Sample records for fracture walls heights

  1. Miscible transfer of solute in different types of rough fractures: from random to multiscale fracture walls heights

    CERN Document Server

    Auradou, Harold; Chertcoff, Ricardo; D'Angelo, Maria Veronica; Hulin, Jean-Pierre; Ippolito, Irene


    Miscible tracer dispersion measurements in transparent model fractures with different types of wall roughness are reported. The nature (Fickian or not) of dispersion is determined by studying variations of the mixing front as a function of the traveled distance but also as a function of the lateral scale over which the tracer concentration is averaged. The dominant convective dispersion mechanisms (velocity profile in the gap, velocity variations in the fracture plane) are established by comparing measurements using Newtonian and shear thinning fluids. For small monodisperse rugosities, front spreading is diffusive with a dominant geometrical dispersion (dispersion coefficient $D \\propto Pe$) at low P\\'eclet numbers $Pe$; at higher $Pe$ values one has either $D \\propto Pe^2$ ({\\it i.e.} Taylor dispersion) for obstacles of height smaller than the gap or $D \\propto Pe^{1.35}$ for obstacles bridging the gap. For a self affine multiscale roughness like in actual rocks and a relative shear displacement $\\vec{\\delt...

  2. Diplopia and orbital wall fractures. (United States)

    Boffano, Paolo; Roccia, Fabio; Gallesio, Cesare; Karagozoglu, K Hakki; Forouzanfar, Tymour


    Diplopia is a symptom that is frequently associated with orbital wall fractures. The aim of this article was to present the incidence and patterns of diplopia after orbital wall blow-out fractures in 2 European centers, Turin and Amsterdam, and to identify any correlation between this symptom and such fractures. This study is based on 2 databases that have continuously recorded data of patients hospitalized with maxillofacial fractures between 2001 and 2010. On the whole, 447 patients (334 males, 113 females) with pure blow-out orbital wall fractures were included. The most frequently involved orbital site was the floor (359 fractures), followed by medial wall (41 fractures) and lateral wall (5 fractures). At presentation, 227 patients (50.7%) had evidence of diplopia. In particular, in most patients, a diplopia in all directions was referred (78 patients). Statistically significant associations were found between diplopia on eye elevation and orbital floor fractures (P diplopia and medial wall fractures (P diplopia on eye elevation and horizontal diplopia at presentation could be useful clinical indicators orbital floor and medial wall fractures, respectively.

  3. Diplopia and orbital wall fractures

    NARCIS (Netherlands)

    Boffano, P.; Roccia, F.; Gallesio, C.; Karagozoglu, K.H.; Forouzanfar, T.


    Diplopia is a symptom that is frequently associated with orbital wall fractures. The aim of this article was to present the incidence and patterns of diplopia after orbital wall blow-out fractures in 2 European centers, Turin and Amsterdam, and to identify any correlation between this symptom and su

  4. Diplopia and orbital wall fractures

    NARCIS (Netherlands)

    Boffano, P.; Roccia, F.; Gallesio, C.; Karagozoglu, K.H.; Forouzanfar, T.


    Diplopia is a symptom that is frequently associated with orbital wall fractures. The aim of this article was to present the incidence and patterns of diplopia after orbital wall blow-out fractures in 2 European centers, Turin and Amsterdam, and to identify any correlation between this symptom and

  5. Quantitative vertebral compression fracture evaluation using a height compass (United States)

    Yao, Jianhua; Burns, Joseph E.; Wiese, Tatjana; Summers, Ronald M.


    Vertebral compression fractures can be caused by even minor trauma in patients with pathological conditions such as osteoporosis, varying greatly in vertebral body location and compression geometry. The location and morphology of the compression injury can guide decision making for treatment modality (vertebroplasty versus surgical fixation), and can be important for pre-surgical planning. We propose a height compass to evaluate the axial plane spatial distribution of compression injury (anterior, posterior, lateral, and central), and distinguish it from physiologic height variations of normal vertebrae. The method includes four steps: spine segmentation and partition, endplate detection, height compass computation and compression fracture evaluation. A height compass is computed for each vertebra, where the vertebral body is partitioned in the axial plane into 17 cells oriented about concentric rings. In the compass structure, a crown-like geometry is produced by three concentric rings which are divided into 8 equal length arcs by rays which are subtended by 8 common central angles. The radius of each ring increases multiplicatively, with resultant structure of a central node and two concentric surrounding bands of cells, each divided into octants. The height value for each octant is calculated and plotted against octants in neighboring vertebrae. The height compass shows intuitive display of the height distribution and can be used to easily identify the fracture regions. Our technique was evaluated on 8 thoraco-abdominal CT scans of patients with reported compression fractures and showed statistically significant differences in height value at the sites of the fractures.

  6. When Walls are No Longer Barriers: Perception of Wall Height in Parkour


    Taylor, J. Eric T.; Witt, Jessica; Sugovic, Mila


    Through training, skilled parkour athletes (traceurs) overcome everyday obstacles, such as walls, that are typically insurmountable. Traceurs and untrained novices estimated the height of walls and reported their anticipated ability to climb the wall. The traceurs perceived the walls as shorter than did novices. This result suggests that perception is scaled by the perceiver’s anticipated ability to act, and is consistent with the action-specific account of perception.

  7. Treatment of posterior Wall fractures of acetabulum

    Institute of Scientific and Technical Information of China (English)

    QI Xin; LIU Jian-guo; GONG Yu-bao; YANG Chen; LI Shu-qiang; FENG Wei


    Objective: To explore the treatment methods and outcome of posterior Wall fractures of the acetabulum.Methods: The data of 31 patients(25 males and 6females,aged 19-59 years,mean:40.5 years)with posterior wall fractures of the acetabulum hospitalized in our department from 2002 to 2006 were analyzed retrospectively in this study.The types of fractures,number of fragments,combined dislocations,and sciatic nerve function were documented before admission.All the fractures were treated with open reduction and internal fixation.Based on the fracture type and site,either screws alone or reconstructive plates were used.The Patients were immobilized for an average of 12 weeks before partial weight bearing was permitted.After follow-up for 12-70months(43.6months on average),modifled Merle d‘Aubigne score was adopted to evaluate the outcomes of the operations.Results: The percentages of the excellent,good,fair and poor results were 48.4%,41.9%,6.5%,and 3.3%,respectively.with a good to excellent rate of 90.2%.Idio-pathic sciatic nerve injury occurred in only one case.Conclusions: The sciatic nerve should be routinely exposed and protected during the surgery.The type of fixation should be based on the fracture type and site.Prolonged immobilization may be helpful in improving the final outcomes.

  8. Fracture mechanics solution of confined water progressive intrusion height of mining fracture floor

    Institute of Scientific and Technical Information of China (English)

    Lu Haifeng; Yao Duoxi; Shen Dan; Cao Jiyang


    In order to obtain the value of confined water progressive intrusion height of mining fracture floor, the analysis equation was deduced based on the fracture extension theory of the fracture mechanics. Further-more, the influence of some parameters (e.g., advancing distance of working face, water pressure, initial fracture length and its angle) on confined water progressive intrusion height were analyzed. The results indicate that tension-shearing fracture of floor is extended more easily than compression-shearing frac-ture under the same conditions. When floor fracture dip angle is less than 90?, tension-shearing extension occurs more easily on the left edge of the goaf. If fracture dip angle is larger than 90?, it occurs more easily on the right edge of the goaf. The longer the advancing distance of working face is, the greater initial frac-ture length goes; or the larger water pressure is, the greater possibility of tension-shearing extension occurs. The confined water progressive intrusion height reaches the maximum on the edge of the goaf. Field in situ test is consistent with the theoretical analysis result.

  9. Direct oblique sagittal CT of orbital wall fractures

    Energy Technology Data Exchange (ETDEWEB)

    Ball, J.B. Jr.


    Direct oblique sagittal CT was used to evaluate trauma to 77 orbits. Sixty-seven orbital wall fractures with intact orbital rims (36 floor, 22 medial wall, nine roof) were identified in 47 orbits. Since persistent diplopia and/or enophthalmos may warrant surgical repair of orbital floor fractures, optimal imaging should include an evaluation of extraocular muscle status, the nature and amount of displaced orbital contents, and an accurate definition of fracture margins. For orbital floor fractures, a combination of the direct oblique sagittal and direct coronal projections optimally displayed all fracture margins, the fracture's relationship to the inferior orbital rim and medial orbital wall, and the amount of displacement into the maxillary sinus. Inferior rectus muscle status with 36 floor fractures was best seen on the direct oblique sagittal projection in 30 fractures (83.3%) and was equally well seen on sagittal and coronal projections in two fractures (5.5%). Floor fractures were missed on 100% of axial, 5.5% of sagittal, and 0% of coronal projections. Since the direct oblique sagittal projection complements the direct coronal projection in evaluating orbital floor fractures, it should not be performed alone. A technical approach to the CT evaluation or orbital wall fractures is presented.

  10. Current management of posterior wall fractures of the acetabulum. (United States)

    Moed, Berton R; Kregor, Philip J; Reilly, Mark C; Stover, Michael D; Vrahas, Mark S


    The general goals for treating an acetabular fracture are to restore congruity and stability of the hip joint. These goals are no different from those for the subset of fractures of the posterior wall. Nevertheless, posterior wall fractures present unique problems compared with other types of acetabular fractures. Successful treatment of these fractures depends on a multitude of factors. The physician must understand their distinctive radiologic features, in conjunction with patient factors, to determine the appropriate treatment. By knowing the important points of posterior surgical approaches to the hip, particularly the posterior wall, specific techniques can be used for fracture reduction and fixation in these often challenging fractures. In addition, it is important to develop a complete grasp of potential complications and their treatment. The evaluation and treatment protocols initially developed by Letournel and Judet continue to be important; however, the surgeon also should be aware of new information published and presented in the past decade.

  11. The Tromsø Study: body height, body mass index and fractures. (United States)

    Joakimsen, R M; Fønnebø, V; Magnus, J H; Tollan, A; Søgaard, A J


    Tall persons suffer more hip fractures than shorter persons, and high body mass index is associated with fewer hip and forearm fractures. We have studied the association between body height, body mass index and all non-vertebral fractures in a large, prospective, population-based study. The middle-aged population of Tromsø, Norway, was invited to surveys in 1979/80, 1986/87 and 1994/95 (The Tromsø Study). Of 16,676 invited to the first two surveys, 12,270 attended both times (74%). Height and weight were measured without shoes at the surveys, and all non-vertebral fractures in the period 1988-1995 were registered (922 persons with fractures) and verified by radiography. The risk of a low-energy fracture was found to be positively associated with increasing body height and with decreasing body mass index. Furthermore, men who had gained weight had a lower risk of hip fractures, and women who had gained weight had a lower risk of fractures in the lower extremities. High body height is thus a risk factor for fractures, and 1 in 4 low-energy fractures among women today might be ascribed to the increase in average stature since the turn of the century. Low body mass index is associated with a higher risk of fractures, but the association is probably too weak to have any clinical relevance in this age category.

  12. Effects of side walls on facade flame entrainment and flame height from opening in compartment fires

    Directory of Open Access Journals (Sweden)

    Hu L.H.


    Full Text Available This paper presents an investigation of the side wall effects on facade flames ejected from the opening (such as a window of an under-ventilated room fire. Experiments are carried out in a reduced-scale experimental setup, consisting of a cubic fire compartment having an opening with a vertical facade wall and two side walls normal to the façade wall. By changing the distance of the two side walls, the facade flame heights for different opening conditions (width, height are recorded by a CCD camera. It is found that as the distance of the two side walls decreases the behavior the flame height can be distinguished into two regimes characterized by the dimensionless excess heat release rate, $skew5dot{Q}_{ex}^{ast}$ See Formula in PDF , outside the opening: (a for the “wall fire” (skew5dot{Q}_{ex}^{ast }$See Formula in PDF ≤ 1.3 , the flame height is shown to change little with decrease of side wall distance as the dominant entrainment is from the front direction (normal to the facade wall independent of the side wall distances; (b for the “axis-symmetrical fire” (\\skew5dot{Q}_{ex}^{ast}$ > 1.3, the flame height increases significantly with a decrease in side wall distance as both the entrainment from the two side directions (parallel to the facade wall and that from the front direction (normal to the facade wall together apply. A global physically based non-dimensional factor K is then brought forward based on the side wall constraint effect on the facade flame entrainment to characterize the side wall effect on the flame height, by accounting for the dimensionless excess heat release rate, the characteristic length scales of the opening as well as the side wall separation distance. The experimental data for different opening dimensions and side wall distances collapse by using this global non-dimensional factor.

  13. Detective value of historical height loss and current height/knee height ratio for prevalent vertebral fracture in Japanese postmenopausal women. (United States)

    Yoh, Kousei; Kuwabara, Akiko; Tanaka, Kiyoshi


    Vertebral fracture (VFx) is associated with various co-morbidities and increased mortality. In this paper, we have studied the detective value of height loss for VFx using two indices; historical height loss (HHL) which is the difference between the maximal height, and the current height (CH), and CH/knee height (KH) ratio. One-hundred and fifty-one postmenopausal women visiting the outpatient clinic of orthopaedics were studied for their CH, self-reported maximal height, KH, and radiographically diagnosed VFx number(s). VFx was present in 41.1 % of the subjects. Multiple regression analyses revealed that the number of prevalent fractures was a significant predictor of HHL and CH/KH ratio. Receiver operator characteristic curve analysis has shown that for HHL, the area under the curve (AUC) with their 95 %CI in the parentheses was 0.84 (0.77, 0.90), 0.88 (0.83, 0.94), and 0.91 (0.86, 0.96) for ≥ 1, ≥ 2, and ≥ 3 fractures, respectively. For the presence of ≥ 1 VFx, the cut-off value was 4.0 cm (specificity 79 %; sensitivity 79 %). Regarding the CH/KH ratio, AUC was 0.73 (0.65, 0.82), 0.85 (0.78, 0.93), and 0.91 (0.86, 0.96) for ≥ 1, ≥ 2, and ≥ 3 fractures, respectively. For the presence of ≥ 1 VFx, the cut-off value was 3.3 (specificity 47 %; sensitivity 91 %). Both cut-off values for HHL and CH/KH ratio had high negative predictivity across the wide range of theoretical VFx prevalence. Thus, HHL and CH/KH were both good detectors of VFx. Our data would be the basis to determine the cut-off value for the screening or case finding of subjects with VFx.

  14. Height and Risk of Hip Fracture: A Meta-Analysis of Prospective Cohort Studies. (United States)

    Xiao, Zhihong; Ren, Dong; Feng, Wei; Chen, Yan; Kan, Wusheng; Xing, Danmou


    The association between height and risk of hip fracture has been investigated in several studies, but the evidence is inconclusive. We therefore conducted this meta-analysis of prospective cohort studies to explore whether an association exists between height and risk of hip fracture. We searched PubMed and EMBASE, Web of Science, and the Cochrane Library for studies of height and risk of hip fracture up to February 16, 2016. The random-effects model was used to combine results from individual studies. Seven prospective cohort studies, with 7,478 incident hip fracture cases and 907,913 participants, were included for analysis. The pooled relative risk (RR) was 1.65 (95% confidence interval (CI): 1.26-2.16) comparing the highest with the lowest category of height. Result from dose-response analysis suggested a linear association between height and hip fracture risk (P-nonlinearity = 0.0378). The present evidence suggests that height is positively associated with increased risk of hip fracture. Further well-designed cohort studies are needed to confirm the present findings in other ethnicities.

  15. Indirect reduction of posterior wall fragment using a suture anchor in acetabular posterior wall fracture with posterior labral root tear. (United States)

    Yoo, Je-Hyun; Chang, Jun-Dong; Lee, Ho-Won


    Posterior wall fractures, which are the most common type of acetabulum fracture, are frequently accompanied with an avulsion tear of the posterior labral root as well as hip dislocation due to the injury mechanism. In the treatment of these fractures with an avulsed posterior labral root attached to posterior wall fragment, the use of a suture anchor can induce indirect reduction of a posterior wall fragment as well as direct repair of a labral root tear simultaneously. We describe the simple and efficient technique using a suture anchor in posterior wall acetabular fractures and surgical outcomes of two cases treated with this technique.

  16. Cell wall swelling, fracture mode, and the mechanical properties of cherry fruit skins are closely related. (United States)

    Brüggenwirth, Martin; Knoche, Moritz


    Cell wall swelling, fracture mode (along the middle lamellae vs. across cell walls), stiffness, and pressure at fracture of the sweet cherry fruit skin are closely related. Skin cracking is a common phenomenon in many crops bearing fleshy fruit. The objectives were to investigate relationships between the mode of fracture, the extent of cell wall swelling, and the mechanical properties of the fruit skin using sweet cherry (Prunus avium) as a model. Cracking was induced by incubating whole fruit in deionised water or by fracturing exocarp segments (ESs) in biaxial tensile tests. The fracture mode of epidermal cells was investigated by light microscopy. In biaxial tensile tests, the anticlinal cell walls of the ES fractured predominantly across the cell walls (rather than along) and showed no cell wall swelling. In contrast, fruit incubated in water fractured predominantly along the anticlinal epidermal cell walls and the cell walls were swollen. Swelling of cell walls also occurred when ESs were incubated in malic acid, in hypertonic solutions of sucrose, or in water. Compared to the untreated controls, these treatments resulted in more frequent fractures along the cell walls, lower pressures at fracture (p fracture), and lower moduli of elasticity (E, i.e., less stiff). Conversely, compared to the untreated controls, incubating the ES in CaCl2 and in high concentrations of ethanol resulted in thinner cell walls, in less frequent fractures along the cell walls, higher E and p fracture. Our study demonstrates that fracture mode, stiffness, and pressure at fracture are closely related to cell wall swelling. A number of other factors, including cultivar, ripening stage, turgor, CaCl2, and malic acid, exert their effects only indirectly, i.e., by affecting cell wall swelling.

  17. Vertebral height restoration in osteoporotic compression fractures: kyphoplasty balloon tamp is superior to postural correction alone. (United States)

    Shindle, M K; Gardner, M J; Koob, J; Bukata, S; Cabin, J A; Lane, J M


    Kyphoplasty has been shown to restore vertebral height and sagittal alignment. Proponents of vertebroplasty have recently demonstrated that many vertebral compression fractures (VCFs) are mobile and positional correction can lead to clinically significant height restoration. The current investigation tested the hypothesis that positional maneuvers do not achieve the same degree of vertebral height correction as kyphoplasty balloon tamps for the reduction of low-energy VCFs. Twenty-five consecutive patients with a total of 43 osteoporotic VCFs were entered into a prospective analysis. Each patient was sequentially evaluated for postural and balloon vertebral fracture reduction. Preoperative standing and lateral radiographs of the fractured vertebrae were compared with prone cross-table lateral radiographs with the patient in a hyper-extension position and on pelvic and sternal rolls. Following positional manipulation, patients underwent a unilateral balloon kyphoplasty. Postoperative standing radiographs were evaluated for the percentage of height restoration related to positioning and balloon kyphoplasty. In the middle portion of the vertebrae, the percentage available for restoration restored with extension positioning was 10.4% (median 11.1%) and after balloon kyphoplasty was 57.0% (median 62.2%). This difference was statistically significant (p10% restoration of the central portion of the vertebral body, whereas 90.7% of fractures improved at least 10% following balloon kyphoplasty (p4.5-fold over the positioning maneuver alone and accounted for over 80% of the ultimate reduction. If height restoration is the goal, kyphoplasty is clearly superior in most cases to the positioning maneuver alone.

  18. Integrity of the lateral femoral wall in intertrochanteric hip fractures: an important predictor of a reoperation

    DEFF Research Database (Denmark)

    Palm, Henrik; Jacobsen, Steffen; Sonne-Holm, Stig


    -six fractures of the lateral femoral wall occurred during the operative procedure itself. A fracture of the lateral femoral wall occurred in only 3% (three) of the 103 patients with an AO/OTA type-31-A1.1, A1.2, A1.3, or A2.1 intertrochanteric fracture compared with 31% (thirty-one) of the ninety......-nine with an AO/OTA type 31-A2.2 or A2.3 fracture (p fracture of the lateral femoral wall was found to be the main predictor for a reoperation after an intertrochanteric fracture. Consequently, we concluded that patients with preoperative or intraoperative fracture......BACKGROUND: Reoperations after intertrochanteric fractures are often necessitated by fracture displacement following mobilization of the patient. The biomechanical complexity of the fracture, the position of the implant, and the patient's characteristics are known to influence postoperative outcome...

  19. The impact of endplate fracture on postoperative vertebral height loss and kyphotic deformity during treatment of osteoporotic vertebral compression fractures with balloon kyphoplasty (United States)

    Li, Qingqing; Xiao, Long; Zhang, Jianwei; Fan, Jin; Zhou, Wei; Yin, Guoyong; Ren, Yongxin


    Abstract This retrospective study investigated the impact of endplate fracture on postoperative vertebral height loss and kyphotic deformity in 144 patients with osteoporotic vertebral compression fracture (OVCF), who received balloon kyphoplasty. Patients were divided into four groups: Group 1 had no superior endplate fracture, Group 2 had fractures on the anterior portion of the superior endplate, Group 3 had fractures on the posterior portion of the superior endplate, and Group 4 had complete superior endplate fractures. Anterior and middle vertebral body height, vertebral compression ratio, vertebral height loss rate, and kyphosis Cobb angle of each patient were measured and visual analogue scale (VAS) and Oswestry disability index (ODI) scores were recorded. The anterior vertebral height and kyphosis deformity of all groups significantly improved after the surgery, whereas substantial anterior vertebral height loss and increased Cobb angle were observed in all patients at the last follow-up. Although the vertebral height loss rate and the Cobb angle in Group 2, 3 and 4 were larger compared with Group 1 at the last follow-up, only the vertebral height loss rate in Group 4 and the increase in the Cobb angle in Group 2 and 4 were statistically different from those in Group 1. The VAS and ODI scores in all groups measured after the surgery and at the last follow-up were significantly lower compared with preoperative scores, but there was no significant difference among these groups. Balloon kyphoplasty significantly improved vertebral fracture height and kyphosis. Vertebral height loss and increased kyphotic deformity were observed in OVCF patients with endplate fractures after the surgery. Postoperative aggravation of kyphosis was observed in Group 2. Furthermore, severe vertebral height loss and increased kyphotic deformity were confirmed in Group 4 after the surgery. Our results suggested that postoperative vertebral height loss and aggravation of kyphosis may

  20. Analytical study of building height effects over Steel Plate Shear Wall Behavior

    Directory of Open Access Journals (Sweden)

    Benyamin Kioumarsi


    Full Text Available In the latest three decades, the steel plate shear walls (SPSW system has emerged as a promising lateral load resisting system for both construction new buildings and retrofit of existing buildings. This system has acceptable stiffness for control of structure displacement, ductile failure mechanism and high energy absorption. This paper will quantify the effect of increasing the height over analytical behavior of SPSW (height effect. Considering abundant emergence of high-rise buildings all over the world in recent years and their need for strengthening, the importance of the studies presented in this paper cannot be overemphasized for optimum height usage of SPSW lateral resisting system. The study was performed through design of four models of dual system with special moment frames capable of resisting at least 25% of prescribed seismic forces. In this article, structure buildings consisting of 5, 10, 15 and 20 stories have been modelled. Results consisting of story shear absorption, support reaction forces, lateral story displacement and drift index have investigated for different cases. Results show that SPSW absorbs more shears at the lower stories than top stories. Furthermore, axial reaction of edge supports experience decreasing rate corresponding to increase in the story numbers. Drift magnitude of steel plate shear wall with the 5 stories has the maximum value at the top story while the systems with the 10 and the 15 stories have maximum drift at lower stories.

  1. Hydraulic fracturing model featuring initiation beyond the wellbore wall for directional well in coal bed (United States)

    Li, Yuwei; Jia, Dan; Wang, Meng; Liu, Jia; Fu, Chunkai; Yang, Xinliang; Ai, Chi


    In developing internal fracture systems in coal beds, the initiation mechanism differs greatly from that of conventional ones and initiations may be produced beyond the wellbore wall. This paper describes the features of the internal structure of coal beds and RFPA2D simulation is used to attest the possible occurrence of initiation beyond the wellbore wall in coal bed hydraulic fracturing. Using the theory of elasticity and fracture mechanics, we analyse the stress distribution in the vicinal coal rock. Then by taking into consideration the effects of the spatial relationship between coal bed cleats and the wellbore, we establish a model for calculating both tensile and shear initiation pressure that occur along cleats beyond the wellbore wall. The simulation in this paper indicates that for shear initiations that happen along coal cleats, the pressure required to initiate fracture for cleats beyond the wellbore wall is evidently lower than that on the wellbore wall, thus it is easier to initiate shear fractures for cleats beyond the wellbore wall. For tensile failure, the pressure required to initiate tensile fracture for cleats beyond the wellbore wall is obviously higher than that for cleats at the wellbore wall, thus it is easier to initiate tensile fractures for cleats at the wellbore wall. On the one hand, this paper has proved the possible occurrence of initiations beyond the wellbore wall and has changed the current assumption that hydraulic fractures can only occur at the wellbore wall. On the other hand, the established theoretical model provides a new approach to calculating the initiation pressure in hydraulic fracturing.

  2. Insufficiency fracture in the medial wall of the acetabulum after total hip arthroplasty. (United States)

    Kanaji, Arihiko; Ando, Kenichi; Nakagawa, Masato; Fukaya, Eiichi; Date, Hideki; Yamada, Harumoto


    Insufficiency fracture following total hip arthroplasty (THA) frequently occurs in the superior and inferior pubic ramus, the puboischial rami, or the ischium around the obturator foramen, while it rarely occurs in the medial wall of the acetabulum. Here, we report three cases showing insufficiency fracture in the medial wall of the acetabulum following THA. In our three cases, two fractures resulted from the development of bone fragility due to osteolysis at the prosthesis site, and the convergence of mechanical stress on the acetabular load bearing point due to loosening of the cup. We consider it appropriate to describe these fractures as another entity of stress fracture, namely, osteolytic fracture, rather than either pathologic fracture or insufficiency fracture.

  3. Geoid height-age relation from Seasat altimeter profiles across the Mendocino Fracture Zone (United States)

    Sandwell, D. T.; Schubert, G.


    Twenty-eight Seasat altimeter profiles crossing the Mendocino Fracture Zone are used together with seafloor ages determined from magnetic lineations to estimate the change in oceanic geoid height with age, between ages of 15 and 135 m.y. An unbiased estimate of the overall geoid offset along each profile is determined from a least-squares fit of the along-track derivative of the geoid to the geoid slope predicted from a simple two-layer gravitational edge effect model. Uncertainties based upon the statistical properties of each profile are also determined. A geoid slope-age relation is constructed by normalizing the geoid offsets and uncertainties by the age offsets. The results are in agreement with geoid slope-age relations determined from symmetrically spreading ridges (Sandwell and Schubert, 1980). However, the fracture zone estimates have smaller uncertainties and show less scatter. A comparison of these results with the geoid slope-age prediction of the boundary layer cooling model shows that the thermal structure begins to deviate from this model at an early age (20-40 m.y.). A plate cooling model with a thickness of 125 km is most compatible with the geoid slope-age estimates, although significant deviations occur; these may indicate that the lithospheric thermal structure is not entirely age dependent.

  4. Analysis of Building with and with out Shear Wall at Various Heights and Variation of Zone III and Zone V

    Directory of Open Access Journals (Sweden)



    Full Text Available It is well recognized that the incorporation of lateral load resisting systems in the form of shear walls, bracing systems etc. improve the structural performance of buildings subjected to lateral forces due to earthquake excitation. The seismic behavior of buildings is strongly affected by the arrangement of shear walls, the rigidity of floors and the connections of floors to the walls. The building with structural shear walls Improve the lateral load resistance. In the present project, an analytical parameter study is done for the structural shear walls with varying height for different models. The load combinations are consideration as per IS 1893 (Part-1:2002. The result in terms of axial forces, lateral displacement and bending moment in the structural shear walls with varying height are compared for different building models considered.As well as two reinforced concrete framed regular buildings with different zones locations of shear walls situated in seismic zone III and zone V have been analyzed in this study. Five-storied buildings were taken with shear-walls and without shear-walls. The design is above verified for this same structure using extended three dimensional analysis of buildings (STAAD Pro V8i software

  5. Tomographic index as auxiliary criteria for surgery indication in fracture dislocation of acetabulum posterior wall


    Fujiki, Edison N; Yamaguchi, Eduardo N; Miachiro, Edison; Chikude, Takechi; Ikemoto,Roberto Y.; de Abreu, Luiz Carlos; Valenti, Vitor Engrácia [UNESP; Rodrigues, Luciano M. R.; Monteiro, Carlos B; Milani, Carlo


    There are situations which the tomographic exam is done on the affected hip or situations where the contralateral hip presents abnormalities that make it impossible to compare. In this study we aimed to evaluate a tomographic index that does not require comparison between the both hips. Twenty two patients with unilateral acetabular fracture dislocation with fracture of posterior wall were studied. We established the relationship between the remaining posterior wall and the femoral head diame...

  6. Endoscopic- Assisted Trephination approach for repair of Frontal Sinus posterior wall fracture in a Child. (United States)

    Tarrats, Luis A; Torre-León, Carlos; Almodóvar, Gustavo; Portela, Juan C


    A 9 year-old male sustained multiple maxillofacial fractures after falling from a two-store building. Frontal sinuses suffered a bilateral non-displaced linear fractures extending into the anterior and posterior walls. Magnetic resonance imaging (MRI) at this time showed a small encephalocele extending into the right frontal sinus. Operative repair was performed using an Endoscopic-Assisted Trephination approach.

  7. Unusual combination of posterior femoral head dislocation with anterior and posterior wall fractures in the ipsilateral acetabulum. (United States)

    Chen, Wei; Su, Yanling; Zhang, Yingze; Zhang, Qi; Zheng, Zhanle; Pan, Jinshe


    Although hip dislocation combined with acetabular fracture is not an uncommon injury, anterior acetabular wall fractures rarely occur in patients who have posterior fracture-dislocations of the hip. This article presents a unique case of anterior and posterior wall fractures of the ipsilateral acetabulum in a patient who sustained traumatic posterior hip dislocation that resulted from a high-speed motor vehicle accident. The initial imaging evaluation, which did not include the obturator oblique view, revealed no concomitant anterior acetabular wall fracture. Repeated manipulative reductions were unsuccessful in reducing the displaced hip joint. Pelvic computed tomography (CT) scans revealed the initially missed anterior acetabular wall fracture fragments incarcerated in the left hip joint in addition to the hip dislocation and the posterior acetabular wall fracture. The incarcerated bone fragments lay between the anterior wall and the femoral head, and between the posterior wall and the femoral head, which appeared to derive from both anterior and posterior acetabular walls, respectively. Open reduction and internal fixation was performed to manage the posterior dislocation and associated acetabular fractures. Intraoperatively, the major anterior wall fragment was used to reconstruct the defected posterior wall. This case highlights the necessity of suspicion and pre- and postoperative monitoring of the obturator oblique view and CT scans to detect the potentially existing anterior acetabular wall fracture. Early surgical intervention is important to guarantee satisfactory outcomes of such complex fracture-dislocation injuries.

  8. Investigating shoulder muscle loading and exerted forces during wall painting tasks: influence of gender, work height and paint tool design. (United States)

    Rosati, Patricia M; Chopp, Jaclyn N; Dickerson, Clark R


    The task of wall painting produces considerable risk to the workers, both male and female, primarily in the development of upper extremity musculoskeletal disorders. Insufficient information is currently available regarding the potential benefits of using different paint roller designs or the possible adverse effects of painting at different work heights. The aim of this study was to investigate the influence of gender, work height, and paint tool design on shoulder muscle activity and exerted forces during wall painting. Ten young adults, five male and five female, were recruited to perform simulated wall painting at three different work heights with three different paint roller designs while upper extremity muscle activity and horizontal push force were recorded. Results demonstrated that for female participants, significantly greater total average (p = 0.007) and integrated (p = 0.047) muscle activity was present while using the conventional and curly flex paint roller designs compared to the proposed design in which the load was distributed between both hands. Additionally, for both genders, the high working height imposed greater muscular demands compared to middle and low heights. These findings suggest that, if possible, avoid painting at extreme heights (low or high) and that for female painters, consider a roller that requires the use of two hands; this will reduce fatigue onset and subsequently mitigate potential musculoskeletal shoulder injury risks.

  9. Can experts in acetabular fracture care determine hip stability after posterior wall fractures using plain radiographs and computed tomography? (United States)

    Davis, Adrian T; Moed, Berton R


    Hip stability status after a posterior wall acetabular fracture involving 20%-50% of the posterior wall is difficult to determine. However, noted experts have professed that hip stability can be accurately determined by careful review of high-quality anteroposterior and oblique plain radiographs and a computed tomography scan. The objective of this investigation was to evaluate the interobserver and intraobserver reliabilities and accuracies in determining hip stability status by fellowship-trained orthopedic traumatologists expert in acetabular fracture care using these studies. Reliability and validation study. Level 1 trauma center. Fifteen patients with isolated unilateral posterior wall (OTA 62-A1) acetabular fractures involving 20%-50% of the posterior acetabular wall and known clinical outcome had undergone dynamic stress fluoroscopy under anesthesia to determine hip stability. High-quality anteroposterior and oblique plain radiographs and axial computed tomography images of 15 fractures involving 20%-50% of the posterior acetabular wall were reviewed in random order by 4 fellowship-trained orthopedic traumatologists specializing in acetabular fracture care in 2 separate sessions. The second session occurred after a minimum 1-month washout period. Determination of hip stability status was made for each fracture at the 2 time points based on the images along with any history of dislocation of the hip at the time of injury. These determinations were compared with the findings of examination under anesthesia, which served as the gold standard. Measurement of agreement using the Kappa statistic. Although intraobserver reliability was good (0.65), interobserver reliability was poor (0.12). In addition, percent correct was only 53% (32/60) for the initial reading and only 52% (31/60) for the second. For the initial reading, sensitivity and specificity were 100% (28/28) and 13% (4/32), respectively. For the second reading, the sensitivity and specificity were 57

  10. Fractures of the posterior wall of the frontal sinus: non-surgical management and complications. (United States)

    Villafán-Quiroga, Ronald; Cienfuegos-Monroy, Ricardo; Sierra-Martínez, Eduardo


    treatment of frontal sinus fractures remains controversial. If the posterior wall is fractured and there is cerebrospinal fluid leak, treatment seeks to restore the integrity of the dura and isolate the intracranial contents through the obliteration of the nasofrontal duct and cranialization. Another group supports nonoperative management CSF leakage is produced. The purpose is to avoid complications of meningitis, fistula and late sequelae. The difficulty lies in predicting which patients will develop complications. The aim of this study is to identify complications in patients with posterior wall fracture of the frontal sinus treated nonsurgically. an observational, cross-sectional, retrospective study was conducted with 20 patients with posterior wall fractures of the frontal sinus treated nonsurgically at the Hospital de Traumatología y Ortopedia Lomas Verdes, Service of Maxillofacial Surgery from January 2007 to October 2009. twenty patients with posterior wall fractures of the frontal sinus were included. There were 17 males and 3 females. Fractures were divided into groups according to their degree of movement and presence of cerebrospinal fluid fistula. Postoperative complications were cerebrospinal fluid fistula and frontal abscess. nonsurgical treatment has proven to be an option, although not free from complications, the most common being CSF fistula and abscess. Future comparative studies should be carried out to define therapeutic strategies usibg clinical monitoring and long-term imaging.

  11. MRI assessment of the posterior acetabular wall fracture in traumatic dislocation of the hip in children

    Energy Technology Data Exchange (ETDEWEB)

    Rubel, Ivan F.; Kloen, Peter; Helfet, David L. [Department of Orthopaedic Surgery, Weill Medical College of Cornell University, New York, NY (United States); Potter, Hollis G. [MRI Department, Diagnostic Radiology, Hospital for Special Surgery, New York (United States)


    Traumatic hip dislocations associated with posterior wall fractures of the acetabulum in the pediatric population are in general a consequence of high-energy trauma. After expeditious reduction, instability mandates for further diagnosis and intervention. Plain radiographs or computerized tomography (CT) scans can misjudge the involvement of the posterior wall of the acetabulum due to the partially calcified nature of the pediatric bone. We present two cases of pediatric traumatic hip dislocation associated with posterior wall fractures of the acetabulum. In both cases, obvious postreduction instability was noted without conclusive findings of etiology on plain X-rays or CT scans. Magnetic resonance imaging (MRI) disclosed an extensive posterior wall traumatic involvement in both cases and helped to decide in favor of open reduction of the hip and internal fixation of the posterior wall fragment. (orig.)

  12. Acoustic and optical borehole-wall imaging for fractured-rock aquifer studies (United States)

    Williams, J.H.; Johnson, C.D.


    Imaging with acoustic and optical televiewers results in continuous and oriented 360?? views of the borehole wall from which the character, relation, and orientation of lithologic and structural planar features can be defined for studies of fractured-rock aquifers. Fractures are more clearly defined under a wider range of conditions on acoustic images than on optical images including dark-colored rocks, cloudy borehole water, and coated borehole walls. However, optical images allow for the direct viewing of the character of and relation between lithology, fractures, foliation, and bedding. The most powerful approach is the combined application of acoustic and optical imaging with integrated interpretation. Imaging of the borehole wall provides information useful for the collection and interpretation of flowmeter and other geophysical logs, core samples, and hydraulic and water-quality data from packer testing and monitoring. ?? 2003 Elsevier B.V. All rights reserved.

  13. Considerations for the Management of Medial Orbital Wall Blowout Fracture (United States)

    Park, Youngsoo; Chung, Kyu Jin


    Recently, diagnoses of and operations for medial orbital blowout fracture have increased because of the development of imaging technology. In this article, the authors review the literature, and overview the accumulated knowledge about the orbital anatomy, fracture mechanisms, surgical approaches, reconstruction materials, and surgical methods. In terms of surgical approaches, transcaruncular, transcutaneous, and transnasal endoscopic approaches are discussed. Reconstruction methods including onlay covering, inlay implantation, and repositioning methods are also discussed. Consideration and understanding of these should lead to more optimal outcomes. PMID:27218019

  14. Biomechanical comparison of different stabilization constructs for unstable posterior wall fractures of acetabulum. A cadaveric study.

    Directory of Open Access Journals (Sweden)

    Yuntong Zhang

    Full Text Available PURPOSE: Operative treatment of unstable posterior wall fractures of acetabulum has been widely recommended. This laboratory study was undertaken to evaluate static fixation strength of three common fixation constructs: interfragmentary screws alone, in combination with conventional reconstruction plate, or locking reconstruction plate. METHODS: Six formalin-preserved cadaveric pelvises were used for this investigation. A posterior wall fracture was created along an arc of 40-90 degree about the acetabular rim. Three groups of different fixation constructs (two interfragmentary screws alone; two interfragmentary screws and a conventional reconstruction plate; two interfragmentary screws and a locking reconstruction were compared. Pelvises were axial loaded with six cycles of 1500 N. Dislocation of superior and inferior fracture site was analysed with a multidirectional ultrasonic measuring system. RESULTS: No statistically significant difference was found at each of the superior and inferior fracture sites between the three types of fixation. In each group, the vector dislocation at superior fracture site was significantly larger than inferior one. CONCLUSIONS: All those three described fixation constructs can provide sufficient stability for posterior acetabular fractures and allow early mobilization under experimental conditions. Higher posterior acetabular fracture line, transecting the weight-bearing surface, may indicate a substantial increase in instability, and need more stable pattern of fixation.

  15. Ipsilateral Traumatic Posterior Hip Dislocation, Posterior Wall and Transverse Acetabular Fracture with Trochanteric Fracture in an adult: Report of First Case

    Directory of Open Access Journals (Sweden)

    Skand Sinha


    Full Text Available Introduction: Posterior dislocation of the hip joint with associated acetabular and intertrochanteric fracture is a complex injury. Early recognition, prompt and stable reduction is needed of successful outcome. Case Report: 45 year old male patient presented with posterior dislocation of the hip with transverse fracture with posterior wall fracture of acetabulam and intertrochanteric fracture on the ipsilateral side. The complex fracture geometry was confirmed by CT scan. The patient was successfully managed by open reduction and internal fixation of intertrochanteric fracture was achieved with dynamic hip screw (DHS plate fixation followed by fixation of acetabular fracture with reconstruction plate. Conclusion: Hip dislocation combined with acetabular fracture is an uncommon injury; this article presents a unique case of posterior wall and transverse fractures of ipsilateral acetabulum with intertrochanteric fracture in a patient who sustained traumatic posterior hip dislocation. Early surgical intervention is important for satisfactory outcomes of such complex fracture-dislocation injuries. Keywords: Hip dislocation; acetabular fractures; intertrochanteric fracture; operative treatment.

  16. Modified Kocher-Langenbeck approach for the stabilization of posterior wall fractures of the acetabulum. (United States)

    Magu, Narender Kumar; Rohilla, Rajesh; Arora, Sanjay; More, Hament


    This article describes a modification of Kocher-Langenbeck approach for the treatment of select posterior wall fractures of acetabulum. The technique aims at achieving osteosynthesis by creating two windows: between the gluteus medius and piriformis superiorly and between the external rotators and ischial tuberosity inferiorly. The approach spares the division of external rotators and of the abductors of the hip, thus preventing iatrogenic damage to the vascularity of the head of the femur and of the fracture fragments. The reconstruction plate can be slid under the piriformis and the short external rotators, thus preserving the soft tissue sleeve of the hip posteriorly. The gluteus minimus is not stripped from the ilium. The technique is ideally suited for isolated, displaced, noncomminuted posterior wall fractures of acetabulum of less than 10 days' duration without marginal impaction. The technique is biologic, takes a shorter operative time in our hands, and prevents further damage to vascularity of the head of the femur and heterotopic ossification.

  17. Interlaminar Fracture Toughness of CFRP Laminates Incorporating Multi-Walled Carbon Nanotubes

    Directory of Open Access Journals (Sweden)

    Elisa Borowski


    Full Text Available Carbon fiber reinforced polymer (CFRP laminates exhibit limited fracture toughness due to characteristic interlaminar fiber-matrix cracking and delamination. In this article, we demonstrate that the fracture toughness of CFRP laminates can be improved by the addition of multi-walled carbon nanotubes (MWCNTs. Experimental investigations and numerical modeling were performed to determine the effects of using MWCNTs in CFRP laminates. The CFRP specimens were produced using an epoxy nanocomposite matrix reinforced with carboxyl functionalized multi-walled carbon nanotubes (COOH–MWCNTs. Four MWCNTs contents of 0.0%, 0.5%, 1.0%, and 1.5% per weight of the epoxy resin/hardener mixture were examined. Double cantilever beam (DCB tests were performed to determine the mode I interlaminar fracture toughness of the unidirectional CFRP composites. This composite material property was quantified using the critical energy release rate, GIC. The experimental results show a 25%, 20%, and 17% increase in the maximum interlaminar fracture toughness of the CFRP composites with the addition of 0.5, 1.0, and 1.5 wt% MWCNTs, respectively. Microstructural investigations using Fourier transform infrared (FTIR spectroscopy and X-ray photoelectron spectroscopy (XPS verify that chemical reactions took place between the COOH–MWCNTs and the epoxy resin, supporting the improvements experimentally observed in the interlaminar fracture toughness of the CFRP specimens containing MWCNTs. Finite element (FE simulations show good agreement with the experimental results and confirm the significant effect of MWCNTs on the interlaminar fracture toughness of CFRP.

  18. Fracture Strength of Three-Unit Implant Supported Fixed Partial Dentures with Excessive Crown Height Fabricated from Different Materials

    Directory of Open Access Journals (Sweden)

    Vahideh Nazari


    Full Text Available Objectives: Fracture strength is an important factor influencing the clinical long-term success of implant-supported prostheses especially in high stress situations like excessive crown height space (CHS. The purpose of this study was to compare the fracture strength of implant-supported fixed partial dentures (FPDs with excessive crown height, fabricated from three different materials.Materials and Methods: Two implants with corresponding abutments were mounted in a metal model that simulated mandibular second premolar and second molar. Thirty 3-unit frameworks with supportive anatomical design were fabricated using zirconia, nickel-chromium alloy (Ni-Cr, and polyetheretherketone (PEEK (n=10. After veneering, the CHS was equal to 15mm. Then; samples were axially loaded on the center of pontics until fracture in a universal testing machine at a crosshead speed of 0.5 mm/minute. The failure load data were analyzed by one-way ANOVA and Games-Howell tests at significance level of 0.05.Results: The mean failure loads for zirconia, Ni-Cr and PEEK restorations were 2086±362N, 5591±1200N and 1430±262N, respectively. There were significant differences in the mean failure loads of the three groups (P<0.001. The fracture modes in zirconia, metal ceramic and PEEK restorations were cohesive, mixed and adhesive type, respectively.Conclusions: According to the findings of this study, all implant supported three-unit FPDs fabricated of zirconia, metal ceramic and PEEK materials are capable to withstand bite force (even para-functions in the molar region with excessive CHS.Keywords: Dental Implants; Polyetheretherketone; Zirconium oxide; Dental Restoration Failure; Dental Porcelain

  19. Small Supracilliary Incision for the Management of Fracture of Supraorbital Rim and Anterior Wall of Frontal Sinus


    Agrawal Amit


    With the development of biomedical materials and new techniques in craniofacial sinus surgery, the management of frontal sinus fractures is advanced considerably. We discuss a case of fracture of anterior wall of frontal sinus that was also associated with fracture of the supra-orbital rim and describe supracilliary approach through a small incision (approximately 3 cm) used for the management in this case. With this approach we could successfully expose and reduce the fracture fragments with...

  20. Effect of ferrule height and glass fibre post length on fracture resistance and failure mode of endodontically treated teeth. (United States)

    Abdulrazzak, Shurooq S; Sulaiman, Eshamsul; Atiya, Basim K; Jamaludin, Marhazlinda


    The purpose of this study was to evaluate the combined effect of ferrule height and post length on fracture resistance and failure mode of endodontically treated teeth restored with glass fibre posts, composite resin cores and crowns. Ninety human maxillary central incisors were endodontically treated and divided into three groups (n = 30) according to the ferrule heights: 4, 2 and 0 mm, respectively. Post spaces in each group were prepared at 2/3, 1/2 and 1/3 of the root length (n = 10). The specimens were received fibre posts, composite resin core build up and cast metal crowns. After thermocycling, compressive static load was applied at an angle of 135° to the crowns. Two-way analysis of variance showed significant differences in the failure load in the ferrule height groups, no significant differences in post length groups and no significant interaction between ferrule heights and post lengths. More restorable failure modes were observed.

  1. Pneumothorax, without chest wall fracture, following airbag deployment

    Directory of Open Access Journals (Sweden)

    Samuel Parsons


    Full Text Available Air bags are an automatic crash protection system. They have been shown to reduce mortality from motor vehicle accidents by 31% following direct head-on impacts, by 19% following any frontal impact and by 11% overall. Despite obvious benefits there has been a corresponding increase in the number of injuries resulting from their deployment. We describe a case of a pneumothorax in the absence of chest wall pathology associated with airbag deployment, in a belted driver. There has been one previous description of pneumothorax associated with airbag deployment, in an unbelted driver.

  2. Minimal-invasive posterior approach in the treatment of the posterior wall fractures of the acetabulum. (United States)

    Spagnolo, Rosario; Bonalumi, Matteo; Pace, Fabrizio; Capitani, Dario


    We examined patients affected by a posterior wall fracture of the acetabulum treated with a minimally invasive posterior approach (from 12 to 18 cm). During 2004-2006 19 patients were treated by this approach. 4 patients had a combined surgery by the ileo-inguinal approach. Fracture fixation was performed using reconstruction plates and screws. All the patients were studied with typical X-rays projection for pelvis and iliac oblique view and obturator oblique view (Judet view) and CT scan with 3D reconstruction. After 3 months a CT scan was performed on about 30% of our patients, which demonstrated the perfect healing of the fractures. The most important advantages we observed using this approach were a lesser split of the gluteus maximus and no risk of damage for the superior gluteal nerve. In the early post-operative rehabilitation we examined the trophism of the gluteus maximus, which was found to be better than in patients treated with the typical Kocher-Langenbeck approach. The only absolute contraindication for this technique is in obese patients. The post-operative complications include one case of heterotypic ossification of the gluteus minimus and one case of peroneal-nerve palsy with the spontaneous and complete recovery within 6 months. According to our experience this kind of approach could be used for posterior wall fracture of the pelvis and it can be extended to transverse fractures. In the post-operative period the greatest advantage is the lesser muscle damage and therefore a most effective rehabilitation.

  3. Reconstruction of Large Orbital Posterior Floor Wall Fracture Considering Orbital Floor Slope Using Endoscope. (United States)

    Park, Jinhwan; Huh, Jungah; Lee, Joonsik; Chang, Minwook; Lee, Hwa; Park, Minsoo; Baek, Sehyun


    Reconstruction of a large orbital fracture extending to the posterior wall of the maxillary sinus is difficult and challenging. In this study, the authors present transconjunctival or transcaruncular approach using endoscopy and layered porous polyethylene barrier sheets to manage large orbital floor wall fracture. A retrospective review of all patients who underwent reconstruction of large orbital floor wall fractures between June 2009 and July 2015 was conducted. Patient demographics, degree of enophthalmos, ocular motility and diplopia test results, and surgical complications were reviewed. This study included 53 eyes of 53 patients. The mean time from trauma to surgery was 34.1 days (range, 1-360 days). The average postoperative follow-up period was 6.1 months (range, 3-14 months). The degrees of enophthalmos preoperatively, and 1 week, 1 month, and 3 months postoperatively were -1.98 mm (range, -1.5 to -3 mm), 0.13 mm (range, -1.0 to +1.5 mm), -0.09 mm (range, -2.0 to +1.5 mm), and -0.43 mm (range, -2.0 to +1.0 mm), respectively. The mean improvement in enophthalmos at 3 months postoperation was 1.55 mm (P < 0.001). There was only 1 patient with residual 2 mm enophthalmos at 3 months postoperation. There were no definite surgical complications in any patient. Sufficient dissection to the posterior extent of the fracture and reconstruction of the orbital floor slope are the most important surgical factors to prevent residual enophthalmos. The authors believe using an endoscope and layered porous polyethylene are effective techniques in challenging patients with large orbital wall fracture.

  4. Fracture Strength of Three-Unit Implant Supported Fixed Partial Dentures with Excessive Crown Height Fabricated from Different Materials (United States)

    Nazari, Vahideh; Ghodsi, Safoura; Alikhasi, Marzieh; Shamshiri, Ahmad Reza


    Objectives: Fracture strength is an important factor influencing the clinical long-term success of implant-supported prostheses especially in high stress situations like excessive crown height space (CHS). The purpose of this study was to compare the fracture strength of implant-supported fixed partial dentures (FPDs) with excessive crown height, fabricated from three different materials. Materials and Methods: Two implants with corresponding abutments were mounted in a metal model that simulated mandibular second premolar and second molar. Thirty 3-unit frameworks with supportive anatomical design were fabricated using zirconia, nickel-chromium alloy (Ni-Cr), and polyetheretherketone (PEEK) (n=10). After veneering, the CHS was equal to 15mm. Then; samples were axially loaded on the center of pontics until fracture in a universal testing machine at a crosshead speed of 0.5 mm/minute. The failure load data were analyzed by one-way ANOVA and Games-Howell tests at significance level of 0.05. Results: The mean failure loads for zirconia, Ni-Cr and PEEK restorations were 2086±362N, 5591±1200N and 1430±262N, respectively. There were significant differences in the mean failure loads of the three groups (Pzirconia, metal ceramic and PEEK restorations were cohesive, mixed and adhesive type, respectively. Conclusions: According to the findings of this study, all implant supported three-unit FPDs fabricated of zirconia, metal ceramic and PEEK materials are capable to withstand bite force (even para-functions) in the molar region with excessive CHS. PMID:28243301

  5. Fracture toughness of irradiated candidate materials for ITER first wall/blanket structures: Summary report

    Energy Technology Data Exchange (ETDEWEB)

    Alexander, D.J.; Pawel, J.E.; Grossbeck, M.L.; Rowcliffe, A.F. [Oak Ridge National Lab., TN (United States)] [and others


    Disk compact specimens of candidate materials for first wall/blanket structures in ITER have been irradiated to damage levels of about 3 dpa at nominal irradiation temperatures of either 90 250{degrees}C. These specimens have been tested over a temperature range from 20 to 250{degrees}C to determine J-integral values and tearing moduli. The results show that irradiation at these temperatures reduces the fracture toughness of austenic stainless steels, but the toughness remains quite high. The toughness decreases as the temperature increases. Irradiation at 250{degrees}C is more damaging that at 90{degrees}C, causing larger decreases in the fracture toughness. The ferritic-martensitic steels HT-9 and F82H show significantly greater reductions in fracture toughness that the austenitic stainless steels.

  6. Cosmic bubble and domain wall instabilities II: Fracturing of Colliding Walls

    CERN Document Server

    Braden, Jonathan; Mersini-Houghton, Laura


    We study collisions between nearly planar domain walls including the effects of small initial nonplanar fluctuations. These perturbations represent the small fluctuations that must exist in a quantum treatment of the problem. In a previous paper, we demonstrated that at the linear level a subset of these fluctuations experience parametric amplification as a result of their coupling to the planar symmetric background. Here we study the full three-dimensional nonlinear dynamics using lattice simulations, including both the early time regime when the fluctuations are well described by linear perturbation theory as well as the subsequent stage of fully nonlinear evolution. We find that the nonplanar fluctuations have a dramatic effect on the overall evolution of the system. Specifically, once these fluctuations begin to interact nonlinearly the split into a planar symmetric part of the field and the nonplanar fluctuations loses its utility. At this point the colliding domain walls dissolve, with the endpoint of t...

  7. Non-Darcian flow experiments of shear-thinning fluids through rough-walled rock fractures (United States)

    Rodríguez de Castro, Antonio; Radilla, Giovanni


    Understanding non-Darcian flow of shear-thinning fluids through rough-walled rock fractures is of vital importance in a number of industrial applications such as hydrogeology or petroleum engineering. Different laws are available to express the deviations from linear Darcy law due to inertial pressure losses. In particular, Darcy's law is often extended through addition of quadratic and cubic terms weighted by two inertial coefficients depending on the strength of the inertia regime. The relations between the effective shear viscosity of the fluid and the apparent viscosity in porous media when inertial deviations are negligible were extensively studied in the past. However, only recent numerical works have investigated the superposition of both inertial and shear-thinning effects, finding that the same inertial coefficients obtained for non-Darcian Newtonian flow applied in the case of shear-thinning fluids. The objective of this work is to experimentally validate these results, extending their applicability to the case of rough-walled rock fractures. To do so, flow experiments with aqueous polymer solutions have been conducted using replicas of natural fractures, and the effects of polymer concentration, which determine the shear rheology of the injected fluid, have been evaluated. Our findings show that the experimental pressure loss-flow rate data for inertial flow of shear-thinning fluids can be successfully predicted from the empirical parameters obtained during non-Darcian Newtonian flow and Darcian shear-thinning flow in a given porous medium.

  8. Flexible fiber transport by a fluid flow in fractures with smooth and rough walls

    Energy Technology Data Exchange (ETDEWEB)

    D' Angelo, M V [Grupo de Medios Porosos, Facultad de Ingenieria, Universidad de Buenos Aires, Paseo Colon 850 C1063 ACV, Buenos Aires, CONICET (Argentina); Auradou, H; Hulin, J P [Univ Pierre et Marie Curie-Paris 6, Univ Paris-Sud, CNRS, Lab FAST, Bat 502, Campus Univ, Orsay, F-91405 (France); Picard, G; Poitzsch, M, E-mail: vdangelo@fi.uba.a, E-mail: auradou@fast.u-psud.f [Schlumberger-Doll Research, 1 Hampshire St, Cambridge, MA 02139 (United States)


    The transport of flexible fibers by a flowing fluid has been studied experimentally in transparent model fractures. Both finite length segments (20mm <= l <= 150 mm) and continuous fibers penetrating freely into the model were used; their motion is monitored by means of a digital camera and of an image thresholding technique and is induced by the flow of water or of a polymer solution at a mean velocity U (50 <= U <= 400 mm.s{sup -1}). In a model with plane smooth parallel walls, the influence of the friction with the walls is small: fiber segments reach quickly a constant velocity as their distance x{sub m} to the inlet increases, the velocity of continuous fibers increases slower with distance before reaching a constant value. The second model fracture has two complementary rough self-affine walls with a relative lateral shift; it displays, in addition, a gradient of the aperture in the direction transverse to the mean flow. For this model, the transport of the fibers by flowing water is only possible in the region of largest aperture and is of a 'stop and go' type at low velocities. If water is replaced by the shear thinning polymer solution, the fibers move faster and continuously in high aperture regions; fiber transport also becomes possible in narrower regions.

  9. Effect of Aspect Ratio, Channel Orientation, Rib Pitch-to-Height Ratio, and Number of Ribbed Walls on Pressure Drop Characteristics in a Rotating Channel with Detached Ribs

    Directory of Open Access Journals (Sweden)

    K. Arun


    Full Text Available The present work involves experimental investigation of the effects of aspect ratio, channel orientation angle, rib pitch-to-height ratio (P/e, and number of ribbed walls on friction factor in orthogonally rotating channel with detached ribs. The ribs are separated from the base wall to provide a small region of flow between the base wall and the ribs. Experiments have been conducted at Reynolds number ranging from 10000–17000 with rotation numbers varying from 0–0.38. Pitch-to-rib height ratios (P/e of 5 and 10 at constant rib height-to-hydraulic diameter ratio (e/D of 0.1 and a clearance ratio (C/e of 0.38 are considered. The rib angle of attack with respect to mainstream flow is 90∘. The channel orientation at which the ribbed wall becomes trailing surface (pressure side on which the Coriolis force acts is considered as the 0∘ orientation angle. For one-wall ribbed case, channel is oriented from 0∘ to 180∘ about its axis in steps of 30∘ to change the orientation angle. For two-wall ribbed case, the orientation angle is changed from 0∘ to 90∘ in steps of 30∘. Friction factors for the detached ribbed channels are compared with the corresponding attached ribbed channel. It is found that in one-wall detached ribbed channel, increase in the friction factor ratio with the orientation angle is lower for rectangular channel compared to that of square channel for both the pitch-to-rib height ratios of 5 and 10 at a given Reynolds number and rotation number. Friction factor ratios of two-wall detached ribbed rectangular channel are comparable with corresponding two-wall detached ribbed square channel both under stationary and rotating conditions.

  10. The Reverse Thomas Position for Thoracolumbar Fracture Height Restoration: Relative Contribution of Patient Positioning in Percutaneous Balloon Kyphoplasty for Acute Vertebral Compressions (United States)

    Cawley, Derek T.; Beecher, Suzanne M.; Baker, Joseph F.; McCabe, John P.


    Background Standard positioning for percutaneous balloon kyphoplasty requires placing a patient prone with supports under the iliac crests and upper thorax. The authors believe that hip hyperextension maximises pelvic anteversion creating anterior longitudinal ligamentotaxis, thus facilitating restoration of vertebral height. Methods Radiographic imaging including pre-operative, post-positioning, post balloon tamp inflation and post-operative lateral radiographs were analysed for anterior and posterior column height, wedge angle of the affected vertebra and 3-level Cobb angle in patients with recent fractures of T11-L1. Fracture dimensions of the index vertebra were expressed as percentage of the analogous dimension of the referent vertebra. Results From a total of 149 patients, a full imaging sequence was available on 21 cases of vertebral compression fractures. The described positioning technique created a mean anterior column height increase from 68.3% to 75.3% with positioning (p = 0.15), increasing to 82.3% post balloon inflation. Average Cobb and wedge angle improvement of 4.7° (p = 0.004)and 3.6° (p = 0.002) from positioning along were also recorded. Conclusion The Reverse Thomas Position is a safe and effective technique for augmenting thoracolumbar fracture height restoration in percutaneous balloon kyphoplasty. PMID:27441179

  11. Overexpression of poplar xylem sucrose synthase in tobacco leads to a thickened cell wall and increased height. (United States)

    Wei, Zhigang; Qu, Zanshuang; Zhang, Lijie; Zhao, Shuanjing; Bi, Zhihong; Ji, Xiaohui; Wang, Xiaowen; Wei, Hairong


    Sucrose synthase (SuSy) is considered the first key enzyme for secondary growth because it is a highly regulated cytosolic enzyme that catalyzes the reversible conversion of sucrose and UDP into UDP-glucose and fructose. Although SuSy enzymes preferentially functions in the direction of sucrose cleavage at most cellular condition, they also catalyze the synthetic reaction. We isolated a gene that encodes a SuSy from Populus simonii×Populus nigra and named it PsnSuSy2 because it shares high similarity to SuSy2 in Populus trichocarpa. RT-PCR revealed that PsnSuSy2 was highly expressed in xylem, but lowly expressed in young leaves. To characterize its functions in secondary growth, multiple tobacco overexpression transgenic lines of PnsSuSy2 were generated via Agrobacterium-mediated transformation. The PsnSuSy2 expression levels and altered wood properties in stem segments from the different transgenic lines were carefully characterized. The results demonstrated that the levels of PsnSuSy2 enzyme activity, chlorophyll content, total soluble sugars, fructose and glucose increased significantly, while the sucrose level decreased significantly. Consequently, the cellulose content and fiber length increased, whereas the lignin content decreased, suggesting that PsnSuSy2 plays a significant role in cleaving sucrose into UDP-glucose and fructose to facilitate cellulose biosynthesis and that promotion of cellulose biosynthesis suppresses lignin biosynthesis. Additionally, the noticeable increase in the lodging resistance in transgenic tobacco stem suggested that the cell wall characteristics were altered by PsnSuSy2 overexpression. Scanning electron microscopy was performed to study the cell wall morphology of stem, and surprisingly, we found that the secondary cell wall was significantly thicker in transgenic tobacco. However, the thickened secondary cell wall did not negatively affect the height of the plants because the PsnSuSy2- overexpressing lines grew taller than the

  12. Overexpression of poplar xylem sucrose synthase in tobacco leads to a thickened cell wall and increased height.

    Directory of Open Access Journals (Sweden)

    Zhigang Wei

    Full Text Available Sucrose synthase (SuSy is considered the first key enzyme for secondary growth because it is a highly regulated cytosolic enzyme that catalyzes the reversible conversion of sucrose and UDP into UDP-glucose and fructose. Although SuSy enzymes preferentially functions in the direction of sucrose cleavage at most cellular condition, they also catalyze the synthetic reaction. We isolated a gene that encodes a SuSy from Populus simonii×Populus nigra and named it PsnSuSy2 because it shares high similarity to SuSy2 in Populus trichocarpa. RT-PCR revealed that PsnSuSy2 was highly expressed in xylem, but lowly expressed in young leaves. To characterize its functions in secondary growth, multiple tobacco overexpression transgenic lines of PnsSuSy2 were generated via Agrobacterium-mediated transformation. The PsnSuSy2 expression levels and altered wood properties in stem segments from the different transgenic lines were carefully characterized. The results demonstrated that the levels of PsnSuSy2 enzyme activity, chlorophyll content, total soluble sugars, fructose and glucose increased significantly, while the sucrose level decreased significantly. Consequently, the cellulose content and fiber length increased, whereas the lignin content decreased, suggesting that PsnSuSy2 plays a significant role in cleaving sucrose into UDP-glucose and fructose to facilitate cellulose biosynthesis and that promotion of cellulose biosynthesis suppresses lignin biosynthesis. Additionally, the noticeable increase in the lodging resistance in transgenic tobacco stem suggested that the cell wall characteristics were altered by PsnSuSy2 overexpression. Scanning electron microscopy was performed to study the cell wall morphology of stem, and surprisingly, we found that the secondary cell wall was significantly thicker in transgenic tobacco. However, the thickened secondary cell wall did not negatively affect the height of the plants because the PsnSuSy2- overexpressing lines

  13. Combination of absorbable mesh and demineralized bone matrix in orbital wall fracture for preventing herniation of orbit. (United States)

    Tak, Kyoung Seok; Jung, Min Su; Lee, Byeong Ho; Kim, Joo Hyun; Ahn, Duk Kyun; Jeong, Hii Sun; Park, Young Kyu; Suh, In Suck


    After restoration of orbit wall fracture, preventing sequelae is important. An absorbable mesh is commonly used in orbit wall fracture, yet it has limitation due to orbit sagging when bony defect is larger than the moderate size (1 × 1 cm2). In this study, the authors present a satisfactory result in treating orbit wall fracture larger than the moderate size with a combination of absorbable mesh and demineralized bone matrix.From 2009 to 2012, 63 patients with bony defect larger than the moderate size, who were treated with a combination of absorbable mesh and demineralized bone matrix, were reviewed retrospectively. The site of bony defect, size, and applied amount of demineralized bone matrix were reviewed, and a 2-year follow-up was done. Facial computed tomography scans were checked preoperative, immediate postoperative, and 2-year postoperative.Among the 63 patients, there were 52 men and 11 women. Mean age was 33.3 years. The most common cause was blunt blow (35 cases); mean defect size was 13.36 × 12.82 mm2 in inferior wall fracture and 20.69 × 14.41 mm2 in medial wall fracture. There was no complication except for 3 cases of infraorbital nerve hypoesthesia. A 2-year follow-up computed tomography showed that the surgical site preserved bony formation without herniation. In treating moderate-sized bony defect in orbit wall fracture, absorbable mesh and demineralized bone matrix can maintain structural stability through good bony formation even after degradation of absorbable mesh.

  14. Anisotropy of tracer dispersion in rough model fractures with sheared walls

    CERN Document Server

    Boschan, Alejandro; Ippolito, Irene; Chertcoff, Ricardo; Hulin, Jean-Pierre


    Dispersion experiments are compared for two transparent model fractures with identical complementary rough walls but with a relative shear displacement $\\vec{\\delta}$ parallel ($\\vec{\\delta}\\parallel \\vec{U}$) or perpendicular ($\\vec{\\delta} \\perp \\vec{U}$) to the flow velocity $\\vec{U}$. The structure of the mixing front is characterized by mapping the local normalized local transit time $\\bar t(x,y)$ and dispersivity $\\alpha(x,y)$. For $\\vec{\\delta} \\perp \\vec{U}$, displacement fronts display large fingers: their geometry and the distribution of $\\bar t(x,y)U/x$ are well reproduced by assuming parallel channels of hydraulic conductance deduced from the aperture field. For $\\vec{\\delta} \\parallel \\vec{U}$, the front is flatter and $\\alpha(x,y)$ displays a narrow distribution and a Taylor-like variation with $Pe$.

  15. Finite element analysis of the stability of combined plate internal fixation in posterior wall fractures of acetabulum. (United States)

    Liu, Xi-Ming; Pan, Chang-Wu; Wang, Guo-Dong; Cai, Xian-Hua; Chen, Lei; Meng, Cheng-Fei; Huang, Jin-Cheng


    This study aims to explore the mechanical stability of combined plate internal fixation in posterior wall fractures of the acetabulum. The fracture and internal fixation models were established in this study and they were divided into four kinds of internal fixation models, finite element analysis was performed. The four groups were 2 mini-plates and 1 reconstruction plate fixation (A), Reconstruction plate internal fixation group (B), 2 screws internal fixation group (C) and mini-plates internal fixation group (D). The displacement of each node was measured and evaluated. There was no distortion in the geometric shape of the finite element model. The results of stress showed that it was less in the anterior pelvic ring and distributed uniform in labrum acetabulare; the stress was bigger in the upper and middle of sacroiliac joint and sciatic notch in sitting position. Combined plate internal fixation for posterior wall fractures of acetabular were stable and reliable, it is better than the other three methods.

  16. Integrity of the lateral femoral wall in intertrochanteric hip fractures: an important predictor of a reoperation

    DEFF Research Database (Denmark)

    Palm, Henrik; Jacobsen, Steffen; Sonne-Holm, Stig;


    BACKGROUND: Reoperations after intertrochanteric fractures are often necessitated by fracture displacement following mobilization of the patient. The biomechanical complexity of the fracture, the position of the implant, and the patient's characteristics are known to influence postoperative outco...

  17. Seismic Performance of Precast Reinforced Concrete Core Wall with Horizontal Tied Rebars at Mid Height Level of First Story


    Nakachi, Tadaharu


    Precast core walls are considered effective for construction because they can be built more quickly than cast-in-place core walls. Previously, we conducted a lateral loading test on a full precast wall column simulating the area near the corner of an L-shaped core wall in order to examine the seismic performance. The wall column was divided into precast columns, and horizontal tied rebars were concentrated at the second and third floor levels to connect the precast columns. In this study, a l...

  18. Reconstruction of Orbital Floor Fractures with Autogenous Bone Graft Application from Anterior Wall of Maxillary Sinus: A Retrospective Study. (United States)

    Bande, Chandrashekhar R; Daware, Surendra; Lambade, Pravin; Patle, Bhaskar


    Orbital wall fracture implies a situation where disruptions of the walls or floor have occurred. It is a blowout type fracture where bone fragments with torn periosteum are pushed outside of the original bony orbit. There is no intact bone even near the defect area except the thin bone rim surrounding the blowout fracture. The purpose of this defect repair is to support orbital contents, free entrapped tissue, and, especially, restore the original orbital volume. Ten patients (seven males and three females) who underwent repair of orbital floor factures with maxillary sinus bone grafts were included in this study. Surgical procedure for harvesting graft and its fixation was almost same in all operated cases. The collection in the maxillary sinus due to fracture of floor of orbit, blood and bony fragments collected in the maxillary sinus can be easily drained and removed after removal of anterior wall of maxillary sinus and through the same approach you can reduce the floor of orbit manually to the proper position which helps to decease the orbital floor defect.

  19. Propensity for hip dislocation in normal gait loading versus sit-to-stand maneuvers in posterior wall acetabular fractures. (United States)

    Marmor, Meir; McDonald, Erik; Buckley, Jenni M; Matityahu, Amir


    Treatment of posterior wall (PW) fractures of the acetabulum is guided by the size of the broken wall fragment and by hip instability. Biomechanical testing of hip instability typically is done by simulating the single-leg-stance (SLS) phase of gait, but this does not represent daily activities, such as sit-to-stand (STS) motion. We conducted a study to examine and compare hip instability after PW fractures in SLS and STS loading. We hypothesized that wall fragment size and distance from the dome (DFD) of the acetabulum to the simulated fracture would correlate with hip instability and, in the presence of a PW fracture, the hip would be more unstable during STS loading than during SLS loading. Incremental PW osteotomies were made in 6 cadaveric acetabula. After each osteotomy, a 1200-N load was applied to the acetabulum to simulate SLS and STS loading until dislocation occurred. All hip joints in the cadaveric models were more unstable in STS loading than in SLS loading. PW fragments at time of dislocation were larger (Pfracture size of 33% or more and a DFD of 20 mm or less.

  20. Determination of the Height of the Water-Conducting Fractured Zone in Difficult Geological Structures: A Case Study in Zhao Gu No. 1 Coal Seam

    Directory of Open Access Journals (Sweden)

    Shuai Zhang


    Full Text Available The method for determining the upper limit for safe mining with regard to water and sand collapse prevention under thick alluvium and thin bedrock layers is a critical parameter for ensuring the sustainable development of a mine. The height of the water-conducting fractured zone (HWCFZ is an important index parameter in the prediction and prevention of water and sand collapse. This research was conducted based on the concrete geological condition of the Zhao Gu No. 1 coal mine. First, a field measurement method was used to observe the HWCFZ of a mined panel. The discrete element method was applied to establish a corresponding model, which was calibrated using the measurement data. Then, calculation models for different bedrock thicknesses were developed to analyze the evolution law of the water-conducting fractured zone at different bedrock thicknesses and mining heights. The safe mining upper limits for different bedrock thicknesses were obtained. The relationships between the developing HWCFZ and bedrock thickness/mining height were determined. Using the research results as the main indices, an industrial experiment was performed on the 11,191 panel. The partition limit mining height was implemented in the panel, and safe production was realized. On the basis of the research results, 40,199,336.3 t of coal resources were successfully released, increasing the resource recovery rate by 31.72% and extending the mine service life by 12.5 years. This study not only provided technical support for the sustainable development of the Zhao Gu No. 1 coal seam, but could also be used for safe and highly efficient mining in other coal mines under similar geological conditions.

  1. Analysis of interlaminar fracture toughness and damage mechanisms in composite laminates reinforced with sprayed multi-walled carbon nanotubes

    KAUST Repository

    Almuhammadi, Khaled


    The present work is focused on the nanoreinforcement of prepreg based carbon fiber composite laminates to improve delamination resistance. Functionalized multi-walled carbon nanotubes (MWCNTs) were dispersed over the interface between prepreg layers through solvent spraying and the resulting mode I interlaminar fracture toughness was determined. For comparison, baseline samples with neat prepregs were also prepared. Results indicate that the introduction of functionalized MWCNTs can favorably affect the interlaminar fracture toughness, and the associated mechanisms of failure have been investigated. The manufacturing procedures and the interfacial reinforcing mechanism were explored by analyzing (i) the wettability between CNTs-solvent solution and prepreg surface, (ii) CNTs dispersion and (iii) the fractured surfaces through high resolution scanning electron microscopy and Raman mapping. © 2013 Elsevier Ltd.

  2. Comparative study of W-shaped angular plate and reconstruction plate in treating posterior wall fractures of the acetabulum.

    Directory of Open Access Journals (Sweden)

    Qi Zhang

    Full Text Available OBJECTIVE: This study aims to assess the medium-term results of the reconstruction of posterior wall fractures using a W-shaped acetabular angular plate (WAAP compared to those fixed using a reconstruction plate. METHODS: Between July 2006 and March 2009, we performed a retrospective study, which collected data for any patient treated for a posterior acetabular wall fracture. At the time of treatment, patients were either treated using a WAAP or a pelvic reconstruction plate. The intraoperative fluoroscopic images for both groups were compared. The quality of reduction and radiological grading were assessed according to the criteria developed by Matta. The clinical assessment was based on a modified Merle d'Aubigne and Postel scoring. RESULTS: 53 patients met the inclusion criteria and were followed up for an average of 38 months. 25 patients were treated with a WAAP (study group, and 28 patients were treated with a pelvic reconstruction plate (control group. The intraoperative fluoroscopic images of the study group confirmed extra-articular screw placement in all cases. In the control group, intra-articular screw placement was observed intraoperatively in 5 patients (17.86%, and the definitive location of the periarticular hardware could not be determined in 4 patients (14.29% during the operation. The differences between the two groups were statistically significant (p = 0.002. In contrast, the quality of fracture reduction, clinical outcomes, and radiological grading in the study group were not significantly different from those of the control group (p>0.05. The radiographic grade was strongly associated with the clinical outcomes in both the study and control groups (p<0.05. CONCLUSION: Reconstruction of posterior wall fractures of the acetabulum using a WAAP can help avoid screw penetration of the hip joint, provide a stable fixation of the posterior wall, and ensure good clinical outcomes.

  3. Fracture Mechanics Models for Brittle Failure of Bottom Rails due to Uplift in Timber Frame Shear Walls

    Directory of Open Access Journals (Sweden)

    Joergen L. Jensen


    Full Text Available In partially anchored timber frame shear walls, hold-down devices are not provided; hence the uplift forces are transferred by the fasteners of the sheathing-to-framing joints into the bottom rail and via anchor bolts from the bottom rail into the foundation. Since the force in the anchor bolts and the sheathing-to-framing joints do not act in the same vertical plane, the bottom rail is subjected to tensile stresses perpendicular to the grain and splitting of the bottom rail may occur. This paper presents simple analytical models based on fracture mechanics for the analysis of such bottom rails. An existing model is reviewed and several alternative models are derived and compared qualitatively and with experimental data. It is concluded that several of the fracture mechanics models lead to failure load predictions which seem in sufficiently good agreement with the experimental results to justify their application in practical design.

  4. Height-dependence of spatio-temporal spectra of wall-bounded turbulence - LES results and model predictions

    CERN Document Server

    Wilczek, Michael; Meneveau, Charles


    Wavenumber-frequency spectra of the streamwise velocity component obtained from large-eddy simulations are presented. Following a recent paper [Wilczek et al., J. Fluid. Mech., 769:R1, 2015] we show that the main features, a Doppler shift and a Doppler broadening of frequencies, are captured by an advection model based on the Tennekes-Kraichnan random-sweeping hypothesis with additional mean flow. In this paper, we focus on the height-dependence of the spectra within the logarithmic layer of the flow. We furthermore benchmark an analytical model spectrum that takes the predictions of the random-sweeping model as a starting point and find good agreement with the LES data. We also quantify the influence of LES grid resolution on the wavenumber-frequency spectra.

  5. Fracture behavior of shallow cracks in full-thickness clad beams from an RPV wall section (United States)

    Keeney, J. A.; Bass, B. R.; McAfee, W. J.

    A testing program is described that utilizes full-thickness clad beam specimens to quantify fracture toughness for shallow cracks in weld material for which metallurgical conditions are prototypic of those found in reactor pressure vessels (RPV's). The beam specimens are fabricated from an RPV shell segment that includes weld, plate and clad material. Metallurgical factors potentially influencing fracture toughness for shallow cracks in the beam specimens include material gradients and material inhomogeneities in welded regions. The shallow-crack clad beam specimens showed a significant loss of constraint similar to that of other shallow-crack single-edge notch bend (SENB) specimens. The stress-based Dodds-Anderson scaling model appears to be effective in adjusting the test data to account for in-plane loss of constraint for uniaxially tested beams, but cannot predict the observed effects of out-of-plane biaxial loading on shallow-crack fracture toughness. A strain-based dual-parameter fracture toughness correlation (based on plastic zone width) performed acceptably when applied to the uniaxial and biaxial shallow-crack fracture toughness data.

  6. Vertebral Geometry Parameters Can Predict Fractures

    Directory of Open Access Journals (Sweden)

    P Tofighi


    Conclusion: Vertebral fractures are common fractures in postmenopausal women. There was a correlation between verte¬bral height and fractures. Vertebral geometric parameters especially height T score can be used for fracture screening.

  7. Discussion on the height of the protective wall of the whole pressure liquefied petroleum gas storage tank%浅谈全压力式液化石油气储罐防护墙高度设计

    Institute of Scientific and Technical Information of China (English)



    本文分析了全压力式液化石油气储罐防护墙适宜高度的影响因素,总结了全压力式液化石油气储罐防护墙适宜高度的选取原则.%This paper analyzes the influencing factors of the suitable height of the protective wall of the full pressure liquefied petroleum gas storage tank,and summarizes the selection principle of the suitable height of the protective wall of the whole pressure liquefied petroleum gas storage tank.

  8. Evaluation of Schottky barrier height on 4H-SiC m-face \\{ 1\\bar{1}00\\} for Schottky barrier diode wall integrated trench MOSFET (United States)

    Kobayashi, Yusuke; Ishimori, Hiroshi; Kinoshita, Akimasa; Kojima, Takahito; Takei, Manabu; Kimura, Hiroshi; Harada, Shinsuke


    We proposed an Schottky barrier diode wall integrated trench MOSFET (SWITCH-MOS) for the purposes of shrinking the cell pitch and suppressing the forward degradation of the body diode. A trench Schottky barrier diode (SBD) was integrated into a trench gate MOSFET with a wide shielding p+ region that protected the trench bottoms of both the SBD and the MOS gate from high electrical fields in the off state. The SBD was placed on the trench sidewall of the \\{ 1\\bar{1}00\\} plane (m-face). Static and transient simulations revealed that SWITCH-MOS sufficiently suppressed the bipolar current that induced forward degradation, and we determined that the optimum Schottky barrier height (SBH) was from 0.8 to 2.0 eV. The SBH depends on the crystal planes in 4H-SiC, but the SBH of the m-face was unclear. We fabricated a planar m-face SBD for the first time, and we obtained SBHs from 1.4 to 1.8 eV experimentally with titanium or nickel as a Schottky metal.

  9. An Analytical Method for Determining the Convection Heat Transfer Coefficient Between Flowing Fluid and Rock Fracture Walls (United States)

    Bai, Bing; He, Yuanyuan; Hu, Shaobin; Li, Xiaochun


    The convective heat transfer coefficient (HTC) is a useful indicator that characterizes the convective heat transfer properties between flowing fluid and hot dry rock. An analytical method is developed to explore a more realistic formula for the HTC. First, a heat transfer model is described that can be used to determine the general expression of the HTC. As one of the novel elements, the new model can consider an arbitrary function of temperature distribution on the fracture wall along the direction of the rock radius. The resulting Dirichlet problem of the Laplace equation on a semi-disk is successfully solved with the Green's function method. Four specific formulas for the HTC are derived and compared by assuming the temperature distributions along the radius of the fracture wall to be zeroth-, first-, second-, and third-order polynomials. Comparative verification of the four specific formulas based on the test data shows that the formula A corresponding to the zeroth-order polynomial always predicts stable HTC values. At low flow rates, the four formulas predict similar values of HTC, but at higher flow rates, formulas B and D, respectively, corresponding to the first- and third-order polynomials, predict either too large or too small values of the HTC, while formula C, corresponding to the second-order polynomial, predicts relatively acceptable HTC values. However, we cannot tell which one is the more rational formula between formulas A and C due to the limited information measured. One of the clear advantages of formula C is that it can avoid the drawbacks of the discontinuity of temperature and the singular integral of HTC at the points (± R, 0). Further experimental work to measure the actual temperature distribution of water in the fracture will be of great value. It is also found that the absorbed heat of the fluid, Q, has a significant impact on the prediction results of the HTC. The temperatures at the inlet and the outlet used for Q should be

  10. Template-Based Orbital Wall Fracture Treatment Using Statistical Shape Analysis. (United States)

    Doerfler, Hans-Martin; Huempfner-Hierl, Heike; Kruber, Daniel; Schulze, Peter; Hierl, Thomas


    Aim of this study was to investigate whether a mold generated from a statistical shape model of the orbit could be generated to provide a cost-efficient means for the treatment of orbital fractures. A statistical shape model was created from 131 computed tomographic (CT) scans of unaffected adult middle European human orbits. To generate the model, CT scans were segmented in Brainlab software, preregistered using anatomic landmarks, trimmed to an identical size, and definitely registered. Then, the model was created using the global master algorithm. Based on this model, a mold consisting of a male part and a female part was constructed and printed using a rapid prototyping technique. A statistical shape model of the human orbit was generated from 125 CT scans. Six scans (4.5%) presented major anatomic deviations and were discarded. A solid mold based on this model was printed. Using this mold, flat titanium mesh could be successfully deformed to serve as an orbital implant. A mold based on the statistical orbital shape could serve as a cost-effective means for the treatment of orbital fractures. It allows the anatomic preformation of titanium or resorbable implant material for orbital reconstruction. Because these materials could be cut from larger sheets, the use of a mold would be a cost-effective treatment alternative. Copyright © 2017 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  11. Improvement of the fracture toughness of hydroxyapatite (HAp) by incorporation of carboxyl functionalized single walled carbon nanotubes (CfSWCNTs) and nylon. (United States)

    Khanal, S P; Mahfuz, H; Rondinone, A J; Leventouri, Th


    The potential of improving the fracture toughness of synthetic hydroxyapatite (HAp) by incorporating carboxyl functionalized single walled carbon nanotubes (CfSWCNTs) and polymerized ε-caprolactam (nylon) was studied. A series of HAp samples with CfSWCNTs concentrations varying from 0 to 1.5 wt.%, without, and with nylon addition was prepared. X-ray diffraction (XRD), Scanning Electron Microscopy (SEM), and Transmission Electron Microscopy (TEM) were used to characterize the samples. The three point bending test was applied to measure the fracture toughness of the composites. A reproducible value of 3.6±0.3 MPa.√m was found for samples containing 1 wt.% CfSWCNTs and nylon. This value is in the range of the cortical bone fracture toughness. Increase of the CfSWCNTs content results to decrease of the fracture toughness, and formation of secondary phases.

  12. A Study On Critical Thinning In Thin-walled Tube Bending Of Al-Alloy 5052O Via Coupled Ductile Fracture Criteria (United States)

    Li, Heng; Yang, He; Zhan, Mei


    Thin-walled tube bending(TWTB) method of Al-alloy tube has attracted wide applications in aerospace, aviation and automobile,etc. While, under in-plane double tensile stress states at the extrados of bending tube, the over-thinning induced ductile fracture is one dominant defect in Al-alloy tube bending. The main objective of this study is to predict the critical wall-thinning of Al-alloy tube bending by coupling two ductile fracture criteria(DFCs) into FE simulation. The DFCs include Continuum Damage Mechanics(CDM)-based model and GTN porous model. Through the uniaxial tensile test of the curved specimen, the basic material properties of the Al-alloy 5052O tube is obtained; via the inverse problem solution, the damage parameters of both the two fracture criteria are interatively determined. Thus the application study of the above DFCs in the TWTB is performed, and the more reasonable one is selected to obtain the critical thinning of Al-alloy tube in bending. The virtual damage initiation and evolution (when and where the ductile fracture occurs) in TWTB are investigated, and the fracture mechanisms of the voided Al-alloy tube in tube bending are consequently discussed.

  13. wall

    Directory of Open Access Journals (Sweden)

    Irshad Kashif


    Full Text Available Maintaining indoor climatic conditions of buildings compatible with the occupant comfort by consuming minimum energy, especially in a tropical climate becomes a challenging problem for researchers. This paper aims to investigate this problem by evaluating the effect of different kind of Photovoltaic Trombe wall system (PV-TW on thermal comfort, energy consumption and CO2 emission. A detailed simulation model of a single room building integrated with PV-TW was modelled using TRNSYS software. Results show that 14-35% PMV index and 26-38% PPD index reduces as system shifted from SPV-TW to DGPV-TW as compared to normal buildings. Thermal comfort indexes (PMV and PPD lie in the recommended range of ASHARE for both DPV-TW and DGPV-TW except for the few months when RH%, solar radiation intensity and ambient temperature were high. Moreover PVTW system significantly reduces energy consumption and CO2 emission of the building and also 2-4.8 °C of temperature differences between indoor and outdoor climate of building was examined.


    Directory of Open Access Journals (Sweden)



    Full Text Available BACKGROUND Craniofacial injury due to road traffic accidents, blunt trauma and other accidents leading to traumatic optic neuropathy were managed with high dose of steroids rather than wait and observation and surgical decompression of optic nerve or nerve sheath (in case of sheath hematoma. Motor vehicles and bikes are most frequent causes for traumatic optic neuropathy, accounting for 17%-63% of cases. Our study was conducted to assess the visual loss due to traumatic optic neuropathy in association with orbital bone and wall fracture due to various types of ocular injuries and the response to medical line of management by intravenous methylprednisolone was observed. MATERIALS AND METHODS The prospective cohort study conducted at Department of Ophthalmology, Government Vellore Medical College Hospital, Vellore. Total number of ocular injury cases included in this study were 200. The study period was from November 2014 to December 2015. The ocular injury patients reported as outpatients in eye department as well as referred patients from Trauma Ward. RESULTS In our study, the ocular injuries of age group between 21-40 years is (121/200 60.5%. All cases of traumatic optic neuropathy manifestation individuals fall in that age group with severe form of ocular injuries. But the visual recovery reported with intravenous methylprednisolone and oral prednisolone alone because of neuropraxia and surrounding oedema of tissues as well as incomplete fracture of orbital wall without extending into optic canal level and without impingement of bone chips to the optic nerve. With improvement of colour vision apart from visual acuity improvement, visual field changes disappeared with the treatment. In our study, instead of wait and observation management where there was danger for total loss of vision or surgical decompression which carried the risk of orbital apex structure and other intracranial structure damage, iatrogenic direct and indirect optic nerve

  15. Correlation between the 2-Dimensional Extent of Orbital Defects and the 3-Dimensional Volume of Herniated Orbital Content in Patients with Isolated Orbital Wall Fractures (United States)

    Cha, Jong Hyun; Moon, Myeong Ho; Lee, Yong Hae; Koh, In Chang; Kim, Kyu Nam; Kim, Chang Gyun


    Background The purpose of this study was to assess the correlation between the 2-dimensional (2D) extent of orbital defects and the 3-dimensional (3D) volume of herniated orbital content in patients with an orbital wall fracture. Methods This retrospective study was based on the medical records and radiologic data of 60 patients from January 2014 to June 2016 for a unilateral isolated orbital wall fracture. They were classified into 2 groups depending on whether the fracture involved the inferior wall (group I, n=30) or the medial wall (group M, n=30). The 2D area of the orbital defect was calculated using the conventional formula. The 2D extent of the orbital defect and the 3D volume of herniated orbital content were measured with 3D image processing software. Statistical analysis was performed to evaluate the correlations between the 2D and 3D parameters. Results Varying degrees of positive correlation were found between the 2D extent of the orbital defects and the 3D herniated orbital volume in both groups (Pearson correlation coefficient, 0.568−0.788; R2=32.2%−62.1%). Conclusions Both the calculated and measured 2D extent of the orbital defects showed a positive correlation with the 3D herniated orbital volume in orbital wall fractures. However, a relatively large volume of herniation (>0.9 cm3) occurred not infrequently despite the presence of a small orbital defect (<1.9 cm2). Therefore, estimating the 3D volume of the herniated content in addition to the 2D orbital defect would be helpful for determining whether surgery is indicated and ensuring adequate surgical outcomes. PMID:28194344

  16. Isogeometric Analysis of Deformation, Inelasticity and Fracture In Thin-Walled Structures (United States)

    de Borst, René


    The basic idea of isogeometric analysis (IGA) is to use splines, which are the functions commonly used in computer-aided design (CAD) to describe the geometry, as the basis function for the analysis as well. A main advantage is that a sometimes elaborate meshing process is by-passed. Another benefit is that spline basis-functions possess a higher-order degree of continuity, which enables a more accurate representation of the stress. Further, the order of continuity of the basis-functions can be reduced locally by knot insertion. This feature can be used to model interfaces and cracks as discontinuities in the displacement field. In order to study failure-mechanisms in thin-walled composite materials, an accurate representation of the full three-dimensional stress field is mandatory. A continuum shell formulation is an obvious choice. Continuum shell elements can be developed based on the isogeometric concept. They exploit NURBS basis functions to construct the mid-surface of the shell. In combination with a higher-order B-spline basis function in the thickness direction a complete three-dimensional representation of the shell is obtained. This isogeometric shell formulation can be implemented in a standard finite element code using Bézier extraction. Weak and strong discontinuities can be introduced in the B-spline function using knot-insertion to model material interfaces and delaminations rigorously as discontinuities in the displacement field. The exact representation of material interfaces vastly improves the accuracy of the through-the- thickness stress field. The ability to provide a double knot insertion enables a straightforward analysis of delamination growth in layered composite shells. Illustrative examples will be given.

  17. 'Orbital volume restoration rate after orbital fracture'; a CT-based orbital volume measurement for evaluation of orbital wall reconstructive effect. (United States)

    Wi, J M; Sung, K H; Chi, M


    PurposeTo evaluate the effect of orbital reconstruction and factors related to the effect of orbital reconstruction by assessing of orbital volume using orbital computed tomography (CT) in cases of orbital wall fracture.MethodsIn this retrospective study, 68 patients with isolated blowout fractures were evaluated. The volumes of orbits and herniated orbital tissues were determined by CT scans using a three-dimensional reconstruction technique (the Eclipse Treatment Planning System). Orbital CT was performed preoperatively, immediately after surgery, and at final follow ups (minimum of 6 months). We evaluated the reconstructive effect of surgery making a new formula, 'orbital volume reconstruction rate' from orbital volume differences between fractured and contralateral orbits before surgery, immediately after surgery, and at final follow up.ResultsMean volume of fractured orbits before surgery was 23.01±2.60 cm(3) and that of contralateral orbits was 21.31±2.50 cm(3) (P=0.005). Mean volume of the fractured orbits immediately after surgery was 21.29±2.42 cm(3), and that of the contralateral orbits was 21.33±2.52 cm(3) (P=0.921). Mean volume of fractured orbits at final follow up was 21.50±2.44 cm(3), and that of contralateral orbits was 21.32±2.50 cm(3) (P=0.668). The mean orbital volume reconstruction rate was 100.47% immediately after surgery and 99.17% at final follow up. No significant difference in orbital volume reconstruction rate was observed with respect to fracture site or orbital implant type. Patients that underwent operation within 14 days of trauma had a better reconstruction rate at final follow up than patients who underwent operation over 14 days after trauma (P=0.039).ConclusionComputer-based measurements of orbital fracture volume can be used to evaluate the reconstructive effect of orbital implants and provide useful quantitative information. Significant reduction of orbital volume is observed immediately after orbital wall

  18. Chest wall pain and rib fracture after stereotactic radiotherapy for peripheral non-small cell lung cancer. (United States)

    Voroney, Jon-Paul J; Hope, Andrew; Dahele, Max R; Purdie, Thomas G; Purdy, Thomas; Franks, Kevin N; Pearson, Shannon; Cho, John B C; Sun, Alex; Payne, David G; Bissonnette, Jean-Pierre; Bezjak, Andrea; Brade, Anthony M


    Stereotactic body radiotherapy is an emerging treatment option for peripheral non-small cell lung cancer in medically inoperable patients. With high dose per fraction radiotherapy, late side effects are of possible concern. In our initial cohort of 42 patients treated with 54 to 60 Gy in three fractions, nine patients have rib fracture. The median dose to rib fracture sites was 46 to 50 Gy, depending on the method of dose calculation. We describe a typical case of poststereotactic radiotherapy rib fracture and present dosimetric analysis of patients with rib fracture.

  19. Long PFN in unstable subtrochantric fracture with absent lateral wall support in proximal fragment with delayed augmentation with encircalage wire and bone grafting

    Directory of Open Access Journals (Sweden)

    Sudarshan A. Kamble


    Full Text Available In 1949 Boyd and Griffin Subtrochanteric fracture femur as a variant of peritrochanteric fracture with higher incidence of unsatisfactory result both in the elderly and young. Most of this fracture is with higher incidence of unsatisfactory result after operative treatment This single case study shows one of the unpredicted iotrogenic complications. Material and method: Patient is 78yr female patient with multiple co-morbid conditions with subtrochanetric fracture. Surgery was done with long PFN nail inserted with good purchase in head, reduction check under C-arm with in antero-posterior and lateral view shows little malreduction and nail is out of medulary cavity in proximal fragment. Revision in same sitting not possible due to some medical reasons. Revision surgery done after fitness and reduction held with encieclage wire and bone grafting done. Conclusion: Even without lateral wall support if there is good purchase of screws in head and shaft, there will be good union and good functional outcome. [Int J Res Med Sci 2015; 3(10.000: 2847-2850

  20. Optimization of Drilling Parameters for Reducing the Burr Height in Machining the Silicon Carbide Particle (SiCp) Coated with Multi Wall Carbon Nano Tubes (MWCNT) Reinforced in Aluminum Alloy (A 356) Using Meta Modeling Approach (United States)

    Sangeetha, M.; Prakash, S.


    This paper explains the optimization of drilling parameters using meta modeling approach to reduce the burr height while machining Silicon Carbide Particle (SiCp) coated with Multi Wall Carbon Nano Tubes (MWCNT) and reinforced in aluminum alloy (A 356). The specimen is prepared by the combination of sonication and stir casting processes. The volume fraction of MWCNT used is 1.5% and the volume fraction of SiCp is 10%. The combination of input parameters for drilling the holes is designed using Taguchi experimental design technique. The input parameters chosen for drilling operations are spindle speed, feed rate and drill diameter. The ranges of input parameters are listed in Table 1. The tools used for drilling operation are made up of solid carbide drill bit. Meta model is a mathematical and statistical model whose second-order model can be fitted by factorial design. The optimization model can be improved significantly by the second-order model compared to the first-order model. Twenty-seven holes are drilled using vertical machining center in the prepared specimen (A 356/MWCNT coated SiCp). Desirability function shows the optimized values of input parameters to obtain minimum burr height. Meta modeling approach is used to design a model using input parameters and output response burr height. The residuals plot shows the predicted values are closer to the measured values. This plot explains that the Meta model is adequately used to predict the burr height. The optimized values of input parameters for obtaining minimum burr height are the combination of high speed, low feed and low drill diameter. The minimum value of burr height observed in this experiment is 0.002mm and it is obtained in the optimized combination of N3, f1 and d1.

  1. The upper part wall of acetabulum fractures:management and classification%髋臼上部骨折的分型与治疗体会

    Institute of Scientific and Technical Information of China (English)

    王文; 李秉胜; 王平山; 刘立峰; 曹学成


    目的:探讨髋臼上部骨折的分型与治疗。方法回顾性分析2000年1月—2013年6月收治的10例患者,根据术前经X线及CT三维重建明确诊断,对其进行分型后,根据分型的不同采用了不同治疗方法。结果2例患者采用非手术治疗,8例患者采用手术治疗。随访6~12个月,平均8个月。治疗结果优良率为80%。结论应用髋臼上部骨折的单独诊断与分型标准指导治疗,是获得良好结果的基础。%Objective To discuss the classification and management of upper part wall of acetabulum fractures. Methods From January 2000 to June 2013,10 cases of upper part wall of acetabulum fractures were retrospectively analyzed. On the basis of the X-ray and three-dimensional computed tomography,they were diagnosed and classified,treated differently according to the classification. Results Among the 10 cases 2 were received conservative treatment,8 were treated with operation. All the cases were followed up for 6 to 12 months, with an average time of 8 months;8 cases of the series were rated as fine (80%). Conclusion The upper part wall of acetabulum fractures could obtain good outcome on basis of the diagnosis and classification of it.

  2. Effect of preparation taper and height on strength and retention of zirconia crowns. (United States)

    Ersu, Bahadir; Narin, Duygu; Aktas, Guliz; Yuzugullu, Bulem; Canay, Senay


    This study aimed to determine the effect of the taper and height of tooth preparations on the fracture strength and retention of zirconia crowns. Sixty-four dies were designed to simulate a crown preparation. Dies were machined with a height of either 4 mm (n = 16) or 7 mm (n = 16) and a taper of either 6 degrees (n = 16) or 20 degrees (n = 16). Copings were created from Lava zirconia blanks. Retention tests were performed using a universal testing machine. Copings were recemented on the dies, thermocycled, and tested for fracture strength. Data were analyzed using factorial analysis of variance. Retention was greater in the taller and less-tapered preparation designs. Taller preparations showed superior fracture strength. Preparing posterior teeth with higher axial walls and less taper is recommended to achieve increased retention and strength for zirconia crowns.

  3. Chest Wall Pain and Rib Fracture after Stereotactic Radiotherapy for Peripheral Non-small Cell Lung Cancer

    National Research Council Canada - National Science Library

    Voroney, Jon-Paul J; Hope, Andrew; Dahele, Max R; Purdy, Thomas; Franks, Kevin N; Pearson, Shannon; Cho, John B. C; Sun, Alex; Payne, David G; Bissonnette, Jean-Pierre; Bezjak, Andrea; Brade, Anthony M


    .... With high dose per fraction radiotherapy, late side effects are of possible concern. In our initial cohort of 42 patients treated with 54 to 60 Gy in three fractions, nine patients have rib fracture...

  4. Chest wall volume receiving >30 Gy predicts risk of severe pain and/or rib fracture after lung stereotactic body radiotherapy. (United States)

    Dunlap, Neal E; Cai, Jing; Biedermann, Gregory B; Yang, Wensha; Benedict, Stanley H; Sheng, Ke; Schefter, Tracey E; Kavanagh, Brian D; Larner, James M


    To identify the dose-volume parameters that predict the risk of chest wall (CW) pain and/or rib fracture after lung stereotactic body radiotherapy. From a combined, larger multi-institution experience, 60 consecutive patients treated with three to five fractions of stereotactic body radiotherapy for primary or metastatic peripheral lung lesions were reviewed. CW pain was assessed using the Common Toxicity Criteria for pain. Peripheral lung lesions were defined as those located within 2.5 cm of the CW. A minimal point dose of 20 Gy to the CW was required. The CW volume receiving >or=20, >or=30, >or=40, >or=50, and >or=60 Gy was determined and related to the risk of CW toxicity. Of the 60 patients, 17 experienced Grade 3 CW pain and five rib fractures. The median interval to the onset of severe pain and/or fracture was 7.1 months. The risk of CW toxicity was fitted to the median effective concentration dose-response model. The CW volume receiving 30 Gy best predicted the risk of severe CW pain and/or rib fracture (R(2) = 0.9552). A volume threshold of 30 cm(3) was observed before severe pain and/or rib fracture was reported. A 30% risk of developing severe CW toxicity correlated with a CW volume of 35 cm(3) receiving 30 Gy. The development of CW toxicity is clinically relevant, and the CW should be considered an organ at risk in treatment planning. The CW volume receiving 30 Gy in three to five fractions should be limited to <30 cm(3), if possible, to reduce the risk of toxicity without compromising tumor coverage. Copyright (c) 2010 Elsevier Inc. All rights reserved.

  5. Theta height and Faltings height

    CERN Document Server

    Pazuki, F


    Using original ideas from J.-B. Bost and S. David, we provide an explicit comparison between the Theta height and the stable Faltings height of a principally polarized abelian variety. We also give as an application an explicit upper bound on the number of K-rational points of a curve of genus g>1 over a number filed K under a conjecture of S. Lang and J. Silverman. We complete the study with a comparison between differential lattice structures.

  6. Navicula height

    DEFF Research Database (Denmark)

    Rathleff, M; Nielsen, RG; Olesen, Christian Gammelgaard;


    position and relaxed standing posture. Excessive movement of the navicula is considered a predisposing factor in the development of shin splits. No single direct static measurement of navicula height has yet shown to predict a high degree of mid foot movement. The purpose of this study was to investigate...

  7. Wuthering Heights

    NARCIS (Netherlands)

    Bronte, Emily


    Wuthering Heights tells the story of a romance between two youngsters: Catherine Earnshaw and an orphan boy, Heathcliff. After she rejects him for a boy from a better background he develops a lust for revenge that takes over his life. In attempting to win her back and destroy those he blames for his

  8. Diagnosis and treatment for 60 cases of complex acetabular fractures at posterior wall%60例复杂髋臼后壁骨折的诊治

    Institute of Scientific and Technical Information of China (English)

    张昊; 胡亚威; 陈少初; 菅新民; 张弦; 周建华; 卢学有; 钱东阳


    目的:探讨复杂髋臼后壁骨折的诊断及手术疗效。方法自2008年1月至2013年3月,以三种体位X线平片、CT扫描、CT三维图像重建技术诊断髋臼后柱合并后壁骨折42例、横形骨折合并后壁骨折18例。采用俯卧位Kocher-Langenbeck 入路,开放复位髋臼重建接骨板和拉力螺钉固定,治疗复杂髋臼后壁骨折。结果按Matta 评定标准,骨折解剖复位率80.49%、满意复位率8.54%、不满意复位率10.97%。术后早期并发症:坐骨神经损伤1例,股神经损伤1例,髂外动脉损伤血栓形成1例,下肢深静脉血栓形成2例;晚期并发症:异位骨化3例,股骨头坏死1例,髋关节创伤性关节炎2例。结论复杂髋臼后壁骨折正确诊断主要依靠骨盆前后位、闭孔斜位、髂骨斜位X线平片检查,对于判断髋臼骨折部位、类型非常重要,CT扫描提供髋臼冠状面骨折线、骨折块等清晰图像,为复杂髋臼后壁骨折的治疗,提供选择手术入路和内固定术方案有重要意义。%Objective To analyze the diagnosis and therapeutic efficacy of the surgery for complex acetabular fractures at the posterior wall .Methods From January 2008 to March 2013, 60 cases of complex acetabular fractures were enrolled .X ray images of three positions , CT scans were performed and three dimentional image reconstruction technique of CT was used to diagnose the fractures .Among the 60 cases, 42 cases were complex acetabular fractures in posterior column and posterior wall , and 18 cases were transverse fracture combining posterior wall fracture of the acetabulum .All the patients underwent surgical treatment which applied Kocher-Langenbeck approach with prone position , open reduction and steel plates and lag screws fixation to reconstruct the acetabulum .Results According to Matta standards , the anatomical reduction rate was 80.49%, the rate of satisfied reduction was 8.54%, and the rate of

  9. Theoretical analysis on the deformation characteristics of coal wall in a longwall top coal caving face

    Institute of Scientific and Technical Information of China (English)

    Bai Qingsheng; Tu Shihao; Li Zhaoxin; Tu Hongsheng


    Against the background of analyzing coal wall stability in 14101 fully mechanized longwall top coal cav-ing face in Majialiang coal mine, based on the torque equilibrium of the coal wall, shield support and the roof strata, an elastic mechanics model was established to calculate the stress applied on the coal wall. The displacement method was used to obtain the stress and deformation distributions of the coal wall. This study also researched the influence of support resistance, protective pressure to the coal wall, frac-ture position of the main roof and mining height on the coal wall deformation. The following conclusions are drawn:(1) The shorter the distance from the longwall face, the greater the vertical compressive stress and horizontal tensile stress borne by the coal wall. The coal wall is prone to failure in the form of com-pressive-shear and tension;(2) With increasing support resistance, the revolution angle of the main roof decreases linearly. As the support resistance and protective force supplied by the face guard increases, the maximum deformation of the coal wall decreases linearly;(3) As the face approaches the fracture posi-tion of the main roof, coal wall horizontal deformation increases significantly, and the coal wall is prone to instability;and (4) The best mining height of 14101 longwall face is 3.0 m.

  10. Navicula height

    DEFF Research Database (Denmark)

    Mølgaard, Carsten Møller; Olesen Gammelgaard, Christian; Nielsen, R. G.;


    In 1996 Cornwall and McPoil discovered that the static measurement of the rearfoot angle while standing on one leg in a relaxed position, could serve as a clinical indicator of the maximum amount of rearfoot eversion during walking. Due to the close relationship between midfoot and rearfoot motio...... the relationship between static measurements, using Navicual Drop Test and One Leg Standing (OLS) and the dynamic measurements of minimal navicula height loaded (NHL) and navicula drop (ΔNH)...

  11. Assesment risk of fracture in thin-walled fiber reinforced and regular High Performance Concretes sandwich elements

    DEFF Research Database (Denmark)

    Hodicky, Kamil; Hulin, Thomas; Schmidt, Jacob Wittrup


    High Performance Concrete Sandwich Elements (HPCSE) are an interesting option for future low or plus energy building construction. Recent research and development work, however, indicate that such elements are prone to structural cracking due to the combined effect of shrinkage and high temperature...... load. Due to structural restraints, autogenous shrinkage may lead to high self-induced stresses. Therefore autogenous shrinkage plays important role in design of HPCSE. The present paper assesses risk of fracture due to autogenous shrinkage-induced stresses in three fiber reinforced and regular High...

  12. Operative treatment for transverse plus posterior wall fractures of the acetabulum%髋臼横断伴后壁骨折的手术治疗

    Institute of Scientific and Technical Information of China (English)

    张永林; 何久盛; 朱仕文


    目的 总结髋臼横断伴后壁骨折手术治疗的临床疗效.方法 1993年8月- 2005年1月北京市顺义区院骨科手术治疗有明显移位的髋臼横断伴后壁骨折45例46髋,获得完整随访.影像学结果采取Matta放射学标准进行评价,临床效果采取改良的Merle d'Aubigné和Postel评分系统进行评价.结果 45例患者均获随访,随访时间16 ~48个月,平均34个月,复查X线片显示骨折均获愈合,愈合时间3~5个月.根据Matta的X线片评估标准:优17髋,良18髋,中7髋,差4髋;优良率76%.根据改良的Merle d' Aubigné和Postel评分系统对临床结果评估:优14髋,良22髋,中8髋,差2髋;优良率78.3%.结论 髋臼横断伴后壁骨折行手术治疗可以取得满意疗效,选择合适的手术时机、合理的手术入路、骨折解剖复位、坚强内固定是取得满意疗效的关键.%Objective To evaluate the results of patients operatively treated transverse plus posterior wall fractures of the acetabulum.Methods Review forty-five patients who had operated for transverse plus posterior wall fractures of the acetabulum 1 retrospectively with fracture displacement,from August 1993 to January 2005 in Department of Orthopaedics,Beijing Shunyi Hospital.The radiographs were graded according to the criteria described by Matta.The functional outcome was evaluated using a modification of the clinical grading system developed by Merle d'Aubigné and Postel.Result Forty-five patients were followed up 16 to 48 months with an average of 34 months.The radiographic result was excellent in seventeen patients,good in eighteen,fair in seven,and poor in four.The clinical outcome at the time of final follow- up was graded as excellent in fourteen patients,good in twenty- two,fair in eight,and poor in two.Conclusion Operative treatment for transverse plus posterior wall fractures of the acetabulum has a satisfying therapeutic effect.The appropriate operation time,reasonable operation approach

  13. Modified ilioinguinal approach for anterior wall fractures of the acetabulum%改良髂腹股沟入路治疗髋臼前壁骨折

    Institute of Scientific and Technical Information of China (English)

    陈戈; 欧艺; 陈仲; 赵航; 李欣


    目的 探讨改良髂腹股沟入路治疗髋臼前壁骨折的疗效. 方法 回顾性分析2004年2月至2011年2月采用手术治疗的12例髋臼骨折患者资料,男10例,女2例;年龄为26 ~60岁,平均33.5岁.髋臼骨折按Letournel分型均为前壁骨折.受伤至手术时间为1~15d,平均5.4d.手术均采用改良髂腹股沟入路,6例患者前壁骨折块较大,采用拉力螺钉结合重建钢板固定;另6例患者前壁骨折粉碎,且其中4例伴有压缩,首先对压缩骨折进行撬拨复位,撬起后残存的缺损区取髂骨填充,然后采用拉力螺钉加弹性钢板结合重建钢板固定.末次随访时采用改良的Merle d'Aubigné和Postel评分系统评定疗效. 结果 本组患者手术时间平均为100 min,术中出血量平均为350mL.12例患者术后获平均1.8年(1~5年)随访.术后骨折复位质量采用改良的Matta评分标准评定:优9例,良3例.骨折愈合时间平均为15周(11~18周).末次随访时根据改良的Merle d' Aubigné和Postel评分系统评定疗效:优8例,良3例,可1例.1例患者出现异位骨化,Brooker分级为Ⅰ级.1例患者术后3年出现创伤性关节炎.无切口感染、内固定物松动、断裂及血管、神经损伤等并发症发生. 结论 改良髂腹股沟入路能较好地显露髋关节前上方结构,直视下复位髋关节前上方骨折,治疗粉碎、压缩的髋臼前壁骨折效果良好.%Objective To evaluate the modified ilioinguinal approach in the treatment of anterior acetabulum wall fractures.Methods From February 2004 to February 2011,12 patients with comminuted acetabular fracture were treated with modified ilioinguinal approach.They were 10 men and 2 women,26 to 60 years of age (mean,33.5 years).All the fractures were anterior acetabulum wall ones according to Letournel classification.The time from injury to surgery ranged from 1 to 15 days (mean,5.4 days).All the operations were conducted via the modified ilioinguinal approach.In 6 patients

  14. Application EPSTR Technique in Acetabulum Posterior Wall Fracture Fixation%EPSTR技术在髋臼后壁骨折固定中的应用

    Institute of Scientific and Technical Information of China (English)

    张功林; 甄平; 陈克明; 安勇; 朱雄; 赵来绪; 杨军林; 周建华


    目的:报告EPSTR技术在髋臼后壁骨折固定中的临床应用结果。方法自2006年1月至2011年1月,对46例髋臼后壁骨折患者行内固定后应用EPSTR技术修复髋关节后侧软组织,其中男36例,女10例;年龄25~55岁,平均42.5岁,伤后手术时间2~7 d,平均5 d。髋关节后侧软组织采用“T”形切开,行髋臼内固定后,关节囊和外旋短肌作为一层再次附着到大粗隆。结果术后随访2.5~6.0年,平均4.5年。随访期间没有发生髋关节脱位和股骨头缺血性坏死,有2例发生骨关节炎,没有出现与本项技术相关的并发症。按Harris评定标准进行疗效评定,优良率为93.5%,取得了满意的效果。结论髋臼后壁骨折固定后采用EPSTR技术,有利于术后功能恢复和加强髋关节稳定性。%Objective To report clinical results of application EPSTR technique after the acetabulum posterior wall frac-ture fixation. Methods From January 2006 to January 2011,46 patients(36 men,10 women)after acetabulum posterior wall fracture fixation underwent posterior soft tissue repair of the hip joint. They ranged in age from 25 to 55 years( mean 42. 5 yeras). Operative time after injury was 3 to 9 days( mean 7 days). Posterior soft tissue of the hip joint was opened through a T-shaped incision. The posterior capsule and short external rotators was attached to the greater trochanter. Results Follow-up period ranged from 2. 5 to 6 years( mean,4. 5 years)postoperatively. There were no dislocation of the hip joint and avascular necrosis of the femoral head in this series. Two patients had osteoarthritis. No apparent complications related to the technique. The recovery rate was accessed with Harris scores. The rates of excellent and good were 93%. Satisfactory clinical results were obtained in this series. Conclusion The acetabulum posterior wall fracture fixation used EPSTR technique help the postopera-tive functional recovery and strengthen

  15. ORIGINAL ARTICLE Sonographic gallbladder wall thickness in ...

    African Journals Online (AJOL)

    gallbladder wall thickness and the subjects' age, sex, height and weight .... sex distributions and mean height and weights were calculated. Results were expressed .... establishing of a population-based US gallbladder wall thickness so that.

  16. Analysis on critical height of fire plume effected by transverse cabin wall%横向舱壁对火羽流作用的临界高度分析

    Institute of Scientific and Technical Information of China (English)

    邓维杰; 王磊


    分析舱室横向壁面对轴对称火羽流作用的理论临界高度,将舱室内油料火灾的羽流运动速度和质量卷吸量仿真计算结果与Zukoski,McCaffrey,Thomas-Hinkley及Heskestad经验羽流模型进行比较,给出较为合理的羽流模型,仿真计算结果验证了理论分析的正确性.%The critical height of axial symmetrically fire plume effected by transverse cabin wall was theatrically analyzed.The oil fire plume kinetic velocity and mass flux in cabin calculated by experienced plume model Zukoski,McCaffrey,Thomas-Hinkley and Heskestad were contrasted with simulated results,and the relatively rational fire plume model was obtained.Meanwhile,the simulated results agrees well with the theatrically analyzed conclusion.

  17. True Triaxial Strength and Brittle Fracture of the Granodiorite at the SAFOD Drillhole Wall, and the Potential for Estimating the Maximum Horizontal Principal Stress (United States)

    Lee, H.; Haimson, B.


    Salinian granodiorite core from the 1462-1470m segment of the SAFOD drillhole was used to derive its critical mechanical properties under true triaxial stress conditions, analyze shear localization and brittle fracture characteristics, and establish the strength criterion under dry conditions (Eos Trans. AGU, 87/52, Abstract T32C- 03). Here we report on a series of true triaxial tests on 'unjacketed' specimens simulating stress conditions prevailing at the drillhole wall and responsible for borehole failure in the form of breakouts. Owing to numerous random cracks inherent in the core, only 11 rectangular prismatic specimens (19×19×38 mm3) were successfully tested, employing the University of Wisconsin polyaxial cell. The two larger principal stresses, σ1 and σ2, were transmitted through metal pistons, while σ3 was applied by confining fluid pressure. Specimen sides facing σ3 were left 'unjacketed', i.e. in direct contact with the confining fluid, to simulate the condition of drilling-mud pressure applying the principal radial stress (σ3) to the exposed borehole wall. The loading path called for first bringing σ2 and σ3 to preset levels and then increasing σ1 at a constant strain rate (5x10-6/sec) until brittle failure occurred. Invariably, failure occurred at σ1 levels that were only about half as high as those in previously tested dry samples under the same σ2 and σ3 magnitudes. Instead of a shear fracture, or fault, steeply inclined in the direction of σ3, as previously observed in the dry specimens, brittle failure took the form of a localized cluster of through-going extensile cracks parallel and adjacent to the faces subjected to σ3. Since failure occurred at σ1 values close to those at dilatancy onset in dry specimens, we infer that as soon as microcracks reopened, confining fluid rushed into those daylighting at the σ3 faces and extended them along a path of least resistance, i.e. along a plane normal to σ3. Thus brittle failure under

  18. Discussion on the Methods for Determining the Height of Fractured Water-conducting Zone%采动覆岩导水断裂带发育高度研究方法探讨

    Institute of Scientific and Technical Information of China (English)

    李宏杰; 黎灵; 李健; 姜鹏; 舒宗运


    导水断裂带高度是留设防隔水煤(岩)柱和水体下采煤安全性评估的重要参数,对矿井安全生产、保水采煤和生态保护具有重要实用价值。对经验法、现场实测、物理模法和数值模拟法等导水断裂带确定方法进行了总结、对比和实例分析,总结了各种方法的实用条件、优缺点,建议采用2种及以上综合观测和探测方法,以相互验证。以现场钻孔漏失液观测和钻孔电视观测为主,物探探测方法为辅来确定导水断裂带高度,采用物理模拟或数值模拟方法作为辅助研究方法从面和立体角度进行覆岩破坏规律动态研究,形成以点到面再到空间的全方位综合探测与分析技术方法体系,为煤(岩)柱合理留设、水体下安全采煤提供了重要依据和技术支撑。%The height of fractured water-conducting zone is the important parameter for determining waterproof coal pillar and evaluating the coal mining safety under the water,and has the important practical value for the safety in production of coal mine,water preserved mining and ecological protection. The empirical formula method,field measurement method,physical sim-ulation and numerical simulation method of fractured water-conducting zone determination is summarized and compared. The practical conditions,advantages and disadvantages of various methods were summarized. The comprehensive observation and detection of two methods or more is recommended to verify each other. The field water leakage observation and borehole TV are used as the main methods,and the geophysical detection method as auxiliary means are determined the height of water-conduc-ting zone. The physical simulation or numerical simulation method are also as the auxiliary to make the dynamic study on over-burden strata failure law from the plane and three-dimensional perspective, forming the integrated exploration and analysis methodology from point to plane and to space

  19. 影响髋臼后壁骨折手术疗效的分析%Treatment of fractures of the posterior wall of the acetabulum

    Institute of Scientific and Technical Information of China (English)

    吴新宝; 杨明辉; 王满宜; 朱仕文; 曹奇勇; 吴宏华


    目的 分析影响手术治疗髋臼后壁骨折疗效的因素并总结治疗经验. 方法 1993年8月至2006年8月手术治疗且符合纳入标准髋臼后壁骨折患者105例,用改良的Merle d'Aubigné和Postel评分系统评价临床效果,用Matta放射学标准评价影像学结果.通过统计分析说明年龄、性别、受伤至手术时间、合并伤、髋关节脱位情况、是否存在边缘压缩、骨折复位质量、有无合并股骨头骨折,异位骨化程度和有无股骨头坏死等与临床效果间的关系. 结果所有患者平均随访4.1年(2.0~10.6年).临床效果:优32例,良56例,可11例,差6例,优良率83.8%(88/105).影像学结果:优52例,良36例,可12例,差5例,优良率83.8%(88/105).患者年龄、性别、受伤至手术时间、合并伤及髋关节脱位与临床效果无显著相关.存在边缘压缩、合并股骨头骨折、骨折复位差、严重异位骨化和股骨头坏死与临床效果显著相关.临床效果与影像学结果存在强相关性(Kappa=0.772). 结论术中仔细探查、解剖复位、牢靠固定是关键.存在边缘压缩骨折、骨折复位差、合并股骨头骨折、严重异位骨化和股骨头坏死是影响治疗效果的主要因素.%Objective To analyze factors which may affect the operative outcome of the posterior wall acetabular fracture retrospectively. Methods In this retrospective study we included 105 patients who had received open reduction and internal fixation for fracture of the posterior wall of the acetabulum from August 1993 to August 2006. All patients were followed up for a mean of 4.1 (range, 2.0 to 10.6) years. Their functional outcomes were evaluated using a modified clinical grading system developed by Merle d' analyses were done to detect associations between clinical outcomes and age, time from injury to surgery, gender, complicated injury, hip dislocation, marginal impaction, reduction, complicated femoral head frac-ture, ectopic ossification and

  20. Discrete Fracture Network Characterization and Modeling in the Swedish Program for Nuclear Waste Disposal in Crystalline Rocks Using Information Acquired by Difference Flow Logging and Borehole Wall Image Logging (United States)

    Follin, S.; Stigsson, M.; Levén, J.


    Difference flow logging is a relatively new hydraulic test method. It offers a superior geometrical resolution compared to the classic double-packer injection test method. Other significant features of the difference flow logging method are the long duration of the test period and the line source flow regime. These three features are vital for the characterization and the modeling of the conductive fracture frequency in crystalline rocks. Further, combining difference flow logging with core mapping and in situ borehole wall image logging (BIPS) allows for an enhanced geological cross correlation and structural interpretation. The data and analyses presented here come from the ongoing site investigations for a high-level nuclear waste repository in Forsmark managed by the Swedish Nuclear Fuel and Waste Management Co. First, we demonstrate the statistical properties of the fracture transmissivities acquired by difference flow logging for a number of one-kilometer-long cored boreholes. Secondly, we make a hydraulic comparison between these data and the transmissivities acquired by double-packer injection tests. Thirdly, we present a method for investigating the geometrical connectivity of open fractures in fracture network simulations and how this connectivity can be cross correlated to the fracture transmissivity distribution acquired by difference flow logging. Finally, we discuss the geometrical properties of flowing fractures as acquired by BIPS data and the correlation to the current stress situation in Forsmark. The geometrical anisotropy observed in the transmissivity data suggests that the current stress situation is very important for the flow field in Forsmark. This puts constraints on the collection and use of geological/structural data for hydrogeological discrete fracture network modeling.

  1. Évaluation de la fracturation des réservoirs par forages : comparaison entre les données de carottes et d'imagerie de paroi Assessment of Reservoir Fracturing from Boreholes : Comparison Between Core and Wall-Image Data

    Directory of Open Access Journals (Sweden)

    Genter A.


    étecter que les fractures ayant au moins cette épaisseur de colmatage. Dans les formations de Balazuc, 6 % des fractures sont détectées par le FMS, ce qui correspond exactement à la proportion de fractures dont la taille est supérieure à la résolution de l'outil. Malgré ces biais d'échantillonnage, les directions majeures de fracturation sont correctement détectées avec les deux techniques mises en oeuvre. Deep drilling was carried out of two sedimentary sequences considered as representative of reservoir formations; one at Soultz-sous-Forêts in Alsace and the other at Balazuc in the Ardèche, France. The natural fracturing in these predominantly sandstone sequences has been analysed both from the continuous cores collected during the drilling and from wall imagery obtained by acoustic (BHTV and electric (FMS methods. This core-imagery comparison shows, quite logically, that the core analysis gives more complete results than the interpretation of wall imagery. With the BHTV it was possible to characterize 50% of the fractures seen in the cores, as against only 6% using the FMS. In the Bundsandstein at Soultz the fractures that form clusters (i. e. very close to one another are not correctly recorded by the BHTV. This bias is even more significant with the FMS since it applies to the entire fracture distribution, regardless of the fracture spacing. This fracture-detection filtering that we find with the imagery techniques are even more evident where the fractures are filled (little physical contrast or small (below the detection threshold. The core-imagery comparison also shows that the horizontal resolution of the imaging tool is directly proportional to the number of fractures detected. The BHTV, which has a resolution of between 1 and 2 mm, does not detect fractures of this thickness or less, i. e. 45% of the population. This percentage is similar to the amount of fractures recognized by BHTV compared to that recorded in core. The FMS, with a much coarser

  2. 手术显微镜下经泪阜部结膜切口整复爆裂性眶内壁骨折%Treatment of orbital blowout medial wall fracture transconjunctiva caruncula lacrimalis incision

    Institute of Scientific and Technical Information of China (English)

    张越; 王丽杰


    目的 探讨手术显微镜下经泪阜部结膜切口治疗眶内壁骨折的方法及效果.方法 回顾性研究手术显微镜下经泪阜结膜切口进行眶内壁骨折复位手术30例,检查手术前后的视力、复视程度、眼球运动、眼球突出度及三维CT图像,并随访6~12个月.结果 30例中29例手术后复视、眼球运动障碍、眼球内陷明显改善.1例眼球运动障碍术后仅得以改善.结论 手术显微镜下经泪阜部结膜切口进行爆裂性眶内壁骨折复位术,效果良好.%Objective To evaluate the operation using microscope to cure the orbital blowout medial wall fractures transconjunctiva caruncula lacrimalis incision and it's the clinical effect. Method Retrospective review of 30 patients undergoing orbital blowout medial wall fractures surgery transconjunctiva caruncula lacrimalis incision. Check the visual activity,diplopia ,extraocular movement and 3D CT postoperatively. Results Diplopia and extraocular movement was significant improved in 29 cases,only 1 patient movement was partly improved. Conclusion Treatment the orbital blowout medial wall fracture transconjunctiva caruncula lacrimalis incision is effcetive for blowout fracture.

  3. New propant schedule in hydralic fracturing

    Energy Technology Data Exchange (ETDEWEB)

    Wang, H.; Fan, C.


    A new proppant schedule is suggested to obtain maximum propping surface area and maximum fracture conductivity near the borehole. The small and middle size sands are suspended in the fracturing fluids under fracturing condition to prop the total fracture surface area created by fracturing. The coarse sands pumped into fracture later deposit in the fracture at the dynamic width near the borehole during fracturing and reach the equilibrium height in the time interval of pumping coarse sands. Thus, fracture conductivity near the borehole is increased. Computer calculation of the sand program, the corresponding fluid program and pumping rates are presented also.

  4. Orbital fractures: a review

    Directory of Open Access Journals (Sweden)

    Jeffrey M Joseph


    Full Text Available Jeffrey M Joseph, Ioannis P GlavasDivision of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, School of Medicine, New York University, New York, NY, USA; Manhattan Eye, Ear, and Throat Hospital, New York, NY, USAAbstract: This review of orbital fractures has three goals: 1 to understand the clinically relevant orbital anatomy with regard to periorbital trauma and orbital fractures, 2 to explain how to assess and examine a patient after periorbital trauma, and 3 to understand the medical and surgical management of orbital fractures. The article aims to summarize the evaluation and management of commonly encountered orbital fractures from the ophthalmologic perspective and to provide an overview for all practicing ophthalmologists and ophthalmologists in training.Keywords: orbit, trauma, fracture, orbital floor, medial wall, zygomatic, zygomatic complex, zmc fracture, zygomaticomaxillary complex fractures 

  5. Fear of heights and visual height intolerance. (United States)

    Brandt, Thomas; Huppert, Doreen


    The aim of this review is, first, to cover the different aspects of visual height intolerance such as historical descriptions, definition of terms, phenomenology of the condition, neurophysiological control of gaze, stance and locomotion, and therapy, and, second, to identify warranted epidemiological and experimental studies. Vivid descriptions of fear of heights can be found in ancient texts from the Greek, Roman, and Chinese classics. The life-time prevalence of visual height intolerance is as high as 28% in the general population, and about 50% of those who are susceptible report an impact on quality of life. When exposed to heights, visual exploration by eye and head movements is restricted, and the velocity of locomotion is reduced. Therapy for fear of heights is dominated by the behavioral techniques applied during real or virtual reality exposure. Their efficacy might be facilitated by the administration of D-cycloserine or glucocorticoids. Visual height intolerance has a considerable impact on daily life and interpersonal interactions. It is much more frequent than fear of heights, which is defined as an environmental subtype of a specific phobia. There is certainly a continuum stretching from acrophobia to a less-pronounced visual height intolerance, to which the categorical distinction of a specific phobia does not apply.

  6. Jaw fractures in children. (United States)

    Kotilainen, R; Kärjä, J; Kullaa-Mikkonen, A


    From a total of 350 jaw fractures treated in 1980-1984 at Kuopio University Central Hospital, 20% were in children. These injuries were evaluated retrospectively regarding age, sex, incidence and etiology. Forty-five of the patients were boys and 25 girls. The frequency of maxillary and mandibular fractures in 70 young patients was 28.6%. The most common type of bone fractures was fracture of the alveolar process, which was prevalent in persons with mixed dentition. Before the age of 7 years, falls from height were the common causes of jaw fractures. The major cause of the jaw fractures in children from 7 to 15 years old was road accidents (47.1%), especially in boys. Most of these were cycling accidents, only a few patients were victims of automobile accidents. In addition, about one third (25.7%) of the patients were treated in the hospital because of multiple injuries to other organs.

  7. [Height vertigo, fear of heights, acrophobia]. (United States)

    Rennert, H


    Height vertigo (acrophobia) is a very frequent phenomenon being of interest for its physiological and psychological background, though usually only of limited significance in neuropsychiatry and otology. The different aspects as to its nature and origin are discussed. If acrophobia has developed into a conditioned reaction of avoidance with pressure of suffering, or acrophobia in persons, who have to work at heights, behavior therapeutic measures with systematic desensibilisation, starting from an imaginative training, are indicated.

  8. Vertebral Geometry Parameters Can Predict Fractures

    Directory of Open Access Journals (Sweden)

    P Tofighi


    Full Text Available Background: The aim of this study was to investigate vertebral geometry changes and determine cutoff value of vertebral height to predict fractures. Methods: In a cross-sectional study, 280 postmenopausal women recruited .In all subjects bone mineral density and radiog¬raphy of the lumbar spine performed. Lateral radiographs were evaluated for identification of vertebral fractures, using a validated semiquantitative method. T-score of vertebral height was calculated based on data extracted from Iranian Multi¬center Osteoporosis Study. ROC curve used to determine cut off value of vertebral height T-score to predict fractures. Results: The mean of age and BMI were 55.34±8.7 years and 27.73±5 kg/m2, respectively. Among osteoporotic women, 59.8% had one or more vertebral fractures and 23.8% had at least 2 fractures. In fracture group the T-score of spine and femur BMD was lower than the others. The mean of vertebral height in women without fractures was 12.94±0.6 cm, and in the patient with 4 or more fractures was12.3, thus every fracture accompany with 1.2% decreases in the height of vertebrae. The prevalence of vertebral fracture in osteoporotic patients was 71.4% and in healthy cases 39.5%. Better estimation of vertebral height T score in ROC curve was less than -0.7.The sensitivity and specificity of the cut off value were 81.3% and 52.9%, respectively. Conclusion: Vertebral fractures are common fractures in postmenopausal women. There was a correlation between verte¬bral height and fractures. Vertebral geometric parameters especially height T score can be used for fracture screening.

  9. Uncemented Total Hip Replacement After Two Years of Neglected Hip Dislocation With Fracture of Posterior Column and Wall of the Acetabulum

    Directory of Open Access Journals (Sweden)



    Full Text Available Introduction Posterior hip dislocation of the hip with acetabular fracture is a challenging problem to treat. Such dislocations are associated with avascular necrosis of the femoral head if neglected. Managing such conditions with total hip replacement (THR is very difficult because of associated altered anatomy. Case Presentation We hereby report a two-year neglected hip dislocation with associated acetabular fracture successfully treated with uncemented THR. The patient was successfully treated with uncemented THR and experienced significant improvement in his functional status, with a Harris hip score of 82 at the two-year follow up. Radiologically, there were no radiolucent areas or osteolysis, with good consolidation of the bone graft. Conclusions A neglected hip dislocation with acetabular fracture can be managed satisfactorily with uncemented THR. Bone reconstruction using chunk grafts and use of cementless components ensures long-term survival and also preserves adequate bone stock for revision, especially in young patients.

  10. Multidetector Computed Tomography Imaging of Facial Trauma in Accidental Falls from Heights

    Energy Technology Data Exchange (ETDEWEB)

    Salonen, E.M.; Koivikko, M.P.; Koskinen, S.K. [Helsinki Medical Imaging Center, Dept. of Radiology, Toeoeloe Trauma Center, Helsinki Univ. Hospital, Helsinki (Finland)


    Purpose: To assess multidetector computed tomography (MDCT) findings in facial trauma in adults who accidentally fall from heights. Material and Methods: Of the MDCT scans of 2413 cases requested by emergency-room physicians for suspected facial injury, 155 (age 15.3-76.7, mean 42.0 years; 134 male, 21 female) met the criteria of falling from heights. These were reviewed by two researchers by consensus. Results: Of these 155, 118 (104 male, 14 female) had 247 fractures, while 37 had no fracture. The fractures were classified into 13 categories, the zygomatic complex being the region most frequently involved. Mean falling height, known in 132 of 155 cases, was 5.7 m (range 0.4-25) in all, 6.0 m (0.4-25) in those suffering a fracture, and 5.0 m (range 0.4-13) in those without a fracture. Patients with Le Fort II, Le Fort III, or frontal bone fractures had fallen higher and frequently had associated skull base fractures, but with considerable overlap in falling heights. Zygomatic arch and nasal bone fractures rarely occurred solitarily. Conclusion: In a fall-from-height injury, nasal bone and zygomatic arch fractures indicate the presence of more severe fractures. Height cannot solely predict injury probability. Clear sinus sign is a valuable aid in assessing midface trauma in falls from heights. Keywords: CT; face; trauma.

  11. Hydraulic fracturing with chlorine dioxide cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Williams, D.A.; Newlove, J.C.; Horton, R.L.


    This patent describes a method for fracturing a subterranean formation penetrated by a wellbore. It comprises: injecting a fracturing fluid into the formation to form a vertical fracture therein, the fracturing fluid being gelled with a polymer selected from guar, guar derivatives, acrylamide, acrylamide derivatives, cellulose, cellulose derivatives, and mixtures thereof and crosslinked with an organometallic crosslinking compound and having temperature stability above about 175{degrees} F.; packing the fracture with particulate propping agent; backflowing fluids from the formation through the propped fracture to remove a portion of the polymer; injecting at matrix rates sufficient aqueous solution of chlorine dioxide down the wellbore and into the propped fracture to penetrate at least 60 feet of the propped fracture length and contact polymer in the fracturing fluid and polymer residue in the propped fracture and on the fracture walls, the amount of the chlorine dioxide in the aqueous medium being sufficient to degrade polymer in the fracturing fluid and polymer residue; permitting the chlorine dioxide to remain in contact with the polymer in the fracturing fluid and with the polymer residue on the fracture walls and in the fracture for sufficient time to degrade the polymer thereby reducing the fracturing fluid viscosity and dissolving portions of the polymer residue; and flowing formation fluid from the formation through the propped fracture and into the wellbore to remove substantial portions of the polymer and degraded polymer from the fracture.

  12. Transphyseal Distal Humerus Fracture. (United States)

    Abzug, Joshua; Ho, Christine Ann; Ritzman, Todd F; Brighton, Brian


    Transphyseal distal humerus fractures typically occur in children younger than 3 years secondary to birth trauma, nonaccidental trauma, or a fall from a small height. Prompt and accurate diagnosis of a transphyseal distal humerus fracture is crucial for a successful outcome. Recognizing that the forearm is not aligned with the humerus on plain radiographs may aid in the diagnosis of a transphyseal distal humerus fracture. Surgical management is most commonly performed with the aid of an arthrogram. Closed reduction and percutaneous pinning techniques similar to those used for supracondylar humerus fractures are employed. Cubitus varus caused by a malunion, osteonecrosis of the medial condyle, or growth arrest is the most common complication encountered in the treatment of transphyseal distal humerus fractures. A corrective lateral closing wedge osteotomy can be performed to restore a nearly normal carrying angle.

  13. 合并后壁骨折的复杂性髋臼骨折手术疗效分析%Analysis of Operative Treatment for Complex Acetabular Fractures Involving the Posterior Wall

    Institute of Scientific and Technical Information of China (English)

    孟纬; 潘昊鹏; 吕庆生; 朱伟


    目的:对手术治疗合并后壁骨折的复合髋臼骨折进行回顾性研究,评价其治疗效果。方法随访2003年8月至2013年8月采用切开复位内固定治疗的59例患者,其中横断伴后壁骨折41例,后柱伴后壁骨折18例。58例患者采用Kocher-Langenbeck 入路,1例患者采用联合入路( K-L 入路联合髂腹股沟入路)。采用改良的 Merle d′Aubigné和Postel评分系统评价临床效果,用Matta放射学标准评价影像学结果。结果59例患者平均随访4.3年(2.0~8.8年)。最终影像学结果:优23例(39%),良22例(37%),可10例(17%),差4例(7%),优良率76%。最终临床效果:优21例(36%),良26例(44%),可9例(15%),差3例(5%),优良率80%。结论对合并后壁骨折的复合髋臼骨折,切开复位内固定治疗可以获得满意效果。根据本组患者的治疗经验,对这类骨折推选双钢板固定。%Objective To evaluate the results of patients with operatively treated complex acetabular fractures involving the posterior wall retrospectively. Methods We reviewed fifty-nine patients who undurent open reduction and internal fixation of an unilateral fracture of the acetabulum between August 2003 to August 2013. Forty-one patients were diagnosed as trans-verse plus posterior wall fracture and eighteen patients were diagnosed as posterior column plus posterior wall fracture. The functional outcome was evaluated using a modification of the clinical grading system developed by Merled′Aubigné and Postel. The radiographs were graded according to the criteria described by Matta. Results Fifty-nine patients were followed for a mean of 4. 3 years(range,2. 0~8. 8 years). The radiographic result was excellent in twenty-three patients(39%),good in twenty-two(37%),fair in ten(17%),and poor in four(7%). The clinical outcome at the time of final follow-up was graded as excellent in twenty-one patients(36

  14. The effect of titanium mesh implantation for the treatment of enophthalmos secondary to inferior orbital wall fracture%钛网眶底植入治疗眶下壁骨折眼球内陷的效果

    Institute of Scientific and Technical Information of China (English)

    于金国; 张静楷; 陈松; 韩琪; 颜华


    Objective To evaluate the effect of "S" shaped titanium mesh implantation on orbit floor for enophthalmos secondary to inferior orbital wall fracture.Methods The surgical effects of 17 eyes of 17 cases inferior orbital wall fracture who received "S" shaped titanium mesh implantation on orbit floor for orbital wall reconstruction were analyzed retrospectively.Preoperatively,there were 9 cases with enophthalmos between 2 to 3 mm,8 cases with enophthalmos between 3.5 to 4.5 mm,3 cases with diplopia,2 cases with apparent vertical globe dystopia.For all the cases,an inferior subciliary approach was performed,a "S" shaped titanium mesh plate was implanted under the periosteum to cover the area of the inferior orbital wall fracture for reconstruction of the orbital cavity.Results Postoperatively,on the follow-up period of 6-12 months,the enophthalmos of all cases was corrected to less than 2mm successfully,the preoperative diplopia disappeared in all the 3 cases,the vertical globe dystopia of 2 eases disappeared,and no visual complication was observed.No complication of infection,extrusion,rejection or migration of the implants occurred,however mild low eyelid retraction occurred in 1 case and disappeared at 8 month postoperatively.Conclusion "S" shaped titanium mesh plate implantation in orbital reconstruction for correcting enophthalmos secondary to inferior orbital wall fracture is safe and effective.%目的 评价S形钛网眶底植入治疗眶下壁骨折后眼球内陷的效果.方法 回顾性分析17例(17只眼)眶下壁骨折眼球内陷患者行S形钛网眶底植入手术的临床资料.术前眼球内陷2~3 mm者9例,眼球内陷3.5 ~4.5 mm者8例,复视3例,眼球向下移位2例.术中均经下睑缘睫毛下皮肤切口,骨膜下植入塑形钛网覆盖眶下壁骨折缺损区.结果 术后随访6 ~ 12个月,眼球内陷均矫正至2 mm以内,复视3例完全消失,2例眼球下移位均消失,视力无明显变化.术后无感染,植人物无脱出

  15. 钛网联合多孔聚乙烯植入治疗内壁合并下壁眼眶骨折%Titanium mesh combined with Medpor implantation in orbital reconstruction for medial and inferior orbital wall fractures

    Institute of Scientific and Technical Information of China (English)

    姜倩钰; 郭涛; 沙英虹; 韩雪梅; 史要武


    Objective To evaluate the effect of titanium mesh combined with porous polyethylene (Medpor) implantation in orbital reconstruction for medial and inferior orbital wall fractures.Methods The surgical effect of 12 cases(12 eyes) of medial and inferior orbital wall fracture patients who received titanium mesh combined with Medpor implantation for orbital wall reconstruction were analyzed retrospectively.Preoperatively,there were 10 cases with enophthalmos equal to or more than 3 mm,2 cases with enophthalmos between 2 to 3 mm,5 cases with diplopia,2 cases with apparent vertical globe dystopia.For all the cases,an inferior subciliary approach was performed,a titanium mesh plate was used for the inferior orbital wall reconstruction and Medpor was used for the medial orbital wall reconstruction or in cases with apparent enophthalmos.Results Postoperatively,after a followed up period of 3-6 monthes,the enophthalmos of all the cases was successfully corrected to less than 2mm,the preoperative diplopia disappeared in 4 cases,resolved apparently in 1 case,the vertical globe dystopia of 2 cases disappeared,and no visual acuity impairment was observed.No complication of infection,extrusion,rejection or migration of the implants occurred.Conclusion Titanium mesh combined with Medpor implantation in orbital reconstruction for medial and inferior orbital wall fractures is safe and effective,which takes the merits of both implants.%目的 探讨应用钛网联合多孔高密度聚乙烯板(Medpor)植入治疗内壁合并下壁眼眶骨折的疗效.方法 回顾性分析12例(12眼)内壁合并下壁眼眶骨折行钛网联合Medpor植入的手术效果,术前眼球内陷≥3 mm者10例,内陷2~3 mm者2例,复视5例,眼球明显下移2例,术中均经下睑缘下皮肤切口,下壁骨折区行钛网植入,内壁骨折区及眼球内陷重的行Medpor植入矫正.结果 术后随访3~6个月,眼球内陷均矫正至2 mm以内,复视完全消失4例,明显改善1例,2例眼球

  16. A modified invasion percolation model for low-capillary number immiscible displacements in horizontal rough-walled fractures: Influence of local in-plane

    Energy Technology Data Exchange (ETDEWEB)



    The authors develop and evaluate a modified invasion percolation (MIP) model for quasi-static immiscible displacement in horizontal fractures. The effects of contact angle, local aperture field geometry, and local in-plane interracial curvature between phases are included in the calculation of invasion pressure for individual sites in a discretized aperture field. This pressure controls the choice of which site is invaded during the displacement process and hence the growth of phase saturation structure within the fracture. To focus on the influence of local in-plane curvature on phase invasion structure, they formulate a simplified nondimensional pressure equation containing a dimensionless curvature number (C) that weighs the relative importance of in-plane curvature and aperture-induced curvature. Through systematic variation of C, they find in-plane interracial curvature to greatly affect the phase invasion structure. As C is increased from zero, phase invasion fronts transition from highly complicated (IP results) to microscopically smooth. In addition, measurements of fracture phase saturations and entrapped cluster statistics (number, maximum size, structural complication) show differential response between wetting and nonwetting invasion with respect to C that is independent of contact angle hysteresis. Comparison to experimental data available at this time substantiates predicted behavior.

  17. Information on stress conditions in the oceanic crust from oval fractures in a deep borehole (United States)

    Morin, R.H.


    Oval images etched into the wall of a deep borehole were detected in DSDP Hole 504B, eastern equatorial Pacific Ocean, from analysis of an acoustic televiewer log. A systematic inspection of these ovals has identified intriguing consistencies in appearance that cannot be explained satisfactorily by a random, coincidental distribution of pillow lavas. As an alternative hypothesis, Mohr-Coulomb failure criterion is used to account for the generation and orientation of similarly curved, stress-induced fractures. Consequently, these oval features can be interpreted as fractures and related directly to stress conditions in the oceanic crust at this site. The azimuth of the oval center corresponds to the orientation of maximum horizontal principal stress (SH), and the oval width, which spans approximately 180?? of the borehole, is aligned with the azimuth of minimum horizontal principal stress (Sh). The oval height is controlled by the fracture angle and thus is a function of the coefficient of internal friction of the rock. -from Author

  18. Study on the Surgical Approaches for Patients with Involved Double Columns(wall) Acetabular Fractures%累及双柱(壁)髋臼骨折手术入路的选择

    Institute of Scientific and Technical Information of China (English)

    吴玉仙; 黄智勇


    目的:探讨累及双柱(壁)的髋臼骨折手术路径的选择及其对治疗效果的影响。方法选取青岛市骨伤医院2010年1月至2013年1月收治的39例累及双柱(壁)髋臼骨折患者为研究对象,根据手术方式不同将患者分为单一入路组(11例)和联合入路组(28例),比较两组患者的治疗效果、术中出血量及手术时间。结果术后,联合入路组优良率显著高于单一入路组(92.9%比63.6%),两组患者疗效比较差异有统计学意义( Z=3.45,P<0.05),但两组手术时间及术中出血量比较差异无统计学意义( P>0.05)。结论对于累及双柱(壁)的髋臼骨折手术入路的选择应根据骨折类型和合并症确定,科学选择的手术入路对于提高手术效果具有十分重要的意义。%Objective To investigate the influence of the selection of surgical approaches for patients with involved double columns(wall) acetabular fracture on the therapeutic effect.Methods A total of 39 patients with involved double columns(wall) acetabular fracture admitted in Qingdao Orthopedics Hospital from Jan.2010 to Jan.2013 was selected as the research objects .According to the surgical approach,patients were divided into single approach group and combined approach group,the treatment effects,intraoperative bleeding amount and operation time of the two groups were compared.Results After surgery,the excellent and good rates of the combined approach group was significantly higher than that of the single approach group (92.9% vs 63.6%),the treatment effects of the two groups had statistically significant differences (Z =3.45,P0.05).Conclusion The surgical approaches for patients with involved double columns( wall) acetabular fracture should be selected according to the types of fracture and complications,scientific selection of surgical approach has great importance in improving the surgical effect.

  19. 环抱器在股骨转子间骨折内侧壁固定中的应用%Application of embracing fixator in femoral fracture between rotor inside wall fixed

    Institute of Scientific and Technical Information of China (English)

    刘振中; 吕伟; 陈丽丽; 梁天娇; 陈彩玲; 刘铮


    目的:探讨应用镍-钛记忆合金环抱器固定股骨转子间骨折内侧壁骨块的手术方法和临床疗效。方法对应用镍-钛记忆合金环抱器固定股骨转子间骨折内侧壁骨块患者27例的临床资料进行回顾性分析。男9例,女18例;年龄69~89岁,平均76.2岁;左侧19例,右侧8例。按 Evans-Jensen 标准分型并根据改良 Harris 标准进行疗效评定。结果术后24例获得随访,随访时间6~20个月,平均14.15个月。3例分别因急性心力衰竭、脑出血和肺心病死亡。末次随访时患者 Harris 平均评分80~97分,其中优19例,良4例,差1例,优良率95.8%。结论镍-钛记忆合金环抱器固定股骨转子间骨折内侧壁骨块的手术方法具有固定可靠、恢复生物力学平衡、减少并发症等优点,允许早期髋关节部分负重条件下功能锻炼,从而获得理想治疗效果。%Objective To discuss the surgery methods and clinical curative effect of application of nickel titanium memory alloy embracing device fixed femoral fractures inside wall of bone block.Methods The clinical data of 27 patients on the application of nickel titanium memory alloy embracing device fixed femoral fractures inside wall with bone block were retrospectively analyzed.There were 9 cases of male and 18 cases offemale.They were 69 ~89 years old,average 76.2 years.And there were 19 cases on the left side of inside wall and 8 cases on the right side. Curative effect evaluation was conducted according to the Evans-Jensen norm and the improved Harris standard. Results Postoperative follow-up loss in 2 cases,and 24 cases received follow-up for 6 ~20 months,which had an average of 14.15 months and follow-up rate was 92.3%.Three cases died respectively because of acute heart failure, cerebral hemorrhage and cor pulmonale.Patients at the time of the last follow-up had Harris mean score(80 ~97), including the optimal 19 cases,fine 4 cases and poor in 1

  20. Hip Fracture (United States)

    Diseases and Conditions Hip fracture By Mayo Clinic Staff A hip fracture is a serious injury, with complications that can be life-threatening. The risk of hip fracture rises with age. Older people are at a ...

  1. Surgical treatment for complicated acetabular fractures

    Institute of Scientific and Technical Information of China (English)

    Ning An; Yang Yanmin


    Objective: To sum up the surgical approaches and clinical outcome of complicated acetabular fractures. Methods: 17 patients with complicated acetabular fractures (including 4 cases of transverse with posterior wall fractures, 7 cases of posterior column and wall fractures, 4 cases of anterior and posterior columns fractures, 1 cases of T-type fracture and 1 cases of anterior column with posterior hemitransverse fractures) underwent open reduction and internal fixation with screws and plates by Kocher-Langenbeck (8 cases), ilio-inguinal (2 cases), extended iliofemoral (4 cases) or ilio-inguinal combined with K-L approaches (3 cases). Results: 12 patients with anatomical reduction, 4 patients with satisfactory reduction and 1 patient with non-satisfactory reduction. 15 out of 17 cases were followed up for 6 months to 5 years, and the excellent and good rate was 70.5%. Conclusion: Surgical treatment for complicated acetabular fractures can get a satisfactory reduction and a good clinical outcome.

  2. Fabric pod kyphoplasty for vertebral compression fractures in patients with compromised vertebral walls%编织囊袋扩张-椎体后凸成形术治疗周壁破损的骨质疏松性椎体压缩骨折

    Institute of Scientific and Technical Information of China (English)

    张建党; 马华松; 邹德威; 谭荣; 陈晓明; 彭军; 迟成


    目的 评估编织囊袋扩张-椎体后凸成形术治疗周壁破损的骨质疏松性椎体压缩骨折(OVCF)的初步临床效果.方法 自2007年12月~2010年4月应用编织囊袋扩张-椎体后凸成形术治疗13例周壁破损的OVCF共15个椎体骨折.随访观察患者的VAS疼痛评分以及影像学改变情况.结果 本组获随访3~6个月,平均4.5个月.术后患者疼痛均明显缓解,术后VAS评分、椎体前缘高度和伤椎后凸Cobb角改善显著.未出现骨水泥向椎体外渗漏.结论 对于周壁破损的OVCF,编织囊袋扩张-椎体后凸成形术有效避免了骨水泥渗漏、显著缓解疼痛、有效恢复骨折椎体的高度,是一种安全有效的治疗方法.%Objective To assess the efficacy and safety of fabric pod kyphoplasty in the treatment of vertebral compression fractures (OVCF) in patients with compromised vertebral walls. Methods Thirteen patients suffered from OVCFs were treated by fabric pod kyphoplasty from December 2007 to April 2010, 13 patients(with a total of IS painful OVCFs) were enrolled in our study. Preoperative and postoperative of visual analogue scores (VAS), and radiographic results were compared. Results All patients received 3 to 6 months follow-up, with 4.5 months on average. All patients got significant pain relief .VAS score, the height of anterior column of the vertebrae and kyphotic angle improved significantly between the preoperative and postoperative values, respectively.No cement extravasation and complications after kyphoplasty occurred. Conclusion Fabric pod kyphoplasty is a safe and efficacious procedure to treat painful OVCFs with compromised vertebral walls.

  3. Relative permeability through fractures

    Energy Technology Data Exchange (ETDEWEB)

    Diomampo, Gracel, P.


    The mechanism of two-phase flow through fractures is of importance in understanding many geologic processes. Currently, two-phase flow through fractures is still poorly understood. In this study, nitrogen-water experiments were done on both smooth and rough parallel plates to determine the governing flow mechanism for fractures and the appropriate methodology for data analysis. The experiments were done using a glass plate to allow visualization of flow. Digital video recording allowed instantaneous measurement of pressure, flow rate and saturation. Saturation was computed using image analysis techniques. The experiments showed that gas and liquid phases flow through fractures in nonuniform separate channels. The localized channels change with time as each phase path undergoes continues breaking and reforming due to invasion of the other phase. The stability of the phase paths is dependent on liquid and gas flow rate ratio. This mechanism holds true for over a range of saturation for both smooth and rough fractures. In imbibition for rough-walled fractures, another mechanism similar to wave-like flow in pipes was also observed. The data from the experiments were analyzed using Darcy's law and using the concept of friction factor and equivalent Reynold's number for two-phase flow. For both smooth- and rough-walled fractures a clear relationship between relative permeability and saturation was seen. The calculated relative permeability curves follow Corey-type behavior and can be modeled using Honarpour expressions. The sum of the relative permeabilities is not equal one, indicating phase interference. The equivalent homogeneous single-phase approach did not give satisfactory representation of flow through fractures. The graphs of experimentally derived friction factor with the modified Reynolds number do not reveal a distinctive linear relationship.

  4. Fracture resistance of premolar teeth restored with different filling techniques. (United States)

    França, Fabiana Mantovani Gomes; Worschech, Claudia Cia; Paulillo, Luis Alexandre Maffei Sartini; Martins, Luis Roberto Marcondes; Lovadino, José Roberto


    The aim of this study is to verify the fracture resistance of premolars with large mesiocclusodistal (MOD) preparations with composite resin using different incremental techniques when subjected to an occlusal load. Forty maxillary premolar teeth were randomly divided into four groups (n=10). Class II MOD cavities were prepared in all specimens with parallel walls and no approximal boxes. The resulting isthmus width was 1/3 the distance between the cusp tips and (3/4) the height of the crown. Teeth in group I, the control group, were not restored. Specimens in group II were restored in three incremental vertical layers. Group III specimens were restored in three horizontal layers, and finally, specimens in group IV were restored in oblique layers. With exception of the placement technique, specimens in groups II, III and IV were restored using the Single Bond adhesive system and P60 composite resin following manufacturer's recommendations. A 4 mm diameter steel sphere contacted the buccal and lingual cusps of the tested teeth at a crosshead speed of 0.5 mm/min until fracture occurred. The values obtained in this study were subjected to Analysis of Variance (ANOVA) and a Tukey-Kramer test. Only group I (non-restored) obtained a minor means of fracture resistance. No significant differences among groups II, III, and IV were found. This study shows on large MOD cavities the incremental filling techniques do not influence the fracture resistance of premolar teeth restored with composite resin.

  5. Modelling stress-dependent permeability in fractured rock including effects of propagating and bending fractures

    NARCIS (Netherlands)

    Latham, J.P.; Xiang, J.; Belayneh, M.; Nick, H.M.; Tsang, C.F.; Blunt, M.J.


    The influence of in-situ stresses on flow processes in fractured rock is investigated using a novel modelling approach. The combined finite-discrete element method (FEMDEM) is used to model the deformation of a fractured rock mass. The fracture wall displacements and aperture changes are modelled in

  6. On Wuthering Heights

    Institute of Scientific and Technical Information of China (English)



    本文剖析了小说主人公的悲惨命运及时代特征%Through the story of Wuthering Heights,the article analyzes the tragic fate of Heathcliff and the characteristic of the 19th century England.

  7. Narrators in Wuthering Heights

    Institute of Scientific and Technical Information of China (English)



    Wuthering Heights is Emily Bront e's only novel. The narrative is non-linear, involving several flashbacks an dtwo primary narrators. Emily Bronte has adopted the device of introducing two narrators--Mr. Lockwood and Ellen "Nel-ly" Dean so as to achieve certain purpose.

  8. Spine fractures in falling accidents: analysis of multidetector CT findings

    Energy Technology Data Exchange (ETDEWEB)

    Bensch, Frank V.; Kiuru, Martti J.; Koivikko, Mika P.; Koskinen, Seppo K. [Department of Radiology, Toeoeloe Trauma Center, Helsinki University Central Hospital, Topeliuksenkatu 5, 00029, Helsinki (Finland)


    The purpose of the present study was to assess incidence, fracture type, and location of spine fractures due to falls. All emergency room CT requests during a time period of 26 months were reviewed retrospectively. Patients who had fallen or jumped and were initially examined with multidetector CT (MDCT) were included. The MDCT studies were evaluated by two radiologists for trauma location, fracture type, and multiple level involvement. A total of 237 patients (184 males, 53 female, age range 16-86 years, mean age 42 years) met the inclusion criteria. A total of 203 vertebral fractures were seen in 127 patients. Burst fracture (n=78) was the most frequent type of trauma, usually located in the thoracolumbar junction (50%). Also, compression fracture (n=52) was most common in the thoracolumbar junction (39%). Posterior column fracture (n=52) was most frequently detected in the cervical spine (40%). Multiple-level spine fractures were seen in 41 (32%) of the injured patients, of which 12 (29%) had fractures at noncontinuous levels. With increasing height the overall incidence of fractures increased, and burst fractures and multiple level spine fractures became more frequent. Age had no effect on fracture type or location. Spine fractures due to falls are common. Burst fracture is the most common fracture type and most frequently seen in the thoracolumbar junction. Multiple-level fractures were seen in 32% of the cases, of which 29% were seen at noncontinuous levels. Serious spine fractures are seen in all falling height and age groups. (orig.)

  9. Periprosthetic fractures of the acetabulum. (United States)

    Helfet, David L; Ali, Arif


    Periprosthetic fractures of the acetabulum after total hip arthroplasty are uncommon, but are increasing in number and severity. These fractures may occur intraoperatively, during the perioperative period, or many years after the total hip arthroplasty. Periprosthetic fractures of the acetabulum vary in severity and may involve stress fractures of the pubis or medial wall, significant bone loss secondary to osteolysis and subsequent loss of column integrity, or complete pelvic discontinuity. Treatment differs depending on the complexity of the fracture and the stability of the acetabular prosthesis. Surgical treatment for an unstable acetabulum should stabilize the bony columns of the acetabulum, provide bone grafting of defects, and should maintain adequate bone stock for replacement of a stable acetabular implant. Strict adherence to the principles of fracture surgery is required to achieve bony union of the acetabular columns and provide a stable environment for reimplantation of an acetabular component.

  10. Opportunistic Identification of Vertebral Fractures. (United States)

    Adams, Judith E


    Vertebral fractures are powerful predictors of future fracture, so, their identification is important to ensure that patients are commenced on appropriate bone protective or bone-enhancing therapy. Risk factors (e.g., low bone mineral density and increasing age) and symptoms (back pain, loss of height) may herald the presence of vertebral fractures, which are usually confirmed by performing spinal radiographs or, increasingly, using vertebral fracture assessment with dual-energy X-ray absorptiometry scanners. However, a large number (30% or more) of vertebral fractures are asymptomatic and do not come to clinical attention. There is, therefore, scope for opportunistic (fortuitous) identification of vertebral fractures from various imaging modalities (radiographs, computed tomography, magnetic resonance imaging, and radionuclide scans) performed for other clinical indications and which include the spine in the field of view, with midline sagittal reformatted images from computed tomography having the greatest potential for such opportunistic detection. Numerous studies confirm this potential for identification but consistently find underreporting of vertebral fractures. So, a valuable opportunity to improve the management of patients at increased risk of future fracture is being squandered. Educational training programs for all clinicians and constant reiteration, stressing the importance of the accurate and clear reporting of vertebral fractures ("you only see what you look for"), can improve the situation, and automated computer-aided diagnostic tools also show promise to solve the problem of this underreporting of vertebral fractures. Copyright © 2016. Published by Elsevier Inc.

  11. Prediction of fracture parameters of circumferential through-wall cracks in the interface between an elbow and a pipe under internal pressure

    Energy Technology Data Exchange (ETDEWEB)

    Jang, Youn Young; Huh, Nam Su [Dept. of Mechanical System Design Engineering, Seoul National Univ. of Science and Technology, Seoul (Korea, Republic of); Jeong, Jae Uk [Doosan Heavy Industries and Construction, Changwon (Korea, Republic of)


    This paper provides plastic influence functions of GE/EPRI method for calculating J and Crack opening displacement (COD) of pipes with a circumferential Through-wall crack (TWC) in the interface between an elbow and a straight pipe by using 3-dimensional (3-D) elastic-plastic finite element analyses for Ramberg-Osgood (R-O) materials, in which internal pressure was considered as a loading condition. The proposed plastic influence functions are tabulated as a function of the pipe geometries, crack length and strain hardening exponent. In order to provide sufficient confidence for the proposed plastic influence functions, the estimation scheme using the proposed plastic influence functions for J and COD of cracked elbows was validated against FE results using R-O parameters for the SA312 TP316 stainless steel. Moreover, the predicted J and COD for elbows with a TWC in the interface between an elbow and a pipe by the proposed scheme were compared with those for cracked straight pipes to investigate the effect of the elbow geometries on crack behavior of elbows. One important point is that crack behaviors in the interface between an elbow and a straight pipe can be significantly different with those in straight pipes according to pipe thickness, crack length and bend radius of elbows. Thus, the proposed plastic influence functions can be useful to predict accurate J and COD for cracked elbows.

  12. 腹股沟韧带下入路治疗髋臼前柱合并前壁骨折%Modified subinguinal approach for treatment of acetabular anterior column and wall fractures

    Institute of Scientific and Technical Information of China (English)

    高峰; 秦晓东; 李翔; 方永祥; 杨峰


    Objective To discuss the efficacy of the modified subinguinal approach for the treatment of acetabular anterior column and wall fractures.Methods A clinical retrospective study was performed of the 5 patients who had been treated at our department from January 2011 to April 2015 for acetabular anterior column and wall fractures and conformed to follow-ups.They were 3 males and 2 females,aged from 19 to 45 years (mean,35.6 years).The duration from injury to surgery averaged 7.6 days (range,from 4 to 10 days).The subinguinal ligament approach was adopted in the 5 cases,through which the inguinal ligament was preserved intact after sharp dissection of its insertion at the anterior superior iliac spine and medial-upper advancement,the advantage of expanded exposure of "the first window" by the Farid sub-ilioinguinal approach was retained,and additional lesions due to iliac osteotomy were avoided.The operation time,intraoperative bleeding,postoperative reduction and time for fracture union were documented.Merle d' Aubigne and Postel scoring system was used to assess the hip joint function of the affected limb at the final follow-ups.Results The operation time ranged from 110 to 150 minutes (mean,125 minutes);the intraoperative bleeding ranged from 415 to 550 mL (mean,450.2 mL).By the Matta's criteria,the postoperative reduction was rated as excellent in 4 cases and good in one.The 5 patients were followed up for an average of 32.4 months (range,from 6 to 43 months).Their fractures united clinically after an average of 4.6 months (range,from 3 to 6 months).The hip joint function was rated as excellent in 2 and good in 3 by the Merle d' Aubigne and Postel scoring system at the final follow-ups.Follow-ups observed no serious complications like inguinal hernia,internal fixation failure,myositis ossificans,or avascular necrosis of the femoral head.Conclusions As the modified subinguinal approach can provide a broad surgical exposure,lead to minimal injury to the inguinal

  13. Application of individually performed titanium mesh in infraorbital wall fracture reconstruction%应用个体化预成型钛网修复眶下壁骨折的临床分析

    Institute of Scientific and Technical Information of China (English)

    孙凯建; 王春霞; 王雅文; 陈琳琳


    AlM:To discuss the application effect of individually performed titanium mesh in infraorbital wall fracture reconstruction.METHODS:Sixty-seven patients ( 67 eyes ) diagnosed as infraorbital fracture from January 2011 to February 2014 were performed reconstruction with individually performed titanium mesh. The recovery of incision, visual acuity, eyeball mobility, diplopia and proptosis were monitored by post- operation follow- up which lasted for 1a.RESULTS:No infection, titanium mesh transposition, prolapse, deformities, exclusion or ectropion were occurred in the follow-up period. The eyeball embole was less than 2mm by bilateral proptosis contrast. The diplopia in 5 eyes were disappeared in 4 and approved in one. The eyeball descent in 2 cases was disappeared. The visual acuity was the same compared with pre-operation. The rate of disappeared diplopia at primary position was 93% and improved significantly in the other 3 patients. The rate of disappeared diplopia at peripheral visual field was 86% and improved significantly in the other 2 patients.CONCLUSlON:The reconstruction effect of individually performed titanium mesh in infraorbital wall fracture was satisfied and safe.%目的::探讨个体化预成型钛网修复眶下壁骨折的应用效果。方法:对下壁眼眶骨折患者共67例67眼采用个体化预成型钛网进行手术修复,术后随访期为1a,监测切口愈合情况、视力、眼球运动度、复视及眼球突出情况。结果:术后随访期间无感染,无钛网移位、脱出、变形及排斥等并发症,无下睑外翻病例发生。眼球内陷均达到双眼球突出度对比相差小于2mm。术后随访1a,所有患者眶下壁骨折全面修复。眼球运动无受限,各方向运动到位。复视者5例中复视完全消失4例,明显改善1例,2例眼球下移者下移均消失。术后视力与术前对比无明显变化。第一眼位复视消失率为93%,另外3例患者明显改善,周

  14. Experimental Study on Tsunami Risk Reduction on Coastal Building Fronted by Sea Wall


    Rahman, Sadia; Akib, Shatirah; M.T.R. Khan; Shirazi, S.M.


    This experimental study was conducted to idealize the efficacy of sea wall in controlling the tsunami forces on onshore structures. Different types of sea walls were placed in front of the building model. The tsunami forces and the wave heights were measured with and without the sea wall conditions. Types of sea wall, wall height, and wall positions were varied simultaneously to quantify the force reductions. Maximum of 41% forces was reduced by higher sea wall, positioned closer proximity to...

  15. Childhood height, adult height, and the risk of prostate cancer

    DEFF Research Database (Denmark)

    Bjerregaard, Lise Geisler; Aarestrup, Julie; Gamborg, Michael;


    PURPOSE: We previously showed that childhood height is positively associated with prostate cancer risk. It is, however, unknown whether childhood height exerts its effects independently of or through adult height. We investigated whether and to what extent childhood height has a direct effect...... on the risk of prostate cancer apart from adult height. METHODS: We included 5,871 men with height measured at ages 7 and 13 years in the Copenhagen School Health Records Register who also had adult (50-65 years) height measured in the Danish Diet, Cancer and Health study. Prostate cancer status was obtained...... through linkage to the Danish Cancer Registry. Direct and total effects of childhood height on prostate cancer risk were estimated from Cox regressions. RESULTS: From 1996 to 2012, 429 prostate cancers occurred. Child and adult heights were positively and significantly associated with prostate cancer risk...

  16. [Atlas fractures]. (United States)

    Schären, S; Jeanneret, B


    Fractures of the atlas account for 1-2% of all vertebral fractures. We divide atlas fractures into 5 groups: isolated fractures of the anterior arch of the atlas, isolated fractures of the posterior arch, combined fractures of the anterior and posterior arch (so-called Jefferson fractures), isolated fractures of the lateral mass and fractures of the transverse process. Isolated fractures of the anterior or posterior arch are benign and are treated conservatively with a soft collar until the neck pain has disappeared. Jefferson fractures are divided into stable and unstable fracture depending on the integrity of the transverse ligament. Stable Jefferson fractures are treated conservatively with good outcome while unstable Jefferson fractures are probably best treated operatively with a posterior atlanto-axial or occipito-axial stabilization and fusion. The authors preferred treatment modality is the immediate open reduction of the dislocated lateral masses combined with a stabilization in the reduced position using a transarticular screw fixation C1/C2 according to Magerl. This has the advantage of saving the atlanto-occipital joints and offering an immediate stability which makes immobilization in an halo or Minerva cast superfluous. In late instabilities C1/2 with incongruency of the lateral masses occurring after primary conservative treatment, an occipito-cervical fusion is indicated. Isolated fractures of the lateral masses are very rare and may, if the lateral mass is totally destroyed, be a reason for an occipito-cervical fusion. Fractures of the transverse processes may be the cause for a thrombosis of the vertebral artery. No treatment is necessary for the fracture itself.

  17. Plain film analysis of acetabular fracture

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Chang Soo; Han, Sang Suk; Yoon, Eu Giene; Cha, Seong Sook; Eun, Tchoong Kie; Chung, Duck Hwan [Inje Medical College Paik Hospital, Pusan (Korea, Republic of)


    Acetabular fracture can result in severe limitation of the motion of the hip joint, which supports total weight of human body. Because of different methods of surgical approach according to fracture type, precise interpretation of X-ray films of acetabular fracture is required. We reviewed 38 cases of simple X-ray films showing acetabular fracture. The results were as follows: 1. Almost 60% of the cases-were in their 2nd and 3rd decades. 2. Twenty cases were male, and 18 cases were female. 3. The most common cause of the injury was traffic accident (33 cases, 86.8%), followed by fall down (4 cases, 10.5%), and slip down (1 case, 2.7%). 4. Elementary fractures were 21 cases (55.3%), and associated fractures were 17 cases (44.7%). 5. Among elementary fractures, posterior wall fractures were 9 cases (23.7%), followed by anterior column fractures (8 cases, 21.1%), anterior wall fractures (4 cases, 10.5%). 6. Among associated fractures, T-shaped fractures were 8 cases (21.1%), followed by both column fractures (6 cases, 15.8%), anterior and hemitransverse fractures (3 cases, 7.8%). 7. Other pelvic bone fractures associated with the acetabular fracture were as follows: fractures of contralateral pubic rami (6 cases, 15.8%) contralateral iliac bone (1 case, 2.6%) and ipsilateral iliac bone (1 case, 2.6%). 8. Injuries of other organs adjacent to the acetabulum were as follows: rupture of the bladder (3 cases, 7.9%), urethra (2 cases, 5.3%) and uterus (1 cases, 2.6%)

  18. Optimization of Truss Height

    Directory of Open Access Journals (Sweden)

    Tomas Ulitinas


    Full Text Available The article analyzes the task in truss height and in the optimization of the cross-sections of their elements. Element cross-sections are designed of steel profiles considering requirements for strength, stability and rigidity. A mathematical model is formulated as a nonlinear mathematical programming problem. It is solved as an iterative process, using mathematical software package “MATLAB” routine “fmincon”. The ratio of buckling is corrected in the each iteration. Optimization results are compared with those obtained applying software package “Robot Millennium”.Article in Lithuanian

  19. Root fractures

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Christensen, Søren Steno Ahrensburg; Tsilingaridis, Georgios


    The purpose of this study was to analyze tooth loss after root fractures and to assess the influence of the type of healing and the location of the root fracture. Furthermore, the actual cause of tooth loss was analyzed.......The purpose of this study was to analyze tooth loss after root fractures and to assess the influence of the type of healing and the location of the root fracture. Furthermore, the actual cause of tooth loss was analyzed....

  20. Stress Fractures (United States)

    Stress fractures Overview Stress fractures are tiny cracks in a bone. They're caused by repetitive force, often from overuse — such as repeatedly jumping up and down or running long distances. Stress fractures can also arise from normal use of ...

  1. Gradual Height Decrease of Augmented Vertebrae after Vertebroplasty at the Thoracolumbar Junction. (United States)

    Oh, Han San; Kim, Tae Wan; Kim, Hyun Gon; Park, Kwan Ho


    Vertebroplasty is an effective treatment for vertebral compression fracture, but may progress gradual vertebral height decrease in spite of vertebroplasty. Gradual vertebral height decrease also may induce aggravation of kyphotic change without severe pain. The purpose of this study was to evaluate risk factors for gradual vertebral height decrease in the absence of recurrent severe back pain. A retrospective analysis was performed on 44 patients who were diagnosed with a first osteoporotic compression fracture at a single level at the thoracolumbar junction. All patients were taken vertebroplasty. Possible risk factors for gradual vertebral height decrease, such as sex, age, bone mineral density, body mass index, level of compression fracture, volume of injected cement, cement leakage into disc space, and air clefts within fractured vertebrae, were analyzed. Gradual vertebral height decrease of augmented vertebrae occurred commonly when more than 4 cc of injected cement was used, and when air clefts within fractured vertebrae were seen on admission. In addition, the sagittal Cobb angle more commonly increased during the follow-up period in such cases. Injection of more than 4 cc of cement during vertebroplasty and air cleft within fractured vertebrae on admission induced gradual vertebral height decrease in augmented vertebrae. Thus, longer follow-up will be needed in such cases, even when patients do not complain of recurrent severe back pain.

  2. Growth Kinematics of Opening-Mode Fractures (United States)

    Eichhubl, P.; Alzayer, Y.; Laubach, S.; Fall, A.


    Fracture aperture is a primary control on flow in fractured reservoirs of low matrix permeability including unconventional oil and gas reservoirs and most geothermal systems. Guided by principles of linear elastic fracture mechanics, fracture aperture is generally assumed to be a linear function of fracture length and elastic material properties. Natural opening-mode fractures with significant preserved aperture are observed in core and outcrop indicative of fracture opening strain accommodated by permanent solution-precipitation creep. Fracture opening may thus be decoupled from length growth if the material effectively weakens after initial elastic fracture growth by either non-elastic deformation processes or changes in elastic properties. To investigate the kinematics of fracture length and aperture growth, we reconstructed the opening history of three opening-mode fractures that are bridged by crack-seal quartz cement in Travis Peak Sandstone of the SFOT-1 well, East Texas. Similar crack-seal cement bridges had been interpreted to form by repeated incremental fracture opening and subsequent precipitation of quartz cement. We imaged crack-seal cement textures for bridges sampled at varying distance from the tips using scanning electron microscope cathodoluminescence, and determined the number and thickness of crack-seal cement increments as a function of position along the fracture length and height. Observed trends in increment number and thickness are consistent with an initial stage of fast fracture propagation relative to aperture growth, followed by a stage of slow propagation and pronounced aperture growth. Consistent with fluid inclusion observations indicative of fracture opening and propagation occurring over 30-40 m.y., we interpret the second phase of pronounced aperture growth to result from fracture opening strain accommodated by solution-precipitation creep and concurrent slow, possibly subcritical, fracture propagation. Similar deformation

  3. Fracture characterization from formation microlmager data

    NARCIS (Netherlands)

    Ponziani, M.; Slob, E.C.; Luthi, S.M.; Bloemenkamp, R.F.; Le Nir, I.


    The Formation MicroImager (mark of Schlumberger) is an electric imaging tool that produces electrical scans of the borehole walls. These measurements provide useful information on the fracture aperture of naturally fractured reservoirs. In this paper, we present a laboratory set-up that was realized

  4. Epidemiological study on talus fractures

    Directory of Open Access Journals (Sweden)

    Marcos Hideyo Sakaki


    Full Text Available Objective:To analyze the characteristics of patients with talus fractures and the injuries that they present.Methods:Retrospective analysis on patients hospitalized in the Institute of Orthopedics and Traumatology, Hospital das Clínicas, School of Medicine of the University of São Paulo, between 2006 and 2011, with talus fractures. Patient profile parameters, risk factors, fracture characteristics, treatment data and acute complications were analyzed.Results:Analysis on 23 cases showed that men were more affected than women, with a ratio of 4.8:1. The most frequent trauma mechanism was traffic accidents, followed by falls from a height. The most frequent type of fracture was at the neck of the talus, with 17 cases. Among the 23 cases, seven had peritalar dislocation at the time of presentation, four had exposed fractures and 11 presented other associated fractures. The mean length of time between the trauma and the definitive treatment was six days, while the mean length of hospital stay was 11 days. Three patients presented acute postoperative complications.Conclusion:Talus fractures occurred most commonly in the region of the talar neck and most frequently in young males who suffered high-energy trauma. In almost half of the cases, there were other associated fractures. The length of hospital stay was 11 days.


    Institute of Scientific and Technical Information of China (English)



    Radiographic measurements was performed on 124 normal adults for anterior, posterior and middle heights of the vertebral bodies in thoracic and lumbar spine. The normal ratios of vertebral height in one vertebral body and one with the adjacent bodies were presented. The method for measurement and its diagnostic value to osteoporodc vertebral fractures were discussed.

  6. Vertebral fracture risk (VFR) score for fracture prediction in postmenopausal Women

    DEFF Research Database (Denmark)

    Lillholm, Martin; Ghosh, A.; Pettersen, P. C.


    Early prognosis of osteoporosis risk is not only important to individual patients but is also a key factor when screening for osteoporosis drug trial populations. We present an osteoporosis fracture risk score based on vertebral heights. The score separated individuals who sustained fractures (by...

  7. Comminuted Frontal Sinus Fracture Reconstructed With Titanium Mesh. (United States)

    Sakat, Muhammed Sedat; Kilic, Korhan; Altas, Enver; Gozeler, Mustafa Sitki; Ucuncu, Harun


    Frontal sinus fractures (FSF) are relatively uncommon maxillofacial injuries. The most common cause of FSF is motor vehicle accidents with 62% percentage. Management of FSF depends on type of fracture, associated injuries, and involvement of naso-frontal duct. In this report, the authors presented a patient with comminuted fracture of anterior wall of frontal sinus reconstructed with titanium mesh. A 40-year-old man presented with depression of the frontal bone, facial pain, and epistaxis consisting of a motor vehicle accident. Computerized tomography scan revealed multiple comminuted fractures of anterior wall of frontal sinus and fractures of left orbital medial and superior walls. Titanium mesh was used for reconstruction. Postoperative course was uneventful. The titanium mesh, which is easy to handle with no complications, may provide excellent frontal contour after comminuted anterior wall fractures.

  8. [Acetabular fractures]. (United States)

    Gänsslen, A; Oestern, H J


    Treatment of acetabular fractures requires extensive knowledge of the bony anatomy, the amount of possible exposure of the bone with the selected approaches and fracture type-dependent indications of operative treatment. Classification of the fracture with detailed analysis of the fracture morphology is the basis for decision making and planning. The primary treatment aim is the anatomic reconstruction of the acetabulum which results in optimal long-term results.The basis of this overview is the presentation of standard treatment concepts in acetabular fracture surgery. Beside characteristics of the acetabular bony anatomy, biomechanical and pathomechanical principles and the relevant radiological anatomy, the treatment options, both conservative and operative and basic principles of the indications for standard surgical approaches will be discussed.The special fracture type is discussed in detail regarding incidence, injury mechanism, concomitant injuries, options for conservative and operative treatment, quality of operative reduction and long-term results.Furthermore, epidemiological data on typical postoperative complications are evaluated.

  9. Sports fractures.


    DeCoster, T. A.; Stevens, M. A.; Albright, J. P.


    Fractures occur in athletes and dramatically influence performance during competitive and recreational activities. Fractures occur in athletes as the result of repetitive stress, acute sports-related trauma and trauma outside of athletics. The literature provides general guidelines for treatment as well as a variety of statistics on the epidemiology of fractures by sport and level of participation. Athletes are healthy and motivated patients, and have high expectations regarding their level o...

  10. Hamate fractures. (United States)

    Sarabia Condés, J M; Ibañez Martínez, L; Sánchez Carrasco, M A; Carrillo Julia, F J; Salmerón Martínez, E L


    The purpose of this paper is to present our experience in the treatment of the fractures of the hamate and to make a review of the literature on this topic. We retrospectively reviewed 10 patients treated in our clinic between 2005-2012 suffering from fractures of the hamate. Six cases were fractures of the body and four were fractures of the hamate. Five cases were of associated injuries. Diagnostic delay ranged from 30 days to 2 years. Patient follow-up ranged from 1 to 10 years. Patient satisfaction was evaluated using the DASH questionnaire. Five patients with a fracture of the body underwent surgery, and one was treated conservatively. Two patients with fracture of the hook of the hamate were treated with immobilization, and two more patients had the fragment removed. The grip strength and the digital clip were reduced in 2 cases. Flexion and extension of the wrist was limited in 3 cases. The mobility of the fingers was normal in all the cases, except in one. The results obtained from the DASH questionnaire were normal in all the cases, except in one case of fracture of the hamate, and in two cases of fracture of the body. The surgical treatment should reduce the dislocation and stabilize the injuries with osteosynthesis. The fractures of the hamate are usually diagnosed late, and the most recommended treatment is removal of the fragment, although it cannot be deduced from this study. Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

  11. Colles Fracture


    Sánchez León, Belisario; Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú


    Our expertise is the study of more than 2,000 cases of Colles' fractures. Colles name should in this case to synthesize the type of fractures of the lower end of the radius. There have been various proposed classifications according to the different fracture lines can be demonstrated radiologically in the region of the wrist. We believe that these ratings should only be retained if the concept of the articular fracture or not in the classical sense, since it has great value in the functional ...

  12. Traumatic sternal fracture: Incidence, causes and CT features

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyo Weon; Kim, Young Tong; Jou, Sung Shick; Han, Jong Kyu; Bae, Won Kyung [Dept. of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan (Korea, Republic of)


    To evaluate the incidence of sternal fracture due to trauma, the CT features of sternal fractures, and the hospitalization period. The medical records and CT images of 755 patients who suffered trauma from January 2012 to August 2013 were analyzed retrospectively. We compared the incidence of sternal fracture due to various traumatic causes. We evaluated the location and shape of the sternal fracture on CT scans and the relationship between a sternal fracture and the hospitalization period. The incidence of sternal fracture was 9.27% (70/755) in all patients; 11.7% (53/453) due to a traffic accident (TA), and 5.63% (17/302) due to other causes. TA was the most frequent cause (75.71%) of a sternal fracture, fracture incidences after a TA differed by traumatic cause (p < 0.05). Among sternal fractures, the body was the most commonly involved (68.57%), one wall was limited (32.85%), and anteroposterior length increased (7.14%). Body fractures involving two or more segments included 33.33% of the cases. The hospitalization period was not related with sternal fracture (p = 0.30). Fracture was more frequent after a TA than due to other causes. Fracture incidences after a TA depended on the traumatic causes. Involvement of two or more segments and one wall-limitation were common among sternal fractures. Sternal fractures occurred even in slightly injured patients.

  13. Arrangement of peptidoglycan in the cell wall of Staphylococcus spp.


    Amako, K.; Umeda, A; Murata, K


    The arrangement of peptidoglycan in the cell wall of Staphylococcus was observed with the newly developed freeze-fracture technique, using n-octanol instead of water as the freezing medium. The replica of the trichloroacetic acid-extracted cell wall (TCA-wall) showed two areas. One of them has a concentric circular structure, a characteristic surface structure of the staphylococcal cell wall, and the other showed an irregular and rough surface. The chemical analysis of the wall revealed that ...

  14. Laboratory Hydraulic Fracturing Experiments for Determining Reopening and Closing Pressures of Fractures

    National Research Council Canada - National Science Library

    IMAI, Tadao; KAMOSHIDA, Naoto; KATO, Harumi; SUGIMOTO, Fumio


    ... in the borehole wall and the triggering of acoustic emissions.In the experiments, we measured the pressures during the reopening and closing of a fracture caused by elastic restitution in a block of rock not subjected to compressive load...

  15. Biomechanical Study of Acetabunlum Transverse and Posterior Wall Fractures Treated by Internal Fixation with Locking Reconstruction Plate%锁定重建接骨板治疗髋臼横行伴后壁骨折的生物力学研究

    Institute of Scientific and Technical Information of China (English)

    付久洋; 吴啸波


    Objective To evaluate the stability of 3 different internal fixation methods for transverse and posterior wall fractures of the acetabulum. Methods Seighteen acetabula of 9 whole pelvises were divided into 3 groups randomly. Models of transverse and posterior wall fracturesof acetabulum were established and then fixed with one of following three internal fixation methods:(Group A)posterior column locking reconstruction plate group,(Group B)posterior column common reconstruction plate withposterior wall 2 lag screwsgroup ,(Group C)anterior column lag screw and posterior column common reconstruction plate with posterior wall2 lag screws group. biomechanical tests are conducted in a single leg stance tomeasurethe maximal loads in the three groups and the displacements of the posterior wall fractures when the stress were loaded to 2 200 N on the three groups. Results The maximal loads in Groups A,B,C were as follows:(2243. 74 ± 116. 36)N,(2769. 05 ± 131. 42) N,(2832. 87 ± 137. 93)N. When the stress was loaded to 2 200 N on the three groups,the displacements of the posterior wall fractures were as follows:(2. 15 ± 0. 26)mm,(0. 45 ± 0. 05)mm,(0. 53 ± 0. 07)mm. We found there was no significant difference between the Group B and the Group C(P > 0. 05). There was significant difference between Groups B,C and Groups A,(P 0.05)。B、C 两组数据与 A 组比较,差异均有统计学意义(P <0.05,P <0.01)。结论锁定重建接骨板固定髋臼横行伴后壁骨折固定可靠,能够满足患者早期功能锻炼的要求,具有较大临床应用价值。

  16. [Fractures of the humerus head]. (United States)

    Jaeger, M; Izadpanah, K; Maier, D; Reising, K; Strohm, P C; Südkamp, N P


    Fractures of the proximal humerus are commonly seen especially in the elderly population. High-energy trauma in young people can be distinguished from low-energy trauma in the elderly resulting from falls of a low height which are typically characterized by osteoporosis. A precise analysis of fractures is essential for a good understanding of the fracture and an individual therapy for which the LEGO-Codman classification provided by Hertel is recommended. Nonsurgical therapy is commonly performed and widely accepted not only for simple fractures. For osteosynthesis angular stable implants became the gold standard but are frequently associated with a high rate of complications some of which can be lowered by an improved surgical technique. Even today varus dislocated fractures are challenging, especially in combination with destruction of the medial column. In those cases where stable osteosynthesis can no longer be achieved arthroplasty is indicated. The clinical results of anatomic fracture arthroplasty are strongly related with correct ingrowth of the tuberosities. Reverse fracture arthroplasty may be considered but indications should be interpreted with caution and preferably used in patients older than 75 years.

  17. Fracture Mechanics

    CERN Document Server

    Zehnder, Alan T


    Fracture mechanics is a vast and growing field. This book develops the basic elements needed for both fracture research and engineering practice. The emphasis is on continuum mechanics models for energy flows and crack-tip stress- and deformation fields in elastic and elastic-plastic materials. In addition to a brief discussion of computational fracture methods, the text includes practical sections on fracture criteria, fracture toughness testing, and methods for measuring stress intensity factors and energy release rates. Class-tested at Cornell, this book is designed for students, researchers and practitioners interested in understanding and contributing to a diverse and vital field of knowledge. Alan Zehnder joined the faculty at Cornell University in 1988. Since then he has served in a number of leadership roles including Chair of the Department of Theoretical and Applied Mechanics, and Director of the Sibley School of Mechanical and Aerospace Engineering.  He teaches applied mechanics and his research t...

  18. Results obtained during wall breaching research

    CSIR Research Space (South Africa)

    Hattingh, S


    Full Text Available the operator on the charge side of the building. Test walls (double and single brick walls) 3m wide by 2m height were used for testing different charges and their effects due to the different charges. The loop charge was found to be the most promising solution...

  19. Predictors of delayed failure of structural kyphoplasty for pathological compression fractures in cancer patients. (United States)

    Rajah, Gary; Altshuler, David; Sadiq, Omar; Nyame, V Kwasi; Eltahawy, Hazem; Szerlip, Nicholas


    OBJECT Pathological compression fractures in cancer patients cause significant pain and disability. Spinal metastases affect quality of life near the end of life and may require multiple procedures, including medical palliative care and open surgical decompression and fixation. An increasingly popular minimally invasive technique to treat metastatic instabilities is kyphoplasty. Even though it may alleviate pain due to pathological fractures, it may fail. However, delayed kyphoplasty failures with retropulsed cement and neural element compression have not been well reported. Such failures necessitate open surgical decompression and stabilization, and cement inserted during the kyphoplasty complicates salvage surgeries in patients with a disease-burdened spine. The authors sought to examine the incidence of delayed failure of structural kyphoplasty in a series of cement augmentations for pathological compression fractures. The goal was to identify risk predictors by analyzing patient and disease characteristics to reduce kyphoplasty failure and to prevent excessive surgical procedures at the end of life. METHODS The authors retrospectively reviewed the records of all patients with metastatic cancer from 2010 to 2013 who had undergone a procedure involving cement augmentation for a pathological compression fracture at their institution. The authors examined the characteristics of the patients, diseases, and radiographic fractures. RESULTS In total, 37 patients underwent cement augmentation in 75 spinal levels during 45 surgeries. Four patients had delayed structural kyphoplasty failure necessitating surgical decompression and fusion. The mean time to kyphoplasty failure was 2.88 ± 1.24 months. The mean loss of vertebral body height was 16% in the patients in whom kyphoplasty failed and 32% in patients in whom kyphoplasty did not fail. No posterior intraoperative cement extravasation was observed in the patients in whom kyphoplasty had failed. The mean spinal

  20. Surgical treatment for complex acetabular fractures

    Institute of Scientific and Technical Information of China (English)

    LIU Qiang; WU Dou; LI Ping; HAN Shu-feng


    Objective: To explore the effect of surgical treatment on complex acetabular fractures.Methods: The data of 46 patients (38 males and 8 females, aged 16-75 years, mean = 38. 5 years ) with complex acetabular fractures, who were admitted to our hospital from January 1998 to December 2005, were analyzed retrospectively in this study. According to Letournel rules, posterior wall and posterior column fractures were found in 11 patients, transverse and posterior wall fractures in 13, T-type fracture in 4, both columns fracture in 10, and anterior column and posterior transverse fracture in 8. The choice of surgical approach was based on the individual fractures, which included ilioinguinal approach in 5 patients, Kocher-Langenbech approach in 7, combined approach in 26, and extended iliofemoral approach in 8.Results: All the patients were followed up for 3.5 years averagely. The clinical outcomes were analyzed with Harris hip score and radiography. In 36 patients (78.3%), the surgical procedure was successful (Harris hip score > 80 points). The rate of excellent and good was about 86 %.Conclusions: The keys to increase the effectiveness of surgical treatment on acetabular fractures are correct preoperative classification of factures and choices of appropriate surgical approach and time.

  1. Acetabular fractures: what radiologists should know and how 3D CT can aid classification. (United States)

    Scheinfeld, Meir H; Dym, Akiva A; Spektor, Michael; Avery, Laura L; Dym, R Joshua; Amanatullah, Derek F


    Correct recognition, description, and classification of acetabular fractures is essential for efficient patient triage and treatment. Acetabular fractures may result from high-energy trauma or low-energy trauma in the elderly. The most widely used acetabular fracture classification system among radiologists and orthopedic surgeons is the system of Judet and Letournel, which includes five elementary (or elemental) and five associated fractures. The elementary fractures are anterior wall, posterior wall, anterior column, posterior column, and transverse. The associated fractures are all combinations or partial combinations of the elementary fractures and include transverse with posterior wall, T-shaped, associated both column, anterior column or wall with posterior hemitransverse, and posterior column with posterior wall. The most unique fracture is the associated both column fracture, which completely dissociates the acetabular articular surface from the sciatic buttress. Accurate categorization of acetabular fractures is challenging because of the complex three-dimensional (3D) anatomy of the pelvis, the rarity of certain acetabular fracture variants, and confusing nomenclature. Comparing a 3D image of the fractured acetabulum with a standard diagram containing the 10 Judet and Letournel categories of acetabular fracture and using a flowchart algorithm are effective ways of arriving at the correct fracture classification. Online supplemental material is available for this article.

  2. Possible factors for ankle fractures

    Directory of Open Access Journals (Sweden)

    Tabaković Dejan


    Full Text Available Background/Aim. Classification of ankle fractures is commonly used for selecting an appropriate treatment and prognosing an outcome of definite management. One of the most used classifications is the Danis-Weber classification. To the best of our knowledge, in the available literature, there are no parameters affecting specific types of ankle fractures according to the Danis-Weber classification. The aim of this study was to analyze the correlation of the following parameters: age, body weight, body mass index (BMI, height, osteoporosis, osteopenia and physical exercises with specific types of ankle fractures using the Danis-Weber classification. Methods. A total of 85 patients grouped by the Danis-Weber classification fracture types were analyzed and the significance of certain parameters for specific types of ankle fractures was established. Results. The proportion of females was significantly higher (p < 0.001 with a significantly higher age (59.9 years, SD ± 14.2 in relation to males (45.1 years, SD ± 12.8 (p < 0.0001. Type A fracture was most frequent in the younger patients (34.2 years, SD ± 8.6, and those with increased physical exercises (p = 0.020. In type B fracture, the risk factor was osteoporosis (p = 0.0180, while in type C fracture, body weight (p = 0.017 and osteoporosis (p = 0.004 were significant parameters. Conclusion. Statistical analysis using the Danis-Weber classification reveals that there are certain parameters suggesting significant risk factors for specific types of ankle fractures.

  3. Wonderful Walls (United States)

    Greenman, Jim


    In this article, the author emphasizes the importance of "working" walls in children's programs. Children's programs need "working" walls (and ceilings and floors) which can be put to use for communication, display, storage, and activity space. The furnishings also work, or don't work, for the program in another sense: in aggregate, they serve as…

  4. Ambiguous walls

    DEFF Research Database (Denmark)

    Mody, Astrid


    The introduction of Light Emitting Diodes (LEDs) in the built environment has encouraged myriad applications, often embedded in surfaces as an integrated part of the architecture. Thus the wall as responsive luminous skin is becoming, if not common, at least familiar. Taking into account how wall...

  5. Analysis of the nature of injuries in victims of fall from height

    Directory of Open Access Journals (Sweden)

    Magdalena E. Kusior


    Full Text Available Aim of study: To assess the types and extent of injuries sustained by victims of fall from height depending on the height of fall. Material and methods: The study included 338 bodies of victims of fatal falls from different heights (from the 1st to 10th floors who were subjected to medico-legal autopsy at the Department of Forensic Medicine, Jagiellonian University Medical College, between 1995 and 2014. For each individual, selected data were collected including gender, age, body height, injury types and presence of alcohol or other intoxicants in blood. The analysis comprised injuries to the brain, thoracic and abdominal organs, fractures of the skull, extremities, ribs and spine, and fractures of the scapula, clavicle and sternum (considered together. The study focused on determining the frequency of occurrence of different injuries in relation to one another and depending on the height of fall. Results : The number and extent of injuries was found to increase along with the height of fall. Three injury types, including injuries to the mesentery and both kidneys and fractures of upper extremity small bones, were shown to occur from the threshold heights of the 3rd, 4th and 6th floors. Eleven injuries demonstrated a statistically significant correlation with the height of fall. The study also revealed a number of correlations between the frequencies of occurrence of different injuries. Conclusions : Injuries found from the threshold value may suggest the minimal height of fall. The presence of injuries which correlate with increasing height, and the overall number of injuries observed in victims of fall from height, may be useful for inferring the height of the fall.

  6. Fracture mechanics

    CERN Document Server

    Perez, Nestor


    The second edition of this textbook includes a refined presentation of concepts in each chapter, additional examples; new problems and sections, such as conformal mapping and mechanical behavior of wood; while retaining all the features of the original book. The material included in this book is based upon the development of analytical and numerical procedures pertinent to particular fields of linear elastic fracture mechanics (LEFM) and plastic fracture mechanics (PFM), including mixed-mode-loading interaction. The mathematical approach undertaken herein is coupled with a brief review of several fracture theories available in cited references, along with many color images and figures. Dynamic fracture mechanics is included through the field of fatigue and Charpy impact testing. Explains computational and engineering approaches for solving crack-related problems using straightforward mathematics that facilitate comprehension of the physical meaning of crack growth processes; Expands computational understandin...

  7. Fracture mechanics (United States)

    Shannon, John L., Jr.


    The application of fracture mechanics to the design of ceramic structures will require the precise measurement of crack growth and fracture resistance of these materials over their entire range of anticipated service temperatures and standardized test methods for making such measurements. The development of a standard test for measuring the plane strain fracture toughness is sought. Stress intensity factor coefficients were determined for three varieties of chevron-notch specimens, and fracture toughness measurements were made on silicon nitrides, silicon carbides, and aluminum oxides to assess the performance of each specimen variety. It was determined that silicon nitride and silicon carbides have flat crack growth resistance curves, but aluminum oxide does not. Additionally, batch-to-batch differences were noticed for the aluminum oxide. Experiments are continuing to explain the rising crack growth resistance and batch-to-batch variations for the aluminum oxide.

  8. Height and Tilt Geometric Texture

    DEFF Research Database (Denmark)

    Andersen, Vedrana; Desbrun, Mathieu; Bærentzen, Jakob Andreas


    We propose a new intrinsic representation of geometric texture over triangle meshes. Our approach extends the conventional height field texture representation by incorporating displacements in the tangential plane in the form of a normal tilt. This texture representation offers a good practical...... compromise between functionality and simplicity: it can efficiently handle and process geometric texture too complex to be represented as a height field, without having recourse to full blown mesh editing algorithms. The height-and-tilt representation proposed here is fully intrinsic to the mesh, making...

  9. Cue salience influences the use of height cues in reorientation in pigeons (Columba livia). (United States)

    Du, Yu; Mahdi, Nuha; Paul, Breanne; Spetch, Marcia L


    Although orienting ability has been examined with numerous types of cues, most research has focused only on cues from the horizontal plane. The current study investigated pigeons' use of wall height, a vertical cue, in an open-field task and compared it with their use of horizontal cues. Pigeons were trained to locate food in 2 diagonal corners of a rectangular enclosure with 2 opposite high walls as height cues. Before each trial, pigeons were rotated to disorient them. In training, pigeons could use either the horizontal cues from the rectangular enclosure or the height information from the walls to locate the food. In testing, the apparatus was modified to provide (a) horizontal cues only, (b) height cues only, and (c) both height and horizontal cues in conflict. In Experiment 1 the lower and high walls, respectively, were 40 and 80 cm, whereas in Experiment 2 they were made more perceptually salient by shortening them to 20 and 40 cm. Pigeons accurately located the goal corners with horizontal cues alone in both experiments, but they searched accurately with height cues alone only in Experiment 2. When the height cues conflicted with horizontal cues, pigeons preferred the horizontal cues over the height cues in Experiment 1 but not in Experiment 2, suggesting that perceptual salience influences the relative weighting of cues. (PsycINFO Database Record

  10. Design criteria for structural design of silage silo walls


    von Wachenfelt, Hans; Nilsson, Christer; Östergaard, Göran; Olofsson, Anders; Karlsson, Marie


    Existing Swedish design guidelines (JBR) cover silo wall heights up to about 3 m. These guidelines presumably overestimate the forces and pressures exerted by silage juice when silo walls are more than 3 m high, which could result in over-sizing, material waste and increased capital costs. This study determined silage physical properties in terms of horizontal wall pressure and evaluated silage juice levels in silos with a wall height of 3 m or more.Wall pressure was measured by transducers m...

  11. The Study of Pattern of Injuries in Fatal Cases of fall from Height

    Directory of Open Access Journals (Sweden)

    C.R. Vasudeva Murthy


    Full Text Available Objectives: To study the various pattern of injuries from fall from height. Background: Deaths due to fall from height, form an important area of study due to diversity of the injuries sustained, complexity of the patterns involved and various phenomenon’s associated there with. The medico-legal autopsy aims at deciding whether the death was attribute purely to the height. It also helps in ruling out the various contributing factors like drugs, alcohol and co-existing natural disease. Methods: The present study has been carried out in department of forensic medicine, M.S. Ramaiah medical college and hospital, Bangalore during the period October 2005 to May 2007, of all the cases of fall from height subjected for medico legal autopsy. Results: Fissure fracture of the skull and fracture of cervical spine was noticed when the fall occurred on to concrete from minimum height of 3 feet and on to hard soil from the height of 10 feet. Multiple rib fractures, fracture of clavicle and laceration of liver was noticed when the fall height was 7 feet on to concrete. Spleen and kidneys were damaged when height of fall was more than 20 feet on to hard surface. Fracture of upper limbs were seen in falls occurred on to concrete from height of 6 feet where as the fracture of lower limb was found when the fall height was more than 15 feet on to hard surface. Conclusion: The study of pattern of external and internal injury may together indicate the primary site of impact and height from which the fall has occurred. The determination of actual or probable anatomical site of primary impact may be useful in reconstruction of the events, which led to fatal falls. Presence of multiple blunt force injuries makes it hard to differentiate between falls induced injuries and those that have inflicted before the fall and often disagreement predominates regarding the height at which death results. Thus a careful study of total injury pattern is of vital importance in every

  12. Alaska Geoid Heights (GEOID96) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This 2' x 4' geoid height grid for Alaska is distributed as a GEOID96 model. The computation used 1.1 million terrestrial and marine gravity data held in the...

  13. Mexico Geoid Heights (MEXICO97) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This 2' geoid height grid for Mexico, and North-Central America, is the MEXICO97 geoid model. The computation used about one million terrestrial and marine gravity...

  14. The mid - and long - term clinical outcomes of open reduction and internal fixation for dislocation of hip joint combined with posterior wall or/and column fractures of acetabulum%髋关节后脱位并髋臼后壁(柱)骨折手术治疗结果分析

    Institute of Scientific and Technical Information of China (English)

    何长街; 刘志礼; 舒勇; 黄山虎


    目的 探讨髋臼后壁(柱)骨折伴髋关节脱位手术治疗的中远期疗效.方法 回顾性分析21例髋关节脱位伴髋臼骨折患者临床资料,其中20例髋臼脱位行闭合复位,1例行急诊切开复位内固定;所有合并的髋臼骨折均采用开放复位内固定术治疗.结果 完整随访19例,失访 2例,随访时间29~86个月.按髋关节功能恢复情况评分:优13例,良3例,可2例,差1例,优良率84.2%.结论 髋关节脱位伴髋臼骨折应尽早诊断,应尽快行髋关节复位,骨折应尽早开放复位内固定,早期功能锻炼,避免过早负重.%Objectives To investigate the mid - and long - term clinical outcomes of open reduction and internal fixation(ORIF) for treating the dislocation of hip joint with posterior wall or/and column fractures of acetabulum. Methods The clinic data of 21 patients with dislocation of hip joint and posterior wall fracture of acetabulum who were given close reduction( n = 20)or open reduction and internal fixation(ORIF) ( n = 1 ) for disclocation of hip joint and then were treated with ORIF for the fracture of acetabulum were retrospectively analyzed. Results A total of 19 patients were followed up for 29 to 86 mon. According to Letournel E's hip joint functional scoring system, clinical outcome was excellent in 13 patients,good in 3 patients,fair in 2 patients,and poor in one patient. The ratio of fineness of the midand long - term clinical outcomes was 84. 2%. Conclusion The dislocation of hip joint combined with posterior wall fracture of acetabulum should be diagnosed early, and reduction of the hip joint and ORIF should be performed as soon as possible. The positive functional exercise is necessary and the premature weight bearing on the hip joint should be avoided at early time.

  15. Compression fractures of the vertebrae during a "bumpy" boat ride.

    LENUS (Irish Health Repository)

    Chukwunyerenwa, C K


    INTRODUCTION: Compression fracture of the vertebrae is common, often the result of falls from height and motor vehicle accidents in the younger age groups. It can occur following minor trauma in the elderly and in those with osteoporosis. MATERIALS AND METHODS: We present an interesting case of compression fracture of the vertebral bodies occurring simultaneously in a couple during a boat ride while on holiday. One individual had fracture of the T8, while the other fractured the L1 vertebrae. Both injuries were treated conservatively with Taylor braces. CONCLUSION: We highlight one of the potential hazards of this recreational activity, and the almost identical fracture pattern in this couple.

  16. Wall Turbulence. (United States)

    Hanratty, Thomas J.


    This paper gives an account of research on the structure of turbulence close to a solid boundary. Included is a method to study the flow close to the wall of a pipe without interferring with it. (Author/JN)

  17. Hydraulic fracture model comparison study: Complete results

    Energy Technology Data Exchange (ETDEWEB)

    Warpinski, N.R. [Sandia National Labs., Albuquerque, NM (United States); Abou-Sayed, I.S. [Mobil Exploration and Production Services (United States); Moschovidis, Z. [Amoco Production Co. (US); Parker, C. [CONOCO (US)


    Large quantities of natural gas exist in low permeability reservoirs throughout the US. Characteristics of these reservoirs, however, make production difficult and often economic and stimulation is required. Because of the diversity of application, hydraulic fracture design models must be able to account for widely varying rock properties, reservoir properties, in situ stresses, fracturing fluids, and proppant loads. As a result, fracture simulation has emerged as a highly complex endeavor that must be able to describe many different physical processes. The objective of this study was to develop a comparative study of hydraulic-fracture simulators in order to provide stimulation engineers with the necessary information to make rational decisions on the type of models most suited for their needs. This report compares the fracture modeling results of twelve different simulators, some of them run in different modes for eight separate design cases. Comparisons of length, width, height, net pressure, maximum width at the wellbore, average width at the wellbore, and average width in the fracture have been made, both for the final geometry and as a function of time. For the models in this study, differences in fracture length, height and width are often greater than a factor of two. In addition, several comparisons of the same model with different options show a large variability in model output depending upon the options chosen. Two comparisons were made of the same model run by different companies; in both cases the agreement was good. 41 refs., 54 figs., 83 tabs.

  18. Influence of cooling conditions and amount of retained austenite on the fracture of austempered ductile iron

    Directory of Open Access Journals (Sweden)



    Full Text Available SEM Analysis of fracture surfaces from tensile test specimens of thick-walled, austempered ductile irons (diameter 160 mm shows different fracture behavior depending on the austenite retained in the matrix. The results show ductile fractures only in areas containing retained austenite sections. In section areas without or with a very low content of retained austenite, only brittle fracture without any plastic deformation occurs. The content of retained austenite determines the amount of ductile fracture in the microstructure.

  19. Glacial effects limiting mountain height. (United States)

    Egholm, D L; Nielsen, S B; Pedersen, V K; Lesemann, J-E


    The height of mountain ranges reflects the balance between tectonic rock uplift, crustal strength and surface denudation. Tectonic deformation and surface denudation are interdependent, however, and feedback mechanisms-in particular, the potential link to climate-are subjects of intense debate. Spatial variations in fluvial denudation rate caused by precipitation gradients are known to provide first-order controls on mountain range width, crustal deformation rates and rock uplift. Moreover, limits to crustal strength are thought to constrain the maximum elevation of large continental plateaus, such as those in Tibet and the central Andes. There are indications that the general height of mountain ranges is also directly influenced by the extent of glaciation through an efficient denudation mechanism known as the glacial buzzsaw. Here we use a global analysis of topography and show that variations in maximum mountain height correlate closely with climate-controlled gradients in snowline altitude for many high mountain ranges across orogenic ages and tectonic styles. With the aid of a numerical model, we further demonstrate how a combination of erosional destruction of topography above the snowline by glacier-sliding and commensurate isostatic landscape uplift caused by erosional unloading can explain observations of maximum mountain height by driving elevations towards an altitude window just below the snowline. The model thereby self-consistently produces the hypsometric signature of the glacial buzzsaw, and suggests that differences in the height of mountain ranges mainly reflect variations in local climate rather than tectonic forces.

  20. Galeazzi fracture. (United States)

    Atesok, Kivanc I; Jupiter, Jesse B; Weiss, Arnold-Peter C


    Galeazzi fracture is a fracture of the radial diaphysis with disruption at the distal radioulnar joint (DRUJ). Typically, the mechanism of injury is forceful axial loading and torsion of the forearm. Diagnosis is established on radiographic evaluation. Underdiagnosis is common because disruption of the ligamentous restraints of the DRUJ may be overlooked. Nonsurgical management with anatomic reduction and immobilization in a long-arm cast has been successful in children. In adults, nonsurgical treatment typically fails because of deforming forces acting on the distal radius and DRUJ. Open reduction and internal fixation is the preferred surgical option. Anatomic reduction and rigid fixation should be followed by intraoperative assessment of the DRUJ. Further intraoperative interventions are based on the reducibility and postreduction stability of the DRUJ. Misdiagnosis or inadequate management of Galeazzi fracture may result in disabling complications, such as DRUJ instability, malunion, limited forearm range of motion, chronic wrist pain, and osteoarthritis.

  1. Encounter Probability of Significant Wave Height

    DEFF Research Database (Denmark)

    Liu, Z.; Burcharth, H. F.

    The determination of the design wave height (often given as the significant wave height) is usually based on statistical analysis of long-term extreme wave height measurement or hindcast. The result of such extreme wave height analysis is often given as the design wave height corresponding to a c...

  2. Fracture Blisters

    Directory of Open Access Journals (Sweden)

    Uebbing, Claire M


    Full Text Available Fracture blisters are a relatively uncommon complication of fractures in locations of the body, such as the ankle, wrist elbow and foot, where skin adheres tightly to bone with little subcutaneous fat cushioning. The blister that results resembles that of a second degree burn.These blisters significantly alter treatment, making it difficult to splint or cast and often overlying ideal surgical incision sites. Review of the literature reveals no consensus on management; however, most authors agree on early treatment prior to blister formation or delay until blister resolution before attempting surgical correction or stabilization. [West J Emerg Med. 2011;12(1;131-133.

  3. Height and Breast Cancer Risk

    DEFF Research Database (Denmark)

    Zhang, Ben; Shu, Xiao-Ou; Delahanty, Ryan J


    BACKGROUND: Epidemiological studies have linked adult height with breast cancer risk in women. However, the magnitude of the association, particularly by subtypes of breast cancer, has not been established. Furthermore, the mechanisms of the association remain unclear. METHODS: We performed a meta......-analysis to investigate associations between height and breast cancer risk using data from 159 prospective cohorts totaling 5216302 women, including 113178 events. In a consortium with individual-level data from 46325 case patients and 42482 control patients, we conducted a Mendelian randomization analysis using...... a genetic score that comprised 168 height-associated variants as an instrument. This association was further evaluated in a second consortium using summary statistics data from 16003 case patients and 41335 control patients. RESULTS: The pooled relative risk of breast cancer was 1.17 (95% confidence...

  4. replacing orthometric heights with ellipsoidal heights in engineering ...

    African Journals Online (AJOL)


    This work investigates the use of ellipsoidal heights in place of orthometric ... be represented mathematically, and therefore enables computation to be .... suitable locations along the levelling routes. The ..... 5.3 Assumptions and theoretical approximations made ... tectonics movement, deformation and land subsidence.

  5. Tree Height Calculator: An Android App for Estimating Tree Height (United States)

    Burca, V. S.; Htet, N. M.; Huang, X.; de Lanerolle, T. R.; Morelli, R.; Gourley, J. R.


    Conventionally, measuring tree height requires a collection of different tools - clinometer, transit, pencil, paper, laptop computer. Results are recorded manually and entered into a spreadsheet or database for future calculation and analysis. Tree Height Calculator is a mobile Android app the integrates the various steps in this process thereby improving the accuracy and dramatically reducing the time required to go from taking measurements to analyzing data. Given the user's height and the distance from the base of the tree (which can be downloaded into the app from a server), the app uses the phone's orientation sensor to calculate the angle of elevation. A simple trigonometric formula is then used to calculate and record the tree's height in the phone's database. When the phone has a WiFi connection, the data are transmitted to a server, from where they can be downloaded directly into a spreadsheet. The application was first tested in an Environmental Science laboratory at Trinity College. On the first trial, 103 data samples were collected, stored, and uploaded to the online database with only couple of dropped data points. On the second trial, 98 data samples were gathered with no loss of data. The app combined the individual measurements taken by the students in the lab, reducing the time required to produce a graph of the class's results from days to hours.

  6. Conservatively treated acetabular fractures: A retrospective analysis

    Directory of Open Access Journals (Sweden)

    Narender Kumar Magu


    Full Text Available Background: There are a few studies reporting the long term outcome of conservatively treated acetabular fractures. The present study aims to evaluate the quality of reduction, and radiological and functional outcome in displaced acetabular fractures treated conservatively. Materials and Methods: Sixty-nine patients (55 men and 14 women with 71 displaced acetabular fractures (mean age 38.6 years managed conservatively were retrospectively evaluated. There were 11 posterior wall, 5 posterior column, 6 anterior column, 13 transverse, 2 posterior column with posterior wall, 9 transverse with posterior wall, 6 T-shaped, 1 anterior column with posterior hemi-transverse, and 18 both-column fractures. The follow-up radiographs were graded according to the criteria developed by Matta J. Functional outcome was assessed using Harris hip score and Merle d′Aubigne and Postel score at final followup. Average follow-up was 4.34 years (range 2-11 years. Results: Patients with congruent reduction (n=45 had good or excellent functional outcome. Radiologic outcome in incongruent reduction (n=26 was good or excellent in 6 and fair or poor in 20 hips. The functional outcome in patients with incongruent reduction was good or excellent in 16 and satisfactory or poor in 10 hips. Good to excellent radiologic and functional outcome was achieved in all patients with posterior wall fractures including four having more than 50% of broken wall. Good to excellent functional outcome was observed in 88.8% of both-column fractures with secondary congruence despite medial subluxation. Conclusions: Nonoperative treatment of acetabular fractures can give good radiological and functional outcome in congruent reduction. Posterior wall fractures with a congruous joint without subluxation on computed tomography axial section, posterior column, anterior column, infratectal transverse or T-shaped, and both-column fractures may be managed conservatively. Small osteochondral fragments

  7. Fear of heights in infants? (United States)

    Adolph, Karen E; Kretch, Kari S; LoBue, Vanessa


    Based largely on the famous "visual cliff" paradigm, conventional wisdom is that crawling infants avoid crossing the brink of a dangerous drop-off because they are afraid of heights. However, recent research suggests that the conventional wisdom is wrong. Avoidance and fear are conflated, and there is no compelling evidence to support fear of heights in human infants. Infants avoid crawling or walking over an impossibly high drop-off because they perceive affordances for locomotion-the relations between their own bodies and skills and the relevant properties of the environment that make an action such as descent possible or impossible.

  8. Down on heights? One in three has visual height intolerance. (United States)

    Huppert, Doreen; Grill, Eva; Brandt, Thomas


    The distressing phenomenon of visual height intolerance (vHI) occurs when a visual stimulus causes apprehension of losing control of balance and falling from some height. Epidemiological data of this condition in the general population are lacking. Assignment of prevalence, determinants, and compensation of vHI was performed in a cross-sectional epidemiological study of 3,517 individuals representing the German population. Life-time prevalence of vHI is 28 % (females 32 %). A higher prevalence is associated independently with a family history of vHI, anxiety disorders, migraine, or motion sickness susceptibility. Women aged 50-59 have a higher prevalence than younger women or men of all ages. Initial attacks occur most often (30 %) in the second decade; however, attacks can manifest throughout life. The main symptoms are fearfulness, inner agitation, a queasy-stomach feeling, subjective postural instability with to-and-fro vertigo, and weakness in the knees. Climbing a tower is the first most common precipitating stimulus; the spectrum of such stimuli widens with time in more than 50 % of afflicted individuals. The most frequent reaction to vHI is to avoid the triggering stimuli (>50 %); 11 % of susceptible individuals consult a doctor, most often a general practitioner, neurologist, ENT doctor, or psychiatrist. In brief, visual height intolerance affects one-third of the general population, considerably restricting the majority of these individuals in their daily activities. The data show that the two terms do not indicate a categorical distinction but rather a continuum from slight forms of visual height intolerance to the specific phobia of fear of heights.

  9. Canonical Height Functions For Monomial Maps

    CERN Document Server

    Lin, Jan-Li


    We show that the canonical height function defined by Silverman does not have the Northcott finiteness property in general. We develop a new canonical height function for monomial maps. In certain cases, this new canonical height function has nice properties.

  10. Hand Fractures (United States)

    ... Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is ... serve as a framework. This framework supports the muscles that make the wrist ... When one of these hand bones is broken (fractured), it can prevent you ...

  11. Fracture source

    Directory of Open Access Journals (Sweden)


    Full Text Available The fracture properties of many different types of fibers are covered in a timely new book that will prove to be a tremendous source of information and references for researchers in the wide and diverse field of fibers and composites, says Bill Clegg.

  12. Rib Fractures (United States)

    ... Commentary Recent News Scientists Working on Solar-Powered Prosthetic Limbs Exercise a Great Prescription to Help Older Hearts Bavencio Approved for Rare Skin Cancer Older Mothers May Raise Better-Behaved Kids, Study ... or a collapsed lung (pneumothorax—see Traumatic Pneumothorax ). An injury that fractures the lower ribs sometimes also damages the liver (see Liver ...

  13. [Thoracolumbar fractures]. (United States)

    Freslon, M; Bouaka, D; Coipeau, P; Defossez, G; Leclercq, N; Nebout, J; Marteau, E; Poilbout, N; Prebet, R


    Thoracolumbar fractures are frequent and the functional outcomes are sometimes severe. This multicentric study, including five medical centers, was performed to evaluate the long-term outcomes of the patients. One hundred and thirty six patients with thoracolumbar fracture (T11 to L2) was evaluated with a minimal follow-up of two years. Every one had a clinical exam with a score of Oswestry and an X-Ray study (before and after treatment and at revision). Most of them presented compression fractures, the most often at L1 level. On X-rays, a gain was noted on the vertebral kyphosis immediately after surgery, but there is a loss of correction over time whatever the treatment. The clinical outcomes for the patients were great, with an Oswestry average score of 6,4. A correlation was noted between this functional score and vertebral kyphosis. So, an anterior column strengthening (isolated or performed during the surgery) could improve these functional outcomes. Moreover, the Thoraco Lumbar Injury Severity Score (TLISS) seems to be a simple organigram to determine the most appropriate treatment of these fractures, with particular attention to the distraction mechanism or posterior ligamentous complex lesions. However, RMI before surgery is necessary to evaluate these lesions.

  14. Prevalence of Diplopia and Extraocular Movement Limitation according to the Location of Isolated Pure Blowout Fractures

    Directory of Open Access Journals (Sweden)

    Min Seok Park


    Full Text Available Background Isolated pure blowout fractures are clinically important because they are themain cause of serious complications such as diplopia and limitation of extraocular movement.Many reports have described the incidence of blowout fractures associated with diplopiaand limitation of extraocular movement; however, no studies have statistically analyzedthis relationship. The purpose of this study was to demonstrate the correlation betweenthe location of isolated pure blowout fractures and orbital symptoms such as diplopia andlimitation of extraocular movement.Methods We enrolled a total of 354 patients who had been diagnosed with isolated pureblowout fractures, based on computed tomography, from June 2008 to November 2011.Medical records were reviewed, and the prevalence of extraocular movement limitations anddiplopia were determined.Results There were 14 patients with extraocular movement limitation and 58 patientscomplained of diplopia. Extraocular movement limitation was associated with the followingfindings, in decreasing order of frequency: floor fracture (7.1%, extended fracture (3.6%,and medial wall (1.7%. However, there was no significant difference among the types offractures (P=0.60. Diplopia was more commonly associated with floor fractures (21.4%and extended type fractures (23.6% than medial wall fractures (10.4%. The difference wasstatistically significant (Bonferroni-corrected chi-squared test P<0.016.Conclusions Data indicate that extended type fractures and orbital floor fractures tend tocause diplopia more commonly than medial wall fractures. However, extraocular movementlimitation was not found to be dependent on the location of the orbital wall fracture.

  15. Effect of Additional Structure on Effective Stack Height of Gas Dispersion in Atmosphere

    Directory of Open Access Journals (Sweden)

    Takenobu Michioka


    Full Text Available Wind-tunnel experiments were conducted to evaluate the effect of additional structure (building, sea wall and banking on the effective stack height, which is usually used in safety analyses of nuclear power facilities in Japan. The effective stack heights were estimated with and without the additional structure in addition to the reactor building while varying several conditions such as the source height, the height of additional structure and the distance between the source position and the additional structure. When the source height is equivalent to the reactor building height, the additional structure enhances both the vertical and horizontal gas dispersion widths and decreases the ground gas concentration, and it means that the additional structure does not decrease the effective stack height. When the source height is larger than the reactor height, the additional structures might affect the effective stack height. As the distance between the source and the additional structure decreases, or as the height of the additional structure increases, the structure has a larger effect on the effective stack height.

  16. Height-Deterministic Pushdown Automata

    DEFF Research Database (Denmark)

    Nowotka, Dirk; Srba, Jiri


    of regular languages and still closed under boolean language operations, are considered. Several of such language classes have been described in the literature. Here, we suggest a natural and intuitive model that subsumes all the formalisms proposed so far by employing height-deterministic pushdown automata...

  17. Mechanical stratigraphic controls on natural fracture spacing and penetration (United States)

    McGinnis, Ronald N.; Ferrill, David A.; Morris, Alan P.; Smart, Kevin J.; Lehrmann, Daniel


    Fine-grained low permeability sedimentary rocks, such as shale and mudrock, have drawn attention as unconventional hydrocarbon reservoirs. Fracturing - both natural and induced - is extremely important for increasing permeability in otherwise low-permeability rock. We analyze natural extension fracture networks within a complete measured outcrop section of the Ernst Member of the Boquillas Formation in Big Bend National Park, west Texas. Results of bed-center, dip-parallel scanline surveys demonstrate nearly identical fracture strikes and slight variation in dip between mudrock, chalk, and limestone beds. Fracture spacing tends to increase proportional to bed thickness in limestone and chalk beds; however, dramatic differences in fracture spacing are observed in mudrock. A direct relationship is observed between fracture spacing/thickness ratio and rock competence. Vertical fracture penetrations measured from the middle of chalk and limestone beds generally extend to and often beyond bed boundaries into the vertically adjacent mudrock beds. In contrast, fractures in the mudrock beds rarely penetrate beyond the bed boundaries into the adjacent carbonate beds. Consequently, natural bed-perpendicular fracture connectivity through the mechanically layered sequence generally is poor. Fracture connectivity strongly influences permeability architecture, and fracture prediction should consider thin bed-scale control on fracture heights and the strong lithologic control on fracture spacing.


    Institute of Scientific and Technical Information of China (English)

    曹烈虎; 鲍广全; 张春才; 刘欣伟; 牛云飞; 许硕贵; 苏佳灿


    Objective To investigate the effectiveness of acetabular tridimensional memory alloy-fixation system (ATMFS) combined with autologous iliac bone in the treatment of old acetabular posterior wall fracture with bone defect. Methods Between January 2002 and February 2009, 17 patients with old acetabular posterior wall fracture and bone defect were treated, including 11 males and 6 females with an average age of 41.7 years (range, 20-60 years). The time from fracture to admission was 14-180 days (mean, 63 days). The displacement of the acetabular articular surface was more than or equal to 3 mm. According to the America Association of Orthopedic Surgeon (AAOS) acetabular fracture and defect classification standard, there were 4 cases of type I, 6 cases of type II, 5 cases of type III, and 2 cases of type IV. After the residual fracture fragments of the acetabular posterior wall and soft tissue hyperplasia were removed, the femoral head was reducted, and posterior wall defect was repaired with autologous iliac bone graft; ATMFS was used to fix acetabular posterior wall and artificial capsular ligament to reconstruct the hip so as to prevent re-dislocation of the femoral head. Results According to Matta imaging assessment standard, the results were excellent in 8 cases, good in 6 cases, fair in 2 cases, and poor in 1 case with an excellent and good rate of 82.3%. All incisions healed by first intention, and no sciatic nerve injury occurred. All patients were followed up 1-8 years (mean, 3.9 years). The mean time of fracture union was 3.6 months (range, 2-6 months). Avascular necrosis of femoral head occurred in 1 case, heterotopic ossification around the acetabulum in 1 case. According to Merle d'Aubign6-Postel scoring system evaluation, the clinical results were excellent in 9 cases, good in 6 cases, fair in 1 case, and poor in 1 case with an excellent and good rate of 88.2%. Conclusion ATMFS combined with autologous iliac bone graft and artificial ligament

  19. Wall Art (United States)

    McGinley, Connie Q.


    The author of this article, an art teacher at Monarch High School in Louisville, Colorado, describes how her experience teaching in a new school presented an exciting visual challenge for an art teacher--monotonous brick walls just waiting for decoration. This school experienced only minimal instances of graffiti, but as an art teacher, she did…

  20. Enhancement of a sunspot light wall with external disturbances

    CERN Document Server

    Yang, Shuhong; Erdélyi, Robert


    Based on the \\emph{Interface Region Imaging Spectrograph} observations, we study the response of a solar sunspot light wall to external disturbances. A flare occurrence near the light wall caused material to erupt from the lower solar atmosphere into the corona. Some material falls back to the solar surface, and hits the light bridge (i.e., the base of the light wall), then sudden brightenings appear at the wall base followed by the rise of wall top, leading to an increase of the wall height. Once the brightness of the wall base fades, the height of the light wall begins to decrease. Five hours later, another nearby flare takes place, a bright channel is formed that extends from the flare towards the light bridge. Although no obvious material flow along the bright channel is found, some ejected material is conjectured to reach the light bridge. Subsequently, the wall base brightens and the wall height begins to increase again. Once more, when the brightness of the wall base decays, the wall top fluctuates to ...

  1. Epidemiology of rib fractures in older men: Osteoporotic Fractures in Men (MrOS) prospective cohort study (United States)

    Nielson, Carrie M; Orwoll, Eric; Bauer, Douglas C; Cauley, Jane A


    Objective To study the causes and consequences of radiologically confirmed rib fractures (seldom considered in the context of osteoporosis) in community dwelling older men. Design Prospective cohort study (Osteoporotic Fractures in Men (MrOS) Study). Setting and participants 5995 men aged 65 or over recruited in 2000-2 from six US sites; 99% answered mailed questionnaires about falls and fractures every four months for a mean 6.2 (SD 1.3) year follow-up. Main outcome measures New fractures validated by radiology reports; multivariate Cox proportional hazard ratios were used to evaluate factors independently associated with time to incident rib fracture; associations between baseline rib fracture and incident hip and wrist fracture were also evaluated. Results The incidence of rib fracture was 3.5/1000 person years, and 24% (126/522) of all incident non-spine fractures were rib fractures. Nearly half of new rib fractures (48%; n=61) followed falling from standing height or lower. Independent risk factors for an incident rib fracture were age 80 or above, low bone density, difficulty with instrumental activities of daily living, and a baseline history of rib/chest fracture. Men with a history of rib/chest fracture had at least a twofold increased risk of an incident rib fracture (adjusted hazard ratio 2.71, 95% confidence interval 1.86 to 3.95), hip fracture (2.05, 1.33 to 3.15), and wrist fracture (2.06, 1.14 to 3.70). Only 14/82 of men reported being treated with bone specific drugs after their incident rib fracture. Conclusions Rib fracture, the most common incident clinical fracture in men, was associated with classic risk markers for osteoporosis, including old age, low hip bone mineral density, and history of fracture. A history of rib fracture predicted a more than twofold increased risk of future fracture of the rib, hip, or wrist, independent of bone density and other covariates. Rib fractures should be considered to be osteoporotic fractures in the

  2. 钛网植入治疗眼眶内下壁爆裂性骨折眼球内陷%Titanium mesh implantation for the treatment of enophthalmos caused by blow-out fractures of orbital medial and inferior walls

    Institute of Scientific and Technical Information of China (English)

    于金国; 张静楷; 陈松; 韩琪; 颜华


    目的 探讨钛网植入治疗眼眶内下壁爆裂性骨折后眼球内陷的效果.方法 回顾性分析11例(11只眼)眼眶内下壁爆裂性骨折行钛网植入手术的临床资料.术前眼球内陷4.0 ~6.5mm,伴双眼复视者2例,眼球下移位者4例.手术入路为下睑缘切口联合鼻侧皮肤切口,分别于骨膜下植入钛网覆盖眶内壁及下壁骨折缺损区.结果 术后随访7~11个月,眼球内陷均矫正至1 mm以内,2例复视完全消失,4例眼球移位均完全矫正.术后无感染、植人物脱出、排斥或移位等并发症.结论 单纯应用钛网治疗眼眶内下壁爆裂性骨折引起的眼球内陷安全有效,重建眶腔特殊解剖形态、完全还纳脱出的眶内容物是治疗的关键.%Objective To evaluate the effect of titanium mesh implantation for enophthalmos secondary to blow-out fractures of orbital medial and inferior walls.Methods The surgical effects of 11 cases (11 eyes) of blow-out fractures of orbital medial and inferior walls who received titanium mesh implantation for orbital reconstruction were analyzed retrospectively.Preoperatively,all cases showed 4.0 to 6.5mm enophthalmos among whom 2 cases had diplopia and 4 cases had apparent vertical globe dystopia.For all the cases,inferior subciliary approach combined with nasal lateral approach were performed,and 2 titanium mesh plates were implanted under the periosteum to cover the area of the inferior and medial orbital wall fracture respectively in order to reconstruct the normal orbital cavity.Results Postoperatively,after a followed up period of 7-11 months,the enophthalmos of all cases was corrected to less than l mm successfully,the preoperative diplopia disappeared in all the 2 cases,the vertical globe dystopia of 4 cases disappeared totally,and no complication such as infection,extrusion,rejection or migration of the implants occurred.Conclusion Titanium mesh plates implantation only is safe and effective to correct the enophthalmos

  3. Experimental Study on Tsunami Risk Reduction on Coastal Building Fronted by Sea Wall

    Directory of Open Access Journals (Sweden)

    Sadia Rahman


    Full Text Available This experimental study was conducted to idealize the efficacy of sea wall in controlling the tsunami forces on onshore structures. Different types of sea walls were placed in front of the building model. The tsunami forces and the wave heights were measured with and without the sea wall conditions. Types of sea wall, wall height, and wall positions were varied simultaneously to quantify the force reductions. Maximum of 41% forces was reduced by higher sea wall, positioned closer proximity to the model whereas this reduction was about 27% when the wall height was half of the high wall. Experimental investigations revealed that wall with adequate height and placed closer to the structures enables a satisfactory predictor of the force reduction on onshore structures. Another set of tests were performed with perforated wall placing near the building model. Less construction cost makes the provision of perforated sea wall interesting. The overall results showed that the efficacy of perforated wall is almost similar to solid wall. Hence, it can be efficiently used instead of solid wall. Moreover, overtopped water that is stuck behind the wall is readily gone back to the sea through perforations releasing additional forces on the nearby structures.

  4. Seismic displacement of gravity retaining walls

    Directory of Open Access Journals (Sweden)

    Kamal Mohamed Hafez Ismail Ibrahim


    Full Text Available Seismic displacement of gravity walls had been studied using conventional static methods for controlled displacement design. In this study plain strain numerical analysis is performed using Plaxis dynamic program where prescribed displacement is applied at the bottom boundary of the soil to simulate the applied seismic load. Constrained absorbent side boundaries are introduced to prevent any wave reflection. The studied soil is chosen dense granular sand and modeled as elasto-plastic material according to Mohr–Column criteria while the gravity wall is assumed elastic. By comparing the resulted seismic wall displacements calculated by numerical analysis for six historical ground motions with that calculated by the pseudo-static method, it is found that numerical seismic displacements are either equal to or greater than corresponding pseudo-static values. Permissible seismic wall displacement calculated by AASHTO can be used for empirical estimation of seismic displacement. It is also found that seismic wall displacement is directly proportional with the positive angle of inclination of the back surface of the wall, soil flexibility and with the earthquake maximum ground acceleration. Seismic wall sliding is dominant and rotation is negligible for rigid walls when the ratio between the wall height and the foundation width is less than 1.4, while for greater ratios the wall becomes more flexible and rotation (rocking increases till the ratio reaches 1.8 where overturning is susceptible to take place. Cumulative seismic wall rotation increases with dynamic time and tends to be constant at the end of earthquake.

  5. Recognizing and reporting vertebral fractures: reducing the risk of future osteoporotic fractures

    Energy Technology Data Exchange (ETDEWEB)

    Lentle, B.C. [Univ. of British Columbia, Dept. of Radiology, Vancouver, British Columbia (Canada); Brown, J.P. [Laval Univ., Dept. of Medicine, Sainte-Foy, Quebec (Canada); Khan, A. [McMaster Univ., Dept. of Medicine, Hamilton, Ontario (Canada)]. E-mail: (and others)


    fractures should be assessed from lateral spinal or chest radiographs according to the semiquantitative method of Genant and colleagues. Grade II and Grade III fractures as classified by this method should be given the greatest emphasis. Semiquantitative fracture recognition should include the recognition of changes such as loss of vertebral end-plate parallelism, cortical interruptions, and quantitative changes in the anterior, midbody, and posterior heights of vertebral bodies. (author)


    Directory of Open Access Journals (Sweden)

    Anjana Christy Alexander


    Full Text Available BACKGROUND Orbital trauma is significantly disabling and is reported to occur in multiple situations. All traumas to the face require a careful ocular examination including an estimation of the visual acuity of each eye. However, other potentially blinding complications can easily be missed unless they are actively sought. The aim of the study is to study the prevalence and types of ocular involvement in orbital wall fractures. MATERIALS AND METHODS This study is a prospective, hospital-based study of patients with orbital injuries and other associated facial bone fractures reporting to casualty and Department of Ophthalmology in Sree Balaji Medical College and Hospital over a period of two years. The study included 50 consecutive patients of orbital fractures attending our hospital. The statistical significance was analysed using chi-square test. RESULTS Out of the 50 cases, the majority of the participants were males comprising 88% (n-44 and the remaining 12% (n-6 were females. 80% of the males met with road traffic accidents and 68% of them were in the age group of 20 to 40 years. Among the females, 67% met with road traffic accidents and 33% had injury due to slip and fall. The orbital wall fractures were distributed as 52% in the single wall, 28% in two walls and 20% in more than two walls categories. The periocular findings in orbital wall fractures was distributed as 25 with Subconjunctival Haemorrhage (SCH, 16 with periorbital oedema and SCH, 14 with ecchymosis, 14 with pupil abnormality (mydriasis and RAPD, 1 with corneal perforation and 6 with lid laceration. 58% of the participants who had visual acuity between 6/6 to 6/6p had single wall fracture. Those who had visual acuity less than 6/12 had more than two walls fracture. There was extraocular movement restriction in 6 patients, which comprises 12%. CONCLUSION 78% of the orbital wall fractures were due to road traffic accidents. 68% of the persons involved were males in the age

  7. and the CMJ jump height

    Directory of Open Access Journals (Sweden)

    Struzik Artur


    Full Text Available Study aim: The elastic potential energy accumulated in the musculotendinous units during the countermovement phase of a jump adds up to the energy supplied by the contracting muscles used in the take-off phase. Consequently, the total mechanical energy used during the jump may reach higher values. Stiffness represents a quantitative measure of a body’s elastic properties. Therefore, the aim of this study was to establish the relationship between leg stiffness and the countermovement jump height.

  8. Rectangular Blocks vs Polygonal Walls in Archaeoseismology

    Directory of Open Access Journals (Sweden)

    Klaus-G. Hinzen


    Full Text Available Collapsed or deformed walls in ancient structures constitute important evidence in archaeoseismology, where damage is interpreted in terms of earthquake ground motion. A large variety of wall types have been developed during the millennia in different cultural backgrounds. Often walls with polygonal-shaped building blocks are regarded as more earthquake-resistant than a wall consisting of rectangular elements and, as is sometimes speculated, that the irregular wall types were intentionally developed for that purpose. We use simply structured discrete element models of four walls with different block geometries, perfect rectangular, an Inka-type structure and two polygonal designs, to test their dynamic behavior. In addition to an analytic calculation of ground motion, we use measured strong motion signals as boundary conditions for the 3D wall models with varying height to width ratios. At peak ground accelerations between 1.0 and 9.0 m/s2 and major frequencies of 0.5 to 3 Hz, numeric experiments with the horizontally applied analytic ground motions result in clear differences in the resistance of the four wall types with the rectangular block wall being most vulnerable. For more complex measured 3D motions the Inka-type wall proves more stable than the rectangular block wall; however, height to width ratio still has equally strong influence on the stability. Internal deformation of non-collapsed walls shows some correlation with the parameters of the driving motion. For simple impulsive ground motions, a peak ground displacement threshold exists between toppling and remaining upright for all four models but peak acceleration cannot be reliably back calculated.


    CERN Multimedia


    The FIRE AND RESCUE Group of TIS Commission informs that the climbing wall in the yard of the Fire-fighters Station, is intended for the sole use of the members of that service, and recalls that access to this installation is forbidden for safety reasons to all persons not belonging to the Service.CERN accepts no liability for damage or injury suffered as a result of failure to comply with this interdiction.TIS/DI

  10. Location of fractures and the characteristics of patients with atypical femoral fractures: analyses of 38 Japanese cases. (United States)

    Hyodo, Kojiro; Nishino, Tomofumi; Kamada, Hiroshi; Nozawa, Daisuke; Mishima, Hajime; Yamazaki, Masashi


    The purpose of this study was to determine fracture location and the characteristics of patients with atypical femoral fractures (AFFs). We studied 38 AFFs in 34 patients admitted to our institution between November 2007 and July 2013. The diagnostic criteria for the AFFs were based on 2014 American Society of Bone and Mineral Research guidelines. We classified the fracture location as proximal, middle, or distal to trisect the femoral diaphysis from just distal to the lesser trochanter to just proximal to the supracondylar flare. Bowing was defined as a line through the inside of the tip of the great trochanter and a condylar center that was outside the medullary cavity. We investigated the fracture's location, existence of coronal bowing, and bisphosphonates (BPs), glucocorticoids (GCs), and proton pump inhibitors therapy. We analyzed associations between fracture location and demographic and clinical factors. Twelve fractures were proximal, 25 were middle, and one was distal. Nineteen limbs showed femoral bowing. Thirty-one patients received BP treatment-20 patients received alendronic acid, eight risedronic acid, and three minodronic acid. Fourteen patients received a GC, and 16 received a proton pump inhibitor. There was a significant association between coronal bowing and middle fracture locations, GC therapy and proximal fracture locations, and older age and middle fracture locations. Tall height and heavy weight had an association with proximal fracture location, and short height and light weight had an association with middle fracture location. In conclusion, we provide evidence supporting a causal relationship between BP-related severely suppressed bone turnover and AFFs. We also provide evidence supporting additional influences from altered distribution of mechanical stress with femoral bowing and various factors, such as GC therapy, age, body weight, and height, which might negatively affect bone intensity and quality and result in fracture.

  11. Effective Height Upper Bounds on Algebraic Tori

    CERN Document Server

    Habegger, Philipp


    The main emphasis will be on height upper bounds in the algebraic torus G^{n}_{m}. By height we will mean the absolute logarithmic Weil height. Section 3.2 contains a precise definition of this and other more general height functions. The first appendix gives a short overview of known results in the abelian case. The second appendix contains a few height bounds in Shimura varieties.

  12. Experimental studies on wave interactions of partially perforated wall under obliquely incident waves. (United States)

    Lee, Jong-In; Kim, Young-Taek; Shin, Sungwon


    This study presents wave height distribution in terms of stem wave evolution phenomena on partially perforated wall structures through three-dimensional laboratory experiments. The plain and partially perforated walls were tested to understand their effects on the stem wave evolution under the monochromatic and random wave cases with the various wave conditions, incident angle (from 10 to 40 degrees), and configurations of front and side walls. The partially perforated wall reduced the relative wave heights more effectively compared to the plain wall structure. Partially perforated walls with side walls showed a better performance in terms of wave height reduction compared to the structure without the side wall. Moreover, the relative wave heights along the wall were relatively small when the relative chamber width is large, within the range of the chamber width in this study. The wave spectra showed a frequency dependency of the wave energy dissipation. In most cases, the existence of side wall is a more important factor than the porosity of the front wall in terms of the wave height reduction even if the partially perforated wall was still effective compared to the plain wall.

  13. 配筋砌体墙混凝土框架内力分析与裂缝模拟%Internal force analysis and fracture simulation of RC frame with hybrid masonry wall

    Institute of Scientific and Technical Information of China (English)



    利用有限元方法,对空框架、空心砌体墙框架、实心砌体墙框架、配筋砌体墙框架四种有限元模型进行对比分析,结果显示:空心砌块、实心砌块、配筋砌块的加入显著提高了混凝土框架结构的极限承载力,而降低了结构的延性,改变了结构的破坏形式。%In this paper,four finite element models are analyzed in contrast by using the finite element method,which include the empty frame, hollow masonry wall frame,solid masonry wall frame,and reinforced masonry wall frame. The results show that the hollow block,solid block and reinforced block can significantly improve the ultimate bearing capacity of reinforced concrete frame,while the ductility of the structure can be re-duced,and the failure form structure can be changed.

  14. Posterior acetabular column and quadrilateral plate fractures: fixation with tension band principles. (United States)

    Aly, Tarek A; Hamed, Hany


    Acetabular fractures can be classified into 5 simple and 5 associated fracture patterns. A significant amount of variation and complexity exists in these fractures patterns. Fractures of the posterior wall are the most common acetabular fractures. Comminution of the quadrilateral plate adds to fracture instability, and more rigid and stable internal fixation is mandatory. The goal of this study was to assess the results of reconstruction of comminuted posterior wall fractures of the acetabulum associated with quadrilateral plate fractures using the tension band technique. Twelve patients (9 men and 3 women) were included in the study. Mean patient age was 38.6 years (range, 24-47 years). Minimum follow-up was more than 2 years postoperatively. Reconstruction of the fracture included anatomic reduction of the fracture and fixation with a buttress plate for the posterior column and a prebent one-third tubular plate for the quadrilateral plate fracture. Clinical results were excellent in 58% of patients and good in 17% of patients. Radiologic results were excellent in 50% of patients and good in 17% of patients. Radiologically, based on the fracture gap postoperatively, 8 (66%) patients showed anatomic reduction, 2 (17%) showed good reduction, and 2 (17%) showed poor reduction. The study confirms that this method of reconstruction facilitates accurate and firm reduction of displaced posterior wall fractures of the acetabulum.

  15. Encounter Probability of Individual Wave Height

    DEFF Research Database (Denmark)

    Liu, Z.; Burcharth, H. F.


    wave height corresponding to a certain exceedence probability within a structure lifetime (encounter probability), based on the statistical analysis of long-term extreme significant wave height. Then the design individual wave height is calculated as the expected maximum individual wave height...... associated with the design significant wave height, with the assumption that the individual wave heights follow the Rayleigh distribution. However, the exceedence probability of such a design individual wave height within the structure lifetime is unknown. The paper presents a method for the determination...... of the design individual wave height corresponding to an exceedence probability within the structure lifetime, given the long-term extreme significant wave height. The method can also be applied for estimation of the number of relatively large waves for fatigue analysis of constructions....

  16. Etymological study of Wuthering Heights

    Institute of Scientific and Technical Information of China (English)

    张倩; 张露


    In Wuthering Heights, the main characters and places have been delicately designed and cautiously named, which have their special implications based on the characters’identity, status and personalities or the features of the places. Therefore, through analyzing the implied meanings of the characters and place names in this novel, this essay illustrates that the author pur-posefully failed Heathcliff’s revenge. Meanwhile, the theme of this novel-Emily’s ultimate concern for the social inequality-is naturally exposed to the reader.

  17. Growth Plate Fractures (United States)

    ... the most widely used by doctors is the Salter-Harris system, described below. Type I Fractures These ... incidence of growth plate fractures peaks in adolescence. Salter-Harris classification of growth plate fractures. AAOS does ...

  18. Hydraulic Fracture Growth in a Layered Formation based on Fracturing Experiments and Discrete Element Modeling (United States)

    Yushi, Zou; Xinfang, Ma; Tong, Zhou; Ning, Li; Ming, Chen; Sihai, Li; Yinuo, Zhang; Han, Li


    Hydraulic fracture (HF) height containment tends to occur in layered formations, and it significantly influences the entire HF geometry or the stimulated reservoir volume. This study aims to explore the influence of preexisting bedding planes (BPs) on the HF height growth in layered formations. Laboratory fracturing experiments were performed to confirm the occurrence of HF height containment in natural shale that contains multiple weak and high-permeability BPs under triaxial stresses. Numerical simulations were then conducted to further illustrate the manner in which vertical stress, BP permeability, BP density(or spacing), pump rate, and fluid viscosity control HF height growth using a 3D discrete element method-based fracturing model. In this model, the rock matrix was considered transversely isotropic and multiple BPs can be explicitly represented. Experimental and numerical results show that the vertically growing HF tends to be limited by multi-high-permeability BPs, even under higher vertical stress. When the vertically growing HF intersects with the multi-high-permeability BPs, the injection pressure will be sharply reduced. If a low pumping rate or a low-viscosity fluid is used, the excess fracturing fluid leak-off into the BPs obviously decreases the rate of pressure build up, which will then limit the growth of HF. Otherwise, a higher pumping rate and/or a higher viscosity will reduce the leak-off time and fluid volume, but increase the injection pressure to drive the HF to grow and to penetrate through the BPs.

  19. Kyphoplasty increases vertebral height, decreases both pain score and opiate requirements while improving functional status. (United States)

    Tolba, Reda; Bolash, Robert B; Shroll, Joshua; Costandi, Shrif; Dalton, Jarrod E; Sanghvi, Chirag; Mekhail, Nagy


    Vertebral compression fractures can result from advanced osteoporosis, or less commonly from metastatic or traumatic insults to the vertebral column, and result in disabling pain and decreased functional capacity. Various vertebral augmentation options including kyphoplasty aim at preventing the sequelae of pain and immobility that can develop as the result of the vertebral fractures. The mechanism for pain relief following kyphoplasty is not entirely understood, and the restoration of a portion of the lost vertebral height is a subject of debate. We retrospectively reviewed radiographic imaging, pain relief, analgesic intake and functional outcomes in 67 consecutive patients who underwent single- or multilevel kyphoplasty with the primary goal of quantifying the restoration of lost vertebral height. We observed a mean of 45% of the lost vertebral height restored postprocedurally. Secondarily, kyphoplasty was associated with significant decreases in pain scores, daily morphine consumption and improvement in patient-reported functional measures.

  20. Under-reporting of osteoporotic vertebral fractures on computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Williams, Alexandra L. [Department of Radiology, Manchester Royal Infirmary, Oxford Road, Manchester (United Kingdom)], E-mail:; Al-Busaidi, Aisha [Department of Radiology, Manchester Royal Infirmary, Oxford Road, Manchester (United Kingdom)], E-mail:; Sparrow, Patrick J. [Department of Radiology, Manchester Royal Infirmary, Oxford Road, Manchester (United Kingdom)], E-mail:; Adams, Judith E. [Department of Radiology, Manchester Royal Infirmary, Oxford Road, Manchester (United Kingdom); Department of Clinical Radiology, Imaging Science and Biomedical Engineering, Stopford Building, , University of Manchester, Oxford Road, Manchester M13 9PT (United Kingdom)], E-mail:; Whitehouse, Richard W. [Department of Radiology, Manchester Royal Infirmary, Oxford Road, Manchester (United Kingdom)], E-mail:


    Purpose: Osteoporotic vertebral fractures are frequently asymptomatic. They are often not diagnosed clinically or radiologically. Despite this, prevalent osteoporotic vertebral fractures predict future osteoporotic fractures and are associated with increased mortality and morbidity. Appropriate management of osteoporosis can reduce future fracture risk. Fractures on lateral chest radiographs taken for other conditions are frequently overlooked by radiologists. Our aim was to assess the value of computed tomography (CT) in the diagnosis of vertebral fracture and identify the frequency with which significant fractures are missed. Materials and methods: The thoracic CT scans of 100 consecutive male and 100 consecutive female patients over 55 years were reviewed. CT images were acquired on General Electric Lightspeed multi-detector (MD) CT scanners (16 or 32 row) using 1.25 mm slice thickness. Midline sagittal images were reconstructed from the 3D volume images. The presence of moderate (25-40% height loss) or severe (>40% height loss) vertebral fractures between T1 and L1 was determined using an established semi-quantitative method and confirmed by morphological measurement. Results were compared with the formal CT report. Results: Scans of 192 patients were analysed (95 female; 97 male); mean age 70.1 years. Thirty-eight (19.8%) patients had one or more moderate to severe vertebral fractures. Only 5 (13%) were correctly reported as having osteoporotic fractures in the official report. The sensitivity of axial CT images to vertebral fracture was 0.35. Conclusion: Incidental osteoporotic vertebral fractures are under-reported on CT. The sensitivity of axial images in detecting these fractures is poor. Sagittal reformations are strongly recommended to improve the detection rate.

  1. Fracture Toughness Properties of Three Different Biomaterials Measured by Nanoindentation

    Institute of Scientific and Technical Information of China (English)

    Ji-yu Sun; Jin Tong


    The fracture toughness of hard biomaterials,such as nacre,bovine hoof wall and beetle cuticle,is associated with fibrous or lamellar structures that deflect or stop growing cracks.Their hardness and reduced modulus were measured by using a nanoindenter in this paper.Micro/nanoscale cracks were generated by nanoindentation using a Berkovich tip.Nanoindentation of nacre and bovine hoof wall resulted in pile-up around the indent.It was found that the fracture toughness(Kc)of bovine hoof wall is the maximum,the second is nacre,and the elytra cuticle of dung beetle is the least one.

  2. Chopart fractures. (United States)

    Klaue, Kaj


    The Chopart articular space was described by François Chopart (1743-1795) as a practical space for amputations in cases of distal foot necrosis. It corresponds to the limit between the anatomical hind-foot and the mid-foot. The bones involved are the talus and the calcaneus proximally, and the navicular and the cuboid distally. This space thus holds two functionally distinct entities, the anterior part of the coxa pedis (an essential functional joint) and the calcaneo-cuboidal joint,which can be considered to be an "adaptive joint" within a normal foot. Trauma to this region may cause fractures and/or dislocations and, in high energy trauma,compartment syndromes. Principles of treatment are immediate reduction of dislocations and realignment of the medial and lateral column of the foot in length and orientation. Open reduction and internal fixation of talus and navicular fractures are often indicated to restore the "coxa pedis". Open reconstruction or fusion in correct length of the calcaneo-cuboidal joint is occasionally indicated. Salvage procedures in malunions include navicular osteotomies and calcaneo-cuboidal bone block fusions. Treatment of joint destructions, especially involving the talo-navicular joint, include triple arthrodesis.

  3. Fractures of the distal radius (Colles' fracture)

    National Research Council Canada - National Science Library

    João Carlos Belloti; João Baptista Gomes dos Santos; Álvaro Nagib Atallah; Walter Manna Albertoni; Flavio Faloppa


    CONTEXT AND OBJECTIVE: Although Colles' fracture is a common clinical situation for the orthopedist, we did not find any information in the literature that would allow safe decision-making on the best treatment for each fracture type...

  4. Computed tomography of the acetabular fractures

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Ho Young; Suh, Jin Suck; Park, Chang Yun; Lee, Kil Woo [Yonsei University College of Medicine, Seoul (Korea, Republic of)


    In a retrospective study of 21 patients, in whom the acetabular fractures were suspected on initial radiographs, we compared and analysed the computed tomographic findings and plain radiographic findings. The results were as follow: 1. In patients with multiple trauma, no further change in position was required during CT examinations. 2. CT showed intraarticular loose bodies, which were invisible on plain radiographs. 3. CT was useful in detecting the fractures of acetabular rims, medial wall of acetabulum, and femoral head. 4. CT permitted better evaluation of shape, extent, and degree of separation of fracture fragments. 5. CT was helpful in detecting the associated fractures and soft tissue injuries. 6. CT also demonstrated the adequacy of reduction, the position of metallic fixation devices, and the presence or absence of remaining intraarticular osseous fragments after surgery.

  5. [Bilateral acetabulum fracture after suffering sport trauma]. (United States)

    Trost, P; Kollersbeck, C; Pelitz, M; Walcher, T; Genelin, F


    This case study describes a 37-year-old male who suffered a bilateral transverse acetabulum fracture with a fracture of the posterior wall and a double-sided dorsal hip dislocation in combination with a left-sided femoral head fracture (Pipkin IV) while skiing in a "fun park". The accurate diagnosis and presurgical planning was made by means of a computed tomography (CT) scan and a subsequent 3D reconstruction. After a primarily executed shielded repositioning of the bilateral hip dislocationearly secondary and anatomical reconstruction of the double-sided acetabulum fracture was possible using the Kocher-Langenbeck approach. A consistent physiotherapy as well as rehabilitation finally led to a positive clinical result for the patient.

  6. Comparison between results of detailed tectonic studies on borehole core vs microresistivity images of borehole wall from gas-bearing shale complexes, Baltic Basin, Poland. (United States)

    Bobek, Kinga; Jarosiński, Marek; Pachytel, Radomir


    Structural analysis of borehole core and microresistivity images yield an information about geometry of natural fracture network and their potential importance for reservoir stimulation. Density of natural fractures and their orientation in respect to the maximum horizontal stress has crucial meaning for hydraulic fractures propagation in unconventional reservoirs. We have investigated several hundred meters of continuous borehole core and corresponding microresistivity images (mostly XRMI) from six boreholes in the Pomeranian part of the Early Paleozoic Baltic Basin. In general, our results challenge the question about representatives of statistics based on structural analyses on a small shale volume represented by borehole core or borehole wall images and credibility of different sets of data. Most frequently, fractures observed in both XRMI and cores are steep, small strata-bound fractures and veins with minor mechanical aperture (0,1 mm in average). These veins create an orthogonal joint system, locally disturbed by fractures associated with normal or by gently dipping thrust faults. Mean fractures' height keeps in a range between 30-50 cm. Fracture density differs significantly among boreholes and Consistent Lithological Units (CLUs) but the most frequent means falls in a range 2-4 m-1. We have also payed an attention to bedding planes due to their expected coupling with natural fractures and their role as structural barriers for vertical fracture propagation. We aimed in construction for each CLU the so-called "mean brick", which size is limited by an average distance between two principal joint sets and between bedding fractures. In our study we have found out a discrepancy between structural profiles based on XRMI and core interpretation. For some CLUs joint fractures densities, are higher in cores than in XRMI. In this case, numerous small fractures were not recorded due to the limits of XRMI resolution. However, the most veins with aperture 0,1 mm

  7. Correlation of transmissive fractures in pilot holes ONK-PH8 - PH12 and fracture traces mapped in ONKALO

    Energy Technology Data Exchange (ETDEWEB)

    Palmen, J.; Nummela, J.; Ahokas, H. [Poeyry Finland Oy, Vantaa (Finland)


    In a preceding study Posiva flow logging (PFL) with a 0.5 m test interval and 0.1 m steps has been used together with optical drillhole images and core logging fracture data for the exact determination of the depth of hydraulically conductive fractures in pilot holes. The fracture traces have been mapped from the ONKALO tunnel walls as a part of the systematic mapping. The mapping results has been digitized to a 3D tunnel layout in Surpac programme. The data integrity and fracture trace uniqueness has been verified by Datactica Oy and further collected to a database (RakokantaDatacticaPosiva20100607.mdb). Fractures mapped with leakage attribute have been defined as flowing, dripping, wet, or damp where the attribute is recorded. The fractures with no leakage attribute value appear to be non leaking. The water leaking surfaces on the ONKALO tunnel walls have been mapped sequentially and conclusively (once or twice a year) as a part of the Olkiluoto monitoring program (OMO) using an equal five step measure as used with fracture traces in systematic mapping. The PFL results correlated with core logging fracture data from the pilot holes ONK-PH8 - ONK-PH12 were in this work further correlated with the fractures mapped from the ONKALO tunnel walls. Each hydraulically conductive fracture of ONK-PH8 - ONK-PH12 was investigated and linked to ONKALO fracture of a coherent orientation and matching location, where such fracture trace was available. Also tunnel crosscutting fracture (TCF) data was used in combining, since the systematic mapping data was not yet available for the pilot holes ONK-PH11 and ONK-PH12 at the time of the evaluation. The main objective of the work was to identify the ONKALO fractures which correspond to the flow from fracture(s) identified with the PFL method in pilot holes and to collect basic information about the occurrence, frequency and orientation of water bearing fractures along the ONKALO tunnel. The correlated hydraulically conductive

  8. The epidemiology of osteoporosis and fractures in ankylosing spondylitis. (United States)

    Sambrook, Philip N; Geusens, Piet


    Bone is a target in many inflammatory rheumatic diseases. Inflammation leads to a wide range of changes in bone, and especially bone remodeling. In ankylosing spondylitis (AS) bone loss has been documented, but measuring bone density in the spine is hampered by new bone formation in syndesmophytes, periost and within the vertebrae. The risk of vertebral fractures is increased in AS. The diagnosis of vertebral fractures requires imaging and adequate evaluation of vertebral heights. In addition, in the ankysosed spine segments, additional imaging is often needed to diagnose spinal fractures at unusual locations (cervical spine) or in the posterior arch structures. Risk factors for vertebral fractures are helpful for case finding. Fracture prevention is indicated in high risk patients with AS, especially when they have already a vertebral fracture or in the presence of osteoporosis.

  9. Results of open tibial fracture treatment using external fixation

    Directory of Open Access Journals (Sweden)

    Golubović Ivan


    Full Text Available Introduction. Open lower leg fractures are the most common open fractures of the locomotor system and their treatment is associated with a number of complications. Objective. The aim of the paper was to present the results of the treatment of 68 patients with open lower leg fractures, as well as the complications that accompany the treatment of these fractures. Methods. In the analyzed group, there were 45 (66.18% men and 23 (33.82% women. The majority of patients - 33 (48.53% of them - were injured in motor vehicle accidents, whereas 24 (35.29% patients sustained injuries due to falls from heights. In two (2.94% patients the cause of open tibial fractures was gunshot injuries. In the analyzed group, there were 18 (26.47% type I open fractures, 21 (30.88% type II open fractures, 19 (27.94% type IIIA open fractures, seven (10.29% type IIIB open fractures, and three (4.41% type IIIC open fractures. Results. The tibial shaft fracture healed without serious complications in 50 (73.53% patients, whereas in 18 (26.47% patients we observed some complications. Nonunion was found in 10 (14.71% patients, osteitis in four (5.88, malunion in two (2.94% patients. Milder complications such as soft tissue pin tract infection developed in 13 (19.12% patients, infection of the open fracture wound soft tissue was observed in four (5.88% patients. Conclusion. Basic principles in the treatment of open lower leg fractures in this study are thorough primary open fracture wound treatment followed by the delayed wound closure, stable fracture fixation using unilateral external skeletal device, proper antibiotic treatment and tetanus prophylaxis. The results correlate with similar studies. [Projekat Ministarstva nauke Republike Srbije, br. III 41017: Virtual Human Osteoarticular System and its Application in Preclinical and Clinical Practice

  10. Difficulties encountered in preauricular approach over retromandibular approach in condylar fracture. (United States)

    Jayavelu, Perumal; Riaz, R; Tariq Salam, A R; Saravanan, B; Karthick, R


    Fracture of mandible can be classified according to its anatomical location, in which condylar fracture is the most common one overall and is missed on clinical examination. Due to the unique geometry of the mandible and temporomandibular joint, without treatment the fractures can result in marked pain, dysfunction, and deformity. The condylar fracture may be further classified depending on the sides involved: unilateral/bilateral, depending on the height of fracture: intracapsular (within the head of condyle), extracapsular - head and neck (high condyle fracture), and subcondylar (low condyle fracture), and depending on displacement: nondisplaced, displaced (anteromedially, medially, and lateral), and dislocated. The clinical features include swelling and tenderness over the temporomandibular joint region, restricted mouth opening, and anterior open bite. A 34-year-old male patient reported to the Department of Oral and Maxillofacial Surgery at Madha Dental College and Hospital; suffered fall trauma resulting in bilateral condyle fracture, dentoalveolar fracture in mandible with restricted mouth opening, and anterior open bite.

  11. Fracture characterisation using geoelectric null-arrays (United States)

    Falco, Pierik; Negro, François; Szalai, Sándor; Milnes, Ellen


    The term "geoelectric null-array" is used for direct current electrode configurations yielding a potential difference of zero above a homogeneous half-space. This paper presents a comparative study of the behaviour of three null-arrays, midpoint null-array (MAN), Wenner-γ null-array and Schlumberger null-array in response to a fracture, both in profiling and in azimuthal mode. The main objective is to determine which array(s) best localise fractures or best identify their orientation. Forward modelling of the three null-arrays revealed that the Wenner-γ and Schlumberger null-arrays localise vertical fractures the most accurately, whilst the midpoint null-array combined with the Schlumberger null-array allows accurate orientation of a fracture. Numerical analysis then served as a basis to interpret the field results. Field test measurements were carried out above a quarry in Les Breuleux (Switzerland) with the three null-arrays and classical arrays. The results were cross-validated with quarry-wall geological mapping. In real field circumstances, the Wenner-γ null-array proved to be the most efficient and accurate in localising fractures. The orientations of the fractures according to the numerical results were most efficiently determined with the midpoint null-array, whilst the Schlumberger null-array adds accuracy to the results. This study shows that geoelectrical null-arrays are more suitable than classical arrays for the characterisation of fracture geometry.

  12. Counting Young Tableaux of Bounded Height (United States)

    Bergeron, Francois; Gascon, Francis


    We show that formulas of Gessel, for the generating functions for Young standard tableaux of height bounded by k (see [2]), satisfy linear differential equations, with polynomial coefficients, equivalent to P-recurrences conjectured by Favreau, Krob and the first author (see [1]) for the number of bounded height tableaux and pairs of bounded height tableaux.

  13. Traumatic Vertebral Fractures and Concomitant Fractures of the Rib in Southwest China, 2001 to 2010 (United States)

    Wang, Hongwei; Zhou, Yue; Ou, Lan; Li, Changqing; Liu, Jun; Xiang, Liangbi


    Abstract To our knowledge, the clinical characteristics of traumatic vertebral fractures and concomitant fractures of the rib (TVF-RF) have not been described in previous studies. To investigate the clinical characteristics of patients managed for TVF-RF. A retrospective study of 3142 patients who presented with traumatic vertebral fractures was performed. Two hundred twenty-six patients (7.2%) suffered from TVF-RF. Incidence rate ratios were then calculated with respect to the level of injury to the spine, the ASIA classification of neurological deficits and age. There were 171 male (75.7%) and 55 female (24.3%) patients with a mean age of 43.8 years. The most common mechanisms were falls from high heights in 81 cases and road traffic crashes in 67 cases. Right-sided rib injury occurred in 106 cases, left-sided injury occurred in 76 cases, and bilateral injury occurred in 44 cases. The most frequent location of the rib fractures was from the fourth rib to the ninth rib (70.3%, 510/725). Initial pulmonary complications (IPC) after trauma occurred in 116 cases (51.3%). The mortality rate for the entire group was 1.3% (3/226). The patients with thoracic vertebral fractures and neurological deficits had a higher frequency of multiple rib fractures and IPC than the other patients (P rib fractures, the frequency of IPC and mean intensive care unit (ICU) length of stay also increased. The rates of complications for patients with rib fractures were significantly different from those without rib fractures. We should pay much attention to the patients who presented with thoracic vertebral fractures and neurological deficits for minimizing further complications and mortality in such patients who had a higher frequency of multiple rib fractures and IPC than the other patients. PMID:26554809

  14. Fillability of Thin-Wall Steel Castings

    Energy Technology Data Exchange (ETDEWEB)

    Robert C. Voigt; Joseph Bertoletti; Andrew Kaley; Sandi Ricotta; Travis Sunday


    The use of steel components is being challenged by lighter nonferrous or cast iron components. The development of techniques for enhancing and ensuring the filability of thin-wall mold cavities is most critical for thinner wall cast steel production. The purpose of this research was to develop thin-wall casting techniques that can be used to reliably produce thin-wall castings from traditional gravity poured sand casting processes. The focus of the research was to enhance the filling behavior to prevent misrunds. Experiments were conducted to investigate the influence of various foundry variables on the filling of thin section steel castings. These variables include casting design, heat transfer, gating design, and metal fluidity. Wall thickness and pouring temperature have the greatest effect on casting fill. As wall thickness increases the volume to surface area of the casting increases, which increases the solidification time, allowing the metal to flow further in thicker sect ions. Pouring time is another significant variable affecting casting fill. Increases or decreases of 20% in the pouring time were found to have a significant effect on the filling of thin-wall production castings. Gating variables, including venting, pouring head height, and mold tilting also significantly affected thin-wall casting fill. Filters offer less turbulent, steadier flow, which is appropriate for thicker castings, but they do not enhance thin-wall casting fill.

  15. Effect of Natural Fractures on Hydraulic Fracturing (United States)

    Ben, Y.; Wang, Y.; Shi, G.


    Hydraulic Fracturing has been used successfully in the oil and gas industry to enhance oil and gas production in the past few decades. Recent years have seen the great development of tight gas, coal bed methane and shale gas. Natural fractures are believed to play an important role in the hydraulic fracturing of such formations. Whether natural fractures can benefit the fracture propagation and enhance final production needs to be studied. Various methods have been used to study the effect of natural fractures on hydraulic fracturing. Discontinuous Deformation Analysis (DDA) is a numerical method which belongs to the family of discrete element methods. In this paper, DDA is coupled with a fluid pipe network model to simulate the pressure response in the formation during hydraulic fracturing. The focus is to study the effect of natural fractures on hydraulic fracturing. In particular, the effect of rock joint properties, joint orientations and rock properties on fracture initiation and propagation will be analyzed. The result shows that DDA is a promising tool to study such complex behavior of rocks. Finally, the advantages of disadvantages of our current model and future research directions will be discussed.

  16. Fracture channel waves (United States)

    Nihei, Kurt T.; Yi, Weidong; Myer, Larry R.; Cook, Neville G. W.; Schoenberg, Michael


    The properties of guided waves which propagate between two parallel fractures are examined. Plane wave analysis is used to obtain a dispersion equation for the velocities of fracture channel waves. Analysis of this equation demonstrates that parallel fractures form an elastic waveguide that supports two symmetric and two antisymmetric dispersive Rayleigh channel waves, each with particle motions and velocities that are sensitive to the normal and tangential stiffnesses of the fractures. These fracture channel waves degenerate to shear waves when the fracture stiffnesses are large, to Rayleigh waves and Rayleigh-Lamb plate waves when the fracture stiffnesses are low, and to fracture interface waves when the fractures are either very closely spaced or widely separated. For intermediate fracture stiffnesses typical of fractured rock masses, fracture channel waves are dispersive and exhibit moderate to strong localization of guided wave energy between the fractures. The existence of these waves is examined using laboratory acoustic measurements on a fractured marble plate. This experiment confirms the distinct particle motion of the fundamental antisymmetric fracture channel wave (A0 mode) and demonstrates the ease with which a fracture channel wave can be generated and detected.

  17. Traumatic thoracolumbar spine fractures

    NARCIS (Netherlands)

    J. Siebenga (Jan)


    textabstractTraumatic spinal fractures have the lowest functional outcomes and the lowest rates of return to work after injury of all major organ systems.1 This thesis will cover traumatic thoracolumbar spine fractures and not osteoporotic spine fractures because of the difference in fracture

  18. Ergonomic suitability of kitchen furniture regarding height accessibility. (United States)

    Hrovatin, Jasna; Prekrat, Silvana; Oblak, Leon; Ravnik, David


    It is possible to significantly ease kitchen chores with properly sized and appropriately arranged cupboards. In designing kitchen furniture and the optimal depth and the height of storage capacities, accessibility should be taken into consideration. It is known that the optimal storage zone is between 800 and 1100 mm and that there is reduced visibility and accessibility at the level between 1400 and 1700 mm, which is even more prominent for the elderly. This suggests that wall cabinets are not recommended for the elderly. The aim of this study was to determine to what extent kitchens manufactured by Slovenian furniture manufacturers are suitable for users of different age groups with regard to the accessibility of goods stored in the cupboards. Furthermore, based on the measurement analysis, recommendations are provided for designing kitchen furniture that would meet the needs of the elderly. The study, carried out using a computer simulation model, analyzed the products of three Slovenian kitchen manufacturers. The cross section of accessibility in the wall cabinets was determined for different age groups of men and women. The results show that the efficacy of the volume in wall cabinets higher than 600 mm, in comparison to places where objects are easily reachable, is 30% lower for women, thus indicating the inefficiency of storage space in wall cabinets. In terms of accessibility, existing kitchens are not optimal for the elderly, and a model with a deeper worktop and wall cabinets lowered onto the worktop is proposed. Accessibility in such wall cabinets is increased by up to 70% if the body is moved forward by 30°.

  19. Estimating vehicle height using homographic projections (United States)

    Cunningham, Mark F; Fabris, Lorenzo; Gee, Timothy F; Ghebretati, Jr., Frezghi H; Goddard, James S; Karnowski, Thomas P; Ziock, Klaus-peter


    Multiple homography transformations corresponding to different heights are generated in the field of view. A group of salient points within a common estimated height range is identified in a time series of video images of a moving object. Inter-salient point distances are measured for the group of salient points under the multiple homography transformations corresponding to the different heights. Variations in the inter-salient point distances under the multiple homography transformations are compared. The height of the group of salient points is estimated to be the height corresponding to the homography transformation that minimizes the variations.

  20. Assessment of fracture risk

    Energy Technology Data Exchange (ETDEWEB)

    Kanis, John A. [WHO Collaborating Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2RX (United Kingdom)], E-mail:; Johansson, Helena; Oden, Anders [WHO Collaborating Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2RX (United Kingdom); McCloskey, Eugene V. [WHO Collaborating Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2RX (United Kingdom); Osteoporosis Centre, Northern General Hospital, Sheffield (United Kingdom)


    Fractures are a common complication of osteoporosis. Although osteoporosis is defined by bone mineral density at the femoral neck, other sites and validated techniques can be used for fracture prediction. Several clinical risk factors contribute to fracture risk independently of BMD. These include age, prior fragility fracture, smoking, excess alcohol, family history of hip fracture, rheumatoid arthritis and the use of oral glucocorticoids. These risk factors in conjunction with BMD can be integrated to provide estimates of fracture probability using the FRAX tool. Fracture probability rather than BMD alone can be used to fashion strategies for the assessment and treatment of osteoporosis.

  1. Global Unification Problem of the Height System

    Directory of Open Access Journals (Sweden)

    XU Houze


    Full Text Available Some fundamental problems on the establishment of the global unified height system, including the geometry and gravity definition of the normal height, the global unification of the regional height systems obtained from leveling measurements, and the determination of geoid potential W0 are discussed. The main conclusions are summarized:①The definition of normal height in the sense of geometry leveling and gravity theory is different, so that h-ζ≠HL, here h, ζ and HL are geodetic height, height anomaly and levelling height respectively. Instead of it, we found HL=h-ζ+∂γ/∂hζH, in the mountain area, the last correction term have to be added. ②Based on the merging of GNSS/gravity/regional leveling, the regional leveling height can be transformed into a global relative unified height system, however the value of geoid potential W0 is still needed in order to establish an absolute height system. ③W0 can be determinated from the modern geodetic techniques with a certain accuracy, but it is time variable, so that people may only define a global absolute unified height system in a fixed epoch.

  2. Measurement and analysis of fractures in vertical, slant, and horizontal core, with examples from the Mesaverde formation

    Energy Technology Data Exchange (ETDEWEB)

    Lorenz, J.C. (Sandia National Labs., Albuquerque, NM (United States)); Hill, R.E. (CER Corp., Las Vegas, NV (United States))


    Optimum analysis of natural fracture characteristics and distributions in reservoirs requires conscientious supervision of coring operations, on-site core processing, careful layout and marketing of the core, and detailed measurement of fracture characteristics. Natural fractures provide information on the in situ permeability system, and coring-induced fractures provide data on the in situ stresses. Fracture data derived from vertical core should include fracture height, type and location of fracture terminations with respect to lithologic heterogeneity, fracture planatary and roughness, and distribution with depth. Fractures in core from either a vertical or a deviated well will yield information on dip, dip azimuth, strike, mineralization, and the orientation of fractures relative to the in situ stresses. Only measurements of fractures in core from a deviated/horizontal well will provide estimates of fracture spacing and porosity. These data can be graphed and cross-plotted to yield semi-quantitative fracture characteristics for reservoir models. Data on the orientations of fractures relative to each other in unoriented core can be nearly as useful as the absolute orientations of fractures. A deviated pilot hole is recommended for fracture assessment prior to a drilling horizontal production well because it significantly enhances the chances of fracture intersection, and therefore of fracture characterization. 35 refs., 20 figs., 2 tabs.

  3. Operative Fixation of Rib Fractures Indications, Techniques, and Outcomes. (United States)

    Galos, David; Taylor, Benjamin; McLaurin, Toni


    Rib fractures are extremely common injuries and vary in there severity from single nondisplaced fractures to multiple segmental fractures resulting in flail chest and respiratory compromise. Historically, rib fractures have been treated conservatively with pain control and respiratory therapy. However this method may not be the best treatment modality in all situations. Operative fixation of select rib fractures has been increasing in popularity especially in patients with flail chest and respiratory compromise. Newer techniques use muscle sparing approaches and precontoured locking plate technology to obtain stable fixation and allow improved respiration. Current reports shows that rib fracture fixation offers the benefits of improved respiratory mechanics and improved pain control in the severe chest wall injury with resultant improvement in patient outcomes by decreasing time on the ventilator, time in the intensive care unit, and overall hospital length of stay.

  4. Falling walls

    CERN Multimedia

    It was 20 years ago this week that the Berlin wall was opened for the first time since its construction began in 1961. Although the signs of a thaw had been in the air for some time, few predicted the speed of the change that would ensue. As members of the scientific community, we can take a moment to reflect on the role our field played in bringing East and West together. CERN’s collaboration with the East, primarily through links with the Joint Institute for Nuclear Research, JINR, in Dubna, Russia, is well documented. Less well known, however, is the role CERN played in bringing the scientists of East and West Germany together. As the Iron curtain was going up, particle physicists on both sides were already creating the conditions that would allow it to be torn down. Cold war historian Thomas Stange tells the story in his 2002 CERN Courier article. It was my privilege to be in Berlin on Monday, the anniversary of the wall’s opening, to take part in a conference entitled &lsquo...

  5. Effect of Hematocrit on Wall Shear Stress for Blood Flow through Tapered Artery


    Singh, A. K.; Singh, D. P.


    The purpose of this study to show the effects of Hematocrit (Red blood cells), height of stenosis, porous parameter and velocity of blood on wall shear stress of the flow of blood through tapered artery. The study reveals that wall shear stress reduces for increasing Hematocrit percentage. It is also observed that wall shear stress increases as stenosis height and porous parameter increase whereas it decreases with the increasing values of velocity of blood and slope of tapered artery.

  6. Synkinematic quartz cementation in partially open fractures in sandstones (United States)

    Ukar, Estibalitz; Laubach, Stephen E.; Fall, Andras; Eichhubl, Peter


    Faults and networks of naturally open fractures can provide open conduits for fluid flow, and may play a significant role in hydrocarbon recovery, hydrogeology, and CO2 sequestration. However, sandstone fracture systems are commonly infilled, at least to some degree, by quartz cement, which can stiffen and occlude fractures. Such cement deposits can systematically reduce the overall permeability enhancement due to open fractures (by reducing open fracture length) and result in permeability anisotropies. Thus, it is important to identify the factors that control the precipitation of quartz in fractures in order to identify potential fluid conduits under the present-day stress field. In many sandstones, quartz nucleates syntaxially on quartz grain or cement substrate of the fracture wall, and extends between fracture walls only locally, forming pillars or bridges. Scanning electron microscope cathodoluminescence (SEM-CL) images reveal that the core of these bridges are made up of bands of broken and resealed cement containing wall-parallel fluid inclusion planes. The fluid inclusion-rich core is usually surrounded by a layer of inclusion-poor clear quartz that comprises the lateral cement. Such crack-seal textures indicate that this phase was precipitating while the fractures were actively opening (synkinematic growth). Rapid quartz accumulation is generally believed to require temperatures of 80°C or more. Fluid inclusion thermometry and Raman spectroscopy of two-phase aqueous fluid-inclusions trapped in crack-seal bands may be used to track the P-T-X evolution of pore fluids during fracture opening and crack-seal cementation of quartz. Quartz cement bridges across opening mode fractures in the Cretaceous Travis Peak Formation of the tectonically quiescent East Texas Basin indicate individual fractures opened over a 48 m.y. time span at rates of 16-23 µm/m.y. Similarly, the Upper Cretaceous Mesaverde Group in the Piceance Basin, Colorado contains fractures that

  7. Femoral Neck Shaft Angle in Men with Fragility Fractures

    Directory of Open Access Journals (Sweden)

    S. P. Tuck


    Full Text Available Introduction. Femoral neck shaft angle (NSA has been reported to be an independent predictor of hip fracture risk in men. We aimed to assess the role of NSA in UK men. Methods. The NSA was measured manually from the DXA scan printout in men with hip (62, 31 femoral neck and 31 trochanteric, symptomatic vertebral (91, and distal forearm (67 fractures and 389 age-matched control subjects. Age, height, weight, and BMD (g/cm2: lumbar spine, femoral neck, and total femur measurements were performed. Results. There was no significant difference in mean NSA between men with femoral neck and trochanteric hip fractures, so all further analyses of hip fractures utilised the combined data. There was no difference in NSA between those with hip fractures and those without (either using the combined data or analysing trochanteric and femoral neck shaft fractures separately, nor between fracture subjects as a whole and controls. Mean NSA was smaller in those with vertebral fractures (129.2° versus 131°: P=0.001, but larger in those with distal forearm fractures (129.8° versus 128.5°: P=0.01. Conclusions. The conflicting results suggest that femoral NSA is not an important determinant of hip fracture risk in UK men.

  8. Analytic crack solutions for tilt fields around hydraulic fractures

    Energy Technology Data Exchange (ETDEWEB)

    Warpinski, N.R.


    The recent development of downhole tiltmeter arrays for monitoring hydraulic fractures has provided new information on fracture growth and geometry. These downhole arrays offer the significant advantages of being close to the fracture (large signal) and being unaffected by the free surface. As with surface tiltmeter data, analysis of these measurements requires the inversion of a crack or dislocation model. To supplement the dislocation models of Davis [1983], Okada [1992] and others, this work has extended several elastic crack solutions to provide tilt calculations. The solutions include constant-pressure 2D, penny-shaped, and 3D-elliptic cracks and a 2D-variable-pressure crack. Equations are developed for an arbitrary inclined fracture in an infinite elastic space. Effects of fracture height, fracture length, fracture dip, fracture azimuth, fracture width and monitoring distance on the tilt distribution are given, as well as comparisons with the dislocation model. The results show that the tilt measurements are very sensitive to the fracture dimensions, but also that it is difficult to separate the competing effects of the various parameters.

  9. An integrated profile of natural fractures in gas-bearing shale complex (Pomerania, Poland): based on structural profiling of oriented core and borehole logging data. (United States)

    Bobek, Kinga; Jarosiński, Marek; Stadtmuller, Marek; Pachytel, Radomir; Lis-Śledziona, Anita


    Natural fractures in gas-bearing shales has significant impact on reservoir stimulation and increase of exploitation. Density of natural fractures and their orientation in respect to the maximum horizontal stress are crucial for propagation of technological hydraulic fractures. Having access to continuous borehole core profile and modern geophysical logging from several wells in the Pomeranian part of the Early Paleozoic Baltic Basin (Poland) we were able to compare the consistency of structural interpretation of several data sets. Although, final aim of our research is to optimize the method of fracture network reconstruction on a reservoir scale, at a recent stage we were focused on quantitative characterization of tectonic structures in a direct vicinity of boreholes. The data we have, cover several hundred meters long profiles of boreholes from the Ordovician and Silurian shale complexes. Combining different sets of data we broaden the scale of observation from borehole core (5 cm radius), through XRMI scan of a borehole wall (10 cm radius), up to penetration of a signal of an acoustic dipole logging (several tens of cm range). At the borehole core we examined the natural tectonic structures and mechanically significant features, like: mineral veins, fractured veins, bare fractures, slickensides, fault zones, stylolites, bedding plane and mechanically contrasting layers. We have also noticed drilling-induced features like centerline fractures and core disking, controlled by a recent tectonic stress. We have measured the orientation of fractures, their size, aperture and spacing and also describe the character of veins and tried to determine the stress regime responsible for fault slippage and fracture propagation. Wide range of analyzed features allowed us to discriminate fracture sets and reconstruct tectonic evolution of the complex. The most typical for analyzed shale complexes are steep and vertical strata-bound fractures that create an orthogonal joint

  10. The value of X-ray CT in orbital fractures

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Myung Hee; Lee, Jae Mun; Kim, Choon Yul; Bahk, Yong Whee [Catholic Medical College, Seoul (Korea, Republic of)


    On the pulse from the trauma transiting to posterior side of the orbit, orbital fractures are occurred through the weak point of the orbital wall. Invagination of soft tissue or entrapment of muscles may be associated with orbital fracture. In condition of inaccurate diagnosis, appropriate surgical repairment is impossible and complication such as diplopia or enophthalmia are developed. CT scan is diagnostic procedure which demonstrates accurately the site and state of orbital fracture, and its associated findings. The authors has been studied in 21 orbital CT scan to evaluate the relative value of plain X rays and CT scans in the diagnosis of orbital fractures during the period from January 1982 to September 1985. The conclusions were as follows: 1. Diagnostic rate was 100% by CT, 40% by initial and 80% by retrospective interpretation of conventional X-ray films. 2. Low X-ray diagnostic rate of medical wall fractures (26.7%) was due to thinness of the bone. 3. Medial wall fractures were associated with floor fractures in 46%. 4. Orbital soft tissue injuries and abnormalities of PNS were precisely evaluated by CT scan.

  11. [Periprosthetic Acetabulum Fractures]. (United States)

    Schreiner, A J; Stuby, F; de Zwart, P M; Ochs, B G


    In contrast to periprosthetic fractures of the femur, periprosthetic fractures of the acetabulum are rare complications - both primary fractures and fractures in revision surgery. This topic is largely under-reported in the literature; there are a few case reports and no long term results. Due to an increase in life expectancy, the level of patients' activity and the number of primary joint replacements, one has to expect a rise in periprosthetic complications in general and periprosthetic acetabular fractures in particular. This kind of fracture can be intra-, peri- or postoperative. Intraoperative fractures are especially associated with insertion of cementless press-fit acetabular components or revision surgery. Postoperative periprosthetic fractures of the acetabulum are usually related to osteolysis, for example, due to polyethylene wear. There are also traumatic fractures and fractures missed intraoperatively that lead to some kind of insufficiency fracture. Periprosthetic fractures of the acetabulum are treated conservatively if the implant is stable and the fracture is not dislocated. If surgery is needed, there are many possible different surgical techniques and challenging approaches. That is why periprosthetic fractures of the acetabulum should be treated by experts in pelvic surgery as well as revision arthroplasty and the features specific to the patient, fracture and prosthetic must always be considered. Georg Thieme Verlag KG Stuttgart · New York.

  12. Nuss procedure for surgical stabilization of flail chest with horizontal sternal body fracture and multiple bilateral rib fractures. (United States)

    Lee, Sung Kwang; Kang, Do Kyun


    Flail chest is a life-threatening situation that paradoxical movement of the thoracic cage was caused by multiply fractured ribs in two different planes, or a sternal fracture, or a combination of the two. The methods to achieve stability of the chest wall are controversy between surgical fixation and mechanical ventilation. We report a case of a 33-year-old man who fell from a high place with fail chest due to multiple rib fractures bilaterally and horizontal sternal fracture. The conventional surgical stabilization using metal plates by access to the front of the sternum could not provide stability of the flail segment because the fracture surface was obliquely upward and there were multiple bilateral rib fractures adjacent the sternum. The Nuss procedure was performed for supporting the flail segment from the back. Flail chest was resolved immediately after the surgery. The patient was weaned from the mechanical ventilation on third postoperative day successfully and was ultimately discharged without any complications.

  13. A rare case of 'blow-up' fracture of the orbit in a child

    Energy Technology Data Exchange (ETDEWEB)

    Patel, Preena N.; Kenney, Ian J. [Royal Alexandra Hospital for Sick Children, Radiology Department, Brighton (United Kingdom)


    We present a case of blow-out fracture of the superomedial orbital wall in a 6-year-old boy. The initial plain radiograph showed an intact orbital margin and opacification of the ethmoid sinus. A fine-cut CT scan of the facial bones revealed a complex fracture of the medial orbital wall extending into the orbital roof, with migration of fracture fragments into the anterior cranial fossa. Suspicion for unusual orbital fractures is crucial when assessing a child for orbital trauma, especially when plain radiographs do not display the typical signs. (orig.)

  14. Wall jets created by single and twin high pressure jet impingement (United States)

    Miller, P.; Wilson, M.


    An extensive experimental investigation into the nature of the wall jets produced by single and twin normal jet impingement has been undertaken. Wall jet velocity profiles have been recorded up to 70 jet diameters from the impingement point, at pressures representative of current VStol technology. The tests used fixed convergent nozzles, with nozzle height and spacing and jet pressure being varied. Single jet impingement displays a consistent effect of nozzle height on wall jet development. For twin jet cases a powerful reinforcement exists along the wall jet interaction plane. Remote from the interaction plane the wall jets are weaker than those produced by a single jet impingement.

  15. Wall to Wall Optimal Transport

    CERN Document Server

    Hassanzadeh, Pedram; Doering, Charles R


    The calculus of variations is employed to find steady divergence-free velocity fields that maximize transport of a tracer between two parallel walls held at fixed concentration for one of two constraints on flow strength: a fixed value of the kinetic energy or a fixed value of the enstrophy. The optimizing flows consist of an array of (convection) cells of a particular aspect ratio Gamma. We solve the nonlinear Euler-Lagrange equations analytically for weak flows and numerically (and via matched asymptotic analysis in the fixed energy case) for strong flows. We report the results in terms of the Nusselt number Nu, a dimensionless measure of the tracer transport, as a function of the Peclet number Pe, a dimensionless measure of the energy or enstrophy of the flow. For both constraints the maximum transport Nu_{MAX}(Pe) is realized in cells of decreasing aspect ratio Gamma_{opt}(Pe) as Pe increases. For the fixed energy problem, Nu_{MAX} \\sim Pe and Gamma_{opt} \\sim Pe^{-1/2}, while for the fixed enstrophy scen...

  16. Imaging of vertebral fractures

    Directory of Open Access Journals (Sweden)

    Ananya Panda


    Full Text Available Vertebral fracture is a common clinical problem. Osteoporosis is the leading cause of non-traumatic vertebral fracture. Often, vertebral fractures are not clinically suspected due to nonspecific presentation and are overlooked during routine interpretation of radiologic investigations. Moreover, once detected, many a times the radiologist fails to convey to the clinician in a meaningful way. Hence, vertebral fractures are a constant cause of morbidity and mortality. Presence of vertebral fracture increases the chance of fracture in another vertebra and also increases the risk of subsequent hip fracture. Early detection can lead to immediate therapeutic intervention improving further the quality of life. So, in this review, we wish to present a comprehensive overview of vertebral fracture imaging along with an algorithm of evaluation of vertebral fractures.

  17. Development of large Area Covering Height Model (United States)

    Jacobsen, K.


    Height information is a basic part of topographic mapping. Only in special areas frequent update of height models is required, usually the update cycle is quite lower as for horizontal map information. Some height models are available free of charge in the internet; for commercial height models a fee has to be paid. Mostly digital surface models (DSM) with the height of the visible surface are given and not the bare ground height, as required for standard mapping. Nevertheless by filtering of DSM, digital terrain models (DTM) with the height of the bare ground can be generated with the exception of dense forest areas where no height of the bare ground is available. These height models may be better as the DTM of some survey administrations. In addition several DTM from national survey administrations are classified, so as alternative the commercial or free of charge available information from internet can be used. The widely used SRTM DSM is available also as ACE-2 GDEM corrected by altimeter data for systematic height errors caused by vegetation and orientation errors. But the ACE-2 GDEM did not respect neighbourhood information. With the worldwide covering TanDEM-X height model, distributed starting 2014 by Airbus Defence and Space (former ASTRIUM) as WorldDEM, higher level of details and accuracy is reached as with other large area covering height models. At first the raw-version of WorldDEM will be available, followed by an edited version and finally as WorldDEM-DTM a height model of the bare ground. With 12 m spacing and a relative standard deviation of 1.2 m within an area of 1° x 1° an accuracy and resolution level is reached, satisfying also for larger map scales. For limited areas with the HDEM also a height model with 6 m spacing and a relative vertical accuracy of 0.5 m can be generated on demand. By bathymetric LiDAR and stereo images also the height of the sea floor can be determined if the water has satisfying transparency. Another method of getting

  18. Imagery and fear influence height perception. (United States)

    Clerkin, Elise M; Cody, Meghan W; Stefanucci, Jeanine K; Proffitt, Dennis R; Teachman, Bethany A


    The current study tested whether height overestimation is related to height fear and influenced by images of falling. To assess perceptual biases, participants high (n=65) versus low (n=64) in height fear estimated the vertical extents of two balconies using a visual matching task. On one of the balconies, participants engaged in an imagery exercise designed to enhance the subjective sense that they were acting in a dangerous environment by picturing themselves falling. As expected, we found that individuals overestimated the balcony's height more after they imagined themselves falling, particularly if they were already afraid of heights. These findings suggest that height fear may serve as a vulnerability factor that leads to perceptual biases when triggered by a stressor (in this case, images of falling).

  19. Statistical distribution of nonlinear random wave height

    Institute of Scientific and Technical Information of China (English)

    HOU; Yijun; GUO; Peifang; SONG; Guiting; SONG; Jinbao; YIN; Baoshu; ZHAO; Xixi


    A statistical model of random wave is developed using Stokes wave theory of water wave dynamics. A new nonlinear probability distribution function of wave height is presented. The results indicate that wave steepness not only could be a parameter of the distribution function of wave height but also could reflect the degree of wave height distribution deviation from the Rayleigh distribution. The new wave height distribution overcomes the problem of Rayleigh distribution that the prediction of big wave is overestimated and the general wave is underestimated. The prediction of small probability wave height value of new distribution is also smaller than that of Rayleigh distribution. Wave height data taken from East China Normal University are used to verify the new distribution. The results indicate that the new distribution fits the measurements much better than the Rayleigh distribution.

  20. Low health related quality of life associated with fractures in obese postmenopausal women in Santa Maria, Brazil

    Directory of Open Access Journals (Sweden)

    Rafaela Martinez Copês


    Of the 1057 women allocated to study, 975 had their weight and height measured. Obese women with fractures had significantly lower SF-36 physical component scores when compared with non-obese subjects with fracture, obese subjects without fractures, and non-obese non-fracture subjects. Both obesity and fractures were independently associated with a lower SF-36 physical component score in the regression model. In conclusion, fractures appear to have an adverse effect on quality of life which is more pronounced in obese postmenopausal women.

  1. Static inelastic analysis of RC shear walls (United States)

    Chen, Qin; Qian, Jiaru


    A macro-model of a reinforced concrete (RC) shear wall is developed for static inelastic analysis. The model is composed of RC column elements and RC membrane elements. The column elements are used to model the boundary zone and the membrane elements are used to model the wall panel. Various types of constitutive relationships of concrete could be adopted for the two kinds of elements. To perform analysis, the wall is divided into layers along its height. Two adjacent layers are connected with a rigid beam. There are only three unknown displacement components for each layer. A method called single degree of freedom compensation is adopted to solve the peak value of the capacity curve. The post-peak stage analysis is performed using a forced iteration approach. The macro-model developed in the study and the complete process analysis methodology are verified by the experimental and static inelastic analytical results of four RC shear wall specimens.

  2. Static inelastic analysis of RC shear walls

    Institute of Scientific and Technical Information of China (English)

    陈勤; 钱稼茹


    A macro-model of a reinforced concrete (RC) shear wall is developed for static inelastic analysis. The model iscomposed of RC column elements and RC membrane elements. The column elements are used to model the boundary zone andthe membrane elements are used to model the wall panel. Various types of constitutive relationships of concrete could beadopted for the two kinds of elements. To perform analysis, the wall is divided into layers along its height. Two adjacent layersare connected with a rigid beam. There are only three unknown displacement components for each layer. A method called singledegree of freedom compensation is adopted to solve the peak value of the capacity curve. The post-peak stage analysis isperformed using a forced iteration approach. The macro-model developed in the study and the complete process analysismethodology are verified by the experimental and static inelastic analytical results of four RC shear wall specimens.

  3. Capitolunate arthrodesis maintaining carpal height for the treatment of SNAC wrist. (United States)

    Giannikas, D; Dimitrios, G; Karageorgos, A; Athanasios, K; Karabasi, A; Ageliki, K; Syggelos, S; Spiridon, S


    The clinical and radiological results of a modified midcarpal fusion technique for scaphoid nonunion advance collapse were retrospectively studied in eight patients. All had partial resection of the proximal part of the fractured scaphoid, limited radial styloidectomy, scaphocapitate and lunocapitate arthrodesis, using a block of iliac crest graft to maintain carpal height. All united without complications and wrist motion, grip strength and carpal height were improved postoperatively. The modified Mayo wrist score at follow-up was 70%. Three patients continued to have some pain and one patient had a poor result.

  4. Fracture Criterion for Fracture Mechanics of Magnets

    Institute of Scientific and Technical Information of China (English)

    潘灏; 杨文涛


    The applicability and limitation of some fracture criteria in the fracture mechanics of magnets are studied.It is shown that the magnetic field intensity factor can be used as a fracture criterion when the crack in a magnet is only affected by a magnetic field. For some magnetostrictive materials in which the components of magnetostriction strain do not satisfy the compatibility equation of deformation, the stress intensity factor can no longer be effectively applicable as a fracture criterion when the crack in a magnet is affected by a magnetic field and mechanical loads simultaneously.


    Directory of Open Access Journals (Sweden)

    Roberto Chapa Sosa


    Full Text Available Objective:To analyze the characteristics of unstable thoracolumbar fractures in the pediatric population.Methods:A retrospective cross-sectional study was conducted with pediatric patients (0 to 15 years who presented with unstable thoracolumbar fracture with or without neurological damage. Twenty-four operated patients were analyzed: 13 male and 11 female.Results:Falls from height are the most common cause, being the thoracolumbar junction the anatomical site most frequently injured.Conclusion:The thoracolumbar fractures are rare in the pediatric population, as well as post-surgical instrumentation structural deformities.

  6. Comparison of therapeutic effect between percutaneous kyphoplasty and pedicle screw system on vertebral compression fracture

    Institute of Scientific and Technical Information of China (English)

    MING Jiang-hua; ZHOU Jian-lin; ZHOU Pang-hu; ZHOU Jian-peng


    Objective:To compare the clinical efficacy of percutaneous kyphoplasty (PKP) with pedicle screw system(PS) in the treatment of vertebral compression fracture(VCF). Methods:Eighty-six patients with VCF were treated either by PKP (Group A,n = 30) ) or PS ( Group B,n =56).The anterior,intermediate,and posterior heights of the vertebrae body,visual analogue pain scale(VAS) before and after operation,the duration of operation,and amount of blood loss between two groups were compared. Results:No statistical difference was noted regarding the vertebral height between two groups. Significant difference was seen in VAS,duration of operation and amount of blood loss between the two groups ( P < 0.01). Conclusions:Percutaneous kyphoplasty has the similar therapeutic efficacy with pedicle screw system in treatment of VCF with a minimal invasion,less operation time and blood loss. For those with posterior wall destruction,PS is deemed favorable.

  7. Adult height, nutrition, and population health. (United States)

    Perkins, Jessica M; Subramanian, S V; Davey Smith, George; Özaltin, Emre


    In this review, the potential causes and consequences of adult height, a measure of cumulative net nutrition, in modern populations are summarized. The mechanisms linking adult height and health are examined, with a focus on the role of potential confounders. Evidence across studies indicates that short adult height (reflecting growth retardation) in low- and middle-income countries is driven by environmental conditions, especially net nutrition during early years. Some of the associations of height with health and social outcomes potentially reflect the association between these environmental factors and such outcomes. These conditions are manifested in the substantial differences in adult height that exist between and within countries and over time. This review suggests that adult height is a useful marker of variation in cumulative net nutrition, biological deprivation, and standard of living between and within populations and should be routinely measured. Linkages between adult height and health, within and across generations, suggest that adult height may be a potential tool for monitoring health conditions and that programs focused on offspring outcomes may consider maternal height as a potentially important influence.

  8. Pure orbital blowout fractures reconstructed with autogenous bone grafts: functional and aesthetic outcomes. (United States)

    Kronig, S A J; van der Mooren, R J G; Strabbing, E M; Stam, L H M; Tan, J A S L; de Jongh, E; van der Wal, K G H; Paridaens, D; Koudstaal, M J


    The purpose of this study was to investigate the ophthalmic clinical findings following surgical reconstruction with autogenous bone grafts of pure blowout fractures. A retrospective review of 211 patients who underwent surgical repair of an orbital fracture between October 1996 and December 2013 was performed. Following data analysis, 60 patients who were followed up over a period of 1 year were included. A solitary floor fracture was present in 38 patients and a floor and a medial wall fracture in 22 patients. Comparing preoperative findings between these two groups, preoperative diplopia and enophthalmos were almost twice as frequent in the group with additional medial wall fractures: diplopia 8% and 14% and enophthalmos 18% and 55%, respectively. One year following surgery there was no diplopia present in either group. In the solitary floor fracture group, 3% still had enophthalmos. It can be concluded that at 1 year following the repair of pure orbital floor fractures using autogenous bone, good functional and aesthetic results can be obtained. In the group with both floor and medial wall fractures, no enophthalmos was found when both walls were reconstructed. When the medial wall was left unoperated, 29% of patients still suffered from enophthalmos after 1 year.

  9. Prediction of Canopy Heights over a Large Region Using Heterogeneous Lidar Datasets: Efficacy and Challenges

    Directory of Open Access Journals (Sweden)

    Ranjith Gopalakrishnan


    Full Text Available Generating accurate and unbiased wall-to-wall canopy height maps from airborne lidar data for large regions is useful to forest scientists and natural resource managers. However, mapping large areas often involves using lidar data from different projects, with varying acquisition parameters. In this work, we address the important question of whether one can accurately model canopy heights over large areas of the Southeastern US using a very heterogeneous dataset of small-footprint, discrete-return airborne lidar data (with 76 separate lidar projects. A unique aspect of this effort is the use of nationally uniform and extensive field data (~1800 forested plots from the Forest Inventory and Analysis (FIA program of the US Forest Service. Preliminary results are quite promising: Over all lidar projects, we observe a good correlation between the 85th percentile of lidar heights and field-measured height (r = 0.85. We construct a linear regression model to predict subplot-level dominant tree heights from distributional lidar metrics (R2 = 0.74, RMSE = 3.0 m, n = 1755. We also identify and quantify the importance of several factors (like heterogeneity of vegetation, point density, the predominance of hardwoods or softwoods, the average height of the forest stand, slope of the plot, and average scan angle of lidar acquisition that influence the efficacy of predicting canopy heights from lidar data. For example, a subset of plots (coefficient of variation of vegetation heights <0.2 significantly reduces the RMSE of our model from 3.0–2.4 m (~20% reduction. We conclude that when all these elements are factored into consideration, combining data from disparate lidar projects does not preclude robust estimation of canopy heights.

  10. South America, Shaded Relief and Colored Height (United States)


    occurrence of simple erosional processes acting upon fairly uniform bedrock. Very smooth plateaus here are remnants of landforms most likely developed under geologic and environmental conditions much different than those present today. Fractures paralleling the coast are likely related to the opening of the Atlantic Ocean as South America drifted away from Africa, starting about 130 million years ago.To the southwest, broad lowlands host the Gran Chaco and Pampas regions. The depositional Gran Chaco drainages run almost exclusively from west to east from the Andes Mountains to the western edge of the Brazilian Highlands as a result of the much greater sediment supply from the Andes. Geologic processes on the Pampas are much more diverse, with stream erosion, stream deposition, subsidence, and wind processes all evident, even at the one-kilometer resolution shown here.Further south, Patagonia also displays these geologic processes plus more prominent volcanic features, including bumpy mesas, which are lava plateaus with small (and some large) volcanic cones. At its southern tip South America breaks into islands that include Tierra del Fuego and the Straits of Magellan.Two visualization methods were combined to produce the image: shading and color coding of topographic height. The shade image was derived by computing topographic slope in the northwest-southeast direction, so that northwest slopes appear bright and southeast slopes appear dark. Color coding is directly related to topographic height, with green at the lower elevations, rising through yellow and tan, to white at the highest elevations.Elevation data used in this image were acquired by the Shuttle Radar Topography Mission aboard the Space Shuttle Endeavour, launched on Feb. 11, 2000. SRTM used the same radar instrument that comprised the Spaceborne Imaging Radar-C/X-Band Synthetic Aperture Radar (SIR-C/X-SAR) that flew twice on the Space Shuttle Endeavour in 1994. SRTM was designed to collect 3-D measurements of

  11. A method to evaluate hydraulic fracture using proppant detection. (United States)

    Liu, Juntao; Zhang, Feng; Gardner, Robin P; Hou, Guojing; Zhang, Quanying; Li, Hu


    Accurate determination of the proppant placement and propped fracture height are important for evaluating and optimizing stimulation strategies. A technology using non-radioactive proppant and a pulsed neutron gamma energy spectra logging tool to determine the placement and height of propped fractures is proposed. Gd2O3 was incorporated into ceramic proppant and a Monte Carlo method was utilized to build the logging tools and formation models. Characteristic responses of the recorded information of different logging tools to fracture widths, proppant concentrations and influencing factors were studied. The results show that Gd capture gamma rays can be used to evaluate propped fractures and it has higher sensitivity to the change of fracture width and traceable proppant content compared with the exiting non-radioactive proppant evaluation techniques and only an after-fracture measurement is needed for the new method; The changes in gas saturation and borehole size have a great impact on determining propped fractures when compensated neutron and pulsed neutron capture tool are used. A field example is presented to validate the application of the new technique.

  12. Report of Galeazzi fracture resulting from a ballistic injury. (United States)

    Fillingham, Yale; Hellman, Michael; Haughom, Bryan; Erickson, Brandon; Szatkowski, Jan


    Galeazzi fractures are a rare injury to occur in adults, which are typically associated with high energy trauma. To our knowledge, the reported cases in the literature have only been associated with motor vehicle accidents, falls from a height, or athletic endeavors. The application of the force in the setting of a Galeazzi fracture has been disputed, but it is believed to occur with the wrist in hyperextension and pronation. We describe a 27-year-old male who presented with multiple gunshot wounds that included his right forearm. The injury sustained to his right forearm resulted in a Galeazzi fracture, which after open reduction and internal fixation, demonstrated subluxation of the distal radioulnar joint in pronation. We provide a novel mechanism of a Galeazzi fracture that demonstrates a method for sustaining the fracture pattern without the wrist in the typical position of hyperextension and pronation.

  13. Simultaneous bilateral tibal tubercle avulsion: A rare fracture

    Directory of Open Access Journals (Sweden)

    Hasan Metineren


    Full Text Available Tibial tuberosity avulsion is a rare fracture in adolescence.Due to the shear forces on the immature epiphysis. Thirteenyears old girl was admitted to the emergency departmentwith knee pain and tenderness in both knees afterjumping from a height of about one meter. İn examinationshe had tenderness and swelling over both tibial tuberosities.The patient could not do active knee extension. TypeIIA fracture on the left and type IIIA fracture on the rightknee were detected. For the patient’s fractures, closedreduction and fixation with 3 smooth Kirschner wires wasperformed. After immobilization in long-leg brace for threeweeks the brace was removed and she include in therehabilitation program. In this report, we discuss similarcases in the literature and the results of the treatment appliedto our patient.Key words: Tuberositas tibia, avulsion fracture, percutaneouspinning

  14. Virtual-Wall Model for Molecular Dynamics Simulation

    Directory of Open Access Journals (Sweden)

    Lijuan Qian


    Full Text Available A large number of molecules are usually required to model atomic walls in molecular dynamics simulations. A virtual-wall model is proposed in this study to describe fluid-wall molecular interactions, for reducing the computational time. The infinite repetition of unit cell structures within the atomic wall causes the periodicity of the force acting on a fluid molecule from the wall molecules. This force is first calculated and then stored in the memory. A fluid molecule appearing in the wall force field is subjected to the force from the wall molecules. The force can then be determined by the position of the molecule relative to the wall. This model avoids excessive calculations of fluid-wall interactions and reduces the computational time drastically. The time reduction is significant for small fluid density and channel height. The virtual-wall model is applied to Poiseuille and Couette flows, and to a flow in a channel with a rough surface. Results of the virtual and atomic wall simulations agree well with each other, thereby indicating the usefulness of the virtual-wall model. The appropriate bin size and cut-off radius in the virtual-wall model are also discussed.

  15. Percutaneous Stabilization System Osseofix® for Treatment of Osteoporotic Vertebral Compression Fractures - Clinical and Radiological Results after 12 Months.

    Directory of Open Access Journals (Sweden)

    Stephan Albrecht Ender

    Full Text Available A prospective consecutive cohort study (follow-up study.Our study investigated whether implantation of an expandable titanium mesh cage (Osseofix® is a successful and safe minimally invasive therapy for osteoporotic vertebral compression fractures (VCF. Our experiences, clinical and radiological findings after 12 months follow-up are presented. Kypho- and vertebroplasty are well-established minimally invasive procedures for the treatment of osteoporotic VCF. The main complications associated with both procedures are uncontrolled bone cement leakage. Therefore a suitable alternative has been investigated.During June 2010 to May 2011 24 patients were included with 32 osteoporotic VCF (T6 to L4. All of them were stabilized with the Osseofix® system. Preinterventionally we performed X-ray, MRI, and bone density measurements (DXA. Clinical and radiological results were evaluated preop., postop. and after 12 months postop. based on the Oswestry Disability Index (ODI and the Visual Analogue Scale (VAS, X-ray (Beck Index, Cobb-angle and CT.There was a significant improvement in the mean ODI (70,6% to 30,1% as well as a significant reduction in pain intensity (VAS (7,7 to 1,4 after 12 month. The mean kyphotic angle according to Cobb showed significant improvements (11,7° to 10,4° after 12 months. Postinterventional imaging showed only one case of loss of height in a stabilized vertebral body (3.1%. We saw no changes in posterior vertebral wall or adjacent fractures. Except for one pronounced postoperative hematoma we saw no surgical complications including no cement leakage.Stabilization of symptomatic osteoporotic VCF with Osseofix® system is a safe and effective procedure, even in fractures with posterior wall involvement. The clinical mid-term results are good at a very low complication rate. The Osseofix® system is an interesting alternative to the established procedures of cement augmentation.

  16. Prolonged pain and disability are common after rib fractures. (United States)

    Fabricant, Loic; Ham, Bruce; Mullins, Richard; Mayberry, John


    The contribution of rib fractures to prolonged pain and disability may be underappreciated and undertreated. Clinicians are traditionally taught that the pain and disability of rib fractures resolves in 6 to 8 weeks. This study was a prospective observation of 203 patients with rib fractures at a level 1 trauma center. Chest wall pain was evaluated by the McGill Pain Questionnaire (MPQ) pain rating index (PRI) and present pain intensity (PPI). Prolonged pain was defined as a PRI of 8 or more at 2 months after injury. Prolonged disability was defined as a decrease in 1 or more levels of work or functional status at 2 months after injury. Predictors of prolonged pain and disability were determined by multivariate analysis. One hundred forty-five male patients and 58 female patients with a mean injury severity score (ISS) of 20 (range, 1 to 59) had a mean of 5.4 rib fractures (range, 1 to 29). Forty-four (22%) patients had bilateral fractures, 15 (7%) had flail chest, and 92 (45%) had associated injury. One hundred eighty-seven patients were followed 2 months or more. One hundred ten (59%) patients had prolonged chest wall pain and 142 (76%) had prolonged disability. Among 111 patients with isolated rib fractures, 67 (64%) had prolonged chest wall pain and 69 (66%) had prolonged disability. MPQ PPI was predictive of prolonged pain (odds ratio [OR], 1.8; 95% confidence interval [CI], 1.4 to 2.5), and prolonged disability (OR, 2.2; 95% CI, 1.5 to 3.4). The presence of significant associated injuries was predictive of prolonged disability (OR, 5.9; 95% CI, 1.4 to 29). Prolonged chest wall pain is common, and the contribution of rib fractures to disability is greater than traditionally expected. Further investigation into more effective therapies that prevent prolonged pain and disability after rib fractures is needed. Copyright © 2013 Elsevier Inc. All rights reserved.

  17. Olduvai Gorge, Shaded Relief and Colored Height (United States)


    Three striking and important areas of Tanzania in eastern Africa are shown in this color-coded shaded relief image from the Shuttle Radar Topography Mission. The largest circular feature in the center right is the caldera, or central crater, of the extinct volcano Ngorongoro. It is surrounded by a number of smaller volcanoes, all associated with the Great Rift Valley, a geologic fault system that extends for about 4,830 kilometers (2,995 miles) from Syria to central Mozambique. Ngorongoro's caldera is 22.5 kilometers (14 miles) across at its widest point and is 610 meters (2,000 feet) deep. Its floor is very level, holding a lake fed by streams running down the caldera wall. It is part of the Ngorongoro Conservation Area and is home to over 75,000 animals. The lakes south of the crater are Lake Eyasi and Lake Manyara, also part of the conservation area. The relatively smooth region in the upper left of the image is the Serengeti National Park, the largest in Tanzania. The park encompasses the main part of the Serengeti ecosystem, supporting the greatest remaining concentration of plains game in Africa including more than 3,000,000 large mammals. The animals roam the park freely and in the spectacular migrations, huge herds of wild animals move to other areas of the park in search of greener grazing grounds (requiring over 4,000 tons of grass each day) and water. The faint, nearly horizontal line near the center of the image is Olduvai Gorge, made famous by the discovery of remains of the earliest humans to exist. Between 1.9 and 1.2 million years ago a salt lake occupied this area, followed by the appearance of fresh water streams and small ponds. Exposed deposits show rich fossil fauna, many hominid remains and items belonging to one of the oldest stone tool technologies, called Olduwan. The time span of the objects recovered dates from 2,100,000 to 15,000 years ago. Two visualization methods were combined to produce the image: shading and color coding of

  18. Tibia (Shinbone) Shaft Fractures (United States)

    ... energy collisions, such as an automobile or motorcycle crash, are common causes of tibial sha fractures. In cases like these, the bone can be broken into several pieces (comminuted fracture). Sports injuries, such as a fall while skiing or running ...

  19. Fractures in anisotropic media (United States)

    Shao, Siyi

    Rocks may be composed of layers and contain fracture sets that cause the hydraulic, mechanical and seismic properties of a rock to be anisotropic. Coexisting fractures and layers in rock give rise to competing mechanisms of anisotropy. For example: (1) at low fracture stiffness, apparent shear-wave anisotropy induced by matrix layering can be masked or enhanced by the presence of a fracture, depending on the fracture orientation with respect to layering, and (2) compressional-wave guided modes generated by parallel fractures can also mask the presence of matrix layerings for particular fracture orientations and fracture specific stiffness. This report focuses on two anisotropic sources that are widely encountered in rock engineering: fractures (mechanical discontinuity) and matrix layering (impedance discontinuity), by investigating: (1) matrix property characterization, i.e., to determine elastic constants in anisotropic solids, (2) interface wave behavior in single-fractured anisotropic media, (3) compressional wave guided modes in parallel-fractured anisotropic media (single fracture orientation) and (4) the elastic response of orthogonal fracture networks. Elastic constants of a medium are required to understand and quantify wave propagation in anisotropic media but are affected by fractures and matrix properties. Experimental observations and analytical analysis demonstrate that behaviors of both fracture interface waves and compressional-wave guided modes for fractures in anisotropic media, are affected by fracture specific stiffness (controlled by external stresses), signal frequency and relative orientation between layerings in the matrix and fractures. A fractured layered medium exhibits: (1) fracture-dominated anisotropy when the fractures are weakly coupled; (2) isotropic behavior when fractures delay waves that are usually fast in a layered medium; and (3) matrix-dominated anisotropy when the fractures are closed and no longer delay the signal. The

  20. Sprains, Strains and Fractures (United States)

    ... Young Physicians Annual Scientific Meeting Webinars Careers in Podiatry APMA 2040 Student Profiles CPME REdRC Manage Your ... and fractures. Many fractures and sprains occur during sports. Football players are particularly vulnerable to foot and ...

  1. Hip fracture - discharge (United States)

    ... this page: // Hip fracture - discharge To use the sharing features on this page, please enable JavaScript. Hip fracture surgery is done to repair a break in ...

  2. Hip fracture surgery (United States)

    ... neck fracture repair; Trochanteric fracture repair; Hip pinning surgery; Osteoarthritis - hip ... You may receive general anesthesia for this surgery. This means you ... spinal anesthesia . With this kind of anesthesia, medicine is ...

  3. Metatarsal stress fractures - aftercare (United States)

    ... page: // Metatarsal stress fractures - aftercare To use the sharing features on ... that connect your ankle to your toes. A stress fracture is a break in the bone that ...

  4. Periprosthetic acetabular fractures. (United States)

    Benazzo, Francesco; Formagnana, Mario; Bargagliotti, Marco; Perticarini, Loris


    The aim of this article is to propose a diagnostic and therapeutic algorithm for the acetabular periprosthetic fractures. This article explores the current literature on the epidemiology, causes and classification of periprosthetic acetabular fractures. Integrating data with the experience of the authors, it offers a guide to diagnosis and possible therapeutic strategies. Intra-operative fractures can occur during rasping, reaming or implant impaction, and they must be treated immediately if the component(s) is (are) unstable. Post-operative fractures can be due to major trauma (acute fractures) or minor forces in bone osteolysis; it is possible to plan reconstruction and fixation according to fracture characteristics. Treatment choice depends upon fracture site and implant stability. Periprosthetic acetabular fractures are uncommon complications that can occur intra-operatively or post-operatively, and a reconstructive surgeon must be able to manage the procedure. Accurate planning and reconstruction implant are necessary to achieve good cup stability.

  5. Periprosthetic fracture of the acetabulum after total hip arthroplasty. (United States)

    Peterson, C A; Lewallen, D G


    Eleven patients who had sustained a periprosthetic fracture of the acetabulum at a mean of 6.2 years (range, one month to thirteen years) after a total hip arthroplasty were managed at our institution between 1985 and 1991. Five patients had a fracture of the medial wall; three, a fracture of the posterior column; two, a transverse fracture; and one, a fracture of the anterior column. Six fractures were displaced by two millimeters or more. Eight fractures were caused by blunt trauma or a fall, and three occurred spontaneously. A fracture was classified as type 1 if the acetabular component was clinically and radiographically stable (eight patients) and as type 2 if the component was unstable (three patients). One patient, who had a displaced type-2 fracture of the posterior column, died of an associated intrapelvic vascular injury. The other two patients who had a type-2 fracture were managed with revision of the acetabular component without supplemental plate fixation, immediately after the diagnosis of the fracture. The eight patients who had a type-1 fracture initially were managed with limitation of weight-bearing or modification of activity; in six of these patients, the fracture united without additional treatment. The ten surviving patients were followed for a mean of sixty-two months after the fracture. Eight of these patients-including four in whom a type-1 fracture had united after non-operative treatment-had a revision of the acetabular component because of pain, loosening, or non-union by the time of the most recent follow-up. Two patients (one of whom had a type-1 fracture and the other, a type-2 fracture) had multiple revisions of the acetabular component; both had supplemental internal fixation with a plate. All ten patients ultimately had a stable, functioning prosthesis. We conclude that periprosthetic acetabular fractures are associated with a poor prognosis with regard to the survival of the acetabular component but that it is possible to

  6. Identifying osteoporotic vertebral fracture


    Griffith, James F.


    Osteoporosis per se is not a harmful disease. It is the sequela of osteoporosis and most particularly the occurrence of osteoporotic fracture that makes osteoporosis a serious medical condition. All of the preventative measures, investigations, treatment and research into osteoporosis have one primary goal and that is to prevent the occurrence of osteoporotic fracture. Vertebral fracture is by far and away the most prevalent osteoporotic fracture. The significance and diagnosis of vertebral f...

  7. Evolutionary perspectives on human height variation

    NARCIS (Netherlands)

    Stulp, Gert; Barrett, Louise


    Human height is a highly variable trait, both within and between populations, has a high heritability, and influences the manner in which people behave and are treated in society. Although we know much about human height, this information has rarely been brought together in a comprehensive, systemat

  8. Local average height distribution of fluctuating interfaces (United States)

    Smith, Naftali R.; Meerson, Baruch; Sasorov, Pavel V.


    Height fluctuations of growing surfaces can be characterized by the probability distribution of height in a spatial point at a finite time. Recently there has been spectacular progress in the studies of this quantity for the Kardar-Parisi-Zhang (KPZ) equation in 1 +1 dimensions. Here we notice that, at or above a critical dimension, the finite-time one-point height distribution is ill defined in a broad class of linear surface growth models unless the model is regularized at small scales. The regularization via a system-dependent small-scale cutoff leads to a partial loss of universality. As a possible alternative, we introduce a local average height. For the linear models, the probability density of this quantity is well defined in any dimension. The weak-noise theory for these models yields the "optimal path" of the interface conditioned on a nonequilibrium fluctuation of the local average height. As an illustration, we consider the conserved Edwards-Wilkinson (EW) equation, where, without regularization, the finite-time one-point height distribution is ill defined in all physical dimensions. We also determine the optimal path of the interface in a closely related problem of the finite-time height-difference distribution for the nonconserved EW equation in 1 +1 dimension. Finally, we discuss a UV catastrophe in the finite-time one-point distribution of height in the (nonregularized) KPZ equation in 2 +1 dimensions.

  9. 47 CFR 95.51 - Antenna height. (United States)


    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Antenna height. 95.51 Section 95.51... SERVICES General Mobile Radio Service (GMRS) § 95.51 Antenna height. (a) Certain antenna structures used in... this chapter. (b) The antenna for a small base station or for a small control station must not be...

  10. Dry fracture method for simultaneous measurement of in-situ stress state and material properties

    Energy Technology Data Exchange (ETDEWEB)

    Serata, S. [Serata Geomechanics, Inc., Richmond, CA (United States); Oka, S.; Kikuchi, S. [JDC Corp., Tokyo (Japan)


    Based on the dry fracture principle, a computerized borehole probe has been developed to measure stress state and material properties, simultaneously. The probe is designed to obtain a series of measurements in a continuing sequence along a borehole length, without any interruptive measures, such as resetting packers, taking indentation of borehole wall, overcoming, etc. The new dry fracture probe for the single fracture method is designed to overcome the difficulties posed by its ancestor which was based on the double fracture method. The accuracy of the single fracture method is confirmed by a close agreement with the theory, FE modeling and laboratory testing.

  11. Fracture mineralogy of the Forsmark site. SDM-Site Forsmark

    Energy Technology Data Exchange (ETDEWEB)

    Sandstroem, Bjoern (Dept. of Earth Sciences, Univ. of Goeteborg (Sweden)); Tullborg, Eva-Lena (Terralogica AB, Graabo (Sweden)); Smellie, John (Conterra AB, Luleaa (Sweden)); MacKenzie, Angus B. (SUERC, Scottish Enterprise Technology Park, East Kilbride (United Kingdom)); Suksi, Juhani (Dept. of Chemistry, Univ. of Helsinki, Helsinki (Finland))


    Detailed investigations of the fracture mineralogy and altered wall rock have been carried out as part of the site characterisation programme between 2003 and 2007 at Forsmark. The results have been published in a number of P-reports and in contributions to scientific journals. This report summarises and evaluates the data obtained during the detailed fracture mineralogical studies. The report includes descriptions of the identified fracture minerals and their chemical composition. A sequence of fracture mineralisations has been distinguished and provides information of the low to moderate temperature (brittle) geological and hydrogeological evolution at the site. Special focus has been paid to the chemical and stable isotopic composition of calcite to obtain palaeohydrogeological information. Chemical analyses of bulk fracture filling material have been carried out to identify possible sinks for certain elements and also to reveal the presence of minor phases rich in certain elements which have not been possible to detect by X-ray diffraction (XRD). Statistical analysis of the mineralogy in fractures outside deformation zones (i.e. within fracture domains FFM01, FFM02, FFM03 and FFM06) have been carried out concerning variation of fracture mineral distribution at depth and in different fracture domains. Uranium contents and uranium-series isotopes have been analysed on fracture coating material from hydraulically conductive fractures. Such analyses are also available from the groundwaters and the results are combined in order to reveal recent (< 1 Ma) removal/deposition of uranium in the fracture system. The redox conditions in the fracture system have been evaluated based on mineralogical and chemical indicators as well as Moessbauer analyses

  12. Fracture prevention in men

    NARCIS (Netherlands)

    Geusens, PP; Sambrook, P.N.; Lems, W.F.


    The lifetime risk of experiencing a fracture in 50-year-old men is lower (20%) than the risk in women (50%). Consequently, much less research has been carried out on osteoporosis and fracture risk in men. Differences in the risk and incidence of fractures between men and women are related to differe

  13. Imaging of insufficiency fractures

    Energy Technology Data Exchange (ETDEWEB)

    Krestan, Christian [Department of Radiology, Medical University of Vienna, Vienna General Hospital, Waehringerstr. 18-20, 1090 Vienna (Austria)], E-mail:; Hojreh, Azadeh [Department of Radiology, Medical University of Vienna, Vienna General Hospital, Waehringerstr. 18-20, 1090 Vienna (Austria)


    This review focuses on the occurrence, imaging and differential diagnosis of insufficiency fractures. Prevalence, the most common sites of insufficiency fractures and their clinical implications are discussed. Insufficiency fractures occur with normal stress exerted on weakened bone. Postmenopausal osteoporosis is the most common cause of insufficiency fractures. Other conditions which affect bone turnover include osteomalacia, hyperparathyroidism, chronic renal failure and high-dose glucocorticoid therapy. It is a challenge for the radiologist to detect and diagnose insufficiency fractures, and to differentiate them from other bone lesions. Radiographs are still the most widely used imaging method for identification of insufficiency fractures, but sensitivity is limited, depending on the location of the fractures. Magnetic resonance imaging (MRI) is a very sensitive tool to visualize bone marrow abnormalities associated with insufficiency fractures. Thin section, multi-detector computed tomography (MDCT) depicts subtle fracture lines allowing direct visualization of cortical and trabecular bone. Bone scintigraphy still plays a role in detecting fractures, with good sensitivity but limited specificity. The most important differential diagnosis is underlying malignant disease leading to pathologic fractures. Bone densitometry and clinical history may also be helpful in confirming the diagnosis of insufficiency fractures.

  14. Pelvic, acetabular and hip fractures: What the surgeon should expect from the radiologist. (United States)

    Molière, S; Dosch, J-C; Bierry, G


    Pelvic ring fractures when caused by trauma, either violent or in demineralized bone, generally consist of injuries in both the anterior (pubic symphysis and rami) and posterior (iliac wing, sacrum, sacroiliac joint) portions. Injury classifications are based on injury mechanism and pelvic stability, and are used to determine treatment. Acetabular fractures, associated or not to pelvic ring disruption, are classified on the basis of fracture line, into elementary fractures of the acetabular walls, columns and roof, and into complex fractures. Fractures of the proximal end of the femur occur often on demineralized bone following low-energy trauma. The fractures are categorized by anatomic location (neck, trochanter and subtrochanteric region) and degree of displacement. These variables determine the risk of osteonecrosis of the femoral head, which is the main complication of such fractures.

  15. Rib fracture after stereotactic radiotherapy on follow-up thin-section computed tomography in 177 primary lung cancer patients (United States)


    Background Chest wall injury after stereotactic radiotherapy (SRT) for primary lung cancer has recently been reported. However, its detailed imaging findings are not clarified. So this study aimed to fully characterize the findings on computed tomography (CT), appearance time and frequency of chest wall injury after stereotactic radiotherapy (SRT) for primary lung cancer Materials and methods A total of 177 patients who had undergone SRT were prospectively evaluated for periodical follow-up thin-section CT with special attention to chest wall injury. The time at which CT findings of chest wall injury appeared was assessed. Related clinical symptoms were also evaluated. Results Rib fracture was identified on follow-up CT in 41 patients (23.2%). Rib fractures appeared at a mean of 21.2 months after the completion of SRT (range, 4 -58 months). Chest wall edema, thinning of the cortex and osteosclerosis were findings frequently associated with, and tending to precede rib fractures. No patients with rib fracture showed tumors > 16 mm from the adjacent chest wall. Chest wall pain was seen in 18 of 177 patients (10.2%), of whom 14 patients developed rib fracture. No patients complained of Grade 3 or more symptoms. Conclusion Rib fracture is frequently seen after SRT for lung cancer on CT, and is often associated with chest wall edema, thinning of the cortex and osteosclerosis. However, related chest wall pain is less frequent and is generally mild if present. PMID:21995807

  16. Rib fracture after stereotactic radiotherapy on follow-up thin-section computed tomography in 177 primary lung cancer patients

    Directory of Open Access Journals (Sweden)

    Saito Ryo


    Full Text Available Abstract Background Chest wall injury after stereotactic radiotherapy (SRT for primary lung cancer has recently been reported. However, its detailed imaging findings are not clarified. So this study aimed to fully characterize the findings on computed tomography (CT, appearance time and frequency of chest wall injury after stereotactic radiotherapy (SRT for primary lung cancer Materials and methods A total of 177 patients who had undergone SRT were prospectively evaluated for periodical follow-up thin-section CT with special attention to chest wall injury. The time at which CT findings of chest wall injury appeared was assessed. Related clinical symptoms were also evaluated. Results Rib fracture was identified on follow-up CT in 41 patients (23.2%. Rib fractures appeared at a mean of 21.2 months after the completion of SRT (range, 4 -58 months. Chest wall edema, thinning of the cortex and osteosclerosis were findings frequently associated with, and tending to precede rib fractures. No patients with rib fracture showed tumors > 16 mm from the adjacent chest wall. Chest wall pain was seen in 18 of 177 patients (10.2%, of whom 14 patients developed rib fracture. No patients complained of Grade 3 or more symptoms. Conclusion Rib fracture is frequently seen after SRT for lung cancer on CT, and is often associated with chest wall edema, thinning of the cortex and osteosclerosis. However, related chest wall pain is less frequent and is generally mild if present.

  17. Fracture of the acetabulum in a 14-year-old patient: 20-year review


    Sprenger, T.R.; Howard, F M


    A case report of 14-year old female with an acetabular fracture involving the anterior column and posterior column-posterior wall is presented here and the findings on 20-year follow-up are described.

  18. Frac height accuracy : PropTrac pushing wells to full potential

    Energy Technology Data Exchange (ETDEWEB)

    Macedo, R.


    Details of the PropTrac H Fracture Diagnostic Service were presented. The service was designed to measure the height of propped fractures in wells without the use of radioactive tracers. Resin-coated proppants containing non-radioactive tagging material are activated downhole after a well is fractured. A specialized logging tool is used to identify their precise location and to determine proppant height. The method is particularly suitable for use in multi-zone wells, as the proppants can be logged at any time after the frac job is complete by temporarily reactivating their tags. Data obtained by the tool is used to improve the accuracy of frac models and improve the productivity of the wells. The service is now being used by a number of oil and gas operators who are concerned about the environmental impacts associated with the use of radioactive materials. A recent PropTrac analysis in the Rocky Mountain region of the United States was used to improve the perforating and fracturing design of an offset well. 2 figs.

  19. Percent body fat, fractures and risk of osteoporosis in women. (United States)

    Wyshak, G


    Globally, in an aging population, osteoporosis and fractures are emerging as major public health problems; accessible and affordable recognition, prevention and treatment strategies are needed. Percent body fat is known to be associated with bone mineral density and fractures. This paper uses an innovative, virtually cost-free method to estimate percent body fat from age, height and weight, and assesses its validity by examining the association between percent body fat and fractures among women 39 and older. An epidemiologic study. 3940 college alumnae, median age 53.6, participated by responding to a mailed questionnaire covering medical history, behavioral factors, birth date, weight and height. T-tests, chi-square and multivariable logistic regression. Percent body fat estimated from age, weight, height and gender. Associations of fractures with percent body fat are expressed as odds ratios: for osteoporotic (wrist, hip and/or x-ray confirmed vertebral), the adjusted OR = 2.41, 95% CI (1.65, 3.54), P age, height and weight may be a valid, cost-saving, and cost-effective alternative tool for screening and assessing risk of osteoporosis in settings where Dual x-ray absorptiometry (DXA) or other radiological techniques are too costly or unavailable.

  20. Pedicale screw system plus ACPC perfusion to treat fractures of thoracolumbar vertebrae

    Institute of Scientific and Technical Information of China (English)


    @@In recent years the pedicle screw system has been widely used in treating thoracolumbar vertebral fractures. The effect to recover the injured vertebrae height, the spinal physiological curve and to decompress vertebral canal has been confirmed. But the problems of internal fixation bending, loosening and breaking, which result in the loss of the vertebral height and spinal angulation deformity, are quite common and cause a lot of difficulties for surgeons. To solve these problems and decrease the sequelae from treating thoracolumbar vertebrae fractures with vertebral pedicle screw system, we have tried using vertebral pedicle screw system plus ACPC perfusion to treat 18patients with thoracolumbar vertebral fractures.Satisfactory results have been obtained.

  1. Emergence of anomalous transport in stressed rough fractures (United States)

    Kang, Peter K.; Brown, Stephen; Juanes, Ruben


    We report the emergence of anomalous (non-Fickian) transport through a rough-walled fracture as a result of increasing normal stress on the fracture. We show that the origin of this anomalous transport behavior can be traced to the emergence of a heterogeneous flow field dominated by preferential channels and stagnation zones, as a result of the larger number of contacts in a highly stressed fracture. We show that the velocity distribution determines the late-time scaling of particle spreading, and velocity correlation determines the magnitude of spreading and the transition time from the initial ballistic regime to the asymptotic anomalous behavior. We also propose a spatial Markov model that reproduces the transport behavior at the scale of the entire fracture with only three physical parameters. Our results point to a heretofore unrecognized link between geomechanics and particle transport in fractured media.

  2. Studies of Transport Properties of Fractures: Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Stephen R. Brown


    We proposed to study several key factors controlling the character and evolution of fracture system permeability and transport processes. We suggest that due to surface roughness and the consequent channeling in single fractures and in fracture intersections, the tendency of a fracture system to plug up, remain permeable, or for permeability to increase due to chemical dissolution/precipitation conditions will depend strongly on the instantaneous flow channel geometry. This geometry will change as chemical interaction occurs, thus changing the permeability through time. To test this hypothesis and advance further understanding toward a predictive capability, we endeavored to physically model and analyze several configurations of flow and transport of inert and chemically active fluids through channels in single fractures and through fracture intersections. This was an integrated program utilizing quantitative observations of fractures and veins in drill core, quantitative and visual observations of flow and chemical dissolution and precipitation within replicas of real rough-walled fractures and fracture intersections, and numerical modeling via lattice Boltzmann methods.

  3. Oscillating light wall above a sunspot light bridge

    CERN Document Server

    Yang, Shuhong; Jiang, Fayu; Xiang, Yongyuan


    With the high tempo-spatial \\emph{Interface Region Imaging Spectrograph} 1330 {\\AA} images, we find that many bright structures are rooted in the light bridge of NOAA 12192, forming a \\emph{light wall}. The light wall is brighter than the surrounding areas, and the wall top is much brighter than the wall body. The New Vacuum Solar Telescope H$\\alpha$ and the \\emph{Solar Dynamics Observatory} 171 {\\AA} and 131 {\\AA} images are also used to study the light wall properties. In 1330 {\\AA}, 171 {\\AA}, and 131 {\\AA}, the top of the wall has a higher emission, while in the H$\\alpha$ line, the wall top emission is very low. The wall body corresponds to bright areas in 1330 {\\AA} and dark areas in the other lines. The top of the light wall moves upward and downward successively, performing oscillations in height. The deprojected mean height, amplitude, oscillation velocity, and the dominant period are determined to be 3.6 Mm, 0.9 Mm, 15.4 km s$^{-1}$, and 3.9 min, respectively. We interpret the oscillations of the lig...

  4. Increased height in diabetes mellitus corresponds to the predicted and the adult height

    NARCIS (Netherlands)

    Scheffer-Marinus, PD; Links, TP; Drayer, NM


    This study was conducted to analyse the effect of childhood-onset diabetes mellitus on adult height. The height at time of diagnosis of 35 children with insulin-dependent diabetes mellitus (IDDM) was compared with growth reference data. Predictions of the adult height were made at the time of diagno

  5. Displacement ductility for seismic design of RC walls for low-rise housing


    Carrillo,Julian; González, Giovanni; Rubiano, Astrid


    The paper compares and discusses displacement ductility ratios of reinforced concrete walls typically used in one- and two-story houses. Ductility is investigated by assessing response measured on 39 walls tested under shaking table excitations and quasi-static lateral loads. Variables studied were the height-to-length ratio and walls with openings, type of concrete and, steel ratio and type of web reinforcement. An equation to estimate the available ductility of a wall is proposed. Based on ...

  6. Proximal humerus fractures. (United States)

    Price, Matthew C; Horn, Pamela L; Latshaw, James C


    Proximal humerus fractures are among the most common fractures associated with osteoporosis. With an aging population, incidence of these fractures will only increase. The proximal humerus not only forms the lateral portion of the shoulder articulation but also has significant associations with musculoskeletal and neurovascular structures. As a result, fractures of the proximal humerus can significantly impact not only the function of the shoulder joint, but the health and function of the entire upper extremity as well. Understanding of these fractures, the management options, and associated nursing care, can help reduce morbidity rate and improve functional outcomes.

  7. Stress fractures in runners. (United States)

    McCormick, Frank; Nwachukwu, Benedict U; Provencher, Matthew T


    Stress fractures are a relatively common entity in athletes, in particular, runners. Physicians and health care providers should maintain a high index of suspicion for stress fractures in runners presenting with insidious onset of focal bone tenderness associated with recent changes in training intensity or regimen. It is particularly important to recognize “high-risk” fractures, as these are associated with an increased risk of complication. A patient with confirmed radiographic evidence of a high-risk stress fracture should be evaluated by an orthopedic surgeon. Runners may benefit from orthotics, cushioned sneakers, interval training, and vitamin/calcium supplementation as a means of stress fracture prevention.

  8. Role of MRI in hip fractures, including stress fractures, occult fractures, avulsion fractures

    Energy Technology Data Exchange (ETDEWEB)

    Nachtrab, O. [Department of Radiology, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Gobowen, Oswestry Shropshire SY10 7AG (United Kingdom); Cassar-Pullicino, V.N., E-mail: [Department of Radiology, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Gobowen, Oswestry Shropshire SY10 7AG (United Kingdom); Lalam, R.; Tins, B.; Tyrrell, P.N.M.; Singh, J. [Department of Radiology, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Gobowen, Oswestry Shropshire SY10 7AG (United Kingdom)


    MR imaging plays a vital role in the diagnosis and management of hip fractures in all age groups, in a large spectrum of patient groups spanning the elderly and sporting population. It allows a confident exclusion of fracture, differentiation of bony from soft tissue injury and an early confident detection of fractures. There is a spectrum of MR findings which in part is dictated by the type and cause of the fracture which the radiologist needs to be familiar with. Judicious but prompt utilisation of MR in patients with suspected hip fractures has a positive therapeutic impact with healthcare cost benefits as well as social care benefits.

  9. Fractures in multiple sclerosis

    DEFF Research Database (Denmark)

    Stenager, E; Jensen, K


    In a cross-sectional study of 299 MS patients 22 have had fractures and of these 17 after onset of MS. The fractures most frequently involved the femoral neck and trochanter (41%). Three patients had had more than one fracture. Only 1 patient had osteoporosis. The percentage of fractures increased...... with increasing age and disease duration. Among 34 deceased MS patients 4 had had fractures. These findings are discussed in relation to physical and cognitive impairment in MS. A case-control study is recommended....

  10. Successful cementless cup reimplantation using cortical bone graft augmentation after an acetabular fracture and cup displacement. (United States)

    Torres, Bryan T; Chambers, Jonathan N; Budsberg, Steven C


    To report repair of a periprosthetic acetabular fracture with concurrent component displacement after cementless total hip arthroplasty (THA). Clinical case report. Dog (n=1) with an acetabular fracture after THA. Acetabular repair was performed on a highly comminuted periprosthetic acetabular fracture after cementless THA. A bulk, structural corticocancellous autograft from the ipsilateral ilial wing was used for repair and reconstruction of the dorsal acetabular wall before reimplantation of a cementless acetabular component. Repair of a periprosthetic acetabular fracture with a bulk structural autograft was successful in reconstruction of the dorsal acetabular wall and in reestablishing a stable, functional cementless THA acetabular prosthesis. Structural corticocancellous autografts from the ilium can be successfully used in repair of periprosthetic acetabular fractures after THA. Structural corticocancellous grafting from the ilium can be considered as a treatment option for repair of periprosthetic acetabular fractures after THA.

  11. [Fractures of carpal bones]. (United States)

    Lögters, T; Windolf, J


    Fractures of the carpal bones are uncommon. On standard radiographs fractures are often not recognized and a computed tomography (CT) scan is the diagnostic method of choice. The aim of treatment is to restore pain-free and full functioning of the hand. A distinction is made between stable and unstable carpal fractures. Stable non-displaced fractures can be treated conservatively. Unstable and displaced fractures have an increased risk of arthritis and non-union and should be stabilized by screws or k‑wires. If treated adequately, fractures of the carpal bones have a good prognosis. Unstable and dislocated fractures have an increased risk for non-union. The subsequent development of carpal collapse with arthrosis is a severe consequence of non-union, which has a heterogeneous prognosis.

  12. Oblique Axis Body Fracture

    DEFF Research Database (Denmark)

    Takai, Hirokazu; Konstantinidis, Lukas; Schmal, Hagen


    Purpose. Anderson type III odontoid fractures have traditionally been considered stable and treated conservatively. However, unstable cases with unfavorable results following conservative treatment have been reported. Methods. We present the cases of two patients who sustained minimally displaced...... Anderson type III fractures with a characteristic fracture pattern that we refer to as "oblique type axis body fracture." Results. The female patients aged 90 and 72 years, respectively, were both diagnosed with minimally displaced Anderson type III fractures. Both fractures had a characteristic "oblique...... type" fracture pattern. The first patient was treated conservatively with cervical spine immobilization in a semirigid collar. However, gross displacement was noted at the 6-week follow-up visit. The second patient was therefore treated operatively by C1-C3/4 posterior fusion and the course...

  13. The Effect of Fracture on Quality of Life in Postmenopausal Osteoporotic Women - Original Investigation

    Directory of Open Access Journals (Sweden)

    Belgin Erhan


    Full Text Available Prolonged human life span and amelioration of the current health conditions brings up the risk of fracture related to osteoporosis as an important medical problem. In this study, we aim to study the effect of fracture on quality of life with 29 postmenopopausal women with fracture and 33 without osteoporotic fracture. Demographic data, height, maximum height, body weight, body weight at age 25, localization of fracture of the patients were recorded. All of the patients' bone mineral densities (BMD were evaluated with Dual energy X ray absorbtiometri (DXA. For evaluating quality of life Short Form 36 (SF 36 survey was used. In this study there were no statistical differences between the 2 groups when their age, menarc age, menopause age, number of pregnancies, height, body weight, maximum height and body weight at age 25 were compared. There was statistical difference between the groups in their shortening of height. When BMD levels were compared with DXA it was noted that the T scores at femur neck area and lowest area of BMD were statistically lower in the group with fractures; however there was no statistical difference in T scores of L2-L4. When we compared the quality of life of the 2 groups using SF 36 there was no statistical difference. (Osteoporoz Dünyasından 2006; 12 (2: 31-34

  14. Ligamentotaxis for comminuted fracture of capitate:a case report

    Institute of Scientific and Technical Information of China (English)

    Ashok Kumar; Mohammed Tahir Ansan; Chander Shekhar Yadav; Laxman Rijal


    We present the technical report for treatment of comminuted fracture of the capitate with ligamentotaxis.The base of third metacarpal was found to be fractured with comminution of the capitate.The decrease in carpal height index and comminution of the third metacarpal base lead to dilemma between conservative treatment and surgical management of this particular injury.The surgical management was chosen to maintain the carpal height index of the wrist to prevent the late degenerative changes.The patient was applied with external fixator in distraction mode expanning the wrist joint for six weeks,and the wrist was mobilised after removal of the fixator.It is shown that the external fixator in distraction mode expanning the wrist joint is a good alternative method for treatment of capitate fracture.

  15. Scaling exponents for fracture surfaces in opal glass

    Energy Technology Data Exchange (ETDEWEB)

    Chavez-Guerrero, L., E-mail: [Facultad de Ingenieria Mecanica y Electrica. Cd. Universitaria s/n, C.P. 66450, Universidad Autonoma de Nuevo Leon, Nuevo Leon (Mexico); Center of Innovation, Research and Development on Engineering and Technology, Universidad Autonoma de Nuevo Leon Monterrey, C.P. 66600, Apodaca, Nuevo Leon (Mexico); Garza, F.J., E-mail: [Facultad de Ciencias Quimicas, Cd. Universitaria s/n, C.P. 66450, Universidad Autonoma de Nuevo Leon, Nuevo Leon (Mexico); Hinojosa, M., E-mail: [Facultad de Ingenieria Mecanica y Electrica. Cd. Universitaria s/n, C.P. 66450, Universidad Autonoma de Nuevo Leon, Nuevo Leon (Mexico); Center of Innovation, Research and Development on Engineering and Technology, Universidad Autonoma de Nuevo Leon Monterrey, C.P. 66600, Apodaca, Nuevo Leon (Mexico)


    We have investigated the scaling properties of fracture surfaces in opal glass. Specimens with two different opacifying particle sizes (1 {mu}m and 0.4 {mu}m) were broken by three-point bending test and the resulting fracture surfaces were analyzed using Atomic Force Microscopy. The analysis of the self-affine behavior was performed using the Variable Bandwidth and Height-Height Correlation Methods, and both the roughness exponent, {zeta}, and the correlation length, {xi}, were determined. It was found that the roughness exponent obtained in both samples is {zeta} {approx} 0.8; whereas the correlation length in both fractures is of the order of the particle size, demonstrating the dependence of this self-affine parameter on the microstructure of opal glass.


    Yao, Jianhua; Li, Jiang; Summers, Ronald M


    CT Colonography (CTC) is an emerging minimally invasive technique for screening and diagnosing colon cancers. Computer Aided Detection (CAD) techniques can increase sensitivity and reduce false positives. Inspired by the way radiologists detect polyps via 3D virtual fly-through in CTC, we borrowed the idea from geographic information systems to employ topographical height map in colonic polyp measurement and false positive reduction. After a curvature based filtering and a 3D CT feature classifier, a height map is computed for each detection using a ray-casting algorithm. We design a concentric index to characterize the concentric pattern in polyp height map based on the fact that polyps are protrusions from the colon wall and round in shape. The height map is optimized through a multi-scale spiral spherical search to maximize the concentric index. We derive several topographic features from the map and compute texture features based on wavelet decomposition. We then send the features to a committee of support vector machines for classification. We have trained our method on 394 patients (71 polyps) and tested it on 792 patients (226 polyps). Results showed that we can achieve 95% sensitivity at 2.4 false positives per patient and the height map features can reduce false positives by more than 50%. We compute the polyp height and width measurements and correlate them with manual measurements. The Pearson correlations are 0.74 (p=0.11) and 0.75 (p=0.17) for height and width, respectively.

  17. An interactive surgical planning tool for acetabular fractures: initial results

    Directory of Open Access Journals (Sweden)

    Marincek Borut


    Full Text Available Abstract Background Acetabular fractures still are among the most challenging fractures to treat because of complex anatomy, involved surgical access to fracture sites and the relatively low incidence of these lesions. Proper evaluation and surgical planning is necessary to achieve anatomic reduction of the articular surface and stable fixation of the pelvic ring. The goal of this study was to test the feasibility of preoperative surgical planning in acetabular fractures using a new prototype planning tool based on an interactive virtual reality-style environment. Methods 7 patients (5 male and 2 female; median age 53 y (25 to 92 y with an acetabular fracture were prospectively included. Exclusion criterions were simple wall fractures, cases with anticipated surgical dislocation of the femoral head for joint debridement and accurate fracture reduction. According to the Letournel classification 4 cases had two column fractures, 2 cases had anterior column fractures and 1 case had a T-shaped fracture including a posterior wall fracture. The workflow included following steps: (1 Formation of a patient-specific bone model from preoperative computed tomography scans, (2 interactive virtual fracture reduction with visuo-haptic feedback, (3 virtual fracture fixation using common osteosynthesis implants and (4 measurement of implant position relative to landmarks. The surgeon manually contoured osteosynthesis plates preoperatively according to the virtually defined deformation. Screenshots including all measurements for the OR were available. The tool was validated comparing the preoperative planning and postoperative results by 3D-superimposition. Results Preoperative planning was feasible in all cases. In 6 of 7 cases superimposition of preoperative planning and postoperative follow-up CT showed a good to excellent correlation. In one case part of the procedure had to be changed due to impossibility of fracture reduction from an ilioinguinal approach

  18. Low Melt Height Solidification of Superalloys (United States)

    Montakhab, Mehdi; Bacak, Mert; Balikci, Ercan


    Effect of a reduced melt height in the directional solidification of a superalloy has been investigated by two methods: vertical Bridgman (VB) and vertical Bridgman with a submerged baffle (VBSB). The latter is a relatively new technique and provides a reduced melt height ahead of the solidifying interface. A low melt height leads to a larger primary dendrite arm spacing but a lower mushy length, melt-back transition length, and porosity. The VBSB technique yields up to 38 pct reduction in the porosity. This may improve a component's mechanical strength especially in a creep-fatigue type dynamic loading.

  19. Vertebroplasty and Kyphoplasty Can Restore Normal Spine Mechanics following Osteoporotic Vertebral Fracture

    Directory of Open Access Journals (Sweden)

    Jin Luo


    Full Text Available Osteoporotic vertebral fractures often lead to pain and disability. They can be successfully treated, and possibly prevented, by injecting cement into the vertebral body, a procedure known as vertebroplasty. Kyphoplasty is similar, except that an inflatable balloon is used to restore vertebral body height before cement is injected. These techniques are growing rapidly in popularity, and a great deal of recent research, reviewed in this paper, has examined their ability to restore normal mechanical function to fractured vertebrae. Fracture reduces the height and stiffness of a vertebral body, causing the spine to assume a kyphotic deformity, and transferring load bearing to the neural arch. Vertebroplasty and kyphoplasty are equally able to restore vertebral stiffness, and restore load sharing towards normal values, although kyphoplasty is better at restoring vertebral body height. Future research should optimise these techniques to individual patients in order to maximise their beneficial effects, while minimising the problems of cement leakage and adjacent level fracture.

  20. Strain Paths and Fractures in Rotational Symmetric Multi Stage Single Point Incremental Forming

    DEFF Research Database (Denmark)

    Skjødt, Martin; Silva, M.B.; Martins, P.A.F.;


    A multi stage strategy, which allows forming of SPIF parts with vertical walls, is investigated with emphasis on strain paths and fracture strains. Whereas downwards movement of the tool pin results in deformation close to plane strain upwards moving tool results in biaxial strains. A good correl...... space is in good agreement with measured strains with and without fracture....

  1. Mixing-Height Time Series from Operational Ceilometer Aerosol-Layer Heights (United States)

    Lotteraner, Christoph; Piringer, Martin


    A new method is described to derive mixing-height time series directly from aerosol-layer height data available from a Vaisala CL51 ceilometer. As complete as possible mixing-height time series are calculated by avoiding outliers, filling data gaps by linear interpolation, and smoothing. In addition, large aerosol-layer heights at night that can be interpreted as residual layers are not assigned as mixing heights. The resulting mixing-height time series, converted to an appropriate data format, can be used as input for dispersion calculations. Two case examples demonstrate in detail how the method works. The mixing heights calculated using ceilometer data are compared with values determined from radiosounding data at Vienna by applying the parcel, Heffter, and Richardson methods. The results of the parcel method, obtained from radiosonde profiles at noon, show the best fit to the ceilometer-derived mixing heights. For midnight radiosoundings, larger deviations between mixing heights from the ceilometer and those deduced from the potential temperature profiles of the soundings are found. We use data from two Vaisala CL51 ceilometers, operating in the Vienna area at an urban and rural site, respectively, during an overlapping period of about 1 year. In addition to the case studies, the calculated mixing-height time series are also statistically evaluated and compared, demonstrating that the ceilometer-based mixing height follows an expected daily and seasonal course.

  2. Mixing-Height Time Series from Operational Ceilometer Aerosol-Layer Heights (United States)

    Lotteraner, Christoph; Piringer, Martin


    A new method is described to derive mixing-height time series directly from aerosol-layer height data available from a Vaisala CL51 ceilometer. As complete as possible mixing-height time series are calculated by avoiding outliers, filling data gaps by linear interpolation, and smoothing. In addition, large aerosol-layer heights at night that can be interpreted as residual layers are not assigned as mixing heights. The resulting mixing-height time series, converted to an appropriate data format, can be used as input for dispersion calculations. Two case examples demonstrate in detail how the method works. The mixing heights calculated using ceilometer data are compared with values determined from radiosounding data at Vienna by applying the parcel, Heffter, and Richardson methods. The results of the parcel method, obtained from radiosonde profiles at noon, show the best fit to the ceilometer-derived mixing heights. For midnight radiosoundings, larger deviations between mixing heights from the ceilometer and those deduced from the potential temperature profiles of the soundings are found. We use data from two Vaisala CL51 ceilometers, operating in the Vienna area at an urban and rural site, respectively, during an overlapping period of about 1 year. In addition to the case studies, the calculated mixing-height time series are also statistically evaluated and compared, demonstrating that the ceilometer-based mixing height follows an expected daily and seasonal course.

  3. The Numerical Study on the Influence of Prandtl Number and Height of the Enclosure

    Energy Technology Data Exchange (ETDEWEB)

    Moon, Je-Young; Chung, Bum-Jin [Kyung Hee University, Yongin (Korea, Republic of)


    This study investigated numerically the internal flow depending on Prandtl number of fluid and height of enclosure. The two-dimensional numerical simulations were performed for several heights of enclosure in the range between 0.01 m and 0.074 m. It corresponds to the aspect ratio (H/L) ranged from 0.07 to 0.5. Prandtl number was 0.2, 0.7 and 7. Rayleigh number based on the height of enclosure ranged between 8.49x10{sup 3} and 1.20x10{sup 8}. The numerical calculations were carried out using FLUENT 6.3. In order to confirm the influence of Prandtl number and height of side walls on the internal flow and heat transfer of the horizontal enclosure, the numerical study is carried out using the FLUENT 6.3. The numerical results for the condition of top cooling only agree well with Rayleigh-Benard natural convection. When the top and side walls were cooled, the internal flow of enclosure is more complex. The thickness of thermal and velocity boundary layer varies with Prandtl number. For Pr>1 the behavior of cells is unstable and irregular owing to the entrained plume, whereas the internal flow for Pr<1 is stable and regular. Also, the number of cells increases depending on decrease of height. As a result, the heat exchange increases.

  4. Surgical treatment in thoraco-lumbar region fractures.

    Directory of Open Access Journals (Sweden)

    Jorge Alberto Jerez Labrada


    Full Text Available Background: thoraco-lumbar fractures may affect people at any moment of their lives, especially at their most fruitful and useful stage. Its correct diagnosis and treatment may directly influence in the posterior evolution of the patients. Objectives: to evaluate the results of the surgical treatment in thoraco-lumbar region fractures. Methods: a descriptive retrospective correlational study of series cases which included 54 patients attended due to thoraco-lumbar region fractures in the University Hospital “Dr. Gustavo Aldereguía Lima” in Cienfuegos city, Cuba from January 1999 to June 2007. Age, sex, etiology of the fracture, type and level of the fractures, associated diseases, surgical techniques used for, pre and post operatory neurological damage, usage of metilprednisolone, complications and final results were the variables taken into consideration in this study. Results: most of the patients belonged to male sex under the age of 45. The totality of the cases had type IV fracture, and a great part of them had Denis type II fracture having surgical treatment. The causes of the lesions were traffic accidents, working accidents and height falls. The most useful surgical techniques were posterior decompression, instrumentation and fusion. Surgery improved the neurological damage in almost half of sick patients with this condition. Complications were minimum and rupture of the implant was predominant. Conclusion: surgical treatment in thoraco-lumbar region fractures had satisfactory results in our milieu.

  5. Geoid anomalies over two South Atlantic fracture zones (United States)

    Freedman, Adam P.; Parsons, Barry


    Seasat altimetry profiles across the Falkland-Agulhas and Ascension fracture zones were examined for evidence of step-like geoid offsets predicted from thermal modeling of the lithosphere. Neither the plate nor the half-space model of lithospheric thermal evolution succeeds in predicting the variations in step height with age across the fracture zone branches considered. For ages less than about 30 Ma, the step offsets decrease in a manner suggesting a plate with a thickness of 50-75 km. At greater ages, the offsets show complex behavior that may be due to bathymetric features adjacent to the fracture zones. Similar geoid patterns on opposite branches of the Falkland-Agulhas fracture zone are indicative of processes that act symmetrically on both sides of the Mid-Atlantic Ridge. This is consistent both with small-scale convection occurring beneath the lithosphere and with bathymetric features originally produced along the ridge crest and now located symmetrically on opposite sides of the ridge. The west flank of the Ascension fracture zone displays a regrowth in step height at about 40 Ma consistent with small-scale convection and in agreement with other studies of Pacific and South Atlantic fracture zones.

  6. Height of lumbar discs measured from radiographs compared with degeneration and height classified from MR images

    Energy Technology Data Exchange (ETDEWEB)

    Frobin, W.; Brinckmann, P. [Muenster Univ. (Germany). Inst. fuer Experimentelle Biomechanik; Kramer, M.; Hartwig, E. [Ulm Univ. (Germany). Sektion fuer Unfallchirurgische Forschung und Biomechanik


    The relation between height of lumbar discs (measured from lateral radiographic views) and disc degeneration (classified from MR images) deserves attention in view of the wide, often parallel or interchanged use of both methods. The time sequence of degenerative signs and decrease of disc height is controversial. To clarify the issue, this cross-sectional study documents the relation between disc degeneration and disc height in a selected cohort. Forty-three subjects were selected at random from a cohort examined for potential disc-related disease caused by long-term lifting and carrying. From each subject a lateral radiographic view of the lumbar spine as well as findings from an MR investigation of (in most cases) levels T12/L1 to L5/S1 were available; thus, n = 237 lumbar discs were available for measurement and classification. Disc height was measured from the radiographic views with a new protocol compensating for image distortion and permitting comparison with normal, age- and gender-appropriate disc height. Degeneration as well as disc height were classified twice from MR images by independent observers in a blinded fashion. Disc degeneration classified from MR images is not related to a measurable disc height loss in the first stage of degeneration, whereas progressive degeneration goes along with progressive loss of disc height, though with considerable interindividual variation. Loss of disc height classified from MR images is on average compatible with loss of disc height measured from radiographs. In individual discs, however, classification of height loss from MR images is imprecise. The first sign of disc degeneration (a moderate loss of nucleus signal) precedes disc height decrease. As degeneration progresses, disc height decreases. Disc height decrease and progress of degeneration, however, appear to be only loosely correlated. (orig.)

  7. PR/VI Geoid Heights (GEOID96) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This 2' geoid height grid for Puerto Rico and the Virgin Islands is distributed as a GEOID96 model. The computation used 26,000 terrestrial and marine gravity data...

  8. Principal Hawaiian Islands Geoid Heights (GEOID96) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This 2' geoid height grid for the Principal Hawaiian Islands is distributed as a GEOID96 model. The computation used 61,000 terrestrial and marine gravity data held...

  9. Height as a basis for interpersonal attraction. (United States)

    Hensley, W E


    Beginning with the observation of a male-taller basis in date/mate selection, this study investigated a complementary vs. a step function in choosing a dating partner. In addition, the relative advantages or disadvantages of height were examined for both genders in the dating marketplace. Our sample of college students (N = 594) indicated that while we may use a complementary standard in hypothetical date selection, the actual height of a chosen person is more likely to be made on a step function. Second, there appears to be no dating consequences for a female in a height-related sense, but taller males do enjoy a noticeable dating advantage. Finally, there appears to be a "ceiling effect" demonstrated here for the first time; the height advantage for a male seems to diminish when he is taller than six feet. Suggestions are offered which integrate the present findings into past research.

  10. U.S. Geoid Heights (GEOID96) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This 2' geoid height grid for the conterminous United States is the GEOID96 model. The computation used about 1.8 million terrestrial and marine gravity data held in...

  11. Negation of the Self in Wuthering Heights

    Institute of Scientific and Technical Information of China (English)



    Emily Bronte created one of the greatest novels in19th British literary history---Wuthering Heights.Through this works,the writers tries to severely criticize the feature in western civilization:negation of the self.

  12. Negation of the Self in Wuthering Heights

    Institute of Scientific and Technical Information of China (English)



    Emily Bronte created one of the greatest novels in 19th British literary history---Wuthering Heights.Through this works,the writers tries to severely criticize the feature in western civilization: negation of the self.

  13. Vertical Equilibrium of Sheet Pile Walls with Emphasis on Toe Capacity and Plugging

    DEFF Research Database (Denmark)

    Iversen, Kirsten Malte; Augustesen, Anders Hust; Nielsen, Benjaminn Nordahl

    Constructions including retaining walls are normally established in areas where it is impossible to conduct an excavation with inclined sides. Due to large excavation depths and due to restrictions on the deformations of the wall, it is often necessary to anchor the wall. The limited space makes...... at the pile toe to fulfil vertical equilibrium. The paper describes a case study of sheet pile walls in Aalborg Clay, and the amount of loads transferred as point loads at the pile toe for free and anchored walls is estimated. A parametric study is made for the free wall with regards to the height...... and the roughness of the wall. Due to limitations of the calculation method, the study of the anchored wall only includes variation of the roughness. For the case study, it is found that the vertical equilibrium is fulfilled for the considered free wall. An anchored wall needs a plug forming at the pile toe...

  14. Comparative study of Trombe wall, water wall and trans wall

    Energy Technology Data Exchange (ETDEWEB)

    Sodha, M.S.; Bansal, N.K.; Singh, S.; Ram, S.; Annamalai, M.; Iyer, M.V.; Nirmala, K.A.; Venkatesh, P.; Prasad, C.R.; Subramani, C.


    The thermal performances of three systems viz. Trombe wall: (1) without; and (2) with vents (forced air circulation), water wall and Transwall have been studied analytically interms of heat flux entering the living space (Maintained at 20/sup 0/C) corresponding to the meteriological data on January 19, 1981 at New Delhi (India), a typical cold winter day. Subsequent parametric studies using the simulation indicated that the Transwall system is the more efficient system for the passive heating of buildings.

  15. Particle Swarm Transport in Fracture Networks (United States)

    Pyrak-Nolte, L. J.; Mackin, T.; Boomsma, E.


    intersections were larger in width than the individual fractures, enabling the swarm to expand freely because of less confinement from the fracture walls. When swarms were released in a fracture network supporting an ambient flow rate, the ability to transport cohesive swarms through the fracture network was a function of the flow rate and swarm volume. For low ambient flow rates ( 4 μl/min, large swarms (30 μl) remained cohesive (i.e. low loss of particles) as swarms were driven through the network both in the direction of and opposite to the direction of gravity. These experiments demonstrate conditions under which colloidal-size contaminants can be driven through a fracture network. High-speed transport of cohesive swarms depends on the volume of the swarm and the ambient flow rates that provide a balance of forces that prevents significant loss of particle from the swarm or deposition of particles along the flow path. Swarms that are transported cohesively travel along a highly localized path through a fracture network. Acknowledgment: The authors wish to acknowledge support of this work by the Geosciences Research Program, Office of Basic Energy Sciences US Department of Energy (DE-FG02-09ER16022) and NSF REU program in the Physics Department at Purdue University.

  16. [Fracture endoprosthesis of distal humerus fractures]. (United States)

    Müller, L P; Wegmann, K; Burkhart, K J


    The treatment of choice for fractures of the distal humerus is double plate osteosynthesis. Due to anatomical preshaped angle stable plates the primary stability and management of soft tissues has been improved. However, osteoporotic comminuted fractures in the elderly are often not amenable to stable osteosynthesis and total elbow arthroplasty has been established as an alternative therapy. Although complication rates have been reduced, complications of total elbow arthroplasty are still much more frequent than in total hip replacement. Furthermore, patients are advised not to exceed a weight bearing of 5 kg. Therefore, the indications for elbow arthroplasty must be evaluated very strictly and should be reserved for comminuted distal humeral fractures in the elderly with poor bone quality that are not amenable to stable osteosynthesis or for simple fractures in cases of preexisting symptomatic osteoarthritis. This article introduces and discusses modern concepts of elbow arthroplasty, such as modular convertible prosthesis systems, hemiarthroplasty and radial head replacement in total elbow arthroplasty.

  17. Risk Factors for Hip Fracture in Older Men: The Osteoporotic Fractures in Men Study (MrOS). (United States)

    Cauley, Jane A; Cawthon, Peggy M; Peters, Katherine E; Cummings, Steven R; Ensrud, Kristine E; Bauer, Douglas C; Taylor, Brent C; Shikany, James M; Hoffman, Andrew R; Lane, Nancy E; Kado, Deborah M; Stefanick, Marcia L; Orwoll, Eric S


    Almost 30% of hip fractures occur in men; the mortality, morbidity, and loss of independence after hip fractures are greater in men than in women. To comprehensively evaluate risk factors for hip fracture in older men, we performed a prospective study of 5994 men, primarily white, age 65+ years recruited at six US clinical centers. During a mean of 8.6 years of 97% complete follow-up, 178 men experienced incident hip fractures. Information on risk factors including femoral neck bone mineral density (FNBMD) was obtained at the baseline visit. Cox proportional hazards models were used to calculate the hazard ratio (HR) with 95% confidence intervals; Fine and Gray models adjusted for competing mortality risk. Older age (≥75 years), low FNBMD, currently smoking, greater height and height loss since age 25 years, history of fracture, use of tricyclic antidepressants, history of myocardial infarction or angina, hyperthyroidism or Parkinson's disease, lower protein intake, and lower executive function were all associated with an increased hip fracture risk. Further adjustment for competing mortality attenuated HR for smoking, hyperthyroidism, and Parkinson's disease. The incidence rate of hip fracture per 1000 person-years (PY) was greatest in men with FNBMD T-scores hip fracture at rates of 14.52 versus 0.88 per 1000 PY in men age hip fracture. Many of these assessments can easily be incorporated into routine clinical practice and may lead to improved risk stratification. © 2016 American Society for Bone and Mineral Research. © 2016 American Society for Bone and Mineral Research.

  18. Challenges in Defining Tsunami Wave Heights (United States)

    Dunbar, Paula; Mungov, George; Sweeney, Aaron; Stroker, Kelly; Arcos, Nicolas


    The National Oceanic and Atmospheric Administration (NOAA) National Centers for Environmental Information (NCEI) and co-located World Data Service for Geophysics maintain the global tsunami archive consisting of the historical tsunami database, imagery, and raw and processed water level data. The historical tsunami database incorporates, where available, maximum wave heights for each coastal tide gauge and deep-ocean buoy that recorded a tsunami signal. These data are important because they are used for tsunami hazard assessment, model calibration, validation, and forecast and warning. There have been ongoing discussions in the tsunami community about the correct way to measure and report these wave heights. It is important to understand how these measurements might vary depending on how the data were processed and the definition of maximum wave height. On September 16, 2015, an 8.3 M w earthquake located 48 km west of Illapel, Chile generated a tsunami that was observed all over the Pacific region. We processed the time-series water level data for 57 coastal tide gauges that recorded this tsunami and compared the maximum wave heights determined from different definitions. We also compared the maximum wave heights from the NCEI-processed data with the heights reported by the NOAA Tsunami Warning Centers. We found that in the near field different methods of determining the maximum tsunami wave heights could result in large differences due to possible instrumental clipping. We also found that the maximum peak is usually larger than the maximum amplitude (½ peak-to-trough), but the differences for the majority of the stations were definition (maximum peak or amplitude) would have validated the forecasts issued by the NOAA Tsunami Warning Centers. Since there is currently only one field in the NCEI historical tsunami database to store the maximum tsunami wave height for each tide gauge and deep-ocean buoy, NCEI will consider adding an additional field for the maximum

  19. [Fear of Heights in Primary School Children]. (United States)

    Huppert, D


    The life-time prevalence of visual height intolerance in adults is 28 percent, whereas in primary school children, as recently shown, it develops in 34 percent. Triggers and symptoms are similar in children and adults. A significant difference in visual height intolerance of prepubertal children compared to adults is the good prognosis with mostly spontaneous remission within a few years, possibly facilitated by repeated exposure to the triggering situations. © Georg Thieme Verlag KG Stuttgart · New York.

  20. Acute Stress Fracture of the Pelvis after Total Hip Arthroplasty: A Case Report. (United States)

    Akinbo, Oluwaseun; Tyagi, Vineet


    Acute hip pain following total hip arthroplasty (THA) could have numerous causes to include stress fracture of the pelvis. Stress fractures of the pelvis are rare and have been reported to involve the medial wall and the pubic ramus. A unique case is presented demonstrating the clinical presentation and management of an acute stress fracture of ilium and anterior column following a THA. A 72-year-old man underwent an uncomplicated right THA. He was noted to have femoral head resorption and thin osteoporotic bone intraoperatively. He initially did well postoperatively and ambulating without pain or assistive devices. Within 1 month of surgery, he returned with acute right hip pain without any traumatic event. Radiographs showed migration of the acetabular component and computed tomography scan confirmed a fracture through the ilium. The patient underwent revision surgery, where the fracture was reduced and internal fixation was achieved with a reconstruction plate and acetabular cage construct. At 9 months postoperatively, the patient remained pain-free with full weight bearing and with stable radiographs. Elderly patients who undergo THA may have low bone mineral density. These patients can develop stress fractures in their pelvis after surgery. These fractures may involve the medial wall, posterior column, or posterior wall. In patients who develop atraumatic pain postoperatively, it is important to consider for potential stress fractures of the ilium and evaluate appropriately with imaging. In these cases, revision surgery can be necessary to provide fixation of the stress fracture.

  1. Sequential buckling of an elastic wall (United States)

    Bico, Jose; Bense, Hadrien; Keiser, Ludovic; Roman, Benoit; Melo, Francisco; Abkarian, Manouk

    A beam under quasistatic compression classically buckles beyond a critical threshold. In the case of a free beam, the lowest buckling mode is selected. We investigate the case of a long ``wall'' grounded of a compliant base and compressed in the axial compression. In the case of a wall of slender rectangular cross section, the selected buckling mode adopts a nearly fixed wavelength proportional to the height of the wall. Higher compressive loads only increase the amplitude of the buckle. However if the cross section has a sharp shape (such as an Eiffel tower profile), we observe successive buckling modes of increasing wavelength. We interpret this unusual evolution in terms of scaling arguments. At small scales, this variable periodicity might be used to develop tunable optical devices. We thank ECOS C12E07, CNRS-CONICYT, and Fondecyt Grant No. N1130922 for partially funding this work.


    Energy Technology Data Exchange (ETDEWEB)

    Mukul M. Sharma


    The primary objective of this research was to improve completion and fracturing practices in gas reservoirs in marginal plays in the continental United States. The Bossier Play in East Texas, a very active tight gas play, was chosen as the site to develop and test the new strategies for completion and fracturing. Figure 1 provides a general location map for the Dowdy Ranch Field, where the wells involved in this study are located. The Bossier and other tight gas formations in the continental Unites States are marginal plays in that they become uneconomical at gas prices below $2.00 MCF. It was, therefore, imperative that completion and fracturing practices be optimized so that these gas wells remain economically attractive. The economic viability of this play is strongly dependent on the cost and effectiveness of the hydraulic fracturing used in its well completions. Water-fracs consisting of proppant pumped with un-gelled fluid is the type of stimulation used in many low permeability reservoirs in East Texas and throughout the United States. The use of low viscosity Newtonian fluids allows the creation of long narrow fractures in the reservoir, without the excessive height growth that is often seen with cross-linked fluids. These low viscosity fluids have poor proppant transport properties. Pressure transient tests run on several wells that have been water-fractured indicate a long effective fracture length with very low fracture conductivity even when large amounts of proppant are placed in the formation. A modification to the water-frac stimulation design was needed to transport proppant farther out into the fracture. This requires suspending the proppant until the fracture closes without generating excessive fracture height. A review of fracture diagnostic data collected from various wells in different areas (for conventional gel and water-fracs) suggests that effective propped lengths for the fracture treatments are sometimes significantly shorter than those

  3. Mapping vegetation heights in China using slope correction ICESat data, SRTM, MODIS-derived and climate data (United States)

    Huang, Huabing; Liu, Caixia; Wang, Xiaoyi; Biging, Gregory S.; Chen, Yanlei; Yang, Jun; Gong, Peng


    Vegetation height is an important parameter for biomass assessment and vegetation classification. However, vegetation height data over large areas are difficult to obtain. The existing vegetation height data derived from the Ice, Cloud and land Elevation Satellite (ICESat) data only include laser footprints in relatively flat forest regions (<5°). Thus, a large portion of ICESat data over sloping areas has not been used. In this study, we used a new slope correction method to improve the accuracy of estimates of vegetation heights for regions where slopes fall between 5° and 15°. The new method enabled us to use more than 20% additional laser data compared with the existing vegetation height data which only uses ICESat data in relatively flat areas (slope < 5°) in China. With the vegetation height data extracted from ICESat footprints and ancillary data including Moderate Resolution Imaging Spectroradiometer (MODIS) derived data (canopy cover, reflectances and leaf area index), climate data, and topographic data, we developed a wall to wall vegetation height map of China using the Random Forest algorithm. We used the data from 416 field measurements to validate the new vegetation height product. The coefficient of determination (R2) and RMSE of the new vegetation height product were 0.89 and 4.73 m respectively. The accuracy of the product is significantly better than that of the two existing global forest height products produced by Lefsky (2010) and Simard et al. (2011), when compared with the data from 227 field measurements in our study area. The new vegetation height data demonstrated clear distinctions among forest, shrub and grassland, which is promising for improving the classification of vegetation and above-ground forest biomass assessment in China.

  4. Love and fear of heights: the pathophysiology and psychology of height imbalance. (United States)

    Salassa, John R; Zapala, David A


    Individual psychological responses to heights vary on a continuum from acrophobia to height intolerance, height tolerance, and height enjoyment. This paper reviews the English literature and summarizes the physiologic and psychological factors that generate different responses to heights while standing still in a static or motionless environment. Perceptual cues to height arise from vision. Normal postural sway of 2 cm for peripheral objects within 3 m increases as eye-object distance increases. Postural sway >10 cm can result in a fall. A minimum of 20 minutes of peripheral retinal arc is required to detect motion. Trigonometry dictates that a 20-minute peripheral retinal arch can no longer be achieved in a standing position at an eye-object distance of >20 m. At this distance, visual cues conflict with somatosensory and vestibular inputs, resulting in variable degrees of imbalance. Co-occurring deficits in the visual, vestibular, and somatosensory systems can significantly increase height imbalance. An individual's psychological makeup, influenced by learned and genetic factors, can influence reactions to height imbalance. Enhancing peripheral vision and vestibular, proprioceptive, and haptic functions may improve height imbalance. Psychotherapy may improve the troubling subjective sensations to heights.

  5. Numerical modeling of multiphase flow in rough and propped fractures (United States)

    Dabrowski, Marcin; Dzikowski, Michał; Jasinski, Lukasz; Olkiewicz, Piotr


    crystalline rocks. The detailed pattern of flow paths and effective fracture conductivity are largely dependent on the level of confining stresses and fracture wall roughness, which both determine the shape and distribution of fracture apertures and contact areas. The distribution of proppant grains, which are used to maintain apertures of hydraulic fractures, is a key factor governing fracture flow in industrial applications. The flow of multiphase fluids in narrow apertures of rock fractures may substantially differ from the flow of a single-phase fluid. For example, multiphase flow effects play an important role during all stages of unconventional reservoir life cycle. Multiphase flow conditions are also expected to prevail in high temperature geothermal fields and during the transport of non aqueous phase liquid contaminants in groundwaters. We use direct numerical simulations to study single- and multiphase flow in rough and propped fractures. We compute the fluid flow using either the finite element or the lattice Boltzmann method. Body-fitting, unstructured computational meshes are used to improve the numerical accuracy. The fluid-fluid and fluid-solid interfaces are directly resolved and an implicit approach to surface tension is used to alleviate restrictions due to capillary CFL condition. In FEM simulations, the Beltrami-Laplace operator is integrated by parts to avoid interface curvature computation during evaluation of the surface tension term. We derive and validate an upscaled approach to Stokes flow in propped and rough fractures. Our upscaled 2.5D fracture flow model features a Brinkman term and is capable of treating no-slip boundary conditions on the rims of proppant grains and fracture wall contact areas. The Stokes-Brinkman fracture flow model provides an improvement over the Reynolds model, both in terms of the effective fracture permeability and the local flow pattern. We present numerical and analytical models for the propped fracture

  6. Social inequalities in height: persisting differences today depend upon height of the parents.

    Directory of Open Access Journals (Sweden)

    Bruna Galobardes

    Full Text Available Substantial increases in height have occurred concurrently with economic development in most populations during the last century. In high-income countries, environmental exposures that can limit genetic growth potential appear to have lessened, and variation in height by socioeconomic position may have diminished. The objective of this study is to investigate inequalities in height in a cohort of children born in the early 1990s in England, and to evaluate which factors might explain any identified inequalities.12,830 children from The Avon Longitudinal Study of Parents and Children (ALSPAC, a population based cohort from birth to about 11.5 years of age, were used in this analysis. Gender- and age-specific z-scores of height at different ages were used as outcome variables. Multilevel models were used to take into account the repeated measures of height and to analyze gender- and age-specific relative changes in height from birth to 11.5 years. Maternal education was the main exposure variable used to examine socioeconomic inequalities. The roles of parental and family characteristics in explaining any observed differences between maternal education and child height were investigated. Children whose mothers had the highest education compared to those with none or a basic level of education, were 0.39 cm longer at birth (95% CI: 0.30 to 0.48. These differences persisted and at 11.5 years the height difference was 1.4 cm (95% CI: 1.07 to 1.74. Several other factors were related to offspring height, but few changed the relationship with maternal education. The one exception was mid-parental height, which fully accounted for the maternal educational differences in offspring height.In a cohort of children born in the 1990s, mothers with higher education gave birth to taller boys and girls. Although height differences were small they persisted throughout childhood. Maternal and paternal height fully explained these differences.

  7. Evaluation of proper height for squatting stool. (United States)

    Jung, Hwa S; Jung, Hyung-Shik


    Many jobs and activities in people's daily lives have them in squatting postures. Jobs such as housekeeping, farming and welding require various squatting activities. It is speculated that prolonged squatting without any type of supporting stool would gradually and eventually impose musculoskeletal injuries on workers. This study aims to examine the proper height of the stool according to the position of working materials for the squatting worker. A total of 40 male and female college students and 10 female farmers participated in the experiment to find the proper stool height. Student participants were asked to sit and work in three different positions: floor level of 50 mm; ankle level of 200 mm; and knee level of 400 mm. They were then provided with stools of various heights and asked to maintain a squatting work posture. For each working position, they were asked to write down their thoughts on a preferred stool height. A Likert summated rating method as well as pairwise ranking test was applied to evaluate user preference for provided stools under conditions of different working positions. Under a similar experimental procedure, female farmers were asked to indicate their body part discomfort (BPD) on a body chart before and after performing the work. Statistical analysis showed that comparable results were found from both evaluation measures. When working position is below 50 mm, the proper stool height is 100 or should not be higher than 150 mm. When working position is 200 mm, the proper stool height is 150 mm. When working position is 400 mm, the proper stool height is 200 mm. Thus, it is strongly recommended to use proper height of stools with corresponding working position. Moreover, a wearable chair prototype was designed so that workers in a squatting posture do not have to carry and move the stool from one place to another. This stool should ultimately help to relieve physical stress and hence promote the health of squatting workers. This study sought

  8. High bone turnover is associated with low bone mass and spinal fracture in postmenopausal women

    DEFF Research Database (Denmark)

    Ravn, Pernille; Rix, M; Andreassen, H;


    -eight women had a lumbar spine bone mineral density (BMD) above 0.860 g/cm2, and 278 women had a BMD below 0.860 g/cm2. Spinal fracture was diagnosed from lateral spine X-ray studies and defined as at least 20% height reduction (wedge, compression, or endplate fracture) in at least one vertebra (T4-L4). Bone......, and prevalence of spinal fracture, which supports the theory that high bone turnover is a risk factor for spinal fracture and osteoporosis....

  9. Vertebroplasty and Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fractures

    Directory of Open Access Journals (Sweden)

    Işıl Taş


    Full Text Available In our study which is carried out to detect the effect of kyphoplasty over acute vertebral fractures, 8 patients; presenting with 6 osteoporotic, 1 tumoral, 1 traumatic acute vertebra fractures underwent kyphoplasty procedure at a total of 12 levels. No postoperative complications were detected, and as achieved, in the 6 th and 12 th month follow up periods, no adjacent vertebral fracture was observed with X ray imaging. With this small series, kyphoplasty has been shown to have affirmative effects in the treatment of acute vertebral fractures with respect to the visual analogue scale, Qualeffo-41 questionnaire and morphometric vertebral height measurements.

  10. Growing skull fracture

    Directory of Open Access Journals (Sweden)

    Mihajlović Miljan H.


    Full Text Available Background. Growing skull fracture or craniocerebral erosion is a rare complication of linear skull fracture in childhood. It is characterized by progressive diastatic enlargement of the fracture line, which leads to a cranial defect, dural cleft, and cerebral herniation. It is presented as a soft pulsabile scalp swelling above the fracture, with a clear cranial defect. Case report. In this paper we presented a patient, an 8-month-old boy with the growing skull fracture revealed four weeks after the injury. After the surgical treatment, the boy was in a good general condition without the presence of neurologic impairment. Conclusion. Early recognition of craniocerebral erosion is very important. Timely detection prevents further progression of the disease and the evolution of neurological impairment. Surgery is the method of choice for treating a growing skull fracture .

  11. A Multiscale Time-Splitting Discrete Fracture Model of Nanoparticles Transport in Fractured Porous Media

    KAUST Repository

    El-Amin, Mohamed F.


    Recently, applications of nanoparticles have been considered in many branches of petroleum engineering, especially, enhanced oil recovery. The current paper is devoted to investigate the problem of nanoparticles transport in fractured porous media, numerically. We employed the discrete-fracture model (DFM) to represent the flow and transport in the fractured formations. The system of the governing equations consists of the mass conservation law, Darcy\\'s law, nanoparticles concentration in water, deposited nanoparticles concentration on the pore-wall, and entrapped nanoparticles concentration in the pore-throat. The variation of porosity and permeability due to the nanoparticles deposition/entrapment on/in the pores is also considered. We employ the multiscale time-splitting strategy to control different time-step sizes for different physics, such as pressure and concentration. The cell-centered finite difference (CCFD) method is used for the spatial discretization. Numerical examples are provided to demonstrate the efficiency of the proposed multiscale time splitting approach.

  12. Domain Walls on Singularities

    CERN Document Server

    Halyo, Edi


    We describe domain walls that live on $A_2$ and $A_3$ singularities. The walls are BPS if the singularity is resolved and non--BPS if it is deformed and fibered. We show that these domain walls may interpolate between vacua that support monopoles and/or vortices.

  13. The Lamportian cell wall

    Energy Technology Data Exchange (ETDEWEB)

    Keiliszewski, M.; Lamport, D. (Michigan State Univ. Plant Research Lab., East Lansing (United States))


    The Lamportian Warp-Weft hypothesis suggests a cellulose-extensin interpenetrating network where extensin mechanically couples the load-bearing cellulose microfibrils in a wall matrix that is best described as a microcomposite. This model is based on data gathered from the extensin-rich walls of tomato and sycamore cell suspension culture, wherein extensin precursors are insolubilized into the wall by undefined crosslinks. The authors recent work with cell walls isolated from intact tissue as well as walls from suspension cultured cells of the graminaceous monocots maize and rice, the non-graminaceous monocot asparagus, the primitive herbaceous dicot sugar beet, and the gymnosperm Douglas Fir indicate that although extensins are ubiquitous to all plant species examined, they are not the major structural protein component of most walls examined. Amino acid analyses of intact and HF-treated walls shows a major component neither an HRGP, nor directly comparable to the glycine-rich wall proteins such as those associated with seed coat walls or the 67 mole% glycine-rich proteins cloned from petunia and soybean. Clearly, structural wall protein alternatives to extensin exist and any cell wall model must take that into account. If we assume that extracellular matrices are a priori network structures, then new Hypless' structural proteins in the maize cell wall raise questions about the sort of network these proteins create: the kinds of crosslinks involved; how they are formed; and the roles played by the small amounts of HRGPs.

  14. Halogenation of microcapsule walls (United States)

    Davis, T. R.; Schaab, C. K.; Scott, J. C.


    Procedure for halogenation of confining walls of both gelatin and gelatin-phenolic resin capsules is similar to that used for microencapsulation. Ten percent halogen content renders capsule wall nonburning; any higher content enhances flame-retardant properties of selected internal phase material. Halogenation decreases permeability of wall material to encapsulated materials.

  15. Surgical treatment of displaced acetabular fractures

    Directory of Open Access Journals (Sweden)

    Milenković Saša


    Full Text Available Introduction. Acetabular fractures are severe injuries, generally caused by high-energy trauma, most frequently from traffic accidents or falls from heights. Fractures of the extremities, head injuries, chest, abdomen and pelvic ring injuries are most commonly associated injuries. Objective. The purpose of this study was to evaluate the results of open reduction and internal fixation of acetabular fractures. The open anatomical reduction of the articular surface combined with a rigid internal fixation and early mobilisation have become the standard treatment of these injuries. Methods. We conducted a retrospective analysis of 22 patients of average age 43.13 years. The patients were treated by open reduction and internal fixation at the Orthopaedic Clinic of Niš from 2005-2009. The follow-up was 12 to 60 months, with the average of 21.18 months after surgery. Results. All injured patients were operated on between 4 and 11 days (5.7 days on the average. According to the classification by Judet and Letournel, 15 (68.18% patients had an elementary acetabular fracture, whereas 7 (31.82% patients had associated fracture. A satisfactory postoperative reduction implying less than 2 mm of displacement was achieved in 19 (86.36% patients. The radiological status of the hip joint, determined according to Matta score, was excellent in 15 (68.18% patients, good in 4 (18.18% patients and moderate in 3 (13.63% patients. According to Merle d’Aubigné Scale, the final functional results of the treatment of all operated patients were excellent in 12 (54.54% patients, good in 7 (31.81% patients and moderate in 3 (13.63% patients. Conclusion. Surgical treatment of dislocated acetabular fractures requires an open reduction and a stable internal fixation. Excellent and good results can be expected only if anatomical reduction and stable internal fixation are achieved.

  16. Rib fracture after stereotactic radiotherapy for primary lung cancer: prevalence, degree of clinical symptoms, and risk factors (United States)


    Background As stereotactic body radiotherapy (SBRT) is a highly dose-dense radiotherapy, adverse events of neighboring normal tissues are a major concern. This study thus aimed to clarify the frequency and degree of clinical symptoms in patients with rib fractures after SBRT for primary lung cancer and to reveal risk factors for rib fracture. Appropriate α/β ratios for discriminating between fracture and non-fracture groups were also investigated. Methods Between November 2001 and April 2009, 177 patients who had undergone SBRT were evaluated for clinical symptoms and underwent follow-up thin-section computed tomography (CT). The time of rib fracture appearance was also assessed. Cox proportional hazard modeling was performed to identify risk factors for rib fracture, using independent variables of age, sex, maximum tumor diameter, radiotherapeutic method and tumor-chest wall distance. Dosimetric details were analyzed for 26 patients with and 22 randomly-sampled patients without rib fracture. Biologically effective dose (BED) was calculated with a range of α/β ratios (1–10 Gy). Receiver operating characteristics analysis was used to define the most appropriate α/β ratio. Results Rib fracture was found on follow-up thin-section CT in 41 patients. The frequency of chest wall pain in patients with rib fracture was 34.1% (14/41), and was classified as Grade 1 or 2. Significant risk factors for rib fracture were smaller tumor-chest wall distance and female sex. Area under the curve was maximal for BED at an α/β ratio of 8 Gy. Conclusions Rib fracture is frequently seen on CT after SBRT for lung cancer. Small tumor-chest wall distance and female sex are risk factors for rib fracture. However, clinical symptoms are infrequent and generally mild. When using BED analysis, an α/β ratio of 8 Gy appears most effective for discriminating between fracture and non-fracture patients. PMID:23391264

  17. Rib fracture after stereotactic radiotherapy for primary lung cancer: prevalence, degree of clinical symptoms, and risk factors

    Directory of Open Access Journals (Sweden)

    Nambu Atsushi


    Full Text Available Abstract Background As stereotactic body radiotherapy (SBRT is a highly dose-dense radiotherapy, adverse events of neighboring normal tissues are a major concern. This study thus aimed to clarify the frequency and degree of clinical symptoms in patients with rib fractures after SBRT for primary lung cancer and to reveal risk factors for rib fracture. Appropriate α/β ratios for discriminating between fracture and non-fracture groups were also investigated. Methods Between November 2001 and April 2009, 177 patients who had undergone SBRT were evaluated for clinical symptoms and underwent follow-up thin-section computed tomography (CT. The time of rib fracture appearance was also assessed. Cox proportional hazard modeling was performed to identify risk factors for rib fracture, using independent variables of age, sex, maximum tumor diameter, radiotherapeutic method and tumor-chest wall distance. Dosimetric details were analyzed for 26 patients with and 22 randomly-sampled patients without rib fracture. Biologically effective dose (BED was calculated with a range of α/β ratios (1–10 Gy. Receiver operating characteristics analysis was used to define the most appropriate α/β ratio. Results Rib fracture was found on follow-up thin-section CT in 41 patients. The frequency of chest wall pain in patients with rib fracture was 34.1% (14/41, and was classified as Grade 1 or 2. Significant risk factors for rib fracture were smaller tumor-chest wall distance and female sex. Area under the curve was maximal for BED at an α/β ratio of 8 Gy. Conclusions Rib fracture is frequently seen on CT after SBRT for lung cancer. Small tumor-chest wall distance and female sex are risk factors for rib fracture. However, clinical symptoms are infrequent and generally mild. When using BED analysis, an α/β ratio of 8 Gy appears most effective for discriminating between fracture and non-fracture patients.

  18. Rib fracture after stereotactic radiotherapy for primary lung cancer: prevalence, degree of clinical symptoms, and risk factors. (United States)

    Nambu, Atsushi; Onishi, Hiroshi; Aoki, Shinichi; Tominaga, Licht; Kuriyama, Kengo; Araya, Masayuki; Saito, Ryoh; Maehata, Yoshiyasu; Komiyama, Takafumi; Marino, Kan; Koshiishi, Tsuyota; Sawada, Eiichi; Araki, Tsutomu


    As stereotactic body radiotherapy (SBRT) is a highly dose-dense radiotherapy, adverse events of neighboring normal tissues are a major concern. This study thus aimed to clarify the frequency and degree of clinical symptoms in patients with rib fractures after SBRT for primary lung cancer and to reveal risk factors for rib fracture. Appropriate α/β ratios for discriminating between fracture and non-fracture groups were also investigated. Between November 2001 and April 2009, 177 patients who had undergone SBRT were evaluated for clinical symptoms and underwent follow-up thin-section computed tomography (CT). The time of rib fracture appearance was also assessed. Cox proportional hazard modeling was performed to identify risk factors for rib fracture, using independent variables of age, sex, maximum tumor diameter, radiotherapeutic method and tumor-chest wall distance. Dosimetric details were analyzed for 26 patients with and 22 randomly-sampled patients without rib fracture. Biologically effective dose (BED) was calculated with a range of α/β ratios (1-10 Gy). Receiver operating characteristics analysis was used to define the most appropriate α/β ratio. Rib fracture was found on follow-up thin-section CT in 41 patients. The frequency of chest wall pain in patients with rib fracture was 34.1% (14/41), and was classified as Grade 1 or 2. Significant risk factors for rib fracture were smaller tumor-chest wall distance and female sex. Area under the curve was maximal for BED at an α/β ratio of 8 Gy. Rib fracture is frequently seen on CT after SBRT for lung cancer. Small tumor-chest wall distance and female sex are risk factors for rib fracture. However, clinical symptoms are infrequent and generally mild. When using BED analysis, an α/β ratio of 8 Gy appears most effective for discriminating between fracture and non-fracture patients.

  19. Pelvic fractures and mortality.


    K.H. Chong; DeCoster, T.; Osler, T.; Robinson, B.


    A retrospective study of all patients (N = 343) with pelvic fractures admitted to our trauma service was conducted to evaluate the impact of pelvic fractures on mortality. All patients sustained additional injuries with an average Injury Severity Score (ISS) of twenty. Thirty-six patients died. This group had more severe pelvic fractures as graded by the Tile classification as well as a greater number and severity of associated injuries. Six patients died as a direct result of pelvic hemorrha...

  20. Oblique Axis Body Fracture

    DEFF Research Database (Denmark)

    Takai, Hirokazu; Konstantinidis, Lukas; Schmal, Hagen;


    was uneventful. Conclusions. Oblique type axis body fractures resemble a highly unstable subtype of Anderson type III fractures with the potential of severe secondary deformity following conservative treatment, irrespective of initial grade of displacement. The authors therefore warrant a high index of suspicion......Purpose. Anderson type III odontoid fractures have traditionally been considered stable and treated conservatively. However, unstable cases with unfavorable results following conservative treatment have been reported. Methods. We present the cases of two patients who sustained minimally displaced...

  1. Interaction of hydraulic and buckling mechanisms in blowout fractures. (United States)

    Nagasao, Tomohisa; Miyamoto, Junpei; Jiang, Hua; Tamaki, Tamotsu; Kaneko, Tsuyoshi


    The etiology of blowout fractures is generally attributed to 2 mechanisms--increase in the pressure of the orbital contents (the hydraulic mechanism) and direct transmission of impacts on the orbital walls (the buckling mechanism). The present study aims to elucidate whether or not an interaction exists between these 2 mechanisms. We performed a simulation experiment using 10 Computer-Aided-Design skull models. We applied destructive energy to the orbits of the 10 models in 3 different ways. First, to simulate pure hydraulic mechanism, energy was applied solely on the internal walls of the orbit. Second, to simulate pure buckling mechanism, energy was applied solely on the inferior rim of the orbit. Third, to simulate the combined effect of the hydraulic and buckling mechanisms, energy was applied both on the internal wall of the orbit and inferior rim of the orbit. After applying the energy, we calculated the areas of the regions where fracture occurred in the models. Thereafter, we compared the areas among the 3 energy application patterns. When the hydraulic and buckling mechanisms work simultaneously, fracture occurs on wider areas of the orbital walls than when each of these mechanisms works separately. The hydraulic and buckling mechanisms interact, enhancing each other's effect. This information should be taken into consideration when we examine patients in whom blowout fracture is suspected.

  2. Prediction of height from knee height in children with cerebral palsy and non-disabled children. (United States)

    Bell, Kristie L; Davies, Peter S W


    Measurement of height or length is essential in the assessment of nutritional status. In some conditions, for example cerebral palsy (CP), such measurements may be difficult or impossible. Proxy measurements such as knee height have been used to predict height in such cases. We have evaluated two equations in the literature that predict stature from knee height in a group of 17 children with CP and 20 non-disabled children. The two equations performed well on average in the non-disabled children, with the mean predicted height being within 1% of the mean measured height. Nevertheless, the limits of agreement were relatively large. This was also the case for the children with CP. Thus the equations may be accurate at the group level; however they may lead to unacceptable error at the individual level..

  3. [(Impending) pathological fracture]. (United States)

    Sutter, P M; Regazzoni, P


    Pathological fractures will be encountered in increasing frequency due to more patients with cancer, surviving a longer period. The skeleton is the third most frequent localization for metastases. Breast cancer is still the most common primary tumor, but bone metastases from lung cancer seem to be diagnosed more and more. Despite of finding metastases most often in the spinal column, fractures are seen mostly at the femoral site. A pathological fracture and, in almost all cases, an impending fracture are absolute indication for operation. An exact definition of an "impending fracture" is still lacking; it is widely accepted, that 50 per cent of bone mass must be destroyed before visualization in X-ray is possible, thus defining an impending fracture. The score system by Mirels estimates the fracture risk by means of four parameters (localization, per cent of destructed bone mass, type of metastasis, pain). Improving quality of life, relieving pain, preferably with a single operation and a short length of stay are the goals of (operative) treatment. For fractures of the proximal femur, prosthetic replacement, for fractures of the subtrochanteric region or the shaft, intramedullary nails are recommended. Postoperative radiation therapy possibly avoids tumor progression. In patient with a good long term prognosis, tumor should be removed locally aggressive.

  4. Fracture mechanics safety approaches

    Energy Technology Data Exchange (ETDEWEB)

    Roos, E.; Schuler, X.; Eisele, U. [Materials Testing Inst. (MPA), Univ. of Stuttgart (Germany)


    Component integrity assessments require the knowledge of reliable fracture toughness parameters characterising the initiation of the failure process in the whole relevant temperature range. From a large number of fracture mechanics tests a statistically based procedure was derived allowing to quantify the initiation of fracture toughness as a function of temperature as a closed function as well as the temperature dependence of the cleavage instability parameters. Alternatively to the direct experimental determination one also can use a correlation between fracture toughness and notch impact energy. (orig.)

  5. Scaphoid fractures in children

    Directory of Open Access Journals (Sweden)

    Gajdobranski Đorđe


    Full Text Available Introduction. Scaphoid fractures are rare in childhood. Diagnosis is very difficult to establish because carpal bones are not fully ossified. In suspected cases comparative or delayed radiography is used, as well as computerized tomography, magnetic resonance imaging, ultrasound and bone scintigraphy. Majority of scaphoid fractures are treated conservatively with good results. In case of delayed fracture healing various types of treatment are available. Objective. To determine the mechanism of injury, clinical healing process, types and outcome of treatment of scaphoid fractures in children. Methods. We retrospectively analyzed patients with traumatic closed fracture of the scaphoid bone over a ten-year period (2002-2011. The outcome of the treatment of “acute” scaphoid fracture was evaluated using the Mayo Wrist Score. Results. There were in total 34 patients, of mean age 13.8 years, with traumatic closed fracture of the scaphoid bone, whose bone growth was not finished yet. Most common injury mechanism was fall on outstretched arm - 76% of patients. During the examined period 31 children with “acute” fracture underwent conservative treatment, with average immobilization period of 51 days. Six patients were lost to follow-up. In the remaining 25 patients, after completed rehabilitation, functional results determined by the Mayo Wrist Score were excellent. Conclusion. Conservative therapy of “acute” scaphoid fractures is an acceptable treatment option for pediatric patients with excellent functional results.

  6. Atraumatic First Rib Fracture

    Directory of Open Access Journals (Sweden)

    Koray Aydogdu


    Full Text Available Rib fractures are usually seen after a trauma, while atraumatic spontaneous rib fractures are quite rare. A first rib fracture identified in our 17 years old female patient who had not a history of trauma except lifting a heavy weight was examined in details in terms of the potential complications and followed-up for a long time. We presented our experience on this case with atraumatic first rib fracture that has different views for the etiology in light of the literature.

  7. Diagnosis and Management of Vertebral Compression Fractures. (United States)

    McCarthy, Jason; Davis, Amy


    Vertebral compression fractures (VCFs) are the most common complication of osteoporosis, affecting more than 700,000 Americans annually. Fracture risk increases with age, with four in 10 white women older than 50 years experiencing a hip, spine, or vertebral fracture in their lifetime. VCFs can lead to chronic pain, disfigurement, height loss, impaired activities of daily living, increased risk of pressure sores, pneumonia, and psychological distress. Patients with an acute VCF may report abrupt onset of back pain with position changes, coughing, sneezing, or lifting. Physical examination findings are often normal, but can demonstrate kyphosis and midline spine tenderness. More than two-thirds of patients are asymptomatic and diagnosed incidentally on plain radiography. Acute VCFs may be treated with analgesics such as acetaminophen, nonsteroidal anti-inflammatory drugs, narcotics, and calcitonin. Physicians must be mindful of medication adverse effects in older patients. Other conservative therapeutic options include limited bed rest, bracing, physical therapy, nerve root blocks, and epidural injections. Percutaneous vertebral augmentation, including vertebroplasty and kyphoplasty, is controversial, but can be considered in patients with inadequate pain relief with nonsurgical care or when persistent pain substantially affects quality of life. Family physicians can help prevent vertebral fractures through management of risk factors and the treatment of osteoporosis.

  8. Fracture of nasal bones: an epidemiologic analysis

    Directory of Open Access Journals (Sweden)

    Fornazieri, Marco Aurélio


    Full Text Available Introduction: One of the most common diseases in the otorhinolaryngology emergency room is the nasal bones fracture. The peak of incidence is between 15 and 25 years of age. Generally men are more affected. Objective: To analyze the age, gender and the most frequent causes of nasal fractures evaluated in the otorhinolaryngology service of a tertiary hospital. Method: Retrospective study of records of the patients with nasal fracture diagnosis treated between July 1st, 2003 and July 1st, 2007. Results: 167 patients with nasal bones fracture were included in the study, including 134 men and 33 women. Violence was the most frequent cause, with 55 cases (32.9%, followed by fall from their own height, with 33 cases (19.7%, and motorcycle accident, 14 cases (8.4%. The most common age was between 21 and 39 years (46.1%. Conclusion: Male, age between 21 and 39 years and violence are the most common characteristics found in our service. Motorcycle accidents also play an important role in this affection.

  9. Rational cutting height for large cutting height fully mechanized top-coal caving

    Institute of Scientific and Technical Information of China (English)

    Huang Bingxiang; Li Hongtao; Liu Changyou; Xing Shijun; Xue Weichao


    Large cutting height fully mechanized top-coal caving is a new mining method that improves recovery ratio and single-pass production.It also allows safe and efficient mining.A rational cutting height is one key parameter of this technique.Numerical simulation and a granular-media model experiment were used to analyze the effect of cutting height on the rock pressure of a fully mechanized top-coal caving work face.The recovery ratio was also studied.As the cutting height increases the top-coal thickness is reduced.Changing the ratio of cutting to drawing height intensifies the face pressure and the top-coal shattering.A maximum cutting height exists under a given set of conditions due to issues with surrounding rock-mass control.An increase in cutting height makes the top-coal cave better and the recovery ratio when drawing top-coal is then improved.A method of adjusting the face rock pressure is presented.Changing the cutting to drawing height ratio is the technique used to control face rock pressure.The recovery ratio when cutting coal exceeds that when caving top-coal so the face recovery ratio may be improved by over sizing the cutting height and increasing the top-coal drawing ratio.An optimum ratio of cutting to drawing height exists that maximizes the face recovery ratio.A rational cutting height is determined by comprehensively considering the surrounding rock-mass control and the recovery ratio.At the same time increasing the cutting height can improve single pass mining during fully mechanized top-coal caving.

  10. Pregnancy-related osteoporosis and spinal fractures (United States)

    Yun, Ka Yeong; Han, Si Eun; Kim, Seung Chul; Lee, Kyu Sup


    Pregnancy-related osteoporosis is a very rare condition characterized by the occurrence of fracture during pregnancy or the puerperium. Despite its relative rarity, it can be a dangerous condition that causes severe back pain, height loss and disability. Normal physiologic changes during pregnancy, genetic or racial difference, obstetrical history and obstetrical disease, such as preterm labor or pregnancy-induced hypertension, are presumed risk factors of pregnancy-related osteooporosis. However, exact etiology and pathogenesis are uncertain. The management and natural history are still poorly defined. Traditional medications for osteoporosis are calcium/vitamin D and bisphosphonate. Concerns with bisphosphonate include accumulation in bone and fetal exposure in subsequent pregnancies. The newly developed medication, teriparatide, has shown good results. We report six cases of pregnancy-related osteoporosis and spinal fracture with literature review. PMID:28217686

  11. Fracture of the styloid process associated with the mandible fracture

    Directory of Open Access Journals (Sweden)

    K N Dubey


    Full Text Available Fracture of the styloid process (SP of temporal bone is an uncommon injuries. Fracture of the SP can be associated with the facial injuries including mandible fracture. However, injury to the SP may be concealed and missed diagnosis may lead to the improper or various unnecessary treatments. A rare case of SP fracture associated with the ipsilateral mandibular fracture and also the diagnostic and management considerations of the SP fracture are discussed.

  12. Inferring biological evolution from fracture patterns in teeth. (United States)

    Lawn, Brian R; Bush, Mark B; Barani, Amir; Constantino, Paul J; Wroe, Stephen


    It is hypothesised that specific tooth forms are adapted to resist fracture, in order to accommodate the high bite forces needed to secure, break down and consume food. Three distinct modes of tooth fracture are identified: longitudinal fracture, where cracks run vertically between the occlusal contact and the crown margin (or vice versa) within the enamel side wall; chipping fracture, where cracks run from near the edge of the occlusal surface to form a spall in the enamel at the side wall; and transverse fracture, where a crack runs horizontally through the entire section of the tooth to break off a fragment and expose the inner pulp. Explicit equations are presented expressing critical bite force for each fracture mode in terms of characteristic tooth dimensions. Distinctive transitions between modes occur depending on tooth form and size, and loading location and direction. Attention is focussed on the relatively flat, low-crowned molars of omnivorous mammals, including humans and other hominins and the elongate canines of living carnivores. At the same time, allusion to other tooth forms - the canines of the extinct sabre-tooth (Smilodon fatalis), the conical dentition of reptiles, and the columnar teeth of herbivores - is made to highlight the generality of the methodology. How these considerations impact on dietary behaviour in fossil and living taxa is discussed. © 2013 Elsevier Ltd. All rights reserved.

  13. The difference between the Weil height and the canonical height on elliptic curves (United States)

    Silverman, Joseph H.


    Estimates for the difference of the Weil height and the canonical height of points on elliptic curves are used for many purposes, both theoretical and computational. In this note we give an explicit estimate for this difference in terms of the j-invariant and discriminant of the elliptic curve. The method of proof, suggested by Serge Lang, is to use the decomposition of the canonical height into a sum of local heights. We illustrate one use for our estimate by computing generators for the Mordell-Weil group in three examples.

  14. Advanced Signal Processing for High Temperatures Health Monitoring of Condensed Water Height in Steam Pipes (United States)

    Lih, Shyh-Shiuh; Bar-Cohen, Yoseph; Lee, Hyeong Jae; Takano, Nobuyuki; Bao, Xiaoqi


    An advanced signal processing methodology is being developed to monitor the height of condensed water thru the wall of a steel pipe while operating at temperatures as high as 250deg. Using existing techniques, previous study indicated that, when the water height is low or there is disturbance in the environment, the predicted water height may not be accurate. In recent years, the use of the autocorrelation and envelope techniques in the signal processing has been demonstrated to be a very useful tool for practical applications. In this paper, various signal processing techniques including the auto correlation, Hilbert transform, and the Shannon Energy Envelope methods were studied and implemented to determine the water height in the steam pipe. The results have shown that the developed method provides a good capability for monitoring the height in the regular conditions. An alternative solution for shallow water or no water conditions based on a developed hybrid method based on Hilbert transform (HT) with a high pass filter and using the optimized windowing technique is suggested. Further development of the reported methods would provide a powerful tool for the identification of the disturbances of water height inside the pipe.

  15. Hip Fractures among Older Adults (United States)

    ... online training for health care providers. Learn More Hip Fractures Among Older Adults Recommend on Facebook Tweet Share ... get older. What You Can Do to Prevent Hip Fractures You can prevent hip fractures by taking steps ...

  16. Review of radiological scoring methods of osteoporotic vertebral fractures for clinical and research settings

    Energy Technology Data Exchange (ETDEWEB)

    Oei, Ling [Erasmus Medical Center, Department of Internal Medicine, Rotterdam (Netherlands); Erasmus Medical Center, Department of Epidemiology, P.O. Box 2040 Ee21-75, CA, Rotterdam (Netherlands); Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Rotterdam (Netherlands); Erasmus Medical Center, Departments of Internal Medicine and Epidemiology, P.O. Box 2040 Ee21-83, CA, Rotterdam (Netherlands); Rivadeneira, Fernando [Erasmus Medical Center, Department of Internal Medicine, Rotterdam (Netherlands); Erasmus Medical Center, Department of Epidemiology, P.O. Box 2040 Ee21-75, CA, Rotterdam (Netherlands); Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Rotterdam (Netherlands); Erasmus Medical Center, Departments of Internal Medicine and Epidemiology, P.O. Box 2040 Ee5-79, CA, Rotterdam (Netherlands); Ly, Felisia; Breda, Stephan J. [Erasmus Medical Center, Department of Internal Medicine, Rotterdam (Netherlands); Erasmus Medical Center, Department of Epidemiology, P.O. Box 2040 Ee21-75, CA, Rotterdam (Netherlands); Erasmus Medical Center, Departments of Internal Medicine and Epidemiology, P.O. Box 2040 Ee21-83, CA, Rotterdam (Netherlands); Zillikens, M.C. [Erasmus Medical Center, Department of Internal Medicine, Rotterdam (Netherlands); Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Rotterdam (Netherlands); Erasmus Medical Center, Department of Internal Medicine, ' s Gravendijkwal 230, CE, Rotterdam (Netherlands); Hofman, Albert [Erasmus Medical Center, Department of Epidemiology, P.O. Box 2040 Ee21-75, CA, Rotterdam (Netherlands); Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Rotterdam (Netherlands); Uitterlinden, Andre G. [Erasmus Medical Center, Department of Internal Medicine, Rotterdam (Netherlands); Erasmus Medical Center, Department of Epidemiology, P.O. Box 2040 Ee21-75, CA, Rotterdam (Netherlands); Netherlands Genomics Initiative (NGI)-sponsored Netherlands Consortium for Healthy Aging (NCHA), Rotterdam (Netherlands); Erasmus Medical Center, Departments of Internal Medicine and Epidemiology, P.O. Box 2040 Ee5-75B, CA, Rotterdam (Netherlands); Krestin, Gabriel P.; Oei, Edwin H.G. [Erasmus Medical Center, Department of Radiology, ' s Gravendijkwal 230, CE, Rotterdam (Netherlands)


    Osteoporosis is the most common metabolic bone disease; vertebral fractures are the most common osteoporotic fractures. Several radiological scoring methods using different criteria for osteoporotic vertebral fractures exist. Quantitative morphometry (QM) uses ratios derived from direct vertebral body height measurements to define fractures. Semi-quantitative (SQ) visual grading is performed according to height and area reduction. The algorithm-based qualitative (ABQ) method introduced a scheme to systematically rule out non-fracture deformities and diagnoses osteoporotic vertebral fractures based on endplate depression. The concordance across methods is currently a matter of debate. This article reviews the most commonly applied standardised radiographic scoring methods for osteoporotic vertebral fractures, attaining an impartial perspective of benefits and limitations. It provides image examples and discusses aspects that facilitate large-scale application, such as automated image analysis software and different imaging investigations. It also reviews the implications of different fracture definitions for scientific research and clinical practice. Accurate standardised scoring methods for assessing osteoporotic vertebral fractures are crucial, considering that differences in definition will have implications for patient care and scientific research. Evaluation of the feasibility and concordance among methods will allow establishing their benefits and limitations, and most importantly, optimise their effectiveness for widespread application. (orig.)

  17. Fracture Characteristics in a Disposal Pit on Mesita del Buey, Los Alamos National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    David T. Vaniman; Steven L. Reneau


    The characteristics of fractures in unit 2 of the Tshirege Member of the Bandelier Tuff were documented in Pit 39, a newly excavated 13.7 m deep disposal pit at Material Disposal Area G on Mesita del Buey. The average spacing between fractures is about 1.0 to 1.3 m, the average fracture aperture is about 3 to 5 mm, and the average fracture dip is about 76o to 77o. Fracture spacing and dip in Pit 39 are generally consistent with that reported from other fracture studies on the Pajarito Plateau, although the fracture apertures in Pit 39 are less than reported elsewhere. Measured fracture orientations are strongly affected by biases imparted by the orientations of the pit walls, which, combined with a small data set, make identification of potential preferred orientations dlfflcult. The most prominent fracture orientations observed in Pit 39, about E-W and N20E, are often not well represented elsewhere on the Pajarito Plateau. Fracture fills contain smectite to about 3 m depth, and calcite and opal may occur at all depths, principally associated with roots or root fossils (rhizoliths). Roots of pifion pine extend in fractures to the bottom of the pit along the north side, perhaps indicating a zone of preferred infiltration of water. Finely powdered tuff with clay-sized particles occurs within a number of fractures and may record abrasive disaggregation associated with small amounts of displacement on minor local faults.

  18. Experiences of ZAMG on mixing height determination

    Energy Technology Data Exchange (ETDEWEB)

    Piringer, M. [Zentralanstalt fuer Meteorologie und Geodynamik, ZAMG, Vienna (Austria)


    Temperature inversions in the boundary layer occur quite often, esp. in mountainous terrain by which Austria is covered to a large extent, and can lead to enhanced pollution at the surface because the air volume available for dilution is then vertically limited. The Department of Environmental Meteorology of ZAMG therefore set up several field programs in the past to study such conditions at a variety of sites in Austria, using tethersondes and Sodars. Early investigations aimed at comparing Sodar echo profiles to the tethersonde temperature profiles to derive mixing heights from the Sodar echo structure. More recently, evolving from KONGEX, the `convective boundary layer experiment`, mixing heights calculated for Vienna by the OML model were compared to those derived from radiosonde and tethersonde potential temperature profiles. Results of these investigations will be presented, focussing on the problems when using the different methods. New efforts to derive mixing heights from data were also undertaken and are discussed separately. (au)

  19. Height, Relationship Satisfaction, Jealousy, and Mate Retention

    Directory of Open Access Journals (Sweden)

    Gayle Brewer


    Full Text Available Male height is associated with high mate value. In particular, tall men are perceived as more attractive, dominant and of a higher status than shorter rivals, resulting in a greater lifetime reproductive success. Female infidelity and relationship dissolution may therefore present a greater risk to short men. It was predicted that tall men would report greater relationship satisfaction and lower jealousy and mate retention behavior than short men. Ninety eight heterosexual men in a current romantic relationship completed a questionnaire. Both linear and quadratic relationships were found between male height and relationship satisfaction, cognitive and behavioral jealousy. Tall men reported greater relationship satisfaction and lower levels of cognitive or behavioral jealousy than short men. In addition, linear and quadratic relationships were found between male height and a number of mate retention behaviors. Tall and short men engaged in different mate retention behaviors. These findings are consistent with previous research conducted in this area detailing the greater attractiveness of tall men.

  20. Prevalence of thoracolumbar vertebral fractures on multidetector CT

    Energy Technology Data Exchange (ETDEWEB)

    Bartalena, Tommaso [Department of Radiology, S. Orsola University Hospital, Via Massarenti 9 - 40138 Bologna (Italy)], E-mail:; Giannelli, Giovanni; Rinaldi, Maria Francesca [Department of Radiology, S. Orsola University Hospital, Via Massarenti 9 - 40138 Bologna (Italy); Rimondi, Eugenio [Department of Radiology, Rizzoli Orthopaedic Institute, Via G.C. Pupilli 1 - 40136 Bologna (Italy); Rinaldi, Giovanni [Department of Radiology, S. Orsola University Hospital, Via Massarenti 9 - 40138 Bologna (Italy); Sverzellati, Nicola [Department of Clinical Sciences, Section of Radiology, University of Parma, Via Gramsci, 14 - 43100 Parma (Italy); Gavelli, Giampaolo [Department of Radiology, S. Orsola University Hospital, Via Massarenti 9 - 40138 Bologna (Italy)


    Objective: To evaluate the prevalence of osteoporotic vertebral fractures in patients undergoing multidetector computed tomography (MDCT) of the chest and/or abdomen. Materials and methods: 323 consecutive patients (196 males, 127 females) with a mean age of 62.6 years (range 20-88) who had undergone chest and/or abdominal MDCT were evaluated. Sagittal reformats of the spine obtained from thin section datasets were reviewed by two radiologists and assessed for vertebral fractures. Morphometric analysis using electronic calipers was performed on vertebral bodies which appeared abnormal upon visual inspection. A vertebral body height loss of 15% or more was considered a fracture and graded as mild (15-24%), moderate (25-49%) or severe (more than 50%). Official radiology reports were reviewed and whether the vertebral fractures had been reported or not was noted. Results: 31 out of 323 patients (9.5%) had at least 1 vertebral fracture and 7 of those patients had multiple fractures for a total of 41 fractures. Morphometric grading revealed 10 mild, 16 moderate and 15 severe fractures. Prevalence was higher in women (14.1%) than men (6.6%) and increased with patients age with a 17.1% prevalence in post-menopausal women. Only 6 out 41 vertebral fractures (14.6%) had been noted in the radiology final report while the remaining 35 (85.45) had not. Conclusion: although vertebral fractures represent frequent incidental findings on multidetector CT studies and may be easily identified on sagittal reformats, they are often underreported by radiologists, most likely because of unawareness of their clinical importance.

  1. Response Modification Factor of Coupled Steel Shear Walls

    Directory of Open Access Journals (Sweden)

    gholamreza abdollahzadeh


    Full Text Available The present research is concerned with the determination of ductility, over-strength and response modification factors of coupled steel shear wall frames. Three structural models with various numbers of stories, bay width and coupling beam height were analyzed using static pushover and incremental nonlinear dynamic analyses. The ductility, over-strength and response modification factors for the three models are determined. Tentative values of 11.1, 11.6 and 10.6 are suggested for the response modification factor of coupled steel shear wall frames with deep and medium depth coupling beams, and uncoupled steel shear wall frames, respectively in the allowable stress design method.

  2. Evidence of inbreeding depression on human height.

    Directory of Open Access Journals (Sweden)

    Ruth McQuillan

    Full Text Available Stature is a classical and highly heritable complex trait, with 80%-90% of variation explained by genetic factors. In recent years, genome-wide association studies (GWAS have successfully identified many common additive variants influencing human height; however, little attention has been given to the potential role of recessive genetic effects. Here, we investigated genome-wide recessive effects by an analysis of inbreeding depression on adult height in over 35,000 people from 21 different population samples. We found a highly significant inverse association between height and genome-wide homozygosity, equivalent to a height reduction of up to 3 cm in the offspring of first cousins compared with the offspring of unrelated individuals, an effect which remained after controlling for the effects of socio-economic status, an important confounder (χ(2 = 83.89, df = 1; p = 5.2 × 10(-20. There was, however, a high degree of heterogeneity among populations: whereas the direction of the effect was consistent across most population samples, the effect size differed significantly among populations. It is likely that this reflects true biological heterogeneity: whether or not an effect can be observed will depend on both the variance in homozygosity in the population and the chance inheritance of individual recessive genotypes. These results predict that multiple, rare, recessive variants influence human height. Although this exploratory work focuses on height alone, the methodology developed is generally applicable to heritable quantitative traits (QT, paving the way for an investigation into inbreeding effects, and therefore genetic architecture, on a range of QT of biomedical importance.

  3. Adult height, dietary patterns, and healthy aging. (United States)

    Ma, Wenjie; Hagan, Kaitlin A; Heianza, Yoriko; Sun, Qi; Rimm, Eric B; Qi, Lu


    Background: Adult height has shown directionally diverse associations with several age-related disorders, including cardiovascular disease, cancer, decline in cognitive function, and mortality.Objective: We investigated the associations of adult height with healthy aging measured by a full spectrum of health outcomes, including incidence of chronic diseases, memory, physical functioning, and mental health, among populations who have survived to older age, and whether lifestyle factors modified such relations.Design: We included 52,135 women (mean age: 44.2 y) from the Nurses' Health Study without chronic diseases in 1980 and whose health status was available in 2012. Healthy aging was defined as being free of 11 major chronic diseases and having no reported impairment of subjective memory, physical impairment, or mental health limitations.Results: Of all eligible study participants, 6877 (13.2%) were classified as healthy agers. After adjustment for demographic and lifestyle factors, we observed an 8% (95% CI: 6%, 11%) decrease in the odds of healthy aging per SD (0.062 m) increase in height. Compared with the lowest category of height (≤1.57 m), the OR of achieving healthy aging in the highest category (≥1.70 m) was 0.80 (95% CI: 0.73, 0.87; P-trend aging (P-interaction = 0.005), and among the individual dietary factors characterizing the prudent dietary pattern, fruit and vegetable intake showed the strongest effect modification (P-interaction = 0.01). The association of greater height with reduced odds of healthy aging appeared to be more evident among women with higher adherence to the prudent dietary pattern rich in vegetable and fruit intake.Conclusions: Greater height was associated with a modest decrease in the likelihood of healthy aging. A prudent diet rich in fruit and vegetables might modify the relation. © 2017 American Society for Nutrition.

  4. Pneumothorax complicating isolated clavicle fracture. (United States)

    Hani, Redouane; Ennaciri, Badr; Jeddi, Idriss; El Bardouni, Ahmed; Mahfoud, Mustapha; Berrada, Mohamed Saleh


    Isolated clavicle fractures are among the commonest of traumatic fractures in the emergency department. Complications of isolated clavicle fractures are rare. Pneumothorax has been described as a complication of a fractured clavicle only rarely in English literature. In all the reported cases, the pneumothorax was treated by a thoracostomy and the clavicle fracture was treated conservatively. In our case, the pneumothorax required a chest drain insertion and the clavicle fracture was treated surgically with good result.

  5. Abdominal wall fat pad biopsy (United States)

    Amyloidosis - abdominal wall fat pad biopsy; Abdominal wall biopsy; Biopsy - abdominal wall fat pad ... method of taking an abdominal wall fat pad biopsy . The health care provider cleans the skin on ...

  6. Analysis of fracture patterns and local stress field variations in fractured reservoirs (United States)

    Deckert, Hagen; Drews, Michael; Fremgen, Dominik; Wellmann, J. Florian


    A meaningful qualitative evaluation of permeabilities in fractured reservoirs in geothermal or hydrocarbon industry requires the spatial description of the existing discontinuity pattern within the area of interest and an analysis how these fractures might behave under given stress fields. This combined information can then be used for better estimating preferred fluid pathway directions within the reservoir, which is of particular interest for defining potential drilling sites. A description of the spatial fracture pattern mainly includes the orientation of rock discontinuities, spacing relationships between single fractures and their lateral extent. We have examined and quantified fracture patterns in several outcrops of granite at the Costa Brava, Spain, and in the Black Forest, Germany, for describing reservoir characteristics. For our analysis of fracture patterns we have used photogrammetric methods to create high-resolution georeferenced digital 3D images of outcrop walls. The advantage of this approach, compared to conventional methods for fracture analysis, is that it provides a better 3D description of the fracture geometry as the entity of position, extent and orientation of single fractures with respect to their surrounding neighbors is conserved. Hence for instance, the method allows generating fracture density maps, which can be used for a better description of the spatial distribution of discontinuities in a given outcrop. Using photogrammetric techniques also has the advantage to acquire very large data sets providing statistically sound results. To assess whether the recorded discontinuities might act as fluid pathways information on the stress field is needed. A 3D model of the regional tectonic structure was created and the geometry of the faults was put into a mechanical 3D Boundary Element (BE) Model. The model takes into account the elastic material properties of the geological units and the orientation of single fault segments. The

  7. The mental space of pitch height. (United States)

    Rusconi, Elena; Kwan, Bonnie; Giordano, Bruno; Umiltà, Carlo; Butterworth, Brian


    Through stimulus-response compatibility we tested whether sound frequency (pitch height) elicits a mental spatial representation. Musically untrained and, mostly, trained participants were shown a stimulus-response compatibility effect (Spatial-Musical Association of Response Codes or SMARC effect). When response alternatives were either vertically or horizontally aligned, performance was better when the lower (or leftward) button had to be pressed in response to a low sound and the upper (or rightward) button had to be pressed in response to a high sound, even when pitch height was irrelevant to the task.

  8. Vertebral Fracture Prediction

    DEFF Research Database (Denmark)


    Vertebral Fracture Prediction A method of processing data derived from an image of at least part of a spine is provided for estimating the risk of a future fracture in vertebraeof the spine. Position data relating to at least four neighbouring vertebrae of the spine is processed. The curvature...

  9. Radial head fracture - aftercare (United States)

    ... Philadelphia, PA: Elsevier Saunders; 2015:chap 6. Prawer A. Radius and ulna fractures. In: Eiff M, Hatch R, eds. Fracture Management for Primary Care . 3rd ed. Philadelphia, PA: Elsevier Saunders; 2012:chap ... PhD, and the A.D.A.M. Editorial team. Related MedlinePlus Health ...

  10. Displaced patella fractures. (United States)

    Della Rocca, Gregory J


    Displaced patella fractures often result in disruption of the extensor mechanism of the knee. An intact extensor mechanism is a requirement for unassisted gait. Therefore, operative treatment of the displaced patella fracture is generally recommended. The evaluation of the patella fracture patient includes examination of extensor mechanism integrity. Operative management of patella fractures normally includes open reduction with internal fixation, although partial patellectomy is occasionally performed, with advancement of quadriceps tendon or patellar ligament to the fracture bed. Open reduction with internal fixation has historically been performed utilizing anterior tension band wiring, although comminution of the fracture occasionally makes this fixation construct inadequate. Supplementation or replacement of the tension band wire construct with interfragmentary screws, cerclage wire or suture, and/or plate-and-screw constructs may add to the stability of the fixation construct. Arthrosis of the patellofemoral joint is very common after healing of patella fractures, and substantial functional deficits may persist long after fracture healing has occurred. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.


    Institute of Scientific and Technical Information of China (English)



    Objective. To investigate the unique characteristics and treatment of thoracic spine fractures.Methods. Severty-seven patients with thoracic spine fractures were retrospectively reviewed. Of these, therewere 37 compressior fractures, 34 fracture-dislocations, 3 burst fractures and 3 burst-dislocations. Twenty-six pa-tients had a complete lesion of the spinal cord, 14 sustained a neurologically incomplete injury, and 37 wereneurologically intact. Fifty-three patients were treated nonoperatively and 24 treated operatively.Results. All patients were followed up for 2 ~ 15 years. None of the 26 patients with a complete lesion recov-ered any significant function. Of 37 neurologically intact patients, 13 had local pain although all of them re-mained normal function. Two of 14 patients with incomplete paraplegia returned to normal, 7 recovered some func-tion and 5 did not recovered.Conclusions. E ecause of the unique anatomy and biomechanics of the thoracic spine, the classification common-ly applied to thoracolumbar fractures is not suitable for thoracic fractures. Fusion and instrumentation are indicat-ed when the fractures are unstable, while patients with incomplete lesion of the spinal cord may be the candidatesfor supplemented decompression.

  12. Liquid Wall Chambers

    Energy Technology Data Exchange (ETDEWEB)

    Meier, W R


    The key feature of liquid wall chambers is the use of a renewable liquid layer to protect chamber structures from target emissions. Two primary options have been proposed and studied: wetted wall chambers and thick liquid wall (TLW) chambers. With wetted wall designs, a thin layer of liquid shields the structural first wall from short ranged target emissions (x-rays, ions and debris) but not neutrons. Various schemes have been proposed to establish and renew the liquid layer between shots including flow-guiding porous fabrics (e.g., Osiris, HIBALL), porous rigid structures (Prometheus) and thin film flows (KOYO). The thin liquid layer can be the tritium breeding material (e.g., flibe, PbLi, or Li) or another liquid metal such as Pb. TLWs use liquid jets injected by stationary or oscillating nozzles to form a neutronically thick layer (typically with an effective thickness of {approx}50 cm) of liquid between the target and first structural wall. In addition to absorbing short ranged emissions, the thick liquid layer degrades the neutron flux and energy reaching the first wall, typically by {approx}10 x x, so that steel walls can survive for the life of the plant ({approx}30-60 yrs). The thick liquid serves as the primary coolant and tritium breeding material (most recent designs use flibe, but the earliest concepts used Li). In essence, the TLW places the fusion blanket inside the first wall instead of behind the first wall.

  13. Baseline Characteristics of Fall from Height Victims Presenting to Emergency Department; a Brief Report

    Directory of Open Access Journals (Sweden)

    Hamidreza Hatamabadi


    Full Text Available Introduction: Trauma due to accidents or fall from height is a major cause of disability and mortality. The present study was designed aiming to evaluate the baseline characteristics of fall from height victims presenting to emergency department (ED.Methods: This prospective cross-sectional study evaluates the baseline characteristics of fall from height cases presenting to EDs of three educational Hospitals, Tehran, Iran, during one year. Data were analyzed using SPSS 21 and presented using descriptive statistics.Results: 460 patients with the mean age of 27.89 ± 20.95 years were evaluated (76.5% male. 191 (41.5% falls occurred when working, 27 (5.9% during play, and 242 (52.6% in other times. Among construction workers, 166 (81.4% had not used any safety equipment. Fracture and dislocation with 180 (39.1% cases and soft tissue injury with 166 (36.1% were the most common injuries inflicted. Mean height of falling was 3.41 ± 0.34 (range: 0.5 – 20 meters. Finally, 8 (1.7% of the patients died (50% intentional and 63% were discharged from ED. A significant correlation was detected between mortality and the falls being intentional (p < 0.0001 as well as greater height of fall (p < 0.0001.Conclusion: Based on the findings, most fall from height victims in the present study were young men, single, construction workers, with less than high school diploma education level. Intentional fall and greater height of falling significantly correlated with mortality.

  14. Assessing biomass based on canopy height profiles using airborne laser scanning data in eucalypt plantations

    Directory of Open Access Journals (Sweden)

    André Gracioso Peres Silva


    Full Text Available This study aimed to map the stem biomass of an even-aged eucalyptus plantation in southeastern Brazil based on canopy height profile (CHPs statistics using wall-to-wall discrete return airborne laser scanning (ALS, and compare the results with alternative maps generated by ordinary kriging interpolation from field-derived measurements. The assessment of stem biomass with ALS data was carried out using regression analysis methods. Initially, CHPs were determined to express the distribution of laser point heights in the ALS cloud for each sample plot. The probability density function (pdf used was the Weibull distribution, with two parameters that in a secondary task, were used as explanatory variables to model stem biomass. ALS metrics such as height percentiles, dispersion of heights, and proportion of points were also investigated. A simple linear regression model of stem biomass as a function of the Weibull scale parameter showed high correlation (adj.R2 = 0.89. The alternative model considering the 30th percentile and the Weibull shape parameter slightly improved the quality of the estimation (adj.R2 = 0.93. Stem biomass maps based on the Weibull scale parameter doubled the accuracy of the ordinary kriging approach (relative root mean square error = 6 % and 13 %, respectively.

  15. Wetting front instability in an initially wet unsaturated fracture

    Energy Technology Data Exchange (ETDEWEB)

    Nicholl, M.J.; Glass, R.J.; Nguyen, H.A.


    Experimental results exploring gravity-driven wetting front instability in a pre-wetted, rough-walled analog fracture are presented. Initial conditions considered include a uniform moisture field wetted to field capacity of the analog fracture and the structured moisture field created by unstable infiltration into an initially dry fracture. As in previous studies performed under dry initial conditions, instability was found to result both at the cessation of stable infiltration and at flux lower than the fracture capacity under gravitational driving force. Individual fingers were faster, narrower, longer, and more numerous than observed under dry initial conditions. Wetting fronts were found to follow existing wetted structure, providing a mechanism for rapid recharge and transport.

  16. Fear of heights and mild visual height intolerance independent of alcohol consumption. (United States)

    Huppert, Doreen; Grill, Eva; Kapfhammer, Hans-Peter; Brandt, Thomas


    Background Visual height intolerance occurs when a visual stimulus causes apprehension of losing balance and falling from some height. Affecting one-third of the population, it has a broad spectrum of symptoms, ranging from minor distress to fear of heights, which is defined as a specific phobia. Specific phobias are associated with higher alcohol consumption. This has not been specifically shown for susceptibility to the more general visual height intolerance. Methods Representative case-control study nested within a population-based cross-sectional telephone survey to assess epidemiologically 1253 individuals ≥14 years, using a questionnaire on sociodemographic data, typical symptoms, precipitating visual stimuli, and alcohol drinking patterns (overall frequency of alcohol consumption, the daily quantities, and the motives). Results Individuals susceptible or nonsusceptible to visual height intolerance showed no significant differences in drinking patterns. The daily average alcohol consumption was slightly higher in persons susceptible to visual height intolerance (4.1 g/day vs. 3.7 g/day). Of those consuming alcohol, cases and controls reported on average consuming 2.3 glasses per day. The prevalence of visual height intolerance was insignificantly higher in the small minority of those drinking 2-3 times per week versus teetotalers. Conclusions Our study does not provide evidence that visual height intolerance - contrary to various specific phobias - is significantly associated with individual alcohol consumption patterns.

  17. Galeazzi fracture-dislocations. (United States)

    Mikić, Z D


    Among 125 patients with the Galeazzi-type fracture-dislocation of the forearm, there were fourteen children and eighty-six adults with the classic Galeazzi lesion, and twenty-five patients with a special type -- fracture of both bones and dislocation of the distal radio-ulnar joint. Conservative management was successful only in children. In adults this method resulted in failure in 80 per cent of cases. The results of operative treatment were much better. The fracture fragments of the radius and the dislocation of the radio-ulnar joint in this complex injury are very unstable, especially in the lesion with fractures of the radius and ulna, and it appears that rigid internal fixation is necessary for the dislocation as well as the fracture. With combined fixation over half of the results were excellent.

  18. Dynamic fracture mechanics (United States)

    Kobayashi, A. S.; Ramulu, M.


    Dynamic fracture and crack propagation concepts for ductile materials are reviewed. The equations for calculating dynamic stress integrity and the dynamic energy release rate in order to study dynamic crack propagation are provided. The stress intensity factor versus crack velocity relation is investigated. The uses of optical experimental techniques and finite element methods for fracture analyses are described. The fracture criteria for a rapidly propagating crack under mixed mode conditions are discussed; crack extension and fracture criteria under combined tension and shear loading are based on maximum circumferential stress or energy criteria such as strain energy density. The development and use of a Dugdale model and finite element models to represent crack and fracture dynamics are examined.

  19. Tibial Plateau Fractures

    DEFF Research Database (Denmark)

    Elsøe, Rasmus

    This PhD thesis reported an incidence of tibial plateau fractures of 10.3/100,000/year in a complete Danish regional population. The results reported that patients treated for a lateral tibial plateau fracture with bone tamp reduction and percutaneous screw fixation achieved a satisfactory level...... with only the subgroup Sport significantly below the age matched reference population. The thesis reports a level of health related quality of life (Eq5d) and disability (KOOS) significantly below established reference populations for patients with bicondylar tibial plateau fracture treated with a ring...... fixator, both during treatment and at 19 months following injury. In general, the thesis demonstrates that the treatment of tibial plateau fractures are challenging and that some disabilities following these fractures must be expected. Moreover, the need for further research in the area, both with regard...

  20. Dating fractures in infants

    Energy Technology Data Exchange (ETDEWEB)

    Halliday, K.E., E-mail: [Department of Radiology, Nottingham University Hospitals, Queen' s Medical Centre, Nottingham (United Kingdom); Broderick, N.J.; Somers, J.M. [Department of Radiology, Nottingham University Hospitals, Queen' s Medical Centre, Nottingham (United Kingdom); Hawkes, R. [Department of Radiology, Paul O' Gorman Building, Bristol (United Kingdom)


    Aim: To document the timing of the appearance of the radiological features of fracture healing in a group of infants in which the date of injury was known and to assess the degree of interobserver agreement. Materials and methods: Three paediatric radiologists independently assessed 161 images of 37 long bone fractures in 31 patients aged 0-44 months. The following features were assessed: soft-tissue swelling, subperiosteal new bone formation (SPNBF), definition of fracture line, presence or absence of callus, whether callus was well or ill defined, and the presence of endosteal callus. Results: Agreement between observers was only moderate for all discriminators except SPNBF. SPNBF was invariably seen after 11 days but was uncommon before this time even in the very young. In one case SPNBF was seen at 4 days. Conclusion: With the exception of SPNBF, the criteria relied on to date fractures are either not reproducible or are poor discriminators of fracture age.

  1. Experimental intra-articular calcaneal fractures: anatomic basis for a new classification. (United States)

    Carr, J B; Hamilton, J J; Bear, L S


    Experimental calcaneus fractures were produce by axially loading 18 specimens. Anatomic dissections were performed and documented. Two constant primary fracture lines were identified, dividing the calcaneus in the coronal and sagittal planes. A constant anterolateral fragment was identified, as were three patterns of calcaneocuboid joint fracture involvement. Based on the pathoanatomy and surgical anatomy of the calcaneus, a medial and lateral column classification is proposed. The medial column includes the superomedial fragment. The lateral column includes the calcaneocuboid joint, lateral wall and posterior facet. This concept can help identify fracture displacements and correlate them with a treatment plan.

  2. Occult internal iliac arterial injury identified during open reduction internal fixation of an acetabular fracture: a report of two cases. (United States)

    Chaus, George W; Heng, Marilyn; Smith, Raymond M


    We present two cases of occult internal iliac arterial injury identified during operative reduction of a widely displaced posterior column posterior wall acetabular fracture. This complication was not recognised until reduction of the column fracture. There were no preoperative signs or symptoms indicative of a vascular injury. These cases emphasise the heightened awareness one must have when treating widely displaced posterior column fractures of the acetabulum, especially those fractures with extension into the greater sciatic notch, as previously formed clot can become dislodged and hemostasis lost. We also present management options when this complication occurs. We believe any surgeon treating acetabular fractures should be aware of this serious and potentially fatal complication.

  3. Sulphide mineralization and wall-rock alteration in ophiolites and modern oceanic spreading centres (United States)

    Koski, R.A.


    Massive and stockwork Fe-Cu-Zn (Cyprus type) sulphide deposits in the upper parts of ophiolite complexes represent hydrothermal mineralization at ancient accretionary plate boundaries. These deposits are probable metallogenic analogues of the polymetallic sulphide deposits recently discovered along modern oceanic spreading centres. Genetic models for these deposits suggest that mineralization results from large-scale circulation of sea-water through basaltic basement along the tectonically active axis of spreading, a zone of high heat flow. The high geothermal gradient above 1 to 2 km deep magma chambers emplaced below the ridge axis drives the convective circulation cell. Cold oxidizing sea-water penetrating the crust on the ridge flanks becomes heated and evolves into a highly reduced somewhat acidic hydrothermal solvent during interaction with basaltic wall-rock. Depending on the temperature and water/rock ratio, this fluid is capable of leaching and transporting iron, manganese, and base metals; dissolved sea-water sulphate is reduced to sulphide. At the ridge axis, the buoyant hydrothermal fluid rises through permeable wall-rocks, and fluid flow may be focussed along deep-seated fractures related to extensional tectonic processes. Metal sulphides are precipitated along channelways as the ascending fluid undergoes adiabatic expansion and then further cooling during mixing with ambient sub-sea-floor water. Vigorous fluid flow results in venting of reduced fluid at the sea-floor/sea-water interface and deposition of massive sulphide. A comparison of sulphide mineralization and wall-rock alteration in ancient and modern spreading centre environments supports this genetic concept. Massive sulphide deposits in ophiolites generally occur in clusters of closely spaced (floor underlying numerous deposits in Guaymas Basin consists of diatomaceous ooze and terrigenous clastic sediment that is intruded by diabase sills. Mound-like massive sulphide deposits, as much as 30

  4. Performance of finite conductivity vertically fractured wells in single-layer reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Bennett, C.O.; Elbel, J.L.; Raghavan, R.; Reynolds, A.C.


    Even a perfunctory survey of the literature suggests that considerable information is available on the response of finite-conductivity fractures in signel-layer systems. But correspondents have suggested that the influence of the settling of propping agents and the effect of fracture height on the well response needs to be examined. These topics are examined in detail in this paper. The authors suggest methods to analyze well performance when the fracture conductivity is a function of fracture height and fracture length. The performance of wells with fracture height greater than the formation thickness is documented. The consequences of not being able to contain the fracture within the pay zone are also examined. Although incidental to this study, the authors found that solutions presented by various authors are not in agreement for all time ranges. In this paper, the authors discuss a systematic procedure to obtain a grid (mesh), so that accurate results are obtained by a finite difference model. This procedure can be used for both two-dimensional and three-dimensional problems.

  5. Performance of finite-conductivity, vertically fractured wells in single-layer reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Bennett, C.O.; Reynolds, A.C.; Raghavan, R.; Elbel, J.L.


    Although even a perfunctory survey of the literature suggests that considerable information is available on the response of finite-conductivity fractures in single-layer systems, the influence of the settling of propping agents and the effect of fracture height on the well response need to be examined. These topics are examined in this paper. The authors suggest methods to analyze well performance when the fracture conductivity is a function of fracture height and fracture length. The performance of wells with fracture height greater than the formation thickness is documented. The consequences of being unable to contain the fracture within the pay zone are also examined. Although incidental to this study, the authors found that solutions presented by various authors are not in agreement for all time ranges. In this paper, they discuss a systematic procedure to obtain a grid (mesh) so that accurate results are obtained by a finite-difference model. This procedure can be used for both two-dimensional (2D) and three-dimensional (3D) problems.

  6. New P3D Hydraulic Fracturing Model Based on the Radial Flow

    Institute of Scientific and Technical Information of China (English)

    鲁连军; 孙逢春; 肖海华; 安申法


    Pseudo three-dimension (P3D) hydraulic fracturing models often overpredict the fracture height for a poorly contained fracture. To solve this problem, a new method is presented in shaping the P3D fracture geometry on the basis of the fundamental theory and the original 1D fluid flow is replaced with a more representatively radial flow. The distribution of the fluid in the modified fluid field is analyzed and a sound explanation to the problem is given. Due to the consideration of the fluid flow in the vertical direction, the modified model can predict the fracture height much better. To validate the rationality of the radial fluid flow assumption, the distribution of the fluid in the modified fluid field is simulated with the plane potential flow by using finite element method. And the results agree effectively with those from the assumption. Through comparing with the full 3D model, the results show that this new P3D model can be used to aid the fracturing design and predict the fracture height under poorly contained situation.

  7. Effect of isolated fractures on accelerated flow in unsaturated porous rock (United States)

    Su, G.W.; Nimmo, J.R.; Dragila, M.I.


    Fractures that begin and end in the unsaturated zone, or isolated fractures, have been ignored in previous studies because they were generally assumed to behave as capillary barriers and remain nonconductive. We conducted a series of experiments using Berea sandstone samples to examine the physical mechanisms controlling flow in a rock containing a single isolated fracture. The input fluxes and fracture orientation were varied in these experiments. Visualization experiments using dyed water in a thin vertical slab of rock were conducted to identify flow mechanisms occurring due to the presence of the isolated fracture. Two mechanisms occurred: (1) localized flow through the rock matrix in the vicinity of the isolated fracture and (2) pooling of water at the bottom of the fracture, indicating the occurrence of film flow along the isolated fracture wall. These mechanisms were observed at fracture angles of 20 and 60 degrees from the horizontal, but not at 90 degrees. Pooling along the bottom of the fracture was observed over a wider range of input fluxes for low-angled isolated fractures compared to high-angled ones. Measurements of matrix water pressures in the samples with the 20 and 60 degree fractures also demonstrated that preferential flow occurred through the matrix in the fracture vicinity, where higher pressures occurred in the regions where faster flow was observed in the visualization experiments. The pooling length at the terminus of a 20 degree isolated fracture was measured as a function of input flux. Calculations of the film flow rate along the fracture were made using these measurements and indicated that up to 22% of the flow occurred as film flow. These experiments, apparently the first to consider isolated fractures, demonstrate that such features can accelerate flow through the unsaturated zone and should be considered when developing conceptual models.

  8. Aircraft height estimation using 2-D radar

    CSIR Research Space (South Africa)

    Hakl, H


    Full Text Available A method to infer height information from an aircraft tracked with a single 2-D search radar is presented. The method assumes level flight in the target aircraft and a good estimate of the speed of the aircraft. The method yields good results...

  9. Height as a Basis for Interpersonal Attraction. (United States)

    Hensley, Wayne E.

    Based on the observation that taller males seem to have an advantage in date/mate selection, a study investigated the role that height plays in the choice of a partner. Subjects, 594 student volunteers from communication classes at a large Mid-Atlantic university, completed a questionnaire designed to assess such factors as respondent sex, present…

  10. Intralocus sexual conflict over human height

    NARCIS (Netherlands)

    Stulp, Gert; Kuijper, Bram; Buunk, Abraham P.; Pollet, Thomas V.; Verhulst, Simon


    Intralocus sexual conflict (IASC) occurs when a trait under selection in one sex constrains the other sex from achieving its sex-specific fitness optimum. Selection pressures on body size often differ between the sexes across many species, including humans: among men individuals of average height en

  11. Statistical analysis on extreme wave height

    Digital Repository Service at National Institute of Oceanography (India)

    Teena, N.V.; SanilKumar, V.; Sudheesh, K.; Sajeev, R.

    the distributions fitted to the GEV with annual maximum approach and GPD with peaks over threshold approach have indicated that both GEV and GPD models gave similar or comparable wave height for the study area since there is no multiple storm event in a year...

  12. Lang's Height Conjecture and Szpiro's Conjecture

    CERN Document Server

    Silverman, Joseph H


    It is known that Szpiro's conjecture, or equivalently the ABC-conjecture, implies Lang's conjecture giving a uniform lower bound for the canonical height of nontorsion points on elliptic curves. In this note we show that a significantly weaker version of Szpiro's conjecture, which we call "prime-depleted," suffices to prove Lang's conjecture.

  13. An Analysis of Personality in Wuthering Heights

    Institute of Scientific and Technical Information of China (English)

    Liu Feng


    Compared to other two sisters,Emily Bronte has a few of works,just only one novel and some poets.However,it is the novel Wuthering Heights arousing more and more critics' attention after more than 100 years since it was born.The reason that a great works

  14. The Artistic Glamour of Wuthering Heights

    Institute of Scientific and Technical Information of China (English)

    Li Wenyan


    Emily Bronte's Wuthering Heights is a classical masterpiece,known as"the most peculiar novel"in the English literature.The paper focuses on its structure and main idea,so as to reveal its thrilling artistic glamour and its artistic style.

  15. Growth hormone: health considerations beyond height gain (United States)

    The therapeutic benefit of growth hormone (GH) therapy in improving height in short children is widely recognized; however, GH therapy is associated with other metabolic actions that may be of benefit in these children. Beneficial effects of GH on body composition have been documented in several dif...

  16. Scale height determination of spiral galaxies

    Institute of Scientific and Technical Information of China (English)

    计朝晖; 商朝晖; 彭秋和


    The method adopted here is based on the rigorous solution of Poison’s equation for logarithmic disturbance density within finite thickness galaxies. After their spiral arms are fitted directly with logarithmic spirals, the morphological parameters, scale heights and their relative errors for 32 spiral galaxies, such as NGC4814, are ob-tained.

  17. The Roles of Symbols in Wuthering Heights

    Institute of Scientific and Technical Information of China (English)



    In Wuthering Heights, Emily Bronte portrays the love story between Catherine and Heathcliff whose sincere love is killed for their different social status and only prevails beyond the real world. The roles of symbols in revealing this theme will be traced in this article.

  18. Environmental Assessment: Disposition of Maxwell Heights Annex (United States)


    Maxwell Support Division May 4, 2005 Mr. David Rabon Tribal Historic Preservation Officer Cherokee Nation of Oklahoma P.O. Box 948 Tahlequah...Oklahoma 74465 RE: Disposal of the Existing Property and Facilities of the Maxwell Heights Annex Maxwell Air Force Base, Alabama Dear Mr. Rabon , The

  19. Traumatic fractures as a result of falls in children and adolescents: A retrospective observational study. (United States)

    Wang, Hongwei; Yu, Hailong; Zhou, Yue; Li, Changqing; Liu, Jun; Ou, Lan; Zhao, Yiwen; Song, Guoli; Han, Jianda; Chen, Yu; Xiang, Liangbi


    The aim of this study is to investigate the incidence and pattern of traumatic fractures (TFs) as a result of falls in a population of children and adolescents (≤18 years old) in China.This was a cross-sectional study. We retrospectively reviewed 1412 patients who were children and adolescents with TFs as a result of falls admitted to our university-affiliated hospitals in China from 2001 to 2010. Etiologies included high fall (height ≥2) and low fall (height <2 m). The incidence and pattern were summarized with respect to different age groups, year of admission, etiologies, genders, and the neurological function.This study enrolled 1054 males (74.6%) and 358 females (25.4%) aged 10.8 ± 4.7 years. The etiologies were low fall (1059, 75.0%) and high fall (353, 25.0%). There were 2073 fractures in total and 92 patients (6.5%) presented with multiple fractures. The most common fracture sites were upper extremity fractures in 814 patients (57.6%) and lower extremity fractures in 383 patients (27.1%), followed by craniofacial fractures in 233 patients (16.5%). A total of 231 (16.4%) patients suffered a nerve injury. The frequencies of early and late complications/associated injuries were 19.5% (n = 275) and 9.2% (n = 130). The frequencies of emergency admission, nerve injury, spinal fracture, lower extremity fractures, craniofacial fracture, sternum and rib fracture, and early complications/ASOIs were significantly larger in high fall than low fall (all P <.001, respectively). The frequencies of medical insurance rate (P = .042) and upper extremity fractures (P <.001) were significantly larger in low fall than high fall. The frequencies of spinal fracture (P = .039), lower extremity fractures (P = .048), and craniofacial fracture (P = .041) were significantly larger in female than the male patients. The frequency of upper extremity fractures (P <.001) and the mean age (P <.001) was significantly larger in male than female

  20. Solar heating wall

    Energy Technology Data Exchange (ETDEWEB)

    Schoenfelder, J.L.


    A solar heating wall is disclosed including a water pipe circulation system having a plurality of separate tubes, each formed as a loop, connected between a water supply and a return. The separate tubes are arranged in a single vertical plane at the approximate center of the wall. The wall is formed within a frame which is packed with a material suited for use as a thERMAL RESERVOIR, SUCH AS concrete. The frame provides extra support by having a series of horizontally disposed cross supports on one surface of the wall and a series of vertically disposed cross supports on the opposite surface A pressure relief valve may be provided between the water supply to the separate tubes and the water supply to the building or structure containing the solar wall, so that the solar wall can be adapted for use with a city water system.

  1. Height, sitting height, and leg length in relation with breast cancer risk in the E3N cohort

    National Research Council Canada - National Science Library

    Fagherazzi, Guy; Vilier, Alice; Boutron-Ruault, Marie-Christine; Clavel-Chapelon, Françoise; Mesrine, Sylvie


    If height is a well-established risk factor for breast cancer, leg length and sitting height are usually considered as better candidate biomarkers of growth hormone exposure than height, respectively...

  2. Computed tomograms of blowout fracture

    Energy Technology Data Exchange (ETDEWEB)

    Ito, Haruhide; Hayashi, Minoru; Shoin, Katsuo; Hwang, Wen-Zern; Yamamoto, Shinjiro; Yonemura, Taizo


    We studied 18 cases of orbital fractures, excluding optic canal fracture. There were 11 cases of pure blowout fracture and 3 of the impure type. The other 4 cases were orbital fractures without blowout fracture. The cardinal syndromes were diplopia, enophthalmos, and sensory disturbances of the trigeminal nerve in the pure type of blowout fracture. Many cases of the impure type of blowout fracture or of orbital fracture showed black eyes or a swelling of the eyelids which masked enophthalmos. Axial and coronal CT scans demonstrated: 1) the orbital fracture, 2) the degree of enophthalmos, 3) intraorbital soft tissue, such as incarcerated or prolapsed ocular muscles, 4) intraorbital hemorrhage, 5) the anatomical relation of the orbital fracture to the lacrimal canal, the trochlea, and the trigeminal nerve, and 6) the lesions of the paranasal sinus and the intracranial cavity. CT scans play an important role in determining what surgical procedures might best be employed. Pure blowout fractures were classified by CT scans into these four types: 1) incarcerating linear fracture, 2) trapdoor fracture, 3) punched-out fracture, and 4) broad fracture. Cases with severe head injury should be examined to see whether or not blowout fracture is present. If the patients are to hope to return to society, a blowout fracture should be treated as soon as possible. (author).

  3. Thermal cooling of the oceanic lithosphere from geoid height data (United States)

    Cazenae, A.


    Another type of geophysical observation has proved to be very useful in the study of thermal cooling of the oceanic lithosphere. It is the geoid height derivative with respect to plate age, a quantity computed from the short wavelength geoid step across fracture zones measured by altimeter satellites. Two categories of simples models are proposed to describe cooling and contraction of the oceanic lithosphere with age. Both plate model and half space model, give almost similar results up to ages of 50 to 70 ma, but predict quite distinct behavior of seafloor depth, heat flow and other parameters in old basins. Tests of thermal models are based on heat flow and topography data. However, heat flow is not very sensitive to the form of the thermal model. Large areas of the ocean floor are particularly shallow, and as a result topography data may not be very appropriate to discriminate between plate and half space models, and no clear concensus on a preferred model yet exists.

  4. Cell Wall Proteome


    Boudart, Georges; Minic, Zoran; Albenne, Cécile; Canut, Hervé; Jamet, Elisabeth; Pont-Lezica, Rafael F


    In this chapter, we will focus on the contribution of proteomics to the identification and determination of the structure and function of CWPs as well as discussing new perspectives in this area. The great variety of proteins found in the plant cell wall is described. Some families, such as glycoside hydrolases, proteases, lectins, and inhibitors of cell wall modifying enzymes, are discussed in detail. Examples of the use of proteomic techniques to elucidate the structure of various cell wall...

  5. Staggered domain wall fermions

    CERN Document Server

    Hoelbling, Christian


    We construct domain wall fermions with a staggered kernel and investigate their spectral and chiral properties numerically in the Schwinger model. In some relevant cases we see an improvement of chirality by more than an order of magnitude as compared to usual domain wall fermions. Moreover, we present first results for four-dimensional quantum chromodynamics, where we also observe significant reductions of chiral symmetry violations for staggered domain wall fermions.

  6. Green walls in Vancouver

    Energy Technology Data Exchange (ETDEWEB)

    Sharp, R. [Sharp and Diamond Landscape Architecture Inc., Vancouver, BC (Canada)


    With the renewed interest in design for microclimate control and energy conservation, many cities are implementing clean air initiatives and sustainable planning policies to mitigate the effects of urban climate and the urban heat island effect. Green roofs, sky courts and green walls must be thoughtfully designed to withstand severe conditions such as moisture stress, extremes in temperature, tropical storms and strong desiccating winds. This paper focused on the installation of green wall systems. There are 2 general types of green walls systems, namely facade greening and living walls. Green facades are trellis systems where climbing plants can grow vertically without attaching to the surface of the building. Living walls are part of a building envelope system where plants are actually planted and grown in a wall system. A modular G-SKY Green Wall Panel was installed at the Aquaquest Learning Centre at the Vancouver Aquarium in Stanley Park in September 2006. This green wall panel, which was originally developed in Japan, incorporates many innovative features in the building envelope. It provides an exterior wall covered with 8 species of plants native to the Coastal Temperate Rain Forest. The living wall is irrigated by rainwater collected from the roof, stored in an underground cistern and fed through a drip irrigation system. From a habitat perspective, the building imitates an escarpment. Installation, support systems, irrigation, replacement of modules and maintenance are included in the complete wall system. Living walls reduce the surface temperature of buildings by as much as 10 degrees C when covered with vegetation and a growing medium. The project team is anticipating LEED gold certification under the United States-Canada Green Building Council. It was concluded that this technology of vegetated building envelopes is applicable for acoustical control at airports, biofiltration of indoor air, greywater treatment, and urban agriculture and vertical


    Directory of Open Access Journals (Sweden)

    Putu Sukma Parahita


    Full Text Available Normal 0 false false false EN-US X-NONE X-NONE Fracture injuries in the extremities are accounted for 40% of the incidence of fractures in the United States and causes high morbidity (physical suffering, lost time, and mental stress. High-energy fractures of the lower limbs can also cause life threatening condition like major vascular injury, crush syndrome, and compartment syndrome. Initial treatment in the emergency room is essential to save lives and to save the fractured extremities. Primary survey (securing the airway, breathing and circulation and the secondary survey will be able to quickly and accurately identify dangerous early complication of fractures, such as major arterial injury, crush syndrome and compartment syndrome. /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}

  8. Presentation and outcome of traumatic spinal fractures

    Directory of Open Access Journals (Sweden)

    Ahmed El-Faramawy


    Full Text Available Background: Motor vehicle crashes and falls account for most of the spine fractures with subsequent serious disability. Aim: To define the incidence, causes, and outcome of spinal fractures. Materials and Methods: Data were collected retrospectively from trauma registry database of all traumatic spinal injuries admitted to the section of trauma surgery in Qatar from November 2007 to December 2009. Results: Among 3712 patients who were admitted to the section of trauma surgery, 442 (12% injured patients had spinal fractures with a mean age of 33.2 ± 12 years. The male to female ratio was 11.6:1. Motor vehicle crashes (36.5% and falls from height (19.3% were the leading causes of cervical injury (P = 0.001. The injury severity score ranged between 4 and 75. Nineteen percent of cases with cervical injury had thoracic injury as well (P = 0.04. Lumber injury was associated with thoracic injury in 27% of cases (P < 0.001. Combined thoracic and lumber injuries were associated with cervical injury in 33% of cases (P < 0.001. The total percent of injuries associated with neurological deficit was 5.4%. Fifty-three cases were managed surgically for spine fractures; 14 of them had associated neurological deficits. Overall mortalityrate was 5%. Conclusions: Spine fractures are not uncommon in Qatar. Cervical and thoracic spine injuries carry the highest incidence of associated neurological deficit and injuries at other spinal levels. Young males are the most exposed population that deserves more emphasis on injury prevention programs in the working sites and in enforcement of traffic laws.

  9. Spontaneous rib fractures. (United States)

    Katrancioglu, Ozgur; Akkas, Yucel; Arslan, Sulhattin; Sahin, Ekber


    Other than trauma, rib fracture can occur spontaneously due to a severe cough or sneeze. In this study, patients with spontaneous rib fractures were analyzed according to age, sex, underlying pathology, treatment, and complications. Twelve patients who presented between February 2009 and February 2011 with spontaneous rib fracture were reviewed retrospectively. The patients' data were evaluated according to anamnesis, physical examination, and chest radiographs. The ages of the patients ranged from 34 to 77 years (mean 55.91 ± 12.20 years), and 7 (58.4%) were male. All patients had severe cough and chest pain. The fractures were most frequently between 4th and 9th ribs; multiple rib fractures were detected in 5 (41.7%) patients. Eight (66.7%) patients had chronic obstructive pulmonary disease, 2 (16.7%) had bronchial asthma, and 2 (16.7%) had osteoporosis. Bone densitometry revealed a high risk of bone fracture in all patients. Patients with chronic obstructive pulmonary disease or bronchial asthma had been treated with high-dose steroids for over a year. Spontaneous rib fracture due to severe cough may occur in patients with osteoporosis, chronic obstructive pulmonary disease, or bronchial asthma, receiving long-term steroid therapy. If these patients have severe chest pain, chest radiography should be performed to check for bone lesions. © The Author(s) 2015.

  10. Older men with low serum IGF-1 have an increased risk of incident fractures: the MrOS Sweden study. (United States)

    Ohlsson, Claes; Mellström, Dan; Carlzon, Daniel; Orwoll, Eric; Ljunggren, Osten; Karlsson, Magnus K; Vandenput, Liesbeth


    Osteoporosis-related fractures constitute a major health concern not only in women but also in men. Insulin-like growth factor 1 (IGF-1) is a key determinant of bone mass, but the association between serum IGF-1 and incident fractures in men remains unclear. To determine the predictive value of serum IGF-1 for fracture risk in men, older men (n = 2902, mean age of 75 years) participating in the prospective, population-based Osteoporotic Fractures in Men (MrOS) Sweden study were followed for a mean of 3.3 years. Serum IGF-1 was measured at baseline by radioimmunoassay. Fractures occurring after the baseline visit were validated. In age-adjusted hazards regression analyses, serum IGF-1 associated inversely with risk of all fractures [hazard ratio (HR) per SD decrease = 1.23, 95% confidence interval (CI) 1.07-1.41], hip fractures (HR per SD decrease = 1.45, 95% CI 1.07-1.97), and clinical vertebral fractures (HR per SD decrease = 1.40, 95% CI 1.10-1-78). The predictive role of serum IGF-1 for fracture risk was unaffected by adjustment for height, weight, prevalent fractures, falls, and major prevalent diseases. Further adjustment for bone mineral density (BMD) resulted in an attenuated but still significant association between serum IGF-1 and fracture risk. Serum IGF-1 below but not above the median was inversely related to fracture incidence. The population-attributable risk proportion was 7.5% for all fractures and 22.9% for hip fractures. Taken together, older men with low serum IGF-1 have an increased fracture risk, especially for the two most important fracture types, hip and vertebral fractures. The association between serum IGF-1 and fracture risk is partly mediated via BMD.

  11. Effect of Vertebral Fracture on Quality of Life

    Directory of Open Access Journals (Sweden)

    Figen Yılmaz


    Full Text Available Objective: The aim of this study was to investigate the effect of vertebral fractures on quality of life in postmenopausal women. Method: 41 postmenopausal women were classified into two groups as those having osteopenia (Group I t score>-2.5 or osteoporosis (Group II t score£-2.5. Patients were further investigated by lateral spine radiographs with respect to vertebral fracture defined as 20 percent height loss compared to the neighbouring vertebra. Short Form-36 (SF-36, Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO and Notthingam Health Profile (NHP were the questionnaires used to evaluate life quality. Results: The mean age of the 11 patients in Group I was significantly (p£0.05 greater than those in Group II. Age at menopause, height and weight were not significantly different between the groups. 16 patients had vertebral fractures and the number of fractures was 25. Energy subgroup of SF-36 was significantly lower in Group II than in Group I (37.3±16 vs 48.2±11, p£0.05. Only physical activity subgoup of the NHP was significantly different between the two groups. On the other hand, there was not any significant difference between the two groups and between the patients with and without vertebral fractures with respect to life quality. Number of fractures was significantly correlated (r= 0.31 with the home activities subgoup of QUALEFFO 41 and physical activity subgroup of NHP (r= 0.32. Conclusion: Life quality indicis of osteoporotic patients were almost identical to osteopenic patients which suggested that osteoporosis is not a life quality diminishing disease in patients in the 6th decade. The indicis could not also disemminate patients with and without vertebral fractures either.

  12. Route Height Connection Across the Sea by Using the Vertical Deflections and Ellipsoidal Height Data

    Institute of Scientific and Technical Information of China (English)

    GUO Jin-yun; CHEN Yong-ning; LIU Xin; ZHONG Shi-xia; MAI Zhao-qiu


    Distance between the main land and island is so long that it is very difficult to precisely connect the height datum across the sea with the traditional method like the trigonometric leveling,or it is very expensive and takes long time to implement the height transfer with the geopotential technique.We combine the data of GPS surveying,astro-geodesy and EGM2008 to precisely connect the orthometric height across the sea with the improved astronomical leveling method in the paper.The Qiongzhou Strait is selected as the test area for the height connection over the sea.We precisely determine the geodetic latitudes,longitudes,heights and deflections of the vertical for four points on both sides across the strait.Modeled deflections of the vertical along the height connecting routes over the sea are determined with EGM2008 model based on the geodetic positions and heights of the sea segmentation points from DNSC08MSS model.Differences of the measured and modeled deflections of the vertical are calculated at four points on both sides and linearly change along the route.So the deflections of the vertical along the route over the sea can be improved by the linear interpolation model.The results are also in accord with those of trigonometirc levelings.The practical case shows that we can precisely connect the orthometric height across the Qiongzhou Strait to satisfy the requirement of order 3 leveling network of China.The method is very efficient to precisely connect the height datum across the sea along the route up to 80 km.

  13. A Rare Nasal Bone Fracture: Anterior Nasal Spine Fracture

    Directory of Open Access Journals (Sweden)

    Egemen Kucuk


    Full Text Available Anterior nasal spine fractures are a quite rare type of nasal bone fractures. Associated cervical spine injuries are more dangerous than the nasal bone fracture. A case of the anterior nasal spine fracture, in a 18-year-old male was presented. Fracture of the anterior nasal spine, should be considered in the differential diagnosis of the midface injuries and also accompanying cervical spine injury should not be ignored.

  14. Increased cortical porosity in women with hip fracture. (United States)

    Sundh, D; Nilsson, A G; Nilsson, M; Johansson, L; Mellström, D; Lorentzon, M


    Hip fractures cause increased mortality and disability and consume enormous healthcare resources. Only 46% of hip fracture patients have osteoporosis at the total hip according to dual-energy X-ray absorptiometry (DXA) measurement. Cortical porosity increases with ageing and is believed to be important for bone strength. To investigate whether older women with hip fracture have higher cortical porosity than controls, and if so whether this difference is independent of clinical risk factors and areal bone mineral density (aBMD). From an ongoing population-based study, we identified 46 women with a prevalent X-ray-verified hip fracture and 361 control subjects without any fractures. aBMD was measured with DXA. High-resolution peripheral quantitative computed tomography was used to measure bone microstructure at the standard (ultradistal) site and at 14% (distal) of the tibial length. Women with a previous hip fracture had lower aBMD at the femoral neck (-11.8%) and total hip (-14.6%) as well as higher cortical porosity at the ultradistal (32.1%) and distal (29.3%) tibia compared with controls. In multivariable logistic regression analysis, with adjustment for covariates (age, height, weight, smoking, calcium intake, physical activity, walk time, oral glucocorticoids, parental hip fracture, rheumatoid arthritis, previous fall, current bisphosphonate treatment and femoral neck aBMD), cortical porosity at the ultradistal [odds ratio per standard deviation increase (95% confidence interval) 2.61 (1.77-3.85)] and distal [1.57 (1.12-2.20)] sites was associated with prevalent hip fracture. Cortical porosity was associated with prevalent hip fracture in older women independently of femoral neck aBMD and clinical risk factors. © 2017 The Authors. Journal of Internal Medicine published by John Wiley & Sons Ltd on behalf of Association for Publication of The Journal of Internal Medicine.

  15. Flank pseudohernia following posterior rib fracture: a case report. (United States)

    Butensky, Adam M; Gruss, Leah P; Gleit, Zachary L


    A pseudohernia is an abdominal wall bulge that may be mistaken for a hernia but that lacks the disruption of the abdominal wall that characterizes a hernia. Thus, the natural history and treatment of this condition differ from those of a hernia. This is the first report of a pseudohernia due to cough-associated rib fracture. A case of pseudohernia due to fractures of the 10(th) and 11(th) ribs in a 68-year-old white woman is presented. The patient suffered from a major coughing episode 1 year prior to her presentation, after which she noted a progressively enlarging bulge in her left flank. Computed tomography demonstrated a bulge in the abdominal wall containing bowel and spleen but with all muscle and fascial layers intact; in addition, lateral 10(th) rib and posterior 11(th) rib fractures were noted. As there was no defect in muscle or fascia, we diagnosed a pseudohernia, likely due to a denervation injury from the fractured ribs. Symptomatic treatment was recommended, including wearing a corset and referral to a pain management clinic. Symptomatic treatment is thought to be the mainstay of therapy for pseudohernias, as surgical intervention is unlikely to be of benefit.

  16. Hydraulic Fracture Containment in Sand

    NARCIS (Netherlands)

    Dong, Y.


    The mechanism of hydraulic fracturing in soft, high permeability material is considered fundamentally different from that in hard, low permeability rock, where a tensile fracture is created and conventional linear elastic fracture mechanics (LEFM) applies. The fracturing and associated modeling work

  17. Effect of little fault in working face on water conducted fissure height%采场小断层对导水裂隙高度的影响

    Institute of Scientific and Technical Information of China (English)

    黄炳香; 刘长友; 许家林


    Overlying strata fracture law and evolutionary process of water conducted fissure in little fault (fault throw less-than 5m) zone were researched by similar simulation experiment. The effect law of little fault in working face to water conducted fissure height was obtained. When working face advances near to normal fault from lower plate to upper plate, rotating deformation of lower plate strata induces fault surface in the ahead upward side of wall closing, and fault surface in the rear upward side of wall opening. Fault fissure experience the process of opening-closing-opening-closing along face advancing. Water conducted fissure height of normal fault face individual increase 40% and 61% than that of upper and lower plates. When working face through reversed fault from upper plate to lower plate, the pressure and pushing force of upper strata should be major controlled. Periodic fracture distance of roof strata becomes short after face enter lower plate, and roof weighting become frequent. Upper plate mainly presents slipping along fault surface. Water conducted fissure height of reversed fault is basic equal to that of upper and lower plates.%采用相似模拟实验对采场小断层(落差小于5 m)区域覆岩破断规律和断层构造裂隙的演化过程进行了研究,得出了采场小断层对导水裂隙高度的影响规律,工作面由下盘向上盘推进至正断层面附近时,下盘岩块回转导致煤壁前上方的断层面挤压闭合,煤壁后上方的断层面则处于张开状态;随工作面推进断层面经历张开一闭合一张开一闭合的过程,断层面导水裂隙高度比上、下盘竖向采动导水裂隙高度分别增大40%和61%,工作面由上盘向下盘过逆断层时,主要控制上盘岩层对支架的压力和推力;工作面进入下盘后顶板周期破断距变小,来压频繁;上盘主要表现为沿断层面的滑移;断层面导水裂隙高度与两盘岩层导水裂隙高度基本相等.


    Directory of Open Access Journals (Sweden)

    Amel Antony


    Full Text Available BACKGROUND This study puts in a sincere effort to study the spinal cord injuries in cases of fall from height. This study is intended to help the fellow radiologists to identify and thus help the individuals to cut down the progression of the disease. Identifying the spinal trauma and its clinic - epidemiological aspects will help further the practicing clinicians. The study can also help in formulation of preventive measures and putting forward management protocols in cases of spinal injury. METHODS This study was done in the Department of Radiology, Travancore Medical College, Kollam. This study was done from June 2104 to march 2016. Thirty two cases were identified and were taken up for the study. INCLUSION CRITERIA Spinal injuries following fall from height. EXCLUSION CRITERIA 1. Other spinal pathologies were not considered for the study. 2. Diabetic patients were excluded. RESULTS In the present study male sex amounted to ninety percent which amounted to twenty nine cases of spinal injury followed by female sex which amounted to ten percent which amounted to three cases. The age wise distribution of cases showed that age group of twenty to forty years showed maximum number of cases which amounted to sixteen admissions followed by age group of forty to sixty years which amounted to seven cases followed by age group of zero to twenty years which amounted to five cases, followed by age group of more than sixty years which amounted to four cases. Based on approximate height from which the fall occurred seventeen cases fell from the height of more than twenty feet, followed by nine cases which fell from the height of ten to twenty feet and six cases fell from the height of less than ten feet. The CT scan showed that eighteen cases had displaced spinal fractures followed by forteen cases which had undisplaced spinal fractures. Cord injury was seen in six cases. Based on the level of spine injury twenty six cases had lumbar spine injury, eleven

  19. Management of maxillary alveolar process fractures

    Directory of Open Access Journals (Sweden)

    Shukhrat Boymuradov


    Full Text Available Incidence of maxillofacial traumas is reported steadily increasing, maxillary fractures being extremely severe. Maxillary alveolar process (AP and front teeth are traumatized more frequently than any other parts of the maxilla. Deprivation of teeth and AP post-traumatic flaw as well as loss of alveolar height not only create a cosmetic defect but also complicate subsequent prosthetics of the patients. The work was initiated to assess efficacy of “CollapAn L” in comparison with a combination of “Osteon”, an osteoplastic material, and “Colla Guide” resorbable membrane in prevention of AP post-traumatic flaws and deformities. 60 patients aged from 16 to 47 with the comminuted fractures of maxillary AP emergently hospitalized were examined and treated. The findings showed that Combination of “Osteon” and “Colla Guide” resorbable membrane is the one to increase efficacy of the treatment, facilitating preservation of and alveolar crest height and shape. In addition, preservation of bone tissue mineralization helps avoid risk of the bone wound inflammatory morbidity.

  20. Numerical investigation and optimization of multiple fractures in tight gas reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Hou, M.Z. [Technische Univ. Clausthal, Clausthal-Zellerfeld (Germany). ITE; Energie-Forschungszentrum Niedersachsen, Goslar (Germany); Zhou, L. [Energie-Forschungszentrum Niedersachsen, Goslar (Germany)


    The main objective of the project DGMK-680 in phase 2 was to investigate the influence of fractures on each other in a multi-fracture system including their space optimization by using the numerical program FLAC3D with our own developments, which treats all fractures in one 3D geometric model under 3D stress state with fully hydro-mechanical coupling effect. The case study was conducted on a horizontal wellbore at location A, which was stimulated hydraulically with a total of eight transverse fractures in summer 2009. Transverse multiple fractures were simulated using the modified continuum method. In the simulation all fractures were generated in one single model, comprising 22 different rock layers. Each layer was assumed to be homogeneous with regard to its rock and hydromechanical parameters. Thus the influence of the individual fractures on each other can be investigated. The simulation procedure applied, which is a consecutive execution ofa hydraulic and a mechanical computation, is the same for all fractures. The only differences are the primary in-situ stresses, the initial pore pressure, the injection parameters (location, rate, volume, duration), which lead to different patterns of fracture propagations. But there are still some common points, such as irregular patterns of the fracture front, which represents the heterogeneity of the model. All fractures (1 to 8) have their fracture average half-length between 70 m to 115 m, height between 93 m to 114 m and average width between 18 mm to 31 mm. The percentage difference of fracture height for individual fractures is obviously smaller than that of the fracture half-lengths, because the fracture barriers at bottom and top limit the fracture propagation in z-direction. Incomparison with the analytical simulator (FracPro) most results match well. Simulation of multiple fractures at location A, with the newly developed algorithms, shows that individual transverse multiple fractures at distances between 100

  1. Effect of Shock Wave on Fabricated Anti-Blast Wall and Distribution Law Around the Wall Under Near Surface Explosion

    Institute of Scientific and Technical Information of China (English)

    WU Jun; LIU Jingbo; YAN Qiushi


    The loads of shock wave effect on fabricated anti-blast wall and distribution law around the wall were investigated by using near surface explosion test method and FEM.The pressure-time histories and variety law on the foreside and backside of the anti-blast wall were adopted in the tests of variety of different explosion distances and dynamites,as well as in the comparison between the test and numerical calculation.The test results show that the loads of shock wave effect on the anti-blast wall were essen-tially consistent with calculation results using criterion under surface explosion when explosion distances exceed 2 m,the distribution of overpressure behind wall was gained according to variety law based on small-large-small.It is also demonstrated that the peak overpressure behind wall had commonly appeared in wall height by 1.5--2.5 multiples,and the peak overpressures of protective building behind wall could be reduced effectively by using the fabricated anti-blast wall.

  2. Helicity at Photospheric and Chromospheric Heights

    CERN Document Server

    Tiwari, S K; Sankarasubramanian, K


    In the solar atmosphere the twist parameter $\\alpha$ has the same sign as magnetic helicity. It has been observed using photospheric vector magnetograms that negative/positive helicity is dominant in the northern/southern hemisphere of the Sun. Chromospheric features show dextral/sinistral dominance in the northern/southern hemisphere and sigmoids observed in X-rays also have a dominant sense of reverse-S/forward-S in the northern/southern hemisphere. It is of interest whether individual features have one-to-one correspondence in terms of helicity at different atmospheric heights. We use UBF \\Halpha images from the Dunn Solar Telescope (DST) and other \\Halpha data from Udaipur Solar Observatory and Big Bear Solar Observatory. Near-simultaneous vector magnetograms from the DST are used to establish one-to-one correspondence of helicity at photospheric and chromospheric heights. We plan to extend this investigation with more data including coronal intensities.

  3. BOREAS AFM-6 Boundary Layer Height Data (United States)

    Wilczak, James; Hall, Forrest G. (Editor); Newcomer, Jeffrey A. (Editor); Smith, David E. (Technical Monitor)


    The Boreal Ecosystem-Atmosphere Study (BOREAS) Airborne Fluxes and Meteorology (AFM)-6 team from National Oceanic and Atmospheric Adminsitration/Environment Technology Laboratory (NOAA/ETL) operated a 915-MHz wind/Radio Acoustic Sounding System (RASS) profiler system in the Southern Study Area (SSA) near the Old Jack Pine (OJP) site. This data set provides boundary layer height information over the site. The data were collected from 21 May 1994 to 20 Sep 1994 and are stored in tabular ASCII files. The boundary layer height data are available from the Earth Observing System Data and Information System (EOSDIS) Oak Ridge National Laboratory (ORNL) Distributed Active Archive Center (DAAC). The data files are available on a CD-ROM (see document number 20010000884).

  4. Adaptive Layer Height During DLP Materials Processing

    DEFF Research Database (Denmark)

    Pedersen, David Bue; Zhang, Yang; Nielsen, Jakob Skov


    for considerable process speedup during the Additive Manufacture of components that contain areas of low cross-section variability, at no loss of surface quality. The adaptive slicing strategy was tested with a purpose built vat polymerisation system and numerical engine designed and constructed to serve as a Next......This research aim to show how manufacturing speeds during vat polymerisation can be vastly increased through an adaptive layer height strategy that takes the geometry into account through analysis of the relationship between layer height, cross-section variability and surface structure. This allows......-Gen technology platform. By means of assessing hemispherical manufactured test specimen and through 3D surface mapping with variable-focus microscopy and confocal microscopy, a balance between minimal loss of surface quality with a maximal increase of manufacturing rate has been identified as a simple angle...

  5. Accurate barrier heights using diffusion Monte Carlo

    CERN Document Server

    Krongchon, Kittithat; Wagner, Lucas K


    Fixed node diffusion Monte Carlo (DMC) has been performed on a test set of forward and reverse barrier heights for 19 non-hydrogen-transfer reactions, and the nodal error has been assessed. The DMC results are robust to changes in the nodal surface, as assessed by using different mean-field techniques to generate single determinant wave functions. Using these single determinant nodal surfaces, DMC results in errors of 1.5(5) kcal/mol on barrier heights. Using the large data set of DMC energies, we attempted to find good descriptors of the fixed node error. It does not correlate with a number of descriptors including change in density, but does correlate with the gap between the highest occupied and lowest unoccupied orbital energies in the mean-field calculation.

  6. International Divider Walls

    NARCIS (Netherlands)

    Kruis, A.; Sneller, A.C.W.(L.)


    The subject of this teaching case is the Enterprise Resource Planning (ERP) system implementation at International Divider Walls, the world market leader in design, production, and sales of divider walls. The implementation in one of the divisions of this multinational company had been successful, a

  7. Domain wall filters

    CERN Document Server

    Bär, O; Neuberger, H; Witzel, O; Baer, Oliver; Narayanan, Rajamani; Neuberger, Herbert; Witzel, Oliver


    We propose using the extra dimension separating the domain walls carrying lattice quarks of opposite handedness to gradually filter out the ultraviolet fluctuations of the gauge fields that are felt by the fermionic excitations living in the bulk. This generalization of the homogeneous domain wall construction has some theoretical features that seem nontrivial.

  8. Thin Wall Iron Castings

    Energy Technology Data Exchange (ETDEWEB)

    J.F. Cuttino; D.M. Stefanescu; T.S. Piwonka


    Results of an investigation made to develop methods of making iron castings having wall thicknesses as small as 2.5 mm in green sand molds are presented. It was found that thin wall ductile and compacted graphite iron castings can be made and have properties consistent with heavier castings. Green sand molding variables that affect casting dimensions were also identified.

  9. International Divider Walls

    NARCIS (Netherlands)

    Kruis, A.; Sneller, A.C.W.(L.)


    The subject of this teaching case is the Enterprise Resource Planning (ERP) system implementation at International Divider Walls, the world market leader in design, production, and sales of divider walls. The implementation in one of the divisions of this multinational company had been successful,

  10. Height predicts jealousy differently for men and women

    NARCIS (Netherlands)

    Buunk, Abraham P.; Park, Justin H.; Zurriaga, Rosario; Klavina, Liga; Massar, Karlijn

    Because male height is associated with attractiveness, dominance, and reproductive success, taller men may be less jealous. And because female height has a curvilinear relationship with health and reproductive success (with average-height females having the advantages), female height may have a

  11. Leg length, sitting height and postmenopausal breast cancer risk

    DEFF Research Database (Denmark)

    Mellemkjær, L; Christensen, J; Frederiksen, K


    Tallness has consistently been associated with an increased risk of breast cancer. We investigated the association further by decomposing height into leg length and sitting height.......Tallness has consistently been associated with an increased risk of breast cancer. We investigated the association further by decomposing height into leg length and sitting height....

  12. Height predicts jealousy differently for men and women

    NARCIS (Netherlands)

    Buunk, Abraham P.; Park, Justin H.; Zurriaga, Rosario; Klavina, Liga; Massar, Karlijn


    Because male height is associated with attractiveness, dominance, and reproductive success, taller men may be less jealous. And because female height has a curvilinear relationship with health and reproductive success (with average-height females having the advantages), female height may have a curv

  13. Measuring Ice Sheet Height with ICESat-2 (United States)

    Walsh, K.; Smith, B.; Neumann, T.; Hancock, D.


    ICESat-2 is NASA's next-generation laser altimeter, designed to measure changes in ice sheet height and sea ice freeboard. Over the ice sheets, it will use a continuous repeat-track pointing strategy to ensure that it accurately measures elevation changes along a set of reference tracks. Over most of the area of Earth's ice sheets, ICESat-2 will provide coverage with a track-to-track spacing better than ~3 km. The onboard ATLAS instrument will use a photon-counting approach to provide a global geolocated photon point cloud, which is then converted into surface-specific elevation data sets. In this presentation, we will outline our strategy for taking the low-level photon point cloud and turning it into measurements posted at 20 m along-track for a set of pre-defined reference points by (1) selecting groups of photon events (PEs) around each along-track point, (2) refining the initial PE selection by fitting selected PEs with an along-track segment model and eliminating outliers to the model, (3) applying histogram-based corrections to the surface height based on the residuals to the along-track segment model, (4) calculate error estimates based on estimates of relative contributions of signal and noise PEs to the observed PE count, and (5) determining the final location and surface height of the along-track segment. These measurements are then corrected for short-scale (100-200 m) across-track surface topography around the reference points to develop a time series of land ice heights. The resulting data products will allow us to measure ice sheet elevation change with a point-for-point accuracy of a few centimeters over Earth's ice sheets.

  14. Feynman amplitudes and limits of heights (United States)

    Amini, O.; Bloch, S. J.; Burgos Gil, J. I.; Fresán, J.


    We investigate from a mathematical perspective how Feynman amplitudes appear in the low-energy limit of string amplitudes. In this paper, we prove the convergence of the integrands. We derive this from results describing the asymptotic behaviour of the height pairing between degree-zero divisors, as a family of curves degenerates. These are obtained by means of the nilpotent orbit theorem in Hodge theory.

  15. The Comprehensive AOCMF Classification System: Condylar Process Fractures - Level 3 Tutorial. (United States)

    Neff, Andreas; Cornelius, Carl-Peter; Rasse, Michael; Torre, Daniel Dalla; Audigé, Laurent


    This tutorial outlines the detailed system for fractures of the condylar process at the precision level 3 and is organized in a sequence of sections dealing with the description of the classification system within topographical subdivisions along with rules for fracture coding and a series of case examples with clinical imaging. Basically, the condylar process comprises three fracture levels and is subdivided into the head region, the condylar neck, and the condylar base. Fractures of the condylar head show typical fracture lines either within the lateral pole zone, which may lead to loss of vertical height, or medially to the pole zone, with the latter ones usually not compromising the vertical condyle to fossa relation. In condylar head fractures, the morphology is further described by the presence of minor or major fragmentation, the vertical apposition of fragments at the plane of the head fracture, the displacement of the condylar head with regard to the fossa including a potential distortion of the condylar head congruency resulting in dystopic condyle to fossa relations and the presence or absence of a loss of vertical ramus height. A specific vertical fracture pattern extending from the head to the neck or base subregion is considered. Fractures of the condylar neck and base can be differentiated according to a newly introduced one-third to two-thirds rule with regard to the proportion of the fracture line above and below the level of the sigmoid notch, which is presented in the classification article, and are basically subdivided according to the presence or absence of displacement or dislocation. In both condylar neck and base fractures, the classification is again based on the above mentioned parameters such as fragmentation, displacement of the condylar head with regard to the fossa, including dystopic condyle to fossa relations and loss of vertical ramus height, that is, according to the measurement of the condylar process. In addition, the

  16. Hard and soft walls

    CERN Document Server

    Milton, Kimball A


    In a continuing effort to understand divergences which occur when quantum fields are confined by bounding surfaces, we investigate local energy densities (and the local energy-momentum tensor) in the vicinity of a wall. In this paper, attention is largely confined to a scalar field. If the wall is an infinite Dirichlet plane, well known volume and surface divergences are found, which are regulated by a temporal point-splitting parameter. If the wall is represented by a linear potential in one coordinate $z$, the divergences are softened. The case of a general wall, described by a potential of the form $z^\\alpha$ for $z>0$ is considered. If $\\alpha>2$, there are no surface divergences, which in any case vanish if the conformal stress tensor is employed. Divergences within the wall are also considered.

  17. Acute rib fracture diagnosis in an infant by US: a matter of child protection

    Energy Technology Data Exchange (ETDEWEB)

    Kelloff, Jennifer; Spivey, Maria [Washington University School of Medicine, Department of Pediatrics, Section on Child Abuse and Neglect, St. Louis Children' s Hospital, One Children' s Place, Box 8116, St. Louis, MO (United States); Hulett, Rebecca [Washington University School of Medicine, Department of Radiology, St. Louis Children' s Hospital, St. Louis, MO (United States)


    Rib fractures in infants and children are highly specific for inflicted injury in the absence of a major accidental injury or underlying bone disorder. We present a 9-week-old infant diagnosed with an acute rib fracture by US at the site where physicians palpated chest wall crepitus when no rib fractures had been visualized on the skeletal survey, including oblique views of the ribs. Based on the US diagnosis of the acute rib fracture the infant was taken into protective custody. Follow-up skeletal survey 2 weeks later revealed healing fractures of the left 6th and 7th posterolateral ribs and right 7th, 8th and 9th anterolateral ribs. We were unable to locate previous reports describing the diagnosis of rib fractures in infants by US. (orig.)

  18. Paediatric talus fracture.

    LENUS (Irish Health Repository)

    Byrne, Ann-Maria


    Paediatric talus fractures are rare injuries resulting from axial loading of the talus against the anterior tibia with the foot in dorsiflexion. Skeletally immature bone is less brittle, with higher elastic resistance than adult bone, thus the paediatric talus can sustain higher forces before fractures occur. However, displaced paediatric talus fractures and those associated with high-energy trauma have been associated with complications including avascular necrosis, arthrosis, delayed union, neurapraxia and the need for revision surgery. The authors present the rare case of a talar neck fracture in a skeletally immature young girl, initially missed on radiological review. However, clinical suspicion on the part of the emergency physician, repeat examination and further radiographic imaging revealed this rare paediatric injury.

  19. Geothermal Ultrasonic Fracture Imager

    Energy Technology Data Exchange (ETDEWEB)

    Patterson, Doug [Baker-Hughes Oilfield Operation Inc., Houston, TX (United States); Leggett, Jim [Baker-Hughes Oilfield Operation Inc., Houston, TX (United States)


    The Geothermal Ultrasonic Fracture Imager project has a goal to develop a wireline ultrasonic imager that is capable of operating in temperatures up to 300°C (572°F) and depths up to 10 km (32,808 ft). This will address one of the critical needs in any EGS development of understanding the hydraulic flow paths in the reservoir. The ultrasonic imaging is well known in the oil and gas industry as one of the best methods for fracture evaluation; providing both high resolution and complete azimuthal coverage of the borehole. This enables fracture detection and characterization, both natural and induced, providing information as to their location, dip direction and dip magnitude. All of these factors are critical to fully understand the fracture system to enable the optimization of the thermal drainage through injectors and producers in a geothermal resource.

  20. Clavicle Fracture (Broken Collarbone) (United States)

    ... Bahk MS, Kuhn JE, Galatz LM, Connor PM, Williams GR: Acromioclavicular and sternoclavicular injuries and cla- vicular, ... Orthopaedic Surgeons. .org Clavicle Fracture cont. Rehabilitation Specific exercises will help restore movement and strengthen your shoulder. ...

  1. Proximal femoral fractures

    DEFF Research Database (Denmark)

    Palm, Henrik; Teixidor, Jordi


    BACKGROUND: In hip fracture surgery, the exact choice of implant often remains somewhat unclear for the individual surgeon, but the growing literature consensus has enabled publication of evidence-based surgical treatment pathways. The aim of this article was to review author pathways and national...... guidelines for hip fracture surgery and discuss a method for future pathway/guideline implementation and evaluation. METHODS: By a PubMed search in March 2015 six studies of surgical treatment pathways covering all types of proximal femoral fractures with publication after 1995 were identified. Also we...... searched the homepages of the national heath authorities and national orthopedic societies in West Europe and found 11 national or regional (in case of no national) guidelines including any type of proximal femoral fracture surgery. RESULTS: Pathway consensus is outspread (internal fixation for un...

  2. Gravity and Height Variations at Medicina, Italy (United States)

    Bruni, Sara; Zerbini, Susanna; Errico, Maddalena; Santi, Efisio; Wziontek, Hartmut


    Since 1996, at the Medicina station, height and gravity variations are monitored continuously by means of GPS, VLBI and superconducting gravimeter (SG) data. Additionally, absolute gravity observations are performed twice a year and environmental parameters, among others water table levels, are regularly acquired. Levelling between the different monuments at the site area is also carried out repeatedly to constrain local ties in the vertical position. Two GPS systems are located very close to each other, and both are in close proximity to the VLBI antenna. Twenty years of data are now available, which allow investigating both long- and short-period height and gravity signals together with their relevant correlations. Natural land subsidence, which is well known to occur in the area, is a major component of the observed long-term behavior; however, non-linear long-period signatures are also present in the time series. On a shorter time scale, fingerprints of the water table seasonal oscillations can be recognized in the data. The Medicina site is characterized by clayey soil subjected to consolidation effects when the water table lowers during summer periods. The pillar on which the SG is installed is especially affected because of its shallow foundation, causing height decreases in the order of 2.5-3 cm for water table lowering of 2 m. This study presents a comparative analysis of the different data sets with the aim of separating mass and deformation contributions in the SG gravity record.

  3. Algorithmic height compression of unordered trees. (United States)

    Ben-Naoum, Farah; Godin, Christophe


    By nature, tree structures frequently present similarities between their sub-parts. Making use of this redundancy, different types of tree compression techniques have been designed in the literature to reduce the complexity of tree structures. A popular and efficient way to compress a tree consists of merging its isomorphic subtrees, which produces a directed acyclic graph (DAG) equivalent to the original tree. An important property of this method is that the compressed structure (i.e. the DAG) has the same height as the original tree, thus limiting partially the possibility of compression. In this paper we address the problem of further compressing this DAG in height. The difficulty is that compression must be carried out on substructures that are not exactly isomorphic as they are strictly nested within each-other. We thus introduced a notion of quasi-isomorphism between subtrees that makes it possible to define similar patterns along any given path in a tree. We then proposed an algorithm to detect these patterns and to merge them, thus leading to compressed structures corresponding to DAGs augmented with return edges. In this way, redundant information is removed from the original tree in both width and height, thus achieving minimal structural compression. The complete compression algorithm is then illustrated on the compression of various plant-like structures.

  4. A global boundary-layer height climatology

    Energy Technology Data Exchange (ETDEWEB)

    Dop, H. van; Krol, M.; Holtslag, B. [Inst. for Marine and Atmospheric Research Utrecht, IMAU, Utrecht (Netherlands)


    In principle the ABL (atmospheric boundary layer) height can be retrieved from atmospheric global circulation models since they contain algorithms which determine the intensity of the turbulence as a function of height. However, these data are not routinely available, or on a (vertical) resolution which is too crude in view of the application. This justifies the development of a separate algorithm in order to define the ABL. The algorithm should include the generation of turbulence by both shear and buoyancy and should be based on readily available atmospheric parameters. There is obviously a wide application for boundary heights in off-line global and regional chemistry and transport modelling. It is also a much used parameter in air pollution meteorology. In this article we shall present a theory which is based on current insights in ABL dynamics. The theory is applicable over land and sea surfaces in all seasons. The theory is (for various reasons) not valid in mountainous areas. In areas where boundary-layer clouds or deep cumulus convection are present the theory does not apply. However, the same global atmospheric circulation models contain parameterizations for shallow and deep convection from which separate estimates can be obtained for the extent of vertical mixing. (au)

  5. A brief treatment for fear of heights. (United States)

    Arroll, Bruce; Henwood, Suzanne M; Sundram, Fred I; Kingsford, Douglas W; Mount, Vicki; Humm, Steve P; Wallace, Henry B; Pillai, Avinesh


    Objective To assess the effectiveness of a novel imaginal intervention for people with acrophobia. Methods The design was a randomized controlled trial with concealed randomization and blinded to other participants' intervention. The intervention was a single novel imaginal intervention session or a 15-min meditation. The setting was in Auckland, New Zealand. The participants were a convenience sample of the public with a score >29 on the Heights Interpretation Questionnaire (HIQ), a questionnaire validated against actual height exposure. The primary outcomes were the proportion of participants with a score fear of heights is very much improved. There was a 4.5-point difference in the HIQ score at eight weeks (p = 0.055) on the multiple regression analysis. Conclusions This is the first randomized trial of this novel imaginal intervention which is probably effective, brief, easily learnt, and safe. It may be worth considering doing this prior to some of the longer or more expensive exposure therapies. This study will be of interest to family doctors, psychiatrists, and psychologists.

  6. Fracture Behavior under Impact. (United States)


    discussed for the different loading rates ob- tai ned . 1. Introduction In static fracture mechanics crack tip stress intensity factors can easi- - ly...deviation to the left or to the right hand side of the original crack path was observed. Herrmann [151 speculated that this behavior results from stress...Materials’ Draft 2c, American Society for Testing and Materials, Philadelphia, .. ,-- 1980. 15. Herrmann , G., "Dynamic Fracture of Beams in Bending

  7. Atomistic simulations of fracture

    Energy Technology Data Exchange (ETDEWEB)

    Farkas, D. [Virginia Polytechnic Inst. and State Univ., Blacksburg, VA (United States). Dept. of Materials Science and Engineering


    Embedded atom interaction potentials are used to simulate the atomistic aspects of the fracture process. Simulations are presented for the behavior of cracks in pure metals and intermetallics, near the Griffith condition. The materials considered include Fe, Cu, Ni as well as Fe, Ni, Co, and Ti aluminides. The work focuses on the comparative study of fracture behavior in the different materials. The role of the atomic relaxation at the crack tip and of lattice trapping phenomena is analyzed.

  8. Science of Fracture. (United States)


    Fracture Set-Up .............. 163 Dr. Jan T. Lindt 4.i0 Fracture in Fully Plastic Bodies ............................... 171 Dr. Howard Kuhn iii I...Benthem’s results and results obtained by 15 Bazant and Estenssoro (12) who used a finite element method of determining critical eigenvalues. Each of...14) is made by Benthem in (10) and (11) and only che sentence quoted above made by Bazant and Estenssoro (12). This is unfortunate since constructive

  9. Quantification of gait changes in subjects with visual height intolerance when exposed to heights (United States)

    Schniepp, Roman; Kugler, Günter; Wuehr, Max; Eckl, Maria; Huppert, Doreen; Huth, Sabrina; Pradhan, Cauchy; Jahn, Klaus; Brandt, Thomas


    Introduction: Visual height intolerance (vHI) manifests as instability at heights with apprehension of losing balance or falling. We investigated contributions of visual feedback and attention on gait performance of subjects with vHI. Materials and Methods: Sixteen subjects with vHI walked over a gait mat (GAITRite®) on a 15-m-high balcony and at ground-level. Subjects walked at different speeds (slow, preferred, fast), during changes of the visual input (gaze straight/up/down; eyes open/closed), and while doing a cognitive task. An rmANOVA with the factors “height situation” and “gait condition” was performed. Subjects were also asked to estimate the height of the balcony over ground level. The individual estimates were used for correlations with the gait parameters. Results: Study participants walked slower at heights, with reduced cadence and stride length. The double support phases were increased (all p vHI; gait was similarly affected when the visual perception of the depth was prevented. Improvement by dual task at heights may be associated by a reduction of the anxiety level. Conclusion: It is conceivable that mental distraction by dual task or increasing the walking speed might be useful recommendations to reduce the imbalance during locomotion in subjects susceptible to vHI. PMID:25538595

  10. Low-frequency fluid waves in fractures and pipes

    Energy Technology Data Exchange (ETDEWEB)

    Korneev, Valeri


    Low-frequency analytical solutions have been obtained for phase velocities of symmetrical fluid waves within both an infinite fracture and a pipe filled with a viscous fluid. Three different fluid wave regimes can exist in such objects, depending on the various combinations of parameters, such as fluid density, fluid viscosity, walls shear modulus, channel thickness, and frequency. Equations for velocities of all these regimes have explicit forms and are verified by comparisons with the exact solutions. The dominant role of fractures in rock permeability at field scales and the strong amplitude and frequency effects of Stoneley guided waves suggest the importance of including these wave effects into poroelastic theories.

  11. Subduction of fracture zones (United States)

    Constantin Manea, Vlad; Gerya, Taras; Manea, Marina; Zhu, Guizhi; Leeman, William


    Since Wilson proposed in 1965 the existence of a new class of faults on the ocean floor, namely transform faults, the geodynamic effects and importance of fracture zone subduction is still little studied. It is known that oceanic plates are characterized by numerous fracture zones, and some of them have the potential to transport into subduction zones large volumes of water-rich serpentinite, providing a fertile water source for magma generated in subduction-related arc volcanoes. In most previous geodynamic studies, subducting plates are considered to be homogeneous, and there is no clear indication how the subduction of a fracture zone influences the melting pattern in the mantle wedge and the slab-derived fluids distribution in the subarc mantle. Here we show that subduction of serpentinized fracture zones plays a significant role in distribution of melt and fluids in the mantle wedge above the slab. Using high-resolution tree-dimensional coupled petrological-termomechanical simulations of subduction, we show that fluids, including melts and water, vary dramatically in the region where a serpentinized fracture zone enters into subduction. Our models show that substantial hydration and partial melting tend to concentrate where fracture zones are being subducted, creating favorable conditions for partially molten hydrous plumes to develop. These results are consistent with the along-arc variability in magma source compositions and processes in several regions, as the Aleutian Arc, the Cascades, the Southern Mexican Volcanic Arc, and the Andean Southern Volcanic Zone.

  12. Prevention of hip fractures. (United States)

    Meunier, P J


    For a 50-year old Caucasian woman today, the risk of a hip fracture over her remaining life-time is about 17%. Tomorrow the situation will clearly be worse because the continuous increase in life expectancy will cause a three-fold increase in worldwide fracture incidence over the next 60 years. Through diagnostic bone mass measurements at the hip and assessment of biochemical parameters, a great deal has been learned in recent years about reduction of hip fracture risk. Preventive strategies are based on prevention of falls, use of hip protectors, and prevention of bone fragility. The latter includes the optimization of peak bone mass during childhood, postmenopausal estrogen replacement therapy, and also late prevention consisting in reversing senile secondary hyperparathyroidism, which plays an important role in the decrease of skeletal strength. This secondary hyperparathyroidism, which results from both vitamin D insufficiency and low calcium intake, is preventable with vitamin D3 and calcium supplements. They have recently been shown capable of providing effective prevention of hip fractures in elderly women living in nursing homes, with a reduction of about 25% in the number of hip fractures noted in a 3-year controlled study in 3,270 women (intention-to-treat analysis). In conclusion, it is never too early to reduce the risk of osteoporosis and never too late to prevent hip fractures.


    Energy Technology Data Exchange (ETDEWEB)

    Subhash Shah


    Hydraulic fracturing technology has been successfully applied for well stimulation of low and high permeability reservoirs for numerous years. Treatment optimization and improved economics have always been the key to the success and it is more so when the reservoirs under consideration are marginal. Fluids are widely used for the stimulation of wells. The Fracturing Fluid Characterization Facility (FFCF) has been established to provide the accurate prediction of the behavior of complex fracturing fluids under downhole conditions. The primary focus of the facility is to provide valuable insight into the various mechanisms that govern the flow of fracturing fluids and slurries through hydraulically created fractures. During the time between September 30, 1992, and March 31, 2000, the research efforts were devoted to the areas of fluid rheology, proppant transport, proppant flowback, dynamic fluid loss, perforation pressure losses, and frictional pressure losses. In this regard, a unique above-the-ground fracture simulator was designed and constructed at the FFCF, labeled ''The High Pressure Simulator'' (HPS). The FFCF is now available to industry for characterizing and understanding the behavior of complex fluid systems. To better reflect and encompass the broad spectrum of the petroleum industry, the FFCF now operates under a new name of ''The Well Construction Technology Center'' (WCTC). This report documents the summary of the activities performed during 1992-2000 at the FFCF.

  14. [Subtrochanteric femoral fractures]. (United States)

    Ulmar, B; Simon, S; Eschler, A; Mittlmeier, T


    Subtrochanteric femoral fractures are proximal femoral fractures which are located between the trochanter minor and an area of 3 cm below the minor trochanter on the femoral shaft. About 10-15% of all proximal femoral fractures correspond to this fracture site. Elderly or geriatric patients are generally affected and the injury is often the result of a fall in the home, while high-energy trauma is the cause in a small group of generally younger patients. Clinical evaluation of the affected extremity shows disability of axial weight-bearing and pain during compression and rotation of the hip joint. Basic diagnostics include conventional x-rays of the injured femur in the anterior-posterior and lateral planes. These subtrochanteric femoral fractures are almost always treated surgically due to the inherent high degree of instability. The main goals of surgical intervention are to achieve anatomic fracture reduction and primary full weight-bearing stability of the corresponding leg. Intramedullary interlocking nails are used for primary treatment, while extramedullary implants are often used in revision surgery. Early mobilization and intensive respiratory exercises are necessary to prevent early postoperative complications.

  15. Fracture toughness of graphene. (United States)

    Zhang, Peng; Ma, Lulu; Fan, Feifei; Zeng, Zhi; Peng, Cheng; Loya, Phillip E; Liu, Zheng; Gong, Yongji; Zhang, Jiangnan; Zhang, Xingxiang; Ajayan, Pulickel M; Zhu, Ting; Lou, Jun


    Perfect graphene is believed to be the strongest material. However, the useful strength of large-area graphene with engineering relevance is usually determined by its fracture toughness, rather than the intrinsic strength that governs a uniform breaking of atomic bonds in perfect graphene. To date, the fracture toughness of graphene has not been measured. Here we report an in situ tensile testing of suspended graphene using a nanomechanical device in a scanning electron microscope. During tensile loading, the pre-cracked graphene sample fractures in a brittle manner with sharp edges, at a breaking stress substantially lower than the intrinsic strength of graphene. Our combined experiment and modelling verify the applicability of the classic Griffith theory of brittle fracture to graphene. The fracture toughness of graphene is measured as the critical stress intensity factor of and the equivalent critical strain energy release rate of 15.9 J m(-2). Our work quantifies the essential fracture properties of graphene and provides mechanistic insights into the mechanical failure of graphene.

  16. Final adult height of children with inflammatory bowel disease is predicted by parental height and patient minimum height Z-score

    NARCIS (Netherlands)

    J.J. Lee (Jessica); J.C. Escher (Johanna); M.J. Shuman (Melissa); P.W. Forbes (Peter); L.C. Delemarre (Luçan); B.W. Harr (Brian); M. Kruijer (Marjan); M. Moret (Marlous); S. Allende-Richter (Sophie); R.J. Grand (Richard)


    textabstractBackground: This study was designed to elucidate the contribution of parental height to the stature of children with inflammatory bowel disease (IBD), who often exhibit growth impairment. Accordingly, we compared patients' final adult heights and target heights based on measured parental

  17. Importance of greenstick lamina fractures in low lumbar burst fractures (United States)

    Ersozlu, S.; Aydinli, U.


    Lumbar burst fractures (L3–L5) represent a small percentage of all spinal fractures. The treatment of fractures involving the lumbar spine has been controversial. Lamina fractures may be complete or of the greenstick type. Dural tears and nerve root entrapment may accompany these lamina fractures. The aim of this retrospective study was to determine the incidence of dural tear in patients who had lumbar burst fractures with greenstick lamina fractures and the importance of these lamina fractures when choosing the optimum treatment. Twenty-six patients with 28 lumbar burst fractures were treated from 1995 through 2002. The average follow-up was 60 months (range 32–110 months). The male to female ratio was 21:5 and the mean age was 37 years (17–64). Dural tear was detected in seven (25%) out of 28 burst fractures. The functional outcome of the entire study group was assessed using the Smiley-Webster Scale. Good to excellent results were obtained in 24 (92%) of 26 patients. Lumbar burst fractures with greenstick lamina fractures occur mostly in the L2–L4 area. In the surgical treatment, any reduction manoeuvre will close the fracture and crush the entrapped neural elements. Therefore, it may be better to explore the greenstick lamina fracture whether there is any neural entrapment or not, before any reduction manoeuvre is attempted. PMID:16501977

  18. [Clinical application of the combination of postural reduction and kyphoplasty for traumatic thoracolumbar spine fractures]. (United States)

    Huang, Hong-bin; Bao, Feng; Ji, Xiang-rong; Fan, Shun-wu; Chen, Hong-wei


    To determine the efficacy and feasibility of the combination of postural reduction and percutaneous kyphoplasty for traumatic thoracolumbar spine fractures. Thirty-seven patients with single level traumatic thoracolumbar spine fractures were included in this study. There are 28 males and 9 females, with an average age of 48 years (range 24 to 79 years). Patients were treated with postural reduction and then percutaneous vertebroplasty with Calcium Phosphate Cement (CPC) were performed on the fractured vertebra. The results were quantitatively evaluated, according to the concept of estimated vertebral height loss and kyphotic angle of the vertebral fractures by preoperative and postoperative plain standing lateral radiographs. Visual analog scale (VAS) and the fracture vertebra shape changes were recorded. Patients were followed up for 9 to 24 months (average 13 months), pain was significantly relieved compared with the preoperative, VAS was reduced averagely from 7.6 +/- 2.5 to 1.8 +/- 1.5, the anterior and middle vertebral height was restored and kyphotic angle was corrected. During the period of follow up, outcomes were satisfactory, without notable correction loss. If the indications are correctly handled, the combination of postural reduction and percutaneous kyphoplasty for the treatment of traumatic thoracolumbar spine fractures can provide significant pain relieve and restore the vertebral height and kyphotic angle.

  19. Experimental Study On Fracture Property Of Double Cantilever Beam Specimen With Aluminum Foam

    Directory of Open Access Journals (Sweden)

    Kim Y.C.


    Full Text Available This study aims to investigate double cantilever beam specimen with aluminum foam bonded by spray adhesive to investigate the fracture strength of the adhesive joint experimentally. The fracture energy at opening mode is calculated by the formulae of British Engineering Standard (BS 7991 and International Standard (ISO 11343. For the static experiment, four types of specimens with the heights (h of 25 mm, 30 mm, 35 mm and 40 mm are manufactured and the experimental results are compared with each other. As the height becomes greater, the fracture energy becomes higher. After the length of crack reaches 150 mm, the fracture energy of the specimen (h=35 mm is greater than that of the specimen (h=40 mm. Fatigue test is also performed with DCB test specimen. As the height decreases, the fracture energy becomes higher. By the result obtained from this study, aluminum foam with adhesive joint can be applied to actual composite structure and its fracture property can possibly be anticipated.

  20. On the adequacy of wall functions to predict condensation rates from steam-noncondensable gas mixtures

    Energy Technology Data Exchange (ETDEWEB)

    Dehbi, A., E-mail:


    Highlights: • Work investigates the effect of near-wall mesh resolution on CFD predictions. • Case study: turbulent condensation in the presence of noncondensable gases. • Wall functions largely underpredict condensation rates at boundary layer onset. • When boundary layer is developed, wall functions predictions are reasonable. • Prescribed wall functions must be compatible with prevailing flow regime. - Abstract: As one looks forward to applying CFD based methods to simulate turbulent flows in larger volumes up to containment scales, the mesh resolution, especially near the walls, becomes one of the main issues dictating the feasibility of the simulation. The wall-function approach is a natural choice to minimize the computational size of the problem and make it tractable. In the current investigation, we compare the wall-function to the fully resolved boundary layer approaches for the prediction of vapor condensation rates on cold walls in the presence of noncondensable gases. We simulate three sets of geometric configurations. The first two sets relate to domains which are small (height of 2 m) and medium (height 4.8 m), and for which experimental heat transfer data are available. In the third set, we look at a hypothetical large 2D rectangular domain in which the condenser height is comparable to that of typical NPP containments (20 m). In the developing region of the boundary layer, it is found that the wall function treatment leads to substantial deviations from the wall resolved approach and available experimental data. Further downstream, however, when the boundary layer is fully developed, the discrepancy is greatly reduced. It is therefore concluded that the wall-function formulation is able to provide predictions of condensation rates that are similar to wall-resolved treatments in simple forced flows for which fully developed boundary layers can be assumed over most of the domain. Care must however be exercised to ensure the chosen wall

  1. CT of pelvic fractures

    Energy Technology Data Exchange (ETDEWEB)

    Falchi, Marco E-mail:; Rollandi, Gian Andrea


    Although magnetic resonance imaging has become the dominant modality for cross-sectional musculo-skeletal imaging, the widespread availability, speed, and versatility of computed tomography (CT) continue to make it a mainstay of emergency room (ER) diagnostic imaging. Pelvic ring and acetabular fractures occur as the result of significant trauma secondary to either a motor vehicle accident or a high-velocity fall. These injuries are correlated with significant morbidity and mortality, both from the complications of pelvic ring fractures and from commonly associated injuries. The most commonly used classification of pelvic and acetabular fractures has been based on conventional radiographs that are, in the majority of cases, sufficient to determine the type of injury. However, because of the complexity of pelvic and acetabular fractures, precise pathological anatomy is not easily demonstrated by routine radiographs and in many cases details of fractures are not visible. Moreover, the insufficient co-operation of the patient or the difficulty of maintaining special positions can be overcome by using computed tomography. Spiral computed tomography provides information regarding the extent of the fractures and is complementary to radiography for ascertaining the spatial arrangement of fracture fragments. Spiral computed tomography is an effective tool for understanding complex fracture patterns, particularly when combined with multi-planar reconstruction two-dimensional (MPR 2D) reformatted images or three-dimensional images (3D) images. Including these techniques of reconstruction in routine pelvic imaging protocols can change management in a significant number of cases. Subtle fractures, particularly those oriented in the axial plane, are better seen on MPR images or 3D volume-rendered images. Complex injuries can be better demonstrated with 3D volume-rendered images, and complicated spatial information about the relative positions of fracture fragments can be easily

  2. Cracking cone fracture after cold compaction of argillaceous particles

    Indian Academy of Sciences (India)

    Saïd Abid; Mohamed Bouaziz; Hatem Ksibi


    Cold uniaxial pressing of powder into a green body is a common forming process used in ceramic and pharmaceutical industries. Argillaceous particles are used as a model system to investigate granule failure during compaction. Indeed, the volume enclosed between the die and punches is reduced and the powder consolidates until a final height is obtained or a prescribed compacting pressure is reached. Desired properties of the green body are high strength, uniform density, no defects and fracture. In this work an experimental investigation has been focused on the `cracking cone’ fracture in powder compacts. This includes studies of crack propagation and determination of operating conditions to avoid the green body fracture. The numerical modelling is implemented using a finite element method based on the Von Mises criterion. A case of simulation is presented to demonstrate the ability of the model to compute the distribution of the relative stresses.

  3. Analysis of finite conductivity fractures intercepting multilayer reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Bennett, C.; Raghavan, R.; Reynolds, A.C.


    This paper presents the analytical and numerical results of an examination into the response of a fractured well in a multi-layered reservoir. The analytical solutions derived are new and served three functions. First, they enabled the verification of the numerical solutions. Second, they provided information on the structure of the solution, and thus increased physical understanding. Third, they suggested a method whereby the authors were able to correlate multi-layer solutions with the single-layer solutions. The authors show that under certain circumstances the well response of wells draining multilayer reservoirs can be correlated with single-layer reservoirs. They also find that the ratio of the fracture height to the fracture length has an influence on well performance. This influence is discussed. The authors also consider the analysis of buildup data following a short producing time. They show that the multi-layer buildup solutions can be correlated with the single-layer buildup solutions.

  4. Analysis of finite conductivity fractures intercepting multilayer reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Bennett, C.O.; Reynolds, A.C.; Raghavan, R.


    The response of a fractured well in a multilayered reservoir is the primary subject of this study. Both analytic and numeric results are presented. The analytic solutions derived are new and served 3 important functions. First, they enable verification of the numeric solutions used in this study. Second, they provided information on the structure of the solution, and thus increased physical understanding. Third, they suggested a method for correlating multilayer solutions with the single-layer solutions. The well response of wells draining multilayer reservoirs can be correlated with single-layer reservoirs. It also was found that the ratio of the fracture height to fracture length has an influence on well performance. The analysis of buildup data following a short producing time is considered. It is shown that the multilayer buildup solutions can be correlated with the single-layer buildup solutions. 21 references.

  5. Chemical Signatures of and Precursors to Fractures Using Fluid Inclusion Stratigraphy

    Energy Technology Data Exchange (ETDEWEB)

    Lorie M. Dilley


    Enhanced Geothermal Systems (EGS) are designed to recover heat from the subsurface by mechanically creating fractures in subsurface rocks. Open or recently closed fractures would be more susceptible to enhancing the permeability of the system. Identifying dense fracture areas as well as large open fractures from small fracture systems will assist in fracture stimulation site selection. Geothermal systems are constantly generating fractures (Moore, Morrow et al. 1987), and fluids and gases passing through rocks in these systems leave small fluid and gas samples trapped in healed microfractures. These fluid inclusions are faithful records of pore fluid chemistry. Fluid inclusions trapped in minerals as the fractures heal are characteristic of the fluids that formed them, and this signature can be seen in fluid inclusion gas analysis. This report presents the results of the project to determine fracture locations by the chemical signatures from gas analysis of fluid inclusions. With this project we hope to test our assumptions that gas chemistry can distinguish if the fractures are open and bearing production fluids or represent prior active fractures and whether there are chemical signs of open fracture systems in the wall rock above the fracture. Fluid Inclusion Stratigraphy (FIS) is a method developed for the geothermal industry which applies the mass quantification of fluid inclusion gas data from drill cuttings and applying known gas ratios and compositions to determine depth profiles of fluid barriers in a modern geothermal system (Dilley, 2009; Dilley et al., 2005; Norman et al., 2005). Identifying key gas signatures associated with fractures for isolating geothermal fluid production is the latest advancement in the application of FIS to geothermal systems (Dilley and Norman, 2005; Dilley and Norman, 2007). Our hypothesis is that peaks in FIS data are related to location of fractures. Previous work (DOE Grant DE-FG36-06GO16057) has indicated differences in the

  6. Treatment of fractures of the condylar head with resorbable pins or titanium screws: an experimental study. (United States)

    Schneider, Matthias; Loukota, Richard; Kuchta, Anne; Stadlinger, Bernd; Jung, Roland; Speckl, Katrin; Schmiedekampf, Robert; Eckelt, Uwe


    We aimed to compare in vivo the stability of fixation of condylar fractures in sheep using sonic bone welding and standard titanium screws. We assessed stability of the osteosynthesis and maintenance of the height of the mandibular ramus. Height decreased slightly in both groups compared with the opposite side. The volume of the condyle increased considerably in both groups mainly because callus had formed. The results showed no significant disadvantages for pin fixation compared with osteosynthesis using titanium screws.

  7. Quantification of gait changes in subjects with visual height intolerance when exposed to heights

    Directory of Open Access Journals (Sweden)

    Roman eSchniepp


    Full Text Available Introduction: Visual height intolerance (vHI manifests as instability at heights with apprehension of losing balance or falling. We investigated contributions of visual feedback and attention on gait performance of subjects with vHI. Material and Methods: Sixteen subjects with vHI walked over a gait mat (GAITRite® on a 15-m-high balcony and at ground-level. Subjects walked at different speeds (slow, preferred, fast, during changes of the visual input (gaze straight/ up/ down; eyes open /closed, and while doing a cognitive task. An rmANOVA with the factors height situation and gait condition was performed. Subjects were also asked to estimate the height of the balcony over ground level. The individual estimates were used for correlations with the gait parameters.Results: Study participants walked slower at heights, with reduced cadence and stride length. The double support phases were increased (all p<0.01, which correlated with the estimated height of the balcony (R2=0.453, p<0.05. . These changes were still present when walking with upward gaze or closure of the eyes. Under the conditions walking and looking down to the floor of the balcony, during dual-task and fast walking, there were no differences between the gait performance on the balcony and at ground-level. Discussion: The found gait changes are features of a cautious gait control. Internal, cognitive models with anxiety play an important role for vHI; gait was similarly affected when the visual perception of the depth was prevented. . Improvement by dual task at heights may be associated by a reduction of the anxiety level.Conclusion: It is conceivable that mental distraction by dual task or increasing the walking speed might be useful recommendations to reduce the imbalance during locomotion in subjects susceptible to vHI.

  8. Pedicle screw fixation against burst fracture of thoracolumbar vertebrae

    Institute of Scientific and Technical Information of China (English)

    L(U) Fu-xin; HUANG Yong; ZHANG Qiang; SHI Feng-lei; ZHAO Dong-sheng; HU Qiao


    Objective: To analyze the application of vertebral pedicle screw fixation in the treatment of burst fracture of thoracolumbar vertebrae.Methods: A total of 48 cases (31 males and 17 females, aged from 18-72 years, mean: 41.3 years) with thoracolumbar vertebrae burst fracture were treated by pedicle screw system since January 2004. According to the AO classification of thoracolumbar vertebrae fracture,there are 36 cases of Type A, 9 of Type B and 3 of Type C.Results: All patients were followed up for 6-25 months (average 12 months ), no secondary nerve root injury, spinal cord injury, loosening or breakage of pedicle screw were observed. The nerve function of 29 patients with cauda equina nerve injury was restored to different degrees. The vertebral body height returned to normal level and posterior process angle was rectified after operation.Conclusions: The vertebral pedicle screw internal fixation was technologically applicable, which can efficiently reposition and stablize the bursting fractured vertabrae,indirectly decompress canalis spinalis, maintain spine stablity, scatter stress of screw system, reduce the risk of loosening or breakage of screw and loss of vertebral height,and prevent the formation of posterior convex after operation.

  9. "I Climbed the Great Wall"

    Institute of Scientific and Technical Information of China (English)


    I finally climbed the Great Wall, A dream of my childhood; my heart is filled with pleasure at the indescribable beauty of the Wall. China’s ancient civilization is best documented by the grandeur of the Wall.


    Directory of Open Access Journals (Sweden)



    Full Text Available BACKGROUND: The treatment of acetabular fractures has seen major advances in the field of orthopaedic traumatology. Conservative treatment of acetabular fractures leads to poor results. Newer diagnostic tools like the Computed Tomography (CT scan help in analyzing the three dimensional disturbance in the normal anatomy and plan the surgical management accordingly. In recent years operative treatment has become the treat ment of choice in the management of acetabular fractures as precise anatomical reduction with adequate internal fixation can be attained. OBJECTIVES : To evaluate the functional outcome of operatively managed acetabular fractures , and assess the efficacy of operative fixation of acetabular fractures , and also study the complications of operative fixation of acetabular fractures. MATERIALS AND METHODS: Fifty five patients (49 male & six female admitted to Sanjay Gandhi Institute of Trauma and Orthopaedics wi th acetabular fractures underwent open reduction and internal fixation. All patients were evaluated with Matta et al score with a minimum of follow up of six months. RESULTS: There were 24 (43.6% patients with bicolumnar fractures , 15(27.3% had posterior column fractures , 10(18.1% had posterior wall fractures , five (9.1% had transverse fractures , and one (1.8% patient had an anterior column fracture. Full weight bearing was attained in thirty five (63.6% patients in 16 weeks and in twenty (36.4% pati ents after 16 weeks. Forty five (81.8% patients were free of complications. According to Matta et al score 27(49.1% had excellent , 15(27.3% had good , nine (16.4% had fair , and four (7.3% had poor results. CONCLUSION: Open reduction and internal fixati on of acetabular fractures is a reliable technique , minimizes healing time and provides congruent joint reduction. Operative treatment of acetabular fractures results in predictable union and good clinical results with a low rate of complications.

  11. Multicenter follow-up study of ankle fracture surgery

    Institute of Scientific and Technical Information of China (English)

    XU Hai-lin; WANG Gang; WANG Guang-lin; WU Xin-bao; LIU Li-min; LI Xuan; ZHANG Dian-ying; FU Zhong-guo; WANG Tian-bing; ZHANG Pei-xun; JIANG Bao-guo; SHEN Hui-liang


    Background Few data on ankle fractures in China from large multicenter epidemiological and clinical studies are available.The aim of this research was to evaluate the epidemiological features and surgical outcomes of ankle fractures by reviewing 235 patients who underwent ankle fracture surgery at five hospitals in China.Methods This study included patients who underwent ankle fracture surgery at five Chinese hospitals from January 2000 to July 2009.Age,gender,mechanism of injury,Arbeitsgemeinschaft für Osteosynthesefragen (AO) fracture type,fracture pattern,length of hospital stay and treatment outcome were recorded.Statistical analyses were conducted using SPSS software.The American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale,visual analogue scale (VAS),and arthritis scale were used to evaluate outcome.Results Of 235 patients with ankle fractures,105 were male with an average age of 37.8 years and 130 were female with an average age of 47.3 years.The average follow-up period was 55.7 months.There were significant differences in the ratios of patients in different age groups between males and females,and in mechanisms of injury among different age groups.There were also significant differences in the length of hospital stay among different fracture types and mechanisms of injury.In healed fractures,the average AOFAS ankle-hindfoot score was 95.5,with an excellence rate of 99.6%,the average VAS score was 0.17,and the average arthritis score was 0.18.Movement of the injured ankle was significantly different to that of the uninjured ankle.There were no significant differences between AO fracture types,fracture patterns or follow-up periods and AOFAS score,but there were some significant differences between these parameters and ankle joint movements,pain VAS score and arthritis score.Conclusions Ankle fractures occur most commonly in middle-aged and young males aged 20-39 years and in elderly females aged 50-69 years.The most common mechanisms of

  12. Comparison of Methods of Height Anomaly Computation (United States)

    Mazurova, E.; Lapshin, A.; Menshova, A.


    As of today, accurate determination of height anomaly is one of the most difficult problems of geodesy, even with sustainable perfection of mathematical methods, computer possibilities. The most effective methods of height anomaly computation are based on the methods of discrete linear transformations, such as the Fast Fourier Transform (FFT), Short-Time Fourier Transform (STFT), Fast Wavelet Transform (FWT). The main drawback of the classical FFT is weak localization in the time domain. If it is necessary to define the time interval of a frequency presence the STFT is used that allows one to detect the presence of any frequency signal and the interval of its presence. It expands the possibilities of the method in comparison with the classical Fourier Transform. However, subject to Heisenberg's uncertainty principle, it is impossible to tell precisely what frequency signal is present at a given moment of time (it is possible to speak only about the range of frequencies); and it is impossible to tell at what precisely moment of time the frequency signal is present (it is possible to speak only about a time span). A wavelet-transform gives the chance to reduce the influence of the Heisenberg's uncertainty principle on the obtained time-and-frequency representation of the signal. With its help low frequencies have more detailed representation relative to the time, and high frequencies - relative to the frequency. The paper summarizes the results of height anomaly calculations done by the FFT, STFT, FWT methods and represents 3-D models of calculation results. Key words: Fast Fourier Transform(FFT), Short-Time Fourier Transform (STFT), Fast Wavelet Transform(FWT), Heisenberg's uncertainty principle.

  13. Straightforward factors for predicting the prognosis of blow-out fractures. (United States)

    Higashino, Takuya; Hirabayashi, Shinichi; Eguchi, Tomoaki; Kato, Yuki


    In blow-out fractures, some nonoperative cases have a poor outcome, and a method for accurate prognosis is required. To address this need, we retrospectively reviewed blow-out fractures presenting at Teikyo University Hospital between July 2004 and May 2007 and conducted a survey regarding diplopia and enophthalmos for nonoperative cases. Computed tomographic scan findings were divided according to fracture width and the degree of protrusion of the inferior rectus muscle into the maxillary sinus. We had 106 patients presenting with blow-out fractures, and 89 patients had been treated nonoperatively. In medial orbital wall fractures, no patient had diplopia, and 1 patient had enophthalmos after nonoperative treatment. In punched-out orbital floor fractures, all cases had diplopia when the fracture width was less than half the diameter of the globe, and the protrusion of the inferior rectus muscle into the maxillary sinus was half or more of its section. Even if the fracture width was less than half the diameter of the globe, 2 of 3 patients had enophthalmos when the protrusion of the inferior rectus muscle into the maxillary sinus was half or more of its section. Among the linear orbital floor fractures, 1 case required an emergency operation. We suggest a new algorithm for treatment of blow-out fractures based on computed tomographic scan findings that can also contribute to making a prognosis.

  14. Origin and implications of fluid inclusions from filled fractures, Oriskany Sandstone, Allegheny Plateau, Pennsylvania

    Energy Technology Data Exchange (ETDEWEB)

    Basilone, T.; Anderson, T.; Burruss, R.C.


    Two cores from the Lower Devonian Oriskany Sandstone underlying the Allegheny Plateau in south-central Somerset County, Pennsylvania, contain fractures that may either be filled with epigenetic minerals or unfilled. The 1 Sipe core, taken from an unproductive well drilled on the crest of an anticlinal structure, is characterized by numerous discontinuous vertical fractures. The 1 Romesburg core, taken from a productive well drilled on the flank of an anticlinal structure, contains numerous fractures that lie parallel with bedding planes. The walls of these fractures consist of smooth slickensided surfaces. Quartz and ferroan-calcite crystals filling fractures contain numerous hydrocarbon-bearing fluid inclusions. The distribution of these fluid inclusions within most minerals allowed a determination to be made regarding the relative times of migration of fluid hydrocarbon phases in the subsurface with respect to the paragenetic sequence of mineralization events. Analysis of fluid inclusions indicates that fractures were opened at 22,000 ft (6700 m) and remained open throughout an extended period of uplift. Furthermore, inclusions contain hydrocarbon-rich fluids that are comparable to reservoir hydrocarbons in the nearby Shamrock field. This relationship implies that hydrocarbons that currently exist in reservoirs were conducted along fractures that were once open. Fractures crosscut diagenetic features, indicating that diagenesis, for the most part, preceded fracture events. Although they differ in origin and orientation, fractures characterizing Oriskany strata were healed by a consistent sequence of epigenetic minerals.

  15. Uniextrapedicular kyphoplasty for the treatment of thoracic osteoporotic vertebral fractures. (United States)

    Ge, Zhaohui; Ma, Rong; Chen, Zhen; Zhang, Huiyong; Ding, Huiqiang; Liang, Siming; Suo, Zhigang


    Osteoporotic vertebral compression fractures are common and cause pain and disability. Most osteoporotic vertebral compression fractures occur in the lower thoracic and thoracolumbar spine. Percutaneous balloon kyphoplasty through a transpedicular approach is a classic procedure performed to treat osteoporotic vertebral compression fractures. However, due to the slender morphology of the pedicles, small pedicle size, and the angular severity of thoracic kyphosis, performing kyphoplasty in middle and high thoracic levels is technically challenging. The purpose of this retrospective study was to evaluate the clinical outcomes of single-balloon kyphoplasty for the treatment of thoracic osteoporotic vertebral compression fractures via an extrapedicular approach. Between July 2004 and May 2008, thirty-eight patients with thoracic osteoporotic vertebral compression fractures underwent percutaneous kyphoplasty via a unilateral extrapedicular approach. Average patient age was 60.3 years. Symptomatic levels ranged from T4 to T12. All affected vertebrae were identified via physical examination, magnetic resonance imaging, and radiographs. Pain relief, vertebral height restoration, and kyphosis correction were compared pre- and postoperatively using the visual analog scale and radiographs. The operation was successful in all patients. Average injected bone cement volume was 3.2±1.4 mL. Mean follow-up was 9.5 months. Visual analog scale pain score improved in 36 of 38 patients postoperatively. Mean visual analog scale pain score was 8.92±0.682 preoperatively and 2.40±0.31 postoperatively and remained at 2.80±0.34 until last follow-up. Mean middle body height correction ratio was 50.9%±34.6%. No lateral wedging was found in the coronal alignment of the treated vertebrae. Three (7.9%) patients sustained cement extravasation with no adverse events. Kyphoplasty through a unilateral extrapedicular approach can achieve convergent and proper cement filling in the affected

  16. BMI and fracture risk in older men: the osteoporotic fractures in men study (MrOS). (United States)

    Nielson, Carrie M; Marshall, Lynn M; Adams, Annette L; LeBlanc, Erin S; Cawthon, Peggy M; Ensrud, Kristine; Stefanick, Marcia L; Barrett-Connor, Elizabeth; Orwoll, Eric S


    Low body mass index (BMI) is a risk factor for fracture, but little is known about the association between high BMI and fracture risk. We evaluated the association between BMI and fracture in the Osteoporotic Fractures in Men Study (MrOS), a cohort of 5995 US men 65 years of age and older. Standardized measures included weight, height, and hip bone mineral density (BMD) by dual-energy X-ray absorptiometry (DXA); medical history; lifestyle; and physical performance. Only 6 men (0.1%) were underweight (<18.5 kg/m(2)); therefore, men in this category were excluded. Also, 27% of men had normal BMI (18.5 to 24.9 kg/m(2)), 52% were overweight (25 to 29.9 kg/m(2)), 18% were obese I (30 to 34.9 kg/m(2)), and 3% were obese II (35 to 39.9 kg/m(2)). Overall, nonspine fracture incidence was 16.1 per 1000 person-years, and hip fracture incidence was 3.1 per 1000 person-years. In age-, race-, and BMD-adjusted models, compared with normal weight, the hazard ratio (HR) for nonspine fracture was 1.04 [95% confidence interval (CI) 0.87-1.25] for overweight, 1.29 (95% CI 1.00-1.67) for obese I, and 1.94 (95% CI 1.25-3.02) for obese II. Associations were weaker and not statistically significant after adjustment for mobility limitations and walking pace (HR = 1.02, 95% CI 0.84-1.23, for overweight; HR = 1.12, 95% CI 0.86-1.46, for obese I, and HR = 1.44, 95% CI 0.90-2.28, for obese II). Obesity is common among older men, and when BMD is held constant, it is associated with an increased risk of fracture. This association is at least partially explained by worse physical function in obese men.

  17. Boundary layer heights derived from velocity spectra

    Energy Technology Data Exchange (ETDEWEB)

    Hoejstrup, J.; Barthelmie, R.J. [Risoe National Lab., Roskilde (Denmark); Kaellstrand, B. [Univ. of Uppsala, Uppsala (Sweden)


    It is a well-known fact that the height of the mixed layer determines the size of the largest and most energetic eddies that can be observed in the unstable boundary layer, and consequently a peak can be observed in the power spectra of the along-wind velocity component at scales comparable to the mixed layer depth. We will now show how the mixed layer depth can be derived from the u-specta and the results will be compared with direct measurements using pibal and tethersonde measurements. (au)

  18. Scale heights of 84 northern spiral galaxies

    Institute of Scientific and Technical Information of China (English)

    马骏; 彭秋和


    Using the method proposed by Peng (1988) on the basis of density waves theory and the solution of three-dimensional Poisson s equation for a logarithmic disturbance of density,and analyzing the spiral patterns,the scale heights of 84 northern spiral galaxies,whose images are taken from the Digitized Sky Survey at Xinglong Observational Station of Beijing Observatory,are measured.The spiral arms of all these galaxies have been fitted on their photographs with some logarithmic spiral curves for getting their correct inclinations.

  19. Patella height changes post high tibial osteotomy

    Directory of Open Access Journals (Sweden)

    Siew Ghim Gooi


    Full Text Available Background: Medial opening wedge high tibial osteotomy (HTO is a well-described treatment in early medial compartmental osteoarthritis of the knee. However, two undesirable sequelae may follow –patella baja and changes in the posterior tibial slope (TS. Materials and Methods: We conducted a retrospective study in patients who underwent HTO in our center between September 2009 and February 2017. Preoperative and 6-week postoperative long-leg weight bearing films and lateral knee radiographs were assessed. Pre- and postoperative radiological measurements include the Caton-Deschamps Index (CDI, the mechanical axis deviation (MAD, and the posterior TS. Independant t-test and Pearson correlation test were performed. Results: A total of 106 knees were recruited. The mean age was 48.8 ± 10.8 years. 66 (62.3% and 40 (37.7% knees were from males and females, respectively. The mean pre- and postoperative measurements was (−9.70° ± 3.67° to 0.08° ± 2.80° (−varus; +valgus for the MAD, (7.14° ± 1.78° to 8.72° ± 3.11° for posterior TS, and (0.93° ± 0.084° to 0.82° ± 0.13° for CDI (P ≤ 0.001 for all. The association between patella height change and the level of osteotomy (supra-tubercle vs. infra-tubercle was statistically significant (P < 0.001. A supra-tubercle osteotomy cut significantly lowering patella height (P = 0.011. There was otherwise no statistically significant correlations between patella height changes and the correction angle (P = 0.187 or posterior TS change (P = 0.744. Conclusions: A medial opening wedge HTO above the tibial tubercle was significantly associated with lowering patella height or reducing CDI postoperatively. Based on our results, we would recommend the use of an infra-tubercle osteotomy during the corrective surgery to prevent the complication of patella baja.

  20. Slow Waves in Fractures Filled with Viscous Fluid

    Energy Technology Data Exchange (ETDEWEB)

    Korneev, Valeri


    Stoneley guided waves in a fluid-filled fracture generally have larger amplitudes than other waves, and therefore, their properties need to be incorporated in more realistic models. In this study, a fracture is modeled as an infinite layer of viscous fluid bounded by two elastic half-spaces with identical parameters. For small fracture thickness, I obtain a simple dispersion equation for wave-propagation velocity. This velocity is much smaller than the velocity of a fluid wave in a Biot-type solution, in which fracture walls are assumed to be rigid. At seismic prospecting frequencies and realistic fracture thicknesses, the Stoneley guided wave has wavelengths on the order of several meters and an attenuation Q factor exceeding 10, which indicates the possibility of resonance excitation in fluid-bearing rocks. The velocity and attenuation of Stoneley guided waves are distinctly different at low frequencies for water and oil. The predominant role of fractures in fluid flow at field scales is supported by permeability data showing an increase of several orders of magnitude when compared to values obtained at laboratory scales. These data suggest that Stoneley guided waves should be taken into account in theories describing seismic wave propagation in fluid-saturated rocks.