21 CFR 880.5550 - Alternating pressure air flotation mattress.

Science.gov (United States)

2010-04-01

... body pressure. The device is used to prevent and treat decubitus ulcers (bed sores). (b) Classification... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Alternating pressure air flotation mattress. 880... Personal Use Therapeutic Devices § 880.5550 Alternating pressure air flotation mattress. (a) Identification...

Morphoquantitative description of bovine digital cushion

Directory of Open Access Journals (Sweden)

Laura C. Borges

2015-07-01

Full Text Available Abstract The digital cushion is characterized as a modified subcutaneous tissue that absorbs the shock during gait, assists venous return of the hoof and supports a considerable part of body weight. Digital cushions have particular importance in the pathogenesis of the hoof, since they need to properly work in order to prevent compression and traumas in soft tissues. This study aimed to measure and determine how is the arrangement of these structures, and for this it was established the proportions of connective, adipose, vascular tissues and collagen fibers and collagen types found in palmar and plantar digital cushion of bovine using fore and hindlimbs of twelve adult zebu cattle of both sexes, 11 male and one female, with 269kg average carcass weight and without limb disorders. Fragments of cushions were subjected to conventional histology, cut to a thickness of 4µm and stained with Red Picrosirius. With digital optical microscope, the quantification of the connective tissue and differentiation of types of collagen used the Image Pro Plus® software, and of adipose and vascular tissue, the test point system. The mean and standard error were estimated with the GraphPad Prism 5.0 software, and then data were subjected to Kolmogorov-Smirnov normality test and Student's t-test with significance level set at 5% for determining the amount of different tissues between fore and hindlimbs of studied animals. In forelimbs the mean and standard error of the connective tissue proportion was 50.10%+1.54, of the adipose tissue was 21.34%+1.44, and of vascular tissue was 3.43%+0.28. Hindlimbs presented a proportion of connective tissue of 61.61%+1.47, 20.66%+1.53 of adipose tissue, and 3.06%+0.20 of vascular tissue. A significant difference (p<0.001 was detected in the connective tissue proportion between fore and hindlimbs. Types I and II collagen fibers have presented, respectively, a proportion of 31.89% and 3.9% in forelimbs and 34.05% and 1.78% in

Performance of Used Tire Cushion Layer under Rockfall Impact

OpenAIRE

Sun, Jianhu; Chu, Zhaojun; Liu, Yingfang; Luo, Weiming; Wang, Min

2016-01-01

Rock shed is widely used in traffic lines against rockfall. In order to cushion rockfall impact and dissipate impact energy, cushion layer is usually adopted in rock shed. Used tire cushion layer is proposed in this paper and it can cushion rockfall impact utilizing large radial deformation of tire. Reinforced concrete structure model is built with used tire cushion layer and artificial rockfall test is carried out. Twelve tests are divided into 4 sets with different rockfall mass, rockfall h...

Conceptontwerp nieuwe slaapmatten (Concept Design of Sleeping Mattresses)

Science.gov (United States)

2008-11-01

Datum november 2008 Auteur (s) drs. P.A. Reffeltrath ing. M.G. Brandsma M.G.M. Weghorst Rubricering rapport Ongerubriceerd TK9 TNO-rapport...slaapmatten in combinatie met de gegevens van objectieve metingen. In theorie maakt het conceptontwerp het mogelijk om tegen minder gewicht en pakvolume...making a mattress that is lighter, has less packing volume, is more comfortable and more durable than the currently available mattresses. In theory

The accumulation of dust mite allergens on mattresses made of different kinds of materials.

Science.gov (United States)

Visitsunthorn, Nualanong; Chirdjirapong, Varakorn; Pootong, Visanu; Jirapongsananuruk, Orathai; Pacharn, Punchama; Weeravejsukit, Sirirat; Mahakittikun, Vanna; Vichyanond, Pakit

2010-01-01

Different mattress materials may affect the accumulation of allergens. To compare the amount of group 1 dust mite allergens (Der p1 + Der f1) on mattresses made of different kinds of materials before and after use. Sixty new mattresses made of kapok, synthetic fiber, coconut fiber and sponge-like polyurethane, were placed in the house officers' dormitory at Siriraj hospital, Thailand. The dust samples were collected before (0), 1, 2, 3, 6, 9 and 12 months after the mattresses were used. Group 1 dust mite allergens were analyzed using two-site monoclonal antibody ELISA. Der f1 made up 86.7 % of group 1 allergens found in the matress dust. After the 2nd month, only the mean level in sponge-like polyurethane mattress was under 2 microg/g dust (sensitized level). At the 6th month, the mean levels were 13.1 in coconut, 21.7 in kapok and 17.3 microg/g dust in synthetic fiber, all of which were more than 10 microg/g dust (symptomatic level). At the 9th month, the level in sponge-like polyurethane mattress was increased to 11.2 microg/g. At 12th month the level in coconut fiber, sponge-like polyurethane synthetic fiber and kapok mattresses were 20.2, 22.4, 28.9 and 32.2 microg/g dust respectively. The accumulation rate in kapok and synthetic mattresses was significantly higher than coconut and sponge-like polyurethane mattresses. The mean level of group 1 mite allergens exceeded 10 microg/g dust after the 6th month of use in coconut fiber, kapok and synthetic fiber and at the 9th month in sponge-like polyurethane mattress.

Patient safety during assistant propelled wheelchair transfers: the effect of the seat cushion on risk of falling.

Science.gov (United States)

Okunribido, Olanrewaju O

2013-01-01

This article is a report of a study of the effect of the seat cushion on risk of falling from a wheelchair. Two laboratory studies and simulated assistant propelled wheelchair transfers were conducted with four healthy female participants. For the laboratory studies there were three independent variables: trunk posture (upright/flexed forward), seat cushion (flat polyurethane/propad low profile), and feet condition (dangling/supported), and two dependent variables: occupied wheelchair (wheelchair) center of gravity (CG), and stability. For the simulated transfers there was one independent variable: seat cushion (flat polyurethane/propad low profile), and one dependent variable: perception of safety (risk of falling). Results showed that the wheelchair CG was closer to the front wheels, and stability lower for the propad low profile cushion compared to the polyurethane cushion, when the participants sat with their feet dangling. During the simulated transfers, sitting on the propad low profile cushion caused participants to feel more apprehensive (anxious or uneasy) compared to sitting on the polyurethane cushion. The findings can contribute to the assessment of risk and care planning of non-ambulatory wheelchair users.

Mechanical Cushion Design Influence on Cylinder Dynamics

DEFF Research Database (Denmark)

Borghi, Massimo; Milani, Massimo; Conrad, Finn

2005-01-01

The paper deals with the simulation and the experimental verification of the dynamic behaviour of a linear actuator equipped with different configurations of mechanical cushion. A numerical model, developed and tailored to describe the influence of different modulation of the discharged flow....... experimental comparison, involving the piston velocity and the cylinder chambers pressure. After, with the aim of highlighting the effect of mechanical cushions design on a two effect linear actuator dynamic performances, the characteristics modulation of four alternative cushioning systems are determined...

Standing steady-state wave-making calculation method for air cushion vehicles; Air cushion vehicle no teijo zoha keisanho ni tsuite

Energy Technology Data Exchange (ETDEWEB)

Eguchi, T [Mitsui Engineering and Shipbuilding Co. Ltd., Tokyo (Japan)

1996-04-10

The pulse-height distribution of a cushion room of air cushion vehicle (ACV) has been tried to be approached by means of the panel shift type Rankine source method. When using this method, it was not required to introduce the pressure distribution model simulating the fall-off effect for the step-formed cushion pressure distribution. The wave form and wave making resistance could be estimated precisely by assigning the pressure gradient to one longitudinal direction panel in the calculation. The waveform shape within the cushion room could be calculated rather precisely by comparing with the analytic solution. This calculation method did have an ability providing the pulse-height information in the cushion room of ACV for seal design and configuration of ships. The analytic solution using for the comparison was sufficient for determining the pulse-height in the high speed region. However, it was hard to respond to non-linear problems or optional shape problems. It was pointed out to be further improved. 5 refs., 8 figs.

Warming preterm infants in the delivery room: polyethylene bags, exothermic mattresses or both?

Science.gov (United States)

McCarthy, Lisa K; O'Donnell, Colm P F

2011-12-01

To compare the admission temperature of infants treated with polyethylene bags alone to infants treated with exothermic mattresses in addition to bags in the delivery room. We prospectively studied infants born at bags at birth. Some infants were also placed on mattresses. Admission axillary temperatures were measured in all infants on admission to the neonatal intensive care. We compared the temperatures of infants treated with bags alone to those treated with mattresses and bags. We studied 43 infants: 15 were treated with bags while 28 were treated with a bag and mattress. Mean admission temperature was similar between the groups. Hypothermia and hyperthermia occurred more frequently in infants treated with a bag and mattress, and more infants treated with a bag had admission temperatures 36.5-37.5°C. The use of exothermic mattresses in addition to polyethylene bags, particularly in younger, smaller newborns, may result in more hypothermia and hyperthermia on admission. A randomised controlled trial is necessary to determine which strategy results in more infants having admission temperatures in the normal range. © 2011 The Author(s)/Acta Paediatrica © 2011 Foundation Acta Paediatrica.

Magnetic cushioning and pressure applying means

International Nuclear Information System (INIS)

Turner, G.F.A.M.

1981-01-01

This invention relates to a novel cushioning and pressure applying means for compressing sheets of film in an X-ray cassette. The cushioning means is provided by two sheets of rubber or plastics material each of which contains an array of magnets, the sheets being held together so that like magnetic poles are in opposition. (author)

Open tube guideway for high speed air cushioned vehicles

Science.gov (United States)

Goering, R. S. (Inventor)

1974-01-01

This invention is a tubular shaped guideway for high-speed air-cushioned supported vehicles. The tubular guideway is split and separated such that the sides of the guideway are open. The upper portion of the tubular guideway is supported above the lower portion by truss-like structural members. The lower portion of the tubular guideway may be supported by the terrain over which the vehicle travels, on pedestals or some similar structure.

Comparison of the Otto Bock solid ankle cushion heel foot with wooden keel to the low-cost CR-Equipements™ solid ankle cushion heel foot with polypropylene keel: A randomized prospective double-blind crossover study assessing patient satisfaction and energy expenditure.

Science.gov (United States)

Lacraz, Alain; Armand, Stéphane; Turcot, Katia; Carmona, Gorki; Stern, Richard; Borens, Olivier; Assal, Mathieu

2017-06-01

The International Committee of the Red Cross supports a worldwide program of prosthetic fitting and rehabilitation. In this context, a prosthetic foot was developed and widely distributed in least developed countries. Prospective, randomized, double-blind, controlled study. To compare patient satisfaction and energy expenditure during ambulation between a low-cost prosthetic foot designed with a polypropylene keel (CR-Equipements ™ solid ankle cushion heel, International Committee of the Red Cross) to a well-recognized solid ankle cushion heel foot with a wooden keel (solid ankle cushion heel foot, Otto Bock). A total of 15 participants with unilateral transtibial amputation were evaluated using the two prosthetic feet in a randomized prospective double-blind crossover study. Main outcomes were patient satisfaction questionnaires (Satisfaction with Prosthesis Questionnaire and prosthetic foot satisfaction) and energy expenditure (oxygen consumption-mL/kg/min, oxygen cost-mL/kg/m, and heart rate-bpm). There were no significant differences between the two prosthetic feet for satisfaction and energy expenditure. The low-cost solid ankle cushion heel foot with polypropylene keel provides comparable satisfaction and similar energy expenditure as the solid ankle cushion heel foot with wooden keel. Clinical relevance The results of this study support the application and widespread use of the CR-Equipements ™ solid ankle cushion heel foot. From a cost-effectiveness standpoint, patients are well satisfied and exhibit similar outcomes at a substantially lower cost.

Clinical evaluation of three denture cushion adhesives by complete denture wearers.

Science.gov (United States)

Koronis, Spyros; Pizatos, Evangelos; Polyzois, Gregory; Lagouvardos, Panagiotis

2012-06-01

The aim of this study was the clinical evaluation of three denture cushion adhesives and whether the results were correlated to Kapur Index for denture-supporting tissues. Various types of denture adhesives are used among denture patients. However, information on the clinical behaviour of denture cushions is limited. Thirty edentulous patients had their denture-supporting tissues scored by Kapur Index and their old dentures replaced. They received three brands of denture cushion adhesives (Fittydent(®) , Protefix(®) and Seabond(®)) and were instructed to use them in a sequence according to the group they were randomly assigned to. Each brand of adhesive was used for 48 h on the lower denture according to the manufacturer's suggestions. After each brand was used, participants spent 24 h without applying any sort of adhesive. Finally, a questionnaire evaluating and comparing the performance of each brand was filled out. Denture adhesives generally improved patient satisfaction and masticatory ability, especially in participants with poor Kapur Index and those who reported a poor retention of their old dentures. Fittydent(®) was the most preferred adhesive, showing the best retention and the longest duration of its effect, but also reported as difficult to remove from the denture-bearing area. © 2010 The Gerodontology Society and John Wiley & Sons A/S.

Does a foamy-block mattress system prevent pressure sores ? A prospective randomised clinical trial in 1729 patients.

Science.gov (United States)

Berthe, J V; Bustillo, A; Mélot, C; de Fontaine, S

2007-01-01

Pressure ulcers are a frequent complication of bed rest. The development of an efficient and low cost pressure relieving system for the prevention of bed-sores would be of considerable hospital health and economic interest. Our study was designed to determine the effectiveness in pressure-sore prevention of an interface pressure-decreasing mattress, the Kliniplot mattress, used in our institution since 1978. In a prospective randomised controlled 7-month clinical trial we compared the Kliniplot mattress with our standard hospital mattress in 1729 patients admitted to medical and surgical departments (neurology, cardiology, oncology-haematology, neurosurgery, thoracic surgery and orthopaedic surgery). Two groups (Klinipot mattress and standard hospital mattress) were monitored for the prevention of pressure sores. The patients were evaluated on a daily basis from their admission until the eventual occurrence of a bed-sore. Patients' characteristics and pressure-sore risk factors were similar at the baseline in both groups. Patients presenting with a pressure sore at the time of admission were excluded. Forty-two of the 1729 patients (2.4%) who entered the study developed at least one pressure sore. Twenty-one of the 657 patients (3.2%) nursed on the Kliniplot mattress, and 21 of the 1072 patients (1.9%) on the standard mattress developed bed-sores (p = 0.154). The median time for the occurrence of pressure sores was 31 days (range 6-87) with the Kliniplot mattress and 18 days (range 2 to 38) with the standard mattress (p sores using the modified Ek's scale were no different at the baseline between both groups (p = 0.764). The severity of the pressure sores was no different between both groups (p = 0.918). Our results show that the occurrence of pressure sores is not reduced but is delayed when patients are nursed on a Kliniplot pressure-decreasing mattress.

Sterilization using ozone-ion gas sterilization using ozone-ion gas for mattresses used by the elderly; Ozone ion kunjoho ni kansuru kenkyu. Ozone ion kunjoho no zaitaku kaigoyo mattress mekkin eno oyo

Energy Technology Data Exchange (ETDEWEB)

Mikami, H.; Suzuki, A.; Hamasaki, H. [Shinryo Corp., Tokyo (Japan); Ishikawa, S.; Miyata, M.; Nanba, T. [Kitasato Univ., Tokyo (Japan); Sueyoshi, K. [Mitsubishi Research Institute Inc., Tokyo (Japan)

1999-05-25

The new generation of Japanese is facing an aging society: the number of young people is decreasing dramatically, while the number of elderly is increasing. Consequently, care for the elderly has become a big problem. One particular problem area we`ve investigated is the use of unclean mattresses by the bedridden elderly. These mattresses provide an all too excellent environments for the growth of microbes. We measured the density of microbes on the cover of mattresses at 775cfu/cm{sup 2} and in the bed filling at 136cfu/g. The dominant species of microbes were MRSA and Bacillus. We used MRSA, Bacillus subtilis and Escherichia coli as biological indicators and tested whether our system using ozone-ion fumigants was applicable for sterilization of mattresses. The survival ratio of MRSA were 10{sup -8} {approx} 10{sup -9}, 10{sup -7} {approx} 10{sup -8} for B. subtilis and below 10{sup -8} for E. coli. These experiments made it clear that our system is applicable for sterilization of the mattresses used by bedfast elderly. (author)

Evaluation of free-stall mattress bedding treatments to reduce mastitis bacterial growth

Energy Technology Data Exchange (ETDEWEB)

Kristula, M A; Dou, Z; Toth, J D; Smith, B I; Harvey, N; Sabo, M [University of Penn, Kennett Square, PA (United States)

2008-05-15

Bacterial counts were compared in free-stall mattresses and teat ends exposed to 5 treatments in a factorial study design on 1 dairy farm. Mattresses in five 30-cow groups were subjected to 1 of 5 bedding treatments every other day: 0.5 kg of hydrated limestone, 120 mL of commercial acidic conditioner, 1 kg of coal fly ash, 1 kg of kiln-dried wood shavings, and control (no bedding). Counts of coliforms, Klebsiella spp., Escherichia coli, and Streptococcus spp. were lowest on mattresses bedded with lime. Mattresses bedded with the commercial acidic conditioner had the next lowest counts for coliforms, Klebsiella spp., and Streptococcus spp. Wood shavings and the no-bedding control had the highest counts for coliform and Klebsiella spp. Compared with wood shavings or control, fly ash reduced the counts of coliforms, whereas for the other 3 bacterial groups, the reduction was not always significant. Streptococcus spp. counts were greatest in the control group and did not differ among the shavings and fly ash groups. Teat swab results indicated that hydrated lime was the only bedding treatment that significantly decreased the counts of both coliforms and Klebsiella spp. There were no differences in Streptococcus spp. numbers on the teats between any of the bedding treatments. Bacterial populations grew steadily on mattresses and were generally higher at 36 to 48 h than at 12 to 24 h, whereas bacterial populations on teats grew rapidly by 12 h and then remained constant. Hydrated lime was the only treatment that significantly reduced bacterial counts on both mattresses and teat ends, but it caused some skin irritation.

Bedding on geotextile mattresses: how much is needed to improve cow comfort?

Science.gov (United States)

Tucker, C B; Weary, D M

2004-09-01

The objective of our study was to evaluate how the amount of sawdust bedding on mattresses affects dairy cattle behavior and preferences. Eleven nonlactating, multiparous cows were housed individually in pens with access to 3 free stalls. Each stall was fitted with a geotextile mattress covered with either 0, 1, or 7.5 kg of kiln-dried sawdust. The experiment began with 7 d of acclimatization to all 3 stalls. Cows were then allowed access to only 1 of the 3 stalls at a time, each for 3 d (restriction phase). At the end of this restriction phase, cows were allowed free access to all 3 stalls for 3 d (free-choice phase). Time spent lying and the number of lying bouts increased significantly with the amount of bedding, from 12.3 +/- 0.53 h lying and 8.5 +/- 0.62 bouts per 24 h on bare mattresses to 13.8 +/- 0.53 h lying and 10.0 +/- 0.62 bouts per 24 h on mattresses with 7.5 kg of sawdust. In addition, the animals spent less time standing with only the front hooves in the stalls when more sawdust was present. When allowed free access to all 3 options, all 11 animals spent a majority of their time lying and standing in the 7.5-kg option. In conclusion, cows preferred mattresses bedded with 7.5 kg of sawdust, on which they spent more time lying down and less time standing with only the front hooves in stalls. These results indicate that more sawdust bedding improves cow comfort in stalls with geotextile mattresses.

Research on the relationship between the structural properties of bedding layer in spring mattress and sleep quality.

Science.gov (United States)

Shen, Liming; Chen, Yu-xia; Guo, Yong; Zhong, ShiLu; Fang, Fei; Zhao, Jing; Hu, Tian-Yi

2012-01-01

Mattress, as a sleep platform, its types and physical properties has an important effect on sleep quality and rest efficiency. In this paper, by subjective evaluations, analysis of sleeping behaviors and tests of depth of sleep, the relationship between characteristics of the bedding materials, the structure of mattress, sleep quality and sleep behaviors were studied. The results showed that: (1) Characteristics of the bedding materials and structure of spring mattress had a remarkable effect on sleep behaviors and sleep quality. An optimum combination of the bedding materials, the structure of mattress and its core could improve the overall comfort of mattress, thereby improving the depth of sleep and sleep quality. (2) Sleep behaviors had a close relationship with sleeping postures and sleep habits. The characteristics of sleep behaviors vary from person to person.

Allergenic sesquiterpene lactones from cushion bush (Leucophyta brownii Cass.)

DEFF Research Database (Denmark)

Paulsen, Evy; Gade Hyldgaard, Mette; Andersen, Klaus E.

2017-01-01

BACKGROUND: The Australian cushion bush (Leucophyta brownii) of the Compositae family of plants has become a popular pot and container plant. The plant produces the sesquiterpene lactone allergen calocephalin. OBJECTIVES: To assess the sensitizing potential of sesquiterpene lactones from cushion ...

Manual cleaning of hospital mattresses: an observational study comparing high- and low-resource settings.

Science.gov (United States)

Hopman, J; Hakizimana, B; Meintjes, W A J; Nillessen, M; de Both, E; Voss, A; Mehtar, S

2016-01-01

Hospital-associated infections (HAIs) are more frequently encountered in low- than in high-resource settings. There is a need to identify and implement feasible and sustainable approaches to strengthen HAI prevention in low-resource settings. To evaluate the biological contamination of routinely cleaned mattresses in both high- and low-resource settings. In this two-stage observational study, routine manual bed cleaning was evaluated at two university hospitals using adenosine triphosphate (ATP). Standardized training of cleaning personnel was achieved in both high- and low-resource settings. Qualitative analysis of the cleaning process was performed to identify predictors of cleaning outcome in low-resource settings. Mattresses in low-resource settings were highly contaminated prior to cleaning. Cleaning significantly reduced biological contamination of mattresses in low-resource settings (P cleaning in both the high- and low-resource settings seemed comparable. Cleaning with appropriate type of cleaning materials reduced the contamination of mattresses adequately. Predictors for mattresses that remained contaminated in a low-resource setting included: type of product used, type of ward, training, and the level of contamination prior to cleaning. In low-resource settings mattresses were highly contaminated as noted by ATP levels. Routine manual cleaning by trained staff can be as effective in a low-resource setting as in a high-resource setting. We recommend a multi-modal cleaning strategy that consists of training of domestic services staff, availability of adequate time to clean beds between patients, and application of the correct type of cleaning products. Copyright © 2015 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

Development and evaluation of a new contoured cushion system with an optimized normalization algorithm.

Science.gov (United States)

Li, Sujiao; Zhang, Zhengxiang; Wang, Jue

2014-01-01

Prevention of pressure sores remains a significant problem confronting spinal cord injury patients and the elderly with limited mobility. One vital aspect of this subject concerns the development of cushions to decrease pressure ulcers for seated patients, particularly those bound by wheelchairs. Here, we present a novel cushion system that employs interface pressure distribution between the cushion and the buttocks to design custom contoured foam cushion. An optimized normalization algorithm was proposed, with which interface pressure distribution was transformed into the carving depth of foam cushions according to the biomechanical characteristics of the foam. The shape and pressure-relief performance of the custom contoured foam cushions was investigated. The outcomes showed that the contoured shape of personalized cushion matched the buttock contour very well. Moreover, the custom contoured cushion could alleviate pressure under buttocks and increase subjective comfort and stability significantly. Furthermore, the fabricating method not only decreased the unit production cost but also simplified the procedure for manufacturing. All in all, this prototype seat cushion would be an effective and economical way to prevent pressure ulcers.

The constitutive sofa cushion

DEFF Research Database (Denmark)

Hanghøj, Sara

2009-01-01

personal values materialize through a hand-made everyday artefact, and how can the artefact constitute action and self-perception? The empirical research and analysis concerns how a former textile crafts teacher's subjective values and professional identity materialize through a hand-woven sofa cushion...

Use of backboard and deflation improve quality of chest compression when cardiopulmonary resuscitation is performed on a typical air inflated mattress configuration.

Science.gov (United States)

Oh, Jaehoon; Kang, Hyunggoo; Chee, Youngjoon; Lim, Taeho; Song, Yeongtak; Cho, Youngsuk; Je, Sangmo

2013-02-01

No study has examined the effectiveness of backboards and air deflation for achieving adequate chest compression (CC) depth on air mattresses with the typical configurations seen in intensive care units. To determine this efficacy, we measured mattress compression depth (MCD, mm) on these surfaces using dual accelerometers. Eight cardiopulmonary resuscitation providers performed CCs on manikins lying on 4 different surfaces using a visual feedback system. The surfaces were as follows: A, a bed frame; B, a deflated air mattress placed on top of a foam mattress laid on a bed frame; C, a typical air mattress configuration with an inflated air mattress placed on a foam mattress laid on a bed frame; and D, C with a backboard. Deflation of the air mattress decreased MCD significantly (B; 14.74 ± 1.36 vs C; 30.16 ± 3.96, P deflation of the air mattress decreased MCD more than use of a backboard (B; 14.74 ± 1.36 vs D; 25.46 ± 2.89, P = 0.002). The use of a both a backboard and a deflated air mattress in this configuration reduces MCD and thus helps achieve accurate CC depth during cardiopulmonary resuscitation.

Testing the Stress-Gradient Hypothesis at the Roof of the World: Effects of the Cushion Plant Thylacospermum caespitosum on Species Assemblages

Science.gov (United States)

Dvorský, Miroslav; Doležal, Jiří; Kopecký, Martin; Chlumská, Zuzana; Janatková, Kateřina; Altman, Jan; de Bello, Francesco; Řeháková, Klára

2013-01-01

Many cushion plants ameliorate the harsh environment they inhabit in alpine ecosystems and act as nurse plants, with significantly more species growing within their canopy than outside. These facilitative interactions seem to increase with the abiotic stress, thus supporting the stress-gradient hypothesis. We tested this prediction by exploring the association pattern of vascular plants with the dominant cushion plant Thylacospermum caespitosum (Caryophyllaceae) in the arid Trans-Himalaya, where vascular plants occur at one of the highest worldwide elevational limits. We compared plant composition between 1112 pair-plots placed both inside cushions and in surrounding open areas, in communities from cold steppes to subnival zones along two elevational gradients (East Karakoram: 4850–5250 m and Little Tibet: 5350–5850 m). We used PERMANOVA to assess differences in species composition, Friedman-based permutation tests to determine individual species habitat preferences, species-area curves to assess whether interactions are size-dependent and competitive intensity and importance indices to evaluate plant-plant interactions. No indications for net facilitation were found along the elevation gradients. The open areas were not only richer in species, but not a single species preferred to grow exclusively inside cushions, while 39–60% of 56 species detected had a significant preference for the habitat outside cushions. Across the entire elevation range of T. caespitosum, the number and abundance of species were greater outside cushions, suggesting that competitive rather than facilitative interactions prevail. This was supported by lower soil nutrient contents inside cushions, indicating a resource preemption, and little thermal amelioration at the extreme end of the elevational gradient. We attribute the negative associations to competition for limited resources, a strong environmental filter in arid high-mountain environment selecting the stress-tolerant species

Testing the stress-gradient hypothesis at the roof of the world: effects of the cushion plant Thylacospermum caespitosum on species assemblages.

Directory of Open Access Journals (Sweden)

Miroslav Dvorský

Full Text Available Many cushion plants ameliorate the harsh environment they inhabit in alpine ecosystems and act as nurse plants, with significantly more species growing within their canopy than outside. These facilitative interactions seem to increase with the abiotic stress, thus supporting the stress-gradient hypothesis. We tested this prediction by exploring the association pattern of vascular plants with the dominant cushion plant Thylacospermum caespitosum (Caryophyllaceae in the arid Trans-Himalaya, where vascular plants occur at one of the highest worldwide elevational limits. We compared plant composition between 1112 pair-plots placed both inside cushions and in surrounding open areas, in communities from cold steppes to subnival zones along two elevational gradients (East Karakoram: 4850-5250 m and Little Tibet: 5350-5850 m. We used PERMANOVA to assess differences in species composition, Friedman-based permutation tests to determine individual species habitat preferences, species-area curves to assess whether interactions are size-dependent and competitive intensity and importance indices to evaluate plant-plant interactions. No indications for net facilitation were found along the elevation gradients. The open areas were not only richer in species, but not a single species preferred to grow exclusively inside cushions, while 39-60% of 56 species detected had a significant preference for the habitat outside cushions. Across the entire elevation range of T. caespitosum, the number and abundance of species were greater outside cushions, suggesting that competitive rather than facilitative interactions prevail. This was supported by lower soil nutrient contents inside cushions, indicating a resource preemption, and little thermal amelioration at the extreme end of the elevational gradient. We attribute the negative associations to competition for limited resources, a strong environmental filter in arid high-mountain environment selecting the stress

A test of the metabolic cost of cushioning hypothesis during unshod and shod running.

Science.gov (United States)

Tung, Kryztopher David; Franz, Jason R; Kram, Rodger

2014-02-01

This study aimed to investigate the effects of surface and shoe cushioning on the metabolic cost of running. In running, the leg muscles generate force to cushion the impact with the ground. External cushioning (surfaces or shoes) may reduce the muscular effort needed for cushioning and thus reduce metabolic cost. Our primary hypothesis was that the metabolic cost of unshod running would decrease with a more cushioned running surface. We also hypothesized that because of the counteracting effects of shoe cushioning and mass, unshod running on a hard surface would have approximately the same metabolic cost as running in lightweight, cushioned shoes. To test these hypotheses, we attached 10- and 20-mm-thick slats of the same foam cushioning used in running shoe midsoles to the belt of a treadmill that had a rigid deck. Twelve subjects who preferred a midfoot strike pattern and had substantial barefoot/minimalist running experience ran without shoes on the normal treadmill belt and on each thickness of foam. They also ran with lightweight, cushioned shoes on the normal belt. We collected V˙O2 and V˙CO2 to calculate the metabolic power demand and used a repeated-measures ANOVA to compare between conditions. Compared to running unshod on the normal belt, running unshod on the 10-mm-thick foam required 1.63% ± 0.67% (mean ± SD) less metabolic power (P = 0.034) but running on the 20-mm-thick foam had no significant metabolic effect. Running with and without shoes on the normal belt had similar metabolic power demands, likely because the beneficial energetic effects of cushioning counterbalanced the detrimental effects of shoe mass. On average, surface and shoe cushioning reduce the metabolic power required for submaximal running.

Thermal performances of ETFE cushion roof integrated amorphous silicon photovoltaic

International Nuclear Information System (INIS)

Hu, Jianhui; Chen, Wujun; Qiu, Zhenyu; Zhao, Bing; Zhou, Jinyu; Qu, Yegao

2015-01-01

Highlights: • Thermal performances of a three layer ETFE cushion integrated a-Si PV is evaluated. • Temperature of a-Si PV obviously affects temperature field and temperature boundary. • The maximum temperature difference of 3.4 K between measured and numerical results. • Main transport mechanisms in upper and lower chambers are convection and conduction. • Heat transfer coefficients of this roof are less than those of other ETFE cushion roofs. - Abstract: Thermal performances of the ETFE cushion roof integrated amorphous silicon photovoltaic (a-Si PV) are essential to estimate building performances, such as temperature distribution and heat transfer coefficient. To investigate these thermal performances, an experimental mock-up composed of a-Si PV and a three-layer ETFE cushion roof was built and the experiment was carried out under summer sunny condition. Meanwhile, numerical model with real boundary conditions was performed in this paper. The experimental results show that the temperature sequence of the three layers was the middle, top and bottom layer and that the PV temperature caused by solar irradiance was 353.8 K. This gives evidence that the PV has a significant effect on the temperature distribution. The experimental temperature was in good agreement with the corresponding location of the numerical temperature since the maximum temperature difference was only 3.4 K. Therefore, the numerical results were justified and then used to analyze the airflow characteristics and calculate the thermal performances. For the airflow characteristics, it is found that the temperature distribution was not uniform and the main transport mechanisms in the upper and lower chambers formed by the three layers were the convection and conduction, respectively. For the thermal performances, the surface convective heat transfer coefficients were obtained, which have validated that thermal performances of the three-layer ETFE cushion integrated a-Si PV are better than

Food allergens in mattress dust in Norwegian homes - a potentially important source of allergen exposure.

Science.gov (United States)

Bertelsen, R J; Faeste, C K; Granum, B; Egaas, E; London, S J; Carlsen, K-H; Lødrup Carlsen, K C; Løvik, M

2014-01-01

Sensitization to food allergens and food allergic reactions are mostly caused by ingesting the allergen, but can also occur from exposure via the respiratory tract or the skin. Little is known about exposure to food allergens in the home environment. The objective of this study was firstly to describe the frequency of detection of allergens from fish, egg, milk, and peanut in mattress dust collected from homes of 13-year-old adolescents and secondly to identify home characteristics associated with the presence of food allergen contamination in dust. Food allergens were measured by dot blot analysis in mattress dust from 143 homes in Oslo, Norway. We analysed associations between home characteristics (collected by parental questionnaires and study technicians) and food allergens by multivariate regression models. Fish allergen was detected in 46%, peanut in 41%, milk in 39%, and egg allergen in 22% of the mattress dust samples; only three samples contained none of these allergens. All four food allergens were more frequently detected in mattresses in small dwellings (Food allergens occurred frequently in beds in Norwegian homes, with dwelling size and proximity of kitchen and bedroom as the most important determinants. Due to the amount of time children spent in the bedroom, mattress dust may be an important source of exposure to food allergens. © 2013 John Wiley & Sons Ltd.

Microcontrolled air-mattress for ulcer by pressure prevention

Science.gov (United States)

Pasluosta, Cristian F.; Fontana, Juan M.; Beltramone, Diego A.; Taborda, Ricardo A. M.

2007-11-01

An ulcer by pressure is produced when a constant pressure is exerted over the skin. This generates the collapse of the blood vessels and, therefore, a lack in the contribution of the necessary nutrients for the affected zone. As a consequence, the skin deteriorates, eventually causing an ulcer. In order to prevent it, a protocol must be applied to the patient, which is reflected on time and cost of treatment. There are some air mattresses available for this purpose, but whose performance does not fulfill all requirements. The prototype designed in our laboratory is based on the principle of the air mattress. Its objective is to improve on existing technologies and, due to an increased automation, reduce time dedication for personnel in charge of the patient. A clinical experience was made in the local Emergencies Hospital and also in an institution dedicated to aged patients care. In both cases, the results obtained and the comments from the personnel involved were favorable.

Microcontrolled air-mattress for ulcer by pressure prevention

International Nuclear Information System (INIS)

Pasluosta, Cristian F; Fontana, Juan M; Beltramone, Diego A; Taborda, Ricardo A M

2007-01-01

An ulcer by pressure is produced when a constant pressure is exerted over the skin. This generates the collapse of the blood vessels and, therefore, a lack in the contribution of the necessary nutrients for the affected zone. As a consequence, the skin deteriorates, eventually causing an ulcer. In order to prevent it, a protocol must be applied to the patient, which is reflected on time and cost of treatment. There are some air mattresses available for this purpose, but whose performance does not fulfill all requirements. The prototype designed in our laboratory is based on the principle of the air mattress. Its objective is to improve on existing technologies and, due to an increased automation, reduce time dedication for personnel in charge of the patient. A clinical experience was made in the local Emergencies Hospital and also in an institution dedicated to aged patients care. In both cases, the results obtained and the comments from the personnel involved were favorable

Microcontrolled air-mattress for ulcer by pressure prevention

Energy Technology Data Exchange (ETDEWEB)

Pasluosta, Cristian F; Fontana, Juan M; Beltramone, Diego A; Taborda, Ricardo A M [Universidad Nacional de Cordoba. Cordoba (Argentina)

2007-11-15

An ulcer by pressure is produced when a constant pressure is exerted over the skin. This generates the collapse of the blood vessels and, therefore, a lack in the contribution of the necessary nutrients for the affected zone. As a consequence, the skin deteriorates, eventually causing an ulcer. In order to prevent it, a protocol must be applied to the patient, which is reflected on time and cost of treatment. There are some air mattresses available for this purpose, but whose performance does not fulfill all requirements. The prototype designed in our laboratory is based on the principle of the air mattress. Its objective is to improve on existing technologies and, due to an increased automation, reduce time dedication for personnel in charge of the patient. A clinical experience was made in the local Emergencies Hospital and also in an institution dedicated to aged patients care. In both cases, the results obtained and the comments from the personnel involved were favorable.

Nonlinear Response of Strong Nonlinear System Arisen in Polymer Cushion

Directory of Open Access Journals (Sweden)

Jun Wang

2013-01-01

Full Text Available A dynamic model is proposed for a polymer foam-based nonlinear cushioning system. An accurate analytical solution for the nonlinear free vibration of the system is derived by applying He's variational iteration method, and conditions for resonance are obtained, which should be avoided in the cushioning design.

Misuse of booster cushions - an observation study of children's performance during buckling up.

Science.gov (United States)

Osvalder, Anna-Lisa; Bohman, Katarina

2008-10-01

Booster cushions are effective tools to protect children from injuries in car crashes, but there remains a large amount of misuse. The aim of this study was to assess potential misuse of booster cushions in an observational laboratory study, and to identify whether booster cushion design, age or clothing had any effect. 130 Swedish children from the ages of 4-12 years participated. Each child buckled up on an integrated and on an aftermarket booster cushion in the rear seat. The older children also buckled up with seat belt only. Interviews, observations and body measurements were performed. Time to buckle up and amount of belt slack were registered. Photographs were taken to document misuse. Results showed that 77% failed to perform correct belt routing on the aftermarket cushion, independent of age, although they were familiar with this system. The misuse rate for the integrated cushion was only 4%. No misuse was found for seat belt only. Few children tightened the belt. The belt slack increased when wearing winter jackets. This indicates the importance of adding pretensioners to the rear seat. Sled tests with HIII&TNO 6y dummies were also performed for the most frequent misuse situations found. The main conclusion is that an integrated booster cushion has many advantages compared to an aftermarket cushion regarding both safety and comfort. It is easy and quick to handle, has few possibilities for misuse, has an intuitive design, the buckling up sequence is equal to buckling up with an ordinary seat belt, and younger children can buckle up correctly.

Air-cushioning in impact problems

KAUST Repository

Moore, M. R.; Ockendon, J. R.; Oliver, J. M.

2013-01-01

This paper concerns the displacement potential formulation of the post-impact influence of an air-cushioning layer on the 2D impact of a liquid half-space by a rigid body. The liquid and air are both ideal and incompressible and attention

Evaluation of the Efficiency of the Foxtail Millet Vacuum Cushion in Skin Cancer Radiation Treatment

Energy Technology Data Exchange (ETDEWEB)

Choi, Shin; Cheol; Lee, Kyung Jae; Jung, Sung Min; Oh, Tae Seong; Park, Jong Il; Shin, Hyun Kye [Dept. of Radiation Oncology, Ewha Womans University Mokdong Hospital, Seoul (Korea, Republic of)

2012-09-15

The sufficiency of skin dose and the reemergence of patient set-up position to the success of skin cancer radiation treatment is a very important element. But the conventional methods to increase the skin dose were used to vacuum cushion, bolus and water tank have several weak points. For this reason, we produced Foxtail Millet Vacuum Cushion and evaluated the efficiency of the Foxtail Millet Vacuum Cushion in skin cancer Radiation treatment. We measured absolute dose for 3 materials (Foxtail Millet Vacuum Cushion, bolus and solid water phantom) and compared each dose distribution. We irradiated 6 MV 100 MU photon radiation to every material of 1 cm, 2 cm, 3 cm thickness at three times. We measured absolute dose and compared dose distribution. Finally we inspected the CT simulation and radiation therapy planing using the Foxtail Millet Vacuum Cushion. Absolute dose of Foxtail Millet Vacuum Cushion was similar to absolute dose of bolus and solid water phantom's result in each thickness. it Showed only the difference of 0.1-0.2% between each material. Also the same result in dose distribution comparison. About 97% of the dose distribution was within the margin of error in the prescribed ranges (100{+-}3%), and achieved the enough skin dose (Gross Tumor Volume dose : 100{+-}5%) in radiation therapy planing. We evaluated important fact that Foxtail Millet Vacuum Cushion is no shortage of time to replace the soft tissue equivalent material and normal vacuum cushion at the low energy radiation transmittance. Foxtail Millet Vacuum Cushion can simultaneously achieve the enough skin dose in radiation therapy planing with maintaining normal vacuum cushion' function. Therefore as above We think that Foxtail Millet Vacuum Cushion is very useful in skin cancer radiation treatment.

Ingredient of Biomass Packaging Material and Compare Study on Cushion Properties

Directory of Open Access Journals (Sweden)

Fangyi Li

2014-01-01

Full Text Available In order to reduce the white pollution caused by nondegradable waste plastic packaging materials, the biomass cushion packaging material with straw fiber and starch as the main raw materials had been synthesized. The orthogonal experiment was used to study the impact of mass ratio of fiber to starch, content of plasticizer, active agent, and foaming agent on the compressive strength of cushion material. Infrared spectrometer and theory of water’s bridge-connection were used to study the hydroxyl groups among the fiber and starch. The results were demonstrated as follows: the mass ratio of fiber to starch had the most significant impact on compressive strength. When the contents of the plasticizer, the foaming agent, and the active agent were, respectively, 12%, 0.1%, and 0.3% and the mass ratio of fiber to starch was 2 : 5, the compressive strength was the best up to 0.94 MPa. Meanwhile, with the plasticizer content and the mass ratio of fiber to starch increasing, the cushioning coefficient of the material decreased first and then increased. Comparing the cushion and rebound performance of this material with others, the biomass cushion packaging material could be an ideal substitute of plastic packaging materials such as EPS and EPE.

Mapping Emplaced Articulated Concrete Mattress Using Geoelectrical and Electromagnetic Techniques

National Research Council Canada - National Science Library

Sjostrom, Keith

1998-01-01

Articulated concrete mattresses (ACM) are structures placed parallel to the river current for the purpose of stabilizing the concave banks in river bends, reduce the effects of erosion, and maintain the river channel...

Short communication: Genetic characterization of digital cushion thickness.

Science.gov (United States)

Oikonomou, G; Banos, G; Machado, V; Caixeta, L; Bicalho, R C

2014-01-01

Dairy cow lameness is a serious animal welfare issue. It is also a significant cause of economic losses, reducing reproductive efficiency and milk production and increasing culling rates. The digital cushion is a complex structure composed mostly of adipose tissue located underneath the distal phalanx and has recently been phenotypically associated with incidence of claw horn disruption lesions (CHDL); namely, sole ulcers and white line disease. The objective of this study was to characterize digital cushion thickness genetically and to investigate its association with body condition score (BCS), locomotion score (LOCO), CHDL, and milk production. Data were collected from 1 large closely monitored commercial dairy farm located in upstate New York; 923 dairy cows were used. Before trimming, the following data were collected by a member of the research team: BCS, cow height measurement, and LOCO. Presence or not of CHDL (sole ulcer or white line disease, or both) was recorded at trimming. Immediately after the cows were hoof trimmed, they underwent digital sonographic B-mode examination for the measurement of digital cushion thickness. Factors such as parity number, stage of lactation, calving date, mature-equivalent 305-d milk yield (ME305MY), and pedigree information were obtained from the farm's dairy management software (DairyCOMP 305; Valley Agricultural Software, Tulare, CA). Univariate animal models were used to obtain variance component estimations for each studied trait (CHDL, BCS, digital cushion thickness average, LOCO, height, and ME305MY) and a 6-variate analysis was conducted to estimate the genetic, residual, and phenotypic correlations between the studied traits. The heritability estimate of DCTA was 0.33±0.09, whereas a statistically significant genetic correlation was estimated between DCTA and CHDL (-0.60±0.29). Of the other genetic correlations, significant estimates were derived for BCS with LOCO (-0.49±0.19) and ME305MY (-0.48±0.20). Digital

The effect of human-mattress interface's temperature on perceived thermal comfort.

Science.gov (United States)

Califano, R; Naddeo, A; Vink, P

2017-01-01

In recent years, methods that allow for an objective evaluation of perceived comfort, in terms of postural, physiological, cognitive and environmental comfort, have received a great deal of attention from researchers. This paper focuses on one of the factors that influences physiological comfort perception: the temperature difference between users and the objects with which they interact. The first aim is to create a measuring system that does not affect the perceived comfort during the temperatures' acquisition. The main aim is to evaluate how the temperature at the human-mattress interface can affect the level of perceived comfort. A foam mattress has been used for testing in order to take into account the entire back part of the human body. The temperature at the interface was registered by fourteen 100 Ohm Platinum RTDs (Resistance Temperature Detectors) placed on the mattress under the trunk, the shoulders, the buttocks, the legs, the thighs, the arms and the forearms of the test subject. 29 subjects participated in a comfort test in a humidity controlled environment. The test protocol involved: dress-code, anthropometric-based positioning on mattress, environment temperature measuring and an acclimatization time before the test. At the end of each test, each of the test subject's thermal sensations and the level of comfort perception were evaluated using the ASHRAE (American Society of Heating, Refrigerating and Air-Conditioning Engineers) scale. The data analyses concerned, in the first instance, correlations between the temperature at the interface and comfort levels of the different parts of the body. Then the same analyses were performed independently of the body parts being considered. The results demonstrated that there was no strong correlation among the studied variables and that the total increase of temperature at interface is associated with a reduction in comfort. Copyright © 2016 Elsevier Ltd. All rights reserved.

Moss cushions facilitate water and nutrient supply for plant species on bare limestone pavements

DEFF Research Database (Denmark)

Jensen, Kaj Sand; Hammer, Kathrine

2012-01-01

declined by the -0.36 power of cushion diameter, and were not significantly different from -0.50 for the square root function previously predicted for the increasing thickness of the boundary layer, with greater linear dimensions for smooth flat objects at low wind velocities. Size dependence vanished...... richness, and evaluated duration of plant activity during desiccation as a function of ground area, for a large collection of moss cushions. We found that lower evaporation and higher water storage contributed equally to extending the desiccation period with increasing cushion size. Evaporation rates......Dense moss cushions of different size are distributed across the bare limestone pavements on Øland, SE Sweden. Increasing cushion size is predicted to physically protect and improve performance and colonization by vascular plants. Therefore, we tested water balance, phosphorus supply, and species...

Interventions and gaps in the process of cushioning the urban poor ...

African Journals Online (AJOL)

Interventions and gaps in the process of cushioning the urban poor in Malawi. Felix Kakowa. Abstract. Over the years, Malawi has implemented a number of programmes aimed at cushioning the urban poor in the wake of rapid urbanization, growth of the informal sector and mushrooming squatter settlements. However ...

A systematic review of the recent ecological literature on cushion plants: champions of plant facilitation

Directory of Open Access Journals (Sweden)

A. M. Reid

2010-09-01

Full Text Available Cushion-forming plant species are found in alpine and polar environments around the world. They modify the microclimate, thereby facilitating other plant species. Similar to the effectiveness of shrubs as a means to study facilitation in arid and semi-arid environments, we explore the potential for cushion plant species to expand the generality of research on this contemporary ecological interaction. A systematic review was conducted to determine the number of publications and citation frequency on relevant ecological topics whilst using shrub literature as a baseline to assess relative importance of cushions as a focal point for future ecological research. Although there are forty times more shrub articles, mean citations per paper is comparable between cushion and shrub literature. Furthermore, the scope of ecological research topics studied using cushions is broad including facilitation, competition, environmental gradients, life history, genetics, reproduction, community, ecosystem and evolution. The preliminary ecological evidence to date also strongly suggests that cushion plants can be keystone species in their ecosystems. Hence, ecological research on net interactions including facilitation and patterns of diversity can be successfully examined using cushion plants, and this is particularly timely given expectations associated with a changing climate in these regions.

The Impact of Legislation on Gas Can- and Mattress-Related Burn Injuries.

Science.gov (United States)

Kellogg, Levi; Butcher, Brandon; Peek-Asa, Corinne; Wibbenmeyer, Lucy

2018-01-01

Burn prevention program success requires thorough evaluation of intervention outcomes. The impact of 2 engineering-specific burn prevention regulations, the Children's Gasoline Burn Prevention Act and the Standard for the Flammability of Mattress Sets, will be assessed. Records from 1997 to 2015 within the Consumer Product Safety Commission's (CPSC) National Electronic Injury Surveillance System (NEISS) were reviewed. After identifying gas can- and mattress-involved burn injuries, injury incidence was estimated by utilizing survey sampling weights associated with each record. Logistic regression, incorporating estimated injury incidence and adjusting for gender and age, was performed to test for change in injury risk following these regulations. Within NEISS, there were 493 burns involving gas cans, yielding an estimated 19,339 injuries (95% confidence interval [CI], 15,781-22,896) during the 19-year study period. The odds of a gas can burn injury after legislation decreased by 67% for children younger than 5 years (odds ratio [OR], 0.33; 95% CI, 0.16-0.66; P = 0.0018). There was no significant change in risk for persons 5 years and older (OR, 1.07; 95% CI, 0.80-1.41; P = 0.66). During the same time, there were 219 NEISS burns involving mattresses, yielding an estimated 6864 injuries (95% CI, 5071-8658). The odds of a mattress burn injury following legislation enactment decreased by 31% for all ages (OR, 0.69; 95% CI, 0.51-0.94; P = 0.02). Both regulations decreased the odds of injury in their target populations. This study demonstrates that passive interventions involving engineering standards remain a powerful tool for burn prevention and should be the focus of future efforts to improve burn care.

Method for calculating steady-state waves in an air cushion vehicle. Part 2; Air cushion vehicle no teijo zoha keisanho ni tsuite. 2

Energy Technology Data Exchange (ETDEWEB)

Eguchi, T [Mitsui Engineering and Shipbuilding Co. Ltd., Tokyo (Japan)

1997-10-01

Discussions were given on a method to estimate resistance constituents in wave resistance made in an air chamber of an air cushion vehicle (ACV). An orthogonal coordinate system is considered, which uses the center of a hull as the zero point and is made dimensionless by using cushion length. Flow around the ACV is supposed as an ideal flow, whereas speed potential is defined in the flow field. Then, a linear free surface condition is hypothesized on water surface Z = 0. Number and density of waves were used to introduce a condition to be satisfied by the speed potential. A numerical calculation method arranged a blow-out panel on the water surface, and used a panel shift type Rankine source method which satisfies the free surface condition at Z = 0. Cushion pressure distribution becomes a step-like discontinuous function, and mathematical infinity is generated in the differentiation values. Under an assumption that the pressure rises per one panel where pressure jump is present, the distribution was approximated by providing one panel with inclination of the finite quantity therein. Estimation on wave height distribution in the cushion chamber showed a tendency of qualitatively agreeing with the experimental result, but the wave heights shown in the experiment had the average level decreased as it goes toward the rear of the hull. 5 refs., 5 figs.

A study of the behaviour of and the forces in a bed protecting mattress : The falling apron

NARCIS (Netherlands)

Vrijling, J.K.; Ravenstijn, P.

2001-01-01

In many cases the bottom around a structure that is exposed to current has to be protected by a mattress. The purpose of the mattress is to protect the soil besides the structure from erosion and scour, thus preserving the strength of the foundation of the structure. Examples are the bottom

The impact of compliant surfaces on in-hospital chest compressions: effects of common mattresses and a backboard.

NARCIS (Netherlands)

Noordergraaf, G.J.; Paulussen, I.W.; Venema, A.; Berkom, P.F. van; Woerlee, P.H.; Scheffer, G.J.; Noordergraaf, A.

2009-01-01

PURPOSE: To evaluate, in a hospital setting, the influence of different, common mattresses, with and without a backboard, on chest movement during CPR. DESIGN AND SETTING: Sixty CPR sessions (140s each, 30:2, C:R ratio 1:1) were performed using a manikin on standard hospital mattresses, with or

Construction of large-thickness sand cushions for NPP foundations

International Nuclear Information System (INIS)

Krantsfel'd, Ya.L.; Losievskaya, I.K.; Kovalenko, R.P.; Mutalipov, A.

1982-01-01

A study is made on some technological peculiarities of preparation of NPP foundations and control methods of foundation density. As an example the experience of cement-sand foundation construction for two 900 MW power-units at the Koeberg South Africa NPP is briefly described. The experience of artificial foundation construction at this NPP indicates both the possibility of obtaining the required quality of cement-sand cushions and commercial construction of large volume of such cushions by acceptable rates and the necessity of unification of work quality characteristics

A FIRST APPROXIMATION CALCULATION OF AIR CUSHION CHASSIS WEIGHT OF TRANSPORT AIRPLANE

Directory of Open Access Journals (Sweden)

2016-01-01

Full Text Available This article describes a first approximation of a weighted estimate of air cushion chassis. The algorithm for calculating the weight of air cushion chassis allows not only to estimate the mass of the chassis to a first approximation, but also to conduct a preliminary analysis of the influence of various parameters of the aircraft and the chassis on the weight of the aircraft at the stage of before designing. The algorithm can be expanded to include additional design decisions, such as the transformation of the fuselage, increasing the air cushion chassis canopy due to extensions, center of gravity, etc.

Misuse of booster cushions among children and adults in Shanghai-an observational and attitude study during buckling up.

Science.gov (United States)

Bohman, Katarina; Jorlöv, Sofia; Zhou, Shengqi; Zhao, Cloud; Sui, Bo; Ding, Chengkai

2016-10-02

Traffic crashes are one of the leading causes of fatalities among Chinese children. Booster cushion usage in China is low, and there are no studies showing how a population with limited experience handles booster cushions during buckling up. The purpose of this study was to evaluate the handling of and explore the attitudes toward booster cushions among children, parents, and grandparents in Shanghai. An observational study including a convenience sample of 254 children aged 4-12 years was conducted in 2 passenger cars at a shopping center in Shanghai. Parents, grandparents, or the children themselves buckled up the child on 2 types of booster cushions, a 2-stage integrated booster cushion (IBC) and an aftermarket booster cushion (BC). The test participants were observed during buckling up, first without and then with instructions. The test leaders conducted structured interviews. Ninety-eight percent of the uninstructed participants failed to buckle up without identified misuse on the aftermarket booster cushion and 31% of those uninstructed on the integrated booster cushion. The majority of misuse was severe, including placing the belt behind the arm and the lap belt routing above the guiding loops. Instruction reduced misuse to 58% (BC) and 12% (IBC), respectively, and, in particular, severe misuse. Some misuse was related to limited knowledge of how to buckle up on the booster cushion, and some misuse was intentional in order to reduce discomfort. The participants, both children and adults, reported that they preferred the IBC due to good comfort and convenience. Safety was reported as the main reason for adults using booster cushions in general, whereas children reported comfort as the most important motivation. Education is needed to ensure frequent and correct use of booster cushions in China and to raise safety awareness among children and adults. Furthermore, it is important that the booster cushions offer intuitively correct usage to a population with

Trial of a novel plasma gas disinfection system (Radica) to reduce mattress residual bacterial contamination in the acute hospital setting: a preliminary study.

Science.gov (United States)

Shiely, F; Fallon, D; Casey, C; Kerins, D M; Eustace, J A

2017-02-01

In routine clinical practice, mattresses are manually cleaned using specialised cleaning and high-level disinfecting fluids. While effective against a wide range of organisms, the success of this approach is dependent on a thorough and complete application and is likely to be susceptible to human error and thus variable. The efficacy of available infection control measures to reduce such mattress contamination is unknown as it is not subject to quality control measures. There is a pressing need to identify more effective methods to prevent cross contamination within the medical environment, given the lack of available treatment strategies. The purpose of this study is to investigate the ability of a new technology, gaseous technology, to reduce colonization levels, compared to standard cleaning, and so attenuate superficial nosocomial infections. We conducted a prospective, single-centre, open-label, non-randomized trial with blinded outcome assessments, comparing the standard cleaning of hospital mattresses with a novel plasma based disinfection system Radica™, followed by a standard post-cleaning culturing protocol (five swabs/mattress). The median (interquartile range) maximal colony count per mattress for the 20 Radica versus 7 routinely cleaned mattresses was 1 (1-2.7) versus Too-Numerous-to-Count (TNTC) (32-TNTC), respectively, p = 0.002. Of the 20 Radica™ treated mattresses, 12 (60 %) had no positive culture result while all of the standard cleaned mattresses had at least two positive cultures. The plasma based Radica disinfection system reduces mattress bacterial colonization levels as compared to routine cleaning. This is a potentially important technology in the health care system to reduce surface colonisation and hence nosocomial infections.

16 CFR Figure 8 to Part 1633 - Jig for Setting Mattresses and Foundation Sides in Same Plane

Science.gov (United States)

2010-01-01

... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Jig for Setting Mattresses and Foundation Sides in Same Plane 8 Figure 8 to Part 1633 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION.... 8 Figure 8 to Part 1633—Jig for Setting Mattresses and Foundation Sides in Same Plane ER15MR06.007 ...

Inner-Resonance Conditions for Honeycomb Paperboard Cushioning Packaging System with Critical Component

Directory of Open Access Journals (Sweden)

Jun Wang

2013-01-01

Full Text Available A dynamic model was proposed for a honeycomb paperboard cushioning packaging system with critical component. Then the coupled equations of the system were solved by the variational iteration method, from which the conditions for inner-resonance were obtained, which should be avoided in the cushioning packaging design.

Cushioning for processing radioactive wastes

International Nuclear Information System (INIS)

Asano, Hidekazu.

1997-01-01

A cushioning to be inserted between a vessel containing hole formed in an underground base rock and a processing overpack comprises from 40 to 20% by weight of swellable bentonite, from 40 to 60% by weight of highly heat conductive silica sand and from 10 to 20% by weight of iron powder. The grain size of the bentonite and the iron powder may be several μm to several ten μm, and the grain size of the silica sand may be several ten μm to one hundred and several ten μm. Then, if underground water permeates to the cushioning, the bentonite absorbs the underground water and swells to fill gaps, and the tissue of blocks is densified to prevent intrusion of underground water. Oxygen incorporated in the underground water is used by the oxidation of the iron powder to prevent oxidative corrosion of the processing overpack. In addition, the silica sand allows the heat of the overpack to release to underground base rock thereby preventing temperature elevation. Accordingly, excellent effects of combination of water checking performance and degassing performance can be obtained. (T.M.)

Experimental study of 3D movement in cushioning of hydraulic cylinder

OpenAIRE

Algar, Antonio; Codina Macià, Esteban; Freire Venegas, Francisco Javier

2017-01-01

A double acting cylinder operation has been fully monitored in its key functional parameters, focused on characterization of end-of-stroke cushioning and starting phases. Being the cylinder performance reliant in the piston constructive geometry, the number and location of piston circumferential grooves is a significant parameter affecting the internal cushioning system performance. An eddy current displacement sensor assembled in the piston allows assessment of piston radial displacement ins...

Comparative Study on Cushion Performance Between 3D Printed Kelvin Structure and 3D Printed Lattice Structure

Science.gov (United States)

Priyadarshini, Lakshmi

Frequently transported packaging goods are more prone to damage due to impact, jolting or vibration in transit. Fragile goods, for example, glass, ceramics, porcelain are susceptible to mechanical stresses. Hence ancillary materials like cushions play an important role when utilized within package. In this work, an analytical model of a 3D cellular structure is established based on Kelvin model and lattice structure. The research will provide a comparative study between the 3D printed Kelvin unit structure and 3D printed lattice structure. The comparative investigation is based on parameters defining cushion performance such as cushion creep, indentation, and cushion curve analysis. The applications of 3D printing is in rapid prototyping where the study will provide information of which model delivers better form of energy absorption. 3D printed foam will be shown as a cost-effective approach as prototype. The research also investigates about the selection of material for 3D printing process. As cushion development demands flexible material, three-dimensional printing with material having elastomeric properties is required. Further, the concept of cushion design is based on Kelvin model structure and lattice structure. The analytical solution provides the cushion curve analysis with respect to the results observed when load is applied over the cushion. The results are reported on basis of attenuation and amplification curves.

Multicenter comparison of the efficacy on prevention of pressure ulcer in postoperative patients between two types of pressure-relieving mattresses in China

Science.gov (United States)

Jiang, Qixia; Li, Xiaohua; Zhang, Aiqin; Guo, Yanxia; Liu, Yahong; Liu, Haiying; Qu, Xiaolong; Zhu, Yajun; Guo, Xiujun; Liu, Li; Zhang, Liyan; Bo, Suping; Jia, Jing; Chen, Yuejuan; Zhang, Rui; Wang, Jiandong

2014-01-01

Objective: Present study is designed to evaluate the effects of preventing pressure ulcer in surgical patients with two types of pressure-relieving mattresses. Methods: 1074 surgical patients from 12 hospitals in China were divided into A group (static air mattress with repositioning every 2 hours, n = 562) and B group (power pressure air mattress with repositioning every 2 hours, n = 512). The patient was subjected to a pressure-relieving mattress and observed from 0-5 days after surgery. Indications include the Braden scores, hospital-acquired pressure ulcers (HAPU) incidence and stage. Results: The Braden scores between two groups in five days after surgery were no significant (P > 0.05). The incidence of HAPU between two groups in same days also was no significant (1.07% vs. 0.98%, P > 0.05). The incidence of Stage I and stage II pressure ulcers in group A and B were 1.07% (6/562) and 0.98% (5/512), respectively (χ2 = 0.148, P = 0.882). Conclusion: The effects of preventing pressure ulcer in surgical patients with two types of pressure-relieving mattresses are similar, but the protocol by static air mattress with repositioning every 2 hours is benefit when no power. PMID:25356144

Friction brake cushions acceleration and vibration loads

Science.gov (United States)

Fraser, G. F.; Zawadski, G. Z.

1966-01-01

Friction brake cushions an object in a vehicle from axially applied vibration and steady-state acceleration forces. The brake incorporates a doubly tapered piston that applies a controlled radial force to friction brake segments bearing against the walls of a cylinder.

An Enhanced Sensing Application Based on a Flexible Projected Capacitive-Sensing Mattress

Directory of Open Access Journals (Sweden)

Wen-Ying Chang

2014-04-01

Full Text Available This paper presents a cost-effective sensor system for mattresses that can classify the sleeping posture of an individual and prevent pressure ulcers. This system applies projected capacitive sensing to the field of health care. The charge time (CT method was used to sensitively and accurately measure the capacitance of the projected electrodes. The required characteristics of the projected capacitor were identified to develop large-area applications for sensory mattresses. The area of the electrodes, the use of shielding, and the increased length of the transmission line were calibrated to more accurately measure the capacitance of the electrodes in large-size applications. To offer the users comfort in the prone position, a flexible substrate was selected and covered with 16 × 20 electrodes. Compared with the static charge sensitive bed (SCSB, our proposed system-flexible projected capacitive-sensing mattress (FPCSM comes with more electrodes to increase the resolution of posture identification. As for the body pressure system (BPS, the FPCSM has advantages such as lower cost, higher aging-resistance capability, and the ability to sense the capacitance of the covered regions without physical contact. The proposed guard ring design effectively absorbs the noise and interrupts leakage paths. The projected capacitive electrode is suitable for proximity-sensing applications and succeeds at quickly recognizing the sleeping pattern of the user.

Development of a cushion to prevent ischial pressure sores.

Science.gov (United States)

Bowker, P; Davidson, L M

1979-01-01

A study was carried out jointly by nursing staff and technologists in an attempt to develop a cushion based on scientific principles and measurement that might prevent pressure sores. At each stage in the development clinical trials were carried out, and using the results of these together with the opinions of medical staff and patients who used the cushion the design was suitably modified. Over four years a seat was evolved that was simple to construct and fulfilled the clinical requirements for a wide range of patients while providing maximum relief of high-pressure points. The design was subsequently taken up commercially. Images Fig 3 PMID:509176

A quantitative analysis of microcirculation in sore-prone pressure areas on conventional and pressure relief hospital mattresses using laser Doppler flowmetry and tissue spectrophotometry.

Science.gov (United States)

Rothenberger, Jens; Krauss, Sabrina; Held, Manuel; Bender, Dominik; Schaller, Hans-Eberhard; Rahmanian-Schwarz, Afshin; Constantinescu, Mihai Adrian; Jaminet, Patrick

2014-11-01

Pressure ulcers are associated with severe impairment for the patients and high economic load. With this study we wanted to gain more insight to the skin perfusion dynamics due to external loading. Furthermore, we evaluated the effect of different types of pressure relief mattresses. A total of 25 healthy volunteers were enrolled in the study. Perfusion dynamics of the sacral and the heel area were assessed using the O2C-device, which combines a laser light, to determine blood flow, and white light to determine the relative amount of hemoglobin. Three mattresses were evaluated compared to a hard surface: a standard hospital foam mattress bed, a visco-elastic foam mattress, and an air-fluidized bed. In the heel area, only the air-fluidized bed was able to maintain the blood circulation (mean blood flow of 13.6 ± 6 versus 3.9 ± 3 AU and mean relative amount of hemoglobin of 44.0 ± 14 versus 32.7 ± 12 AU.) In the sacral area, all used mattresses revealed an improvement of blood circulation compared to the hard surface. The results of this study form a more precise pattern of perfusion changes due to external loading on various pressure relief mattresses. This knowledge may reduce the incidence of pressure ulcers and may be an influencing factor in pressure relief mattress selection. Copyright © 2014 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved.

75 FR 43921 - Certain Polyester Staple Fiber From Taiwan: Final Results of Antidumping Duty Administrative Review

Science.gov (United States)

2010-07-27

... sleeping bags, mattresses, ski jackets, comforters, cushions, pillows, and furniture. Merchandise of less... products sold in the home market. In fact, in our calculation for the Preliminary Results, one product sold... sold in the home market in the ordinary course of trade. Instead, from the pool of home-market sales...

The optimization of aircraft seat cushion fire-blocking layers. Full Scale: Test description and results

Science.gov (United States)

Schutter, K. J.; Duskin, F. E.

1982-01-01

Full-scale burn tests were conducted on thirteen different seat cushion configurations in a cabin fire simulator. The fire source used was a quartz lamp radiant energy panel with a propane pilot flame. During each test, data were recorded for cushion temperatures, radiant heat flux, rate of weight loss of test specimens, and cabin temperatures. When compared to existing passenger aircraft seat cushions, the test specimens incorporating a fire barrier and those fabricated from advance materials, using improved construction methods, exhibited significantly greater fire resistance.

Experimental Study of 3D Movement in Cushioning of Hydraulic Cylinder

Directory of Open Access Journals (Sweden)

Antonio Algar

2017-05-01

Full Text Available A double acting cylinder operation has been fully monitored in its key functional parameters, focused on characterization of end-of-stroke cushioning and starting phases. Being the cylinder performance reliant in the piston constructive geometry, the number and location of piston circumferential grooves is a significant parameter affecting the internal cushioning system performance. An eddy current displacement sensor assembled in the piston allows assessment of piston radial displacement inside the cylinder tube, which is directly related with the studied operating phases. Due to such 3D displacements, the piston becomes as an active and self-adjusting element along the functional cycle of the cylinder. Mechanical joints orientation and operating pressure are also relevant parameters affecting piston radial displacement and, thus, the cushioning and starting performance. Computational Fluid Dynamics (CFD results confirm the observed functional role of the perimeter grooves; the flow and pressure distributions, where develops a significant radial force, are also in accordance with the registered radial displacement.

The alpine cushion plant Silene acaulis as foundation species: a bug's-eye view to facilitation and microclimate.

Directory of Open Access Journals (Sweden)

Olivia Molenda

Full Text Available Alpine ecosystems are important globally with high levels of endemic and rare species. Given that they will be highly impacted by climate change, understanding biotic factors that maintain diversity is critical. Silene acaulis is a common alpine nurse plant shown to positively influence the diversity and abundance of organisms--predominantly other plant species. The hypothesis that cushion or nurse plants in general are important to multiple trophic levels has been proposed but rarely tested. Alpine arthropod diversity is also largely understudied worldwide, and the plant-arthropod interactions reported are mostly negative, that is,. herbivory. Plant and arthropod diversity and abundance were sampled on S. acaulis and at paired adjacent microsites with other non-cushion forming vegetation present on Whistler Mountain, B.C., Canada to examine the relative trophic effects of cushion plants. Plant species richness and abundance but not Simpson's diversity index was higher on cushion microsites relative to other vegetation. Arthropod richness, abundance, and diversity were all higher on cushion microsites relative to other vegetated sites. On a microclimatic scale, S. acaulis ameliorated stressful conditions for plants and invertebrates living inside it, but the highest levels of arthropod diversity were observed on cushions with tall plant growth. Hence, alpine cushion plants can be foundation species not only for other plant species but other trophic levels, and these impacts are expressed through both direct and indirect effects associated with altered environmental conditions and localized productivity. Whilst this case study tests a limited subset of the membership of alpine animal communities, it clearly demonstrates that cushion-forming plant species are an important consideration in understanding resilience to global changes for many organisms in addition to other plants.

Inflorescences of alpine cushion plants freeze autonomously and may survive subzero temperatures by supercooling

Science.gov (United States)

Hacker, Jürgen; Ladinig, Ursula; Wagner, Johanna; Neuner, Gilbert

2011-01-01

Freezing patterns in the high alpine cushion plants Saxifraga bryoides, Saxifraga caesia, Saxifraga moschata and Silene acaulis were studied by infrared thermography at three reproductive stages (bud, anthesis, fruit development). The single reproductive shoots of a cushion froze independently in all four species at every reproductive stage. Ice formation caused lethal damage to the respective inflorescence. After ice nucleation, which occurred mainly in the stalk or the base of the reproductive shoot, ice propagated throughout that entire shoot, but not into neighboring shoots. However, anatomical ice barriers within cushions were not detected. The naturally occurring temperature gradient within the cushion appeared to interrupt ice propagation thermally. Consequently, every reproductive shoot needed an autonomous ice nucleation event to initiate freezing. Ice nucleation was not only influenced by minimum temperatures but also by the duration of exposure. At moderate subzero exposure temperatures (−4.3 to −7.7 °C) the number of frozen inflorescences increased exponentially. Due to efficient supercooling, single reproductive shoots remained unfrozen down to −17.4 °C (cooling rate 6 K h−1). Hence, the observed freezing pattern may be advantageous for frost survival of individual inflorescences and reproductive success of high alpine cushion plants, when during episodic summer frosts damage can be avoided by supercooling. PMID:21151351

Activity Level Assessment Using a Smart Cushion for People with a Sedentary Lifestyle.

Science.gov (United States)

Ma, Congcong; Li, Wenfeng; Gravina, Raffaele; Cao, Jingjing; Li, Qimeng; Fortino, Giancarlo

2017-10-03

As a sedentary lifestyle leads to numerous health problems, it is important to keep constant motivation for a more active lifestyle. A large majority of the worldwide population, such as office workers, long journey vehicle drivers and wheelchair users, spends several hours every day in sedentary activities. The postures that sedentary lifestyle users assume during daily activities hide valuable information that can reveal their wellness and general health condition. Aiming at mining such underlying information, we developed a cushion-based system to assess their activity levels and recognize the activity from the information hidden in sitting postures. By placing the smart cushion on the chair, we can monitor users' postures and body swings, using the sensors deployed in the cushion. Specifically, we construct a body posture analysis model to recognize sitting behaviors. In addition, we provided a smart cushion that effectively combine pressure and inertial sensors. Finally, we propose a method to assess the activity levels based on the evaluation of the activity assessment index (AAI) in time sliding windows. Activity level assessment can be used to provide statistical results in a defined period and deliver recommendation exercise to the users. For practical implications and actual significance of results, we selected wheelchair users among the participants to our experiments. Features in terms of standard deviation and approximate entropy were compared to recognize the activities and activity levels. The results showed that, using the novel designed smart cushion and the standard deviation features, we are able to achieve an accuracy of (>89%) for activity recognition and (>98%) for activity level recognition.

Design and milling manufacture of polyurethane custom contoured cushions for wheelchair users.

Science.gov (United States)

da Silva, Fabio Pinto; Beretta, Elisa Marangon; Prestes, Rafael Cavalli; Kindlein Junior, Wilson

2011-01-01

The design of custom contoured cushions manufactured in flexible polyurethane foams is an option to improve positioning and comfort for people with disabilities that spend most of the day seated in the same position. These surfaces increase the contact area between the seat and the user. This fact contributes to minimise the local pressures that can generate problems like decubitus ulcers. The present research aims at establishing development routes for custom cushion production to wheelchair users. This study also contributes to the investigation of Computer Numerical Control (CNC) machining of flexible polyurethane foams. The proposed route to obtain the customised seat began with acquiring the user's contour in adequate posture through plaster cast. To collect the surface geometry, the cast was three-dimensionally scanned and manipulated in CAD/CAM software. CNC milling parameters such as tools, spindle speeds and feed rates to machine flexible polyurethane foams were tested. These parameters were analysed regarding the surface quality. The best parameters were then tested in a customised seat. The possible dimensional changes generated during foam cutting were analysed through 3D scanning. Also, the customised seat pressure and temperature distribution was tested. The best parameters found for foams with a density of 50kg/cm(3) were high spindle speeds (24000 rpm) and feed rates between 2400-4000mm/min. Those parameters did not generate significant deformities in the machined cushions. The custom contoured cushion satisfactorily increased the contact area between wheelchair and user, as it distributed pressure and heat evenly. Through this study it was possible to define routes for the development and manufacturing of customised seats using direct CNC milling in flexible polyurethane foams. It also showed that custom contoured cushions efficiently distribute pressure and temperature, which is believed to minimise tissue lesions such as pressure ulcers.

A retrospective study to determine the incidence of pressure ulcers in burn patients using an alternating pressure mattress.

Science.gov (United States)

Still, Joseph M; Wilson, Joan; Rinker, Connie; Law, Edward; Craft-Coffman, Beretta

2003-08-01

In immobilized patients, unrelieved pressure can create decubitus ulcers over bony prominences. Those burn patients who require prolonged bed rest, are prone to the development of such problems. Various methods of reducing pressure on these areas, including frequent turning and the use of air fluidized and low air loss beds, have been adopted to attempt to prevent the development of this complication. The Pegasus Renaissance alternating pressure mattress is such a device, intended to reduce the incidence of decubitus ulcers. It was introduced at our burn unit and evaluated over a 29-month period. During the study period, 186 (13.4%) of 1390 acutely burned patients, believed to be at high risk for the development of decubiti, were placed on this mattress. Other patients were treated in the standard hospital bed. Care was otherwise the same. No decubitus ulcers developed in any of the patients treated on the Pegasus Renaissance mattress.

Do running speed and shoe cushioning influence impact loading and tibial shock in basketball players?

Directory of Open Access Journals (Sweden)

Wing-Kai Lam

2018-05-01

Full Text Available Background Tibial stress fracture (TSF is a common injury in basketball players. This condition has been associated with high tibial shock and impact loading, which can be affected by running speed, footwear condition, and footstrike pattern. However, these relationships were established in runners but not in basketball players, with very little research done on impact loading and speed. Hence, this study compared tibial shock, impact loading, and foot strike pattern in basketball players running at different speeds with different shoe cushioning properties/performances. Methods Eighteen male collegiate basketball players performed straight running trials with different shoe cushioning (regular-, better-, and best-cushioning and running speed conditions (3.0 m/s vs. 6.0 m/s on a flat instrumented runway. Tri-axial accelerometer, force plate and motion capture system were used to determine tibial accelerations, vertical ground reaction forces and footstrike patterns in each condition, respectively. Comfort perception was indicated on a 150 mm Visual Analogue Scale. A 2 (speed × 3 (footwear repeated measures ANOVA was used to examine the main effects of shoe cushioning and running speeds. Results Greater tibial shock (P 0.14; η2 = 0.13. Discussion There may be an optimal band of shoe cushioning for better protection against TSF. These findings may provide insights to formulate rehabilitation protocols for basketball players who are recovering from TSF.

Biomechanical characteristics of the horizontal mattress stitch: implication for double-row and suture-bridge rotator cuff repair.

Science.gov (United States)

Tamboli, Mallika; Mihata, Teruhisa; Hwang, James; McGarry, Michelle H; Kang, Yangmi; Lee, Thay Q

2014-03-01

We investigated the effects of bite-size horizontal mattress stitch (distance between the limbs passed through the tendon) on the biomechanical properties of the repaired tendon. We anchored 20 bovine Achilles tendons to bone using no. 2 high-strength suture and 5-mm titanium suture anchors in a mattress-suture technique. Tendons were allocated randomly into two groups of ten each to receive stitches with a 4- or 10-mm bite. Specimens underwent cyclic loading from 5 to 30 N at 1 mm/s for 30 cycles, followed by tensile testing to failure. Gap formation, tendon strain, hysteresis, stiffness, yield load, ultimate load, energy to yield load, and energy to ultimate load were compared between groups using unpaired t tests. The 4-mm group had less (p row repair, small mattress stitches provide a tighter repair, whereas large stitches are beneficial to prevent sutures from pulling through the tendon after surgery. For suture-bridge rotator cuff repair, large stitches are beneficial because the repaired tendon has a higher strength, and the slightly mobile medial knot can be tightened by lateral fixation.

Sterilized PP/HMSPP cushion foams for medical and food packaging applications

International Nuclear Information System (INIS)

Cardoso, Elisabeth C.L.; Lima, L. Filipe C.P.; Parra, Duclerc F.; Lugao, Ademar B.; Bueno, N.R.; Gasparin, Eleosmar

2009-01-01

Treatment with gamma radiation is becoming a common process for the sterilization of packages, mostly made of natural or synthetic plastics, used in aseptic processing of foods and pharmaceuticals. Packaging materials may be irradiated either prior or after filling; the irradiation prior to filling is usually chosen for dairy products, processed food, beverages, pharmaceuticals and medical devices. Cushion foams are used to help protect fragile items during moving transport. Shock, vibration and damage are avoided by the cushioning effect and chances of product damage are reduced. It is easy to use and perforated for easy tearing. Cushion foams are employed to wrap glasses, plates, crockery, lamps, electronics and other breakable items. This paper presents special cushion foams to be used for medical and food packaging applications; so, these foams will be gamma irradiated before getting in contact with these special articles. Foams were previously produced from a 50% blending Polypropylene homopolymer / High Melt Strength Polypropylene (HMSPP) thereof, that presented following results for properties assessed: melt flow index, 230 deg C - 3.67 g/10 minutes; crystallinity = 47%; melt strength, at 200 deg C = 7.3 cN. This admixture was further fed into the barrel of a single-screw extruder, Rheomex 332 p, equipped with 3:1,33 d screw and 19/33 special screw for foaming, with standard controller and monitored panel, temperature controller (2 channels), melt temperature (2 channels) and melt pressure (4 channels). By using a 175/200/210/220/165/25 (deg C) profile temperature, and after attaining a homogeneous melting, a given amount of physical blowing agent (nitrogen) was injected and mixed with the polymer melt stream to produce the foam. Foamed extrudate was subjected to sterilization radiation doses: 25, 50, 75 and 100 kGy and further evaluated as per: appearance (whiteness / yellowness) and temperature dependent oxidative-induction time (TOIT) tests, by comparing

Design and Evaluation Methods for Optimizing Ejection Seat Cushions for Comfort and Safety

Science.gov (United States)

1977-02-01

buttocks to the seat cushion or seat pan. Kohara , a Japaners Investigator discussed the problems of seating comfort and the measuren.ent of buttock/seat...loads In an unpublished report in 1965 (23) and subsequently In a magazine article In 1966 (24). Kohara was able to weasure pressures by means of...Isolation. Kohara has also studied the vibration Isolation requirements in high speed trains (23, 2’). Howeveri the seat cushion has been used only rarely in

The gas cushion technique as a handling means for the remote removal of tokamak segments

International Nuclear Information System (INIS)

Removille, J.; Stephano, R.

1983-01-01

The gas cushion technique has been studied as offering a compact, flexible and safe way of handling massive objects. The evolution of the gas-cushion handling philosophy is discussed and examples presented related to the displacements of different loads in the torus and in the reactor hall. A short technical comparison with the C-frame handling concept is made in the conclusion. (author)

Determination of turnover and cushion gas volume of a prospected gas storage reservoir under uncertainty

Energy Technology Data Exchange (ETDEWEB)

Gubik, A. [RAG-AG Wien (Austria); Baffoe, J.; Schulze-Riegert, R. [SPT Group GmbH, Hamburg (Germany)

2013-08-01

Gas storages define a key contribution for building a reliable gas supply chain from production to consumers. In a competitive gas market with short reaction times to seasonal and other gas injection and extraction requirements, gas storages also receive a strong focus on availability and precise prediction estimates for future operation scenarios. Reservoir management workflows are increasingly built on reservoir simulation support for optimizing production schemes and estimating the impact of subsurface uncertainties on field development scenarios. Simulation models for gas storages are calibrated to geological data and accurate reproduction of historical production data are defined as a prerequisite for reliable production and performance forecasts. The underlying model validation process is called history matching, which potentially generates alternative simulation models due to prevailing geological uncertainties. In the past, a single basecase reference model was used to predict production capacities of a gas storage. The working gas volume was precisely defined over a contracted plateau delivery and the required cushion gas volume maintains the reservoir pressure during the operation. Cushion and working gas Volume are strongly dependent on reservoir parameters. In this work an existing depleted gas reservoir and the operation target as a gas storage is described. Key input data to the reservoir model description and simulation is reviewed including production history and geological uncertainties based on large well spacing, limited core and well data and a limited seismic resolution. Target delivery scenarios of the prospected gas storage are evaluated under uncertainty. As one key objective, optimal working gas and cushion gas volumes are described in a probabilistic context reflecting geological uncertainties. Several work steps are defined and included in an integrated workflow design. Equiprobable geological models are generated and evaluated based on

Air-cushioning in impact problems

KAUST Repository

Moore, M. R.

2013-05-12

This paper concerns the displacement potential formulation of the post-impact influence of an air-cushioning layer on the 2D impact of a liquid half-space by a rigid body. The liquid and air are both ideal and incompressible and attention is focussed on cases when the density ratio between the air and liquid is small. In particular, the correction to classical Wagner theory is analysed in detail for the impact of circular cylinders and wedges. © The Authors 2013. Published by Oxford University Press on behalf of the Institute of Mathematics and its Applications. All rights reserved.

Geographical variation and the determinants of domestic endotoxin levels in mattress dust in Europe

NARCIS (Netherlands)

Chen, C.M.; Thiering, E.; Doekes, G.; Zock, J.P.; Bakolis, I.; Norbäck, D.; Sunyer, J.; Villani, S.; Verlato, G.; Täubel, M.; Jarvis, D.

2012-01-01

Endotoxin exposures have manifold effects on human health. The geographical variation and determinants of domestic endotoxin levels in Europe have not yet been extensively described. To investigate the geographical variation and determinants of domestic endotoxin concentrations in mattress dust in

Finite element modeling for predicting the contact pressure between a foam mattress and the human body in a supine position.

Science.gov (United States)

Lee, Wookjin; Won, Byeong Hee; Cho, Seong Wook

2017-01-01

In this paper, we generated finite element (FE) models to predict the contact pressure between a foam mattress and the human body in a supine position. Twenty-year-old males were used for three-dimensional scanning to produce the FE human models, which was composed of skin and muscle tissue. A linear elastic isotropic material model was used for the skin, and the Mooney-Rivlin model was used for the muscle tissue because it can effectively represent the nonlinear behavior of muscle. The contact pressure between the human model and the mattress was predicted by numerical simulation. The human models were validated by comparing the body pressure distribution obtained from the same human subject when he was lying on two different mattress types. The experimental results showed that the slope of the lower part of the mattress caused a decrease in the contact pressure at the heels, and the effect of bone structure was most pronounced in the scapula. After inserting a simple structure to function as the scapula, the contact pressure predicted by the FE human models was consistent with the experimental body pressure distribution for all body parts. These results suggest that the models proposed in this paper will be useful to researchers and designers of products related to the prevention of pressure ulcers.

Design and milling manufacture of polyurethane custom contoured cushions for wheelchair users

Directory of Open Access Journals (Sweden)

Wilson Kindlein Junior

2011-09-01

Full Text Available BackgroundThe design of custom contoured cushions manufactured inflexible polyurethane foams is an option to improvepositioning and comfort for people with disabilities thatspend most of the day seated in the same position. Thesesurfaces increase the contact area between the seat and theuser. This fact contributes to minimise the local pressuresthat can generate problems like decubitus ulcers. Thepresent research aims at establishing development routesfor custom cushion production to wheelchair users. Thisstudy also contributes to the investigation of ComputerNumerical Control (CNC machining of flexible polyurethanefoams.MethodThe proposed route to obtain the customised seat beganwith acquiring the user’s contour in adequate posturethrough plaster cast. To collect the surface geometry, thecast was three-dimensionally scanned and manipulated inCAD/CAM software. CNC milling parameters such as tools,spindle speeds and feed rates to machine flexiblepolyurethane foams were tested. These parameters wereanalysed regarding the surface quality. The best parameterswere then tested in a customised seat. The possibledimensional changes generated during foam cutting wereanalysed through 3D scanning. Also, the customised seatpressure and temperature distribution was tested.ResultsThe best parameters found for foams with a density of50kg/cm3 were high spindle speeds (24000 rpm and feedrates between 2400–4000mm/min. Those parameters didnot generate significant deformities in the machinedcushions. The custom contoured cushion satisfactorilyincreased the contact area between wheelchair and user, asit distributed pressure and heat evenly.ConclusionThrough this study it was possible to define routes for thedevelopment and manufacturing of customised seats usingdirect CNC milling in flexible polyurethane foams. It alsoshowed that custom contoured cushions efficientlydistribute pressure and temperature, which is believed tominimise tissue lesions such as pressure

Pressure relieving support surfaces (PRESSURE) trial: cost effectiveness analysis.

Science.gov (United States)

Iglesias, Cynthia; Nixon, Jane; Cranny, Gillian; Nelson, E Andrea; Hawkins, Kim; Phillips, Angela; Torgerson, David; Mason, Su; Cullum, Nicky

2006-06-17

To assess the cost effectiveness of alternating pressure mattresses compared with alternating pressure overlays for the prevention of pressure ulcers in patients admitted to hospital. Cost effectiveness analysis carried out alongside the pressure relieving support surfaces (PRESSURE) trial; a multicentre UK based pragmatic randomised controlled trial. 11 hospitals in six UK NHS trusts. Intention to treat population comprising 1971 participants. Kaplan Meier estimates of restricted mean time to development of pressure ulcers and total costs for treatment in hospital. Alternating pressure mattresses were associated with lower overall costs (283.6 pounds sterling per patient on average, 95% confidence interval--377.59 pounds sterling to 976.79 pounds sterling) mainly due to reduced length of stay in hospital, and greater benefits (a delay in time to ulceration of 10.64 days on average,--24.40 to 3.09). The differences in health benefits and total costs for hospital stay between alternating pressure mattresses and alternating pressure overlays were not statistically significant; however, a cost effectiveness acceptability curve indicated that on average alternating pressure mattresses compared with alternating pressure overlays were associated with an 80% probability of being cost saving. Alternating pressure mattresses for the prevention of pressure ulcers are more likely to be cost effective and are more acceptable to patients than alternating pressure overlays.

Multi-stage versus single-stage inflation and deflation cycle for alternating low pressure air mattresses to prevent pressure ulcers in hospitalised patients: a randomised-controlled clinical trial.

Science.gov (United States)

Demarré, L; Beeckman, D; Vanderwee, K; Defloor, T; Grypdonck, M; Verhaeghe, S

2012-04-01

The duration and the amount of pressure and shear must be reduced in order to minimize the risk of pressure ulcer development. Alternating low pressure air mattresses with multi-stage inflation and deflation cycle of the air cells have been developed to relieve pressure by sequentially inflating and deflating the air cells. Evidence about the effectiveness of this type of mattress in clinical practice is lacking. This study aimed to compare the effectiveness of an alternating low pressure air mattress that has a standard single-stage inflation and deflation cycle of the air cells with an alternating low pressure air mattress with multi-stage inflation and deflation cycle of the air cells. A randomised controlled trial was performed in a convenience sample of 25 wards in five hospitals in Belgium. In total, 610 patients were included and randomly assigned to the experimental group (n=298) or the control group (n=312). In the experimental group, patients were allocated to an alternating low pressure air mattress with multi-stage inflation and deflation cycle of the air cells. In the control group, patients were allocated to an alternating low pressure air mattress with a standard single-stage inflation and deflation cycle of the air cells. The outcome was defined as cumulative pressure ulcer incidence (Grade II-IV). An intention-to-treat analysis was performed. There was no significant difference in cumulative pressure ulcer incidence (Grade II-IV) between both groups (Exp.=5.7%, Contr.=5.8%, p=0.97). When patients developed a pressure ulcer, the median time was 5.0 days in the experimental group (IQR=3.0-8.5) and 8.0 days in the control group (IQR=3.0-8.5) (Mann-Whitney U-test=113, p=0.182). The probability to remain pressure ulcer free during the observation period in this trial did not differ significantly between the experimental group and the control group (log-rank χ(2)=0.013, df=1, p=0.911). An alternating low pressure air mattress with multi-stage inflation

Size class structure, growth rates, and orientation of the central Andean cushion Azorella compacta

Directory of Open Access Journals (Sweden)

Catherine Kleier

2015-03-01

Full Text Available Azorella compacta (llareta; Apiaceae forms dense, woody, cushions and characterizes the high elevation rocky slopes of the central Andean Altiplano. Field studies of an elevational gradient of A. compacta within Lauca National Park in northern Chile found a reverse J-shape distribution of size classes of individuals with abundant small plants at all elevations. A new elevational limit for A. compacta was established at 5,250 m. A series of cushions marked 14 years earlier showed either slight shrinkage or small degrees of growth up to 2.2 cm yr−1. Despite their irregularity in growth, cushions of A. compacta show a strong orientation, centered on a north-facing aspect and angle of about 20° from horizontal. This exposure to maximize solar irradiance closely matches previous observations of a population favoring north-facing slopes at a similar angle. Populations of A. compacta appear to be stable, or even expanding, with young plants abundant.

A retrospective study to determine the incidence of pressure ulcers in burn patients using a low air loss pressure relieving mattress.

Science.gov (United States)

Still, Joseph M; Wilson, Joan; Rinker, Connie; Law, Edward; Craft-Coffman, Beretta

2003-06-01

In immobilized patients, unrelieved pressure can create decubitus ulcers over bony prominences. Those burn patients who require prolonged bed rest, are prone to the development of such problems. Various methods of reducing pressure on these areas, including frequent turning and the use of air fluidized and low air loss beds, have been adopted to attempt to prevent the development of this complication. The Pegasus Renaissance alternating pressure mattress is such a device, intended to reduce the incidence of decubitus ulcers. It was introduced at our burn unit and evaluated over a 29-month period. During the study period, 186 (13.4%) of 1390 acutely burned patients, believed to be at high risk for the development of decubiti, were placed on this mattress. Other patients were treated in the standard hospital bed. Care was otherwise the same. No decubitus ulcers developed in any of the patients treated on the Pegasus Renaissance mattress.

Biologically Complex Planar Cell Plasma Membranes Supported on Polyelectrolyte Cushions Enhance Transmembrane Protein Mobility and Retain Native Orientation.

Science.gov (United States)

Liu, Han-Yuan; Chen, Wei-Liang; Ober, Christopher K; Daniel, Susan

2018-01-23

Reconstituted supported lipid bilayers (SLB) are widely used as in vitro cell-surface models because they are compatible with a variety of surface-based analytical techniques. However, one of the challenges of using SLBs as a model of the cell surface is the limited complexity in membrane composition, including the incorporation of transmembrane proteins and lipid diversity that may impact the activity of those proteins. Additionally, it is challenging to preserve the transmembrane protein native orientation, function, and mobility in SLBs. Here, we leverage the interaction between cell plasma membrane vesicles and polyelectrolyte brushes to create planar bilayers from cell plasma membrane vesicles that have budded from the cell surface. This approach promotes the direct incorporation of membrane proteins and other species into the planar bilayer without using detergent or reconstitution and preserves membrane constituents. Furthermore, the structure of the polyelectrolyte brush serves as a cushion between the planar bilayer and rigid supporting surface, limiting the interaction of the cytosolic domains of membrane proteins with this surface. Single particle tracking was used to analyze the motion of GPI-linked yellow fluorescent proteins (GPI-YFP) and neon-green fused transmembrane P2X2 receptors (P2X2-neon) and shows that this platform retains over 75% mobility of multipass transmembrane proteins in its native membrane environment. An enzyme accessibility assay confirmed that the protein orientation is preserved and results in the extracellular domain facing toward the bulk phase and the cytosolic side facing the support. Because the platform presented here retains the complexity of the cell plasma membrane and preserves protein orientation and mobility, it is a better representative mimic of native cell surfaces, which may find many applications in biological assays aimed at understanding cell membrane phenomena.

Evaluation of the vibration attenuation properties of an air-inflated cushion with two different heavy machinery seats in multi-axis vibration environments including jolts.

Science.gov (United States)

Ji, Xiaoxu; Eger, Tammy R; Dickey, James P

2017-03-01

Seats and cushions can attenuate whole-body vibration (WBV) exposures and minimize health risks for heavy machine operators. We successfully developed neural network (NN) algorithms to identify the vibration attenuation properties for four different seating conditions (seat/cushion combinations), and implemented each of the NN models to predict the equivalent daily exposure A(8) values for various vehicles in the forestry and mining environments. We also evaluated the performance of the new prototype No-Jolt™ air-inflated cushion and the original cushion of each seat with jolt exposures. We observed that the air cushion significantly improved the vibration attenuation properties of the seat that initially had good performance, but not for the seat that had relatively poor vibration attenuation properties. In addition, operator's anthropometrics and sex influenced the performance of the air-inflated cushion when the vibration environment included jolt exposures. Copyright © 2016 Elsevier Ltd. All rights reserved.

Testing the Stress-Gradient Hypothesis at the Roof of the World: Effects of the Cushion Plant Thylacospermum caespitosum on Species Assemblages

Czech Academy of Sciences Publication Activity Database

Dvorský, Miroslav; Doležal, Jiří; Kopecký, Martin; Chlumská, Zuzana; Janatková, Kateřina; Altman, Jan; de Bello, Francesco; Řeháková, Klára

2013-01-01

Roč. 8, č. 1 (2013), e53514 E-ISSN 1932-6203 R&D Projects: GA ČR GD206/08/H044; GA AV ČR IAA600050802 Institutional research plan: CEZ:AV0Z60050516 Institutional support: RVO:67985939 Keywords : cushion plants * facilitation * competition Subject RIV: EH - Ecology, Behaviour Impact factor: 3.534, year: 2013

Earthquake behavior of steel cushion-implemented reinforced concrete frames

Science.gov (United States)

Özkaynak, Hasan

2018-04-01

The earthquake performance of vulnerable structures can be increased by the implementation of supplementary energy-dissipative metallic elements. The main aim of this paper is to describe the earthquake behavior of steel cushion-implemented reinforced concrete frames (SCI-RCFR) in terms of displacement demands and energy components. Several quasi-static experiments were performed on steel cushions (SC) installed in reinforced concrete (RC) frames. The test results served as the basis of the analytical models of SCs and a bare reinforced concrete frame (B-RCFR). These models were integrated in order to obtain the resulting analytical model of the SCI-RCFR. Nonlinear-time history analyses (NTHA) were performed on the SCI-RCFR under the effects of the selected earthquake data set. According to the NTHA, SC application is an effective technique for increasing the seismic performance of RC structures. The main portion of the earthquake input energy was dissipated through SCs. SCs succeeded in decreasing the plastic energy demand on structural elements by almost 50% at distinct drift levels.

Emission of phthalates and phthalate alternatives from vinyl flooring and crib mattress covers: the influence of temperature.

Science.gov (United States)

Liang, Yirui; Xu, Ying

2014-12-16

Emissions of phthalates and phthalate alternatives from vinyl flooring and crib mattress covers were measured in a specially designed chamber. The gas-phase concentrations versus time were measured at four different temperatures, that is, 25, 36, 45, and 55 °C. The key parameter that controls the emissions (y0, gas-phase concentration in equilibrium with the material phase) was determined, and the emissions were found to increase significantly with increasing temperature. Both the material-phase concentration (C0) and the chemical vapor pressure (Vp) were found to have great influence on the value of y0. The measured ratios of C0 to y0 were exponentially proportional to the reciprocal of temperature, in agreement with the van't Hoff equation. A emission model was validated at different temperatures, with excellent agreement between model calculations and chamber observations. In residential homes, an increase in the temperature from 25 to 35 °C can elevate the gas-phase concentration of phthalates by more than a factor of 10, but the total airborne concentration may not increase that much for less volatile compounds. In infant sleep microenvironments, an increase in the temperature of mattress can cause a significant increase in emission of phthalates from the mattress cover and make the concentration in the infant's breathing zone about four times higher than that in the bulk room air, resulting in potentially high exposure.

Dermatophagoides pteronyssinus (Trouessart, 1897) in mattress and floor dust in a temperate climate (Acari : Pyroglyphidae)

NARCIS (Netherlands)

Bronswijk, van J.E.M.H.

1973-01-01

The arthropod fauna of mattress dust, bedroom dust and living-room dust was sampled during a 1-year period in a center for asthmatic children (near Nijmegen, The Netherlands) with the aid of a vacuum cleaner, Berlese funnels and a flotation method. Dermatophagoides pteronyssinus was most abundant;

Automated Seat Cushion for Pressure Ulcer Prevention Using Real-Time Mapping, Offloading, and Redistribution of Interface Pressure

Science.gov (United States)

2016-10-01

of MATLAB image processing routines to identify, sort, and track the location of the intended points (markers), Fig. 12(c). Further, magnification...testing as well as finite element simulation . Automation and control testing has been completed on a 5x5 array of bubble actuators to verify pressure...ulcer prevention, automated seat cushion, bubble actuator, pressure modulation , pressure offloading, wheelchair cushion, spinal cord injury 16. SECURITY

A survey of protective cushion usage in individuals with spinal cord injury while traveling in a motor vehicle and on a commercial airliner.

Science.gov (United States)

McClure, Isa A; Nieves, Jeremiah D; Kirshblum, Steven C

2014-11-01

While there are specific recommendations for pressure relieving cushions when seated in a wheelchair, there is a paucity of information regarding prescribed wheelchair cushions for persons with spinal cord injury (SCI) when traveling and not in their wheelchair seat. A questionnaire was designed to ascertain if individuals with SCI who are primarily wheelchair users utilize a prescribed wheelchair cushion when traveling in a motor vehicle (MV) or on a commercial airliner, as not utilizing one may be a causative factor in developing pressure ulcers. Survey design in an outpatient SCI rehabilitation setting. Full-time wheelchair users, with chronic (>1 year) SCI. Forty-two participants completed the survey, with a mean age of 39 years old and time post-injury of 10.4 years. All subjects used a prescribed wheelchair cushion when seated in their wheelchair. Twenty-seven subjects reported transferring to a MV seat (59.5% of sample), with 25 (92.6%) reporting not using a prescribed wheelchair cushion when sitting directly on the MV seat. For subjects who traveled on an airplane (n = 23-54.8%), 19 (82.6%) reported that they do not sit on a prescribed specialty cushion. Persons with chronic SCI, who are primary wheelchair users, utilize prescribed wheelchair cushions when sitting in their wheelchair, but most do not utilize a prescribed wheelchair cushion when seated in a MV (if they transfer out of their chair) or on a airplane seat. Studies to determine the pressures over the bony prominences on their travel surfaces may need to be undertaken to see whether the pressures are appropriate, as they may be a source of skin breakdown.

A randomized trial of exothermic mattresses for preterm newborns in polyethylene bags.

LENUS (Irish Health Repository)

McCarthy, Lisa K

2013-07-01

Hypothermia on admission to the NICU is associated with increased mortality in preterm infants. Many newborns are hypothermic on admission despite using polyethylene bags (PBs). Using exothermic mattresses (EMs) in addition to PBs may reduce hypothermia but increase hyperthermia. We wished to determine whether placing preterm newborns in PBs on EMs in the DR results in more infants with rectal temperature outside the range 36.5 to 37.5°C on NICU admission.

Effect of mattress and pillow encasings on children with asthma and house dust mite allergy

DEFF Research Database (Denmark)

Halken, Susanne; Høst, Arne; Niklassen, Ulla

2003-01-01

BACKGROUND: House dust mite (HDM) allergy is a frequent cause of allergic asthma in children. Reduction of exposure seems to be the most logical way to treat these patients. OBJECTIVE: Our aim was to investigate whether mattress and pillow encasings resulted in an effective long-term control of H...

Allgöwer-Donati Versus Vertical Mattress Suture Technique Impact on Perfusion in Ankle Fracture Surgery: A Randomized Clinical Trial Using Intraoperative Angiography.

Science.gov (United States)

Shannon, Steven F; Houdek, Matthew T; Wyles, Cody C; Yuan, Brandon J; Cross, William W; Cass, Joseph R; Sems, Stephen A

2017-02-01

The purpose of this study was to evaluate which primary wound closure technique for ankle fractures affords the most robust perfusion as measured by laser-assisted indocyanine green angiography: Allgöwer-Donati or vertical mattress. Prospective, randomized. Level 1 Academic Trauma Center. Thirty patients undergoing open reduction internal fixation for ankle fractures were prospectively randomized to Allgöwer-Donati (n = 15) or vertical mattress (n = 15) closure. Demographics were similar for both cohorts with respect to age, sex, body mass index, surgical timing, and OTA/AO fracture classification. Skin perfusion (mean incision perfusion and mean perfusion impairment) was quantified in fluorescence units with laser-assisted indocyanine green angiography along the lateral incision as well as anterior and posterior to the incision at 30 separate locations. Minimum follow-up was 3 months with a mean follow-up 4.7 months. Allgöwer-Donati enabled superior perfusion compared with the vertical mattress suture technique. Mean incision perfusion for Allgöwer-Donati was 51 (SD = 13) and for vertical mattress was 28 (SD = 10, P ankle fractures. Theoretically, this may enhance soft tissue healing and decrease the risk of wound complications. Surgeons may take this into consideration when deciding closure techniques for ankle fractures. Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

Experimental study on the shear behavior of the interface between cushion materials and the concrete raft

Science.gov (United States)

Li, Yaokun; Han, Xiaolei; Galal, Khaled; Ji, Jing

2018-01-01

Cushion is a layer of granular materials between the raft and the ground. The shear behavior of the interface between the cushion and the raft may influence the seismic performance of the superstructure. In order to quantify such influences, horizontal shear tests on the interfaces between different cushion materials and concrete raft under monotonic and cyclic loading were carried out. The vertical pressure P v, material type and cushion thickness h c were taken as variables. Conclusions include: 1) under monotonic loading, P v is the most significant factor; the shear resistance P hmax increases as P v increases, but the normalized factor of resistance μ n has an opposite tendency; 2) for the materials used in this study, μ n varies from 0.40 to 0.70, the interface friction angle δ s varies from 20° to 35°, while u max varies from 3 mm to 15 mm; 3) under cyclic loading, the interface behavior can be abstracted as a "three-segment" back-bone curve, the main parameters include μ n, the displacement u 1 and stiffness K 1 of the elastic stage, the displacement u 2 and stiffness K 2 of the plastic stage; 4) by observation and statistical analysis, the significance of different factors, together with values of K 1, K 2 and μ n have been obtained.

Can Air Seat Cushions and Ball Chairs Improved Classroom Behaviors of Students with Autism Spectrum Disorder: A Single Subject Study

Directory of Open Access Journals (Sweden)

Nader Matin Sadr

2015-06-01

Full Text Available Background: Classroom behaviorsare disturbed in autistic students because of their repetitive, restlessness, and disruptive behaviors. This study aimed to examine the impacts of sitting on a ball, cushion, and/or common chair on classroom behavior of four students with Autism Spectrum Disorder (ASD. Methods: Four children with Autism participated in this single-subject study. Students’ behaviors were video recorded in three phases: Sitting on their common chairs during phase A, air-sit cushioned in phase B, and ball chairs in phase C. Sitting times and on-task/off-task behaviors were quantified by momentary time sampling (every 10 seconds and compared during different phases for important changes. Social validity was taken by the teacher at the end of the research as well. Results: The findings demonstrated increases in on-task and in-seat behaviors in four students when seated on air sit cushioned chairs. Despite rises of ontask behaviors for all students, only two of the students showed enhanced inseat behaviors when seated on therapy balls. Social validity findings indicated that the teacher preferred the use of the balls and air-cushioned chairs for her students. Conclusion: Therapy balls/cushioned chairs for students with ASD may facilitate in-seat and on-task behavior.

Optimization of Aircraft Seat Cushion Fire Blocking Layers.

Science.gov (United States)

1983-03-01

function of cost and weight, and the costs of labor involved in assembling a ccmposite seat cushion. The same classes of high char yield polymers that are...SEAT LATER DESIGN REPORT NRBBNBsg$$$$$$NN$$R$$$$$ SEAT DESIGN NUMBER: 009 LAYER NAME CODE NO. S MANUFACTURER 5 COST FACTORS . LABOR ...72621, 9096.. 7SS43. 73757. 77147. DELTA COSTS 0. 8340. 2922. 1136. 4327. ACOSOS in Iho..aS Of dollars. COST SUIRNY REPORT Re ....... VONR3 MORFA

A Methodology for Modeling Confined, Temperature Sensitive Cushioning Systems

Science.gov (United States)

1980-06-01

thickness of cushion T, and®- s temperature 0, and as a dependent variable, G, the peak acceleration. The initial model, Equation (IV-11), proved deficient ...k9) = TR * TCTH ALV(60) = Tk * TCTH AL2 V6)= Tk2 * FCTH V2 =TRk * TCrFH *AL V(6~3) =THZ * TC.TH AU! V(,34) =TRa * TCTH 141 Yj)=Tks * T(-Th * AL V(.4b

Effect of rolling bed on decubitus in bedridden nursing home patients.

Science.gov (United States)

Izutsu, T; Matsui, T; Satoh, T; Tsuji, T; Sasaki, H

1998-02-01

Decubitus is one of the most difficult management problems encountered in bedridden elderly patients. Relief of pressure over decubitus is the most important principle of the management. We developed a rolling air cushion bed which turns the patient to a 15-degree inclined lateral position with an inflating ripple mattress, a longitudinally aligned air inflatable tube. The position of the patients was changed between right and left laterals and to supine every 15 minutes automatically. Nineteen bedridden patients with decubitus used the rolling air cushion bed for 3 months and 12 bedridden patients with decubitus used a conventional bed and had their position changes every 2 hours by care givers. Severity of decubitus was divided into 4 grades and the decubitus significantly improved from 2.8 (S.E. 0.2) to 2.0 (S.E. 0.3) after 3 months in patients using the rolling air cushion bed, while in patients with conventional beds it changed from 3.0 (S.E. 0.2) to 3.2 (S.E. 0.2) (not statistically significant). We suggest that the rolling air cushion bed would be beneficial to decubitus relief in bedridden elderly and may relieve labor by care givers.

Optimum back-pressure forging using servo die cushion

OpenAIRE

Kawamoto, Kiichiro; Yoneyama, Takeshi; Okada, Masato; Kitayama, Satoshi; Chikahisa, Junpei

2014-01-01

This study focused on utilizing a servo die cushion (in conjunction with a servo press) as a "back-pressure load generator," to determine its effect on shape accuracy of the formed part and total forming load in forward extrusion during cold forging. The effect of back-pressure load application was confirmed in experiments, and the optimum setting pattern of back-pressure load was considered to minimize both shape accuracy of the formed part and back-pressure energy, which was representative ...

Impact response of RC rock-shed girder with sand cushion under falling load

International Nuclear Information System (INIS)

Bhatti, Abdul Qadir; Kishi, Norimitsu

2010-01-01

Research highlights: → An applicability of FE model of RC girders with sand cushion has been investigated. → Experimental and numerical results of Impact force, reaction force and displacement have been performed. → Cracks obtained from numerical models are in good agreement with the experimental ones. → Reaction force-displacement loops agree well between numerical and experimental results. → The configuration of the hysteretic loop at failure of RC girders can be approximated by a parallelogram. - Abstract: In order to establish a proper finite element model of prototype RC girder with sand element for impact response analysis, dynamic response analysis of RC girders with sand cushion subjected to impact force due to weight falling from the height of H = 2.5, 5, 7.5 and 10 m was performed to improve the state of the art of protective design for real scale rock-sheds by using LS-DYNA code. An applicability of proposed model was discussed comparing with experimental results (e.g. impact force, reaction force and displacement waves). From this study, dynamic characteristics of impact response can be better simulated by using the proposed model. As a result, when the sand cushion was set up, the impact force, reaction force, mid-span displacement waves, distribution of reaction force-displacement loops, and crack patterns obtained from the numerical analysis are in good agreement with those from the experimental results.

Sonographic appearance of anal cushions of hemorrhoids.

Science.gov (United States)

Aimaiti, Adilijiang; A Ba Bai Ke Re, Ma Mu Ti Jiang; Ibrahim, Irshat; Chen, Hui; Tuerdi, Maimaitituerxun; Mayinuer

2017-05-28

To evaluate the diagnostic value of different sonographic methods in hemorrhoids. Forty-two healthy volunteers and sixty-two patients with grades I-IV hemorrhoids received two different sonographic examinations from January 2013 to January 2016 at the First and Second Hospitals of Xinjiang Medical University in a prospective way. We analyzed the ultrasonographic findings of these participants and evaluated the outcomes. Resected grades III and IV hemorrhoid tissues were pathologically examined. The concordance of ultrasonographic results with pathology results was assessed with the Cohen's kappa coefficient. All healthy volunteers and all patients had no particular complications related to sonography. There were no statistically significant differences between the participants regarding age ( P = 0.5919), gender ( P = 0.4183), and persistent symptoms ( P > 0.8692). All healthy control participants had no special findings. However, 30 patients with hemorrhoids showed blood signals around the dentate line on ultrasonography. When grades I and II hemorrhoids were analyzed, there were no significant differences between transrectal ultrasound (TRUS), transperianal ultrasound (TPUS), and transvaginal ultrasound (TVUS) ( P > 0.05). Grades III and IV hemorrhoids revealed blood flow with different directions which could be observed as a "mosaic pattern". In patients with grades III and IV hemorrhoids, the number of patients with "mosaic pattern" as revealed by TRUS, TPUS and TVUS was 22, 12, and 4, respectively. Patients with grades III and IV disease presented with a pathologically abnormal cushion which usually appeared as a "mosaic pattern" in TPUS and an arteriovenous fistula in pathology. Subepithelial vessels of resected grades III and IV hemorrhoid tissues were manifested by obvious structural impairment and retrograde and ruptured changes of internal elastic lamina. Some parts of the Trietz's muscle showed hypertrophy and distortion. Arteriovenous fistulas and

Matrigel Mattress: A Method for the Generation of Single Contracting Human-Induced Pluripotent Stem Cell-Derived Cardiomyocytes.

Science.gov (United States)

Feaster, Tromondae K; Cadar, Adrian G; Wang, Lili; Williams, Charles H; Chun, Young Wook; Hempel, Jonathan E; Bloodworth, Nathaniel; Merryman, W David; Lim, Chee Chew; Wu, Joseph C; Knollmann, Björn C; Hong, Charles C

2015-12-04

The lack of measurable single-cell contractility of human-induced pluripotent stem cell-derived cardiac myocytes (hiPSC-CMs) currently limits the utility of hiPSC-CMs for evaluating contractile performance for both basic research and drug discovery. To develop a culture method that rapidly generates contracting single hiPSC-CMs and allows quantification of cell shortening with standard equipment used for studying adult CMs. Single hiPSC-CMs were cultured for 5 to 7 days on a 0.4- to 0.8-mm thick mattress of undiluted Matrigel (mattress hiPSC-CMs) and compared with hiPSC-CMs maintained on a control substrate (method enables the rapid generation of robustly contracting hiPSC-CMs and enhances maturation. This new method allows quantification of contractile performance at the single-cell level, which should be valuable to disease modeling, drug discovery, and preclinical cardiotoxicity testing. © 2015 American Heart Association, Inc.

A thermal model for amorphous silicon photovoltaic integrated in ETFE cushion roofs

International Nuclear Information System (INIS)

Zhao, Bing; Chen, Wujun; Hu, Jianhui; Qiu, Zhenyu; Qu, Yegao; Ge, Binbin

2015-01-01

Highlights: • A thermal model is proposed to estimate temperature of a-Si PV integrated in ETFE cushion. • Nonlinear equation is solved by Runge–Kutta method integrated in a new program. • Temperature profiles varying with weather conditions are obtained and analyzed. • Numerical results are in good line with experimental results with coefficients of 0.821–0.985. • Reasons for temperature difference of 0.9–4.6 K are solar irradiance and varying parameters. - Abstract: Temperature characteristics of amorphous silicon photovoltaic (a-Si PV) integrated in building roofs (e.g. the ETFE cushions) are indispensible for evaluating the thermal performances of a-Si PV and buildings. To investigate the temperature characteristics and temperature value, field experiments and numerical modeling were performed and compared in this paper. An experimental mock-up composed of a-Si PV and a three-layer ETFE cushion structure was constructed and experiments were carried out under four typical weather conditions (winter sunny, winter cloudy, summer sunny and summer cloudy). The measured solar irradiance and air temperature were used as the real weather conditions for the thermal model. On the other side, a theoretical thermal model was developed based on energy balance equation which was expressed as that absorbed energy was equal to converted energy and energy loss. The corresponding differential equation of PV temperature varying with weather conditions was solved by the Runge–Kutta method. The comparisons between the experimental and numerical results were focusing on the temperature characteristics and temperature value. For the temperature characteristics, good agreement was obtained by correlation analysis with the coefficients of 0.821–0.985, which validated the feasibility of the thermal model. For the temperature value, the temperature difference between the experimental and numerical results was only 0.9–4.6 K and the reasons could be the dramatical

Influence of Cushioning Variables in the Workplace and in the Family on the Probability of Suffering Stress.

Science.gov (United States)

Gonzalo, David Cárdenas

2016-09-01

Stress at work and in the family is a very common issue in our society that generates many health-related problems. During recent years, numerous studies have sought to define the term stress, raising many contradictions that various authors have studied. Other authors have attempted to establish some criteria, in subjective and not very quantitative ways, in an attempt to reduce and even to eliminate stressors and their effects at work and in the family context. The purpose of this study was to quantify so-called cushioning variables, such as control, social support, home/work life conciliation, and even sports and leisure activities, with the purpose of, as much as possible, reducing the negative effects of stress, which seriously affects the health of workers. The study employs data from the Fifth European Working Conditions Survey, in which nearly 44,000 interviewees from 34 countries in the European Union participated. We constructed a probabilistic model based on a Bayesian network, using variables from both the workplace and the family, the aforementioned cushioning variables, as well as the variable stress. If action is taken on the above variables, then the probabilities of suffering high levels of stress may be reduced. Such action may improve the quality of life of people at work and in the family.

The primary factor for suture configuration at rotator cuff repair: Width of mattress or distance from tear edge

Directory of Open Access Journals (Sweden)

Onur Hapa

2016-08-01

Conclusion: Bite size from the edge of the tendon seems to be more important than the width of the mattress. The curve of the suture passing device may also have an effect on the strength of the suture tendon interface.

Parameter Estimation and Verification of Unmanned Air Cushion Vehicle (UACV System

Directory of Open Access Journals (Sweden)

Ab Rashid Mohd Zamzuri

2017-01-01

Full Text Available This project is mainly about the dynamic modelling and parameter estimation of Unmanned Air Cushion Vehicle (UACV. The purpose of developing mathematical model of the Unmanned Air Cushion Vehicle (UACV is due to its under actuated nonlinearities where it has less input compared to the output required. This system able to maneuver over land, water and other surfaces either at certain speed or maintain at a stationary position. In order to model the UACV, the system is set to have two propellers which are responsible to lift the vehicle by forcing high pressure air under the system. The air inflates the “skirt” under the vehicle, causing it to rise above the surface while another two propellers are used to steer the UACV forward. UACV system can be considered as under actuated since it possess fewer controller inputs that its degree of freedom. The system’s motions are defined by the six degrees of freedom which are; heaved, sway and surge. Another three components are rotational motions which can be elaborated as roll, pitch and yaw. The problem related to UACV is normally related to obtaining accurate parameters of the system to be included into the mathematical model of the system. This is due to the body inertia of the system during the static and moving condition. Besides, the air that flows into the UACV skirt to create the cushion causes imbalance and will affect the system stability and controllability. In this research, UACV need to be mathematically modelled using Euler-Lagrange method. Then, parameters of the system can be obtained through direct calculation and Solidworks software. The parameters acquired are compared and verified using simulation and experimental studies.

Pressure ulcers prevention efficacy of an alternating pressure air mattress in elderly patients: E²MAO a randomised study.

Science.gov (United States)

Sauvage, P; Touflet, M; Pradere, C; Portalier, F; Michel, J-M; Charru, P; Passadori, Y; Fevrier, R; Hallet-Lezy, A-M; Beauchêne, F; Scherrer, B

2017-06-02

Our aim was to compare Axtair One, an alternating pressure air mattress (APAM), with a viscoelastic foam mattress (VFM) in elderly patients at moderate to high risk of developing pressure ulcers (PUs). A randomised, controlled, superiority, parallel-group, open-label, multicentre study, was conducted, between February 2012 and March 2015, in nine French, medium- and long-term stay facilities. Eligible patients were aged 70 and over, had no PUs on enrolment, were bedridden for at least 15 hours per day, had reduced mobility, an absent or minimal positioning capability, a Braden score 12 and a Karnofsky score elderly patients, bedridden for more than 15 hours per day, severely dependent, at moderate-to high-risk of PUs, with an instantaneous risk for the appearance of PUs 7.57 times greater in the VFM group than in the APAM group. This study provides descriptive information and evidence for practice.

Motion analysis of wheelchair propulsion movements in hemiplegic patients: effect of a wheelchair cushion on suppressing posterior pelvic tilt

OpenAIRE

Kawada, Kyohei; Matsuda, Tadamitsu; Takanashi, Akira; Miyazima, Shigeki; Yamamoto, Sumiko

2015-01-01

[Purpose] This study sought to ascertain whether, in hemiplegic patients, the effect of a wheelchair cushion to suppress pelvic posterior tilt when initiating wheelchair propulsion would continue in subsequent propulsions. [Subjects] Eighteen hemiplegic patients who were able to propel a wheelchair in a seated position participated in this study. [Methods] An adjustable wheelchair was fitted with a cushion that had an anchoring function, and a thigh pad on the propulsion side was removed. Pro...

Pressure RElieving Support SUrfaces: a Randomised Evaluation 2 (PRESSURE 2): study protocol for a randomised controlled trial.

Science.gov (United States)

Brown, Sarah; Smith, Isabelle L; Brown, Julia M; Hulme, Claire; McGinnis, Elizabeth; Stubbs, Nikki; Nelson, E Andrea; Muir, Delia; Rutherford, Claudia; Walker, Kay; Henderson, Valerie; Wilson, Lyn; Gilberts, Rachael; Collier, Howard; Fernandez, Catherine; Hartley, Suzanne; Bhogal, Moninder; Coleman, Susanne; Nixon, Jane E

2016-12-20

Pressure ulcers represent a major burden to patients, carers and the healthcare system, affecting approximately 1 in 17 hospital and 1 in 20 community patients. They impact greatly on an individual's functional status and health-related quality of life. The mainstay of pressure ulcer prevention practice is the provision of pressure redistribution support surfaces and patient repositioning. The aim of the PRESSURE 2 study is to compare the two main mattress types utilised within the NHS: high-specification foam and alternating pressure mattresses, in the prevention of pressure ulcers. PRESSURE 2 is a multicentre, open-label, randomised, double triangular, group sequential, parallel group trial. A maximum of 2954 'high-risk' patients with evidence of acute illness will be randomised on a 1:1 basis to receive either a high-specification foam mattress or alternating-pressure mattress in conjunction with an electric profiling bed frame. The primary objective of the trial is to compare mattresses in terms of the time to developing a new Category 2 or above pressure ulcer by 30 days post end of treatment phase. Secondary endpoints include time to developing new Category 1 and 3 or above pressure ulcers, time to healing of pre-existing Category 2 pressure ulcers, health-related quality of life, cost-effectiveness, incidence of mattress change and safety. Validation objectives are to determine the responsiveness of the Pressure Ulcer Quality of Life-Prevention instrument and the feasibility of having a blinded endpoint assessment using photography. The trial will have a maximum of three planned analyses with unequally spaced reviews at event-driven coherent cut-points. The futility boundaries are constructed as non-binding to allow a decision for stopping early to be overruled by the Data Monitoring and Ethics Committee. The double triangular, group sequential design of the PRESSURE 2 trial will provide an efficient design through the possibility of early stopping for

Digital Cushion Fatty Acid Composition and Lipid Metabolism Gene Network Expression in Holstein Dairy Cows Fed a High-Energy Diet.

Directory of Open Access Journals (Sweden)

Zeeshan Muhammad Iqbal

Full Text Available The hoof digital cushion is a complex structure composed of adipose tissue beneath the distal phalanx, i.e. axial, middle and abaxial fat pad. The major role of these fat depots is dampening compression of the corium underneath the cushion. The study aimed to determine expression of target genes and fatty acid profiles in the hoof of non-pregnant dry Holstein cows fed low (CON or high-energy (OVE diets. The middle fat pad of the hoof digital cushion was collected soon after slaughter. Despite the lack of effect on expression of the transcription regulators SREBF1 and PPARG, the expression of the lipogenic enzymes ACACA, FASN, SCD, and DGAT2 was upregulated with OVE. Along with the upregulation of G6PD and IDH1, important for NADPH synthesis during lipogenesis, and the basal glucose transporter SLC2A1, these data indicated a pro-lipogenic response in the digital cushion with OVE. The expression of the lipid droplet-associated protein PLIN2 was upregulated while expression of lipolytic enzymes (ATGL, ABDH5, and LIPE only tended to be upregulated with OVE. Therefore, OVE induced lipogenesis, lipid droplet formation, and lipolysis, albeit to different extents. Although concentration of monounsaturated fatty acids (MUFA did not differ, among the polyunsaturated fatty acids (PUFA, the concentration of 20:5n3 was lower with OVE. Among the saturated fatty acids, 20:0 concentration was greater with OVE. Although data indicated that the hoof digital cushion metabolic transcriptome is responsive to higher-energy diets, this did not translate into marked differences in the fatty acid composition. The decrease in concentration of PUFA, which could contribute to synthesis of inflammatory molecules, in OVE-fed cows indicated that feeding higher-energy diets might be detrimental for the mediation of inflammation in digital cushion. This effect could be further exacerbated by physiologic and endocrine changes during the peripartal period that favor inflammation.

The effect of cushion-ram pulsation on hot stamping

Science.gov (United States)

Landgrebe, Dirk; Rautenstrauch, Anja; Kunke, Andreas; Polster, Stefan; Kriechenbauer, Sebastian; Mauermann, Reinhard

2016-10-01

Hot stamping is an important technology for manufacturing high-strength components. This technology offers the possibility to achieve significant weight reductions. In this study, cushion-ram pulsation (CRP), a new technology for hot stamping on servo-screw presses, was investigated and applied for hot stamping. Compared to a conventional process, the tests yielded a significantly higher drawing depth. In this paper, the CRP technology and the first test results with hot stamping were described in comparison to the conventional process.

Biomechanical variables and perception of comfort in running shoes with different cushioning technologies.

Science.gov (United States)

Dinato, Roberto C; Ribeiro, Ana P; Butugan, Marco K; Pereira, Ivye L R; Onodera, Andrea N; Sacco, Isabel C N

2015-01-01

To investigate the relationships between the perception of comfort and biomechanical parameters (plantar pressure and ground reaction force) during running with four different types of cushioning technology in running shoes. Randomized repeated measures. Twenty-two men, recreational runners (18-45 years) ran 12km/h with running shoes with four different cushioning systems. Outcome measures included nine items related to perception of comfort and 12 biomechanical measures related to the ground reaction forces and plantar pressures. Repeated measure ANOVAs, Pearson correlation coefficients, and step-wise multiple regression analyses were employed (p≤0.05). No significant correlations were found between the perception of comfort and the biomechanical parameters for the four types of investigated shoes. Regression analysis revealed that 56% of the perceived general comfort can be explained by the variables push-off rate and pressure integral over the forefoot (p=0.015) and that 33% of the perception of comfort over the forefoot can be explained by second peak force and push-off rate (p=0.016). The results did not demonstrate significant relationships between the perception of comfort and the biomechanical parameters for the three types of shoes investigated (Gel, Air, and ethylene-vinyl acetate). Only the shoe with Adiprene+ technology had its general comfort and cushioning perception predicted by the loads over the forefoot. Thus, in general, one cannot predict the perception of comfort of a running shoe through impact and plantar pressure received. Copyright © 2013 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

Influence of Cushioning Variables in the Workplace and in the Family on the Probability of Suffering Stress

Directory of Open Access Journals (Sweden)

David Cárdenas Gonzalo

2016-09-01

Full Text Available Stress at work and in the family is a very common issue in our society that generates many health-related problems. During recent years, numerous studies have sought to define the term stress, raising many contradictions that various authors have studied. Other authors have attempted to establish some criteria, in subjective and not very quantitative ways, in an attempt to reduce and even to eliminate stressors and their effects at work and in the family context. The purpose of this study was to quantify so-called cushioning variables, such as control, social support, home/work life conciliation, and even sports and leisure activities, with the purpose of, as much as possible, reducing the negative effects of stress, which seriously affects the health of workers. The study employs data from the Fifth European Working Conditions Survey, in which nearly 44,000 interviewees from 34 countries in the European Union participated. We constructed a probabilistic model based on a Bayesian network, using variables from both the workplace and the family, the aforementioned cushioning variables, as well as the variable stress. If action is taken on the above variables, then the probabilities of suffering high levels of stress may be reduced. Such action may improve the quality of life of people at work and in the family.

Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients' temperatures in prehospital emergency care - an intervention study.

Science.gov (United States)

Aléx, Jonas; Karlsson, Stig; Björnstig, Ulf; Saveman, Britt-Inger

2015-01-01

Background The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients' exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients' temperatures in the prehospital emergency care. Methods A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30) was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30) no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS), subjective comments on cold experiences, and finger, ear and air temperatures. Results Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001) but decreased in the control group (p=0.014). A significant higher proportion (57%) of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, pthermal comfort and may prevent the negative consequences of cold stress.

Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients' temperatures in prehospital emergency care--an intervention study.

Science.gov (United States)

Aléx, Jonas; Karlsson, Stig; Björnstig, Ulf; Saveman, Britt-Inger

2015-01-01

The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients' exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients' temperatures in the prehospital emergency care. A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30) was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30) no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS), subjective comments on cold experiences, and finger, ear and air temperatures. Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001) but decreased in the control group (p=0.014). A significant higher proportion (57%) of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, pthermal comfort and may prevent the negative consequences of cold stress.

24 CFR 200.948 - Building product standards and certification program for carpet cushion.

Science.gov (United States)

2010-04-01

... Minimum Property Standards § 200.948 Building product standards and certification program for carpet... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Building product standards and certification program for carpet cushion. 200.948 Section 200.948 Housing and Urban Development Regulations...

Pin cushion plasmonic device for polarization beam splitting, focusing, and beam position estimation.

Science.gov (United States)

Lerman, Gilad M; Levy, Uriel

2013-03-13

Great hopes rest on surface plasmon polaritons' (SPPs) potential to bring new functionalities and applications into various branches of optics. In this paper, we demonstrate a pin cushion structure capable of coupling light from free space into SPPs, split them based on the polarization content of the illuminating beam of light, and focus them into small spots. We also show that for a circularly or randomly polarized light, four focal spots will be generated at the center of each quarter circle comprising the pin cushion device. Furthermore, following the relation between the relative intensity of the obtained four focal spots and the relative position of the illuminating beam with respect to the structure, we propose and demonstrate the potential use of our structure as a miniaturized plasmonic version of the well-known four quadrant detector. Additional potential applications may vary from multichannel microscopy and multioptical traps to real time beam tracking systems.

Magnetic resonance imaging in complete type endocardial cushion defect

International Nuclear Information System (INIS)

Li Kuncheng; Yang Xiaoping; Yao Xinyu; Yang Yunxia; Liu Yuqing; Pang Zhixian

1999-01-01

Objective: To evaluate the value and limitation of magnetic resonance imaging (MRI) in complete type endocardial cushion defect (ETECD). Methods: Eight patients (male 5, female 3) were scanned by MRI with ECG-gated spin echo (SE) and gradient echo (GE) cine techniques. The diagnosis of CTECD was made by X-ray plain film, echocardiography, X-ray right cardiac catheterization and angiocardiography, as well as MRI four patients were treated with operation. Results: Every chamber of the heart was enlarged, more serious in the right atrium and ventricle, with thickening of right ventricular wall on MRI in majority of cases. The endocardial cushion disappeared, so the four chambers of the heart were directly connected with each other, and presented a cross shape. Ventricular septal membrane defect and type I atrial septal defect were depicted also. The normal structure of mitral and tricuspid valves were not intact. There were 6 cases with pulmonary hypertension, 2 cases with Tetralogy of Fallot, 4 cases with right aorta arch and descending aorta, 1 patient with dextroverted heart and another with persistent left superior vena cava connected with coronary sinus. The cine MRI could directly depict the situation of left-right or right-left shunt at atrial and ventricular levels, and regurgitation from ventricles to atria, meanwhile the valves were depicted clearly. Conclusions: MRI can clearly demonstrate all anatomic deformation and complicated hemodynamic change of CTECD, as well as other coexistent deformations

The contribution of air cushioned vehicles in oil spill response

International Nuclear Information System (INIS)

McCarthy, M.W.; McGrath, J.

1993-01-01

On July 22, 1991, the Tuo Hai, a 46,500 ton Chinese grain carrier, collided with the Tenyo Maru, a 4,800 ton Japanese fish processing ship, off the coast of Washington State. The Tenyo Maru sank, creating an oil spill that cost upwards of $4 million (US) to clean up. The incident initiated a joint response from the US and Canadian governments. As part of this response, the Canadian Coast Guard mobilized an SRN-6 hovercraft. This air cushioned vehicle (ACV) provided logistical support to responders on both sides of the international boundary. The response operation along the Pacific Coast was extensive. Dense fog and the remote location of the impacted area provided formidable challenges to the cleanup effort. It was the mission scenario of the Canadian SRN-6 hovercraft to provide logistical support-as an experiment in ACV utility-to the organizations responding to this incident. Based on this experience, it can be argued that the hovercraft offers great potential value in responding to marine oil spills. Appropriate application of ACV technology can enhance oil spill response work, spill waste management, and incident surveillance. This paper discusses the contribution of the SRN-6 hovercraft to the Tenyo Maru response, briefly examines the use of another, very different hovercraft, during a response in the Gulf of St. Lawrence, and reviews a new hovercraft design and discusses its potential contributions

An Analysis of Skill Requirements for Operators of Amphibious Air Cushion Vehicles (ACVs).

Science.gov (United States)

McKnight, A. James; And Others

This report describes the skills required in the operation of an amphibious air cushion vehicle (ACV) in Army tactical and logistic missions. The research involved analyzing ACV characteristics, operating requirements, environmental effects, and results of a simulation experiment. The analysis indicates that ACV operation is complicated by an…

THE COMPLEX OF STANDS FOR TESTING THE AIR CUSHION CHASSIS OF AIRCRAFT AND VEHICLES

Directory of Open Access Journals (Sweden)

2016-01-01

Full Text Available This article deals with a set of stands made in NIMK TSAGI for testing and creating the air cushion chassis for the aircraft and vehicles. It allows to fully embrace the process of developing and constructing the air cushion chassis for air- craft and solve problems relating to peculiarities of such aircraft on the takeoff, landing and movement in the elementary prepared and unprepared soil runways, flat terrain and water areas. The complex includes: the experimental installation to study aeroelasticity phenomena of the chassis in the extending and retracting process with simulation of aircraft and ekran- oplane takeoff and landing modes in the air flow, including the wind tunnels; the experimental stand with vertical screen for testing of ekranoplane models in T-5 wind tunnel of NIMC TsAGI, permitting to simultaneously vary the model’s posi- tion relatively to the screen, roll, pitch (angle of attack, and banking; mobile experimental stand with contact crawler gear, for experimental determination and comparative evaluation of the chassis with different patterns of formation and air cush- ion fences for all-year-round testing in natural conditions at elementary-prepared and unprepared sites and water areas. Based on mathematical simulation of flow past in the wind tunnel the possibility of use booth stand with vertical screen and experimental installation to study aeroelasticity phenomena of the chassis for experimental studies, respectively, by defini- tion of the aerodynamic characteristics of forces and moments of the air cushion aircraft and ekranoplanes models and the research of phenomena of aeroelasticity of flexible fencing is substantiated.

Motion analysis of wheelchair propulsion movements in hemiplegic patients: effect of a wheelchair cushion on suppressing posterior pelvic tilt.

Science.gov (United States)

Kawada, Kyohei; Matsuda, Tadamitsu; Takanashi, Akira; Miyazima, Shigeki; Yamamoto, Sumiko

2015-03-01

[Purpose] This study sought to ascertain whether, in hemiplegic patients, the effect of a wheelchair cushion to suppress pelvic posterior tilt when initiating wheelchair propulsion would continue in subsequent propulsions. [Subjects] Eighteen hemiplegic patients who were able to propel a wheelchair in a seated position participated in this study. [Methods] An adjustable wheelchair was fitted with a cushion that had an anchoring function, and a thigh pad on the propulsion side was removed. Propulsion movements from the seated position without moving through three propulsion cycles were measured using a three-dimensional motion analysis system, and electromyography was used to determine the angle of pelvic posterior tilt, muscle activity of the biceps femoris long head, and propulsion speed. [Results] Pelvic posterior tilt could be suppressed through the three propulsion cycles, which served to increase propulsion speed. Muscle activity of the biceps femoris long head was highest when initiating propulsion and decreased thereafter. [Conclusion] The effect of the wheelchair cushion on suppressing pelvic posterior tilt continued through three propulsion cycles.

A Comparison of Cervical Spine Motion After Immobilization With a Traditional Spine Board and Full-Body Vacuum-Mattress Splint.

Science.gov (United States)

Etier, Brian E; Norte, Grant E; Gleason, Megan M; Richter, Dustin L; Pugh, Kelli F; Thomson, Keith B; Slater, Lindsay V; Hart, Joe M; Brockmeier, Stephen F; Diduch, David R

2017-12-01

The National Athletic Trainers' Association (NATA) advocates for cervical spine immobilization on a rigid board or vacuum splint and for removal of athletic equipment before transfer to an emergency medical facility. To (1) compare triplanar cervical spine motion using motion capture between a traditional rigid spine board and a full-body vacuum splint in equipped and unequipped athletes, (2) assess cervical spine motion during the removal of a football helmet and shoulder pads, and (3) evaluate the effect of body mass on cervical spine motion. Controlled laboratory study. Twenty healthy male participants volunteered for this study to examine the influence of immobilization type and presence of equipment on triplanar angular cervical spine motion. Three-dimensional cervical spine kinematics was measured using an electromagnetic motion analysis system. Independent variables included testing condition (static lift and hold, 30° tilt, transfer, equipment removal), immobilization type (rigid, vacuum-mattress), and equipment (on, off). Peak sagittal-, frontal-, and transverse-plane angular motions were the primary outcome measures of interest. Subjective ratings of comfort and security did not differ between immobilization types ( P > .05). Motion between the rigid board and vacuum splint did not differ by more than 2° under any testing condition, either with or without equipment. In removing equipment, the mean peak motion ranged from 12.5° to 14.0° for the rigid spine board and from 11.4° to 15.4° for the vacuum-mattress splint, and more transverse-plane motion occurred when using the vacuum-mattress splint compared with the rigid spine board (mean difference, 0.14 deg/s [95% CI, 0.05-0.23 deg/s]; P = .002). In patients weighing more than 250 lb, the rigid board provided less motion in the frontal plane ( P = .027) and sagittal plane ( P = .030) during the tilt condition and transfer condition, respectively. The current study confirms similar motion in the

Experimental research and numerical optimisation of multi-point sheet metal forming implementation using a solid elastic cushion system

Science.gov (United States)

Tolipov, A. A.; Elghawail, A.; Shushing, S.; Pham, D.; Essa, K.

2017-09-01

There is a growing demand for flexible manufacturing techniques that meet the rapid changes in customer needs. A finite element analysis numerical optimisation technique was used to optimise the multi-point sheet forming process. Multi-point forming (MPF) is a flexible sheet metal forming technique where the same tool can be readily changed to produce different parts. The process suffers from some geometrical defects such as wrinkling and dimpling, which have been found to be the cause of the major surface quality problems. This study investigated the influence of parameters such as the elastic cushion hardness, blank holder force, coefficient of friction, cushion thickness and radius of curvature, on the quality of parts formed in a flexible multi-point stamping die. For those reasons, in this investigation, a multipoint forming stamping process using a blank holder was carried out in order to study the effects of the wrinkling, dimpling, thickness variation and forming force. The aim was to determine the optimum values of these parameters. Finite element modelling (FEM) was employed to simulate the multi-point forming of hemispherical shapes. Using the response surface method, the effects of process parameters on wrinkling, maximum deviation from the target shape and thickness variation were investigated. The results show that elastic cushion with proper thickness and polyurethane with the hardness of Shore A90. It has also been found that the application of lubrication cans improve the shape accuracy of the formed workpiece. These final results were compared with the numerical simulation results of the multi-point forming for hemispherical shapes using a blank-holder and it was found that using cushion hardness realistic to reduce wrinkling and maximum deviation.

Species traits and their non-additive interactions control the water economy of bryophyte cushions.

NARCIS (Netherlands)

Michel, P.; Lee, W.G.; During, H.J.; Cornelissen, J.H.C.; van der Putten, W.H.

2012-01-01

1. Ecological processes in mixed-species assemblages are not always an additive function of those in monocultures. In areas with high ground cover of bryophytes, renowned for their considerable water retention capacity, non-additive interactions in mixed-species cushions could play a key role in the

Study on the stability of waterpower-speed control system for hydropower station with air cushion surge chamber

International Nuclear Information System (INIS)

Guo, W C; Yang, J D; Chen, J P; Teng, Y

2014-01-01

According to the fact that the effects of penstock, unit and governor on stability of water level fluctuation for hydropower station with air cushion surge chamber are neglected in previous researches, in this paper, Thoma assumption is broken through, the complete mathematical model of waterpower-speed control system for hydropower station with air cushion surge chamber is established, and the comprehensive transfer function and linear homogeneous differential equation that characterize the dynamic characteristics of system are derived. The stability domain that characterizes the good or bad of stability quantitatively is drawn by using the stability conditions. The effects of the fluid inertia in water diversion system, the air cushion surge chamber parameters, hydraulic turbine characteristics, generator characteristics, and regulation modes of governor on the stability of waterpower-speed control system are analyzed through stability domain. The main conclusions are as follows: The fluid inertia in water diversion system and hydraulic turbine characteristics have unfavorable effects on the system while generator characteristics have favorable effect. The stability keeps getting better with the increase of chamber height and basal area and the decrease of air pressure and air polytropic exponent. The stability of power regulation mode is obviously better than that of frequency regulation mode

Novel wireless health monitor with acupuncture bio-potentials obtained by using a replaceable salt-water-wetted foam-rubber cushions on RFID-tag.

Science.gov (United States)

Lin, Jium-Ming; Lu, Hung-Han; Lin, Cheng-Hung

2014-01-01

This paper proposes a bio-potential measurement apparatus including a wireless device for transmitting acupuncture bio-potential information to a remote control station for health conditions analysis and monitor. The key technology of this system is to make replaceable foam-rubber cushions, double-side conducting tapes, chip and antenna on the radio frequency identification (RFID) tag. The foam-rubber cushions can be wetted with salt-water and contact with the acupuncture points to reduce contact resistance. Besides, the double-side conducting tapes are applied to fix foam-rubber cushions. Thus, one can peel the used cushions or tapes away and supply new ones quickly. Since the tag is a flexible plastic substrate, it is easy to deploy on the skin. Besides, the amplifier made by CMOS technology on RFID chip could amplify the signals to improve S/N ratio and impedance matching. Thus, cloud server can wirelessly monitor the health conditions. An example shows that the proposed system can be used as a wireless health condition monitor, the numerical method and the criteria are given to analyze eleven bio-potentials for the important acupunctures of eleven meridians on a person's hands and legs. Then a professional doctor can know the performance of an individual and the cross-linking effects of the organs.

A Randomized, Crossover Trial of a Novel Sound-to-Sleep Mattress Technology in Children with Autism and Sleep Difficulties.

Science.gov (United States)

Frazier, Thomas W; Krishna, Jyoti; Klingemier, Eric; Beukemann, Mary; Nawabit, Rawan; Ibrahim, Sally

2017-01-15

This preliminary study investigated the tolerability and efficacy of a novel mattress technology-the Sound-To-Sleep (STS) system-in the treatment of sleep problems in children with autism. After screening, 45 children, ages 2.5 to 12.9 years, were randomized to order of mattress technology use (On-Off vs. Off-On). Treatment conditions (On vs. Off) lasted two weeks with immediate crossover. Tolerability, including study discontinuation and parent-report of mattress tolerance and ease of use, was tracked throughout the study. Efficacy assessments were obtained at baseline, prior to crossover, and end of study and included measures of autism traits, other psychopathology symptoms, sensory abnormalities, communication difficulties, quality of life, sleep diary parameters, and single-blinded actigraphy-derived sleep parameters. Statistical analyses evaluated differences in tolerability and efficacy when the STS system was on versus off. STS system use was well tolerated (n = 2, 4.4% dropout) and resulted in parent-reported sleep quality improvements (STS off mean = 4.3, 95% CI = 4.05-4.54 vs. on mean = 4.9, 95%CI = 4.67-5.14). The technology was described by parents as very easy to use and child tolerance was rated as good. Parent-diary outcomes indicated improvements in falling asleep and reduced daytime challenging behavior. Actigraphy-derived sleep parameters indicated improved sleep duration and sleep efficiency. Improvements in child and family quality of life were identified on parent questionnaires. A future large sample phase 2 trial of the STS system is warranted and would benefit from extended study duration, an objective primary efficacy outcome, and careful attention to methodological issues that promote compliance with the intervention and study procedures. © 2017 American Academy of Sleep Medicine

What is the best support surface in prevention and treatment, as of 2012, for a patient at risk and/or suffering from pressure ulcer sore? Developing French guidelines for clinical practice.

Science.gov (United States)

Colin, D; Rochet, J-M; Ribinik, P; Barrois, B; Passadori, Y; Michel, J-M

2012-10-01

The use of support surfaces in the prevention and treatment of pressure ulcers prevention is an important part of care for a patient at risk and/or suffering from sore(s). Define which support surfaces to use in prevention and treatment of at-risk and/or pressure sore patients. A systematic review of the literature querying the several Pascal Biomed, PubMed and Cochrane Library databases from 2000 through 2010. RESULTS (GRADE A): In prevention, a structured foam mattress is more efficient than a standard hospital mattress. An alternating pressure mattress is more effective than a visco-elastic mattress limiting the occurrence heel pressure ulcers, but those that do occur are more serious. A low-air-loss bed is more efficient than a mixed pulsating air mattress in prevention of heel pressure ulcers. Some types of sheepskin can reduce sacral pressure ulcer incidence in orthopedic patients. Use of an overlay on an operating table limits the occurrence of peroperative and postoperative pressure ulcers. An air-fluidized bed improves pressure ulcer healing. The data in the literature are not always relevant and do not suffice to dictate a clinician's choices. We are compelled to recognize the methodological limitations of many studies, the lack of corporate interest in conducting such studies and the relatively small number of available trials. However, the effectiveness of some support surfaces reaches a sufficient level of evidence, especially when they are associated with postural, hydration and nutritional measures. Support surfaces are recommended in prevention and treatment of patients at risk and/or already suffering from pressure ulcer, and their use should constitute part of an overall preventive or curative strategy. Copyright © 2012. Published by Elsevier Masson SAS.

Multi-method investigation of cushion peatlands (

Science.gov (United States)

Forbriger, M.; Schittek, K.; Höfle, B.; Siart, C.; Eitel, B.

2012-04-01

This study presents a multi-method and multi-proxy approach for palaeonvironmental investigations in the western andean cordillera of southern Peru (Lucanas province, 14° S) using cushion peatlands as terrestrial geoarchives. The region stretching between the Altiplano and the Peruvian desert in the lowland shares a long term settlement history, in which local cultures adapted to climate change in many different ways. Being one of the most outstanding human remains, the abri below Cerro Llamoca, 4.450 m a.s.l. in the uppermost ranges of the Llamoca peatland catchment area further reveals an occupation history of almost 10.000 years, as revealed by latest archaeological investigations. In remote and highly elevated regions such as the central Andes, cushion peatlands basically represent the only high resolution terrestrial archives suitable for geoarchaeological and palaeoenvironmental studies. Characterized by high accumulation rates, they ideally document environmental changes, particularly at small time intervals. Within the multidisciplinary project 'Andean Transect - Climate Sensitivity of pre-Columbian Man-Environment-Systems' several sediment cores with depths up to 11.5 m b.s. were recovered from the Llamoca peatland. Based on almost 100 AMS 14C-datings they provide a chronology of 8000 years and, thus, offer profound insights into climatic and environmental changes in the study area. While nearly homogeneous peat layers record stable environmental conditions, the heterogeneous granulometric composition of intercalated sediment layers documents several periods of intense geomorphodynamic activity. Due to high resolution geochemical analyses of peat layers (1 cm interval; humification degree, CNS measurements, XRF-scanning), the existence of slight and short-term trends of landscape development during these phases can be identified. Additional pollen, charred particles and plant macrofossil analyses confirm these findings and help reconstructing local

Application of the air/water cushion technology for handling of heavy waste packages in Sweden and France

International Nuclear Information System (INIS)

Bosgiraud, Jean-Michel; Seidler, Wolf K.; Londe, Louis; Thurner, Erik; Pettersson, Stig

2008-01-01

The disposal of certain types of radioactive waste canisters in a deep repository involves handling and emplacement of very heavy loads. The weight of these particular canisters can be in the order of 20 to 50 metric tons. They generally have to be handled underground in openings that are not much larger than the canisters themselves as it is time consuming and expensive to excavate and backfill large openings in a repository. This therefore calls for the development of special technology that can meet the requirements for safe operation in an industrial scale in restrained operating spaces. Air/water cushion lifting systems are used world wide in the industry for moving heavy loads. However, until now the technology needed for emplacing heavy cylindrical radioactive waste packages in bored drifts (with narrow annular gaps) has not been developed or demonstrated previously. This paper describes the related R and D work carried out by ANDRA (for air cushion technology) and by SKB and Posiva (for water cushion technology) respectively, mainly within the framework of the European Commission (EC) funded Integrated Project called ESDRED (6th European Framework Programme). The background for both the air and the water cushion applications is presented. The specific characteristics of the two different emplacement concepts are also elaborated. The various phases of the Test Programmes (including the Prototype phases) are detailed and illustrated for the two lifting media. Conclusions are drawn for each system developed and evaluated. Finally, based on the R and D experience, improvements deemed necessary for an industrial application are listed. The tests performed so far have shown that the emplacement equipment developed is operating efficiently. However further tests are required to verify the availability and the reliability of the equipment over longer periods of time and to identify the modifications that would be needed for an industrial application in a nuclear

A lumbar body support (KBS 2000) alters lumbar muscle recruitment ...

African Journals Online (AJOL)

random order) either a flat conventional mattress or a LBS placed on top of the ... mirrored these changes and were higher in patients only when lying on the flat ... While studies have examined the effect of lumbar support on LBP during sitting ... measured using a 4-channel EMG and customised software programme (EM8 ...

Overlapping and differential localization of Bmp-2, Bmp-4, Msx-2 and apoptosis in the endocardial cushion and adjacent tissues of the developing mouse heart.

Science.gov (United States)

Abdelwahid, E; Rice, D; Pelliniemi, L J; Jokinen, E

2001-07-01

The bone morphogenetic proteins BMP-2 and BMP-4 and the homeobox gene MSX-2 are required for normal development of many embryonic tissues. To elucidate their possible roles during the remodeling of the tubular heart into a fully septated four-chambered heart, we have localized the mRNA of Bmp-2, Bmp-4, Msx-2 and apoptotic cells in the developing mouse heart from embryonic day (E)11 to E17. mRNA was localized by in situ hybridization, and apoptotic cells by TUNEL (TDT-mediated dUTP-biotin nick end-labeling) as well as by transmission electron microscopy. By analyzing adjacent serial sections, we demonstrated that the expression of Msx-2 and Bmp-2 strikingly overlapped in the atrioventricular canal myocardium, in the atrioventricular junctional myocardium, and in the maturing myocardium of the atrioventricular valves. Bmp-4 was expressed in the outflow tract myocardium and in the endocardial cushion of the outflow tract ridges from E12 to E14. Msx-2 appeared in the mesenchyme of the atrioventricular endocardial cushion from E11 to E14, while Bmp-2 and Bmp-4 were detected between E11 and E14. Apoptotic cells were also detected in the mesenchyme of the endocardial cushion between E12 and E14. Our results suggest that BMP-2 and MSX-2 are tightly linked to the formation of the atrioventricular junction and valves and that BMP-4 is involved in the development of the outflow tract myocardium and of the endocardial cushion. In addition, BMP-2, BMP-4 and MSX-2 and apoptosis seem to be associated with differentiation of the endocardial cushion.

Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients’ temperatures in prehospital emergency care – an intervention study

Directory of Open Access Journals (Sweden)

Jonas Aléx

2015-09-01

Full Text Available Background: The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients’ exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients’ temperatures in the prehospital emergency care. Methods: A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30 was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30 no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS, subjective comments on cold experiences, and finger, ear and air temperatures. Results: Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001 but decreased in the control group (p=0.014. A significant higher proportion (57% of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, p<0.001. At arrival, finger, ear and compartment air temperature showed no statistical significant difference between groups. Mean transport time was approximately 15 minutes. Conclusions: The use of active heat from underneath increases the patients’ thermal comfort and may prevent the negative consequences of cold stress.

Bacterial community of cushion plant Thylacospermum ceaspitosum on elevational gradient in the Himalayan cold desert.

Science.gov (United States)

Řeháková, Klára; Chroňáková, Alica; Krištůfek, Václav; Kuchtová, Barbora; Čapková, Kateřina; Scharfen, Josef; Čapek, Petr; Doležal, Jiří

2015-01-01

Although bacterial assemblages are important components of soils in arid ecosystems, the knowledge about composition, life-strategies, and environmental drivers is still fragmentary, especially in remote high-elevation mountains. We compared the quality and quantity of heterotrophic bacterial assemblages between the rhizosphere of the dominant cushion-forming plant Thylacospermum ceaspitosum and its surrounding bulk soil in two mountain ranges (East Karakoram: 4850-5250 m and Little Tibet: 5350-5850 m), in communities from cold steppes to the subnival zone in Ladakh, arid Trans-Himalaya, northwest India. Bacterial communities were characterized by molecular fingerprinting in combination with culture-dependent methods. The effects of environmental factors (elevation, mountain range, and soil physico-chemical parameters) on the bacterial community composition and structure were tested by multivariate redundancy analysis and conditional inference trees. Actinobacteria dominate the cultivable part of community and represent a major bacterial lineage of cold desert soils. The most abundant genera were Streptomyces, Arthrobacter, and Paenibacillus, representing both r- and K-strategists. The soil texture is the most important factor for the community structure and the total bacteria counts. Less abundant and diverse assemblages are found in East Karakoram with coarser soils derived from leucogranite bedrock, while more diverse assemblages in Little Tibet are associated with finer soils derived from easily weathering gneisses. Cushion rhizosphere is in general less diverse than bulk soil, and contains more r-strategists. K-strategists are more associated with the extremes of the gradient, with drought at lowest elevations (4850-5000 m) and frost at the highest elevations (5750-5850 m). The present study illuminates the composition of soil bacterial assemblages in relation to the cushion plant T. ceaspitosum in a xeric environment and brings important information about

Production of inert gas for substitution of a part of the cushion gas trapped in an aquifer underground storage reservoir

International Nuclear Information System (INIS)

Berger, L.; Arnoult, J.P.

1990-01-01

In a natural gas storage reservoir operating over the different seasons, a varying fraction of the injected gas, the cushion gas, remains permanently trapped. This cushion gas may represent more than half the total gas volume, and more than 50% of the initial investment costs for the storage facility. Studies conducted by Gaz de France, backed up by experience acquired over the years, have shown that at least 20% of the cushion gas could be replaced by a less expensive inert gas. Nitrogen, carbon dioxide, or a mixture of the two, satisfy the specifications required for this inert gas. Two main production methods exist: recovery of natural gas combustion products (mixture of 88% N 2 and 12% Co 2 ) and physical separation of air components (more or less pure N 2 , depending on industrial conditions). For the specific needs of Gaz de France, the means of production must be suited to its programme of partial cushion gas substitution. The equipment must satisfy requirements of autonomy, operating flexibility and mobility. Gaz de France has tested two units for recovery of natural gas combustion products. In the first unit, the inert gas is produced in a combustion chamber, treated in a catalytic reactor to reduce nitrogen oxide content and then compressed by gas engine driven compressors. In the second unit, the exhaust gases of the compressor gas engines are collected, treated to eliminate nitrogen oxides and then compressed. The energy balance is improved. A PSA method nitrogen production unit by selective absorption of nitrogen in the air, will be put into service in 1989. The specific features of these two methods and the reasons for choosing them will be reviewed. (author). 1 fig

A comparative study between an improved novel air-cushion sensor and a wheeled probe for minimally invasive surgery.

Science.gov (United States)

Zbyszewski, Dinusha; Challacombe, Benjamin; Li, Jichun; Seneviratne, Lakmal; Althoefer, Kaspar; Dasgupta, Prokar; Murphy, Declan

2010-07-01

We describe a comparative study between an enhanced air-cushion tactile sensor and a wheeled indentation probe. These laparoscopic tools are designed to rapidly locate soft-tissue abnormalities during minimally invasive surgery (MIS). The air-cushion tactile sensor consists of an optically based sensor with a 7.8 mm sphere "floating" on a cushion of air at the tip of a shaft. The wheeled indentation probe is a 10 mm wide and 5 mm in diameter wheel mounted to a force/torque sensor. A continuous rolling indentation technique is used to pass the sensors over the soft-tissue surfaces. The variations in stiffness of the viscoelastic materials that are detected during the rolling indentations are illustrated by stiffness maps that can be used for tissue diagnosis. The probes were tested by having to detect four embedded nodules in a silicone phantom. Each probe was attached to a robotic manipulator and rolled over the silicone phantom in parallel paths. The readings of each probe collected during the process of rolling indentation were used to achieve the final results. The results show that both sensors reliably detected the areas of variable stiffness by accurately identifying the location of each nodule. These are illustrated in the form of two three-dimensional spatiomechanical maps. These probes have the potential to be used in MIS because they could provide surgeons with information on the mechanical properties of soft tissue, consequently enhancing the reduction in haptic feedback.

Shoe cushioning, body mass and running biomechanics as risk factors for running injury: a study protocol for a randomised controlled trial.

Science.gov (United States)

Malisoux, Laurent; Delattre, Nicolas; Urhausen, Axel; Theisen, Daniel

2017-08-21

Repetitive loading of the musculoskeletal system is suggested to be involved in the underlying mechanism of the majority of running-related injuries (RRIs). Accordingly, heavier runners are assumed to be at a higher risk of RRI. The cushioning system of modern running shoes is expected to protect runners again high impact forces, and therefore, RRI. However, the role of shoe cushioning in injury prevention remains unclear. The main aim of this study is to investigate the influence of shoe cushioning and body mass on RRI risk, while exploring simultaneously the association between running technique and RRI risk. This double-blinded randomised controlled trial will involve about 800 healthy leisure-time runners. They will randomly receive one of two running shoe models that will differ in their cushioning properties (ie, stiffness) by ~35%. The participants will perform a running test on an instrumented treadmill at their preferred running speed at baseline. Then they will be followed up prospectively over a 6-month period, during which they will self-report all their sports activities as well as any injury in an internet-based database TIPPS (Training and Injury Prevention Platform for Sports). Cox regression analyses will be used to compare injury risk between the study groups and to investigate the association among training, biomechanical and anatomical risk factors, and injury risk. The study was approved by the National Ethics Committee for Research (Ref: 201701/02 v1.1). Outcomes will be disseminated through publications in peer-reviewed journals, presentations at international conferences, as well as articles in popular magazines and on specialised websites. NCT03115437, Pre-results. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Mitigation of Ground Vibration due to Collapse of a Large-Scale Cooling Tower with Novel Application of Materials as Cushions

Directory of Open Access Journals (Sweden)

Feng Lin

2017-01-01

Full Text Available Ground vibration induced by the collapse of large-scale cooling towers in nuclear power plants (NPPs has recently been realized as a potential secondary disaster to adjacent nuclear-related facilities with demands for vibration mitigation. The previous concept to design cooling towers and nuclear-related facilities operating in a containment as isolated components in NPPs is inappropriate in a limited site which is the cases for inland NPPs in China. This paper presents a numerical study on the mitigation of ground vibration in a “cooling tower-soil-containment” system via a novel application of two materials acting as cushions underneath cooling towers, that is, foamed concrete and a “tube assembly.” Comprehensive “cooling tower-cushion-soil” models were built with reasonable cushion material models. Computational cases were performed to demonstrate the effect of vibration mitigation using seven earthquake waves. Results found that collapse-induced ground vibrations at a point with a distance of 300 m were reduced in average by 91%, 79%, and 92% in radial, tangential, and vertical directions when foamed concrete was used, and the vibrations at the same point were reduced by 53%, 32%, and 59% when the “tube assembly” was applied, respectively. Therefore, remarkable vibration mitigation was achieved in both cases to enhance the resilience of the “cooling tower-soil-containment” system against the secondary disaster.

Intimal cushions and endothelial nuclear elongation around mouse aortic branches and their spatial correspondence with patterns of lipid deposition

Science.gov (United States)

Bond, Andrew R.; Ni, Chih-Wen; Jo, Hanjoong

2010-01-01

Spatial variation in hemodynamic stresses acting on the arterial wall may explain the nonuniform distribution of atherosclerosis. In thoracic aortas of LDL receptor/apolipoprotein E double knockout mice, lesions develop preferentially around the entire circumference of intercostal branch ostia, regardless of age, with the highest prevalence occurring upstream. Additional chevron-shaped lesions occur further upstream of the ostia. This pattern differs from the age-related ones occurring in people and rabbits. In the present study, patterns of near-wall blood flow around intercostal ostia in wild-type mice were estimated from the morphology of endothelial nuclei, which were shown in vitro to elongate in response to elevated shear stress and to align with the flow, and wall structure was assessed from confocal and scanning electron microscopy. A triangular intimal cushion surrounded the upstream part of most ostia. Nuclear length-to-width ratios were lowest over this cushion and highest at the sides of branches, regardless of age. Nuclear orientations were consistent with flow diverging around the branch. The pattern of nuclear morphology differed from the age-related ones observed in rabbits. The intimal cushion and the distribution of shear stress inferred from these observations can partly account for the pattern of lesions observed in knockout mice. Nuclear elongation in nonbranch regions was approximately constant across animals of different size, demonstrating the existence of a mechanism by which endothelial cells compensate for the dependence of mean aortic wall shear stress on body mass. PMID:19933414

Posture Detection Based on Smart Cushion for Wheelchair Users

Directory of Open Access Journals (Sweden)

Congcong Ma

2017-03-01

Full Text Available The postures of wheelchair users can reveal their sitting habit, mood, and even predict health risks such as pressure ulcers or lower back pain. Mining the hidden information of the postures can reveal their wellness and general health conditions. In this paper, a cushion-based posture recognition system is used to process pressure sensor signals for the detection of user’s posture in the wheelchair. The proposed posture detection method is composed of three main steps: data level classification for posture detection, backward selection of sensor configuration, and recognition results compared with previous literature. Five supervised classification techniques—Decision Tree (J48, Support Vector Machines (SVM, Multilayer Perceptron (MLP, Naive Bayes, and k-Nearest Neighbor (k-NN—are compared in terms of classification accuracy, precision, recall, and F-measure. Results indicate that the J48 classifier provides the highest accuracy compared to other techniques. The backward selection method was used to determine the best sensor deployment configuration of the wheelchair. Several kinds of pressure sensor deployments are compared and our new method of deployment is shown to better detect postures of the wheelchair users. Performance analysis also took into account the Body Mass Index (BMI, useful for evaluating the robustness of the method across individual physical differences. Results show that our proposed sensor deployment is effective, achieving 99.47% posture recognition accuracy. Our proposed method is very competitive for posture recognition and robust in comparison with other former research. Accurate posture detection represents a fundamental basic block to develop several applications, including fatigue estimation and activity level assessment.

A Novel Repair Method for Radial Tears of the Medial Meniscus: Biomechanical Comparison of Transtibial 2-Tunnel and Double Horizontal Mattress Suture Techniques Under Cyclic Loading.

Science.gov (United States)

Bhatia, Sanjeev; Civitarese, David M; Turnbull, Travis Lee; LaPrade, Christopher M; Nitri, Marco; Wijdicks, Coen A; LaPrade, Robert F

2016-03-01

Complete radial tears of the medial meniscus have been reported to be functionally similar to a total meniscectomy. At present, there is no consensus on an ideal technique for repair of radial midbody tears of the medial meniscus. Prior attempts at repair with double horizontal mattress suture techniques have led to a reportedly high rate of incomplete healing or healing in a nonanatomic (gapped) position, which compromises the ability of the meniscus to withstand hoop stresses. A newly proposed 2-tunnel radial meniscal repair method will result in decreased gapping and increased ultimate failure loads compared with the double horizontal mattress suture repair technique under cyclic loading. Controlled laboratory study. Ten matched pairs of male human cadaveric knees (average age, 58.6 years; range, 48-66 years) were used. A complete radial medial meniscal tear was made at the junction of the posterior one-third and middle third of the meniscus. One knee underwent a horizontal mattress inside-out repair, while the contralateral knee underwent a radial meniscal repair entailing the same technique with a concurrent novel 2-tunnel repair. Specimens were potted and mounted on a universal testing machine. Each specimen was cyclically loaded 1000 times with loads between 5 and 20 N before experiencing a load to failure. Gap distances at the tear site and failure load were measured. The 2-tunnel repairs exhibited a significantly stronger ultimate failure load (median, 196 N; range, 163-212 N) than did the double horizontal mattress suture repairs (median, 106 N; range, 63-229 N) (P = .004). In addition, the 2-tunnel repairs demonstrated decreased gapping at all testing states (P meniscus significantly decrease the ability of the meniscus to dissipate tibiofemoral loads, predisposing patients to early osteoarthritis. Improving the ability to repair medial meniscal radial tears in a way that withstands cyclic loads and heals in an anatomic position could significantly

Reduced energy and volume air pump for a seat cushion

Energy Technology Data Exchange (ETDEWEB)

Vaughn, M.R.; Constantineau, E.J.; Groves, G.E.

1997-08-19

An efficient pump system is described for transferring air between sets of bladders in a cushion. The pump system utilizes a reversible piston within a cylinder in conjunction with an equalizing valve in the piston which opens when the piston reaches the end of travel in one direction. The weight of a seated user then forces air back across the piston from an inflated bladder to the previously deflated bladder until the pressure is equalized. In this fashion the work done by the pump is cut in half. The inflation and deflation of the different bladders is controlled to vary the pressure on the several pressure points of a seated user. A principal application is for wheel chair use to prevent pressure ulcers. 12 figs.

Reduced energy and volume air pump for a seat cushion

Energy Technology Data Exchange (ETDEWEB)

Vaughn, Mark R. (Albuquerque, NM); Constantineau, Edward J. (Albuquerque, NM); Groves, Gordon E. (Tijeras, NM)

1997-01-01

An efficient pump system for transferring air between sets of bladders in a cushion. The pump system utilizes a reversible piston within a cylinder in conjunction with an equalizing valve in the piston which opens when the piston reaches the end of travel in one direction. The weight of a seated user then forces air back across the piston from an inflated bladder to the previously deflated bladder until the pressure is equalized. In this fashion the work done by the pump is cut in half. The inflation and deflation of the different bladders is controlled to vary the pressure on the several pressure points of a seated user. A principal application is for wheel chair use to prevent pressure ulcers.

Rain erosion of wind turbine blade coatings using discrete water jets: Effects of water cushioning, substrate geometry, impact distance, and coating properties

DEFF Research Database (Denmark)

Zhang, Shizhong; Dam-Johansen, Kim; Bernad, Pablo L.

2015-01-01

Rapid and reliable rain erosion screening of blade coatings for wind turbines is a strong need in the coatings industry. One possibility in this direction is the use of discrete water jets, where so-called jet slugs are impacted on a coating surface. Previous investigations have mapped...... the influence of water jet slug velocity and impact frequency. In the present work, the effects on coating erosion of water cushioning, substrate curvature, and water nozzle-coating distance were explored. The investigations showed that in some cases water cushioning (the presence of a liquid film...... on the coating surface prior to impact) influences the erosion. Contrary to this, substrate curvature and the water nozzle-coating distance (

Contact sensitization to calocephalin, a sesquiterpene lactone of the guaianolide type from cushion bush (Leucophyta brownii, Compositae)

DEFF Research Database (Denmark)

Paulsen, Evy; Christensen, Lars P; Hindsén, Monica

2013-01-01

Cushion bush [Leucophyta brownii Cass. = Calocephalus brownii (Cass.) F. Muell.] is an Australian Compositae shrub that has been introduced into Scandinavia as a pot plant. The first case of sensitization occurred in a gardener, and the main allergen was identified as the guaianolide calocephalin....

Advancing a smart air cushion system for preventing pressure ulcers using projection Moiré for large deformation measurements

Science.gov (United States)

Cheng, Sheng-Lin; Tsai, Tsung-Heng; Lee, Carina Jean-Tien; Hsu, Yu-Hsiang; Lee, Chih-Kung

2016-03-01

A pressure ulcer is one of the most important concerns for wheelchair bound patients with spinal cord injuries. A pressure ulcer is a localized injury near the buttocks that bear ischial tuberosity oppression over a long period of time. Due to elevated compression to blood vessels, the surrounding tissues suffer from a lack of oxygen and nutrition. The ulcers eventually lead to skin damage followed by tissue necrosis. The current medical strategy is to minimize the occurrence of pressure ulcers by regularly helping patients change their posture. However, these methods do not always work effectively or well. As a solution to fundamentally prevent pressure ulcers, a smart air cushion system was developed to detect and control pressure actively. The air cushion works by automatically adjusting a patient's sitting posture to effectively relieve the buttock pressure. To analyze the correlation between the dynamic pressure profiles of an air cell with a patient's weight, a projection Moiré system was adopted to measure the deformation of an air cell and its associated stress distribution. Combining a full-field deformation imaging with air pressure measured within an air cell, the patient's weight and the stress distribution can be simultaneously obtained. By integrating a full-field optical metrology with a time varying pressure sensor output coupled with different active air control algorithms for various designs, we can tailor the ratio of the air cells. Our preliminary data suggests that this newly developed smart air cushion has the potential to selectively reduce localized compression on the tissues at the buttocks. Furthermore, it can take a patient's weight which is an additional benefit so that medical personnel can reference it to prescribe the correct drug dosages.

Air-cushion vehicles as an alternative to conventional industrial trucks

International Nuclear Information System (INIS)

Marr, E.

2003-01-01

Protective shieldings must be used for the transportation of radioactive materials, such as drums and containers within the control area, in order to observe the activity classes of the rooms. As a result of the change in the radiation protection ordinance, the operating areas of the floor conveyors have to be protected even more, i.e. transportation weights are becoming even bigger. When using pallet lift trucks without drive, weights over 2 tons are virtually unable to be operated. A fork-lift truck must be used for higher loads. If the transportation weight (transportation load and net weight of the lift truck) is doubled, usage within buildings is very restricted through the ceiling net load. This is the range of application of air cushion vehicles, in particular if positioning accuracy and remote-controlled driving become necessary. (orig.)

Prestressed safety enclosure (PSE) with metallic cushion for new or existing reactor pressure vessels

International Nuclear Information System (INIS)

Wedellsborg, B.W.

1991-01-01

The special technology required to build the conventional types of thickwalled forged nuclear reactor pressure vessels is mastered only by a few large world-class manufactures. In order eventually to make it possible for other less established manufacturers, for example, those in newly industrialized nations, to construct nuclear RPVS or containers with large diameter for high pressures and which can tolerate large thermal gradients, an improved novel concept of a prestressed cast-iron container with multilayer shells and interlayer metallic cushions is being developed and is described in this paper. (author)

Geographical isolation caused the diversification of the Mediterranean thorny cushion-like Astragalus L. sect. Tragacantha DC. (Fabaceae).

Science.gov (United States)

Hardion, Laurent; Dumas, Pierre-Jean; Abdel-Samad, Farah; Bou Dagher Kharrat, Magda; Surina, Bostjan; Affre, Laurence; Médail, Frédéric; Bacchetta, Gianluigi; Baumel, Alex

2016-04-01

Understanding the origin and evolution of Mediterranean vascular flora within the long-term context of climate change requires a continuous study of historical biogeography supported by molecular phylogenetic approaches. Here we provide new insights into the fascinating but often overlooked diversification of Mediterranean xerophytic plants. Growing in some of the most stressing Mediterranean environments, i.e. coastal and mountainous opened habitats, the circum-Mediterranean Astragalus L. sect. Tragacantha DC. (Fabaceae) gathers several thorny cushion-like taxa. These have been the subjects of recent taxonomical studies, but they have not yet been investigated within a comprehensive molecular framework. Bayesian phylogenetics applied to rDNA ITS sequences reveal that the diversification of A. sect. Tragacantha has roots dating back to the Pliocene, and the same data also indicate an eastern-western split giving rise to the five main lineages that exist today. In addition, AFLP fingerprinting supports an old east-west pattern of vicariance that completely rules out the possibility of a recent eastern origin for western taxa. The observed network of genetic relationships implies that contrary to what is widely claimed in the taxonomic literature, it is range fragmentation, as opposed to a coastal-to-mountain ecological shift, that is likely the main driver of diversification. Copyright © 2016 Elsevier Inc. All rights reserved.

Biomechanics-based active control of bedding support properties and its influence on sleep.

Science.gov (United States)

Van Deun, D; Verhaert, V; Willemen, T; Wuyts, J; Verbraecken, J; Exadaktylos, V; Haex, B; Vander Sloten, J

2012-01-01

Proper body support plays an import role in the recuperation of our body during sleep. Therefore, this study uses an automatically adapting bedding system that optimises spinal alignment throughout the night by altering the stiffness of eight comfort zones. The aim is to investigate the influence of such a dynamic sleep environment on objective and subjective sleep parameters. The bedding system contains 165 sensors that measure mattress indentation. It also includes eight actuators that control the comfort zones. Based on the measured mattress indentation, body movements and posture changes are detected. Control of spinal alignment is established by fitting personalized human models in the measured indentation. A total of 11 normal sleepers participated in this study. Sleep experiments were performed in a sleep laboratory where subjects slept three nights: a first night for adaptation, a reference night and an active support night (in counterbalanced order). Polysomnographic measurements were recorded during the nights, combined with questionnaires aiming at assessing subjective information. Subjective information on sleep quality, daytime quality and perceived number of awakenings shows significant improvements during the active support (ACS) night. Objective results showed a trend towards increased slow wave sleep. On the other hand, it was noticed that % N1-sleep was significantly increased during ACS night, while % N2-sleep was significantly decreased. No prolonged N1 periods were found during or immediately after steering.

Comparative analysis of thermoplastic masks versus vacuum cushions in stereotactic body radiotherapy

International Nuclear Information System (INIS)

Navarro-Martin, Arturo; Cacicedo, Jon; Leaman, Olwen; Sancho, Ismael; García, Elvira; Navarro, Valentin; Guedea, Ferran

2015-01-01

To compare thermoplastic masks (TMP) and vacuum cushion system (VCS) to assess differences in interfraction set up accuracy in patients treated with stereotactic radiotherapy (SBRT) for oligometastatic lung cancer. Secondarily, to survey radiotherapy technologists to assess their satisfaction with the two systems. Retrospective study of patients treated with lung SBRT between 2008 to 2012 at our institution. Immobilization was performed for 73 treatment sessions (VCS = 40; TMP = 33). A total of 246 cone-beams were analysed. Patients considered ineligible for surgery with a life expectancy ≥6 months and performance status > 1 were included. Target lesion location was verified by cone beam computed tomography (CBCT) prior to each session, with displacements assessed by CBCT simulation prior to each treatment session. Couch shifts were registered prospectively in vertical, longitudinal, and latero-lateral directions to obtain Kernel coordinates (3D representation). Technologists were surveyed to assess their satisfaction with indexing, positioning, and learning curve of the two systems. Setup displacements were obtained in all patients for each treatment plan and for each session. To assess differences between the immobilization systems, a t-test (Welch) was performed. Mean displacements for the TMP and VC systems, respectively, were as follows: session one, 0.64 cm vs 1.05 cm (p = 0.0002); session two, 0.49 cm vs 1.02 cm (p < 0.0001), and session three, 0.56 vs 0.97 cm (p = 0.0011). TMP resulted in significantly smaller shifts vs. VCS in all three treatment sessions. Technologists rated the learning curve, set up, and positioning more highly for TMP versus VCS. Due to the high doses and steep gradients in lung SBRT, accurate and reproducible inter-fraction set up is essential. We found that thermoplastic masks offers better reproducibility with significantly less interfractional set up displacement than vacuum cushions. Moreover, radiotherapy technologists rated

Braking and cornering studies on an air cushion landing system

Science.gov (United States)

Daugherty, R. H.

1983-01-01

An experimental investigation was conducted to evaluate several concepts for braking and steering a vehicle equipped with an air cushion landing system (ACLS). The investigation made use of a modified airboat equipped with an ACLS. Braking concepts were characterized by the average deceleration of the vehicle. Reduced lobe flow and cavity venting braking concepts were evaluated in this program. The cavity venting braking concept demonstrated the best performance, producing decelerations on the test vehicle on the same order as moderate braking with conventional wheel brakes. Steering concepts were evaluated by recording the path taken while attempting to follow a prescribed maneuver. The steering concepts evaluated included using rudders only, using differential lobe flow, and using rudders combined with a lightly loaded, nonsteering center wheel. The latter concept proved to be the most accurate means of steering the vehicle on the ACLS, producing translational deviations two to three times higher than those from conventional nose-gear steering. However, this concept was still felt to provide reasonably precise steering control for the ACLS-equipped vehicle.

Repair of Double Orifice Left AV Valve (DOLAVV with Endocardial Cushion Defect in Adult

Directory of Open Access Journals (Sweden)

Vivek Velayudhan Pillai

Full Text Available Abstract Double orifice left atrioventricular valve (DOLAVV or double orifice mitral valve (DOMV is a rare congenital cardiac anomaly manifesting either as an isolated lesion (mitral stenosis or mitral insufficiency or in association with other congenital cardiac defects. Signs of mitral valve disease are usually present along with the symptoms of associated coexistent congenital heart diseases. Mitral insufficiency due to annular dilatation is seen when DOLAVV is associated with endocardial cushion defects. Surgical intervention like mitral valve repair or replacement is required in 50% of patients and yields good results. We report a case of a 56-year-old lady who successfully underwent surgical correction of DOLAVV with partial atrioventricular canal defect.

ENGINEERING DESIGN: EICOSANE MICROCAPSULES SYNTHESIS AND APPLICATION IN POLYURETHANE FOAMS AIMING TO DIMINISH WHEELCHAIR CUSHION EFFECT ON SKIN TEMPERATURE

Directory of Open Access Journals (Sweden)

ELISA M. BERETTA

2016-12-01

Full Text Available Thermal comfort of wheelchairs still requires improvements, since users remain on the chair for as long as 12 h a day. Increased sweating makes the skin more susceptible to colonization by fungi and bacteria, and may cause pressure ulcers. In this sense, the microencapsulation of Phase-Change Materials (PCMs may help to enhance wheelchair cushion comfort by regulating heat exchange. This study describes the production of PCM microcapsules and their application in flexible polyurethane foams after expansion, and assesses improvements in heat exchange. Microcapsules with eicosane core coated with melamine-formaldehyde were produced. Eicosane is a thermoregulation agent whose phase-change temperature is near that of the human body’s. Microcapsules were characterized by thermogravimetric analysis, differential scanning calorimetry, scanning electron microscopy, and Fourier transform infrared spectroscopy. Then, microcapsules were applied on polyurethane foams by vacuum filtration and high-pressure air gun. Samples were exposed to a heat source and analysed by infrared thermography. The results indicate that thermal load increased in samples treated with microcapsules, especially by pressure air gun, and show that it is possible to enhance thermal comfort in wheelchair seats. Thereby, this study contributes to enhance quality of life for wheelchair users, focusing on thermal comfort provided by cushion seats made from PU foam.

DETERMINATION OF HYDRODYNAMIC CHARACTERISTICS OF A RADIO-CONTROLLED AIRPLANE MODEL WITH AIR CUSHION LANDING GEAR

Directory of Open Access Journals (Sweden)

2016-01-01

Full Text Available This article presents the results of the hydrodynamic parameters of radio-controlled models (RCM of the aircraft with the landing gear on an air cushion (REFERENCED obtained during tests in the water tank of TSAGI NIMC on land- ing modes with varying alignment and pressure in air cushion chassis on calm and disturbed water surfaces.ACLG’s RCM is based on the Froude criterion. The experimental data of the real aircraft Dingo, LMS, An-26, C-130 Hercules (size, weight, thrust parameters were processed. Tests were carried out, using the standard testbed, utiliz- ing the dynamically-corresponding models in the water tank. Drag best value rate while travelling along the smooth water was reached at the rear centering, with balloon pressure on the water of 700 Pa. In this case, the hump drag, at velocity of 2 mps, does not exceed 29 Newtons (hydrodynamic fineness on the ‘drag hump’ is, Кг=13,5, while at velocity of 10 mps, the drag is 30 Newtons, at Кг =13.The most unfavourable mode of motion is the one with configuration of lowered pressure in the balloons (400 Pa.In these cases, the Кг = 6,5. At motion with yaw angle of 10º, the drag rate meaning practically stands stable (Кг = 13,1, while at 20º it grows (Кг = 10,6.At motion along the waved surface, the critical wave length equals to two thirds of the ACU, while drag raises by the quarter, compared to other wave types. Such vehicles can be used in the hard-to-reach regions of the Russian Federation.

Design of a Novel Flexible Capacitive Sensing Mattress for Monitoring Sleeping Respiratory

Directory of Open Access Journals (Sweden)

Wen-Ying Chang

2014-11-01

Full Text Available In this paper, an algorithm to extract respiration signals using a flexible projected capacitive sensing mattress (FPCSM designed for personal health assessment is proposed. Unlike the interfaces of conventional measurement systems for poly-somnography (PSG and other alternative contemporary systems, the proposed FPCSM uses projected capacitive sensing capability that is not worn or attached to the body. The FPCSM is composed of a multi-electrode sensor array that can not only observe gestures and motion behaviors, but also enables the FPCSM to function as a respiration monitor during sleep using the proposed approach. To improve long-term monitoring when body movement is possible, the FPCSM enables the selection of data from the sensing array, and the FPCSM methodology selects the electrodes with the optimal signals after the application of a channel reduction algorithm that counts the reversals in the capacitive sensing signals as a quality indicator. The simple algorithm is implemented in the time domain. The FPCSM system is used in experimental tests and is simultaneously compared with a commercial PSG system for verification. Multiple synchronous measurements are performed from different locations of body contact, and parallel data sets are collected. The experimental comparison yields a correlation coefficient of 0.88 between FPCSM and PSG, demonstrating the feasibility of the system design.

Skin maintenance in the bed-ridden patient.

Science.gov (United States)

Flam, E

1990-01-01

The skin of a patient at risk of developing pressure ulcers can resist deterioration if the conditions that weaken it are controlled. The purpose of this study is to determine the relationships between hydration level, skin temperature, and friction in patients at risk of development or reoccurrence of pressure ulcers and in patients with newly created surgical flaps. Two systems were considered: the standard hospital mattress covered with a thick occlusive plastic film and a 50/50 cotton/polyester bed sheet and the KinAir and the TheraPulse support systems with nylon/High Air Loss GORE-TEX (n/HAL) laminate cushions and coverlets. The moisture vapor management and aeration capabilities of the support system materials were determined, and the frictional force generated against the skin was measured. The results revealed that excessive hydration increases the level of friction against the skin while at the same time reducing the mechanical properties of the protective skin layers. The n/HAL laminate coverlet also had a significantly lower skin friction coefficient than the 50/50 cotton/polyester bed sheet. The significance of these findings is that over-hydration accelerates the abrading action on the skin by increasing the frictional force and decreasing the shear resistance of the skin.

Clinical Results of Arthroscopic Repair of Isolated Longitudinal Tear of Medial Meniscus by Vertical Cruciate Double Mattress Sutures with Outside-in Technique

Directory of Open Access Journals (Sweden)

Seyied Hamid Barzgar

2013-09-01

Full Text Available Introduction : Meniscal tears are one of the most common injuries treated by arthroscopic techniques. Arthroscopic meniscal repair is an accepted way of treatment for meniscal tears. Different arthroscopic techniques for meniscal repair are: inside-out, outside-in and all inside. In the first 2 techniques, meniscus is repaired by sutures and in the later by suture or by commercial ready implants . The goal of current study is assessing clinical results of arthroscopic repair of longitudinal meniscal tears with vertical cruciate double mattress sutures by outside-in technique after 9 months.   Methods: In this case series study, in 13 patients having criteria for engaging the study with longitudinal isolated meniscus tear, arthroscopic meniscal repair was done with vertical cruciate double mattress sutures by outside-in technique and patients were followed for 9 months.   Results: Of 13 patients, there were 12 males (92.3% and one female (7.7% aged 15-38 (average 28.3 years. In follow up period, there was one case (7.7% of irritation by subcutaneous knot. There was not any failure of repair. Average Lysholm score increased from 55.23 to 91.23 after 9 months of follow up, which was statistically significant (p<0.001. At the end of follow up period, there was not any medial joint line tenderness of knee, giving way or significant effusion or pain.   Conclusion: This study shows that this technique has a good short term outcome with no failure and low complications but it is necessary to do more long term studies to prove it.

Going Beyond the Conventional Approach - Liquid Supported Denture: A Case Report

Directory of Open Access Journals (Sweden)

Dipti S Shah

2013-01-01

Full Text Available Background: The concept of conditioning oral mucosa has gained momentum over the last few years. Different tissue conditioning materials and soft liners have been used for this purpose. But the limitations of these materials has led to the introduction of liquid-supported dentures, which is a newer alternative to conventional complete denture prosthesis in cases with inflamed tissues, atrophic and severely resorbed edentulous ridges. Liquid supported Denture consists of a base which is covered with a preshaped close fitting flexible foil containing a thin film of high viscosity liquid which cushions the underlying tissues. This case report describes fabrication of liquid-supported dentures for patients with compromised tissues.

Volume traps - a new retrospective radon monitor

International Nuclear Information System (INIS)

Oberstedt, S.; Vanmarcke, H.

1994-11-01

A new method to trace back average radon concentrations in dwellings over several decades in time has been developed. This retrospective radon monitor is based on the measurement of the alpha activity of 210 Po deposited in volume traps, for example spongy materials used for mattresses and cushions. Polyester samples with different densities have been exposed to radon-laden air. The exposures correspond to characteristic radon concentrations between 390 Bq/m 3 and 3.9 Bq/m 3 over a 20 years period. The precision in converting the 210 Po signal to the radon exposure has been improved by more than one order of magnitude compared to other common techniques. It is shown that this very sensitive method may be applied to almost all types of volume traps used in households

The effect of foot orthoses with forefoot cushioning or metatarsal pad on forefoot peak plantar pressure in running

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Michaela Hähni

2016-11-01

Full Text Available Abstract Background Foot orthoses are frequently used in sports for the treatment of overuse complaints with sufficient evidence available for certain foot-related overuse pathologies like plantar fasciitis, rheumatoid arthritis and foot pain (e.g., metatarsalgia. One important aim is to reduce plantar pressure under prominent areas like metatarsal heads. For the forefoot region, mainly two common strategies exist: metatarsal pad (MP and forefoot cushioning (FC. The aim of this study was to evaluate which of these orthosis concepts is superior in reducing plantar pressure in the forefoot during running. Methods Twenty-three (13 female, 10 male asymptomatic runners participated in this cross-sectional experimental trial. Participants ran in a randomised order under the two experimental (MP, FC conditions and a control (C condition on a treadmill (2.78 ms−1 for 2 min, respectively. Plantar pressure was measured with the in-shoe plantar pressure measurement device pedar-x®-System and mean peak pressure averaged from ten steps in the forefoot (primary outcome and total foot was analysed. Insole comfort was measured with the Insole Comfort Index (ICI, sum score 0–100 after each running trial. The primary outcome was tested using the Friedman test (α = 0.05. Secondary outcomes were analysed descriptively (mean ± SD, lower & upper 95%-CI, median and interquartile-range (IQR. Results Peak pressure [kPa] in the forefoot was significantly lower wearing FC (281 ± 80, 95%-CI: 246–315 compared to both C (313 ± 69, 95%-CI: 283–343; p = .003 and MP (315 ± 80, 95%-CI: 280–350; p = .001. No significant difference was found between C and MP (p = .858. Peak pressures under the total foot were: C: 364 ± 82, 95%-CI: 328–399; MP: 357 ± 80, 95%-CI: 326–387; FC: 333 ± 81 95%-CI: 298–368. Median ICI sum scores were: C 50, MP 49, FC 64. Conclusions In contrast to the metatarsal pad orthosis, the

Systematic review of the use of Statistical Process Control methods to measure the success of pressure ulcer prevention.

Science.gov (United States)

Clark, Michael; Young, Trudie; Fallon, Maureen

2018-06-01

Successful prevention of pressure ulcers is the end product of a complex series of care processes including, but not limited to, the assessment of vulnerability to pressure damage; skin assessment and care; nutritional support; repositioning; and the use of beds, mattresses, and cushions to manage mechanical loads on the skin and soft tissues. The purpose of this review was to examine where and how Statistical Process Control (SPC) measures have been used to assess the success of quality improvement initiatives intended to improve pressure ulcer prevention. A search of 7 electronic bibliographic databases was performed on May 17th, 2017, for studies that met the inclusion criteria. SPC methods have been reported in 9 publications since 2010 to interpret changes in the incidence of pressure ulcers over time. While these methods offer rapid interpretation of changes in incidence than is gained from a comparison of 2 arbitrarily selected time points pre- and post-implementation of change, more work is required to ensure that the clinical and scientific communities adopt the most appropriate SPC methods. © 2018 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Mapping Sub-Antarctic Cushion Plants Using Random Forests to Combine Very High Resolution Satellite Imagery and Terrain Modelling

Science.gov (United States)

Bricher, Phillippa K.; Lucieer, Arko; Shaw, Justine; Terauds, Aleks; Bergstrom, Dana M.

2013-01-01

Monitoring changes in the distribution and density of plant species often requires accurate and high-resolution baseline maps of those species. Detecting such change at the landscape scale is often problematic, particularly in remote areas. We examine a new technique to improve accuracy and objectivity in mapping vegetation, combining species distribution modelling and satellite image classification on a remote sub-Antarctic island. In this study, we combine spectral data from very high resolution WorldView-2 satellite imagery and terrain variables from a high resolution digital elevation model to improve mapping accuracy, in both pixel- and object-based classifications. Random forest classification was used to explore the effectiveness of these approaches on mapping the distribution of the critically endangered cushion plant Azorella macquariensis Orchard (Apiaceae) on sub-Antarctic Macquarie Island. Both pixel- and object-based classifications of the distribution of Azorella achieved very high overall validation accuracies (91.6–96.3%, κ = 0.849–0.924). Both two-class and three-class classifications were able to accurately and consistently identify the areas where Azorella was absent, indicating that these maps provide a suitable baseline for monitoring expected change in the distribution of the cushion plants. Detecting such change is critical given the threats this species is currently facing under altering environmental conditions. The method presented here has applications to monitoring a range of species, particularly in remote and isolated environments. PMID:23940805

Efectos de la planta en cojín Oreopolus glacialis (Rubiaceae sobre la riqueza y diversidad de especies en una comunidad alto-andina de Chile central Effects of the cushion plant Oreopolus glacialis (Rubiaceae on species richness and diversity in a high-Andean plant community of central Chile

Directory of Open Access Journals (Sweden)

ERNESTO I BADANO

2002-12-01

Full Text Available Las plantas en cojín que crecen en ambientes de alta montaña modifican microclimáticamente su entorno, generando microhábitats favorables para el establecimiento de otras especies, actuando como nodrizas. Varios estudios han demostrado que los cojines contienen una mayor riqueza de especies que los espacios abiertos. Sin embargo, hasta ahora, no se ha evaluado el efecto de los cojines sobre otros parámetros comunitarios como la abundancia de individuos, la diversidad y la equitatividad. En este trabajo se analiza el efecto que posee Oreopolus glacialis, una planta en cojín de la cordillera andina, sobre la riqueza, abundancia, diversidad y equitatividad de la comunidad vegetal en un ambiente de alta montaña ubicado a 1.900 m en Chile central. Se determino la riqueza y abundancia de especies que crecen tanto sobre cojines de O. glacialis como en los espacios abiertos entre cojines. Los resultados mostraron que la riqueza de especies y la abundancia de individuos por unidad de área es mayor dentro de los cojines que fuera de ellos. Sin embargo, los valores de diversidad y equitatividad sobre O. glacialis fueron menores que fuera de ellos debido a la presencia de algunas especies dominantes. Análisis particulares de la frecuencia y abundancia de cada especie mostraron que no todas las especies son afectadas de la misma manera por la presencia de este cojín, por lo que O. glacialis actuaría como nodriza sólo para una parte limitada de los componentes de la comunidadCushion plants growing in high mountain habitats can modify the microclimate within their canopy generating microhabitats more favorable for the recruitment of other plant species, acting as nurse plants. Although several studies have shown that species richness is higher within cushions than outside them, no attempts have been made in order to assess the effect of cushions on other community aspects such as total and individual abundance, diversity and evenness. In this study

Low Cost Plastic Optical Fiber Pressure Sensor Embedded in Mattress for Vital Signal Monitoring.

Science.gov (United States)

Sartiano, Demetrio; Sales, Salvador

2017-12-13

The aim of this paper is to report the design of a low-cost plastic optical fiber (POF) pressure sensor, embedded in a mattress. We report the design of a multipoint sensor, a cheap alternative to the most common fiber sensors. The sensor is implemented using Arduino board, standard LEDs for optical communication in POF (λ = 645 nm) and a silicon light sensor. The Super ESKA ® plastic fibers were used to implement the fiber intensity sensor, arranged in a 4 × 4 matrix. During the breathing cycles, the force transmitted from the lungs to the thorax is in the order of tens of Newtons, and the respiration rate is of one breath every 2-5 s (0.2-0.5 Hz). The sensor has a resolution of force applied on a single point of 2.2-4.5%/N on the normalized voltage output, and a bandwidth of 10 Hz, it is then suitable to monitor the respiration movements. Another issue to be addressed is the presence of hysteresis over load cycles. The sensor was loaded cyclically to estimate the drift of the system, and the hysteresis was found to be negligible.

Low Cost Plastic Optical Fiber Pressure Sensor Embedded in Mattress for Vital Signal Monitoring

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Demetrio Sartiano

2017-12-01

Full Text Available The aim of this paper is to report the design of a low-cost plastic optical fiber (POF pressure sensor, embedded in a mattress. We report the design of a multipoint sensor, a cheap alternative to the most common fiber sensors. The sensor is implemented using Arduino board, standard LEDs for optical communication in POF (λ = 645 nm and a silicon light sensor. The Super ESKA® plastic fibers were used to implement the fiber intensity sensor, arranged in a 4 × 4 matrix. During the breathing cycles, the force transmitted from the lungs to the thorax is in the order of tens of Newtons, and the respiration rate is of one breath every 2–5 s (0.2–0.5 Hz. The sensor has a resolution of force applied on a single point of 2.2–4.5%/N on the normalized voltage output, and a bandwidth of 10 Hz, it is then suitable to monitor the respiration movements. Another issue to be addressed is the presence of hysteresis over load cycles. The sensor was loaded cyclically to estimate the drift of the system, and the hysteresis was found to be negligible.

Capacity expansion analysis of UGSs rebuilt from low-permeability fractured gas reservoirs with CO2 as cushion gas

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Yufei Tan

2016-11-01

. Furthermore, it is necessary to monitor strictly the migration of gas–water interface by using observation wells to prevent gas escape through the edge water or water breakthrough at high-permeability zones. These research results provide a technical and theoretical support for water displacement and capacity expansion of UGS rebuilt from low-permeability fractured gas reservoirs with CO2 as the cushion gas.

Prevention of pressure ulcers with a static air support surface: A systematic review.

Science.gov (United States)

Serraes, Brecht; van Leen, Martin; Schols, Jos; Van Hecke, Ann; Verhaeghe, Sofie; Beeckman, Dimitri

2018-03-05

The aims of this study were to identify, assess, and summarise available evidence about the effectiveness of static air mattress overlays to prevent pressure ulcers. The primary outcome was the incidence of pressure ulcers. Secondary outcomes included costs and patient comfort. This study was a systematic review. Six electronic databases were consulted: Cochrane Library, EMBASE, PubMed (Medline), CINAHL (EBSCOhost interface), Science direct, and Web of Science. In addition, a hand search through reviews, conference proceedings, and the reference lists of the included studies was performed to identify additional studies. Potential studies were reviewed and assessed by 2 independent authors based on the title and abstract. Decisions regarding inclusion or exclusion of the studies were based on a consensus between the authors. Studies were included if the following criteria were met: reporting an original study; the outcome was the incidence of pressure ulcer categories I to IV when using a static air mattress overlay and/or in comparison with other pressure-redistribution device(s); and studies published in English, French, and Dutch. No limitation was set on study setting, design, and date of publication. The methodological quality assessment was evaluated using the Critical Appraisal Skills Program Tool. Results were reported in a descriptive way to reflect the exploratory nature of the review. The searches included 13 studies: randomised controlled trials (n = 11) and cohort studies (n = 2). The mean pressure ulcer incidence figures found in the different settings were, respectively, 7.8% pressure ulcers of categories II to IV in nursing homes, 9.06% pressure ulcers of categories I to IV in intensive care settings, and 12% pressure ulcers of categories I to IV in orthopaedic wards. Seven comparative studies reported a lower incidence in the groups of patients on a static air mattress overlay. Three studies reported a statistical (P pressure ulcers. There

Milligan-Morgan hemorrhoidectomy with anal cushion suspension and partial internal sphincter resection for circumferential mixed hemorrhoids

Science.gov (United States)

Lu, Ming; Shi, Guang-Ying; Wang, Guo-Qiang; Wu, Yan; Liu, Yang; Wen, Hao

2013-01-01

AIM: To identify a more effective treatment protocol for circumferential mixed hemorrhoids. METHODS: A total of 192 patients with circumferential mixed hemorrhoids were randomized into the treatment group, where they underwent Milligan-Morgan hemorrhoidectomy with anal cushion suspension and partial internal sphincter resection, or the control group, where traditional external dissection and internal ligation were performed. Postoperative recovery and complications were monitored. RESULTS: The time to wound healing was 12.96 ± 2.25 d in the treatment group shorter than 19.58 ± 2.71 d in the control group. Slight pain rate was 58.3% in the treatment group higher than 22.9% in the control group; moderate pain rate was 33.3% in the treatment group lower than 56.3% in the control group severe pain rate was 8.4% in the treatment group lower than 20.8% in the control group. No edema rate was 70.8% in the treatment group higher than 43.8% in the control group; mild local edema rate was 26% in the treatment group lower than 39.6% in the control group obvious local edema was 3.03% in the treatment group lower than 16.7% in the control group. No stenosis rate was 85.4% in the treatment group higher than 63.5% in the control group; moderate stenosis rate was 14.6% in the treatment group Lower than 27.1% in the control group severe anal stenosis rate was 0% in the treatment group lower than 9.4% in the control group. CONCLUSION: Milligan-Morgan hemorrhoidectomy with anal cushion suspension and partial internal sphincter resection is the optimal treatment for circumferential mixed hemorrhoids and can be widely applied in clinical settings. PMID:23946609

Research Paper: Impact of Air Seat Cushions and Ball Chairs on Classroom Behavior of Students with Autism Spectrum Disorder

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Nader Matin Sadr

2016-07-01

Conclusion In the present study, therapy balls and or cushioned chairs for ASD students facilitated in-seat and on-task behaviors and improved classroom performance. It seems that using these alternative seating chairs can satisfy the subjects’ needs to sensory stimuli, and therefore, decreases their sensory seeking behaviors which interferes with their academic achievements. While, using therapy ball chairs for these students may facilitate in-seat behavior and decrease autistic behavior in class, the student’s response to dynamic seating is different individually. Therefore, chair selection must be based on vestibular reaction of the students.

Tethered and Polymer Supported Bilayer Lipid Membranes: Structure and Function

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Jakob Andersson

2016-05-01

Full Text Available Solid supported bilayer lipid membranes are model systems to mimic natural cell membranes in order to understand structural and functional properties of such systems. The use of a model system allows for the use of a wide variety of analytical tools including atomic force microscopy, impedance spectroscopy, neutron reflectometry, and surface plasmon resonance spectroscopy. Among the large number of different types of model membranes polymer-supported and tethered lipid bilayers have been shown to be versatile and useful systems. Both systems consist of a lipid bilayer, which is de-coupled from an underlying support by a spacer cushion. Both systems will be reviewed, with an emphasis on the effect that the spacer moiety has on the bilayer properties.

Modeling, simulation & optimization of the landing craft air cushion fleet readiness.

Energy Technology Data Exchange (ETDEWEB)

Engi, Dennis

2006-10-01

The Landing Craft Air Cushion is a high-speed, over-the-beach, fully amphibious landing craft capable of carrying a 60-75 ton payload. The LCAC fleet can serve to transport weapons systems, equipment, cargo and personnel from ship to shore and across the beach. This transport system is an integral part of our military arsenal and, as such, its readiness is an important consideration for our national security. Further, the best way to expend financial resources that have been allocated to maintain this fleet is a critical Issue. There is a clear coupling between the measure of Fleet Readiness as defined by the customer for this project and the information that is provided by Sandia's ProOpta methodology. Further, there is a richness in the data that provides even more value to the analyst. This report provides an analytic framework for understanding the connection between Fleet Readiness and the output provided by Sandia's ProOpta software. Further, this report highlights valuable information that can also be made available using the ProOpta output and concepts from basic probability theory. Finally, enabling assumptions along with areas that warrant consideration for further study are identified.

Pressure ulcer prevention and healing using alternating pressure mattress at home: the PARESTRY project.

Science.gov (United States)

Meaume, S; Marty, M

2015-08-01

Specialised pressure-relieving supports reduce or relieve the interface pressure between the skin and the support surface. The comparative effectiveness of dynamic support surfaces is debated. The aim of this study is to examine the impact of using an alternating pressure air mattress (APAM) on pressure ulcer (PU) incidence in patients receiving home-based care. A second aim was to determine the level of patient/family satisfaction with comfort and gain the views of the care team that used the APAM. The PARESTRY study was a prospective observational study conducted in patients with a high risk of PUs (Braden score prevention groups consisted of patients with no PU at baseline who were in bed for at least 20 hours a day. Patients at baseline with a category 3 or 4 PU or a category 1 or 2 PU in association with poor general health or end-of-life status were included in the secondary prevention group. All patients were laid on an APAM. The primary end point was the % of patients with a worsening skin condition in the pressure area (heel, sacrum, ischium) at day 90 or at the end of the study. The primary analysis was done on the full analysis set (patients included with at least a second assessment), using the last observation carried forward technique to handle missing data, at day 90. A 95% confidence interval was calculated. Analysis was performed on 92 patients (30 in primary prevention and 62 in secondary prevention). The average time spent in bed was 22.7 (SD 2.7) hours a day and 22.6 (SD 2.2) hours in the primary and secondary prevention groups, respectively. At baseline, in the secondary group, 77% of patients had a sacral PU, 63% a heel PU, 8% an ischial tuberosity PU and 45% a PU in another area, a number of patients having multiple PUs. In the primary prevention group, 63% (19/30) of patients dropped out of the study (5 were hospitalised, 9 died, 5 other causes). In the secondary prevention group, 61% (38/62) dropped out (7 were hospitalised, 23 died, 8

16 CFR 1633.2 - Definitions.

Science.gov (United States)

2010-01-01

... terms, for definitions of these items. (b) Foundation means a ticking covered structure used to support a mattress or sleep surface. The structure may include constructed frames, foam, box springs, or... taped border edge of a mattress or foundation that joins the top and/or bottom with the side panels. (h...

Co-occurrence of pathogenic and non-pathogenic Fusarium decemcellulare and Lasiodiplodia theobromae isolates in cushion galls disease of cacao (Theobroma cacao L.

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Castillo Daynet Sosa del

2016-04-01

Full Text Available Flowery cushion gall of cacao is a disease complex with six types. Fusarium decemcellulare have been isolated from both flowery and green point galls and recognized as the etiological agent of the disease. In the present work we: i identified by ITS-rDNA sequencing and/or taxonomy the cultivable fungal species or Operative Taxonomic Units (OTUs associated with the five symptoms of cushion galls in cacao from Venezuela, and ii determined the gall inducing capacity on cacao peeled seeds after 45 days of inoculation with suspensions of mycelia/ spores from distinct isolate types. The whole isolate collection rendered an abundance of 113 isolates with a richness of 39 OTUs (27 and eight identified at the species or genera levels, respectively, and in unidentified fungi. The dominant recovered species (≈36% were F. decemcellulare and Lasiodiplodia theobromae. Some isolates of F. decemcellulare, L. theobromae, F. equiseti, Fusarium spp., F. solani, F. incarnatum, Rhizocthonia solani and Penicillium sp. were pathogenic. Some other isolates of the first six mentioned taxa behave as non-pathogenic. Furthermore, pathogenic and non-pathogenic isolates can also co-occur within a single plant and gall type. Moreover, 2-5 species within a single gall symptom in a single tree were identified (not necessarily at the same point in the tree, indicating a broad diversity of co-occurring taxa.

Pressure ulcer prevalence and prevention practices: a cross-sectional comparative survey in Norway and Ireland.

Science.gov (United States)

Moore, Z; Johansen, E; Etten, M van; Strapp, H; Solbakken, T; Smith, B Eskerud; Faulstich, J

2015-08-01

This study explored whether the risk assessment method, structured versus clinical judgment, influences pressure ulcer (PU) prevalence or prevention strategies. A cross section survey design was employed with use of a pre-designed data collection instrument. Following ethical approval and consent, data was gathered from two acute care settings, one in Norway (clinical judgment) and one in Ireland (structured risk assessment using the Maelor Score). Data were obtained from 180 patients, 59 in Norway and 121 in Ireland. Of the patients 48% were male and 49% were female, gender was not recorded for 3%. The most common age bracket was 70-99 years of age, 46% of the study population. PU prevalence was 54% in the Norwegian site with the majority of PUs (69%) being category 1, and 12% in the Irish site with the majority (50%) being category 2. Only 8% of patients in the Norwegian site were risk assessed on admission compared with 85% in the Irish site. No dynamic mattresses and four pressure redistribution cushions were in use in the Norwegian site, whereas, in the Irish site, 27 dynamic mattresses and 11 pressure redistribution cushions were used, the majority (44%) for high-risk individuals. Of those at risk of PU development, 15% in the Norwegian site and 56% in the Irish site had a documented repositioning care plan when in bed, and 0% in the Norwegian site and 13% in the Irish site for when seated on a chair. There were inconsistencies in approach to PU risk assessment and prevention across the two clinical settings. However, prevalence rates differed, mainly relating to category 1 PU damage. Even though formal risk assessment is well established in the Irish site, this is not necessarily followed up with appropriated PU prevention. Thus, the method of risk assessment does not seem to influence subsequent care planning, questioning the role of formal risk assessment; however, despite this, risk assessment does put a focus on an important clinical problem. In the

Development of solid supports for electrochemical study of biomimetic membrane systems

DEFF Research Database (Denmark)

Mech-Dorosz, Agnieszka

cushion directly on a gold electrode microchip and on a polyethersulfone (PES) support grafted by in situ polymerized hydrogel. Both strategies proved to be suitable for immobilization of functional bRh loaded lipo-polymersomes. Amperometric monitoring showed that the PES membrane support facilitated......Biomimetic membranes are model membrane systems used as an experimental tool to study fundamental cellular membrane physics and functionality of reconstituted membrane proteins. By exploiting the properties of biomimetic membranes resembling the functions of biological membranes, it is possible...... to construct biosensors for high-throughput screening of potential drug candidates. Among a variety of membrane model systems used for biomimetic approach, lipid bilayers in the form of black lipid membranes (BLMs) and lipo-polymersomes (vesicle structures composed of lipids and polymers), both...

Evaluation of comfort in bedridden older adults using an air-cell mattress with an automated turning function: measurement of parasympathetic activity during night sleep.

Science.gov (United States)

Futamura, Megumi; Sugama, Junko; Okuwa, Mayumi; Sanada, Hiromi; Tabata, Keiko

2008-12-01

This study objectively evaluated the degree of comfort in bedridden older adults using an air-cell mattress with an automated turning mechanism. The sample included 10 bedridden women with verbal communication difficulties. The high frequency (HF) components of heart rate variability, which reflect parasympathetic nervous activity, were compared for the manual and automated turning periods. No significant differences in the HF component were observed in 5 of the participants. Significant increases in the HF component associated with automated turning were observed in 3 participants; however, the two participants with the lowest body mass index values exhibited a significant reduction in the HF component during the automated turning period. The results revealed that comfort might not be disturbed during the automated turning period.

A nanometric cushion for enhancing scratch and wear resistance of hard films

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Katya Gotlib-Vainshtein

2014-07-01

Full Text Available Scratch resistance and friction are core properties which define the tribological characteristics of materials. Attempts to optimize these quantities at solid surfaces are the subject of intense technological interest. The capability to modulate these surface properties while preserving both the bulk properties of the materials and a well-defined, constant chemical composition of the surface is particularly attractive. We report herein the use of a soft, flexible underlayer to control the scratch resistance of oxide surfaces. Titania films of several nm thickness are coated onto substrates of silicon, kapton, polycarbonate, and polydimethylsiloxane (PDMS. The scratch resistance measured by scanning force microscopy is found to be substrate dependent, diminishing in the order PDMS, kapton/polycarbonate, Si/SiO2. Furthermore, when PDMS is applied as an intermediate layer between a harder substrate and titania, marked improvement in the scratch resistance is achieved. This is shown by quantitative wear tests for silicon or kapton, by coating these substrates with PDMS which is subsequently capped by a titania layer, resulting in enhanced scratch/wear resistance. The physical basis of this effect is explored by means of Finite Element Analysis, and we suggest a model for friction reduction based on the "cushioning effect” of a soft intermediate layer.

Approaches that use software to support the prevention of pressure ulcer: A systematic review.

Science.gov (United States)

Marchione, F G; Araújo, L M Q; Araújo, L V

2015-10-01

The incidence and costs for pressure ulcer (PU) treatment remain high even though preventive methods are applied. Approaches that use software to support the prevention of PU are presented in the literature to make it more effective. Identify the state of art of the approaches that use software to support the prevention of PUs. A systematic literature review was performed to analyze approaches that use software to support the prevention of PU. ACM, IEEE, PubMed, Scopus, CINAHL and Embase databases have been searched with a predetermined search string to identify primary studies. We selected the ones that met the established inclusion criteria. Thirty-six articles met the inclusion criteria. To support prevention, most approaches monitor the patient to provide information about exposure to pressure, temperature level, humidity level and estimated body position in bed providing risk factor intensity charts and intensity maps. The main method to perform patient's monitoring is using sensors installed on the mattress, but recently, alternative methods have been proposed such as electronic sensors and tactile sensory coils. Part of the approaches performs automated management of the risk factors using ventilation tubes and mattresses with porous cells to decrease body's temperature and movable cells to automatically redistribute the pressure over the body. Matters as cost of the approach, patient comfort and hygiene of the monitoring equipment is only briefly discussed in the selected articles. No experiments have been conducted to evidence the approached may reduce PU incidence. Currently, approaches that use software to support the prevention of PU provide relevant information to health professionals such as risk factor intensity charts and intensity maps. Some of them can even automatically manage risk factors in a limited way. Yet, the approaches are based on risk factor monitoring methods that require patient's contact with the monitoring equipment. Therefore, some

N-Acetyl-S-(n-Propyl)-L-Cysteine in Urine from Workers Exposed to 1-Bromopropane in Foam Cushion Spray Adhesives

Science.gov (United States)

Hanley, Kevin W.; Petersen, Martin R.; Cheever, Kenneth L.; Luo, Lian

2009-01-01

1-Bromopropane (1-BP) has been marketed as an alternative for ozone depleting and other solvents; it is used in aerosol products, adhesives, metal, precision, and electronics cleaning solvents. Mechanisms of toxicity of 1-BP are not fully understood, but it may be a neurological and reproductive toxicant. Sparse exposure information prompted this study using 1-BP air sampling and urinary metabolites. Mercapturic acid conjugates are excreted in urine from 1-BP metabolism involving debromination. Research objectives were to evaluate the utility of urinary N-acetyl-S-(n-propyl)-L-cysteine (AcPrCys) for assessing exposure to 1-BP and compare it to urinary bromide [Br(−)] previously reported for these workers. Forty-eight-hour urine specimens were obtained from 30 workers at two factories where 1-BP spray adhesives were used to construct polyurethane foam seat cushions. Urine specimens were also obtained from 21 unexposed control subjects. All the workers' urine was collected into composite samples representing three time intervals: at work, after work but before bedtime, and upon awakening. Time-weighted average (TWA) geometric mean breathing zone concentrations were 92.4 and 10.5 p.p.m. for spraying and non-spraying jobs, respectively. Urinary AcPrCys showed the same trend as TWA exposures to 1-BP: higher levels were observed for sprayers. Associations of AcPrCys concentrations, adjusted for creatinine, with 1-BP TWA exposure were statistically significant for both sprayers (P < 0.05) and non-sprayers (P < 0.01). Spearman correlation coefficients for AcPrCys and Br(−) analyses determined from the same urine specimens were highly correlated (P < 0.0001). This study confirms that urinary AcPrCys is an important 1-BP metabolite and an effective biomarker for highly exposed foam cushion workers. PMID:19706636

Early prevention of pressure ulcers among elderly patients admitted through emergency departments: a cost-effectiveness analysis.

Science.gov (United States)

Pham, Ba'; Teague, Laura; Mahoney, James; Goodman, Laurie; Paulden, Mike; Poss, Jeff; Li, Jianli; Ieraci, Luciano; Carcone, Steven; Krahn, Murray

2011-11-01

Every year, approximately 6.2 million hospital admissions through emergency departments (ED) involve elderly patients who are at risk of developing pressure ulcers. We evaluated the cost-effectiveness of pressure-redistribution foam mattresses on ED stretchers and beds for early prevention of pressure ulcers in elderly admitted ED patients. Using a Markov model, we evaluated the incremental effectiveness (quality-adjusted life-days) and incremental cost (hospital and home care costs) between early prevention and current practice (with standard hospital mattresses) from a health care payer perspective during a 1-year time horizon. The projected incidence of ED-acquired pressure ulcers was 1.90% with current practice and 1.48% with early prevention, corresponding to a number needed to treat of 238 patients. The average upgrading cost from standard to pressure-redistribution mattresses was $0.30 per patient. Compared with current practice, early prevention was more effective, with 0.0015 quality-adjusted life-days gained, and less costly, with a mean cost saving of $32 per patient. If decisionmakers are willing to pay $50,000 per quality-adjusted life-year gained, early prevention was cost-effective even for short ED stay (ie, 1 hour), low hospital-acquired pressure ulcer risk (1% prevalence), and high unit price of pressure-redistribution mattresses ($3,775). Taking input uncertainty into account, early prevention was 81% likely to be cost-effective. Expected value-of-information estimates supported additional randomized controlled trials of pressure-redistribution mattresses to eliminate the remaining decision uncertainty. The economic evidence supports early prevention with pressure-redistribution foam mattresses in the ED. Early prevention is likely to improve health for elderly patients and save hospital costs. Copyright © 2011 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.

16 CFR 1632.2 - Purpose, scope, and applicability.

Science.gov (United States)

2010-01-01

... resistance of a mattress prototype or a mattress pad prototype. Use of the tests in §§ 1632.6 and 1632.7 is... prototype designs of mattresses and mattress pads before the sale in commerce or the introduction in... of a mattress prototype or a mattress pad prototype. (b) Scope. (1) All mattresses, as defined in...

Antero-posterior (AP) pelvis x-ray imaging on a trolley: Impact of trolley design, mattress design and radiographer practice on image quality and radiation dose

International Nuclear Information System (INIS)

Tugwell, J.R.; England, A.; Hogg, P.

2017-01-01

Introduction: Physical and technical differences exist between imaging on an x-ray tabletop and imaging on a trolley. This study evaluates how trolley imaging impacts image quality and radiation dose for an antero-posterior (AP) pelvis projection whilst subsequently exploring means of optimising this imaging examination. Methods: An anthropomorphic pelvis phantom was imaged on a commercially available trolley under various conditions. Variables explored included two mattresses, two image receptor holder positions, three source to image distances (SIDs) and four mAs values. Image quality was evaluated using relative visual grading analysis with the reference image acquired on the x-ray tabletop. Contrast to noise ratio (CNR) was calculated. Effective dose was established using Monte Carlo simulation. Optimisation scores were derived as a figure of merit by dividing effective dose with visual image quality scores. Results: Visual image quality reduced significantly (p < 0.05) whilst effective dose increased significantly (p < 0.05) for images acquired on the trolley using identical acquisition parameters to the reference image. The trolley image with the highest optimisation score was acquired using 130 cm SID, 20 mAs, the standard mattress and platform not elevated. A difference of 12.8 mm was found between the image with the lowest and highest magnification factor (18%). Conclusion: The acquisition parameters used for AP pelvis on the x-ray tabletop are not transferable to trolley imaging and should be modified accordingly to compensate for the differences that exist. Exposure charts should be developed for trolley imaging to ensure optimal image quality at lowest possible dose. - Highlights: • Acquisition parameters used for AP pelvis imaging on a trolley need adapting from those used on the x-ray tabletop. • Radiation dose significantly increases for trolley imaging. • An increase in SID can reduce radiation dose and magnification for trolley imaging

A transfer method and apparatus therefore

International Nuclear Information System (INIS)

Billington, A.J.; Brown, S.C.N.; Snelson, B.; Drayton, J.H.; Wood, S.A.; Desborough, P.H.; Slater, S.

1990-01-01

In a method and apparatus for transferring relatively light objects, such as nuclear fuel pellets, the objects are supported on a cushion element having a multiplicity of extremely fine and relatively short flexible fibres packed at an ultra high density pile in a backing. The fibres are aligned at an angle or inclination with respect to the base so that when the cushion element or the object is vibrated the objects are transferred in the direction of lay of the fibres. The cushion element may be supported by a base with the object resting on the fibres, or the cushion element may be secured to the underside of the object so that the fibres rest on the base. The pile may have (68-80) x 10 6 fibres per square metre, with a fibre length/thickness ratio of about 50:1. The fibres may be 43-45 microns thick and up to 2.5 mm in length. The support may be in the form of a V-section track and used in conjunction with an inspection device, or have an orienting function. (author)

A Secondary Analysis of Longitudinal Prevalence Data to Determine the Use of Pressure Ulcer Preventive Measures in Dutch Nursing Homes, 2005-2014.

Science.gov (United States)

van Leen, Martin Wf; Schols, Joseph Mga; Hovius, Steven Er; Halfens, Ruud Jg

2017-09-01

Pressure ulcers (PUs) are an important and distressing problem in Dutch nursing homes. A secondary analysis of longitudinal data from the Dutch National Prevalence Measurement of Care Problems (LPZ) - an annual, multicenter, point-prevalence survey - was conducted for the years 2005-2014 to determine the use of specific recommended PU preventive measures from the European Pressure Ulcer Advisory Panel 1998, the National Pressure Ulcer Advisory Panel/European Pressure Ulcer Advisory Panel 2009, and the 2002 and 2011 Dutch PU guidelines. Preventive care was investigated among nursing home residents at risk for PUs and included skin care (moisturization); nutritional and hydration status assessment and optimization; and pressure redistribution involving mattresses, cushions, and heel pressure-relieving strategies and devices. Following abstraction from the study database, data for 3 at-risk groups were distinguished: 1) residents with a Braden score of 17, 18, or 19; 2) residents with a Braden score below 17; and 3) residents with a PU. Data were aggregated at the institutional level. Differences were tested with multiple regression analyses. The mean number of residents over the study period was 5435, the mean age was 82.8 years, and the mean Braden score was 15.3. None of the recommended preventive measures from the guidelines consulted was applied 100% of the time: preventive skin care measures were used in 25.1% to 63.8% of cases and dehydration and/or malnutrition were identified and managed in 27.8% to 65.6% of patients. Pressure redistribution with special types of mattresses was used in 85.2% of patients, cushions in (wheel)chairs were used in 64.8% of patients, and heels were offloaded in 57.8% of patients. The results regarding repositioning for the 3 groups, respectively, showed a maximum use of 9.7%, 30.3%, and 65.6%; the higher the PU risk, the more preventive measures were used. Although the results show a decrease in the percent of category 2 through

76 FR 59014 - Standard for the Flammability of Mattresses and Mattress Pads; Technical Amendment

Science.gov (United States)

2011-09-23

... of the Standard; rather, SRM usage ensures continuity of a reliably high PFLB with low variability in... demonstrates that the PFLB performance of commercial cigarettes is subject to significant variability that can... industry has sufficient test data to support the hypothesis that RIP cigarettes consistently self...

Floristic changes in alpine plant communities induced by the cushion plant Azorella madreporica (Apiaceae in the Andes of central Chile Cambios florísticos en comunidades de plantas alpinas inducidos por la planta en cojín Azorella madrepórica (Apiaceae en los Andes de Chile central

Directory of Open Access Journals (Sweden)

CONSTANZA L QUIROZ

2009-06-01

Full Text Available It is well known that the number of plant species associated with nurse plants increases with elevation. However, studies conducted so far have largely ignored the effect of nurse plants on other community attributes, such as the species abundances, diversity and evenness. Moreover, changes in these community attributes along environmental gradients have also been seldom examined. The present study evaluates the effect of the cushion plant Azorella madrepórica (Apiaceae on species richness, species abundance, diversity and evenness of vascular plants at two elevations in the Andes of central Chile. Theoretically, the impact of this nurse cushion plant on these community attributes should be grater at a higher elevation. Results showed that the proportion of plant species associated with cushion plants increases with elevation, and the abundance of some species is also greater within cushions than on bare ground. Although the proportion of species growing within cushions increased with elevation, diversity and evenness were higher on bare ground. This is due to some few species that attained very high densities within cushions, generating assemblages highly dominated by some few species. Ordination analyses indicated differences in species assemblages within and outside A. madrepórica at the higher elevation. Therefore, the influence of cushion plants on community structure changes with elevation. Accordingly, we suggest that attributes other than species richness must be included in future studies in order to analyze the impact of nurse species on community structure along environmental gradients.Se sabe que el número de especies asociado a plantas nodrizas aumenta con la altitud. Sin embargo, el efecto de plantas nodrizas sobre otros atributos de las comunidades, como la abundancia de especies, diversidad y equidad, ha sido largamente ignorado. Más aún, cambios en estos atributos en gradientes ambientales han sido pocas veces examinados

Preventive Biomechanics Optimizing Support Systems for the Human Body in the Lying and Sitting Position

CERN Document Server

Silber, Gerhard

2013-01-01

How can we optimize a bedridden patient’s mattress? How can we make a passenger seat on a long distance flight or ride more comfortable? What qualities should a runner’s shoes have? To objectively address such questions using engineering and scientific methods, adequate virtual human body models for use in computer simulation of loading scenarios are required. The authors have developed a novel method incorporating subject studies, magnetic resonance imaging, 3D-CAD-reconstruction, continuum mechanics, material theory and the finite element method. The focus is laid upon the mechanical in vivo-characterization of human soft tissue, which is indispensable for simulating its mechanical interaction with, for example, medical bedding or automotive and airplane seating systems. Using the examples of arbitrary body support systems, the presented approach provides visual insight into simulated internal mechanical body tissue stress and strain, with the goal of biomechanical optimization of body support systems. ...

How does the canine paw pad attenuate ground impacts? A multi-layer cushion system

Directory of Open Access Journals (Sweden)

Huaibin Miao

2017-12-01

Full Text Available Macroscopic mechanical properties of digitigrade paw pads, such as non-linear elastic and variable stiffness, have been investigated in previous studies; however, little is known about the micro-scale structural characteristics of digitigrade paw pads, or the relationship between these characteristics and the exceptional cushioning of the pads. The digitigrade paw pad consists of a multi-layered structure, which is mainly comprised of a stratified epithelium layer, a dermis layer and a subcutaneous layer. The stratified epithelium layer and dermal papillae constitute the epidermis layer. Finite element analyses were carried out and showed that the epidermis layer effectively attenuated the ground impact across impact velocities of 0.05–0.4 m/s, and that the von Mises stresses were uniformly distributed in this layer. The dermis layer encompassing the subcutaneous layer can be viewed as a hydrostatic system, which can store, release and dissipate impact energy. All three layers in the paw pad work as a whole to meet the biomechanical requirements of animal locomotion. These findings provide insights into the biomechanical functioning of digitigrade paw pads and could be used to facilitate bio-inspired, ground-contacting component development for robots and machines, as well as contribute to footwear design.

How does the canine paw pad attenuate ground impacts? A multi-layer cushion system.

Science.gov (United States)

Miao, Huaibin; Fu, Jun; Qian, Zhihui; Ren, Luquan; Ren, Lei

2017-12-15

Macroscopic mechanical properties of digitigrade paw pads, such as non-linear elastic and variable stiffness, have been investigated in previous studies; however, little is known about the micro-scale structural characteristics of digitigrade paw pads, or the relationship between these characteristics and the exceptional cushioning of the pads. The digitigrade paw pad consists of a multi-layered structure, which is mainly comprised of a stratified epithelium layer, a dermis layer and a subcutaneous layer. The stratified epithelium layer and dermal papillae constitute the epidermis layer. Finite element analyses were carried out and showed that the epidermis layer effectively attenuated the ground impact across impact velocities of 0.05-0.4 m/s, and that the von Mises stresses were uniformly distributed in this layer. The dermis layer encompassing the subcutaneous layer can be viewed as a hydrostatic system, which can store, release and dissipate impact energy. All three layers in the paw pad work as a whole to meet the biomechanical requirements of animal locomotion. These findings provide insights into the biomechanical functioning of digitigrade paw pads and could be used to facilitate bio-inspired, ground-contacting component development for robots and machines, as well as contribute to footwear design. © 2017. Published by The Company of Biologists Ltd.

A deceleration system for near-diameter spheres in pipeline transportation in a pebble bed reactor based on the resistance of a pneumatic cushion

International Nuclear Information System (INIS)

Liu, Hongbing; He, Ayada; Du, Dong; Wang, Xin; Zhang, Haiquan

2014-01-01

Highlights: • A deceleration system for fuel transportation in a pebble bed reactor is designed. • Dynamic analysis and motion analysis of the deceleration process are conducted. • The effectiveness of the system is verified by the analysis and the experiment. • Some key design parameters are studied to achieve effective deceleration. • This research provides a guide for the design of a pebble bed reactor. - Abstract: The fuel elements cycle occurring inside and outside the core of a pebble bed reactor is carried out by pneumatic conveying. In some processes of conveyance, it is necessary to reduce the velocity of the moving fuel element in a short time to avoid damage to the fuel elements and the equipment. In this research, a deceleration system for near-diameter spheres in pipeline transportation based on the resistance of a pneumatic cushion is designed to achieve an effective and reliable deceleration process. Dynamic analysis and motion analysis of the deceleration process are conducted. The results show that when the fuel element is moving in the deceleration pipeline, the gas in the pipeline is compressed to create a pneumatic cushion which resists the movement of the fuel element. In this way, the velocity of the fuel element is decreased to below the target value. During this process, the deceleration is steady and reliable. On this basis some key design parameters are studied, such as the deceleration pipeline length, the ratio of the diameter of the fuel element to the internal diameter of the pipeline, etc. The experimental results are generally consistent with the analysis and demonstrate the considerable effectiveness of the deceleration process as well. This research provides a guide for the design of the fuel elements cycling system in a pebble bed reactor along with the optimization of its control

Adaptation of running pattern to the drop of standard cushioned shoes: A randomised controlled trial with a 6-month follow-up.

Science.gov (United States)

Malisoux, Laurent; Gette, Paul; Chambon, Nicolas; Urhausen, Axel; Theisen, Daniel

2017-08-01

While several cross-sectional studies have investigated the acute effects of shoe drop on running biomechanics, the long-term consequences are currently unknown. This study aimed to investigate if the drop of standard cushioned shoes induces specific adaptations in running technique over a six-month period in leisure-time runners. Double-blinded randomised controlled trial. The participants (n=59) received a pair of shoes with a heel-to-toe drop of 10mm (D10), 6mm (D6) or 0mm (D0) and were followed-up regarding running training over 6 months or 500km, whichever came first. Spatio-temporal variables and kinematics (foot/ground, ankle and knee joint angles) were investigated while running at preferred speed on a treadmill before and after the follow-up. The participants ran 332±178km in the study shoes between pre- and post-tests. There was no shoe version by time interaction for any of the spatio-temporal variables nor for lower limb angles at initial ground contact. A small but significant shoe drop effect was found for knee abduction at mid-stance (p=0.032), as it decreased for the D0 version (-0.3±3.1 vs. -1.3±2.6°) while it increased for the D6 (0.3±2.7 vs. 1.3±3.1°) and D10 version (-0.2±3.2 vs. 0.5±3.1°). However, none of the pairwise comparisons was significant in the post-hoc analysis. Apart from knee abduction at mid-stance, no specific adaptation in spatio-temporal variables and kinematics was found between the three shoe versions during this 6-month follow-up. Thus, shoe drop of standard cushioned shoes does not seem to influence running biomechanics in the long term. Copyright © 2017 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

Oribatid mite (Acari: Oribatida) and Chironomid (Diptera: Chironomidae) communities from a high-Andean cushion peatland in Peru (14°S) and their use for palaeoenvironmental reconstruction during the Nasca cultural period

OpenAIRE

Hense, Jonathan Boray

2016-01-01

The edaphic Oribatid mites and Chironomid larvae of five different successional stages of a high-Andean cushion peatland in southern Peru (14°S) were investigated. In total, 17 Oribatid mite taxa, belonging to eight families could be identified. Taxonomic remarks for the species found and an analysis of community structures are provided. The investigation shows significantly higher Oribatid mite densities in the early and medium successional stages in comparison to the successional climax eco...

Enhanced mechanical properties of single walled carbon nanotube-borosilicate glass composite due to cushioning effect and localized plastic flow

Directory of Open Access Journals (Sweden)

Sujan Ghosh

2011-12-01

Full Text Available A borosilicate glass composite has been fabricated incorporating Single Wall Carbon Nanotubes (SWCNT in the glass matrix by melt-quench technique. Hardness and the fracture toughness of the composite, were found to increase moderately with respect to the base glass. Interestingly one can observe accumulation of SWCNT bundles around the crack zone though no such accumulation was observed in the crack free indentation zone. The enhanced hardness of the composite was discussed by correlating the cushioning as well as toughening behavior of the agglomerated SWCNT bundles. On the other hand enhanced plastic flow was proposed to be the prime reason for the accumulation of SWCNT bundles around the crack, which increases the toughness of the composite by reducing the crack length. Moreover to ascertain the enhanced plasticity of the composite than that of the glass we calculated the recovery resistance of glass and the composite where recovery resistance of composite was found to be higher than that of the glass.

The re-emergence of the minimal running shoe.

Science.gov (United States)

Davis, Irene S

2014-10-01

The running shoe has gone through significant changes since its inception. The purpose of this paper is to review these changes, the majority of which have occurred over the past 50 years. Running footwear began as very minimal, then evolved to become highly cushioned and supportive. However, over the past 5 years, there has been a reversal of this trend, with runners seeking more minimal shoes that allow their feet more natural motion. This abrupt shift toward footwear without cushioning and support has led to reports of injuries associated with minimal footwear. In response to this, the running footwear industry shifted again toward the development of lightweight, partial minimal shoes that offer some support and cushioning. In this paper, studies comparing the mechanics between running in minimal, partial minimal, and traditional shoes are reviewed. The implications for injuries in all 3 conditions are examined. The use of minimal footwear in other populations besides runners is discussed. Finally, areas for future research into minimal footwear are suggested.

16 CFR 1632.1 - Definitions.

Science.gov (United States)

2010-01-01

... resilient material used alone or in combination with other products intended or promoted for sleeping upon... Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION FLAMMABLE FABRICS ACT REGULATIONS STANDARD FOR THE... mattresses, day bed mattresses, roll-a-way bed mattresses, high risers, and trundle bed mattresses. See...

Better backs by better beds?

DEFF Research Database (Denmark)

Bergholdt, Kim; Fabricius, Rasmus N; Bendix, Tom

2008-01-01

mattresses have a positive effect on LBP, and especially a hard mattress is commonly believed to have a positive effect. METHODS: One hundred sixty CLBP patients were randomized to 1 of 3 groups, having a mattress/bed mounted in their sleeping room for 1 month. The beds were: (1) waterbed (Akva), (2) body......-conforming foam mattress (Tempur), and (3) a hard mattress (Innovation Futon). At baseline and after 4 weeks, a blinded observer interviewed the patients on LBP levels (0-10), daily function (activities of daily living, 0-30), and on the amount of sleeping hours/night. RESULTS: Because of dropout of 19 patients...... using the probably most relevant "worst case" data. There were no relevant difference between the effects of the water bed and the foam bed. CONCLUSION: The Waterbed and foam mattress' did influence back symptoms, function and sleep more positively as apposed to the hard mattress, but the differences...

Serotonin potentiates transforming growth factor-beta3 induced biomechanical remodeling in avian embryonic atrioventricular valves.

Directory of Open Access Journals (Sweden)

Philip R Buskohl

Full Text Available Embryonic heart valve primordia (cushions maintain unidirectional blood flow during development despite an increasingly demanding mechanical environment. Recent studies demonstrate that atrioventricular (AV cushions stiffen over gestation, but the molecular mechanisms of this process are unknown. Transforming growth factor-beta (TGFβ and serotonin (5-HT signaling modulate tissue biomechanics of postnatal valves, but less is known of their role in the biomechanical remodeling of embryonic valves. In this study, we demonstrate that exogenous TGFβ3 increases AV cushion biomechanical stiffness and residual stress, but paradoxically reduces matrix compaction. We then show that TGFβ3 induces contractile gene expression (RhoA, aSMA and extracellular matrix expression (col1α2 in cushion mesenchyme, while simultaneously stimulating a two-fold increase in proliferation. Local compaction increased due to an elevated contractile phenotype, but global compaction appeared reduced due to proliferation and ECM synthesis. Blockade of TGFβ type I receptors via SB431542 inhibited the TGFβ3 effects. We next showed that exogenous 5-HT does not influence cushion stiffness by itself, but synergistically increases cushion stiffness with TGFβ3 co-treatment. 5-HT increased TGFβ3 gene expression and also potentiated TGFβ3 induced gene expression in a dose-dependent manner. Blockade of the 5HT2b receptor, but not 5-HT2a receptor or serotonin transporter (SERT, resulted in complete cessation of TGFβ3 induced mechanical strengthening. Finally, systemic 5-HT administration in ovo induced cushion remodeling related defects, including thinned/atretic AV valves, ventricular septal defects, and outflow rotation defects. Elevated 5-HT in ovo resulted in elevated remodeling gene expression and increased TGFβ signaling activity, supporting our ex-vivo findings. Collectively, these results highlight TGFβ/5-HT signaling as a potent mechanism for control of biomechanical

Influence of midsole hardness of standard cushioned shoes on running-related injury risk.

Science.gov (United States)

Theisen, Daniel; Malisoux, Laurent; Genin, Joakim; Delattre, Nicolas; Seil, Romain; Urhausen, Axel

2014-03-01

In this double-blind randomised controlled trial, we tested if leisure-time runners using shoes with less compliant midsoles have a higher running-related injury (RRI) risk. We provided 247 runners with standard running shoes having either a soft study shoes (soft-SS) or a hard study shoes (hard-SS) midsole and followed them prospectively for 5 months regarding RRI. All information about sports practice and injuries was uploaded on a dedicated internet platform and checked for consistency and completeness. RRI was defined as any first-time pain sustained during or as a result of running practice and impeding normal running activity for at least 1 day. Cox proportional hazards regressions were used to identify RRI risk factors. The type of study shoes used for running was not associated with RRIs (HR=0.92; 95% CI 0.57 to 1.48). The hard-SS had a 15% greater overall stiffness in the heel region. The two study groups were similar regarding personal and sports participation characteristics, except for years of running experience, which was higher (prunning. No between-group differences were found regarding injury location, type, severity or category. Nevertheless, the adjusted regression model revealed positive associations with RRI risk for body mass index (HR=1.126; 95% CI 1.033 to 1.227), previous injury (HR=1.735; 95% CI 1.037 to 2.902) and mean session intensity (HR=1.396; 95% CI 1.040 to 1.874). Protective factors were previous regular running activity (HR=0.422; 95% CI 0.228 to 0.779) and weekly volume of other sports activities (HR=0.702; 95% CI 0.561 to 0.879). Midsole hardness of modern cushioned running shoes does not seem to influence RRI risk.

Influence of the Heel-to-Toe Drop of Standard Cushioned Running Shoes on Injury Risk in Leisure-Time Runners: A Randomized Controlled Trial With 6-Month Follow-up.

Science.gov (United States)

Malisoux, Laurent; Chambon, Nicolas; Urhausen, Axel; Theisen, Daniel

2016-11-01

Modern running shoes are available in a wide range of heel-to-toe drops (ie, the height difference between the forward and rear parts of the inside of the shoe). While shoe drop has been shown to influence strike pattern, its effect on injury risk has never been investigated. Therefore, the reasons for such variety in this parameter are unclear. The first aim of this study was to determine whether the drop of standard cushioned running shoes influences running injury risk. The secondary aim was to investigate whether recent running regularity modifies the relationship between shoe drop and injury risk. Randomized controlled trial; Level of evidence, 1. Leisure-time runners (N = 553) were observed for 6 months after having received a pair of shoes with a heel-to-toe drop of 10 mm (D10), 6 mm (D6), or 0 mm (D0). All participants reported their running activities and injuries (time-loss definition, at least 1 day) in an electronic system. Cox regression analyses were used to compare injury risk between the 3 groups based on hazard rate ratios (HRs) and their 95% CIs. A stratified analysis was conducted to evaluate the effect of shoe drop in occasional runners (running regularity, low-drop shoes (D6 and D0) were found to be associated with a lower injury risk in occasional runners (HR, 0.48; 95% CI, 0.23-0.98), whereas these shoes were associated with a higher injury risk in regular runners (HR, 1.67; 95% CI, 1.07-2.62). Overall, injury risk was not modified by the drop of standard cushioned running shoes. However, low-drop shoes could be more hazardous for regular runners, while these shoes seem to be preferable for occasional runners to limit injury risk. © 2016 The Author(s).

Guaianolides and a seco-eudesmane from the resinous exudates of cushion bush (Leucophyta brownii) and evaluation of their cytostatic and anti-inflammatory activity

DEFF Research Database (Denmark)

Gade Hyldgaard, Mette; Purup, Stig; Bond, Andrew David

2015-01-01

A detailed phytochemical investigation of a dichloromethane extract of the resinous exudates of the cushion bush plant (Leucophyta brownii) resulted in the isolation of the new 8,12-guaianolides leucophytalins A (5) and B (6), the new 1,10-seco-eudesmane leucophytalin C (10), six rare 8......,12-guaianolides (1–4, 7, and 8), and the xanthanolide tomentosin (9). The structures of all isolated compounds were elucidated on the basis of spectroscopic and spectrometric analyses. The structures of compounds isolated in crystalline form, including leucophytalins A and C, were further confirmed by X....../mL for thromboxane B2 and prostaglandin E2 production, respectively. The isolated compounds were evaluated for their cytostatic activity against MCF-7 and HT-29 cells (1, 3–10) and their anti-inflammatory activity against RAW 264.7 cells (1–10). All isolated compounds are most likely derived from (+)-germacrene A...

Pressure Ulcer Prevention

Science.gov (United States)

2009-01-01

. Summary of Findings Risk Assessment There is very low quality evidence to support the hypothesis that allocating the type of pressure-relieving equipment according to the person’s level of pressure ulcer risk statistically decreases the incidence of pressure ulcer development. Similarly, there is very low quality evidence to support the hypothesis that incorporating a risk assessment into nursing practice increases the number of preventative measures used per person and that these interventions are initiated earlier in the care continuum. Pressure Redistribution Devices There is moderate quality evidence that the use of an alternative foam mattress produces a relative risk reduction (RRR) of 69% in the incidence of pressure ulcers compared with a standard hospital mattress. The evidence does not support the superiority of one particular type of alternative foam mattress. There is very low quality evidence that the use of an alternating pressure mattress is associated with an RRR of 71% in the incidence of grade 1 or 2 pressure ulcers. Similarly, there is low quality evidence that the use of an alternating pressure mattress is associated with an RRR of 68% in the incidence of deteriorating skin changes. There is moderate quality evidence that there is a statistically nonsignificant difference in the incidence of grade 2 pressure ulcers between persons using an alternating pressure mattress and those using an alternating pressure overlay. There is moderate quality evidence that the use of an Australian sheepskin produces an RRR of 58% in the incidence of pressure ulcers grade 1 or greater. There is also evidence that sheepskins are uncomfortable to use. The Pressure Ulcer Advisory Panel noted that, in general, sheepskins are not a useful preventive intervention because they bunch up in a patient’s bed and may contribute to wound infection if not properly cleaned, and this reduces their acceptability as a preventive intervention. There is very low quality evidence that

Factors affecting stall use for different freestall bases.

Science.gov (United States)

Wagner-Storch, A M; Palmer, R W; Kammel, D W

2003-06-01

The objective of this study was to compare stall use (stall occupancy and cow position) by barn side for factors affecting stall use. A closed circuit television system recorded stall use four times per day for a 9-mo period starting May 9, 2001. Six factors were analyzed: stall base, distance to water, stall location within stall base section, stall location within barn, inside barn temperature, and length of time cows were exposed to stall bases. Two barn sides with different stocking densities were analyzed: low (66%), with cows milked by robotic milker; and high (100%), with cows milked 2X in parlor. Six stall base types were tested: two mattresses, a waterbed, a rubber mat, concrete, and sand (high side only). The base types were grouped 3 to 7 stalls/section and randomly placed in each row. Cows spent more time in mattress-based stalls, but the highest percentage lying was in sand-based stalls. The following significant stall occupancy percentages were found: sand had the highest percentage of cows lying on the high stocking density side (69%), followed by mattress type 1 (65%) > mattress type 2 (57%) > waterbed (45%) > rubber mat (33%) > concrete (23%). Mattress type 1 had the highest percentage stalls occupied (88%), followed by mattress type 2 (84%) > sand (79%) > soft rubber mat (65%) > waterbed (62%) > concrete (39%). On the low stocking rate side, mattress type 1 had the highest percentage cows lying (45%) and occupied (59.6%), followed by mattress type 2 > waterbed > soft rubber mat > concrete. Cow lying and stalls occupied percentages were highest for stalls 1) not at the end of a section, and 2) on the outside row, and varied by base type for time cows exposed to stalls and inside barn temperature. Lying and occupied percentages were different for different mattress types. The percentage of stalls with cows standing was higher for mat and mattress-based stalls. Results show mattress type 1 and sand to be superior and rubber mats and concrete inferior

Drought as a Disturbance: Implications for Peatland Carbon Budgets in the Hudson Bay Lowland

Science.gov (United States)

Bello, R.; Abnizova, A.; Miller, E.

2009-05-01

Carbon feedbacks are of particular importance in high latitudes, both because of large circumpolar peatland carbon pools and because climate warming is occurring more rapidly at these latitudes. Longer-term net ecosystem exchange will be influenced by the capacity of plant communities to respond to changing conditions. The nature of community change and the factors inducing change are examined in this study of a disturbance generated by severe drought in 1994 causing widespread mortality in the dominant moss, Dicranum elongatum, occupying an upland tundra site within the Hudson Bay Lowland near Churchill, Manitoba. One quarter of this moss has recently died and become encrusted with the micro-lichen, Ochrolechia spp. Moss cushions affected in this manner exhibit strong allelopathic inhibition of seedling establishment progressing to complete moss decay. Chamber NEE growing-season flux measurements show an average net release of 642 mg C /m2/d from the dead moss compared to an average net uptake of 164 mg C /m2/d from completely healthy cushions. Between these two extremes, stressed living moss cushions support abundant seedling cover which increases in direct proportion with the fractional mortality. A proxy method for estimating the growth rates of cushions, based on the length of green living shoots, indicates that the moss community is uniform in age and established shortly after the most severe drought of historical record in 1966. Subsequent growth rates of cushions show a strong dependency on proximity to the water table (4.17-1.11 mm/y over 58 cm height interval). A growing-season moss water budget identifies the dominant water flow pathways and indicates capillary uptake (0.08 mm h-1) provides 64% of the storage gains, emphasizing the importance of groundwater for growth and survival. Maximum storage capacities are directly related to cushion biomass, leading to both enhanced moisture stress and increased susceptibility to mortality as cushion size

Comfort zone-design free stalls: do they influence the stall use behavior of lame cows?

Science.gov (United States)

Cook, N B; Marin, M J; Mentink, R L; Bennett, T B; Schaefer, M J

2008-12-01

The behavior of 59 cows in 4 herds, each with Comfort Zone-design free stalls with dimensions suitable for 700-kg, mature Holstein dairy cows, was filmed for a 48-h period. Comparison was made between nonlame, slightly lame, and moderately lame cows on either rubber-crumb-filled mattress stall surfaces bedded with a small amount of sawdust (2 herds) or a Pack Mat design, which consisted of a rubber-crumb-filled mattress pad installed 5 cm below a raised rear curb, bedded with 5 to 8 cm of sand bedding (2 herds). All other stall design components were similar. Despite adequate resting space and freedom to perform normal rising and lying movements, lame cows on mattresses stood in the stall for >2 h longer than nonlame cows. Although a significant increase in stall standing behavior was observed in lame cows on Pack Mat stalls, the mean (95% confidence interval) standing time in the stall was only 0.7 (0 to 3.0) h/d for nonlame cows and 1.6 (0 to 4.2) h/d for moderately lame cows, which was less than the 2.1 (0 to 4.4), 4.3 (1.6 to 6.9), and 4.9 (2.5 to 7.3) h/d spent standing in the stall for nonlame, slightly lame, and moderately lame cows on mattresses, respectively. This observation supports the hypothesis that it is the nature of the stall surface that dictates changes in stall standing behavior observed in lame cows, rather than other components of stall design. The finding that only 5 to 8 cm of sand over a mattress pad provides most of the benefits of deep sand-bedded stalls, along with other advantages related to stall maintenance and manure handling, gives farmers another useful housing alternative with which to improve cow comfort and well-being.

Effects of ambient conditions on the risk of pressure injuries in bedridden patients-multi-physics modelling of microclimate.

Science.gov (United States)

Zeevi, Tal; Levy, Ayelet; Brauner, Neima; Gefen, Amit

2018-06-01

Scientific evidence regarding microclimate and its effects on the risk of pressure ulcers (PU) remains sparse. It is known that elevated skin temperatures and moisture may affect metabolic demand as well as the mechanical behaviour of the tissue. In this study, we incorporated these microclimate factors into a novel, 3-dimensional multi-physics coupled model of the human buttocks, which simultaneously determines the biothermal and biomechanical behaviours of the buttocks in supine lying on different support surfaces. We compared 3 simulated thermally controlled mattresses with 2 reference foam mattresses. A tissue damage score was numerically calculated in a relevant volume of the model, and the cooling effect of each 1°C decrease of tissue temperature was deduced. Damage scores of tissues were substantially lower for the non-foam mattresses compared with the foams. The percentage tissue volume at risk within the volume of interest was found to grow exponentially as the average tissue temperature increased. The resultant average sacral skin temperature was concluded to be a good predictor for an increased risk of PU/injuries. Each 1°C increase contributes approximately 14 times as much to the risk with respect to an increase of 1 mmHg of pressure. These findings highlight the advantages of using thermally controlled support surfaces as well as the need to further assess the potential damage that may be caused by uncontrolled microclimate conditions on inadequate support surfaces in at-risk patients. © 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Support surfaces for pressure ulcer prevention: A network meta-analysis

Science.gov (United States)

Dumville, Jo C.; Cullum, Nicky

2018-01-01

Background Pressure ulcers are a prevalent and global issue and support surfaces are widely used for preventing ulceration. However, the diversity of available support surfaces and the lack of direct comparisons in RCTs make decision-making difficult. Objectives To determine, using network meta-analysis, the relative effects of different support surfaces in reducing pressure ulcer incidence and comfort and to rank these support surfaces in order of their effectiveness. Methods We conducted a systematic review, using a literature search up to November 2016, to identify randomised trials comparing support surfaces for pressure ulcer prevention. Two reviewers independently performed study selection, risk of bias assessment and data extraction. We grouped the support surfaces according to their characteristics and formed evidence networks using these groups. We used network meta-analysis to estimate the relative effects and effectiveness ranking of the groups for the outcomes of pressure ulcer incidence and participant comfort. GRADE was used to assess the certainty of evidence. Main results We included 65 studies in the review. The network for assessing pressure ulcer incidence comprised evidence of low or very low certainty for most network contrasts. There was moderate-certainty evidence that powered active air surfaces and powered hybrid air surfaces probably reduce pressure ulcer incidence compared with standard hospital surfaces (risk ratios (RR) 0.42, 95% confidence intervals (CI) 0.29 to 0.63; 0.22, 0.07 to 0.66, respectively). The network for comfort suggested that powered active air-surfaces are probably slightly less comfortable than standard hospital mattresses (RR 0.80, 95% CI 0.69 to 0.94; moderate-certainty evidence). Conclusions This is the first network meta-analysis of the effects of support surfaces for pressure ulcer prevention. Powered active air-surfaces probably reduce pressure ulcer incidence, but are probably less comfortable than standard

Support surfaces for pressure ulcer prevention: A network meta-analysis.

Science.gov (United States)

Shi, Chunhu; Dumville, Jo C; Cullum, Nicky

2018-01-01

Pressure ulcers are a prevalent and global issue and support surfaces are widely used for preventing ulceration. However, the diversity of available support surfaces and the lack of direct comparisons in RCTs make decision-making difficult. To determine, using network meta-analysis, the relative effects of different support surfaces in reducing pressure ulcer incidence and comfort and to rank these support surfaces in order of their effectiveness. We conducted a systematic review, using a literature search up to November 2016, to identify randomised trials comparing support surfaces for pressure ulcer prevention. Two reviewers independently performed study selection, risk of bias assessment and data extraction. We grouped the support surfaces according to their characteristics and formed evidence networks using these groups. We used network meta-analysis to estimate the relative effects and effectiveness ranking of the groups for the outcomes of pressure ulcer incidence and participant comfort. GRADE was used to assess the certainty of evidence. We included 65 studies in the review. The network for assessing pressure ulcer incidence comprised evidence of low or very low certainty for most network contrasts. There was moderate-certainty evidence that powered active air surfaces and powered hybrid air surfaces probably reduce pressure ulcer incidence compared with standard hospital surfaces (risk ratios (RR) 0.42, 95% confidence intervals (CI) 0.29 to 0.63; 0.22, 0.07 to 0.66, respectively). The network for comfort suggested that powered active air-surfaces are probably slightly less comfortable than standard hospital mattresses (RR 0.80, 95% CI 0.69 to 0.94; moderate-certainty evidence). This is the first network meta-analysis of the effects of support surfaces for pressure ulcer prevention. Powered active air-surfaces probably reduce pressure ulcer incidence, but are probably less comfortable than standard hospital surfaces. Most prevention evidence was of low or

Support surfaces for pressure ulcer prevention: A network meta-analysis.

Directory of Open Access Journals (Sweden)

Chunhu Shi

Full Text Available Pressure ulcers are a prevalent and global issue and support surfaces are widely used for preventing ulceration. However, the diversity of available support surfaces and the lack of direct comparisons in RCTs make decision-making difficult.To determine, using network meta-analysis, the relative effects of different support surfaces in reducing pressure ulcer incidence and comfort and to rank these support surfaces in order of their effectiveness.We conducted a systematic review, using a literature search up to November 2016, to identify randomised trials comparing support surfaces for pressure ulcer prevention. Two reviewers independently performed study selection, risk of bias assessment and data extraction. We grouped the support surfaces according to their characteristics and formed evidence networks using these groups. We used network meta-analysis to estimate the relative effects and effectiveness ranking of the groups for the outcomes of pressure ulcer incidence and participant comfort. GRADE was used to assess the certainty of evidence.We included 65 studies in the review. The network for assessing pressure ulcer incidence comprised evidence of low or very low certainty for most network contrasts. There was moderate-certainty evidence that powered active air surfaces and powered hybrid air surfaces probably reduce pressure ulcer incidence compared with standard hospital surfaces (risk ratios (RR 0.42, 95% confidence intervals (CI 0.29 to 0.63; 0.22, 0.07 to 0.66, respectively. The network for comfort suggested that powered active air-surfaces are probably slightly less comfortable than standard hospital mattresses (RR 0.80, 95% CI 0.69 to 0.94; moderate-certainty evidence.This is the first network meta-analysis of the effects of support surfaces for pressure ulcer prevention. Powered active air-surfaces probably reduce pressure ulcer incidence, but are probably less comfortable than standard hospital surfaces. Most prevention evidence was

Estudio comparativo de microsutura vascular en ratas: punto simple y punto de colchonero horizontal Comparative study about vascular microsurgery on rats: classic interrupted suture versus horizontal mattress suture

Directory of Open Access Journals (Sweden)

C. Casado Sánchez

2009-09-01

Full Text Available La Microcirugía es la técnica empleada para la realización de la microanastomosis vascular. El objetivo del presente estudio es comparar dos tipos de técnicas de microsutura: los puntos simples clásicos, de empleo habitual en la microcirugía vascular, y los puntos de colchonero horizontales, no evaluados habitualmente para este tipo de cirugía. Fueron intervenidas 20 ratas albinas de la cepa Wistar (peso medio de 250 - 300 gr. bajo anestesia general; realizamos sección transversal en la arteria femoral, procediendo a su reparación microquirúrgica inmediata. Se establecieron 2 grupos de animales: en el grupo A (n=10, la microsutura se hizo mediante 6 puntos sueltos simples, y en el grupo B (n=10, empleando 3 puntos de colchonero horizontal. Comprobamos la patencia en el desclampado inmediato y tras una hora del desclampado (para ambas técnicas fue positiva en el 100% de los casos, y la hemorragia en ambos tiempos (se registró un único caso de sangrado en el postoperatorio inmediato en el grupo B, que requirió la revisión de la microsutura. El tiempo medio de ejecución de la sutura en el grupo B, 15 minutos aproximadamente, fue más corto que en el grupo A, 21 minutos aproximadamente, diferencia estadísticamente significativa (p Microsurgery is the procedure of choice for vascular microanastamoses. The objective of this study was to compare two types of suture techniques: classic interrupted suture anastomoses, commonly used for vascular anastamoses in microsurgery, and another technique using horizontal mattress sutures, rarely evaluated in this type of surgery. Twenty albino Wistar rats were operated (average weight: 250 - 300 gr. under general anaesthesia. A transverse section of the femoral artery was performed and immediately followed by an anastamoses. The animals were placed into two groups of ten. The classic 6 interrupted suture anastomoses technique was performed in group A (n = 10 and another technique using 3

New concepts in the prevention of pressure sores.

Science.gov (United States)

Bogie, Kath; Powell, Heather L; Ho, Chester H

2012-01-01

Pressure sores are a serious, and costly, complication for many patients with reduced mobility and sensation. Some populations, such as those with spinal cord injury (SCI), remain at high risk throughout their lifetime. Prevention is highly preferable and while the concept is readily definable, it is much more challenging to develop valid preventative measures. Subjective and objective approaches to risk factor assessment before pressure sores develop are reviewed, including risk status scales and emerging techniques to assess deep tissue injury. Devices to prevent pressure sores have traditionally focused on pressure-relieving cushions and mattresses. Technological advances being applied in the development of new pressure sore prevention devices are presented. Clinical evidence-based practice is integral to pressure sore prevention. Comprehensive assessment must include evaluation of systemic diseases, anatomical and physiological factors, together with environmental and psychosocial factors, which can all contribute to pressure sore development. Extrinsic factors need to be considered in conjunction with intrinsic tissue health factors and are reviewed together with an evaluation of currently available clinical practice guidelines. This chapter presents the broad diversity of factors associated with pressure sore development and highlights the need for an interdisciplinary team approach in order to maximize successful prevention of pressure sores. Copyright © 2012 Elsevier B.V. All rights reserved.

Differentiation between solid-ankle cushioned heel and energy storage and return prosthetic foot based on step-to-step transition cost.

Science.gov (United States)

Wezenberg, Daphne; Cutti, Andrea G; Bruno, Antonino; Houdijk, Han

2014-01-01

Decreased push-off power by the prosthetic foot and inadequate roll-over shape of the foot have been shown to increase the energy dissipated during the step-to-step transition in human walking. The aim of this study was to determine whether energy storage and return (ESAR) feet are able to reduce the mechanical energy dissipated during the step-to-step transition. Fifteen males with a unilateral lower-limb amputation walked with their prescribed ESAR foot (Vari-Flex, Ossur; Reykjavik, Iceland) and with a solid-ankle cushioned heel foot (SACH) (1D10, Ottobock; Duderstadt, Germany), while ground reaction forces and kinematics were recorded. The positive mechanical work on the center of mass performed by the trailing prosthetic limb was larger (33%, p = 0.01) and the negative work performed by the leading intact limb was lower (13%, p = 0.04) when walking with the ESAR foot compared with the SACH foot. The reduced step-to-step transition cost coincided with a higher mechanical push-off power generated by the ESAR foot and an extended forward progression of the center of pressure under the prosthetic ESAR foot. Results can explain the proposed improvement in walking economy with this kind of energy storing and return prosthetic foot.

Pattern of Pressure Sores in Spinal Injured Patients with in the First ...

African Journals Online (AJOL)

Background: Before 2006, all our spinal injured patients were nursed on conventional form mattress without pressure redistributing support surface. Pressure sore was a common complication and was a major contributing factor to prolonged hospitalization. Aim: The aim of this study is to determine the pattern of pressure ...

Cost-effectiveness of pressure-relieving devices for the prevention and treatment of pressure ulcers.

Science.gov (United States)

Fleurence, Rachael L

2005-01-01

The cost-effectiveness of alternating pressure-relieving devices, mattress replacements, and mattress overlays compared with a standard hospital (high-specification foam mattress) for the prevention and treatment of pressure ulcers in hospital patients in the United Kingdom was investigated. A decision-analytic model was constructed to evaluate different strategies to prevent or treat pressure ulcers. Three scenarios were evaluated: the prevention of pressure ulcers, the treatment of superficial ulcers, and the treatment of severe ulcers. Epidemiological and effectiveness data were obtained from the clinical literature. Expert opinion using a rating scale technique was used to obtain quality of life data. Costs of the devices were obtained from manufacturers, whereas costs of treatment were obtained from the literature. Uncertainty was explored through probabilistic sensitivity analysis. Using 30,000 pounds sterling/QALY (quality-adjusted life year) as the decision-maker's cut off point (the current UK standard), in scenario 1 (prevention), the cost-effective strategy was the mattress overlay at 1, 4, and 12 weeks. In scenarios 2 and 3, the cost-effective strategy was the mattress replacement at 1, 4, and 12 weeks. Standard care was a dominated intervention in all scenarios for values of the decision-maker's ceiling ratio ranging from 5,000 pounds sterling to 100,000 pounds sterling/QALY. However, the probabilistic sensitivity analysis results reflected the high uncertainty surrounding the choice of devices. Current information suggests that alternating pressure mattress overlays may be cost-effective for the prevention of pressure ulcers, whereas alternating pressure mattress replacements appears to be cost-effective for the treatment of superficial and severe pressure ulcers.

Living in isolation - population structure, reproduction, and genetic variation of the endangered plant species Dianthus gratianopolitanus (Cheddar pink).

Science.gov (United States)

Putz, Christina M; Schmid, Christoph; Reisch, Christoph

2015-09-01

The endangered plant species Dianthus gratianopolitanus exhibits a highly fragmented distribution range comprising many isolated populations. Based upon this pattern of distribution, we selected a study region in Switzerland with a lower magnitude of isolation (Swiss Jura) and another study region in Germany with a higher degree of isolation (Franconian Jura). In each region, we chose ten populations to analyze population structure, reproduction, and genetic variation in a comparative approach. Therefore, we determined population density, cushion size, and cushion density to analyze population structure, investigated reproductive traits, including number of flowers, capsules, and germination rate, and analyzed amplified fragment length polymorphisms to study genetic variation. Population and cushion density were credibly higher in German than in Swiss populations, whereas reproductive traits and genetic variation within populations were similar in both study regions. However, genetic variation among populations and isolation by distance were stronger in Germany than in Switzerland. Generally, cushion size and density as well as flower and capsule production increased with population size and density, whereas genetic variation decreased with population density. In contrast to our assumptions, we observed denser populations and cushions in the region with the higher magnitude of isolation, whereas reproductive traits and genetic variation within populations were comparable in both regions. This corroborates the assumption that stronger isolation must not necessarily result in the loss of fitness and genetic variation. Furthermore, it supports our conclusion that the protection of strongly isolated populations contributes essentially to the conservation of a species' full evolutionary potential.

75 FR 72944 - Third Party Testing for Certain Children's Products; Mattresses, Mattress Pads, and/or Mattress...

Science.gov (United States)

2010-11-29

...: Revisions to Terms of Acceptance of Children's Product Certifications Based on Third Party Conformity... under which it will accept certifications for children's products based on third party conformity..., requires that certification be based on testing of sufficient samples of the product, or samples that are...

75 FR 51020 - Third Party Testing for Certain Children's Products; Mattresses, Mattress Pads, and/or Mattress...

Science.gov (United States)

2010-08-18

... Standardization (ISO)/International Electrotechnical Commission (IEC) Standard 17025:2005, ``General Requirements... and of the requirements of the ISO/IEC 17025:2005 laboratory accreditation standard is provided in the... body that was ISO/IEC 17025 accredited by an ILAC-MRA member at the time of the test. For firewalled...

Imaging the neonate in the incubator: an investigation of the technical, radiological and nursing issues.

Science.gov (United States)

Mutch, S J; Wentworth, S D P

2007-11-01

Modern neonatal incubators incorporate an X-ray tray device into the mattress support structure to facilitate patient examination with minimal disturbance and distress. However, the usual method of examination is to place the image plate directly underneath the baby. Users often cite radiological reasons for not using X-ray trays but modern quantitative evidence is lacking. This work looks at the technical and clinical aspects of imaging neonates in incubators and the impact that these may have in determining the imaging protocol. A number of hospitals were surveyed to determine their current method of examination and the reasons for their preference. Experimental measurements of the radiological impact of using (or not using) the X-ray tray were performed for a range of neonatal incubators. The average dose to the image plate was 5.9 microGy (range 5.4-6.4 microGy) for the "plate on mattress" method and 3.0 microGy (2.0-3.8 microGy) when using the tray--a 49% reduction owing to the mattress support materials. However, when using a computed radiography (CR) imaging system, the image quality differences were marginal. Survey results indicated that nurses preferred to use the tray but that radiographers were reluctant. We conclude that incubator manufacturers could do much to improve the radiological performance of their equipment and we offer recommendations. We also conclude that, with appropriate nurse and radiographer training and the advent of CR imaging systems, use of X-ray tray facilities may optimize imaging of the neonate in the incubator.

A bacteriological study of hospital beds before and after disinfection with phenolic disinfectant

Directory of Open Access Journals (Sweden)

Andrade Denise de

2000-01-01

Full Text Available In hospitals, one of the ways to control microbial contamination is by disinfecting the furniture used by patients. This study's main objective was to evaluate the microbiological condition of hospital mattresses before and after such disinfection, in order to identify bacteria that are epidemiologically important in nosocomial infection, such as Staphylococcus aureus and Pseudomonas aeruginosa. RODAC plates with two different culture media were used to collect specimens. Patient beds were selected according to previously established criteria, and surface areas on the mattresses were chosen at random. From the total of 1 040 plate cultures from 52 mattresses, positive results were obtained from 500 of them (48.1%, 263 before disinfection and 237 after disinfection. Considering the selectivity of the culture media, the positivity rate was high. There were high prevalences of S. aureus both before and after mattress disinfection. The study results suggest that the usual disinfection procedures, instead of diminishing the number of microbes, merely displace them from one part of the mattress to another, and the number of microorganisms remains the same.

A bacteriological study of hospital beds before and after disinfection with phenolic disinfectant

Directory of Open Access Journals (Sweden)

Denise de Andrade

2000-03-01

Full Text Available In hospitals, one of the ways to control microbial contamination is by disinfecting the furniture used by patients. This study's main objective was to evaluate the microbiological condition of hospital mattresses before and after such disinfection, in order to identify bacteria that are epidemiologically important in nosocomial infection, such as Staphylococcus aureus and Pseudomonas aeruginosa. RODAC plates with two different culture media were used to collect specimens. Patient beds were selected according to previously established criteria, and surface areas on the mattresses were chosen at random. From the total of 1 040 plate cultures from 52 mattresses, positive results were obtained from 500 of them (48.1%, 263 before disinfection and 237 after disinfection. Considering the selectivity of the culture media, the positivity rate was high. There were high prevalences of S. aureus both before and after mattress disinfection. The study results suggest that the usual disinfection procedures, instead of diminishing the number of microbes, merely displace them from one part of the mattress to another, and the number of microorganisms remains the same.

Evaluation of Type II Fast Packs for Electrostatic Discharge Properties.

Science.gov (United States)

1983-08-01

34 x 8" x 1 3/4") consisting of a reclosable cushioned carrier which mates into an outer fiberboard sleeve. A cushioning insert is used consisting of a... RECLOSABLE CUSHIONED CARRIER TEST LOAD FIGURE 1: Cancel Caddy Pack * CONVOLUTED 4* CUSHIONED I FIGURE 2: Type II Fast Pack (PPP-B-1672) TYPE II FAST PACK

Air Force Operational Medicine: Using the Enterprise Estimating Supplies Program to Develop Materiel Solutions for the Expeditionary Medical Support (EMEDS). Volume 4. EMEDS+25

Science.gov (United States)

2011-03-28

MATTRESS LITTER F/AEROMEDICAL PT TRANSFER EA 7 7 14.00 12.45 $1,855.00 14.00 12.45 $1,855.00 A 6515015593946 NEGATIVE PRESSURE WOUND THERAPY ...AGAR5%SHE PG 10 5 10.00 5.00 $271.70 5.00 2.50 $135.85 C 6550013168746 CULTURE MED CHOCOLATE AGAR W/HEMOGLOBIN&ENRIC PG 2 1 1.70 0.02 $34.20 0.85

A simple preparative free-flow electrophoresis joined with gratis gravity: I. Gas cushion injector and self-balance collector instead of multiple channel pump.

Science.gov (United States)

Chen, Su; Palmer, James F; Zhang, Wei; Shao, Jing; Li, Si; Fan, Liu-Yin; Sun, Ren; Dong, Yu-Chao; Cao, Cheng-Xi

2009-06-01

This paper describes a novel free-flow electrophoresis (FFE), which is joined with gratis gravity, gas cushion injector (GCI) and self-balance collector instead of multiple channel pump, for the purpose of preparative purification. The FFE was evaluated by systemic experiments. The results manifest that (i) even though one-channel peristaltic pump is used for the driving of background buffer, there is still stable flow in the FFE chamber; (ii) the stable flow is induced by the gravity-induced pressure due to the difference of buffer surfaces in the GCI and self-balance collector; (iii) the pulse flow of background buffer induced by the peristaltic pump is greatly reduced by the GCI with good compressibility of included air; (iv) the FFE can be well used for zone electrophoretic separation of amino acids; (v) up to 20 inlets simultaneous sample injection and up to five to tenfold condensation of amino acid can be achieved by combining the FFE device with the method of moving reaction boundary. To the best of authors' knowledge, FFE has not been used for such separation and condensation of amino acids. The relevant results achieved in the paper have evident significance for the development of preparative FFE.

How to Find Bed Bugs

Science.gov (United States)

Find and correctly identify an infestation early before it becomes widespread. Look for rusty or reddish stains and pinpoint dark spots on bed sheets or mattresses, and search for bugs near the piping, seams and tags of the mattress and box spring.

Double airdecks cushion presplitting of highwalls

Energy Technology Data Exchange (ETDEWEB)

Chironis, N.P.

1991-04-01

Airdecking is a blasting technique for presplitting highwalls. The article describes the airdeck technique used at a Wyoming mine. Trapped air columns in the blastholes are used to enhance and effectively distribute the shock-wave power of the explosive force. A rugged, inflatable plug near the top of the hole supports stemming that bottles up the blast. When the explosion is triggered the shock wave travels up the air column and also rebounds from the bottom of the hole to produce stresses in the surrounding rock. Although this method resulted in a 41% reduction in rockfall, costs were high. A second method involved spacing four bags of Anfo along the borehole and in a third method a second borehole plug was inserted. Although labour and materials costs were still high, rockfall was reduced by between 27% and a very significant 88%. 5 figs., 9 photos.

78 FR 46952 - Relief-Mart, Inc.; Analysis of Proposed Consent Order To Aid Public Comment

Science.gov (United States)

2013-08-02

... representations that a memory foam mattress lacks the common smell associated with memory foam to mean that the... involves respondent's marketing and sale of memory foam mattresses. According to the FTC's complaint... off-gassing, and lack the odors commonly associated with memory foam. The complaint alleges that...

Decubitus prophylaxis

DEFF Research Database (Denmark)

Andersen, Klaus Ejner; Jensen, O; Kvorning, S A

1983-01-01

Six hundred patients at risk for pressure sores were randomized in either a control group or one of two experimental groups placed on alternating-pressure air-mattresses and water-mattresses. The groups remained comparable throughout the 10-day study period. Twenty-one patients from the control...

Should care homes adopt a static-led approach to pressure ulcer prevention?

Science.gov (United States)

Keen, Delia Catherine

A static-led approach refers to the provision of high-specification foam mattresses for the whole of a population at risk of pressure damage. Such mattresses have been found to reduce the risk of pressure ulceration and cost less overall than standard mattresses, even in populations where only 1 in 100 patients develops a pressure ulcer. Reduced pressure ulcer prevalence and reduced costs resulting from decreased expenditure on dynamic mattresses following the implementation of a static-led approach have been reported. Pressure ulcers cause pain, a reduced quality of life, loss of independence, depression and social isolation for those in whom they develop. Organizations are increasingly having to pay out large sums of money following litigation surrounding pressure ulcers. This article explains why NHS healthcare providers and private care organizations need to work together to consider implementing a static-led approach to pressure ulcer prevention within care homes in order to reduce pressure ulcer incidence cost-effectively within their local populations.

Nonpharmacologic Interventions to Prevent Pressure Ulcers in Older Patients: An Overview of Systematic Reviews (The Software ENgine for the Assessment and optimization of drug and non-drug Therapy in Older peRsons [SENATOR] Definition of Optimal Evidence-Based Non-drug Therapies in Older People [ONTOP] Series).

Science.gov (United States)

Lozano-Montoya, Isabel; Vélez-Díaz-Pallarés, Manuel; Abraha, Iosief; Cherubini, Antonio; Soiza, Roy L; O'Mahony, Denis; Montero-Errasquín, Beatriz; Correa-Pérez, Andrea; Cruz-Jentoft, Alfonso J

2016-04-01

Pressure ulcers (PUs) are frequent in older patients, and the healing process is usually challenging, therefore, prevention should be the first strategic line in PU management. Nonpharmacologic interventions may play a role in the prevention of PUs in older people, but most systematic reviews (SRs) have not addressed this specific population using convincing outcome measures. To summarize and critically appraise the evidence from SRs of the primary studies on nonpharmacologic interventions to prevent PUs in older patients. SR and meta-analysis of comparative studies. PubMed, Cochrane Database of Systematic Reviews, EMBASE, and CINHAL (from inception to October 2013) were searched. A new search for updates in the Cochrane Database was launched in July 2014. SRs that included at least 1 comparative study evaluating any nonpharmacologic intervention to prevent PUs in older patients, in any healthcare setting, were selected. Any primary study with experimental design was then identified and included. From each primary study, quality assessment was undertaken as specified by the Cochrane Collaboration and the Grading of Recommendations Assessment, Development and Evaluation working group. Interventions were identified and compared among different studies to explore the possibility of performing a meta-analysis, using the incidence of new pressure ulcers as the main outcome measure. One hundred ten SRs with 65 primary studies satisfied the inclusion criteria. The most frequent interventions explored in these trials were support surfaces (41 studies), repositioning (8), and nutrition interventions (5). High quality of evidence was not found for any intervention, mainly because of a high risk of bias and imprecision. There is moderate quality evidence to support the use of alternating pressure support mattresses over usual hospital mattresses in medical and surgical inpatients, low quality evidence to support constant low pressure devices and Australian medical sheepskin

78 FR 75512 - Airworthiness Directives; The Boeing Company Airplanes

Science.gov (United States)

2013-12-12

... of installation of incorrect wire support clamps within the left and right Environmental Control... clamps that are not fully cushioned could allow electrical power wiring to come in contact with the... receive about this proposed AD. Discussion We received a report of the installation of incorrect wire...

Avaliação da presença de Staphylococcus aureus nos leitos do Centro de Terapia Intensiva do Hospital Escola da Faculdade de Medicina do Triângulo Mineiro, em relação à posição no colchão antes e após a limpeza Evaluation of presence of Staphylococcus aureus on the beds of Hospital Escola's Intensive Care Unit, concerning the position on the mattress, before and after cleaning

Directory of Open Access Journals (Sweden)

Guilhermo Justino Mundim

2003-12-01

Full Text Available Através de meios de cultura, foi pesquisada a posição de colônias de Staphylococcus aureus em colchões, visando avaliar a eficácia do procedimento de limpeza e desinfecção dos leitos do Hospital Escola da Faculdade de Medicina do Triângulo Mineiro (Uberaba. Foram analisadas amostras de 50 colchões no período de 22 de outubro de 2000 a 16 de janeiro de 2001. As amostras foram coletadas e semeadas, pela técnica de esgotamento, em dois meios de cultivo (ágar sangue e manitol com posterior realização de provas de catalase e coagulase . Na análise estatística, foram utilizados os testes não paramétricos Mann-Whitney, Kruswkal- Wallis e Wilcoxon Matched Pairs Test com nível de significância p 0,05. Os resultados apontam e alertam para falhas no procedimento de limpeza e desinfecção dos leitos hospitalares por nós estudados.By means of culture medium, it was researched the position of the colony of Staphylococcus aureus on the mattress, to evaluate the efficciuoness of the methods of cleaning and disinfection of the river bed in the Faculdade de Medicina do Triângulo Mineiro's School Hospital (Uberaba. It were evaluated fifty mattresses on the period of October 22th (2000 to January 16th (2001. The samples were collected and grown, the exhaustion techinique draining, on two different nutrient bases (blood agar and mannitol salt agar followed by catalase and coagulase tests. For the statistical analysis, were used non-parametrics tests Mann-Whitney, Kruskal-Wallis, Wilcoxon Matched Pairs Test with significance level p < 0,05 were used. Six hundred dishes of culture medium have been used. There was growing in 94 (15,6%, being 82 (87,2% before and 12 (12,8% after cleaning and disinfection. Concerning the position on the bed, the samples obtained from mannitol salt agar medium showed significant retention on the lower position of bed. The results alert to flaws in the procedure for cleaning and disinfection from the mattresses

GIS-Based Detection of Gullies in Terrestrial LiDAR Data of the Cerro Llamoca Peatland (Peru

Directory of Open Access Journals (Sweden)

Markus Forbriger

2013-11-01

Full Text Available Cushion peatlands are typical features of the high altitude Andes in South America. Due to the adaptation to difficult environmental conditions, they are very fragile ecosystems and therefore vulnerable to environmental and climate changes. Peatland erosion has severe effects on their ecological functions, such as water storage capacity. Thus, erosion monitoring is highly advisable. Erosion quantification and monitoring can be supported by high-resolution terrestrial Light Detection and Ranging (LiDAR. In this study, a novel Geographic Information System (GIS-based method for the automatic delineation and geomorphometric description of gullies in cushion peatlands is presented. The approach is a multi-step workflow based on a gully edge extraction and a sink filling algorithm applied to a conditioned digital terrain model. Our method enables the creation of GIS-ready polygons of the gullies and the derivation of geomorphometric parameters along the entire channel course. Automatically derived boundaries and gully area values correspond to a high degree (93% with manually digitized reference polygons. The set of methods developed in this study offers a suitable tool for the monitoring and scientific analysis of fluvial morphology in cushion peatlands.

Development and validity of a new model for assessing pressure redistribution properties of support surfaces.

Science.gov (United States)

Matsuo, Junko; Sugama, Junko; Sanada, Hiromi; Okuwa, Mayumi; Nakatani, Toshio; Konya, Chizuko; Sakamoto, Jirou

2011-05-01

Pressure ulcers are a common problem, especially in older patients. In Japan, most institutionalized older people are malnourished and show extreme bony prominence (EBP). EBP is a significant factor in the development of pressure ulcers due to increased interface pressure concentrated at the skin surface over the EBP. The use of support surfaces is recommended for the prophylaxis of pressure ulcers. However, the present equivocal criteria for evaluating the pressure redistribution of support surfaces are inadequate. Since pressure redistribution is influenced by physique and posture, evaluations using human subjects are limited. For this reason, models that can substitute for humans are necessary. We developed a new EBP model based on the anthropometric measurements, including pelvic inclination, of 100 bedridden elderly people. A comparison between the pressure distribution charts of our model and bedridden elderly subjects demonstrated that maximum contact pressure values, buttock contact pressure values, and bone prominence rates corresponded closely. This indicates that the model provides a good approximation of the features of elderly people with EBP. We subsequently examined the validity of the model through quantitative assessment of pressure redistribution functions consisting of immersion, envelopment, and contact area change. The model was able to detect differences in the hardness of urethane foam, differences in the internal pressure of an air mattress, and sequential changes during the pressure switching mode. These results demonstrate the validity of our new buttock model in evaluating pressure redistribution for a variety of surfaces. Copyright © 2010 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved.

A global analysis of bidirectional interactions in alpine plant communities shows facilitators experiencing strong reciprocal fitness costs.

Science.gov (United States)

Schöb, Christian; Michalet, Richard; Cavieres, Lohengrin A; Pugnaire, Francisco I; Brooker, Rob W; Butterfield, Bradley J; Cook, Bradley J; Kikvidze, Zaal; Lortie, Christopher J; Xiao, Sa; Al Hayek, Patrick; Anthelme, Fabien; Cranston, Brittany H; García, Mary-Carolina; Le Bagousse-Pinguet, Yoann; Reid, Anya M; le Roux, Peter C; Lingua, Emanuele; Nyakatya, Mawethu J; Touzard, Blaise; Zhao, Liang; Callaway, Ragan M

2014-04-01

Facilitative interactions are defined as positive effects of one species on another, but bidirectional feedbacks may be positive, neutral, or negative. Understanding the bidirectional nature of these interactions is a fundamental prerequisite for the assessment of the potential evolutionary consequences of facilitation. In a global study combining observational and experimental approaches, we quantified the impact of the cover and richness of species associated with alpine cushion plants on reproductive traits of the benefactor cushions. We found a decline in cushion seed production with increasing cover of cushion-associated species, indicating that being a benefactor came at an overall cost. The effect of cushion-associated species was negative for flower density and seed set of cushions, but not for fruit set and seed quality. Richness of cushion-associated species had positive effects on seed density and modulated the effects of their abundance on flower density and fruit set, indicating that the costs and benefits of harboring associated species depend on the composition of the plant assemblage. Our study demonstrates 'parasitic' interactions among plants over a wide range of species and environments in alpine systems, and we consider their implications for the possible selective effects of interactions between benefactor and beneficiary species. © 2013 The Authors. New Phytologist © 2013 New Phytologist Trust.

16 CFR 1633.6 - Quality assurance requirements.

Science.gov (United States)

2010-01-01

... that mattress sets manufactured for sale are the same as the qualified and/or confirmed prototype on... are the same as those used in the prototype on which they are based; (2) Designation of a production lot that is represented by the prototype; and (3) Inspection of mattress sets produced for sale...

Environmental and mucosal microbiota and their role in childhood asthma.

Science.gov (United States)

Birzele, L T; Depner, M; Ege, M J; Engel, M; Kublik, S; Bernau, C; Loss, G J; Genuneit, J; Horak, E; Schloter, M; Braun-Fahrländer, C; Danielewicz, H; Heederik, D; von Mutius, E; Legatzki, A

2017-01-01

High microbial diversity in the environment has been associated with lower asthma risk, particularly in children exposed to farming. It remains unclear whether this effect operates through an altered microbiome of the mucosal surfaces of the airways. DNA from mattress dust and nasal samples of 86 school age children was analyzed by 454 pyrosequencing of the 16S rRNA gene fragments. Based on operational taxonomic units (OTUs), bacterial diversity and composition were related to farm exposure and asthma status. Farm exposure was positively associated with bacterial diversity in mattress dust samples as determined by richness (P = 8.1 × 10 -6 ) and Shannon index (P = 1.3 × 10 -5 ). Despite considerable agreement of richness between mattress and nasal samples, the association of richness with farming in nasal samples was restricted to a high gradient of farm exposure, that is, exposure to cows and straw vs no exposure at all. In mattress dust, the genera Clostridium, Facklamia, an unclassified genus within the family of Ruminococcaceae, and six OTUs were positively associated with farming. Asthma was inversely associated with richness [aOR = 0.48 (0.22-1.02)] and Shannon index [aOR = 0.41 (0.21-0.83)] in mattress dust and to a lower extent in nasal samples [richness aOR 0.63 = (0.38-1.06), Shannon index aOR = 0.66 (0.39-1.12)]. The stronger inverse association of asthma with bacterial diversity in mattress dust as compared to nasal samples suggests microbial involvement beyond mere colonization of the upper airways. Whether inhalation of metabolites of environmental bacteria contributes to this phenomenon should be the focus of future research. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

YEAR-ROUND HOUSEDUST MITE LEVELS ON THE HIGHVELD

African Journals Online (AJOL)

electricity. Where possible dust was collected from the main bedroom, using the Rainbow Vacuum Cleaner. Bed linen was removed and the mattress was sampled. An area of 1 m' on the mattress was vacuumed for 2 minutes. The dust sampled was placed in a plastic bag, sealed and labelled. Thereafter the carpet next to.

16 CFR 1633.9 - Glossary of terms.

Science.gov (United States)

2010-01-01

... and stationary (see Figure 11). (m) Futon. A flexible mattress generally used on the floor that can be... riser. This is a frame of sofa seating height with two equal size mattresses without a backrest. The... or two single beds as in a high riser (see Figure 11). (dd) Tufted means buttoned or laced through...

Linear Regression Modeling of Selected Analytes from the Balad Air Sampling Program

Science.gov (United States)

2012-04-05

providing the data and doing all the “Heavy Lifting” in support of this thesis. I would like to thank Dr. Cara Olsen, Ph.D. for her expertise and...ordnance (UXO), aerosol cans, compressed gas cylinders, plastics, paint, paint solvents, pesticides, asbestos, appliances and electrical equipment...is designated to burn certain waste materials; one pit has been allocated to burn mattresses and electrical equipment. Similar to Camp Speicher

Monte-Carlo Simulation and Automated Test Bench for Developing a Multichannel NIR-Based Vital-Signs Monitor.

Science.gov (United States)

Bruser, Christoph; Strutz, Nils; Winter, Stefan; Leonhardt, Steffen; Walter, Marian

2015-06-01

Unobtrusive, long-term monitoring of cardiac (and respiratory) rhythms using only non-invasive vibration sensors mounted in beds promises to unlock new applications in home and low acuity monitoring. This paper presents a novel concept for such a system based on an array of near infrared (NIR) sensors placed underneath a regular bed mattress. We focus on modeling and analyzing the underlying technical measurement principle with the help of a 2D model of a polyurethane foam mattress and Monte-Carlo simulations of the opto-mechanical interaction responsible for signal genesis. Furthermore, a test rig to automatically and repeatably impress mechanical vibrations onto a mattress is introduced and used to identify the properties of a prototype implementation of the proposed measurement principle. Results show that NIR-based sensing is capable of registering miniscule deformations of the mattress with a high spatial specificity. As a final outlook, proof-of-concept measurements with the sensor array are presented which demonstrate that cardiorespiratory movements of the body can be detected and that automatic heart rate estimation at competitive error levels is feasible with the proposed approach.

Spine alignment in men during lateral sleep position: experimental study and modeling

Directory of Open Access Journals (Sweden)

Leilnahari Karim

2011-11-01

Full Text Available Abstract Background A proper sleep system can affect the spine support in neutral position. Most of the previous studies in scientific literature have focused on the effects of customary mattresses on the spinal alignment. To keep the spine in optimal alignment, one can use sleep surfaces with different zonal elasticity, the so called custom-made arrangements. The required stiffness of a sleep surface for each individual can be obtained by changing this arrangement applying the experimental method and modeling. Methods In experimental part, the coordinate positions of the markers mounted on the spinous processes of the vertebrae of 25 male volunteers were registered in frontal plane through the optical tracking method and so the spinal alignment was obtained in lateral sleep position on soft and firm surfaces and on the best custom-made arrangement. Thereupon the π-P8 angles were extracted from these alignments and then were compared with each other. In modeling part the anthropometric data of four different types of volunteers were used. And then the models built in BRG.LifeMOD (ver. 2007, Biomechanics Research Group, Inc., USA based on these data and in accordance with the experimental tests, were analyzed. Results The one way ANOVA statistical model and the post hoc tests showed a significant difference in the π-P8 angles between soft & custom-made and soft & firm mattresses at the p = 0.001 level and between firm & soft mattresses at the p = 0.05 level. In modeling part, the required stiffness of the sleep surface for four weight-dimensional groups was acquired quantitatively. Conclusions The mattress with a custom-made arrangement is a more appropriate choice for heavier men with pronounced body contour. After data fitting, it was observed that the variations of spinal alignment obtained from both methods have the same trend. Observing the amount of required stiffness obtained for the sleep surface, can have a significant effect on

Flooring for Schools: Unsightly Walkways

Science.gov (United States)

Baxter, Mark

2011-01-01

Many mattress manufacturers recommend that consumers rotate their mattresses at least twice a year to help prevent soft spots from developing and increase the product's life span. It's unfortunate that the same kind of treatment can't be applied to flooring for schools, such as carpeting, especially in hallways. Being able to flip or turn a carpet…

Medical Surveillance Monthly Report. Volume 16, Number 6, June 2009

Science.gov (United States)

2009-06-01

Don’t substitute inflated tubes, air mattresses or other artificial supports for swimming ability. If a flotation device is needed as a safety aid...use a U.S. Coast Guard approved personal flotation device. • Learn the simple and safe reaching-rescue techniques. Only certified lifeguards should dive...TS-EDM), Silver Spring, MD 20910. E-mail: msmr.afhsc@amedd.army.mil Subscriptions may be requested online at www.afhsc.army.mil or by contacting the

75 FR 67047 - Standard for the Flammability of Mattresses and Mattress Pads

Science.gov (United States)

2010-11-01

... upholstery fabric manufacturers. Response: As discussed in greater detail in the preliminary regulatory... Environmental Quality regulations and CPSC procedures for environmental review, the Commission has assessed the...

Feasibility of novel four degrees of freedom capacitive force sensor for skin interface force

Directory of Open Access Journals (Sweden)

Murakami Chisato

2012-11-01

Full Text Available Abstract Background The objective of our study was to develop a novel capacitive force sensor that enables simultaneous measurements of yaw torque around the pressure axis and normal force and shear forces at a single point for the purpose of elucidating pressure ulcer pathogenesis and establishing criteria for selection of cushions and mattresses. Methods Two newly developed sensors (approximately 10 mm×10 mm×5 mm (10 and 20 mm×20 mm×5 mm (20 were constructed from silicone gel and four upper and lower electrodes. The upper and lower electrodes had sixteen combinations that had the function as capacitors of parallel plate type. The full scale (FS ranges of force/torque were defined as 0–1.5 N, –0.5-0.5 N and −1.5-1.5 N mm (10 and 0–8.7 N, –2.9-2.9 N and −16.8-16.8 N mm (20 in normal force, shear forces and yaw torque, respectively. The capacitances of sixteen capacitors were measured by an LCR meter (AC1V, 100 kHz when displacements corresponding to four degrees of freedom (DOF forces within FS ranges were applied to the sensor. The measurement was repeated three times in each displacement condition (10 only. Force/torque were calculated by corrected capacitance and were evaluated by comparison to theoretical values and standard normal force measured by an universal tester. Results In measurements of capacitance, the coefficient of variation was 3.23% (10. The Maximum FS errors of estimated force/torque were less than or equal to 10.1 (10 and 16.4% (20, respectively. The standard normal forces were approximately 1.5 (10 and 9.4 N (20 when pressure displacements were 3 (10 and 2 mm (20, respectively. The estimated normal forces were approximately 1.5 (10 and 8.6 N (10 in the same condition. Conclusions In this study, we developed a new four DOF force sensor for measurement of force/torque that occur between the skin and a mattress. In measurement of capacitance, the repeatability was good and it was confirmed that the sensor had

Membrane Protein Mobility and Orientation Preserved in Supported Bilayers Created Directly from Cell Plasma Membrane Blebs.

Science.gov (United States)

Richards, Mark J; Hsia, Chih-Yun; Singh, Rohit R; Haider, Huma; Kumpf, Julia; Kawate, Toshimitsu; Daniel, Susan

2016-03-29

Membrane protein interactions with lipids are crucial for their native biological behavior, yet traditional characterization methods are often carried out on purified protein in the absence of lipids. We present a simple method to transfer membrane proteins expressed in mammalian cells to an assay-friendly, cushioned, supported lipid bilayer platform using cell blebs as an intermediate. Cell blebs, expressing either GPI-linked yellow fluorescent proteins or neon-green fused transmembrane P2X2 receptors, were induced to rupture on glass surfaces using PEGylated lipid vesicles, which resulted in planar supported membranes with over 50% mobility for multipass transmembrane proteins and over 90% for GPI-linked proteins. Fluorescent proteins were tracked, and their diffusion in supported bilayers characterized, using single molecule tracking and moment scaling spectrum (MSS) analysis. Diffusion was characterized for individual proteins as either free or confined, revealing details of the local lipid membrane heterogeneity surrounding the protein. A particularly useful result of our bilayer formation process is the protein orientation in the supported planar bilayer. For both the GPI-linked and transmembrane proteins used here, an enzymatic assay revealed that protein orientation in the planar bilayer results in the extracellular domains facing toward the bulk, and that the dominant mode of bleb rupture is via the "parachute" mechanism. Mobility, orientation, and preservation of the native lipid environment of the proteins using cell blebs offers advantages over proteoliposome reconstitution or disrupted cell membrane preparations, which necessarily result in significant scrambling of protein orientation and typically immobilized membrane proteins in SLBs. The bleb-based bilayer platform presented here is an important step toward integrating membrane proteomic studies on chip, especially for future studies aimed at understanding fundamental effects of lipid interactions

Effectiveness of house dust mite acaricide tri-n-butyl tin maleate on carpets, fabrics and mattress foam: a standardization of methodology Eficácia do acaricida maleato de estanho tri-n-butílico contra ácaros de poeira em carpetes, tecidos e espuma de colchão: padronização de metodologia

Directory of Open Access Journals (Sweden)

Satiko Uehara

2006-06-01

Full Text Available The aim of this study was to determine the effectiveness of the acaricide tri-n-butyl tin maleate, industrially applied to samples of carpets, mattress foam, and fabrics used for furniture upholstery, soft toys and shoe uppers. Approximately 100 adult house dust mites of the species Dermatophagoides pteronyssinus were inoculated into a Petri dish containing the sample (a piece of carpet, mattress foam, or fabric, treated with the acaricide, randomly collected. Mite-maintenance culture medium was added on top of each sample. After one, two, three, seven and 30 days of incubation at 25 ºC and 75% relative humidity, each dish was examined using a 40X stereoscopic microscope (40X. One hundred percent acaricide effectiveness was obtained in treated materials by the end of the 30th-day postinoculation period, under optimal conditions for mite maintenance.O objetivo do presente estudo foi verificar a eficácia do acaricida maleato de estanho tri-n-butílico, aplicado industrialmente em amostras de carpetes, tecidos de revestimentos de móveis e de calçados, assim como de espumas de colchão. Aproximadamente 100 ácaros adultos da espécie Dermatophagoides pteronyssinus foram inoculados em placa de Petri contendo a amostra (pedaço de colchão, tecido ou carpete, tratada com o produto acaricida, coletados aleatoriamente. Foi acrescentado sobre a amostra, meio de cultivo para a manutenção dos ácaros. Cada placa foi examinada após 1, 2, 3, 7 e 30 dias de incubação a 25 ºC e 75% de U.R.A. (umidade relativa do ar, sob microscópio estereoscópico com 40X de aumento. O acaricida maleato de estanho tri-n-butílico apresentou 100% de eficácia acaricida após 30 dias da aplicação, em condições ótimas para a manutenção dos ácaros.

Could martial arts fall training be safe for persons with osteoporosis?: a feasibility study

Science.gov (United States)

2010-01-01

Background Osteoporosis is a well-established risk factor for fall-related hip fractures. Training fall arrest strategies, such as martial arts (MA) fall techniques, might be useful to prevent hip fractures in persons with osteoporosis, provided that the training itself is safe. This study was conducted to determine whether MA fall training would be safe for persons with osteoporosis extrapolated from the data of young adults and using stringent safety criteria. Methods Young adults performed sideways and forward MA falls from a kneeling position on both a judo mat and a mattress as well as from a standing position on a mattress. Hip impact forces and kinematic data were collected. For each condition, the highest hip impact force was compared with two safety criteria based on the femoral fracture load and the use of a hip protector. Results The highest hip impact force during the various fall conditions ranged between 1426 N and 3132 N. Sideways falls from a kneeling and standing position met the safety criteria if performed on the mattress (max 1426 N and 2012 N, respectively) but not if the falls from a kneeling position were performed on the judo mat (max 2219 N). Forward falls only met the safety criteria if performed from a kneeling position on the mattress (max 2006 N). Hence, forward falls from kneeling position on a judo mat (max 2474 N) and forward falls from standing position on the mattress (max 3132 N) did not meet both safety criteria. Conclusions Based on the data of young adults and safety criteria, the MA fall training was expected to be safe for persons with osteoporosis if appropriate safety measures are taken: during the training persons with osteoporosis should wear hip protectors that could attenuate the maximum hip impact force by at least 65%, perform the fall exercises on a thick mattress, and avoid forward fall exercises from a standing position. Hence, a modified MA fall training might be useful to reduce hip fracture risk in persons with

Could martial arts fall training be safe for persons with osteoporosis?: a feasibility study

Directory of Open Access Journals (Sweden)

Smulders Ellen

2010-04-01

Full Text Available Abstract Background Osteoporosis is a well-established risk factor for fall-related hip fractures. Training fall arrest strategies, such as martial arts (MA fall techniques, might be useful to prevent hip fractures in persons with osteoporosis, provided that the training itself is safe. This study was conducted to determine whether MA fall training would be safe for persons with osteoporosis extrapolated from the data of young adults and using stringent safety criteria. Methods Young adults performed sideways and forward MA falls from a kneeling position on both a judo mat and a mattress as well as from a standing position on a mattress. Hip impact forces and kinematic data were collected. For each condition, the highest hip impact force was compared with two safety criteria based on the femoral fracture load and the use of a hip protector. Results The highest hip impact force during the various fall conditions ranged between 1426 N and 3132 N. Sideways falls from a kneeling and standing position met the safety criteria if performed on the mattress (max 1426 N and 2012 N, respectively but not if the falls from a kneeling position were performed on the judo mat (max 2219 N. Forward falls only met the safety criteria if performed from a kneeling position on the mattress (max 2006 N. Hence, forward falls from kneeling position on a judo mat (max 2474 N and forward falls from standing position on the mattress (max 3132 N did not meet both safety criteria. Conclusions Based on the data of young adults and safety criteria, the MA fall training was expected to be safe for persons with osteoporosis if appropriate safety measures are taken: during the training persons with osteoporosis should wear hip protectors that could attenuate the maximum hip impact force by at least 65%, perform the fall exercises on a thick mattress, and avoid forward fall exercises from a standing position. Hence, a modified MA fall training might be useful to reduce hip

Association between stall surface and some animal welfare measurements in freestall dairy herds using recycled manure solids for bedding.

Science.gov (United States)

Husfeldt, A W; Endres, M I

2012-10-01

The objective of this cross-sectional study was to investigate the association between stall surface and some animal welfare measurements in upper Midwest US dairy operations using recycled manure solids as bedding material. The study included 34 dairy operations with herd sizes ranging from 130 to 3,700 lactating cows. Forty-five percent of the herds had mattresses and 55% had deep-bedded stalls. Farms were visited once between July and October 2009. At the time of visit, at least 50% of the cows in each lactating pen were scored for locomotion, hygiene, and hock lesions. On-farm herd records were collected for the entire year and used to investigate mortality, culling, milk production, and mastitis incidence. Stall surface was associated with lameness and hock lesion prevalence. Lameness prevalence (locomotion score ≥ 3 on a 1 to 5 scale) was lower in deep-bedded freestalls (14.4%) than freestalls with mattresses (19.8%). Severe lameness prevalence (locomotion score ≥ 4) was also lower for cows housed in deep-bedded freestalls (3.6%) than for cows housed in freestalls with mattresses (5.9%). In addition, the prevalence of hock lesions (hock lesion scores ≥ 2 on a 1 to 3 scale, with 1=no lesion, 2=hair loss or mild lesion, and 3=swelling or severe lesion) and severe hock lesions (hock lesion score=3) was lower in herds with deep-bedded freestalls (49.4%; 6.4%) than in herds with mattresses (67.3%; 13.2%). Herd turnover rates were not associated with stall surface; however, the percentage of removals due to voluntary (low milk production, disposition, and dairy) and involuntary (death, illness, injury, and reproductive) reasons was different between deep-bedded and mattress-based freestalls. Voluntary removals averaged 16% of all herd removals in deep-bedded herds, whereas in mattress herds, these removals were 8%. Other welfare measurements such as cow hygiene, mortality rate, mastitis incidence, and milk production were not associated with stall surface

Pressure Relief, Visco-Elastic Foam with Inflated Air? A Pilot Study in a Dutch Nursing Home

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Martin Van Leen

2015-02-01

Full Text Available Objective: There is still little evidence regarding the type of mattress that is the best for preventing pressure ulcers (PUs. In a Dutch nursing home, a new type of overlay mattress (air inflated visco-elastic foam was tested to analyze the opportunity for replacement of the normally used static air overlay mattress in its three-step PU prevention protocol In this small pilot the outcome measures were: healing of a category one pressure ulcer, new development or deterioration of a category one PU and need for repositioning. Methods: We included 20 nursing home residents with a new category one pressure ulcer, existing for no longer than 48 h following a consecutive sampling technic. All residents were staying for more than 30 days in the nursing home and were lying on a visco-elastic foam mattress without repositioning (step one of the 3-step protocol at the start of the pilot study. They had not suffered from a PU in the month before. The intervention involved use of an air inflated foam overlay instead of a static air overlay (normally step 2 of the 3-step protocol. At the start; the following data were registered: age; gender; main diagnosis and presence of incontinence. Thereafter; all participating residents were checked weekly for PU healing tendency; deterioration of PUs; new PUs and need of repositioning. Only when residents showed still a category one PU after 48 h or deterioration of an existing pressure ulcer or if there was development of a new pressure ulcer, repositioning was put into practice (step 3 of the PU protocol. All residents participated during 8 weeks. Results: Seven residents developed a new pressure ulcer category one and still had a category one pressure ulcer at the end of the study period. One resident developed a pressure ulcer category 2. Fifteen residents needed repositioning from one week after start of the study until the end of the study. Conclusions: Overall 40% of the residents developed a pressure ulcer

Improvement of efficiency of application of condensed soil cushions to loose soils ПОВЫШЕНИЕ ЭФФЕКТИВНОСТИ ПРИМЕНЕНИЯ УПЛОТНЕННЫХ ГРУНТОВЫХ ПОДУШЕК НА СЛАБЫХ ГРУНТАХ

Directory of Open Access Journals (Sweden)

Usmanov Rustam Alimdzhanovich

2013-05-01

Full Text Available In the civil engineering practice, construction operations in loose and high compressibility soils require the application of compressed sand cushions. Recently, there has been a substantial decline in the use of compacted ground beddings in the practice of industrial and civil engineering. This can be partly explained by the weaknesses of the existing calculation methods that may often generate higher values of the size of compacted cushions (width and thickness and, consequently, cause a substantial increase in their cost. It is noteworthy that the existing methods of calculation do not take account of strength and deformation characteristics of the cushion material in the course of identification of the cushion size and their operating bearing capacity.However, the studies implemented by different authors suggest the possibility of reducing the size of compacted soil cushions applied to loose and high compressibility soils. Therefore, the most effective are the pads reinforced by high-strength reinforcing elements (as geo-textile, geo-grids, etc. The author elaborates on the possible methods of expanding the scope of compacted ground bedding in the practice of industrial and civil construction. The analysis of the findings of experimental and theoretical studies of compacted and reinforced soil bedding in loose soils is performedРассмотрены возможности расширения области применения уплотненных грунтовых подушек в практике промышленного и гражданского строительства. Приведен анализ результатов экспериментально-теоретических исследований высокоуплотненных, а также армированных высокопрочными геосинтетическими материалами грунтовых подушек в условиях �

Pressure ulcers: Current understanding and newer modalities of treatment

Directory of Open Access Journals (Sweden)

Surajit Bhattacharya

2015-01-01

Full Text Available This article reviews the mechanism, symptoms, causes, severity, diagnosis, prevention and present recommendations for surgical as well as non-surgical management of pressure ulcers. Particular focus has been placed on the current understandings and the newer modalities for the treatment of pressure ulcers. The paper also covers the role of nutrition and pressure-release devices such as cushions and mattresses as a part of the treatment algorithm for preventing and quick healing process of these wounds. Pressure ulcers develop primarily from pressure and shear; are progressive in nature and most frequently found in bedridden, chair bound or immobile people. They often develop in people who have been hospitalised for a long time generally for a different problem and increase the overall time as well as cost of hospitalisation that have detrimental effects on patient′s quality of life. Loss of sensation compounds the problem manifold, and failure of reactive hyperaemia cycle of the pressure prone area remains the most important aetiopathology. Pressure ulcers are largely preventable in nature, and their management depends on their severity. The available literature about severity of pressure ulcers, their classification and medical care protocols have been described in this paper. The present treatment options include various approaches of cleaning the wound, debridement, optimised dressings, role of antibiotics and reconstructive surgery. The newer treatment options such as negative pressure wound therapy, hyperbaric oxygen therapy, cell therapy have been discussed, and the advantages and disadvantages of current and newer methods have also been described.

Pressure ulcers: Current understanding and newer modalities of treatment

Science.gov (United States)

Bhattacharya, Surajit; Mishra, R. K.

2015-01-01

This article reviews the mechanism, symptoms, causes, severity, diagnosis, prevention and present recommendations for surgical as well as non-surgical management of pressure ulcers. Particular focus has been placed on the current understandings and the newer modalities for the treatment of pressure ulcers. The paper also covers the role of nutrition and pressure-release devices such as cushions and mattresses as a part of the treatment algorithm for preventing and quick healing process of these wounds. Pressure ulcers develop primarily from pressure and shear; are progressive in nature and most frequently found in bedridden, chair bound or immobile people. They often develop in people who have been hospitalised for a long time generally for a different problem and increase the overall time as well as cost of hospitalisation that have detrimental effects on patient's quality of life. Loss of sensation compounds the problem manifold, and failure of reactive hyperaemia cycle of the pressure prone area remains the most important aetiopathology. Pressure ulcers are largely preventable in nature, and their management depends on their severity. The available literature about severity of pressure ulcers, their classification and medical care protocols have been described in this paper. The present treatment options include various approaches of cleaning the wound, debridement, optimised dressings, role of antibiotics and reconstructive surgery. The newer treatment options such as negative pressure wound therapy, hyperbaric oxygen therapy, cell therapy have been discussed, and the advantages and disadvantages of current and newer methods have also been described. PMID:25991879

The role of two-phase coolant in moderating fretting in nuclear steam generators

International Nuclear Information System (INIS)

Dyke, J.M.

2004-01-01

This paper expands the principal of coolant-cushioning in Nuclear Steam Generators whereby the two-phase coolant, especially the bubble film on the tube surface, moderates the vibration of coolant tubes against their supports. The current paper addresses tube bundle and anti-vibration bars (AVB) geometry issues; examines the tube bundle-coolant-AVB interfaces and examines implications for recirculation flow, AVB design and boiler size. In a T(sat) fluid, the tube surface is uniformly coating with growing bubbles whose momentum is perpendicular to the surface at first, then they are swept away by the bulk flow. The combination of this momentum, the phase change and the water film remaining on the surface, counteract the vibration energy of the tube-AVB system, reducing the likelihood of metal-to-metal contact and consequent fretting. To maximize the benefit of the cushioning effect, the following design inputs are needed: 1) the AVB-tube interface should have sufficient clearance for the T(sat) solution to operate, 2) The AVB should be wide enough to generate the necessary cushioning force, and 3) the AVB should be thin enough to be flexible and absorb some of the transferred vibration energy. Furthermore, fretting and crude deposition at the AVB-tube interface can be reduced or eliminated by reducing the number of AVBs, increasing clearances and making the AVBs limber

Standardization of dynamic RX for preoperative planning in adolescent idiopathic scoliosis

Directory of Open Access Journals (Sweden)

Everton Quadros Fiebig

2014-09-01

Full Text Available OBJECTIVE: To compare X-rays usually performed in supine with lateralization with those in lateral decubitus with fulcrum at the apex of the primary curve caused by cushion, in order to monitor the achievement of improvement patterns of correction in preestablished deformities for the preoperative surgical planning. METHODS: Comparison of radiographic studies in the preoperative supine with lateralization and lateral decubitus with cushion performing fulcrum at the apex of the major curve in patients with adolescent idiopathic scoliosis. RESULTS: Curves varied in AP between 76° e 40° and were corrected in supine with lateralization to the average of 21° observing that when carried out with fulcrum with cushion in lateral decubitus the curves were corrected to 15° on average with higher discrepancy in values among the most rigid curves. CONCLUSIONS: It was verified that on flexible curves the cushions did not produce satisfactory corrections in primary curves. In more rigid curves and in collaborative patients, greater effectiveness on the correction of deformity in main curves was obtained with cushions producing local fulcrum for a better preoperative planning on correction of deformities.

Fire resistant aircraft seat program

Science.gov (United States)

Fewell, L. A.

1979-01-01

Foams, textiles, and thermoformable plastics were tested to determine which materials were fire retardant, and safe for aircraft passenger seats. Seat components investigated were the decorative fabric cover, slip covers, fire blocking layer, cushion reinforcement, and the cushioning layer.

Quest for safer skies: Modeling golden eagles and wind energy to reduce turbine risk

Science.gov (United States)

Todd Katzner; Tricia Miller; Scott. Stoleson

2014-01-01

In a patch of sky above Pennsylvania, a golden eagle moves languidly, never flapping but passing quickly as it cruises southward on a cushion of air. It is migrating to its wintering grounds after a season of breeding in Quebec. As part of a team studying eagles on a daily basis—a project supported by the U.S. Forest Service (USFS), West Virginia University,...

Endocardial cushion defect

Science.gov (United States)

... Philadelphia, PA: Elsevier; 2016:chap 426. Kouchoukos NT, Blackstone EH, Hanley FL, Kirklin JK. Atrioventricular septal defect. In: Kouchoukos NT, Blackstone EH, Hanley FL, Kirklin JK, eds. Kirklin/Barratt- ...

Effects of surface characteristics on the plantar shape of feet and subjects' perceived sensations.

Science.gov (United States)

Witana, Channa P; Goonetilleke, Ravindra S; Xiong, Shuping; Au, Emily Y L

2009-03-01

Orthotics and other types of shoe inserts are primarily designed to reduce injury and improve comfort. The interaction between the plantar surface of the foot and the load-bearing surface contributes to foot and surface deformations and hence to perceived comfort, discomfort or pain. The plantar shapes of 16 participants' feet were captured when standing on three support surfaces that had different cushioning properties in the mid-foot region. Foot shape deformations were quantified using 3D laser scans. A questionnaire was used to evaluate the participant's perceptions of perceived shape and perceived feeling. The results showed that the structure in the mid-foot could change shape, independent of the rear-foot and forefoot regions. Participants were capable of identifying the shape changes with distinct preferences towards certain shapes. The cushioning properties of the mid-foot materials also have a direct influence on perceived feelings. This research has strong implications for the design and material selection of orthotics, insoles and footwear.

Biomechanical characteristics of single-row repair in comparison to double-row repair with consideration of the suture configuration and suture material.

Science.gov (United States)

Baums, M H; Buchhorn, G H; Spahn, G; Poppendieck, B; Schultz, W; Klinger, H-M

2008-11-01

The aim of the study was to evaluate the time zero mechanical properties of single- versus double-row configuration for rotator cuff repair in an animal model with consideration of the stitch technique and suture material. Thirty-two fresh-frozen sheep shoulders were randomly assigned to four repair groups: suture anchor single-row repair coupled with (1) braided, nonabsorbable polyester suture sized USP No. 2 (SRAE) or (2) braided polyblend polyethylene suture sized No. 2 (SRAH). The double-row repair was coupled with (3) USP No. 2 (DRAE) or (4) braided polyblend polyethylene suture No. 2 (DRAH). Arthroscopic Mason-Allen stitches were used (single-row) and combined with medial horizontal mattress stitches (double-row). Shoulders were cyclically loaded from 10 to 180 N. Displacement to gap formation of 5- and 10-mm at the repair site, cycles to failure, and the mode of failure were determined. The ultimate tensile strength was verified in specimens that resisted to 3,000 cycles. DRAE and DRAH had a lower frequency of 5- (P = 0.135) and 10-mm gap formation (P = 0.135). All DRAE and DRAH resisted 3,000 cycles while only three SRAE and one SRAH resisted 3,000 cycles (P row specimens was significantly higher than in others (P 0.05). Double-row suture anchor repair with arthroscopic Mason-Allen/medial mattress stitches provides initial strength superior to single-row repair with arthroscopic Mason-Allen stitches under isometric cyclic loading as well as under ultimate loading conditions. Our results support the concept of double-row fixation with arthroscopic Mason-Allen/medial mattress stitches in rotator cuff tears with improvement of initial fixation strength and ultimate tensile load. Use of new polyblend polyethylene suture material seems not to increase the initial biomechanical aspects of the repair construct.

Novel bed integrated ventilation method for hospital patient rooms

DEFF Research Database (Denmark)

Bivolarova, Mariya Petrova; Melikov, Arsen Krikor; Kokora, Monika

2014-01-01

This study presents a novel method for advanced ventilation of hospital wards leading to improved air quality at reduced ventilation rate. The idea is to evacuate the bio-effluents generated from patients’ body by local exhaustion before being spread in the room. This concept was realized by using...... a mattress having a suction opening from which bio-effluents generated from human body are exhausted. Experiments were conducted in a full-scale two-bed hospital room mock-up, 4.7 x 5.3 x 2.6 m3 (W x L x H). Only one of the patients’ beds was equipped with the ventilated mattress. The room was air...... conditioned via mixing total volume ventilation system supplying air through a ceiling mounted diffuser. All experiments were performed at room air temperature of 23ºC. A thermal manikin was used to simulate a polluting patient on the bed equipped with the ventilated mattress. Two heated dummies were used...

Associations of soft flooring materials in free stalls with milk yield, clinical mastitis, teat lesions, and removal of dairy cows.

Science.gov (United States)

Ruud, L E; Bøe, K E; Osterås, O

2010-04-01

The objective was to test if there was an association between free-stall base softness and milk yield, incidence of clinical mastitis (CM), teat lesions, and removal of cows. In a questionnaire sent to 1,923 dairy farms presumed to be using free-stall housing, farmers were asked for information regarding housing and stall base; for example, the year of installation and the product name or brand of their mats or mattresses. This information was merged with data for milk yield, CM, teat lesions, and removal of cows extracted from the Norwegian Dairy Herd Recording System for the years after installation of mats or mattresses. After exclusion of invalid contributions, the data set consisted of 29,326 lactations for milk yield distributed over 363 free-stalled herds in Norway. The farms were stratified into 5 categories according to the softness of the stall surface measured as millimeter impact of a sphere with a diameter of 120 mm at 2-kN load: 1=concrete, softness of 0mm; 2=rubber, softness of 1 to 8mm; 3=soft mats, softness of 9 to 16 mm; 4=multilayer mats, softness of 17 to 24 mm; and 5=mattresses, softness over 24 mm. Lactation curves were estimated as modified Wood's lactation curves using test-day data and mixed models with repeated measurements, adjusting for days in milk, parity, and softness of free-stall flooring. Herds on concrete free-stall bases yielded 6,727+/-146 kg of milk from 5 to 305 days in milk. In comparison, herds showed a decrease of 0.3% on rubber, an increase of 2.4% on soft mats, an increase of 4.5% on multilayer mats, and an increase of 3.9% on mattresses. Compared with concrete, the hazard ratio (HR) of CM was less on rubber, multilayer mats, and mattresses [HR=0.89 (0.79-0.99), 0.85 (0.73-0.996), and 0.80 (0.73-0.88), respectively]. Compared with concrete, the HR of teat lesions was less on rubber, soft mats, multilayer mats, and mattresses [HR=0.41 (0.26-0.65), 0.33 (0.24-0.44), 0.12 (0.04-0.38), and 0.47 (0.33-0.67), respectively]. The

Minimally Invasive Treatment of Advanced Hemorrhoids and Ultrasound Imaging of Hemorrhoids

OpenAIRE

Hidenori Miyamoto

2016-01-01

This review discusses the physiology, current non-operative and operative treatments and ultrasound imaging of hemorrhoids. Hemorrhoids are defined as the symptomatic enlargement and distal displacement of the normal anal cushions. The most common symptom is painless fresh rectal bleeding, but patients may also experience pruritus, swelling, prolapse, discharge, or soiling. The current patho-physiologies of hemorrhoids include the degenerative change of supportive tissue within the anal cushi...

Pendair and magnetic levitation

Energy Technology Data Exchange (ETDEWEB)

Bliss, D S

1979-11-01

World-wide developments in air cushioned and magnetic levitation, (MAGLEV) vehicles, mainly trains and urban area people movers, are reviewed and the merits of the two systems are reviewed. It is concluded that air cushion systems are simpler, cheaper, and more efficient than MAGLEV systems. (LCL)

77 FR 32591 - Procurement List; Proposed Additions

Science.gov (United States)

2012-06-01

... NSN: 5120-00-NIB-0014--Shovel, Round Point, Closed Back, Industrial Grade, 48'' Fiberglass Handle, Cushioned Grip NSN: 5120-00-NIB-0015--Shovel, Round Point, Open Back, Industrial Grade, 48'' Fiberglass Handle, Cushioned Grip NSN: 5120-00-NIB-0016--Shovel, Round Point, Open Back, Industrial Grade, 29...

Electromyographic activity and 6RM strength in bench press on stable and unstable surfaces.

Science.gov (United States)

Saeterbakken, Atle H; Fimland, Marius S

2013-04-01

The purpose of the study was to compare 6-repetition maximum (6RM) loads and muscle activity in bench press on 3 surfaces, namely, stable bench, balance cushion, and Swiss ball. Sixteen healthy, resistance-trained men (age 22.5 ± 2.0 years, stature 1.82 ± 6.6 m, and body mass 82.0 ± 7.8 kg) volunteered for 3 habituation/strength testing sessions and 1 experimental session. In randomized order on the 3 surfaces, 6RM strength and electromyographic activity of pectoralis major, deltoid anterior, biceps brachii, triceps brachii, rectus abdominis, oblique external and erector spinae were assessed. Relative to stable bench, the 6RM strength was approximately 93% for balance cushion (p ≤ 0.001) and approximately 92% for Swiss ball (p = 0.008); the pectoralis major electromyographic (EMG) activity was approximately 90% using the balance cushion (p = 0.080) and approximately 81% using Swiss ball (p = 0.006); the triceps EMG was approximately 79% using the balance cushion (p = 0.028) and approximately 69% using the Swiss ball (p = 0.002). Relative to balance cushion, the EMG activity in pectoralis, triceps, and erector spinae using Swiss ball was approximately 89% (p = 0.016), approximately 88% (p = 0.014) and approximately 80% (p = 0.020), respectively. In rectus abdominis, the EMG activity relative to Swiss ball was approximately 69% using stable bench (p = 0.042) and approximately 65% using the balance cushion (p = 0.046). Similar EMG activities between stable and unstable surfaces were observed for deltoid anterior, biceps brachii, and oblique external. In conclusion, stable bench press had greater 6RM strength and triceps and pectoralis EMG activity compared with the unstable surfaces. These findings have implications for athletic training and rehabilitation, because they demonstrate an inferior effect of unstable surfaces on muscle activation of prime movers and strength in bench press. If an unstable surface in bench press is desirable, a balance cushion should

A Feasibility Study for Measuring Accurate Chest Compression Depth and Rate on Soft Surfaces Using Two Accelerometers and Spectral Analysis

Directory of Open Access Journals (Sweden)

Sofía Ruiz de Gauna

2016-01-01

Full Text Available Background. Cardiopulmonary resuscitation (CPR feedback devices are being increasingly used. However, current accelerometer-based devices overestimate chest displacement when CPR is performed on soft surfaces, which may lead to insufficient compression depth. Aim. To assess the performance of a new algorithm for measuring compression depth and rate based on two accelerometers in a simulated resuscitation scenario. Materials and Methods. Compressions were provided to a manikin on two mattresses, foam and sprung, with and without a backboard. One accelerometer was placed on the chest and the second at the manikin’s back. Chest displacement and mattress displacement were calculated from the spectral analysis of the corresponding acceleration every 2 seconds and subtracted to compute the actual sternal-spinal displacement. Compression rate was obtained from the chest acceleration. Results. Median unsigned error in depth was 2.1 mm (4.4%. Error was 2.4 mm in the foam and 1.7 mm in the sprung mattress (p<0.001. Error was 3.1/2.0 mm and 1.8/1.6 mm with/without backboard for foam and sprung, respectively (p<0.001. Median error in rate was 0.9 cpm (1.0%, with no significant differences between test conditions. Conclusion. The system provided accurate feedback on chest compression depth and rate on soft surfaces. Our solution compensated mattress displacement, avoiding overestimation of compression depth when CPR is performed on soft surfaces.

Mechanical failure of SKB spent fuel disposal canisters. Mathematical modelling and scoping calculations

International Nuclear Information System (INIS)

Takase, Hiroyasu; Benbow, S.; Grindrod, P.

1998-10-01

According to the current design of SKB, a copper overpack with a cast steel inner component will be used as the disposal canister for spent nuclear fuel. A recent study considered the case of a breach in the copper overpack, through which groundwater could enter the canister. It has pointed out that hydrogen gas generated by an anaerobic corrosion could cushion the system and reduce or eventually stop further infiltration of water into the breached canister, and thence the spent fuel. One potential pitfall in this previous study lies in the fact that it did not consider any processes which might violate the following assumptions which are essential for the gas 'cushioning': 1. Hydrogen gas accumulated in the annular gap in the canister forms a free gas phase which is stable indefinitely into future; 2. Elevated gas pressure in the canister prevents further supply of groundwater except for diffusion of vapour. In the current study we developed a set of mathematical models for the above problem and applied it to carry out an independent assessment of the long-term behaviour of the canister. A key aim in this study was to clarify whether there are any alternative processes which may affect the result obtained by the previous study by violating one of the assumptions listed above. For this purpose, a scenario development exercise was conducted. The result supported the concept described in the previous study. One exception is that possible intrusion of bentonite gel followed by its desaturation could leave paths both for the gas and water simultaneously without forming a gas cushion. This is summarised in the first part of the report. In the second part, development of mathematical models and their applications are described. The key results are: 1. The model describing behaviour of gas and pore water in the canister and the buffer material reproduced the main results of the previous study; 2. The model considering intrusion of the bentonite gel pointed out possibility

77 FR 44218 - Procurement List; Additions

Science.gov (United States)

2012-07-27

..., Fiberglass Handle NSN: 5120-00-NIB-0014--Shovel, Round Point, Closed Back, Industrial Grade, 48'' Fiberglass Handle, Cushioned Grip NSN: 5120-00-NIB-0015--Shovel, Round Point, Open Back, Industrial Grade, 48'' Fiberglass Handle, Cushioned Grip NSN: 5120-00-NIB-0016--Shovel, Round Point, Open Back, Industrial Grade, 29...

Cat, dog and house dust mite allergen levels on children's soft toys.

Science.gov (United States)

Wu, Francis Fu-Sheng; Wu, Mei-Wen; Ting, Ming-Hui; Crane, Julian; Siebers, Rob

2014-02-01

Children's soft toys are known to harbour house dust mite (HDM) allergens, but little is known whether they harbour cat or dog allergens. The objective of the study was to measure cat (Fel d 1), dog (Can f 1) and HDM allergens on children's soft toys. Dust was collected from 40 children's soft toys and their mattresses. Data were collected on pet ownership. Dust samples were analysed for Fel d 1, Can f 1, Der p 1 and Der f 1 by enzyme-linked immunosorbent assay (ELISA) and results are expressed as median levels with inter-quartile ranges. Thirty-five (87.5%) soft toys had detectable Fel d 1 levels (median: 0.73 µg/g; inter-quartile range: 0.26-2.56 µg/g) while 34 (85%) had detectable Can f 1 levels (1.20 µg/g; 0.53-2.68). Correspondingly, 32 (80%) mattresses had detectable Fel d 1 levels (0.18 µg/g, 0.07-1.01) while 34 (85%) had detectable Can f 1 levels (0.50 µg/g; 0.33-1.06). All mattresses and soft toys had detectable HDM allergen (Der p 1 + Der f 1) levels with soft toys containing about three times higher levels than mattresses. In homes with cats (n = 10) Fel d 1 levels were higher on soft toys than homes without cats (2.49 versus 0.48 µg/g; p = 0.0009). In homes with dogs (n = 25) Can f 1 levels were generally higher on soft toys (1.38 versus 0.63 µg/g; p = 0.10). This study has shown that soft toys can harbour cat and dog allergen as well as HDM allergens, some with very high levels. Cat and dog ownership resulted in higher Fel d 1 and Can f 1 levels on soft toys and mattresses. The levels of Fel d 1, Can f 1 and HDM allergens on soft toys could be of importance to sensitized asthmatic children.

Effects of bedding systems selected by manual muscle testing on sleep and sleep-related respiratory disturbances.

Science.gov (United States)

Tsai, Ling-Ling; Liu, Hau-Min

2008-03-01

In this study, we investigated the feasibility of applying manual muscle testing (MMT) for bedding selection and examined the bedding effect on sleep. Four lay testers with limited training in MMT performed muscle tests for the selection of the bedding systems from five different mattresses and eight different pillows for 14 participants with mild sleep-related respiratory disturbances. For each participant individually, two bedding systems-one inducing stronger muscle forces and the other inducing weaker forces-were selected. The tester-participant pairs showed 85% and 100% agreement, respectively, for the selection of mattresses and pillows that induced the strongest muscle forces. The firmness of the mattress and the height of the pillow were significantly correlated with the body weight and body mass index of the participants for the selected strong bedding system but not for the weak bedding system. Finally, differences were observed between the strong and the weak bedding systems with regard to sleep-related respiratory disturbances and the percentage of slow-wave sleep. It was concluded that MMT can be performed by inexperienced testers for the selection of bedding systems.

Interference of Different Types of Seats on Postural Control System during a Forward-Reaching Task in Individuals with Paraplegia

Science.gov (United States)

de Abreu, Daniela Cristina Carvalho; Takara, Kelly; Metring, Nathalia Lopes; Reis, Julia Guimaraes; Cliquet, Alberto, Jr.

2012-01-01

We aimed to evaluate the influence of different types of wheelchair seats on paraplegic individuals' postural control using a maximum anterior reaching test. Balance evaluations during 50, 75, and 90% of each individual's maximum reach in the forward direction using two different cushions on seat (one foam and one gel) and a no-cushion condition…

When the management of nurse absenteeism becomes a cause of absenteeism: a study based on a comparison of two health care facilities.

Science.gov (United States)

Damart, Sébastien; Kletz, Frédéric

2016-01-01

The study aims to explore perceptions of the causes of nurse absenteeism. Nurse absenteeism is rising in many countries. However, there is little evidence as to how strategies adopted in order to cushion the effects of absenteeism on workload influence absenteeism itself. The study used a 'qualitative' method based on cognitive mapping techniques in order to represent perceptions about absenteeism graphically. The study was conducted in two health-care facilities with a sample of 55 interviewees. Absenteeism is due in part to strategies adopted in order to cushion the effects of absenteeism on organisations. Furthermore, the strategies are self-legitimising. The more they are used, the more they are regarded as normal and useful. A plan to reduce absenteeism among nurses must explicitly take into account the strategies used to cushion its impact. To cushion the effects of absenteeism among caregivers, managers must make trade-offs that take into account, for example, the workload or disruption linked to the substitution of personnel. © 2014 John Wiley & Sons Ltd.

EL COJÍN NEUMÁTICO COMO UNA EXPERIENCIA DE LABORATORIO

Directory of Open Access Journals (Sweden)

Greis Julieth Cruz Reyes

2010-12-01

Full Text Available Describes the construction of an air cushion table with a working guide that encourages the development of certain thinking skills which allow greater depth in the concepts through which mental models are descriptions own simulations based on different physical phenomena , this assembly creates a cushion of air that results in movement without friction, magnets on the surface chips off the table. The work guides give the guidelines leading to analyze simulations of physical phenomena where the dissipative factors can be considered approximately zero. The present article describes the construction of the air cushion and some applications to the introduction of concepts such as, gas pressure, relationship pressure volume and random motion of particles.

Remember Hard but Think Softly: Metaphorical Effects of Hardness/Softness on Cognitive Functions

Directory of Open Access Journals (Sweden)

Jiushu Xie

2016-09-01

Full Text Available Previous studies have found that bodily stimulation, such as hardness, biases social judgment and evaluation via metaphorical association; however, it remains unclear whether bodily stimulation also affects cognitive functions, such as memory and creativity. The current study used metaphorical associations between hard and rigid and between soft and flexible in Chinese, to investigate whether the experience of hardness affected cognitive functions requiring either rigidity (memory or flexibility (creativity. In Experiment 1, we found that Chinese-speaking participants performed better at recalling previously memorized words while sitting on a hard-surface stool (the hard condition than a cushioned one (the soft condition. In Experiment 2, participants sitting on a cushioned stool outperformed those sitting on a hard-surface stool on a Chinese riddle task, which required creative/flexible thinking, but not on an analogical reasoning task, which required both rigid and flexible thinking. The results suggest the hardness experience affects cognitive functions that are metaphorically associated with rigidity and flexibility. They support the embodiment proposition that cognitive functions and representations could be grounded via metaphorical association in bodily states.

Nonlinearity, Viscosity and Air-Compressibility Effects on the Helmholtz Resonant Wave Motion Generated by an Oscillating Twin Body in a Free Surface

Science.gov (United States)

Ananthakrishnan, Palaniswamy

2012-11-01

The problem is of practical relevance in determining the motion response of multi-hull and air-cushion vehicles in high seas and in littoral waters. The linear inviscid problem without surface pressure has been well studied in the past. In the present work, the nonlinear wave-body interaction problem is solved using finite-difference methods based on boundary-fitted coordinates. The inviscid nonlinear problem is tackled using the mixed Eulerian-Lagrangian formulation and the solution of the incompressible Navier-Stokes equations governing the viscous problem using a fractional-step method. The pressure variation in the air cushion is modeled using the isentropic gas equation pVγ = Constant. Results show that viscosity and free-surface nonlinearity significantly affect the hydrodynamic force and the wave motion at the resonant Helmholtz frequency (at which the primary wave motion is the vertical oscillation of the mean surface in between the bodies). Air compressibility suppresses the Helmholtz oscillation and enhances the wave radiation. Work supported by the ONR under the grant N00014-98-1-0151.

Shock-resistant scintillation detector

International Nuclear Information System (INIS)

Novak, W.P.

1979-01-01

A unique scintillation detector unit is disclosed which employs a special light transfer and reflector means that encases and protects the scintillator crystal against high g forces. The light transfer means comprises a flexible silicon rubber optical material bonded between the crystal and the optical window and having an axial thickness sufficient to allow the scintillator to move axially inside the container under high g forces without destroying the bonds. The reflector means comprises a soft elastic silicone rubber sleeve having a multiplicity of closely arranged tapered protrusions radiating toward and engaging the periphery of the scintillator crystal to cushion shocks effectively and having a reflective material, such as aluminum oxide powder, in the spaces between the protrusions. The reflector means provides improved shock absorption because of the uniform support and cushioning action of the protrusions and also provides the detector with high efficiency. The silicon rubber composition is specially compounded to include a large amount of aluminum oxide which enables the rubber to function effectively as a light reflector

Pressure ulcer incidence and progression in critically ill subjects: influence of low air loss mattress versus a powered air pressure redistribution mattress.

Science.gov (United States)

Black, Joyce; Berke, Christine; Urzendowski, Gail

2012-01-01

The primary objective of this study was to compare facility-acquired pressure ulcer incidence and progression of pressure ulcers present on admission in critically ill patients, using 2 different support surfaces. We completed a comparison cohort study in a surgical intensive care unit (ICU). The study setting was a 12-bed cardiovascular ICU in a university-based hospital in the Midwestern United States. The sample comprised 52 critically ill patients; 31 were placed on low air loss weight-based pressure redistribution-microclimate management system beds and 21 were placed on integrated powered air pressure redistribution beds. Prior to the start of the study, 5 low airloss beds were placed in open rooms in the cardiovascular surgical ICU. Inclusion criteria were anticipated ICU stay of 3 days, and patients did not receive a speciality bed for pulmonary or wound issues. Initial assessment of the patients included risk assessment and prior events that would increase risk for pressure ulcer development such as extended time in operating room, along with skin assessment for existing pressure ulcers. Subjects in both groups had ongoing skin assessment every 3 to 4 days and a subjective evaluation of heel elevation and turning or repositioning by the researcher. Data were collected until the subjects were dismissed from the ICU. Patients admitted to the unit were assigned to open rooms following the usual protocols. The mean length of stay was 7.0 days, with an 8.1-day length of stay for subjects on "low air loss with microclimate management" beds (LAL-MCM) and 6.6 days on the integrated power pressure air redistribution (IP-AR) beds (P = NS). The incidence of pressure ulcers on the buttocks, sacrum, or coccyx was 0% (0/31) on the low air loss bed and 18% (4/21) on the IP-AR bed (P = .046). Five subjects had 6 pressure ulcers on admission. Two pressure ulcers on 2 patients worsened on the integrated power air redistribution beds, which required specialty bed rental

Influence of mask type and mask position on the effectiveness of bag-mask ventilation in a neonatal manikin.

Science.gov (United States)

Deindl, Philipp; O'Reilly, Megan; Zoller, Katharina; Berger, Angelika; Pollak, Arnold; Schwindt, Jens; Schmölzer, Georg M

2014-01-01

Anatomical face mask with an air cushion rim might be placed accidentally in a false orientation on the newborn's face or filled with various amounts of air during neonatal resuscitation. Both false orientation as well as variable filling may reduce a tight seal and therefore hamper effective positive pressure ventilation (PPV). We aimed to measure the influence of mask type and mask position on the effectiveness of PPV. Twenty neonatal staff members delivered PPV to a modified, leak-free manikin. Resuscitation parameters were recorded using a self-inflatable bag PPV with an Intersurgical anatomical air cushion rim face mask (IS) and a size 0/1 Laerdal round face mask. Three different positions of the IS were tested: correct position, 90° and 180° rotation in reference to the midline of the face. IS masks in each correct position on the face but with different inflation of the air cushion (empty, 10, 20 and 30 mL). Mask leak was similar with mask rotation to either 90° or 180° but significantly increased from 27 (13-73) % with an adequate filled IS mask compared to 52 (16-83) % with an emptied air cushion rim. Anatomical-shaped face mask had similar mask leaks compared to round face mask. A wrongly positioned anatomical-shaped mask does not influence mask leak. Mask leak significantly increased once the air cushion rim was empty, which may cause failure in mask PPV.

Support surfaces for intraoperative prevention of pressure ulcers in patients undergoing surgery: a cost-effectiveness analysis.

Science.gov (United States)

Pham, Ba'; Teague, Laura; Mahoney, James; Goodman, Laurie; Paulden, Mike; Poss, Jeff; Li, Jianli; Sikich, Nancy Joan; Lourenco, Rosemarie; Ieraci, Luciano; Carcone, Steven; Krahn, Murray

2011-07-01

Patients who undergo prolonged surgical procedures are at risk of developing pressure ulcers. Recent systematic reviews suggest that pressure redistribution overlays on operating tables significantly decrease the associated risk. Little is known about the cost effectiveness of using these overlays in a prevention program for surgical patients. Using a Markov cohort model, we evaluated the cost effectiveness of an intraoperative prevention strategy with operating table overlays made of dry, viscoelastic polymer from the perspective of a health care payer over a 1-year period. We simulated patients undergoing scheduled surgical procedures lasting ≥90 min in the supine or lithotomy position. Compared with the current practice of using standard mattresses on operating tables, the intraoperative prevention strategy decreased the estimated intraoperative incidence of pressure ulcers by 0.51%, corresponding to a number-needed-to-treat of 196 patients. The average cost of using the operating table overlay was $1.66 per patient. Compared with current practice, this intraoperative prevention strategy would increase slightly the quality-adjusted life days of patients and by decreasing the incidence of pressure ulcers, this strategy would decrease both hospital and home care costs for treating fewer pressure ulcers originated intraoperatively. The cost savings was $46 per patient, which ranged from $13 to $116 by different surgical populations. Intraoperative prevention was 99% likely to be more cost effective than the current practice. In patients who undergo scheduled surgical procedures lasting ≥90 min, this intraoperative prevention strategy could improve patients' health and save hospital costs. The clinical and economic evidence support the implementation of this prevention strategy in settings where it has yet to become current practice. Copyright © 2011 Mosby, Inc. All rights reserved.

Increased Skin Dose With the Use of a Custom Mattress for Prone Breast Radiotherapy

International Nuclear Information System (INIS)

Becker, Stewart J.; Patel, Rakesh R.; Mackie, Thomas R.

2007-01-01

The purpose of this study was to measure and compare the loss of buildup to the skin of the breast in the prone position due to 2 different positioning systems during tangential external beam irradiation. Two experiments were performed; one with a standard nylon-covered foam support and another with a novel helium-filled Mylar bag support. The choice of helium-filled Mylar was to reduce the contamination to as low as possible. The experiments were designed to allow a surface dose measurement and a depth dose profile with the pads placed in the path of the beam in front of the detector. All measurements were taken using a Capintec PS-033 thin-window parallel plate ionization chamber. The standard nylon-covered foam pad caused the surface dose to rise as it got closer to the skin. When the pad was directly touching the surface, the surface dose increased by 300% compared to the result when no pad was present. This loss of buildup to the surface was similar to that of a custom bolus material. The opposite effect occurred with the use of the helium-filled Mylar bag, namely the surface dose gradually decreased as the pad got closer to the phantom. When the Mylar pad was directly touching the phantom, the surface dose was decreased by 7% compared to when no pad was present. The use of a foam pad could potentially result in a significant higher dose to the skin, resulting in an enhanced acute skin reaction. Therefore, special care should be taken in this clinical scenario and further investigation of an air- or helium-based mylar support pad should be investigated in the context of definitive breast radiation treatment

An Anatomic and Biomechanical Comparison of Bankart Repair Configurations.

Science.gov (United States)

Judson, Christopher H; Voss, Andreas; Obopilwe, Elifho; Dyrna, Felix; Arciero, Robert A; Shea, Kevin P

2017-11-01

Suture anchor repair for anterior shoulder instability can be performed using a number of different repair techniques, but none has been proven superior in terms of anatomic and biomechanical properties. Purpose/Hypothesis: The purpose was to compare the anatomic footprint coverage and biomechanical characteristics of 4 different Bankart repair techniques: (1) single row with simple sutures, (2) single row with horizontal mattress sutures, (3) double row with sutures, and (4) double row with labral tape. The hypotheses were as follows: (1) double-row techniques would improve the footprint coverage and biomechanical properties compared with single-row techniques, (2) horizontal mattress sutures would increase the footprint coverage compared with simple sutures, and (3) repair techniques with labral tape and sutures would not show different biomechanical properties. Controlled laboratory study. Twenty-four fresh-frozen cadaveric specimens were dissected. The native labrum was removed and the footprint marked and measured. Repair for each of the 4 groups was performed, and the uncovered footprint was measured using a 3-dimensional digitizer. The strength of the repair sites was assessed using a servohydraulic testing machine and a digital video system to record load to failure, cyclic displacement, and stiffness. The double-row repair techniques with sutures and labral tape covered 73.4% and 77.0% of the footprint, respectively. These percentages were significantly higher than the footprint coverage achieved by single-row repair techniques using simple sutures (38.1%) and horizontal mattress sutures (32.8%) ( P row and double-row groups or between the simple suture and horizontal mattress suture techniques. Likewise, there was no difference in the biomechanical properties of the double-row repair techniques with sutures versus labral tape. Double-row repair techniques provided better coverage of the native footprint of the labrum but did not provide superior

Ontogenetic variability in old and new collections of Dicranophyllum gallicum Grand’Eury from the late Palaeozoic of Europe

Directory of Open Access Journals (Sweden)

Jorik Van der Pas

2017-10-01

Full Text Available Dicranophyllum gallicum Grand’Eury is described by means of a morphometric analysis of eighty two samples from various old and new localities in western and central Europe. Stem, leaf cushions, leaf scars, leaves, axillary structures and potential seeds are described in detail, and discussed in comparison to earlier studies. The encountered variability in size and structure is shown to be higher than what was described earlier. The organisation of the leaf cushion and scar density vary gradually with the stem width, while stratigraphic position and ecology do not relate to it. It is concluded that the described variability represents an ontogenetic feature rather than a phylogenetic or ecologic one. The juvenile plants are characterised by small stems, a high leaf scar density and elongated leaf cushions with a dominant apical field, while mature specimens are characterized by a wide stem, a relatively low leaf scar density and relatively wide leaf cushions with a pronounced basal field. Axillary shoots and potential seeds of D. gallicum are described and illustrated in detail for the first time. A reconstruction based on the studied material is presented.

A remote monitor of bed patient cardiac vibration, respiration and movement.

Science.gov (United States)

Mukai, Koji; Yonezawa, Yoshiharu; Ogawa, Hidekuni; Maki, Hiromichi; Caldwell, W Morton

2009-01-01

We have developed a remote system for monitoring heart rate, respiration rate and movement behavior of at-home elderly people who are living alone. The system consists of a 40 kHz ultrasonic transmitter and receiver, linear integrated circuits, a low-power 8-bit single chip microcomputer and an Internet server computer. The 40 kHz ultrasonic transmitter and receiver are installed into a bed mattress. The transmitted signal diffuses into the bed mattress, and the amplitude of the received ultrasonic wave is modulated by the shape of the mattress and parameters such as respiration, cardiac vibration and movement. The modulated ultrasonic signal is received and demodulated by an envelope detection circuit. Low, high and band pass filters separate the respiration, cardiac vibration and movement signals, which are fed into the microcontroller and digitized at a sampling rate of 50 Hz by 8-bit A/D converters. The digitized data are sent to the server computer as a serial signal. This computer stores the data and also creates a graphic chart of the latest hour. The person's family or caregiver can download this chart via the Internet at any time.

FY 1999 project on the development of new industry support type international standards. Standardization of a method to evaluate the performance of block paving use fiber materials; 1999 nendo shinki sangyo shiengata kokusai hyojun kaihatsu jigyo seika hokokusho. Block hosoyo sen'i zairyo no seino hyoka hoho no hyojunka

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-03-01

As to fiber materials (geotextile) used for block paving, survey/experimental study were carried out with the aim of establishing an evaluation method of the performance which has accordance with the site and of proposing it to international standards. The FY 1999 results were outlined. From the results of the literature survey abroad and in Japan, it was found out that the evaluation method of geotextile as simple substrate had already been standardized, but the evaluation method for durability/separation performance/drainage performance as the block paving system was not standardized. The use of geotextile in block paving is mostly for prevention of outflow of cushion sand, and geotextile is paved in the boundary between sand cushion bed and roadbed. From the survey of durability/properties in IL block paving where geotextile was laid, the useful basic data were obtained. About geotextile, there are correlations between the elongation rate and the tensile strength. It was confirmed that the geotextile laid on granular materials is higher in elongation rate, and it is less in damage than that on the permeable bitumen processed roadbed. (NEDO)

Storing and Deploying Solar Panels

Science.gov (United States)

Browning, D. L.; Stocker, H. M.; Kleidon, E. H.

1982-01-01

Like upward-drawn window shades, solar blankets are unfurled to length of 89m, almost filling opening in 95.59-meter-square frame. When frame is completely assembled, solar blankets are pulled from canisters, one by one by electric motor. A Thin cushion sheet is rolled up with each blanket to cushion solar cells. Sheet is taken up on roller as blanket is unfurled. Unrolling proceeds automatically.

Influence of sports flooring and shoes on impact forces and performance during jump tasks.

Directory of Open Access Journals (Sweden)

Laurent Malisoux

Full Text Available We aim to determine the influence of sports floorings and sports shoes on impact mechanics and performance during standardised jump tasks. Twenty-one male volunteers performed ankle jumps (four consecutive maximal bounds with very dynamic ankle movements and multi-jumps (two consecutive maximal counter-movement jumps on force plates using minimalist and cushioned shoes under 5 sports flooring (SF conditions. The shock absorption properties of the SF, defined as the proportion of peak impact force absorbed by the tested flooring when compared with a concrete hard surface, were: SF0 = 0% (no flooring, SF1 = 19%, SF2 = 26%, SF3 = 37% and SF4 = 45%. Shoe and flooring effects were compared using 2x5 repeated-measures ANOVA with post-hoc Bonferroni-corrected comparisons. A significant interaction between SF and shoe conditions was found for VILR only (p = 0.003. In minimalist shoes, SF influenced Vertical Instantaneous Loading Rate (VILR during ankle jumps (p = 0.006 and multi-jumps (p<0.001, in accordance with shock absorption properties. However, in cushioned shoes, SF influenced VILR during ankle jumps only (p<0.001. Contact Time was the only additional variable affected by SF, but only during multi-jumps in minimalist shoes (p = 0.037. Cushioned shoes induced lower VILR (p<0.001 and lower Contact Time (p≤0.002 during ankle jumps and multi-jumps compared to minimalist shoes. During ankle jumps, cushioned shoes induced greater Peak Vertical Ground Reaction Force (PVGRF, p = 0.002, greater Vertical Average Loading Rate (p<0.001, and lower eccentric (p = 0.008 and concentric (p = 0.004 work. During multi-jumps, PVGRF was lower (p<0.001 and jump height was higher (p<0.001 in cushioned compared to minimalist shoes. In conclusion, cushioning influenced impact forces during standardised jump tasks, whether it was provided by the shoes or the sports flooring. VILR is the variable that was the most affected.

A study on the design of a low-friction, high-speed pneumatic cylinder

International Nuclear Information System (INIS)

Kim, Do Tae; Kim, Dong Soo; Ju, Min Jin

2008-01-01

Of all of pneumatic components utilized in the make up of pneumatic circuits on either automatic assembly machine or industrial equipment, the pneumatic cylinder is more oriented toward being a structural as well as a pneumatic member. The structural design must be based to a large degree on the end of application of the cylinder on the equipment it is operating. In this paper, design studies of a double-acting pneumatic cushion type cylinder with low-friction and high-speed driving have been developed. Of interest here is to investigate the structural analysis of cylinder tube, piston rod, end cover, and to analyze the buckling of piston rod. Also, a relief valve type cushion mechanism is considered. This cushion mechanism is found to be adequate under a high-speed driving of pneumatic cylinders

Hock lesions and free-stall design.

Science.gov (United States)

Weary, D M; Taszkun, I

2000-04-01

We compared the prevalence and severity of skin lesions on the hocks of lactating dairy cows in southern British Columbia, comparing 20 farms using three common bedding surfaces: sawdust, sand, and geotextile mattresses. Skin lesions were scored at five positions on the hock. For each position we noted if the lesion showed inflammatory attributes, and then assigned a severity score. Of the 1752 lactating cows scored, 1267 cows (73%) had at least one hock lesion. Of those cows with lesions, 87% had lesions on both legs, 76% had lesions on more than one location on the hock, and 78% had a lesion of at least moderate severity (i.e., evidence of skin breakage or an area of hair loss >10 cm2). Lesions were most prevalent on farms that used geotextile mattresses (91% of cows) and least common on farms that used sand (24% of cows). Moreover, lesions on cows from farms using mattresses were more numerous and more severe than those on cows from sand-bedded farms. The prevalence and severity of lesions on farms using sawdust was intermediate. Lesions also varied in relation to location on the hock. For farms using geotextile mattresses, lesions were more common and more severe on the lateral surfaces of both the tuber calcis and the tarsal joint. On farms using sawdust, lesions were common on the dorsal surface of the tuber calcis and the lateral surfaces of both the tuber calcis and the tarsal joint. Lesions were rare on all five positions for cows from sand-bedded farms. Among the 10 farms sampled using sawdust, we found a significant negative relationship between the length of the stall and severity of lesions. For cows with lesions, the number and severity of lesions increased with age.

Biomechanical evaluation of knotless anatomical double-layer double-row rotator cuff repair: a comparative ex vivo study.

Science.gov (United States)

Hepp, Pierre; Osterhoff, Georg; Engel, Thomas; Marquass, Bastian; Klink, Thomas; Josten, Christoph

2009-07-01

The layered configuration of the rotator cuff tendon is not taken into account in classic rotator cuff tendon repair techniques. The mechanical properties of (1) the classic double-row technique, (2) a double-layer double-row (DLDR) technique in simple suture configuration, and (3) a DLDR technique in mattress suture configuration are significantly different. Controlled laboratory study. Twenty-four sheep shoulders were assigned to 3 repair groups of full-thickness infraspinatus tears: group 1, traditional double-row repair; group 2, DLDR anchor repair with simple suture configuration; and group 3, DLDR knotless repair with mattress suture configuration. After ultrasound evaluation of the repair, each specimen was cyclically loaded with 10 to 100 N for 50 cycles. Each specimen was then loaded to failure at a rate of 1 mm/s. There were no statistically significant differences among the 3 testing groups for the mean footprint area. The cyclic loading test revealed no significant difference among the 3 groups with regard to elongation. For the load-to-failure test, groups 2 and 3 showed no differences in ultimate tensile load when compared with group 1. However, when compared to group 2, group 3 was found to have significantly higher values regarding ultimate load, ultimate elongation, and energy absorbed. The DLDR fixation techniques may provide strength of initial repair comparable with that of commonly used double-row techniques. When compared with the knotless technique with mattress sutures, simple suture configuration of DLDR repair may be too weak. Knotless DLDR rotator cuff repair may (1) restore the footprint by the use of double-row principles and (2) enable restoration of the shape and profile. Double-layer double-row fixation in mattress suture configuration has initial fixation strength comparable with that of the classic double-row fixation and so may potentially improve functional results of rotator cuff repair.

Cyclic Mechanical Loading Is Essential for Rac1-Mediated Elongation and Remodeling of the Embryonic Mitral Valve.

Science.gov (United States)

Gould, Russell A; Yalcin, Huseyin C; MacKay, Joanna L; Sauls, Kimberly; Norris, Russell; Kumar, Sanjay; Butcher, Jonathan T

2016-01-11

During valvulogenesis, globular endocardial cushions elongate and remodel into highly organized thin fibrous leaflets. Proper regulation of this dynamic process is essential to maintain unidirectional blood flow as the embryonic heart matures. In this study, we tested how mechanosensitive small GTPases, RhoA and Rac1, coordinate atrioventricular valve (AV) differentiation and morphogenesis. RhoA activity and its regulated GTPase-activating protein FilGAP are elevated during early cushion formation but decreased considerably during valve remodeling. In contrast, Rac1 activity was nearly absent in the early cushions but increased substantially as the valve matured. Using gain- and loss-of-function assays, we determined that the RhoA pathway was essential for the contractile myofibroblastic phenotype present in early cushion formation but was surprisingly insufficient to drive matrix compaction during valve maturation. The Rac1 pathway was necessary to induce matrix compaction in vitro through increased cell adhesion, elongation, and stress fiber alignment. Facilitating this process, we found that acute cyclic stretch was a potent activator of RhoA and subsequently downregulated Rac1 activity via FilGAP. On the other hand, chronic cyclic stretch reduced active RhoA and downstream FilGAP, which enabled Rac1 activation. Finally, we used partial atrial ligation experiments to confirm in vivo that altered cyclic mechanical loading augmented or restricted cushion elongation and thinning, directly through potentiation of active Rac1 and active RhoA, respectively. Together, these results demonstrate that cyclic mechanical signaling coordinates the RhoA to Rac1 signaling transition essential for proper embryonic mitral valve remodeling. Copyright © 2016 Elsevier Ltd. All rights reserved.

Remember Hard But Think Softly: Metaphorical Effects of Hardness/Softness on Cognitive Functions

Science.gov (United States)

Xie, Jiushu; Lu, Zhi; Wang, Ruiming; Cai, Zhenguang G.

2016-01-01

Previous studies have found that bodily stimulation, such as hardness biases social judgment and evaluation via metaphorical association; however, it remains unclear whether bodily stimulation also affects cognitive functions, such as memory and creativity. The current study used metaphorical associations between “hard” and “rigid” and between “soft” and “flexible” in Chinese, to investigate whether the experience of hardness affects cognitive functions whose performance depends prospectively on rigidity (memory) and flexibility (creativity). In Experiment 1, we found that Chinese-speaking participants performed better at recalling previously memorized words while sitting on a hard-surface stool (the hard condition) than a cushioned one (the soft condition). In Experiment 2, participants sitting on a cushioned stool outperformed those sitting on a hard-surface stool on a Chinese riddle task, which required creative/flexible thinking, but not on an analogical reasoning task, which required both rigid and flexible thinking. The results suggest the hardness experience affects cognitive functions that are metaphorically associated with rigidity or flexibility. They support the embodiment proposition that cognitive functions and representations can be grounded in bodily states via metaphorical associations. PMID:27672373

Shock Protection of Portable Electronic Products: Shock Response Spectrum, Damage Boundary Approach, and Beyond

Directory of Open Access Journals (Sweden)

Suresh Goyal

1997-01-01

Full Text Available The pervasive shock response spectrum (SRS and damage boundary methods for evaluating product fragility and designing external cushioning for shock protection are described in detail with references to the best available literature. Underlying assumptions are carefully reviewed and the central message of the SRS is highlighted, particularly as it relates to standardized drop testing. Shortcomings of these methods are discussed, and the results are extended to apply to more general systems. Finally some general packaging and shock-mounting strategies are discussed in the context of protecting a fragile disk drive in a notebook computer, although the conclusions apply to other products as well. For example, exterior only cushioning (with low restitution to reduce subsequent impacts will provide a slenderer form factor than the next best strategy: interior cushioning with a “dead” hard outer shell.

IMPROVEMENT OF OPERATIONS OF PICKING AND DISPATCH FOR A BUSINESS IN THE MATTRESS INDUSTRY, SUPPORTED BY DISCRETE SIMULATION

Directory of Open Access Journals (Sweden)

ALEXANDER ALBERTO CORREA ESPINAL

2012-01-01

Full Text Available En la cadena de suministro y en la logística, la gestión de almacenes y en especial las operaciones de preparación de pedidos y despacho, son determinantes en la eficiencia operacional y en la satisfacción del cliente; por estos motivos, el presente artículo tiene como objetivo desarrollar un modelo de simulación discreta que apoye el análisis y evaluación de alternativas de mejora de estas operaciones en una empresa mediana del sector colchonero de la ciudad de Medellín. A través de la implementación y análisis de los resultados del modelo de simulación discreta de las operaciones en estudio, la empresa podría disminuir el tiempo de permanencia de un colchón en el sistema de 4.12 h a 3.7 h y el número de colchones atendidos aumentaría de 102 a 110 unidades con una confianza estadística del 95%. El modelo permitió que la empresa de colchones evaluara diferentes alternativas que no sólo le permitiera analizar la mejora de su eficiencia, sino también enfocarse a la satisfacción del cliente en la gestión de almacenes.

Fire resistant aircraft seat materials

Science.gov (United States)

Trabold, E. L.

1978-01-01

The establishment of a technical data base for individual seat materials in order to facilitate materials selections is reviewed. The thermal response of multi-layer constructions representative of the basic functional layers of a typical future seat is examined. These functional layers include: (1) decorative fabric cover; (2) slip sheet (topper); (3) fire blocking layer; (4) cushion reinforcement; and (5) cushioning layer. The implications for material selection for full-scale seats are discussed.

The influence of household pets on the composition and quantity of allergenic mite fauna within Irish homes: a preliminary investigation.

Science.gov (United States)

Clarke, D; Dix, E; Liddy, S; Gormally, M; Byrne, M

2016-03-01

Allergenic mites are responsible for inducing hypersensitive reactions in genetically predisposed people worldwide. Mites in dust from 30 Irish homes with pets (dogs, n = 23; cats, n = 7) were compared with those in 30 homes without pets. House dust mites constituted 78% of all mites recorded, with Dermatophagoides pteronyssinus (Acariformes: Pyroglyphidae) representing 57-72% of mites in furniture and mattresses in both home types compared with only 22% of mites in pet beds. Although storage mites accounted for just 13% of all mites recorded, they represented 46% of mites recorded in pet beds. Median levels of the dust mite allergen Der p 1 (µg/g) in dust samples from mattresses in homes without pets were significantly greater than in mattresses from homes with pets, reflecting the greater densities of D. pteronyssinus found in the former home category. Mite species richness was greater in homes with pets (17 species) than in homes without pets (13 species). This suggests that although the presence of pets can result in a wider variety of epidemiologically important mite species within households, increased competition among mite species may result in a more balanced mite fauna in the home, inhibiting the dominance of any one species and hence lowering allergen-associated risks. © 2015 The Royal Entomological Society.

House dust-mite allergen exposure is associated with serum specific IgE but not with respiratory outcomes.

Science.gov (United States)

Bakolis, I; Heinrich, J; Zock, J P; Norbäck, D; Svanes, C; Chen, C M; Accordini, S; Verlato, G; Olivieri, M; Jarvis, D

2015-06-01

Exposure to house dust has been associated with asthma in adults, and this is commonly interpreted as a direct immunologic response to dust-mite allergens in those who are IgE sensitized to house dust-mite. Mattress house dust-mite concentrations were measured in a population-based sample of 2890 adults aged between 27 and 56 years living in 22 centers in 10 countries. Generalized linear mixed models were employed to explore the association of respiratory symptoms with house dust-mite concentrations, adjusting for individual and household confounders. There was no overall association of respiratory outcomes with measured house dust-mite concentrations, even in those who reported they had symptoms on exposure to dust and those who had physician-diagnosed asthma. However, there was a positive association of high serum specific IgE levels to HDM (>3.5 kUA /l) with mattress house dust-mite concentrations and a negative association of sensitization to cat with increasing house dust-mite concentrations. In conclusion, there was no evidence that respiratory symptoms in adults were associated with exposure to house dust-mite allergen in the mattress, but an association of house mite with strong sensitization was observed. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

The Effect of Body Mass on the Shoe-Athlete Interaction

OpenAIRE

Tsouknidas, A.; Pantazopoulos, M.; Sagris, D.; Fasnakis, D.; Maropoulos, S.; Arabatzi, F.; Michailidis, N.

2017-01-01

Long-distance running is known to induce joint overloading and elevate cytokine levels, which are the hallmarks for a variety of running-related injuries. To address this, footwear systems incorporate cushioning midsoles to mitigate injurious mechanical loading. The aim of this study was to evaluate the effect of athlete body mass on the cushioning capacity of technical footwear. An artificial heel was prototyped to fit the impact pattern of a heel-strike runner and used to measure shock atte...

Radiation history and energy coupling to cylindrical targets on the Z machine

International Nuclear Information System (INIS)

Aubrey, J.; Bowers, R.L.; Peterson, D.L.; Chandler, G.A.; Derzon, M.S.; Nash, T.J.; Fehl, D.L.

1999-01-01

A series of experiments have been designed and fielded on the Sandia Z machine to characterize the radiation history and energy coupling to cylindrical targets embedded in a central cushion. The implosion of, a nested wire array, which has produced temperatures of 230 eV in a central cushion (Flying Radiation Case/Dynamic Hohlraum), is used as a source, in the calculations, to drive ablative shocks in cylindrical shells. These shells have initial radii of 1 mm, wall thickness of 20 to 50 microm and are embedded in low density foam. Simulations of the radiation environment in the cushion, including the radiation pre-pulse associated with the run-in of the load plasma and the energy coupling to the target will be presented. The dynamics of the imploding plasma, its evolution near the axial aperture and its effects on diagnostic access will also be considered

A study on cow comfort and risk for lameness and mastitis in relation to different types of bedding materials.

Science.gov (United States)

van Gastelen, S; Westerlaan, B; Houwers, D J; van Eerdenburg, F J C M

2011-10-01

The aim was to obtain data regarding the effects of 4 freestall bedding materials (i.e., box compost, sand, horse manure, and foam mattresses) on cow comfort and risks for lameness and mastitis. The comfort of freestalls was measured by analyzing the way cows entered the stalls, the duration and smoothness of the descent movement, and the duration of the lying bout. The cleanliness of the cows was evaluated on 3 different body parts: (1) udder, (2) flank, and (3) lower rear legs, and the bacteriological counts of the bedding materials were determined. The combination of the cleanliness of the cows and the bacteriological count of the bedding material provided an estimate of the risk to which dairy cows are exposed in terms of intramammary infections. The results of the hock assessment revealed that the percentage of cows with healthy hocks was lower (20.5 ± 6.7), the percentage of cows with both damaged and swollen hocks was higher (26.8 ± 3.2), and the severity of the damaged hock was higher (2.32 ± 0.17) on farms using foam mattresses compared with deep litter materials [i.e., box compost (64.0 ± 10.4, 3.5 ± 4.7, 1.85 ± 0.23, respectively), sand (54.6 ± 8.2, 2.0 ± 2.8, 1.91 ± 0.09, respectively), and horse manure (54.6 ± 4.5, 5.5 ± 5.4, 1.85 ± 0.17, respectively)]. In addition, cows needed more time to lie down (140.2 ± 84.2s) on farms using foam mattresses compared with the deep litter materials sand and horse manure (sand: 50.1 ± 31.6s, horse manure: 32.9 ± 0.8s). Furthermore, the duration of the lying bout was shorter (47.9 ± 7.4 min) on farms using foam mattresses compared to sand (92.0 ± 12.9 min). These results indicate that deep litter materials provide a more comfortable lying surface compared with foam mattresses. The 3 deep litter bedding materials differed in relation to each other in terms of comfort and their estimate of risk to which cows were exposed in terms of intramammary infections [box compost: 17.8 cfu (1.0(4)) ± 19.4/g

A new system for the X-ray examination of casualties: easier, faster examnination without changing the patient's position by means of the Vertix 3 D

International Nuclear Information System (INIS)

Eisenscher, A.; Jaquemord, P.; Jeandeau, M.; Schweg-Toffler, E.; Murrmann, J.

1982-01-01

Due to the adjustment problems with the traditional overhead support, repeatedly the conventional radiation systems applied until today in emergency departments resulted to be disadvantageous. Another disadvantage is that the patient's position has often to be changed in order to photograph the individual sections to be examined. With a stirrup system attached to the overhead support and a patient table board with a thin plate vertically adjustable, these disadvantages can be eliminated. Since the system works with a fixed raster cassette with a high camera shaft ratio, a lighter constructional design and an easier operation without an impairment of image quality are rendered possible. This study describes the applicability of a new unit especially designed for emergency diagnostics, which is supplemented with a previously programmed generator, a table board with vertical adjustment and an exchangeable mobile sliding mattress. (orig.) [de

Cross-linked hyaluronic acid in pressure ulcer prevention.

Science.gov (United States)

Beniamino, P; Vadalà, M; Laurino, C

2016-07-02

Long-term bedridden patients are at high risk of acquring pressure ulcers (PUs). In this group of patients, prevention is necessary to cut the health costs, improve quality of life and reduce the mortality. Here, we evaluated the effectiveness of a cross-linked hyaluronic acid (HA) as plastic bulking-agent filling and remodelling the deep dermis and subcutaneous space of the skin areas exposed to the risk of necrosis. Our work hypothesis has been to inflate a sub-dermal elastic cushion, filled with a natural ECM component, with the aim to induce a stronger tissue background resistant to the ulcerative process. All the patients had an increased risk of PUs, at the sacral, ileum or heel skin. Patients were being nursed accordingly to the standard orthopaedic ward management with a pressure relieveing air mattress. The standard protocol consisted in body mobilisation every 3 hours, 24 hours a day and accurate cleaning of the skin with liquid soap and water without any towel friction and without adding any cream or lotion for the skin protection. Our filling protocol enclosed: accurate disinfection of the skin to be injected with povidone-iodine solution, followed by a local anaesthesia with 28G 13 mm needle, injecting 1.5 ml of 1% xylocaine. Then slow, deep, subcutaneous injection of cross-linked HA was performed with a 18G long needle, in order to deliver a homogeneous, soft gel layer underneath and around the whitish erythematous skin edges at risk of ulceration. Patients' tolerability of the compound and adverse events were also recorded. There were 15 patients (78-94 years old) who participated in the study. All tolerated the procedure very well and no serious side effects were declared. No skin pressure ulceration was detected in the four weeks follow-up Conclusion: We have demonstrated the safety and tolerability of a cross-linked HA subdermal injection in PUs prevention. The compound stratifies in a soft, elastic, interstitial bulk into the deep dermis, thus

Effective Dose Calculation Program (EDCP) for the usage of NORM-added consumer product.

Science.gov (United States)

Yoo, Do Hyeon; Lee, Jaekook; Min, Chul Hee

2018-04-09

The aim of this study is to develop the Effective Dose Calculation Program (EDCP) for the usage of Naturally Occurring Radioactive Material (NORM) added consumer products. The EDCP was developed based on a database of effective dose conversion coefficient and the Matrix Laboratory (MATLAB) program to incorporate a Graphic User Interface (GUI) for ease of use. To validate EDCP, the effective dose calculated with EDCP by manually determining the source region by using the GUI and that by using the reference mathematical algorithm were compared for pillow, waist supporter, eye-patch and sleeping mattress. The results show that the annual effective dose calculated with EDCP was almost identical to that calculated using the reference mathematical algorithm in most of the assessment cases. With the assumption of the gamma energy of 1 MeV and activity of 1 MBq, the annual effective doses of pillow, waist supporter, sleeping mattress, and eye-patch determined using the reference algorithm were 3.444 mSv year -1 , 2.770 mSv year -1 , 4.629 mSv year -1 , and 3.567 mSv year -1 , respectively, while those calculated using EDCP were 3.561 mSv year -1 , 2.630 mSv year -1 , 4.740 mSv year -1 , and 3.780 mSv year -1 , respectively. The differences in the annual effective doses were less than 5%, despite the different calculation methods employed. The EDCP can therefore be effectively used for radiation protection management in the context of the usage of NORM-added consumer products. Additionally, EDCP can be used by members of the public through the GUI for various studies in the field of radiation protection, thus facilitating easy access to the program. Copyright © 2018. Published by Elsevier Ltd.

System safety engineering in the development of advanced surface transportation vehicles

Science.gov (United States)

Arnzen, H. E.

1971-01-01

Applications of system safety engineering to the development of advanced surface transportation vehicles are described. As a pertinent example, the paper describes a safety engineering efforts tailored to the particular design and test requirements of the Tracked Air Cushion Research Vehicle (TACRV). The test results obtained from this unique research vehicle provide significant design data directly applicable to the development of future tracked air cushion vehicles that will carry passengers in comfort and safety at speeds up to 300 miles per hour.

Minimally invasive discectomy versus microdiscectomy/ discectomy for symptomatic lumbar disc herniation

OpenAIRE

Rahimi-Movaghar, Vafa; Rasouli, Mohammad; Shokraneh, Farhad; Moradi-lakeh, Maziyar; Vakaro, Alex; Sadeghi-Naini, Mohsen

2012-01-01

Abstract: Background: Lumbar discectomy is a surgery to remove all or part of a disc cushion that helps protect the spinal column. These cushions, called disks, separate the spinal vertebrae/bones. When one of the disks herniates (moves out of place) in patients with protruded disc, the soft gel inside pushes through the wall of the disk. The disk may then place pressure on the spinal cord and nerves that are coming out of the spinal column. The lumbar discectomy procedure remained basically ...

Computer tomographic phantom

International Nuclear Information System (INIS)

Lonn, A.H.R.; Jacobsen, D.R.; Zech, D.J.

1988-01-01

A reference phantom for computer tomography employs a flexible member with means for urging the flexible member into contact along the curved surface of the lumbar region of a human patient. In one embodiment, the reference phantom is pre-curved in an arc greater than required. Pressure from the weight of a patient laying upon the reference phantom is effective for straightening out the curvature sufficiently to achieve substantial contact along the lumbar region. The curvature of the reference phantom may be additionally distorted by a resilient pad between the resilient phantom and a table for urging it into contact with the lumbar region. In a second embodiment of the invention, a flexible reference phantom is disposed in a slot in the top of a resilient cushion. The resilient cushion and reference phantom may be enclosed in a flexible container. A partially curved reference phantom in a slot in a resilient cushion is also contemplated. (author)

Phenotypic variation in nurse traits and community feedbacks define an alpine community.

Science.gov (United States)

Michalet, Richard; Xiao, Sa; Touzard, Blaise; Smith, David S; Cavieres, Lohengrin A; Callaway, Ragan M; Whitham, Thomas G

2011-05-01

Much is known about facilitation, but virtually nothing about the underlying genetic and evolutionary consequences of this important interaction. We assessed the potential of phenotypic differences in facilitative effects of a foundation species to determine the composition of an Alpine community in Arizona. Two phenotypes of Geum rossii occur along a gradient of disturbance, with 'tight' competitive cushions in stable conditions and 'loose' facilitative cushions in disturbed conditions. A common-garden study suggested that field-based traits may have a genetic basis. Field experiments showed that the reproductive fitness of G. rossii cushions decreased with increasing facilitation. Finally, using a dual-lattice model we showed that including the cost and benefit of facilitation may contribute to the co-occurrence of genotypes with contrasting facilitative effects. Our results indicate that changes in community composition due to phenotypic differences in facilitative effects of a foundation species may in turn affect selective pressures on the foundation species. © 2011 Blackwell Publishing Ltd/CNRS.

Back Pain

Science.gov (United States)

... addition, there doesn't appear to be one type of mattress that's best for people with back pain. It's probably a ... of Nondiscrimination Advertising Mayo Clinic is a not-for-profit organization ...

Preservation of keratinized mucosa around implants using a prefabricated implant-retained stent: a case-control study

Science.gov (United States)

2016-01-01

Purpose The aim of this study was to clinically assess the impact of a prefabricated implant-retained stent clipped over healing abutments on the preservation of keratinized mucosa around implants after implant surgery, and to compare it with horizontal external mattress sutures. Methods A total of 50 patients were enrolled in this study. In the test group, a prefabricated implant-retained stent was clipped on the healing abutment after implant surgery to replace the keratinized tissue bucco-apically. In the control group, horizontal external mattress sutures were applied instead of using a stent. After the surgical procedure, the width of the buccal keratinized mucosa was measured at the mesial, middle, and distal aspects of the healing abutment. The change in the width of the buccal keratinized mucosa was assessed at 1 and 3 months. Results Healing was uneventful in both groups. The difference of width between baseline and 1 month was −0.26±0.85 mm in the test group, without any statistical significance (P=0.137). Meanwhile, the corresponding difference in the control group was −0.74±0.73 mm and it showed statistical significance (Pprefabricated implant-retained stent was shown to be effective in the preservation of the keratinized mucosa around implants and it was simple and straightforward in comparison to the horizontal external mattress suture technique. PMID:27800215

How to remove a chest drain.

Science.gov (United States)

Allibone, Elizabeth

2015-10-07

RATIONALE AND KEY POINTS: This article aims to help nurses to undertake the removal of a chest drain in a safe, effective and patient-centred manner. This procedure requires two practitioners. The chest drain will have been inserted aseptically to remove air, blood, fluid or pus from the pleural cavity. ▶ Chest drains may be small or wide bore depending on the underlying condition and clinical setting. They may be secured with a mattress suture and/or an anchor suture. ▶ Chest drains are usually removed under medical instructions when the patient's lung has inflated, the underlying condition has resolved, there is no evidence of respiratory compromise or failure, and their anticoagulation status has been assessed as satisfactory. ▶ Chest drains secured with a mattress suture should be removed by two practitioners. One practitioner is required to remove the tube and the other to tie the mattress suture (if present) and secure the site. REFLECTIVE ACTIVITY: Clinical skills articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: 1. How reading this article will change your practice. 2. How this article could be used to educate patients with chest drains. Subscribers can upload their reflective accounts at: rcni.com/portfolio .

Hemorrhoids: From basic pathophysiology to clinical management

Science.gov (United States)

Lohsiriwat, Varut

2012-01-01

This review discusses the pathophysiology, epidemiology, risk factors, classification, clinical evaluation, and current non-operative and operative treatment of hemorrhoids. Hemorrhoids are defined as the symptomatic enlargement and distal displacement of the normal anal cushions. The most common symptom of hemorrhoids is rectal bleeding associated with bowel movement. The abnormal dilatation and distortion of the vascular channel, together with destructive changes in the supporting connective tissue within the anal cushion, is a paramount finding of hemorrhoids. It appears that the dysregulation of the vascular tone and vascular hyperplasia might play an important role in hemorrhoidal development, and could be a potential target for medical treatment. In most instances, hemorrhoids are treated conservatively, using many methods such as lifestyle modification, fiber supplement, suppository-delivered anti-inflammatory drugs, and administration of venotonic drugs. Non-operative approaches include sclerotherapy and, preferably, rubber band ligation. An operation is indicated when non-operative approaches have failed or complications have occurred. Several surgical approaches for treating hemorrhoids have been introduced including hemorrhoidectomy and stapled hemorrhoidopexy, but postoperative pain is invariable. Some of the surgical treatments potentially cause appreciable morbidity such as anal stricture and incontinence. The applications and outcomes of each treatment are thoroughly discussed. PMID:22563187

Feather bedding and childhood asthma associated with house dust mite sensitisation: a randomised controlled trial.

Science.gov (United States)

Glasgow, Nicholas J; Ponsonby, Anne-Louise; Kemp, Andrew; Tovey, Euan; van Asperen, Peter; McKay, Karen; Forbes, Samantha

2011-06-01

Observational studies report inverse associations between the use of feather upper bedding (pillow and/or quilt) and asthma symptoms but there is no randomised controlled trial (RCT) evidence assessing the role of feather upper bedding as a secondary prevention measure. To determine whether, among children not using feather upper bedding, a new feather pillow and feather quilt reduces asthma severity among house dust mite (HDM) sensitised children with asthma over a 1-year period compared with standard dust mite avoidance advice, and giving children a new mite-occlusive mattress cover. RCT. The Calvary Hospital in the Australian Capital Territory and the Children's Hospital at Westmead, Sydney, New South Wales. 197 children with HDM sensitisation and moderate to severe asthma. Intervention New upper bedding duck feather pillow and quilt and a mite-occlusive mattress cover (feather) versus standard care and a mite-occlusive mattress cover (standard). The proportion of children reporting four or more episodes of wheeze in the past year; an episode of speech-limiting wheeze; or one or more episodes of sleep disturbance caused by wheezing; and spirometry with challenge testing. Statistical analysis included multiple logistic and linear regression. No differences between groups were found for primary end points--frequent wheeze (OR 1.51, 95% CI 0.83 to 2.76, p=0.17), speech-limiting wheeze (OR 0.70, 95% CI 0.32 to 1.48, p=0.35), sleep disturbed because of wheezing (OR 1.17, 95% CI 0.64 to 2.13, p=0.61) or for any secondary end points. Secondary analyses indicated the intervention reduced the risk of sleep being disturbed because of wheezing and severe wheeze to a greater extent for children who slept supine. No differences in respiratory symptoms or lung function were observed 1 year after children with moderate-severe asthma and HDM sensitisation were given a mite-occlusive mattress cover and then received either feather upper bedding (pillow and quilt) or standard

Controlling Bed Bugs Using Integrated Pest Management (IPM)

Science.gov (United States)

Several non-chemical methods can help control an infestation, such as heat treatment or freezing, or mattress and box spring encasements. When using a pesticide, follow label directions carefully and check for EPA registration.

Ventilation in homes infested by house-dust mites.

Science.gov (United States)

Sundell, J; Wickman, M; Pershagen, G; Nordvall, S L

1995-02-01

Thirty single-family homes with either high (> or = 2000 ng/g) or low (< or = 1000 ng/g) house-dust mite (HDM) allergen levels in mattress dust were examined for ventilation, thermal climate, and air quality (formaldehyde and total volatile organic compounds (TVOC). Elevated concentrations of HDM allergen in mattress and floor dust were associated with the difference in absolute humidity between indoor and outdoor air, as well as with low air-change rates of the home, particularly the bedroom. No correlation was found between concentration of TVOC or formaldehyde in bedroom air and HDM allergen concentration. In regions with a cold winter climate, the air-change rate of the home and the infiltration of outdoor air into the bedroom appear to be important for the infestation of HDM.

H1259 Container Foams: Performance Data on Aged Materials

International Nuclear Information System (INIS)

Linda Domeier

2002-01-01

Samples of the three cushioning foams used in the H1259 weapon storage container were obtained in 1997, 1998, 2000 and 2001 and tested for density, compression set and compressive strength using the same procedures specified for acceptance testing. Foams from six containers, all about 30 years old and located at Pantex, were evaluated. The bottom cushioning foam is a General Plastics polyurethane foam and the two side pads are rebonded polyurethane foams. All the tests were carried out at room temperature. When compared to the original acceptance requirements the foams were generally in-spec for density and compressive strength at 10% strain and were generally out-of-spec for compression set and compressive strength at 50% strain. Significant variability was noted in the performance of each foam sample and even more in the container-to-container foam performance. The container-to-container variability remains the major unknown in predicting the long-term suitability of these containers for continued use. The performance of the critical bottom cushion foams was generally more uniform and closer to the specified performance than that of the rebonded foams. It was judged that all the foams were adequate for continued use as storage container foams (not shipping) under controlled conditions to mitigate temperature extremes or high impact. This archived information is important in evaluations of the continued suitability for weapon storage use of the H1259 containers and other containers using the same foam cushions

Bacterial community of cushion plant Thylacospermum ceaspitosum on elevational gradient in the Himalayan cold desert

Czech Academy of Sciences Publication Activity Database

Řeháková, Klára; Chroňáková, Alica; Krištůfek, Václav; Kuchtová, B.; Čapková, K.; Scharfen, J.; Čapek, P.; Doležal, J.

2015-01-01

Roč. 6, April (2015), Article 304 ISSN 1664-302X Institutional support: RVO:60077344 Keywords : heterotrophic microbial community * subnival soil * life strategy * Ladakh * mountains * Himalayas Subject RIV: EE - Microbiology, Virology Impact factor: 4.165, year: 2015

Compatibility of booster seats and vehicles in the U.S. market.

Science.gov (United States)

Bing, Julie A; Agnew, Amanda M; Bolte, John H

2018-05-19

The objective of this study was to analyze booster and rear vehicle seat dimensions to identify the most frequent compatibility problems. Measurements were collected from 40 high-back and backless boosters and 95 left rear and center rear row seating positions in 50 modern vehicles. Dimensions were compared for 3,800 booster/vehicle seat combinations. For validation and estimation of tolerance and correction factors, 72 booster installations were physically completed and compared with measurement-based compatibility predictions. Dimensions were also compared to the International Organization for Standardization (ISO) volumetric envelopes of forward-facing child restraints and boosters. Seat belt buckles in outboard positions accommodated the width of boosters better than center positions (success rates of 85.4 and 34.7%, respectively). Adequate head restraint clearance occurred in 71.9 to 77.2% of combinations, depending on the booster's head support setting. Booster recline angles aligned properly with vehicle seat cushion angles in 71.5% of combinations. In cases of poor angle alignment, booster angles were more obtuse than the vehicle seat angles 97.7% of the time. Head restraint interference exacerbated angle alignment issues. Data indicate success rates above 90% for boosters being fully supported by the length of the seat cushion and for adequate height clearance with the vehicle roofline. Comparison to ISO envelopes indicates that most boosters on the U.S. market are taller and angled more obtusely than ISO target envelopes. This study quantifies some of the common interferences between boosters and vehicles that may complicate booster usage. Data are useful for design and to prioritize specific problem areas.

Safety Education Resources: Childproofing Your Home

Science.gov (United States)

... Kids and Babies En Español Kids and Babies - Safety Alerts Back to Safety Education Resources Air Mattresses ... Home Drowning Deaths in Spanish Kids and Babies - Safety Guides Back to Safety Education Resources Baby Safety ...

Bacterial community of cushion plant Thylacospermum ceaspitosum on elevational gradient in the Himalayan cold desert

Czech Academy of Sciences Publication Activity Database

Řeháková, Klára; Chroňáková, A.; Krištůfek, V.; Kuchtová, B.; Čapková, Kateřina; Scharfen, J.; Čapek, P.; Doležal, Jiří

2015-01-01

Roč. 6, č. 304 (2015), s. 1-16 ISSN 1664-302X R&D Projects: GA ČR GA13-13368S Institutional support: RVO:67985939 Keywords : heterotrophic microbial community * hesubnival soil * life strategy Subject RIV: EF - Botanics Impact factor: 4.165, year: 2015

Bug bites and stings: When to see a dermatologist

Medline Plus

Full Text Available ... C. Fox Award and Lectureship Grants from outside organizations Health Volunteers Overseas Grant Honorary International Society Meeting ... it under the mattress for maximum protection. Pay attention to outbreaks. Check the CDC Travel Health Notices ...

Analyzing Contingency Contracting Purchases for Operation Iraqi Freedom (Unrestricted Version)

Science.gov (United States)

2008-01-01

that could inform such strategic purchasing decisions. 14 We used the unique contract identification number to check for cross -organization...beds, mattresses, dressers , footlockers) Other (stools, rugs, seats, cabinets, tables, folding chairs, paintings) Generators Various power generators

Bug bites and stings: When to see a dermatologist

Medline Plus

Full Text Available ... and closed shoes instead of sandals. For additional protection, pull your socks up over your pants and ... floor, tuck it under the mattress for maximum protection. Pay attention to outbreaks. Check the CDC Travel ...

16 CFR 1633.7 - Mattress test procedure.

Science.gov (United States)

2010-01-01

... consumption calorimetry. The calibration should follow generally accepted practices for calibration. The... Grade 10 machining practice with a well formed #53 drill bit). The holes shall point 5° out of the plane... practice with a well formed #53 drill bit). The holes shall point 5° out of the plane of the diagram in...

Evaluation of the efficiency of denture cleaners for removing denture adhesives.

Science.gov (United States)

Harada-Hada, Kae; Hong, Guang; Abekura, Hitoshi; Murata, Hiroshi

2016-12-01

We developed a new scoring index for assessing the removability of denture adhesives and evaluated the removal efficiency of denture cleaners. Although our understanding of the importance of denture care is increasing, little is known about the effectiveness and efficiency of denture cleaners on denture adhesives. Therefore, guidelines for proper cleaning are necessary. We used five denture cleaner solutions on two cream adhesives, one powder adhesive and one cushion adhesive. After immersion in the denture cleaners for a designated time, we evaluated the area of the sample plate still covered by denture adhesive. Cream adhesives were removed more completely after immersion in majority of the denture cleaners than in water. Powder adhesive was removed more quickly than cream adhesives. Cushion adhesive was not removed by immersion in either the denture cleaners or water control. Some denture cleaners could liquefy cream adhesives more than water, but these differences were not observed in case of powder and cushion adhesives. © 2015 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd.

HAND2 Target Gene Regulatory Networks Control Atrioventricular Canal and Cardiac Valve Development.

Science.gov (United States)

Laurent, Frédéric; Girdziusaite, Ausra; Gamart, Julie; Barozzi, Iros; Osterwalder, Marco; Akiyama, Jennifer A; Lincoln, Joy; Lopez-Rios, Javier; Visel, Axel; Zuniga, Aimée; Zeller, Rolf

2017-05-23

The HAND2 transcriptional regulator controls cardiac development, and we uncover additional essential functions in the endothelial to mesenchymal transition (EMT) underlying cardiac cushion development in the atrioventricular canal (AVC). In Hand2-deficient mouse embryos, the EMT underlying AVC cardiac cushion formation is disrupted, and we combined ChIP-seq of embryonic hearts with transcriptome analysis of wild-type and mutants AVCs to identify the functionally relevant HAND2 target genes. The HAND2 target gene regulatory network (GRN) includes most genes with known functions in EMT processes and AVC cardiac cushion formation. One of these is Snai1, an EMT master regulator whose expression is lost from Hand2-deficient AVCs. Re-expression of Snai1 in mutant AVC explants partially restores this EMT and mesenchymal cell migration. Furthermore, the HAND2-interacting enhancers in the Snai1 genomic landscape are active in embryonic hearts and other Snai1-expressing tissues. These results show that HAND2 directly regulates the molecular cascades initiating AVC cardiac valve development. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

Dynamic environmental control mechanisms for pneumatic foil constructions

Science.gov (United States)

Flor, Jan-Frederik; Wu, Yupeng; Beccarelli, Paolo; Chilton, John

2017-11-01

Membrane and foil structures have become over the last decades an attractive alternative to conventional materials and building systems with increasing implementation in different typologies and scale. The development of transparent, light, flexible and resistant materials like Ethylene Tetrafluoroethylene (ETFE) has triggered a rethinking of the building envelope in the building industry towards lightweight systems. ETFE foil cushions have proven to fulfil the design requirements in terms of structural efficiency and aesthetic values. But the strategies to satisfy increasing demands of energy efficiency and comfort conditions are still under development. The prediction and manipulation of the thermo-optical behaviour of ETFE foil cushion structures currently remain as one of the main challenges for designers and manufacturers. This paper reviews ongoing research regarding the control of the thermo-optical performance of ETFE cushion structures and highlights challenges and possible improvements. An overview of different dynamic and responsive environmental control mechanisms for multilayer foil constructions is provided and the state of the art in building application outlined by the discussion of case studies.

Factors contributing to evidence-based pressure ulcer prevention. A cross-sectional study.

Science.gov (United States)

Sving, Eva; Idvall, Ewa; Högberg, Hans; Gunningberg, Lena

2014-05-01

Implementation of evidence-based care for pressure ulcer prevention is lacking. As the hospital organization is complex, more knowledge is needed to understand how nursing care in this area can be improved. The present study investigated the associations between variables on different levels in the healthcare setting (patient, unit, hospital) and the documentation of (1) risk assessment and (2) skin assessment within 24h of admission, the use of (3) pressure-reducing mattresses and (4) planned repositioning in bed. A cross-sectional study. One university hospital and one general hospital. Geriatric (n=8), medical (n=24) and surgical (n=19) units. All adult patients (>17 years), in total 825, were included. A one-day prevalence study was conducted using the methodology specified by the European Pressure Ulcer Advisory Panel, together with the established methods used by the Collaborative Alliance for Nursing Outcomes. Independent variables were patient characteristics, hospital type, unit type, nurse staffing and workload. Dependent variables were documented risk and skin assessment within 24h of admission, pressure-reducing mattresses and planned repositioning in bed. The data were analysed with Logistic regression using the Generalized Estimating Equation (GEE) approach. Patients at risk of developing pressure ulcers (BradenPatient characteristics (high age and risk score) and hospital type were associated with pressure ulcer prevention. Surprisingly, nurse staffing played only a minor role. Leaders in healthcare organizations should establish routines on different levels that support evidence-based pressure ulcer prevention, and registered nurses need to assume responsibility for bedside care. Copyright © 2013 Elsevier Ltd. All rights reserved.

Comparison of relative and actual chest compression depths during cardiac arrest in children, adolescents, and young adults☆

Science.gov (United States)

Niles, Dana E.; Nishisaki, Akira; Sutton, Robert M.; Nysæther, Jon; Eilevstjønn, Joar; Leffelman, Jessica; Maltese, Matthew R.; Arbogast, Kristy B.; Abella, Benjamin S.; Helfaer, Mark A.; Berg, Robert A.; Nadkarni, Vinay M.

2013-01-01

Aim Cardiopulmonary resuscitation (CPR) guidelines recommend specific chest compression (CC) target depths for children. We quantitatively describe relative anterior–posterior diameter (APD) depth, actual depth, and force of CCs during real CPR events in children. Methods CC depth and force were recorded during real CPR events in children ≥8 years using FDA-approved CC sensor. Patient chest APD was measured at conclusion of each CPR event. CC data was stratified and analyzed according to age (pre-puberty, 8–14 years; post-puberty, 15+ years). Relative (% APD) and actual CC depth, corrected for mattress deflection, were assessed and compared with American Heart Association (AHA) 2005 and 2010 pediatric CPR guidelines. Results 35 events in 32 subjects included 16,158 CCs for data analysis: 16 pre-puberty (CCs = 7484, age 11.9 ± 2 years, APD 164.6 ± 25.1 mm); 19 post-puberty (CCs = 8674, age 18.0 ± 2.7 years, APD 196.5 ± 30.4 mm). After correction for mattress deflection, 92% of CC delivered to pre-puberty were resuscitation teams were frequently <1/3 relative APD and <38 mm actual depth after mattress deflection correction, below pediatric and adult target guidelines. Mean CC actual depth and force were not significantly different in pre-puberty and post-puberty. Additional investigation to determine depth of CCs to optimize hemodynamics and outcomes is needed to inform future CPR guidelines. PMID:22079410

HUBUNGAN ANTARA PERILAKU PENCEGAHAN DAN KEPATUHAN BEROBAT PENDERITA TB DI INDONESIA

Directory of Open Access Journals (Sweden)

Noor Edi Widya Sukoco

2012-11-01

Full Text Available Background: Indonesia constitutes the third highest of Tuberculosis (TB cases after India and China. One of the problem in TB control is still low of drug treatment compliance of TB patients. The objective of this study was to know the relationship between TB disease prevention behaviors with treatment compliance of TB patients in Indonesia. Methods: Data explored from National Basic Health Survey (Riskesdas 2010. The data is designed to represent provinces. Design of study is cross sectional. The population is all respondents of Riskesdas 2010, while samples were chosen aged > 5 years with Pulmonary TB, particularly the TB patients who was received medication and treated by health facilities. The number of samples are all 968 patients. Interviews were conducted by skilled interviewers. Data were processed by SPSS 15 version. Results: The behavior of respondents drying the wrong mattress have risk non-compliant treatment about 1. 64 compared with the behavior of respondents drying the right mattress (OR = 1. 64; P = 0.001; confidence interval (CI=1. 21-2.22. Likewise, low education has risk non-compliant treatment in the amount of 1.62 compared with highly educated respondents (OR= 1.62; P = 0.005; confidence interval (CI = 1.15-2.27. Conclusion: The updated data signify that analysis of drug adherence TB patients will show significantly in correlation between drug adherence with level of education, and behaviour of dry mattress. Key words: drug compliance, preventive behavior. tuberculosis

Dynamic expression of a native chondroitin sulfate epitope reveals microheterogeneity of extracellular matrix organization in the embryonic chick heart.

Science.gov (United States)

Capehart, A A; Mjaatvedt, C H; Hoffman, S; Krug, E L

1999-02-01

TC2 is a novel monoclonal antibody produced by in vitro immunization of splenocytes with a peanut agglutinin-positive fraction from extracts of prechondrogenic micromass cultures of chick limb mesenchyme. ELISA results demonstrated TC2 reactivity with a native epitope on a glycosaminoglycan (GAG) enriched in chondroitin-4-sulfate and with multiple intact proteoglycans, but not with other GAGs tested. TC2 immunohistochemical reactivity was abolished by pretreatment of sections with chondroitinase AC or preadsorption with chondroitin-4-sulfate GAG. Strong TC2 localization occurred throughout the developing heart at stage 9. As looping ensued, a graded reactivity was observed from lowest in the atrium to highest in the conotruncus that correlated well with versican localization. The superior atrioventricular cushion stained preferentially with TC2 as compared to the inferior cushion at stages 16-18. At these later stages TC2 patterns did not agree completely with anti-versican reactivity. By stage 23 there was a marked reduction in TC2 localization in the heart, however, strong reactivity remained at certain sites, including the conotruncus and in subcompartments of both atrioventricular cushions. A heterogeneous distribution of other native chondroitin sulfate glycosaminoglycan epitopes recognized by monoclonal antibodies d1C4 and CS-56 was observed as well. The distribution of the TC2 epitope usually did not overlap with d1C4 or CS-56 localization at the stages examined. Overall, the spatiotemporal characteristics of TC2 reactivity in the developing chick heart appear to correlate with subdomains of the endocardial cushions as well as with trabecular and atrial septal formation.

75 FR 24572 - Foreign-Trade Zone 29 - Louisville, Kentucky, Application for Subzone, Louisville Bedding Company...

Science.gov (United States)

2010-05-05

... - Louisville, Kentucky, Application for Subzone, Louisville Bedding Company (Household Bedding Products...-purpose subzone status for the bedding products manufacturing facilities of Louisville Bedding Company... facilities are used to manufacture household bedding products, including mattress pads and pillows (up to 10...

Bug bites and stings: When to see a dermatologist

Medline Plus

Full Text Available ... it under the mattress for maximum protection. Pay attention to outbreaks. Check the CDC Travel Health Notices ... aad-aad-6", "site=ehs.con.aad.aad", "size=320x50", "vpos=t", "hpos=r", "zone=public", "mcat1= ...

Fuel cell integral bundle assembly including ceramic open end seal and vertical and horizontal thermal expansion control

Science.gov (United States)

Zafred, Paolo R [Murrysville, PA; Gillett, James E [Greensburg, PA

2012-04-24

A plurality of integral bundle assemblies contain a top portion with an inlet fuel plenum and a bottom portion containing a base support, the base supports a dense, ceramic air exhaust manifold having four supporting legs, the manifold is below and connects to air feed tubes located in a recuperator zone, the air feed tubes passing into the center of inverted, tubular, elongated, hollow electrically connected solid oxide fuel cells having an open end above a combustion zone into which the air feed tubes pass and a closed end near the inlet fuel plenum, where the open end of the fuel cells rest upon and within a separate combination ceramic seal and bundle support contained in a ceramic support casting, where at least one flexible cushion ceramic band seal located between the recuperator and fuel cells protects and controls horizontal thermal expansion, and where the fuel cells operate in the fuel cell mode and where the base support and bottom ceramic air exhaust manifolds carry from 85% to all of the weight of the generator.

Statistical parametric mapping of the regional distribution and ontogenetic scaling of foot pressures during walking in Asian elephants (Elephas maximus).

Science.gov (United States)

Panagiotopoulou, Olga; Pataky, Todd C; Hill, Zoe; Hutchinson, John R

2012-05-01

Foot pressure distributions during locomotion have causal links with the anatomical and structural configurations of the foot tissues and the mechanics of locomotion. Elephant feet have five toes bound in a flexible pad of fibrous tissue (digital cushion). Does this specialized foot design control peak foot pressures in such giant animals? And how does body size, such as during ontogenetic growth, influence foot pressures? We addressed these questions by studying foot pressure distributions in elephant feet and their correlation with body mass and centre of pressure trajectories, using statistical parametric mapping (SPM), a neuro-imaging technology. Our results show a positive correlation between body mass and peak pressures, with the highest pressures dominated by the distal ends of the lateral toes (digits 3, 4 and 5). We also demonstrate that pressure reduction in the elephant digital cushion is a complex interaction of its viscoelastic tissue structure and its centre of pressure trajectories, because there is a tendency to avoid rear 'heel' contact as an elephant grows. Using SPM, we present a complete map of pressure distributions in elephant feet during ontogeny by performing statistical analysis at the pixel level across the entire plantar/palmar surface. We hope that our study will build confidence in the potential clinical and scaling applications of mammalian foot pressures, given our findings in support of a link between regional peak pressures and pathogenesis in elephant feet.

Pressure ulcers from spinal immobilization in trauma patients: A systematic review

NARCIS (Netherlands)

Ham, W.; Schoonhoven, L.; Schuurmans, M.J.; Leenen, L.P.H.

2014-01-01

BACKGROUND: To protect the (possibly) injured spine, trauma patients are immobilized on backboard or vacuum mattress, with a cervical collar, lateral headblocks, and straps. Several studies identified pressure ulcer (PU) development from these devices. The aim of this literature study was to gain

[Verification of bacteriological safety of PCM 40 air conditioner].

Science.gov (United States)

Dumas, J L; Ducel, G; Rouge, J C

1991-01-01

This study assessed the bacteriological safety of the bedside air conditioner PCM 40 (Howorth Airtech), used for prevention of intraoperative hypothermia, by blowing filtered warm air through a special mattress. The 3 microns bacterial filter of the device released 2,968 +/- 5,618 particles of diameter less than 3 microns per m3 of room air, containing 78,798 +/- 37,243 of such particles per m3. The amount of bacteries in the air pulsed from the mattress was 30 +/- 41 cfu/m3 vs 120 cfu/m3 in the ambient air and in the hot air supply tubing it reached 6 +/- 5 cfu/m3 vs 175 +/- 77 cfu/m3. It is concluded that bacteriological data do not contra-indicate the use of this air conditioner in the operating theater. The only limitations for use are the position (prone or lateral position) and type of surgery (neurosurgery).

CO2 and CH4 fluxes of contrasting pristine bogs in southern Patagonia (Tierra del Fuego, Argentina)

Science.gov (United States)

Münchberger, Wiebke; Blodau, Christian; Kleinebecker, Till; Pancotto, Veronica

2015-04-01

South Patagonian peatlands cover a wide range of the southern terrestrial area and thus are an important component of the terrestrial global carbon cycle. These extremely southern ecosystems have been accumulating organic material since the last glaciation up to now and are - in contrast to northern hemisphere bogs - virtually unaffected by human activities. So far, little attention has been given to these pristine ecosystems and great carbon reservoirs which will potentially be affected by climate change. We aim to fill the knowledge gap in the quantity of carbon released from these bogs and in what controls their fluxes. We study the temporal and spatial variability of carbon fluxes in two contrasting bog ecosystems in southern Patagonia, Tierra del Fuego. Sphagnum-dominated bog ecosystems in Tierra del Fuego are similar to the ones on the northern hemisphere, while cushion plant-dominated bogs can almost exclusively be found in southern Patagonia. These unique cushion plant-dominated bogs are found close to the coast and their occurrence changes gradually to Sphagnum-dominated bogs with increasing distance from the coast. We conduct closed chamber measurements and record relevant environmental variables for CO2 and CH4 fluxes during two austral vegetation periods from December to April. Chamber measurements are performed on microforms representing the main vegetation units of the studied bogs. Gas concentrations are measured with a fast analyzer (Los Gatos Ultraportable Greenhouse Gas Analyzer) allowing to accurately record CH4 fluxes in the ppm range. We present preliminary results of the carbon flux variability from south Patagonian peat bogs and give insights into their environmental controls. Carbon fluxes of these two bog types appear to be highly different. In contrast to Sphagnum-dominated bogs, cushion plant-dominated bogs release almost no CH4 while their CO2 flux in both, photosynthesis and respiration, can be twice as high as for Sphagnum

Factors associated with allergen sensitizations in patients with asthma and/or rhinitis in China.

Science.gov (United States)

Li, Jing; Huang, Ying; Lin, Xiaoping; Zhao, Deyu; Tan, Guolin; Wu, Jinzhun; Zhao, Changqing; Zhao, Jing; Spangfort, Michael D; Lai, Xuxin; Zhong, Nanshan

2012-01-01

Allergen sensitization is influenced by genetic and environmental factors; however, the factors related to sensitizations in patients with rhinitis and asthma in China are largely unknown. This study investigated the factors associated with allergen sensitizations in patients with asthma and rhinitis in China. A cross-sectional survey was performed in 6304 patients with asthma and/or rhinitis from four regions of China. Patients completed a standardized questionnaire related to respiratory and allergic symptoms, family history of allergic diseases, smoking history, environmental exposure, and eating behaviors. They underwent skin-prick tests (SPTs) with 13 common aeroallergens. Blood samples were collected from 2268 of patients for specific IgE (sIgE) measurements against 16 common aeroallergens. Patients with both asthma and rhinitis had higher prevalence of SPT and sIgE positivity to most allergens than those with asthma or rhinitis alone (p history of allergic rhinitis, air-conditioner usage, sleeping on a mattress, and frequently eating meat were associated with increased risk of SPT and sIgE positivity. Using air-conditioner and sleeping on a mattress were further found to be associated with sIgE positivity to mites and molds. However, increased age and fish, fruit, and raw vegetable intake decreased the risk of SPT and sIgE positivity. Family history of allergic rhinitis, male gender, using an air conditioner, sleeping on a mattress, and frequent meat consumption are risk factors for allergen sensitizations, whereas increased age and frequent fish, fruit, and raw vegetable consumption may protect patients with asthma and/or rhinitis from developing sensitizations in China.

Effects of three types of free-stall surfaces on preferences and stall usage by dairy cows.

Science.gov (United States)

Tucker, C B; Weary, D M; Fraser, D

2003-02-01

One important criterion in choosing appropriate housing systems for dairy cattle is that the freestall provides a comfortable surface for the cow. This paper describes two experiments testing the effects of commonly used lying surfaces on stall preference and stall usage by Holstein cows. In both experiments, 12 cows were housed individually in separate pens. Each pen contained three free stalls with a different surface: deep-bedded sawdust, deep-bedded sand, and a geotextile mattress covered with 2 to 3 cm of sawdust. The animals were restricted to each surface in turn, in a random order for either 2 (Experiment 1) or 3 d (Experiment 2). Both before and after this restriction phase, the animals were allowed access to all three surfaces, and preference was determined, based on lying times. Of the 12 cows used in Experiment 1, 10 preferred sawdust before and nine after the restriction phase. During the restriction phase, average lying times and number of lying events during the restriction phase were significantly lower for the sand-bedded stalls (P sand bedded stalls. In this experiment, about half the cows preferred sand and half sawdust, after the restriction phase. During the restriction phase of experiment, lying times and number of lying events were lower, and standing times were higher when the animals were restricted to the mattresses compared to either sand or sawdust (P < or = 0.05). These results indicate that (1) free stall surface can affect both stall preferences and stall usage, and (2) mattresses are less preferred.

Forced-Air Warming Provides Better Control of Body Temperature in Porcine Surgical Patients

Directory of Open Access Journals (Sweden)

Brian T. Dent

2016-09-01

Full Text Available Background: Maintaining normothermia during porcine surgery is critical in ensuring subject welfare and recovery, reducing the risk of immune system compromise and surgical-site infection that can result from hypothermia. In humans, various methods of patient heating have been demonstrated to be useful, but less evaluation has been performed in techniques to prevent hypothermia perioperatively in pigs. Methods: We compared body temperature regulation during surgery before and after modification of the ambient temperature of the operating laboratories. Three different methods of heating were then compared; a standard circulating water mattress, a resistive fabric blanket, and a forced hot air system. The primary measure was percentage of temperature readings outside a specification range of 36.7–40.0 °C. Results: Tighter control of the ambient temperature while using a circulating water mattress reduced the occurrence of out-of-specification body temperature readings from 20.8% to 5.0%, with most of these the result of hypothermia. Use of a resistive fabric blanket further reduced out-of-specification readings to 1.5%, with a slight increase in the occurrence of hyperthermia. Use of a forced air system reduced out-of-specification readings to less 0.1%. Conclusions: Maintenance of normothermia perioperatively in pig can be improved by tightly controlling ambient temperatures. Use of a resistive blanket or a forced air system can lead to better control than a circulating water mattress, with the forced air system providing a faster response to temperature variations and less chance of hyperthermia.

Application of current guidelines for chest compression depth on different surfaces and using feedback devices: a randomized cross-over study.

Science.gov (United States)

Schober, P; Krage, R; Lagerburg, V; Van Groeningen, D; Loer, S A; Schwarte, L A

2014-04-01

Current cardiopulmonary resuscitation (CPR)-guidelines recommend an increased chest compression depth and rate compared to previous guidelines, and the use of automatic feedback devices is encouraged. However, it is unclear whether this compression depth can be maintained at an increased frequency. Moreover, the underlying surface may influence accuracy of feedback devices. We investigated compression depths over time and evaluated the accuracy of a feedback device on different surfaces. Twenty-four volunteers performed four two-minute blocks of CPR targeting at current guideline recommendations on different surfaces (floor, mattress, 2 backboards) on a patient simulator. Participants rested for 2 minutes between blocks. Influences of time and different surfaces on chest compression depth (ANOVA, mean [95% CI]) and accuracy of a feedback device to determine compression depth (Bland-Altman) were assessed. Mean compression depth did not reach recommended depth and decreased over time during all blocks (first block: from 42 mm [39-46 mm] to 39 mm [37-42 mm]). A two-minute resting period was insufficient to restore compression depth to baseline. No differences in compression depth were observed on different surfaces. The feedback device slightly underestimated compression depth on the floor (bias -3.9 mm), but markedly overestimated on the mattress (bias +12.6 mm). This overestimation was eliminated after correcting compression depth by a second sensor between manikin and mattress. Strategies are needed to improve chest compression depth, and more than two providers should alternate with chest compressions. The underlying surface does not necessarily adversely affect CPR performance but influences accuracy of feedback devices. Accuracy is improved by a second, posterior, sensor.

Report on achievements in fiscal 1998. Development of foaming eco-material using magazine waste papers. (The first fiscal year); 1998 nendo zasshi koshi wo mochiita happo seikei eko material no kaihatsu seika hokokusho (dai 1 nendo)

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-03-01

Such foaming materials as styro-foam, urethane and polyethylene greatly increase load on the environment when discarded, and are a problem as harmful rubbish. On the other hand, magazine waste papers have limitation as regenerated paper because their pulp fibers are cut off and deteriorated during use and regeneration. They are left unused without a prospect of re-use even if recovered. Under such a background, the present research and development is intended to develop magazine waste papers as a reusable cushioning material, commercialize the cushioning material as a low environment load type material, and promote reutilization of magazine waste papers. Specifically, development is performed on a manufacturing technology and a manufacturing equipment for a cushioning material having excellent biodegradation performance manufactured by mixing magazine waste papers with gelatin as a binder, and further by foaming and forming. The research and development items include: (1) development of a manufacturing technology for a foaming eco-material using magazine waste papers, (2) development of manufacturing equipment for the foaming eco-material, and (3) the market research thereon. This paper reports the achievements in the research and development of each item in fiscal 1998. (NEDO)

The Effect of Body Mass on the Shoe-Athlete Interaction.

Science.gov (United States)

Tsouknidas, A; Pantazopoulos, M; Sagris, D; Fasnakis, D; Maropoulos, S; Arabatzi, F; Michailidis, N

2017-01-01

Long-distance running is known to induce joint overloading and elevate cytokine levels, which are the hallmarks for a variety of running-related injuries. To address this, footwear systems incorporate cushioning midsoles to mitigate injurious mechanical loading. The aim of this study was to evaluate the effect of athlete body mass on the cushioning capacity of technical footwear. An artificial heel was prototyped to fit the impact pattern of a heel-strike runner and used to measure shock attenuation by an automated drop test. Impact mass and velocity were modulated to simulate runners of various body mass and speeds. The investigation provided refined insight on running-induced impact transmission to the human body. The examined midsole system was optimized around anthropometric data corresponding to an average (normal) body mass. The results suggest that although modern footwear is capable of attenuating the shock waves occurring during foot strike, improper shoe selection could expose an athlete to high levels of peak stress that could provoke an abnormal cartilage response. The selection of a weight-specific cushioning system could provide optimum protection and could thus prolong the duration of physical exercise beneficial to maintaining a simulated immune system.

The Effect of Body Mass on the Shoe-Athlete Interaction

Directory of Open Access Journals (Sweden)

A. Tsouknidas

2017-01-01

Full Text Available Long-distance running is known to induce joint overloading and elevate cytokine levels, which are the hallmarks for a variety of running-related injuries. To address this, footwear systems incorporate cushioning midsoles to mitigate injurious mechanical loading. The aim of this study was to evaluate the effect of athlete body mass on the cushioning capacity of technical footwear. An artificial heel was prototyped to fit the impact pattern of a heel-strike runner and used to measure shock attenuation by an automated drop test. Impact mass and velocity were modulated to simulate runners of various body mass and speeds. The investigation provided refined insight on running-induced impact transmission to the human body. The examined midsole system was optimized around anthropometric data corresponding to an average (normal body mass. The results suggest that although modern footwear is capable of attenuating the shock waves occurring during foot strike, improper shoe selection could expose an athlete to high levels of peak stress that could provoke an abnormal cartilage response. The selection of a weight-specific cushioning system could provide optimum protection and could thus prolong the duration of physical exercise beneficial to maintaining a simulated immune system.

Use of seismic pulses in surface sources of excitation

Energy Technology Data Exchange (ETDEWEB)

Szilagyi, L.

1982-01-01

A discussion is held of the experimental use of surface plus seismic sources. An examination is made of the technicalgeophysical criteria for using the pulse sources. Results are presented from measurements and tests obtained with the help of an air cushion and dinoseis. A comparison is made of the amplitude spectra of the seismic recordings obtained with the help of blasting, dinoseis and air cushion. Possibilities and limitations for using the surface sources in industrial exploration for oil and gas are discussed. Seismic profile is presented which intersects the Tisu River. It was obtained with the help of a dinoseis which notes a sharp change in the wave pattern.

A Feasibility Study on the Automatic Detection of Atrial Fibrillations using an Unobtrusive Bed-Mounted Sensor

NARCIS (Netherlands)

Brueser, C.; Zink, M.D.H.; Winter, S.; Schauerte, P.; Leonhardt, S.

2012-01-01

We present a feasibility study on the automatic detection of atrialfibrillations (AF) from a cardiac vibration signal (ballistocardiogram). Signals were recorded by means of an electromechanical foil attached to a bed’s mattress. A clinical study with 10 AF patients wasconducted to assess whether

Environmental and mucosal microbiota and their role in childhood asthma

NARCIS (Netherlands)

Birzele, L T; Depner, M.; Ege, M.J.; Engel, M; Kublik, S; Bernau, C; Loss, G J; Genuneit, J.; Horak, E.; Schloter, M; Braun-Fahrländer, C.; Danielewicz, H.; Heederik, D; von Mutius, E.; Legatzki, A

BACKGROUND: High microbial diversity in the environment has been associated with lower asthma risk, particularly in children exposed to farming. It remains unclear whether this effect operates through an altered microbiome of the mucosal surfaces of the airways. METHODS: DNA from mattress dust and

Comparative efficacy of house dust mite extermination products

NARCIS (Netherlands)

Schober, G.; Kniest, F.M.; Kort, H.S.M.; Saint Georges Gridelet, de D.M.O.G.; Bronswijk, van J.E.M.H.

1992-01-01

The acaricidal efficacy of nine marketed products, i.e. Acardust, Acarosan (foam and powder), Actelic 50, Artilin 3A (spirit and water base), liquid nitrogen, Paragerm AK, and Tymasil, and of intensive vacuum-cleaning have been compared on four different test surfaces: mattress, tufted carpet,

Unlike Kangaroo care, mechanically simulated Kangaroo care does not change heart rate variability in preterm neonates

NARCIS (Netherlands)

Kommers, Deedee; Joshi, Rohan; van Pul, Carola; Feijs, Loe; Oei, Guid; Oetomo, Sidarto Bambang; Andriessen, Peter

2018-01-01

Background: While numerous positive effects of Kangaroo care (KC) have been reported, the duration that parents can spend kangarooing is often limited. Aim: To investigate whether a mattress that aims to mimic breathing motion and the sounds of heartbeats (BabyBe GMBH, Stuttgart, Germany) can

Lutte chimique contre les acariens de la poussière de maison

NARCIS (Netherlands)

Saint Georges Gridelet, de D.M.O.G.; Kniest, F.M.; Schober, G.; Penaud, A.; Bronswijk, van J.E.M.H.

1988-01-01

Chemical control is one of the possibilities for home sanitation for house-dust allergic patients. The causative mites may be found in mattress, padded furniture, curtains, carpets or on walls. Eight different control formulations are available in Europe : Acardust (aerosol), Acarosan (foam and wet

Bedbug Bites

Science.gov (United States)

... walls, and floors. Vacuuming some talcum powder will reduce the chance that the bugs will crawl out of the vacuum cleaner. Dispose of the vacuum cleaner filter and bags in a tightly sealed plastic bag. Use mattress, box spring, and pillow encasements to trap ...

Web Application to Monitor Logistics Distribution of Disaster Relief Using the CodeIgniter Framework

Science.gov (United States)

Jamil, Mohamad; Ridwan Lessy, Mohamad

2018-03-01

Disaster management is the responsibility of the central government and local governments. The principles of disaster management, among others, are quick and precise, priorities, coordination and cohesion, efficient and effective manner. Help that is needed by most societies are logistical assistance, such as the assistance covers people’s everyday needs, such as food, instant noodles, fast food, blankets, mattresses etc. Logistical assistance is needed for disaster management, especially in times of disasters. The support of logistical assistance must be timely, to the right location, target, quality, quantity, and needs. The purpose of this study is to make a web application to monitorlogistics distribution of disaster relefusing CodeIgniter framework. Through this application, the mechanisms of aid delivery will be easily controlled from and heading to the disaster site.

Web Application To Monitor Logistics Distribution of Disaster Relief Using the CodeIgniter Framework

Directory of Open Access Journals (Sweden)

Mohamad Jamil

2017-10-01

Full Text Available Disaster management is the responsibility of the central government and local governments. The principles of disaster management, among others, are quick and precise, priorities, coordination and cohesion, efficient and effective manner. Help that is needed by most societies are logistical assistance, such as the assistance covers people's everyday needs, such as food, instant noodles, fast food, blankets, mattresses etc. Logistical assistance is needed for disaster management, especially in times of disasters. The support of logistical assistance must be timely, to the right location, target, quality, quantity, and needs. The purpose of this study is to make a web application to monitorlogistics distribution of disaster relefusing CodeIgniter framework. Through this application, the mechanisms of aid delivery will be easily controlled from and heading to the disaster site

Lab-scale preparations of Candida albicans and dual Candida albicans-Candida glabrata biofilms on the surface of medical-grade polyvinyl chloride (PVC) perfusion tube using a modified gravity-supported free-flow biofilm incubator (GS-FFBI).

Science.gov (United States)

Shao, Jing; Lu, KeQiao; Tian, Ge; Cui, YanYan; Yan, YuanYuan; Wang, TianMing; Zhang, XinLong; Wang, ChangZhong

2015-02-01

The assembly of a man-made gravity-supported free-flow biofilm incubator (GS-FFBI) was described, which was composed of a gas cushion injector and four incubators. The GS-FFBI had the characteristics of (i) a bottom-up flow direction, and (ii) lab-scale biofilm preparation without the use of a multichannel pump. Two opportunistic fungal strains, namely Candida albicans and Candida glabrata, were employed to incubate C. albicans and dual C. albicans-C. glabrata biofilms on the surface of medical-grade polyvinyl chloride perfusion tube. In terms of the results from {2, 3-bis (2-methoxy-4-nitro-5-sulfo-phenyl)-2H-tetrazolium-5-carboxanilide} (XTT) assay, dry weight measurement, colony-forming unit counting, susceptibility test, and scanning electron microscopy, it was demonstrated that GS-FFBI could form both stable single and dual Candida biofilms with no significant variations among the four incubators or the three daily incubations within 21h, and could operate for at least 96h smoothly with no contamination of stock medium. The results also indicated, for the first time, that C. albicans and C. glabrata might be co-existent competitively and symbiotically in the dual biofilms with flowing media. GS-FFBI would be a useful device to study in vitro morphological and physiological features of microbial biofilms in the medical settings. Copyright © 2014 Elsevier B.V. All rights reserved.

Phosphatases as an index of biotic contamination of dust

NARCIS (Netherlands)

Kniest, F.M.; Bronswijk, van J.E.M.H.; Schober, G.; Bouma, C.

1990-01-01

Enzymatic (phosphatase) activity (naphthol-release made visible with diazonium salt) of 10 mattress dust samples was correlated with number of counted arthropods, fungal spores and bacteria. This method can be helpful in the evaluation of large number of dust samples e.g. from riskful areas or from

Tropical Journal of Health Sciences - Vol 22, No 1 (2015)

African Journals Online (AJOL)

Diagnosis And Outcome Of Chronic Subdural Haematomas In Ilorin · EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. AS Yusuf, IO Oyinloye, NA Adeleke, JO Bello, MF Adeyemi, TO Odebode, 14-17. A modified Single-track Mattress Suture Technique For Skin Closure.

78 FR 46949 - Essentia Natural Memory Foam Company, Inc.; Analysis of Proposed Consent Order to Aid Public Comment

Science.gov (United States)

2013-08-02

... representations that a memory foam mattress lacks the common smell associated with memory foam to mean that the... FEDERAL TRADE COMMISSION [File No. 122 3130] Essentia Natural Memory Foam Company, Inc.; Analysis... containing a consent order from Essentia Natural Memory Foam Company, Inc., a corporation (``respondent...

The value of pressure ulcer risk assessment and interface pressure measurements in patients: A nursing perspective

NARCIS (Netherlands)

J.T.M. Weststrate

2005-01-01

textabstractPressure sores in an intensive care unit 35 and related variables: a descriptive study Prevalence of pressure ulcers, risk factors 47 and the use of pressure-relieving mattresses in ICU patients The clinical relevance of the Waterlow 61 Pressure Sore Risk Scale in the ICU The

78 FR 694 - Proposed Extension of Approval of Information Collection; Comment Request-Testing and...

Science.gov (United States)

2013-01-04

... ignition of mattresses, 16 CFR part 1632. The Open- Flame standard is intended to reduce unreasonable risks... may be introduced into commerce. The Office of Management and Budget (OMB) previously approved the... suppliers, and confirmation test records, if establishments choose to pool a prototype. This documentation...

An artificial water body provides habitat for an endangered estuarine seahorse species

Science.gov (United States)

Claassens, Louw

2016-10-01

Anthropogenic development, especially the transformation of natural habitats to artificial, is a growing concern within estuaries and coastal areas worldwide. Thesen Islands marina, an artificial water body, added 25 ha of new estuarine habitat to the Knysna Estuary in South Africa, home to the Knysna seahorse. This study aimed to answer: (I) Can an artificial water body provide suitable habitat for an endangered seahorse species? And if so (II) what characteristics of this new habitat are important in terms of seahorse utilization? Four major habitat types were identified within the marina canals: (I) artificial reno mattress (wire baskets filled with rocks); (II) Codium tenue beds; (III) mixed vegetation on sediment; and (IV) barren canal floor. Seahorses were found throughout the marina system with significantly higher densities within the reno mattress habitat. The artificial water body, therefore, has provided suitable habitat for Hippocampus capensis, a noteworthy finding in the current environment of coastal development and the increasing shift from natural to artificial.

Evaluation of surgical skill of uvulopalato pharyngo plasty (UPPP)

International Nuclear Information System (INIS)

Takashima, Masayuki; Oda, Makoto; Itoi, Aya; Tomoda, Kouichi

2006-01-01

We evaluated the surgical skill of uvulopalato pharyngo plasty (UPPP) done in 35 cases in our hospital and discussed its efficacy. Our method of UPPP has three characteristics. First, a mattress suture was applied in the tonsillar bed. As a result there was no failure of the suture. Second, we made a raw surface at a little upper part of the root of the uvula and applied the mattress suture to it. This suture has efficacy of soft palate upword to the oral side. Third, no continuous suture has advantage to present scar formation. We also examined the dynamic MRI for obstructive site and images were divided some morphological obstructive pattern, and assess about efficacy of improvement rate of AHI. The efficacy was over 80% in tonsillar type. But there was 31% efficacy not only soft palate but also tongue rotation type. We concluded that the important factor to have good result of UPPP are surgical skill and adequate indication. (author)

The effect of bedding system selected by manual muscle testing on sleep-related cardiovascular functions.

Science.gov (United States)

Kuo, Terry B J; Li, Jia-Yi; Lai, Chun-Ting; Huang, Yu-Chun; Hsu, Ya-Chuan; Yang, Cheryl C H

2013-01-01

Different types of mattresses affect sleep quality and waking muscle power. Whether manual muscle testing (MMT) predicts the cardiovascular effects of the bedding system was explored using ten healthy young men. For each participant, two bedding systems, one inducing the strongest limb muscle force (strong bedding system) and the other inducing the weakest limb force (weak bedding system), were identified using MMT. Each bedding system, in total five mattresses and eight pillows of different firmness, was used for two continuous weeks at the participant's home in a random and double-blind sequence. A sleep log, a questionnaire, and a polysomnography were used to differentiate the two bedding systems. Heart rate variability and arterial pressure variability analyses showed that the strong bedding system resulted in decreased cardiovascular sympathetic modulation, increased cardiac vagal activity, and increased baroreceptor reflex sensitivity during sleep as compared to the weak bedding system. Different bedding systems have distinct cardiovascular effects during sleep that can be predicted by MMT.

75 FR 22303 - Safety Standard for Bassinets and Cradles: Notice of Proposed Rulemaking

Science.gov (United States)

2010-04-28

... and conform to the body contours of the infant, whereas bassinets and cradles have flat mattresses... involved a host of miscellaneous problems, including a tear in the bassinet fabric, odors, and product... standing base and rock naturally. Most have sleep surfaces that curve, molding to an infant's body. However...

77 FR 64055 - Safety Standard for Bassinets and Cradles

Science.gov (United States)

2012-10-18

... after an infant's body, but not head, slipped through the fabric covering and underlying structural... odors, to product assembly/quality issues. Twenty-seven (about 8 percent) of the incidents reported... mattresses that are also inclined in a manner that elevates the head, as well as conforming to the body...

77 FR 30501 - Uncovered Innerspring Units From the People's Republic of China: Initiation of Anticircumvention...

Science.gov (United States)

2012-05-23

... Steel & Wire Spring Co., Ltd., and 164.75 percent on seven companies that qualified for separate rates... Malaysia'' and that ``{t{time} hese Chinese raw materials are further processed in Malaysia and combined with other materials into finished innerspring units and mattresses, for sale within Malaysia and for...

Assessment of different bedding systems for lactating cows in freestall housing

Science.gov (United States)

The objective of this study was to compare different bedding systems for lactating cows in freestall housing. Bedding systems included new sand (NS), recycled byproducts of manure separation (organic solids [OS] and recycled sand [RS]), and foam-core mattresses with a shallow layer of OS (MS). The e...

Skin closure after groin hernia repair in children: a comparative ...

African Journals Online (AJOL)

Patients and Methods: Three suture materials (chromic catgut 3/0, silk 3/0 and nylon 3/0) and two skin closure techniques (transcutaneous interrupted mattress and subcuticular continuous running sutures) were compared in a randomized partially blinded fashion using a groin skin crease incision. The resulting scars were ...

Bacterial Exposures and Associations with Atopy and Asthma in Children.

Directory of Open Access Journals (Sweden)

Maria Valkonen

Full Text Available The increase in prevalence of asthma and atopic diseases in Western countries has been linked to aspects of microbial exposure patterns of people. It remains unclear which microbial aspects contribute to the protective farm effect.The objective of this study was to identify bacterial groups associated with prevalence of asthma and atopy, and to quantify indoor exposure to some of these bacterial groups.A DNA fingerprinting technique, denaturing gradient gel electrophoresis (DGGE, was applied to mattress dust samples of farm children and control children in the context of the GABRIEL Advanced study. Associations between signals in DGGE and atopy, asthma and other allergic health outcomes were analyzed. Quantitative DNA based assays (qPCR for four bacterial groups were applied on the dust samples to seek quantitative confirmation of associations indicated in DNA fingerprinting.Several statistically significant associations between individual bacterial signals and also bacterial diversity in DGGE and health outcomes in children were observed. The majority of these associations showed inverse relationships with atopy, less so with asthma. Also, in a subsequent confirmation study using a quantitative method (qPCR, higher mattress levels of specifically targeted bacterial groups - Mycobacterium spp., Bifidobacteriaceae spp. and two different clusters of Clostridium spp. - were associated with a lower prevalence of atopy.DNA fingerprinting proved useful in identifying bacterial signals that were associated with atopy in particular. These findings were quantitatively confirmed for selected bacterial groups with a second method. High correlations between the different bacterial exposures impede a clear attribution of protective effects to one specific bacterial group. More diverse bacterial flora in mattress dust may link to microbial exposure patterns that protect against development of atopic diseases.

Biomechanical comparison of four double-row speed-bridging rotator cuff repair techniques with or without medial or lateral row enhancement.

Science.gov (United States)

Pauly, Stephan; Fiebig, David; Kieser, Bettina; Albrecht, Bjoern; Schill, Alexander; Scheibel, Markus

2011-12-01

Biomechanical comparison of four different Speed-Bridge configurations with or without medial or lateral row reinforcement. Reinforcement of the knotless Speed-Bridge double-row repair technique with additional medial mattress- or lateral single-stitches was hypothesized to improve biomechanical repair stability at time zero. Controlled laboratory study: In 36 porcine fresh-frozen shoulders, the infraspinatus tendons were dissected and shoulders were randomized to four groups: (1) Speed-Bridge technique with single tendon perforation per anchor (STP); (2) Speed-Bridge technique with double tendon perforation per anchor (DTP); (3) Speed-Bridge technique with medial mattress-stitch reinforcement (MMS); (4) Speed-Bridge technique with lateral single-stitch reinforcement (LSS). All repairs were cyclically loaded from 10-60 N up to 10-200 N (20 N stepwise increase) using a material testing device. Forces at 3 and 5 mm gap formation, mode of failure and maximum load to failure were recorded. The MMS-technique with double tendon perforation showed significantly higher ultimate tensile strength (338.9 ± 90.0 N) than DTP (228.3 ± 99.9 N), LSS (188.9 ± 62.5 N) and STP-technique (122.2 ± 33.8 N). Furthermore, the MMS-technique provided increased maximal force resistance until 3 and 5 mm gap formation (3 mm: 77.8 ± 18.6 N; 5 mm: 113.3 ± 36.1 N) compared with LSS, DTP and STP (P row defect by tendon sawing first, then laterally. No anchor pullout occurred. Double tendon perforation per anchor and additional medial mattress stitches significantly enhance biomechanical construct stability at time zero in this ex vivo model when compared with the all-knotless Speed-Bridge rotator cuff repair.

Infant's bed climate and bedding in the Japanese home.

Science.gov (United States)

Nakamura Ikeda, Rie; Fukai, Kiyoko; Okamoto Mizuno, Kazue

2012-06-01

to assess the bed climate of infants in their homes in Japan. descriptive, exploratory, non-experimental research design. the data were collected at the participants' homes under normal circumstances. nineteen healthy infants between the ages of two and five months. Their mothers, who joined a parenting class organised by a maternity clinic in Okayama, Japan, consented to participate in this study. we visited the infants' homes and interviewed their mothers concerning the types and use of bedding. The temperature and relative humidity of the bed climate at the back and foot of the bedding, and in the room were measured every minute for four consecutive days. Differences among the bed climates measured during three seasons (spring, summer, and autumn) were assessed by one-way analysis of variance. The bed temperature was higher for infants than for adults. No significant difference in temperature was noted among the three seasons. The bed temperature was about 36.0°C when waterproof sheets and futon mattresses for children or adult were used. The average relative humidity of the bed climate at the back was highest in summer, followed by that in spring and autumn; the differences were significant. The use of waterproof sheets and futon mattresses for children in summer increased the relative humidity to 80% or more. The use of infant beds, sunoko drainboards, and cotton futon mattresses in summer was effective in reducing the bed humidity. these results suggest that nurse-midwives should advise the parents on comfortable bed climates for their infants, as well as how to select and use bedding for them. Copyright © 2010 Elsevier Ltd. All rights reserved.

Restoring Bladder Function by Spinal Cord Neuromodulation in SCI

Science.gov (United States)

2015-10-01

recumbent and legs positioned to extend beyond the edge of a cushioned bench. The legs will be supported at the knees and  ankles  with swings that...electromyographic (EMG) signals from the muscles and goniometers attached at the hip knee and  ankle  to record joint angles. Duration: 45­75 minutes...2009). Because there are no universal markers of Ia interneurons, all Ia interneurons cannot be accounted for, leaving the physiologic properties

Modeling the mechanical and aging properties of silicone rubber and foam - stockpile-historical & additively manufactured materials

Energy Technology Data Exchange (ETDEWEB)

Maiti, A; Weisgraber, T H; Gee, R H

2014-09-30

M97* and M9763 belong to the M97xx series of cellular silicone materials that have been deployed as stress cushions in some of the LLNL systems. Their purpose of these support foams is to distribute the stress between adjacent components, maintain relative positioning of various components, and mitigate the effects of component size variation due to manufacturing and temperature changes. In service these materials are subjected to a continuous compressive strain over long periods of time. In order to ensure their effectiveness, it is important to understand how their mechanical properties change over time. The properties we are primarily concerned about are: compression set, load retention, and stress-strain response (modulus).

Technology & Mechanics Overview of Air-Inflated Fabric Structures

National Research Council Canada - National Science Library

Cavallaro, Paul V

2006-01-01

.... Examples include air ships, weather balloons, inflatable radomes, shelters, pneumatic muscles, inflatable boats, bridging, and energy absorbers such as automotive air bags and landing cushions for space vehicles...

Search Results | Page 22 | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

Results 211 - 220 of 875 ... Mining and Seasonal Variation of the Metals Concentration in the ... Gold mining in the Puyango River Basin produces water contamination and emissions from ... rivers, which have the highest concentrations of heavy metals. ... soil, surface water, mattress and house dust samples, and in all the ...

Advanced air distribution method combined with deodorant material for exposure reduction to bioeffluents contaminants in hospitals

DEFF Research Database (Denmark)

Bivolarova, Mariya Petrova; Mizutani, Chiyomi; Melikov, Arsen Krikor

2015-01-01

-bed hospital patient room at reduced background ventilation rare of 1.6 air changes per hour. The bed of the patient was equipped with the ventilated mattress (VM) having an exhaust opening from which bioeffluents generated from human body were sucked and discharged from the room. To enhance the pollutant...

16 CFR 1633.4 - Prototype testing requirements.

Science.gov (United States)

2010-01-01

... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Prototype testing requirements. 1633.4... STANDARD FOR THE FLAMMABILITY (OPEN FLAME) OF MATTRESS SETS The Standard § 1633.4 Prototype testing... three specimens of each prototype to be tested according to § 1633.7 and obtain passing test results...

Army Net Zero Prove Out. Army Net Zero Training Report

Science.gov (United States)

2014-11-20

economics  Strategies must evolve as technology, markets, incentives, and economics change (e.g. PV prices dropping~50% over the last few years... Food and Beverage -------------------------------> Mattresses/beds/furniture----------------------> Building Supplies/repair parts...352 16. PRICE CODE 17. SECURITY CLASSIFICATION OF REPORT Unclassified 18. SECURITY CLASSIFICATION OF THIS PAGE Unclassified 19

Potential of Kapok Fibre as a Substitute of Cotton in Textiles ...

African Journals Online (AJOL)

Kapok fibre, commonly known in Kiswahili as 'sufi\\' is obtained from kapok plant, Ceiba pentandra. The conventional end uses of kapok include mattress/pillow stuffing, upholstery and thermal insulation. The market for kapok in these traditional uses has declined considerably over the past 30 years, due to the developments ...

Preventing pressure ulcers in long-term care: a cost-effectiveness analysis.

Science.gov (United States)

Pham, Ba'; Stern, Anita; Chen, Wendong; Sander, Beate; John-Baptiste, Ava; Thein, Hla-Hla; Gomes, Tara; Wodchis, Walter P; Bayoumi, Ahmed; Machado, Márcio; Carcone, Steven; Krahn, Murray

2011-11-14

Pressure ulcers are common in many care settings, with adverse health outcomes and high treatment costs. We evaluated the cost-effectiveness of evidence-based strategies to improve current prevention practice in long-term care facilities. We used a validated Markov model to compare current prevention practice with the following 4 quality improvement strategies: (1) pressure redistribution mattresses for all residents, (2) oral nutritional supplements for high-risk residents with recent weight loss, (3) skin emollients for high-risk residents with dry skin, and (4) foam cleansing for high-risk residents requiring incontinence care. Primary outcomes included lifetime risk of stage 2 to 4 pressure ulcers, quality-adjusted life-years (QALYs), and lifetime costs, calculated according to a single health care payer's perspective and expressed in 2009 Canadian dollars (Can$1 = US$0.84). Strategies cost on average $11.66 per resident per week. They reduced lifetime risk; the associated number needed to treat was 45 (strategy 1), 63 (strategy 4), 158 (strategy 3), and 333 (strategy 2). Strategy 1 and 4 minimally improved QALYs and reduced the mean lifetime cost by $115 and $179 per resident, respectively. The cost per QALY gained was approximately $78 000 for strategy 3 and $7.8 million for strategy 2. If decision makers are willing to pay up to $50 000 for 1 QALY gained, the probability that improving prevention is cost-effective is 94% (strategy 4), 82% (strategy 1), 43% (strategy 3), and 1% (strategy 2). The clinical and economic evidence supports pressure redistribution mattresses for all long-term care residents. Improving prevention with perineal foam cleansers and dry skin emollients appears to be cost-effective, but firm conclusions are limited by the available clinical evidence.

House dust mite allergen reduction and allergy at 4 yr : Follow up of the PIAMA-study

NARCIS (Netherlands)

Corver, K; Kerkhof, M; Brussee, JE; Brunekreef, B; van Strien, RT; Vos, AP; Smit, HA; Gerritsen, J; Neijens, HJ; de Jongste, JC

Exposure to high allergen levels in early life is a risk factor for the development of allergy. We previously reported limited effects of mite allergen impermeable mattress covers in the prevention and incidence of asthma and mite allergy (PIAMA) cohort at the age of 1 and 2 yr. We now present the

Supporting Families to Support Students

Science.gov (United States)

Kelly, John; Rossen, Eric; Cowan, Katherine C.

2018-01-01

Collaboration between students' families and the school is an essential component to promoting student mental and behavioral health. Many schools structure their mental health services using a Multi-Tiered System of Supports that offers three different tiers of support from universal supports to personalized help for students with serious…

Multipurpose stabilization of the advanced marine surface crafts

Directory of Open Access Journals (Sweden)

Sevostyanov Ruslan A.

2016-01-01

Full Text Available Advanced marine surface crafts, such as SWATHs, catamarans or hovercrafts become more and more popular for a great range of various tasks. They usually operate at much higher speed than conventional ships. Moreover, in the open sea there are a lot of requirements and restrictions concerning the quality of such crafts’ dynamics, especially in case of the wind or waves. This paper considers application of the control law with a special multipurpose structure for autopilot design for amphibious air cushion vehicles. Such control law allows to decompose the autopilot task into simpler optimization subtasks. Efficiency of this approach is shown in the task of stabilizing yaw angle of the air cushion vehicle in the different weather conditions.

Biomechanical comparison of double-row versus transtendon single-row suture anchor technique for repair of the grade III partial articular-sided rotator cuff tears.

Science.gov (United States)

Zhang, Chun-Gang; Zhao, De-Wei; Wang, Wei-Ming; Ren, Ming-Fa; Li, Rui-Xin; Yang, Sheng; Liu, Yu-Peng

2010-11-01

For partial-thickness tears of the rotator cuff, double-row fixation and transtendon single-row fixation restore insertion site anatomy, with excellent results. We compared the biomechanical properties of double-row and transtendon single-row suture anchor techniques for repair of grade III partial articular-sided rotator cuff tears. In 10 matched pairs of fresh-frozen sheep shoulders, the infraspinatus tendon from 1 shoulder was repaired with a double-row suture anchor technique. This comprised placement of 2 medial anchors with horizontal mattress sutures at an angle of ≤ 45° into the medial margin of the infraspinatus footprint, just lateral to the articular surface, and 2 lateral anchors with horizontal mattress sutures. Standardized, 50% partial, articular-sided infraspinatus lesions were created in the contralateral shoulder. The infraspinatus tendon from the contralateral shoulder was repaired using two anchors with transtendon single-row mattress sutures. Each specimen underwent cyclic loading from 10 to 100 N for 50 cycles, followed by tensile testing to failure. Gap formation and strain over the footprint area were measured using a motion capture system; stiffness and failure load were determined from testing data. Gap formation for the transtendon single-row repair was significantly smaller (P row repair for the first cycle ((1.74 ± 0.38) mm vs. (2.86 ± 0.46) mm, respectively) and the last cycle ((3.77 ± 0.45) mm vs. (5.89 ± 0.61) mm, respectively). The strain over the footprint area for the transtendon single-row repair was significantly smaller (P row repair. Also, it had a higher mean ultimate tensile load and stiffness. For grade III partial articular-sided rotator cuff tears, transtendon single-row fixation exhibited superior biomechanical properties when compared with double-row fixation.

The biomechanical effects of polytetrafluoroethylene suture augmentations in lateral-row rotator cuff repairs in an ovine model.

Science.gov (United States)

Beimers, Lijkele; Lam, Patrick H; Murrell, George A C

2014-10-01

This study investigated the biomechanical effects of expanded polytetrafluoroethylene (ePTFE) suture augmentation patches in rotator cuff repair constructs. The infraspinatus tendon in 24 cadaveric ovine shoulders was repaired using an inverted horizontal mattress suture with 2 knotless bone anchors (ArthroCare, Austin, TX, USA) in a lateral-row configuration. Four different repair groups (6 per group) were created: (1) standard repair using inverted horizontal mattress sutures, (2) repair with ePTFE suture augmentations on the bursal side of the tendon, (3) repair with ePTFE suture augmentations on the articular side, and, (4) repair with ePTFE suture augmentations on both sides of the tendon. Footprint contact pressure, stiffness, and the load to failure of the repair constructs were measured. Repairs with ePTFE suture augmentations on the bursal side exerted significantly more footprint contact pressure (0.40 ± 0.01 MPa) than those on the articular side (0.34 ± 0.02 MPa, P = .04) and those on both sides (0.33 ± 0.02 MPa, P = .01). At 15 degrees of abduction, ePTFE-augmented repairs on the bursal side had higher footprint contact pressure (0.26 ± 0.03 MPa) compared with standard repairs (0.15 ± 0.02 MPa, P = .01) and with ePTFE-augmented repairs on the articular side (0.18 ± 0.02 MPa, P = .03). The ePTFE-augmented repairs on the bursal side demonstrated significantly higher failure loads (178 ± 18 N) than standard repairs (120 ± 17 N, P = .04). Inverted horizontal mattress sutures augmented with ePTFE patches on the bursal side of the tendon enhanced footprint contact pressures and the ultimate load to failure of lateral-row rotator cuff repairs in an ovine model. Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

Sengeheste og småbørn kan være en farlig cocktail

DEFF Research Database (Denmark)

Lundemose, Sissel Banner; Scherer, Susanne; Hougen, Hans Petter

2016-01-01

We present a case with a two-year-old girl, who accidentally got caught between a mattress and a metal rod used as rail of an upper bunk and almost got suffocated. To rule out child abuse and to clarify the sequence of events, the incident was reported to the police. The police investigation...

Making 'what works' work

DEFF Research Database (Denmark)

Plum, Maja

2017-01-01

and a mattress. As such, the paper shows how DR, as an evidence-based method, is established through concrete relations, rather than abstracted and universal principals. It argues that these relations stabilising DR are never enacted once and for all, but require continual work to be held together as a method...... that ‘works’....

[Prevention of pressure ulcers].

Science.gov (United States)

Negishi, Kenichi

2009-12-01

Even though they have not been diagnosed with a recognized disease, many people have or are at risk of contracting debilitating conditions. They can be referred to as being in the "ill-health zone." For example, many bedridden elderly develop pressure ulcers. The prevention and treatment of pressure ulcers should focus on two main factors: the role of pressure in the development of circulatory disorders; and increased dermal pH. In preventing the development of circulatory disorders resulting in pressure ulcers, using an air or polyurethane mattress is helpful. However, changing the mattress has little effect if the position of the bedridden person is not also changed regularly. To avoid an increase in dermal pH, caregivers should apply moisture-repellent cream and/or oil to the sacral region after careful cleansing. It is important that such preventive measures and treatment be performed daily, and caregivers should be educated on this need and subsequently monitored. Pharmacists have a role in caring for those in the ill-health zone.

Transportable aerosol sampling station with fixed volume (15 l) DMPA-15

International Nuclear Information System (INIS)

Giolu, G.; Guta, V.

1999-01-01

The mobile installation is used for air-sampling operations with fixed intake volumes, to be analysed by laboratories of routine environmental air monitoring. The station consists of several units, installed on a two-wheel mobile carriage-type platform: - a double - diaphragm pump (ensuring oil separation) that provides air intake and its evacuation to the air-analysers. The sampling and control unit has the following functions: - intake ensured by the pump that aspirates fixed volumes of air from the ambient atmosphere and feeding with it an inflatable rubber chamber. Air intake is automatically stopped as the cushion is filled up completely. A separation clamp is provided to seal up the cushion; - exhaust - allows the residual air to be evacuated from the cushion, ensuring its 'self-cleaning'; - shut down, manually operated; - analyse, the aerosol containing sample is aspirated from the inflatable rubber chamber and evacuated through a flow regulator to the analyser; - stop, canceling any previous commands. A relay unit controls the pneumatic lines and a pressure relay provides automatic stop of air intake process. The following technical features are given: - The fixed air volume in the chamber, 15 l - the air flow at the exit from the flow-meter, 0 - 15 l/min; - power requirements, 220 V/ 50 Hz; - power consumption, max. 1,5 kW; - overall dimensions, 460 x 500 x 820 mm; - weight, 53 kg. (authors)

Adolescent runners: the effect of training shoes on running kinematics.

Science.gov (United States)

Mullen, Scott; Toby, E Bruce

2013-06-01

The modern running shoe typically features a large cushioned heel intended to dissipate the energy at heel strike to the knees and hips. The purpose of this study was to evaluate the effect that shoes have upon the running biomechanics among competitive adolescent runners. We wish to answer the question of whether running style is altered in these athletes because of footwear. Twelve competitive adolescent athletes were recruited from local track teams. Each ran on a treadmill in large heel trainers, track flats, and barefoot. Four different speeds were used to test each athlete. The biomechanics were assessed with a motion capture system. Stride length, heel height during posterior swing phase, and foot/ground contact were recorded. Shoe type markedly altered the running biomechanics. The foot/ground contact point showed differences in terms of footwear (Ptrainers, the athletes landed on their heels 69.79% of the time at all speeds (Ptrainers promote a heel strike pattern, whereas track flats and barefoot promote a forefoot or midfoot strike pattern. Training in heavily cushioned trainers by the competitive runner has not been clearly shown to be detrimental to performance, but it does change the gait pattern. It is not known whether the altered biomechanics of the heavily heeled cushioned trainer may be detrimental to the adolescent runner who is still developing a running style.

Preventing pressure sores of the nasal ala after nasotracheal tube intubation: from animal model to clinical application.

Science.gov (United States)

Huang, Tze-Ta; Tseng, Chih-En; Lee, Tsan-Mu; Yeh, Jen-Ying; Lai, Yu-Yung

2009-03-01

Nasal-ala pressure sores induced by nasotracheal intubation are common complications of oral and maxillofacial surgery, but are easily ignored. To determine whether such sores could be prevented, we studied the effects of a combination of cushioning material in an animal model, and then analyzed the efficacy of this combination clinically. Four pigs received nasotracheal intubation. Each pig received intubation for 4, 8, 12, or 16 hours. Outcomes from pigs undergoing 500-gram-weight compression on each nostril were compared: one nostril received an application of cushioning materials, and the contralateral nostril did not. After the required study period, clinical assessment and further evaluation were performed by measuring pressure-sore dimensions and performing incisional biopsies. Clinical applications of this protective technique were then undertaken. Eight patients who underwent intubation without Soft Liner (GC Co, Tokyo, Japan) and DuoDERM CGF (ConvaTec, Inc, Princeton, NJ) protection, and 10 patients with Soft Liner and DuoDERM protection, were evaluated. The protective efficacy of the cushioning materials was significant in the animal model as well as in clinical practice. Pressure sores were avoided on the protected side, with severe tissue necrosis documented on the control side. We found that the combined use of Soft Liner and DuoDERM reduced the size and severity of nasal-ala pressure sores attributable to nasotracheal intubation during oral and maxillofacial surgery.

Preparation of chitosan-collagen-alginate composite dressing and its promoting effects on wound healing.

Science.gov (United States)

Xie, Haixia; Chen, Xiuli; Shen, Xianrong; He, Ying; Chen, Wei; Luo, Qun; Ge, Weihong; Yuan, Weihong; Tang, Xue; Hou, Dengyong; Jiang, Dingwen; Wang, Qingrong; Liu, Yuming; Liu, Qiong; Li, Kexian

2018-02-01

The present study aimed to prepare a composite dressing composed of collagen, chitosan, and alginate, which may promote wound healing and prevent from seawater immersion. Chitosan-collagen-alginate (CCA) cushion was prepared by paintcoat and freeze-drying, and it was attached to a polyurethane to compose CCA composite dressing. The swelling, porosity, degradation, and mechanical properties of CCA cushion were evaluated. The effects on wound healing and seawater prevention of CCA composite dressing were tested by rat wound model. Preliminary biosecurity was tested by cytotoxicity and hemocompatibility. The results revealed that CCA cushion had good water absorption and mechanical properties. A higher wound healing ratio was observed in CCA composite dressing treated rats than in gauze or chitosan treated ones. On the fifth day, the healing rates of CCA composite dressing, gauze, and chitosan were 48.49%±1.07%, 28.02%±6.4%, and 38.97%±8.53%, respectively. More fibroblast and intact re-epithelialization were observed in histological images of CCA composite dressing treated rats, and the expressions of EGF, bFGF, TGF-β, and CD31 increased significantly. CCA composite dressing showed no significant cytotoxicity, and favorable hemocompatibility. These results suggested that CCA composite dressing could prevent against seawater immersion and promote wound healing while having a good biosecurity. Copyright © 2017. Published by Elsevier B.V.

Influence of different safety shoes on gait and plantar pressure: a standardized examination of workers in the automotive industry.

Science.gov (United States)

Ochsmann, Elke; Noll, Ulrike; Ellegast, Rolf; Hermanns, Ingo; Kraus, Thomas

2016-09-30

Working conditions, such as walking and standing on hard surfaces, can increase the development of musculoskeletal complaints. At the interface between flooring and musculoskeletal system, safety shoes may play an important role in the well-being of employees. The aim of this study was to evaluate the effects of different safety shoes on gait and plantar pressure distributions on industrial flooring. Twenty automotive workers were individually fitted out with three different pairs of safety shoes ( "normal" shoes, cushioned shoes, and midfoot bearing shoes). They walked at a given speed of 1.5 m/s. The CUELA measuring system and shoe insoles were used for gait analysis and plantar pressure measurements, respectively. Statistical analysis was conducted by ANOVA analysis for repeated measures. Walking with cushioned safety shoes or a midfoot bearing safety shoe led to a significant decrease of the average trunk inclination (pshoes as well as midfoot bearing shoes (pshoes. As expected, plantar pressure distributions varied significantly between cushioned or midfoot bearing shoes and shoes without ergonomic components. The overall function of safety shoes is the avoidance of injury in case of an industrial accident, but in addition, safety shoes could be a long-term preventive instrument for maintaining health of the employees' musculoskeletal system, as they are able to affect gait parameters. Further research needs to focus on safety shoes in working situations.

A support shield for a powered support

Energy Technology Data Exchange (ETDEWEB)

Korczynski, P; Rojicek, P

1982-08-31

The subject of this invention is a support shield for a powered support. This shield resists creep of the coal from the longwall face, including an inclined longwall. It involves an arrangement wherein the distributor hinge is separated into upper and lower sections. The lower section holds a second hinge and the end of the rod of the pressure cylinder, one end of which is connected to the roof support. An advantage of the support is that compared to existing supports, it is self-advancing and holds stopes with coal which slopes in its formation or has inrushes. To a certain degree it prevents the stope space from ejecting fine pieces of rock from the longwall roof using an inter-timber support between the powered support and the stope. The support shield is moved by a simple system of levers which makes it possible, using a pressurized cylinder, to transmit a significant force to the coal stope. In this case, when the coal inrushes exceed the designed capabilities of the shield, a wooden extension piece is placed between the support and the face, through which the support pressure is applied.

[Compensatory joints at the pelvis (author's transl)].

Science.gov (United States)

Schumacher, G; Weber, M

1980-10-01

An osteochondrosis ischio-pubica represents a "testing site" for the integrity of the pelvis not only during child age but in adults as well. If all naturally available compensatory mechanisms have been exhausted especially following a change of range of motion in the pelvis ring structure, fatigue fractures or zones in transformation in the area typical of osteochondrosis ischio-pubica may appear. These fractures or transformation zones respectively to our mind have joint character, because they are capable of temporarily replacing lost mobility of physiological joints. Healing is achieved through rest, muscular balance and a specific physiotherapy. The purpose of this muscular training is to cushion all unphysiological motions in the pelvis and to support and boost the function of those joints still well preserved.

An effective dose assessment technique with NORM added consumer products using skin-point source on computational human phantom

International Nuclear Information System (INIS)

Yoo, Do Hyeon; Shin, Wook-Geun; Lee, Hyun Cheol; Choi, Hyun Joon; Testa, Mauro; Lee, Jae Kook; Yeom, Yeon Soo; Kim, Chan Hyeong; Min, Chul Hee

2016-01-01

The aim of this study is to develop the assessment technique of the effective dose by calculating the organ equivalent dose with a Monte Carlo (MC) simulation and a computational human phantom for the naturally occurring radioactive material (NORM) added consumer products. In this study, we suggests the method determining the MC source term based on the skin-point source enabling the convenient and conservative modeling of the various type of the products. To validate the skin-point source method, the organ equivalent doses were compared with that by the product modeling source of the realistic shape for the pillow, waist supporter, sleeping mattress etc. Our results show that according to the source location, the organ equivalent doses were observed as the similar tendency for both source determining methods, however, it was observed that the annual effective dose with the skin-point source was conservative than that with the modeling source with the maximum 3.3 times higher dose. With the assumption of the gamma energy of 1 MeV and product activity of 1 Bq g"−"1, the annual effective doses of the pillow, waist supporter and sleeping mattress with skin-point source was 3.09E-16 Sv Bq"−"1 year"−"1, 1.45E-15 Sv Bq"−"1 year"−"1, and 2,82E-16 Sv Bq"−"1 year"−"1, respectively, while the product modeling source showed 9.22E-17 Sv Bq"−"1 year"−"1, 9.29E-16 Sv Bq"−"1 year"−"1, and 8.83E-17 Sv Bq"−"1 year"−"1, respectively. In conclusion, it was demonstrated in this study that the skin-point source method could be employed to efficiently evaluate the annual effective dose due to the usage of the NORM added consumer products. - Highlights: • We evaluate the exposure dose from the usage of NORM added consumer products. • We suggest the method determining the MC source term based on the skin-point source. • To validate the skin-point source, the organ equivalent doses were compared with that the modeling source. • The skin-point source could

Hemorrhoid surgery - slideshow

Science.gov (United States)

... this page: //medlineplus.gov/ency/presentations/100026.htm Hemorrhoid surgery - series—Normal anatomy To use the sharing ... empties stool from the body through the anus. Hemorrhoids are "cushions" of tissue filled with blood vessels ...

Hydrocephalus

Science.gov (United States)

Hydrocephalus is the buildup of too much cerebrospinal fluid in the brain. Normally, this fluid cushions your ... though, it puts harmful pressure on your brain. Hydrocephalus can be congenital, or present at birth. Causes ...

Knee braces - unloading

Science.gov (United States)

... most people talk about the arthritis in their knees, they are referring to a type of arthritis ... is caused by wear and tear inside your knee joints. Cartilage, the firm, rubbery tissue that cushions ...

Concussion

Science.gov (United States)

... as the injury. Causes Your brain has the consistency of gelatin. It's cushioned from everyday jolts and ... risk of developing lasting, possibly progressive, impairment that limits function. This is an area of active research. ...

Spatial variation in below ground carbon cycling in a pristine peatland, driven by present and past vegetation

Science.gov (United States)

Mathijssen, Paul; Knorr, Klaus-Holger; Gałka, Mariusz; Borken, Werner

2017-04-01

Peat carbon cycling is controlled by both large scale factors, such as climate and hydrological setting, and small scale factors, such as microtopography, vegetation, litter quality, and rooting depth. These small scale factors commonly vary within peatlands, causing variation in the carbon balance at different locations within the same site. Understanding the relationship between small scale carbon cycling and vegetation helps us to assess the variation of carbon dynamics of peatlands, because vegetation composition acts as an integrator of factors such as microtopography, hydrology, and nutrient level. Variation in vegetation illustrates spatial variation of these underlying factors. Furthermore, the presence of certain plant species affects carbon cycling directly through litter quality or aeration through root tissues. In order to understand these within-site variations in terms of carbon cycling, we investigated carbon accumulation, decomposition, and biogeochemistry of pore waters along a transect of peat cores with changing vegetation and water levels in an ombrotrophic peatland in southern Patagonia. The transect ran from a Sphagnum magellanicum dominated spot with relatively high water table, to intermediately wet spots with mixed Sphagnum/shrubs vegetation, or dominated by Cyperaceae, eventually to a more elevated and drier spot dominated by cushion plants (mainly Astelia pumila). There were large differences in peat accumulation rates and peat densities, with faster peat growth and lower densities under Sphagnum, but overall carbon accumulation rates were quite similar in the various microenvironments. At most plots C/N ratios decreased with depth, concurrent with increasing humification index derived from FT-IR spectra. But under cushion plants this relation was opposite: more humification with depth, but also C/N ratios increases. This reflected the differing source material at depth under the cushion plants, and that the cushion plant peat layers were

Organizational approaches to prevent bedsores

Directory of Open Access Journals (Sweden)

A. V. Kapshytar

2013-04-01

Full Text Available Material and methods. The work is based on the prevention of bedsores in the surgical department of Zaporozhye PU «City Clinical Hospital № 2» and literature information. Results and discussion. Fundamental factor for the successful prevention of bedsores is to prevent compression of the skin and subcutaneous fat, which is achieved by changing the position of the patients in bed every 2 hours. Alternative ways are special plastic splint, bedsore mattresses with continuously changing pressure in individual sections, beds, cushions, pads and mattresses filled with water, air, foam, gel. When you are sick and always in bed doctors should not lift the head of the bed more than 45 degrees in order to reduce pressure on the sacrum. Also rubber rings are used which are placed under the sacrum, heel bumps and other bony prominences to avoid contact with the ground. In some cases, the position on the patient's abdomen is indicated. The changing over time pressure and vibration are provided by specific regulatory systems. The thesis of early activation of patients should be considered as one of the fundamental. Patient should be allowed to sit in the bed, stand up on his feet and walk around, firstly around the ward, as early as possible, consistent with the main and co-morbidities, the volume of surgery, age. The use of small laparotomic surgical approaches follows the principle of the earlier mobilization of the patient as well as possible, since it allows, for example, after cholecystectomy, to climb out of bed and walk around the ward after only 8-10 hours after surgery. Performing a small trocar access at endovideolaparascopic operation surgeons activate patients in the same terms. Doctors prescript daily massage of the possible locations of bedsores, as well as along the spine to improve the overall and local circulation of blood and regulation of the nervous tissue. Treatment of skin in places of possible formation of bedsores has its own

Air riding seal with purge cavity

Science.gov (United States)

Sexton, Thomas D; Mills, Jacob A

2017-08-15

An air riding seal for a turbine in a gas turbine engine, where an annular piston is axial moveable within an annular piston chamber formed in a stator of the turbine and forms a seal with a surface on the rotor using pressurized air that forms a cushion in a pocket of the annular piston. A purge cavity is formed on the annular piston and is connected to a purge hole that extends through the annular piston to a lower pressure region around the annular piston or through the rotor to an opposite side. The annular piston is sealed also with inner and outer seals that can be a labyrinth seal to form an additional seal than the cushion of air in the pocket to prevent the face of the air riding seal from overheating.

The use of computer blast simulations to improve blast quality

International Nuclear Information System (INIS)

Favreau, R.F.; Kuzzyk, G.W.; Babulic, P.J.; Morin, R.A.; Tienkamp, N.J.

1987-01-01

An underground research laboratory (URL) has been constructed as part of a comprehensive program to evaluate the concept of nuclear fuel waste disposal in deep crystalline rock formations. Careful blasting methods have been used to minimize damage to the excavation surfaces. This paper reviews the results of the program to develop controlled blasting for the full-face method, comparing the field observed results achieved with the simulated theoretical results. The simulated results indicate how the blasting may damage the excavation surface. Results suggest that the rock around the final wall is stressed more severely by the cushion holes than by the perimeter holes and that bootleg of the rock between the perimeter and cushion rows occurs when the burst-out velocity imparted to it by the explosive loads in the perimeter holes is inadequate

Smart wheelchair: integration of multiple sensors

Science.gov (United States)

Gassara, H. E.; Almuhamed, S.; Moukadem, A.; Schacher, L.; Dieterlen, A.; Adolphe, D.

2017-10-01

The aim of the present work is to develop a smart wheelchair by integrating multiple sensors for measuring user’s physiological signals and subsequently transmitting and monitoring the treated signals to the user, a designated person or institution. Among other sensors, force, accelerometer, and temperature sensors are successfully integrated within both the backrest and the seat cushions of the wheelchair; while a pulse sensor is integrated within the armrest. The pulse sensor is connected to an amplification circuit board that is, in turn, placed within the armrest. The force and temperature sensors are integrated into a textile cover of the cushions by means of embroidery and sewing techniques. The signal from accelerometer is transmitted through Wi-Fi connection. The electrical connections needed for power supplying of sensors are made by embroidered conductive threads.

Developments for medium-capacity urban public transport

Energy Technology Data Exchange (ETDEWEB)

Calverley, H B

1979-11-01

Light guideway transit (LGT), that is, automatically operated urban electric vehicles carrying 12 to 70 passengers via elevated guideways or underground tunnels, with stations 250 to 800 meters apart, and self-contained during off hours as regards propulsion and control, could help relieve future energy demands. Over 30 LGT systems are currently under development, and their various mechanical, electrical, and power-source (three-phase distribution, thyristor phase-angle control and dc rotating motors) aspects are presented. Developments in present-day trolleys, battery buses (lead-acid, alkaline), combustion-engined buses, and hybrid vehicles are reviewed, with particular emphasis on energy, such as its mechanical storage by flywheels during regenerative braking. Specific requirements of future LGT systems, including vehicle support systems (by magnetic levitation using dc magnets, air support by either cushion or suction, pneumatic tires, steel wheels, or above-ground suspension), headway and line capacity, junction switching, and automatic vehicle control are discussed.

Manufacturing parabolic mirrors

CERN Multimedia

CERN PhotoLab

1975-01-01

The photo shows the construction of a vertical centrifuge mounted on an air cushion, with a precision of 1/10000 during rotation, used for the manufacture of very high=precision parabolic mirrors. (See Annual Report 1974.)

49 CFR 571.213 - Standard No. 213; Child restraint systems.

Science.gov (United States)

2010-10-01

... vehicle seat cushion and vehicle seat back. (b) Harnesses manufactured for use on school bus seats must... humidity between 48 and 67 percent, and any ambient temperature between 70° and 77 °F. Measure belt webbing...

Paget's Disease of Bone and Osteoarthritis: Different Yet Related

Science.gov (United States)

... a condition that causes changes in cartilage, the elastic tissue that cushions the joints. Healthy cartilage allows bones to glide over one another, while absorbing energy from the shock of physical movement. In osteoarthritis, the surface layer ...

Download this PDF file

African Journals Online (AJOL)

seriane.camara

2005-03-20

Mar 20, 2005 ... materials to cushion the effects of the economic blockade: These are the .... The media, professional organizations such as ..... Ohanaeze began to fall apart in 2003 as the general elections approached. The bone of ...

Knife-edge seal for vacuum bagging

Science.gov (United States)

Rauschl, J. A.

1980-01-01

Cam actuated clamps pinch bagging material between long knife edge (mounted to clamps) and high temperature rubber cushion bonded to baseplate. No adhesive, tape, or sealing groove is needed to seal edge of bagging sheet against base plate.

Preventing Pressure Sores

Medline Plus

Full Text Available ... cushion? play_arrow What’s important to know about positioning in bed to prevent pressure sores? play_arrow ... Disabilities Photography by Rona Talcott Website by Mobile Marketing LLC Understanding Spinal Cord Injury About Us Expert ...

Cerebrospinal fluid leak (image)

Science.gov (United States)

... brain and spinal cord by acting like a liquid cushion. The fluid allows the organs to be buoyant protecting them from blows or other trauma. Inside the skull the cerebrospinal fluid is contained by the dura which covers ...

Prenatal family support, postnatal family support and postpartum depression.

Science.gov (United States)

Xie, Ri-Hua; Yang, Jianzhou; Liao, Shunping; Xie, Haiyan; Walker, Mark; Wen, Shi Wu

2010-08-01

Inadequate social support is an important determinant of postpartum depression (PPD). Social support for pregnant women consists of supports from various sources and can be measured at different gestation periods. Differentiating the effects of social support from different sources and measured at different gestation periods may have important implications in the prevention of PPD. In the family centred Chinese culture, family support is likely to be one of the most important components in social support. The aim of this study was to assess the association of prenatal family support and postnatal family support with PPD. A prospective cohort study was conducted between February and September 2007 in Hunan, China. Family support was measured with social support rating scale at 30-32 weeks of gestation (prenatal support) and again at 2 weeks of postpartum visit (postnatal support). PPD was defined as Edinburgh Postnatal Depression Scale (EPDS) score > or =13. A total of 534 pregnant women were included, and among them, 103 (19.3%) scored 13 or more on the EPDS. PPD was 19.4% in the lowest tertile versus 18.4% in the highest quartile (adjusted odds ratio: 1.04, 95% confidence interval 0.60, 1.80) for prenatal support from all family members, and PPD was 39.8% in the lowest tertile versus 9.6% in the highest tertile (adjusted odds ratio: 4.4, 95% confidence interval 2.3, 8.4) for postnatal support from all family members. Among family members, support from husband had the largest impact on the risk of developing PPD. Lack of postnatal family support, especially the support from husband, is an important risk factor of PPD.

Ecological implications of reduced pollen deposition in alpine plants: a case study using a dominant cushion plant species.

Science.gov (United States)

Reid, Anya; Hooper, Robyn; Molenda, Olivia; Lortie, Christopher J

2014-01-01

The reproductive assurance hypothesis states that self-incompatible female plants must produce twice the number of seeds relative to their self-compatible hermaphroditic counterparts to persist in gynodioecious populations. This is a viable life-history strategy, provided that pollination rates are sufficiently high. However, reduced pollination rates in alpine plants are likely due to climate induced plant-pollinator mismatches and general declines in pollinators. Using a gynodioecious population of the dominant plant Silene acaulis (Caryophyllaceae), we tested the reproductive assurance hypothesis and also the stress gradient hypothesis with a series of pollinator exclusion trials and extensive measurements of subsequent reproductive output (gender ratio, plant size, percent fruit-set, fruit weight, seeds per fruit, total seeds, seed weight, and seed germination). The reproductive assurance hypothesis was supported with female plants being more sensitive to and less likely to be viable under reductions in pollination rates. These findings are the first to show that the stress gradient hypothesis is also supported under a gradient of pollen supply instead of environmental limitations. Beneficiary abundance was negatively correlated to percent fruit-set under current pollen supply, but became positive under reduced pollen supply suggesting that there are important plant-plant-pollinator interactions related to reproduction in these alpine plant species.

This paper has tried to explore the prospects and challenges of ...

African Journals Online (AJOL)

Tracie1

movie publicity in Nollywood, the Nigerian Film and home video industry. sing an .... at the back of his mind that censorship classification does not affect patronage, he ..... screening centres. This can have a cushioning effect as they can be.

NIGERIAN PENTECOSTAL CHURCHES AND THEIR PROSPERITY ...

African Journals Online (AJOL)

UWUJA ALEX

prosperity messages are a safe guard against poverty in Nigeria. .... As the leader of the Pentecostal movement, Seymour (in 1906) received an invitation ... CAC led to the formation of prayer groups and Churches to cushion the effect of the.

Tailbone trauma

Science.gov (United States)

For tailbone trauma when no spinal cord injury is suspected: Relieve pressure on the tailbone by sitting on an inflatable rubber ring or cushions. Take acetaminophen for pain. Take a stool softener to avoid constipation. If you suspect injury ...

Validation of the Domain-Specific Risk-Taking Scale in Chinese college students

Directory of Open Access Journals (Sweden)

Xiaoxiao Hu

2012-03-01

Full Text Available Using college student samples, two studies were conducted to validate the Chinese version of the Domain-Specific Risk-Taking (DOSPERT Scale. The results replicated important findings reported by Weber et al. (2002 in the Chinese culture. Risk-taking and risk perception were domain-specific, whereas perceived-risk attitudes were relatively stable across domains, supporting the risk-return model of risk taking. Results of both exploratory factor analysis (EFA and confirmatory factor analysis (CFA showed that the ethical, recreational, health/safety, and gambling domains were preserved in the Chinese version of DOSPERT and that the items from social and investment domains formed one factor. This result may be explained by Weber and Hsee's (1998 cushion hypothesis. Other possible reasons for this cross-cultural difference in the factor structure were also discussed.

Regulation of proliferation of embryonic heart mesenchyme: Role of transforming growth factor-beta 1 and the interstitial matrix

International Nuclear Information System (INIS)

Choy, M.; Armstrong, M.T.; Armstrong, P.B.

1990-01-01

Proliferation of atrioventricular cushion mesenchyme of the embryonic avian heart maintained in three-dimensional aggregate culture is stimulated by interaction with the interstitial matrix. Chicken serum or transforming growth factor-beta 1, which stimulates proliferation, induces matrix deposition in regions of the aggregate showing high labeling indices with tritiated thymidine. Dispersed heart mesenchyme interstitial matrix introduced into serum-free culture is incorporated into the aggregate and stimulates cellular proliferation similar to serum or transforming growth factor-beta 1. Proliferation is reversibly inhibited by the peptide Gly-Arg-Gly-Asp-Ser-Pro. It is suggested that transforming growth factor-beta 1 stimulates the production of interstitial matrix and that a sufficient stimulus for proliferation in this system is the presence of the matrix, which acts as the adhesive support for cellular anchorage

Examining the Support Peer Supporters Provide Using Structural Equation Modeling: Nondirective and Directive Support in Diabetes Management.

Science.gov (United States)

Kowitt, Sarah D; Ayala, Guadalupe X; Cherrington, Andrea L; Horton, Lucy A; Safford, Monika M; Soto, Sandra; Tang, Tricia S; Fisher, Edwin B

2017-12-01

Little research has examined the characteristics of peer support. Pertinent to such examination may be characteristics such as the distinction between nondirective support (accepting recipients' feelings and cooperative with their plans) and directive (prescribing "correct" choices and feelings). In a peer support program for individuals with diabetes, this study examined (a) whether the distinction between nondirective and directive support was reflected in participants' ratings of support provided by peer supporters and (b) how nondirective and directive support were related to depressive symptoms, diabetes distress, and Hemoglobin A1c (HbA1c). Three hundred fourteen participants with type 2 diabetes provided data on depressive symptoms, diabetes distress, and HbA1c before and after a diabetes management intervention delivered by peer supporters. At post-intervention, participants reported how the support provided by peer supporters was nondirective or directive. Confirmatory factor analysis (CFA), correlation analyses, and structural equation modeling examined the relationships among reports of nondirective and directive support, depressive symptoms, diabetes distress, and measured HbA1c. CFA confirmed the factor structure distinguishing between nondirective and directive support in participants' reports of support delivered by peer supporters. Controlling for demographic factors, baseline clinical values, and site, structural equation models indicated that at post-intervention, participants' reports of nondirective support were significantly associated with lower, while reports of directive support were significantly associated with greater depressive symptoms, altogether (with control variables) accounting for 51% of the variance in depressive symptoms. Peer supporters' nondirective support was associated with lower, but directive support was associated with greater depressive symptoms.

Vest-over-Pant Method for Closure of Residual Cavity of Liver Hydatid Cyst

Directory of Open Access Journals (Sweden)

Saba Behdad

2012-01-01

Full Text Available Objective. Although several therapeutic strategies have proven to be effective for hydatid cyst of liver, but surgery is still the most common therapy despite its morbidity and mortality. Furthermore, a variety of technique has been recommended for managing the residual cavity after cystectomy. We report here a new technical method for the reconstruction of hydatid cyst residual cavity with using overlapping flaps of liver edges (Vest over Pant. Methods. In this technique after removing the cyst, the edges of one side of cyst cavity were sutured to the base of the cavity using three to four mattress sutures, and edges of other side of liver was overlapped on the dorsal part of previous layer using four to five mattress sutures. Therefore residual cavity dead space was obliterated with two surfaces of cavity. Results. Fifty males were treated by our method. The average cyst volume was 423±110 mL. There was no intraabdominal sepsis, bile leakage, or hepatic necrosis. In follow-up ultrasound study, residual cavities were disappeared one month after operation. Conclusion. Overlapping flaps of liver edges (Vest over Pant provides easy, safe closure of cyst with preservation of the liver anatomy.

Evaluation of hip fracture risk in relation to fall direction.

Science.gov (United States)

Nankaku, Manabu; Kanzaki, Hideto; Tsuboyama, Tadao; Nakamura, Takashi

2005-11-01

The purpose of this study is to evaluate hip fracture risk in relation to fall direction, and to elucidate factors that influence the impact force in falls on the hip. Eight healthy volunteers performed deliberate falls in three directions (lateral, posterolateral and posterior) on a force platform covered by a mattress of 13 cm thickness. Fall descent motions and impact postures were examined by a three-dimensional analyzer. The maximum ground force reaction, velocity of the greater trochanter at impact, and activity of quadriceps and gluteus medius were measured. In all trials of lateral and posterolateral falls, but not of posterior falls, the subjects hit their greater trochanter directly on the mattress. The impact forces were between 2,000 N and 4,000 N. Posterolateral falls showed significantly higher velocity at impact than did posterior falls. The height and the lower limb length exhibited positive correlations with the impact force in all directions of fall. In the lateral fall, there was a positive correlation between the activity of quadriceps and the impact force. In view of the impact point, force, and velocity, the posterolateral fall seemed to carry the highest risk of hip fracture.

Comparative efficacy of house dust mite extermination products.

Science.gov (United States)

Schober, G; Kniest, F M; Kort, H S; De Saint Georges Gridelet, D M; Van Bronswijk, J E

1992-06-01

The acaricidal efficacy of nine marketed products, i.e. Acardust, Acarosan (foam and powder), Actelic 50, Artilin 3A (spirit and water base), liquid nitrogen, Paragerm AK, and Tymasil, and of intensive vacuum-cleaning have been compared on four different test surfaces: mattress, tufted carpet, gypsum board and rough wooden board, all covered with artificial house dust. They were inoculated with the house dust mite, Dermatophagoides pteronyssinus or the house-dust fungus Aspergillus repens for evaluation of the fungistatic claims of some products. The acaricidal activity of Tymasil did not surpass that of vacuuming; its fungistatic effect was not apparent. The other products showed complete to almost complete eradication on at least one of the substrates tested. Taking into account the results of acaricidal efficacy as well as the data on safety and practicality acquired earlier, Acarosan powder was considered first choice for carpet treatment. Acarosan and liquid nitrogen, were found to be effective in the treatment of mattress, pillow, upholstered furniture and heavy curtains. On wooden surfaces Acarosan was found to be both effective and safe, while Acardust, Actelic 50, Artilin 3A (both fungistatic as well as acaricidal), liquid nitrogen and Paragerm also passed the efficiency test.

Detection of motion and posture change using an IR-UWB radar.

Science.gov (United States)

Van Nguyen; Javaid, Abdul Q; Weitnauer, Mary A

2016-08-01

Impulse radio ultra-wide band (IR-UWB) radar has recently emerged as a promising candidate for non-contact monitoring of respiration and heart rate. Different studies have reported various radar based algorithms for estimation of these physiological parameters. The radar can be placed under a subject's mattress as he lays stationary on his back or it can be attached to the ceiling directly above the subject's bed. However, advertent or inadvertent movement on part of the subject and different postures can affect the radar returned signal and also the accuracy of the estimated parameters from it. The detection and analysis of these postural changes can not only lead to improvement in estimation algorithms but also towards prevention of bed sores and ulcers in patients who require periodic posture changes. In this paper, we present an algorithm that detects and quantifies different types of motion events using an under-the-mattress IR-UWB radar. The algorithm also indicates a change in posture after a macro-movement event. Based on the findings of this paper, we anticipate that IR-UWB radar can be used for extracting posture related information in non-clinical enviroments for patients who are bed-ridden.

Knotless double-row SutureBridge rotator cuff repairs have improved self-reinforcement compared with double-row SutureBridge repairs with tied medial knots: a biomechanical study using an ovine model.

Science.gov (United States)

Smith, Geoffrey C S; Bouwmeester, Theresia M; Lam, Patrick H

2017-12-01

In double-row SutureBridge (Arthrex, Naples, FL, USA) rotator cuff repairs, increasing tendon load may generate progressively greater compression forces at the repair footprint (self-reinforcement). SutureBridge rotator cuff repairs using tied horizontal mattress sutures medially may limit this effect compared with a knotless construct. Rotator cuff repairs were performed in 9 pairs of ovine shoulders. One group underwent repair with a double-row SutureBridge construct with tied horizontal medial-row mattress sutures. The other group underwent repair in an identical fashion except that medial-row knots were not tied. Footprint contact pressure was measured at 0° and 20° of abduction under loads of 0 to 60 N. Pull-to-failure tests were then performed. In both repair constructs, each 10-N increase in rotator cuff tensile load led to a significant increase in footprint contact pressure (P row SutureBridge configuration, self-reinforcement is seen in repairs with and without medial-row knots. Self-reinforcement is greater with the knotless technique. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

The Influence of Compensation on Performance of Sales ...

African Journals Online (AJOL)

FIRST LADY

base salary/ 30% incentive seems typical: this cushions the salesperson's downside risk ... Rewards bridge the gap between organizational objectives and individual expectations ... equipment, good physical working conditions, effective leadership .... different people react to different pay structures in different ways. Several.

Use of pile driving analysis for assessment of axial load capacity of piles : [technical summary].

Science.gov (United States)

2012-01-01

The dynamic response of a pile during driving is very : complex, involving the interactions of the hammer, cushion, : pile and soil during application of an impact load. : The first analysis aimed at simulating a hammer blow on : a pile was published...

Energy and technology review

International Nuclear Information System (INIS)

1984-04-01

Research activities at Lawrence Livermore Laboratory are described. These include: studies of the strength of ice; first principles calculations of the properties of materials; manufacturing of silicone cushions for engineering applications; and a study of economic development in the Livermore Valley

SPET/CT image co-registration in the abdomen with a simple and cost-effective tool

International Nuclear Information System (INIS)

Foerster, Gregor J.; Laumann, Christina; Nickel, Otmar; Bartenstein, Peter; Kann, Peter; Rieker, Olaf

2003-01-01

Fusion of morphology and function has been shown to improve diagnostic accuracy in many clinical circumstances. Taking this into account, a number of instruments combining computed tomography (CT) with positron emission tomography (PET) or single-photon emission tomography (SPET) are appearing on the market. The aim of this study was to evaluate a simple and cost-effective approach to generate fusion images of similar quality. For the evaluation of the proposed approach, patients with neuroendocrine abdominal tumours with liver metastases were chosen, since the exact superimposition in the abdomen is more difficult than in other regions. Five hours following the injection of 110 MBq 111 In-DTPA-octreotide, patients were fixed in a vacuum cushion (MED-TEC, Vac-Loc) and investigated with helical CT in a mid-inspiration position (n=14). Directly following the CT, a SPET study (SPET1) of the abdominal region was performed without changing the position of the patient. A second SPET study (SPET2), 24 h p.i., was acquired after repositioning the patient in his or her individually moulded vacuum cushion. A total of nine markers suitable for imaging with CT and SPET were fixed on the cushion. Datasets were fused by means of internal landmarks (e.g. metastases or margin of abdominal organs) or by the external markers. Image fusion using external markers was fast and easy to handle compared with the use of internal landmarks. Using this technique, all lesions detectable by SPET (n=28) appeared exactly superpositioned on the respective CT morphology by visual inspection. Image fusion of CT/SPET1 and CT/SPET2 showed a mean deviation of the external markers that in the former case was smaller than the voxel size of 4.67 mm: 4.17±0.61 (CT/SPET1; ±SD) and 5.52±1.56 mm (CT/SPET2), respectively. Using internal landmarks, the mean deviation of the chosen landmarks was 6.47±1.37 and 7.78±1.21 mm. Vector subtraction of corresponding anatomical points of the CT and the re

Tech Support.

Science.gov (United States)

Beem, Kate

2002-01-01

Discusses technology-support issues, including staff training, cost, and outsourcing. Describes how various school districts manage technology-support services. Features the Technology Support Index, developed by the International Society for Technology in Education, to gauge the operation of school district technology-support programs. (PKP)

Anti-mite measurements in mite-sensitive adult asthma. A controlled trial.

Science.gov (United States)

Burr, M L; St Leger, A S; Neale, E

1976-02-14

A cross-over controlled trial has been conducted among 32 adult patients with mite-sensitive asthma. The bedclothes and pillows of each subject were laundered and vacuum-cleaned and a plastic cover applied to the mattress for six weeks in an attempt to reduce exposure to mites. No improvement in daily peak-flow reading or drug usage was found in comparison with a control period.

Comparative study of three methods of esophageal anastomosis in dogs

Directory of Open Access Journals (Sweden)

Z. T. Abd Al-Maseeh

2009-01-01

Full Text Available This study was performed to compare three methods of esophageal anastomosis. Twenty four healthy adult dogs were used in this study. The animals were divided into three groups; each one consisted of 8 animals. In group 1; two layers were used to perform the esophageal anastomosis. The first layer represented simple interrupted suture to close the mucosa with knot inside the lumen, and the second layer represented horizontal mattress interrupted suture to close the other layers of esophagus. While in group 2; one layer of cross interrupted mattress suture was used to close all layers of esophageal wall, and in group 3; one layer of Schmieden's suture was used to close all layers of esophageal wall. The results of clinical, radiological and histopathological studies after 15 and 30 days of surgical operation revealed that most of the animals showed different degrees of difficulty concerning the moderate dysphagia and regurgitation. The radiological study showed significant difference of stenosis. The best results were recorded in the second group where the mean degree of stenosis was 7.69%, however the mean degree of stenosis was 42.80% in the first group, while the mean degree of stenosis in the third groups was 37.81%, through 30 days. The histopathological study of group 2 showed rapid healing of the site of anastomosis, lack of granulation tissue and consequently the less degree of stricture and other complications as compared with groups 1 and 3. The Schmieden's suture was characterized by its standard short time as compared with group 1 and 2, although accompanied by some complications. In conclusion this study revealed that the cross mattress suture used in the second group characterized by faster healing and minimal amount of fibrous tissue formation manifested by decrease in moderate degree of stenosis as compared with the two other suture patterns used in the first and third groups.

Double-Row Capsulolabral Repair Increases Load to Failure and Decreases Excessive Motion.

Science.gov (United States)

McDonald, Lucas S; Thompson, Matthew; Altchek, David W; McGarry, Michelle H; Lee, Thay Q; Rocchi, Vanna J; Dines, Joshua S

2016-11-01

Using a cadaver shoulder instability model and load-testing device, we compared biomechanical characteristics of double-row and single-row capsulolabral repairs. We hypothesized a greater reduction in glenohumeral motion and translation and a higher load to failure in a mattress double-row capsulolabral repair than in a single-row repair. In 6 matched pairs of cadaveric shoulders, a capsulolabral injury was created. One shoulder was repaired with a single-row technique, and the other with a double-row mattress technique. Rotational range of motion, anterior-inferior translation, and humeral head kinematics were measured. Load-to-failure testing measured stiffness, yield load, deformation at yield load, energy absorbed at yield load, load to failure, deformation at ultimate load, and energy absorbed at ultimate load. Double-row repair significantly decreased external rotation and total range of motion compared with single-row repair. Both repairs decreased anterior-inferior translation compared with the capsulolabral-injured condition, however, no differences existed between repair types. Yield load in the single-row group was 171.3 ± 110.1 N, and in the double-row group it was 216.1 ± 83.1 N (P = .02). Ultimate load to failure in the single-row group was 224.5 ± 121.0 N, and in the double-row group it was 373.9 ± 172.0 N (P = .05). Energy absorbed at ultimate load in the single-row group was 1,745.4 ± 1,462.9 N-mm, and in the double-row group it was 4,649.8 ± 1,930.8 N-mm (P = .02). In cases of capsulolabral disruption, double-row repair techniques may result in decreased shoulder rotational range of motion and improved load-to-failure characteristics. In cases of capsulolabral disruption, repair techniques with double-row mattress repair may provide more secure fixation. Double-row capsulolabral repair decreases shoulder motion and increases load to failure, yield load, and energy absorbed at yield load more than single-row repair. Published by

7 CFR Appendix to Subpart C of... - Accounting Methods and Procedures Required of All Borrowers

Science.gov (United States)

2010-01-01

... Television Services 105 Comprehensive Income—108 Consolidated Financial Statements 106 Cushion of Credit... statements even though this financial information is presented in the parent's consolidated statements. 2. In... consolidated financial statements in accordance with the requirements of Statement No. 94. These consolidated...

Time-resolved imaging of a compressible air disc under a drop impacting on a solid surface

KAUST Repository

Li, Erqiang; Thoroddsen, Sigurdur T

2015-01-01

When a drop impacts on a solid surface, its rapid deceleration is cushioned by a thin layer of air, which leads to the entrapment of a bubble under its centre. For large impact velocities the lubrication pressure in this air layer becomes large

Social support for diabetes illness management: supporting adolescents and caregivers.

Science.gov (United States)

Idalski Carcone, April; Ellis, Deborah A; Weisz, Arlene; Naar-King, Sylvie

2011-10-01

The aim of this research study was to examine the relationship between 4 sources of social support (support for the adolescent from family, support for the adolescent from friends, support for the caregiver from another adult, and support to the family from the health care provider) and adolescents' diabetes outcomes (illness management behavior and health status) using a diverse sample of urban adolescents. One hundred forty-one adolescents with insulin-managed diabetes and their primary caregivers completed questionnaires assessing social support and illness management behavior. Glucose meters were downloaded and hemoglobin A1c assays were obtained. Structural equation modeling was used to test a model social support informed by social ecological theory. The results of the structural equation modeling indicated that support for the caregiver from another adult was directly and positively related to support for the adolescent from family and indirectly related to better illness management. Support for the adolescent from family was directly related to better diabetes management and, through better management, to better diabetes health. Support to the family from the health care provider was not related to support for the adolescent and support to the adolescent from friends was not related to illness management, as hypothesized. This study identifies a novel target for social support intervention to improve adolescents' illness management behavior-the caregivers of adolescents with diabetes. By enhancing the social support caregivers receive from other adults in their lives, caregivers' ability to support their adolescent children with diabetes might also be improved which, in turn, improves adolescents' illness outcomes.

Supporting the Support System: How Assessment and Communication Can Help Patients and Their Support Systems.

Science.gov (United States)

Harkey, Jane; Young, Jared; Carter, Jolynne Jo; Demoratz, Michael

The benefits of having a support system, such as social relationships with close friends and family, have been well documented for patients with serious health issues. As scientific evidence has shown, individuals who have the lowest level of involvement in social relationships face a greater mortality risk. Support systems, however, are not infallible. Relationship stress can have a negative impact on people-patient and caregiver alike-behaviorally, psychosocially, and physiologically. The purpose of this article is to encourage case managers who take a patient-centered approach to also consider the existence and extent of the support system, as well as any stresses or tensions that are observable within the support system. Although the case manager is ethically obliged to advocate for the individual receiving case management services, that advocacy can be extended to the support system for the good of all. This discussion applies to numerous case management practices and work settings including (but not limited to) hospital-based case management, home health, geriatrics, catastrophic case management, mental health, palliative care, and end of life/hospice. As part of the assessment phase of the case management process, case managers determine the extent of the patient's support system or social support network such as family and close friends. Although their advocacy is primarily for the patient receiving case management services, case managers also become aware of the needs of the support system members as they face their loved one's serious illness, severe injury, geriatric care demands, or end of life. Case managers can use their communication skills, especially motivational interviewing, with patients and their support systems to identify stresses and issues that can impact the pursuit of health goals. In addition, case managers ensure that individuals and their support systems are kept informed such as about the health condition, stage of disease, plan of

Ride control of surface effect ships using distributed control

Directory of Open Access Journals (Sweden)

Asgeir J. Sørensen

1994-04-01

Full Text Available A ride control system for active damping of heave and pitch accelerations of Surface Effect Ships (SES is presented. It is demonstrated that distributed effects that are due to a spatially varying pressure in the air cushion result in significant vertical vibrations in low and moderate sea states. In order to achieve a high quality human comfort and crew workability it is necessary to reduce these vibrations using a control system which accounts for distributed effects due to spatial pressure variations in the air cushion. A mathematical model of the process is presented, and collocated sensor and actuator pairs are used. The process stability is ensured using a controller with appropriate passivity properties. Sensor and actuator location is also discussed. The performance of the ride control system is shown by power spectra of the vertical accelerations obtained from full scale experiments with a 35 m SES.

Device for extracting steam or gas from the primary coolant line leading from a reactor pressure vessel to a straight through boiler or from the top primary boiler chamber of a water-cooled nuclear reactor

International Nuclear Information System (INIS)

Schatz, K.

1982-01-01

In such a nuclear reactor, a steam or gas cushion can form when the primary system is refilled, which can cause blocking of the natural circulation or filling of the system in the area of the hot primary coolant pipe or in the top primary boiler chamber. In order to remove such a steam or gas cushion, a ventilation pipe starting from the bend of the primary coolant line is connected to the feed pipe for introducing water into the primary system. The feed pipe is designed on the principle of the vacuum pump in the area of the opening of the ventilation pipe. There is a sub-pressure in the ventilation pipe, which makes it possible to extract the steam or gas. After mixing in the area of the opening, the steam condenses or is distributed with the gas in the primary coolant. (orig.) [de

Engineering Performance of Polyurethane Bonded Aggregates

Directory of Open Access Journals (Sweden)

Haimin WU

2017-08-01

Full Text Available In this paper the engineering performance of polyurethane (PUR bonded aggregate were studied. The engineering performance, including compressive and flexural mechanical properties, void ratio, and coefficient of permeability were determined through laboratory tests. Moreover, the effects of two different curing conditions on the compressive strength properties of a PUR bonded aggregate were also evaluated. The compressive strengths of PUR bonded aggregates were found to be lower than that of conventional porous concrete, which is a commonly used cushion material. However, experimental results indicated a higher void ratio and coefficient of permeability, lower elasticity modulus, better toughness, and stronger adaptability to flexural deformation compared to porous concrete. Consequently, PUR bonded aggregate is a better solution than porous concrete when used as the cushion material of a geomembrane surface barrier for a high rock-fill dam.DOI: http://dx.doi.org/10.5755/j01.ms.23.2.15798

Dysregulated endocardial TGFβ signaling and mesenchymal transformation result in heart outflow tract septation failure.

Science.gov (United States)

Ma, Mancheong; Li, Peng; Shen, Hua; Estrada, Kristine D; Xu, Jian; Kumar, S Ram; Sucov, Henry M

2016-01-01

Heart outflow tract septation in mouse embryos carrying mutations in retinoic acid receptor genes fails with complete penetrance. In this mutant background, ectopic TGFβ signaling in the distal outflow tract is responsible for septation failure, but it was uncertain what tissue was responsive to ectopic TGFβ and why this response interfered with septation. By combining RAR gene mutation with tissue-specific Cre drivers and a conditional type II TGFβ receptor (Tgfbr2) allele, we determined that ectopic activation of TGFβ signaling in the endocardium is responsible for septation defects. Ectopic TGFβ signaling results in ectopic mesenchymal transformation of the endocardium and thereby in improperly constituted distal OFT cushions. Our analysis highlights the interactions between myocardium, endocardium, and neural crest cells in outflow tract morphogenesis, and demonstrates the requirement for proper TGFβ signaling in outflow tract cushion organization and septation. Copyright © 2015. Published by Elsevier Inc.

Nuclear reactor core

Energy Technology Data Exchange (ETDEWEB)

Prescott, R F

1974-07-11

The core of the fast neutron reactor consisting, among other components, of fuel elements enriched in plutonium is divided into modules. Each module contains a bundle of four or six elongated components (fuel elements and control rods). In the arrangement with four components, one is kept rigid while the other three are elastically yielding inclined towards the center and lean against the rigid component. In the modules with six pieces, each component is elastically yielding inclined towards a central cavity. In this way, they form a circular arc. A control rod may be placed in the cavity. In order to counteract a relative lateral movement, the outer surfaces of the components which have hexagonal cross-sections have interlocking bearing cushions. The bearing cushions consist of keyway-type ribs or grooves with the wedges or ribs gripping in the grooves of the neighbouring components. In addition, the ribs have oblique entering surfaces.

Condição microbiológica dos leitos hospitalares antes e depois de sua limpeza Microbiological condition of hospital beds before and after terminal cleaning

Directory of Open Access Journals (Sweden)

Denise de Andrade

2000-04-01

Full Text Available INTRODUÇÃO: O meio ambiente hospitalar guarda uma íntima relação com as infecções hospitalares, podendo proporcionar focos de contato e de transmissão. Como a higiene representa uma das formas de controlar a contaminação ambiental, realizou-se estudo para avaliar as condições microbiológicas dos colchões hospitalares antes e depois de sua limpeza. MÉTODOS: Utilizaram-se, para a colheita dos espécimes, placas de contato -- Rodac-plate ¾ preparadas com meio de cultura ágar-sangue. Selecionaram-se os leitos de acordo com critérios previamente estabelecidos, e os locais de colheita sob o colchão foram escolhidos por sorteio aleatório. Aplicou-se o teste estatístico de Goodman para o estudo das alterações numéricas quanto a positividade das placas. RESULTADOS: Foram investigados 52 colchões, totalizando 520 placas, das quais 514 (98,8% resultaram em culturas positivas, sendo que 259 corresponderam ao período anterior à limpeza e 255 ao período posterior ao procedimento. Houve redução de culturas positivas em apenas 4 placas. CONCLUSÕES: Os resultados obtidos sugerem que a limpeza, da forma como vem sendo conduzida, provoca o deslocamento da carga microbiana para outros pontos do colchão em vez de diminuí-la, resultando na manutenção da quantidade de microorganismos que existia anteriormente à limpeza.INTRODUCTION: The hospital's environment keeps a close relationship with hospital infection, which may promote focus of contact and transmission. The terminal cleaning of patient unit represents one way to control microbiological environmental contamination. The study has as its main objective to evaluate the microbiological conditions of hospital mattresses before and after cleaning. METHODS: Rodac plates were utilized for specimen collection with culture medium - blood agar plate. The patients beds were chosen by criteria established before hand and the places for specimen collection in the mattress were chosen by

Air Cushion Crash Rescue Vehicle (ACCRV) (Phase 1)

Science.gov (United States)

1985-11-01

903-T 600 2450 *Detroit Diesel 8V-92TA 736 2250 Detroit Diesel 8V-71TA 600 2090 Detroit Disel 6V-53T* 350 1360 Garrett GT601 540 2170 John Deere...Dependent 6096 (Traction Limit) 596 4096 @ 1 mph DD8V9296A 2 cycle, 8 cycle diesel, turbo charged 4.84 inches 5.0 in. 736 cu in. 17:1 DF1

Roadway supports

Energy Technology Data Exchange (ETDEWEB)

Stassen, P

1980-01-01

Support systems in stone drifts and tunnels are discussed. Timber supports, steel arches, cold-bent sheet-metal arches, shotcrete and combined support arrangements are described. Brickwork and reinforced concrete are also covered. Supports in roadways leading to the face and in-seam roads are discussed including timber supports, steel arches, articulated arches on timber chocks, support accessories and the withdrawal and reshaping of arches. The subject of strata bolting, the aims of strata bolting, methods of strata bolting, systems of rock-bolting, end plates and wire mesh, and bolt and anchorage monitoring are also discussed. Injection techniques, injection parameters, injection methods, grouts, includes an example of the application of injection techniques are covered and combined injection/dowelling arrangements are examined. (55 refs.) (In French)

Support system, excavation arrangement, and process of supporting an object

Science.gov (United States)

Arnold, Bill W.

2017-08-01

A support system, an excavation arrangement, and a process of supporting an object are disclosed. The support system includes a weight-bearing device and a camming mechanism positioned below the weight-bearing device. A downward force on the weight-bearing device at least partially secures the camming mechanism to opposing surfaces. The excavation arrangement includes a borehole, a support system positioned within and secured to the borehole, and an object positioned on and supported by the support system. The process includes positioning and securing the support system and positioning the object on the weight-bearing device.

Foot pain

Science.gov (United States)

... that you were born with or develops later Injury Shoes that fit poorly or do not have much cushioning Too much walking or other sports activity Trauma The following can cause foot pain: Arthritis and gout . Common in the big toe, which becomes red, swollen, ...

De chirurgische betekenis van de inwendige kringspier van het anale kanaal : een klinisch en manometrisch onderzoek

NARCIS (Netherlands)

W.R. Schouten (Ruud)

1990-01-01

textabstractThe high pressure zone within the anal canal is largely due to the activity of the internal anal sphincter and provides an effective barrier against rectal pressure. The continuous contraction of the internal sphincter also has a congesting effect on the vascular cushions, thereby

Bibliography on Cold Regions Science and Technology. Volume 41. Part 1

Science.gov (United States)

1987-12-01

companion paper (sec 41-3277 or F-35505) which treats both plane and axi-symmetric flow tAuth mod.) 41-3277 Plane and radial ice-shelf flow with...control system for diesel ventilation aggre- gates of air-cushion vehicles. [ Sistema avtomatiches- kogo upravleniia dizel-ventiliatornymi

‘Humour helps’

DEFF Research Database (Denmark)

Ronglan, Lars Tore; Aggerholm, Kenneth

2014-01-01

To date, humour’s role in sport settings has hardly received scholarly attention. However, reflecting on future research within the sociology of sports coaching (Jones, Ronglan, Potrac, & Cushion, 2011), it was suggested that ‘the multi-functional use of humour, its intent, manifestation, and eff...

CORRECTED MARCH EDITON 2009 F...

African Journals Online (AJOL)

User

Haemorrhoids, symptomatic vascular cushions i.e. engorgement of haemorrhoidal venous plexuses with redundancy of their coverings, are a problem that has plagued man kind since the dawn of civilization. The detailed description of haemorrhoids dates back to Hippocrates, who treated the condition with suppositories, ...

STECH,4(2), S/NO 10, MAY, 2015

African Journals Online (AJOL)

Balogun

2015-05-10

May 10, 2015 ... 0.2(g).the characteristic cycle of ground motion is 0.35(s)~ 0.4(s).Because .... The additional stress in the cushion bottom is shown as figure 1: ... perspective of theoretical research and practical pay equal attention to, with the.

A bacteriological study of hospital beds before and after disinfection with phenolic disinfectant

OpenAIRE

Denise de Andrade; Emília L. S. Angerami; Carlos Roberto Padovani

2000-01-01

In hospitals, one of the ways to control microbial contamination is by disinfecting the furniture used by patients. This study's main objective was to evaluate the microbiological condition of hospital mattresses before and after such disinfection, in order to identify bacteria that are epidemiologically important in nosocomial infection, such as Staphylococcus aureus and Pseudomonas aeruginosa. RODAC plates with two different culture media were used to collect specimens. Patient beds were se...

Device for gamma-chamber transducer alignment

International Nuclear Information System (INIS)

Mirkhodzhaev, A.Kh.; Kuznetsov, N.K.; Ostryj, Yu.E.

1987-01-01

The device consists of the upper part of the gamma chamber pilar to which a rod is rigidly fastened with a disk of acrylic plastic moving freely on the opposite end. The disk is placed coaxially and is equal to the gamma chamber detector crystal. The device makes it possible to use ordinary medical couches covered with a porolone mattress when the gamma chamber detector is placed below

Sleep Patterns, Mood, Psychomotor Vigilance Performance, and Command Resilience of Watchstanders on the Five and Dime Watchbill

Science.gov (United States)

2015-02-28

soft drinks, energy drinks), type and frequency of tobacco product use (e.g., cigarettes, chewing tobacco, nicotine gum or patches, electronic smoke...caffeinated beverages (RX Department only). Regarding the use of nicotine products, cigarettes were used by 20 participants, followed by electronic ...smoke (n = 9), chewing tobacco/snuff (n = 8), and cigars (n = 2). Bed size 27% Mattress 35% Pillow 10% Curtain 8% Odors 20% 0% 20% 40% 60

Technological aspects of the Wega stellarator

International Nuclear Information System (INIS)

Fritsch, R.; Ohlendorf, W.; Pacher, G.W.; Pacher, H.D.; Wegrowe, J.G.; Lipa, M.; CEA Centre d'Etudes Nucleaires de Grenoble, 38

1976-01-01

Wega, an ohmically heated Stellarator at Grenoble for the study of R.F. heating at high power. On the vacuum vessel are mounted helical windings with periods l=2, m=5, designed to produce a rotational transform of 0.3 at a main field of 2.5T. Calculations to simulate the effect of the stray flux of the transformer yokes show that a vertical field variation of the same periodicity as the helical windings (five-fold symmetry) does not affect the magnetic surfaces. Accordingly five transformer yokes are used. To assemble internal R.F. structures, it was required that the two halves of the device be separable, therefore electrically and mechanically distinct. The 14 helical conductors of the 4 windings of each of the device are placed in series by means of end connections magnetically compensated. To facilitate further the separability of the two halves, one of them, weighing 5 tons (vacuum vessel, toroidal field coils, supporting structures) is supported at three points, and can be displaced horizontally by 3m using an air cushion system [fr

M-X Environmental Technical Report. Environmental Characteristics of Alternative Designated Deployment Areas, Protected Species.

Science.gov (United States)

1980-12-22

purple- spined hedgehog cactus (Echinocereus engelmanii var. purpureus), the Siler pin- cushion cactus (Pediocactus sileri), and the dwarf bear poppy...WHITE RIVER SPINE DACE K WHITE RIVER DESERT SUCKER L WHITE RIVER SPRINGFISH M PAHRANAGAT ROUNDTAIL CHUB* N PAHRUMP KILLIFISH" O MOAPA DACE* P LAHONTAN

Interaction matters? : exploring interactive music as a reminder to break sedentary office time

NARCIS (Netherlands)

Ren, X.; Lu, Y.; Visser, V.J.J.; Le, P.D.Huy; van den Burg, R.

2017-01-01

This paper presents a within-subject field test (n=24) with Flow platform, a smart cushion that uses interactive music to motivate office workers to break excessive sedentary time. In this study, we compared continuous music and interactive music as reminders to inform sedentary time by every

Seat-integrated localized ventilation for exposure reduction to air pollutants in indoor environments

DEFF Research Database (Denmark)

Bivolarova, Mariya Petrova; Rezgals, Lauris; Melikov, Arsen Krikor

2016-01-01

A novel ventilation method for minimizing the spread of bioeffluent contaminants generated from sedentary people indoors was developed and studied. The concept of the method consists of a ventilated cushion which is able to suck the human bioeffluents at the area of the body where they are mainly...... generated before they disperse around a room. The polluted near the body air is exhausted into the cushion and it is removed from the room by a separate exhaust system. The performance of the method was studied in series of experiments. Full-scale room and a dressed thermal manikin sitting in front....... The experiments were conducted at 26°C room air temperature. The performance of the VC in conjunction with mixing total-volume background ventilation at 1 air change per hour (ACH) was compared with that of mixing background ventilation alone operating at 1, 1.5, 3 and 6 ACH. Experiments at exhaust airflow rate...

The flying radiation case

International Nuclear Information System (INIS)

Brownell, J.H.; Bowers, R.L.

1997-01-01

The Los Alamos foil implosion program has the goal of producing an intense, high-energy density x-ray source by converting the energy of a magnetically imploded plasma into radiation and material energy. One of the methods for converting the plasma energy into thermal energy and radiation and utilizing it for experiments is called the flying radiation case (FRC). In this paper the authors shall model the FRC and provide a physical description of the processes involved. An analytic model of a planar FRC in the hydrodynamic approximation is used to describe the assembly and shock heating of a central cushion by a conducting liner driver. The results are also used to benchmark a hydrodynamics code for modeling an FRC. They then use a radiation-hydrodynamics computational model to explore the effects of radiation production and transport when a gold plasma assembles on a CH cushion. Results are presented for the structure and evolution of the radiation hohlraum

Automotive airbag inflator analysis using the measured properties of modern propellants

KAUST Repository

Seo, Young D.

2011-04-01

An airbag is composed of a housing assembly, door assembly, cushion assembly, and an inflator. The inflator is an essential part that generates gas for the airbag. When an airbag is activated, it effectively absorbs the crash energy of the passenger by inflating a cushion. In the present study, tank tests were performed with newly synthesized propellants with various compositions, and the results are compared with the numerical results. In the simulation of the inflator, a zonal model has been adopted which consisted of four zones of flow regions: combustion chamber, filter, gas plenum, and discharge tank. Each zone was described by the conservation equations with specified constitutive relations for gas. The pressure and temperature of each zone of the inflator were calculated and analyzed, and the results were compared with the tank test data. The similarity of the pressure curve and closed bomb calculation show that the modeled results are well correlated with the experimental data. © 2011 Elsevier Ltd All rights reserved.

Mechanical evaluation of hip pads to protect against fracture of elderly femurs in falls.

Science.gov (United States)

Tadano, Shigeru; Nakatsuchi, Hiroki; Goto, Naoko; Fujisaki, Kazuhiro; Nakatsuchi, Yukio

2011-01-01

Hip fracture in the aged easily occurs by falls and may cause these persons to become bedridden. Hip pads are effective in protecting hip fracture as they directly deflect and absorb the impact forces by falls. It is necessary for the material and the structure of hip pads to be designed to realize both high impact absorption and compliance (comfort during wearing). In this report, an impact testing system was developed to test the impact absorbing performance of hip pad with air cushions designed by the research group. The impact absorbing performance was evaluated by the impact load, collision time, and maximum load. To confirm the effectiveness in protecting against hip fracture, an impact force was applied to the greater trochanter of the human femur and the degree of fracture was measured by X-ray examination. As a result, the hip pad with air cushions had a high impact absorbing performance and was sufficiently effective to protect against hip fracture.

Theoretical investigation of the Fermi surfaces of La2-xSrxCuO4 and YBa2Cu3O7

International Nuclear Information System (INIS)

Antonov, V.N.; Antonov, Vl.N.; Bar'yakhtar, V.G.; Baglyuk, A.I.; Maksimov, E.G.; Nemoshkalenko, V.V.; Perlov, A.Ya.; Savrasov, S.Yu.; Uspenskii, Yu.A.

1989-01-01

A theoretical investigation is made of the shape of the Fermi surface and of the constant-energy surfaces near the Fermi energy of the La 2-x Sr x CuO 4 and YBa 2 Cu 3 O 7 oxides by a self-consistent linear muffin-tin orbital method in the atomic sphere approximation (OMTO-ASA). It is shown that the Fermi surfaces of these compounds are strongly two-dimensional. The Fermi surface of La 2-x Sr x CuO 4 is a corrugated rounded box centered at the point Λ. The Fermi surface of YBa 2 Cu 3 O 7 consists of four sheets: an electron cushion at the point Λ and three nested hole surfaces centered at the point S. The electron cushion and one of the hole surfaces are strongly corrugated along the z direction. The theoretically calculated Fermi surfaces of La 2 CuO 4 and YBa 2 Cu 3 O 7 are compared with the experimental data on electron-positron annihilation

Sensitization of children in the Stockholm area to house dust mites.

Science.gov (United States)

Nordvall, S L; Eriksson, M; Rylander, E; Schwartz, B

1988-09-01

Atopic sensitization of children in the Stockholm area to house dust mites (HDM) was investigated in a case-control study. Sixty children with and 60 without positive skin prick tests for HDM were matched for age and sex. HDM-sensitized children had previously more often lived in other areas known to be mite infested than the control children. Sensitization to mites was related to dampness in the homes, but no significant relationship was found to the type of residence, frequent visits to a summer house in the archipelago or parental smoking. Dust samples from mattresses of the children with the strongest positive reactions to mites in skin prick tests and the respective controls were subjected to an enzyme immunoassay, to measure the content of the major allergens of the Dermatophagoides (D.) species D. pterinyssinus, D. farinae and D. microceras. Mattress dust samples from the beds of HDM-sensitized children contained significantly higher HDM antigen concentrations than those from the beds of controls. Private houses contained significantly more HDM antigens than flats and 10 of 11 homes in which a dampness problem was recognized contained mite antigens. It is postulated that mite infestation is increasing in the area, energy-saving measures creating improved conditions for HDM survival.

The temporal outcomes of open versus arthroscopic knotted and knotless rotator cuff repair over 5 years

Science.gov (United States)

Lucena, Thomas R; Lam, Patrick H; Millar, Neal L

2015-01-01

Background The present study aimed to determine how repair technique influenced structural and clinical outcomes at 5 years post-surgery. Methods Three cohorts of patients had repair of a symptomatic rotator cuff tear using (i) an open double-row mattress repair technique (n = 25); (ii) arthroscopic single-row simple suture knotted technique (n = 25); or (iii) arthroscopic single-row inverted mattress knotless technique (n = 36) by one surgeon. Standardized patient- and examiner-determined outcomes were obtained pre-operatively and postoperatively with a validated protocol, ultrasound were also performed at the same time. Results Retear occurred more often after open repair (48%) at 5 years than after arthroscopic knotted (33%) and arthroscopic knotless (26%) repair. Retear was associated with increasing age, pre-operative tear size and weaker pre-operative and 5 years postoperative cuff strength. Between 2 years and 5 years, the open repair group experienced an increase in the frequency of pain during activity, as well as in the difficulty experienced and the severity of pain during overhead activities (p repair group. Conclusions At 5-year follow-up, arthroscopic rotator cuff repair techniques resulted in fewer retears and better outcomes compared to an open double-row technique. PMID:27582985

Support system of a structure on a support base

International Nuclear Information System (INIS)

Arene, G.; Renaux, C.; Minguet, J.L.; Chantot, H.

1984-01-01

Two series of strips are fixed to the structure to be supported and to the base to define each one a closed convex envelope; the strips are flexible in the radial direction with regard to the envelope. The two series of strips are connected by a treillis of rigid bars set to form juxtaposed V or X. A good transversal rigidity and a certain radial flexibility are obtained. The invention can be applied to a fast neutron nuclear reactor, the reactor comprising a vertical axis vessel filled with liquid metal; the vessel rests on a support foundation by means of the support system proposed by the invention. The support system allows the supported structure to resist the effects of an eventual earthquake and brutal temperature variations [fr

Effects of support masses on seismic response of piping and supports

International Nuclear Information System (INIS)

Iotti, R.C.; Dinkevich, S.

1985-01-01

A special methodology is presented for quantitatively predicting when the effect of piping restraint masses is significant and should be explicitly considered in piping seismic analyses which use the response spectrum method. It is concluded that the effect of support mass in the unrestrained direction is to increase piping and support responses by a percentage no larger than twice the ratio of the support to the pipe-supported span mass. In the restrained direction the mass of the support significantly reduces its dynamic stiffness so that for low support stiffnesses and relatively large mass the support can act as an amplifier of vibration. The dynamic effect, however, is negligible for very stiff supports. (orig.)

Managers' social support: Facilitators and hindrances for seeking support at work.

Science.gov (United States)

Lundqvist, Daniel; Fogelberg Eriksson, Anna; Ekberg, Kerstin

2018-01-01

Previous research has shown that social support is important for health and performance at work, but there is a lack of research regarding managers' social support at work, and if it needs to be improvedOBJECTIVE:To investigate managers' perception of work-related social support, and facilitators and hindrances that influence their seeking of social support at work. Semi-structured interviews with sixty-two managers in two Swedish organizations. Work-related support, which strengthened their managerial image of being competent, was sought from sources within the workplace. Sensitive and personal support, where there was a risk of jeopardizing their image of being competent, was sought from sources outside the workplace. Access to arenas for support (location of the workplace, meetings, and vocational courses) and the managerial role could facilitate their support-seeking, but could also act as hindrances. Because attending different arenas for support were demanding, they refrained from seeking support if the demands were perceived as too high. Different supportive sources are distinguished based on what supportive function they have and in which arenas they are found, in order to preserve the confidence of the closest organization and to maintain the image of being a competent and performing manager.

Emotional support, instrumental support, and gambling participation among Filipino Americans.

Science.gov (United States)

Kim, Isok; Kim, Wooksoo; Nochajski, Thomas H

2014-08-01

Using representative survey data of Filipino Americans in Honolulu and San Francisco (SF) (N = 2,259), we examined the roles of emotional support and instrumental support on gambling participation. With considerable difference in gambling environments between two regions, we conducted two sets of hierarchical regression analyses for Honolulu sample, which has restricted gambling laws, and SF sample, which has legal gambling environment, and compared the effects of two types of social support on gambling participation. The results indicated that emotional support was positively and instrumental support was negatively associated with gambling participation among Filipino Americans in Honolulu. However, neither type of social support was significantly associated with gambling participation among Filipino Americans living in SF. This study highlights the differing roles and effects of instrumental and emotional support on gambling where gambling is restricted. It also suggests that gambling behaviors of Filipino Americans are subject to situation- and environment-specific factors.

Managing Crises.

Science.gov (United States)

Eggen, Jerald D.; Mackenzie, R. Alec

1987-01-01

To avoid emergency-driven work environments, crises should be anticipated to the extent possible; steps should be taken to prevent them or limit their consequences. Crises have both internal (personal) and external causes based on poor performance, unreasonable demands, or shifting priorities. Administrators need to cushion deadlines, clarify…

49 CFR 178.601 - General requirements.

Science.gov (United States)

2010-10-01

..., etc.); (B) The material of construction of the inner packagings (glass, plastic, metal, etc.) offers... (e.g., screw cap, friction lid, etc.); (D) Sufficient additional cushioning material is used to take... successfully tested in accordance with § 178.603 with fragile (e.g. glass) inner packagings containing liquids...

Predicting catalyst-support interactions between metal nanoparticles and amorphous silica supports

Science.gov (United States)

Ewing, Christopher S.; Veser, Götz; McCarthy, Joseph J.; Lambrecht, Daniel S.; Johnson, J. Karl

2016-10-01

Metal-support interactions significantly affect the stability and activity of supported catalytic nanoparticles (NPs), yet there is no simple and reliable method for estimating NP-support interactions, especially for amorphous supports. We present an approach for rapid prediction of catalyst-support interactions between Pt NPs and amorphous silica supports for NPs of various sizes and shapes. We use density functional theory calculations of 13 atom Pt clusters on model amorphous silica supports to determine linear correlations relating catalyst properties to NP-support interactions. We show that these correlations can be combined with fast discrete element method simulations to predict adhesion energy and NP net charge for NPs of larger sizes and different shapes. Furthermore, we demonstrate that this approach can be successfully transferred to Pd, Au, Ni, and Fe NPs. This approach can be used to quickly screen stability and net charge transfer and leads to a better fundamental understanding of catalyst-support interactions.

Effect of Minimalist Footwear on Running Efficiency

Science.gov (United States)

Gillinov, Stephen M.; Laux, Sara; Kuivila, Thomas; Hass, Daniel; Joy, Susan M.

2015-01-01

Background: Although minimalist footwear is increasingly popular among runners, claims that minimalist footwear enhances running biomechanics and efficiency are controversial. Hypothesis: Minimalist and barefoot conditions improve running efficiency when compared with traditional running shoes. Study Design: Randomized crossover trial. Level of Evidence: Level 3. Methods: Fifteen experienced runners each completed three 90-second running trials on a treadmill, each trial performed in a different type of footwear: traditional running shoes with a heavily cushioned heel, minimalist running shoes with minimal heel cushioning, and barefoot (socked). High-speed photography was used to determine foot strike, ground contact time, knee angle, and stride cadence with each footwear type. Results: Runners had more rearfoot strikes in traditional shoes (87%) compared with minimalist shoes (67%) and socked (40%) (P = 0.03). Ground contact time was longest in traditional shoes (265.9 ± 10.9 ms) when compared with minimalist shoes (253.4 ± 11.2 ms) and socked (250.6 ± 16.2 ms) (P = 0.005). There was no difference between groups with respect to knee angle (P = 0.37) or stride cadence (P = 0.20). When comparing running socked to running with minimalist running shoes, there were no differences in measures of running efficiency. Conclusion: When compared with running in traditional, cushioned shoes, both barefoot (socked) running and minimalist running shoes produce greater running efficiency in some experienced runners, with a greater tendency toward a midfoot or forefoot strike and a shorter ground contact time. Minimalist shoes closely approximate socked running in the 4 measurements performed. Clinical Relevance: With regard to running efficiency and biomechanics, in some runners, barefoot (socked) and minimalist footwear are preferable to traditional running shoes. PMID:26131304

Comparison of minimalist footwear strategies for simulating barefoot running: a randomized crossover study.

Science.gov (United States)

Hollander, Karsten; Argubi-Wollesen, Andreas; Reer, Rüdiger; Zech, Astrid

2015-01-01

Possible benefits of barefoot running have been widely discussed in recent years. Uncertainty exists about which footwear strategy adequately simulates barefoot running kinematics. The objective of this study was to investigate the effects of athletic footwear with different minimalist strategies on running kinematics. Thirty-five distance runners (22 males, 13 females, 27.9 ± 6.2 years, 179.2 ± 8.4 cm, 73.4 ± 12.1 kg, 24.9 ± 10.9 km x week(-1)) performed a treadmill protocol at three running velocities (2.22, 2.78 and 3.33 m x s(-1)) using four footwear conditions: barefoot, uncushioned minimalist shoes, cushioned minimalist shoes, and standard running shoes. 3D kinematic analysis was performed to determine ankle and knee angles at initial foot-ground contact, rate of rear-foot strikes, stride frequency and step length. Ankle angle at foot strike, step length and stride frequency were significantly influenced by footwear conditions (prunning velocities. Posthoc pairwise comparisons showed significant differences (prunning barefoot and all shod situations as well as between the uncushioned minimalistic shoe and both cushioned shoe conditions. The rate of rear-foot strikes was lowest during barefoot running (58.6% at 3.33 m x s(-1)), followed by running with uncushioned minimalist shoes (62.9%), cushioned minimalist (88.6%) and standard shoes (94.3%). Aside from showing the influence of shod conditions on running kinematics, this study helps to elucidate differences between footwear marked as minimalist shoes and their ability to mimic barefoot running adequately. These findings have implications on the use of footwear applied in future research debating the topic of barefoot or minimalist shoe running.

Efficacy of screening methods used in breeding for black pod ...

African Journals Online (AJOL)

The disease affects the pods, beans, flower cushions, leaves, stems and roots. The objective of this study was to evaluate the efficacy of resistance screening methods used in breeding black pod disease resistance in cocoa. The resistance of cocoa leaves and pods to Phytophthora palmivora was investigated in twenty five ...

46 CFR 160.048-5 - Inspections and tests. 1

Science.gov (United States)

2010-10-01

... samples and components produced to maintain the quality of the finished product. Records of tests conducted by the manufacturer and records of materials, including affidavits by suppliers that applicable... the cushion and cut three slits in the vinyl film, each not less than 6 inches in length on both sides...

Droop Control with Improved Disturbance Adaption for PV System with Two Power Conversion Stages

DEFF Research Database (Denmark)

Liu, Hongpeng; Loh, Poh Chiang; Wang, Xiongfei

2016-01-01

with no or insufficient storage for cushioning climatic changes. In addition, most droop-controlled literatures have assumed a single dc-ac inverter with its input dc source fixed. Front-end dc-dc converter added to a two-stage photovoltaic (PV) system has therefore usually been ignored. To address these unresolved...