numerator is a fifth-order polynomial in the mass parameter. Particular cases where this polynomial reduces to a quartic are described. Our results reduce correctly to the purely gravitational case in the appropriate limits, and extend numerical work by previous authors.

  3. Respiration and body movement analysis during sleep in bed using hetero-core fiber optic pressure sensors without constraint to human activity

    Science.gov (United States)

    Nishyama, Michiko; Miyamoto, Mitsuo; Watanabe, Kazuhiro

    2011-01-01

    We describe respiration monitoring in sleep using hetero-core fiber optic pressure sensors. The proposed hetero-core fiber optic sensor is highly sensitive to macrobending as a result of the core diameter difference due to stable single-mode transmission. Pressure sensors based on hetero-core fiber optics were fabricated to have a high sensitivity to small pressure changes resulting from minute body motions, such as respiration, during sleep and large pressure changes, such as those caused by a rollover. The sensors are installed in a conventional bed. The pressure characteristic performance of all the fabricated hetero-core fiber optic pressure sensors is found to show a monotonic response with weight changes. A respiration monitoring test in seven subjects efficiently demonstrates the effective use of eight hetero-core pressure sensors installed in a bed. Additionally, even in the case of different body postures, such as lying on one's side, a slight body movement due to respiration is detected by the hetero-core pressure sensors.

  4. Plasma bile acids show a positive correlation with body mass index and are negatively associated with cognitive restraint of eating in obese patients

    Directory of Open Access Journals (Sweden)

    Philip ePrinz

    2015-06-01

    Full Text Available Bile acids may be involved in the regulation of food intake and energy metabolism. The aim of the study was to investigate the association of plasma bile acids with body mass index (BMI and the possible involvement of circulating bile acids in the modulation of physical activity and eating behavior. Blood was obtained in a group of hospitalized patients with normal weight (BMI 18.5-25 kg/m2, underweight (anorexia nervosa, BMI 50 kg/m2, n=14-15/group and plasma bile acid concentrations assessed. Physical activity and plasma bile acids were measured in a group of patients with anorexia nervosa (BMI 14.6±0.3 kg/m2, n=43. Lastly, in a population of obese patients (BMI 48.5±0.9 kg/m2, n=85, psychometric parameters related to disordered eating and plasma bile acids were assessed. Plasma bile acids showed a positive correlation with BMI (r=0.26, p=0.03 in the population of patients with broad range of BMI (9-85 kg/m2, n=74. No associations were observed between plasma bile acids and different parameters of physical activity in anorexic patients (p>0.05. Plasma bile acids were negatively correlated with cognitive restraint of eating (r=-0.30, p=0.008, while no associations were observed with other psychometric eating behavior-related parameters (p>0.05 in obese patients. In conclusion, these data may point towards a role of bile acids in the regulation of body weight. Since plasma bile acids are negatively correlated with the cognitive restraint of eating in obese patients, this may represent a compensatory adaptation to prevent further overeating.

  5. Plasma bile acids show a positive correlation with body mass index and are negatively associated with cognitive restraint of eating in obese patients.

    Science.gov (United States)

    Prinz, Philip; Hofmann, Tobias; Ahnis, Anne; Elbelt, Ulf; Goebel-Stengel, Miriam; Klapp, Burghard F; Rose, Matthias; Stengel, Andreas

    2015-01-01

    Bile acids may be involved in the regulation of food intake and energy metabolism. The aim of the study was to investigate the association of plasma bile acids with body mass index (BMI) and the possible involvement of circulating bile acids in the modulation of physical activity and eating behavior. Blood was obtained in a group of hospitalized patients with normal weight (BMI 18.5-25 kg/m(2)), underweight (anorexia nervosa, BMI 50 kg/m(2), n = 14-15/group) and plasma bile acid concentrations assessed. Physical activity and plasma bile acids were measured in a group of patients with anorexia nervosa (BMI 14.6 ± 0.3 kg/m(2), n = 43). Lastly, in a population of obese patients (BMI 48.5 ± 0.9 kg/m(2), n = 85), psychometric parameters related to disordered eating and plasma bile acids were assessed. Plasma bile acids showed a positive correlation with BMI (r = 0.26, p = 0.03) in the population of patients with broad range of BMI (9-85 kg/m(2), n = 74). No associations were observed between plasma bile acids and different parameters of physical activity in anorexic patients (p > 0.05). Plasma bile acids were negatively correlated with cognitive restraint of eating (r = -0.30, p = 0.008), while no associations were observed with other psychometric eating behavior-related parameters (p > 0.05) in obese patients. In conclusion, these data may point toward a role of bile acids in the regulation of body weight. Since plasma bile acids are negatively correlated with the cognitive restraint of eating in obese patients, this may represent a compensatory adaptation to prevent further overeating. PMID:26089773

  6. Reconstruction of Traumatic Defect of the Lower Third of the Leg Using a Combined Therapy: Negative Pressure Wound Therapy, Acellular Dermal Matrix, and Skin Graft

    Directory of Open Access Journals (Sweden)

    Sergio Brongo

    2014-01-01

    Full Text Available The reconstruction of lower third of the leg is one of the most challenging problems for plastic and reconstructive surgeons and current approaches are still disappointing. We show an easy option to obtain a coverage of traumatic pretibial defects with good aesthetic and functional results: the association of negative pressure wound therapy, acellular dermal matrix, and skin graft. The choice of this combined therapy avoids other surgical procedures such as local perforator flaps and free flaps that require more operating time, special equipment, and adequate training.

  7. Abdominal Cavity Eventration Treated by Means of the „Open Abdomen” Technique Using the Negative Pressure Therapy System – Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Trzeciak Piotr W.

    2015-11-01

    Full Text Available Wound dehiscence is a surgical complication in which the wound ruptures along the surgical suture with abdominal cavity bowel displacement. It is observed in 0.2-6% of operated patients. The extensive wound is a gateway for infection. Moreover, increased secretion of serous fluid induces a hygienic problem and may lead to secondary skin infections or bedsores. The negative pressure wound therapy (NPWT system is an innovative therapeutic method. It perfectly executes the TIME strategy, receiving more and more recognition.

  8. Analysis of the SNaP™ Wound Care System, A Negative Pressure Wound Device for Treatment of Diabetic Lower Extremity Wounds

    OpenAIRE

    Landsman, Adam

    2010-01-01

    Negative pressure wound therapy (NPWT) has become a widely used modality for the treatment of complex wounds. However, patient compliance is frequently difficult due to the need to carry a bulky, noisy electronic device. In this issue of Journal of Diabetes Science and Technology, Lerman and colleagues describe a new system that uses no electricity and is about the size of a deck of cards. It is designed to be stored in the clinic and applied almost as simply as a standard wound dressing. Fou...

  9. Assessment of Gauze-Based Negative Pressure Wound Therapy in the Split-Thickness Skin Graft Clinical Pathway—An Observational Study

    OpenAIRE

    Dunn, Raymond M.; Ignotz, Ron; Mole, Trevor; Cockwill, John; Smith, Jennifer M

    2011-01-01

    Objectives: Negative pressure wound therapy (NPWT) is a useful therapy in the preparation of wounds prior to application of a split-thickness skin graft (STSG) both “pregraft” and “postgraft” on top of the STSG. Customarily, a foam-based NPWT has been used, but gauze-based therapy is finding an increasing use. Gauze is easy to apply and forgiving of complicated wound geometries so it can be an ideal material in this indication. The aim of this study was to quantitatively assess the clinical e...

  10. The research progress of negative pressure wound therapy%负压创面治疗技术的研究进展

    Institute of Scientific and Technical Information of China (English)

    陈银兵; 黄金华

    2010-01-01

    @@ 负压创面治疗技术 (negative pressure woundtherapy,NPWT)是近十几年来提出并开展的新方法,它包括1993年德国外科医师Fleischmann等[1]最先提出的封闭负压引流(vacuum sealing drainage,VSD)及1997年美国外科医师Argenta和Morykwas[2]首创的封闭负压辅助闭合(vacuum-assisted closure,VAC)两项关键技术.

  11. Effect of negative pressure therapy on repair of soft tissues of the lower extremities in patients with neuropathic and neuroischaemic forms of diabetic foot syndrome

    Directory of Open Access Journals (Sweden)

    Ekaterina Leonidovna Zaytseva

    2014-06-01

    Full Text Available AimTo evaluate the efficiency of topical negative pressure wound therapy (NPWT compared with standard therapy for the regeneration of the soft tissues of the lower extremities in patients with diabetic foot syndrome.Materials and MethodsThe effects of negative pressure therapy on the clinical (size, tissue oxygenation, histological (light microscopy and immunohistochemical (CD68, MMP-9, TIMP-1 aspects of repair of the soft tissue of the lower extremities in patients with diabetes mellitus were compared with those of standard treatment. Thirty-one patients with diabetic foot ulcers were included in the study from the moment of debridement until the plastic closure of the wound. During the perioperative period, 13 patients received NPWT (-90 to -120 mmHg and 18 patients received standard therapy.ResultsA reduction of the wound area (26.6%±17.2% and the depth of the defects (40.5%±25.6% were achieved with negative pressure therapy compared with baseline data. In the control group, the corresponding values were 25.3%±19.4% and 21.8%±21.6%, respectively. The results of transcutaneous oximetry showed a greater increase in the level of local hemodynamics in the study group (p <0.04. An important criterion for wound preparation for a plastic closure is filling it with granulation tissue by more than 75%. In the study group, 95% of patients had wounds filled with 89.9%±17% of abundant granulation tissue. The histological data of the study group show a significant reduction of oedema by 80% (p <0.05, improved extracellular matrix organization (p <0.05, 90% (p <0.05 dissolution of inflammatory infiltrate and the formation of healthy granulation tissue (p <0.05. Immunohistochemical analysis demonstrated a significant decrease in the number of macrophages in the dermis (CD68 expression (p <0.05. In both groups, the level of MMP-9 was decreased. However, the ratio of MMP-9:TIMP-1 was lower in the study group (p <0.05.ConclusionThe findings suggest that

  12. Negative-pressure wound therapy for management of diabetic foot wounds: a review of the mechanism of action, clinical applications, and recent developments

    Science.gov (United States)

    Hasan, Muhammed Y.; Teo, Rachel; Nather, Aziz

    2015-01-01

    Negative-pressure wound therapy (NPWT) plays an important role in the treatment of complex wounds. Its effect on limb salvage in the management of the diabetic foot is well described in the literature. However, a successful outcome in this subgroup of diabetic patients requires a multidisciplinary approach with careful patient selection, appropriate surgical debridement, targeted antibiotic therapy, and optimization of healing markers. Evolving NPWT technology including instillation therapy, nanocrystalline adjuncts, and portable systems can further improve results if used with correct indications. This review article summarizes current knowledge about the role of NPWT in the management of the diabetic foot and its mode of action, clinical applications, and recent developments. PMID:26140663

  13. Fractal basins of attraction in the planar circular restricted three-body problem with oblateness and radiation pressure

    CERN Document Server

    Zotos, Euaggelos E

    2016-01-01

    In this paper we use the planar circular restricted three-body problem where one of the primary bodies is an oblate spheroid or an emitter of radiation in order to determine the basins of attraction associated with the equilibrium points. The evolution of the position of the five Lagrange points is monitored when the values of the mass ratio $\\mu$, the oblateness coefficient $A_1$, and the radiation pressure factor $q$ vary in predefined intervals. The regions on the configuration $(x,y)$ plane occupied by the basins of attraction are revealed using the multivariate version of the Newton-Raphson method. The correlations between the basins of convergence of the equilibrium points and the corresponding number of iterations needed in order to obtain the desired accuracy are also illustrated. We conduct a thorough and systematic numerical investigation demonstrating how the dynamical quantities $\\mu$, $A_1$, and $q$ influence the basins of attractions. Our results suggest that the mass ratio and the radiation pre...

  14. Observational study on efficacy of negative expiratory pressure test proposed as screening for obstructive sleep apnea syndrome among commercial interstate bus drivers - protocol study

    Directory of Open Access Journals (Sweden)

    Hirata Raquel P

    2011-12-01

    Full Text Available Abstract Background Obstructive sleep apnea (OSA is a respiratory disease characterized by the collapse of the extrathoracic airway and has important social implications related to accidents and cardiovascular risk. The main objective of the present study was to investigate whether the drop in expiratory flow and the volume expired in 0.2 s during the application of negative expiratory pressure (NEP are associated with the presence and severity of OSA in a population of professional interstate bus drivers who travel medium and long distances. Methods/Design An observational, analytic study will be carried out involving adult male subjects of an interstate bus company. Those who agree to participate will undergo a detailed patient history, physical examination involving determination of blood pressure, anthropometric data, circumference measurements (hips, waist and neck, tonsils and Mallampati index. Moreover, specific questionnaires addressing sleep apnea and excessive daytime sleepiness will be administered. Data acquisition will be completely anonymous. Following the medical examination, the participants will perform a spirometry, NEP test and standard overnight polysomnography. The NEP test is performed through the administration of negative pressure at the mouth during expiration. This is a practical test performed while awake and requires little cooperation from the subject. In the absence of expiratory flow limitation, the increase in the pressure gradient between the alveoli and open upper airway caused by NEP results in an increase in expiratory flow. Discussion Despite the abundance of scientific evidence, OSA is still underdiagnosed in the general population. In addition, diagnostic procedures are expensive, and predictive criteria are still unsatisfactory. Because increased upper airway collapsibility is one of the main determinants of OSA, the response to the application of NEP could be a predictor of this disorder. With the

  15. Modelling nitrate pollution pressure using a multivariate statistical approach: the case of Kinshasa groundwater body, Democratic Republic of Congo

    Science.gov (United States)

    Mfumu Kihumba, Antoine; Ndembo Longo, Jean; Vanclooster, Marnik

    2016-03-01

    A multivariate statistical modelling approach was applied to explain the anthropogenic pressure of nitrate pollution on the Kinshasa groundwater body (Democratic Republic of Congo). Multiple regression and regression tree models were compared and used to identify major environmental factors that control the groundwater nitrate concentration in this region. The analyses were made in terms of physical attributes related to the topography, land use, geology and hydrogeology in the capture zone of different groundwater sampling stations. For the nitrate data, groundwater datasets from two different surveys were used. The statistical models identified the topography, the residential area, the service land (cemetery), and the surface-water land-use classes as major factors explaining nitrate occurrence in the groundwater. Also, groundwater nitrate pollution depends not on one single factor but on the combined influence of factors representing nitrogen loading sources and aquifer susceptibility characteristics. The groundwater nitrate pressure was better predicted with the regression tree model than with the multiple regression model. Furthermore, the results elucidated the sensitivity of the model performance towards the method of delineation of the capture zones. For pollution modelling at the monitoring points, therefore, it is better to identify capture-zone shapes based on a conceptual hydrogeological model rather than to adopt arbitrary circular capture zones.

  16. Classification of gas-liquid flow patterns by the norm entropy of wavelet decomposed pressure fluctuations across a bluff body

    Science.gov (United States)

    Sun, Zhiqiang; Chen, Yanping; Gong, Hui

    2012-12-01

    Identification of gas-liquid flow patterns remains one of the paramount needs in multiphase flow metering. It is hardly possible to realize accurate measurement and control of parameters in a gas-liquid flow system without a clear understanding of its flow pattern. Here we explore the characterization of gas-liquid flow patterns using the norm entropy extracted from the wavelet decomposed pressure fluctuations across a bluff body. Experiments on air-water two-phase flow at ambient temperature and atmospheric pressure are carried out in the bubble, plug, slug and annular flow patterns. On the basis of the experimental results, two original flow-pattern maps are constructed: one is coordinated with the average norm entropy versus the total mass flow rate, and the other is the average norm entropy versus the volumetric void fraction. Verification tests demonstrate that the overall identification rates of the flow-pattern maps developed exceed 95%. This approach provides an effective and simple solution to the classification of gas-liquid flow patterns.

  17. Classification of gas–liquid flow patterns by the norm entropy of wavelet decomposed pressure fluctuations across a bluff body

    International Nuclear Information System (INIS)

    Identification of gas–liquid flow patterns remains one of the paramount needs in multiphase flow metering. It is hardly possible to realize accurate measurement and control of parameters in a gas–liquid flow system without a clear understanding of its flow pattern. Here we explore the characterization of gas–liquid flow patterns using the norm entropy extracted from the wavelet decomposed pressure fluctuations across a bluff body. Experiments on air–water two-phase flow at ambient temperature and atmospheric pressure are carried out in the bubble, plug, slug and annular flow patterns. On the basis of the experimental results, two original flow-pattern maps are constructed: one is coordinated with the average norm entropy versus the total mass flow rate, and the other is the average norm entropy versus the volumetric void fraction. Verification tests demonstrate that the overall identification rates of the flow-pattern maps developed exceed 95%. This approach provides an effective and simple solution to the classification of gas–liquid flow patterns. (paper)

  18. Nosocomial Infections: Multicenter surveillance of antimicrobial resistance profile of Staphylococcus aureus and Gram negative rods isolated from blood and other sterile body fluids in Iran

    Directory of Open Access Journals (Sweden)

    Bahman Poorabbas

    2015-11-01

    Full Text Available Background and Objective: Antibiotic resistance is increasing, especially in healthcare-associated infections causing significant public health concerns worldwide. National information is required to make appropriate policies, update list of essential drugs for treatment, and evaluate the effects of intervention strategies. A nationwide surveillance of antimicrobial resistant bacteria in nosocomial infections was established in Iran in 2008, so that the data obtained through the surveillance would enable us to construct a database.Materials and Methods: Seven major teaching hospitals in Shiraz, Tabriz, Sari, Mashhad, Sanandaj, Ahwaz and Isfahan participated in this study. A total of 858 strains isolated from blood and other sterile body fluids were tested. Identification at the species level was performed with conventional biochemical methods and the API system. Susceptibility tests were done using disk diffusion method. The methicillin-resistance in S. aureus (MRSA was determined by the oxacillin agar screen plate and respective MIC values were assessed using the E-test strips. The confirmatory disk diffusion methods were applied for phenotypic identification of extended-spectrum β- lactamase (ESBL production for E. coli and K. pneumoniae, according to CLSI guidelines.Results: Cultivation and re-identification of the strains yielded 858 isolates, consisting of 224 S. aureus, 148 Klebsiellaspp., 105 Serratia spp., 146 E. coli, 67 Acinetobacter spp., 38 Enterobacter spp., 95 Pseudomonas spp., 71 P.aeruginosa.35 Stenotrophomonas sp., and 8 other organisms. MRSA was detected in 37.5% of the isolates. No vancomycin-resistant or vancomycin-intermediate resistant S. aureus was detected. With the exception of Acinetobacter and Stenotrophomonas, 85% of the Gram-negative isolates were found to be susceptible in vitro to imipenem. Overall, about 61% of K. pneumoniae and 35% of E. coli isolates were ESBL producing.Conclusion: Multidrug resistant isolates

  19. 不同负压值伤口负压吸引术应用于开放性腹部创伤修复的研究%Application of negative pressure wound therapy with different negative pressures to open ab- dominal wound repair

    Institute of Scientific and Technical Information of China (English)

    潘勇; 曾琴; 王凯

    2015-01-01

    目的:观察不同负压值的伤口负压吸引术( negative pressure wound therapy ,NPWT)应用于开放性腹部伤口治疗中小肠壁出血面积变化。方法将12头家猪做正中切口,采用随机数字表法分为3组。分别行负压值为-50 mmHg ( A组)、-125 mmHg( B组)及-200 mmHg( C组)的NPWT,持续NPWT 12、24、48 h后对小肠壁出血面积的变化分别进行拍照和量化。结果持续NPWT 12、24和48 h后小肠表面出血面积C组>B组>A组,差异有统计学意义( P<0.05﹚。结论负压值的大小与小肠壁出血面积的大小呈正向直线相关,实验中三组比较得出负压值为-125 mmHg的NPWT具有较好的引流效果时,对小肠损伤较小。%Objective To observe the changes of small intestine bleeding areas after application of negative pressure wound therapy (NPWT) with different negative pressures to open abdominal wound treatment .Methods Twelve pigs undergone midline inci-sion were randomly divided into A,B and C groups.The NPWT with negative pressures of-50 mmHg,-125 mmHg and-200 mmHg were applied to the A,B and C groups,respectively.Changes in small intestine bleeding areas were photographed and quantified after 12,24, and 48 hours of NPWT.Results After 12,24 and 48 hours of continue NPWT,the bleeding area of intestinal surface in the C group was larger than that in the B group which was in turn larger than that in the A group .The differences were statistically significant ( P<0.05 ) .Conclusion The small intestine hemorrhage area was positively related with the negative pressures .Comparison of the three groups,NPWT with-125 mmHg negative pressure has the smallest damage on small intestine in addition to better drainage effect .

  20. 社会文化压力对女大学生身体满意度影响机制%Effects of Socio-cultural Pressures on Body Satisfaction of College Females

    Institute of Scientific and Technical Information of China (English)

    张林; 刘燊; 周盈英; 李玥

    2015-01-01

    为探讨外貌比较和理想瘦内化在社会文化压力与女大学生身体满意度间的作用,本研究采用问卷调查法,对378名女大学生进行调查。结果发现:女大学生身体满意度与家庭因素、同伴影响、媒体影响、外貌比较、理想瘦内化呈显著负相关;社会文化压力对女大学生身体满意度有显著负向影响,而外貌比较和理想瘦内化在其中起完全中介作用;同时,外貌比较也是理想瘦内化和身体满意度之间的中介变量。%This study conducted a questionnaire to investigate 378 participants to examine the interactive effects of appearance comparison and thin-ideal internalization on the sociocultural pressures and body satisfaction of college females. The results indicated that there were significant negative correlations between factors of family background, peer influence, media, appearance comparison, thin-ideal internalization and body satisfaction of college females, that socio-cultural pressures had negative effects on females’ body satisfaction via appearance comparison and thin-ideal internalization, and that appearance comparison mediated the relationship between thin-ideal internalization and body satisfaction.

  1. Negative-Pressure Cavitation Extraction of Four Main Vinca Alkaloids from Catharanthus roseus Leaves

    Directory of Open Access Journals (Sweden)

    Yuangang Zu

    2012-07-01

    Full Text Available In the present study, an improved method termed negative-pressure cavitation extraction (NPCE followed by reverse phase high-performance liquid chromatography (RP-HPLC was developed for the extraction and quantification of vindoline (VDL, catharanthine (CTR, vincristine (VCR and vinblastine (VLB from Catharanthus roseus leaves. The optimized method employed 60-mesh particles, 80% ethanol, a negative pressure of −0.075 MPa, a solid to liquid ratio of 1:20, 30 min of extraction and three extraction cycles. Under these optimized conditions, the extraction yields of VDL, CTR, VCR and VLB are 0.5783, 0.2843, 0.018 and 0.126 mg/g DW, respectively. These extraction yields are equivalent to those from the well-known ultrasonic extraction method and higher than the yields from maceration extraction and heating reflux extraction. Our results suggest that NPCE-RP-HPLC represents an excellent alternative for the extraction and quantification of vinca alkaloids for pilot- and industrial-scale applications.

  2. Abdominal Cavity Eventration Treated by Means of the "Open Abdomen" Technique Using the Negative Pressure Therapy System - Case Report and Literature Review.

    Science.gov (United States)

    Trzeciak, Piotr W; Porzeżyńska, Joanna; Ptasińska, Karolina; Walczak, Dominik A

    2015-11-01

    Wound dehiscence is a surgical complication in which the wound ruptures along the surgical suture with abdominal cavity bowel displacement. It is observed in 0.2-6% of operated patients. The extensive wound is a gateway for infection. Moreover, increased secretion of serous fluid induces a hygienic problem and may lead to secondary skin infections or bedsores. The negative pressure wound therapy (NPWT) system is an innovative therapeutic method. It perfectly executes the TIME strategy, receiving more and more recognition. The study presented a case of a 62-year old male patient after several consecutive wound dehiscence episodes who was primarily treated for rectal cancer by means of low anterior resection of the rectum. Due to acute respiratory insufficiency after several operations, wound necrosis with dehiscence was observed. Considering the high risk of perioperative death we abandoned surgical treatment and introduced conservative management using negative pressure wound therapy until the patient's health improved. Literature regarding the above-mentioned issue was also reviewed. PMID:26816408

  3. Stagnations of increasing trends in negative pressure with repeated cavitation in water/metal Berthelot tubes as a result of mechanical sealing

    International Nuclear Information System (INIS)

    To investigate effects of mechanical sealing on negative pressures in water/metal tube Berthelot systems, trends in negative pressure are observed through runs of temperature cycles below 90 deg. C in two systems made of metals having small amounts of gas inclusions. The first system is a pre-degassed all-stainless-steel tube/plug system. The steel is a special product for vacuum engineering. The second is the same tube sealed with plugs made of silver solidified one-dimensionally in a vacuum furnace. A new type of trend, stagnation for intermediate cycles is found in both systems so long as sealing distortion of each plug is small in amount. The stagnation period for the first system is longer than that for the second one. A metallurgical mechanism of a gas-being-replenished crevice model is proposed: distorted parts of metals undergo heat-treatment during runs of temperature cycles, and the heat-treatment enhances the rates of impurity gas transports to crevices on the metal surface where cavitation occurs, and the transport causes the stagnation for cycles during which the rates are still high

  4. The different negative pressure values of the effect on skin graft%不同负压值对植皮效果的影响研究

    Institute of Scientific and Technical Information of China (English)

    郑敏; 黄素群

    2015-01-01

    目的:观察负压伤口治疗(N PW T )技术不同负压值对植皮效果的影响,探索适宜的负压值。方法选取该院2012年1~7月四肢慢性创面床拟行植皮术的80例患者分为A~H 8组,A组植皮后常规打包加压,B~ H组分别施加-10、-20、-30、-40、-50、-60和-70 kPa的持续负压,并观察效果。结果施加负压的B~H组在患者舒适度、皮片存活面积和伤口愈合时间方面显著优于A组(P<0.05)。-10~-40 kPa间,舒适度随负压值的增加而降低(P<0.05);皮片存活面积在B、C组最大;创面愈合时间B、C组最快(P<0.05)。结论植皮创面施加-10 kPa压力的持续负压,即可提高植皮效果又能保证患者舒适度。%Objective To study the effect of different negative pressure values of negative pressure wound therapy (NPWT) effect on skin graft .Methods Eighty patients were selected ,who underwent chronic wound bed and preparedto treat with skin graft in surgical ward of emergency department in the Second Affiliated Hospital of Chongqing Medical University from January 2012 to July 2012 .Eighty patients were divided into 8 groups ,group A were treated with packing pressure after skin graft ,group B~ H were treated with continuous NPWT ,pressures were -10 ,-20 ,-30 ,-40 ,-50 ,-60 and -70 kPa ,respectively .Whether they were in comfortable situation at second day after surgery were observed .Flap survival area at Seventh day after surgery was meas‐ured .Results The patient comfort ,flap survival area ,wound healing time of group B to H were higher than those of group A (P<0 .05) .Patient comfort tended to decrease with the increasing negative pressure values between -10 - -40 kPa(P<0 .05) .Flap survival area ,healing time of group B ,C were higher than those of group D to F(P<0 .05) .Conclusion Application of NPWT technology in wound ,-10 kPa negative pressure value can not only improve wound blood

  5. A numerical study of the the response of transient inhomogeneous flames to pressure fluctuations and negative stretch in contracting hydrogen/air flames

    CERN Document Server

    Malik, Nadeem A; Lovas, Terese

    2016-01-01

    Transient premixed hydrogen/air flames contracting through inhomogeneous fuel distributions and subjected to stretch and pressure oscillations are investigated numerically using an implicit method which couples the fully compressible flow to the realistic chemistry and multicomponent transport properties. The impact of increasing {\\em negative} stretch is investigated through the use of planar, cylindrical and spherical geometries, and a comparison with the results from {\\em positively} stretched expanding H2/air flames (MALIK2010) and CH4/air flames (MALIK2012a) is made. A flame relaxation number $n_R=\\tau_R/\\tau_L$ ($\\tau_R$ is the time that the flame takes to return to the mean equilibrium conditions after initial disturbance; $\\tau_L$ is a flame time scale) decreases by 10\\% with increasing {\\em negative} stretch, in contrast to the two expanding flames where $n_R$ decreased by 40\\% with increasing {\\em positive} stretch. $n_R$ appears to much more sensitive to variations in positive/negative curvature th...

  6. Co-relation of blood pressure with Body Mass Index (BMI and Waist TO Hip Ratio (WHR in middle aged men

    Directory of Open Access Journals (Sweden)

    Dr. D. B. Tambe MD

    2010-07-01

    Full Text Available Obesity and cardiovascular risks are closely associated. Hypertension is the most common and early complication of obesity. Obesity is measured with different parameters like Body Mass Index, Waist to Hip Ratio etc. In the present study we have tried to link parameters of obesity with hypertension. We have found that in hypertensive middle aged Indian males diastolic blood pressure showed a better correlation with Waist to Hip Ratio rather than with Body Mass Index.

  7. Study on the parameters influencing the accuracy and reproducibility of dynamic pressure measurements at the surface of a rigid body during water impact

    OpenAIRE

    Van Nuffel, D.; Vepa, K.S.; De Baere, I.; Degrieck, J.; De Rouck, J.; Van Paepegem, W.

    2013-01-01

    Water wave slamming is known as one of the most important load which marine constructions encounter. Especially the large and spiky local pressures moving fast over the body surface during a slamming event can be harmful for the structure. Analytical and numerical research on these pressure loads has already been performed, but however, quantitative experimental information necessary for validation of these studies is restricted. This lack in experimental data may originate from the fact that...

  8. Discontinuous finite element formulation for bodies of revolution with application in the prevention of fragile fracture in pressure vessel of PWR reactors

    International Nuclear Information System (INIS)

    In this work, a hybrid formulation is established for bodies of revolution, based on the equation of Fourier series for the discontinuous finite element method, analogous to the one that exists in the classical finite element method. Furthermore, a methodology to analyse the prevention of fragile fracture in pressure vessel of pressurized water reactors is presented. The results obtained suggest that careful analysis must be made for non symmetric refrigeration. (author)

  9. 负压封闭引流技术在植皮手术中的应用%The Application of Negative Pressure Wound Therapy on Skin Graft

    Institute of Scientific and Technical Information of China (English)

    史京萍; 章宏伟; 葛晓静; 姚刚; 潘忠兰; 朱喆辰

    2014-01-01

    Objective :To study the clinical effect of negative pressure wound therapy on skin graft .Methods :62 pa‐tients with acute or chronic wound were treated with skin graft plus negative pressure wound therapy for fixation .5 days post operations ,the dressings were removed ,three measurements were recorded ,including the take rates of the skin graft ,time of wound healing post operation ,and the number of grafting surgery .Results:Among the 62 patients , the skin graft of 59 patients survive completely after surgery ,3 of them have partial necrosis ,but soon recovered from conventional dressing change ,the total healing time was 10 .5 days on average ,and it took 1 time for the wound to heal .Conclusion:Negative pressure wound therapy is an effective method for the fixation of the skin graft ,because it can shorten the healing time ,improve the survival rate of skin graft ,which makes it a good method for wider applica‐tion .%目的:研究负压封闭引流技术在游离皮片移植术中的应用效果。方法:对我科2011年1月-2013年12月期间收治的62例急慢性创面患者采用负压封闭引流技术+游离皮片移植的方法进行治疗,术后5d后去除负压敷料,观察皮片成活率、术后创面的愈合时间及总计手术次数。结果:在62例患者中,59例患者术后5d的皮片成活率为100%,3例患者皮片出现小部分坏死,面积均小于2cm ×1.5cm ,采用常规换药后创面愈合,术后创面愈合时间平均为10.5 d ,全部病例均需1次手术即可闭合创面。结论:负压封闭引流技术是一种有效的移植皮片固定技术,其可有效缩短皮片成活时间,提高皮片成活率,值得临床推广。

  10. Utilizing the micron sized non-thermal atmospheric pressure plasma inside the animal body for the tumor treatment application.

    Science.gov (United States)

    Mirpour, Shahriar; Piroozmand, Somayeh; Soleimani, Neda; Jalali Faharani, Neda; Ghomi, Hamidreza; Fotovat Eskandari, Hoda; Sharifi, Ali Mohammad; Mirpour, Sahar; Eftekhari, Mohammad; Nikkhah, Maryam

    2016-01-01

    This study aimed to evaluate the effects of micron sized non-thermal atmospheric pressure plasma inside the animal body on breast cancer tumor. The μ-plasma jet consists of micron sized hollow tube in which pure helium gas is ionized by high voltage (4 kV) and high frequency (6 kHz). The efficiency of the plasma treatment in killing cancer cells was first investigated by cell viability measurements of treated 4T1 cells using flow cytometry and cell cycle analysis. For exploration of the in vivo effects of the plasma treatment, the BALB/c mice inoculated by 4T1 cell lines were exposed subcutaneously to plasma for 3 minutes. In addition, H&E staining, TUNEL and Western blotting assays were performed in order to observed the effects of the non-thermal plasma on the tumor cells. The results showed that the efficiency of the plasma in suppression of the tumor growth is comparable to that of a typical chemotherapy drug. Moreover, the results indicated that the plasma induces apoptosis in the tumor tissue and increases the ratio of the apoptotic to anti-apoptotic protein expression. We believe that these findings presented herein may extend our knowledge of the mechanisms by which the plasma exerts its promising anti-cancer effects. PMID:27383714

  11. Apparatus and method for determining stress and strain in pipes, pressure vessels, structural members and other deformable bodies

    International Nuclear Information System (INIS)

    A method and apparatus for measuring stress and strain associated with a pipe, pressurized vessel, structural member or deformable body containing a flaw or stress concentration utilizes a laser beam to illuminate a surface being analyzed and an optical data digitizer to sense a signal provided by a speckle pattern produced by the light beam reflected from the illuminated surface. One signal is received from the surface in a reference condition and subsequent signals are received from the surface after surface deformation. The optical data digitizer provides the received signal to an image processor, and the processor stores the signals and correlates the deformed image received with the reference image and then sends this correlated information to a minicomputer which performs mathematical analyses of the signal to determine stress and strain associated with the surface. The apparatus is constructed as one integral unit, and further includes a digital and tape display, as well as a television monitor and an electro-optic range indicator. (author) 15 figs

  12. Negative-pressure wound therapy for management of diabetic foot wounds: a review of the mechanism of action, clinical applications, and recent developments

    Directory of Open Access Journals (Sweden)

    Muhammed Y. Hasan

    2015-07-01

    Full Text Available Negative-pressure wound therapy (NPWT plays an important role in the treatment of complex wounds. Its effect on limb salvage in the management of the diabetic foot is well described in the literature. However, a successful outcome in this subgroup of diabetic patients requires a multidisciplinary approach with careful patient selection, appropriate surgical debridement, targeted antibiotic therapy, and optimization of healing markers. Evolving NPWT technology including instillation therapy, nanocrystalline adjuncts, and portable systems can further improve results if used with correct indications. This review article summarizes current knowledge about the role of NPWT in the management of the diabetic foot and its mode of action, clinical applications, and recent developments.

  13. Dermal Fenestration With Negative Pressure Wound Therapy: A Technique for Managing Soft Tissue Injuries Associated With High-Energy Complex Foot Fractures.

    Science.gov (United States)

    Poon, Henrietta; Le Cocq, Heather; Mountain, Alistair J; Sargeant, Ian D

    2016-01-01

    Military casualties can sustain complex foot fractures from blast incidents. This frequently involves the calcaneum and is commonly associated with mid-foot fracture dislocations. The foot is at risk of both compartment syndrome and the development of fracture blisters after such injuries. The amount of energy transfer and the environment in which the injury was sustained also predispose patients to potential skin necrosis and deep infection. Decompression of the compartments is a part of accepted practice in civilian trauma to reduce the risk of complications associated with significant soft tissue swelling. The traditional methods of foot fasciotomy, however, are not without significant complications. We report a simple technique of dermal fenestration combined with the use of negative pressure wound therapy, which aims to preserve the skin integrity of the foot without resorting to formal fasciotomy. PMID:26443232

  14. Recommendations on negative pressure wound therapy with instillation and antimicrobial solutions - when, where and how to use: what does the evidence show?

    Science.gov (United States)

    Back, David A; Scheuermann-Poley, Catharina; Willy, Christian

    2013-12-01

    Infections of contaminated or colonised acute or chronic wounds remain a grave risk for patients even today. Despite modern surgical debridement concepts and antibiotics, a great need exists for new therapies in wound management. Since the late 1990s, advantageous effects of negative pressure wound therapy (NPWT) have been combined with local antiseptic wound cleansing in the development of NPWT with instillation (NPWTi). This article summarises the current scientific knowledge on this topic. MEDLINE literature searches were performed on the subject of negative pressure wound and instillation therapy covering publications from the years 1990 to 2013 (36 peer-reviewed citations) and regarding randomised controlled trials (RCTs) covering wound care with bone involvement (27 publications) or soft-tissue wounds without bone participation (11 publications) from 2005 to 2012. The use of NPWTi in the therapy of infected wounds appears to be not yet widespread, and literature is poor and inhomogeneous. However, some reports indicate an outstanding benefit of NPWTi for patients, using antiseptics such as polyhexanide (concentration 0·005-0·04%) and acetic acid (concentration 0·25-1%) in acute and chronic infected wounds and povidone-iodine (10% solution) as prophylaxis in contaminated wounds with potential viral infection. Soaking times are recommended to be 20 minutes each, using cycle frequencies of four to eight cycles per day. Additionally, the prophylactic use of NPWTi with these substances can be recommended in contaminated wounds that cannot be closed primarily with surgical means. Although first recommendations may be given currently, there is a great need for RCTs and multicentre studies to define evidence-based guidelines for an easier approach to reach the decision on how to use NPWTi. PMID:24251842

  15. Standard Practice for Installation, Inspection, and Maintenance of Valve-body Pressure-relief Methods for Geothermal and Other High-Temperature Liquid Applications

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2003-01-01

    1.1 This practice covers installation, inspection, and maintenance of valve body cavity pressure relief methods for valves used in geothermal and other high-temperature liquid service. The valve type covered by this practice is a design with an isolated body cavity such that when the valve is in either the open or closed position pressure is trapped in the isolated cavity, and there is no provision to relieve the excess pressure internally. 1.2 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

  16. Negative chemical pressure effects induced by Y substitution for Ca on the `exotic' magnetic behavior of the spin-chain compound, Ca3Co2O6

    Indian Academy of Sciences (India)

    S Rayaprol; E V Sampathkumaran

    2005-09-01

    The magnetic behavior of a solid solution, Ca3-YCo2O6, based on the `exotic' spin-chain compound, Ca3Co2O6, crystallizing in K4CdCl6-derived rhombohedral structure is investigated. Among the compositions investigated ( = 0.0, 0.3, 0.5, 0.75 and 1.0), single-phase formation persists up to = 0.75, with the elongation of the -axis. The present investigations reveal that the temperature at which the `so-called' `partially disordered antiferromagnetic structure' sets in (which occurs at 24 K for the parent compound, = 0.0) undergoes gradual reduction with the substitution of Y for Ca, attaining the value of about 2.2 K for the nominal = 1.0. The trend observed in this characteristic temperature is opposite to that reported under external pressure, thereby establishing that Y substitution exerts negative chemical pressure. Anomalous steps observed in the isothermal magnetization at very low temperatures (around 2 K) for = 0.0, which have been proposed to arise from `quantum tunneling effects' are found to vanish by a small substitution ( = 0.3) of Y for Ca. Systematics in AC and DC magnetic susceptibility behavior with Y substitution for Ca have also been probed. We believe that the present results involving the expansion of chain length without disrupting the magnetic chain may be useful to the overall understanding of the novel magnetism of the parent compound.

  17. High sodium and low potassium intake among Italian children: relationship with age, body mass and blood pressure.

    Directory of Open Access Journals (Sweden)

    Angelo Campanozzi

    Full Text Available Hypertension is the leading cause of death in developed countries and reduction of salt intake is recommended as a key preventive measure.To assess the dietary sodium and potassium intakes in a national sample of Italian children and adolescents and to examine their relationships with BMI and blood pressure (BP in the framework of the MINISAL survey, a program supported by the Italian Ministry of Health.The study population included 1424 healthy subjects (766 boys, 658 girls aged 6-18 years (mean age: 10.1±2.9 who were consecutively recruited in participating National Health Service centers in 10 Italian regions. Electrolyte intake was estimated from 24 hour urine collections tested for completeness by the concomitant measurement of creatinine content. Anthropometric indices and BP were measured with standardized procedures.The average estimated sodium intake was 129 mmol (7.4 g of salt per day among boys and 117 mmol (6.7 g of salt among girls. Ninety-three percent of the boys and 89% of the girls had a consumption higher than the recommended age-specific standard dietary target. The estimated average daily potassium intakes were 39 mmol (1.53 g and 36 mmol (1.40 g, respectively, over 96% of the boys and 98% of the girls having a potassium intake lower than the recommended adequate intake. The mean sodium/potassium ratio was similar among boys and girls (3.5 and 3.4, respectively and over 3-fold greater than the desirable level. Sodium intake was directly related to age, body mass and BP in the whole population.The Italian pediatric population is characterized by excessive sodium and deficient potassium intake. These data suggest that future campaigns should focus on children and adolescents as a major target in the framework of a population strategy of cardiovascular prevention.

  18. Incisional Negative Pressure Wound Therapy

    DEFF Research Database (Denmark)

    Hyldig, Nana; Vinter, Christina Anne; Bille, Camilla;

    generator are used to allocate the participants into one of two groups (iNPWT vs. standard dressing), stratified by centre and type of CS. The study is conducted at five public hospitals located in three regions of Denmark. Interim analyses will be preformed along the trial using the group sequential method...

  19. A pilot study investigating whether focusing on body functionality can protect women from the potential negative effects of viewing thin-ideal media images

    NARCIS (Netherlands)

    Alleva, J.M.; Veldhuis, J.; Martijn, C.

    2016-01-01

    This pilot study explored whether focusing on body functionality (i.e., everything the body can do) can protect women from potential harmful effects of exposure to thin-ideal images. Seventy women (Mage=20.61) completed an assignment wherein they either described the functionality of their body or t

  20. 负压技术用于伤口治疗的现状%Current situation of negative-pressure wound therapy

    Institute of Scientific and Technical Information of China (English)

    周业平

    2011-01-01

    Negative-pressure wound therapy (NPWT)has been used to help wound healing since early 1970s, and it has been used increasingly for treating a wide variety of wounds since the early 1990s and started to popularize in China near the mid 1990s. This technique is different from conventional dressing change, as it controls local humidity, alleviates edema, and improves local circulation all by negative pressure. The method generally involves the application of a dressing on the wound surface, connecting the dressing to a vacuum pump through a tube,and then sealing the wound with adhesive films. Most of the clinicians in China believe that NPWT is helpful in accelerating wound healing, though as yet there is no strong evidence to support it. Therefore, it is necessary to conduct more research to further clarify the mechanism and therapeutic effect of NPWT.%近十几年来,负压技术在学术界和工业界的共同推动下得到迅速发展,虽然对烧(创)伤等急慢性伤口的治疗具有积极作用,但在临床应用中也表现出一些不足。为进一步了解并更好地开展相关治疗工作,本文对这项技术作一简要回顾与展望。1 负压伤口治疗技术的发展过程早在20世纪70年代就有应用负压技术治疗难愈性伤口的文献报道。1985年,美国医师Chariker和Jeter用纱布包裹引流管置入伤口内,盖上透明密封贴膜并将引流管连接到负压泵治疗肠瘘患者,取得较好疗效。这种治疗方式与近年来国内开展的套装治疗方式相似。1986年,俄国医师Kostiuchenok 等和Davydov等应用外科清创结合负压吸引治疗感染创面,研究表明创面细菌负荷降低,创面愈合明显加速。