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Sample records for sand sore bind

  1. Cold Sores

    Science.gov (United States)

    ... Previous Next Related Articles: Canker and Cold Sores Aloe Vera May Help Relieve Mouth Sores Canker Sore or Cold Sore? Mouth Sores: Caused By Student Stress? games Home | InfoBites | Find a Dentist | Your Family's Oral Health | Newsroom | RSS About AGD | Contact AGD | Site Map | ...

  2. Thermal analysis of moulding sands with a polyacrylic binding agent

    Directory of Open Access Journals (Sweden)

    B. Grabowska

    2008-03-01

    Full Text Available Heating of materials causes their physical or chemical changes accompanied by thermal clfccts. Thcrmnl cfrccts of plymcrs an: rclarcd totheir structural changes. such as: melting, crystallization, polymorphous transformations, vitrification. dcgradnlion, dcstmct ion as wcll nsintramolecular or intermolecular reactions. Samples of sodium ptyacrylatc (uscd as a binding agcnr, high-silica sand (grain matrix andsamplcs of moulding sands with a potyacrylic binder aftcr hardening were tcsted derivatographically. Samplcs For thcrmal analysis wcrctaken from sham blocks aRer pcrrorming strcnglh tcsts. Invcstigations wcrc done within the tcmpcmturc rangc: 25-1000°C.Mct hds of thcrmal analysis (DTA,T G} were uscd to dacminc thc thcrmal stability of thc tcstcd snmplcs by cstablisbing rhc tcmpcsaturcand thermal effccts of transformations occurring during hcating. In addition, the invcstigations wcrc to dctcsminc changcs raking placcinside moulding sands whcn in contact with molten mctal. On the basis of differences in Ihermograms of moulding sand samptcs withpolyacrylic binding agcnt. hdcncd cithcr by Ca(Olll and C0: or by microwaves, onc cnn infcr that significant strucrural changesoccurrcd aftcr cross-linking. Thosc changes are rclatcd to intra- and intermolecular rcactions and thc way of hardcning influcnccs thccross-linking reaction - which was also confirmed by mcws of thc spectroscopic investigations (IT-IR. Rarnan, NMR.

  3. Pressure Sores

    Science.gov (United States)

    Pressure sores are areas of damaged skin caused by staying in one position for too long. They ... wheelchair, or are unable to change your position. Pressure sores can cause serious infections, some of which ...

  4. Sore Throats

    Science.gov (United States)

    ... relievers may help, if appropriate, your doctor may write you a prescription for an antibiotic. What are the causes and symptoms of a sore throat? Infections by contagious viruses or bacteria are the source of the majority ...

  5. Mouth Sores

    Science.gov (United States)

    ... contains fluoride. Note that whitening toothpastes may contain hydrogen peroxide, which can irritate sore mouths. Remove and ... Life Events College Relay For Life Donate a Car Ways to Give Memorial Giving Planned Giving Leadership ...

  6. Mouth Sores

    Science.gov (United States)

    ... or difficulty in swallowing, speaking, or chewing; any wart-like mass; hoarseness that lasts for more than two weeks; or any numbness in the oral/facial region. Tips to prevent mouth sores •Stop smoking. •Reduce stress. •Avoid injury to the mouth caused by hard ...

  7. Sore Society

    DEFF Research Database (Denmark)

    Fausing, Bent

    2014-01-01

    This is not brand new; in fact, I do not even mention the word selfie. However, it was very rewarding for me in terms of the intellectual and emotional richness and challenge, I got in return from working with this article and the questions and the answers it deals with. Maybe it will be good...... for you, too, now. Furthermore I write in the beginning: “The characteristics of digital images and the use Orlan makes of them, as well as the crisis in representation that she and the media mark, are linked with the notion of 'sore society’. Why is there a displacement from representation towards...

  8. Rebounding process of moulding sands-thermal degradation of bentonite binding qualities

    Directory of Open Access Journals (Sweden)

    R. Dańko

    2010-01-01

    Full Text Available Problems related to a gradual degradation of binding qualities of montmorillonite, the main component of foundry bentonites, are presented in the paper. This degradation is caused by high temperatures originated from liquid metal influencing moulding sands. Laboratory measurements of an active binding agent content in classic moulding sands prepared with two types of bentonite and subjected to a controlled heating to high temperatures – were performed. These laboratory examinations were compared to industrial tests, in which a temperature distribution was being determined in several places in the thickness of the casting ingot mould for 24 hours from the moment of pouring liquid metal. On the basis of the performed examinations, the method allowing to determine optimal additions in the rebounding process of the tested bentonites was developed.

  9. Method of the Moulding Sands Binding Power Assessment in Two-Layer Moulds Systems

    Directory of Open Access Journals (Sweden)

    M. Holtzer

    2014-07-01

    Full Text Available More and more foundry plants applying moulding sands with water-glass or its substitutes for obtaining the high-quality casting surface at the smallest costs, consider the possibility of implementing two-layer moulds, in which e.g. the facing sand is a sand with an organic binder (no-bake type and the backing sand is a sand with inorganic binder. Both kinds of sands must have the same chemical reaction. The most often applied system is the moulding sand on the water-glass or geopolymer bases - as the backing sand and the moulding sand from the group of self-hardening sands with a resol resin - as the facing sand. Investigations were performed for the system: moulding sand with inorganic GEOPOL binder or moulding sand with water glass (as a backing sand and moulding sand, no-bake type, with a resol resin originated from various producers: Rezolit AM, Estrofen, Avenol NB 700 (as a facing sand. The LUZ apparatus, produced by Multiserw Morek, was adapted for investigations. A special partition with cuts was mounted in the attachment for making test specimens for measuring the tensile strength. This partition allowed a simultaneous compaction of two kinds of moulding sands. After 24 hours of hardening the highest values were obtained for the system: Geopol binder - Avenol resin.

  10. Cold Sores (HSV-1)

    Science.gov (United States)

    ... A Week of Healthy Breakfasts Shyness Cold Sores (HSV-1) KidsHealth > For Teens > Cold Sores (HSV-1) A A A What's in this article? ... or around a person's lips, are caused by herpes simplex virus-1 (HSV-1) . But they don't ...

  11. Stage-specific adhesion of Leishmania promastigotes to sand fly midguts assessed using an improved comparative binding assay.

    Directory of Open Access Journals (Sweden)

    Raymond Wilson

    2010-09-01

    Full Text Available The binding of Leishmania promastigotes to the midgut epithelium is regarded as an essential part of the life-cycle in the sand fly vector, enabling the parasites to persist beyond the initial blood meal phase and establish the infection. However, the precise nature of the promastigote stage(s that mediate binding is not fully understood.To address this issue we have developed an in vitro gut binding assay in which two promastigote populations are labelled with different fluorescent dyes and compete for binding to dissected sand fly midguts. Binding of procyclic, nectomonad, leptomonad and metacyclic promastigotes of Leishmania infantum and L. mexicana to the midguts of blood-fed, female Lutzomyia longipalpis was investigated. The results show that procyclic and metacyclic promastigotes do not bind to the midgut epithelium in significant numbers, whereas nectomonad and leptomonad promastigotes both bind strongly and in similar numbers. The assay was then used to compare the binding of a range of different parasite species (L. infantum, L. mexicana, L. braziliensis, L. major, L. tropica to guts dissected from various sand flies (Lu. longipalpis, Phlebotomus papatasi, P. sergenti. The results of these comparisons were in many cases in line with expectations, the natural parasite binding most effectively to its natural vector, and no examples were found where a parasite was unable to bind to its natural vector. However, there were interesting exceptions: L. major and L. tropica being able to bind to Lu. longipalpis better than L. infantum; L. braziliensis was able to bind to P. papatasi as well as L. major; and significant binding of L. major to P. sergenti and L. tropica to P. papatasi was observed.The results demonstrate that Leishmania gut binding is strictly stage-dependent, is a property of those forms found in the middle phase of development (nectomonad and leptomonad forms, but is absent in the early blood meal and final stages (procyclic

  12. Soil restoration research advances of artificial sand-binding vegetation ecosystem in the Tengger Desert, Northern China

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Soil plays an important role in desert ecosystem, and is vital in constructing a steady desert ecosystem. The management and restoration of desertified land have been the focus of much discussion. The soil in Shapotou desert region has developed remarkably since artificial sand-binding vegetation established in 1946. The longer the period of dune stabilization, the greater the thickness of microbiotic crusts and subsoil. Meanwhile, proportion of silt and clay increased significantly, and soil bulk density declinced. The content of soil organic matter, N, P, and K similarly increased. Therefore, soil has developed from aeolian sand soil to Calcic-Orthic aridisols. This paper discusses the effects brought about by dust, microbiotic soil crust and soil microbes on soil-forming process. Then, we analyzed the relation between soil formation and sand-binding vegetation evolution, in order to provide a baseline for both research on desert ecosystem recovery and ecological environment governance in arid and semi-arid areas.

  13. Sore Throat: Treatment

    Science.gov (United States)

    ... for a sore throat are often packaged as teas, sprays or lozenges. Common alternative remedies include: Slippery ... Clinic does not endorse any of the third party products and services advertised. Advertising and sponsorship policy ...

  14. Canker Sores (For Parents)

    Science.gov (United States)

    ... such as potato chips and nuts, which can irritate gums and other delicate mouth tissues try brushing ... foods (such as lemons and tomatoes), which can irritate tender mouth sores Reviewed by: Patricia Solo-Josephson, ...

  15. Herpes Simplex Virus (Cold Sores)

    Science.gov (United States)

    ... Print Share Cold Sores in Children: About the Herpes Simplex Virus Page Content ​A child's toddler and ... Cold sores (also called fever blisters or oral herpes) start as small blisters that form around the ...

  16. Bedsores (Pressure Sores)

    Science.gov (United States)

    Bedsores (pressure ulcers) Overview By Mayo Clinic Staff Bedsores — also called pressure ulcers and decubitus ulcers — are injuries to skin and underlying tissue resulting from prolonged pressure on the skin. Bedsores most ... quickly. Most sores heal with treatment, but some never heal completely. ...

  17. [Pressure sore revision surgery].

    Science.gov (United States)

    Dorsche, Karin Marion

    2010-02-22

    Pressure sores are a major problem for patients as well as society in general. Immobilised patients are especially at risk. This group of patients with pressure sores should be hospitalised to perform surgical revision of the wound and reconstruction using a flap. Such surgery demands extensive postoperative relief of the flap. The University Centre for Wound Healing at Odense University Hospital has tested the effects of a reduction of the formerly recommended relief period from three to two weeks. In this article we report results covering all patients who have undergone surgery and reconstruction of pressure sores during the period from 1st October 2001 to 1st November 2008. The results are divided into two periods: the period before and the period after the introduction of the reduced relief period. A total of 80 patients were included; 34 in the first period and 46 in the second period. We achieved a considerable reduction in median length of stay from 38 to 27 days with no increase in surgical or complication frequency. Furthermore, the share of fully healed remained unchanged. We believe that there is no risk in shortening the immobile postoperative relief phase following reconstruction of pressure wounds in immobilised patients.

  18. Factors in delayed muscle soreness.

    Science.gov (United States)

    Abraham, W M

    1977-01-01

    The possible causes of delayed muscle soreness which occur 24 to 48 hr after exercise were examined from three different approaches, each designed to test an existing hypothesis. Surface electromyograms were used to evaluate the muscle spasm theory; the possibility of actual muscle cell damage was monitored by the presence of myoglobinuria, while the ratio of hydroxyproline/creatinine (OHP/Cr) in 24 hr urine collection was used as a marker for connective tissue involvement. In the first study, although all volunteers developed muscle soreness 24 and 48 hr after exercise, no change in the EMG activity of the sore muscles was observed. Myoglobin excretion was found in 88% of the subjects who developed soreness. However, in a second study, 92% of the subject who performed both moderate and heavy exercise but did not develop muscle soreness had myoglobinuria. In contrast, during a third experiment subjects on gelatin-free diets showed an increase (P less than .1) in the OHP/Cr between control (.020+/-.001) and 48 hr post-exercise (.002+/-.001, X+/-SE). Soreness resulted in all cases. When the OHP/Cr value is taken for the day of maximal soreness, the post-exercise mean increases to .024+/-.001 and the level of significance rises (P less than .005). These observations support the concept that exercise induced soreness may be related to disruption of the connective tissue elements in the muscle and/or their attachments.

  19. MECHANICAL REGENERATION OF SAND WASTE

    Directory of Open Access Journals (Sweden)

    D. I. Gnir

    2005-01-01

    Full Text Available The experimental activation of the sand regenerator of the firm SINTO is carried out at ОАО “MZOO". It is shown that sand grains are cleared from films of binding agents, that allows to use the treated sand for preparation of agglutinant and core sands.

  20. Nutritional status, pressure sores, and mortality in elderly patients with cancer.

    Science.gov (United States)

    Waltman, N L; Bergstrom, N; Armstrong, N; Norvell, K; Braden, B

    1991-07-01

    This prospective study aimed to determine differences in nutritional status, incidence of pressure sores, and incidence of mortality between two groups, one composed of 33 elderly, institutionalized patients with cancer and the other a matched group of 33 patients without cancer. Subjects with cancer were paired with subjects without cancer based on age (mean = 78), sex, and pressure sore risk. Skin breakdown, dietary intake, and blood and serum indices of nutritional status were studied for 12 weeks. Of the subjects with cancer, 85% developed pressure sores, compared to 70% of the subjects without cancer. Hemoglobin (Hgb) (female), serum total protein, total lymphocyte count, serum albumin, serum total iron binding capacity, and serum transferrin were significantly lower in subjects with cancer with pressure sores than in subjects without cancer with pressure sores. Total lymphocyte count and serum total protein were significantly lower in subjects with cancer with pressure sores than in subjects with cancer without pressure sores. Kwashiorkor was found in 70% of the subjects with cancer, compared to 21% of the subjects without cancer. During the study, 39% of the subjects with cancer and 15% of the subjects without cancer died. All 13 of the subjects with cancer who died had kwashiorkor and pressure sores and had died an average of three weeks after developing pressure sores. These results implicate that elderly patients with cancer who have protein deficiencies should be considered to be at risk of pressure sore development. Frequent repositioning and mattress overlays that reduce pressure and increase comfort may delay development of pressure sores.(ABSTRACT TRUNCATED AT 250 WORDS)

  1. Perceived Muscle Soreness in Recreational Female Runners

    OpenAIRE

    Burnett, D; Smith, K; Smeltzer, C.; Young, K.; Burns, S

    2010-01-01

    The purpose of this study was to determine if rating of perceived exertion correlated with perceived muscle soreness during delayed onset muscle soreness (DOMS) in female runners. This study examined the pre and post running economy measures and perceived muscle soreness before and after a 30-min downhill run (DHR) at −15% grade and 70% of the subjects predetermined maximum oxygen uptake (VO2 peak). Six female recreational runners (mean age = 24.5) performed level running at 65%, 75%, and 85%...

  2. Seasonal variation in soil microbial biomass carbon and nitrogen in an artificial sand-binding vegetation area in Shapotou, northern China

    Institute of Scientific and Technical Information of China (English)

    YuYan Zhou; XuanMing Zhang; XiaoHong Jia; JinQin Ma; YanHong Gao

    2013-01-01

    In this study, seasonal variation characteristics of surface soil microbial biomass carbon (MBC) and soil microbial biomass nitrogen (MBN) of an artificial vegetation area located in Shapotou for different time periods were studied using the chloroform fumigation method, and the results were compared with those of near-natural vegetation areas and mobile dunes. Results showed that the MBC and MBN levels in the 0-5 cm soil layer were higher in autumn than in summer and spring. As the prolongation of vegetation restoration raised the MBC and MBN levels in summer and autumn, no clear variation was found in spring. However, the MBC and MBN in 5-20 cm had no obvious seasonal variation. During summer and autumn, the variation trend of MBC and MBN in the vertical direction was shown to be 0-5>5-10>10-20 cm in the vegetation area, while for mobile dunes, the MBC and MBN levels increased as the depth increased. The natural vegetation area was shown to possess the highest MBC and MBN levels, and yet mobile dunes have the lowest MBC and MBN levels. MBC and MBN levels in artificial sand-binding vegetation increased with the prolongation of vegetation restoration, indicating that the succession of sand-binding vegetation will result in the ac-cumulation of soil carbon and nitrogen, as well as the restoration of soil fertility.

  3. Pressure sore prevention in acutely ill patients.

    Science.gov (United States)

    James, H

    1997-03-01

    A wide range of factors affect the skin's ability to withstand pressure, friction and shear. Clinically validated pressure-relieving equipment is essential to prevent pressure sores in acutely ill patients. A successful pressure sore prevention strategy depends on sufficient resource allocation, appropriate levels and types of preventive equipment and evaluation.

  4. Evidence-based medicine: pressure sores.

    Science.gov (United States)

    Cushing, Carolyn A; Phillips, Linda G

    2013-12-01

    After studying this article, the participant should be able to: 1. Cite risk factors for pressure sore development. 2. Detail the pathophysiology of pressure sores. 3. List the types and classification of pressure sores. 4. Consider the various nonsurgical conservative wound management strategies. 5. Describe the appropriate surgical interventions for each pressure sore type. 6. Understand the causes of recurrent pressure sores and methods of avoiding recurrence. Pressure sores are the result of unrelieved pressure, usually over a bony prominence. With an estimated 2.5 million pressure ulcers treated annually in the United States at a cost of $11 billion, pressure sores represent a costly and labor-intensive challenge to the health care system. A comprehensive team approach can address both prevention and treatment of these recalcitrant wounds. Consideration must be given to the patient's medical and socioeconomic condition, as these factors are significantly related to outcomes. Mechanical prophylaxis, nutritional optimization, treatment of underlying infection, and spasm control are essential in management. A variety of pressure sore patterns exist, with surgical approaches directed to maximize future coverage options. A comprehensive approach is detailed in this article to provide the reader with the range of treatment options available.

  5. Pressure sore prevention in nursing homes.

    Science.gov (United States)

    Clay, M

    Staff working in nursing homes are caring for increasingly dependent residents who are consequently at great risk of developing pressure sores. Mary Clay offers a guide to the essential principles of pressure sore prevention as a teaching aid for all caring staff.

  6. The limits of pressure sore prevention.

    Science.gov (United States)

    Hagisawa, S; Barbenel, J

    1999-11-01

    Pressure sore prevalence and incidence were assessed in 275 patients who were admitted to a well-staffed internal medicine ward during a 12-month study period or who were present on day 1. Pressure sore risk was assessed by use of the Braden scale and patients scoring 16 or less were provided with intensive preventive care. During the study period 5.1% (95% confidence interval 2.7-7.8) of 275 patients had pressure sores (prevalence) and 4.4% (1.9-6.9) developed sores (incidence). None of the 239 patients who were assessed as not being at risk developed a sore. 36 patients were assessed as being at risk at some time during the study and 12 of these developed sores despite receiving high-quality preventive care. The results suggest that not all pressure sores can be prevented in severely ill patients. We believe that the 4.4% incidence of sores in this study approaches the current limit of prevention.

  7. Why Are My Breasts Sore? (For Teens)

    Science.gov (United States)

    ... sure? Why Do I Have Breasts Anyway? All mammals have breasts and humans are no exception. Breasts, ... Ache? Most PMS symptoms, including breast soreness, should disappear as your period begins. Over-the-counter pain ...

  8. How to care for pressure sores

    Science.gov (United States)

    ... Hips Heels Ankles Shoulders Back Back of head Caring for a Pressure Sore Stage I or II ... Bethesda, MD 20894 U.S. Department of Health and Human Services National Institutes of Health Page last updated: ...

  9. Free flaps for pressure sore coverage.

    Science.gov (United States)

    Lemaire, Vincent; Boulanger, Kevin; Heymans, Oliver

    2008-06-01

    Management of pressure sores still represents a major challenge in plastic surgery practice due to recurrence. The surgeon may have to face multiple or recurrent pressure ulcerations without any local flap left. In this very limited indication, free flap surgery appears to be a useful adjunct in the surgical treatment. We reviewed our charts looking for patients operated for a pressure sore of the sacral, ischial, or trochanteric region. We found 88 consecutive patients representing 108 different pressure sores and 141 flap procedures. Among these patients, 6 presented large sores that could not be covered with a pedicled flap and benefited from free flap surgery (4.2% of all procedures). Stable coverage was achieved in 80% of these patients after a mean follow-up of 32 months. Comparison between pedicled and free flaps groups showed a trend in the latest concerning the presence of diabetes, incontinence, paraplegia, and male sex.

  10. Fontainebleau Sand

    DEFF Research Database (Denmark)

    Leth, Caspar Thrane

    2006-01-01

    The report is a summary of results from laboratory tests in the geotechncial research group on Fontainebleau sand.......The report is a summary of results from laboratory tests in the geotechncial research group on Fontainebleau sand....

  11. Pressure sore risk assessment in palliative care.

    Science.gov (United States)

    Chaplin, J

    2000-01-01

    Pressure sore prevention in palliative care is recognized as being an essential element of holistic care, with the primary goal of promoting quality of life for patient and family. Little is known about the incidence of pressure sore development and the use of pressure sore risk assessment tools in palliative care settings. The development of a risk assessment tool specifically for palliative care patients in a 41-bedded specialist palliative care unit is described. The risk assessment tool was developed as part of a tissue viability practice development initiative. The approach adopted in the validation of the Hunters Hill Marie Curie Centre pressure sore risk assessment tool was the comparative analysis of professional judgment of experienced palliative care nurses with the numerical scores achieved during the assessment of risk on 291 patients (529 risk assessment events). This comparative analysis identified the threshold for different degrees of risk for the patient group involved: low risk, medium risk, high risk and very high risk. Further work is being undertaken to evaluate the inter-rater reliability of the new tool. A number of issues are explored in this paper in relation to pressure sore prevention in palliative care: the role of risk assessment tools, the sometimes conflicting aims of trying to ensure comfort and prevent pressure sore damage, and the uncertainties faced by palliative care nurses when they are trying to maintain quality of life for the dying.

  12. [Delayed post effort muscle soreness].

    Science.gov (United States)

    Coudreuse, J M; Dupont, P; Nicol, C

    2004-08-01

    Muscle intolerance to exercise may result from different processes. Diagnosis involves confirming first the source of pain, then potential pathological myalgia. Delayed-onset muscle soreness (DOMS), commonly referred as tiredness, occurs frequently in sport. DOMS usually develops 12-48 h after intensive and/or unusual eccentric muscle action. Symptoms usually involve the quadriceps muscle group but may also affect the hamstring and triceps surae groups. The muscles are sensitive to palpation, contraction and passive stretch. Acidosis, muscle spasm and microlesions in both connective and muscle tissues may explain the symptoms. However, inflammation appears to be the most common explanation. Interestingly, there is strong evidence that the progression of the exercise-induced muscle injury proceeds no further in the absence of inflammation. Even though unpleasant, DOMS should not be considered as an indicator of muscle damage but, rather, a sign of the regenerative process, which is well known to contribute to the increased muscle mass. DOMS can be associated with decreased proprioception and range of motion, as well as maximal force and activation. DOMS disappears 2-10 days before complete functional recovery. This painless period is ripe for additional joint injuries. Similarly, if some treatments are well known to attenuate DOMS, none has been demonstrated to accelerate either structural or functional recovery. In terms of the role of the inflammatory process, these treatments might even delay overall recovery.

  13. Perceived Muscle Soreness in Recreational Female Runners.

    Science.gov (United States)

    Burnett, D; Smith, K; Smeltzer, C; Young, K; Burns, S

    The purpose of this study was to determine if rating of perceived exertion correlated with perceived muscle soreness during delayed onset muscle soreness (DOMS) in female runners. This study examined the pre and post running economy measures and perceived muscle soreness before and after a 30-min downhill run (DHR) at -15% grade and 70% of the subjects predetermined maximum oxygen uptake (VO2 peak). Six female recreational runners (mean age = 24.5) performed level running at 65%, 75%, and 85% of their VO2 peak prior to DHR (baseline economy runs), as well as, immediately following and 4 successive days after the DHR. Subjective response related to perceived muscle soreness increased significantly from a mean of 2 (pre DHR) to 62 (2 days post DHR) on a scale of 1-100. Creatine kinase levels and oxygen consumption increased post DHR compared to pre DHR. Rating of perceived exertion did not change between the economy runs performed prior to or at any point after the DHR. Perceived muscle soreness is a better tool than the RPE scale to monitor exercise intensity for recreational female runners during periods of DOMS and running economy is adversely affected by DOMS.

  14. Perceived Muscle Soreness in Recreational Female Runners

    Science.gov (United States)

    Burnett, D.; Smith, K.; Smeltzer, C.; Young, K.; Burns, S.

    2010-01-01

    The purpose of this study was to determine if rating of perceived exertion correlated with perceived muscle soreness during delayed onset muscle soreness (DOMS) in female runners. This study examined the pre and post running economy measures and perceived muscle soreness before and after a 30-min downhill run (DHR) at −15% grade and 70% of the subjects predetermined maximum oxygen uptake (VO2 peak). Six female recreational runners (mean age = 24.5) performed level running at 65%, 75%, and 85% of their VO2 peak prior to DHR (baseline economy runs), as well as, immediately following and 4 successive days after the DHR. Results: Subjective response related to perceived muscle soreness increased significantly from a mean of 2 (pre DHR) to 62 (2 days post DHR) on a scale of 1–100. Creatine kinase levels and oxygen consumption increased post DHR compared to pre DHR. Rating of perceived exertion did not change between the economy runs performed prior to or at any point after the DHR. Conclusion: Perceived muscle soreness is a better tool than the RPE scale to monitor exercise intensity for recreational female runners during periods of DOMS and running economy is adversely affected by DOMS. PMID:27182336

  15. Pressure sore survey. Part 3: Locus of control.

    Science.gov (United States)

    Maylor, M; Torrance, C

    1999-03-01

    This is the third in a three-part article which investigates the prevalence, knowledge and attitudes to pressure sores in one NHS trust. This study describes the methodology used in choosing and developing attitude scales to explore whether there are any relationships between the locus of control and pressure sore prevention. Factors to do with attitude and the value associated with pressure sore prevention have a central role. Attitudes and beliefs affect what we do and may contribute to pressure sore development.

  16. Silicone moulding for pressure sore debridement.

    Science.gov (United States)

    Erba, P; Wettstein, R; Schumacher, R; Schwenzer-Zimmerer, K; Pierer, G; Kalbermatten, D F

    2010-03-01

    The radicality of wound debridement is an important feature of the surgical treatment of pressure sores. Several methods such as injection of methylene blue or hydrogen peroxide have been proposed to facilitate and optimise the surgical debridement technique, but none of them proved to be sufficient. We present an innovative modification of the pseudo-tumour technique consisting in the injection of fluid silicone. Vulcanization of the silicone leads to pressure-sore moulding, permitting a more radical and sterile excision. In a series of 10 paraplegic patients presenting with ischial pressure sores, silicone moulding was used to facilitate debridement. Radical en bloc debridement was achieved in all patients. After a minimal follow-up of 2 years, no complications and recurrences occurred. A three-dimensional (3D) analysis of the silicone prints objectified the pyramidal shape of ischial pressure sores. Our study showed that complete resection without capsular lesion can be easily achieved. Further, it allows the surgeon to analyse the shape and size of the resected defect, which might be helpful to select the appropriate defect coverage technique. (c) 2008 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  17. Delayed onset muscle soreness: is massage effective?

    Science.gov (United States)

    Nelson, Nicole

    2013-10-01

    Despite the widespread occurrence of delayed onset muscle soreness (DOMS), there is little consensus as to the exact cause or which treatments may be most effective at alleviating symptoms. Greater understanding of DOMS can give sports medicine and fitness professionals an opportunity to help prevent or speed recovery of this performance limiting condition. This article will review the DOMS literature, including the potential role of psychosocial factors and explore studies which involve massage therapy as a treatment modality. Articles from PubMed, MEDLINE, Google Scholar, and references from articles are included in this review. Search words and phrases included delayed onset muscle soreness, repeated bout effect, massage effectiveness, exercise induced muscle damage, and eccentric exercise.

  18. The principles of pressure sore prevention.

    Science.gov (United States)

    Quinn, D

    In the first Practice Profile to be published in Nursing Standard, Debbie Quinn demonstrates how studying a Continuing Education reader helped to develop an area of clinical practice--the prevention of pressure sores. Continuing Education Readers are made up of between four and six CPD (previously CE) articles and Debbie based her Profile on one of these. We will be publishing further Practice Profiles related to CPD articles.

  19. Sore throat and hoarseness after total intravenous anaesthesia.

    Science.gov (United States)

    Maruyama, K; Sakai, H; Miyazawa, H; Toda, N; Iinuma, Y; Mochizuki, N; Hara, K; Otagiri, T

    2004-04-01

    Sore throat and hoarseness are common complications, but these have not been studied after total i.v. anaesthesia. We prospectively studied 418 surgical patients, aged 15-92 yr, after total i.v. anaesthesia with propofol, fentanyl and ketamine to assess possible factors associated with sore throat and hoarseness. We found sore throat in 50% and hoarseness in 55% of patients immediately after surgery. This decreased to 25% for sore throat and 24% for hoarseness on the day after surgery. Both sore throat and hoarseness were more common in females and when lidocaine spray had been used. Cricoid pressure during laryngoscopy was inversely associated with the risk of sore throat. Knowledge of these factors may reduce postoperative throat complications, and improve patient satisfaction.

  20. Lidocaine for preventing postoperative sore throat.

    Science.gov (United States)

    Tanaka, Yuu; Nakayama, Takeo; Nishimori, Mina; Tsujimura, Yuka; Kawaguchi, Masahiko; Sato, Yuki

    2015-07-14

    Sore throat is a common side-effect of general anaesthesia and is reported by between 30% and 70% of patients after tracheal intubation. The likelihood of a sore throat varies with the type, diameter, and cuff pressure of the endotracheal tube used. If intubation is essential, it may be helpful to give drugs prophylactically to alleviate postoperative sore throat. Local anaesthetics and steroids have been used for this purpose. This review was originally published in 2009 and was updated in 2015. The objective of this review was to evaluate the efficacy and any harm caused by topical and systemic lidocaine used prophylactically to prevent postoperative sore throat in adults undergoing general anaesthesia with endotracheal intubation. We searched CENTRAL (The Cochrane Library 2013, Issue 9), MEDLINE (January 1966 to October 2013), and EMBASE (1980 to October 2013). We also contacted manufacturers and researchers in the field. The original search was undertaken in June 2007. We reran the search in February 2015 and found four studies of interest. We will deal with those studies when we next update the review. We included randomized controlled trials (RCTs) of topical and systemic prophylactic lidocaine therapy versus control (using air or saline) that reported on the risk and severity of postoperative sore throat as an outcome. Two authors independently assessed trial quality and extracted data. We contacted study authors for additional information, such as the risk of any adverse effects. We included 19 studies involving 1940 participants in this updated review. Of those 1940 participants, 952 received topical or systemic lidocaine therapy and 795 were allocated to the control groups. Topical and systemic lidocaine therapy appeared to reduce the risk of postoperative sore throat (16 studies, 1774 participants, risk ratio (RR) was 0.64 (95% confidence interval (CI) 0.48 to 0.85), the quality of the evidence was low), although when only high-quality trials were

  1. The efficacy of ketamine gargles on postoperative sore throat

    OpenAIRE

    Maryam Hadavi; Mohsen Rezaeian

    2011-01-01

    Background: Sore throat is one of the major post-operative complications. Despite efforts to reduce sore throat, this complication is still one of the main problems after surgery. The aim of this study was to analyze the effectiveness of ketamine gargle on sore throat after tracheal intubation.Materials and method: This double blind clinical trial was performed on 120, ASA-I and II, patients undergoing elective surgery for herniorrhaphy under general anesthesia. Patients in group 1 were gargl...

  2. The efficacy of ketamine gargles on postoperative sore throat

    Directory of Open Access Journals (Sweden)

    Maryam Hadavi

    2011-10-01

    Full Text Available Background: Sore throat is one of the major post-operative complications. Despite efforts to reduce sore throat, this complication is still one of the main problems after surgery. The aim of this study was to analyze the effectiveness of ketamine gargle on sore throat after tracheal intubation.Materials and method: This double blind clinical trial was performed on 120, ASA-I and II, patients undergoing elective surgery for herniorrhaphy under general anesthesia. Patients in group 1 were gargled 40 mg ketamine in 30mg saline and in group 2, only 30ml saline. For third group we did not do any intervention. Postoperative sore throat was graded at 0, 2, 4 and 24 h after operation on Verbal Analogue Scale (0-4.Results: Postoperative sore throat occurred less frequently in group 1, when compared with groups 2 and 3, but the difference was not significant. Frequently sore throat was reported at two hours after surgery. In this study, there was no severe (score 3 or very severe (score 4 sore throat. No systemic or local side effects were observed. Conclusion: In this study, ketamine gargle reduced the incidence and severity of post-operative sore throat. Therefore, gargling of ketamine solution is recommended for cases that need to tracheal intubation, especially when the probability of difficult intubation and post-operative sore throat is high

  3. The ′reading man flap′ for pressure sore reconstruction

    Directory of Open Access Journals (Sweden)

    Stamatis Sapountzis

    2011-01-01

    Full Text Available Background: The treatment of pressure sores represents a significant challenge to health care professionals. Although, pressure wound management demands a multidisciplinary approach, soft tissue defects requiring reconstruction are often considered for surgical management. Myocutaneous and fasciocutaneous flaps can provide stable coverage of pressure sores. Purpose: Here, we describe our experience using a recent fasciocutaneous flap, which is named ′reading man′ flap, in sacral, ischial, and trochanteric pressure sores. Materials and Methods: During a period of 1 year the authors operated 16 patients, 11 men, and 5 women, using the reading man flap. The ages of the patients ranged from 24 to 78 years. The location of pressure sores was 8 sacral, 5 ischial, and 3 trochanteric pressure sores. The mean size of pressure sores was 8 cm × 9 cm. Results: All pressure sores covered bt the Reading Man flap healed asymptomatically. After follow-up of 2-8 months, no recurrences were encountered and no further surgical intervention was required. Conclusion: The reading man flap was found to be a useful technique for the closure of pressure sore in different anatomic locations. The advantage of tension-free closure and the minimal additional healthy skin excision made this flap a useful tool in pressure sore reconstructions.

  4. The 'reading man flap' for pressure sore reconstruction.

    Science.gov (United States)

    Sapountzis, Stamatis; Park, Hyoung Joon; Kim, Ji Hoon; Chantes, Achilleas; Beak, Rong Min; Heo, Chan Yeong

    2011-09-01

    The treatment of pressure sores represents a significant challenge to health care professionals. Although, pressure wound management demands a multidisciplinary approach, soft tissue defects requiring reconstruction are often considered for surgical management. Myocutaneous and fasciocutaneous flaps can provide stable coverage of pressure sores. Here, we describe our experience using a recent fasciocutaneous flap, which is named 'reading man' flap, in sacral, ischial, and trochanteric pressure sores. During a period of 1 year the authors operated 16 patients, 11 men, and 5 women, using the reading man flap. The ages of the patients ranged from 24 to 78 years. The location of pressure sores was 8 sacral, 5 ischial, and 3 trochanteric pressure sores. The mean size of pressure sores was 8 cm × 9 cm. All pressure sores covered bt the Reading Man flap healed asymptomatically. After follow-up of 2-8 months, no recurrences were encountered and no further surgical intervention was required. The reading man flap was found to be a useful technique for the closure of pressure sore in different anatomic locations. The advantage of tension-free closure and the minimal additional healthy skin excision made this flap a useful tool in pressure sore reconstructions.

  5. The ‘reading man flap’ for pressure sore reconstruction

    Science.gov (United States)

    Sapountzis, Stamatis; Park, Hyoung Joon; Kim, Ji Hoon; Chantes, Achilleas; Beak, Rong Min; Heo, Chan Yeong

    2011-01-01

    Background: The treatment of pressure sores represents a significant challenge to health care professionals. Although, pressure wound management demands a multidisciplinary approach, soft tissue defects requiring reconstruction are often considered for surgical management. Myocutaneous and fasciocutaneous flaps can provide stable coverage of pressure sores. Purpose: Here, we describe our experience using a recent fasciocutaneous flap, which is named ‘reading man’ flap, in sacral, ischial, and trochanteric pressure sores. Materials and Methods: During a period of 1 year the authors operated 16 patients, 11 men, and 5 women, using the reading man flap. The ages of the patients ranged from 24 to 78 years. The location of pressure sores was 8 sacral, 5 ischial, and 3 trochanteric pressure sores. The mean size of pressure sores was 8 cm × 9 cm. Results: All pressure sores covered bt the Reading Man flap healed asymptomatically. After follow-up of 2-8 months, no recurrences were encountered and no further surgical intervention was required. Conclusion: The reading man flap was found to be a useful technique for the closure of pressure sore in different anatomic locations. The advantage of tension-free closure and the minimal additional healthy skin excision made this flap a useful tool in pressure sore reconstructions. PMID:22279278

  6. Pressure sore prevention in hospital patients: a clinical audit.

    Science.gov (United States)

    Grewal, P S; Sawant, N H; Deaney, C N; Gibson, K M; Gupta, A M; Haverty, P F; Panditaratne, H G; Samarasinghe, S R; Sharma, A; Singh, S; Turner, S A; Wilkinson, S L; Wood, S P; Glickman, S

    1999-03-01

    Pressure sores cause significant mortality and morbidity as well as being a financial burden on health-care services. Reduction of pressure sore incidence is a Department of Health priority. Pressure sores are accepted as largely preventable complications of illness and disability and the means to achieve prevention are available. The aim of this clinical audit was to identify potential contributing factors to pressure sore acquisition in an acute hospital setting. The results suggest that substantial changes in the approach to clinical management may be needed.

  7. Pressure sores and pressure sore prevention in a rehabilitation setting: building information for improving outcomes and allocating resources.

    Science.gov (United States)

    Baggerly, J; DiBlasi, M

    1996-01-01

    Quantifiable information regarding pressure sore prevention and management is a prerequisite for program development, outcome evaluation, and resource allocation. In this study, all patients admitted to an acute rehabilitation setting (N = 446) during a 2-month period were assessed for the presence of a pressure sore, the risk for developing a pressure sore, the rate of agreement between "objective" (Braden scale) and "subjective" (standard nursing admission data) measures of risk and outcome, and the status of pressure sores at discharge. This article provides the details of the project and implications for rehabilitation nursing practice.

  8. Effects of intravenous diclofenac on postoperative sore throat in ...

    African Journals Online (AJOL)

    EB

    patients undergoing laparoscopic surgery at Aga Khan University ... Background: postoperative sore throat is the commonest complication after ... Data of the baseline characteristics, the incidence and severity of sore throat ..... applied to the anterior aspect of the neck, Ozaki et ... Nordin U, Lindholm C E, Wolgast M. Blood.

  9. Prevention of pressure sores by identifying patients at risk

    DEFF Research Database (Denmark)

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

    1982-01-01

    The risk of pressure sores developing in patients admitted with acute conditions was assessed by a simple risk score system based on age, reduced mobility, incontinence, pronounced emaciation, redness over bony prominences, unconsciousness, dehydration, and paralysis in a prospective clinical study...... of pressure sores prevents their development....

  10. Pressure sores in spinal cord injury: Active intervention saves costs

    African Journals Online (AJOL)

    2008-07-22

    Jul 22, 2008 ... 33% incidence in the acute management phase.1. This high ... noted.2 Pressure sores not only pose a significant risk to the patient, but ... medical/nursing staff education on pressure sore incidence, extended stay and associated costs. Results. ... employed via a private nursing agency to address the.

  11. Does Postexercise Static Stretching Alleviate Delayed Muscle Soreness?

    Science.gov (United States)

    Buroker, Katherine C.; Schwane, James A.

    1989-01-01

    Because many experts recommend stretching after exercise to relieve muscle soreness, 23 subjects performed a 30-minute step test to induce delayed muscle soreness. There was neither temporary relief of pain immediately after stretching nor a reduction in pain during the 3-day postexercise period. (Author/SM)

  12. Prevention of pressure sores by identifying patients at risk

    DEFF Research Database (Denmark)

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

    1982-01-01

    The risk of pressure sores developing in patients admitted with acute conditions was assessed by a simple risk score system based on age, reduced mobility, incontinence, pronounced emaciation, redness over bony prominences, unconsciousness, dehydration, and paralysis in a prospective clinical study...... of pressure sores prevents their development....

  13. 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.

  14. Laser homeostatics on delayed onset muscle soreness

    Science.gov (United States)

    Liu, T. C. Y.; Fu, D. R.; Liu, X. G.; Tian, Z. X.

    2011-01-01

    Delayed onset muscle soreness (DOMS) and its photobiomodulation were reviewed from the viewpoint of function-specific homeostasis (FSH) in this paper. FSH is a negative-feedback response of a biosystem to maintain the function-specific fluctuations inside the biosystem so that the function is perfectly performed. A stressor may destroy a FSH. A stress is a response of a biosystem to a stressor and may also be in stress-specific homeostasis (StSH). A low level light (LLL) is so defined that it has no effects on a function in its FSH or a stress in its StSH, but it modulate a function far from its FSH or a stress far from its StSH. For DOMS recovery, protein metabolism in the Z-line streaming muscular cell is the essential process, but the inflammation, pain and soreness are non-essential processes. For many DOMS phenomena, protein metabolism in the Z-line streaming muscular cell is in protein metabolism-specific homeostasis (PmSH) so that there are no effects of LLL although the inflammation can be inhibited and the pain can be relieved. An athlete or animal in the dysfunctional conditions such as blood flow restriction and exercise exhaustion is far from PmSH and the protein metabolism can be improved with LLL.

  15. Reclaimability of the spent sand mixture – sand with bentonite – sand with furfuryl resin

    Directory of Open Access Journals (Sweden)

    J. Dańko

    2011-04-01

    Full Text Available Introduction of new binding materials and new technologies of their hardening in casting moulds and cores production requires theapplication of reclamation methods adequate to their properties as well as special devices realizing tasks. The spent sands circulationsystem containing the same kind of moulding and core sands is optimal from the point of view of the expected reclamation results.However, in the face of a significant variability of applied technologies and related to them various reclamation methods, the need - of theobtained reclamation products assessment on the grounds of systematic criteria and uniform bases – arises, with a tendency of indicatingwhich criteria are the most important for the given sand system. The reclaimability results of the mixture of the spent moulding sand withGeko S bentonite and the spent core sand with the Kaltharz 404U resin hardened by acidic hardener 100 T3, are presented in the paper.Investigations were performed with regard to the estimation of an influence of core sands additions (10 –25% on the reclaimed materialquality. Dusts and clay content in the reclaim, its chemical reaction (pH and ignition loss were estimated. The verification of the reclaiminstrumental assessment was performed on the basis of the technological properties estimation of moulding sand with bentonite, where the reclaimed material was used as a matrix.

  16. Tissue electrical properties monitoring for the prevention of pressure sore.

    Science.gov (United States)

    Ching, Congo Tak-Shing; Chou, Mei-Yun; Jiang, Siou-Jhen; Huang, Su-Hua; Sun, Tai-Ping; Liu, Wei-Hao; Liu, Chia-Ming

    2011-12-01

    Pressure sores are a significant problem in the healthcare sector. Although they may cause considerable morbidity, they are preventable. The objectives of this study are to (1) investigate the electrical properties of a tissue close to and away from the pressure sore site, and (2) establish a new approach for objective, reliable, low-cost and noninvasive screening or detection of pressure sore in its early stage. Randomised controlled trial. Fifteen patients participated in this study. They all had stage I or stage II sacral pressure sores. Tiny surface electrodes in four-electrode configuration were used for all tissue electrical properties measurements recorded over the frequency range of 30-10 MHz. Intraclass correlation coefficient (ICC) showed that all measurements (ICC > 0.90 for all measurements) had good reliability and validity. The real part of impedance (R) and the imaginary part of impedance (X) of a tissue measured close to the pressure sore site was found to be significantly smaller (p pressure sore site at a specific frequency range (R: 30.00-38.55 Hz; X: 43.95-606.40 Hz). It was also found that the extracellular resistance (R(e)) and the ratio of extracellular resistance to intracellular resistance (R(e)/R(i)) of a tissue measured close to the pressure sore site were significantly smaller (p pressure sore site. Since the electrical properties (R, X, R(e), R(e)/R(i) ) of a tissue close to, and away from, the pressure sore site can be significantly distinguished, a potentially promising method for the screening of pressure sores at an early stage has been proposed.

  17. Sands styrke

    DEFF Research Database (Denmark)

    Jacobsen, H. Moust; Jørgensen, Mogens B.; Poulsen, H. Serup

    1975-01-01

    På grundlag af triaxialforsøg med D=7 og 20 cm og varierende højde på løse og faste lejringer af Blokhussand kan effekten af varierende højde-breddeforhold og spændingsniveau samt skalaeffekten bestemmes. Ved sammenligning med pladeforsøg med overfladelast op til 8 t/m2 kan den almindelige fremga...... fremgangsmåde ved bæreevneberegninger på sand undersøges....

  18. Recent advances in waterglass sand technologies

    Institute of Scientific and Technical Information of China (English)

    ZHU Chun-xi

    2007-01-01

    This paper reports some new understandings and advances in waterglass sand technologies. The multiple chemical modification process can increase the binding strength of the waterglass sand by up to 50%-70%.Therefore, the additions of the modified waterglass can be decreased to 3.0%-4.0% for CO2 process and to 2.0%-2.5% for organic ester hardening process, and greatly improve the collapsibility and reclaimability of the sand. Based on the new understandings and experimental results reported in this paper, several original ideas, such as nano modification, have been proposed to promote advances of waterglass sand technologies,

  19. [Experience in the treatment of severe pressure sore].

    Science.gov (United States)

    Xu, Xi-Sheng; ma, Zheng-Zheng; Zhou, Yong-Sheng; Ou, Cai-Sheng; Cheng, Yong; Chen, Kai; Li, Bo-Tong; Zhou, Hai-Yang; Hu, Yong-Cai

    2011-11-01

    To summarize the experience in the treatment of severe pressure sore. From Aug. 2007 to Jun. 2011, 21 cases of severe pressure sore with 43 III-IV degree lesions were treated with combination treatment, including vacuum sealing drainage technique, local fascia flaps, upper or lower gluteus maximus island myocutaneous flaps, lower gluteus maximus myocutaneous flap, neurocutaneous femoris posterior flaps, tensor fascia lata island myocutaneous flaps, free latissimus dorsi myocutaneous flaps, and skin graft, combined with stryker frame and nursing tracking guidance. 13 of 21 cases had multiple pressure sore. Among them, 5 III degree pressure sores were covered by skin grafting and 3 non-caudal III degree pressure sores (pressure sore. All the 43 wounds healed completely. 5 wounds in 3 cases had effusion under flap which healed after re-drainage. The wounds were not healed in 3 cases with flap transposition which were also healed after re-debridement. All the flaps survived completely. 16 cases were followed up for 2-26 months. Recurrence happened in 4 cases after discharge because of not following the required nursing care. Comprehensive application of vacuum sealing drainage technique, multiple myocutaneous flaps and skin grafting, combined with stryker frame and nursing tracking guidance after discharge can be used for the treatment of severe pressure sore with satisfactory results.

  20. Can electric beds aid pressure sore prevention in hospitals?

    Science.gov (United States)

    Hampton, S

    The purchase, cleaning and maintenance of air mattresses can be an expensive part of pressure sore prevention and repositioning of patients can be time consuming and costly in terms of possible nursing injuries. The King's Fund bed has been a friend to the health service for many years but the time has come to look for an alternative system that will support patient comfort and independence, will assist nurses in implementation of a no-lifting policy and aid pressure sore prevention policies. This article describes a study that was undertaken in two medical wards to assess the value of electrically controlled beds in relation to the prevention of pressure sores, implementation of a no-lifting policy and quality of patient care. A total of 782 patients took part in the study over a 6-month period and 726 replies were obtained from nurses. The ward had similar profiles of patients' medical conditions and age; they were being medically managed by the same consultants. Results showed that patients experienced greater comfort on beds with the electric facility, produced less pressure sores, mobilized easily and pressure sore prevention costs could be reduced. There is a need to be proactive in prevention of pressure sores and not reactive to a pressure sore that is already developing.

  1. Trunk, abdomen, and pressure sore reconstruction.

    Science.gov (United States)

    Rubayi, Salah; Chandrasekhar, Bala S

    2011-09-01

    After reading this article, the participant should be able to: 1. Describe the principles of wound closure, torso reconstruction, and pressure sore reconstruction. 2. Outline standard options to treat defects of the chest, abdomen, and back and pressure ulcers in all anatomical areas. 3. Manage and prevent pressure ulcers. Chest wall reconstruction is indicated following tumor resection, radiation wound breakdown, or intrathoracic sepsis. Principles of wound closure and chest wall stabilization, where indicated, are discussed. Principles of abdominal wall reconstruction continue to evolve with the introduction of newer bioprosthetics and the application of functional concepts for wound closure. The authors illustrate these principles using commonly encountered clinical scenarios and guidelines to achieve predictable results. Pressure ulcers continue to be devastating complications to patients' health and a functional hazard when they occur in the bedridden, in patients with spinal cord injuries, and in patients with neuromuscular disease. Management of pressure ulcers is also very expensive. The authors describe standard options to treat defects of the chest, abdomen, and back and pressure ulcers in all anatomical areas. A comprehensive understanding of principles and techniques will allow practitioners to approach difficult issues of torso reconstruction and pressure sores with a rational confidence and an expectation of generally satisfactory outcomes. With pressure ulcers, prevention remains the primary goal. Patient education and compliance coupled with a multidisciplinary team approach can reduce their occurrence significantly. Surgical management includes appropriate patient selection, adequate débridement, soft-tissue coverage, and use of flaps that will not limit future reconstructions if needed. Postoperatively, a strict protocol should be adapted to ensure the success of the flap procedure. Several myocutaneous flaps commonly used for the surgical

  2. Time course of muscle soreness following different types of exercise

    Directory of Open Access Journals (Sweden)

    Vickers Andrew J

    2001-10-01

    Full Text Available Abstract Background Post-exercise muscle soreness is a dull, aching sensation that follows unaccustomed muscular exertion. Primarily on the basis of previous laboratory-based research on eccentric exercise, soreness is usually said to follow an inverted U-shaped curve over time, peaking 24 – 48 hours after exercise. As such, it is often described as "delayed-onset" muscle soreness. In a study of long-distance runners, soreness seemed to peak immediately and then reduce gradually over time. The study is a secondary analysis of clinical trial data that aims to determine whether the time course of soreness following a natural exercise, long-distance running, is different from that following a laboratory-based exercise, bench-stepping. Methods This is a reanalysis of data from three previous clinical trials. The trials included 400 runners taking part in long-distance races and 82 untrained volunteers performing a bench-stepping test. Subjects completed a Likert scale of muscle soreness every morning and evening for the five days following their exercise. Results Interaction between trial and time is highly significant, suggesting a different time course of soreness following running and bench-stepping. 45% of subjects in the bench-stepping trial experienced peak soreness at the third or fourth follow-up (approximately 36 – 48 hours after exercise compared to only 14% of those in the running trial. The difference between groups is robust to multivariate analysis incorporating possible confounding variables. Conclusion Soreness in runners following long-distance running follows a different time course to that in untrained individuals undertaking bench-stepping. Research on exercise taking place in the laboratory context does not necessarily generalize to exercise undertaken by trained athletes when engaged in their chosen sport.

  3. Time course of muscle soreness following different types of exercise

    Science.gov (United States)

    Vickers, Andrew J

    2001-01-01

    Background Post-exercise muscle soreness is a dull, aching sensation that follows unaccustomed muscular exertion. Primarily on the basis of previous laboratory-based research on eccentric exercise, soreness is usually said to follow an inverted U-shaped curve over time, peaking 24 – 48 hours after exercise. As such, it is often described as "delayed-onset" muscle soreness. In a study of long-distance runners, soreness seemed to peak immediately and then reduce gradually over time. The study is a secondary analysis of clinical trial data that aims to determine whether the time course of soreness following a natural exercise, long-distance running, is different from that following a laboratory-based exercise, bench-stepping. Methods This is a reanalysis of data from three previous clinical trials. The trials included 400 runners taking part in long-distance races and 82 untrained volunteers performing a bench-stepping test. Subjects completed a Likert scale of muscle soreness every morning and evening for the five days following their exercise. Results Interaction between trial and time is highly significant, suggesting a different time course of soreness following running and bench-stepping. 45% of subjects in the bench-stepping trial experienced peak soreness at the third or fourth follow-up (approximately 36 – 48 hours after exercise) compared to only 14% of those in the running trial. The difference between groups is robust to multivariate analysis incorporating possible confounding variables. Conclusion Soreness in runners following long-distance running follows a different time course to that in untrained individuals undertaking bench-stepping. Research on exercise taking place in the laboratory context does not necessarily generalize to exercise undertaken by trained athletes when engaged in their chosen sport. PMID:11701094

  4. Tar sand

    Energy Technology Data Exchange (ETDEWEB)

    McLendon, T.R.; Bartke, T.C.

    1990-01-01

    Research on tar sand is briefly discussed. The research program supported by the US Department of Energy (DOE) includes a variety of surface extraction schemes. The University of Utah has process development units (PDU) employing fluidized bed, hot, water-assisted, and fluidized-bed/heat-pipe, coupled combustor technology. Considerable process variable test data have been gathered on these systems: (1) a rotary kiln unit has been built recently; (2) solvent extraction processing is being examined; and (3) an advanced hydrogenation upgrading scheme (hydropyrolysis) has been developed. The University of Arkansas, in collaboration with Diversified Petroleum, Inc., has been working on a fatty acid, solvent extraction process. Oleic acid is the solvent/surfactant. Solvent is recovered by adjusting processing fluid concentrations to separate without expensive operations. Western Research Institute has a PDU-scale scheme called the Recycle Oil Pyrolysis and Extraction (ROPE) process, which combines solvent (hot recycle bitumen) and pyrolytic extraction. 14 refs., 19 figs.

  5. It's in the sand

    OpenAIRE

    Mitchell, Clive

    2016-01-01

    Sand is sand isn’t it? Sand gets everywhere but rather than a nuisance it is a valuable, high-purity raw material. Clive Mitchell, Industrial Minerals Specialist at the British Geological Survey (BGS), talks us through what sand is, what it can be used for and how to find it. His exploration of sand takes us from the deserts of Arabia to the damp sand pits of Mansfield!

  6. Mouth Sores Caused by Cancer Treatment: How to Cope

    Science.gov (United States)

    Diseases and Conditions Cancer Understand how to manage cancer treatment side effects, including mouth sores, so you can feel more in control as you go through cancer treatment. By Mayo Clinic Staff If you're about ...

  7. GARGLING WITH KETAMINE ATTENUATES POST-OPERATIVE SORE THROAT

    National Research Council Canada - National Science Library

    Tejashwini; Jagadish

    2014-01-01

    : INTRODUCTION: Postoperative Sore Throat (POST) is a common complication that is unresolved in patients undergoing endotracheal intubation, which is the foremost cause of trauma to the air way mucosa...

  8. Can You Get Genital Herpes from a Cold Sore?

    Science.gov (United States)

    ... Lucy* Yes — it is possible to get genital herpes from oral sex. Genital herpes is caused by the herpes ... Genital herpes is usually caused by HSV-2; oral herpes (cold sores) is usually caused by HSV-1. ...

  9. An unusual pressure sore of the nasal bridge.

    Science.gov (United States)

    Sleilati, Fadi H; Stephan, Henri A; Nasr, Marwan W; Riachy, Moussa A

    2008-07-01

    We report an unusual pressure sore of the nasal bridge caused by a non-invasive ventilation mask. Conservative treatment was unsuccessful, and the defect had to be repaired, with a good postoperative result.

  10. Tracheal intubation and sore throat: a mechanical explanation.

    Science.gov (United States)

    Chandler, M

    2002-02-01

    Although tracheal intubation remains a valuable tool, it may result in pressure trauma and sore throat. The evidence for an association between these sequelae is not conclusive and sore throat may be caused at the time of intubation. This hypothesis was tested in a mechanical model and the results from tracheal intubation compared with those from insertion of a laryngeal mask airway, which is associated with a lower incidence of sore throat. Use of the model suggests that the tracheal tube and laryngeal mask airway impinge on the pharyngeal wall in different manners and involve different mechanisms for their conformation to the upper airway, but that in a static situation, the forces exerted on the pharyngeal wall are low with both devices. It also suggests that the incidence of sore throat should be lower for softer and smaller tracheal tubes and that the standard 'Magill' curve (radius of curvature 140 +/- 20 mm) is about optimum for the average airway.

  11. The effect of ketamine on sore throat after tonsillectomy

    OpenAIRE

    M. Haghighi; A Parvizi; H. Movahedi; S. Hadadi; Sh. Marzban

    2007-01-01

    AbstractBackground and purpose: Ketamine efficacy as an analgesic adjuvant has been studied in several clinical settings with conflicting results. Sore throat and pain after swallowing following tonsillectomy is significant. The aim of this study was to investigate the effect of ketamine on sore throat (pain) after tonsillectomy.Materials and Methods: In this double blind clinical trial, fifty children were, divided in to two equal groups of Ketamine and control. The subjects aged 4-14 years ...

  12. Magnesium and Ketamine Gargle and Postoperative Sore Throat

    OpenAIRE

    Teymourian, Houman; Mohajerani, Seyed Amir; Farahbod, Alireza

    2015-01-01

    Background: Postoperative sore throat is one of the most common complications after endotracheal intubation. Both Ketamine and magnesium can block N-methyl-D-aspartic acid (NMDA) receptors and provide central and local analgesia. Objectives: To compare the effect of magnesium sulfate and ketamine gargle on the incidence and severity of postoperative sore throat. Patients and Methods: A total of 100 patients candidate for emergency acute appendicitis surgery were enrolled in the study. Patient...

  13. Factors in delayed onset muscular soreness of man.

    Science.gov (United States)

    Bobbert, M F; Hollander, A P; Huijing, P A

    1986-02-01

    In this study 11 subjects performed exercise resulting in delayed onset muscular soreness in m. gastrocnemius with one leg, the experimental leg. The other leg served as control. Pre-exercise and 24, 48 and 72 h postexercise, soreness perception, resting EMG level of m. gastrocnemius, and volume and skin temperature of both legs were measured, and a leukocyte count was performed. Perception of soreness in m. gastrocnemius reported 24, 48, and 72 h postexercise was not accompanied by an increase in resting EMG level. This result indicates that soreness perception is not related to a tonic localized spasm in sore muscles. A rise in volume of the experimental leg relative to volume of the control leg was found 24, 48, and 72 h postexercise (P less than 0.05). It is suggested that the volume rise is due to edema formation in the experimental leg and that this edema formation is responsible for soreness perception. Since granulocytosis was not found, the hypothesis that edema formation reflects muscle inflammation is not substantiated.

  14. Effects of Fish Oil Supplementation on Postresistance Exercise Muscle Soreness.

    Science.gov (United States)

    Tinsley, Grant M; Gann, Joshua J; Huber, Stefan R; Andre, Thomas L; La Bounty, Paul M; Bowden, Rodney G; Gordon, Paul M; Grandjean, Peter W

    2016-07-21

    The aim of this study was to examine the effects of fish oil supplementation on the magnitude and time-course of postresistance exercise muscle soreness. This study was a randomized, placebo-controlled, double-blind trial. Nonresistance trained females were randomized into one of two groups: fish oil supplementation (6 g/day; 5:1 eicosapentaenoic acid to docosahexaenoic acid (EPA:DHA)) or placebo (6 g/day corn/soy oil). After consuming the supplements for one week, participants underwent a single bout of resistance exercise consisting of 10 sets to failure of elbow flexion and leg extension machines. Muscle soreness was measured daily over the next week via grounded visual analog scale while participants continued to consume their assigned supplement. At 48 hours and one week postexercise, soreness during functional movements and limb circumferences were measured. The fish oil group perceived less static and functional muscle soreness than placebo, although the differences were not statistically significant. Effect sizes for resistance exercise-induced static and functional soreness responses were 33 to 42% lower in fish oil versus placebo without changes in upper arm and thigh circumferences. Supplementing the diet with 6 g per day of fish oil may alleviate muscle soreness experienced after resistance training in young untrained females.

  15. Ketamine gargle for attenuating postoperative sore throat.

    Science.gov (United States)

    Canbay, O; Celebi, N; Sahin, A; Celiker, V; Ozgen, S; Aypar, U

    2008-04-01

    Tracheal intubation is a foremost cause of trauma to the airway mucosa, resulting in postoperative sore throat (POST) with reported incidences of 21-65%. We compared the effectiveness of ketamine gargles with placebo in preventing POST after endotracheal intubation. Forty-six, ASA I-II, patients undergoing elective surgery for septorhinoplasty under general anaesthesia were enrolled in this prospective, randomized, placebo-controlled, single-blind study. Patients were randomly allocated into two groups of 23 subjects each: Group C, saline 30 ml; Group K, ketamine 40 mg in saline 30 ml. Patients were asked to gargle this mixture for 30 s, 5 min before induction of anaesthesia. POST was graded at 0, 2, 4, and 24 h after operation on a four-point scale (0-3). POST occurred more frequently in Group C, when compared with Group K, at 0, 2, and 24 h and significantly more patients suffered severe POST in Group C at 4 and 24 h compared with Group K (PKetamine gargle significantly reduced the incidence and severity of POST.

  16. [Six treatment principles of the basle pressure sore concept].

    Science.gov (United States)

    Rieger, U; Scheufler, O; Schmid, D; Zweifel-Schlatter, M; Kalbermatten, D; Pierer, G

    2007-06-01

    The treatment of pressure sores has gained importance due to the increase of geriatric patients and general life expectancy as well as improved therapeutic options in patients with spinal cord injuries. The aetiology of pressure sores is multifactorial. Risk factors such as immobility, malnutrition, and other co-morbidities have to be considered. Therapy of pressure sores is time- and cost-consuming and recurrence rates are high. Successful treatment is based on the interdisciplinary cooperation between conservative and surgical disciplines, nursing, as well as on continuous patient education. The Basle pressure sore concept consists of six principles. Over a total treatment period of approximately three months usually two operative interventions are performed. For effective relief of pressure (1st principle) patients are placed on low-airloss beds. Operative debridement of pressure sores is performed early and systemic or local infection is treated (2nd principle). The wound is then conditioned with moist dressings or VAC (3rd principle). Simultaneously concomitant malnutrition is quantified clinically and chemically and treated by oral or, if necessary, parenteral nutrition. Other risk factors are optimised as well as possible (4th principle). Hereby optimal conditions for plastic-surgical coverage are provided (5th principle). Postoperatively a standardised concept of pressure relief and mobilisation is adhered to (6th principle). This multimodal treatment concept is well established at the University Hospital of Basle for many years. Combined with an effective prevention, the rate of pressure sores could be significantly reduced, wounds could be healed, and the number of recurrences diminished. In a two-year period between January 2004 and December 2005 the Basle plastic surgery team treated 170 pressure sores in 142 patients according to this concept in the Swiss paraplegic centre in Nottwil. In 2006, 78 % of these patients (111 patients) were followed up and

  17. Industrial sand and gravel

    Science.gov (United States)

    Dolley, T.P.

    2013-01-01

    Domestic production of industrial sand and gravel in 2012 was about 49.5 Mt (55 million st), increasing 13 percent compared with that of 2011. Some important end uses for industrial sand and gravel include abrasives, filtration, foundry, glassmaking, hydraulic fracturing sand (frac sand) and silicon metal applications.

  18. The effect of caffeine ingestion on delayed onset muscle soreness.

    Science.gov (United States)

    Hurley, Caitlin F; Hatfield, Disa L; Riebe, Deborah A

    2013-11-01

    The beneficial effects of caffeine on aerobic activity and resistance training performance are well documented. However, less is known concerning caffeine's potential role in reducing perception of pain and soreness during exercise. In addition, there is no information regarding the effects of caffeine on delayed onset muscle soreness (DOMS). The primary purpose of this study was to examine the effect of caffeine ingestion on muscle soreness, blood enzyme activity, and performance after a bout of elbow flexion/extension exercise. Nine low-caffeine-consuming males (body mass: 76.68 ± 8.13 kg; height: 179.18 ± 9.35 cm; age: 20 ± 1 year) were randomly assigned to ingest either caffeine or placebo 1 hour before completing 4 sets of 10 bicep curls on a preacher bench, followed by a fifth set in which subjects completed as many repetitions as possible. Soreness and soreness on palpation intensity were measured using three 0-10 visual analog scales before exercise, and 24, 48, 72, 96, and 120 hours after exercise. After a washout period, subjects crossed over to the other treatment group. Caffeine ingestion resulted in significantly (p ≤ 0.05) lower levels of soreness on day 2 and day 3 compared with placebo. Total repetitions in the final set of exercise increased with caffeine ingestion compared with placebo. This study demonstrates that caffeine ingestion immediately before an upper-body resistance training out enhances performance. A further beneficial effect of sustained caffeine ingestion in the days after the exercise bout is an attenuation of DOMS. This decreased perception of soreness in the days after a strenuous resistance training workout may allow individuals to increase the number of training sessions in a given time period.

  19. The use of argon beam coagulation in pressure sore reconstruction.

    Science.gov (United States)

    Buck, Donald W; Lewis, Victor L

    2009-12-01

    Pressure sores are a significant source of physical and financial burden for debilitated patients. When conservative measures fail, surgical reconstruction with myocutaneous flaps may be the last hope for cure and/or improved quality of life in these patients. Adequate haemostasis is an integral component of these reconstructive procedures, as bleeding and haematoma formation can lead to increased morbidity. This study was designed to investigate the use of argon beam coagulation in patients undergoing bony debridement and subsequent pressure sore reconstruction with myocutaneous flaps. The clinical records of 34 patients undergoing pressure sore reconstruction with the use of argon beam coagulation from 2004 to 2006 at an academic institution were reviewed and outcomes were assessed. Reconstruction was performed by a single surgeon on 34 patients (31 men, three women; mean age 41+/-15 years), with a total of 41 pressure sores. Thirteen (32.5%) patients had evidence of osteomyelitis preoperatively and five (12.5%) had previous coccygectomies secondary to infection. Twenty-six (65%) of the pressure sores were treated with hamstring V-Y musculocutaneous flaps, 10 (25%) with gluteal flaps, and four (10%) with tensor fascia lata flaps. Overall, suture line dehiscence occurred in six (15%) cases, flap failure and pressure sore recurrence occurred in six (15%) cases, an abscess developed in one (2.5%) case, and a sinus tract with a superficial wound developed in one (2.5%) case. There were no complications related to haemostasis, including excessive bleeding or haematoma formation. Argon beam coagulation is an efficacious tool for achieving adequate haemostasis during pressure sore reconstruction, particularly when significant bony debridement is involved. The use of argon beam coagulation does not result in an increased complication or recurrence rate when compared with conventional electrocautery methods.

  20. The effects of massage on delayed onset muscle soreness

    Science.gov (United States)

    Hilbert, J; Sforzo, G; Swensen, T

    2003-01-01

    Objectives: The purpose of this study was to investigate the physiological and psychological effects of massage on delayed onset muscle soreness (DOMS). Methods: Eighteen volunteers were randomly assigned to either a massage or control group. DOMS was induced with six sets of eight maximal eccentric contractions of the right hamstring, which were followed 2 h later by 20 min of massage or sham massage (control). Peak torque and mood were assessed at 2, 6, 24, and 48 h postexercise. Range of motion (ROM) and intensity and unpleasantness of soreness were assessed at 6, 24, and 48 h postexercise. Neutrophil count was assessed at 6 and 24 h postexercise. Results: A two factor ANOVA (treatment v time) with repeated measures on the second factor showed no significant treatment differences for peak torque, ROM, neutrophils, unpleasantness of soreness, and mood (p > 0.05). The intensity of soreness, however, was significantly lower in the massage group relative to the control group at 48 h postexercise (p < 0.05). Conclusions: Massage administered 2 h after exercise induced muscle injury did not improve hamstring function but did reduce the intensity of soreness 48 h after muscle insult. PMID:12547748

  1. Modified lumbar artery perforator flaps for gluteal pressure sore reconstruction.

    Science.gov (United States)

    Yoon, Chi Sun; Yim, Ji Hong; Kim, Min Ho; Ha, Won; Kim, Kyu Nam

    2016-03-21

    Gluteal perforator flaps (GPFs) are the most useful for gluteal region pressure sore reconstruction. However, application is difficult if the surrounding area has scar tissue from previous operations or trauma, especially with recurrent sores. We describe the use of modified lumbar artery perforator flaps when GPFs cannot be used. Between May 2009 and April 2014, 51 patients underwent gluteal pressure sore reconstructions with gluteal (n = 39) or modified lumbar artery (n = 12) perforator flaps. Patients in the modified lumbar artery perforator group had scar tissue from trauma or previous surgery. In this retrospective review, we analyzed patient age and sex, defect size and location, operative time, follow-up duration, immediate postoperative issues, flap necrosis, dehiscence, re-operation, donor-site morbidity and recurrence. Complications and clinical outcomes were compared between groups. We found no significant differences in patient demographics, surgical complications or clinical outcomes. There were eight cases of temporary congestion (20.51%) and four of partial flap necrosis (10.25%) in the gluteal perforator group. In the modified lumbar artery perforator group, there were three cases of temporary congestion (25%) and one of partial flap necrosis (8.33%). No pressure sores recurred during follow-up in either group. GPFs are the gold standards for gluteal pressure sores, but modified lumbar artery perforator flaps are relatively easy and useful when GPFs cannot be used due to scar tissue. © 2016 Royal Australasian College of Surgeons.

  2. Nursing aspects of pressure sore prevention and therapy.

    Science.gov (United States)

    Culley, F

    Pressure sores remain a significant problem in hospitals and domestic settings, affecting people of all ages, social class and race. Associated complications may be life threatening, e.g. sepsis and osteomyelitis. Other less dangerous, but nevertheless compromising outcomes such as pain, discomfort and low self-esteem and body image can cause personal suffering, and may add extra demand for limited resources. The exact state of pressure sore occurrence remains difficult to determine, particularly in the community. Recent trends in pressure area management present a multidisciplinary approach, eroding traditional perceptions of pressure sores as a solely nursing problem. Written from nursing perspective, this article summarizes principles of good practice relating to pressure sore prevention and therapy, emphasizing the importance of documenting observed events, rather than assumptions or opinions, and the need for healthcare professionals to approach problems and needs from a collaborative stance. Pressure sore risk assessment and classification are discussed, and an overview of nutrition, moving a handling, selecting support surfaces, principles of wound management, and skin care are considered.

  3. Eastern Scheldt Sand, Baskarp Sand No. 15

    DEFF Research Database (Denmark)

    Andersen, A. T; Madsen, E. B.; Schaarup-Jensen, A. L.

    The present data report contains data from 13 drained triaxial tests, performed on two different sand types in the Soil Mechanics Laboratory at Aalborg University in March, 1997. Two tests have been performed on Baskarp Sand No. 15, which has already ken extensively tested in the Soil Mechanics...... Laboratory. The remaining 11 triaxial tests have ben performed on Eastern Scheldt Sand, which is a material not yet investigated at the Soil Mechanics Laboratory. In the first pari of this data report, the characteristics of the two sand types in question will be presented. Next, a description...

  4. Biodegradable materials as foundry moulding sands binders

    Directory of Open Access Journals (Sweden)

    K. Major - Gabryś

    2015-07-01

    Full Text Available The aim of this article is to show the possibility of using biodegradable materials as part of the composition of foundry moulding and core sand binders. Research shows that moulding sands with biodegradable materials selected as binders are not only less toxic but are also better suited to mechanical reclamation than moulding sands with phenol-furfuryl resin. The use of biodegradable materials as additives to typical synthetic resins can result in their decreased toxicity and improved ability to reclamation as well as in accelerated biodegradation of binding material leftovers of mechanical reclamation.

  5. Acute sore throat | EU Clinical Trials Register [EU Clinical Trials Register

    Lifescience Database Archive (English)

    Full Text Available Trial E.1 Medical condition or disease under investigation E.1.1Medical condition(s) being investigated Acute... sore throat E.1.1.1Medical condition in easily understood language Acute sore

  6. Effect of Cold Water Immersion or Contrast Water Therapy on Muscle Soreness After Exercise

    National Research Council Canada - National Science Library

    C A Lauber; S Hickle; J Jargstorf; W West

    2017-01-01

    An abstract of a study by Lauber et al determining if post-exercise cold-water immersion decreases muscle soreness compared to contrast water therapy at 48 hours post delayed onset muscle soreness (DOMS...

  7. Magnesium and Ketamine Gargle and Postoperative Sore Throat.

    Science.gov (United States)

    Teymourian, Houman; Mohajerani, Seyed Amir; Farahbod, Alireza

    2015-06-01

    Postoperative sore throat is one of the most common complications after endotracheal intubation. Both Ketamine and magnesium can block N-methyl-D-aspartic acid (NMDA) receptors and provide central and local analgesia. To compare the effect of magnesium sulfate and ketamine gargle on the incidence and severity of postoperative sore throat. A total of 100 patients candidate for emergency acute appendicitis surgery were enrolled in the study. Patients in ketamine group received ketamine gargle (0.5 mg/kg) and magnesium group received magnesium sulfate gargle (20 mg/kg up to 30 mL dextrose water 20%) 15 minutes before the operation. Patient complaint of postoperative sore throat, and its severity measured by visual analogue scale (VAS) were recorded at baseline in recovery room, and then 2, 4, and 24 hours after operation. There were no significant differences between age, sex, and body mass index (BMI) between two groups of patients. Hemodynamics of patients, including blood pressure, respiratory rate, oxygen saturation %, and conscious state were not significantly different (P > 0.05). Number of patients with sore throat were significantly lower in magnesium group compared to ketamine group at 2 (P = 0.032), 4 (P = 0.02), and 24 hours (P = 0.01) after the operation. Sore throat pain score (VAS) was significantly lower in magnesium group compared to ketamine group at 2 (P = 0.019), 4 (P = 0.028), and 24 hours (P = 0.014) after the operation. Magnesium at low dose decreases sore throat and pain severity more effectively compared to ketamine gargle.

  8. Beds, mattresses and cushions for pressure sore prevention and treatment.

    Science.gov (United States)

    Cullum, N; Deeks, J; Sheldon, T A; Song, F; Fletcher, A W

    2000-01-01

    To assess the effectiveness of pressure relieving beds, mattresses and cushions (support surfaces) in the prevention and treatment of pressure sores. Searches of 19 databases, hand searching of journals, conference proceedings, and bibliographies. Randomised controlled trials evaluating support surfaces for the prevention or treatment of pressure sores. There was no restriction on articles based on language or publication status. Data extraction and assessment of study quality was undertaken by two reviewers independently. Trials with similar patients, comparisons, and outcomes were pooled. Where pooling was inappropriate, trials are discussed in a narrative review. 29 RCTs of support surfaces for pressure sore prevention were identified. Some high specification foam mattresses were more effective than 'standard' hospital foam mattresses in moderate-high risk patients. Pressure relieving mattresses in the operating theatre reduced the incidence of pressure sores post-operatively. The relative merits of alternating and constant low pressure, and of the different alternating pressure devices are unclear. Seat cushions and simple, constant low-pressure devices have not been adequately evaluated. Limited evidence suggests that low air loss beds reduce the incidence of pressure sores in intensive care. 6 RCTs of support surfaces for pressure sore treatment were identified. There is good evidence that air-fluidised and low air loss beds improve healing rates. Seat cushions have not been adequately evaluated. 2 RCTs evaluated surfaces for both prevention and treatment in the same trial. PREVENTION - There is good evidence of the effectiveness of high specification foam over standard hospital foam, and pressure relief in the operating theatre. Treatment - There is good evidence of the effectiveness of air-fluidised and low air loss devices as treatments. Overall, however, it is impossible to determine the most effective surface for either prevention or treatment.

  9. Modulation in voluntary neural drive in relation to muscle soreness

    OpenAIRE

    Racinais, S.; Bringard, A.; Puchaux, K.; Noakes, T D; Perrey, S.

    2007-01-01

    The aim of this study was to investigate whether (1) spinal modulation would change after non-exhausting eccentric exercise of the plantar flexor muscles that produced muscle soreness and (2) central modulation of the motor command would be linked to the development of muscle soreness. Ten healthy subjects volunteered to perform a single bout of backward downhill walking exercise (duration 30 min, velocity 1 ms−1, negative grade −25%, load 12% of body weight). Neuromuscular test sessions [H-r...

  10. [Clinical typing and surgical principle of pressure sore].

    Science.gov (United States)

    Liu, Yi; Zhang, Xusheng; Zhang, Cheng

    2007-09-01

    To investigate the clinical typing and their relevant surgical treatment principle and method of pressure sore. From January 1983 to April 2006, 122 patients with 179 pressure sores were treated. There were 93 males and 29 females, aging 15-68 years. The pressure sores were located at sacrococcygeus (54 lesions), petrochanteric region (37 lesions), ischial tuberosity (30 lesions), heel (17 lesions), olecranon (15 lesions), scapula (9 lesions), lateral malleolar (7 lesions), caput fibulace (4 lesions), pretibial (3 lesions), and lumbar region (3 lesims) respectivly. The disease course was from 2 months to 11 years. The areas of pressure sores were from 1.5 cm x 1.0 cm to 20.0 cm x 18.0 cm. According to the wound characteristics, the pressure sores were divided into three types: sinus type (12/179), ulcer type (74/179) and mixed type (93/179). Aimed at different types of pressure sore, skin grafting, skin flap and myocutaneous flap were employed to repair wound. The areas of flaps were from 5.0 cm x 3.5 cm to 26.0 cm x 14.5 cm. The areas of skin grafting were from 7 cm x 5 cm to 23 cm x 12 cm. All wounds of sinus type healed by first intention except one; and all flaps survived. All wounds of uler type healed by first intention; and the flaps survived completely except two which had a partial necrosis. All flaps which harvested to repair 93 pressure sores of mixed type were survived. But one or two sinus occurred in 8 cases. Two healed by operation, and the others healed by dressing exchange. The wounds healed by first intention. The donor sites healed by first intention. The routine follow-up in 73 patients after 6 months showed that the recurrence appeared in 4 mixed type. The recurrence rate was 5.5% and the other patients had good outcome. Clinical typing of pressure sore is helpful to select the suitable operation method and improve the rate of success.

  11. Medial circumflex femoral artery flap for ischial pressure sore

    Science.gov (United States)

    Palanivelu, S.

    2009-01-01

    A new axial pattern flap based on the terminal branches of the medial circumflex femoral artery is described for coverage of ischial pressure sore. Based on the terminal branches of the transverse branch of medial circumflex femoral artery, which exit through the gap between the quadratus femoris muscle above and the upper border of adductor magnus muscle below, this fascio cutaneous flap is much smaller than the posterior thigh flap but extremely useful to cover ischeal pressure sores. The skin redundancy below the gluteal fold allows a primary closure of the donor defect. It can also be used in combination with biceps femoris muscle flap. PMID:19881020

  12. Influence green sand system by core sand additions

    OpenAIRE

    N. Špirutová; J. Beňo; V. Bednářová; J. Kříž; M. Kandrnál

    2012-01-01

    Today, about two thirds of iron alloys casting (especially for graphitizing alloys of iron) are produced into green sand systems with usually organically bonded cores. Separation of core sands from the green sand mixture is very difficult, after pouring. The core sand concentration increase due to circulation of green sand mixture in a closed circulation system. Furthermore in some foundries, core sands have been adding to green sand systems as a replacement for new sands. The goal of this co...

  13. Baskarp Sand No. 15

    DEFF Research Database (Denmark)

    Borup, Marianne; Hedegaard, Jette

    The Soil Mechanics Laboratory has started performing tests with a new sand, Baskarp No 15. Baskarp No 15 is a graded sand from Sweden. The shapes of the largest grains are round, while the small grains have sharp edges. The main part of of Baskarp No 15 is quarts, but it also contains feldspar...... and biotit. Mainly the sand will be used for tests concerning the development og the theory of building up pore pressure in sand, L. B. Ibsen 1993....

  14. [An assessment scale for the prevention of pressure sores in children].

    Science.gov (United States)

    Chauvet, Corinne; Poirier, Marie-Renée; Sourisseau, Petronela Rachieru; Béduneau, Denis; Soulard, Anthony; Delacroix, Delphine

    2015-04-01

    Pressure sores in children are rare. However, when they do occur they can have significant consequences. Professionals in paediatric units realised the importance of assessing the risk of pressure sores and developed a pressure sore assessment scale specific to children. This project, carried out through a hospital-training school partnership, emphasises the importance of clinical reasoning in nursing practices.

  15. Lund Sand No 0

    DEFF Research Database (Denmark)

    Ibsen, Lars Bo; Jakobsen, Finn Rosendal

    During the last 15 years the Geotechnical Engineering Group (GEG) at Aalborg University has performed triaxial tests with a sand called Lund No 0. Lund No 0 is a graded sand from a gravel pit near Horsens in Denmark. For the classification of the sand the following tests have been performed: Sieve...

  16. When a Sore Throat Is a More Serious Infection

    Science.gov (United States)

    ... or bloody nasal discharge with a fever. Such children are usually quite cranky, have no appetite, and often have swollen glands in the neck. Sometimes toddlers will complain of tummy pain instead of a sore throat. Children over three years of age with strep are ...

  17. Antibiotic prescribing in patients with self-reported sore throat

    NARCIS (Netherlands)

    Mehta, Nishchay; Schilder, Anne; Fragaszy, Ellen; E R Evans, Hannah; Dukes, Oliver; Manikam, Logan; Little, Paul; Smith, Sarah C; Hayward, Andrew

    2017-01-01

    OBJECTIVES: To investigate the predictors of general practitioner (GP) consultation and antibiotic use in those developing sore throat. METHODS: We conducted a prospective population-based cohort study on 4461 participants in two rounds (2010-11) from 1897 households. RESULTS: Participants reported

  18. Recommendations for the Avoidance of Delayed-Onset Muscle Soreness.

    Science.gov (United States)

    Szymanski, David J.

    2001-01-01

    Describes the possible causes of delayed-onset muscle soreness (DOMS), which include buildup of lactic acid in muscle, increased intracellular calcium concentration, increased intramuscular inflammation, and muscle fiber and connective tissue damage. Proposed methods to reduce DOMS include warming up before exercise and performing repeated bouts…

  19. Effects of delayed-onset muscle soreness on masticatory function

    NARCIS (Netherlands)

    Yoshida, E.; Lobbezoo, F.; Fueki, K.; Naeije, M.

    2012-01-01

    The aim was to clarify the effects of experimentally provoked delayed-onset muscle soreness (DOMS) in the jaw-closing muscles on subjective and objective measures of masticatory function. Twenty-one dentate female subjects, without pain-related signs and symptoms of temporomandibular disorders, part

  20. Characteristics of children consulting for cough, sore throat, or earache

    NARCIS (Netherlands)

    J.H.J.M. Uijen (Hans); H.J. van Duijn (Huug); M.M. Kuyvenhoven (Marijke); F.G. Schellevis (François); J.C. van der Wouden (Hans)

    2008-01-01

    textabstractAbstract BACKGROUND: GPs are often consulted for respiratory tract symptoms in children. AIM: To explore characteristics of children, their parents, and their GPs that are correlated with consulting a GP for cough, sore throat, or earache. DESIGN OF STUDY: Second Dutch National Survey o

  1. Characteristics of children consulting for cough, sore throat, or earache.

    NARCIS (Netherlands)

    Uijen, H.J.M.; Duijn, H.J. van; Kuyvenhoven, M.M.; Schellevis, F.G.; Wouden, J.C. van der

    2008-01-01

    BACKGROUND: GPs are often consulted for respiratory tract symptoms in children. AIM: To explore characteristics of children, their parents, and their GPs that are correlated with consulting a GP for cough, sore throat, or earache. DESIGN OF STUDY: Second Dutch National Survey of General Practice (DN

  2. Characteristics of children consulting for cough, sore throat, or earache

    NARCIS (Netherlands)

    Uijen, Johannes H. J. M.; van Duijn, Huug J.; Kuyvenhoven, Marijke M.; Schellevis, Francois G.; van der Wouden, Johannes C.

    2008-01-01

    Background GPs are often consulted for respiratory tract symptoms in children. Aim To explore characteristics of children, their parents, and their GPs that are correlated with consulting a GP for cough, sore throat, or earache. Design of study Second Dutch National Survey of General Practice (DNSGP

  3. Pedicled fillet of leg flap for extensive pressure sore coverage.

    Science.gov (United States)

    Jandali, Shareef; Low, David W

    2009-10-27

    Multiple large decubitus ulcers present a reconstructive challenge to the plastic surgeon. When stage IV pressure sores become recurrent or extensive, traditional flaps either have already been exhausted or would not be sufficient to cover the defect. A retrospective review was performed on all paraplegic patients who had chronic, extensive, and stage IV decubitus ulcers, and underwent reconstruction using a pedicled continuous musculocutaneous flap of the entire leg between 1998 and 2007. The extent and size of the debrided pressure sores, number of previous flap reconstructions, intraoperative blood loss, postoperative complications, and years of follow-up were all recorded. A description of the operative technique is also given. Four patients underwent a total leg fillet flap in the study period, with follow-up ranging from 2 to 7 years. Indications included extensive and bilateral trochanteric, sacral, and ischial pressure sores. Complications included intraoperative blood loss and postoperative heterotopic calcification. The total leg fillet flap is a very large and robust flap that offers paraplegic patients coverage of extensive stage IV pressure sores of the trochanteric, sacral, and ischial areas.

  4. Bed surfaces and pressure sore prevention: an abridged report.

    Science.gov (United States)

    Brown, S J

    2001-01-01

    This article summarizes the results of a systematic review of randomized controlled trials testing the effectiveness of special beds, mattresses, and cushions in preventing and treating pressure sores. The review's citation is Cullum, N., Deeks, J., Sheldon, T.A., Song, F., & Fletcher, A.W. (2000). Beds, mattresses and cushions for pressure sore prevention and treatment (Cochrane Review). The Cochrane Library, 4. An integrative research review. 37 studies were included in the analysis. A broad search of databases and unpublished studies was conducted. Data were extracted from those that met the inclusion criteria. Studies were grouped in various ways but mainly by type of product evaluated. Many special products designed to prevent or treat pressure sores are more effective than standard hospital foam mattresses in preventing and treating pressure sores. Special pressure-relieving surfaces should be used for patients at risk for skin breakdown. Individual practitioners and agencies should have a systematic protocol for assessing patients' risk of skin breakdown and for taking action when patients are determined to be at risk. The findings of this review provide some guidance for choosing particular products, albeit not definitive evidence for matching risk levels to products.

  5. Predictors of postoperative sore throat in intubated children.

    Science.gov (United States)

    Calder, Alyson; Hegarty, Mary; Erb, Thomas O; von Ungern-Sternberg, Britta S

    2012-03-01

    The incidence of postoperative sore throat (POST) following intubation is not well defined in the pediatric population. The etiology is multifactorial and includes impairment of subglottic mucosal perfusion and edema as a result of the pressures exerted by cuffed or uncuffed tubes. To determine the incidence of, and risk factors for, POST in intubated children undergoing elective day-case surgery. Five hundred patients aged 3-16 years were studied prospectively. Endotracheal tube (ETT) choice (cuffed or uncuffed) was left to the anesthetist. The cuff was inflated either until loss of audible leak or to a determined pressure using a cuff manometer. The research team then measured the cuff pressure (CP). POST incidence and intensity was determined by interviewing patients prior to discharge from the same day procedure unit. Chi-square testing and stepwise logistic regression were used to determine the predictors of POST. Of the 111 (22%) children developed a sore throat, 19 (3.8%) a sore neck, and 5 (1%) a sore jaw. 19% of patients with cuffed ETTs complained of sore throat compared with 37% of those intubated with an uncuffed ETT. The incidence of POST increased with CP; 0-10% at 0 cmH(2)O, 4% at 11-20 cmH(2)O, 20% at 21-30 cmH(2)O, 68% at CP 31-40 cmH(2)O, and 96% at CP >40 cmH(2)O. The ETT CP and use of uncuffed ETTs were univariate predictors of POST. Children intubated with uncuffed ETTs are more likely to have POST. ETT CP is positively correlated with the incidence of POST. When using cuffed ETTs, CP should be routinely measured intraoperatively. © 2011 Blackwell Publishing Ltd.

  6. Influence green sand system by core sand additions

    Directory of Open Access Journals (Sweden)

    N. Špirutová

    2012-01-01

    Full Text Available Today, about two thirds of iron alloys casting (especially for graphitizing alloys of iron are produced into green sand systems with usually organically bonded cores. Separation of core sands from the green sand mixture is very difficult, after pouring. The core sand concentration increase due to circulation of green sand mixture in a closed circulation system. Furthermore in some foundries, core sands have been adding to green sand systems as a replacement for new sands. The goal of this contribution is: “How the green sand systems are influenced by core sands?”This effect is considered by determination of selected technological properties and degree of green sand system re-bonding. From the studies, which have been published yet, there is not consistent opinion on influence of core sand dilution on green sand system properties. In order to simulation of the effect of core sands on the technological properties of green sands, there were applied the most common used technologies of cores production, which are based on bonding with phenolic resin. Core sand concentration added to green sand system, was up to 50 %. Influence of core sand dilution on basic properties of green sand systems was determined by evaluation of basic industrial properties: moisture, green compression strength and splitting strength, wet tensile strength, mixture stability against staling and physical-chemistry properties (pH, conductivity, and loss of ignition. Ratio of active betonite by Methylene blue test was also determined.

  7. Gargling with Ketamine Attenuates the Postoperative Sore Throat

    OpenAIRE

    Rudra, A.; Suchanda Ray; Chatterjee, S.; Ahmed, A; Ghosh, S

    2009-01-01

    Summary Postoperative sore throat (POST) is a common complication of anaesthesia with endotracheal tube that affects patient satisfaction after surgery. Therefore, this complication remains to be resolved in patients undergoing endotracheal intubation. The aim of the study was to compare the effectiveness of ketamine gargles with placebo in preventing POST after endotracheal intubation. Forty patients scheduled for elective surgery under general anaesthesia were randomized into: Group C, wate...

  8. GARGLING WITH KETAMINE ATTENUATES POST-OPERATIVE SORE THROAT

    OpenAIRE

    Tejashwini; Jagadish

    2014-01-01

    : INTRODUCTION: Postoperative Sore Throat (POST) is a common complication that is unresolved in patients undergoing endotracheal intubation, which is the foremost cause of trauma to the air way mucosa. The reported incident of POST varies from 21% to 65%. We compared the effectiveness of ketamine gargle with placebo in preventing POST after endotracheal intubation. METHODS: A prospective randomized controlled single blind study was conducted involving 60 patients of ASA gr...

  9. Ear Acupuncture for Acute Sore Throat: A Randomized Controlled Trial

    Science.gov (United States)

    2014-09-26

    SEP 2014 2. REPORT TYPE Final 3. DATES COVERED 4. TITLE AND SUBTITLE Ear acupuncture for acute sore throat. A randomized controlled trial...Auncular Acupuncture is a low risk option for acute pain control •Battlefield acupuncture (BFA) IS a specific auncular acupuncture technique •BFA IS...Strengths: Prospect1ve RCT •Weaknesses Small sample stze. no sham acupuncture performed, patients not blinded to treatment •Th1s study represents an

  10. Exercise-induced muscle pain, soreness, and cramps.

    Science.gov (United States)

    Miles, M P; Clarkson, P M

    1994-09-01

    The three types of pain related to exercise are 1) pain experienced during or immediately following exercise, 2) delayed onset muscle soreness, and 3) pain induced by muscle cramps. Each is characterized by a different time course and different etiology. Pain perceived during exercise is considered to result from a combination of factors including acids, ions, proteins, and hormones. Although it is commonly believed that lactic acid is responsible for this pain, evidence suggests that it is not the only factor. However, no single factor has ever been identified. Delayed onset muscle soreness develops 24-48 hours after strenuous exercise biased toward eccentric (muscle lengthening) muscle actions or strenuous endurance events like a marathon. Soreness is accompanied by a prolonged strength loss, a reduced range of motion, and elevated levels of creatine kinase in the blood. These are taken as indirect indicators of muscle damage, and biopsy analysis has documented damage to the contractile elements. The exact cause of the soreness response is not known but thought to involve an inflammatory reaction to the damage. Muscle cramps are sudden, intense, electrically active contractions elicited by motor neuron hyperexcitability. Although it is commonly assumed that cramps during exercise are the result of fluid electrolyte imbalance induced by sweating, two studies have not supported this. Moreover, participants in occupations that require chronic use of a muscle but do not elicit profuse sweating, such as musicians, often experience cramps. Fluid electrolyte imbalance may cause cramps if there is profuse prolonged sweating such as that found in working in a hot environment. Thus, despite the common occurrence of pain associated with exercise, the exact cause of these pains remains a mystery.

  11. Vibration Therapy in Management of Delayed Onset Muscle Soreness (DOMS)

    OpenAIRE

    Veqar, Zubia; Imtiyaz, Shagufta

    2014-01-01

    Both athletic and nonathletic population when subjected to any unaccustomed or unfamiliar exercise will experience pain 24-72 hours postexercise. This exercise especially eccentric in nature caused primarily by muscle damage is known as delayed-onset muscle soreness (DOMS). This damage is characterized by muscular pain, decreased muscle force production, reduce range of motion and discomfort experienced. DOMS is due to microscopic muscle fiber tears. The presence of DOMS increases risk of inj...

  12. Modulation in voluntary neural drive in relation to muscle soreness

    Science.gov (United States)

    Bringard, A.; Puchaux, K.; Noakes, T. D.; Perrey, S.

    2007-01-01

    The aim of this study was to investigate whether (1) spinal modulation would change after non-exhausting eccentric exercise of the plantar flexor muscles that produced muscle soreness and (2) central modulation of the motor command would be linked to the development of muscle soreness. Ten healthy subjects volunteered to perform a single bout of backward downhill walking exercise (duration 30 min, velocity 1 ms−1, negative grade −25%, load 12% of body weight). Neuromuscular test sessions [H-reflex, M-wave, maximal voluntary torque (MVT)] were performed before, immediately after, as well as 1–3 days after the exercise bout. Immediately after exercise there was a −15% decrease in MVT of the plantar flexors partly attributable to an alteration in contractile properties (−23% in electrically evoked mechanical twitch). However, MVT failed to recover before the third day whereas the contractile properties had significantly recovered within the first day. This delayed recovery of MVT was likely related to a decrement in voluntary muscle drive. The decrease in voluntary activation occurred in the absence of any variation in spinal modulation estimated from the H-reflex. Our findings suggest the development of a supraspinal modulation perhaps linked to the presence of muscle soreness. PMID:17978834

  13. Perforator-based fasciocutaneous flap for pressure sore reconstruction.

    Science.gov (United States)

    Lin, Chih-Hsun; Ma, Hsu

    2012-12-01

    Pressure sore reconstruction is always a challenge for plastic surgeons due to its high recurrence rate. In addition to the myocutaneous flap, the perforator-based fasciocutaneous flap has become a new entity used for pressure sore reconstruction. This study presents a series of 26 perforator-based fasciocutaneous flaps for pressure sore reconstruction, with good outcomes in 21 patients from July 2008 to April 2011. The flaps were advanced, transposed, or rotated to obliterate the defects. Twenty of 26 flaps healed uneventfully without complication. One patient had a flap that totally necrosed, one had partial flap necrosis (flap rotated 180° in the above two cases), one had infection and healed by a secondary flap, one had minor wound dehiscence, one died of pneumonia 1 week postoperatively, and recurrence developed in one patient. The perforator-based fasciocutaneous flap is a reliable method and produced good results in this series. These flaps are well vascularised, have enough soft tissue bulk, and have a high degree of mobilisation freedom.

  14. Approach to the pressure sores in geriatric patients

    Directory of Open Access Journals (Sweden)

    Emre İnözü

    2012-09-01

    Full Text Available Objectives: The aim of this study was to evaluate the follow-up results of nutritionally supported geriatric patientswho were admitted for their pressure sores then plannedtheir treatment.Materials and methods: In this study, we analyzed thehospitalized geriatric pressure sore patients in our clinicwho were admitted between 2006 and 2011. We calculatedBody Mass Index and the blood albumin levels of allhospitalized geriatric patients. In this patient group proteinenergy malnutrition and deficiency were analyzed andproper nutrition support was provided accordingly. Afterrecovering from malnutrition further treatment surpassed.Results: The mean albumin levels of the hospitalized patientswas 2,53 ± 0,25 g/dL after nutritional support thoselevels increased to mean 3,95 ± 0,42 g/dL . Of all thosepatients 75% were operated when their general conditionallowed us for a surgery. Due to their high risk wedid not perform any surgical operation to the remaining25%.. Post operative mean hospitalization period was 12(8-21 days. Majority of the patients (78.6% were treatedsuccessfully either with surgical or conservative treatmentmodalities.Conclusions: The success of the geriatric pressure soretreatment is highly related with the proper nutritional supportfor the ongoing malnutrition-like pathologies. Beforeoperation nutritional support not only makes a healthygranulation tissue but also yields fast and reliable woundhealing. Despite their chronic health problems many ofour geriatric patients were treated surgically for their pressuresores.Key words: Pressure sore, geriatric medicine, malnutrition,nutritional support

  15. Electrical stimulation for pressure sore prevention and wound healing.

    Science.gov (United States)

    Bogie, K M; Reger, S I; Levine, S P; Sahgal, V

    2000-01-01

    This paper reviews applications of therapeutic electrical stimulation (ES) specific to wound healing and pressure sore prevention. The application of ES for wound healing has been found to increase the rate of healing by more than 50%. Furthermore, the total number of wounds healed is also increased. However, optimal delivery techniques for ES therapy have not been established to date. A study of stimulation current effects on wound healing in a pig model has shown that direct current (DC) stimulation is most effective in wound area reduction and alternating current (AC) stimulation for wound volume reduction at current densities of 127 microA/cm2 and 1,125 microA/cm2, respectively. Preliminary studies have been carried out at two research centers to assess the role of ES in pressure sore prevention. Surface stimulation studies have shown that ES can produce positive short-term changes in tissue health variables such as regional blood flow and pressure distribution. The use of an implanted stimulation system consisting of intramuscular electrodes with percutaneous leads has been found to produce additional long-term changes. Specifically, gluteal muscle thickness increased by 50% with regular long-term ES application concurrent with a 20% decrease in regional interface pressures and increased tissue oxygen levels. These findings indicate that an implantable ES system may have great potential for pressure sore prevention, particularly for individuals who lack sensation or who are physically unable to perform regular independent pressure relief.

  16. Sands cykliske styrke

    DEFF Research Database (Denmark)

    Ibsen, Lars Bo

    1992-01-01

    Sands cykliske styrke kan beskrives ved Cyclic Liquefaction, Mobilisering, Stabilization og Instant Stabilization. I artiklen beskrives hvorfor Stabilization og Instant Stabilization ikke observeres, når sands udrænede styrke undersøges i triaxial celler, der anvender prøver med dobbelt prøvehøjde....

  17. Baskarp Sand No. 15

    DEFF Research Database (Denmark)

    Ibsen, Lars Bo; Bødker, Lars Bødker

    The Soil Mechanics Laboratory has started performing tests with a new sand, Baskarp No 15. Baskarp No 15 is a graded sand from Sweden. The shapes of the largest grains are round, while the small grains have sharp edges. The main part of of Baskarp No 15 is quarts, but it also contains feldspar...

  18. Reclamation of alkaline spent moulding sands of organic and inorganic type and their mixtures

    Directory of Open Access Journals (Sweden)

    R. Dańko

    2011-10-01

    Full Text Available Introduction of modern moulding sands with organic and inorganic binders requires the reclamation treatments in order to be able to reuse the matrices of spent sands. The spent sands, depending on the applied binding agent, are characterised by various abilities of the matrix reclamation. The results of investigations of the reclamation of spent moulding sands with the Rudal binder and spent sands with the Rezolit binder in the system of uniform sands and of mixed ones, are presented in the paper. Investigations were performed by means of the special experimental stands designed and built in the AGH University of Science and Technology, AGH, in Krakow.

  19. Risk factors for pressure sores in adult patients with myelomeningocele – a questionnaire-based study

    Science.gov (United States)

    Plaum, Pål-Erik; Riemer, Gunnar; Frøslie, Kathrine Frey

    2006-01-01

    Background Myelomeningocele (MMC) is a part of a complex neural tube defect and a disorder of the cerebrospinal fluid system. Pressure sores are a frequent complication for patients with MMC. Little is known about the risk factors for pressure sores in adults with MMC. The aim of this study was to investigate an association between the presence of pressure sores and other patient characteristics, in order to develop an improved strategy for the management of sores. Methods A structured questionnaire regarding sores, medical condition, function and living factors was designed and sent to the 193 patients with MMC registered in the year 2003 at TRS, a National Centre for Rare Disorders in Norway. Results Out of 193 total, 87 patients participated and 71 patients (82%) reported sores; 26 (30%) at the time of the interview and 45 (52%) during the last 5 years. Sores were mostly localized on toes and feet and occurred exclusively in regions with reduced or missing sensibility. A significant association was found between sores and memory deficit (p = 0.02), Arnold Chiari malformation (p = 0.02) and a record of previous sores (p = 0.004). Sores were not significantly associated with hydrocephalus, syringomyelia, nutrition, body mass index, smoking, physical activity, employment or living together with other persons. Some patients (18, 21%) reported skin inspection by others and the remainder relied on self-inspection. Conclusion Patients with sensory deficit, memory problems, and Arnold Chiari malformation had a higher risk of having pressure sores. This patient group needs improved skin inspection routines and sore treatment. PMID:17196099

  20. Risk factors for pressure sores in adult patients with myelomeningocele – a questionnaire-based study

    Directory of Open Access Journals (Sweden)

    Frøslie Kathrine

    2006-12-01

    Full Text Available Abstract Background Myelomeningocele (MMC is a part of a complex neural tube defect and a disorder of the cerebrospinal fluid system. Pressure sores are a frequent complication for patients with MMC. Little is known about the risk factors for pressure sores in adults with MMC. The aim of this study was to investigate an association between the presence of pressure sores and other patient characteristics, in order to develop an improved strategy for the management of sores. Methods A structured questionnaire regarding sores, medical condition, function and living factors was designed and sent to the 193 patients with MMC registered in the year 2003 at TRS, a National Centre for Rare Disorders in Norway. Results Out of 193 total, 87 patients participated and 71 patients (82% reported sores; 26 (30% at the time of the interview and 45 (52% during the last 5 years. Sores were mostly localized on toes and feet and occurred exclusively in regions with reduced or missing sensibility. A significant association was found between sores and memory deficit (p = 0.02, Arnold Chiari malformation (p = 0.02 and a record of previous sores (p = 0.004. Sores were not significantly associated with hydrocephalus, syringomyelia, nutrition, body mass index, smoking, physical activity, employment or living together with other persons. Some patients (18, 21% reported skin inspection by others and the remainder relied on self-inspection. Conclusion Patients with sensory deficit, memory problems, and Arnold Chiari malformation had a higher risk of having pressure sores. This patient group needs improved skin inspection routines and sore treatment.

  1. Cold-water immersion versus passive therapy to decrease delayed onset muscular soreness: a CAT

    OpenAIRE

    2014-01-01

    Introduction Late onset muscle soreness, also known as delayed onset muscle soreness, is a painful musculoskeletal condition that may occur 24-48 and up to 72 hours after the completion of unusual physical or high intensity exercise involving eccentric muscle activity. In the field of physical rehabilitation, immersion in cold water is a common intervention mainly used in sports medicine, to minimize delayed onset muscle soreness and promote recovery after exercise. Objective To ass...

  2. The estimation of harmfulness for environment of moulding sand with biopolymer binder based on polylactide

    Directory of Open Access Journals (Sweden)

    K. Major-Gabryś

    2011-01-01

    Full Text Available The article takes into consideration technological and ecological aspects of IV generation moulding sands. Investigations concerning anapplication of biopolymer materials as binders for moulding sands are presented in the paper. These investigations are the continuation ofexaminations related to applications of various biopolymers as binding agents and to the properties of the moulding sands with biopolymerbinders. In the paper there are the researches concerning analyzing gases emitted from moulding sands during heating.

  3. A Study on Herbal Finish to Prevent Bed Sore Using Mangifera indica and Triphala Dried Fruit

    OpenAIRE

    Kiruthika Deivasigamani; Siva Kumar Kolandaivel; Kavitha Krishnamoorthi

    2014-01-01

    “Bed sores” owe their name to the observation that patients who were bedridden and not properly repositioned would often develop ulcerations or sores on their skin, typically over bony prominences. These bed sores, which result from prolonged pressure, are also called “decubitus ulcers,” “pressure sores,” “skin breakdown,” and “pressure ulcers.” They are associated with adverse health outcomes and high treatment costs. This study focuses on developing herbal finish to prevent bed sores. For t...

  4. Effects of stretching before and after exercising on muscle soreness and risk of injury: systematic review

    National Research Council Canada - National Science Library

    Herbert, Rob D; Gabriel, Michael

    2002-01-01

    Abstract Objective: To determine the effects of stretching before and after exercising on muscle soreness after exercise, risk of injury, and athletic performance. Method: Systematic review. Data sources...

  5. Impact of laryngeal mask airway cuff pressures on the incidence of sore throat in children.

    Science.gov (United States)

    Wong, Justin Gin Leong; Heaney, Mairead; Chambers, Neil A; Erb, Thomas O; von Ungern-Sternberg, Britta S

    2009-05-01

    Hyperinflation of laryngeal mask airway cuffs can cause harm to the upper airway mainly by exerting high pressures on pharyngeal and laryngeal structures thus impairing mucosal perfusion. Although cuff manometers can be used to guide the monitoring of cuff pressures, their use is not routine in many institutions. In a prospective audit, we assessed the incidence of sore throat following day-case-surgery in relation to the intracuff pressure within the laryngeal mask airway. Four hundred children (3-21 years) were consecutively included in this study. The laryngeal mask airway was inflated as deemed necessary by the attending anesthetist. Cuff pressures were measured using a calibrated cuff manometer (Portex Limited, Hythe, Kent, UK, 0-120 cm H2O, pressures exceeding the measurement range were set at 140 cm H2O for statistical purposes) at induction of anesthesia. Forty-five children (11.25%) developed sore throat, 32 (8%) sore neck and 17 (4.25%) sore jaw. Of those that developed sore throat, 56.5% had cuff pressures exceeding >100 cm H2O. In contrast, when cuff pressures were sore throat, whilst there was only a 4.6% occurrence of sore throat if cuff pressures were between 40-60 cm H2O. We have demonstrated that intra cuff pressure in laryngeal mask airways is closely related to the development of sore throat with higher pressures increasing its likelihood. Hence, cuff pressures should be measured routinely using a manometer to minimize the incidence of sore throat.

  6. Development tendencies of moulding and core sands

    Directory of Open Access Journals (Sweden)

    Stanislaw M. Dobosz1

    2011-11-01

    Full Text Available Further development of the technology for making moulding and core sands will be strictly limited by tough requirements due to protection of the natural environment. These tendencies are becoming more and more tense, so that we will reach a point when even processes, that from technological point of view fulfill high requirements of the foundry industry, must be replaced by more ecologically-friendly solutions. Hence, technologies using synthetic resins as binding materials will be limited. This paper presents some predictable development tendencies of moulding and core sands. The increasing role of inorganic substances will be noticed, including silicate binders with significantly improved properties, such as improved knock-out property or higher reclamation strength. Other interesting solutions might also be moulding sands bonded by geo-polymers and phosphate binders or salts and also binders based on degradable biopolymers. These tendencies and the usefulness of these binders are put forward in this paper.

  7. Sand and Gravel Deposits

    Data.gov (United States)

    Vermont Center for Geographic Information — This dataset is a statewide polygon coverage of sand, gravel, and stone resources. This database includes the best data available from the VT Agency of Natural...

  8. Sand and Gravel Operations

    Data.gov (United States)

    Department of Homeland Security — This map layer includes sand and gravel operations in the United States. These data were obtained from information reported voluntarily to the USGS by the aggregate...

  9. Vibration Therapy in Management of Delayed Onset Muscle Soreness (DOMS).

    Science.gov (United States)

    Veqar, Zubia; Imtiyaz, Shagufta

    2014-06-01

    Both athletic and nonathletic population when subjected to any unaccustomed or unfamiliar exercise will experience pain 24-72 hours postexercise. This exercise especially eccentric in nature caused primarily by muscle damage is known as delayed-onset muscle soreness (DOMS). This damage is characterized by muscular pain, decreased muscle force production, reduce range of motion and discomfort experienced. DOMS is due to microscopic muscle fiber tears. The presence of DOMS increases risk of injury. A reduced range of motion may lead to the incapability to efficiently absorb the shock that affect physical activity. Alterations to mechanical motion may increase strain placed on soft tissue structures. Reduced force output may signal compensatory recruitment of muscles, thus leading to unaccustomed stress on musculature. Differences in strength ratios may also cause excessive strain on unaccustomed musculature. A range of interventions aimed at decreasing symptoms of DOMS have been proposed. Although voluminous research has been done in this regard, there is little consensus among the practitioners regarding the most effective way of treating DOMS. Mechanical oscillatory motion provided by vibration therapy. Vibration could represent an effective exercise intervention for enhancing neuromuscular performance in athletes. Vibration has shown effectiveness in flexibility and explosive power. Vibration can apply either local area or whole body vibration. Vibration therapy improves muscular strength, power development, kinesthetic awareness, decreased muscle sore, increased range of motion, and increased blood flow under the skin. VT was effective for reduction of DOMS and regaining full ROM. Application of whole body vibration therapy in postexercise demonstrates less pressure pain threshold, muscle soreness along with less reduction maximal isometric and isokinetic voluntary strength and lower creatine kinase levels in the blood.

  10. Vestled - Hvide Sande

    DEFF Research Database (Denmark)

    Juel-Christiansen, Carsten; Hesselbjerg, Marianne; Schønherr, Torben

    2009-01-01

    Værket Vestled i Hvide Sande præsenteret i sammenhæng af 1000 nutidige landskabsarkitektoniske arbejder fra hele verden, hvor hvert værk vises på én side......Værket Vestled i Hvide Sande præsenteret i sammenhæng af 1000 nutidige landskabsarkitektoniske arbejder fra hele verden, hvor hvert værk vises på én side...

  11. Cost analysis of surgically treated pressure sores stage III and IV.

    NARCIS (Netherlands)

    Filius, A.; Damen, T.H.; Schuijer-Maaskant, K.P.; Polinder, S.; Hovius, S.E.; Walbeehm, E.T.

    2013-01-01

    Health-care costs associated with pressure sores are significant and their financial burden is likely to increase even further. The aim of this study was to analyse the direct medical costs of hospital care for surgical treatment of pressure sores stage III and IV. We performed a retrospective chart

  12. Convergent evidence for construct validity of a 7-point likert scale of lower limb muscle soreness.

    Science.gov (United States)

    Impellizzeri, Franco M; Maffiuletti, Nicola A

    2007-11-01

    The aim of this study was to examine the construct validity of the 7-point Likert scale of muscle soreness, assessing its relationship with Visual Analogue Scale (VAS). An additional aim was to examine its sensitivity as measure of symptom of eccentric-contraction muscle damage. Correlational study. Self-administered questionnaires collected in field setting. Twenty-six soccer players. 4-week preseason training camp, which included high-intensity plyometric training sessions. Players self-reported the perceived muscle soreness of the lower limbs using the VAS (criterion measure) and the 7-point Likert scale of muscle soreness. Significant individual correlations were found between the 2 muscle soreness scales (mean r=0.80+/-0.07; range, 0.65 to 0.94). The correlation using the pooled data was 0.81. No significant muscle soreness scale x time interaction was found for standardized measures of muscle soreness (P=0.98). The main factor for time (24, 48, 72, and 96 hours after the first plyometric training session) was significant (P=0.0001). Effect sizes for the changes in the Likert and VAS absolute scores during the first 96 hours were similar (partial eta=0.13). The results of this study provide further convergent evidence for the construct validity of the 7-point Likert scale of muscle soreness. The 2 scales showed similar sensitivity to muscle soreness caused by eccentric contractions during the first 96 hours after plyometric exercises.

  13. Cold sore susceptibility gene-1 genotypes affect the expression of herpes labialis in unrelated human subjects.

    Science.gov (United States)

    Kriesel, John D; Bhatia, Amiteshwar; Thomas, Alun

    2014-01-01

    Our group has recently described a gene on human chromosome 21, the Cold Sore Susceptibility Gene-1 (CSSG-1, also known as C21orf91), which may confer susceptibility to frequent cold sores in humans. We present here a genotype-phenotype analysis of CSSG-1 in a new, unrelated human population. Seven hundred fifty-eight human subjects were enrolled in a case/control Cold Sore Study. CSSG-1 genotyping, herpes simplex virus 1 (HSV1) serotyping, demographic and phenotypic data was available from 622 analyzed subjects. Six major alleles (H1-H6) were tested for associations with each of the self-reported phenotypes. The statistical analysis was adjusted for age, sex and ethnicity. Genotype-phenotype associations were analyzed from 388 HSV1-seropositive subjects. There were significant CSSG-1 haplotype effects on annual cold sore outbreaks (P=0.006), lifetime cold sores (P=0.012) and perceived cold sore severity (P=0.012). There were relatively consistent trends toward protection from frequent and severe cold sores among those with the H3 or H5/6 haplotypes, whereas those with H1, H2, and H4 haplotypes tended to have more frequent and more severe episodes. Different alleles of the newly described gene CSSG-1 affect the expression of cold sore phenotypes in this new, unrelated human population, confirming the findings of the previous family-based study.

  14. Cost analysis of surgically treated pressure sores stage III and IV.

    NARCIS (Netherlands)

    Filius, A.; Damen, T.H.; Schuijer-Maaskant, K.P.; Polinder, S.; Hovius, S.E.; Walbeehm, E.T.

    2013-01-01

    Health-care costs associated with pressure sores are significant and their financial burden is likely to increase even further. The aim of this study was to analyse the direct medical costs of hospital care for surgical treatment of pressure sores stage III and IV. We performed a retrospective chart

  15. Decubitus grade IV (deep pressure sore) with intact skin in a patient with spinal cord injury

    NARCIS (Netherlands)

    Theunissen, C.C.W.; Zeilstra, J.T.; van Voorst Vader, P.C.; Kardaun, S.H.; Leeman, F.W.J.

    2006-01-01

    Even with intact skin the possibility of pressure sores should not be dismissed. Early recognition of a pressure sore is important for adequate treatment and prevention of progression. Multidisciplinary intervention is essential. A wheelchair patient with spinal cord injury is described, who develop

  16. Effectiveness of using wearable vibration therapy to alleviate muscle soreness.

    Science.gov (United States)

    Cochrane, Darryl J

    2017-03-01

    To examine the acute and short-term effect of a wearable vibration device following strenuous eccentric exercise of the elbow flexors. Physically active males (n = 13) performed vibration therapy (VT) and control following eccentric exercise. The arms were randomised and counterbalanced, separated by 14 days. 15 min of VT (120 Hz) was applied immediately and 24, 48, and 72 h after eccentric exercise while the contralateral arm performed no VT (control). Muscle (isometric and concentric) strength, range of motion, electromyography (EMG), muscle soreness and creatine kinase were taken pre-exercise, immediately and 24, 48, and 72 h post-eccentric exercise. Additionally, the acute effect of VT of muscle strength, range of motion, EMG, muscle soreness was also investigated immediately after VT. In the short-term VT was able to significantly reduce the level of biceps brachii pain at 24 h (p motion at 24 h (p control. Acutely, following VT treatment muscle pain and range of motion significantly improved (p motion; however, there was no improvement of muscle strength recovery compared to control following eccentric exercise of the elbow flexors.

  17. The Braden Scale for Predicting Pressure Sore Risk.

    Science.gov (United States)

    Bergstrom, N; Braden, B J; Laguzza, A; Holman, V

    1987-01-01

    The Braden Scale for Predicting Pressure Sore Risk was developed to foster early identification of patients at risk for forming pressure sores. The scale is composed of six subscales that reflect sensory perception, skin moisture, activity, mobility, friction and shear, and nutritional status. Content and construct validity were established by expert opinion and empirical testing. Three studies of reliability are reported here, using raters who varied in level of educational preparation and geographic region. Two prospective studies of predictive validity were completed to determine the scale's sensitivity and specificity. Reliability ranged from r = .83 to r = .94 for nurses' aides and licensed practical nurses; when used by registered nurses, the reliability increased to r = .99. Predictive validity was calculated for each cut-off point of the scale. Using a cut-off point of 16, sensitivity was 100% in both studies. Specificity ranged from 64% to 90%. This instrument has highly satisfactory reliability when used by RNs, and greater sensitivity and specificity than instruments previously reported.

  18. Rational decision making based on history: adult sore throats.

    Science.gov (United States)

    Clancy, C M; Centor, R M; Campbell, M S; Dalton, H P

    1988-01-01

    Primary care physicians are often required to make preliminary evaluations based only on the patient's history, especially during telephone encounters about sore throats. The authors studied adults with sore throats to determine whether patients can be stratified into higher and lower risks of strep throat by history alone. They first obtained data from 517 patients seen in an emergency room. Providers graded symptoms on a four-point scale (absent, mild, moderate, or severe). Initial analyses showed that prediction based on history should include three variables: fever, difficulty in swallowing, and cough. For ease of computation, these were consolidated into one score, "history" (= fever history + difficulty in swallowing - cough). This score was used to develop a model that predicts the probability of infection with group A beta-hemolytic streptococcus, and the model's performance was tested in two additional patient groups. The predictive accuracy of the "history" score was confirmed in all patient groups, despite differences in providers and disease prevalences. Primary care physicians may use this model to help them make decisions in situations such as telephone encounters without using additional data.

  19. The effect of ketamine on sore throat after tonsillectomy

    Directory of Open Access Journals (Sweden)

    M. Haghighi

    2007-01-01

    Full Text Available AbstractBackground and purpose: Ketamine efficacy as an analgesic adjuvant has been studied in several clinical settings with conflicting results. Sore throat and pain after swallowing following tonsillectomy is significant. The aim of this study was to investigate the effect of ketamine on sore throat (pain after tonsillectomy.Materials and Methods: In this double blind clinical trial, fifty children were, divided in to two equal groups of Ketamine and control. The subjects aged 4-14 years old and physical ASA class I-II were randomized to receive pemedication with either ketamine 0.1mg/kg I.V. or placebo 5 minutes before induction of a standard general anesthesia.Results: The ketamine group showed significantly lower pain scores with less total pethidine consumption (P<0.005 during 6h after surgery. The mean pain score in ketamine group was 1.32 and in control group was 2.4 . There were no differences in the incidence of vomiting between the groups.Conclusion: Premedication with a small dose of ketamine reduces pain after tonsillectomy in children who received an analgesic regimen combined with an opoid.

  20. Homoeopathy for delayed onset muscle soreness: a randomised double blind placebo controlled trial.

    Science.gov (United States)

    Vickers, A J; Fisher, P; Smith, C; Wyllie, S E; Lewith, G T

    1997-01-01

    OBJECTIVE: To pilot a model for determining whether a homoeopathic medicine is superior to placebo for delayed onset muscle soreness (DOMS). DESIGN: Randomised double blind placebo controlled trial. SETTING: Physiotherapy department of a homoeopathic hospital. SUBJECTS: Sixty eight healthy volunteers (average age 30; 41% men) undertook a 10 minute period of bench stepping carrying a small weight and were randomised to a homoeopathic medicine or placebo. OUTCOME MEASURES: Mean muscle soreness in the five day period after the exercise test, symptom free days, maximum soreness score, days to no soreness, days on medication. RESULTS: The difference between group means was 0.17 in favour of placebo with 95% confidence intervals +/- 0.50. Similar results were found for other outcome measures. CONCLUSION: The study did not find benefit of the homoeopathic remedy in DOMS. Bench stepping may not be an appropriate model to evaluate the effects of a treatment on DOMS because of wide variation between subject soreness scores. PMID:9429007

  1. [Resurfacing of an ischial and trochanteric recurrent pressure sore by a pedicled fasciocutaneous anterolateral thigh flap].

    Science.gov (United States)

    Moullot, P; Philandrianos, C; Casanova, D

    2014-10-01

    Ischial pressure sores, common in paraplegic patient, are the most difficult to treat, and poor prognosis associated with a high rate of postoperative recurrence. Many surgical techniques by muscular or myocutaneous flap coverage have been described. We report an original use of a fasciocutaneous pedicled anterolateral thigh (ALTp) flap for coverage of an ischial pressure sore combined with a trochanteric pressure sore, exceeded beyond any conventional therapeutic solution. A 45-year-old paraplegic patient suffered from a trochanteric and ischial pressure sore, which had already received coverage by a muscular flap of biceps femoris and gluteus maximus. At 1 year, the result is satisfactory, with good coverage without recurrence. The fasciocutaneous ALTp flap can be a solution to cover recurrent ischial pressure sores beyond conventional methods. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  2. Causes of sore throat after intubation: a prospective observational study of multiple anesthesia variables.

    Science.gov (United States)

    Levin, Phillip D; Chrysostomos, Chrysostomou; Ibarra, Carlos A; Ledot, Stephan; Naito, Daigo; Weissman, Charles; Avidan, Alexander

    2017-06-01

    Sore throat is common after intubation for surgery. This observational study investigated cuff pressure and a large range of clinical covariates to explore the etiology of sore throat. Approximately 24 hours after surgery six questions relating to pain, upper airway symptoms and sore throat were delivered to patients who had undergone intubation. Sore throat was correlated with demographics, anesthesia variables and cuff pressure (measured for a subset of patients). Sore throat was reported by 270/518 (52%) patients with VAS Score 45.9±25.1 (range 0-100). Sore throat patients were significantly younger, had a lower ASA status, were more frequently female, had shorter surgeries and lower nitrous oxide exposure, had a higher proportion of smaller tracheal tubes (7.5 mm internal diameter vs. 8 mm), had a higher incidence of nasogastric drainage, higher propofol doses and a higher usage of ketorolac. Decreasing age (odds ratio 0.976, 95% confidence intervals 0.961-0.992, P=0.003) and the presence of a nasogastric tube when the questionnaire was delivered (OR 1.83, 95% CI: 1.06-3.14, P=0.03) remained significant predictors of sore throat on multivariate analysis. Mean cuff pressure (measured for 160 patients) was 56.8±41.9 mmHg. Cuff pressure was similar amongst patients with and without sore throat (57±46 vs. 53±38 mmHg, P=0.58). There was no correlation between cuff pressure and severity of sore throat (r=0.004, P=0.37). Only age and the presence of a nasogastric tube after surgery were significant predictors for sore throat. This result contradicts most other studies of cuff pressure where fewer covariates were measured.

  3. Bituminous sands : tax issues

    Energy Technology Data Exchange (ETDEWEB)

    Patel, B. [PricewaterhouseCoopers LLP, Calgary, AB (Canada)

    2004-07-01

    This paper examined some of the tax issues associated with the production of bitumen or synthetic crude oil from oil sands. The oil sands deposits in Alberta are gaining more attention as the supplies of conventional oil in Canada decline. The oil sands reserves located in the Athabasca, Cold Lake and Peace River areas contain about 2.5 trillion barrels of highly viscous hydrocarbons called bitumen, of which nearly 315 billion barrels are recoverable with current technology. The extraction method varies for each geographic area, and even within zones and reservoirs. The two most common extraction methods are surface mining and in-situ extraction such as cyclic steam stimulation (CSS); low pressure steam flood; pressure cycle steam drive; steam assisted gravity drainage (SAGD); hot water flooding; and, fire flood. This paper also discussed the following general tax issues: bituminous sands definition; bituminous sands leases and Canadian development expense versus Canadian oil and gas property expense (COGPE); Canadian exploration expense (CEE) for surface mining versus in-situ methods; additional capital cost allowance; and, scientific research and experimental development (SR and ED). 15 refs.

  4. Lund Sand No 0

    DEFF Research Database (Denmark)

    Ibsen, Lars Bo; Jakobsen, Finn Rosendal

    During the last 15 years the Geotechnical Engineering Group (GEG) at Aalborg University has performed triaxial tests with a sand called Lund No 0. Lund No 0 is a graded sand from a gravel pit near Horsens in Denmark. For the classification of the sand the following tests have been performed: Sieve...... test, Grain density, ds, Maximum, emax, and minimum, emin, void ratio. The strength parameters of Lund No 0 are detennined by some drained and undrained triaxial tests in the Danish Triaxial Cell. The Danish Triaxial Cell prescribes smooth pressure heads and specimens with equal height and diameter....... Four series with Id equal to 0.92, 0.87 0.76 and 0.55 have been performed....

  5. UK Frac Sand Resources

    OpenAIRE

    Mitchell, C J

    2015-01-01

    Although still just a glimmer in the gas man’s eye, the prospect of shale hydrocarbon (oil and gas) development in the UK has many companies thinking about the industrial minerals it will require. Chief amongst these is silica sand which is used as a ‘proppant’ in the hydraulic fracturing, or ‘fracking’, of shales to help release the gas. The UK has large resources of sand and sandstone, of which only a small proportion have the necessary technical properties that classify them as ‘silica san...

  6. Delayed onset muscle soreness : treatment strategies and performance factors.

    Science.gov (United States)

    Cheung, Karoline; Hume, Patria; Maxwell, Linda

    2003-01-01

    Delayed onset muscle soreness (DOMS) is a familiar experience for the elite or novice athlete. Symptoms can range from muscle tenderness to severe debilitating pain. The mechanisms, treatment strategies, and impact on athletic performance remain uncertain, despite the high incidence of DOMS. DOMS is most prevalent at the beginning of the sporting season when athletes are returning to training following a period of reduced activity. DOMS is also common when athletes are first introduced to certain types of activities regardless of the time of year. Eccentric activities induce micro-injury at a greater frequency and severity than other types of muscle actions. The intensity and duration of exercise are also important factors in DOMS onset. Up to six hypothesised theories have been proposed for the mechanism of DOMS, namely: lactic acid, muscle spasm, connective tissue damage, muscle damage, inflammation and the enzyme efflux theories. However, an integration of two or more theories is likely to explain muscle soreness. DOMS can affect athletic performance by causing a reduction in joint range of motion, shock attenuation and peak torque. Alterations in muscle sequencing and recruitment patterns may also occur, causing unaccustomed stress to be placed on muscle ligaments and tendons. These compensatory mechanisms may increase the risk of further injury if a premature return to sport is attempted.A number of treatment strategies have been introduced to help alleviate the severity of DOMS and to restore the maximal function of the muscles as rapidly as possible. Nonsteroidal anti-inflammatory drugs have demonstrated dosage-dependent effects that may also be influenced by the time of administration. Similarly, massage has shown varying results that may be attributed to the time of massage application and the type of massage technique used. Cryotherapy, stretching, homeopathy, ultrasound and electrical current modalities have demonstrated no effect on the alleviation of

  7. [The Development of a Care Protocol for Postoperative Pressure Sore Prevention].

    Science.gov (United States)

    Huang, Yu-Ling; Lin, Hui-Ling; Wang, Fang; Wu, Shu-Fang Vivienne

    2015-12-01

    Pressure sores are a common complication caused by long periods of bed rest following major surgery. These sores may increase patient postoperative pain, increase the risk of infections, lengthen the pe-riod of hospitalization, and increase the duration and costs of nursing care. Therefore, maintaining the skin integrity of surgical patients is an important responsibility for operating room nurses and an indicator of nursing care quality. While pressure-sore risk assessment tools and interoperative strategies are available and used in foreign countries, there has been little related research conducted in Taiwan. After examining the relevant literature and considering the current postoperative pressure sore situation in Taiwan, the author developed a postoperative pressure sore care protocol as a reference for clinical staff. Protocol procedures include major breakthrough developments in areas such as post-survey risk assessment for pressure ulcers, pressure ulcer prevention strategies that take surgery-related risk factors into consideration, extra care and protection measures for surgical supine patients, and post-pressure sores. The developed postoperative pressure sore protocol may be incorporated into surgical care procedures during the post-surgical care period in order to effectively prevent the occurrence of post-surgery pressure ulcers. Furthermore, the developed protocol offers the potential to improve and strengthen the quality of surgical care in terms of both healthcare and post-surgical care.

  8. Total bed management: the way forward in pressure sore prevention.

    Science.gov (United States)

    Preece, J

    King's College Hospital, London, is the first trust to implement total bed management (TBM) to assist in the reduction and prevention of pressure sores. TBM is a new concept, whereby the tissue viability, manual handling and therapy needs of the trust are met at reduced costs through a partnership with a contractor. The introduction of a large number of electric bed frames and foam mattress replacements, with the availability of dynamic pressure-relieving equipment and a service agreement, has led to an expected trust saving of 86,000 Pounds in 1998/1999 and 100,000 Pounds in 1999/2000 onwards. This article outlines the perceived benefits of this approach.

  9. [Sore throat and chronic tonsillitis (an analytical review)].

    Science.gov (United States)

    Chistiakova, V P

    2012-01-01

    This communication is designed to overview the literature publications concerning sore throat and chronic tonsillitis that appeared during the period from 2007 to 2011. It is shown that the prevalence of chronic tonsillar pathology tends to grow progressively over time and is presently 1.5-1.8 times higher than it was in the 1970s. The incidence of newly diagnosed cases of tonsillitis increases even at a higher rate. The total morbidity in the regions characterized by a high level of environmental pollution exceeds by a factor of 2.1 that in the areas with the relatively more friendly environment. Due to the reduction in the proportion of surgical interventions in the general strategy of treatment of sore throat and chronic tonsillitis, even in the presence of medical indications, a three-fold rise in the frequency of local pyoinflammatory tonsillogenic complications is documented. New techniques for diagnostics of tonsillogenic intoxication allowing to better estimate the severity of decompensation with a higher degree of accuracy are considered. It is emphasized that physical methods, such as ultrasound, laser, cryogenic,ultraviolet, and magnetic therapy in combination with antiseptic drugs, find the increasingly wider application along with immunomodulatory, antibacterial, antiviral, and antifungal agents for conservative therapy based on the differential choice of medicamental preparations. Equally widely used are novel surgical methods for the management of chronic tonsillitis including modern variants of peritonsillar tissue dissection techniques based on the application of electric current, radiowaves, laser and ultrasound radiation, cryogenic factors and cold-plasma, etc. The use of these tools facilitates the surgical intervention and helps to prevent postoperative complications.

  10. Characteristics of children consulting for cough, sore throat, or earache

    Science.gov (United States)

    Uijen, Johannes HJM; van Duijn, Huug J; Kuyvenhoven, Marijke M; Schellevis, François G; van der Wouden, Johannes C

    2008-01-01

    Background GPs are often consulted for respiratory tract symptoms in children. Aim To explore characteristics of children, their parents, and their GPs that are correlated with consulting a GP for cough, sore throat, or earache. Design of study Second Dutch National Survey of General Practice (DNSGP-2) with a health interview and an additional questionnaire. Setting Children aged 0–17 years registered with 122 GPs in Dutch general practice. Method Characteristics of patients and their GPs were derived from the DNSGP-2 health interview and a questionnaire, respectively. Characteristics of the illness symptoms and GP consultation were acquired by means of an additional questionnaire. Data were analysed using multivariate logistic regression. Results Of all children who completed the questionnaire, 550 reported cough, sore throat, or earache in the 2 weeks preceding the interview with 147 of them consulting their GP. Young children more frequently consulted the GP for respiratory symptoms, as did children with fever, longer duration of symptoms, those reporting their health to be ‘poor to good’, and living in an urban area. When parents were worried, and when a child or their parents were cued by someone else, the GP was also consulted more often. GP-related determinants were not associated with GP consultation by children. Conclusion This study emphasises the importance of establishing the reasons behind children with respiratory tract symptoms consulting their GP. When GPs are aware of possible determinants of the decision to consult a GP, more appropriate advice and reassurance can be given regarding these respiratory symptoms, which are generally self-limiting. PMID:18387228

  11. Ultrasound Findings of Delayed-Onset Muscle Soreness.

    Science.gov (United States)

    Longo, Victor; Jacobson, Jon A; Fessell, David P; Mautner, Kenneth

    2016-11-01

    The purpose of this series was to retrospectively characterize the ultrasound findings of delayed-onset muscle soreness (DOMS). The Institutional Review Board approved our study, and informed consent was waived. A retrospective search of radiology reports using the key phrase "delayed-onset muscle soreness" and key word "DOMS" from 2001 to 2015 and teaching files was completed to identify cases. The sonograms were reviewed by 3 fellowship-trained musculoskeletal radiologists by consensus. Sonograms were retrospectively characterized with respect to echogenicity (hypoechoic, isoechoic, or hyperechoic), distribution of muscle involvement, and intramuscular pattern (focal versus diffuse and well defined versus poorly defined). Images were also reviewed for muscle enlargement, fluid collection, muscle fiber disruption, and increased flow on color or power Doppler imaging. There were a total of 6 patients identified (5 male and 1 female). The average age was 22 years (range, 7-44 years). Of the 6 patients, there were a total of 11 affected muscles in 7 extremities (1 bilateral case). The involved muscles were in the upper extremity: triceps brachii in 27% (3 of 11), biceps brachii in 18% (2 of 11), brachialis in 18% (2 of 11), brachioradialis in 18% (2 of 11), infraspinatus in 9% (1 of 11), and deltoid in 9% (1 of 11). On ultrasound imaging, the abnormal muscle was hyperechoic in 100% (11 of 11), well defined in 73% (8 of 11), poorly defined in 27% (3 of 11), diffuse in 73% (8 of 11), and focal in 27% (3 of 11). Increased muscle size was found in 82% (9 of 11) and minimal hyperemia in 87.5% (7 of 8). The ultrasound findings of DOMS include hyperechoic involvement of an upper extremity muscle, most commonly appearing well defined and diffuse with increased muscle size and minimal hyperemia.

  12. Study regarding the effect of calendula officinalis cream in healing of pressure sores

    Directory of Open Access Journals (Sweden)

    Ravanbakhsh Esmaili

    2008-01-01

    Full Text Available (Received 13 July, 2008 ; Accepted 29 Oct, 2008 Abstract Background and Purpose: Pressure sore is common among patients with prolonged stay in hospitals or homes. Treatment of such sores is costly and performed by various procedures. Considering the effective role of calendula officinalis in treatment of sores, ulcers and cutaneous inflammations, this study is conducted to determine the effect of this cream in healing pressure sores.Materials and methods: This is a pre/post comparative clinical trial done on 20 patients with pressure sores who received the recommended treatment.The condition of patients such as, duration of pressure sore, and the extent of the sore were recorded. The sore was washed with normal saline, dried, followed by applying calendula cream three times a day for a duration of 4 weeks. Each week, the extent and rate of healing was observed and recorded.Results: The rate of healing in patients under our study was 56.6%. Majority (55% of patients had partial healing. The time of healing was in weeks 3.5±1.2 (P<0.001. The complete healing occurred in the 3rd and 4th week, subsequent to the beginning of the treatment.Conclusion: Considering the availability of the cream and its affordability, it can be used in the treatment of pressure sores. In addition, it can be used as a drug for treatment of patients who are in hospitals and/or in their homes. J Mazand Univ Med Sci 2008; 18(66:19-25(Persian

  13. Building with Sand

    Science.gov (United States)

    Ashbrook, Peggy

    2010-01-01

    Children playing in damp sand invariably try to make a tower or a tunnel. By providing experiences with a variety of materials, alone and together, teachers set up the conditions for children to learn through their senses and ensure that a class approaches a topic with a common set of experiences to build on. Learning about the properties of…

  14. Faraday, Jets, and Sand

    NARCIS (Netherlands)

    Sandtke, M.; van der Meer, Roger M.; Versluis, Andreas Michel; Lohse, Detlef

    2003-01-01

    When a 6-mm layer of fine sand with an average grain size of 40 µm is poured into a cylindrical container and shaken vertically, thin jets are seen to emerge from an airy cloud of grains, almost like protuberances from the corona of the sun. A quasi two-dimensional setup reveals the jet-formation

  15. Building with Sand

    Science.gov (United States)

    Ashbrook, Peggy

    2010-01-01

    Children playing in damp sand invariably try to make a tower or a tunnel. By providing experiences with a variety of materials, alone and together, teachers set up the conditions for children to learn through their senses and ensure that a class approaches a topic with a common set of experiences to build on. Learning about the properties of…

  16. Speleothems and Sand Castles

    Science.gov (United States)

    Hance, Trevor; Befus, Kevin

    2015-01-01

    The idea of building sand castles evokes images of lazy summer days at the beach, listening to waves crash, enjoying salty breezes, and just unplugging for a while to let our inner child explore the wonderful natural toys beneath our feet. The idea of exploring caves might evoke feelings and images of claustrophobia or pioneers and Native…

  17. Virksomhedens sande ansigt

    DEFF Research Database (Denmark)

    Lundholt, Marianne Wolff

    2017-01-01

    Er modhistorier en byrde eller en styrke i forandringsprocesser? Hvad stiller vi op, når adgangen til organisationens sande identitet går gennem medarbejdernes modhistorier? Når vi sammenholder denne erkendelse med vores viden om, at medarbejdere helt naturligt afholder sig fra at videregive disse...

  18. Sand (CSW4)

    CSIR Research Space (South Africa)

    Estuarine and Coastal Research Unit

    1982-12-01

    Full Text Available This report is one of a series on Cape Estuaries being published under the general title "The Estuaries of the Cape, Part 2". The report provides information on sand estuary: historical background, abiotic and biotic characteristics. It is pointed...

  19. Sand supply to beaches

    Science.gov (United States)

    Aagaard, Troels

    2017-04-01

    In most cases, beaches and dunes are built by sand that has been transported onshore from the shoreface. While this has been known for a long time, we are still not able to quantitatively predict onshore sediment transport and sand supply to beaches. Sediment transport processes operating during brief, high-energy stormy conditions - when beaches erode and sand moves offshore - are fairly well known and they can be modelled with a reasonable degree of confidence. However, the slower onshore sand transport leading to beach recovery under low-to-moderate energy conditions - and the reason why beaches and dunes exist in the first place - is not yet well understood. This severely limits our capability to understand and predict coastal behaviour on long time scales, for example in response to changing sea level or wave conditions. This paper will discuss issues and recent developments in sediment transport measurement and prediction on the lower and upper shoreface and into the swash zone. The focus will be on the integration and upscaling of small-scale deterministic process measurements into parametric models that may increase modelling capabilities of coastal behaviour on larger temporal and spatial scales.

  20. Erosion phenomena in sand moulds

    Directory of Open Access Journals (Sweden)

    A. Chojecki

    2008-03-01

    Full Text Available Authors studicd the erosion phcnorncna in sand moulds pured with cast iron. Thc study comprises an evaluation of erosionresistance of thc three sands: grccn sand. sand bondcd with inorganic or organic bindcr. It was concluded that thc most resistant is [heclassic green sand with thc addition of 5 B coal dust. Resistance of the sand with organic binder is generally weak and dcvnds onkind of used raisin. Spccinl nztcntion was paid to the sands with no organic bindcr watcr glass and phospha~c. It was Sound that thcirrcsistance depends on dehydratation conditions. When the mould is stored in law humidity of atmosphcrc the very strong crosion canbe expected. It rcsul ts hrn thc micro fractures in the bridges of binders, joining the grains of the sable. This phcnomcna facilitates thetearing away of fragments of sand [tom the surface

  1. A comparative analysis of pressure sore treatment modalities in community settings

    Directory of Open Access Journals (Sweden)

    N. Small

    2002-09-01

    Full Text Available The management of pressure sores in community settings, poses a clinical problem which challenges the patient’s tolerance and the clinician’s diligence and ingenuity. Pressure sores can be painful, lead to infection and are associated with considerable morbidity and increased mortality (Patterson & Bennett, 1995:919; Bale, Banks, Hagelstein & Harding, 1998:65. Treatment costs of these wounds are high in terms of resources (Colin 1995:65; Wood, Griffiths & Stoner, 1997:256. However, since there are untold cost in terms of pain and suffering to the patient, it is impossible to calculate the true cost of pressure sores (Dealey, 1994:87.

  2. Sacral pressure sore reconstruction -- the pedicled superior gluteal artery perforator flap.

    Science.gov (United States)

    Hurbungs, A; Ramkalawan, H

    2012-02-14

    To report the use of the pedicled superior gluteal artery perforator (SGAP) fasciocutaneous flap as a reliable surgical option for sacral pressure sore reconstruction. A prospective study was conducted between September 2008 and September 2010 of 10 patients with stage 3 or 4 sacral pressure sores treated with a unilateral pedicled SGAP flap. All flaps survived completely with no complications in 9 patients. One patient had a haematoma below the flap that was easily drained. No recurrence of the bedsore occurred during follow-up. We suggest that the pedicled SGAP fasciocutaneous flap is a reliable surgical option for sacral pressure sore reconstruction.

  3. On Pluvial Compaction of Sand

    DEFF Research Database (Denmark)

    Jacobsen, Moust

    At the Institute of Civil Engineering in Aalborg model tests on dry sand specimens have been carried out during the last five years. To reduce deviations in test results, the sand laying technique has been carefully studied, and the sand mass spreader constructed. Preliminary results have been...

  4. Sand hazards on tourist beaches.

    Science.gov (United States)

    Heggie, Travis W

    2013-01-01

    Visiting the beach is a popular tourist activity worldwide. Unfortunately, the beach environment is abundant with hazards and potential danger to the unsuspecting tourist. While the traditional focus of beach safety has been water safety oriented, there is growing concern about the risks posed by the sand environment on beaches. This study reports on the death and near death experience of eight tourists in the collapse of sand holes, sand dunes, and sand tunnels. Each incident occurred suddenly and the complete burial in sand directly contributed to the victims injury or death in each case report.

  5. Evaluation of the effectiveness of kinesiotaping in reducing delayed onset muscle soreness of the biceps brachii

    Directory of Open Access Journals (Sweden)

    Boguszewski Dariusz

    2016-07-01

    Full Text Available biological regeneration in athletes. The aim of this study was to evaluate the effectiveness of the application of lymphatic kinesiotaping in reducing delayed onset muscle soreness of biceps brachii.

  6. Effects of ibuprofen on exercise-induced muscle soreness and indices of muscle damage.

    Science.gov (United States)

    Donnelly, A E; Maughan, R J; Whiting, P H

    1990-01-01

    Thirty-two volunteers participated in a two-period crossover study in which ibuprofen was tested against an identical placebo for its effectiveness in reducing muscle soreness and damage after two bouts of downhill running. Subjective soreness, quadriceps isometric strength and isometric endurance time at 50 percent of maximum strength, serum activities of creatine kinase, lactate dehydrogenase and aspartate transaminase and serum levels of creatinine and urea were recorded at intervals up to 72 hours after exercise. Each downhill run produced muscle soreness, and a decline in muscle strength and 50 percent endurance time, although these parameters were unaffected by ibuprofen treatment. All serum parameters measured increased after both runs, but for the three enzymes this increase was smaller after the second run. Serum creatine kinase and urea levels were higher in the ibuprofen group after both runs. These results indicate that ibuprofen is not an appropriate treatment for delayed onset muscle soreness and damage. PMID:2078806

  7. An ideal method for pressure sore reconstruction: a freestyle perforator-based flap.

    Science.gov (United States)

    Yang, Ching-Hsiang; Kuo, Yur-Ren; Jeng, Seng-Feng; Lin, Pao-Yuan

    2011-02-01

    Pressure sore reconstruction is quite difficult for plastic surgeons because of long-term high recurrence rates. We designed a freestyle perforator-based flap for pressure sore reconstruction considering pressure sore recurrence and further reconstruction. We used a handheld Doppler device to locate a perforator position just adjacent to the pressure ulcer. In a series of 34 patients, we used 37 perforator-based flaps to reconstruct 25 sacral, 5 ischial, and 4 trochanteric ulcers. Twenty-eight of 37 flaps healed uneventfully without complication. One patient had a flap that totally necrosed, 3 had partial flap necrosis, 3 had wound dehiscence, 1 died 3 days postoperatively, and recurrence developed in 1 patient. We used the freestyle perforator-based fasciocutaneous flap for pressure sore management with good success. These flaps are easy to design and provide good versatility for coverage. Cooperation of surgical skills and good postoperative care also contributed to the lower recurrence rates and satisfactory results.

  8. PROCESSING OF MONAZITE SAND

    Science.gov (United States)

    Calkins, G.D.; Bohlmann, E.G.

    1957-12-01

    A process for the recovery of thorium, uranium, and rare earths from monazite sands is presented. The sands are first digested and dissolved in concentrated NaOH, and the solution is then diluted causing precipitation of uranium, thorium and rare earth hydroxides. The precipitate is collected and dissolved in HCl, and the pH of this solution is adjusted to about 6, precipitating the hydroxides of thorium and uranium but leaving the rare earths in solution. The rare earths are then separated from the solution by precipitation at a still higher pH. The thorium and uranium containing precipitate is redissolved in HNO/sub 3/ and the two elements are separated by extraction into tributyl phosphate and back extraction with a weakly acidic solution to remove the thorium.

  9. Moving sand dunes

    CERN Document Server

    Sparavigna, Amelia Carolina

    2011-01-01

    In several desert areas, the slow motion of sand dunes can be a challenge for modern human activities and a threat for the survival of ancient places or archaeological sites. However, several methods exist for surveying the dune fields and estimate their migration rate. Among these methods, the use of satellite images, in particular of those freely available on the World Wide Web, is a convenient resource for the planning of future human settlements and activities.

  10. Effects of stretching before and after exercising on muscle soreness and risk of injury: systematic review

    Science.gov (United States)

    Herbert, Rob D; Gabriel, Michael

    2002-01-01

    Objective To determine the effects of stretching before and after exercising on muscle soreness after exercise, risk of injury, and athletic performance. Method Systematic review. Data sources Randomised or quasi-randomised studies identified by searching Medline, Embase, CINAHL, SPORTDiscus, and PEDro, and by recursive checking of bibliographies. Main outcome measures Muscle soreness, incidence of injury, athletic performance. Results Five studies, all of moderate quality, reported sufficient data on the effects of stretching on muscle soreness to be included in the analysis. Outcomes seemed homogeneous. Stretching produced small and statistically non-significant reductions in muscle soreness. The pooled estimate of reduction in muscle soreness 24 hours after exercising was only 0.9 mm on a 100 mm scale (95% confidence interval −2.6 mm to 4.4 mm). Data from two studies on army recruits in military training show that muscle stretching before exercising does not produce useful reductions in injury risk (pooled hazard ratio 0.95, 0.78 to 1.16). Conclusions Stretching before or after exercising does not confer protection from muscle soreness. Stretching before exercising does not seem to confer a practically useful reduction in the risk of injury, but the generality of this finding needs testing. Insufficient research has been done with which to determine the effects of stretching on sporting performance. What is already known on this topicReviews of the effects of stretching before exercising have drawn conflicting conclusionsThe literature on effects of stretching before and after exercising on muscle soreness and risk of injury has not been systematically reviewedWhat this study addsStretching before and after exercising does not confer protection from muscle soreness and stretching before exercise does not seem to confer a practically useful reduction in the risk of injury PMID:12202327

  11. Using a modified nasotracheal tube to prevent nasal ala pressure sore during prolonged nasotracheal intubation.

    Science.gov (United States)

    Cherng, Chen-Hwan; Chen, Yuan-Wu

    2010-12-01

    Nasotracheal tube induced nasal ala pressure sores or necrosis during prolonged nasotracheal intubation have been reported, and it is a serious but preventable complication. Here we introduce a modified nasotracheal tube to prevent this complication. This modified nasotracheal tube is composed of two parts, an oral endotracheal tube and a proximal part of a preformed nasotracheal tube, which are linked by a connector. The use of this modified nasotracheal tube can prevent nasal ala pressure sores during prolonged nasotracheal intubation.

  12. Evaluation of wettability of binders used in moulding sands

    Directory of Open Access Journals (Sweden)

    Hutera B.

    2007-01-01

    Full Text Available Binders used in moulding sand have the differential properties. One of the main parameters influencing on moulding sand properties is wettability of the sand grain by binding material. In the article some problems concerned with wettability evaluation have been presented and the importance of this parameter for quantity description of process occurring in system: binder- sand grain has been mentioned. The procedure of wetting angle measurement and operation of prototype apparatus for wettability investigation of different binders used in moulding sand have been described, as well as the results of wetting angle measurement for different binders at different conditions. The addition of little amount of proper diluent to binder results in the state of equilibrium reached almost immediately. Such addition can also reduce the value of equilibrium contact angle. The uniform distribution of binder on the surface of the sand grains and reducing of the required mixing time can be obtained. It has also a positive effect on the moulding sand strength.

  13. Pressure Sore at an Unusual Site- the Bilateral Popliteal Fossa: A Case report

    Directory of Open Access Journals (Sweden)

    Kamal Kataria

    2012-05-01

    Full Text Available Pressure sore is tissue ulceration due to unrelieved pressure, altered sensory perception, and exposure to moisture. Geriatric patients with organic problems and patients with spinal cord injuries are the high-risk groups. Soft tissues over bony prominences are the common sites for ulcer development. About 95% of pressure ulcers occur in the lower part of the body. Ischial tuberosity, greater trochanter, sacrum and heel are common sites. In addition to these, pressure sores at unusual sites like nasal alae, malar eminences, cervical region and medial side of knee have also been described. Only 1.6% of the patients present with sores in areas outside the pelvis and lower extremity. In a paraplegic patient, pressure sores are usually over extensor surface of knee and heel but pressure ulcer over popliteal fossa are extremely rare. We herein report a case of a 36-years-old diabetic and paraplegic male, who presented with multiple bed sores involving the sacral area, heels and bilateral popliteal fossa. Popliteal fossa is an unusual site for pressure sores. Only one similar case has been previously reported in the literature.

  14. Dexpanthenol pastille and benzydamine hydrochloride spray for the prevention of post-operative sore throat.

    Science.gov (United States)

    Gulhas, N; Canpolat, H; Cicek, M; Yologlu, S; Togal, T; Durmus, M; Ozcan Ersoy, M

    2007-02-01

    In this study, we aimed to compare the effectiveness of dexpanthenol pastille and benzydamine hydrochloride spray on the prevention of a sore throat. One hundred and eighty patients undergoing general anaesthesia, who were ASA I-II and with their ages ranging between 15 and 70 years, were randomly allocated to three groups, each consisting of 60 patients. For group B, four puffs of benzydamine hydrochloride were sprayed into the mouth initially 30 min before the operation and repeatedly 5 min before anaesthesia induction. For group D, two pastilles of dexpanthenol were administered orally to be sucked 30 min before the operation. For group P, four puffs of distilled water were sprayed into the mouth initially 30 min before the operation. Post-operatively, patients were evaluated for a sore throat for the duration of 24 h. The incidence of a sore throat was significantly lower for group D when compared with group B and group P. The incidence of a sore throat was similar for group B and group P. According to the sore throat grading system, the number of patients experiencing no complaints was significantly higher for group D when compared with group B and group P. The number of patients achieving moderate scores was significantly higher for group B when compared with group D. The administration of 200 mg of dexpanthenol prophylactically before endotracheal intubation is effective in the prevention of post-operative sore throat.

  15. Pulsed Ultrasound Fails To Diminish Delayed-Onset Muscle Soreness Symptoms

    Science.gov (United States)

    Stay, Jeffrey C.; Richard, Mark D.; Draper, David O.; Schulthies, Shane S.; Durrant, Earlene

    1998-01-01

    Objective: We investigated the effects of pulsed ultrasound on swelling, muscle soreness perception, relaxed-elbow extension angle, and muscular strength. Design and Setting: Eight sets of concentric and eccentric actions induced delayed-onset muscle soreness of the elbow flexors. Group 1 received 20% pulsed ultrasound treatments (1-MHz, 7 minutes, 1.5 W/ cm2 temporal peak intensity) twice a day immediately after postexercise assessments and at 3, 24, 27, 48, 51, 72, and 75 hours postexercise. Group 2 received sham treatments immediately after postexercise assessments and at 3,27, 51, and 75 hours postexercise and true treatments of pulsed ultrasound at 24, 48, and 72 hours postexercise. Group 3 received sham treatments of no ultrasonic output immediately after postexercise assessments and at 3, 24, 27, 48, 51, 72, and 75 hours postexercise. Subjects: Thirty-six college-age females. Measurements: We recorded upper-arm circumference, perceived soreness, relaxed-elbow extension angle, and elbow-flexion strength before (pretest), immediately postexercise, and at 24, 48, 72, and 96 hours postexercise. Results: We noted differences over time but no treatment effect between groups or interactions between time and group for upper-arm circumference, perceived soreness, relaxed-elbow extension angle, or elbow-flexion strength. Conclusions: Pulsed ultrasound as used in this study did not significantly diminish the effects of delayed-onset muscle soreness on soreness perception, swelling, relaxed-elbow extension angle, and strength. PMID:16558532

  16. [Indication of sclerotherapy in the treatment of ischiatic pressure sore: about 13 cases].

    Science.gov (United States)

    Bahé, L; Prud'homme, A; Penaud, A; Formé, N; Zakine, G

    2012-12-01

    Ischiatic pressure sore is a common pathology of the paraplegic patient. Usually treated after medical therapy, with fasciocutaneous or musculocutaneous local flaps, despite this treatment the recurrence rate is high. Sclerotherapy, injection of pure ethanol in the cavity of the pressure sore could be an interesting solution in the armentarium of the plastic surgeon in some indications. Sclerotherapy was used for 13 patients in the plastic surgery department to treat ischiatic pressure sores with a cavity, beneath the defect. The mean length of stay was 24 days. The ischiatic pressure sore was completely healed with no skin defect or cavity for nine patients (65%). For two patients, there was a delay of healing of the skin defect but no cavity beneath. There were two early recurrences of the pressure sore. They were treated by sclerotherapy with a complete recovery in 2 months with simple hydrocolloid dressings. The mean post op follow-up was 14,6 months (4 to 24). Only one recurrence was observed after 12 months. The injection of pure ethanol in the cavity of specifics ischiatics pressure sores is a simple, fast and effective technique with a good and stable long term wound healing. The mean length of stay is shorter and the recurrence rate is equivalent to other techniques. Copyright © 2009 Elsevier Masson SAS. All rights reserved.

  17. [Giant recurrent trochanteric pressure sore: A complex medico-surgical care].

    Science.gov (United States)

    Pesenti, S; Ciceron, C; Toledano, E; Niddam, J; Tournebise, H

    2016-12-01

    Pressure sores are a frequent complication in spinal injured people. Their treatment is often long and complex. We report the case of a 60-year-old man affected with complete paraplegia who developed a right trochanteric pressure ulcer complicated with osteoarthritis of the coxofemoral joint. The treatment was done in three steps. First, a large excision of necrotic tissues and a femoral head-neck resection is performed. Then, the defect is partly covered with a Gluteus Maximus and a Biceps Femoris myocutaneous flaps. Finally, the residual defect is covered with a cutaneous pedicled groin flap called McGregor's flap. Later, the patient showed a right para-scrotal pressure sore on a heterotopic ossification of the ischial tuberosity. McGregor's flap is rarely employed for treating trochanteric pressure sores. It was here the only pedicled flap available. It was necessary to autonomize it in order to get enough length and to place a hip external fixation. The para-scrotal pressure sore illustrates the fact that bone resection surgery lifts the weight-bearing zones and can lead to pressure sores in unusual locations. The surgical treatment of these "giant" pressure sores requires a perfect collaboration between teams of rehabilitation and several surgical areas. Without a good adherence of the patient, the treatment is doomed to fail. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  18. [Encircling needling combined with physical factor therapy for severe pressure sore].

    Science.gov (United States)

    Jia, Chengjie; Su, Bin; Gong, Lili; Wang, Wenying; Zhang, Xiuhua

    2015-11-01

    To compare the clinical efficacy difference between encircling needling combined with physical factor therapy and simple physical factor therapy for severe pressure sore, and to explore the optimal method for severe pressure sores. Thirty-four patients with IV-grade pressure sore were randomly divided into an observation group and a control group, 17 cases in each one. Patients in the control group were treated with conventional nursing, ultrasonic wave and short-wave ultraviolet therapy; additionally, the encircling needling was applied in the observation group. All the treatment was given once a day, 5 times a week, and 4-week treatment constituted one session. Totally, two sessions of treatment were performed. Three indices, including the area of pressure sore, 24-h volume of exudates and wound-bed tissue type, were compared between the two groups before and after treatment; the clinical efficacy was evaluated in the two groups. After treatment of one session and two sessions, the area of pressure sore, 24-h volume of exudates and wound-bed tissue type were significantly reduced in the two groups (P pressure sore area and 24-h volume of exudates and improve wound-bed tissue type, which is superior to simple physical factor therapy.

  19. [Prevalence and prevention and treatment modalities for pressure sores. Study of the Emilia-Romagna region].

    Science.gov (United States)

    Melotti, Rita Maria; Fortuna, Daniela; Chiari, Paolo; Cavicchioli, Andrea; Mongardi, Maria; Santullo, Antonella; Grilli, Roberto

    2003-01-01

    This audit initiative aimed at assessing the prevalence of pressure sores in the public hospitals of Emilia-Romagna, and at monitoring the rate of use of specific modalities of prevention and cure. The design was cross-sectional, with information collected on three index days during 2000 by trained personnel. Overall, the prevalence of pressure sores at the regional level was 7.1%, with remarkable variation across hospitals (from 2.9% to 9.7%), also after adjustment for case mix. As for patterns of prevention and cure, 74% of patients at risk (according to the Braden scale) of developing a pressure sores received only standard low technology devices, and 50% of those in need were included in a systematic programme of postural change. Adequate (according to the available evidence) medications were used in 45% of patients with a pressure sore. The overall prevalence of pressure sore is close (or even inferior) to that observed in similar studies. However, variation between hospitals indicates that the current health services ability to deal with pressure sore is variable and often suboptimal. This evaluation is also supported by the limited adoption of adequate preventive and curative modalities.

  20. The evaluation of daily living activities, pressure sores and risk factors.

    Science.gov (United States)

    Aydın, Gökçen; Mucuk, Salime

    2015-01-01

    This study was conducted to assess daily living activities, pressure sores and risk factors. This was a descriptive study. The study was conducted at a rehabilitation center with 188 individuals participating in the study. Data were collected with a questionnaire form, Activities of Daily Living Scale (ADLS), Instrumental Activities of Daily Living Scale (IADLS) and Braden Risk Assessment Scale (BRAS). Among the participants, 48.9% were dependent according to activities of daily living and 71.8% were dependent on instrumental activities of daily living. It was noted that 4.8% had pressure sores and 38.8% were at high risk. A strong and positive correlation was found among ADLS, IADLS, and BRAS scores (p pressure sores (p pressure sores. Individuals who are treated at rehabilitation centers should be periodically assessed in terms of risk. Pressure sore development can be prevented with appropriate nursing interventions. To reduce the risk of developing pressure sores, nurses should describe the individual's degree of dependency according to ADLS and IADLS and initiate preventive nursing care. © 2014 Association of Rehabilitation Nurses.

  1. Booming Sand Dunes

    Science.gov (United States)

    Vriend, Nathalie

    "Booming" sand dunes are able to produce low-frequency sound that resembles a pure note from a music instrument. The sound has a dominant audible frequency (70-105 Hz) and several higher harmonics and may be heard from far distances away. A natural or induced avalanche from a slip face of the booming dune triggers the emission that may last for several minutes. There are various references in travel literature to the phenomenon, but to date no scientific explanation covered all field observations. This thesis introduces a new physical model that describes the phenomenon of booming dunes. The waveguide model explains the selection of the booming frequency and the amplification of the sound in terms of constructive interference in a confined geometry. The frequency of the booming is a direct function of the dimensions and velocities in the waveguide. The higher harmonics are related to the higher modes of propagation in the waveguide. The experimental validation includes quantitative field research at the booming dunes of the Mojave Desert and Death Valley National Park. Microphone and geophone recordings of the acoustic and seismic emission show a variation of booming frequency in space and time. The analysis of the sensor data quantifies wave propagation characteristics such as speed, dispersion, and nonlinear effects and allows the distinction between the source mechanism of the booming and the booming itself. The migration of sand dunes results from a complicated interplay between dune building, wind regime, and precipitation. The morphological and morphodynamical characteristics of two field locations are analyzed with various geophysical techniques. Ground-penetrating radar images the subsurface structure of the dunes and reveal a natural, internal layering that is directly related to the history of dune migration. The seismic velocity increases abruptly with depth and gradually increases with downhill position due to compaction. Sand sampling shows local

  2. Sediment mathematical model for sand ridges and sand waves

    Institute of Scientific and Technical Information of China (English)

    LI Daming; WANG Xiao; WANG Xin; LI Yangyang

    2016-01-01

    A new theoretical model is formulated to describe internal movement mechanisms of the sand ridges and sand waves based on the momentum equation of a solid-liquid two-phase flow under a shear flow. Coupling this equation with two-dimensional shallow water equations and wave reflection-diffraction equation of mild slope, a two-dimensional coupling model is established and a validation is carried out by observed hydrogeology, tides, waves and sediment. The numerical results are compared with available observations. Satisfactory agreements are achieved. This coupling model is then applied to the Dongfang 1-1 Gas Field area to quantitatively predict the movement and evolution of submarine sand ridges and sand waves. As a result, it is found that the sand ridges and sand waves movement distance increases year by year, but the development trend is stable.

  3. Gargling with ketamine attenuates the postoperative sore throat.

    Science.gov (United States)

    Rudra, A; Ray, Suchanda; Chatterjee, S; Ahmed, A; Ghosh, S

    2009-02-01

    Postoperative sore throat (POST) is a common complication of anaesthesia with endotracheal tube that affects patient satisfaction after surgery. Therefore, this complication remains to be resolved in patients undergoing endotracheal intubation. The aim of the study was to compare the effectiveness of ketamine gargles with placebo in preventing POST after endotracheal intubation. Forty patients scheduled for elective surgery under general anaesthesia were randomized into: Group C, water 30 ml; Group K, ketamine 50 mg in water 29 ml. Patients were asked to gargle this mixture for 40 seconds, 5 minutes before induction of anaesthesia. POST was graded at 4, 8 and 24 hours after operation on a four-point scale (0-3). In the Control group POST occurred more frequently, when compared with patients belonging to Ketamine group, at 4, 8, and 24 hours and significantly more patients suffered severe POST in Control group at 8 and 24 hours compared with Ketamine group (Pketamine significantly attenuated POST, with no drug-related side effects were observed.

  4. Gargling with Ketamine Attenuates the Postoperative Sore Throat

    Directory of Open Access Journals (Sweden)

    A Rudra

    2009-01-01

    Full Text Available Postoperative sore throat (POST is a common complication of anaesthesia with endotracheal tube that affects patient satisfaction after surgery. Therefore, this complication remains to be resolved in patients undergoing endotra-cheal intubation. The aim of the study was to compare the effectiveness of ketamine gargles with placebo in prevent-ing POST after endotracheal intubation. Forty patients scheduled for elective surgery under general anaesthesia were randomized into: Group C, water 30 ml; Group K, ketamine 50 mg in water 29 ml. Patients were asked to gargle this mixture for 40 seconds, 5 minutes before induction of anaesthesia. POST was graded at 4, 8 and 24 hours after operation on a four-point scale (0-3. In the Control group POST occurred more frequently, when compared with patients belonging to Ketamine group, at 4, 8, and 24 hours and significantly more patients suffered severe POST in Control group at 8 and 24 hours compared with Ketamine group (P< 0.05. We demonstrated that gargling with ketamine significantly attenuated POST, with no drug-related side effects were observed.

  5. The Efficacy of Ketamine Gargle in Attenuating Postoperative Sore Throat

    Directory of Open Access Journals (Sweden)

    Ram Prashad Sharma

    2015-06-01

    Full Text Available Introduction: Postoperative sore throat (POST is a common complication of general anesthesia with endotracheal intubation that affects the patient satisfaction after surgery. The aim of the study was to compare the effectiveness of ketamine gargle with placebo in preventing POST after endotracheal intubation. Methods: Sixty eight patients scheduled for elective surgery under general anesthesia were enrolled in this study. Patients were randomly allocated into two groups, 33 in study group and 35 in control group. Study group patients were asked to gargle with ketamine (50 mg in 1 ml mixed with 29 ml of drinking water 10 minutes before induction for 30 seconds. Controls were made to do so with 30 ml of drinking water. POST was graded at one, two, four, and 24 hrs after operation on a four-point scale (0-3. The outcome measures were compared between two groups in terms of occurrence of POST and severity of POST at one, two, four, and 24 hr to determine the efficacy of ketamine. Results: Occurrence of POST was significantly less in study group at four hours. Severity of POST was significantly low in study group at one, two and four hours as compared to that in controls. It was comparable at 24 hours. Conclusion: Ketamine gargle significantly reduced the occurrence and severity of POST.

  6. Ketamin Kumur Efektif untuk Mengurangi Sore Throat Pascaintubasi

    Directory of Open Access Journals (Sweden)

    M. Dwi Satriyanto

    2014-04-01

    Full Text Available Tracheal intubation is a foremost cause of trauma to the airway mucosa, resulting in post operative sore throat (POST with reported incidences of 6–50%. We compared the effectiveness of ketamine gargles compared to placebo in preventing POST after endotracheal general anesthesia. One of the POST preventions by using ketamine gargle before induction, because ketamine has anti-nociceptive and anti-inflamatory properties Fifty, ASA I–II, patients undergoing elective surgery for gynecologic under general anaesthesia endotracheal were enrolled in a double blind randomized controlled trial study at Central Operating Theatre (COT Dr. Hasan Sadikin Hospital Bandung during April–June 2009. Patients were randomly allocated into two groups< of 25 subjects each: Group I, receiving ketamine 0,5 mg/kgBW in saline 30 mL; Group II, receiving saline 30 mL. Patients were asked to gargle this mixture for 30 second, 5 minutes before induction of anaesthesia. POST was graded at 0, 2, 4, and 24 h after operation on a four-point scale (0–3. POST occurred more frequently in Group II, when compared with Group I, at 0, 2, and 4 h and significantly more patients suffered POST in Group II compared with Group I (p<0.05. The conclusions of this study revealed that ketamine< gargles reduces the incidence and degree of POST.

  7. Delayed onset muscle soreness: Involvement of neurotrophic factors.

    Science.gov (United States)

    Mizumura, Kazue; Taguchi, Toru

    2016-01-01

    Delayed-onset muscle soreness (DOMS) is quite a common consequence of unaccustomed strenuous exercise, especially exercise containing eccentric contraction (lengthening contraction, LC). Its typical sign is mechanical hyperalgesia (tenderness and movement related pain). Its cause has been commonly believed to be micro-damage of the muscle and subsequent inflammation. Here we present a brief historical overview of the damage-inflammation theory followed by a discussion of our new findings. Different from previous observations, we have observed mechanical hyperalgesia in rats 1-3 days after LC without any apparent microscopic damage of the muscle or signs of inflammation. With our model we have found that two pathways are involved in inducing mechanical hyperalgesia after LC: activation of the B2 bradykinin receptor-nerve growth factor (NGF) pathway and activation of the COX-2-glial cell line-derived neurotrophic factor (GDNF) pathway. These neurotrophic factors were produced by muscle fibers and/or satellite cells. This means that muscle fiber damage is not essential, although it is sufficient, for induction of DOMS, instead, NGF and GDNF produced by muscle fibers/satellite cells play crucial roles in DOMS.

  8. Marjolin's Ulcer Complicating a Pressure Sore: The Clock is Ticking.

    Science.gov (United States)

    Khan, Kamran; Giannone, Anna Lucia; Mehrabi, Erfan; Khan, Ayda; Giannone, Roberto E

    2016-02-22

    Malignant degeneration in any chronic wound is termed a Marjolin's ulcer (MU). The overall metastatic rate of MU is approximately 27.5%. However, the prognosis of MU specific to pressure sores is poor, with a reported metastatic rate of 61%. This is due to insidious, asymptomatic malignant degeneration, a lack of healthcare provider awareness, and, ultimately, delayed management. An 85-year-old white male was noted by his wound-care nurse to have a rapidly developing growth on his lower back over a period of 4 months. There was history of a non-healing, progressive pressure ulcer of the lower back for the past 10 years. On examination, there was a 4 × 4 cm pressure ulcer of the lower back, with a superimposed 1.5 × 2 cm growth in the superior region. There was an absence of palpable regional lymphadenopathy. Punch biopsy revealed squamous cell carcinoma consistent with Marjolin's ulcer. The ulcer underwent excision with wide margins, and a skin graft was placed. Due to the prompt recognition of an abnormality by the patient's wound-care nurse, metastasis was not evident on imaging. There are no signs of recurrence at 1-year follow-up. Marjolin's ulcer has a rapid progression from local disease to widespread metastasis. Therefore, it is essential that wound-care providers are aware of the clinical signs and symptoms of malignant degeneration in chronic wounds.

  9. Compressive behavior of fine sand.

    Energy Technology Data Exchange (ETDEWEB)

    Martin, Bradley E. (Air Force Research Laboratory, Eglin, FL); Kabir, Md. E. (Purdue University, West Lafayette, IN); Song, Bo; Chen, Wayne (Purdue University, West Lafayette, IN)

    2010-04-01

    The compressive mechanical response of fine sand is experimentally investigated. The strain rate, initial density, stress state, and moisture level are systematically varied. A Kolsky bar was modified to obtain uniaxial and triaxial compressive response at high strain rates. A controlled loading pulse allows the specimen to acquire stress equilibrium and constant strain-rates. The results show that the compressive response of the fine sand is not sensitive to strain rate under the loading conditions in this study, but significantly dependent on the moisture content, initial density and lateral confinement. Partially saturated sand is more compliant than dry sand. Similar trends were reported in the quasi-static regime for experiments conducted at comparable specimen conditions. The sand becomes stiffer as initial density and/or confinement pressure increases. The sand particle size become smaller after hydrostatic pressure and further smaller after dynamic axial loading.

  10. Sand dollar sites orogenesis

    Science.gov (United States)

    Amos, Dee

    2013-04-01

    The determinology of the humble sand dollars habitat changing from inception to the drastic evolution of the zone to that of present day. Into the cauldron along the southern Californian 'ring of fire' lithosphere are evidence of geosynclinals areas, metasedimentary rock formations and hydrothermal activity. The explanation begins with 'Theia' and the Moon's formation, battles with cometary impacts, glacial ages, epochs with evolutionary bottlenecks and plate tectonics. Fully illustrated the lecture includes localised diagrams and figures with actual subject photographic examples of plutonic, granitic, jade and peridodite. Finally, the origins of the materials used in the lecture are revealed for prosecution by future students and the enjoyment of interested parties in general.

  11. Sand Storms Trigger Alarm

    Institute of Scientific and Technical Information of China (English)

    LI LI

    2010-01-01

    @@ After an unusually humid winter with at least 10 snowfalls in Beijing, a severe andstorm blown by strong winds bringing with it thousands of tons of desert sand took many residents of the city by surprise.On the morning of March 20, Beijingers woke up to see clouds of yellow dust in the air and a sky that was an ominous orange in color.The loose soil and dust that had traveled htmdreds of miles from deserts in Mongolia and China's northwest blanketed Beijing's streets, covering parked vehicles, bikes, roofs and even plant life,as well as making its way into people's homes.

  12. Fortune Cookie Sand Dunes

    Science.gov (United States)

    2003-01-01

    MGS MOC Release No. MOC2-432, 25 July 2003This Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image shows a field of small barchan sand dunes in the north polar region near 71.7oN, 51.3oW. Some of them are shaped like fortune cookies. The message these dunes provide: winds blow through this region from the lower right toward the upper left. The steep slip face slopes of these dunes, which point toward the upper left, indicate the wind direction. The scene is illuminated by sunlight from the upper right. The image is 3 km (1.9 mi) wide.

  13. 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.

  14. A family of sand automata

    CERN Document Server

    Faulkner, Nicholas

    2012-01-01

    We study some dynamical properties of a family of two-dimensional cellular automata: those that arise from an underlying one dimensional sand automaton whose local rule is obtained using a latin square. We identify a simple sand automaton G whose local rule is algebraic, and classify this automaton as having equicontinuity points, but not being equicontinuous. We also show it is not surjective. We generalise some of these results to a wider class of sand automata.

  15. Dilatometric Characterization of Foundry Sands

    Directory of Open Access Journals (Sweden)

    M. Břuska

    2012-04-01

    Full Text Available The goal of this contribution is summary of physical – chemistry properties of usually used foundry silica and no – silica sands in Czech foundries. With the help of dilatometry analysis theoretical assumptions of influence of grain shape and size on dilatation value of sands were confirmed. Determined was the possibility of dilatometry analysis employment for preparing special (hybrid sands with lower and/or more linear character of dilatation.

  16. The usefulness of a clinical 'scorecard' in managing patients with sore throat in general practice

    Directory of Open Access Journals (Sweden)

    Bakare Tony MO

    2010-07-01

    Full Text Available Abstract Background Objective: To evaluate the usefulness of a clinical scorecard in managing sore throat in general practice. Design: Validation study of scorecard for sore throat with a throat swab culture used as the 'gold standard'. Setting: A solo family practice in rural New South Wales, Australia Participants: Patients attending with sore throat. Methods Patients from the age of 5 years and above presenting with the main symptom of a sore throat, and who have not had any antibiotic treatment in the previous two weeks, were invited to participate in the study. The doctor completed a scorecard for each patient participating and took a throat swab for culture. Adult patients (> 16 yrs were asked to complete a patient satisfaction questionnaire, while guardians accompanying children (5 yr to Main outcome measures: 1. Ability of a new scorecard to differentiate between bacterial and non-bacterial sore throat. 2. Patients' trust in the scorecard. Results The scorecard has a sensitivity of 93.33%, a specificity of 63.16%, a positive predictive value of 50% and a negative predictive value of 96%. The sensitivity is better than other sore throat scorecards that have been published but with a slightly lower specificity. There was a high level of patient trust in the scorecard was (85.8% agreement. Patients also trusted their doctor's judgement based on the scorecard (90.6% agreement. Conclusions As the scorecard has a high sensitivity but only a moderate specificity, this means that it is more reliable for negative results, i.e. when the result suggests a viral infection. When the result favours a bacterial sore throat, then a high sensitivity can mean that there are a number of false positives. GPs can be confident in withholding antibiotics when the scorecard indicates a viral infection.

  17. Laryngotracheal application of lidocaine spray increases the incidence of postoperative sore throat after total intravenous anesthesia.

    Science.gov (United States)

    Maruyama, Koichi; Sakai, Hironori; Miyazawa, Hideki; Iijima, Kyou; Toda, Naoyuki; Kawahara, Shuji; Hara, Katsumi

    2004-01-01

    To determine the effect of laryngotracheal application of different doses of lidocaine spray on postoperative sore throat and hoarseness, we evaluated the incidence and severity of these complications in 168 ASA I-III patients aged 15-92 years in a placebo-controlled study. After induction of anesthesia with propofol, ketamine, fentanyl, and vecuronium, the laryngotracheal area was sprayed immediately before intubation with lidocaine spray either 5 times (L5 group, n = 47) or 10 times (L10 group, n = 48) or with normal saline 1 ml (placebo group, n = 51). Postoperative sore throat and hoarseness were evaluated immediately after surgery and on the day after surgery. The incidence of sore throat was significantly higher in the L10 group than in the placebo group on both the day of and the day after surgery. The severity of sore throat was significantly higher in the L5 and L10 groups than in the placebo group on the day of surgery. On the day after surgery, the severity of sore throat remained significantly higher in the L10 group than in the placebo group. Although the incidence and severity of sore throat increased in a dose-dependent manner, these were not significantly different between the L5 and L10 groups. In addition, the incidence and severity of hoarseness did not differ at all among the three groups. We recommend that applications of lidocaine spray to the laryngotracheal area should be avoided to help eliminate unnecessary postoperative sore throat, thereby leading to improvement in patient satisfaction.

  18. A reusable perforator-preserving gluteal artery-based rotation fasciocutaneous flap for pressure sore reconstruction.

    Science.gov (United States)

    Lin, Pao-Yuan; Kuo, Yur-Ren; Tsai, Yun-Ta

    2012-03-01

    Perforator-based fasciocutaneous flaps for reconstructing pressure sores can achieve good functional results with acceptable donor site complications in the short-term. Recurrence is a difficult issue and a major concern in plastic surgery. In this study, we introduce a reusable perforator-preserving gluteal artery-based rotation flap for reconstruction of pressure sores, which can be also elevated from the same incision to accommodate pressure sore recurrence. The study included 23 men and 13 women with a mean age of 59.3 (range 24-89) years. There were 24 sacral ulcers, 11 ischial ulcers, and one trochanteric ulcer. The defects ranged in size from 4 × 3 to 12 × 10 cm(2) . Thirty-six consecutive pressure sore patients underwent gluteal artery-based rotation flap reconstruction. An inferior gluteal artery-based rotation fasciocutaneous flap was raised, and the superior gluteal artery perforator was preserved in sacral sores; alternatively, a superior gluteal artery-based rotation fasciocutaneous flap was elevated, and the inferior gluteal artery perforator was identified and dissected in ischial ulcers. The mean follow-up was 20.8 (range 0-30) months in this study. Complications included four cases of tip necrosis, three wound dehiscences, two recurrences reusing the same flap for pressure sore reconstruction, one seroma, and one patient who died on the fourth postoperative day. The complication rate was 20.8% for sacral ulcers, 54.5% for ischial wounds, and none for trochanteric ulcer. After secondary repair and reconstruction of the compromised wounds, all of the wounds healed uneventfully. The perforator-preserving gluteal artery-based rotation fasciocutaneous flap is a reliable, reusable flap that provides rich vascularity facilitating wound healing and accommodating the difficulties of pressure sore reconstruction. Copyright © 2011 Wiley Periodicals, Inc.

  19. [Application of tensor fascia lata pedicled flap in reconstructing trochanteric pressure sore defects].

    Science.gov (United States)

    Karabeg, Reuf; Dujso, Vanis; Jakirlić, Malik

    2008-01-01

    Tensor fascia lata pedicled flap is one of the most useful flaps for reconstruction pressure sore defects on trochanteric region. Debate exists on the safe dimension of the flap, as distal tip necrosis can be encountered. The aim of the current study is to report experience of Clinic for Plastic and Reconstructive Surgery, Clinical University Center of Sarajevo, with tensor fascia lata pedicled flap in reconstructing trochanteric pressure sore defects. From January 1993 to December 2007, 39 pedicled TFL flaps were used for reconstruction trochanteric pressure sore defects in 34 patients. We used 3 local flaps for reconstruction of small trochanteric defects and one direct suture. In our study we had 43 trochanteric pressure sores and in 9 patients pressure sores were bilateral. The age ranged from 9 to 65, with average age 41,2. The resulting trochanteric defects in this study were due to debridement of pressure sore. The size of the flaps used ranged from 15 x 6 cm to 30 x 15 cm. All flaps survived. Distal tip necrosis occurred in 4 cases. All 4 cases developed in a very large flap beyond the safe limits. Wound dehiscence occurs in 3 cases. There was minimal donor side morbidity in the form of partial skin loss in 1 case. The average follow up period in this study ranged from 6 months to 15 years. Tensor fascia lata flap is reliable flap. Donor site morbidity is minimal. Problem with the flap can be encountered if the flap is not harvested with the safe limits and properly designed. Proper preoperative preparations must be taken into consideration. Chronic skin ulcers, such as pressure sores, that are refractory to conventional local wound therapies, are good examples of potential beneficiaries of the TFL musculocutaneous flap.

  20. Triaxial tests in Fontainebleau sand

    DEFF Research Database (Denmark)

    Latini, Chiara; Zania, Varvara

    2016-01-01

    The purpose of this internal report is to examine the influence of relative density on the strength and deformation characteristics of Fontainebleau sand. Compression triaxial tests were performed on saturated sand samples with different densities and initial confining pressure. Note that the tes......The purpose of this internal report is to examine the influence of relative density on the strength and deformation characteristics of Fontainebleau sand. Compression triaxial tests were performed on saturated sand samples with different densities and initial confining pressure. Note...... that the testing procedure and the data processing were carried out according to the specifications of ETCS-F1.97....

  1. Recycled sand in lime-based mortars.

    Science.gov (United States)

    Stefanidou, M; Anastasiou, E; Georgiadis Filikas, K

    2014-12-01

    The increasing awareness of the society about safe guarding heritage buildings and at the same time protecting the environment promotes strategies of combining principles of restoration with environmentally friendly materials and techniques. Along these lines, an experimental program was carried out in order to investigate the possibility of producing repair, lime-based mortars used in historic buildings incorporating secondary materials. The alternative material tested was recycled fine aggregates originating from mixed construction and demolition waste. Extensive tests on the raw materials have been performed and mortar mixtures were produced using different binding systems with natural, standard and recycled sand in order to compare their mechanical, physical and microstructure properties. The study reveals the improved behavior of lime mortars, even at early ages, due to the reaction of lime with the Al and Si constituents of the fine recycled sand. The role of the recycled sand was more beneficial in lime mortars rather than the lime-pozzolan or lime-pozzolan-cement mortars as a decrease in their performance was recorded in the latter cases due to the mortars' structure.

  2. Local flap therapy for the treatment of pressure sore wounds.

    Science.gov (United States)

    Wettstein, Reto; Tremp, Mathias; Baumberger, Michael; Schaefer, Dirk J; Kalbermatten, Daniel F

    2015-10-01

    The aim of this study was to analyse the effectiveness of an interdisciplinary cooperation between conservative and surgical disciplines for the treatment of pressure sores (PS). From January 2004 to December 2005, a single-centre study was performed with paraplegic and tetraplegic patients presenting with PS grades III-V. Outcome measures were defect size, grade, method of reconstruction, complication and recurrence rate as well as average length of hospitalisation. A total of 119 patients aged 22-84 years with totally 170 PS were included. The most common PS were located in the ischial region (47%), followed by the sacral (18%), trochanteric (11%), foot (9%) and the malleolar (8%) regions. Defect sizes ranged between 4 and 255 cm(2) . Grade IV was the most common PS (68%), followed by grade III (30%) and grade V (2%) PS. For wound closure, fasciocutaneous flaps were used most frequently (71%), followed by skin grafts (10%) and myocutaneous flaps (7%). Postoperative follow-up ranged between 6 and 38 months. The overall complication and recurrence rate was 26% and 11%, respectively. If no complication occurred, the average duration of hospitalisation stay after the first debridement was 98 ± 62 days. In conclusion, our treatment concept is reliable, effective and results in a low recurrence rate. The complication rate, even though favourable when compared with the literature, still needs to be improved. © 2013 The Authors. International Wound Journal © 2013 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

  3. Acute effects of massage or active exercise in relieving muscle soreness: randomized controlled trial.

    Science.gov (United States)

    Andersen, Lars L; Jay, Kenneth; Andersen, Christoffer H; Jakobsen, Markus D; Sundstrup, Emil; Topp, Robert; Behm, David G

    2013-12-01

    Massage is commonly believed to be the best modality for relieving muscle soreness. However, actively warming up the muscles with exercise may be an effective alternative. The purpose of this study was to compare the acute effect of massage with active exercise for relieving muscle soreness. Twenty healthy female volunteers (mean age 32 years) participated in this examiner-blind randomized controlled trial (ClinicalTrials.gov NCT01478451). The participants performed eccentric contractions for the upper trapezius muscle on a Biodex dynamometer. Delayed onset muscle soreness (DOMS) presented 48 hours later, at which the participants (a) received 10 minutes of massage of the trapezius muscle or (b) performed 10 minutes of active exercise (shoulder shrugs 10 × 10 reps) with increasing elastic resistance (Thera-Band). First, 1 treatment was randomly applied to 1 shoulder while the contralateral shoulder served as a passive control. Two hours later, the contralateral resting shoulder received the other treatment. The participants rated the intensity of soreness (scale 0-10), and a blinded examiner took measures of pressure pain threshold (PPT) of the upper trapezius immediately before treatment and 0, 10, 20, and 60 minutes after treatment 48 hours posteccentric exercise. Immediately before treatment, the intensity of soreness was 5.0 (SD 2.2) and PPT was 138 (SD 78) kPa. In response to treatment, a significant treatment by time interaction was found for the intensity of soreness (p < 0.001) and PPT (p < 0.05). Compared with control, both active exercise and massage significantly reduced the intensity of soreness and increased PPT (i.e., reduced pain sensitivity). For both types of treatment, the greatest effect on perceived soreness occurred immediately after treatment, whereas the effect on PPT peaked 20 minutes after treatment. In conclusion, active exercise using elastic resistance provides similar acute relief of muscle soreness as compared with that using massage

  4. Prevalence and specifications of postoperative sore throat following general endotracheal anesthesia in patients undergoing surgery

    Directory of Open Access Journals (Sweden)

    Zeynab Maghsood-Taleghani

    2007-01-01

    Full Text Available Introduction: Tracheal intubation is a standard technique for the performance of general anesthesia which might lead to stress in patient. This study has been done to evaluate prevalence and specifications of postoperative sore throat following general endotracheal anesthesia in patients undergoing open reduction surgery of extremity limbs fractures.Methods and Materials: In this cross-sectional study a number of 78 patients with 15-65 year old undergoing open reduction surgery of extremity limbs fractures were selected upon to researcher characteristics and in un-randomized sampling. Sensory, affective, intensity and general condition of pain were assessed in 1 and 24 hour after general anesthesia and extubation by using McGill Pain Questionnaire-Short Form (MPQ-SF questionnaire. Results: Upon to result, average age was 29 year and base on McGill Pain Questionnaire-Short Form (MPQ-SF questionnaire results, average score of sensory components of sore throat, 1 and 24 hour after general anesthesia was 3.42 and 1.2 respectively, and average score of affective components of sore throat 1 and 24 hour after general anesthesia was 1.14 and.46 respectively, and average score of sore throat intensity, 1 and 24 hour after general anesthesia was 3.51 and 1.18, respectively. 75.6% of patients had sore throat 1 hour after general anesthesia and 24 hour after decrease to 29.5%. In general, the majority of patients (33.3% said that their sore throat intensity is discomforting. Pair t test revealed a significant difference between sensory and affective components and also intensity of sore throat in 1 and 24 hour after general anesthesia. Average score of sore throat intensity in females was greater than males. Pearson correlation test revealed a significant difference between age and sore throat intensity in 24 hour after general anesthesia.Conclusion: According to results of this study, awareness to complication following general endotracheal anesthesia and

  5. [Clinical characteristics and surgical management of 17 patients with pressure sore of sinus type].

    Science.gov (United States)

    Liu, Yi; Zhang, Xianying; Xiao, Bin; Song, Mei; Liu, Ping; Jiang, Jiang; Zhang, Cheng; Zhang, Xusheng; Chen, Liming

    2014-08-01

    To sum up the clinical characteristics, surgical management, and effectiveness of pressure sore of sinus type. Between January 2009 and April 2013, 17 patients with 19 pressure sores of sinus type after traumatic paraplegia were treated, and the clinical data were analyzed retrospectively. There were 11 males and 6 females with an average age of 27.4 years (range, 17-49 years). The median disease duration was 1.5 years (range, 6 months to 7 years). Of 17 cases, there were 14 primary cases and 3 recurrent cases; 10 focuses of 8 cases were classified as simple sinus type, and 9 focuses of 9 cases as complex sinus type, which had a false synovial sheath complicated with one to four "second sinus". The pressure sore of sinus type majorly located at the ischial tuberosity. The size of pressure sore ranged from 1.5 cm x 1.0 cm to 3.0 cm X 2.0 cm, and the length of "second sinus" ranged from 8 to 32 cm with an average of 17 cm. After the false synovial sheath was totally excised, the wound was repaired by local sliding or rhombus flaps at the first or second stage in patients with simple sinus type pressure sore. On the basis of excising the false synovial sheath, the "second sinus" was totally removed in the patients with complex sinus type pressure sore. Wound dehiscence occurred in 1 case of simple sinus type pressure sore at 4 days, which was cured after it was sutured again. Wound infection occurred at 9, 17, and 23 days respectively in 3 cases of complex sinus type pressure sore, which was cured after second debridement and necrosis tissues removal. The other wounds healed by first intention, and the flaps totally survived. All patients were followed up 6-12 months (mean, 9.3 months). No recurrence was observed. According to the clinical characteristics, pressure sore of sinus type could be divided into simple sinus type and complex sinus type. The key of successful treatment is to thoroughly excise false synovial sheath and "second sinus".

  6. Does benzydamine hydrochloride applied preemptively reduce sore throat due to laryngeal mask airway?

    Science.gov (United States)

    Kati, Ismail; Tekin, Murat; Silay, Emin; Huseyinoglu, Urfettin A; Yildiz, Huseyin

    2004-09-01

    Sore throat is a common postoperative complaint. We investigated whether preemptive benzydamine hydrochloride (BH) treatment could prevent sore throat due to a laryngeal mask airway (LMA) cuff inflated with air. One-hundred ASA status I-II patients who underwent general anesthesia were randomly divided into two groups. In the first group, four puffs of BH were applied to the pharynx 30 min before the operation and 5 min before the induction of anesthesia. Distilled water with a similar bottle was applied with the same protocol in the second group. Anesthetic induction was provided with propofol and fentanyl. The pressure of the LMA cuff inflated with room air was measured after the first adjustment and after 30, 60, and 90 min of inflation in both groups. At the end of operation, the LMA was removed after the recovery of spontaneous breathing. After the operation, patients were asked about sore throat symptoms at the first, second, and fourth hours. There were no significant differences between groups for cuff pressures, cuff volumes, analgesic doses, or operation times. However, sore throat symptoms were significantly less severe for the BH group during both resting and swallowing. In conclusion, preemptive topical BH may decrease the incidence of sore throat due to LMA use.

  7. Ketorolac Tromethamine Spray Prevents Postendotracheal-Intubation-Induced Sore Throat after General Anesthesia

    Directory of Open Access Journals (Sweden)

    H. L. Yang

    2016-01-01

    Full Text Available Background. Postoperative sore throat is one of the major complaints of general anesthesia in the postanesthesia care unit. This prospective study investigated the preventive effect of ketorolac tromethamine spray in postendotracheal-intubation-induced sore throat after general anesthesia. Methods. Surgical patients undergoing general anesthesia with endotracheal intubation were recruited from a medical center. Patients were randomly assigned to group K (treated with 5% ketorolac tromethamine spray or group D (treated with distilled water spray. Before intubation, each endotracheal tube was sprayed with the appropriate solution by physicians over the 20 cm length of the cuff. Each group comprised 95 patients fitting the inclusion and exclusion criteria for whom complete data sets were collected. The intensity of the sore throat was measured at 1, 3, 6, and 24 h after surgery, and data were compared. Results. The two groups had similar characteristics. Postoperative sore throat was significantly less frequent in group K than in group D (p<0.001 and the pain intensity was significantly lower in group K than in group D at each time point (all p<0.001. Conclusions. This study demonstrated that preanesthesia 5% ketorolac tromethamine spray could effectively decrease postendotracheal-intubation-induced sore throat in patients undergoing general anesthesia.

  8. The effect of intracuff alkalinized 2% lidocaine on emergence coughing, sore throat, and hoarseness in smokers.

    Science.gov (United States)

    Navarro, Laís Helena Camacho; Lima, Rodrigo Moreira e; Aguiar, Andressa Simões; Braz, José Reinaldo Cerqueira; Carness, Jeffrey M; Módolo, Norma Sueli Pinheiro

    2012-01-01

    We evaluated whether endotracheal tube (ETT) intracuff alkalinized lidocaine was superior to saline in blunting emergence coughing, postoperative sore throat, and hoarseness in smokers. In our prospective, double-blind trial, we enrolled 50 smoking patients undergoing surgery under general anesthesia including nitrous oxide (N2O). Patients were randomly allocated to receive either ETT intracuff 2% lidocaine plus 8.4% sodium bicarbonate (L group), or ETT intracuff 0.9% saline (S group). The ETT cuff was inflated to achieve a cuff pressure that prevented air leak during positive pressure ventilation. Incidence of emergence coughing, sore throat, and hoarseness were analyzed. The volume of inflation solution, the intracuff pressure, the duration of anesthesia, the time elapsed to extubation after discontinuation of anesthesia, and the volume of the inflation solution and the air withdrawn from the ETT cuff were also recorded. Intracuff alkalinized 2% lidocaine was superior to saline in blunting emergence coughing (p sore throat was significantly lower in the L group at the post-anesthesia care unit (PACU) (p = 0.02). However, at 24 hours after extubation, sore throat incidence was similar in both groups (p = 0.07). Incidence of hoarseness was similar in both groups. Intracuff pressure in the saline group increased with time while the intracuff pressure in the lidocaine group remained constant. The present study demonstrated that the intracuff alkalinized 2% lidocaine was superior to saline in decreasing the incidence of emergence coughing and sore throat during the postoperative period in smokers.

  9. Sand training: Exercise-induced muscle damage and inflammatory responses to matched-intensity exercise.

    Science.gov (United States)

    Brown, Henry; Dawson, Brian; Binnie, Martyn J; Pinnington, Hugh; Sim, Marc; Clemons, Tristan D; Peeling, Peter

    2017-07-01

    This study compared markers of muscle damage and inflammation elevated by a matched-intensity interval running session on soft sand and grass surfaces. In a counterbalanced, repeated-measures and crossover design, 10 well-trained female athletes completed 2 interval-based running sessions 1 week apart on either a grass or a sand surface. Exercise heart rate (HR) was fixed at 83-88% of HR maximum. Venous blood samples were collected pre-, post- and 24 h post-exercise, and analysed for myoglobin (Mb) and C-reactive protein (CRP). Perceptual ratings of exertion (RPE) and muscle soreness (DOMS) were recorded immediately post- and 24 h post-exercise. A significant time effect showed that Mb increased from pre- to post-exercise on grass (p = .008) but not on sand (p = .611). Furthermore, there was a greater relative increase in Mb on grass compared with that on sand (p = .026). No differences in CRP were reported between surfaces (p > .05). The HR, RPE and DOMS scores were not significantly different between conditions (p  >  .05). These results suggest that in response to a matched-intensity exercise bout, markers of post-exercise muscle damage may be reduced by running on softer ground surfaces. Such training strategy may be used to minimize musculoskeletal strain while still incurring an equivalent cardiovascular training stimulus.

  10. Problems of scientific and development research concerning the reclamation of used foundry sands

    Directory of Open Access Journals (Sweden)

    R. Dańko

    2010-10-01

    Full Text Available In traditional technologies of casting moulds and core production on the basis of high-silica sands with binding agent addition, the reclamation consists mainly of a sand recovery and very seldom of a sand and bentonite recovery.Analysis of data from several countries indicates that from 600 to 1200 kg of fresh sand is used for 1 tonne of ferrous casting alloys. In Poland it is 1000 kg of sand for 1 tonne of castings [1]. Out of this amount approximately 20% of fresh sand is used for core production and the remaining amount for rebounding moulding sands. Analysis of data from 20 largest Polish foundries, performed in 2004 [2] indicates that approximately 50% of waste foundry sands is reclaimed while the rest is directed to dumping grounds. Taking into account all remaining foundries it can be estimated that approximately 250-350 000 tonnes of waste foundry sands are sent to dumping grounds annually.Important issue are costs of storage, which depend on the kind of wastes and on the ownership form of dump-sites (municipal dumpinggrounds, plant’s or own [belonging to the foundry] as well as on their relation to the costs of purchasing fresh sands. Average charges for storage of moulding sands wastes on storage yards in Europe are within the range: 12.5 to 61 Eu, which means from 85% to above 400% of purchasing costs of 1 tonne of fresh high-silica sand. The contractual price accepted for such sand in the BREF UE document [3] is 14.56 Eu. Problems of scientific and development research concerning the reclamation of used foundry sands can be systematised according to the research fields and the actual state of knowledge - based on the analysis of scientific papers.

  11. A sand wave simulation model

    NARCIS (Netherlands)

    Nemeth, A.A.; Hulscher, S.J.M.H.; Damme, van R.M.J.

    2003-01-01

    Sand waves form a prominent regular pattern in the offshore seabeds of sandy shallow seas. A two dimensional vertical (2DV) flow and morphological numerical model describing the behaviour of these sand waves has been developed. The model contains the 2DV shallow water equations, with a free water su

  12. Regeneration of dredged sand waves

    NARCIS (Netherlands)

    Hulscher, Suzanne J.M.H.; Knaapen, Michiel; Scholl, Olaf; Scholl, O.; Trenteseaux., A.; Garlan, T.

    2000-01-01

    Sand waves form a wavy pattern in the offshore sandy seabed. Since their crests reduce the navigability, it is important to know their evolution. A simple model is presented to estimate the recovery of sand wave amplitudes. This model is partially based on the similarity with sea ripples and

  13. Namibia : triaxial test on sand

    DEFF Research Database (Denmark)

    Steenfelt, Jørgen S.; Jacobsen, Kim P.

    In connection with a harbour project the friction angle of a fine sand is required. On Friday 13 March 1998 the Danish Geotechnical Institute (DGI) delivered app. 2.5 kg sand for testing at the Geotechnical Engineering Laboratory, Aalborg University. The present Data Report summarises the results...

  14. Sand swimming lizard: sandfish

    CERN Document Server

    Maladen, Ryan D; Kamor, Adam; Goldman, Daniel I

    2009-01-01

    We use high-speed x-ray imaging to reveal how a small (~10cm) desert dwelling lizard, the sandfish (Scincus scincus), swims within a granular medium [1]. On the surface, the lizard uses a standard diagonal gait, but once below the surface, the organism no longer uses limbs for propulsion. Instead it propagates a large amplitude single period sinusoidal traveling wave down its body and tail to propel itself at speeds up to ~1.5 body-length/sec. Motivated by these experiments we study a numerical model of the sandfish as it swims within a validated soft sphere Molecular Dynamics granular media simulation. We use this model as a tool to understand dynamics like flow fields and forces generated as the animal swims within the granular media. [1] Maladen, R.D. and Ding, Y. and Li, C. and Goldman, D.I., Undulatory Swimming in Sand: Subsurface Locomotion of the Sandfish Lizard, Science, 325, 314, 2009

  15. 2010 oil sands performance report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-07-01

    With the depletion of traditional energy resources and the rising demand for energy, oil sands have become an important energy resource for meeting energy needs. Oil sands are a mixture of water, sand, clay and bitumen which is recovered either through open pit mining or in situ drilling techniques. The bitumen is then converted into syncrude or sold to refineries for the production of gasoline, diesel or other products. Shell has oil sands operations in Alberta and the aim of this report is to present its 2010 performance in terms of CO2, water, tailings, land, and reclamation and engagement. This document covers several of Shell's operations in the Muskeg River and Jackpine mines, Scotford upgrader, Peace River, Orion, Seal, Cliffdale and Chipmunk. It provides useful information on Shell's oil sands performance to governments, environmental groups, First Nations, local communities and the public.

  16. Prospective and randomised evaluation of the protease-modulating effect of oxidised regenerated cellulose/collagen matrix treatment in pressure sore ulcers.

    Science.gov (United States)

    Kloeters, Oliver; Unglaub, Frank; de Laat, Erik; van Abeelen, Marjolijn; Ulrich, Dietmar

    2016-12-01

    In chronic wounds, excess levels and activity of proteases such as elastase and plasmin have been detected. Oxidised regenerated cellulose/collagen matrix (ORC/collagen matrix) has been reported to ameliorate the wound microenvironment by binding and inactivating excess proteases in wound exudates. In this study, the levels and activity of elastase and plasmin in wound exudates of pressure sore ulcers were measured to determine the beneficial effect of ORC/collagen matrix treatment compared with control treatment with a foam dressing. A total of 33 patients with pressure sores were enrolled in the study and were followed up for 12 weeks after treatment. Ten control patients were treated with a foam hydropolymer dressing (TIELLE(®) , Systagenix), and the remaining 23 patients were treated with ORC/collagen matrix plus the foam dressing (TIELLE(®) , Systagenix) on top. Wound assessments were carried out over 12 weeks on a weekly basis, with dressing changes twice a week. Ulcers were photographed and wound exudates were collected on admission and at days 5, 14 and then every 14 days to provide a visual record of any changes in appearance of the ulcer and healing rate and for biochemical analysis of the wound. The levels and activity of elastase and plasmin were measured in wound exudates. Statistical analysis was performed using ANOVA and Bonferroni's post hoc test with P-values pressure sore wounds showed a significant faster healing rate, which positively correlated with a decreased activity of elastase and plasmin in wound exudates. No signs of infection or intolerance to the ORC/collagen matrix were observed. © 2015 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

  17. Sand harm in taklimakan Desert highway and sand control

    Institute of Scientific and Technical Information of China (English)

    HANZhiwen; WANGTao; SUNQingwei; DONGZhibao; WANGXunming

    2003-01-01

    Reputed as a wonderful achievement of the world’s highway construction history,the Taklimakan Desert highway is nor facing serious sand drift encroachment problems due to its 447-km-long passage of sand sea consisting of crescent dunes,barchan chains,compound transverse dune ridges and complex megadunes.To solve some technical problems in the protection of the highway from sang drift encroachment,desert experts have been conducting the theoretical and applied studies on sand movement laws;causes,severities and time-space differentiation of sand drift damages;and control ways including mechanical,chemical and biological measures.In this paper the authors give an overall summry on the research contents and recent progress in the control of sand drift damages in China and hold that the theoretical researc results and practices in the prevention of sand drift encroachment on the cross-desert highway represnt a breakthrough and has an cpoch-making significance.Since the construction of protective forest along the cross-desert highway requires large amount of ground water,what will be its environmental consequence and whether it can effectively halt sand drift encroachment on the highway forever are the questions to be studied urgently.

  18. [Resurfacing of a trochanteric pressure sore by a pedicled fasciocutaneous anterolateral thigh flap: a case report].

    Science.gov (United States)

    Zeitoun, J; Faghahati, S; Burin Des Roziers, B; Daoud, G; Cartier, S

    2013-06-01

    The anterolateral thigh flap is usually used as a free flap for various kinds of reconstruction and resurfacing of distant areas. Cover of a deep trochanteric pressure sore is commonly made by muscular or musculocutaneous flaps such as tensor of fascia lata or vastus lateralis. We report the case of a trochanteric pressure sore covered by a fasciocutaneous pedicled anterolateral thigh flap after negative pressure therapy in a 58-year-old paraplegic patient. After 6 months, a good quality of coverage was obtained with minimal morbidity of donor site. The pedicled fasciocutaneous anterolateral flap appears as a reliable option for the treatment of trochanteric pressure sore. Copyright © 2010 Elsevier Masson SAS. All rights reserved.

  19. Pain and soreness associated with a percutaneous electrical stimulation muscle cramping protocol.

    Science.gov (United States)

    Miller, Kevin C; Knight, Kenneth L

    2007-11-01

    Muscle cramps are difficult to study scientifically because of their spontaneity and unpredictability. Various laboratory techniques to induce muscle cramps have been explored but the best technique for inducing cramps is unclear. Electrical stimulation appears to be the most reliable, but there is a perception that it is extremely painful. Data to support this perception are lacking. We hypothesized that electrical stimulation is a tolerable method of inducing cramps with few side effects. We measured cramp frequency (HZ), pain during electrical stimulation, and soreness before, at 5 s, and 30, 60, and 90 min after cramp induction using a 100-mm visual analog scale. Group 1 received tibial nerve stimulation on 5 consecutive days; Group 2 received it on alternate days for five total treatments. Pain and soreness were mild. The highest ratings occurred on Day 1 and decreased thereafter. Intersession reliability was high. Our study showed that electrical stimulation causes little pain or soreness and is a reliable method for inducing cramps.

  20. Effects of the homeopathic remedy arnica on attenuating symptoms of exercise-induced muscle soreness

    Science.gov (United States)

    Plezbert, Julie A.; Burke, Jeanmarie R.

    2005-01-01

    Abstract Objective To evaluate the clinical efficacy of Arnica at a high potency (200c), on moderating delayed onset muscle soreness and accompanying symptoms of muscle dysfunction. Methods Twenty subjects completed a maximal eccentric exercise protocol with the non-dominate elbow flexors to induce delayed onset muscle soreness. Either Arnica or placebo tablets were administered in a random, double- blinded fashion immediately after exercise and at 24 hours and 72 hours after exercise. Before exercise, immediately post-exercise, and at 24, 48, 72, and 96 hours post-exercise, assessments of delayed onset muscle soreness and muscle function included: 1) muscle soreness and functional impairment; 2) maximum voluntary contraction torque; 3) muscle swelling; and 4) range of motion tests to document spontaneous muscle shortening and muscle shortening ability. Blood samples drawn before exercise and at 24, 48, and 96 hours after exercise were used to measure muscle enzymes as indirect indices of muscle damage. Results Regardless of the intervention, the extent of delayed onset muscle soreness and elevations in muscle enzymes were similar on the days following the eccentric exercise protocol. The post-exercise time profiles of decreases in maximum voluntary contraction torque and muscle shortening ability and increases in muscle swelling and spontaneous muscle shortening were similar for each treatment intervention. Conclusions The results of this study did not substantiate the clinical efficacy of Arnica at a high potency on moderating delayed onset muscle soreness and accompanying symptoms of muscle dysfunction. Despite the findings of this study, future investigations on the clinical efficacy of homeopathic interventions should consider incorporating research strategies that emphasize differential therapeutics for each patient rather than treating a specific disease or symptom complex, such as DOMS, with a single homeopathic remedy. PMID:19674657

  1. Sports Mass Age Therapy on the Reduction of Delayed Onset Muscle Soreness of the Quadriceps Femoris

    Directory of Open Access Journals (Sweden)

    Boguszewski Dariusz

    2014-12-01

    Full Text Available Purpose. Massage therapy is one of most commonly applied treatments during athletic training. The aim of this study was to assess the effectiveness of sports massage therapy on reducing post-exercise quadriceps muscle soreness. Methods. A sample of 29 women aged 24-26 years was divided into an experimental group (n = 15 receiving classic sports massage therapy and a control group (n = 14 given no treatment. An exercise session consisting of five sets of deep squat jumps was administered after which lower limb power as assessed via the vertical jump test. Muscle soreness was assessed using the visual analogue scale (VAS and exercise intensity with the Borg Rating of Perceived Exertion Scale. Subsequent measurements of lower limb power and muscle soreness were performed 24, 48, 72 and 96 h after the exercise session. Differences between the measurements were assessed by the Friedman and least significant difference tests while between-group comparisons involved the Mann-Whitney U test. Results. The largest decrease in lower limb power was observed between the first measurement after the exercise session and 24 h later (p < 0.01. The smallest decrease in power was observed in the massage group. The highest levels of muscle soreness were noted 24 h post-exercise in the massage group and 48 h post-exercise in the control group. The experimental group showed a decrease in muscle soreness in each subsequent measurement, with the results close to zero on the VAS 96 h postexercise. Conclusions. Massage therapy quickened recovery and improved muscle efficiency post-exercise and may serve as an effective treatment of muscle soreness. The analgesic effect of massage suggests it should be widely applied in sport, physical therapy and rehabilitation.

  2. Effects of Zingiber cassumunar(Plai cream) in the treatment of delayed onset muscle soreness

    Institute of Scientific and Technical Information of China (English)

    Nuttaset Manimmanakorn; Apiwan Manimmanakorn; Disaphon Boobphachart; Worrawut Thuwakum; Wiroon Laupattarakasem; Michael J Hamlin

    2016-01-01

    OBJECTIVE:To evaluate the effects ofZingiber cassumunar (Plai cream) in either 7% or 14%concentration on delayed onset muscle soreness (DOMS). METHODS: Seventy-ifve untrained healthy volunteers (28 males and 47 females), performed 4 sets of 25 eccentric repetitions of the dominant quadriceps muscle on an isokinetic dynamometry machine. Participants were then randomized into 3 groups: 14% Plai cream, 7% Plai cream and placebo cream. Two grams of the cream (strips of 5-cm long) were gently rubbed into the quadriceps muscles for 5 min immediately folowing the exercise and every 8 h thereafter for 7 d in al groups. Muscle soreness, muscle strength, jump height, thigh circumference and creatine kinase were measured before and after eccentric exercise. RESULTS:Compared to the placebo cream the 14% Plai cream substantialy reduced muscle soreness over the 7 d by –82% (95% CI = –155% to –6%,P = 0.03), but had similar muscle soreness effects to 7% Plai cream (–34%, –96% to 27%,P = 0.2). Compared to the placebo cream the 7% Plai cream resulted in a smal non-signiifcant reduction in muscle soreness levels over the folowing 7 d (–40%,–116% to 36%,P = 0.3). Compared to placebo cream there was little effect of Plai cream (7% or 14%) on muscle strength, jump height, thigh circumference or creatine kinase concentration. CONCLUSION:Using 14% Plai cream over a 7-day period substantialy reduced muscle soreness symptoms compared to 7% Plai cream or a placebo cream. The authors suggest that the administration of 14% Plai cream is a useful alternative in the management of DOMS. TRIAL REGISTRATION: Thai Clinical Trial Registry TCTR20140215001.

  3. Effects of Zingiber cassumunar (Plai cream) in the treatment of delayed onset muscle soreness.

    Science.gov (United States)

    Manimmanakorn, Nuttaset; Manimmanakorn, Apiwan; Boobphachart, Disaphon; Thuwakum, Worrawut; Laupattarakasem, Wiroon; Hamlin, Michael J

    2016-03-01

    To evaluate the effects of Zingiber cassumunar (Plai cream) in either 7% or 14% concentration on delayed onset muscle soreness (DOMS). Seventy-five untrained healthy volunteers (28 males and 47 females), performed 4 sets of 25 eccentric repetitions of the dominant quadriceps muscle on an isokinetic dynamometry machine. Participants were then randomized into 3 groups: 14% Plai cream, 7% Plai cream and placebo cream. Two grams of the cream (strips of 5-cm long) were gently rubbed into the quadriceps muscles for 5 min immediately following the exercise and every 8 h thereafter for 7 d in all groups. Muscle soreness, muscle strength, jump height, thigh circumference and creatine kinase were measured before and after eccentric exercise. Compared to the placebo cream the 14% Plai cream substantially reduced muscle soreness over the 7 d by -82% (95% CI = -155% to -6%, P = 0.03), but had similar muscle soreness effects to 7% Plai cream (-34%, -96% to 27%, P = 0.2). Compared to the placebo cream the 7% Plai cream resulted in a small non-significant reduction in muscle soreness levels over the following 7 d (-40%, -116% to 36%, P = 0.3). Compared to placebo cream there was little effect of Plai cream (7% or 14%) on muscle strength, jump height, thigh circumference or creatine kinase concentration. Using 14% Plai cream over a 7-day period substantially reduced muscle soreness symptoms compared to 7% Plai cream or a placebo cream. The authors suggest that the administration of 14% Plai cream is a useful alternative in the management of DOMS. Thai Clinical Trial Registry TCTR20140215001.

  4. An audit of the physiotherapy management of paraplegic patients with sacral pressure sores

    Directory of Open Access Journals (Sweden)

    D. Pather

    2013-01-01

    Full Text Available Introduction: Pressure sores are the most common complication post spinal cord injury that requires patients to be on bed rest. Patient bed rest delay rehabilitation and may lead to other complications associated with immobility. This study sought to establish the treatment interventions physiotherapists provide to patients with sacral pressure sores and the factors that they consider when deciding whether the patient should receive physiotherapy in the ward or gym. Methods: This was a questionnaire based survey of physiotherapists working in spinal cord injury rehabilitation units in South Africa. The self-designed questionnaire was sent to all the main spinal rehabilitation units in the country (14 located in Gauteng, Kwa-Zulu Natal, Western Cape, Eastern Cape and Free State provinces. Results: Thirty-nine physiotherapists from a total of 51 completed the questionnaires (76% response rate. The most common treatment practice for patients with sacral pressure sores was bed rest (98%. The most common physio-therapy practices (70% included were upper limb muscle strengthening, upper and lower limb passive movements, positioning into prone and side lying and passive stretching. The choice of treatment environment was influenced by doctors’ orders and the size, grade and duration of the pressure sores. Conclusion: Direct involvement in pressure sore management in South Africa seem to be less than in other parts of the world. If we are to minimise the pressure sore impact, it appears like we need more focus on gait re-education and standardised ADL programmes and patient treatment in the gym to possibly maximise healing and rehabilitation.

  5. A new flap alternative for trochanteric pressure sore coverage: distal gluteus maximus musculocutaneous advancement flap.

    Science.gov (United States)

    Nisanci, Mustafa; Sahin, Ismail; Eski, Muhitdin; Alhan, Dogan

    2015-02-01

    Management of long-term bedridden patients experiencing pressure sores still represents a surgical challenge due to limited flap alternatives and high recurrence rates after the treatment. Fasciocutaneous, musculocutaneous, local perforator-based flaps, and free flaps have all been used for treatment of trochanteric pressure sores. This study presents a new use of distal gluteus maximus (GM) muscle as an advancement musculocutaneous flap for coverage of trochanteric pressure sores in 7 patients. The technique involves design of a long V-shaped skin island over the distal fibers of the GM muscle, beginning from the inferoposterior wound edge and extending inferomedially, almost parallel to the gluteal crease. After its harvest as an island flap on the distal fibers of the GM muscle, the skin paddle can be advanced onto the trochanteric defect, whereas the muscle itself is rotated after severing its insertion to femur. If a second triangular skin island is designed on the proximal fibers of GM muscle to cover an associated sacral defect, 2 coexisting pressure sores can be reconstructed concomitantly with 2 skin paddles on a single muscle belly at 1 surgical setting. Of the 7 patients, 3 had 3 (bilateral trochanteric and sacral), 2 had 2 (sacral and trochanteric), and 2 had 1 (only trochanteric) pressure sores. All ulcers were closed successfully and all of the flaps survived totally without any complication except the one in which we experienced minimal wound dehiscence in the early postoperative period. Conclusively, our current surgical method provided a reliable coverage for trochanteric pressure sores although it was technically straightforward and fast. Additionally, it offers simultaneous closure of 2 pressure ulcers with 2 skin islands on a single muscle flap.

  6. Treatment of Ischial Pressure Sores with Both Profunda Femoris Artery Perforator Flaps and Muscle Flaps

    Science.gov (United States)

    Kim, Chae Min; Yun, In Sik; Lee, Dong Won; Lew, Dae Hyun; Rah, Dong Kyun

    2014-01-01

    Background Reconstruction of ischial pressure sore defects is challenging due to extensive bursas and high recurrence rates. In this study, we simultaneously applied a muscle flap that covered the exposed ischium and large bursa with sufficient muscular volume and a profunda femoris artery perforator fasciocutaneous flap for the management of ischial pressure sores. Methods We retrospectively analyzed data from 14 patients (16 ischial sores) whose ischial defects had been reconstructed using both a profunda femoris artery perforator flap and a muscle flap between January 2006 and February 2014. We compared patient characteristics, operative procedure, and clinical course. Results All flaps survived the entire follow-up period. Seven patients (50%) had a history of surgery at the site of the ischial pressure sore. The mean age of the patients included was 52.8 years (range, 18-85 years). The mean follow-up period was 27.9 months (range, 3-57 months). In two patients, a biceps femoris muscle flap was used, while a gracilis muscle flap was used in the remaining patients. In four cases (25%), wound dehiscence occurred, but healed without further complication after resuturing. Additionally, congestion occurred in one case (6%), but resolved with conservative treatment. Among 16 cases, there was only one (6%) recurrence at 34 months. Conclusions The combination of a profunda femoris artery perforator fasciocutaneous flap and muscle flap for the treatment of ischial pressure sores provided pliability, adequate bulkiness and few long-term complications. Therefore, this may be used as an alternative treatment method for ischial pressure sores. PMID:25075362

  7. Treatment of Ischial Pressure Sores with Both Profunda Femoris Artery Perforator Flaps and Muscle Flaps

    Directory of Open Access Journals (Sweden)

    Chae Min Kim

    2014-07-01

    Full Text Available Background Reconstruction of ischial pressure sore defects is challenging due to extensive bursas and high recurrence rates. In this study, we simultaneously applied a muscle flap that covered the exposed ischium and large bursa with sufficient muscular volume and a profunda femoris artery perforator fasciocutaneous flap for the management of ischial pressure sores. Methods We retrospectively analyzed data from 14 patients (16 ischial sores whose ischial defects had been reconstructed using both a profunda femoris artery perforator flap and a muscle flap between January 2006 and February 2014. We compared patient characteristics, operative procedure, and clinical course. Results All flaps survived the entire follow-up period. Seven patients (50% had a history of surgery at the site of the ischial pressure sore. The mean age of the patients included was 52.8 years (range, 18-85 years. The mean follow-up period was 27.9 months (range, 3-57 months. In two patients, a biceps femoris muscle flap was used, while a gracilis muscle flap was used in the remaining patients. In four cases (25%, wound dehiscence occurred, but healed without further complication after resuturing. Additionally, congestion occurred in one case (6%, but resolved with conservative treatment. Among 16 cases, there was only one (6% recurrence at 34 months. Conclusions The combination of a profunda femoris artery perforator fasciocutaneous flap and muscle flap for the treatment of ischial pressure sores provided pliability, adequate bulkiness and few long-term complications. Therefore, this may be used as an alternative treatment method for ischial pressure sores.

  8. [Randomized controlled trial on the effectiveness of Corpitolinol 60 in the prevention of pressure sores in patients undergoing surgery].

    Science.gov (United States)

    Chiari, Paolo; Giorgi, Sabina; Ugolini, Daniela; Montanari, Morena; Giudanella, Pietro; Gramantieri, Antonella; Collesi, Franca; Pau, Michelina; Smaldone, Maddalena; Matarasso, Maddalena; Mazzini, Cinzia; Russo, Francesca; Gazineo, Domenica; Fontana, Mirella; Taddia, Patrizia

    2012-01-01

    Randomized controlled trial on the effectiveness of Corpitolinol 60 in the prevention of pressure sores in surgical patients. The risk of pressure sores in surgical patients is widely recognised. The Corpitolinol 60 (Sanyréne®) applied on compressed areas seems to reduce the risk of pressure sores. To assess the efficacy of Corpitolinol 60 in preventing pressure sores in the operatory theatre. The open label randomized clinical trial was conducted in 5 operating theatres of Northen Italy. Patients were randomized to receive Corpitolinol 60 in areas undergoing compression. Experimental group and controls were treated with usual measures for preventing pressure sores. The lesions were staged according to NPUAP up to 24 hours after surgery. Three-hundred-one patients were randomized (155 in the Sanyréne® group and 143 controls). The main variables predictive of pressure sores risk (ASA class, sex, age, duration of the surgery, and BMI) were comparable across groups. At the end of the surgery 71 patients (23.8%) in the experimental group and 47 controls (30.8%) had a pressure sore (p 0.006; RR 1.81 IC95% 1.17-2.79). Twelve and 24 hours after surgery the differences between groups were not significant. The aim of reducing pressure sores was not reached for patients treated with Corpitolinol 60.

  9. Pressure sore prevention in a rehabilitation setting: implementing a programmatic approach.

    Science.gov (United States)

    Baggerly, J; DiBlasi, M

    1996-01-01

    The prevalence of pressure sores and the number of patients at risk for developing pressure sores in the rehabilitation setting support the need for designated resources and interventions for both prevention and management. Today's healthcare environment, with increasing patient acuity and decreasing length of stays, requires nurses to have strategies for delivering and documenting care without increasing workload. This article describes an approach that directs nursing activities, incorporates aspects of the Agency for Health Care Policy and Research clinical practice guidelines, and links care processes and outcomes with documentation.

  10. Management of Marjolin's ulcer in a chronic pressure sore secondary to paraplegia: a radical surgical solution.

    Science.gov (United States)

    Fairbairn, Neil G; Hamilton, Stuart A

    2011-10-01

    Marjolin's ulcer refers to malignant degeneration in a chronic wound. Although originally described in an area of burns scar, many other chronic wounds such as osteomyelitis sinus tracts, venous stasis ulcers and chronic pressure sores have the potential to undergo malignant transformation. We present an interesting case of malignant degeneration in a male paraplegic patient with chronic sacral and ischial pressure sores. By discussing our radical surgical solution to this problem, we aim to highlight the importance of prompt diagnosis. © 2011 The Authors. © 2011 Blackwell Publishing Ltd and Medicalhelplines.com Inc.

  11. Pressure sore and skin tear prevention and treatment during a 10-month program.

    Science.gov (United States)

    Brillhart, Barbara

    2005-01-01

    This article reports the results of a 10-month skin care program for 30 clients on a residential Alzheimer's disease unit. The majority (n = 26) of the clients were free of pressure sores and skin tears through preventive care during this study. Four clients with Stage I pressure sores and/or skin tears were successfully identified by consistent assessment and healed quickly due to rapidly initiated treatments. This skin care program's success was attributed to consistent education, preventive care, assessment, documentation, and treatment executed by the entire care team under the leadership of nurse practitioners, one of whom was certified as a rehabilitation nurse.

  12. Sand engine quells the coast's hunger for sand

    NARCIS (Netherlands)

    Van Dijk, T.

    2012-01-01

    An artificial peninsula at Ter Heijde is designed to feed the coast with sediment. Scientists are investigating whether this kind of sand engine could be the Netherlands’ answer to rising sea levels.

  13. Sand engine quells the coast's hunger for sand

    NARCIS (Netherlands)

    Van Dijk, T.

    2012-01-01

    An artificial peninsula at Ter Heijde is designed to feed the coast with sediment. Scientists are investigating whether this kind of sand engine could be the Netherlands’ answer to rising sea levels.

  14. Spectroscopic characterization of a Nigerian standard sand: Igbokoda sand

    CSIR Research Space (South Africa)

    Ojuri, OO

    2017-01-01

    Full Text Available the Middle Ordovician St. Peter Sandstone near Ottawa, Illinois, had been picked by the American Society for Testing and Materials (ASTM) as the reference sand to employ in testing cement and strength of concrete [9]. To the best of our knowledge... and magnetic resonance spectroscopic techniques due to its importance in cement, geotechnical/geo-environmental research in Nigeria. This should halt importation of standard silica sand for mortar and concrete testing...

  15. PERFORMANCE EVALUATION OF SAND AND CHITOSAN AS DUAL FILTER MEDIA

    Directory of Open Access Journals (Sweden)

    MADHUKAR M

    2012-01-01

    Full Text Available Nuisance due to suspended and colloidal particles causing turbidity has become widespread, severe problem due to urban population and industrial activities. The consequences of turbidity are presence of microorganisms,reduction of dissolved oxygen, etc. Consumption of such water is known to cause water borne diseases.Available water treatment methods for the removal of turbidity and pathogens are coagulation, filtration and disinfection. The common filter media used are sand, activated carbon etc. Chitosan has been used as acoagulant aid and adsorbent. Chitosan when used as a filter media causes the colloidal particles to bind together and is subsequently removed during the process. The column studies using Chitosan in combination with conventional sand filter was carried out in a borosilicate glass column. Chitosan was placed on top of sand layerand constant down flow pattern of 100mL/min was followed. Dual filter media was effective in the reducing turbidity by 93%.

  16. New Look at the Process of Reclamation of Moulding Sands

    Directory of Open Access Journals (Sweden)

    Dobosz S.M.

    2012-09-01

    Full Text Available This paper presents a new perspective on the issue of reclamation of moulding and core sands. Taking as a premise that the reclamation process must remain on the surface of grains some not separated binding materials rests, it should be chosen the proper moulding sand’s composition that will be least harmful for the reclaim quality. There are two different moulding and core sands taken into examinations. The researches prove that a small correction of their compositions (hardener type improves the quality of the received reclaims. Carried out in this article studies have shown that such an approach to the problem of reclamation of the moulding and core sands is needed and reasonable.

  17. Saltation of Non-Spherical Sand Particles

    Science.gov (United States)

    Wang, Zhengshi; Ren, Shan; Huang, Ning

    2014-01-01

    Saltation is an important geological process and the primary source of atmospheric mineral dust aerosols. Unfortunately, no studies to date have been able to precisely reproduce the saltation process because of the simplified theoretical models used. For example, sand particles in most of the existing wind sand movement models are considered to be spherical, the effects of the sand shape on the structure of the wind sand flow are rarely studied, and the effect of mid-air collision is usually neglected. In fact, sand grains are rarely round in natural environments. In this paper, we first analyzed the drag coefficients, drag forces, and starting friction wind speeds of sand grains with different shapes in the saltation process, then established a sand saltation model that considers the coupling effect between wind and the sand grains, the effect of the mid-air collision of sand grains, and the effect of the sand grain shape. Based on this model, the saltation process and sand transport rate of non-spherical sand particles were simulated. The results show that the sand shape has a significant impact on the saltation process; for the same wind speed, the sand transport rates varied for different shapes of sand grains by as much as several-fold. Therefore, sand shape is one of the important factors affecting wind-sand movement. PMID:25170614

  18. Effect of sand versus grass training surfaces during an 8-week pre-season conditioning programme in team sport athletes.

    Science.gov (United States)

    Binnie, Martyn John; Dawson, Brian; Arnot, Mark Alexander; Pinnington, Hugh; Landers, Grant; Peeling, Peter

    2014-01-01

    This study compared the use of sand and grass training surfaces throughout an 8-week conditioning programme in well-trained female team sport athletes (n = 24). Performance testing was conducted pre- and post-training and included measures of leg strength and balance, vertical jump, agility, 20 m speed, repeat speed (8 × 20 m every 20 s), as well as running economy and maximal oxygen consumption (VO2max). Heart rate (HR), training load (rating of perceived exertion (RPE) × duration), movement patterns and perceptual measures were monitored throughout each training session. Participants completed 2 × 1 h conditioning sessions per week on sand (SAND) or grass (GRASS) surfaces, incorporating interval training, sprint and agility drills, and small-sided games. Results showed a significantly higher (P training load in the SAND versus GRASS group throughout each week of training, plus some moderate effect sizes to suggest lower perceptual ratings of soreness and fatigue on SAND. Significantly greater (P training surfaces throughout an 8-week conditioning programme can significantly increase the relative exercise intensity and training load, subsequently leading to superior improvements in aerobic fitness.

  19. Management recommendations: Sand Lake Complex

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document is a review of land management practices at the Sand Lake National Wildlife Refuge, by a land use specialist. Recommendations, time frame and...

  20. Muscle fascicle behavior during eccentric cycling and its relation to muscle soreness.

    Science.gov (United States)

    Peñailillo, Luis; Blazevich, Anthony J; Nosaka, Kazunori

    2015-04-01

    A single bout of eccentric exercise confers a protective effect against muscle damage and soreness in subsequent eccentric exercise bouts, but the mechanisms underpinning this effect are unclear. This study compared vastus lateralis (VL) muscle-tendon behavior between two eccentric cycling bouts to test the hypothesis that muscle-tendon behavior would be different between bouts and would be associated with the protective effect. Eleven untrained men (27.1 ± 7.0 yr) performed two bouts of eccentric cycling (ECC1 and ECC2) separated by 2 wk for 10 min at 65% of maximal concentric workload (191.9 ± 44.2 W) each. Muscle soreness (by visual analog scale) and maximal voluntary isometric contraction (MVC) torque of the knee extensors were assessed before and 1-2 d after exercise. Using ultrasonography, VL fascicle length and angle changes during cycling were assessed, and tendinous tissue (TT) length changes were estimated. VL EMG amplitude, crank torque, and knee joint angles were measured during cycling. Soreness was greater (P knee angles were evident between bouts. However, fascicle elongation was 16% less during ECC2 than ECC1 (P knee joint angle during ECC2 than ECC1 (P = 0.055). These results suggest that a lesser fascicle elongation and earlier TT elongation were associated with reduced muscle soreness after ECC2 than ECC1; thus, changes in muscle-tendon behavior may be an important mechanism underpinning the protective effect.

  1. An audit of pressure sores caused by intermittent compression devices used to prevent venous thromboembolism.

    Science.gov (United States)

    Skillman, Joanna; Thomas, Sunil

    2011-12-01

    When intermittent compression devices (ICDs) are used to prevent venous thromboembolism (VTE) they can cause pressure sores in a selected group of women, undergoing long operations. A prospective audit pre and post intervention showed a reduced risk with an alternative device, without increasing the risk of VTE.

  2. Effect of clonidine premedication on postoperative sore throat and hoarseness after total intravenous anesthesia.

    Science.gov (United States)

    Maruyama, Koichi; Yamada, Takeshi; Hara, Katsumi

    2006-01-01

    To determine the effect of oral clonidine premedication on postoperative sore throat and hoarseness, we evaluated the incidence and severity of each of these complications in patients who underwent elective surgery in the supine position. The subjects were 82 patients, American Society of Anesthiologists (ASA) status I-III, aged 15-82 years. They were premedicated with either 150 microg oral clonidine and 20 mg raftidine (clonidine group; n = 41) or with 20 mg raftidine only (control group; n = 41) 2 h before anesthesia induction. General anesthesia was maintained with propofol, ketamine, fentanyl, and vecuronium, with or without epidural anesthesia. Postoperative sore throat and hoarseness were evaluated immediately after surgery and on the day after surgery. The incidences of sore throat and hoarseness tended to be higher in the clonidine group than in the control group; however, the difference did not reach statistical significance. There were no significant differences in the severity of these symptoms between the two groups. In conclusion, oral premedication with 150 microg clonidine did not prevent postoperative sore throat or hoarseness, and may have exacerbated these symptoms.

  3. Pulsed Ultrasound Does Not Affect Recovery From Delayed Onset Muscle Soreness

    Directory of Open Access Journals (Sweden)

    Gauri Shankar

    2006-07-01

    Full Text Available Aim: To investigate the effects of pulsed Ultrasound (US in recovery from Delayed Onset Muscle Soreness (DOMS. Methods: Twelve healthy male athletes (mean age 23.83±1.697 year performed an eccentric exercise protocol of non-dominant elbow flexors to induce muscle soreness on 2 occasions separated by 3 weeks. Subjects in experimental group received pulsed US (1 MHz, intensity 0.8 W/cm2, mark space ratio 1:10, whereas control group received sham US after 24 h, 48 h and 72 h. Perception of muscle soreness, active ROM and muscle strength were the parameters measured at 0 h, 24 h, 48 h and 72 h with the help of VAS, manual goniometer and JONEX muscles master instrument respectively. Results: Post hoc t test analysis revealed significant differences (p <0.05 between 0 h and 72 h in the parameter of ROM (t = 6.18 and muscle power (t = 2.54 as well as between 24 h and 48 h in the parameter of muscle soreness (t = 3.13 in control group. Similar differences were also observed in the experimental group. No significant inter-group differences at α level of 0.05 was observed in any parameter at any level. Conclusion: The pattern of recovery from DOMS was not influenced by the application of pulsed Ultrasound at the parameters discussed here.

  4. Is myofascial pain in temporomandibular disorder patients a manifestation of delayed-onset muscle soreness?

    NARCIS (Netherlands)

    Koutris, M.; Lobbezoo, F.; Sümer, N.C.; Atis, E.S.; Türker, K.S.; Naeije, M.

    2013-01-01

    Objective: In a study to the possible role of overuse of the jaw muscles in the pathogenesis of jaw muscle pain, we used a protocol involving concentric and eccentric muscle contractions to provoke a state of delayed-onset muscle soreness (DOMS) in the jaw muscles of healthy individuals. We tested

  5. A Study on Herbal Finish to Prevent Bed Sore Using Mangifera indica and Triphala Dried Fruit

    Directory of Open Access Journals (Sweden)

    Kiruthika Deivasigamani

    2014-01-01

    Full Text Available “Bed sores” owe their name to the observation that patients who were bedridden and not properly repositioned would often develop ulcerations or sores on their skin, typically over bony prominences. These bed sores, which result from prolonged pressure, are also called “decubitus ulcers,” “pressure sores,” “skin breakdown,” and “pressure ulcers.” They are associated with adverse health outcomes and high treatment costs. This study focuses on developing herbal finish to prevent bed sores. For this purpose, functional finishing was utilized to produce a bedsore preventing fabric. Plain weave cotton fabric was dyed by using herbal extracts, dried, and then cured. Two samples in different ratios (1 : 2 and 2 : 1 of two herbal extracts (Mangifera indica and Triphala dried fruits were prepared with and without binder (chitosan. Air permeability, wicking ability, Drop Test for absorbency, and antibacterial properties were examined for those samples. Based on the results, fabric dyed with Mangifera indica and Triphala dried fruits in the ratio of 2 : 1 with chitosan is determined as the most promising combination for the final product.

  6. Interleukin-6 and Delayed Onset Muscle Soreness Do Not Vary during the Menstrual Cycle

    Science.gov (United States)

    Chaffin, Morgan E.; Berg, Kris E.; Meendering, Jessica R.; Llewellyn, Tamra L.; French, Jeffrey A.; Davis, Jeremy E.

    2011-01-01

    The purpose of this study was to determine if a difference in interleukin-6 (IL-6) and delayed onset muscles soreness (DOMS) exists in two different phases of the menstrual cycle. Nine runners performed one 75-min high-intensity interval running session during the early follicular (EF) phase and once during the midluteal (ML) phase of the…

  7. Effect of Whirlpool Therapy on the Signs and Symptoms of Delayed-Onset Muscle Soreness

    Science.gov (United States)

    Kuligowski, Lori A.; Lephart, Scott M.; Giannantonio, Frank P.; Blanc, Rob O.

    1998-01-01

    Objective: To determine the efficacy of warm whirlpool, cold whirlpool, and contrast therapy in the treatment of delayed-onset muscle soreness. Design and Setting: Subjects performed eccentric contractions of the elbow flexors and received 4 treatments: immediately postexercise and 24, 48, and 72 hours postexercise. Treatments consisted of 24-minute treatments with warm whirlpool, cold whirlpool, contrast therapy, or no treatment. Subjects: Fifty-six sex-matched volunteers from the University of Pittsburgh. Measurements: Measurements were taken at 5 assessment times: pre-exercise (0 hours); prior to treatment at 24, 48, and 72 hours postexercise; and at 96 hours postexercise. Dependent variables were degrees of resting elbow flexion, active elbow flexion, and extension; perceived soreness values on a Graphic Pain Rating Scale; and maximal voluntary isometric contraction. A repeated-measures analysis of variance (group by time) and Tukey post hoc analysis were used to determine which treatment groups differed significantly in returning subjects to pre-exercise values. Results: Cold whirlpool and contrast therapy were found to return subjects to baseline values of resting elbow flexion and perceived soreness significantly more than warm whirlpool or no treatment (P < .01). Additionally, warm whirlpool was found to be more effective than no treatment in the return of resting elbow flexion (P < .01). Conclusions: These results suggest that cold whirlpool and contrast therapy are more effective than warm whirlpool or no treatment in alleviating delayed-onset muscle soreness in the elbow flexors. PMID:16558514

  8. Is myofascial pain in temporomandibular disorder patients a manifestation of delayed-onset muscle soreness?

    NARCIS (Netherlands)

    Koutris, M.; Lobbezoo, F.; Sümer, N.C.; Atis, E.S.; Türker, K.S.; Naeije, M.

    2013-01-01

    Objective: In a study to the possible role of overuse of the jaw muscles in the pathogenesis of jaw muscle pain, we used a protocol involving concentric and eccentric muscle contractions to provoke a state of delayed-onset muscle soreness (DOMS) in the jaw muscles of healthy individuals. We tested w

  9. Effects of whole-body vibration after eccentric exercise on muscle soreness and muscle strength recovery.

    Science.gov (United States)

    Timon, Rafael; Tejero, Javier; Brazo-Sayavera, Javier; Crespo, Carmen; Olcina, Guillermo

    2016-06-01

    [Purpose] The aim of this study was to investigate whether or not a single whole-body vibration treatment after eccentric exercise can reduce muscle soreness and enhance muscle recovery. [Subjects and Methods] Twenty untrained participants were randomly assigned to two groups: a vibration group (n=10) and control group (n=10). Participants performed eccentric quadriceps training of 4 sets of 5 repetitions at 120% 1RM, with 4 min rest between sets. After that, the vibration group received 3 sets of 1 min whole body vibration (12 Hz, 4 mm) with 30 s of passive recovery between sets. Serum creatine kinase, blood urea nitrogen, muscle soreness (visual analog scale) and muscle strength (peak isometric torque) were assessed. [Results] Creatine kinase was lower in the vibration group than in the control group at 24 h (200.2 ± 8.2 vs. 300.5 ± 26.1 U/L) and at 48 h (175.2 ± 12.5 vs. 285.2 ± 19.7 U/L) post-exercise. Muscle soreness decreased in vibration group compared to control group at 48 h post-exercise (34.1 ± 11.4 vs. 65.2 ± 13.2 mm). [Conclusion] Single whole-body vibration treatment after eccentric exercise reduced delayed onset muscle soreness but it did not affect muscle strength recovery.

  10. Delayed Onset Muscle Soreness After Inspiratory Threshold Loading in Healthy Adults

    Science.gov (United States)

    Mathur, Sunita; Sheel, A. William; Road, Jeremy D.; Reid, W. Darlene

    2010-01-01

    Purpose: Skeletal muscle damage occurs following high-intensity or unaccustomed exercise; however, it is difficult to monitor damage to the respiratory muscles, particularly in humans. The aim of this study was to use clinical measures to investigate the presence of skeletal muscle damage in the inspiratory muscles. Methods: Ten healthy subjects underwent 60 minutes of voluntary inspiratory threshold loading (ITL) at 70% of maximal inspiratory pressure. Maximal inspiratory and expiratory mouth pressures, delayed onset muscle soreness on a visual analogue scale and plasma creatine kinase were measured prior to ITL, and at repeated time points after ITL (4, 24 and 48 hours post-ITL). Results: Delayed onset muscle soreness was present in all subjects 24 hours following ITL (intensity = 22 ± 6 mm; significantly higher than baseline p = 0.02). Muscle soreness was reported primarily in the anterior neck region, and was correlated to the amount of work done by the inspiratory muscles during ITL (r = 0.72, p = 0.02). However, no significant change was observed in maximal inspiratory or expiratory pressures or creatine kinase. Conclusions: These findings suggest that an intense bout of ITL results in muscle soreness primarily in the accessory muscles of inspiration, however, may be insufficient to cause significant muscle damage in healthy adults. PMID:20467514

  11. Interleukin-6 and Delayed Onset Muscle Soreness Do Not Vary during the Menstrual Cycle

    Science.gov (United States)

    Chaffin, Morgan E.; Berg, Kris E.; Meendering, Jessica R.; Llewellyn, Tamra L.; French, Jeffrey A.; Davis, Jeremy E.

    2011-01-01

    The purpose of this study was to determine if a difference in interleukin-6 (IL-6) and delayed onset muscles soreness (DOMS) exists in two different phases of the menstrual cycle. Nine runners performed one 75-min high-intensity interval running session during the early follicular (EF) phase and once during the midluteal (ML) phase of the…

  12. Neutrophilia and an Anti-Inflammatory Drug as Markers of Inflammation in Delayed Muscle Soreness.

    Science.gov (United States)

    Smith, Lucille L.; And Others

    This study reexamined the concept that delayed muscle soreness (DMS) is a form of inflammatory pain. This was accomplished by having 32 male volunteers perform exercise known to induce DMS and then assess the total and differential white blood cell changes. In addition, an anti-inflammatory drug, idomethacin, was administered to determine whether…

  13. Can Muscle Soreness After Intensive Work-related Activities Be Predicted?

    NARCIS (Netherlands)

    Soer, Remko; Geertzen, Jan H. B.; van der Schans, Cees P.; Groothoff, Johan W.; Reneman, Michiel F.

    2009-01-01

    Objectives: It is currently unknown whether specific determinants are predictive for developing delayed onset muscle soreness (DOMS) after heavy work-related activities. The aim of this study was to analyze whether personal characteristics and performance measures are predictive for onset, intensity

  14. Effects of Varying Recovery Periods on Muscle Enzymes, Soreness, and Performance in Baseball Pitchers

    Science.gov (United States)

    Potteiger, Jeffrey A.; Blessing, Daniel L.; Wilson, G. Dennis

    1992-01-01

    In this study we examined the effects of varied recovery time on serum creatine kinase (CK), serum lactate dehydrogenase (LDH), muscle soreness, and pitch velocity in baseball pitchers. Ten males who had pitching experience participated in the study. After an 18-day training period, subjects pitched three simulated games. Game A and Game B were separated by four days of rest, while Game B and Game C were separated by two days of rest. CK, LDH, and muscle soreness were evaluated at the following times: before and immediately after exercise, and six, 24, 48, and 72 hours after exercise. Muscle performance was evaluated by measuring pitch velocity during the games. The CK level was elevated after each game (Game A - 249 U/l; Game B - 243 U/l; and Game C - 240 U/l); then it dropped toward baseline (p≤0.01). CK post-exercise values were not different among games A, B, and C. LDH displayed a response similar to CK; however, there was a reduction over the span of the games (p≤0.05). Muscle soreness was significantly elevated immediately after exercise (p≤0.01) compared to all other measurement times. Pitch velocity was not different among games A, B, and C. Results indicate that muscle damage, as evidenced by CK release, occurs in response to baseball pitching. However CK values, muscle soreness, and pitch velocity are not significantly affected by changes in the amount of recovery time typically scheduled between games. PMID:16558126

  15. Construct validity of the moisture subscale of the Braden Scale for Predicting Pressure Sore Risk.

    Science.gov (United States)

    Omolayo, Tolulope; Brown, Kilty; Rapp, Mary Pat; Li, Jing; Barrett, Ryan; Horn, Susan; Bergstrom, Nancy

    2013-03-01

    In this study, the construct validity of the moisture subscale of the Braden Scale for Predicting Pressure Sore Risk is partially supported by the significant inverse relationships between moisture subscale scores, the number of wet observations and soiled observations, brief changes, and differences among the moisture subscale score groups.

  16. [Reducing patient pressure sore incidence density in the pediatric surgical intensive care unit].

    Science.gov (United States)

    Huang, Wei-Chen; Chang, Shiow-Ru; Tang, Chi-Min

    2014-04-01

    Our unit recorded 21 cases of pressure sores from January 2011 to June 2011. The resulting pressure-sore incidence density of 0.74% exceeded the Taiwan Clinical Performance Indicator (TCPI) for medical centers (0.62%) as well as the mean incidence density for our unit (0.55%) during the same period in 2010. We developed this project to decrease the incidence density of pressure sores at our pediatric-surgical-intensive-care unit from 0.74% to 0.31%. Strategies implemented included: 1. providing on-the-job education; 2. providing bedside teaching; 3. developing a series of pictures to illustrate proper sitting, lying, and changing positions and the proper fixation of catheters; 4. implementing a reminder mechanism; 5. introducing pressure-preventing devices; 6. and establishing an audit team. Incidence density decreased from 0.74% (Jan. to Jun. 2011) to 0.18% (Mar. to Jul. 2012). We demonstrated that the developed improvement program effectively reduced the incidence density of pressure sores and increased the quality of nursing care.

  17. Multidisciplinary Approach to an Extended Pressure Sore at the Lumbosacral Area.

    Science.gov (United States)

    Yoon, Sehoon; Jeong, Euicheol; Lázaro, Hudson Alex

    2016-11-01

    A pressure sore wound is often extensive or complicated by local infection involving adjacent soft tissue and bone. In this case, a regional flap after simple debridement is not adequate. Here, we present a case of an extensive pressure sore in the sacral area with deep tissue infection. A 43-year-old female patient with a complicated sore with deep tissue infection had a presacral abscess, an iliopsoas abscess, and an epidural abscess in the lumbar spine. After a multidisciplinary approach performed in stages, the infection had subsided and removal of the devitalized tissue was possible. The large soft tissue defect with significant depth was reconstructed with a free latissimus dorsi musculocutaneous flap, which was expected to act as a local barrier from vertical infection and provide tensionless skin coverage upon hip flexion. The extensive sacral sore was treated effectively without complication, and the deep tissue infection completely resolved. There was no evidence of donor site morbidity, and wheelchair ambulation was possible by a month after surgery.

  18. Multidisciplinary Approach to an Extended Pressure Sore at the Lumbosacral Area

    Directory of Open Access Journals (Sweden)

    Sehoon Yoon

    2016-11-01

    Full Text Available A pressure sore wound is often extensive or complicated by local infection involving adjacent soft tissue and bone. In this case, a regional flap after simple debridement is not adequate. Here, we present a case of an extensive pressure sore in the sacral area with deep tissue infection. A 43-year-old female patient with a complicated sore with deep tissue infection had a presacral abscess, an iliopsoas abscess, and an epidural abscess in the lumbar spine. After a multidisciplinary approach performed in stages, the infection had subsided and removal of the devitalized tissue was possible. The large soft tissue defect with significant depth was reconstructed with a free latissimus dorsi musculocutaneous flap, which was expected to act as a local barrier from vertical infection and provide tensionless skin coverage upon hip flexion. The extensive sacral sore was treated effectively without complication, and the deep tissue infection completely resolved. There was no evidence of donor site morbidity, and wheelchair ambulation was possible by a month after surgery.

  19. In vivo pressure sore-healing efficacy of β-cyclodextrin/polyethyleneimine/silk fibroin xerogel.

    Science.gov (United States)

    Seo, Seung Ree; Lee, Mi Sun; So, Byung Pil; Kim, Jin-Chul

    2012-08-01

    β-Cyclodextrin (βCD) xerogel containing silk fibroin (SF) was prepared, and the efficacy of the xerogel for a pressure sore developed on the back of an ICR mouse was investigated. Tosyl βCD was conjugated to polyethyleneimine (PEI), and the βCD residues were cross-linked in an aqueous phase using epichlorohydrin as a cross-linker in the presence of SF. The xerogel composed of βCD, PEI, and SF (βCD/PEI/SF xerogel) was prepared by freeze drying the hydrogel. The in vivo pressure sore-healing efficacy of the xerogel was estimated through the skin appearance, skin thickness, hyperplasia of the epidermis, and number of neutrophils in the skin tissue. The animal group treated with βCD/PEI/SF xerogels showed a better sore-healing efficacy than the group without treatment and the group treated with over-the-counter products through the determination of the reduction of hyperplasia of the epidermis and the number of neutrophils in skin tissue. We also got the same result by macroscopic evaluation. βCD/PEI/SF xerogel exhibited a high wound-healing efficacy for pressure sores developed on the back of an ICR mouse and left no scar. © 2012 The International Society of Dermatology.

  20. Granulation of After Reclamation Dusts from the Mixed Sands Technology: Water Glass – Resolit

    Directory of Open Access Journals (Sweden)

    J. Kamińska

    2013-04-01

    Full Text Available A technology of sands with water glass hardened by liquid esters is a cheap and ecologic method of producing moulding sands. Due to these advantages, this technology is still very important in several foundry plants for production of heavy iron and steel castings. Reclamation of the mixed moulding and core sands generates significant amounts of dusts, which require further treatments for their reuse. The results of investigations of a pressureless granulation of dusts generated in the dry mechanical reclamation process of the mixture consisting in app. 90 % of moulding sands from the Floster S technology and in 10 % of core sands with phenolic resin resol type, are presented in the hereby paper. Investigations were aimed at obtaining granulates of the determined dimensional and strength parameters. Granules were formed from the mixture of dusts consisting of 75 mass% of dusts after the reclamation of sands mixture and of 25 mass% of dusts from bentonite sands processing plant. Wetted dusts from bentonite sands were used as a binding agent allowing the granulation of after reclamation dusts originated from the mixed sands technology.

  1. Evaluation of local muscle soreness treatment with anterior bite splint made of soft putty impression material

    Directory of Open Access Journals (Sweden)

    Harry Laksono

    2013-03-01

    Full Text Available Background: Local muscle soreness is the most common temporomandibular disorders complaint of patients seeking treatment in the dental clinics. The emergency treatment that can be done in the clinics to manage this disorder is by making anterior bite splint. Anterior bite splint is usually made of acrylic, but currently there is a soft putty impression material that can also be used for making anterior bite splint. The effectiveness of soft putty anterior bite splint in local muscle soreness treatment still has not clear. Purpose: To determine the effectiveness of the soft putty impression material as a material used for making anterior bite splint in the treatment of local muscle soreness. Case: Six patients was reported five female patients aged 20-40 years old and one male patient aged 37 years old with local muscle soreness. Four female patients with a “click” sound on TMJ. Case management: Make differential diagnosis with screening history (anamnesis, clinical examination consists of extra oral examination such as muscle and temporomandibular joint palpation, measure the mandibular movement, end-feel, load test, intra oral examination and radiographic evaluation. Record the results and make the diagnosis. Make a soft putty anterior bite splint, adjusted and inserted in the maxillary anterior teeth. Record the results based on signs and symptoms. Conclusion: It can be concluded that anterior bite splint made of soft putty impression material is effective for treatment the local muscle soreness.Latar belakang: Salah satu tipe temporomandibular disorders yang paling sering dijumpai di klinik dokter gigi adalah local muscle soreness. Perawatan yang dapat dengan segera dilakukan di klinik untuk mengelola gangguan tersebut adalah dengan pembuatan anterior bite splint. Biasanya anterior bite splint terbuat dari akrilik, namun saat ini telah ada bahan cetak soft putty yang memungkinkan untuk dipakai sebagai bahan pembuatan anterior bite splint

  2. Cold-water immersion versus passive therapy to decrease delayed onset muscular soreness: a CAT

    Directory of Open Access Journals (Sweden)

    Raúl Alberto Aguilera Eguía

    2014-06-01

    Full Text Available Introduction Late onset muscle soreness, also known as delayed onset muscle soreness, is a painful musculoskeletal condition that may occur 24-48 and up to 72 hours after the completion of unusual physical or high intensity exercise involving eccentric muscle activity. In the field of physical rehabilitation, immersion in cold water is a common intervention mainly used in sports medicine, to minimize delayed onset muscle soreness and promote recovery after exercise. Objective To assess the validity and applicability of the results regarding the effectiveness of immersion in cold water after high intensity exercise and answer the following question: In subjects who exercise regularly, can cold-water immersion compared to passive therapy (rest reduce late-onset muscle soreness? Methods The article "Cold Water Immersion (cryotherapy for preventing and treating muscle soreness after exercise," a Cochrane systematic review authored by Bleakley et al (2012, was analyzed. Results Immersion in cold water can decrease delayed onset of muscle pain after high intensity exercise. Twenty-four hours after the intervention, the mean standardized difference was -0.55 (95% CI: -0.84 to -0.27; 48 hours after, the mean standardized difference was -0.66 (95% CI: -0.97 to -0.35; 72 hours after, the mean standardized difference was -0.93 (95% CI: -1.36 to -0.51 and up to 96 hours after, mean standardized difference was -0.58 (95% CI: -1.00 to -0.16. Conclusion Despite the methodological limitations present in the studies included in the systematic review analyzed, we found the recommendation for cold water immersion (cryotherapy reasonable in individuals with late muscle pain caused by high intensity sports.

  3. [ISKRA guidelines on sore throat: diagnostic and therapeutic approach--Croatian national guidelines].

    Science.gov (United States)

    Andrasević, Arjana Tambić; Baudoin, Tomislav; Vukelić, Dalibor; Matanović, Suzana Mimica; Bejuk, Danijela; Puzevski, Diana; Abram, Maja; Tesović, Goran; Grgurev, Zdravko; Tomac, Gordana; Pristas, Irina

    2009-01-01

    Sore throat is most commonly caused by viruses, but when caused by bacteria, the most important is group A streptococcus (GAS). The aim of these guidelines is to determine optimal treatment for streptococcal sore throat and reasonable indications for tonsillectomy, as well as recommend how to differentiate streptococcal infection for which antibiotics are justified, from numerous other sore throats where antibiotics wont have a significant effect on disease course, but might contribute to bacterial resistance to antibiotics. The development of the guidelines was initiated by the Interdisciplinary Section for Antibiotic Resistance Control (ISKRA) of the Croatian Ministry of Health and Social Welfare in accordance with the principles of AGREE (Appraisal of Guidelines for Research and Evaluation) methodology which means that the guidelines are the result of consensus between all interested professional societies and institutions. For streptococcal sore throat diagnostics, the Working Group recommends evaluation of clinical presentation according to Centor criteria and for patients with Centor score 0-1, antibiotic therapy is not recommended nor bacteriological testing, while for patients with Centor score 2-4 bacteriological testing is recommended (rapid test or culture) as well as antibiotic therapy in case of positive result. The drug of choice for the treatment of streptococcal tonsillopharyngitis is oral penicillin taken for ten days (penicillin V) or in case of poor patient compliance benzathine penicillin G can be administered parenterally in a single dose. Other antibiotics (macrolides, clindamycin, cephalosporins, co-amoxiclav) are administered only in case of hypersensitivity to penicillin or in recurrent infections. Tonsillectomy is a widely accepted surgical procedure that decreases the number of sore throats in children and should be performed only if indications for this procedure are established. Absolute indications include five or more streptococcal

  4. The effect of intracuff alkalinized 2% lidocaine on emergence coughing, sore throat, and hoarseness in smokers

    Directory of Open Access Journals (Sweden)

    Laís Helena Camacho Navarro

    2012-04-01

    Full Text Available OBJECTIVE: We evaluated whether endotracheal tube (ETT intracuff alkalinized lidocaine was superior to saline in blunting emergence coughing, postoperative sore throat, and hoarseness in smokers. METHODS: In our prospective, double-blind trial, we enrolled 50 smoking patients undergoing surgery under general anesthesia including nitrous oxide (N2O. Patients were randomly allocated to receive either ETT intracuff 2% lidocaine plus 8.4% sodium bicarbonate (L group, or ETT intracuff 0.9% saline (S group. The ETT cuff was inflated to achieve a cuff pressure that prevented air leak during positive pressure ventilation. Incidence of emergence coughing, sore throat, and hoarseness were analyzed. The volume of inflation solution, the intracuff pressure, the duration of anesthesia, the time elapsed to extubation after discontinuation of anesthesia, and the volume of the inflation solution and the air withdrawn from the ETT cuff were also recorded. RESULTS: Intracuff alkalinized 2% lidocaine was superior to saline in blunting emergence coughing (p < 0.001. The incidence of sore throat was significantly lower in the L group at the post-anesthesia care unit (PACU (p = 0.02. However, at 24 hours after extubation, sore throat incidence was similar in both groups (p = 0.07. Incidence of hoarseness was similar in both groups. Intracuff pressure in the saline group increased with time while the intracuff pressure in the lidocaine group remained constant. CONCLUSION: The present study demonstrated that the intracuff alkalinized 2% lidocaine was superior to saline in decreasing the incidence of emergence coughing and sore throat during the postoperative period in smokers.

  5. Disturbance of the inclined inserting-type sand fence to wind-sand flow fields and its sand control characteristics

    Science.gov (United States)

    Cheng, Jian-jun; Lei, Jia-qiang; Li, Sheng-yu; Wang, Hai-feng

    2016-06-01

    The inclined inserting-type sand fence is a novel sand retaining wall adopted along the Lanxin High-Speed Railway II in Xinjiang for controlling and blocking sand movement. To verify the effectiveness of the new fence structure for sand prevention, a wind tunnel test was used for flow field test simulation of the sand fence. The results indicate that the inclined inserting-type sand fence was able to deflect the flow of the sand and was able to easily form an upward slant acceleration zone on the leeward side of the sand fence. As shown by the percentage change in sand collection rates on the windward side and the leeward side of the sand fence, the sand flux per unit area at 4 m height in the slant upward direction increased on the leeward side of the inclined inserting-type sand fence. By comparing the flow fields, this site is an acceleration zone, which also reaffirms the correspondence of wind-sand flow fields with the spatial distribution characteristic of the wind-carried sand motion. The field sand collection data indicates that under the effects of the inclined inserting-type sand fence, the sandy air currents passing in front and behind the sand fence not only changed in quality, but the grain composition and particle size also significantly changed, suggesting that the inclined inserting-type sand fence has a sorting and filtering effect on the sandy air currents that passed through. The fence retained coarse particulates on the windward side and fine particulates within the shade of the wind on the leeward side.

  6. Optimal array of sand fences.

    Science.gov (United States)

    Lima, Izael A; Araújo, Ascânio D; Parteli, Eric J R; Andrade, José S; Herrmann, Hans J

    2017-03-24

    Sand fences are widely applied to prevent soil erosion by wind in areas affected by desertification. Sand fences also provide a way to reduce the emission rate of dust particles, which is triggered mainly by the impacts of wind-blown sand grains onto the soil and affects the Earth's climate. Many different types of fence have been designed and their effects on the sediment transport dynamics studied since many years. However, the search for the optimal array of fences has remained largely an empirical task. In order to achieve maximal soil protection using the minimal amount of fence material, a quantitative understanding of the flow profile over the relief encompassing the area to be protected including all employed fences is required. Here we use Computational Fluid Dynamics to calculate the average turbulent airflow through an array of fences as a function of the porosity, spacing and height of the fences. Specifically, we investigate the factors controlling the fraction of soil area over which the basal average wind shear velocity drops below the threshold for sand transport when the fences are applied. We introduce a cost function, given by the amount of material necessary to construct the fences. We find that, for typical sand-moving wind velocities, the optimal fence height (which minimizes this cost function) is around 50 cm, while using fences of height around 1.25 m leads to maximal cost.

  7. Reuse of waste foundry sand through interaction with sodium silicate binder; Reutilizacao da areia descartada da fundicao, a partir da sua interacao com agente ligante silicato de sodio

    Energy Technology Data Exchange (ETDEWEB)

    Souza, J.C.; Chinelatto, A.S.A.; Chinelatto, A.L., E-mail: josi3souza@gmail.com [Universidade Estadual de Ponta Grossa (UEPG), PR (Brazil); Oliveira, I.L. [Universidade Tecnologica Federal do Parana (UTFPR), Ponta Grossa, PR (Brazil)

    2012-07-01

    Green sand molds are used in metal casting process. However, after heating, activated bentonite present in green sand lose the binding properties, and part of the foundry sand has to be discarded from the process. The ABNT NBR 15.984/2011 establishes the management of waste foundry sand (WFS) avoiding disposal in landfills. The objective of this work was to investigate the possibility of reusing the WFS from the study of their interaction with sodium silicate binder. Studies with silica sand and new green sand was performed to compare the results obtained with the WFS. The characterizations of the samples were performed by measures the compressive strength, X-ray diffraction, optical microscopy and scanning electron microscopy. The results showed that there is interaction of the sodium silicate with the WFS as well as with the silica sand and green sand. (author)

  8. Effects of Massage on Delayed-Onset Muscle Soreness, Swelling, and Recovery of Muscle Function

    Science.gov (United States)

    Zainuddin, Zainal; Newton, Mike; Sacco, Paul; Nosaka, Kazunori

    2005-01-01

    Context: Delayed-onset muscle soreness (DOMS) describes muscle pain and tenderness that typically develop several hours postexercise and consist of predominantly eccentric muscle actions, especially if the exercise is unfamiliar. Although DOMS is likely a symptom of eccentric-exercise–induced muscle damage, it does not necessarily reflect muscle damage. Some prophylactic or therapeutic modalities may be effective only for alleviating DOMS, whereas others may enhance recovery of muscle function without affecting DOMS. Objective: To test the hypothesis that massage applied after eccentric exercise would effectively alleviate DOMS without affecting muscle function. Design: We used an arm-to-arm comparison model with 2 independent variables (control and massage) and 6 dependent variables (maximal isometric and isokinetic voluntary strength, range of motion, upper arm circumference, plasma creatine kinase activity, and muscle soreness). A 2-way repeated-measures analysis of variance and paired t tests were used to examine differences in changes of the dependent variable over time (before, immediately and 30 minutes after exercise, and 1, 2, 3, 4, 7, 10, and 14 days postexercise) between control and massage conditions. Setting: University laboratory. Patients or Other Participants: Ten healthy subjects (5 men and 5 women) with no history of upper arm injury and no experience in resistance training. Intervention(s): Subjects performed 10 sets of 6 maximal isokinetic (90°·s−1) eccentric actions of the elbow flexors with each arm on a dynamometer, separated by 2 weeks. One arm received 10 minutes of massage 3 hours after eccentric exercise; the contralateral arm received no treatment. Main Outcome Measure(s): Maximal voluntary isometric and isokinetic elbow flexor strength, range of motion, upper arm circumference, plasma creatine kinase activity, and muscle soreness. Results: Delayed-onset muscle soreness was significantly less for the massage condition for peak

  9. Sore throat following three adult supraglottic airway devices: A randomised controlled trial.

    Science.gov (United States)

    L'Hermite, Joël; Dubout, Elisabeth; Bouvet, Sophie; Bracoud, Laure-Hélène; Cuvillon, Philippe; Coussaye, Jean-Emmanuel de La; Ripart, Jacques

    2017-07-01

    Sore throat is a common complaint after surgery. It affects patient satisfaction and can affect activity after discharge. The supraglottic airway device (SAD) offers an alternative to traditional tracheal intubation with potential benefit in preventing sore throat. The aim of this study was to compare the incidence of sore throat following three different SADs, the laryngeal mask airway Unique (LMA-U) and the more recent LMA Supreme (LMA-S) and the I-gel. A randomised single-blind controlled three parallel-group trial. University Hospital of Nîmes, Division of Anaesthesia Intensive Care Pain and Emergency, Nîmes, France, from April 2009 to September 2012. A total of 546 patients scheduled to undergo elective surgery of less than 2 h under general anaesthesia were randomly allocated to receive the LMA-U, the LMA-S or the I-gel. Anaesthesia was induced with propofol and sufentanil and maintained with propofol or with sevoflurane in air-oxygen. After airway device insertion, intra-cuff pressure was adjusted to less than 60 mmHg (LMA-U, LMA-S) and pressure-controlled ventilation initiated. The primary study endpoint was to compare incidence of sore throat 24 h postoperatively (H+24) following placement of the LMA-U, LMA-S and the I-gel. Secondary endpoints were clinical performance (airway leak pressure, dynamic airway compliance, complications during maintenance), ease of use (device insertion time, success on first attempt, ease of insertion and removal) and other adverse events (neck or jaw pain, dysphonia, dysphagia, nausea and vomiting). The authors analysed 177, 174 and 173 patients who received LMA-U, the LMA-S and the I-gel, respectively. The primary endpoint was assessed in 436 patients. In total, 104 patients (23.9%) patients reported a H+24 sore throat, with no difference between groups (P = 0.34). H+24 dysphagia with liquids was higher (P = 0.0065) with the LMA-S (12.1%) compared with LMA-U (5.3%) and I-gel (2.9%). Airway leak pressure (cmH2

  10. The influence of microwave curing time and water glass kind on the properties of molding sands

    Directory of Open Access Journals (Sweden)

    K. Granat

    2007-12-01

    Full Text Available This work presents results of research on the influence of microwave heating time on the process of hardening of water glass molding sands. Essential influence of this drying process on basic properties such as: compression, bending and tensile strength as well as permeability and wear resistance, has been found. It has been proved, that all the investigated sorts of sodium water glass could be used as binding material of molding sands intended for curing with the microwave process heating. It has been found, while analyzing the results of property studies of microwave heated molding sands with 2.5% addition of water glass, that all available on the market kinds of this binding agent (including the most frequently used in foundry 145 and 149 kinds after microwave heating guarantee very good compression, bending and tensile strength as well as permeability and wear resistance. Moreover, it has been determined that the optimal curing time of molding sands containing various kinds of water glass is 240 seconds. After this time, all basic properties of molding sands are stable. The use of microwave curing of water glass molding sands results in a significant decrease of hardening process time, full stabilization of molding sands as well as much lower energy consumption.

  11. Sands at Gusev Crater, Mars

    Science.gov (United States)

    Cabrol, Nathalie A.; Herkenhoff, Kenneth E.; Knoll, Andrew H.; Farmer, Jack D.; Arvidson, Raymond E.; Grin, E.A.; Li, Ron; Fenton, Lori; Cohen, B.; Bell, J.F.; Yingst, R. Aileen

    2014-01-01

    Processes, environments, and the energy associated with the transport and deposition of sand at Gusev Crater are characterized at the microscopic scale through the comparison of statistical moments for particle size and shape distributions. Bivariate and factor analyses define distinct textural groups at 51 sites along the traverse completed by the Spirit rover as it crossed the plains and went into the Columbia Hills. Fine-to-medium sand is ubiquitous in ripples and wind drifts. Most distributions show excess fine material, consistent with a predominance of wind erosion over the last 3.8 billion years. Negative skewness at West Valley is explained by the removal of fine sand during active erosion, or alternatively, by excess accumulation of coarse sand from a local source. The coarse to very coarse sand particles of ripple armors in the basaltic plains have a unique combination of size and shape. Their distribution display significant changes in their statistical moments within the ~400 m that separate the Columbia Memorial Station from Bonneville Crater. Results are consistent with aeolian and/or impact deposition, while the elongated and rounded shape of the grains forming the ripples, as well as their direction of origin, could point to Ma'adim Vallis as a possible source. For smaller particles on the traverse, our findings confirm that aeolian processes have dominated over impact and other processes to produce sands with the observed size and shape patterns across a spectrum of geologic (e.g., ripples and plains soils) and aerographic settings (e.g., wind shadows).

  12. Influence of ginger and cinnamon intake on inflammation and muscle soreness endued by exercise in Iranian female athletes

    Directory of Open Access Journals (Sweden)

    Nafiseh Shokri Mashhadi

    2013-01-01

    Conclusions: Administration of ginger and cinnamon in athlete women for six weeks did not show any significant change in the IL-6 level, but showed a decrease in muscle soreness in the cinnamon and ginger groups.

  13. Effects of cryotherapy on muscle damage markers and perception of delayed onset muscle soreness after downhill running: A Pilot study

    Directory of Open Access Journals (Sweden)

    M. Rossato

    2015-06-01

    Conclusion: Use of cryotherapy after exercise with eccentric contractions was effective to reestablish the level of biochemical markers of muscle damage and reduce muscle soreness and pain perception in subjects submitted to downhill running.

  14. Risk factors for development of postoperative sore throat and hoarseness after endotracheal intubation in women: a secondary analysis.

    Science.gov (United States)

    Jaensson, Maria; Gupta, Anil; Nilsson, Ulrica G

    2012-08-01

    Postoperative sore throat and hoarseness are common and disturbing complications following endotracheal intubation, and women are more frequently affected by these symptoms. This study explores risk factors associated with postoperative sore throat and hoarseness in women following intubation. In this prospective cross-sectional study, 97 patients undergoing elective ear, nose, and throat surgery or plastic surgery were included. Eight different variables were analyzed to detect possible associations for the development of postoperative sore throat or hoarseness. For data analysis, the chi2 test and the odds ratio were used. Three variables were found to be significant risk factors for postoperative sore throat: age greater than 60 years (P = .01), the use of a throat pack (P = .04), and endotracheal tube No. 7.0 (size 7 mm; P = .02). The only risk factor found to be significantly associated with developing hoarseness was an endotracheal cuff pressure below 20 centimeters of water (P = .04). Larger studies are needed to confirm these risk factors.

  15. Comparing the effect of ketamine and benzydamine gargling with placebo on post-operative sore throat: A randomized controlled trial

    OpenAIRE

    Seyed Hamid Reza Faiz; Poupak Rahimzadeh; Alireza Poornajafian; Naghme Nikzad

    2014-01-01

    Background: Air way intubation for general anesthesia usually leads to sore throat after surgery. Ketamine plays an important role to block a number of receptors related to pain. Benzydamine hydrochloride is a non-steroidal anti-inflammatory drug that has been used to improve oropharyngeal disorders. In this study, it was intended to compare the effect of gargling different solutions before the surgery on post-operative sore throat (POST) in patients who underwent general anesthesia for hyste...

  16. Incidence of sore throat in children following use of flexible laryngeal mask airways - impact of an introducer device.

    Science.gov (United States)

    William, Anthea; Chambers, Neil A; Erb, Thomas O; von Ungern-Sternberg, Britta S

    2010-09-01

    Insertion of a flexible laryngeal mask airway (FLMA) is more difficult and therefore might result in a higher risk for trauma to the upper airway. To facilitate the insertion of FLMA, the use of an introducer device (Portex Limited, Hythe, Kent, UK) was promoted. However, the impact of the use of this device on the occurrence of postoperative sore throat is unknown. Four hundred children (3-21 years) undergoing elective ambulatory surgery were consecutively included in this study. In 196 cases, the FLMA was inserted using an introducer device. The FLMA cuff was then inflated and the pressure adjusted to below 60 cmH(2)O (according to manufacturers guidelines) using a calibrated cuff manometer (Portex Limited). Three types of FLMA were available: FLMA classic, FLMA unique (both FLMA PacMed, Richmond, Victoria, Australia) and FLMA ProBreathe (Well Lead Medical Co Ltd., Hualong, Guangzhou, China). Prior to discharge, patients' pain was assessed using an age appropriate scale. Thirteen children (3.3%) developed sore throat, two (0.5%) sore neck and three (0.75%) sore jaw. Of those that developed sore throat, seven had a FLMA inserted with an introducer, six without an introducer. Using a laryngeal mask airways (LMA) with a polyvinyl chloride (PVC), surface was associated with a higher risk for sore throat compared with an LMA with a silicone surface (P = 0.0002). In this study with controlled low cuff pressures, the incidence of sore throat was low. The use of an introducer device did not affect the rate of sore throat.

  17. Application of skin traction for surgical treatment of grade IV pressure sore: a clinical report of 160 cases.

    Science.gov (United States)

    Chen, X; Jiang, Z; Chen, Z; Wang, D

    2011-01-01

    Retrospective clinical study. To assess the method of primary surgical closure of pressure sores developed by the Ruixin Hospital for burns. Nanjing, China. The study included 235 grade IV pressure sores of 160 patients, M:F = 119:41. Their age ranged from 19 to 93 years (mean = 47.4, s.d. ± 15.7). The primary disease was spinal cord injury in 141 patients (88.1%). The location of sore spread over ischial, sacrococcygeal and trochanteric regions. The largest pressure sore measured 15 × 25 cm(2). The time from onset of sore to admission ranged from 3 months to 22 years (mean = 35.5 months, s.d. ± 55.8). Local preoperative preparation included external skin traction using adhesive tapes, wound cleaning and change of dressing. General condition was checked and improved by supportive measures. Operation procedures included thorough debridement, excision of hidden minor scars, mobilizing opposing skin flaps and meticulous haemostasis before closure. Skin traction continued after the operation until the wound was healed. All but 10 sores healed primarily. These 10 sores healed after a revision. The length of stay in hospital ranged from 20 to 140 days (mean = 45.1 days, s.d. ± 21.1). Follow-up period was 2-51 months (mean = 22 months, s.d. ± 12.5). Two ischial sores recurred owing to long sitting. They were cured with the same method. Three illustrative cases are presented. The method is simple and enjoys a high success rate with a short stay in hospital and hence is cost effective. The recurrence is rare.

  18. DPTM simulation of aeolian sand ripple

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Aeolian sand ripple and its time evolution are simulated by the discrete particle tracing method (DPTM) presented in this paper. The difference between this method and the current methods is that the former can consider the three main factors relevant to the formation of natural aeolian sand ripples,which are the wind-blown sand flux above the sand bed formed by lots of sand particles with different di-ameters,the particle-bed collision and after it the rebound and ejection of sand particles in the sand bed,the saltation of high-speed sand particles and the creep of low-speed sand particles,respectively. The simulated aeolian sand ripple is close to the natural sand ripple not only in basic shape and characteristic,particle size segregation and stratigraphy,but also in formation stages. In addition,three important speeds can be obtained by this method,which are the propagation speed of the saturated aeolian sand ripple and the critical frictional wind speeds of emergence and disappearance of sand ripple.

  19. DPTM simulation of aeolian sand ripple

    Institute of Scientific and Technical Information of China (English)

    ZHENG XiaoJing; BO TianLi; XIE Li

    2008-01-01

    Aeolian sand ripple and its time evolution are simulated by the discrete particle tracing method (DPTM) presented in this paper.The difference between this method and the current methods is that the former can consider the three main factors relevant to the formation of natural aeolian sand ripples, which are the wind-blown sand flux above the sand bed formed by lots of sand particles with different di-ameters, the particle-bed collision and after it the rebound and ejection of sand particles in the sand bed, the saltation of high-speed sand particles and the creep of low-speed sand particles, respectively.The simulated aeolian sand ripple is close to the natural sand ripple not only in basic shape and characteristic, particle size segregation and stratigraphy, but also in formation stages.In addition, three important speeds can be obtained by this method, which are the propagation speed of the saturated aeolian sand ripple and the critical frictional wind speeds of emergence and disappearance of sand ripple.

  20. Acute effects of massage or active exercise in relieving muscle soreness

    DEFF Research Database (Denmark)

    Andersen, Lars L; Jay, Kenneth; Andersen, Christoffer H

    2013-01-01

    healthy female volunteers (mean age 32 years) participated in this examiner-blind randomized controlled trial (ClinicalTrials.gov NCT01478451). The participants performed eccentric contractions for the upper trapezius muscle on a Biodex dynamometer. Delayed onset muscle soreness (DOMS) presented 48 hours...... later, at which the participants (a) received 10 minutes of massage of the trapezius muscle or (b) performed 10 minutes of active exercise (shoulder shrugs 10 × 10 reps) with increasing elastic resistance (Thera-Band). First, 1 treatment was randomly applied to 1 shoulder while the contralateral...... shoulder served as a passive control. Two hours later, the contralateral resting shoulder received the other treatment. The participants rated the intensity of soreness (scale 0-10), and a blinded examiner took measures of pressure pain threshold (PPT) of the upper trapezius immediately before treatment...

  1. Cold Sore, Cold Soul? An Examination of Orolabial Herpes in Film

    Directory of Open Access Journals (Sweden)

    Alex C. HOLLIDAY

    2016-04-01

    Full Text Available The sociocultural phenomenon of herpes is attributed to two strains of the herpes simplex virus: herpes simplex virus type 1 (HSV-1 causes orolabial cold sores while herpes simplex virus type 2 (HSV-2 is typically identified in genital lesions, though both viruses may cause clinically similar signs and symptoms anywhere in or on the body. While these infections are extremely prevalent and typically benign, media sources such as film have perpetuated a negative public perception of the disease. Thus, a large portion of society continues to associate these conditions with sexual misconduct and moral failing. Despite decades of available antiviral therapy to shorten and suppress outbreaks, movies continue to exploit herpes for degradation and for humor. Portrayal of genital herpes in films is avoided in order to avert unnecessary and grotesque nude scenes, so depictions of cold sores are preferred. This article analyzes the use of orolabial herpes lesions in selected English language films released from 1984-2012.

  2. Double-blind study of benzydamine hydrochloride, a new treatment for sore throat.

    Science.gov (United States)

    Wethington, J F

    1985-01-01

    Forty-four patients with sore throat participated in a placebo-controlled, double-blind clinical trial of benzydamine hydrochloride administered as a gargle. After medical evaluation and throat culture, 21 patients were treated with a solution containing benzydamine and 23 patients with a placebo solution. Statistical analysis of scores from patients' diaries showed that benzydamine solution afforded significantly greater (P less than 0.001) relief of pain and dysphagia at 24 hours than did the placebo solution. Physician evaluations at 24 hours showed that the benzydamine solution had significantly greater effect than did placebo on hyperemia (P less than 0.004) and edema (P less than 0.005). Side effects were minimal and of no clinical significance. The findings indicate that benzydamine hydrochloride is safe and effective therapy for the signs and symptoms of sore throat.

  3. Role Of Health Agencies In Providing Benzathine Penicillin To Sore Throat Cases

    Directory of Open Access Journals (Sweden)

    Arya R.K

    1992-01-01

    Full Text Available This study (ICMR collaborative has been conducted In Chiraigaon Block of Varanasi District, up, between January 1984 and September 1987. Health personnel of the Primary Health Center (PHC, Rural Health Training Center (RHTC and voluntary Health Agency (VHA were trained to detect sore throats in children in the age group 5 to 15 years. The average number of sore throat cases detected per effective worker month was 12.3 and 8.3 for PHC and RHTC respectively. Injection Benzathine Penicillin was provided as sledgehammer approach compliance ranged from 97.1% to 100%. This study can be helpful for implementation of the national programme for prevention of the Rheumatic Fever and Rheumatic Heart Disease.

  4. Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover

    Science.gov (United States)

    Mehrotra, Sandeep

    2009-01-01

    Pressure sores are increasing in frequency commensurate with an ageing population with multi-system disorders and trauma. Numerous classic options are described for providing stable wound cover. With the burgeoning knowledge on perforator anatomy, recent approaches focus on the use of perforator-based flaps in bedsore surgery. A giant neglected trochanteric pressure sore in a paraplegic is presented. Since conventional options of reconstruction appeared remote, the massive ulcer was successfully managed by a chimeric perforator-based flap. The combined muscle and fasciocutaneous flaps were raised as separate paddles based on the anterolateral thigh perforator branches and provided stable cover without complications. Perforators allow versatility in managing complex wounds without compromising on established principles. PMID:19881035

  5. Giant trochanteric pressure sore: Use of a pedicled chimeric perforator flap for cover

    Directory of Open Access Journals (Sweden)

    Mehrotra Sandeep

    2009-01-01

    Full Text Available Pressure sores are increasing in frequency commensurate with an ageing population with multi-system disorders and trauma. Numerous classic options are described for providing stable wound cover. With the burgeoning knowledge on perforator anatomy, recent approaches focus on the use of perforator-based flaps in bedsore surgery. A giant neglected trochanteric pressure sore in a paraplegic is presented. Since conventional options of reconstruction appeared remote, the massive ulcer was successfully managed by a chimeric perforator-based flap. The combined muscle and fasciocutaneous flaps were raised as separate paddles based on the anterolateral thigh perforator branches and provided stable cover without complications. Perforators allow versatility in managing complex wounds without compromising on established principles.

  6. Dry reusing and wet reclaiming of used sodium silicate sand

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Based on the characteristics of used sodium silicate sand and the different use requirements for recycled sand, "dry reusing and wet reclaiming of used sodium silicate sand" is considered as the most suitable technique for the used sand. When the recycled sand is used as support sand, the used sand is only reused by dry process including breaking, screening, dust-removal, etc., and it is not necessary that the used sand is reclaimed with strongly rubbing and scraping method, but when the recycled sand is used as facing sand (or single sand), the used sand must be reclaimed by wet method for higher removal rate of the residual binders. The characteristics and the properties of the dry reused sand are compared with the wet reclaimed sand after combining the different use requirements of support sand and facing sand (or single sand), and above the most adaptive scheme has also been validated.

  7. Effects of a non-steroidal anti-inflammatory drug on delayed onset muscle soreness and indices of damage.

    Science.gov (United States)

    Donnelly, A E; McCormick, K; Maughan, R J; Whiting, P H; Clarkson, P M

    1988-01-01

    Twenty untrained male volunteers were required to run downhill for 45 minutes on a motor driven treadmill to induce muscle soreness. The volunteers took diclofenac or placebo before and for 72 hours after two runs 10 weeks apart, in a randomised double blind crossover design. Subjective soreness was assessed before and at intervals up to 72 hours after each run; venous blood samples, collected at the same time intervals, were used to estimate serum activities of creatine kinase, lactate dehydrogenase and aspartate aminotransferase and serum concentrations of creatinine and urea. Subjective soreness and the biochemical parameters increased after both runs, although the serum enzyme response to the second run was reduced. Diclofenac had no influence on the serum biochemical response to downhill running. Although overall soreness was not affected by diclofenac, individual soreness measurements were reduced by diclofenac at the first period of the study. These results suggest that diclofenac does not influence muscle damage, but may slightly reduce the associated soreness. PMID:3370401

  8. Effects of Alcohol Consumption on Muscle Soreness and Inflammation During Recovery From Strenuous Exercise

    Directory of Open Access Journals (Sweden)

    Chao Yen Chen

    2014-10-01

    Full Text Available Although parties or get-togethers with alcoholic beverages after sporting competitions are popular, studies on the effects of alcohol ingestion after strenuous exercise on muscle damage and inflammation in non-drinkers’ are few and ambiguous. Therefore, the aim of this study was to investigate the effects of alcohol ingestion during recovery from an acute bout of exercise on muscle soreness and inflammatory markers in regular exercisers who do not regularly consume alcohol. Male participants (n = 15 completed two bouts of exercise on a rowing ergometer for 2000 m in a randomized fashion. All participants ingested 5 mL of alcoholic (AL or placebo (PL beverage per kg of body weight within 10 min post-exercise. Blood samples for blood alcohol, creatine kinase (CK, C-reactive protein (CRP, and interleukin (IL-6 concentrations were collected pre-exercise (T0, and at 1 (T1, 3 (T2, and 24 h (T3 post-ingestion. Self-reported muscle soreness was assessed at the same time points. Lactate levels were measured before exercise and within 1 h post-exercise. Muscle soreness was significantly lower in the AL than the PL trials at T3 (p < 0.05. Although CK, IL-6 and CRP levels were significantly higher during recovery than before exercising, there was no significant difference between the AL and PL trials. In addition, no significant difference in lactate concentrations between the two trials was evident in the 1 h after exercise. For regular exercisers, the alcoholic beverage ingested did not increase CK, IL-6, or CRP compared to their placebo trial, despite attenuated muscle soreness. Comparisons between drinkers and non-drinkers of high fitness ingesting permissible alcohol doses should be performed in the future.   Keywords: alcohol, inflammation, strenuous exercise, muscle damage

  9. Effect of warm-up exercise on delayed-onset muscle soreness

    OpenAIRE

    Takizawa, Kazuki; Soma, Toshio; Nosaka, Kazunori; Ishikawa, Tomoji; Ishii, Kojiro

    2011-01-01

    This study investigated whether a warm-up exercise consisting of 100 submaximal concentric contractions would attenuate delayed-onset muscle soreness (DOMS) and decreases in muscle strength associated with eccentric exercise-induced muscle damage. Ten male students performed two bouts of the elbow flexor exercise consisting of 12 maximal eccentric contractions with a warm-up exercise for one arm (WU) and without warm-up for the other arm (control: CON) in a randomised, counterbalanced order s...

  10. Can Muscle Soreness After Intensive Work-related Activities Be Predicted?

    OpenAIRE

    Soer, Remko; Jan H B Geertzen; van der Schans, Cees P; Johan W. Groothoff; Reneman, Michiel F

    2009-01-01

    Objectives: It is currently unknown whether specific determinants are predictive for developing delayed onset muscle soreness (DOMS) after heavy work-related activities. The aim of this study was to analyze whether personal characteristics and performance measures are predictive for onset, intensity, and duration of DOMS after performing work-related activities during a Functional Capacity Evaluation in healthy participants. Methods: Included in this study were 197 healthy participants (102 m...

  11. Cold Sore, Cold Soul? An Examination of Orolabial Herpes in Film

    OpenAIRE

    Holliday, Alex C.; Salih, Amanda; Wagner, Richard F.Jr.

    2014-01-01

    [EN] The sociocultural phenomenon of herpes is attributed to two strains of the herpes simplex virus: herpes simplex virus type 1 (HSV-1) causes orolabial cold sores while herpes simplex virus type 2 (HSV-2) is typically identified in genital lesions, though both viruses may cause clinically similar signs and symptoms anywhere in or on the body. While these infections are extremely prevalent and typically benign, media sources such as film have perpetuated a negative public percep...

  12. Efficiency of Magnetic Field Treatment on Pressure Sores in Bedridden Patients

    Directory of Open Access Journals (Sweden)

    Ferda Özdemir

    2011-09-01

    Full Text Available Objective: Pressure sores are an important source of complications in patients who are immobilized and bedridden. We aimed to investigate the efficiency of magnetic field treatment in pressure sores. Material and Methods: This was a randomized, double blind controlled design study. 20 patients in the study group received magneto-therapy, once a day for 30 minutes and with 150G, keeping to the BTL09 magnetotherapy device’s program. In the control group, 20 patients received the dressing only once a day. The surface areas of the pressure sores were evaluated at the onset of the treatment (1st day, and on the 7th and 15th days.Results: When within group comparisons were conducted, a significant difference was observed between the 1st and 7th day, 7th and 15th day, and 1st and 15th day measures in both the groups in terms of the scar area. The average healing time for the treatment group was 10.80±4.06 (6-20 days, and the average healing time for the control group was 18.85±9.75 (5-32 days. There was a statistically significant difference between the two groups (z=-2.114, p=0.034. Also, there was a significant difference in the scar area between the two groups in the 15th day measure (z=-3.818, p=0.000.Conclusion: The healing process of the tissue can be accelerated.with the use of magnetotherapy in the treatment of pressure sores of stage II and III,

  13. Sand and Water Table Play

    Science.gov (United States)

    Wallace, Ann H.; White, Mary J.; Stone, Ryan

    2010-01-01

    The authors observed preschoolers engaged at the sand and water table to determine if math could be found within their play. Wanting to understand how children interact with provided materials and what kinds of math ideas they explore during these interactions, the authors offer practical examples of how such play can promote mathematical…

  14. Sand and Water Table Play

    Science.gov (United States)

    Wallace, Ann H.; White, Mary J.; Stone, Ryan

    2010-01-01

    The authors observed preschoolers engaged at the sand and water table to determine if math could be found within their play. Wanting to understand how children interact with provided materials and what kinds of math ideas they explore during these interactions, the authors offer practical examples of how such play can promote mathematical…

  15. Impact on sand and water

    NARCIS (Netherlands)

    Bergmann, R.P.H.M.

    2007-01-01

    In this thesis we investigate the impact of a body on sand and water. When a body impacts a free surface in the inertial regime the series of events is the following: On impact material is blown away in all directions and an impact cavity forms. Due to the hydrostatic pressure from the sides the cav

  16. Silo model tests with sand

    DEFF Research Database (Denmark)

    Munch-Andersen, Jørgen

    Tests have been carried out in a large silo model with Leighton Buzzard Sand. Normal pressures and shear stresses have been measured during tests carried out with inlet and outlet geometry. The filling method is a very important parameter for the strength of the mass and thereby the pressures...

  17. experimental studies of sand production from unconsolidated ...

    African Journals Online (AJOL)

    ES Obe

    Production of sand during oil and gas exploration causes severe operational prob- ... duction such as risk of well failure, erosion of pipelines and surface facilities, sand separa- tion and disposal ... ment, theoretical and numerical analysis have.

  18. The affect on delayed onset muscle soreness recovery for ultrasound with bee venom.

    Science.gov (United States)

    Kim, Seung Kyun; Kim, Myung Chul

    2014-09-01

    [Purpose] The purpose of this study was to evaluate whether ultrasound alone or ultrasound with bee venom is effective in treating delayed onset muscle soreness of the biceps brachii muscle, using the visual analogue scale, range of motion test (flexion and extension), and serum creatine kinase level. [Subjects] Twenty women participated in this study. [Methods] Repeated eccentric contractions were used to induce delayed onset muscle soreness in the elbow flexor of the subjects. The subjects were randomized to be treated with ultrasound alone or ultrasound with bee venom. We evaluated the effects of treatments in the 2 groups. Individual subjects were assessed using the visual analogue scale, range of motion test, and serum creatine kinase level. The assessment parameters were evaluated 4 times: before exercise and 24, 48, and 72 hours after exercise. [Results] The visual analogue scale scores were significantly different before and after the experiment in both the group treated with ultrasound and the group treated with ultrasound and bee venom. The difference in elbow flexion and extension before and after the experiment was significantly different in both groups. No significant difference was found in the serum creatine kinase levels before and after the experiment. [Conclusion] Treatment with ultrasound and bee venom is effective for managing delayed onset muscle soreness.

  19. Predictive Factors for Medical Consultation for Sore Throat in Adults with Recurrent Pharyngotonsillitis

    Directory of Open Access Journals (Sweden)

    T. Koskenkorva

    2016-01-01

    Full Text Available Objects. To seek patient- and episode-related factors that associate with medical consultation for acute sore throat because these factors may affect the patient being referred to specialist care and tonsillectomy for recurrent pharyngotonsillitis. Methods. In a secondary analysis of two prior randomised controlled trials, sore throat episodes and medical visits were explored among 156 adult patients referred for tonsillectomy because of recurrent pharyngotonsillitis. Results. The 156 patients (104 females, mean age of 26 years suffered from 208 acute pharyngotonsillitis episodes during 5-6 months of follow-up. Forty (25% patients visited a physician, and female gender (adjusted hazard ratio, HR, 3.3; 95% confidence interval 1.4–8.0 and finding of chronically infected tonsils (HR 2.7; 1.2–6.1 were associated with medical consultation. Thirty-six (17% episodes led to medical consultation during the first 7 days of symptoms. Presence of severe throat pain was related to medical visit (HR 4.3; 1.0–18.5. Conclusions. Even among patients with recurrent pharyngotonsillitis, the acute sore throat episodes were usually mild and only few resulted in medical consultation, with female gender, chronically infected tonsils, and having severe throat pain increasing the consultation rate.

  20. UK silica sand resources for fracking

    OpenAIRE

    Mitchell, Clive

    2013-01-01

    UK silica sand resources for fracking Clive Mitchell, Industrial Minerals Specialist, British Geological Survey, Keyworth, Nottingham, NG12 5GG Email: Silica sand is high purity quartz sand that is mainly used for glass production, as foundry sand, in horticulture, leisure and other industrial uses. One specialist use is as a ‘proppant’ to enhance oil and gas recovery. This presentation will focus on this application, particularly for shale gas recovery where it is mo...

  1. Treating tar sands formations with karsted zones

    Energy Technology Data Exchange (ETDEWEB)

    Vinegar, Harold J. (Bellaire, TX); Karanikas, John Michael (Houston, TX)

    2010-03-09

    Methods for treating a tar sands formation are described herein. The tar sands formation may have one or more karsted zones. Methods may include providing heat from one or more heaters to one or more karsted zones of the tar sands formation to mobilize fluids in the formation. At least some of the mobilized fluids may be produced from the formation.

  2. Leishmania development in sand flies: parasite-vector interactions overview

    Directory of Open Access Journals (Sweden)

    Dostálová Anna

    2012-12-01

    Full Text Available Abstract Leishmaniases are vector-borne parasitic diseases with 0.9 – 1.4 million new human cases each year worldwide. In the vectorial part of the life-cycle, Leishmania development is confined to the digestive tract. During the first few days after blood feeding, natural barriers to Leishmania development include secreted proteolytic enzymes, the peritrophic matrix surrounding the ingested blood meal and sand fly immune reactions. As the blood digestion proceeds, parasites need to bind to the midgut epithelium to avoid being excreted with the blood remnant. This binding is strictly stage-dependent as it is a property of nectomonad and leptomonad forms only. While the attachment in specific vectors (P. papatasi, P. duboscqi and P. sergenti involves lipophosphoglycan (LPG, this Leishmania molecule is not required for parasite attachment in other sand fly species experimentally permissive for various Leishmania. During late-stage infections, large numbers of parasites accumulate in the anterior midgut and produce filamentous proteophosphoglycan creating a gel-like plug physically obstructing the gut. The parasites attached to the stomodeal valve cause damage to the chitin lining and epithelial cells of the valve, interfering with its function and facilitating reflux of parasites from the midgut. Transformation to metacyclic stages highly infective for the vertebrate host is the other prerequisite for effective transmission. Here, we review the current state of knowledge of molecular interactions occurring in all these distinct phases of parasite colonization of the sand fly gut, highlighting recent discoveries in the field.

  3. Effect of Caffeine on Perceived Soreness and Functionality Following an Endurance Cycling Event.

    Science.gov (United States)

    Caldwell, Aaron R; Tucker, Matthew A; Butts, Cory L; McDermott, Brendon P; Vingren, Jakob L; Kunces, Laura J; Lee, Elaine C; Munoz, Colleen X; Williamson, Keith H; Armstrong, Lawrence E; Ganio, Matthew S

    2017-03-01

    Caldwell, AR, Tucker, MA, Butts, CL, McDermott, BP, Vingren, JL, Kunces, LJ, Lee, EC, Munoz, CX, Williamson, KH, Armstrong, LE, and Ganio, MS. Effect of caffeine on perceived soreness and functionality following an endurance cycling event. J Strength Cond Res 31(3): 638-643, 2017-Caffeine can reduce muscle pain during exercise; however, the efficacy of caffeine in improving muscle soreness and recovery from a demanding long-duration exercise bout has not been established. The purpose of this study was to investigate the effects of caffeine intake on ratings of perceived muscle soreness (RPMS) and perceived lower extremity functionality (LEF) following the completion of a 164-km endurance cycling event. Before and after cycling RPMS (1-to-6; 6 = severe soreness) and LEF (0-to-80; 80 = full functionality) were assessed by questionnaires. Subjects ingested 3 mg/kg body mass of caffeine or placebo pills in a randomized, double-blind fashion immediately after the ride and for the next 4 mornings (i.e., ∼800 hours) and 3 afternoons (i.e., ∼1200 hours). Before each ingestion, RPMS and LEF were assessed. Afternoon ratings of LEF were greater with caffeine ingestion the first day postride (65.0 ± 6.1 vs. 72.3 ± 6.7; for placebo and caffeine, respectively; p = 0.04), but at no other time points (p > 0.05). The caffeine group tended to have lower overall RPMS in the afternoon versus placebo (i.e., main effect of group; 1.1 ± 0.2 vs. 0.5 ± 0.2; p = 0.09). Afternoon RPMS for the legs was significantly lower in the caffeine group (main effect of caffeine; 1.3 ± 0.2 vs. 0.5 ± 0.3; p = 0.05). In conclusion, ingesting caffeine improved RPMS for the legs, but not LEF in the days following an endurance cycling event. Athletes may benefit from ingesting caffeine in the days following an arduous exercise bout to relieve feelings of soreness and reduced functionality.

  4. Sand Waves. Report 1. Sand Wave Shoaling in Navigation Channels

    Science.gov (United States)

    1992-09-01

    heights range from 0.8 m in the Minas Basin, Bay of Fundy (Dalrymple 1984) to 6.0 m in the Bahia Blanca Estuary, Argentina (Aliotta and Perillo 1987...26 PART IV: SITE-SPECIFIC SAND WAVE SHOALING PROBLEMS .. ........ 30 Columbia River Navigation Channel ........ ............... .. 30 Panama ...problem location discussed in this report is at St. Andrew Bay near Panama City, Florida. A relatively short section of the jettied inlet channel requires

  5. Stretching Before and After Exercise: Effect on Muscle Soreness and Injury Risk

    Science.gov (United States)

    Andersen, J. C

    2005-01-01

    Reference: Herbert RD, Gabriel M. Effects of stretching before and after exercise on muscle soreness and risk of injury: systematic review. BMJ. 2002;325:468. Clinical Question: Among physically active individuals, does stretching before and after exercise affect muscle soreness and risk of injury? Data Sources: Studies were identified by searching MEDLINE (1966–February 2000), EMBASE (1988–February 2000), CINAHL (1982–1999), SPORT Discus (1949–1999), and PEDro (to February 2000). I searched the reference lists of identified studies manually until no further studies were identified. The search terms stretch, exercise, warm-up, and cool down were used in all databases except MEDLINE. In MEDLINE, an optimized OVID search strategy was used. This strategy included the terms searched in the other databases as well as terms such as flexibility, athletic injuries, sports, soreness, and muscle. Study Selection: The search was limited to English-language articles obtained from the electronic searches and the subsequent manual searches. This review included randomized or quasirandomized investigations that studied the effects of any stretching technique, before or after exercise, on delayed-onset muscle soreness, risk of injury, or athletic performance. Studies were included only if stretching occurred immediately before or after exercising. Data Extraction: Data extraction and assessment of study quality were well described. The principal outcome measures were measurements of muscle soreness and indices of injury risk. Results from the soreness studies were pooled by converting the numeric scores to percentages of the maximum possible score. These data were then reported as millimeters on a 100-mm visual analogue scale. Results of comparable studies were pooled using a fixed-effects model meta-analysis. Survival analysis using a Cox regression model was calculated on the time-to-event (injury) data. Main Results: The total number of articles identified using the

  6. Effectiveness of ketamine gargle in reducing postoperative sore throat in patients undergoing airway instrumentation: a systematic review.

    Science.gov (United States)

    Mayhood, Jillian; Cress, Kayla

    2015-09-01

    Postoperative sore throat is a common, minor adverse event, second to postoperative nausea and vomiting, occurring in individuals undergoing general anesthesia. Postoperative sore throat has the potential to not only diminish patient satisfaction, but also increase the need for adjunct pain therapy in the post anesthesia care unit. Many techniques are utilized to reduce postoperative sore throat; however no one intervention has proven to be completely effective. The use of ketamine gargle is a novel intervention but the effectiveness of administering it prior to induction of general anesthesia is still uncertain. Therefore, further evaluation of current evidence is needed to determine the effectiveness of ketamine gargle in reducing the incidence of postoperative sore throat. The objective of this review was to determine the effectiveness of ketamine gargle in comparison to placebo or another intervention in reducing the incidence of postoperative sore throat in patients undergoing airway instrumentation. The participants in this review were adult patients who received ketamine gargle or placebo prior to induction of general anesthesia for a variety of surgical procedures requiring endotracheal intubation.This review examined studies that evaluated the effectiveness of ketamine gargle compared to placebo or another intervention in reducing the incidence of postoperative sore throat.This review considered studies that measured the incidence of postoperative sore throat using a direct question survey with a four-point scale (0 = no sore throat; 1,2,3 = presence of sore throat).This review included randomized controlled trials only; no other types of articles were discovered upon searching. The comprehensive search strategy aimed to find both English language studies prior to August 2014.Databases used were: EMBASE, CINAHL, MEDLINE, ProQuest, Web of Science and Cochrane Central Register of Controlled Trials. Google Scholar, MEDNAR, New York Academy of Medicine Grey

  7. Comparative study between benzydamine hydrochloride gel, lidocaine 5% gel and lidocaine 10% spray on endotracheal tube cuff as regards postoperative sore throat

    OpenAIRE

    Mekhemar,Nashwa Abdallah; El-Agwany, Ahmed Samy; Radi,Wafaa Kamel; El-Hady,Sherif Mohammed

    2016-01-01

    ABSTRACT Postoperative sore throat is a common complication after endotracheal intubation. After tracheal intubation, the incidence of sore throat varies from 14.4% to 50%. The aim of the study was to compare between benzydamine hydrochloride gel, lidocaine 5% gel and lidocaine 10% spray on the endotracheal tube cuff as regards postoperative sore throat. The present study was carried out on 124 patients admitted to Alexandria university hospitals for lumbar fixation surgery requiring general ...

  8. Reducing sore throat following laryngeal mask airway insertion: comparing lidocaine gel, saline, and washing mouth with the control group

    Directory of Open Access Journals (Sweden)

    Mehryar Taghavi Gilani

    2015-12-01

    Full Text Available BACKGROUND: Laryngeal mask airway is still accompanied by complications such as sore throat. In this study, effects of three methods of reducing postoperative sore throat were compared with the control group. METHODS: 240 patients with ASA I, II candidates for cataract surgery were randomly divided into four same groups. No supplementary method was used in the control group. In the second, third and fourth groups, lidocaine gel, washing cuff before insertion, and washing mouth before removing laryngeal mask airway were applied, respectively. Anesthesia induction was done with fentanyl, atracurium, and propofol and maintained with propofol infusion. The incidence of sore throat was evaluated during the recovery, 3-4 h later and after 24 h using verbal analog scale. The data were analyzed by t-test, analysis of variance and chi-square using SPSS V11.5. RESULTS: Age, gender, duration of surgery and cuff pressure were the same in all the four groups. Incidence of sore throat at recovery room was highest in the control group (43.3% and lowest in the washing mouth group (25%. However, no significant statistical difference was observed between these four groups (recovery, p = 0.30; discharge, p = 0.31; examination, p = 0.52. In this study, increased duration of operation had a significant relationship with the incidence of sore throat (p = 0.041. CONCLUSION: Sore throat is a common postoperative problem, but no special method has been found completely efficient yet. In this study, cuff washing, lidocaine gel, and mouth washing before removing laryngeal mask airway were not helpful for sore throat.

  9. [Reducing sore throat following laryngeal mask airway insertion: comparing lidocaine gel, saline, and washing mouth with the control group].

    Science.gov (United States)

    Taghavi Gilani, Mehryar; Miri Soleimani, Iman; Razavi, Majid; Salehi, Maryam

    2015-01-01

    Laryngeal mask airway is still accompanied by complications such as sore throat. In this study, effects of three methods of reducing postoperative sore throat were compared with the control group. 240 patients with ASA I, II candidates for cataract surgery were randomly divided into four same groups. No supplementary method was used in the control group. In the second, third and fourth groups, lidocaine gel, washing cuff before insertion, and washing mouth before removing laryngeal mask airway were applied, respectively. Anesthesia induction was done with fentanyl, atracurium, and propofol and maintained with propofol infusion. The incidence of sore throat was evaluated during the recovery, 3-4h later and after 24h using verbal analog scale. The data were analyzed by t-test, analysis of variance and chi-square using SPSS V11.5. Age, gender, duration of surgery and cuff pressure were the same in all the four groups. Incidence of sore throat at recovery room was highest in the control group (43.3%) and lowest in the washing mouth group (25%). However, no significant statistical difference was observed between these four groups (recovery, p=0.30; discharge, p=0.31; examination, p=0.52). In this study, increased duration of operation had a significant relationship with the incidence of sore throat (p=0.041). Sore throat is a common postoperative problem, but no special method has been found completely efficient yet. In this study, cuff washing, lidocaine gel, and mouth washing before removing laryngeal mask airway were not helpful for sore throat. Copyright © 2013 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.

  10. Reducing sore throat following laryngeal mask airway insertion: comparing lidocaine gel, saline, and washing mouth with the control group.

    Science.gov (United States)

    Taghavi Gilani, Mehryar; Miri Soleimani, Iman; Razavi, Majid; Salehi, Maryam

    2015-01-01

    Laryngeal mask airway is still accompanied by complications such as sore throat. In this study, effects of three methods of reducing postoperative sore throat were compared with the control group. 240 patients with ASA I, II candidates for cataract surgery were randomly divided into four same groups. No supplementary method was used in the control group. In the second, third and fourth groups, lidocaine gel, washing cuff before insertion, and washing mouth before removing laryngeal mask airway were applied, respectively. Anesthesia induction was done with fentanyl, atracurium, and propofol and maintained with propofol infusion. The incidence of sore throat was evaluated during the recovery, 3-4h later and after 24h using verbal analog scale. The data were analyzed by t-test, analysis of variance and chi-square using SPSS V11.5. Age, gender, duration of surgery and cuff pressure were the same in all the four groups. Incidence of sore throat at recovery room was highest in the control group (43.3%) and lowest in the washing mouth group (25%). However, no significant statistical difference was observed between these four groups (recovery, p=0.30; discharge, p=0.31; examination, p=0.52). In this study, increased duration of operation had a significant relationship with the incidence of sore throat (p=0.041). Sore throat is a common postoperative problem, but no special method has been found completely efficient yet. In this study, cuff washing, lidocaine gel, and mouth washing before removing laryngeal mask airway were not helpful for sore throat. Copyright © 2013 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

  11. METHOD OF PROCESSING MONAZITE SAND

    Science.gov (United States)

    Welt, M.A.; Smutz, M.

    1958-08-26

    A process is described for recovering thorium, uranium, and rare earth values from monazite sand. The monazite sand is first digested with sulfuric acid and the resulting "monazite sulfate" solution is adjusted to a pH of between 0.4 and 3.0, and oxalate anions are added causing precipitation of the thorium and the rare earths as the oxalates. The oxalate precipitate is separated from the uranium containing supernatant solution, and is dried and calcined to the oxides. The thorium and rare earth oxides are then dissolved in nitric acid and the solution is contacted with tribntyl phosphate whereby an organic extract phase containing the cerium and thorium values is obtained, together with an aqueous raffinate containing the other rare earth values. The organic phase is then separated from the aqueous raffinate and the cerium and thorium are back extracted with an aqueous medium.

  12. Season-long increases in perceived muscle soreness in professional rugby league players: role of player position, match characteristics and playing surface.

    Science.gov (United States)

    Fletcher, Ben D; Twist, Craig; Haigh, Julian D; Brewer, Clive; Morton, James P; Close, Graeme L

    2016-01-01

    Rugby League (RL) is a high-impact collision sport characterised by repeated sprints and numerous high-speed impacts and consequently players often report immediate and prolonged muscle soreness in the days after a match. We examined muscle soreness after matches during a full season to understand the extent to which match characteristics influence soreness. Thirty-one elite Super League players provided daily measures of muscle soreness after each of the 26 competitive fixtures of the 2012 season. Playing position, phase of the season, playing surface and match characteristics were recorded from each match. Muscle soreness peaked at day 1 and was still apparent at day 4 post-game with no attenuation in the magnitude of muscle soreness over the course of the season. Neither playing position, phase of season or playing surface had any effects on the extent of muscle soreness. Playing time and total number of collisions were significantly correlated with higher ratings of muscle soreness, especially in the forwards. These data indicate the absence "contact adaptations" in elite rugby players with soreness present throughout the entire season. Strategies must now be implemented to deal with the physical and psychological consequences of prolonged feeling of pain.

  13. Characterization of sand lenses embedded in tills

    DEFF Research Database (Denmark)

    Kessler, Timo Christian; Klint, K.E.S.; Nilsson, B.

    2012-01-01

    of the various types of sand lenses is discussed, primarily in relation to the depositional and glaciotectonic processes they underwent. Detailed characterization of sand lenses facilitates such interpretations. Finally, the observations are linked to a more general overview of the distribution of sand lenses......Tills dominate large parts of the superficial sediments on the Northern hemisphere. These glacial diamictons are extremely heterogeneous and riddled with fractures and lenses of sand or gravel. The frequency and geometry of sand lenses within tills are strongly linked to glaciodynamic processes...... occurring in various glacial environments. This study specifically focuses on the appearance and spatial distribution of sand lenses in tills. It introduces a methodology on how to measure and characterize sand lenses in the field with regard to size, shape and degree of deformation. A set of geometric...

  14. A compact topology for sand automata

    CERN Document Server

    Dennunzio, Alberto; Masson, Benoît

    2008-01-01

    In this paper, we exhibit a strong relation between the sand automata configuration space and the cellular automata configuration space. This relation induces a compact topology for sand automata, and a new context in which sand automata are homeomorphic to cellular automata acting on a specific subshift. We show that the existing topological results for sand automata, including the Hedlund-like representation theorem, still hold. In this context, we give a characterization of the cellular automata which are sand automata, and study some dynamical behaviors such as equicontinuity. Furthermore, we deal with the nilpotency. We show that the classical definition is not meaningful for sand automata. Then, we introduce a suitable new notion of nilpotency for sand automata. Finally, we prove that this simple dynamical behavior is undecidable.

  15. Rheological Characterization of Green Sand Flow

    DEFF Research Database (Denmark)

    Jabbaribehnam, Mirmasoud; Spangenberg, Jon; Hovad, Emil

    2016-01-01

    The main aim of this paper is to characterize experimentally the flow behaviour of the green sand that is used for casting of sand moulds. After the sand casting process is performed, the sand moulds are used for metal castings. The rheological properties of the green sand is important to quantify...... module for characterizing granular materials. The new module enables viscosity measurements of the green sand as function of the shear rate at different flow rates, i.e. 0, 2, 4, 6, 8, 10, 12 and 15 L/min. The results show generally that the viscosity decreases with both the shear- and flow rate....... In addition, the measurements show that the green sand flow follows a shear-thinning behaviour even after the full fluidization point....

  16. Silo model tests with sand

    DEFF Research Database (Denmark)

    Munch-Andersen, Jørgen

    Tests have been carried out in a large silo model with Leighton Buzzard Sand. Normal pressures and shear stresses have been measured during tests carried out with inlet and outlet geometry. The filling method is a very important parameter for the strength of the mass and thereby the pressures...... as well as the flow pattern during discharge of the silo. During discharge a mixed flow pattern has been identified...

  17. Formation of Craters in Sand

    Directory of Open Access Journals (Sweden)

    Vanissra Boonyaleepun

    2007-06-01

    Full Text Available The diameter of craters formed by spheres of varying mass dropped into sand at low speed was studied. The relationship between the diameter of the crater formed and the kinetic energy of the projectile at impact was found to be of the same general form as that for planetary meteor craters. The relationship is shown to be a power law with exponent 0.17.

  18. Formation of Craters in Sand

    Directory of Open Access Journals (Sweden)

    Vanissra Boonyaleepun

    2007-06-01

    Full Text Available The diameter of craters formed by spheres of varying mass dropped into sand at low speed was studied. The relationship between the diameter of the crater formed and the kinetic energy of the projectile at impact was found to be of the same general form as that for planetary meteor craters. The relationship is shown to be a power law with exponent 0.17

  19. Thermal Properties of oil sand

    Science.gov (United States)

    LEE, Y.; Lee, H.; Kwon, Y.; Kim, J.

    2013-12-01

    Thermal recovery methods such as Cyclic Steam Injection or Steam Assisted Gravity Drainage (SAGD) are the effective methods for producing heavy oil or bitumen. In any thermal recovery methods, thermal properties (e.g., thermal conductivity, thermal diffusivity, and volumetric heat capacity) are closely related to the formation and expansion of steam chamber within a reservoir, which is key factors to control efficiency of thermal recovery. However, thermal properties of heavy oil or bitumen have not been well-studied despite their importance in thermal recovery methods. We measured thermal conductivity, thermal diffusivity, and volumetric heat capacity of 43 oil sand samples from Athabasca, Canada, using a transient thermal property measurement instrument. Thermal conductivity of 43 oil sand samples varies from 0.74 W/mK to 1.57 W/mK with the mean thermal conductivity of 1.09 W/mK. The mean thermal diffusivity is 5.7×10-7 m2/s with the minimum value of 4.2×10-7 m2/s and the maximum value of 8.0×10-7 m2/s. Volumetric heat capacity varies from 1.5×106 J/m3K to 2.11×106 J/m3K with the mean volumetric heat capacity of 1.91×106 J/m3K. In addition, physical and chemical properties (e.g., bitumen content, electric resistivity, porosity, gamma ray and so on) of oil sand samples have been measured by geophysical logging and in the laboratory. We are now proceeding to investigate the relationship between thermal properties and physical/chemical properties of oil sand.

  20. Evaluation of Durability Parameters of Concrete with Manufacture Sand and River Sand

    Science.gov (United States)

    Sangoju, Bhaskar; Ramesh, G.; Bharatkumar, B. H.; Ramanjaneyulu, K.

    2017-06-01

    Most of the states in our country have banned sand quarrying from the river beds, causing a scarcity of natural river sand for the construction sector. Manufacture sand (M-sand) is one of the alternate solutions to replace the river sand (R-sand) in concrete. The main aim of the present study is to evaluate the durability parameters of concrete with M-sand when compared to that of concrete with R-sand. Corrosion of reinforcement is one of the main deteriorating mechanisms of reinforced concrete due to the ingress of chloride ions or carbon-di-oxide. For comparative evaluation of durability parameters, accelerated tests such as Rapid Chloride Permeability Test, Rapid Chloride Migration Test and accelerated carbonation test were carried out on specimens of R-sand and M-sand. All tests were carried out after 90 days of casting. Test results reveal that the durability parameters of the concrete with M-sand in chloride induced environment is relatively better than that of concrete with R-sand and hence is recommended to use M-sand as a replacement to R-sand.

  1. Sand deposit-detecting method and its application in model test of sand flow

    Institute of Scientific and Technical Information of China (English)

    黎伟; 房营光; 莫海鸿; 谷任国; 陈俊生

    2013-01-01

    Against the background of the sand-flow foundation treatment engineering of Guangzhou Zhoutouzui variable cross-section immersed tunnel, a kind of sand deposit-detecting method was devised on the basis of full-scale model test of sand-flow method. The real-time data of sand-deposit height and radius were obtained by the self-developed sand-deposit detectors. The test results show that the detecting method is simple and has high precision. In the use of sand-flow method, the sand-carrying capability of fluid is limited, and sand particles are all transported to the sand-deposit periphery through crater, gap and chutes after the sand deposit formed. The diffusion range of the particles outside the sand-deposit does not exceed 2.0 m. Severe sorting of sand particles is not observed because of the unique oblique-layered depositing process. The temporal and spatial distributions of gap and chutes directly affect the sand-deposit expansion, and the expansion trend of the average sand-deposit radius accords with quadratic time-history curve.

  2. EFFECT OF CAFFEINE ON THE AMOUNT OF PERCEIVED PAIN, JOINT RANGE OF MOTION AND EDEMA AFTER DELAYED MUSCLE SORENESS

    Directory of Open Access Journals (Sweden)

    Sara Karabalaeifar

    2013-01-01

    Full Text Available Delayed onset muscle soreness usually occurs after doing a new unusual physical activity, especially when, associated with repeated eccentric contractions and then it gradually disappears. There is not an extensive agreement in the case of treatment method of soreness signs quick reduction. This research was carried out with the aim of investigation caffeine consumption effect to find a good way in order to reduce the signs of delayed onset muscle soreness. In this semi-experimental with Double-blind design, 16 female volleyball player with an age average of 22.5+2.5 in 2 homogeneous 8 subject control and experimental group were studied. In this research, the effect of caffeine existing in coffee in 5 stages (24h before exercise, 12h before, immediately before exercise, after exercise and 12h after it and 1mg per 1kg of body weight on amount of perceived pain and range of motion of the joint and edema due to delay onset muscle soreness because of 50 jumps and lands of a 1 meter stage was investigated. The results showed that caffeine consumption has a meaningful effect on reduction of all the expressed signs after eccentric contractions. So it is recommended that physio thrapysts, doctors and athletes use this method to reduce delayed onset muscle soreness consequences after the injury.

  3. Design and research on reliability-validity for 3S intraoperative risk assessment scale of pressure sore.

    Science.gov (United States)

    Gao, Xing-lian; Hu, Juan-juan; Ma, Qiong; Wu, He-yu; Wang, Zeng-yan; Li, Ting-ting; Shen, Jian-hui; Yang, Ying

    2015-04-01

    The reliability and validity of risk assessment scale (RAS) of pressure sore during 3S surgery were investigated. RAS of pressure sore was designed independently during 3S surgery. Five operating room nursing experts were selected to consult and detect face validity. Convenient and purposive sampling of 707 samples was conducted. Cronbach's alpha was used to measure content reliability and evaluate the internal consistence of RAS. The structural reliability was investigated by exploratory factor analysis method. The results showed that the content validity index was 0.92, and Cronbach's alpha of content reliability was 0.71. Structural validity, detected by Bartlett sphericity test, was 135.3 for 707 samples with the difference being statistically significant (Pvalidity and reliability, and it could be used for evaluating and screening the high risk patients with pressure sores during surgery in order to efficiently reduce the occurrence of pressure sore during surgery. RAS of pressure sore for 3S surgery is worth to be popularized.

  4. At-Home Application of Autologous Platelet Rich Plasma as Treatment for Pressure Sore and Related Anemia.

    Science.gov (United States)

    Tendas, Andrea; Niscola, Pasquale; Giovannini, Marco; Costa, Adriana; Venditti, Daniela; Volta, Laura; Malandruccolo, Luigi; Sabbadini, Stefania; Lasorella, Rosa; Fabritiis, Paolo de; Cassetta, Rita; Perrotti, Alessio P

    2017-01-01

    Pressure sores are a major complication in the bed-ridden older patient. In this report, we present the case of platelet rich plasma (PRP) application for the treatment of a pressure sore in an 88-year-old female affected by transfusion-dependent chronic inflammatory disease anemia associated with the congenital and inherited condition of thalassemic trait carrier. A weekly application schedule was planned athome, given the patient's debilitation and her decreased performance status as well as personal and family difficulties to go as outpatients at our treatment center. After 9 PRP applications, a remarkable sore improvement was achieved so that PRP was discontinued; nevertheless, sore rapidly improved until the full resolution and the complete closing after 4 months from the start of PRP treatment. Noteworthy, transfusion support was interrupted and a significant recovery and a sustained stabilization of hemoglobin (Hb) level at 1 year after ulcer healing were observed. The present case suggests that PRP application, performed athome in our case, is a feasible and effective treatment for pressure sores and related complications. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  5. Supplementation with a polyphenolic blend improves post-exercise strength recovery and muscle soreness

    Directory of Open Access Journals (Sweden)

    Kelli A. Herrlinger

    2015-12-01

    Full Text Available Background: Exercise can initiate a cascade of inflammatory and oxidative stress–related events leading to delayed onset muscle soreness. Polyphenols possess antioxidant and anti-inflammatory properties. Objective: The current study examined the effects of a proprietary polyphenolic blend (PB, containing catechins and theaflavins, on exercise performance and recovery following an eccentric exercise challenge. Design: Male participants (18–35 years of age received placebo or PB at a low dose (PB-L, 1,000 mg/d or high dose (PB-H, 2,000 mg/d for 13 weeks. During the 13th week of supplementation, participants completed an eccentric exercise (40 min downhill treadmill run followed by a strength assessment (peak torque on isokinetic leg extensions pre-exercise, and 24, 48, and 96 h post-exercise. Muscle soreness (subjective questionnaire, markers of muscle stress (cortisol and creatine phosphokinase [CK], and antioxidant capacity (ferric reducing ability of plasma [FRAP] were also assessed. Results: PB-H attenuated the decrease in peak torque observed in the placebo group from pre-exercise to 48 h (p=0.012 and 96 h (p=0.003 post-exercise. At 48 h post-exercise, PB-H reduced whole body and hamstring soreness (p=0.029 versus placebo. Chronic consumption of PB improved serum FRAP (p=0.039. As expected, serum cortisol and CK increased from pre- to post-exercise in all groups; however, by 96 h, cortisol and CK levels returned to pre-exercise levels following PB supplementation. At 96 h, the change in cortisol from pre- to post-exercise was significantly greater in placebo versus PB-H (p=0.039. Conclusion: These findings show that chronic consumption of PB improved antioxidant status, reduced markers of muscle stress, and promoted strength recovery post-exercise.

  6. Maximal force, voluntary activation and muscle soreness after eccentric damage to human elbow flexor muscles

    Science.gov (United States)

    Prasartwuth, O; Taylor, JL; Gandevia, SC

    2005-01-01

    Muscle damage reduces voluntary force after eccentric exercise but impaired neural drive to the muscle may also contribute. To determine whether the delayed-onset muscle soreness, which develops ∼1 day after exercise, reduces voluntary activation and to identify the possible site for any reduction, voluntary activation of elbow flexor muscles was examined with both motor cortex and motor nerve stimulation. We measured maximal voluntary isometric torque (MVC), twitch torque, muscle soreness and voluntary activation in eight subjects before, immediately after, 2 h after, 1, 2, 4 and 8 days after eccentric exercise. Motor nerve stimulation and motor cortex stimulation were used to derive twitch torques and measures of voluntary activation. Eccentric exercise immediately reduced the MVC by 38 ± 3% (mean ±s.d., n = 8). The resting twitch produced by motor nerve stimulation fell by 82 ± 6%, and the estimated resting twitch by cortical stimulation fell by 47 ± 15%. While voluntary torque recovered after 8 days, both measures of the resting twitch remained depressed. Muscle tenderness occurred 1–2 days after exercise, and pain during contractions on days 1–4, but changes in voluntary activation did not follow this time course. Voluntary activation assessed with nerve stimulation fell 19 ± 6% immediately after exercise but was not different from control values after 2 days. Voluntary activation assessed by motor cortex stimulation was unchanged by eccentric exercise. During MVCs, absolute increments in torque evoked by nerve and cortical stimulation behaved differently. Those to cortical stimulation decreased whereas those to nerve stimulation tended to increase. These findings suggest that reduced voluntary activation contributes to the early force loss after eccentric exercise, but that it is not due to muscle soreness. The impairment of voluntary activation to nerve stimulation but not motor cortical stimulation suggests that the activation deficit lies in the

  7. Computer-based testing of the Braden Scale for Predicting Pressure Sore Risk.

    Science.gov (United States)

    Maklebust, JoAnn; Sieggreen, Mary Y; Sidor, Deborah; Gerlach, Mary A; Bauer, Carole; Anderson, Carol

    2005-04-01

    The Detroit Medical Center nursing documentation system requires all staff nurses to complete the Braden Scale for Predicting Pressure Sore Risk on an Acute Care Flow Record or Critical Care Flow Sheet on every patient, every day. An audit of these records raised concern as to whether staff nurses accurately used the Braden Scale to calculate pressure sore risk. Advanced Practice and ET Nurses noted that staff nurses were rating patients at lower levels of pressure sore risk than was warranted by the patient condition. In response, a computer-based learning module with case study examples was developed and tested to teach nursing staff to accurately evaluate pressure ulcer risk by using the Braden Scale and its subscales and to identify preventive interventions based on the patient's Braden subscale scores. Following revisions of those case study example narratives that were found to be problematic, the learning/assessment module was instituted in 2002. More than 2,500 nurses at the facility were tested regarding their knowledge of pressure ulcer risk assessment and prevention using this program. On average, nurses correctly rated the Braden Scale level of risk 75.6% of the time. The percentage of correct responses was highest for very high (92%) and very low (78%) levels of risk. This finding is consistent with the observation that most nosocomial pressure ulcers in this facility occur in patients who are rated in the "mild risk" level on the Braden scale. Subscales with the lowest percentage of correct answers were moisture and sensory perception. Correct clinical identification of a Stage I pressure ulcer as it was described in writing occurred only 53% of the time. These results indicate that training and practice are needed to use an assessment scale accurately. The Detroit Medical Center plans to include the Braden Scale in annual nursing education and competency testing.

  8. The Effect of Early Complications on Flap Selection on Sacral Pressure Sores

    Directory of Open Access Journals (Sweden)

    Musa Kemal Keleş

    2017-06-01

    Full Text Available Objective: Pressure sores occur in bedridden patients in intensive care units, clinics, and even at their own places. Care for sick relatives and working with doctors to address treatment options and ensure proper follow-up are some of the problems associated with these types of wounds. Surgical therapy in the treatment of pressure ulcers is associated with significant complications. In comparison to non-surgical treatment, surgical treatment has a low complication rate and is more cost-effective. The surgical treatment enables the patients to return to their social life sooner than non-surgical treatment. Patient's ability to early return to their social life is advantageous in terms of reducing morbidity and the need for additional operations. This study is aimed to review the flap choices used to treat sacral pressure sores and the resulting acute complications rates retrospectively. Material and Methods: Patients treated for stage 3 and stage 4 sacral pressure sores in our clinic in the past 5 years were included in the study. Patient records were analyzed retrospectively. Patients' demographic data and surgical treatment they received were documented. Surgical method and surgical outcomes were evaluated and early complication rates were determined. Result: Fifty patients were included in the study; 10 of them were female, 40 of were male cases. The most common causative agent was paraplegia after traffic accident. Conclusion: A significant difference was not observed between the type of flap used in the surgical treatment and the rate of complications. Consequently, the surgical treatment of pressure ulcers in the sacral region depends on the patient's individual situation, the cooperation of the family, and previously applied treatments

  9. Massage Alleviates Delayed Onset Muscle Soreness after Strenuous Exercise: A Systematic Review and Meta-Analysis

    Directory of Open Access Journals (Sweden)

    Jianmin Guo

    2017-09-01

    Full Text Available Purpose: The purpose of this systematic review and meta-analysis was to evaluate the effects of massage on alleviating delayed onset of muscle soreness (DOMS and muscle performance after strenuous exercise.Method: Seven databases consisting of PubMed, Embase, EBSCO, Cochrane Library, Web of Science, CNKI and Wanfang were searched up to December 2016. Randomized controlled trials (RCTs were eligible and the outcomes of muscle soreness, performance (including muscle maximal isometric force (MIF and peak torque and creatine kinase (CK were used to assess the effectiveness of massage intervention on DOMS.Results: Eleven articles with a total of 23 data points (involving 504 participants satisfied the inclusion criteria and were pooled in the meta-analysis. The findings demonstrated that muscle soreness rating decreased significantly when the participants received massage intervention compared with no intervention at 24 h (SMD: –0.61, 95% CI: –1.17 to –0.05, P = 0.03, 48 h (SMD: –1.51, 95% CI: –2.24 to –0.77, P < 0.001, 72 h (SMD: –1.46, 95% CI: –2.59 to –0.33, P = 0.01 and in total (SMD: –1.16, 95% CI: –1.60 to –0.72, P < 0.001 after intense exercise. Additionally, massage therapy improved MIF (SMD: 0.56, 95% CI: 0.21–0.90, P = 0.002 and peak torque (SMD: 0.38, 95% CI: 0.04–0.71, P = 0.03 as total effects. Furthermore, the serum CK level was reduced when participants received massage intervention (SMD: –0.64, 95% CI: –1.04 to –0.25, P = 0.001.Conclusion: The current evidence suggests that massage therapy after strenuous exercise could be effective for alleviating DOMS and improving muscle performance.

  10. COMBINED MEDICATIONS OF LOCAL ACTION IN THE TREATMENT OF PAIN AND SORE THROAT SYMPTOMS

    Directory of Open Access Journals (Sweden)

    M. I. Petrovskaya

    2012-01-01

    Full Text Available For relief symptoms of pain and sore throat the prescription of combined topical preparations containing antiseptic and analgesic components is the most appropriate from the pathogenetic point of view. This article discusses the use of local therapy for the treatment of acute inflammatory diseases associated with pain, feeling a tickle in throat. The author introduces the local action drug, which has antiseptic and analgesic effects and is safe and effective in the symptomatic treatment of pharyngitis, tonsillitis and laryngitis in children older than 4 years.

  11. Nebulized ketamine decreases incidence and severity of post-operative sore throat

    OpenAIRE

    Vanita Ahuja; Sukanya Mitra; Rashi Sarna

    2015-01-01

    Background and Aims: Post-operative sore throat (POST) occurs in 21-65% of patients. Ketamine used earlier as gargle for reducing POST has limitations. The aim of this study was to see if nebulised ketamine reduces POST. Methods: We conducted a prospective, randomised, placebo-control, and double-blind controlled trial. After written informed consent, 100 patients belonging to American Society of Anaesthesiologists physical status I-II in the age group 20-60 years, of either sex undergoing su...

  12. Design and Development of Portable Support Surface and Multilayered Fabric Cover for Bed Sore Prevention

    OpenAIRE

    Kandha Vadivu, P.

    2013-01-01

    Pressure ulcers are serious and common health concern affecting about 1.5–3 million adults and is a serious health concern for elders. Pressure ulcers or bed sores seem to be one of the most challenging inflicts to the doctors and may result in significant morbidity and mortality and are associated with high cost in terms of human sufferings, cost of treatment, and possible litigation. Though modern medical science has launched a variety of treatment methods, prevention is the best way to get...

  13. Development of Marjolin's ulcer following successful surgical treatment of chronic sacral pressure sore

    DEFF Research Database (Denmark)

    Knudsen, M.A.; Biering-Sørensen, Fin

    2008-01-01

    of surgical excision and successful closure of the wound, the patient developed Marjolin's ulcer 2.5 years later. Yet it illustrates the primary importance of preventing the development pressure sores, of aggressive (surgical) therapy with healing when they do arise and of taking frequent biopsies......, which more or less persisted for 38 years, despite several attempts of surgical and conservative treatment. At this time, the ulcer was finally excised and the wound closed successfully. Two and a half years later, however, the ulcer recurred. Biopsies showed squamous cell carcinoma and computed...

  14. The Use of Thermal Infra-Red Imaging to Detect Delayed Onset Muscle Soreness

    Science.gov (United States)

    Al-Nakhli, Hani H.; Petrofsky, Jerrold S.; Laymon, Michael S.; Berk, Lee S.

    2012-01-01

    Delayed onset muscle soreness (DOMS), also known as exercise induced muscle damage (EIMD), is commonly experienced in individuals who have been physically inactive for prolonged periods of time, and begin with an unexpected bout of exercise1-4, but can also occur in athletes who exercise beyond their normal limits of training5. The symptoms associated with this painful phenomenon can range from slight muscle tenderness, to severe debilitating pain1,3,5. The intensity of these symptoms and the related discomfort increases within the first 24 hours following the termination of the exercise, and peaks between 24 to 72 hours post exercise1,3. For this reason, DOMS is one of the most common recurrent forms of sports injury that can affect an individual’s performance, and become intimidating for many1,4. For the last 3 decades, the DOMS phenomenon has gained a considerable amount of interest amongst researchers and specialists in exercise physiology, sports, and rehabilitation fields6. There has been a variety of published studies investigating this painful occurrence in regards to its underlying mechanisms, treatment interventions, and preventive strategies1-5,7-12. However, it is evident from the literature that DOMS is not an easy pathology to quantify, as there is a wide amount of variability between the measurement tools and methods used to quantify this condition6. It is obvious that no agreement has been made on one best evaluation measure for DOMS, which makes it difficult to verify whether a specific intervention really helps in decreasing the symptoms associated with this type of soreness or not. Thus, DOMS can be seen as somewhat ambiguous, because many studies depend on measuring soreness using a visual analog scale (VAS)10,13-15, which is a subjective rather than an objective measure. Even though needle biopsies of the muscle, and blood levels of myofibre proteins might be considered a gold standard to some6, large variations in some of these blood

  15. Pressure sore prevention pads as an infective source in orthopaedic theatres.

    Science.gov (United States)

    Ranawat, V S; Dowell, J K; Teare, E L

    2004-04-01

    Current theatre practice and protocol involves the use of pressure sore prevention pads in the positioning and support of all patients undergoing orthopaedic surgery. Microbiological swabs were taken from those pads placed adjacent to the operative field immediately before implant surgery. Eleven out of the 13 pads sampled yielded bacterial growth capable of causing deep-seated infection. The transfer of these pads between the designated orthopaedic theatres and the rest of the theatre complex was also noted. We recommend that the use of these pads should be closely reviewed. They should either be used with stricter guidelines for decontamination between use or disposable 'clean' alternatives sought.

  16. SAND

    DEFF Research Database (Denmark)

    Thorsen, Grete

    Der er udført et konsolideringsforsøg med bakkesand fra Lunds grusgrav, Lund no. O. forsøget er udført i samme konsolideringsapparat, som er anvendt til måling af deformationsegenskaberne af mange forskellige danske jordarter. Forsøgsresultaterne er søgt tolket som ved forsøg med andre jordarter....

  17. Assessment Criteria of Bentonite Binding Properties

    Directory of Open Access Journals (Sweden)

    S. Żymankowska-Kumon

    2012-09-01

    Full Text Available The criteria, with which one should be guided at the assessment of the binding properties of bentonites used for moulding sands, areproposed in the paper. Apart from the standard parameter which is the active bentonite content, the unrestrained growth indicator should be taken into account since it seems to be more adequate in the estimation of the sand compression strength. The investigations performed for three kinds of bentonites, applied in the Polish foundry plants, subjected to a high temperature influences indicate, that the pathway of changes of the unrestrained growth indicator is very similar to the pathway of changes of the sand compression strength. Instead, the character of changes of the montmorillonite content in the sand in dependence of the temperature is quite different. The sand exhibits the significant active bentonite content, and the sand compression strength decreases rapidly. The montmorillonite content in bentonite samples was determined by the modern copper complex method of triethylenetetraamine (Cu(II-TET. Tests were performed for bentonites and for sands with those bentonites subjected to high temperatures influences in a range: 100-700ºC.

  18. Liquefaction of Sand under Low Confining Pressure

    Institute of Scientific and Technical Information of China (English)

    YANG Shaoli; Rolf Sandven; Lars Grande

    2003-01-01

    Undrained behaviour of sand under low cell pressure was studied in static and cyclic triaxial tests. It was found that very loose sand liquefies under static loading with the relative density being a key parameter for the undrained behaviour of sand. In cyclic triaxial tests, pore water pressures built up during the cyclic loading and exceeded the confining cell pressure. This process was accompanied by a large sudden increase in axial deformation. The necessary number of cycles to obtain liquefaction was related to the confining cell pressure, the amplitude of cyclic loading and the relative density of sand.In addition, the patterns of pore water pressure response are different from those of sand samples with different relative densities. The test results are very useful for expounding scour mechanism around coastal structures since they relate to the low stress behaviour of the sand.

  19. Creep Behavior of Frozen Sand.

    Science.gov (United States)

    1981-06-01

    temperature and stress range. There was a 2strong stress dependance to S (r =0.95) for saturated Manchester Fine Sand which does not agree with RPT. The...Curves at High Stress 161 Ratio D/Du = 0.505 for Frozen HF’S at w=10% IV-20 Minimum Strain Rate Dependance on Stress 162 Ratio for Frozen MFS IV-21 Minimum...Strain Rate Dependance on Relative 163 Density for Frozen MFS IV-22 Temperature Stage Test on Frozen Saturated 164 MFS under a Load of D=9.24MPa Fig

  20. Influence of Ginger and Cinnamon Intake on Inflammation and Muscle Soreness Endued by Exercise in Iranian Female Athletes

    Science.gov (United States)

    Mashhadi, Nafiseh Shokri; Ghiasvand, Reza; Askari, Gholamreza; Feizi, Awat; Hariri, Mitra; Darvishi, Leila; Barani, Azam; Taghiyar, Maryam; Shiranian, Afshin; Hajishafiee, Maryam

    2013-01-01

    Background: Ginger rhizomes (rich in gingerols, shogaols, paradols and zingerone) have been used in Asia for the treatment of asthma, diabetes, and pain, and have shown potent anti-inflammatory attributes. Common spices such as Cinnamon (including cinnamic aldehyde and cinnamyl aldehydeis) are used in food and many studies have focused on its anti-inflammatory components. Intense exercise can result in an inflammatory response to cell damage and also muscle soreness. The efficacy of dietary ginger and cinnamon as anti-inflammatory agents and their effectiveness in reducing muscle soreness has been investigated in limited studies on humans. Therefore, we have studied the effects of dietary ginger and cinnamon on inflammation and muscle soreness in Iranian female taekwondo players. Methods: Sixty healthy, trained women, aged 13-25 years, were enrolled in the six-week investigation and randomly categorized into three groups (cinnamon, ginger or placebo) and received 3 g of ginger, cinnamon or placebo powder each day, depending on the group they belonged to. The IL-6 level and Likert Scale of Muscle Soreness were evaluated at the beginning and the end of the study and compared among the groups. Results: Forty-nine of the participants completed the six-week intervention. There were no significant changes in the IL-6 cinnamon and ginger group when compared with the placebo group, whereas, there was a significant fall in muscle soreness in the cinnamon group and placebo (P < 0.1) and ginger group and placebo (P < 0.01). Conclusions: Administration of ginger and cinnamon in athlete women for six weeks did not show any significant change in the IL-6 level, but showed a decrease in muscle soreness in the cinnamon and ginger groups. PMID:23717759

  1. Postneedling soreness after deep dry needling of a latent myofascial trigger point in the upper trapezius muscle: Characteristics, sex differences and associated factors.

    Science.gov (United States)

    Martín-Pintado-Zugasti, Aitor; Rodríguez-Fernández, Ángel Luis; Fernandez-Carnero, Josue

    2016-04-27

    Postneedling soreness is considered the most frequent secondary effect associated to dry needling. A detailed description of postneedling soreness characteristics has not been previously reported. (1) to assess the intensity and duration of postneedling soreness and tenderness after deep dry needling of a trapezius latent myofascial trigger point (MTrP), (2) to evaluate the possible differences in postneedling soreness between sexes and (3) to analyze the influence on postneedling soreness of factors involved in the dry needling process. Sixty healthy subjects (30 men, 30 women) with latent MTrPs in the upper trapezius muscle received a dry needling intervention in the MTrP. Pain and pressure pain threshold (PPT) were assessed during a 72 hours follow-up period. Repeated measures analysis of covariance showed a significant effect for time in pain and in PPT. An interaction between sex and time in pain was obtained: women exhibited higher intensity in postneedling pain than men. The pain during needling and the number of needle insertions significantly correlated with postneedling soreness. Soreness and hyperalgesia are present in all subjects after dry needling of a latent MTrP in the upper trapezius muscle. Women exhibited higher intensity of postneedling soreness than men.

  2. PROSPECTS FIXATION DRIFT SANDS PHYSICOCHEMICAL METHOD

    Directory of Open Access Journals (Sweden)

    Maujuda MUZAFFAROVA

    2016-09-01

    Full Text Available This article is based on the theoretical foundations of secure mobile sand being considered for reducing the negative impact of one of the manifestations of exogenous plains on such an important natural-technical system as a railroad. It suggests practical measures to build a system of design protection against sand drifts. The article also suggests ways to conserve resources and rational use of machinery and performers as well as the consolidation of mobile sand wet with water soluble waste of local production of waste dextrin. Consolidation is exposed on dry and wet sand.

  3. Innovative developments in sand reclamation technologies

    Directory of Open Access Journals (Sweden)

    R. Dañko

    2011-04-01

    Full Text Available Proper sand management and efficient sand reclamation system are two main factors influencing economical and ecological side of modern foundry plant. It is well known fact that the production of 1 metric ton of casting from ferrous alloys generates circa 1 metric ton of waste [1], which due to containing certain amounts of harmful and dangerous compounds should undergo a reclamation – at least of the main component, which means a silica sand grains. The paper present problems of scientific and development research concerning the innovative reclamation technologies of used foundry sands such as: mechanical-cryogenic reclamation and innovative thermal reclamation.

  4. Unconventional methods of reclamation of used moulding sands

    Directory of Open Access Journals (Sweden)

    R. Dańko

    2010-07-01

    Full Text Available Analysis of the literature provides information on a constant search for new ways of regenerating of moulding sand deprived disadvantagesof existing solutions, especially in the case of low efficiency of regeneration of a mixture of used masses of certain technologies, and high energy intensity of the high temperature heat recovery. In the advanced stage of the research are both attempts to apply a very hightemperature (about 22000C for short-term impact on the surface of regenerated moulding sand, as well as support of thermal regenerationof oxygen addition in order to increase the temperature and direct combustion of organic components. At the second end of the scale areattempts to apply the extremely low temperatures to changes in physical properties of used binding material to reduce the work of crushing and recycling of other waste (eg. bentonite.The article presents the results of author’s own investigation of the regeneration process of mechanical and thermal carried out with thenew, unconventional treatments which improve the reclaimability of used moulding sands.

  5. Cementation of Loose Sand Particles based on Bio-cement

    Institute of Scientific and Technical Information of China (English)

    RONG Hui; QIAN Chunxiang

    2014-01-01

    Loose sand particles could be cemented to sandstone by bio-cement (microbial induced magnesium carbonate). The bio-sandstone was firstly prepared, and then the compressive strength and the porosity of the sandstone cemented by microbial induced magnesium carbonate were tested to characterize the cementation effectiveness. In addition, the formed mineral composition and the microstructure of bio-sandstone were analyzed by X-ray diffraction (XRD) and scanning electron microscopy (SEM), respectively. The experimental results show that the feasibility of binding loose sand particles using microbial induced magnesium carbonate precipitation is available and the acquired compressive strength of bio-sandstone can be excellent at certain ages. Moreover, the compressive strength and the porosity could be improved with the increase of microbial induced magnesium carbonate content. XRD results indicate that the morphology of magnesium carbonate induced by microbe appears as needles and SEM results show that the cementation of loose sand particles to sandstone mainly relies on the microbial induced formation of magnesium carbonate precipitation around individual particles and at particle-particle contacts.

  6. Efficacy of a benzocaine lozenge in the treatment of uncomplicated sore throat.

    Science.gov (United States)

    Chrubasik, Sigrun; Beime, Beate; Magora, Florella

    2012-02-01

    Benzocaine lozenges are popular in symptomatic treatment of acute sore throat. The aim of this study was to evaluate if sucking a benzocaine lozenge was superior to a placebo lozenge in patients with pain while swallowing. Volunteers with acute, uncomplicated sore throat received randomly and double-blind either a benzocaine 8 mg or a placebo lozenge. Pain was assessed on a numerical visual rating scale. The primary outcome measure was the sum of the pain intensity differences (SPID) over 2 h. Secondary outcome measures included the number of patients who reported 50% or more of their baseline pain score (responders) and those with worthwhile and complete pain relief, the times to worthwhile/complete pain relief and to pain recurrence and the occurrence of any adverse effects. A predefined interim analysis after including 50 patients revealed the superiority of benzocaine versus placebo in the SPID (p = 0.0086). At this time, a total of 165 patients had been recruited (full analysis set, FAS) and underwent statistical analysis. In the FAS, median SPID had significantly more decreased in patients receiving benzocaine compared to placebo (-12 vs. - 5, p = 0.001). There were significantly more responders and patients with worthwhile pain relief in group benzocaine. The number of patients with complete pain relief was very small. Median time to worthwhile pain relief was 20 min (benzocaine) and >45 min (placebo). Adverse events were not observed. Benzocaine lozenges are superior to placebo lozenges and a useful, well-tolerated treatment option to reduce painful pharyngeal discomfort.

  7. Dual-dermal-barrier fashion flaps for the treatment of sacral pressure sores.

    Science.gov (United States)

    Hsiao, Yen-Chang; Chuang, Shiow-Shuh

    2015-02-01

    The sacral region is one of the most vulnerable sites for the development of pressure sores. Even when surgical reconstruction is performed, there is a high chance of recurrence. Therefore, the concept of dual-dermal-barrier fashion flaps for sacral pressure sore reconstruction was proposed. From September 2007 to June 2010, nine patients with grade IV sacral pressures were enrolled. Four patients received bilateral myocutaneous V-Y flaps, four patients received bilateral fasciocutaneous V-Y flaps, and one patient received bilateral rotation-advanced flaps for sacral pressure reconstruction. The flaps were designed based on the perforators of the superior gluteal artery in one patient's reconstructive procedure. All flaps' designs were based on dual-dermal-barrier fashion. The mean follow-up time was 16 months (range = 12-25). No recurrence was noted. Only one patient had a complication of mild dehiscence at the middle suture line, occurring 2 weeks after the reconstructive surgery. The dual-dermal fashion flaps are easily duplicated and versatile. The study has shown minimal morbidity and a reasonable outcome.

  8. Quantifying delayed-onset muscle soreness: a comparison of unidimensional and multidimensional instrumentation.

    Science.gov (United States)

    Cleather, Daniel J; Guthrie, Sharon R

    2007-06-01

    Unidimensional pain instrumentation, whereby participants simply rate the intensity of their pain on one evaluative level, has been the most common method of assessing delayed-onset muscle soreness (DOMS). However, pain has been shown to be a multidimensional phenomenon including sensory, affective, and evaluative aspects. The aims of this study were two-fold: (1) to compare the DOMS pain responses derived from a multidimensional instrument (i.e. the McGill Pain Questionnaire--MPQ) with those using a unidimensional measure (i.e. a visual analogue scale), and (2) to identify the MPQ descriptors most commonly used to characterize DOMS among a sample of 14 male (mean age = 24.7 years, s = 4.4) and 9 female participants (mean age = 24.6 years, s = 3.5). Although the results demonstrated no significant differences between the pain ratings of the two instruments (mean values of the pain rating indices had a Spearman rank correlation coefficient of r = 1.00), suggesting no significant advantage to be gained in using the MPQ, a clearer description of DOMS emerged. The most frequently selected DOMS descriptors were "tight" (95% of participants chose this descriptor at least once), "sore" (86%), "tender" (86%), "annoying" (86%), and "pulling" (68%). These findings may be of use to researchers and sports medicine professionals in their deliberations about which instrumentation to use in quantifying DOMS and in distinguishing such pain from other, potentially more serious, musculoskeletal damage.

  9. Fish oil supplementation reduces markers of oxidative stress but not muscle soreness after eccentric exercise.

    Science.gov (United States)

    Gray, Patrick; Chappell, Andrew; Jenkinson, Alison McE; Thies, Frank; Gray, Stuart R

    2014-04-01

    Due to the potential anti-inflammatory properties of fish-derived long chain n-3 fatty acids, it has been suggested that athletes should regularly consume fish oils-although evidence in support of this recommendation is not clear. While fish oils can positively modulate immune function, it remains possible that, due to their high number of double bonds, there may be concurrent increases in lipid peroxidation. The current study aims to investigate the effect of fish oil supplementation on exercise-induced markers of oxidative stress and muscle damage. Twenty males underwent a 6-week double-blind randomized placebo-controlled supplementation trial involving two groups (fish oil or placebo). After supplementation, participants undertook 200 repetitions of eccentric knee contractions. Blood samples were taken presupplementation, postsupplementation, immediately, 24, 48, and 72 hr postexercise and muscle soreness/maximal voluntary contraction (MVC) assessed. There were no differences in creatine kinase, protein carbonyls, endogenous DNA damage, muscle soreness or MVC between groups. Plasma thiobarbituric acid reactive substances (TBARS) were lower (p < .05) at 48 and 72 hr post exercise and H2O2 stimulated DNA damage was lower (p < .05) immediately postexercise in the fish oil, compared with the control group. The current study demonstrates that fish oil supplementation reduces selected markers of oxidative stress after a single bout of eccentric exercise.

  10. Muscle soreness, swelling, stiffness and strength loss after intense eccentric exercise.

    Science.gov (United States)

    Cleak, M J; Eston, R G

    1992-01-01

    High-intensity eccentric contractions induce performance decrements and delayed onset muscle soreness. The purpose of this investigation was to study the magnitude and time course of such decrements and their interrelationships in 26 young women of mean(s.d.) age 21.4(3.3) years. Subjects performed 70 maximal eccentric contractions of the elbow flexors on a pulley system, specially designed for the study. The non-exercised arm acted as the control. Measures of soreness, tenderness, swelling (SW), relaxed elbow joint angle (RANG) and isometric strength (STR) were taken before exercise, immediately after exercise (AE), analysis of variance and at 24-h intervals for 11 days. There were significant (P < 0.01, analysis of variance) changes in all factors. Peak effects were observed between 24 and 96 h AE. With the exception of STR, which remained lower (P < 0.01), all variables returned to baseline levels by day 11. A non-significant correlation between pain and STR indicated that pain was not a major factor in strength loss. Also, although no pain was evident, RANG was decreased immediately AE. There was no relationship between SW, RANG and pain. The prolonged nature of these symptoms indicates that repair to damaged soft tissue is a slow process. Strength loss is considered particularly important as it continues when protective pain and tenderness have disappeared. This has implications for the therapeutic management of patients with myopathologies and those receiving eccentric exercise for rehabilitation. PMID:1490222

  11. Effects of Inter-electrode Distance on Delayed Onset Muscle Soreness in Microcurrent Therapy.

    Science.gov (United States)

    Lee, Jeong-Woo; Kang, Ji-Sun; Park, Soo-Ji; Yoon, Se-Won; Jeong, Seong-Kwan; Heo, Myoung

    2013-11-01

    [Purpose] This study examined the effect of the distance between the two electrodes on delayed onset muscle soreness during microcurrent therapy. [Methods] In this study 24 healthy women who hadn't exercised regularly for six months were selected and randomly divided into two groups. Delayed onset muscle soreness (DOMS) was induced and experimental Group 1 were given microcurrent treatment with the electrodes attached at a close distance evaluated. Experimental Group 2 received the same treatment with the electrodes attached at a greater distance apart. Visual analogue scale pain and the RIII reflex were evaluated after inducing DOMS and after one day, two days, three days and four days of microcurrent treatment. [Results] The visual analogue scale and amplitude of RIII amplitude only showed significant differences with the length of time of the treatment. [Conclusion] This study found that difference of interelectrode distance has no influence on VAS pain and the RIII reflex of DOMS. Although there were no significant differences in RIII amplitude, we suspect that it may be influenced by current parameters such as frequency and intensity.

  12. Timing influence of carbohydrate-protein ingestion on muscle soreness and next-day running performance.

    Science.gov (United States)

    Greer, Beau Kjerulf; Price, Anna; Jones, Brett

    2014-06-01

    The present study investigates timing effects of a carbohydrate-protein (CHO-PROT) beverage on indicators of muscle damage and next day running performance. Nine trained subjects completed three trials of a 30 min downhill run, followed by a 1.5 mile treadmill running time trial 24 hr later in a blinded, crossover design. Either a CHO-PROT or noncaloric placebo beverage was given 30 and 5 min prior to, at the 15 min mark during, immediately after, and 30 min after the downhill running protocol. In the first treatment (T1), a total of 360 kilocalories were given 30 and 5 min prior to downhill running, as well as at the 15 min mark, with placebos used at other time points. In the second treatment (T2), an isocaloric amount was given but only immediately after and 30 min after downhill running, with placebos used at other time points. In the placebo treatment, a placebo was given at all time points. There were no significant differences in the 1.5 mile time trial or soreness between trials (p > .05). Regardless of timing, the ingestion of a CHO-PROT beverage had no effect on next day running performance or muscular soreness versus a placebo.

  13. Effects of therapeutic massage on gait and pain after delayed onset muscle soreness.

    Science.gov (United States)

    Han, Jun-Ho; Kim, Min-Jeong; Yang, Hyuk-Jin; Lee, Yu-Jin; Sung, Yun-Hee

    2014-04-01

    Unfamiliar or sudden exercise can induce delayed onset muscle soreness (DOMS) within 12-24 h. So, several researchers have reported various interventions to treat DOMS. Massage is generally known to eliminate muscle fatigue. However, effect of massage after DOMS is still not clear. We investigated whether the massage is effective on pain and gait after DOMS. The participants were divided into a control group (n= 10) with DOMS and an experimental group (n= 11) with the massage treated after DOMS. We induced DOMS by taking isotonic exercise with going up and down 20 times in 5-story building. We applied the massage and assessment on gastrocnemius of dominant foot. The change of gait and pain was assessed using gaitrite and algometer. In the present results, the massage on gastrocnemius after DOMS showed significant difference in pain (P< 0.05). Also, there was a significant difference in gait (P< 0.05), especially, spatial parameters (distance, step length, stride length) and temporal parameters (ambulation, heel on off time, stride velocity). Moreover, the pain relief after massage-treated in DOMS correlated with gait. These results suggest that the massage on gastrocnemius after DOMS has influence on pain and gait performance. Therefore, massage can be applied as intervention for delayed onset muscle soreness.

  14. Efficacy of massage on muscle soreness, perceived recovery, physiological restoration and physical performance in male bodybuilders.

    Science.gov (United States)

    Kargarfard, Mehdi; Lam, Eddie T C; Shariat, Ardalan; Shaw, Ina; Shaw, Brandon S; Tamrin, Shamsul B M

    2016-01-01

    It is believed that sport massage after intensive exercise might improve power and perceptual recovery in athletes. However, few studies have been done in this area. This study aimed to examine the effect of massage on the performance of bodybuilders. Thirty experienced male bodybuilders were randomly assigned to either a massage group (n = 15) or a control group (n = 15). Both groups performed five repetition sets at 75-77% of 1RM of knee extensor and flexor muscle groups. The massage group then received a 30-min massage after the exercise protocol while the control group maintained their normal passive recovery. Criteria under investigation included: plasma creatine kinase (CK) level, agility test, vertical jump test, isometric torque test, and perception of soreness. All variables were measured over 6 time periods: baseline, immediately after the DOMS inducing protocol, right after the massage, and 24, 48, and 72 h after the massage. Both groups showed significant (P < .001) decreases in jumping, agility performance, and isometric torque, but significant (P < .001) increases in CK and muscle soreness levels. The massage group in general demonstrated a better recovery rate. As such, a post-exercise massage session can improve the exercise performance and recovery rate in male bodybuilders after intensive exercise.

  15. [Gluteal artery based perforator flaps for sacral pressure sore reconstruction in children].

    Science.gov (United States)

    Berenguer, B; Simal, I; Marín, M C; E de Tomás; Riquelme, O; García Martín, A; González, J L

    2014-10-01

    Children have much lower incidence of pressure sores (PS) than adults and furthermore, they are diagnosed in earlier stages. Therefore, the reported experience with surgical treatment of advanced pediatric PS is scarce. We present the surgical treatment of 2 chronic PS stage IV in children aged 11 and 14 years, by means of perforator flaps based on the gluteal arteries: in the first case we used a free-style flap based on a left medial gluteal perforator and in the second a large reusable rotation-advancement flap based on both right superior and inferior gluteal artery perforators. In both patients we achieved a rapid cure with 100% survival of the flaps and a stable cover over a 6 month and 1 year follow-up respectively. Gluteal artery perforator flaps can produce excellent and durable results in the reconstructive treatment of sacral pressure sores in children. These flaps carry lower morbidity than musculocutaneous flaps and are more reliable than traditional fasciocutaneous flaps. Furthermore they preserve more reconstructive options in case of recurrence during the children's lifetime.

  16. The effect of cuff pressure on postoperative sore throat after Cobra perilaryngeal airway.

    Science.gov (United States)

    Joe, Han Bum; Kim, Dae Hee; Chae, Yun Jeong; Kim, Jong Yeop; Kang, Min; Park, Kwan Sik

    2012-04-01

    The cuff volume of the Cobra perilaryngeal airway (CobraPLA) is larger than that of other alternative airway devices and makes it difficult to predict the effect of cuff pressure on the perilaryngeal mucosa. We tested the hypothesis that adjustment of the cuff pressure of the CobraPLA could reduce the incidence of postoperative sore throat (POST). After induction of general anesthesia and insertion of the CobraPLA by standardized method, the cuff pressure was set to 60 cmH(2)O (group C, n = 87) or adjusted to minimal seal-up pressure +5 cmH(2)O (group A, n = 87). The frequency and severity (0, none; 1, mild; 2, moderate; 3, severe) of throat soreness, pain, discomfort, and adverse effects were evaluated 1 and 24 h after removal of the CobraPLA. Incidence of moderate POST in group C was higher than that in group A (11% vs. 2%, P = 0.021) whereas the overall POST incidence was not different between the two groups (31% vs. 20%, P = 0.092). The inflated air volume of group A was different from that of group C (41 vs. 50 ml, P = 0.009). Adjustment of cuff pressure reduces the incidence of moderate POST after use of the CobraPLA.

  17. Design and Development of Portable Support Surface and Multilayered Fabric Cover for Bed Sore Prevention.

    Science.gov (United States)

    Kandha Vadivu, P

    2015-12-01

    Pressure ulcers are serious and common health concern affecting about 1.5-3 million adults and is a serious health concern for elders. Pressure ulcers or bed sores seem to be one of the most challenging inflicts to the doctors and may result in significant morbidity and mortality and are associated with high cost in terms of human sufferings, cost of treatment, and possible litigation. Though modern medical science has launched a variety of treatment methods, prevention is the best way to get rid of it. Pressure sores are best prevented by using support surfaces that are volatile in nature-like water mattress, variable pressure mattress, etc. In this research work, a portable support surface has been designed and developed for preventing bedsore. It consists of four individual components for the body part such as bodice back, hip, elbow, and heel which are likely to be affected by bedsores. Each component has volatile surface provisions in them with refilling and cleaning facility. The portable support surface is easy to wear and remove and also cheaper. Above all, the kit is user-friendly with no side effects and preferred and guaranteed by the doctors.

  18. Sand Failure Mechanism and Sanding Parameters in Niger Delta Oil Reservoirs

    OpenAIRE

    Sunday Isehunwa,; Andrew Farotade

    2010-01-01

    Sand production is a major issue during oil and gas production from unconsolidated reservoirs. In predicting the onset of sand production, it is important to accurately determine the failure mechanism and the contributing parameters. The aim of this study was to determine sand failure mechanism in the Niger-Delta, identify themajor contributing parameters and evaluate their effects on sanding.Completion and production data from 78 strings completed on 22 reservoirs in a Niger Delta oil Field ...

  19. Sore Throat

    Science.gov (United States)

    ... nav nav, .header-9#header-section #main-nav, #overlay-menu nav, #mobile-menu, #one-page-nav li . ... How to Care for Your Child’s TeethRead Article >>Dental Hygiene: How to Care for Your Child’s TeethSeptember ...

  20. Pressure Sores

    Science.gov (United States)

    ... injury. Some chronic diseases, such as diabetes and hardening of the arteries, make it hard for pressure ... Use a mild soap and warm (not hot) water. Apply moisturizers so your skin doesn’t get ...

  1. Canker Sore

    Science.gov (United States)

    ... or other dental appliances, ask your dentist about orthodontic waxes to cover sharp edges. Reduce your stress. ... Treatment of recurrent aphthous stomatitis: A literature review. Journal of Clinical Experimental Dentistry. 2014;6:e168. Akintoye ...

  2. Sore Society

    DEFF Research Database (Denmark)

    Fausing, Bent

    2014-01-01

    This is not brand new; in fact, I do not even mention the word selfie. However, it was very rewarding for me in terms of the intellectual and emotional richness and challenge, I got in return from working with this article and the questions and the answers it deals with. Maybe it will be good...... presentation of the real and the trauma? Why is the place for physical and psychic affect and their present dissolution sought in visual aesthetics?” I think this points towards some tendencies in the selfies – the healthie, the dark selfie, the sello selfie, etc....

  3. Mouth sores

    Science.gov (United States)

    ... up to 6 weeks. The following steps can make you feel better: Avoid hot beverages and foods, spicy and salty foods, and citrus. Gargle with salt water or cool water. Eat fruit-flavored ice pops. This is helpful if you have a ...

  4. Cold Sore

    Science.gov (United States)

    ... fluid-filled blisters typically break out along the border where the outside edge of the lips meets ... MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo ...

  5. Analysis of effectiveness of used sands reclamation treatment – in various technological devices

    Directory of Open Access Journals (Sweden)

    R. Dańko

    2009-10-01

    Full Text Available The analysis of effectiveness of spent sands reclamation treatment performed in technological devices of various intensity of dry reclamation – during which used binding material is being removed from grain surfaces – is presented in the paper. Variety of reclamation influences was considered via the realization of the so called elementary operations such as: rubbing, grinding and crushing [1-5], which are realised mainly in dry mechanical reclamation devices but also appear in other technological devices for sand preparation.The model rotor reclaimer and two types of mixers used for preparing initial foundry sands with resin U 404 and hardener 100 T3 of the Hüttenes-Albertus Company were applied for tests.The theoretical model for assessing the effectiveness of reclamation treatment developed by the author [3, 4], was experimentally verified [5, 7], with the application of standard testing procedures. The model can be considered a new tool enabling the selection of optimal reclamation times for the given used sand at the assumed intensity of silica sand matrix recovery. Sand mixture of a proper composition fulfilled needed technological properties after total hardening was used as charge material in experiments. The reclamation treatment consisted of mechanical and mechanical-cryogenic reclamation performed within a wide range of times and conditions influencing the treatment intensity.

  6. Study of Black Sand Particles from Sand Dunes in Badr, Saudi Arabia Using Electron Microscopy

    Directory of Open Access Journals (Sweden)

    Haider Abbas Khwaja

    2015-08-01

    Full Text Available Particulate air pollution is a health concern. This study determines the microscopic make-up of different varieties of sand particles collected at a sand dune site in Badr, Saudi Arabia in 2012. Three categories of sand were studied: black sand, white sand, and volcanic sand. The study used multiple high resolution electron microscopies to study the morphologies, emission source types, size, and elemental composition of the particles, and to evaluate the presence of surface “coatings or contaminants” deposited or transported by the black sand particles. White sand was comprised of natural coarse particles linked to wind-blown releases from crustal surfaces, weathering of igneous/metamorphic rock sources, and volcanic activities. Black sand particles exhibited different morphologies and microstructures (surface roughness compared with the white sand and volcanic sand. Morphological Scanning Electron Microscopy (SEM and Laser Scanning Microscopy (LSM analyses revealed that the black sand contained fine and ultrafine particles (50 to 500 nm ranges and was strongly magnetic, indicating the mineral magnetite or elemental iron. Aqueous extracts of black sands were acidic (pH = 5.0. Fe, C, O, Ti, Si, V, and S dominated the composition of black sand. Results suggest that carbon and other contaminant fine particles were produced by fossil-fuel combustion and industrial emissions in heavily industrialized areas of Haifa and Yanbu, and transported as cloud condensation nuclei to Douf Mountain. The suite of techniques used in this study has yielded an in-depth characterization of sand particles. Such information will be needed in future environmental, toxicological, epidemiological, and source apportionment studies.

  7. Pattern formation - Instabilities in sand ripples

    DEFF Research Database (Denmark)

    Hansen, J. L.; v. Hecke, M.; Haaning, A.

    2001-01-01

    Sand ripples are seen below shallow wavy water and are formed whenever water oscillates over a bed of sand. Here we analyse the instabilities that can upset this perfect patterning when the ripples are subjected to large changes in driving amplitude or frequency, causing them to deform both...

  8. Pilot Project Sand Groynes Delfland Coast

    NARCIS (Netherlands)

    Hoekstra, R.; Walstra, D.J.R.; Swinkels, C.S.

    2012-01-01

    In October and November 2009 a pilot project has been executed at the Delfland Coast in the Netherlands, constructing three small sandy headlands called Sand Groynes. Sand Groynes are nourished from the shore in seaward direction and anticipated to redistribute in the alongshore due to the impact of

  9. Silica sand resources in the Netherlands

    NARCIS (Netherlands)

    Meulen, M.J. van der; Westerhoff, W.E.; Menkovic, A.; Gruijters, S.H.L.L.; Dubelaar, C.W.; Maljers, D.

    2009-01-01

    Silica sand, (almost) pure quartz sand, is a valuable and scarce mineral resource within the shallow Dutch subsurface. High-grade deposits are exploited in the southeastemmost part of the country, as raw material for the glass, ceramic, chemical and other process industries. Dutch land-use policy re

  10. Pilot Project Sand Groynes Delfland Coast

    NARCIS (Netherlands)

    Hoekstra, R.; Walstra, D.J.R.; Swinkels, C.S.

    2012-01-01

    In October and November 2009 a pilot project has been executed at the Delfland Coast in the Netherlands, constructing three small sandy headlands called Sand Groynes. Sand Groynes are nourished from the shore in seaward direction and anticipated to redistribute in the alongshore due to the impact of

  11. Understanding Colombian Amazonian white sand forests

    NARCIS (Netherlands)

    Peñuela-Mora, M.C.

    2014-01-01

    Although progress has been made in studies on white sand forests in the Amazon, there is still a considerable gap in our knowledge of the unique species composition of white sand forests and their structure and dynamics, especially in Western Amazon. This thesis aims to fill this gap by addressing t

  12. Sand transportation and reverse patterns over leeward face of sand dune

    Science.gov (United States)

    Jiang, Hong; Dun, Hongchao; Tong, Ding; Huang, Ning

    2017-04-01

    Sand saltation has complex interactions with turbulent flow and dune form. Most models of wind-blown sand consider ideal circumstances such as steady wind velocity and a flat surface, and the bulk of data on wind flow and sand transport over an individual dune has focused mostly on the influence of dune shape or inter-dune space on the wind flow, neglecting the effect of morphology on sand saltation, particularly airflow and sand transportation over the leeward slope. Wind flow structures over the leeward slope of sand dunes have a fundamental influence on the organization of sand dunes. In order to understand sand dune dynamics, lee face airflow and sediment transportation should be paid more attention. Previous field observations could not measure turbulent flow structure well because of the limited observation points and the influence of experiment structure on wind field. In addition, the reverse sand particles over leeward face could not be collected by sand trap in field. Numerous field observations could not measure turbulent flow structure because of the limited observation points and the influence of experimental structures on the wind field. In addition, the reverse transport of sand particles over leeward face could not be collected by sand traps in field. Therefore, this paper aims to investigate the turbulent flow structure and sand transport pattern over the leeward slope. A numerical model of sand saltation over slope terrain is constructed, which also considers the coupling effects between air flow and sand particles. The large eddy simulation method is used to model turbulent flow. Sand transport is simulated by tracking the trajectory of each sand particle. The results show that terrain significantly alters the turbulent air flow structure and wind-blown sand movement, especially over the leeward slope. Here, mass flux increases initially and then decreases with height in the reversed flow region in the direction of wind flow, and the mass flux

  13. Choosing an optimum sand control method

    Directory of Open Access Journals (Sweden)

    Ehsan Khamehchi

    2015-06-01

    Full Text Available Formation sand control is always one of the main concerns of production engineers. There are some different methods to prevent sand production. Choosing a method for preventing formation sand production depends on different reservoir parameters and politic and economic conditions. Sometimes, economic and politic conditions are more effective to choose an optimum than reservoir parameters. Often, simultaneous investigation of politic and economic conditions with reservoir parameters has different results with what is expected. So, choosing the best sand control method is the result of thorough study. Global oil price, duration of sand control project and costs of necessary equipment for each method as economic and politic conditions and well productivity index as reservoir parameter are the main parameters studied in this paper.

  14. Application of microwave energy for curing of molding sands containing oil binders

    Directory of Open Access Journals (Sweden)

    M. Stachowicz

    2008-07-01

    Full Text Available This works presents the results of studies concerning possibility of application of microwave heating in the curing process of molding sands containing oil binders. Molding sands prepared with three kinds of binders, that is oils C, DL and Retanol, have been subject to experiments. The sands have been dried with two methods: in a microwave chamber of 750W power and, for comparison, with classical method at the temperature of 200°C for 120 minutes. Tensile and bending strength of the samples have been determined after cooling down. It has been found that microwave drying in the low-power device used for experiments is effective only in case of molding sand prepared with addition of DL binder. The temperature of heated, even up to 32 minutes in a microwave chamber, blocks prepared from the remaining two masses, was insufficient to initiate binding process. The undertaken attempts of binder modification and introduction of additives intensifying microwave heating process allowed for achievement of satisfactory results. It has been found that power of the heating device is the main factor determining efficiency of microwave curing of molding sands containing oil binders. An additional experiment has been conducted on a laboratory workstation allowing for microwave heating of small mass samples with a high output power of magnetron concentrated in a small substrate volume. It has been observed that microwave drying process of molding sands was of dynamic character over a short period of time, not exceeding 120 seconds, thus assuring efficient curing of the sands containing the used oil binders. Therefore, application of devices of properly high microwave output power allows for efficient drying of oil molding sands, while simultaneously assuring the possibility to reduce time and energy consumption necessary for production of foundry cores of proper functional characteristics.

  15. Prophylactic Effects of Lidocaine or Beclomethasone Spray on Post-Operative sore Throat and Cough after Orotracheal Intubation

    Directory of Open Access Journals (Sweden)

    Nadia Banihashem

    2015-05-01

    Full Text Available Introduction: Post-operative sore throat and cough are common complications of endotracheal intubation. These conditions may be very distressing for the patient and may lead to unpleasant memories. This study was performed in order to determine whether beclomethasone and lidocaine spray could reduce the frequency of post-operative sore throat and hoarseness after tracheal extubation.  Materials and Methods: Ninety women (18–60 years of age with an American Society of Anesthesiologists (ASA physical status I or II and undergoing elective mastoidectomy were randomized into three groups of 30 patients. The endotracheal tubes in each group were sprayed with 50% beclomethasone, 10% lidocaine hydrochloride, or normal saline (control group before endotracheal intubation. Patients were examined for sore throat (none, mild, moderate, or severe, cough, and hoarseness at 1 and 24 h after extubation.  Results: There was a significantly lower incidence and severity of post-operative sore throat in the beclomethasone group than the lidocaine and control groups (P

  16. Blood flow after contraction and cuff occlusion is reduced in subjects with muscle soreness after eccentric exercise

    DEFF Research Database (Denmark)

    Souza-Silva, Eduardo; Wittrup Christensen, Steffan; Hirata, Rogerio Pessoto

    2017-01-01

    anterior muscle. All measures were done bilaterally at day-0 (pre-exercise), day-2 and day-6 (post-exercise). Subjects scored the muscle soreness on a Likert scale for 6 days. Results: Eccentric exercise increased Likert scores at day-1 and day-2 compared with day-0 (P

  17. Quantitative assessment of pressure sore generation and healing through numerical analysis of high-frequency ultrasound images

    Directory of Open Access Journals (Sweden)

    Sahar Moghimi, MS

    2010-04-01

    Full Text Available This article focuses on the development of a method to quantitatively assess the healing process of artificially induced pressure sores using high-frequency (20 MHz ultrasound images. We induced sores in guinea pigs and monitored predefined regions on days 3, 7, 14, and 21 after sore generation. We extracted relevant parameters regarding the tissue echographic structure and attenuation properties. We examined tissue healing by defining a healing function that used the extracted parameters. We verified the significance of the extracted features by using analysis of variance and multiple comparison tests. The features displayed ascending/descending behavior during wound generation and reverse behavior during healing. We optimized the parameters of our healing function by using a pattern search method. We tested the efficiency of the optimized values by calculating the healing function value on assessment days and then comparing these results with the expected pattern of changes in the tissue conditions after removing the applied pressure. The results of this study suggest that the methodology developed may be a viable tool for quantitative assessment of pressure sores during their early generation as well as during healing stages.

  18. Penicillin for acute sore throat : randomised double blind trial of seven days versus three days treatment or placebo in adults

    NARCIS (Netherlands)

    Zwart, S; Sachs, APE; Ruijs, GJHM; Gubbels, JW; Hoes, AW; de Melker, RA

    2000-01-01

    Objective To assess whether treatment with penicillin for three days and the traditional treatment for seven days were equally as effective at accelerating resolution of symptoms in patients with sore throat compared with placebo. Design Randomised double blind placebo controlled trial. Setting 43

  19. Cochrane review: Whole-body cryotherapy (extreme cold air exposure) for preventing and treating muscle soreness after exercise in adults.

    Science.gov (United States)

    Costello, Joseph T; Baker, Philip Ra; Minett, Geoffrey M; Bieuzen, Francois; Stewart, Ian B; Bleakley, Chris

    2016-01-14

    Delayed-onset muscle soreness, or 'DOMS', affects many people after exercise and can impair future performance. It usually peaks one to four days after exercise and several strategies are used to overcome it. The effectiveness and safety of many of these strategies applied and promoted is unknown. This article is protected by copyright. All rights reserved.

  20. Penicillin for acute sore throat : randomised double blind trial of seven days versus three days treatment or placebo in adults

    NARCIS (Netherlands)

    Zwart, S; Sachs, APE; Ruijs, GJHM; Gubbels, JW; Hoes, AW; de Melker, RA

    2000-01-01

    Objective To assess whether treatment with penicillin for three days and the traditional treatment for seven days were equally as effective at accelerating resolution of symptoms in patients with sore throat compared with placebo. Design Randomised double blind placebo controlled trial. Setting 43 f

  1. Quantitative assessment of pressure sore generation and healing through numerical analysis of high-frequency ultrasound images.

    Science.gov (United States)

    Moghimi, Sahar; Miran Baygi, Mohammad Hossein; Torkaman, Giti; Mahloojifar, Ali

    2010-01-01

    Abstract-This article focuses on the development of a method to quantitatively assess the healing process of artificially induced pressure sores using high-frequency (20 MHz) ultrasound images. We induced sores in guinea pigs and monitored predefined regions on days 3, 7, 14, and 21 after sore generation. We extracted relevant parameters regarding the tissue echographic structure and attenuation properties. We examined tissue healing by defining a healing function that used the extracted parameters. We verified the significance of the extracted features by using analysis of variance and multiple comparison tests. The features displayed ascending/descending behavior during wound generation and reverse behavior during healing. We optimized the parameters of our healing function by using a pattern search method. We tested the efficiency of the optimized values by calculating the healing function value on assessment days and then comparing these results with the expected pattern of changes in the tissue conditions after removing the applied pressure. The results of this study suggest that the methodology developed may be a viable tool for quantitative assessment of pressure sores during their early generation as well as during healing stages.

  2. The effect of endotracheal tube cuff pressure change during gynecological laparoscopic surgery on postoperative sore throat: a control study.

    Science.gov (United States)

    Geng, Guiqi; Hu, Jingyi; Huang, Shaoqiang

    2015-02-01

    Postoperative respiratory complications related to endotracheal intubation usually present as cough, sore throat, hoarseness. The aim of the study was to examine the effects of endotracheal tube cuff pressure changes during gynecological laparoscopic surgery on postoperative sore throat rates. Thirty patients who underwent gynecological laparoscopic surgery and 30 patients who underwent laparotomy under general anesthesia with endotracheal intubation were included. After induction of general anesthesia and endotracheal intubation, the cuff was inflated to 25 mmHg. At 5, 15, 30, 45 and 60 min after endotracheal intubation, cuff pressure and peak airway pressure were recorded. At 2 and 24 h after surgery, the patients were assessed for complaints of a sore throat. In patients who underwent laparotomy, cuff pressure and peak airway pressure did not change significantly at different time points after intubation. In patients who received laparoscopic surgery, cuff pressure and peak airway pressure were significantly increased compared to initial pressure at all examined time points. In both groups, the endotracheal tube cuff pressure and peak airway pressure were significantly correlated (R=0.9431, Psore throat scores at both 2 and 24 h after surgery (Ppressure and cuff pressure, resulting in increased incidence of postoperative sore throat.

  3. Altitude of the top of the Sparta Sand and Memphis Sand in three areas of Arkansas

    Science.gov (United States)

    Pugh, Aaron L.; Westerfield, Paul W.; Gonthier, Gerard; Poynter, David T.

    1998-01-01

    The Sparta Sand and Memphis Sand form the second most productive aquifer in Arkansas. The Sparta Sand and Memphis Sand range in thick- ness from 0 to 900 feet, consisting of fine- to medium-grained sands interbedded with layers of silt, clay, shale, and minor amounts of lignite. Within the three areas of interest, the top surface of the Sparta Sand and Memphis Sand dips regionally east and southeast towards the axis of the Mississippi Embayment syncline and Desha Basin. Local variations in the top surface may be attributed to a combination of continued development of structural features, differential compaction, localized faulting, and erosion of the surface prior to subsequent inundation and deposition of younger sediments.

  4. Sand Failure Mechanism and Sanding Parameters in Niger Delta Oil Reservoirs

    Directory of Open Access Journals (Sweden)

    Sunday Isehunwa,

    2010-05-01

    Full Text Available Sand production is a major issue during oil and gas production from unconsolidated reservoirs. In predicting the onset of sand production, it is important to accurately determine the failure mechanism and the contributing parameters. The aim of this study was to determine sand failure mechanism in the Niger-Delta, identify themajor contributing parameters and evaluate their effects on sanding.Completion and production data from 78 strings completed on 22 reservoirs in a Niger Delta oil Field were evaluated. Sand failure mechanisms and contributing parameters were identified and compared with published profiles. The results showed that cohesive stress is the predominant sand failure mechanism. Water cut, bean size and gas oil ratio (GOR impact sand production in the Niger Delta.

  5. Whole-Body Vibration and the Prevention and Treatment of Delayed-Onset Muscle Soreness

    Science.gov (United States)

    Aminian-Far, Atefeh; Hadian, Mohammad-Reza; Olyaei, Gholamreza; Talebian, Saeed; Bakhtiary, Amir Hoshang

    2011-01-01

    Abstract Context: Numerous recovery strategies have been used in an attempt to minimize the symptoms of delayed-onset muscle soreness (DOMS). Whole-body vibration (WBV) has been suggested as a viable warm-up for athletes. However, scientific evidence to support the protective effects of WBV training (WBVT) on muscle damage is lacking. Objective: To investigate the acute effect of WBVT applied before eccentric exercise in the prevention of DOMS. Design: Randomized controlled trial. Setting: University laboratory. Patients or Other Participants: A total of 32 healthy, untrained volunteers were randomly assigned to either the WBVT (n  =  15) or control (n  =  17) group. Intervention(s): Volunteers performed 6 sets of 10 maximal isokinetic (60°/s) eccentric contractions of the dominant-limb knee extensors on a dynamometer. In the WBVT group, the training was applied using a vibratory platform (35 Hz, 5 mm peak to peak) with 100° of knee flexion for 60 seconds before eccentric exercise. No vibration was applied in the control group. Main Outcome Measure(s): Muscle soreness, thigh circumference, and pressure pain threshold were recorded at baseline and at 1, 2, 3, 4, 7, and 14 days postexercise. Maximal voluntary isometric and isokinetic knee extensor strength were assessed at baseline, immediately after exercise, and at 1, 2, 7, and 14 days postexercise. Serum creatine kinase was measured at baseline and at 1, 2, and 7 days postexercise. Results: The WBVT group showed a reduction in DOMS symptoms in the form of less maximal isometric and isokinetic voluntary strength loss, lower creatine kinase levels, and less pressure pain threshold and muscle soreness (P < .05) compared with the control group. However, no effect on thigh circumference was evident (P < .05). Conclusions: Administered before eccentric exercise, WBVT may reduce DOMS via muscle function improvement. Further investigation should be undertaken to ascertain the effectiveness of WBVT in

  6. Global sand trade is paving the way for a tragedy of the sand commons

    Science.gov (United States)

    Torres, A.; Brandt, J.; Lear, K.; Liu, J.

    2016-12-01

    In the first 40 years of the 21st century, planet Earth is highly likely to experience more urban land expansion than in all of history, an increase in transportation infrastructure by more than a third, and a great variety of land reclamation projects. While scientists are beginning to quantify the deep imprint of human infrastructure on biodiversity at large scales, its off-site impacts and linkages to sand mining and trade have been largely ignored. Sand is the most widely used building material in the world. With an ever-increasing demand for this resource, sand is being extracted at rates that far exceed its replenishment, and is becoming increasingly scarce. This has already led to conflicts around the world and will likely lead to a "tragedy of the sand commons" if sustainable sand mining and trade cannot be achieved. We investigate the environmental and socioeconomic interactions over large distances (telecouplings) of infrastructure development and sand mining and trade across diverse systems through transdisciplinary research and the recently proposed telecoupling framework. Our research is generating a thorough understanding of the telecouplings driven by an increasing demand for sand. In particular, we address three main research questions: 1) Where are the conflicts related to sand mining occurring?; 2) What are the major "sending" and "receiving" systems of sand?; and 3) What are the main components (e.g. causes, effects, agents, etc.) of telecoupled systems involving sand mining and trade? Our results highlight the role of global sand trade as a driver of environmental degradation that threatens the integrity of natural systems and their capacity to deliver key ecosystem services. In addition, infrastructure development and sand mining and trade have important implications for other sustainability challenges such as over-fishing and global warming. This knowledge will help to identify opportunities and tools to better promote a more sustainable use

  7. The Effect of Gender and Menstrual Phase on Serum Creatine Kinase Activity and Muscle Soreness Following Downhill Running.

    Science.gov (United States)

    Oosthuyse, Tanja; Bosch, Andrew N

    2017-02-23

    Serum creatine kinase (CK) activity reflects muscle membrane disruption. Oestrogen has antioxidant and membrane stabilising properties, yet no study has compared the CK and muscle soreness (DOMS) response to unaccustomed exercise between genders when all menstrual phases are represented in women. Fifteen eumenorrhoeic women (early follicular, EF (n = 5); late follicular, LF (n = 5); mid-luteal, ML (n = 5) phase) and six men performed 20 min of downhill running (-10% gradient) at 9 km/h. Serum CK activity and visual analogue scale rating of perceived muscle soreness were measured before, immediately, 24-h, 48-h and 72-h after exercise. The 24-h peak CK response (relative to pre-exercise) was similar between women and men (mean change (95% confidence interval): 58.5 (25.2 to 91.7) IU/L; 68.8 (31.3 to 106.3) IU/L, respectively). However, serum CK activity was restored to pre-exercise levels quicker in women (regardless of menstrual phase) than men; after 48-h post exercise in women (16.3 (-4.4 to 37.0) IU/L; 56.3 (37.0 to 75.6) IU/L, respectively) but only after 72-h in men (14.9 (-14.8 to 44.6) IU/L). Parallel to the CK response, muscle soreness recovered by 72-h in men. Conversely, the women still reported muscle soreness at 72-h despite CK levels being restored by 48-h; delayed recovery of muscle soreness appeared mainly in EF and LF. The CK and DOMS response to downhill running is gender-specific. The CK response recovers quicker in women than men. The CK and DOMS response occur in concert in men but not in women. The DOMS response in women is prolonged and may be influenced by menstrual phase.

  8. The impact of a pre-loaded multi-ingredient performance supplement on muscle soreness and performance following downhill running.

    Science.gov (United States)

    Ormsbee, Michael J; Ward, Emery G; Bach, Christopher W; Arciero, Paul J; McKune, Andrew J; Panton, Lynn B

    2015-01-01

    The effects of multi-ingredient performance supplements (MIPS) on perceived soreness, strength, flexibility and vertical jump performance following eccentric exercise are unknown. The purpose of this study was to determine the impact of MIPS (NO-Shotgun®) pre-loaded 4 weeks prior to a single bout of downhill running (DHR) on muscle soreness and performance. Trained male runners (n = 20) were stratified by VO2max, strength, and lean mass into two groups; MIPS (n = 10) ingested one serving daily of NO-Shotgun® for 28 days and 30 min prior to all post-testing visits, Control (CON; n = 10) consumed an isocaloric maltodextrin placebo in an identical manner as MIPS. Perceived soreness and performance measurements (strength, flexibility, and jump height) were tested on 6 occasions; 28 days prior to DHR, immediately before DHR (PRE), immediately post (POST) DHR, 24, 48, and 72 hr post-DHR. Perceived soreness significantly increased (p < 0.05) post DHR compared to PRE at all time-points, with no difference between groups. Creatine kinase (CK) and lactate dehydrogenase (LDH) increased over time (p < 0.001) with no group x time interactions (p = 0.236 and p = 0.535, respectively). Significant time effects were measured for strength (p = 0.001), flexibility (p = 0.025) and vertical jump (p < 0.001). There were no group x time interactions for any performance measurements. Consumption of MIPS for 4 weeks prior to a single bout of DHR did not affect perceived soreness, muscle damage, strength, flexibility, or jump performance compared to an isocaloric placebo in trained male runners following a single bout of DHR.

  9. The Effect of Gender and Menstrual Phase on Serum Creatine Kinase Activity and Muscle Soreness Following Downhill Running

    Directory of Open Access Journals (Sweden)

    Tanja Oosthuyse

    2017-02-01

    Full Text Available Serum creatine kinase (CK activity reflects muscle membrane disruption. Oestrogen has antioxidant and membrane stabilising properties, yet no study has compared the CK and muscle soreness (DOMS response to unaccustomed exercise between genders when all menstrual phases are represented in women. Fifteen eumenorrhoeic women (early follicular, EF (n = 5; late follicular, LF (n = 5; mid-luteal, ML (n = 5 phase and six men performed 20 min of downhill running (−10% gradient at 9 km/h. Serum CK activity and visual analogue scale rating of perceived muscle soreness were measured before, immediately, 24-h, 48-h and 72-h after exercise. The 24-h peak CK response (relative to pre-exercise was similar between women and men (mean change (95% confidence interval: 58.5 (25.2 to 91.7 IU/L; 68.8 (31.3 to 106.3 IU/L, respectively. However, serum CK activity was restored to pre-exercise levels quicker in women (regardless of menstrual phase than men; after 48-h post exercise in women (16.3 (−4.4 to 37.0 IU/L; 56.3 (37.0 to 75.6 IU/L, respectively but only after 72-h in men (14.9 (−14.8 to 44.6 IU/L. Parallel to the CK response, muscle soreness recovered by 72-h in men. Conversely, the women still reported muscle soreness at 72-h despite CK levels being restored by 48-h; delayed recovery of muscle soreness appeared mainly in EF and LF. The CK and DOMS response to downhill running is gender-specific. The CK response recovers quicker in women than men. The CK and DOMS response occur in concert in men but not in women. The DOMS response in women is prolonged and may be influenced by menstrual phase.

  10. Leucine-enriched essential amino acids attenuate muscle soreness and improve muscle protein synthesis after eccentric contractions in rats.

    Science.gov (United States)

    Kato, Hiroyuki; Suzuki, Hiromi; Mimura, Masako; Inoue, Yoshiko; Sugita, Mayu; Suzuki, Katsuya; Kobayashi, Hisamine

    2015-06-01

    Eccentric exercise results in prolonged muscle weakness and muscle soreness, which are typical symptoms of muscle damage. Recovery from muscle damage is related to mammalian target of rapamycin (mTOR) activity. Leucine-enriched essential amino acids (LEAAs) stimulate muscle protein synthesis via activation of the mTOR pathway. Therefore, we investigated the effect of LEAAs on muscle protein synthesis and muscle soreness after eccentric contractions (EC). Male Sprague-Dawley rats (9-11 weeks old) were administered an LEAA solution (AminoL40; containing 40 % leucine and 60 % other essential amino acids) at 1 g/kg body weight or distilled water (control) 30 min before and 10 min after EC. Tibialis anterior (TA) muscle was exposed to 500 EC by electrical stimulation under anesthesia. The fractional synthesis rate (FSR; %/h) in the TA muscle was measured by incorporating L-[ring-(2)H5] phenylalanine into skeletal muscle protein. Muscle soreness was evaluated by the paw withdrawal threshold using the Randal-Selitto test with some modifications from 1 to 3 days after EC. The FSR in the EC-control group (0.147 ± 0.016 %/h) was significantly lower than in the sedentary group (0.188 ± 0.016 %/h, p < 0.05). AminoL40 administration significantly mitigated the EC-induced impairment of the FSR (0.172 ± 0.018 %/h). EC decreased the paw withdrawal threshold at 1 and 2 days after EC, which indicated that EC induced muscle soreness. Furthermore, AminoL40 administration alleviated the decreased paw withdrawal threshold. These findings suggest that LEAA supplementation improves the rate of muscle protein synthesis and ameliorates muscle soreness after eccentric exercise.

  11. Comparing the Effect of Dexamethasone before and after Tracheal Intubation on Sore Throat after Tympanoplasty Surgery: A Randomized Controlled trial

    Directory of Open Access Journals (Sweden)

    Mahmoud Eidi

    2014-04-01

    Full Text Available Introduction: Presence of a sore throat after surgery is a common side effect of general anesthesia with intratracheal intubation and can cause discomfort for the patient and prolong the recovery process. In this study we compared the effect of dexamethasone before and after intubation on the incidence of sore throat after tympanoplasty surgery.   Materials and Methods: In a double-blind, randomized clinical trial, 70 patients aged 30–60 years with American Society of Anesthesiologists (ASA physical status I or II who were candidates for tympanoplasty under anesthetic conditions were studied in two separate groups. The first group received intravenous (IV dexamethasone (8 mg 30 mins prior to intubation while the second group received the same dose of dexamethasone 30 mins after intubation. The incidence and severity of the sore throat in both groups were then evaluated.   Results: There was no significant difference between two groups in intensity of sore throat (62.9% vs. 57.1%, cough (65.7% vs. 62.9%, or hoarseness (62.9% vs. 65.7% within 24 h after surgery. Detection of blood in oral secretions or on the tracheal tube was the same in both groups (5.7%. The incidence of coughs during the extubation was 0% in first group and 11.4% in second group.   Conclusion:  According to the results of this research there was no significant difference in incidence and intensity of sore throat in patients receiving dexamethasone before or after intubation. Further, no significant difference in intensity of coughs or hoarseness was observed.  

  12. Submaximal delayed-onset muscle soreness: correlations between MR imaging findings and clinical measures

    Science.gov (United States)

    Evans, G. F.; Haller, R. G.; Wyrick, P. S.; Parkey, R. W.; Fleckenstein, J. L.; Blomqvist, C. G. (Principal Investigator)

    1998-01-01

    PURPOSE: To assess correlations between muscle edema on magnetic resonance (MR) images and clinical indexes of muscle injury in delayed-onset muscle soreness (DOMS) produced by submaximal exercise protocols. MATERIALS AND METHODS: Sixteen subjects performed 36 elbow flexions ("biceps curls") at one of two submaximal workloads that emphasized eccentric contractions. Changes in MR imaging findings, plasma levels of creatine kinase, and pain scores were correlated. RESULTS: Both exercise protocols produced DOMS in all subjects. The best correlation was between change in creatine kinase level and volume of muscle edema on MR images, regardless of the workload. Correlations tended to be better with the easier exercise protocol. CONCLUSION: Whereas many previous studies of DOMS focused on intense exercise protocols to ensure positive results, the present investigation showed that submaximal workloads are adequate to produce DOMS and that correlations between conventionally measured indexes of injury may be enhanced at lighter exercise intensities.

  13. Effects of tender point acupuncture on delayed onset muscle soreness (DOMS – a pragmatic trial

    Directory of Open Access Journals (Sweden)

    Kitakoji Hiroshi

    2008-11-01

    Full Text Available Abstract Background Acupuncture is used to reduce inflammation and decrease pain in delayed onset muscle soreness (DOMS. This study investigates the efficacy of acupuncture on the symptoms of DOMS. Methods Thirty subjects were assigned randomly to there groups, namely the control, non-tender point and tender point groups. Measurement of pain with full elbow flexion was used as indices of efficacy. Measurements were taken before and after exercise, immediately after treatment and seven days after treatment. Results Significant differences in visual analog scores for pain were found between the control group and tender point group immediately after treatment and three days after exercise (P Conclusion The results show that tender point acupuncture relieves muscle pain of DOMS.

  14. Effects of vibratory stimulations on maximal voluntary isometric contraction from delayed onset muscle soreness.

    Science.gov (United States)

    Koh, Hyung-Woo; Cho, Sung-Hyoun; Kim, Cheol-Yong; Cho, Byung-Jun; Kim, Jin-Woo; Bo, Kak Hwang

    2013-09-01

    [Purpose] The aim of this study was to investigate the effect of vibratory stimulation on maximal voluntary isometric contraction (MVIC) from delayed onset muscle soreness (DOMS). [Subjects] Sixty healthy adults participated in this study. The exclusion criteria were orthopedic or neurologic disease. [Methods] The researchers induced DOMS in the musculus extensor carpi radialis longus of each participant. Subjects in the control group received no treatment. The ultrasound group received ultrasound treatment (intensity, 1.0 W/cm(2;) frequency 1 MHz; time, 10 minutes). The vibration group received vibration stimulation (frequency, 20 MHz; time, 10 minutes). Maximal voluntary isometric contraction (MVIC) was recorded at baseline, immediately after exercise, and 24, 48, and 72 hours after exercise. [Results] MVIC measurements showed statistically significant differences in the vibration group compared with the control group. [Conclusion] Vibratory stimulation had a positive effect on recovery of muscle function from DOMS.

  15. Effects of tender point acupuncture on delayed onset muscle soreness (DOMS) – a pragmatic trial

    Science.gov (United States)

    Itoh, Kazunori; Ochi, Hideki; Kitakoji, Hiroshi

    2008-01-01

    Background Acupuncture is used to reduce inflammation and decrease pain in delayed onset muscle soreness (DOMS). This study investigates the efficacy of acupuncture on the symptoms of DOMS. Methods Thirty subjects were assigned randomly to there groups, namely the control, non-tender point and tender point groups. Measurement of pain with full elbow flexion was used as indices of efficacy. Measurements were taken before and after exercise, immediately after treatment and seven days after treatment. Results Significant differences in visual analog scores for pain were found between the control group and tender point group immediately after treatment and three days after exercise (P < 0.05, Dunnetts multiple test). Conclusion The results show that tender point acupuncture relieves muscle pain of DOMS. PMID:19032777

  16. Does post-exercise massage treatment reduce delayed onset muscle soreness? A systematic review

    Science.gov (United States)

    Ernst, E.

    1998-01-01

    BACKGROUND: Delayed onset muscle soreness (DOMS) is a frequent problem after unaccustomed exercise. No universally accepted treatment exists. Massage therapy is often recommended for this condition but uncertainty exists about its effectiveness. AIM: To determine whether post-exercise massage alleviates the symptoms of DOMS after a bout of strenuous exercise. METHOD: Various computerised literature searches were carried out and located seven controlled trials. RESULTS: Most of the trials were burdened with serious methodological flaws, and their results are far from uniform. However, most suggest that post-exercise massage may alleviate symptoms of DOMS. CONCLUSIONS: Massage therapy may be a promising treatment for DOMS. Definitive studies are warranted. 


 PMID:9773168

  17. Post-exercise muscle soreness after eccentric exercise: psychophysical effects and implications on mean arterial pressure.

    Science.gov (United States)

    Bajaj, P; Graven-Nielsen, T; Arendt-Nielsen, L

    2001-10-01

    The aim of the study was to examine the time course of changes in pressure pain threshold (PPT), visual analogue scale (VAS) pain and tenderness scores, McGill Pain Questionnaire (MPQ) descriptors, pain areas, skin temperature and mean arterial pressure (MAP) following intensive eccentric exercise. In 11 healthy male subjects, eccentric exercise of the first dorsal interosseous muscle (FDI) of the right hand with 114% maximum voluntary contraction weight (MVC) was used to induce post-exercise muscle soreness (PEMS) in the right hand, while the left hand served as a control. At 24 h to 48 h all the pain profiles indicated the presence of PEMS in the right hand when compared to before exercise (Prole of central mechanisms in the PEMS, thereby giving further insight into clinical aspects of muscle pain.

  18. EFFECTS OF MESSAGE VS ACTIVE EXERCISES ON EXPERIMENTALLY INDUCED DELAYED ONSET OF MUSCLE SORENESS

    Directory of Open Access Journals (Sweden)

    A. Chaturvedi Pilladi *,

    2013-12-01

    Full Text Available Background:To evaluate the effect of massage of versus active exercises on experimentally induced delayedonset of muscle soreness.Method:30 subjects were divided into two groups, Experimental group received Massage and control groupreceived active exercises, results were taken by measurement of pain and functional stair climbing capacity ofknee joint were taken by visual analog score and functional knee rating score.Results:obtained results were analyzed with the use of Paired T-test, which has been carried out to observethetreatment impact between the groups before and after the treatment. After a 4 week treatment period,thesubjects in the Group I (Quadriceps message compared with the subjects in the Group II (Active exercise hadshown a statistically significant improvement with the outcome measures at 0.05 level.Conclusion:Quadriceps massagewas found much effective in decreasing Delayed onset of muscle sorenessthan active exercises.

  19. Nebulized ketamine decreases incidence and severity of post-operative sore throat.

    Science.gov (United States)

    Ahuja, Vanita; Mitra, Sukanya; Sarna, Rashi

    2015-01-01

    Post-operative sore throat (POST) occurs in 21-65% of patients. Ketamine used earlier as gargle for reducing POST has limitations. The aim of this study was to see if nebulised ketamine reduces POST. We conducted a prospective, randomised, placebo-control, and double-blind controlled trial. After written informed consent, 100 patients belonging to American Society of Anaesthesiologists physical status I-II in the age group 20-60 years, of either sex undergoing surgery under general anaesthesia (GA) were enrolled. Patients were randomised into two groups; group saline (S) received saline nebulisation 5.0 ml and group ketamine (K) received ketamine 50 mg (1.0 ml) with 4.0 ml of saline nebulisation for 15 min. GA was induced 10 min after completion of nebulisation in the patients. The POST and haemodynamic monitoring were done pre-nebulization, pre-induction, on reaching post-anaesthesia care unit, and at 2, 4, 6, 8, 12 and 24 h post-operatively. POST was graded on a four-point scale (0-3). The overall incidence of POST was 33%; 23 patients (46%) in saline and 10 patients (20%) in ketamine group experienced POST (Fisher's exact P = 0.01). The use of ketamine nebulization attenuated POST at 2 h and 4 h post-operatively (P sore throat occurred in 6 patients in group S and none in group K at 2 h, post-operatively (P = 0.02). Ketamine nebulization significantly attenuated the incidence and severity of POST, especially in the early post-operative period, with no adverse effects.

  20. Nebulized ketamine decreases incidence and severity of post-operative sore throat

    Directory of Open Access Journals (Sweden)

    Vanita Ahuja

    2015-01-01

    Full Text Available Background and Aims: Post-operative sore throat (POST occurs in 21-65% of patients. Ketamine used earlier as gargle for reducing POST has limitations. The aim of this study was to see if nebulised ketamine reduces POST. Methods: We conducted a prospective, randomised, placebo-control, and double-blind controlled trial. After written informed consent, 100 patients belonging to American Society of Anaesthesiologists physical status I-II in the age group 20-60 years, of either sex undergoing surgery under general anaesthesia (GA were enrolled. Patients were randomised into two groups; group saline (S received saline nebulisation 5.0 ml and group ketamine (K received ketamine 50 mg (1.0 ml with 4.0 ml of saline nebulisation for 15 min. GA was induced 10 min after completion of nebulisation in the patients. The POST and haemodynamic monitoring were done pre-nebulization, pre-induction, on reaching post-anaesthesia care unit, and at 2, 4, 6, 8, 12 and 24 h post-operatively. POST was graded on a four-point scale (0-3. Results: The overall incidence of POST was 33%; 23 patients (46% in saline and 10 patients (20% in ketamine group experienced POST (Fisher′s exact P = 0.01. The use of ketamine nebulization attenuated POST at 2 h and 4 h post-operatively (P < 0.05. The primary outcome was incidence of POST at 4 h; 13 patients in group S versus 4 patients in group K (P = 0.03 experienced POST at 4 h. The moderate sore throat occurred in 6 patients in group S and none in group K at 2 h, post-operatively (P = 0.02. Conclusion: Ketamine nebulization significantly attenuated the incidence and severity of POST, especially in the early post-operative period, with no adverse effects.

  1. Benzydamine hydrochloride on postoperative sore throat: a meta-analysis of randomized controlled trials.

    Science.gov (United States)

    Chen, Chien-Yu; Kuo, Chien-Ju; Lee, Yuan-Wen; Lam, Fai; Tam, Ka-Wai

    2014-03-01

    Sore throat is a common postoperative complaint. The etiology of postoperative sore throat (POST) is considered the result of damage to airway mucosa after insertion of a laryngeal mask airway device or endotracheal tube. This paper proposes benzydamine hydrochloride (BH), a topical nonsteroidal anti-inflammatory drug (NSAID) with additional analgesic and local anesthetic properties, for POST prevention. We systematically searched PubMed, EMBASE™, Cochrane, and other relevant databases for randomized controlled trials (RCTs) that investigated the outcome of topical application of BH vs non-application in patients undergoing general anesthesia. Using a random effects model, meta-analyses were conducted to assess the relative risks of the incidence of POST within 24 hr following the surgical procedure. The secondary outcomes included postoperative nausea and vomiting, dry mouth, coughing, and local irritation. We reviewed five trials that included 824 patients in total. Our results indicated that the incidence of POST was significantly reduced in the BH group, with risk ratios (RRs) of 0.37 (95% confidence interval [CI]: 0.20 to 0.68) at zero to one hour, 0.39 (95% CI: 0.27 to 0.57) at one to two hours, 0.42 (95% CI: 0.22 to 0.81) at four to six hours, 0.29 (95% CI: 0.10 to 0.88) at six to 12 hr, and 0.32 (95% CI: 0.18 to 0.56) at 12 to 24 hr, compared with the control groups. Patients reported local irritation, but no major BH-related complications were observed. Our results indicate that the incidence of POST can be significantly reduced by prophylactic BH topical application to the oral cavity or airway devices. Further RCTs are required to overcome the limitations of heterogeneity and to determine the optimal dosage and application of BH for managing POST.

  2. Whole-Body Vibration While Squatting and Delayed-Onset Muscle Soreness in Women.

    Science.gov (United States)

    Dabbs, Nicole C; Black, Christopher D; Garner, John

    2015-12-01

    Research into alleviating muscle pain and symptoms in individuals after delayed-onset muscle soreness (DOMS) has been inconsistent and unsuccessful in demonstrating a useful recovery modality. To investigate the effects of short-term whole-body vibration (WBV) on DOMS over a 72-hour period after a high-intensity exercise protocol. Randomized controlled clinical trial. University laboratory. Thirty women volunteered to participate in 4 testing sessions and were assigned randomly to a WBV group (n = 16; age = 21.0 ± 1.9 years, height = 164.86 ± 6.73 cm, mass = 58.58 ± 9.32 kg) or a control group (n = 14; age = 22.00 ± 1.97 years, height = 166.65 ± 8.04 cm, mass = 58.69 ± 12.92 kg). Participants performed 4 sets to failure of single-legged split squats with 40% of their body weight to induce muscle soreness in the quadriceps. The WBV or control treatment was administered each day after DOMS. Unilateral pressure-pain threshold (PPT), range of motion (ROM), thigh circumference, and muscle-pain ratings of the quadriceps were collected before and for 3 days after high-intensity exercise. Each day, we collected 3 sets of measures, consisting of 1 measure before the WBV or control treatment protocol (pretreatment) and 2 sets of posttreatment measures. We observed no interactions for PPT, thigh circumference, and muscle pain (P > .05). An interaction was found for active ROM (P = .01), with the baseline pretreatment measure greater than the measures at baseline posttreatment 1 through 48 hours posttreatment 2 in the WBV group. For PPT, a main effect for time was revealed (P .05). The WBV treatment approach studied did not aid in alleviating DOMS after high-intensity exercise. Further research is needed in various populations.

  3. The Effects of High-Volt Pulsed Current Electrical Stimulation on Delayed-Onset Muscle Soreness

    Science.gov (United States)

    Butterfield, David Lynn; Draper, David O.; Ricard, Mark D.; Myrer, J. William; Schulthies, Shane S.; Durrant, Earlene

    1997-01-01

    Objective: We investigated three 30-minute high-volt pulsed current electrical stimulation (HVPC) treatments of 125 pps to reduce pain, restore range of motion (ROM), and recover strength loss associated with delayed-onset muscle soreness (DOMS). Design and Setting: Randomized, masked comparison of three 30-minute treatment and sham HVPC regimens over a 48-hour period. Subjects: Twenty-eight college students. Measurements: Subjects performed concentric and eccentric knee extensions with the right leg to induce muscle soreness. Assessments were made before and after the exercise bout and each treatment at 24, 48, and 72 hours postexercise. Results: Three separate 2 × 3 × 2 ANOVAs were used to determine significant differences (p < .05) between days, treatments, and pre-post treatment effects and significant interaction among these variables. Scheffe post hoc tests showed no significant reduction in pain perception or improvement in loss of function at 24, 48, and 72 hours postexercise. Mean pain perception assessments (0 = no pain, 10 = severe pain) for the HVPC group were 2.9, 4.5, and 3.5 and for the sham group 3.8, 4.8, and 3.5). Mean ROM losses for the HVPC group were 9.0°, 22.3°, and 26.2°, and for the sham group were 9.5°, 23.1°, and 23.0°. Mean strength losses (1RM) for the HVPC group were 25.9, 25.7, and 20.8 lbs and for the sham group were 22.3, 22.3, and 13.8 lbs. Conclusions: HVPC as we studied it was ineffective in providing lasting pain reduction and at reducing ROM and strength losses associated with DOMS. PMID:16558426

  4. Effect of Microcurrent Stimulation on Delayed-Onset Muscle Soreness: A Double-Blind Comparison

    Science.gov (United States)

    Allen, Jennifer D.; Mattacola, Carl G.; Perrin, David H.

    1999-01-01

    Objective: To examine the efficacy of microcurrent electrical neuromuscular stimulation (MENS) treatment on pain and loss of range of motion (ROM) associated with delayed-onset muscle soreness (DOMS). Design and Setting: We assigned subjects to 1 of 2 groups. Group 1 received treatment with microcurrent stimulation (200 μA, 30 Hz, for 10 minutes, then 100 μA, 0.3 Hz, for 10 minutes) 24, 48, and 72 hours after DOMS induction. Group 2 served as a sham group and was treated using a machine altered by the manufacturer so that no current could flow through the electrodes. Subjects: DOMS was induced in the biceps brachii of the nondominant arm of 18 subjects (3 males, 15 females: age = 20.33 ± 2.3 years, ht = 170.81 ± 7.3 cm, wt = 69.61 ± 13.1 kg). Dominance was defined as the arm used by the subject to throw a ball. Measurements: Subjective pain and active elbow extension ROM were evaluated before and after treatment each day. Two methods were used to assess pain: constant pressure using a weighted Orthoplast sphere and full elbow extension to the limit of pain tolerance. Subjective pain was measured with a graphic rating scale and active elbow extension ROM using a standard, plastic, double-armed goniometer. Three repeated-measures ANOVAs (between-subjects variable was group, within- subjects variables were day and test) were used to assess ROM and pain scores for the 2 groups. Results: We found no significant difference in the measurement of subjective pain scores or elbow extension ROM when the MENS group was compared with the sham group. Conclusions: Our results indicate that the MENS treatment, within the parameters used for this experiment, was not effective in reducing the pain or loss of ROM associated with delayed-onset muscle soreness. PMID:16558582

  5. Delayed onset muscle soreness and perceived exertion following blood flow restriction exercise.

    Science.gov (United States)

    Brandner, Christopher R; Warmington, Stuart A

    2017-01-11

    The purpose of this study was to determine the perceptual responses to resistance exercise with either heavy-loads (80% 1 repetition maximum [1-RM]), light-loads (20% 1-RM), or light-loads in combination with blood flow restriction (BFR). Despite the use of light-loads, it has been suggested that the adoption of BFR resistance exercise may be limited due to increases in delayed onset muscle soreness (DOMS) and perceived exertion. Seventeen healthy untrained males participated in this balanced, randomized cross-over study. Following four sets of elbow-flexion exercise, participants reported ratings of perceived exertion (RPE), with DOMS also recorded for seven days following each trial. DOMS was significantly greater for low-pressure continuous BFR (until 48 h post-exercise) and high-pressure intermittent BFR (until 72 h post-exercise) compared with traditional heavy-load and light-load resistance exercise. In addition, RPE was higher for heavy-load resistance exercise and high-pressure intermittent BFR compared with low-pressure continuous BFR, with all trials greater than light-load resistance exercise. For practitioners working with untrained participants, this study provides evidence to suggest that in order to minimize the perception of effort and post-exercise muscle soreness associated with BFR resistance exercise, continuous low-pressure application may be more preferential compared with intermittent high-pressure application. Importantly, these perceptual responses are relatively short-lived (∼2 days) and have previously been shown to subside after a few exercise sessions. Combined with smaller initial training volumes (set x repetitions) this may limit RPE and DOMS to strengthen uptake and adherence, and assist in program progression for muscle hypertrophy and gains in strength.

  6. Soreness-related changes in three-dimensional running biomechanics following eccentric knee extensor exercise.

    Science.gov (United States)

    Paquette, Max R; Peel, Shelby A; Schilling, Brian K; Melcher, Dan A; Bloomer, Richard J

    2017-06-01

    Runners often experience delayed onset muscle soreness (DOMS), especially of the knee extensors, following prolonged running. Sagittal knee joint biomechanics are altered in the presence of knee extensor DOMS but it is unclear how muscle soreness affects lower limb biomechanics in other planes of motion. The purpose of this study was to assess the effects of knee extensor DOMS on three-dimensional (3D) lower limb biomechanics during running. Thirty-three healthy men (25.8 ± 6.8 years; 84.1 ± 9.2 kg; 1.77 ± 0.07 m) completed an isolated eccentric knee extensor damaging protocol to elicit DOMS. Biomechanics of over-ground running at a set speed of 3.35 m s(-1)±5% were measured before eccentric exercise (baseline) and, 24 h and 48 h following exercise in the presence of knee extensor DOMS. Knee flexion ROM was reduced at 48 h (P = 0.01; d = 0.26), and peak knee extensor moment was reduced at 24 h (P = 0.001; d = 0.49) and 48 h (P biomechanics were unaffected by the presence of DOMS (P > 0.05). Peak positive ankle and knee joint powers and, peak negative knee joint power were all reduced from baseline to 24 h and 48 h (P biomechanics during running.

  7. Logistic Regression Analysis and Nursing Interven-tions for High-risk Factors for Pressure Sores in Pa-tients in a Surgical Intensive Care Unit

    Institute of Scientific and Technical Information of China (English)

    Xin-Ran Wang∗; Bin-Ru Han

    2015-01-01

    Objective: To investigate the risk factors related to the development of pressure sores in critically ill surgical patients and to establish a basis for the formulation of effective precautions. Methods: A questionnaire regarding the factors for pressure sores in critically ill surgical patients was created using a case control study with reference to the pertinent literature. After being exam-ined and validated by experts, the questionnaire was used to collect data about critically ill surgical patients in a grade A tertiary hospital. Among the 47 patients enrolled into the study, the 14 who developed nosocomial pressure sores were allocated to the pressure sore group, and the remaining 33 patients who met the inclusion criteria and did not exhibit pressure sores were allocated to the control group. Univariate and multivariate logistic regression analyses were employed to examine the differences in 22 indicators between the two groups in an attempt to identify the risk factors for pressure sores. Results: According to the univariate analyses, the maximum value of lactic acid in the arterial blood, the number of days of norepinephrine use, the number of days of mechanical ventilation, the number of days of blood purification, and the number of days of bowel incontinence were sta-tistically greater in the pressure sore group than in the control group ( P Conclusions: The best method for preventing and control pressure sores in surgical critically ill patients is to strongly emphasize the duration of the critical status and to give special attention to patients in a continuous state of shock. The adoption of measures specific to high-risk patient groups and risk factors, including the active control of primary diseases and the application of de-compression measures during the treatment of the patients, are helpful for improving the quality of care in the prevention and control of pressure sores in critically ill patients.

  8. Adsorption of dyes on Sahara desert sand.

    Science.gov (United States)

    Varlikli, Canan; Bekiari, Vlasoula; Kus, Mahmut; Boduroglu, Numan; Oner, Ilker; Lianos, Panagiotis; Lyberatos, Gerasimos; Icli, Siddik

    2009-10-15

    Sahara desert sand (SaDeS) was employed as a mineral sorbent for retaining organic dyes from aqueous solutions. Natural sand has demonstrated a strong affinity for organic dyes but significantly lost its adsorption capacity when it was washed with water. Therefore, characterization of both natural and water washed sand was performed by XRD, BET, SEM and FTIR techniques. It was found that water-soluble kyanite, which is detected in natural sand, is the dominant factor affecting adsorbance of cationic dyes. The sand adsorbs over 75% of cationic dyes but less than 21% for anionic ones. Among the dyes studied, Methylene Blue (MB) demonstrated the strongest affinity for Sahara desert sand (Q(e)=11.98 mg/g, for initial dye solution concentration 3.5 x 10(-5)mol/L). The effects of initial dye concentration, the amount of the adsorbent, the temperature and the pH of the solution on adsorption capacity were tested by using Methylene Blue as model dye. Pseudo-first-order, pseudo-second-order and intraparticle diffusion models were applied. It was concluded that adsorption of Methylene Blue on Sahara desert sand followed pseudo-second order kinetics. Gibbs free energy, enthalpy change and entropy change were calculated and found -6411 J/mol, -30360 J/mol and -76.58 J/mol K, respectively. These values indicate that the adsorption is an exothermic process and has a spontaneous nature at low temperatures.

  9. Critical state of sand matrix soils.

    Science.gov (United States)

    Marto, Aminaton; Tan, Choy Soon; Makhtar, Ahmad Mahir; Kung Leong, Tiong

    2014-01-01

    The Critical State Soil Mechanic (CSSM) is a globally recognised framework while the critical states for sand and clay are both well established. Nevertheless, the development of the critical state of sand matrix soils is lacking. This paper discusses the development of critical state lines and corresponding critical state parameters for the investigated material, sand matrix soils using sand-kaolin mixtures. The output of this paper can be used as an interpretation framework for the research on liquefaction susceptibility of sand matrix soils in the future. The strain controlled triaxial test apparatus was used to provide the monotonic loading onto the reconstituted soil specimens. All tested soils were subjected to isotropic consolidation and sheared under undrained condition until critical state was ascertain. Based on the results of 32 test specimens, the critical state lines for eight different sand matrix soils were developed together with the corresponding values of critical state parameters, M, λ, and Γ. The range of the value of M, λ, and Γ is 0.803-0.998, 0.144-0.248, and 1.727-2.279, respectively. These values are comparable to the critical state parameters of river sand and kaolin clay. However, the relationship between fines percentages and these critical state parameters is too scattered to be correlated.

  10. Sand Flies and Their Control Methods.

    Science.gov (United States)

    Çetin, Hüseyin; Özbel, Yusuf

    2017-06-01

    The main aim of managing arthropod vectors that carry the disease agents is interrupting the infection cycle. Therefore, the management of the disease implies that all precautions related to all elements (i.e., human, arthropod vector, and reservoir) in the infection cycle need to be taken. There are important points that need to be considered while dealing with sand flies (Diptera: Psychodidae: Phlebotominae), which in many regions worldwide, particularly in tropical and subtropical areas, are vectors of diseases such as leishmaniasis and sand fly fever and are the arthropods of the infection cycle. Because the larval control of the sand flies is very difficult and almost impossible, the management is mainly conducted for the adults. The most effective strategy for reducing both sand fly fever and leishmaniasis is managing sand flies, particularly in areas where humans are located. In this review, the morphology, biology, and taxonomy of sand flies; the integrated fighting and management methods such as insecticide-impregnated bed nets and use of curtains, zooprophylaxis, indoor and outdoor residual applications, larvicides, repellents, and insecticide-impregnated dog collars; and data regarding many issues such as insecticide resistance in sand flies have been emphasized on in the review.

  11. Critical State of Sand Matrix Soils

    Directory of Open Access Journals (Sweden)

    Aminaton Marto

    2014-01-01

    Full Text Available The Critical State Soil Mechanic (CSSM is a globally recognised framework while the critical states for sand and clay are both well established. Nevertheless, the development of the critical state of sand matrix soils is lacking. This paper discusses the development of critical state lines and corresponding critical state parameters for the investigated material, sand matrix soils using sand-kaolin mixtures. The output of this paper can be used as an interpretation framework for the research on liquefaction susceptibility of sand matrix soils in the future. The strain controlled triaxial test apparatus was used to provide the monotonic loading onto the reconstituted soil specimens. All tested soils were subjected to isotropic consolidation and sheared under undrained condition until critical state was ascertain. Based on the results of 32 test specimens, the critical state lines for eight different sand matrix soils were developed together with the corresponding values of critical state parameters, M, λ, and Γ. The range of the value of M, λ, and Γ is 0.803–0.998, 0.144–0.248, and 1.727–2.279, respectively. These values are comparable to the critical state parameters of river sand and kaolin clay. However, the relationship between fines percentages and these critical state parameters is too scattered to be correlated.

  12. Invasive plants on disturbed Korean sand dunes

    Science.gov (United States)

    Kim, Kee Dae

    2005-01-01

    The sand dunes in coastal regions of South Korea are important ecosystems because of their small size, the rare species found in this habitat, and the beautiful landscapes they create. This study investigated the current vegetative status of sand dunes on three representative coasts of the Korean peninsula, and on the coasts of Cheju Island, and assessed the conditions caused by invasive plants. The relationships between the degree of invasion and 14 environmental variables were studied. Plots of sand dunes along line transects perpendicular to the coastal lines were established to estimate vegetative species coverage. TWINSPAN (Two-Way Indicator Species Analysis), CCA (Canonical Correspondence Analysis), and DCCA (Detrended Canonical Correspondence Analysis) were performed to classify communities on sand dunes and assess species composition variation. Carex kobomugi, Elymus mollis, and Vitex rotundifolia were found to be the dominant species plotted on the east, the west, and the peripheral coasts of Cheju Island, respectively. Vegetation on the south coast was totally extinct. The 19 communities, including representative C. kobomugi, C. kobomugi- Ixeris repens, C. kobomugi- Oenothera biennis, E. mollis, Lolium multiflorum- Calystegia soldanella, and V. rotundifolia- C. kobomugi, were all classified according to TWINSPAN. Oenothera biennis and L. multiflorum were exotics observed within these native communities. CCA showed that invasive native and exotic species distribution was segregated significantly, according to disturbance level, exotic species number, gravel, sand and silt contents, as well as vegetation size. It further revealed that human disturbance can strongly favor the settlement of invasive and exotic species. Restoration options to reduce exotic plants in the South Korean sand dune areas were found to be the introduction of native plant species from one sand dune into other sand dune areas, prohibition of building and the introduction of exotic

  13. [Comparative study between benzydamine hydrochloride gel, lidocaine 5% gel and lidocaine 10% spray on endotracheal tube cuff as regards postoperative sore throat].

    Science.gov (United States)

    Mekhemar, Nashwa Abdallah; El-Agwany, Ahmed Samy; Radi, Wafaa Kamel; El-Hady, Sherif Mohammed

    2016-01-01

    Postoperative sore throat is a common complication after endotracheal intubation. After tracheal intubation, the incidence of sore throat varies from 14.4% to 50%. The aim of the study was to compare between benzydamine hydrochloride gel, lidocaine 5% gel and lidocaine 10% spray on the endotracheal tube cuff as regards postoperative sore throat. The present study was carried out on 124 patients admitted to Alexandria university hospitals for lumbar fixation surgery requiring general anesthesia. Patients were randomly allocated into 4 groups. Benzydamine hydrochloride gel, 5% lidocaine hydrochloride gel, 10% lidocaine hydrochloride spray, or normal saline were applied on endotracheal tube cuffs before endotracheal intubation. The patients were examined for sore throat (none, mild, moderate, or severe) at 0, 1, 6, 12, and 24h after extubation. The results were collected, analyzed and presented in table and figure. The highest incidence of postoperative sore throat occurred at 6h after extubation in all groups. There was a significantly lower incidence of postoperative sore throat in the benzydamine group than 5% lidocaine gel, 10% lidocaine spray, and normal saline groups. The benzydamine group had significantly decreased severity of postoperative sore throat compared with the 10% lidocaine, 5% lidocaine, and normal saline groups at observation time point. Compared with the 5% lidocaine the 10% lidocaine group had significantly increased incidence and severity of postoperative sore throat after extubation. Compared with normal saline the 10% lidocaine group had increased incidence of postoperative sore throat. There were no significant differences among groups in local or systemic side effects. So in conclusion, benzydamine hydrochloride gel on the endotracheal tube cuff is a simple and effective method to reduce the incidence and severity of postoperative sore throat. Application of 10% lidocaine spray should be avoided because of worsening of postoperative sore

  14. Comparative study between benzydamine hydrochloride gel, lidocaine 5% gel and lidocaine 10% spray on endotracheal tube cuff as regards postoperative sore throat

    Directory of Open Access Journals (Sweden)

    Nashwa Abdallah Mekhemar

    2016-06-01

    Full Text Available ABSTRACT Postoperative sore throat is a common complication after endotracheal intubation. After tracheal intubation, the incidence of sore throat varies from 14.4% to 50%. The aim of the study was to compare between benzydamine hydrochloride gel, lidocaine 5% gel and lidocaine 10% spray on the endotracheal tube cuff as regards postoperative sore throat. The present study was carried out on 124 patients admitted to Alexandria university hospitals for lumbar fixation surgery requiring general anesthesia. Patients were randomly allocated into 4 groups. Benzydamine hydrochloride gel, 5% lidocaine hydrochloride gel, 10% lidocaine hydrochloride spray, or normal saline were applied on endotracheal tube cuffs before endotracheal intubation. The patients were examined for sore throat (none, mild, moderate, or severe at 0, 1, 6, 12, and 24 h after extubation. The results were collected, analyzed and presented in table and figure. The highest incidence of postoperative sore throat occurred at 6 h after extubation in all groups. There was a significantly lower incidence of postoperative sore throat in the benzydamine group than 5% lidocaine gel, 10% lidocaine spray, and normal saline groups. The benzydamine group had significantly decreased severity of postoperative sore throat compared with the 10% lidocaine, 5% lidocaine, and normal saline groups at observation time point. Compared with the 5% lidocaine the 10% lidocaine group had significantly increased incidence and severity of postoperative sore throat after extubation. Compared with normal saline the 10% lidocaine group had increased incidence of postoperative sore throat. There were no significant differences among groups in local or systemic side effects. So in conclusion, benzydamine hydrochloride gel on the endotracheal tube cuff is a simple and effective method to reduce the incidence and severity of postoperative sore throat. Application of 10% lidocaine spray should be avoided because of

  15. Comparative study between benzydamine hydrochloride gel, lidocaine 5% gel and lidocaine 10% spray on endotracheal tube cuff as regards postoperative sore throat.

    Science.gov (United States)

    Mekhemar, Nashwa Abdallah; El-Agwany, Ahmed Samy; Radi, Wafaa Kamel; El-Hady, Sherif Mohammed

    2016-01-01

    Postoperative sore throat is a common complication after endotracheal intubation. After tracheal intubation, the incidence of sore throat varies from 14.4% to 50%. The aim of the study was to compare between benzydamine hydrochloride gel, lidocaine 5% gel and lidocaine 10% spray on the endotracheal tube cuff as regards postoperative sore throat. The present study was carried out on 124 patients admitted to Alexandria university hospitals for lumbar fixation surgery requiring general anesthesia. Patients were randomly allocated into 4 groups. Benzydamine hydrochloride gel, 5% lidocaine hydrochloride gel, 10% lidocaine hydrochloride spray, or normal saline were applied on endotracheal tube cuffs before endotracheal intubation. The patients were examined for sore throat (none, mild, moderate, or severe) at 0, 1, 6, 12, and 24h after extubation. The results were collected, analyzed and presented in table and figure. The highest incidence of postoperative sore throat occurred at 6h after extubation in all groups. There was a significantly lower incidence of postoperative sore throat in the benzydamine group than 5% lidocaine gel, 10% lidocaine spray, and normal saline groups. The benzydamine group had significantly decreased severity of postoperative sore throat compared with the 10% lidocaine, 5% lidocaine, and normal saline groups at observation time point. Compared with the 5% lidocaine the 10% lidocaine group had significantly increased incidence and severity of postoperative sore throat after extubation. Compared with normal saline the 10% lidocaine group had increased incidence of postoperative sore throat. There were no significant differences among groups in local or systemic side effects. So in conclusion, benzydamine hydrochloride gel on the endotracheal tube cuff is a simple and effective method to reduce the incidence and severity of postoperative sore throat. Application of 10% lidocaine spray should be avoided because of worsening of postoperative sore

  16. Formation mechanism of cracks in saturated sand

    Institute of Scientific and Technical Information of China (English)

    Xiaobing Lu; Zhemin Zheng; Yongren Wu

    2006-01-01

    The formation mechanism of "water film" (or crack) in saturated sand is analyzed theoretically and numerically.The theoretical analysis shows that there will be no stable "water film" in the saturated sand if the strength of the skeleton is zero and no positions are choked.It is shown by numerical simulation that stable water films initiate and grow if the choking state keeps unchanged once the fluid velocities decrease to zero in the liquefied sand column.The developments of "water film" based on the model presented in this paper are compared with experimental results.

  17. Lund Sand No 0:part 2

    OpenAIRE

    Ibsen, Lars Bo; Jakobsen, Finn Rosendal

    1996-01-01

    During the last 15 years the Geotechnical Engineering Group (GEG) at Aalborg University has performed triaxial tests with a sand called Lund No 0. Lund No 0 is a graded sand from a gravel pit near Horsens in Denmark. For the classification of the sand the following tests have been performed: Sieve test, Grain density, ds, Maximum, emax, and minimum, emin, void ratio. The strength parameters of Lund No 0 are detennined by some drained and undrained triaxial tests in the Danish Triaxial Cell. T...

  18. Lund Sand No 0:part 1

    OpenAIRE

    Ibsen, Lars Bo; Jakobsen, Finn Rosendal

    1996-01-01

    During the last 15 years the Geotechnical Engineering Group (GEG) at Aalborg University has performed triaxial tests with a sand called Lund No 0. Lund No 0 is a graded sand from a gravel pit near Horsens in Denmark. For the classification of the sand the following tests have been performed: Sieve test, Grain density, ds, Maximum, emax, and minimum, emin, void ratio. The strength parameters of Lund No 0 are detennined by some drained and undrained triaxial tests in the Danish Triaxial Cell. T...

  19. The estimation of ability to reclame of moduling sands with biopolymer binders

    Directory of Open Access Journals (Sweden)

    J. Jakubski

    2011-04-01

    Full Text Available Applied up till now organic binding materials, on the basis of synthetic resins are characterised by good technological properties, but cause high emission of harmful substances. That’s why contemporary scientific researches are leading to progressive replacing the binders obtained from petrochemical materials with polymer biocomposites coming from renewable resources. Increasing concern of aliphatic polyesters such as polylactide, polycaprolactone, poly(hydroxyalkanoates and aliphatic-aromatic polyesters is caused by the possibility of using them for producing many biodegradable products. In that context it is important to expand the researches connected to using biopolymers as moulding sands binders. Contemporary authors’ papers were focused on technological properties and harmfulness for the environment of this ecological moulding sands. TThis article takes into consideration the ability to reclamation of moulding sands with biopolymer binders.

  20. Watching Faults Grow in Sand

    Science.gov (United States)

    Cooke, M. L.

    2015-12-01

    Accretionary sandbox experiments provide a rich environment for investigating the processes of fault development. These experiments engage students because 1) they enable direct observation of fault growth, which is impossible in the crust (type 1 physical model), 2) they are not only representational but can also be manipulated (type 2 physical model), 3) they can be used to test hypotheses (type 3 physical model) and 4) they resemble experiments performed by structural geology researchers around the world. The structural geology courses at UMass Amherst utilize a series of accretionary sandboxes experiments where students first watch a video of an experiment and then perform a group experiment. The experiments motivate discussions of what conditions they would change and what outcomes they would expect from these changes; hypothesis development. These discussions inevitably lead to calculations of the scaling relationships between model and crustal fault growth and provide insight into the crustal processes represented within the dry sand. Sketching of the experiments has been shown to be a very effective assessment method as the students reveal which features they are analyzing. Another approach used at UMass is to set up a forensic experiment. The experiment is set up with spatially varying basal friction before the meeting and students must figure out what the basal conditions are through the experiment. This experiment leads to discussions of equilibrium and force balance within the accretionary wedge. Displacement fields can be captured throughout the experiment using inexpensive digital image correlation techniques to foster quantitative analysis of the experiments.

  1. Effect of Chromite-Silica Sands Characteristics on Performance of Ladle Filler Sands for Continuous Casting

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    Free opening rate is mainly determined by the performance of the ladle filler sand. High free opening rates of ladles are required in steel making to improve steel quality. Chromite ladle filler sands are one of the most widely used ladle filler sand. Several operative variables and materials characteristics affect the performance of the sands. Three sets of chromite ladle filler sands were selected and researches were focused on the sintering hehaviour and per- formance of the sands under operative conditions. The effect of particle size distribution on sintering, microstruc- ture, flowability, and permeability were presented. In all cases, the particle size varies from 0.1 to 1.5 mm corre- sponding to free flowing powders. One of the samples has higher permeability factor in comparison with others due to low particle size distribution. The other sample presents very good free opening due to its very good flowability and permeability factor.

  2. Sand Lake WMD vegetation mapping project update

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — Final report on the vegetation mapping project at Sand Lake Wetland Management District. This project is being completed by the use of SPRING software and ground...

  3. Bioaugmentation of flow-through sand filters

    DEFF Research Database (Denmark)

    Samuelsen, Elin Djurhuus

    Global applications of pesticides in agricultural production have led to the detection of trace amounts of pesticides in groundwater resources in levels exceeding the EU threshold limit for drinking water of 0.1 µg L-1. Pesticide-polluted groundwater may be remediated by inoculating waterworks sand...... for degradation performances in flow-through sand columns, with the aim of identifying a suitable inoculant strain for future environmental applications. Another aim was to identify a suitable genetic marker to monitor phenoxy acid degradation in strain Sphingobium sp. PM2. We were not able to link motility...... and biofilm formation to the strains´ ability to adhere to sand. Nevertheless, a correlation was found between cell surface hydrophobicity and adhesion and overall degradation performances in flow-through sand columns. We identified S phingobium sp. PM2 as a promising inoculant strain, displaying efficient...

  4. Petrophysical Analysis of Oil Sand in Athabasca

    Science.gov (United States)

    cheong, S.; Lee, H.

    2013-12-01

    Oil sands are the major unconventional energy sources which have great reserves in Alberta, Canada. Recovery techniques such as CSS (Cyclic Steam Stimulation) and SAGD (Steam Assisted Gravity Drainage) enabled to develop deeper bitumen about several hundred meter depth. Before applying CSS and SAGD, reservoir heterogeneity of mud barriers or shale breccias should be clarified to establish injection and production wells successfully. We conducted the integrated petro-physical analysis for oil sands deposits in Athabasca by correlating well logs with seismic data. From 33 well logs and 3D seismic, we have made P-wave impedance by recursive inversion. Target formations of our analysis were the top of Wabiskaw member. Using inverted impedance and multi-attributes, porosity volume was derived at a target depth. Porosity of time slice 375 ms ranged 20 ~ 40 % stretching porous sand body from NE to SW direction. Characteristics of porosity distribution may be useful to design optimum oil sands recovery in Athabasca.

  5. Carbon cycle: New pathways in the sand

    Science.gov (United States)

    Rao, Alexandra

    2017-01-01

    Organic carbon decomposition in anoxic marine sediments was thought to be dominated by bacteria, but experimental data and microbial culture studies now show that microalgae buried in coastal sands may also play an important role in carbon turnover.

  6. CRADE OF SAND AND DUST STORM WEATHER

    Institute of Scientific and Technical Information of China (English)

    Niu Ruoyun; Tian Cuiying; Bi Baogui; Yang Keming; Wang Youheng; Tuo Ya; Ding Haifang; Zhang Tairen

    2011-01-01

    Background Sand and dust storm,as one of the main disastrous weathers that affect northern China,not only affect the people health and normal life,but cause the short-term climatic changes due to the direct and indirect radiation of the earth-atmosphere system through the dust floating in the sky.The sand end dust weather and its potential harm on the national economy,ecological environment,social activities and other aspects have aroused worldwide concern.

  7. Laboratory evaluation of selected tar sand asphalts

    Energy Technology Data Exchange (ETDEWEB)

    Button, J.W.; Epps, J.A.; Gallaway, B.M.

    1980-12-01

    Three tar sand asphalts of similar grades prepared from one syncrude by three different refining methods were characterized by tests commonly used to specify paving asphalts together with certain special tests. Asphalt-aggregate mixtures were prepared using these asphalts and tested in the laboratory to determine strength stiffness stability, tensile properties, temperature effects and water susceptibility. Comparison of the tar sand asphalt properties to conventional petroleum asphalt properties reveal no striking differences.

  8. Response to Oil Sands Products Assessment

    Science.gov (United States)

    2015-09-01

    Tailings ponds are an operating facility common to all types of surface mining. For oil sands, tailings consisting of water , sand, clay, and residual ...oil, are pumped to these basins—or ponds— where settling occurs and water is recycled for reuse in the process. When the ponds are no longer required...of crude oil transported by tank vessel in Washington waters . In a 2013 Bloomburg Business news article , Dan Murtaugh states, “The dock probably

  9. Treating tar sands formations with dolomite

    Energy Technology Data Exchange (ETDEWEB)

    Vinegar, Harold J.; Karanikas, John Michael

    2010-06-08

    Methods for treating a tar sands formation are described herein. The tar sands formation may include dolomite and hydrocarbons. Methods may include providing heat at less than the decomposition temperature of dolomite from one or more heaters to at least a portion of the formation. At least some of the hydrocarbon fluids are mobilized in the formation. At least some of the hydrocarbon fluids may be produced from the formation.

  10. Investigations of physicochemical properties of dusts generated in mechanical reclamation process of spent moulding sands with alkaline resins

    Directory of Open Access Journals (Sweden)

    R. Dańko

    2014-03-01

    Full Text Available Mechanical reclamation processes of spent moulding sands generate large amounts of post-reclamation dusts mainly containing rubbed spent binding agents and quartz dusts. The amount of post-reclamation dusts, depending in the reclamation system efficiency and the reclaim dedusting system, can reach 5%-10% in relation to the total reclaimed spent moulding sand. The proper utilization of such material is a big problem facing foundries these days. This study presents the results of investigations of physicochemical properties of post- reclamation dusts. All tested dusts originated from various Polish cast steel plants applying the mechanical reclamation process of moulding sands with alkaline resins, obtained from different producers. Different dusts, delivered from foundries, were tested to determine their chemical composition, granular characterization, physicochemical and energetic properties. Presented results confirmed assumptions that it is possible to utilize dusts generated during mechanical reclamation of used sands with organic resins as a source of energy.

  11. Pragmatics of reclaimed sand quality assessment recovered nowadays from various used sand systems

    Directory of Open Access Journals (Sweden)

    J. Dańko

    2010-04-01

    Full Text Available The assessment of the reclamation degree of used sands is not a simple, clearly defined issue. The great variety of technologies ofmoulding and core sands, based on the organic and inorganic binders does not allow the use of a single, universal index assessing thedegree of reclamation. The article presents the problems of research relating to selection of proper criteria for assessing the degree ofreclamation process of used moulding and core sands deriving from different technologies. The most often applied in practice types ofused sands and the most adequate in practice methods of assessing the degrees of their reclamation were characterized.

  12. Sand Dune Encroachment and Desertification Processes of the Rigboland Sand Sea, Central Iran.

    Science.gov (United States)

    Ahmady-Birgani, Hesam; McQueen, Kenneth G; Moeinaddini, Mazaher; Naseri, Hamidreza

    2017-05-08

    Early studies on sand dune movement and desertification in Iran have not always been convincingly demonstrated because of problems with the field-based measurements. In some areas where various land uses have been engulfed by aeolian sand dunes, desertification is clear, but in other less settled areas, it may not be so obvious. The objective of this study is to demonstrate encroachments of the Rigboland sand sea, central Iran, in its different directions and variable magnitude rates. Determining the rate and direction of the sand sea movements is critical for specifying which lands should be prioritized and quickly protected. The study has trialed a change detection technique which uses a Cross-Tabulation module to compare two available LandsatTM images over the Rigboland sand sea. This indicates that within a ten-year span (from 1988 to 1998) more than 200 ha/yr were added to the Rigboland sand sea, from the alluvial fan landforms in the eastern upstream, outer margins of the Rigboland sand sea. Coupled with GIS techniques, this type of analysis of the remote sensing (RS) images provides an effective tool for the monitoring and prognostication of sand dune movement and sand sea change.

  13. Analysis of sand particles' lift-off and incident velocities in wind-blown sand flux

    Institute of Scientific and Technical Information of China (English)

    Tian-Li Bo; Xiao-Jing Zheng; Shao-Zhen Duan; Yi-Rui Liang

    2013-01-01

    In the research of windblown sand movement,the lift-off and incident velocities of saltating sand particles play a significant role in bridging the spatial and temporal scales from single sand particle's motion to windblown sand flux.In this paper,we achieved wind tunnel measurements of the movement of sand particles near sand bed through improving the wind tunnel experimental scheme of paticle image velocimetry (PIV) and data processing method.And then the influence of observation height on the probability distributions of lift-off and incident velocities of sand particles was analyzed.The results demonstrate that the observation height has no obvious influence on the distribution pattern of the lift-off and incident velocities of sand particles,i.e.,the probability distribution of horizontal and vertical velocities of lift-off and incident sand particles follow a Gaussian distribution and a negative exponential distribution,respectively.However,it influences the center of the Gaussian distribution,the decay constant and the amplitude of the negative exponential distribution.

  14. Cold-water immersion (cryotherapy for preventing and treating muscle soreness after exercise

    Directory of Open Access Journals (Sweden)

    Chris Bleakley

    Full Text Available BACKGROUND: Many strategies are in use with the intention of preventing or minimizing delayed onset muscle soreness and fatigue after exercise. Cold-water immersion, in water temperatures of less than 15 °C, is currently one of the most popular interventional strategies used after exercise. OBJECTIVES: To determine the effects of cold-water immersion in the management of muscle soreness after exercise. SEARCH METHODS: In February 2010, we searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (The Cochrane Library (2010, Issue 1, Medline, Embase, Cumulative Index to Nursing and Allied Health (CINAHL, British Nursing Index and archive (BNI, and the Physiotherapy Evidence Database (PEDro. We also searched the reference lists of articles, handsearched journals and conference proceedings and contacted experts. In November 2011, we updated the searches of Central (2011, Issue 4, Medline (up to November Week 3 2011, Embase (to 2011 Week 46 and CINAHL (to 28 November 2011 to check for more recent publications. SELECTION CRITERIA: Randomized and quasi-randomized trials comparing the effect of using cold-water immersion after exercise with: passive intervention (rest/no intervention, contrast immersion, warm-water immersion, active recovery, compression, or a different duration/dosage of cold-water immersion. Primary outcomes were pain (muscle soreness or tenderness (pain on palpation, and subjective recovery (return to previous activities without signs or symptoms. DATA COLLECTION AND ANALYSIS: Three authors independently evaluated study quality and extracted data. Some of the data were obtained following author correspondence or extracted from graphs in the trial reports. Where possible, data were pooled using the fixed-effect model. MAIN RESULTS: Seventeen small trials were included, involving a total of 366 participants. Study quality was low. The temperature, duration and

  15. Recent Sand Avalanching on Rabe Crater Dunes

    Science.gov (United States)

    2000-01-01

    Dark streaks on the steep, down-wind slopes of sand dunes in Rabe Crater are seen at several locations in this Mars Global Surveyor (MGS) Mars Orbiter Camera (MOC) image. These streaks indicate relatively recent (i.e., in the past few years or less) movement of sand down these slopes.Sand dunes move forward by the combined action of wind that drives sand up the shallow slope on the windward side of the dune (in this case, the slopes that face toward the lower right) and the avalanching of this sand down the steeper, lee-side slope. The steep slope is also known as the slip face. The dark streaks indicated by arrows are evidence for sand avalanches that occurred within a few months or years of the time when the picture was taken in March 1999. Other streaks which are seen criss-crossing the dunes may be the result of passing dust devils. This image is illuminated from the upper left and located in Rabe Crater of the Hellespontus-Noachis region near 44.2oS, 325.6oW.

  16. Discrete particle simulation of mixed sand transport

    Institute of Scientific and Technical Information of China (English)

    Fengjun Xiao; Liejin Guo; Debiao Li; Yueshe Wang

    2012-01-01

    An Eulerian/Lagrangian numerical simulation is performed on mixed sand transport.Volume averaged Navier-Stokes equations are solved to calculate gas motion,and particle motion is calculated using Newton's equation,involving a hard sphere model to describe particle-to-particle and particle-to-wall collisions.The influence of wall characteristics,size distribution of sand particles and boundary layer depth on vertical distribution of sand mass flux and particle mean horizontal velocity is analyzed,suggesting that all these three factors affect sand transport at different levels.In all cases,for small size groups,sand mass flux first increases with height and then decreases while for large size groups,it decreases exponentially with height and for middle size groups the behavior is in-between.The mean horizontal velocity for all size groups well fits experimental data,that is,increasing logarithmically with height in the middle height region.Wall characteristics greatly affects particle to wall collision and makes the flat bed similar to a Gobi surface and the rough bed similar to a sandy surface.Particle size distribution largely affects the sand mass flux and the highest heights they can reach especially for larger particles.

  17. Predicting the occurrence of sand banks in the North Sea

    NARCIS (Netherlands)

    Veen, van der Henriët H.; Hulscher, Suzanne J.M.H.

    2009-01-01

    Sand banks have a wavelength between 1 and 10 km, and they are up to several tens of meters high. Also, sand banks may have an impact on large-scale human activities that take place in the North Sea like sand mining, shipping, offshore wind farms, etc. Therefore, it is important to know where sand b

  18. The contribution made by an armchair with integral pressure-reducing cushion in the prevention of pressure sore incidence in the elderly, acutely ill patient.

    Science.gov (United States)

    Collins, F

    1999-10-01

    The paper describes a clinical controlled trial of an armchair with integral pressure-reducing cushion, which took place on two elderly acute medical wards in a district general hospital. The aim of the study was to evaluate whether the armchair would have an impact on reducing the occurrence of pressure sores. All patients were provided with a mattress or overlay in accordance with the hospital policy on mattress provision following a Waterlow risk assessment. Patients on ward A were provided with an armchair with integral pressure-reducing cushion, whilst patients on ward B continued to use their existing bedside armchair. Nominal data were collected on all pressure sores in patients who were not bedridden. Ward A had a significantly lower incidence of hospital-acquired pressure sores compared to ward B, and non-hospital-acquired pressure sores on this ward showed more improvement than those on ward B.

  19. Layers, Landslides, and Sand Dunes

    Science.gov (United States)

    2003-01-01

    [figure removed for brevity, see original site] Released 27 October 2003This image shows the northern rim of one of the Valles Marineris canyons. Careful inspection shows many interesting features here. Note that the spurs and gullies in the canyon wall disappear some distance below the top of the canyon wall, indicating the presence of some smooth material here that weathers differently from the underlying rocks. On the floor of the canyon, there are remains from a landslide that came hurtling down the canyon wall between two spurs. Riding over the topography of the canyon floor are many large sand dunes, migrating generally from the lower right to upper left.Image information: VIS instrument. Latitude -14.1, Longitude 306.7 East (53.3 West). 19 meter/pixel resolution.Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time. NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  20. Harmfulness Assessment of Moulding Sands with a Geopolymer Binder and a New Hardener, in An Aspect of the Emission of Substances from the Btex Group

    Directory of Open Access Journals (Sweden)

    Bobrowski A.

    2015-04-01

    Full Text Available The harmfulness assessment of moulding sands with a geopolymer binder and a new hardener, in an aspect of the emission of substances from the BTEX group, was performed. Within the expedience project the new series of hardeners for the inorganic GEOPOL binder was developed. Before the introduction of the new system of moulding sands it was necessary to estimate their influence on the environment. To this aim the gasses emission from moulding sands subjected to the influence of liquid cast iron was tested with regard to the content of the gases from the BTEX group (benzene, toluene, ethylbenzene and xylenes. For the comparison the analogous investigations of the up to now applied moulding sands with the geopolymer binder, were performed. It was found that both systems of moulding sands binding emit similar amounts of gases, as well as similar amounts of substances from the BTEX group. Moulding sands with the GEOPOL binder are much more environmentally friendly than moulding sands with organic binders. The content of the BTEX group substances in gases emitted from moulding sands with the GEOPOL binder was approximately 10-times lower than in case of the moulding sands with organic binders.

  1. METHODS FOR STRENGTHENING OF ADHESION BONDS BETWEEN SURFACE OF USED MOLDING SAND AND ORGANIC BINDER WHILE OBTAINING ACTIVATED MINERAL POWDERS

    Directory of Open Access Journals (Sweden)

    Ya. N. Kovalev

    2016-01-01

    Full Text Available Value of adhesion bond between mineral surface of acid quartz materials and organic binder (bitumen has a great significance while forming structure of asphalt concrete strengthening. It has been established theoretically and experimentally that that the bond is insignificant and it causes premature destruction of structure for asphalt-binding substance and finally asphalt concrete. In this connection the relevant objective of the paper is a search for efficient methods for strengthening of adhesion bonds between the indicated structural components. A development for obtaining mineral powders from used molding sand activated by various hydrofobisation methods plays rather important role in that matter. The development of several methods for obtainment of activated mineral powders from used molding sand and also know-how pertaining to behavior of asphalt concrete formed on their basis have made it possible to create rational technologies which are applicable under operational conditions of the specified asphalt concrete plants in any region. The executed investigations on hydrofobisation of particles surface for the used molding sand with the help of sodium alkyl siliconates have established the basis for development of new efficient method for obtaining activated mineral powders from the used molding sand. The method presupposes treatment of the used molding sand in the process of mill flow in a ball drum while using sodium ethyl siliconate (0.3–0.7 % as compared with the mass of mineral raw material. Juvenile particle surface of fresh milled powder from the used molding sand has a maximum activity among the known filling compounds in relation to althin and this phenomenon can be explained by additional structure-forming impact of chemically active organic foundry binding agents which are contained in the used molding sand. That particular property allows to use widely powder from the used molding sand which contains uncured althin as a

  2. Development of the Gran Desierto sand sea, northwestern Mexico

    Science.gov (United States)

    Blount, Grady; Lancaster, Nicholas

    1990-08-01

    Three major eolian sand populations can be recognized in the Gran Desierto sand sea of northwestern Mexico by using spectral data from the Landsat thematic mapper in conjunction with textural and mineralogical studies of surface sands. Each sand population has distinct textural, mineralogic, and spectral properties that can be related to sand-dune morphology and position with reference to source areas and transport paths of the sands. The oldest eolian sediment in the sand sea was derived from the early to middle Pleistocene Colorado River that flowed through the area of the western Gran Desierto. Subsequent inputs of eolian sands came from the area of the present Colorado River valley and the coast south of the sand sea. The spatial and temporal pattern of eolian deposition in the region has been controlled by Quaternary tectonic and climatic changes, resulting in the episodic input and deposition of sand.

  3. A prospective, randomized, double blind, placebo controlled clinical trial to study efficacy and safety of benzydamine 0.15% gargles in prevention of postoperative sore throat

    OpenAIRE

    Smita M Gaikwad; Kanchan R. Rupwate; Bharati A Tendolkar

    2016-01-01

    Background: Postoperative sore throat (POST) is an undesirable outcome of general anesthesia. The aim of the study was to evaluate the effectiveness of benzydamine preoperative gargles in reducing the incidence and severity of POST. Methods: A randomized double blind prospective study involving 200 adult male and female patients was performed to assess the incidence of sore throat, cough and hoarseness of voice following tracheal intubation. The patients were randomly divided into two gro...

  4. The Effects of Eccentric Contraction Duration on Muscle Strength, Power Production, Vertical Jump, and Soreness.

    Science.gov (United States)

    Mike, Jonathan N; Cole, Nathan; Herrera, Chris; VanDusseldorp, Trisha; Kravitz, Len; Kerksick, Chad M

    2017-03-01

    Mike, JN, Cole, N, Herrera, C, VanDusseldorp, T, Kravitz, L, and Kerksick, CM. The effects of eccentric contraction duration on muscle strength, power production, vertical jump, and soreness. J Strength Cond Res 31(3): 773-786, 2017-Previous research has investigated the effects of either eccentric-only training or comparing eccentric and concentric exercise on changes related to strength and power expression, but no research to date has investigated the impact of altering the duration of either the concentric or the eccentric component on these parameters. Therefore, the purpose of this study was to assess the duration of eccentric (i.e., 2-second, 4-second vs. 6-second) muscle contractions and their effect on muscle strength, power production, vertical jump, and soreness using a plate-loaded barbell Smith squat exercise. Thirty college-aged men (23 ± 3.5 years, 178 ± 6.8 cm, 82 ± 12 kg, and 11.6 ± 5.1% fat) with 3.0 ± 1.0 years of resistance training experience and training frequency of 4.3 ± 0.9 days per week were randomized and assigned to 1 of 3 eccentric training groups that incorporated different patterns of contraction. For every repetition, all 3 groups used 2-second concentric contractions and paused for 1 second between the concentric and eccentric phases. The control group (2S) used 2-second eccentric contractions, whereas the 4S group performed 4-second eccentric contractions and the 6S group performed 6-second eccentric contractions. All repetitions were completed using the barbell Smith squat exercise. All participants completed a 4-week training protocol that required them to complete 2 workouts per week using their prescribed contraction routine for 4 sets of 6 repetitions at an intensity of 80-85% one repetition maximum (1RM). For all performance data, significant group × time (G × T) interaction effects were found for average power production across all 3 sets of a squat jump protocol (p = 0.04) while vertical jump did not reach

  5. Effects of advanced oxidation on green sand properties via iron casting into green sand molds.

    Science.gov (United States)

    Wang, Yujue; Cannon, Fred S; Voigt, Robert C; Komarneni, Sridhar; Furness, J C

    2006-05-01

    The effects of advanced oxidation (AO) processing on the properties of green sand were studied via pouring cast iron into green sand molds. Upon cooling, the green sand molds were autopsied at various distances from the metal-sand interface. Autopsy green sand samples collected from a mold that incorporated AO water were characterized and compared to controlled samples collected from a similar autopsied mold made with conventional tap water (TAP). It was found that the AO processing removed a coating of coal pyrolysis products from the clay surface that typically accumulated on the clay surface. As a result, the AO-conditioned green sand retained 10-15% more active clay as measured bythe standard ultrasonic methylene blue titration than did the TAP-conditioned green sand. The AO processing also nearly doubled the generation of activated carbon from the normalized amount of coal composition of the green sand during the casting process. The AO-enhanced activated carbon generation and the AO-incurred clay surface cleaning provided the AO-conditioned green sand with higher normalized pore volume, and thus higher normalized m-xylene adsorption capacity, i.e., relative to before-metal-pouring conditions. Furthermore, mathematical analysis indicated that the AO-conditioned green sand better retained its important properties after pouring than did the TAP-conditioned green sand. Effectively, this meant after metal pouring, the AO-conditioned sample offered about the same net properties as the TAP-conditioned sample, even though the AO-conditioned sample contained less clay and coal before metal pouring. These results conformed to the full-scale foundry empirical finding that when AO is used, foundries need less makeup clay and coal addition through each casting cycle, and they release less air emissions.

  6. Contribution of laser altimetry images to the geomorphology of the Late Holocene inland drift sands of the European Sand Belt

    NARCIS (Netherlands)

    Jungerius, P.D.; Riksen, M.J.P.M.

    2010-01-01

    The paper explores the possibilities of applying the analysis of laser altimetry images to Dutch drift sands. All along the European Sand Belt, which stretches from Great Britain to the Ural Mountains, Late Glacial cover sands, river dunes and other ice-age deposits were reactivated as drift sand du

  7. Contribution of laser altimetry images to the geomorphology of the Late Holocene inland drift sands of the European Sand Belt

    NARCIS (Netherlands)

    Jungerius, P.D.; Riksen, M.J.P.M.

    2010-01-01

    The paper explores the possibilities of applying the analysis of laser altimetry images to Dutch drift sands. All along the European Sand Belt, which stretches from Great Britain to the Ural Mountains, Late Glacial cover sands, river dunes and other ice–age deposits were reactivated as drift sand du

  8. Contribution of laser altimetry images to the geomorphology of the Late Holocene inland drift sands of the European Sand Belt

    NARCIS (Netherlands)

    Jungerius, P.D.; Riksen, M.J.P.M.

    2010-01-01

    The paper explores the possibilities of applying the analysis of laser altimetry images to Dutch drift sands. All along the European Sand Belt, which stretches from Great Britain to the Ural Mountains, Late Glacial cover sands, river dunes and other ice–age deposits were reactivated as drift sand

  9. Effect of prophylactic benzydamine hydrochloride on postoperative sore throat and hoarseness after tracheal intubation using a double-lumen endobronchial tube: a randomized controlled trial.

    Science.gov (United States)

    Chang, Jee-Eun; Min, Seong-Won; Kim, Chong-Soo; Han, Sung-Hee; Kwon, Yong-Suk; Hwang, Jin-Young

    2015-10-01

    We evaluated the prophylactic effect of benzydamine hydrochloride (BH) spray on postoperative sore throat and hoarseness secondary to intubation with a double-lumen endobronchial tube (DLT). Ninety-two adult patients undergoing thoracic surgery using DLT intubation were studied. The DLT cuff and oropharyngeal cavity were sprayed with normal saline (Group S; n = 46) or BH (Group BH; n = 46) prior to intubation. Postoperative sore throat and hoarseness were evaluated at one, six, and 24 hr after surgery. Sore throat was evaluated using a 0-100 mm visual analogue scale (VAS). Hoarseness was defined as a change in voice quality. Compared with Group S, postoperative sore throat occurred less frequently in Group BH at one hour (mean difference, 28.3%; 95% confidence interval [CI], 8.7 to 45.1; P = 0.01), at six hours (mean difference, 32.6%; 95% CI, 12.6 to 49.2; P postoperative sore throat at one hour (mean difference, 12.8; 95% CI, 4.9 to 20.7), at six hours (mean difference, 11.9; 95% CI, 4.8 to 19.1; P postoperative sore throat and the incidence of hoarseness associated with DLT intubation. The trial was registered at the Clinical Research Information Service (KCT0001068).

  10. [Thigh and leg musculo-cutaneous island flap for giant bilateral trochanteric and perineal pressure sores coverage: Extreme treatment in spinal cord injury].

    Science.gov (United States)

    André, A; Crouzet, C; De Boissezon, X; Grolleau, J-L

    2015-06-01

    Surgical treatment of perineal pressure sores could be done with various fascio-cutaneous or musculo-cutaneous flaps, which provide cover and filling of most of pressure sores after spinal cord injuries. In rare cases, classical solutions are overtaken, then it is necessary to use more complex techniques. We report a case of a made-to-measure lower limb flap for coverage of confluent perineal pressure sores. A 49-year-old paraplegic patient developed multiple pressure sores on left and right ischial tuberosity, inferior pubic bone and bilateral trochanters with hips dislocation. Surgical treatment involved a whole right thigh flap to cover and fill right side lesions, associated to a posterior right leg musculo-cutaneous island flap to cover and fill the left trochanteric pressure sore. The surgical procedure lasted 6.5 hours and required massive blood transfusion. Antibiotics were adapted to bacteriological samples. There were no postoperative complications; complete wound healing occurred after three weeks. A lower limb sacrifice for coverage of a giant perineal pressure sores is an extreme surgical solution, reserved to patients understanding the issues of this last chance procedure. A good knowledge of vascular anatomy is an essential prerequisite, and allows to shape made-to-measure flaps. The success of such a procedure is closely linked to the collaboration with the rehabilitation team (appropriate therapeutic education concerning transfers and positioning). Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  11. Linear and nonlinear analyses of multi-channel mechanomyographic recordings reveal heterogeneous activation of wrist extensors in presence of delayed onset muscle soreness.

    Science.gov (United States)

    Madeleine, Pascal; Hansen, Ernst A; Samani, Afshin

    2014-12-01

    In this study, we applied multi-channel mechanomyographic (MMG) recordings in combination with linear and nonlinear analyses to investigate muscular and musculotendinous effects of high intensity eccentric exercise. Twelve accelerometers arranged in a 3 × 4 matrix over the dominant elbow muscles were used to detect MMG activity in 12 healthy participants. Delayed onset muscle soreness was induced by repetitive high intensity eccentric contractions of the wrist extensor muscles. Average rectified values (ARV) as well as percentage of recurrence (%REC) and percentage of determinism (%DET) extracted from recurrence quantification analysis were computed from data obtained during static-dynamic contractions performed before exercise, immediately after exercise, and in presence of muscle soreness. A linear mixed model was used for the statistical analysis. The ARV, %REC, and %DET maps revealed heterogeneous MMG activity over the wrist extensor muscles before, immediately after, and in presence of muscle soreness (P<0.01). The ARVs were higher while the %REC and %DET were lower in presence of muscle soreness compared with before exercise (P<0.05). The study provides new key information on linear and nonlinear analyses of multi-channel MMG recordings of the wrist extensor muscles following eccentric exercise that results in muscle soreness. Recurrence quantification analysis can be suggested as a tool for detection of MMG changes in presence of muscle soreness.

  12. Marine oil dietary supplementation reduces delayed onset muscle soreness after a 30 km run

    Directory of Open Access Journals (Sweden)

    Baum K

    2013-05-01

    Full Text Available Klaus Baum,1 Richard D Telford,2 Ross B Cunningham,3 1Trainingsinstitut Prof Baum, Köln, Germany; 2College of Medicine, Biology, and Environment, Australian National University, Canberra, ACT, Australia; 3The Fenner School of Environment and Society, Australian National University, Canberra, ACT, Australia Objective: Runners are prone to delayed onset muscle soreness (DOMS during long distance training. This especially holds for unaccustomed training volumes at moderate to high intensities. We investigated the effects of a marine oil complex, PCSO-524®, derived from the New Zealand green-lipped mussel (formulated as Lyprinol® and Omega XL® on DOMS after a 30 km training run. Methods: Initially, peak oxygen uptake of 32 distance runners (4 female, 28 male; median age 45 years, range 28–53 was measured on a treadmill with a 1.5 km hour-1 increase every 4 minutes starting from 8.5 km hour-1. At least 1-week after this initial test, they participated in a 30 km road run at a speed corresponding to about 70% of their individual peak oxygen uptake on a flat terrain. Before and after (0, 24, and 48 hours the run, blood concentration of creatine kinase (CK were measured and pain sensation was determined (pain scale from 0 = no pain to 10 = extremely painful. Runners were then matched in pairs based on maximal CK and peak oxygen uptake, and allocated randomly into two different groups. One group was supplemented with 400 mg per day of PCSO-524® for 11 weeks, the other group with an olive oil placebo. After that period, CK and pain sensations were remeasured following a second 30 km run at the same speed and on the same terrain. Results: The general pattern of soreness in the PCSO-524® supplemented group was reduced by 1.1 units (standard error 0.41 compared to the placebo (P < 0.05, the effects being greater in lesser trained runners (P < 0.05. CK levels were positively associated with pain sensation (P < 0.05, but trends toward lower CK in the

  13. Various Treatment Techniques on Signs and Symptoms of Delayed Onset Muscle Soreness

    Science.gov (United States)

    Gulick, Dawn T.; Kimura, Iris F.; Sitler, Michael; Paolone, Albert; Kelly, John D.

    1996-01-01

    Eccentric activities are an important component of physical conditioning and everyday activities. Delayed onset muscle soreness (DOMS) can result from strenuous eccentric tasks and can be a limiting factor in motor performance for several days after exercise. An efficacious method of treatment for DOMS would enhance athletic performance and hasten the return to activities of daily living. The purpose of this study was to identify a treatment method which could assist in the recovery of DOMS. In the selection of treatment methods, emphasis was directed toward treatments that could be rendered independently by an individual, therefore making the treatment valuable to an athletic trainer in team setting. DOMS was induced in 70 untrained volunteers via 15 sets of 15 eccentric contractions of the forearm extensor muscles on a Lido isokinetic dynamometer. All subjects performed a pilot exercise bout for a minimum of 9 weeks before data collection to assure that DOMS would be produced. Data were collected on 15 dependent variables: active and passive wrist flexion and extension, forearm girth, limb volume, visual analogue pain scale, muscle soreness index, isometric strength, concentric and eccentric wrist total work, concentric and eccentric angle of peak torque. Data were collected on six occasions: pre- and post-induced DOMS, 20 minutes after treatment, and 24, 48, and 72 hours after treatment. Subjects were randomly assigned to 1 of 7 groups (6 treatment and 1 control). Treatments included a nonsteroidal anti-inflammatory drug, high velocity concentric muscle contractions on an upper extremity ergometer, ice massage, 10-minute static stretching, topical Amica montana ointment, and sublingual A. montana pellets. A 7 × 6 ANOVA with repeated measures on time was performed on the delta values of each of the 15 dependent variables. Significant main effects (p < .05) were found for all of the dependent variables on time only. There were no significant differences between

  14. EFFECT OF ICE BAG, DYNAMIC STRETCHING AND COMBINED TREATMENTS ON THE PREVENTION AND TREATMENT OF DELAY ONSET MUSCLE SORENESS

    OpenAIRE

    Warin Krityakiarana; Jariya Budworn; Chatchawan Khajohnanan; Nutchanad Suramas; Watcharaporn Puritasang

    2014-01-01

    Objective: To investigate the effects of ice bag, dynamic stretching, combined ice and dynamic stretching, and control (non-treated) on the prevention and treatment of delayed onset muscle soreness (DOMS) in biceps muscle. Subjects: Fifty-five participants (aged 18 to 25 years) were engaged in this study and randomly assigned into four groups (control group (non-treated) (CG), n = 13; ice bag, n = 14; dynamic stretching, n = 14; and combined treatment, n = 14). Method: Before inducing D...

  15. [An instant pain-relief effect of balance acupuncture for relieving sore throat in acute pharyngitis patients].

    Science.gov (United States)

    Yang, Shi-Hong; Xie, Ping-Chang; Qin, Xiao-Lan

    2012-08-01

    To observe the instant effect of "Balance Acupuncture" in relieving sore throat in patients with acute pharyngitis. A total of 74 acute pharyngitis patients with sore throat were randomly assigned to treatment group (Balance Acupuncture, n = 36) and placebo acupuncture group (sham acupoint, n = 38). Patients of the Balance Acupuncture group were treated by acupuncture stimulation of bilateral "Yantong" (sore throat) point (the mid-point of the second metacarpal bone on the radial side) and those of the sham acupoint group were treated by acupuncture stimulation of the sham point (the site 1 cm lateral to the mid-point between the ulnar endpoint of the cubic transverse striation and that of the wrist-palm transverse striation). After insertion, the acupuncture needle was manipulated repeatedly till "Deqi" for patients of the treatment group but not manipulated for patients of the placebo acupuncture group, then removed immediately. The VAS (Visual Analogue Scores) were assessed 1 min after the treatment in addition to safety index records. Before the treatment, the VAS values of the treatment group and sham acupoint group were (5.25 +/- 1.51) points and (4.83 +/- 1.59) points, respectively, which had no significant differences between the two groups (P > 0.05). One minute after the treatment, VAS values of the treatment and sham acupoint groups were (2.11 +/- 1.88) points and (3.39 +/- 1.94) points, respectively, both decreasing significantly (P < 0.01). The effect of the former group was significantly superior to that of the sham acupoint group (P < 0.05). Both Balance Acupuncture and sham-acupoint acupuncture treatments can relieve sore throat in acute pharyngitis patients, and the therapeutic effect of Balance Acupuncture treatment is obviously better.

  16. A COMPARISON OF TOPICAL MENTHOL TO ICE ON PAIN, EVOKED TETANIC AND VOLUNTARY FORCE DURING DELAYED ONSET MUSCLE SORENESS

    Science.gov (United States)

    Johar, Pramod; Grover, Varun; Topp, Robert

    2012-01-01

    Purpose/Background: Pain can adversely affect muscle functioning by inhibiting muscle contractions. Delayed onset muscle soreness was used as a tool to ascertain whether a topical menthol-based analgesic or ice was more effective at reducing pain and permitting greater muscular voluntary and evoked force. Methods: Sixteen subjects were randomized to receive either a topical gel containing 3.5% menthol or topical application of ice to the non-dominant elbow flexors two days following the performance of an exercise designed to induce muscle soreness. Two days later, DOMS discomfort was treated with a menthol based analgesic or ice. Maximum voluntary contractions and evoked tetanic contractions of the non-dominant elbow flexors were measured at baseline prior to inducing muscle soreness (T1), two days following inducing DOMS after 20 (T2), 25 (T3) and 35 (T4) minutes of either menthol gel or ice therapy. Pain perception using a 10-point visual analog scale was also measured at these four data collection points. Treatment analysis included a 2 way repeated measures ANOVA (2 × 4). Results: Delayed onset muscle soreness decreased (p = 0.04) voluntary force 17.1% at T2 with no treatment effect. Tetanic force was 116.9% higher (p<0.05) with the topical analgesic than ice. Pain perception at T2 was significantly (p=0.02) less with the topical analgesic versus ice. Conclusions: Compared to ice, the topical menthol-based analgesic decreased perceived discomfort to a greater extent and permitted greater tetanic forces to be produced. Level of Evidence: Level 2b PMID:22666646

  17. EFFECTS OF TWO DIFFERENT DOSAGE OF BCAA SUPPLEMENTATION ON SERUM INDICES OF MUSCLE DAMAGE AND SORENESS IN SOCCER PLAYERS

    Directory of Open Access Journals (Sweden)

    Payam Mohamad-Panahi

    2013-06-01

    Full Text Available The purpose of this study was to investigation of the effects of two different dose of BCAA supplementation on serum indices of muscle damage and soreness in soccer players. 30 male soccer players (age: 20.2±0.6 yr participated as subjects in this study. Subjects were randomly divided into three groups (double-blind design. All subjects performed lower- body resistance exercise (6 sets, 10 repetitions, 70% 1RM. The BCAA was given at doses of 200 and 450 mg.kg -1 BW for supplemental groups 1 and 2, respectively, 30 minutes before and after to exercise tests and carbohydrate was given at dose of 200 mg.kg -1 BW for placebo group. To identify enzymes activity (IU/L, venous blood samples were collected 30 min prior to exercise and at 24 and 48 hrs post exercise. Data were statistically analyzed using repeated measures ANOVA and Bonfferoni test. Baseline CK, CK-MB and muscle soreness were determined 30 minutes before the exercise test. Baseline serum values for CK, CK-MB and baseline muscle soreness were not different between groups in the 30 minutes before the exercise test (p>0/05. However, there were significant increases between the pre-exercise and post-exercise values for CK, CK-MB and muscle soreness from 24 hrs to 48 hrs post-test (p<0/05, but there were no significant differences between two groups (p< 0.05(. These results suggested that two different dosages of BCAA supplementation did not affect muscle damage and muscle sureness during resistance exercise bout in soccer players.

  18. The Effects of Proprioceptive Neuromuscular Facilitation Stretching on Post-Exercise Delayed Onset Muscle Soreness in Young Adults

    OpenAIRE

    McGRATH, RYAN P.; James R. Whitehead; CAINE, DENNIS J.

    2014-01-01

    Until recently, the scientific community believed that post-exercise stretching could reduce delayed onset muscle soreness (DOMS), but recent reviews of studies on the topic have concluded that pre- or post-exercise static stretching has no effect on mitigating DOMS. However, the effect of proprioceptive neuromuscular facilitation (PNF) post-exercise stretching on preventing DOMS has not been adequately studied. The purpose of this study was to determine the effect of post-exercise PNF stretc...

  19. [A double blind randomised clinical trial to assess the efficacy of the treatments of the superficial pressure sores].

    Science.gov (United States)

    Di Giulio, Paola; Saiani, Luisa; Laquintana, Dario; Palese, Alvisa; Perli, Serena; Andreatta, Mariarosa; Rosa, Federica; Chini, Patrizia; Soraperra, Francesca; Ventura, Ida; Suriani, Cinzia; Romani, Silvia; Zancarli, Miriam; Martini, Marta; Partel, Francesca; Bassetti, Serena; Kaisermann, Rita; Bortolotti, Chiara; Gianordoli, Mirta; Rizzoli, Ilaria; Nardelli, Roberta; Pellizzari, Enrico; Valduga, Edda; Castaman, Marta; Pordenon, Marta; Beltrame, Moira; Bertolo, Cecilia; Casasola, Eleonora; Del Pin, Patrizia; Giolo, Simonetta; Marcatti, Emanuele; Pecini, Dina; Rodaro, Marisa; Zanon, Cristina; Stefanon, Laura; Covre, Lidia; Babbo, Consuela; Martin, Irma; Roilo, Antonia; Zanutel, Marta; Sabbadin, Silvano; Boin, Laura; Caron, Alessia; Martignago, Egidio; Venturin, Valter; Greggio, Annalisa; Frigo, Paola; Lazzaron, Daniela; Tonietto, Annalisa; Zanin, Barbara; Zorzi, Silvano; Zuanon, Antonio; Salmaso, Daniele; Frison, Tiziana; Marin, Irene; Buosi, Antonella; Fiorese, Elena; Gasparin, Dino; Goat, Barbara; Saccardo, Graziella; Simonetto, Ornella; Gomiero, Silvio; Baccara, Nicoletta; Ghirardello, Lucia; Niolu, Marilena; Silvestri, Sabrina; Buffon, Maria Luisa; Casson, Paola; Santantonio, Rosy; Albore, Piersandro; Mazzorana, Elvira; Terziariol, Laura; Bulgarelli, Giuliana; Barani, Elisa; Gasparini, Patrizia; Migliori, Salvina; Sasso, Elisa; Marfisi, Rosa Maria; Tognoni, Gianni; Sgaroni, Guya; Noro, Gabriele; Mattiuzzo, Mara

    2004-01-01

    In spite of the progresses of knowledge and care, pressure sores continue to be a clinically relevant problem. A double blind randomised controlled trial was organised to assess the efficacy of triticum vulgaris (Fitostimoline) vs placebo in the re-epithelisation of superficial pressure sores. Patients with stage NPUAP II or superficial pressure sores, with an expected survival of more than 3 months and eligible for a follow-up up to 8 weeks were included, over a period of 2 years in 46 clinical sites. The protocol was approved by local ethical committees and informed consent was obtained before randomisation. Medications were performed by nurses if the patient was hospitalised and by nurses or properly instructed caregivers at home. Weekly follow-up controls were assumed by nurses. Out of the 294 randomised patients 270 were included in the analyses. The two groups are comparable for the main characteristics except for Norton Scale mean values, less severe in the group assigned to active treatment (10.1+/-3.7 vs 8.9+/-3.2). The mean follow-up was of 3.8 and 4.2 weeks with a mean duration of 26+/-18 and 29+/-18 days for the experimental group and controls respectively. Seventy-six patients in the treatment group and controls (58.0 and 54.7) had their lesions re-epithelized. Adjusting results for age, initial Norton and Push scores there are no differences between treated and controls (OR 0.99 95% IC 0.60-1.67). This multicentre study, sponsored by a research group of nurses, failed to support the hypothesis that triticum vulgaris, the active component of the product Fitostimoline, given on top of recommended treatment, provides a specific therapeutic advantage in terms of frequency and timing of re-epithelization in superficial pressure sores.

  20. [Efficacy of photodynamic antimicrobial therapy for wound flora and wound healing of pressure sore with pathogen infection].

    Science.gov (United States)

    Wang, Chaoliang; Huang, Sufang; Zhu, Tao; Sun, Xuesheng; Zou, Yong; Wang, Yingzhen

    2014-08-19

    To explore the efficacy of photodynamic antimicrobial therapy in the treatment of pressure sore with pathogen infection. A total of 42 pressure sore patients with pathogen infection were divided randomly into experimental and control groups (n = 21 each). Fufanghuangbai liquid was used for external application with control group. In the experimental group, wound was treated with Fufanghuangbai liquid wet dressing and irradiated by semiconductor laser 30 min late. The distance from semiconductor laser probe to wound site was 10-15 cm, 20 min twice daily, continuous exposure to 7 days for 1 course. The results of bacterial culture and epidermal growth factor (EGF) expression of wound granulation tissue were observed before and after treatment. And the changes of healing rate of pressure sore were measured at post-treatment in each group. The positive rates of bacterial culture, rates of change around wound inflammation, healing rate of days 7 and 14, the high expression of EGF on healing wound granulation tissue was 9.75%, (32.2% ± 5.8%), (89.1% ± 5.6%), (12.4% ± 2.9%), (34.7% ± 3.6%), 14/21 in the treatment group versus 51.2%, (17.8% ± 2.0%), (57.3% ± 2.6%), (5.1% ± 1.1%), (10.5% ± 2.4%), 2/21 in the control group respectively. The inter-group differences were statistically significant (P pressure sore with pathogen infection. Wound healing is promoted through an up-regulation of EGF.

  1. Sore throat: effective communication delivers improved diagnosis, enhanced self-care and more rational use of antibiotics.

    Science.gov (United States)

    van der Velden, A W; Bell, J; Sessa, A; Duerden, M; Altiner, A

    2013-11-01

    The majority of throat infections are of viral origin and resolve without antibiotic treatment. Despite this, antibiotic use for sore throat infections remains high, partly because it is difficult to determine when antibiotics may be useful, on the basis of physical findings alone. Antibiotics may be beneficial in bacterial throat infections under certain clinical and epidemiological circumstances; however, even many of those infections in which bacteria play a role do resolve just as quickly without antibiotics. Furthermore, non-medical factors such as patient expectations and patient pressure are also important drivers of antibiotic use. To address these issues, a behavioural change is required that can be facilitated by improved communication between primary healthcare providers and patients. In this article, we provide doctors, nurses and pharmacy staff, working in primary care or in the community, with a structured approach to sore throat management, with the aim of educating and empowering patients to self-manage their condition. The first component of this approach involves identifying and addressing patients' expectations and concerns with regard to their sore throat and eliciting their opinion on antibiotics. The second part is dedicated to a pragmatic assessment of the severity of the condition, with attention to red-flag symptoms and risk factors for serious complications. Rather than just focusing on the cause (bacterial or viral) of the upper respiratory tract infections as a rationale for antibiotic use, healthcare providers should instead consider the severity of the patient's condition and whether they are at high risk of complications. The third part involves counselling patients on effective self-management options and providing information on the expected clinical course. Such a structured approach to sore throat management, using empathetic, non-paternalistic language, combined with written patient information, will help to drive patient

  2. The Influence of Oral L-Glutamine Supplementation on Muscle Strength Recovery and Soreness Following Unilateral Knee Extension Eccentric Exercise.

    Science.gov (United States)

    Legault, Zachary; Bagnall, Nicholas; Kimmerly, Derek S

    2015-10-01

    The study aimed to examine the effects that L-glutamine supplementation has on quadriceps muscle strength and soreness ratings following eccentric exercise. It was hypothesized that glutamine ingestion would quicken the recovery rate of peak force production and decrease muscle soreness ratings over a 72-hr recovery period. Sixteen healthy participants (8♀/8♂; 22 ± 4 years) volunteered in a double-blind, randomized, placebo-controlled crossover study. Supplement conditions consisted of isoenergetic placebo (maltodextrin, 0.6 g·kg-1·day-1) and L-glutamine (0.3 g·kg-1·day-1 + 0.3 g·kg-1·day-1 maltodextrin) ingestion once per day over 72 hr. Knee extensor peak torque at 0°, 30°, and 180° per second and muscle soreness were measured before, immediately following, 24, 48, and 72 hr posteccentric exercise. Eccentric exercise consisted of 8 sets (10 repetitions/set) of unilateral knee extension at 125% maximum concentric force with 2-min rest intervals. L-glutamine resulted in greater relative peak torque at 180°/sec both immediately after (71 ± 8% vs. 66 ± 9%), and 72 hr (91 ± 8% vs. 86 ± 7%) postexercise (all, p eccentric exercise. The effect of L-glutamine on muscle force recovery may be greater in men than women.

  3. Comparing the effect of ketamine and benzydamine gargling with placebo on post-operative sore throat: A randomized controlled trial.

    Science.gov (United States)

    Faiz, Seyed Hamid Reza; Rahimzadeh, Poupak; Poornajafian, Alireza; Nikzad, Naghme

    2014-01-01

    Air way intubation for general anesthesia usually leads to sore throat after surgery. Ketamine plays an important role to block a number of receptors related to pain. Benzydamine hydrochloride is a non-steroidal anti-inflammatory drug that has been used to improve oropharyngeal disorders. In this study, it was intended to compare the effect of gargling different solutions before the surgery on post-operative sore throat (POST) in patients who underwent general anesthesia for hysterectomy. A total of 60 patients who underwent the elective hysterectomy were entered to the randomized controlled trial regarding to the eligibility criteria. Patients were simply randomly allocated to three groups and received one code. Every code was representative for a specific drug: 20 cc normal saline (control group) or 1.5 mg benzydamine in 20 cc solution or 20 mg ketamine in 20 cc solutions. All the research teams were blinded to the received solutions. POST was evaluated with numerical rating scale. The data were entered to SPSS software and analysis of variance (ANOVA) and Kruskal-Wallis one-way analysis of variance test, were performed. The mean ages of ketamine, benzydamine, and normal saline recipients were not significantly different. The trend of the severity of sore throat during the first 24 h after the operation in ketamine recipients was significantly lower than the other two groups (P ketamine and benzydamine, but the ketamine effect was more noticeable.

  4. Rest interval between resistance exercise sets: length affects volume but not creatine kinase activity or muscle soreness.

    Science.gov (United States)

    Evangelista, Renato; Pereira, Rafael; Hackney, Anthony C; Machado, Marco

    2011-03-01

    To compare differences between two different rest interval lengths between sets on the volume completed, muscle damage and muscle soreness during a resistance exercise bout. Twenty-eight healthy sedentary men (18 ± 1 y old) volunteered to participate in this study and were divided into the 1 min (1RI; n = 14) or 3 min (3RI; n = 14) rest interval length between sets. They were submitted to maximal voluntary isometric contraction strength (MVC) and then performed a resistance exercise protocol constituted for three sets of biceps curl at 40% of MVC with 1 min (1RI group) or 3 min (3RI group) interval length between sets. Each bout was performed to voluntary fatigue and the workout volume completed was calculated. Subjects provided blood samples before each bout, and at 24, and 48 h following exercise to evaluate serum CK activity. Muscle soreness was analyzed through visual analog scale, which was presented to subjects before first bout, immediately after exercise protocol and at 24, and 48 h following exercise. The results demonstrated that the subjects with longer rest intervals provide greater workout volume as expected, but there were no differences in serum CK activity and muscle soreness between groups. Training with high-volume, low-intensity resistance training, exercising with short rest intervals does not appear to present any additional challenge to recovery in untrained subjects.

  5. The effect of kinesio taping versus stretching techniques on muscle soreness, and flexibility during recovery from nordic hamstring exercise.

    Science.gov (United States)

    Ozmen, Tarik; Yagmur Gunes, Gokce; Dogan, Hanife; Ucar, Ilyas; Willems, Mark

    2017-01-01

    The purpose of this study was to examine the effects of static stretching, proprioceptive neuromuscular facilitation (PNF) stretching, or kinesio taping (KT) on muscle soreness and flexibility during recovery from exercise. Sixty-five females were randomly assigned to four groups: PNF stretching (n = 15), static stretching (n = 16), KT (n = 17), and control (n = 17). All participants performed nordic hamstring exercise (5 sets of 8 repetitions). In all groups, hamstring flexibility at 24 h and 48 h was not changed from baseline (p > .05). The muscle soreness was measured higher at 48 h post-exercise compared with baseline in the control group (p = .04) and at 24 h post-exercise compared with baseline in the PNF group (p  .05). The KT application and pre-exercise stretching have no contribute to flexibility at 24 h and 48 h after exercise, but may attenuate muscle soreness. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. A comparison of muscle damage, soreness and performance following a simulated contact and non-contact team sport activity circuit.

    Science.gov (United States)

    Singh, Tarveen K R; Guelfi, Kym J; Landers, Grant; Dawson, Brian; Bishop, David

    2011-09-01

    The aim was to compare the effect of a simulated team sport activity circuit (reflective of the activity demands of Australian football) either with or without body 'contact' on muscle soreness, damage, and performance when the circuit was repeated 48 h later. Eleven male, team-sport athletes completed a 'non-contact' (NCON) and a 'contact' (CON) version of the team sport activity circuit in a crossover design with at least 1 week between trials. The effect of CON and NCON on repeated 15m sprint and vertical jump performance was assessed by completing the same version of the circuit 48 h after the initial trial. The effect on perceived soreness and blood markers of muscle damage and inflammation was also determined. Subsequent performance was affected to a greater extent by CON, with both best and mean sprint times significantly slower 48h following CON (pprotein increased following CON but not NCON. In conclusion, Greater perceived soreness and decrements in performance of the simulated team sport activity circuit when repeated 48 h later were observed following CON.

  7. Resveratrol exerts no effect on inflammatory response and delayed onset muscle soreness after a marathon in male athletes.

    Science.gov (United States)

    Laupheimer, M W; Perry, M; Benton, S; Malliaras, P; Maffulli, N

    2014-01-01

    Objective We investigated whether the inflammatory response and delayed onset of muscle soreness after a marathon are altered by resveratrol, a natural polyphenolic flavonoid antioxidant. Design: Double blind placebo-controlled randomised pilot study. Setting: London Marathon. Participants: Marathon race participants Interventions: 7 healthy male athletes were randomised to receive Resveratrol (600 mg Resveratrol daily for 7 days immediately before the marathon) or a placebo. Main Outcome Measurements: Blood samples taken 48 hours before and 18–32 hours after the marathon were analysed for white blood cell count (WBC) and C-reactive protein (CRP). A VAS score was taken at the same times as the blood samples to assess delayed onset muscle soreness. Results: There were no significant differences between the two groups in terms of changes occurring between pre- and post- tests for WBC, CRP or VAS. Conclusions: There were no differences in immune response or delayed onset muscle soreness between resveratrol and placebo after a marathon. Further investigations are needed with longer treatment time and higher doses, analysing additional parameters such interleukins for a possible effect of resveratrol on the inflammatory response due to extensive exercise. To avoid a type II error, 17 subjects in each group would be required. PMID:25147765

  8. The influence of an artificial playing surface on injury risk and perceptions of muscle soreness in elite Rugby Union.

    Science.gov (United States)

    Williams, S; Trewartha, G; Kemp, S P T; Michell, R; Stokes, K A

    2016-01-01

    This prospective cohort study investigated the influence of an artificial playing surface on injury risk and perceptions of muscle soreness in elite English Premiership Rugby Union players. Time loss (from 39.5 matches) and abrasion (from 27 matches) injury risk was compared between matches played on artificial turf and natural grass. Muscle soreness was reported over the 4 days following one match played on each surface by 95 visiting players (i.e., normally play on natural grass surfaces). There was a likely trivial difference in the overall injury burden relating to time-loss injuries between playing surfaces [rate ratio = 1.01, 90% confidence interval (CI): 0.73-1.38]. Abrasions were substantially more common on artificial turf (rate ratio = 7.92, 90% CI: 4.39-14.28), although the majority of these were minor and only two resulted in any reported time loss. Muscle soreness was consistently higher over the 4 days following a match on artificial turf in comparison with natural grass, although the magnitude of this effect was small (effect sizes ranging from 0.26 to 0.40). These results suggest that overall injury risk is similar for the two playing surfaces, but further surveillance is required before inferences regarding specific injury diagnoses and smaller differences in overall injury risk can be made.

  9. Comparison of outcomes of pressure sore reconstructions among perforator flaps, perforator-based rotation fasciocutaneous flaps, and musculocutaneous flaps.

    Science.gov (United States)

    Kuo, Pao-Jen; Chew, Khong-Yik; Kuo, Yur-Ren; Lin, Pao-Yuan

    2014-10-01

    Pressure sore reconstruction remains a significant challenge for plastic surgeons due to its high postoperative complication and recurrence rates. Free-style perforator flap, fasciocutaeous flap, and musculocutaneous flap are the most common options in pressure sore reconstructions. Our study compared the postoperative complications among these three flaps at Kaohsiung Chang Gung Memorial Hospital. From 2003 to 2012, 99 patients (54 men and 45 women) with grade III or IV pressure sores received regional flap reconstruction, consisting of three cohorts: group A, 35 free-style perforator-based flaps; group B, 37 gluteal rotation fasciocutaneous flaps; and group C, 27 musculocutaneous or muscle combined with fasciocutaneous flap. Wound complications such as wound infection, dehiscence, seroma formation of the donor site, partial or complete flap loss, and recurrence were reviewed. The mean follow-up period for group A was 24.2 months, 20.8 months in group B, and 19.0 months for group C. The overall complication rate was 22.9%, 32.4%, and 22.2% in groups A, B, and C, respectively. The flap necrosis rate was 11.4%, 13.5%, and 0% in groups A, B, and C, respectively. There was no statistical significance regarding complication rate and flap necrosis rate among different groups. In our study, the differences of complication rates and flap necrosis rate between these groups were not statistically significant. Further investigations should be conducted. © 2014 Wiley Periodicals, Inc.

  10. Automatic evaluation of pressure sore status by combining information obtained from high-frequency ultrasound and digital photography.

    Science.gov (United States)

    Moghimi, Sahar; Baygi, Mohammad Hossein Miran; Torkaman, Giti

    2011-07-01

    In this study, the different phases of pressure sore generation and healing are investigated through a combined analysis of high-frequency ultrasound (20 MHz) images and digital color photographs. Pressure sores were artificially induced in guinea pigs, and the injured regions were monitored for 21 days (data were obtained on days 3, 7, 14, and 21). Several statistical features of the images were extracted, relating to both the altering pattern of tissue and its superficial appearance. The features were grouped into five independent categories, and each category was used to train a neural network whose outputs were the four days. The outputs of the five classifiers were then fused using a fuzzy integral to provide the final decision. We demonstrate that the suggested method provides a better decision regarding tissue status than using either imaging technique separately. This new approach may be a viable tool for detecting the phases of pressure sore generation and healing in clinical settings. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

  11. The Norton, Waterlow, Braden, and Care Dependency Scales: comparing their validity when identifying patients' pressure sore risk.

    Science.gov (United States)

    Balzer, Katrin; Pohl, Claudia; Dassen, Theo; Halfens, Rudd

    2007-01-01

    We compared the sensitivity and specificity of the Norton, Waterlow, and Braden Scales in identifying patients at pressure sore risk. An additional goal was to determine whether or not the Care Dependency Scale (CDS) is able to detect patients at risk for pressure sore development. The investigation was part of a prevalence study involving 754 patients in 3 Berlin hospitals. A questionnaire was used containing the subscales of the 3 risk calculators (Norton, Waterlow, and Braden), and the CDS. On the specified day nurses filled in the questionnaire using data obtained from the patients' charts and direct visualization of the patients' skin. Thirty-four out of 754 patients had at least 1 pressure ulcer. Comparing the 3 risk assessment tools, the Waterlow scale demonstrated the highest sensitivity (0.86) and the Norton scale demonstrated the highest specificity (0.75). Individuals with pressure sores were more likely to be care dependent (t-test: P< .01); 27 of them had a CDS score lower than 55. Using the score of 55 as the cut-off point, the CDS demonstrated a sensitivity of 0.74 and a specificity of 0.83. This study demonstrated remarkable differences among the 3 commonly used risk assessment tools, in regards to sensitivity and specificity. Moreover, the CDS seems to have a diagnostic value similar to the 3 commonly used risk assessment calculators.

  12. 压疮管理系列表格的设计与应用%Design of the pressure sore management forms and its application

    Institute of Scientific and Technical Information of China (English)

    赵光昱

    2011-01-01

    目的 探讨压疮管理系列表格的实用性及在提高护士高危压疮和院外带入压疮上报符合率、压疮护理记录书写合格率中的作用和效果.方法 将2010年上报的高危及院外带入压疮433例作为观察组,将2009年上报的高危及院外带入压疮205例作为对照组.设计和应用压疮管理系列表格,包括高危压疮评估表、高危压疮申报单、院外压疮呈报表、压疮防治护理记录单等4种压疮管理表格,采用表格、图示、说明等辅助设计,并应用于观察组中,比较2组各项指标.结果 与对照组相比,观察组的高危压疮及院外带入压疮上报符合率、压疮护理记录书写合格率、压疮治愈和好转率提高,高危压疮发生数显著减少.结论 压疮管理系列表格有助于护士准确评估高危压疮及院外带入压疮,有助于提高压疮治愈、好转率及护士书写压疮护理记录的质量.%Objective To explore the practicability of the pressure sore management forms and its effect on improving the nurses' reported compliance rates on high-risk pressure sores and external pressure sores and the passing rate of nursing records. Methods With aided designs as forms, icons and notes,making a comparative analysis on high-risk pressure sores and external pressure sore between 433 cases in 2010(the observation group) and 205 cases in 2009(the control group). Designing and applying the pressure sore management forms, including four kinds of forms: the high-risk assessment form, high-risk pressure sores declaration sheet, the external pressure sore report form, pressure sore prevention and care record sheet, then applied them in the observation group. Results Compared with the control group, all aspects like the compliance rates of nurses' reports on high-risk pressure sores and external pressure sore, the passing rate of nursing records, the healing and improvement rates were obviously increased, the occurrence rate of high

  13. Binding Procurement

    Science.gov (United States)

    Rao, Gopalakrishna M.; Vaidyanathan, Hari

    2007-01-01

    This viewgraph presentation reviews the use of the binding procurement process in purchasing Aerospace Flight Battery Systems. NASA Engineering and Safety Center (NESC) requested NASA Aerospace Flight Battery Systems Working Group to develop a set of guideline requirements document for Binding Procurement Contracts.

  14. Bright sand/dark dust: The identification of active sand surfaces on the Earth and Mars

    Science.gov (United States)

    Blount, H. G., II; Greeley, R.; Christensen, P. R.; Arvidson, R.

    1987-05-01

    Field studies and analysis of LANDSAT Thematic Mapper data in the Gran Desierto, Mexico may shed light on a technique to distinguish active from inactive (relict) sand surfaces. Active sand bodies in the study area are consistently brighter (by an average of 20%) at visual and near infrared wavelengths and darker at thermal infrared wavelengths than compositionally similar inactive sands. The reasons for the albedo difference between active and inactive sands are reviewed and the mixing model of Johnson et al. is examined for tracing the provenance of sands based on albedo and spectral variations. Portions of the wavelengths covered by the Mars Orbiter correspond to the Thematic Mapper data. The identification of active sands on Earth, with a priori knowledge of bulk composition and grain size distribution, may allow the remote mapping of active sand surfaces on Mars. In conjuction with thermal infrared remote sensing for composition, it may also provide a method for the remote determination of grain size distributions within sand/silt mixtures.

  15. Simulating and understanding sand wave variation: A case study of the Golden Gate sand waves

    Science.gov (United States)

    Sterlini, F.; Hulscher, S.J.M.H.; Hanes, D.M.

    2009-01-01

    In this paper we present a detailed comparison between measured features of the Golden Gate sand wave field and the results of a nonlinear sand wave model. Because the Golden Gate sand waves exhibit large variation in their characteristics and in their environmental physics, this area gives us the opportunity to study sand wave variation between locations, within one well-measured, large area. The nonlinear model used in this paper is presently the only tool that provides information on the nonlinear evolution of large-amplitude sand waves. The model is used to increase our understanding of the coupling between the variability in environmental conditions and the sand wave characteristics. Results show that the model is able to describe the variation in the Golden Gate sand waves well when both the local oscillating tidal current and the residual current are taken into account. Current and water depth seem to be the most important factors influencing sand wave characteristics. The simulation results give further confidence in the underlying model hypothesis and assumptions. Copyright 2009 by the American Geophysical Union.

  16. MORPHOMETRIC CHARACTERIZATION OF THE SAND FRACTION IN A SAND GRAIN IMAGE CAPTURE SYSTEM1

    Directory of Open Access Journals (Sweden)

    Lucimar Arruda Viana

    Full Text Available ABSTRACT Morphology studies assume significant importance in analysis of phenomena of granular systems packaging, in particular with a view to the use of the technique of soil stabilization named particle size correction in forest roads. In this context, this study aimed to develop and operationalize a Sand Grain Image Capture System and, hereby, determine the morphological indices of the sand fractions of two sandy soils called João Pinheiro (JP and Cachoeira da Prata (CP. Soil samples, air-dried, were sieved (2.0 mm nominal mesh size for removal of gravels. The materials that passed through the sieve were subjected to dispersion, washing in 0.053 mm nominal mesh size sieve, removal of organic matter and iron oxides to obtain the clean sand fractions. Subsequently, each soil sample was sieved for separation into twelve classes, between the diameters of 0.149 mm and 1.190 mm, using a Rotap shaker. Next, tests were carried out to characterize the morphometric attributes of the twelve classes of sand fractions of the soils studied. For validation of the performance of the Sand Grain Image Capture System, the results were compared to those obtained using a standard procedure for image analysis. The analysis of the results led to the following conclusions: (i the sand fraction of the JP soil presented higher values for the morphometric indices roundness, elongation and compactness compared to sand fraction of the CP soil; and (ii the Sand Grain Image Capture System worked properly, with practicality.

  17. Probability of rebound and eject of sand particles in wind-blown sand movement

    Institute of Scientific and Technical Information of China (English)

    Li Xie; Xiaojing Zheng

    2007-01-01

    When incident particles impact into a sand bed in wind-blown sand movement, rebound of the incident particles and eject of the sand particles by the incident particles affect directly the development of wind sand flux. In order to obtain rebound and eject lift-off probability of the sand particles, we apply the particle-bed stochastic collision model presented in our pervious works to derive analytic solutions of velocities of the incident and impacted particles in the postcollision bed. In order to describe randomness inherent in the real particle-bed collision, we take the incident angle, theimpact position and the direction of resultant action of sand particles in sand bed on the impacted sand particle as random variables, and calculate the rebound and eject velocities,angles and coefficients (ratio of rebound and eject velocity to incident velocity). Numerical results are found in accordance with current experimental results. The rebound and eject lift-off probabilities versus the incident and creeping velocities are predicted.

  18. Pretreatment of turkey fat-containing wastewater in coarse sand and gravel/coarse sand bioreactors.

    Science.gov (United States)

    Gaur, Rashmi Singh; Cai, Ling; Tuovinen, Olli H; Mancl, Karen M

    2010-02-01

    Fat, oil and grease in wastewater can be difficult to treat because of their slow decomposition. Traditional pretreatment facilities to remove fat, oil and grease from wastewater are increasingly costly. The hypothesis in this study was that pretreatment of animal fat-containing wastewater in sand and sand/gravel filters facilitates the conversion of slowly degradable organic matter measured as the difference between chemical oxygen demand (COD) and 5-day biochemical oxygen demand (BOD(5)) for subsequent biological treatment. The pretreatment was evaluated using simulated turkey-processing wastewater and coarse sand and sand/gravel filters at a constant hydraulic loading rate of 132L/m(2)/day. Two types of fixed media reactors were employed: (i) one set with a varying depth of coarse sand, and (ii) the second was similar but with an additional pea gravel cap. The results indicated that the relative removal of COD was slightly improved in the sand bioreactors with a pea gravel cap irrespective of the depth of coarse sand, but partial conversion to BOD(5) was not consistently demonstrated. Pea gravel may act as a sieve to entrap organic matter including fat globules from the wastewater. Multiple dosing at the same daily loading rate slightly improved the treatment efficiency of the sand bioreactors. The ratios of influent-COD/effluent-COD were always greater than 1.0 following a change in the dosing frequency after a rest period, suggesting that organic matter, specifically fat globules in this case, was retained by the column matrix.

  19. Technology and mechanism of a new protein-based core sand for aluminum casting

    Institute of Scientific and Technical Information of China (English)

    石晶玉; 黄天佑; 石红玉; 何镇明

    2001-01-01

    The protein-based binding material is from natural products, which is nontoxic and recyclable. This kind of green binder is earnestly needed by aluminum casting products. The new protein-based core possesses higher strength and easier shakeout. Its tensile strength is close to that of common resin sands. The micro-mechanism of protein binder was investigated by using infrared spectrum, chemical element analysis, SEM and thermal lost-mass analysis.

  20. Gargling with sodium azulene sulfonate reduces the postoperative sore throat after intubation of the trachea.

    Science.gov (United States)

    Ogata, Junchi; Minami, Kouichiro; Horishita, Takafumi; Shiraishi, Munehiro; Okamoto, Takashi; Terada, Tadanori; Sata, Takeyoshi

    2005-07-01

    Postoperative sore throat (POST) is a complication that remains to be resolved in patients undergoing endotracheal intubation. In this study, we investigated whether preoperative gargling with sodium 1,4-dimethyl-7-isopropylazulene-3-sulfonate monohydrate (sodium azulene sulfonate, Azunol) reduces POST after endotracheal intubation. Forty patients scheduled for elective surgery under general anesthesia were randomized into Azunol and control groups. In the Azunol group, patients gargled with 4 mg Azunol diluted with 100 mL tap water (40 microg/mL). In the control group, patients gargled with 100 mL of tap water. After emergence from general anesthesia, the patients with POST were counted and POST was evaluated using a verbal analog pain scale. There were no significant differences between the two groups by age, height, body weight, gender distribution, or duration of anesthesia and surgery. In the control group, 13 patients (65%) complained of POST, which remained 24 h later in nine patients (45%). In the Azunol group, five patients (25%) also complained of POST, which completely disappeared by 24 h later. The incidence of POST and verbal analog pain scale scores in the Azunol group decreased significantly compared with the control group. We demonstrated that gargling with Azunol effectively attenuated POST with no adverse reactions.

  1. Herbs and natural supplements in the prevention and treatment of delayed-onset muscle soreness

    Science.gov (United States)

    Meamarbashi, Abbas

    2017-01-01

    Objective: Unaccustomed and intense eccentric exercise is a common cause of delayed-onset muscle soreness (DOMS). There are multiple remedies for the treatment of DOMS, but its clinical and laboratory pieces of evidence are scarce. Currently, the treatments proposed for DOMS are numerous and include pharmaceuticals, herbal remedies, stretching, massage, nutritional supplements, and other alternatives. To find a holistic treatment with effective pain relief and minimum side effects, complementary and alternative medicine, including herbal therapies, plays a main role. Methods: In this review, the existing published studies investigating the efficacy of herbal and natural supplementation therapies for the prevention or treatment of side effects, symptoms, and signs of DOMS are summarized. Results: Previous studies have documented the efficacy of herbal therapies to treat pain, inflammation, as well as laboratory and clinical side effects of DOMS. Conclusion: The use of herbs in DOMS seems safer and has lower side effects than pharmacotherapy. However, the potential for side effects and drug interactions should be considered. PMID:28265543

  2. The effect of intravenous low dose ketamine for reducing postoperative sore throat.

    Science.gov (United States)

    Park, Sun Young; Kim, Sang Hyun; Noh, Jung Il; Lee, Su Myoung; Kim, Mun Gyu; Kim, Sang Ho; Ok, Si Young; Kim, Soon Im

    2010-07-01

    This study was performed to evaluate the effectiveness of intravenous low dose ketamine for reducing the incidence and severity of postoperative sore throat (POST). This was a prospective, randomized, double-blind clinical trial. The study population consisted of 70 patients between 20 and 70 years old who were classified as American Society of Anesthesiologists I-II and were scheduled for elective laparoscopic cholecystectomy. The patients were divided randomly into two groups. Patients in the ketamine group received an intravenous injection of 0.5 mg/kg of ketamine just before induction, followed by 10 microg/kg/min throughout the operation. Patients in the control group received intravenous saline instead of ketamine. The patients were interviewed 1, 6, and 24 h after the operation. The incidence and severity of POST were recorded. No significant differences in the incidence and severity of POST during the 24 h after the operation were found between the two groups (21/31 in the ketamine group vs. 26/34 in the control group, P = 0.398). Intravenous injection of low dose ketamine was not effective for reducing POST.

  3. Efficacy of benzydamine hydrochloride dripping at endotracheal tube cuff for prevention of postoperative sore throat.

    Science.gov (United States)

    Nimmaanrat, Sasikaan; Chokkijchai, Kedsirin; Chanchayanon, Thavat

    2013-10-01

    Postoperative sore throat (POST) is a frequent consequence following ETT intubation, which may negatively affect the postoperative course and patient satisfaction. Benzydamine hydrochloride is a topically-applied non-steroidal anti-inflammatory drug (NSAID). The authors evaluated the analgesic effect of benzydamine hydrochloride dripping on the ETT cuff on POST. Eighty-six patients participated in this randomized controlled trial. They were assigned into either the benzydamine hydrochloride or the control group. The whole ETT cuff was dripped either with 3 ml (4.5 mg) of benzydamine hydrochloride or nothing five minutes prior to anesthesia induction. The incidence and severity of POST at 0, 2, 4, 6, 12 and 24 hours postoperatively were assessed. The potential adverse effects of benzydamine hydrochloride (throat numbness throat burning sensation, dry mouth, and thirst) were also evaluated. Twenty-five patients (58.14%) in each group had POST (p-value = 1). The severity of POST (calculated from affected patients) in both groups at different time points was not significantly different. Patients in the benzydamine hydrochloride group did not have a higher incidence of adverse effects. We found that dripping benzydamine hydrochloride on the ETT cuff neither reduced the incidence of POST nor increased the incidence of adverse effects in comparison with no intervention.

  4. Novel preoperative pharmacologic methods of preventing postoperative sore throat due to tracheal intubation.

    Science.gov (United States)

    Kalil, David M; Silvestro, Loraine S; Austin, Paul N

    2014-06-01

    Postoperative sore throat (POST) is usually self-limiting but was rated by patients as one of the top 10 most undesirable anesthetic outcomes. Pharmacologic interventions that have been suggested to decrease the incidence of POST include application of local anesthetics and corticosteroids to the cuff of the endotracheal tube. These interventions often require extra steps during induction of general anesthesia. We sought evidence for using nonsteroidal, nonlocal anesthetic, topical pharmacologic interventions conveniently implemented preoperatively to decrease the incidence of POST. One hundred seventeen potential evidence sources were located, with 11 randomized controlled trials meeting inclusion criteria. The evidence examined ketamine, aspirin, and azulene gargle; benzydamine gargle or oral spray; dexpanthenol pastilles; and lozenges containing amyl-m-cresol or magnesium. Although there were methodologic concerns with the studies, the evidence suggested that all the treatment medications decreased the incidence of POST at early and late intervals. The severity of POST was also typically reduced. Preoperative ketamine and aspirin gargle are probably the most promising for providers practicing in the United States. However, before these agents are recommended for general use, large multicenter trials should be done exploring not only efficacy but also dose-response relationships and side effects.

  5. Herbs and natural supplements in the prevention and treatment of delayed-onset muscle soreness

    Directory of Open Access Journals (Sweden)

    Abbas Meamarbashi

    2017-01-01

    Full Text Available Objective:  Unaccustomed and intense eccentric exercise is a common cause of delayed-onset muscle soreness (DOMS. There are multiple remedies for the treatment of DOMS, but its clinical and laboratory pieces of evidence are scarce. Currently, the treatments proposed for DOMS are numerous and include pharmaceuticals, herbal remedies, stretching, massage, nutritional supplements, and other alternatives. To find a holistic treatment with effective pain relief and minimum side effects, complementary and alternative medicine, including herbal therapies, plays a main role.Methods: In this review, the existing published studies investigating the efficacy of herbal and natural supplementation therapies for the prevention or treatment of side effects, symptoms, and signs of DOMS are summarized.Results: Previous studies have documented the efficacy of herbal therapies to treat pain, inflammation, as well as laboratory and clinical side effects of DOMS.Conclusion: The use of herbs in DOMS seems safer and has lower side effects than pharmacotherapy. However, the potential for side effects and drug interactions should be considered.

  6. A review of nutritional intervention on delayed onset muscle soreness. Part I.

    Science.gov (United States)

    Kim, Jooyoung; Lee, Joohyung

    2014-12-01

    This review is focused on the effect of nutritional intervention on delayed onset muscle soreness (DOMS) that occurs after exercise. In general, high force eccentric contractions and/or unaccustomed exercise result in DOMS attributed to reduction in performance such as muscle strength and range of motion (ROM) for both athletes and non-athletes. Nutritional intervention is one of the preventive or therapeutic ways to reduce DOMS. Previous research studies have suggested the following nutrition intervention: caffeine, omega-3 fatty acids, taurine, polyphenols, and so on. Nutritional intervention with these nutrients before and after exercise was reported to be effective in reducing DOMS. These nutritional interventions have also been reported to affect inflammatory responses and oxidative stress leading to DOMS reduction. However, other studies have reported that these nutritional interventions have no effect on DOMS. It is suggested that intake of proper nutrition intervention can effectively reduce DOMS after exercise and quickly help an athlete return to exercise or training program. In addition, nutritional intervention may help both athletes and non-athletes who engage in physical therapy or rehabilitative programs after surgery or any injurious events.

  7. Pilot Study on the Effect of Grounding on Delayed-Onset Muscle Soreness

    Science.gov (United States)

    Brown, Dick; Hill, Michael

    2010-01-01

    Abstract Objectives The purpose of this pilot study was to determine whether there are markers that can be used to study the effects of grounding on delayed-onset muscle soreness (DOMS). Design and subjects Eight (8) healthy subjects were exposed to an eccentric exercise that caused DOMS in gastrocnemius muscles of both legs. Four (4) subjects were grounded with electrode patches and patented conductive sheets connected to the earth. Four (4) control subjects were treated identically, except that the grounding systems were not connected to the earth. Outcome measures Complete blood counts, blood chemistry, enzyme chemistry, serum and saliva cortisols, magnetic resonance imaging and spectroscopy and pain levels were taken at the same time of day before the eccentric exercise and 24, 48, and 72 hours afterwards. Parameters consistently differing by 10% or more, normalized to baseline, were considered worthy of further study. Results Parameters that differed by these criteria included white blood cell counts, bilirubin, creatine kinase, phosphocreatine/inorganic phosphate ratios, glycerolphosphorylcholine, phosphorylcholine, the visual analogue pain scale, and pressure measurements on the right gastrocnemius. Conclusions In a pilot study, grounding the body to the earth alters measures of immune system activity and pain. Since this is the first intervention that appears to speed recovery from DOMS, the pilot provides a basis for a larger study. PMID:20192911

  8. Effect of Vibration in Prevention of Delayed Onset Muscle Soreness: A Recent Update

    Directory of Open Access Journals (Sweden)

    Zubia Veqar

    2012-12-01

    Full Text Available Delayed onset muscle soreness (DOMS is muscular pain and discomfort experienced approximately 24-72 hours after exercise. DOMS is due to microscopic muscle fiber tears and is more common after unfamiliar high-force muscular work. It is seen predominantly post eccentric exercise. It is commonly seen after the intensity and volume of training are increased, the order of progression in exercise or a new training regime is performed. DOMS is not a disorder or disease; it can be considered as a painful type I muscle strain injury. DOMS can limit further exercise in the days following an initial training. It is a matter of concern for coaches, athletic trainers, physiotherapist, and other sports medicine personnel concerned with the athletes. Various pre- and post exercise interventions have been investigated with respect to preventing the subsequent symptoms and treating DOMS. Interventions like pharmacological treatments, therapeutic treatments using physical modalities, and interventions using nutritional supplements have been researched. In the aspect of prevention and treatment of DOMS vibration therapy is effective. Vibration therapy helps to synchronization of motor unit activity by preventing sarcoma disruption and also improves muscular strength, power development and kinesthetic awareness. Thus optimal muscle performance prevents the muscle damage, reducing the chances of DOMS. The purpose of this review is to find out the role of Vibration therapy in preventing DOMS.

  9. Central projection of pain arising from delayed onset muscle soreness (DOMS in human subjects.

    Directory of Open Access Journals (Sweden)

    Katharina Zimmermann

    Full Text Available Delayed onset muscle soreness (DOMS is a subacute pain state arising 24-48 hours after a bout of unaccustomed eccentric muscle contractions. Functional magnetic resonance imaging (fMRI was used to examine the patterns of cortical activation arising during DOMS-related pain in the quadriceps muscle of healthy volunteers evoked by either voluntary contraction or physical stimulation. The painful movement or physical stimulation of the DOMS-affected thigh disclosed widespread activation in the primary somatosensory and motor (S1, M1 cortices, stretching far beyond the corresponding areas somatotopically related to contraction or physical stimulation of the thigh; activation also included a large area within the cingulate cortex encompassing posteroanterior regions and the cingulate motor area. Pain-related activations were also found in premotor (M2 areas, bilateral in the insular cortex and the thalamic nuclei. In contrast, movement of a DOMS-affected limb led also to activation in the ipsilateral anterior cerebellum, while DOMS-related pain evoked by physical stimulation devoid of limb movement did not.

  10. Influence of fatigue, stress, muscle soreness and sleep on perceived exertion during submaximal effort.

    Science.gov (United States)

    Haddad, Monoem; Chaouachi, Anis; Wong, Del P; Castagna, Carlo; Hambli, Mourad; Hue, Olivier; Chamari, Karim

    2013-07-02

    The aim of this study was to assess the effects of the Hooper's Index variations (i.e., self-ratings of fatigue, stress, delayed onset muscle soreness (DOMS), and sleep) on rating of perceived exertion during a 10 min submaximal exercise training session (RPE-10 min) and then check the stability and the internal consistency of RPE-10 min. Seventeen junior soccer players took part in this study. The individual Hooper's indices taken before each training session were correlated with RPE-10 min during a constant intensity and duration effort (10 min) using Pearson product moment correlation. Intraclass correlation (ICC) was used to assess the internal consistency of the RPE-10 min. All individual correlations between RPE-10 min and quality of sleep and quantity of fatigue, stress, and DOMS were non-significant (p>0.05). No significant correlations were resulted between RPE-10 min and Hooper's Index in all athletes. The ICC of RPE-10 min was 0.77 thus demonstrating internal consistency. The results of the present study demonstrated the objectivity and utility of RPE as a psychological tool for monitoring training during traditional soccer training. Therefore, the results of the present study suggest that fatigue, stress, DOMS and sleep are not major contributors of perceived exertion during traditional soccer training without excessive training loads. It seems that psychobiological factors other than fatigue, stress, DOMS and sleep may have mediated the 10 min exercise perceptual intensity.

  11. Central Projection of Pain Arising from Delayed Onset Muscle Soreness (DOMS) in Human Subjects

    Science.gov (United States)

    Zimmermann, Katharina; Leidl, Caroline; Kaschka, Miriam; Carr, Richard W.; Terekhin, Pavel; Handwerker, Hermann O.; Forster, Clemens

    2012-01-01

    Delayed onset muscle soreness (DOMS) is a subacute pain state arising 24–48 hours after a bout of unaccustomed eccentric muscle contractions. Functional magnetic resonance imaging (fMRI) was used to examine the patterns of cortical activation arising during DOMS-related pain in the quadriceps muscle of healthy volunteers evoked by either voluntary contraction or physical stimulation. The painful movement or physical stimulation of the DOMS-affected thigh disclosed widespread activation in the primary somatosensory and motor (S1, M1) cortices, stretching far beyond the corresponding areas somatotopically related to contraction or physical stimulation of the thigh; activation also included a large area within the cingulate cortex encompassing posteroanterior regions and the cingulate motor area. Pain-related activations were also found in premotor (M2) areas, bilateral in the insular cortex and the thalamic nuclei. In contrast, movement of a DOMS-affected limb led also to activation in the ipsilateral anterior cerebellum, while DOMS-related pain evoked by physical stimulation devoid of limb movement did not. PMID:23056613

  12. Incidence and severity of postoperative sore throat: a randomized comparison of Glidescope with Macintosh laryngoscope.

    Science.gov (United States)

    Aqil, Mansoor; Khan, Mueen Ullah; Mansoor, Saara; Mansoor, Saad; Khokhar, Rashid Saeed; Narejo, Abdul Sattar

    2017-09-12

    Postoperative sore throat (POST) is a common problem following endotracheal (ET) intubation during general anesthesia. The objective was to compare the incidence and severity of POST during routine intubation with Glidescope (GL) and Macintosh laryngoscope (MCL). One hundred forty adult patients ASA I and II with normal airway, scheduled to undergo elective surgery under GA requiring ET intubation were enrolled in this prospective randomized study and were randomly divided in two groups, GL and MCL. Incidence and severity of POST was evaluated at 0, 6, 12 and 24 h after surgery. At 0 h, the incidence of POST was more in MCL than GL (n = 41 v.s n = 22, P = 0.001), and also at 6 h after surgery (n = 37 v.s n = 23, P = 0.017). Severity of POST was more at 0, 6 and 12 h after surgery in MCL (P < 0.001, P = 0.001, P = 0.004 respectively). Routine use of GL for ET tube placement results in reduction in the incidence and severity of POST compared to MCL. ClinicalTrials.gov NCT02848365 . Retrospectively Registered (Date of registration: July, 2016).

  13. Incidence and risk factors of postoperative sore throat after endotracheal intubation in Korean patients.

    Science.gov (United States)

    Lee, Jin Young; Sim, Woo Seog; Kim, Eun Sung; Lee, Sangmin M; Kim, Duk Kyung; Na, Yu Ri; Park, Dahye; Park, Hue Jung

    2017-04-01

    Objective To investigate the incidence of postoperative sore throat (POST) in Korean patients undergoing general anaesthesia with endotracheal intubation and to assess potential risk factors. Methods This prospective study enrolled patients who underwent all types of elective surgical procedures with endotracheal intubation and general anaesthesia. The patients were categorized into group S (those with a POST) or group N (those without a POST). The demographic, clinical and anaesthetic characteristics of each group were compared. Results This study enrolled 207 patients and the overall incidence of POST was 57.5% ( n = 119). Univariate analysis revealed that significantly more patients in group S had a cough at emergence and hoarseness in the postanaesthetic care unit compared with group N. Receiver operating characteristic curve analysis showed that an intracuff pressure ≥17 cmH2O was associated with POST. Multivariate analysis identified an intracuff pressure ≥17 cmH2O and cough at emergence as risk factors for POST. At emergence, as the intracuff pressure over ≥17 cmH2O increased, the incidence of hoarseness increased. Conclusions An intracuff pressure ≥17 cmH2O and a cough at emergence were risk factors for POST in Korean patients. Intracuff monitoring during anaesthesia and a smooth emergence are needed to prevent POST.

  14. Capturing phosphates with iron enhanced sand filtration.

    Science.gov (United States)

    Erickson, Andrew J; Gulliver, John S; Weiss, Peter T

    2012-06-01

    Most treatment practices for urban runoff capture pollutants such as phosphorus by either settling or filtration while dissolved phosphorus, typically as phosphates, is untreated. Dissolved phosphorus, however, represents an average 45% of total phosphorus in stormwater runoff and can be more than 95%. In this study, a new stormwater treatment technology to capture phosphate, called the Minnesota Filter, is introduced. The filter comprises iron filings mixed with sand and is tested for phosphate removal from synthetic stormwater. Results indicate that sand mixed with 5% iron filings captures an average of 88% phosphate for at least 200 m of treated depth, which is significantly greater than a sand filter without iron filings. Neither incorporation of iron filings into a sand filter nor capture of phosphates onto iron filings in column experiments had a significant effect on the hydraulic conductivity of the filter at mixtures of 5% or less iron by weight. Field applications with up to 10.7% iron were operated over 1 year without detrimental effects upon hydraulic conductivity. A model is applied and fit to column studies to predict the field performance of iron-enhanced sand filters. The model predictions are verified through the predicted performance of the filters in removing phosphates in field applications. Practical applications of the technology, both existing and proposed, are presented so stormwater managers can begin implementation.

  15. Cleaning oil sands drilling waste in Alberta

    Energy Technology Data Exchange (ETDEWEB)

    Mikic, N.; Nilsen, C.; Markabi, M. [Mi SWACO, Calgary, AB (Canada)

    2008-07-01

    The waste generated from steam assisted gravity drainage (SAGD) wells is brought to the surface and separated by shale shakers. The waste can include drilling fluids and sand contaminated with bitumen. This paper described a new technology developed to treat waste using the addition of hot water and various mixing and separation technologies to reduce the viscosity of the bitumen and separate it from the sand. The bitumen-contaminated drill cuttings were mixed with hot water to form a slurry that was then separated through the G-force created by a hydrocyclone. A secondary separation was then conducted in an elutriation column to remove residual contaminants from the sand. The flow rate of the process was controlled by the fine solids composition of the cuttings, the temperature of the cleaning process, and the performance of the individual components. Laboratory tests conducted to tests the method showed that the sand particles produced using the method were clean enough to be safely disposed in the environment. A pilot study will be conducted to test the sand cleaning technology at a commercial scale. 6 refs., 3 figs.

  16. Mitigating in situ oil sands carbon costs

    Energy Technology Data Exchange (ETDEWEB)

    Theriault, D.J.; Peterson, J. [Laricina Energy Ltd., Calgary, AB (Canada); Heinrichs, H. [Canadian Chemical Technology Inc., Calgary, AB (Canada)

    2008-10-15

    Carbon capture and sequestration is a complex problem with a variety of dimensions that need to be considered. The political, social, and regulatory pressures are forcing carbon costs on the oil sands industry in an effort to reduce the carbon footprint of oil sands operations. This paper reviewed the political, social, and regulatory pressures and obligations for the in-situ oil sands industry. It presented the views and insights of Laricina Energy on the carbon challenge. It also described the initiatives that Laricina Energy is taking to manage these imperatives and outlined the challenges the industry is facing. The purpose of the paper was to encourage dialogue and collaboration by the oil sands industry. The paper also described the dimensions of the carbon problem and how the industry can contribute to a solution. Last, the paper reviewed the parameters of carbon dioxide or greenhouse gas containment and storage issues. It was concluded that the regulatory and policy requirements need to be clarified so that industry understands the new business landscape as well as the requirements that influence the economics of in-situ oil sands development. 7 refs., 7 figs.

  17. 喉痹从刺营论治探讨%Study on needling Ying method for treatment of sore throat

    Institute of Scientific and Technical Information of China (English)

    谢强; 何兴伟; 黄冰林; 陶波

    2009-01-01

    探讨从刺营论治喉痹的机制.通过对喉痹的病因病机分析,认为喉痹发病的病机关键是热毒壅滞、痰火郁结,而咽喉局部脉络闭阻是喉痹发病的经络学基础.因咽喉部有多条经络循行,故咽喉与脏腑经络构成密切联系,当外邪侵袭或脏腑经络功能失常,均可致邪毒壅滞、痰瘀闭阻咽喉脉络而发病.在临床上,通过咽喉局部刺营或配合循经取穴刺营治疗,可疏通脉络、逐邪外出、解毒消肿、化痰祛瘀、调和阴阳,从而达到通利咽喉之目的.刺营法是治疗喉痹的重要方法.%To explore the mechanism of needling Ying method for treatment of sore throat. By the analysis of pathogenesis of sore throat, the authors think the key of its pathogenesis is stagnation of pathogenic factors such as hotness and phlegm accumulating, and meridian-vessel obstruction in the throat is its meridian foundation. There are several meridians passing through the throat, so the throat is closely related to viscera and meridians, and stagnation of pathogenic factors such as hotness and phlegm accumulating in the throat lead to sore throat when exogenous pathogenic factors invading or dysfunction of viscera and meridians. The treatment of needling Ying at local throat or combined with corresponding meridian point selection can dredge collaterals, dispel pathogenic factors, remove pathogenic factors to dispel swelling, resolve phlegm and dissipate stagnation and harmonize yin and yang, so as to relieve sore throat. In conclusion, needling Ying method is an important method in the treatment of sore throat.

  18. Permeability Tests on Eastern Scheldt Sand

    DEFF Research Database (Denmark)

    Jakobsen, Kim Parsberg

    The flow through porous media plays an important role in various engineering disciplines, as for example in ground water hydrology and soil mechanics. In the present study the permeability is determined for a fine, saturated sand. As the flow through a porous media strongly depends on the charact......The flow through porous media plays an important role in various engineering disciplines, as for example in ground water hydrology and soil mechanics. In the present study the permeability is determined for a fine, saturated sand. As the flow through a porous media strongly depends...... on the characteristics of the soil matrix, the permeability is determined for different void ratios. All tests are performed on reconstituted specimens of Eastern Scheldt Sand. The permeability is determined by use of a falling head apparatus. Finally the test results are briefly summarised and a relationship between...... void ratio and permeability is established....

  19. Sand Dunes Fixation in Baiji District, Iraq

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    This study was carried out at Sand Dunes Stabilization Researches Station in Baiji district (230 ln north of Baghdad, Iraq) to evaluate the effects of local soil conditioners manufactured from oil derivatives and plant residuals on sand dunes fixation as the first step for sand dunes stabilization. The results indicate that the fuel oil has the first place in improving wind erosion parameters in the study area, such as increasing mean weight diameter, dry aggregates percentage, the needed time for complete disaggregation by dry sieving, and decreasing the disaggregation rates. Bitumen emulsion occupies the second place, while the plant residuals occupies the third place and has slight effects on the studied parameters. Effects of conditioners on natural vegetation cover are negative in oil derivatives treatments,while positive in plants residuals treatments.

  20. Thermoluminescent dosimetric properties of Descalvado sand

    Energy Technology Data Exchange (ETDEWEB)

    Teixeira, M.I.; Caldas, L.V.E

    2006-07-01

    Sand samples proceeding from Descalvado, Sao Paulo, were studied with regard to their dosimetric properties using the thermoluminescence technique (TL) for high doses. These sand samples present steady physical and chemical characteristics to the end items, and they are used in the glass industry and for casting. The TL curves of the samples were obtained after an irradiation at the Gamma-Cell system ({sup 60} Co), of IPEN. The glow curves present two peaks at 80 C and 220 C approximately. Calibration curves were obtained for doses between 50 Gy and 5 kGy. The results indicate that the sand samples can be used for high-doses dosimetry in several areas of applications of ionizing radiation. (Author)