Sleeve Muscle Actuator and Its Application in Transtibial Prostheses

Science.gov (United States)

Zheng, Hao; Shen, Xiangrong

2014-01-01

This paper describes the concept of a new sleeve muscle actuator, and a transtibial prosthesis design powered by this novel actuator. Inspired by the functioning mechanism of the traditional pneumatic muscle actuator, the sleeve muscle actuator incorporates a cylindrical insert to the center of the pneumatic muscle, which eliminates the central portion of the internal volume. As a result of this change, the sleeve muscle provides multiple advantages over the traditional pneumatic muscle, including the increased force capacity over the entire range of motion, reduced energy consumption, and faster dynamic response. Furthermore, utilizing the load-bearing tube as the insert, the sleeve muscle enables an innovative “actuation-load bearing” structure, which has a potential of generating a highly compact actuation system suitable for prosthetic use. Utilizing this new actuator, the preliminary design of a transtibial prosthesis is presented, which is able to provide sufficient torque output and range of motion for a 75 Kg amputee user in level walking. PMID:24187262

Expander for Thin-Wall Tubing

Science.gov (United States)

Pessin, R.

1983-01-01

Tool locally expands small-diameter tubes. Tube expander locally expands and deforms tube: Compressive lateral stress induced in elastomeric sleeve by squeezing axially between two metal tool parts. Adaptable to situations in which tube must have small bulge for mechanical support or flow control.

Method of making a composite tube to metal joint

Energy Technology Data Exchange (ETDEWEB)

Leslie, James C.; Leslie, II, James C.; Heard, James; Truong, Liem V.; Josephson, Marvin

2017-11-07

A method for making a metal to composite tube joint including selecting an elongated interior fitting constructed with an exterior barrel, reduced in exterior diameter to form a distally facing annular shoulder and then projecting still further distally to form an interior sleeve having a radially outwardly facing bonding surface. Selecting an elongated metal outer sleeve formed proximally with a collar constructed for receipt over the barrel and increased in interior diameter and projecting distally to form an exterior sleeve having a radially inwardly facing bonding surface cooperating with the first bonding surface to form an annulus receiving an extremity of a composite tube and a bond bonding the extremity of the tube to the bonding surfaces.

Sleeve Push Technique: A Novel Method of Space Gaining.

Science.gov (United States)

Verma, Sanjeev; Bhupali, Nameksh Raj; Gupta, Deepak Kumar; Singh, Sombir; Singh, Satinder Pal

2018-01-01

Space gaining is frequently required in orthodontics. Multiple loops were initially used for space gaining and alignment. The most common used mechanics for space gaining is the use of nickel-titanium open coil springs. The disadvantage of nickel-titanium coil spring is that they cannot be used until the arches are well aligned to receive the stiffer stainless steel wires. Therefore, a new method of gaining space during initial alignment and leveling has been developed and named as sleeve push technique (SPT). The nickel-titanium wires, i.e. 0.012 inches and 0.014 inches along with archwire sleeve (protective tubing) can be used in a modified way to gain space along with alignment. This method helps in gaining space right from day 1 of treatment. The archwire sleeve and nickel-titanium wire in this new SPT act as a mutually synergistic combination and provide the orthodontist with a completely new technique for space opening.

Sleeve push technique: A novel method of space gaining

Directory of Open Access Journals (Sweden)

Sanjeev Verma

2018-01-01

Full Text Available Space gaining is frequently required in orthodontics. Multiple loops were initially used for space gaining and alignment. The most common used mechanics for space gaining is the use of nickel–titanium open coil springs. The disadvantage of nickel–titanium coil spring is that they cannot be used until the arches are well aligned to receive the stiffer stainless steel wires. Therefore, a new method of gaining space during initial alignment and leveling has been developed and named as sleeve push technique (SPT. The nickel–titanium wires, i.e. 0.012 inches and 0.014 inches along with archwire sleeve (protective tubing can be used in a modified way to gain space along with alignment. This method helps in gaining space right from day 1 of treatment. The archwire sleeve and nickel–titanium wire in this new SPT act as a mutually synergistic combination and provide the orthodontist with a completely new technique for space opening.

Status of the steam generator tube circumferential ODSCC degradation experienced at the Doel 4 plant

International Nuclear Information System (INIS)

Roussel, G.

1997-01-01

Since the 1991 outage, the Doel Unit 4 nuclear power plant is known to be affected by circumferential outside diameter intergranular stress corrosion cracking at the hot leg tube expansion transition. Extensive non destructive examination inspections have shown the number of tubes affected by this problem as well as the size of the cracks to have been increasing for the three cycles up to 1993. As a result of the high percentage of tubes found non acceptable for continued service after the 1993 in-service inspection, about 1,700 mechanical sleeves were installed in the steam generators. During the 1994 outage, all the tubes sleeved during the 1993 outage were considered as potentially cracked to some extent at the upper hydraulic transition and were therefore not acceptable for continued service. They were subsequently repaired by laser welding. Furthermore all the tubes not sleeved during the 1993 outage were considered as not acceptable for continued service and were repaired by installing laser welded sleeves. During the 1995 outage, some unexpected degradation phenomena were evidenced in the sleeved tubes. This paper summarizes the status of the circumferential ODSCC experienced in the SG tubes of the Doel 4 plant as well as the other connected degradation phenomena

Gastric Sleeve Surgery

Science.gov (United States)

... Videos for Educators Search English Español Gastric Sleeve Surgery KidsHealth / For Teens / Gastric Sleeve Surgery What's in ... or buying healthy food ) Preparing for Gastric Sleeve Surgery Preparing for this major operation takes months of ...

Heat exchanger with layers of helical tubes provided with improved tube supports

International Nuclear Information System (INIS)

Carnoy, M.; Mathieu, B.; Renaux, C.

1986-01-01

The present heat exchanger comprises coaxial layers of helically wound tubes; these tubes are supported by support plates, each comprising a row of perforations through which the tubes of a same layer pass. Truncated sleeves are in compression around the tubes within the perforations and mounted on the support plates. Pins fix the plates of different layers together against transverse movement but allowing radial movement. The present invention finds an application with nuclear reactor steam generators [fr

Spring/dimple instrument tube restraint

International Nuclear Information System (INIS)

DeMario, E.E.; Lawson, C.N.

1993-01-01

A nuclear fuel assembly for a pressurized water nuclear reactor has a spring and dimple structure formed in a non-radioactive insert tube placed in the top of a sensor receiving instrumentation tube thimble disposed in the fuel assembly and attached at a top nozzle, a bottom nozzle, and intermediate grids. The instrumentation tube thimble is open at the top, where the sensor or its connection extends through the cooling water for coupling to a sensor signal processor. The spring and dimple insert tube is mounted within the instrumentation tube thimble and extends downwardly adjacent the top. The springs and dimples restrain the sensor and its connections against lateral displacement causing impact with the instrumentation tube thimble due to the strong axial flow of cooling water. The instrumentation tube has a stainless steel outer sleeve and a zirconium alloy inner sleeve below the insert tube adjacent the top. The insert tube is relatively non-radioactivated inconel alloy. The opposed springs and dimples are formed on diametrically opposite inner walls of the insert tube, the springs being formed as spaced axial cuts in the insert tube, with a web of the insert tube between the cuts bowed radially inwardly for forming the spring, and the dimples being formed as radially inward protrusions opposed to the springs. 7 figures

Silicon-based sleeve devices for chemical reactions

Science.gov (United States)

Northrup, M. Allen; Mariella, Jr., Raymond P.; Carrano, Anthony V.; Balch, Joseph W.

1996-01-01

A silicon-based sleeve type chemical reaction chamber that combines heaters, such as doped polysilicon for heating, and bulk silicon for convection cooling. The reaction chamber combines a critical ratio of silicon and silicon nitride to the volume of material to be heated (e.g., a liquid) in order to provide uniform heating, yet low power requirements. The reaction chamber will also allow the introduction of a secondary tube (e.g., plastic) into the reaction sleeve that contains the reaction mixture thereby alleviating any potential materials incompatibility issues. The reaction chamber may be utilized in any chemical reaction system for synthesis or processing of organic, inorganic, or biochemical reactions, such as the polymerase chain reaction (PCR) and/or other DNA reactions, such as the ligase chain reaction, which are examples of a synthetic, thermal-cycling-based reaction. The reaction chamber may also be used in synthesis instruments, particularly those for DNA amplification and synthesis.

The efficacy of sleeve technique in primary nasolacrimal duct obstruction with a high lacrimal sac

Directory of Open Access Journals (Sweden)

Kyoung-Nam Kim

2014-01-01

Full Text Available Purpose: To evaluate the efficacy of a sleeve technique during endoscopic dacryocystorhinostomy (DCR in primary nasolacrimal duct obstruction (NLDO patients with a high lacrimal sac. Materials and Methods: The medical records of 45 patients (49 cases undergoing endoscopic DCR for primary NLDO with a high lacrimal sac were retrospectively reviewed. In 19 patients (21 cases, the thick maxilla covering the common canalicular opening was removed using a drill and a bicanalicular silicone tube was inserted (group 1. In 26 patients (28 cases, instead of removal of the thick maxilla, a sleeve was inserted into the bicanalicular silicone tube (group 2. At 6 months postoperatively, the success rate was evaluated and the size of the intranasal mucosal ostium was measured. Results: The success rates in group 1 and 2 was 90.5% and 96.4%, respectively (P = 0.400. The intranasal mucosal ostium in group 1 and 2 measured 1.7 ± 0.7 mm and 3.1 ± 1.0 mm, respectively, and the difference was significant (P = 0.042. Conclusions: In primary NLDO patients with a high lacrimal sac, DCR inserting a silicone tube and a sleeve together had a satisfactory success rate without using a drill. In comparison with traditional surgical methods, it helped enlarge the size of the intranasal mucosal ostium.

Microfabricated sleeve devices for chemical reactions

Science.gov (United States)

Northrup, M. Allen

2003-01-01

A silicon-based sleeve type chemical reaction chamber that combines heaters, such as doped polysilicon for heating, and bulk silicon for convection cooling. The reaction chamber combines a critical ratio of silicon and non-silicon based materials to provide the thermal properties desired. For example, the chamber may combine a critical ratio of silicon and silicon nitride to the volume of material to be heated (e.g., a liquid) in order to provide uniform heating, yet low power requirements. The reaction chamber will also allow the introduction of a secondary tube (e.g., plastic) into the reaction sleeve that contains the reaction mixture thereby alleviating any potential materials incompatibility issues. The reaction chamber may be utilized in any chemical reaction system for synthesis or processing of organic, inorganic, or biochemical reactions, such as the polymerase chain reaction (PCR) and/or other DNA reactions, such as the ligase chain reaction, which are examples of a synthetic, thermal-cycling-based reaction. The reaction chamber may also be used in synthesis instruments, particularly those for DNA amplification and synthesis.

Study on grout-filled coupling steel sleeve; Kokan sleeve wo mochiita grout jutenshiki tekkin tsugite ni kansuru kenkyu

Energy Technology Data Exchange (ETDEWEB)

Hayashi, Y. [Osaka University, Osaka (Japan)

1997-06-01

Newly designed grout-filled coupling sleeve is discussed, which uses as the sleeve an electric resistance welded tube with protrusions formed in a checker pattern on its inner wall and is capable of using various premixed grouting materials available on the market. Specimens are subjected to uniaxial tensile loading and positive/negative cyclic loading, and the impact of various factors on the basic performance of the specimens and their stress/distortion characteristics at local spots in the reinforcing bar are disclosed. In the positive/negative cyclic loading in the plastic region, however, such findings are not obtained. In view of the stress/distortion characteristics at local spots in the reinforcing bar, a method is proposed for estimating the coupling strength and fracture type. A method for estimating the deformation behavior of the coupling, however, is not proposed. Investigations are conducted into the manufacture and installation of the grout holding framework, coupling fixing jigs, plugs, etc., and it is found that precasting should be studied in the future. 38 refs., 156 figs., 30 tabs.

Hybrid video-assisted thoracic surgery with segmental-main bronchial sleeve resection for non-small cell lung cancer.

Science.gov (United States)

Li, Shuben; Chai, Huiping; Huang, Jun; Zeng, Guangqiao; Shao, Wenlong; He, Jianxing

2014-04-01

The purpose of the current study is to present the clinical and surgical results in patients who underwent hybrid video-assisted thoracic surgery with segmental-main bronchial sleeve resection. Thirty-one patients, 27 men and 4 women, underwent segmental-main bronchial sleeve anastomoses for non-small cell lung cancer between May 2004 and May 2011. Twenty-six (83.9%) patients had squamous cell carcinoma, and 5 patients had adenocarcinoma. Six patients were at stage IIB, 24 patients at stage IIIA, and 1 patient at stage IIIB. Secondary sleeve anastomosis was performed in 18 patients, and Y-shaped multiple sleeve anastomosis was performed in 8 patients. Single segmental bronchiole anastomosis was performed in 5 cases. The average time for chest tube removal was 5.6 days. The average length of hospital stay was 11.8 days. No anastomosis fistula developed in any of the patients. The 1-, 2-, and 3-year survival rates were 83.9%, 71.0%, and 41.9%, respectively. Hybrid video-assisted thoracic surgery with segmental-main bronchial sleeve resection is a complex technique that requires training and experience, but it is an effective and safe operation for selected patients.

Structure and properties of braided sleeve preforms for chemical vapor infiltration

Energy Technology Data Exchange (ETDEWEB)

Starr, T.L.; Fiadzo, O.G.; Hablutzel, N. [Georgia Inst. of Tech., Atlanta, GA (United States). School of Materials Science and Technology

1998-04-01

In all composites the properties and structure of the reinforcement strongly influence the performance of the material. For some composites, however, the reinforcement also affects the fabrication process itself exerting an additional, second order influence on performance. This is the case for the chemical vapor infiltration (CVI) process for fabrication of ceramic matrix composites. In this process the matrix forms progressively as a solid deposit, first onto the fiber surfaces, then onto the previous layer of deposit, ultimately growing to fill the inter-fiber porosity. The transport of reactants to the surfaces and the evolved morphology of the matrix depend on the initial reinforcement structure. This structure can vary greatly and is controlled by such factors as fiber size and cross-section, the number of filaments and amount of twist per tow or yarn, and the weave or braid architecture. Often the choice of reinforcement is based on mechanical performance analysis or on the cost and availability of the material or on the temperature stability of the fiber. Given this choice, the composite densification process--CVI--must be optimized to attain a successful material. Ceramic fiber in the form of cylindrical braided sleeve is an attractive choice for fabrication of tube-form ceramic matrix composites. Multiple, concentric layers of sleeve can be placed over a tubular mandrel, compressed and fixed with a binder to form a freestanding tube preform. This fiber architecture is different than that created by layup of plain weave cloth--the material used in most previous CVI development. This report presents the results of the investigation of CVI densification of braided sleeve preforms and the evolution of their structure and transport properties during processing.

Steam generator tube performance

International Nuclear Information System (INIS)

Tatone, O.S.; Pathania, R.S.

1983-08-01

A review of the performance of steam generator tubes in 110 water-cooled nuclear power reactors showed that tubes were plugged at 46 (42 percent) of the reactors. The number of tubes removed from service increased from 1900 (0.14 percent) in 1980 to 4692 (0.30 percent) in 1981. The leading causes of tube failures were stress corrosion cracking from the primary side, stress corrosion cracking (or intergranular attack) from the secondary side and pitting corrosion. The lowest incidence of corrosion-induced defects from the secondary side occurred in reactors that used all-volatile treatment since start-up. At one reactor a large number of degraded tubes were repaired by sleeving which is expected to become an important method of tube repair in the future

Steam generator tube performance

International Nuclear Information System (INIS)

Tatone, O.S.; Tapping, R.L.; Stipan, L.

1992-03-01

A survey of steam generator operating experience for 1986 has been carried out for 184 pressurized water and pressurized heavy-water reactors, and 1 water-cooled, graphite-moderated reactor. Tubes were plugged at 75 of the reactors (40.5%). In 1986, 3737 tubes were plugged (0.14% of those in service) and 3148 tubes were repaired by sleeving. A small number of reactors accounted for the bulk of the plugged tubes, a phenomenon consistent with previous years. For 1986, the available tubesheet sludge data for 38 reactors has been compiled into tabular form, and sludge/deposit data will be incorporated into all future surveys

Root cause analysis of thermal sleeve separation

Energy Technology Data Exchange (ETDEWEB)

Jo, J. C.; Jhung, M. J.; Yu, S. O.; Kim, H. J.; Yune, Y. K.; Park, J. Y

2006-01-15

Thermal sleeves in the shape of thin wall cylinder seated inside the nozzle part of each Safety Injection (SI) line at Pressurized Water Reactors (PWRs) have such functions as prevention and relief of potential excessive transient thermal stress in the wall of SI line nozzle part which is initially heated up with hot water flowing in the primary coolant piping system when cold water is injected into the system through the SI nozzles during the SI operation mode. Recently, mechanical failures that the sleeves were separated from the SI branch pipe and fell into the connected cold leg main pipe occurred in sequence at some typical PWR plants in Korea. To find out the root cause of thermal sleeve breakaway failures, the flow situation in the junction of primary coolant main pipe and SI branch pipe, and the vibration modal characteristics of the thermal sleeve are investigated in detail by using both Computational Fluid Dynamic (CFD) code and structure analysis finite element code. As the results, the transient response in fluid force exerting on the local part of thermal sleeve wall surface to the primary coolant flow through the pipe junction area during the normal reactor operation mode shows oscillatory characteristics with frequencies ranging from 17 to 18, which coincide with one of the lower mode natural frequencies of thermal sleeve having a pinned support condition on the circumferential prominence on the outer surface of thermal sleeve which is put into the circumferential groove on the inner surface of SI nozzle at the mid-height of the thermal sleeve. In addition, the variation of force on the thermal sleeve surface yields alternating torques in the directions of two rectangular axes which are perpendicular to the longitudinal axis of cylindrical thermal sleeve, which cause rolling, pitching and rotating motions of the thermal sleeve. Consequently, it is seen that this flow situation surrounding the thermal sleeve during the normal reactor operation can

Nickel electroplating of steam generator tubes (kiss sleeving process)

International Nuclear Information System (INIS)

Michaut, B.

1988-01-01

This process, the nickel electroplating of steam generator tubes, has been jointly developed under a Belgatom (Laborelec) and Framatome agreement with shared experience gained by both companies, industrial applications being under the responsibility of Framatome. Application of the coating in zones where residual stresses or cracks are present prevents contact between the primary water and the tube, which stops the stress corrosion process. In the Doel 2 plant, 91 tubes have been plated since 1985, and different sets of parameters have been used for comparison purposes. Among these tubes, 9 have been preventively plugged because of defective plating, 9 have been pulled out for laboratory examinations, 2 just after plating and 7 after 1 or 2 yr of service. There are 73 plated tubes still in service. From the tests that were performed, it was possible to select an optimized set of parameters guaranteeing the following properties: bridging of existing cracks and good behavior of the coating in relevant zones, good adhesion to the Inconel tube, high ductility, low residual stresses, thermal shock resistance, corrosion resistance, erosion resistance, and low cobalt content. The licensability of this process is being completed. It is based first on the leak-before-break concept to determine the characteristics of the nickel plating, thickness in particular, and second on the inspectability of ultrasonic testing methods

Laparoscopic Sleeve Gastrectomy versus Laparoscopic Banded Sleeve Gastrectomy: First Prospective Pilot Randomized Study

Directory of Open Access Journals (Sweden)

Valeria Tognoni

2016-01-01

Full Text Available Introduction. The placement of ring or band around the gastric tube might prevent the dilation after Laparoscopic Sleeve Gastrectomy (LSG. We describe the first randomized study comparing LSG and Laparoscopic Banded Sleeve Gastrectomy (LBSG. Material and Method. Fifty obese patients were enrolled in the study between January 2014 and January 2015. We analysed differences in operative time, complication rate, mortality, and BMI between the two groups over a period of 12 months. Results. Twenty-five patients received LSG (group A and 25 LBSG (group B. The mean preoperative BMI was 47.3±6.58 kg/m2 and 44.95±5.85 kg/m2, respectively, in the two groups. There was no statistical relevant difference in operative time. No intraoperative complications occurred. Mean BMI registered after 3, 6, and 12 months in groups A and B, respectively, were 37.86±5.72 kg/m2 and 37.58±6.21 kg/m2 (p=0.869, 33.64±6.08 kg/m2 and 32.03±5.24 kg/m2 (p=0.325, and 29.72±4.40 kg/m2 and 27.42±4.47 kg/m2 (p=0.186; no statistical relevant difference was registered between the two groups. Conclusion. LBSG is a safe and feasible procedure. The time required for the device positioning did not influence significantly the surgical time. The results of bodyweight loss did not document any statistically significant differences among the two groups, even though LBSG group showed a mean BMI slightly lower than that of the control group.

Performance of Grouted Splice Sleeve Connector under Tensile Load

Directory of Open Access Journals (Sweden)

A. Alias

2016-05-01

Full Text Available The grouted splice sleeve connector system takes advantage of the bond-slip resistance of the grout and the mechanical gripping of reinforcement bars to provide resistance to tensile force. In this system, grout acts as a load-transferring medium and bonding material between the bars and sleeve. This study adopted the end-to-end rebars connection method to investigate the effect of development length and sleeve diameter on the bonding performance of the sleeve connector. The end-to-end method refers to the condition where reinforcement bars are inserted into the sleeve from both ends and meet at the centre before grout is filled. Eight specimens of grouted splice sleeve connector were tested under tensile load to determine their performance. The sleeve connector was designed using 5 mm thick circular hollow section (CHS steel pipe and consisted of one external and two internal sleeves. The tensile test results show that connectors with a smaller external and internal sleeve diameter appear to provide better bonding performance. Three types of failure were observed in this research, which are bar fracture (outside the sleeve, bar pullout, and internal sleeve pullout. With reference to these failure types, the development length of 200 mm is the optimum value due to its bar fracture type, which indicates that the tensile capacity of the connector is higher than the reinforcement bar. It is found that the performance of the grouted splice sleeve connector is influenced by the development length of the reinforcement bar and the diameter of the sleeve.

Improvements in nuclear fuel assembly sleeves

International Nuclear Information System (INIS)

Eaton, C.W.; Seeley, T.A.; Ince, G.; Speakman, W.T.

1986-01-01

The graphite sleeve of a nuclear fuel assembly or reflector element for a stringer mounts a number of grids via mounting assemblies installed in grooves formed in the interior wall surface of the sleeve. The bore of the sleeve is of reduced cross-section between two successive grooves such that the internal diameter of the sleeve is substantially the same as the inner diameter of the radially innermost extremity of the mounting assemblies whereby the coolant pressure loss at each transition between the reduced diameter bore section and the mounting assemblies is reduced. Each mounting assembly may be of radially contractable split ring construction to permit its placement in the groove and may carry burnable poison material. (author)

Improvements in nuclear fuel assembly sleeves

Energy Technology Data Exchange (ETDEWEB)

Eaton, C.W.; Seeley, T.A.; Ince, G.; Speakman, W.T.

1986-02-26

The graphite sleeve of a nuclear fuel assembly or reflector element for a stringer mounts a number of grids via mounting assemblies installed in grooves formed in the interior wall surface of the sleeve. The bore of the sleeve is of reduced cross-section between two successive grooves such that the internal diameter of the sleeve is substantially the same as the inner diameter of the radially innermost extremity of the mounting assemblies whereby the coolant pressure loss at each transition between the reduced diameter bore section and the mounting assemblies is reduced. Each mounting assembly may be of radially contractable split ring construction to permit its placement in the groove and may carry burnable poison material.

Effect of boric acid on intergranular corrosion and on hideout return efficiency of sodium in the tube support plate crevices

International Nuclear Information System (INIS)

Paine, J.P.N.; Shoemaker, C.E.; Campan, J.L.; Brunet, J.P.; Schindler, P.; Stutzmann, A.

1995-01-01

Sodium hydroxide is one of the main causes of intergranular attack/stress corrosion cracking (IGA/SCC) of alloy 600 steam generator (S.G.) tubes. Boric acid appears to be one of the possible remedies for intergranular corrosion process inhibition. In order to obtain data on boric acid injection efficiency, an experimental program was performed on previously corroded tubes. To prevent premature tube wall cracking, samples were sleeved on alloy 690 tubes. The objective of the tests was to evaluate, on a statistically valid number of samples, the effectiveness of boric acid and tube sleeving as possible remedies for IGA/SCC extension. Another independent experimental program was initiated to determine the hideout return efficiency in the tube support plate (TSP) and tubesheet (TS) crevices after a significant duration (≤ 180 hours) of sodium hideout. The main objective of the first tests being a statistical evaluation of the efficiency of boric acid treatment, was not achieved. The tests did demonstrate that sleeving effectively reduces IGA/SCC growth. In an additional program, cracks were obtained on highly susceptible tubes when specimens were not sleeved. The companion tests performed in the same conditions but with an addition of boric acid did not show any IGA or cracks. These results seem to demonstrate the possible effect of boric acid in preventing the corrosion process. Results of the second tests did not demonstrate any difference in the amount of sodium piled up in the crevices before and after boric acid injection. They however showed an increase of the hideout return efficiency at the tube support plate level from 78 % without boric acid to 95 % when boric acid is present in the feed water

Parametric study for design of thermal sleeves

International Nuclear Information System (INIS)

Mukherjee, A.B.; Mehra, V.K.

1985-01-01

Thermal sleeves are used inside nozzle in many reactor components. Basic aim in design of thermal sleeve is to arrive at a set of dimensions for gap and annulus length, which will give rise to minimum thermal gradient in the base metal of the associated nozzle. Study includes the minimisation of the thermal gradient in the crotch zone by suitable choice of gap and annulus length. Three different geometries of nozzle radii 50.00 mm., 100 mm. and 200.0 mm. are studied for single and two concentric thermal sleeves model. The paper also presents effect of parameters like velocity of flow, temperature of fluid, materials etc. on the design of thermal sleeves. (orig.)

The TaSST: Tactile Sleeve for Social Touch

NARCIS (Netherlands)

Huisman, G.; Darriba Frederiks, A.; van Dijk, B.; Heylen, D.; Kröse, B.

2013-01-01

In this paper we outline the design process of the TaSST (Tactile Sleeve for Social Touch), a touch-sensitive vibrotactile arm sleeve. The TaSST was designed to enable two people to communicate different types of touch over a distance. The touch-sensitive surface of the sleeve consists of a grid of

The TaSST: Tactile sleeve for social touch

NARCIS (Netherlands)

Huisman, Gijs; Darriba Frederiks, Aduén; van Dijk, Elisabeth M.A.G.; Heylen, Dirk K.J.; Krose, Ben

In this paper we outline the design process of the TaSST (Tactile Sleeve for Social Touch), a touch-sensitive vibrotactile arm sleeve. The TaSST was designed to enable two people to communicate different types of touch over a distance. The touch-sensitive surface of the sleeve consists of a grid of

The TaSST - Tactile Sleeve for Social Touch

NARCIS (Netherlands)

Huisman, Gijs; Darriba Frederiks, Aduén; Van Dijk, Betsy; Heylen, Dirk

2013-01-01

In this paper we outline the design process of TaSST (Tactile Sleeve for Social Touch), a touch-sensitive vibrotactile arm sleeve. The TaSST was designed to enable two people to communicate different types of touches over a distance. The touch-sensitive surface of the sleeve consists of a grid of

Effect of boric acid on intergranular corrosion in tube support plate crevices

International Nuclear Information System (INIS)

Brunet, J.P.; Campan, J.L.

1993-10-01

Intergranular attack on steam generator tubing is one important phenomenon involved in availability of Pressurized Water Reactors. Boric acid appears to be a possible candidate for inhibiting the corrosion process. The program performed in Cadarache was supposed to give statistical informations on the boric acid effect. It was based on a large number of samples initially attacked during a program performed by BABCOCK ampersand WILCOX. These samples were sleeved onto Alloy 690 tubes, in order to prevent premature cracking. Unfortunately it was not possible to find chemical conditions able to produce significant additional corrosion; we postulated mainly due to a drastic reduction of the thermal flux resulting from the increase of the tube wall thickness under the tube support plates (TSP). The tests demonstrate that such sleeve could be a possible remedy of the corrosion when introduced under the TSP. The tests show indications of a possible beneficial effect of the boric acid, a large variability of the heats sensitivity to the IGA and a predominant effect of Na 2 CO 3 on IGA production

Framatome recent developments and application on site in NDE of steam generator tubes

International Nuclear Information System (INIS)

Bieth, M.

1986-01-01

The increasing needs concerning the follow up and expertise of PWR steam generator (SG) tubing have led Framatome to develop a quick on-site intervention mobile unit, which could implement any current technique and equipment. Besides, Framatome has developed several non destructrive examination methods to solve the specific problems encountered in service on the SG tubes: profilometry of the SG tubes by eddy current. Inside and above the tube sheet, eddy current inspection of tube sleeving by ultrasonic testing and eddy current

Intra-thoracic Sleeve Migration (ITSM): an Underreported Phenomenon After Laparoscopic Sleeve Gastrectomy.

Science.gov (United States)

Saber, Alan A; Shoar, Saeed; Khoursheed, Mousa

2017-08-01

Despite its technical simplicity, laparoscopic sleeve gastrectomy (LSG) complications are increasingly reported. Intra-thoracic sleeve migration (ITSM ) is a rare complication after LSG which has been inconsistently addressed in the literature. The purpose of this study was to emphasize ITSM occurrence after LSG and evaluate the perioperative factors associated with its development. Between January and July 2016, LSG patients diagnosed with ITSM at two bariatric surgery departments were identified. Perioperative factors were assessed for all the patients and compared between two groups, LSG alone and LSG with concomitant hiatal hernia (HH) repair (HHR). A total of 19 patients (6 males and 13 females) were included. Central obesity was present in 18 patients (94.7%). Nine patients (47.4%) had concomitant hiatal hernia repair during their original LSG. Post-LSG GERD (94.7%) (38.9% de novo and 61.1% recurrent) and post-LSG constipation (57.9%) were commonly associated with ITSM. Severe refractory GERD was the most common presentation for ITSM (94.7%), followed by epigastric pain (47.4%), persistent nausea/vomiting (36.8%), and dysphagia (21.1%). Time interval between primary LSG and ITSM diagnosis ranged from 1 day to 3 years. Patients with LSG and concomitant HHR presented with higher post-LSG BMI compared to the LSG patients (37 ± 6.4 kg/m 2 vs. 30.1 ± 6.3 kg/m 2 , p = 0.03). All the patients underwent successful reduction of ITSM and subsequent HHR. Central obesity, chronic constipation, post-LSG GERD, and concomitant HHR are commonly seen in post-laparoscopic sleeve gastrectomy intra-thoracic sleeve migration.

Influence of structure improvement of guide tubes and bundles in pressurized water reactor (PWR) on drop of control rods

International Nuclear Information System (INIS)

Shen Xiuzhong; Yu Pingan; Yang Guanyue

1996-01-01

In order to alleviate the cross hydraulic load on control rod guide tubes and bundles, some protective sleeves are added to those near the upper plenum outlet nozzles (4 symmetric bundles: 02-26, 03-25, 11-29, 12-28). In a 1/4 scale transparent model of the PWR upper plenum of Qinshan Nuclear Power Station, water was chosen as the fluid and hydraulic experiments with improved control rod guide tubes and bundles were carried out. The results were carefully compared with those of the experiments with unimproved control rod guide tubes and bundles. It is concluded that adding protective sleeves to the control rod guide tubes and bundles near the outlet nozzles will help to lighten the hydraulic load on them and make certain of the free movement and rapid dropping of control rods in the tubes and bundles in emergency by order

All carbon coaxial supercapacitors based on hollow carbon nanotube sleeve structure

International Nuclear Information System (INIS)

Zang, Xiaobei; Xu, Ruiqiao; Zhang, Yangyang; Zhang, Li; Wei, Jinquan; Wang, Kunlin; Zhu, Hongwei; Li, Xinming

2015-01-01

All carbon coaxial supercapacitors based on hollow carbon nanotube (CNT) sleeve structure are assembled and tested. The key advantage of the structure is that the inner core electrode is variable from CNT sleeve sponges, to CNT fibers, reduced graphene oxide fibers, and graphene woven fabrics. By changing core electrodes from sleeve sponges to CNT fibers, the electrochemical performance has been significantly enhanced. The capacitance based on sleeve sponge + CNT fiber double the capacitances of double-sleeve sponge supercapacitors thanks to reduction of the series and internal resistances. Besides, the coaxial sleeve structure possesses many other features, including high rate capacitance, long cycle life, and good flexibility. (paper)

Corrosion and Rupture of Steam Generator Tubings in PWRs

Energy Technology Data Exchange (ETDEWEB)

Hwang, Seong Sik; Kim, Hong Pyo

2007-08-15

This report is intended to provide corrosion engineers in the filed of nuclear energy with information on the corrosion and rupture behavior of steam generator tubing in PWRs. Various types of corrosion in PWR steam generator tubing have been reported all around the world, and countermeasures such as the addition of corrosion inhibitors, a water chemistry control, a tube plugging and sleeving have been applied. Steam generators equipped with alloy 600 tubing, which are not so resistant to a stress corrosion cracking (SCC), have generally been replaced with new steam generators made of alloy 690 TT (Thermally treated). Pull tube examination results which were performed of KAERI are summarized. The tubes were affected by a pitting, SCC, and a denting. Nondestructive examination method for the tubes and repair techniques are also reviewed. In addition, the regulatory guidance of some countries are reviewed. As a part of a tube integrity project in Korea, some results on a tube rupture and leak behaviors for axial cracks are also mentioned.

Corrosion and Rupture of Steam Generator Tubings in PWRs

International Nuclear Information System (INIS)

Hwang, Seong Sik; Kim, Hong Pyo

2007-08-01

This report is intended to provide corrosion engineers in the filed of nuclear energy with information on the corrosion and rupture behavior of steam generator tubing in PWRs. Various types of corrosion in PWR steam generator tubing have been reported all around the world, and countermeasures such as the addition of corrosion inhibitors, a water chemistry control, a tube plugging and sleeving have been applied. Steam generators equipped with alloy 600 tubing, which are not so resistant to a stress corrosion cracking (SCC), have generally been replaced with new steam generators made of alloy 690 TT (Thermally treated). Pull tube examination results which were performed of KAERI are summarized. The tubes were affected by a pitting, SCC, and a denting. Nondestructive examination method for the tubes and repair techniques are also reviewed. In addition, the regulatory guidance of some countries are reviewed. As a part of a tube integrity project in Korea, some results on a tube rupture and leak behaviors for axial cracks are also mentioned

Characterization and Surgical Management of Achilles Tendon Sleeve Avulsions.

Science.gov (United States)

Huh, Jeannie; Easley, Mark E; Nunley, James A

2016-06-01

An Achilles sleeve avulsion occurs when the tendon ruptures distally from its calcaneal insertion as a continuous "sleeve." This relatively rare injury pattern may not be appreciated until the time of surgery and can be challenging to treat because, unlike a midsubstance rupture, insufficient tendon remains on the calcaneus to allow for end-to-end repair, and unlike a tuberosity avulsion fracture, any bony element avulsed with the tendon is inadequate for internal fixation. This study aimed to highlight the characteristics of Achilles sleeve avulsions and present the outcomes of operative repair using suture anchor fixation. A retrospective analysis was conducted on 11 consecutive Achilles tendon sleeve avulsions (10 males, 1 female; mean age 44 years) that underwent operative repair between 2008 and 2014. Patient demographics, injury presentation, and operative details were reviewed. Postoperative outcomes were collected at a mean follow-up of 38.4 (range, 12-83.5) months, including the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot score, visual analog scale (VAS) for pain, plantarflexion strength, patient satisfaction, and complications. Eight patients (72.7%) had preexisting symptoms of insertional Achilles disease. Ten of 11 (90.9%) injuries were sustained during recreational athletic activity. An Achilles sleeve avulsion was recognized preoperatively in 7 of 11 (64%) cases, where lateral ankle radiographs demonstrated a small radiodensity several centimeters proximal to the calcaneal insertion. Intraoperatively, 90.9% of sleeve avulsions had a concomitant Haglund deformity and macroscopic evidence of insertional tendinopathy. All patients healed after suture anchor repair. The average AOFAS score was 92.8 and VAS score was 0.9. Ten patients (90.9%) were completely satisfied. One complication occurred, consisting of delayed wound healing. Achilles tendon sleeve avulsions predominantly occurred in middle-aged men with preexisting insertional

Modeling and testing of a knitted-sleeve fluidic artificial muscle

Science.gov (United States)

Ball, Erick J.; Meller, Michael A.; Chipka, Jordan B.; Garcia, Ephrahim

2016-11-01

The knitted-sleeve fluidic muscle is similar in design to a traditional McKibben muscle, with a separate bladder and sleeve. However, in place of a braided sleeve, it uses a tubular-knit sleeve made from a thin strand of flexible but inextensible yarn. When the bladder is pressurized, the sleeve expands by letting the loops of fiber slide past each other, changing the dimensions of the rectangular cells in the stitch pattern. Ideally, the internal volume of the sleeve would reach a maximum when its length has contracted by 2/3 from its maximum length, and although this is not reachable in practice, preliminary tests show that free contraction greater than 50% is achievable. The motion relies on using a fiber with a low coefficient of friction in order to reduce hysteresis to an acceptable level. In addition to increased stroke length, potential advantages of this technique include slower force drop-off during the stroke, more useable energy in certain applications, and greater similarity to the force-length relationship of skeletal muscle. Its main limitation is its potentially greater effect from friction compared to other fluidic muscle designs.

Steam generator tube integrity program. Semiannual report, August 1995--March 1996

International Nuclear Information System (INIS)

Diercks, D.R.; Bakhtiari, S.; Chopra, O.K.

1997-04-01

This report summarizes work performed by Argonne National Laboratory on the Steam Generator Tube Integrity Program from the inception of that program in August 1995 through March 1996. The program is divided into five tasks, namely (1) Assessment of Inspection Reliability, (2) Research on ISI (in-service-inspection) Technology, (3) Research on Degradation Modes and Integrity, (4) Development of Methodology and Technical Requirements for Current and Emerging Regulatory Issues, and (5) Program Management. Under Task 1, progress is reported on the preparation of and evaluation of nondestructive evaluation (NDE) techniques for inspecting a mock-up steam generator for round-robin testing, the development of better ways to correlate burst pressure and leak rate with eddy current (EC) signals, the inspection of sleeved tubes, workshop and training activities, and the evaluation of emerging NDE technology. Under Task 2, results are reported on closed-form solutions and finite element electromagnetic modeling of EC probe response for various probe designs and flaw characteristics. Under Task 3, facilities are being designed and built for the production of cracked tubes under aggressive and near-prototypical conditions and for the testing of flawed and unflawed tubes under normal operating, accident, and severe accident conditions. In addition, crack behavior and stability are being modeled to provide guidance on test facility design, to develop an improved understanding of the expected rupture behavior of tubes with circumferential cracks, and to predict the behavior of flawed and unflawed tubes under severe accident conditions. Task 4 is concerned with the cracking and failure of tubes that have been repaired by sleeving, and with a review of literature on this subject

Conjunctivodacryocystorhinostomy using a high-density porous polyethylene-coated tear drain tube.

Science.gov (United States)

Pushker, Neelam; Khurana, Saurbhi; Shrey, Dinesh; Bajaj, Mandeep S; Chawla, Bhavna; Chandra, Mahesh

2013-08-01

To evaluate the outcome of conjunctivodacryocystorhinostomy using a high-density porous polyethylene (HDPP)-coated tear drain tube. Patients with epiphora due to a proximal lacrimal system block were included in a prospective interventional case study. A total of 22 eyes were treated with lacrimal bypass surgery using the HDPP-coated tube. On follow-up (12-41 months), 21 eyes had a patent well-positioned tube with subjective relief of epiphora. In one eye, a loose sleeve was noted during surgery. The tube dislodged postoperatively and was removed. A high success rate with only a few minor complications is achievable using a HDPP-coated tear drain tube for lacrimal bypass surgery. Long-term follow-up is required to look for tube blockage due to conjunctival or nasal mucosal overgrowth.

What matters after sleeve gastrectomy: patient characteristics or surgical technique?

Science.gov (United States)

Dhar, Vikrom K; Hanseman, Dennis J; Watkins, Brad M; Paquette, Ian M; Shah, Shimul A; Thompson, Jonathan R

2018-03-01

The impact of operative technique on outcomes in laparoscopic sleeve gastrectomy has been explored previously; however, the relative importance of patient characteristics remains unknown. Our aim was to characterize national variability in operative technique for laparoscopic sleeve gastrectomy and determine whether patient-specific factors are more critical to predicting outcomes. We queried the database of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program for laparoscopic sleeve gastrostomies performed in 2015 (n = 88,845). Logistic regression models were used to determine predictors of postoperative outcomes. In 2015, >460 variations of laparoscopic sleeve gastrectomy were performed based on combinations of bougie size, distance from the pylorus, use of staple line reinforcement, and oversewing of the staple line. Despite such substantial variability, technique variants were not predictive of outcomes, including perioperative morbidity, leak, or bleeding (all P ≥ .05). Instead, preoperative patient characteristics were found to be more predictive of these outcomes after laparoscopic sleeve gastrectomy. Only history of gastroesophageal disease (odds ratio 1.44, 95% confidence interval 1.08-1.91, P < .01) was associated with leak. Considerable variability exists in technique among surgeons nationally, but patient characteristics are more predictive of adverse outcomes after laparoscopic sleeve gastrectomy. Bundled payments and reimbursement policies should account for patient-specific factors in addition to current accreditation and volume thresholds when deciding risk-adjustment strategies. Copyright © 2018 Elsevier Inc. All rights reserved.

Improved design and durability of aluminum die casting horizontal shot sleeves

Science.gov (United States)

Birceanu, Sebastian

The design and performance of shot sleeves is critical in meeting the engineering requirements of aluminum die cast parts. Improvement in shot sleeve materials have a major impact on dimensional stability, reproducibility and quality of the product. This investigation was undertaken in order to improve the life of aluminum die casting horizontal shot sleeves. Preliminary pin tests were run to evaluate the soldering, wash-out and thermal fatigue behavior of commercially available materials and coatings. An experimental rig was designed and constructed for shot sleeve configuration evaluation. Fabrication and testing of experimental shot sleeves was based upon preliminary results and manufacturing costs. Three shot sleeve designs and materials were compared to a reference nitrided H13 sleeve. Nitrided H13 is the preferred material for aluminum die casting shot sleeves because of wear resistance, strength and relative good soldering and wash-out resistance. The study was directed towards damage evaluation on the area under the pouring hole. This area is the most susceptible to damage because of high temperatures and impingement of molten aluminum. The results of this study showed that tungsten and molybdenum had the least amount of soldering and wash-out damage, and the best thermal fatigue resistance. Low solubility in molten aluminum and stability of intermetallic layers are main factors that determine the soldering and wash-out behavior. Thermal conductivity and thermal expansion coefficient directly influence thermal fatigue behavior. TiAlN nanolayered coating was chosen as the material with the best damage resistance among several commercial PVD coatings, because of relatively large thickness and simple deposition conditions. The results show that molybdenum thermal sprayed coating provided the best protection against damage under the pouring hole. Improved bonding is however required for life extension of the coating. TiAlN PVD coating applied on H13 nitrided

Root cause analysis of SI line-seated thermal sleeve separation failures

International Nuclear Information System (INIS)

Jo, Jong Chull; Jhung, Myung Jo; Kim, Hho Jung

2004-01-01

At conventional pressurized water reactors, a thermal sleeve (named simply 'sleeve' hereafter) is seated inside the nozzle part of each Safety Injection (SI) branch pipe to prevent and relieve potential excessive transient thermal stress in the nozzle wall when a cold water is injected during the safety injection mode Recently, mechanical failures that the sleeves are separated from the SI branch pipe and fall into the connected cold leg main pipe were occurred in sequence at Yonggwang units 5 and 6 and Ulchin unit 5. There were many activities and efforts to figure out the causes of those failures with experts' reasoning, but the proposed causes were derived from superficial views rather than physically concrete grounds or analysis results. The prerequisites to find out the root causes of failure mechanism will be to identify the flow situation in the pipe junction area connecting the cold leg with the SI pipe and to know the vibration characteristics of sleeves. This paper investigates the flow field in the pipe junction thru a numerical simulation and vibration characteristics of thermal sleeves thru a modal analysis, from which the root causes of sleeve separation mechanism are analyzed

Sleeve gastrectomy and gastro-oesophageal reflux disease: a complex relationship.

Science.gov (United States)

Mahawar, Kamal K; Jennings, Neil; Balupuri, Shlok; Small, Peter K

2013-07-01

Sleeve gastrectomy is rapidly becoming popular as a standalone bariatric operation. At the same time, there are valid concerns regarding its long-term durability and postoperative gastro-oesophageal reflux disease. Though gastric bypass remains the gold standard bariatric operation, it is not suitable for all patients. Sleeve gastrectomy is sometimes the only viable option. Patients with inflammatory bowel disease, liver cirrhosis, significant intra-abdominal adhesions involving small bowel and those reluctant to undergo gastric bypass could fall in this category. It is widely recognised that some patients report worsening of their gastro-oesophageal reflux disease after sleeve gastrectomy. Still, others develop de novo reflux. This review examines if it is possible to identify these patients prior to surgery and thus prevent postoperative gastro-oesophageal reflux disease after sleeve gastrectomy.

Inspection and repair of steam generator tubing with a robot

International Nuclear Information System (INIS)

Boehm, H.H.; Foerch, H.

1985-01-01

During inspection and repair of steam generator tubing, radiation exposure to personnel is an unrequested endowment. To combat this intrinsic handicap, a robot has been designed for deployment in all operations inside the steam generator water chamber. This measure drastically reduces entering time and also improves inspection capabilities with regard to the accuracy and reproduction of the desired tube address. The inherent flexibility of the robot allows for performing various inspection and repair techniques: eddy-current testing of tubing; ultrasonic testing of tubing; visual examination of tube ends; profilometry measurements; tube plugging; plug removal; tube extraction; sleeving of tubes; tube end repair; chemical cleaning; and thermal treatment. Plant experience has highlighted the following features of the robot: 1) short installation and demounting periods; 2) installation independent of manhole location; 3) installation possible from outside the steam generator; 4) only one relocation required to address all the tube positions; 5) fast and highly accurate positioning; 6) operational surveillance not required; and 7) drastic reduction of radiation exposure to personnel during repair work

Self Touch to Touch Others: Designing the Tactile Sleeve for Social Touch

NARCIS (Netherlands)

Huisman, G.; Darriba Frederiks, A.; van Dijk, B.; Kröse, B.; Heylen, D.

2013-01-01

In this paper we present the concept and initial design stages of the TaSST (Tactile Sleeve for Social Touch). The TaSST consists of a soft pressure-sensitive input layer, and an output layer containing vibration motors. A touch to ones own sleeve is felt as a vibration on the sleeve of another

Self touch to touch others : designing the tactile sleeve for social touch

NARCIS (Netherlands)

Huisman, Gijs; Darriba Frederiks, Aduén; Heylen, Dirk; Van Dijk, Betsy; Kröse, Ben

2013-01-01

In this paper we present the concept and initial design stages of the TaSST (Tactile Sleeve for Social Touch). The TaSST consists of a soft pressure-sensitive input layer, and an output layer containing vibration motors. A touch to ones own sleeve is felt as a vibration on the sleeve of another

Dysphagia after vertical sleeve gastrectomy: Evaluation of risk factors and assessment of endoscopic intervention.

Science.gov (United States)

Nath, Anand; Yewale, Sayali; Tran, Tung; Brebbia, John S; Shope, Timothy R; Koch, Timothy R

2016-12-21

To evaluate the risks of medical conditions, evaluate gastric sleeve narrowing, and assess hydrostatic balloon dilatation to treat dysphagia after vertical sleeve gastrectomy (VSG). VSG is being performed more frequently worldwide as a treatment for medically-complicated obesity, and dysphagia is common post-operatively. We hypothesize that post-operative dysphagia is related to underlying medical conditions or narrowing of the gastric sleeve. This is a retrospective, single institution study of consecutive patients who underwent sleeve gastrectomy from 2013 to 2015. Patients with previous bariatric procedures were excluded. Narrowing of a gastric sleeve includes: inability to pass a 9.6 mm gastroscope due to stenosis or sharp angulation or spiral hindering its passage. Of 400 consecutive patients, 352 are included; the prevalence of dysphagia is 22.7%; 33 patients (9.3%) have narrowing of the sleeve with 25 (7.1%) having sharp angulation or a spiral while 8 (2.3%) have a stenosis. All 33 patients underwent balloon dilatation of the gastric sleeve and dysphagia resolved in 13 patients (39%); 10 patients (30%) noted resolution of dysphagia after two additional dilatations. In a multivariate model, medical conditions associated with post-operative dysphagia include diabetes mellitus, symptoms of esophageal reflux, a low whole blood thiamine level, hypothyroidism, use of non-steroidal anti-inflammatory drugs, and use of opioids. Narrowing of the gastric sleeve and gastric sleeve stenosis are common after VSG. Endoscopic balloon dilatations of the gastric sleeve resolves dysphagia in 69% of patients.

Weight Loss after Sleeve Gastrectomy in Super Superobesity

Directory of Open Access Journals (Sweden)

J.-M. Catheline

2012-01-01

Full Text Available Objective. This prospective study evaluated laparoscopic sleeve gastrectomy for its safety and efficiency in excess weight loss (%EWL in super superobese patients (BMI >60 Kg/m2. Results. Thirty patients (33 women and 7 men were included, with mean age of 35 years (range 18 to 59. Mean preoperative BMI was 66 Kg/m2 (range 60 to 85. The study included one patient with complete situs inversus and 4 (14% with previous restrictive gastric banding. The mean operative time was 120 minutes (range 80 to 220 min and the mean hospital stay was 7.5 days (4 to 28 days. There was no postoperative mortality or need for a laparotomy conversion. Two subphrenic hematomas, one gastric fistula, and one pulmonary embolism, were the major complications. After 18 months 17 (77% had sufficient weight loss and six had insufficient results, leading to either re-sleeve gastrectomy (3, or gastric bypass (2. Three years after the initial laparoscopic sleeve gastrectomy, the mean EWL was 51% (range 21 to 82. Conclusion. The laparoscopic sleeve gastrectomy is a safe and efficient operating procedure for treating super superobesity. In the case of insufficient weight loss, a second-stage operation like resleeve gastrectomy or gastric bypass can be proposed.

Dysphagia after vertical sleeve gastrectomy: Evaluation of risk factors and assessment of endoscopic intervention

Science.gov (United States)

Nath, Anand; Yewale, Sayali; Tran, Tung; Brebbia, John S; Shope, Timothy R; Koch, Timothy R

2016-01-01

AIM To evaluate the risks of medical conditions, evaluate gastric sleeve narrowing, and assess hydrostatic balloon dilatation to treat dysphagia after vertical sleeve gastrectomy (VSG). METHODS VSG is being performed more frequently worldwide as a treatment for medically-complicated obesity, and dysphagia is common post-operatively. We hypothesize that post-operative dysphagia is related to underlying medical conditions or narrowing of the gastric sleeve. This is a retrospective, single institution study of consecutive patients who underwent sleeve gastrectomy from 2013 to 2015. Patients with previous bariatric procedures were excluded. Narrowing of a gastric sleeve includes: inability to pass a 9.6 mm gastroscope due to stenosis or sharp angulation or spiral hindering its passage. RESULTS Of 400 consecutive patients, 352 are included; the prevalence of dysphagia is 22.7%; 33 patients (9.3%) have narrowing of the sleeve with 25 (7.1%) having sharp angulation or a spiral while 8 (2.3%) have a stenosis. All 33 patients underwent balloon dilatation of the gastric sleeve and dysphagia resolved in 13 patients (39%); 10 patients (30%) noted resolution of dysphagia after two additional dilatations. In a multivariate model, medical conditions associated with post-operative dysphagia include diabetes mellitus, symptoms of esophageal reflux, a low whole blood thiamine level, hypothyroidism, use of non-steroidal anti-inflammatory drugs, and use of opioids. CONCLUSION Narrowing of the gastric sleeve and gastric sleeve stenosis are common after VSG. Endoscopic balloon dilatations of the gastric sleeve resolves dysphagia in 69% of patients. PMID:28058017

Fretting and Corrosion Damage in Taper Adapter Sleeves for Ceramic Heads: A Retrieval Study.

Science.gov (United States)

MacDonald, Daniel W; Chen, Antonia F; Lee, Gwo-Chin; Klein, Gregg R; Mont, Michael A; Kurtz, Steven M; Cates, Harold E; Kraay, Matthew J; Rimnac, Clare M

2017-09-01

During revision surgery with a well-fixed stem, a titanium sleeve can be used in conjunction with a ceramic head to achieve better stress distribution across the taper surface. In vitro testing suggests that corrosion is not a concern in sleeved ceramic heads; however, little is known about the in vivo fretting corrosion of the sleeves. The purpose of this study was to investigate fretting corrosion in sleeved ceramic heads in retrieved total hip arthroplasties. Thirty-seven sleeved ceramic heads were collected during revision. The femoral heads and sleeves were implanted 0.0-3.3 years. The implants were revised predominantly for instability, infection, and loosening. Fifty percent of the retrievals were implanted during a primary surgery. Fretting corrosion was assessed using the Goldberg-Higgs semiquantitative scoring system. Mild-to-moderate fretting corrosion scores (score = 2-3) were observed in 92% of internal tapers, 19% of external tapers, and 78% of the stems. Severe fretting corrosion was observed in 1 stem trunnion that was previously retained during revision surgery and none of the retrieved sleeves. There was no difference in corrosion damage of sleeves used in primary or revision surgery. The fretting corrosion scores in this study were predominantly mild and lower than reported fretting scores of cobalt-chrome heads in metal-on-polyethylene bearings. Although intended for use in revisions, we found that the short-term in vivo corrosion behavior of the sleeves was similar in both primary and revision surgery applications. From an in vivo corrosion perspective, sleeves are a reasonable solution for restoring the stem taper during revision surgery. Copyright © 2017. Published by Elsevier Inc.

Burst pressure and leak rate from fretted SG tubes

International Nuclear Information System (INIS)

Hwang, Seong Sik; Jung, Man Kyo; Kim, Hong Pyo; Kim, Joung Soo

2005-01-01

Steam generator(SG) tubes of a pressurized water reactor(PWR) have suffered from various types of corrosion, such as pitting, wastage and stress corrosion cracking (SCC) on both the primary and secondary side. Recently, fretting/wear degradation at the tube support region has been reported in some Korean nuclear power plants. In order to prevent the primary coolant from leaking to the secondary side, the tubes are repaired by a sleeving or plugging. It is important to establish the repair criteria to assure a reactor integrity and yet maintain the plugging ratio within the limits needed for an efficient operation. The objective of the burst test is to obtain a relationship between the burst/leak rate and the shape of the fretted flaws machined with an electro discharge machining (EDM)

Use of color-coded sleeve shutters accelerates oscillograph channel selection

Science.gov (United States)

Bouchlas, T.; Bowden, F. W.

1967-01-01

Sleeve-type shutters mechanically adjust individual galvanometer light beams onto or away from selected channels on oscillograph papers. In complex test setups, the sleeve-type shutters are color coded to separately identify each oscillograph channel. This technique could be used on any equipment using tubular galvanometer light sources.

Synthesis and electrochemical performances of ZnO/MnO2 sea urchin-like sleeve array as anode materials for lithium-ion batteries

International Nuclear Information System (INIS)

Fang, J.; Yuan, Y.F.; Wang, L.K.; Ni, H.L.; Zhu, H.L.; Yang, J.L.; Gui, J.S.; Chen, Y.B.; Guo, S.Y.

2013-01-01

MnO 2 is electrodeposited onto ZnO nanorod array grown on Ni foil, forming a binder-free ZnO/MnO 2 composited electrode. XRD, EDS, SEM and TEM are used to analyze the phase and microstructure of this composite. Burr-like MnO 2 nanoflakes grows on ZnO nanorod array, the top of the composite is hollow and at the bottom exists ZnO large block core as an internal support, forming ZnO/MnO 2 sea urchin-like sleeve array. As anode material for lithium ion batteries, ZnO/MnO 2 sleeve array exhibits higher discharge capacity and coulombic efficiency, better rate performance and cycling stability than single ZnO nanorod array or directly electrodepsited MnO 2 , and the composite effect is very remarkable. After 100 cycles, the discharge capacity of ZnO/MnO 2 still reaches 1259 mA h g −1 , and coulombic efficiency surpasses 98%, higher than those of ZnO nanorod array (111 mA h g −1 ) and directly electrodeposited MnO 2 (507 mA h g −1 ). The improvement of the electrochemical performances is due to the unique sea urchin-like sleeve array architecture. MnO 2 burr tube shell structure leads to high electrochemical activity while the internal ZnO core support ensures good structure stability. The gradually opening of sea urchin-like sleeve during the cycling further enhances the electrochemical activity of MnO 2 , stabilizing and increasing electrochemical performances of the ZnO/MnO 2 composite

Gastroesophageal Reflux Disease and Sleeve Gastrectomy.

Science.gov (United States)

Melissas, John; Braghetto, Italo; Molina, Juan Carlos; Silecchia, Gianfranco; Iossa, Angelo; Iannelli, Antonio; Foletto, Mirto

2015-12-01

Gastroesophageal reflux disease (GERD) and/or hiatus hernia (HH) are one of the most common disorders of the upper gastrointestinal tract. Despite the positive effect of sleeve gastrectomy (SG) regarding weight loss and improvement in obesity co-morbidities, there are concerns about the development of de novo gastroesophageal reflux disease or worsening the existing GERD after this bariatric operation. Furthermore, controversy exists on the consequences of SG in lower esophageal sphincter function and about the ideal procedure when a hiatus hernia is preoperatively diagnosed or discovered during the laparoscopic SG. This review systematically investigates the incidence, the pathophysiology of GERD and/or HH in morbidly obese individuals before and after SG, and the treatment options for concomitant HH repair during laparoscopic sleeve gastrectomy.

Development of on line automatic separation device for apple and sleeve

Science.gov (United States)

Xin, Dengke; Ning, Duo; Wang, Kangle; Han, Yuhang

2018-04-01

Based on STM32F407 single chip microcomputer as control core, automatic separation device of fruit sleeve is designed. This design consists of hardware and software. In hardware, it includes mechanical tooth separator and three degree of freedom manipulator, as well as industrial control computer, image data acquisition card, end effector and other structures. The software system is based on Visual C++ development environment, to achieve localization and recognition of fruit sleeve with the technology of image processing and machine vision, drive manipulator of foam net sets of capture, transfer, the designated position task. Test shows: The automatic separation device of the fruit sleeve has the advantages of quick response speed and high separation success rate, and can realize separation of the apple and plastic foam sleeve, and lays the foundation for further studying and realizing the application of the enterprise production line.

Esophageal adenocarcinoma five years after laparoscopic sleeve gastrectomy. A case report

Directory of Open Access Journals (Sweden)

Fernando Gabriel Wright

2017-01-01

Conclusion: We present a case of an esophageal adenocarcinoma five years after a laparoscopic sleeve gastrectomy for morbid obesity. There is need to better determine the relationship between sleeve gastrectomy and gastroesophageal reflux disease in order to prevent its related complications, such as esophageal adenocarcinoma.

Crimped braided sleeves for soft, actuating arm in robotic abdominal surgery.

Science.gov (United States)

Elsayed, Yahya; Lekakou, Constantina; Ranzani, Tommaso; Cianchetti, Matteo; Morino, Mario; Arezzo, Alberto; Menciassi, Arianna; Geng, Tao; Saaj, Chakravarthini M

2015-01-01

This paper investigates different types of crimped, braided sleeve used for a soft arm for robotic abdominal surgery, with the sleeve required to contain balloon expansion in the pneumatically actuating arm while it follows the required bending, elongation and diameter reduction of the arm. Three types of crimped, braided sleeves from PET (BraidPET) or nylon (BraidGreyNylon and BraidNylon, with different monofilament diameters) were fabricated and tested including geometrical and microstructural characterisation of the crimp and braid, mechanical tests and medical scratching tests for organ damage of domestic pigs. BraidPET caused some organ damage, sliding under normal force of 2-5 N; this was attributed to the high roughness of the braid pattern, the higher friction coefficient of polyethylene terephthalate (PET) compared to nylon, and the high frequency of the crimp peaks for this sleeve. No organ damage was observed for the BraidNylon, attributed to both the lower roughness of the braid pattern and the low friction coefficient of nylon. BraidNylon also required the lowest tensile force during its elongation to similar maximum strain as that of BraidPET, translating to low power requirements. BraidNylon is recommended for the crimped sleeve of the arm designed for robotic abdominal surgery.

Design of a Soft Robotic Elbow Sleeve with Passive and Intent-Controlled Actuation

Directory of Open Access Journals (Sweden)

Tze Hui Koh

2017-10-01

Full Text Available The provision of continuous passive, and intent-based assisted movements for neuromuscular training can be incorporated into a robotic elbow sleeve. The objective of this study is to propose the design and test the functionality of a soft robotic elbow sleeve in assisting flexion and extension of the elbow, both passively and using intent-based motion reinforcement. First, the elbow sleeve was developed, using elastomeric and fabric-based pneumatic actuators, which are soft and lightweight, in order to address issues of non-portability and poor alignment with joints that conventional robotic rehabilitation devices are faced with. Second, the control system was developed to allow for: (i continuous passive actuation, in which the actuators will be activated in cycles, alternating between flexion and extension; and (ii an intent-based actuation, in which user intent is detected by surface electromyography (sEMG sensors attached to the biceps and triceps, and passed through a logic sequence to allow for flexion or extension of the elbow. Using this setup, the elbow sleeve was tested on six healthy subjects to assess the functionality of the device, in terms of the range of motion afforded by the device while in the continuous passive actuation. The results showed that the elbow sleeve is capable of achieving approximately 50% of the full range of motion of the elbow joint among all subjects. Next, further experiments were conducted to test the efficacy of the intent-based actuation on these healthy subjects. The results showed that all subjects were capable of achieving electromyography (EMG control of the elbow sleeve. These preliminary results show that the elbow sleeve is capable of carrying out continuous passive and intent-based assisted movements. Further investigation of the clinical implementation of the elbow sleeve for the neuromuscular training of neurologically-impaired persons, such as stroke survivors, is needed.

Gas cooled high temperature reactor with a heap of pebble shaped fuel elements and absorber rods which can be driven directly into the heap of pebbles

International Nuclear Information System (INIS)

Elter, C.; Schmitt, H.; Schoening, J.; Weicht, U.

1980-01-01

The absorber rod for the graphite moderated, helium cooled reactor is cylindrical and has a tip in the shape of the frustrum of a cone. It consists of three coaxially arranged sleeve tubes made of steel, the inner and centre sleeve tubes surrounding the absorber part (B4C) so as to be gastight. The inner sleeve tube represents the supporting tube and is cooled by cold gas, as is the annular gap between the centre and outer sleeve tube. (RW) [de

Steam generator tube performance: experience with water-cooled nuclear power reactors during 1983 and 1984

International Nuclear Information System (INIS)

Tatone, O.S.; Meindl, P.; Taylor, G.F.

1986-06-01

A review of the performance of steam generator tubes in water-cooled nuclear power reactors showed that tubes were plugged at 47 (35.6%) of the reactors in 1983 and at 63 (42.6%) of the reactors during 1984. In 1983 and 1984 3291 and 3335 tubes, respectively, were removed from service, about the same as in 1982. The leading causes assigned to tube failure were stress corrosion cracking from the primary side and stress corrosion cracking or intergranular attack from the secondary side. In addition 5668 tubes were repaired for further service by installation of internal sleeves. Most of these were believed to have deteriorated by one of the above mechanisms or by pitting. There is a continuing trend towards high-integrity condenser tube materials at sites cooled by brackish or sea water. 31 refs

Nuclear reactor spacer assembly

International Nuclear Information System (INIS)

Anthony, A.J.; Groves, M.D.

1979-01-01

A fuel assembly for a nuclear reactor is disclosed wherein the fuel element receiving and supporting grid is comprised of a first metal, the guide tubes which pass through the grid assembly are comprised of a second metal and the grid is supported on the guide tubes by means of expanded sleeves located intermediate the grid and guide tubes. The fuel assembly is fabricated by inserting the sleeves, of initial outer diameter commensurate with the guide tube outer diameters, through the holes in the grid assembly provided for the guide tubes and thereafter expanding the sleeves radially outwardly along their entire length such that the guide tubes can subsequently be passed through the sleeves. The step of radial expansion, as a result of windows provided in the sleeves having dimensions commensurate with the geometry of the grid, mechanically captures the grid and simultaneously preloads the sleeve against the grid whereby relative motion between the grid and guide tube will be precluded

Left lower lobe sleeve lobectomy for lung cancer using the Da Vinci surgical system.

Science.gov (United States)

Zhao, Yandong; Jiao, Wenjie; Ren, Xiaoyang; Zhang, Liangdong; Qiu, Tong; Fu, Bo; Wang, Lei

2016-04-12

Despite the robotic surgery is widely applied, sleeve lobectomy for lung cancer using the Da Vinci surgical system is still less performed. We described a sleeve lobectomy for adenocarcinoma located at the left lower lobe using the Da Vinci surgical system. A case of 57-year old female referred to our hospital. Computed tomography scan showed an occupation located at the left lower lobe and adenocarcinoma project from the lobe bronchus was diagnosed by bronchoscope examination. A sleeve lobectomy was performed using the Da Vinci surgical system and the postoperative recovery was uneventful. Robotic thoracic surgery is feasible to perform sleeve lobectomy inspite of inadequate experience.

Dysphagia after vertical sleeve gastrectomy: Evaluation of risk factors and assessment of endoscopic intervention

OpenAIRE

Nath, Anand; Yewale, Sayali; Tran, Tung; Brebbia, John S; Shope, Timothy R; Koch, Timothy R

2016-01-01

AIM To evaluate the risks of medical conditions, evaluate gastric sleeve narrowing, and assess hydrostatic balloon dilatation to treat dysphagia after vertical sleeve gastrectomy (VSG). METHODS VSG is being performed more frequently worldwide as a treatment for medically-complicated obesity, and dysphagia is common post-operatively. We hypothesize that post-operative dysphagia is related to underlying medical conditions or narrowing of the gastric sleeve. This is a retrospective, single insti...

Patellar Sleeve Fracture With Ossification of the Patellar Tendon.

Science.gov (United States)

Damrow, Derek S; Van Valin, Scott E

2017-03-01

Patellar sleeve fractures make up greater than 50% of all patellar fractures. They are essentially only seen in the pediatric population because of the thick periosteum and the distal patellar pole apophysis in this group. These fractures can lead to complications if not treated appropriately and in a timely fashion. Complications of missed or untreated patellar sleeve fractures include patella alta, anterior knee pain, and quadriceps atrophy. These can all result in severe limitations in activity. The authors describe a case of a 16-year-old boy who sustained a patellar sleeve fracture 3 years prior to presentation. On presentation, he had patella alta, diminished strength, 5° of extensor lag, and radiographs that revealed bone formation along the patellar tendon. Despite this, he was able to maintain a high level of activity. This case report explores how the patient could have maintained a high level of activity despite having a patellar sleeve fracture. Also, because of the delayed presentation, the patella was ossified and the quadriceps was retracted, which led to a novel approach to reconstructing his distal extensor mechanism. This approach included a V-Y advancement of the quadriceps tendon and patellar tendon reconstruction using the patient's hamstring tendon (semitendinosus). This technique, combined with physical therapy postoperatively, resulted in his return to varsity high school soccer. To the best of the authors' knowledge, this technique has not been reported for this rare condition. [Orthopedics. 2017; 40(2):e357-e359.]. Copyright 2016, SLACK Incorporated.

Leak or Fistula After Sleeve Gastrectomy: Treatment with Pigtail Drain by the Rendezvous Technique.

Science.gov (United States)

Soufron, Jacques

2015-10-01

After a sleeve gastrectomy, a leak or fistula is a serious complication. Laparoscopic drainage, drainage under US or CT scan control, or endoscopic insertion of a stent can be used, but a major re-operation is sometimes unavoidable. Endoscopic drainage with a pigtail catheter could give more success and fewer complications, but the insertion of the drain is not always possible nor does it always provide a perfect drainage. If a laparoscopic second look appears necessary, it is possible to insert a pigtail drain laparoscopically, but under endoscopic control, ensuring a correct positioning of the drain both in the peritoneal cavity and in the gastric tube. This simultaneous "rendezvous" technique could combine in this situation the advantages of purely surgical techniques and of purely endoscopic or image-guided techniques.

Numerical and experimental investigation of flow and heat transfer in a T-junction with thermal sleeve

International Nuclear Information System (INIS)

Wu Hailing; Chen Tingkuan; Wang Haijun; Luo Yushan; Mao Qing; Zhang Yixiong

2002-01-01

Numerical simulations were performed with the commercial computational fluid dynamics (CFD) package FLUENT 5.3 to investigate the thermal-hydraulic phenomena of thermal shock, which is caused by non-isothermal turbulent jet into crossflow in a T-junction with thermal sleeve in the pressurized water reactor (PWR) cooling systems. In allusion to the thermal sleeve configuration with vent holes and lower collar, two typical cases with jet-to-mainstream velocity ratios of 0.05 and 0.5 were computed. Experimental studies were carried out to determine the heat transfer characteristics for the main pipe and the annulus between the nozzle and the thermal sleeve. The calculations well matches the experimental data. The results indicated that the protective action of the thermal sleeve against thermal shock loading is dependent on both the sleeve geometry and the velocity ratio, obtaining improvement with appropriate lower velocity ratios. In addition, optimal flow rates and partial sizes of the thermal sleeve were discussed to reduce the thermal shock

Extended Sleeve Products Allow Control and Monitoring of Process Fluid Flows Inside Shielding, Behind Walls and Beneath Floors - 13041

Energy Technology Data Exchange (ETDEWEB)

Abbott, Mark W. [Flowserve Corporation, 1978 Foreman Drive Cookeville, TN 38506 (United States)

2013-07-01

, yet allows the installation of process monitoring instruments, such as a turbidity meter to be placed in the flow stream. The basis of the design is a valve body, which, rather than having a directly mounted bonnet has lengths of concentric pipe added, which move the bonnet away from the valve body. The pipe is conceptually similar to an oil field well, with the various strings of casing, and tubing installed. Each concentric pipe provides a required function, such as the outermost pipes, the valve sleeve and penetration sleeve, which provide structural support to the deck flange. For plug valve based designs, the next inner pipe provides compression on the environmental seals at the top of the body to bonnet joint, followed by the innermost pipe which provides rotation of the plug, in the same manner as an extended stem. Ball valve ESVs have an additional pipe to provide compressive loading on the stem packing. Due to the availability of standard pipe grades and weights, the product can be configured to fit a wide array of valve sizes, and application lengths, with current designs as short as seven inches and as tall as 18 feet. Central to the design is the requirement for no special tools or downhole tools to remove parts or configure the product. Off the shelf wrenches, sockets or other hand tools are all that is required. Compared to other products historically available, this design offers a lightweight option, which, while not as rigidly stiff, can deflect compliantly under extreme seismic loading, rather than break. Application conditions vary widely, as the base product is 316 and 304 stainless steel, but utilizes 17-4PH, and other allows as needed based on the temperature range and mechanical requirements. Existing designs are installed in applications as hot as 1400 deg. F, at low pressure, and separately in highly radioactive environments. The selection of plug versus ball valve, metal versus soft seats, and the material of the seals and seats is all

Failure analysis of retired steam generator tubings

Energy Technology Data Exchange (ETDEWEB)

Kim, Hong Pyo; Kim, J. S.; Hwang, S. S. and others

2005-04-15

Degradation of steam generator leads to forced outage and extension of outage, which causes increase in repair cost, cost of purchasing replacement power and radiation exposure of workers. Steam generator tube rupture incident occurred in Uljin 4 in 2002, which made public sensitive to nuclear power plant. To keep nuclear energy as a main energy source, integrity of steam generator should be demonstrated. Quantitative relationship between ECT(eddy current test) signal and crack size is needed in assesment of integrity of steam generator in pressurized water reactor. However, it is not fully established for application in industry. Retired steam generator of Kori 1 has many kinds of crack such as circumferential and axial primary water stress corrosion crack and outer diameter stress corrosion crack(ODSCC). So, it can be used in qualifying and improving ECT technology and in condition monitoring assesment for crack detected in ISI(in service inspection). In addition, examination of pulled tube of Kori 1 retired steam generator will give information about effectiveness of non welded sleeving technology which was employed to repair defect tubes and remedial action which was applied to mitigate ODSCC. In this project, hardware such as semi hot lab. for pulled tube examination and modification transportation cask for pulled tube and software such as procedure of transportation of radioactive steam generator tube and non-destructive and destructive examination of pulled tube were established. Non-destructive and destructive examination of pulled tubes from Kori 1 retired steam generator were performed in semi hot lab. Remedial actions applied to Kori 1 retired steam generator, PWSCC trend and bulk water chemistry and crevice chemistry in Kori 1 were evaluated. Electrochemical decontamination technology for pulled tube was developed to reduce radiation exposure and enhance effectiveness of pulled tube examination. Multiparameter algorithm developed at ANL, USA was

Machining of the nuclear tube sheet with small hole diameter

International Nuclear Information System (INIS)

Lin Lifeng

2010-01-01

Regarding the tube sheet for the heat exchanger of Qinshan Phase II extension project, its material is 00Cr19Ni10 forgings, the tube sheet thickness is 125 mm, requiring 178-φ10.35 0 +0.05 hole, the tube array shall take the shape of equilateral triangle, the center distance is 15 mm, and the tube hole roughness is Ra 3.2. The guide sleeve shall be adopted for positioning prior to machining of the high precision small hole of the thick tube sheet, and the gun drill and BTA drill shall be adopted for testing, finally BTA drilling with internal chip removal shall be adopted, this method shall overcome the disadvantage factor of BTA drilling and shall be the new approach for drilling. The diameter of BTA drill is φ10.34 mm. The machined hole diameter shall be φ10.375-φ10.355 mm. The ellipticity of the tube hole shall be less than 0.01 mm, the pipe bridge dimension shall be 4.6 mm, conforming to the requirement of the drawing. The paper presents the precautions during machining so as to provide the reference for the similar pipe hole machining in the future. (author)

Experimental Qualification of the Sleeved Pin Multilink Attachment for Divertor PFC's

International Nuclear Information System (INIS)

Poutanen, J.; McCallum, A.; Turner, A.; Merola, M.

2006-01-01

The latest design for connecting the limited life ITER divertor plasma facing components (PFC's) to the reusable cassette body is the so called sleeved pin multilink attachment. The connection is made by expanding a 43 mm diameter hollow AlBr pin inside the fixation holes of components of the cassette body and PFC by a swaging process. The multilink is an easy, safe and fast assembly method, but the original dismantling method of drilling out the pin was found troublesome. Therefore, in the latest attachment design a thin sleeve is incorporated between the pin and the holes, which makes it possible to dismantle the joint by simply pulling out the pin and sleeve sequentially. Experimental qualification of the new sleeved design is now proceeding. The aim of the experimental qualification is to prove that the sleeved design meets the requirements of load carrying capability, clearance free connection, and easy and safe removal. Associated analytical studies were performed to develop and verify theoretical models and correlations for use in design. Results from the experimental qualification will provide reference information for developing tools for making and removing the connection. Theoretical finite element models in association with the results of earlier test campaigns with nonsleeved design were used to determine pin expansion parameters. The expansion parameters were verified with plate-pin tests measuring contact pressures produced by pin expansion. The plate-pin tests were also used to demonstrate the feasibility of pin removal and develop pin removal methodology. The mechanical capabilities of the connection design are being examined with test series of cyclic tensile loading plus articulation-induced loading of a single connection mock-up. Remaking properties of the attachment are being studied with multiple swaging and removing of the pin into the fixation holes. Finally the dismantling of the connection will be examined with full length pin extraction

[Laparoscopic gastric sleeve in gastric volvulus secondary to diaphragmatic eventration in an adult patient].

Science.gov (United States)

Gálvez-Valdovinos, Ramiro; Marín-Santillán, Ernesto; Funes-Rodríguez, Juan Francisco; López-Ambriz, Gustavo

2016-01-01

Acute gastric volvulus is a rare, but potentially life-threatening, cause of upper gastrointestinal obstruction. Male of 60 years old with severe epigastric pain and abdominal distension with haematemesis on two occasions. The patient was haemodynamically stable, with abdominal distension and palpable epigastric fullness. Hematic cytology showed: haemoglobin 8.2g/dl and haematocrit 27%. Abdominal X-ray showed an elevation of left diaphragm with a hugely dilated stomach. A nasogastric tube was inserted. Endoscopy was performed. There was no active bleeding, but it was impossible to reach the duodenum due to the stomach distortion. The upper gastrointestinal X-ray study showed the appearance of an inverted stomach in the chest and an organoaxial gastric torsion. The CT scans of thorax and abdomen showed a gastric ascent into the thoracic cavity. Laparoscopic surgery was performed, finding the left hemi-diaphragm elevated, and the stomach, splenic angle of the colon, the spleen and tail of the pancreas were also raised. A linear gastrectomy (gastric sleeve) was performed. The postoperative progress was satisfactory. Oral feeding was started 72 hours after surgery, and the patient was discharged, and has remained asymptomatic during the following by 8 years. Emergency physicians must maintain a high level of suspicion in patients that present with signs and symptoms suggesting upper digestive tract occlusion. The gastric sleeve is an excellent alternative to avoid recurrence of gastric volvulus. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.

Analgesic Effect of Intraperitoneal Bupivacaine Hydrochloride After Laparoscopic Sleeve Gastrectomy: a Randomized Clinical Trial.

Science.gov (United States)

Alamdari, Nasser Malekpour; Bakhtiyari, Mahmood; Gholizadeh, Barmak; Shariati, Catrine

2018-03-01

The indications for sleeve gastrectomy as a primary procedure for the surgical treatment of morbid obesity have increased worldwide. Pain is the most common complaint for patients on the first day after laparoscopic sleeve gastrectomy. There are various methods for decreasing pain after laparoscopic sleeve gastrectomy such as the use of intraperitoneal bupivacaine hydrochloride. This clinical trial was an attempt to discover the effects of intraperitoneal bupivacaine hydrochloride on alleviating postoperative pain after laparoscopic sleeve gastrectomy. In general, 120 patients meeting the inclusion criteria were enrolled. Patients were randomly allocated into two interventions and control groups using a balanced block randomization technique. One group received intraperitoneal bupivacaine hydrochloride (30 cm 3 ), and the other group served as the control one and did not receive bupivacaine hydrochloride. Diclofenac suppository and paracetamol injection were administered to both groups for postoperative pain management. The mean subjective postoperative pain score was significantly decreased in patients who received intraperitoneal bupivacaine hydrochloride within the first 24 h after the surgery; thus, the instillation of bupivacaine hydrochloride was beneficial in managing postoperative pain. The intraoperative peritoneal irrigation of bupivacaine hydrochloride (30 cm 3 , 0.25%) in sleeve gastrectomy patients was safe and effective in reducing postoperative pain, nausea, and vomiting (IRCT2016120329181N4).

Development of a high speed extrusion concept using a floating screw sleeve for solid-melt-separation

Science.gov (United States)

Karrenberg, Gregor; Wortberg, Johannes

2015-05-01

The High-Speed-S-Truder with floating screw sleeve is an alternative extrusion concept with solid-melt-separation. A fairly conventional 35 mm screw with a length of 21 D, which is accelerated by a 75 kW gearless, water cooled synchronous drive, conveys the resin into a 60 mm screw sleeve with a length of 10 D. Inside the sleeve the material is plasticizied and discharged into the outer screw channel of the sleeve through radial bores. Only the solid bed remains inside. The development of a melt pool - and thus a decrease of the plasticizing capacity - is avoided. The sleeve is rotated by drag forces only (approximately 10 - 15 % of the screw speed). Due to the low speed of the screw sleeve molten material is conveyed to a 4 D Dynamic Mixing Ring in a gentle manner. The DMRs floating ring and the screw sleeve are directly coupled. The granules in the screw channel are stopped by a barrier on the screw in front of the mixing device. So nearly no unmelted material can pass the system. For temperature management in the plastification and mixing zone a 3-zone heating/air-cooling system is used. Various kinds of experiments with the High-Speed S-Truder were conducted. Reachable throughputs with different types of material (LDPE, LLDPE, PP, PS) have been tested. Also three screw geometries, which are mainly varying in the channel depth, were compared. Experimental results and theoretical background will be described in this paper.

ENDOSCOPIC SLEEVE GASTROPLASTY FOR OBESITY TREATMENT: TWO YEARS OF EXPERIENCE.

Science.gov (United States)

Lopez-Nava, Gontrand; Galvão, M P; Bautista-Castaño, I; Fernandez-Corbelle, J P; Trell, M; Lopez, N

2017-01-01

Bariatric endoscopic techniques are minimally invasive and induce gastric volume reduction to treat obesity. Aim : To evaluate endoscopic sleeve gastroplasty (Apollo method) using a suturing method directed at the greater curvature, as well as the perioperative care, two year safety and weight loss. Prospective single-center study over 154 patients (108 females) using the endoscopic sleeve gastroplasty procedure under general anesthesia with overnight inpatient observation. Of the154 initial patients, 143 were available for 1-month of follow-up, 133 for 6-month, 64 for 12-month and 28 completed the 24 month assessment. Follow-up was carried out by a multidisciplinary team (nutritionist and psychologist). Outcomes evaluated were: change in BMI; change in body weight (TBWL); % of loss of initial body weight (%TBWL); % of excess body weight loss (%EWL) (segregated in > or 25% %EWL. There were no mayor adverse events intraprocedure or during the 24 months of follow-up . Endoscopic sleeve gastroplasty with regular monitoring by a multidisciplinary team can be considered an effective, safe and well tolerated procedure for obesity treatment, at least for two years of follow-up. As técnicas de endoscopia bariátrica são minimamente invasivas e induzem à redução do volume gástrico para tratar a obesidade. Avaliar a gastroplastia sleeve endoscópica (método Apollo) usando um método de sutura direcionado para a grande curvatura, bem como os cuidados perioperatórios, segurança em dois anos e perda de peso. Estudo prospectivo em um único centro com 154 pacientes (108 mulheres) usando o procedimento endoscópico de gastroplastia sleeve sob anestesia geral com observação do paciente internado durante a noite. Dos 154 pacientes iniciais, 143 estiveram disponíveis para acompanhamento de um mês, 133 durante seis meses, 64 durante 12 meses e 28 completaram a avaliação de 24 meses. O acompanhamento foi realizado por equipe multidisciplinar (nutricionista e psic

'Stent in a stent'--an alternative technique for removing partially covered stents following sleeve gastrectomy complications.

Science.gov (United States)

Vasilikostas, Georgios; Sanmugalingam, Nimalan; Khan, Omar; Reddy, Marcus; Groves, Chris; Wan, Andrew

2014-03-01

Endoscopic stenting is a relatively new technique for the treatment of post sleeve gastrectomy complications. Partially covered stents are used in this method to minimise the risk of migration but they are associated with difficulties with removal. Patients requiring emergency stenting following sleeve gastrectomy underwent insertion of a partially covered metallic stent. One month later, if the stent was not easily removable, a fully covered overlapping stent was inserted and the patient was readmitted 2 weeks later for removal of both stents. Four patients required stenting following sleeve gastrectomy leaks, and one patient required stenting for a stricture. In these cases, a 'stent in a stent' technique was used for removal. This technique allows the safe removal of partially covered stents inserted following sleeve gastrectomy complications.

Trends of degradation in steam generator tubes of Krsko NPP before the last planned inspection

International Nuclear Information System (INIS)

Cizelj, L.; Dvorsek, T.; Androjna, F.

1998-01-01

Full-length inspection of all active tubes in both Krsko steam generators resulted in a huge amount of inspection records. A computerized database was developed by Reactor Engineering division to accelerate the management of about 200.000 records. The database was designed to support the development and decision related to the plugging criteria for damaged tubes and is utilized to gain as much experience concerning the degradation of SG tube as possible. In this paper, two prevailing group of data are statistically analyzed: the axial cracks in expansion transitions at the top of tube sheet (TTS) and Outside Diameter Stress Corrosion Cracking at tube support plates (TSP). Especially ODSCC caused a vast majority of repaired tubes (e.g., plugs and sleeves). The influence of plant startups involving oxidizing transient on the repair rates of tubes affected by ODSCC is analyzed in some detail. The results are promising and show excellent correlation in SG 2 and reasonable fit in SG 1. Predictions of maximum expected number of tubes repaired due to ODSCC at the last planned inspection is given as 67 in SG 1 and 400 in SG 2. (author)

Sleeve gastrectomy effects on hunger, satiation, and gastrointestinal hormone and motility responses after a liquid meal test.

Science.gov (United States)

Mans, Esther; Serra-Prat, Mateu; Palomera, Elisabet; Suñol, Xavier; Clavé, Pere

2015-09-01

The relation between hunger, satiation, and integrated gastrointestinal motility and hormonal responses in morbidly obese patients after sleeve gastrectomy has not been determined. The objective was to assess the effects of sleeve gastrectomy on hunger, satiation, gastric and gallbladder motility, and gastrointestinal hormone response after a liquid meal test. Three groups were studied: morbidly obese patients (n = 16), morbidly obese patients who had had sleeve gastrectomy (n = 8), and nonobese patients (n = 16). The participants fasted for 10 h and then consumed a 200-mL liquid meal (400 kcal + 1.5 g paracetamol). Fasting and postprandial hunger, satiation, hormone concentrations, and gastric and gallbladder emptying were measured several times over 4 h. No differences were observed in hunger and satiation curves between morbidly obese and nonobese groups; however, sleeve gastrectomy patients were less hungry and more satiated than the other groups. Antrum area during fasting in morbidly obese patients was statistically significant larger than in the nonobese and sleeve gastrectomy groups. Gastric emptying was accelerated in the sleeve gastrectomy group compared with the other 2 groups (which had very similar results). Gallbladder emptying was similar in the 3 groups. Sleeve gastrectomy patients showed the lowest ghrelin concentrations and higher early postprandial cholecystokinin and glucagon-like peptide 1 peaks than did the other participants. This group also showed an improved insulin resistance pattern compared with morbidly obese patients. Sleeve gastrectomy seems to be associated with profound changes in gastrointestinal physiology that contribute to reducing hunger and increasing sensations of satiation. These changes include accelerated gastric emptying, enhanced postprandial cholecystokinin and glucagon-like peptide 1 concentrations, and reduced ghrelin release, which together may help patients lose weight and improve their glucose metabolism after

Control rod cluster with removable rods for nuclear fuel assembly

International Nuclear Information System (INIS)

Denizou, J.P.

1989-01-01

For each removable control rod, the open end section of the sleeve has a certain length of reduced diameter with openings in its wall. The top end of the rod is joined to an extension tube that surrounds the shaft over part of its lenght. This extension tube fits over the reduced part of the sleeve when the shaft is screwed into the bore of the sleeve. Rotation of the rod in the sleeve is prevented by deforming the extension tube locally in the openings of the end part of the sleeve. The rod is dismantled by exerting a torque on it using a gripping area near the end of the rod [fr

Preoperative endoscopy may reduce the need for revisional surgery for gastro-oesophageal reflux disease following laparoscopic sleeve gastrectomy.

Science.gov (United States)

Madhok, B M; Carr, W R J; McCormack, C; Boyle, M; Jennings, N; Schroeder, N; Balupuri, S; Small, P K

2016-08-01

Laparoscopic sleeve gastrectomy is a safe and effective bariatric operation, but postoperative reflux symptoms can sometimes necessitate revisional surgery. Roux-en-Y gastric bypass is the preferred operation in morbidly obese patients with gastro-oesophageal reflux disease. In 2011, we introduced preoperative endoscopy to assess for hiatus hernia or evidence of oesophagitis in conjunction with an assessment of gastro-oesophageal reflux symptoms for all patients undergoing bariatric surgery with a view to avoid sleeve gastrectomy for these patients. A prospectively maintained database was used to identify patients who underwent sleeve gastrectomy before and after we changed the unit policy. The need for revisional surgery in patients with troublesome gastro-oesophageal reflux disease was examined. Prior to 2011, 130 patients underwent sleeve gastrectomy, and 11 (8.5%) of them required conversion to Roux-en-Y gastric bypass for symptomatic reflux disease. Following the policy change, 284 patients underwent sleeve gastrectomy, and to date, only five (1.8%) have required revisional surgery (p = 0.001). Baseline demographics were comparable between the groups, and average follow-up period was 47 and 33 months, respectively, for each group. Preoperative endoscopy and a detailed clinical history regarding gastro-oesophageal reflux symptoms may improve patient selection for sleeve gastrectomy. Avoiding sleeve gastrectomy in patients with reflux disease and/or hiatus hernia may reduce the incidence of revisional surgery. © 2016 World Obesity.

Elastic Knee Sleeves Limit Anterior Tibial Translation in Healthy Females

Directory of Open Access Journals (Sweden)

Robert Csapo, Simona Hosp, Ramona Folie, Robert Eberle, Michael Hasler, Werner Nachbauer

2016-03-01

Full Text Available Knee sleeves or braces represent auxiliary tools that have repeatedly been used by athletes, in an attempt to increase knee stability and, thus, reduce the risk of (recurrent ligamentous injuries. Since ACL injuries typically occur in situations involving either torsion or hyperextension of the knee, it has been speculated that braces might protect the ACL by countering excessive anterior translation of the tibia with respect to the femur (Beynnon et al., 1997. However, the preponderance of in vivo studies to test this hypothesis was performed in cohorts of patients suffering from existent ligamentous (Branch et al., 1988; Colville et al., 1986 or other knee injury (Beynnon et al., 1997; Fleming et al., 2000. This complicates the extrapolation of results to healthy subjects. Further, the braces used in these studies were mostly rigid constructs that consisted of either uni- or bilateral hinged bars (Rishiraj et al., 2009. Such braces might hinder performance (Veldhuizen et al., 1991 and would be rejected by the vast majority of healthy athletes. For these reasons, we would like to use this letter to the editor to report the results of our experiments investigating whether a relatively light elastic knee sleeve would limit the degree of anterior tibial translation in computerized arthrometry tests as performed in a sample of non-injured subjects. We recruited ten female college students (age: 23.4 ± 3.2 yrs, height: 1.68 ± 0.05 m, mass: 59.9 ± 5.5 kg who were free of acute or previous injury or any form of orthopaedic disease of the knee joints. The anterior displacement of the tibia was measured using the GNRB® computerized arthrometer (GeNouRob, Laval, France. With subjects lying in the supine position, the lower leg was firmly fixed with plastic caps mounted over the ankle joint and patella. An electrical pressure pad then exerted increasing pressure of up to 250 N on the calf, while a motion sensor, which was positioned on the ventral

Intraoperative leak testing has no correlation with leak after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Sethi, Monica; Zagzag, Jonathan; Patel, Karan; Magrath, Melissa; Somoza, Eduardo; Parikh, Manish S; Saunders, John K; Ude-Welcome, Aku; Schwack, Bradley F; Kurian, Marina S; Fielding, George A; Ren-Fielding, Christine J

2016-03-01

Staple line leak is a serious complication of sleeve gastrectomy. Intraoperative methylene blue and air leak tests are routinely used to evaluate for leak; however, the utility of these tests is controversial. We hypothesize that the practice of routine intraoperative leak testing is unnecessary during sleeve gastrectomy. A retrospective cohort study was designed using a prospectively collected database of seven bariatric surgeons from two institutions. All patients who underwent sleeve gastrectomy from March 2012 to November 2014 were included. The performance of intraoperative leak testing and the type of test (air or methylene blue) were based on surgeon preference. Data obtained included BMI, demographics, comorbidity, presence of intraoperative leak test, result of test, and type of test. The primary outcome was leak rate between the leak test (LT) and no leak test (NLT) groups. SAS version 9.4 was used for univariate and multivariate analyses. A total of 1550 sleeve gastrectomies were included; most were laparoscopic (99.8%), except for one converted and two open cases. Routine intraoperative leak tests were performed in 1329 (85.7%) cases, while 221 (14.3%) did not have LTs. Of the 1329 cases with LTs, there were no positive intraoperative results. Fifteen (1%) patients developed leaks, with no difference in leak rate between the LT and NLT groups (1 vs. 1%, p = 0.999). After adjusting for baseline differences between the groups with a propensity analysis, the observed lack of association between leak and intraoperative leak test remained. In this cohort, leaks presented at a mean of 17.3 days postoperatively (range 1-67 days). Two patients with staple line leaks underwent repeat intraoperative leak testing at leak presentation, and the tests remained negative. Intraoperative leak testing has no correlation with leak due to laparoscopic sleeve gastrectomy and is not predictive of the later development of staple line leak.

Design improvement for partial penetration welds of Pressurizer heater sleeves to head junctures

International Nuclear Information System (INIS)

Kim, Jin-Seon; Lee, Kyoung-Jin; Park, Tae-Jung; Kim, Moo-Yong

2007-01-01

ASME Code, Section III allows partial penetration welds for openings for instrumentation on which there are substantially no piping reactions and requires to have interference fit or limited diametral clearance between nozzles and vessel penetrations for the partial penetration welds. Pressurizer heater sleeves are nonaxisymmetrically attached on the hill-side of bottom head by partial penetration welds. The excessive stresses in the partial penetration weld regions of the heater sleeves are induced by pressure and thermal transient loads and also by the deformation due to manual welding process. The purpose of this study is 1) to improve design for the partial penetration welds between heater sleeves to head junctures, 2) to demonstrate the structural integrity according to the requirements of ASME Code, Section III and 3) to improve welding procedure considering the proposed design

Experimental and numerical studies of various thermal sleeves subjected to severe cyclic thermal shocks

International Nuclear Information System (INIS)

Masson, J.C.; Moinereau, D.

1990-01-01

During the first operating years of nuclear power plants of different countries, damage was encountered on thermal sleeves used as nozzle protection. Following this discovery studies were initiated to determine the causes and to find solutions. At first a problem of vibration was found and easily solved by reducing gaps and reinforcing the welding of the sleeves. But preliminary tests with cyclic thermal shocks showed a risk of fatigue crack initiation and propagation both in the sleeve fixation and in the nozzle. Therefore a large research and development program was led principally by EDF laboratories of Les Renardieres, to demonstrate the absence of nocivity of thermal shocks during the plants life time [fr

Computed tomography of cystic nerve root sleeve dilatation.

Science.gov (United States)

Neave, V C; Wycoff, R R

1983-10-01

A case of cystic nerve root sleeve dilatation in the lumbar area associated with a chronic back pain syndrome is presented. Prominent computed tomography (CT) findings include: (a) rounded masses in the region of the foramina isodense with cerebrospinal fluid in the subarachnoid space; (b) associated asymmetry of epidural fat distribution; (c) enlargement of the neural foramina in axial sections with scalloped erosion of the adjacent posteriolateral vertebral body, pedicle, and pedicular-laminar junction with preservation of cortex and without bony sclerosis or infiltrative appearance; (d) prominent or ectatic dural sac with lack of usual epidural landmarks between the sac and vertebral body; and (e) multilevel abnormalities throughout the entire lumbar region. Myelographic and CT correlations are demonstrated with a review of the literature. A discussion of the various cystic abnormalities involving nerve root sheaths is undertaken in an attempt to clarify the confusing nomenclature applied to nerve root sleeve pathology.

Retained copper sleeve of cu-T IUCD

African Journals Online (AJOL)

Dr Adaji

Case Report. A 47-year old para 7+1 five alive presented at the. Reproductive Health center for removal of a copper-T intrauterine contraceptive device following a clinical diagnosis of pelvic inflammatory disease. The device was inserted the previous year. After easy removal , it was observed that the copper sleeve on one ...

3D finite element modeling of in-service sleeve repair welding of gas pipelines

International Nuclear Information System (INIS)

Alian, Ahmed R.; Shazly, Mostafa; Megahed, Mohammad M.

2016-01-01

The present work investigates the influence of welding sequence and scheme on residual stresses induced during in-service sleeve repair welding of gas pipelines. For this purpose, a 3D thermo-mechanical FE analysis is conducted on an 8″-Schedule-20, API 5L-X65 steel pipe. Two welding sequences for the sleeve-pipe circumferential fillet welds are compared in the present study: sequential welding in which one side of the sleeve is welded first and then the other side is welded by the same welder, and simultaneous welding in which both sides of the sleeve are welded concurrently by two welders. Within the simultaneous welding sequence, four different welding schemes, designed to investigate the influence of the number of welders and welding directions on residual stresses, are investigated. The results show that the sequential welding sequence induces less residual stresses and distortions. Within the simultaneous welding sequence, the back-step welding scheme is found to induce the least average residual stresses as compared to other welding schemes. - Highlights: • We model in-service sleeve repair welding using 3D FE. • Model was validated through comparison with existing experimental results. • The study presents results on the effect of both welding sequence and welding scheme on the resulting residual stresses. • Sequential welding sequence generates lower residual stresses than simultaneous welding sequence. • Back-step welding scheme generates the lowest average residual stresses along the pipe circumference.

Feasibility and profitability of chain integration by NCPAK on flower sleeves products in European market

NARCIS (Netherlands)

Yan, X.

2008-01-01

In this report, the author describes that the EU flower sleeve wholesalers are the chain leader of the flower sleeve supply chain from China to the EU market. Their strategy changes can easily put NCpak, in full name, 'Sun Hing Plastic Bag Company', a Hong Kong enterprise based on Shenzhen City,

Effects of wearing lower leg compression sleeves on locomotion economy.

Science.gov (United States)

Kurz, Eduard; Anders, Christoph

2018-09-01

The purpose of this investigation was to assess the effect of compression sleeves on muscle activation cost during locomotion. Twenty-two recreationally active men (age: 25 ± 3 years) ran on a treadmill at four different speeds (ordered sequence of 2.8, 3.3, 2.2, and 3.9 m/s). The tests were performed without (control situation, CON) and while wearing specially designed lower leg compression sleeves (SL). Myoelectric activity of five lower leg muscles (tibialis anterior, fibularis longus, lateral and medial head of gastrocnemius, and soleus) was captured using Surface EMG. To assess muscle activation cost, the cumulative muscle activity per distance travelled (CMAPD) of the CON and SL situations was determined. Repeated measures analyses of variance were performed separately for each muscle. The analyses revealed a reduced lower leg muscle activation cost with respect to test situation for SL for all muscles (p  0.18). The respective significant reductions of CMAPD values during SL ranged between 4% and 16% and were largest at 2.8 m/s. The findings presented point towards an improved muscle activation cost while wearing lower leg compression sleeves during locomotion that have potential to postpone muscle fatigue.

Endoscopic sleeve gastroplasty (the Apollo method: a new approach to obesity management

Directory of Open Access Journals (Sweden)

Gontrand López-Nava-Breviere

2016-04-01

Full Text Available Background: Many obese patients cannot lose weight or reject conventional obesity management. Endoscopic sleeve gastroplasty (the Apollo method is a pioneering coadjuvant, interventionist technique for the integral management of obesity. Objectives: The goals of this study were to report safety and efficacy results obtained at 6 months in patients undergoing endoscopic sleeve gastroplasty. Material and methods: A prospective study was performed in 55 patients (13 males, 42 females who were subjected to the Apollo technique; mean age was 43.5 years (range 25-60 and mean BMI was 37.7 kg/m² (range 30-48. All received multidisciplinary follow-up for weight loss. Weight changes and presence of complications were assessed. Through the endoscope a triangular pattern suture is performed consisting of approximately 3-6 transmural (mucosa to serosa stitches, using a cinch device to bring them nearer and form a plication. Results: A total of 6-8 plications are used to provide a tubular or sleeve-shaped restriction to the gastric cavity. No major complications developed and patients were discharged at 24 hours following the procedure. Endoscopic and radiographic follow-up at 6 months post-procedure showed a well preserved tubular form to the stomach. After 6 months patients had lost 18.9 kg and 55.3% of excess weight. Conclusions: Endoscopic sleeve gastroplasty, together with dietary and psycho-behavioral changes, is a safe, effective technique in the coadjuvant management of obese patients.

[Outcomes, controversies and gastric volume after laparoscopic sleeve gastrectomy in the treatment of obesity].

Science.gov (United States)

García-Díaz, Juan José; Ferrer-Márquez, Manuel; Moreno-Serrano, Almudena; Barreto-Rios, Rogelio; Alarcón-Rodríguez, Raquel; Ferrer-Ayza, Manuel

2016-01-01

Laparoscopic sleeve gastrectomy is a surgical procedure for the treatment of morbid obesity. However, there are still controversies regarding its efficiency in terms of weight reduction and incidence of complications. In this prospective study, the experience is presented of a referral centre for the treatment of morbid obesity with laparoscopic sleeve gastrectomy. A prospective study on 73 patients subjected to laparoscopic sleeve gastrectomy from February 2009 to September 2013. Patients were followed-up for a period of 12 months, evaluating the development of complications, reduction of gastric volume, and the weight loss associated with the surgery, as well as their impact on the improvement of comorbidities present at beginning of the study. There was a statistically a significantly reduction between the preoperative body mass index (BMI) and the BMI at 12 months after laparoscopic sleeve gastrectomy (p < 0.001), despite there being an increase in the gastric volume during follow-up, measured at one month and 12 months after surgery (p < 0.001). Five patients (6.85%) had complications, with none of them serious and with no deaths in the whole series. Laparoscopic sleeve gastrectomy is a safe and effective technique for the treatment of morbid obesity. Its use is associated with a significant reduction in the presence of comorbidities associated with obesity. Multicentre studies with a longer period of monitoring are required to confirm the efficacy and safety of this surgical technique. Copyright © 2015 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

Influence of Elastic Bandage and Neoprene Sleeve on Knee Position Sense and Pain in Subjects with Knee Osteoarthritis

Directory of Open Access Journals (Sweden)

Basir Majdoleslami

2003-12-01

Full Text Available Objective: to investigate whether a neoprene sleeve and elastic bandage around the knee joint of subjects with knee osteoarthritis (OA would , in short term (a reduce pain (b improve knee joint position sense and comparison of their effect with each other if they have. Materials & Methods: In a semi-experimental study, 30 subjects (11 men, 19 women, age between 33-75 with unilateral knee OA. Subjects had to have at least 2cm from 10cm visual analogue scale (VAS of knee pain for study entry.All patients were randomly assigned to either an elastic bandage or a neoprene sleeve. One week later they were assigned to the opposite selection. Joint position sense was assessed in the sitting position using an electrogoniometer and pain by VAS where 0cm equals no pain and 10 cm equals worst pain. Knee pain and JPS were assessed for each selection one week apart. During each visit assessment were performed at baseline and after 20 min of bandage/neoprene sleeve application. Results: the mean of scores for knee variables JPS and VAS was taken and paired-t test and Wilcoxon signed rank test was employed to calculate the different between two trails. Neoprene sleeve had significant effect on knee JPS (P=0.037. But elastic bandage had no effect (P=0.631. Both of them had significantly reduced knee pain. (P=0.000 Conclusion: In subjects with both neoprene sleeve and elastic bandage reduced knee pain with more effect of neoprene sleeve. Only the neoprene sleeve had effect on knee JPS.

MARTINS: A foam/film flow model for molten material relocation in HWRs with U-Al-fueled multi-tube assemblies

International Nuclear Information System (INIS)

Kalimullah.

1994-01-01

Some special purpose heavy-water reactors (EM) are made of assemblies consisting of a number of coaxial aluminum-clad U-Al alloy fuel tubes and an outer Al sleeve surrounding the fuel tubes. The heavy water coolant flows in the annular gaps between the circular tubes. Analysis of severe accidents in such reactors requires a model for predicting the behavior of the fuel tubes as they melt and disrupt. This paper describes a detailed, mechanistic model for fuel tube heatup, melting, freezing, and molten material relocation, called MARTINS (Melting and Relocation of Tubes in Nuclear subassembly). The paper presents the modeling of the phenomena in MARTINS, and an application of the model to analysis of a reactivity insertion accident. Some models are being developed to compute gradual downward relocation of molten material at decay-heat power levels via candling along intact tubes, neglecting coolant vapor hydrodynamic forces on molten material. These models are inadequate for high power accident sequences involving significant hydrodynamic forces. These forces are included in MARTINS

A Delphi Consensus of the Crucial Steps in Gastric Bypass and Sleeve Gastrectomy Procedures in the Netherlands.

Science.gov (United States)

Kaijser, Mirjam A; van Ramshorst, Gabrielle H; Emous, Marloes; Veeger, Nic J G M; van Wagensveld, Bart A; Pierie, Jean-Pierre E N

2018-04-09

Bariatric procedures are technically complex and skill demanding. In order to standardize the procedures for research and training, a Delphi analysis was performed to reach consensus on the practice of the laparoscopic gastric bypass and sleeve gastrectomy in the Netherlands. After a pre-round identifying all possible steps from literature and expert opinion within our study group, questionnaires were send to 68 registered Dutch bariatric surgeons, with 73 steps for bypass surgery and 51 steps for sleeve gastrectomy. Statistical analysis was performed to identify steps with and without consensus. This process was repeated to reach consensus of all necessary steps. Thirty-eight participants (56%) responded in the first round and 32 participants (47%) in the second round. After the first Delphi round, 19 steps for gastric bypass (26%) and 14 for sleeve gastrectomy (27%) gained full consensus. After the second round, an additional amount of 10 and 12 sub-steps was confirmed as key steps, respectively. Thirteen steps in the gastric bypass and seven in the gastric sleeve were deemed advisable. Our expert panel showed a high level of consensus expressed in a Cronbach's alpha of 0.82 for the gastric bypass and 0.87 for the sleeve gastrectomy. The Delphi consensus defined 29 steps for gastric bypass and 26 for sleeve gastrectomy as being crucial for correct performance of these procedures to the standards of our expert panel. These results offer a clear framework for the technical execution of these procedures.

Management of Distal Gastric Leak After Laparoscopic Sleeve Gastrectomy by Double Pigtail Catheter

Directory of Open Access Journals (Sweden)

Mani Habibi

2016-07-01

Full Text Available Gastric leakage postsurgery is the most feared complication of laparoscopic sleeve gastrectomy due to the difficulty of its management. While gastric leakagemanagement postsurgery is often performed using internal drainage catheters accompanied by self-expandable metal stents, endoscopic internal drainage by double pigtail catheter has recently become a recommended approach. Here we describe our treatment of a patient who experienced distal gastric leakage after undergoing laparoscopic sleeve gastrectomy using double pigtail catheter and our treatment recommendations based on the patient outcome.

Laparoscopic Sleeve Gastrectomy Improves Olfaction Sensitivity in Morbidly Obese Patients.

Science.gov (United States)

Hancı, Deniz; Altun, Huseyin; Altun, Hasan; Batman, Burcin; Karip, Aziz Bora; Serin, Kursat Rahmi

2016-03-01

Olfactory abilities of the patients are known to be altered by eating and metabolic disorders, including obesity. There are only a number of studies investigating the effect of obesity on olfaction, and there is limited data on the changes in olfactory abilities of morbidly obese patients after surgical treatment. Here we investigated the changes in olfactory abilities of 54 morbidly obese patients (M/F, 22/32; age range 19-57 years; body mass index (BMI) range 30.5-63.0 kg/m(2)) after laparoscopic sleeve gastrectomy. A laparoscopic sleeve gastrectomy was performed by the same surgeon using five-port technique. Olfactory abilities were tested preoperatively and 1, 3, and 6 months after the surgery using a standardized Sniffin' Sticks Extended Test kit. Analyses of variance indicated statistically significant improvement in T, D, and I scores of morbidly obese patients within time factors (preoperative vs. 1, 3, and 6 months; 1 vs. 3 and 6 months; and 3 vs. 6 months; p < 0.001 for all). There was a statistically significant improvement in overall TDI scores with an increase from 25 to 41 during the 6 months follow-up period (p < 0.001 for all). Here, for the first time in literature, we were able to show the significant improvement in olfactory abilities of morbidly obese patients after laparoscopic sleeve gastrectomy.

The effects of sleeve gastectomy on gastro-esophageal reflux and gastro-esophageal motility.

Science.gov (United States)

Hayat, Jamal O; Wan, Andrew

2014-05-01

Sleeve gastrectomy is an increasingly performed bariatric procedure associated with low morbidity and good short to medium term effects on weight loss and comorbid conditions. Studies assessing the prevalence of post-operative gastro-esophageal reflux disease (GERD), show sleeve gastrectomy may provoke de novo GERD symptoms or worsening of pre-existing GERD. Pathophysiological mechanisms of GERD after sleeve gastrectomy include a hypotensive lower esophageal sphincter, increased gastro-esophageal pressure gradient and intra-thoracic migration of the remnant stomach. A reduction in the compliance of the gastric remnant may provoke an increase in transient lower esophageal sphincter relaxations. Time-resolved MRI suggests relative gastric stasis in the proximal remnant and increased emptying from the antrum. A lack of standardisation of technique, along with heterogeneity of studies assessing GERD may explain the wide variability in reported results. Simultaneous and careful repair of an associated hiatus hernia may result in a reduction in the prevalence of post-operative GERD.

Is a sleeve lobectomy significantly better than a pneumonectomy?

Science.gov (United States)

Stallard, Joseph; Loberg, Anna; Dunning, Joel; Dark, John

2010-11-01

A best evidence topic was written according to a structured protocol. The question addressed was 'whether a sleeve lobectomy results in a better survival rate than a pneumonectomy in suitable patients?' Altogether, more than 327 papers were found using the reported search, of which 15 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. We conclude in the biggest meta-analysis of nearly 3000 patients, the five-year survival was 50% for sleeve lobectomy compared to 30% for pneumonectomy. Operative mortality was 3% vs. 6% for pneumonectomy, and locoregional recurrence was 17% vs. 30%. These results are broadly consistent across all the 13 cohort studies presented here many of which document a 20-year single centre experience or more. There are significant issues in all cohort studies on this subject as, due to their non-randomized nature, the reason for not performing a sleeve resection may well have been more advanced disease, which would necessarily mean that the pneumonectomy patients would have a lower expected survival and higher local recurrence. In addition, there have been many large cohort studies to date and thus no more are required, as future studies are unlikely to resolve this issue. Thus, the only study that would adequately correct for this issue would be a randomized trial, but to prove a 10% increase in five-year survival a 300 patient study would be needed. This is bigger than any study ever done in this area and as some centres took 30 years to collect these numbers of potential sleeve patients an RCT is not a realistic possibility. Therefore, we conclude that no more cohort studies should be performed, as the results will be consistent with the meta-analyses and an RCT to eliminate their bias is unattainable, and thus no more research should be done on this topic and surgeons should use

Heat Generation and Efficiency of a New Modified Phaco Tip and Sleeve.

Directory of Open Access Journals (Sweden)

Aeri Yoo

Full Text Available To compare a modified phacoemulsification tip with the established micro tip, in terms of temperature at the corneal wound, efficiency, and chatter events, using the Centurion® Vision system.Eighty porcine eyes were randomized into 4 groups: 1sleeveless conventional 45D MiniFlared ABS® Kelman tip (1.1-mm incision; 2sleeveless new modified 45D ABS® INTREPID® balanced tip(1.1-mm incision; 3 Kelman tip with own sleeve (2.2-mm incision; 4Balanced tip with modified 4-rib sleeve (2.2-mm incision. Measurements were taken with 2 settings: longitudinal(power 40% and 70% and torsional mode (power 40% and 100%. Peak temperatures were measured 0, 10, 30, and 60 seconds after continuous ultrasound power. For the efficiency test, porcine lens nuclei were formalin soaked and cut into 2.0 mm3 cubes. Efficiency and chatter were examined.In all longitudinal settings, the sleeveless groups(1 and 2 showed lower temperatures than the sleeved groups(3 and 4 (P = 0.003. In 100% torsional mode, groups 3 and 4 produced significantly different temperatures(37.13 ± 1.44 and 35.14 ± 0.54, respectively; P = 0.007.The efficiency, in a 100% power torsional setting, was13.52 ± 2.60 sec for group 4, and 44.45± 14.75 sec for group 3 (P<0.001.The two different bare tips show no significant differences in thermogenesis. However, the balanced tip with sleeve produces lower temperaturesat100% torsional power and better efficiency than the Kelman tip.

Wearing long sleeves while prepping a patient in the operating room decreases airborne contaminants.

Science.gov (United States)

Markel, Troy A; Gormley, Thomas; Greeley, Damon; Ostojic, John; Wagner, Jennifer

2018-04-01

The use of long sleeves by nonscrubbed personnel in the operating room has been called into question. We hypothesized that wearing long sleeves and gloves, compared with having bare arms without gloves, while applying the skin preparation solution would decrease particulate and microbial contamination. A mock patient skin prep was performed in 3 different operating rooms. A long-sleeved gown and gloves, or bare arms, were used to perform the procedure. Particle counters were used to assess airborne particulate contamination, and active and passive microbial assessment was achieved through air samplers and settle plate analysis. Data were compared with Student's t-test or Mann-Whitney U, and P airborne contamination while the skin prep is applied, which may lead to decreased surgical site infections. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Clinical practice guidelines for rest orthosis, knee sleeves, and unloading knee braces in knee osteoarthritis.

Science.gov (United States)

Beaudreuil, Johann; Bendaya, Samy; Faucher, Marc; Coudeyre, Emmanuel; Ribinik, Patricia; Revel, Michel; Rannou, François

2009-12-01

To develop clinical practice guidelines concerning the use of bracing--rest orthosis, knee sleeves and unloading knee braces--for knee osteoarthritis. The French Physical Medicine and Rehabilitation Society (SOFMER) methodology, associating a systematic literature review, collection of everyday clinical practice, and external review by multidisciplinary expert panel, was used. Few high-level studies of bracing for knee osteoarthritis were found. No evidence exists for the effectiveness of rest orthosis. Evidence for knee sleeves suggests that they decrease pain in knee osteoarthritis, and their use is associated with subjective improvement. These actions do not appear to depend on a local thermal effect. The effectiveness of knee sleeves for disability is not demonstrated for knee osteoarthritis. Short- and mid-term follow-up indicates that valgus knee bracing decreases pain and disability in medial knee osteoarthritis, appears to be more effective than knee sleeves, and improves quality of life, knee proprioception, quadriceps strength, and gait symmetry, and decreases compressive loads in the medial femoro-tibial compartment. However, results of response to valgus knee bracing remain inconsistent; discomfort and side effects can result. Thrombophlebitis of the lower limbs has been reported with the braces. Braces, whatever kind, are infrequently prescribed in clinical practice for osteoarthritis of the lower limbs. Modest evidence exists for the effectiveness of bracing--rest orthosis, knee sleeves and unloading knee braces--for knee osteoarthritis, with only low level recommendations for its use. Braces are prescribed infrequently in French clinical practice for osteoarthritis of the knee. Randomized clinical trials concerning bracing in knee osteoarthritis are still necessary.

Repair technique for steam generator tubes using electroforming

Energy Technology Data Exchange (ETDEWEB)

Kim, Seung Ho; Jeong, Hyun Kyu; Seo, Moon Hong

2001-07-01

Pickering B CANDU Unit 5 had experienced leakage at sleeve/tube joint due to severe and local pitting in 1992{delta}1993. One year later, OHT developed electrosleeving techniques for steam generator tube repair which was applied at Pickering B CANDU Unit 5, Oconee Unit 1 and Callaway in 1994, 1995 and 1999 respectively. In the results of electrosleeved tube test, electrosleeve materials were stronger than mother tubes in mechanical properties and corrosion resistance under design criteria. Two analytical models were originally developed for estimating the failure temperature under severe accident transients. Electrosleeve, a structural layer of fine grained nickel is electroformed onto the strike by circulating an aqueous solution of Ni sulfate or sulfamate with NiCO3. The patents published by FTI said that the electrolyte for electroforming the structural layer contains a pinning agent to inhibit growth of metal grains in the electroformed layer. The pinning agent contains phosphoric, phosphorous acid, molybdenum. In localization of electrosleeving, there are some problems like as 1)low plating rate, 2)high residual stress, 3)alloy composition, 4)low material properties at high temperature. Ni-Fe plating exhibit anomalous codeposition; that is less noble metal, Fe, deposits preferentially to the more noble metal, Ni. Ductility decrease and residual stress increase with increase of Fe content in plate layer. Addition of particle size of 10{delta}400{mu}m makes residual stress compressive in plate layer. Composite plating show excellent high temperature properties.

Repair technique for steam generator tubes using electroforming

International Nuclear Information System (INIS)

Kim, Seung Ho; Jeong, Hyun Kyu; Seo, Moon Hong

2001-07-01

Pickering B CANDU Unit 5 had experienced leakage at sleeve/tube joint due to severe and local pitting in 1992δ1993. One year later, OHT developed electrosleeving techniques for steam generator tube repair which was applied at Pickering B CANDU Unit 5, Oconee Unit 1 and Callaway in 1994, 1995 and 1999 respectively. In the results of electrosleeved tube test, electrosleeve materials were stronger than mother tubes in mechanical properties and corrosion resistance under design criteria. Two analytical models were originally developed for estimating the failure temperature under severe accident transients. Electrosleeve, a structural layer of fine grained nickel is electroformed onto the strike by circulating an aqueous solution of Ni sulfate or sulfamate with NiCO3. The patents published by FTI said that the electrolyte for electroforming the structural layer contains a pinning agent to inhibit growth of metal grains in the electroformed layer. The pinning agent contains phosphoric, phosphorous acid, molybdenum. In localization of electrosleeving, there are some problems like as 1)low plating rate, 2)high residual stress, 3)alloy composition, 4)low material properties at high temperature. Ni-Fe plating exhibit anomalous codeposition; that is less noble metal, Fe, deposits preferentially to the more noble metal, Ni. Ductility decrease and residual stress increase with increase of Fe content in plate layer. Addition of particle size of 10δ400μm makes residual stress compressive in plate layer. Composite plating show excellent high temperature properties

Seismic retrofit of spliced sleeve connections for precast bridge piers.

Science.gov (United States)

2017-03-01

Grouted Splice Sleeve (GSS) connectors are being considered for connecting bridge columns, footings, and pier caps in Accelerated Bridge Construction (ABC). A repair technique for precast reinforced concrete bridge column-to-footing and column-to-pie...

Sleeving-back of horizontal wells to control downstream oil saturation and improve oil recovery

Energy Technology Data Exchange (ETDEWEB)

Greaves, M.; Saghr, A. M. [Bath Univ (United Kingdom)

1998-12-31

Air injection has become popular as an enhanced recovery technology, applicable over a wide variety of reservoir conditions including heavy, medium and light oils. One problem observed in light oil reservoirs is the tendency to desaturate the oil layer downstream of the moving front. This is particularly common in the case of thermal recovery processes. In this experiment designed to study ways to restrict the de-saturation of the oil layer, a modified horizontal producer well, incorporating a `sleeve-back` principal was used. The objective was to replicate the `toe-to-heel` displacement process occurring during heavy oil recovery, wherein downstream oil is essentially immobile due to its high viscosity. The `sleeve-back` of the well was achieved using a co-aligned, two-well assembly, so that the upstream section of the horizontal producer well was active, and continuously adjusted during propagation of the combustion front. The use of this continuous `sleeve-back` operation to control the level of de-saturation in the downstream section of a sand pack was successful as confirmed by the very high oil recovery achieved, equivalent to 93.5 per cent of oil in place. The level of CO{sub 2} production was also very high. The `sleeve-back` of the horizontal producer well made the light oil in-situ combustion more efficient compared to what would be expected in a fully-open well. The `sleeve-back` of the well also produced thermal contours in the sand pack that closely resembled those observed with heavy, highly viscous oil. By sealing-off the otherwise open well in the downstream part of the reservoir, the de-saturation of the oil layer was prevented. 9 refs., 4 tabs., 9 figs.

Wear Resistance of Piston Sleeve Made of Layered Material Structure: MMC A356R, Anti-Abrasion Layer and FGM Interface

Directory of Open Access Journals (Sweden)

Hernik Szymon

2016-09-01

Full Text Available The aim of this paper is the numerical analysis of the one of main part of car engine – piston sleeve. The first example is for piston sleeve made of metal matrix composite (MMC A356R. The second improved material structure is layered. Both of them are comparison to the classical structure of piston sleeve made of Cr-Ni stainless steel. The layered material structure contains the anti-abrasion layer at the inner surface of piston sleeve, where the contact and friction is highest, FGM (functionally graded material interface and the layer of virgin material on the outer surface made of A356R. The complex thermo-elastic model with Archard's condition as a wear law is proposed. The piston sleeve is modelling as a thin walled cylindrical axisymmetric shell. The coupled between the formulation of thermo-elasticity of cylindrical axisymmetric shell and the Archard’s law with functionally changes of local hardness is proposed.

Storage envelopes or sleeves

International Nuclear Information System (INIS)

Freshwater, J.R.; Wagman, P.I.

1980-01-01

A storage envelope or sleeve particularly for processed X-ray films is described. It consists of front and back panels joined together at a hinge line and connected along the intermediate sides by connecting flaps. An inner pocket is formed from a third flap which is folded to lie against the inner face of the back panel. The panels may have additional score lines parallel to the closed sides of the envelope and the inner pocket so that the envelope and the inner pocket can accommodate bulky contents. The free edge of the pocket is inset from the open side of the envelope, and finger cut-outs may be provided to facilitate access to the contents of the envelope and the pocket. (author)

Hemodynamic effect and safety of intermittent sequential pneumatic compression leg sleeves in patients with congestive heart failure.

Science.gov (United States)

Bickel, Amitai; Shturman, Alexander; Sergeiev, Michael; Ivry, Shimon; Eitan, Arieh; Atar, Shaul

2014-10-01

Pneumatic leg sleeves are widely used after prolonged operations for prevention of venous stasis. In healthy volunteers they increase cardiac function. We evaluated the hemodynamic effects and safety of intermittent sequential pneumatic compression (ISPC) leg sleeves in patients with chronic congestive heart failure (CHF). We studied 19 patients with systolic left ventricular dysfunction and CHF. ISPC leg sleeves, each with 10 air cells, were operated by a computerized compressor, exerting 2 cycles/min. Hemodynamic and echocardiographic parameters were measured before, during, and after ISPC activation. The baseline mean left ventricular ejection fraction was 29 ± 9.2%, median 32%, range 10%-40%. Cardiac output (from 4.26 to 4.83 L/min; P = .008) and stroke volume (from 56.1 to 63.5 mL; P = .029) increased significantly after ISPC activation, without a reciprocal increase in heart rate, and declined after sleeve deactivation. Systemic vascular resistance (SVR) decreased significantly (from 1,520 to 1,216 dyne-s/cm5; P = .0005), and remained lower than the baseline level throughout the study. There was no detrimental effect on diastolic function and no adverse clinical events, despite increased pulmonary venous return. ISPC leg sleeves in patients with chronic CHF do not exacerbate symptoms and transiently improve cardiac output through an increase in stroke volume and a reduction in SVR. Copyright © 2014 Elsevier Inc. All rights reserved.

Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Report of Two Cases

Directory of Open Access Journals (Sweden)

Mariana Nuno Costa

2016-01-01

Full Text Available Morbid obesity is an epidemic and complex disease which imposes a multidisciplinary approach. Laparoscopic sleeve gastrectomy has become a frequent procedure given its efficacy and safety compared to other surgical options. However, it isn’t free from complications. Lax gastric fixation or incorrect positioning of the stomach during surgery can result in early gastric outlet obstruction caused by a volvulus-like mechanism by rotation of the stomach around its anatomic axes. This report refers to two cases of post sleeve gastric torsion resulting in persisting vomiting after initiating oral intake. The diagnosis was confirmed by upper gastrointestinal-contrast study and gastroscopy. In both cases, a fully covered self-expandable metallic stent was inserted which prompted the gastric lumen to become permeable resulting in symptomatic resolution. The stents were removed endoscopically after two and three months. Beyond more than three years of follow-up, the patients remain asymptomatic and no recurring “stenosis” was noticed. In these cases the use of fully covered self-expandable metallic stents demonstrated to be effective and safe in the treatment of post sleeve gastric torsion.

Demountable fuel assembly for light water cooled nuclear reactor

International Nuclear Information System (INIS)

Petit, B.

1990-01-01

The guide tube is fixed in an adaptor plate by a blocking sleeve. The blocking sleeve has a part for expanding the tube and a fixing ring in the adaptor plate. The fixing ring has cylindrical sections separated by slots disposed following the direction to generate the ring. The cylindrical sections present deformations to the interior of the cavity of a radial direction compared to the hole through the adaptor plate to assure the fixing of the blocking sleeve. The cylindrical sections of the fixing ring can be bent over towards the inside to disengage the deformations from the cavities before extraction of the blocking sleeve to allow demounting of the connection between the guide tube and the adaptor plate [fr

Steam generator tube integrity program: Annual report, August 1995--September 1996. Volume 2

International Nuclear Information System (INIS)

Diercks, D.R.; Bakhtiari, S.; Kasza, K.E.; Kupperman, D.S.; Majumdar, S.; Park, J.Y.; Shack, W.J.

1998-02-01

This report summarizes work performed by Argonne National Laboratory on the Steam Generator Tube Integrity Program from the inception of the program in August 1995 through September 1996. The program is divided into five tasks: (1) assessment of inspection reliability, (2) research on ISI (inservice-inspection) technology, (3) research on degradation modes and integrity, (4) tube removals from steam generators, and (5) program management. Under Task 1, progress is reported on the preparation of facilities and evaluation of nondestructive evaluation techniques for inspecting a mock-up steam generator for round-robin testing, the development of better ways to correlate failure pressure and leak rate with eddy current (EC) signals, the inspection of sleeved tubes, workshop and training activities, and the evaluation of emerging NDE technology. Results are reported in Task 2 on closed-form solutions and finite-element electromagnetic modeling of EC probe responses for various probe designs and flaw characteristics. In Task 3, facilities are being designed and built for the production of cracked tubes under aggressive and near-prototypical conditions and for the testing of flawed and unflawed tubes under normal operating, accident, and severe-accident conditions. Crack behavior and stability are also being modeled to provide guidance for test facility design, develop an improved understanding of the expected rupture behavior of tubes with circumferential cracks, and predict the behavior of flawed and unflawed tubes under severe accident conditions. Task 4 is concerned with the acquisition of tubes and tube sections from retired steam generators for use in the other research tasks. Progress on the acquisition of tubes from the Salem and McGuire 1 nuclear plants is reported

Effects of Chemistry Parameters of Primary Water affecting Leakage of Steam Generator Tube Cracks

Energy Technology Data Exchange (ETDEWEB)

Shin, D. M.; Cho, N. C.; Kang, Y. S.; Lee, K. H. [KHNP CRI, Daejeon (Korea, Republic of)

2016-10-15

Degradation of steam generator (SG) tubes can affect pressure boundary tightness. As a defense-in-depth measure, primary to secondary leak monitoring program for steam generators is implemented, and operation is allowed under leakage limits in nuclear power plants. Chemistry parameters that affect steam generator tube leakage due to primary water stress corrosion cracking (PWSCC) are investigated in this study. Tube sleeves were installed to inhibit leakage and improve tube integrity as a part of maintenance methods. Steam generators occurred small leak during operation have been replaced with new steam generators according to plant maintenance strategies. The correlations between steam generator leakage and chemistry parameters are presented. Effects of primary water chemistry parameters on leakage from tube cracks were investigated for the steam generators experiencing small leak. Unit A experienced small leakage from steam generator tubes in the end of operation cycle. It was concluded that increased solubility of oxides due to high pHT could make leakage paths, and low boron concentration lead to less blockage in cracks. Increased dissolved hydrogen may retard crack propagations, but it did not reduce leak rate of the leaking steam generator. In order to inhibit and reduce leakage, pH{sub T} was controlled by servicing cation bed operation. The test results of decreasing pHT indicate low pHT can reduce leak rate of PWSCC cracks in the end of cycle.

Effects of Chemistry Parameters of Primary Water affecting Leakage of Steam Generator Tube Cracks

International Nuclear Information System (INIS)

Shin, D. M.; Cho, N. C.; Kang, Y. S.; Lee, K. H.

2016-01-01

Degradation of steam generator (SG) tubes can affect pressure boundary tightness. As a defense-in-depth measure, primary to secondary leak monitoring program for steam generators is implemented, and operation is allowed under leakage limits in nuclear power plants. Chemistry parameters that affect steam generator tube leakage due to primary water stress corrosion cracking (PWSCC) are investigated in this study. Tube sleeves were installed to inhibit leakage and improve tube integrity as a part of maintenance methods. Steam generators occurred small leak during operation have been replaced with new steam generators according to plant maintenance strategies. The correlations between steam generator leakage and chemistry parameters are presented. Effects of primary water chemistry parameters on leakage from tube cracks were investigated for the steam generators experiencing small leak. Unit A experienced small leakage from steam generator tubes in the end of operation cycle. It was concluded that increased solubility of oxides due to high pHT could make leakage paths, and low boron concentration lead to less blockage in cracks. Increased dissolved hydrogen may retard crack propagations, but it did not reduce leak rate of the leaking steam generator. In order to inhibit and reduce leakage, pH_T was controlled by servicing cation bed operation. The test results of decreasing pHT indicate low pHT can reduce leak rate of PWSCC cracks in the end of cycle

Duodenal-jejunal bypass sleeve - a potential alternative to bariatric surgery?

DEFF Research Database (Denmark)

Rohde, Ulrich; Gylvin, Silas; Vilmann, Peter

2014-01-01

Overweight and obesity are risk factors for several co-morbidities reducing life expectancy. Conservative treatment of obesity is generally ineffective in the long-term. Bariatric surgery has proven effective, but is associated with potential complications. Duodenal-jejunal bypass sleeve is a novel...

Association between postprandial symptoms and gastric emptying after sleeve gastrectomy

NARCIS (Netherlands)

Burgerhart, Jan S.; van Rutte, Pim W. J.; Edelbroek, Michela A. L.; Wyndaele, Dirk N. J.; Smulders, Johannes F.; van de Meeberg, Paul C.; Siersema, Peter D.; Smout, André J. P. M.

2015-01-01

Laparoscopic sleeve gastrectomy (LSG) is an effective bariatric procedure. However, postprandial symptoms can compromise its beneficial effect. It is not known if a changed gastric emptying and these symptoms are related. This study aimed to assess the association between postprandial symptoms and

The weight is over: RN first assisting techniques for laparoscopic sleeve gastrectomy.

Science.gov (United States)

Wentzell, Joanne; Neff, Marc

2015-08-01

Obesity-related laparoscopic sleeve gastrectomy is a common yet technically challenging bariatric procedure that requires specialized surgical knowledge and training for OR personnel. Critical components of care include an effective preoperative assessment, positioning of the patient, and operation and maintenance of laparoscopic equipment and instrumentation. The purpose of this article is to explain the steps of laparoscopic sleeve gastrectomy and illustrate principles and surgical techniques for the RN who is first assisting during the procedure. Also provided is a perioperative nursing care plan for the patient undergoing bariatric surgery, to aid perioperative nurses in understanding the sequence of events and special considerations for this patient population. Copyright © 2015 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Early Laparoscopic Sleeve Gastrectomy Outcomes in Terms of Weight Loss

International Nuclear Information System (INIS)

Siddiq, G.; Aziz, W.; Pervez, M. B.; Haider, M. I.; Hussain, S. V.; Khan, N.

2016-01-01

Objective: To investigate the outcomes of laparoscopic sleeve gastrectomy (LSG) in terms of weight loss. Study Design: Descriptive cohort study. Place and Duration of Study: Department of Surgery, Shifa International Hospital, Islamabad, from January 2009 to January 2015. Methodology: A total of 100 consecutive patients were included in the study through retrospective chart review. A 5-port technique was utilized with the gastric sleeve being created using endostapler. Postoperatively, patients gradually progressed from clear liquid diet and oral rehydration salts to nutritional supplements over three days. By two weeks postoperatively, patients had progressed to a solid diet. SPSS was used for data entry and analysis. Body mass index (BMI) and weight in kg were determined. Results: From 100 patients, 17 were lost to follow-up less than a week into the postoperative period. Of the remaining, average age of the patients was 34.7 ±11.3 years at the time of surgery. The majority of patients were females (72 percentage). Mean preoperative and postoperative BMI was 45.3 ±10.4 kg/m2 and 35.0 ±10 kg/m2, respectively. Of the 83 patients, 62 were followed-up for longer than 1 month (average 419 days). For patients in this category, mean reduction in BMI was 10.3 ±6.5 kg/m2 with average weight loss of 34.3 ±18.2 kg. There were no mortalities associated with LSG. Conclusion: Laparoscopic sleeve gastrectomy is a safe and effective intervention in young Pakistani females with encouraging outcomes at a mean follow-up of over one year. (author)

Laparoscopic sleeve gastrectomy for morbid obesity with natural orifice specimen extraction (NOSE).

Science.gov (United States)

Gunkova, P; Gunka, I; Zonca, P; Dostalik, J; Ihnat, P

2015-01-01

An experience with laparoscopic sleeve gastrectomy using the natural orifice specimen extraction (NOSE) technique. Bariatric surgery is nowadays the only long term effective obesity treatment method. Twenty one consecutive patients underwent laparoscopic sleeve gastrectomy with the use of natural orifice specimen extraction (NOSE) in the Surgical Clinic of Faculty Hospital Ostrava between May 2012 and August 2012. Inclusion criteria were the body mass index (BMI) higher than 35 kg/m2 or higher than 32 kg/m2 accompanied with relevant comorbidities. Among 21 patients in this series, there were three men (14.3%) and 18 women (85.7%). Their mean age was 40.9±10.2 years. Their mean preoperative BMI was 40.4±4.6 kg/m2. No patient had previous bariatric surgery, one patient had laparoscopic fundoplication. All operations were completed laparoscopically with no conversions to an open procedure. In two cases, laparoscopic cholecystectomy was performed and the gallbladder was extracted along with the gastric specimen by transgastric approach. Laparoscopic sleeve gastrectomy is a safe and effective bariatric procedure with low morbidity and mortality. Based on our initial experiences it could be an indication for NOSE with transgastric approach. Obese patients would benefit from this approach due to the elimination of wound complications (Tab. 2, Fig. 3, Ref. 22).

Anticorrosive field joint coating qualification, heat shrinkable sleeve; Qualificacao de revestimento anticorrosivo para juntas de campo, mantas termocontrateis

Energy Technology Data Exchange (ETDEWEB)

Cabral, Glaucia B.; Koebsch, Andre; Castinheiras Junior, Wilson [PETROBRAS, Rio de Janeiro, RJ (Brazil)

2005-07-01

The main objective of this job is to present the quality requirements fixed by PETROBRAS for anticorrosive field joint coating for buried pipelines, industrially coated with PE-3L. It describes the used system - polyethylene based heat shrinkable sleeve - comparing with the existent on the pipeline. So, it exposes the suppliers' qualification stages, which include test carried out for the materials, for the sleeve set and for the coating after its application on the joint field. Finally, it shows that the experience, which has been gotten in the qualification, consolidated the quality control systematic that have been carry out during the sleeves acquisition and application at the pipeline construction. (author)

Laparoscopic hand-assisted versus robotic-assisted laparoscopic sleeve gastrectomy: experience of 103 consecutive cases.

Science.gov (United States)

Kannan, Umashankkar; Ecker, Brett L; Choudhury, Rashikh; Dempsey, Daniel T; Williams, Noel N; Dumon, Kristoffel R

2016-01-01

Laparoscopic sleeve gastrectomy has become a stand-alone procedure in the treatment of morbid obesity. There are very few reports on the use of robotic approach in sleeve gastrectomy. The purpose of this retrospective study is to report our early experience of robotic-assisted laparoscopic sleeve gastrectomy (RALSG) using a proctored training model with comparison to an institutional cohort of patients who underwent laparoscopic hand-assisted sleeve gastrectomy (LASG). University hospital. The study included 108 patients who underwent sleeve gastrectomy either via the laparoscopic-assisted or robot-assisted approach during the study period. Of these 108 patients, 62 underwent LASG and 46 underwent RALSG. The console surgeon in the RALSG is a clinical year 4 (CY4) surgery resident. All CY4 surgery residents received targeted simulation training before their rotation. The console surgeon is proctored by the primary surgeon with assistance as needed by the second surgeon. The patients in the robotic and laparoscopic cohorts did not have a statistical difference in their demographic characteristics, preoperative co-morbidities, or complications. The mean operating time did not differ significantly between the 2 cohorts (121 min versus 110 min, P = .07). Patient follow-up in the LSG and RALSG were 91% and 90% at 3 months, 62% and 64% at 6 months, and 60% and 55% at 1 year, respectively. The mean percentage estimated weight loss (EWL%) at 3 months, 6 months, and 1 year was greater in the robotic group but not statistically significant (27 versus 22 at 3 mo [P = .05] and 39 versus 34 at 6 mo [P = .025], 57 versus 48 at 1 yr [P = .09]). There was no mortality in either group. Early results of our experience with RALSG indicate low perioperative complication rates and comparable weight loss with LASG. The concept of a stepwise education model needs further validation with larger studies. Copyright © 2016 American Society for Bariatric Surgery. Published by Elsevier Inc

A Wideband Dual-Polarized Antenna Using Planar Quasi-Open-Sleeve Dipoles for Base Station Applications

Directory of Open Access Journals (Sweden)

Guan-xi Zhang

2015-01-01

Full Text Available A wideband dual-polarized antenna for WLAN, WiMAX, and LTE base station applications is presented in this paper. The proposed antenna consists of two pairs of orthogonal planar quasi-open-sleeve dipoles along the centerlines, a balanced feeding structure and a square ground plane. The planar quasi-open-sleeve dipole comprises a pair of bowtie-shaped planar dipoles with two parallel curve parasitic elements. The introduced parallel curve parasitic elements change the path of the current of the original bowtie-shaped planar dipoles at high frequencies and hence wideband characteristic is achieved. Two pairs of the planar quasi-open-sleeve dipoles placed orthogonally further broaden the bandwidth of the antenna with dual-polarization characteristics. The proposed antenna achieves a 10-dB return loss bandwidth from 2.32 to 4.03 GHz (53.9% bandwidth using the planar quasi-open-sleeve dipole structures. The isolation between the two ports remains more than 32 dB in the whole bandwidth. Measured results show that the proposed antenna keeps the cross-polarization under −33 dB and the front-to-back ratio better than 15 dB in the operating band. The antenna has an area of 0.3λ  × 0.3λ at 2.32 GHz making it easy to be extended to an array element.

Double-Acting Sleeve Muscle Actuator for Bio-Robotic Systems

Directory of Open Access Journals (Sweden)

Hao Zheng

2013-11-01

Full Text Available This paper presents a new type of muscle-like actuator, namely double-acting (DA sleeve muscle actuator, which is suitable for the actuation of biologically-inspired and biomedical robotic systems, especially those serving human-assistance purposes (prostheses, orthoses, etc.. Developed based on the traditional pneumatic muscle actuator, the new DA sleeve muscle incorporates a unique insert at the center. With the insert occupying the central portion of the internal volume, this new actuator enjoys multiple advantages relative to the traditional pneumatic muscle, including a consistent increase of force capacity over the entire range of motion, and a significant decrease of energy consumption in operation. Furthermore, the insert encompasses an additional chamber, which generates an extension force when pressurized. As such, this new actuator provides a unique bi-directional actuation capability, and, thus, has a potential to significantly simplify the design of a muscle actuator-powered robotic system. To demonstrate this new actuator concept, a prototype has been designed and fabricated, and experiments conducted on this prototype demonstrated the enhanced force capacity and the unique bi-directional actuation capability.

Double-Acting Sleeve Muscle Actuator for Bio-Robotic Systems

Science.gov (United States)

Zheng, Hao; Shen, Xiangrong

2014-01-01

This paper presents a new type of muscle-like actuator, namely double-acting (DA) sleeve muscle actuator, which is suitable for the actuation of biologically-inspired and biomedical robotic systems, especially those serving human-assistance purposes (prostheses, orthoses, etc.). Developed based on the traditional pneumatic muscle actuator, the new DA sleeve muscle incorporates a unique insert at the center. With the insert occupying the central portion of the internal volume, this new actuator enjoys multiple advantages relative to the traditional pneumatic muscle, including a consistent increase of force capacity over the entire range of motion, and a significant decrease of energy consumption in operation. Furthermore, the insert encompasses an additional chamber, which generates an extension force when pressurized. As such, this new actuator provides a unique bi-directional actuation capability, and, thus, has a potential to significantly simplify the design of a muscle actuator-powered robotic system. To demonstrate this new actuator concept, a prototype has been designed and fabricated, and experiments conducted on this prototype demonstrated the enhanced force capacity and the unique bi-directional actuation capability. PMID:25264492

Double-Acting Sleeve Muscle Actuator for Bio-Robotic Systems.

Science.gov (United States)

Zheng, Hao; Shen, Xiangrong

2013-11-25

This paper presents a new type of muscle-like actuator, namely double-acting (DA) sleeve muscle actuator, which is suitable for the actuation of biologically-inspired and biomedical robotic systems, especially those serving human-assistance purposes (prostheses, orthoses, etc .). Developed based on the traditional pneumatic muscle actuator, the new DA sleeve muscle incorporates a unique insert at the center. With the insert occupying the central portion of the internal volume, this new actuator enjoys multiple advantages relative to the traditional pneumatic muscle, including a consistent increase of force capacity over the entire range of motion, and a significant decrease of energy consumption in operation. Furthermore, the insert encompasses an additional chamber, which generates an extension force when pressurized. As such, this new actuator provides a unique bi-directional actuation capability, and, thus, has a potential to significantly simplify the design of a muscle actuator-powered robotic system. To demonstrate this new actuator concept, a prototype has been designed and fabricated, and experiments conducted on this prototype demonstrated the enhanced force capacity and the unique bi-directional actuation capability.

Modified sleeve anastomosis for reconstruction of the hepatic artery in rat liver transplantation.

Science.gov (United States)

Li, Jun; Dahmen, Uta; Dirsch, Olaf; Shen, Kai; Gu, Yanli; Broelsch, Christoph Erich

2002-01-01

End-to-end sleeve anastomosis between a donor common hepatic artery and a recipient proper hepatic artery was proven to be the most physiological and simple method for hepatic rearterialization in rat liver transplantation. Current technical variants of the sleeve technique, however, are hampered by the high rate of bleeding from the anastomotic site. This report deals with a technical modification which inhibits postoperative bleeding efficiently. The procedure consisted of a guiding suture, as previously described in other technical variants, and a modified fixing suture. Instead of using a single stitch to fix the feeding vessel with the receiving vessel, a running suture between the edge of the donor common hepatic artery and the adventitia of the recipient proper hepatic artery was performed to avoid a possible backflow. The patency rate of 91% was as high as reported by others using a sleeve technique, which was also reflected in the histomorphological picture, being indistinguishable from normal liver histology. This technical modification simplified the procedure of reconstructing the hepatic artery and could contribute to a wider use of the arterialized liver transplantation model in rats. Copyright 2002 Wiley-Liss, Inc.

Acute Pancreatitis with Splenic Infarction as Early Postoperative Complication following Laparoscopic Sleeve Gastrectomy

Directory of Open Access Journals (Sweden)

Aleksandr Kalabin

2017-01-01

Full Text Available Obesity is becoming a global health burden along with its comorbidities. It imposes tremendous financial burden and health costs worldwide. Surgery has emerged as the definitive treatment option for morbidly obese patients with comorbidities. Laparoscopic sleeve gastrectomy is performed now more than ever making it imperative for physicians and surgeons to recognize both the common and the uncommon risks and complications associated with it. In this report we describe a rare early life-threatening postoperative complication following laparoscopic sleeve gastrectomy. From our extensive review of literature, there is no existing report of acute pancreatitis with splenic infarction postsleeve gastrectomy to this date.

Experimental and numerical study of steel pipe with part-wall defect reinforced with fibre glass sleeve

International Nuclear Information System (INIS)

Mazurkiewicz, Lukasz; Tomaszewski, Michal; Malachowski, Jerzy; Sybilski, Kamil; Chebakov, Mikhail; Witek, Maciej; Yukhymets, Peter; Dmitrienko, Roman

2017-01-01

The paper presents numerical and experimental burst pressure evaluation of the gas seamless hot-rolled steel pipe. The main goal was to estimate mechanical toughness of pipe wrapped with composite sleeve and verify selected sleeve thickness. The authors used a nonlinear explicit FE code with constitutive models which allows for steel and composite structure failure modelling. Thanks to the achieved numerical and analytical results it was possible to perform the comparison with data received from a capacity test and good correlation between the results were obtained. Additionally, the conducted analyses revealed that local reduction of pipe wall thickness from 6 mm to 2.4 mm due to corrosion defect can reduce high pressure resistance by about 40%. Finally, pipe repaired by a fibre glass sleeve with epoxy resin with 6 mm thickness turned out more resistant than an original steel pipe considering burst pressure. - Highlights: • Numerical and experimental burst pressure evaluation of steel pipe was performed. • Seamless hot-rolled steel pipe with and without corrosion defect were considered. • Local reduction of pipe wall thickness from 6 to 2.4 mm reduces resistance by 40%. • Pipe repaired by a 6 mm fibre glass sleeve was more resistant than an original pipe.

The effective neutron temperature in heated graphite sleeves

Energy Technology Data Exchange (ETDEWEB)

Shaw, J A; Small, V G [General Reactor Physics Division, Atomic Energy Establishment, Winfrith, Dorchester, Dorset (United Kingdom)

1963-08-15

In a series of oscillator measurements carried out in the reactor NERO the variation of the relative reaction rates of cadmium and boron absorbers has been used to determine the effective neutron temperature inside heated graphite sleeves. This work extends the scope of similar oscillator measurements previously carried out in DIMPLE, in that the bulk moderator is now graphite as opposed to D{sub 2}O in the former case. (author)

Endoluminal stenting for the management of leak following sleeve gastrectomy and loop duodenojejunal bypass with sleeve gastrectomy

Directory of Open Access Journals (Sweden)

Ying-Nan Tsai

2018-01-01

Full Text Available Postoperative leak is a serious complication of bariatric surgery and often results in significant morbidity and mortality. Stent placement is a less invasive alternative to surgery for the treatment of bariatric surgical leak. We evaluated the efficacy and complications of covered self-expandable metal stents (SEMS in the treatment of post-bariatric surgical leak. We retrospectively reviewed patients who underwent stent placement for leak after bariatric surgery. Leak was diagnosed by upper gastrointestinal series or was visualized during the endoscopy. We examined the timing of stent placement, size of the leak, stent migration and its complications, total stent treatment duration, and treatment outcome. Between January 2011 and April 2015, seven patients underwent covered SEMS placement for leak after bariatric surgery, including laparoscopic sleeve gastrectomy (LSG (n = 5 and laparoscopic loop duodenojejunal bypass with sleeve gastrectomy (LDJB-SG (n = 2. A stent was placed in one patient for infection control and bridging to revisional surgery. Among the other six patients, one patient who received stent placement one year after leak diagnosis failed to achieve leak closure, and five patients with early stent placement achieved leak closure. Three patients with small leak achieved leak closure more quickly. Stent migration was found in six patients, and associated ulcers occurred in five patients. We conclude that stenting is effective in the management of staple-line leaks following LSG and LDJB-SG. Stent migration and associated ulcers are common after stent placement. Early stent removal can be achieved in patients with small leaks.

Endoluminal stenting for the management of leak following sleeve gastrectomy and loop duodenojejunal bypass with sleeve gastrectomy.

Science.gov (United States)

Tsai, Ying-Nan; Wang, Hsiu-Po; Huang, Chih-Kun; Chang, Po-Chin; Lin, I-Chang; Tai, Chi-Ming

2018-01-01

Postoperative leak is a serious complication of bariatric surgery and often results in significant morbidity and mortality. Stent placement is a less invasive alternative to surgery for the treatment of bariatric surgical leak. We evaluated the efficacy and complications of covered self-expandable metal stents (SEMS) in the treatment of post-bariatric surgical leak. We retrospectively reviewed patients who underwent stent placement for leak after bariatric surgery. Leak was diagnosed by upper gastrointestinal series or was visualized during the endoscopy. We examined the timing of stent placement, size of the leak, stent migration and its complications, total stent treatment duration, and treatment outcome. Between January 2011 and April 2015, seven patients underwent covered SEMS placement for leak after bariatric surgery, including laparoscopic sleeve gastrectomy (LSG) (n = 5) and laparoscopic loop duodenojejunal bypass with sleeve gastrectomy (LDJB-SG) (n = 2). A stent was placed in one patient for infection control and bridging to revisional surgery. Among the other six patients, one patient who received stent placement one year after leak diagnosis failed to achieve leak closure, and five patients with early stent placement achieved leak closure. Three patients with small leak achieved leak closure more quickly. Stent migration was found in six patients, and associated ulcers occurred in five patients. We conclude that stenting is effective in the management of staple-line leaks following LSG and LDJB-SG. Stent migration and associated ulcers are common after stent placement. Early stent removal can be achieved in patients with small leaks. Copyright © 2017. Published by Elsevier Taiwan.

Ex-vivo release of Pipeline Embolization Device polytetrafluoroethylene (PTFE) sleeves for improved distal landing zone accuracy in-vivo: A technical note.

Science.gov (United States)

Griessenauer, Christoph J; Gupta, Raghav; Moore, Justin; Thomas, Ajith J; Ogilvy, Christopher S

2016-12-01

Distal landing zone accuracy is critical in some intracranial aneurysms treated with the Pipeline Embolization Device (PED), and delayed opening of the distal end of the device can complicate the procedure. Here, we report a technical nuance that facilitates accurate placement of the distal end of the PED by ex-vivo, pre-implantation release of the PED Flex polytetrafluoroethylene (PTFE) sleeves. The PED Flex is partially pushed out of the introducer sheath ex-vivo, pre-implantation until the distal PED opens entirely and the PTFE sleeves are located distal to the device. Without inverting the PTFE sleeves, the PED is carefully pulled back into the introducer sheath placing the PTFE sleeves inside the device. The PED is loaded into the microcatheter and advanced toward the site of implantation. When the PED is initially deployed and pushed out of the microcatheter, it opens immediately and provides an anchor for the remainder of the deployment process. We present a video (supplementary material) that illustrates the technique along with an illustrative case. Ex-vivo, pre-implantation release of the PTFE sleeves is an option in aneurysm treatment where distal landing accuracy is critical. Even without the protection of the PTFE sleeves, our clinical observation shows that the PED can be advanced safely through the microcatheter in selected cases. © The Author(s) 2016.

Fuel bundle to pressure tube fretting in Bruce and Darlington

Energy Technology Data Exchange (ETDEWEB)

Norsworthy, A G; Ditschun, A [Atomic Energy of Canada Ltd., Mississauga, ON (Canada)

1996-12-31

As the fuel channel elongates due to creep, the fuel string moves relative to the inlet until the fuel pads at the inboard end eventually separate from the spacer sleeve, and the fuel resides on the burnish mark of the pressure tube. The bundle is then supported in a fashion which contributes to increased levels of vibration. Those pads which (due to geometric variation) have contact loads with the pressure tube within a certain range, vibrate, and cause significant fretting on the burnish mark, and further along at the midplane of the bundle. Inspection of the pressure tubes in Bruce A, Bruce B, and Darlington has revealed fret damage up to 0.55 mm at the burnish mark and slightly lower than this at the inlet bundle midplane. To date, all fret marks have been dealt with successfully without the need for tube replacement, but a program of work has been initiated to understand the mechanism and reduce the fretting. Such understanding is necessary to guide future design changes to the fuel bundle, to guide future inspection programs, to guide maintenance programs, and for longer term strategic planning. This paper discusses how the understanding of fretting has evolved and outlines a current hypothesis for the mechanism of fretting. The role of bundle geometry, excitation forces, and reactor conditions are reviewed, along with options under consideration to mitigate damage. (author). 4 refs., 2 tabs., 13 figs.

Fuel bundle to pressure tube fretting in Bruce and Darlington

International Nuclear Information System (INIS)

Norsworthy, A.G.; Ditschun, A.

1995-01-01

As the fuel channel elongates due to creep, the fuel string moves relative to the inlet until the fuel pads at the inboard end eventually separate from the spacer sleeve, and the fuel resides on the burnish mark of the pressure tube. The bundle is then supported in a fashion which contributes to increased levels of vibration. Those pads which (due to geometric variation) have contact loads with the pressure tube within a certain range, vibrate, and cause significant fretting on the burnish mark, and further along at the midplane of the bundle. Inspection of the pressure tubes in Bruce A, Bruce B, and Darlington has revealed fret damage up to 0.55 mm at the burnish mark and slightly lower than this at the inlet bundle midplane. To date, all fret marks have been dealt with successfully without the need for tube replacement, but a program of work has been initiated to understand the mechanism and reduce the fretting. Such understanding is necessary to guide future design changes to the fuel bundle, to guide future inspection programs, to guide maintenance programs, and for longer term strategic planning. This paper discusses how the understanding of fretting has evolved and outlines a current hypothesis for the mechanism of fretting. The role of bundle geometry, excitation forces, and reactor conditions are reviewed, along with options under consideration to mitigate damage. (author). 4 refs., 2 tabs., 13 figs

Long term (7 or more years) outcomes of the sleeve gastrectomy: a meta-analysis.

Science.gov (United States)

Clapp, Benjamin; Wynn, Matthew; Martyn, Colin; Foster, Chase; O'Dell, Montana; Tyroch, Alan

2018-03-06

The laparoscopic sleeve gastrectomy is now the most common bariatric operation in the United States and has become an established procedure in the armamentarium of the bariatric surgeon. However, this has happened without the strong support of long-term outcomes data, namely the rate of revision and durability of the weight loss. Newly published data from around the world are starting to show alarming trends in these 2 areas. This paper will examine the published and presented data with at least a 7-year follow-up. This is a meta-analysis on published data with at least 7 years of follow-up from the laparoscopic sleeve gastrectomy. Online published articles. We performed a meta-analysis of publications with at least 7 years of follow-up with the keywords "laparoscopic, bariatric, sleeve gastrectomy, sleeve, long-term, long, term, results, follow-up, follow up, conversion, 7 years, 8 years, 9 years, 10 years, 11 years." We queried the PubMed, MEDLINE, and ClinicalKey search engines, which included abstracts as well. The I 2 statistic was used to determine the heterogeneity across the studies. In presence of heterogeneity, a random effect model using the Dersimonian and Laird method was used to estimate the pooled estimates. The results were summarized using effect size along with a 95% confidence interval (CI). Meta-regression was also used to assess the effect of body mass index and follow-up years on the incidence of recidivism at ≥7 years. Nine cohort studies met the inclusion criteria, with a total of 2280 patients included initially. Only 652 patients had completed ≥7 years of follow-up. At ≥7 years, the long-term weight recidivism rate was estimated to be 27.8% (I 2 = .60%; 95% CI: 22.8%-32.7%) with a range of 14% to 37%. The overall revision rate was estimated to be 19.9% (I 2 = 93.8%; 95% CI: 11.3%-28.5%). This was broken down into 13.1% (I 2 = 93.8%; 95% CI: 5.6%-20.6%) due to weight regain (5 studies) and 2.9% (I 2 = 60.8%; 95% CI: 1%-4.9%) due to

Gastroesophageal Reflux Management with the LINX® System for Gastroesophageal Reflux Disease Following Laparoscopic Sleeve Gastrectomy.

Science.gov (United States)

Desart, Kenneth; Rossidis, Georgios; Michel, Michael; Lux, Tamara; Ben-David, Kfir

2015-10-01

Laparoscopic sleeve gastrectomy (LSG) has gained significant popularity in the USA, and consequently resulted in patients experiencing new-onset gastroesophageal reflux disease (GERD) following this bariatric procedure. Patients with GERD refractory to medical therapy present a more challenging situation limiting the surgical options to further treat the de novo GERD symptoms since the gastric fundus to perform a fundoplication is no longer an option. The aim of this study is to determine if the LINX® magnetic sphincter augmentation system is a safe and effective option for patients with new gastroesophageal reflux disease following laparoscopic sleeve gastrectomy. This study was conducted at the University Medical Center. This is a retrospective review of seven consecutive patients who had a laparoscopic LINX® magnetic sphincter device placement for patients with refractory gastroesophageal reflux disease after laparoscopic sleeve gastrectomy between July 2014 and April 2015. All patients were noted to have self-reported greatly improved gastroesophageal reflux symptoms 2-4 weeks after their procedure. They were all noted to have statistically significant improved severity and frequency of their reflux, regurgitation, epigastric pain, sensation of fullness, dysphagia, and cough symptoms in their postoperative GERD symptoms compared with their preoperative evaluation. This is the first reported pilot case series, illustrating that the LINX® device is a safe and effective option in patients with de novo refractory gastroesophageal reflux disease after a laparoscopic sleeve gastrectomy despite appropriate weight loss.

Changes in the makeup of bariatric surgery: a national increase in use of laparoscopic sleeve gastrectomy.

Science.gov (United States)

Nguyen, Ninh T; Nguyen, Brian; Gebhart, Alana; Hohmann, Samuel

2013-02-01

Laparoscopic sleeve gastrectomy is gaining popularity in the US; however, there has been no study examining the use of sleeve gastrectomy at a national level and its impact on the use of other bariatric operations. The aim of this study was to examine contemporary changes in use and outcomes of bariatric surgery performed at academic medical centers. Using ICD-9 diagnosis and procedure codes, clinical data obtained from the University HealthSystem Consortium database for all bariatric procedures performed for the treatment of morbid obesity between October 1, 2008 and September 30, 2012 were reviewed. Quartile trends in use for the 3 most commonly performed bariatric operations were examined, and a comparison of perioperative outcomes between procedures was performed within a subset of patients with minor severity of illness. A total of 60,738 bariatric procedures were examined. In 2008, the makeup of bariatric surgery consisted primarily of gastric bypass (66.8% laparoscopic, 8.6% open), followed by laparoscopic gastric banding (23.8%). In 2012, there was a precipitous increase in use of laparoscopic sleeve gastrectomy (36.3 %), with a concurrent reduction in the use of laparoscopic (56.4%) and open (3.2%) gastric bypass, and a major reduction in laparoscopic gastric banding (4.1%). The length of hospital stay, in-hospital morbidity and mortality, and costs for laparoscopic sleeve gastrectomy were found to be between those of laparoscopic gastric banding and laparoscopic gastric bypass. Within the context of academic medical centers, there has been a recent change in the makeup of bariatric surgery. There has been an increase in the use of laparoscopic sleeve gastrectomy, which has had an impact primarily on reducing the use of laparoscopic adjustable gastric banding. Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Structural integrity testing of glass-ceramic/molybdenum vacuum tube frames

International Nuclear Information System (INIS)

Spears, R.K.

1980-01-01

In this study, vacuum tube subassemblies made of glass-ceramic insulators sealed to inner and outer molybdenum frames were loaded in compression to failure with a tensile test machine. Several factors were varied in processing these subassemblies. These factors included etching and nonetching of molybdenum piece parts, annealing and nonannealing of subassemblies, and vapor and non-vapor honing of insulators after sealing. After failure, the subassemblies were examined for fracture patterns. In most cases, fracture started at points near the lower portion of the inner sleeve-insulator interface. More load was carried by subassemblies having molybdenum piece parts that were acid etched. No difference appeared between the strength of subassemblies having annealed and nonannealed glass-ceramic insulators. Parts with vapor-honed insulators failed at substantially lower loads

Evaluation of a steam generator tube repair process using an explosive expansion techniuqe at TMI-1

International Nuclear Information System (INIS)

Rajan, J.; Shook, T.A.; Leonard, L.

1983-01-01

After a planned shutdown of Unit No. 1 at Three Mile Island, cracks were discovered in the primary side of steam generator tubes in the vicinity of the upper surface of the upper tubesheet. The nature of these cracks was later characterized as intergranular stress corrosion. The licensee, General Public Utilities Nuclear (GPUN), proposed to form a new tube-to-tubesheet seal below the cracks using a repair process wherein a detonating cord and polyethylene cartridge assembly inserted into the tube explosively expand the tube against the tubesheet. The explosive expansion process has had numerous applications over the years in the initial fabrication of heat exchanger tube-to-tubesheet assemblies and in repair processes using sleeving. However, this is the first use of this process in a steam generator to expand a previously rolled tube and to form a new seal between it and the tubesheet below a defective region in the tube. The seal obtained between the tube and tubesheet depends on the magnitude of explosive energy released in the detonating process. In this application, it is desired to obtain a mechanical bond rather than a metallurgical welding of the tube and tubesheet. A number of critical variables must be taken into account in order to obtain a successful mechanical seal. These include the explosive power of the detonating cord, the number of expansion shots used, the length of tube which is expanded, cartridge and tube diameters, the diameter of the tubesheet hole, the materials of the tube and tubesheet, and the condition of the surfaces at the time of repair. (orig./GL)

Rotor losses in laminated magnets and an anisotropic carbon fiber sleeve

NARCIS (Netherlands)

Van der Geest, M.; Wolmarans, J.J.; Polinder, H.; Ferreira, J.A.; Zeilstra, D.

2012-01-01

High speed fault tolerant permanent magnet machines have strong asynchronous airgap harmonics, making them susceptible to rotor eddy-current losses. These losses can be reduced by using novel high resistivity materials like plastic bonded magnets and carbon fiber reinforced retaining sleeves. This

Gastritis in patients undergoing sleeve gastrectomy

Science.gov (United States)

Rath-Wolfson, Lea; Varona, Roy; Bubis, Golan; Tatarov, Alexander; Koren, Rumelia; Ram, Edward

2017-01-01

Abstract Laparoscopic sleeve gastrectomy (LSG) is a therapeutic option in severely obese patients. The aim of this study was to evaluate the presence of Helicobacter pylori (HP) gastritis and non-Helicobacter gastritis in the gastrectomy specimens, and its association to other variables. One hundred six sleeve gastrectomy specimens were examined histopathologically for the presence of gastritis and its relation to other factors like ethnicity, glycemic control, and postoperative complications. Twelve patients had HP gastritis, 39 had non-HP gastritis, and 55 had normal mucosa. There was a statistical difference between the Arab and Jewish Israeli patients in our study. Twenty-eight of the Arab patients had HP gastritis and 48% had non-HP gastritis. In the Jewish population 6% had HP gastritis and 34% had non-HP gastritis. The preoperative glycemic control was worse in the gastritis group with a mean HbA1c of 8.344% while in the normal mucosa group the mean HbA1c was 6.55. After operation the glycemic control reverted to normal in most the diabetic patients. There were few postoperative complications however, they were not related to HP. There is a high incidence of gastritis in obese patients. The incidence of gastritis in the Arab population in our study was higher than that in the Jewish population. The glycemic control before surgery was worse in patients with gastritis than in the normal mucosa group. HP bares no risk for postoperative complications after LSG and does not affect weight loss. However a larger cohort of patients must be studied to arrive at conclusive results. PMID:28422853

Finite element analysis of a novel pin-sleeve system for external fixation of distal limb fractures in horses.

Science.gov (United States)

Brianza, Stefano; Brighenti, Vittoria; Lansdowne, Jennifer L; Schwieger, Karsten; Bouré, Ludovic

2011-11-01

The transfixation pin cast (TPC) is an external skeletal fixation technique used to treat horses with distal limb fractures, but its use is often associated with pin-loosening and an increased risk of treatment failure. To address implant loosening, the pin sleeve cast system (PSC) was recently designed and consists of a pin-sleeve unit inserted into the bone. Each pin runs through a sleeve placed in the bone, making contact at two fixed points only within the sleeve. Each pin is attached to a ring embedded in a resin cast. In this report, the mechanical performance of a traditional TPC pin arrangement was compared with that of the PSC using validated finite element models of bone substitutes previously tested in vitro. The PSC resulted in a marked reduction in peak strain magnitude around the pins and a more even distribution of strain across the bone cortex. The two systems resulted in comparable proximal fragment displacement and had a similar stress concentration around bone defects during implant removal. The findings suggest that the PSC load transfer mechanism is effective even in geometrically complex structures like equine bones. Copyright © 2010 Elsevier Ltd. All rights reserved.

The design, effectiveness and acceptability of the arm sleeve for the prevention of body fluid contamination during obstetric procedures.

Science.gov (United States)

Kabukoba, J J; Pearce, J M

1993-08-01

1. To design a device that would reduce contamination of staff during obstetric procedures. 2. To undertake clinical trials to assess the effectiveness and acceptability of such a device. A prospective study. The arm sleeve is made of a nonwoven material laminated on polyethylene film making it waterproof. It has an elastomeric cuff with adhesive that ensures a watertight seal between it and the glove. Delivery suite in a teaching hospital. Doctors and midwives were requested to wear the sleeve on top of the standard gown and gloves. Each user was assessed for blood contamination at the end of the procedure and a questionnaire detailing the extent of contamination and the views of the user was completed. Eighty questionnaires were completed. The contamination of arms and hands was 3.8% and 5%, respectively. Eighty-nine percent thought the sleeve had served its purpose and 76% said they would use it regularly. The sleeve is an effective protective device which complements the glove and gown. We recommend that it should be used during all obstetric procedures.

Effect of vertical sleeve gastrectomy in melanocortin receptor 4-deficient rats

NARCIS (Netherlands)

Mul, J.D.; Begg, D.P.; Alsters, S.I.; van Haaften, G.; Duran, K.J.; D'Alessio, D.A.; le Roux, C.W.; Woods, S.C.; Sandoval, D.A.; Blakemore, A.I.; Cuppen, E.; van Haelst, M.M.; Seeley, R.J.

2012-01-01

Bariatric surgery is currently the most effective treatment for obesity. Vertical sleeve gastrectomy (VSG), a commonly applied bariatric procedure, involves surgically incising most of the volume of the stomach. In humans, partial loss of melanocortin receptor-4 (MC4R) activity is the most common

Sleeve resection for delayed presentation of traumatic bronchial transection.

LENUS (Irish Health Repository)

Mohamed, H Y

2010-02-01

Tracheobronchial disruption is uncommon in blunt chest trauma. Many of these patients die before reaching the hospital. In the majority of survivors diagnosis is occasionally delayed resulting in complications like airway stenosis and lung collapse. Thus it is important to have radiological follow up after severe thoracic trauma. Sleeve resection can be an excellent option to conserve lung tissue in delayed presentation of bronchial transection.

Architecture and permeability of post-cytokinesis plasmodesmata lacking cytoplasmic sleeves.

Science.gov (United States)

Nicolas, William J; Grison, Magali S; Trépout, Sylvain; Gaston, Amélia; Fouché, Mathieu; Cordelières, Fabrice P; Oparka, Karl; Tilsner, Jens; Brocard, Lysiane; Bayer, Emmanuelle M

2017-06-12

Plasmodesmata are remarkable cellular machines responsible for the controlled exchange of proteins, small RNAs and signalling molecules between cells. They are lined by the plasma membrane (PM), contain a strand of tubular endoplasmic reticulum (ER), and the space between these two membranes is thought to control plasmodesmata permeability. Here, we have reconstructed plasmodesmata three-dimensional (3D) ultrastructure with an unprecedented level of 3D information using electron tomography. We show that within plasmodesmata, ER-PM contact sites undergo substantial remodelling events during cell differentiation. Instead of being open pores, post-cytokinesis plasmodesmata present such intimate ER-PM contact along the entire length of the pores that no intermembrane gap is visible. Later on, during cell expansion, the plasmodesmata pore widens and the two membranes separate, leaving a cytosolic sleeve spanned by tethers whose presence correlates with the appearance of the intermembrane gap. Surprisingly, the post-cytokinesis plasmodesmata allow diffusion of macromolecules despite the apparent lack of an open cytoplasmic sleeve, forcing the reassessment of the mechanisms that control plant cell-cell communication.

Modified Sleeve Technique in Aortic Valve-Sparing Operation for Marfan Syndrome.

Science.gov (United States)

Wu, Yung-Szu; Hsieh, Shih-Rong; Wang, Chung-Chi; Tsai, Chung-Lin

2018-03-22

We devised a simple modification of the Florida Sleeve procedure to perform aortic valve-sparing surgery. This technique is simple, quick, effective, and safe. We used this technique in operations performed on two young patients with Marfan syndrome. The initial and short-term results were satisfactory.

Experience with titanium condensers in Belgian nuclear power plants

International Nuclear Information System (INIS)

Laire, C.; Graeve, R. de; Comptdaer, Y.; Gilbert, P.

2006-01-01

At Tihange, one unit is equipped with a replaced condenser in titanium, although the cooling water is less aggressive compared to Doel. At some units, small leaks have occurred during service and the causes of these leaks could be related to the following mechanisms: Steam droplet erosion at the tube outer surface; inspections with eddy current and a visual inspection have drastically reduced the occurrence of small leaks at the Tihange 1 unit. Mechanical wear due to foreign objects blocking the tube entrance on the raw water side. Small debris coming from the cooling tower has generated wear and this type of degradation has resulted in the installation of protective short sleeves at one unit (Doel 4). After 8 years of operation with these sleeves, the absence of degradation was verified on pulled tubes. Despite the aggressive water, no corrosion under the sleeves has occurred, and erosion behind the sleeves - possibly due to local turbulence - has not been observed. This experience confirms the excellent corrosion resistance of titanium. The paper summarizes the results of the different inspections and investigations on pulled tubes. (orig.)

Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss in Patients With Morbid Obesity: The SM-BOSS Randomized Clinical Trial.

Science.gov (United States)

Peterli, Ralph; Wölnerhanssen, Bettina Karin; Peters, Thomas; Vetter, Diana; Kröll, Dino; Borbély, Yves; Schultes, Bernd; Beglinger, Christoph; Drewe, Jürgen; Schiesser, Marc; Nett, Philipp; Bueter, Marco

2018-01-16

Sleeve gastrectomy is increasingly used in the treatment of morbid obesity, but its long-term outcome vs the standard Roux-en-Y gastric bypass procedure is unknown. To determine whether there are differences between sleeve gastrectomy and Roux-en-Y gastric bypass in terms of weight loss, changes in comorbidities, increase in quality of life, and adverse events. The Swiss Multicenter Bypass or Sleeve Study (SM-BOSS), a 2-group randomized trial, was conducted from January 2007 until November 2011 (last follow-up in March 2017). Of 3971 morbidly obese patients evaluated for bariatric surgery at 4 Swiss bariatric centers, 217 patients were enrolled and randomly assigned to sleeve gastrectomy or Roux-en-Y gastric bypass with a 5-year follow-up period. Patients were randomly assigned to undergo laparoscopic sleeve gastrectomy (n = 107) or laparoscopic Roux-en-Y gastric bypass (n = 110). The primary end point was weight loss, expressed as percentage excess body mass index (BMI) loss. Exploratory end points were changes in comorbidities and adverse events. Among the 217 patients (mean age, 45.5 years; 72% women; mean BMI, 43.9) 205 (94.5%) completed the trial. Excess BMI loss was not significantly different at 5 years: for sleeve gastrectomy, 61.1%, vs Roux-en-Y gastric bypass, 68.3% (absolute difference, -7.18%; 95% CI, -14.30% to -0.06%; P = .22 after adjustment for multiple comparisons). Gastric reflux remission was observed more frequently after Roux-en-Y gastric bypass (60.4%) than after sleeve gastrectomy (25.0%). Gastric reflux worsened (more symptoms or increase in therapy) more often after sleeve gastrectomy (31.8%) than after Roux-en-Y gastric bypass (6.3%). The number of patients with reoperations or interventions was 16/101 (15.8%) after sleeve gastrectomy and 23/104 (22.1%) after Roux-en-Y gastric bypass. Among patients with morbid obesity, there was no significant difference in excess BMI loss between laparoscopic sleeve gastrectomy and laparoscopic Roux

Steam generator thermal sleeve reconstruction

Energy Technology Data Exchange (ETDEWEB)

Caton, E.; Askari, A.; Volder, P. [Babcock and Wilcox Canada Ltd., Cambridge, Ontario (Canada)]. E-mail: eecaton@babcock.com

2003-07-01

'Full text:' Successful implementation of a physically difficult repair program requires collaboration of the design and construction functions of an organization to ensure that goals are shared and rework or on-the-fly design changes are not required. Furthermore, in a nuclear facility this collaboration results in the optimal safety condition as dose uptake is minimized with a well planned job. The replacement of the degraded thermal sleeves in the Pickering A Steam Generator feedwater nozzles posed this type of problem. The project may be summarized as follows: i) problem analysis, ii) identification of design parameters and limitations, iii) integration of field engineering and design engineering solutions, iv) installation. Integration of the design engineering and field engineering design parameters ensured that the most effective solution was implemented. (author)

Experimental investigation of the vibration response of a flexible tube due to simulated reactor core, cross and annular exit flows

International Nuclear Information System (INIS)

Haslinger, K.H.; Martin, M.L.; Higgins, W.H.; Rossano, F.V.

1989-01-01

Instrumentation tubes in pressurized nuclear reactors have experienced wear due to excessive flow-induced vibrations. Experiments to identify the predominant flow excitation mechanism at a particular plant, and to develop a sleeve design to remedy the wear problem are reported. An instrumented flow visualization model enabled simulation of a wide range of individual or combined reactor core flow, cross flow and thimble flow conditions. The instrumentation scheme adopted for these experiments used proximity displacement transducers and a force transducer to measure respectively tube motion and contact/impact forces at the wear region. Extensive testing of the original, in-plant configuration identified the normal core flow as the primary source of excitation. Shielding the In-Core-Instrumentation thimble tube from the normal core flow curtailed vibration amplitudes; however, thimble flow excitation then became more pronounced. Various outlet nozzle configurations were investigated. An internal cavity combined with radial outlet slots became the optimum solution for the problem. The paper presents typical test data in the form of orbital tube motion, spectrum analysis and time history collages. The effectiveness of shielding the instrumentation tube from the flow is demonstrated. (author)

De novo gastric adenocarcinoma 1 year after sleeve gastrectomy in a transplant patient

Directory of Open Access Journals (Sweden)

M. Masrur

2016-01-01

Conclusions: No direct relation has been established between sleeve gastrectomy and the development of gastric cancer. Robotic procedures allow for complex multiorgan resections, while preserving the benefits of minimally invasive surgery.

Laparoscopic Gastric Sleeve and Micronutrients Supplementation: Our Experience

Directory of Open Access Journals (Sweden)

D. Capoccia

2012-01-01

Full Text Available Background. Laparoscopic gastric sleeve (LGS has been recently introduced as a stand-alone, restrictive bariatric surgery. Theoretically, LGS attenuates micronutrients deficiencies and associated complications that were typically observed following malabsorptive procedures. The aim of this study was to assess some micronutrients and mineral deficiencies in patients undergoing LGS. Methods. In the period between July 2008 and April 2010, 138 obese patients (110 females and 28 males with mean BMI 44.4 kg/m2 ± 6.5, mean age 43.9±10.9 years were enrolled and underwent LGS. Patients were followed up with routine laboratory tests and anthropometric measurements and assessed for nutritional status, as regards vitamin B12, folic acid, iron, hemoglobin, calcium, and vitamin D, every three months throughout 12 months. Results. 12 months after sleeve, patients did not show iron deficiency and/or anemia; plasma calcium levels were in the normal range without supplementation from the sixth month after the operation. Vitamin B12 and folic acid were adequately supplemented for all the follow-up period. Vitamin D was in suboptimal levels, despite daily multivitamin supplementation. Conclusion. In this study, we showed that LGS is an effective surgery for the management of morbid obesity. An adequate supplementation is important to avoid micronutrients deficiencies and greater weight loss does not require higher dosage of multivitamins.

Composite pipe to metal joint

Energy Technology Data Exchange (ETDEWEB)

Leslie, James C.; Leslie, II, James C.; Heard, James; Truong, Liem V.; Josephson, Marvin

2017-06-27

A method for making a metal to composite tube joint including selecting an elongated interior fitting constructed with an exterior barrel, reduced in exterior diameter to form a distally facing annular shoulder and then projecting still further distally to form an interior sleeve having a radially outwardly facing bonding surface. Selecting an elongated metal outer sleeve formed proximally with a collar constructed for receipt over the barrel and increased in interior diameter and projecting distally to form an exterior sleeve having a radially inwardly facing bonding surface cooperating with the first bonding surface to form an annulus receiving an extremity of a composite tube and a bond bonding the extremity of the tube to the bonding surfaces.

Resident education in robotic-assisted vertical sleeve gastrectomy: outcomes and cost-analysis of 411 consecutive cases.

Science.gov (United States)

Ecker, Brett L; Maduka, Richard; Ramdon, Andre; Dempsey, Daniel T; Dumon, Kristoffel R; Williams, Noel N

2016-02-01

Robotic technology is increasingly prevalent in bariatric surgery, yet there are national deficiencies in exposure of surgical residents to robotic techniques. The purpose of this study is to accurately characterize the perioperative outcomes of a resident teaching model using the robotic-assisted sleeve gastrectomy. University Hospital. We identified 411 consecutive patients who underwent robotic sleeve gastrectomy at our institution from a prospectively maintained administrative database. Perioperative morbidity, operative time, and supply cost of the procedure were analyzed. Mean operative time was 96.4±24.9 minutes; mean robot usage time was 63.9 minutes (range 30.0-122.0 min). Ninety-day morbidities included reoperation (0.72%), major bleeding complications (0.48%), staple line leak (0.24%), stricture (0.97%), need for blood transfusion (3.86%), surgical site infection (1.69%), deep vein thrombosis (0.48%), and pulmonary embolism (0.48%). Mortality was nil. The resident cohort achieved operative time plateaus after five consecutive cases. Subset analysis for fiscal year 2014 demonstrated significantly increased supply cost for robotic sleeve gastrectomy compared with its laparoscopic equivalent. Robotic-assisted sleeve gastrectomy can be instituted as a model for resident robotic education with rates of morbidity and operative times equivalent to historical laparoscopic controls. The robot's enhanced ergonomics and its opportunity for resident education must be weighed against its increased supply cost. Copyright © 2016 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Composting municipal biosolids in polyethylene sleeves with forced aeration: Process control, air emissions, sanitary and agronomic aspects.

Science.gov (United States)

Avidov, R; Saadi, I; Krassnovsky, A; Hanan, A; Medina, Sh; Raviv, M; Chen, Y; Laor, Y

2017-09-01

Composting in polyethylene sleeves with forced aeration may minimize odor emissions, vectors attraction and leachates associated with open windrows. A disadvantage of this technology is the lack of mixing during composting, potentially leading to non-uniform products. In two pilot experiments using biosolids and green waste (1:1; v:v), thermophilic conditions (>45°C) were maintained for two months, with successful control of oxygen levels and sufficient moisture. Emitted odors declined from 1.5-3.8×10 5 to 5.9×10 3 -2.3×10 4 odor units m -3 -air in the first 3weeks of the process, emphasizing the need of odor control primarily during this period. Therefore, composting might be managed in two phases: (i) a closed sleeve for 6-8weeks during which the odor is treated; (ii) an open pile (odor control is not necessary). Reduction of salmonella, E. coli and coliforms was effective initially, meeting the standards of "Class A" biosolids; however, total and fecal coliforms density increased after opening the second sleeve and exceeded the standard of 1000 most probable number (MPN) per g dry matter. Compost maturity was achieved in the open piles following the two sleeves and the final compost was non-phytotoxic and beneficial as a soil additive. Copyright © 2017 Elsevier Ltd. All rights reserved.

Effect of Sleeve Plunge Depth on Microstructure and Mechanical Properties of Refill Friction Stir Spot Welding of 2198 Aluminum Alloy

Science.gov (United States)

Yue, Yumei; Shi, Yao; Ji, Shude; Wang, Yue; Li, Zhengwei

2017-10-01

Refill friction stir spot welding (RFSSW) is a new spot welding technology, by which spot joint without keyhole can be obtained. In this work, RFSSW was used to join 2-mm-thick 2198-T8 aluminum alloy sheets and effects of the sleeve plunge depth on microstructure and lap shear properties of the joints were mainly discussed. Results showed that when using small plunge depths of 2.4 and 2.6 mm, joints showed good formation and no defects were observed. Incomplete refilling defect was observed with increasing plunge depth due to material loss during welding. Size of the grains at sleeve-affected zone (SAZ) is smaller than that at the pin-affected zone, and the size becomes bigger with increasing the plunge depth. More secondary phase particles can be observed at SAZ with increasing the sleeve plunge depth. The lap shear failure load firstly increased and then decreased with increasing the sleeve plunge depth. The maximum failure load of 9819 N was attained with plug fracture mode when using 2.6 mm. Fracture morphologies show ductile fracture mode.

Concurrent Mesh Repair of a Morgagni and Umbilical Hernia during a Laparoscopic Sleeve Gastrectomy in a Morbidly Obese Individual

Directory of Open Access Journals (Sweden)

N.R Kosai

2016-10-01

Full Text Available Morgagni Hernia is a rare form of diaphragmatic hernia. It is mainly asymptomatic and often identified incidentally during surgery. Tension-free synthetic mesh repair is the preferred treatment modality. However, the use of synthetic mesh concurrently during a clean-contaminated surgery such as sleeve gastrectomy remains controversial due to the remote possibility of mesh infection. A middle-aged female 2 with BMI of 47 Kg/m was admitted electively for laparoscopic sleeve gastrectomy with concurrent umbilical hernia repair. Intra-operatively, a left Morgagni Hernia containing omentum and a segment of transverse colon was noted. She underwent a laparoscopic sleeve gastrectomy and simultaneous laparoscopic tension-free composite mesh repair of both Morgagni and umbilical hernia. Outpatient review three months later revealed excess weight loss of almost 30% with no recurrence of either hernia. In conclusion, the advantages of concurrent hernia repair during bariatric surgery outweigh the risk of mesh infection and should be performed to prevent future risk of visceral herniation and strangulation. Laparoscopic mesh repair of a Morgagni Hernia and umbilical hernia in the setting of an electively planned sleeve gastrectomy is feasible, effective and safe in the hands of a trained laparoscopic surgeon.

pH monitoring of gastro-oesophageal reflux before and after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Thereaux, J; Barsamian, C; Bretault, M; Dusaussoy, H; Lamarque, D; Bouillot, J-L; Czernichow, S; Carette, C

2016-03-01

Gastro-oesophageal reflux disease (GORD) is a common obesity-related co-morbidity that is assessed objectively by 24-h pH monitoring. Some concerns have been raised regarding the risk of de novo GORD or exacerbation of pre-existing GORD after laparoscopic sleeve gastrectomy. Here, 24-h pH monitoring was used to assess the influence of laparoscopic sleeve gastrectomy on postoperative GORD in obese patients with or without preoperative GORD. From July 2012 to September 2014, all patients scheduled for laparoscopic sleeve gastrectomy were invited to participate in a prospective follow-up. Patients who underwent preoperative 24-h pH monitoring were asked to repeat the examination 6 months after operation. GORD was defined as an oesophageal pH < 4 for at least 4·2 per cent of the total time recorded. Of 89 patients, 76 had preoperative pH monitoring for GORD evaluation and 50 had postoperative reassessment. Patients without (group 1, 29 patients) or with (group 2, 21 patients) preoperative GORD were similar regarding age, sex ratio and body mass index. In group 1, the median (i.q.r.) total time at pH < 4 was significantly higher after surgery than before: 5·6 (2·5-9·5) versus 1·6 (0·7-2·9) per cent (P < 0·001). Twenty of the 29 patients experienced de novo GORD as determined by 24-h pH monitoring (P < 0·001). In group 2, total time at pH < 4 after surgery was no different from the preoperative value: 5·9 (3·9-10·7) versus 7·7 (5·2-10·3) per cent (P = 0·296). Laparoscopic sleeve gastrectomy was associated with de novo GORD in over two-thirds of patients, but did not seem to exacerbate existing GORD. © 2016 BJS Society Ltd Published by John Wiley & Sons Ltd.

The Single Needle Lockstitch Machine. [Constructing and Setting Sleeves.] Module 7.

Science.gov (United States)

South Carolina State Dept. of Education, Columbia. Office of Vocational Education.

This module on constructing and setting sleeves, one in a series on the single needle lockstitch sewing machine for student self-study, contains two sections. Each section includes the following parts: an introduction, directions, an objective, learning activities, student information, student self-check, check-out activities, and an instructor's…

Factors determining the choice of the beam tube material and the vacuum chamber design for a superconducting high energy storage accelerator

International Nuclear Information System (INIS)

Aggus, J.; Edwards, D. Jr.; Halama, H.J.; Herrera, J.

1979-01-01

The factors which determine the choice of the material and the basic design for the vacuum chamber of the ISABELLE Colliding Storage Accelerator are reviewed. When the physical, thermal, electrical, and mechanical properties of the bulk material, as well as the various surface characteristics, are considered, it appears that a stainless tube covered with a copper sleeve is the best choice for the chambers in the magnet lattice of the rings. Aluminum is probably the most desirable material for those chambers in the experimental straight sections

Endurance in Al Alloy Melts and Wear Resistance of Titanium Matrix Composite Shot-Sleeve for Aluminum Alloy Die-casting

International Nuclear Information System (INIS)

Choi, Bong-Jae; Kim, Young-Jig; Sung, Si-Young

2012-01-01

The main purpose of this study was to evaluate the endurance against Al alloy melts and wear resistance of an in-situ synthesized titanium matrix composite (TMC) sleeve for aluminum alloy die-casting. The conventional die-casting shot sleeve material was STD61 tool steel. TMCs have great thermal stability, wear and oxidation resistance. The in-situ reaction between Ti and B4C leads to two kinds of thermodynamically stable reinforcements, such as TiBw and TiCp. To evaluate the feasibility of the application to a TMCs diecasting shot sleeve, the interfacial reaction behavior was examined between Al alloys melts with TMCs and STD61 tool steel. The pin-on-disk type dry sliding wear test was also investigated for TMCs and STD61 tool steel.

Submarine Propulsion Shaft Life: Probabilistic Prediction and Extension through Prevention of Water Ingress

Science.gov (United States)

2014-06-01

625 (an Inconel ) sleeve. These sleeves exhibit exceptional corrosion performance, and are used as the wear surfaces in contact with the lubricated...it exits the stern tube bearing. There is an alloy 625 ( Inconel ) sleeve, used as a wear surface for the bearing interaction, as seen in the drawing...Industry Day at MIT, October 13, 2011. Alloy 625 sleeve Mild steel shaft Typical Corrosion Area Epoxy Filler Glass Reinforced Plastic Cover

Biological conduit small gap sleeve bridging method for peripheral nerve injury: regeneration law of nerve fibers in the conduit

Directory of Open Access Journals (Sweden)

Pei-xun Zhang

2015-01-01

Full Text Available The clinical effects of 2-mm small gap sleeve bridging of the biological conduit to repair peripheral nerve injury are better than in the traditional epineurium suture, so it is possible to replace the epineurium suture in the treatment of peripheral nerve injury. This study sought to identify the regeneration law of nerve fibers in the biological conduit. A nerve regeneration chamber was constructed in models of sciatic nerve injury using 2-mm small gap sleeve bridging of a biodegradable biological conduit. The results showed that the biological conduit had good histocompatibility. Tissue and cell apoptosis in the conduit apparently lessened, and regenerating nerve fibers were common. The degeneration regeneration law of Schwann cells and axons in the conduit was quite different from that in traditional epineurium suture. During the prime period for nerve fiber regeneration (2-8 weeks, the number of Schwann cells and nerve fibers was higher in both proximal and distal ends, and the effects of the small gap sleeve bridging method were better than those of the traditional epineurium suture. The above results provide an objective and reliable theoretical basis for the clinical application of the biological conduit small gap sleeve bridging method to repair peripheral nerve injury.

Early and medium term results of the sleeve valve-sparing procedure for aortic root ectasia.

Science.gov (United States)

Gamba, Amando; Tasca, Giordano; Giannico, Floriana; Lobiati, Elisabetta; Skouse, Douglas; Galanti, Andrea; Martino, Antonello Stefano; Triggiani, Michele

2015-04-01

The aim of this retrospective study was to evaluate our experience of using a simplified aortic valve sleeve procedure to treat aortic root ectasia and aneurysms with or without aortic regurgitation. In experienced hands, 2 aortic valve-sparing procedures, ie, Yacoub and David, have yielded excellent long-term results in the treatment of aortic root aneurysms, with or without aortic regurgitation. However, these techniques are demanding and not widely used. Recently, a new and simplified valve-sparing technique, named "sleeve procedure," has been proposed, and has yielded encouraging early results. Ninety consecutive patients with aortic root aneurysms underwent sleeve procedures from October 2006 to October 2012. Follow-up data (clinical 100% complete and echocardiographic 93% complete) were acquired from our outpatient clinic or from the referring cardiologist. The mean age of the patients was 61.5 ± 12.5 years, 79% were male, 16 (18%) had a bicuspid valve, 3 had Marfan syndrome, and 2 had aortic dissection. Over a mean clinical follow-up of 34 ± 19 months, 2 patients died from noncardiac causes and 1 was reoperated on for the recurrence of aortic regurgitation. On follow-up echocardiography after a mean of 18 ± 9 months, aortic regurgitation was absent/negligible, mild or moderate in 62%, 37%, and 1% of patients, respectively, and the diameters of the annulus, Valsalva sinuses, and sinotubular junction were 27.3 + 2.2, 37.0 + 3.4, and 30.6 + 3.1 mm, respectively. Our encouraging early and medium term results suggest that the sleeve procedure is a safe and effective aortic valve-sparing technique for the treatment of aortic root ectasia and aneurysm. However, longer follow-up is needed in order to draw definitive conclusions. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Basic interrupted versus continuous suturing techniques in bronchial anastomosis following sleeve lobectomy in dogs.

Science.gov (United States)

Bayram, Ahmet Sami; Erol, Mehmet Muharrem; Salci, Hakan; Ozyiğit, Ozgür; Görgül, Sacit; Gebitekin, Cengiz

2007-12-01

Sleeve resection with or without lung resection is a valid conservative operation for patients with benign or malignant tumors; it enables the preservation of lung parenchyma. The aim of this prospective randomized study was to compare complications, operating time, and bronchial healing between the techniques of interrupted and continuous suturing for bronchial anastomosis in dogs. Twenty adult mongrel dogs each weighing 18-22 kg (average: 20 kg) were divided into two groups according to the anastomosis technique performed: group A, interrupted suturing and group B, continuous suturing. Each group comprised of 10 dogs. Following right thoracotomy, sleeve resection of the right cranial lobe was performed in all dogs. Basic interrupted sutures using 4/0 Vicryl (Ethicon, USA) were used in group A, and continuous sutures were used in group B. The median anastomosis time was 15.2 min (range: 13-21 min) in group A and 9.6 min (range: 8-13 min) in group B. In all dogs, the anastomosis line was resected via right pneumonectomy for histopathological investigation 1 month after sleeve resection. Histopathological examination revealed that the healing of the anastomosis was not affected by the suturing technique applied. One dog from each group died on the fourth postoperative day; Fisher's exact test, p=0.763. Our research revealed that the healing of the anastomosis was not affected by the suturing technique performed.

Control of Cocoa Pod Borer and Phytophthora Pod Rot Using Degradable Plastic Pod Sleeves and a Nematode, Steinernema Carpocapsae

OpenAIRE

Rosmana, Ade; Shepard, Merle; Hebbar, Prakash; Mustari, Anita

2010-01-01

Cocoa pod borer (CPB; Conopomorpha cramerella) and Phytophthora pod rot (PPR; Phytophthora palmivora) are serious pest and disease on cocoa plantations in Indonesia. Both pest and disease have been controlled with limited success using cultural practices such as pruning, frequent harvesting, sanitation, plastic sleeving, and chemical pesticides. An experiment was conducted on cocoa plantings in Pinrang Regency, South Sulawesi during the wet season of 2008/09 to test the effect of pod sleeving...

Behandling med duodenal-jejunal bypass-sleeve ved svær overvægt

DEFF Research Database (Denmark)

Rohde, Ulrich; Gylvin, Silas; Vilmann, Peter

2014-01-01

Overweight and obesity are risk factors for several co-morbidities reducing life expectancy. Conservative treatment of obesity is generally ineffective in the long-term. Bariatric surgery has proven effective, but is associated with potential complications. Duodenal-jejunal bypass sleeve is a novel...

Laparoscopic sleeve gastrectomy and gastroesophageal reflux disease : a systematic review and meta-analysis

NARCIS (Netherlands)

Oor, Jelmer E; Roks, David J; Ünlü, Çagdas; Hazebroek, Eric J

BACKGROUND: The effect of sleeve gastrectomy (SG) on the prevalence of gastroesophageal reflux disease (GERD) remains unclear. We aimed to outline the currently available literature. DATA SOURCES: All relevant databases were searched for publications examining the effect of laparoscopic SG on GERD.

Feasibility and early outcomes of laparoscopic plicated sleeve gastrectomy: a case-control study

Directory of Open Access Journals (Sweden)

Tomasz Rogula

2016-01-01

Full Text Available Introduction : Sleeve gastrectomy (SG continues to gain popularity as a viable weight loss procedure with well-documented outcomes and procedure-specific adverse effects. It has become increasingly indicated for the treatment of morbid obesity. Aim of the research : To compare a novel approach to SG, which aims to reduce SG-specific complications, to the standard SG procedure. Material and methods : Sixteen morbidly obese patients with a mean body mass index (BMI of 48.5 kg/m 2 ± SD who underwent the novel laparoscopic plicated sleeve gastrectomy (LPSG were retrospectively studied. The control group included 18 patients who underwent laparoscopic SG. Study and control groups were matched for BMI and gender. Study group patients underwent a partial SG with imbrication of the distal 2/3 of the staple line with 2 cm overlap and 3–4 cm of the pre-pyloric stomach. Control group SG patients had their staple line oversewn without plication. Outcomes at 3, 6 and 12 months were compared and analyzed. Results: There was no statistically significant difference in weight loss at 12 months between the LPSG and SG groups. Postoperative nausea was comparable between the two groups. No major complications were noted in either group. Conclusions: The LPSG is a modification of the standard SG which has comparable outcomes, safety and feasibility. It may lead to a decrease in unwanted complications such as sleeve stricture or obstruction. Further studies on long-term outcomes are needed to assess its value as a bariatric procedure.

More stapler firings increase the risk of perioperative morbidity after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Major, Piotr; Wysocki, Michał; Pędziwiatr, Michał; Pisarska, Magdalena; Małczak, Piotr; Wierdak, Mateusz; Dembiński, Marcin; Migaczewski, Marcin; Rubinkiewicz, Mateusz; Budzyński, Andrzej

2018-03-01

Staple-line bleeding and leakage are the most common serious complications of laparoscopic sleeve gastrectomy. The relationship between multiple stapler firings and higher risk of postoperative complications is well defined in colorectal surgery but has not been addressed in bariatric procedures so far. Identification of new factors such as "the numbers of stapler firings used during laparoscopic sleeve gastrectomy (LSG)" as a predictor for complications can lead to optimization of the patient care at bariatric centers. To determine the association between perioperative morbidity and the number of stapler firings during laparoscopic sleeve gastrectomy. This observational study was based on retrospective analysis of prospectively collected data in patients operated on for morbid obesity in a teaching hospital/tertiary referral center for general surgery. The patients who underwent LSG were analyzed in terms of the number of stapler firings used as a new potential risk predictor for postoperative complications after surgery, adjusting for other patient- and treatment-related factors. The study included 333 patients (209 women, 124 men, mean age: 40 ±11). During the first 30 days after surgery, complications were observed in 18 (5.41%) patients. Multivariate analysis showed that prolonging operative time increased morbidity (every minute, OR = 1.01; 95% CI: 1.00-1.02) and the complication rate increased with the number of stapler firings (every firing, OR = 1.91; 95% CI: 1.09-3.33; p = 0.023). Additional stapler firings above the usual number and a prolonged operation should alert a surgeon and the whole team about increased risk of postoperative complications.

Plug-welding of ODS cladding tube for BOR-60 irradiation. Welding condition setting. Device remodeling and welding

International Nuclear Information System (INIS)

Seki, Masayuki; Ishibashi, Fujio; Kono, Syusaku; Hirako, Kazuhito; Tsukada, Tatsuya

2003-04-01

Irradiation test in BOR-60 at RIAR to judge practical use prospect of ODS cladding tube at early stage is planned as Japan-Russia a joint research. RIAR does fuel design of fuel pin used for this joint research. JNC manufactures ODS cladding tube and bar materials (two steel kind of martensite and ferrite), upper endplug production. They are welded by pressurized resistance welding, and are inspected in JNC Tokai, transported to RIAR. And RIAR manufactures vibration packing fuel pin. On the upper endplug welding by pressurized resistance welding method, we worded on the problems such as decision of welding condition by changing the size and crystallization of cladding tube and the design of endplug, and the chucking device remodeling to correspond to the long scale cladding tube welding system (included handling) and of quality assurance method. Especially, use of long scale cladding tube caused problem that bending transformation occurred in cladding tube by welding pressure. However, we solved this problem by shortening the distance of cladding tube colette chuck and pressure receiving, and by putting the sleeve in an internal space of welding machine, losing the bending of cladding tube. Moreover, welding defects were occurred by the difference of an inside state, an inside defect and recrystallization of cladding tube. We solved the problem by inside grinding for the edge of tube, angle beam method by ultrasonic wave, and ultrasonic wave form confirmation. Manufacturing process with long scale cladding tube including heat-treatment to remove combustion return and remaining stress was established besides, Afterwards, welding of ODS cladding tube and upper endplug. As the quality assurance system, we constructed [Documented procedure (referred to JOYO)] based on [Document of the QA plan] by OEC. Welding and inspection were executed by the document procedure. It is thought that the quality assurance method become references for the irradiation test in JOYO in the

Ultrasound-guided subcostal-posterior transversus abdominis plane block for pain control following laparoscopic sleeve gastrectomy

Directory of Open Access Journals (Sweden)

Dilek E. Arı

2017-12-01

Full Text Available Objectives: To investigate the analgesic effect of a subcostal-posterior transversus abdominis plane (TAP block combination following laparoscopic sleeve gastrectomy. Methods: This study was conducted at Fatih Sultan Mehmet Educational and Research Hospital, Istanbul, Turkey, between March 2014 and June 2015. A total of 40 patients with a body mass index of 40-60 kg/m2 scheduled for laparoscopic sleeve gastrectomy were randomly allocated into 2 groups. Patients in Group I (n=20 received a bilateral subcostal TAP block, and patients in Group II (n=20 received a bilateral subcostal and posterior TAP block. Pain intensity was assessed at rest and during coughing using the visual analog scale (VAS prior to and at various time points after TAP block (0 min, 30 min, 2 hours, 4 hours, 6 hours, 12 hours, and 24 hours. Morphine consumption over 24 hours and time to first morphine requirement were recorded. Results: There was no difference in VAS scores between groups. Morphine consumption was 6.78±5.95 mg in Group I, and 7.28±5.95 mg in Group II (p=0.795. Time to first morphine requirement was 267.22±303.84 min for Group I, and 207.80±209.81 min for Group II (p=0.154. Conclusions: Subcostal-posterior TAP block provided equivalent analgesia to subcostal TAP block alone following laparoscopic sleeve gastrectomy.

Thermoelastic/plastic analysis of waste-container sleeve: IV. Air gap influence on hole closure. Technical memorandum report (RSI-0019)

International Nuclear Information System (INIS)

Pariseau, W.G.

1975-01-01

A thermoelastic/plastic finite element analysis of the influence of an air-gap on hole closure about a waste-container/sleeve assembly emplaced in a typical repository room (SALT/4T Model) indicates that hole closure would be of the order of hundredths of an inch. Acceptable air-gap width is thus governed by the hole size required for emplacement efficiency. A refined mesh analysis and laboratory testing is suggested in order to further explore the possibility of eliminating the engineering necessity of the sleeve

Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss at 5 Years Among Patients With Morbid Obesity: The SLEEVEPASS Randomized Clinical Trial.

Science.gov (United States)

Salminen, Paulina; Helmiö, Mika; Ovaska, Jari; Juuti, Anne; Leivonen, Marja; Peromaa-Haavisto, Pipsa; Hurme, Saija; Soinio, Minna; Nuutila, Pirjo; Victorzon, Mikael

2018-01-16

Laparoscopic sleeve gastrectomy for treatment of morbid obesity has increased substantially despite the lack of long-term results compared with laparoscopic Roux-en-Y gastric bypass. To determine whether laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass are equivalent for weight loss at 5 years in patients with morbid obesity. The Sleeve vs Bypass (SLEEVEPASS) multicenter, multisurgeon, open-label, randomized clinical equivalence trial was conducted from March 2008 until June 2010 in Finland. The trial enrolled 240 morbidly obese patients aged 18 to 60 years, who were randomly assigned to sleeve gastrectomy or gastric bypass with a 5-year follow-up period (last follow-up, October 14, 2015). Laparoscopic sleeve gastrectomy (n = 121) or laparoscopic Roux-en-Y gastric bypass (n = 119). The primary end point was weight loss evaluated by percentage excess weight loss. Prespecified equivalence margins for the clinical significance of weight loss differences between gastric bypass and sleeve gastrectomy were -9% to +9% excess weight loss. Secondary end points included resolution of comorbidities, improvement of quality of life (QOL), all adverse events (overall morbidity), and mortality. Among 240 patients randomized (mean age, 48 [SD, 9] years; mean baseline body mass index, 45.9, [SD, 6.0]; 69.6% women), 80.4% completed the 5-year follow-up. At baseline, 42.1% had type 2 diabetes, 34.6% dyslipidemia, and 70.8% hypertension. The estimated mean percentage excess weight loss at 5 years was 49% (95% CI, 45%-52%) after sleeve gastrectomy and 57% (95% CI, 53%-61%) after gastric bypass (difference, 8.2 percentage units [95% CI, 3.2%-13.2%], higher in the gastric bypass group) and did not meet criteria for equivalence. Complete or partial remission of type 2 diabetes was seen in 37% (n = 15/41) after sleeve gastrectomy and in 45% (n = 18/40) after gastric bypass (P > .99). Medication for dyslipidemia was discontinued in 47% (n�

Numerical Simulation and Experimental Validation of an Integrated Sleeve-Wedge Anchorage for CFRP Rods

DEFF Research Database (Denmark)

Schmidt, Jacob Wittrup; Smith, Scott T.; Täljsten, Björn

2011-01-01

. Recently, an integrated sleeve-wedge anchorage has been successfully developed specifically for CFRP rods. This paper in turn presents a numerical simulation of the newly developed anchorage using ABAQUS. The three-dimensional finite element (FE) model, which considers material non-linearity, uses...

Effects of sleeve blockages on axial velocity and intensity of turbulence in an unheated 7 x 7 rod bundle

International Nuclear Information System (INIS)

Creer, J.M.; Rowe, D.S.; Bates, J.M.; Sutey, A.M.

1976-01-01

An experimental study is described which was performed to investigate the turbulent flow phenomena near postulated sleeve blockages in a model nuclear fuel rod bundle. The sleeve blockages were characteristic of fuel clad ''swelling'' or ''ballooning'' which could occur during loss-of-coolant accidents (LOCA) in pressurized water reactors. The study was conducted to provide information relative to the flow phenomena near postulated blockages to support detailed safety analyses of LOCAs. The results of the study are especially useful for verification of the hydraulic treatment of reactor core computer programs such as COBRA

Management of a case of left tracheal sleeve pneumonectomy under cardiopulmonary bypass: Anesthesia perspectives

Directory of Open Access Journals (Sweden)

Aman Jyoti

2014-01-01

Full Text Available The lung tumors with carinal involvement are frequently managed with tracheal sleeve pneumonectomy and tracheobronchial anastomosis without use of cardiopulmonary bypass (CPB. Various modes of ventilation have been described during tracheal resection and anastomosis. Use of CPB during this period allows the procedure to be conducted in a more controlled way. We performed tracheal sleeve pneumonectomy for adenoid cystic carcinoma of left lung involving carina. The surgery was performed in two stages. In the first stage, left pneumonectomy was performed and in the second stage after 48 h, tracheobronchial resection and anastomosis was performed under CPB. Second stage was delayed to avoid excessive bleeding (due to heparinization from the extensive vascular raw area left after pneumonectomy. Meticulous peri-operative planning and optimal post-operative care helped in successful management of a complex case, which is associated with high morbidity and mortality.

Dietary intake and ghrelin and leptin changes after sleeve gastrectomy

OpenAIRE

Bu?ga, Marek; Zavadilov?, Vladislava; Hol?czy, Pavol; ?vagera, Zden?k; ?vorc, Pavol; Foltys, Ale?; Zon?a, Pavel

2014-01-01

Introduction Surgical intervention in obesity is today the most effective treatment method in high level obesity management. Bariatric interventions not only ensure body weight reduction, but may influence dietary habits. Aim To assess changes in adipose hormones and dietary habits in obese patients after sleeve gastrectomy. Material and methods The study set comprised 37 subjects (29 females and 8 males) 24 to 68 years old with body mass index 43.0 ?4.9 kg/m2. Pre-operative examination inclu...

Troubles detected during regular inspection of No.1 plant in Oi Power Station, Kansai Electric Power Co., Inc

International Nuclear Information System (INIS)

1990-01-01

No. 1 plant in Oi Power Station, Kansai Electric Power Co., Inc. is a PWR plant with rated output of 1175 MW, and its regular inspection is carried out since August 14, 1989. When eddy current flaw detection inspection was carried out on the total number (11426 except already plugged tubes) of the heating tubes of steam generators, significant indication was observed in tube supporting plate part of 279 tubes, at the boundary of tube plate expanded part of 34 tubes, and in the tube plate expanded part of 99 tubes, 411 heating tubes in total (all on high temperature side). Consequently, it was decided to repair 367 tubes using sleeves, and to plug other 44 tubes. Besides, among the heating tubes plugged in the past, it was decided to remove plugs from 161 tubes, and by repairing them with sleeves, to use them again. Total number of heating tubes 13552 (3388 tubes x 4 steam generators), Number of plugged tubes 2009 (decrease by 117 this time), Ratio of plugging 14.8%. (K.I.)

Effect of Yaw Angle and Ambient Wind on Fabric Penetration of a Simulated Sleeve

Science.gov (United States)

2015-08-20

took a day of trial-and-error testing. Of concern is the effect of the fabric sleeve on the flowfield. It is possible that the introduction of the...stephanie.f.zopf.civ@mail.mil CLARKSON UNIVERSITY (1) Mechanical Engineering Department 8 Clarkson Ave., Potsdam , NY 13699 sdhaniyala

Getting the most from the sleeve: the importance of post-operative follow-up.

Science.gov (United States)

Keren, Dean; Matter, Ibrahim; Rainis, Tova; Lavy, Alexandra

2011-12-01

Bariatric approach to obesity provides substantial weight loss and comorbidity resolution. Our unique service includes pre- and postoperative visits to the Health and Nutrition Clinic headed by a specialist in gastroenterology and nutrition. We compared patients attending regular clinic routine with those who were lost to follow-up with regard to anthropometry, comorbidity, quality of life, and food tolerance and determined who benefited most from the operation. A retrospective review was performed on patients 30 months after undergoing sleeve gastrectomy. Body mass index was used to report weight loss. Bariatric Analysis and Reporting Outcome System (BAROS) and Food Tolerance Score were (FTS) completed by all patients at the 30-month follow-up visit and compared between two groups (group I-30 months of active postoperative follow-up; group II-without). A total of 119 patients participated in the study. For groups I and II, the mean percentage of excess BMI loss at 30 months was 82.08 ± 9.83 and 74.88 ± 8.75, respectively, with better comorbidity improvement in group I. BAROS scores were 7.62 ± 0.72 and 6.92 ± 0.92. FTS was 24.30 ± 2.09 and 22.55 ± 2.27, respectively. From our experience, getting the most from the sleeve is attributed to two main factors: surgery and nutrition. Surgery results in optimal restriction and improved satiety, whereas nutrition relies on a professional medical team providing constant, ongoing patient support throughout all the bariatric process stages. These teams of surgeons and gastroenterologists specializing in nutrition, working side by side, each in their area of specialty, are the main pillars leading to the success of the sleeve.

Simple, Safe, and Cost-Effective Technique for Resected Stomach Extraction in Laparoscopic Sleeve Gastrectomy.

Science.gov (United States)

Derici, Serhan; Atila, Koray; Bora, Seymen; Yener, Serkan

2016-01-01

Background. Laparoscopic sleeve gastrectomy (LSG) has become a popular operation during the recent years. This procedure requires resection of 80-90% of the stomach. Extraction of gastric specimen is known to be a challenging and costly stage of the operation. In this paper, we report results of a simple and cost-effective specimen extraction technique which was applied to 137 consecutive LSG patients. Methods. Between October 2013 and October 2015, 137 laparoscopic sleeve gastrectomy surgeries were performed at Dokuz Eylul University General Surgery Department, Upper Gastrointestinal Surgery Unit. All specimens were extracted through a 15 mm trocar site without using any special device. Results. We noticed one superficial incisional surgical site infection and treated this patient with oral antibiotics. No cases of trocar site hernia were observed. Conclusion. Different techniques have been described for specimen extraction. This simple technique allows extraction of specimen safely in a short time and does not require any special device.

Improvements in nuclear fuel assembly cages

Energy Technology Data Exchange (ETDEWEB)

Eaton, C.W.; Seeley, T.A.; Ince, G.; Speakman, W.T.

1986-03-12

The fuel pin/guide tube supporting grids of an assembly cage for a multi pin fuel element or a reflector element for a stringer are mounted in the moderator sleeve by way of mounting assemblies engaged in grooves machined into the interior surface of the sleeve, each mounting assembly including a split ring which is assembled into its groove by being radially contracted, pushed along the sleeve into registry with the groove and allowed to radially expand. The split ring may carry burnable neutron absorber. The region of the sleeve between two adjacent grids may be of smaller internal diameter than the remainder of the sleeve.

Failure analysis of glass-ceramic insulators of shock tested vacuum (neutron) tubes

International Nuclear Information System (INIS)

Spears, R.K.

1980-01-01

Eight investigative techniques were used to examine the glass-ceramic insulators in vacuum (neutron) tubes. The insulators were extracted from units that had been subjected to low temperature mechanical shock tests. Two of the three units showed reduced neutron output after these tests and an insulator on one of these two was cracked completely through which probably occurred during shock testing. The objective of this study was to determine if any major differences existed between the insulators of these tubes. After eight analyses, it was concluded that no appreciable differences existed. It appeared that cracking of the one glass-ceramic sample was initiated at inner-sleeve interface voids. For this sample, the interface void density was much higher than is presently acceptable. All insulators were made with glass-ceramic having a Na 2 O content of 4.6 wt%. An increased Na 2 O content will cause an increase in the coefficient of expansion and will reduce the residual stress level since the molybdenum has a higher coefficient of thermal expansion than the insulator. Thus, it is believed that a decrease in interface voids and an increase in Na 2 O should aid in reduced cracking of the insulator during these tests

Pediatric laparoscopic sleeve gastrectomy in Turkey: Short-term results.

Science.gov (United States)

Ates, Ufuk; Ergun, Ergun; Gollu, Gulnur; Sozduyar, Sumeyye; Can, Ozlem Selvi; Yagmurlu, Aydin

2018-05-01

Obesity is one of the most rapidly increasing health problems in children. Laparoscopic sleeve gastrectomy (LSG) is one of the best treatment options and is feasible and safe in children. The aim of this study was to present the short-term results of a laparoscopic sleeve gastrectomy series in children. Children who underwent LSG in 2014-2017 were included in the study. Charts were investigated retrospectively and short-term weight loss was analyzed. Patients who had surgery in 2014-2017 were included in the study. There were six girls and two boys, and the median age was 15 years (range, 11-18 years). Mean weight was 159.25 ± 19.78 kg, and mean body mass index was 61.05 ± 8.5 kg/m 2 . Mean operation time was 70 min (range, 65-90 min), mean hospital stay was 5.1 days (range, 3-7 days), and mean follow up was 19.2 months (range, 1-43 months). Of these patients, five had hypertension and were under medication and two of these five also had hyperinsulinemia. One of the five children had Bardet-Biedl syndrome and one had bronchial asthma. After operation, medication was stopped in four of the eight children. At the time of writing, six patients were doing well without postoperative complications, or the need for reoperation. Even though the follow-up period was short and the number of patients was small, LSG was a feasible and promising surgical method for morbidly obese children. A multidisciplinary approach and lifelong behavior therapy are key steps for success. © 2018 Japan Pediatric Society.

Experimental consolidation of granulated rock salt with application to sleeve buckling. Technical memorandum report RSI-0044

International Nuclear Information System (INIS)

Hansen, F.D.

1976-01-01

Quasi-static and creep consolidation tests have been performed in order to determine the compressibility of granulated rock salt when subjected to uniaxial deformations. The purpose of this analysis is to evaluate the force-displacement characteristics of rock salt that may be used as a backfill material around waste canister sleeves. The test set-up involved placing rock salt pellets in a thin-walled steel cylinder and applying a uniaxial load which compressed the salt while allowing no lateral movement. Tests were run at room temperature, 100 and 200 0 C and consolidated to uniaxial stress levels between 1000 and 4000 psi. Axial force, displacement and time were monitored during each test and the relationships have been evaluated. In particular, compressibility of the rock salt is not drastically effected by the temperature differences, nor is there an appreciable difference between the consolidation tests that were allowed to creep and those that were tested quasi-statically. On the basis of experimental data relating volume change to uniaxial stress, the pressure on the waste canister sleeve has been shown to be a nonlinear function of drillhole displacement. For a proposed in situ field test geometry, a 16 inch drillhole and a canister with a 12.75 inch O.D., the pressure necessary to buckle the canister sleeve will develop when the drillhole closes diametrically 0.5 to 0.6 inches. By the nature of this experimental effort, the results obtained are conservative

The Effects of Bougie Diameters on Tissue Oxygen Levels After Sleeve Gastrectomy: A Randomized Experimental Trial

Directory of Open Access Journals (Sweden)

Can Konca

2018-05-01

Full Text Available Background: Staple-line leak is the most frightening complication of laparoscopic sleeve gastrectomy and several predisposing factors such as using improper staple sizes regardless of gastric wall thickness, narrower bougie diameter and ischemia of the staple line are asserted. Aims: To evaluate the effects of different bougie diameters on tissue oxygen partial pressure at the esophagogastric junction after sleeve gastrectomy. Study Design: A randomized and controlled animal experiment with 1:1:1:1 allocation ratio. Methods: Thirty-two male Wistar Albino rats were randomly divided into 4 groups of 8 each. While 12-Fr bougies were used in groups 1 and 3, 8-Fr bougies were used in groups 2 and 4. Fibrin sealant application was also carried out around the gastrectomy line after sleeve gastrectomy in groups 3 and 4. Burst pressure of gastrectomy line, tissue oxygen partial pressure and hydroxyproline levels at the esophagogastric junction were measured and compared among groups. Results: Mortality was detected in 2 out of 32 rats (6.25% and one of them was in group 2 and the cause of this mortality was gastric leak. Gastric leak was detected in 2 out of 32 rats (6.25%. There was no significant difference in terms of burst pressures, tissue oxygen partial pressure and tissue hydroxyproline levels among the 4 groups. Conclusion: The use of narrower bougie along with fibrin sealant has not had a negative effect on tissue perfusion and wound healing.

Irradiation-induced dimensional changes of fuel compacts and graphite sleeves of OGL-1 fuel assemblies

International Nuclear Information System (INIS)

Hayashi, Kimio; Minato, Kazuo; Kobayashi, Fumiaki; Tobita, Tsutomu; Kikuchi, Teruo; Kurobane, Shiro; Adachi, Mamoru; Fukuda, Kousaku

1988-06-01

Experimental data are summarized on irradiation-induced dimensional changes of fuel compacts and graphite sleeves of the first to ninth OGL-1 fuel assemblies. The range of fast-neutron fluence is up to 4 x 10 24 n/m 2 (E > 0.18 MeV); and that of irradiation temperature is 900 - 1400 deg C for fuel compacts and 800 - 1050 deg C for graphite sleeves. The dimensional change of the fuel compacts was shrinkage under these test conditions, and the shrinkage fraction increased almost linearly with fast-neutron fluence. The shrinkage fraction of the fuel compacts was larger by 20 % in the axial direction than in the radial direction. Influence of the irradiation temperature on the dimensional-change behavior of the fuel compacts was not observed clearly; presumably the influence was hidden by scatter of the data because of low level of the fast-neutron fluence and the resultant small dimensional changes. (author)

Prevalence of Chronic Gastritis or Helicobacter pylori Infection in Adolescent Sleeve Gastrectomy Patients Does Not Correlate with Symptoms or Surgical Outcomes.

Science.gov (United States)

Franklin, Ashanti L; Koeck, Emily S; Hamrick, Miller C; Qureshi, Faisal G; Nadler, Evan P

2015-08-01

In adults undergoing gastric bypass surgery, it is routine practice to perform pre-operative testing for Helicobacter pylori infection. Evidence suggests that infection impairs anastomotic healing and contributes to complications. There currently are no data for adolescents undergoing bariatric procedures. Despite few patients with pre-operative symptoms, we noted occasional patients with H. pylori detected after sleeve gastrectomy. We reviewed our experience with our adolescent sleeve gastrectomy cohort to determine the prevalence of H. pylori infection, its predictive factors, and association with outcomes. We hypothesized that H. pylori infection would be associated with pre-operative symptoms, but not surgical outcomes. All patients undergoing sleeve gastrectomy at our hospital were included. We conducted a chart review to determine pre- or post-operative symptoms of gastroesophageal reflux disease GERD or gastritis, operative complications, and long-term anti-reflux therapy after surgery. Pathology reports were reviewed for evidence of gastritis and H. pylori infection. 78 adolescents had laparoscopic sleeve gastrectomy from January 2010 through July 2014. The prevalence of chronic gastritis was 44.9% (35/78) and 11.4% of those patients had H. pylori (4/35). Only one patient with H. pylori had pre-operative symptoms, and only 25.7% (9/35) of patients with pathology-proven gastritis had symptoms. One staple line leak occurred but this patient did not have H. pylori or gastritis. Mean patient follow-up was 10 (3-26) mos. There is a moderate prevalence of gastritis among adolescents undergoing sleeve gastrectomy, but only a small number of these patients had H. pylori infection. Neither the presence of chronic gastritis nor H. pylori infection correlated with symptoms or outcomes. Thus, in the absence of predictive symptomology or adverse outcome in those who are infected, we advocate for continued routine pathologic evaluation without the required need for pre

Rotating-Sleeve Triboelectric-Electromagnetic Hybrid Nanogenerator for High Efficiency of Harvesting Mechanical Energy.

Science.gov (United States)

Cao, Ran; Zhou, Tao; Wang, Bin; Yin, Yingying; Yuan, Zuqing; Li, Congju; Wang, Zhong Lin

2017-08-22

Currently, a triboelectric nanogenerator (TENG) and an electromagnetic generator (EMG) have been hybridized to effectively scavenge mechanical energy. However, one critical issue of the hybrid device is the limited output power due to the mismatched output impedance between the two generators. In this work, impedance matching between the TENG and EMG is achieved facilely through commercial transformers, and we put forward a highly integrated hybrid device. The rotating-sleeve triboelectric-electromagnetic hybrid nanogenerator (RSHG) is designed by simulating the structure of a common EMG, which ensures a high efficiency in transferring ambient mechanical energy into electric power. The RSHG presents an excellent performance with a short-circuit current of 1 mA and open-circuit voltage of 48 V at a rotation speed of 250 rpm. Systematic measurements demonstrate that the hybrid nanogenerator can deliver the largest output power of 13 mW at a loading resistance of 8 kΩ. Moreover, it is demonstrated that a wind-driven RSHG can light dozens of light-emitting diodes and power an electric watch. The distinctive structure and high output performance promise the practical application of this rotating-sleeve structured hybrid nanogenerator for large-scale energy conversion.

The success of sleeve gastrectomy in the management of metabolic syndrome and obesity

OpenAIRE

Shabbir, Asim; Dargan, Dallan

2014-01-01

Abstract The rapid reversal of diabetes, hypertension, hyperlipidaemia and obesity by surgical means has challenged accepted doctrines regarding the management of metabolic syndrome. Sleeve gastrectomy, which developed initially as a preparatory procedure for biliopancreatic diversion with duodenal switch, has seen an exponential rise in popularity as an effective lone laparoscopic bariatric procedure. Superior excess weight loss, a low complication rate, and excellent food tolerance, combine...

Axillary artery injury after an anterior shoulder fracture dislocation and “periosteal sleeve avulsion of the rotator cuff” (SARC. Case report and review of the literature

Directory of Open Access Journals (Sweden)

Ash Chehata

2017-04-01

Full Text Available We present the rare complication of an axillary artery injury associated with an anterior dislocation of the humerus and what we believe to be the first reported periosteal sleeve avulsion of the entire rotator cuff (SARC. We review the literature and discuss the cause of this unusual injury pattern. Keywords: Axillary artery, Shoulder fracture dislocation, Periosteal sleeve avulsion, SARC

Sleeve gastrectomy leads to easy management of hormone replacement therapy and good weight loss in patients treated for craniopharyngioma.

Science.gov (United States)

Trotta, Manuela; Da Broi, Joël; Salerno, Angelo; Testa, Rosa M; Marinari, Giuseppe M

2017-03-01

The aim of this study is to investigate the effects of sleeve gastrectomy on hormone replacement therapy and on hypothalamic obesity in patients affected by craniopharyngioma with post-surgical pan-hypopituitarism. A retrospective review of three patients, treated for hypothalamic obesity with laparoscopic sleeve gastrectomy, who have previously undergone surgery for craniopharyngioma in their childhood, was done. Patients' mean age and BMI were 22.3 years (range 21-24) and 49.2 kg/m 2 (range 41.6-58.1), respectively. The mean time of delay between neurosurgery and bariatric surgery was 12.3 years (range 6-16). There were no major complications or deaths. At 24 months follow-up, the mean BMI was 35.3 kg/m 2 (range 31.2-40.6). No hydrocortisone and sex steroids dose changes were observed, while levothyroxine was decreased in two patients. Growth hormone replacement therapy was increased in two patients, whereas it was started in one patient. Desmopressin was significantly decreased in all of them. Patients with surgically induced pan-hypopituitarism after craniopharyngioma who become obese, can expect good results from sleeve gastrectomy: this procedure does not have significant negative effects on hormone substitution and leads to a good stabilization of body weight in a mid-term follow-up.

Three-Dimensional Bio-Printed Scaffold Sleeves With Mesenchymal Stem Cells for Enhancement of Tendon-to-Bone Healing in Anterior Cruciate Ligament Reconstruction Using Soft-Tissue Tendon Graft.

Science.gov (United States)

Park, Sin Hyung; Choi, Yeong-Jin; Moon, Sang Won; Lee, Byung Hoon; Shim, Jin-Hyung; Cho, Dong-Woo; Wang, Joon Ho

2018-01-01

To investigate the efficacy of the insertion of 3-dimensional (3D) bio-printed scaffold sleeves seeded with mesenchymal stem cells (MSCs) to enhance osteointegration between the tendon and tunnel bone in anterior cruciate ligament (ACL) reconstruction in a rabbit model. Scaffold sleeves were fabricated by 3D bio-printing. Before ACL reconstruction, MSCs were seeded into the scaffold sleeves. ACL reconstruction with hamstring tendon was performed on both legs of 15 adult rabbits (aged 12 weeks). We implanted 15 bone tunnels with scaffold sleeves with MSCs and implanted another 15 bone tunnels with scaffold sleeves without MSCs before passing the graft. The specimens were harvested at 4, 8, and 12 weeks. H&E staining, immunohistochemical staining of type II collagen, and micro-computed tomography of the tunnel cross-sectional area were evaluated. Histologic assessment was conducted with a histologic scoring system. In the histologic assessment, a smooth bone-to-tendon transition through broad fibrocartilage formation was identified in the treatment group, and the interface zone showed abundant type II collagen production on immunohistochemical staining. Bone-tendon healing histologic scores were significantly higher in the treatment group than in the control group at all time points. Micro-computed tomography at 12 weeks showed smaller tibial (control, 9.4 ± 0.9 mm 2 ; treatment, 5.8 ± 2.9 mm 2 ; P = .044) and femoral (control, 9.6 ± 2.9 mm 2 ; treatment, 6.0 ± 1.0 mm 2 ; P = .03) bone-tunnel areas in the treated group than in the control group. The 3D bio-printed scaffold sleeve with MSCs exhibited excellent results in osteointegration enhancement between the tendon and tunnel bone in ACL reconstruction in a rabbit model. If secure biological healing between the tendon graft and tunnel bone can be induced in the early postoperative period, earlier, more successful rehabilitation may be facilitated. Three-dimensional bio-printed scaffold sleeves with

Fuel or irradiation subassembly

International Nuclear Information System (INIS)

Seim, O.S.; Hutter, E.

1975-01-01

A subassembly for use in a nuclear reactor is described which incorporates a loose bundle of fuel or irradiation pins enclosed within an inner tube which in turn is enclosed within an outer coolant tube and includes a locking comb consisting of a head extending through one side of the inner sleeve and a plurality of teeth which extend through the other side of the inner sleeve while engaging annular undercut portions in the bottom portion of the fuel or irradiation pins to prevent movement of the pins

Thermoelastic/plastic analysis of waste-container sleeve: III. Influence of salt strength on sleeve loading. Technical memorandum report (RSI-0018)

International Nuclear Information System (INIS)

Pariseau, W.G.

1975-01-01

Three combinations of salt tensile, compressive and shear strength in linear and nonlinear yield conditions used in the axially symmetric, large displacement thermoelastic/plastic waste-container/sleeve loading estimates show no influence on the analysis. The salt remains elastic throughout the excavation and subsequent 10 year heating period. Tensile stresses are not observed, tensile strength is thus not important to the analysis even at 10 percent of the compressive strength value. Although strictly applicable only to the conditions of the analyses reported here, the capability for incorporating arbitrary strength combinations in linear or non-linear yield conditions is demonstrated. Computer plots of principal stresses and displacement fields at various stages of the excavation and heating simulation aid in the visualization of repository concept mechanics and show the possible need for additional mesh refinement for more precise stress information

DURABILITY-RELATED CHARACTERISTICS OF DOUBLE-LAYER STRUCTURES OF PIPELINES CONNECTED TO POLYMERIC SLEEVES

Directory of Open Access Journals (Sweden)

Orlov Vladimir Alexandrovich

2012-10-01

The ultimate objective of the software programme is to assess the applicability of the trenchless repair method involving a polymeric sleeve in each specific case by taking account of the environment and the condition of the pipeline. The software is also capable of developing the requirements to be fulfilled by subcontractors in order to assure the appropriate quality of any repair work performed and the reliability of any pipeline sections repaired.

Enabling recruitment success in bariatric surgical trials: pilot phase of the By-Band-Sleeve study.

Science.gov (United States)

Paramasivan, S; Rogers, C A; Welbourn, R; Byrne, J P; Salter, N; Mahon, D; Noble, H; Kelly, J; Mazza, G; Whybrow, P; Andrews, R C; Wilson, C; Blazeby, J M; Donovan, J L

2017-11-01

Randomized controlled trials (RCTs) involving surgical procedures are challenging for recruitment and infrequent in the specialty of bariatrics. The pilot phase of the By-Band-Sleeve study (gastric bypass versus gastric band versus sleeve gastrectomy) provided the opportunity for an investigation of recruitment using a qualitative research integrated in trials (QuinteT) recruitment intervention (QRI). The QRI investigated recruitment in two centers in the pilot phase comparing bypass and banding, through the analysis of 12 in-depth staff interviews, 84 audio recordings of patient consultations, 19 non-participant observations of consultations and patient screening data. QRI findings were developed into a plan of action and fed back to centers to improve information provision and recruitment organization. Recruitment proved to be extremely difficult with only two patients recruited during the first 2 months. The pivotal issue in Center A was that an effective and established clinical service could not easily adapt to the needs of the RCT. There was little scope to present RCT details or ensure efficient eligibility assessment, and recruiters struggled to convey equipoise. Following presentation of QRI findings, recruitment in Center A increased from 9% in the first 2 months (2/22) to 40% (26/65) in the 4 months thereafter. Center B, commencing recruitment 3 months after Center A, learnt from the emerging issues in Center A and set up a special clinic for trial recruitment. The trial successfully completed pilot recruitment and progressed to the main phase across 11 centers. The QRI identified key issues that enabled the integration of the trial into the clinical setting. This contributed to successful recruitment in the By-Band-Sleeve trial-currently the largest in bariatric practice-and offers opportunities to optimize recruitment in other trials in bariatrics.

Effects of sleeve gastrectomy in neonatally streptozotocin-induced diabetic rats.

Directory of Open Access Journals (Sweden)

Yan Wang

Full Text Available BACKGROUND: Sleeve gastrectomy (SG has emerged recently as a stand-alone bariatric procedure to treat morbid obesity and enhance glucose homeostasis. The aim of the study was to evaluate its effects in neonatally streptozotocin (STZ-induced diabetic rats (n-STZ diabetic rats. METHODOLOGY AND PRINCIPAL FINDINGS: To induce diabetes, STZ (90 mg/kg was administered intraperitoneally to 2-day-old male pups. When 12 weeks old, diabetic rats were randomized into sleeve operation group (SLG, n = 6 and sham operation group (SOG, n = 6. Body weights were monitored weekly, and daily consumption of water and food were followed for eight consecutive weeks postoperatively. Serum glucose levels were measured periodically at the 4th and 8th week after surgery. Insulin, ghrelin, glucose-dependent insulinotropic polypeptide (GIP and Glucagon-like peptide-1 (GLP-1 levels were assayed at the end of the study. Our data showed that SLG rats exhibited significantly lower body weight gain in addition to reduced food and water intakes postoperatively compared to their sham-operation counterparts. However, resolution of diabetes was not observed in our study. Correspondingly, there were no significant differences between SOG rats and SLG rats in glucose metabolism-associated hormones, including insulin, GIP and GLP-1. In contrast, ghrelin level significantly decreased (P<0.01 in SLG group (58.01 ± 3.75 pg/ml after SG surgery compared to SOG group (76.36 ± 3.51 pg/ml. CONCLUSIONS: These observations strongly suggest that SG is effective in controlling body weight. However, SG did not achieve resolution or improvement of diabetes in n-STZ diabetic rats.

Banding the Sleeve Improves Weight Loss in Midterm Follow-up.

Science.gov (United States)

Fink, Jodok M; Hoffmann, Natalie; Kuesters, Simon; Seifert, Gabriel; Laessle, Claudia; Glatz, Torben; Hopt, Ulrich T; Konrad Karcz, W; Marjanovic, Goran

2017-04-01

Laparoscopic sleeve gastrectomy (LSG) can achieve excellent weight loss, yet sleeve dilatation with concomitant weight regain proves to be a relevant issue. Hence, additional restriction might improve results after LSG. In a retrospective matched-pair analysis, 42 patients who underwent banded LSG (BLSG) using a MiniMizer® ring between January 2012 and October 2014 were analysed regarding weight loss, complications and comorbidity. Median follow-up was 3 years. Forty-two patients who had undergone conventional LSG were selected as matched pairs. Mean preoperative BMI was 54.93 ± 7.42 kg/m 2 for BLSG and 53.46 ± 6.69 kg/m 2 for LSG (Mann-Whitney P = 0.540). Total weight loss (%TWL) was significantly greater in the BLSG group 3 years after surgery (BLSG 38.22% ± 7.26; n = 26 vs. LSG 32.69 ± 9.47; n = 26; P = 0.0154). Ring placement had no relevant impact on new-onset reflux (Fisher's exact test P = 1.0) but a tendency towards reflux improvement when reflux pre-existed (odds ratio 1.96). The major side effect of ring implantation was regurgitation with over 44% of patients presenting with regurgitation >1 per week (Fisher's exact test P = 0.0019, odds ratio 18.07). BLSG is a safe procedure showing similar comorbidity to conventional LSG. However, BLSG leads to a higher rate of postoperative regurgitation. Weight loss is significantly improved 3 years after surgery. Hence, additional ring implantation might be an option for increased restriction in LSG surgery.

Alternative design of pipe sleeve for liquid removal mechanism in mortar slab layer

Science.gov (United States)

Nazri, W. M. H. Wan; Anting, N.; Lim, A. J. M. S.; Prasetijo, J.; Shahidan, S.; Din, M. F. Md; Anuar, M. A. Mohd

2017-11-01

Porosity is one of the mortar’s characteristics that can cause problems, especially in the room space that used high amount of water, such as bathrooms. Waterproofing is one of the technology that normally used to minimize this problem which is preventing deep penetration of liquid water or moisture into underlying concrete layers. However, without the proper mechanism to remove liquid water and moisture from mortar system, waterproofing layer tends to be damaged after a long period of time by the static formation of liquid water and moisture at mortar layer. Thus, a solution has been proposed to drain out water that penetrated into the mortar layer. This paper introduces a new solution using a Modified Pipe Sleeve (MPS) that installed at the mortar layer. The MPS has been designed considering the percentage surface area of the pipe sleeve that having contact with mortar layer (2%, 4%, 6%, 8% and 10%) with angle of holes of 60°. Infiltration test and flow rate test have been conducted to identify the effectiveness of the MPS in order to drain out liquid water or moisture from the mortar layer. In this study shows that, MPS surface area 10%, angled 60°, function effectively as a water removal compared to other design.

The appearance of a lurking ligament in Laparoscopic Sleeve Gastrectomy; Posterior Gastric Ligament

Directory of Open Access Journals (Sweden)

Mutlu Ünver

2017-03-01

Full Text Available Objective: The aim of this study was to demonstrate a lurking ligament and its various formation types and to mention the importance of this ligament in Laparoscopic sleeve gastrectomy Methods: One hundred and twelve patients had laparoscopic sleeve gastrectomy (LSG procedure in our clinic between March 2011 and September 2013. All procedures were performed with a standard operative technique. Only difference for the last 50 patients was to avoid the excessive dissection of posterior gastric wall. The existence of posterior gastric ligament was recorded and different types of posterior gastric ligament was demonstrated. Results: Posterior gastric ligament was observed in all of the cases in different formation types. Three types of ligament; complete, partial and skippy, was demonstrated. 53(47.3% of the patients had skippy, while 41 (36.6% had partial and 18 (16.1% had complete type of posterior gastric ligament. Conclusion: A ligament named as ‘posterior gastric ligament’ and its various forms were defined in the third dimensional plane of stomach. Posterior gastric ligament remains as the only structure in LSG for preventing the mobility and ability of the stomach to rotate. The excessive dissection of the posterior gastric ligament should be avoided to prevent complications such as kinking and volvulus

Gastrostomy Tube (G-Tube)

Science.gov (United States)

... any of these problems: a dislodged tube a blocked or clogged tube any signs of infection (including redness, swelling, or warmth at the tube site; discharge that's yellow, green, or foul-smelling; fever) excessive bleeding or drainage from the tube site severe abdominal pain lasting ...

CT-Guided Percutaneous Drainage of Infected Collections Due to Gastric Leak After Sleeve Gastrectomy for Morbid Obesity: Initial Experience

International Nuclear Information System (INIS)

Kelogrigoris, M.; Sotiropoulou, E.; Stathopoulos, K.; Georgiadou, V.; Philippousis, P.; Thanos, L.

2011-01-01

This study was designed to evaluate the efficacy and safety of computed tomography (CT)-guided drainage in treating infected collections due to gastric leak after laparoscopic sleeve gastrectomy for morbid obesity. From January 2007 to June 2009, 21 patients (9 men and 12 women; mean age, 39.2 (range, 26–52) years) with infected collections due to gastric leak after laparoscopic sleeve gastrectomy for morbid obesity underwent image-guided percutaneous drainage. All procedures were performed using CT guidance and 8- to 12-Fr pigtail drainage catheters. Immediate technical success was achieved in all 21 infected collections. In 18 of 21 collections, we obtained progressive shrinkage of the collection with consequent clinical success (success rate 86%). In three cases, the abdominal fluid collection was not resolved, and the patients were reoperated. Among the 18 patients who avoided surgery, 2 needed replacement of the catheter due to obstruction. No major complications occurred during the procedure. The results of our study support that CT-guided percutaneous drainage is an effective and safe method to treat infected abdominal fluid collections due to gastric leak in patients who had previously underwent laparoscopic sleeve gastrectomy for morbid obesity. It may be considered both as a preparatory step for surgery and a valuable alternative to open surgery. Failure of the procedure does not, however, preclude a subsequent surgical operation.

Axle-sleeve Structured MWCNTs/Polyaniline Composite Film as Cost-effective Counter-Electrodes for High Efficient Dye-Sensitized Solar Cells

International Nuclear Information System (INIS)

Niu, Haihong; Qin, Shengxian; Mao, Xiaoli; Zhang, Shouwei; Wang, Renbao; Wan, Lei; Xu, Jinzhang; Miao, Shiding

2014-01-01

Graphical abstract: Axle-sleeve structured composite materials made with carbon nanotubes and polyaniline were prepared via a co-polymerization strategy. The composite materials were employed as cost-effective counter electrode modifier in dye-sensitized solar cells which demonstrate a comparable photo-to-electron conversion efficiency as the Pt catalyst. - Highlights: • Axle-sleeve structured MWCNT/PANI composite was prepared. • The optimum mass ratio of MWCNT/ANIranges between 1:3 and 1:1. • The π-π drive force was confirmed by spectroscopicmeans. • The polymerization time of 12∼24 hrs affords the highest conversion efficiency. • The DSSCs assembled with the MWCNTs/PANI CEs exhibit a comparable η(7.21%) as that with Pt CE (7.59%). - Abstract: Axle-sleeve structured composite materials made with multi-walled carbon nanotubes (MWCNTs) and polyaniline (PANI) were prepared, characterized, and employed as cost-effective counter electrodes (CEs) in dye-sensitized solar cells (DSSCs). The composite was synthesized by co-polymerization of aniline with carboxylated MWCNTs by using ammonium persulfate in the acidic medium. Thin films of MWCNTs/PANI were prepared via a spin coating technique followed by thermal treatment in N 2 atmosphere. The micro-structure of the composite was studied by scanning electron microscopy (SEM) and transmission electron microscopy (TEM) linked with energy dispersive spectroscopy (EDS). The coating layer of PANI on the MWCNTs and new-formed chemical bonds between MWCNTs and PANI was studied by UV-Vis absorption, X-ray photoelectron spectroscopy (XPS), Raman and FT-IR spectroscopic means. The effect of the multiple-level porosity or the axle-sleeve structures in the composite of MWCNTs/PANI on the electro-catalytic activity was investigated by cyclic voltammetry (CV) and electrochemical impedance spectroscopic (EIS) analysis. The DSSCs assembled with MWCNTs/PANI as CEs exhibit a comparable energy conversion efficiency (η) of 7

LMFBR steam generators in the United Kingdom

International Nuclear Information System (INIS)

Anderson, R.; Hayden, O.

2002-01-01

Experience has been gained in the UK on the operation of LMFBR Steam Generator Units (SGU) over a period of 20 years from the Dounreay Fast Reactor (DFR) and the Prototype Fast Reactor (PFR). The DFR steam generator featured a double barrier and therefore did not represent a commercial design. PFR, however, faced the challenge of a single wall design and it is experience from this which is most valuable. The PFR reactor went critical in March 1974 and the plant operating history since then has been dominated by experience with leaks in the tube to tube plate welds of the high performance U-tubes SGU's. Operation at high power using the full complement of three secondary sodium circuits was delayed until July 1976 by the occurrence of leaks in the tube to tube plate welds of the superheater and reheater units which are fabricated in stainless steel. Repairs were carried out to the two superheaters and they were returned to service. The reheater tube bundle was removed from circuit after sodium was found to have entered the steam side. When the sodium had been removed and inspection carried out it was decided not to recover the unit. Since 1976 the remaining five stainless steel units have operated satisfactorily. This year a replacement reheater unit has been installed. This is of a new design in 9-Cr-Mo ferritic steel using a sleeve through which the steam tube passes to eliminate the tube to tube plate weld. Despite a few early leaks in evaporator tube to tube plate welds up to 1979, these failures did not initially present a major problem. However, in 1980 the rate of evaporator weld failures increased and despite the successful application of a shot peening process to eliminate stress corrosion failures from the water side of the weld, failures traced to the sodium side continued. A sleeving process was developed for application to complete evaporator units on a production basis with the objective of bypassing the welds at each end of the 500 tubes. The decision

The impact of selected factors on parameters of weight loss after sleeve gastrectomy.

Science.gov (United States)

Binda, Artur; Jaworski, Paweł; Kudlicka, Emilia; Ciesielski, Adam; Cabaj, Hubert; Tarnowski, Wiesław

2016-01-01

The effectiveness of sleeve gastrectomy has been confirmed in many studies. The impact of individual factors on the parameters of weight loss is still not clear. To identify important factors affecting the parameters of weight loss after sleeve gastrectomy. The impact of prognostic factors and postoperative care components on body mass index (BMI) and percentage excess weight loss (%EWL) was assessed in a group of 100 consecutive patients who underwent laparoscopic sleeve gastrectomy. The baseline BMI and body mass in patients with BMI < 30 kg/m 2 and BMI ≥ 30 kg/m 2 12 months after surgery were, respectively, 39.7 ±3.2 vs. 45.9 ±4.6 kg/m 2 , p < 0.0001, and 114.4 ±16.8 vs. 130.3 ±18.5 kg, p < 0.0001. In the group with EWL < 50%, the average age was 47.1 ±7.7 vs. 40.6 ±10.8 in the group with EWL ≥ 50%, p = 0.0025. In the group of patients with preoperative weight loss, %EWL was 61.4 ±17.2 vs. 53.3 ±19.3% in the group with no weight loss, p = 0.0496. Body mass index of the patients who started physical activities was 30.6 ±4.2 kg/m 2 vs. 34.0 ±5.6 kg/m 2 in the patients with no physical activity, p = 0.0013, and %EWL was 63.4 ±14.6 vs. 47.0 ±19.9%, p < 0.0001, respectively. In the case of patients regularly consulted by a dietician BMI was 30.6 ±4.2 kg/m 2 vs. 35.1 ±5.5 kg/m 2 in the group without systematic consultations, p < 0.0001, and %EWL was 63.1 ±15.1% vs. 42.3 ±18.2%, p < 0.0001. Lower baseline body weight parameters, younger age, preoperative weight loss, starting systematic physical activities and constant care of a dietician were conducive to achieving better results of surgery, as assessed on the basis of changes in BMI and %EWL.

Fuel assemblies for nuclear reactors

International Nuclear Information System (INIS)

Leclercg, J.

1985-01-01

Improvements to guide tubes for the fuel assemblies of light water nuclear reactors, said assemblies being immersed in operation in the cooling water of the core of such a reactor, the guide tubes being of the type made from zircaloy and fixed at their two ends respectively to an upper end part and a lower end part made from stainless steel or Irconel and which incorporate devices for braking the fall of the control rods which they house during the rapid shutdown of the reactor, wherein the said braking devices are constituted by means for restricting the diameter of the guide tubes comprising for each guide tube a zircaloy inner sleeve spot welded to the said guide tube and whose internal diameter permits the passage, with a calibrated clearance, of the corresponding control rod, the sleeve being distributed over the lower portion of each guide tube and associated with orifices made in the actual guide tubes to produce the progressive hydraulic absorption of the end of the fall of the control rods

477-IJBCS-Article-Olatunde Oweye

African Journals Online (AJOL)

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1 Lab # 212, H.E.J. Research Institute of Chemistry, International Center for ... 2 H.E.J. Research Institute of Chemistry, International Center for Chemical and Biological Sciences, University .... Butchi 535 (Switzerland) apparatus, and is.

FXR is a molecular target for the effects of vertical sleeve gastrectomy

DEFF Research Database (Denmark)

Ryan, Karen K; Tremaroli, Valentina; Clemmensen, Christoffer

2014-01-01

Bariatric surgical procedures, such as vertical sleeve gastrectomy (VSG), are at present the most effective therapy for the treatment of obesity, and are associated with considerable improvements in co-morbidities, including type-2 diabetes mellitus. The underlying molecular mechanisms contributing......-X receptor, also known as NR1H4). We therefore examined the results of VSG surgery applied to mice with diet-induced obesity and targeted genetic disruption of FXR. Here we demonstrate that the therapeutic value of VSG does not result from mechanical restriction imposed by a smaller stomach. Rather, VSG...

Device and method for unfastening and lifting a top nozzle subassembly from a reconstitutable fuel assembly

International Nuclear Information System (INIS)

Wilson, J.F.

1987-01-01

This patent describes a reconstitutable fuel assembly including at least one guide thimble having an upper end portion and a top nozzle subassembly having a lower adapter plate with at least one opening, and an upper hold-down plate with at least one passageway positioned above and aligned with the lower adapter plate opening. At least one hold-down spring is disposed and extends between the upper and lower plates and at least one elongated tubular hollow sleeve is disposed and extends between the upper and lower plates. The upper end portion of the guide thimble extends upwardly through the opening in the lower adapter plate and has a threaded terminal end disposed above the adapter plate. The threaded terminal end of the guide thimble and an upper end extend upwardly through the passageway of the upper hold-down plate. A device is described for unfastening and lifting the top nozzle subassembly from the guide thimble of the fuel assembly, comprising: (a) at least one hollow gripper tube, the tube having an open lower end; (b) means mounting the gripper tube for vertical alignment with and insertion of its lower end portion into the elongated sleeve of the top nozzle subassembly to a position therein located above and adjacent to the threaded lower end of the sleeve; (c) force-generating means disposed within the gripper tube for rotatable movement and concurrent axial movement upwardly and downwardly within the tube and also disposed at the open lower end of the gripper tube for extension into and from the gripper tube open lower end upon axial movement upwardly and downwardly within the gripper tube

Experimental study on heat transfer characteristic of T-junction in cooling system of PWR

International Nuclear Information System (INIS)

Wang Haijun; Lu Donghua; Luo Yushan; Chen Tingkuan

2002-01-01

The local near wall fluid temperature and heat transfer coefficient distribution in three different areas were measured for T-junction with and without thermal sleeve where jet injected vertically down to the main flow. Flow with velocity ratio between 0.01 and 1.5 were measured. The diameter ratio of jet pipe to main pipe is 0.16. It was found at that downstream of the jet, the thermal sleeve has little effect on heat transfer. At the inlet of the jet and inside the jet tube, the thermal sleeve distinctly affect heat transfer coefficient and near wall fluid temperature. The thermal sleeve's effect is more marked when the velocity ratio becomes larger

Comparison of Early Results and Complications between Multi-and Single-Port Sleeve Gastrectomy: A Randomized Clinical Study

Directory of Open Access Journals (Sweden)

Seyed Vahid Hosseini

2017-05-01

Full Text Available Background: In recent years, laparoscopic sleeve gastrectomy (LSG has become more acceptable for obese patients. Single-port sleeve gastrectomy (SPSG is more popular since each abdominal incision carries the risk of bleeding, hernia, and internal organ injury as well as exponentially affecting cosmesis. This cross-sectional study aimed at comparing multi-port sleeve gastrectomy (MPSG and SPSG in terms of their early results and complications. Methods: Out of129 obese patients candidated for LSG, 102 patients were assigned to 2 groups of SPSG and MPSG. Complications and demographic data such as body mass index (BMI, age, gender, operation time, and hospital stay were measured. All surgeries were carried out between2013 and 2015 in Shiraz, Iran. Data analysis was performed using SPSS, version 16 for Windows (SPSS Inc., Chicago, IL. The continuous and categorical variables were compared using the Student t-test and the Chi-square test or the Fisher exact test, respectively. Results: The patients’ data from both groups were similar in terms of age, intraoperative and postoperative bleeding volume, and length of hospital stay. Mean BMI was 42.8±0.7 in the SPSG group and 45.3±1.2 in the MPSG group. Duration of surgery was significantly lower in the SPSG group (P<0.001. Only 1 patient from the SPSG group and 5 patients from the MPSG group had bleeding as an early complication. Conclusion: The differences in each complication between the groups were not statistically significant. SPSG seems to be safe and is the same as MPSG in terms of major postoperative complications. Trial Registration Number: IRCT201512229936N12

Weight loss independent changes in adipose tissue macrophage and T cell populations after sleeve gastrectomy in mice

Directory of Open Access Journals (Sweden)

Henriette Frikke-Schmidt

2017-04-01

Full Text Available Objective: In addition to adipocytes, adipose tissue contains large numbers of immune cells. A wide range of evidence links the activity of these cells to regulation of adipocyte and systemic metabolic function. Bariatric surgery improves several aspects of metabolic derangements and at least some of these effects occur in a weight-loss independent manner. We sought to investigate the impact of vertical sleeve gastrectomy (VSG on adipose immune cell frequencies. Methods: We analyzed the frequencies of immune cells within distinct adipose tissue depots in obese mice that had VSG or sham surgery with a portion of the latter group pair-fed such that their body mass was matched to the VSG animals. Results: We demonstrate that VSG induced a shift in the epididymal adipose tissue leukocyte profile including increased frequencies of CD11c− macrophages, increased frequencies of T cells (CD4+, CD8+, and CD4−/CD8− T cells all increased, but a significantly decreased frequency of adipose tissue dendritic cells (ATDC that, despite the continued high fat feeding of the VSG group, dropped below control diet levels. Conclusions: These results indicate that VSG induces substantial changes in the immune populations residing in the adipose depots independent of weight loss. Author Video: Author Video Watch what authors say about their articles Keywords: Sleeve gastrectomy, Adipose tissue, Macrophages, T cells, Dendritic cells, Abbreviations: ATDC, adipose tissue dendritic cell, ATM, adipose tissue macrophage, eWAT, epididymal white adipose tissue, FFA, free fatty acids, HFS, high fat sham, iWAT, inguinal white adipose tissue, SVC, stromal vascular cells, VSG, vertical sleeve gastrectomy

Food Tolerance and Quality of Alimentation Following Laparoscopic Sleeve Gastrectomy Calibrated with a 50-Fr Bougie: Long-Term Results.

Science.gov (United States)

Ruiz-Tovar, Jaime; Bozhychko, Maryana; Del-Campo, Jone Miren; Zubiaga, Lorea; Llavero, Carolina

2018-04-02

Adjustable gastric banding and vertical banded gastroplasty are associated with the worst postoperative food tolerance of all bariatric techniques. However, food tolerance tends to improve over time. The aim of this study was to assess food tolerance and diet quality in patients undergoing a sleeve gastrectomy, 1 and 5 years after surgery. A prospective observational study of all the morbidly obese patients undergoing laparoscopic sleeve gastrectomy was performed. Food tolerance was assessed using the Quality of Alimentation questionnaire validated in bariatric patients. Ninety-three patients were analyzed. One year after surgery, mean excess weight loss (EWL) was 81.1% ± 8.3%, and 5 years after surgery, mean EWL was 79.9% ± 6.4%. Preoperatively, 39.8% of patients perceived their eating patterns as good or excellent, 1 year after surgery, 79.6% and 5 years postoperatively, 86%. One year after surgery, the patients reported some difficulty in tolerance of rice, pasta, and red meat. Five years after surgery, these difficulties disappeared and very few patients just refer some tolerance difficulties with red meat. One year after surgery, 10% of the patients reported that they suffered postprandial vomiting often and 22% rarely. Five years postoperatively, only 8% of subjects describe rarely vomiting. After sleeve gastrectomy, the patients recognize an improvement in the quality of alimentation. During the first postoperative year, they present tolerance problems with rice, pasta, and red meat, and that disappeared 5 years after surgery.

Laparoscopic sleeve gastrectomy in patients over 59 years: early recovery and 12-month follow-up.

Science.gov (United States)

Leivonen, Marja Kaarina; Juuti, Anne; Jaser, Nabil; Mustonen, Harri

2011-08-01

Bariatric surgery has shown to be safe for patients over 60 years with good results especially considering resolving of comorbidities. Sleeve gastrectomy is considered to be safer than gastric bypass (GBP) and more effective than gastric banding with less adverse symptoms. Weight loss may be more modest than after GBP, but the effect on vitamins may also be milder. Since 2007, we collected prospectively 12-month follow-up data from 55 sleeve gastrectomy patients of whom 12 were over 59 years of age. Vitamin and calcium supplements were used postoperatively. The recovery from the operation was recorded during hospital stay, at 1- and 12-month follow-up visits using a standard protocol including laboratory tests. The results between patients over and under 59 years were compared. The preoperative weight and weight loss were comparable between the groups. Operation time was shorter and hospital stay was longer for older patients, p = ns. There was no operative mortality. Early major complications were seen more often in the older age group, 42% vs 9% (p = 0.02), but late complications were more common in younger patients, 17% vs 44%, p = ns. Early complications were mostly bleedings, which did not lengthen the hospital stay, neither were re-operations nor endoscopic procedures needed. Excess weight loss and resolving of comorbidities after 12 months was comparable between the groups. However, vitamin deficiencies and hypoalbuminemia were more common in the older age group, 42% and 23% for vitamins and 44% and 29% for proteins, p = ns. The older patients had more adverse effects related to surgery, 25% vs 9%, and younger had more adverse psychiatric effects, p = ns. Sleeve gastrectomy is effective and safe for older bariatric patients. Weight loss is comparable to younger patients and enough to resolve the comorbidities in most of the patients. With standardized nutritional supplementation, the older patients had more often vitamin deficiencies and

Prevalence of Non-Alcoholic Fatty Liver Disease in Morbidly Obese Patients Undergoing Sleeve Bariatric Surgery in Iran and Association With Other Comorbid Conditions

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Karimi-Sari

2015-04-01

Full Text Available Background Nonalcoholic fatty liver disease (NAFLD is one of the most common causes of chronic liver disease including simple steatosis to nonalcoholic steatohepatitis (NASH. NASH could progress to cirrhosis and liver cancer. The prevalence of NAFLD is increasing by increasing the prevalence of obesity. Objectives This study was designed to determine the prevalence of NASH in morbidly obese patients undergoing sleeve bariatric surgery and its correlation with other comorbidities. Patients and Methods In this analytical cross-sectional study, 114 morbidly obese patients undergoing sleeve gastrectomy were selected. Liver ultrasonography was performed for all patients before surgery and NAFLD existence and its grade was determined by hyperechoic texture and fatty infiltration. The liver enzymes and lipid profile were also measured. Prevalence of NAFLD in these patients and its correlation with other comorbid conditions (e.g. diabetes mellitus, hyperlipidemia, hypertension, hypothyroidism and ischemic heart disease were evaluated by SPSS software version 18. Results One hundred fourteen patients with a mean age of 33.96 ± 9.92 years and mean BMI of 43.61 ± 5.77 kg/m2 were enrolled (48 males and 66 females. The prevalence of NAFLD was 16.7%. NAFLD existence was associated with systolic blood pressure, hyperlipidemia, hemoglobin, hematocrit, triglyceride, alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase and potassium (P < 0.05. Conclusions According to high prevalence of NAFLD in morbidly obese patients undergoing sleeve gastrectomy in Iran, we suggest using gold standard diagnostic method to determine the exact NAFLD prevalence and evaluation of impact of sleeve surgery on NAFLD in short and long term follow-up periods.

Staple line leak with peritonitis after laparoscopic sleeve gastrectomy - a solution in one to six steps.

Science.gov (United States)

Špička, Petr

2017-06-01

Laparoscopic sleeve gastrectomy (LSG) is one of the most efficient bariatric interventions in morbidly obese patients. The most severe risk of this procedure seems to be the staple line leak, and the management of this complication can be very arduous. To share our experience in managing the staple line leak after LSG and to help to find the best procedure that should be preferred. In the 2010-2015 period we performed 223 LSG, with about 5 demonstrating severe complications - two patients with severe bleeding requiring revision surgery, and three patients with resection surface leak. We always primarily treated the staple line leak with a laparoscopic revision. Once the fistula did not spontaneously close after this treatment. A series of other methods were then indicated for this patient and only the sixth one resulted in the desirable therapeutic success. At first, our team opted for laparoscopic revision with drainage. The next procedure involved applying Ovesco and Boston clips. As a third method we performed abscess drainage through a nasobiliary tube inserted via gastroscopy. Due to failure we performed the second laparoscopic revision with staple line resuture, the next intervention was an open revision with fistula excision and suture, and finally we opted for the application of a self-expanding metallic stent, which proved to be definitely curative. Without any guidelines it is very difficult to determine the right procedure addressing the staple line leak after LSG. It depends mainly on the clinician's experience and is lengthy and often untraditional.

Calf Compression Sleeves Change Biomechanics but Not Performance and Physiological Responses in Trail Running

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Hugo A. Kerhervé

2017-04-01

Full Text Available Introduction: The aim of this study was to determine whether calf compression sleeves (CS affects physiological and biomechanical parameters, exercise performance, and perceived sensations of muscle fatigue, pain and soreness during prolonged (~2 h 30 min outdoor trail running.Methods: Fourteen healthy trained males took part in a randomized, cross-over study consisting in two identical 24-km trail running sessions (each including one bout of running at constant rate on moderately flat terrain, and one period of all-out running on hilly terrain wearing either degressive CS (23 ± 2 mmHg or control sleeves (CON, <4 mmHg. Running time, heart rate and muscle oxygenation of the medial gastrocnemius muscle (measured using portable near-infrared spectroscopy were monitored continuously. Muscle functional capabilities (power, stiffness were determined using 20 s of maximal hopping before and after both sessions. Running biomechanics (kinematics, vertical and leg stiffness were determined at 12 km·h−1 at the beginning, during, and at the end of both sessions. Exercise-induced Achilles tendon pain and delayed onset calf muscles soreness (DOMS were assessed using visual analog scales.Results: Muscle oxygenation increased significantly in CS compared to CON at baseline and immediately after exercise (p < 0.05, without any difference in deoxygenation kinetics during the run, and without any significant change in run times. Wearing CS was associated with (i higher aerial time and leg stiffness in running at constant rate, (ii with lower ground contact time, higher leg stiffness, and higher vertical stiffness in all-out running, and (iii with lower ground contact time in hopping. Significant DOMS were induced in both CS and CON (>6 on a 10-cm scale with no difference between conditions. However, Achilles tendon pain was significantly lower after the trial in CS than CON (p < 0.05.Discussion: Calf compression did not modify muscle oxygenation during ~2 h 30

[Perioperative managment of laparoscopic sleeve gastrectomy].

Science.gov (United States)

Chang, Xu-sheng; Yin, Kai; Wang, Xin; Zhuo, Guang-zuan; Ding, Dan; Guo, Xiang; Zheng, Cheng-zhu

2013-10-01

To summarize the surgical technique and perioperative management of laparoscopic sleeve gastrectomy (LSG). A total of 57 morbid obesity patients undergoing LSG surgery from May 2010 to December 2012 were enrolled in the study, whose clinical data in perioperative period were analyzed retrospectively. These patients had more than 1 year of follow-up. All the patients received preoperative preparation and postoperative management, and postoperative excess weight loss(EWL%) and improvement of preoperative complications was evaluated. All the cases completed the operation under laparoscopy, except 1 case because of the abdominal extensive adhesion. The average operation time was(102.0±15.2) min and the mean intraoperative blood loss (132.3±45.6) ml. Of 2 postoperative hemorrhage patients, 1 case received conservative treatment, and another one underwent laparoscopic exploration. The EWL% at 3 months, 6 months and 1 year after procedure was (54.9±13.8)%, (79.0±23.6)% and (106.9±25.1)% respectively. The preoperative complications were improved in some degree. There were no operative death, and anastomotic leak, anastomotic stenosis, or surgical site infection occurred. LSG is a safe and effective surgical technique, whose safety and efficacy may be increased by improving the perioperative management.

Kirevad killud meilt ja mujalt / koostanud Anto Juske

Index Scriptorium Estoniae

2010-01-01

Sajaani-Sušenskoje HEJ-s 2009. a augustis aset leidnud avarii tagajärjeks oli Venemaa viimaste aastate ulatuslikem tööõnnetus. Hukkus 75 inimest. Jangtse jõele on rajatud üks maailma suurimatest paisudest Kolme Kuristiku pais

Report covering examination of parts from downhole steam generators. [Combustor head and sleeve parts

Energy Technology Data Exchange (ETDEWEB)

Pettit, F. S.; Meier, G. H.

1983-08-01

Combustor head and sleeve parts were examined by using optical and scanning electron metallography after use in oxygen/diesel and air/diesel downhole steam generators. The degradation of the different alloy components is described in terms of reactions with oxygen, sulfur and carbon in the presence of cyclic stresses, all generated by the combustion process. Recommendations are presented for component materials (alloys and coatings) to extend component lives in the downhole steam generators. 9 references, 22 figures, 3 tables.

Poly(D,L-Lactide-Co-Glycolide) Tubes With Multifilament Chitosan Yarn or Chitosan Sponge Core in Nerve Regeneration.

Science.gov (United States)

Wlaszczuk, Adam; Marcol, Wiesław; Kucharska, Magdalena; Wawro, Dariusz; Palen, Piotr; Lewin-Kowalik, Joanna

2016-11-01

The influence of different kinds of nerve guidance conduits on regeneration of totally transected rat sciatic nerves through a 7-mm gap was examined. Five different types of conduits made of chitosan and poly(D,L-lactide-co-glycolide) (PLGA) were constructed and tested in vivo. We divided 50 animals into equal groups of 10, with a different type of conduit implanted in each group: chitosan sponge core with an average molecular mass of polymer (Mv) of 287 kDa with 7 channels in a PLGA sleeve, chitosan sponge core with an Mv of 423 kDa with 7 channels in a PLGA sleeve, chitosan sponge core (Mv, 423 kDa) with 13 channels in a PLGA sleeve, chitosan multifilament yarn in a PLGA sleeve, and a PLGA sleeve only. Seven weeks after the operation, we examined the distance covered by regenerating nerve fibers, growing of nerves into the conduit's core, and intensity and type of inflammatory reaction in the conduit, as well as autotomy behavior (reflecting neuropathic pain intensity) in the animals. Two types of conduits were allowing nerve outgrowth through the gap with minor autotomy and minor inflammatory reactions. These were the conduits with chitosan multifilament yarn in a PLGA sleeve and the conduits with 13-channel microcrystalline chitosan sponge in a PLGA sleeve. The type of chitosan used to build the nerve guidance conduit influences the intensity and character of inflammatory reaction present during nerve regeneration, which in turn affects the distance crossed by regenerating nerve fibers, growing of the nerve fibers into the conduit's core, and the intensity of autotomy in the animals. Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Computations for a condenser. Experimental results

International Nuclear Information System (INIS)

Walden, Jean.

1975-01-01

Computations for condensers are presented with experimental results. The computations are concerned with the steam flux at the condenser input, and inside the tube bundle. Experimental results are given for the flux inside the condenser sleeve and the flow passing through the tube bundle [fr

Thermal analysis of a hybrid solar energy saving system inside a greenhouse

International Nuclear Information System (INIS)

Ntinas, G.K.; Fragos, V.P.; Nikita-Martzopoulou, Ch.

2014-01-01

Highlights: • A hybrid solar system consisted of water filled polyethylene sleeves was examined. • The thermal behaviour of the system was studied based on the sleeves energy balance. • Water temperature and heat exchanges of the sleeves were dynamically estimated. • Experimental data used to validate the predictions of the mathematical model. • The use of the system led to an energy saving of 23% inside a heated greenhouse. - Abstract: The intensive greenhouse energy requirements are a major operational and economical problem for producers around the world. Energy conservation techniques and innovative applications of solar energy for heating are being employed in greenhouse operation to reduce heating costs during cold periods. The present study investigated the development of a mathematical model to predict the thermal efficiency of a novel hybrid solar energy saving system inside a heated greenhouse. The solar system consisted of a transparent water-filled polyethylene sleeve and two perforated air-filled polyethylene tubes on the top peripheral sides of it. Above the sleeve and between the two tubes, rockwool substrates were placed for hydroponic cultivation of tomato crop. In order to validate this model, experiments were carried out in two identical parts of a polyethylene arched-type greenhouse to obtain data during winter. By comparing the measured and the predicted values, a correlation of 95% was found, indicating that the model can simulate the water temperature inside the hybrid solar sleeves. Moreover, the additional energy provided by the hybrid solar system reached approximately 23% during the examined period, depending on solar radiation levels

Portomesenteric Vein Thrombosis After Laparoscopic Sleeve Gastrectomy: Incidence, Analysis and Follow-Up in 1236 Consecutive Cases

OpenAIRE

Villagr?n, Rodrigo; Smith, Gabriela; Rodriguez, Walter; Flores, Carlos; Cariaga, Mario; Araya, Sof?a; Ya?ez, Marisol; Fuentes, Paulina; Linares, Jeannette; Zapata, Antonio

2016-01-01

Background Portomesenteric vein thrombosis (PMVT) is a rare but severe complication after laparoscopic bariatric surgery, with potentially serious consequences. We aimed to describe the incidence, clinical features, management, outcome, and midterm follow-up in patients with PMVT after laparoscopic sleeve gastrectomy (LSG). Methods This retrospective and descriptive study included patients who underwent LSG between November 2009 and July 2015 and developed PMVT. The following data were analyz...

Residual curarization and postoperative respiratory complications following laparoscopic sleeve gastrectomy. The effect of reversal agents: sugammadex vs. neostigmine

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Ezri Tiberiu

2015-04-01

Full Text Available Background: Incomplete muscle relaxant reversal or re-curarization may be associated with postoperative respiratory complications. In this retrospective study we compared the incidence of postoperative residual curarization and respiratory complications in association with the type of muscle relaxant reversal agent, sugammadex or neostigmine, in patients undergoing laparoscopic sleeve gastrectomy.

Perioperative analgesic requirements in severely obese adolescents and young adults undergoing laparoscopic versus robotic-assisted gastric sleeve resection

Directory of Open Access Journals (Sweden)

Anita Joselyn

2015-01-01

Full Text Available Purpose: One of the major advantages for patients undergoing minimally invasive surgery as compared to an open surgical procedure is the improved recovery profile and decreased opioid requirements in the perioperative period. There are no definitive studies comparing the analgesic requirements in patients undergoing two different types of minimally invasive procedure. This study retrospectively compares the perioperative analgesic requirements in severely obese adolescents and young adults undergoing laparoscopic versus robotic-assisted, laparoscopic gastric sleeve resection. Materials and Methods: With Institutional Review Board approval, the medication administration records of all severely obese patients who underwent gastric sleeve resection were retrospectively reviewed. Intra-operative analgesic and adjuvant medications administered, postoperative analgesic requirements, and visual analog pain scores were compared between those undergoing a laparoscopic procedure versus a robotic-assisted procedure. Results: This study cohort included a total of 28 patients who underwent gastric sleeve resection surgery with 14 patients in the laparoscopic group and 14 patients in the robotic-assisted group. Intra-operative adjuvant administration of both intravenous acetaminophen and ketorolac was similar in both groups. Patients in the robotic-assisted group required significantly less opioid during the intra-operative period as compared to patients in the laparoscopic group (0.15 ± 0.08 mg/kg vs. 0.19 ± 0.06 mg/kg morphine, P = 0.024. Cumulative opioid requirements for the first 72 postoperative h were similar in both the groups (0.64 ± 0.25 vs. 0.68 ± 0.27 mg/kg morphine, P = NS. No difference was noted in the postoperative pain scores. Conclusion: Although intraoperative opioid administration was lower in the robotic-assisted group, the postoperative opioid requirements, and the postoperative pain scores were similar in both groups.

Nuclear reactor fuel assembly grid

International Nuclear Information System (INIS)

Alder, J.L.; Kmonk, S.; Racki, F.R.

1981-01-01

A grid for a nuclear reactor fuel assembly which includes intersecting straps arranged to form a structure of egg crate configuration. The cells defined by the intersecting straps are adapted to contain axially extending fuel rods, each of which occupy one cell, while each control rod guide tube or thimble occupies the space of four cells. To effect attachment of each guide thimble to the grid, a short intermediate sleeve is brazed to the strap walls and the guide thimble is then inserted therein and mechanically secured to the sleeve walls. Each sleeve preferably, although not necessarily, is equipped with circumferentially spaced openings useful in adjusting dimples and springs in adjacent cells. To accurately orient each sleeve in position in the grid, the ends of straps extending in one direction project through transversely extending straps and terminate in the wall of the guide sleeve. Other straps positioned at right angles thereto terminate in that portion of the wall of a strap which lies next to a wall of the sleeve

The effect of knee brace and knee sleeve on the proprioception of the knee in young non-professional healthy sportsmen.

Science.gov (United States)

Bottoni, G; Herten, A; Kofler, P; Hasler, M; Nachbauer, W

2013-12-01

Proprioception has been defined as the capacity to feel the position of a joint in space as sensed by the central nervous system. Prophylactic knee braces are supposed to help in knee injury prevention not just with a mechanical support of the joint but also improving proprioception. The main aim of this study was to determine the effects of a knee brace and a knee sleeve on knee proprioception. The secondary aim was to determine if different starting angles of the knee and different movement directions influence knee proprioception. We tested a group of twenty healthy male sport students without knee injuries. They were tested with the brace, with the sleeve and without support. The threshold of detection of passive knee movement with a starting knee angle of 30° and 60°, both in flexion and extension was determined. We did not find any statistically significant change in the threshold of detection of passive knee movement wearing the brace or the sleeve compared to the unsupported condition (p=0.462, α=0.05). We found a significantly lower proprioceptive sensitivity starting at the more flexed knee angle (p=0.005, α=0.05) and moving in extension than in the other test situations (p=0.001, α=0.05). Movement direction and starting position appear to influence the threshold of detection of passive knee movement. The results of this study also suggest that knee supports do not influence either positively or negatively knee proprioception of uninjured active subjects. Copyright © 2013 Elsevier B.V. All rights reserved.

Gastritis in patients undergoing sleeve gastrectomy: Prevalence, ethnic distribution, and impact on glycemic.

Science.gov (United States)

Rath-Wolfson, Lea; Varona, Roy; Bubis, Golan; Tatarov, Alexander; Koren, Rumelia; Ram, Edward

2017-04-01

Laparoscopic sleeve gastrectomy (LSG) is a therapeutic option in severely obese patients. The aim of this study was to evaluate the presence of Helicobacter pylori (HP) gastritis and non-Helicobacter gastritis in the gastrectomy specimens, and its association to other variables.One hundred six sleeve gastrectomy specimens were examined histopathologically for the presence of gastritis and its relation to other factors like ethnicity, glycemic control, and postoperative complications.Twelve patients had HP gastritis, 39 had non-HP gastritis, and 55 had normal mucosa. There was a statistical difference between the Arab and Jewish Israeli patients in our study. Twenty-eight of the Arab patients had HP gastritis and 48% had non-HP gastritis. In the Jewish population 6% had HP gastritis and 34% had non-HP gastritis. The preoperative glycemic control was worse in the gastritis group with a mean HbA1c of 8.344% while in the normal mucosa group the mean HbA1c was 6.55. After operation the glycemic control reverted to normal in most the diabetic patients. There were few postoperative complications however, they were not related to HP.There is a high incidence of gastritis in obese patients. The incidence of gastritis in the Arab population in our study was higher than that in the Jewish population. The glycemic control before surgery was worse in patients with gastritis than in the normal mucosa group. HP bares no risk for postoperative complications after LSG and does not affect weight loss. However a larger cohort of patients must be studied to arrive at conclusive results.

A multicenter study of routine versus selective intraoperative leak testing for sleeve gastrectomy.

Science.gov (United States)

Bingham, Jason; Kaufman, Jedediah; Hata, Kai; Dickerson, James; Beekley, Alec; Wisbach, Gordon; Swann, Jacob; Ahnfeldt, Eric; Hawkins, Devon; Choi, Yong; Lim, Robert; Martin, Matthew

2017-09-01

Staple line leaks after sleeve gastrectomy are dreaded complications. Many surgeons routinely perform an intraoperative leak test (IOLT) despite little evidence to validate the reliability, clinical benefit, and safety of this procedure. To determine the efficacy of IOLT and if routine use has any benefit over selective use. Eight teaching hospitals, including private, university, and military facilities. A multicenter, retrospective analysis over a 5-year period. The efficacy of the IOLT for identifying unsuspected staple line defects and for predicting postoperative leaks was evaluated. An anonymous survey was also collected reflecting surgeons' practices and beliefs regarding IOLT. From January 2010 through December 2014, 4284 patients underwent sleeve gastrectomy. Of these, 37 patients (.9%) developed a postoperative leak, and 2376 patients (55%) received an IOLT. Only 2 patients (0.08%) had a positive finding. Subsequently, 21 patients with a negative IOLT developed a leak. IOLT demonstrated a sensitivity of only 8.7%. There was a nonsignificant trend toward increased leak rates when an IOLT was performed versus when IOLT was not performed. Leak rates were not statistically different between centers that routinely perform IOLT versus those that selectively perform IOLT. Routine IOLT had very poor sensitivity and was negative in 91% of patients who later developed postoperative leaks. The use of IOLT was not associated with a decrease in the incidence of postoperative leaks, and routine IOLT had no benefit over selective leak testing. IOLT should not be used as a quality indicator or "best practice" for bariatric surgery. Published by Elsevier Inc.

Design optimization of a robust sleeve antenna for hepatic microwave ablation

International Nuclear Information System (INIS)

Prakash, Punit; Webster, John G; Deng Geng; Converse, Mark C; Mahvi, David M; Ferris, Michael C

2008-01-01

We describe the application of a Bayesian variable-number sample-path (VNSP) optimization algorithm to yield a robust design for a floating sleeve antenna for hepatic microwave ablation. Finite element models are used to generate the electromagnetic (EM) field and thermal distribution in liver given a particular design. Dielectric properties of the tissue are assumed to vary within ± 10% of average properties to simulate the variation among individuals. The Bayesian VNSP algorithm yields an optimal design that is a 14.3% improvement over the original design and is more robust in terms of lesion size, shape and efficiency. Moreover, the Bayesian VNSP algorithm finds an optimal solution saving 68.2% simulation of the evaluations compared to the standard sample-path optimization method

Perioperative complications of sleeve gastrectomy: Review of the literature.

Science.gov (United States)

Iannelli, Antonio; Treacy, Patrick; Sebastianelli, Lionel; Schiavo, Luigi; Martini, Francesco

2018-05-04

Sleeve gastrectomy (SG) has known a spectacular rise worldwide during the last decade. The absence of digestive anastomosis simplifies the surgical technique, reducing anastomosis-related complications such as fistula, stricture and marginal ulcer. Furthermore, the respect for digestive continuity preserves the functions of pylorus, that regulates gastric emptying, and duodenum, where calcium, B vitamins and iron are absorbed. Despite the multiple advantages, SG also has specific complications such as bleeding, stenosis, portal thrombosis and leak. The staple line leak at the oesophagogastric junction is the most feared complication and its prevention remains difficult, as the involved mechanisms have been only partially elucidated. Its management is long and requires a multidisciplinary technical platform including Intensive Care Unit, digestive endoscopy and interventional radiology as well as a specialised surgeon. The aim of this review is to explain in detail the perioperative complications of SG, their prevention and treatment, referring to the most recent available literature.

Validation of sleeve of straight union type B for leaks

Energy Technology Data Exchange (ETDEWEB)

Teutonico, Mauricio; Fazzini, Pablo [Gie S.A., Buenos Aires (Argentina)

2009-07-01

Analytic study and experimental validation of type B sleeve with overlapping, were done in order to determine whether they are suitable for used as permanent leaks repair in hydrocarbons transport lines. All relevant background of this type of repair was analyzed, following the guidelines defined by applicable regulations (ASME B31.8 and ASME B31.4) and modeled by finite elements methods. Solicitations under internal pressure of each one of the reinforcement parts were analyzed. All solicitations involved in welded unions were studied, so as the reinforcement effectiveness when it is filled with internal gap filler. Experimental tests were developed, consisted on the reinforcement installation upon damaged pipes and the following hydrostatic test. These tests were assisted by a digitalized measurement, to determine the solicitations at different parts of the reinforcement; strain gauges were used for this task. (author)

SiC-CMC-Zircaloy-4 Nuclear Fuel Cladding Performance during 4-Point Tubular Bend Testing

Energy Technology Data Exchange (ETDEWEB)

IJ van Rooyen; WR Lloyd; TL Trowbridge; SR Novascone; KM Wendt; SM Bragg-Sitton

2013-09-01

The U.S. Department of Energy Office of Nuclear Energy (DOE NE) established the Light Water Reactor Sustainability (LWRS) program to develop technologies and other solutions to improve the reliability, sustain the safety, and extend the life of current reactors. The Advanced LWR Nuclear Fuel Development Pathway in the LWRS program encompasses strategic research focused on improving reactor core economics and safety margins through the development of an advanced fuel cladding system. Recent investigations of potential options for “accident tolerant” nuclear fuel systems point to the potential benefits of silicon carbide (SiC) cladding. One of the proposed SiC-based fuel cladding designs being investigated incorporates a SiC ceramic matrix composite (CMC) as a structural material supplementing an internal Zircaloy-4 (Zr-4) liner tube, referred to as the hybrid clad design. Characterization of the advanced cladding designs will include a number of out-of-pile (nonnuclear) tests, followed by in-pile irradiation testing of the most promising designs. One of the out-of-pile characterization tests provides measurement of the mechanical properties of the cladding tube using four point bend testing. Although the material properties of the different subsystems (materials) will be determined separately, in this paper we present results of 4-point bending tests performed on fully assembled hybrid cladding tube mock-ups, an assembled Zr-4 cladding tube mock-up as a standard and initial testing results on bare SiC-CMC sleeves to assist in defining design parameters. The hybrid mock-up samples incorporated SiC-CMC sleeves fabricated with 7 polymer impregnation and pyrolysis (PIP) cycles. To provide comparative information; both 1- and 2-ply braided SiC-CMC sleeves were used in this development study. Preliminary stress simulations were performed using the BISON nuclear fuel performance code to show the stress distribution differences for varying lengths between loading points

21 CFR 868.5800 - Tracheostomy tube and tube cuff.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Tracheostomy tube and tube cuff. 868.5800 Section... (CONTINUED) MEDICAL DEVICES ANESTHESIOLOGY DEVICES Therapeutic Devices § 868.5800 Tracheostomy tube and tube cuff. (a) Identification. A tracheostomy tube and tube cuff is a device intended to be placed into a...

Seventy Years of Sex Education in "Health Education Journal": A Critical Review

Science.gov (United States)

Iyer, Padmini; Aggleton, Peter

2015-01-01

This paper examines key debates and perspectives on sex education in "Health Education Journal" ("HEJ"), from the date of the journal's first publication in March 1943 to the present day. Matters relating to sexuality and sexual health are revealed to be integral to "HEJ'"s history. First published as Health…

Tube plug

International Nuclear Information System (INIS)

Zafred, P. R.

1985-01-01

The tube plug comprises a one piece mechanical plug having one open end and one closed end which is capable of being inserted in a heat exchange tube and internally expanded into contact with the inside surface of the heat exchange tube for preventing flow of a coolant through the heat exchange tube. The tube plug also comprises a groove extending around the outside circumference thereof which has an elastomeric material disposed in the groove for enhancing the seal between the tube plug and the tube

Heat Exchanger Tube to Tube Sheet Joints Corrosion Behavior

Directory of Open Access Journals (Sweden)

M. Iancu

2013-03-01

Full Text Available Paper presents the studies made by the authors above the tube to tube sheet fittings of heat exchanger with fixed covers from hydrofining oil reforming unit. Tube fittings are critical zones for heat exchangers failures. On a device made from material tube and tube sheet at real joints dimensions were establish axial compression force and traction force at which tube is extracted from expanded joint. Were used two shapes joints with two types of fittings surfaces, one with smooth hole of tube sheet and other in which on boring surface we made a groove. From extracted expanded tube zones were made samples for corrosion tests in order to establish the corrosion rate, corrosion potential and corrosion current in working mediums such as hydrofining oil and industrial water at different temperatures. The corrosion rate values and the temperature influence are important to evaluate joints durability and also the results obtained shows that the boring tube sheet shape with a groove on hole tube shape presents a better corrosion behavior then the shape with smooth hole tube sheet.

Tube spacer grid for a heat-exchanger tube bundle

International Nuclear Information System (INIS)

Scheidl, H.

1976-01-01

A tube spacer grid for a heat-exchanger tube bundle is formed by an annular grid frame having a groove formed in its inner surface in which the interspaced grid bars have their ends positioned and held in interspaced relationship by short sections of tubes passed through holes axially formed in the grid frame so that the tubes are positioned between the ends of the grid bars in the grooves. The tube sections may be cut from the same tubes used to form the tube bundle. 5 claims, 3 drawing figures

Achalasia: A case report on its effect during surgical decision making for laparoscopic sleeve gastrectomy in the young morbidly obese patient

Directory of Open Access Journals (Sweden)

Rodolfo J. Oviedo, MD, FACS

2016-01-01

Conclusion: The patient has already undergone a POEM procedure, which was chosen to maintain the gastric fundus, cardia, and gastroesophageal junction (GEJ architecture as opposed to a LHM with Dor fundoplication, which would have altered the anatomy, thus making a concomitant laparoscopic sleeve gastrectomy an unfeasible option.

Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3, and 5 years after surgery.

Science.gov (United States)

Saif, Taha; Strain, Gladys W; Dakin, Gregory; Gagner, Michel; Costa, Ricardo; Pomp, Alfons

2012-01-01

Laparoscopic sleeve gastrectomy evolved as a primary bariatric procedure with little information on its nutritional effects. Our objective was to assess the longer term micronutrient and vitamin status after laparoscopic sleeve gastrectomy at a university hospital. Measurements of ferritin, iron, total iron binding capacity, hemoglobin, hematocrit, parathyroid hormone, albumin, calcium, magnesium, phosphorus, zinc, folate, and vitamins A, B1, B12, and D were obtained at baseline and 1, 3, and 5 years after surgery. Two-sample t tests with multiple adjusted comparisons and Fisher's exact test were used to determine deficiency. A total of 82 patients (67% women), with a mean age of 46.4 years and a baseline body mass index 55.7 kg/m2 were included in the present study (35 at 1, 27 at 3, and 30 at 5 years postoperatively). The percentage of excess body mass index loss was 58.5% at year 1 in 35 patients, 63.1% at year 3 in 27 patients, and 46.1% at year 5 in 30 patients. The parathyroid hormone level decreased from 75.0 to 49.6 ng/mL in year 1 to 40.7 ng/mL in year 3. The year 5 levels increased to 99.6 ng/mL. The mean vitamin D level increased from 23.6 ng/mL to 35.0, 32.1 and 34.8 at years 1, 3, and 5 (P = .05 for baseline to year 1). The vitamin D level was less than normal in 42% of the patients at year 5. After normalization from baseline, by year 5, parathyroid hormone had increased in 58.3% of patients. At year 5, vitamin B1 was less than normal in 30.8% of patients, and hemoglobin and hematocrit were less than normal in for 28.6% and 25% of patients, respectively. Finally, 28.9% of patients reported taking supplements in year 1, 42.9% in year 3, and 63.3% in year 5. The other variables were not significantly different. Laparoscopic sleeve gastrectomy resulted in health improvements through year 3. At year 5, the nutrient levels had reverted toward the baseline values. These observations provide focus for necessary clinical monitoring. Copyright © 2012 American

Control and repair system for radioactive nuclear fuel elements

International Nuclear Information System (INIS)

Shallenberger, J.M.; Hornak, L.P.; Desmarchais, W.E.

1975-01-01

Irradiated fuel, especially such containing Pu-239, are put in a shielding container for inspection or repair. This container consists of an inner and outer tube of, for example, stainless steel, between which there is a gap filled with water, mineral oil, or polyethylene. At the upper end of the shielding container a rotating sleeve is positioned, by means of a bearing. It contains, for instance, an access opening and an inspection opening which are shielded by means of plexiglass. The access hole is opened only for repair work. In oder to prevent radiation from escaping to the environment during withdrawal and inspection of the fuel elements a second shielding container or shielding tube may be put over the sleeve. (DG/PB) [de

Evaluation of an inductively-coupled plasma with an extended-sleeve torch as an atomization cell for laser-excited fluorescence spectrometry.

Science.gov (United States)

Kosinski, M A; Uchida, H; Winefordner, J D

1983-05-01

An inductively-coupled plasma (ICP) with an extended-sleeve torch has been evaluated as an atomization cell for laser-excited fluorescence spectrometry. Limits of detection for 20 lines are given. The detection power is almost equivalent to that obtained by excitation with a hollow-cathode lamp. Interelement effects and spectral interferences are discussed.

Numerical Analysis and Experimental Study of Hard Roofs in Fully Mechanized Mining Faces under Sleeve Fracturing

Directory of Open Access Journals (Sweden)

Zhitao Zheng

2015-11-01

Full Text Available Sudden falls of large-area hard roofs in a mined area release a large amount of elastic energy, generate dynamic loads, and cause disasters such as impact ground pressure and gas outbursts. To address these problems, in this study, the sleeve fracturing method (SFM was applied to weaken a hard roof. The numerical simulation software FLAC3D was used to develop three models based on an analysis of the SFM working mechanism. These models were applied to an analysis of the fracturing effects of various factors such as the borehole diameter, hole spacing, and sleeve pressure. Finally, the results of a simulation were validated using experiments with similar models. Our research indicated the following: (1 The crack propagation directions in the models were affected by the maximum principal stress and hole spacing. When the borehole diameter was fixed, the fracturing pressure increased with increasing hole spacing. In contrast, when the fracturing pressure was fixed, the fracturing range increased with increasing borehole diameter; (2 The most ideal fracturing effect was found at a fracturing pressure of 17.6 MPa in the model with a borehole diameter of 40 mm and hole spacing of 400 mm. The results showed that it is possible to regulate the falls of hard roofs using the SFM. This research may provide a theoretical basis for controlling hard roofs in mining.

Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses

OpenAIRE

PATRICIA B CARROLL; WERVISTON DEFARIA; CARLOS GANDIA; MARIANA BERHO; EVANGELOS MISIAKOS; ANDREAS G TZAKIS

2006-01-01

The creation of successful vascular anastomoses is of primary importance in many surgical fields. Numerous attempts to automate this process have been made. These techniques have slowly gained acceptance, but their use is still limited. This report details feasibility testing of a new prototype stapler that automates the rollover sleeve technique for venous vascular anastomoses. Male and female mongrel dogs (n=7) (25-32 kg) were used. A segment of the right (n=5) or left (n=2) iliac vein was ...

Analysis and application of GEWI sleeve weld-ability (Material: C45)

International Nuclear Information System (INIS)

Zhang Weiming; Zhang Hongliu

2010-01-01

Welding may use two kinds of welding process of shielded metal arc welding and CO 2 shielded arc welding between inner ring in nuclear island steel lining (material: P265GH) and GEWI sleeve (material:C45).CO 2 shielded arc welding is often used because of higher welding efficiency, in particular, in condition of plan press, but quality can come into being some problems if we lack strict measures, for example welding procedure. Shielded metal arc welding control easier quality, but welding efficiency is lower. Comparing and analyzing Weld-ability of C45(Medium carbon Quenched and Tempered Steel.) between of shielded metal arc welding and CO 2 shielded arc welding, suggest to use shielded metal arc welding in project practice, and control strict welding procedure measure of pre-heating treatment and Post-heating. (authors)

Heat transfer analysis of the waste-container sleeve/salt configuration

International Nuclear Information System (INIS)

Callahan, G.D.; Ratigan, J.L.; Russell, J.E.; Fossum, A.F.

1975-01-01

Prior to this investigation, the heat transport considered was only that of straight conduction. The waste container, air gap, and sleeve arrangement was considered to be a single, consistent, time-dependent, heat-generating unit in intimate contact with the salt. The conduction model does not accurately model the heat transfer mechanisms available. Thus radiation and combined radiation and convection must also be considered in the determination of the temperature field. As would be expected, the canister temperatures are higher for the case of radiation across the airgap than those that result from conduction when the canister is in intimate contact with the salt. For the radiation case, the canister temperatures rise rapidly to a temperature of approximately 1,140 0 F and maintain an almost steady state condition for one year whereafter the temperatures slowly decrease. The far field temperatures, near the pillar centerline, are essentially equivalent for all cases. As time proceeds, the far field temperatures of the conduction models are about 15% different

TAPIR, Thermal Analysis of HTGR with Graphite Sleeve Fuel Elements

International Nuclear Information System (INIS)

Weicht, U.; Mueller, W.

1983-01-01

1 - Nature of the physical problem solved: Thermal analysis of a reactor core containing internally and/or externally gas cooled prismatic fuel elements of various geometries, rating, power distribution, and material properties. 2 - Method of solution: A fuel element in this programme is regarded as a sector of a fuelled annulus with graphite sleeves of any shape on either side and optional annular gaps between fuel and graphite and/or within the graphite. It may have any centre angle and the fuelled annulus may become a solid cylindrical rod. Heat generation in the fuel is assumed to be uniform over the cross section and peripheral heat flux into adjacent sectors is ignored. Fuel elements and coolant channels are treated separately, then linked together to fit a specified pattern. 3 - Restrictions on the complexity of the problem: Maxima of: 50 fuel elements; 50 cooled channels; 25 fuel geometries; 25 coolant channel geometries; 10 axial power distributions; 10 graphite conductivities

Rare Neurological Complications After Sleeve Gastrectomy.

Science.gov (United States)

Tabbara, Malek; Carandina, Sergio; Bossi, Manuela; Polliand, Claude; Genser, Laurent; Barrat, Christophe

2016-12-01

Bariatric surgery is considered to be the most effective treatment of morbid obesity and improvement of obesity-related comorbidities, such as type II diabetes. However, both peripheral and central neurological complications can occur after bariatric surgery. Such complications tend to occur more frequently after bypass surgery than after sleeve gastrectomy (SG). The objective of this study was to identify the patients that presented post-operative neurological complications after undergoing SG and describe the incidence, presentation, and management of these complications. This was a retrospective study of 592 cases of SG performed between 2009 and 2014 with a special focus on patients who presented neurological complications. Of the 592 SG cases, only seven (1.18 %) patients presented neurological complications. All patients had uneventful post-operative course, but all reported feeding difficulties, accompanied by severe dysphagia, and rapid weight loss, with a mean weight loss of 35 kg (30-40 kg) 3 months after SG. All patients were readmitted owing to neurological symptoms that included paresthesia, abolition of deep tendon reflexes of the lower limbs, muscle pain, and motor and sensitive deficits in some cases. There were two cases of Wernicke's encephalopathy. All patients were treated for neuropathy secondary to vitamin B1 deficiency and had a significant improvement and/or resolution of their symptoms. Neurological complications after SG are rare and are often preceded by gastrointestinal symptoms, rapid weight loss, and lack of post-operative vitamin supplementation. Re-hospitalization and multidisciplinary team management are crucial to establish the diagnosis and initiate treatment.

Impact of laparoscopic sleeve gastrectomy on body mass index, ghrelin, insulin and lipid levels in 100 obese patients

OpenAIRE

Hady, Hady Razak; Dadan, Jacek; Go?aszewski, Pawe?; Safiejko, Kamil

2012-01-01

Introduction A high percentage of patients benefit from bariatric procedures in terms of metabolic effect and substantial body mass reduction. These procedures improve glucose metabolism leading to the amelioration or complete resolution of type 2 diabetes, reduction of insulin resistance and alleviation of metabolic syndrome effects. Aim To assess the impact of laparoscopic sleeve gastrectomy (LSG) on the plasma levels of ghrelin, insulin, glucose, triglycerides, total cholesterol, high-dens...

Design and Fabrication of Oxygen/RP-2 Multi-Element Oxidizer-Rich Staged Combustion Thrust Chamber Injectors

Science.gov (United States)

Garcia, C. P.; Medina, C. R.; Protz, C. S.; Kenny, R. J.; Kelly, G. W.; Casiano, M. J.; Hulka, J. R.; Richardson, B. R.

2016-01-01

As part of the Combustion Stability Tool Development project funded by the Air Force Space and Missile Systems Center, the NASA Marshall Space Flight Center was contracted to assemble and hot-fire test a multi-element integrated test article demonstrating combustion characteristics of an oxygen/hydrocarbon propellant oxidizer-rich staged-combustion engine thrust chamber. Such a test article simulates flow through the main injectors of oxygen/kerosene oxidizer-rich staged combustion engines such as the Russian RD-180 or NK-33 engines, or future U.S.-built engine systems such as the Aerojet-Rocketdyne AR-1 engine or the Hydrocarbon Boost program demonstration engine. On the current project, several configurations of new main injectors were considered for the thrust chamber assembly of the integrated test article. All the injector elements were of the gas-centered swirl coaxial type, similar to those used on the Russian oxidizer-rich staged-combustion rocket engines. In such elements, oxidizer-rich combustion products from the preburner/turbine exhaust flow through a straight tube, and fuel exiting from the combustion chamber and nozzle regenerative cooling circuits is injected near the exit of the oxidizer tube through tangentially oriented orifices that impart a swirl motion such that the fuel flows along the wall of the oxidizer tube in a thin film. In some elements there is an orifice at the inlet to the oxidizer tube, and in some elements there is a sleeve or "shield" inside the oxidizer tube where the fuel enters. In the current project, several variations of element geometries were created, including element size (i.e., number of elements or pattern density), the distance from the exit of the sleeve to the injector face, the width of the gap between the oxidizer tube inner wall and the outer wall of the sleeve, and excluding the sleeve entirely. This paper discusses the design rationale for each of these element variations, including hydraulic, structural

Tube holding system

International Nuclear Information System (INIS)

Cunningham, R.C.

1978-01-01

A tube holding rig is described for the lateral support of tubes arranged in tight parcels in a heat exchanger. This tube holding rig includes not less than two tube supporting assemblies, with a space between them, located crosswise with respect to the tubes, each supporting assembly comprising a first set of parallel components in contact with the tubes, whilst a second set of components is also in contact with the tubes. These two sets of parts together define apertures through which the tubes pass [fr

HF electronic tubes. Technologies, grid tubes and klystrons

International Nuclear Information System (INIS)

Lemoine, Th.

2009-01-01

This article gives an overview of the basic technologies of electronic tubes: cathodes, electronic optics, vacuum and high voltage. Then the grid tubes, klystrons and inductive output tubes (IOT) are introduced. Content: 1 - context and classification; 2 - electronic tube technologies: cathodes, electronic optics, magnetic confinement (linear tubes), periodic permanent magnet (PPM) focussing, collectors, depressed collectors; 3 - vacuum technologies: vacuum quality, surface effects and interaction with electrostatic and RF fields, secondary emission, multipactor effect, thermo-electronic emission; 4 - grid tubes: operation of a triode, tetrodes, dynamic operation and classes of use, 'common grid' and 'common cathode' operation, ranges of utilisation and limitations, operation of a tetrode on unadjusted load, lifetime of a tetrode, uses of grid tubes; 5 - klystrons: operation, impact of space charge, multi-cavity klystrons, interaction efficiency, extended interaction klystrons, relation between interaction efficiency, perveance and efficiency, ranges of utilization and power limitations, multi-beam klystrons and sheet beam klystrons, operation on unadjusted load, klystron band pass and lifetime, uses; 6 - IOT: principle of operation, ranges of utilisation and limitations, interaction efficiency and depressed collector IOT, IOT lifetime and uses. (J.S.)

Polyether ether ketone encased monolith frits made of polyether ether ketone tubing with a 0.25 mm opening resulting in an improved separation performance in liquid chromatography.

Science.gov (United States)

Park, Sin Young; Cheong, Won Jo

2016-05-01

Tiny polyether ether ketone encased monolith frits have been prepared by modified catalytic sulfonation of the inner surface of polyether ether tubing (1.6 mm od, 0.25 mm id) followed by modified formation of organic monolith and cutting of the tubing into slices. The frit was placed below the central hole of the column outlet union and supported by a combination of a silica capillary (0.365 mm od, 0.05 mm id) and a polyether ether ketone sleeve (1.6 mm od, 0.38 mm id) tightened with a nut and a ferrule when the column was packed to prevent sinking of the frit element into the union hole (0.25 mm opening) otherwise. The column packed this way with the frits investigated in this study has shown better separation performance owing to the reduced frit volume in comparison to the column packed with a commercial stainless-steel screen frit. This study establishes the strategy of disposable microcolumns in which cheap disposable frits are used whenever the column is re-packed to yield columns of even better chromatographic performance than the columns with commercial frits. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Gastric wall thickness and stapling in laparoscopic sleeve gastrectomy - a literature review.

Science.gov (United States)

Barski, Krzysztof; Binda, Artur; Kudlicka, Emilia; Jaworski, Paweł; Tarnowski, Wiesław

2018-03-01

Despite the growing experience of bariatric surgeons in performing laparoscopic sleeve gastrectomy, the number of complications involving staple line leaks remains constant. Hence a solution to avoid such complications is still sought. A defect of the staple line may be the consequence of an inappropriate choice of staple size in relation to gastric wall thickness. Due to the variable nature of gastric wall thickness, the choice of proper staple height is not obvious. In the few studies in which gastric wall thickness was measured, it was observed to decrease gradually from the antrum to the fundus. However, the authors are divided on the issue of whether gender and body mass index influence gastric wall thickness. The question whether there are other perioperative factors that would allow gastric wall thickness to be predicted remains unanswered.

One-stoma carinoplasty: right upper sleeve lobectomy with hemicarinectomy for resection of right-tracheobronchial-angle tumors.

Science.gov (United States)

Kaya, Seyda Ors; Sevinc, Serpil; Ceylan, Kenan Can; Usluer, Ozan; Unsal, Saban

2013-01-01

Tracheobronchial-angle tumors involve the right main bronchus, the right upper lobar bronchus, and the lateral wall of the lower trachea. Resecting these tumors is one of the most complex procedures in thoracic surgery. In cases of high-caliber mismatch, the selection of a suitable anastomotic technique can be challenging. We found that our use of a one-stoma carinoplasty technique overcame high-caliber mismatch after the resection of these tumors. From 2009 through 2012, 8 men (mean age, 59 ± 6.2 yr; range, 46-66 yr) underwent complete resection of non-small-cell right-tracheobronchial-angle tumors at our institution. In every case, right upper sleeve lobectomy, wedge carinal resection, and one-stoma carinoplasty were applied. After tumor resection, one patient with hemoptysis and bronchopleural fistula underwent a completion pneumonectomy and died 10 days postoperatively. Bronchoscopy was necessary in 2 patients who had atelectasis in the contralateral lung. At a mean follow-up duration of 19.43 ± 8.4 months (range, 0.2-27.1 mo), 6 patients were alive and free of disease. We conclude that our one-stoma carinoplasty technique enables the resection of tumors at the right tracheobronchial angle, with acceptable morbidity and mortality rates. This method saves the unaffected part of the ipsilateral lung and can overcome high-caliber mismatch. Because of these and other advantages, we suggest that using our method first might preclude having to perform a right carinal sleeve pneumonectomy or using Barclay's method.

Pattern of changes in quality of life of obese patients after sleeve gastrectomy in Sulaimani provence –Kurdistan-Iraq, based on 4 years experience in two bariatric centers

Directory of Open Access Journals (Sweden)

Hiwa Omer Ahmed

2018-02-01

Full Text Available Background: Obesity influences all aspects of the life of obese patients physically, psychologically, socially and monetarily, it is not only a disease but rather a beginning point of a group of ailments and inabilities, which gradually impacts and changes all aspects of their life. Objectives: The changes in the Quality of life in respect to the amount of access weight lost after sleeve gastrectomy. Patients, materials and methods: A prospective longitudinal study evaluating 40 female patients who underwent laparoscopic sleeve gastrectomy within 4 years, starting from July 4th, 2012 up to July 5th, 2016. Results: More than three-quarter of the patients were not satisfied with their body before their operation, but six to twelve months after their weight loss; (N = 36, 90% of them were satisfied with their new body image. Half of the patients were unhappy before their operation, but twelve months later (N = 31, 77.5% of them became much happier. Regarding satisfaction with the body image, noticeable improvement occurred since (N = 36, 90% of them were satisfied with their new body image. While, most of them have had low self-esteem and (N 27, 67.5% of the patients had no self-esteem at all, 12 months after the operation (N = 35, 87.5% felt great improvement in their self-esteem (p-value = .040. A significant decrease in appetite was noticed in (N = 39, 97.5% of the patients after 12 months. Conclusion: Significant changes in the parallel pattern to the extent of EWL were noticed in the quality of life of morbidly obese patients after laparoscopic sleeve gastrectomy. Keywords: A pattern, Parallel, Reverse-pattern, Laparoscopic sleeve gastrectomy, Quality of life, Non-health quality of life, Morbid obesity

Tube to tube excursive instability - sensitivities and transients

International Nuclear Information System (INIS)

Brown, M.; Layland, M.W.

1980-01-01

A simple basic analysis of excursive instability in a boiler tube shows how it depends upon operating conditions and physical properties. A detailed mathematical model of an AGR boiler is used to conduct a steady state parameter sensitivity survey. It is possible from this basis to anticipate the effects of changes in operating conditions and changes in design parameters upon tube to tube stability. Dynamic responses of tubes operating near the stability threshold are examined using a mathematical model. Simulated excursions are triggered by imparting small abrupt pressure changes on the boiler inlet pressure. The influences of the magnitude of the pressure change, waterside friction factor and gas side coupling between tubes are examined. (author)

Tube-support response to tube-denting evaluation. Volume 1. Final report

International Nuclear Information System (INIS)

Anderson, P.L.; Hall, J.F.; Shah, P.K.; Wills, R.L.

1983-05-01

The response of the tube supports is one of the important considerations of tube denting in a steam generator. Investigations have indicated that damaged tube supports have the potential to distort and damage tubes. This investigation considers the response to tube denting of the Combustion Engineering type tube supports. Drilled support plates and eggcrate tube supports are tested in a model steam generator in which tube denting is induced. The experimental data is used to verify and refine analytical predictor models developed using finite element techniques. It was found that analytical models underpredicted the deformations of the tube supports and appropriate modifications to enhance the predictive capability are identified. Non-destructive examination methods are evaluated for application to operating steam generators. It was found that the standard eddy current and profilometry techniques are acceptable methods for determining tube deformations, but these techniques are not adequate to assess tube support damage. Radiography is judged to be the best available means of determining the extent and progression of damage in tube supports

Condenser tube buckling within tube-tubesheet joints

International Nuclear Information System (INIS)

Willertz, L.E.; Kalnins, A.; Updike, D.P.

1991-01-01

The problem of the appearance of protrusions, or bumps, in the interior of roller-expanded tubes within a tubesheet is addressed. Such bumps have been observed in condensers of power plants. A brief history of the reported occurrences of the bumps is given. The hypothesis is advanced that the mechanics of the formation of the bumps is similar to a buckling problem that has 'bifurcation at infinity'. Following this hypothesis, a two-dimensional physical model is developed, and the application of this model to study a three-dimensional bump is proposed. It is proposed in this paper that an initial deviation from the circular shape of the tube required to produce a bump. It is shown that without such a deviation the tubes cannot buckle. An experiment with short tube segments has been performed that verifies some of the features of the observed condenser tube bumps. Exactly what force produced the initial deviation for the observed bumps is still unknown. Available evidence implicates the hydro-laser jet that is used in the cleaning of tubes and tubesheets. A scenario of how a bump could have been produced by the hydro-laser jet is proposed. (author)

Endoscopic sleeve gastroplasty: the learning curve.

Science.gov (United States)

Hill, Christine; El Zein, Mohamad; Agnihotri, Abhishek; Dunlap, Margo; Chang, Angela; Agrawal, Alison; Barola, Sindhu; Ngamruengphong, Saowanee; Chen, Yen-I; Kalloo, Anthony N; Khashab, Mouen A; Kumbhari, Vivek

2017-09-01

 Endoscopic sleeve gastroplasty (ESG) is gaining traction as a minimally invasive bariatric treatment. Concern that the learning curve may be slow, even among those proficient in endoscopic suturing, is a barrier to widespread implementation of the procedure. Therefore, we aimed to define the learning curve for ESG in a single endoscopist experienced in endoscopic suturing who participated in a 1-day ESG training program.  Consecutive patients who underwent ESG between February 2016 and November 2016 were included. The performing endoscopist, who is proficient in endoscopic suturing for non-ESG procedures, participated in a 1-day ESG training session before offering ESG to patients. The outcome measurements were length of procedure (LOP) and number of plications per procedure. Nonlinear regression was used to determine the learning plateau and calculate the learning rate.  Twenty-one consecutive patients (8 males), with mean age 47.7 ± 11.2 years and mean body mass index 41.8 ± 8.5 kg/m 2 underwent ESG. LOP decreased significantly across consecutive procedures, with a learning plateau at 101.5 minutes and a learning rate of 7 cases ( P  = 0.04). The number of plications per procedure also decreased significantly across consecutive procedures, with a plateau at 8 sutures and a learning rate of 9 cases ( P  < 0.001). Further, the average time per plication decreased significantly with consecutive procedures, reaching a plateau at 9 procedures ( P  < 0.001).  Endoscopists experienced in endoscopic suturing are expected to achieve a reduction in LOP and number of plications per procedure in successive cases, with progress plateauing at 7 and 9 cases, respectively.

Long-term nutritional impact of sleeve gastrectomy.

Science.gov (United States)

Caron, M; Hould, F S; Lescelleur, O; Marceau, S; Lebel, S; Julien, F; Simard, S; Biertho, Laurent

2017-10-01

Sleeve gastrectomy (SG) has become a predominant bariatric procedure throughout the world. However, the long-term nutritional impact of this procedure is unknown. To describe the nutritional deficiencies before and after SG and to analyze the influence of baseline weight on nutritional status. University-affiliated tertiary care center. All patients who underwent SG as a standalone procedure between 2008 and 2012 were included in this study. Patients were given multivitamin supplementation. Data were obtained from our prospectively maintained electronic database and are reported as mean ± standard deviation and percentage. Bivariate analyses were conducted to evaluate the influence of selected variables on outcomes. The mean age of the 537 patients was 48.0 ± 11.3 years, with an initial body mass index of 48.1 ± 8.7 kg/m 2 . Excess weight loss and total weight loss were 56.2% and 28.0% at 1 year and 43.0% and 21.1% at 5 years, respectively (Pvitamin B12 in 30.3% and 16.4% (Pvitamin D 63.2% and 24.3% (Pvitamin A insufficiency peaked from 7.9% preoperatively to 28.7% at 3 months (Pvitamin B12 and vitamin D. Nutritional deficiencies are common in patients with morbid obesity before and after surgery. Preoperative supplementation and long-term nutritional follow-up are required to prevent nutritional deficiencies. Copyright © 2017 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

Self-Regulation of Weight After Sleeve Gastrectomy.

Science.gov (United States)

Madeira, Teresa; do Carmo, Isabel; Bicha Castelo, Henrique; Santos, Osvaldo

2018-03-01

Bariatric surgery is recognized as the most effective method for achieving relevant weight loss in subjects with severe obesity. However, there is insufficient knowledge about weight self-regulation and quality of motivation in these patients. The main goal of this study was to characterize the association between the percentage of excess weight loss (%EWL) and the motivation to manage weight, at least 1 year after sleeve gastrectomy (SG). This is an observational longitudinal retrospective study. All patients corresponding to predefined inclusion criteria who underwent SG from January 2008 to July 2010 at a main general hospital were invited. A version of the Treatment Self-Regulation Questionnaire (TSRQ) was used to assess patients' quality of motivation: TSRQ concerning continuing the weight self-management program. Clinical data were collected from patients' records. Overall, 81 patients participated (16 men and 65 women, 25-64 years old). The average body mass index was significantly reduced from 45.3 ± 7.0 kg/m 2 preoperatively to 32.7 ± 6.9 kg/m 2 postoperatively. Autonomous self-regulation was higher than externally controlled self-regulation, regarding motives to keep managing weight after SG. Postoperatively, %EWL correlated negatively with external self-regulation. SG was found to be associated with the quality of motivation for losing weight. External motivations were associated with worse results. These findings support the importance of multiprofessional teams in the assessment and treatment of patients, aiming for the promotion of weight self-regulation after bariatric surgery.

Development of an eddy current inspection technique for sleeved engine disk bolt holes

International Nuclear Information System (INIS)

Palanisamy, R.; Lakin, K.M.

1983-01-01

Recent research programs have concentrated mainly on developing techniques to characterize surface breaking cracks and very little has been done towards characterizing subsurface flaws in conducting materials. Presented in this paper are the results of some initial theoretical work aimed at the development of a reliable eddy current technique to detect and characterize defects in engine disk bolt holes under a 0.05'' stainless steel sleeve. The change in impedance of an absolute eddy current coil with and without ferrite core, and the distribution of eddy currents around a second layer crack with and without a thin insulating film between the two conducting layers have been predicted numerically. The overall system development goals and methods to accomplish them are outlined briefly

Chest tube insertion

Science.gov (United States)

Chest drainage tube insertion; Insertion of tube into chest; Tube thoracostomy; Pericardial drain ... Be careful there are no kinks in your tube. The drainage system should always sit upright and be placed ...

Vibro-impact responses of a tube with tube--baffle interaction

International Nuclear Information System (INIS)

Shin, Y.S.; Sass, D.E.; Jendrzejczyk, J.A.

1978-01-01

The relatively small, inherent tube-to-baffle hole clearances associated with manufacturing tolerances in heat exchangers affect the vibrational characteristics and the response of the tube. Numerical studies were made to predict the vibro-impact response of a tube with tube-baffle interaction. The finite element method has been employed with a non-linear elastic contact spring-dashpot to model the effect of the relative approach between the tube and the baffle plate. The coupled equations of motion are directly integrated with a proportional system damping represented by a linear combination of mass and stiffness. Lumped mass approach with explicit time integration scheme was found to be a suitable choice for tube-baffle impacting analysis. Fourier analyses indicate that the higher mode contributions to the tube response are significant for strong tube-baffle impacting. The contact damping forces are negligible compared with the contact spring forces. The numerical analysis results are in reasonably good agreement with those of the experiments

Dorsal onlay graft bulbar urethroplasty using buccal mucosa

African Journals Online (AJOL)

G. Barbagli

2015-12-02

Dec 2, 2015 ... promote the transformation of the urethral mucosa plate into a tube, according to ... Allen stirrups and sequential inflatable compression sleeves. Figure 2 .... the ventral, dorsal or lateral surface of the urethra, we investigated if.

Anorectal function following colo-anal sleeve anastomosis for chronic radiation injury to the rectum

Energy Technology Data Exchange (ETDEWEB)

Varma, J S; Smith, A N

1986-04-01

This paper reports the results of anorectal manometry and electrophysiological studies of the pelvic floor in eight patients who had undergone anterior resection of the rectum with mucosal proctectomy and colo-anal sleeve anastomosis for radiation rectal injury. The group comprised six women and two men (age range 61-84 years, mean 71 years). Six bladder carcinoma patients had received small field (10 x 10 cm) external beam radiotherapy (5500 cGy in 20 treatments over 4 weeks); two cervical cancer patients had been given whole pelvis, external beam radiotherapy supplemented by a single caesium implant (cumulative dosage of 9500 cGy to the vaginal vault, equivalent to 7500 cG to point A).

Anorectal function following colo-anal sleeve anastomosis for chronic radiation injury to the rectum

International Nuclear Information System (INIS)

Varma, J.S.; Smith, A.N.

1986-01-01

This paper reports the results of anorectal manometry and electrophysiological studies of the pelvic floor in eight patients who had undergone anterior resection of the rectum with mucosal proctectomy and colo-anal sleeve anastomosis for radiation rectal injury. The group comprised six women and two men (age range 61-84 years, mean 71 years). Six bladder carcinoma patients had received small field (10 x 10 cm) external beam radiotherapy (5500 cGy in 20 treatments over 4 weeks); two cervical cancer patients had been given whole pelvis, external beam radiotherapy supplemented by a single caesium implant (cumulative dosage of 9500 cGy to the vaginal vault, equivalent to 7500 cG to point A). (UK)

Construction for fissionable material

International Nuclear Information System (INIS)

Christiansen, D.W.

1978-01-01

A nuclear reactor fuel assembly is designed to maintain its structural integrity during all phases of reactor operation. Spacer assemblies, containing a plurality of rectangular slotted plates intersecting and interlocking in egg-crate fashion, laterally maintain the fuel elements and guide tubes in a spaced array. Spacer assembly movement is restrained by collars mechanically fixed to guide tube sleeves at each spacer assembly location. (Auth.)

Exporting advanced service tech to Europe

International Nuclear Information System (INIS)

Naredo, F.P.

1991-01-01

The concept of Westinghouse's European Service Center (ESC), located at Nivelles, Belgium, to bring advanced services and maintenance technologies to European customers is described. Laser-welded sleeving to repair degraded steam generator tubes employing pulsed Neodymium Yttrium Aluminium Garnet (Nd:YAG) laser, which Westinghouse has developed for 22mm tubing is mentioned. U-bend heat treatment (UBHT) technology was also brought to Europe by Westinghouse

A state of the art on primary side stress corrosion cracking in nuclear power plant

Energy Technology Data Exchange (ETDEWEB)

Kim, H. P.; Kim, J. S.; Han, J. H.; Lee, D. H.; Lim, Y. S.; Suh, J. H.; Hwang, S. S.; Hur, D. H

1999-09-01

A state of art on primary water stress corrosion cracking (PWSCC) of alloy 600 used as steam generator tubing of nuclear power plant and remedial action on the PWSCC were reviewed and analyzed. One of the major metallurgical factors which have effect on PWSCC is Cr carbide distribution. A semicontinuous intergranular Cr carbide distribution enhance PWSCC of alloy 600. PWSCC rate is reported to be reported to be proportional to exp(-50 cal/RT) {sigma}{sup 4}. PWSCC rate also increase with increase in hydrogen partial pressure from 0 to 150 ppm and then decreased with further increase in hydrogen partial pressure to 757 ppm. Development of PWSCC prediction technology which takes into account tubing material, fabrication process and operating history of steam generator is needed to manage PWSCC of domestic nuclear power plant. PWSCC has mainly occurred at expansion irregularities within tubesheet, expansion transitions, dented tube support plate intersections and transition and apex of U bend. Remedial actions to PWSCC are sleeving, plugging, temperature reduction, Ni plating, Ni sleeving, shot peening and steam generator replacement in worst case. Option to remedial actions depend on plant specific such as plant age, leak rate from primary to secondary, density and progression of PWSCC. Ni sleeving developed in Framatome seems to be a powerful method because it never subject to PWSCC. Remedial action should be developed and evaluated for possible PWSCC of domestic nuclear power plant. (author)

Electrosleeve process for in-situ nuclear steam generator repair

International Nuclear Information System (INIS)

Renaud, E.; Brennenstuhl, A.M.; Stewart, D.R.; Gonzalez, F.

2000-01-01

Degradation of steam generator tubing by localized corrosion is a widespread problem in the nuclear industry that can lead to costly forced outages, unit derating, steam generator replacement or even the permanent shutdown of a reactor. In response to the onset of steam generator degradation at Ontario Power Generation's Pickering Nuclear Generating Station (PNGS) Unit 5, and the determined unsuitability of conventional repair methods (mechanically expanded or welded sleeves) for Alloy 400, an alternative repair technology was developed. Electrosleeve is a non-intrusive, low-temperature process that involves the electrodeposition of a nanocrystalline nickel microalloy forming a continuously bonded, structural layer over the internal diameter of the degraded region. This technology is designed to provide a long-term pressure boundary repair, fully restoring the structural integrity of the damaged region to its original state. This paper describes the Electrosleeve process for steam generator tubing repair and the unique properties of the advanced sleeve material. The successful installation of fourteen Electrosleeves that have been in service for more than six years in Alloy 400 tubing at the Pickering-S CANDU unit, and the more recent (Nov. 99) extension of the technology to Alloy 600 by the installation of 57 sleeves in a U.S. pressurized water reactor (PWR) at Callaway, is presented. The Electrosleeve process has been granted a conditional license by the U.S. Nuclear Regulatory Commission (NRC). In Canada, the process of licensing Electrosleeve with the CNSC / TSSA has begun. (author)

Deep Ultraviolet Laser Diode for UV-Resonance Enhanced Raman Identification of Biological Agents

Science.gov (United States)

2007-03-31

electrodes during set-up mode. The primary electron beam current is the anode Rear Panel with: "" 1 e AC line, 0 Egun interface connector, • ebeam current...glass sleeve, a Makor G6 mount, G6 slit and the G6 lead wire. Hermetic feedthru with Teflon socket Egun assy 19mm glass sleeve G6 lead wire Figure 34...pins) A3.INSTALL SST TUBE OVER SOKET ONTO FEEDTHRU BASE WITH 2-56 SOCKET HEAD SCREWS (make sure slots are aligned) A4.INSTALL EGUN INTO SOCKET (NOTE PIN

Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses

Directory of Open Access Journals (Sweden)

PATRICIA B CARROLL

2006-01-01

Full Text Available The creation of successful vascular anastomoses is of primary importance in many surgical fields. Numerous attempts to automate this process have been made. These techniques have slowly gained acceptance, but their use is still limited. This report details feasibility testing of a new prototype stapler that automates the rollover sleeve technique for venous vascular anastomoses. Male and female mongrel dogs (n=7 (25-32 kg were used. A segment of the right (n=5 or left (n=2 iliac vein was harvested for interposition grafts after the contra lateral side was transected. In each dog, two end-to-end venous anastomoses at the interposition grafts were performed. The standard anastomosis employed continuous mattress sutures. The experimental anastomosis was performed with a new prototype surgical stapler. The stapled anastomosis was proximal and the sutured was distal. In all experiments, it was possible to perform the experimental anastomosis with the stapler. Complications included two small leaks, one due to misfiring of a single pin in one experimental site. These leaks required suture reinforcement. One dog died of hemorrhage due to a slipped suture at the vein harvest site. One vein had thrombus seen at the sutured site although no technical abnormalities at either of the anastomoses could be found. After two weeks, grafts were inspected grossly and histologically. Healing appeared normal. There was a trend for less inflammatory cells infiltrating stapled sites; however, this was not statistically significant. The experiments demonstrate that this device can automate the rollover sleeve technique for venous anastomoses.

Testing of a new prototype surgical stapler that automates the rollover sleeve technique for venous anastomoses.

Science.gov (United States)

Carroll, Patricia B; Defaria, Werviston; Gandia, Carlos; Berho, Mariana; Misiakos, Evangelos; Tzakis, Andreas G

2006-01-01

The creation of successful vascular anastomoses is of primary importance in many surgical fields. Numerous attempts to automate this process have been made. These techniques have slowly gained acceptance, but their use is still limited. This report details feasibility testing of a new prototype stapler that automates the rollover sleeve technique for venous vascular anastomoses. Male and female mongrel dogs (n=7) (25-32 kg) were used. A segment of the right (n=5) or left (n=2) iliac vein was harvested for interposition grafts after the contra lateral side was transected. In each dog, two end-to-end venous anastomoses at the interposition grafts were performed. The standard anastomosis employed continuous mattress sutures. The experimental anastomosis was performed with a new prototype surgical stapler. The stapled anastomosis was proximal and the sutured was distal. In all experiments, it was possible to perform the experimental anastomosis with the stapler. Complications included two small leaks, one due to misfiring of a single pin in one experimental site. These leaks required suture reinforcement. One dog died of hemorrhage due to a slipped suture at the vein harvest site. One vein had thrombus seen at the sutured site although no technical abnormalities at either of the anastomoses could be found. After two weeks, grafts were inspected grossly and histologically. Healing appeared normal. There was a trend for less inflammatory cells infiltrating stapled sites; however, this was not statistically significant. The experiments demonstrate that this device can automate the rollover sleeve technique for venous anastomoses.

Pre-operative and early post-operative factors associated with surgical site infection after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Ruiz-Tovar, Jaime; Oller, Inmaculada; Llavero, Carolina; Arroyo, Antonio; Muñoz, Jose Luis; Calero, Alicia; Diez, María; Zubiaga, Lorea; Calpena, Rafael

2013-08-01

Surgical procedures on obese patients are expected to have a high incidence of surgical site infection (SSI). The identification of pre-operative or early post-operative risk factors for SSI may help the surgeon to identify subjects in risk and adequately optimize their status. We conducted a study of the association of comorbidities and pre- and post-operative analytical variables with SSI following laparoscopic sleeve gastrectomy for the treatment of morbid obesity. We performed a prospective study of all morbidly obese patients undergoing laparoscopic sleeve gastrectomy as a bariatric procedure between 2007 and 2011. An association of clinical and analytical variables with SSI was investigated. The study included 40 patients with a mean pre-operative body mass index (BMI) of 51.2±7.9 kg/m(2). Surgical site infections appeared in three patients (7.5%), of whom two had an intra-abdominal abscess located in the left hypochondrium and the third had a superficial incisional SSI. Pre-operatively, a BMI >45 kg/m(2) (OR 8.7; p=0.008), restrictive disorders identified by pulmonary function tests (OR 10.0; p=0.012), a serum total protein concentration 30 mcg/dL (OR 13.0; p=0.003), and a mean corpuscular volume (MCV) operative SSI. Post-operatively, a serum glucose >128 mg/dL (OR 4.7; p=0.012) and hemoglobin operative anemia and hyperglycemia as risk factors for SSI. In these situations, the surgeon must be aware of and seek to control these risk factors.

Pressure tube reactor

International Nuclear Information System (INIS)

Susuki, Akira; Murata, Shigeto; Minato, Akihiko.

1993-01-01

In a pressure tube reactor, a reactor core is constituted by arranging more than two units of a minimum unit combination of a moderator sealing pipe containing a calandria tube having moderators there between and a calandria tube and moderators. The upper header and a lower header of the calandria tank containing moderators are communicated by way of the moderator sealing tube. Further, a gravitationally dropping mechanism is disposed for injecting neutron absorbing liquid to a calandria gas injection portion. A ratio between a moderator volume and a fuel volume is defined as a function of the inner diameter of the moderator sealing tube, the outer diameter of the calandria tube and the diameter of fuel pellets, and has no influence to intervals of a pressure tube lattice. The interval of the pressure tube lattice is enlarged without increasing the size of the pressure tube, to improve production efficiency of the reactor and set a coolant void coefficient more negative, thereby enabling to improve self controllability and safety. Further, the reactor scram can be conducted by injecting neutron absorbing liquid. (N.H.)

Use of CATHENA to model calandria-tube/moderator heat transfer after pressure-tube/calandria-tube ballooning contact

International Nuclear Information System (INIS)

Fan, H.Z.; Bilanovic, Z.; Nitheanandan, T.

2004-01-01

A study was performed to assess the effect of the calandria-tube/moderator heat transfer after pressure-tube/calandria tube ballooning contact using CATHENA. Results of this study indicated that the analytical tool, CATHENA, can be applied for pool boiling heat transfer on the external surface of a large diameter tube, such as the calandria tube used in CANDU reactors. The methodology in such CANDU-generic study can be used to simulate the tube surface with multiple boiling regimes and to assess the benefits of closely coupling thermalhydraulics modelling and fuel/fuel channel behaviour modelling. CATHENA (Canadian Algorithm for THErmalhydraulic Network Analysis) is a one-dimensional, two-fluid thermalhydraulic simulation code designed by AECL to analyse two-phase flow and heat transfer in piping networks. The detailed heat transfer package in CATHENA allows a connection to be established from the multiple solid surfaces of tubes to the surrounding large amount of moderator water, which acts as a heat sink during a postulated loss of coolant event. The generalized heat transfer package within CATHENA allows the tube walls to be divided into several layers in the radial direction and several sectors in the circumferential direction, to account for heat transfer conditions in these two directions. The CATHENA code with the generalized heat transfer package is capable of capturing key pool-boiling phenomena such as nucleate, transition and film boiling heat transfer as well as an ability to model the rewet phenomenon to some extent. A CATHENA input model was generated and used in simulations of selected contact boiling experiment test cases. The transient wall temperatures have been calculated in different portions of the calandria tube. By using this model an adequate agreement was achieved between CATHENA calculation and experimental measurement The CATHENA code enables one to investigate the transient and local thermal-mechanical behaviour of the calandria tube

Improvement of pump tubes for gas guns and shock tube drivers

Science.gov (United States)

Bogdanoff, D. W.

1990-01-01

In a pump tube, a gas is mechanically compressed, producing very high pressures and sound speeds. The intensely heated gas produced in such a tube can be used to drive light gas guns and shock tubes. Three concepts are presented that have the potential to allow substantial reductions in the size and mass of the pump tube to be achieved. The first concept involves the use of one or more diaphragms in the pump tube, thus replacing a single compression process by multiple, successive compressions. The second concept involves a radical reduction in the length-to-diameter ratio of the pump tube and the pump tube piston. The third concept involves shock heating of the working gas by high explosives in a cyclindrical geometry reusable device. Preliminary design analyses are performed on all three concepts and they appear to be quite feasible. Reductions in the length and mass of the pump tube by factors up to about 11 and about 7, respectively, are predicted, relative to a benchmark conventional pump tube.

Vibro-impact responses of a tube with tube--baffle interaction. [LMFBR

Energy Technology Data Exchange (ETDEWEB)

Shin, Y S; Sass, D E; Jendrzejczyk, J A

1978-01-01

The relatively small, inherent tube-to-baffle hole clearances associated with manufacturing tolerances in heat exchangers affect the vibrational characteristics and the response of the tube. Numerical studies were made to predict the vibro-impact response of a tube with tube-baffle interaction. The finite element method has been employed with a non-linear elastic contact spring-dashpot to model the effect of the relative approach between the tube and the baffle plate. The coupled equations of motion are directly integrated with a proportional system damping represented by a linear combination of mass and stiffness. Lumped mass approach with explicit time integration scheme was found to be a suitable choice for tube-baffle impacting analysis. Fourier analyses indicate that the higher mode contributions to the tube response are significant for strong tube-baffle impacting. The contact damping forces are negligible compared with the contact spring forces. The numerical analysis results are in reasonably good agreement with those of the experiments.

Bender/Coiler for Tubing

Science.gov (United States)

Stoltzfus, J. M.

1983-01-01

Easy-to-use tool makes coils of tubing. Tubing to be bend clamped with stop post. Die positioned snugly against tubing. Operator turns handle to slide die along tubing, pushing tubing into spiral groove on mandrel.

Pulmonary artery reconstruction with a tailor-made bovine pericardial conduit following sleeve resection of a long segmental pulmonary artery for the treatment of lung cancer: technical details of the dog-ear method for adjusting diameter during vascular anastomosis.

Science.gov (United States)

Shimizu, Kimihiro; Nagashima, Toshiteru; Ohtaki, Yoichi; Takahashi, Toru; Mogi, Akira; Kuwano, Hiroyuki

2017-05-01

Sleeve resection of the pulmonary artery (PA) is always required for lung-sparing operations in which half or more of the vessel circumference is infiltrated by the primary tumor or metastatic hilar nodes. Following sleeve resection, conduit reconstruction may be indicated if there is excessive distance between the two vascular stumps, because there is a high degree of tension when repaired by direct anastomosis. We herein present a case of PA reconstruction using a tailor-made bovine pericardial conduit after sleeve resection of PA during lung cancer surgery. The length of resection was longer than 3 cm, and the difference in diameter between the conduit and peripheral PA stump was larger than 0.5 cm. We describe the surgical and oncological merits of a bovine pericardial conduit, and provide details of our reconstruction technique, focusing on adjustment of diameter between the conduit and peripheral PA (dog-ear method).

Steam generator tube extraction

International Nuclear Information System (INIS)

Delorme, H.

1985-05-01

To enable tube examination on steam generators in service, Framatome has now developed a process for removing sections of steam generator tubes. Tube sections can be removed without being damaged for treating the tube section expanded in the tube sheet

Sleeve bridging of the rhesus monkey ulnar nerve with muscular branches of the pronator teres: multiple amplification of axonal regeneration

OpenAIRE

Yu-hui Kou; Pei-xun Zhang; Yan-hua Wang; Bo Chen; Na Han; Feng Xue; Hong-bo Zhang; Xiao-feng Yin; Bao-guo Jiang

2015-01-01

Multiple-bud regeneration, i.e., multiple amplification, has been shown to exist in peripheral nerve regeneration. Multiple buds grow towards the distal nerve stump during proximal nerve fiber regeneration. Our previous studies have verified the limit and validity of multiple amplification of peripheral nerve regeneration using small gap sleeve bridging of small donor nerves to repair large receptor nerves in rodents. The present study sought to observe multiple amplification of myelinated ne...

Work tool in a tubular element

International Nuclear Information System (INIS)

Griffaton, J.

1991-01-01

The stand, which is positioned in relation with the tubular element, has clutch disengagement means for a working rod in rotation, with at least two positioning regions on the rod. Application for laser welding a sleeve into PWR steam generator tubes [fr

Feeding tube - infants

Science.gov (United States)

... this page: //medlineplus.gov/ency/article/007235.htm Feeding tube - infants To use the sharing features on this page, please enable JavaScript. A feeding tube is a small, soft, plastic tube placed ...

SPIDER ® sleeve gastrectomy--a new concept in single-trocar bariatric surgery: initial experience and technical details.

Science.gov (United States)

Noel, P; Nedelcu, M; Gagner, M

2014-04-01

Single port instrument delivery extended reach (SPIDER(®)) surgical system is a revolutionary surgical platform that allows triangulation of the surgical instruments while eliminating the crossing of instruments, the problematic characteristic of single access laparoscopic surgery. The purpose of this study was to analyze our initial experience with SPIDER(®) sleeve gastrectomy and to present the technical details of this new minimally invasive approach, performed in ten patients at the La Casamance Private Hospital between November 2012 and April 2013. All patients were reviewed at scheduled post-operative consultations at 1, 3 and 6 months. In addition to clinical examination, the post-operative consultation at one month also included a satisfaction survey using the Moorehead-Ardelt questionnaire. An initial series of ten sleeve gastrectomies were performed in female patients with a mean age of 41.5 years (range: 2-52). The mean BMI was 40.11 (range: 37.25-44.3). The intervention was performed through a single trocar in all patients with no "conversion" to classic laparoscopy or open surgery. The mean operative time was 61 ± 15.22 minutes (SD=standard deviation) (range: 43-96 min). The mean BMI at one month was 35.5 (SD:± 3.58, SEM: ± 1.13) (SEM=standard error of mean) with an average percentage of excess weight loss (%EWL) of 32.9% (SD:± 8.56%, SEM:± 2.71%). The mean BMI at three months was 32.4 (SD: ± 2.78, SEM: ± 0.88) with an average %EWL of 52.7% (SD: ± 8.64%, SEM: ± 2.73%). The mean BMI at six months was 29.9 (SD:± 2.60, SEM: ± 0.98) with a mean %EWL of 68.8% (SD: ± 8.38%, SEM:± 3.17%). Complete remission of co-morbid conditions was observed in four patients, improvement in three others, and no change in a single patient. The mean duration of hospitalization was 3.1 days. The mean follow-up period was 161 days (SD:± 57.4 days, range: 90-243 days). There was no mortality and no intra-operative and post-operative complications were noted. The

Eustachian tube patency

Science.gov (United States)

Eustachian tube patency refers to how much the eustachian tube is open. The eustachian tube runs between the middle ear and the throat. It controls the pressure behind the eardrum and middle ear space. This helps keep ...

Effect of tube-support interaction on the dynamic responses of heat exchanger tubes

International Nuclear Information System (INIS)

Shin, Y.S.; Jendrzejczyk, J.A.; Wambsganss, M.W.

1977-01-01

Operating heat exchangers have experienced tube damages due to excessive flow-induced vibration. The relatively small inherent tube-to-baffle hole clearances associated with manufacturing tolerances in heat exchangers affect the tube vibrational characteristics. In attempting a theoretical analysis, questions arise as to the effects of tube-baffle impacting on dynamic responses. Experiments were performed to determine the effects of tube-baffle impacting in vertical/horizontal tube orientation, and in air/water medium on the vibrational characteristics (resonant frequencies, mode shapes, and damping) and displacement response amplitudes of a seven-span tube model. The tube and support conditions were prototypic, and overall length approximately one-third that of a straight tube segment of the steam generator designed for the CRBR. The test results were compared with the analytical results based on the multispan beam with ''knife-edge'' supports

Annular gap measurement between pressure tube and calandria tube by eddy current technique

International Nuclear Information System (INIS)

Bhole, V.M.; Rastogi, P.K.; Kulkarni, P.G.

1992-01-01

In pressurised heavy water reactor (PHWR) major distinguishing feature is that there are number of identical fuel channels in the reactor core. Each channel consists of pressure tube of Zr-2.5 Nb or zircaloy-2 through which high temperature, high pressure primary coolant is passing. The pressure tube contains fuel. Surrounding the pressure tube there is low pressure, cool heavy water (moderator). The moderator is thermally separated from coolant by the tube which is nominally concentric with pressure tube called calandria tube. There are four garter springs in the annular gap between pressure tube and calandria tube. During the life of the reactor there are number of factors by which the pressure tube sags, most important factors are irradiation creep, thermal creep, fuel load etc. Because of the sag of pressure tube it can touch the calandria tube resulting in formation of cold spot. This leads to hydrogen concentration at that spot by which the material at that place becomes brittle and can lead to catastrophic failure of pressure tube. There is no useful access for measurement of annular gap either through the gas annular space or from exterior of calandria tube. So the annular gap was measured from inside surface of pressure tube which is accessible. Eddy current technique was used for finding the gap. The paper describe the details of split coil design of bobbin probe, selection of operating point on normalised impedance diagram by choosing frequency. Experimental results on full scale mock up, and actual gap measurement in reactor channel, are also given. (author). 7 figs

Categorising YouTube

DEFF Research Database (Denmark)

Simonsen, Thomas Mosebo

2011-01-01

This article provides a genre analytical approach to creating a typology of the User Generated Content (UGC) of YouTube. The article investigates the construction of navigation processes on the YouTube website. It suggests a pragmatic genre approach that is expanded through a focus on YouTube......’s technological affordances. Through an analysis of the different pragmatic contexts of YouTube, it is argued that a taxonomic understanding of YouTube must be analysed in regards to the vacillation of a user-driven bottom-up folksonomy and a hierarchical browsing system that emphasises a culture of competition...... and which favours the already popular content of YouTube. With this taxonomic approach, the UGC videos are registered and analysed in terms of empirically based observations. The article identifies various UGC categories and their principal characteristics. Furthermore, general tendencies of the UGC within...

Pressure tube type reactors

International Nuclear Information System (INIS)

Komada, Masaoki.

1981-01-01

Purpose: To increase the safety of pressure tube type reactors by providing an additional ECCS system to an ordinary ECCS system and injecting heavy water in the reactor core tank into pressure tubes upon fractures of the tubes. Constitution: Upon fractures of pressure tubes, reduction of the pressure in the fractured tubes to the atmospheric pressure in confirmed and the electromagnetic valve is operated to completely isolate the pressure tubes from the fractured portion. Then, the heavy water in the reactor core tank flows into and spontaneously recycles through the pressure tubes to cool the fuels in the tube to prevent their meltdown. By additionally providing the separate ECCS system to the ordinary ECCS system, fuels can be cooled upon loss of coolant accidents to improve the safety of the reactors. (Moriyama, K.)

Tube-in-shell heat exchangers

International Nuclear Information System (INIS)

Richardson, J.

1976-01-01

Tube-in-shell heat exchangers normally comprise a bundle of parallel tubes within a shell container, with a fluid arranged to flow through the tubes in heat exchange with a second fluid flowing through the shell. The tubes are usually end supported by the tube plates that separate the two fluids, and in use the tube attachments to the tube plates and the tube plates can be subject to severe stress by thermal shock and frequent inspection and servicing are required. Where the heat exchangers are immersed in a coolant such as liquid Na such inspection is difficult. In the arrangement described a longitudinally extending central tube is provided incorporating axially spaced cylindrical tube plates to which the opposite ends of the tubes are attached. Within this tube there is a tubular baffle that slidably seals against the wall of the tube between the cylindrical tube plates to define two co-axial flow ducts. These ducts are interconnected at the closed end of the tube by the heat exchange tubes and the baffle comprises inner and outer spaced walls with the interspace containing Ar. The baffle is easily removable and can be withdrawn to enable insertion of equipment for inspecting the wall of the tube and tube attachments and to facilitate plugging of defective tubes. Cylindrical tube plates are believed to be superior for carrying pressure loads and resisting the effects of thermal shock. Some protection against thermal shock can be effected by arranging that the secondary heat exchange fluid is on the tube side, and by providing a thermal baffle to prevent direct impingement of hot primary fluid on to the cylindrical tube plates. The inner wall of the tubular baffle may have flexible expansible region. Some nuclear reactor constructions incorporating such an arrangement are described, including liquid metal reactors. (U.K.)

Heat exchanger tube tool

International Nuclear Information System (INIS)

Gugel, G.

1976-01-01

Certain types of heat-exchangers have tubes opening through a tube sheet to a manifold having an access opening offset from alignment with the tube ends. A tool for inserting a device, such as for inspection or repair, is provided for use in such instances. The tool is formed by a flexible guide tube insertable through the access opening and having an inner end provided with a connector for connection with the opening of the tube in which the device is to be inserted, and an outer end which remains outside of the chamber, the guide tube having adequate length for this arrangement. A flexible transport hose for internally transporting the device slides inside of the guide tube. This hose is long enough to slide through the guide tube, into the heat-exchanger tube, and through the latter to the extent required for the use of the device. The guide tube must be bent to reach the end of the heat-exchanger tube and the latter may be constructed with a bend, the hose carrying anit-friction elements at interspaced locations along its length to make it possible for the hose to negotiate such bends while sliding to the location where the use of the device is required

Observation of "YouTube" Language Learning Videos ("YouTube" LLVS)

Science.gov (United States)

Alhamami, Munassir

2013-01-01

This paper navigates into the "YouTube" website as one of the most usable online tools to learn languages these days. The paper focuses on two issues in creating "YouTube" language learning videos: pedagogy and technology. After observing the existing "YouTube" LLVs, the study presents a novel rubric that is directed…

Development of radioactive stent using HANARO research reactor

Energy Technology Data Exchange (ETDEWEB)

Park, Kyung Bae; Kim, J. R.; Han, H. S.; Shin, B. C.; Kim, Y. M.; Cho, U. K.; Han, K. H.; Park, W. W.; Chung, Y. J

1997-10-01

Radioactive cylindrical was prepared by neutron irradiation of pre-made non-radioactive `1`6`5 Ho-sleeve, which was made by casting polyurethane solution containing `1`6`5`Ho(NO{sub 3}){sub 3} in THF+DMF (10:1) solvent in cylindrical glass tube. Its length and diameter could be easily controlled by glass tube used as a mold. The radioactive stent assembly (`1`6`5Ho-SA) was prepared by covering the metallic stent with radioactive sleeve and then treated both ends with epoxy glue for prevention of peeling off the radioactive sleeve from stent (post-irradiation method). Other preparation method of radioactive stent is similar to that of the first one except using radioactive `1`6`6Ho(NO{sub 3}){sub 3} and glass tube fitted with metallic stent before casting (pre-irradiation method). Scanning electron microscopy and autoradiography exhibited that the distribution of `1`6`5Ho and `1`6`6Ho(NO{sub 3}) compounds in polyurethane matrix was nearly homogeneous. The present preparation methods of radioactive sleeve and stent are quite different from conventional method which metallic stent is coated or implanted with radionuclide. The ease with which the radioactive stent can be prepared and its homogeneous radiation emission make it an attractive radiation applicator for the treatment of esophagus cancer. As an animal studies, 6 pathologic specimens were obtained. An animal with 4 mCi of `1`6`6Ho-SA showed loss of epithelial tissue and inflammation at the submucosal layer 4 weeks after the procedure. Considerable improvement of the inflammatory reaction was observed 7 weeks post-therapy without complication. In case treated with 6 mCi of `1`6`6Ho-SA, tissue destruction and widening of the esophageal lumen were observed and the inflammatory reaction propagated into the muscle layer. In case with 9 mCi of `1`6`6Ho-SA, severe esophagitis with cellular proliferation were seen, which resulted in further narrowing of the lumen. (author). 58 refs., 5 tabs., 14 figs

Development of radioactive stent using HANARO research reactor

International Nuclear Information System (INIS)

Park, Kyung Bae; Kim, J. R.; Han, H. S.; Shin, B. C.; Kim, Y. M.; Cho, U. K.; Han, K. H.; Park, W. W.; Chung, Y. J.

1997-10-01

Radioactive cylindrical was prepared by neutron irradiation of pre-made non-radioactive '1'6'5 Ho-sleeve, which was made by casting polyurethane solution containing '1'6'5'Ho(NO 3 ) 3 in THF+DMF (10:1) solvent in cylindrical glass tube. Its length and diameter could be easily controlled by glass tube used as a mold. The radioactive stent assembly ('1'6'5Ho-SA) was prepared by covering the metallic stent with radioactive sleeve and then treated both ends with epoxy glue for prevention of peeling off the radioactive sleeve from stent (post-irradiation method). Other preparation method of radioactive stent is similar to that of the first one except using radioactive '1'6'6Ho(NO 3 ) 3 and glass tube fitted with metallic stent before casting (pre-irradiation method). Scanning electron microscopy and autoradiography exhibited that the distribution of '1'6'5Ho and '1'6'6Ho(NO 3 ) compounds in polyurethane matrix was nearly homogeneous. The present preparation methods of radioactive sleeve and stent are quite different from conventional method which metallic stent is coated or implanted with radionuclide. The ease with which the radioactive stent can be prepared and its homogeneous radiation emission make it an attractive radiation applicator for the treatment of esophagus cancer. As an animal studies, 6 pathologic specimens were obtained. An animal with 4 mCi of '1'6'6Ho-SA showed loss of epithelial tissue and inflammation at the submucosal layer 4 weeks after the procedure. Considerable improvement of the inflammatory reaction was observed 7 weeks post-therapy without complication. In case treated with 6 mCi of '1'6'6Ho-SA, tissue destruction and widening of the esophageal lumen were observed and the inflammatory reaction propagated into the muscle layer. In case with 9 mCi of '1'6'6Ho-SA, severe esophagitis with cellular proliferation were seen, which resulted in further narrowing of the lumen. (author). 58 refs., 5 tabs., 14 figs

Helically coiled tube heat exchanger

International Nuclear Information System (INIS)

Harris, A.M.

1981-01-01

In a heat exchanger such as a steam generator for a nuclear reactor, two or more bundles of helically coiled tubes are arranged in series with the tubes in each bundle integrally continuing through the tube bundles arranged in series therewith. Pitch values for the tubing in any pair of tube bundles, taken transverse to the path of the reactor coolant flow about the tubes, are selected as a ratio of two unequal integers to permit efficient operation of each tube bundle while maintaining the various tube bundles of the heat exchanger within a compact envelope. Preferably, the helix angle and tube pitch parallel to the path of coolant flow are constant for all tubes in a single bundle so that the tubes are of approximately the same length within each bundle

Categorising YouTube

OpenAIRE

Simonsen, Thomas Mosebo

2011-01-01

This article provides a genre analytical approach to creating a typology of the User Generated Content (UGC) of YouTube. The article investigates the construction of navigation processes on the YouTube website. It suggests a pragmatic genre approach that is expanded through a focus on YouTube’s technological affordances. Through an analysis of the different pragmatic contexts of YouTube, it is argued that a taxonomic understanding of YouTube must be analysed in regards to the vacillation of a...

NEI You Tube Videos: Amblyopia

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Full Text Available ... YouTube Videos » NEI YouTube Videos: Amblyopia Listen NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration ... Retinopathy of Prematurity Science Spanish Videos Webinars NEI YouTube Videos: Amblyopia Embedded video for NEI YouTube Videos: ...

Effect of Tube Pitch on Pool Boiling Heat Transfer of Vertical Tube Bundle

International Nuclear Information System (INIS)

Kang, Myeong Gie

2016-01-01

Summarizing the previous results it can be stated that heat transfer coefficients are highly dependent on the tube pitch and the heat flux of the relevant tube. The published results are mostly about the horizontal tubes. However, there are many heat exchangers consisting of vertical tubes like AP600. Therefore, the focus of the present study is an identification of the effects of a tube pitch as well as the heat flux of a relevant tube on the heat transfer of a tube bundle installed vertically. When the heat flux is increased many bubbles are generating due to the increase of the nucleation sites. The bubbles become coalescing with the nearby bubbles and generates big bunches of bubbles on the tube surface. This prevents the access of the liquid to the surface and deteriorates heat transfer. The bubble coalescence is competing with the mechanisms enhancing heat transfer. The pitch was varied from 28.5 mm to 95 mm and the heat flux of the nearby tube was changed from 0 to 90kW/m"2. The enhancement of the heat transfer is clearly observed when the heat flux of the nearby tube becomes larger and the heat flux of the upper tube is less than 40kW/m"2. The effect of the tube pitch on heat transfer is negligible as the value of DP/ is increased more than 4.

Optimizing Tube Precurvature to Enhance Elastic Stability of Concentric Tube Robots.

Science.gov (United States)

Ha, Junhyoung; Park, Frank C; Dupont, Pierre E

2017-02-01

Robotic instruments based on concentric tube technology are well suited to minimally invasive surgery since they are slender, can navigate inside small cavities and can reach around sensitive tissues by taking on shapes of varying curvature. Elastic instabilities can arise, however, when rotating one precurved tube inside another. In contrast to prior work that considered only tubes of piecewise constant precurvature, we allow precurvature to vary along the tube's arc length. Stability conditions for a planar tube pair are derived and used to formulate an optimal design problem. An analytic formulation of the optimal precurvature function is derived that achieves a desired tip orientation range while maximizing stability and respecting bending strain limits. This formulation also includes straight transmission segments at the proximal ends of the tubes. The result, confirmed by both numerical and physical experiment, enables designs with enhanced stability in comparison to designs of constant precurvature.

Self-esteem and quality of life in adolescents with extreme obesity in Saudi Arabia: the effect of weight loss after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Aldaqal, Saleh M; Sehlo, Mohammad G

2013-01-01

To evaluate the self-esteem and quality of life in adolescents with extreme obesity before and one year after laparoscopic sleeve gastrectomy as obesity is a major challenging medical problem, not only in adults but also in children and adolescents in Saudi Arabia. In a prospective cohort study, 32 adolescents (aged 13-17 years) with extreme obesity (Group 1) presenting for laparoscopic sleeve gastrectomy (LSG) were compared with 32 matched, healthy, nonobese adolescents (aged 14-17 years) (Group 2) with regards to self-esteem and quality of life. Assessment was done using the Rosenberg Self-Esteem Scale and Pediatric Quality of Life Inventory version 4.0 (self- and parent report), respectively. Body mass index (BMI) Z scores were calculated for both groups. We found significantly poor self-esteem and impairment in all domains of quality of life (self- and parent report) in Group 1 compared with Group 2 (Pself-esteem (R2=0.28 and P=.003) and quality of life (R(2)=0.67 and Padolescents with extreme obesity: LSG leads to weight loss, with subsequent improvement in self-esteem and quality of life. Copyright © 2013 Elsevier Inc. All rights reserved.

A Method to Establishing Tube Plugging Criterion for Heat Exchangers with Straight Tubes

Energy Technology Data Exchange (ETDEWEB)

Kim, Hyungnam [KHNP CRI, Daejeon (Korea, Republic of)

2016-10-15

The difference of thermal expansion coefficients between the shell and tube materials causes the stress in axial direction of tube. Because of the axial stress due to thermal load, the straight tubes are used for heat exchangers operated in low temperature such as CCW (Component Cooling Water) heat exchangers and condensers. It is inevitable for the materials of the components to be degraded as the power plants become older. The degradation accompanies increasing maintenance cost as well as creating safety issues. The materials and wall thickness of heat exchanger tubes in nuclear power plants are selected to withstand system temperature, pressure, and corrosion. There are many codes and standards to be referred for calculating the minimum thickness of the heat exchanger tube in the designing stage. However, the codes and standards related to show the tube plugging criteria may not exist currently. In this paper, a method to establish the tube plugging criteria of BOP heat exchangers, which is based on the USNRC Regulatory Guide 1.121, is introduced and the tube plugging criteria for the TPCCW heat exchanger of Yonggwang NPP No. 1 and 2. A method to establish the tube plugging criteria of heat exchangers with straight tubes are introduced based on the USNRC Regulatory Guide 1.121. As an example, the tube plugging criterion for the CCW heat exchanger of a nuclear power plant is provided.

Automation in tube finishing bay

International Nuclear Information System (INIS)

Bhatnagar, Prateek; Satyadev, B.; Raghuraman, S.; Syama Sundara Rao, B.

1997-01-01

Automation concept in tube finishing bay, introduced after the final pass annealing of PHWR tubes resulted in integration of number of sub-systems in synchronisation with each other to produce final cut fuel tubes of specified length, tube finish etc. The tube finishing bay which was physically segregated into four distinct areas: 1. tube spreader and stacking area, 2. I.D. sand blasting area, 3. end conditioning, wad blowing, end capping and O.D. wet grinding area, 4. tube inspection, tube cutting and stacking area has been studied

CRL X-ray tube

International Nuclear Information System (INIS)

Kolchevsky, N.N.; Petrov, P.V.

2015-01-01

A novel types of X-ray tubes with refractive lenses are proposed. CRL-R X-ray tube consists of Compound Refractive Lens- CRL and Reflection X-ray tube. CRL acts as X-ray window. CRL-T X-ray consists of CRL and Transmission X-ray tube. CRL acts as target for electron beam. CRL refractive lens acts as filter, collimator, waveguide and focusing lens. Properties and construction of the CRL X-ray tube are discussed. (authors)

Pediatric cuffed endotracheal tubes

Directory of Open Access Journals (Sweden)

Neerja Bhardwaj

2013-01-01

Full Text Available Endotracheal intubation in children is usually performed utilizing uncuffed endotracheal tubes for conduct of anesthesia as well as for prolonged ventilation in critical care units. However, uncuffed tubes may require multiple changes to avoid excessive air leak, with subsequent environmental pollution making the technique uneconomical. In addition, monitoring of ventilatory parameters, exhaled volumes, and end-expiratory gases may be unreliable. All these problems can be avoided by use of cuffed endotracheal tubes. Besides, cuffed endotracheal tubes may be of advantage in special situations like laparoscopic surgery and in surgical conditions at risk of aspiration. Magnetic resonance imaging (MRI scans in children have found the narrowest portion of larynx at rima glottides. Cuffed endotracheal tubes, therefore, will form a complete seal with low cuff pressure of <15 cm H 2 O without any increase in airway complications. Till recently, the use of cuffed endotracheal tubes was limited by variations in the tube design marketed by different manufacturers. The introduction of a new cuffed endotracheal tube in the market with improved tracheal sealing characteristics may encourage increased safe use of these tubes in clinical practice. A literature search using search words "cuffed endotracheal tube" and "children" from 1980 to January 2012 in PUBMED was conducted. Based on the search, the advantages and potential benefits of cuffed ETT are reviewed in this article.

Pressure tube type research reactor

International Nuclear Information System (INIS)

Ueda, Hiroshi.

1976-01-01

Object: To prevent excessive heat generation due to radiation of a pressure tube vessel. Structure: A pressure tube encasing therein a core comprises a dual construction comprising inner and outer tubes coaxially disposed. High speed cooling water is passed through the inner tube for cooling. In addition, in the outer periphery of said outer tube there is provided a forced cooling tube disposed coaxially thereto, into which cooling fluid, for example, such as moderator or reflector is forcibly passed. This forced cooling tube has its outer periphery surrounded by the vessel into which moderator or reflector is fed. By the provision of the dual construction of the pressure tube and the forced cooling tube, the vessel may be prevented from heat generation. (Ikeda, J.)

Streak tube development

International Nuclear Information System (INIS)

Hinrichs, C.K.; Estrella, R.M.

1979-01-01

A research program for the development of a high-speed, high-resolution streak image tube is described. This is one task in the development of a streak camera system with digital electronic readout, whose primary application is for diagnostics in underground nuclear testing. This program is concerned with the development of a high-resolution streak image tube compatible with x-ray input and electronic digital output. The tube must be capable of time resolution down to 100 psec and spatial resolution to provide greater than 1000 resolution elements across the cathode (much greater than presently available). Another objective is to develop the capability to make design changes in tube configurations to meet different experimental requirements. A demountable prototype streak tube was constructed, mounted on an optical bench, and placed in a vacuum system. Initial measurements of the tube resolution with an undeflected image show a resolution of 32 line pairs per millimeter over a cathode diameter of one inch, which is consistent with the predictions of the computer simulations. With the initial set of unoptmized deflection plates, the resolution pattern appeared to remain unchanged for static deflections of +- 1/2-inch, a total streak length of one inch, also consistent with the computer simulations. A passively mode-locked frequency-doubled dye laser is being developed as an ultraviolet pulsed light source to measure dynamic tube resolution during streaking. A sweep circuit to provide the deflection voltage in the prototype tube has been designed and constructed and provides a relatively linear ramp voltage with ramp durations adjustable between 10 and 1000 nsec

Technique employed to seal a tube leaking in a heat exchanger of the tube type by explosives with supporting means for the adjacent tubes

International Nuclear Information System (INIS)

Larson, G.C.

1978-01-01

This invention concerns the technique employed to seal a tube leaking in a heat exchanger of the tube and tube plate type by detonating metal plugs activated by an explosive and inserted in both ends of the tube. It refers in particular to an apparatus and process in which the deformation or distortion of the adjacent tubes and tube plate ties under the effect of the explosive forces is significantly reduced [fr

SEALING LARGE-DIAMETER CAST-IRON PIPE JOINTS UNDER LIVE CONDITIONS

Energy Technology Data Exchange (ETDEWEB)

Kiran M. Kothari; Gerard T. Pittard

2003-06-01

Utilities in the U.S. operate over 75,000 km (47,000 miles) of old cast-iron pipes for gas distribution. The bell-and-spigot joints tend to leak as these pipes age. Current repair practices are costly and highly disruptive. The objective of this program is to design, test and commercialize a robotic system capable of sealing multiple cast-iron bell and spigot joints from a single pipe entry point. The proposed system will perform repairs while the pipe remains in service by traveling through the pipe, cleaning each joint surface, and attaching a stainless-steel sleeve lined with an epoxy-impregnated felt across the joint. This approach will save considerable time and labor, avoid traffic disruption, and eliminate any requirement to interrupt service (which results in enormous expense to utilities). Technical challenges include: (1) repair sleeves must compensate for diametric variation and eccentricity of cast-iron pipes; (2) the assembly must travel long distances through pipes containing debris; (3) the pipe wall must be effectively cleaned in the immediate area of the joint to assure good bonding of the sleeve; and (4) an innovative bolt-on entry fitting is required to conduct repair operations on live mains. The development effort is divided into eleven tasks. Task 1-Program Management was previously completed. Two reports, one describing the program management plan and the other consisting of the technology assessment, were submitted to the DOE COR in the first quarter. Task 2-Establishment of Detailed Design Specifications and Task 3-Design and Fabricate Ratcheting Stainless-Steel Repair Sleeves are now well underway. First-quarter activities included conducting detailed analyses to determine the capabilities of coiled-tubing locomotion for entering and repairing gas mains and the first design iteration of the joint-sealing sleeve. The maximum horizontal reach of coiled tubing inside a pipeline before buckling prevents further access was calculated for a wide

Electrosleeve process for in-situ nuclear steam generator repair

International Nuclear Information System (INIS)

Barton, R.A.; Moran, T.E.; Renaud, E.

1997-01-01

Degradation of steam generator (SG) tubing by localized corrosion is a widespread problem in the nuclear industry that can lead to costly forced out-ages, unit de-rating, SG replacement or even the permanent shutdown of a reactor. In response to the onset of SG tubing degradation at Ontario Hydro's Pickering Nuclear Generating Station (PNGS) Unit 5, and the determined unsuitability of conventional repair methods (mechanically expanded or welded sleeves) for Alloy 400, an alternative repair technology was developed. Electrosleeve is a non-intrusive, low-temperature process that involves the electrodeposition of a nanocrystalline nickel microalloy forming a continuously bonded, structural layer over the internal diameter of the degraded region. This technology is designed to provide a long-term pressure boundary repair, fully restoring the structural integrity of the damaged region to its original state. This paper describes the Electrosleeve process for SG tubing repair and the unique properties of the advanced sleeve material. The successful installation of Electrosleeves that have been in service for more than three years in Alloy 400 SG tubing at the Pickering-5 CANDU unit, the more recent extension of the technology to Alloy 600 and its demonstration in a U.S. pressurized water reactor (PWR), is presented. A number of PWR operators have requested plant operating technical specification changes to permit Electrosleeve SG tube repair. Licensing of the Electrosleeve by the U.S. Nuclear Regulatory Commission (NRC) is expected imminently. (author)

Combustion-driven oscillation in a furnace with multispud-type gas burners. 4th Report. Effects of position of secondary air guide sleeve and openness of secondary air guide vane on combustion oscillation condition; Multispud gata gas turner ni okeru nensho shindo. 4. Nijigen kuki sleeve ichi oyobi nijigen kuki vane kaido no shindo reiki ni oyobosu eikyo

Energy Technology Data Exchange (ETDEWEB)

Akiyama, I.; Okiura, K.; Baba, A.; Orimoto, M. [Babcock-Hitachi K.K., Tokyo (Japan)

1994-07-25

Effects of the position of a secondary air guide sleeve and the openness of a secondary air guide vane on combustion oscillation conditions were studied experimentally for multispud-type gas burners. Pressure fluctuation in furnaces was analyzed with the previously reported resonance factor which was proposed as an index to represent the degree of combustion oscillation. As a result, the combustion oscillation region was largely affected by both position of a guide sleeve and openness of a guide vane. As the openness having large effect on the ratio of primary and secondary air/tertiary air and the position hardly having effect on the ratio were adjusted skillfully, the burner with no combustion oscillation region was achieved in its normal operation range. In addition, as the effect of preheating combustion air was arranged with a standard flow rate or mass flow flux of air, it was suggested the combustion oscillation region due to preheating can be described with the same manner as that due to no preheating. 5 refs., 8 figs.

Study on antioxidant experiment on forged steel tube sheet and tube hole for steam generator

International Nuclear Information System (INIS)

Zong Hai; Wang Detai; Ding Yang

2012-01-01

Antioxidant experiment on forged steel tube sheet and tube hole for steam generator was studied and the influence of different simulated heat treatments on the antioxidant performance of tube sheet and tube hole was made. The influence of different antioxidant methods on the size of tube hole was drawn. Furthermore, the change of size and weight of 18MnD5 forged steel tube sheet on the condition of different simulated heat treatments was also studied. The analytical results have proved reference information for the use of 18MnD5 material and for key processes of processing tube hole and wearing and expanding U-style tube. (authors)

Air velocity profiles near sleeve blockages in an unheated 7 x 7 rod bundle. [PWR

Energy Technology Data Exchange (ETDEWEB)

Creer, J. M.; Bates, J. M.

1979-04-01

Local air velocity measurements were obtained with a laser Doppler anemometer near flow blockages in an unheated 7 x 7 rod bundle. Sleeve blockages were positioned on the center nine rods to create an area reduction of 90% in the center four subchannels of the bundle. Experimental results indicated that severe flow disturbances occurred downstream from the blockage cluster but showed only minor flow disturbances upstream from the blockage. Flow reversals were detected downstream from the blockage and persisted for approximately five subchannel hydraulic diameters. The air velocity profiles were in excellent agreement with water velocity data previously obtained at essentially the same Reynolds number. Subchannel average velocity predictions obtained with the COBRA computer program were in good agreement with subchannel average velocities estimated using the measured local velocity data.

Characterization of Friction Stir Welded Tubes by Means of Tube Bulge Test

International Nuclear Information System (INIS)

D'Urso, G.; Longo, M.; Giardini, C.

2011-01-01

Mechanical properties of friction stir welded joints are generally evaluated by means of conventional tensile test. This testing method might provide insufficient information because maximum strain obtained in tensile test before necking is small; moreover, the application of tensile test is limited when the joint path is not linear or even when the welds are executed on curved surfaces. Therefore, in some cases, it would be preferable to obtain the joints properties from other testing methods. Tube bulge test can be a valid solution for testing circumferential or longitudinal welds executed on tubular workpieces. The present work investigates the mechanical properties and the formability of friction stir welded tubes by means of tube bulge tests. The experimental campaign was performed on tubular specimens having a thickness of 3 mm and an external diameter of 40 mm, obtained starting from two semi-tubes longitudinally friction stir welded. The first step, regarding the fabrication of tubes, was performed combining a conventional forming process and friction stir welding. Sheets in Al-Mg-Si-Cu alloy AA6060 T6 were adopted for this purpose. Plates having a dimension of 225x60 mm were bent (with a bending axis parallel to the main dimension) in order to obtain semi-tubes. A particular care was devoted to the fabrication of forming devices (punch and die) in order to minimize the springback effects. Semi-tubes were then friction stir welded by means of a CNC machine tool. Some preliminary tests were carried out by varying the welding parameters, namely feed rate and rotational speed. A very simple tool having flat shoulder and cylindrical pin was used. The second step of the research was based on testing the welded tubes by means of tube bulge test. A specific equipment having axial actuators with a conical shape was adopted for this study. Some analyses were carried out on the tubes bulged up to a certain pressure level. In particular, the burst pressure and the

Pressure tube reactor

International Nuclear Information System (INIS)

Seki, Osamu; Kumasaka, Katsuyuki.

1988-01-01

Purpose: To remove the heat of reactor core using a great amount of moderators at the periphery of the reactor core as coolants. Constitution: Heat of a reactor core is removed by disposing a spontaneous recycling cooling device for cooling moderators in a moderator tank, without using additional power driven equipments. That is, a spontaneous recycling cooling device for cooling the moderators in the moderator tank is disposed. Further, the gap between the inner wall of a pressure tube guide pipe disposed through the vertical direction of a moderator tank and the outer wall of a pressure tube inserted through the guide pipe is made smaller than the rupture distortion caused by the thermal expansion upon overheating of the pressure tube and greater than the minimum gap required for heat shiels between the pressure tube and the pressure tube guide pipe during usual operation. In this way, even if such an accident as can not using a coolant cooling device comprising power driven equipment should occur in the pressure tube type reactor, the rise in the temperature of the reactor core can be retarded to obtain a margin with time. (Kamimura, M.)

An in-tube radar for detecting cracks in metal tubing

International Nuclear Information System (INIS)

Caffey, Thurlow W. H.; Nassersharif, Bahram; Garcia, Gabe V.; Smith, Phillip R.; Jedlicka, Russell P.; Hensel, Edward C.

2000-01-01

A major cause of failures in heat exchangers and steam generators in nuclear power plants is degradation of the tubes within them. The tube failure is often caused by the development of cracks that begin on the outer surface of the tube and propagate both inwards and laterally. A new technique will be described for detection of defects using a continuous-wave radar device within metal tubing. The technique is 100% volumetric, and may find smaller defects, find them more rapidly, and find them less expensively than present methods. Because this project was started only recently, there is no demonstrated performance to report so far. However, the basic engineering concepts will be presented together with a description of the milestone tasks and dates

Expansion lyre-shaped tube

International Nuclear Information System (INIS)

Andro, Jean.

1973-01-01

The invention relates the expansion lyre-shaped tube portions formed in dudgeoned tubular bundles between two bottom plates. An expansion lyre comprises at least two sets of tubes of unequal lengths coplanar and symmetrical with respect to the main tube axis, with connecting portions between the tubes forming said sets. The invention applies to apparatus such as heat exchangers, heaters, superheaters or breeders [fr

Steam generator tube failures

International Nuclear Information System (INIS)

MacDonald, P.E.; Shah, V.N.; Ward, L.W.; Ellison, P.G.

1996-04-01

A review and summary of the available information on steam generator tubing failures and the impact of these failures on plant safety is presented. The following topics are covered: pressurized water reactor (PWR), Canadian deuterium uranium (CANDU) reactor, and Russian water moderated, water cooled energy reactor (VVER) steam generator degradation, PWR steam generator tube ruptures, the thermal-hydraulic response of a PWR plant with a faulted steam generator, the risk significance of steam generator tube rupture accidents, tubing inspection requirements and fitness-for-service criteria in various countries, and defect detection reliability and sizing accuracy. A significant number of steam generator tubes are defective and are removed from service or repaired each year. This wide spread damage has been caused by many diverse degradation mechanisms, some of which are difficult to detect and predict. In addition, spontaneous tube ruptures have occurred at the rate of about one every 2 years over the last 20 years, and incipient tube ruptures (tube failures usually identified with leak detection monitors just before rupture) have been occurring at the rate of about one per year. These ruptures have caused complex plant transients which have not always been easy for the reactor operators to control. Our analysis shows that if more than 15 tubes rupture during a main steam line break, the system response could lead to core melting. Although spontaneous and induced steam generator tube ruptures are small contributors to the total core damage frequency calculated in probabilistic risk assessments, they are risk significant because the radionuclides are likely to bypass the reactor containment building. The frequency of steam generator tube ruptures can be significantly reduced through appropriate and timely inspections and repairs or removal from service

Prospects for stronger calandria tubes

International Nuclear Information System (INIS)

Ells, C.E.; Coleman, C.E.; Hosbons, R.R.; Ibrahim, E.F.; Doubt, G.L.

1990-12-01

The CANDU calandria tubes, made of seam welded and annealed Zircaloy-2, have given exemplary service in-reactor. Although not designed as a system pressure containment, calandria tubes may remain intact even in the face of pressure tube rupture. One such incident at Pickering Unit 2 demonstrated the economic advantage of such an outcome, and a case can be made for increasing the probability that other calandria tubes would perform in a similar fashion. Various methods of obtaining stronger calandria tubes are available, and reviewed here. When the tubes are internally pressurized, the weld is the weak section of the tube. Increasing the oxygen concentration in the starting sheet, and thickening the weld, are promising routes to a stronger tube

Fabrication of seamless calandria tubes

International Nuclear Information System (INIS)

Saibaba, N.; Phanibabu, C.; Bhaskara Rao, C.V.; Kalidas, R.; Ganguly, C.

2002-01-01

Full text: Calandria tube is a large diameter, thin walled zircaloy-4 tube and is an important structural component of PHWR type of reactors. These tubes are lifetime components and remain during the full life of the reactor. Calandria tubes are classified as extremely thin walled tubes with a diameter to wall thickness ratio of around 96. Such thin walled tubes are conventionally produced by seam welded route comprising of extrusion of slabs followed by a series of hot and rolling passes, shaping into O-shape and eventual welding. An alternative and superior method of fabricating the calandria tubes, the seamless route, has been developed, which involves hot extrusion of mother blanks followed by three successive cold pilger reductions. Eccentricity correction of the extruded blanks is carried out on a special purpose grinding equipment to bring the wall thickness variation within permissible limits. Predominant wall thickness reductions are given during cold pilgering to ensure high Q-factor values. The texture in the finished tubes could be closely, controlled with an average f r value of 0.65. Pilgering parameters and tube guiding system have been specially designed to facilities rolling of thin walled tubes. Seamless calandria tubes have distinct advantages over welded tubes. In addition to the absence of weld, they are dimensionally more stable, lighter in weight and possess uniform grains with superior grain size. The cycle time from billet to finished product is substantially reduced and the product is amenable to high level of quality assurance. The most significant feature of the seamless route is its material recovery over welded route. Residual stresses measured in the tubes indicate that these are negligible and uniform along the length of the tube. In view of their superior quality, the first charge of seamless calandria tubes will be rolled into the first 500 MWe Pressurised Heavy Water Reactor at Tarapur

Method for shaping polyethylene tubing

Science.gov (United States)

Kramer, R. C.

1981-01-01

Method forms polyethylene plastic tubing into configurations previously only possible with metal tubing. By using polyethylene in place of copper or stain less steel tubing inlow pressure systems, fabrication costs are significantly reduced. Polyethylene tubing can be used whenever low pressure tubing is needed in oil operations, aircraft and space applications, powerplants, and testing laboratories.

PROTECTIVE COATINGS OF FIBER BRAGG GRATING FOR MINIMIZING OF MECHANICAL IMPACT ON ITS WAVELENGTH CHARACTERISTICS

Directory of Open Access Journals (Sweden)

A. S. Munko

2015-03-01

Full Text Available The paper deals with the scheme for the study of the Bragg wavelength shift dependence on the applied tensile force. Samples of fiber Bragg gratings with different coatings have been studied: the restored acrylate coating, the heatshrinkable fusion splice protection sleeve without metal rod, the heat-shrinkable fusion splice protection sleeve with a metal rod, the metal capillary, polyvinylchloride tube. For different coatings of diffractive structure, dependences of wavelength shift for the Bragg grating resonance have been obtained on the tensile strength applied to the ends of an optical fiber. It was determined that the studied FBG coatings give the possibility to reduce the mechanical impact on the Bragg wavelength shift for 1.1-15 times as compared to an uncoated waveguide. The most effective version of coated fiber Bragg grating is the heatshrinkable fusion splice protection sleeve with a metal rod. When the force (equal to 6 N is applied to the 100 mm optical fiber area with the inscribed diffractive structure, the Bragg wavelength shift is 7.5 nm for the unprotected sample and 0.5 nm for the one coated with the heat-shrinkable fusion splice protection sleeve.

Change in levels of C-reactive protein (CRP) and serum cortisol in morbidly obese patients after laparoscopic sleeve gastrectomy.

Science.gov (United States)

Ruiz-Tovar, Jaime; Oller, Inmaculada; Galindo, Isabel; Llavero, Carolina; Arroyo, Antonio; Calero, Alicia; Diez, María; Zubiaga, Lorea; Calpena, Rafael

2013-06-01

C-Reactive protein (CRP) has been associated with the macro- and microvascular effects of hypertension and diabetes mellitus. Referring to serum cortisol, it has been proposed to contribute to the pathogenesis of metabolic syndrome, and it has been demonstrated that weight loss normalizes cortisol levels and improves insulin resistance. The aims of this study were to analyze CRP and cortisol levels pre- and postoperatively in morbidly obese patients undergoing a laparoscopic sleeve gastrectomy and to correlate them with weight loss and parameters associated with cardiovascular risk. A prospective study of all the morbidly obese patients undergoing laparoscopic sleeve gastrectomy as bariatric procedure between October 2007 and May 2011 was performed. A total of 40 patients were included in the study. CRP levels decreased significantly 12 months after surgery (median reduction of 8.9 mg/l; p = 0.001). Serum cortisol levels decreased significantly 6 months after surgery (median reduction of 34.9 μg/dl; p = 0.001). CRP values reached the normal range (cortisol, a significant association was observed with the cardiovascular risk predictor (triglyceride/high-density lipoprotein cholesterol ratio) from the 6th month after surgery onward (Pearson correlation coefficient, 0.559; p = 0.008). CRP levels are increased preoperatively and in the postoperative course up to 1 year after surgery. Serum cortisol levels remain elevated until the 6th month after surgery. From this moment onward, serum cortisol is associated with the cardiovascular risk predictor reflecting the cardiovascular risk decreasement during the weight loss.

Intercostal drainage tube or intracardiac drainage tube?

Science.gov (United States)

Anitha, N; Kamath, S Ganesh; Khymdeit, Edison; Prabhu, Manjunath

2016-01-01

Although insertion of chest drain tubes is a common medical practice, there are risks associated with this procedure, especially when inexperienced physicians perform it. Wrong insertion of the tube has been known to cause morbidity and occasional mortality. We report a case where the left ventricle was accidentally punctured leading to near-exsanguination. This report is to highlight the need for experienced physicians to supervise the procedure and train the younger physician in the safe performance of the procedure.

Pneumatic tube-transported blood samples in lithium heparinate gel separator tubes may be more susceptible to haemolysis than blood samples in serum tubes.

Science.gov (United States)

Böckel-Frohnhöfer, Nicole; Hübner, Ulrich; Hummel, Björn; Geisel, Jürgen

2014-10-01

Pneumatic tube systems are widely used in hospitals. Advantages are high speed and rapid availability of the samples. However, the transportation by pneumatic tube promotes haemolysis. Haemolysis interferes with many spectrophotometric assays and is a common problem in clinical laboratories. The haemolysis index (HI) as a semi-quantitative representation of the level of haemolysis was compared in unpaired tube-transported and hand-delivered routine lithium heparinate plasma samples (n = 1368 and n = 837, respectively). Additionally, the HI distribution was measured in lithium heparinate plasma samples with a HI above the threshold value of 20 and in paired serum samples after transportation by pneumatic tube system. HI values above 20 can interfere with the selected assays: Creatine kinase (CK), creatine kinase-MB (CK-MB) and alanine aminotransferase (ALT) activities. These parameters were determined to demonstrate how haemolysis affects the results. 17.5% of the tube-transported plasma samples and 2.6% of the hand-delivered plasma samples had a HI above 20. The median HI in pneumatic tube-transported lithium heparinate plasma was 85 and 33 in the paired serum samples. The median HI difference between paired plasma and serum was 46. Blood samples in lithium heparinate tubes may be substantially more susceptible to haemolysis by pneumatic tube transportation than serum tube samples. Although our results cannot be universally applied to laboratories with different pneumatic tube systems, it is recommended that each laboratory evaluate carefully the degree of haemolysis after the transportation by the own pneumatic tube system and in terms of the sample type.

A comparison of tape-tying versus a tube-holding device for securing endotracheal tubes in adults.

Science.gov (United States)

Murdoch, E; Holdgate, A

2007-10-01

During the transfer of intubated patients, endotracheal tube security is paramount. This study aims to compare two methods of securing an endotracheal tube in adults: tying with a cloth tape versus the Thomas Endotracheal Tube Holder (Laerdal). A manikin-based study was performed using paramedics and critical care doctors (consultants and senior trainees) as participants. Each participant was asked to secure an endotracheal tube that had been placed within the trachea of a manikin a total of six times, the first three times using tied cloth tape and the last three times using a Thomas Endotracheal Tube Holder. Following each 'fixation' and after the participant had left the room, the security of the tube was tested by applying a fixed force laterally and to the right by dropping a 1.25 kg weight a distance of 50 cm. The amount of movement of the tube with respect to the teeth was measured and recorded in millimetres. Two-hundred-and-seventy tube fixations (135 tied vs. 135 tube holder) were performed by 45 participants. The degree of tube movement was significantly higher when the tube was secured with a tie compared with when the tube holder was used (median movement 22 mm vs. 4 mm, P tube holder device minimised tube movement in a manikin model when compared with conventional tape tying. The use of this device when transporting intubated patients may reduce the risk of tube displacement though further clinical studies are warranted.

NEI You Tube Videos: Amblyopia

Medline Plus

Full Text Available ... search for current job openings visit HHS USAJobs Home >> NEI YouTube Videos >> NEI YouTube Videos: Amblyopia Listen NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration Amblyopia Animations Blindness Cataract ...

Bronchus anastomosis after sleeve resection for lung cancer: does the suture technique have an impact on postoperative complication rate?

Science.gov (United States)

Palade, Emanuel; Holdt, Holger; Passlick, Bernward

2015-06-01

Bronchoplastic resections emerged as an alternative to pneumonectomy for patients with impaired pulmonary function and have gained popularity due to a marked decrease in morbidity and at least similar oncological outcome. Actual guidelines recommend sleeve resections whenever technically feasible, even in cases with adequate pulmonary reserve for pneumonectomy, in order to maximally preserve functional lung parenchyma. Various suture techniques were described; the existing evidence, however, is insufficient to recommend one of them as standard. The aim of this study was to compare two suture techniques for bronchus repair after sleeve resection. Two groups of patients from two separate institutions were retrospectively analysed. In Group A (n = 20), the anastomosis was performed with a running suture at the membranous part and an interrupted suture for the rest of the circumference. In Group B (n = 40), a telescoping continuous suture was used. Intra- and postoperative findings directly related to the anastomosis were compared. The parameters were assessed as absolute numbers and percentages; the statistical significance was determined using Pearson's χ(2) test for categorical variables and Student's t-test for continuous data (P resection type (predominance of the right upper lobe for Group B), the groups were comparable regarding patient characteristics. The intraoperative anastomotic assessment revealed: patency 100% in both groups, initial air tightness (100 vs 82.5%; P = 0.047) and buttressing 85 vs 5%. No suture revision was necessary in both groups. The analysis of anastomosis-related morbidity revealed no significant difference: atelectasis (1 in Group A and 2 in Group B; P = 1), reversible anastomotic changes (0 vs 2; P = 0.309), early stenosis (0 vs 0), bronchopleural fistula (1 vs 0; P = 0.154), bronchovascular fistula (0 vs 0), late stenosis (1 vs 0; P = 0.119) and reoperations (15 vs 5%; P = 0.186). The operative mortality rate was similar (2 vs 3; P

Use of Site Characterization and Analysis Penetrometer System at the Walnut Creek Watershed, Ames, Iowa

Science.gov (United States)

1993-08-01

grout is pumped through a central tube in the push rod cable and exits through the probe tip. Retraction grouting (as the rod is withdrawn through the...soil) with a microfine Portland cement grout is normally utilized for all projects; however, subfreezing weather mandated that post - retraction grouting...ELECTRODES (4) P2 RESISTIVITY C2 MODULE GROUTING TUBES (2) 24 IN(61 CM) Grout Injector -- 1.4 IN(3.57 CM) o.D. 0" RINGS GROUTING CONE SLEEVE FRICTION

Double wall steam generator tubing

International Nuclear Information System (INIS)

Padden, T.R.; Uber, C.F.

1983-01-01

Double-walled steam generator tubing for the steam generators of a liquid metal cooled fast breeder reactor prevents sliding between the surfaces due to a mechanical interlock. Forces resulting from differential thermal expansion between the outer tube and the inner tube are insufficient in magnitude to cause shearing of base metal. The interlock is formed by jointly drawing the tubing, with the inside wall of the outer tube being already formed with grooves. The drawing causes the outer wall of the inner tube to form corrugations locking with the grooves. (author)

Learning from YouTube [Video Book

Science.gov (United States)

Juhasz, Alexandra

2011-01-01

YouTube is a mess. YouTube is for amateurs. YouTube dissolves the real. YouTube is host to inconceivable combos. YouTube is best for corporate-made community. YouTube is badly baked. These are a few of the things Media Studies professor Alexandra Juhasz (and her class) learned about YouTube when she set out to investigate what actually happens…

NEI You Tube Videos: Amblyopia

Medline Plus

Full Text Available ... search for current job openings visit HHS USAJobs Home » NEI YouTube Videos » NEI YouTube Videos: Amblyopia Listen NEI YouTube Videos YouTube Videos Home Age-Related Macular Degeneration Amblyopia Animations Blindness Cataract ...

Heat transfer performance during in-tube condensation in horizontal smooth, micro-fin and herringbone tubes

OpenAIRE

2008-01-01

M.Ing. An experimental investigation was conducted into the heat transfer characteristics of horizontal smooth, micro-fin and herringbone tubes during in-tube condensation. The study focused on the heat transfer coefficients of refrigerants R-22, R-134a and R-407C inside the three tubes. The herringbone tube results were compared to the smooth and micro-fin tube results. The average increase in the heat transfer coefficient when compared to the smooth tube was found to be as high as 322% w...

Plugging criteria for steam generator tubes with axial cracks near tube support plates

International Nuclear Information System (INIS)

Mattar Neto, Miguel

2000-01-01

Stress corrosion cracking with intergranular attack occurs on the secondary side of steam generator (SG) tubes where impurities concentrate due to boiling under restricted flow conditions. In the most of cases, it can be called ODSCC (Outer Diameter Stress Corrosion Cracking). The typical locations are areas near support plates, in sludge piles and at top of tubesheet crevices. Though it can also occur on free spans under the relatively thin deposits that build up on the tube surfaces. ODSCC near tube plate supports have been the cause of plugging of many tubes. Thus, studies on SG tubes plugging criteria related to this degradation mechanism are presented in this paper. Th purpose is to avoid unnecessary tube plugging from either safety or reliability standpoint. Based on these studies some conclusions on the plugging criteria and on the difficulties to apply them are addressed. (author)

Intercostal drainage tube or intracardiac drainage tube?

Directory of Open Access Journals (Sweden)

N Anitha

2016-01-01

Full Text Available Although insertion of chest drain tubes is a common medical practice, there are risks associated with this procedure, especially when inexperienced physicians perform it. Wrong insertion of the tube has been known to cause morbidity and occasional mortality. We report a case where the left ventricle was accidentally punctured leading to near-exsanguination. This report is to highlight the need for experienced physicians to supervise the procedure and train the younger physician in the safe performance of the procedure.

Condensate subcooling near tube exit during horizontal in-tube condensation

International Nuclear Information System (INIS)

Hashizume, K.; Abe, N.; Ozeki, T.

1992-01-01

In-tube condensation is encountered in various applications for heat exchangers, such as domestic air-conditioning equipment, industrial air-cooled condensers, and moisture separator reheaters (MSRs) for nuclear power pants. Numerous research work has been conducted to predict the condensation heat transfer coefficient, and we have now enough information for thermal design of heat exchangers with horizontal in-tube condensation. Most of the research is analytical and/or experimental work in the annular or stratified flow regime, or experimental work on bulk condensation, i.e., from saturated vapor to complete condensation. On the other hand, there exist few data about the heat transfer phenomena in the very lower-quality region near the tube exit. The purpose of this paper is to clarify the condensation heat transfer phenomena near the tube exit experimentally and analytically, and to predict the degree of condensate subcooling

Complications, Reoperations, and Nutrient Deficiencies Two Years after Sleeve Gastrectomy

Directory of Open Access Journals (Sweden)

Nicole Pech

2012-01-01

Full Text Available Background. The aim of this study was to investigate patient outcomes and nutritional deficiencies following sleeve gastrectomy (SG during a follow-up of two years. Methods. Over a period of 56 months, all consecutive patients who underwent SG were documented in this prospective, single-center, observational study. The study endpoints included operative time, complication rates, nutritional deficiencies and percentage of excess weight loss (%EWL. Results. From September 26, 2005 to May 28, 2009, 82 patients (female : male = 48 : 34 with a mean age of 43.3 years (range: 22–64 and a preoperative BMI of 52.5 kg/m² (range: 36.8–77.0 underwent SG. Major complications were observed in 9.8% of the patients, with 1 death. During follow up 51.2% of patients were supplemented with iron, 36.6% with zinc, 37.8% with calcium, 26.8% with vitamin D, 46.3% with vitamin B12 and 41.5% with folic acid. %EWL was 54.3, 65.3 and 62.6% after 6, 12 and 24 months. Conclusion. SG as a single step procedure is an effective bariatric intervention. Nutritional deficiencies after SG can be detected by routine nutritional screening. Our results show that Vitamin B12 supplementation should suggest routinely after SG.

Thimble grip fuel assembly handling tool

International Nuclear Information System (INIS)

Salton, R.B.; Hornak, L.P.; Marshall, J.R.; Meuschke, R.E.

1989-01-01

This patent describes an apparatus for lifting a fuel assembly of a nuclear reactor. The fuel assembly consists of a top nozzle and control rod guide tubes. The apparatus having a gripping means comprised of: a life plate, an actuating plate having a plurality of apertures, the actuating plate disposed in spaced relationship below the lift plate and vertically movable relative thereto; gripping members operably associated with the lift and actuating plates, the gripping members comprising: (a) a vertical rod fixedly secured near its top end to the lift plate and projecting downward therefrom through an associated aperture in the actuating plate, the rod having a first frustoconical surface formed near its lower end, (b) a generally cylindrical, elastically deformable vertical sleeve having a bore therethrough with a first inner diameter, the sleeve having a first bevelled inside surface near the top end and a second bevelled inside surface at the bottom end of the sleeve, and (c) a vertical gripper actuator disposed about the rod

Microdischarges in DC accelerator tubes

International Nuclear Information System (INIS)

Eastham, D.A.; Thorn, R.

1978-07-01

Voltage tests on the Daresbury ceramic/titanium accelerator tube have shown that microdischarges play an important role in the conditioning process. It has been found that the voltage onset for microdischarges in a tube is dependent on the surface contamination of the electrodes and the tube geometry (in particular the tube length). This geometrical effect can be related to the trajectories of secondary ions emitted from the electrode surfaces. Sensitive diagnostic techniques have been developed to study the mass and energy distribution of ions emitted along the axis of the tube during these predischarges. The energy distribution of protons (and H - ions) can be related to the origins of the discharges in the tube. Detailed results are presented for a particular tube geometry. (author)

Categorising YouTube

Directory of Open Access Journals (Sweden)

Thomas Mosebo Simonsen

2011-09-01

Full Text Available This article provides a genre analytical approach to creating a typology of the User Generated Content (UGC of YouTube. The article investigates the construction of navigationprocesses on the YouTube website. It suggests a pragmatic genre approach that is expanded through a focus on YouTube’s technological affordances. Through an analysis of the different pragmatic contexts of YouTube, it is argued that a taxonomic understanding of YouTube must be analysed in regards to the vacillation of a user-driven bottom-up folksonomy and a hierarchical browsing system that emphasises a culture of competition and which favours the already popular content of YouTube. With this taxonomic approach, the UGC videos are registered and analysed in terms of empirically based observations. The article identifies various UGC categories and their principal characteristics. Furthermore, general tendencies of the UGC within the interacting relationship of new and old genres are discussed. It is argued that the utility of a conventional categorical system is primarily of analytical and theoretical interest rather than as a practical instrument.

Lunar Lava Tube Sensing

Science.gov (United States)

York, Cheryl Lynn; Walden, Bryce; Billings, Thomas L.; Reeder, P. Douglas

1992-01-01

Large (greater than 300 m diameter) lava tube caverns appear to exist on the Moon and could provide substantial safety and cost benefits for lunar bases. Over 40 m of basalt and regolith constitute the lava tube roof and would protect both construction and operations. Constant temperatures of -20 C reduce thermal stress on structures and machines. Base designs need not incorporate heavy shielding, so lightweight materials can be used and construction can be expedited. Identification and characterization of lava tube caverns can be incorporated into current precursor lunar mission plans. Some searches can even be done from Earth. Specific recommendations for lunar lava tube search and exploration are (1) an Earth-based radar interferometer, (2) an Earth-penetrating radar (EPR) orbiter, (3) kinetic penetrators for lunar lava tube confirmation, (4) a 'Moon Bat' hovering rocket vehicle, and (5) the use of other proposed landers and orbiters to help find lunar lava tubes.

X-ray tube current control

International Nuclear Information System (INIS)

Dupuis, W.A.; Resnick, T.A.

1982-01-01

A closed loop feedback system for controlling the current output of an x-ray tube. The system has circuitry for improving the transient response and stability of the x-ray tube current over a substantial nonlinear portion of the tube current production characteristic. The system includes a reference generator for applying adjustable step function reference signals representing desired tube currents. The system also includes means for instantaneous sensing of actual tube current. An error detector compares the value of actual and reference tube current and produces an error signal as a function of their difference. The system feedback loop includes amplification circuitry for controlling x-ray tube filament dc voltage to regulate tube current as a function of the error signal value. The system also includes compensation circuitry, between the reference generator and the amplification circuitry, to vary the loop gain of the feedback control system as a function of the reference magnitude

Manipulation and functionalization of nano-tubes: application to boron nitride nano-tubes

International Nuclear Information System (INIS)

Maguer, A.

2007-01-01

This PhD work is divided into two parts dealing with boron nitride (BNNT) and carbon nano-tubes. The first part is about synthesis, purification and chemical functionalization of BNNT. Single-walled BNNT are synthesized by LASER ablation of a hBN target. Improving the synthesis parameters first allowed us to limit the byproducts (hBN, boric acid). A specific purification process was then developed in order to enrich the samples in nano-tubes. Purified samples were then used to develop two new chemical functionalization methods. They both involve chemical molecules that present a high affinity towards the BN network. The use of long chain-substituted quinuclidines and borazines actually allowed the solubilization of BNNT in organic media. Purification and functionalization were developed for single-walled BNNT and were successfully applied to multi-walled BNNT. Sensibility of boron to thermic neutrons finally gave birth to a study about covalent functionalization possibilities of the network. The second part of the PhD work deals with separation of carbon nano-tubes depending on their properties. Microwave irradiation of carbon nano-tubes first allowed the enrichment of initially polydisperse samples in large diameter nano-tubes. A second strategy involving selective interaction between one type of tubes and fullerene micelles was finally envisaged to selectively solubilize carbon nano-tubes with specific electronic properties. (author) [fr

[Prehospital airway management of laryngeal tubes. Should the laryngeal tube S with gastric drain tube be preferred in emergency medicine?].

Science.gov (United States)

Dengler, V; Wilde, P; Byhahn, C; Mack, M G; Schalk, R

2011-02-01

Laryngeal tubes (LT) are increasingly being used for emergency airway management. This article reports on two patients in whom out-of-hospital intubation with a single-lumen LT was associated with massive pulmonary aspiration in one patient and gastric overinflation in the other. In both cases peak inspiratory pressures exceeded the LT leak pressure of approximately 35 mbar. This resulted in gastric inflation and decreased pulmonary compliance and increased inspiratory pressure further, thereby creating a vicious circle. It is therefore recommended that laryngeal tube suction (LTS) should be used in all cases of emergency airway management and a gastric drain tube be inserted through the dedicated second lumen. Apart from gastric overinflation, incorrect LT/LTS placement must be detected and immediately corrected, e.g. in cases of difficult or impossible gastric tube placement, permanent drainage of air from the gastric tube, decreasing minute ventilation or an ascending capnography curve.

Molybdenum Tube Characterization report

Energy Technology Data Exchange (ETDEWEB)

Beaux II, Miles Frank [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Usov, Igor Olegovich [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2017-02-07

Chemical vapor deposition (CVD) techniques have been utilized to produce free-standing molybdenum tubes with the end goal of nuclear fuel clad applications. In order to produce tubes with properties desirable for this application, deposition rates were lowered requiring long deposition durations on the order of 50 hours. Standard CVD methods as well as fluidized-bed CVD (FBCVD) methods were applied towards these objectives. Characterization of the tubes produced in this manner revealed material suitable for fuel clad applications, but lacking necessary uniformity across the length of the tubes. The production of freestanding Mo tubes that possess the desired properties across their entire length represents an engineering challenge that can be overcome in a next iteration of the deposition system.

Apparatus for forming an explosively expanded tube-tube sheet joint

International Nuclear Information System (INIS)

Schroeder, J.W.

1984-01-01

The invention relates to apparatus for expanding a tube into a bore formed in a tube sheet. According to the invention, a primary explosive containing a relatively high number of grains of explosive per unit length extends within the tube coextensive with that portion of the tube to be expanded. An energy transfer cord extends between a detonator and the primary explosive and includes a relatively low number of grains of explosive per unit length which are insufficient to detonate the primary explosive. The transfer cord is covered by a sheath to contain the debris and gases associated with the explosion of the explosive therein. A booster extends between the energy transfer cord and the primary explosive and contains an explosive which can be detonated by the explosive in the energy transfer cord and can, upon exploding, in turn detonate the primary explosive. (author)

Failure analysis of boiler tube

International Nuclear Information System (INIS)

Mehmood, K.; Siddiqui, A.R.

2007-01-01

Boiler tubes are energy conversion components where heat energy is used to convert water into high pressure superheated steam, which is then delivered to a turbine for electric power generation in thermal power plants or to run plant and machineries in a process or manufacturing industry. It was reported that one of the tubes of a fire-tube boiler used in a local industry had leakage after the formation of pits at the external surface of the tube. The inner side of the fire tube was working with hot flue gasses with a pressure of 10 Kg/cm/sup 2/ and temperature 225 degree C. The outside of the tube was surrounded by feed water. The purpose of this study was to determine the cause of pits developed at the external surface of the failed boiler tube sample. In the present work boiler tube samples of steel grade ASTM AI61/ASTM A192 were analyzed using metallographic analysis, chemical analysis, and mechanical testing. It was concluded that the appearance of defects on the boiler tube sample indicates cavitation type corrosion failure. Cavitation damage superficially resembled pitting, but surface appeared considerably rougher and had many closely spaced pits. (author)

Neural Tube Defects

Science.gov (United States)

Neural tube defects are birth defects of the brain, spine, or spinal cord. They happen in the ... that she is pregnant. The two most common neural tube defects are spina bifida and anencephaly. In ...

Importance of crevices formed between tubes and tube plate for the operational behaviour of heat exchangers

International Nuclear Information System (INIS)

Achten, N.; Herbsleb, G.; Wieling, N.

1986-01-01

It must be guaranteed by construction and manufacture of heat exchangers that primary and secondary medium are completely separated from each other. When this requirement is fullfilled, the operational use of heat exchangers can be impaired by corrosion reactions within the crevice formed between tube and tube plate which may result in corrosion damage. The various techniques which are in use to connect tubes and tube plate and which are described in the present report, must be valued with respect to the tightness of the connection as well as to the formation of crevices between tubes and tube plate. Corrosion resistant copperbase alloys and stainless steels are the most important materials which are in use for the construction of heat exchangers. The mechanisms of crevice corrosion with unalloyed and low alloy carbon steels, stainless steels, and mixed connections between tube and tube plate with these materials are described in detail. Crevice corrosion may be caused also by the formation of galvanic cells between materials of differing electrochemical response. Furthermore, the concentration of aggressive media in crevices between tubes and tube plate can lead to corrosion damage of heat exchanger tubes. For the service operation of heat exchangers without any hazard of corrosion damage in crevices between tubes and tube plate, such crevices must be avoided by proper construction and manufacture. As a model for suitable measures to avoid crevices, the manufacture of steam generators for PWR's is described. (orig.) [de

A Study on the Profile Change Measurement of Steam Generator Tubes with Tube Expansion Methods

International Nuclear Information System (INIS)

Kim, Young Kyu; Song Myung Ho; Choi, Myung Sik

2011-01-01

Steam generator tubes for nuclear power plants contain the local shape transitions on their inner or outer surface such as dent, bulge, over-expansion, eccentricity, deflection, and so on by the application of physical force during the tube manufacturing and steam generator assembling and by the sludge (that is, corrosion products) produced during the plant operation. The structural integrity of tubes will be degraded by generating the corrosive crack at that location. The profilometry using the traditional bobbin probes which are currently applied for measuring the profile change of tubes gives us basic information such as axial locations and average magnitudes of deformations. However, the three-dimensional quantitative evaluation on circumferential locations, distributional angle, and size of deformations will have to be conducted to understand the effects of residual stresses increased by local deformations on corrosive cracking of tubes. Steam generator tubes of Korean standard nuclear power plants expanded within their tube-sheets by the explosive expansion method and suffered from corrosive cracks in the early stage of power operation. Thus, local deformations of steam generator tubes at the top of tube-sheet were measured with an advanced rotating probe and a laser profiling system for the two cases where the tubes expanded by the explosive expansion method and hydraulic expansion. Also, the trends of eccentricity, deflection, and over-expansion of tubes were evaluated. The advanced eddy current profilometry was confirmed to provide accurate information of local deformations compared with laser profilometry

Mechanistic comparison between gastric bypass vs. duodenal switch with sleeve gastrectomy in rat models.

Directory of Open Access Journals (Sweden)

Yosuke Kodama

Full Text Available BACKGROUND: Both gastric bypass (GB and duodenal switch with sleeve gastrectomy (DS have been widely used as bariatric surgeries, and DS appears to be superior to GB. The aim of this study was to better understand the mechanisms leading to body weight loss by comparing these two procedures in experimental models of rats. METHODS: Animals were subjected to GB, DS or laparotomy (controls, and monitored by an open-circuit indirect calorimeter composed of comprehensive laboratory animal monitoring system and adiabatic bomb calorimeter. RESULTS: Body weight loss was greater after DS than GB. Food intake was reduced after DS but not GB. Energy expenditure was increased after either GB or DS. Fecal energy content was increased after DS but not GB. CONCLUSION: GB induced body weight loss by increasing energy expenditure, whereas DS induced greater body weight loss by reducing food intake, increasing energy expenditure and causing malabsorption in rat models.

Procedure and device for extracting the end of a tube inserted into a hole in a tube plate

International Nuclear Information System (INIS)

1980-01-01

When constructing heat exchangers and steam generators, particularly in the construction of steam generators for nuclear power stations, many small diameter tubes have to be secured into a very thick tube plate for instance 600 mm thick. This crimping or expanding of the tube is generally performed by rolling the internal surface of the tube inside a hole drilled right through the tube plate and slightly greater in diameter than the external diameter of the tube before the tube is rolled. To check the tubes for defects, it is necessary to extract certain tubes from the tube plate in order to move the tube to a testing and inspection point and examine the part of it that was secured in the plate hole. The invention concerns the uncrimping of these tubes [fr

Radiation-resistant camera tube

International Nuclear Information System (INIS)

Kuwahata, Takao; Manabe, Sohei; Makishima, Yasuhiro

1982-01-01

It was a long time ago that Toshiba launched on manufacturing black-and-white radiation-resistant camera tubes employing nonbrowning face-plate glass for ITV cameras used in nuclear power plants. Now in compliance with the increasing demand in nuclear power field, the Company is at grips with the development of radiation-resistant single color-camera tubes incorporating a color-stripe filter for color ITV cameras used under radiation environment. Herein represented are the results of experiments on characteristics of materials for single color-camera tubes and prospects for commercialization of the tubes. (author)

Jose Cabrera (Zorita) tube examination

International Nuclear Information System (INIS)

Kuchirka, P.J.

1986-01-01

Jose Cabrera (Zorita) tube examination procedures are discussed. This plant continues to use phosphate water chemistry (sodium/phosphate ratio = 2.1). Three hot leg tube segments were pulled from the Jose Cabera (Zorita) plant in 1985. One tube had a field EC indication on the OD at the first tube support plate and the other two had field EC indications on their ID about 3 inches above the bottom of the tube sheet. All three tubes were initially sent to Battelle for preliminary NDE and decontamination. Segments of two tubes were sent to Westinghouse for destructive examination. The results of the laboratory eddy current and radiographic examinations are given. The results of the visual examinations are also given. The tube with OD indications was destructively examined and shallow intergranular pitting and intergranular attack, up to 2 mils deep, were found on the OD in the tube sheet region. Local areas of IGA, up to 5 mils deep, were found on the OD within the tube support plate region. A summary of this information together with supporting micrographs is given. It was hypothesized that a caustic crevice environment was the cause of this mild degradation. Shallow areas of thinning or wastage, up to 3 mils, were found just above the top of the tube sheet in the sludge pile region. Even more shallow wastage was found at the edges of support plate locations. This wastage is believed to be the remnant of early plant chemistry when a higher sodium/phosphate ratio and higher phosphate concentration were allowed

The effect of tube-support interaction on the dynamic response of heat exchanger tubes

International Nuclear Information System (INIS)

Shin, Y.S.; Jendrzejczyk, J.A.; Wambsganss, M.W.

1977-01-01

To avoid detrimental tube vibration in heat exchangers, resonant conditions and instabilitites must be avoided, and/or peak dynamic amplitudes must not exceed allowable limits. In attempting a theoretical analysis, questions arise as to the effects of tube/support interaction on tube vibrational characteristics (i.e. resonant frequencies, modes, damping) and response amplitude. As a part of ANL's Flow-Induced Vibration Program in support of the Clinch River Breeder Reactor Plant (CRBRP) steam generator design activity, tube/support interaction experiments are being performed not only to gain the insight into the dynamic behavior of CRBRP steam generator tubes, but also to provide the basis for developing design guidance. Test results were compared with anaytical results based on multispan tube with 'knife-edge' supports at the support locations. (Auth.)

Twin-tubes: 3D tracking based on the ATLAS muon drift tubes

International Nuclear Information System (INIS)

Woudstra, M.; Bobbink, G.J.; Eldik, N. van; Graaf, H. van der; Kluit, P.; Koutsman, A.; Limper, M.; Linde, F.; Massaro, G.; Snuverink, J.; Vreeswijk, M.; Groenstege, H.; Koopstra, J.; Mos, S.; Rewiersma, P.; Timmermans, C.; Dijkema, J.

2006-01-01

The Monitored Drift Tubes (MDTs) of the ATLAS Muon Spectrometer have been paired to form so-called twin-tubes to measure the coordinate which runs along the wire direction. This modification endows the MDTs with full 3D track reconstruction using specially designed electronic boards. The performance of the twin-tubes has been measured for an equipped MDT chamber at the ATLAS Muon Cosmic Ray Test Stand at NIKHEF. The efficiency of a twin-tube has been determined to be 99.8%, and the measured resolution 17 cm per hit. By equipping one multilayer consisting of three layers and combining the measurements a resolution of 10 cm has been obtained

Free Piston Double Diaphragm Shock Tube

OpenAIRE

OGURA, Eiji; FUNABIKI, Katsushi; SATO, Shunichi; ABE, Takashi; 小倉, 栄二; 船曳, 勝之; 佐藤, 俊逸; 安部, 隆士

1997-01-01

A free piston double diaphragm shock tube was newly developed for generation of high Mach number shock wave. Its characteristics was investigated for various operation parameters; such as a strength of the diaphragm at the end of the comparession tube, an initial pressure of low pressure tube, an initial pressure of medium pressure tube and the volume of compression tube. Under the restriction of fixed pressures for the driver high pressure tube (32×10^5Pa) and the low pressure tube (40Pa) in...

Liquid-Nitrogen Test for Blocked Tubes

Science.gov (United States)

Wagner, W. R.

1984-01-01

Nondestructive test identifies obstructed tube in array of parallel tubes. Trickle of liquid nitrogen allowed to flow through tube array until array accumulates substantial formation of frost from moisture in air. Flow stopped and warm air introduced into inlet manifold to heat tubes in array. Tubes still frosted after others defrosted identified as obstructed tubes. Applications include inspection of flow systems having parallel legs.

Nutritional Status Prior to Laparoscopic Sleeve Gastrectomy Surgery.

Science.gov (United States)

Sherf Dagan, Shiri; Zelber-Sagi, Shira; Webb, Muriel; Keidar, Andrei; Raziel, Asnat; Sakran, Nasser; Goitein, David; Shibolet, Oren

2016-09-01

Two main causes for nutrient deficiencies following bariatric surgery (BS) are pre-operative deficiencies and favoring foods with high-energy density and poor micronutrient content. The aims of this study were to evaluate nutritional status and gender differences and the prevalence of nutritional deficiencies among candidates for laparoscopic sleeve gastrectomy (LSG) surgery. A cross-sectional analysis of pre-surgery data collected as part of a randomized clinical trial on 100 morbidly obese patients with non-alcoholic fatty liver disease (NAFLD) admitted to LSG surgery at Assuta Medical Center between February 2014 and January 2015. Anthropometrics, food intake, and fasting blood tests were evaluated during the baseline visit. One-hundred patients completed the pre-operative measurements (60 % female) with a mean age of 41.9 ± 9.8 years and a mean BMI of 42.3 ± 4.7 kg/m(2). Pre-operatively, deficiencies for iron, ferritin, folic acid, vitamin B1, vitamin B12, vitamin D, and hemoglobin were 6, 1, 1, 6, 0, 22, and 6 %, respectively. Pre-surgery, mean energy, protein, fat, and carbohydrate intake were 2710.7 ± 1275.7 kcal/day, 114.2 ± 48.5, 110.6 ± 54.5, and 321.6 ± 176.1 gr/day, respectively. The intakes for iron, calcium, folic acid, vitamin B12, and vitamin B1 were below the Dietary Reference Intake (DRI) recommendations for 46, 48, 58, 14, and 34 % of the study population, respectively. We found a low prevalence of nutritional deficiencies pre-operatively except for vitamin D. Most micronutrient intake did not reach the DRI recommendations, despite high-caloric and macronutrient intake indicating a poor dietary quality.

Development and Technology Transfer of the Syncro Blue Tube (Gabriel) Magnetically Guided Feeding Tube

Science.gov (United States)

2017-06-01

suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188...the tube to the 110 cm mark. At the 110 cm mark, secure the tube with medical tape and remove the stylet completely allowing enough tube slack ...and it provides slack that allows tube to advance distally by the effect of natural peristalsis on the bolus-sized balloon. Results: Most feeding

X-ray tubes

International Nuclear Information System (INIS)

Young, R.W.

1979-01-01

A form of x-ray tube is described which provides satisfactory focussing of the electron beam when the beam extends for several feet from gun to target. Such a tube can be used for computerised tomographic scanning. (UK)

X-ray tube

International Nuclear Information System (INIS)

Webley, R.S.

1975-01-01

The object of the invention described is to provide an X-ray tube providing a scanned X-ray output which does not require a scanned electron beam. This is obtained by an X-ray tube including an anode which is rotatable about an axis, and a source of a beam of energy, for example an electron beam, arranged to impinge on a surface of the anode to generate X-radiation substantially at the region of incidence on the anode surface. The anode is rotatable about the axis to move the region of incidence over the surface. The anode is so shaped that the rotation causes the region of incidence to move in a predetermined manner relative to fixed parts of the tube so that the generated X-radiation is scanned in a predetermined manner relative to the tube. (UK)

Pump element for a tube pump

DEFF Research Database (Denmark)

2011-01-01

The invention relates to a tube pump comprising a tube and a pump element inserted in the tube, where the pump element comprises a rod element and a first and a second non-return valve member positioned a distance apart on the rod element. The valve members are oriented in the same direction...... relative to the rod element so as to allow for a fluid flow in the tube through the first valve member, along the rod element, and through the second valve member. The tube comprises an at least partly flexible tube portion between the valve members such that a repeated deformation of the flexible tube...... portion acts to alternately close and open the valve members thereby generating a fluid flow through the tube. The invention further relates to a pump element comprising at least two non-return valve members connected by a rod element, and for insertion in an at least partly flexible tube in such tube...

Ultrasonic measurement of gap between calandria tube and liquid injection shutdown system tube in PHWR

International Nuclear Information System (INIS)

Kim, Tae Ryong; Sohn, Seok Man; Lee, Jun Shin; Lee, Sun Ki; Lee, Jong Po

2001-01-01

Sag of CT or liquid injection shutdown system tubes in pressurized heavy water reactor is known to occur due to irradiation creep and growth during plant operation. When the sag of CT is big enough, the CT tube possibly comes in contact with liquid injection shutdown system tube (LIN) crossing beneath the CT, which subsequently may prevent the safe operation. It is therefore necessary to check the gap between the two tubes in order to confirm no contacts when using a proper measure periodically during the plant life. An ultrasonic gap measuring probe assembly which can be fed through viewing port installed on the calandria was developed and utilized to measure the sags of both tubes in a pressurized heavy water reactor in Korea. It was found that the centerlines of CT and LIN can be precisely detected by ultrasonic wave. The gaps between two tubes were easily obtained from the relative distance of the measured centerline elevations of the tubes. But the measured gap data observed at the viewing port were actually not the data at the crossing point of CT and LIN. To get the actual gap between two tubes, mathematical modeling for the deflection curves of two tubes was used. The sags of CT and LIN tubes were also obtained by comparison of the present centerlines with the initial elevations at the beginning of plant operation. The gaps between two tubes in the unmeasurable regions were calculated based on the measurement data and the channel power distribution

Tubing misconnections: normalization of deviance.

Science.gov (United States)

Simmons, Debora; Symes, Lene; Guenter, Peggi; Graves, Krisanne

2011-06-01

Accidental connection of an enteral system to an intravenous (IV) system frequently results in the death of the patient. Misconnections are commonly attributed to the presence of universal connectors found in the majority of patient care tubing systems. Universal connectors allow for tubing misconnections between physiologically incompatible systems. The purpose of this review of case studies of tubing misconnections and of current expert recommendations for safe tubing connections was to answer the following questions: In tubing connections that have the potential for misconnections between enteral and IV tubing, what are the threats to safety? What are patient outcomes following misconnections between enteral and IV tubing? What are the current recommendations for preventing misconnections between enteral and IV tubing? Following an extensive literature search and guided by 2 models of threats and errors, the authors analyzed case studies and expert opinions to identify technical, organizational, and human errors; patient-related threats; patient outcomes; and recommendations. A total of 116 case studies were found in 34 publications. Each involved misconnections of tubes carrying feedings, intended for enteral routes, to IV lines. Overwhelmingly, the recommendations were for redesign to eliminate universal connectors and prevent misconnections. Other recommendations were made, but the analysis indicates they would not prevent all misconnections. This review of the published case studies and current expert recommendations supports a redesign of connectors to ensure incompatibility between enteral and IV systems. Despite the cumulative evidence, little progress has been made to safeguard patients from tubing misconnections.

Resolution of lava tubes with ground penetrating radar: preliminary results from the TubeX project

Science.gov (United States)

Esmaeili, S.; Kruse, S.; Garry, W. B.; Whelley, P.; Young, K.; Jazayeri, S.; Bell, E.; Paylor, R.

2017-12-01

As early as the mid 1970's it was postulated that planetary tubes or caves on other planetary bodies (i.e., the Moon or Mars) could provide safe havens for human crews, protect life and shield equipment from harmful radiation, rapidly fluctuating surface temperatures, and even meteorite impacts. What is not clear, however, are the exploration methods necessary to evaluate a potential tube-rich environment to locate suitable tubes suitable for human habitation. We seek to address this knowledge gap using a suite of instruments to detect and document tubes in a terrestrial analog study at Lava Beds National Monument, California, USA. Here we describe the results of ground penetrating radar (GPR) profiles and light detection and ranging (LiDAR) scans. Surveys were conducted from the surface and within four lava tubes (Hercules Leg, Skull, Valentine and, Indian Well Caves) with varying flow composition, shape, and complexity. Results are shown across segments of these tubes where the tubes are 10 m in height and the ceilings are 1 - 10 m below the surface. The GPR profiles over the tubes are, as expected, complex, due to scattering from fractures in roof material and three-dimensional heterogeneities. Point clouds derived from the LiDAR scans of both the interior and exterior of the lava tubes provide precise positioning of the tube geometry and depth of the ceiling and floor with respect to the surface topography. GPR profiles over LiDAR-mapped tube cross-sections are presented and compared against synthetic models of radar response to the measured geometry. This comparison will help to better understand the origins of characteristic features in the radar profiles. We seek to identify the optimal data processing and migration approaches to aid lava tube exploration of planetary surfaces.

The effect of tube rupture location on the consequences of multiple steam generator tube rupture event

International Nuclear Information System (INIS)

Jeong, Ji Hwan; Kweon, Young Chul

2002-01-01

A multiple steam generator tube rupture (MSGTR) event has never occurred in the commercial operation of nuclear reactors while single steam generator tube rupture (SGTR) events are reported to occur every 2 years. As there has been no occurrence of a MSGTR event, the understanding of transients and consequences of this event is very limited. In this study, a postulated MSGTR event in an advanced power reactor 1400 (APR 1400) is analyzed using the thermal-hydraulic system code, MARS1.4. The APR 1400 is a two-loop, 3893 MWt, PWR proposed to be built in 2010. The present study aims to understand the effects of rupture location in heat transfer tubes following a MSGTR event. The effects of five tube rupture locations are compared with each other. The comparison shows that the response of APR1400 allows the shortest time for operator action following a tube rupture in the vicinity of the hot-leg side tube sheet and allows the longest time following a tube rupture at the tube top. The MSSV lift time for rupture at the tube-top is evaluated as 24.5% larger than that for rupture at the hot-leg side tube sheet

Experimental study of tube/support impact forces in multi-span PWR steam generator tubes

International Nuclear Information System (INIS)

Axisa, F.; Desseaux, A.; Gibert, R.J.

1984-12-01

The vibro-impact response of a straight part of a steam generator tube is investigated experimentally and using numerical simulation with the aim to relate tube overall dynamics with excitation and tube-support clearance. Configuration studied here corresponds to the tube being excited in only one direction at its first resonance presenting an antinode of vibration at the impacted support. Tests show namely that midspan displacement of tube is almost proportional to excitation level and clearance. Impact forces averaged over a cycle of vibration are almost proportional to excitation and poorly dependent on clearance. Results of numerical simulation are in fairly good agreement with test results

YouTube and 'psychiatry'.

Science.gov (United States)

Gordon, Robert; Miller, John; Collins, Noel

2015-12-01

YouTube is a video-sharing website that is increasingly used to share and disseminate health-related information, particularly among younger people. There are reports that social media sites, such as YouTube, are being used to communicate an anti-psychiatry message but this has never been confirmed in any published analysis of YouTube clip content. This descriptive study revealed that the representation of 'psychiatry' during summer 2012 was predominantly negative. A subsequent smaller re-analysis suggests that the negative portrayal of 'psychiatry' on YouTube is a stable phenomenon. The significance of this and how it could be addressed are discussed.

YouTube as an information source for pediatric adenotonsillectomy and ear tube surgery.

Science.gov (United States)

Sorensen, Jeffrey A; Pusz, Max D; Brietzke, Scott E

2014-01-01

Assess the overall quality of information on adenotonsillectomy and ear tube surgery presented on YouTube (www.youtube.com) from the perspective of a parent or patient searching for information on surgery. The YouTube website was systematically searched on select dates with a formal search strategy to identify videos pertaining to pediatric adenotonsillectomy and ear tube surgery. Only videos with at least 5 (ear tube surgery) or 10 (adenotonsillectomy) views per day were included. Each video was viewed and scored by two independent scorers. Videos were categorized by goal and scored for video/audio quality, accuracy, comprehensiveness, and procedure-specific content. Cross-sectional study. Public domain website. Fifty-five videos were scored for adenotonsillectomy and forty-seven for ear tube surgery. The most common category was educational (65.3%) followed by testimonial (28.4%), and news program (9.8%). Testimonials were more common for adenotonsillectomy than ear tube surgery (41.8% vs. 12.8%, p=0.001). Testimonials had a significantly lower mean accuracy (2.23 vs. 2.62, p=0.02), comprehensiveness (1.71 vs. 2.22, p=0.007), and TA specific content (0.64 vs. 1.69, p=0.001) score than educational type videos. Only six videos (5.9%) received high scores in both video/audio quality and accuracy/comprehensiveness of content. There was no significant association between the accuracy and comprehensive score and views, posted "likes", posted "dislikes", and likes/dislikes ratio. There was an association between "likes" and mean video quality (Spearman's rho=0.262, p=0.008). Parents/patients searching YouTube for information on pediatric adenotonsillectomy and ear tube surgery will generally encounter low quality information with testimonials being common but of significantly lower quality. Viewer perceived quality ("likes") did not correlate to formally scored content quality. Published by Elsevier Ireland Ltd.

Development of heat treated Zr-2.5% Nb alloy tubes for pressure tubes

International Nuclear Information System (INIS)

Saibaba, N.; Jha, S.K.; Tonpe, S.

2011-01-01

Zr-2.5% Nb alloy is the candidate material for pressure tubes of Pressurized Heavy Water Reactors (PHWR), and are manufactured in cold working condition while heat treated pressure tubes are used in RBMK and FUGEN type of reactors. The diametral creep of these tubes is the life limiting factor. This paper presents the extensive work carried out for the optimization of process parameters to manufacture heat treated Zr-2.5% Nb pressure tubes. Extensive dilactometry study was carried out to establish the transus temperature for the alloy and the effect of soaking temperature and cooling rate on the microstructure was characterized. On the basis of the study, water quenching (at 883 deg C) in the a b region with 20-25% primary a phase was selected, further cold worked, aged and finally autoclaved. Mechanical properties of the finished tubes were found to be comparable to the cold worked route. Large number of full sized tubes of about 700 - 800 mm long was produced to establish the repeatability. (author)

An investigation on SA 213-Tube to SA 387-Tube plate using friction welding process

Energy Technology Data Exchange (ETDEWEB)

Rajan, S. Pandia; Kumaraswamidhas, L. A. [Indian Institute of Technology, Jharkhand (India); Kumaran, S. Senthil [RVS School of Engineering and Technology, Tamil Nadu (India); Muthukumaran, S. [National Institute of Technology, Tamil Nadu (India)

2016-01-15

Friction welding of tube to tube plate using an external tool (FWTPET) is a relatively newer solid state welding process used for joining tube to tube plate of either similar or dissimilar materials with enhanced mechanical and metallurgical properties. In the present study, FWTPET has been used to weld SA 213 (Grade T12) tube with SA 387 (Grade 22) tube plate. The welded samples are found to have satisfactory joint strength and the Energy dispersive X-ray analysis (EDX), X-ray diffraction (XRD) study showed that inter metallic compound is absent in the weld zone. The different weld joints have been identified and the phase composition is found using EDX and XRD. Microstructures have been analyzed using optical and Scanning electron microscopy (SEM). The mechanical properties such as hardness, compressive shear strength and peel test for different weld conditions are studied and the hardness survey revealed that there is increase in hardness at the weld interface due to grain refinement. The corrosion behavior for different weld conditions have been analyzed and the weld zone is found to have better corrosion resistance due to the influence of the grain refinement after FWTPET welding process. Hence, the present investigation is carried out to study the behavior of friction welded dissimilar joints of SA 213 tube and SA 387 tube plate joints and the results are presented. The present study confirms that a high quality tube to tube plate joint can be achieved using FWTPET process at 1120 rpm.

PWR steam generator tubing sample library

International Nuclear Information System (INIS)

Anon.

1987-01-01

In order to compile the tubing sample library, two approaches were employed: (a) tubing sample replication by either chemical or mechanical means, based on field tube data and metallography reports for tubes already destructively examined; and (b) acquisition of field tubes removed from operating or retired steam generators. In addition, a unique mercury modeling concept is in use to guide the selection of replica samples. A compendium was compiled that summarizes field observations and morphologies of steam generator tube degradation types based on available NDE, destructive examinations, and field reports. This compendium was used in selecting candidate degradation types that were manufactured for inclusion in the tube library

Dietary intake and ghrelin and leptin changes after sleeve gastrectomy.

Science.gov (United States)

Bužga, Marek; Zavadilová, Vladislava; Holéczy, Pavol; Švagera, Zdeněk; Švorc, Pavol; Foltys, Aleš; Zonča, Pavel

2014-12-01

Surgical intervention in obesity is today the most effective treatment method in high level obesity management. Bariatric interventions not only ensure body weight reduction, but may influence dietary habits. To assess changes in adipose hormones and dietary habits in obese patients after sleeve gastrectomy. The study set comprised 37 subjects (29 females and 8 males) 24 to 68 years old with body mass index 43.0 ±4.9 kg/m(2). Pre-operative examination included baseline measurements of body composition. Dietary habits and intake frequency were monitored by a questionnaire method. Follow-up examinations were carried out in a scope identical to the pre-operative examination, 6 and 12 months after surgery, respectively. The average patient weight loss 12 months after surgery was 31.7 kg. Excess weight loss was 55.2 ±20.6%. Patients reported reduced appetite (p meal portions per day (p = 0.003) and a decrease in consuming the largest portions during the afternoon and evening (p = 0.030). Plasma levels of fasting glucose, leptin and ghrelin significantly decreased (p = 0.006; p = 0.0.043); in contrast, the level of adiponectin significantly increased (p weight reduction within 1 year after surgery. An improvement of certain dietary habits in patients was registered. At 12 months after surgery, there were no statistically significant differences in decreases in ghrelin and leptin concentrations between patients without changed appetite and those reporting decreased appetite.

Steam generator tube performance

International Nuclear Information System (INIS)

Tatone, O.S.; Pathania, R.S.

1984-10-01

A review of the performance of steam generator tubes in 116 water-cooled nuclear power reactors showed that tubes were plugged at 54 (46 percent) of the reactors. The number of tubes removed from service decreased from 4 692 (0.30 percent) in 1981 to 3 222 (0.20 percent) in 1982. The leading causes of tube failures were stress corrosion cracking from the primary side, stress corrosion cracking (or intergranular attack) from the secondary side and pitting corrosion. The lowest incidence of corrosion-induced defects from the secondary side occurred in reactors that have used only volatile treatment, with or without condensate demineralization

Sealed ion accelerator tubes (survey)

International Nuclear Information System (INIS)

Voitsik, L.R.

1985-01-01

The first publications on developing commercial models of small-scale sealed accelerator tubes in which neutrons are generated appeared in the foreign press in 1954 to 1957; they were very brief and were advertising-oriented. The tubes were designed for neutron logging of oil wells instead of ampule neutron sources (Po + Be, Ra + Be). Later, instruments of this type began to be called neutron tubes from the resulting neutron radiation that they gave off. In Soviet Union a neutron tube was developed in 1958 in connection with the development of the pulsed neutron-neutron method of studying the geological profile of oil wells. At that time the tube developed was intended, in the view of its inventors, to replace standard isotope sources with constant neutron yield. A fairly detailed survey of neutron tubes was made in the studies. 8 refs., 8 figs

Steam generator tube integrity program

International Nuclear Information System (INIS)

Dierks, D.R.; Shack, W.J.; Muscara, J.

1996-01-01

A new research program on steam generator tubing degradation is being sponsored by the U.S. Nuclear Regulatory Commission (NRC) at Argonne National Laboratory. This program is intended to support a performance-based steam generator tube integrity rule. Critical areas addressed by the program include evaluation of the processes used for the in-service inspection of steam generator tubes and recommendations for improving the reliability and accuracy of inspections; validation and improvement of correlations for evaluating integrity and leakage of degraded steam generator tubes, and validation and improvement of correlations and models for predicting degradation in steam generator tubes as aging occurs. The studies will focus on mill-annealed Alloy 600 tubing, however, tests will also be performed on replacement materials such as thermally-treated Alloy 600 or 690. An overview of the technical work planned for the program is given

Are there risk factors that increase the rate of staple line leakage in patients undergoing primary sleeve gastrectomy for morbid obesity?

Science.gov (United States)

Benedix, Frank; Benedix, Diana D; Knoll, Christian; Weiner, Rudolf; Bruns, Christiane; Manger, Thomas; Stroh, Christine

2014-10-01

Laparoscopic sleeve gastrectomy (LSG) is currently being performed with increasing frequency worldwide. It offers an excellent weight loss and resolution of comorbidities in the short term with a very low incidence of complications. However, the ever present risk of a staple line leak is still a major concern. Since 2005, data from obese patients that undergo bariatric procedures in Germany are prospectively registered in an online database and analyzed at the Institute of Quality Assurance in Surgical Medicine. For the current analysis, all patients that had undergone primary sleeve gastrectomy for morbid obesity within a 7-year period were considered. Using the GBSR, data from 5.400 LSGs were considered for analysis. Staple line leak rate decreased during the study period from 6.5 to 1.4 %. Male gender, higher BMI, concomitant sleep apnea, conversion to laparotomy, longer operation time, use of both buttresses and oversewing, and the occurrence of intraoperative complications were associated with a significantly higher leakage rate. On multivariate analysis, operation time and year of procedure only had a significant impact on staple line leak rate. The results of the current study demonstrated that there are factors that increase the risk of a leakage which would enable surgeons to define risk groups, to more carefully select patients, and to offer a closer follow-up during the postoperative course with early recognition and adequate treatment. All future efforts should be focused on a further reduction of serious complications to make the LSG a widely accepted and safer procedure.

Tube plug removal machine

International Nuclear Information System (INIS)

Hawkins, P.J.

1987-01-01

In a nuclear steam generator wherein some faulty tubes have been isolated by mechanical plugging, to remove a selected plug without damaging the associated tube, a plug removal machine is used. The machine drills into a plug portion with a tap drill bit having a drill portion a tap portion and a threaded portion, engaging that plug portion with the threaded portion after the drilled hole has been threaded by the tap portion thereof, and removing a portion of the plug in the tube with a counterbore drill bit mounted concentrically about the tap drill bit. A trip pin and trip spline disengage the tap drill bit from the motor. The counterbore drill bit is thereafter self-centered with respect to the tube and plug about the now stationary tap drill bit. After a portion of the plug has been removed by the counterbore drill bit, pulling on the top drill bit by grippers on slots will remove the remaining plug portion from the tube. (author)

Falling film evaporation on a tube bundle with plain and enhanced tubes

International Nuclear Information System (INIS)

Habert, M.

2009-04-01

The complexities of two-phase flow and evaporation on a tube bundle present important problems in the design of heat exchangers and the understanding of the physical phenomena taking place. The development of structured surfaces to enhance boiling heat transfer and thus reduce the size of evaporators adds another level of complexity to the modeling of such heat exchangers. Horizontal falling film evaporators have the potential to be widely used in large refrigeration systems and heat pumps, in the petrochemical industry and for sea water desalination units, but there is a need to improve the understanding of falling film evaporation mechanisms to provide accurate thermal design methods. The characterization of the effect of enhanced surfaces on the boiling phenomena occurring in falling film evaporators is thus expected to increase and optimize the performance of a tube bundle. In this work, the existing LTCM falling film facility was modified and instrumented to perform falling film evaporation measurements on single tube row and a small tube bundle. Four types of tubes were tested including: a plain tube, an enhanced condensing tube (Gewa-C+LW) and two enhanced boiling tubes (Turbo-EDE2 and Gewa-B4) to extend the existing database. The current investigation includes results for two refrigerants, R134a and R236fa, at a saturation temperature of T sat = 5 °C, liquid film Reynolds numbers ranging from 0 to 3000, at heat fluxes between 20 and 60 kW/m² in pool boiling and falling film configurations. Measurements of the local heat transfer coefficient were obtained and utilized to improve the current prediction methods. Finally, the understanding of the physical phenomena governing the falling film evaporation of liquid refrigerants has been improved. Furthermore, a method for predicting the onset of dry patch formation has been developed and a local heat transfer prediction method for falling film evaporation based on a large experimental database has been proposed

Complications and nutrient deficiencies two years after sleeve gastrectomy

Directory of Open Access Journals (Sweden)

Pech Nicole

2012-07-01

Full Text Available Abstract Background The aim of this systematic study was to investigate patient outcomes and nutritional deficiencies following sleeve gastrectomy (SG during a median follow-up of two years. Methods Over a period of 56 months, all consecutive patients who underwent SG were documented in this prospective, single-center, observational study. The study endpoints included complication rates, nutritional deficiencies and percentage of excess weight loss (%EWL. Results From September 26, 2005 to May 28, 2009, 100 patients (female: male = 59:41 with a mean age of 43.6 years (range: 22–64 and a preoperative BMI of 52.3 kg/² (range: 36–77 underwent SG. The mean operative time was 86.4 min (range: 35–275. Major complications were observed in 8.0 % of the patients. During the follow-up period, 25 patients (25.0 % underwent a second bariatric intervention (22 DS and 3 RYGBP. Out of the total 100 patients, 48 % were supplemented with iron, 33 % with zinc, 34 % with a combination of calcium carbonate and cholecalciferol, 24 % with vitamin D, 42 % with vitamin B12 and 40 % with folic acid. The patients who received only a SG (n = 75 had %EWL of 53.6, 65.8 and 62.6 % after 6, 12 and 24 months, respectively. Conclusions SG is a highly effective bariatric intervention for morbidly obese patients. Nutritional deficiencies resulting from the procedure can be detected by routine nutritional screening. Results of the study show that Vitamin B12 supplementation should suggested routinely.

Steam generator tube performance

International Nuclear Information System (INIS)

Tatone, O.S.; Pathania, R.S.

1982-04-01

The performance of steam generator tubes in water-cooled nuclear power reactors has been reviewed for 1980. Tube defects occurred at 38% of the 97 reactors surveyed. This is a marginal improvement over 1979 when defects occurred at 41% of the reactors. The number of failed tubes was also lower, 0.14% of the tubes in service in 1980 compared with 0.20% of those in service in 1979. Analysis of the causes of these failures indicates that stress corrosion cracking was the leading failure mechanism. Reactors that used all-volatile treatment of secondary water, with or without full-flow condensate demineralization since start-up showed the lowest incidence of corrosion-related defects

Sleeve bridging of the rhesus monkey ulnar nerve with muscular branches of the pronator teres: multiple amplification of axonal regeneration

Directory of Open Access Journals (Sweden)

Yu-hui Kou

2015-01-01

Full Text Available Multiple-bud regeneration, i.e., multiple amplification, has been shown to exist in peripheral nerve regeneration. Multiple buds grow towards the distal nerve stump during proximal nerve fiber regeneration. Our previous studies have verified the limit and validity of multiple amplification of peripheral nerve regeneration using small gap sleeve bridging of small donor nerves to repair large receptor nerves in rodents. The present study sought to observe multiple amplification of myelinated nerve fiber regeneration in the primate peripheral nerve. Rhesus monkey models of distal ulnar nerve defects were established and repaired using muscular branches of the right forearm pronator teres. Proximal muscular branches of the pronator teres were sutured into the distal ulnar nerve using the small gap sleeve bridging method. At 6 months after suture, two-finger flexion and mild wrist flexion were restored in the ulnar-sided injured limbs of rhesus monkey. Neurophysiological examination showed that motor nerve conduction velocity reached 22.63 ± 6.34 m/s on the affected side of rhesus monkey. Osmium tetroxide staining demonstrated that the number of myelinated nerve fibers was 1,657 ± 652 in the branches of pronator teres of donor, and 2,661 ± 843 in the repaired ulnar nerve. The rate of multiple amplification of regenerating myelinated nerve fibers was 1.61. These data showed that when muscular branches of the pronator teres were used to repair ulnar nerve in primates, effective regeneration was observed in regenerating nerve fibers, and functions of the injured ulnar nerve were restored to a certain extent. Moreover, multiple amplification was subsequently detected in ulnar nerve axons.

Sleeve bridging of the rhesus monkey ulnar nerve with muscular branches of the pronator teres: multiple amplification of axonal regeneration.

Science.gov (United States)

Kou, Yu-Hui; Zhang, Pei-Xun; Wang, Yan-Hua; Chen, Bo; Han, Na; Xue, Feng; Zhang, Hong-Bo; Yin, Xiao-Feng; Jiang, Bao-Guo

2015-01-01

Multiple-bud regeneration, i.e., multiple amplification, has been shown to exist in peripheral nerve regeneration. Multiple buds grow towards the distal nerve stump during proximal nerve fiber regeneration. Our previous studies have verified the limit and validity of multiple amplification of peripheral nerve regeneration using small gap sleeve bridging of small donor nerves to repair large receptor nerves in rodents. The present study sought to observe multiple amplification of myelinated nerve fiber regeneration in the primate peripheral nerve. Rhesus monkey models of distal ulnar nerve defects were established and repaired using muscular branches of the right forearm pronator teres. Proximal muscular branches of the pronator teres were sutured into the distal ulnar nerve using the small gap sleeve bridging method. At 6 months after suture, two-finger flexion and mild wrist flexion were restored in the ulnar-sided injured limbs of rhesus monkey. Neurophysiological examination showed that motor nerve conduction velocity reached 22.63 ± 6.34 m/s on the affected side of rhesus monkey. Osmium tetroxide staining demonstrated that the number of myelinated nerve fibers was 1,657 ± 652 in the branches of pronator teres of donor, and 2,661 ± 843 in the repaired ulnar nerve. The rate of multiple amplification of regenerating myelinated nerve fibers was 1.61. These data showed that when muscular branches of the pronator teres were used to repair ulnar nerve in primates, effective regeneration was observed in regenerating nerve fibers, and functions of the injured ulnar nerve were restored to a certain extent. Moreover, multiple amplification was subsequently detected in ulnar nerve axons.

The dynamic single-tube concept; Le mono-tube dynamique

Energy Technology Data Exchange (ETDEWEB)

Rivet, P. [Ste MC International (France)

1997-12-31

In the framework of greenhouse gas emission reduction and the utilization of cooling intermediate fluids with indirect refrigerating systems, a new concept of dynamical single-tube has been developed, which allows for the simultaneous cold distribution from a centralized plant towards various required temperature systems (as for example in a supermarket refrigerating system) with optimized efficiency, fluid flow and defrosting conditions; moreover, the dynamic single-tube concept is very well adapted to two-phase flows

Fuel assembly and fuel cladding tube

International Nuclear Information System (INIS)

Tsutsumi, Shinro; Ito, Ken-ichi; Inagaki, Masatoshi; Nakajima, Junjiro.

1996-01-01

A fuel cladding tube is a zirconium liner tube formed by lining a pure zirconium layer on the inner side of a zirconium alloy tube. The fuel cladding tube is formed by extrusion molding of a composite billet formed by inserting a pure zirconium billet into a zirconium alloy billet. Accordingly, the pure zirconium layer and the zirconium alloy tube are strongly joined by metal bond. The fuel cladding tube has an external oxide film on the outer surface of the zirconium alloy tube and an internal oxide film on the inner side of the pure zirconium layer. The external oxide film has a thickness preferably of about 1μm. The internal oxide film has a thickness of not more than 10μm, preferably, from 1 to 5μm. With such a constitution, flaws to be formed on both inner and outer surfaces of the cladding tube upon assembling a fuel assembly can be reduced thereby enabling to reduce the amount of hydrogen absorbed to the cladding tube. (I.N.)

Comparison of digoxin concentration in plastic serum tubes with clot activator and heparinized plasma tubes.

Science.gov (United States)

Dukić, Lora; Simundić, Ana-Maria; Malogorski, Davorin

2014-01-01

Sample type recommended by the manufacturer for the digoxin Abbott assay is either serum collected in glass tubes or plasma (sodium heparin, lithium heparin, citrate, EDTA or oxalate as anticoagulant) collected in plastic tubes. In our hospital samples are collected in plastic tubes. Our hypothesis was that the serum sample collected in plastic serum tube can be used interchangeably with plasma sample for measurement of digoxin concentration. Our aim was verification of plastic serum tubes for determination of digoxin concentration. Concentration of digoxin was determined simultaneously in 26 venous blood plasma (plastic Vacuette, LH Lithium heparin) and serum (plastic Vacuette, Z Serum Clot activator; both Greiner Bio-One GmbH, Kremsmünster, Austria) samples, on Abbott AxSYM analyzer using the original Abbott Digoxin III assay (Abbott, Wiesbaden, Germany). Tube comparability was assessed using the Passing Bablok regression and Bland-Altman plot. Serum and plasma digoxin concentrations are comparable. Passing Bablok intercept (0.08 [95% CI = -0.10 to 0.20]) and slope (0.99 [95% CI = 0.92 to 1.11]) showed there is no constant or proportional error. Blood samples drawn in plastic serum tubes and plastic plasma tubes can be interchangeably used for determination of digoxin concentration.

Dermatology on YouTube.

Science.gov (United States)

Boyers, Lindsay N; Quest, Tyler; Karimkhani, Chante; Connett, Jessica; Dellavalle, Robert P

2014-06-15

YouTube, reaches upwards of six billion users on a monthly basis and is a unique source of information distribution and communication. Although the influence of YouTube on personal health decision-making is well established, this study assessed the type of content and viewership on a broad scope of dermatology related content on YouTube. Select terms (i.e. dermatology, sun protection, skin cancer, skin cancer awareness, and skin conditions) were searched on YouTube. Overall, the results included 100 videos with over 47 million viewers. Advocacy was the most prevalent content type at 24% of the total search results. These 100 videos were "shared" a total of 101,173 times and have driven 6,325 subscriptions to distinct YouTube user pages. Of the total videos, 35% were uploaded by or featured an MD/DO/PhD in dermatology or other specialty/field, 2% FNP/PA, 1% RN, and 62% other. As one of the most trafficked global sites on the Internet, YouTube is a valuable resource for dermatologists, physicians in other specialties, and the general public to share their dermatology-related content and gain subscribers. However, challenges of accessing and determining evidence-based data remain an issue.

Bacterial Biofilms in Jones Tubes.

Science.gov (United States)

Ahn, Eric S; Hauck, Matthew J; Kirk Harris, Jonathan; Robertson, Charles E; Dailey, Roger A

To investigate the presence and microbiology of bacterial biofilms on Jones tubes (JTs) by direct visualization with scanning electron microscopy and polymerase chain reaction (PCR) of representative JTs, and to correlate these findings with inflammation and/or infection related to the JT. In this study, prospective case series were performed. JTs were recovered from consecutive patients presenting to clinic for routine cleaning or recurrent irritation/infection. Four tubes were processed for scanning electron microscopy alone to visualize evidence of biofilms. Two tubes underwent PCR alone for bacterial quantification. One tube was divided in half and sent for scanning electron microscopy and PCR. Symptoms related to the JTs were recorded at the time of recovery. Seven tubes were obtained. Five underwent SEM, and 3 out of 5 showed evidence of biofilms (60%). Two of the 3 biofilms demonstrated cocci and the third revealed rods. Three tubes underwent PCR. The predominant bacteria identified were Pseudomonadales (39%), Pseudomonas (16%), and Staphylococcus (14%). Three of the 7 patients (43%) reported irritation and discharge at presentation. Two symptomatic patients, whose tubes were imaged only, revealed biofilms. The third symptomatic patient's tube underwent PCR only, showing predominantly Staphylococcus (56%) and Haemophilus (36%) species. Two of the 4 asymptomatic patients also showed biofilms. All symptomatic patients improved rapidly after tube exchange and steroid antibiotic drops. Bacterial biofilms were variably present on JTs, and did not always correlate with patients' symptoms. Nevertheless, routine JT cleaning is recommended to treat and possibly prevent inflammation caused by biofilms.

Rectangular drift tube characteristics

International Nuclear Information System (INIS)

Denisov, D.S.; Musienko, Yu.V.

1985-01-01

Results on the study of the characteristics of a 50 x 100 mm aluminium drift tube are presented. The tube was filled with argon-methane and argon-isobutane mixtures. With 16 per cent methane concentration the largest deviation from a linear relation between the drift time and the drift path over 50 mm is less than 2 mm. The tube filled with argon-isobutane mixture is capable of operating in a limited streamer mode

Portomesenteric venous thrombosis after laparoscopic sleeve gastrectomy: A case report and a call for prevention

Directory of Open Access Journals (Sweden)

Parveen Bhatia

2015-01-01

Full Text Available Postoperative portomesenteric venous thrombosis (PMVT is being increasingly reported after bariatric surgery. It is variable and often a nonspecific presentation along with its potential for life-threatening and life-altering outcomes makes it imperative that it is prevented, detected early and treated optimally. We report the case of a 50-year-old morbidly obese man undergoing a laparoscopic sleeve gastrectomy who developed symptomatic PMVT two weeks postsurgery, which was successfully treated by anticoagulant therapy. We provide postulates to the etiopathological mechanism for this thrombotic entity. The growing recognition that obesity and bariatric surgery create a procoagulant state regionally and systemically provides impetus for designing the ideal protocol for PMVT prophylaxis, which could be more common than currently believed. We support the early screening for PMVT in the postbariatric surgical patient with unexplainable or intractable abdominal symptoms. The role of routine surveillance and the ideal duration of post-PMVT anticoagulation is yet to be elucidated.

Chest tube insertion - series (image)

Science.gov (United States)

Chest tubes are inserted to drain blood, fluid, or air and allow full expansion of the lungs. The tube is placed in the pleural space. The area where the tube will be inserted is numbed (local anesthesia). The patient may also be sedated. The chest ...

Boiling and condensation in microfin tubes

Science.gov (United States)

Schlager, Lynn M.

A general overview of microfin tubes and their applications is presented. Manufacturing processes, commercial availability, experimental heat transfer, and pressure drop data for various refrigerants (including alternative refrigerants and refrigerant-oil mixtures), physical mechanisms of enhancement, and the incorporation of microfin tubes in common heat exchanger configurations are discussed. Microfin tubes, also known by various trade names, are characterized by numerous small fins which typically spiral down the inside wall of tubes at angles ranging from 10 to 30 degrees. The number of fins ranges from 48 to 70 with typical fin heights of 0.12 to 0.30 mm (fin height generally less than 3 percent of the inside diameter of the tube). Fin shapes may vary and the inside surface area of microfin tubes is 10 to 70 percent greater than the area of equivalent smooth tubes. Heat transfer can be enhanced by up to a factor of three with microfin tubes.

Flux tubes at finite temperature

Energy Technology Data Exchange (ETDEWEB)

Cea, Paolo [INFN, Sezione di Bari,Via G. Amendola 173, I-70126 Bari (Italy); Dipartimento di Fisica dell’Università di Bari,Via G. Amendola 173, I-70126 Bari (Italy); Cosmai, Leonardo [INFN, Sezione di Bari,Via G. Amendola 173, I-70126 Bari (Italy); Cuteri, Francesca; Papa, Alessandro [Dipartimento di Fisica, Università della Calabria & INFN-Cosenza,Ponte Bucci, cubo 31C, I-87036 Rende (Cosenza) (Italy)

2016-06-07

The chromoelectric field generated by a static quark-antiquark pair, with its peculiar tube-like shape, can be nicely described, at zero temperature, within the dual superconductor scenario for the QCD confining vacuum. In this work we investigate, by lattice Monte Carlo simulations of the SU(3) pure gauge theory, the fate of chromoelectric flux tubes across the deconfinement transition. We find that, if the distance between the static sources is kept fixed at about 0.76 fm ≃1.6/√σ and the temperature is increased towards and above the deconfinement temperature T{sub c}, the amplitude of the field inside the flux tube gets smaller, while the shape of the flux tube does not vary appreciably across deconfinement. This scenario with flux-tube “evaporation” above T{sub c} has no correspondence in ordinary (type-II) superconductivity, where instead the transition to the phase with normal conductivity is characterized by a divergent fattening of flux tubes as the transition temperature is approached from below. We present also some evidence about the existence of flux-tube structures in the magnetic sector of the theory in the deconfined phase.

Managing a chest tube and drainage system.

Science.gov (United States)

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

2010-02-01

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

Strong, corrosion-resistant aluminum tubing

Science.gov (United States)

Reed, M. W.; Adams, F. F.

1980-01-01

When aluminum tubing having good corrosion resistance and postweld strength is needed, type 5083 alloy should be considered. Chemical composition is carefully controlled and can be drawn into thin-wall tubing with excellent mechanical properties. Uses of tubing are in aircraft, boats, docks, and process equipment.

Bottom nozzle to guide tube connection

International Nuclear Information System (INIS)

Bryan, W.J.

1991-01-01

This patent describes a nuclear fuel assembly which includes an upper end fitting and a lower end fitting spaced therefrom and connected thereto by elongated guide tubes of one alloy having an open upper end and a closed lower end with spaced fuel element retaining grids mounted on the guide tubes therebetween, the closed lower ends of the guide tubes including a threaded central passageway and the attachment of the guide tubes to the lower end fitting of another alloy. It comprises: an externally threaded bolt with a first end threadably received in the threaded central passageway of the lower end of the guide tube and a head at the other end of the side of the lower end fitting opposite the guide tube; an interruption in the external threads of the bolt which forms a groove which communicates the interior of the guide tube with the side of the lower end fitting opposite the guide tube and enhances its frictional engagement with the threaded central passageway, thereby to hold and attach the guide tube and lower end fitting firmly together, even through a series of temperature cycles

Development of the double-wall-tube steam generator. Evaluation of inner tube leak detection system

International Nuclear Information System (INIS)

Teraoku, Takuji; Kisohara, Naoyuki

1995-01-01

A double-wall-tube steam generator (DWT-SG) is considered to have possibility of eliminating a secondary heat transport system to realize a reliable and simplified FBR plant. Thus, basic tests for inner/outer tube leak detection and prototypical leak tests by use of the 1MWt DWT-SG model have been performed to evaluate the feasibility of DWT-SG. Their results demonstrated that the inner leak detection system can definitely detect a steam leak from an inner tube flaw. Analyses of the inner tube leak and detection behavior obtained in the 1MWt DWT-SG test enabled to estimate the performance of the inner tube detection system of the commercial DWT-SG system. (author)

Integrated Approaches for the Management of Staple Line Leaks following Sleeve Gastrectomy

Directory of Open Access Journals (Sweden)

Mauro Montuori

2017-01-01

Full Text Available Introduction. Aim of the study was trying to draw a final flow chart for the management of gastric leaks after laparoscopic sleeve gastrectomy, based on the review of our cases over 10 years’ experience. Material and Methods. We retrospectively reviewed all patients who underwent LSG as a primary operation at the Bariatric Unit of Tor Vergata University Hospital in Rome from 2007 to 2015. Results. Patients included in the study were 418. There were 6 staple line leaks (1.44%. All patients with diagnosis of a leak were initially discharged home in good clinical conditions and then returned to A&E because of the complication. The mean interval between surgery and readmission for leak was 13,4 days (range 6–34 days, SD ± 11.85. We recorded one death (16.67% due to sepsis. The remaining five cases were successfully treated with a mean healing time of the gastric leak of 55,5 days (range 26–83 days; SD ± 25.44. Conclusion. Choosing the proper treatment depends on clinical stability and on the presence or not of collected abscess. Our treatment protocol showed being associated with low complication rate and minor discomfort to the patients, reducing the need for more invasive procedures.

Cross-talk in straw tube chambers

Energy Technology Data Exchange (ETDEWEB)

Marzec, J. E-mail: janusz.marzec@ire.pw.edu.pl

2003-05-11

An analytical model of the signal transmission between neighboring straw tubes with resistive cathodes (cross-talk) is presented. The dependence of the cross-talk level on the cathode resistance, tube length, particle detection point, the distance of the tube from the shielding planes, and termination of the tube ends is analyzed.

Cross-talk in straw tube chambers

International Nuclear Information System (INIS)

Marzec, J.

2003-01-01

An analytical model of the signal transmission between neighboring straw tubes with resistive cathodes (cross-talk) is presented. The dependence of the cross-talk level on the cathode resistance, tube length, particle detection point, the distance of the tube from the shielding planes, and termination of the tube ends is analyzed

Tubing cutter for tight spaces

Science.gov (United States)

Girala, A. S.

1980-01-01

Cutter requires few short swings of handle to rotate its cutting edge full 360 around tube. It will cut tubing installed in confined space that prevents free movement of conventional cutter. Cutter is snapped onto tube and held in place by spring-loaded clamp. Screw ratchet advances cutting wheel.

Evaluation of the Effect of Tube Pitch and Surface Alterations on Temperature Field at Sprinkled Tube Bundle

Directory of Open Access Journals (Sweden)

Kracík Petr

2015-01-01

Full Text Available Water flowing on a sprinkled tube bundle forms three basic modes: It is the Droplet mode (liquid drips from one tube to another, the Jet mode (with an increasing flow rate droplets merge into a column and the Membrane (Sheet mode (with further increasing of falling film liquid flow rate columns merge and create sheets between the tubes. With sufficient flow rate sheets merge at this state and the tube bundle is completely covered by a thin liquid film. There are several factors influencing the individual mode types as well as heat transfer. Beside the above mentioned falling film liquid flow rate they are for instance tube diameters, tube pitches in a tube bundle or a physical condition of a falling film liquid. This paper presents a summary of data measured at atmospheric pressure at a tube bundle consisting of copper tubes of 12 milimeters diameter and of the studied tube length one meter. The tubes are positioned horizontally one above another with the tested pitches of 15, 20, 25 and 30 mm and there is a distribution tube placed above them with water flowing out. The thermal gradient of 15–40 has been tested with all pitches where the falling film liquid’s temperature at the inlet of the distribution tube was 15 °C. The liquid was heated during the flow through the exchanger and the temperature of the sprinkled (heater liquid at the inlet of the exchanger with a constant flow rate about 7.2 litres per minute was 40 °C. The tested flow of the falling film liquid ranged from 1.0 to 13.0 litres per minute. Sequences of 180 exposures have been recorded in partial flow rate stages by thermographic camera with record frequency of 30 Hz which were consequently assessed using the Matlab programme. This paper presents results achieved at the above mentioned pitches and at three types of tube bundle surfaces.

An investigation on mechanical property of commercial copper tube to aluminium 2025 tube plate by FWTPET process

Energy Technology Data Exchange (ETDEWEB)

Kannan, S., E-mail: kannan.dgl201127@gmail.com [Department of Mechanical Engineering and Mining Machinery Engineering, Indian Institute of Technology (ISM), Dhanbad, Jharkhand 826004 (India); Senthil Kumaran, S., E-mail: sskumaran@ymail.com [Research and Development Center, Department of Mechanical Engineering, RVS Educational Trust' s Group of Institutions, RVS School of Engineering and Technology, Dindigul, Tamilnadu 624005 (India); Kumaraswamidhas, L.A., E-mail: lakdhas1978@gmail.com [Department of Mechanical Engineering and Mining Machinery Engineering, Indian Institute of Technology (ISM), Dhanbad, Jharkhand 826004 (India)

2016-07-05

Frictional welding of tube to tube plate by external tool (FWTPET) posses wide spread industrial in mass production process for joint similar and dissimilar materials. Frictional welding process allows welding of some materials that are exceptionally hard to fusion weld. The good quality joint between the tube and tube plate is achieved by selecting the proper process parameter. In this present research, the frictional welding is done between the Aluminium 2025 tube plate and commercial copper tube possessing a clearance fit of 0.1 mm between tube and hole. In this study, two conditions were considered while handing out this experiment. The condiction1 is tube without holes [WOH] and condition 2 is tube with holes [WH] on the tube circumference. In total, twenty seven work pieces have been considered separately for both conditions and the mechanical property such as compression strength and hardness value has been measured for the both set of work piece in two conditions to analysis the joint strength of the welding process. Taguchi L{sub 27} orthogonal array has been used in this process to identify the process parameter which influences the joint strength of the welded samples. ANOVA method is used to calculate the percentage of contribution by each process parameter which influences the better joint strength. Genetic algorithm is used to authenticate the outcome obtained from the both experimental value and optimization value. Scanning Electron Microscope (SEM) and Energy-dispersive X-ray analysis (EDX) has been performed to probe microstructures and chemical compositions for work piece without holes which has higher mechanical property. - Highlights: • FWTPET for dissimilar metals commercial copper tube and Al 2025 tube plate. • The hardness value for tube without holes are 180.988 Hv. • The compression strength for tube without holes are 376.05 MPa. • SEM confirm heat production is done to melt parent metal by diffusion process. • EDX prove no trace

Internal heat exchange tubes for industrial furnaces

Energy Technology Data Exchange (ETDEWEB)

Hoetzl, M.; Lingle, T.M.

1992-05-26

This patent describes a method for cooling the work within an industrial furnace. It comprises providing a longitudinally extending outer tube which extends into the furnace having a closed axial end and an open axial end; providing a preformed inner tube open at both ends within the outer tube; injecting a coolant into the inner tube so that the coolant flows from one axial end of the tube out the opposite end adjacent the closed end of the outer tube, and from the closed end of the outer tube to the open end thereof; circulating a gas within the furnace against the outer tube to effect heat transfer therewith.

Square through tube

International Nuclear Information System (INIS)

Akita, Junji; Honma, Toei.

1975-01-01

Object: To provide a square through tube involving thermal movement in pipelines such as water supply pump driving turbine exhaust pipe (square-shaped), which is wide in freedom with respect to shape and dimension thereof for efficient installation at site. Structure: In a through tube to be airtightly retained for purpose of decontamination in an atomic power plant, comprising a seal rubber plate, a band and a bolt and a nut for securing said plate, the seal rubber plate being worked into the desired shape so that it may be placed in intimate contact with the concrete floor surface by utilization of elasticity of rubber, thereby providing airtightness at a corner portion of the square tube. (Kamimura, M.)

Process and device for locating a defective tube, particularly in the tube bundle of a steam generator

International Nuclear Information System (INIS)

Denis, Jean.

1977-01-01

A process is described for locating a defective tube, particularly in the tube bundle of a steam generator of the reversed U tube kind with the ends connected to a tube plate, marking with the bottom of the generator casing a space separated into two adjacent collectors, respectively for the inlet and outlet of a primary fluid flowing inside the tubes of the bundle, these being externally washed by a secondary vaporizing fluid. In this process a television camera that can be inserted into the casing is used. This process consists in transmitting to a display system outside the generator an image of the tube plate in each collector by means of a directional television camera and then to place over this image a luminous marker to locate the end or the faulty tube [fr

Sleeve lobectomy versus pneumonectomy for non-small cell lung cancer: a meta-analysis

Directory of Open Access Journals (Sweden)

Shi Woda

2012-12-01

Full Text Available Abstract Aim It is controversial that whether sleeve lobectomy (SL should be promoted more worthy than pneumonectomy (PN in suitable patients. Methods We searched all studies that had been published in English from PUBMED and Embase which compared the short-term and long-term outcomes of SL and pneumonectomy (PN in patients with non-small cell lung cancer (NSCLC. Results Nineteen studies met our criteria with a combined total of 3878 subjects, of which 1316 (33.9% underwent SL and 2562 (66.1% underwent PN. The odds ratio was 0.50 (95% CI: 0.34-0.72 for postoperative mortality, 1.17 (95% CI: 0.82-1.67 for postoperative complications, 0.78 (95% CI: 0.47-1.29 for locoregional recurrences. The risk difference for 1-, 3-, 5- year was 0.11 (95% CI: 0.07-0.14, 0.15 (95% CI: 0.06-0.24, 0.15 (95% CI: 0.09-0.20,respectively. The pooled hazard ratio was 0.63 (95% CI: 0.56-0.71 in favor of SL group. Conclusion SL is more worthy to be done than PN in suitable patients with less mortality and better long-term survival.

Gastrostomy feeding tube - bolus

Science.gov (United States)

Feeding - gastrostomy tube - bolus; G-tube - bolus; Gastrostomy button - bolus; Bard Button - bolus; MIC-KEY - bolus ... KEY, 3 to 8 weeks after surgery. These feedings will help your child grow strong and healthy. ...

Changes in Gut Hormones After Roux en Y Gastric bypass, Sleeve Gastrectomy, and Adjustable Gastric Banding

Directory of Open Access Journals (Sweden)

Miroslav Ilić

2015-12-01

Full Text Available The obesity epidemic has burdened healthcare systems worldwide. Bariatric surgery is currently the most effective method for long-term weight loss in obese adults, but the exact mechanism of weight loss is poorly understood. Bariatric procedures were initially classified by their presumed mechanism of action into restrictive, malabsoptive, or mixed procedures; however, due to recent advancements in the field of neuroendocrinology, hormones are increasing being recognized as important regulators of satiation, hunger, and energy expenditure. Studies examining changes in gut hormones following bariatric surgery have yielded conflicting results and the relationship between these hormones and weight loss is nothing but clear. This review will summarize the effect of Roux en Y gastric bypass, sleeve gastrectomy and adjustable gastric banding on various gut hormones including ghrelin, cholecystokinin, glucagon-like polypeptide-1, peptide YY3, and pancreatic polypeptide. Furthermore, the relationship between these hormones and weight loss will be examined.

Feedwater heater tube-to-tubesheet connections

International Nuclear Information System (INIS)

Yokell, S.

1993-01-01

This paper discusses some practical aspects of expanded, welded, and welded-and-expanded feedwater heater tube-to-tubesheet joints. It outlines elastic-plastic tube expanding theory. It examines uniform-pressure-expanded tube joint strength and correlating roller-expanded joint strength with wall reduction and rolling torque. For materials subject to stress-corrosion cracking (SCC), it recommends heat treating tube ends before expanding. For materials subject to fatigue and tube-end cracking, it advocates two-stage expanding: (1) expanding enough to create firm tube-hole contact over the full tubesheet thickness; and (2) re-expanding at full pressure or torque. The paper emphasizes the desirability of segregating heats of tubing, mapping the tube-heat locations and making the heat map a permanent part of the heater maintenance file. It recommends when to provide TEMA/HEI Power Plant Standard annular grooves for roller-expanding and provides an equation for determining optimum groove width for uniform-pressure expanding. The paper also reviews welding requirements for welds of tubes to tubesheets. The review covers front-face welding before and after expanding and the reasons for welding first. It outlines current thinking about definitions of strength- and seal-welds of front-face welded joint in terms of their functions and load-carrying abilities. It presents a proposal for determining the required size of strength welds for use in Section VIII of the ASME Boiler and Pressure Vessel Code (the Code). It shows why welded-and-expanded feedwater heater tube-to-tubesheet joints should be full-strength and full-depth expanded. It makes recommendations for pressure- and leak-testing. This work also proposes the industry consider butt welding the tubes to the steam-side face of the tubesheet as a regular method of tube joining. The results of a survey of manufacturers practices are appended. 30 refs., 14 figs

Pressure loss characteristics of LSTF steam generator heat-transfer tubes. Pressure loss increase due to tube internal instruments

International Nuclear Information System (INIS)

Suzuki, Mitsuhiro

1994-11-01

The steam generator of the Large-Scale Test Facility (LSTF) includes 141 heat-transfer U-tubes with different lengths. Six U-tubes among them are furnished with 15 or 17 probe-type instruments (conduction probe with a thermocouple; CPT) protuberant into the primary side of the U-tubes. Other 135 U-tubes are not instrumented. This results in different hydraulic conditions between the instrumented and non-instrumented U-tubes with the same length. A series of pressure loss characteristics tests was conducted at a test apparatus simulating both types of U-tube. The following pressure loss coefficient (K CPT ) was reduced as a function of Reynolds number (Re) from these tests under single-phase water flow conditions. K CPT =0.16 5600≤Re≤52820, K CPT =60.66xRe -0.688 2420≤Re≤5600, K CPT =2.664x10 6 Re -2.06 1371≤Re≤2420. The maximum uncertainty is 22%. By using these results, the total pressure loss coefficients of full length U-tubes were estimated. It is clarified that the total pressure loss of the shortest instrumented U-tube is equivalent to that of the middle-length non-instrumented U-tube and also that a middle-length instrumented U-tube is equivalent to the longest non-instrumented U-tube. Concludingly. it is important to take account of the CPT pressure loss mentioned above in estimation of fluid behavior at the non-instrumented U-tubes either by using the LSTF experiment data from the CPT-installed U-tubes or by using any analytical codes. (author)

Isolated Fallopian Tube Torsion in Adolescents

Directory of Open Access Journals (Sweden)

S. Rajaram

2013-01-01

Full Text Available Background. Fallopian tube torsion is a rare cause of acute abdomen, occurring commonly in females of reproductive age. It lacks pathognomonic symptoms, signs, or imaging features, thus causing delay in surgical intervention. Case. We report two cases of isolated fallopian tube torsion in adolescent girls. In the first case a 19-year-old patient presented with acute pain in the left iliac region associated with episodes of vomiting for one day and mild tenderness on examination. Laparoscopy revealed left sided twisted fallopian tube associated with hemorrhagic cyst of ovary. The tube was untwisted and salvaged. In another case an 18-year-old virgin girl presented with similar complaints since one week, associated with mild tenderness in the lower abdomen and tender cystic mass on per rectal examination. On laparoscopy right twisted fallopian tube associated with a paratubal cyst was found. Salpingectomy was done as the tube was gangrenous. Conclusion. Fallopian tube torsion, though rare, should be considered in women of reproductive age with unilateral pelvic pain. Early diagnostic laparoscopy is important for an accurate diagnosis and could salvage the tube.

Dual-chamber inflatable oil boom

International Nuclear Information System (INIS)

Blair, R.M.; Tedeschi, E.T.

1993-01-01

An elongated floating material containment boom section is described having a normally vertical ballasted skirt depending from flotation means, and convertible from a flattened collapsed condition to a deployable condition wherein buoyancy chamber means extending along the upper edge of said skirt are inflated to expanded buoyant configuration, including: a gas-impervious sleeve extending along the upper edge of said normally vertical skirt forming a first outer collapsible and inflatable flotation chamber, a first inflation valve connecting the interior of said sleeve with the ambient atmosphere, through which gas under pressure may be introduced into said sleeve to inflate said first buoyant outer flotation chamber, elongated gas-impervious tube means positioned inside said outer flotation chamber and forming second collapsible and inflatable internal flotation bladder chamber means, second inflation valve means connecting the interior of said bladder means through said outer flotation chamber to the ambient atmosphere through which gas under pressure may be introduced into said bladder means to inflate it forming said second flotation chamber means inside said outer flotation chamber

Small size neutron tube UNG-1

International Nuclear Information System (INIS)

Bespalov, D.F.; Mints, A.Z.; Shkol'nikov, A.S.

A tube UNG-1 (universal neutron gas-filled) is designed for the use in the well neutron generators IGN-1 and IGN-1-M (a pulse neutron generator). Their serial production in the USSR has been started in 1963. At the same year, the serial production of the tubes UNG-1 has been started. Thus, this tube is the first serial logging accelerating tube in the USSR. A Penning source, equipped with a hot cathode, was selected as an ion source of the tube

Thru-tubing inflatable workover systems

International Nuclear Information System (INIS)

Coronado, M.P.; Mody, R.K.; Craig, G.C.

1991-01-01

Recent technological advances in inflatable packing element design has allowed non-conventional workover techniques to be accomplished through the production tubing. The improved capabilities of these elements, coupled with new tool designs allowing workovers to be completed with coiled tubing or electric wireline, has seen growing applications. These workovers include, selective and zonal chemical treatments, temporary and permanent plugback operations, intermediate zone blankoff, production and injection flow profile modifications and formation fracturing. They are completed without pulling the production tubing from the well, and thus do not require a rig on the well. Since these tools are snubbed in the well with coiled tubing or electric wireline, thus eliminating the need to kill the well, heavy weight kill fluids, which may cause formation damage, are not required. These tools have been designed to operate with hydraulic pressure and workstring tension within the coiled tubing limitations. This paper outlines the development of these Thru-tubing systems and application techniques that have been developed as a result of their field use. It discusses case histories of applications using this technology and the resulting increase in well performance. This paper also describes auxiliary equipment that has been developed to allow these tool systems to be used safely on coiled tubing and electric wireline

Tubing vs. buckets: a cost comparison

Science.gov (United States)

Neil K. Huyler

1975-01-01

Equipment investment for tubing-vacuum systems was significantly less than that for bucket systems. Tubing-vacuum systems required about 22 percent less labor input, the major labor input being completed before sap-flow periods. Annual cost of operation was less for tubing-vacuum than the bucket system. Small tubing-vacuum operations showed more profit potential than...

Small-bore chest tubes seem to perform better than larger tubes in treatment of spontaneous pneumothorax

DEFF Research Database (Denmark)

Iepsen, Ulrik Winning; Ringbæk, Thomas

2013-01-01

The aim of this study was to compare the efficacy and complications of surgical (large-bore) chest tube drainage with smaller and less invasive chest tubes in the treatment of non-traumatic pneumothorax (PT). ......The aim of this study was to compare the efficacy and complications of surgical (large-bore) chest tube drainage with smaller and less invasive chest tubes in the treatment of non-traumatic pneumothorax (PT). ...

Cernavoda NPP - Boiler and steam cycle chemistry control

International Nuclear Information System (INIS)

Zotica, D.

2001-01-01

Steam generators protection against corrosion and fouling is an ongoing issue for nuclear power plants. The true effectiveness of the secondary chemistry control program is best judged by the absence of secondary side corrosion related tube degradation particularly that leads to tube plugging or sleeving or tube support degradation. To continue striving for excellence in chemical control, the following issues should be considered: Continuous evaluation of the effectiveness of the chemistry control program in mitigating SG damage; Evaluation of plant compliance with the program; Laboratory quality assurance program to assure that laboratory analyses are accurate and reproductibile; Quality assurance program for on-line monitoring equipment to assure that results from this equipment are accurate. (R.P.)

Feeding tube insertion - gastrostomy

Science.gov (United States)

... this page: //medlineplus.gov/ency/article/002937.htm Feeding tube insertion - gastrostomy To use the sharing features on this page, please enable JavaScript. A gastrostomy feeding tube insertion is the placement of a feeding ...

Precision heat forming of tetrafluoroethylene tubing

Science.gov (United States)

Ruiz, W. V.; Thatcher, C. S. (Inventor)

1981-01-01

An invention that provides a method of altering the size of tetrafluoroethylene tubing which is only available in limited combination of wall thicknesses and diameter are discussed. The method includes the steps of sliding the tetrafluoroethylene tubing onto an aluminum mandrel and clamping the ends of the tubing to the mandrel by means of clamps. The tetrafluorethylene tubing and mandrel are then placed in a supporting coil which with the mandrel and tetrafluorethylene tubing are then positioned in a insulated steel pipe which is normally covered with a fiber glass insulator to smooth out temperature distribution therein. The entire structure is then placed in an event which heats the tetrafluorethylene tubing which is then shrunk by the heat to the outer dimension of the aluminum mandrel. After cooling the aluminum mandrel is removed from the newly sized tetrafluorethylene tubing by a conventional chemical milling process.

Improving the calandria tubes for CANDU reactors

International Nuclear Information System (INIS)

Coleman, C.E.; Fong, R.W.L.; Doubt, G.L.

1997-01-01

CANDU calandria tubes are made from annealed Zircaloy-2 sheet formed into a cylinder and welded along its length to make the tube. The current calandria tubes have given exemplary service for many years. With more stringent regulations and the need to accommodate warm cooling water in tropical countries, we started a development program to increase the margins for failure during postulated accidents. These improvements involve increasing the tube strength and optimising the heat-transfer from an excessively hot fuel channel to the cool moderator. If the postulated accident involves a pressure tube break, it would be desirable if the calandria tube withstood the full pressure of the heat-transport system. The weakest link in current calandria tubes is the weld. Thickening the weld can increase the strength by 20% while seamless tubes can be 45% stronger than current tubes. The latter tubes can hold full system pressure for many hours without failure. If during the postulated accident the fuel and pressure tube become excessively hot but do not touch the calandria tube, the radiant heat loss must be maximised. Current calandria tubes have an absorptivity (emissivity) of about 0.2. To protect the fuel and the fuel channel we have devised a finish to the inside surface of the calandria tube that increases the emissivity to 0.7. If during the postulated accident the hot pressure tube touches the cool calandria tube, the contact conductance and the critical heat flux must be optimised to ensure nucleate boiling of the moderator at the outside surface of the calandria tube and therefore efficient exploitation of the moderator as a heat sink. In laboratory tests small ridges on the inside surface and roughening of the outside surface have been shown to increase the margins against failure and increase the possible moderator temperatures thus providing the opportunity to decrease the cost of the moderator heat-exchange system and remove restrictions on reactor operation in

Avoiding leakage flow-induced vibration by a tube-in-tube slip joint

International Nuclear Information System (INIS)

Mulcahy, T.M.

1985-01-01

Parameters and operating conditions (a stability map) were determined for which a specific slip-joint design did not cause self-excited lateral vibration of the two cantilevered, telescoping tubes forming the joint. The joint design featured a localized annular constriction. Flowrate, modal damping, tube engagement length, and eccentric positioning were among the parameters tested. Interestingly, all self-excited vibrations could be avoided by following a simple design rule: place constrictions only at the downstream end of the annular region between the tubes. Also, overall modal damping decreased with increased flowrate, at least initially, for upstream constrictions while the damping increased for downstream constrictions

Pyrotechnic Tubing Connector

Science.gov (United States)

Graves, Thomas J.; Yang, Robert A.

1988-01-01

Tool forms mechanical seal at joint without levers or hydraulic apparatus. Proposed tool intended for use in outer space used on Earth by heavily garbed workers to join tubing in difficult environments. Called Pyrotool, used with Lokring (or equivalent) fittings. Piston slides in cylinder when pushed by gas from detonating pyrotechnic charge. Impulse of piston compresses fittings, sealing around butting ends of tubes.

SG tube identification

International Nuclear Information System (INIS)

Hoogstraten, P. van

1994-01-01

A ''Tracker'' system is described which is designed to identify any tube in a reactor steam generator quickly and safely. Occupational radiation doses to maintenance workers are reduced by using a Tracker and emergency down times are shortened. The system employs a television camera and light source in a stainless steel box with a large window. Both the camera and spotlight can be panned and tilted to reach any point on the tubesheet and are remotely controlled. An operator at a safe working distance can identify any tube visible on a real time video by comparison with the tubesheet pattern stored earlier in the computer memory. The identified tube can then be spotlighted and dealt with quickly by a maintenance worker inside the channel head. (UK)

Numerical simulation of tubes-in-tube heat exchanger in a mixed refrigerant Joule-Thomson cryocooler

Science.gov (United States)

Damle, R. M.; Ardhapurkar, P. M.; Atrey, M. D.

2017-02-01

Mixed refrigerant Joule-Thomson (MRJT) cryocoolers can produce cryogenic temperatures with high efficiency and low operating pressures. As compared to the high system pressures of around 150-200 bar with nitrogen, the operational pressures with non-azeotropic mixtures (e.g., nitrogen-hydrocarbons) come down to 10-25 bar. With mixtures, the heat transfer in the recuperative heat exchanger takes place in the two-phase region. The simultaneous boiling and condensation of the cold and hot gas streams lead to higher heat transfer coefficients as compared to single phase heat exchange. The two-phase heat transfer in the recuperative heat exchanger drastically affects the performance of a MRJT cryocooler. In this work, a previously reported numerical model for a simple tube-in-tube heat exchanger is extended to a multi tubes-in-tube heat exchanger with a transient formulation. Additionally, the J-T expansion process is also considered to simulate the cooling process of the heat exchanger from ambient temperature conditions. A tubes-in-tube heat exchanger offers more heat transfer area per unit volume resulting in a compact design. Also, the division of flow in multiple tubes reduces the pressure drop in the heat exchanger. Simulations with different mixtures of nitrogen-hydrocarbons are carried out and the numerical results are compared with the experimental data.

Management of gastric leaks after laparoscopic sleeve gastrectomy for morbid obesity: A tertiary care experience and design of a management algorithm

Directory of Open Access Journals (Sweden)

Palanivelu Praveenraj

2016-01-01

Full Text Available Background: Laparoscopic sleeve gastrectomy (LSG is the most commonly performed 'standalone' bariatric procedure in India. Staple line gastric leaks occur infrequently but cause significant and prolonged morbidity. The aim of this retrospective study was to analyse the management of patients with a gastric leak after LSG for morbid obesity at our institution. Patients and Methods: From February 2008 to 2014, 650 patients with different degrees of morbid obesity underwent LSG. Among these, all those diagnosed with a gastric leak were included in the study. Patients referred to our institution with gastric leak after LSG were also included. The time of presentation, site of leak, investigations performed, treatment given and time of closure of all leaks were analysed. Results: Among the 650 patients who underwent LSG, 3 (0.46% developed a gastric leak. Two patients were referred after LSG was performed at another institution. The mean age was 45.60 ± 15.43 years. Mean body mass index (BMI was 44.79 ± 5.35. Gastric leak was diagnosed 24 h to 7 months after surgery. One was early, two were intermediate and two were late leaks. Two were type I and three were type II gastric leaks. Endoscopic oesophageal stenting was used variably before or after re-surgery. Re-surgery was performed in all and included stapled fistula excision (re-sleeve, suture repair only or with conversion to roux-en-Y gastric bypass or fistula jujenostomy. There was no mortality. Conclusion: Leakage closure time may be shorter with intervention than expectant management. Sequence and choice of endoscopic oesophageal stenting and/or surgical re-intervention should be individualized according to clinical presentation.

Experimental and computational approaches to evaluate the environmental mitigation effect in narrow spaces by noble metal chemical addition (NMCA)

International Nuclear Information System (INIS)

Shimizu, Ryosuke; Ota, Nobuyuki; Nagase, Makoto; Aizawa, Motohiro; Ishida, Kazushige; Wada, Yoichi

2014-01-01

The environmental mitigation effect of NMCA in a narrow space was evaluated by experimental and computational approaches. In the experiment at 8 MPa and 553K, T-tube whose branched line had a narrow space was prepared, and the Zr electrodes were set in the branched line at certain intervals, which were 1, 3, 5, 7, 9, 11, 15 and 29 cm from the opening section of the branched line. Electrochemical corrosion potential (ECP) at the tip of the branched narrow space varied in response to the water chemistry in the main line which was at right angle with the branched line. Computational fluid dynamics (CFD) analysis reproduced the experimental results. It was also confirmed by CFD analysis that the ingress of water from the main line into the narrow space was accelerated by cavity flow and thermal convection. By CFD analysis in a thermal sleeve of actual plant condition, which had a narrow space, the concentration of dissolved oxygen at a tip of the thermal sleeve reached at 250 ppb within 300 sec, which was the same concentration of the main line. Noble metal deposition on the surface of the thermal sleeve was evaluated by mass transfer model. Noble metal deposition was the largest near the opening section of the branched line, and gradually decreased toward the tip section. In light of the consumption of dissolved oxygen in the branched line, noble metal deposition in the thermal sleeve was sufficient to reduce the ECP. It was expected that NMCA could mitigate the corrosion environment in the thermal sleeve. (author)

Dounreay fast reactor boilers get a new lease of life

International Nuclear Information System (INIS)

Khajnd, D.; Mehter, B.; Simmers, D.

1985-01-01

The procedure for installation of internal sleevs over the portion of the welded joint of the steam pipe with the evaporator tube plate is described. Technological aspects of performing machining and high-temperature brazing are considered. A design of cartridges for explosion welding is presented. The serviceability problem is analyzed. The attained labour productivity rise in performing repairs operations is discussed

Improper tube fixation causing a leaky cuff

Directory of Open Access Journals (Sweden)

Gupta Babita

2010-01-01

Full Text Available Leaking endotracheal tube cuffs are common problems in intensive care units. We report a case wherein the inflation tube was damaged by the adhesive plaster used for tube fixation and resulted in leaking endotracheal tube cuff. We also give some suggestions regarding the tube fixation and some remedial measures for damaged inflation system.

The Mashups of YouTube

DEFF Research Database (Denmark)

Simonsen, Thomas Mosebo

2013-01-01

This article focuses on YouTube mashups and how we can understand them as a specific subgenre on YouTube. The Mashups are analysed as audiovisual recontextualizations that are given new meaning, e.g., via collaborative social communities or for individual promotional purposes. This is elaborated......, but rather in its social and communicative abilities within the YouTube community. This leads to the article’s overall argument that the main characteristic of the YouTube Mashup can be explained in terms of connectivity. It is argued that Mashups reveal a double articulation of connectivity; one...... that involves the social mechanisms of the Mashups, and another mode, which concerns the explicit embedding of structural connectivity that accentuates the medium-specific infrastructure of YouTube. This double articulation of connectivity is furthermore elaborated on by including Grusin and Bolter’s concept...

100-ps framing-camera tube

International Nuclear Information System (INIS)

Kalibjian, R.

1978-01-01

The optoelectronic framing-camera tube described is capable of recording two-dimensional image frames with high spatial resolution in the <100-ps range. Framing is performed by streaking a two-dimensional electron image across narrow slits. The resulting dissected electron line images from the slits are restored into framed images by a restorer deflector operating synchronously with the dissector deflector. The number of framed images on the tube's viewing screen equals the number of dissecting slits in the tube. Performance has been demonstrated in a prototype tube by recording 135-ps-duration framed images of 2.5-mm patterns at the cathode. The limitation in the framing speed is in the external drivers for the deflectors and not in the tube design characteristics. Faster frame speeds in the <100-ps range can be obtained by use of faster deflection drivers

Když se řekne YouTube

OpenAIRE

Voců, Ondřej

2011-01-01

This article describes basic characteristics of YouTube portal, explains its importance and provided services. The first part of this article is applied to basic characteristics of YouTube portal, the second part deals with processes related to videos on YouTube. YouTube users, YouTube partners and projects are mainspring of the third part of this article. Special subchapter outlines possibilites of YouTube in relation to information studies and librarianship. At the end of the fourth chapter...

Efficient frequency-domain numerical analysis of modified surface plasmon waveguides formed by a metallic sleeve and coaxial rod

International Nuclear Information System (INIS)

Tian Jinping; Xue Wenrui

2012-01-01

Some types of modified surface plasmonic waveguides formed by nanometric silver rods with triangular and square cross-section and a coaxial silver sleeve are proposed in this paper. The finite-difference frequency-domain method is used to study the propagation properties of the fundamental mode supported by these types of surface plasmonic waveguides. The field distribution of the fundamental mode and the dependences of the propagation properties on the geometrical parameters, working wavelength and gain media are discussed in detail. The results show that the above physical properties can be adjusted by choosing proper structure parameters, working wavelength and gain media. So the advantages of the properties of the modes render these waveguides promising optical components or photonic device integration and sensors that would benefit future plasmonic interconnects and circuits.

Water-storage-tube systems. Final report

Energy Technology Data Exchange (ETDEWEB)

Hemker, P.

1981-12-24

Passive solar collection/storage/distribution systems were surveyed, designed, fabricated, and mechanically and thermally tested. The types studied were clear and opaque fiberglass tubes, metal tubes with plastic liners, and thermosyphoning tubes. (MHR)

Preparation of metallic uranium tubes; Elaboration des tubes d'uranium metallique

Energy Technology Data Exchange (ETDEWEB)

Lerouge, G; Decours, J [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1964-07-01

The production furnace is an induction heated vacuum furnace having a capacity at the moment of 250 kg. Previously the crucible was heated by the inductor, the mould being outside the inductor. The tubes thus produced contained cavities, the alloy structure was fine; this was cold-mould casting, At the moment the top of the moulds are pre-heated, this is the so called hot-mould casting. This method has the advantage of eliminating the cavities but leads to a less fine microstructure. The alloy used for the 18 x 40 mm and 23 x 43 mm tubes is U-Mo (1.1 per cent). Since the moulds are now heated at the top, the solidification of the metal is very slow in this zone leading to a pronounced {gamma} grain, whereas towards the base the faster cooling leads to a smaller {gamma} grain. The {gamma} structure depends essentially on the solidification rate and on the time spent in this zone. In order to obtain a fine and homogeneous grain along the whole length of the tube, a controlled cooling treatment is effected. It consists in heating the uranium tubes in the {gamma} place and then in cooling them at a rate of between 20 and 50 deg C/mm down to 400 deg C. The 77 x 95 mm and 54 x 70 mm annular elements are at the moment being produced for research purposes. Their preparation is similar to that of 18 x 40 mm and 23 x 43 mm elements. The 77 x 95 mm tubes are at the moment made from U-Cr alloy (0.1 per cent); because of their size, their preparation is carried out in 600 mm diameter furnaces. (authors) [French] Le four d'elaboration est un four sous vide chaufffe par induction, dont la capacite actuelle est de 250 kg. Anterieurement le creuset seul etait chauffe par l'inducteur, les moules etaient hors de l'inducteur. Les tubes obtenus presentaient des cavites, la structure de l'alliage etait fine, c'etait la coulee en moules froids. Actuellement on prechauffe le haut des moules, c'est la coulee dite en moules chauds. Cette facon de faire a l'avantage de supprimer les cavites

Gastroenteric tube feeding: Techniques, problems and solutions

Science.gov (United States)

Blumenstein, Irina; Shastri, Yogesh M; Stein, Jürgen

2014-01-01

Gastroenteric tube feeding plays a major role in the management of patients with poor voluntary intake, chronic neurological or mechanical dysphagia or gut dysfunction, and patients who are critically ill. However, despite the benefits and widespread use of enteral tube feeding, some patients experience complications. This review aims to discuss and compare current knowledge regarding the clinical application of enteral tube feeding, together with associated complications and special aspects. We conducted an extensive literature search on PubMed, Embase and Medline using index terms relating to enteral access, enteral feeding/nutrition, tube feeding, percutaneous endoscopic gastrostomy/jejunostomy, endoscopic nasoenteric tube, nasogastric tube, and refeeding syndrome. The literature showed common routes of enteral access to include nasoenteral tube, gastrostomy and jejunostomy, while complications fall into four major categories: mechanical, e.g., tube blockage or removal; gastrointestinal, e.g., diarrhea; infectious e.g., aspiration pneumonia, tube site infection; and metabolic, e.g., refeeding syndrome, hyperglycemia. Although the type and frequency of complications arising from tube feeding vary considerably according to the chosen access route, gastrointestinal complications are without doubt the most common. Complications associated with enteral tube feeding can be reduced by careful observance of guidelines, including those related to food composition, administration rate, portion size, food temperature and patient supervision. PMID:25024606

An advanced tube wear and fatigue workstation to predict flow induced vibrations of steam generator tubes

International Nuclear Information System (INIS)

Gay, N.; Baratte, C.; Flesch, B.

1997-01-01

Flow induced tube vibration damage is a major concern for designers and operators of nuclear power plant steam generators (SG). The operating flow-induced vibrational behaviour has to be estimated accurately to allow a precise evaluation of the new safety margins in order to optimize the maintenance policy. For this purpose, an industrial 'Tube Wear and Fatigue Workstation', called 'GEVIBUS Workstation' and based on an advanced methodology for predictive analysis of flow-induced vibration of tube bundles subject to cross-flow has been developed at Electricite de France. The GEVIBUS Workstation is an interactive processor linking modules as: thermalhydraulic computation, parametric finite element builder, interface between finite element model, thermalhydraulic code and vibratory response computations, refining modelling of fluid-elastic and random forces, linear and non-linear dynamic response and the coupled fluid-structure system, evaluation of tube damage due to fatigue and wear, graphical outputs. Two practical applications are also presented in the paper; the first simulation refers to an experimental set-up consisting of a straight tube bundle subject to water cross-flow, while the second one deals with an industrial configuration which has been observed in some operating steam generators i.e., top tube support plate degradation. In the first case the GEVIBUS predictions in terms of tube displacement time histories and phase planes have been found in very good agreement with experiment. In the second application the GEVIBUS computation showed that a tube with localized degradation is much more stable than a tube located in an extended degradation zone. Important conclusions are also drawn concerning maintenance. (author)

Tubing crimping pliers

Science.gov (United States)

Lindholm, G.T.

1981-02-27

The disclosure relates to pliers and more particularly to pliers for crimping two or more pieces of copper tubing together prior to their being permanently joined by brazing, soldering or the like. A die containing spring-loaded pins rotates within a cammed ring in the head of the pliers. As the die rotates, the pins force a crimp on tubing held within the pliers.

Tube Length and Water Flow

Directory of Open Access Journals (Sweden)

Ben Ruktantichoke

2011-06-01

Full Text Available In this study water flowed through a straight horizontal plastic tube placed at the bottom of a large tank of water. The effect of changing the length of tubing on the velocity of flow was investigated. It was found that the Hagen-Poiseuille Equation is valid when the effect of water entering the tube is accounted for.

The behaviour of CAGR moderator and sleeve graphites radiolytically oxidised to high weight loss in inhibited coolant gas compositions

International Nuclear Information System (INIS)

Schofield, P.; Fitzgerald, B.; Ketchen, J.

1987-01-01

Gilsocarbon graphites were irradiated to high weight losses in three different CO 2 based coolants. The experimental data is tested against a model which interprets the gas phase chemistry and pore geometry and allows weight loss and gas flow properties to be calculated. The observed changes of oxidation rate with dose were successfully predicted from the model. An empirical relationship was also derived which was shown to fit data for moderator, sleeve and special pore structure graphites. Changes in graphite permeability and diffusivity were predicted by the model, and also by other simplified, more approximate methods. The model based upon the measured transport pore spectrum was shown to be the best with other methods proving adequate to moderate doses. (author)