Prognosis on follow-up CT of chronic subdural hematomas treated by burr hole evacuation

International Nuclear Information System (INIS)

Higeta, Toshiaki; Yamada, Hiroshi; Itoh, Hakuji

1986-01-01

A consecutive series of 47 adult patients with chronic subdural hematoma was studied in respect to postoperative follow-up CT after burr hole evacuation. In 15 of our patients, the CT scan was normalized within 60 days. Six patients required reoperation because of reaccumulation or of poor re-expansion, and in 13 patients the follow-up CT showed a persisting subdural fluid collection even after 60 postoperative days. Further studying the correlation between the prognosis on follow-up CT and various factors, such as patient's age, preoperative neurological condition and CT findings or others, authors found that the elderly, especially older than 70 years, had a poor prognosis, and that the prognosis was correlated to the density and the thickness of hematoma on preoperative CT scan. (author)

'Subarachnoid cyst' after evacuation of chronic subdural hematoma: Case report of an unusual postoperative morbidity.

Science.gov (United States)

Sharon, Low Y Y; Wai Hoe, N G

2016-01-01

Burr-hole drainage of chronic subdural hematomas are routine operative procedures done by neurosurgical residents. Common postoperative complications include acute epidural and/or subdural bleeding, tension pneumocephalus, intracranial hematomas and ischemic cerebral infarction. We report an interesting post-operative complication of a 'subarachnoid cyst' after burr-hole evacuation of a chronic subdural hematoma. The authors hypothesize that the 'cyst' is likely secondary to the splitting of the adjacent neomembrane within its arachnoid-brain interface by iatrogenic irrigation of the subdural space. Over time, this 'cyst' develops into an area of gliosis which eventually causes long-term scar epilepsy in the patient. As far as we are aware, this is the first complication of such a 'subarachnoid cyst' post burr-hole drainage reported in the literature.

Contralateral acute subdural hematoma occurring after evacuation of subdural hematoma with coexistent contralateral subdural hygroma

OpenAIRE

Sun, Hsiao-Lun; Chang, Chih-Ju; Hsieh, Cheng-Ta

2014-01-01

Burr-hole craniostomy with closed-system drainage is a safe and effective method for the management of chronic subdural hematoma. However, contralateral acute subdural hematoma has been reported to be a rare and devastating complication. Only 3 cases have been described in the literature. Herein, we reported an 80-year-old male with chronic subdural hematoma and contralateral subdural hygroma. The burr-hole craniostomy with closed-system drainage was initially performed to treat the chronic s...

‘Subarachnoid cyst’ after evacuation of chronic subdural hematoma: Case report of an unusual postoperative morbidity

Science.gov (United States)

Sharon, Low Y. Y.; Wai Hoe, NG

2016-01-01

Burr-hole drainage of chronic subdural hematomas are routine operative procedures done by neurosurgical residents. Common postoperative complications include acute epidural and/or subdural bleeding, tension pneumocephalus, intracranial hematomas and ischemic cerebral infarction. We report an interesting post-operative complication of a ‘subarachnoid cyst’ after burr-hole evacuation of a chronic subdural hematoma. The authors hypothesize that the ‘cyst’ is likely secondary to the splitting of the adjacent neomembrane within its arachnoid-brain interface by iatrogenic irrigation of the subdural space. Over time, this ‘cyst’ develops into an area of gliosis which eventually causes long-term scar epilepsy in the patient. As far as we are aware, this is the first complication of such a ‘subarachnoid cyst’ post burr-hole drainage reported in the literature. PMID:27366276

"Plug" ósseo autógeno para orifícios de trepanação: nota técnica Autogenic bone plug to seal burr holes: technical note

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JOSUÉ GUIMARÃES GRANHA VIALOGO

1999-12-01

Full Text Available Vários materiais são utilizados para ocluir os orifícios de trepanação em neurocirurgia, por motivos variados: para evitar fístula liquórica após trepanações, para auxiliar a fixação do "flap" ósseo e por motivos estéticos, na região frontal. Dentre estes materiais citamos os heterólogos (botões de silicone, miniplacas de metal, cera de osso, metilmetacrilato, gelfoam, cimento de polímero vegetal, cerâmica de hidroxiapatita, e os autólogos (pó de osso originado da trepanação, gordura, músculo, aponeurose. Os materiais heterólogos ou sintéticos podem provocar reação de corpo estranho com erosão da pele e exposição do material, tornando necessária sua retirada, em tempo variável no pós-operatório. Há cerca de três anos, o autor vem utilizando um botão ou "plug" ósseo autólogo, feito com surgicel e o pó de osso proveniente da trepanação, com bom resultado estético eliminando as desconfortáveis depressões cranianas pós-trepanação. Apresentamos a técnica de confecção deste prático `plug ósseo autólogo'. Nas neuroendoscopias, praticamente sanou-se o problema da fístula liquórica e reação de corpo estranho. Encorajamos a utilização deste botão ósseo autólogo em nosso meio, como método eficiente, econômico e biologicamente aceitável para ocluir orifícios cranianos de trepanação.Many neurosurgical procedures can be performed by a single burr hole: neuroendoscopy, microvascular decompression, stereotactic procedures, chronic subdural haematomas. It is technically difficult to suture and close the dura, located at the bottom of such holes, which can lately lead to CSF leakage. On the other hand, the surgical material used to seal the burr holes can be divided in heterogenic (metal screws, silicon plugs, gelfoam, bone wax, metilmetacrilate, hidroxiapatite, and autogenic (fat, aponeurosis, muscle, and bone dust from trephination. The heterogenic group always brings the possibility of

The Seepage Simulation of Single Hole and Composite Gas Drainage Based on LB Method

Science.gov (United States)

Chen, Yanhao; Zhong, Qiu; Gong, Zhenzhao

2018-01-01

Gas drainage is the most effective method to prevent and solve coal mine gas power disasters. It is very important to study the seepage flow law of gas in fissure coal gas. The LB method is a simplified computational model based on micro-scale, especially for the study of seepage problem. Based on fracture seepage mathematical model on the basis of single coal gas drainage, using the LB method during coal gas drainage of gas flow numerical simulation, this paper maps the single-hole drainage gas, symmetric slot and asymmetric slot, the different width of the slot combined drainage area gas flow under working condition of gas cloud of gas pressure, flow path diagram and flow velocity vector diagram, and analyses the influence on gas seepage field under various working conditions, and also discusses effective drainage method of the center hole slot on both sides, and preliminary exploration that is related to the combination of gas drainage has been carried on as well.

A Tortuous Process of Surgical Treatment for a Large Calcified Chronic Subdural Hematoma.

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Li, Huan; Mao, Xiang; Tao, Xiao-Gang; Li, Jing-Sheng; Liu, Bai-Yun; Wu, Zhen

2017-12-01

Calcified chronic subdural hematoma (CCSDH) is a rare disease for which no standard approach to treatment has been established. Reports covering both burr hole trepanation and craniotomy for CCSDH are rare. Furthermore, infection of CCSDH after the burr hole trepanation has not been reported in the literature. A 61-year-old man presented with left frontotemporoparietal CCSDH demonstrated on computed tomography (CT) scan. The patient underwent 2 separate burr hole trepanations with intraoperative irrigation and postoperative drainage. These procedures led to infection of the CCSDH. The patient eventually underwent an open craniotomy to provide complete removal of the hematoma. Owing to the complex contents of a CCSDH, burr hole trepanation cannot adequately drain the hematoma or relieve the mass effect. Craniotomy is a much more reliable approach for achieving complete resection of a CCSDH. Copyright © 2017 Elsevier Inc. All rights reserved.

The role of external drains and peritoneal conduits in the treatment of recurrent chronic subdural hematoma.

Science.gov (United States)

Santarius, Thomas; Qureshi, Hammad U; Sivakumaran, Ram; Kirkpatrick, Peter J; Kirollos, Ramez W; Hutchinson, Peter J

2010-06-01

A considerable body of evidence supporting the use of external drainage after evacuation of primary chronic subdural hematoma (CSDH) exists in the literature. However, no systematic study of the value of postoperative drainage in the treatment of recurrent CSDH has been published. The aim of the study was to investigate external drains and subdural-to-peritoneal conduit in the treatment of recurrent CSDH. A retrospective review of cases of CSDH treated in our institution between October 2002 and October 2006 was conducted. During the study period, 408 patients had burr hole evacuation. Sixty-four patients (15.9%) had treatment for recurrence. One patient had craniotomy, and the remaining 63 had another burr hole evacuation: 36 without placement of a drain (BHO), 14 with external drainage (SED), and 13 with placement of subdural-peritoneal catheter (SPC). Fifteen patients (24%) developed a secondary recurrence requiring a third drainage procedure. Postoperative drainage (SED or SPC) was associated with a significantly lower secondary recurrence rate when compared to BHO: 3/27 (11%) versus 12/36 (33%) (χ(2), P=.040). There was no significant difference in recurrence rates between SED and SPC. Postoperative complications included acute subdural hematoma (2), subdural empyema (2), brain edema (2), pneumonia (3), and in-hospital death (2). None of the complications was associated with the use of a specific technique. The results indicate that, as in the treatment of primary CSDHs, the use of drain (SED or SPC) with burr hole evacuation is safe and is associated with lower recurrence rate. Further investigation is needed to clarify the indications of currently available surgical techniques in the treatment of recurrent CSDH. Copyright © 2010 Elsevier Inc. All rights reserved.

21 CFR 886.4070 - Powered corneal burr.

Science.gov (United States)

2010-04-01

...) MEDICAL DEVICES OPHTHALMIC DEVICES Surgical Devices § 886.4070 Powered corneal burr. (a) Identification. A powered corneal burr is an AC-powered or battery-powered device that is a motor and drilling tool intended to remove rust rings from the cornea of the eye. (b) Classification. Class I (general controls). When...

Successful retrieval of an entrapped Rotablator burr using 5 Fr guiding catheter.

Science.gov (United States)

Kimura, Masayoshi; Shiraishi, Jun; Kohno, Yoshio

2011-10-01

Although burr entrapment is a rare complication of the Rotablator, it is extremely difficult to retrieve a fixedly entrapped burr without surgical procedure. An 84-year-old male with effort angina had heavily calcified coronary trees as well as severe stenosis in the mid LCx, and moderate stenosis in the proximal LCx, and in the LMT. We planned to perform rotational atherectomy in the LCx lesions. Using 7 Fr Q-curve guiding catheter and Rotawire floppy, we began to ablate using 1.5-mm burr at 200,000 rpm. Because the burr could not pass the proximal stenosis, we exchanged the wire for Rotawire extrasupport and the burr for 1.25-mm burr, and restarted the ablation at 220,000 rpm. Although the burr could manage to pass the proximal stenosis, it had become trapped in the mid LCx lesion. Simple pull on the Rotablator, rotation of the burr, and crossing the Conquest (Confianza) wire could not retrieve it. Thus, we cut off the drive shaft and sheath of the Rotablator, inserted 5 Fr 120-cm straight guiding catheter (Heartrail ST01; Terumo) through the remaining Rotablator system, pushed the catheter tip to the lesion around the burr as well as simultaneously pulled the Rotablator, and finally could retrieve it. Then we implanted stents in the LCx and in the LMT without difficulty. The 5 Fr straight guiding catheter might be useful for retrieving an entrapped burr (1.25-mm burr). Copyright © 2011 Wiley-Liss, Inc.

Subdural Empyema: Clinical Presentations and Management ...

African Journals Online (AJOL)

[craniotomy vs. burr hole, aspiration, and drainage. (BAAD)] depends on the ... the dura and the subarachnoid mater within the brain ambient ... presentations. Posterior fossa right-sided SDE was seen ... the left side of the brain, 15 (83.3%).

Subdural Instillation of a Thrombolytic Agent for Treatment of Recurrent Subdural Hematoma.

Science.gov (United States)

Frenkel, Mark B; Sarwal, Aarti; Wren, Mary Petrulis; Newey, Christopher R; Couture, Daniel E

This study aims to report the case of a patient with recurrent subdural hemorrhage (SDH) who was administered tissue plasminogen activator through a subdural drain to enhance drainage and prevent recurrence. An 85-year-old man was treated for subacute over chronic SDH that kept on reaccumulating despite serial twist drill drainage, burr hole drainage, and craniotomy. No coagulopathy was identified with adequate blood pressure control. Treatment with tissue plasminogen activator resulted in successful drainage of the SDH, and the patient had no further recurrence at 9-month follow-up.

The beta Burr type X distribution properties with application

OpenAIRE

Merovci, Faton; Khaleel, Mundher Abdullah; Ibrahim, Noor Akma; Shitan, Mahendran

2016-01-01

We develop a new continuous distribution called the beta-Burr type X distribution that extends the Burr type X distribution. The properties provide a comprehensive mathematical treatment of this distribution. Further more, various structural properties of the new distribution are derived, that includes moment generating function and the rth moment thus generalizing some results in the literature. We also obtain expressions for the density, moment generating function and rth moment of the orde...

[Chronic subdural hematoma (CSH) complicated by bilateral occipital lobe infarction: two case reports].

Science.gov (United States)

Kudo, Kanae; Naraoka, Masato; Shimamura, Norihito; Ohkuma, Hiroki

2013-04-01

Chronic subdural hematoma (CSH) is a common disease that is treated with burr hole drainage by neurosurgeons. The outcome of CSH is mostly favorable. We treated 2 cases with bilateral occipital lobe infarction due to CSH. A 57-year-old woman was ambulatory when she visited a clinic for evaluation of headache. One hour after the CT was taken, she developed acute impairment of consciousness, so that she was referred to our hospital. The second patient was a 73-year-old woman with a history of depression who was involved in a traffic accident 5 weeks before admission to our hospital. She was at first admitted to a psychiatric hospital for evaluation of gait disturbance. Three weeks after she was admitted to the psychiatric hospital, she fell into a coma. She was referred to our hospital. Their brain CT on admission revealed compressed ambient and interpeduncular cistern and bilateral CSH. Although burr hole drainage surgery was performed, the 2 patients developed severe sequelae due to occipital lobe infarction caused by central transtentorial herniation.

Formation of interlayer gap and control of interlayer burr in dry drilling of stacked aluminum alloy plates

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Tian Wei

2016-02-01

Full Text Available In aircraft assembly, interlayer burr formation in dry drilling of stacked metal materials is a common problem. Traditional manual deburring operation seriously affects the assembly quality and assembly efficiency, is time-consuming and costly, and is not conducive to aircraft automatic assembly based on industrial robot. In this paper, the formation of drilling exit burr and the influence of interlayer gap on interlayer burr formation were studied, and the mechanism of interlayer gap formation in drilling stacked aluminum alloy plates was investigated, a simplified mathematical model of interlayer gap based on the theory of plates and shells and finite element method was established. The relationship between interlayer gap and interlayer burr, as well as the effect of feed rate and pressing force on interlayer burr height and interlayer gap was discussed. The result shows that theoretical interlayer gap has a positive correlation with interlayer burr height and preloading pressing force is an effective method to control interlayer burr formation.

The Safety and Efficacy of Dexmedetomidine versus Sufentanil in Monitored Anesthesia Care during Burr-Hole Surgery for Chronic Subdural Hematoma: A Retrospective Clinical Trial

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Wenming Wang

2016-11-01

Full Text Available Background: Chronic subdural hematoma (CSDH is a very common clinical emergency encountered in neurosurgery. While both general anesthesia (GA and monitored anesthesia care (MAC can be used during CSDH surgery, MAC is the preferred choice among surgeons. Further, while dexmedetomidine (DEX is reportedly a safe and effective agent for many diagnostic and therapeutic procedures, there have been no trials to evaluate the safety and efficacy of DEX vs. sufentanil in CSDH surgery. Objective: To evaluate the safety and efficacy of DEX vs. sufentanil in MAC during burr-hole surgery for CSDH.Methods: In all, 215 fifteen patients underwent burr-hole surgery for CSDH with MAC and were divided into three groups: Group D1 (n=67, DEX infusion at 0.5 μg·kg–1 for 10 min, Group D2 (n=75, DEX infusion at 1 μg·kg–1 for 10 min, and Group S (n=73, sufentanil infusion 0.3 μg·kg–1 for 10 min. Ramsay sedation scale (RSS of all three groups was maintained at 3. Anesthesia onset time, total number of intraoperative patient movements, hemodynamics, total cumulative dose of DEX, time to first dose and amount of rescue midazolam or fentanyl, percentage of patients converted to alternative sedative or anesthetic therapy, postoperative recovery time, adverse events, and patient and surgeon satisfaction scores were recorded.Results: The anesthesia onset time was significantly less in group D2 (17.36±4.23 vs. 13.42±2.12 vs. 15.98±4.58 min, respectively, for D1, D2, S; P<0.001. More patients in groups D1 and S required rescue midazolam to achieve RSS=3 (74.63% vs. 42.67% vs. 71.23%, respectively, for D1, D2, S; P<0.001. However, the total dose of rescue midazolam was significantly higher in group D1 (2.8±0.3 vs. 1.9±0.3 vs. 2.0±0.4 mg, respectively, for D1, D2, S; P<0.001. The time to first dose of rescue midazolam was significantly longer in group D2 (17.32±4.47 vs. 23.56±5.36 vs. 16.55±4.91 min, respectively, for D1, D2, S; P<0.001. Significantly fewer

Mathematical Model to estimate the wind power using four-parameter Burr distribution

Science.gov (United States)

Liu, Sanming; Wang, Zhijie; Pan, Zhaoxu

2018-03-01

When the real probability of wind speed in the same position needs to be described, the four-parameter Burr distribution is more suitable than other distributions. This paper introduces its important properties and characteristics. Also, the application of the four-parameter Burr distribution in wind speed prediction is discussed, and the expression of probability distribution of output power of wind turbine is deduced.

Researches regarding the reducing of burr size by optimising the cutting parameters on a CNC milling machine

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Biriş Cristina

2017-01-01

Full Text Available This paper presents some experimental researches regarding burrs dimensions reduction that appear after the milling process together with an approach to reduce or eliminate the burrs resulted after this process. In order to reduce burrs dimensions, the milling process was executed with different cutting parameters and strategies then the results were evaluated.

Measured current drainage through holes in various dielectrics up to 2 kilovolts in a dilute plasma

Science.gov (United States)

Grier, N. T.; Mckinzie, D. J., Jr.

1972-01-01

The electron current drained from a plasma through approximately 0.05 cm diameter holes in eight possible space applicable dielectrics placed on a probe biased at voltages up to 2000 V dc have been determined both theoretically and experimentally. The dielectrics tested were Parylene C and N, Teflon FEP type C, Teflon TFE, Nomex, quartz 7940 Corning Glass, Mylar A, and Kapton H polymide film. A Laplace field was used to predict an upper limit for the drainage current. The measured current was less than the computed current for quartz, Teflon FEP, and the 0.0123 cm thick sample of Parylene N for all voltages tested. The drainage current through the other dielectrics became equal to or greater than the computed current at a voltage below 2000 V. The magnitudes of the currents were between 0.1 and 10 microamperes for most of the dielectrics.

Role of CT perfusion imaging in evaluating the effects of multiple burr hole surgery on adult ischemic Moyamoya disease

Energy Technology Data Exchange (ETDEWEB)

Dai, Dong Wei; Zhao, Wen Yuan; Yang, Zhi Gang; Li, Qiang; Liu, Jian Min [Second Military Medical University, Department of Neurosurgery, Changhai Hospital, Shanghai (China); Zhang, Yong Wei [Second Military Medical University, Department of Neurology, Changhai Hospital, Shanghai (China); Xu, Bing; Ma, Xiao Long; Tian, Bing [Second Military Medical University, Department of Radiology, Changhai Hospital, Shanghai (China)

2013-12-15

To evaluate the effects of the multiple burr hole (MBH) revascularization on ischemic type adult Moyamoya disease (MMD) by computed tomography perfusion (CTP). Eighty-six ischemic MMD patients received CTP 1 week before and 3 weeks after MBH operation. Fifty-seven patients received it again at 6 month and underwent digital subtraction angiography (DSA) and mRS follow-up. Cerebral blood flow (CBF), cerebral blood volume (CBV), mean transit time (MTT), time to peak (TTP), and relative values of ischemic symptomatic hemispheres were measured. Differences in pre- and post-surgery perfusion CT values were assessed. There were significant differences of CBF, TTP, and relative time to peak (rTTP) in ischemic hemisphere between 1 week before and 3 weeks after surgery, and no significant difference in relative cerebral blood flow (rCBF), CBV, relative cerebral blood volume (rCBV), MTT, relative mean transit time (rMTT). According to whether there was symptom improvement or not on 3 weeks after MBH, the rTTP value was not statistically significant in the patients whose symptoms were not improved at all on 3 weeks after operation. Six-month follow-up showed that CBF, rCBF, and rCBV values were significantly higher than those before operation. Postoperative MTT, TTP, rMTT, and rTTP values were significantly lower than those before operation. CTP is a sensitive method to obtain functional imaging of cerebral microcirculation, which can be a noninvasive assessment of the abnormalities of intracranial arteries and cerebral perfusion changes in MMD before and after surgery. CBF and TTP map, especially the relative values of TTP, seems to have the capability of being quite sensitive to the presence of altered brain perfusion at early time after indirect revascularization. (orig.)

WATER DRAINAGE MODEL

International Nuclear Information System (INIS)

Case, J.B.

2000-01-01

The drainage of water from the emplacement drift is essential for the performance of the EBS. The unsaturated flow properties of the surrounding rock matrix and fractures determine how well the water will be naturally drained. To enhance natural drainage, it may be necessary to introduce engineered drainage features (e.g. drilled holes in the drifts), that will ensure communication of the flow into the fracture system. The purpose of the Water Drainage Model is to quantify and evaluate the capability of the drift to remove water naturally, using the selected conceptual repository design as a basis (CRWMS M andO, 1999d). The analysis will provide input to the Water Distribution and Removal Model of the EBS. The model is intended to be used to provide postclosure analysis of temperatures and drainage from the EBS. It has been determined that drainage from the EBS is a factor important to the postclosure safety case

Estudo da influência do modo de preparação do orifício piloto e do macheamento na ancoragem dos parafusos pediculares Study of the influence of the type of pilot hole preparation and tapping on pedicular screws fixation

Directory of Open Access Journals (Sweden)

Helton Luiz Aparecido Defino

2007-01-01

Full Text Available Foram realizados ensaios mecânicos com parafusos do sistema de fixação vertebral USIS para o estudo da influência do tipo de preparo do orifício piloto com sonda ou brocas e o macheamento do trajeto do orifício piloto, na resistência ao arrancamento dos implantes. Os parafusos foram inseridos em corpos de prova de madeira, poliuretana e osso bovino. O preparo do orifício piloto foi realizado com sondas e brocas de 3,5mm. Foram formados três grupos experimentais: I-perfuração com sonda, II-perfuração com broca e III-perfuração com broca e macheamento. Após a sua inserção nos corpos de prova foram realizados ensaios de arrancamento em máquina universal de teste. Foi observado aumento da resistência ao arrancamento dos implantes com a realização do orifício piloto com sondas e a diferença estatística foi significativa em relação ao preparo com broca e broca associada ao macheamento. Não foi observada diferença na resistência ao arrancamento dos parafusos com o macheamento do trajeto do orifício piloto.Mechanical assays were performed with screws of the USIS vertebral fixation system for the study of the influence of type of pilot hole preparation with probe or burr and tapping of the pilot hole pathway on pedicular screw pullout. The screws were inserted into wood, polyurethane and bovine bone test bodies. The pilot hole was prepared with probes and burrs of 3.5 mm. Three experimental groups were formed: I -drilling with a probe, II - drilling with a burr, and III - drilling with burr and tapping. After screw insertion into the test bodies, pullout assays were performed with a universal test machine. Increased screw pullout resistance was observed when the pilot hole was drilled with a probe, with a statistically significant difference compared to preparation with a burr and with a burr in combination with tapping. No difference in screw pullout resistance was observed with tapping of the pilot hole pathway.

Extrude Hone deburring with X-base media

Energy Technology Data Exchange (ETDEWEB)

Gillespie, L.K.

1973-09-01

Small precision mechanisms must have burr-free, sharp-edged parts to operate well. Controlling the size of burrs can lower burr removal costs and improve edge repeatability. Study results indicated that with conventional tooling approaches, Extrude Hone deburring with x-base media removes more material from the hole than desired and is less repeatable than required on precision miniature parts. With this media, the process is most applicable to precision miniature parts with burrs less than 25.4 ..mu..m thick, allowable hole size changes equal to burr thickness, and allowable hole size repeatability of +-0.2 times the actual average hole size change.

Intraoperative Ultrasonography during Drainage for Chronic Subdural Hematomas: A Technique to Release Isolated Deep-seated Hematomas—Technical Note

Science.gov (United States)

SHIMIZU, Satoru; MOCHIZUKI, Takahiro; OSAWA, Shigeyuki; KUMABE, Toshihiro

2015-01-01

After the drainage of chronic subdural hematomas (CSDHs), residual isolated deep-seated hematomas (IDHs) may recur. We introduce intraoperative ultrasonography to detect and remove such IDHs. Intra-operative ultrasonography is performed with fine transducers introduced via burr holes. Images obtained before dural opening show the CSDHs, hyper- and/or hypoechoic content, and mono- or multilayers. Images are also acquired after irrigation of the hematoma under the dura. Floating hyperechoic spots (cavitations) on the brain cortex created by irrigation confirm the release of all hematoma layers; areas without spots represent IDHs. Their overlying thin membranes are fenestrated with a dural hook for irrigation. Ultrasonographs were evaluated in 43 CSDHs (37 patients); 9 (21%) required IDH fenestration. On computed tomography scans, 17 were homogeneous-, 6 were laminar-, 16 were separated-, and 4 were trabecular type lesions. Of these, 2 (11.8%), 3 (50%), 4 (25%), and 0, respectively, manifested IDHs requiring fenestration. There were no technique-related complications. Patients subjected to IDH fenestration had lower recurrence rates (11.1% vs. 50%, p = 0.095) and required significantly less time for brain re-expansion (mean 3.78 ± 1.62 vs. 18 ± 5.54 weeks, p = 0.0009) than did 6 patients whose IDHs remained after 48 conventional irrigation and drainage procedures. Intraoperative ultrasonography in patients with CSDHs facilitates the safe release of hidden IDHs. It can be expected to reduce the risk of postoperative hematoma recurrence and to shorten the brain re-expansion time. PMID:26345671

The beta Burr type X distribution properties with application.

Science.gov (United States)

Merovci, Faton; Khaleel, Mundher Abdullah; Ibrahim, Noor Akma; Shitan, Mahendran

2016-01-01

We develop a new continuous distribution called the beta-Burr type X distribution that extends the Burr type X distribution. The properties provide a comprehensive mathematical treatment of this distribution. Further more, various structural properties of the new distribution are derived, that includes moment generating function and the rth moment thus generalizing some results in the literature. We also obtain expressions for the density, moment generating function and rth moment of the order statistics. We consider the maximum likelihood estimation to estimate the parameters. Additionally, the asymptotic confidence intervals for the parameters are derived from the Fisher information matrix. Finally, simulation study is carried at under varying sample size to assess the performance of this model. Illustration the real dataset indicates that this new distribution can serve as a good alternative model to model positive real data in many areas.

Design study of the geometry of the blanking tool to predict the burr formation of Zircaloy-4 sheet

Energy Technology Data Exchange (ETDEWEB)

Ha, Jisun, E-mail: nskim@sogang.ac.kr; Lee, Hyungyil, E-mail: nskim@sogang.ac.kr; Kim, Dongchul, E-mail: nskim@sogang.ac.kr; Kim, Naksoo, E-mail: nskim@sogang.ac.kr [Sogang University, Department of Mechanical Engineering, Seoul, 121-742 (Korea, Republic of)

2013-12-16

In this work, we investigated factors that influence burr formation for zircaloy-4 sheet used for spacer grids of nuclear fuel roads. Factors we considered are geometric factors of punch. We changed clearance and velocity in order to consider the failure parameters, and we changed shearing angle and corner radius of L-shaped punch in order to consider geometric factors of punch. First, we carried out blanking test with failure parameter of GTN model using L-shaped punch. The tendency of failure parameters and geometric factors that affect burr formation by analyzing sheared edges is investigated. Consequently, geometric factor's influencing on the burr formation is also high as failure parameters. Then, the sheared edges and burr formation with failure parameters and geometric factors is investigated using FE analysis model. As a result of analyzing sheared edges with the variables, we checked geometric factors more affect burr formation than failure parameters. To check the reliability of the FE model, the blanking force and the sheared edges obtained from experiments are compared with the computations considering heat transfer.

Rotational atherectomy as endovascular haute couture: a road map of tools and techniques for the interventional management of burr entrapment.

Science.gov (United States)

Dahdouh, Ziad; Abdel-Massih, Tony; Roule, Vincent; Sarkis, Antoine; Grollier, Gilles

2013-12-01

Rotational atherectomy (RA) is used as a debulking technique prior to stenting in some specialized cardiac centers for calcified coronary lesions amenable to percutaneous coronary intervention (PCI). A specific possible complication, burr entrapment, is unusual but carries serious risks and may sometimes necessitate surgery as a rescue procedure. However, different modalities using a percutaneous approach were proposed as a bail-out. We aim to propose a framework for possible management for trapped RA burr. A literature review of the most relevant cases of entrapped burr during PCI was performed. Twelve cases were reported and different solutions were discussed. Surgery was needed in only 1 patient to retrieve the trapped burr, and in all the other cases, different percutaneous solutions were successful to retract the trapped device. These cases illustrate that burr entrapment during RA, albeit rare, may occur and may transform a relatively simple PCI to a procedure failure. Although prevention is better than treatment, the operators should be aware of such serious complication and they should keep in mind that various possible percutaneous solutions may be successful to retrieve the burr and to avoid surgery. © 2013, Wiley Periodicals, Inc.

Management of Recurrent Subdural Hematomas.

Science.gov (United States)

Desai, Virendra R; Scranton, Robert A; Britz, Gavin W

2017-04-01

Subdural hematomas commonly recur after surgical evacuation, at a rate of 2% to 37%. Risk factors for recurrence can be patient related, radiologic, or surgical. Patient-related risk factors include alcoholism, seizure disorders, coagulopathy, and history of ventriculoperitoneal shunt. Radiologic factors include poor brain reexpansion postoperatively, significant subdural air, greater midline shift, heterogeneous hematomas (layered or multi-loculated), and higher-density hematomas. Surgical factors include lack of or poor postoperative drainage. Most recurrent hematomas are managed successfully with burr hole craniostomies with postoperative closed-system drainage. Refractory hematomas may be managed with a variety of techniques, including craniotomy or subdural-peritoneal shunt placement. Copyright © 2016 Elsevier Inc. All rights reserved.

Controlling Bottom Hole Flowing Pressure Within a Specific Range for Efficient Coalbed Methane Drainage

Science.gov (United States)

Zhao, Bin; Wang, Zhi-Yin; Hu, Ai-Mei; Zhai, Yu-Yang

2013-11-01

The stress state of coal surrounding a coalbed methane (CBM) production well is affected by the bottom hole flowing pressure (BHFP). The permeability of coal shows a marked change under compression. The BHFP must be restricted to a specific range to favor higher permeability in the surrounding coal and thus higher productivity of the well. A new method to determine this specific range is proposed in this paper. Coal has a rather low tensile strength, which induces tensile failure and rock disintegration. The deformation of coal samples under compression has four main stages: compaction, elastic deformation, strain hardening, and strain softening. Permeability is optimal when the coal samples are in the strain softening stage. The three critical values of BHFP, namely, p wmin, p wmid, and p wupper, which correspond to the occurrence of tensile failure, the start of strain softening, and the beginning of plastic deformation, respectively, are derived from theoretical principles. The permeability of coal is in an optimal state when the BHFP is between p wmin and p wmid. The BHFP should be confined to this specific range for the efficient drainage of CBM wells. This method was applied to field operations in three wells in the Hancheng CBM field in China. A comprehensive analysis of drainage data and of the BHFP indicates that the new method is effective and offers significant improvement to current practices.

MULTI-CRITERIA APPROACH FOR DESIGNING SUSTAINABLE DRAINAGE IN MALANG RESIDENTIAL AREA INDONESIA

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HAPSARI Ratih Indri

2016-07-01

Full Text Available Environmentally sound approach for sustainable urban drainage could promote infiltration and lower the risk of flooding. This study presents the framework to evaluate the drainage alternatives considering multiple aspects including water quantity, life cycle cost and amenity. This approach is verified through application at a residential area in Malang city Indonesia. Different combinations of drainage components comprising of drainage channels, infiltration wells and biopore absorption holes are assessed regarding runoff reduction, present value of life cycle cost, and willingness to pay for the convenience. The first part describes the effective designs of sustainable drainage components in the houses as well as in the public spaces of the housing. The second part of this study describes the use of analytic hierarchy process for weight assignment of sustainability criteria and multiple benefit calculation. The study recommends infiltration wells and biopore absorption holes together with drainage channels as the best management practice of sustainable drainage system based on its overall sustainability index.

Drain Insertion in Chronic Subdural Hematoma: An International Survey of Practice.

Science.gov (United States)

Soleman, Jehuda; Kamenova, Maria; Lutz, Katharina; Guzman, Raphael; Fandino, Javier; Mariani, Luigi

2017-08-01

To investigate whether, after the publication of grade I evidence that it reduces recurrence rates, the practice of drain insertion after burr-hole drainage of chronic subdural hematoma has changed. Further, we aimed to document various practice modalities concerning the insertion of a drain adopted by neurosurgeons internationally. We administered a survey to neurosurgeons worldwide with questions relating to the surgical treatment of chronic subdural hematoma, with an emphasis on their practices concerning the use of a drain. The preferred surgical technique was burr-hole drainage (89%). Most surgeons prefer to place a drain (80%), whereas in 56% of the cases the reason for not placing a drain was brain expansion after evacuation. Subdural drains are placed by 50% and subperiosteal drains by 27% of the responders, whereas 23% place primarily a subdural drain if possible and otherwise a subperiosteal drain. Three quarters of the responders leave the drain for 48 hours and give prophylactic antibiotic treatment, mostly a single-shot dose intraoperatively (70%). Routine postoperative computed tomography is done by 59% mostly within 24-48 hours after surgery (94%). Adjunct treatment to surgery rarely is used (4%). The publication of grade I evidence in favor of drain use influenced positively this practice worldwide. Some surgeons are still reluctant to insert a drain, especially when the subdural space is narrow after drainage of the hematoma. The insertion of a subperiosteal drain could be a good alternative solution. However, its outcome and efficacy must be evaluated in larger studies. Copyright © 2017 Elsevier Inc. All rights reserved.

[Metastasis of Hepatocellular Carcinoma to the Membrane of Chronic Subdural Hematomas:A Case Report].

Science.gov (United States)

Oshita, Jumpei; Ohba, Shinji; Itou, Yoko; Yonezawa, Koki; Hosogai, Masahiro

2017-10-01

An 81-year-old man presented with gait disturbance. Two months previously, he suffered from hepatocellular carcinoma and transarterial chemoembolization was performed. A head computed tomography(CT)scan revealed bilateral chronic subdural hematomas. The patient's gait disturbance was improved after achievement of bilateral burr hole drainage. A head CT two months after treatment revealed no recurrence of the hematomas. However, head CT images obtained four months after treatment revealed an abnormal mass in the right parietal region attached to the internal surface of the skull. The mass was located in the same region from where the chronic subdural hematomas were previously removed via burr hole drainage, and was suspected to have originated from the dura mater. We performed craniotomy and total removal of the mass. The dura mater was intact, and macroscopically, the mass originated from the organized membrane of the chronic subdural hematoma. A pathological examination revealed metastasis of hepatocellular carcinoma to the membrane of the chronic subdural hematomas. Head magnetic resonance imaging(MRI)performed 39 days after craniotomy presented a new lesion in the left parietal region attached to the internal surface of the skull. The patient subsequently died 46 days post-operation. When examining chronic subdural hematomas in cancer patients, histological examination of the dura mater, hematoma, and membrane of the hematoma are important. The possibility of metastasis to the capsule of the hematoma should be considered.

Chronic Subdural Hematoma Infected by Propionibacterium Acnes: A Case Report

Science.gov (United States)

Yamamoto, Shusuke; Asahi, Takashi; Akioka, Naoki; Kashiwazaki, Daina; Kuwayama, Naoya; Kuroda, Satoshi

2015-01-01

We present a very rare case of a patient with an infected subdural hematoma due to Propionibacterium acnes. A 63-year-old male complained of dizziness and was admitted to our hospital. He had a history of left chronic subdural hematoma due to a traffic accident, which had been conservatively treated. Physical, neurological and laboratory examinations revealed no definite abnormality. Plain CT scan demonstrated a hypodense crescentic fluid collection over the surface of the left cerebral hemisphere. The patient was diagnosed with chronic subdural hematoma and underwent burr hole surgery three times and selective embolization of the middle meningeal artery, but the lesion easily recurred. Repeated culture examinations of white sedimentation detected P. acnes. Therefore, he underwent craniotomy surgery followed by intravenous administration of antibiotics. The infected subdural hematoma was covered with a thick, yellowish outer membrane, and the large volume of pus and hematoma was removed. However, the lesion recurred again and a low-density area developed in the left frontal lobe. Craniotomy surgery was performed a second time, and two Penrose drainages were put in both the epidural and subdural spaces. Subsequently, the lesions completely resolved and he was discharged without any neurological deficits. Infected subdural hematoma may be refractory to burr hole surgery or craniotomy alone, in which case aggressive treatment with craniotomy and continuous drainage should be indicated before the brain parenchyma suffers irreversible damage. PMID:25759659

On Maximum Likelihood Estimation for Left Censored Burr Type III Distribution

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Navid Feroze

2015-12-01

Full Text Available Burr type III is an important distribution used to model the failure time data. The paper addresses the problem of estimation of parameters of the Burr type III distribution based on maximum likelihood estimation (MLE when the samples are left censored. As the closed form expression for the MLEs of the parameters cannot be derived, the approximate solutions have been obtained through iterative procedures. An extensive simulation study has been carried out to investigate the performance of the estimators with respect to sample size, censoring rate and true parametric values. A real life example has also been presented. The study revealed that the proposed estimators are consistent and capable of providing efficient results under small to moderate samples.

The experimental research on electrodischarge drilling of high aspect ratio holes in Inconel 718

Science.gov (United States)

Lipiec, Piotr; Machno, Magdalena; Skoczypiec, Sebastian

2018-05-01

In recent years the drilling operations become important area of electrodischarge machining (EDM) application. This especially concerns drilling of, small (D 10) holes in difficult-to-cut materials (i.e. nickel or titanium alloys). Drilling of such a holes is significantly beyond mechanical drilling capabilities. Therefore electrodischarge machining is good and cost efficient alternative for such application. EDM gives possibility to drill accurate, burr free and high aspect ratio holes and is applicable to machine wide range of conductive materials, irrespective of their hardness and toughness. However it is worth to underline its main disadvantages such as: significant tool wear, low material removal rate and poor surface integrity. The last one is especially important in reliable applications in aircraft or medical industry.

Burr formation detector for fiber laser cutting based on a photodiode sensor system

Science.gov (United States)

Schleier, Max; Adelmann, Benedikt; Neumeier, Benedikt; Hellmann, Ralf

2017-11-01

We report a unique sensor system based on a InGaAs photodiode to detect the formation of burr during near infrared fiber laser cutting. The sensor approach encompasses the measurement of the thermal radiation form the process zone, optical filtering, digitalized sampling at 20 kHz, digital filtering using an elliptical band-pass filter 12th order and calculation of the standard deviation. We find a linear correlation between the deduced sensor signal and the generated burr height with this functionality being experimentally confirmed for laser cutting of mild and stainless steel of different thicknesses. The underlying mechanism of this transducer concept is attributed to the melt flow dynamics inside the cut kerf.

Novel Use of the GuideLiner Catheter to Deliver Rotational Atherectomy Burrs in Tortuous Vessels

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Minh Vo

2014-01-01

Full Text Available Rotational atherectomy (RA for heavily calcified lesions is essential for improved stent delivery and stent expansion. In tortuous vessels it is often difficult to advance the burr without rotation and possible injury to the endothelium of healthy vessel. The GuideLiner catheter, a child in mother catheter, has recently been used to allow for increased support for delivery of stents through tortuous vessels. We report a novel use of the GuideLiner for the delivery of an RA burr in tortuous vessels requiring increased guide support.

An unusual case of repeated venous air embolism during awake ...

African Journals Online (AJOL)

Keywords: awake craniotomy, burr hole, deep brain stimulation, neurosurgery, venous air embolism. Introduction ... surgery started with the right burr hole and after the dura mater was opened, the ... opened. The patient was initially comfortable but then developed ... The surgery for the insertion of DBS on the left side was.

Surgical treatment of 137 cases with chronic subdural hematoma at the university clinical center of Kosovo during the period 2008–2012

Science.gov (United States)

Mekaj, Agon Y.; Morina, Arsim A.; Mekaj, Ymer H.; Manxhuka-Kerliu, Suzana; Miftari, Ermira I.; Duci, Shkelzen B.; Hamza, Astrit R.; Gashi, Musli M.; Xhelaj, Mentor R.; Kelmendi, Fatos M.; Morina, Qamile Sh.

2015-01-01

Background: Chronic subdural hematoma (CSDH) is frequent pathology in neurosurgical practice. The aim of this study is to present the first series of patients with CSDH, who got surgically treated in Clinic of Neurosurgery, University Clinical Center of Kosovo. Materials and Methods: This is a retrospective study that included 137 patients with CSDH who had been treated during the period 2008–2012. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Patients were analyzed in many aspects such as age, gender, etiological factors, clinical features, localization, diagnoses, methods of surgical interventions, recurrences and mortality of patients. Results: From 137 patients with CSDH, 106 (77.3%) were males and 31 (22.7%) females. Average age of patients was 62.85 years. Analyzed according to the decades, the highest number of causes with CSDH was between 70 and 79 years (46%). The head trauma has been responsible for CSDH in 88 patients (64.3%), while the main symptom was headache (92 patients or 67.1%). One burr-hole trepanation with closed drainage system has been used in majority of cases (in 101 patients or 73.7%). The recurrence of CSDH was 6.5%, whereas mortality 2.9%. Conclusion: CSDH is more common in elderly patients. The male-female ratio is 3.4:1. Like other authors we also think that treatment with one burr-hole and drainage is a method of choice, because of its simplicity and safety. PMID:25883478

Surgical treatment of 137 cases with chronic subdural hematoma at the university clinical center of Kosovo during the period 2008-2012

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Agon Y Mekaj

2015-01-01

Full Text Available Background: Chronic subdural hematoma (CSDH is frequent pathology in neurosurgical practice. The aim of this study is to present the first series of patients with CSDH, who got surgically treated in Clinic of Neurosurgery, University Clinical Center of Kosovo. Materials and Methods: This is a retrospective study that included 137 patients with CSDH who had been treated during the period 2008-2012. The data were collected and analyzed from the archives and protocols of the University Clinical Center of Kosovo. Patients were analyzed in many aspects such as age, gender, etiological factors, clinical features, localization, diagnoses, methods of surgical interventions, recurrences and mortality of patients. Results: From 137 patients with CSDH, 106 (77.3% were males and 31 (22.7% females. Average age of patients was 62.85 years. Analyzed according to the decades, the highest number of causes with CSDH was between 70 and 79 years (46%. The head trauma has been responsible for CSDH in 88 patients (64.3%, while the main symptom was headache (92 patients or 67.1%. One burr-hole trepanation with closed drainage system has been used in majority of cases (in 101 patients or 73.7%. The recurrence of CSDH was 6.5%, whereas mortality 2.9%. Conclusion: CSDH is more common in elderly patients. The male-female ratio is 3.4:1. Like other authors we also think that treatment with one burr-hole and drainage is a method of choice, because of its simplicity and safety.

赵庄矿1307底抽巷钻孔注气置换深化促抽试验研究%Experimental Study on Deeply Promoting Drainage by Gas Injection and Replacement in Boreholes at 1307 Floor Drainage Roadway of Zhaozhuang Mine

Institute of Scientific and Technical Information of China (English)

刘晓辉; 高宏

2017-01-01

针对赵庄矿1307工作面煤层松软低透气性、瓦斯抽采难的问题,尝试在底抽巷穿层钻孔中采用钻孔注气置换促抽的方法,合理布置了注气孔和抽放孔,并对煤层注气效果进行了测试,最终得出注气促抽试验是可行的,提高了煤层瓦斯抽采效果,从而保障1307工作面安全高效回采.%Aiming at the problems of soft and low permeability coal seam and difficulty of gas drainage at 1307 working face of Zhaozhuang Coal Mine, we try to use the method of gas injection and replacement to promote the drainage in the hole drilling of floor drainage roadway,and arrange the gas injection holes and drainage holes reasonably and test the effect of gas injection;the results show that the experimental stndv of gas injection and promoting drainage is feasible,which improves the effect of coal seam gas drainage and so as to ensure the safe and efficient mining of 1307 working face.

Hole Detection for Quantifying Connectivity in Wireless Sensor Networks: A Survey

OpenAIRE

Pearl Antil; Amita Malik

2014-01-01

Owing to random deployment, environmental factors, dynamic topology, and external attacks, emergence of holes in wireless sensor networks is inescapable. Hole is an area in sensor network around which sensors cease to sense or communicate due to drainage of battery or any fault, either temporary or permanent. Holes impair sensing and communication functions of network; thus their identification is a major concern. This paper discusses different types of holes and significance of hole detectio...

Fewer complications with bolt-connected than tunneled external ventricular drainage

DEFF Research Database (Denmark)

Jensen, Torben Slott; Carlsen, Jakob Gram; Poulsen, Frantz Rom

2016-01-01

BACKGROUND: Ventriculostomy/external ventricular drain (EVD) is a common neurosurgical procedure. Various techniques are used to fixate the drain and the objective of this study was, in a retrospective setting, to compare the incidence of complications when using bolt-connected EVD (BC-EVD) versus...... tunneled EVD (T-EVD). METHODS: All patients subjected to an EVD performed through a new burr hole from 2009 through 2010 at two Depts. of Neurosurgery in Denmark (Odense and Aarhus) were retrospectively identified. Patient files were evaluated for EVD fixation technique (tunneled or bolt-connected EVD...... %), compared to the bolt-connected EVD group (6.5 %). There was no significant difference in infection rates. CONCLUSIONS: Tunneled EVD has a relatively high frequency of complications leading to reinsertion. The use of Bolt-connected EVD technique can lower this frequency significantly. The number needed...

Pleural fluid drainage: Percutaneous catheter drainage versus surgical chest tube drainage

International Nuclear Information System (INIS)

Illescas, F.F.; Reinhold, C.; Atri, M.; Bret, P.M.

1987-01-01

Over the past 4 years, 55 cases (one transudate, 28 exudates, and 26 empymas) were drained. Surgical chest tubes alone were used in 35 drainages, percutaneous catheters alone in five drainages, and both types in 15 drainages. Percutaneous catheter drainage was successful in 12 of 20 drainages (60%). Surgical tube drainage was successful in 18 of 50 drainages (36%). The success rate for the nonempyema group was 45% with both types of drainage. For the empyema group, the success rate for percutaneous catheter drainage was 66% vs 23% for surgical tube drainage. Seven major complications occurred with surgical tube drainage, but only one major complication occurred with percutaneous catheter drainage. Radiologically guided percutaneous catheter drainage should be the procedure of choice for pleural fluid drainage. It has a higher success rate for empyemas and is associated with less complications

Estudo da influência do diâmetro do orifício piloto na resistência ao arrancamento do parafuso pedicular The influence of pilot hole diameter on screw oullout resistance

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José Roberto Benites Vendrame

2008-01-01

Full Text Available A influência do diâmetro do orifício piloto em relação ao diâmetro interno do parafuso na resistência ao arrancamento do parafuso pedicular foi o objetivo do estudo. Foram utilizados parafusos de 5, 6 e 7 mm do sistema USS de fixação vertebral, os quais foram inseridos nos corpos de prova de madeira, poliuretana e osso. O orifício piloto para a inserção do parafuso foi realizado com brocas de diâmetro inferior, igual e superior ao diâmetro interno do parafuso. Ensaios mecânicos de arrancamento foram realizados em máquina universal de teste. Nos corpos de prova de madeira, poliuretana e osso a realização do orifício piloto com brocas de diâmetro maior que o diâmetro interno do parafuso produziu diminuição da força máxima de arrancamento dos implantes nos ensaios de arrancamento, tendo sido observada diferença estatística. O diâmetro da perfuração do orifício piloto em relação ao diâmetro interno do parafuso exerce influência na resistência ao arrancamento do implante, tendo sido observado aumento da resistência ao arrancamento com a utilização de brocas de diâmetro menor que o diâmetro interno e redução da resistência ao arrancamento com a utilização de brocas com diâmetro maior que o diâmetro interno do parafuso.The influence of the diameter of the pilot hole compared to the inner diameter of the screw on the pull-out resistance of a pedicular screw was studied. 5-, 6-, and 7-mm USS system screws for vertebral fixation were inserted into wood, polyurethane and bone test bodies. The pilot hole for screw insertion was drilled with burrs of smaller, equal or wider diameter than the inner diameter of the screw. Mechanical pull-out assays were performed using a universal testing machine. In the wood, polyurethane and bone test bodies, a pilot hole drilled with burrs of a wider diameter than the inner diameter of the screw produced reduced maximum pull-out strength on the implants, with statistical

Optimization of Burr size, Surface Roughness and Circularity Deviation during Drilling of Al 6061 using Taguchi Design Method and Artificial Neural Network

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Reddy Sreenivasulu

2015-03-01

Full Text Available This paper presents the influence of cutting parameters like cutting speed, feed rate, drill diameter, point angle and clearance angle on the burr size, surface roughness and circularity deviation of Al 6061 during drilling on CNC vertical machining center. A plan of experiments based on Taguchi technique has been used to acquire the data. An orthogonal array, signal to noise (S/N ratio and analysis of variance (ANOVA are employed to investigate machining characteristics of Al 6061 using HSS twist drill bits of variable tool geometry and maintain constant helix angle of 45 degrees. Confirmation tests have been carried out to predict the optimal setting of process parameters to validate the used approach, obtained the values of 0.2618mm, 0.1821mm, 3.7451µm, 0.0676mm for burr height, burr thickness, surface roughness and circularity deviation respectively. Finally, artificial neural network has been applied to compare the predicted values with the experimental values, good agreement was shown between the predictive model results and the experimental measurements. Normal 0 false false false EN-US X-NONE X-NONE

Hole Detection for Quantifying Connectivity in Wireless Sensor Networks: A Survey

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Pearl Antil

2014-01-01

Full Text Available Owing to random deployment, environmental factors, dynamic topology, and external attacks, emergence of holes in wireless sensor networks is inescapable. Hole is an area in sensor network around which sensors cease to sense or communicate due to drainage of battery or any fault, either temporary or permanent. Holes impair sensing and communication functions of network; thus their identification is a major concern. This paper discusses different types of holes and significance of hole detection in wireless sensor networks. Coverage hole detection schemes have been classified into three categories based on the type of information used by algorithms, computation model, and network dynamics for better understanding. Then, relative strengths and shortcomings of some of the existing coverage hole detection algorithms are discussed. The paper is concluded by highlighting various future research directions.

Long-term performance of thermoplastic composite material with cotton burr and stem (CBS) as a partial filler

Science.gov (United States)

Rationale: Cotton burr and stem (CBS) fraction of cotton gin byproducts has shown promise as a fiber filler in thermoplastic composites, with physical and mechanical properties comparable to that made with wood fiber fillers. However, the long-term performance of this composite material is not known...

Probability of detection for bolt hole eddy current in extracted from service aircraft wing structures

Science.gov (United States)

Underhill, P. R.; Uemura, C.; Krause, T. W.

2018-04-01

Fatigue cracks are prone to develop around fasteners found in multi-layer aluminum structures on aging aircraft. Bolt hole eddy current (BHEC) is used for detection of cracks from within bolt holes after fastener removal. In support of qualification towards a target a90/95 (detect 90% of cracks of depth a, 95% of the time) of 0.76 mm (0.030"), a preliminary probability of detection (POD) study was performed to identify those parameters whose variation may keep a bolt hole inspection from attaining its goal. Parameters that were examined included variability in lift-off due to probe type, out-of-round holes, holes with diameters too large to permit surface-contact of the probe and mechanical damage to the holes, including burrs. The study examined the POD for BHEC of corner cracks in unfinished fastener holes extracted from service material. 68 EDM notches were introduced into two specimens of a horizontal stabilizer from a CC-130 Hercules aircraft. The fastener holes were inspected in the unfinished state, simulating potential inspection conditions, by 7 certified inspectors using a manual BHEC setup with an impedance plane display and also with one inspection conducted utilizing a BHEC automated C-Scan apparatus. While the standard detection limit of 1.27 mm (0.050") was achieved, given the a90/95 of 0.97 mm (0.039"), the target 0.76 mm (0.030") was not achieved. The work highlighted a number of areas where there was insufficient information to complete the qualification. Consequently, a number of recommendations were made. These included; development of a specification for minimum probe requirements; criteria for condition of the hole to be inspected, including out-of-roundness and presence of corrosion pits; statement of range of hole sizes; inspection frequency and data display for analysis.

PREFERENCE OF PRIOR FOR BAYESIAN ANALYSIS OF THE MIXED BURR TYPE X DISTRIBUTION UNDER TYPE I CENSORED SAMPLES

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Tabassum Naz Sindhu

2014-05-01

Full Text Available The paper is concerned with the preference of prior for the Bayesian analysis of the shape parameter of the mixture of Burr type X distribution using the censored data. We modeled the heterogeneous population using two components mixture of the Burr type X distribution. A comprehensive simulation scheme, through probabilistic mixing, has been followed to highlight the properties and behavior of the estimates in terms of sample size, corresponding risks and the proportion of the component of the mixture. The Bayes estimators of the parameters have been evaluated under the assumption of informative and non-informative priors using symmetric and asymmetric loss functions. The model selection criterion for the preference of the prior has been introduced. The hazard rate function of the mixture distribution has been discussed. The Bayes estimates under exponential prior and precautionary loss function exhibit the minimum posterior risks with some exceptions.

A preliminary study of aquaporin 1 immunolocalization in chronic subdural hematoma membranes.

Science.gov (United States)

Basaldella, Luca; Perin, Alessandro; Orvieto, Enrico; Marton, Elisabetta; Itskevich, David; Dei Tos, Angelo Paolo; Longatti, Pierluigi

2010-07-01

Aquaporin 1 (AQP1) is a molecular water channel expressed in many anatomical locations, particularly in epithelial barriers specialized in water transport. The aim of this study was to investigate AQP1 expression in chronic subdural hematoma (CSDH) membranes. In this preliminary study, 11 patients with CSDH underwent burr hole craniectomy and drainage. Membrane specimens were stained with a monoclonal antibody targeting AQP1 for immunohistochemical analysis. The endothelial cells of the sinusoid capillaries of the outer membranes exhibited an elevated immunoreactivity to AQP1 antibody compared to the staining intensity of specimens from the inner membrane and normal dura. These findings suggest that the outer membrane might be the source of the increased fluid accumulation responsible for chronic hematoma enlargement.

The Burr X Pareto Distribution: Properties, Applications and VaR Estimation

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Mustafa Ç. Korkmaz

2017-12-01

Full Text Available In this paper, a new three-parameter Pareto distribution is introduced and studied. We discuss various mathematical and statistical properties of the new model. Some estimation methods of the model parameters are performed. Moreover, the peaks-over-threshold method is used to estimate Value-at-Risk (VaR by means of the proposed distribution. We compare the distribution with a few other models to show its versatility in modelling data with heavy tails. VaR estimation with the Burr X Pareto distribution is presented using time series data, and the new model could be considered as an alternative VaR model against the generalized Pareto model for financial institutions.

New functionally dioecious bush tomato from northwestern Australia, Solanum ossicruentum , may utilize ?trample burr? dispersal

OpenAIRE

Martine, Christopher T.; Cantley, Jason T.; Frawley, Emma S.; Butler, Alice R.; Jordon-Thaden, Ingrid E.

2016-01-01

Abstract A new Australian species of functionally dioecious bush tomato of Solanum subgenus Leptostemonum is described. Solanum ossicruentum Martine & J.Cantley, sp. nov., is thought to be allied with members of the problematic ?Dioicum Complex? lineage, but differs in its short silvery indumentum, long calyx lobes, larger stature, and an unusual fruit morphology that may represent ?trample burr? seed dispersal. The species occurs in a range extending from the eastern Kimberley in Western Aus...

REMOVAL OF ADDED NITRATE IN COTTON BURR COMPOST, MULCH COMPOST, AND PEAT: MECHANISMS AND POTENTIAL USE FOR GROUNDWATER NITRATE REMEDIATION

Science.gov (United States)

We conducted batch tests on the nature and kinetics of removal of added nitrate in cotton burr compost, mulch compost, and sphagnum peat that may be potentially used in a permeable reactive barrier (PRB) for groundwater nitrate remediation. A rigorous steam autoclaving protocol (...

Optical Coherence Tomography Examination of the Anterior Segment in a Case of Corneal Perforation and Lens Trauma by Chestnut Burr

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Takashi Ono

2018-02-01

Full Text Available Chestnut burrs, the thorny encapsulation of chestnut fruit, can sometimes cause corneal injuries and ulceration, with poor prognoses. We report a case of corneal perforation and damaged anterior lens capsule due to a chestnut burr, using anterior segment optical coherence tomography (AS-OCT. A 67-year-old woman with a chestnut burr injury in her right eye was referred to our hospital. Her right best-corrected visual acuity (BCVA was 0.8. Slit-lamp examination and AS-OCT showed perforation involving the endothelial layer at the center of the cornea. The iris and anterior lens capsule were damaged. Cell infiltration was observed around the wound. Bacterial examination showed gram-positive cocci but no fungi. The patient was diagnosed with a corneal perforation and bacterial keratitis. Levofloxacin 1.5% and cefmenoxime treatments were initiated and a soft contact lens was placed to seal the wound. On day 3, there was no improvement in the corneal cell infiltration, but AS-OCT suggested that the inner wound had closed. A culture test revealed the presence of Propionibacterium acnes, which was sensitive to both levofloxacin and cefmenoxime. Therefore, we continued the same antibiotic treatment. On day 26, the opacification and cell infiltration at the center of the cornea had improved. AS-OCT showed healing of the corneal wound with reduction in the central corneal thickness. Her BCVA improved to 1.0. AS-OCT was a valuable tool to noninvasively observe wound shape and detect the presence of any intracorneal foreign bodies.

Ventriculostomy for acute hydrocephalus in critically ill patients on the ICU--outcome analysis of two different procedures.

Science.gov (United States)

Schödel, Petra; Proescholdt, Martin; Brawanski, Alexander; Bele, Sylvia; Schebesch, Karl-Michael

2012-04-01

Burr-hole trephine and insertion of an external ventricular drainage (EVD) is a common procedure in neurosurgical practice. In critically ill patients, the transport to the operating room, OR represents a major risk. Thus, the burr-hole trephine and implantation of an EVD is frequently performed on the Intensive Care Unit (ICU). Since 2004, we have applied two different procedures: the conventional method with a mechanical compressed air or an electric drill, and an alternative method with a manual twist drill, including fixation of the EVD in a skull screw (Bolt Kit, Raumedic AG, Germany). This study was designed to evaluate the outcome of both surgical procedures. In this retrospective analysis we included 166 consecutive patients with acute hydrocephalus due to intracranial hemorrhage that had been operated at our neurosurgical ICU in a six years interval. We reviewed the charts for gender and age, kind of surgical procedure, cerebrospinal fluid (CSF)-infections, duration of drainage, attempts of insertions, wound infections, misplacement rate, post-surgical hemorrhages, revisions, comorbidities and shunt-dependency. In 122 patients we applied the Bolt Kit System, in 44 patients the conventional method was performed. We found a significantly lower rate of CSF-infections and significantly fewer attempts of insertions in the Bolt Kit group (p = 0.002 and p = 0.001, respectively). The rate of wound infections, misplacement, revisions, shunt-dependency and the post-surgical hemorrhages did not differ significantly. Our data indicate that the manual drill and the skull screw are safe and feasible tools in the treatment of acute hydrocephalus. Presumably, the direct skin contact is causative for the higher rate of CSF-infections when the conventional method is performed. The skull screw guides the EVD into the ventricle without skin contact. The lower number of insertions needed may be due to the fact that the skull screw allows just one trajectory for the insertion

CT-guided stereotaxic evacuation of cerebellar hematoma

International Nuclear Information System (INIS)

Niizuma, Hiroshi; Ohtsuki, Taisuke; Ohyama, Hideki; Suzuki, Jiro

1985-01-01

Stereotaxic lateral approach for cerebellar hematoma is presented using Leksell's CT-stereotaxic system. All of the procedures are performed in the CT room. Patient's head is turned to contralateral side of the hematoma 30 to 40 0 with slight flexion of the neck. Stereotaxic apparatus is secured to the head under local anesthesia. Hematoma is confirmed by computerized tomograms. Three dimensional coordinates of the target point (center of the hematoma) are measured from the vertical and diagonal rods of Leksell's system. Linear skin incision 4 cm in length is made on retromastoid area. Burr-hole is put on just lateral position of the target point, usually 5 to 6 cm posterior and 1 cm above from the external auditory meatus. Transverse or sigmoid sinus does not appeared through the burr-hole by this approach. Specially made Dandy's cannula (3.0 mm in diameter, 220 mm in length) is inserted into the target point, and manual evacuation of the hematoma is performed carefully using a syringe. Then Dandy's cannula is replaced by silastic drainage tube (3.5 mm in diameter), and 6,000 Units of Urokinase solved in 2 ml of saline is administered to the hematoma cavity. Dissolved hematoma is aspirated every 24 hours until the most of the hematoma is evacuated. We operated three cases of cerebellar hematoma by this method with favorable results. Advantages of this method are as follows: Operative invasion is minimal; The surgeon can cbeck the residual hematoma and position of the tip of cannula even at operation, if necessary. (author)

The effect of optical system design for laser micro-hole drilling process

Science.gov (United States)

Ding, Chien-Fang; Lan, Yin-Te; Chien, Yu-Lun; Young, Hong-Tsu

2017-08-01

Lasers are a promising high accuracy tool to make small holes in composite or hard material. They offer advantages over the conventional machining process, which is time consuming and has scaling limitations. However, the major downfall in laser material processing is the relatively large heat affect zone or number of molten burrs it generates, even when using nanosecond lasers over high-cost ultrafast lasers. In this paper, we constructed a nanosecond laser processing system with a 532 nm wavelength laser source. In order to enhance precision and minimize the effect of heat generation with the laser drilling process, we investigated the geometric shape of optical elements and analyzed the images using the modulation transfer function (MTF) and encircled energy (EE) by using optical software Zemax. We discuss commercial spherical lenses, including plano-convex lenses, bi-convex lenses, plano-concave lenses, bi-concave lenses, best-form lenses, and meniscus lenses. Furthermore, we determined the best lens configuration by image evaluation, and then verified the results experimentally by carrying out the laser drilling process on multilayer flexible copper clad laminate (FCCL). The paper presents the drilling results obtained with different lens configurations and found the best configuration had a small heat affect zone and a clean edge along laser-drilled holes.

Uji Alat Penggiling Tipe Flat Burr Mill pada Komoditas Beras, Ketan Putih dan Ketan Hitam

OpenAIRE

Rahmadan, Endra

2014-01-01

Changing the form of rice, white sticky rice and black sticky rice into flour is one way to increase the sale value or economic value of the material, in which rice flour, white sticky rice flour and black sticky rice flour are widely used as a raw material in the manufacture of foodstuffs. This study was a test of flat burr mill grinder on the commodity of rice, white sticky rice and black sticky rice. The study was conducted with literature study, experiment, observation and testing of equi...

Evolving Management of Symptomatic Chronic Subdural Hematoma: Experience of a Single Institution and Review of the Literature

Science.gov (United States)

Balser, David; Rodgers, Shaun D.; Johnson, Blair; Shi, Chen; Tabak, Esteban; Samadani, Uzma

2015-01-01

Objective Chronic subdural hematoma has an increasing incidence and results in high morbidity and mortality. We review here the ten-year experience of a single institution and the literature regarding the treatment and major associations of chronic subdural hematoma (cSDH). Methods We retrospectively reviewed all cSDHs surgically treated from 2000 to 2010 at our institution to evaluate duration from admission to treatment, type of treatment, length of stay in critical care, length of stay in the hospital and recurrence. The literature was reviewed with regards to incidence, associations and treatment of cSDH. Results From 2000–2008, 44 patients were treated with burr holes. From 2008 to 2010, 29 patients were treated with twist drill evacuation (SEPS). 4 patients from each group were readmitted for reoperation (9% vs. 14%; p=.53). The average time to intervention for SEPS (11.2±15.3 hrs) was faster than for burr holes (40.3±69.1 hrs) (p=.02). The total hospital LOS was shorter for SEPS (9.3±6.8 days) versus burr holes (13.4±10.2 days) (p=.04); both were significantly longer than for a brain tumor patient undergoing craniotomy (7.0±0.5 days, n=94, P<.01). Conclusion Despite decreasing lengths of stay over time as treatment for cSDH evolved from burr holes to SEPS, the length of stay for a cSDH is still greater than that of a patient undergoing craniotomy for brain tumor. We noted 11% recurrence in our series of patients, which included individuals who recurred as late as 3 years after initial diagnosis. PMID:23485050

瓦斯抽放煤层增透深孔聚能爆破钻孔参数%Drilling parameters of deep-hole cumulative blasting to improve coal seam permeability in gas drainage

Institute of Scientific and Technical Information of China (English)

郭德勇; 吕鹏飞; 单智勇; 谢安

2013-01-01

以焦作煤业集团九里山矿煤层深孔聚能爆破试验为基础,利用数值模拟分析了爆破煤体应力变化规律,发现聚能爆破效应导致应力峰值增大,扩大了煤体裂隙区范围.同时对聚能爆破钻孔参数进行优化,确定了合理的炮孔直径、爆破孔间距、爆破孔与邻近抽放孔及煤层顶底板间距.现场试验结果表明:优化的钻孔参数不仅使聚能爆破增透效果显著而且保证了爆破过程的安全.%Based on coal seam deep-hole cumulative blasting experiments in Jiulishan Coal Mine of Jiaozuo Coal Group, the law of stress change in a blasting coal body was analyzed by numerical simulation. It is found that cumulative blasting effect leads to the increase of peak stress and enlarges the crack zone range of the coal body. Drilling parameters for cumulative blasting, such as blast hole diameter, blast hole spacing, distance between the blast hole and the adjacent gas drainage hole, and distance from the blast hole to the coal seam roof and floor, were determined by optimization. Field experimental results show that after using these optimized drilling parameters the cumulative blasting not only gets remarkable permeability increasing effect but also ensures blasting safety.

A four lumen screwing device for multiparametric brain monitoring.

Science.gov (United States)

Feuerstein, T H; Langemann, H; Gratzl, O; Mendelowitsch, A

2000-01-01

We describe multiparametric monitoring in severe head trauma using a new screwing device. Our aim was to create a screw which would make the implantation of the probes and thus multiparametric monitoring easier. The new screw allows us to implant 3 probes (microdialysis, Paratrend and an intracranial pressure device) through one burr hole. The screw has four channels, the fourth being for ventricular drainage. We monitored 13 patients with severe head trauma (GCS = 3-8) for up to 7 days. Brain tissue pO2, pCO2, pH, and temperature were measured on-line with the Paratrend 7 machine. The microdialytic parameters glucose, lactate, pyruvate and glutamate were determined semi on-line with a CMA 600 enzymatic analyser. There were no complications in any of the patients that could be ascribed to the screw.

Opening the Internal Hematoma Membrane Does Not Alter the Recurrence Rate of Chronic Subdural Hematomas: A Prospective Randomized Trial.

Science.gov (United States)

Unterhofer, Claudia; Freyschlag, Christian F; Thomé, Claudius; Ortler, Martin

2016-08-01

Factors determining the recurrence of chronic subdural hematomas (CSDHs) are not clear. Whether opening the so-called internal hematoma membrane is useful has not been investigated. To investigate whether splitting the inner hematoma membrane influences the recurrence rate in patients undergoing burr-hole craniotomy for CSDH. Fifty-two awake patients undergoing surgery for 57 CSDHs were prospectively randomized to either partial opening of the inner hematoma membrane (group A) or not (group B) after enlarged burr-hole craniotomy and hematoma evacuation. Drainage was left in situ for several days postoperatively. Groups were comparable with regard to demographic, clinical, and imaging variables. Outcome was assessed after 3-6 weeks for the combined outcome variable of reoperation or residual hematoma of one third or more of the original hematoma thickness. Fourteen patients underwent reoperation for clinical deterioration or residual hematoma during follow-up (n = 6 in group A, 21%; n = 8 in group B, 28 %) (P = 0.537). Residual hematoma of ≥ one third not requiring surgery was present in 7 patients in group A (25%) and 10 patients in group B (36%) (P = 0.383). The overall cumulative failure rate (reoperation or hematoma thickness ≥ one third) was 13/28 (46%) in group A and 18/28 in group B (P = 0.178; relative risk, 0.722 [95% confidence interval, 0.445-1.172]; absolute risk reduction -16% [95% confidence interval, -38% to 8%]). Opening the internal hematoma membrane does not alter the rate of patients requiring revision surgery and the number of patients showing a marked residual hematoma 6 weeks after evacuation of a CSDH. Copyright © 2016 Elsevier Inc. All rights reserved.

Evaluation of awake burr hole drainage for chronic subdural hematoma in geriatric patients: a retrospective analysis of 3 years

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Serdal Albayrak

2016-03-01

Conclusion: Surgical interventions under local anesthesia in geriatric patients with chronic subdural hematoma can provide short operation time, early mobilization, early oral intake, avoidance of possible general anesthesia complications. Herewith, this intervention decrease mortality and morbidity in this age group. [Cukurova Med J 2016; 41(1.000: 69-73

Comparison between autologous blood transfusion drainage and closed-suction drainage/no drainage in total knee arthroplasty: a meta-analysis.

Science.gov (United States)

Hong, Kun-Hao; Pan, Jian-Ke; Yang, Wei-Yi; Luo, Ming-Hui; Xu, Shu-Chai; Liu, Jun

2016-08-01

Autologous blood transfusion (ABT) drainage system is a new unwashed salvaged blood retransfusion system for total knee replacement (TKA). However, whether to use ABT drainage, closed-suction (CS) drainage or no drainage in TKA surgery remains controversial. This is the first meta-analysis to assess the clinical efficiency, safety and potential advantages regarding the use of ABT drains compared with closed-suction/no drainage. PubMed, Embase, and the Cochrane Library were comprehensively searched in March 2015. Fifteen randomized controlled trials (RCTs) were identified and pooled for statistical analysis. The primary outcome evaluated was homologous blood transfusion rate. The secondary outcomes were post-operative haemoglobin on days 3-5, length of hospital stay and wound infections after TKA surgery. The pooled data included 1,721 patients and showed that patients in the ABT drainage group might benefit from lower blood transfusion rates (16.59 % and 37.47 %, OR: 0.28 [0.14, 0.55]; 13.05 % and 16.91 %, OR: 0.73 [0.47,1.13], respectively). Autologous blood transfusion drainage and closed-suction drainage/no drainage have similar clinical efficacy and safety with regard to post-operative haemoglobin on days 3-5, length of hospital stay and wound infections. Autologous blood transfusion drainage offers a safe and efficient alternative to CS/no drainage with a lower blood transfusion rate. Future large-volume high-quality RCTs with extensive follow-up will affirm and update this system review.

Biodegradable microfabricated plug-filters for glaucoma drainage devices.

Science.gov (United States)

Maleki, Teimour; Chitnis, Girish; Park, Jun Hyeong; Cantor, Louis B; Ziaie, Babak

2012-06-01

We report on the development of a batch fabricated biodegradable truncated-cone-shaped plug filter to overcome the postoperative hypotony in nonvalved glaucoma drainage devices. Plug filters are composed of biodegradable polymers that disappear once wound healing and bleb formation has progressed past the stage where hypotony from overfiltration may cause complications in the human eye. The biodegradable nature of device eliminates the risks associated with permanent valves that may become blocked or influence the aqueous fluid flow rate in the long term. The plug-filter geometry simplifies its integration with commercial shunts. Aqueous humor outflow regulation is achieved by controlling the diameter of a laser-drilled through-hole. The batch compatible fabrication involves a modified SU-8 molding to achieve truncated-cone-shaped pillars, polydimethylsiloxane micromolding, and hot embossing of biodegradable polymers. The developed plug filter is 500 μm long with base and apex plane diameters of 500 and 300 μm, respectively, and incorporates a laser-drilled through-hole with 44-μm effective diameter in the center.

Impact capacity reduction in railway prestressed concrete sleepers with vertical holes

Science.gov (United States)

Ngamkhanong, Chayut; Li, Dan; Kaewunruen, Sakdirat

2017-09-01

Railway prestressed concrete sleepers (or railroad ties) are principally designed in order to carry wheel loads from the rails to the ground as well as to secure rail gauge for dynamic safe movements of trains. In spite of the most common use of the prestressed concrete sleepers in railway tracks, the concrete sleepers are often modified on construction sites to fit in other systems such as cables, signalling gears, drainage pipes, etc. This is because those signalling, fibre optic, equipment cables are often damaged either by ballast corners or by tamping machine. It is thus necessary to modify concrete sleepers to cater cables internally so that the cables or drainage pipes would not experience detrimental or harsh environments. Accordingly, this study will extend from the previous study into the design criteria of holes and web openings. This paper will highlight structural capacity of concrete sleepers under dynamic transient loading. The modified compression field theory for ultimate strength design of concrete sleepers will be highlighted in this study. The outcome of this study will improve the understanding into dynamic behavior of prestressed concrete sleepers with vertical holes. The insight will enable predictive track maintenance regime in railway industry.

Effect of cutting parameters on workpiece and tool properties during drilling of Ti-6Al-4V

International Nuclear Information System (INIS)

Celik, Yahya Hisman; Yildiz, Hakan

2016-01-01

The main aim of machining is to provide the dimensional preciseness together with surface and geometric quality of the workpiece to be manufactured within the desired limits. Today, it is quite hard to drill widely utilized Ti-6Al-4 V alloys owing to their superior features. Therefore, in this study, the effects of temperature, chip formation, thrust forces, surface roughness, burr heights, hole diameter deviations and tool wears on the drilling of Ti-6Al-4 V were investigated under dry cutting conditions with different cutting speeds and feed rates by using tungsten carbide (WC) and high speed steel (HSS) drills. Moreover, the mathematical modeling of thrust force, surface roughness, burr height and tool wear were formed using Matlab. It was found that the feed rate, cutting speed and type of drill have a major effect on the thrust forces, surface roughness, burr heights, hole diameter deviations and tool wears. Optimum results in the Ti-6Al-4 V alloy drilling process were obtained using the WC drill.

Effect of cutting parameters on workpiece and tool properties during drilling of Ti-6Al-4V

Energy Technology Data Exchange (ETDEWEB)

Celik, Yahya Hisman; Yildiz, Hakan [Batman Univ. (Turkey). Dept. of Mechanical Engineering; Oezek, Cebeli [Firat Univ., Elazig (Turkey)

2016-08-01

The main aim of machining is to provide the dimensional preciseness together with surface and geometric quality of the workpiece to be manufactured within the desired limits. Today, it is quite hard to drill widely utilized Ti-6Al-4 V alloys owing to their superior features. Therefore, in this study, the effects of temperature, chip formation, thrust forces, surface roughness, burr heights, hole diameter deviations and tool wears on the drilling of Ti-6Al-4 V were investigated under dry cutting conditions with different cutting speeds and feed rates by using tungsten carbide (WC) and high speed steel (HSS) drills. Moreover, the mathematical modeling of thrust force, surface roughness, burr height and tool wear were formed using Matlab. It was found that the feed rate, cutting speed and type of drill have a major effect on the thrust forces, surface roughness, burr heights, hole diameter deviations and tool wears. Optimum results in the Ti-6Al-4 V alloy drilling process were obtained using the WC drill.

Peritoneal Drainage Versus Pleural Drainage After Pediatric Cardiac Surgery.

Science.gov (United States)

Gowda, Keshava Murty Narayana; Zidan, Marwan; Walters, Henry L; Delius, Ralph E; Mastropietro, Christopher W

2014-07-01

We aimed to determine whether infants undergoing cardiac surgery would more efficiently attain negative fluid balance postoperatively with passive peritoneal drainage as compared to traditional pleural drainage. A prospective, randomized study including children undergoing repair of tetralogy of Fallot (TOF) or atrioventricular septal defect (AVSD) was completed between September 2011 and June 2013. Patients were randomized to intraoperative placement of peritoneal catheter or right pleural tube in addition to the requisite mediastinal tube. The primary outcome measure was fluid balance at 48 hours postoperatively. Variables were compared using t tests or Fisher exact tests as appropriate. A total of 24 patients were enrolled (14 TOF and 10 AVSD), with 12 patients in each study group. Mean fluid balance at 48 hours was not significantly different between study groups, -41 ± 53 mL/kg in patients with periteonal drainage and -9 ± 40 mL/kg in patients with pleural drainage (P = .10). At 72 hours however, postoperative fluid balance was significantly more negative with peritoneal drainage, -52.4 ± 71.6 versus +2.0 ± 50.6 (P = .04). On subset analysis, fluid balance at 48 hours in patients with AVSD was more negative with peritoneal drainage as compared to pleural, -82 ± 51 versus -1 ± 38 mL/kg, respectively (P = .02). Fluid balance at 48 hours in patients with TOF was not significantly different between study groups. Passive peritoneal drainage may more effectively facilitate negative fluid balance when compared to pleural drainage after pediatric cardiac surgery, although this benefit is not likely universal but rather dependent on the patient's underlying physiology. © The Author(s) 2014.

Mine drainage treatment

OpenAIRE

Golomeova, Mirjana; Zendelska, Afrodita; Krstev, Boris; Golomeov, Blagoj; Krstev, Aleksandar

2012-01-01

Water flowing from underground and surface mines and contains high concentrations of dissolved metals is called mine drainage. Mine drainage can be categorized into several basic types by their alkalinity or acidity. Sulfide rich and carbonate poor materials are expected to produce acidic drainage, and alkaline rich materials, even with significant sulfide concentrations, often produce net alkaline water. Mine drainages are dangerous because pollutants may decompose in the environment. In...

Laser surface texturing of cast iron steel: dramatic edge burr reduction and high speed process optimisation for industrial production using DPSS picosecond lasers

Science.gov (United States)

Bruneel, David; Kearsley, Andrew; Karnakis, Dimitris

2015-07-01

In this work we present picosecond DPSS laser surface texturing optimisation of automotive grade cast iron steel. This application attracts great interest, particularly in the automotive industry, to reduce friction between moving piston parts in car engines, in order to decrease fuel consumption. This is accomplished by partially covering with swallow microgrooves the inner surface of a piston liner and is currently a production process adopting much longer pulse (microsecond) DPSS lasers. Lubricated interface conditions of moving parts require from the laser process to produce a very strictly controlled surface topography around the laser formed grooves, whose edge burr height must be lower than 100 nm. To achieve such a strict tolerance, laser machining of cast iron steel was investigated using an infrared DPSS picosecond laser (10ps duration) with an output power of 16W and a repetition rate of 200 kHz. The ultrashort laser is believed to provide a much better thermal management of the etching process. All studies presented here were performed on flat samples in ambient air but the process is transferrable to cylindrical geometry engine liners. We will show that reducing significantly the edge burr below an acceptable limit for lubricated engine production is possible using such lasers and remarkably the process window lies at very high irradiated fluences much higher that the single pulse ablation threshold. This detailed experimental work highlights the close relationship between the optimised laser irradiation conditions as well as the process strategy with the final size of the undesirable edge burrs. The optimised process conditions are compatible with an industrial production process and show the potential for removing extra post)processing steps (honing, etc) of cylinder liners on the manufacturing line saving time and cost.

Treatment of a subdural empyema complicated by intracerebral abscess due to Brucella infection

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J. Zhang

Full Text Available A 55-year-old male presented with fever, stupor, aphasia, and left hemiparesis. A history of head trauma 3 months before was also reported. Cranial magnetic resonance imaging revealed slight contrast enhancement of lesions under the right frontal skull plate and right frontal lobe. Because of deterioration in nutritional status and intracranial hypertension, the patient was prepared for burr hole surgery. A subdural empyema (SDE recurred after simple drainage. After detection of Brucella species in SDE, craniotomy combined with antibiotic treatment was undertaken. The patient received antibiotic therapy for 6 months (two doses of 2 g ceftriaxone, two doses of 100 mg doxycycline, and 700 mg rifapentine for 6 months that resulted in complete cure of the infection. Thus, it was speculated that the preexisting subdural hematoma was formed after head trauma, which was followed by a hematogenous infection caused by Brucella species.

The Effect of Different Subsurface Drainage Systems on Improvement of Water Flow in Paddy fields

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ghassem aghajani mazandarani

2017-03-01

Full Text Available Introduction: Better use of water and soil resources in paddy fields, increase in rice production and farmer's income, installation of subsurface drainage system is necessary. The main goalof these systems, are aeration conditions improvement prevention of water logging, yield increase, land use increase and multiuse of the land. In different countries, installation of subsurface drainage cause yield increase and working condition on the land, but no research has been conducted in different depths and spacing. On the other hand, spacing and depth are the most important parameters in the installation of drainage systems, have a direct effect on incoming water into the drains. The aim of this research, is an investigation of the effect of subsurface drainage with different depths and spacing on discharge rate variation and water table fall, in order to analyze the improvement of water flow movement in the soil. Also, study the effect of different drainage systems on the increase of the canola yield as the second cultivation in these treatments have been compared. Materials and Methods: To measure hydraulic conductivity in different depths, the auger holes have been dug (excavated. The saturated hydraulic conductivity in these holes wasdetermined using Ernst method (1950 before installation of drainage systems. In the drainage pilot plot of Sari Agricultural Sciences and Natural Resources University three subsurface drainage systems with mineral envelope have been installed. 1- The first one with the 0.9 m depth and 30 m spacing (D90 L30, 2- The second one with 0.65 m depth and 15 m spacing (D0.65 L15 and 3- The third one with 0.65 m depth and spacing (D0.65 L30 and one bi-level system with mineral envelope including four drains of 15 m spacing with 0.9 m and 0.65 m depths were installed alternatively. After auger hole equipment installations, in the middle spacing of two subsurface and water table reading possible, the water table fluctuation and

Membranectomy in Chronic Subdural Hematoma: Meta-Analysis.

Science.gov (United States)

Sahyouni, Ronald; Mahboubi, Hossein; Tran, Peter; Roufail, John S; Chen, Jefferson W

2017-08-01

Initial management strategies of chronic subdural hematoma (cSDH) are controversial and range from bedside twist-drill or burr-hole drainage to craniotomy with membranectomy (CWM). We aim to 1) perform a meta-analysis of the available data on the outcomes of CWM for treatment of cSDH in published English-language literature and 2) evaluate collective outcomes of CWM with respect to morbidity, mortality, and recurrence rates. A search of English-language literature performed in PubMed, Ovid, and Cochrane databases using key words ("subdural hematoma" or "chronic subdural hematoma") and ("membrane" or "membranectomy") from inception to December 2016 was conducted. Studies reporting outcomes of CWM in cSDH were included. Mortality, morbidity, follow-up duration, and recurrence rate data were extracted and analyzed. Pooled estimates and confidence intervals (CIs) were calculated for all outcomes using a random-effects model. Of 301 articles found, 17 articles containing 5369 patients met our eligibility criteria. Mean follow-up duration ranged from 1-30.8 months. Collective mean mortality and morbidity rates were 3.7% and 6.9%, respectively (95% CI 2-5.4% and 2.1-11.6%; P < 0.001 and P = 0.004). The collective mean recurrence rate was 7.6% (95% CI: 5%-10.2%; P < 0.001). Clinical data on outcomes of CWM in cSDH are limited to single institutional analyses, with considerable variation in recurrence rates and follow-up time. The rates we reported are comparable with the 5% mortality and 3%-12% morbidity rates and lower than the 10%-21% recurrence rate in the literature for burr holes or craniotomy without membranectomy. This meta-analysis provides an in-depth analysis of available data and reviews reported outcomes. Copyright © 2017 Elsevier Inc. All rights reserved.

Risk Factors in Chronic Subdural Hematoma: Comparison of Irrigation with Artificial Cerebrospinal Fluid and Normal Saline in a Cohort Analysis

Science.gov (United States)

Adachi, Akihiko; Higuchi, Yoshinori; Fujikawa, Atsushi; Machida, Toshio; Sueyoshi, Shigeo; Harigaya, Kenichi; Ono, Junichi; Saeki, Naokatsu

2014-01-01

Background Chronic subdural hematoma (CSDH) is known to have a substantial recurrence rate. Artificial cerebrospinal fluid (ACF) is an effective irrigation solution in general open craniotomy and endoneurosurgery, but no evidence of its use in burr-hole surgery exists. Objective To identify the potential of ACF irrigation to prevent CSDH recurrence. More specifically, to investigate the perioperative and intraoperative prognostic factors, and to identify controllable ones. Methods To examine various prognostic factors, 120 consecutive patients with unilateral CSDH treated with burr-hole drainage between September 2007 and March 2013 were analyzed. Intraoperative irrigation was performed with one of two irrigation solutions: normal saline (NS; n = 60) or ACF (n = 60). All patients were followed-up for at least 6 months postoperatively. We also examined the morphological alternations of the hematoma outer membranes after incubation with different solutions. Results Eleven patients (9.2%) had recurrence. Nine patients (15%) required additional surgery in the NS group, whereas only 2 patients (3.3%) in the ACF group required additional surgery. Among preoperative and intraoperative data, age (22.0, P = .037), laterality (right, P = .03), and irrigation solution (ACF, P = .027) were related to smaller recurrence rates by log-rank tests. Only the type of irrigation solution used significantly correlated with recurrence in favor of ACF in both Cox proportional hazards (relative hazard: 0.20, 95% confidence interval (CI): 0.04–0.99; P = .049) and logistic regression models (odds ratio, 0.17, 95% CI: 0.03–0.92; P = .04) using these factors. Histological examinations of the hematoma membranes showed that the membranes incubated with NS were loose and infiltrated by inflammatory cells compared with those incubated with ACF. Conclusion Irrigation with ACF decreased the rate of CSDH recurrence. PMID:25089621

Analysis of Cross-Seasonal Spectral Response from Kettle Holes: Application of Remote Sensing Techniques for Chlorophyll Estimation

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Bernd Lennartz

2012-11-01

Full Text Available Kettle holes, small inland water bodies usually less than 1 ha in size, are subjected to pollution, drainage, and structural alteration by intensive land use practices. This study presents the analysis of spectral signatures from kettle holes based on in situ water sampling and reflectance measurements in application for chlorophyll estimation. Water samples and surface reflectance from kettle holes were collected from 6 ponds in 15 field campaigns (5 in 2007 and 10 in 2008, resulting in a total of 80 spectral datasets. We assessed the existing semi-empirical algorithms to determine chlorophyll content for different types of kettle holes using seasonal and cross-seasonal volume reflectance and derivative spectra. Based on this analysis and optical properties of water leaving reflectance from kettle holes, the following typology of the remote signal interpretation was proposed: Submerged vegetation, Phytoplankton dominated and Mixed type.

MADM Technique Integrated with Grey- based Taguchi method for Selection of Alluminium alloys to minimize deburring cost during Drilling

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Reddy Sreenivasulu

2015-06-01

Full Text Available Traditionally, burr problems had been considered unavoidable so that most efforts had been made on removal of the burr as a post process. Nowadays, a trend of manufacturing is an integration of the whole production flow from design to end product. Manufacturing problem issues are handled in various stages even from design stage. Therefore, the methods of describing the burr are getting much attention in recent years for the systematic approach to resolve the burr problem at various manufacturing stages. The main objective of this paper is to explore the basic concepts of MADM methods. In this study, five parameters namely speed, feed, drill size, drill geometry such as point angle and clearance angle were identified to influence more on burr formation during drilling. L 18 orthogonal array was selected and experiments were conducted as per Taguchi experimental plan for Aluminium alloy of 2014, 6061, 5035 and 7075 series. The experiment performed on a CNC Machining center with HSS twist drills. The burr size such as height and thickness were measured on exit of each hole. An optimal combination of process parameters was obtained to minimize the burr size via grey relational analysis. The output from grey based- taguchi method fed as input to the MADM. Apart from burr size strength and temperature are also considered as attributes. Finally, the results generated in MADM suggests the suitable alternative of  aluminium alloy, which results in less deburring cost, high strength and high resistance at elevated temperatures.

Transient drainage summary report

International Nuclear Information System (INIS)

1996-09-01

This report summarizes the history of transient drainage issues on the Uranium Mill Tailings Remedial Action (UMTRA) Project. It defines and describes the UMTRA Project disposal cell transient drainage process and chronicles UMTRA Project treatment of the transient drainage phenomenon. Section 4.0 includes a conceptual cross section of each UMTRA Project disposal site and summarizes design and construction information, the ground water protection strategy, and the potential for transient drainage

Prairie Pothole Region wetlands and subsurface drainage systems: Key factors for determining drainage setback distances

Science.gov (United States)

Tangen, Brian; Wiltermuth, Mark T.

2018-01-01

Use of agricultural subsurface drainage systems in the Prairie Pothole Region of North America continues to increase, prompting concerns over potential negative effects to the Region's vital wetlands. The U.S. Fish and Wildlife Service protects a large number of wetlands through conservation easements that often utilize standard lateral setback distances to provide buffers between wetlands and drainage systems. Because of a lack of information pertaining to the efficacy of these setback distances for protecting wetlands, information is required to support the decision making for placement of subsurface drainage systems adjacent to wetlands. We used qualitative graphical analyses and data comparisons to identify characteristics of subsurface drainage systems and wetland catchments that could be considered when assessing setback distances. We also compared setback distances with catchment slope lengths to determine if they typically exclude drainage systems from the catchment. We demonstrated that depth of a subsurface drainage system is a key factor for determining drainage setback distances. Drainage systems located closer to the surface (shallow) typically could be associated with shorter lateral setback distances compared with deeper systems. Subsurface drainage systems would be allowed within a wetland's catchment for 44–59% of catchments associated with wetland conservation easements in North Dakota. More specifically, results suggest that drainage setback distances generally would exclude drainage systems from catchments of the smaller wetlands that typically have shorter slopes in the adjacent upland contributing area. For larger wetlands, however, considerable areas of the catchment would be vulnerable to drainage that may affect wetland hydrology. U.S. Fish and Wildlife Service easements are associated with > 2,000 km2 of wetlands in North Dakota, demonstrating great potential to protect these systems from drainage depending on policies for installing

Usefulness of interventional embolization of the middle meningeal artery for recurrent chronic subdural hematoma: Five cases and a review of the literature

Science.gov (United States)

Yamauchi, Shigeru; Ikeda, Hidetoshi; Tsubota, Nobuyuki; Furukawa, Hironori; Maeda, Daisuke; Kondo, Kimito; Nishio, Akimasa

2015-01-01

Purpose Although several strategies against recurrent chronic subdural hematoma (CSDH) have been proposed, no consensus has been established. Recently, middle meningeal artery (MMA) embolization has been proposed as radical treatment for recurrent CSDH. We wanted to estimate the usefulness of MMA embolization for recurrent CSDH. Methods From February 2012 to June 2013, 110 patients with CSDH underwent single burr-hole surgery with irrigation and drainage. Among these patients, 13 showed recurrent hematoma formation and were retreated surgically. Furthermore, repeated recurrence of CSDH was observed in six patients. Five of these six patients underwent middle meningeal artery (MMA) embolization with polyvinyl alcohol particles. All five patients with interventional treatment were observed for four to 60 weeks. Results No more recurrence of CSDH was observed in any of the patients. During the follow-up period, no patients suffered from any side effects or complications from the interventional treatment. Conclusion MMA embolization with careful attention paid to the procedure might be a treatment of choice for recurrent CSDH. PMID:26015518

The foam drainage equation for drainage dynamics in unsaturated porous media

Science.gov (United States)

Lehmann, P.; Hoogland, F.; Assouline, S.; Or, D.

2017-07-01

Similarity in liquid-phase configuration and drainage dynamics of wet foam and gravity drainage from unsaturated porous media expands modeling capabilities for capillary flows and supplements the standard Richards equation representation. The governing equation for draining foam (or a soil variant termed the soil foam drainage equation—SFDE) obviates the need for macroscopic unsaturated hydraulic conductivity function by an explicit account of diminishing flow pathway sizes as the medium gradually drains. The study provides new and simple analytical expressions for drainage rates and volumes from unsaturated porous media subjected to different boundary conditions. Two novel analytical solutions for saturation profile evolution were derived and tested in good agreement with a numerical solution of the SFDE. The study and the proposed solutions rectify the original formulation of foam drainage dynamics of Or and Assouline (2013). The new framework broadens the scope of methods available for quantifying unsaturated flow in porous media, where the intrinsic conductivity and geometrical representation of capillary drainage could improve understanding of colloid and pathogen transport. The explicit geometrical interpretation of flow pathways underlying the hydraulic functions used by the Richards equation offers new insights that benefit both approaches.

Bibliography for acid-rock drainage and selected acid-mine drainage issues related to acid-rock drainage from transportation activities

Science.gov (United States)

Bradley, Michael W.; Worland, Scott C.

2015-01-01

Acid-rock drainage occurs through the interaction of rainfall on pyrite-bearing formations. When pyrite (FeS2) is exposed to oxygen and water in mine workings or roadcuts, the mineral decomposes and sulfur may react to form sulfuric acid, which often results in environmental problems and potential damage to the transportation infrastructure. The accelerated oxidation of pyrite and other sulfidic minerals generates low pH water with potentially high concentrations of trace metals. Much attention has been given to contamination arising from acid mine drainage, but studies related to acid-rock drainage from road construction are relatively limited. The U.S. Geological Survey, in cooperation with the Tennessee Department of Transportation, is conducting an investigation to evaluate the occurrence and processes controlling acid-rock drainage and contaminant transport from roadcuts in Tennessee. The basic components of acid-rock drainage resulting from transportation activities are described and a bibliography, organized by relevant categories (remediation, geochemical, microbial, biological impact, and secondary mineralization) is presented.

Drainage of radioactive areas

International Nuclear Information System (INIS)

1981-04-01

This Code of Practice covers all the drainage systems which may occur in the radioactive classified area of an establishment, namely surface water, foul, process and radioactive drainage. It also deals with final discharge lines. The Code of Practice concentrates on those aspects of drainage which require particular attention because the systems are in or from radioactive areas and typical illustrations are given in appendices. The Code makes references to sources of information on conventional aspects of drainage design. (author)

Simple New Screw Insertion Technique without Extraction for Broken Pedicle Screws.

Science.gov (United States)

Kil, Jin-Sang; Park, Jong-Tae

2018-05-01

Spinal transpedicular screw fixation is widely performed. Broken pedicle screw rates range from 3%-7.1%. Several techniques have been described for extraction of broken pedicle screws. However, most of these techniques require special instruments. We describe a simple, modified technique for management of broken pedicle screws without extraction. No special instruments or drilling in an adjacent pedicle are required. We used a high-speed air drill with a round burr. With C-arm fluoroscopy guidance, the distal fragment of a broken pedicle screw was palpated using free-hand technique through the screw entry hole. A high-speed air drill with a round burr (not a diamond burr) was inserted through the hole. Drilling began slowly and continued until enough space was obtained for new screw insertion. Using this space, we performed new pedicle screw fixation medially alongside the distal fragment of the broken pedicle screw. We performed the insertion with a previously used entry hole and pathway in the pedicle. The same size pedicle screw was used. Three patients were treated with this modified technique. New screw insertion was successful in all cases after partial drilling of the distal broken pedicle screw fragment. There were no complications, such as screw loosening, dural tears, or root injury. We describe a simple, modified technique for management of broken pedicle screws without extraction. This technique is recommended in patients who require insertion of a new screw. Copyright © 2017. Published by Elsevier Inc.

Are there still roles for exocrine bladder drainage and portal venous drainage for pancreatic allografts?

Science.gov (United States)

Young, Carlton J

2009-02-01

Controversy remains regarding the best methodology of handling exocrine pancreatic fluid and pancreatic venous effluent. Bladder drainage has given way to enteric drainage. However, is there an instance in which bladder drainage is preferable? Also, hyperinsulinemia, as a result of systemic venous drainage (SVD), is claimed to be proatherosclerotic, whereas portal venous drainage (PVD) is more physiologic and less atherosclerotic. Bladder drainage remains a viable method of exocrine pancreas drainage, but evidence is sparse that measuring urinary amylase has a substantial benefit in the early detection of acute rejection in all types of pancreas transplants. Currently, there is no incontrovertible evidence that systemic hyperinsulinemia is proatherosclerotic, whereas recent metabolic studies on SVD and PVD showed that there was no benefit to PVD. Given the advent of newer immunosuppressive agents and overall lower acute rejection rates, the perceived benefit of bladder drainage as a means to measure urinary amylase as an early marker of rejection has not been substantiated. However, there may be a selective role for bladder drainage in 'high risk' pancreases. Also, without a clear-cut metabolic benefit to PVD over SVD, it remains the surgeon's choice as to which method to use.

Subsurface drainage volume reduction with drainage water management: Case studies in Ohio, USA

Science.gov (United States)

One of the main contributors to poor water quality in the Mississippi River and aeral increase in the hypoxic zone in the Gulf of Mexico is intensive drainage of the cropland within the watershed. Controlled drainage has been demonstrated as an approach to curb totla drainage outflow and nutrient di...

In-office drainage of sinus Mucoceles: An alternative to operating-room drainage.

Science.gov (United States)

Barrow, Emily M; DelGaudio, John M

2015-05-01

Endoscopic drainage has become the standard of care for the treatment of mucoceles. In many patients this can be performed in the office. This study reviews our experience with in-office endoscopic mucocele drainage. Retrospective chart review. A retrospective review of one surgeon's experience with in-office endoscopic drainage of sinus mucoceles between 2006 and 2014 was performed. Charts were reviewed for patient demographics, previous surgery, mucocele location, bone erosion, and outcomes. Thirty-two patients underwent 36 in-office drainage procedures. All procedures were performed under topical/local anesthesia. The mean age was 55 years (range, 17-92 years). The mean follow-up time was 444 days. Fifty-five percent had previous sinus surgery. The primary sinus involved was the frontal (12), anterior (11), posterior ethmoid (six), maxillary (four), and sphenoid (two). Bone erosion was noted to be present on computed tomography in 18 mucoceles (51%) (16 orbital, seven skull-base). All mucoceles were successfully accessed in the office with the exception of one, which was aborted due to neo-osteogenesis. Five patients (14% of mucoceles) required additional surgery, two for mucocele recurrence and three for septated mucoceles not completely drained in the office. No treatment complications occurred. All but one patient preferred in-office to operating-room drainage. In-office drainage of sinus mucoceles is well tolerated by patients, with high success and low complication rates, even in large mucoceles with bone erosion. The presence of septations and neo-osteogenesis reduce the likelihood of complete drainage and are relative contraindications. Orbital and skull base erosion are not contraindications. 4. © 2014 The American Laryngological, Rhinological and Otological Society, Inc.

Mineralogical correlation of surficial sediment from area drainages with selected sedimentary interbeds at the Idaho National Engineering Laboratory, Idaho

Energy Technology Data Exchange (ETDEWEB)

Bartholomay, R.C.

1990-08-01

Ongoing research by the US Geological Survey at the INEL involves investigation of the migration of radioactive elements contained in low-level radioactive waste, hydrologic and geologic factors affecting waste movement, and geochemical factors that influence the chemical composition of the waste. Identification of the mineralogy of the Snake River Plain is needed to aid in the study of the hydrology and geochemistry of subsurface waste disposal. The US Geological Surveys project office at the Idaho National Engineering Laboratory, in cooperation with the US Department of Energy, used mineralogical data to correlate surficial sediment samples from the Big Lost River, Little Lost River, and Birch Greek drainages with selected sedimentary interbed core samples taken from test holes at the RWMC (Radioactive Waste Management Complex), TRA (Test Reactors Area), ICPP (Idaho Chemical Processing Plant), and TAN (Test Area North). Correlating the mineralogy of a particular present-day drainage area with a particular sedimentary interbed provides information on historical source of sediment for interbeds in and near the INEL. Mineralogical data indicate that surficial sediment samples from the Big Lost River drainage contained a larger amount of feldspar and pyroxene and a smaller amount of calcite and dolomite than samples from the Little Lost River and Birch Creek drainages. Mineralogical data from sedimentary interbeds at the RWMC, TRA, and ICPP correlate with surficial sediment of the present-day big Lost River drainage. Mineralogical data from a sedimentary interbed at TAN correlate with surficial sediment of the present-day Birch Creek drainage. 13 refs., 5 figs., 3 tabs.

Mineralogical correlation of surficial sediment from area drainages with selected sedimentary interbeds at the Idaho National Engineering Laboratory, Idaho

International Nuclear Information System (INIS)

Bartholomay, R.C.

1990-08-01

Ongoing research by the US Geological Survey at the INEL involves investigation of the migration of radioactive elements contained in low-level radioactive waste, hydrologic and geologic factors affecting waste movement, and geochemical factors that influence the chemical composition of the waste. Identification of the mineralogy of the Snake River Plain is needed to aid in the study of the hydrology and geochemistry of subsurface waste disposal. The US Geological Surveys project office at the Idaho National Engineering Laboratory, in cooperation with the US Department of Energy, used mineralogical data to correlate surficial sediment samples from the Big Lost River, Little Lost River, and Birch Greek drainages with selected sedimentary interbed core samples taken from test holes at the RWMC (Radioactive Waste Management Complex), TRA (Test Reactors Area), ICPP (Idaho Chemical Processing Plant), and TAN (Test Area North). Correlating the mineralogy of a particular present-day drainage area with a particular sedimentary interbed provides information on historical source of sediment for interbeds in and near the INEL. Mineralogical data indicate that surficial sediment samples from the Big Lost River drainage contained a larger amount of feldspar and pyroxene and a smaller amount of calcite and dolomite than samples from the Little Lost River and Birch Creek drainages. Mineralogical data from sedimentary interbeds at the RWMC, TRA, and ICPP correlate with surficial sediment of the present-day big Lost River drainage. Mineralogical data from a sedimentary interbed at TAN correlate with surficial sediment of the present-day Birch Creek drainage. 13 refs., 5 figs., 3 tabs

New functionally dioecious bush tomato from northwestern Australia, Solanum ossicruentum, may utilize "trample burr" dispersal.

Science.gov (United States)

Martine, Christopher T; Cantley, Jason T; Frawley, Emma S; Butler, Alice R; Jordon-Thaden, Ingrid E

2016-01-01

A new Australian species of functionally dioecious bush tomato of Solanum subgenus Leptostemonum is described. Solanum ossicruentum Martine & J.Cantley, sp. nov., is thought to be allied with members of the problematic "Dioicum Complex" lineage, but differs in its short silvery indumentum, long calyx lobes, larger stature, and an unusual fruit morphology that may represent "trample burr" seed dispersal. The species occurs in a range extending from the eastern Kimberley in Western Australia to far northwestern Northern Territory and has been recognized for decades as a variant of Solanum dioicum W.Fitzg. Specimens of this species were previously referred to by D.E. Symon and others as Solanum dioicum 'Tanami.' Ex situ crossing studies and SEM images of inaperturate pollen grains produced in morphologically hermaphrodite flowers indicate that this taxon is functionally dioecious. The scientific name was chosen with the help of 150 seventh grade life science students from Pennsylvania, USA.

Percutaneous drainage of lung abscesses

International Nuclear Information System (INIS)

van Sonnenberg, E.; D'Agostino, H.; Casola, G.; Vatney, R.R.; Wittich, G.R.; Harker, C.

1989-01-01

The authors performed percutaneous drainage of lung abscesses in 12 patients. Indications for drainage were septicemia and persistence or worsening of radiographic findings. These lung abscesses were refractory to intravenous antibiotics and to bronchial toilet. Etiology of the abscesses included pneumonia (most frequently), trauma, postoperative development, infected necrotic neoplasm, and infected sequestration. Guidelines for drainage included passage of the catheter through contiguously abnormal lung and pleura, inability of the patient to cough, and/or bronchial obstruction precluding bronchial drainage. Cure was achieved in 11 of 12 patients. Catheters were removed on an average of 16 days after insertion. Antibiotics were administered an average of 18 days before drainage. No major complications occurred

[Infected subdural hematoma having a surgery of chronic subdural hematoma 1 year ago:a case report].

Science.gov (United States)

Nagao, Takaaki; Miyazaki, Chikao; Ando, Shunpei; Haga, Daisuke; Kuroki, Takao; Sugo, Nobuo; Nagao, Takeki

2015-02-01

We report a case of an infected subdural hematoma that occurred 1 year after burr-hole irrigation for chronic subdural hematoma. A 78-year-old woman who had developed left hemiparesis was admitted to our hospital. A computed tomography(CT)scan revealed the presence of a chronic subdural hematoma in the right hemisphere. Her clinical symptoms improved immediately after emergency burr-hole irrigation, which allowed her discharge from the hospital. One year after the initial surgery, she developed an infection of the urinary tract infection, which led to severe pyelonephritis and septic shock. Treatment of the urological symptoms eliminated the systemic inflammation. One month after the urinary infection, the patient was readmitted to the hospital in a comatose state. A CT scan showed regrowth of a residual subdural hematoma surrounded by a thick capsule, causing a midline shift in the brain. An emergency operation for removal of the subdural hematoma by burr-hole irrigation was performed, and pus was drained from the subdural mass. Microbiological cultures of the abscess revealed the presence of Proteus mirabilis. After surgery, the patient was administered an antibiotic treatment for three weeks and she was discharged with no neurological deficits. Cultures of blood from the septic shock as well as from the abscess both revealed the presence of Proteus mirabilis. Therefore, a diagnosis of infected subdural hematoma, which was caused by hematogenous infection, was made. We conclude that attention should be paid to the risk of infection of the hematoma capsule in subdural hematomas.

White holes and eternal black holes

International Nuclear Information System (INIS)

Hsu, Stephen D H

2012-01-01

We investigate isolated white holes surrounded by vacuum, which correspond to the time reversal of eternal black holes that do not evaporate. We show that isolated white holes produce quasi-thermal Hawking radiation. The time reversal of this radiation, incident on a black hole precursor, constitutes a special preparation that will cause the black hole to become eternal. (paper)

Percutaneous catheter drainage of lung abscess

Energy Technology Data Exchange (ETDEWEB)

Kim, Young Shin; Chun, Kyung Ah; Choi, Hyo Sun; Ha, Hyun Kown; Shinn, Kyung Sub [Catholic University Medical college, Seoul (Korea, Republic of)

1993-09-15

From March 1987 to July 1989, six patients (five adults and one child) with lung abscess (size, 5-13 cm in diameter) were treated with percutaneous aspiration and drainage. In each case, the puncture was made where the wall of the abscess was in contact with the pleural surface. An 8 to 10 Fr cartheter was inserted for drainage. Five of 6 had a dynamatic clinical response within 24 hours of the drainage. Percutaneous drainage was successful with complete abscess resolution in four and partial resolution in one patient. No response was seen in the rest one. The duration of drainage ranged from 7 to 18 days(average, 15.5 days) in successful cases. One case of the failure in drainage was due tio persistent aspiration of the neurologically impaired patient. In one patient, the abscess resolved after drainage but recurred after inadvertent removal of the catheter 7 days after insertion. In two patients, concurrent pleural empyema was resolved completely by the drainage. Computed tomography provide anatomic details necessary for choosing the puncture site and avoiding a puncture of the lung parenchyma. Percutaneous catheter drainage is safe and effective method for treating patient with lung abscess.

Percutaneous catheter drainage of lung abscess

International Nuclear Information System (INIS)

Kim, Young Shin; Chun, Kyung Ah; Choi, Hyo Sun; Ha, Hyun Kown; Shinn, Kyung Sub

1993-01-01

From March 1987 to July 1989, six patients (five adults and one child) with lung abscess (size, 5-13 cm in diameter) were treated with percutaneous aspiration and drainage. In each case, the puncture was made where the wall of the abscess was in contact with the pleural surface. An 8 to 10 Fr cartheter was inserted for drainage. Five of 6 had a dynamatic clinical response within 24 hours of the drainage. Percutaneous drainage was successful with complete abscess resolution in four and partial resolution in one patient. No response was seen in the rest one. The duration of drainage ranged from 7 to 18 days(average, 15.5 days) in successful cases. One case of the failure in drainage was due tio persistent aspiration of the neurologically impaired patient. In one patient, the abscess resolved after drainage but recurred after inadvertent removal of the catheter 7 days after insertion. In two patients, concurrent pleural empyema was resolved completely by the drainage. Computed tomography provide anatomic details necessary for choosing the puncture site and avoiding a puncture of the lung parenchyma. Percutaneous catheter drainage is safe and effective method for treating patient with lung abscess

Endoscopic burr hole evacuation of an acute subdural hematoma.

Science.gov (United States)

Codd, Patrick J; Venteicher, Andrew S; Agarwalla, Pankaj K; Kahle, Kristopher T; Jho, David H

2013-12-01

Acute subdural hematoma evacuations frequently necessitate large craniotomies with extended operative times and high relative blood loss, which can lead to additional morbidity for the patient. While endoscopic minimally invasive approaches to chronic subdural collections have been successfully demonstrated, this technique has not previously been applied to acute subdural hematomas. The authors report their experience with an 87-year-old patient presenting with a large acute right-sided subdural hematoma successfully evacuated via an endoscopic minimally invasive technique. The operative approach is outlined, and the literature on endoscopic subdural collection evacuation reviewed. Copyright © 2013. Published by Elsevier Ltd.

Routine Sub-hepatic Drainage versus No Drainage after Laparoscopic Cholecystectomy: Open, Randomized, Clinical Trial.

Science.gov (United States)

Shamim, Muhammad

2013-02-01

Surgeons are still following the old habit of routine subhepatic drainage following laparoscopic cholecystectomy (LC). This study aims to compare the outcome of subhepatic drainage with no drainage after LC. This prospective study was conducted in two phases. Phase I was open, randomized controlled trial (RCT), conducted in Civil Hospital Karachi, from August 2004 to June 2005. Phase II was descriptive case series, conducted in author's practice hospitals of Karachi, from July 2005 to December 2009. In phase I, 170 patients with chronic calculous cholecystitis underwent LC. Patients were divided into two groups, subhepatic drainage (group A: 79 patients) or no drainage (group B: 76 patients). The rest 15 patients were excluded either due to conversion or elective subhepatic drainage. In phase II, 218 consecutive patients were enrolled, who underwent LC with no subhepatic drainage. Duration of operation, character, and amount of drain fluid (if placed), postoperative ultrasound for subhepatic collection, postoperative chest X-ray for the measurement of subdiaphragmatic air, postoperative pain, postoperative nausea/vomiting, duration of hospital stay, and preoperative or postoperative complications were noted and analyzed. Duration of operation and hospital stay was slightly longer in group A patients (P values 0.002 and 0.029, respectively); postoperative pain perception, nausea/vomiting, and postoperative complications were nearly same in both groups (P value 0.064, 0.078, and 0.003, respectively). Subhepatic fluid collection was more in group A (P = 0.002), whereas subdiaphragmatic air collection was more in group B (P = 0.003). Phase II results were nearly similar to group B patients in phase I. Routine subhepatic drainage after LC is not necessary in uncomplicated cases.

Endoscopic Ultrasound-Guided Perirectal Abscess Drainage without Drainage Catheter: A Case Series

Directory of Open Access Journals (Sweden)

Eun Kwang Choi

2017-05-01

Full Text Available A perirectal abscess is a relatively common disease entity that occurs as a postsurgical complication or as a result of various medical conditions. Endoscopic ultrasound (EUS-guided drainage was recently described as a promising alternative treatment. Previous reports have recommended placement of a drainage catheter through the anus for irrigation, which is inconvenient to the patient and carries a risk of accidental dislodgement. We report four cases of perirectal abscess that were successfully treated with only one or two 7 F double pigtail plastic stent placements and without a drainage catheter for irrigation.

The incidence and risk factors of meningitis after major craniotomy in China: a retrospective cohort study.

Science.gov (United States)

Chen, Chen; Zhang, Bingyan; Yu, Shenglei; Sun, Feng; Ruan, Qiaoling; Zhang, Wenhong; Shao, Lingyun; Chen, Shu

2014-01-01

Meningitis after neurosurgery can result in severe morbidity and high mortality. Incidence varies among regions and limited data are focused on meningitis after major craniotomy. This retrospective cohort study aimed to determine the incidence, risk factors and microbiological spectrum of postcraniotomy meningitis in a large clinical center of Neurosurgery in China. Patients who underwent neurosurgeries at the Department of Neurosurgery in Huashan Hospital, the largest neurosurgery center in Asia and the Pacific, between 1st January and 31st December, 2008 were selected. Individuals with only shunts, burr holes, stereotactic surgery, transsphenoidal or spinal surgery were excluded. The complete medical records of each case were reviewed, and data on risk factors were extracted and evaluated for meningitis. A total of 65 meningitides were identified among 755 cases in the study, with an incidence of 8.60%. The risk of meningitis was increased by the presence of diabetes mellitus (odds ratio [OR], 6.27; P = 0.009), the use of external ventricular drainage (OR, 4.30; P = 0.003) and the use of lumbar drainage (OR, 17.23; PMeningitis remains an important source of morbidity and mortality after major craniotomy. Diabetic patients or those with cerebral spinal fluid shunts carry significant high risk of infection. Thus, identification of the risk factors as soon as possible will help physicians to improve patient care.

Exploring Agricultural Drainage's Influence on Wetland and ...

Science.gov (United States)

Artificial agricultural drainage (i.e. surface ditches or subsurface tile) is an important agricultural management tool. Artificial drainage allows for timely fieldwork and adequate root aeration, resulting in greater crop yields for farmers. This practice is widespread throughout many regions of the United States and the network of artificial drainage is especially extensive in flat, poorly-drained regions like the glaciated Midwest. While beneficial for crop yields, agricultural drains often empty into streams within the natural drainage system. The increased network connectivity may lead to greater contributing area for watersheds, altered hydrology and increased conveyance of pollutants into natural water bodies. While studies and models at broader scales have implicated artificial drainage as an important driver of hydrological shifts and eutrophication, the actual spatial extent of artificial drainage is poorly known. Consequently, metrics of wetland and watershed connectivity within agricultural regions often fail to explicitly include artificial drainage. We use recent agricultural census data, soil drainage data, and land cover data to create estimates of potential agricultural drainage across the United States. We estimate that agricultural drainage in the US is greater than 31 million hectares and is concentrated in the upper Midwest Corn Belt, covering greater than 50% of available land for 114 counties. Estimated drainage values for numerous countie

Mine Drainage Generation and Control Options.

Science.gov (United States)

Wei, Xinchao; Rodak, Carolyn M; Zhang, Shicheng; Han, Yuexin; Wolfe, F Andrew

2016-10-01

This review provides a snapshot of papers published in 2015 relevant to the topic of mine drainage generation and control options. The review is broken into 3 sections: Generation, Prediction and Prevention, and Treatment Options. The first section, mine drainage generation, focuses on the characterization of mine drainage and the environmental impacts. As such, it is broken into three subsections focused on microbiological characterization, physiochemical characterization, and environmental impacts. The second section of the review is divided into two subsections focused on either the prediction or prevention of acid mine drainage. The final section focuses on treatment options for mine drainage and waste sludge. The third section contains subsections on passive treatment, biological treatment, physiochemical treatment, and a new subsection on beneficial uses for mine drainage and treatment wastes.

Percutaneous catheter drainage of intrapulmonary fluid collection

International Nuclear Information System (INIS)

Park, E. D.; Kim, H. J.; Choi, P. Y.; Jung, S. H.

1994-01-01

With the success of percutaneous abdominal abscess drainage, attention is now being focused on the use of similar techniques in the thorax. We studied to evaluate the effect of percutaneous drainage in parenchymal fluid collections in the lungs. We performed percutaneous drainage of abscesses and other parenchymal fluid collections of the lungs in 15 patients. All of the procedures were performed under the fluoroscopic guidance with an 18-gauge Seldinger needle and coaxial technique with a 8-10F drainage catheter. Among 10 patients with lung abscess, 8 patients improved by percutaneous catheter drainage. In one patient, drainage was failed by the accidental withdrawal of the catheter before complete drainage. One patient died of sepsis 5 hours after the procedure. Among three patients with complicated bulla, successful drainage was done in two patients, but in the remaining patient, the procedure was failed. In one patient with intrapulmonary bronchogenic cyst, the drainage was not successful due to the thick internal contents. In one patient with traumatic hematoma, after the drainage of old blood clots, the signs of infection disappeared. Overally, of 14 patients excluding one who died, 11 patients improved with percutaneous catheter drainage and three patients did not. There were no major complications during and after the procedure. We conclude that percutaneous catheter drainage is effective and safe procedure for the treatment of parenchymal fluid collections of the lung in patients unresponsive to the medical treatment

Percutaneous catheter drainage of intrapulmonary fluid collection

Energy Technology Data Exchange (ETDEWEB)

Park, E. D.; Kim, H. J.; Choi, P. Y.; Jung, S. H. [Gyeongsang National University Hospital, Chinju (Korea, Republic of)

1994-01-15

With the success of percutaneous abdominal abscess drainage, attention is now being focused on the use of similar techniques in the thorax. We studied to evaluate the effect of percutaneous drainage in parenchymal fluid collections in the lungs. We performed percutaneous drainage of abscesses and other parenchymal fluid collections of the lungs in 15 patients. All of the procedures were performed under the fluoroscopic guidance with an 18-gauge Seldinger needle and coaxial technique with a 8-10F drainage catheter. Among 10 patients with lung abscess, 8 patients improved by percutaneous catheter drainage. In one patient, drainage was failed by the accidental withdrawal of the catheter before complete drainage. One patient died of sepsis 5 hours after the procedure. Among three patients with complicated bulla, successful drainage was done in two patients, but in the remaining patient, the procedure was failed. In one patient with intrapulmonary bronchogenic cyst, the drainage was not successful due to the thick internal contents. In one patient with traumatic hematoma, after the drainage of old blood clots, the signs of infection disappeared. Overally, of 14 patients excluding one who died, 11 patients improved with percutaneous catheter drainage and three patients did not. There were no major complications during and after the procedure. We conclude that percutaneous catheter drainage is effective and safe procedure for the treatment of parenchymal fluid collections of the lung in patients unresponsive to the medical treatment.

Comparison of natural drainage group and negative drainage groups after total thyroidectomy: prospective randomized controlled study.

Science.gov (United States)

Woo, Seung Hoon; Kim, Jin Pyeong; Park, Jung Je; Shim, Hyun Seok; Lee, Sang Ha; Lee, Ho Joong; Won, Seong Jun; Son, Hee Young; Kim, Rock Bum; Son, Young-Ik

2013-01-01

The aim of this study was to compare a negative pressure drain with a natural drain in order to determine whether a negative pressure drainage tube causes an increase in the drainage volume. Sixty-two patients who underwent total thyroidectomy for papillary thyroid carcinoma (PTC) were enrolled in the study between March 2010 and August 2010 at Gyeongsang National University Hospital. The patients were prospectively and randomly assigned to two groups, a negative pressure drainage group (n=32) and natural drainage group (n=30). Every 3 hours, the volume of drainage was checked in the two groups until the tube was removed. The amount of drainage during the first 24 hours postoperatively was 41.68 ± 3.93 mL in the negative drain group and 25.3 ± 2.68 mL in the natural drain group (pdrain group was 35.19 ± 4.26 mL and natural drain groups 21.53 ± 2.90 mL (pdrain may increase the amount of drainage during the first 24-48 hours postoperatively. Therefore, it is not necessary to place a closed suction drain when only a total thyroidectomy is done.

Intracranial subdural hematomas with elevated rivaroxaban concentration and subsequently detected spinal subdural hematoma: A case report.

Science.gov (United States)

Yamaguchi, Yoshitaka; Koga, Masatoshi; Matsuki, Takayuki; Hino, Tenyu; Yokota, Chiaki; Toyoda, Kazunori

2016-07-01

A 79-year-old lean man with a height of 157cm and weight of 42kg (body mass index, 17.2kg/m(2)) receiving rivaroxaban developed an intracranial subdural hematoma and was treated conservatively. Because he had a reduced creatinine clearance of 44mL/min, his dosage of rivaroxaban was reduced from 15 to 10mg daily according to official Japanese prescribing information. However, he developed bilateral intracranial subdural hematomas 2weeks later. Plasma rivaroxaban concentration on anti-factor Xa chromogenic assay was elevated at 301ng/mL, suggesting excessive accumulation. He underwent burr hole drainage and resumed anticoagulation with warfarin. Subsequently, he developed a lumbosacral hematoma. He was treated conservatively and discharged without neurological sequelae. The main cause of the increased concentration of rivaroxaban was believed to be his older age and low body weight. The etiology of the spinal hematoma was suspected to be the migration of intracranial hematoma to the spinal subdural space. Copyright © 2016 Elsevier Ltd. All rights reserved.

Drainage filter technologies to mitigate site-specific phosphorus losses in agricultural drainage discharge

DEFF Research Database (Denmark)

Kjærgaard, Charlotte; Heckrath, Goswin Johann; Canga, Eriona

in drainage. The Danish “SUPREME-TECH” project (2010-2016) (www.supreme-tech.dk) aims at providing the scientific basis for developing cost-effective filter technologies for P in agricultural drainage waters. The project studies different approaches of implementing filter technologies including drainage well....... Targeting high risk areas of P loss and applying site-specific measures promises to be a cost-efficient approach. The Danish Commission for Nature and Agriculture has, therefore, now called for a paradigm shift towards targeted, cost-efficient technologies to mitigate site-specific nutrient losses...... environmental threshold values (

[Ascites drainage at home

NARCIS (Netherlands)

Lutjeboer, J.; Erkel, A.R. van; Hoeven, J.J.M. van der; Meer, R.W. van der

2015-01-01

Ascites can lead to many symptoms, and often occurs in patients with an end-stage malignancy such as ovarian, pancreatic, colonic, or gastric cancer. Intermittent ascites drainage is applied in these patients as a palliative measure. As frequent drainage is necessary, a subcutaneously tunnelled

Percutaneous transhepatic biliary drainage

International Nuclear Information System (INIS)

Park, Jae Hyung; Hong, Seong Mo; Han, Man Chung

1982-01-01

Percutaneous transhepatic biliary drainage was successfully made 20 times on 17 patients of obstructive jaundice for recent 1 year since June 1981 at Department of Radiology in Seoul National University Hospital. The causes of obstructive jaundice was CBD Ca in 13 cases, metastasis in 2 cases, pancreatic cancer in 1 case and CBD stone in 1 case. Percutaneous transhepatic biliary drainage is a relatively ease, safe and effective method which can be done after PTC by radiologist. It is expected that percutaneous transhepatic biliary drainage should be done as an essential procedure for transient permanent palliation of obstructive jaundice

Endoscope-assisted, minimally invasive evacuation of sub-acute/chronic epidural hematoma: Novelty or paradox of Theseus?

Science.gov (United States)

Ansari, Ishtyaque; Futane, Sameer; Ansari, Ashfaque

2016-08-01

Sub-acute/chronic epidural hematoma (EDH) may present with nagging symptoms of headache, nausea, vomiting, lethargy, etc. We attempted to offer a minimally invasive, single burr hole, endoscope-assisted evacuation of EDHs instead of a conventional craniotomy. Seven patients with sub-acute/chronic EDH (six supratentorial and one infratentorial) presented to us 3 to 7 days after low-velocity road traffic accidents with complaints of headache and lethargy. The EDH volumes measured between 20 to 50 ml, and the patients were operated on using a single burr hole made through a small incision. We used 0-, 30- and 70-degree, angulated, rigid, high-definition endoscopes to identify and evacuate the organized clots in the extradural space. Flexible catheters were used for suction and irrigation. After achieving hemostasis, the dura was hitched back to the burr hole site. The wound was closed over a negative suction drain. All patients had prompt recovery from symptoms. Postoperative CT scans showed complete or near complete evacuation of the hematomas. The hospital stay and analgesic requirements were minimal. There was no infective complication or conversion to conventional open surgery. The average time for surgery was 77.8 min, and average blood loss was 328.5 ml. Endoscope-assisted evacuation of sub-acute/chronic EDH is a novel concept, which offers quick relief from symptoms in a minimally invasive fashion and a cosmetically acceptable way. None of the standard principles of surgery are hampered. It avoids extensive dissection of the temporalis or sub-occipital muscles. However, achieving hemostasis can be difficult. Further study and better equipment will validate the procedure.

Agricultural drainage water quality

International Nuclear Information System (INIS)

Madani, A.; Gordon, R.

2002-01-01

'Full text:' Agricultural drainage systems have been identified as potential contributors of non-point source pollution. Two of the major concerns have been with nitrate-nitrogen (NO3 - -N) concentrations and bacteria levels exceeding the Maximum Acceptable Concentration in drainage water. Heightened public awareness of environmental issues has led to greater pressure to maintain the environmental quality of water systems. In an ongoing field study, three experiment sites, each with own soil properties and characteristics, are divided into drainage plots and being monitored for NO3 - -N and fecal coliforms contamination. The first site is being used to determine the impact of the rate of manure application on subsurface drainage water quality. The second site is being used to determine the difference between hog manure and inorganic fertilizer in relation to fecal coliforms and NO3-N leaching losses under a carrot rotation system. The third site examines the effect of timing of manure application on water quality, and is the only site equipped with a surface drainage system, as well as a subsurface drainage system. Each of the drains from these fields lead to heated outflow buildings to allow for year-round measurements of flow rates and water samples. Tipping buckets wired to data-loggers record the outflow from each outlet pipe on an hourly basis. Water samples, collected from the flowing drains, are analyzed for NO3 - -N concentrations using the colorimetric method, and fecal coliforms using the Most Probable Number (MPN) method. Based on this information, we will be able better positioned to assess agricultural impacts on water resources which will help towards the development on industry accepted farming practices. (author)

Arterial Pulsations cannot Drive Intramural Periarterial Drainage: Significance for Aβ Drainage

Directory of Open Access Journals (Sweden)

Alexandra K. Diem

2017-08-01

Full Text Available Alzheimer's Disease (AD is the most common form of dementia and to date there is no cure or efficient prophylaxis. The cognitive decline correlates with the accumulation of amyloid-β (Aβ in the walls of capillaries and arteries. Our group has demonstrated that interstitial fluid and Aβ are eliminated from the brain along the basement membranes of capillaries and arteries, the intramural periarterial drainage (IPAD pathway. With advancing age and arteriosclerosis, the stiffness of arterial walls, this pathway fails in its function and Aβ accumulates in the walls of arteries. In this study we tested the hypothesis that arterial pulsations drive IPAD and that a valve mechanism ensures the net drainage in a direction opposite to that of the blood flow. This hypothesis was tested using a mathematical model of the drainage mechanism. We demonstrate firstly that arterial pulsations are not strong enough to produce drainage velocities comparable to experimental observations. Secondly, we demonstrate that a valve mechanism such as directional permeability of the IPAD pathway is necessary to achieve a net reverse flow. The mathematical simulation results are confirmed by assessing the pattern of IPAD in mice using pulse modulators, showing no significant alteration of IPAD. Our results indicate that forces other than the cardiac pulsations are responsible for efficient IPAD.

Drainage under increasing and changing requirements

NARCIS (Netherlands)

Schultz, E.; Zimmer, D.; Vlotman, W.F.

2007-01-01

This year the Working Group on Drainage of the International Commission on Irrigation and Drainage (ICID) celebrates its 25th anniversary. This paper reviews the development of drainage for three different agro-climatic zones, i.e. the temperate (humid), the arid/semi-arid and the humid/semi-humid

Treatment of chronic subdural hematomas with subdural evacuating port system placement in the intensive care unit: evolution of practice and comparison with bur hole evacuation in the operating room.

Science.gov (United States)

Flint, Alexander C; Chan, Sheila L; Rao, Vivek A; Efron, Allen D; Kalani, Maziyar A; Sheridan, William F

2017-12-01

OBJECTIVE The aims of this study were to evaluate a multiyear experience with subdural evacuating port system (SEPS) placement for chronic subdural hematoma (cSDH) in the intensive care unit at a tertiary neurosurgical center and to compare SEPS placement with bur hole evacuation in the operating room. METHODS All cases of cSDH evacuation were captured over a 7-year period at a tertiary neurosurgical center within an integrated health care delivery system. The authors compared the performance characteristics of SEPS and bur hole placement with respect to recurrence rates, change in recurrence rates over time, complications, length of stay, discharge disposition, and mortality rates. RESULTS A total of 371 SEPS cases and 659 bur hole cases were performed (n = 1030). The use of bedside SEPS placement for cSDH treatment increased over the 7-year period, from 14% to 80% of cases. Reoperation within 6 months was higher for the SEPS (15.6%) than for bur hole drainage (9.1%) across the full 7-year period (p = 0.002). This observed overall difference was due to a higher rate of reoperation during the same hospitalization (7.0% for SEPS vs 3.2% for bur hole; p = 0.008). Over time, as the SEPS procedure became more common and modifications of the SEPS technique were introduced, the rate of in-hospital reoperation after SEPS decreased to 3.3% (p = 0.02 for trend), and the difference between SEPS and bur hole recurrence was no longer significant (p = 0.70). Complications were uncommon and were similar between the groups. CONCLUSIONS Overall performance characteristics of bedside SEPS and bur hole drainage in the operating room were similar. Modifications to the SEPS technique over time were associated with a reduced reoperation rate.

Social impact assessment of subsurface drainage

International Nuclear Information System (INIS)

Azhar, A.H.; Rafiq, M.; Alam, M.M.

2005-01-01

Social impact assessment of four drainage projects namely; Mardan SCARP Project (MSP), Fourth Drainage Project, Faisalabad (FDP), Chashma Command Area Development Project (CCADP) and Mirpurkhas Tile Drainage Project (MKOP) has been done. For this purpose, a socio-technical survey was carried out in which randomly selected farmers were interviewed. The investigations revealed that although significant population (-77%) at four study sites was educated, yet, the farmers were not satisfactorily educated to understand the operation and maintenance of drainage systems. The perusal of data revealed that 14%, 17% and 25% respondents from MSP, FOP and MKDP respectively had to migrate from their villages mainly due to pre-project water logging problem. However, installation of drainage systems in those areas improved the situation resulting in the increase of farm income, which was an attraction for them to return to their villages. The analysis of farm mechanization revealed that at MSP, FDP, CCADP and MKOP sites 71%, 42%, 40% and 75% respondents respectively were tractor owners and owners of some kind of other farm implements, whereas, remaining respondents were performing their farm operations on hire basis. Although, hire operation basis is much better than traditional ways, however, improving the farm mechanization could further enhance the benefits of drainage systems. The investigations revealed that a significant majority of respondents at four project sites had never met the Agricultural Extension Officer. The farmers' access to financing institutions such as ZTB was also negligible. There was lack of coordination among various departments such as WAPDA, Agriculture Extension and Irrigation and Power Department at four study sites. Nevertheless, the overall social impact investigations did reveal that the objectives of drainage systems installation have been achieved in terms of uplifting the socio-economic conditions of drainage areas. To make the efficient use of

Inventory of drainage wells and potential sources of contaminants to drainage-well inflow in Southwest Orlando, Orange County, Florida

Science.gov (United States)

Taylor, George Fred

1993-01-01

Potential sources of contaminants that could pose a threat to drainage-well inflow and to water in the Floridan aquifer system in southwest Orlando, Florida, were studied between October and December 1990. Drainage wells and public-supply wells were inventoried in a 14-square-mile area, and available data on land use and activities within each drainage well basin were tabulated. Three public-supply wells (tapping the Lower Floridan aquifer) and 38 drainage wells (open to the Upper Floridan aquifer) were located in 17 drainage basins within the study area. The primary sources of drainage-well inflow are lake overflow, street runoff, seepage from the surficial aquifer system, and process-wastewater disposal. Drainage-well inflow from a variety of ares, including resi- dential, commercial, undeveloped, paved, and industrial areas, are potential sources of con- taminants. The four general types of possible contaminants to drainage-well inflow are inorganic chemicals, organic compounds, turbidity, and microbiological contaminants. Potential contami- nant sources include plant nurseries, citrus groves, parking lots, plating companies, auto- motive repair shops, and most commonly, lake- overflow water. Drainage wells provide a pathway for contaminants to enter the Upper Floridan aquifer and there is a potential for contaminants to move downward from the Upper Floridan to the Lower Floridan aquifer.

Wound Drainage Culture (For Parents)

Science.gov (United States)

... Fitness Diseases & Conditions Infections Drugs & Alcohol School & Jobs Sports Expert Answers (Q&A) Staying Safe Videos for Educators Search English Español Wound Drainage Culture KidsHealth / For Parents / Wound Drainage Culture What's in ...

Black holes

International Nuclear Information System (INIS)

Feast, M.W.

1981-01-01

This article deals with two questions, namely whether it is possible for black holes to exist, and if the answer is yes, whether we have found any yet. In deciding whether black holes can exist or not the central role in the shaping of our universe played by the forse of gravity is discussed, and in deciding whether we are likely to find black holes in the universe the author looks at the way stars evolve, as well as white dwarfs and neutron stars. He also discusses the problem how to detect a black hole, possible black holes, a southern black hole, massive black holes, as well as why black holes are studied

Pre-operative biliary drainage for obstructive jaundice

Science.gov (United States)

Fang, Yuan; Gurusamy, Kurinchi Selvan; Wang, Qin; Davidson, Brian R; Lin, He; Xie, Xiaodong; Wang, Chaohua

2014-01-01

Background Patients with obstructive jaundice have various pathophysiological changes that affect the liver, kidney, heart, and the immune system. There is considerable controversy as to whether temporary relief of biliary obstruction prior to major definitive surgery (pre-operative biliary drainage) is of any benefit to the patient. Objectives To assess the benefits and harms of pre-operative biliary drainage versus no pre-operative biliary drainage (direct surgery) in patients with obstructive jaundice (irrespective of a benign or malignant cause). Search methods We searched the Cochrane Hepato-Biliary Group Controlled Trials Register, Cochrane Central Register of Controlled Clinical Trials (CENTRAL) in The Cochrane Library, MEDLINE, EMBASE, and Science Citation Index Expanded until February 2012. Selection criteria We included all randomised clinical trials comparing biliary drainage followed by surgery versus direct surgery, performed for obstructive jaundice, irrespective of the sample size, language, and publication status. Data collection and analysis Two authors independently assessed trials for inclusion and extracted data. We calculated the risk ratio (RR), rate ratio (RaR), or mean difference (MD) with 95% confidence intervals (CI) based on the available patient analyses. We assessed the risk of bias (systematic overestimation of benefit or systematic underestimation of harm) with components of the Cochrane risk of bias tool. We assessed the risk of play of chance (random errors) with trial sequential analysis. Main results We included six trials with 520 patients comparing pre-operative biliary drainage (265 patients) versus no pre-operative biliary drainage (255 patients). Four trials used percutaneous transhepatic biliary drainage and two trials used endoscopic sphincterotomy and stenting as the method of pre-operative biliary drainage. The risk of bias was high in all trials. The proportion of patients with malignant obstruction varied between 60

Advances in drainage: Selected works from the Tenth International Drainage Symposium

Science.gov (United States)

Strock, Jeffrey S.; Hay, Christopher; Helmers, Matthew; Nelson, Kelly A.; Sands, Gary R.; Skaggs, R. Wayne; Douglas-Mankin, Kyle R.

2018-01-01

This article introduces a special collection of fourteen articles accepted from among the 140 technical presentations, posters, and meeting papers presented at the 10th International ASABE Drainage Symposium. The symposium continued in the tradition of previous symposia that began in 1965 as a forum for presenting and assessing the progress of drainage research and implementation throughout the world. The articles in this collection address a wide range of topics grouped into five broad categories: (1) crop response, (2) design and management, (3) hydrology and scale, (4) modeling, and (5) water quality. The collection provides valuable information for scientists, engineers, planners, and others working on crop production, water quality, and water quantity issues affected by agricultural drainage. The collection also provides perspectives on the challenges of increasing agricultural production in a changing climate, with ever-greater attention to water quality and quantity concerns that will require integrated technical, economic, and social solutions.

[Ascites drainage at home].

Science.gov (United States)

Lutjeboer, Jacob; van Erkel, Arian R; van der Hoeven, J J M Koos; van der Meer, Rutger W

2015-01-01

Ascites can lead to many symptoms, and often occurs in patients with an end-stage malignancy such as ovarian, pancreatic, colonic, or gastric cancer. Intermittent ascites drainage is applied in these patients as a palliative measure. As frequent drainage is necessary, a subcutaneously tunnelled permanent ascites catheter is a good alternative for intermittent drainage. The patient can open - and then re-close - the catheter when abdominal pressure increases. We inserted 35 subcutaneously permanent ascites catheters in the course of the past 3.5 years in the Leiden University Medical Centre. The success rate was 100% and the complication risk was 2.9%. A subcutaneously tunnelled ascites catheter is an effective and safe palliative treatment for patients with end-stage malignant disease and suffering from ascites.

Failures and complications of thoracic drainage

Directory of Open Access Journals (Sweden)

Đorđević Ivana

2006-01-01

Full Text Available Background/Aim. Thoracic drainage is a surgical procedure for introducing a drain into the pleural space to drain its contents. Using this method, the pleura is discharged and set to the physiological state which enables the reexpansion of the lungs. The aim of the study was to prove that the use of modern principles and protocols of thoracic drainage significantly reduces the occurrence of failures and complications, rendering the treatment more efficient. Methods. The study included 967 patients treated by thoracic drainage within the period from January 1, 1989 to June 1, 2000. The studied patients were divided into 2 groups: group A of 463 patients treated in the period from January 1, 1989 to December 31, 1994 in whom 386 pleural drainage (83.36% were performed, and group B of 602 patients treated form January 1, 1995 to June 1, 2000 in whom 581 pleural drainage (96.51% were performed. The patients of the group A were drained using the classical standards of thoracic drainage by the general surgeons. The patients of the group B, however, were drained using the modern standards of thoracic drainage by the thoracic surgeons, and the general surgeons trained for this kind of the surgery. Results. The study showed that better results were achieved in the treatment of the patients from the group B. The total incidence of the failures and complications of thoracic drainage decreased from 36.52% (group A to 12.73% (group B. The mean length of hospitalization of the patients without complications in the group A was 19.5 days versus 10 days in the group B. The mean length of the treatment of the patients with failures and complications of the drainage in the group A was 33.5 days versus 17.5 days in the group B. Conclusion. The shorter length of hospitalization and the lower morbidity of the studied patients were considered to be the result of the correct treatment using modern principles of thoracic drainage, a suitable surgical technique, and a

σ-holes and π-holes: Similarities and differences.

Science.gov (United States)

Politzer, Peter; Murray, Jane S

2018-04-05

σ-Holes and π-holes are regions of molecules with electronic densities lower than their surroundings. There are often positive electrostatic potentials associated with them. Through these potentials, the molecule can interact attractively with negative sites, such as lone pairs, π electrons, and anions. Such noncovalent interactions, "σ-hole bonding" and "π-hole bonding," are increasingly recognized as being important in a number of different areas. In this article, we discuss and compare the natures and characteristics of σ-holes and π-holes, and factors that influence the strengths and locations of the resulting electrostatic potentials. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

Preoperative endoscopic versus percutaneous transhepatic biliary drainage in potentially resectable perihilar cholangiocarcinoma (DRAINAGE trial): design and rationale of a randomized controlled trial.

Science.gov (United States)

Wiggers, Jimme K; Coelen, Robert J S; Rauws, Erik A J; van Delden, Otto M; van Eijck, Casper H J; de Jonge, Jeroen; Porte, Robert J; Buis, Carlijn I; Dejong, Cornelis H C; Molenaar, I Quintus; Besselink, Marc G H; Busch, Olivier R C; Dijkgraaf, Marcel G W; van Gulik, Thomas M

2015-02-14

Liver surgery in perihilar cholangiocarcinoma (PHC) is associated with high postoperative morbidity because the tumor typically causes biliary obstruction. Preoperative biliary drainage is used to create a safer environment prior to liver surgery, but biliary drainage may be harmful when severe drainage-related complications deteriorate the patients' condition or increase the risk of postoperative morbidity. Biliary drainage can cause cholangitis/cholecystitis, pancreatitis, hemorrhage, portal vein thrombosis, bowel wall perforation, or dehydration. Two methods of preoperative biliary drainage are mostly applied: endoscopic biliary drainage, which is currently used in most regional centers before referring patients for surgical treatment, and percutaneous transhepatic biliary drainage. Both methods are associated with severe drainage-related complications, but two small retrospective series found a lower incidence in the number of preoperative complications after percutaneous drainage compared to endoscopic drainage (18-25% versus 38-60%, respectively). The present study randomizes patients with potentially resectable PHC and biliary obstruction between preoperative endoscopic or percutaneous transhepatic biliary drainage. The study is a multi-center trial with an "all-comers" design, randomizing patients between endoscopic or percutaneous transhepatic biliary drainage. All patients selected to potentially undergo a major liver resection for presumed PHC are eligible for inclusion in the study provided that the biliary system in the future liver remnant is obstructed (even if they underwent previous inadequate endoscopic drainage). Primary outcome measure is the total number of severe preoperative complications between randomization and exploratory laparotomy. The study is designed to detect superiority of percutaneous drainage: a provisional sample size of 106 patients is required to detect a relative decrease of 50% in the number of severe preoperative

Clinical application of synthesized brain surface imaging for preoperative simulation of brain biopsy under local anesthesia

International Nuclear Information System (INIS)

Ogura, Yuko; Katada, Kazuhiro; Imai, Fumihiro; Fujisawa, Kazuhisa; Takeshita, Gen; Kanno, Tetsuo; Koga, Sukehiko

1994-01-01

Surface anatomy scanning (SAS) is the technique which permits the direct visualization of brain surface structures, including cortical sulci, guri, subcortical lesions as well as skin markings for craniotomy. A synthesized brain surface image is a technique that combines MR angiography (MRA) with SAS, and it proposed by us for detecting cerebral superficial veins with these surface structures on the same image. The purpose of this report is to present the result of applying the synthesized brain surface image to the preoperative simulation of biopsy under local anesthesia in 2 cases of multiple metastatic brain tumors. The parameters for SAS were TR/TE=50/40 msec, flip angle=60deg by the fast T 2 technique using refocused FID in steady-state (STERF technique). SAS images were processed by gray scale reversal. The MRA data were acquired with two-dimensional time of flight (TOF) sequence after intravenous administration of Gd-DTPA. Before imaging, the water-filled plastic tubes were placed on the patients scalp as markings for craniotomy. Their positions were planned by the neurosurgeons. On SAS, the markings for burr-hole appeared located above the tumors. However on the synthesized brain surface images, the positions of burr-hole were considered to be inadequate, since superficial cerebral vein and sinus were also visualized in the area of the markings. From these results, the positions of burr-hole were reset to avoid the venous structures, and so as to include the lesions in operations. The biopsies were performed successfully and safely because the venous structure could be excluded from the operative field. By this technique it was easy to confirm the relationships among lesions, skin markings and venous structures. The technique described appears to be a useful method for preoperative simulation of biopsies for multiple metastatic brain tumors under local anesthesia. (author)

Acid drainage (AD) in nature and environmental impact of acid mine drainage (AMD) in Southern Tuscany

International Nuclear Information System (INIS)

Di Lella, Luigi Antonello; Protano, Giuseppe; Riccobono, Francesco

2005-01-01

Acid drainage (AD) is a natural process occurring locally at the Earth's surface. It consists in a substantial increase of acidity of surface waters as a result of chemical reactions occurring in the atmosphere (i.e. acid rain) or involving reactive phases (i.e. pyrite) present in the percolated medium. Acidic surface waters (usually pH < 4) can be produced by oxidation of sulphides (mainly pyrite and other iron sulphides) exposed to atmospheric oxygen, while human activities, such as mining, can greatly enhance this process. Acid drainage promoted by mining activities is called acid mine drainage (AMD) and is a primary source of environmental pollution and a world-wide problem in both active and abandoned mining areas. In fact, exposure of iron sulphides to oxidising conditions produces strongly acidic drainage waters rich in sulphate and a variety of heavy elements (i.e. As, Cd, Pb, Sb). Several occurrences of active acid mine drainage have been found in the Metalliferous Hills (southern Tuscany). The most important AMD phenomena were observed in the Fenice Capanne and Niccioleta mining areas

Percutaneous drainage of abscesses associated with biliary fistulae

International Nuclear Information System (INIS)

Berger, H.; Winter, T.; Pratschke, E.; Sauerbruch, T.; Klinikum Grosshadern, Muenchen; Klinikum Grosshadern, Muenchen

1989-01-01

33 abdominal abscesses associated with fistulae in 31 patients were treated by percutaneous drainage. 19 of these patients had had surgery immediately preceding the drainage. In 64% the percutaneous drainage led to a diagnosis of an internal fistula. Additional therapeutic measures, because of the fistula, were necessary in 45% (operation, biliary drainage, repositioning of catheter). The average duration of drainage was 29 days. 77% of those abscesses which could be drained were treated successfully. Mortality in the entire series was 19%. (orig.) [de

Reuse of drainage water in the Nile Delta; monitoring, modelling and analysis; final report Reuse of Drainage Water Project

NARCIS (Netherlands)

Staring Centrum, Instituut voor Onderzoek van het LandelijkGebied

1995-01-01

The effects of reusing drainage water have been evaluated and other options to increase the water utilization rate in Egypt explored. The results are an operational network for monitoring drainage water discharges and salinity along the major drains, a database for monitored drainage water

Black hole astrophysics

International Nuclear Information System (INIS)

Blandford, R.D.; Thorne, K.S.

1979-01-01

Following an introductory section, the subject is discussed under the headings: on the character of research in black hole astrophysics; isolated holes produced by collapse of normal stars; black holes in binary systems; black holes in globular clusters; black holes in quasars and active galactic nuclei; primordial black holes; concluding remarks on the present state of research in black hole astrophysics. (U.K.)

The incidence and risk factors of meningitis after major craniotomy in China: a retrospective cohort study.

Directory of Open Access Journals (Sweden)

Chen Chen

Full Text Available BACKGROUND: Meningitis after neurosurgery can result in severe morbidity and high mortality. Incidence varies among regions and limited data are focused on meningitis after major craniotomy. AIM: This retrospective cohort study aimed to determine the incidence, risk factors and microbiological spectrum of postcraniotomy meningitis in a large clinical center of Neurosurgery in China. METHODS: Patients who underwent neurosurgeries at the Department of Neurosurgery in Huashan Hospital, the largest neurosurgery center in Asia and the Pacific, between 1st January and 31st December, 2008 were selected. Individuals with only shunts, burr holes, stereotactic surgery, transsphenoidal or spinal surgery were excluded. The complete medical records of each case were reviewed, and data on risk factors were extracted and evaluated for meningitis. RESULTS: A total of 65 meningitides were identified among 755 cases in the study, with an incidence of 8.60%. The risk of meningitis was increased by the presence of diabetes mellitus (odds ratio [OR], 6.27; P = 0.009, the use of external ventricular drainage (OR, 4.30; P = 0.003 and the use of lumbar drainage (OR, 17.23; P<0.001. The isolated microorganisms included Acinetobacter baumannii, Enterococcus sp, Streptococcus intermedius and Klebsiella pneumonia. CONCLUSIONS: Meningitis remains an important source of morbidity and mortality after major craniotomy. Diabetic patients or those with cerebral spinal fluid shunts carry significant high risk of infection. Thus, identification of the risk factors as soon as possible will help physicians to improve patient care.

Hollow mandrin facilitates external ventricular drainage placement.

Science.gov (United States)

Heese, O; Regelsberger, J; Kehler, U; Westphal, M

2005-07-01

Placement of ventricular catheters is a routine procedure in neurosurgery. Ventricle puncture is done using a flexible ventricular catheter stabilised by a solid steel mandrin in order to improve stability during brain penetration. A correct catheter placement is confirmed after removing the solid steel mandrin by observation of cerebrospinal fluid (CSF) flow out of the flexible catheter. Incorrect placement makes further punctures necessary. The newly developed device allows CSF flow observation during the puncture procedure and in addition precise intracranial pressure (ICP) measurement. The developed mandrin is hollow with a blunt tip. On one side 4-5 small holes with a diameter of 0.8 mm are drilled corresponding exactly with the holes in the ventricular catheter, allowing CSF to pass into the hollow mandrin as soon as the ventricle is reached. By connecting a small translucent tube at the distal portion of the hollow mandrin ICP can be measured without loss of CSF. The system has been used in 15 patients with subarachnoid haemorrhage (SAH) or intraventricular haemeorrhage (IVH) and subsequent hydrocephalus. The new system improved the external ventricular drainage implantation procedure. In all 15 patients catheter placement was correct. ICP measurement was easy to perform immediately at ventricle puncture. In 4 patients at puncture no spontaneous CSF flow was observed, therefore by connecting a syringe and gentle aspiration of CSF correct placement was confirmed in this unexpected low pressure hydrocephalus. Otherwise by using the conventional technique further punctures would have been necessary. Advantages of the new technique are less puncture procedures with a lower risk of damage to neural structures and reduced risk of intracranial haemorrhages. Implantation of the ventricular catheter to far into the brain can be monitored and this complication can be overcome. Using the connected pressure monitoring tube an exact measurement of the opening

Radiologically-guided catheter drainage of intrathoracic abscesses and empyemas

International Nuclear Information System (INIS)

Berger, H.; Steiner, W.; Bergman, C.; Anthuber, M.; Dienemann, H.

1993-01-01

Radiologically guided percutaneous catheter drainage was used in 38 patients to treat pleural empyemas (35 patients) and pulmonary abscesses (3 patients). Drainage was successful in 85.7% of empyemas including 11 cases with fistulous communications. Three percutaneously drained pulmonary abscesses required subsequent lobectomy. One patient died during the drainage procedure due to sepsis. No major complications related to the drainage procedure were observed. Guided percutaneous drainage proved to be a safe and successful alternative to closed drainage of pleural fluid collections. (orig.)

Percutaneous drainage of lung abscess

Energy Technology Data Exchange (ETDEWEB)

Ri, Jong Min; Kim, Yong Joo; Kang, Duk Sik [Kyung-Pook National University Hospital, Daegu (Korea, Republic of)

1992-05-15

Medical treatment using antibiotics and postural drainage has been widely adopted as a treatment method of pulmonary abscess, accompanied by surgical methods in cases intractable to drug therapy. However long-term therapy may be required, and the tolerance of organisms to antibiotics or other complications are apt to be encountered, during medical treatment. To shorten the convalescent period or to decrease the risk of invasive procedures, rather simple and relatively easy interventional techniques such as transbronchial or percutaneous catheter drainage have been successfully tried. We have performed 12 cases of percutaneous drainages of lung abscesses under fluoroscope guidance. This report is on the results of this procedure.

Percutaneous drainage of lung abscess

International Nuclear Information System (INIS)

Ri, Jong Min; Kim, Yong Joo; Kang, Duk Sik

1992-01-01

Medical treatment using antibiotics and postural drainage has been widely adopted as a treatment method of pulmonary abscess, accompanied by surgical methods in cases intractable to drug therapy. However long-term therapy may be required, and the tolerance of organisms to antibiotics or other complications are apt to be encountered, during medical treatment. To shorten the convalescent period or to decrease the risk of invasive procedures, rather simple and relatively easy interventional techniques such as transbronchial or percutaneous catheter drainage have been successfully tried. We have performed 12 cases of percutaneous drainages of lung abscesses under fluoroscope guidance. This report is on the results of this procedure

Percutaneous drainage of diverticular abscess: Adjunct to resection

International Nuclear Information System (INIS)

Mueller, P.R.; Saini, S.; Butch, R.J.; Simeone, J.F.; Rodkey, G.V.; Bousquet, J.C.; Ottinger, L.W.; Wittenberg, J.; Ferrucci, J.T. Jr.

1986-01-01

Traditional surgical management of acute diverticulitis with abscess may require a one-, two-, or three-stage procedure. Because of recent interest in CT diagnosis of diverticulitis, and novel access routes for interventional drainage of deep pelvic abscesses, the authors investigated the potential for converting complex two- and three-stage surgical procedures to simpler, safer one-stage colon resections by percutaneous drainage of the associated abscess. Of 23 patients with acute perforated diverticulitis who were referred for catheter drainage under radiologic guidance, successful catheter drainage and subsequent single-stage colon resection were carried out in 15. In three patients catheter drainage was unsuccessful and a multistage procedure was required. In three patients only percutaneous drainage was performed and operative intervention was omitted entirely

Geohydrologic reconnaissance of drainage wells in Florida

Science.gov (United States)

Kimrey, J.O.; Fayard, L.D.

1984-01-01

Drainage wells are used to inject surface waters directly into an aquifer, or shallow ground waters directly into a deeper aquifer, primarily by gravity. Such wells in Florida may be grouped into two broad types: (1) surface-water injection wells, and (2) interaquifer connector wells. Drainage wells of the first type are further categorized as either Floridan aquifer drainage wells or Biscayne aquifer drainage wells. Floridan aquifer drainage wells are commonly used to supplement drainage for urban areas in karst terranes of central and north Florida. Data are available for 25 wells in the Ocala, Live Oak, and Orlando areas that allow comparison of the quality of water samples from these Floridan aquifer drainage wells with allowable contaminant levels. Comparison indicates that maximum contaminant levels for turbidity, color, and iron, manganese, and lead concentrations are equaled or exceeded in some drainage-well samples, and relatively high counts for coliform bacteria are present in most wells. Biscayne aquifer drainage wells are used locally to dispose of stormwater runoff and other surplus water in southeast Florida, where large numbers of these wells have been permitted in Dade and Broward Counties. The majority of these wells are used to dispose of water from swimming pools or to dispose of heated water from air-conditioning units. The use of Biscayne aquifer drainage wells may have minimal effect on aquifer potability so long as injection of runoff and industrial wates is restricted to zones where chloride concentrations exceed 1,500 milligrams per liter. Interaquifer connector wells are used in the phosphate mining areas of Polk and Hillsborough Counties, to drain mines and recharge the Floridan aquifer. Water-quality data available from 13 connector wells indicate that samples from most of these wells exceed standards values for iron concentration and turbidity. One well yielded a highly mineralized water, and samples from 6 of the other 12 wells exceed

EFFECTIVENESS OF AUTOGENIC DRAINAGE VERSUS POSTURAL DRAINAGE ON OXYGEN SATURATION IN PATIENTS WITH CHRONIC BRONCHITIS WITH 15 MINUTES POST THERAPY

OpenAIRE

V. Kiran; Dr. Bhimasen .S; E. Mastanaiah; A. Thiruppathi

2014-01-01

Background: Patients with COPD will have more amount of secretions. To clear the secretions by using of different bronchial hygiene techniques like postural drainage and autogenic drainage technique, manual hyperventilation technique ,active cycle breathing technique .Hence in this study to compare the short-term effects of postural drainage with clapping (PD) and autogenic drainage (AD) on level of oxygen saturation in blood, and amount of sputum recovery. Methodology: The study was done ...

SHORT-PULSE ELECTROMAGNETIC TRANSPONDER FOR HOLE-TO-HOLE USE.

Science.gov (United States)

Wright, David L.; Watts, Raymond D.; Bramsoe, Erik

1983-01-01

Hole-to-hole observations were made through nearly 20 m of granite using an electromagnetic transponder (an active reflector) in one borehole and a single-hole short-pulse radar in another. The transponder is inexpensive, operationally simple, and effective in extending the capability of a short-pulse borehole radar system to allow hole-to-hole operation without requiring timing cables. A detector in the transponder senses the arrival of each pulse from the radar. Each pulse detection triggers a kilovolt-amplitude pulse for retransmission. The transponder 'echo' may be stronger than that of a passive reflector by a factor of as much as 120 db. The result is an increase in range capability by a factor which depends on attenuation in the medium and hole-to-hole wavepath geometry.

Postoperative drainage in head and neck surgery.

Science.gov (United States)

Amir, Ida; Morar, Pradeep; Belloso, Antonio

2010-11-01

A major factor affecting patients' length of hospitalisation following head and neck surgery remains the use of surgical drains. The optimal time to remove these drains has not been well defined. A routine practice is to measure the drainage every 24 h and remove the drain when daily drainage falls below 25 ml. This study aims to determine whether drainage measurement at shorter intervals decreases the time to drain removal and hence the length of in-patient stays. A 6-month prospective observational study was performed. The inclusion criteria were patients who underwent head and neck surgery without neck dissection and had a closed suction drain inserted. Drainage rates were measured at 8-hourly intervals. Drains were removed when drainage-rate was ≤ 1 ml/h over an 8-h period. A total of 43 patients were evaluated. The highest drainage rate occurred in the first 8 postoperative hours and decreased significantly in the subsequent hours. The median drainage rates at 8, 16, 24, 32 and 40 postoperative hours were 3.375, 1, 0, 0 and 0 ml/h, respectively. Applying our new removal criteria of ≤ 1 ml/h drainage rate, the drains were removed in 22 (51%) patients at the 16th postoperative hour; 37 (86%) were removed by 24 h after operation. In comparison, only nine (20.9%) patients could potentially be discharged the day after surgery if previous criteria of ≤ 25 ml/24-h were used to decide on drain removal. Our 8-hourly drainage-rate monitoring has facilitated safe earlier discharge of an additional 28 (65%) patients on the day after surgery. This has led to improvement in patient care, better optimisation of hospital resources and resulted in positive economic implications to the department.

Key Technologies and Applications of Gas Drainage in Underground Coal Mine

Science.gov (United States)

Zhou, Bo; Xue, Sheng; Cheng, Jiansheng; Li, Wenquan; Xiao, Jiaping

2018-02-01

It is the basis for the long-drilling directional drilling, precise control of the drilling trajectory and ensuring the effective extension of the drilling trajectory in the target layer. The technology can be used to complete the multi-branch hole construction and increase the effective extraction distance of the coal seam. The gas drainage and the bottom grouting reinforcement in the advanced area are realized, and the geological structure of the coal seam can be proved accurately. It is the main technical scheme for the efficient drainage of gas at home and abroad, and it is applied to the field of geological structure exploration and water exploration and other areas. At present, the data transmission method is relatively mature in the technology and application, including the mud pulse and the electromagnetic wave. Compared with the mud pulse transmission mode, the electromagnetic wave transmission mode has obvious potential in the data transmission rate and drilling fluid, and it is suitable for the coal mine. In this paper, the key technologies of the electromagnetic wave transmission mode are analyzed, including the attenuation characteristics of the electromagnetic transmission channel, the digital modulation scheme, the channel coding method and the weak signal processing technology. A coal mine under the electromagnetic wave drilling prototype is developed, and the ground transmission experiments and down hole transmission test are carried out. The main work includes the following aspects. First, the equivalent transmission line method is used to establish the electromagnetic transmission channel model of coal mine drilling while drilling, and the attenuation of the electromagnetic signal is measured when the electromagnetic channel measured. Second, the coal mine EM-MWD digital modulation method is developed. Third, the optimal linear block code which suitable for EM-MWD communication channel in coal mine is proposed. Fourth, the noise characteristics

Black holes

OpenAIRE

Brügmann, B.; Ghez, A. M.; Greiner, J.

2001-01-01

Recent progress in black hole research is illustrated by three examples. We discuss the observational challenges that were met to show that a supermassive black hole exists at the center of our galaxy. Stellar-size black holes have been studied in x-ray binaries and microquasars. Finally, numerical simulations have become possible for the merger of black hole binaries.

Traditional Foley drainage systems--do they drain the bladder?

Science.gov (United States)

Garcia, Maurice M; Gulati, Shelly; Liepmann, Dorian; Stackhouse, G Bennett; Greene, Kirsten; Stoller, Marshall L

2007-01-01

Foley catheters are assumed to drain the bladder to completion. Drainage characteristics of Foley catheter systems are poorly understood. To investigate unrecognized retained urine with Foley catheter drainage systems, bladder volumes of hospitalized patients were measured with bladder scan ultrasound volumetrics. Additionally, an in vitro bench top mock bladder and urinary catheter system was developed to understand the etiology of such residual volumes. A novel drainage tube design that optimizes indwelling catheter drainage was also designed. Bedside bladder ultrasound volumetric studies were performed on patients hospitalized in ward and intensive care unit. If residual urine was identified the drainage tubing was manipulated to facilitate drainage. An ex vivo bladder-urinary catheter model was designed to measure flow rates and pressures within the drainage tubing of a traditional and a novel drainage tube system. A total of 75 patients in the intensive care unit underwent bladder ultrasound volumetrics. Mean residual volume was 96 ml (range 4 to 290). In 75 patients on the hospital ward mean residual volume was 136 ml (range 22 to 647). In the experimental model we found that for every 1 cm in curl height, obstruction pressure increased by 1 cm H2O within the artificial bladder. In contrast, the novel spiral-shaped drainage tube demonstrated rapid (0.5 cc per second), continuous and complete (100%) reservoir drainage in all trials. Traditional Foley catheter drainage systems evacuate the bladder suboptimally. Outflow obstruction is caused by air-locks that develop within curled redundant drainage tubing segments. The novel drainage tubing design eliminates gravity dependent curls and associated air-locks, optimizes flow, and minimizes residual bladder urine.

Neutrino constraints that transform black holes into grey holes

International Nuclear Information System (INIS)

Ruderfer, M.

1982-01-01

Existing black hole theory is found to be defective in its neglect of the physical properties of matter and radiation at superhigh densities. Nongravitational neutrino effects are shown to be physically relevant to the evolution of astronomical black holes and their equations of state. Gravitational collapse to supernovae combined with the Davis and Ray vacuum solution for neutrinos limit attainment of a singularity and require black holes to evolve into ''grey holes''. These allow a better justification than do black holes for explaining the unique existence of galactic masses. (Auth.)

Percutaneous catheter drainage of tuberculous psoas abscesses

International Nuclear Information System (INIS)

Pombo, F.; Martin-Egana, R.; Cela, A.; Diaz, J.L.; Linares-Mondejar, P.; Freire, M.

1993-01-01

Six patients with 7 tuberculous psoas or ilio-psoas abscesses were treated by CT-guided catheter drainage and chemotherapy. The abscesses (5 unilateral and 1 bilateral) were completely drained using a posterior or lateral approach. The abscess volume was 70 to 700 ml (mean 300 ml) and the duration of drainage 5 to 11 days (mean 7 days). Immediate local symptomatic improvement was achieved in all patients, and there were no procedural complications. CT follow-up at 3 to 9 months showed normalization in 5 patients, 2 of whom are still in medical therapy. One patient, who did not take the medication regularly, had a recurrent abscess requiring new catheter drainage after which the fluid collection disappeared. Percutaneous drainage represents an efficient and attractive alternative to surgical drainage as a supplement to medical therapy in the management of patients with large tuberculous psoas abscesses. (orig.)

Definition of the drainage filter problem

NARCIS (Netherlands)

Zaslavsky, D.

1977-01-01

It is common to consider the following: I. Retention of soil particles that may enter the drainage pipe and cause its clogging. For some sensitive structures it is important to prevent settlements due to soil transportation by drainage water.

Subdural hematomas: an analysis of 1181 Kashmiri patients.

Science.gov (United States)

Nayil, Khursheed; Ramzan, Altaf; Sajad, Arif; Zahoor, Sheikh; Wani, Abrar; Nizami, Furqan; Laharwal, Masood; Kirmani, Altaf; Bhat, Rashid

2012-01-01

We endeavored to analyze patients of subacute and chronic subdural hematomas studied in a 4-year period at the Sher-i-Kashmir Institute of Medical Sciences, Kashmir, India. The study was a retrospective analysis of 1181 patients of subdural hematomas. Demographic characteristics, clinico-radiologic features, operative modalities, and outcome were studied. Acute subdural hematomas were excluded from the study. The mean age was 60.4 ± 12.4 and males outnumbered females. Chronic subdural collections were more common than subacute subdural hematomas and left side predominated. Two burr holes with closed-system drainage was used in most patients. Incidence of postoperative seizures is very low. Overall recurrence rates were low; however, multilocular hematomas had the highest incidence of recurrence. Morbidity and mortality were 7.53% and 2.96%, respectively. Preoperative neurologic grade correlated with outcome. Subdural hematomas are common in elderly males. Preoperative neurologic grade dictates the outcome. Multilocular hematomas have a higher chance of recurrence. Craniotomy should be reserved for recurrent hematomas, and there may be a scope of craniotomy for multilocular chronic subdural hematomas at the outset. Antiepileptic prophylaxis is not routinely recommended. Copyright © 2012 Elsevier Inc. All rights reserved.

Subsurface drainage

CSIR Research Space (South Africa)

Van Der

1993-09-01

Full Text Available and long term behavior were evaluated. Laboratory tests for geotextile selection are recommended and tentative criteria given. The use of fin drains was evaluated in the laboratory and a field study to monitor the efficacy of drainage systems was started...

Endoscopic ultrasound-guided transmural drainage of postoperative pancreatic collections.

Science.gov (United States)

Tilara, Amy; Gerdes, Hans; Allen, Peter; Jarnagin, William; Kingham, Peter; Fong, Yuman; DeMatteo, Ronald; D'Angelica, Michael; Schattner, Mark

2014-01-01

Pancreatic leak is a major cause of morbidity after pancreatectomy. Traditionally, peripancreatic fluid collections have been managed by percutaneous or operative drainage. Data for endoscopic ultrasound (EUS)-guided drainage of postoperative fluid collections are limited. Here we report on the safety, efficacy, and timing of EUS-guided drainage of postoperative peripancreatic collections. This is a retrospective review of 31 patients who underwent EUS-guided drainage of fluid collections after pancreatic resection. Technical success was defined as successful transgastric deployment of at least one double pigtail plastic stent. Clinical success was defined as resolution of the fluid collection on follow-up CT scan and resolution of symptoms. Early drainage was defined as initial transmural stent placement within 30 days after surgery. Endoscopic ultrasound-guided drainage was performed effectively with a technical success rate of 100%. Clinical success was achieved in 29 of 31 patients (93%). Nineteen of the 29 patients (65%) had complete resolution of their symptoms and collection with the first endoscopic procedure. Repeat drainage procedures, including some with necrosectomy, were required in the remaining 10 patients, with eventual resolution of collection and symptoms. Two patients who did not achieve durable clinical success required percutaneous drainage by interventional radiology. Seventeen (55%) of 31 patients had successful early drainage completed within 30 days of their operation. Endoscopic ultrasound-guided drainage of fluid collections after pancreatic resection is safe and effective. Early drainage (collections was not associated with increased complications in this series. Copyright © 2014 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Primary black holes

International Nuclear Information System (INIS)

Novikov, I.; Polnarev, A.

1981-01-01

Proves are searched for of the formation of the so-called primary black holes at the very origin of the universe. The black holes would weigh less than 10 13 kg. The formation of a primary black hole is conditional on strong fluctuations of the gravitational field corresponding roughly to a half of the fluctuation maximally permissible by the general relativity theory. Only big fluctuations of the gravitational field can overcome the forces of the hot gas pressure and compress the originally expanding matter into a black hole. Low-mass black holes have a temperature exceeding that of the black holes formed from stars. A quantum process of particle formation, the so-called evaporation takes place in the strong gravitational field of a black hole. The lower the mass of the black hole, the shorter the evaporation time. The analyses of processes taking place during the evaporation of low-mass primary black holes show that only a very small proportion of the total mass of the matter in the universe could turn into primary black holes. (M.D.)

Thoracoscopic Surgery for Pneumothorax Following Outpatient Drainage Therapy.

Science.gov (United States)

Sano, Atsushi; Yotsumoto, Takuma

2017-10-20

We investigated the outcomes of surgery for pneumothorax following outpatient drainage therapy. We reviewed the records of 34 patients who underwent operations following outpatient drainage therapy with the Thoracic Vent at our hospital between December 2012 and September 2016. Indications for outpatient drainage therapy were pneumothorax without circulatory or respiratory failure and pleural effusion. Indications for surgical treatment were persistent air leakage and patient preference for surgery to prevent or reduce the incidence of recurrent pneumothorax. Intraoperatively, 9 of 34 cases showed loose adhesions around the Thoracic Vent, all of which were dissected bluntly. The preoperative drainage duration ranged from 5 to 13 days in patients with adhesions and from 3 to 19 days in those without adhesions, indicating no significant difference. The duration of preoperative drainage did not affect the incidence of adhesions. The operative duration ranged from 30 to 96 minutes in patients with adhesions and from 31 to 139 minutes in those without adhesions, also indicating no significant difference. Outpatient drainage therapy with the Thoracic Vent was useful for spontaneous pneumothorax patients who underwent surgery, and drainage for less than 3 weeks did not affect intraoperative or postoperative outcomes.

Foamed emulsion drainage: flow and trapping of drops

OpenAIRE

Schneider, Maxime; Zou, Ziqiang; Langevin, Dominique; Salonen, Anniina

2017-01-01

Foamed emulsions are ubiquitous in our daily life but the ageing of such systems is still poorly understood. In this study we investigate foam drainage and measure the evolution of the gas, liquid and oil volume fractions inside the foam. We evidence three regimes of ageing. During an initial period of fast drainage, both bubbles and drops are very mobile. As the foam stabilises drainage proceeds leading to a gradual decrease of the liquid fraction and slowing down of drainage. Clusters of oi...

Preoperative endoscopic versus percutaneous transhepatic biliary drainage in potentially resectable perihilar cholangiocarcinoma (DRAINAGE trial): design and rationale of a randomized controlled trial

OpenAIRE

Wiggers, Jimme K; Coelen, Robert JS; Rauws, Erik AJ; van Delden, Otto M; van Eijck, Casper HJ; de Jonge, Jeroen; Porte, Robert J; Buis, Carlijn I; Dejong, Cornelis HC; Molenaar, I Quintus; Besselink, Marc GH; Busch, Olivier RC; Dijkgraaf, Marcel GW; van Gulik, Thomas M

2015-01-01

Background Liver surgery in perihilar cholangiocarcinoma (PHC) is associated with high postoperative morbidity because the tumor typically causes biliary obstruction. Preoperative biliary drainage is used to create a safer environment prior to liver surgery, but biliary drainage may be harmful when severe drainage-related complications deteriorate the patients? condition or increase the risk of postoperative morbidity. Biliary drainage can cause cholangitis/cholecystitis, pancreatitis, hemorr...

Percutaneous drainage treatment of primary liver abscesses

Energy Technology Data Exchange (ETDEWEB)

Berger, H.; Pratschke, E.; Berr, F.; Fink, U.

1989-02-01

28 primary liver abscesses, including 9 amoebic abscesses, in 24 patients were drained percutaneously. Indication for drainage in amoebic abscesses was imminent rupture and clinical symptoms as pleural effusion, lung atelectasis and pain. 95% of the primary abscesses were cured by percutaneous drainage and systemic antibiotic treatment. There was one recurrence of abscess, which was managed surgically. Reasons for drainage failure were: tumour necrosis and tumour perforation with secondary liver abscess.

Radiologic drainage of infected and noninfected thoracic fluid collections

International Nuclear Information System (INIS)

Van Sonnenberg, E.; Casola, G.; Stavas, J.; Neff, C.C.; Varney, R.A.; Wittich, G.R.; Dillard, J.; Christensen, R.A.; Friedman, P.J.

1987-01-01

Radiologically guided drainage of 100 thoracic fluid collections is described in this paper. Collections that underwent drainage include empyemas, lung abscesses, bronchopleural fistulas (BPFs), mediastinal abscesses, paracardial collections, bronchogenic cysts, sequestrations, lymphoceles, lymphangiomas, malignant effusions, and necrotic tumors. Catheters were placed for sclerotherapy in nine patients. Guidance modalities (in descending order of frequency) were CT, US, fluoroscopy, and MR. Inadequate thoracostomy tube drainage occurred in a third of the patients prior to radiologic drainage. Drainages were effective in 85% of cases, sparing surgery or another thoracostomy tube. Complications occurred in 7% of patients, most being minor and none requiring operation. Criteria for drainage of lung abscess and BPF will be emphasized, as will techniques and methods of follow-up

Tile Drainage Expansion Detection using Satellite Soil Moisture Dynamics

Science.gov (United States)

Jacobs, J. M.; Cho, E.; Jia, X.

2017-12-01

In the past two decades, tile drainage installation has accelerated throughout the Red River of the North Basin (RRB) in parts of western Minnesota, eastern North Dakota, and a small area of northeastern South Dakota, because the flat topography and low-permeability soils in this region necessitated the removal of excess water to improve crop production. Interestingly, streamflow in the Red River has markedly increased and six of 13 major floods during the past century have occurred since the late 1990s. It has been suggested that the increase in RRB flooding could be due to change in agricultural practices, including extensive tile drainage installation. Reliable information on existing and future tile drainage installation is greatly needed to capture the rapid extension of tile drainage systems and to locate tile drainage systems in the north central U.S. including the RRB region. However, there are few reliable data of tile drainage installation records, except tile drainage permit records in the Bois de Sioux watershed (a sub-basin in southern part of the RRB where permits are required for tile drainage installation). This study presents a tile drainage expansion detection method based on a physical principle that the soil-drying rate may increase with increasing tile drainage for a given area. In order to capture the rate of change in soil drying rate with time over entire RRB (101,500 km2), two satellite-based microwave soil moisture records from the Advanced Microwave Scanning Radiometer for Earth Observing System (AMSR-E) and AMSR2 were used during 2002 to 2016. In this study, a sub-watershed level (HUC10) potential tile drainage growth map was developed and the results show good agreement with tile drainage permit records of six sub-watersheds in the Bois de Sioux watershed. Future analyses will include improvement of the potential tile drainage map through additional information using optical- and thermal-based sensor products and evaluation of its

From binary black hole simulation to triple black hole simulation

International Nuclear Information System (INIS)

Bai Shan; Cao Zhoujian; Han, Wen-Biao; Lin, Chun-Yu; Yo, Hwei-Jang; Yu, Jui-Ping

2011-01-01

Black hole systems are among the most promising sources for a gravitational wave detection project. Now, China is planning to construct a space-based laser interferometric detector as a follow-on mission of LISA in the near future. Aiming to provide some theoretical support to this detection project on the numerical relativity side, we focus on black hole systems simulation in this work. Considering the globular galaxy, multiple black hole systems also likely to exist in our universe and play a role as a source for the gravitational wave detector we are considering. We will give a progress report in this paper on our black hole system simulation. More specifically, we will present triple black hole simulation together with binary black hole simulation. On triple black hole simulations, one novel perturbational method is proposed.

Bundle of measures for external cerebral ventricular drainage-associated ventriculitis.

Science.gov (United States)

Chatzi, Maria; Karvouniaris, Marios; Makris, Demosthenes; Tsimitrea, Eleni; Gatos, Charalampos; Tasiou, Anastasia; Mantzarlis, Kostas; Fountas, Kostas N; Zakynthinos, Epaminondas

2014-01-01

To assess the prevalence and outcome of external cerebral ventricular drainage-associated ventriculitis in neurocritical patients before and after the implementation of a bundle of external cerebral ventricular drainage-associated ventriculitis control measures. Clinical prospective case series. University Hospital of Larissa, Greece. Consecutive patients were recruited from the ICU of the hospital. Patient inclusion criteria included presence of external ventricular drainage and ICU stay more than 48 hours. The bundle of external cerebral ventricular drainage-associated ventriculitis control measures included 1) reeducation of ICU personnel on issues of infection control related to external cerebral ventricular drainage, 2) meticulous intraventricular catheter handling, 3) cerebrospinal fluid sampling only when clinically necessary, and 4) routine replacement of the drainage catheter on the seventh drainage day if the catheter was still necessary. The bundle was applied after an initial period (preintervention) where standard policy for external cerebral ventricular drainage-associated ventriculitis was established. External cerebral ventricular drainage-associated ventriculitis prevalence, external cerebral ventricular drainage-associated ventriculitis events per 1,000 drainage days (drain-associated infection rate), length of ICU stay, Glasgow Outcome Scale at 6 months, and risk factors for external cerebral ventricular drainage-associated ventriculitis. Eighty-two patients entered the study in the preintervention period and 57 patients during the intervention period. During the preintervention and intervention period, external cerebral ventricular drainage-associated ventriculitis prevalence was 28% and 10.5% (p = 0.02) and drain-associated infection rate was 18 and 7.1, respectively (p = 0.0001); mean (95% CI) length of ICU stay in patients who presented external cerebral ventricular drainage-associated ventriculitis was 44.4 days (36.4-52.4 d), whereas mean

Phase transition for black holes with scalar hair and topological black holes

International Nuclear Information System (INIS)

Myung, Yun Soo

2008-01-01

We study phase transitions between black holes with scalar hair and topological black holes in asymptotically anti-de Sitter spacetimes. As the ground state solutions, we introduce the non-rotating BTZ black hole in three dimensions and topological black hole with hyperbolic horizon in four dimensions. For the temperature matching only, we show that the phase transition between black hole with scalar hair (Martinez-Troncoso-Zanelli black hole) and topological black hole is second-order by using differences between two free energies. However, we do not identify what order of the phase transition between scalar and non-rotating BTZ black holes occurs in three dimensions, although there exists a possible decay of scalar black hole to non-rotating BTZ black hole

Modes of supraglacial lake drainage and dynamic ice sheet response

Science.gov (United States)

Das, S. B.; Behn, M. D.; Joughin, I. R.

2011-12-01

We investigate modes of supraglacial lake drainage using geophysical, ground, and remote sensing observations over the western margin of the Greenland ice sheet. Lakes exhibit a characteristic life cycle defined by a pre-drainage, drainage, and post-drainage phase. In the pre-drainage phase winter snow fills pre-existing cracks and stream channels, efficiently blocking past drainage conduits. As temperatures increase in the spring, surface melting commences, initially saturating the snow pack and subsequently forming a surface network of streams that fills the lake basins. Basins continue to fill until lake drainage commences, which for individual lakes occurs at different times depending on the previous winter snow accumulation and summer temperatures. Three styles of drainage behavior have been observed: (1) no drainage, (2) slow drainage over the side into an adjacent pre-existing crack, and (3) rapid drainage through a new crack formed beneath the lake basin. Moreover, from year-to-year individual lakes exhibit different drainage behaviors. Lakes that drain slowly often utilize the same outflow channel for multiple years, creating dramatic canyons in the ice. Ultimately, these surface channels are advected out of the lake basin and a new channel forms. In the post-drainage phase, melt water continues to access the bed typically through a small conduit (e.g. moulin) formed near a local topographic minimum along the main drainage crack, draining the lake catchment throughout the remainder of the melt season. This melt water input to the bed leads to continued basal lubrication and enhanced ice flow compared to background velocities. Lakes that do not completely drain freeze over to form a surface ice layer that persists into the following year. Our results show that supraglacial lakes show a spectrum of drainage behaviors and that these styles of drainage lead to varying rates and timing of surface meltwater delivery to the bed resulting in different dynamic ice

Black Holes

OpenAIRE

Townsend, P. K.

1997-01-01

This paper is concerned with several not-quantum aspects of black holes, with emphasis on theoretical and mathematical issues related to numerical modeling of black hole space-times. Part of the material has a review character, but some new results or proposals are also presented. We review the experimental evidence for existence of black holes. We propose a definition of black hole region for any theory governed by a symmetric hyperbolic system of equations. Our definition reproduces the usu...

Spring thaw ionic pulses boost nutrient availability and microbial growth in entombed Antarctic Dry Valley cryoconite holes.

Science.gov (United States)

Telling, Jon; Anesio, Alexandre M; Tranter, Martyn; Fountain, Andrew G; Nylen, Thomas; Hawkings, Jon; Singh, Virendra B; Kaur, Preeti; Musilova, Michaela; Wadham, Jemma L

2014-01-01

The seasonal melting of ice entombed cryoconite holes on McMurdo Dry Valley glaciers provides oases for life in the harsh environmental conditions of the polar desert where surface air temperatures only occasionally exceed 0°C during the Austral summer. Here we follow temporal changes in cryoconite hole biogeochemistry on Canada Glacier from fully frozen conditions through the initial stages of spring thaw toward fully melted holes. The cryoconite holes had a mean isolation age from the glacial drainage system of 3.4 years, with an increasing mass of aqueous nutrients (dissolved organic carbon, total nitrogen, total phosphorus) with longer isolation age. During the initial melt there was a mean nine times enrichment in dissolved chloride relative to mean concentrations of the initial frozen holes indicative of an ionic pulse, with similar mean nine times enrichments in nitrite, ammonium, and dissolved organic matter. Nitrate was enriched twelve times and dissolved organic nitrogen six times, suggesting net nitrification, while lower enrichments for dissolved organic phosphorus and phosphate were consistent with net microbial phosphorus uptake. Rates of bacterial production were significantly elevated during the ionic pulse, likely due to the increased nutrient availability. There was no concomitant increase in photosynthesis rates, with a net depletion of dissolved inorganic carbon suggesting inorganic carbon limitation. Potential nitrogen fixation was detected in fully melted holes where it could be an important source of nitrogen to support microbial growth, but not during the ionic pulse where nitrogen availability was higher. This study demonstrates that ionic pulses significantly alter the timing and magnitude of microbial activity within entombed cryoconite holes, and adds credence to hypotheses that ionic enrichments during freeze-thaw can elevate rates of microbial growth and activity in other icy habitats, such as ice veins and subglacial regelation zones.

Spring thaw ionic pulses boost nutrient availability and microbial growth in entombed Antarctic Dry Valley cryoconite holes

Directory of Open Access Journals (Sweden)

Jon eTelling

2014-12-01

Full Text Available The seasonal melting of ice entombed cryoconite holes on McMurdo Dry Valley glaciers provides oases for life in the harsh environmental conditions of the polar desert where surface air temperatures only occasionally exceed 0°C during the Austral summer. Here we follow temporal changes in cryoconite hole biogeochemistry on Canada Glacier from fully frozen conditions through the initial stages of spring thaw towards fully melted holes. The cryoconite holes had a mean isolation age from the glacial drainage system of 3.4 years, with an increasing mass of aqueous nutrients (dissolved organic carbon, total nitrogen, total phosphorus with longer isolation age. During the initial melt there was a mean nine times enrichment in dissolved chloride relative to mean concentrations of the initial frozen holes indicative of an ionic pulse, with similar mean nine times enrichments in nitrite, ammonium, and dissolved organic matter. Nitrate was enriched twelve times and dissolved organic nitrogen six times, suggesting net nitrification, while lower enrichments for dissolved organic phosphorus and phosphate were consistent with net microbial phosphorus uptake. Rates of bacterial production were significantly elevated during the ionic pulse, likely due to the increased nutrient availability. There was no concomitant increase in photosynthesis rates, with a net depletion of dissolved inorganic carbon suggesting inorganic carbon limitation. Potential nitrogen fixation was detected in fully melted holes where it could be an important source of nitrogen to support microbial growth, but not during the ionic pulse where nitrogen availability was higher. This study demonstrates that ionic pulses significantly alter the timing and magnitude of microbial activity within entombed cryoconite holes, and adds credence to hypotheses that ionic enrichments during freeze-thaw can elevate rates of microbial growth and activity in other icy habitats, such as ice veins and

Percutaneous drainage treatment of primary liver abscesses

International Nuclear Information System (INIS)

Berger, H.; Pratschke, E.; Berr, F.; Fink, U.; Klinikum Grosshadern, Muenchen; Klinikum Grosshadern, Muenchen

1989-01-01

28 primary liver abscesses, including 9 amoebic abscesses, in 24 patients were drained percutaneously. Indication for drainage in amoebic abscesses was imminent rupture and clinical symptoms as pleural effusion, lung atelectasis and pain. 95% of the primary abscesses were cured by percutaneous drainage and systemic antibiotic treatment. There was one recurrence of abscess, which was managed surgically. Reasons for drainage failure were: tumour necrosis and tumour perforation with secondary liver abscess. (orig.) [de

Florentine Renaissance Resources. Online Tratte of Office Holders 1282-1532, Ed. by D. Herlihy, R. Burr Litchfield, A. Molho, R. Barducci, 2000. Online Catasto of 1427, Ed. by D. Herlihy, C. Klapisch-Zuber, Vers. 1.2., Brown University, Providence, R.I.

Directory of Open Access Journals (Sweden)

Marco Bicchierai

2002-12-01

Full Text Available Florentine Renaissance Resources. - Online Tratte of Office Holders 1282-1532, Edited by David Herlihy, R. Burr Litchfield, Anthony Molho and Roberto Barducci , 2000 - Online Catasto of 1427, Edited by David Herlihy, Christiane Klapisch-Zuber, Version 1.2., Brown University, Providence, R.I. , 1996

Endoscopic Ultrasound-Guided Biliary Drainage

International Nuclear Information System (INIS)

Artifon, Everson L.A.; Ferreira, Fla'vio C.; Sakai, Paulo

2012-01-01

To demonstrate a comprehensive review of published articles regarding endoscopic ultrasound (EUS)-guided biliary drainage. Review of studies regarding EUS-guided biliary drainage including case reports, case series and previous reviews. EUS-guided hepaticogastrostomy, coledochoduodenostomy and choledoantrostomy are advanced biliary and pancreatic endoscopy procedures, and together make up the echo-guided biliary drainage. Hepaticogastrostomy is indicated in cases of hilar obstruction, while the procedure of choice is the coledochoduodenostomy or choledochoantrostomy in distal lesions. Both procedures must be performed only after unsuccessful ERCPs. The indication of these procedures must be made under a multidisciplinary view while sharing information with the patient or legal guardian. Hepaticogastrostomy and coledochoduodenostomy or choledochoantrostomy are feasible when performed by endoscopists with expertise in biliopancreatic endoscopy. Advanced echo-endoscopy should currently be performed under a rigorous protocol in educational institutions.

Endoscopic Ultrasound-Guided Biliary Drainage

Energy Technology Data Exchange (ETDEWEB)

Artifon, Everson L.A.; Ferreira, Fla& #x27; vio C.; Sakai, Paulo [University of Saeo Paulo, Saeo Paulo (Brazil)

2012-02-15

To demonstrate a comprehensive review of published articles regarding endoscopic ultrasound (EUS)-guided biliary drainage. Review of studies regarding EUS-guided biliary drainage including case reports, case series and previous reviews. EUS-guided hepaticogastrostomy, coledochoduodenostomy and choledoantrostomy are advanced biliary and pancreatic endoscopy procedures, and together make up the echo-guided biliary drainage. Hepaticogastrostomy is indicated in cases of hilar obstruction, while the procedure of choice is the coledochoduodenostomy or choledochoantrostomy in distal lesions. Both procedures must be performed only after unsuccessful ERCPs. The indication of these procedures must be made under a multidisciplinary view while sharing information with the patient or legal guardian. Hepaticogastrostomy and coledochoduodenostomy or choledochoantrostomy are feasible when performed by endoscopists with expertise in biliopancreatic endoscopy. Advanced echo-endoscopy should currently be performed under a rigorous protocol in educational institutions.

Predictors of chest drainage complications in trauma patients

Directory of Open Access Journals (Sweden)

CECÍLIA ARAÚJO MENDES

2018-04-01

Full Text Available ABSTRACT Objective: to identify predictors of chest drainage complications in trauma patients attended at a University Hospital. Methods: we conducted a retrospective study of 68 patients submitted to thoracic drainage after trauma, in a one-year period. We analyzed gender, age, trauma mechanism, trauma indices, thoracic and associated lesions, environment in which the procedure was performed, drainage time, experience of the performer, complications and evolution. Results: the mean age of the patients was 35 years and the male gender was the most prevalent (89%. Blunt trauma was the most frequent, with 67% of cases, and of these, 50% were due to traffic accidents. The mean TRISS (Trauma and Injury Severity Score was 98, with a mortality rate of 1.4%. The most frequent thoracic and associated lesions were, respectively, rib fractures (51% and abdominal trauma (32%. The mean drainage time was 6.93 days, being higher in patients under mechanical ventilation (p=0.0163. The complication rate was 26.5%, mainly poor drain positioning (11.77%. Hospital drainage was performed in 89% of cases by doctors in the first year of specialization. Thoracic drainage performed in prehospital care presented nine times more chances of complications (p=0.0015. Conclusion: the predictors of post-trauma complications for chest drainage were a procedure performed in an adverse site and mechanical ventilation. The high rate of complications demonstrates the importance of protocols of care with the thoracic drainage.

Natural attenuation of antimony in mine drainage water

International Nuclear Information System (INIS)

Manaka, Mitsuo; Yanase, Nobuyuki; Sato, Tsutomu; Fukushi, Keisuke

2007-01-01

In this study, we investigated the natural attenuation of antimony (Sb) in the drainage water of an abandoned mine. Drainage water, waste rocks, and ocherous precipitates collected from the mine were investigated in terms of their mineralogy and chemistry. The chemistry of the drainage water was analyzed by measuring pH, oxidation-reduction potential (ORP), and electric conductivity on site as well as by inductively coupled plasma mass spectrometry and ion chromatography. As the drainage flowed downstream, the pH decreased rapidly from 7.05 to 3.26 and then increased slowly to 3.50. In a section where the pH increased, ocherous precipitates occur on a drainage water channel. We determined Sb levels in the drainage water, and the distribution of Sb in the mineral phases of waste rocks and precipitates was estimated by means of a sequential extraction procedure. The results of these investigations indicated that Sb, which is generated by the dissolution of stibnite (Sb 2 S 3 ) and secondary formed Sb minerals in waste rocks, was attenuated by iron-bearing ocherous precipitates, especially schwertmannite, that form over time in the drainage water. The Sb concentrations in the ocherous precipitates were up to 370 mg/kg, whereas the Sb concentrations in the drainage water downstream were below background levels (0.6 μg/L). Bulk distribution coefficients (K d ) for this Sb adsorption to the precipitates ranges up to at least 10 5 L/kg. (author)

adequacy of drainage channels f drainage channels in a small

African Journals Online (AJOL)

eobe

The area upon which waterfalls and the netw through ... ls were determined using the rational model and manning's equation. A .... runoff, including roads, culverts and drainage systems. ... hence, detailed design information of the drain is.

Experimental and numerical analysis of the drainage of aluminium foams

International Nuclear Information System (INIS)

Brunke, O; Hamann, A; Cox, S J; Odenbach, S

2005-01-01

Drainage is one of the driving forces for the temporal instability of molten metal foams. For usual aqueous foams this phenomenon is well examined and understood on both the experimental and the theoretical side. The situation is different for metallic foams. Due to their opaque nature, the observation of drainage is only possible by either measuring the density distribution of solidified samples ex situ or by x-ray or neutron radioscopy. Up to now there exists just one theoretical study describing the drainage behaviour of metallic foams incorporating the drainage equation, the temperature dependence of the viscosity and thermal transport. This paper will present results on the drainage behaviour of aluminium foams grown by a powder-metallurgical production route. For this purpose an experiment which allows the observation of drainage in cylindrical metal foam columns has been developed. Experimental density profiles after different drainage times are measured ex situ and compared to numerical results of the standard drainage equation for aqueous foams. This first comparison between the density redistribution of metallic aluminium foams and numerical solutions shows that the standard drainage equation can be used to explain the drainage behaviour of metallic foams

Geochemical characterisation of seepage and drainage water quality from two sulphide mine tailings impoundments: Acid mine drainage versus neutral mine drainage

Science.gov (United States)

Heikkinen, P.M.; Raisanen, M.L.; Johnson, R.H.

2009-01-01

Seepage water and drainage water geochemistry (pH, EC, O2, redox, alkalinity, dissolved cations and trace metals, major anions, total element concentrations) were studied at two active sulphide mine tailings impoundments in Finland (the Hitura Ni mine and Luikonlahti Cu mine/talc processing plant). The data were used to assess the factors influencing tailings seepage quality and to identify constraints for water treatment. Changes in seepage water quality after equilibration with atmospheric conditions were evaluated based on geochemical modelling. At Luikonlahti, annual and seasonal changes were also studied. Seepage quality was largely influenced by the tailings mineralogy, and the serpentine-rich, low sulphide Hitura tailings produced neutral mine drainage with high Ni. In contrast, drainage from the high sulphide, multi-metal tailings of Luikonlahti represented typical acid mine drainage with elevated contents of Zn, Ni, Cu, and Co. Other factors affecting the seepage quality included weathering of the tailings along the seepage flow path, process water input, local hydrological settings, and structural changes in the tailings impoundment. Geochemical modelling showed that pH increased and some heavy metals were adsorbed to Fe precipitates after net alkaline waters equilibrated with the atmosphere. In the net acidic waters, pH decreased and no adsorption occurred. A combination of aerobic and anaerobic treatments is proposed for Hitura seepages to decrease the sulphate and metal loading. For Luikonlahti, prolonged monitoring of the seepage quality is suggested instead of treatment, since the water quality is still adjusting to recent modifications to the tailings impoundment.

Contribution of computed tomography on chest drainage guidance

International Nuclear Information System (INIS)

Douvlou, E.; Tzortzis, D.; Vlachou, I.; Petrocheilou, G.; Safarika, V.; Fragopoulou, L.; Stathopoulou, S.; Kokkinis, C.

2012-01-01

Full text: Introduction: Thoracic collections (encysted pleural, endopulmonary, mediastinal) are common findings in major trauma hospitals mainly in need of further treatment as drainage. Objectives and tasks: To evaluate the CT-guidance, as a method of choice for thoracic drainages. Material and methods: 35 CT-guided chest drainages were performed for diagnostic and therapeutic purpose in 33 patients, with a mean age of 62 years. Of the 35 drainages, 31 were encysted at the pleura, 3 of them were endopulmonary and 1 was in the mediastinum. During the procedure we used needles of 15cm long and 18-22 G diameter for small collections while for 'large' collections drainage catheters of 10-16 F were placed. Results: All the CT-guided drainages of the chest were successful. Of them, 7 were pleural effusion collections while 24 were exudate collections (18 inflammatory and 6 neoplastic) and all were developed in the lungs or the mediastinum. In all the cases that a catheter was placed, full removal of the collections was achieved leading to a remarkable improvement of the patient's condition. Non-significant pneumothorax and tiny endopulmonary bleeding were the complications that occurred. Conclusion: CT-guided drainage of thoracic collections is an accurate and secure procedure and achieves high diagnostic and therapeutic results

[Endoscopic ultrasound guided rendezvous for biliary drainage].

Science.gov (United States)

Knudsen, Marie Høxbro; Vilmann, Peter; Hassan, Hazem; Karstensen, John Gésdal

2015-04-27

Endoscopic retrograde cholangiography (ERCP) is currently standard treatment for biliary drainage. Endoscopic ultrasound guided rendezvous (EUS-RV) is a novel method to overcome an unsuccessful biliary drainage procedure. Under endoscopic ultrasound guidance a guidewire is passed via a needle from the stomach or duodenum to the common bile duct and from there on to the duodenum enabling ERCP. With a relatively high rate of success EUS-RV should be considered as an alternative to biliary drainage and surgical intervention.

Low-mass black holes as the remnants of primordial black hole formation.

Science.gov (United States)

Greene, Jenny E

2012-01-01

Bridging the gap between the approximately ten solar mass 'stellar mass' black holes and the 'supermassive' black holes of millions to billions of solar masses are the elusive 'intermediate-mass' black holes. Their discovery is key to understanding whether supermassive black holes can grow from stellar-mass black holes or whether a more exotic process accelerated their growth soon after the Big Bang. Currently, tentative evidence suggests that the progenitors of supermassive black holes were formed as ∼10(4)-10(5) M(⊙) black holes via the direct collapse of gas. Ongoing searches for intermediate-mass black holes at galaxy centres will help shed light on this formation mechanism.

MR-Imaging of teeth and periodontal apparatus: an experimental study comparing high-resolution MRI with MDCT and CBCT

International Nuclear Information System (INIS)

Gaudino, Chiara; Csernus, Reka; Pham, Mirko; Bendszus, Martin; Rohde, Stefan; Cosgarea, Raluca; Kim, Ti-Sun; Heiland, Sabine; Beomonte Zobel, Bruno

2011-01-01

The aim of this study was (1) to assess the ability of magnetic resonance imaging (MRI) to visualize dental and periodontal structures and (2) to compare findings with multidetector computed tomography (MDCT) and cone beam CT (CBCT). Four porcine mandibles were examined with (1) 3T-MRI, (2) MDCT and (3) CBCT. Two observers independently reviewed MR, MDCT and CBCT images and assessed image quality of different dental and periodontal structures. To assess quantitatively the accuracy of the different imaging technique, both observers measured burr holes, previously drilled in the mandibles. Dental structures, e.g. teeth roots, pulpa chamber and dentin, were imaged accurately with all imaging sources. Periodontal space and cortical/trabecular bone were better visualized by MRI (p < 0.001). MRI could excellently display the lamina dura, not detectable with MDCT and only inconstant visible with CBCT (p < 0.001). Burr hole measurements were highly precise with all imaging techniques. This experimental study shows the diagnostic feasibility of MRI in visualization of teeth and periodontal anatomy. Detection of periodontal structures was significantly better with MRI than with MDCT or CBCT. Prospective trials have to evaluate further the potential benefit of MRI in a clinical setting. (orig.)

Risk Factors for Chronic Subdural Hematoma Recurrence Identified Using Quantitative Computed Tomography Analysis of Hematoma Volume and Density.

Science.gov (United States)

Stavrinou, Pantelis; Katsigiannis, Sotirios; Lee, Jong Hun; Hamisch, Christina; Krischek, Boris; Mpotsaris, Anastasios; Timmer, Marco; Goldbrunner, Roland

2017-03-01

Chronic subdural hematoma (CSDH), a common condition in elderly patients, presents a therapeutic challenge with recurrence rates of 33%. We aimed to identify specific prognostic factors for recurrence using quantitative analysis of hematoma volume and density. We retrospectively reviewed radiographic and clinical data of 227 CSDHs in 195 consecutive patients who underwent evacuation of the hematoma through a single burr hole, 2 burr holes, or a mini-craniotomy. To examine the relationship between hematoma recurrence and various clinical, radiologic, and surgical factors, we used quantitative image-based analysis to measure the hematoma and trapped air volumes and the hematoma densities. Recurrence of CSDH occurred in 35 patients (17.9%). Multivariate logistic regression analysis revealed that the percentage of hematoma drained and postoperative CSDH density were independent risk factors for recurrence. All 3 evacuation methods were equally effective in draining the hematoma (71.7% vs. 73.7% vs. 71.9%) without observable differences in postoperative air volume captured in the subdural space. Quantitative image analysis provided evidence that percentage of hematoma drained and postoperative CSDH density are independent prognostic factors for subdural hematoma recurrence. Copyright © 2016 Elsevier Inc. All rights reserved.

Predictors of Recurrence and Complications After Chronic Subdural Hematoma Surgery: A Population-Based Study.

Science.gov (United States)

Bartek, Jiri; Sjåvik, Kristin; Kristiansson, Helena; Ståhl, Fredrik; Fornebo, Ida; Förander, Petter; Jakola, Asgeir S

2017-10-01

To investigate predictors of recurrence and moderate to severe complications after burr-hole surgery for chronic subdural hematoma (cSDH). A retrospective review was conducted in a Scandinavian single-center population-based cohort of 759 adult patients with cSDH operated with burr-hole surgery between January 1, 2005 and December 31, 2010. Possible predictors of recurrence and complications, assessed using a standardized reporting system of adverse events, were identified and analyzed in univariable analyses. Variables with a P value hematoma (odds ratio [OR], 2.05; 95% confidence interval [CI], 1.25-3.35; P hematoma diameter in millimeters (OR, 1.05; 95% CI, 1.01-1.09; P 1 (OR, 2.28; 95% CI, 1.10-4.75; P = 0.03) were independent predictors of moderate to severe complications. Recurrence after cSDH surgery is more often encountered in patients with radiologically more extensive disease reflected by bilateral hematoma and large hematoma diameter. On the other hand, moderate to severe complications are more often seen in patients in a worse clinical condition, reflected by decreased level of consciousness and more comorbidities. Copyright © 2017 Elsevier Inc. All rights reserved.

Neuroendoscopic Resection of Intraventricular Tumors and Cysts through a Working Channel with a Variable Aspiration Tissue Resector: A Feasibility and Safety Study

Directory of Open Access Journals (Sweden)

Edjah Kweku-Ebura Nduom

2013-01-01

Full Text Available Pure neuroendoscopic resection of intraventricular lesions through a burr hole is limited by the instrumentation that can be used with a working channel endoscope. We describe a safety and feasibility study of a variable aspiration tissue resector, for the resection of a variety of intraventricular lesions. Our initial experience using the variable aspiration tissue resector involved 16 patients with a variety of intraventricular tumors or cysts. Nine patients (56% presented with obstructive hydrocephalus. Patient ages ranged from 20 to 88 years (mean 44.2. All patients were operated on through a frontal burr hole, using a working channel endoscope. A total of 4 tumors were resected in a gross total fashion and the remaining intraventricular lesions were subtotally resected. Fifteen of 16 patients had relief of their preoperative symptoms. The 9 patients who presented with obstructive hydrocephalus had restoration of cerebrospinal fluid flow though one required a ventriculoperitoneal shunt. Three patients required repeat endoscopic resections. Use of a variable aspiration tissue resector provides the ability to resect a variety of intraventricular lesions in a safe, controlled manner through a working channel endoscope. Larger intraventricular tumors continue to pose a challenge for complete removal of intraventricular lesions.

MR-Imaging of teeth and periodontal apparatus: an experimental study comparing high-resolution MRI with MDCT and CBCT

Energy Technology Data Exchange (ETDEWEB)

Gaudino, Chiara; Csernus, Reka; Pham, Mirko; Bendszus, Martin; Rohde, Stefan [University Hospital Heidelberg, Department of Neuroradiology, Heidelberg (Germany); Cosgarea, Raluca; Kim, Ti-Sun [University Hospital Heidelberg, Department of Periodontology, Heidelberg (Germany); Heiland, Sabine [University Hospital Heidelberg, Section of Experimental Radiology, Heidelberg (Germany); Beomonte Zobel, Bruno [University Campus Bio-Medico of Rome, Department of Radiology, Interdisciplinary Center for Biomedical Research, Rome (Italy)

2011-12-15

The aim of this study was (1) to assess the ability of magnetic resonance imaging (MRI) to visualize dental and periodontal structures and (2) to compare findings with multidetector computed tomography (MDCT) and cone beam CT (CBCT). Four porcine mandibles were examined with (1) 3T-MRI, (2) MDCT and (3) CBCT. Two observers independently reviewed MR, MDCT and CBCT images and assessed image quality of different dental and periodontal structures. To assess quantitatively the accuracy of the different imaging technique, both observers measured burr holes, previously drilled in the mandibles. Dental structures, e.g. teeth roots, pulpa chamber and dentin, were imaged accurately with all imaging sources. Periodontal space and cortical/trabecular bone were better visualized by MRI (p < 0.001). MRI could excellently display the lamina dura, not detectable with MDCT and only inconstant visible with CBCT (p < 0.001). Burr hole measurements were highly precise with all imaging techniques. This experimental study shows the diagnostic feasibility of MRI in visualization of teeth and periodontal anatomy. Detection of periodontal structures was significantly better with MRI than with MDCT or CBCT. Prospective trials have to evaluate further the potential benefit of MRI in a clinical setting. (orig.)

Hole dephasing caused by hole-hole interaction in a multilayered black phosphorus.

Science.gov (United States)

Li, Lijun; Khan, Muhammad Atif; Lee, Yoontae; Lee, Inyeal; Yun, Sun Jin; Youn, Doo-Hyeb; Kim, Gil-Ho

2017-11-01

We study the magnetotransport of holes in a multilayered black phosphorus in a temperature range of 1.9 to 21.5 K. We observed a negative magnetoresistance at magnetic fields up to 1.5 T. This negative magetoresistance was analyzed by weak localization theory in diffusive regime. At the lowest temperature and the highest carrier density we found a phase coherence length of 48 nm. The linear temperature dependence of the dephasing rate shows that the hole-hole scattering processes with small energy transfer are the dominant contribution in breaking the carrier phase coherence.

Percutaneous transhepatic biliary drainage for hilar cholangiocarcinoma

International Nuclear Information System (INIS)

Qian Xiaojun; Jin Wenhui; Dai Dingke; Yu Ping; Gao Kun; Zhai Renyou

2007-01-01

Objective: To evaluate the effect of PTBD in treating malignant biliary obstruction caused by hilar cholangiocarcinoma. Methods: We retrospectively analyzed the data of 103 patients(M:62,F:41)with malignant obstructive jaundice caused by hilar cholangiocarcinoma. After taking percutaneous transhepatic cholangiography, metallic stent or plastic external catheter or external-internal catheter for drainage was deployed and then followed up was undertaken with clinical and radiographic evaluation and laboratory. examination. Results: All patients went though PTBD successfully (100%). According to Bismuth classification, all 103 cases consisted of I type(N=30), II type (N=30), III type (N=26) and IV type (N=17). Thirty-nine cases were placed with 47 stents and 64 eases with drainage tubes. 4 cases installed two stems for bilateral drainage, 2 cases installed two stents because of long segmental strictures with stent in stent, 1 case was placed with three stents, and 3 cases installed stent and plastic catheter together. Sixty-four cases received plastic catheters in this series, 35 cases installed two or more catheters for bilateral drainage, 28 cases installed external and internal drainage catheters, 12 eases installed external drainage catheters, and 24 eases installed both of them. There were 17 patients involving incorporative infection before procedure, 13 cases cured after procedure, and 15 new patients got inflammation after procedure. 13 cases showed increase of amylase (from May, 2004), 8 eases had bloody bile drainage and 1 case with pyloric obstruction. Total serum bilirubin reduced from (386 ± 162) μmol/L to (161 ± 117) μmol/L, (P<0.01) short term curative effect was related with the type of hilar cholangiocarcinoma. The survival time was 186 days(median), and 1, 3, 6, 12 month survival rate were 89.9%, 75.3%, 59.6%, 16.9%, respectively. Conclusion: Percutaneous transhepatic bile drainage is a safe and effective palliative therapy of malignant

Foamed emulsion drainage: flow and trapping of drops.

Science.gov (United States)

Schneider, Maxime; Zou, Ziqiang; Langevin, Dominique; Salonen, Anniina

2017-06-07

Foamed emulsions are ubiquitous in our daily life but the ageing of such systems is still poorly understood. In this study we investigate foam drainage and measure the evolution of the gas, liquid and oil volume fractions inside the foam. We evidence three regimes of ageing. During an initial period of fast drainage, both bubbles and drops are very mobile. As the foam stabilises drainage proceeds leading to a gradual decrease of the liquid fraction and slowing down of drainage. Clusters of oil drops are less sheared, their dynamic viscosity increases and drainage slows down even further, until the drops become blocked. At this point the oil fraction starts to increase in the continuous phase. The foam ageing leads to an increase of the capillary pressure until the oil acts as an antifoaming agent and the foam collapses.

Priority Scale of Drainage Rehabilitation of Cilacap City

Science.gov (United States)

Rudiono, Jatmiko

2018-03-01

Characteristics of physical condition of Cilacap City is relatively flat and low to sea level (approximately 6 m above sea level). In the event of a relatively heavy rainfall resulting in inundation at several locations. The problem of inundation is a serious problem if there is in a dense residential area or occurs in publicly-used infrastructure, such as roads and settlements. These problems require improved management of which include how to plan a sustainable urban drainage system and environmentally friendly. The development of Cilacap City is increasing rapidly, this causes drainage system based on the Drainage Masterplan Cilacap made in 2006 has not been able to accommodate rain water, so, it is necessary to evaluate the drainage masterplan for subsequent rehabilitation. Priority scale rehabilitation of the drainage sections as a guideline is an urgent need of rehabilitation in the next time period.

Bifurcation from stable holes to replicating holes in vibrated dense suspensions.

Science.gov (United States)

Ebata, H; Sano, M

2013-11-01

In vertically vibrated starch suspensions, we observe bifurcations from stable holes to replicating holes. Above a certain acceleration, finite-amplitude deformations of the vibrated surface continue to grow until void penetrates fluid layers, and a hole forms. We studied experimentally and theoretically the parameter dependence of the holes and their stabilities. In suspensions of small dispersed particles, the circular shapes of the holes are stable. However, we find that larger particles or lower surface tension of water destabilize the circular shapes; this indicates the importance of capillary forces acting on the dispersed particles. Around the critical acceleration for bifurcation, holes show intermittent large deformations as a precursor to hole replication. We applied a phenomenological model for deformable domains, which is used in reaction-diffusion systems. The model can explain the basic dynamics of the holes, such as intermittent behavior, probability distribution functions of deformation, and time intervals of replication. Results from the phenomenological model match the linear growth rate below criticality that was estimated from experimental data.

An update on the drainage of pyogenic lung abscesses

Directory of Open Access Journals (Sweden)

Siraj O Wali

2012-01-01

Full Text Available Most lung abscesses (80-90% are now successfully treated with antibiotics; however, this conservative approach may occasionally fail. When medical treatment fails, pulmonary resection is usually advised. Alternatively, percutaneous transthoracic tube drainage or endoscopic drainage can be considered, though both remain controversial. In this communication, the medical literature focusing on percutaneous tube drainage efficacy, indications, techniques, complications, and mortality, as well as available data regarding endoscopic drainage are reviewed.

An Optimal Balance between Efficiency and Safety of Urban Drainage Networks

Science.gov (United States)

Seo, Y.

2014-12-01

Urban drainage networks have been developed to promote the efficiency of a system in terms of drainage time so far. Typically, a drainage system is designed to drain water from developed areas promptly as much as possible during floods. In this regard, an artificial drainage system have been considered to be more efficient compared to river networks in nature. This study examined artificial drainage networks and the results indicate they can be less efficient in terms of network configuration compared with river networks, which is counter-intuitive. The case study of 20 catchments in Seoul, South Korea shows that they have wide range of efficiency in terms of network configuration and consequently, drainage time. This study also demonstrates that efficient drainage networks are more sensitive to spatial and temporal rainfall variation such as rainstorm movement. Peak flows increase more than two times greater in effective drainage networks compared with inefficient and highly sinuous drainage networks. Combining these results, this study implies that the layout of a drainage network is an important factor in terms of efficient drainage and also safety in urban catchments. Design of an optimal layout of the drainage network can be an alternative non-structural measures that mitigate potential risks and it is crucial for the sustainability of urban environments.

Nonsurgical drainage of splenic abscess

International Nuclear Information System (INIS)

Berkman, W.A.; Harris, S.A. Jr.; Bernardino, M.E.

1983-01-01

The mortality associated with intraabdominal abscess remains high despite modern surgical methods and antibiotics. Draingae of abscesses of the abdomen, retroperitoneum, pelvis, pancreatic pseudocyst, mediastinum, and lung may be treated effectively by percutaneous catheter placement. In several reports of percutaneous abdominal abscess drainage, only three cases of splenic abscess drainage have been reported. The authors have recently drained two splenic abscesses with the aid of computed tomography (CT) and emphasize several advantages of the percutaneous guided approach

Black Holes

OpenAIRE

Horowitz, Gary T.; Teukolsky, Saul A.

1998-01-01

Black holes are among the most intriguing objects in modern physics. Their influence ranges from powering quasars and other active galactic nuclei, to providing key insights into quantum gravity. We review the observational evidence for black holes, and briefly discuss some of their properties. We also describe some recent developments involving cosmic censorship and the statistical origin of black hole entropy.

Effect of viscosity on tear drainage and ocular residence time.

Science.gov (United States)

Zhu, Heng; Chauhan, Anuj

2008-08-01

An increase in residence time of dry eye medications including artificial tears will likely enhance therapeutic benefits. The drainage rates and the residence time of eye drops depend on the viscosity of the instilled fluids. However, a quantitative understanding of the dependence of drainage rates and the residence time on viscosity is lacking. The current study aims to develop a mathematical model for the drainage of Newtonian fluids and also for power-law non-Newtonian fluids of different viscosities. This study is an extension of our previous study on the mathematical model of tear drainage. The tear drainage model is modified to describe the drainage of Newtonian fluids with viscosities higher than the tear viscosity and power-law non-Newtonian fluids with rheological parameters obtained from fitting experimental data in literature. The drainage rate through canaliculi was derived from the modified drainage model and was incorporated into a tear mass balance to calculate the transients of total solute quantity in ocular fluids and the bioavailability of instilled drugs. For Newtonian fluids, increasing the viscosity does not affect the drainage rate unless the viscosity exceeds a critical value of about 4.4 cp. The viscosity has a maximum impact on drainage rate around a value of about 100 cp. The trends are similar for shear thinning power law fluids. The transients of total solute quantity, and the residence time agrees at least qualitatively with experimental studies. A mathematical model has been developed for the drainage of Newtonian fluids and power-law fluids through canaliculi. The model can quantitatively explain different experimental observations on the effect of viscosity on the residence of instilled fluids on the ocular surface. The current study is helpful for understanding the mechanism of fluid drainage from the ocular surface and for improving the design of dry eye treatments.

Black hole levitron

International Nuclear Information System (INIS)

Arsiwalla, Xerxes D.; Verlinde, Erik P.

2010-01-01

We study the problem of spatially stabilizing four dimensional extremal black holes in background electric/magnetic fields. Whilst looking for stationary stable solutions describing black holes placed in external fields we find that taking a continuum limit of Denef et al.'s multicenter supersymmetric black hole solutions provides a supergravity description of such backgrounds within which a black hole can be trapped within a confined volume. This construction is realized by solving for a levitating black hole over a magnetic dipole base. We comment on how such a construction is akin to a mechanical levitron.

Noncommutative black holes

Energy Technology Data Exchange (ETDEWEB)

Lopez-DomInguez, J C [Instituto de Fisica de la Universidad de Guanajuato PO Box E-143, 37150 Leoen Gto. (Mexico); Obregon, O [Instituto de Fisica de la Universidad de Guanajuato PO Box E-143, 37150 Leoen Gto. (Mexico); RamIrez, C [Facultad de Ciencias FIsico Matematicas, Universidad Autonoma de Puebla, PO Box 1364, 72000 Puebla (Mexico); Sabido, M [Instituto de Fisica de la Universidad de Guanajuato PO Box E-143, 37150 Leoen Gto. (Mexico)

2007-11-15

We study noncommutative black holes, by using a diffeomorphism between the Schwarzschild black hole and the Kantowski-Sachs cosmological model, which is generalized to noncommutative minisuperspace. Through the use of the Feynman-Hibbs procedure we are able to study the thermodynamics of the black hole, in particular, we calculate Hawking's temperature and entropy for the 'noncommutative' Schwarzschild black hole.

Preoperative biliary drainage in hilar cholangiocarcinoma: When and how?

Science.gov (United States)

Paik, Woo Hyun; Loganathan, Nerenthran; Hwang, Jin-Hyeok

2014-01-01

Hilar cholangiocarcinoma is a tumor of the extrahepatic bile duct involving the left main hepatic duct, the right main hepatic duct, or their confluence. Biliary drainage in hilar cholangiocarcinoma is sometimes clinically challenging because of complexities associated with the level of biliary obstruction. This may result in some adverse events, especially acute cholangitis. Hence the decision on the indication and methods of biliary drainage in patients with hilar cholangiocarcinoma should be carefully evaluated. This review focuses on the optimal method and duration of preoperative biliary drainage (PBD) in resectable hilar cholangiocarcinoma. Under certain special indications such as right lobectomy for Bismuth type IIIA or IV hilar cholangiocarcinoma, or preoperative portal vein embolization with chemoradiation therapy, PBD should be strongly recommended. Generally, selective biliary drainage is enough before surgery, however, in the cases of development of cholangitis after unilateral drainage or slow resolving hyperbilirubinemia, total biliary drainage may be considered. Although the optimal preoperative bilirubin level is still a matter of debate, the shortest possible duration of PBD is recommended. Endoscopic nasobiliary drainage seems to be the most appropriate method of PBD in terms of minimizing the risks of tract seeding and inflammatory reactions. PMID:24634710

Black hole critical phenomena without black holes

Indian Academy of Sciences (India)

large values of Ф, black holes do form and for small values the scalar field ... on the near side of the ridge ultimately evolve to form black holes while those configu- ... The inset shows a bird's eye view looking down on the saddle point.

Search for black holes

International Nuclear Information System (INIS)

Cherepashchuk, Anatolii M

2003-01-01

Methods and results of searching for stellar mass black holes in binary systems and for supermassive black holes in galactic nuclei of different types are described. As of now (June 2002), a total of 100 black hole candidates are known. All the necessary conditions Einstein's General Relativity imposes on the observational properties of black holes are satisfied for candidate objects available, thus further assuring the existence of black holes in the Universe. Prospects for obtaining sufficient criteria for reliably distinguishing candidate black holes from real black holes are discussed. (reviews of topical problems)

Drainage of Splenic Abscess: A Case Report | Kombo | Nigerian ...

African Journals Online (AJOL)

... and was managed by tube drainage. His post operative recovery was uneventful. Conclusion: Tube drainage of the splenic abscess is encouraged if there is easy access to the abscess and there is evidence of residual splenic tissue in the critically ill patient. Key Word: Tube drainage, splenic abscess, splenectomy.

The construction technology of Chinese ancient city drainage facilities

Science.gov (United States)

Hequn, Li; Yufengyun

2018-03-01

In ancient china, according to the local natural environment, a variety of drainage facilities were built in order to excrete rainwater, domestic sewage, production wastewater and so on. These drainage facilities were mainly made of pottery, bricks, wood, stone, etc. For example, ceramic water pipelines, buried in the ground, connect together one by one, and there was a slight drop from one end to the other in favor of drainage. These measures can also be used for reference in today’s urban drainage and flood control.

Drainage divides, Massachusetts; Blackstone and Thames River basins

Science.gov (United States)

Krejmas, Bruce E.; Wandle, S. William

1982-01-01

Drainage boundaries for selected subbasins of the Blackstone and Thames River basins in eastern Hampden, eastern Hampshire, western Norfolk, southern Middlesex, and southern Worcester Counties, Massachusetts, are delineated on 12 topographic quadrangle maps at a scale of 1:24,000. Drainage basins are shown for all U.S. Geological Survey data-collection sites and for mouths of major rivers. Drainage basins are shown for the outlets of lakes or ponds and for streams where the drainage area is greater than 3 square miles. Successive sites along watercourses are indicated where the intervening area is at least 6 miles on tributary streams or 15 square miles along the Blackstone River, French River, or Quinebaug River. (USGS)

Application of BIM Technology in Building Water Supply and Drainage Design

Science.gov (United States)

Wei, Tianyun; Chen, Guiqing; Wang, Junde

2017-12-01

Through the application of BIM technology, the idea of building water supply and drainage designers can be related to the model, the various influencing factors to affect water supply and drainage design can be considered more comprehensively. BIM(Building information model) technology assist in improving the design process of building water supply and drainage, promoting the building water supply and drainage planning, enriching the building water supply and drainage design method, improving the water supply and drainage system design level and building quality. Combined with fuzzy comprehensive evaluation method to analyze the advantages of BIM technology in building water supply and drainage design. Therefore, application prospects of BIM technology are very worthy of promotion.

Percutaneous transhepatic biliary drainage: analysis of 175 cases

Energy Technology Data Exchange (ETDEWEB)

Suh, Kyung Jin; Lee, Sang Kwon; Kim, Tae Hun; Kim, Yong Joo; Kang, Duk Sik [College of Medicine, Kyungpook National Univ., Daegu (Korea, Republic of)

1990-10-15

Percutaneous transhepatic biliary drainage is a safe, effective and palliative means of treatment in biliary obstruction, especially in cases with malignant obstruction which are inoperable. 175 cases of transhepatic biliary drainage were performed on 119 patients with biliary obstruction from January 1985 to June 1989 at Kyung-pook National University Hospital. The causes of obstructive jaundice were 110 malignant diseases and 9 benign diseases. The most common indication for drainage was palliative intervention of obstruction secondary to malignant tumor in 89 cases. 86 cases of external drainage were performed including 3 cases of left duct approach, 29 cases of external-internal drainage and 60 cases of endoprosthesis. In external and external-internal drainages, immediate major complications (11.9%) occurred, including not restricted to, but sepsis, bile peritonitis and hemobilia. Delayed major complications (42.9%) were mainly catheter related. The delayed major complication of endoprosthesis resulted from obstruction of the internal stent. The mean time period to reobstruction of the internal stent was about 12 weeks. To improve management status, regular follow-up is required, as is education of both patients and their families as to when immediate clinical attention is mandated. Close communication amongst the varying medical specialities involved will be necessary to provide optional treatment for each patient.

Percutaneous transhepatic biliary drainage: analysis of 175 cases

International Nuclear Information System (INIS)

Suh, Kyung Jin; Lee, Sang Kwon; Kim, Tae Hun; Kim, Yong Joo; Kang, Duk Sik

1990-01-01

Percutaneous transhepatic biliary drainage is a safe, effective and palliative means of treatment in biliary obstruction, especially in cases with malignant obstruction which are inoperable. 175 cases of transhepatic biliary drainage were performed on 119 patients with biliary obstruction from January 1985 to June 1989 at Kyung-pook National University Hospital. The causes of obstructive jaundice were 110 malignant diseases and 9 benign diseases. The most common indication for drainage was palliative intervention of obstruction secondary to malignant tumor in 89 cases. 86 cases of external drainage were performed including 3 cases of left duct approach, 29 cases of external-internal drainage and 60 cases of endoprosthesis. In external and external-internal drainages, immediate major complications (11.9%) occurred, including not restricted to, but sepsis, bile peritonitis and hemobilia. Delayed major complications (42.9%) were mainly catheter related. The delayed major complication of endoprosthesis resulted from obstruction of the internal stent. The mean time period to reobstruction of the internal stent was about 12 weeks. To improve management status, regular follow-up is required, as is education of both patients and their families as to when immediate clinical attention is mandated. Close communication amongst the varying medical specialities involved will be necessary to provide optional treatment for each patient

A Dancing Black Hole

Science.gov (United States)

Shoemaker, Deirdre; Smith, Kenneth; Schnetter, Erik; Fiske, David; Laguna, Pablo; Pullin, Jorge

2002-04-01

Recently, stationary black holes have been successfully simulated for up to times of approximately 600-1000M, where M is the mass of the black hole. Considering that the expected burst of gravitational radiation from a binary black hole merger would last approximately 200-500M, black hole codes are approaching the point where simulations of mergers may be feasible. We will present two types of simulations of single black holes obtained with a code based on the Baumgarte-Shapiro-Shibata-Nakamura formulation of the Einstein evolution equations. One type of simulations addresses the stability properties of stationary black hole evolutions. The second type of simulations demonstrates the ability of our code to move a black hole through the computational domain. This is accomplished by shifting the stationary black hole solution to a coordinate system in which the location of the black hole is time dependent.

XFEM Modelling of Multi-holes Plate with Single-row and Staggered Holes Configurations

Directory of Open Access Journals (Sweden)

Supar Khairi

2017-01-01

Full Text Available Joint efficiency is the key to composite structures assembly design, good structures response is dependent upon multi-holes behavior as subjected to remote loading. Current benchmarking work were following experimental testing series taken from literature on multi-holes problem. Eleven multi-hole configurations were investigated with various pitch and gage distance of staggered holes and non-staggered holes (single-row holes. Various failure modes were exhibited, most staggered holes demonstrates staggered crack path but non-staggered holes series displayed crack path along net-section plane. Stress distribution were carried out and good agreement were exhibited in experimental observation as reported in the respective literature. Consequently, strength prediction work were carried out under quasi-static loading, most showed discrepancy between 8% -31%, better prediction were exhibited in thicker and non-staggered holes plate combinations.

Superficial drainage studies in open-pit mines

International Nuclear Information System (INIS)

Teixeira Junior, P.B.; Leite, C.B.B.

1984-01-01

Drainage studies concerning large open-pit mining projects can be of vital importance throughout the mining activity itself as they may assist in avoiding activity interruptions due to drainage problems, therefore representing substantial savings. These studies should, in fact, be carried out from the initial activity stages and shall be considered in operational, project and planning decisions in order to optimize results and reduce costs. This specific study presents a drainage study systematization proposal, enphasazing economic decision criteria. The authors comment on studies of this nature developed at the Caldas uranium mine - NUCLEBRAS. (D.J.M.) [pt

Gravity Drainage Kinetics of Papermaking Fibrous Suspensions

Directory of Open Access Journals (Sweden)

Przybysz Piotr

2014-12-01

Full Text Available The study analyses application possibilities of filtration and thickening models in evaluation of papermaking suspension drainage rate. The authors proposed their own method to estimate the drainage rate on the basis of an existing Ergun capillary model of liquid flow through a granular material. The proposed model was less sensitive to porosity changes than the Ergun model. An empirical verification proved robustness of the proposed approach. Taking into account discrepancies in the published data concerning how the drainage velocity of papermaking suspension is defined, this study examines which of the commonly applied models matches experimental results the best.

Surgical vs ultrasound-guided drainage of deep neck space abscesses: a randomized controlled trial: surgical vs ultrasound drainage.

Science.gov (United States)

Biron, Vincent L; Kurien, George; Dziegielewski, Peter; Barber, Brittany; Seikaly, Hadi

2013-02-26

Deep neck space abscesses (DNAs) are relatively common otolaryngology-head and neck surgery emergencies and can result in significant morbidity with potential mortality. Traditionally, surgical incision and drainage (I&D) with antibiotics has been the mainstay of treatment. Some reports have suggested that ultrasound-guided drainage (USD) is a less invasive and effective alternative in select cases. To compare I&D vs USD of well-defined DNAs, using a randomized controlled clinical trial design. The primary outcome measure was effectiveness (length of hospital stay (LOHS) and safety), and the secondary outcome measure was overall cost to the healthcare system. Patients presenting to the University of Alberta Emergency Department with a well-defined deep neck space abscess were recruited in the study. Patients were randomized to surgical or US-guided drainage, placed on intravenous antibiotics and admitted with airway precautions. Following drainage with either intervention, abscess collections were cultured and drains were left in place until discharge. Seventeen patients were recruited in the study. We found a significant difference in mean LOHS between patients who underwent USD (3.1 days) vs I&D (5.2 days). We identified significant cost savings associated with USD with a 41% cost reduction in comparison to I&D. USD drainage of deep neck space abscesses in a certain patient population is effective, safe, and results in a significant cost savings to the healthcare system.

Improved drainage with active chest tube clearance.

Science.gov (United States)

Shiose, Akira; Takaseya, Tohru; Fumoto, Hideyuki; Arakawa, Yoko; Horai, Tetsuya; Boyle, Edward M; Gillinov, A Marc; Fukamachi, Kiyotaka

2010-05-01

This study was performed to evaluate the efficacy of a novel chest drainage system. This system employs guide wire-based active chest tube clearance to improve drainage and maintain patency. A 32 Fr chest tube was inserted into pleural cavities of five pigs. On the left, a tube was connected to the chest canister, and on the right, the new system was inserted between the chest tube and chest canister. Acute bleeding was mimicked by periodic infusion of blood. The amount of blood drained from each chest cavity was recorded every 15 min for 2 h. After completion of the procedure, all residual blood and clots in each chest cavity were assessed. The new system remained widely patent, and the amount of drainage achieved with this system (670+/-105 ml) was significantly (P=0.01) higher than that with the standard tube (239+/-131 ml). The amount of retained pleural blood and clots with this system (150+/-107 ml) was significantly (P=0.04) lower than that with the standard tube (571+/-248 ml). In conclusion, a novel chest drainage system with active tube clearance significantly improved drainage without tube manipulations. 2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.

Fluoroscopy guided percutaneous catheter drainage of pneumothorax in good mid-term patency with tube drainage

International Nuclear Information System (INIS)

Park, Ga Young; Oh, Joo Hyung; Yoon, Yup; Sung, Dong Wook

1995-01-01

To evaluate efficacy and the safety of percutaneous catheter drainage in patients with pneumothorax that is difficult to treat with closed thoracotomy. We retrospectively reviewed effectiveness of percutaneous catheter drainage (PCD) in 10 patients with pneumothorax. The catheter was inserted under fluoroscopic guidance. Seven patients had spontaneous pneumothorax caused by tuberculosis (n =4), reptured bullae (n = 2), and histiocytosis-X (n = 1). Three patients had iatrogenic pneumothorax caused by trauma (n = 1) and surgery (n = 2). All procedures were performed by modified Seldinger's method by using 8F-20F catheter. All catheter were inserted successfully. In 9 of 10 patients, the procedure was curative without further therapy. Duration of catheter insertion ranged from 1 day to 26 days. In the remaining 1 patient in whom multiple pneumothorax occurred after operation, catheter insertion was performed twice. Percutaneous catheter drainage under fluoroscopic guidance is effective and safe procedure for treatment of pneumothorax in patients with failed closed thoracotomy

Fluoroscopy guided percutaneous catheter drainage of pneumothorax in good mid-term patency with tube drainage

Energy Technology Data Exchange (ETDEWEB)

Park, Ga Young; Oh, Joo Hyung; Yoon, Yup; Sung, Dong Wook [Kyung Hee University Hospital, Seoul (Korea, Republic of)

1995-10-15

To evaluate efficacy and the safety of percutaneous catheter drainage in patients with pneumothorax that is difficult to treat with closed thoracotomy. We retrospectively reviewed effectiveness of percutaneous catheter drainage (PCD) in 10 patients with pneumothorax. The catheter was inserted under fluoroscopic guidance. Seven patients had spontaneous pneumothorax caused by tuberculosis (n =4), reptured bullae (n = 2), and histiocytosis-X (n = 1). Three patients had iatrogenic pneumothorax caused by trauma (n = 1) and surgery (n = 2). All procedures were performed by modified Seldinger's method by using 8F-20F catheter. All catheter were inserted successfully. In 9 of 10 patients, the procedure was curative without further therapy. Duration of catheter insertion ranged from 1 day to 26 days. In the remaining 1 patient in whom multiple pneumothorax occurred after operation, catheter insertion was performed twice. Percutaneous catheter drainage under fluoroscopic guidance is effective and safe procedure for treatment of pneumothorax in patients with failed closed thoracotomy.

Evaluation of the sustainability of road drainage systems

Science.gov (United States)

García-Diez, Iván; Palencia, Covadonga; Fernández Raga, María

2017-04-01

Water is the most erosive agent that exists on the linear structures, because they are constantly subjected to outdoor condition like irregular infiltration, frosts and different rain intensities. Another variables that highly influence in the entire lifetime of a natural drainage system are the spatial and temporal variability of the rainfall, the soil, the vegetation cover and the design. All this factors are affecting the vulnerability of the clearings and embankments, by wearing away the weakest materials which surround the roads or train rails, producing erosion and very bumpy surfaces. The result is that the original pattern, developped to disminished the lost of soil, is not properly working and it cannot eliminate water, with the consequence destruction of the linear structure after several rainfall periods, and the accumulation of material down slope. The propose of this research focuses on analysing the drainage systems used in spanish roads and railways lines. For this purpose, a revision of the literature has been done, and the main drainage solutions have been recovered, carrying out an evaluation of them from an environmental point of view. This procedure has been requested by several authors in the past (Nwa, E.U. & Twocock, J.G., 1969; Goulter, I.C., 1992), together with the need of designing a more sustainable drainage system. The final objective of this complete revision is to compare objetively the designs to valuate them in order to develop a new drainage patter which minimize the erosion, increasing the durability and effectiveness of the drainage system. For this purpose, it is neccesary to assure that all the systems will be compare under similar parameters of flow rate, vegetation, substrate, lenght, slope and total section. Only the channels pattern and water distribution will change. The analysis has been done following Liu, H. & Zhu, X.B., (2012), who pointed out that the main parameters to take into account to select a road drainage

Black holes will break up solitons and white holes may destroy them

International Nuclear Information System (INIS)

Akbar, Fiki T.; Gunara, Bobby E.; Susanto, Hadi

2017-01-01

Highlights: • What happens if a soliton collides with a black or white hole? • Solitons can pass through black hole horizons, but they will break up into several solitons after the collision. • In the interaction with a white hole horizon, solitons either pass through the horizon or will be destroyed by it. - Abstract: We consider a quantum analogue of black holes and white holes using Bose–Einstein condensates. The model is described by the nonlinear Schrödinger equation with a ‘stream flow’ potential, that induces a spatial translation to standing waves. We then mainly consider the dynamics of dark solitons in a black hole or white hole flow analogue and their interactions with the event horizon. A reduced equation describing the position of the dark solitons was obtained using variational method. Through numerical computations and comparisons with the analytical approximation we show that solitons can pass through black hole horizons even though they will break up into several solitons after the collision. In the interaction with a white hole horizon, we show that solitons either pass through the horizon or will be destroyed by it.

Black holes will break up solitons and white holes may destroy them

Energy Technology Data Exchange (ETDEWEB)

Akbar, Fiki T., E-mail: ftakbar@fi.itb.ac.id [Theoretical Physics Laboratory, Theoretical High Energy Physics and Instrumentation Research Group, Faculty of Mathematics and Natural Sciences, Institut Teknologi Bandung, Jl. Ganesha no. 10, Bandung, 40132 (Indonesia); Gunara, Bobby E., E-mail: bobby@fi.itb.ac.id [Theoretical Physics Laboratory, Theoretical High Energy Physics and Instrumentation Research Group, Faculty of Mathematics and Natural Sciences, Institut Teknologi Bandung, Jl. Ganesha no. 10, Bandung, 40132 (Indonesia); Susanto, Hadi, E-mail: hsusanto@essex.ac.uk [Department of Mathematical Sciences, University of Essex, Colchester, CO4 3SQ (United Kingdom)

2017-06-15

Highlights: • What happens if a soliton collides with a black or white hole? • Solitons can pass through black hole horizons, but they will break up into several solitons after the collision. • In the interaction with a white hole horizon, solitons either pass through the horizon or will be destroyed by it. - Abstract: We consider a quantum analogue of black holes and white holes using Bose–Einstein condensates. The model is described by the nonlinear Schrödinger equation with a ‘stream flow’ potential, that induces a spatial translation to standing waves. We then mainly consider the dynamics of dark solitons in a black hole or white hole flow analogue and their interactions with the event horizon. A reduced equation describing the position of the dark solitons was obtained using variational method. Through numerical computations and comparisons with the analytical approximation we show that solitons can pass through black hole horizons even though they will break up into several solitons after the collision. In the interaction with a white hole horizon, we show that solitons either pass through the horizon or will be destroyed by it.

Ultrasound guided transrectal catheter drainage of pelvic collections.

Science.gov (United States)

Thakral, Anuj; Sundareyan, Ramaniwas; Kumar, Sheo; Arora, Divya

2015-01-01

The transrectal approach to draining deep-seated pelvic collections may be used to drain The transrectal approach to draining deep-seated pelvic collections may be used to drain intra-abdominal collections not reached by the transabdominal approach. We discuss 6 patients with such pelvic collections treated with transrectal drainage using catheter placement via Seldinger technique. Transrectal drainage helped achieve clinical and radiological resolution of pelvic collections in 6 and 5 of 6 cases, respectively. It simultaneously helped avoid injury to intervening bowel loops and neurovascular structures using real-time visualization of armamentarium used for drainage. Radiation exposure from fluoroscopic/CT guidance was avoided. Morbidity and costs incurred in surgical exploration were reduced using this much less invasive ultrasound guided transrectal catheter drainage of deep-seated pelvic collections.

Caged black holes: Black holes in compactified spacetimes. I. Theory

International Nuclear Information System (INIS)

Kol, Barak; Sorkin, Evgeny; Piran, Tsvi

2004-01-01

In backgrounds with compact dimensions there may exist several phases of black objects including a black hole and a black string. The phase transition between them raises questions and touches on fundamental issues such as topology change, uniqueness, and cosmic censorship. No analytic solution is known for the black hole, and moreover one can expect approximate solutions only for very small black holes, while phase transition physics happens when the black hole is large. Hence we turn to numerical solutions. Here some theoretical background to the numerical analysis is given, while the results will appear in a subsequent paper. The goals for a numerical analysis are set. The scalar charge and tension along the compact dimension are defined and used as improved order parameters which put both the black hole and the black string at finite values on the phase diagram. The predictions for small black holes are presented. The differential and the integrated forms of the first law are derived, and the latter (Smarr's formula) can be used to estimate the 'overall numerical error'. Field asymptotics and expressions for physical quantities in terms of the numerical values are supplied. The techniques include the 'method of equivalent charges', free energy, dimensional reduction, and analytic perturbation for small black holes

Alternate Explosions: Collapse and Accretion Events with Red Holes instead of Black Holes

OpenAIRE

Graber, James S.

1999-01-01

A red hole is "just like a black hole" except it lacks an event horizon and a singularity. As a result, a red hole emits much more energy than a black hole during a collapse or accretion event. We consider how a red hole solution can solve the "energy crisis" and power extremely energetic gamma ray bursts and hypernovae.

Black and white holes

International Nuclear Information System (INIS)

Zeldovich, Ya.; Novikov, I.; Starobinskij, A.

1978-01-01

The theory is explained of the origination of white holes as a dual phenomenon with regard to the formation of black holes. Theoretically it is possible to derive the white hole by changing the sign of time in solving the general theory of relativity equation implying the black hole. The white hole represents the amount of particles formed in the vicinity of a singularity. For a distant observer, matter composed of these particles expands and the outer boundaries of this matter approach from the inside the gravitational radius Rsub(r). At t>>Rsub(r)/c all radiation or expulsion of matter terminates. For the outside observer the white hole exists for an unlimited length of time. In fact, however, it acquires the properties of a black hole and all processes in it cease. The qualitative difference between a white hole and a black hole is in that a white hole is formed as the result of an inner quantum explosion from the singularity to the gravitational radius and not as the result of a gravitational collapse, i.e., the shrinkage of diluted matter towards the gravitational radius. (J.B.)

Black and white holes

Energy Technology Data Exchange (ETDEWEB)

Zeldovich, Ya; Novikov, I; Starobinskii, A

1978-07-01

The theory is explained of the origination of white holes as a dual phenomenon with regard to the formation of black holes. Theoretically it is possible to derive the white hole by changing the sign of time in solving the general theory of relativity equation implying the black hole. The white hole represents the amount of particles formed in the vicinity of a singularity. For a distant observer, matter composed of these particles expands and the outer boundaries of this matter approach from the inside the gravitational radius R/sub r/. At t>>R/sub r//c all radiation or expulsion of matter terminates. For the outside observer the white hole exists for an unlimited length of time. In fact, however, it acquires the properties of a black hole and all processes in it cease. The qualitative difference between a white hole and a black hole is in that a white hole is formed as the result of an inner quantum explosion from the singularity to the gravitational radius and not as the result of a gravitational collapse, i.e., the shrinkage of diluted matter towards the gravitational radius.

Intermediate report on the problems of warm water drainage

International Nuclear Information System (INIS)

1976-01-01

The investigation into the solution of the problems of warm water drainage and its related matters was conducted, and the result was summarized by the warm water drainage sectional committee of the central public nuisance-prevention council entrusted by the Environment Agency. The first section of this report deals with the background of the warm water drainage problems. In December 1970, the environmental pollution prevention act was revised so as to include warm water drainage in the law. The second section deals with the progress of deliberation by the sectional committee. The third section deals with the actual conditions of warm water drainage. The temperature difference at the inlet and outlet of water was 5 to 11 0 C in power plants, 5 to 16 0 C in iron and steel works, 4 to 11 0 C in petroleum refineries, and 7 to 25 0 C in petrochemical plants. The amount of heat energy discharged from power plants was greater than that from the others. Other sections deal with its effects on the living things in water, the forecast of diffusion of warm drainage, the concept of the regulation of warm drainage, and the present countermeasure. Twelve points which require future investigation are listed. They are the change in the phases of living things affected by the change in temperature and flow of warm drainage, the effects on fishery resources, the estimation system for the environmental calorific capacity in the sea, the mechanism of diffusion and the forecasting method for the diffusion range. (Iwakiri, K.)

Astrophysical black holes

CERN Document Server

Gorini, Vittorio; Moschella, Ugo; Treves, Aldo; Colpi, Monica

2016-01-01

Based on graduate school lectures in contemporary relativity and gravitational physics, this book gives a complete and unified picture of the present status of theoretical and observational properties of astrophysical black holes. The chapters are written by internationally recognized specialists. They cover general theoretical aspects of black hole astrophysics, the theory of accretion and ejection of gas and jets, stellar-sized black holes observed in the Milky Way, the formation and evolution of supermassive black holes in galactic centers and quasars as well as their influence on the dynamics in galactic nuclei. The final chapter addresses analytical relativity of black holes supporting theoretical understanding of the coalescence of black holes as well as being of great relevance in identifying gravitational wave signals. With its introductory chapters the book is aimed at advanced graduate and post-graduate students, but it will also be useful for specialists.

Acute intracranial bleeding and recurrence after bur hole craniostomy for chronic subdural hematoma.

Science.gov (United States)

Pang, Chang Hwan; Lee, Soo Eon; Kim, Chang Hyeun; Kim, Jeong Eun; Kang, Hyun-Seung; Park, Chul-Kee; Paek, Sun Ha; Kim, Chi Heon; Jahng, Tae-Ahn; Kim, Jin Wook; Kim, Yong Hwy; Kim, Dong Gyu; Chung, Chun Kee; Jung, Hee-Won; Yoo, Heon

2015-07-01

There is inconsistency among the perioperative management strategies currently used for chronic subdural hematoma (cSDH). Moreover, postoperative complications such as acute intracranial bleeding and cSDH recurrence affect clinical outcome of cSDH surgery. This study evaluated the risk factors associated with acute intracranial bleeding and cSDH recurrence and identified an effective perioperative strategy for cSDH patients. A retrospective study of patients who underwent bur hole craniostomy for cSDH between 2008 and 2012 was performed. A consecutive series of 303 cSDH patients (234 males and 69 females; mean age 67.17 years) was analyzed. Postoperative acute intracranial bleeding developed in 14 patients (4.57%) within a mean of 3.07 days and recurrence was observed in 37 patients (12.21%) within a mean of 31.69 days (range 10-104 days) after initial bur hole craniostomy. The comorbidities of hematological disease and prior shunt surgery were clinical factors associated with acute bleeding. There was a significant risk of recurrence in patients with diabetes mellitus, but recurrence did not affect the final neurological outcome (p = 0.776). Surgical details, including the number of operative bur holes, saline irrigation of the hematoma cavity, use of a drain, and type of postoperative ambulation, were not significantly associated with outcome. However, a large amount of drainage was associated with postoperative acute bleeding. Bur hole craniostomy is an effective surgical procedure for initial and recurrent cSDH. Patients with hematological disease or a history of prior shunt surgery are at risk for postoperative acute bleeding; therefore, these patients should be carefully monitored to avoid overdrainage. Surgeons should consider informing patients with diabetes mellitus that this comorbidity is associated with an increased likelihood of recurrence.

Development of laundry drainage treatment system with ceramic ultra filter

International Nuclear Information System (INIS)

Kanda, Masanori; Kurahasi, Takafumi

1995-01-01

A compact laundry drainage treatment system (UF system hereafter) with a ceramic ultra filter membrane (UF membrane hereafter) has been developed to reduce radioactivity in laundry drainage from nuclear power plants. The UF membrane is made of sintered fine ceramic. The UF membrane has 0.01 μm fine pores, resulting in a durable, heat-resistant, and corrosion-resistant porous ceramic filter medium. A cross-flow system, laundry drainage is filtrated while it flows across the UF membrane, is used as the filtration method. This method creates less caking when compared to other methods. The UF membrane is back washed at regular intervals with permeated water to minimize caking of the filter. The UF membrane and cross-flow system provides long stable filtration. The ceramic UF membrane is strong enough to concentrate suspended solids in laundry drainage up to a weight concentration of 10%. The final concentrated laundry drainage can be treated in an incinerator. The performance of the UF system was checked using radioactive laundry drainage. The decontamination factor of the UF system was 25 or more. The laundry drainage treatment capacity and concentration ratio of the UF system, as well as the service life of the UF membrane were also checked by examination using simulated non-radioactive laundry drainage. Even though laundry drainage was concentrated 1000 times, the UF system showed good permeated water quality and permeated water flux. (author)

Proceedings of the international land reclamation and mine drainage conference and third international conference on the abatement of acidic drainage. Volume 1: Mine drainage -- SP 06A-94

International Nuclear Information System (INIS)

Anon.

1994-01-01

Volume 1 of these proceedings is divided into the following sections: Modeling mine water quality; Water treatment with wetlands; Predicting mine water quality; Water treatment--Chemical; Control of acid mine drainage--Wet covers; Site characterization monitoring; Control of acid mine drainage--Alkaline addition; and Mine water geochemistry. Papers dealing with or applicable to coal or uranium mining have been processed separately for inclusion on the data base

Numerical Three-Dimensional Model of Airport Terminal Drainage System

Directory of Open Access Journals (Sweden)

Strzelecki Michał

2014-03-01

Full Text Available During the construction of an airport terminal it was found that as a result of the hydrostatic pressure of underground water the foundation plate of the building had dangerously shifted in the direction opposite to that of the gravitational forces. The only effective measure was to introduce a drainage system on the site. The complex geology of the area indicated that two independent drainage systems, i.e., a horizontal system in the Quaternary beds and a vertical system in the Tertiary water-bearing levels, were necessary. This paper presents numerical FEM calculations of the two drainage systems being part of the airport terminal drainaged esign. The computer simulation which was carried out took into consideration the actual effect of the drainage systems and their impact on the depression cone being formed in the two aquifers.

Land drainage and restoration of land after NCB opencast mining

Energy Technology Data Exchange (ETDEWEB)

Bragg, N.

The author outlines the MAFF Field Drainage Research Unit's research into drainage of reinstated land. Current investigations have aimed at identifying the problems of reinstated soil and how they affect drainage design. Experiments on efficiency of permeable field drains and non-permeable field drains are mentioned. Further work is needed to examine long-term effects of storage on soil structure and whether existing drainage can be revitalised by secondary treatment.

Drainage Water Filtration

Science.gov (United States)

Tile drainage discharge from managed turf is known to carry elevated concentrations of agronomic fertilizers and chemicals. One approach being considered to reduce the transport is end-of-tile-filters. Laboratory and field studies have been initiated to address the efficacy of this approach. Result...

Black holes in binary stars

NARCIS (Netherlands)

Wijers, R.A.M.J.

1996-01-01

Introduction Distinguishing neutron stars and black holes Optical companions and dynamical masses X-ray signatures of the nature of a compact object Structure and evolution of black-hole binaries High-mass black-hole binaries Low-mass black-hole binaries Low-mass black holes Formation of black holes

The stable problem of the black-hole connected region in the Schwarzschild black hole

OpenAIRE

Tian, Guihua

2005-01-01

The stability of the Schwarzschild black hole is studied. Using the Painlev\\'{e} coordinate, our region can be defined as the black-hole-connected region(r>2m, see text) of the Schwarzschild black hole or the white-hole-connected region(r>2m, see text) of the Schwarzschild black hole. We study the stable problems of the black-hole-connected region. The conclusions are: (1) in the black-hole-connected region, the initially regular perturbation fields must have real frequency or complex frequen...

Rotating black holes at future colliders. III. Determination of black hole evolution

International Nuclear Information System (INIS)

Ida, Daisuke; Oda, Kin-ya; Park, Seong Chan

2006-01-01

TeV scale gravity scenario predicts that the black hole production dominates over all other interactions above the scale and that the Large Hadron Collider will be a black hole factory. Such higher-dimensional black holes mainly decay into the standard model fields via the Hawking radiation whose spectrum can be computed from the greybody factor. Here we complete the series of our work by showing the greybody factors and the resultant spectra for the brane-localized spinor and vector field emissions for arbitrary frequencies. Combining these results with the previous works, we determine the complete radiation spectra and the subsequent time evolution of the black hole. We find that, for a typical event, well more than half a black hole mass is emitted when the hole is still highly rotating, confirming our previous claim that it is important to take into account the angular momentum of black holes

The effect of climate change on urban drainage

DEFF Research Database (Denmark)

Grum, M.; Jørgensen, A.T.; Johansen, R.M.

2006-01-01

and consequences of climate change on urban drainage and urban runoff pollution issues. This study uses predictions from a regional climate model to look at the effects of climate change on extreme precipitation events. Results are presented in terms of point rainfall extremes. The analysis involves three steps......That we are in a period of extraordinary rates of climate change is today evident. These climate changes are likely to impact local weather conditions with direct impacts on precipitation patterns and urban drainage. In recent years several studies have focused on revealing the nature, extent...... to urban drainage. However, in spite of these uncertainties, and others raised in the discussion, the tendency is clear: extreme precipitation events effecting urban drainage and causing flooding will become more frequent as a result of climate change....

Black holes. Chapter 6

International Nuclear Information System (INIS)

Penrose, R.

1980-01-01

Conditions for the formation of a black hole are considered, and the properties of black holes. The possibility of Cygnus X-1 as a black hole is discussed. Einstein's theory of general relativity in relation to the formation of black holes is discussed. (U.K.)

Statistical black-hole thermodynamics

International Nuclear Information System (INIS)

Bekenstein, J.D.

1975-01-01

Traditional methods from statistical thermodynamics, with appropriate modifications, are used to study several problems in black-hole thermodynamics. Jaynes's maximum-uncertainty method for computing probabilities is used to show that the earlier-formulated generalized second law is respected in statistically averaged form in the process of spontaneous radiation by a Kerr black hole discovered by Hawking, and also in the case of a Schwarzschild hole immersed in a bath of black-body radiation, however cold. The generalized second law is used to motivate a maximum-entropy principle for determining the equilibrium probability distribution for a system containing a black hole. As an application we derive the distribution for the radiation in equilibrium with a Kerr hole (it is found to agree with what would be expected from Hawking's results) and the form of the associated distribution among Kerr black-hole solution states of definite mass. The same results are shown to follow from a statistical interpretation of the concept of black-hole entropy as the natural logarithm of the number of possible interior configurations that are compatible with the given exterior black-hole state. We also formulate a Jaynes-type maximum-uncertainty principle for black holes, and apply it to obtain the probability distribution among Kerr solution states for an isolated radiating Kerr hole

PASSIVE TREATMENT OF ACID ROCK DRAINAGE FROM A SUBSURFACE MINE

Science.gov (United States)

Acidic, metal-contaminated drainages are a critical problem facing many areas of the world. Acid rock drainage results when metal sulfide minerals, particularly pyrite, are oxidized by exposure to oxygen and water. The deleterious effects of these drainages on receiving streams a...

Systematic review and meta-analysis of closed suction drainage versus non-drainage in primary hip arthroplasty.

LENUS (Irish Health Repository)

Kelly, Enda G

2014-03-01

The routine use of drains in surgery has been dogmatically instituted in some disciplines. Orthopaedic surgery is one such sub-speciality. The use of postoperative closed suction drainage in total hip arthroplasty (THA) has become increasingly controversial with multiple randomised control trials performed to assess the benefit to outcome in THA. The hypothesis of this systematic review is that closed suction drainage does not infer a benefit and increase transfusion requirements of primary total hip arthroplasty patients. A systematic review and meta-analysis was conducted adhering to the PRISMA guidelines. A search of the available literature was performed on PubMed, Cochrane Central Registry of Controlled Trials, MEDLINE (OVID) and EMBASE using a combination of MeSH terms and Boolean operators. All data analysis was performed using the Cochrane Collaboration\\'s Review Manager 5.1. Sixteen studies (n=2705) were included in the analysis. Post-operative closed suction drainage was found to increase total blood loss and blood transfusion requirements (p<0.05). Surgical site infection demonstrated no significant difference between the two groups (p=0.82). No significant difference in haematoma formation between groups (p=0.19) was elicited. The routine use of closed suction drainage systems post primary hip arthroplasty is not supported by this meta-analysis. However, the heterogeneity between studies does limit the accuracy of the meta-analysis.

Black hole hair removal

International Nuclear Information System (INIS)

Banerjee, Nabamita; Mandal, Ipsita; Sen, Ashoke

2009-01-01

Macroscopic entropy of an extremal black hole is expected to be determined completely by its near horizon geometry. Thus two black holes with identical near horizon geometries should have identical macroscopic entropy, and the expected equality between macroscopic and microscopic entropies will then imply that they have identical degeneracies of microstates. An apparent counterexample is provided by the 4D-5D lift relating BMPV black hole to a four dimensional black hole. The two black holes have identical near horizon geometries but different microscopic spectrum. We suggest that this discrepancy can be accounted for by black hole hair - degrees of freedom living outside the horizon and contributing to the degeneracies. We identify these degrees of freedom for both the four and the five dimensional black holes and show that after their contributions are removed from the microscopic degeneracies of the respective systems, the result for the four and five dimensional black holes match exactly.

A model to measure lymphatic drainage from the eye.

Science.gov (United States)

Kim, Minhui; Johnston, Miles G; Gupta, Neeru; Moore, Sara; Yücel, Yeni H

2011-11-01

Intraocular pressure (IOP) is the most important risk factor for glaucoma development and progression. Most anti-glaucoma treatments aim to lower IOP by enhancing aqueous humor drainage from the eye. Aqueous humor drainage occurs via well-characterized trabecular meshwork (TM) and uveoscleral (UVS) pathways, and recently described ciliary body lymphatics. The relative contribution of the lymphatic pathway to aqueous drainage is not known. We developed a sheep model to quantitatively assess lymphatic drainage along with TM and UVS outflows. This study describes that model and presents our initial findings. Following intracameral injection of (125)I-bovine serum albumin (BSA), lymph was continuously collected via cannulated cervical lymphatic vessels and the thoracic lymphatic duct over either a 3-h or 5-h time period. In the same animals, blood samples were collected from the right jugular vein every 15 min. Lymphatic and TM drainage were quantitatively assessed by measuring (125)I-BSA in lymph and plasma, respectively. Radioactive tracer levels were also measured in UVS and "other" ocular tissue, as well as periocular tissue harvested 3 and 5 h post-injection. Tracer recovered from UVS tissue was used to estimate UVS drainage. The amount of (125)I-BSA recovered from different fluid and tissue compartments was expressed as a percentage of total recovered tracer. Three hours after tracer injection, percentage of tracer recovered in lymph and plasma was 1.64% ± 0.89% and 68.86% ± 9.27%, respectively (n = 8). The percentage of tracer in UVS, other ocular and periocular tissues was 19.87% ± 5.59%, 4.30% ± 3.31% and 5.32% ± 2.46%, respectively. At 5 h (n = 2), lymphatic drainage was increased (6.40% and 4.96% vs. 1.64%). On the other hand, the percentage of tracer recovered from UVS and other ocular tissue had decreased, and the percentage from periocular tissue showed no change. Lymphatic drainage increased steadily over the 3 h post-injection period, while TM

Regulated Electric Drainage and its Interference with Track Circuits

Directory of Open Access Journals (Sweden)

Vaclav Kolar

2018-01-01

Full Text Available Electric drainage is a power electronic device used to protect underground metal devices (such as piping from the corrosive effects of stray currents. Stray currents are usually caused by DC electric traction, such as trams or railways. In places where stray currents leave the underground device and return into rails, they cause significant electrochemical corrosion of buried devices. The principle of electric drainage is based on electrical connection between the underground device and electric traction rails, which ensures that current flows through this connection, instead of flowing into the ground. Nowadays, the most widely used type is regulated electric drainage, where current is regulated by means of Pulse Width Modulation (PWM. Because of this modulation, current flowing through the drainage contains harmonic components with different frequencies. In modern railways, track circuits are often used as an important part of the track security system. For safe operation, it is necessary to ensure that frequencies generated by the drainage do not interfere with track circuits. This paper describes the design of a regulated drainage control system, with regard to its compatibility with track circuits and this paper contains related computer simulations and discussion of the results

Radiologic guidance of drainage of infected and noninfected thoracic fluid collections

International Nuclear Information System (INIS)

Van Sonnenberg, E.; Casola, G.; Stavas, J.; Neff, C.C.; Wittich, G.R.; Varney, R.A.; Christensen, R.; Friedman, P.

1987-01-01

This exhibit illustrates the spectrum and benefits of radiologic guidance of drainage of 100 thoracic fluid collections. Collections which underwent drainage include: empyemas, lung abscesses, bronchopleural fistulas (BPF), mediastinal abscesses, paracardial collections, bronchogenic cysts, sequestrations, lymphocoeles, malignant effusions, and necrotic tumors. Sclerotherapy catheterization also is described. The modalities for guidance were CT, US, and fluoroscopy. Inadequate thoracostomy tube drainage occurred in a third of the patients prior to radiologic drainage. Drainages were effective in 85% of cases sparing surgery or another thoracostomy tube. Complications occurred in 7% of patients, most being minor and none requiring operation. Pitfalls and caveats are highlighted. Criteria for drainage of lung abscesses and BPF are emphasized, as are techniques and methods of follow-up

Acid mine drainage

Science.gov (United States)

Bigham, Jerry M.; Cravotta, Charles A.

2016-01-01

Acid mine drainage (AMD) consists of metal-laden solutions produced by the oxidative dissolution of iron sulfide minerals exposed to air, moisture, and acidophilic microbes during the mining of coal and metal deposits. The pH of AMD is usually in the range of 2–6, but mine-impacted waters at circumneutral pH (5–8) are also common. Mine drainage usually contains elevated concentrations of sulfate, iron, aluminum, and other potentially toxic metals leached from rock that hydrolyze and coprecipitate to form rust-colored encrustations or sediments. When AMD is discharged into surface waters or groundwaters, degradation of water quality, injury to aquatic life, and corrosion or encrustation of engineered structures can occur for substantial distances. Prevention and remediation strategies should consider the biogeochemical complexity of the system, the longevity of AMD pollution, the predictive power of geochemical modeling, and the full range of available field technologies for problem mitigation.

Risk factors influencing the pleural drainage volume after transthoracic oesophagectomy.

Science.gov (United States)

Kosugi, Shin-ichi; Kanda, Tatsuo; Yajima, Kazuhito; Ishikawa, Takashi; Sakamoto, Kaoru

2013-06-01

The objective of this study was to clarify the factors influencing pleural drainage volume after transthoracic oesophagectomy and to determine criteria for the selection of patients who would benefit from the early removal of chest drains. Clinicopathological characteristics of 155 patients who underwent transthoracic oesophagectomy were prospectively collected, and the daily drainage volume of each patient was retrospectively reviewed. Potential risk factors were compared between the high-output group (n = 39) and low-output group (n = 116), which were dichotomized using the 75th percentile of total pleural drainage volume of the total study population. Multivariate logistic regression analyses were used to identify independent risk factors. The median duration of drainage was 10 days, with a median total drainage volume of 2258 ml. Of 27 potential risk factors influencing the drainage volume, creatinine clearance (P = 0.04), operative approach (P = 0.03) and thoracic duct removal (P = 0.01) were significantly associated with the total pleural drainage volume. The removal of the thoracic duct (P = 0.02; odds ratio, 4.02; 95% confidence interval 1.20-13.41) and lower creatinine clearance (P = 0.04; odds ratio, 1.02; 95% confidence interval 1.00-1.04) was independent risk factors for increased pleural drainage volume after transthoracic oesophagectomy. The early removal of chest drains may be possible in patients without these risk factors.

Estimating the benefits of improved drainage on pavement ...

African Journals Online (AJOL)

user

2 Centre for Transportation Systems, Indian Institute of Technology Roorkee, INDIA ... parking lots that only allow cars, not trucks). ..... drainage section) and 2015 & 2019 (for poor drainage section) after the construction of an overlay, it was ...

Acid Mine Drainage Treatment

National Research Council Canada - National Science Library

Fripp, Jon

2000-01-01

.... Acid mine drainage (AMD) can have severe impacts to aquatic resources, can stunt terrestrial plant growth and harm wetlands, contaminate groundwater, raise water treatment costs, and damage concrete and metal structures...

Agricultural Drainage Well Intakes

Data.gov (United States)

Iowa State University GIS Support and Research Facility — Locations of surface intakes for registered agriculture drainage wells according to the database maintained by IDALS. Surface intakes were located from their...

CT-guided biopsies and drainage

International Nuclear Information System (INIS)

Scheppers, I.; Wollschlaeger, D.

2011-01-01

Following the implementation of computed tomography (CT) or ultrasound-guided biopsy of solid tumors and the puncture and drainage of liquid processes, the number of surgical open biopsies and curative operations for abscess drainage has declined. Such CT-guided interventions are performed in nearly every organ. Instead of aspiration biopsies, more and more core biopsies are being performed to allow histopathological evaluation and thus allowing targeted therapy. This article is intended to give a general overview of techniques, materials, indications and contraindications. Ultrasound-guided biopsies as well as large bore vacuum biopsies of the breast are not included in this review. (orig.) [de

Management of chest drainage tubes after lung surgery.

Science.gov (United States)

Satoh, Yukitoshi

2016-06-01

Since chest tubes have been routinely used to drain the pleural space, particularly after lung surgery, the management of chest tubes is considered to be essential for the thoracic surgeon. The pleural drainage system requires effective drainage, suction, and water-sealing. Another key point of chest tube management is that a water seal is considered to be superior to suction for most air leaks. Nowadays, the most common pleural drainage device attached to the chest tube is the three-bottle system. An electronic chest drainage system has been developed that is effective in standardizing the postoperative management of chest tubes. More liberal use of digital drainage devices in the postoperative management of the pleural space is warranted. The removal of chest tubes is a common procedure occurring almost daily in hospitals throughout the world. Extraction of the tube is usually done at the end of full inspiration or at the end of full expiration. The tube removal technique is not as important as how it is done and the preparation for the procedure. The management of chest tubes must be based on careful observation, the patient's characteristics, and the operative procedures that had been performed.

Drainage from coal mines: Chemistry and environmental problems

International Nuclear Information System (INIS)

Wildeman, T.

1991-01-01

Much of the research on coal-mine drainage chemistry was conducted a decade ago, and now increased environmental awareness has brought about renewed interest in the findings. Consideration of the trace minerals and elements in coal points to the possible generation of acidic waters upon weathering, especially when pyrite is present. When pyrite weathers, it produces H + and Fe 3+ which catalyze the incongruent weathering of other carbonates and sulfides. In this weathering mechanism, catalysis by bacteria is important. Of the environmental problems in coal mine drainage, the mineral acidity of the water is the most serious. This is caused not only by the H + , but also by Mn 4+ , Fe 3+ , and Al 3+ that are found or generated within the drainage. Case studies in Kentucky, Pennsylvania, Illinois, and Colorado show that the abundance and form of pyrite in the deposit and in the overburden determines the level of acidity and the concentration of heavy metal pollutants in the drainage. Recent trends in environmental enforcement that emphasize integrated stream water standards and biotoxicity assays point to the possibility that the concentrations of heavy metals in coal mine drainages may cause environmental concern

Brane holes

International Nuclear Information System (INIS)

Frolov, Valeri P.; Mukohyama, Shinji

2011-01-01

The aim of this paper is to demonstrate that in models with large extra dimensions under special conditions one can extract information from the interior of 4D black holes. For this purpose we study an induced geometry on a test brane in the background of a higher-dimensional static black string or a black brane. We show that, at the intersection surface of the test brane and the bulk black string or brane, the induced metric has an event horizon, so that the test brane contains a black hole. We call it a brane hole. When the test brane moves with a constant velocity V with respect to the bulk black object, it also has a brane hole, but its gravitational radius r e is greater than the size of the bulk black string or brane r 0 by the factor (1-V 2 ) -1 . We show that bulk ''photon'' emitted in the region between r 0 and r e can meet the test brane again at a point outside r e . From the point of view of observers on the test brane, the events of emission and capture of the bulk photon are connected by a spacelike curve in the induced geometry. This shows an example in which extra dimensions can be used to extract information from the interior of a lower-dimensional black object. Instead of the bulk black string or brane, one can also consider a bulk geometry without a horizon. We show that nevertheless the induced geometry on the moving test brane can include a brane hole. In such a case the extra dimensions can be used to extract information from the complete region of the brane-hole interior. We discuss thermodynamic properties of brane holes and interesting questions which arise when such an extra-dimensional channel for the information mining exists.

Glaucoma Drainage Device Erosion Following Ptosis Surgery.

Science.gov (United States)

Bae, Steven S; Campbell, Robert J

2017-09-01

To highlight the potential risk of glaucoma drainage device erosion following ptosis surgery. Case report. A 71-year-old man underwent uncomplicated superotemporal Ahmed glaucoma valve implantation in the left eye in 2008. Approximately 8 years later, the patient underwent bilateral ptosis repair, which successfully raised the upper eyelid position. Three months postoperatively, the patient's glaucoma drainage implant tube eroded through the corneal graft tissue and overlying conjunctiva to become exposed. A graft revision surgery was successfully performed with no further complications. Caution and conservative lid elevation may be warranted when performing ptosis repair in patients with a glaucoma drainage implant, and patients with a glaucoma implant undergoing ptosis surgery should be followed closely for signs of tube erosion.

Dynamic drainage of froth with wood fibers

Science.gov (United States)

J.Y. Zhu; Freya Tan

2005-01-01

Understanding froth drainage with fibers (or simply called fiber drainage in froth) is important for improving fiber yield in the flotation deinking operation. In this study, the data of water and fiber mass in foams collected at different froth heights were used to reconstruct the time dependent and spatially resolved froth density and fiber volumetric concentration...

Intermediate-term and long-term outcome of piggyback drainage: connecting glaucoma drainage device to a device in-situ for improved intraocular pressure control.

Science.gov (United States)

Dervan, Edward; Lee, Edward; Giubilato, Antonio; Khanam, Tina; Maghsoudlou, Panayiotis; Morgan, William H

2017-11-01

This study provides results of a treatment option for patients with failed primary glaucoma drainage device. The study aimed to describe and evaluate the long-term intraocular pressure control and complications of a new technique joining a second glaucoma drainage device directly to an existing glaucoma drainage device termed 'piggyback drainage'. This is a retrospective, interventional cohort study. Eighteen eyes of 17 patients who underwent piggyback drainage between 2004 and 2013 inclusive have been studied. All patients had prior glaucoma drainage device with uncontrolled intraocular pressure. The piggyback technique involved suturing a Baerveldt (250 or 350 mm) or Molteno3 glaucoma drainage device to an unused scleral quadrant and connecting the silicone tube to the primary plate bleb. Failure of intraocular pressure control defined as an intraocular pressure greater than 21 mmHg on maximal therapy on two separate occasions or further intervention to control intraocular pressure. The intraocular pressure was controlled in seven eyes (39%) at last follow-up with a mean follow-up time of 74.2 months. The mean preoperative intraocular pressure was 27.1 mmHg (95% confidence interval 23.8-30.3) compared with 18.4 mmHg (95% confidence interval 13.9-22.8) at last follow-up. The mean time to failure was 57.1 months (95% confidence interval 32.2-82), and the mean time to further surgery was 72.3 months (95% confidence interval 49.9-94.7). Lower preoperative intraocular pressure was associated with longer duration of intraocular pressure control (P = 0.048). If the intraocular pressure was controlled over 2 years, it continued to be controlled over the long term. Two eyes (11%) experienced corneal decompensation. Piggyback drainage represents a viable surgical alternative for the treatment of patients with severe glaucoma with failing primary glaucoma drainage device, particularly in those at high risk of corneal decompensation. © 2017 Royal Australian and New Zealand

[Retrospective statistical analysis of clinical factors of recurrence in chronic subdural hematoma: correlation between univariate and multivariate analysis].

Science.gov (United States)

Takayama, Motoharu; Terui, Keita; Oiwa, Yoshitsugu

2012-10-01

Chronic subdural hematoma is common in elderly individuals and surgical procedures are simple. The recurrence rate of chronic subdural hematoma, however, varies from 9.2 to 26.5% after surgery. The authors studied factors of the recurrence using univariate and multivariate analyses in patients with chronic subdural hematoma We retrospectively reviewed 239 consecutive cases of chronic subdural hematoma who received burr-hole surgery with irrigation and closed-system drainage. We analyzed the relationships between recurrence of chronic subdural hematoma and factors such as sex, age, laterality, bleeding tendency, other complicated diseases, density on CT, volume of the hematoma, residual air in the hematoma cavity, use of artificial cerebrospinal fluid. Twenty-one patients (8.8%) experienced a recurrence of chronic subdural hematoma. Multiple logistic regression found that the recurrence rate was higher in patients with a large volume of the residual air, and was lower in patients using artificial cerebrospinal fluid. No statistical differences were found in bleeding tendency. Techniques to reduce the air in the hematoma cavity are important for good outcome in surgery of chronic subdural hematoma. Also, the use of artificial cerebrospinal fluid reduces recurrence of chronic subdural hematoma. The surgical procedures can be the same for patients with bleeding tendencies.

Chronic Subdural Hematoma in Elderly Patients: Is This Disease Benign?

Science.gov (United States)

Uno, Masaaki; Toi, Hiroyuki; Hirai, Satoshi

2017-08-15

As the world population becomes progressively older, the overall incidence of chronic subdural hematoma (CSDH) is increasing. Peak age of onset for CSDH has also increased, and recently the 80-year-old level has a peak. Many patients with CSDH have had prior treatment with anticoagulants and antiplatelet drugs, which have an accompanying risk of CSDH. In elderly patients with CSDH, symptoms of cognitive change (memory disturbance, urinary incontinence, and decreased activity) and disturbance of consciousness at admission were more frequent compared to younger patients with CSDH. The literature actually offers conflicting advice regarding CSDH treatment; however, burr hole surgery with drainage under local anesthesia is the most common surgical procedure, even in elderly patients. The recurrence rate of CSDH has not decreased over recent decades, and it has ranged from 0.36-33.3%. Outcomes in patients over 75 years old was significantly worse than for those younger than 75. Moreover, long-term outcomes for elderly patients with CSDH are poor. CSDH in the elderly is no longer a benign disease. In the future, it will be important for us to understand the mechanisms of onset and recurrence of CSDH and to develop more effective medical treatments and noninvasive surgical techniques for elderly patients.

Black holes are warm

International Nuclear Information System (INIS)

Ravndal, F.

1978-01-01

Applying Einstein's theory of gravitation to black holes and their interactions with their surroundings leads to the conclusion that the sum of the surface areas of several black holes can never become less. This is shown to be analogous to entropy in thermodynamics, and the term entropy is also thus applied to black holes. Continuing, expressions are found for the temperature of a black hole and its luminosity. Thermal radiation is shown to lead to explosion of the black hole. Numerical examples are discussed involving the temperature, the mass, the luminosity and the lifetime of black mini-holes. It is pointed out that no explosions corresponding to the prediction have been observed. It is also shown that the principle of conservation of leptons and baryons is broken by hot black holes, but that this need not be a problem. The related concept of instantons is cited. It is thought that understanding of thermal radiation from black holes may be important for the development of a quantified gravitation theory. (JIW)

Endoscopic Surgery for Traumatic Acute Subdural Hematoma

Directory of Open Access Journals (Sweden)

Hiroyuki Kon

2014-01-01

Full Text Available Traumatic acute subdural hematoma (ASDH is generally addressed by craniotomy under general anesthesia. We report a patient whose traumatic ASDH was treated under local anesthesia by one-burr-hole endoscopic surgery. This 87-year-old woman had undergone coil embolization for a ruptured right middle-cerebral artery aneurysm and placement of a ventriculoperitoneal shunt for normal pressure hydrocephalus 5 years earlier. Upon admission, she manifested consciousness disturbance after suffering head trauma and right hemiplegia. Her Glasgow Coma Scale score was 8 (E2V2M4. Computed tomography (CT demonstrated a thick, left-frontotemporal ASDH. Due to her advanced age and poor condition, we performed endoscopic surgery rather than craniotomy to evacuate the ASDH. Under local anesthesia, we made a burr hole in her left forehead and increased its size to 15 mm in diameter. After introducing a transparent sheath into the hematoma cavity with a rigid endoscope, the clot was evacuated with a suction tube. The arterial bleeding point was electrically coagulated. A postoperative CT scan confirmed the reduction of the hematoma. There was neither brain compression nor brain swelling. Her consciousness disturbance and right hemiplegia improved immediately. Endoscopic surgery may represent a viable method to address traumatic intracranial hematomas in some patients.

Freehand technique for putaminal hemorrhage. Technical note

International Nuclear Information System (INIS)

Yokosuka, Kimihiko; Uno, Masaaki; Hirano, Kazuhiro; Toi, Hiroyuki; Matsuzaki, Kazuhito; Matsubara, Shunji

2011-01-01

We designed a new endoscopic surgical procedure for putaminal hemorrhage (freehand technique) and evaluated its effectiveness and safety in patients with putaminal hemorrhage. Computed tomography (CT) data sets from 40 healthy patients were used. The CT data were transformed into three-dimensional images using AZE VirtualPlace Plus. The nasion and external auditory foramen were the intraoperative reference points. The median point from medial of the globus pallidus to the insula was the target point. The location of the burr hole point was 80-125 mm above and 27.5 mm lateral to the nasion, and the direction was parallel to the midline and a line drawn from the burr hole to the ipsilateral external auditory foramen. This point was used for 15 patients with putaminal hemorrhage. In all cases, only one puncture was required, and there were no complications. The median surgical time was 91.7 minutes, and the median hematoma removal rate was 95.9%. No recurrent bleeding or operative complications occurred. The freehand technique is a simple and safe technique for patients with putaminal hemorrhage. We believe that this technique of endoscopic hematoma evacuation may provide a less-invasive method for treating patients with putaminal hemorrhage. (author)

Hole history, rotary hole DC-3

International Nuclear Information System (INIS)

1977-10-01

Purpose of hole DC-3 was to drill into the Umtanum basalt flow using both conventional rotary and core drilling methods. The borehole is to be utilized for geophysical logging, future hydrological testing, and the future installation of a borehole laboratory for long-term pressure, seismic, and moisture migration or accumulation recording in the Umtanum basalt flow in support of the Basalt Waste Isolation Program. Hole DC-3 is located east of the 200 West barricaded area on the Hanford reservation

Streamflow distribution maps for the Cannon River drainage basin, southeast Minnesota, and the St. Louis River drainage basin, northeast Minnesota

Science.gov (United States)

Smith, Erik A.; Sanocki, Chris A.; Lorenz, David L.; Jacobsen, Katrin E.

2017-12-27

Streamflow distribution maps for the Cannon River and St. Louis River drainage basins were developed by the U.S. Geological Survey, in cooperation with the Legislative-Citizen Commission on Minnesota Resources, to illustrate relative and cumulative streamflow distributions. The Cannon River was selected to provide baseline data to assess the effects of potential surficial sand mining, and the St. Louis River was selected to determine the effects of ongoing Mesabi Iron Range mining. Each drainage basin (Cannon, St. Louis) was subdivided into nested drainage basins: the Cannon River was subdivided into 152 nested drainage basins, and the St. Louis River was subdivided into 353 nested drainage basins. For each smaller drainage basin, the estimated volumes of groundwater discharge (as base flow) and surface runoff flowing into all surface-water features were displayed under the following conditions: (1) extreme low-flow conditions, comparable to an exceedance-probability quantile of 0.95; (2) low-flow conditions, comparable to an exceedance-probability quantile of 0.90; (3) a median condition, comparable to an exceedance-probability quantile of 0.50; and (4) a high-flow condition, comparable to an exceedance-probability quantile of 0.02.Streamflow distribution maps were developed using flow-duration curve exceedance-probability quantiles in conjunction with Soil-Water-Balance model outputs; both the flow-duration curve and Soil-Water-Balance models were built upon previously published U.S. Geological Survey reports. The selected streamflow distribution maps provide a proactive water management tool for State cooperators by illustrating flow rates during a range of hydraulic conditions. Furthermore, after the nested drainage basins are highlighted in terms of surface-water flows, the streamflows can be evaluated in the context of meeting specific ecological flows under different flow regimes and potentially assist with decisions regarding groundwater and surface

Properties of the subglacial till inferred from supraglacial lake drainage

Science.gov (United States)

Neufeld, J. A.; Hewitt, D.

2017-12-01

The buildup and drainage of supraglacial lakes along the margins of the Greenland ice sheet has been previously observed using detailed GPS campaigns which show that rapid drainage events are often preceded by localised, transient uplift followed by rapid, and much broader scale, uplift and flexure associated with the main drainage event [1,2]. Previous models of these events have focused on fracturing during rapid lake drainage from an impermeable bedrock [3] or a thin subglacial film [4]. We present a new model of supraglacial drainage that couples the water flux from rapid lake drainage events to a simplified model of the pore-pressure in a porous, subglacial till along with a simplified model of the flexure of glacial ice. Using a hybrid mathematical model we explore the internal transitions between turbulent and laminar flow throughout the evolving subglacial cavity and porous till. The model predicts that an initially small water flux may locally increase pore-pressure in the till leading to uplift and a local divergence in the ice velocity that may ultimately be responsible for large hydro-fracturing and full-scale drainage events. Furthermore, we find that during rapid drainage while the presence of a porous, subglacial till is crucial for propagation, the manner of spreading is remarkably insensitive to the properties of the subglacial till. This is in stark contrast to the post-drainage relaxation of the pore pressure, and hence sliding velocity, which is highly sensitive to the permeability, compressibility and thickness of subglacial till. We use our model, and the inferred sensitivity to the properties of the subglacial till after the main drainage event, to infer the properties of the subglacial till. The results suggest that a detailed interpretation of supraglacial lake drainage may provide important insights into the hydrology of the subglacial till along the margins of the Greenland ice sheet, and the coupling of pore pressure in subglacial till

Treatment of dyeing drainage by radiation

International Nuclear Information System (INIS)

Shimokawa, Toshinari; Sawai, Takeshi

1985-01-01

Decolorization of artificial dyeing drainage and sewage by radiation treatment. Artifical dyeing drainage was prepared from water, polyvinyl alcohol, starch, urea and several kinds of inorganic salts, and artificial sewage, from water, peptone, broth, urea and several kinds of inorganic salts. The above mentioned sample liquors of artificial dyeing drainage and sewage were exposed to γ-radiation of 5 kCi of 60 Co source by aerating through a ball filter. Absorption spectra, total organic carbon (TOC) and chemical oxygen demand (COD) were determined after irradiation to evaluate radiation treatment effect. With the experimental data obtained, it was clarified that absorbance, COD and TOC was decreased with the increase of absorbed dose. Decoloring was made effectively and about 95 % of bleaching ratio was obtained at 5 kGy of radiation. COD was decreased also by irradiation rather slower decreasing rate than that of decolorization, and TOC decrease was very slow at the initial stage of radiation but 40 % of TOC was decomposed by 10 kGy radiation. Dye of chemically stable structure was found more resistant to radiation decolorization. Decomposition efficiency was found less for dyes in the artificial sewage but secondary treated sewage showed no adverse effect. With the obtained understandings, a tentative scheme was planned for the radiation decolorization of dyeing drainage after aeration treatment. (Takagi, S.)

Preoperative biliary drainage for pancreatic cancer.

Science.gov (United States)

Van Heek, N T; Busch, O R; Van Gulik, T M; Gouma, D J

2014-04-01

This review is to summarize the current knowledge about preoperative biliary drainage (PBD) in patients with biliary obstruction caused by pancreatic cancer. Most patients with pancreatic carcinoma (85%) will present with obstructive jaundice. The presence of toxic substances as bilirubin and bile salts, impaired liver function and altered nutritional status due to obstructive jaundice have been characterized as factors for development of complications after surgery. Whereas PBD was to yield beneficial effects in the experimental setting, conflicting results have been observed in clinical studies. The meta-analysis from relative older studies as well as more importantly a recent clinical trial showed that PBD should not be performed routinely. PBD for patients with a distal biliary obstruction is leading to more serious complications compared with early surgery. Arguments for PBD have shifted from a potential therapeutic benefit towards a logistic problem such as patients suffering from cholangitis and severe jaundice at admission or patients who need extra diagnostic tests, or delay in surgery due to a referral pattern or waiting list for surgery as well as candidates for neoadjuvant chemo(radio)therapy. If drainage is indicated in these patients it should be performed with a metal stent to reduce complications after the drainage procedure such as stent occlusion and cholangitis. Considering a change towards more neoadjuvant therapy regimes improvement of the quality of the biliary drainage concept is still important.

Quantum aspects of black holes

CERN Document Server

2015-01-01

Beginning with an overview of the theory of black holes by the editor, this book presents a collection of ten chapters by leading physicists dealing with the variety of quantum mechanical and quantum gravitational effects pertinent to black holes. The contributions address topics such as Hawking radiation, the thermodynamics of black holes, the information paradox and firewalls, Monsters, primordial black holes, self-gravitating Bose-Einstein condensates, the formation of small black holes in high energetic collisions of particles, minimal length effects in black holes and small black holes at the Large Hadron Collider. Viewed as a whole the collection provides stimulating reading for researchers and graduate students seeking a summary of the quantum features of black holes.

Role of Lithology and Rock Structure in Drainage Development in ...

African Journals Online (AJOL)

Lithology and Rock structure play a vital role in the development of Drainage Network in any drainage basin. The drainage patterns upon land surface develop as directed by the underlying lithology and rock structure. In fact, lithology and rock structure together shape the basin and are decisive parameters of nature and ...

Gravitational shunt units may cause under-drainage in bedridden patients.

Science.gov (United States)

Kaestner, S; Kruschat, T; Nitzsche, N; Deinsberger, W

2009-03-01

Implantation of a shunt in a hydrocephalic patient still carries a risk of complications such as over-drainage and under-drainage. Gravitational shunt units are especially designed to minimize the problem of over-drainage. Nevertheless, these valves carry a risk of under-drainage. The best choice of valve for a patient is still challenging. The purpose of this survey was to identify in which patients a gravitational shunt valve is liable to lead to under-drainage. Patients with hydrocephalus entered prospectively into a data base were reviewed retrospectively. The patients were treated between January 2006 to the end of Feb 2007 and those experiencing under- or over-drainage were identified. Thirty-five ventriculo-peritoneal shunt systems were implanted in adult patients. The cause of the hydrocephalus was: normal pressure hydrocephalus in 18 patients, post-haemorrhagic following subarachnoid or intracerebral haemorrhage in 11, associated with a tumour in four and followed a head injury in two patients. Three different valves were used: an adjustable shunt valve with gravitational unit (Pro-GAV 0-20/25 in 21 patients), a gravitational shunt valve with fixed opening pressure (GAV 5/30 in nine patients) and an adjustable differential valve (Hakim medos in five patients). Four patients developed severe, valve-related under-drainage. Each had received a gravitational shunt valve and all were bedridden. In two of these patients it was necessary to change the valve. One patient who had received a differential valve, after regaining mobility developed severe over-drainage with bilateral subdural haematomas. Over-drainage was not seen in long-term bedridden patients with a differential shunt valve. If a bedridden patient with a gravitational shunt valve system lies with a slightly elevated head, this leads to activation of the gravitational unit and this may cause under drainage. As a result, we advise not using an anti-siphon devices in a patient who is bedridden for a

Ultrasound-guided percutaneous transhepatic biliary drainage: Experiences in 146 patients

Energy Technology Data Exchange (ETDEWEB)

Kim, Jai Keun [Sohwa Children' s Hospital, Seoul(Korea, Republic of); Yu, Jeong Sik; Kim, Ki Whang; Chung, Soo Yoon; Jeong, Mi Gyoung [Yonsei University College of Medicine, Seoul (Korea, Republic of); Choi, Deuk Lin; Kwon, Gui Hyang; Lee, Hae Kyung [Soonchunhyang University College of Medicine, Seoul (Korea, Republic of)

1999-03-15

Percutaneous biliary drainage is an important technique for palliative therapy of obstructive biliary disease and diagnostic information. The purpose of this study is to review and evaluate the experiences of ultrasound-guided percutaneous transhepatic biliary drainage. Ultrasound-guided percutaneous transhepatic biliary drainage was performed on 146 occasions in 134 patients. The causes of biliary obstruction were: benign diseases (19 cases, 14.2%) such as bile duct stones or stricture, cholangiocarcinoma (37 cases, 27.6%), pancreatic carcinoma (35 cases, 26.1%), metastasis (22 cases, 16.5%), gall bladder cancer (14 cases, 10.4%), ampulla of Vater cancer (4 cases, 3.0%), hepatocellular carcinoma (3 cases, 2.2%). Retrospectively reviewing medical records, we found out frequency of external or external/internal biliary drainages, puncture of left or right hepatic duct, and presence of bileinfection. Ultrasound-guided percutaneous transhepatic biliary drainage was compared with conventional biliary drainage of previous reports on the basis of frequency of complications. External (124 procedures, 84.9%) and external/internal biliary drainage (22 procedures, 15.1%) were carried out by puncture of dilated right (59.6%) or left (40.4%) intrahepatic duct. Sixty-nine complications occurred in 47 patients. Catheter related complications (33/69, 47.8%) were most common: catheter dislodgement (17/69, 24.6%), malfunction (9/69, 13.1%), leakage (7/69, 10.1%). Other minor complications such as simple fever (16/69, 23.2%), cholangitis (7/69, 10.1%), hemobilia (4/69, 5.8%), biloma (2/69, 2.9%) and wound infection (1/69, 1.5%) occurred. Major complications including sepsis (4/69, 5.8%) and bile peritonitis (2/69, 2.9%) were also noted. Puncture-related complications such as hemobilia, biloma and bile peritonitis occurred in 8 cases (5.5%). Comparing with conventional X-ray guided drainage, ultrasound-guided percutaneous transhepatic biliary drainage is a safe procedure for

Black holes and beyond

Energy Technology Data Exchange (ETDEWEB)

NONE

2002-02-01

Belief in the existence of black holes is the ultimate act of faith for a physicist. First suggested by the English clergyman John Michell in the year 1784, the gravitational pull of a black hole is so strong that nothing - not even light - can escape. Gravity might be the weakest of the fundamental forces but black-hole physics is not for the faint-hearted. Black holes present obvious problems for would-be observers because they cannot, by definition, be seen with conventional telescopes - although before the end of the decade gravitational-wave detectors should be able to study collisions between black holes. Until then astronomers can only infer the existence of a black hole from its gravitational influence on other matter, or from the X-rays emitted by gas and dust as they are dragged into the black hole. However, once this material passes through the 'event horizon' that surrounds the black hole, we will never see it again - not even with X-ray specs. Despite these observational problems, most physicists and astronomers believe that black holes do exist. Small black holes a few kilometres across are thought to form when stars weighing more than about two solar masses collapse under the weight of their own gravity, while supermassive black holes weighing millions of solar masses appear to be present at the centre of most galaxies. Moreover, some brave physicists have proposed ways to make black holes - or at least event horizons - in the laboratory. The basic idea behind these 'artificial black holes' is not to compress a large amount of mass into a small volume, but to reduce the speed of light in a moving medium to less than the speed of the medium and so create an event horizon. The parallels with real black holes are not exact but the experiments could shed new light on a variety of phenomena. The first challenge, however, is to get money for the research. One year on from a high-profile meeting on artificial black holes in London, for

Endoscopic Ultrasound-guided Drainage of Pancreatic Pseudocysts

DEFF Research Database (Denmark)

Ng, Pui Yung; Nytoft Rasmussen, Ditlev; Vilmann, Peter

2013-01-01

or by telephonic interview. RESULTS: A total of 61 procedures were performed. The symptoms that indicated drainage were abdominal pain (n = 43), vomiting (n = 7) and jaundice (n = 5). The procedure was technically successful in 57 of the 61 procedures (93%). The immediate complication rate was 5%. At a mean follow......-up of 45 weeks, the treatment success was 75%. The medium term complications appeared in 25% of cases, which included three cases each of stent clogging, stent migration, infection and six cases of recurrence. There was no mortality. CONCLUSION: EUS-guided drainage is an effective treatment for PPC...... with a successful outcome in most of patients. Most of the complications require minimal invasive surgical treatment or repeated EUS-guided drainage procedures....

Profile of thoracic trauma victims submitted to chest drainage

Directory of Open Access Journals (Sweden)

CESAR AUGUSTO BROSKA JÚNIOR

Full Text Available ABSTRACT Objective: to describe and compare the variables involved in trauma victims undergoing thoracic drainage. Methods: we conducted a retrospective, analytical, descriptive, cross-sectional study, with medical records of patients attended at the Trauma Service of the Curitiba Evangelical University Hospital between February 2011 and January 2014. Results: there were 488 patients undergoing chest drainage, 84.7% men and 15.3% women, with an average age of 38.2 years. Attendances usually occurred at night, without predominance between open or closed mechanism, gender or age group. The majority of patients with thoracic trauma requiring drainage were diagnosed by anamnesis and physical examination (41.1% and drained in the emergency room (80.8%. Most of the patients (66.2% had another associated lesion, mostly some abdominal viscera. Complications were present in 16.6% (81 patients, most of them due to drainage positioning error (9.2%. The mean hospital stay was 15 days and drainage lasted for an average of 8.1 days, with no statistical difference between open and closed trauma. The clinical outcome was discharge in most cases. Conclusion: the profile of patients with thoracic trauma is that of young men, attended at night, with some other associated lesion. Although diagnosis and treatment were rapid and most often without the need for complex examinations, the time of drainage, hospitalization and complications were higher than in the literature, which can be explained by the drainage being made at the Emergency Room and the presence of associated injuries.

Scintigraphy of the lacrimal drainage system

International Nuclear Information System (INIS)

Denffer, H. von; Dressler, J.; Technische Univ. Muenchen

1978-01-01

A new scintigraphic method, the radionuclide dacryography, to evaluate lacrimal drainage and its disorders is described. A drop of sup(99m)Tc-pertechnetate is dropped onto the eyes and the transport of the nuclide is registered by a scintillation camera. By this method it is easy to verify, under physiological conditions, suspected obstructions of the lacrimal drainage system and to determine its localization. The absorbed radiation dose using radionuclide dacryography is very low as compared to radiological methods. (orig.) [de

Effect of Stresses and Strains of Roadway Surrounding Rocks on Borehole Airtightness

Directory of Open Access Journals (Sweden)

WU Wei

2016-02-01

Full Text Available At present, many high gas and outburst mines have poor gas drainage effects. An important reason influencing the gas drainage effect is a poor hole-sealing effect. Most studies on gas drainage borehole sealing focus on local and foreign borehole sealing methods, borehole sealing equipment, and borehole sealing materials. Numerical simulations of initial drilling sealing depth are insufficient because studies on this subject are few. However, when the initial sealing depth of the borehole is not chosen reasonably, air can enter the gas drainage drill hole through the circumferential crack of roadway surrounding rocks under the influence of suction pressure of the drainage system. This phenomenon ultimately affects the hole-sealing effect. To improve the drilling hole sealing of gas drainage boring, we deduced the expression formulas of the crushing zone, plastic zone, and elastic zone around the coal-seam floor stone drift and conducted a stress–strain analysis of the coal-seam floor stone drift of the 2145 working surfaces of the Sixth Coal Mine of Hebi Coal Mine Group Company by using theoretical analysis, numerical simulation, and on-scene verification. Finally, we obtain the initial drilling sealing depth, which is a main contribution of this study. The results prove the following. The performed hole-sealing process with an initial drilling sealing depth of 8 m has a gas drainage efficiency of 55%. Compared with the previous 6.8 m initial drilling sealing depth with a gas drainage efficiency of less than 30%, which was adopted by the mine, the initial sealing depth of 8 m chosen in the numerical simulation is reasonable and conforms to the actual situation on the spot. Therefore, the initial drilling sealing depth chosen in the numerical simulation will produce practical and effective guidance to study the field hole-sealing depth.

Drainage Behavior in Soap Films Above and Below the CMC

Science.gov (United States)

Berg, S.; Adelizzi, E. A.; Troian, S. M.

2003-11-01

We investigate through laser interferometry the drainage behavior of Newtonian soap films initially entrained on a fiber frame at small and constant capillary number. The initial film thickness is sufficiently small that gravitational drainage is presumed minimal. The drainage of rigid soap films by capillary forces alone should proceed according to h(t) ˜ t^- 1/2. Our experimental results show much more rapid drainage with exponents as large as -2, especially for those solutions whose surfactant concentrations are below the CMC. Video recordings of the entire film surface reveal a variety of structures during the drainage process, some attributable to marginal regeneration. Though still a controversial issue, this regeneration process is believed to be caused by surfactant accumulation in the meniscus region (1). We show that modification of the relevant capillary drainage equation to account for Marangoni effects through a course-grained slip condition at the air-liquid interface produces exponents in better agreement with experimental findings. (1) V. A. Nierstrasz and G. Frens, JCIS 215, 28 (1999).

Investigation of Spiral and Sweeping Holes

Science.gov (United States)

Thurman, Douglas; Poinsatte, Philip; Ameri, Ali; Culley, Dennis; Raghu, Surya; Shyam, Vikram

2015-01-01

Surface infrared thermography, hotwire anemometry, and thermocouple surveys were performed on two new film cooling hole geometries: spiral/rifled holes and fluidic sweeping holes. The spiral holes attempt to induce large-scale vorticity to the film cooling jet as it exits the hole to prevent the formation of the kidney shaped vortices commonly associated with film cooling jets. The fluidic sweeping hole uses a passive in-hole geometry to induce jet sweeping at frequencies that scale with blowing ratios. The spiral hole performance is compared to that of round holes with and without compound angles. The fluidic hole is of the diffusion class of holes and is therefore compared to a 777 hole and Square holes. A patent-pending spiral hole design showed the highest potential of the non-diffusion type hole configurations. Velocity contours and flow temperature were acquired at discreet cross-sections of the downstream flow field. The passive fluidic sweeping hole shows the most uniform cooling distribution but suffers from low span-averaged effectiveness levels due to enhanced mixing. The data was taken at a Reynolds number of 11,000 based on hole diameter and freestream velocity. Infrared thermography was taken for blowing rations of 1.0, 1.5, 2.0, and 2.5 at a density ration of 1.05. The flow inside the fluidic sweeping hole was studied using 3D unsteady RANS.

Lower incidence of complications in endoscopic nasobiliary drainage for hilar cholangiocarcinoma.

Science.gov (United States)

Kawakubo, Kazumichi; Kawakami, Hiroshi; Kuwatani, Masaki; Haba, Shin; Kudo, Taiki; Taya, Yoko A; Kawahata, Shuhei; Kubota, Yoshimasa; Kubo, Kimitoshi; Eto, Kazunori; Ehira, Nobuyuki; Yamato, Hiroaki; Onodera, Manabu; Sakamoto, Naoya

2016-05-10

To identify the most effective endoscopic biliary drainage technique for patients with hilar cholangiocarcinoma. In total, 118 patients with hilar cholangiocarcinoma underwent endoscopic management [endoscopic nasobiliary drainage (ENBD) or endoscopic biliary stenting] as a temporary drainage in our institution between 2009 and 2014. We retrospectively evaluated all complications from initial endoscopic drainage to surgery or palliative treatment. The risk factors for biliary reintervention, post-endoscopic retrograde cholangiopancreatography (post-ERCP) pancreatitis, and percutaneous transhepatic biliary drainage (PTBD) were also analyzed using patient- and procedure-related characteristics. The risk factors for bilateral drainage were examined in a subgroup analysis of patients who underwent initial unilateral drainage. In total, 137 complications were observed in 92 (78%) patients. Biliary reintervention was required in 83 (70%) patients. ENBD was significantly associated with a low risk of biliary reintervention [odds ratio (OR) = 0.26, 95%CI: 0.08-0.76, P = 0.012]. Post-ERCP pancreatitis was observed in 19 (16%) patients. An absence of endoscopic sphincterotomy was significantly associated with post-ERCP pancreatitis (OR = 3.46, 95%CI: 1.19-10.87, P = 0.023). PTBD was required in 16 (14%) patients, and Bismuth type III or IV cholangiocarcinoma was a significant risk factor (OR = 7.88, 95%CI: 1.33-155.0, P = 0.010). Of 102 patients with initial unilateral drainage, 49 (48%) required bilateral drainage. Endoscopic sphincterotomy (OR = 3.24, 95%CI: 1.27-8.78, P = 0.004) and Bismuth II, III, or IV cholangiocarcinoma (OR = 34.69, 95%CI: 4.88-736.7, P hilar cholangiocarcinoma is challenging. ENBD should be selected as a temporary drainage method because of its low risk of complications.

Timing of drainage tube removal after thyroid surgery: a retrospective study.

Science.gov (United States)

Minami, Shigeki; Sakimura, Chika; Hayashida, Naomi; Yamanouchi, Kosho; Kuroki, Tamotsu; Eguchi, Susumu

2014-01-01

The aim of this study was to evaluate the chronological changes in the amount of drainage fluid after thyroidectomy, and to establish standard indications for the drain to be removed. We examined a cohort of 249 patients undergoing thyroid surgery. The patients were divided into four groups: a Graves' group, a non-dissection group, a central-dissection group and a lateral-dissection group. The amount of drainage was measured every 6 h, and the drain was removed postoperatively when the drainage decreased in amount and contained serous fluid after a meal. In all four groups, the most drainage occurred in the first 6 h after surgery. The total amount of drainage from the operation to the time of drain removal was significantly higher in Graves' group and in the lateral-dissection group than in the other two groups. The median wound drainage significantly decreased from 12 to 18 h after surgery in all four groups. In the lateral-dissection group, the wound drainage significantly decreased again in the first 24-30 h. The findings of this study suggest that drains can be removed postoperatively if the drainage was less than 15 mL during a 6-h period and contain serous fluid.

Black Hole Area Quantization rule from Black Hole Mass Fluctuations

OpenAIRE

Schiffer, Marcelo

2016-01-01

We calculate the black hole mass distribution function that follows from the random emission of quanta by Hawking radiation and with this function we calculate the black hole mass fluctuation. From a complete different perspective we regard the black hole as quantum mechanical system with a quantized event horizon area and transition probabilities among the various energy levels and then calculate the mass dispersion. It turns out that there is a perfect agreement between the statistical and ...

Time effects of water drainage from deposited back-fill

International Nuclear Information System (INIS)

Baranski, L.A.

1976-01-01

Time effects of water drainage from deposited back-fill in mine excavations are considered. The time dependence of drainage from the deposited material was determined from ''in situ'' measurements with the aid of radioisotope gauges. The measurements were performed for given drainage conditions and practically constant grain size composition. It was found that in a few hours after the end of the back-filling operation the mechanical properties of the deposited material are practically constant. (author)

Accelerating transient drainage from UMTRA Project tailings piles

International Nuclear Information System (INIS)

1990-09-01

The period between the completion of construction of the tailings disposal cell and the establishment of equilibrium moisture content and seepage conditions is considered to be the period of transient drainage. Transient drainage may be due to factors such as construction water, precipitation, or residual water from the milling process. Transient seepage rates usually exceed steady state seepage rates. If the transient seepage rate causes contaminant levels to exceed groundwater compliance standards, then an alternative groundwater compliance strategy or technical approach to reduce or mitigate the effects of the drainage must be adopted. This study examines methods to accelerate the transient drainage of soils and hence to remove excess pore water from tailings in UMTRA Project disposal cells. The technical and economic feasibility of possible methods is examined. In order to perform comparative economical analyses of the various methods, an example tailings pile is postulated. This pile is considered to be 300 meters by 300 meters by 10 meters in thickness

Runway drainage characteristics related to tire friction performance

Science.gov (United States)

Yager, Thomas J.

1991-01-01

The capability of a runway pavement to rapidly drain water buildup during periods of precipitation is crucial to minimize tire hydroplaning potential and maintain adequate aircraft ground operational safety. Test results from instrumented aircraft, ground friction measuring vehicles, and NASA Langley's Aircraft Landing Dynamics Facility (ALDF) track have been summarized to indicate the adverse effects of pavement wetness conditions on tire friction performance. Water drainage measurements under a range of rainfall rates have been evaluated for several different runway surface treatments including the transversely grooved and longitudinally grinded concrete surfaces at the Space Shuttle Landing Facility (SLF) runway at NASA Kennedy Space Center in Florida. The major parameters influencing drainage rates and extent of flooding/drying conditions are identified. Existing drainage test data are compared to a previously derived empirical relationship and the need for some modification is indicated. The scope of future NASA Langley research directed toward improving empirical relationships to properly define runway drainage capability and consequently, enhance aircraft ground operational safety, is given.

Drainage filters and constructed wetlands to mitigate sitespecific nutrient losses

DEFF Research Database (Denmark)

Kjærgaard, Charlotte; Canga, Eriona; Heckrath, Goswin Johann

2012-01-01

Research Council, aims at providing the scientific basis for developing cost-effective filter technologies targeting P-retention and N-removal in agricultural subsurface drainage. The project studies different approaches of implementing the filter technologies including drainage well filters as well...... typically applied to point sources. This calls for a shift of paradigm towards the development of new, cost-efficient technologies to mitigate site-specific nutrient losses in drainage. A newly launched Danish research project “SUPREME-TECH” (2010-2015) (www.supreme-tech.dk) funded by the Danish Strategic...... in drainage water to below environmental threshold values (

Percutaneous catheter drainage of pancreatic pseudocysts

International Nuclear Information System (INIS)

Karnel, F.; Gebauer, A.; Jantsch, H.; Prayer, L.; Schurawitzki, H.; Feil, W.

1991-01-01

The results of CT/US-guided percutaneous drainage in 35 patients with pancreatic pseudocysts are reported. 27 patients recovered without surgery and no further treatment was required. 8 patients required a subsequent surgery due to recurrence. The role of CT/US-guided percutaneous drainage in pancreatic pseudocysts as well as an analysis of the technical aspects associated with a successful procedure are discussed. Although US may be used, we believe CT is safer and allows more precise localisation and guidance in the treatment of pseudocysts. (orig.) [de

Surface Water & Surface Drainage

Data.gov (United States)

Earth Data Analysis Center, University of New Mexico — This data set contains boundaries for all surface water and surface drainage for the state of New Mexico. It is in a vector digital data structure digitized from a...

Efficacy of incision and drainage versus percutaneous catheter drainage in treatment of severe acute pancreatitis complicated by pancreatic abscess

Directory of Open Access Journals (Sweden)

YANG Feng

2016-03-01

Full Text Available ObjectiveTo investigate the clinical features and treatment of severe acute pancreatitis (SAP complicated by pancreatic abscess (PA. MethodsThe clinical data of 17 SAP patients with PA who were admitted to Affiliated Hospital of Luzhou Medical College from January 1, 2005 to August 25, 2015 were analyzed retrospectively. The clinical manifestations, therapeutic methods, and outcome were summarized. ResultsOf all the 17 patients, 12 patients underwent surgical operation, among whom 9 were cured, 1 experienced postoperative intestinal fistula, and 2 experienced recurrence of abscess and underwent the surgery again (1 died of multiple organ failure, and the mean hospital stay was (108.29±52.37 d; 5 patients underwent percutaneous catheter drainage, among whom 4 were cured, and 1 underwent surgical treatment due to inadequate drainage, and the mean hospital stay was (53.03±6.71 d. ConclusionAdequate drainage should be performed once a confirmed diagnosis of PA is made, and appropriate drainage methods should be selected based on the patient′s actual condition. Minimally invasive treatment has a good effect, a short length of hospital stay, and few complications, and holds promise for clinical application.

Do general dental practitioners leave teeth on 'open drainage'?

Science.gov (United States)

Eliyas, S; Barber, M W; Harris, I

2013-12-01

There is a need to ascertain the use of evidence-based dentistry in both primary and secondary care in order to tailor education. This study aims to evaluate the use of 'open drainage' as part of endodontic treatment in primary care in South Yorkshire. A questionnaire was circulated to 141 randomly selected general dental practitioners in the South Yorkshire area between January 2012 and January 2013. The response rate was 79% (112/141). Five of the returned questionnaires were incomplete and therefore not usable. Seventy-nine percent of respondents were general dental practitioners (GDPs) working in mainly NHS or mixed practices. The year of graduation varied between 1970 and 2011. Forty-one percent (44/107) stated that they had never left a tooth on open drainage. Twenty-nine percent (31/107) stated that they sometimes leave teeth on open drainage. Of those respondents who currently leave teeth on open drainage, most (68%) would leave teeth on open drainage for one to two days or less. This survey revealed that the practice of leaving teeth on open drainage is still present in general dental practice. Current guidelines do not comment on the use of this treatment modality. There is a need to ascertain further information about practices throughout the United Kingdom in order to provide clear evidence-based guidelines.

EFFECTIVENESS OF AUTOGENIC DRAINAGE VERSUS POSTURAL DRAINAGE ON OXYGEN SATURATION IN PATIENTS WITH CHRONIC BRONCHITIS WITH 15 MINUTES POST THERAPY

Directory of Open Access Journals (Sweden)

V. Kiran

2014-12-01

Full Text Available Background: Patients with COPD will have more amount of secretions. To clear the secretions by using of different bronchial hygiene techniques like postural drainage and autogenic drainage technique, manual hyperventilation technique ,active cycle breathing technique .Hence in this study to compare the short-term effects of postural drainage with clapping (PD and autogenic drainage (AD on level of oxygen saturation in blood, and amount of sputum recovery. Methodology: The study was done on 60 patients with COPD. Dividing Patients into two group and patients were treated with PD or AD in separate Groups. The effectiveness of the treatment was measured up to 6 days. Pulse oximetry was monitored and sputum was collected immediately after treatment and 15 minutes following each treatment. Results: The results of the study shown that there was significant difference in the amount of sputum recovered with AD (14.0±3.5 g vs PD (24.4±3.0 g and significant differences in Oxygen saturation; during PD fell from 93.3±0.7% to 91.2±0.8% (p<0.01 and required 15 min following treatment to return to baseline. Oxygen saturation did not fall during AD and increased to gradually following complete treatment days (baseline, 93.3±0.8%; p<0.01. Conclusion: Hence this study concludes that Autogenic drainage is more effective in improving spo2 in COPD & does not cause a sudden fall in spo2 as occurs in Postural drainage immediately after therapy. And it can be better tolerated by patients with COPD while producing fewer benefits in sputum clearance. In concern to mean amount of secretion removal Postural is found to be more effective

Monopole Black Hole Skyrmions

OpenAIRE

Moss, Ian G; Shiiki, N; Winstanley, E

2000-01-01

Charged black hole solutions with pion hair are discussed. These can be\\ud used to study monopole black hole catalysis of proton decay.\\ud There also exist\\ud multi-black hole skyrmion solutions with BPS monopole behaviour.

Bronchoscopic drainage of a malignant lung abscess.

Science.gov (United States)

Katsenos, Stamatis; Psathakis, Konstantinos; Chatzivasiloglou, Fotini; Antonogiannaki, Elvira-Markela; Psara, Anthoula; Tsintiris, Konstantinos

2015-04-01

Bronchoscopic drainage of a pyogenic lung abscess is an established therapeutic approach in selected patients in whom conventional antibiotic therapy fails. This intervention has also been undertaken in patients with abscess owing to underlying lung cancer and prior combined radiochemotherapy. However, this procedure has rarely been performed in cavitary lesions of advanced tumor origin before initiating any chemotherapy/radiotherapy scheme. Herein, we describe a case of a 68-year-old woman with lung adenocarcinoma stage IIIB, who underwent bronchoscopic drainage of necrotizing tumor lesion, thus improving her initial poor clinical condition and rendering other treatment modalities, such as radiotherapy, more effective and beneficial. Bronchoscopic drainage of a symptomatic cancerous lung abscess should be considered as an alternative and palliative treatment approach in patients with advanced inoperable non-small cell lung cancer.

Skyrmion black hole hair: Conservation of baryon number by black holes and observable manifestations

Energy Technology Data Exchange (ETDEWEB)

Dvali, Gia [Arnold Sommerfeld Center, Ludwig-Maximilians-Universität, 80333 München (Germany); Max-Planck-Institut für Physik, Werner-Heisenberg-Institut, 80805 München (Germany); Center for Cosmology and Particle Physics, Department of Physics, New York University, 4 Washington Place, New York, NY 10003 (United States); Gußmann, Alexander, E-mail: alexander.gussmann@physik.uni-muenchen.de [Arnold Sommerfeld Center, Ludwig-Maximilians-Universität, 80333 München (Germany)

2016-12-15

We show that the existence of black holes with classical skyrmion hair invalidates standard proofs that global charges, such as the baryon number, cannot be conserved by a black hole. By carefully analyzing the standard arguments based on a Gedankenexperiment in which a black hole is seemingly-unable to return the baryon number that it swallowed, we identify inconsistencies in this reasoning, which does not take into the account neither the existence of skyrmion black holes nor the baryon/skyrmion correspondence. We then perform a refined Gedankenexperiment by incorporating the new knowledge and show that no contradiction with conservation of baryon number takes place at any stage of black hole evolution. Our analysis also indicates no conflict between semi-classical black holes and the existence of baryonic gauge interaction arbitrarily-weaker than gravity. Next, we study classical cross sections of a minimally-coupled massless probe scalar field scattered by a skyrmion black hole. We investigate how the skyrmion hair manifests itself by comparing this cross section with the analogous cross section caused by a Schwarzschild black hole which has the same ADM mass as the skyrmion black hole. Here we find an order-one difference in the positions of the characteristic peaks in the cross sections. The peaks are shifted to smaller scattering angles when the skyrmion hair is present. This comes from the fact that the skyrmion hair changes the near horizon geometry of the black hole when compared to a Schwarzschild black hole with same ADM mass. We keep the study of this second aspect general so that the qualitative results which we obtain can also be applied to black holes with classical hair of different kind.

Entropy of quasiblack holes

International Nuclear Information System (INIS)

Lemos, Jose P. S.; Zaslavskii, Oleg B.

2010-01-01

We trace the origin of the black hole entropy S, replacing a black hole by a quasiblack hole. Let the boundary of a static body approach its own gravitational radius, in such a way that a quasihorizon forms. We show that if the body is thermal with the temperature taking the Hawking value at the quasihorizon limit, it follows, in the nonextremal case, from the first law of thermodynamics that the entropy approaches the Bekenstein-Hawking value S=A/4. In this setup, the key role is played by the surface stresses on the quasihorizon and one finds that the entropy comes from the quasihorizon surface. Any distribution of matter inside the surface leads to the same universal value for the entropy in the quasihorizon limit. This can be of some help in the understanding of black hole entropy. Other similarities between black holes and quasiblack holes such as the mass formulas for both objects had been found previously. We also discuss the entropy for extremal quasiblack holes, a more subtle issue.

Black holes without firewalls

Science.gov (United States)

Larjo, Klaus; Lowe, David A.; Thorlacius, Larus

2013-05-01

The postulates of black hole complementarity do not imply a firewall for infalling observers at a black hole horizon. The dynamics of the stretched horizon, that scrambles and reemits information, determines whether infalling observers experience anything out of the ordinary when entering a large black hole. In particular, there is no firewall if the stretched horizon degrees of freedom retain information for a time of the order of the black hole scrambling time.

The effect of particle-hole interaction on the XPS core-hole spectrum

International Nuclear Information System (INIS)

Ohno, Masahide; Sjoegren, Lennart

2004-01-01

How the effective particle-hole interaction energy, U, or the polarization effect on a secondary electron in a final two-hole one-particle (2h1p) state created by the Coster-Kronig (CK) transition can solely affect the density of the CK particle states and consequently the core-hole spectral function, is discussed. The X-ray photoelectron spectroscopy (XPS) core-hole spectrum is predominantly governed by the unperturbed initial core-hole energy relative to the zero-point energy. At the latter energy, the real part of the initial core-hole self-energy becomes zero (no relaxation energy shift) and the imaginary part (the lifetime broadening) approximately maximizes. The zero-point energy relative to the double-ionization threshold energy is governed by the ratio of U relative to the bandwidth of the CK continuum. As an example, we study the 5p XPS spectra of atomic Ra (Z=88), Th (Z=90) and U (Z=92). The spectra are interpreted in terms of the change in the unperturbed initial core-hole energy relative to the zero-point energy. We explain why in general an ab initio atomic many-body calculation can provide an overall good description of solid-state spectra predominantly governed by the atomic-like localized core-hole dynamics. We explain this in terms of the change from free atom to metal in both U and the zero-point energy (self-energy)

Drainage areas of the Potomac River basin, West Virginia

Science.gov (United States)

Wiley, Jeffrey B.; Hunt, Michelle L.; Stewart, Donald K.

1996-01-01

This report contains data for 776 drainage-area divisions of the Potomac River Basin, from the headwaters to the confluence of the Potomac River and the Shenandoah River. Data, compiled in downstream order, are listed for streams with a drainage area of approximately 2 square miles or larger within West Virginia and for U.S. Geological Survey streamflow-gaging stations. The data presented are the stream name, the geographical limits in river miles, the latitude and longitude of the point, the name of the county, and the 7 1/2-minute quadrangle in which the point lies, and the drainage area of that site. The total drainage area of the Potomac River Basin downstream of the confluence of the Shenandoah River at the State boundary is 9,367.29 square miles.

Preoperative endoscopic versus percutaneous transhepatic biliary drainage in potentially resectable perihilar cholangiocarcinoma (DRAINAGE trial): Design and rationale of a randomized controlled trial

NARCIS (Netherlands)

J.K. Wiggers (Jimme K.); R.J. Coelen (Robert J.); E.A.J. Rauws (Erik); O.M. van Delden (Otto); C.H.J. van Eijck (Casper); J. de Jonge (Jeroen); R.J. Porte (Robert); C.I. Buis (Carlijn I.); C.H. Dejong (Cees); I.Q. Molenaar (I. Quintus); M.G. Besselink (Marc); O.R.C. Busch (Olivier); M.G.W. Dijkgraaf (Marcel); T.M. van Gulik (Thomas)

2015-01-01

textabstractBackground: Liver surgery in perihilar cholangiocarcinoma (PHC) is associated with high postoperative morbidity because the tumor typically causes biliary obstruction. Preoperative biliary drainage is used to create a safer environment prior to liver surgery, but biliary drainage may be

Preoperative endoscopic versus percutaneous transhepatic biliary drainage in potentially resectable perihilar cholangiocarcinoma (DRAINAGE trial): design and rationale of a randomized controlled trial

NARCIS (Netherlands)

Wiggers, Jimme K.; Coelen, Robert J. S.; Rauws, Erik A. J.; van Delden, Otto M.; van Eijck, Casper H. J.; de Jonge, Jeroen; Porte, Robert J.; Buis, Carlijn I.; Dejong, Cornelis H. C.; Molenaar, I. Quintus; Besselink, Marc G. H.; Busch, Olivier R. C.; Dijkgraaf, Marcel G. W.; van Gulik, Thomas M.

2015-01-01

Background: Liver surgery in perihilar cholangiocarcinoma (PHC) is associated with high postoperative morbidity because the tumor typically causes biliary obstruction. Preoperative biliary drainage is used to create a safer environment prior to liver surgery, but biliary drainage may be harmful when

Preoperative endoscopic versus percutaneous transhepatic biliary drainage in potentially resectable perihilar cholangiocarcinoma (DRAINAGE trial) : design and rationale of a randomized controlled trial

NARCIS (Netherlands)

Wiggers, Jimme K.; Coelen, Robert J. S.; Rauws, Erik A. J.; van Delden, Otto M.; van Eijck, Casper H. J.; de Jonge, Jeroen; Porte, Robert J.; Buis, Carlijn I.; Dejong, Cornelis H. C.; Molenaar, I. Quintus; Besselink, Marc G. H.; Busch, Olivier R. C.; Dijkgraaf, Marcel G. W.; van Gulik, Thomas M.

2015-01-01

Background: Liver surgery in perihilar cholangiocarcinoma (PHC) is associated with high postoperative morbidity because the tumor typically causes biliary obstruction. Preoperative biliary drainage is used to create a safer environment prior to liver surgery, but biliary drainage may be harmful when

Over spinning a black hole?

Energy Technology Data Exchange (ETDEWEB)

Bouhmadi-Lopez, Mariam; Cardoso, Vitor; Nerozzi, Andrea; Rocha, Jorge V, E-mail: mariam.bouhmadi@ist.utl.pt, E-mail: vitor.cardoso@ist.utl.pt, E-mail: andrea.nerozzi@ist.utl.pt, E-mail: jorge.v.rocha@ist.utl.pt [CENTRA, Department de Fisica, Instituto Superior Tecnico, Av. Rovisco Pais 1, 1049 Lisboa (Portugal)

2011-09-22

A possible process to destroy a black hole consists on throwing point particles with sufficiently large angular momentum into the black hole. In the case of Kerr black holes, it was shown by Wald that particles with dangerously large angular momentum are simply not captured by the hole, and thus the event horizon is not destroyed. Here we reconsider this gedanken experiment for black holes in higher dimensions. We show that this particular way of destroying a black hole does not succeed and that Cosmic Censorship is preserved.

Treating mediastinoesophageal fistula with covered stent through nasal esophagus drainage tube

International Nuclear Information System (INIS)

Han Xinwei; Wu Gang; Li Yongdong; Ma Nan; Wang Yanli; Gao Xuemei

2005-01-01

Objective: To investigate the value of treating mediastinoesophageal fistula with covered stent through nasal esophagus drainage tube. Methods: Ten patients with mediastinoesophageal fistula were treated by 5F catheter inserting into the abscess cavities through nasal esophageal fistula, with stent placement in the esophagus. The abscess cavities were washed and angiograghied through drainage tube and the sites of the drainage tube were adjusted in time until withdrawal of the tube. Results: The drainage tubes were pulled out within 10-25 days with disappearance of the abscess cavities and normal diet intake without difficulty. Conclusions: Treating mediastinoesophageal fistula with covered stent through nasal esophagus drainage tube is safe, microinvasive economic and acceptable, worth to be recommended. (authors)

46 CFR 173.062 - Drainage of weather deck.

Science.gov (United States)

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Drainage of weather deck. 173.062 Section 173.062 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY SPECIAL RULES PERTAINING TO VESSEL USE School Ships § 173.062 Drainage of weather deck. The weather deck of each sailing...

Autogenic drainage for airway clearance in cystic fibrosis.

Science.gov (United States)

McCormack, Pamela; Burnham, Paul; Southern, Kevin W

2017-10-06

Autogenic drainage is an airway clearance technique that was developed by Jean Chevaillier in 1967. The technique is characterised by breathing control using expiratory airflow to mobilise secretions from smaller to larger airways. Secretions are cleared independently by adjusting the depth and speed of respiration in a sequence of controlled breathing techniques during exhalation. The technique requires training, concentration and effort from the individual. It is important to systematically review the evidence demonstrating that autogenic drainage is an effective intervention for people with cystic fibrosis. To compare the clinical effectiveness of autogenic drainage in people with cystic fibrosis with other physiotherapy airway clearance techniques. We searched the Cochrane Cystic Fibrosis Trials Register, compiled from electronic database searches and handsearching of journals and conference abstract books. We also searched the reference lists of relevant articles and reviews, as well as two trials registers (31 August 2017).Dtae of most recent search of the Cochrane Cystic Fibrosis Trials Register: 25 September 2017. We identified randomised and quasi-randomised controlled studies comparing autogenic drainage to another airway clearance technique or no therapy in people with cystic fibrosis for at least two treatment sessions. Data extraction and assessments of risk of bias were independently performed by two authors. The authors assessed the quality of the evidence using the GRADE system. The authors contacted two investigators for further information pertinent to their published studies. Searches retrieved 35 references to 21 individual studies, of which seven (n = 208) were eligible for inclusion. One study was of parallel design with the remaining six being cross-over in design; participant numbers ranged from 17 to 75. The total study duration varied between four days and two years. The age of participants ranged between seven and 63 years with a wide

Pancreatic tissue fluid pressure during drainage operations for chronic pancreatitis

DEFF Research Database (Denmark)

Ebbehøj, N; Borly, L; Madsen, P

1990-01-01

Pancreatic tissue fluid pressure was measured in 10 patients undergoing drainage operations for painful chronic pancreatitis. The pressure was measured by the needle technique in the three anatomic regions of the pancreas before and at different stages of the drainage procedure, and the results...... were compared with preoperative endoscopic retrograde cholangiopancreatography (ERCP) morphology. The preoperatively elevated pressure decreased in all patients but one, to normal or slightly elevated values. The median pressure decrease was 50% (range, 0-90%; p = 0.01). The drainage anastomosis (a...... a decrease in pancreatic tissue fluid pressure during drainage operations for pain in chronic pancreatitis. Regional pressure decrease were apparently unrelated to ERCP findings....

Accreting Black Holes

OpenAIRE

Begelman, Mitchell C.

2014-01-01

I outline the theory of accretion onto black holes, and its application to observed phenomena such as X-ray binaries, active galactic nuclei, tidal disruption events, and gamma-ray bursts. The dynamics as well as radiative signatures of black hole accretion depend on interactions between the relatively simple black-hole spacetime and complex radiation, plasma and magnetohydrodynamical processes in the surrounding gas. I will show how transient accretion processes could provide clues to these ...

Naked black holes

International Nuclear Information System (INIS)

Horowitz, G.T.; Ross, S.F.

1997-01-01

It is shown that there are large static black holes for which all curvature invariants are small near the event horizon, yet any object which falls in experiences enormous tidal forces outside the horizon. These black holes are charged and near extremality, and exist in a wide class of theories including string theory. The implications for cosmic censorship and the black hole information puzzle are discussed. copyright 1997 The American Physical Society

Ballistic hole magnetic microscopy

NARCIS (Netherlands)

Haq, E.; Banerjee, T.; Siekman, M.H.; Lodder, J.C.; Jansen, R.

2005-01-01

A technique to study nanoscale spin transport of holes is presented: ballistic hole magnetic microscopy. The tip of a scanning tunneling microscope is used to inject hot electrons into a ferromagnetic heterostructure, where inelastic decay creates a distribution of electron-hole pairs.

Coupling between drainage and coarsening in wet foam

Indian Academy of Sciences (India)

Abstract. Drainage and coarsening are two coupled phenomena during the evolution of wet foam. We show the variation in the growth rate of bubble size, along the height in a column of Gillette shaving foam, by microscope imaging. Simultaneously, the drainage of liquid at the same heights has been investigated by ...

Black-hole driven winds

International Nuclear Information System (INIS)

Punsly, B.M.

1988-01-01

This dissertation is a study of the physical mechanism that allows a large scale magnetic field to torque a rapidly rotating, supermassive black hole. This is an interesting problem as it has been conjectured that rapidly rotating black holes are the central engines that power the observed extragalactic double radio sources. Axisymmetric solutions of the curved space-time version of Maxwell's equations in the vacuum do not torque black holes. Plasma must be introduced for the hole to mechanically couple to the field. The dynamical aspect of rotating black holes that couples the magnetic field to the hole is the following. A rotating black hole forces the external geometry of space-time to rotate (the dragging of inertial frames). Inside of the stationary limit surface, the ergosphere, all physical particle trajectories must appear to rotate in the same direction as the black hole as viewed by the stationary observers at asymptotic infinity. In the text, it is demonstrated how plasma that is created on field lines that thread both the ergosphere and the equatorial plane will be pulled by gravity toward the equator. By the aforementioned properties of the ergosphere, the disk must rotate. Consequently, the disk acts like a unipolar generator. It drives a global current system that supports the toroidal magnetic field in an outgoing, magnetically dominated wind. This wind carries energy (mainly in the form of Poynting flux) and angular momentum towards infinity. The spin down of the black hole is the ultimate source of this energy and angular momentum flux

Cholescintigraphy in patients with acute cholecystitis before and after percutaneous gallbladder drainage

DEFF Research Database (Denmark)

Borly, L; Stage, J G; Grønvall, S

1995-01-01

gallbladder drainage. During the post-drainage cholescintigraphies, a cholecystokinin stimulation was performed to investigate gallbladder emptying in 12 selected patients. Gallbladder pressure and volume were measured before drainage in another group of 12 patients with acute cholecystitis. RESULTS......OBJECTIVE: To investigate gallbladder function by use of cholescintigraphy in patients with acute cholecystitis before and after percutaneous gallbladder drainage. DESIGN: A cholescintigraphy was performed in 40 patients with acute cholecystitis before and after the performance of percutaneous......: As expected, no gallbladder activity was observed in the cholescintigraphies before drainage, except in a patient with an occluding stone in the common bile duct. Cystic duct patency and gallbladder activity were seen in 80% of patients in cholescintigraphies performed after drainage but before any other...

Digital database architecture and delineation methodology for deriving drainage basins, and a comparison of digitally and non-digitally derived numeric drainage areas

Science.gov (United States)

Dupree, Jean A.; Crowfoot, Richard M.

2012-01-01

The drainage basin is a fundamental hydrologic entity used for studies of surface-water resources and during planning of water-related projects. Numeric drainage areas published by the U.S. Geological Survey water science centers in Annual Water Data Reports and on the National Water Information Systems (NWIS) Web site are still primarily derived from hard-copy sources and by manual delineation of polygonal basin areas on paper topographic map sheets. To expedite numeric drainage area determinations, the Colorado Water Science Center developed a digital database structure and a delineation methodology based on the hydrologic unit boundaries in the National Watershed Boundary Dataset. This report describes the digital database architecture and delineation methodology and also presents the results of a comparison of the numeric drainage areas derived using this digital methodology with those derived using traditional, non-digital methods. (Please see report for full Abstract)

13 Morphometric Analysis of Ogunpa and Ogbere Drainage Basins ...

African Journals Online (AJOL)

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form and process of drainage basins that may be widely ... ferruginous tropical soil on basement complex rock (Areola ... landuse pattern control the infiltration loss, the distribution of ... the water intercepted by Ogbere drainage basin to longer ...

Managing a chest tube and drainage system.

Science.gov (United States)

Durai, Rajaraman; Hoque, Happy; Davies, Tony W

2010-02-01

Intercostal drainage tubes (ie, chest tubes) are inserted to drain the pleural cavity of air, blood, pus, or lymph. The water-seal container connected to the chest tube allows one-way movement of air and liquid from the pleural cavity. The container should not be changed unless it is full, and the chest tube should not be clamped unnecessarily. After a chest tube is inserted, a nurse trained in chest-tube management is responsible for managing the chest tube and drainage system. This entails monitoring the chest-tube position, controlling fluid evacuation, identifying when to change or empty the containers, and caring for the tube and drainage system during patient transport. This article provides an overview of indications, insertion techniques, and management of chest tubes. Copyright 2010 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Determinants of Nitrous Oxide Emission from Agricultural Drainage Waters

International Nuclear Information System (INIS)

Reay, D. S.; Edwards, A. C.; Smith, K. A.

2004-01-01

Emissions of the powerful greenhouse gas nitrous oxide (N 2 O) from agricultural drainage waters are poorly quantified and its determinants are not fully understood. Nitrous oxide formation in agricultural soils is known to increase in response to N fertiliser application, but the response of N 2 O in field drainage waters is unknown. This investigation combined an intensive study of the direct flux of N 2 O from the surface of a fertilised barley field with measurement of dissolved N 2 O and nitrate (NO 3 ) concentrations in the same field's drainage waters. Dissolved N 2 O in drainage waters showed a clear response to field N fertilisation, following an identical pattern to direct N 2 O flux from the field surface. The range in N 2 O concentrations between individual field drains sampled on the same day was large, indicating considerable spatial variability exists at the farm scale. A consistent pattern of very rapid outgassing of the dissolved N 2 O in open drainage ditches was accentuated at a weir, where increased turbulence led to a clear drop in dissolved N 2 O concentration. This study underlines the need for carefully planned sampling campaigns wherever whole farm or catchment N 2 O emission budgets are attempted. It adds weight to the argument for the downward revision of the IPCC emission factor (EF 5 -g) for NO 3 in drainage waters

Determinants of nitrous oxide emission from agricultural drainage waters

International Nuclear Information System (INIS)

Reay, D. S.; Edwards, A. C.; Smith, K. A.

2005-01-01

Emissions of the powerful greenhouse gas nitrous oxide (N 2 O) from agricultural drainage waters are poorly quantified and its determinants are not fully understood. Nitrous oxide formation in agricultural soils is known to increase in response to N fertiliser application, but the response of N 2 O in field drainage waters is unknown. This investigation combined an intensive study of the direct flux of N 2 O from the surface of a fertilised barley field with measurement of dissolved N 2 O and nitrate (NO 3 ) concentrations in the same field's drainage waters. Dissolved N 2 O in drainage waters showed a clear response to field N fertilisation, following an identical pattern to direct N 2 O flux from the field surface. The range in N 2 O concentrations between individual field drains sampled on the same day was large, indicating considerable spatial variability exists at the farm scale. A consistent pattern of very rapid outgassing of the dissolved N 2 O in open drainage ditches was accentuated at a weir, where increased turbulence led to a clear drop in dissolved N 2 O concentration. This study underlines the need for carefully planned sampling campaigns wherever whole farm or catchment N 2 O emission budgets are attempted. It adds weight to the argument for the downward revision of the IPCC emission factor (EF 5 -g) for NO 3 in drainage waters

Lymphatic drainage and sentinel node location in breast cancer

International Nuclear Information System (INIS)

Uren, R.F.; Howman-Giles, R.B.; Roberts, J.; Renwick, S.; Gillett, D.; Neische, F.; Ramsay-Stewart, G.

1999-01-01

Full text: Mammary lymphoscintigraphy using small volume (0.1-0.2 ml) peritumoral injections of 99 Tc m -antimony sulphide colloid provided a map of the lymph drainage of a breast cancer to its draining sentinel lymph nodes in 92 of 102 patients (over 90%). Non-migration of tracer is reduced by post-injection massage for 5 min but may occur especially if the lymphatics are blocked by metastases. Drainage included the axilla in 92%, internal mammary nodes in 43%, supraclavicular nodes in 12% and intramammary interval nodes in 10% of patients. One patient drained to an interpectoral node. Drainage across the centre-line of the breast occurred in 46% of patients but direct drainage to the contralateral side of the patient was not seen. Lymphatic drainage occurred to 1 node field in 52 patients, 2 node fields in 34 patients and 3 node fields in 6 patients, so that 43% of patients had multiple draining node fields. Drainage to non-axillary sites occurred in 51% of patients. In conclusion, mammary lymphoscintigraphy accurately maps sentinel node location in breast cancer. Approximately half of the patients will have sentinel nodes outside the axilla. To achieve complete lymph node staging in patients with breast cancer, it is logical to biopsy these non-axillary sentinel nodes as well as the sentinel nodes in the axilla. Failure to do so will potentially understage the node status in 50% of patients

Internal drainage of infected pancreatic pseudocysts: safe or sorry?

NARCIS (Netherlands)

Boerma, D.; van Gulik, T. M.; Obertop, H.; Gouma, D. J.

1999-01-01

BACKGROUND: External drainage is the traditional surgical therapy for infected pancreatic pseudocyst, although associated with high morbidity and mortality rates. In this study it was determined whether internal drainage is feasible with acceptable postoperative morbidity and recurrence rates.

Percutaneous drainage in conservative therapy for perforated gastroduodenal ulcers.

Science.gov (United States)

Oida, Takatsugu; Kano, Hisao; Mimatsu, Kenji; Kawasaki, Atsushi; Kuboi, Youichi; Fukino, Nobutada; Kida, Kazutoshi; Amano, Sadao

2012-01-01

The management of peptic ulcers has dramatically changed and the incidence of elective surgery for gastroduodenal peptic ulcers has markedly decreased; hence, the incidence of emergency surgery for perforated peptic ulcers has slightly increased. In select cases, conservative therapy can be used as an alternative for treating perforated gastroduodenal ulcers. In this study, we evaluated the efficacy of percutaneous abdominal drainage for the conservative treatment of perforated gastroduodenal ulcers. We retrospectively studied 51 patients who had undergone conservative therapy for perforated gastroduodenal ulcers. These patients were divided into 2 groups on the basis of the initial treatment with conservative therapy with or without percutaneous drainage: group PD included patients who had undergone percutaneous drainage and group NPD, patients who had undergone non-percutaneous drainage. In the PD group, 14.3% (n=3) of the patients did not respond to conservative therapy, while this value was 43.3% (n=13) in the NPD group. The 2 groups differed significantly with respect to conversion from conservative therapy to surgery (pperforated gastroduodenal ulcers should be performed only in the case of patients meeting the required criteria; its combination with percutaneous intraperitoneal drainage is effective as initial conservative therapy.

Black holes are hot

International Nuclear Information System (INIS)

Gibbons, G.

1976-01-01

Recent work, which has been investigating the use of the concept of entropy with respect to gravitating systems, black holes and the universe as a whole, is discussed. The resulting theory of black holes assigns a finite temperature to them -about 10 -7 K for ordinary black holes of stellar mass -which is in complete agreement with thermodynamical concepts. It is also shown that black holes must continuously emit particles just like ordinary bodies which have a certain temperature. (U.K.)

[The impact of preoperative biliary drainage on surgical morbidity in hilar cholangiocarcinoma patients].

Science.gov (United States)

Li, Shao-qiang; Chen, Dong; Liang, Li-jian; Peng, Bao-gang; Yin, Xiao-yu

2009-08-01

To evaluate the impact of preoperative biliary drainage on surgical morbidity in hilar cholangiocarcinoma patients underwent surgery. One hundred and eleven consecutive patients with hilar cholangiocarcinoma whose serum total bilirubin (TBIL) level > 85 micromol/L and underwent surgery in the period from June 1998 to August 2007 were enrolled. There were 67 male and 44 female patients, aged from 26 to 82 years old with a mean of 56 years old. Fifty-five patients underwent preoperative biliary drainage with a mean of 11.4 d of drainage period (drainage group), the other (n = 56) were the non-drainage group. The preoperative TBIL level of drainage group was (154 +/- 69) micromol/L, which was significantly lower than the value of pre-drainage (256 +/- 136) micromol/L (P = 0.000) and the value of non-drainage group (268 +/- 174) micromol/L (P = 0.005). ALT and GGT levels could be lowered by preoperative biliary drainage. The postoperative complications of these two groups were comparable (36.3% vs. 28.6%, P = 0.381). Four patients in drainage group and 5 patients in non-drainage group died of liver failure. Multivariate logistic regression indicated that hepatectomy (OR = 0.284, P = 0.003) was the independent risk factor associated with postoperative morbidity. Bismuth-Corlette classification (OR = 0.211, P = 0.028) was the independent risk factor linked to postoperative mortality. Preoperative biliary drainage could alleviate liver injury due to hyperbilirubin, but it could not decrease the surgical morbidity and postoperative mortality. Concomitant hepatectomy and Bismuth-Corlette classification were independent risk factors linked to surgical risks.

Review on advanced composite materials boring mechanism and tools

Science.gov (United States)

Shi, Runping; Wang, Chengyong

2011-05-01

With the rapid development of aviation and aerospace manufacturing technology, advanced composite materials represented by carbon fibre reinforced plastics (CFRP) and super hybrid composites (fibre/metal plates) are more and more widely applied. The fibres are mainly carbon fibre, boron fibre, Aramid fiber and Sic fibre. The matrixes are resin matrix, metal matrix and ceramic matrix. Advanced composite materials have higher specific strength and higher specific modulus than glass fibre reinforced resin composites of the 1st generation. They are widely used in aviation and aerospace industry due to their high specific strength, high specific modulus, excellent ductility, anticorrosion, heat-insulation, sound-insulation, shock absorption and high&low temperature resistance. They are used for radomes, inlets, airfoils(fuel tank included), flap, aileron, vertical tail, horizontal tail, air brake, skin, baseboards and tails, etc. Its hardness is up to 62~65HRC. The holes are greatly affected by the fibre laminates direction of carbon fibre reinforced composite material due to its anisotropy when drilling in unidirectional laminates. There are burrs, splits at the exit because of stress concentration. Besides there is delamination and the hole is prone to be smaller. Burrs are caused by poor sharpness of cutting edge, delamination, tearing, splitting are caused by the great stress caused by high thrust force. Poorer sharpness of cutting edge leads to lower cutting performance and higher drilling force at the same time. The present research focuses on the interrelation between rotation speed, feed, drill's geometry, drill life, cutting mode, tools material etc. and thrust force. At the same time, holes quantity and holes making difficulty of composites have also increased. It requires high performance drills which won't bring out defects and have long tool life. It has become a trend to develop super hard material tools and tools with special geometry for drilling

Intermediate-Mass Black Holes

Science.gov (United States)

Miller, M. Coleman; Colbert, E. J. M.

2004-01-01

The mathematical simplicity of black holes, combined with their links to some of the most energetic events in the universe, means that black holes are key objects for fundamental physics and astrophysics. Until recently, it was generally believed that black holes in nature appear in two broad mass ranges: stellar-mass (M~3 20 M⊙), which are produced by the core collapse of massive stars, and supermassive (M~106 1010 M⊙), which are found in the centers of galaxies and are produced by a still uncertain combination of processes. In the last few years, however, evidence has accumulated for an intermediate-mass class of black holes, with M~102 104 M⊙. If such objects exist they have important implications for the dynamics of stellar clusters, the formation of supermassive black holes, and the production and detection of gravitational waves. We review the evidence for intermediate-mass black holes and discuss future observational and theoretical work that will help clarify numerous outstanding questions about these objects.

Pancreatic tissue fluid pressure during drainage operations for chronic pancreatitis

DEFF Research Database (Denmark)

Ebbehøj, N; Borly, L; Madsen, P

1990-01-01

Pancreatic tissue fluid pressure was measured in 10 patients undergoing drainage operations for painful chronic pancreatitis. The pressure was measured by the needle technique in the three anatomic regions of the pancreas before and at different stages of the drainage procedure, and the results...... a decrease in pancreatic tissue fluid pressure during drainage operations for pain in chronic pancreatitis. Regional pressure decrease were apparently unrelated to ERCP findings....

Drainage of pleural effusion improves diaphragmatic function in mechanically ventilated patients.

Science.gov (United States)

Umbrello, Michele; Mistraletti, Giovanni; Galimberti, Andrea; Piva, Ilaria R; Cozzi, Ottavia; Formenti, Paolo

2017-03-01

Pleural effusion adversely affects the pressuregenerating capacity of the diaphragm. It uncouples the lung and chest wall, which may result in diaphragmatic dysfunction. Information on the effects of effusion drainage on diaphragmatic function is limited, but several studies report relief of dyspnoea after drainage, which was attributed to improved diaphragmatic mechanics, even if this issue was never formally addressed. To investigate the effect of drainage of unilateral pleural effusion on diaphragmatic function. In a prospective twostep protocol (at baseline and after drainage of effusion), we conducted a spontaneous breathing trial in fourteen critically ill, mechanically ventilated patients undergoing pressure support ventilation. We used ultrasonography of the ipsilateral hemidiaphragm to evaluate and record respiratory displacement and thickening during tidal and maximal breathing efforts. We recorded and analysed airway pressures, respiratory system compliance, vital capacity, indices of respiratory effort and arterial blood gases. After drainage of the effusion, the respiratory rate decreased and tidal volume increased, but haemodynamic parameters were unaffected and oxygenation levels showed a non-significant increase. Drainage was associated with significant decreases in indices of respiratory drive and the maximal pressure generated by the respiratory muscles, as well as an increased compliance of the respiratory system. Diaphragmatic displacement and thickening significantly increased after drainage. We found there was a significant correlation between the volume of the effusion drained and the increase in tidal diaphragmatic thickening. Drainage of a unilateral pleural effusion during weaning from mechanical ventilation improves diaphragmatic contractile activity and respiratory system performance.

Biliary drainage strategy of unresectable malignant hilar strictures by computed tomography volumetry.

Science.gov (United States)

Takahashi, Ei; Fukasawa, Mitsuharu; Sato, Tadashi; Takano, Shinichi; Kadokura, Makoto; Shindo, Hiroko; Yokota, Yudai; Enomoto, Nobuyuki

2015-04-28

To identify criteria for predicting successful drainage of unresectable malignant hilar biliary strictures (UMHBS) because no ideal strategy currently exists. We examined 78 patients with UMHBS who underwent biliary drainage. Drainage was considered effective when the serum bilirubin level decreased by ≥ 50% from the value before stent placement within 2 wk after drainage, without additional intervention. Complications that occurred within 7 d after stent placement were considered as early complications. Before drainage, the liver volume of each section (lateral and medial sections of the left liver and anterior and posterior sections of the right liver) was measured using computed tomography (CT) volumetry. Drained liver volume was calculated based on the volume of each liver section and the type of bile duct stricture (according to the Bismuth classification). Tumor volume, which was calculated by using CT volumetry, was excluded from the volume of each section. Receiver operating characteristic (ROC) analysis was performed to identify the optimal cutoff values for drained liver volume. In addition, factors associated with the effectiveness of drainage and early complications were evaluated. Multivariate analysis showed that drained liver volume [odds ratio (OR) = 2.92, 95%CI: 1.648-5.197; P < 0.001] and impaired liver function (with decompensated liver cirrhosis) (OR = 0.06, 95%CI: 0.009-0.426; P = 0.005) were independent factors contributing to the effectiveness of drainage. ROC analysis for effective drainage showed cutoff values of 33% of liver volume for patients with preserved liver function (with normal liver or compensated liver cirrhosis) and 50% for patients with impaired liver function (with decompensated liver cirrhosis). The sensitivity and specificity of these cutoff values were 82% and 80% for preserved liver function, and 100% and 67% for impaired liver function, respectively. Among patients who met these criteria, the rate of effective drainage

Predicting success of catheter drainage in infected necrotizing pancreatitis

NARCIS (Netherlands)

Hollemans, Robbert A.; Bollen, Thomas L.; Van Brunschot, Sandra; Bakker, Olaf J.; Ali, Usama Ahmed; Van Goor, Harry; Boermeester, Marja A.; Gooszen, Hein G.; Besselink, Marc G.; Van Santvoort, Hjalmar C.

2016-01-01

Introduction: At least 30% of patients with infected necrotizing pancreatitis are successfully treated with catheter drainage alone. It is currently not possible to predict which patients also need necrosectomy. We evaluated predictive factors for successful catheter drainage. Methods: This was a

Predicting Success of Catheter Drainage in Infected Necrotizing Pancreatitis

NARCIS (Netherlands)

Hollemans, R.A.; Bollen, T.L.; Brunschot, S. van; Bakker, O.J.; Ali, U. Ahmed; Goor, H. van; Boermeester, M.A.; Gooszen, H.G.; Besselink, M.G.; Santvoort, H.C. van

2016-01-01

INTRODUCTION: At least 30% of patients with infected necrotizing pancreatitis are successfully treated with catheter drainage alone. It is currently not possible to predict which patients also need necrosectomy. We evaluated predictive factors for successful catheter drainage. METHODS: This was a

Efficacy of ultrasound-guided thoracentesis catheter drainage for pleural effusion

Science.gov (United States)

Cao, Weitian; Wang, Yi; Zhou, Ningming; Xu, Bing

2016-01-01

The factors influencing the efficacy of ultrasound-guided thoracentesis catheter drainage were investigated in the present study. A retrospective analysis of clinical data from 435 patients who presented with a pleural effusion was performed. Patients were divided into a control group and an intervention group. Thirty-seven patients in the control group were given standard care using pleural puncture to draw the excess fluid. The 398 patients in the intervention group were treated using ultrasound-guided thoracentesis catheter drainage. The rate of successful drainage of a pleural effusion was significantly higher (Ppleural effusion. The efficacy of the procedure is related to the separation of pleural effusion, drainage tube type and tube diameter. PMID:28105155

Black hole multiplicity at particle colliders (Do black holes radiate mainly on the brane?)

International Nuclear Information System (INIS)

Cavaglia, Marco

2003-01-01

If gravity becomes strong at the TeV scale, we may have the chance to produce black holes at particle colliders. In this Letter we revisit some phenomenological signatures of black hole production in TeV-gravity theories. We show that the bulk-to-brane ratio of black hole energy loss during the Hawking evaporation phase depends crucially on the black hole greybody factors and on the particle degrees of freedom. Since the greybody factors have not yet been calculated in the literature, and the particle content at trans-Planckian energies is not known, it is premature to claim that the black hole emits mainly on the brane. We also revisit the decay time and the multiplicity of the decay products of black hole evaporation. We give general formulae for black hole decay time and multiplicity. We find that the number of particles produced during the evaporation phase may be significantly lower than the average multiplicity which has been used in the past literature

String-Corrected Black Holes

Energy Technology Data Exchange (ETDEWEB)

Hubeny, V.

2005-01-12

We investigate the geometry of four dimensional black hole solutions in the presence of stringy higher curvature corrections to the low energy effective action. For certain supersymmetric two charge black holes these corrections drastically alter the causal structure of the solution, converting seemingly pathological null singularities into timelike singularities hidden behind a finite area horizon. We establish, analytically and numerically, that the string-corrected two-charge black hole metric has the same Penrose diagram as the extremal four-charge black hole. The higher derivative terms lead to another dramatic effect--the gravitational force exerted by a black hole on an inertial observer is no longer purely attractive. The magnitude of this effect is related to the size of the compactification manifold.

Video studies of passage by Anopheles gambiae mosquitoes through holes in a simulated bed net: effects of hole size, hole orientation and net environment.

Science.gov (United States)

Sutcliffe, James; Colborn, Kathryn L

2015-05-13

Holes in netting provide potential routes for mosquitoes to enter ITNs. Despite this, there is little information on how mosquitoes respond to holes in bed nets and how their responses are affected by hole size, shape and orientation or by ambient conditions around the net. Female Anopheles gambiae (G3) were recorded in a simulated bed net consisting of two sizes of untreated netting-covered behavioural arenas placed above and beside (to simulate the bed net roof and sides respectively) the experimenter who was a source of host cues from 'inside' the net. A round hole of 9 mm or 13 mm diameter was cut into the centre of the netting of each arena. Videos of unfed female mosquitoes in arenas were analysed for time spent flying, walking and standing still and for exit through the hole. The effects of the experimenter on temperature and relative humidity around the simulated net were also measured. Mosquitoes were significantly more active in overhead arenas than in arenas to the side. Hole passage was significantly more likely in smaller arenas than larger ones and for larger holes than smaller ones. In arenas to the side, hole passage rate through small holes was about 50% less likely than what could be explained by area alone. Passage rate through holes in overhead arenas was consistent with hole area. Temperature in arenas did not strongly reflect the experimenter's presence in the simulated net. Relative humidity and absolute humidity in overhead arenas, but not in arenas to the side, were immediately affected by experimenter presence. Higher levels of activity in overhead arenas than in arenas to the side were likely due to the rising heat and humidity plume from the experimenter. Lower than expected passage rates through smaller vertically oriented holes may have been be due to an edge effect that does not apply to horizontally oriented holes. Results suggest that current methods of assessing the importance of physical damage to ITNs may not accurately reflect

Structural differences between glycosylated, disulfide-linked heterodimeric Knob-into-Hole Fc fragment and its homodimeric Knob-Knob and Hole-Hole side products.

Science.gov (United States)

Kuglstatter, A; Stihle, M; Neumann, C; Müller, C; Schaefer, W; Klein, C; Benz, J

2017-09-01

An increasing number of bispecific therapeutic antibodies are progressing through clinical development. The Knob-into-Hole (KiH) technology uses complementary mutations in the CH3 region of the antibody Fc fragment to achieve heavy chain heterodimerization. Here we describe the X-ray crystal structures of glycosylated and disulfide-engineered heterodimeric KiH Fc fragment and its homodimeric Knob-Knob and Hole-Hole side products. The heterodimer structure confirms the KiH design principle and supports the hypothesis that glycosylation stabilizes a closed Fc conformation. Both homodimer structures show parallel Fc fragment architectures, in contrast to recently reported crystal structures of the corresponding aglycosylated Fc fragments which in the absence of disulfide mutations show an unexpected antiparallel arrangement. The glycosylated Knob-Knob Fc fragment is destabilized as indicated by variability in the relative orientation of its CH3 domains. The glycosylated Hole-Hole Fc fragment shows an unexpected intermolecular disulfide bond via the introduced Y349C Hole mutation which results in a large CH3 domain shift and a new CH3-CH3 interface. The crystal structures of glycosylated, disulfide-linked KiH Fc fragment and its Knob-Knob and Hole-Hole side products reported here will facilitate further design of highly efficient antibody heterodimerization strategies. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Remote sensing revealed drainage anomalies and related tectonics of South India

Science.gov (United States)

Ramasamy, SM.; Kumanan, C. J.; Selvakumar, R.; Saravanavel, J.

2011-03-01

Drainages have characteristic pattern and life histories with youthful stage in hilly areas, mature stage in plains and old stage in the coastal zones. The deviations from their normal life histories, especially aberrations in their flow pattern in the form of various drainage anomalies have been inferred to be the indications of dominantly the Eustatic and Isostatic changes. This, especially after the advent of Earth Observing Satellites, has attracted the geoscientists from all over the world, for studying such drainage anomalies. In this connection, a study has been undertaken in parts of South India falling south of 14° south latitude to comprehensively map some drainage anomalies like deflected drainages, eyed drainages and compressed meanders and to evolve the tectonic scenario therefrom. The mapping of such mega drainage anomalies and the related lineaments/faults from the satellite digital data and the integration of such lineaments/faults with the overall lineament map of South India showed that the study area is marked by active N-S block faults and NE-SW sinistral and NW-SE dextral strike slip faults. Such an architecture of active tectonic grains indicates that the northerly directed compressive force which has originally drifted the Indian plate towards northerly is still active and deforming the Indian plate.

A cost comparison of traditional drainage and SUDS in Scotland.

Science.gov (United States)

Duffy, A; Jefferies, C; Waddell, G; Shanks, G; Blackwood, D; Watkins, A

2008-01-01

The Dunfermline Eastern Expansion (DEX) is a 350 ha mixed development which commenced in 1996. Downstream water quality and flooding issues necessitated a holistic approach to drainage planning and the site has become a European showcase for the application of Sustainable Urban Drainage Systems (SUDS). However, there is minimal data available regarding the real costs of operating and maintaining SUDS to ensure they continue to perform as per their design function. This remains one of the primary barriers to the uptake and adoption of SUDS. This paper reports on what is understood to be the only study in the UK where actual costs of constructing and maintaining SUDS have been compared to an equivalent traditional drainage solution. To compare SUDS costs with traditional drainage, capital and maintenance costs of underground storage chambers of analogous storage volumes were estimated. A whole life costing methodology was then applied to data gathered. The main objective was to produce a reliable and robust cost comparison between SUDS and traditional drainage. The cost analysis is supportive of SUDS and indicates that well designed and maintained SUDS are more cost effective to construct, and cost less to maintain than traditional drainage solutions which are unable to meet the environmental requirements of current legislation. (c) IWA Publishing 2008.

Prolonged pericardial drainage using a soft drain reduces pericardial effusion and need for additional pericardial drainage following orthotopic heart transplantation.

Science.gov (United States)

Kim, Yun Seok; Jung, Sung-Ho; Cho, Won Chul; Yun, Sung-Cheol; Park, Jeong-Jun; Yun, Tae-Jin; Kim, Jae-Joong; Lee, Jae Won

2016-03-01

Pericardial effusion can cause haemodynamic compromise after heart transplantation. We identified the effects of soft drains on the development of pericardial effusion. We enrolled 250 patients ≥17 years of age who underwent heart transplantation between July 1999 and April 2012 and received two conventional tubes (n = 96; 32 French), or two tubes with a soft drain (n = 154; 4.8 mm wide). The development of significant pericardial effusion or the need for drainage procedure during 1 month after heart transplantation was compared with the use of the propensity score matching method to adjust for selection bias. At 1 month after transplantation, 69 patients (27.6%) developed significant pericardial effusion. Among these, 13 patients (5.2%) underwent pericardial drainage. According to multivariate analysis, history of previous cardiac surgery [odds ratio (OR) = 0.162; 95% confidence interval (CI) = 0.046-0.565; P = 0.004] and placement of a soft drain (OR = 0.186; 95% CI = 0.100-0.346; P effusion or the need for drainage during the early postoperative period. For the 82 propensity score matched pairs, patients receiving an additional soft drain were at a lower risk of the development of significant pericardial effusion or the need for a pericardial drainage procedure during 1 month (OR = 0.148; 95% CI = 0.068-0.318; P effusion and decreases the need for pericardial drainage after heart transplantation. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

A generalized Dynamic Overflow Risk Assessment (DORA) for urban drainage RTC

DEFF Research Database (Denmark)

Vezzaro, Luca; Grum, Morten

2012-01-01

An innovative generalized approach for integrated real time control of urban drainage systems is presented. The Dynamic Overflow Risk Assessment (DORA) strategy tries to minimize the expected overflow risk by considering (i) the water volume presently stored in the drainage network, (ii) the expe......An innovative generalized approach for integrated real time control of urban drainage systems is presented. The Dynamic Overflow Risk Assessment (DORA) strategy tries to minimize the expected overflow risk by considering (i) the water volume presently stored in the drainage network, (ii...... to reduce Combined Sewer Overflow loads and to optimize the flow discharged to the wastewater treatment plant. Also, the inclusion of forecasts and their uncertainty contributed to further improve the performance of drainage systems. The results of this paper will contribute to a wider usage of global RTC...

Internal structure of black holes

International Nuclear Information System (INIS)

Cvetic, Mirjam

2013-01-01

Full text: We review recent progress that sheds light on the internal structure of general black holes. We first summarize properties of general multi-charged rotating black holes both in four and five dimensions. We show that the asymptotic boundary conditions of these general asymptotically flat black holes can be modified such that a conformal symmetry emerges. These subtracted geometries preserve the thermodynamic properties of the original black holes and are of the Lifshitz type, thus describing 'a black hole in the asymptotically conical box'. Recent efforts employ solution generating techniques to construct interpolating geometries between the original black hole and their subtracted geometries. Upon lift to one dimension higher, these geometries lift to AdS 3 times a sphere, and thus provide a microscopic interpretation of the black hole entropy in terms of dual two-dimensional conformal field theory. (author)

Tile Drainage Density Reduces Groundwater Travel Times and Compromises Riparian Buffer Effectiveness.

Science.gov (United States)

Schilling, Keith E; Wolter, Calvin F; Isenhart, Thomas M; Schultz, Richard C

2015-11-01

Strategies to reduce nitrate-nitrogen (nitrate) pollution delivered to streams often seek to increase groundwater residence time to achieve measureable results, yet the effects of tile drainage on residence time have not been well documented. In this study, we used a geographic information system groundwater travel time model to quantify the effects of artificial subsurface drainage on groundwater travel times in the 7443-ha Bear Creek watershed in north-central Iowa. Our objectives were to evaluate how mean groundwater travel times changed with increasing drainage intensity and to assess how tile drainage density reduces groundwater contributions to riparian buffers. Results indicate that mean groundwater travel times are reduced with increasing degrees of tile drainage. Mean groundwater travel times decreased from 5.6 to 1.1 yr, with drainage densities ranging from 0.005 m (7.6 mi) to 0.04 m (62 mi), respectively. Model simulations indicate that mean travel times with tile drainage are more than 150 times faster than those that existed before settlement. With intensive drainage, less than 2% of the groundwater in the basin appears to flow through a perennial stream buffer, thereby reducing the effectiveness of this practice to reduce stream nitrate loads. Hence, strategies, such as reconnecting tile drainage to buffers, are promising because they increase groundwater residence times in tile-drained watersheds. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

What is black hole?

Indian Academy of Sciences (India)

First page Back Continue Last page Overview Graphics. What is black hole? Possible end phase of a star: A star is a massive, luminous ball of plasma having continuous nuclear burning. Star exhausts nuclear fuel →. White Dwarf, Neutron Star, Black Hole. Black hole's gravitational field is so powerful that even ...

Drainage Structure Datasets and Effects on LiDAR-Derived Surface Flow Modeling

Directory of Open Access Journals (Sweden)

Ruopu Li

2013-12-01

Full Text Available With extraordinary resolution and accuracy, Light Detection and Ranging (LiDAR-derived digital elevation models (DEMs have been increasingly used for watershed analyses and modeling by hydrologists, planners and engineers. Such high-accuracy DEMs have demonstrated their effectiveness in delineating watershed and drainage patterns at fine scales in low-relief terrains. However, these high-resolution datasets are usually only available as topographic DEMs rather than hydrologic DEMs, presenting greater land roughness that can affect natural flow accumulation. Specifically, locations of drainage structures such as road culverts and bridges were simulated as barriers to the passage of drainage. This paper proposed a geospatial method for producing LiDAR-derived hydrologic DEMs, which incorporates data collection of drainage structures (i.e., culverts and bridges, data preprocessing and burning of the drainage structures into DEMs. A case study of GIS-based watershed modeling in South Central Nebraska showed improved simulated surface water derivatives after the drainage structures were burned into the LiDAR-derived topographic DEMs. The paper culminates in a proposal and discussion of establishing a national or statewide drainage structure dataset.

Reuse of drainage water model : calculation method of drainage water and watertable depth

NARCIS (Netherlands)

Roest, C.W.J.; Rijtema, P.E.; Abdel Khalik, M.A.

1986-01-01

The main objective of the project is to assist the Ministry of Irrigation in Egypt in the planning of future watermanagement strategies incorporating reuse of drainage water practices. In order to achieve this main objective a comprehensive measurement programme has been initiated and a mathematical

Quantum effects in black holes

International Nuclear Information System (INIS)

Frolov, V.P.

1979-01-01

A strict definition of black holes is presented and some properties with regard to their mass are enumerated. The Hawking quantum effect - the effect of vacuum instability in the black hole gravitational field, as a result of shich the black hole radiates as a heated body is analyzed. It is shown that in order to obtain results on the black hole radiation it is sufficient to predetermine the in-vacuum state at a time moment in the past, when the collapsing body has a large size, and its gravitational field can be neglected. The causes and the place of particle production by the black hole, and also the space-time inside the black hole, are considered

Outcomes of 23-gauge pars plana vitrectomy and internal limiting membrane peeling with brilliant blue in macular hole

Directory of Open Access Journals (Sweden)

Nohutcu A

2011-08-01

Full Text Available Huseyin Sanisoglu1, Mehmet Sahin Sevim1, Betul Aktas1, Semra Sevim2, Ahmet Nohutcu11Haydarpasa Numune Education and Research Hospital, Department of Ophthalmology, 2Uskudar State Hospital, Eye Clinic, Istanbul, TurkeyPurpose: The evaluation of anatomic and visual outcomes in macular hole cases treated with internal limiting membrane (ILM peeling, brilliant blue (BB, and 23-gauge pars plana vitrectomy (PPV.Materials and methods: Fifty eyes of 48 patients who presented between July 2007 and December 2009 with the diagnosis of stage 2, 3, or 4 macular holes according to Gass Classification who had undergone PPV and ILM peeling were included in this study. Pre- and postoperative macular examinations were assessed with spectral-domain optical coherence tomography. 23 G sutureless PPV and ILM peeling with BB was performed on all patients.Results: The mean age of patients was 63.34 ± 9.6 years. Stage 2 macular hole was determined in 17 eyes (34%, stage 3 in 24 eyes (48%, and stage 4 in 9 eyes (18%. The mean follow-up time was 13.6 ± 1.09 months. Anatomic closure was detected in 46/50 eyes (92%, whereas, in four cases, macular hole persisted and a second operation was not required due to subretinal fluid drainage. At follow-up after 2 months, persistant macular hole was detected in one case and it was closed with reoperation. At 12 months, an increase in visual acuity in 41 eyes was observed, while it remained at the same level in six eyes. In three eyes visual acuity decreased. There was a postoperative statistically significant increase in visual acuity in stage 2 and 3 cases (P < 0.05, however, no increase in visual acuity in stage 4 cases was observed.Conclusion: PPV and ILM peeling in stage 2, 3, and 4 macular hole cases provide successful anatomic outcomes, however, in delayed cases, due to photoreceptor loss, it has no effect on functional recovery. BB, used for clarity of ILM, may be beneficial due to its low retinal toxicity.Keywords: macular

Predicting Success of Catheter Drainage in Infected Necrotizing Pancreatitis

NARCIS (Netherlands)

Hollemans, Robbert A.; Bollen, Thomas L.; van Brunschot, Sandra; Bakker, Olaf J.; Ahmed Ali, Usama; van Goor, Harry; Boermeester, Marja A.; Gooszen, Hein G.; Besselink, Marc G.; van Santvoort, Hjalmar C.

2016-01-01

At least 30% of patients with infected necrotizing pancreatitis are successfully treated with catheter drainage alone. It is currently not possible to predict which patients also need necrosectomy. We evaluated predictive factors for successful catheter drainage. This was a post hoc analysis of 130

Efficiency of lachrymal sac drainage in newborns with dacryocystocele

Directory of Open Access Journals (Sweden)

Sakovich V.N.

2016-12-01

Full Text Available The article represents results of treatment of 14 newborns with unilateral dacryocystocele. Patients age was 7.2±0.5 days. In 9 newborns (64.3% dacryocystocele was complicated with lachrymal sac phlegmon; in 5 children (35.7% any complications were absent. Drainage of lachrymal sac through the lower lachrymal canaliculus, instillation of antibiotics, systemic antibiotic therapy in case of phlegmon were performed in all the children. Lachrymal sac washing was performed with a solution of the antibiotic ofloxacin till clear fluid evacuation. If necessary the drainage was repeated in 10 days. The drainage of lachrymal sac was successful in all the patients. 2-3 weeks after the drainage probing of nasolachrymal duct was perfomed in 4 children (28.6% including those 3 with lacrymal sac phlegmon. In 71.4% regression of dacryocystocele occurred itself. Any complications and side effects were not observed. Positive effect of the drainage, according to the authors, can be explained so that dilatation of lachrymal canaliculus before the procedure allows to eliminate Rosenmьller valve stenosis and evacuation of fluid, mucus and pus, being breeding ground for microorganisms from lachrymal sac, promotes inflammation subsiding. Authors also recommend to pay attention on prenatal diagnosis of dacryocystocele, using ultrasound investigation in the 3rd trimester of pregnancy.

Modeling of subglacial hydrological development following rapid supraglacial lake drainage

OpenAIRE

Dow, C F; Kulessa, B; Rutt, I C; Tsai, V C; Pimentel, S; Doyle, S H; van As, D; Lindb?ck, K; Pettersson, R; Jones, G A; Hubbard, A

2015-01-01

The rapid drainage of supraglacial lakes injects substantial volumes of water to the bed of the Greenland ice sheet over short timescales. The effect of these water pulses on the development of basal hydrological systems is largely unknown. To address this, we develop a lake drainage model incorporating both (1) a subglacial radial flux element driven by elastic hydraulic jacking and (2) downstream drainage through a linked channelized and distributed system. Here we present the model and exa...

30 CFR 57.7055 - Intersecting holes.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Intersecting holes. 57.7055 Section 57.7055... Jet Piercing Drilling-Surface and Underground § 57.7055 Intersecting holes. Holes shall not be drilled where there is a danger of intersecting a misfired hole or a hole containing explosives, blasting agents...

Urban drainage models - making uncertainty analysis simple

DEFF Research Database (Denmark)

Vezzaro, Luca; Mikkelsen, Peter Steen; Deletic, Ana

2012-01-01

in each measured/observed datapoint; an issue which is commonly overlook in the uncertainty analysis of urban drainage models. This comparison allows the user to intuitively estimate the optimum number of simulations required to conduct uncertainty analyses. The output of the method includes parameter......There is increasing awareness about uncertainties in modelling of urban drainage systems and, as such, many new methods for uncertainty analyses have been developed. Despite this, all available methods have limitations which restrict their widespread application among practitioners. Here...

Pressure Jumps during Drainage in Macroporous Soils

DEFF Research Database (Denmark)

Soto, Diego; Paradelo Pérez, Marcos; Corral, A

2018-01-01

Tensiometer readings obtained at high resolution during drainage of structured soil columns revealed pressure jumps with long range correlations and burst sequences with a hierarchical structure. The statistical properties of jumps are similar to Haines jumps described in invasion percolation...... processes at pore scale, but they are much larger in amplitude and duration. Pressure jumps can result from transient redistribution of water potential in internal regions of soil and can be triggered during drainage by capillary displacements at the scale of structural pores....

Treatment of posthemorrhagic hydrocephalus in premature infants with subcutaneous reservoir drainage.

Science.gov (United States)

Yu, Bo; Li, Shasha; Lin, Zhenlang; Zhang, Nu

2009-01-01

To investigate the effectiveness of subcutaneous reservoir drainage as a treatment for the different types of posthemorrhagic hydrocephalus in premature infants. 11 premature infants with posthemorrhagic hydrocephalus underwent subcutaneous reservoir embedment surgery, and cerebrospinal fluid (CSF) was drained via the reservoir intermittently for 8 weeks. During the period of drainage, ultrasound and computerized tomography were used to measure ventricle size. CSF examinations were performed routinely to assess the presence of intraventricular hemorrhage (IVH) and/or infection. (1) Five infants were diagnosed as having obstructive hydrocephalus; 2 had nearly normal ventricle sizes with treatment and drainage was stopped after 8 weeks, 2 had nearly normal ventricle sizes after 4 more weeks of drainage, and 1 underwent ventriculoperitoneal shunt (V-P shunt) surgery due to failure of ventricle size reduction. (2) Six infants were diagnosed as having communicating hydrocephalus; 4 had further enlarged ventricle size after 8 weeks and underwent V-P shunt surgery, 1 had treatment aborted at week 8 of drainage, and only 1 had moderate reduction of ventricle size after 8 weeks. (3) None of the 11 infants had progressive IVH and/or intracranial infection during drainage. Subcutaneous reservoir drainage is a suitable and safe treatment for posthemorrhagic hydrocephalus in premature infants. It is more effective for obstructive hydrocephalus than for communicating hydrocephalus. Copyright (c) 2009 S. Karger AG, Basel.

13 Morphometric Analysis of Ogunpa and Ogbere Drainage Basins ...

African Journals Online (AJOL)

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significance of these landscape parameters was ... reported that the geomorphic characteristics of a drainage basins play ... form and process of drainage basins that may ... tropical rain forest of Nigeria occupying an area of .... morphometric parameters such as relief, shape ... on floodplains can be pulled down while areas.

30 CFR 56.7055 - Intersecting holes.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Intersecting holes. 56.7055 Section 56.7055... Piercing Drilling § 56.7055 Intersecting holes. Holes shall not be drilled where there is a danger of intersecting a misfired hole or a hole containing explosives blasting agents, or detonators. [56 FR 46508, Sept...

Results of tritium measurement in environmental samples and drainage

International Nuclear Information System (INIS)

Koike, Ryoji; Hirai, Yasuo

1983-01-01

In Ibaraki prefecture, the tritium concentration in the drainage from the nuclear facilities has been measured since 1974. Then, with the start of operation of the fuel reprocessing plant in 1977, the tritium concentration in environmental samples was to be measured also in order to examine the effect of the drainage on the environment. The results of the tritium measurement in Ibaraki prefecture up to about 1980 are described: sampling points, sampling and measuring methods, the tritium concentration in the drainage, air, inland water and seawater, respectively. The drainages have been taken from Japan Atomic Power Company, Japan Atomic Energy Research Institute, and Power Reactor and Nuclear Fuel Development Corporation (with the fuel reprocessing plant). The samples of air, inland water and seawater have been taken in the areas concerned. The tritium concentration was measured by a low-background liquid scintillation counter. The measured values in the environment have been generally at low level, not different from other areas. (Mori, K.)

DETERMINATION OF EFFICIENCY OF THE CIRCUMFERENTIAL DRAINAGE SYSTEM

Directory of Open Access Journals (Sweden)

Maciej Kroll

2015-11-01

Full Text Available One of the potential alternatives to improve the stability coefficient for an embankment structure is to flatten the filtration curve. As a result, we obtain lower body forces triggering the potential landslide and more advantageous soil strength parameters, which counteract landslide movements. In the case of waste dumps lowering the phreatic surface of waters is achieved thanks to the construction of auxiliary drainage systems, meeting the guidelines for their safe operation. The aim of this paper is to indicate a method facilitating the determination of the actual position of the phreatic surface within the deposited sediments and the assessment of efficiency of the circumferential drainage system in the waste dump. It was decided in this study to apply cone penetration test CPTU. The CPTU made it possible to measure dissipation of excess water pressure in pores identifying drainage conditions, which were compared with the results of piezometric measurements. The results of these tests made it possible to monitor changes in the position of the depression curve of supernatant waters in dams and to determine the efficiency of the circumferential drainage system.

Investigations of lymphatic drainage from the interstitial space

Science.gov (United States)

Jayathungage Don, Tharanga; Richard Clarke Collaboration; John Cater Collaboration; Vinod Suresh Collaboration

2017-11-01

The lymphatic system is a highly complex biological system that facilitates the drainage of excess fluid in body tissues. In addition, it is an integral part of the immunological control system. Understanding the mechanisms of fluid absorption from the interstitial space and flow through the initial lymphatics is important to treat several pathological conditions. The main focus of this study is to computationally model the lymphatic drainage from the interstitial space. The model has been developed to consider a 3D lymphatic network and uses biological data to inform the creation of realistic geometries for the lymphatic capillary networks. We approximate the interstitial space as a porous region and the lymphatic vessel walls as permeable surfaces. The dynamics of the flow is approximated by Darcy's law in the interstitium and the Navier-Stokes equations in the lymphatic capillary lumen. The proposed model examines lymph drainage as a function of pressure gradient. In addition, we have examined the effects of interstitial and lymphatic wall permeabilities on the lymph drainage and the solute transportation in the model. The computational results are in accordance with the available experimental measurements.

Lifshitz topological black holes

International Nuclear Information System (INIS)

Mann, R.B.

2009-01-01

I find a class of black hole solutions to a (3+1) dimensional theory gravity coupled to abelian gauge fields with negative cosmological constant that has been proposed as the dual theory to a Lifshitz theory describing critical phenomena in (2+1) dimensions. These black holes are all asymptotic to a Lifshitz fixed point geometry and depend on a single parameter that determines both their area (or size) and their charge. Most of the solutions are obtained numerically, but an exact solution is also obtained for a particular value of this parameter. The thermodynamic behaviour of large black holes is almost the same regardless of genus, but differs considerably for small black holes. Screening behaviour is exhibited in the dual theory for any genus, but the critical length at which it sets in is genus-dependent for small black holes.

Black hole decay as geodesic motion

International Nuclear Information System (INIS)

Gupta, Kumar S.; Sen, Siddhartha

2003-01-01

We show that a formalism for analyzing the near-horizon conformal symmetry of Schwarzschild black holes using a scalar field probe is capable of describing black hole decay. The equation governing black hole decay can be identified as the geodesic equation in the space of black hole masses. This provides a novel geometric interpretation for the decay of black holes. Moreover, this approach predicts a precise correction term to the usual expression for the decay rate of black holes

Drilling miniature holes, Part III

Energy Technology Data Exchange (ETDEWEB)

Gillespie, L.K.

1978-07-01

Miniature components for precision electromechanical mechanisms such as switches, timers, and actuators typically require a number of small holes. Because of the precision required, the workpiece materials, and the geometry of the parts, most of these holes must be produced by conventional drilling techniques. The use of such techniques is tedious and often requires considerable trial and error to prevent drill breakage, minimize hole mislocation and variations in hole diameter. This study of eight commercial drill designs revealed that printed circuit board drills produced better locational and size repeatability than did other drills when centerdrilling was not used. Boring holes 1 mm in dia, or less, as a general rule did not improve hole location in brass or stainless steel. Hole locations of patterns of 0.66-mm holes can be maintained within 25.4-..mu..m diametral positional tolerance if setup misalignments can be eliminated. Size tolerances of +- 3.8 ..mu..m can be maintained under some conditions when drilling flat plates. While these levels of precision are possible with existing off-the-shelf drills, they may not be practical in many cases.

The dangers of long-term catheter drainage.

Science.gov (United States)

Lowthian, P

There are many dangers associated with long-term urinary bladder drainage by catheter. For various reasons, the choice of catheter is important, and its initial insertion can be particularly hazardous. All catheterizations should, however, be safer when there is some urine (or other fluid) in the bladder. The appropriate choice of drainage system attached to the catheter can delay bacterial invasion of the bladder. Great care is needed to prevent blockage of the system, particularly when bacteriuria is present. Recent evidence indicates that some bacteria encourage the development of encrustations, so that, in some circumstances, catheters may become blocked within 24 hours. This, together with other considerations, strongly suggests that indwelling catheters should be changed at intervals of not more than 5 days. The practical implications of this are considered, as are the benefits that may accrue. Accidental catheter traction is another danger, and some possible methods of avoiding this are discussed. Finally, the need for a new kind of drainage-bag support is highlighted.

Acceleration of black hole universe

Science.gov (United States)

Zhang, T. X.; Frederick, C.

2014-01-01

Recently, Zhang slightly modified the standard big bang theory and developed a new cosmological model called black hole universe, which is consistent with Mach's principle, governed by Einstein's general theory of relativity, and able to explain all observations of the universe. Previous studies accounted for the origin, structure, evolution, expansion, and cosmic microwave background radiation of the black hole universe, which grew from a star-like black hole with several solar masses through a supermassive black hole with billions of solar masses to the present state with hundred billion-trillions of solar masses by accreting ambient matter and merging with other black holes. This paper investigates acceleration of the black hole universe and provides an alternative explanation for the redshift and luminosity distance measurements of type Ia supernovae. The results indicate that the black hole universe accelerates its expansion when it accretes the ambient matter in an increasing rate. In other words, i.e., when the second-order derivative of the mass of the black hole universe with respect to the time is positive . For a constant deceleration parameter , we can perfectly explain the type Ia supernova measurements with the reduced chi-square to be very close to unity, χ red˜1.0012. The expansion and acceleration of black hole universe are driven by external energy.

Super-horizon primordial black holes

International Nuclear Information System (INIS)

Harada, Tomohiro; Carr, B.J.

2005-01-01

We discuss a new class of solutions to the Einstein equations which describe a primordial black hole (PBH) in a flat Friedmann background. Such solutions arise if a Schwarzschild black hole is patched onto a Friedmann background via a transition region. They are possible providing the black hole event horizon is larger than the cosmological apparent horizon. Such solutions have a number of strange features. In particular, one has to define the black hole and cosmological horizons carefully and one then finds that the mass contained within the black hole event horizon decreases when the black hole is larger than the Friedmann cosmological apparent horizon, although its area always increases. These solutions involve two distinct future null infinities and are interpreted as the conversion of a white hole into a black hole. Although such solutions may not form from gravitational collapse in the same way as standard PBHs, there is nothing unphysical about them, since all energy and causality conditions are satisfied. Their conformal diagram is a natural amalgamation of the Kruskal diagram for the extended Schwarzschild solution and the conformal diagram for a black hole in a flat Friedmann background. In this paper, such solutions are obtained numerically for a spherically symmetric universe containing a massless scalar field, but it is likely that they exist for more general matter fields and less symmetric systems

Non-drainage scleral buckling with solid silicone elements

Directory of Open Access Journals (Sweden)

Pukhraj Rishi

2014-01-01

Full Text Available Background: With the increasing number of cataract surgeries, incidence of posterior segment complications including rhegmatogenous retinal detachment (RRD is likely to rise. Scleral buckling (SB surgery is an effective and less expensive option. The primary advantage of non-drainage procedure is avoidance of possible complications associated with trans-choroidal drainage. The aim of present study is to describe the clinical profile of subjects undergoing non-drainage SB surgery with solid silicone elements for RRD and analyze their treatment outcomes. Materials and Methods: This was a retrospective, non-randomized, interventional study at a tertiary care center. Three hundred and six eyes of 298 patients undergoing non-drainage SB surgery with solid silicone elements from year 2000 to 2006 were included. Inclusion criteria were primary RRD, peripheral depressible retinal break, media clarity affording peripheral retinal view and proliferative vitreo-retinopathy (PVR up to grade C2. Uni- and multivariate analyses was done to analyze factors affecting anatomical and visual outcomes. Statistical analysis was performed using SPSS Version 10. Results: Mean follow-up was 303 ± 393.33 days. Primary anatomical success was obtained in 279 (91.2% eyes; primary functional success in 286 (93.5% eyes. PVR (grade B or C, intraocular pressure <10 mm Hg and the inability to find a retinal break were significantly associated with final anatomical failure. Baseline vision ≤3/60 was significantly associated with poor visual recovery. Conclusions: SB surgery is reasonably safe and highly efficacious. Solid silicone elements are effective in non-drainage SB surgery. However, case selection is important.

Effect of Cutting Parameters on Thrust Force and Surface Roughness in Drilling of Al-2219/B4C/Gr Metal Matrix Composites

Science.gov (United States)

Ravindranath, V. M.; Basavarajappa, G. S. Shiva Shankar S.; Suresh, R.

2016-09-01

In aluminium matrix composites, reinforcement of hard ceramic particle present inside the matrix which causes tool wear, high cutting forces and poor surface finish during machining. This paper focuses on effect of cutting parameters on thrust force, surface roughness and burr height during drilling of MMCs. In the present work, discuss the influence of spindle speed and feed rate on drilling the pure base alloy (Al-2219), mono composite (Al- 2219+8% B4C) and hybrid composite (Al-2219+8%B4C+3%Gr). The composites were fabricated using liquid metallurgy route. The drilling experiments were conducted by CNC machine with TiN coated HSS tool, M42 (Cobalt grade) and carbide tools at various spindle speeds and feed rates. The thrust force, surface roughness and burr height of the drilled hole were investigated in mono composite and hybrid composite containing graphite particles, the experimental results show that the feed rate has more influence on thrust force and surface roughness. Lesser thrust force and discontinuous chips were produced during machining of hybrid composites when compared with mono and base alloy during drilling process. It is due to solid lubricant property of graphite which reduces the lesser thrust force, burr height and lower surface roughness. When machining with Carbide tool at low feed and high speeds good surface finish was obtained compared to other two types of cutting tool materials.

NASA Observatory Confirms Black Hole Limits

Science.gov (United States)

2005-02-01

The very largest black holes reach a certain point and then grow no more, according to the best survey to date of black holes made with NASA's Chandra X-ray Observatory. Scientists have also discovered many previously hidden black holes that are well below their weight limit. These new results corroborate recent theoretical work about how black holes and galaxies grow. The biggest black holes, those with at least 100 million times the mass of the Sun, ate voraciously during the early Universe. Nearly all of them ran out of 'food' billions of years ago and went onto a forced starvation diet. Focus on Black Holes in the Chandra Deep Field North Focus on Black Holes in the Chandra Deep Field North On the other hand, black holes between about 10 and 100 million solar masses followed a more controlled eating plan. Because they took smaller portions of their meals of gas and dust, they continue growing today. "Our data show that some supermassive black holes seem to binge, while others prefer to graze", said Amy Barger of the University of Wisconsin in Madison and the University of Hawaii, lead author of the paper describing the results in the latest issue of The Astronomical Journal (Feb 2005). "We now understand better than ever before how supermassive black holes grow." One revelation is that there is a strong connection between the growth of black holes and the birth of stars. Previously, astronomers had done careful studies of the birthrate of stars in galaxies, but didn't know as much about the black holes at their centers. DSS Optical Image of Lockman Hole DSS Optical Image of Lockman Hole "These galaxies lose material into their central black holes at the same time that they make their stars," said Barger. "So whatever mechanism governs star formation in galaxies also governs black hole growth." Astronomers have made an accurate census of both the biggest, active black holes in the distance, and the relatively smaller, calmer ones closer by. Now, for the first

Remediation of Acid Mine Drainage with Sulfate Reducing Bacteria

Science.gov (United States)

Hauri, James F.; Schaider, Laurel A.

2009-01-01

Sulfate reducing bacteria have been shown to be effective at treating acid mine drainage through sulfide production and subsequent precipitation of metal sulfides. In this laboratory experiment for undergraduate environmental chemistry courses, students design and implement a set of bioreactors to remediate acid mine drainage and explain observed…

Green's tensor calculations of plasmon resonances of single holes and hole pairs in thin gold films

International Nuclear Information System (INIS)

Alegret, Joan; Kaell, Mikael; Johansson, Peter

2008-01-01

We present numerical calculations of the plasmon properties of single-hole and hole-pair structures in optically thin gold films obtained with the Green's tensor formalism for stratified media. The method can be used to obtain the optical properties of a given hole system, without problems associated with the truncation of the infinite metal film. The calculations are compared with previously published experimental data and an excellent agreement is found. In particular, the calculations are shown to reproduce the evolution of the hole plasmon resonance spectrum as a function of hole diameter, film thickness and hole separation.

Curvature invariant characterization of event horizons of four-dimensional black holes conformal to stationary black holes

Science.gov (United States)

McNutt, David D.

2017-11-01

We introduce three approaches to generate curvature invariants that transform covariantly under a conformal transformation of a four-dimensional spacetime. For any black hole conformally related to a stationary black hole, we show how a set of conformally covariant invariants can be combined to produce a conformally covariant invariant that detects the event horizon of the conformally related black hole. As an application we consider the rotating dynamical black holes conformally related to the Kerr-Newman-Unti-Tamburino-(anti)-de Sitter spacetimes and construct an invariant that detects the conformal Killing horizon along with a second invariant that detects the conformal stationary limit surface. In addition, we present necessary conditions for a dynamical black hole to be conformally related to a stationary black hole and apply these conditions to the ingoing Kerr-Vaidya and Vaidya black hole solutions to determine if they are conformally related to stationary black holes for particular choices of the mass function. While two of the three approaches cannot be generalized to higher dimensions, we discuss the existence of a conformally covariant invariant that will detect the event horizon for any higher dimensional black hole conformally related to a stationary black hole which admits at least two conformally covariant invariants, including all vacuum spacetimes.

Statistical mechanics of black holes

International Nuclear Information System (INIS)

Harms, B.; Leblanc, Y.

1992-01-01

We analyze the statistical mechanics of a gas of neutral and charged black holes. The microcanonical ensemble is the only possible approach to this system, and the equilibrium configuration is the one for which most of the energy is carried by a single black hole. Schwarzschild black holes are found to obey the statistical bootstrap condition. In all cases, the microcanonical temperature is identical to the Hawking temperature of the most massive black hole in the gas. U(1) charges in general break the bootstrap property. The problems of black-hole decay and of quantum coherence are also addressed

Vacuum-assisted drainage in cardiopulmonary bypass: advantages and disadvantages.

Science.gov (United States)

Carvalho Filho, Elio Barreto de; Marson, Fernando Augusto de Lima; Costa, Loredana Nilkenes Gomes da; Antunes, Nilson

2014-01-01

Systematic review of vacuum assisted drainage in cardiopulmonary bypass, demonstrating its advantages and disadvantages, by case reports and evidence about its effects on microcirculation. We conducted a systematic search on the period 1997-2012, in the databases PubMed, Medline, Lilacs and SciELO. Of the 70 selected articles, 26 were included in the review. Although the vacuum assisted drainage has significant potential for complications and requires appropriate technology and professionalism, prevailed in literature reviewed the concept that vacuum assisted drainage contributed in reducing the rate of transfusions, hemodilutions, better operative field, no significant increase in hemolysis, reduced complications surgical, use of lower prime and of smaller diameter cannulas.

Regular black hole in three dimensions

OpenAIRE

Myung, Yun Soo; Yoon, Myungseok

2008-01-01

We find a new black hole in three dimensional anti-de Sitter space by introducing an anisotropic perfect fluid inspired by the noncommutative black hole. This is a regular black hole with two horizons. We compare thermodynamics of this black hole with that of non-rotating BTZ black hole. The first-law of thermodynamics is not compatible with the Bekenstein-Hawking entropy.

Black hole levitron

NARCIS (Netherlands)

Arsiwalla, X.D.; Verlinde, E.P.

2010-01-01

We study the problem of spatially stabilizing four dimensional extremal black holes in background electric/magnetic fields. Whilst looking for stationary stable solutions describing black holes placed in external fields we find that taking a continuum limit of Denef et al.’s multicenter

Evaluation of Critical Parameters to Improve Slope Drainage System

Directory of Open Access Journals (Sweden)

Yong Weng Long

2017-01-01

Full Text Available This study focuses on identifying and evaluating critical parameters of various drainage configurations, arrangement, and filter which affect the efficiency of water draining system in slopes. There are a total of seven experiments with different types of homogeneous soil, drainage envelope, filter material, and quantity of pipes performed utilizing a model box with a dimension of 0.8 m × 0.8 m × 0.6 m. The pipes were orientated at 5 degrees from the horizontal. Rainfall event was introduced via a rainfall simulator with rainfall intensity of 434.1 mm/h. From the experiments performed, the expected outcomes when utilizing double pipes and geotextile as envelope filter were verified in this study. The results obtained from these experiments were reviewed and compared with Chapter 14 “Subsurface Drainage Systems” of DID’s Irrigation and Agricultural Drainage Manual of Malaysia and the European standard. It is recommended that the pipe installed in the slope could be wrapped with geotextile and in tandem with application of granular filter to minimize clogging without affecting the water discharge rate. Terzaghi’s filter criteria could be followed closely when deciding on new materials to act as aggregate filter. A caging system could be introduced as it could maintain the integrity of the drainage system and could ease installation.

Fluid collection after partial pancreatectomy: EUS drainage and long-term follow-up.

Science.gov (United States)

Caillol, Fabrice; Godat, Sebastien; Turrini, Olivier; Zemmour, Christophe; Bories, Erwan; Pesenti, Christian; Ratone, Jean Phillippe; Ewald, Jacques; Delpero, Jean Robert; Giovannini, Marc

2018-03-29

Postoperative fluid collection due to pancreatic leak is the most frequent complication after pancreatic surgery. Endoscopic ultrasound (EUS)-guided drainage of post-pancreatic surgery fluid collection is the gold standard procedure; however, data on outcomes of this procedure are limited. The primary endpoint of our study was relapse over longterm followup, and the secondary endpoint was the efficiency and safety of EUS-guided drainage of post-pancreatic surgery fluid collection. This retrospective study was conducted at a single center from December 2008 to April 2016. Global morbidity was defined as the occurrence of an event involving additional endoscopic procedures, hospitalization, or interventional radiologic or surgical procedures. EUS-guided drainage was considered a clinical failure if surgery was required to treat a relapse after stent removal. Fortyone patients were included. The technical success rate was 100%. Drainage was considered a clinical success in 93% (39/41) of cases. Additionally, 19 (46%) complications were identified as global morbidity. The duration between surgery and EUS-guided drainage was not a significantly related factor for morbidity rate (P = 0.8); however, bleeding due to arterial injuries (splenic artery and gastroduodenal artery) from salvage drainage procedures occurred within 25 days following the initial surgery. There was no difference in survival between patients with and without complications. No relapse was reported during the followup (median: 44.75 months; range: 29.24 to 65.74 months). EUSguided drainage for post-pancreatic surgery fluid collection was efficient with no relapse during longterm followup. Morbidity rate was independent of the duration between the initial surgery and EUS-guided drainage; however, bleeding risk was likely more important in cases of early drainage.

Is peritoneal drainage essential after pancreatic surgery?: A meta-analysis and systematic review.

Science.gov (United States)

Huan, Lu; Fei, Qilin; Lin, Huapeng; Wan, Lun; Li, Yue

2017-12-01

Our objective is to assess the function of peritoneal drainage, which is placed after pancreatic surgery. With the medical advancement some study put forward that peritoneal drainage is not the necessary after pancreatic surgery; it cannot improve the complications of postoperation even leading to more infection and so on. However, there is no one study can clear and definite whether omitting the drainage after surgery or not. Searching databases consist of all kinds of searching tools, such as Medline, The Cochrane Library, Embase, PubMed, etc. All the included studies should meet our demand of this meta-analysis. In the all interest outcomes blow we take the full advantage of RevMan5 to assess, the main measure is odds ratio (OR) with 95% confidence, the publication bias are assessed by Egger test and Begg test. The rate of postoperative pancreatic fistula (POPF) in no drainage group is much lower than that in routine drainage group (OR = 0.47, I = 43%, P drainage can increase the morbidity (OR = 0.71, I = 15%, P = .0002) after pancreaticoduodenectomy (PD), but reduce the mortality (OR = 1.92, I = 8%, P = .03) after PD. In distal pancreatectomy (DP) the rate of POPF and clinically relevant pancreatic fistula (CR-PF) is lower without drainage; there is no significant difference in the CR-PF, hospital stay, intra-abdominal abscess, radiologic invention, and the reoperation. In the current meta-analysis, we cannot make a clear conclusion whether to abandon the routine drainage or not, but from the subgroup we can see something is safer than nothing to routine peritoneal drainage. And the patients who underwent DP can attempt to omit the drainage. But it still needs more RCTs to assess the necessity of drainage. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

Is there life inside black holes?

International Nuclear Information System (INIS)

Dokuchaev, V I

2011-01-01

Bound inside rotating or charged black holes, there are stable periodic planetary orbits, which neither come out nor terminate at the central singularity. Stable periodic orbits inside black holes exist even for photons. These bound orbits may be defined as orbits of the third kind, following the Chandrasekhar classification of particle orbits in the black hole gravitational field. The existence domain for the third-kind orbits is rather spacious, and thus there is place for life inside supermassive black holes in the galactic nuclei. Interiors of the supermassive black holes may be inhabited by civilizations, being invisible from the outside. In principle, one can get information from the interiors of black holes by observing their white hole counterparts. (paper)

Controls on deep drainage beneath the root soil zone in snowmelt-dominated environments

Science.gov (United States)

Hammond, J. C.; Harpold, A. A.; Kampf, S. K.

2017-12-01

Snowmelt is the dominant source of streamflow generation and groundwater recharge in many high elevation and high latitude locations, yet we still lack a detailed understanding of how snowmelt is partitioned between the soil, deep drainage, and streamflow under a variety of soil, climate, and snow conditions. Here we use Hydrus 1-D simulations with historical inputs from five SNOTEL snow monitoring sites in each of three regions, Cascades, Sierra, and Southern Rockies, to investigate how inter-annual variability on water input rate and duration affects soil saturation and deep drainage. Each input scenario was run with three different soil profiles of varying hydraulic conductivity, soil texture, and bulk density. We also created artificial snowmelt scenarios to test how snowmelt intermittence affects deep drainage. Results indicate that precipitation is the strongest predictor (R2 = 0.83) of deep drainage below the root zone, with weaker relationships observed between deep drainage and snow persistence, peak snow water equivalent, and melt rate. The ratio of deep drainage to precipitation shows a stronger positive relationship to melt rate suggesting that a greater fraction of input becomes deep drainage at higher melt rates. For a given amount of precipitation, rapid, concentrated snowmelt may create greater deep drainage below the root zone than slower, intermittent melt. Deep drainage requires saturation below the root zone, so saturated hydraulic conductivity serves as a primary control on deep drainage magnitude. Deep drainage response to climate is mostly independent of soil texture because of its reliance on saturated conditions. Mean water year saturations of deep soil layers can predict deep drainage and may be a useful way to compare sites in soils with soil hydraulic porosities. The unit depth of surface runoff often is often greater than deep drainage at daily and annual timescales, as snowmelt exceeds infiltration capacity in near-surface soil layers

Black Hole Grabs Starry Snack

Science.gov (United States)

2006-01-01

[figure removed for brevity, see original site] Poster Version This artist's concept shows a supermassive black hole at the center of a remote galaxy digesting the remnants of a star. NASA's Galaxy Evolution Explorer had a 'ringside' seat for this feeding frenzy, using its ultraviolet eyes to study the process from beginning to end. The artist's concept chronicles the star being ripped apart and swallowed by the cosmic beast over time. First, the intact sun-like star (left) ventures too close to the black hole, and its own self-gravity is overwhelmed by the black hole's gravity. The star then stretches apart (middle yellow blob) and eventually breaks into stellar crumbs, some of which swirl into the black hole (cloudy ring at right). This doomed material heats up and radiates light, including ultraviolet light, before disappearing forever into the black hole. The Galaxy Evolution Explorer was able to watch this process unfold by observing changes in ultraviolet light. The area around the black hole appears warped because the gravity of the black hole acts like a lens, twisting and distorting light.

A nonsingular rotating black hole

International Nuclear Information System (INIS)

Ghosh, Sushant G.

2015-01-01

The spacetime singularities in classical general relativity are inevitable, as predicated by the celebrated singularity theorems. However, it is a general belief that singularities do not exist in Nature and that they are the limitations of the general relativity. In the absence of a welldefined quantum gravity, models of regular black holes have been studied. We employ a probability distribution inspired mass function m(r) to replace the Kerr black hole mass M to represent a nonsingular rotating black hole that is identified asymptotically (r >> k, k > 0 constant) exactly as the Kerr-Newman black hole, and as the Kerr black hole when k = 0. The radiating counterpart renders a nonsingular generalization of Carmeli's spacetime as well as Vaidya's spacetime, in the appropriate limits. The exponential correction factor changing the geometry of the classical black hole to remove the curvature singularity can also be motivated by quantum arguments. The regular rotating spacetime can also be understood as a black hole of general relativity coupled to nonlinear electrodynamics. (orig.)

Thermodynamic theory of black holes

Energy Technology Data Exchange (ETDEWEB)

Davies, P C.W. [King' s Coll., London (UK). Dept. of Mathematics

1977-04-21

The thermodynamic theory underlying black hole processes is developed in detail and applied to model systems. It is found that Kerr-Newman black holes undergo a phase transition at a = 0.68M or Q = 0.86M, where the heat capacity has an infinite discontinuity. Above the transition values the specific heat is positive, permitting isothermal equilibrium with a surrounding heat bath. Simple processes and stability criteria for various black hole situations are investigated. The limits for entropically favoured black hole formation are found. The Nernst conditions for the third law of thermodynamics are not satisfied fully for black holes. There is no obvious thermodynamic reason why a black hole may not be cooled down below absolute zero and converted into a naked singularity. Quantum energy-momentum tensor calculations for uncharged black holes are extended to the Reissner-Nordstrom case, and found to be fully consistent with the thermodynamic picture for Q < M. For Q < M the model predicts that 'naked' collapse also produces radiation, with such intensity that the collapsing matter is entirely evaporated away before a naked singularity can form.

Possible origin and significance of extension-parallel drainages in Arizona's metamophic core complexes

Science.gov (United States)

Spencer, J.E.

2000-01-01

The corrugated form of the Harcuvar, South Mountains, and Catalina metamorphic core complexes in Arizona reflects the shape of the middle Tertiary extensional detachment fault that projects over each complex. Corrugation axes are approximately parallel to the fault-displacement direction and to the footwall mylonitic lineation. The core complexes are locally incised by enigmatic, linear drainages that parallel corrugation axes and the inferred extension direction and are especially conspicuous on the crests of antiformal corrugations. These drainages have been attributed to erosional incision on a freshly denuded, planar, inclined fault ramp followed by folding that elevated and preserved some drainages on the crests of rising antiforms. According to this hypothesis, corrugations were produced by folding after subacrial exposure of detachment-fault foot-walls. An alternative hypothesis, proposed here, is as follows. In a setting where preexisting drainages cross an active normal fault, each fault-slip event will cut each drainage into two segments separated by a freshly denuded fault ramp. The upper and lower drainage segments will remain hydraulically linked after each fault-slip event if the drainage in the hanging-wall block is incised, even if the stream is on the flank of an antiformal corrugation and there is a large component of strike-slip fault movement. Maintenance of hydraulic linkage during sequential fault-slip events will guide the lengthening stream down the fault ramp as the ramp is uncovered, and stream incision will form a progressively lengthening, extension-parallel, linear drainage segment. This mechanism for linear drainage genesis is compatible with corrugations as original irregularities of the detachment fault, and does not require folding after early to middle Miocene footwall exhumations. This is desirable because many drainages are incised into nonmylonitic crystalline footwall rocks that were probably not folded under low

Intra-abdominal pressure alterations after large pancreatic pseudocyst transcutaneous drainage

Directory of Open Access Journals (Sweden)

Papavramidis Theodossis S

2009-06-01

Full Text Available Abstract Background Acute pancreatitis leads to abdominal hypertension and compartment syndrome. Weeks after the episodes pancreatic fluids sometimes organize to pseudocysts, fluid collections by or in the gland. Aims of the present study were to evaluate the intra-abdominal pressure (IAP induced by large pancreatic pseudocysts and to examine the effect of their transcutaneous drainage on IAP. Methods Twenty seven patients with a pancreatic pseudocyst were included. Nine patients with pseudocysts greater than 1l (group A had CT drainage and eighteen (volume less than 1l were the control group. The measurements of group A were taken 6 hours before and every morning after the drainage, while for group B, two measurements were performed, one at the day of the initial CT and one 7 days after. Abdominal compliance (Cabd was calculated. Data were analyzed using student's t-test. Results Baseline IAP for group A was 9.3 mmHg (S.D. 1.7 mmHg, while the first post-drainage day (PDD IAP was 5.1 mmHg (S.D. 0.7 mmHg. The second PDD IAP was 5.6 mmHg (S.D. 0.8 mmHg, the third 6.4 mmH (S.D. 1.2 mmHgg, the fourth 6.9 mmHg (S.D. 1.6 mmHg, the fifth 7.9 mmHg (S.D. 1.5 mmHg, the sixth 8.2 mmHg (S.D. 1.4 mmHg, and the seventh 8.2 mmHg (S.D. 1.5 mmHg. Group B had baseline IAP 8.0 mmHg (S.D. 1.2 mmHg and final 8.2 mmHg (S.D. 1.4 mmHg. Cabd after drainage was 185.6 ml/mmHg (SD 47.5 ml/mmHg. IAP values were reduced between the baseline and all the post-drainage measurements in group A. IAPs seem to stabilize after the 5th post-drainage day. Baseline IAP was higher in group A than in group B, while the two values, at day 7, were equivalent. Conclusion The drainage of large pancreatic pseudocyst reduces IAP. Moreover, the IAP seems to rise shortly after the drainage again, but in a way that it remains inferior to the initial value. More chronic changes to the IAP are related to abdominal cavity's properties and have to be further studied.

Erratic Black Hole Regulates Itself

Science.gov (United States)

2009-03-01

New results from NASA's Chandra X-ray Observatory have made a major advance in explaining how a special class of black holes may shut off the high-speed jets they produce. These results suggest that these black holes have a mechanism for regulating the rate at which they grow. Black holes come in many sizes: the supermassive ones, including those in quasars, which weigh in at millions to billions of times the mass of the Sun, and the much smaller stellar-mass black holes which have measured masses in the range of about 7 to 25 times the Sun's mass. Some stellar-mass black holes launch powerful jets of particles and radiation, like seen in quasars, and are called "micro-quasars". The new study looks at a famous micro-quasar in our own Galaxy, and regions close to its event horizon, or point of no return. This system, GRS 1915+105 (GRS 1915 for short), contains a black hole about 14 times the mass of the Sun that is feeding off material from a nearby companion star. As the material swirls toward the black hole, an accretion disk forms. This system shows remarkably unpredictable and complicated variability ranging from timescales of seconds to months, including 14 different patterns of variation. These variations are caused by a poorly understood connection between the disk and the radio jet seen in GRS 1915. Chandra, with its spectrograph, has observed GRS 1915 eleven times since its launch in 1999. These studies reveal that the jet in GRS 1915 may be periodically choked off when a hot wind, seen in X-rays, is driven off the accretion disk around the black hole. The wind is believed to shut down the jet by depriving it of matter that would have otherwise fueled it. Conversely, once the wind dies down, the jet can re-emerge. "We think the jet and wind around this black hole are in a sort of tug of war," said Joseph Neilsen, Harvard graduate student and lead author of the paper appearing in the journal Nature. "Sometimes one is winning and then, for reasons we don

Nonsingular black hole

Energy Technology Data Exchange (ETDEWEB)

Chamseddine, Ali H. [American University of Beirut, Physics Department, Beirut (Lebanon); I.H.E.S., Bures-sur-Yvette (France); Mukhanov, Viatcheslav [Niels Bohr Institute, Niels Bohr International Academy, Copenhagen (Denmark); Ludwig-Maximilians University, Theoretical Physics, Munich (Germany); MPI for Physics, Munich (Germany)

2017-03-15

We consider the Schwarzschild black hole and show how, in a theory with limiting curvature, the physical singularity ''inside it'' is removed. The resulting spacetime is geodesically complete. The internal structure of this nonsingular black hole is analogous to Russian nesting dolls. Namely, after falling into the black hole of radius r{sub g}, an observer, instead of being destroyed at the singularity, gets for a short time into the region with limiting curvature. After that he re-emerges in the near horizon region of a spacetime described by the Schwarzschild metric of a gravitational radius proportional to r{sub g}{sup 1/3}. In the next cycle, after passing the limiting curvature, the observer finds himself within a black hole of even smaller radius proportional to r{sub g}{sup 1/9}, and so on. Finally after a few cycles he will end up in the spacetime where he remains forever at limiting curvature. (orig.)

Percutaneous drainage with ultrasound guidance in the intensive care unit

International Nuclear Information System (INIS)

Kang, Doo Kyung; Won, Je Hwan; Kim, Jai Keun; Lee, Kwang Hun; Kim, Ji Hyung

2004-01-01

To determine the efficacy and safety of bedside percutaneous drainage procedures with ultrasound guidance in critically ill patients in the intensive care unit (ICU). Sixty five percutaneous drainage procedures performed at the bedside, in 39 ICU patients, were evaluated. All of the procedures were performed with ultrasound guidance alone. The procedures consisted of percutaneous drainage of abdominal (n=35) and pleural (n=27) fluids, percutaneous cholecystostomy (n=2) and percutaneous nephrostomy (n=1). The clinical responses were classified as 'complete response', 'partial response', 'failure' or 'undetermined'. The medical records were reviewed retrospectively to evaluate the clinical response. Technical success was achieved in 64 of the 65 procedures (98.5%). The complication rate was 13.8% (9 cases). There was no immediate procedure-related death or worsening of the clinical condition of the patients. The clinical responses after drainage were 'complete response' in 39 cases (60.9%). 'partial response' in 14 (21.9%), 'failure' in 3 (4.7%), and 'undetermined' in 8 (12.5%). Bedside drainage procedures with ultrasound guidance are effective and safe to perform when patients are too critically ill to be moved from the ICU to the angiography room

Ultrasound-Guided Percutaneous Drainage of Neonatal Pyometrocolpos Under Local Anesthesia

International Nuclear Information System (INIS)

Algin, Oktay; Erdogan, Cuneyt; Kilic, Nizamettin

2011-01-01

Hydrometrocolpos is an uncommon congenital disorder with cystic dilatation of the vagina and uterus that occurs as a result of accumulated secretions from the reproductive tract due to distal genital tract obstruction. Secondary infection may also occur, resulting in pyometrocolpos, a potentially lethal disease. Immediate drainage of the cystic mass in patients determined to have pyometrocolpos is required to prevent or treat uropathy and septicemia until definitive corrective surgery can be performed. We report an unusual cause of obstructive uropathy in three infants: pyometrocolpos due to lower genital tract atresia. Ultrasound-guided percutaneous drainage of the pyometrocolpos resulted in dramatically improved clinical and laboratory findings in these patients. Ultrasound-guided percutaneous drainage under local anesthesia is a simple, minimally invasive, safe, and effective procedure that facilitates later successful corrective surgery and avoids the need for more complex drainage procedures.

Development of subsurface drainage database system for use in environmental management issues

International Nuclear Information System (INIS)

Azhar, A.H.; Rafiq, M.; Alam, M.M.

2007-01-01

A simple user-friendly menue-driven system for database management pertinent to the Impact of Subsurface Drainage Systems on Land and Water Conditions (ISIAW) has been developed for use in environment-management issues of the drainage areas. This database has been developed by integrating four soft wares, viz; Microsoft Excel, MS Word Acrobat and MS Access. The information, in the form of tables and figures, with respect to various drainage projects has been presented in MS Word files. The major data-sets of various subsurface drainage projects included in the ISLaW database are: i) technical aspects, ii) groundwater and soil-salinity aspects, iii) socio-technical aspects, iv) agro-economic aspects, and v) operation and maintenance aspects. The various ISlAW file can be accessed just by clicking at the Menu buttons of the database system. This database not only gives feed back on the functioning of different subsurface drainage projects, with respect to the above-mentioned aspects, but also serves as a resource-document for these data for future studies on other drainage projects. The developed database-system is useful for planners, designers and Farmers Organisations for improved operation of existing drainage projects as well as development of future ones. (author)

CT guided transthoracic catheter drainage of intrapulmonary abscess.

Science.gov (United States)

Yunus, Mahira

2009-10-01

To determine the efficacy of CT- guided transthoracic catheter drainage of intrapulmonary abscess considering success rate versus complications. This prospective study was carried out at radiology department of Al-Noor Specialist Hospital, Makkah, Saudi Arabia, from 1.1.2003 to 31.12.2005. Nineteen patients were selected for CT guided percutaneous drainage. Under CT guidance catheter placement was carried out using Seldinger technique. Nineteen patients with lung abscess were selected for the percutaneous CT guided drainage. Eight (42.105%) patients encountered no complications and lung abscess completely resolved with no residual cavity. Five (26.31%) patients developed pneumothorax, which was the most common complication of this study. These patients were kept under observation and followed-up by chest X-rays. Three (15.78%) had mild pneumothorax, which resolved and needed no further management, while two (10.52%) patients developed moderate pneumothorax and chest tube was inserted. Two (10.52%) patients developed mild haemoptysis which resolved within two hours, hence, no further management was required. Two (10.52%) patients had residual cavity and surgery was performed. Congenital cystic adenomatoid malformation (CCAM) was found in both cases. Two patients out of nineteen patients (10.52%) developed bronchopleural fistula and were operated. No mortality occurred during or after the procedure. CT allows optimal placement of catheter and hence enables safe and effective percutaneous evacuation of lung abscess. The morbidity and mortality of patients with percutaneous catheter drainage is lower than with surgical resection. Hence, CT guided drainage should be considered the first therapeutic choice in most patients of lung abscess who do not respond to medical therapy.

Evolution of Godoy & Godoy manual lymph drainage. Technique with linear movements

Directory of Open Access Journals (Sweden)

José Maria Pereira de Godoy

2017-10-01

Full Text Available Manual lymph drainage has become the mainstay in the treatment of lymphedema for decades now. Five evolving variants have been described by Godoy & Godoy over the years: i manual lymph drainage using rollers; ii self-applied manual lymph drainage using rollers; iii manual lymph drainage using the hands (manual lymphatic therapy; iv mechanical lymphatic therapy using the RAGodoy® device; and v lymphatic therapy using cervical stimulation in general lymphatic treatment. After breast cancer treatment using adapted technique with intermittent compression therapy. Lymphoscintigraphy, volumetry and bioimpedance were employed to analyze such treatment techniques applied to the upper and lower extremities. These treatment and evaluation topics are described in this brief report.

Implementation of a drainage information, analysis and management system

Directory of Open Access Journals (Sweden)

J.N. Meegoda

2017-04-01

Full Text Available An integrated drainage information, analysis and management system (DIAMS was developed and implemented for the New Jersey Department of Transportation (NJDOT. The purpose of the DIAMS is to provide a useful tool for managers to evaluate drainage infrastructure, to facilitate the determination of the present costs of preserving those infrastructures, and to make decisions regarding the optimal use of their infrastructure budgets. The impetus for DIAMS is the culvert information management system (CIMS, which is developed to manage the data for culvert pipes. DIAMS maintains and summarizes accumulated inspection data for all types of drainage infrastructure assets, including pipes, inlet/outlet structures, outfalls and manufactured treatment devices. DIAMS capabilities include identifying drainage infrastructure, maintaining inspection history, mapping locations, predicting service life based on the current condition states, and assessing present asset value. It also includes unit cost values of 72 standard items to estimate the current cost for new assets with the ability to adjust for future inflation. In addition, DIAMS contains several different repair, rehabilitation and replacement options to remedy the drainage infrastructure. DIAMS can analyze asset information and determine decisions to inspect, rehabilitate, replace or do nothing at the project and network levels by comparing costs with risks and failures. Costs may be optimized to meet annual maintenance budget allocations by prioritizing drainage infrastructure needing inspection, cleaning and repair. DIAMS functional modules include vendor data uploading, asset identification, system administration and financial analysis. Among the significant performance feature of DIAMS is its proactive nature, which affords decision makers the means of conducting a comprehensive financial analysis to determine the optimal proactive schedule for the proper maintenance actions and to prioritize them

Effects of peatland drainage management on peak flows

Directory of Open Access Journals (Sweden)

C. E. Ballard

2012-07-01

Full Text Available Open ditch drainage has historically been a common land management practice in upland blanket peats, particularly in the UK. However, peatland drainage is now generally considered to have adverse effects on the upland environment, including increased peak flows. As a result, drain blocking has become a common management strategy in the UK over recent years, although there is only anecdotal evidence to suggest that this might decrease peak flows. The change in the hydrological regime associated with the drainage of blanket peat and the subsequent blocking of drains is poorly understood, therefore a new physics-based model has been developed that allows the exploration of the associated hydrological processes. A series of simulations is used to explore the response of intact, drained and blocked drain sites at field scales. While drainage is generally found to increase peak flows, the effect of drain blocking appears to be dependent on local conditions, sometimes decreasing and sometimes increasing peak flows. Based on insights from these simulations we identify steep smooth drains as those that would experience the greatest reduction in field-scale peak flows if blocked and recommend that future targeted field studies should be focused on examining surface runoff characteristics.

[Should surgeons keep performing drainage after breast reduction?

Science.gov (United States)

Vidali, N; Chevet-Noel, A; Ringenbach, P; Andreoletti, J B

2018-04-09

Despite the absence of "evidence-based medicine", the use of closed suction drainage in breast surgery is currently the standard practice. Its goal is to minimize the amount of fluid at the operation site, the dead space that can involve postoperative complications. The purpose of this study is to demonstrate that with or without drainage the complication rate is unchanged. We conducted a retrospective and comparative study of two groups of breast reduction with and without drainage. Every complication has been recorded and statistically analyzed: seroma and hematoma, infections, wound breakdown, skin flap or nipple-areola complex necrosis, fat necrosis and reoperation. A total of 138 breast reductions were performed (37 drained patients and 32 non-drained). Data collection of complications was done on average 10months after the operation (1-15). There was no statistical difference between the two groups regarding the complication rate. Our results confirm the ones found in the literature. Except for specific cases (e.g. gigantomasty), this study demonstrates that after breast reduction, drainage is not appropriate. Drains do not reduce postoperative complications and can increase hospitalization length of stay (inducing higher costs). Furthermore, it is often source of pain, anxiety and discomfort for patients. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Axion-dilation black holes

International Nuclear Information System (INIS)

Kallosh, R.

1993-01-01

In this talk some essential features of stringy black holes are described. The author considers charged U(1) and U(1) x U(1) four-dimensional axion-dilaton black holes. The Hawking temperature and the entropy of all solutions are shown to be simple functions of the squares of supercharges, defining the positivity bounds. Spherically symmetric and multi black hole solutions are presented. The extreme solutions with zero entropy (holons) represent a ground state of the theory and are characterized by elementary dilaton, axion, electric, and magnetic charges. The attractive gravitational and axion-dilaton force is balanced by the repulsive electromagnetic force. The author discusses the possibility of splitting of nearly extreme black holes. 11 refs

Percutaneous catheter drainage of empyema and loculated pleural effusion

Energy Technology Data Exchange (ETDEWEB)

Im, Jung Gi; Park, Kyung Joo; Park, Jae Hyung [Seoul National University College of Medicine, Seoul (Korea, Republic of)

1988-08-15

Closed thoracotomy by using a chest tube in cases of thoracic empyema is known to be an effective and popular way of treatment. However, it happens commonly that chest tube drainage is not appropriate because of either malpositioning of the tube or undesirable patient's general condition such as bleeding tendency or debilitation. We performed fluoroscopy-guided percutaneous catheter drainage (PCD) in 14 cases of empyema and loculated pleural effusion and in 2 cases of lung abscess. In most of the patients, PCDs were performed because chest tube drainage was considered to be inappropriate or after failed chest tube drainage. In all patients, catheters were successfully placed into the fluid collections, which were drained effectively. Ten of the 11 febrile patient showed improvement of feverishness within 24 hours after PCD. 10 patients were cured without further treatment. Complications were few and minimal. We believe that the safety, effectiveness and good patients tolerance of PCD makes it an excellent alternative method of treatment in cases of empyema and loculated pleural effusion.

Groundwater pollution by nitrates in irrigated areas with drainage

International Nuclear Information System (INIS)

Chandio, B.M.; Azam, M.; Abdullah, M.

2001-01-01

Field studies were conducted at three selected sites in irrigated areas of Pakistan to assess magnitude and severity of groundwater pollution by nitrates. The results of these studies indicate that concentration of nitrates in most of the samples collected from irrigated areas having drainage facility is much lower than threshold limit. The nitrate-nitrogen level within drainage projects ranges from 0.01-9.00 mg/l and in the area without drainage system ranges from 10.1-12.5 mg/l. The mineral fertilizers though are making contribution of NO3-N to the groundwater sources but that is much lower than threshold limits. The presence of septic tanks or farmyard manure dumps is also significant contributors of NO3-N to the groundwater. Thus drinking water sources near these polluting points are probable danger to human health. It is, therefore, concluded that still there is a lot of potential for fertilizer use in the agriculture but proper drainage facilities should be provided to minimize the potential threat of NO/sub 3/ pollution. (author)

Gravity Drainage of Activated Sludge on Reed Beds

DEFF Research Database (Denmark)

Christensen, Morten Lykkegaard; Dominiak, Dominik Marek; Keiding, Kristian

and operation of reed beds and the efficiencies are often lower than predicted. One reason is that the sludge quality varies from plant to plant and even within plants from time to time. No good method exists for measuring the sludge quality with respect to drainage characteristics. A new experimental method...... has therefore been developed to measure relevant quality parameters: specific cake resistance, settling velocity and cake compressibility. It has been found that activated sludge form highly compressible cake even at the low compressive pressures obtained during drainage. Numerical simulation shows......Activated sludge is a by-product from waste water treatment plants, and the water content in the sludge is high (> 90%). Among several methods to remove the water, sludge drying reed beds are often used to dewater the sludge by drainage. There is, however, no well-defined criterion for design...

Assessment of drainage techniques for evacuation of chronic subdural hematoma

DEFF Research Database (Denmark)

Sjåvik, Kristin; Bartek, Jiri; Sagberg, Lisa Millgård

2018-01-01

OBJECTIVE Surgery for chronic subdural hematoma (CSDH) is one of the most common neurosurgical procedures. The benefit of postoperative passive subdural drainage compared with no drains has been established, but other drainage techniques are common, and their effectiveness compared with passive...

What Can We Learn About Black-Hole Formation from Black-Hole X-ray Binaries?

NARCIS (Netherlands)

Nelemans, G.A.

2007-01-01

I discuss the effect of the formation of a black hole on a (close) binary and show some of the current constraints that the observed properties of black hole X-ray binaries put on the formation of black holes. In particular, I discuss the evidence for and against asymmetric kicks imparted on the

Transanal Drainage of Coloanal Anastomotic Leaks

Directory of Open Access Journals (Sweden)

Bradley Sherman

2018-01-01

Full Text Available The conventional operative intervention for leaks following coloanal anastomoses has been proximal fecal diversion with or without take-down of anastomosis. A few of these cases are also amenable to percutaneous drainage. Ostomies created in this situation are often permanent, specifically in cases where coloanal anastomoses are taken down at the time of reoperation. We present two patients who developed perianastomotic pelvic abscesses that were treated with transanal large bore catheter drainage resulting in successful salvage of coloanal anastomoses without the need for a laparotomy or ostomy creation. We propose this to be an effective therapeutic approach to leaks involving low coloanal anastomoses in the absence of generalized peritonitis.

Percutaneous drainage of 100 subphrenic abscesses

International Nuclear Information System (INIS)

Casola, G.; Sonnenberg, E. van; D'Agostino, H.; Kothari, R.; May, S.; Taggart, S.

1990-01-01

PURPOSE: Percutaneous drainage of subphrenic abscesses is technically more difficult because lung and pleura may be transgressed during catheter insertion. The purpose of this paper is to determine the incidence of thoracic complications secondary to subphrenic abscess drainage and to determine factors that may alter this. The authors' series consists of 100 subphrenic abscesses that were drained percutaneously. Patients range in age from 14 to 75 years. Abscesses were secondary to surgery (splenectomy, pancreatectomy, partial hepatectomy, gastrectomy), pancreatitis, and trauma. Catheters ranged in size from 8 to 14 F and were inserted via trocar or Seldinger technique. Thoracic complications of pneumothorax or empyema were determined from follow-up chest radiographs or CT scans

Quantum capacity of quantum black holes

Science.gov (United States)

Adami, Chris; Bradler, Kamil

2014-03-01

The fate of quantum entanglement interacting with a black hole has been an enduring mystery, not the least because standard curved space field theory does not address the interaction of black holes with matter. We discuss an effective Hamiltonian of matter interacting with a black hole that has a precise analogue in quantum optics and correctly reproduces both spontaneous and stimulated Hawking radiation with grey-body factors. We calculate the quantum capacity of this channel in the limit of perfect absorption, as well as in the limit of a perfectly reflecting black hole (a white hole). We find that the white hole is an optimal quantum cloner, and is isomorphic to the Unruh channel with positive quantum capacity. The complementary channel (across the horizon) is entanglement-breaking with zero capacity, avoiding a violation of the quantum no-cloning theorem. The black hole channel on the contrary has vanishing capacity, while its complement has positive capacity instead. Thus, quantum states can be reconstructed faithfully behind the black hole horizon, but not outside. This work sheds new light on black hole complementarity because it shows that black holes can both reflect and absorb quantum states without violating the no-cloning theorem, and makes quantum firewalls obsolete.

CT Fluoroscopy-Guided Transsacral Intervertebral Drainage for Pyogenic Spondylodiscitis at the Lumbosacral Junction

Energy Technology Data Exchange (ETDEWEB)

Matsumoto, Tomohiro, E-mail: t-matsu@tokai-u.jp; Mine, Takahiko, E-mail: mine@tsc.u-tokai.ac.jp; Hayashi, Toshihiko, E-mail: t.hayashi@tokai.ac.jp [Tokai University School of Medicine, Department of Radiology, Tokai University Hachioji Hospital (Japan); Kamono, Masahiro, E-mail: kamono@tsc.u-tokai.ac.jp; Taoda, Akiko, E-mail: acco@is.icc.u-tokai.ac.jp; Higaki, Megumu, E-mail: higaki@hachioji-hosp.tokai.ac.jp [Tokai University School of Medicine, Department of General Internal Medicine, Tokai University Hachioji Hospital (Japan); Hasebe, Terumitsu, E-mail: hasebe@tokai-u.jp [Tokai University School of Medicine, Department of Radiology, Tokai University Hachioji Hospital (Japan)

2017-01-15

PurposeTo retrospectively describe the feasibility and efficacy of CT fluoroscopy-guided transsacral intervertebral drainage for pyogenic spondylodiscitis at the lumbosacral junction with a combination of two interventional radiological techniques—CT-guided bone biopsy and abscess drainage.Materials and methodsThree patients with pyogenic spondylodiscitis at the lumbosacral junction were enrolled in this study between July 2013 and December 2015. The procedure of CT fluoroscopy-guided transsacral intervertebral drainage for pyogenic spondylodiscitis at the lumbosacral junction was as follows: the sacrum at S1 pedicle was penetrated with an 11-gauge (G) bone biopsy needle to create a path for an 8-French (F) pigtail drainage catheter. The bone biopsy needle was withdrawn, and an 18-G needle was inserted into the intervertebral space of the lumbosacral junction. Then, a 0.038-inch guidewire was inserted into the intervertebral space. Finally, the 8-F pigtail drainage catheter was inserted over the guidewire until its tip reached the intervertebral space. All patients received six-week antibiotics treatment.ResultsSuccessful placement of the drainage catheter was achieved for each patient without procedural complications. The duration of drainage was 17–33 days. For two patients, specific organisms were isolated; thus, definitive medical therapy was possible. All patients responded well to the treatment.ConclusionsCT fluoroscopy-guided transsacral intervertebral drainage for pyogenic spondylodiscitis at the lumbosacral junction is feasible and can be effective with a combination of two interventional techniques—CT fluoroscopy-guided bone biopsy and abscess drainage.

Socially optimal drainage system and agricultural biodiversity: a case study for Finnish landscape.

Science.gov (United States)

Saikkonen, Liisa; Herzon, Irina; Ollikainen, Markku; Lankoski, Jussi

2014-12-15

This paper examines the socially optimal drainage choice (surface/subsurface) for agricultural crop cultivation in a landscape with different land qualities (fertilities) when private profits and nutrient runoff damages are taken into account. We also study the measurable social costs to increase biodiversity by surface drainage when the locations of the surface-drained areas in a landscape affect the provided biodiversity. We develop a general theoretical model and apply it to empirical data from Finnish agriculture. We find that for low land qualities the measurable social returns are higher to surface drainage than to subsurface drainage, and that the profitability of subsurface drainage increases along with land quality. The measurable social costs to increase biodiversity by surface drainage under low land qualities are negative. For higher land qualities, these costs depend on the land quality and on the biodiversity impacts. Biodiversity conservation plans for agricultural landscapes should focus on supporting surface drainage systems in areas where the measurable social costs to increase biodiversity are negative or lowest. Copyright © 2014 Elsevier Ltd. All rights reserved.

Early Removal of Drainage Tube after Fast-Track Primary Total Knee Arthroplasty.

Science.gov (United States)

Zhang, Shaoyun; Xu, Bin; Huang, Qiang; Yao, Huan; Xie, Jinwei; Pei, Fuxing

2017-07-01

There is no consensus as to whether drainage tube should be used and how long it should remain in use after primary total knee arthroplasty (TKA). As fast-track (FT) program has been implemented in TKA, whether drainage tube could be removed early, and the ideal timing for removal after FT primary TKA has been a new topic. The purpose of this prospective cohort study was to evaluate the safety and feasibility of early removal of drainage tube when FT program was implemented in primary TKA. A total of 101 patients undergoing FT primary TKA were prospectively allocated into three groups. Patients in group A (31 patients) indwelled wound drainage tube for 6 hours after surgery while group B (34 patients) for 12 hours and group C (36 patients) for 18 hours. The knee circumference, resting and moving visual analogue score (VAS), hemoglobin (Hb), hematocrit, white blood count (WBC), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), interleukin-6 (IL-6), the volume of blood loss and drainage, and postoperative length of stay (LOS) among three groups were recorded and compared. There was no statistically significant difference in the volume of total and hidden blood loss among three groups ( p  > 0.05), but as the time of drainage prolonged, total volume of drainage and dominant blood loss increased gradually ( p   0.05), the decrease of Hb in the perioperative period and postoperative LOS as well. Early removal of wound drainage tube could drain the hematocele and reduce the risk of infection, and it doesn't increase the sense of pain, inflammatory reaction, limb swelling, and total blood loss. It's safe and feasible to remove the drainage tube within 6 to 12 hours after FT primary TKA. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Black holes and the multiverse

International Nuclear Information System (INIS)

Garriga, Jaume; Vilenkin, Alexander; Zhang, Jun

2016-01-01

Vacuum bubbles may nucleate and expand during the inflationary epoch in the early universe. After inflation ends, the bubbles quickly dissipate their kinetic energy; they come to rest with respect to the Hubble flow and eventually form black holes. The fate of the bubble itself depends on the resulting black hole mass. If the mass is smaller than a certain critical value, the bubble collapses to a singularity. Otherwise, the bubble interior inflates, forming a baby universe, which is connected to the exterior FRW region by a wormhole. A similar black hole formation mechanism operates for spherical domain walls nucleating during inflation. As an illustrative example, we studied the black hole mass spectrum in the domain wall scenario, assuming that domain walls interact with matter only gravitationally. Our results indicate that, depending on the model parameters, black holes produced in this scenario can have significant astrophysical effects and can even serve as dark matter or as seeds for supermassive black holes. The mechanism of black hole formation described in this paper is very generic and has important implications for the global structure of the universe. Baby universes inside super-critical black holes inflate eternally and nucleate bubbles of all vacua allowed by the underlying particle physics. The resulting multiverse has a very non-trivial spacetime structure, with a multitude of eternally inflating regions connected by wormholes. If a black hole population with the predicted mass spectrum is discovered, it could be regarded as evidence for inflation and for the existence of a multiverse

Black holes and the multiverse

Energy Technology Data Exchange (ETDEWEB)

Garriga, Jaume [Departament de Fisica Fonamental i Institut de Ciencies del Cosmos, Universitat de Barcelona, Marti i Franques, 1, Barcelona, 08028 Spain (Spain); Vilenkin, Alexander; Zhang, Jun, E-mail: jaume.garriga@ub.edu, E-mail: vilenkin@cosmos.phy.tufts.edu, E-mail: jun.zhang@tufts.edu [Institute of Cosmology, Tufts University, 574 Boston Ave, Medford, MA, 02155 (United States)

2016-02-01

Vacuum bubbles may nucleate and expand during the inflationary epoch in the early universe. After inflation ends, the bubbles quickly dissipate their kinetic energy; they come to rest with respect to the Hubble flow and eventually form black holes. The fate of the bubble itself depends on the resulting black hole mass. If the mass is smaller than a certain critical value, the bubble collapses to a singularity. Otherwise, the bubble interior inflates, forming a baby universe, which is connected to the exterior FRW region by a wormhole. A similar black hole formation mechanism operates for spherical domain walls nucleating during inflation. As an illustrative example, we studied the black hole mass spectrum in the domain wall scenario, assuming that domain walls interact with matter only gravitationally. Our results indicate that, depending on the model parameters, black holes produced in this scenario can have significant astrophysical effects and can even serve as dark matter or as seeds for supermassive black holes. The mechanism of black hole formation described in this paper is very generic and has important implications for the global structure of the universe. Baby universes inside super-critical black holes inflate eternally and nucleate bubbles of all vacua allowed by the underlying particle physics. The resulting multiverse has a very non-trivial spacetime structure, with a multitude of eternally inflating regions connected by wormholes. If a black hole population with the predicted mass spectrum is discovered, it could be regarded as evidence for inflation and for the existence of a multiverse.

Anyon black holes

Science.gov (United States)

Aghaei Abchouyeh, Maryam; Mirza, Behrouz; Karimi Takrami, Moein; Younesizadeh, Younes

2018-05-01

We propose a correspondence between an Anyon Van der Waals fluid and a (2 + 1) dimensional AdS black hole. Anyons are particles with intermediate statistics that interpolates between a Fermi-Dirac statistics and a Bose-Einstein one. A parameter α (0 quasi Fermi-Dirac statistics for α >αc, but a quasi Bose-Einstein statistics for α quasi Bose-Einstein statistics. For α >αc and a range of values of the cosmological constant, there is, however, no event horizon so there is no black hole solution. Thus, for these values of cosmological constants, the AdS Anyon Van der Waals black holes have only quasi Bose-Einstein statistics.

Effects of peatland drainage management on peak flows

OpenAIRE

C. E. Ballard; N. McIntyre; H. S. Wheater

2011-01-01

Open ditch drainage has historically been a common land management practice in upland blanket peats, particularly in the UK. However, peatland drainage is now generally considered to have adverse effects on the upland environment, including increased peak flows. As a result, drain blocking has become a common management strategy in the UK over recent years, although there is only anecdotal evidence to suggest that this might decrease peak flows. The change in the hydrologica...

Treatment of lung abscess: effectiveness of percutaneous catheter drainage in 14 patients

Energy Technology Data Exchange (ETDEWEB)

Jeong, Su Hyun; Han, Young Min; Kim, Chong Soo; Chung, Gyung Ho; Ryu, Chun Su; Sohn, Myung Hee; Choi, Ki Chul [Chonbuk National University Medical School, Cheonju (Korea, Republic of)

1995-01-15

To evaluate the effectiveness of percutaneous catheter drainage in treatment of the lung abscess. We treated the lung abscesses in 14 patients (12 mean, 2 women), who did not respond to medical therapy, by percutaneous catheter drainage under fluoroscopic or ultrasound guidance. One abscess due to infacted bulla was managed by combination treatment with alcohol sclerosing therapy. Patients were followed by serial chest radiographs every three days and the amount of drained or aspirated pus evaluated. The treatment effect and recurrence were followed by chest PA and lateral chest at one week after removal of drainage catheter. Thirteen patients (93%) recovered clinically and radiologically within 3 days. In 10 patients, drainage catheter could be removed within 2 weeks, and three patients, the catheter was kept longer. Most complications were mild; vague to moderate chest pain (n = 14), mild hemoptysis (n = 2), and pneumothorax (n = 1). One man who suffered from far advanced pulmonary tuberculosis died of asphyxia caused by massive hemoptysis 16 days after percutaneous drainage. Percutaneous catheter drainage is a safe and effective method for treating lung abscess.

Mortality Following Catheter Drainage Versus Thoracentesis in Cirrhotic Patients with Pleural Effusion.

Science.gov (United States)

Hung, Tsung-Hsing; Tseng, Chih-Wei; Tsai, Chen-Chi; Hsieh, Yu-Hsi; Tseng, Kuo-Chih; Tsai, Chih-Chun

2017-04-01

Pleural effusion is an abnormal collection of body fluids that may cause related morbidity or mortality in cirrhotic patients. There are insufficient data to determine the optimal method of drainage, for symptomatic relief in cirrhotic patients with pleural effusion. In this study, we compare the mortality outcomes of catheter drainage versus thoracentesis in cirrhotic patients. The National Health Insurance Database, derived from the Taiwan National Health Insurance Program, was used to identify cirrhotic patients with pleural effusion requiring drainage between January 1, 2007, and December 31, 2010. In all, 2556 cirrhotic patients with pleural effusion were selected for the study and divided into the two groups (n = 1278/group) after propensity score matching. The mean age was 61.0 ± 14.3 years, and 68.9% (1761/2556) were men. The overall 30-day mortality was 21.0% (538/2556) and was higher in patients treated with catheter drainage than those treated with thoracentesis (23.5 vs. 18.6%, respectively, P pleural effusion requiring drainage, catheter drainage is associated with higher mortality compared to thoracentesis.

Treatment Experience of Continuous Negative Pressure Drainage in the Acute Anterior Mediastinal Infection of Oropharyngeal Origined

Directory of Open Access Journals (Sweden)

Anping CHEN

2018-04-01

Full Text Available Background and objective Mediastinal infection is a serious infection of mediastinal connective tissue, with more complications and higher mortality. Application of broad-spectrum antibiotics and nutritional support, early sufficient drainage is the key to successful treatment. In the mode of drainage, this paper discusses the application of continuous negative pressure drainage technique to treat acute anterior mediastinal infection of severe mouth pharynx source, and the good results are summarized and shared. Methods In January to December in 2017, a total of 17 cases treated acute mediastinal infection is derived from the throat, has formed a mediastinal abscess, surgery adopts retrosternal counterpart negative pressure drainage way, namely the sternum nest and free sternum xiphoid process under the incision on the first mediastinal clearance, make breakthrough and placed drainage device, suture closed wound, continuous negative pressure drainage, negative pressure using 3 cm-5 cm water column. Results Among the 17 patients, 14 patients were relieved by continuous negative pressure drainage, and then the drainage tube was removed. In 2 cases, the infection broke into the right thoracic cavity, and the closed drainage caused the negative pressure to disappear, and the negative pressure drainage was replaced by the conventional drainage, and the drainage tube was removed after the drainage tube was clear. One patient had formed a mediastinal abscess incision drainage time later, complicated with septic shock and sepsis, resulting in the death of multiple organ failure. Conclusion The traditional treatment of severe acute mediastinal infection is sternal incision and drainage. Continuous negative pressure drainage adequate drainage of mediastinal can relieve patients' pain, effusion, and avoid the dressing out repeatedly. It is an effective method. However, there are limitations in this method, which need to be further optimized.

Open Drainage and Detention Basin Combined System Optimization

Directory of Open Access Journals (Sweden)

M. E. Banihabib

2017-01-01

Full Text Available Introduction: Since flooding causes death and economic damages, then it is important and is one of the most complex and destructive natural disaster that endangers human lives and properties compared to any other natural disasters. This natural disaster almost hit most of countries and each country depending on its policy deals with it differently. Uneven intensity and temporal distribution of rainfall in various parts of Iran (which has arid and semiarid climate causes flash floods and leads to too much economic damages. Detention basins can be used as one of the measures of flood control and it detains, delays and postpones the flood flow. It controls floods and affects the flood directly and rapidly by temporarily storing of water. If the land topography allows the possibility of making detention basin with an appropriate volume and quarries are near to the projects for construction of detention dam, it can be used, because of its faster effect comparing to the other watershed management measures. The open drains can be used alone or in combination with detention basin instead of detention basin solitarily. Since in the combined system of open and detention basin the dam height is increasing in contrast with increasing the open drainage capacity, optimization of the system is essential. Hence, the investigation of the sensitivity of optimized combined system (open drainage and detention basin to the effective factors is also useful in appropriately design of the combined system. Materials and Methods: This research aims to develop optimization model for a combined system of open drainage and detention basins in a mountainous area and analyze the sensitivity of optimized dimensions to the hydrological factors. To select the dam sites for detention basins, watershed map with scale of 1: 25000 is used. In AutoCAD environment, the location of the dam sites are assessed to find the proper site which contains enough storage volume of the detention

Drainage filters and constructed wetlands to mitigate site-specific nutrient losses

DEFF Research Database (Denmark)

Kjærgaard, Charlotte; Hoffmann, Carl Christian; Iversen, Bo Vangsø

Despite substantial efforts, the leaching of nutrients from agricultural land is still a serious and costly environmental problem in Denmark and elsewhere. The quality goals of the European Water Framework Directive (WFD) for the aquatic environment require a substantial reduction of diffuse nutr...... drainage. The project studies different approaches of implementing the filter technologies including drainage well or drainage pipe filters as well as surface-flow and sub-surface flow constructed wetlands....

Prevalence of dependent loops in urinary drainage systems in hospitalized patients.

Science.gov (United States)

Danek, Gale; Gravenstein, Nikolaus; Lizdas, David E; Lampotang, Samsun

2015-01-01

The purpose of this study was to measure the prevalence and configuration of dependent loops in urinary drainage systems in hospitalized, catheterized adults. The study sample comprised 141 patients with indwelling urinary catheters; subjects were hospitalized at an academic health center in northern Florida. We measured the prevalence of dependent loops in urine drainage systems and the incidence of urine-filled dependent loops over a 3-week period. We measured the heights of the crest (H(c)), trough (H(t)), and, when urine-filled dependent loops were present, the patient-side (H(p)) and bag-side (H(b)) menisci with a laser measurement system. All variables were measured in centimeters. The majority of observed urine drainage systems (85%) contained dependent loops in the drainage tubing and 93.8% of the dependent loops contained urine. H(c) and H(t) averaged 45.1 ± 11.1 and 27 ± 16.7 cm, respectively. Meniscus height difference (H(b) - H(p)) averaged 8.2 ± 5.8 and -12.2 ± 9.9 cm when H(p) H(b) (32.7%), respectively. We found that dependent loops are extremely common in urinary drainage systems among hospitalized patients despite the manufacturer recommendations and nursing and hospital policies. Maintaining the urine drainage tubing free of dependent loops would require incorporation into nursing care priorities and workflow as inadvertent force on the tubing, for example, patient movement or nurse contact can change tubing configuration and allow excess drainage tubing to re-form a dependent loop.

ULTRAMASSIVE BLACK HOLE COALESCENCE

International Nuclear Information System (INIS)

Khan, Fazeel Mahmood; Holley-Bockelmann, Kelly; Berczik, Peter

2015-01-01

Although supermassive black holes (SMBHs) correlate well with their host galaxies, there is an emerging view that outliers exist. Henize 2-10, NGC 4889, and NGC 1277 are examples of SMBHs at least an order of magnitude more massive than their host galaxy suggests. The dynamical effects of such ultramassive central black holes is unclear. Here, we perform direct N-body simulations of mergers of galactic nuclei where one black hole is ultramassive to study the evolution of the remnant and the black hole dynamics in this extreme regime. We find that the merger remnant is axisymmetric near the center, while near the large SMBH influence radius, the galaxy is triaxial. The SMBH separation shrinks rapidly due to dynamical friction, and quickly forms a binary black hole; if we scale our model to the most massive estimate for the NGC 1277 black hole, for example, the timescale for the SMBH separation to shrink from nearly a kiloparsec to less than a parsec is roughly 10 Myr. By the time the SMBHs form a hard binary, gravitational wave emission dominates, and the black holes coalesce in a mere few Myr. Curiously, these extremely massive binaries appear to nearly bypass the three-body scattering evolutionary phase. Our study suggests that in this extreme case, SMBH coalescence is governed by dynamical friction followed nearly directly by gravitational wave emission, resulting in a rapid and efficient SMBH coalescence timescale. We discuss the implications for gravitational wave event rates and hypervelocity star production

When Supermassive Black Holes Wander

Science.gov (United States)

Kohler, Susanna

2018-05-01

Are supermassive black holes found only at the centers of galaxies? Definitely not, according to a new study in fact, galaxies like the Milky Way may harbor several such monsters wandering through their midst.Collecting Black Holes Through MergersIts generally believed that galaxies are built up hierarchically, growing in size through repeated mergers over time. Each galaxy in a major merger likely hosts a supermassive black hole a black hole of millions to billions of times the mass of the Sun at its center. When a pair of galaxies merges, their supermassive black holes will often sink to the center of the merger via a process known as dynamical friction. There the supermassive black holes themselves will eventually merge in a burst of gravitational waves.Spatial distribution and velocities of wandering supermassive black holes in three of the authors simulated galaxies, shown in edge-on (left) and face-on (right) views of the galaxy disks. Click for a closer look. [Tremmel et al. 2018]But if a galaxy the size of the Milky Way was built through a history of many major galactic mergers, are we sure that all its accumulated supermassive black holes eventually merged at the galactic center? A new study suggests that some of these giants might have escaped such a fate and they now wander unseen on wide orbits through their galaxies.Black Holes in an Evolving UniverseLed by Michael Tremmel (Yale Center for Astronomy Astrophysics), a team of scientists has used data from a large-scale cosmological simulation, Romulus25, to explore the possibility of wandering supermassive black holes. The Romulus simulations are uniquely suited to track the formation and subsequent orbital motion of supermassive black holes as galactic halos are built up through mergers over the history of the universe.From these simulations, Tremmel and collaborators find an end total of 316 supermassive black holes residing within the bounds of 26 Milky-Way-mass halos. Of these, roughly a third are

Black holes: the membrane paradigm

International Nuclear Information System (INIS)

Thorne, K.S.; Price, R.H.; Macdonald, D.A.

1986-01-01

The physics of black holes is explored in terms of a membrane paradigm which treats the event horizon as a two-dimensional membrane embedded in three-dimensional space. A 3+1 formalism is used to split Schwarzschild space-time and the laws of physics outside a nonrotating hole, which permits treatment of the atmosphere in terms of the physical properties of thin slices. The model is applied to perturbed slowly or rapidly rotating and nonrotating holes, and to quantify the electric and magnetic fields and eddy currents passing through a membrane surface which represents a stretched horizon. Features of tidal gravitational fields in the vicinity of the horizon, quasars and active galalctic nuclei, the alignment of jets perpendicular to accretion disks, and the effects of black holes at the center of ellipsoidal star clusters are investigated. Attention is also given to a black hole in a binary system and the interactions of black holes with matter that is either near or very far from the event horizon. Finally, a statistical mechanics treatment is used to derive a second law of thermodynamics for a perfectly thermal atmosphere of a black hole

Drainage and Stratification Kinetics of Foam Films

Science.gov (United States)

Zhang, Yiran; Sharma, Vivek

2014-03-01

Baking bread, brewing cappuccino, pouring beer, washing dishes, shaving, shampooing, whipping eggs and blowing bubbles all involve creation of aqueous foam films. Foam lifetime, drainage kinetics and stability are strongly influenced by surfactant type (ionic vs non-ionic), and added proteins, particles or polymers modify typical responses. The rate at which fluid drains out from a foam film, i.e. drainage kinetics, is determined in the last stages primarily by molecular interactions and capillarity. Interestingly, for certain low molecular weight surfactants, colloids and polyelectrolyte-surfactant mixtures, a layered ordering of molecules, micelles or particles inside the foam films leads to a stepwise thinning phenomena called stratification. Though stratification is observed in many confined systems including foam films containing particles or polyelectrolytes, films containing globular proteins seem not to show this behavior. Using a Scheludko-type cell, we experimentally study the drainage and stratification kinetics of horizontal foam films formed by protein-surfactant mixtures, and carefully determine how the presence of proteins influences the hydrodynamics and thermodynamics of foam films.

Transhiatal Chest Drainage After Hybrid Ivor Lewis Esophagectomy: Proof of Concept Study.

Science.gov (United States)

Asti, Emanuele; Sironi, Andrea; Bonitta, Gianluca; Bernardi, Daniele; Bonavina, Luigi

2018-04-01

Intercostal pleural drainage is standard practice after transthoracic esophagectomy but has some drawbacks. We hypothesized that a transhiatal pleural drain introduced through the subxyphoid port site incision at laparoscopy can be as effective as the intercostal drainage and may enhance patient recovery. A proof of concept study was designed to assess a new method of pleural drainage in patients undergoing hybrid Ivor Lewis esophagectomy (laparoscopy and right thoracotomy). The main study aims were safety and efficacy of transhiatal pleural drainage with a 15 Fr Blake tube connected to a portable vacuum system. Pre- and postoperative data, mean duration, and total and daily output of drainage were recorded in an electronic database. Postoperative complications were scored according to the Dindo-Clavien classification. Between June 2015 and December 2016, 50 of 63 consecutive patients met the criteria for inclusion in the study. No conversions from the portable vacuum system to underwater seal and suction occurred. There was no mortality. The overall morbidity rate was 40%. Two patients (4%) required reoperation for hemothorax and chylothorax, respectively. Percutaneous catheter drainage for residual pneumothorax was necessary in 2 patients (4%) on postoperative day 2. The mean duration of drainage was 7 days (interquartile range [IQR] = 2), and the total volume of drain output was 1580 mL (IQR = 880). No pleural effusion on chest X-ray was detected at the 3-month follow-up visit. Transhiatal pleural drainage is safe and effective after hybrid Ivor Lewis esophagectomy and could replace the intercostal drain in selected patients.

A skin abscess model for teaching incision and drainage procedures.

Science.gov (United States)

Fitch, Michael T; Manthey, David E; McGinnis, Henderson D; Nicks, Bret A; Pariyadath, Manoj

2008-07-03

Skin and soft tissue infections are increasingly prevalent clinical problems, and it is important for health care practitioners to be well trained in how to treat skin abscesses. A realistic model of abscess incision and drainage will allow trainees to learn and practice this basic physician procedure. We developed a realistic model of skin abscess formation to demonstrate the technique of incision and drainage for educational purposes. The creation of this model is described in detail in this report. This model has been successfully used to develop and disseminate a multimedia video production for teaching this medical procedure. Clinical faculty and resident physicians find this model to be a realistic method for demonstrating abscess incision and drainage. This manuscript provides a detailed description of our model of abscess incision and drainage for medical education. Clinical educators can incorporate this model into skills labs or demonstrations for teaching this basic procedure.

Clinical importance of the middle meningeal artery: A review of the literature.

Science.gov (United States)

Yu, Jinlu; Guo, Yunbao; Xu, Baofeng; Xu, Kan

2016-01-01

The middle meningeal artery (MMA) is a very important artery in neurosurgery. Many diseases, including dural arteriovenous fistula (DAVF), pseudoaneurysm, true aneurysm, traumatic arteriovenous fistula (AVF), moyamoya disease (MMD), recurrent chronic subdural hematoma (CSDH), migraine and meningioma, can involve the MMA. In these diseases, the lesions occur in either the MMA itself and treatment is necessary, or the MMA is used as the pathway to treat the lesions; therefore, the MMA is very important to the development and treatment of a variety of neurosurgical diseases. However, no systematic review describing the importance of MMA has been published. In this study, we used the PUBMED database to perform a review of the literature on the MMA to increase our understanding of its role in neurosurgery. After performing this review, we found that the MMA was commonly used to access DAVFs and meningiomas. Pseudoaneurysms and true aneurysms in the MMA can be effectively treated via endovascular or surgical removal. In MMD, the MMA plays a very important role in the development of collateral circulation and indirect revascularization. For recurrent CDSHs, after burr hole irrigation and drainage have failed, MMA embolization may be attempted. The MMA can also contribute to the occurrence and treatment of migraines. Because the ophthalmic artery can ectopically originate from the MMA, caution must be taken to avoid causing damage to the MMA during operations.

Clinical importance of the middle meningeal artery: A review of the literature

Science.gov (United States)

Yu, Jinlu; Guo, Yunbao; Xu, Baofeng; Xu, Kan

2016-01-01

The middle meningeal artery (MMA) is a very important artery in neurosurgery. Many diseases, including dural arteriovenous fistula (DAVF), pseudoaneurysm, true aneurysm, traumatic arteriovenous fistula (AVF), moyamoya disease (MMD), recurrent chronic subdural hematoma (CSDH), migraine and meningioma, can involve the MMA. In these diseases, the lesions occur in either the MMA itself and treatment is necessary, or the MMA is used as the pathway to treat the lesions; therefore, the MMA is very important to the development and treatment of a variety of neurosurgical diseases. However, no systematic review describing the importance of MMA has been published. In this study, we used the PUBMED database to perform a review of the literature on the MMA to increase our understanding of its role in neurosurgery. After performing this review, we found that the MMA was commonly used to access DAVFs and meningiomas. Pseudoaneurysms and true aneurysms in the MMA can be effectively treated via endovascular or surgical removal. In MMD, the MMA plays a very important role in the development of collateral circulation and indirect revascularization. For recurrent CDSHs, after burr hole irrigation and drainage have failed, MMA embolization may be attempted. The MMA can also contribute to the occurrence and treatment of migraines. Because the ophthalmic artery can ectopically originate from the MMA, caution must be taken to avoid causing damage to the MMA during operations. PMID:27766029

Single chest tube drainage is superior to double chest tube drainage after lobectomy: a meta-analysis.

Science.gov (United States)

Zhou, Dong; Deng, Xu-Feng; Liu, Quan-Xing; Chen, Qian; Min, Jia-Xin; Dai, Ji-Gang

2016-05-27

In this meta-analysis, we conducted a pooled analysis of clinical studies comparing the efficacy of single chest tube versus double chest tube after a lobectomy. According to the recommendations of the Cochrane Collaboration, we established a rigorous study protocol. We performed a systematic electronic search of the PubMed, Embase, Cochrane Library and Web of Science databases to identify articles to include in our meta-analysis. A literature search was performed using relevant keywords. A meta-analysis was performed using RevMan© software. Five studies, published between 2003 and 2014, including 630 patients (314 patients with a single chest tube and 316 patients with a double chest tube), met the selection criteria. From the available data, the patients using a single tube demonstrated significantly decreased postoperative pain [weighted mean difference [WMD] -0.60; 95 % confidence intervals [CIs] -0.68-- 0.52; P tube after a pulmonary lobectomy. However, there were no significant differences in postoperative complications [OR 0.91; 95 % CIs 0.57-1.44; P = 0.67] and re-drainage rates [OR 0.81; 95 % CIs 0.42-1.58; P = 0.54]. Our results showed that a single-drain method is effective, reducing postoperative pain, hospitalization times and duration of drainage in patients who undergo a lobectomy. Moreover, the single-drain method does not increase the occurrence of postoperative complications and re-drainage rates.

Stationary black holes: large D analysis

International Nuclear Information System (INIS)

Suzuki, Ryotaku; Tanabe, Kentaro

2015-01-01

We consider the effective theory of large D stationary black holes. By solving the Einstein equations with a cosmological constant using the 1/D expansion in near zone of the black hole we obtain the effective equation for the stationary black hole. The effective equation describes the Myers-Perry black hole, bumpy black holes and, possibly, the black ring solution as its solutions. In this effective theory the black hole is represented as an embedded membrane in the background, e.g., Minkowski or Anti-de Sitter spacetime and its mean curvature is given by the surface gravity redshifted by the background gravitational field and the local Lorentz boost. The local Lorentz boost property of the effective equation is observed also in the metric itself. In fact we show that the leading order metric of the Einstein equation in the 1/D expansion is generically regarded as a Lorentz boosted Schwarzschild black hole. We apply this Lorentz boost property of the stationary black hole solution to solve perturbation equations. As a result we obtain an analytic formula for quasinormal modes of the singly rotating Myers-Perry black hole in the 1/D expansion.

Drilling history core hole DC-8

International Nuclear Information System (INIS)

1978-10-01

Core hole DC-8 was completed in August, 1978 by Boyles Brothers Drilling Company, Spokane, Washington, under subcontract to Fenix and Scission, Inc. The hole was cored for the US Department of Energy and the Rockwell Hanford Operations' Basalt Waste Isolation Program. Fenix and Scisson, Inc. furnished the engineering, daily supervision of the core drilling activities, and geologic core logging for hole DC-8. Core hole DC-8 is located on the Hanford Site near the Wye Barricade and 50 feet northwest of rotary hole DC-7. The Hanford Site vation coordinates for DC-8 are North 14,955.94 feet and West 14,861.92 coordinates for DC-8 are North 14,955.94 feet and West 14,861.92 mean sea level. The purpose of core hole DC-8 was to core drill vertically through the basalt and interbed units for stratigraphic depth determination and core collection, and to provide a borehole for hydrologic testing and cross-hole seismic shear and pressure wave velocity studies with rotary hole DC-7. The total depth of core hole DC-8 was 4100.5 feet. Core recovery exceeded 97 percent of the total footage cored

Drilling history core hole DC-8

Energy Technology Data Exchange (ETDEWEB)

1978-10-01

Core hole DC-8 was completed in August, 1978 by Boyles Brothers Drilling Company, Spokane, Washington, under subcontract to Fenix and Scission, Inc. The hole was cored for the US Department of Energy and the Rockwell Hanford Operations' Basalt Waste Isolation Program. Fenix and Scisson, Inc. furnished the engineering, daily supervision of the core drilling activities, and geologic core logging for hole DC-8. Core hole DC-8 is located on the Hanford Site near the Wye Barricade and 50 feet northwest of rotary hole DC-7. The Hanford Site vation coordinates for DC-8 are North 14,955.94 feet and West 14,861.92 coordinates for DC-8 are North 14,955.94 feet and West 14,861.92 mean sea level. The purpose of core hole DC-8 was to core drill vertically through the basalt and interbed units for stratigraphic depth determination and core collection, and to provide a borehole for hydrologic testing and cross-hole seismic shear and pressure wave velocity studies with rotary hole DC-7. The total depth of core hole DC-8 was 4100.5 feet. Core recovery exceeded 97 percent of the total footage cored.

Usefulness of a Biliary Manipulation Catheter in Percutaneous Transhepatic Biliary Drainage

Energy Technology Data Exchange (ETDEWEB)

Paek, Auh Whan [Dept. of Radiology, Virginia University Heath Center, Charlottesville (United States); Won, Je Hwan; Lee, Jei Hee; Sun, Joo Sung; Kwak, Kyu Sung; Bae, Jae Ik [Dept. of Radiology, Ajou University School of Medicine, Suwon (Korea, Republic of)

2011-04-15

To evaluate usefulness of a manipulation catheter in percutaneous transhepatic biliary drainage (PTBD). A biliary manipulation catheter was used for the aspiration of retained bile and lesion crossing during an initial PTBD in 91 consecutive patients over a 6 month period. This catheter allowed for a 0.035 inch guide wire made of 5F short steel braided polyurethane. The terminal 1 cm segment was tapered and 45 degree angulated. Two side holes were made in the terminal segment to facilitate the aspiration of bile. The safety of this procedure was evaluated based on whether the catheters caused complications during insertion and manipulation, and whether cholangitis was aggravated after the procedure. Effectiveness of the procedure was evaluated based on the ability to aspirate retained bile and to cross the lesion. Both the insertion of a 0.035 inch hydrophilic guide wire and aspiration of sufficient retained bile were successful with the catheter. Crossing the common bile duct (CBD) lesion had a 98.1% success rate during the initial PTBD. Crossing the hilar obstruction lesion was had a 94.7% success rate to the CBD and 92.1% to the contralateral lobe. Cholangitis improved in 97% of cases, and aggravated transiently in only 3% of cases after PTBD.

Usefulness of a Biliary Manipulation Catheter in Percutaneous Transhepatic Biliary Drainage

International Nuclear Information System (INIS)

Paek, Auh Whan; Won, Je Hwan; Lee, Jei Hee; Sun, Joo Sung; Kwak, Kyu Sung; Bae, Jae Ik

2011-01-01

To evaluate usefulness of a manipulation catheter in percutaneous transhepatic biliary drainage (PTBD). A biliary manipulation catheter was used for the aspiration of retained bile and lesion crossing during an initial PTBD in 91 consecutive patients over a 6 month period. This catheter allowed for a 0.035 inch guide wire made of 5F short steel braided polyurethane. The terminal 1 cm segment was tapered and 45 degree angulated. Two side holes were made in the terminal segment to facilitate the aspiration of bile. The safety of this procedure was evaluated based on whether the catheters caused complications during insertion and manipulation, and whether cholangitis was aggravated after the procedure. Effectiveness of the procedure was evaluated based on the ability to aspirate retained bile and to cross the lesion. Both the insertion of a 0.035 inch hydrophilic guide wire and aspiration of sufficient retained bile were successful with the catheter. Crossing the common bile duct (CBD) lesion had a 98.1% success rate during the initial PTBD. Crossing the hilar obstruction lesion was had a 94.7% success rate to the CBD and 92.1% to the contralateral lobe. Cholangitis improved in 97% of cases, and aggravated transiently in only 3% of cases after PTBD.

Particle creation by black holes

International Nuclear Information System (INIS)

Hawking, S.W.

1975-01-01

In the classical theory black holes can only absorb and not emit particles. However it is shown that quantum mechanical effects cause black holes to create and emit particles. This thermal emission leads to a slow decrease in the mass of the black hole and to its eventual disappearance: any primordial black hole of mass less than about 10 15 g would have evaporated by now. Although these quantum effects violate the classical law that the area of the event horizon of a black hole cannot decrease, there remains a Generalized Second Law: S + 1/4 A never decreases where S is the entropy of matter outside black holes and A is the sum of the surface areas of the event horizons. This shows that gravitational collapse converts the baryons and leptons in the collapsing body into entropy. It is tempting to speculate that this might be the reason why the Universe contains so much entropy per baryon. (orig.) [de

The 2002 Antarctic Ozone Hole

Science.gov (United States)

Newman, P. A.; Nash, E. R.; Douglass, A. R.; Kawa, S. R.

2003-01-01

Since 1979, the ozone hole has grown from near zero size to over 24 Million km2. This area is most strongly controlled by levels of inorganic chlorine and bromine oncentrations. In addition, dynamical variations modulate the size of the ozone hole by either cooling or warming the polar vortex collar region. We will review the size observations, the size trends, and the interannual variability of the size. Using a simple trajectory model, we will demonstrate the sensitivity of the ozone hole to dynamical forcing, and we will use these observations to discuss the size of the ozone hole during the 2002 Austral spring. We will further show how the Cly decreases in the stratosphere will cause the ozone hole to decrease by 1-1.5% per year. We will also show results from a 3-D chemical transport model (CTM) that has been continuously run since 1999. These CTM results directly show how strong dynamics acts to reduce the size of the ozone hole.

Black Hole's 1/N Hair

CERN Document Server

Dvali, Gia

2013-01-01

According to the standard view classically black holes carry no hair, whereas quantum hair is at best exponentially weak. We show that suppression of hair is an artifact of the semi-classical treatment and that in the quantum picture hair appears as an inverse mass-square effect. Such hair is predicted in the microscopic quantum description in which a black hole represents a self-sustained leaky Bose-condensate of N soft gravitons. In this picture the Hawking radiation is the quantum depletion of the condensate. Within this picture we show that quantum black hole physics is fully compatible with continuous global symmetries and that global hair appears with the strength B/N, where B is the global charge swallowed by the black hole. For large charge this hair has dramatic effect on black hole dynamics. Our findings can have interesting astrophysical consequences, such as existence of black holes with large detectable baryonic and leptonic numbers.

Black holes a very short introduction

CERN Document Server

Blundell, Katherine

2015-01-01

Black holes are a constant source of fascination to many due to their mysterious nature. Black Holes: A Very Short Introduction addresses a variety of questions, including what a black hole actually is, how they are characterized and discovered, and what would happen if you came too close to one. It explains how black holes form and grow—by stealing material that belongs to stars—as well as how many there may be in the Universe. It also explores the large black holes found in the centres of galaxies, and how black holes power quasars and lie behind other spectacular phenomena in the cosmos.

Hydro-geochemistry and retention of phosphorus in drainage filters and constructed wetlands

DEFF Research Database (Denmark)

Canga, Eriona; Kjærgaard, Charlotte; Iversen, Bo Vangsø

Research Council, aims at providing the scientific basis for developing cost-effective filter technologies targeting P-retention and N-removal in agricultural subsurface drainage. The project studies different approaches of implementing the filter technologies including drainage well filters as well...... typically applied to point sources. This calls for a shift of paradigm towards the development of new, cost-efficient technologies to mitigate site-specific nutrient losses in drainage. A newly launched Danish research project “SUPREME-TECH” (2010-2015) (www.supreme-tech.dk) funded by the Danish Strategic...... in drainage water to below environmental threshold values (

"Iron-Clad" Evidence For Spinning Black Hole

Science.gov (United States)

2003-09-01

Telltale X-rays from iron may reveal if black holes are spinning or not, according to astronomers using NASA's Chandra X-ray Observatory and the European Space Agency's XMM-Newton Observatory. The gas flows and bizarre gravitational effects observed near stellar black holes are similar to those seen around supermassive black holes. Stellar black holes, in effect, are convenient `scale models' of their much larger cousins. Black holes come in at least two different sizes. Stellar black holes are between five and 20 times the mass of the Sun. At the other end of the size scale, supermassive black holes contain millions or billions times the mass of our Sun. The Milky Way contains both a supermassive black hole at its center, as well as a number of stellar black holes sprinkled throughout the Galaxy. At a press conference at the "Four Years of Chandra" symposium in Huntsville, Ala., Jon Miller of the Harvard-Smithsonian Center for Astrophysics in Cambridge, Mass. discussed recent results on the X-ray spectra, or distribution of X-rays with energy, from the iron atoms in gas around three stellar black holes in the Milky Way. "Discovering the high degree of correspondence between stellar and supermassive black holes is a real breakthrough," said Miller. "Because stellar black holes are smaller, everything happens about a million times faster, so they can be used as a test-bed for theories of how spinning black holes affect the space and matter around them." X-rays from a stellar black hole are produced when gas from a nearby companion star is heated to tens of millions of degrees as it swirls toward the black hole. Iron atoms in this gas produce distinctive X-ray signals that can be used to study the orbits of particles around the black hole. For example, the gravity of a black hole can shift the X-rays to lower energies. "The latest work provides the most precise measurements yet of the X-ray spectra for stellar black holes," said Miller. "These data help rule out

Inter-Event Time Definition Setting Procedure for Urban Drainage Systems

Directory of Open Access Journals (Sweden)

Jingul Joo

2013-12-01

Full Text Available Traditional inter-event time definition (IETD estimate methodologies generally take into account only rainfall characteristics and not drainage basin characteristics. Therefore, they may not succeed in providing an appropriate value of IETD for any sort of application to the design of urban drainage system devices. To overcome this limitation, this study presents a method of IETD determination that considers basin characteristics. The suggested definition of IETD is the time period from the end of a rainfall event to the end of a direct runoff. The suggested method can identify the independent events that are suitable for the statistical analysis of the recorded rainfall. Using the suggested IETD, the IETD of the Joong-Rang drainage system was determined and the area-IETD relation curve was drawn. The resulting regression curve can be used to determinate the IETD of ungauged urban drainage systems, with areas ranging between 40 and 4400 ha. Using the regression curve, the IETDs and time distribution of the design rainfall for four drainage systems in Korea were determined and rainfall-runoff simulations were performed with the Storm Water Management Model (SWMM. The results were compared with those from Huff's method which assumed a six-hour IETD. The peak flow rates obtained by the suggested method were 11%~15% greater than those obtained by Huff’s method. The suggested IETD determination method can identify independent events that are suitable for the statistical analysis of the recorded rainfall aimed at the design of urban drainage system devices.

Epiretinal proliferation in lamellar macular holes and full-thickness macular holes: clinical and surgical findings.

Science.gov (United States)

Lai, Tso-Ting; Chen, San-Ni; Yang, Chung-May

2016-04-01

To report the clinical findings and surgical outcomes of lamellar macular holes (LMH) with or without lamellar hole-associated epiretinal proliferation (LHEP), and those of full-thickness macular holes (FTMH) presenting with LHEP. From 2009 to 2013, consecutive cases of surgically treated LMH, and all FTMH cases with LHEP were reviewed, given a follow-up time over 1 year. In the LMH group (43 cases), those with LHEP (19 cases) had significantly thinner bases and larger openings than those without (24 cases). The rate of disrupted IS/OS line was higher in the LHEP subgroup preoperatively (68.4 % vs 37.5 %), but similar between subgroups postoperatively (36.8 % and 33.3 %). The preoperative and postoperative visual acuity showed no significant difference between two subgroups. In the FTMH group (13 cases), the average hole size was 219.2 ± 92.1 μm. Permanent or transient spontaneous hole closure was noted in 69.2 % of cases. An intact IS-OS line was found in only 23 % of cases at the final follow-up. In the LMH group, LHEP was associated with a more severe defect but didn't affect surgical outcomes. In the FTMH group, spontaneous hole closure was frequently noted. Despite small holes, disruption of IS-OS line was common after hole closure.

Preoperative biliary drainage for periampullary tumors causing obstructive jaundice; DRainage vs. (direct) OPeration (DROP-trial)

NARCIS (Netherlands)

N.A. van der Gaag (Niels); S.M.M. de Castro (Steve); E.A.J. Rauws (Erik); M.J. Bruno (Marco); C.H.J. van Eijck (Casper); E.J. Kuipers (Ernst); J.J.G.M. Gerritsen (Josephus); J.P. Rutten (Joost Paul); J.W. Greve; E.J. Hesselink (Eric); J.H. Klinkenbijl (Jean); I.H.M.B. Rinkes; D. Boerma (Djamila); B.A. Bonsing (Bert); C.J. van Laarhoven (Cees); F.J. Kubben; E. van der Harst (Erwin); M.N. Sosef (Meindert); K. Bosscha (Koop); I.H.J.T. de Hingh (Ignace); L. Th de Wit (Laurens); O.M. van Delden (Otto); O.R.C. Busch (Olivier); T.M. van Gulik (Thomas); P.M.M. Bossuyt (Patrick); D.J. Gouma (Dirk)

2007-01-01

textabstractBackground. Surgery in patients with obstructive jaundice caused by a periampullary (pancreas, papilla, distal bile duct) tumor is associated with a higher risk of postoperative complications than in non-jaundiced patients. Preoperative biliary drainage was introduced in an attempt to

Acidity and alkalinity in mine drainage: Theoretical considerations

Science.gov (United States)

Kirby, Carl S.; Cravotta,, Charles A.

2004-01-01

Acidity, net acidity, and net alkalinity are widely used parameters for the characterization of mine drainage, but these terms are not well defined and are often misunderstood. Incorrect interpretation of acidity, alkalinity, and derivative terms can lead to inadequate treatment design or poor regulatory decisions. We briefly explain derivations of theoretical expressions of three types of alkalinities (caustic, phenolphthalein, and total) and acidities (mineral, CO2, and total). Theoretically defined total alkalinity is closely analogous to measured alkalinity and presents few practical interpretation problems. Theoretically defined “CO2- acidity” is closely related to most standard titration methods used for mine drainage with an endpoint pH of 8.3, but it presents numerous interpretation problems, and it is unfortunately named because CO2 is intentionally driven off during titration of mine-drainage samples. Using the proton condition/massaction approach and employing graphs for visualization, we explore the concept of principal components and how to assign acidity contributions to solution species, including aqueous complexes, commonly found in mine drainage. We define a comprehensive theoretical definition of acidity in mine drainage on the basis of aqueous speciation at the sample pH and the capacity of these species to undergo hydrolysis to pH 8.3. This definition indicates the computed acidity in milligrams per liter (mg L-1 ) as CaCO3 (based on pH and analytical concentrations of dissolved FeIII , FeII , Mn, and Al in mg L-1 ): Aciditycomputed = 50. (10(3-pH) + 3.CFeIII/55.8 + 2.CFeII/55.8 + 2.CMn/54.9 + 3.CAl/27.0) underestimates contributions from HSO4 - and H+ , but overestimates the acidity due to Fe3+. These errors tend to approximately cancel each other. We demonstrate that “net alkalinity” is a valid mathematical construction based on theoretical definitions of alkalinity and acidity. We demonstrate that, for most mine-drainage solutions, a

Nonextremal stringy black hole

International Nuclear Information System (INIS)

Suzuki, K.

1997-01-01

We construct a four-dimensional BPS saturated heterotic string solution from the Taub-NUT solution. It is a nonextremal black hole solution since its Euler number is nonzero. We evaluate its black hole entropy semiclassically. We discuss the relation between the black hole entropy and the degeneracy of string states. The entropy of our string solution can be understood as the microscopic entropy which counts the elementary string states without any complications. copyright 1997 The American Physical Society

The search for black holes

International Nuclear Information System (INIS)

Torn, K.

1976-01-01

Conceivable experimental investigations to prove the existence of black holes are discussed. Double system with a black hole turning around a star-satellite are in the spotlight. X-radiation emmited by such systems and resulting from accretion of the stellar gas by a black hole, and the gas heating when falling on the black hole might prove the model suggested. A source of strong X-radiation observed in the Cygnus star cluster and referred to as Cygnus X-1 may be thus identified as a black hole. Direct registration of short X-ray pulses with msec intervals might prove the suggestion. The lack of appropriate astrophysic facilities is pointed out to be the major difficulty on the way of experimental verifications

Drainage Systems Effect on Surgical Site Infection in Children with Perforated Appendicitis

Directory of Open Access Journals (Sweden)

Seref Kilic

2016-09-01

Full Text Available Aim: Effect of replacing open drainage system to closed drainage system on surgical site infection (SSI in children operated for perforated appendicitis was evaluated. Material and Method: Hospital files and computer records of perforated appendicitis cases operated in 2004-2010 were evaluated retrospectively. Open drainage systems were used for 70 in cases (group I and closed systems were used in the others (group II. Results: Eleven of SSI cases had superficial infection and 3 had the organ/space infection. SSI rate was 15.7% for group I and 7.5% for the group II. The antibiotic treatment length was 7.5 ± 3.4 days for group I and 6.4 ± 2.2 days for group II and the difference between groups was not statistically significant. Hospitalization length for group I was 8.2 ± 3.1 days and 6.8 ± 1.9 days for group II and the difference was statistically significant. Discussion: SSI is an important problem increasing morbidity and treatment costs through increasing hospitalization and antibiotic treatment length. Open drainage system used in operation in patients with perforated appendicitis leads an increased frequency of SSI when compared to the closed drainage system. Thus, closed drainage systems should be preferred in when drainage is necessary in operations for perforated appendicitis in children.

Delineation of a Re-establishing Drainage Network Using SPOT and Landsat Images

Science.gov (United States)

Bailey, J. E.; Self, S.; Mouginis-Mark, P. J.

2008-12-01

The 1991 eruption of Mt. Pinatubo, The Philippines, provided a unique opportunity to study the effects on the landscape of a large eruption in part because it took place after the advent of regular satellite-based observations. The eruption formed one large (>100km2) ignimbrite sheet, with over 70% of the total deposit deposited in three primary drainage basins to the west of the volcano. High-resolution (20 m/pixel) satellite images, showing the western drainage basins and surrounding region both before and after the eruption were used to observe the re-establishment and evolution of drainage networks on the newly emplaced ignimbrite sheet. Changes in the drainage networks were delineated from a time series of SPOT (Satellite Pour l'Observation de la Terre) and Landsat multi-spectral satellite images. The analysis of which was supplemented by ground- based observations. The satellite images showed that the blue prints for the new drainage systems were established early (within days of the eruption) and at a large-scale followed the pre-eruption pattern. However, the images also illustrated the ephemeral nature of many channels due to the influence of secondary pyroclastic flows, lahar- dammed lake breakouts, stream piracy and shifts due to erosion. Characteristics of the defined drainage networks were used to infer the relative influence on the lahar hazard within each drainage basin.