Remote sensing revealed drainage anomalies and related tectonics of South India

Science.gov (United States)

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

2011-03-01

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

Fracture patterns of the drainage basin of Wadi Dahab in relation to tectonic-landscape evolution of the Gulf of Aqaba - Dead Sea transform fault

Science.gov (United States)

Shalaby, Ahmed

2017-10-01

Crustal rifting of the Arabian-Nubian Shield and formation of the Afro-Arabian rifts since the Miocene resulted in uplifting and subsequent terrain evolution of Sinai landscapes; including drainage systems and fault scarps. Geomorphic evolution of these landscapes in relation to tectonic evolution of the Afro-Arabian rifts is the prime target of this study. The fracture patterns and landscape evolution of the Wadi Dahab drainage basin (WDDB), in which its landscape is modeled by the tectonic evolution of the Gulf of Aqaba-Dead Sea transform fault, are investigated as a case study of landscape modifications of tectonically-controlled drainage systems. The early developed drainage system of the WDDB was achieved when the Sinai terrain subaerially emerged in post Eocene and initiation of the Afro-Arabian rifts in the Oligo-Miocene. Conjugate shear fractures, parallel to trends of the Afro-Arabian rifts, are synthesized with tensional fracture arrays to adapt some of inland basins, which represent the early destination of the Sinai drainage systems as paleolakes trapping alluvial sediments. Once the Gulf of Aqaba rift basin attains its deeps through sinistral movements on the Gulf of Aqaba-Dead Sea transform fault in the Pleistocene and the consequent rise of the Southern Sinai mountainous peaks, relief potential energy is significantly maintained through time so that it forced the Pleistocene runoffs to flow via drainage systems externally into the Gulf of Aqaba. Hence the older alluvial sediments are (1) carved within the paleolakes by a new generation of drainage systems; followed up through an erosional surface by sandy- to silty-based younger alluvium; and (2) brought on footslopes of fault scarps reviving the early developed scarps and inselbergs. These features argue for crustal uplifting of Sinai landscapes syn-rifting of the Gulf of Aqaba rift basin. Oblique orientation of the Red Sea-Gulf of Suez rift relative to the WNW-trending Precambrian Najd faults; and

Inter-observer reproducibility in reporting on renal drainage in children with hydronephrosis: a large collaborative study

International Nuclear Information System (INIS)

Tondeur, Marianne; Piepsz, Amy; De Palma, Diego; Roca, Isabel; Ham, Hamphrey

2008-01-01

The goal of this study was to evaluate the inter-observer reproducibility in reporting on renal drainage obtained during 99m Tc MAG3 renography in children, when already processed data are offered to the observers. Because web site facilities were used for communication, 57 observers from five continents participated in the study. Twenty-three renograms, including furosemide stimulation and posterect postmicturition views, covering various patterns of drainage, were submitted to the observers. Images, curves and quantitative parameters were provided. Good or almost good drainage, partial drainage and poor or no drainage were the three possible responses for each kidney. An important bias was observed among the observers, some of them more systematically reporting the drainage as being good, while others had a general tendency to consider the drainage as poor. This resulted in rather poor inter-observer reproducibility, as for more than half of the kidneys, less than 80% of the observers agreed on one of the three responses. Analysis of the individual cases identified some obvious causes of discrepancy: the absence of a clear limit between partial and good or almost good drainage, the fact of including or neglecting the effect of micturition and change of patient's position, the underestimation of drainage in the case of a flat renographic curve, and the difficulties of interpretation in the case of a small, not well functioning kidney. There is an urgent need for better standardisation in estimating the quality of drainage. (orig.)

Inter-observer reproducibility in reporting on renal drainage in children with hydronephrosis: a large collaborative study

Energy Technology Data Exchange (ETDEWEB)

Tondeur, Marianne; Piepsz, Amy [CHU Saint-Pierre, Departement des Radio-Isotopes, Brussels (Belgium); De Palma, Diego [Ospedale di Circolo, Nuclear Medicine, Varese (Italy); Roca, Isabel [Vall d' Hebron Hospital, Nuclear Medicine, Barcelona (Spain); Ham, Hamphrey [University Hospital, Department Nuclear Medicine, Ghent (Belgium)

2008-03-15

The goal of this study was to evaluate the inter-observer reproducibility in reporting on renal drainage obtained during {sup 99m}Tc MAG3 renography in children, when already processed data are offered to the observers. Because web site facilities were used for communication, 57 observers from five continents participated in the study. Twenty-three renograms, including furosemide stimulation and posterect postmicturition views, covering various patterns of drainage, were submitted to the observers. Images, curves and quantitative parameters were provided. Good or almost good drainage, partial drainage and poor or no drainage were the three possible responses for each kidney. An important bias was observed among the observers, some of them more systematically reporting the drainage as being good, while others had a general tendency to consider the drainage as poor. This resulted in rather poor inter-observer reproducibility, as for more than half of the kidneys, less than 80% of the observers agreed on one of the three responses. Analysis of the individual cases identified some obvious causes of discrepancy: the absence of a clear limit between partial and good or almost good drainage, the fact of including or neglecting the effect of micturition and change of patient's position, the underestimation of drainage in the case of a flat renographic curve, and the difficulties of interpretation in the case of a small, not well functioning kidney. There is an urgent need for better standardisation in estimating the quality of drainage. (orig.)

Drainage of the ice-dammed Lake Tinninilik, West Greenland; implication on bedrock uplift

DEFF Research Database (Denmark)

Kjeldsen, Kristian Kjellerup; Khan, Shfaqat Abbas; Bjørk, Anders Anker

Drainage of ice-dammed lakes is regularly observed along the margin of the Greenland Ice Sheet. However, the speed of the drainage events and implications can vary depending on the size of the lakes and the local settings. Here, we assess the drainage pattern of Lake Tinninilik, dammed...

Determinants of Nitrous Oxide Emission from Agricultural Drainage Waters

International Nuclear Information System (INIS)

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

2004-01-01

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

Determinants of nitrous oxide emission from agricultural drainage waters

International Nuclear Information System (INIS)

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

2005-01-01

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

The effect of climate change on urban drainage

DEFF Research Database (Denmark)

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

2006-01-01

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

SNP interaction pattern identifier (SIPI)

DEFF Research Database (Denmark)

Lin, Hui Yi; Chen, Dung Tsa; Huang, Po Yu

2017-01-01

Motivation: Testing SNP-SNP interactions is considered as a key for overcoming bottlenecks of genetic association studies. However, related statistical methods for testing SNP-SNP interactions are underdeveloped. Results: We propose the SNP Interaction Pattern Identifier (SIPI), which tests 45...

A novel approach for acid mine drainage pollution biomonitoring using rare earth elements bioaccumulated in the freshwater clam Corbicula fluminea.

Science.gov (United States)

Bonnail, Estefanía; Pérez-López, Rafael; Sarmiento, Aguasanta M; Nieto, José Miguel; DelValls, T Ángel

2017-09-15

Lanthanide series have been used as a record of the water-rock interaction and work as a tool for identifying impacts of acid mine drainage (lixiviate residue derived from sulphide oxidation). The application of North-American Shale Composite-normalized rare earth elements patterns to these minority elements allows determining the origin of the contamination. In the current study, geochemical patterns were applied to rare earth elements bioaccumulated in the soft tissue of the freshwater clam Corbicula fluminea after exposure to different acid mine drainage contaminated environments. Results show significant bioaccumulation of rare earth elements in soft tissue of the clam after 14 days of exposure to acid mine drainage contaminated sediment (ΣREE=1.3-8μg/gdw). Furthermore, it was possible to biomonitor different degrees of contamination based on rare earth elements in tissue. The pattern of this type of contamination describes a particular curve characterized by an enrichment in the middle rare earth elements; a homologous pattern (E MREE =0.90) has also been observed when applied NASC normalization in clam tissues. Results of lanthanides found in clams were contrasted with the paucity of toxicity studies, determining risk caused by light rare earth elements in the Odiel River close to the Estuary. The current study purposes the use of clam as an innovative "bio-tool" for the biogeochemical monitoring of pollution inputs that determines the acid mine drainage networks affection. Copyright © 2017 Elsevier B.V. All rights reserved.

Drainage - Structure Correlation in tectonically active Regions: Case studies in the Bolivian and Colombian Andes

Science.gov (United States)

Zeilinger, Gerold; Parra, Mauricio; Kober, Florian

2017-04-01

It is widely accepted, that drainage patterns are often controlled by tectonics/climate and geology/rheology. Classical drainage patterns can be found 1) in fault-and-thrust belt, where rives follow the valleys parallel or cut perpendicular to strike trough the ridges, forming a trellis pattern, 2) at dome structures where the drainage form a radial pattern or 3) rectangular patterns in strongly fractured regions. In this study, we focus on fault-and-thrust belts, that undergone different phases of tectonic activity. According to classical models, the deformation is propagating into the foreland, hence being youngest at the frontal part and getting successively older towards the axis of the orogen. Drainage patterns in the more interior parts of the orogenic wedge should be then less influenced by the direction of structures, as landscape evolution is changing to a tectonic passive stage. This relationship might represent the transience and maturity of drainage pattern evolution. Here we study drainage patterns of the Bolivian and the eastern Colombian Andes by comparing the relative orientation of the drainage network with the orogen structural grain. The drainage is extracted from Digital Elevation Models (SRTM 30 m) and indexed by their Strahler Order. Order 1 channels have an upstream area of 1 km2. The direction of all segments is analyzed by linear directional mean function that results in the mean orientation of input channels with approx. 500 m average length. The orientation of structures for different structural domains is calculated using the same function on digitized faults and fold-axis. Rose diagrams show the length-weighted directional distribution of structures, of higher (>= 4) and of lower order (<= 3) channels. The structural trend in the Bolivian Andes is controlled by the orocline, where a predominant NW-SE trend turns into an N-S trend at 18°S and where the eastern orogen comprise from west to east, the Eastern Cordillera (EC), the

Phylogeography of Buddleja crispa (Buddlejaceae) and its correlation with drainage system evolution in southwestern China.

Science.gov (United States)

Yue, Liang-Liang; Chen, Gao; Sun, Wei-Bang; Sun, Hang

2012-10-01

Southwestern China is an area of active tectonism and erosion, yielding a dynamic, deeply eroded landscape that is hypothesized to have influenced the genetic structure of the resident populations of plants and animals. However, few studies have been conducted to examine the influence of changing river channels, particularly in the Yarlung Tsangpo area, on genetic distributions in plants. We here examine the population structure of Buddleja crispa, a dominant element of the dry, warm/hot river-valley communities, seeking to delimit the current population genetic structure and its relation to past changes in the courses of the major rivers in this area. • Two chloroplast DNA fragments were used to estimate the genetic variation and phylogeographic structure of the populations, and to infer nested clades, of the species. • We detected low intrapopulational haplotype diversity and higher overall population haplotype diversity (h(S) = 0.085, h(T) = 0.781). Molecular variance was mainly observed between groups (81.42%). Robust population genetic structure were detected by AMOVA (F(ST) = 0.967), coinciding with three nested clades (identified by NCPA) and five phylo-groups linked with paleo-drainage systems (identified by SAMOVA). No support for extensive spatial or demographical expansion was obtained. • A general pattern of genetic isolation by vicariance was inferred, and detected disjunct patterns strongly indicate that currently discontinuous drainage systems were historically linked. Most importantly, population subdivisions and genetic variation perfectly reflect the putative Paleo-Red-River drainage pattern, and Yarlung Tsangpo populations are closely related to Central Yunnan Plateau populations, indicating that they were previously connected by ancient river courses. Divergence times between these river systems estimated by molecular dating (in the Pleistocene) agree with previous findings.

A proposed drainage evolution model for Central Africa—Did the Congo flow east?

Science.gov (United States)

Stankiewicz, Jacek; de Wit, Maarten J.

2006-01-01

Understanding the origin of Sub-Saharan biodiversity requires knowing the history of the region's paleo-ecosystems. As water is essential for sustaining of life, the evolving geometry of river basins often have influence on local speciation. With this in mind, we analyse drainage patterns in Central and East Africa. Evidence from marine fossils suggests the Congo Basin was submerged for much of the Cretaceous, and after being uplifted drained eastwards through a paleo-Congo river towards the Indian Ocean. Two remnant peneplains in the Congo Basin are interpreted as evidence that this basin was tectonically stable on at least two occasions in the past. The lower peneplain is interpreted as the base level of the drainage pattern that had its outlet in Tanzania, at the present Rufiji Delta that was once over 500 km wide. The Luangwa, today a tributary of the Zambezi river, was a part of this drainage network. This pattern was subsequently disrupted by uplift associated with the East African Rifting in the Oligocene-Eocene (30-40 Ma). The resulting landlocked system was captured in the Miocene (5-15 Ma) by short rivers draining into the Atlantic Ocean, producing the drainage pattern of Central Africa seen today.

Agricultural drainage water quality

International Nuclear Information System (INIS)

Madani, A.; Gordon, R.

2002-01-01

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

Land drainage and restoration of land after NCB opencast mining

Energy Technology Data Exchange (ETDEWEB)

Bragg, N.

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

Evaluation of the sustainability of road drainage systems

Science.gov (United States)

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

2017-04-01

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

Evaluating influence of active tectonics on spatial distribution pattern of floods along eastern Tamil Nadu, India

Science.gov (United States)

Selvakumar, R.; Ramasamy, SM.

2014-12-01

Flooding is a naturally recurrent phenomenon that causes severe damage to lives and property. Predictions on flood-prone zones are made based on intensity-duration of rainfall, carrying capacity of drainage, and natural or man-made obstructions. Particularly, the lower part of the drainage system and its adjacent geomorphic landforms like floodplains and deltaic plains are considered for analysis, but stagnation in parts of basins that are far away from major riverine systems is less unveiled. Similarly, uncharacteristic flooding in the upper and middle parts of drainage, especially in zones of an anomalous drainage pattern, is also least understood. Even though topographic differences are attributed for such anomalous spatial occurrence of floods, its genetic cause has to be identified for effective management practice. Added to structural and lithological variations, tectonic movements too impart micro-scale terrain undulations. Because active tectonic movements are slow-occurring, long-term geological processes, its resultant topographical variations and drainage anomalies are least correlated with floods. The recent floods of Tamil Nadu also exhibit a unique distribution pattern emphasizing the role of tectonics over it. Hence a detailed geoinformatics-based analysis was carried out to envisage the relationship between spatial distribution of flood and active tectonic elements such as regional arches and deeps, block faults, and graben and drainage anomalies such as deflected drainage, compressed meander, and eyed drainages. The analysis reveals that micro-scale topographic highs and lows imparted by active tectonic movements and its further induced drainage anomalies have substantially controlled the distribution pattern of flood.

Applications of network analysis for adaptive management of artificial drainage systems in landscapes vulnerable to sea level rise

Science.gov (United States)

Poulter, Benjamin; Goodall, Jonathan L.; Halpin, Patrick N.

2008-08-01

SummaryThe vulnerability of coastal landscapes to sea level rise is compounded by the existence of extensive artificial drainage networks initially built to lower water tables for agriculture, forestry, and human settlements. These drainage networks are found in landscapes with little topographic relief where channel flow is characterized by bi-directional movement across multiple time-scales and related to precipitation, wind, and tidal patterns. The current configuration of many artificial drainage networks exacerbates impacts associated with sea level rise such as salt-intrusion and increased flooding. This suggests that in the short-term, drainage networks might be managed to mitigate sea level rise related impacts. The challenge, however, is that hydrologic processes in regions where channel flow direction is weakly related to slope and topography require extensive parameterization for numerical models which is limited where network size is on the order of a hundred or more kilometers in total length. Here we present an application of graph theoretic algorithms to efficiently investigate network properties relevant to the management of a large artificial drainage system in coastal North Carolina, USA. We created a digital network model representing the observation network topology and four types of drainage features (canal, collector and field ditches, and streams). We applied betweenness-centrality concepts (using Dijkstra's shortest path algorithm) to determine major hydrologic flowpaths based off of hydraulic resistance. Following this, we identified sub-networks that could be managed independently using a community structure and modularity approach. Lastly, a betweenness-centrality algorithm was applied to identify major shoreline entry points to the network that disproportionately control water movement in and out of the network. We demonstrate that graph theory can be applied to solving management and monitoring problems associated with sea level rise

An Early Mathematical Patterning Assessment: identifying young Australian Indigenous children's patterning skills

Science.gov (United States)

Papic, Marina

2015-12-01

This paper presents an Early Mathematical Patterning Assessment (EMPA) tool that provides early childhood educators with a valuable opportunity to identify young children's mathematical thinking and patterning skills through a series of hands-on and drawing tasks. EMPA was administered through one-to-one assessment interviews to children aged 4 to 5 years in the year prior to formal school. Two hundred and seventeen assessments indicated that the young low socioeconomic and predominantly Australian Indigenous children in the study group had varied patterning and counting skills. Three percent of the study group was able to consistently copy and draw an ABABAB pattern made with coloured blocks. Fifty percent could count to six by ones and count out six items with 4 % of the total group able to identify six items presented in regular formations without counting. The integration of patterning into early mathematics learning is critical to the abstraction of mathematical ideas and relationships and to the development of mathematical reasoning in young children. By using the insights into the children's thinking that the EMPA tool provides, early childhood educators can better inform mathematics teaching and learning and so help close the persistent gap in numeracy between Indigenous and non-Indigenous children.

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

Directory of Open Access Journals (Sweden)

Ruopu Li

2013-12-01

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

Preoperative biliary drainage for pancreatic cancer.

Science.gov (United States)

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

2014-04-01

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

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

Science.gov (United States)

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

2007-01-01

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

Peritoneal Drainage Versus Pleural Drainage After Pediatric Cardiac Surgery.

Science.gov (United States)

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

2014-07-01

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

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

Science.gov (United States)

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

2015-02-14

complications (alpha = 0.95; beta = 0.8). Interim analysis after inclusion of 53 patients (50%) will provide the definitive sample size. Secondary outcome measures encompass the success of biliary drainage, quality of life, and postoperative morbidity and mortality. The DRAINAGE trial is designed to identify a difference in the number of severe drainage-related complications after endoscopic and percutaneous transhepatic biliary drainage in patients selected to undergo a major liver resection for perihilar cholangiocarcinoma. Netherlands Trial Register [ NTR4243 , 11 October 2013].

Mine drainage treatment

OpenAIRE

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

2012-01-01

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

Predictors of chest drainage complications in trauma patients

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CECÍLIA ARAÚJO MENDES

2018-04-01

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

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

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

2009-03-01

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

WATER DRAINAGE MODEL

International Nuclear Information System (INIS)

Case, J.B.

2000-01-01

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

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

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

2009-01-01

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

Subglacial drainage patterns of Devon Island, Canada: detailed comparison of rivers and subglacial meltwater channels

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Grau Galofre, Anna; Jellinek, A. Mark; Osinski, Gordon R.; Zanetti, Michael; Kukko, Antero

2018-04-01

Subglacial meltwater channels (N-channels) are attributed to erosion by meltwater in subglacial conduits. They exert a major control on meltwater accumulation at the base of ice sheets, serving as drainage pathways and modifying ice flow rates. The study of exposed relict subglacial channels offers a unique opportunity to characterize the geomorphologic fingerprint of subglacial erosion as well as study the structure and characteristics of ice sheet drainage systems. In this study we present detailed field and remote sensing observations of exposed subglacial meltwater channels in excellent preservation state on Devon Island (Canadian Arctic Archipelago). We characterize channel cross section, longitudinal profiles, and network morphologies and establish the spatial extent and distinctive characteristics of subglacial drainage systems. We use field-based GPS measurements of subglacial channel longitudinal profiles, along with stereo imagery-derived digital surface models (DSMs), and novel kinematic portable lidar data to establish a detailed characterization of subglacial channels in our field study area, including their distinction from rivers and other meltwater drainage systems. Subglacial channels typically cluster in groups of ˜ 10 channels and are oriented perpendicular to active or former ice margins. Although their overall direction generally follows topographic gradients, channels can be oblique to topographic gradients and have undulating longitudinal profiles. We also observe that the width of first-order tributaries is 1 to 2 orders of magnitude larger than in Devon Island river systems and approximately constant. Furthermore, our findings are consistent with theoretical expectations drawn from analyses of flow driven by gradients in effective water pressure related to variations in ice thickness. Our field and remote sensing observations represent the first high-resolution study of the subglacial geomorphology of the high Arctic, and provide

Value of ultrasound in the determination of drainage methods in patients with tuberculous pleural effusion

International Nuclear Information System (INIS)

Kang, Eun Young; Suh, Bo Kyoung; Shim, Jae Jeong

1997-01-01

To evaluate the utility of ultrasonography (US) as a guide in deciding drainage methods and as a prognostic factor in the prediction of pleural fibrosis, and to compare the effects of drainage methods in patients with tuberculous pleural effusions. In 51 patients with tuberculous pleural effusion, US patterns of pleural effusion were classified according to degree of septa into three groups, as follows : anechoic (n=5), linear septa (n=15), and honeycomb septa (n=31). US-guided drainage methods, including thoracentesis (n=17), percutaneous catheter insertion (n=12), catheter insertion with urokinase instillation (n=22) were employed. Therapeutic effects were evaluated with follow-up chest radiographs after 3 and 6 months. Three months after the procedure, 43 of 51 effusions had drained effectively. US guided drainage failed in eight patients including two of six with linear septated effusion treated with thoracentesis, four of seven with honeycomb septated effusion treated with thoracentesis, and two of six with honeycomb septated effusion treated with catheter drainage. There was no drainage failure in patients with anechoic effusions and in patients with urokinase instillation. Late effects were assessed in 39 patients after 6 months. Follow-up radiographs available in 39 patients demonstrated pleural fibrosis with intercostal space narrowing in 7 patients with honeycomb septated effusion, 3 patients with linear septated effusion, and none of the patients with anechoic effusions. The pattern of septa seen on US could be a useful factor for determining drainage methods and predicting late results in tuberculous pleural effusion. Percutaneous catheter drainage with urokinase instillation was a good drainage modality for patients with septated pleural effusions. Pleural fibrosis is more frequently induced by septated pleural effusion than by anechoic pleural effusion

Value of ultrasound in the determination of drainage methods in patients with tuberculous pleural effusion

Energy Technology Data Exchange (ETDEWEB)

Kang, Eun Young; Suh, Bo Kyoung; Shim, Jae Jeong [Korea Univ. College of Medicine, Seoul (Korea, Republic of)

1997-01-01

To evaluate the utility of ultrasonography (US) as a guide in deciding drainage methods and as a prognostic factor in the prediction of pleural fibrosis, and to compare the effects of drainage methods in patients with tuberculous pleural effusions. In 51 patients with tuberculous pleural effusion, US patterns of pleural effusion were classified according to degree of septa into three groups, as follows : anechoic (n=5), linear septa (n=15), and honeycomb septa (n=31). US-guided drainage methods, including thoracentesis (n=17), percutaneous catheter insertion (n=12), catheter insertion with urokinase instillation (n=22) were employed. Therapeutic effects were evaluated with follow-up chest radiographs after 3 and 6 months. Three months after the procedure, 43 of 51 effusions had drained effectively. US guided drainage failed in eight patients including two of six with linear septated effusion treated with thoracentesis, four of seven with honeycomb septated effusion treated with thoracentesis, and two of six with honeycomb septated effusion treated with catheter drainage. There was no drainage failure in patients with anechoic effusions and in patients with urokinase instillation. Late effects were assessed in 39 patients after 6 months. Follow-up radiographs available in 39 patients demonstrated pleural fibrosis with intercostal space narrowing in 7 patients with honeycomb septated effusion, 3 patients with linear septated effusion, and none of the patients with anechoic effusions. The pattern of septa seen on US could be a useful factor for determining drainage methods and predicting late results in tuberculous pleural effusion. Percutaneous catheter drainage with urokinase instillation was a good drainage modality for patients with septated pleural effusions. Pleural fibrosis is more frequently induced by septated pleural effusion than by anechoic pleural effusion.

Surface property effects on dropwise condensation heat transfer from flowing air-steam mixtures to promote drainage

International Nuclear Information System (INIS)

Grooten, M.H.M.; Van der Geld, C.W.M.

2012-01-01

In this study, the effect of a partially structured Ti-coated plate surface on droplet drainage and heat transfer in dropwise condensation in a compact plate heat exchanger is investigated. In the presence of high concentrations of inert gases, heat transfer is governed by vapor diffusion and condensate drainage is of major importance. A structured coating of the condenser plates is applied to create two coexisting dropwise condensation patterns. The structured Ti-coating constrains drainage and introduces directed surface energy 'gradients', 1-D binary patterns. The condenser with the partially structured coating is compared with two equally sized condensers: a full PVDF and a fully Ti-coated PVDF condenser. It is found that drop drainage is promoted by oriented Ti-coated tracks with a width of approximately the diameter of the maximum drop size to such a degree that the heat transfer performance is practically the same as that of a fully Ti-coated exchanger. Design recommendations are given. (authors)

Mantle convective support, drainage patterns and sedimentary flux: Examples from the West Africa passive margin

Science.gov (United States)

Lodhia, B. H.; Roberts, G. G.; Fraser, A.; Goes, S. D. B.; Fishwick, S.; Jarvis, J.

2017-12-01

Sedimentary flux measurements, regional subsidence patterns, inversion of drainage patterns, tomographic models and simple isostatic calculations are combined to constrain the history of sub-plate support of North West Africa. Backstripping of 8 commercial wells and mapping of 53,000 line-km of 2D seismic reflection data show that rapid ( 0.03 mm a-1) Neogene-Recent subsidence occurred in a 500 x 500 km region offshore Mauritania. 0.4-0.8 km of water-loaded subsidence occurred in the center of the basin during the last 23 Ma. Salt withdrawal, thin-skinned tectonics, glacio-eustasy and flexure of the lithosphere due to the emplacement of Cape Verde cannot explain the timing or magnitude of this phase of subsidence. Instead, conversion of shear wave velocities into temperature and simple isostatic calculations indicate that asthenospheric temperatures determine bathymetry from Cape Verde to West Africa. Our results indicate that asthenospheric flow from Cape Verde to Mauritania generated a bathymetric gradient of 1/300 at a wavelength of 103 km during the last 23 Ma. We explore the relationship between uplift and erosion onshore and measured solid sedimentary flux offshore. First, the history of sedimentary flux to the margin was determined by depth-converting and decompacting biostratigraphically-dated isopachs. Compaction and velocity errors, determined using check-shot data, were propagated into calculated sedimentary flux history. Solid-sedimentary flux rates of 0.2-0.1+0.2 ×103 km3 /Ma between 23.8-5.6 Ma, and 1.9-1.4+2.0 ×103 km3 /Ma from 5.6-0 Ma are observed. Secondly, a calibrated stream power erosional model was used to invert 14700 river profiles for a history of regional uplift rate. Incision rates were integrated along best-fitting theoretical river profiles to predict sedimentary flux at mouths of the rivers draining NW Africa. Our predicted history of sedimentary flux increases in two stages towards the present-day, in agreement with our offshore

Structure and evolution of the drainage system of a Himalayan debris-covered glacier, and its relationship with patterns of mass loss

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D. I. Benn

2017-09-01

Full Text Available We provide the first synoptic view of the drainage system of a Himalayan debris-covered glacier and its evolution through time, based on speleological exploration and satellite image analysis of Ngozumpa Glacier, Nepal. The drainage system has several linked components: (1 a seasonal subglacial drainage system below the upper ablation zone; (2 supraglacial channels, allowing efficient meltwater transport across parts of the upper ablation zone; (3 sub-marginal channels, allowing long-distance transport of meltwater; (4 perched ponds, which intermittently store meltwater prior to evacuation via the englacial drainage system; (5 englacial cut-and-closure conduits, which may undergo repeated cycles of abandonment and reactivation; and (6 a "base-level" lake system (Spillway Lake dammed behind the terminal moraine. The distribution and relative importance of these elements has evolved through time, in response to sustained negative mass balance. The area occupied by perched ponds has expanded upglacier at the expense of supraglacial channels, and Spillway Lake has grown as more of the glacier surface ablates to base level. Subsurface processes play a governing role in creating, maintaining, and shutting down exposures of ice at the glacier surface, with a major impact on spatial patterns and rates of surface mass loss. Comparison of our results with observations on other glaciers indicate that englacial drainage systems play a key role in the response of debris-covered glaciers to sustained periods of negative mass balance.

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

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

2013-02-26

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

Gastroesophageal Variceal Filling and Drainage Pathways: An Angiographic Description of Afferent and Efferent Venous Anatomic Patterns

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Ron C Gaba

2015-01-01

Full Text Available Varices commonly occur in liver cirrhosis patients and are classified as esophageal (EV, gastroesophageal (GEV, or isolated gastric (IGV varices. These vessels may be supplied and drained by several different afferent and efferent pathways. A working knowledge of variceal anatomy is imperative for Interventional Radiologists performing transjugular intrahepatic portosystemic shunt and embolization/obliteration procedures. This pictorial essay characterizes the angiographic anatomy of varices in terms of type and frequency of venous filling and drainage, showing that different varices have distinct vascular anatomy. EVs typically show left gastric vein filling and “uphill” drainage, and GEVs and IGVs exhibit additional posterior/short gastric vein contribution and “downhill” outflow. An understanding of these variceal filling and drainage pathways can facilitate successful portal decompression and embolization/obliteration procedures.

Hybridization of two megacephalic map turtles (testudines: emydidae: Graptemys) in the Choctawhatchee River drainage of Alabama and Florida

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Godwin, James; Lovich, Jeffrey E.; Ennen, Joshua R.; Kreiser, Brian R.; Folt, Brian; Lechowicz, Chris

2014-01-01

Map turtles of the genus Graptemys are highly aquatic and rarely undergo terrestrial movements, and limited dispersal among drainages has been hypothesized to drive drainage-specific endemism and high species richness of this group in the southeastern United States. Until recently, two members of the megacephalic “pulchra clade,” Graptemys barbouri andGraptemys ernsti, were presumed to be allopatric with a gap in both species' ranges in the Choctawhatchee River drainage. In this paper, we analyzed variation in morphology (head and shell patterns) and genetics (mitochondrial DNA and microsatellite loci) from G. barbouri, G. ernsti, and Graptemys sp. collected from the Choctawhatchee River drainage, and we document the syntopic occurrence of those species and back-crossed individuals of mixed ancestry in the Choctawhatchee River drainage. Our results provide a first counter-example to the pattern of drainage-specific endemism in megacephalic Graptemys. Geologic events associated with Pliocene and Pleistocene sea level fluctuations and the existence of paleo-river systems appear to have allowed the invasion of the Choctawhatchee system by these species, and the subsequent introgression likely predates any potential human-mediated introduction.

Runway drainage characteristics related to tire friction performance

Science.gov (United States)

Yager, Thomas J.

1991-01-01

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

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.

Identifying Major Dietary Patterns Among the Elderly in Tehran Health Homes

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Abdollahi

2015-10-01

Full Text Available Background Previous studies on diet have primarily focused on individual nutrients or foods. Recently, the analysis of dietary patterns has emerged as a possible approach for examining food consumption. A literature review revealed no studies of dietary patterns in elderly Iranians. Objectives Our objective was to identify the major dietary intake patterns among the elderly in the health homes located in Zone 5 of Tehran city, Iran. Patients and Methods In this cross-sectional study (descriptive, 368 elderly people (≥ 60 years old were randomly selected. Their usual dietary intake during the past year was assessed using a 168-item semiquantitative food frequency questionnaire. Major food patterns were derived using factor analysis after the classification of food items into 26 groups. Results Four major dietary patterns were identified in the studied population: 1 healthy pattern, characterized by a higher intake of vegetables, tomato and tomato sauce, vegetable oil, olive, and fruits; 2 unhealthy pattern, characterized by a higher intake of red meat, fast food, snacks, sugar, honey and jam, soft drinks, and high-fat dairy products; 3. traditional pattern characterized by intake of whole grains, hydrogenated oil and animal fat, beans, salt, and pickles; and 4 protein-rich pattern, characterized by intake of chicken and poultry, fish, grains, and organ meats. These four major dietary patterns explained 16.3%, 7.5%, 6.7%, and 5.7% of the total variance, respectively. Conclusions Four major dietary patterns were identified in the present studied population that can be used to provide tangible dietary advice for the elderly.

Transbronchial drainage using endobronchial ultrasonography with guide sheath for lung abscess

Science.gov (United States)

Yaguchi, Daizo; Ichikawa, Motoshi; Inoue, Noriko; Kobayashi, Daisuke; Shizu, Masato; Imai, Naoyuki

2018-01-01

Abstract Rationale: Lung abscess was previously treated surgically, but is now mainly treated with antibiotics and ideally with direct drainage, although postural drainage canalso be used. Patient concerns: A chest abnormal shadow was detected in an 82-year-old man and he was referred to our department in November 2017. On chest computed tomography (CT), a low-density mass shadow was present in the left S8 segment. Lung abscess and lung cancer were considered as differential diagnoses, and treatment with sulbactam sodium/ampicillin sodium (SBT/ABPC) was first initiated for lung abscess. The etiologic agent could not be identified by sputum examination, and the abscess shadow remained. Diagnoses: Lung abscess. Interventions: Endobronchial ultrasonography with a guide sheath (EBUS-GS)-guided bronchoscopy was performed on hospital day 21 to diagnose the lesion, identify the etiologic agent if the lesion was a lung abscess, and attempt drainage. Vacuum aspiration performed in the guide sheath after the probe was placed within the lesion produced 4-5 ml of gray turbid pus, and the abscess was judged to have been drained. Outcomes: A subsequent pathological examination did not detect malignant cells. Klebsiella pneumoniae, Prevotella spp. was identified as the etiologic agent in bacteriological tests. Antibiotics were changed based on sensitivity test results, and drainage was similarly performed on hospital day 28. The shadow gradually improved and disappeared. Therefore, this procedure and treatment led to identification of the etiologic agent and helped with cure of the disease. Lessons: Based on the basic principle of treatment for abscess using as much drainage as possible, EBUS-GS-guided transbronchial drainage may be considered to be a “new procedure” for lung abscess. PMID:29768382

Transient drainage summary report

International Nuclear Information System (INIS)

1996-09-01

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

The foam drainage equation for drainage dynamics in unsaturated porous media

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

2017-07-01

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

Delineation of a Re-establishing Drainage Network Using SPOT and Landsat Images

Science.gov (United States)

Bailey, J. E.; Self, S.; Mouginis-Mark, P. J.

2008-12-01

The 1991 eruption of Mt. Pinatubo, The Philippines, provided a unique opportunity to study the effects on the landscape of a large eruption in part because it took place after the advent of regular satellite-based observations. The eruption formed one large (>100km2) ignimbrite sheet, with over 70% of the total deposit deposited in three primary drainage basins to the west of the volcano. High-resolution (20 m/pixel) satellite images, showing the western drainage basins and surrounding region both before and after the eruption were used to observe the re-establishment and evolution of drainage networks on the newly emplaced ignimbrite sheet. Changes in the drainage networks were delineated from a time series of SPOT (Satellite Pour l'Observation de la Terre) and Landsat multi-spectral satellite images. The analysis of which was supplemented by ground- based observations. The satellite images showed that the blue prints for the new drainage systems were established early (within days of the eruption) and at a large-scale followed the pre-eruption pattern. However, the images also illustrated the ephemeral nature of many channels due to the influence of secondary pyroclastic flows, lahar- dammed lake breakouts, stream piracy and shifts due to erosion. Characteristics of the defined drainage networks were used to infer the relative influence on the lahar hazard within each drainage basin.

Inter-Event Time Definition Setting Procedure for Urban Drainage Systems

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Jingul Joo

2013-12-01

Full Text Available Traditional inter-event time definition (IETD estimate methodologies generally take into account only rainfall characteristics and not drainage basin characteristics. Therefore, they may not succeed in providing an appropriate value of IETD for any sort of application to the design of urban drainage system devices. To overcome this limitation, this study presents a method of IETD determination that considers basin characteristics. The suggested definition of IETD is the time period from the end of a rainfall event to the end of a direct runoff. The suggested method can identify the independent events that are suitable for the statistical analysis of the recorded rainfall. Using the suggested IETD, the IETD of the Joong-Rang drainage system was determined and the area-IETD relation curve was drawn. The resulting regression curve can be used to determinate the IETD of ungauged urban drainage systems, with areas ranging between 40 and 4400 ha. Using the regression curve, the IETDs and time distribution of the design rainfall for four drainage systems in Korea were determined and rainfall-runoff simulations were performed with the Storm Water Management Model (SWMM. The results were compared with those from Huff's method which assumed a six-hour IETD. The peak flow rates obtained by the suggested method were 11%~15% greater than those obtained by Huff’s method. The suggested IETD determination method can identify independent events that are suitable for the statistical analysis of the recorded rainfall aimed at the design of urban drainage system devices.

Risk factors influencing the pleural drainage volume after transthoracic oesophagectomy.

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

2013-06-01

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

The Impact of Drainage Network Structure on Flooding in a Small Urban Watershed in Metropolitan Baltimore, MD

Science.gov (United States)

Meierdiercks, K. L.; Smith, J. A.; Miller, A. J.

2006-12-01

The impact of urban development on watershed-scale hydrology is examined in a small urban watershed in the Metropolitan Baltimore area. Analyses focus on Dead Run, a 14.3 km2 tributary of the Gwynns Falls, which is the principal study watershed of the Baltimore Ecosystem Study. Field observations of rainfall and discharge have been collected for storms occurring in the 2003, 2004, and 2005 warm seasons including the flood of record for the USGS Dead Run at Franklintown gage (7 July 2004), in which 5 inches of rain fell in less than 4 hours. Dead Run has stream gages at 6 locations with drainage areas ranging from 1.2 to 14.3 km2. Hydrologic response to storm events varies greatly in each of the subwatersheds due to the diverse development types located there. These subwatersheds range in land use from medium-density residential, with and without stormwater management control, to commercial/light industrial with large impervious lots and an extensive network of stormwater management ponds. The unique response of each subwatershed is captured using field observations in conjunction with the EPA Stormwater Management Model (SWMM), which routes storm runoff over the land surface and through the drainage network of a watershed. Of particular importance to flood response is the structure of the drainage network (both surface channels and storm drain network) and its connectivity to preferential flow paths within the watershed. The Dead Run drainage network has been delineated using geospatial data derived from aerial photography and engineering planning drawings. Model analyses are used to examine the characteristics of flow paths that control flood response in urban watersheds. These analyses aim to identify patterns in urban flow pathways and use those patterns to predict response in other urban watersheds.

Vector neural net identifying many strongly distorted and correlated patterns

Science.gov (United States)

Kryzhanovsky, Boris V.; Mikaelian, Andrei L.; Fonarev, Anatoly B.

2005-01-01

We suggest an effective and simple algorithm providing a polynomial storage capacity of a network of the form M ~ N2s+1, where N is the dimension of the stored binary patterns. In this problem the value of the free parameter s is restricted by the inequalities N >> slnN >= 1. The algorithm allows us to identify a large number of highly distorted similar patterns. The negative influence of correlations of the patterns is suppressed by choosing a sufficiently large value of the parameter s. We show the efficiency of the algorithm by the example of a perceptron identifier, but it also can be used to increase the storage capacity of full connected systems of associative memory.

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

Science.gov (United States)

Bradley, Michael W.; Worland, Scott C.

2015-01-01

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

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

Science.gov (United States)

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

2015-04-28

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

Drainage of radioactive areas

International Nuclear Information System (INIS)

1981-04-01

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

Identifying and Further Understanding the Role of Bacteria and Archaea in a Basic Mine Drainage Remediation Site in Tanoma, PA

Science.gov (United States)

Sharp, G.; Mount, G.

2017-12-01

Acid mine drainage pollutes over 3000 miles of streams and ground water in Pennsylvania alone, and in response many solutions have been developed to counteract the effects of acidic mine drainage. It is estimated by USGS that restoring these watersheds would cost 5 billion-15 billion in total. As economic conditions place limits on expenditures, cost effective means of remediation will be of critical importance. One such method is passive bioremediation, and in the case of metal contamination, self-sustaining oxygenation. Our location of interest is the Tanoma Acid Mine Drainage engineered wetland near Tanoma, Pennsylvania. It is estimated that up to 5,000 gallons per minute is currently being discharged into the site. While most local remediation sites are acidic (pH bioremediation in more neutral pH setting (pH of 5.5-7.5). In this study, we look to further understand biologic, chemical, and hydrologic controls that contribute to the efficiency of the wetland. Our research will focus on the spatial and temporal distribution of biomass through the wetland system as well as changes in water and soil chemistry. Local biofilm (Leptothrix discophora ) are an important part of the remediation process, using iron from the water as an energy source. The bacteria reduce the iron content of the water, precipitating it onto the pond bed as Terraced Iron Formations (TIF). Terraces iron formations (TIF's) are correlated with localized biofilm-archaea densities where archaea thrive in iron rich sediments. By determining bacteria densities in the wetland through gram stain analysis, we can further understand their role in terraced iron formation creation, find localized TIF's that occur, and correlate methane production due to archaea in that location. Mapping TIF locations and identifying bacteria densities will help determine the bioremediation effects on the overall efficiency of iron reduction throughout the Tanoma AMD passive remediation system.

Geomorphologic Analysis of Drainage Basins in Damavand Volcano Cone, Iran

Science.gov (United States)

Zareinejad, M.

2011-12-01

Damavand volcanic cone is located in the center of the Alborz chain, in the southern Caspian Sea in Iran. Damavand is a dormant volcano in Iran. It is not only the country's highest peak but also the highest mountain on the Middle East; its elevation is 5619 m. The main purpose of this paper is recognition and appraisement of drainage basins in Damavand cone from geomorphic point of view. Water causes erosion in nature in different forms and creates diverse forms on the earth surface depending on the manner of its appearance in nature. Although water is itself a former factor, it flows under morphological effect of earth surface. The difference of earth surface topography and as a result water movement on it, cause the formation of sub-basins. Identification of region drainage basins is considered as one of the requirements for Damavand cone morphometric. Thereupon, five drainage basins were identified in this research by relying on main criteria including topographic contours with 10 m intervals, drainage system, DEM map, slope map, aspect map and satellite images. (Fig 1) Area, perimeter, height classification for classifying morphological landforms in different levels, hypsometric calculations, drainage density, etc. were then calculated by using ArcGIS software. (Table 1) Damavand cone, with a height more than 5,000 meters from the sea surface, has very hard pass slopes and our purpose in this paper is to identify the effect of drainage basins conditions in the region on erosion and the formation of morphological landforms by using SPOT, ASTER, satellite images as well as papering of data in GIS environment.

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

Science.gov (United States)

Young, Carlton J

2009-02-01

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

Identifying clinical course patterns in SMS data using cluster analysis

DEFF Research Database (Denmark)

Kent, Peter; Kongsted, Alice

2012-01-01

ABSTRACT: BACKGROUND: Recently, there has been interest in using the short message service (SMS or text messaging), to gather frequent information on the clinical course of individual patients. One possible role for identifying clinical course patterns is to assist in exploring clinically important...... showed that clinical course patterns can be identified by cluster analysis using all SMS time points as cluster variables. This method is simple, intuitive and does not require a high level of statistical skill. However, there are alternative ways of managing SMS data and many different methods...

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

Science.gov (United States)

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

Visualization of tumor blockage and rerouting of lymphatic drainage in penile cancer patients by use of SPECT/CT.

Science.gov (United States)

Leijte, Joost A P; van der Ploeg, Iris M C; Valdés Olmos, Renato A; Nieweg, Omgo E; Horenblas, Simon

2009-03-01

The reliability of sentinel node biopsy is dependent on the accurate visualization and identification of the sentinel node(s). It has been suggested that extensive metastatic involvement of a sentinel node can lead to blocked inflow and rerouting of lymph fluid to a "neo-sentinel node" that may not yet contain tumor cells, causing a false-negative result. However, there is little evidence to support this hypothesis. Recently introduced hybrid SPECT/CT scanners provide both tomographic lymphoscintigraphy and anatomic detail. Such a scanner enabled the present study of the concept of tumor blockage and rerouting of lymphatic drainage in patients with palpable groin metastases. Seventeen patients with unilateral palpable and cytologically proven metastases in the groin underwent bilateral conventional lymphoscintigraphy and SPECT/CT before sentinel node biopsy of the contralateral groin. The pattern of lymphatic drainage in the 17 palpable groin metastases was evaluated for signs of tumor blockage or rerouting. On the CT images, the palpable node metastases could be identified in all 17 groins. Four of the 17 palpable node metastases (24%) showed uptake of radioactivity on the SPECT/CT images. In 10 groins, rerouting of lymphatic drainage to a neo-sentinel node was seen; one neo-sentinel node was located in the contralateral groin. A complete absence of lymphatic drainage was seen in the remaining 3 groins. The concept of tumor blockage and rerouting was visualized in 76% of the groins with palpable metastases. Precise physical examination and preoperative ultrasound with fine-needle aspiration cytology may identify nodes with considerable tumor invasion at an earlier stage and thereby reduce the incidence of false-negative results.

Suprascarpal fat pad thickness may predict venous drainage patterns in abdominal wall flaps.

Science.gov (United States)

Bast, John; Pitcher, Austin A; Small, Kevin; Otterburn, David M

2016-02-01

Abdominal wall flaps are routinely used in reconstructive procedures. In some patients inadequate venous drainage from the deep vein may cause fat necrosis or flap failure. Occasionally the superficial inferior epigastric vessels (SIEV) are of sufficient size to allow for microvascular revascularization. This study looked at the ratio of the sub- and suprascarpal fat layers, the number of deep system perforators, and SIEV diameter to determine any correlation of the fat topography and SIEV. 50 abdominal/pelvic CT angiograms (100 hemiabdomens) were examined in women aged 34-70 years for number of perforators, SIEV diameter, and fat pad thickness above and below Scarpa's fascia. Data was analyzed using multivariate model. The average suprascarpal and subscarpal layers were 18.6 ± 11.5 mm and 6.2 ± 7.2 mm thick, respectively. The average SIEV diameter was 2.06 ± 0.81 mm and the average number of perforators was 2.09 ± 1.03 per hemiabdomen. Hemiabdomens with suprascarpal thickness>23 mm had greater SIEV diameter [2.69 mm vs. 1.8 mm (P fat layer thickness did not correlate with the number of perforators. Neither subscarpal fat thickness nor suprascarpal-to-subscarpal fat layer thickness correlated significantly with SIEV caliber or number of perforators in multivariate model. Suprascarpal fat pad thicker than 23 mm had larger SIEVs irrespective of the number of deep system perforators. This may indicate a cohort of patients at risk of venous congestion from poor venous drainage if only the deep system is revascularized. We recommend harvesting the SIEV in patients with suprascarpal fat pad >23 mm to aid in superficial drainage. © 2015 Wiley Periodicals, Inc.

DETERMINATION OF EFFICIENCY OF THE CIRCUMFERENTIAL DRAINAGE SYSTEM

Directory of Open Access Journals (Sweden)

Maciej Kroll

2015-11-01

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

Peritoneal seeding of cholangiocarcinoma in patients with percutaneous biliary drainage

International Nuclear Information System (INIS)

Miller, G.A. Jr.; Heaston, D.K.; Moore, A.V. Jr.; Mills, S.R.; Dunnick, N.R.

1983-01-01

Percutaneous transhepatic catheter decompression is performed increasingly as an adjunct or alternative to surgery in patients with benign or malignant biliary obstruction. The authors recently saw three patients with cholangiocarcinoma in whom metastatic seeding of the peritoneal serosa was identified some months after initial percutaneous transhepatic biliary drainage. Although no tumor was found along the hepatic tract of the biliary drainage catheters to implicate the drainage tubes as the direct source of peritoneal spread, the occurrence of this rare type of metastasis of cholangiocarcinoma in patients with potential access of tumor cells to the peritoneal cavity via the catheter tracts does suggest such a relation. The clinical history of one patient is presented

Drainage facility management system : final report, June 2009.

Science.gov (United States)

2009-06-01

This research project identified requirements for a drainage facility management system for the Oregon Department of Transportation. It also estimated the personnel resources needed to collect the inventory to populate such a system with data. A tota...

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

Science.gov (United States)

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

2016-05-10

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

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

Science.gov (United States)

Barrow, Emily M; DelGaudio, John M

2015-05-01

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

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

Science.gov (United States)

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

2017-04-01

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

The drainage information and control system of smart city

Science.gov (United States)

Mao, Tonglei; Li, Lei; Liu, JiChang; Cheng, Liang; Zhang, Jing; Song, Zengzhong; Liu, Lianhai; Hu, Zichen

2018-03-01

At present, due to the continuous expansion of city and the increase of the municipal drainage facilities, which leads to a serious lack of management and operation personnel, the existing production management pattern already can't adapt to the new requirements. In this paper, according to river drainage management, flood control, water management, auditing, administrative license, etc. different business management requirement, an information management system for water planning and design of smart city based on WebGIS in Linyi was introduced, which can collect the various information of gate dam, water pump, bridge sensor and traffic guide terminal nodes etc. together. The practical application show that the system can not only implement the sharing, resources integration and collaborative application for the regional water information, but also improve the level of the integrated water management.

Percutaneous drainage of lung abscesses

International Nuclear Information System (INIS)

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

1989-01-01

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

Using high resolution aridity and drainage position data to better predict rainfall-runoff relationships in complex upland topography

Science.gov (United States)

Metzen, D.; Sheridan, G. J.; Benyon, R. G.; Lane, P. N. J.

2015-12-01

In topographically complex terrain, the interaction of aspect-dependent solar exposure and drainage-position-dependent flow accumulation results in energy and water partitioning that is highly spatially variable. Catchment scale rainfall-runoff relationships are dependent on these smaller scale spatial patterns. However, there remains considerable uncertainty as to how to represent this smaller scale variability within lumped parameter, catchment scale rainfall-runoff models. In this study we aim to measure and represent the key interactions between aridity and drainage position in complex terrain to inform the development of simple catchment-scale hydrologic model parameters. Six measurement plots were setup on opposing slopes in an east-west facing eucalypt forest headwater catchment. The field sites are spanning three drainage positions with two contrasting aridity indices each, while minimizing variations in other factors, e.g. geology and weather patterns. Sapflow, soil water content (SWC) and throughfall were continuously monitored on two convergent hillslopes with similar size (1.3 and 1.6ha) but contrasting aspects (north and south). Soil depth varied from 0.6m at the topslope to >2m at the bottomslope positions. Maximum tree heights ranged from 16.2m to 36.9m on the equator-facing slope and from 30.1m to 45.5m on the pole-facing slope, with height decreasing upslope on both aspects. Two evapotranspiration (ET) patterns emerged in relation to aridity and drainage position. On the equator-facing slope (AI~ 2.1), seasonal understorey and overstorey ET patterns were in sync, whereas on the pole-facing slope (AI~1.5) understorey ET showed larger seasonal fluctuations than overstorey ET. Seasonal ET patterns and competition between soil evaporation and root water uptake lead to distinct differences in profile SWC across the sites, likely caused by depletion from different depths. Topsoil water content on equator-facing slopes was generally lower and responded

Percutaneous catheter drainage of lung abscess

Energy Technology Data Exchange (ETDEWEB)

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

1993-09-15

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

Percutaneous catheter drainage of lung abscess

International Nuclear Information System (INIS)

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

1993-01-01

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

Autogenic drainage for airway clearance in cystic fibrosis.

Science.gov (United States)

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

2017-10-06

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

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

Science.gov (United States)

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

2016-03-01

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

Nocturnal drainage wind characteristics in two converging air sheds

International Nuclear Information System (INIS)

Gedayloo, T.; Clements, W.E.; Barr, S.; Archuleta, J.A.

1980-01-01

During the short experimental period in the Grants Basin of Northeastern New Mexico a survey was conducted on the complex meteorology of this area. Emphasis was placed on the nocturnal drainage flow because of the potential hazards to the populated areas of Milan and Grants from the effluents of the uranium mining and milling operation in this area. This investigation has shown that the nocturnal drainage flow patterns agree with the winds predicted on the basis of the complex terrain of the area. Because of the surface cooling at night (over 25 0 C during summer and about 20 0 C during winter), air from elevated surrounding areas flows to the low lying regions consequently setting up a nocturnal drainage flow. This regime exists over 60% of the time during summer months and over 65% of the time during winter months with a depth generally less than 200 m. In the San Mateo air shed the drainage flow is east northeast, and in the Ambrosia Lake air shed it is from northwest. The confluence of these two air flows contributes mainly to the drainage flow through the channel formed by La Ja Mesa and Mesa Montanosa. The analysis of data collected by the recording Flats Station confirms the prediction that although the area south of the channel region broadens considerably causing a reduction in flow speed, contributions from the southside of La Jara Mesa and Mesa Montanosa partly compensate for this reduction. The position of this recording station is 15 to 20 km from the populated towns of Milan and Grants. A drainage flow speed of approximately 2.2 m s -1 and the duration of over 11 hours as recorded by this station indicates that air from the San Mateo and Ambrosia Lake regions may be transported southwards to these population centers during a nocturnal period. In order to test this prediction, a series of multi-atmospheric tracer experiments were conducted in the Grants Basin

Greenland Subglacial Drainage Evolution Regulated by Weakly Connected Regions of the Bed

Science.gov (United States)

Hoffman, Matthew J.; Andrews, Lauren C.; Price, Stephen F.; Catania, Ginny A.; Neumann, Thomas A.; Luthi, Martin P.; Gulley, Jason; Ryser, Claudia; Hawley, Robert L.; Morriss, Blaine

2016-01-01

Penetration of surface meltwater to the bed of the Greenland Ice Sheet each summer causes an initial increase in ice speed due to elevated basal water pressure, followed by slowdown in late summer that continues into fall and winter. While this seasonal pattern is commonly explained by an evolution of the subglacial drainage system from an inefficient distributed to efficient channelized configuration, mounting evidence indicates that subglacial channels are unable to explain important aspects of hydrodynamic coupling in late summer and fall. Here we use numerical models of subglacial drainage and ice flow to show that limited, gradual leakage of water and lowering of water pressure in weakly connected regions of the bed can explain the dominant features in late and post melt season ice dynamics. These results suggest that a third weakly connected drainage component should be included in the conceptual model of subglacial hydrology.

Effects of peatland drainage management on peak flows

Directory of Open Access Journals (Sweden)

C. E. Ballard

2012-07-01

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

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

Science.gov (United States)

Shamim, Muhammad

2013-02-01

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

Evaluation of Critical Parameters to Improve Slope Drainage System

Directory of Open Access Journals (Sweden)

Yong Weng Long

2017-01-01

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

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

Directory of Open Access Journals (Sweden)

Eun Kwang Choi

2017-05-01

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

Transbronchial drainage using endobronchial ultrasonography with guide sheath for lung abscess: A case report.

Science.gov (United States)

Yaguchi, Daizo; Ichikawa, Motoshi; Inoue, Noriko; Kobayashi, Daisuke; Shizu, Masato; Imai, Naoyuki

2018-05-01

Lung abscess was previously treated surgically, but is now mainly treated with antibiotics and ideally with direct drainage, although postural drainage canalso be used. A chest abnormal shadow was detected in an 82-year-old man and he was referred to our department in November 2017. On chest computed tomography (CT), a low-density mass shadow was present in the left S8 segment. Lung abscess and lung cancer were considered as differential diagnoses, and treatment with sulbactam sodium/ampicillin sodium (SBT/ABPC) was first initiated for lung abscess. The etiologic agent could not be identified by sputum examination, and the abscess shadow remained. Lung abscess. Endobronchial ultrasonography with a guide sheath (EBUS-GS)-guided bronchoscopy was performed on hospital day 21 to diagnose the lesion, identify the etiologic agent if the lesion was a lung abscess, and attempt drainage. Vacuum aspiration performed in the guide sheath after the probe was placed within the lesion produced 4-5 ml of gray turbid pus, and the abscess was judged to have been drained. A subsequent pathological examination did not detect malignant cells. Klebsiella pneumoniae, Prevotella spp. was identified as the etiologic agent in bacteriological tests. Antibiotics were changed based on sensitivity test results, and drainage was similarly performed on hospital day 28. The shadow gradually improved and disappeared. Therefore, this procedure and treatment led to identification of the etiologic agent and helped with cure of the disease. Based on the basic principle of treatment for abscess using as much drainage as possible, EBUS-GS-guided transbronchial drainage may be considered to be a "new procedure" for lung abscess.

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

Science.gov (United States)

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

Mine Drainage Generation and Control Options.

Science.gov (United States)

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

2016-10-01

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

Single chest tube drainage is superior to double chest tube drainage after lobectomy: a meta-analysis.

Science.gov (United States)

Zhou, Dong; Deng, Xu-Feng; Liu, Quan-Xing; Chen, Qian; Min, Jia-Xin; Dai, Ji-Gang

2016-05-27

In this meta-analysis, we conducted a pooled analysis of clinical studies comparing the efficacy of single chest tube versus double chest tube after a lobectomy. According to the recommendations of the Cochrane Collaboration, we established a rigorous study protocol. We performed a systematic electronic search of the PubMed, Embase, Cochrane Library and Web of Science databases to identify articles to include in our meta-analysis. A literature search was performed using relevant keywords. A meta-analysis was performed using RevMan© software. Five studies, published between 2003 and 2014, including 630 patients (314 patients with a single chest tube and 316 patients with a double chest tube), met the selection criteria. From the available data, the patients using a single tube demonstrated significantly decreased postoperative pain [weighted mean difference [WMD] -0.60; 95 % confidence intervals [CIs] -0.68-- 0.52; P tube after a pulmonary lobectomy. However, there were no significant differences in postoperative complications [OR 0.91; 95 % CIs 0.57-1.44; P = 0.67] and re-drainage rates [OR 0.81; 95 % CIs 0.42-1.58; P = 0.54]. Our results showed that a single-drain method is effective, reducing postoperative pain, hospitalization times and duration of drainage in patients who undergo a lobectomy. Moreover, the single-drain method does not increase the occurrence of postoperative complications and re-drainage rates.

Percutaneous catheter drainage of intrapulmonary fluid collection

International Nuclear Information System (INIS)

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

1994-01-01

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

Percutaneous catheter drainage of intrapulmonary fluid collection

Energy Technology Data Exchange (ETDEWEB)

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

1994-01-15

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

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

Science.gov (United States)

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

2013-01-01

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

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

DEFF Research Database (Denmark)

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

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

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

Science.gov (United States)

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

2018-03-29

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

[Ascites drainage at home

NARCIS (Netherlands)

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

2015-01-01

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

Land use, land cover, and drainage on the Albemarle-Pamlico Peninsula, Eastern North Carolina, 1974

Science.gov (United States)

Daniel, C.C.

1978-01-01

A land use, land cover, and drainage map of the 2,000-square-mile Albermarle-Pamlico peninsula of eastern North Carolina has been prepared, at a scale of 1:125,000, as part of a larger study of the effects of large-scale land clearing on regional hydrology. The peninsula includes the most extensive area of wetland in North Carolina and one of the largest in the country. In recent years the pace of land clearing on the peninsula has accelerated as land is being converted from forest, swamp, and brushland to agricultural use. Conversion of swamps to intensive farming operations requires profound changes in the landscape. Vegetation is uprooted and burned and ditches and canals are dug to remove excess water. What is the impact of these changes on ground-water supplies and on the streams and surrounding coastal waters which receive the runoff This map will aid in answering these and similar questions that have arisen about the patterns of land use and the artificial drainage system that removes excess water from the land. By showing both land use and drainage, this map can be used to identify those areas where water-related problems may occur and help assess the nature and causes of these problems. The map covers the entire area east of the Suffolk Scarp, an area of about 2,000 square miles, for the year 1974 using data from 1974-76. Land use and land cover were compiled and modified from the U.S. Geological Survey 's Rocky Mount and Manteo LUDA maps. Additional information came from U.S. Geological Survey orthophotoquads, Landsat imagery, and field checking. Drainage was mapped from orthophotoquads, some field inspection, and 7-1/2 minute topographic quadrangle maps.

Percutaneous transhepatic biliary drainage

International Nuclear Information System (INIS)

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

1982-01-01

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

137Cs distribution and geochemistry of Lena River (Siberia) drainage basin lake sediments

International Nuclear Information System (INIS)

Johnson-Pyrtle, A.; Scott, M.R.; Laing, T.E.; Smol, J.P.

2000-01-01

The Lena River is the second largest river that discharges into the Arctic Ocean. It is therefore important to determine not only the direct impact its discharge has on the 137Cs concentration of the Arctic, but also the potential its drainage basin has as a 137Cs source. 137Cs surface sediment concentrations and inventory values, which range from 4.97 to 338 Bq kg -1 and 357 to 1732 Bq m -2 , respectively, were determined for the Lena River drainage basin lake samples, via gamma analysis. The average geochemical and mineralogical composition of a subset of samples was also determined using neutron activation analysis, X-ray diffraction and X-ray fluorescence spectrometry techniques. Results of these geochemical analyses allowed for the identification of key geochemical factors that influence the distribution of 137Cs in the Lena River drainage basin. 137Cs profiles indicate that Lena River drainage basin lacustrine sediments serve as a record of 137Cs fallout. Based on the downcore 137Cs, %illite, %smectite, %Al and %Mn distribution patterns, it was concluded that a small fraction of non-selectively bound 137Cs was remobilized at depth in some cores. Inconsistencies between the actual 137Cs fallout record and the 137Cs profiles determined for the lake sediments were attributed to 137Cs remobilization in subsurface sediments. In addition to establishing the agreement between the global atmospheric fallout record and the downcore 137Cs distribution patterns determined for these sediments, results indicate that 137Cs deposited during periods of maximum atmospheric release was buried and is not susceptible to surface erosion processes. However, mean 137Cs concentrations of the lacustrine surface sediments (125 Bq kg -1 ) are still significantly higher than those of the nearby Lena River estuary (11.22 Bq kg -1 ) and Laptev Sea (6.00 Bq kg -1 ). Our study suggests that the Lena River drainage basin has the potential to serve as a source of 137Cs to the adjacent Arctic

Implementation of a drainage information, analysis and management system

Directory of Open Access Journals (Sweden)

J.N. Meegoda

2017-04-01

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

Identifying typical patterns of vulnerability: A 5-step approach based on cluster analysis

Science.gov (United States)

Sietz, Diana; Lüdeke, Matthias; Kok, Marcel; Lucas, Paul; Carsten, Walther; Janssen, Peter

2013-04-01

Specific processes that shape the vulnerability of socio-ecological systems to climate, market and other stresses derive from diverse background conditions. Within the multitude of vulnerability-creating mechanisms, distinct processes recur in various regions inspiring research on typical patterns of vulnerability. The vulnerability patterns display typical combinations of the natural and socio-economic properties that shape a systems' vulnerability to particular stresses. Based on the identification of a limited number of vulnerability patterns, pattern analysis provides an efficient approach to improving our understanding of vulnerability and decision-making for vulnerability reduction. However, current pattern analyses often miss explicit descriptions of their methods and pay insufficient attention to the validity of their groupings. Therefore, the question arises as to how do we identify typical vulnerability patterns in order to enhance our understanding of a systems' vulnerability to stresses? A cluster-based pattern recognition applied at global and local levels is scrutinised with a focus on an applicable methodology and practicable insights. Taking the example of drylands, this presentation demonstrates the conditions necessary to identify typical vulnerability patterns. They are summarised in five methodological steps comprising the elicitation of relevant cause-effect hypotheses and the quantitative indication of mechanisms as well as an evaluation of robustness, a validation and a ranking of the identified patterns. Reflecting scale-dependent opportunities, a global study is able to support decision-making with insights into the up-scaling of interventions when available funds are limited. In contrast, local investigations encourage an outcome-based validation. This constitutes a crucial step in establishing the credibility of the patterns and hence their suitability for informing extension services and individual decisions. In this respect, working at

Cranial dural arteriovenous shunts. Part 4. Clinical presentation of the shunts with leptomeningeal venous drainage.

Science.gov (United States)

Baltsavias, Gerasimos; Spiessberger, Alex; Hothorn, Torsten; Valavanis, Anton

2015-04-01

Cranial dural arteriovenous fistulae have been classified into high- and low-risk lesions mainly based on the pattern of venous drainage. Those with leptomeningeal venous drainage carry a higher risk of an aggressive clinical presentation. Recently, it has been proposed that the clinical presentation should be considered as an additional independent factor determining the clinical course of these lesions. However, dural shunts with leptomeningeal venous drainage include a very wide spectrum of inhomogeneous lesions. In the current study, we correlated the clinical presentation of 107 consecutive patients harboring cranial dural arteriovenous shunts with leptomeningeal venous drainage, with their distinct anatomic and angiographic features categorized into eight groups based on the "DES" (Directness and Exclusivity of leptomeningeal venous drainage and features of venous Strain) concept. We found that among these groups, there are significant angioarchitectural differences, which are reflected by considerable differences in clinical presentation. Leptomeningeal venous drainage of dural sinus shunts that is neither direct nor exclusive and without venous strain manifested only benign symptoms (aggressive presentation 0%). On the other end of the spectrum, the bridging vein shunts with direct and exclusive leptomeningeal venous drainage and venous strain are expected to present aggressive symptoms almost always and most likely with bleeding (aggressive presentation 91.5%). Important aspects of the above correlations are discussed. Therefore, the consideration of leptomeningeal venous drainage alone, for prediction of the clinical presentation of these shunts appears insufficient. Angiographic analysis based on the above concept, offers the possibility to distinguish the higher- from the lower-risk types of leptomeningeal venous drainage. In this context, consideration of the clinical presentation as an additional independent factor for the prediction of their clinical

Drainage under increasing and changing requirements

NARCIS (Netherlands)

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

2007-01-01

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

On Identifying Useful Patterns to Analyze Products in Retail Transaction Databases

Science.gov (United States)

Yun, Unil

Mining correlated patterns in large transaction databases is one of the essential tasks in data mining since a huge number of patterns are usually mined, but it is hard to find patterns with the correlation. The needed data analysis should be made according to the requirements of the particular real application. In previous mining approaches, patterns with the weak affinity are found even with a high minimum support. In this paper, we suggest weighted support affinity pattern mining in which a new measure, weighted support confidence (ws-confidence) is developed to identify correlated patterns with the weighted support affinity. To efficiently prune the weak affinity patterns, we prove that the ws-confidence measure satisfies the anti-monotone and cross weighted support properties which can be applied to eliminate patterns with dissimilar weighted support levels. Based on the two properties, we develop a weighted support affinity pattern mining algorithm (WSP). The weighted support affinity patterns can be useful to answer the comparative analysis queries such as finding itemsets containing items which give similar total selling expense levels with an acceptable error range α% and detecting item lists with similar levels of total profits. In addition, our performance study shows that WSP is efficient and scalable for mining weighted support affinity patterns.

Analysis of the vertebral venous system in relation to cerebral venous drainage on MR angiography

International Nuclear Information System (INIS)

Baik, Seung Kug; Sohn, Chul Ho; Kim, Gab Chul; Kim, Yong Sun

2004-01-01

In the supine position, cerebral venous drainage occurs primarily through the internal jugular veins, as seen on venous phase cerebral angiography. However, in the erect position, the vertebral venous system represents the major alternative pathway of cerebral venous drainage, while outflow through the internal jugular veins is absent or negligible. The purpose of this study is to evaluate the vertebral venous system and its relationship between the surrounding venous structures using magnetic resonance angiography (MRA) in the case of subjects in the supine position. We retrospectively reviewed the results of 65 patients (M:F = 31: 34, mean age 61.6 years) who underwent multi-phase contrast-enhanced carotid MRA. The imaging studies were performed using a 3.0 T MR unit (TR: 5.2, TE: 1.1, FA: 20, 3.8 thickness, EC: 1). We analyzed the appearance and extent of the vertebral venous system (vertebral venous plexus and vertebral artery venous plexus) and the internal jugular vein on the venous phase images. We also evaluated the main drainage pattern of the cerebral venous drainage and the drainage pattern of the vertebral venous system. The visualized vertebral venous system was defined as either poor, vertebral venous plexus dominant, vertebral artery venous plexus dominant or mixed. In the vertebral venous system, the vertebral artery venous plexus was visualized in 54 cases (83%). The appearance of the visualized vertebral artery venous plexus was symmetrical in 39 cases (72%) and asymmetrical in 15 cases (28%). The extent of the visualized vertebral artery venous plexus was partial in 26 cases (48%) and complete in 28 cases (52%). The vertebral venous plexus was visualized in 62 cases (95%). The appearance of the visualized vertebral artery venous plexus was symmetrical in 43 cases (69%) and asymmetrical in 19 cases (31%). The extent of the visualized vertebral artery venous plexus was partial in 35 cases (56%) and complete in 27 cases (44%). The appearance of the

Linear disturbances on discontinuous permafrost: implications for thaw-induced changes to land cover and drainage patterns

International Nuclear Information System (INIS)

Williams, Tyler J; Quinton, William L; Baltzer, Jennifer L

2013-01-01

Within the zone of discontinuous permafrost, linear disturbances such as winter roads and seismic lines severely alter the hydrology, ecology, and ground thermal regime. Continued resource exploration in this environment has created a need to better understand the processes causing permafrost thaw and concomitant changes to the terrain and ground cover, in order to efficiently reduce the environmental impact of future exploration through the development of best management practices. In a peatland 50 km south of Fort Simpson, NWT, permafrost thaw and the resulting ground surface subsidence have produced water-logged linear disturbances that appear not to be regenerating permafrost, and in many cases have altered the land cover type to resemble that of a wetland bog or fen. Subsidence alters the hydrology of plateaus, developing a fill and spill drainage pattern that allows some disturbances to be hydrologically connected with adjacent wetlands via surface flow paths during periods of high water availability. The degree of initial disturbance is an important control on the extent of permafrost thaw and thus the overall potential recovery of the linear disturbance. Low impact techniques that minimize ground surface disturbance and maintain original surface topography by eliminating windrows are needed to minimize the impact of these linear disturbances. (letter)

Social impact assessment of subsurface drainage

International Nuclear Information System (INIS)

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

2005-01-01

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

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

Science.gov (United States)

Taylor, George Fred

1993-01-01

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

Disinfectant properties of acid mine drainage: its effects on enteric bacteria in a sewage-contaminated stream

Energy Technology Data Exchange (ETDEWEB)

Keating, S.T.; Celements, C.M.; Ostrowski, D.; Hanlon, T. [St. Francis College, Loretto, PA (United States). Dept. of Biology

1996-09-01

Studies conducted in a Cambria County, Pennsylvania, acid mine drainage stream suggest that mine drainage rapidly reduces in situ populations of fecal bacteria associated with inputs of untreated sewage. The density of lactose-fermenting bacteria, mostly coliform species from sewage, declined 1000-fold over a distance of less than 100 m following the input of high acid (pH 3.5 to 4.0), high ferrous iron (45 mg/l) acid mine drainage. Enterobacteriaceae were isolated from the stream, identified, and tested for tolerance to acid mine drainage by exposing cells to drainage for 10 minutes at 0 or 37{degree}C. Populations of all tested isolates were reduced by this treatment, but some isolates were significantly less affected than others. Thus, while mine drainage may act as a disinfectant, it may not reduce all populations of disease-causing intestinal bacteria at an equal, rapid rate.

Wound Drainage Culture (For Parents)

Science.gov (United States)

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

Pre-operative biliary drainage for obstructive jaundice

Science.gov (United States)

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

2014-01-01

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

The impact of episodic coal mine drainage pollution on benthic macroinvertebrates in streams in the Anthracite region of Pennsylvania

International Nuclear Information System (INIS)

MacCausland, A.; McTammany, M.E.

2007-01-01

Episodic coal mine drainage, caused by fluctuations in mine discharges relative to stream flow, has devastating effects on aquatic macroinvertebrate communities. Seven stream reaches in the Anthracite region of Pennsylvania were identified as chronically, episodically or not impaired by mine drainage, and sampled seasonally for 1 year to determine the effect of episodic mine drainage on macroinvertebrates. Specific conductance fluctuated seasonally in episodic sites; it was lower in winter when discharge increased and higher in summer when discharges decreased and mine drainage made up a larger proportion of stream flow. Although we hypothesized that episodic streams would have higher macroinvertebrate richness than chronic streams, comparisons showed no differences in richness between treatments. Episodic pollution may result from undersized or poorly maintained passive treatment systems; therefore, intensive macroinvertebrate monitoring may be needed to identify streams being affected by episodic mine drainage because macroinvertebrate richness may be sensitive to water quality fluctuations. - Episodic coal mine pollution decreases benthic macroinvertebrate richness and density

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

Science.gov (United States)

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

2018-01-01

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

[Ascites drainage at home].

Science.gov (United States)

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

2015-01-01

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

Failures and complications of thoracic drainage

Directory of Open Access Journals (Sweden)

Đorđević Ivana

2006-01-01

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

Using a hybrid model to predict solute transfer from initially saturated soil into surface runoff with controlled drainage water.

Science.gov (United States)

Tong, Juxiu; Hu, Bill X; Yang, Jinzhong; Zhu, Yan

2016-06-01

The mixing layer theory is not suitable for predicting solute transfer from initially saturated soil to surface runoff water under controlled drainage conditions. By coupling the mixing layer theory model with the numerical model Hydrus-1D, a hybrid solute transfer model has been proposed to predict soil solute transfer from an initially saturated soil into surface water, under controlled drainage water conditions. The model can also consider the increasing ponding water conditions on soil surface before surface runoff. The data of solute concentration in surface runoff and drainage water from a sand experiment is used as the reference experiment. The parameters for the water flow and solute transfer model and mixing layer depth under controlled drainage water condition are identified. Based on these identified parameters, the model is applied to another initially saturated sand experiment with constant and time-increasing mixing layer depth after surface runoff, under the controlled drainage water condition with lower drainage height at the bottom. The simulation results agree well with the observed data. Study results suggest that the hybrid model can accurately simulate the solute transfer from initially saturated soil into surface runoff under controlled drainage water condition. And it has been found that the prediction with increasing mixing layer depth is better than that with the constant one in the experiment with lower drainage condition. Since lower drainage condition and deeper ponded water depth result in later runoff start time, more solute sources in the mixing layer are needed for the surface water, and larger change rate results in the increasing mixing layer depth.

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

International Nuclear Information System (INIS)

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

2005-01-01

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

Percutaneous drainage of abscesses associated with biliary fistulae

International Nuclear Information System (INIS)

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

1989-01-01

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

EFFECT OF POSTURAL DRAINAGE POSITIONS ON VITAL PARAMETERS IN ASYMPTOMATIC HEALTHY INDIVIDUALS

Directory of Open Access Journals (Sweden)

Animesh Hazari

2017-09-01

Full Text Available Background: Postural drainage is used exclusively or in combination with other airway clearance techniques in the management of chronic pulmonary diseases. Postural drainage therapy helps to prevent accumulation of secretions in patients who are at high risk for pulmonary complications. It also helps to remove accumulated secretions from the lungs.The role of body positioning on lung function and the clinical implications of postural drainage has been identified in a variety of settings including intensive care units. There is dearth in literature on effects on postural drainage on vital parameters. Thus the objective of the study was to measure the vital parameters at different postural drainage positions in healthy asymptomatic adults. Methods: Twenty healthy subjects participated in the study. The instruments used in the current study included a Pulse oximeter, Sphygmomanometer, Stethoscope, Postural drainage table.The outcome measures of interest were heart rate, respiratoryrate, oxygen saturation, blood pressure and Borg’s scale of rate of perceived exertion. The changes in the vital signs were recorded at different head down titling position of 0°, 15° & 30° in both supine and prone lying positions Results: Statistical significant difference was found for Systolic Blood Pressure in prone lying at different degrees of tilt (p=0.001 and Diastolic Blood Pressure in prone lying (p=0.000. Conclusion: Postural drainage positioning should be given with caution and under proper monitoring as there is a risk of change in the blood pressure even in asymptomatic elderly population. The monitoring of vital signs should be done during the therapy to decrease the risk of complications.

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

NARCIS (Netherlands)

Staring Centrum, Instituut voor Onderzoek van het LandelijkGebied

1995-01-01

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

Study of acid mine drainage management with evaluating climate and rainfall in East Pit 3 West Banko coal mine

Science.gov (United States)

Rochyani, Neny

2017-11-01

Acid mine drainage is a major problem for the mining environment. The main factor that formed acid mine drainage is the volume of rainfall. Therefore, it is important to know clearly the main climate pattern of rainfall and season on the management of acid mine drainage. This study focuses on the effects of rainfall on acid mine water management. Based on daily rainfall data, monthly and seasonal patterns by using Gumbel approach is known the amount of rainfall that occurred in East Pit 3 West Banko area. The data also obtained the highest maximum daily rainfall on 165 mm/day and the lowest at 76.4 mm/day, where it is known that the rainfall conditions during the period 2007 - 2016 is from November to April so the use of lime is also slightly, While the low rainfall is from May to October and the use of lime will be more and more. Based on calculation of lime requirement for each return period, it can be seen the total of lime and financial requirement for treatment of each return period.

Radiologically-guided catheter drainage of intrathoracic abscesses and empyemas

International Nuclear Information System (INIS)

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

1993-01-01

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

Identifying User Interaction Patterns in E-Textbooks.

Science.gov (United States)

Saarinen, Santeri; Heimonen, Tomi; Turunen, Markku; Mikkilä-Erdmann, Mirjamaija; Raisamo, Roope; Erdmann, Norbert; Yrjänäinen, Sari; Keskinen, Tuuli

2015-01-01

We introduce a new architecture for e-textbooks which contains two navigational aids: an index and a concept map. We report results from an evaluation in a university setting with 99 students. The interaction sequences of the users were captured during the user study. We found several clusters of user interaction types in our data. Three separate user types were identified based on the interaction sequences: passive user, term clicker, and concept map user. We also discovered that with the concept map interface users started to interact with the application significantly sooner than with the index interface. Overall, our findings suggest that analysis of interaction patterns allows deeper insights into the use of e-textbooks than is afforded by summative evaluation.

Chronology and alteration of cyclic drainage events for ice-dammed Lake Tiningnilik, Greenland, in 2010

DEFF Research Database (Denmark)

Haase, Eric Juergen; Furuya, Masato; Korsgaard, Niels Jákup

pattern in nature lasting through the 19th and 20th centuries until now. In summer 2010 the lake drained after just 7 years and at a lower water stand than the 2003 pre-drainage levels. This represents an adjustment to new equilibrium conditions with the ice dam and might be an index of recent local...... climate change in Greenland. We take a close look at Lake Tiningnilik and previous studies to constrain the timing of the drainage events using historical air photos and satellite imagery starting in the 1940s and 1970s, respectively. Tiningnilik has been occasionally surveyed on the ground since the 1980...

Percutaneous drainage of lung abscess

Energy Technology Data Exchange (ETDEWEB)

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

1992-05-15

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

Percutaneous drainage of lung abscess

International Nuclear Information System (INIS)

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

1992-01-01

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

Percutaneous drainage of diverticular abscess: Adjunct to resection

International Nuclear Information System (INIS)

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

1986-01-01

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

Geohydrologic reconnaissance of drainage wells in Florida

Science.gov (United States)

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

1984-01-01

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

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

OpenAIRE

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

2014-01-01

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

Global 30m Height Above the Nearest Drainage

Science.gov (United States)

Donchyts, Gennadii; Winsemius, Hessel; Schellekens, Jaap; Erickson, Tyler; Gao, Hongkai; Savenije, Hubert; van de Giesen, Nick

2016-04-01

Variability of the Earth surface is the primary characteristics affecting the flow of surface and subsurface water. Digital elevation models, usually represented as height maps above some well-defined vertical datum, are used a lot to compute hydrologic parameters such as local flow directions, drainage area, drainage network pattern, and many others. Usually, it requires a significant effort to derive these parameters at a global scale. One hydrological characteristic introduced in the last decade is Height Above the Nearest Drainage (HAND): a digital elevation model normalized using nearest drainage. This parameter has been shown to be useful for many hydrological and more general purpose applications, such as landscape hazard mapping, landform classification, remote sensing and rainfall-runoff modeling. One of the essential characteristics of HAND is its ability to capture heterogeneities in local environments, difficult to measure or model otherwise. While many applications of HAND were published in the academic literature, no studies analyze its variability on a global scale, especially, using higher resolution DEMs, such as the new, one arc-second (approximately 30m) resolution version of SRTM. In this work, we will present the first global version of HAND computed using a mosaic of two DEMS: 30m SRTM and Viewfinderpanorama DEM (90m). The lower resolution DEM was used to cover latitudes above 60 degrees north and below 56 degrees south where SRTM is not available. We compute HAND using the unmodified version of the input DEMs to ensure consistency with the original elevation model. We have parallelized processing by generating a homogenized, equal-area version of HydroBASINS catchments. The resulting catchment boundaries were used to perform processing using 30m resolution DEM. To compute HAND, a new version of D8 local drainage directions as well as flow accumulation were calculated. The latter was used to estimate river head by incorporating fixed and

Postoperative drainage in head and neck surgery.

Science.gov (United States)

Amir, Ida; Morar, Pradeep; Belloso, Antonio

2010-11-01

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

Chest tube drainage of transudative pleural effusions hastens liberation from mechanical ventilation.

Science.gov (United States)

Kupfer, Yizhak; Seneviratne, Chanaka; Chawla, Kabu; Ramachandran, Kavan; Tessler, Sidney

2011-03-01

Pleural effusions occur frequently in patients requiring mechanical ventilatory support. Treatment of the precipitating cause and resolution of the pleural effusion may take considerable time. We retrospectively studied the effect of chest tube drainage of transudative pleural effusions on the liberation of patients from mechanical ventilatory support. Patients in the medical ICU (MICU) at Maimonides Medical Center between January 1, 2009, and October 31, 2009, requiring mechanical ventilatory support with a transudative pleural effusion, were studied retrospectively. They were divided into two groups: standard care and standard care plus chest tube drainage. Chest tubes were placed under ultrasound guidance by trained intensivists. Duration of mechanical ventilatory support was the primary end point. Secondary end points included measures of oxygenation, amount of fluid drained, and complications associated with the chest tube. A total of 168 patients were studied; 88 were treated with standard care and 80 underwent chest tube drainage. Total duration of mechanical ventilatory support was significantly shorter for patients who had chest tube drainage: 3.8±0.5 days vs 6.5±1.1 days for the standard group (P=.03). No differences in oxygenation were noted between the two groups. The average amount of fluid drained was 1,220 mL. No significant complications were caused by chest tube drainage. Chest tube drainage of transudative pleural effusions resulted in more rapid liberation from mechanical ventilatory support. It is a very safe procedure when performed under ultrasound guidance by experienced personnel. ClinicalTrials.gov; Identifier: NCT0114285; URL: www.clinicaltrials.gov.

Discontinuous drainage systems formed by highland precipitation and ground-water outflow in the Navua Valles and southwest Hadriacus Mons regions, Mars

Science.gov (United States)

Hargitai, H. I.; Gulick, V. C.; Glines, N. H.

2017-09-01

The Navua Valles are systems of paleodrainages located north of Dao Vallis, which empty into Hellas Planitia, the largest impact basin on Mars. In this study, we mapped and characterized the Navua Valles Region's individual drainage systems, including drainages along the southwestern flank of Hadriacus Mons, and one valley network from the same source as Navua Valles but flowing in the opposite direction. The major drainage systems share morphological characteristics common to both outflow channels and valley networks. The slopes in this region are dissected by two major Navua drainage systems (here Navua A* and B*) and several shorter, sub-parallel valleys formed on the highest gradient (approximately 20 m/km [1.15°]) slopes, at the lowest part of Hellas Basin's rim. The two major drainage systems originate in the highlands, and empty into the basin. Our mapping suggests that water in Navua Valles reached the basin floor in a complicated descent and included several episodes of surface ponding, surface runoff, infiltration, subsurface flow and subsequent outflow. The most prominent channel system, Navua A, forms a repetitive sequence of deep incision into bedrock, followed by a transition into broad channels in erodible materials, and then into unconfined deposits. This successive erosion-transport-deposition sequence continues to repeat along the valley's entire length forming a discontinuous pattern that is consistent with classical fluvial process models. The channels cut into volcanic plains likely emplaced from the formation of Tyrrhenus and Hadriacus Montes. The dendritic source valleys of Navua A originate from the rim of a highland crater while the rest of this subsystem consists of a single, discontinuous channel which is consistent with a single water source zone that likely supplied water for all channels downslope. These drainages may have formed as discontinuous channels, revealing the potential existence of subsurface drainage pathways located

Transvaginal Drainage of Pelvic Abscesses and Collections Using Transabdominal Ultrasound Guidance.

Science.gov (United States)

Ching, Kevin C; Sumkin, Jules H

2015-01-01

Objectives. To evaluate clinical outcomes following transvaginal catheter placement using transabdominal ultrasound guidance for management of pelvic fluid collections. Methods. A retrospective review was performed for all patients who underwent transvaginal catheter drainage of pelvic fluid collections utilizing transabdominal ultrasound guidance between July 2008 and July 2013. 24 consecutive patients were identified and 24 catheters were placed. Results. The mean age of patients was 48.1 years (range = 27-76 y). 88% of collections were postoperative (n = 21), 8% were from pelvic inflammatory disease (n = 2), and 4% were idiopathic (n = 1). Of the 24 patients, 83% of patients (n = 20) had previously undergone a hysterectomy and 1 patient (4%) was pregnant at the time of drainage. The mean volume of initial drainage was 108 mL (range = 5 to 570). Catheters were left in place for an average of 4.3 days (range = 1-17 d). Microbial sampling was performed in all patients with 71% (n = 17) returning a positive culture. All collections were successfully managed percutaneously. There were no technical complications. Conclusions. Transvaginal catheter drainage of pelvic fluid collections using transabdominal ultrasound guidance is a safe and clinically effective procedure. Appropriate percutaneous management can avoid the need for surgery.

Spectral masking of goethite in abandoned mine drainage systems: implications for Mars

Science.gov (United States)

Cull, Selby; Cravotta,, Charles A.; Klinges, Julia Grace; Weeks, Chloe

2014-01-01

Remote sensing studies of the surface of Mars use visible- to near-infrared (VNIR) spectroscopy to identify hydrated and hydroxylated minerals, which can be used to constrain past environmental conditions on the surface of Mars. However, due to differences in optical properties, some hydrated phases can mask others in VNIR spectra, complicating environmental interpretations. Here, we examine the role of masking in VNIR spectra of natural precipitates of ferrihydrite, schwertmannite, and goethite from abandoned mine drainage (AMD) systems in southeastern Pennsylvania. Mixtures of ferrihydrite, schwertmannite, and goethite were identified in four AMD sites by using X-ray diffractometry (XRD), and their XRD patterns compared to their VNIR spectra. We find that both ferrihydrite and schwertmannite can mask goethite in VNIR spectra of natural AMD precipitates. These findings suggest that care should be taken in interpreting environments on Mars where ferrihydrite, schwertmannite, or goethite are found, as the former two may be masking the latter. Additionally, our findings suggest that outcrops on Mars with both goethite and ferrihydrite/schwertmannite VNIR signatures may have high relative abundances of goethite, or the goethite may exist in a coarsely crystalline phase.

Summertime nocturnal drainage flow in the San Mateo and Ambrosia lake air sheds of the grants basin

International Nuclear Information System (INIS)

Gedayloo, T.; Barr, S.; Clements, W.E.; Wilson, S.K.

1979-01-01

An initial study of some fundamental meteorological properties of two major air sheds in the Grants Basin of northwestern New Mexico was conducted from May 18 to September 19, 1978. Three mechanical weather stations were used in conjunction with a few vertical wind soundings to develop a data set for the summer regime. Data collected between May 18 and July 30 is analyzed to investigate nocturnal drainage flows, daytime flows, and channeling of synoptic wind. Drainage wind averaging 2.5 m s -1 was found to exist in a surface layer not greater than 200 m deep on 60% of the nights investigated. This frequently occurring drainage flow is characterized by a strong decoupling from the upper level winds. Daytime winds, on the other hand, are representative of the synoptic flow patterns suggesting a rather rapid coupling after sunrise

Percutaneous catheter drainage of tuberculous psoas abscesses

International Nuclear Information System (INIS)

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

1993-01-01

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

Definition of the drainage filter problem

NARCIS (Netherlands)

Zaslavsky, D.

1977-01-01

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

Application of Geomorphologic Factors for Identifying Soil Loss in Vulnerable Regions of the Cameron Highlands

Directory of Open Access Journals (Sweden)

Kahhoong Kok

2018-03-01

Full Text Available The main purpose of this study is to propose a methodology for identifying vulnerable regions in the Cameron Highlands that are susceptible to soil loss, based on runoff aggregation structure and the energy expenditure pattern of the natural river basin, within the framework of power law distribution. To this end, three geomorphologic factors, namely shear stress and stream power, as well as the drainage area of every point in the basin of interest, have been extracted using GIS, and then their complementary cumulative distributions are graphically analyzed by fitting them to power law distribution, with the purpose of identifying the sensitive points within the basin that are susceptible to soil loss with respect to scaling regimes of shear stress and stream power. It is observed that the range of vulnerable regions by the scaling regime of shear stress is much narrower than by the scaling regime of stream power. This result seems to suggest that shear stress is a scale-dependent factor, which does not follow power law distribution and does not adequately reflect the energy expenditure pattern of a river basin. Therefore, stream power is preferred as a more reasonable factor for the evaluation of soil loss. The methodology proposed in this study can be validated by visualizing the path of soil loss, which is generated from the hillslope process (characterized by the local slope to the valley through a fluvial process (characterized by the drainage area as well as the local slope.

Subsurface drainage

CSIR Research Space (South Africa)

Van Der

1993-09-01

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

Endoscopic ultrasound-guided transmural drainage of postoperative pancreatic collections.

Science.gov (United States)

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

2014-01-01

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

Relative validity of a food frequency questionnaire to identify dietary patterns in an adult Mexican population.

Science.gov (United States)

Denova-Gutiérrez, Edgar; Tucker, Katherine L; Salmerón, Jorge; Flores, Mario; Barquera, Simón

2016-01-01

To examine the validity of a semi-quantitative food frequency questionnaire (SFFQ) to identify dietary patterns in an adult Mexican population. A 140-item SFFQ and two 24-hour dietary recalls (24DRs) were administered. Foods were categorized into 29 food groups used to derive dietary patterns via factor analysis. Pearson and intraclass correlations coefficients between dietary pattern scores identified from the SFFQ and 24DRs were assessed. Pattern 1 was high in snacks, fast food, soft drinks, processed meats and refined grains; pattern 2 was high in fresh vegetables, fresh fruits, and dairy products; and pattern 3 was high in legumes, eggs, sweetened foods and sugars. Pearson correlation coefficients between the SFFQ and the 24DRs for these patterns were 0.66 (P<0.001), 0.41 (P<0.001) and 0.29 (P=0.193) respectively. Our data indicate reasonable validity of the SFFQ, using factor analysis, to derive major dietary patterns in comparison with two 24DR.

Drainage of pancreatic pseudocysts. The importance of cyst wall biopsy in the recent era

International Nuclear Information System (INIS)

Rabie, M. Ezzedien; Al-Ghamdi, Mosaed A.; Al-Shehri, Mohammad Y.; Al-Qahtani, Mohammad S.; Malatani, Tarek S.; Al-Malki, Talal A.; Abu-Eshy, Saeed; Hosni, Mohammad H.; Ghaleb, Ashraf H.

2005-01-01

While open drainage has been the standard treatment for pancreatic pseudocysts, less invasive technique which pay little attention to cyst wall biopsy are becoming popular. The aim of this study is to report on our experience in draining pancreatic pseudocysts and probe the necessity or otherwise of obtaining a wall biopsy at drainage. Operation theatre registry, operation log books and medical records at Aseer Central Hospital, Abha, Kingdom of Saudi Arabia, were reviewed to retrieve clinical details of the patients with pancreatic pseudocyst who required a drainage procedure in 13 years old period from August 1989 to November 2002. Sixteen patients were identified. Cyst wall biopsy was obtained in ten cases, in 8 of them the diagnosis was confirmed, while a true cyst was found in the remaining 2 excluding them further analysis. In the remaining 14 cases (8 males, 6 females, mean age 38 years, range 4-60), pain was the main presenting feature. Open internal damage was offered to 12 cases while one patient received external drainage under ultrasound guidance and the other received open external drainage. The type of operation was cystogastromy in 9 patients and cystojejunostomy in 3 patients. The recurrance rate after internal drainage was 16.7% while after external drainage was 100%. a procedure related complication occurred in 3 (21.4%) patients. The mortality, morbidity and recurrence rates in this series are compared favorably with other reports. The final diagnosis of a presumed pancreatic pseudocyst should rest on the histopathologic examination of the cyst wall. (author)

PATTERNS UTILIZED IN THE SIMULATION OF UNDERGROUND WATER FLOW AND THE TRANSPORTATION OF POLLUTANTS IN THE BAHLUI DRAINAGE BASIN

Directory of Open Access Journals (Sweden)

Ionut Minea

2012-03-01

Full Text Available ABSTRACT. – Patterns utilized in the simulation of underground water flow and the transportation of pollutants in the Bahlui drainage basin. In the actual context of accelerate economic development, the excessive exploatation of water resources from the underground and the contamination of these with different water pollutants has become a major problem which has enetered the attention of many researchers. For the evaluation of an underground water flow and pollutants transport sistem we have chosen the package of programs MODFLOW which includes a whole series of applications,such as MOC3D, MT3D, MT3DMS, PEST, UCODE, PMPATH, which allow simulations and multiple recalibrations of the capacity of recharging of the aquifers, the flowing of the water towards wells and drillings the transport of a pollutant agent in the underground or the evaluation of the exchange of water between the hidrographic network and aquifers. The sistem targets both the evaluation of the modelation of the underground flowing and the simulation of a punctual polluation of the canvas of groundwater scenery, in the meadow of the river Bahlui, west from Letcani village.

Thoracoscopic Surgery for Pneumothorax Following Outpatient Drainage Therapy.

Science.gov (United States)

Sano, Atsushi; Yotsumoto, Takuma

2017-10-20

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

Foamed emulsion drainage: flow and trapping of drops

OpenAIRE

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

2017-01-01

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

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

OpenAIRE

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

2015-01-01

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

Percutaneous drainage treatment of primary liver abscesses

Energy Technology Data Exchange (ETDEWEB)

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

1989-02-01

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

Radiologic drainage of infected and noninfected thoracic fluid collections

International Nuclear Information System (INIS)

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

1987-01-01

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

Tile Drainage Expansion Detection using Satellite Soil Moisture Dynamics

Science.gov (United States)

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

2017-12-01

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

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

Science.gov (United States)

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

2014-01-01

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

Modes of supraglacial lake drainage and dynamic ice sheet response

Science.gov (United States)

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

2011-12-01

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

An investigation of the effects of an arterial drainage scheme on the rainfall-runoff transformation behaviour of the Brosna catchment in Ireland

Science.gov (United States)

Bhattarai, K. P.; O'Connor, K. M.

2003-04-01

Inefficient natural land drainage and the consequent frequent flooding of rivers are a problem of particular significance to the Irish economy. Such problems can be attributed less to the amount of annual rainfall, than to the topological configuration of Ireland. Its high maritime rim and relatively flat interior results in poor river gradients, intercepted by many lakes. As a remedial measure to tackle these problems, Arterial Drainage Schemes (ADSs) were started in Ireland from as early as the beginning of the nineteenth century. The major activities carried out under ADSs have been the deepening and widening of channels to increase their discharge-carrying capacity, which naturally affected the hydrological behaviour of the catchments involved. Earlier studies carried out in order to assess the effects of such ADSs on the hydrological behaviour of Irish catchments were concentrated mainly on comparisons of unit hydrographs and relationship between flood peaks of pre- and post-drainage periods. The present study, carried out on the River Brosna catchment in Ireland, concentrates on assessing the changes in the rainfall runoff transformation process, by using the conceptual Soil Moisture Accounting and Routing Model (SMAR), one of the constituent models of the "Galway River Flow Modelling and Forecasting System (GFMFS)" software package. Hydro-meteorological data of the pre-drainage (1942--1947) and post-drainage (1954--2000) periods have been used in this study. The results of the present study show that, for similar patterns of rainfall, the catchment produces higher annual maximum daily flows, and lower annual minimum daily flows in the post-drainage period than in the pre-drainage period. Moreover, the post-drainage unit hydrographs are more "peaky" and have quicker recessions than the pre-drainage counterparts, thus confirming the findings of the earlier studies. It is also observed that, apart from the expected pre-to-post-drainage change, the nature of the

A novel louvered fin design to enhance thermal and drainage performances during periodic frosting/defrosting conditions

International Nuclear Information System (INIS)

Kim, Min-Hwan; Kim, Hisuk; Kim, Dong Rip; Lee, Kwan-Soo

2016-01-01

Highlights: • Thermal and drainage performances of a novel design louvered fin were investigated. • The thermal performance of the asymmetric fin was improved in the re-frosting cycle. • The asymmetric louvered fin exhibited better drainage on the leading edge of fins. • Lower surface tension between fin surface and water droplet improved the drainage. - Abstract: The retention water on fin surface can significantly degrade the thermal performance of heat exchangers under periodic frosting/defrosting conditions, which also leads to a decrease in the energy efficiency of air-source heat pumps. A novel louvered fin design was suggested to improve the drainage and the thermal performance of heat exchanger. The novel louvered fin had an asymmetric louver arrangement by flattening two louvers on the leading edge. The retention water formed on fin surface markedly decreased the heat transfer rate of the conventional symmetric louvered fins in re-frosting cycles. On the other hand, the asymmetric louvered fins improved the drainage performance of the retention water, which enhanced the heat transfer rate. To identify the reason of the difference in drainage performance between two fin geometries, additional experiments were carried out with enlargement models. The improvement in drainage performance of the asymmetric fin design originated from the lowered surface tension between the fin surface and water droplet.

A generic hydrological model for a green roof drainage layer.

Science.gov (United States)

Vesuviano, Gianni; Stovin, Virginia

2013-01-01

A rainfall simulator of length 5 m and width 1 m was used to supply constant intensity and largely spatially uniform water inflow events to 100 different configurations of commercially available green roof drainage layer and protection mat. The runoff from each inflow event was collected and sampled at one-second intervals. Time-series runoff responses were subsequently produced for each of the tested configurations, using the average response of three repeat tests. Runoff models, based on storage routing (dS/dt = I-Q) and a power-law relationship between storage and runoff (Q = kS(n)), and incorporating a delay parameter, were created. The parameters k, n and delay were optimized to best fit each of the runoff responses individually. The range and pattern of optimized parameter values was analysed with respect to roof and event configuration. An analysis was performed to determine the sensitivity of the shape of the runoff profile to changes in parameter values. There appears to be potential to consolidate values of n by roof slope and drainage component material.

The use of load patterns to identify residential customers in a chosen area

Energy Technology Data Exchange (ETDEWEB)

Michalik, G.; Lech, M.; Mielczarski, W. [Monash Univ., Clayton, VIC (Australia). Centre for Electrical Power Engineering

1995-12-31

Information on customers` categories and energy use patterns is a basis for the development of any Demand Side Management program. This paper presents an application of energy consumption patterns to identification of customers in a chosen area. Customers have been segmented into four main categories with six subgroups in each category. A total pattern of energy use can be achieved by the combination of characteristic patterns for each subgroup with multiplication by the number of customers in each subgroup. The paper proposes to apply characteristic patterns developed and nonlinear programming techniques to identify customers in a chosen area from patterns measured at distribution feeders. The procedure can be applied as an alternative to surveys and measurements at the mains of particular customers but may also be implemented as an accompanying system to verify results from other procedures of customer identification. (author). 1 tab., 6 figs., 4 refs.

Percutaneous drainage treatment of primary liver abscesses

International Nuclear Information System (INIS)

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

1989-01-01

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

Endoscopic Ultrasound-Guided Biliary Drainage

International Nuclear Information System (INIS)

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

2012-01-01

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

Endoscopic Ultrasound-Guided Biliary Drainage

Energy Technology Data Exchange (ETDEWEB)

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

2012-02-15

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

Natural attenuation of antimony in mine drainage water

International Nuclear Information System (INIS)

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

2007-01-01

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

Biosorption of metal and salt tolerant microbial isolates from a former uranium mining area. Their impact on changes in rare earth element patterns in acid mine drainage.

Science.gov (United States)

Haferburg, Götz; Merten, Dirk; Büchel, Georg; Kothe, Erika

2007-12-01

The concentration of metals in microbial habitats influenced by mining operations can reach enormous values. Worldwide, much emphasis is placed on the research of resistance and biosorptive capacities of microorganisms suitable for bioremediation purposes. Using a collection of isolates from a former uranium mining area in Eastern Thuringia, Germany, this study presents three Gram-positive bacterial strains with distinct metal tolerances. These strains were identified as members of the genera Bacillus, Micrococcus and Streptomyces. Acid mine drainage (AMD) originating from the same mining area is characterized by high metal concentrations of a broad range of elements and a very low pH. AMD was analyzed and used as incubation solution. The sorption of rare earth elements (REE), aluminum, cobalt, copper, manganese, nickel, strontium, and uranium through selected strains was studied during a time course of four weeks. Biosorption was investigated after one hour, one week and four weeks by analyzing the concentrations of metals in supernatant and biomass. Additionally, dead biomass was investigated after four weeks of incubation. The maximum of metal removal was reached after one week. Up to 80% of both Al and Cu, and more than 60% of U was shown to be removed from the solution. High concentrations of metals could be bound to the biomass, as for example 2.2 mg/g U. The strains could survive four weeks of incubation. Distinct and different patterns of rare earth elements of the inoculated and non-inoculated AMD water were observed. Changes in REE patterns hint at different binding types of heavy metals regarding incubation time and metabolic activity of the cells. (c) 2008 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

adequacy of drainage channels f drainage channels in a small

African Journals Online (AJOL)

eobe

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

Experimental and numerical analysis of the drainage of aluminium foams

International Nuclear Information System (INIS)

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

2005-01-01

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

Direct Open Venous Drainage: An Alternative Choice for Flap Congestion Salvage.

Science.gov (United States)

Park, Su Han; Choi, Woo Young; Son, Kyung Min; Cheon, Ji Seon; Yang, Jeong Yeol

2015-12-01

In this report, we present a scalp defect reconstruction with lateral arm free flap. We highlight the difficulty in obtaining a recipient vein and the venous drainage managed through an open end of the donor vein. A 52-year-old woman presented with a pressure sore on the left scalp. A lateral arm free flap was transferred to cover this 8×6 cm defect. The arterial anastomosis was successful, but no recipient vein could be identified within the wound bed. Instead, we used a donor venous end for the direct open venous drainage. In order to keep this exposed venous end patent, we applied heparin-soaked gauze dressing to the wound. Also, the vein end was mechanically dilated and irrigated with heparin solution at two hour intervals. Along with fluid management and blood transfusion, this management was continued for the five days after the operation. The flap survived well without any complication. Through this case, we were able to demonstrate that venous congestion can be avoided by drainage of the venous blood through an open vessel without the use of leeches.

Contribution of computed tomography on chest drainage guidance

International Nuclear Information System (INIS)

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

2012-01-01

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

Relative validity of a food frequency questionnaire to identify dietary patterns in an adult Mexican population

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Edgar Denova-Gutiérrez

2016-12-01

Full Text Available Objective. To examine the validity of a semi-quantitative food frequency questionnaire (SFFQ to identify dietary patterns in an adult Mexican population. Materials and methods. A 140-item SFFQ and two 24-hour dietary recalls (24DRs were administered. Foods were categorized into 29 food groups used to derive dietary patterns via factor analy­sis. Pearson and intraclass correlations coefficients between dietary pattern scores identified from the SFFQ and 24DRs were assessed. Results. Pattern 1 was high in snacks, fast food, soft drinks, processed meats and refined grains; pattern 2 was high in fresh vegetables, fresh fruits, and dairy products; and pattern 3 was high in legumes, eggs, sweetened foods and sugars. Pearson correlation oefficients between the SFFQ and the 24DRs for these patterns were 0.66 (P<0.001, 0.41 (P<0.001 and 0.29 (P=0.193 respectively. Conclusions. Our data indicate reasonable validity of the SFFQ, using fac­tor analysis, to derive major dietary patterns in comparison with two 24DR.

Multifactor dimensionality reduction analysis identifies specific nucleotide patterns promoting genetic polymorphisms

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Arehart Eric

2009-03-01

Full Text Available Abstract Background The fidelity of DNA replication serves as the nidus for both genetic evolution and genomic instability fostering disease. Single nucleotide polymorphisms (SNPs constitute greater than 80% of the genetic variation between individuals. A new theory regarding DNA replication fidelity has emerged in which selectivity is governed by base-pair geometry through interactions between the selected nucleotide, the complementary strand, and the polymerase active site. We hypothesize that specific nucleotide combinations in the flanking regions of SNP fragments are associated with mutation. Results We modeled the relationship between DNA sequence and observed polymorphisms using the novel multifactor dimensionality reduction (MDR approach. MDR was originally developed to detect synergistic interactions between multiple SNPs that are predictive of disease susceptibility. We initially assembled data from the Broad Institute as a pilot test for the hypothesis that flanking region patterns associate with mutagenesis (n = 2194. We then confirmed and expanded our inquiry with human SNPs within coding regions and their flanking sequences collected from the National Center for Biotechnology Information (NCBI database (n = 29967 and a control set of sequences (coding region not associated with SNP sites randomly selected from the NCBI database (n = 29967. We discovered seven flanking region pattern associations in the Broad dataset which reached a minimum significance level of p ≤ 0.05. Significant models (p Conclusion The present study represents the first use of this computational methodology for modeling nonlinear patterns in molecular genetics. MDR was able to identify distinct nucleotide patterning around sites of mutations dependent upon the observed nucleotide change. We discovered one flanking region set that included five nucleotides clustered around a specific type of SNP site. Based on the strongly associated patterns identified in

[Endoscopic ultrasound guided rendezvous for biliary drainage].

Science.gov (United States)

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

2015-04-27

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

Microbial communities in riparian soils of a settling pond for mine drainage treatment.

Science.gov (United States)

Fan, Miaochun; Lin, Yanbing; Huo, Haibo; Liu, Yang; Zhao, Liang; Wang, Entao; Chen, Weimin; Wei, Gehong

2016-06-01

Mine drainage leads to serious contamination of soil. To assess the effects of mine drainage on microbial communities in riparian soils, we used an Illumina MiSeq platform to explore the soil microbial composition and diversity along a settling pond used for mine drainage treatment. Non-metric multidimensional scaling analysis showed that the microbial communities differed significantly among the four sampling zones (influent, upstream, downstream and effluent), but not seasonally. Constrained analysis of principal coordinates indicated heavy metals (zinc, lead and copper), total sulphur, pH and available potassium significantly influenced the microbial community compositions. Heavy metals were the key determinants separating the influent zone from the other three zones. Lower diversity indices were observed in the influent zone. However, more potential indicator species, related to sulphur and organic matter metabolism were found there, such as the sulphur-oxidizing genera Acidiferrobacter, Thermithiobacillus, Limnobacter, Thioprofundum and Thiovirga, and the sulphur-reducing genera Desulfotomaculum and Desulfobulbus; the organic matter degrading genera, Porphyrobacter and Paucimonas, were also identified. The results indicated that more microorganisms related to sulphur- and carbon-cycles may exist in soils heavily contaminated by mine drainage. Copyright © 2016 Elsevier Ltd. All rights reserved.

Inadequacy of diversity indices in discerning metal mine drainage effects on a steam invertebrate community

Energy Technology Data Exchange (ETDEWEB)

Chadwick, J.W.; Canton, S.P.

1984-02-01

The benthic invertebrates of the Dolores River in southwest Colorado were sampled during three seasons in an area of historic mine drainage. Benthic density exhibited significantly lower values below the mine drainage. However, the number of species did not decrease significantly, indicating that the effect of the mine drainage was primarily non-selective (i.e. favoring no one taxon). This pattern was seasonal with the least effects evident in summer and the greatest effects found in spring. Diversity indices used to assess the effects of this stress on the invertebrate community were Margalef's, Simpson's, Shannon-Weaver's, Brillouin's, and the Biotic Condition Index. None of the indices tested adequately responded to a decreasing trend in the benthic density when number of species remained constant. The indices did respond to a combination of low density and number of species or to the predominant representation by one species. The Biotic Condition Index actually increased at the stations with the lowest density and number of species. Diversity indices appear to be inadequate in assessing a non-selective stress.

Efficient meltwater drainage through supraglacial streams and rivers on the southwest Greenland ice sheet.

Science.gov (United States)

Smith, Laurence C; Chu, Vena W; Yang, Kang; Gleason, Colin J; Pitcher, Lincoln H; Rennermalm, Asa K; Legleiter, Carl J; Behar, Alberto E; Overstreet, Brandon T; Moustafa, Samiah E; Tedesco, Marco; Forster, Richard R; LeWinter, Adam L; Finnegan, David C; Sheng, Yongwei; Balog, James

2015-01-27

Thermally incised meltwater channels that flow each summer across melt-prone surfaces of the Greenland ice sheet have received little direct study. We use high-resolution WorldView-1/2 satellite mapping and in situ measurements to characterize supraglacial water storage, drainage pattern, and discharge across 6,812 km(2) of southwest Greenland in July 2012, after a record melt event. Efficient surface drainage was routed through 523 high-order stream/river channel networks, all of which terminated in moulins before reaching the ice edge. Low surface water storage (3.6 ± 0.9 cm), negligible impoundment by supraglacial lakes or topographic depressions, and high discharge to moulins (2.54-2.81 cm⋅d(-1)) indicate that the surface drainage system conveyed its own storage volume every drainage to true outflow from the ice edge. However, Isortoq discharges tended lower than runoff simulations from the Modèle Atmosphérique Régional (MAR) regional climate model (0.056-0.112 km(3)⋅d(-1) vs. ∼0.103 km(3)⋅d(-1)), and when integrated over the melt season, totaled just 37-75% of MAR, suggesting nontrivial subglacial water storage even in this melt-prone region of the ice sheet. We conclude that (i) the interior surface of the ice sheet can be efficiently drained under optimal conditions, (ii) that digital elevation models alone cannot fully describe supraglacial drainage and its connection to subglacial systems, and (iii) that predicting outflow from climate models alone, without recognition of subglacial processes, may overestimate true meltwater export from the ice sheet to the ocean.

Data Mining and Pattern Recognition Models for Identifying Inherited Diseases: Challenges and Implications

OpenAIRE

Iddamalgoda, Lahiru; Das, Partha S.; Aponso, Achala; Sundararajan, Vijayaraghava S.; Suravajhala, Prashanth; Valadi, Jayaraman K.

2016-01-01

Data mining and pattern recognition methods reveal interesting findings in genetic studies, especially on how the genetic makeup is associated with inherited diseases. Although researchers have proposed various data mining models for biomedical approaches, there remains a challenge in accurately prioritizing the single nucleotide polymorphisms (SNP) associated with the disease. In this commentary, we review the state-of-art data mining and pattern recognition models for identifying inherited ...

Open Drainage and Detention Basin Combined System Optimization

Directory of Open Access Journals (Sweden)

M. E. Banihabib

2017-01-01

respectively, 7%, 8% and 10% error in optimum dam height, drainage optimal depth and total cost. Lag time was identified less important effect in the determination of optimal dimensions. As its 10% changing produced 10% error in optimal dimensions costs. Conclusions: The research results showed that curve number is the most important factor in determining the optimal size and cost. As with 10% error in the estimation of curve number caused error rates of 21%, 25% and 24% of the optimal dam height, the optimal depth of the drain and minimized costs, respectively.

Leveraging Client-Side DNS Failure Patterns to Identify Malicious Behaviors

Science.gov (United States)

2015-09-28

malicious behavior found in our dataset and (ii) to create ground truth to evaluate the system proposed in Section V. We begin by removing those cases that...2011. [10] S. Hao, N. Feamster, and R. Pandrangi, “Monitoring the Initial DNS Behavior of Malicious Domains,” in ACM IMC , 2011. [11] R. Perdisci et...distribution is unlimited. Leveraging Client-Side DNS Failure Patterns to Identify Malicious Behaviors The views, opinions and/or findings contained in

Percutaneous transhepatic biliary drainage for hilar cholangiocarcinoma

International Nuclear Information System (INIS)

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

2007-01-01

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

Foamed emulsion drainage: flow and trapping of drops.

Science.gov (United States)

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

2017-06-07

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

Priority Scale of Drainage Rehabilitation of Cilacap City

Science.gov (United States)

Rudiono, Jatmiko

2018-03-01

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

An update on the drainage of pyogenic lung abscesses

Directory of Open Access Journals (Sweden)

Siraj O Wali

2012-01-01

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

An Optimal Balance between Efficiency and Safety of Urban Drainage Networks

Science.gov (United States)

Seo, Y.

2014-12-01

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

Curonian Lagoon drainage basin modelling and assessment of climate change impact

Directory of Open Access Journals (Sweden)

Natalja Čerkasova

2016-04-01

Full Text Available The Curonian Lagoon, which is the largest European coastal lagoon with a surface area of 1578 km2 and a drainage area of 100,458 km2, is facing a severe eutrophication problem. With its increasing water management difficulties, the need for a sophisticated hydrological model of the Curonian Lagoon's drainage area arose, in order to assess possible changes resulting from local and global processes. In this study, we developed and calibrated a sophisticated hydrological model with the required accuracy, as an initial step for the future development of a modelling framework that aims to correctly predict the movement of pesticides, sediments or nutrients, and to evaluate water-management practices. The Soil and Water Assessment Tool was used to implement a model of the study area and to assess the impact of climate-change scenarios on the run-off of the Nemunas River and the Minija River, which are located in the Curonian Lagoons drainage basin. The models calibration and validation were performed using monthly streamflow data, and evaluated using the coefficient of determination (R2 and the Nash-Sutcliffe model efficiency coefficient (NSE. The calculated values of the R2 and NSE for the Nemunas and Minija Rivers stations were 0.81 and 0.79 for the calibration, and 0.679 and 0.602 for the validation period. Two potential climate-change scenarios were developed within the general patterns of near-term climate projections, as defined by the Intergovernmental Panel on Climate Change Fifth Assessment Report: both pessimistic (substantial changes in precipitation and temperature and optimistic (insubstantial changes in precipitation and temperature. Both simulations produce similar general patterns in river-discharge change: a strong increase (up to 22% in the winter months, especially in February, a decrease during the spring (up to 10% and summer (up to 18%, and a slight increase during the autumn (up to 10%.

Nonsurgical drainage of splenic abscess

International Nuclear Information System (INIS)

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

1983-01-01

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

Nitrate concentration-drainage flow (C-Q) relationship for a drained agricultural field in Eastern North Carolina Plain

Science.gov (United States)

Liu, W.; Youssef, M.; Birgand, F.; Chescheir, G. M.; Maxwell, B.; Tian, S.

2017-12-01

Agricultural drainage is a practice used to artificially enhance drainage characteristics of naturally poorly drained soils via subsurface drain tubing or open-ditch systems. Approximately 25% of the U.S. agricultural land requires improved drainage for economic crop production. However, drainage increases the transport of dissolved agricultural chemicals, particularly nitrates to downstream surface waters. Nutrient export from artificially drained agricultural landscapes has been identified as the leading source of elevated nutrient levels in major surface water bodies in the U.S. Controlled drainage has long been practiced to reduce nitrogen export from agricultural fields to downstream receiving waters. It has been hypothesized that controlled drainage reduces nitrogen losses by promoting denitrification, reducing drainage outflow from the field, and increasing plant uptake. The documented performance of the practice was widely variable as it depends on several site-specific factors. The goal of this research was to utilize high frequency measurements to investigate the effect of agricultural drainage and related management practices on nitrate fate and transport for an artificially drained agricultural field in eastern North Carolina. We deployed a field spectrophotometer to measure nitrate concentration every 45 minutes and measured drainage flow rate using a V-notch weir every 15 minutes. Furthermore, we measured groundwater level, precipitation, irrigation amount, temperature to characterize antecedent conditions for each event. Nitrate concentration-drainage flow (C-Q) relationships generated from the high frequency measurements illustrated anti-clockwise hysteresis loops and nitrate flushing mechanism in response to most precipitation and irrigation events. Statistical evaluation will be carried out for the C-Q relationships. The results of our analysis, combined with numerical modeling, will provide a better understanding of hydrological and

Assessment of waterlogging in agricultural megaprojects in the closed drainage basins of the Western Desert of Egypt

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M. El Bastawesy

2013-04-01

Full Text Available This paper investigates the development of waterlogging in the cultivated and arable areas within typical dryland closed drainage basins (e.g. the Farafra and Baharia Oases, which are located in the Western Desert of Egypt. Multi-temporal remote sensing data of the Landsat Thematic Mapper (TM and Enhanced Thematic Mapper (ETM+ were collected and processed to detect the land cover changes; cultivations, and the extent of water ponds and seepage channels. The Shuttle Radar Topography Mission (SRTM digital elevation model (DEM has been processed to delineate the catchment morphometrical parameters (i.e. drainage networks, catchment divides and surface areas of different basins and to examine the spatial distribution of cultivated fields and their relation to the extracted drainage networks. The soil of these closed drainage basins is mainly shallow and lithic with high calcium carbonate content; therefore, the downward percolation of excess irrigation water is limited by the development of subsurface hardpan, which also saturates the upper layer of soil with water. The subsurface seepage from the newly cultivated areas in the Farafra Oasis has revealed the pattern of buried alluvial channels, which are waterlogged and outlined by the growth of diagnostic saline shrubs. Furthermore, the courses of these waterlogged channels are coinciding with their counterparts of the SRTM DEM, and the recent satellite images show that the surface playas in the downstream of these channels are partially occupied by water ponds. On the other hand, a large water pond has occupied the main playa and submerged the surrounding fields, as a large area has been cultivated within a relatively small closed drainage basin in the Baharia Oasis. The geomorphology of closed drainage basins has to be considered when planning for a new cultivation in dryland catchments to better control waterlogging hazards. The "dry-drainage" concept can be implemented as the drainage and

Effect of viscosity on tear drainage and ocular residence time.

Science.gov (United States)

Zhu, Heng; Chauhan, Anuj

2008-08-01

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

Spatial and temporal uplift history of South America from calibrated drainage analysis

Science.gov (United States)

Rodríguez Tribaldos, V.; White, N. J.; Roberts, G. G.; Hoggard, M. J.

2017-06-01

A multidisciplinary approach is used to analyze the Cenozoic uplift history of South America. Residual depth anomalies of oceanic crust abutting this continent help to determine the pattern of present-day dynamic topography. Admittance analysis and crustal thickness measurements indicate that the elastic thickness of the Borborema and Altiplano regions is ≤10 km with evidence for sub-plate support at longer wavelengths. A drainage inventory of 1827 river profiles is assembled and used to investigate landscape development. Linear inverse modeling enables river profiles to be fitted as a function of the spatial and temporal history of regional uplift. Erosional parameters are calibrated using observations from the Borborema Plateau and tested against continent-wide stratigraphic and thermochronologic constraints. Our results predict that two phases of regional uplift of the Altiplano plateau occurred in Neogene times. Regional uplift of the southern Patagonian Andes also appears to have occurred in Early Miocene times. The consistency between observed and predicted histories for the Borborema, Altiplano, and Patagonian plateaux implies that drainage networks record coherent signals that are amenable to simple modeling strategies. Finally, the predicted pattern of incision across the Amazon catchment constrains solid sedimentary flux at the Foz do Amazonas. Observed and calculated flux estimates match, suggesting that erosion and deposition were triggered by regional Andean uplift during Miocene times.

Preoperative biliary drainage in hilar cholangiocarcinoma: When and how?

Science.gov (United States)

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

2014-01-01

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

Impact of drainage and sewerage on intestinal nematode infections in poor urban areas in Salvador, Brazil.

Science.gov (United States)

Moraes, L R S; Cancio, Jacira Azevedo; Cairncross, Sandy

2004-04-01

This cross-sectional study was conducted in 1989 among children aged between 5 and 14 years old living in nine poor urban areas of the city of Salvador (pop. 2.44 million), capital of Bahia State, in Northeast Brazil. Three of these areas had benefited from both drainage and sewerage, 3 from improved drainage only, and 3 from neither. The children studied thus belonged to 3 exposure groups regarding their level of sanitation infrastructure. An extensive questionnaire was applied to collect information on each child and on the conditions of the household, and stool examinations of the children 5-14 years old were performed to measure nematode infection. Comparison of the sewerage group with the drainage-only group and the latter with the control (no sewerage or drainage) group showed that, when the level of community sanitation was better, the prevalence of infection among children was less, but risk factors identified for infection were more numerous and more significant. Intensity of infection with Trichuris, but not with Ascaris or hookworm, was also less. The results suggest that sewerage and drainage can have a significant effect on intestinal nematode infections, by reducing transmission occurring in the public domain.

Nitrate-nitrogen losses through subsurface drainage under various agricultural land covers.

Science.gov (United States)

Qi, Zhiming; Helmers, Matthew J; Christianson, Reid D; Pederson, Carl H

2011-01-01

Nitrate-nitrogen (NO₃-N) loading to surface water bodies from subsurface drainage is an environmental concern in the midwestern United States. The objective of this study was to investigate the effect of various land covers on NO₃-N loss through subsurface drainage. Land-cover treatments included (i) conventional corn ( L.) (C) and soybean [ (L.) Merr.] (S); (ii) winter rye ( L.) cover crop before corn (rC) and before soybean (rS); (iii) kura clover ( M. Bieb.) as a living mulch for corn (kC); and (iv) perennial forage of orchardgrass ( L.) mixed with clovers (PF). In spring, total N uptake by aboveground biomass of rye in rC, rye in rS, kura clover in kC, and grasses in PF were 14.2, 31.8, 87.0, and 46.3 kg N ha, respectively. Effect of land covers on subsurface drainage was not significant. The NO₃-N loss was significantly lower for kC and PF than C and S treatments (p rye cover crop did not reduce NO₃-N loss, but NO₃-N concentration was significantly reduced in rC during March to June and in rS during July to November (p rye cover crop on NO-N loss reduction needs further investigation under conditions of different N rates, wider weather patterns, and fall tillage. by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

River piracy and drainage basin reorganization led by climate-driven glacier retreat

Science.gov (United States)

Shugar, Daniel H.; Clague, John J.; Best, James L.; Schoof, Christian; Willis, Michael J.; Copland, Luke; Roe, Gerard H.

2017-04-01

River piracy--the diversion of the headwaters of one stream into another one--can dramatically change the routing of water and sediment, with a profound effect on landscape evolution. Stream piracy has been investigated in glacial environments, but so far it has mainly been studied over Quaternary or longer timescales. Here we document how retreat of Kaskawulsh Glacier--one of Canada's largest glaciers--abruptly and radically altered the regional drainage pattern in spring 2016. We use a combination of hydrological measurements and drone-generated digital elevation models to show that in late May 2016, meltwater from the glacier was re-routed from discharge in a northward direction into the Bering Sea, to southward into the Pacific Ocean. Based on satellite image analysis and a signal-to-noise ratio as a metric of glacier retreat, we conclude that this instance of river piracy was due to post-industrial climate change. Rapid regional drainage reorganizations of this type can have profound downstream impacts on ecosystems, sediment and carbon budgets, and downstream communities that rely on a stable and sustained discharge. We suggest that the planforms of Slims and Kaskawulsh rivers will adjust in response to altered flows, and the future Kaskawulsh watershed will extend into the now-abandoned headwaters of Slims River and eventually capture the Kluane Lake drainage.

Identifying Symptom Patterns in People Living With HIV Disease

Science.gov (United States)

Wilson, Natalie L.; Azuero, Andres; Vance, David E.; Richman, Joshua S.; Moneyham, Linda D.; Raper, James L.; Heath, Sonya L.; Kempf, Mirjam-Colette

2016-01-01

Symptoms guide disease management, and patients frequently report HIV-related symptoms, but HIV symptom patterns reported by patients have not been described in the era of improved antiretroviral treatment. The objectives of our study were to investigate the prevalence and burden of symptoms in people living with HIV and attending an outpatient clinic. The prevalence, burden, and bothersomeness of symptoms reported by patients in routine clinic visits during 2011 were assessed using the 20-item HIV Symptom Index. Principal component analysis was used to identify symptom clusters and relationships between groups using appropriate statistic techniques. Two main clusters were identified. The most prevalent and bothersome symptoms were muscle aches/joint pain, fatigue, and poor sleep. A third of patients had seven or more symptoms, including the most burdensome symptoms. Even with improved antiretroviral drug side-effect profiles, symptom prevalence and burden, independent of HIV viral load and CD4+ T cell count, are high. PMID:26790340

Right ovarian vein drainage variant: Is there a relationship with pelvic varices?

International Nuclear Information System (INIS)

Koc, Zafer; Ulusan, Serife; Oguzkurt, Levent

2006-01-01

Objective: To correlate right ovarian vein (ROV) variations that drain into the right renal vein (RRV) with the presence of pelvic varices. Materials and methods: Routine abdominal multidetector-row computed tomography scans of 324 women were analyzed for the presence and type of ROV variations in this retrospective study. The subjects were divided into 2 groups: those with ROV variations and those without such variations. The diameters of the subjects' ROV, left ovarian vein (LOV), and parauterine veins were measured. Pelvic varices and the presence and degree of ovarian vein reflux were noted and compared between the 2 groups. The χ 2 -test and the Pearson correlation test were used for statistical analysis. Results: Thirty-two (9.9%) of 324 women studied exhibited ROV variant that drained into the right renal vein, and the remaining subjects (90.1%) exhibited a normal pattern of ROV drainage that flowed directly into the inferior vena cava. Pelvic varices were identified in 59 (18%) of the subjects. Reflux was not observed in any patient without pelvic varices. Fifty-seven of 59 women exhibited ovarian vein reflux. In 56 of those 57 individuals, reflux occurred only in the LOV, and in 1 subject, reflux was noted predominantly in the ROV. No significant relationship between the presence of an ROV that drained into the right renal vein and pelvic varices was noted. Conclusion: Although right-sided pelvic varices associated with right ovarian vein drainage variations are rare, anatomic variations of the right ovarian vein are not. This study did not find an association between the presence of right ovarian vein and pelvic varices

Right ovarian vein drainage variant: Is there a relationship with pelvic varices?

Energy Technology Data Exchange (ETDEWEB)

Koc, Zafer [Baskent Universitesi, Adana Hastanesi, Radyoloji Boeluemue, Serin Evler 39, Sok. No. 6 Yueregir, Adana (Turkey)]. E-mail: koczafer@gmail.com; Ulusan, Serife [Baskent Universitesi, Adana Hastanesi, Radyoloji Boeluemue, Serin Evler 39, Sok. No. 6 Yueregir, Adana (Turkey); Oguzkurt, Levent [Baskent Universitesi, Adana Hastanesi, Radyoloji Boeluemue, Serin Evler 39, Sok. No. 6 Yueregir, Adana (Turkey)

2006-09-15

Objective: To correlate right ovarian vein (ROV) variations that drain into the right renal vein (RRV) with the presence of pelvic varices. Materials and methods: Routine abdominal multidetector-row computed tomography scans of 324 women were analyzed for the presence and type of ROV variations in this retrospective study. The subjects were divided into 2 groups: those with ROV variations and those without such variations. The diameters of the subjects' ROV, left ovarian vein (LOV), and parauterine veins were measured. Pelvic varices and the presence and degree of ovarian vein reflux were noted and compared between the 2 groups. The {chi}{sup 2}-test and the Pearson correlation test were used for statistical analysis. Results: Thirty-two (9.9%) of 324 women studied exhibited ROV variant that drained into the right renal vein, and the remaining subjects (90.1%) exhibited a normal pattern of ROV drainage that flowed directly into the inferior vena cava. Pelvic varices were identified in 59 (18%) of the subjects. Reflux was not observed in any patient without pelvic varices. Fifty-seven of 59 women exhibited ovarian vein reflux. In 56 of those 57 individuals, reflux occurred only in the LOV, and in 1 subject, reflux was noted predominantly in the ROV. No significant relationship between the presence of an ROV that drained into the right renal vein and pelvic varices was noted. Conclusion: Although right-sided pelvic varices associated with right ovarian vein drainage variations are rare, anatomic variations of the right ovarian vein are not. This study did not find an association between the presence of right ovarian vein and pelvic varices.

Identifying biomarkers of dietary patterns by using metabolomics123

Science.gov (United States)

Derkach, Andriy; Reedy, Jill; Subar, Amy F; Sampson, Joshua N; Albanes, Demetrius; Gu, Fangyi; Kontto, Jukka; Lassale, Camille; Liao, Linda M; Männistö, Satu; Mondul, Alison M; Weinstein, Stephanie J; Irwin, Melinda L; Mayne, Susan T; Stolzenberg-Solomon, Rachael

2017-01-01

Background: Healthy dietary patterns that conform to national dietary guidelines are related to lower chronic disease incidence and longer life span. However, the precise mechanisms involved are unclear. Identifying biomarkers of dietary patterns may provide tools to validate diet quality measurement and determine underlying metabolic pathways influenced by diet quality. Objective: The objective of this study was to examine the correlation of 4 diet quality indexes [the Healthy Eating Index (HEI) 2010, the Alternate Mediterranean Diet Score (aMED), the WHO Healthy Diet Indicator (HDI), and the Baltic Sea Diet (BSD)] with serum metabolites. Design: We evaluated dietary patterns and metabolites in male Finnish smokers (n = 1336) from 5 nested case-control studies within the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study cohort. Participants completed a validated food-frequency questionnaire and provided a fasting serum sample before study randomization (1985–1988). Metabolites were measured with the use of mass spectrometry. We analyzed cross-sectional partial correlations of 1316 metabolites with 4 diet quality indexes, adjusting for age, body mass index, smoking, energy intake, education, and physical activity. We pooled estimates across studies with the use of fixed-effects meta-analysis with Bonferroni correction for multiple comparisons, and conducted metabolic pathway analyses. Results: The HEI-2010, aMED, HDI, and BSD were associated with 23, 46, 23, and 33 metabolites, respectively (17, 21, 11, and 10 metabolites, respectively, were chemically identified; r-range: −0.30 to 0.20; P = 6 × 10−15 to 8 × 10−6). Food-based diet indexes (HEI-2010, aMED, and BSD) were associated with metabolites correlated with most components used to score adherence (e.g., fruit, vegetables, whole grains, fish, and unsaturated fat). HDI correlated with metabolites related to polyunsaturated fat and fiber components, but not other macro- or micronutrients (e

Digital Mapping of Soil Drainage Classes Using Multitemporal RADARSAT-1 and ASTER Images and Soil Survey Data

Directory of Open Access Journals (Sweden)

Mohamed Abou Niang

2012-01-01

Full Text Available Discriminant analysis classification (DAC and decision tree classifiers (DTC were used for digital mapping of soil drainage in the Bras-d’Henri watershed (QC, Canada using earth observation data (RADARSAT-1 and ASTER and soil survey dataset. Firstly, a forward stepwise selection was applied to each land use type identified by ASTER image in order to derive an optimal subset of soil drainage class predictors. The classification models were then applied to these subsets for each land use and merged to obtain a digital soil drainage map for the whole watershed. The DTC method provided better classification accuracies (29 to 92% than the DAC method (33 to 79% according to the land use type. A similarity measure (S was used to compare the best digital soil drainage map (DTC to the conventional soil drainage map. Medium to high similarities (0.6≤S<0.9 were observed for 83% (187 km2 of the study area while 3% of the study area showed very good agreement (S≥0.9. Few soil polygons showed very weak similarities (S<0.3. This study demonstrates the efficiency of combining radar and optical remote sensing data with a representative soil dataset for producing digital maps of soil drainage.

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

African Journals Online (AJOL)

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

The construction technology of Chinese ancient city drainage facilities

Science.gov (United States)

Hequn, Li; Yufengyun

2018-03-01

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

Drainage divides, Massachusetts; Blackstone and Thames River basins

Science.gov (United States)

Krejmas, Bruce E.; Wandle, S. William

1982-01-01

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

Cenozoic North American Drainage Basin Evolution, Sediment Yield, and Accumulation in the Gulf of Mexico Basin

Science.gov (United States)

Galloway, W.; Ganey-Curry, P. E.

2010-12-01

The Cenozoic fill of the Gulf of Mexico basin contains a continuous record of sediment supply from the North American continental interior for the past 65 million years. Regional mapping of unit thickness and paleogeography for 18 depositional episodes defines patterns of shifting entry points of continental fluvial systems and quantifies the total volume of sediment supplied during each episode. Eight fluvio-deltaic depocenters, named for geographic similarities to entry points and drainage basins of modern rivers, are present. From southwest to northeast, they are the Rio Bravo, Rio Grande, Guadalupe, Colorado, Houston-Brazos, Red, Mississippi, and Tennessee axes. Sediment volume was calculated from hand-contoured unit thickness maps compiled from basin-wide well and seismic control. Using a GIS algorithm to sum volumes within polygons bounding interpreted North American river contribution, the total extant volume was then calculated. General compaction factors were used to convert modern volume to quantitative approximations of total grain volume. Grain volume rate of supply for each depositional episode was then calculated. Values vary by more than an order of magnitude. Supply rate has commonly varied by two-fold or more between successive depositional episodes. Sediment supply is a significant, independent variable in development of stratigraphic sequences within the Gulf basin. Paleogeographic maps of the continental interior for eleven Cenozoic time intervals display the evolving and complex interplay of intracontinental tectonism, climate change, and drainage basin evolution. Five tectono-climatic eras are differentiated: Paleocene late Laramide era; early to middle Eocene terminal Laramide era; middle Cenozoic (Late Eocene—Early Miocene) dry, volcanogenic era; middle Neogene (Middle—Late Miocene) arid, extensional era; and late Neogene (Plio—Pleistocene) monsoonal, epeirogenic uplift era. Sediment supply to the GOM reflects the interplay of (1

Application of BIM Technology in Building Water Supply and Drainage Design

Science.gov (United States)

Wei, Tianyun; Chen, Guiqing; Wang, Junde

2017-12-01

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

Percutaneous transhepatic biliary drainage: analysis of 175 cases

Energy Technology Data Exchange (ETDEWEB)

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

1990-10-15

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

Percutaneous transhepatic biliary drainage: analysis of 175 cases

International Nuclear Information System (INIS)

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

1990-01-01

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

Superficial drainage studies in open-pit mines

International Nuclear Information System (INIS)

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

1984-01-01

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

Gravity Drainage Kinetics of Papermaking Fibrous Suspensions

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Przybysz Piotr

2014-12-01

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

Improved drainage with active chest tube clearance.

Science.gov (United States)

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

2010-05-01

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

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

International Nuclear Information System (INIS)

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

1995-01-01

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

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

Energy Technology Data Exchange (ETDEWEB)

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

1995-10-15

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

Renal function and urine drainage after conservative or operative treatment of primary (obstructive) megaureter in infants and children.

Science.gov (United States)

Tröbs, R-B; Heinecke, K; Elouahidi, T; Nounla, J; Kluge, R

2006-01-01

We examined renal function and urinary drainage of children with primary megaureter (PMU) in dependence on conservative or operative treatment. The retrospective analysis covering the years 1994 to 2000 comprised children at an age of 0-7 years with 35 PMU. Sonography, dynamic MAG3 renography as well as endogenic creatinine clearance (GFR) were used to assess drainage and the renal function. Temporary urinary diversion was established in fourteen patients of both groups. In 14 children with 16 PMU a ureteroneocystostomy (UNC) was performed. The average observation period was 30 months (11-108). The children of the UNC group differed from the non-neoimplanted group in the age at diagnosis (10.5 vs. PMU with a reduced function of the kidneys and a significant impaired drainage pattern and/or symptoms, neoimplantation without temporary diversion has proved to be an efficient renoprotective method. Furthermore, data clearly justify a conservative approach without urinary diversion in infants with large asymptomatic PMU.

Subdural drainage versus subperiosteal drainage in burr-hole trepanation for symptomatic chronic subdural hematomas.

Science.gov (United States)

Bellut, David; Woernle, Christoph Michael; Burkhardt, Jan-Karl; Kockro, Ralf Alfons; Bertalanffy, Helmut; Krayenbühl, Niklaus

2012-01-01

Symptomatic chronic subdural hematoma (scSDH) is one of the most frequent diseases in neurosurgical practice, and its incidence is increasing. However, treatment modalities are still controversial. The aim of this retrospective single-center study is to compare for the first time two surgical methods in the treatment of subdural hematoma that have been proven to be efficient in previous studies in a direct comparison. We analyzed the data of 143 scSDHs in 113 patients undergoing surgery for subdural hematoma with placement of subperiosteal or subdural drainage after double burr-hole trepanation for hematoma evacuation. Overall, there were no statistically significant differences regarding general patient characteristics, preoperative and postoperative symptoms, postoperative hematoma remnant, rates of recurrences, mortality, complications, and outcome at discharge and at 3-month follow up between the groups. There was a close to significant tendency of lower mortality after placement of subperiosteal drainage system and a tendency towards lower rate of recurrent hematoma after placement of subdural drainage system. Our study shows for the first time a direct comparison of two mainly used surgical techniques in the treatment of scSDH. Both methods proved to be highly effective, and general patient data, complications, outcome and mortality of both groups are equal or superior compared with previously published series. Because there is a clear tendency to less mortality and fewer serious complications, treatment with double burr-hole trepanation, irrigation, and placement of subperiosteal drainage is our treatment of choice in patients with predictable high risk of complications. Copyright © 2012 Elsevier Inc. All rights reserved.

Ultrasound guided transrectal catheter drainage of pelvic collections.

Science.gov (United States)

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

2015-01-01

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

Superficial subarachnoid cerebrospinal fluid space expansion after surgical drainage of chronic subdural hematoma.

Science.gov (United States)

Tosaka, Masahiko; Tsushima, Yoshito; Watanabe, Saiko; Sakamoto, Kazuya; Yodonawa, Masahiko; Kunimine, Hideo; Fujita, Haruyasu; Fujii, Takashi

2015-07-01

The present study examined the computed tomography (CT) findings after surgery and overnight drainage for chronic subdural hematoma (CSDH) to clear the significance of inner superficial subarachnoid CSF space and outer subdural hematoma cavity between the brain surface and the inner skull. A total of 73 sides in 60 patients were evaluated. Head CT was performed on the day after surgery and overnight drainage (1st CT), within 3 weeks of surgery (2nd CT), and more than 3 weeks after surgery (3rd CT). Subdural and subarachnoid spaces were identified to focus on density of fluid, shape of air collection, and location of silicone drainage tube, etc. Cases with subdural space larger than the subarachnoid CSF space were classified as Group SD between the brain and the skull. Cases with subarachnoid CSF space larger than the subdural space were classified as Group SA. Cases with extremely thin (<3 mm) spaces between the brain and the skull were classified as Group NS. Group SA, SD, and NS accounted for 31.9, 55.6 and 12.5% of cases on the 1st CT. No statistical differences were found between Groups SA, SD, and NS in any clinical factors, including recurrence. Group SA were found significantly more on 1st CT than on 2nd and 3rd CT. Subarachnoid CSF space sometimes expands between the brain and skull on CT after surgical overnight drainage. Expansion of the arachnoid space may be a passive phenomenon induced by overnight drainage and delayed re-expansion of the brain parenchyma.

Intermediate report on the problems of warm water drainage

International Nuclear Information System (INIS)

1976-01-01

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

Development of laundry drainage treatment system with ceramic ultra filter

International Nuclear Information System (INIS)

Kanda, Masanori; Kurahasi, Takafumi

1995-01-01

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

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

International Nuclear Information System (INIS)

Anon.

1994-01-01

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

Numerical Three-Dimensional Model of Airport Terminal Drainage System

Directory of Open Access Journals (Sweden)

Strzelecki Michał

2014-03-01

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

Drainage Water Filtration

Science.gov (United States)

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

Identifying Patterns in Extreme Precipitation Risk and the Related Impacts

Science.gov (United States)

Schroeer, K.; Tye, M. R.

2017-12-01

Extreme precipitation can harm human life and assets through flooding, hail, landslides, or debris flows. Flood risk assessments typically concentrate on river or mountain torrent channels, using water depth, flow velocity, and/or sediment deposition to quantify the risk. In addition, extreme events with high recurrence intervals are often the main focus. However, damages from short-term and localized convective showers often occur away from watercourses. Also, damages from more frequent small scale extremes, although usually less disastrous, can accumulate to considerable financial burdens. Extreme convective precipitation is expected to intensify in a warmer climate, and vulnerability patterns might change in tandem with changes in the character of precipitation and flood types. This has consequences for adaptation planners who want to establish effective protection measures and reduce the cost from natural hazards. Here we merge hydrological and exposure data to identify patterns of risk under varying synoptic conditions. Exposure is calculated from a database of 76k damage claims reported to the national disaster fund in 480 municipalities in south eastern Austria from 1990-2015. Hydrological data comprise sub-daily precipitation (59 gauges) and streamflow (62 gauges) observations. We use synoptic circulation types to identify typical precipitation patterns. They indicate the character of precipitation even if a gauge is not in close proximity, facilitating potential future research with regional climate model data. Results show that more claims are reported under synoptic conditions favouring convective precipitation (on average 1.5-3 times more than on other days). For agrarian municipalities, convective precipitation damages are among the costliest after long low-intensity precipitation events. In contrast, Alpine communities are particularly vulnerable to convective high-intensity rainfall. In addition to possible observational error, uncertainty is present

Image-guided drainage of multiple intraabdominal abscesses in children with perforated appendicitis: an alternative to laparotomy

Energy Technology Data Exchange (ETDEWEB)

McCann, Jeffrey W.; Krishnamurthy, Ganesh; Connolly, Bairbre L. [Hospital for Sick Children, Image Guided Therapy, Department of Diagnostic Imaging, Toronto, Ontario (Canada); Maroo, Sanjay; Amaral, Joao G.; Parra, Dimitri; Temple, Michael; John, Philip [Hospital for Sick Children, Department of Diagnostic Imaging, Toronto (Canada); Wales, Paul [Hospital for Sick Children, Department of Surgery, Toronto (Canada)

2008-06-15

Appendicitis is the most common cause of an acute abdomen in children. With perforation, multiple intraperitoneal collections can be seen at presentation. In this situation, surgical treatment alone is rarely effective. To determine the role of image-guided drainage in treating patients with acute appendicitis complicated by multiple intraabdominal collections. A retrospective review of patient charts and interventional radiology records was performed to identify all patients with acute complicated appendicitis treated by multiple image-guided drainage procedures. Data reviewed included the number of drainages and aspirations performed, drain dwell time, the clinical course and temperature profile, and the length of inpatient hospital stay and any complications experienced. The study population comprised 42 children with a mean age of 107.6 months. A total of 100 drainage catheters were inserted and 56 aspirations were performed. Of the 42 children, 24 were successfully treated at a single sitting, while 18 returned for further intervention. The mean drain dwell time was 8.18 days. The mean inpatient stay was 15.02 days. Treatment of the acute presentation with image-guided intervention was successful in 92.3% of children. Successful management of acute perforated appendicitis with multiple intraabdominal abscesses can be achieved with multiple minimally invasive image-guided drainage procedures. (orig.)

Patterns of Seismicity Associated with USGS Identified Areas of Potentially Induced Seismicity.

Science.gov (United States)

Barnes, Caitlin; Halihan, Todd

2018-03-13

A systematic review across U.S. Geological Survey (USGS) identified potentially induced seismic locations was conducted to discover seismic distance patterns and trends over time away from injection disposal wells. Previous research indicates a 10 km (6 miles) average where the majority of induced seismicity is expected to occur within individual locations, with some areas reporting a larger radius of 35 km (22 miles) to over 70 km (43 miles). This research analyzed earthquake occurrences within nine USGS locations where specified wells were identified as contributors to induced seismicity to determine distance patterns from disposal wells or outward seismic migration over time using established principles of hydrogeology. Results indicate a radius of 31.6 km (20 miles) where 90% of felt earthquakes occur among locations, with the closest proximal felt seismic events, on average, occurring 3 km (1.9 miles) away from injection disposal wells. The results of this research found distance trends across multiple locations of potentially induced seismicity. © 2018, National Ground Water Association.

Tectonic history and the biogeography of the freshwater fishes from the coastal drainages of eastern Brazil: an example of faunal evolution associated with a divergent continental margin

Directory of Open Access Journals (Sweden)

Alexandre Cunha Ribeiro

. The fossil fishes from the Tremembé Formation (Eocene-Oligocene of Taubaté Basin exemplify this process. Other taphrogenic systems of Tertiary age were also identified in other segments of the Atlantic continental margin, such as in Borborema province, in NE Brazil, with marked influence over drainage patterns. At the same time, erosive retreat of the eastern margin of the platform successively captured upland rivers, which became Atlantic tributaries evolving associated to main rift systems. The continued nature of these processes explains the mixed phylogenetic and distributional patterns between Atlantic tributaries and the upland crystalline shield areas, especially in the southeastern continental margin, represented by successively, less inclusive sister-groups associated with cladogenetic events from the Late Cretaceous to the present.

PASSIVE TREATMENT OF ACID ROCK DRAINAGE FROM A SUBSURFACE MINE

Science.gov (United States)

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

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

LENUS (Irish Health Repository)

Kelly, Enda G

2014-03-01

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

Diuretic 99mTc DTPA renography in assessment of renal function and drainage in infants with antenatally detected hydronephrosis.

Science.gov (United States)

Radulović, Marija; Pucar, Dragan; Jauković, Ljiljana; Sisić, Marija; Krstić, Zoran; Ajdinović, Boris

2015-12-01

The controversy over the postnatal management of infants with antenataly detected hydronephrosis (ANH) still exists. We presented the results of diuretic 99mTc diethylenetriamine pentaacetic acid (DTPA) renography in 30 infants with the antenatal diagnosis of unilateral renal pelvic dilatation. The aim of this study was to assess the renal function determined by the pattern of drainage and split renal function (SRF) on diuretic renography and to correlate these findings with anteroposterior pelvic diameter (APD) estimated by ultrasonography. A total of 30 infants with 60 renal units (RU) (25 boys and 5 girls, median age 6.0 months, range 2-24) presented with unilateral hydronephrosis on ultrasound in the newborn period, underwent DTPA diuretic renal scintigraphy (F+15 protocol). The median APD evaluated on perinatal ultrasound was 15 mm (range 5-30). The postnatal associated clinical diagnosis were pelviureteric junction obstruction (PUJ), simple hydronephrosis, megaureter, vesicoureteral reflux (VUR) and posterior urethral valves in 11, 10, 6, 2 and 1 infant, respectively. Images and Tmax/2 after diuretic stimulation on the background subtracted renographic curves were used as the criteria for classifying the drainage as good, partial, and poor or no drainage. The SRF was calculated with the integral method. Good drainage was shown in 36/60, partial drainage in 13/60 and poor or no drainage in 11/60 RU. The SRF > 40% was observed in 55/60 RU, with no RU showing SRF lower than 23.5%. In infants with severe ANH the obstruction was not excluded in 94.1%. Diuretic renography in antenatally detected hydronephrosis should be a useful tool in postnatal follow up, especially in differentiating nonobstructive hydronephrosis from obstructive. It is also importanat to assess and monitor the SRF. Our results suggest that even in the presence of partial or no drainage, SRF may not be significantly impaired.

A model to measure lymphatic drainage from the eye.

Science.gov (United States)

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

2011-11-01

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

Regulated Electric Drainage and its Interference with Track Circuits

Directory of Open Access Journals (Sweden)

Vaclav Kolar

2018-01-01

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

Radiologic guidance of drainage of infected and noninfected thoracic fluid collections

International Nuclear Information System (INIS)

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

1987-01-01

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

Tracing sediment sources in Royal Drainage basin, Iran

International Nuclear Information System (INIS)

Feiznia, S.; Kouhpelma, A.; Ahmadi, H.; Hashemi, S. A.

2009-01-01

For successful soil conservation measures, obtaining information about the relative importance of sediment source and their shares in sediment production is required. Tracing or source studies are emphasized in recent years due to their privileges. In this research, sediment sources were identified using tracing method. A small earth dam is constructed at the outlet of Royan Drainage Basin in 1993. In this study, sediments were sampled from dam reservoir, different sources were also sampled. The results of this research can be used in soil conservation projects for execution of suitable management strategies. (Author) 6 refs.

Tracing sediment sources in Royal Drainage basin, Iran

Energy Technology Data Exchange (ETDEWEB)

Feiznia, S.; Kouhpelma, A.; Ahmadi, H.; Hashemi, S. A.

2009-07-01

For successful soil conservation measures, obtaining information about the relative importance of sediment source and their shares in sediment production is required. Tracing or source studies are emphasized in recent years due to their privileges. In this research, sediment sources were identified using tracing method. A small earth dam is constructed at the outlet of Royan Drainage Basin in 1993. In this study, sediments were sampled from dam reservoir, different sources were also sampled. The results of this research can be used in soil conservation projects for execution of suitable management strategies. (Author) 6 refs.

Acid mine drainage

Science.gov (United States)

Bigham, Jerry M.; Cravotta, Charles A.

2016-01-01

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

Estimating the benefits of improved drainage on pavement ...

African Journals Online (AJOL)

user

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

Extracting gene expression patterns and identifying co-expressed genes from microarray data reveals biologically responsive processes

Directory of Open Access Journals (Sweden)

Paules Richard S

2007-11-01

Full Text Available Abstract Background A common observation in the analysis of gene expression data is that many genes display similarity in their expression patterns and therefore appear to be co-regulated. However, the variation associated with microarray data and the complexity of the experimental designs make the acquisition of co-expressed genes a challenge. We developed a novel method for Extracting microarray gene expression Patterns and Identifying co-expressed Genes, designated as EPIG. The approach utilizes the underlying structure of gene expression data to extract patterns and identify co-expressed genes that are responsive to experimental conditions. Results Through evaluation of the correlations among profiles, the magnitude of variation in gene expression profiles, and profile signal-to-noise ratio's, EPIG extracts a set of patterns representing co-expressed genes. The method is shown to work well with a simulated data set and microarray data obtained from time-series studies of dauer recovery and L1 starvation in C. elegans and after ultraviolet (UV or ionizing radiation (IR-induced DNA damage in diploid human fibroblasts. With the simulated data set, EPIG extracted the appropriate number of patterns which were more stable and homogeneous than the set of patterns that were determined using the CLICK or CAST clustering algorithms. However, CLICK performed better than EPIG and CAST with respect to the average correlation between clusters/patterns of the simulated data. With real biological data, EPIG extracted more dauer-specific patterns than CLICK. Furthermore, analysis of the IR/UV data revealed 18 unique patterns and 2661 genes out of approximately 17,000 that were identified as significantly expressed and categorized to the patterns by EPIG. The time-dependent patterns displayed similar and dissimilar responses between IR and UV treatments. Gene Ontology analysis applied to each pattern-related subset of co-expressed genes revealed underlying

Acid Mine Drainage Treatment

National Research Council Canada - National Science Library

Fripp, Jon

2000-01-01

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

Agricultural Drainage Well Intakes

Data.gov (United States)

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

CT-guided biopsies and drainage

International Nuclear Information System (INIS)

Scheppers, I.; Wollschlaeger, D.

2011-01-01

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

Management of chest drainage tubes after lung surgery.

Science.gov (United States)

Satoh, Yukitoshi

2016-06-01

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

Drainage from coal mines: Chemistry and environmental problems

International Nuclear Information System (INIS)

Wildeman, T.

1991-01-01

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

Glaucoma Drainage Device Erosion Following Ptosis Surgery.

Science.gov (United States)

Bae, Steven S; Campbell, Robert J

2017-09-01

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

Primary drainage in geological fractures: Effects of aperture variability and wettability

Science.gov (United States)

Yang, Z.; Méheust, Y.; Neuweiler, I.

2017-12-01

Understanding and controlling fluid-fluid displacement in porous and fractured media is a key asset for many practical applications, such as the geological storage of CO2, hydrocarbon recovery, groundwater remediation, etc. We numerically investigate fluid-fluid displacement in rough-walled fractures with a focus on the combined effect of wettability, the viscous contrast between the two fluids, and fracture surface topography on drainage patterns and interface growth. A model has been developed to simulate the dynamic displacement of one fluid by another immiscible one in a rough geological fracture; the model takes both capillary and viscous forces into account. Capillary pressures at the fluid-fluid interface are calculated based on the Young-Laplace equation using the two principal curvatures (aperture-induced curvature and in-plane curvature) [1], while viscous forces are calculated by continuously solving the fluid pressure field in the fracture. The aperture field of a fracture is represented by a spatially correlated random field, with a power spectral density of the fracture wall topographies scaling as a power law, and a cutoff wave-length above which the Fourier modes of the two walls are identical [2]. We consider flow scenarios with both rectangular and radial configurations. Results show that the model is able to produce displacement patterns of compact displacement, capillary fingering, and viscous fingering, as well as the transitions between them. Both reducing the aperture variability and increasing the contact angle (from drainage to weak imbibition) can stabilize the displacement due to the influence of the in-plane curvature, an effect analogous to that of the cooperative pore filling in porous media. These results suggest that for geometries typical of geological fractures we can extend the phase diagram in the parameter space of capillary number and mobility ratio by another dimension to take into account the combined effect of wettability

Dynamic drainage of froth with wood fibers

Science.gov (United States)

J.Y. Zhu; Freya Tan

2005-01-01

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

Consistent Differential Expression Pattern (CDEP) on microarray to identify genes related to metastatic behavior.

Science.gov (United States)

Tsoi, Lam C; Qin, Tingting; Slate, Elizabeth H; Zheng, W Jim

2011-11-11

To utilize the large volume of gene expression information generated from different microarray experiments, several meta-analysis techniques have been developed. Despite these efforts, there remain significant challenges to effectively increasing the statistical power and decreasing the Type I error rate while pooling the heterogeneous datasets from public resources. The objective of this study is to develop a novel meta-analysis approach, Consistent Differential Expression Pattern (CDEP), to identify genes with common differential expression patterns across different datasets. We combined False Discovery Rate (FDR) estimation and the non-parametric RankProd approach to estimate the Type I error rate in each microarray dataset of the meta-analysis. These Type I error rates from all datasets were then used to identify genes with common differential expression patterns. Our simulation study showed that CDEP achieved higher statistical power and maintained low Type I error rate when compared with two recently proposed meta-analysis approaches. We applied CDEP to analyze microarray data from different laboratories that compared transcription profiles between metastatic and primary cancer of different types. Many genes identified as differentially expressed consistently across different cancer types are in pathways related to metastatic behavior, such as ECM-receptor interaction, focal adhesion, and blood vessel development. We also identified novel genes such as AMIGO2, Gem, and CXCL11 that have not been shown to associate with, but may play roles in, metastasis. CDEP is a flexible approach that borrows information from each dataset in a meta-analysis in order to identify genes being differentially expressed consistently. We have shown that CDEP can gain higher statistical power than other existing approaches under a variety of settings considered in the simulation study, suggesting its robustness and insensitivity to data variation commonly associated with microarray

Impact of tile drainage on evapotranspiration in South Dakota, USA, based on high spatiotemporal resolution evapotranspiration time series from a multi-satellite data fusion system

Science.gov (United States)

Yang, Yun; Anderson, Martha C.; Gao, Feng; Hain, Christopher; Kustas, William P.; Meyers, Tilden P.; Crow, Wade; Finocchiaro, Raymond G.; Otkin, Jason; Sun, Liang; Yang, Yang

2017-01-01

Soil drainage is a widely used agricultural practice in the midwest USA to remove excess soil water to potentially improve the crop yield. Research shows an increasing trend in baseflow and streamflow in the midwest over the last 60 years, which may be related to artificial drainage. Subsurface drainage (i.e., tile) in particular may have strongly contributed to the increase in these flows, because of its extensive use and recent gain in the popularity as a yield-enhancement practice. However, how evapotranspiration (ET) is impacted by tile drainage on a regional level is not well-documented. To explore spatial and temporal ET patterns and their relationship to tile drainage, we applied an energy balance-based multisensor data fusion method to estimate daily 30-m ET over an intensively tile-drained area in South Dakota, USA, from 2005 to 2013. Results suggest that tile drainage slightly decreases the annual cumulative ET, particularly during the early growing season. However, higher mid-season crop water use suppresses the extent of the decrease of the annual cumulative ET that might be anticipated from widespread drainage. The regional water balance analysis during the growing season demonstrates good closure, with the average residual from 2005 to 2012 as low as -3 mm. As an independent check of the simulated ET at the regional scale, the water balance analysis lends additional confidence to the study. The results of this study improve our understanding of the influence of agricultural drainage practices on regional ET, and can affect future decision making regarding tile drainage systems.

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

Science.gov (United States)

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

2017-11-01

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

Sternotomy or drainage for a hemopericardium after penetrating trauma: a randomized controlled trial.

Science.gov (United States)

Nicol, Andrew J; Navsaria, Pradeep H; Hommes, Martijn; Ball, Chad G; Edu, Sorin; Kahn, Delawir

2014-03-01

To determine if stable patients with a hemopericardium detected after penetrating chest trauma can be safely managed with pericardial drainage alone. The current international practice is to perform a sternotomy and cardiac repair if a hemopericardium is detected after penetrating chest trauma. The experience in Cape Town, South Africa, on performing a mandatory sternotomy in hemodynamically stable patients was that a sternotomy was unnecessary and the cardiac injury, if present, had sealed. A single-center parallel-group randomized controlled study was completed. All hemodynamically stable patients with a hemopericardium confirmed at subxiphoid pericardial window (SPW), and no active bleeding, were randomized. The primary outcome measure was survival to discharge from hospital. Secondary outcomes were complications and postoperative hospital stay. Fifty-five patients were randomized to sternotomy and 56 to pericardial drainage and wash-out only. Fifty-one of the 55 patients (93%) randomized to sternotomy had either no cardiac injury or a tangential injury. There were only 4 patients with penetrating wounds to the endocardium and all had sealed. There was 1 death postoperatively among the 111 patients (0.9%) and this was in the sternotomy group. The mean intensive care unit (ICU) stay for a sternotomy was 2.04 days (range, 0-25 days) compared with 0.25 days (range, 0-2) for the drainage (P drainage group (95% CI: 0.8-2.7). Total hospital stay was significantly shorter in the SPW group (P drainage is effective and safe in the stable patient with a hemopericardium after penetrating chest trauma, with no increase in mortality and a shorter ICU and hospital stay. (ClinicalTrials.gov Identifier: NCT00823160).

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

Science.gov (United States)

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

2017-12-27

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

The usefulness of adding p53 immunocytochemistry to bile drainage cytology for the diagnosis of malignant biliary strictures.

Science.gov (United States)

Yeo, Min-Kyung; Kim, Kyung-Hee; Lee, Yong-Moon; Lee, Byung Seok; Choi, Song-Yi

2017-07-01

Obstructive jaundice is frequently caused by bile duct strictures. Determination of malignant strictures is crucial for the initiation of appropriate treatment. Cytologic examination of bile drainage fluid is an easy and reproducible method of detecting malignant cells. This method, however, frequently yields indeterminate results, such as atypia or suspicious of malignancy, due to difficulties in differentiating malignancy from benign atypia. Immunocytochemical assessment of p53 expression by cells in bile drainage fluid may enhance the ability to detect malignancy. A total of 139 samples of bile drainage fluid were obtained from 80 patients. Following cytologic examination, the samples were incubated with antibody to p53. The performance of cytology with and without p53 immunocytochemistry was evaluated, with reference to surgical or clinical findings of benign and malignant biliary strictures. Bile drainage cytology alone had a sensitivity of 31.6% and a specificity of 98.4% in the identification of malignant strictures, whereas the combination of p53 immunocytochemistry and bile drainage cytology had a sensitivity of 80.3% and a specificity of 92.1%. P53 immunocytochemistry alone had a sensitivity of 64.5% and a specificity of 92.7% for the identification of malignant strictures in bile drainage samples with atypical cytology, and a sensitivity of 85.0% and a specificity of 100.0% in samples with suspicious of malignancy. The addition of p53 immunocytochemistry to bile drainage cytology can be useful in identifying malignant strictures in samples showing indeterminate results on bile drainage cytology. Diagn. Cytopathol. 2017;45:592-597. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

Properties of the subglacial till inferred from supraglacial lake drainage

Science.gov (United States)

Neufeld, J. A.; Hewitt, D.

2017-12-01

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

Treatment of dyeing drainage by radiation

International Nuclear Information System (INIS)

Shimokawa, Toshinari; Sawai, Takeshi

1985-01-01

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

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

Energy Technology Data Exchange (ETDEWEB)

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

1999-03-15

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

Successful Treatment of Septic Shock due to Spontaneous Esophageal Perforation 96 Hours after Onset by Drainage and Enteral Nutrition

Directory of Open Access Journals (Sweden)

Risako Yamashita

2014-12-01

Full Text Available Spontaneous esophageal perforation is relatively uncommon, but carries a high mortality rate if diagnosis or treatment is delayed. We report the case of a 68-year-old man with spontaneous esophageal perforation who was successfully treated over 96 h after onset by thoracic drainage and jejunostomy for enteral nutrition. He vomited after drinking alcohol, soon followed by epigastralgia. Heart failure was suspected on admission to another hospital. Spontaneous esophageal perforation was diagnosed 48 h after admission. Chest tube drainage was performed, but his general condition deteriorated and he was transferred to our hospital. Emergent surgery was performed and esophageal perforation combined with pyothorax and mediastinitis was identified on the left side of the lower esophagus. The left thoracic cavity was rinsed and thoracic drainage was performed. Feeding jejunostomy was performed for postoperative enteral nutrition. Effective drainage and sufficient nutrition management appear extremely valuable in treating spontaneous esophageal perforation.

Endoscopic Ultrasound-guided Drainage of Pancreatic Pseudocysts

DEFF Research Database (Denmark)

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

2013-01-01

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

The effect of cisterna chyli ablation combined with thoracic duct ligation on abdominal lymphatic drainage.

Science.gov (United States)

Sicard, Gretchen K; Waller, Ken R; McAnulty, Jonathan F

2005-01-01

To evaluate the effect of cisterna chyli ablation (CCA) and thoracic duct ligation (TDL) on abdominal lymphatic drainage in normal dogs. Experimental study. Nine female beagle dogs. TDL was performed in 3 dogs and was combined with CCA (CCA-TDL) and local omentalization in 6 dogs. Contrast lymphangiography was attempted in all dogs immediately before and after TDL. Dogs were reanesthetized at 31-37 days for lymphatic studies by new methylene blue (NMB) injection into a mesenteric lymph node and by contrast lymphangiography. In 6 CCA-TDL dogs, 2 had direct shunting of contrast from the lymphatic system into major abdominal veins, 3 had contrast material that dissipated into abdominal vessels within the mesenteric root, and 1 had shunting into the azygous vein. NMB was not observed within the omental pedicle after CCA-TDL. Chylous drainage was by the azygous vein in all 3 TDL dogs. CCA-TDL disrupted chylous drainage to the thoracic duct and resulted in direct intraabdominal lymphaticovenous anastomoses identified by shunting of lymphatic flow directly into the abdominal vasculature in 5 of 6 CCA-TDL dogs. Omentalization of the cisternal ablation site was not beneficial in augmenting extrathoracic lymphatic drainage and is not recommended with CCA-TDL. CCA-TDL represents a novel approach to surgical redirection of chylous drainage to the venous circulation outside of the thorax and may be useful in the treatment of spontaneous chylothorax in the dog.

Profile of thoracic trauma victims submitted to chest drainage

Directory of Open Access Journals (Sweden)

CESAR AUGUSTO BROSKA JÚNIOR

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

Scintigraphy of the lacrimal drainage system

International Nuclear Information System (INIS)

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

1978-01-01

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

Drainage isolation and climate change-driven population expansion shape the genetic structures of Tuber indicum complex in the Hengduan Mountains region.

Science.gov (United States)

Feng, Bang; Zhao, Qi; Xu, Jianping; Qin, Jiao; Yang, Zhu L

2016-02-24

The orogenesis of the Qinghai-Tibetan Plateau and the Quaternary climate changes have played key roles in driving the evolution of flora and fauna in Southwest China, but their effects on higher fungi are poorly addressed. In this study, we investigated the phylogeographic pattern of the Tuber indicum species complex, an economically important fungal group distributed in the Hengduan Mountains region. Our data confirmed the existence of two distinct lineages, T. indicum and T. himalayense, within this species complex. Three geographic groups (Groups W, N and C) were revealed within T. indicum, with Group W found in the paleo-Lancang River region, while Groups N and C corresponded to the two banks along the contemporary Jinsha River, suggesting that rivers have acted as barriers for gene flow among populations from different drainages. Historical range expansion resulted from climate changes was inferred in Group C, contributing to the observed gene flow among geographic populations within this group. Although no significant geographic structure was identified in T. himalayense, evidence of drainage isolation for this species was also detected. Our findings demonstrate that both topographic changes and Quaternary climate oscillations have played important roles in driving the genetic structures of the T. indicum species complex.

Decision analysis framing study; in-valley drainage management strategies for the western San Joaquin Valley, California

Science.gov (United States)

Presser, Theresa S.; Jenni, Karen E.; Nieman, Timothy; Coleman, James

2010-01-01

Constraints on drainage management in the western San Joaquin Valley and implications of proposed approaches to management were recently evaluated by the U.S. Geological Survey (USGS). The USGS found that a significant amount of data for relevant technical issues was available and that a structured, analytical decision support tool could help optimize combinations of specific in-valley drainage management strategies, address uncertainties, and document underlying data analysis for future use. To follow-up on USGS's technical analysis and to help define a scientific basis for decisionmaking in implementing in-valley drainage management strategies, this report describes the first step (that is, a framing study) in a Decision Analysis process. In general, a Decision Analysis process includes four steps: (1) problem framing to establish the scope of the decision problem(s) and a set of fundamental objectives to evaluate potential solutions, (2) generation of strategies to address identified decision problem(s), (3) identification of uncertainties and their relationships, and (4) construction of a decision support model. Participation in such a systematic approach can help to promote consensus and to build a record of qualified supporting data for planning and implementation. In December 2008, a Decision Analysis framing study was initiated with a series of meetings designed to obtain preliminary input from key stakeholder groups on the scope of decisions relevant to drainage management that were of interest to them, and on the fundamental objectives each group considered relevant to those decisions. Two key findings of this framing study are: (1) participating stakeholders have many drainage management objectives in common; and (2) understanding the links between drainage management and water management is necessary both for sound science-based decisionmaking and for resolving stakeholder differences about the value of proposed drainage management solutions. Citing

Drainage Behavior in Soap Films Above and Below the CMC

Science.gov (United States)

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

2003-11-01

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

Influence of structures on drainage patterns in the Tushka region, SW Egypt

Science.gov (United States)

Robinson, C. A.; El-Kaliouby, H.; Ghoneim, E.

2017-12-01

Remote sensing (radar, thermal and topographic) and geophysical (Vertical Electrical Sounding and Ground Penetrating Radar) data are used to understand areas with enhanced groundwater potential in deeper aquifer settings between 22°0‧-22°56‧N and 30°21-31°20‧E in the Tushka area of southwest Egypt. The premise is that areas with enhanced groundwater accumulations represent the best locations for agricultural development that is underway in this region and that deeper sources groundwater resources are the most sustainable. New fluvial and structural interpretations emphasize that the desert landscape was produced by fluvial action in the past. The correlation of high drainage and fault densities, coincident with gentle slope, guided sites for geophysical investigation that provides information about the aquifer depth and distribution, and the subsurface distribution of faults. Results confirm the presence of subsurface fault plains and fault zones and potential water aquifers at these locations. Surface environments further demonstrated an abundance of shrubs and cultivatable soils. The new approach therefore is a cost effective and noninvasive technique that can be applied throughout the eastern Sahara to assist in resource management decisions and support the planned agricultural expansion.

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

Science.gov (United States)

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

2014-01-01

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

Time effects of water drainage from deposited back-fill

International Nuclear Information System (INIS)

Baranski, L.A.

1976-01-01

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

Accelerating transient drainage from UMTRA Project tailings piles

International Nuclear Information System (INIS)

1990-09-01

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

Drainage filters and constructed wetlands to mitigate sitespecific nutrient losses

DEFF Research Database (Denmark)

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

2012-01-01

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

Percutaneous catheter drainage of pancreatic pseudocysts

International Nuclear Information System (INIS)

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

1991-01-01

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

4R Water Quality Impacts: An Assessment and Synthesis of Forty Years of Drainage Nitrogen Losses.

Science.gov (United States)

Christianson, L E; Harmel, R D

2015-11-01

The intersection of agricultural drainage and nutrient mobility in the environment has led to multiscale water quality concerns. This work reviewed and quantitatively analyzed nearly 1,000 site-years of subsurface tile drainage nitrogen (N) load data to develop a more comprehensive understanding of the impacts of 4R practices (application of the right source of nutrients, at the right rate and time, and in the right place) within drained landscapes across North America. Using drainage data newly compiled in the "Measured Annual Nutrient loads from AGricultural Environments" (MANAGE) database, relationships were developed across N application rates for nitrate N drainage loads and corn ( L.) yields. The lack of significant differences between N application timing or application method was inconsistent with the current emphasis placed on application timing, in particular, as a water quality improvement strategy ( = 0.934 and 0.916, respectively). Broad-scale analyses such as this can help identify major trends for water quality, but accurate implementation of the 4R approach will require site-specific knowledge to balance agronomic and environmental goals. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Surface Water & Surface Drainage

Data.gov (United States)

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

Near infrared imaging to identify sentinel lymph nodes in invasive urinary bladder cancer

Science.gov (United States)

Knapp, Deborah W.; Adams, Larry G.; Niles, Jacqueline D.; Lucroy, Michael D.; Ramos-Vara, Jose; Bonney, Patty L.; deGortari, Amalia E.; Frangioni, John V.

2006-02-01

Approximately 12,000 people are diagnosed with invasive transitional cell carcinoma of the urinary bladder (InvTCC) each year in the United States. Surgical removal of the bladder (cystectomy) and regional lymph node dissection are considered frontline therapy. Cystectomy causes extensive acute morbidity, and 50% of patients with InvTCC have occult metastases at the time of diagnosis. Better staging procedures for InvTCC are greatly needed. This study was performed to evaluate an intra-operative near infrared fluorescence imaging (NIRF) system (Frangioni laboratory) for identifying sentinel lymph nodes draining InvTCC. NIRF imaging was used to map lymph node drainage from specific quadrants of the urinary bladder in normal dogs and pigs, and to map lymph node drainage from naturally-occurring InvTCC in pet dogs where the disease closely mimics the human condition. Briefly, during surgery NIR fluorophores (human serum albumen-fluorophore complex, or quantum dots) were injected directly into the bladder wall, and fluorescence observed in lymphatics and regional nodes. Conditions studied to optimize the procedure including: type of fluorophore, depth of injection, volume of fluorophore injected, and degree of bladder distention at the time of injection. Optimal imaging occurred with very superficial injection of the fluorophore in the serosal surface of the moderately distended bladder. Considerable variability was noted from dog to dog in the pattern of lymph node drainage. NIR fluorescence was noted in lymph nodes with metastases in dogs with InvTCC. In conclusion, intra-operative NIRF imaging is a promising approach to improve sentinel lymph node mapping in invasive urinary bladder cancer.

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

Directory of Open Access Journals (Sweden)

YANG Feng

2016-03-01

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

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

Science.gov (United States)

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

2013-12-01

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

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

Directory of Open Access Journals (Sweden)

V. Kiran

2014-12-01

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

Filter materials for metal removal from mine drainage--a review.

Science.gov (United States)

Westholm, Lena Johansson; Repo, Eveliina; Sillanpää, Mika

2014-01-01

A large number of filter materials, organic and inorganic, for removal of heavy metals in mine drainage have been reviewed. Bark, chitin, chitosan, commercial ion exchangers, dairy manure compost, lignite, peat, rice husks, vegetal compost, and yeast are examples of organic materials, while bio-carbons, calcareous shale, dolomite, fly ash, limestone, olivine, steel slag materials and zeolites are examples of inorganic materials. The majority of these filter materials have been investigated in laboratory studies, based on various experimental set-ups (batch and/or column tests) and different conditions. A few materials, for instance steel slag materials, have also been subjects to field investigations under real-life conditions. The results from these investigations show that steel slag materials have the potential to remove heavy metals under different conditions. Ion exchange has been suggested as the major metal removal mechanisms not only for steel slag but also for lignite. Other suggested removal mechanisms have also been identified. Adsorption has been suggested important for activated carbon, precipitation for chitosan and sulphate reduction for olivine. General findings indicate that the results with regard to metal removal vary due to experimental set ups, composition of mine drainage and properties of filter materials and the discrepancies between studies renders normalisation of data difficult. However, the literature reveals that Fe, Zn, Pb, Hg and Al are removed to a large extent. Further investigations, especially under real-life conditions, are however necessary in order to find suitable filter materials for treatment of mine drainage.

A New CT-Guided Modified Trocar Technique for Drainage of Difficult Locations Abscesses

Energy Technology Data Exchange (ETDEWEB)

Tyng, Chiang J., E-mail: chiangjengtyng@gmail.com; Amoedo, Maurício K.; Bohrer, Yves; Bitencourt, Almir G. V.; Barbosa, Paula N. V.; Almeida, Maria Fernanda A.; Zurstrassen, Charles E. [AC Camargo Cancer Center, Department of Imaging (Brazil); Coimbra, Felipe J. F.; Costa, Wilson L. da [AC Camargo Cancer Center, Department of Abdominal Surgery (Brazil); Chojniak, Rubens [AC Camargo Cancer Center, Department of Imaging (Brazil)

2017-05-15

PurposeComputed tomography (CT) is commonly used to guide drainage of deep-seated abdominal fluid collections. However, in some cases, these collections seem to be inaccessible due to surrounding organs or their being in difficult locations. The aim of this study is to describe a modified Trocar technique to drain collections in difficult locations, especially those in the subphrenic space, without passing through intervening organs.Materials and MethodsThis retrospective case series study describes seven inpatients who underwent CT-guided drainage using a modified Trocar technique for abscesses that are difficult to access percutaneously. All patients provided written informed consent prior to the procedure. After placement of a 12–14F catheter inside the peritoneum, the Trocar stylet was removed so that the tip of the catheter became blunt and flexible to avoid injury to organs and structures in the catheter route, and the catheter was slowly advanced towards the collection using CT guidance and tactile sensation. After reaching the target, the stylet was reintroduced to enter the abscess wall.ResultsAll procedures were performed using an anterior abdominal wall access with adequate catheter positioning and resulted in clinical status improvement in the days after the drainage. No complications related to the procedure were identified in any of the patients.ConclusionsThe modified Trocar technique for percutaneous CT-guided drainage of abdominal abscesses may be feasible for lesions that are difficult to access with conventional methods.

Performance indicators for the efficiency analysis of urban drainage systems.

Science.gov (United States)

Artina, S; Becciu, G; Maglionico, M; Paoletti, A; Sanfilippo, U

2005-01-01

Performance indicators implemented in a decision support system (DSS) for the technical, managerial and economic evaluation of urban drainage systems (UDS), called MOMA FD, are presented. Several kinds of information are collected and processed by MOMA FD to evaluate both present situation and future scenarios of development and enhancement. Particular interest is focused on the evaluation of the environmental impact, which is considered a very relevant factor in the decision making process to identify the priorities for UDS improvements.

Dietary patterns as identified by factor analysis and colorectal cancer among middle-aged Americans.

Science.gov (United States)

Flood, Andrew; Rastogi, Tanuja; Wirfält, Elisabet; Mitrou, Panagiota N; Reedy, Jill; Subar, Amy F; Kipnis, Victor; Mouw, Traci; Hollenbeck, Albert R; Leitzmann, Michael; Schatzkin, Arthur

2008-07-01

Although diet has long been suspected as an etiological factor for colorectal cancer, studies of single foods and nutrients have provided inconsistent results. We used factor analysis methods to study associations between dietary patterns and colorectal cancer in middle-aged Americans. Diet was assessed among 293,615 men and 198,767 women in the National Institutes of Health-AARP Diet and Health Study. Principal components factor analysis identified 3 primary dietary patterns: a fruit and vegetables, a diet foods, and a red meat and potatoes pattern. State cancer registries identified 2151 incident cases of colorectal cancer in men and 959 in women between 1995 and 2000. Men with high scores on the fruit and vegetable pattern were at decreased risk [relative risk (RR) for quintile (Q) 5 versus Q1: 0.81; 95% CI: 0.70, 0.93; P for trend = 0.004]. Both men and women had a similar risk reduction with high scores on the diet food factor: men (RR: 0.82; 95% CI: 0.72, 0.94; P for trend = 0.001) and women (RR: 0.87; 95% CI: 0.71, 1.07; P for trend = 0.06). High scores on the red meat factor were associated with increased risk: men (RR: 1.17; 95% CI: 1.02, 1.35; P for trend = 0.14) and women (RR: 1.48; 95% CI: 1.20, 1.83; P for trend = 0.0002). These results suggest that dietary patterns characterized by a low frequency of meat and potato consumption and frequent consumption of fruit and vegetables and fat-reduced foods are consistent with a decreased risk of colorectal cancer.

Bronchoscopic drainage of a malignant lung abscess.

Science.gov (United States)

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

2015-04-01

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

Drainage areas of the Potomac River basin, West Virginia

Science.gov (United States)

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

1996-01-01

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

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

NARCIS (Netherlands)

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

2015-01-01

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

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

NARCIS (Netherlands)

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

2015-01-01

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

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

NARCIS (Netherlands)

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

2015-01-01

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

Treating mediastinoesophageal fistula with covered stent through nasal esophagus drainage tube

International Nuclear Information System (INIS)

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

2005-01-01

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

46 CFR 173.062 - Drainage of weather deck.

Science.gov (United States)

2010-10-01

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

British Society of Interventional Radiology: Biliary Drainage and Stenting Registry (BDSR)

International Nuclear Information System (INIS)

Uberoi, R.; Das, N.; Moss, J.; Robertson, I.

2012-01-01

Objectives: This study was designed to audit current practice in percutaneous biliary drainage and stenting in the United Kingdom. Methods: In 2006, the British Society of Interventional Radiology set up the first web-based Biliary Drainage and Stenting Registry (BDSR). This consisted of a series of tick sheets, which were completed online. Data collection included technical and clinical success of the procedures and outcomes at discharge with a separate form for any follow-up visits. Two months before data analysis, all contributors were asked via email to complete any outstanding data. This paper reports on data collected between November 1, 2006 and August 18, 2009. Results: A total of 833 procedures were recorded and were entered by 62 operators from 44 institutions within the United Kingdom. There were 455 men and 378 women with a median age of 69 (range 20–101) years.The majority of procedures were performed by a consultant. Successful drainage of the biliary tree was achieved in 98.7%. Partial or complete relief of symptoms was seen in 65% of patients. Minor complications, predominantly pain (14.3%), were seen in 26% and major complications, predominantly sepsis (3.5%), were seen in 7.9% of patients. Conclusions: These figures provide an essential benchmark for both audit and patient information. Identifying areas of good practice and those that require improvement will ultimately result in better patient care.

Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.

Science.gov (United States)

Bilimoria, Karl Y; Kmiecik, Thomas E; DaRosa, Debra A; Halverson, Amy; Eskandari, Mark K; Bell, Richard H; Soper, Nathaniel J; Wayne, Jeffrey D

2009-04-01

To design a Web-based system to track adverse and near-miss events, to establish an automated method to identify patterns of events, and to assess the adverse event reporting behavior of physicians. A Web-based system was designed to collect physician-reported adverse events including weekly Morbidity and Mortality (M&M) entries and anonymous adverse/near-miss events. An automated system was set up to help identify event patterns. Adverse event frequency was compared with hospital databases to assess reporting completeness. A metropolitan tertiary care center. Identification of adverse event patterns and completeness of reporting. From September 2005 to August 2007, 15,524 surgical patients were reported including 957 (6.2%) adverse events and 34 (0.2%) anonymous reports. The automated pattern recognition system helped identify 4 event patterns from M&M reports and 3 patterns from anonymous/near-miss reporting. After multidisciplinary meetings and expert reviews, the patterns were addressed with educational initiatives, correction of systems issues, and/or intensive quality monitoring. Only 25% of complications and 42% of inpatient deaths were reported. A total of 75.2% of adverse events resulting in permanent disability or death were attributed to the nature of the disease. Interventions to improve reporting were largely unsuccessful. We have developed a user-friendly Web-based system to track complications and identify patterns of adverse events. Underreporting of adverse events and attributing the complication to the nature of the disease represent a problem in reporting culture among surgeons at our institution. Similar systems should be used by surgery departments, particularly those affiliated with teaching hospitals, to identify quality improvement opportunities.

Remote Hemorrhage after Burr Hole Drainage of Chronic Subdural Hematoma.

Science.gov (United States)

Kim, Chang Hyeun; Song, Geun Sung; Kim, Young Ha; Kim, Young Soo; Sung, Soon Ki; Son, Dong Wuk; Lee, Sang Weon

2017-10-01

Chronic subdural hematoma (CSDH) and symptomatic subdural hygroma are common diseases that require neurosurgical management. Burr hole trephination is the most popular surgical treatment for CSDH and subdural hygroma because of a low recurrence rate and low morbidity compared with craniotomy with membranectomy, and twist-drill craniotomy. Many reports suggest that placing a catheter in the subdural space for drainage can further reduce the rate of recurrence; however, complications associated with this type of drainage include acute subdural hematoma, cortical injury, and infection. Remote hemorrhage due to overdrainage of cerebrospinal fluid (CSF) is another possible complication of burr hole trephination with catheter drainage that has rarely been reported. Here, we present 2 cases of remote hemorrhages following burr hole trephination with catheter drainage for the treatment of CSDH and symptomatic subdural hygroma. One patient developed intracerebral hemorrhage and subarachnoid hemorrhage in the contralateral hemisphere, while another patient developed remote hemorrhage 3 days after the procedure due to the sudden drainage of a large amount of subdural fluid over a 24-hour period. These findings suggest that catheter drainage should be carefully monitored to avoid overdrainage of CSF after burr hole trephination.

Metabolic Characterization of Peripheral Host Responses to Drainage-Resistant Klebsiella pneumoniae Liver Abscesses by Serum 1H-NMR Spectroscopy

Directory of Open Access Journals (Sweden)

Zhihui Chang

2018-06-01

Full Text Available Purpose: To explore the metabolic characterization of host responses to drainage-resistant Klebsiella pneumoniae liver abscesses (DRKPLAs with serum 1H-nuclear magnetic resonance (NMR spectroscopy.Materials and Methods: The hospital records of all patients with a diagnosis of a liver abscess between June 2015 and December 2016 were retrieved from an electronic hospital database. Eighty-six patients with Klebsiella pneumoniae (K. pneumoniae liver abscesses who underwent percutaneous drainage were identified. Twenty patients with confirmed DRKPLAs were studied. Moreover, we identified 20 consecutive patients with drainage-sensitive Klebsiella pneumoniae liver abscesses (DSKPLAs as controls. Serum samples from the two groups were analyzed with 1H NMR spectroscopy. Partial least squares discriminant analysis (PLS-DA was used to perform 1H NMR metabolic profiling. Metabolites were identified using the Human Metabolome Database, and pathway analysis was performed with MetaboAnalyst 3.0.Results: The PLS-DA test was able to discriminate between the two groups. Five key metabolites that contributed to their discrimination were identified. Glucose, lactate, and 3-hydroxybutyrate were found to be upregulated in DRKPLAs, whereas glutamine and alanine were downregulated compared with the DSKPLAs. Pathway analysis indicated that amino acid metabolisms were significantly different between the DRKPLAs and the DSKPLAs. The D-glutamine and D-glutamate metabolisms exhibited the greatest influences.Conclusions: The five key metabolites identified in our study may be potential targets for guiding novel therapeutics of DRKPLAs and are worthy of additional investigation.

Number and location of drainage catheter side holes: in vitro evaluation.

Science.gov (United States)

Ballard, D H; Alexander, J S; Weisman, J A; Orchard, M A; Williams, J T; D'Agostino, H B

2015-09-01

To evaluate the influence of number and location of catheter shaft side holes regarding drainage efficiency in an in vitro model. Three different drainage catheter models were constructed: open-ended model with no side holes (one catheter), unilateral side hole model (six catheters with one to six unilateral side holes), and bilateral side hole model (six catheters with one to six bilateral side holes). Catheters were inserted into a drainage output-measuring device with a constant-pressure reservoir of water. The volume of water evacuated by each of the catheters at 10-second intervals was measured. A total of five trials were performed for each catheter. Data were analysed using one-way analysis of variance. The open-ended catheter had a mean drainage volume comparable to the unilateral model catheters with three, four, and five side holes. Unilateral model catheters had significant drainage volume increases up to three side holes; unilateral model catheters with more than three side holes had no significant improvement in drainage volume. All bilateral model catheters had significantly higher mean drainage volumes than their unilateral counterparts. There was no significant difference between the mean drainage volume with one, two, or three pairs of bilateral side holes. Further, there was no drainage improvement by adding additional bilateral side holes. The present in vitro study suggests that beyond a critical side hole number threshold, adding more distal side holes does not improve catheter drainage efficiency. These results may be used to enhance catheter design towards improving their drainage efficiency. Copyright © 2015 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Identifying Memory Allocation Patterns in HEP Software

Science.gov (United States)

Kama, S.; Rauschmayr, N.

2017-10-01

HEP applications perform an excessive amount of allocations/deallocations within short time intervals which results in memory churn, poor locality and performance degradation. These issues are already known for a decade, but due to the complexity of software frameworks and billions of allocations for a single job, up until recently no efficient mechanism has been available to correlate these issues with source code lines. However, with the advent of the Big Data era, many tools and platforms are now available to do large scale memory profiling. This paper presents, a prototype program developed to track and identify each single (de-)allocation. The CERN IT Hadoop cluster is used to compute memory key metrics, like locality, variation, lifetime and density of allocations. The prototype further provides a web based visualization back-end that allows the user to explore the results generated on the Hadoop cluster. Plotting these metrics for every single allocation over time gives a new insight into application’s memory handling. For instance, it shows which algorithms cause which kind of memory allocation patterns, which function flow causes how many short-lived objects, what are the most commonly allocated sizes etc. The paper will give an insight into the prototype and will show profiling examples for the LHC reconstruction, digitization and simulation jobs.

Pancreatic tissue fluid pressure during drainage operations for chronic pancreatitis

DEFF Research Database (Denmark)

Ebbehøj, N; Borly, L; Madsen, P

1990-01-01

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

A simple field method to identify foot strike pattern during running.

Science.gov (United States)

Giandolini, Marlène; Poupard, Thibaut; Gimenez, Philippe; Horvais, Nicolas; Millet, Guillaume Y; Morin, Jean-Benoît; Samozino, Pierre

2014-05-07

Identifying foot strike patterns in running is an important issue for sport clinicians, coaches and footwear industrials. Current methods allow the monitoring of either many steps in laboratory conditions or only a few steps in the field. Because measuring running biomechanics during actual practice is critical, our purpose is to validate a method aiming at identifying foot strike patterns during continuous field measurements. Based on heel and metatarsal accelerations, this method requires two uniaxial accelerometers. The time between heel and metatarsal acceleration peaks (THM) was compared to the foot strike angle in the sagittal plane (αfoot) obtained by 2D video analysis for various conditions of speed, slope, footwear, foot strike and state of fatigue. Acceleration and kinematic measurements were performed at 1000Hz and 120Hz, respectively, during 2-min treadmill running bouts. Significant correlations were observed between THM and αfoot for 14 out of 15 conditions. The overall correlation coefficient was r=0.916 (Pstrike except for extreme forefoot strike during which the heel rarely or never strikes the ground, and for different footwears and states of fatigue. We proposed a classification based on THM: FFS<-5.49ms

Coupling between drainage and coarsening in wet foam

Indian Academy of Sciences (India)

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

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

DEFF Research Database (Denmark)

Borly, L; Stage, J G; Grønvall, S

1995-01-01

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

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

Science.gov (United States)

Dupree, Jean A.; Crowfoot, Richard M.

2012-01-01

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

Intra-biliary contrast-enhanced ultrasound for evaluating biliary obstruction during percutaneous transhepatic biliary drainage: A preliminary study

Energy Technology Data Exchange (ETDEWEB)

Xu, Er-jiao [Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, No. 600 Tianhe Road, Guangzhou 510630 (China); Zheng, Rong-qin, E-mail: zhengrq@mail.sysu.edu.cn [Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, No. 600 Tianhe Road, Guangzhou 510630 (China); Su, Zhong-zhen; Li, Kai; Ren, Jie; Guo, Huan-yi [Department of Medical Ultrasonics, The Third Affiliated Hospital of Sun Yat-sen University, No. 600 Tianhe Road, Guangzhou 510630 (China)

2012-12-15

Objectives: The aimed of this study was to investigate the value of intra-biliary contrast-enhanced ultrasound (IB-CEUS) for evaluating biliary obstruction during percutaneous transhepatic biliary drainage (PTBD). Materials and methods: 80 patients with obstructive jaundice who underwent IB-CEUS during PTBD were enrolled. The diluted ultrasound contrast agent was injected via the drainage catheter to perform IB-CEUS. Both conventional ultrasound and IB-CEUS were used to detect the tips of the drainage catheters and to compare the detection rates of the tips. The obstructive level and degree of biliary tract were evaluated by IB-CEUS. Fluoroscopic cholangiography (FC) and computer tomography cholangiography (CTC) were taken as standard reference for comparison. Results: Conventional ultrasound displayed only 43 tips (43/80, 53.8%) of the drainage catheters within the bile ducts while IB-CEUS identified all 80 tips (80/80, 100%) of the drainage catheters including 4 of them out of the bile duct (P < 0.001). IB-CEUS made correct diagnosis in 44 patients with intrahepatic and 36 patients with extrahepatic biliary obstructions. IB-CEUS accurately demonstrated complete obstruction in 56 patients and incomplete obstruction in 21 patients. There were 3 patients with incomplete obstruction misdiagnosed to be complete obstruction by IB-CEUS. The diagnostic accuracy of biliary obstruction degree was 96.3% (77/80). Conclusion: IB-CEUS could improve the visualization of the drainage catheters and evaluate the biliary obstructive level and degree during PTBD. IB-CEUS may be the potential substitute to FC in the PTBD procedure.

[Analysis of dietary pattern and diabetes mellitus influencing factors identified by classification tree model in adults of Fujian].

Science.gov (United States)

Yu, F L; Ye, Y; Yan, Y S

2017-05-10

Objective: To find out the dietary patterns and explore the relationship between environmental factors (especially dietary patterns) and diabetes mellitus in the adults of Fujian. Methods: Multi-stage sampling method were used to survey residents aged ≥18 years by questionnaire, physical examination and laboratory detection in 10 disease surveillance points in Fujian. Factor analysis was used to identify the dietary patterns, while logistic regression model was applied to analyze relationship between dietary patterns and diabetes mellitus, and classification tree model was adopted to identify the influencing factors for diabetes mellitus. Results: There were four dietary patterns in the population, including meat, plant, high-quality protein, and fried food and beverages patterns. The result of logistic analysis showed that plant pattern, which has higher factor loading of fresh fruit-vegetables and cereal-tubers, was a protective factor for non-diabetes mellitus. The risk of diabetes mellitus in the population at T2 and T3 levels of factor score were 0.727 (95 %CI: 0.561-0.943) times and 0.736 (95 %CI : 0.573-0.944) times higher, respectively, than those whose factor score was in lowest quartile. Thirteen influencing factors and eleven group at high-risk for diabetes mellitus were identified by classification tree model. The influencing factors were dyslipidemia, age, family history of diabetes, hypertension, physical activity, career, sex, sedentary time, abdominal adiposity, BMI, marital status, sleep time and high-quality protein pattern. Conclusion: There is a close association between dietary patterns and diabetes mellitus. It is necessary to promote healthy and reasonable diet, strengthen the monitoring and control of blood lipids, blood pressure and body weight, and have good lifestyle for the prevention and control of diabetes mellitus.

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

Directory of Open Access Journals (Sweden)

HAPSARI Ratih Indri

2016-07-01

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

Lymphatic drainage and sentinel node location in breast cancer

International Nuclear Information System (INIS)

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

1999-01-01

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

Internal drainage of infected pancreatic pseudocysts: safe or sorry?

NARCIS (Netherlands)

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

1999-01-01

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

Percutaneous drainage in conservative therapy for perforated gastroduodenal ulcers.

Science.gov (United States)

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

2012-01-01

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

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

Science.gov (United States)

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

2009-08-01

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

Glaucomatous patterns in Frequency Doubling Technology (FDT) perimetry data identified by unsupervised machine learning classifiers.

Science.gov (United States)

Bowd, Christopher; Weinreb, Robert N; Balasubramanian, Madhusudhanan; Lee, Intae; Jang, Giljin; Yousefi, Siamak; Zangwill, Linda M; Medeiros, Felipe A; Girkin, Christopher A; Liebmann, Jeffrey M; Goldbaum, Michael H

2014-01-01

The variational Bayesian independent component analysis-mixture model (VIM), an unsupervised machine-learning classifier, was used to automatically separate Matrix Frequency Doubling Technology (FDT) perimetry data into clusters of healthy and glaucomatous eyes, and to identify axes representing statistically independent patterns of defect in the glaucoma clusters. FDT measurements were obtained from 1,190 eyes with normal FDT results and 786 eyes with abnormal FDT results from the UCSD-based Diagnostic Innovations in Glaucoma Study (DIGS) and African Descent and Glaucoma Evaluation Study (ADAGES). For all eyes, VIM input was 52 threshold test points from the 24-2 test pattern, plus age. FDT mean deviation was -1.00 dB (S.D. = 2.80 dB) and -5.57 dB (S.D. = 5.09 dB) in FDT-normal eyes and FDT-abnormal eyes, respectively (p<0.001). VIM identified meaningful clusters of FDT data and positioned a set of statistically independent axes through the mean of each cluster. The optimal VIM model separated the FDT fields into 3 clusters. Cluster N contained primarily normal fields (1109/1190, specificity 93.1%) and clusters G1 and G2 combined, contained primarily abnormal fields (651/786, sensitivity 82.8%). For clusters G1 and G2 the optimal number of axes were 2 and 5, respectively. Patterns automatically generated along axes within the glaucoma clusters were similar to those known to be indicative of glaucoma. Fields located farther from the normal mean on each glaucoma axis showed increasing field defect severity. VIM successfully separated FDT fields from healthy and glaucoma eyes without a priori information about class membership, and identified familiar glaucomatous patterns of loss.

Geomfinder: a multi-feature identifier of similar three-dimensional protein patterns: a ligand-independent approach.

Science.gov (United States)

Núñez-Vivanco, Gabriel; Valdés-Jiménez, Alejandro; Besoaín, Felipe; Reyes-Parada, Miguel

2016-01-01

Since the structure of proteins is more conserved than the sequence, the identification of conserved three-dimensional (3D) patterns among a set of proteins, can be important for protein function prediction, protein clustering, drug discovery and the establishment of evolutionary relationships. Thus, several computational applications to identify, describe and compare 3D patterns (or motifs) have been developed. Often, these tools consider a 3D pattern as that described by the residues surrounding co-crystallized/docked ligands available from X-ray crystal structures or homology models. Nevertheless, many of the protein structures stored in public databases do not provide information about the location and characteristics of ligand binding sites and/or other important 3D patterns such as allosteric sites, enzyme-cofactor interaction motifs, etc. This makes necessary the development of new ligand-independent methods to search and compare 3D patterns in all available protein structures. Here we introduce Geomfinder, an intuitive, flexible, alignment-free and ligand-independent web server for detailed estimation of similarities between all pairs of 3D patterns detected in any two given protein structures. We used around 1100 protein structures to form pairs of proteins which were assessed with Geomfinder. In these analyses each protein was considered in only one pair (e.g. in a subset of 100 different proteins, 50 pairs of proteins can be defined). Thus: (a) Geomfinder detected identical pairs of 3D patterns in a series of monoamine oxidase-B structures, which corresponded to the effectively similar ligand binding sites at these proteins; (b) we identified structural similarities among pairs of protein structures which are targets of compounds such as acarbose, benzamidine, adenosine triphosphate and pyridoxal phosphate; these similar 3D patterns are not detected using sequence-based methods; (c) the detailed evaluation of three specific cases showed the versatility

Pancreatic tissue fluid pressure during drainage operations for chronic pancreatitis

DEFF Research Database (Denmark)

Ebbehøj, N; Borly, L; Madsen, P

1990-01-01

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

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

Science.gov (United States)

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

2017-03-01

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

Predicting success of catheter drainage in infected necrotizing pancreatitis

NARCIS (Netherlands)

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

2016-01-01

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

Predicting Success of Catheter Drainage in Infected Necrotizing Pancreatitis

NARCIS (Netherlands)

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

2016-01-01

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

Efficacy of ultrasound-guided thoracentesis catheter drainage for pleural effusion

Science.gov (United States)

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

2016-01-01

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

The relative validity and reproducibility of an iron food frequency questionnaire for identifying iron-related dietary patterns in young women.

Science.gov (United States)

Beck, Kathryn L; Kruger, Rozanne; Conlon, Cathryn A; Heath, Anne-Louise M; Coad, Jane; Matthys, Christophe; Jones, Beatrix; Stonehouse, Welma

2012-08-01

Using food frequency data to identify dietary patterns is a newly emerging approach to assessing the relationship between dietary intake and iron status. Food frequency questionnaires should be assessed for validity and reproducibility before use. We aimed to investigate the relative validity and reproducibility of an iron food frequency questionnaire (FeFFQ) specifically designed to identify iron-related dietary patterns. Participants completed the FeFFQ at baseline (FeFFQ1) and 1 month later (FeFFQ2) to assess reproducibility. A 4-day weighed diet record (4DDR) was completed between these assessments to determine validity. Foods appearing in the 4DDR were classified into the same 144 food groupings as the FeFFQ. Factor analysis was used to determine dietary patterns from FeFFQ1, FeFFQ2, and the 4DDR. A convenience sample of women (n=115) aged 18 to 44 years living in Auckland, New Zealand, during 2009. Agreement between diet pattern scores was compared using correlation coefficients, Bland-Altman analysis, cross-classification, and the weighted κ statistic. A "healthy" and a "sandwich and drinks" dietary pattern were identified from all three dietary assessments. Correlation coefficients between FeFFQ1 and the 4DDR diet pattern scores (validity) were 0.34 for the healthy, and 0.62 for the sandwich and drinks pattern (both Ps50% of participants into the correct tertile and <10% into the opposite tertile for both the healthy and sandwich and drinks diet pattern scores when compared with the 4DDR and FeFFQ2. The FeFFQ appears to be a reproducible and relatively valid method for identifying dietary patterns, and could be used to investigate the relationship between dietary patterns and iron status. Copyright © 2012 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

Relative validity and reproducibility of a food frequency questionnaire for identifying the dietary patterns of toddlers in New Zealand.

Science.gov (United States)

Mills, Virginia C; Skidmore, Paula M L; Watson, Emily O; Taylor, Rachael W; Fleming, Elizabeth A; Heath, Anne-Louise M

2015-04-01

Dietary patterns provide insight into relationships between diet and disease. Food frequency questionnaires (FFQs) can identify dietary patterns in adults, but similar analyses have not been performed for toddlers. The aim of the Eating Assessment in Toddlers study was to evaluate the relative validity and reproducibility of dietary patterns from an FFQ developed for toddlers aged 12 to 24 months. Participants were 160 toddlers aged 12 to 24 months and their primary caregiver who completed an FFQ twice, approximately 5 weeks apart (FFQ1 and FFQ2). A 5-day weighed food record was collected on nonconsecutive days between FFQ administrations. Principal component analysis identified three major dietary patterns similar across FFQ1, FFQ2, and the 5-day weighted food record. The sweet foods and fries pattern was characterized by high intakes of sweet foods, fries and roast potato and kumara (sweet potato), butter and margarines, processed meat, sweet drinks, and fruit or milk drinks. The vegetables and meat pattern was characterized by high intakes of vegetables, meat, eggs and beans, and fruit. The milk and fruit pattern was characterized by high intakes of milk and milk products and fruit, and low intakes of breastmilk and infant and follow-up formula. The FFQ (FFQ1) correctly classified 43.1% to 51.0% of toddlers into the same quartile of pattern score as the 5-day weighted food record, and Pearson correlations ranged from 0.56 to 0.68 for the three patterns. Reliability coefficients ranged from 0.71 to 0.72 for all three dietary patterns. the Eating Assessment in Toddlers study FFQ shows acceptable relative validity and high reproducibility for identifying dietary patterns in toddlers. Copyright © 2015 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

A cost comparison of traditional drainage and SUDS in Scotland.

Science.gov (United States)

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

2008-01-01

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

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

DEFF Research Database (Denmark)

Vezzaro, Luca; Grum, Morten

2012-01-01

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

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

Science.gov (United States)

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

2015-11-01

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

The strategies of local farmers' water management and the eco-hydrological effects of irrigation-drainage engineering systems in world heritage of Honghe Hani Rice Terraces

Science.gov (United States)

Gao, Xuan

2017-04-01

Terraces are built in mountainous regions to provide larger area for cultivation,in which the hydrological and geomorphological processes are impacted by local farmers' water management strategies and are modified by manmade irrigation-drainage engineering systems.The Honghe Hani Rice Terraces is a 1300a history of traditional agricultural landscape that was inscribed in the 2013 World Heritage List.The local farmers had developed systematic water management strategies and built perfect irrigation-drainage engineering systems to adapt the local rainfall pattern and rice farming activities.Through field investigation,interviews,combined with Geographic Information Systems,Remote Sensing images and Global Positioning Systems technology,the water management strategies as well as the irrigation-drainage systems and their impacts on eco-hydrological process were studied,the results indicate:Firstly,the local people created and maintained an unique woodcarving allocating management system of irrigating water over hundreds years,which aids distributing water and natural nutrition to each terrace field evenly,and regularly according to cultivation schedule.Secondly,the management of local people play an essential role in effective irrigation-drainage engineering system.A ditch leader takes charge of managing the ditch of their village,keeping ample amount of irrigation water,repairing broken parts of ditches,dealing with unfair water using issues,and so on.Meanwhile,some traditional leaders of minority also take part in.Thus, this traditional way of irrigation-drainage engineering has bringed Hani people around 1300 years of rice harvest for its eco-hydrological effects.Lastly we discuss the future of Honghe Hani Rice Terraces,the traditional cultivation pattern has been influenced by the rapid development of modern civilization,in which some related changes such as the new equipment of county roads and plastic channels and the water overusing by tourism are not totally

Deciphering Fluvial-Capture-Induced Erosional Patterns at the Continental Scale on the Iberian Peninsula

Science.gov (United States)

Anton, L.; Munoz Martin, A.; De Vicente, G.; Finnegan, N. J.

2017-12-01

The process of river incision into bedrock dictates the landscape response to changes in climate and bedrock uplift in most unglaciated settings. Hence, understanding processes of river incision into bedrock and their topographic signatures are a basic goal of geomorphology. Formerly closed drainage basins provide an exceptional setting for the quantification of long term fluvial dissection and landscape change, making them valuable natural laboratories. Internally drained basins are peculiar because they trap all the sediment eroded within the watershed; as closed systems they do not respond to the base level of the global ocean and deposition is the dominant process. In that context, the opening of an outward drainage involves a sudden lowering of the base level, which is transmitted upstream along fluvial channels in the form of erosional waves, leading to high incision and denudation rates within the intrabasinal areas. Through digital topographic analysis and paleolandscape reconstruction based on relict deposits and landscapes on the Iberian Peninsula, we quantify the volume of sediments eroded from formerly internally drained basins since capture. Mapping of fluvial dissection patterns reveals how, and how far, regional waves of incision have propagated upstream. In our analysis, erosional patterns are consistent with the progressive establishment of an outward drainage system, providing a relative capture chronology for the different studied basins. Divide migration inferred from chi maps supports the interpretations based on fluvial dissection patterns and volumes, providing clues on how landscaped changed and how drainage integration occurred within the studied watersheds. [Funded by S2013/MAE-2739 and CGL2014-59516].

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

NARCIS (Netherlands)

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

1986-01-01

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

Technical Analysis of In-Valley Drainage Management Strategies for the Western San Joaquin Valley, California

Science.gov (United States)

Presser, Theresa S.; Schwarzbach, Steven E.

2008-01-01

The western San Joaquin Valley is one of the most productive farming areas in the United States, but salt-buildup in soils and shallow groundwater aquifers threatens this area?s productivity. Elevated selenium concentrations in soils and groundwater complicate drainage management and salt disposal. In this document, we evaluate constraints on drainage management and implications of various approaches to management considered in: *the San Luis Drainage Feature Re-Evaluation (SLDFRE) Environmental Impact Statement (EIS) (about 5,000 pages of documentation, including supporting technical reports and appendices); *recent conceptual plans put forward by the San Luis Unit (SLU) contractors (i.e., the SLU Plans) (about 6 pages of documentation); *approaches recommended by the San Joaquin Valley Drainage Program (SJVDP) (1990a); and *other U.S. Geological Survey (USGS) models and analysis relevant to the western San Joaquin Valley. The alternatives developed in the SLDFRE EIS and other recently proposed drainage plans (refer to appendix A for details) differ from the strategies proposed by the San Joaquin Valley Drainage Program (1990a). The Bureau of Reclamation (USBR) in March 2007 signed a record of decision for an in-valley disposal option that would retire 194,000 acres of land, build 1,900 acres of evaporation ponds, and develop a treatment system to remove salt and selenium from drainwater. The recently proposed SLU Plans emphasize pumping drainage to the surface, storing approximately 33% in agricultural water re-use areas, treating selenium through biotechnology, enhancing the evaporation of water to concentrate salt, and identifying ultimate storage facilities for the remaining approximately 67% of waste selenium and salt. The treatment sequence of reuse, reverse osmosis, selenium bio-treatment, and enhanced solar evaporation is unprecedented and untested at the scale needed to meet plan requirements. All drainage management strategies that have been proposed

Incidence of Important Hemobilia Following Transhepatic Biliary Drainage: Left-Sided Versus Right-Sided Approaches

International Nuclear Information System (INIS)

Rivera-Sanfeliz, G. M.; Assar, O. S. A.; LaBerge, J. M.; Wilson, M. W.; Gordon, R. L.; Ring, E. J.; Kerlan, R. K. Jr.

2004-01-01

Our purpose here is to describe our experience with important hemobilia following PTBD and to determine whether left-sided percutaneous transhepatic biliary drainage (PTBD) is associated with an increased incidence of important hemobilia compared to right-sided drainages. We reviewed 346 transhepatic biliary drainages over a four-year period and identified eight patients (2.3%) with important hemobilia requiring transcatheter embolization. The charts and radiographic files of these patients were reviewed. The side of the PTBD (left versus right), and the order of the biliary ductal branch entered (first, second, or third) were recorded. Of the 346 PTBDs, 269 were right-sided and 77 were left-sided. Of the eight cases of important hemobilia requiring transcatheter embolization, four followed right-sided and four followed left-sided PTBD, corresponding to a bleeding incidence of 1.5% (4/269) for right PTBD and 5.2% (4/77) for left PTBD. The higher incidence of hemobilia associated with left-sided PTBD approached, but did not reach the threshold of statistical significance (p = 0.077). In six of the eight patients requiring transcatheter embolization, first or second order biliary branches were accessed by catheter for PTBD. All patients with left-sided bleeding had first or proximal second order branches accessed by biliary drainage catheters. In conclusion, a higher incidence of hemobilia followed left- versus right-sided PTBD in this study, but the increased incidence did not reach statistical significance

Understanding the Lung Abscess Microbiome: Outcomes of Percutaneous Lung Parenchymal Abscess Drainage with Microbiologic Correlation.

Science.gov (United States)

Duncan, Christopher; Nadolski, Gregory J; Gade, Terence; Hunt, Stephen

2017-06-01

Lung parenchymal abscesses represent an uncommon pathology with high mortality if untreated. Although most respond well to antibiotics, the optimal therapy for persistent abscesses is unknown. The purpose of this study was to review the outcomes of percutaneous lung parenchymal abscess catheter drainage after broad-spectrum antibiotic therapy failure and correlate with patient microbiologic samples. Retrospective review of patients who underwent percutaneous lung abscess drainage at a tertiary hospital system from 2005 to 2015 was performed. In total, 19 procedures were identified on 16 different patients; six females and ten males. Mean patient age was 55 years (range 22-81). Median follow-up time was 7 months (range abscess cavity in 58% (11/19) or with non-draining abscess cavities in 21% (4/19) for a clinical success rate of 79%. Blood cultures demonstrated no growth in all cases, while 21% (4/19) of sputum or bronchoscopic cultures demonstrated growth. In comparison, the specimens from initial catheter placement isolated a causative organism in 95% (18/19) of case (p lung abscess after broad-spectrum antibiotics, percutaneous abscess drainage is highly sensitive for microbiologic sampling compared to sputum/bronchoscopic or blood cultures. Additionally, percutaneous drainage of lung parenchymal abscess cavities may promote resolution of the abscess with high rates of therapeutic success and low complications.

Subglottic secretion drainage for the prevention of ventilator-associated pneumonia: a systematic review and meta-analysis.

Science.gov (United States)

Muscedere, John; Rewa, Oleksa; McKechnie, Kyle; Jiang, Xuran; Laporta, Denny; Heyland, Daren K

2011-08-01

Aspiration of secretions containing bacterial pathogens into the lower respiratory tract is the main cause of ventilator-associated pneumonia. Endotracheal tubes with subglottic secretion drainage can potentially reduce this and, therefore, the incidence of ventilator-associated pneumonia. New evidence on subglottic secretion drainage as a preventive measure for ventilator-associated pneumonia has been recently published and to consider the evidence in totality, we conducted an updated systematic review and meta-analysis. We searched computerized databases, reference lists, and personal files. We included randomized clinical trials of mechanically ventilated patients comparing standard endotracheal tubes to those with subglottic secretion drainage and reporting on the occurrence of ventilator-associated pneumonia. Studies were meta-analyzed for the primary outcome of ventilator-associated pneumonia and secondary clinical outcomes. We identified 13 randomized clinical trials that met the inclusion criteria with a total of 2442 randomized patients. Of the 13 studies, 12 reported a reduction in ventilator-associated pneumonia rates in the subglottic secretion drainage arm; in meta-analysis, the overall risk ratio for ventilator-associated pneumonia was 0.55 (95% confidence interval, 0.46-0.66; p drainage was associated with reduced intensive care unit length of stay (-1.52 days; 95% confidence interval, -2.94 to -0.11; p = .03); decreased duration of mechanically ventilated (-1.08 days; 95% confidence interval, -2.04 to -0.12; p = .03), and increased time to first episode of ventilator-associated pneumonia (2.66 days; 95% confidence interval, 1.06-4.26; p = .001). There was no effect on adverse events or on hospital or intensive care unit mortality. In those at risk for ventilator-associated pneumonia, the use of endotracheal tubes with subglottic secretion drainage is effective for the prevention of ventilator-associated pneumonia and may be associated with reduced

Predicting Success of Catheter Drainage in Infected Necrotizing Pancreatitis

NARCIS (Netherlands)

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

2016-01-01

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

Efficiency of lachrymal sac drainage in newborns with dacryocystocele

Directory of Open Access Journals (Sweden)

Sakovich V.N.

2016-12-01

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

Modeling of subglacial hydrological development following rapid supraglacial lake drainage

OpenAIRE

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

2015-01-01

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

Urban drainage models - making uncertainty analysis simple

DEFF Research Database (Denmark)

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

2012-01-01

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

Pressure Jumps during Drainage in Macroporous Soils

DEFF Research Database (Denmark)

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

2018-01-01

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

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

Science.gov (United States)

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

2009-01-01

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

Active tectonics and drainage evolution in the Tunisian Atlas driven by interaction between crustal shortening and slab pull

Science.gov (United States)

Camafort, Miquel; Booth-Rea, Guillermo; Pérez-Peña, Jose Vicente; Melki, Fetheddine; Gracia, Eulalia; Azañón, Jose Miguel; Ranero, César R.

2017-04-01

Active tectonics in North Africa is fundamentally driven by NW-SE directed slow convergence between the Nubia and Eurasia plates, leading to a region of thrust and strike-slip faulting. In this paper we analyze the morphometric characteristics of the little-studied northern Tunisia sector. The study aimed at identifying previously unknown active tectonic structures, and to further understand the mechanisms that drive the drainage evolution in this region of slow convergence. The interpretation of morphometric data was supported with a field campaign of a selection of structures. The analysis indicates that recent fluvial captures have been the main factor rejuvenating drainage catchments. The Medjerda River, which is the main catchment in northern Tunisia, has increased its drainage area during the Quaternary by capturing adjacent axial valleys to the north and south of its drainage divide. These captures are probably driven by gradual uplift of adjacent axial valleys by reverse/oblique faults or associated folds like El Alia-Teboursouk and Dkhila faults. Our fieldwork found that these faults cut Holocene colluvial fans containing seismites like clastic dikes and sand volcanoes, indicating recent seismogenic faulting. The growth and stabilization of the axial Medjerda River against the natural tendency of transverse drainages might be caused by a combination of dynamic topography and transpressive tectonics. The orientation of the large axial Medjerda drainage that runs from eastern Algeria towards northeastern Tunisia into the Gulf of Tunis, might be the associated to negative buoyancy caused by the underlying Nubia slab at its mouth, together with uplift of the Medjerda headwaters along the South Atlassic dextral transfer zone.

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

African Journals Online (AJOL)

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

Distributed and localized horizontal tectonic deformation as inferred from drainage network geometry and topology: A case study from Lebanon

Science.gov (United States)

Goren, Liran; Castelltort, Sébastien; Klinger, Yann

2016-04-01

Partitioning of horizontal deformation between localized and distributed modes in regions of oblique tectonic convergence is, in many cases, hard to quantify. As a case study, we consider the Dead Sea Fault System that changes its orientation across Lebanon and forms a restraining bend. The oblique deformation along the Lebanese restraining bend is characterized by a complex suite of tectonic structures, among which, the Yammouneh fault, is believed to be the main strand that relays deformation from the southern section to the northern section of the Dead Sea Fault System. However, uncertainties regarding slip rates along the Yammouneh fault and strain partitioning in Lebanon still prevail. In the current work we use the geometry and topology of river basins together with numerical modeling to evaluate modes and rates of the horizontal deformation in Mount Lebanon that is associated with the Arabia-Sinai relative plate motion. We focus on river basins that drain Mount Lebanon to the Mediterranean and originate close to the Yammouneh fault. We quantify a systematic counterclockwise rotation of these basins and evaluate drainage area disequilibrium using an application of the χ mapping technique, which aims at estimating the degree of geometrical and topological disequilibrium in river networks. The analysis indicates a systematic spatial pattern whereby tributaries of the rotated basins appear to experience drainage area loss or gain with respect to channel length. A kinematic model that is informed by river basin geometry reveals that since the late Miocene, about a quarter of the relative plate motion parallel to the plate boundary has been distributed along a wide band of deformation to the west of the Yammouneh fault. Taken together with previous, shorter-term estimates, the model indicates little variation of slip rate along the Yammouneh fault since the late Miocene. Kinematic model results are compatible with late Miocene paleomagnetic rotations in western

Identifying Controls on Patterns of Intermittent Streamflow in Three Streams of the American Southwest: A Geospatial Approach

Science.gov (United States)

Creed, C.; Kopp, D.; Allen, D. C.; Costigan, K. H.

2017-12-01

Intermittent rivers (IRs), or those waterways that cease to flow at some points in time and space along their course, are found in all parts of the world on all terrestrial landscapes and may even be more prevalent than their perennial, or continuously-flowing, counterparts. Despite a rising interest in these systems, landscape influences on long term wetting and drying patterns of streamflow are not well understood. Worldwide, there has been a significant decrease in the presence of perennial rivers due to climate change and subsequent increases in groundwater abstraction, and these effects are intensified in already arid regions such as the American Southwest. As a result, the spatial extent of wet and dry reaches of Arizona's Agua Fria River, Cienega Creek, and San Pedro River has been documented by citizen scientists during mid-June annually since 1999. Citizen science involves the use of trained members of the general public for data collection and analysis and has become a huge asset to the scientific community. Here, we synthesize the most current data (1999-2016) to determine what stream and valley characteristics act as drivers for patterns of surface water flow. Geologic, geomorphic, and land cover characteristics of these rivers were analyzed via aerial imagery and digital elevation models within ArcGIS 10.3 in conjunction with the Soil and Water Assessment Tool model. A set of intermittency metrics was produced from these data and further analyzed using Principle Component Analysis and Multiple Linear Regression. We found that land cover, specifically agriculture, had a significant positive correlation with reach average (i.e. the proportion of the channel wet), while geology and slope had a significant negative correlation. Channel characteristics (i.e. drainage and elevation) showed a positive correlation with reach average, although their results were not significant. This study begins to understand the drivers of intermittency patterns of desert

Results of tritium measurement in environmental samples and drainage

International Nuclear Information System (INIS)

Koike, Ryoji; Hirai, Yasuo

1983-01-01

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

Investigations of lymphatic drainage from the interstitial space

Science.gov (United States)

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

2017-11-01

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

The dangers of long-term catheter drainage.

Science.gov (United States)

Lowthian, P

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

Non-drainage scleral buckling with solid silicone elements

Directory of Open Access Journals (Sweden)

Pukhraj Rishi

2014-01-01

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

Remediation of Acid Mine Drainage with Sulfate Reducing Bacteria

Science.gov (United States)

Hauri, James F.; Schaider, Laurel A.

2009-01-01

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

Social-ecological drivers of multiple ecosystem services: what variables explain patterns of ecosystem services across the Norrström drainage basin?

Directory of Open Access Journals (Sweden)

Megan Meacham

2016-03-01

Full Text Available In human dominated landscapes many diverse, and often antagonistic, human activities are intentionally and inadvertently determining the supply of various ecosystem services. Understanding how different social and ecological factors shape the availability of ecosystem services is essential for fair and effective policy and management. In this paper, we evaluate how well alternative social-ecological models of human impact on ecosystems explain patterns of 16 ecosystem services (ES across the 62 municipalities of the Norrström drainage basin in Sweden. We test four models of human impact on ecosystems, land use, ecological modernization, ecological footprint, and location theory, and test their ability to predict both individual ES and bundles of ES. We find that different models do best to predict different types of individual ES. Land use is the best model for predicting provisioning services, standing water quality, biodiversity appreciation, and cross-country skiing, while other models work better for the remaining services. However, this range of models is not able to predict some of the cultural ES. ES bundles are predicted worse than individual ES by these models, but provide a clear picture of variation in multiple ecosystem services based on limited information. Based on our results, we offer suggestions on how social-ecological modeling and assessments of ecosystems can be further developed.

An open source high-performance solution to extract surface water drainage networks from diverse terrain conditions

Science.gov (United States)

Stanislawski, Larry V.; Survila, Kornelijus; Wendel, Jeffrey; Liu, Yan; Buttenfield, Barbara P.

2018-01-01

This paper describes a workflow for automating the extraction of elevation-derived stream lines using open source tools with parallel computing support and testing the effectiveness of procedures in various terrain conditions within the conterminous United States. Drainage networks are extracted from the US Geological Survey 1/3 arc-second 3D Elevation Program elevation data having a nominal cell size of 10 m. This research demonstrates the utility of open source tools with parallel computing support for extracting connected drainage network patterns and handling depressions in 30 subbasins distributed across humid, dry, and transitional climate regions and in terrain conditions exhibiting a range of slopes. Special attention is given to low-slope terrain, where network connectivity is preserved by generating synthetic stream channels through lake and waterbody polygons. Conflation analysis compares the extracted streams with a 1:24,000-scale National Hydrography Dataset flowline network and shows that similarities are greatest for second- and higher-order tributaries.

Sustainability Evaluation Framework of Urban Stormwater Drainage Options for Arid Environments Using Hydraulic Modeling and Multicriteria Decision-Making

Directory of Open Access Journals (Sweden)

Mohammad Alhumaid

2018-04-01

Full Text Available Stormwater drainage systems in urban areas located in arid environmental regions generally consist of storm-sewer networks and man-made ponds for the collection and disposal of runoff, respectively. Due to expansion in cities’ boundaries as a result of population growth, the capacity of existing drainage systems has been exhausted. Therefore, such systems overflow even during the smaller (than the design return period floods. At the same time, changing rainfall patterns and flash floods due to climate change are other phenomena that need appropriate attention. Consequently, the municipalities in arid environmental regions are facing challenges for effective decision-making concerning (i improvement needs for drainage networks for safe collection of stormwater, (ii selection of most feasible locations for additional ponds, and (iii evaluation of other suitable options, such as micro-tunneling. In this research, a framework has been developed to evaluate different stormwater drainage options for urban areas of arid regions. Rainfall-runoff modeling was performed with the help of Hydrological-Engineering-Centre, Hydrological-Modelling-System (HEC-HMS. To evaluate the efficacy of each option for handling a given design flood, hydraulic-modeling was performed using SewerGEMS. Meteorological and topographical data was gathered from the Municipality of Buraydah and processed to generate different inputs required for hydraulic modeling. Finally, multicriteria decision-making (MCDM was performed to evaluate all the options on the basis of four sustainability criteria, i.e., flood risk, economic viability, environmental impacts, and technical constraints. Criteria weights were established through group decision-making using the Analytic Hierarchy Process (AHP. Preference-Ranking-Organization-Method for Enrichment-Evaluation (PROMETHEE II was used for final ranking of stormwater drainage options. The proposed framework has been implemented on a case of

The use of arteriovenous anastomosis for venous drainage during Tamai zone I fingertip replantation.

Science.gov (United States)

Wu, Fei; Shen, Xiaofang; Eberlin, Kyle R; Sun, Zhibo; Zhou, Xiao; Xue, Mingyu

2018-03-27

The purpose of this study was to evaluate outcomes for patients sustaining a distal fingertip amputation who underwent replantation witharteriovenous anastomosis for venous drainage over a one year period at our institution. This technique has been utilized when insufficient veins are identified in the amputated part for standard veno-venous anastomosis. A retrospective study was performed on patients presenting from 2013 to 2014. Guillotine, crush, and avulsion/degloving injuries were included if they underwent fingertip (Tamai Zone I) replantation with arterial anastomosis for vascular inflow and arteriovenous anastomosis for venous drainage. The cases were further classified as Ishikawa subzone I and subzone II. Arteriovenous anastomosis for venous drainage during replantation was used in 45 digits in 35 patients. 41 of the 45 digits underwent successful replantation using this technique (91%). The mean active ROM in the DIP joint of the fingers and in the IP joint of thumbs was 65° and 57°, respectively. Sensory evaluation demonstrated a mean of 6.9 mm s2PD in digits where the digital nerves could be repaired. 11 replanted digits without nerve repair regained some sensory recovery with a mean of 9.6 mm s2PD. 91% of patients were highly satisfied with the appearance of the replanted digits based on Tamai criteria. Arteriovenous anastomosis for venous outflow should be considered during zone I fingertip replantation if sufficient veins are not identified in the amputated part. This technique may allow for more routine and successful distal replantation. Copyright © 2018 Elsevier Ltd. All rights reserved.

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

Science.gov (United States)

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

2014-01-01

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

Identifying Dietary Patterns Associated with Mild Cognitive Impairment in Older Korean Adults Using Reduced Rank Regression

Directory of Open Access Journals (Sweden)

Dayeon Shin

2018-01-01

Full Text Available Diet plays a crucial role in cognitive function. Few studies have examined the relationship between dietary patterns and cognitive functions of older adults in the Korean population. This study aimed to identify the effect of dietary patterns on the risk of mild cognitive impairment. A total of 239 participants, including 88 men and 151 women, aged 65 years and older were selected from health centers in the district of Seoul, Gyeonggi province, and Incheon, in Korea. Dietary patterns were determined using Reduced Rank Regression (RRR methods with responses regarding vitamin B6, vitamin C, and iron intakes, based on both a one-day 24-h recall and a food frequency questionnaire. Cognitive function was assessed using the Korean-Mini Mental State Examination (K-MMSE. Multivariable logistic regression models were used to estimate the association between dietary pattern score and the risk of mild cognitive impairment. A total of 20 (8% out of the 239 participants had mild cognitive impairment. Three dietary patterns were identified: seafood and vegetables, high meat, and bread, ham, and alcohol. Among the three dietary patterns, the older adult population who adhered to the seafood and vegetables pattern, characterized by high intake of seafood, vegetables, fruits, bread, snacks, soy products, beans, chicken, pork, ham, egg, and milk had a decreased risk of mild cognitive impairment compared to those who did not (adjusted odds ratios 0.06, 95% confidence interval 0.01–0.72 after controlling for gender, supplementation, education, history of dementia, physical activity, body mass index (BMI, and duration of sleep. The other two dietary patterns were not significantly associated with the risk of mild cognitive impairment. In conclusion, high consumption of fruits, vegetables, seafood, and protein foods was significantly associated with reduced mild cognitive impairment in older Korean adults. These results can contribute to the establishment of

Decision-Making and Sustainable Drainage: Design and Scale

Directory of Open Access Journals (Sweden)

Susanne Charlesworth

2016-08-01

Full Text Available Sustainable Drainage (SuDS improves water quality, reduces runoff water quantity, increases amenity and biodiversity benefits, and can also mitigate and adapt to climate change. However, an optimal solution has to be designed to be fit for purpose. Most research concentrates on individual devices, but the focus of this paper is on a full management train, showing the scale-related decision-making process in its design with reference to the city of Coventry, a local government authority in central England. It illustrates this with a large scale site-specific model which identifies the SuDS devices suitable for the area and also at the smaller scale, in order to achieve greenfield runoff rates. A method to create a series of maps using geographical information is shown, to indicate feasible locations for SuDS devices across the local government authority area. Applying the larger scale maps, a management train was designed for a smaller-scale regeneration site using MicroDrainage® software to control runoff at greenfield rates. The generated maps were constructed to provide initial guidance to local government on suitable SuDS at individual sites in a planning area. At all scales, the decision about which device to select was complex and influenced by a range of factors, with slightly different problems encountered. There was overall agreement between large and small scale models.

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

Science.gov (United States)

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

2017-12-01

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

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

Science.gov (United States)

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

2017-12-01

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

Study of treatment results and early complications of tube drainage versus capitonnage after the unroofing and aspiration of hydatid cysts.

Science.gov (United States)

Mehrabi Bahar, Mostafa; Jabbari Nooghabi, Azadeh; Hamid, Alireza; Amouzeshi, Ahmad; Jangjoo, Ali

2014-10-01

There is controversy concerning the management of the remaining cavity after the evacuation of a cyst in patients who have undergone surgical operation for liver hydatidosis. This study compares the results of capitonnage and tube drainage of the remaining cavity. In this retrospective study, participants were selected from two groups of patients with a liver hydatid cyst who underwent capitonnage or tube drainage from 2004 to 2012. The patients were followed for 6-24 months. The data of age, sex, involved liver lobe, size of the cyst, complications, drain duration, and hospital stay were analyzed. Participants included 155 patients consisting of 96 (61.94%) females and 59 (38.06%) males. Most cysts were in the right lobe, and the most common diameter of the cysts was greater than 10 cm. Capitonnage was performed on 90 (58.06%) patients and the tube drainage procedure was performed on the remaining 65 (41.94%) patients. In the tube drainage group and the capitonnage group, the operative times were 2.21 ± 0.65 hours and 2.53 ± 0.35 hours, respectively; the hospital stays were 5.695 ± 3.37 days and 4.43 ± 2.96 days, respectively; the drain duration was 9.2 ± 1.7 days and 2.1 ± 0.4 days, respectively; and the time to return to work was 14.7 ± 2.3 days and 8.3 ± 10.4 days, respectively. All variables were statistically significant, except for the operative time. Cavity infection and biliary fistula were identified in three patients and six patients, respectively, in the tube drainage group and identified in two patients and three patients, respectively, in the capitonnage group. This difference was not statistically significant. This study demonstrated that capitonnage versus the tube drainage method may result in a shorter hospital stay, decreased time to return to work, and low rate of morbidity and complications. Copyright © 2014. Published by Elsevier B.V.

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

Science.gov (United States)

Spencer, J.E.

2000-01-01

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

Data Mining and Pattern Recognition Models for Identifying Inherited Diseases: Challenges and Implications.

Science.gov (United States)

Iddamalgoda, Lahiru; Das, Partha S; Aponso, Achala; Sundararajan, Vijayaraghava S; Suravajhala, Prashanth; Valadi, Jayaraman K

2016-01-01

Data mining and pattern recognition methods reveal interesting findings in genetic studies, especially on how the genetic makeup is associated with inherited diseases. Although researchers have proposed various data mining models for biomedical approaches, there remains a challenge in accurately prioritizing the single nucleotide polymorphisms (SNP) associated with the disease. In this commentary, we review the state-of-art data mining and pattern recognition models for identifying inherited diseases and deliberate the need of binary classification- and scoring-based prioritization methods in determining causal variants. While we discuss the pros and cons associated with these methods known, we argue that the gene prioritization methods and the protein interaction (PPI) methods in conjunction with the K nearest neighbors' could be used in accurately categorizing the genetic factors in disease causation.

Intra-abdominal pressure alterations after large pancreatic pseudocyst transcutaneous drainage

Directory of Open Access Journals (Sweden)

Papavramidis Theodossis S

2009-06-01

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

Percutaneous drainage with ultrasound guidance in the intensive care unit

International Nuclear Information System (INIS)

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

2004-01-01

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

Comparison of performance of tile drainage routines in SWAT 2009 and 2012 in an extensively tile-drained watershed in the Midwest

Science.gov (United States)

Guo, Tian; Gitau, Margaret; Merwade, Venkatesh; Arnold, Jeffrey; Srinivasan, Raghavan; Hirschi, Michael; Engel, Bernard

2018-01-01

Subsurface tile drainage systems are widely used in agricultural watersheds in the Midwestern US and enable the Midwest area to become highly productive agricultural lands, but can also create environmental problems, for example nitrate-N contamination associated with drainage waters. The Soil and Water Assessment Tool (SWAT) has been used to model watersheds with tile drainage. SWAT2012 revisions 615 and 645 provide new tile drainage routines. However, few studies have used these revisions to study tile drainage impacts at both field and watershed scales. Moreover, SWAT2012 revision 645 improved the soil moisture based curve number calculation method, which has not been fully tested. This study used long-term (1991-2003) field site and river station data from the Little Vermilion River (LVR) watershed to evaluate performance of tile drainage routines in SWAT2009 revision 528 (the old routine) and SWAT2012 revisions 615 and 645 (the new routine). Both the old and new routines provided reasonable but unsatisfactory (NSE runoff. The calibrated monthly tile flow, surface flow, nitrate-N in tile and surface flow, sediment and annual corn and soybean yield results from SWAT with the old and new tile drainage routines were compared with observed values. Generally, the new routine provided acceptable simulated tile flow (NSE = 0.48-0.65) and nitrate in tile flow (NSE = 0.48-0.68) for field sites with random pattern tile and constant tile spacing, while the old routine simulated tile flow and nitrate in tile flow results for the field site with constant tile spacing were unacceptable (NSE = 0.00-0.32 and -0.29-0.06, respectively). The new modified curve number calculation method in revision 645 (NSE = 0.50-0.81) better simulated surface runoff than revision 615 (NSE = -0.11-0.49). The calibration provided reasonable parameter sets for the old and new routines in the LVR watershed, and the validation results showed that the new routine has the potential to accurately

Ultrasound-Guided Percutaneous Drainage of Neonatal Pyometrocolpos Under Local Anesthesia

International Nuclear Information System (INIS)

Algin, Oktay; Erdogan, Cuneyt; Kilic, Nizamettin

2011-01-01

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

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

International Nuclear Information System (INIS)

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

2007-01-01

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

CT guided transthoracic catheter drainage of intrapulmonary abscess.

Science.gov (United States)

Yunus, Mahira

2009-10-01

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

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

Directory of Open Access Journals (Sweden)

José Maria Pereira de Godoy

2017-10-01

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

[Should surgeons keep performing drainage after breast reduction?

Science.gov (United States)

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

2018-04-09

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

Water-Quality Characteristics for Sites in the Tongue, Powder, Cheyenne, and Belle Fourche River Drainage Basins, Wyoming and Montana, Water Years 2001-05, with Temporal Patterns of Selected Long-Term Water-Quality Data

Science.gov (United States)

Clark, Melanie L.; Mason, Jon P.

2007-01-01

Water-quality sampling was conducted regularly at stream sites within or near the Powder River structural basin in northeastern Wyoming and southeastern Montana during water years 2001-05 (October 1, 2000, to September 30, 2005) to characterize water quality in an area of coalbed natural gas development. The U.S. Geological Survey, in cooperation with the Wyoming Department of Environmental Quality, characterized the water quality at 22 sampling sites in the Tongue, Powder, Cheyenne, and Belle Fourche River drainage basins. Data for general hydrology, field measurements, major-ion chemistry, and selected trace elements were summarized, and specific conductance and sodium-adsorption ratios were evaluated for relations with streamflow and seasonal variability. Trend analysis for water years 1991-2005 was conducted for selected sites and constituents to assess change through time. Average annual runoff was highly variable among the stream sites. Generally, streams that have headwaters in the Bighorn Mountains had more runoff as a result of higher average annual precipitation than streams that have headwaters in the plains. The Powder River at Moorhead, Mont., had the largest average annual runoff (319,000 acre-feet) of all the sites; however, streams in the Tongue River drainage basin had the highest runoff per unit area of the four major drainage basins. Annual runoff in all major drainage basins was less than average during 2001-05 because of drought conditions. Consequently, water-quality samples collected during the study period may not represent long-term water-quality con-ditions for all sites. Water-quality characteristics were highly variable generally because of streamflow variability, geologic controls, and potential land-use effects. The range of median specific-conductance values among sites was smallest in the Tongue River drainage basin. Median values in that basin ranged from 643 microsiemens per centimeter at 25 degrees Celsius (?S/cm at 25?C) on the

Percutaneous catheter drainage of empyema and loculated pleural effusion

Energy Technology Data Exchange (ETDEWEB)

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

1988-08-15

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

Groundwater pollution by nitrates in irrigated areas with drainage

International Nuclear Information System (INIS)

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

2001-01-01

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

Gravity Drainage of Activated Sludge on Reed Beds

DEFF Research Database (Denmark)

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

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

Assessment of drainage techniques for evacuation of chronic subdural hematoma

DEFF Research Database (Denmark)

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

2018-01-01

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

Transanal Drainage of Coloanal Anastomotic Leaks

Directory of Open Access Journals (Sweden)

Bradley Sherman

2018-01-01

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

Percutaneous drainage of 100 subphrenic abscesses

International Nuclear Information System (INIS)

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

1990-01-01

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

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

Energy Technology Data Exchange (ETDEWEB)

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

2017-01-15

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

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

Science.gov (United States)

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

2014-12-15

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

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

Science.gov (United States)

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

2017-07-01

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

Patterns of lymph node metastasis identified following bilateral mandibular and medial retropharyngeal lymphadenectomy in 31 dogs with malignancies of the head.

Science.gov (United States)

Skinner, Owen T; Boston, Sarah E; Souza, Carlos H de M

2017-09-01

Variable pathways of lymphatic drainage have been described in the dog head and neck. The aim of this study was to retrospectively assess the patterns of lymph node metastasis in dogs with malignancies of the head following bilateral mandibular and medial retropharyngeal lymphadenectomy. Thirty-one dogs were included. Median age at surgery was 10 years (range: 5 months to 14 years) and mean bodyweight was 21.4 ± 11.9 kg. Lymph node metastasis occurred in 14 dogs (45%), with spread to mandibular lymph nodes in 14 dogs and medial retropharyngeal metastasis in 11 dogs. Eight of 13 dogs (62%) with lymphatic metastasis and a lateralised lesion showed contralateral dissemination, while 12/13 (92%) showed ipsilateral metastasis. Of 13 dogs with oral malignant melanoma, four showed metastasis to all four lymph centres. Contralateral metastasis may occur in dogs with malignancies of the head and should be considered during staging and management. © 2016 John Wiley & Sons Ltd.

Effects of peatland drainage management on peak flows

OpenAIRE

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

2011-01-01

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

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

Energy Technology Data Exchange (ETDEWEB)

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

1995-01-15

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

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

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Anping CHEN

2018-04-01

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

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

DEFF Research Database (Denmark)

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

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

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

Science.gov (United States)

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

2015-01-01

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

Drainage and Stratification Kinetics of Foam Films

Science.gov (United States)

Zhang, Yiran; Sharma, Vivek

2014-03-01

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

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

Science.gov (United States)

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

2018-04-01

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

A skin abscess model for teaching incision and drainage procedures.

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

2008-07-03

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

Urban drainage design and climate change adaptation decision making

Energy Technology Data Exchange (ETDEWEB)

Qianqian Zhou

2012-10-15

The emphasis of this PhD thesis is flood protection in the context of pluvial flooding by investigating new principles and approaches for assessment of urban drainage adaptation measures under climate change impacts. The thesis describes a new framework for design and analysis of urban drainage that accurately assesses hazards and vulnerabilities of urban areas and quantifies the present and future risks based on projections of climate change and city development. Furthermore, this framework can be utilized to identify cost-effective measures that can reduce the overall flood risk to an acceptable level considering both costs and benefits of adaptation. The framework is mainly based on a utilitarian approach that studies urban drainage adaptation solutions from a socio-economic point of view. The methodologies involve the state-of-the-art flood inundation modelling, risk assessment tools, socio-economic analysis tools, city planning, and uncertainty analysis. The thesis has explored several limitations of the current design practice of urban drainage. To further supplement and develop the common practice, a systemic and integrated framework is proposed by incorporating three research areas: (i) risk-based economic approaches for assessment of climate adaptation design, (ii) uncertainty analysis of climate adaptation assessment and (iii) reframing the assessment approaches by incorporating additional benefits and costs of adaptation alternatives. To strategically provide a functional performance of urban drainage systems, a risk-based economic approach is developed to take into account the impacts of all probable floods in terms of their probabilities and consequences (e.g. extents of floods, costing of damage). It is found that this approach contributes to a better understanding of the contributions of different return periods/flood events to the overall risk under both current and future climatic conditions and therefore can be used as guidance for further

Identifying shared genetic structure patterns among Pacific Northwest forest taxa: insights from use of visualization tools and computer simulations.

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Mark P Miller

2010-10-01

Full Text Available Identifying causal relationships in phylogeographic and landscape genetic investigations is notoriously difficult, but can be facilitated by use of multispecies comparisons.We used data visualizations to identify common spatial patterns within single lineages of four taxa inhabiting Pacific Northwest forests (northern spotted owl: Strix occidentalis caurina; red tree vole: Arborimus longicaudus; southern torrent salamander: Rhyacotriton variegatus; and western white pine: Pinus monticola. Visualizations suggested that, despite occupying the same geographical region and habitats, species responded differently to prevailing historical processes. S. o. caurina and P. monticola demonstrated directional patterns of spatial genetic structure where genetic distances and diversity were greater in southern versus northern locales. A. longicaudus and R. variegatus displayed opposite patterns where genetic distances were greater in northern versus southern regions. Statistical analyses of directional patterns subsequently confirmed observations from visualizations. Based upon regional climatological history, we hypothesized that observed latitudinal patterns may have been produced by range expansions. Subsequent computer simulations confirmed that directional patterns can be produced by expansion events.We discuss phylogeographic hypotheses regarding historical processes that may have produced observed patterns. Inferential methods used here may become increasingly powerful as detailed simulations of organisms and historical scenarios become plausible. We further suggest that inter-specific comparisons of historical patterns take place prior to drawing conclusions regarding effects of current anthropogenic change within landscapes.

MRI evidence for altered venous drainage and intracranial compliance in mild traumatic brain injury.

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Andreas Pomschar

Full Text Available To compare venous drainage patterns and associated intracranial hydrodynamics between subjects who experienced mild traumatic brain injury (mTBI and age- and gender-matched controls.Thirty adult subjects (15 with mTBI and 15 age- and gender-matched controls were investigated using a 3T MR scanner. Time since trauma was 0.5 to 29 years (mean 11.4 years. A 2D-time-of-flight MR-venography of the upper neck was performed to visualize the cervical venous vasculature. Cerebral venous drainage through primary and secondary channels, and intracranial compliance index and pressure were derived using cine-phase contrast imaging of the cerebral arterial inflow, venous outflow, and the craniospinal CSF flow. The intracranial compliance index is the defined as the ratio of maximal intracranial volume and pressure changes during the cardiac cycle. MR estimated ICP was then obtained through the inverse relationship between compliance and ICP.Compared to the controls, subjects with mTBI demonstrated a significantly smaller percentage of venous outflow through internal jugular veins (60.9±21% vs. controls: 76.8±10%; p = 0.01 compensated by an increased drainage through secondary veins (12.3±10.9% vs. 5.5±3.3%; p<0.03. Mean intracranial compliance index was significantly lower in the mTBI cohort (5.8±1.4 vs. controls 8.4±1.9; p<0.0007. Consequently, MR estimate of intracranial pressure was significantly higher in the mTBI cohort (12.5±2.9 mmHg vs. 8.8±2.0 mmHg; p<0.0007.mTBI is associated with increased venous drainage through secondary pathways. This reflects higher outflow impedance, which may explain the finding of reduced intracranial compliance. These results suggest that hemodynamic and hydrodynamic changes following mTBI persist even in the absence of clinical symptoms and abnormal findings in conventional MR imaging.

Hydro-geochemistry and retention of phosphorus in drainage filters and constructed wetlands

DEFF Research Database (Denmark)

Canga, Eriona; Kjærgaard, Charlotte; Iversen, Bo Vangsø

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

Data mining and Pattern Recognizing Models for Identifying Inherited Diseases: Challenges and Implications

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Lahiru Iddamalgoda

2016-08-01

Full Text Available Data mining and pattern recognition methods reveal interesting findings in genetic studies, especially on how genetic makeup is associated with inherited diseases. Although researchers have proposed various data mining models for biomedical approaches, there remains a challenge in accurately determining the responsible genetic factors for prioritizing the single nucleotide polymorphisms (SNP associated with the disease. In this commentary, we review the state-of-art data mining and pattern recognition models for identifying inherited diseases and deliberate the need of binary classification and scoring based prioritization methods for determining causal variants. While we discuss the pros and cons associated with these methods known, we argue that the gene prioritization methods and the protein interaction (PPI methods in conjunction with the K nearest neighbors’ could be used in accurately categorizing the genetic factors in disease causation

Preoperative biliary drainage for periampullary tumors causing obstructive jaundice; DRainage vs. (direct) OPeration (DROP-trial)

NARCIS (Netherlands)

N.A. van der Gaag (Niels); S.M.M. de Castro (Steve); E.A.J. Rauws (Erik); M.J. Bruno (Marco); C.H.J. van Eijck (Casper); E.J. Kuipers (Ernst); J.J.G.M. Gerritsen (Josephus); J.P. Rutten (Joost Paul); J.W. Greve; E.J. Hesselink (Eric); J.H. Klinkenbijl (Jean); I.H.M.B. Rinkes; D. Boerma (Djamila); B.A. Bonsing (Bert); C.J. van Laarhoven (Cees); F.J. Kubben; E. van der Harst (Erwin); M.N. Sosef (Meindert); K. Bosscha (Koop); I.H.J.T. de Hingh (Ignace); L. Th de Wit (Laurens); O.M. van Delden (Otto); O.R.C. Busch (Olivier); T.M. van Gulik (Thomas); P.M.M. Bossuyt (Patrick); D.J. Gouma (Dirk)

2007-01-01

textabstractBackground. Surgery in patients with obstructive jaundice caused by a periampullary (pancreas, papilla, distal bile duct) tumor is associated with a higher risk of postoperative complications than in non-jaundiced patients. Preoperative biliary drainage was introduced in an attempt to

Acidity and alkalinity in mine drainage: Theoretical considerations

Science.gov (United States)

Kirby, Carl S.; Cravotta,, Charles A.

2004-01-01

Acidity, net acidity, and net alkalinity are widely used parameters for the characterization of mine drainage, but these terms are not well defined and are often misunderstood. Incorrect interpretation of acidity, alkalinity, and derivative terms can lead to inadequate treatment design or poor regulatory decisions. We briefly explain derivations of theoretical expressions of three types of alkalinities (caustic, phenolphthalein, and total) and acidities (mineral, CO2, and total). Theoretically defined total alkalinity is closely analogous to measured alkalinity and presents few practical interpretation problems. Theoretically defined “CO2- acidity” is closely related to most standard titration methods used for mine drainage with an endpoint pH of 8.3, but it presents numerous interpretation problems, and it is unfortunately named because CO2 is intentionally driven off during titration of mine-drainage samples. Using the proton condition/massaction approach and employing graphs for visualization, we explore the concept of principal components and how to assign acidity contributions to solution species, including aqueous complexes, commonly found in mine drainage. We define a comprehensive theoretical definition of acidity in mine drainage on the basis of aqueous speciation at the sample pH and the capacity of these species to undergo hydrolysis to pH 8.3. This definition indicates the computed acidity in milligrams per liter (mg L-1 ) as CaCO3 (based on pH and analytical concentrations of dissolved FeIII , FeII , Mn, and Al in mg L-1 ): Aciditycomputed = 50. (10(3-pH) + 3.CFeIII/55.8 + 2.CFeII/55.8 + 2.CMn/54.9 + 3.CAl/27.0) underestimates contributions from HSO4 - and H+ , but overestimates the acidity due to Fe3+. These errors tend to approximately cancel each other. We demonstrate that “net alkalinity” is a valid mathematical construction based on theoretical definitions of alkalinity and acidity. We demonstrate that, for most mine-drainage solutions, a

Drainage Systems Effect on Surgical Site Infection in Children with Perforated Appendicitis

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Seref Kilic

2016-09-01

Full Text Available Aim: Effect of replacing open drainage system to closed drainage system on surgical site infection (SSI in children operated for perforated appendicitis was evaluated. Material and Method: Hospital files and computer records of perforated appendicitis cases operated in 2004-2010 were evaluated retrospectively. Open drainage systems were used for 70 in cases (group I and closed systems were used in the others (group II. Results: Eleven of SSI cases had superficial infection and 3 had the organ/space infection. SSI rate was 15.7% for group I and 7.5% for the group II. The antibiotic treatment length was 7.5 ± 3.4 days for group I and 6.4 ± 2.2 days for group II and the difference between groups was not statistically significant. Hospitalization length for group I was 8.2 ± 3.1 days and 6.8 ± 1.9 days for group II and the difference was statistically significant. Discussion: SSI is an important problem increasing morbidity and treatment costs through increasing hospitalization and antibiotic treatment length. Open drainage system used in operation in patients with perforated appendicitis leads an increased frequency of SSI when compared to the closed drainage system. Thus, closed drainage systems should be preferred in when drainage is necessary in operations for perforated appendicitis in children.

Infected Baerveldt Glaucoma Drainage Device by Aspergillus niger

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Nurul-Laila Salim

2015-01-01

Full Text Available Fungal endophthalmitis is rare but may complicate glaucoma drainage device surgery. Management is challenging as the symptoms and signs may be subtle at initial presentation and the visual prognosis is usually poor due to its resistant nature to treatment. At present there is lesser experience with intravitreal injection of voriconazole as compared to Amphotericin B. We present a case of successfully treated Aspergillus endophthalmitis following Baerveldt glaucoma drainage device implantation with intravitreal and topical voriconazole.

Technical note on drainage systems

DEFF Research Database (Denmark)

Bentzen, Thomas Ruby

This technical note will present simple but widely used methods for the design of drainage systems. The note will primarily deal with surface water (rainwater) which on a satisfactorily way should be transport into the drainage system. Traditional two types of sewer systems exist: A combined system......, where rainwater and sewage is transported in the same pipe, and a separate system where the two types of water are transported in individual pipe. This note will only focus on the separate rain/stormwater system, however, if domestic sewage should be included in the dimensioning procedure, it......’s not major different than described below - just remember to include this contribution for combined systems where the surface water (rain) and sewage are carried in the same pipes in the system and change some of the parameters for failure allowance (this will be elaborated further later on). The technical...

Acid mine drainage biogeochemistry at Iron Mountain, California

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Gihring Thomas M

2004-06-01

Full Text Available The Richmond Mine at Iron Mountain, Shasta County, California, USA provides an excellent opportunity to study the chemical and biological controls on acid mine drainage (AMD generation in situ, and to identify key factors controlling solution chemistry. Here we integrate four years of field-based geochemical data with 16S rRNA gene clone libraries and rRNA probe-based studies of microbial population structure, cultivation-based metabolic experiments, arsenopyrite surface colonization experiments, and results of intermediate sulfur species kinetics experiments to describe the Richmond Mine AMD system. Extremely acidic effluent (pH between 0.5 and 0.9 resulting from oxidation of approximately 1 × 105 to 2 × 105 moles pyrite/day contains up to 24 g/1 Fe, several g/1 Zn and hundreds of mg/l Cu. Geochemical conditions change markedly over time, and are reflected in changes in microbial populations. Molecular analyses of 232 small subunit ribosomal RNA (16S rRNA gene sequences from six sites during a sampling time when lower temperature (0.8 conditions predominated show the dominance of Fe-oxidizing prokaryotes such as Ferroplasma and Leptospirillum in the primary drainage communities. Leptospirillum group III accounts for the majority of Leptospirillum sequences, which we attribute to anomalous physical and geochemical regimes at that time. A couple of sites peripheral to the main drainage, "Red Pool" and a pyrite "Slump," were even higher in pH (>1 and the community compositions reflected this change in geochemical conditions. Several novel lineages were identified within the archaeal Thermoplasmatales order associated with the pyrite slump, and the Red Pool (pH 1.4 contained the only population of Acidithiobacillus. Relatively small populations of Sulfobacillus spp. and Acidithiobacillus caldus may metabolize elemental sulfur as an intermediate species in the oxidation of pyritic sulfide to sulfate. Experiments show that elemental sulfur which

Consistent dietary patterns identified from childhood to adulthood: the cardiovascular risk in Young Finns Study.

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Mikkilä, V; Räsänen, L; Raitakari, O T; Pietinen, P; Viikari, J

2005-06-01

Dietary patterns are useful in nutritional epidemiology, providing a comprehensive alternative to the traditional approach based on single nutrients. The Cardiovascular Risk in Young Finns Study is a prospective cohort study with a 21-year follow-up. At baseline, detailed quantitative information on subjects' food consumption was obtained using a 48 h dietary recall method (n 1768, aged 3-18 years). The interviews were repeated after 6 and 21 years (n 1200 and n 1037, respectively). We conducted a principal component analysis to identify major dietary patterns at each study point. A set of two similar patterns was recognised throughout the study. Pattern 1 was positively correlated with consumption of traditional Finnish foods, such as rye, potatoes, milk, butter, sausages and coffee, and negatively correlated with fruit, berries and dairy products other than milk. Pattern 1 type of diet was more common among male subjects, smokers and those living in rural areas. Pattern 2, predominant among female subjects, non-smokers and in urban areas, was characterised by more health-conscious food choices such as vegetables, legumes and nuts, tea, rye, cheese and other dairy products, and also by consumption of alcoholic beverages. Tracking of the pattern scores was observed, particularly among subjects who were adolescents at baseline. Of those originally belonging to the uppermost quintile of pattern 1 and 2 scores, 41 and 38 % respectively, persisted in the same quintile 21 years later. Our results suggest that food behaviour and concrete food choices are established already in childhood or adolescence and may significantly track into adulthood.

Multimorbidity Patterns in the Elderly: A New Approach of Disease Clustering Identifies Complex Interrelations between Chronic Conditions

Science.gov (United States)

Schäfer, Ingmar; von Leitner, Eike-Christin; Schön, Gerhard; Koller, Daniela; Hansen, Heike; Kolonko, Tina; Kaduszkiewicz, Hanna; Wegscheider, Karl; Glaeske, Gerd; van den Bussche, Hendrik

2010-01-01

Objective Multimorbidity is a common problem in the elderly that is significantly associated with higher mortality, increased disability and functional decline. Information about interactions of chronic diseases can help to facilitate diagnosis, amend prevention and enhance the patients' quality of life. The aim of this study was to increase the knowledge of specific processes of multimorbidity in an unselected elderly population by identifying patterns of statistically significantly associated comorbidity. Methods Multimorbidity patterns were identified by exploratory tetrachoric factor analysis based on claims data of 63,104 males and 86,176 females in the age group 65+. Analyses were based on 46 diagnosis groups incorporating all ICD-10 diagnoses of chronic diseases with a prevalence ≥ 1%. Both genders were analyzed separately. Persons were assigned to multimorbidity patterns if they had at least three diagnosis groups with a factor loading of 0.25 on the corresponding pattern. Results Three multimorbidity patterns were found: 1) cardiovascular/metabolic disorders [prevalence female: 30%; male: 39%], 2) anxiety/depression/somatoform disorders and pain [34%; 22%], and 3) neuropsychiatric disorders [6%; 0.8%]. The sampling adequacy was meritorious (Kaiser-Meyer-Olkin measure: 0.85 and 0.84, respectively) and the factors explained a large part of the variance (cumulative percent: 78% and 75%, respectively). The patterns were largely age-dependent and overlapped in a sizeable part of the population. Altogether 50% of female and 48% of male persons were assigned to at least one of the three multimorbidity patterns. Conclusion This study shows that statistically significant co-occurrence of chronic diseases can be subsumed in three prevalent multimorbidity patterns if accounting for the fact that different multimorbidity patterns share some diagnosis groups, influence each other and overlap in a large part of the population. In recognizing the full complexity of

Multimorbidity patterns in the elderly: a new approach of disease clustering identifies complex interrelations between chronic conditions.

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Ingmar Schäfer

Full Text Available OBJECTIVE: Multimorbidity is a common problem in the elderly that is significantly associated with higher mortality, increased disability and functional decline. Information about interactions of chronic diseases can help to facilitate diagnosis, amend prevention and enhance the patients' quality of life. The aim of this study was to increase the knowledge of specific processes of multimorbidity in an unselected elderly population by identifying patterns of statistically significantly associated comorbidity. METHODS: Multimorbidity patterns were identified by exploratory tetrachoric factor analysis based on claims data of 63,104 males and 86,176 females in the age group 65+. Analyses were based on 46 diagnosis groups incorporating all ICD-10 diagnoses of chronic diseases with a prevalence ≥ 1%. Both genders were analyzed separately. Persons were assigned to multimorbidity patterns if they had at least three diagnosis groups with a factor loading of 0.25 on the corresponding pattern. RESULTS: Three multimorbidity patterns were found: 1 cardiovascular/metabolic disorders [prevalence female: 30%; male: 39%], 2 anxiety/depression/somatoform disorders and pain [34%; 22%], and 3 neuropsychiatric disorders [6%; 0.8%]. The sampling adequacy was meritorious (Kaiser-Meyer-Olkin measure: 0.85 and 0.84, respectively and the factors explained a large part of the variance (cumulative percent: 78% and 75%, respectively. The patterns were largely age-dependent and overlapped in a sizeable part of the population. Altogether 50% of female and 48% of male persons were assigned to at least one of the three multimorbidity patterns. CONCLUSION: This study shows that statistically significant co-occurrence of chronic diseases can be subsumed in three prevalent multimorbidity patterns if accounting for the fact that different multimorbidity patterns share some diagnosis groups, influence each other and overlap in a large part of the population. In recognizing the

Successful percutaneous transperineal drainage of a large prostatic abscess.

Science.gov (United States)

Mason, Barry M; Hakimi, A Ari; Clerkin, Kevin J; Silva, Jose V

2010-12-01

We present a case of an 83-year-old man with septic shock secondary to an extremely large prostatic abscess. Antibiotics and transperineal percutaneous drainage with a suprapubic-type Malecot catheter successfully treated the abscess. Follow-up images reveal resolution of the abscess. Broad-spectrum antibiotics and drainage permitted a full recovery. Copyright © 2010 Elsevier Inc. All rights reserved.

Drainage filter technologies to mitigate site-specific phosphorus losses

DEFF Research Database (Denmark)

Kjærgaard, Charlotte; Heckrath, Goswin Johann; Iversen, Bo Vangsø

2014-01-01

-specific nutrient losses in drainage. The “SUPREME-TECH” project (2010-2015), funded by the Danish Strategic Research Council, aims at providing the scientific basis for developing cost-effective drainage filter technologies to retain P in agricultural drainage waters. The project studies different approaches...... high risks areas of P loss and applying site-specific measures therefore seems a more cost-efficient approach. The Danish Commission for Nature and Agriculture has now called for a shift of paradigm towards targeted mitigation and development of new, cost-efficient technologies to mitigate site......-scale surface-flow constructed wetland. In the former, various natural and industrial P filter substrates have been tested for their ability to reduce inlet P concentrations to below environmental threshold values (

The rule on granting subsidies for survey of hot drainage influences

International Nuclear Information System (INIS)

1977-01-01

The rule is based on the prescriptions of the Law Concerning Proper Budget Enforcement on Subsidies and its Enforcement Order. These rules apply to the granting subsidies provided for by the Enforcement Order for the Special Account Law for Measures Promoting Power Source Development. Terms are defined, such as nuclear power generating facilities; arrangement work for equipments for surveying hot drainage influences; work of preliminary survey of hot drainage; work of surveying hot drainage influences; establishments, etc. The Minister of International Trade and Industry delivers the subsidies for all or a part of the expenses necessary for arrangement work of equipments for surveying hot drainage influences, work of preliminary survey of hot drainage and work of surveying hot drainage influences to the prefectures where nuclear power generating facilities have been or are to be set up, or their neighboring prefectures. Terms of delivery concerning an establishment vary from two years to four years according to the kinds of such subsidies. Limits of the subsidies concerning an establishment range from 10 million yen to 2.5 million yen. The applicant prefecture files the application to the Minister of International Trade and Industry. The Minister examines such applications, and notifies his decision to the applicants. Conditions on delivery, reports submitted by receivers of the subsidies and other matters related are specified. (Okada, K.)

25 CFR 211.47 - Diligence, drainage and prevention of waste.

Science.gov (United States)

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Diligence, drainage and prevention of waste. 211.47... TRIBAL LANDS FOR MINERAL DEVELOPMENT Rents, Royalties, Cancellations and Appeals § 211.47 Diligence, drainage and prevention of waste. The lessee shall: (a) Exercise diligence in mining, drilling and...

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

Science.gov (United States)

Chen, Yanhao; Zhong, Qiu; Gong, Zhenzhao

2018-01-01

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

Transrectal Drainage of Deep Pelvic Abscesses Using a Combined Transrectal Sonographic and Fluoroscopic Guidance

International Nuclear Information System (INIS)

Jeong, Kyung Soon; Lee, Eun Jung; Ko, Ji Ho; Joh, Young Duk; Jung, Gyoo Sik

2005-01-01

To evaluate the feasibility and clinical efficacy of transrectal drainage of a deep pelvic abscess using combined transrectal sonographic and fluoroscopic guidance. From March 1995 and August 2004, 17 patients (9 men; 8 women; mean age, 39 years) suffering from pelvic pain, fever and leukocytosis were enrolled in this retrospective study. Ultrasound (US) or computed tomography (CT), which was obtained prior to the procedure, showed pelvic fluid collections that were deemed unapproachable by the percutaneous trans abdominal routes. Transrectal drainage of the pelvic abscess was performed under combined transrectal sonographic and fluoroscopic guidance. The causes of the deep pelvic abscess were postoperative complications (n=7), complications associated with radiation (n=3) and chemotherapy (n=1) as well as unknown causes (n=6). A 7.5-MHz end-firing transrectal US probe with a needle biopsy guide attachment was advanced into the rectum. Once the abscess was identified, a needle was advanced via the biopsy guide and the abscess was punctured. Under US guidance, either a 0.018'or 0.035' guide wire was passed through the needle in the abscess. Under fluoroscopic guidance, the tract was dilated to the appropriate diameter with sequential fascial dilators, and a catheter was placed over the guide wire within the abscess. Clinical success of drainage was determined by a combination closure of the cavity on the follow up images and diminished leukocytosis. The technical and clinical success rate, complications, and patient's discomfort were analyzed. Drainage was technically successful in all patients and there were no serious complications. Surgery was eventually performed in two cases due to fistular formation with the rectum and leakage of the anastomosis site. The procedure was well tolerated in all but one patient who complained of discomfort while the catheter was inserted . The catheter did not interfere with defecation and there was no incidence of catheter

Role of endoscopic biliary drainage in advanced hepatocellular carcinoma with jaundice.

Science.gov (United States)

Woo, Hyun Young; Han, Sung Yong; Heo, Jeong; Kim, Dong Uk; Baek, Dong Hoon; Yoo, So Yong; Kim, Chang Won; Kim, Suk; Song, Geun Am; Cho, Mong; Kang, Dae Hwan

2017-01-01

Patients with advanced hepatocellular carcinoma (HCC) with jaundice have an extremely poor prognosis. Although biliary drainage can resolve obstructive jaundice, signs of obstruction may not be evident. This study evaluated the role of endoscopic biliary drainage in patients with advanced HCC and obstructive jaundice. From 2010 to 2015, 74 patients underwent endoscopic biliary drainage for obstructive jaundice due to advanced HCC. Jaundice resolution was defined as complete response and total bilirubin concentration below 3 mg/dl. The technical success rate in the 74 patients was 92.1% (70/76). Of the 70 patients who underwent successful biliary drainage, 48 (68.6%) and 22 (31.4%) were Child-Pugh classes B and C, respectively, and 10 (14.3%) and 60 (85.7%) were BCLC stages B and C, respectively. Intrahepatic bile duct (IHD) dilatation was observed in 35 patients (50%). After drainage, the complete response rate was 35.7% (25/70). The mean time to resolution was 17.4 ±8.5 days. However, jaundice was re-aggravated in 74.3% (15/25) after a mean 103.5 ±96.4 days. Multivariate analysis showed that the absence of ascites, presence of IHD dilatation, normal range of prothrombin time, and lower MELD score were significantly associated with complete response. The overall survival rate was 15.7% (11/70) and the median survival time is 28 days (95% confidence interval 2.6-563 days). Complete response and HCC treatment after drainage were significantly associated with survival. Effective endoscopic biliary drainage is an important palliative treatment in patients with advanced HCC and obstructive jaundice, especially those with IHD dilatation and preserved liver function, as determined by ascites, prothrombin time, and MELD score.

Monitoring and remediation technologies of organochlorine pesticides in drainage water

Directory of Open Access Journals (Sweden)

Ismail Ahmed

2015-03-01

Full Text Available This study was carried out to monitor the presence of organochlorine in drainage water in Kafr-El-Sheikh Governorate, Egypt. Furthermore, to evaluate the efficiencies of different remediation techniques (advanced oxidation processes [AOPs] and bioremediation for removing the most frequently detected compound (lindane in drainage water. The results showed the presence of several organochlorine pesticides in all sampling sites. Lindane was detected with high frequency relative to other detected organochlorine in drainage water. Nano photo-Fenton like reagent was the most effective treatment for lindane removal in drainage water. Bioremediation of lindane by effective microorganisms (EMs removed 100% of the lindane initial concentration. There is no remaining toxicity in lindane contaminated-water after remediation on treated rats relative to control with respect to histopathological changes in liver and kidney. Advanced oxidation processes especially with nanomaterials and bioremediation using effective microorganisms can be regarded as safe and effective remediation technologies of lindane in water.

EVALUATION OF CATROSAT 1PAN STEREO AND RESOURCESAT LISS 4 MSS MERGED DATA FOR MORPHOMETRIC ANALYSIS, DELINEATION OF DRAINAGE BASINS AND CODIFICATION IN TAMIL NADU, INDIA AND AUSTRALIA

Directory of Open Access Journals (Sweden)

G. S. Mohamed

2012-07-01

Full Text Available The Topographic maps and Aerial Photographs are used for morphometric analysis of drainage basins and mapping contours with drainage. The stereo pairs of 2.5 m resolution Cartosat 1, Indian satellite 2 and merged data with 5.5 m resolution P6 Resourcesat 1 LISS 4 Indian satellite of 2001 is used to map, rills, gullies, and streams of first order to evaluate part of drainage basin of Cooum and Poondi Reservoir in Thiruvallur taluk of Tamil Nadu state. The Geo Eye latest 2011data is also used with Catrosat 1Stereo data to study present morphology of tiny micro watersheds to study the use of High resolution data for delineation and codification of watersheds. This study area is in an inter fluvial drainage basin of Cooum and Kusasthalai rivers. Kusasthalai river drains in Poondi reservoir which is about 50 km from Chennai. The excess water from Kosasthalai is also diverted through Kesawaram weir to Cooum river which passes through Thiruvallur and Chennai city before it's confluence with Bay of Benegal in the east. As Cooum basin is at higher elevation, water for irrigation is again diverted through chain of tanks to Kusasthalai river basin to drain in Poondi reservoir. Delineation of water sheds in this fluvial basin is difficult by manual survey as man made irrigation channels, natural drainage streams etc., have to be clearly identified. The streams of various orders are identified based on Strahler stream order hierarchy of tributaries, slops and contours using large scale satellite data. The micro water sheds are delinated identifying the ridges from Catrosat data for this interfluves basin which has mild slop. To illustrate this research, parts of two micro watersheds which were delineated using 1:50000 data for Tamil Nadu watershed Atlas up to 7th order streams are taken up for a detailed study using high resolution data. 19 Micro watersheds with streams up to 10th order are mapped. The capability of high resolution satellite data for digital

Preoperative biliary drainage for periampullary tumors causing obstructive jaundice; DRainage vs. (direct) OPeration (DROP-trial)

NARCIS (Netherlands)

van der Gaag, Niels A.; de Castro, Steve M. M.; Rauws, Erik A. J.; Bruno, Marco J.; van Eijck, Casper H. J.; Kuipers, Ernst J.; Gerritsen, Josephus J. G. M.; Rutten, Jan-Paul; Greve, Jan Willem; Hesselink, Erik J.; Klinkenbijl, Jean H. G.; Borel Rinkes, Inne H. M.; Boerma, Djamila; Bonsing, Bert A.; van Laarhoven, Cees J.; Kubben, Frank J. G. M.; van der Harst, Erwin; Sosef, Meindert N.; Bosscha, Koop; de Hingh, Ignace H. J. T.; Th de Wit, Laurens; van Delden, Otto M.; Busch, Olivier R. C.; van Gulik, Thomas M.; Bossuyt, Patrick M. M.; Gouma, Dirk J.

2007-01-01

BACKGROUND: Surgery in patients with obstructive jaundice caused by a periampullary (pancreas, papilla, distal bile duct) tumor is associated with a higher risk of postoperative complications than in non-jaundiced patients. Preoperative biliary drainage was introduced in an attempt to improve the

Hydrogeochemistry and microbiology of mine drainage: An update

Science.gov (United States)

Nordstrom, D. Kirk; Blowes, D.W; Ptacek, C.J.

2015-01-01

The extraction of mineral resources requires access through underground workings, or open pit operations, or through drillholes for solution mining. Additionally, mineral processing can generate large quantities of waste, including mill tailings, waste rock and refinery wastes, heap leach pads, and slag. Thus, through mining and mineral processing activities, large surface areas of sulfide minerals can be exposed to oxygen, water, and microbes, resulting in accelerated oxidation of sulfide and other minerals and the potential for the generation of low-quality drainage. The oxidation of sulfide minerals in mine wastes is accelerated by microbial catalysis of the oxidation of aqueous ferrous iron and sulfide. These reactions, particularly when combined with evaporation, can lead to extremely acidic drainage and very high concentrations of dissolved constituents. Although acid mine drainage is the most prevalent and damaging environmental concern associated with mining activities, generation of saline, basic and neutral drainage containing elevated concentrations of dissolved metals, non-metals, and metalloids has recently been recognized as a potential environmental concern. Acid neutralization reactions through the dissolution of carbonate, hydroxide, and silicate minerals and formation of secondary aluminum and ferric hydroxide phases can moderate the effects of acid generation and enhance the formation of secondary hydrated iron and aluminum minerals which may lessen the concentration of dissolved metals. Numerical models provide powerful tools for assessing impacts of these reactions on water quality.

Outcome of percutaneous continuous drainage of psoas abscess: A clinically guided technique.

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Dave, Bharat R; Kurupati, Ranganatha Babu; Shah, Dipak; Degulamadi, Devanand; Borgohain, Nitu; Krishnan, Ajay

2014-01-01

Percutaneous aspiration of abscesses under ultrasonography (USG) and computer tomography (CT) scan has been well described. With recurrence rate reported as high as 66%. The open drainage and percutaneous continuous drainage (PCD) has reduced the recurrence rate. The disadvantage of PCD under CT is radiation hazard and problems of asepsis. Hence a technique of clinically guided percutaneous continuous drainage of the psoas abscess without real-time imaging overcomes these problems. We describe clinically guided PCD of psoas abscess and its outcome. Twenty-nine patients with dorsolumbar spondylodiscitis without gross neural deficit with psoas abscess of size >5 cm were selected for PCD. It was done as a day care procedure under local anesthesia. Sequentially, aspiration followed by guide pin-guided trocar and catheter insertion was done without image guidance. Culture sensitivity was done and chemotherapy initiated and catheter kept till the drainage was drainage and ODI (Oswestry Disability Index) score at 2 years. PCD was successful in all cases. Back and radicular pain improved in all cases. Average procedure time was 24.30 minutes, drain output was 234.40 ml, and the drainage duration was 7.90 days. One patient required surgical stabilisation due to progression of the spondylodiscitis resulting in instability inspite of successful drainage of abscess. Problems with the procedure were noticed in six patients. Multiple attempts (n = 2), persistent discharge (n = 1) for 2 weeks, blocked catheter (n = 2) and catheter pull out (n = 1) occurred with no effect on the outcome. The average ODI score improved from 62.47 to 5.51 at 2 years. Clinically guided PCD is an efficient, safe and easy procedure in drainage of psoas abscess.

CT-guided percutaneous aspiration and drainage of postoperative abdominal fluid collections

International Nuclear Information System (INIS)

Marano, I.; Mainenti, P.P.; Selva, G.; Cannavale, M.; Sodano, A.

1999-01-01

The authors report the personal techniques and the results of CT-guided percutaneous drainage of postoperative abdominal fluid collections. CT-guided percutaneous drainage offers many advantages over surgery: it is less invasive, can be repeated and requires no anesthesia, there are not surgery-related risks and lower morbidity and mortality rates. Moreover, subsequent hospitalization is shorter and costs are consequently reduced. The authors conclude that CT-guided percutaneous drainage is the method of choice in the treatment of postoperative abdominal fluid collections [it

Continuous Passive Sampling of Solutes from Agricultural Subsurface Drainage Tubes

Science.gov (United States)

Lindblad Vendelboe, Anders; de Jonge, Hubert; Rozemeijer, Joachim; Wollesen de Jonge, Lis

2015-04-01

Agricultural subsurface tube drain systems play an important role in water and solute transport. One study, focusing on lowland agricultural catchments, showed that subsurface tube drainage contributed up to 80% of the annual discharge and 90% of the annual NO3 load from agricultural fields to the receiving water bodies. Knowledge of e.g. nutrient loads and drainage volumes, based on measurements and modelling, are important for adequate water quality management. Despite the importance of tube drain transport of solutes, monitoring data are scarce. This scarcity is a result of the existing monitoring techniques for flow and contaminant load from tube drains being expensive and labor-extensive. The study presented here aimed at developing a cheap, simple, and robust method to monitor solute loads from tube drains. The method is based on the newly developed Flowcap, which can be attached to existing tube drain outlets and can measure total flow, contaminant load and flow-averaged concentrations of solutes in the drainage. The Flowcap builds on the existing Sorbicell principle, a passive sampling system that measures average concentrations over longer periods of time (days to months) for various compounds. The Sorbicell consists of two compartments permeable to water. One compartment contains an adsorbent and one contains a tracer. When water passes through the Sorbicell the compound of interest is absorbed while a tracer is released. Using the tracer loss to calculate the volume of water that has passed the Sorbicell it is possible to calculate the average concentration of the compound. When mounting Sorbicells in the Flowcap, a flow-proportional part of the drainage is sampled from the main stream. To accommodate the wide range of drainage flow rates two Flowcaps with different capacities were tested in the laboratory: one with a capacity of 25 L min-1 (Q25) and one with a capacity of 256 L min-1 (Q256). In addition, Sorbicells with two different hydraulic

Feasibility study of a self-remediation system for mine drainage using its thermal energy

Science.gov (United States)

Oh, Chamteut; Cheong, Youngwook; Yim, Giljae; Ji, Sangwoo

2016-04-01

Mine drainage is defined as the water which is discharged to the ground surface through shafts and/or cracks formed by mining activities. Typically, mine drainage features high concentration of acidity and metals since it passes through the underground. Therefore, for the purpose of protecting the surrounding natural environment, mine drainage should be remediated before being discharged to nature. Mine drainage, due to its nature of being retained underground, shows constant temperature which is independent from the temperature of the atmosphere above ground. This condition allows mine drainage to become a promising renewable energy source since energy can be recovered from water with constant temperature. In this research, a self-remediation system is proposed which remediates the mine drainage through electrochemical reactions powered by the thermal energy of mine drainage. High energy efficiency is able to be achieved by shortening the distance between the energy source and consumption, and therefore, this system has a strong advantage to be actualized. A feasibility study for the system was conducted in this research where the thermal energy of mine drainage over time and depth was calculated as energy supply and the required electrical energy for remediating the mine drainage was measured as energy consumption. While the technology of converting thermal energy directly into electrical energy is yet to be developed, energy balance analysis results showed that the proposed self-remediation system is theoretically possible.

How internal drainage affects evaporation dynamics from soil surfaces ?

Science.gov (United States)

Or, D.; Lehmann, P.; Sommer, M.

2017-12-01

Following rainfall, infiltrated water may be redistributed internally to larger depths or lost to the atmosphere by evaporation (and by plant uptake from depths at longer time scales). A large fraction of evaporative losses from terrestrial surfaces occurs during stage1 evaporation during which phase change occurs at the wet surface supplied by capillary flow from the soil. Recent studies have shown existence of a soil-dependent characteristic length below which capillary continuity is disrupted and a drastic shift to slower stage 2 evaporation ensues. Internal drainage hastens this transition and affect evaporative losses. To predict the transition to stage 2 and associated evaporative losses, we developed an analytical solution for evaporation dynamics with concurrent internal drainage. Expectedly, evaporative losses are suppressed when drainage is considered to different degrees depending on soil type and wetness. We observe that high initial water content supports rapid drainage and thus promotes the sheltering of soil water below the evaporation depth. The solution and laboratory experiments confirm nonlinear relationship between initial water content and total evaporative losses. The concept contributes to establishing bounds on regional surface evaporation considering rainfall characteristics and soil types.

Assessment of the functional validity of hydrocephalus drainages by means of scintigraphy

International Nuclear Information System (INIS)

Mueller, J.; Endert, G.

1980-01-01

The assessment of the functional validity of hydrocephalus drainages is an as yet insolved problem. Several criteria and methods are discussed and a sup(99m)Tc-pertechnetate scintigraphy enabling an evaluation of the drainage function is presented. In case of a stop in the drainage system the surgeon can also obtain certain information about its localization. Out of 30 children, the method showed a sufficient cerebrospinal fluid flow in 14 and an insufficient one in 16 patients, respectively. In 8 children of the latter group the result was confirmed by following operation. 4 children have obviously no longer need of drainage after a period of 5 years or more. (author)

Automatic Generalizability Method of Urban Drainage Pipe Network Considering Multi-Features

Science.gov (United States)

Zhu, S.; Yang, Q.; Shao, J.

2018-05-01

Urban drainage systems are indispensable dataset for storm-flooding simulation. Given data availability and current computing power, the structure and complexity of urban drainage systems require to be simplify. However, till data, the simplify procedure mainly depend on manual operation that always leads to mistakes and lower work efficiency. This work referenced the classification methodology of road system, and proposed a conception of pipeline stroke. Further, length of pipeline, angle between two pipelines, the pipeline belonged road level and diameter of pipeline were chosen as the similarity criterion to generate the pipeline stroke. Finally, designed the automatic method to generalize drainage systems with the concern of multi-features. This technique can improve the efficiency and accuracy of the generalization of drainage systems. In addition, it is beneficial to the study of urban storm-floods.

Using bamboo (Bambusa vulgaris) as a field drainage material in ...

African Journals Online (AJOL)

Bamboo (Bambusa vulgaris), one of the most widespread member of its genus, was used as field drainage material in Akure, Nigeria. Pre-determined sizes of bamboo with uniform lengths and diameters were installed as sub-drains in agricultural field for drainage purposes, especially in developing countries like Nigeria.

Observing a catastrophic thermokarst lake drainage in northern Alaska

Science.gov (United States)

Jones, Benjamin M.; Arp, Christopher D.

2015-01-01

The formation and drainage of thermokarst lakes have reshaped ice-rich permafrost lowlands in the Arctic throughout the Holocene. North of Teshekpuk Lake, on the Arctic Coastal Plain of northern Alaska, thermokarst lakes presently occupy 22.5% of the landscape, and drained thermokarst lake basins occupy 61.8%. Analysis of remotely sensed imagery indicates that nine lakes (>10 ha) have drained in the 1,750 km2 study area between 1955 and 2014. The most recent lake drainage was observed using in situ data loggers providing information on the duration and magnitude of the event, and a nearby weather station provided information on the environmental conditions preceding the lake drainage. Lake 195 (L195), an 80 ha thermokarst lake with an estimated water volume of ~872,000 m3, catastrophically drained on 05 July 2014. Abundant winter snowfall and heavy early summer precipitation resulted in elevated lake water levels that likely promoted bank overtopping, thermo-erosion along an ice-wedge network, and formation of a 9 m wide, 2 m deep, and 70 m long drainage gully. The lake emptied in 36 hours, with 75% of the water volume loss occurring in the first ten hours. The observed peak discharge of the resultant flood was 25 m3/s, which is similar to that in northern Alaska river basins whose areas are more than two orders of magnitude larger. Our findings support the catastrophic nature of sudden lake drainage events and the mechanistic hypotheses developed by J. Ross Mackay.

Total anomalous systemic venous drainage in left heterotaxy syndrome.

Science.gov (United States)

Khandenahally, Ravindranath S; Deora, Surender; Math, Ravi S

2013-04-01

Total anomalous systemic venous drainage is an extremely rare congenital heart defect. In this study we describe an 11-year-old girl who presented with a history of fatigue and central cyanosis that she had had since early childhood with unremarkable precordial examination results. Investigations revealed left heterotaxy with all systemic venous drainage to the left-sided atrium with non-compaction of the left ventricle.

Use of LANDSAT imagery for soil survey

Science.gov (United States)

Dejesusparada, N. (Principal Investigator); Filho, M. V.; Higa, N. T.; Celsodecarvalho, V.

1977-01-01

The author has identified the following significant results. The MSS channels 6 and 7 were considered the best to study the relative tonality of different spectral responses of soils, while channels 5 and 7 were best for natural vegetation, drainage patterns, and land use. Frequency ratio was the recommended index for use when analyzing a drainage pattern quantitatively.

Unilobar versus bilobar biliary drainage: effect on quality of life and bilirubin level reduction

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Shivanand Gamanagatti

2016-01-01

Conclusion: Percutaneous biliary drainage provides good palliation of malignant obstructive jaundice. Partial-liver drainage achieved results as good as those after complete liver drainage with significant improvements in QOL and reduction of the bilirubin level.

Synoptic sampling and principal components analysis to identify sources of water and metals to an acid mine drainage stream.

Science.gov (United States)

Byrne, Patrick; Runkel, Robert L; Walton-Day, Katherine

2017-07-01

Combining the synoptic mass balance approach with principal components analysis (PCA) can be an effective method for discretising the chemistry of inflows and source areas in watersheds where contamination is diffuse in nature and/or complicated by groundwater interactions. This paper presents a field-scale study in which synoptic sampling and PCA are employed in a mineralized watershed (Lion Creek, Colorado, USA) under low flow conditions to (i) quantify the impacts of mining activity on stream water quality; (ii) quantify the spatial pattern of constituent loading; and (iii) identify inflow sources most responsible for observed changes in stream chemistry and constituent loading. Several of the constituents investigated (Al, Cd, Cu, Fe, Mn, Zn) fail to meet chronic aquatic life standards along most of the study reach. The spatial pattern of constituent loading suggests four primary sources of contamination under low flow conditions. Three of these sources are associated with acidic (pH mine water in the Minnesota Mine shaft located to the north-east of the river channel. In addition, water chemistry data during a rainfall-runoff event suggests the spatial pattern of constituent loading may be modified during rainfall due to dissolution of efflorescent salts or erosion of streamside tailings. These data point to the complexity of contaminant mobilisation processes and constituent loading in mining-affected watersheds but the combined synoptic sampling and PCA approach enables a conceptual model of contaminant dynamics to be developed to inform remediation.

Intramedullary Venous Drainage System for Distal Fingertip Replantations.

Science.gov (United States)

Purisa, Husrev; Ozturk, Muhammed Besir; Kabakas, Fatih; Mersa, Berkan; Ozcelik, Ismail Bulent; Sezer, Ilker

2017-08-01

The number of venous anastomoses performed during fingertip replantation is one of the most important factors affecting the success of replantation. However, because vessel diameters decrease in the zone 1 level, vessel anastomoses, especially vein anastomoses, are technically difficult and, thus, cannot be performed in most cases. Alternative venous drainage methods are crucial when any reliable vein repair is not possible. In the literature, so many artery-only replantation techniques have been defined, such as arteriovenous anastomoses, forming an arteriovenous or venocutaneous fistula, manual milking and massage, puncturing, and external bleeding via a fishmouth incision and using a medical leech. It has been shown that, in distal fingertip replantations, the medullary cavity may also be a good way for venous return. In this study, we introduce an alternative intramedullary venous drainage system we developed to facilitate venous drainage in artery-only fingertip replantations. The results of 24 fingertip replantations distal to the nail fold by using this system are presented with a literature review.

Pseudocyst in the pancreatic tail associated with chronic pancreatitis successfully treated by transpapillary cyst drainage.

Science.gov (United States)

Naitoh, Itaru; Ohara, Hirotaka; Okayama, Yasutaka; Nakazawa, Takahiro; Ando, Tomoaki; Hayashi, Kazuki; Okumura, Fumihiro; Kitajima, Yasuhiro; Ban, Tessin; Miyabe, Katsuyuki; Ueno, Koichiro; Joh, Takashi; Sano, Hitoshi

2008-09-01

We report a 50-year-old male with pseudocysts in the pancreatic tail associated with chronic pancreatitis successfully treated by transpapillary cyst drainage. He had previously undergone ultrasonography-guided percutaneous cyst drainage for a pancreatic pseudocyst in our hospital. He was readmitted due to abdominal pain and fever. Computed tomography showed recurrence of a pseudocyst in the pancreatic tail measuring 5 cm in diameter. Since conservative treatment failed, endoscopic retrograde pancreatography was performed. There was communication between the pseudocyst and the main pancreatic duct, and pancreatic duct stenosis proximal to the pseudocyst. First, transpapillary pancreatic duct drainage was performed using a plastic stent, but the pseudocyst did not decrease in size and became infected. After removal of the stent, a pigtail type nasocystic catheter was placed in the pseudocyst via the pancreatic duct. The pseudocyst infection immediately disappeared, and the pseudocyst gradually decreased and disappeared. After removal of the nasocystic catheter, no recurrence was observed. As transpapillary drainage of pancreatic pseudocyst, cyst drainage and pancreatic duct drainage have been reported. In our patient with pseudocyst in the pancreatic tail, duct drainage was ineffective and the pseudocyst was infected, whereas cyst drainage was very effective. We considered that cyst drainage by a nasocystic catheter was the first-line therapy as the transpapillary drainage of the pancreatic pseudocyst.

Pseudocyst in the Pancreatic Tail Associated with Chronic Pancreatitis Successfully Treated by Transpapillary Cyst Drainage

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Itaru Naitoh

2008-11-01

Full Text Available We report a 50-year-old male with pseudocysts in the pancreatic tail associated with chronic pancreatitis successfully treated by transpapillary cyst drainage. He had previously undergone ultrasonography-guided percutaneous cyst drainage for a pancreatic pseudocyst in our hospital. He was readmitted due to abdominal pain and fever. Computed tomography showed recurrence of a pseudocyst in the pancreatic tail measuring 5 cm in diameter. Since conservative treatment failed, endoscopic retrograde pancreatography was performed. There was communication between the pseudocyst and the main pancreatic duct, and pancreatic duct stenosis proximal to the pseudocyst. First, transpapillary pancreatic duct drainage was performed using a plastic stent, but the pseudocyst did not decrease in size and became infected. After removal of the stent, a pigtail type nasocystic catheter was placed in the pseudocyst via the pancreatic duct. The pseudocyst infection immediately disappeared, and the pseudocyst gradually decreased and disappeared. After removal of the nasocystic catheter, no recurrence was observed. As transpapillary drainage of pancreatic pseudocyst, cyst drainage and pancreatic duct drainage have been reported. In our patient with pseudocyst in the pancreatic tail, duct drainage was ineffective and the pseudocyst was infected, whereas cyst drainage was very effective. We considered that cyst drainage by a nasocystic catheter was the first-line therapy as the transpapillary drainage of the pancreatic pseudocyst.

Ureteroscopic holmium laser cutting for inadvertently sutured drainage tube (report of five cases).

Science.gov (United States)

Gao, Xu; Lu, Xin; Ren, Shancheng; Xu, Chuanliang; Sun, Yinghao

2008-07-01

The aim of this paper is to report a simple solution for inadvertently sutured drainage tube after urological surgery and discuss the different managements according to different types of this embarrassing complication. From September 2001 to January 2007, five inadvertently sutured drainage tubes were treated with ureteroscopic holmium laser cutting for the suture. All drainage tubes were removed after the operation without other complications. Holmium laser cutting via ureteroscope is a simple solution for the embarrassing problem of inadvertently sutured drainage tube. It can save the patient from undergoing another open surgery.

Outcome of ultrasound-guided small-bore catheter drainage in exudative pleural effusions.

Science.gov (United States)

Kiranantawat, Nantaka; Sungsiri, Jitpreedee; Geater, Sarayut L

2014-05-01

To evaluate the outcome and safety of ultrasound-guided percutaneous catheter drainage of exudative pleural effusion. The present study was a retrospective analysis of 412 pleural effusions from 373 patients that underwent ultrasound-guided small-bore catheter drainage in exudative pleural effusions between 2004 and 2009. The two most common causes for drainage were parapneumonic effusion or empyema (52.2%) and malignant effusion (30.3%), while the remains were trauma, iatrogenic, and others. Overall clinical success rate was 76.5%. The success rate was lower among malignant pleural effusion (p = 0.003). Causes of effusion were the only independent predictors related to success. Only five (1.2%) patients developed complication during the procedure. Seventy-five of 412 effusions (15.8%) developed complication during the period of drainage; the majority were drain blockage (9%) and accidental dislodgment (4.1%). Ultrasound-guided small-bore catheter drainage was a safe and efficient procedure for exudative pleural effusions.

Urban Floods Adaptation and Sustainable Drainage Measures

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Helena M. Ramos

2017-11-01

Full Text Available Sustainability is crucial to the urban zones, especially related to the water management, which is vulnerable to flood occurrence. This research applies the procedure contemplated by the Soil Conservation Service (SCS to determine the generated volumes when the impervious areas can exceed the drainage capacity of existing pluvial water networks. Several computational simulations were developed for the current scenario of an existing basin in Lisbon. Using CivilStorm software from Bentley Systems (Bentley EMEA, Bentley Systems International Limited, Dublin, Ireland, it enabled the evaluation of the volumes of flood peaks and the hydraulic behavior of a small hydrographic basin in the continuation of an urbanization process, considering the modification of its superficial impervious parts and the growth of the urbanized area. Several measures are suggested to solve the limited capacity of the existing drainage system. This study analyzes the efficiency of the application of constructive measures, pondering the viability of their effectiveness, individually and combined. The option that best minimizes the effects of the urbanization is the combination of different structural measures, in particular retention ponds, storage blocks, ditches and specific drainage interventions in some parts of the network.

Outcome of percutaneous continuous drainage of psoas abscess: A clinically guided technique

OpenAIRE

Bharat R Dave; Ranganatha Babu Kurupati; Dipak Shah; Devanand Degulamadi; Nitu Borgohain; Ajay Krishnan

2014-01-01

Background: Percutaneous aspiration of abscesses under ultrasonography (USG) and computer tomography (CT) scan has been well described. With recurrence rate reported as high as 66%. The open drainage and percutaneous continuous drainage (PCD) has reduced the recurrence rate. The disadvantage of PCD under CT is radiation hazard and problems of asepsis. Hence a technique of clinically guided percutaneous continuous drainage of the psoas abscess without real-time imaging overcomes these problems...

Lymphatic drainage of lung segments in the visceral pleura: a cadaveric study.

Science.gov (United States)

Fourdrain, Alex; Lafitte, Sophie; Iquille, Jules; De Dominicis, Florence; Havet, Eric; Peltier, Johann; Bagan, Patrick; Berna, Pascal

2018-01-01

Although peribronchial lymphatic drainage of the lung has been well characterized, lymphatic drainage in the visceral pleura is less well understood. The objective of the present study was to evaluate the lymphatic drainage of lung segments in the visceral pleura. Adult, European cadavers were examined. Cadavers with a history of pleural or pulmonary disease were excluded. The cadavers had been refrigerated but not embalmed. The lungs were surgically removed and re-warmed. Blue dye was injected into the subpleural area and into the first draining visceral pleural lymphatic vessel of each lung segment. Twenty-one cadavers (7 males and 14 females; mean age 80.9 years) were dissected an average of 9.8 day postmortem. A total of 380 dye injections (in 95 lobes) were performed. Lymphatic drainage of the visceral pleura followed a segmental pathway in 44.2% of the injections (n = 168) and an intersegmental pathway in 55.8% (n = 212). Drainage was found to be both intersegmental and interlobar in 2.6% of the injections (n = 10). Lymphatic drainage in the visceral pleura followed an intersegmental pathway in 22.8% (n = 13) of right upper lobe injections, 57.9% (n = 22) of right middle lobe injections, 83.3% (n = 75) of right lower lobe injections, 21% (n = 21) of left upper lobe injections, and 85.3% (n = 81) of left lower lobe injections. In the lung, lymphatic drainage in the visceral pleura appears to be more intersegmental than the peribronchial pathway is-especially in the lower lobes. The involvement of intersegmental lymphatic drainage in the visceral pleura should now be evaluated during pulmonary resections (and especially sub-lobar resections) for lung cancer.

Tile drainage phosphorus loss with long-term consistent cropping systems and fertilization.

Science.gov (United States)

Zhang, T Q; Tan, C S; Zheng, Z M; Drury, C F

2015-03-01

Phosphorus (P) loss in tile drainage water may vary with agricultural practices, and the impacts are often hard to detect with short-term studies. We evaluated the effects of long-term (≥43 yr) cropping systems (continuous corn [CC], corn-oats-alfalfa-alfalfa rotation [CR], and continuous grass [CS]) and fertilization (fertilization [F] vs. no-fertilization [NF]) on P loss in tile drainage water from a clay loam soil over a 4-yr period. Compared with NF, long-term fertilization increased concentrations and losses of dissolved reactive P (DRP), dissolved unreactive P (DURP), and total P (TP) in tile drainage water, with the increments following the order: CS > CR > CC. Dissolved P (dissolved reactive P [DRP] and dissolved unreactive P [DURP]) was the dominant P form in drainage outflow, accounting for 72% of TP loss under F-CS, whereas particulate P (PP) was the major form of TP loss under F-CC (72%), F-CR (62%), NF-CS (66%), NF-CC (74%), and NF-CR (72%). Dissolved unreactive P played nearly equal roles as DRP in P losses in tile drainage water. Stepwise regression analysis showed that the concentration of P (DRP, DURP, and PP) in tile drainage flow, rather than event flow volume, was the most important factor contributing to P loss in tile drainage water, although event flow volume was more important in PP loss than in dissolved P loss. Continuous grass significantly increased P loss by increasing P concentration and flow volume of tile drainage water, especially under the fertilization treatment. Long-term grasslands may become a significant P source in tile-drained systems when they receive regular P addition. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Outcome of percutaneous continuous drainage of psoas abscess: A clinically guided technique

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Bharat R Dave

2014-01-01

Full Text Available Background: Percutaneous aspiration of abscesses under ultrasonography (USG and computer tomography (CT scan has been well described. With recurrence rate reported as high as 66%. The open drainage and percutaneous continuous drainage (PCD has reduced the recurrence rate. The disadvantage of PCD under CT is radiation hazard and problems of asepsis. Hence a technique of clinically guided percutaneous continuous drainage of the psoas abscess without real-time imaging overcomes these problems. We describe clinically guided PCD of psoas abscess and its outcome. Materials and Methods: Twenty-nine patients with dorsolumbar spondylodiscitis without gross neural deficit with psoas abscess of size >5 cm were selected for PCD. It was done as a day care procedure under local anesthesia. Sequentially, aspiration followed by guide pin-guided trocar and catheter insertion was done without image guidance. Culture sensitivity was done and chemotherapy initiated and catheter kept till the drainage was <10 ml for 48 hours. Outcome assessment was done with relief of pain, successful abscess drainage and ODI (Oswestry Disability Index score at 2 years. Results: PCD was successful in all cases. Back and radicular pain improved in all cases. Average procedure time was 24.30 minutes, drain output was 234.40 ml, and the drainage duration was 7.90 days. One patient required surgical stabilisation due to progression of the spondylodiscitis resulting in instability inspite of successful drainage of abscess. Problems with the procedure were noticed in six patients. Multiple attempts ( n = 2, persistent discharge ( n = 1 for 2 weeks, blocked catheter ( n = 2 and catheter pull out ( n = 1 occurred with no effect on the outcome. The average ODI score improved from 62.47 to 5.51 at 2 years. Conclusions: Clinically guided PCD is an efficient, safe and easy procedure in drainage of psoas abscess.

Detecting Subsurface Agricultural Tile Drainage using GIS and Remote Sensing Technique

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Budhathoki, M.; Gokkaya, K.; Tank, J. L.; Christopher, S. F.; Hanrahan, B.

2015-12-01

Subsurface tile drainage is a common practice in many of the row crop dominated agricultural lands in the Upper Midwest, which increases yield by making the soil more productive. It is reported that nearly half of all cropland in Indiana benefits from some sort of artificial drainage. However, subsurface tile has a significant negative impact on surface water quality by providing a fast means of transport for nutrients from fertilizers. Therefore, generating spatial data of tile drainage in the field is important and useful for agricultural landscape and hydrological studies. Subsurface tile drains in Indiana's croplands are not widely mapped. In this study, we will delineate subsurface tile drainage in agricultural land in Shatto Ditch watershed, located in Kosciusko County, Indiana. We will use geo-spatial methodology, which was purposed by earlier researchers to detect tile drainage. We will use aerial color-infrared and satellite imagery along with Light Detection and Ranging (LiDAR) data. In order to map tile lines with possible accuracy, we will use GIS-based analysis in combination with remotely sensed data. This research will be comprised of three stages: 1) masking out the potential drainage area using a decision tree rule based on land cover information, soil drainage category, surface slope, and satellite image differencing technique, 2) delineate tile lines using image processing techniques, and 3) check the accuracy of mapped tile lines with ground control points. To our knowledge, this study will be the first to check the accuracy of mapping with ground truth data. Based on the accuracy of results, we will extend the methodology to greater spatial scales. The results are expected to contribute to better characterizing and controlling water pollution sources in Indiana, which is a major environmental problem.

Adaptation Options for Land Drainage Systems Towards Sustainable Agriculture and Environment: A Czech Perspective

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Kulhavý, Zbyněk; Fučík, Petr

2015-04-01

In this paper, issues of agricultural drainage systems are introduced and discussed from the views of their former, current and future roles and functioning in the Czech Republic (CR). A methodologically disparate survey was done on thirty-nine model localities in CR with different intensity and state of land drainage systems, aimed at description of commonly occurred problems and possible adaptations of agricultural drainage as perceived by farmers, land owners, landscape managers or by protective water management. The survey was focused on technical state of drainage, fragmentation of land ownership within drained areas as well as on possible conflicts between agricultural and environmental interests in a landscape. Achieved results confirmed that there is obviously an increasing need to reassess some functions of prevailingly single-purpose agricultural drainage systems. Drainage intensity and detected unfavourable technical state of drainage systems as well as the risks connected with the anticipated climate change from the view of possible water scarcity claims for a complex solution. An array of adaptation options for agricultural drainage systems is presented, aiming at enhancement of water retention time and improvement of water quality. It encompasses additional flow-controlling measures on tiles or ditches, or facilities for making selected parts of a drainage system inoperable in order to retain or slow down the drainage runoff, to establish water accumulation zones and to enhance water self-cleaning processes. However, it was revealed that the question of landowner parcels fragmentation on drained land in CR would dramatically complicate design and realization of these measures. Presented solutions and findings are propounded with a respect to contemporary and future state policies and international strategies for sustainable agriculture, water management and environment.

The effect of mechanical lymph drainage accompanied with heat on lymphedema.

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Mariana, Valente Flávia; de Fátima, Guerreiro Godoy Maria; Maria, Pereira de Godoy José

2011-11-01

Thermotherapy has been indicated by some researchers as a treatment for lymphedema. A study comparing temperatures demonstrated that a temperature of 40°C significantly increased the transportation of lymph compared to other temperatures assessed. The aim of this study was to evaluate the possible benefits of mechanical lymph drainage accompanied with heat in the treatment of lymphedema of the lower limbs. In a cross-over randomized study, the effect of heat on lymph drainage was evaluated in the treatment of leg lymphedema. The study, performed in the Godoy Clinic in São Jose do Rio Preto, Brazil, involved seven patients (two males and five females) with leg lymphedema. The patients' ages ranged from 18 to 79 years old with a mean of 48.5 years. The subjects underwent a total of 38 assessments including 19 evaluations of mechanical lymph drainage alone and 19 combined with thermotherapy. Heat was applied using an electric blanket which was wrapped around the legs of the patients. The volume of legs was evaluated by water plethysmography before and after treatment sessions. The paired t-test was used for statistical analysis with an alpha error of p = 0.05 being considered as acceptable. No statistically significant differences were evidenced between mechanical lymph drainage alone and lymph drainage combined with thermotherapy. There was no obvious synergic effect in the immediate post-treatment period when heat was combined with mechanical lymph drainage in the treatment of lymphedema.

Estimation of Tile Drainage Contribution to Streamflow and Nutrient Export Loads

Science.gov (United States)

Schilling, K. E.; Arenas Amado, A.; Jones, C. S.; Weber, L. J.

2015-12-01

Subsurface drainage is a very common practice in the agricultural U.S. Midwest. It is typically installed in poorly drained soils in order to enhance crop yields. The presence of tile drains creates a route for agrichemicals to travel and therefore negatively impacts stream water quality. This study estimated through end-member analyses the contributions of tile drainage, groundwater, and surface runoff to streamflow at the watershed scale based on continuously monitored data. Especial attention was devoted to quantifying tile drainage impact on watershed streamflow and nutrient export loads. Data analyzed includes streamflow, rainfall, soil moisture, shallow groundwater levels, in-stream nitrate+nitrite concentrations and specific conductance. Data were collected at a HUC12 watershed located in Northeast Iowa, USA. Approximately 60% of the total watershed area is devoted to agricultural activities and forest and grassland are the other two predominant land uses. Results show that approximately 20% of total annual streamflow comes from tile drainage and during rainfall events tile drainage contribution can go up to 30%. Furthermore, for most of the analyzed rainfall events groundwater responded faster and in a more dramatic fashion than tile drainage. The State of Iowa is currently carrying out a plan to reduce nutrients in Iowa waters and the Gulf of Mexico (Iowa Nutrient Reduction Strategy). The outcome of this investigation has the potential to assist in Best Management Practice (BMP) scenario selection and therefore help the state achieve water quality goals.

Ultrasound-guided endocavitary drainage of pelvic abscesses: Technique, results and complications

International Nuclear Information System (INIS)

Ryan, R.S.; McGrath, F P.; Haslam, P.J.; Varghese, J.C.; Lee, M.J.

2003-01-01

AIM: To evaluate the experience in our institution with ultrasound-guided transrectal and transvaginal (endocavitary) drainage of pelvic abscesses. MATERIALS AND METHODS: Eighteen patients (four male, 14 female; mean age 55 years, range 30-78 years) presenting with pelvic abscesses were referred to our institution for therapeutic drainage over a 4 year period. Patients received broad-spectrum antibiotics prior to drainage, which was performed by either the transvaginal or transrectal route under ultrasound guidance. Patients were given sedo-analgesia in the form of midazolam and fentanyl and local anaesthesia was also employed. Eight French catheters were inserted into the abscess cavities, and patients were subsequently monitored on a daily basis by a member of the interventional radiology team until such time as it was deemed appropriate to remove the catheter. RESULTS: Eighteen catheters were placed in 17 patients, and transvaginal aspiration alone was performed in one patient. Drainage was successful in 16 of 17 patients, but a transgluteal approach was ultimately required in the remaining patient to enable passage of a larger catheter into an infected haematoma. The mean duration of drainage was 5 days, mean time to defervesce 2 days. Spontaneous catheter dislodgement occurred in four patients associated with straining, but this did not have any adverse effect in three of the four patients. CONCLUSION: Endocavitary drainage is an effective method of treatment for pelvic abscesses. Spontaneous catheter dislodgement does not affect patient outcome

Ultrasound-guided endocavitary drainage of pelvic abscesses: Technique, results and complications

Energy Technology Data Exchange (ETDEWEB)

Ryan, R.S.; McGrath, F P.; Haslam, P.J.; Varghese, J.C.; Lee, M.J

2003-01-01

AIM: To evaluate the experience in our institution with ultrasound-guided transrectal and transvaginal (endocavitary) drainage of pelvic abscesses. MATERIALS AND METHODS: Eighteen patients (four male, 14 female; mean age 55 years, range 30-78 years) presenting with pelvic abscesses were referred to our institution for therapeutic drainage over a 4 year period. Patients received broad-spectrum antibiotics prior to drainage, which was performed by either the transvaginal or transrectal route under ultrasound guidance. Patients were given sedo-analgesia in the form of midazolam and fentanyl and local anaesthesia was also employed. Eight French catheters were inserted into the abscess cavities, and patients were subsequently monitored on a daily basis by a member of the interventional radiology team until such time as it was deemed appropriate to remove the catheter. RESULTS: Eighteen catheters were placed in 17 patients, and transvaginal aspiration alone was performed in one patient. Drainage was successful in 16 of 17 patients, but a transgluteal approach was ultimately required in the remaining patient to enable passage of a larger catheter into an infected haematoma. The mean duration of drainage was 5 days, mean time to defervesce 2 days. Spontaneous catheter dislodgement occurred in four patients associated with straining, but this did not have any adverse effect in three of the four patients. CONCLUSION: Endocavitary drainage is an effective method of treatment for pelvic abscesses. Spontaneous catheter dislodgement does not affect patient outcome.

Flow and geochemical modeling of drainage from Tomitaka mine, Miyazaki, Japan.

Science.gov (United States)

Yamaguchi, Kohei; Tomiyama, Shingo; Metugi, Hideya; Ii, Hiroyuki; Ueda, Akira

2015-10-01

The chemistry and flow of water in the abandoned Tomitaka mine of Miyazaki, western Japan were investigated. This mine is located in a non-ferrous metal deposit and acid mine drainage issues from it. The study was undertaken to estimate the quantities of mine drainage that needs to be treated in order to avoid acidification of local rivers, taking into account seasonal variations in rainfall. Numerical models aimed to reproduce observed water levels and fluxes and chemical variations of groundwater and mine drainage. Rock-water interactions that may explain the observed variations in water chemistry are proposed. The results show that: (1) rain water infiltrates into the deeper bedrock through a highly permeable zone formed largely by stopes that are partially filled with spoil from excavations (ore minerals and host rocks); (2) the water becomes acidic (pH from 3 to 4) as dissolved oxygen oxidizes pyrite; (3) along the flow path through the rocks, the redox potential of the water becomes reducing, such that pyrite becomes stable and pH of the mine drainage becomes neutral; and (4) upon leaving the mine, the drainage becomes acidic again due to oxidation of pyrite in the rocks. The present numerical model with considering of the geochemical characteristics can simulate the main variations in groundwater flow and water levels in and around the Tomitaka mine, and apply to the future treatment of the mine drainage. Copyright © 2015. Published by Elsevier B.V.

Diagnosis and treatment of arteriobiliary hemorrhage occurring after percutaneous biliary drainage

International Nuclear Information System (INIS)

Eversman, W.G.; Welch, T.J.; May, G.R.; Bender, C.E.; Williams, H.J. Jr.

1986-01-01

Hemorrhage due to arteriobiliary communication occurred in 15 of 500 patients after percutaneous biliary drainage (PBD). Hemorrhage produced a distinct clinical syndrome and occurred sooner after PBD in patients with benign disease (eight patients, mean of 1.5 weeks) than in patients with neoplastic obstruction (seven patients, mean of 11.5 weeks). In eight patients the author identified the bleeding vessel by contrast agent injection into the transhepatic tract, and in four we were able to embolize this vessel via the transhepatic tract. Eleven patients underwent hepatic arteriography, which identified contrast agent extravasation or arterial abnormality. Angiographic embolization was possible in eight of the 11. Embolization via the transhepatic tube tract should be attempted first, with angiographic embolization as a backup

Urban drainage models simplifying uncertainty analysis for practitioners

DEFF Research Database (Denmark)

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

2013-01-01

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

Outline of laundry drainage treatment system combining catalytic oxidation and filtration

International Nuclear Information System (INIS)

Kanda, Masanori; Matsuzaki, Susumu; Kikkawa, Ryouzo; Masuda, Kazumichi; Takeuchi, Kimihito; Urabe, Osamu

2011-01-01

We plan to use a laundry drainage treatment system that combines a device using a manganese dioxide-based catalyst for ozone oxidation with a ceramic microfiltration membrane (MF membrane). The high oxidizing power of ozone is enhanced by the catalyst, and the impurities (such as chemical oxygen demand (COD) causative substances and n-hexane extracts) in the drainage are sufficiently degraded to allow their releases to the environment. Ionic nuclides are also oxidized and in solubilized so that they can be separated with the MF membrane having fine pores of about 0.1 μm. The performance of the treatment system in removing radioactivity, COD causative substances, and n-hexane extracts was confirmed by hot demonstration tests using actual laundry drainage. Cold tests were also conducted using simulated laundry drainage to confirm the system operation conditions and the long-term stability of drainage treatment capability. While ozone has a high oxidizing power, it decays spontaneously in liquid within a short period of time. Therefore, the behavior of ozone under the operating conditions and its effect on the corrosion of structural materials were investigated to maintain a sufficient time for decay and select appropriate structural materials. (author)

Basics of Postural Drainage and Percussion

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... Active Cycle of Breathing Technique Airway Clearance Techniques Autogenic Drainage Basics of Lung Care Chest Physical Therapy ... care. Clinician Awards Clinician Career Development Awards Clinician Training Awards Mutation Analysis Program Network News Network News: ...

AUTOMATIC GENERALIZABILITY METHOD OF URBAN DRAINAGE PIPE NETWORK CONSIDERING MULTI-FEATURES

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S. Zhu

2018-05-01

Full Text Available Urban drainage systems are indispensable dataset for storm-flooding simulation. Given data availability and current computing power, the structure and complexity of urban drainage systems require to be simplify. However, till data, the simplify procedure mainly depend on manual operation that always leads to mistakes and lower work efficiency. This work referenced the classification methodology of road system, and proposed a conception of pipeline stroke. Further, length of pipeline, angle between two pipelines, the pipeline belonged road level and diameter of pipeline were chosen as the similarity criterion to generate the pipeline stroke. Finally, designed the automatic method to generalize drainage systems with the concern of multi-features. This technique can improve the efficiency and accuracy of the generalization of drainage systems. In addition, it is beneficial to the study of urban storm-floods.

Effect of subsurface drainage on salt movement and distribution in salt-affected soils

International Nuclear Information System (INIS)

Moustafa, A.T.A.; Seliem, M.H.; Bakhati, H.K.

1983-01-01

This study was carried out to evaluate different subsurface drainage treatments (combinations of depth and spacing) on salt movement and distribution. The soil is clay and the drainage was designed according to the steady-state condition (Hooghoudt's equation). Three spacings and two depths resulted in six drainage treatments. Soil samples represented the initial state of every treatment and after 14 months they (cotton followed by wheat) were analysed. The data show that drain depth has its effective role in salt leaching, while drain spacing has its effect on salt distribution in the soil profile. The leaching rate of each specific ion is also affected by the different drainage treatments. In general, the salt movement and distribution should be taken into consideration when evaluating the design of drainage systems. (author)

Aspects to consider for optimizing a substrate culture system with drainage recycling

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William J Cuervo B

2012-09-01

Full Text Available In Colombia, the soilless system has been implemented in the cut flowers industry, among others, due to soil limitations. The use of substrates as growing media implies to drain around 30% of the applied fertigation solution to avoid the rhizosphere salinization. The drainage solution is spilled out to the soil producing environmental hazards and it might reach the water table; although the drainage solution could be recycled or reuse, depending upon their chemical characteristics. The nutrient uptake by the plants depends upon their phenological stage and the nutrient concentration in the solution; which could lead to ion depletion or accumulation. In general, monovalent ions are withdrawn faster than divalent ones. An efficient drainage treatment involves the automation of sensing and evaluation of ion concentration and recycling the drainage solution. The system should take into account the chemical aspects in the recycled and the new solutions in order to predict the life time of the drainage solution from their EC and pH. The system must be integrated with disinfection methods to avoid the spreading of plant pathogens. This review point out the physiological and technical bases that should be taking into account in a drainage recycling system in established crops under substrates, as a tool to take decisions more efficiently.